HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
o Building & Code Regulations Division
2300 VIRGPVIA AVENUE
IFIFORT PIERCE, FL 34982-5652
I� Rip JET T/ M 't ; (772) 462-1553
ICr�
i� DEC 2 7 2017 ;
FILLED LAND AFFIDAVIT
TRY.......... —...........
I, the undersigned, am the owner of the following described property,
75HI4- Cobblestone DR
(Pa reel Id#/Legal descriptioe/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
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 im
community. mediate
Brian W Davidson
Property wrier Name (Please Print)
—� -- _ 12/14/2017
Property Owner Signature ---- `
Date
STATE OF FLORIDA. COUNTY OF Br -yard
ACKNOWLEDGED BEFORE NtE THIS _ A 4 _ DAY OF December-
-
BY '
PRODUCED -�
S1GNA E OF NOTARY PUBLIC
- —.-___CONfMISSION NUMBER
SLCPDSD Revised 04 11n_0I I
_ WHO is P .RSONALLY KNOWN To ,,,fE CI ) OR WHO HAS
- AS IDENTIFICATION
TYPE O$ PRINT NOTARY ✓ -
(SEAL)
Notaty P ibicc State of Florida
Sandra Leone
0 My Commissicn GG 020251
9�OF FLU (;xpires 08�10l2020