HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
AVENUE
FORT PIERCE, FL 34982-5652 EF �FE
(772) 462-1553� ' "'$' ki�
FILLED LAND AFFIDAVIT DEC L 2017
ING
St. Lucia County, FL
I, the undersigned, am the owner of the following described property,
Tull Cobblestone Drive
(Parcel Id#/Legal description/Address)
for which I have applied' to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number
acknowledge
that as owner of the above described property, and in accordance I with Section
7.04.01(D), St. Lucie County Land Development Code, I shall be responsible for assuring
WILL NOT be adversely af
adequate drainage so that the immediate community fected.
I further acknowledge that in granting this permit for the development of this property,
St. Lucie County is neither obliged nor liable to provide for, or maintain in any form,
adequate drainage off my property which will not adversely affect the immediate
community.
Brian W Davidson
Property caner Name (Please Print)
12/26/2017
Property Owner Signature '� —
Date
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE NIE THIS `2g _ DAY OF December
20
BY --- 1 Z_.
IS PERSONALLY KNOWN TO ME (X ) OR WHO HAS
PRODUCED
—' — AS IDENTIFICATION
SIGNA
_ __ __.___ _ �Saii#a Leone
E OF NOTARY PUBLIC
TYPE OR PRINT
_ __ COMMISSION NUMBER
(SEAL)
o csY "off Notary Ptibiic State of Florida
? ; Sandra Leone
My Commission GG 020251
SLCPDSDRevised 0411l20I1 '�orrLOF EKpres08rt0l2020