HomeMy WebLinkAboutFILLED LAND AFFIDAVITv -
PLANNING & DEVELOPMENT. SERVICES DEPARTMENT
Building &Code Regulations Division
• 2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553 '
SCANNED
BY FILLED BLAND AFFIDAVIT
I, the undersigned, am the owner of the' following described property,
VA oa-1Zdq- CS 000---
(Parcel Id#/Legal description/Address)
for which I have applied to St. Lu
accepting this Final Development Pc
that as owner of the above descr
7.04.01(D), St. Lucie County Land DE
adequate drainage so that the immedi
I further acknowledge that in grantin
St. Lucie County is neither obliged 1
adequate drainage off my property
community.
Property Owner Name (Please Print)
Q
Property Owner Signature
STATE OF FLORIDA, COUNTY OF.
ACKNOWLEDGED� C hr�BEECFORE ME THIS ---ppI
By
PRODUCED 1r 1 1 (oc vD
SI(&ATURE OF N TARRY PUBLIC
Q03 MMISSION NUMBER
SLCPDSD Revised 04/11/2011
e County for a Final Development Permit. In
nit, BP Number 14 d3-6Gt3 , I acknowledge
,ed property, and in accordance with Section
elopment Code, I shall be responsible for assuring
e community WILL NOT be adversely affected.
this permit for the development of this property,
r liable to provide for, or maintain in any form,
vhich will not adversely affect the immediate
4
Date
DAY OF T11 2015—
) IS PERSONALLY KNOWN TO ME Q OR WHO HAS
AS IDENTIFICATION.
TYPE OR PRINT NOTARY
,•i� °gym JESSICA LYNN JONES
Notary Public - State of Florida
Commission # GG 038637
My Comm. Expires Oct 15, 2020
l
PLANNING &
The Board of County Commissioner approved a
survey when applying for a building permit for
structure with a value exceeding $10,000. This 1
The guidelines are as follows:
VELOPMENT SERVICES DEPARTMENT
& CODE REGULATIONS DIVISION
change that will require a copy of a current sealed
ary structure or a building permit for an accessory
ie effective July 1, 1993.
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
2. The relationship of the activity under ap]
required for the review of the application
features, including but not limited to the
accessory structures, pools and screened
systems, driveways, culverts and any lu
property lines.
A minimum of two (2) elevations along
existing ground elevation at the approxi
elevation along the side property lines a
finished floor elevation of the structure
structures noted above in item 2. The p;
the approved Health Department On -Sit
sewage disposal is proposed.
All surveys submitted shall be prepared, signed,
accordance with the provisions of Chapter 61G1
modifications or construction, roofing permits n
area covered by the roof surface, or any other pe
of any portion of the existing structures shall not
with a building value of less than ten thousand d
but shall instead be required to submit a scaled 1
and its compliance with minimum setback stand
requirements may be submitted with any applica
depicts the accurate location of all structures anc
activity.
ication to all adjacent property lines, and as may be
all adjacent structures, improvements or natural
earest building corners of all adjacent primary and
nclosures, fences, sheds, utility easements, wells, septic
scaping or existing vegetation located along the
ach roadway on which the proposed activity borders, the
ate center of the proposed structure, the existing ground
acent to the proposed structure, and the proposed
ider application and finished grades for any adjacent
posed finished floor elevations must be consistent with
Sewage Disposal System Construction Permit if on -site
nd sealed by a Florida Registered Land Surveyor, in
7-6, FAC, except those applications for interior
t involving any structural alteration or additions to the
mit required activity that does not result in the expansion
be required to submit a survey. Accessory structures
dlars ($10,000) shall not be required to submit a survey,
.ot plan indicating the location of the accessory structure
rds. Copies of original surveys meeting the above
ion for building permit, provided that the survey still
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 curl