HomeMy WebLinkAboutFILLED LAND AFFIDAVITRECEIVED
APR 02 2018
ST, LUCK (;oynty� Partnittin
PLANNING &� DEVELOPMENT SERVICES DEPARTMEoil -- = 9
Building & Code Regulations Division
_ 2300 vIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
SCANNED
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of th i following described property,
IH 0 G - E6 I - (0() Q (Q Q 3 'C'Ve'1Md 46
(Parcel Id#/Legal description/Address) j
for which I have applied to St. L
accepting this Final Development I
that as owner of the above des(
7.04.01(D), St. Lucie County Land I
adequate drainage so that the imme(
I further acknowledge that in granti
St. Lucie County is neither obliged
adequate drainage off my propert
community.
Ia'zlz /�;
Property Owner Name (PlegePrint)
Property Owner Signature
ie County for a Final Development Permit. In
mit, BP Number , I acknowledge
bed property, and in accordance with Section
✓elopment Code, I shall be responsible for assuring
to community WILL NOT be adversely affected.
this permit for the development of this property,
:)r liable to provide for, or maintain in any form,
which will not adversely affect the immediate
4 - 2'. 1
Date
STATE OF FLORIDA, COUNTY OF t�L'�y iy
AC OWLEDGED BEFO E THIS DAY OF , 20it
BY 1 1^ WHO IS PERSONALLY KNOWN TO ME Q OR WHO HAS
PRODUCEDi. U _ _ AS IDENTIFICATION.
OFNOTARY
COMMISSION NUMBER
KAREN S. NIELSEN
_* *: Commission 4 FF 115637
My Commission Expires
OF FI°1\
June 12, 2018
' �r111111
TYPE OR PRINT NOTARY
SLCPDSD Revised 04/11/2011
i
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
i
I
The Board of County Commissioner approved a
survey when applying for a building permit for a
structure with a value exceeding $10,000. This t
The guidelines are as follows:
No Building Permit shall be issued for developme
the required activity is to be permitted accompanii
demonstrate compliance with the Filled Lands Affi
County Land Development Code, Section 7.04.01
1. The location of the proposed development
2. The relationship of the activity under app]
required for the review of the application,
features, including but not limited to the r
accessory structures, pools and screened e
systems, driveways, culverts and any land
property lines.
3. A minimum of two (2) elevations along e
existing ground elevation at the approxim
elevation along the side property lines adj
finished floor elevation ofthe structure ur
structures noted above in item 2. The pro
the approved Health Department On -Site
sewage disposal is proposed.
All surveys submitted shall be prepared, signed ar
accordance with the provisions of Chapter 61G17.
modifications or construction, roofing permits not
area covered by the roof surface, or any other perr
of any portion of the existing structures shall not't
with a building value of less than ten thousand do]
but shall instead be required to submit a scaled plc
and its compliance with minimum setback standar
requirements may be submitted with any applicati
depicts the accurate location of all structures and c
change that will require a copy of a current sealed
ary structure or a building permit for an accessory
ie effective July 1, 1993.
unless a copy of a survey of the property on which
the application for building permit. All surveys shall
avit signed by the Property Owners (refer to St. Lucie
1.3.) and completely depict the following:
;ion to all adjacent property lines, and as may be
adjacent structures, improvements or natural
5st building corners of all adjacent primary and
)sures, fences, sheds, utility easements, wells, septic
ping or existing vegetation located along the
roadway on which the proposed activity borders, the
center of the proposed structure, the existing ground
nt to the proposed structure, and the proposed
- application and finished grades for any adjacent
ed finished floor elevations must be consistent with
vage Disposal System Construction Permit if on -site
sealed by a Florida Registered Land Surveyor, in
, FAC, except those applications for interior
evolving any structural alteration or additions to the
t required activity that does not result in the expansion
required to submit a survey. Accessory structures
rs ($10,000) shall not be required to submit a survey,
plan indicating the location of the accessory structure
Copies of original surveys meeting the above
i for building permit, provided that the survey still
ier 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 �'