HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGNIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
�C7L) 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 with acknowledge 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 of my property which will not adversely affect the immediate
community.
Brian W Davidson
Property weer Name (Please Print)
Property Owner Signature — _ 12/26/2017
Date
STATE OF FLORIDA, COUNTY OF BfPyard
ACKNOWLEDGED BEFORE NEE THIS J 26 DAY OF December
BY ------20 17.__.
-- WHO IS Pr.'RSONALLY KNOWN TO ME (X 1 OR WHO HAS
PRODUCED
AS IDENTIFICATION
SIGNA E OF NOTARY pUgLjC �-`-"'— -
Saiy#a Leohe
TYPE ORPRINT NOTrVtY -'--- " "
--- —_______COMMISSION NUMBER
(SEAL)
SLCPDSD Revised 04 110011
;o�Y r��� Notary Ptibiic State of Florida
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