HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division RECEIVED
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652 O C T 11 2021
(772) 462-1553
St. Lucie County
Permitting
FILLED LAND AFFIDAVIT
1, the undersigned, am the owner of the folIGwing described property,
t o t -7 yea/ 0/5 1 T-1-10uw 4-k 2y/V5"
(Parcel Idg/Legal description/Address)
for which I have applied to St. Lucie County for a Final Development Permit. fn
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 affiected.
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.
r�2 fA I �: I
Icy-b-a l
Date
STATE OF FLORIDA, COUNTY OF owa4d
ACKNOWLEDGED B-FOF ME THIS CY � DAY OF
BY-9 [�,Q '� ' -C nn rd WHO IS PERSONALLY KNOWN �NffifR WW'40 HAS
PRODUCED
ul i/
SIGNATURE O OTARY PUBLIC
1' 97COMMISSION NUMBER
SLC?DSD Revised 0<111/2011
AS IDENTIFICATION.
41 lctr /
TYPE OR PRINT OTARY
(SEAL)
HILARYELLENJIMPIE
COMMISSION 5 HH 141971
EXPIRES: August 14, 2025
�'.�;OF F��•`� Bonded Thru Notary Public Undermtk rs
L'd £ZLO-969-ZLL Spuod ueplo0 dg9: LO `LZ g01o0
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
Survey Requirements
The Board 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
demonstrate compliance with the Filled Lands Affidavit signed by the Property Owners (refer to Sr. Lucie
County Land Development Code, Section 7.04.01.D.3.) and completely depict the follo„dng:
I. 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 nearest building corners of all adjacent primary and
accessory structures, pools and screened enclosures, fences, sheds, utility easements, wells, septic
systems, driveways, culverts and any landscaping or existing vegetation located along the
property lines.
A minimum oftwo (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 lines adjacent to the proposed structure, and 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 -Site 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 structural 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 compliance 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 61G17-6.006, paragraph 8, additions or deletions to
survey drawings by other than the signing party or parties is prohibited without written consent of
the signing party or parties.
SLCPDSD Rev 06h 812010
2/9!06 cml
Z'd £ZLO-969-ZLL spuod ueploO d94; 60 ` 6Z 9010O
Oct 05 21, 07:00p
Golden Ponds
772-595-0723
p.1
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGr IIA AVENUE
FORT PIERCE, FL 34982-5652
M2) 462-1553
FILLED LAND AFFIDAVIT
1, the undersigned; am the owner of the following described property,
/ 01l7 &Aea.-l- WCIO615 q--)0nd
(Parcel bdi#/Legal description/Address)
RECEIVED
OCT 112021
6t, Lucie County
Permitting
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number , l acknowledge
that as owner of the above described property, and in accordance with Section
7.04.01(D), St. Lucie Courity 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.
ken f cde6na
Prop Owner iame (Please Prin
Property Owner Signature Date
STATE OF FLORIDA. COUNTY OF 0,40GiI C7
ACKNOWLEDGED BEFORE ME THIS �-kh DAY OF ( f ( hQI(W •20-9-1—
By ken O&II 0 WHO IS PERSONALLY KNO%VN TO ME O�OR WHO HAS
we -nCM'rTFfr 6rT(1N
PRODUCED
�k"' &'-, u4'
'SIGNATURE NOTARY PUBLIC
HH 1q t q7I COMM;SSLON NUMBER
SLCPDSD Reviled 04A Ir2CI l
/-/[/,i `/le' slf
TYPE OR PRDIr NOTARY
HIWiY ELLEN JIMPIE
rP MY COMMISSION N HH 141971
c`•` EXPIRES: August 14, 2025
Bonded Thru Noffiry Public Unde+wdtm
Oct 0521, 07:00p Golden Ponds
772-595-0723 p.2
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
Survey Requirements
The Board 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
demonstrate compliance with the Filled Lands Affidavit signed by the Property Owners (refer to St. Lucie
County Land Development Code, Section 7.04.0l .D.3.) and completely depict the following:
1. 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 nearest building corners of all adjacent primary and
accessory structures, pools and screened enclosures, fences, sheds, utility easements, wells, septic
systems, driveways, culverts and any landscaping or existing vegetation located along the
property lines.
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 lines adjacent to the proposed structure, and 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 -Site 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 61017-6, PAC, except those applications for interior
modifications or construction, roofing permits not involving any structural 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 (S 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 compliance 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 61G17-6.006, paragraph 8, additions or deletions to
survey drawings by other than the signing party or parties is prohibited without written consent of
the signing party or parties.
SLCPDSD Rev 06/18/2010
2/9/06 cmL