City of Palmetto Florida
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1 Date Submitted: CIT A9LME o City of Palmetto Florida Final Plat Application PROJECT NAME: Final Plat Review Small Scale 1, 500 Plans consistent with a prior preliminary Under 10 acres) Site Plan approval shall receive a 25& 0/o discount) Large Scale acres or more) Property Information Legal Description Property Size nearest 10"' of a square foot Subdivision Name ifplatted) DPID Section Section Township Range Block Lot( s) Existing Use ( i. e. vacant, residential, commercial etc. Flood Zone Category Map/ Panel No. Present Zoning Classification Surrounding Land Uses Description of Attach Additional Material ifnecessary Proposed Activity or Use: i. e. vacant, residential, commercial, etc.) Revised 2015
2 Owner # 1 Prefix First Name Last Name Suffix Title Organizational Name Address city County Postal Code Home Phone Work Phone Fax Number E- mail Address Owner # 2 Prefix I First Name Last Name Suffix Title Organizational Name Address Address city County County Postal Postal Code Code Home Home Phone Phone Work Work Phone Phone Fax Fax Number Number E- E- mail mail Address Address Aaent Information Prefix First Name Last Name Suffix Title Or anizational Name Address city County Postal Code Home Phone Work Phone Fax Number E- mail Address Revised 2015
3 Engineer Information Prefix I First Name Last Name Suffix Title Organizational Name Address city County Postal Code Home Phone Work Phone Fax Number E- mail Address Non- refundable fees shall be paid upon filing the petition or request, and no consideration shall be undertaken until all applicable fees are paid. Signature of Owner/ Applicant If representative, attach power of attorney Completed by Notary Public; State of County of Before me on this day of, 20_ Personally appeared, who is personally known to me or produced as identification, who acknowledged to me that he/ she executed this petition freely and voluntarily for the purposes herein expressed. WITNESS, my hand and seal at said County and State, this day and year first above written. Notary Public Signature Print Name My Commission Expires Revised
4 FINAL PLAT REQUIREMENTS NAME OF PROJECT: DATE: The City of Palmetto development regulations requires the following minimum information Applications will not be processed unless all required information is submitted. Any item believed " not applicable" must be explained in writing and submitted with the application in one ( 1) copy. This form is to be prepared by the Project Engineer. Note: Applicant must check ( v) and give page number on which information is provided. SEC FINAL PLAT APPLICATION. Page # ( Applicant) ( Staff) 1) Basic information a) Include five sets, sheet size maximum according to Manatee County Land Development Code ( Refer to Chapter 9, Section for dimensions - currently established at eighteen [ 18] by twenty four [ 24] inches) numbered i. e., sheet of ). Multiple sheets match lines to show where sheets join). () ( ) b) One electronic copy of plat and all submitted documents. () ( ) c) Name of Plat ( bold letters) ( each sheet). () ( ) d) The words " FINAL PLAT" clearly stated. () ( ) e) Date, revision date, North arrow, scale ( one ( 1) inch equals 100 ft.) and legend ( each sheet). All lettering on the plat is to be neat and legible. () ( ) f) Vicinity map ( scale of not less than 1" = 1 mile), which clearly shows the site in relationship to its surroundings. () ( ) g) Dimensions of all property boundary lines ( certified, signed, and sealed survey not required). () ( ) h) All dimensions are to be in feet and decimals of a foot. () ( ) i) Name & location of project j) Gross site acreage 2) Preparation. a) A final plat shall be prepared under responsible direction and supervision of a certified land surveyor mapper. The final plat shall be prepared in compliance Revised
5 with the material requirements of Chapter 177 of the Florida Statutes. The size of each sheet shall not be larger than eighteen ( 18) inches by twenty-four ( 24) inches which shall include a ( 1/ 2) one half-inch margin on each of three ( 3) sides, and a three- inch margin on the left side for binding purposes. In all cases, the requirements of Chapter 9 of the Manatee County Land Development Code and Chapter 177 of the Florida Statutes shall govern. 3) Required genera/ information. a) Name of subdivision shall be shown on the plat and also on the dedication where it shall coincide exactly with the subdivision' s name. () ( ) b) Location. i. Section, township, and range in which the subdivision is located. () ( ) ii. iii. The name of the city, county, and state in which the land is located. () ( ) Legal description, which shall be exactly the same as in the title certification. () ( ) iv. Enclose a copy of the Title Commitment. () ( ) V. All section lines and quarter section lines within the plat shall be shown. Also, the Point of Commencement in the description shall be tied to the nearest governmental corner or other established corner. () ( ) c) Name and address of property owner and surveyor. ( ) ( ) d) All adjacent property shall be identified by subdivision title, plat book and page, or if un -platted, the property shall be so designated. () ( ) e) Date Permanent Control Points and all Lot Corners are to be installed. f) Permanent Reference Monuments. () ( ) g) Documents containing restrictive covenants, if applicable. ( Note: Deed restrictions are neither reviewed nor enforced by the city. Therefore, the proposed restrictive covenants do not include deed restrictions. () ( ) 4) Subdivision design. a) Numeric designation, location and width of all street rights-of-way. () ( ) b) Location, width and intended use of all easements. () ( ) c) Lot and block numbers. () ( ) d) Survey data. Revised
6 i. Sufficient survey data shall be shown to positively describe the bounds and area of every lot, block, street, alley, and other areas shown on the plat. () ( ) ii. iii. iv. Lot, block, street and all other dimensions shall be shown to a minimum of hundredths of feet. All bearings, angles and azimuth shall be shown to the nearest second of arc. () ( ) Curvilinear lots shall show the radii, arc distances and central angles or radii, chord and chord bearing. () ( ) The centerlines of all streets shall be shown with distances, angles, bearings or azimuth, P. C. s, P.T.s, P. R. C. s, P. C. C. s, arc distance, central angles, tangents, radii, chord and chord bearing or azimuth, or both. () ( ) V. Two ( 2) bench marks with elevation on each subdivision plat. () ( ) vi. Elevation basis and bearing basis. () ( ) e) Purpose and location of all areas dedicated or reserved to the public or to the inhabitants of the subdivision. () ( ) f) All interior excepted parcels shall be clearly indicated and labeled " Not a part of this plat." () ( ) g) The organization name, address, phone number, fax number, license number, and preparer name shall be included in the Preparer Block to be located in the lower right hand corner of each map. () ( ) h) Plat book, page number, and sheet number block shall be located in the upper right hand corner of each map sheet () ( ) i) Each lot and project boundary are to have closure sheets prepared and submitted by the project surveyor. () ( ) 5) Certifications. a) Certificate of ownership and dedication ( Corporate or Private). i. The owner(s) of the property shall state that they dedicate all rights- of-way unless all is private), public areas, utilities and easements to the public. In addition, all mortgagees shall execute the dedication contained on the plat or a separate document (joinder letter) joining in and ratifying the plat and all dedications and reservations. () ( ) b) Reservation of easements. () ( ) c) Surveyor's certification, registration number, and seal. () ( ) d) Certificate of approval of the city engineer. () ( ) e) Certificate of approval of the city surveyor. () ( ) f) Copy of the Mortgagee certificate or joinder letter. () ( ) g) Certificate of approval of the mayor and city commission. () ( ) Revised
7 h) Certificate of acceptance by the clerk of the circuit court of Manatee County. () ( ) i) Performance Security and/ or Defect Security documents. () ( ) L ii. iii. For performance Securities: Certification from Engineer of Record for the estimated cost for the remaining improvements. () ( ) For Defect Security: Certification from Engineer of Record for the actual cost of installation for all required improvements. () ( ) City Engineer acceptance of cost estimations for performance and/ or Defect Securities. O ( ) Ord. No. 508, 1, ) Revised
8 Affidavit of Ownership / Agent Authorization Page 1 of 2
9 0# $ %! $ $ $ $ $ 2 $ $ Affidavit of Ownership / Agent Authorization Page 2 of 2
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