HomeMy WebLinkAboutFILLED LAND AFFIDAVITNNE
9„ PLANNING & DEVEMPMEN'TStRVICES DEPARTMENT
Building & Codi Regulations Division
2300 VIRGIMA AVENUE
FORT PIERCE, FL 34982-5652
(712) 462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
(l�f f 3i--1 Oo 10
(Parcel Id#/Legal description/Address)
for which I have applied to St. L
accepting this Final Development F
that as owner of the above des(
7.04.01(D), St. Lucie County Land L
adequate drainage so that the imme(,
I further acknowledge that in granti
St. Lucie County is neither obliged
adequate drainage off my propeii
community.
Properg7" er me -(PI a Print)
-A-uleA- 4-4,tcu
Property Owner Signature
STATE OF FLORIDA, COUNTY OF—IM
ACKNOWLEDGED BEFORE ME THIS
BY I.—NYPIA
PRODUCED
aaad�u
SIGNATURE OF NOTARY PTJBLIC
/—COMMISSION NUMB
SLCPDSD Revised 04/11/2011
-10 C. Wiley P►.e-e- %-/. P,,,-e
F L -51-191-1
fbie County for a Final Development Permit. In
-rmit, BP Number 165- 0 �S , I acknowledge
ribed property, and in accordance with Section
evelopment Code, I shall be responsible for assuring
iate community WILL NOT be adversely affected.
lg this permit for the development of this property,
nor liable to provide for, or maintain in any form,
which will not adversely affect the immediate
Date
lL-ibi
'i DAY OF Iv `&q , 20 -Is
WHO IS PERSONALLY KNOWN TO ME (& OR WHO HAS
IDENTIFICATION.
C06,-r efZIKlE7 POL-t CAe--E7-
TYPE OR PRINT NOTARY
�. "°: �•.,� (BRINE POUCAiiE
t,; MY COMMISS�t # GG 108B71
Efa'IRES: September25, 2021
"'•,;f,`d;o`�` Bonded7lruNotaiyPudb cthtdetwdters
PLANNING & DEVI
BUILDING &
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 development
the required activity is to be permitted accompanies
demonstrate compliance with the Filled Lands Affid
County Land Development Code, Section 7.04.0 LD
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 approxirr
elevation alongthe side property lines ad
finished floor elevation of the structure w
structures noted above in item 2. The prc
the approved Health Department On -Site
sewage disposal is proposed.
All surveys submitted shall be prepared, signed a
accordance with the provisions of Chapter 61G1'
modifications or construction, roofmg permits nc
area covered by the roof surface, or any other per
of any portion of the existing structures shall not
with a building value of less than ten thousand do
but shall instead be required to submit a scaled p]
and its compliance with minimum setback standa
requirements may be submitted with any applical
depicts the accurate location of all structures and
'MENT SERVICES DEPARTMENT
E 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.
ess a copy of a survey of the property on which
application for building permit. All surveys shall
signed by the Property Owners (refer to St. Lucie
and completely depict the following:
:ion to all adjacent property lines, and as may be
adjacent structures, improvements or natural
est building corners of all adjacent primary and
inures, 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
of 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
d sealed by a Florida Registered Land Surveyor, in
6, FAC, except those applications for interior
involving any structural alteration or additions to the
iit required activity that does not result in the expansion
e required to submit a survey. Accessory structures
lars ($10,000) shall not be required to submit a survey,
t plan indicating the location of the accessory structure
Is. Copies of original surveys meeting the above
m for building permit, provided that the survey still
ther improvements on the property.
Per Florida Administrative Code Chapter 61G17-6.006i paragraph 8, additions or deletions to
survey drawings by other than the.signing pa lty or parties is prohibited without written consent of
the signing party or parties.
SLCPDSD Rev 06/18/2010
2/9/06 cml