HomeMy WebLinkAboutFilled Land AffidavitDocuSign Envelope ID: CD4D0779-06464715-8610-F1 B58F323C74
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
.mineBuilding & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
1, the undersigned, am the owner of the following described property,
0 Palmetto Dr., Fort Pierce, FL 34962 13402-606-0073-000-5
(Parcel IdAfUgal descriptionlAddress)
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 not liable to provide for, or maintain in any form,
adequate drainage off my property which will not adversely affect the immediate
community.
Peter & Bridget Jacobson
ProNUMIbW Name (Please Print)
6ri4.l �otceusotA 0 Oa
I-ro tWHWSignature Date
STATE OF FLORIDA, COUNTY OF Palm Beach
ACKNOWLEDGED BEFORE NIE TTHIS 16 DAY OF October _ 2020
BY _v 1 RSONALLY K.YOWN TOME(�)OR WHO HAS
ultant�rn N/A _ AS IDENTIFKATION.
Johnson
TYPE OR PRINT NOTARY
(SEN.)
�DEE
L. JOHNSON
SI CPDSD Rwixd 04lt {i211I1 MY GG251845n July 17, 2021
DocuSipn Envelope ID: CD4D0779-0846-47158610-FIB58F323C74
• PLANNING & DEVELOPMENT SERVICES DEPARTMENT
• BUILDING & CODE REGULATIONS DIVISION
The Hoard of County Commissioner approved a code change that will require a copy of a current sealed
survey when applying for a building permit for a primary structure or a building permit for an accessory
structure with a value exceeding $10,000. This became effective July 1, 1993.
The guidelines are as follows:
No Building Permit shall be issued for development unless a copy of a survey of the property on which
the required activity is to be permitted accompanies the application for building permit. All surveys shall
derr+n+strite compliance with the Filled lands Affidavit signed by the Property Owners (refer to St. Lucie
County Land Development Code, Section 7.04.01. D.3.) and completely depict the following:
L The location of the proposed development activity.
2. The relationship of the activity under application to all adjacent property lines, and as may be
required for the review of the application, all adjacent structures, improvements or natural
features, including but not limited to the Merest building corners of all adjacent primary and
accessory sVuctures, pools and scream enclosures, fences, sheds, utility easements, wells: septic
systems, driveways, culverts and any landscaping or existing vegetation located along the
Vey tines.
3. A minimum of two (2) elevations along each roadway on which the proposed activity borders, the
existing ground elevation at the approximate center of the proposed structure, the existing ground
elevation along the side property Imes adjacent to the proposed structure, slid the proposed
finished floor elevation of the structure under application and finished grades for any adjacent
structures noted above in item 2. The proposed finished floor elevations must be consistent with
the approved Health Department On -Sac Sewage Disposal System Construction Permit if on-site
sewage disposal is proposed.
All surveys submitted shall be prepared, signed and sealed by a Florida Registered Land Surveyor, in
accordance with the provisions of Chapter 61G17.6, FAC, except those applications for interior
modifications or construction, roofing permits not involving any Wvcttaal alteration or additions to the
area covered by the roof surface, or any other permit required activity that does not result in the expansion
of any portion of the existing structures shall not be required to submit a survey. Accessory structures
with a building value of less than ten thousand dollars ($10,000) shall not be required to submit a survey,
but shall instead be required to submit a scaled plot plan indicating the location of the accessory structure
and its cornuliance with minimum setback standards. Copies of original surveys meeting the above
requirements may be submitted with any application for building permit, provided that the survey still
depicts the accurate location of all structures and other improvements on the property.
Per Florida Administrative Code Chapter 61 G17-6.006, paragraph 8, additions or deletions to
survey drawings by other than the signing party or parties is prohibited without written consent of
the signing ply or parties.
SLCPDSDRev 06/18':0]0
119'06 curl