HomeMy WebLinkAboutFILLED LAND AFFIDAVITrr,. , PLANNING & DEVELOPMENT SERVICES DEPARTMENT
° Building & Code Regulations Division
m, 2300 VIRGINIA AVENUE
FORT PIERCE, FL 34482-5652
(772) 462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
en, — . -
(Pa reel
Cobblestone Drive
r.■.111.+uaress)
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number
.1 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
adequate drainage so that the immediate community MILL 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 wner Name (Please Print)
Property Owner Signature — _ 12/26/2017
Date
STATE OF FLORIDA, COUNTY OF ar yard
ACKNOWLEDGED BEFORE ME THIS _.26 DAY OF December
BY — --- 20 1Z_
______WHO IS PERSONALLY KNOWN TO ME C_?�j OR WHO HAS
PRODUCED
— _.---" /� %�J--_,AS
IDENTIFICATION
SIGNA E OF NOTARY PUBLIC _ �ag, `Ya ` ' ��e
TYPE OR PRINT NOTARY - - - -----
__._ —_ _C011MiSS10N NUMBER
(SEAL)
SLCPDSD Rev+sed 04 1 In011
;o�oa* p4�fr Notary p.+blic State or Florida
�, Sandra Leone
My Commission GG 020251
9�'orr�o~ (:xP+ros08110l2020