HomeMy WebLinkAboutFILLED LAND AFFIDAVITN. PLANNING & DEVELOPMENT SERVICES DEPARTMENT
° 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,
v33D— Cobblestone Drive
(Parcel Id#/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 nowSection
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
community. adversely affect the immediate
Brian W Davidson
Property caner Name (Please Print)
Property Owner Signature -- _ 12/26/2017
Date
STATE OF FLORIDA, CowTY OF�_Breyard
ACKNOWLEDGED BEFORE ME THIS 2� _ _ DAY OF December
BY
---------.WHO IS PERSONALLY KNOWN TO ME (X ► OR WHO HAS
PRODUCED
AS IDENTIFICATION
�---- ----- sat�#a Leone
SlGNA E LOF_�OARY PUBLIC —' — F --
TYPE OR PRINT NOTARY -
-- —_ _ COMM15510N NUMBER
SLCPDSD Revised 04 1 U-01 I
(SEAL)
=o�'� "`�4 Notary Public State of Florida
�, Sandra Leone
My Commission V 020251
p'I'o'r%o� EKpiros 08i10l2020