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HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT 0 Building & Code Regulations Division 2300 VIRGINIA AVENUE FORT PIERCE FL 3 4982-5652 (772) 462-1553 FILLED LAND AFFIDAVIT ate St; 4�Cr7lY/%;.. � f vole c /,/ Q I, the undersigned, am the owner of the following described property, o� , F - n 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 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 immediate community. Brian W Davidson Property caner Name (Please Print) _ 12/26/2017 Property Owner Signature Date —' STATE OF FLORIDA, COUNTY OFm—efPVBrrl ACKNOWLEDGED BEFORE ME THIS `26_ DAY OF December BY — 20_ 1Z`� IS PERSONALLY KNOWN TO ME (X ) OR WHO HAS PRODUCED "`— ---- AS IDENTIFICATION t __ __..___.__.___ Sa4dlra Leon S1GNA E OF NOTARY PUBLIC -- TYPE ORPRINT NOTARY `- "' -- - __�COMMISSiON NUMBER SLCPDSD Revised 04 1 IP_011 (SEAL) oar"o5, ? �, NotOry Pt/blic State of Florida Sandra Leone - My Commission GG 020251 9j�ort�� FXPir0s08r1012020