HomeMy WebLinkAboutFILLED LAND AFFIDAVITl BY
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
i4'. o W
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982.5652
(772)462-1553
i
FILLED
I, the undersigned, am the owner of the fol
Cobblestone DR
(Parcel [d#/Legal description/Address)
for which I have applied' to St. Lucie
accepting this Final Development Permit
that as owner of the above described
7.04.01(D), St. Lucie County Land Develo
adequate drainage so that the immediate c
I further acknowledge that in granting thi
St. Lucie County is neither obliged nor l
adequate drainage off my property whi
community.
Brian W Davidson
Property wner Name (Please Print)
Property Owner Signature
STATE OF FLORJDA, COUNTY OF_31 Vard
ACKNOWLEDGED BEFORE ME THIS 29 DAY
BY Personally known WHO Is P
PRODUCED
— NATURE
SIGE OF NOTARY PUBLIC 7 YP1
COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
AFFIDAVIT
lowing described property,
ounty for a Final Development Permit. In
BP Number , I acknowledge
property, and in accordance with Section
ment Code, I shall be responsible for assuring
mmunity WILL NOT be adversely affected.
permit for the development of this property,
ble to provide for, or maintain in any form,
h will not adversely affect the immediate
5/29/18
Date
May
20_18
ALLY KNOWN TO ME LJ OR WHO HAS
AS IDENTIFICATION.
�#a Leone
1NT NOTARY
(SEAL)
op*Y ^`' Notary Public State of Florida
? Sandra Leone
y My Commisslan GG o20291
9�OF fLo
Expires 08/10/2020