HomeMy WebLinkAboutFILLED LAND AFFIDAVITate® PLANNING & DEVELOPMENT SERVICES DEPARTMENT
° Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT
DEC 2 ?r7201,7
r�C'i�e�1i 111��
I, the undersigned, am the owner of the following described property, StLucie County, FL
(Parcel IM/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 ass
adversely affected.
uring
adequate drainage so that the immediate community WILL NOT be 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)
e — _ _ 12/26/2017
Property rty Owner Signature Date —
STATE OF FLORIDA, COUNTY OF BfPyaITj
ACKNOWLEDGED BEFORE ME THIS _26 DAY OF December
BY
----- —__WHO 1S PERSONALLY KNOWN TO ME (X I OR WHO HAS
PRODUCED
- - AS IDENTIFICATION
S1GNA
E OF NOTARY PUBLIC -
TYPE 0R
- .- --COMMISSION NUMBER
(SEAL)
F4=
State of Floridaneon GG 020251SLCPDSDRevised04 I1l3011 12020