HomeMy WebLinkAboutFILLED LAND AFFIDAVIT0
SCANNED
PLANNING & DEVELOP11�r1�TT�S�E�RViCES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
SCANNED
EV FILL' ED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
(Parcel Id#/Legal description/Address)
for which I have applied to. St.
accepting this Final Development
that as owner of the above de
7.04.01(D), St. Lucie County Land
adequate drainage so that the imm,
I further acknowledge that in gran
St. Lucie County is neither oblige
adequate drainage off my prope
community.
3 Li q -I
tcie County for a Final Development Permit. In
-rmit, BP Number , I acknowledge
ribed property, and in accordance with Section
evelopment Code, I shall be responsible for assuring
iate community WILL NOT be adversely affected.
1g this permit for the development of this property,
nor liable to provide for, or maintain in any form,
r which will not adversely affect the immediate
l
Property Owner Rame (Please Print)
3
Property Owner tgn a Date
STATE OF FLORIDA, COUNTY OF I (,1�.� e,
I
ACKNOWLEDGED BEFORE ME THIS ' DAY OFi��i ► \ , 20�,
BY _ s �Q V A,t^e5b� WHO IS PERSONALLY KNOWN TOME ( OR WHO HAS
OF
SLCPDSD Revised 04/11/2011
COMMISSION NUMBER
AS IDENTIFICATION.
PRINT NOTARY
(SEAL)
jp Notary Public State of Florida
Victoria laws
MY Commission GG 197151
asExpires 03/15/2022
I
J,I C
COUNTY PLANNING &, DEVELOPMENT SERVICES DEPARTMENT
+ R t D A BUILDING & CODE REGULATIONS DIVISION
Survey Reauirements
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 areas 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 7.04.61.13.3.) 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. f
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.
1
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 thousandl 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 maybe submitted with any application for building permit, provided that the survey still
depicts the accurate location of all structures i d 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