HomeMy WebLinkAboutFILLED LAND AFFIDAVITXANNtu
BY,f�
aLucaOnfl
rs PLANNING & DEVELOPMENT SERVICES DEPARTMENT
c Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982.5652
(772)462-1553
I
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
862000bblestone DR
(Parcel tag/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 weer Name (Please Print)
5/29/18
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF_CeUard
ACKNOWLEDGED BEFORE ME THIS 29 _ DAB. OF May
2Q 18
BY Personally knownWHO IS Pl3RSONALLY KNOWN TO ME
C--) OR WHO HAS
PRODUCED
(' %� AS IDENTIFICATION.
SIGNA EOFNOTARYPUBLIC Sah(�a "��'IP�
TYPE OR PRINT NOTARY
COMMISSION NUMBER
SLCPDSD Revised 04/112011
(SEAL)
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Notary Public Stete of Florida
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Sandra Leone
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My Commission GG 020251
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