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FILLED LAND AFFIDAVIT
DocuSign Envelope ID:56FOD51 D-170l3-4DF5-84C4-98C85FC4EC92 PLANNING & DEVELOPMENT SERVICES DEPARTMENT 'a Building& Code Regulations Division y 2300 VIRGINIA AVLNI I FORT PIERCE,Ft.34982-5052 (772)462-155; FILLED LAND AFFIDAVIT 1, the undersigned. am the owner of the following described property. 3yD4 - 11 I - 000UI -C)YD (Parcel Id#/Legal description/Address) for wfiich 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 aboNe 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. 1 further acknow Iedge that in granting this permit for the development of this propert%. St. Lucie County is neither obliged nor liable to provide Ibr, or maintain in am lbrm. adequate drainage off mN property which will not adversely affect the immediate community. ,j e-r- -ey 61 Un 4- I,i. ,,, t -, ,- `..une 1 Please Print) DocuSigned by: 9�08g9B28888dF1!Si mature Date �© I)A1 (it v— OY- Jeffrey Blunt (�� 1 1V11iJISPfRNuV\11 ) 1.wi�4\ Iu\41 i(]StiiYINl41ll\�, 101f (iru �I , ���\\II11111111///// Sl \1 NN P/FRS/jWX $ION * *Ali 12N34 ti N, /,iye°bDldc U �co�\ O ////// ��ll I1111N GRAPHIC SCALE 40 0 20 40 FOUND P.K. INTERNATIONAL SURVEY FEET LB 6790 BM IS P.K. IN U.P. 1 inch = 40 ft. FOUND P.K. CQ, X= 16.26(NAVD88) J SOUTH R/W LINE LB 6790 C/L OF GOPHER RIDGE ROAD (30' R/W) —-—-— —-— o - -(ASPHALT PAVEMENT BASIS OF BEARINGS - ---- ----------- -- N 0 �1 ��� o N890 16' 23"W LO OU�ND %8"I.R.R. —�,��J5 84 - o7 o-- 162.81 NO CAP 7�C/L SWALE± 0„18' / d 5. P.O.B. N W FOUND 0-CAP x ��9 CO ^�( FOUND NO CAP I.R. TRACT B M (OCCUPIED) N FF X=13.70 —x — LLi �I p PROP. o O `D CONC. � PROP. 1001 SQ.FT. DRIVE OF D.F.AREA AVAILABLE LOT 2 (OCCUPIED) z l FF X=17.22 —, \33.37 . ----------4 \ w=________________� EXISTING PROP.667 SQ.FT. 1' - WELL OF PRIMARY D.F. � PROP. AREA AVAILABLE � EPTIC 18' 78.20' 00 LINE 21'-4" -10 Cy N (OCCUPIED) 36 N LLi or) FF X=13.58 ° CO N 1 -5" m6-8„ih EXISTING PROPOSED to WELL DWELLING W o 8890 48' 23"E � c o - 38.00 18.00' 2T-11ov. " 31'-9" 70 PROP. 0 9 WATER co 5/8"LR. FOUND 5/8"LR. LINE NO CAP NO CAP N crj PROP. LOT 1 50 WELL (VACANT) LLi �I 0 (OCCUPIED) > o N --- O_ (VACANT) o I 10'D.U.E. FOUND 5/8" I.R. N890 48' 23"W 194.83 -FOUND 5/8"I.R. NO CAP NO CAP (OCCUPIED) PHOTOCOPYING PROHIBITED @ 2022 NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL CONSTRUCTION LAYOUT SURVEY SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. LEGAL DESCRIPTION (As furnished by client) LEGEND: CONDITIONINGA/C AIR E/DELTA EXISTING ELEVAT ON PB P.O.B. PINT FROM THE NORTHEAST CORNER OF THE NE 4'1 OF THE NE 4'1 OF THE NE 4'1 OF SECTION 9, J =CENTRALLA GL = PLAT BOOK O OFB = BEGINNING =SOIL TEST SITE =PROPOSED ELEVATION PO.C. =POINT OF OOMMENCE ENT TOWNSHIP 36 SOUTH,RANGE 40 EAST,RUN WEST ALONG THE SECTION LINE A DISTANCE OF pa =BENCHMARK SYMBOL y-y 661.5 FEET TO A POINT,THENCE RUN SOUTH 21.79 FEET TO A POINT OF BEGINNING,THENCE BMPH =BENCASPI-IHMARK �M =CONCRETEFIRE HYDAMONUMENT PG.M =PAGEANANT REFERENCE MONUMENT RUN SOUTH 328.07 FEET TO A POINT,THENCE RUN EAST PARALLEL TO THE SOUTH LINE OF ® =CABLE TELEVISION BOX FF -FINISH FLOOR PLTR. =PLANTER (C) CALCULATED I.R =IRON ROD POR. =PORCH = 1 1 1 C.B.S.=CONCRETE BLOCK STRUCTURE NBT.T =NAIL BAI TAG PROP. =PROPOSED THE NE a OF THE NE a OF THE NE a OF THE WEST BOUNDARY OF SRD 605,THENCE RUN NORTH C.L.F. =CHAIN LINK FENCE P.K. =P.K.NAIL R =RADIus ALONG THE WEST BOUNDARY OF SRD 605,TO A POINT 30 FEET SOUTH OF THE NORTH LINE OF C.M.P.=CORRUGATED METAL PIPE I.P. =IRON PIPE R.C.P. =REINFORCED CONCRETE PIPE C/L =CENTERLINE H.W.F. =HOG WIRE/FIELD FENCING RM =RIGHT OF WAY NE 1 OF THE NE 4' OF THE NE 4'THENCE WEST 595.21 FEET TO THE POINT OF BEGINNING,ALL CONC.=CONCRETE * =uGHr POLE 5/8"I.R. =5/8"IRON ROD AND CAP#2992 4 4 4 COV. =COVERED LB =LISCENSE BUSINESS S.F. =SQUARE FEET LYING AND BEING IN ST.LUCIE COUNTY,FLORIDA. (D) =DESCRIPTION (M) =FIELD MEASUREMENT P.K. =PARKER-KALON NAIL AND DISK D.B. =DEED BOOK M.H. =MANHOLE S.T. =SEPTIC TANK TRACT CONTAINS 55840.38 SQUARE FEET. D.E. =DRAINAGE EASEMENT MAX. =MAXIMUM SCRN. =SCREENED DUE =DRAINAGE AND UTILITY EASEMENT MONT =MONUMENT [E� =TELEPHONE RISER BOX NOTES: D.F. =DRAIN FIELD MIN. =MINIMUM TYP. =TYPICAL 1.PARCEL FALLS IN FEMA FLOOD ZONE X,PER FEMA FLOOD MAP 12111CO277K EFFECTIVE 02/19/2020. ENc. =ENCROACHMENT N&D =NAIL AND DISK U.E. =UTILITY EASEMENT ENCL.=ENCLOSURE O.D. =OUTSIDE DIAMETER C_Q� =UTILITY POLE(POWER OR TELEPHONE) 2.WRITTEN DIMENSION TAKE PRECEDENT OVER SCALED DIMENSIONS.DISTANCES ARE NOT TO BE SCALED FOR ESM'T.=EASEMENT O.R.B. =OFFICIAL RECORD BOOK W =WASHER CONSTRUCTION AND/OR DESIGN PURPOSES. EXIST.=EXISTING O/H =OVERHEAD UTILITY LINE W.C. =WITNESS CORNER 3.FIELD MEASUREMENTS,PLAT MEASUREMENTS AND DEED MEASUREMENTS ARE CONCURRENT UNLESS X =ELEVATION P.C.P. =PERMANENT CONTROL POINT W.F. =WOOD FENCE OTHERWISE SPECIFICALLY STATED ON THIS SURVEY. =ELECTRICAL PANEL (P) =PLAT DIMENSION © =WATER METER 4.NO UNDERGROUND INSTALLATIONS OR IMPROVEMENTS HAVE BEEN LOCATED AS PART OF THIS SURVEY,UNLESS SHOWN OR MADE NOTE OF HEREON. 5.NO INSTRUMENTS OF RECORD REFLECTING EASEMENTS,RIGHTS-OF-WAY AND/OR OWNERSHIP HAVE BEEN 4750 Royal Pal m FURNISHED THIS SURVEYOR,EXCEPT AS SHOWN. I /� A 'r1 r 6.ENCROACHMENTS,IF ANY ARE SHOWN HEREON. ror ,/�`I\YI V C Beach Boulevard 7. BEARING SHOWN HEREON REFER TO THE RECORDED PLAT AS STATED IN DESCRIPTION ABOVE. 8.THE SOUTH R/W LINE OF GOPHER RIDGE ROAD HAS A PLAT BEARING OF N89°16'23"W AND ALL OTHER BEARINGS Land Surveying, I Inc. W• Palm Beach, FL 33411 SHOWN HEREON REFER THERETO. 561.798-3966 (phone) 9.ELEVATIONS,IF ANY,SHOWN HEREON REFER TO NORTH AMERICAN VERTICAL DATUM(1988)WHERE MEAN HIGH Surveying to Specification SEA LEVEL IS 0-00,UNLESS OTHERWISE NOTED. ��..II.. 561.791-8777 (fax) 10.THIS SURVEY IS NOT TRANSFERABLE BY OWNERS AFFIDAVIT OF SURVEY OR SIMILAR INSTRUMENT. LB #2992 11.THIS SURVEY IS VALID IN ACCORDANCE WITH F.S.627.7842,FOR A PERIOD OF 90 DAYS FROM THE DATE OF triangle2992@gmail.com CERTIFICATION. 12 THIS SURVEY MEETS PRECISION REQUIREMENTS FOR SUBURBAN SURVEYS.RELATIVE PRECISION IS GREATER THAN 1 FOOT IN 7500 FEET. SURVEY PREPARED FOR EXCLUSIVE USE OF: 13.ADDITIONS OR DELETIONS TO THIS SURVEY MAP AND/OR REPORT BY OTHER THAN THE SIGNING PARTY OR SYNERGY HOMES,LLC PARTIES IS PROHIBITED WITHOUT WRITTEN CONSENT OF THE SIGNING PARTY OR PARTIES. SYNERGY HOMES FL,LLC FIDELITY NATIONAL TITLE INSURANCE COMPANY FIRST AMERICAN TITLE INSURANCE COMPANY ®� D°WH/ , PROGRESSIVE TITLE SOLUTIONS LLC ® ,° ��®N��• �j®®® LEOPOLD KORN,P.A. �� 5524 °% ® PAL HOLDINGS GROUP,LLC,A FLORIDA LIMITED LIABILITY COMPANY Z e m COPYRIGHTED© SCALE: ADDRESS: 02-14-2022 s FIELD DATE: MATERIAL DECEMBER 30, 2021 1" =40' VACANT LAND ® STATE OF ° REVISED:SITE011722PAM FLOIRMA ��a REVISED:SITERL021422MEL ° DRAWN BY: GOPHER RIDGE ROAD �°qum °°°�� ®® CFC FORT PIERCE, FL 34982 JOB ORDER NO.: F.B. PG. ff SURVEY R LIED ID S F COVERED BV NEW[ FRBM Emma 24175 CRG-RDW DocuSign Envelope ID:56FOD51 D-170B-4DF5-84C4-98C85FC4EC92 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 7.04.01.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 1 imited 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. 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 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 61 G 17-6, 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 61G 17-6.006, 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