HomeMy WebLinkAboutFILLED LAND AFFIDAVITDEC 2 7 2017
a PLANNING & DEVELOPMENT SERVICES DEPARTMENT
_ c Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
-
Cobblestone Drive
(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
that as owner of the above described property, and in accordance I witacknowledge Section
7.04.01(D), St. Lucie County Land Development Code, I shall be responsible for assuring
adequate drainage so that the immediate community WILL NOT be adversely affected.
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 weer Name (Please Print)
_ _ 12/26/2017
Property Owner Signature Date
STATE OFFLORIDA, COUNTY OF 8r varri
ACKNOWLEDGED BEFORE ME THIS _26 DAY OF December
BY
-- _^WHO IS PERSONALLY KNOWN TO ME (X I OR WHO HAS
PRODUCED
- _ AS IDENTIFICATION
NA
'Em#a_ Leon _ SIGE OF NOTARY PUBLIC -
TYPE OR
_—._,_COMMISSION NUMBER
(SEAL)
NOtOry Ptiblic State of Florida
? ; Sandra Leone
g _ My Commission GG 020251
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