HomeMy WebLinkAboutFILLED LAND AFFIDAVITIsmilE: ef-E ' 1
COUNTY
F L O R I <) A
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE V
FORT PIERCE,782-5652
(7462 1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the. following described property,
6 2
(Parcel
GG\)
st�u��e
SGPN��O
for which 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 above 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.
I further acknowledge that in granting this permit for the development of this property,
St. Lucie County is neither obliged nor liable to provide for, or maintain in any form,
adequate drainage off my property which will not adversely affect the immediate
community.
Property Owner Name (Pie int)
�0/2 ) P
Property Owner Signature "- Date
STATE OF FLORIDA, COUNTY OF _T - ) UC-_i C
ACKNOWLEDGED BEFORE ME THIS 31 1DAY OF ( O
BY
PRODUCED
PUBLIC
OMMISSION
SLCPDSD Revised 04/I 1/2011
20_) je__
WHO IS PERSONALLY KNOWN TO MEd i OR WHO HAS
AS IDENTIFICATION.
hf�Q Ja E. Maria
OR PRINT NOTARY
(SEAL)
I" �e':
• s `:
BRENDA ROtAl IE]Fd
Notary Public - 5tate
of
Commission I GG 20
My Comm. Expire
Apr 1Bonded
through National Nota
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
Survey Requirements
Board of County Commissioner approved a code change that will require -a copy of a current sealed
ey when applying for a building permit for a primary structure or a building permit for an accessory
;tore with a value exceeding $10,000. This became effective July 1, 1993.
guidelines are as follows:
Building Permit shall be issued for development unless a copy of a survey of the property on which
required activity is to be permitted accompanies the application for building permit. All surveys shall
nonstrate compliance with the Filled Lands Affidavit.signed by the Property Owners (refer to St. Lucie
arty Land Development Code, Section 7.04.01.133.) 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.
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.
Alsurveys submitted shall be prepared, signed and sealed by a Florida Registered Land Surveyor, in
accordance with the provisions of Chapter 61 G17-6, 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.
Florida Administrative Code Chapter 61G17-6.006, paragraph 8, additions or deletions to
rey drawings by other than the signing party or parties is prohibited without written consent of
signing party or parties.
)SD Rev 06/18/2010
cml