Fill Dirt Permit

Construction Type *
Applicant Type: *

This information is readily available on the Zoning and  Future Land Use Map.

Please include City, State, and Zip Code
Please include City, State, and Zip Code
NOTICE OF DEED RESTRICTIONS *
I acknowledge that the property for which this permit is requested might be subject to deed restrictions. As owner or authorized agent for the owner, I am responsible for determining, prior to adding fill, whether the addition of fill is a violation of deed restrictions.
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Has fill/dirt material been brought to the property? *
Has the fill/dirt material been spread or fill work done? *
Have you received a site Violation Notice? *

SITE PLAN SHALL SHOW:

  1. LOCATION(S) OF PROPOSED FILL (LENGTH X WIDTH X HEIGHT)
  2. ANY EXISTING/PROPOSED DRAINAGE IMPROVEMENTS (POND, PIPE, SWALE, ETC.)
  3. EXISTING STRUCTURES, WITH DIMENSIONS & PROPERTY LINE SETBACKS
  4. STREETS & ROADWAYS
  5. EASEMENTS (DO NOT ENCROACH INTO DRAINAGE EASEMENTS WITH NEW FILL)
  6. BODIES OF WATER
  7. TREES WITHIN FILL AREA (TREE REMOVAL PERMIT MAY BE REQUIRED)
  8. ARROWS TO SHOW DIRECTION OF EXISTING AND/OR PROPOSED DRAINAGE FLOW
  9. NORTH ARROW
  10. FLOOD ZONE DELINEATION LINE
  11. WETLAND DELINEATION LINE
Certify *
I hereby certify, affirm or swear that I am the owner or the authorized agent for the owner of the property for which this permit is requested. The information provided herein is true and correct to the best of my knowledge. I release the City of Edgewater, FL from all responsibility for damages incurred as a result of the fill activity. OWNER’S ELECTRONIC SUBMISSION STATEMENT: Under penalty of perjury, I declare that all the information contained in this building permit application is true and correct.
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