HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
® Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 3 4982-5 652
(772)462-1553
FILLED LAND AFFIDAVIT
DEC ? ? 2017
PEPM117ING
I, the undersigned, am the owner of the following described property, St. Lucie COUnq,, FL
(Parcel Id#1Lega1 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)
Property Owner Signature -- _ 12126l2017
Date
STATE OF FLORIDA. COUNTY OFreyard
ACKNOWLEDGED BEFORE ME THIS _26_ DAY OF December
BY — ZO 17._
-- _ ,WHO IS PERSONALLY KNOWN TO ME r XJ OR WHO HAS
PRODUCED
AS IDENTIFICATION
SlGNA E OF NOTARY PUBLIC
TYPE OR PRINT NOTARY — - -'
-- .COMMISSION NUMBER
(SEAL)
SLCPDSD Revised 04 112011
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CaP+tas 08r10/2020