HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300VIRGINIAAVENt1E
SCANNED
FORT PIERCE, FL 34982-5652
BY (772) 462-1553
St. LucieCounty
FILLED LAND AFFIDAVIT
LM
I, the undersigned, am the owner of the following described property,
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number k9oglilla 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.
lal�es I]OCr-0 V1
Property Owner Name (Please Print)
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF CItl
ACKNOWLEDGED BEFORE ME THIS 1—DAY OF 20—�q—
BYJJ�BF -�P 1��iQh' WHO IS PERSONALLY KNOWN TO ME L—) OR WHO HAS
PRODUCED
TYPE OR PRINT NOTARY
COMMISSION NUMB
KAREN S. NIELSjJr�
i�wI/��% State of Florida-Notar "r"��"°°�'
o`>A�'a Commission # GG 207484
`?01�1',,, My Commission Expires
June 12, 2022
SLCPDSD Revised 04/112011
IDENTIFICATION.
COUNTYPLANNING & DEVELOPMENT SERVICES DEPARTMENT
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 iWtie exceeding $10,000. This became effective July 1;1993.
The guidelines are as 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
Coumty.Land Development Code, -Section 7.04.01A.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 comers 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 whichthe 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.
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 otherpermit 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 leas 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 strucbue.
and its compliance with minimum setback standards. Copies of original surveys meeting the above
requirements may be submitted with any application for building Pernik Provided that the survey still
depicts the accurate location of all structures and other improvements otter 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
219/06 end