HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & 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,
1313-502-0038-000-0 HOILDAY PINES S/D PHASE III LOT 461 5405 DEER RUN FORT PIERCE FL 34951
(Parcel ld#/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 , I acknowledge
that as owner of the above described property, and in accordance 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.
JOHN CHALOUX
Property Own am lease Print)
o erty Owner igna u -e
Ll--�
STATE OF FLORIDA, COUNTY OF,
MARTIN
ACKNOWLEDGED BEFORE ME THIS 13th
BY JOHN CHALOUX
PRODUCED DRIVERS LIC.
SUATV OF NO ARY FWLIC
COMMISSION NUMBER
SLCPDSD Revised 04/112011
DECEMBER 13, 2019
Date
DAY OF DECEMBER ^^ 19 20
) IS PERSONALLY KNOWN TO ME (1a OR WHO HAS
IDENTIFICATION.
GWYNETH ELLYN WOOD
rYPE OR PRIM NOTARY
Gwyneth Ellyn IF
°k4 state oCoissiooFF May