Fillable CERTIFIED PARCEL CHECKLIST AND APPLICATION (Hillsborough County)

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CERTIFIED PARCEL CHECKLIST AND APPLICATION (Hillsborough County)

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CERTIFIED PARCEL
CHECKLIST AND APPLICATION
Applicaons cannot be accepted without an appointment.
Please e-mail siteplanappts@hillsboroughcounty.org to schedule
an appointment to submit the applicaon.
Incomplete applicaons cannot be accepted.
Please read the instrucons and use the aached checklist.
Revised 5/2020
2 of 5
7/2020
CERTIFIED PARCEL CHECKLIST
The Zoning Administrator (designee) shall cerfy parcels and the subdivision of such parcels in
accordance with the criteria listed below. The applicant shall make applicaon
for Cered Parcels on forms provided by the Zoning Administrator and provide the following
informaon:
PURPOSE
The purpose of the Cered Parcel process is two-fold. First, Cered Parcels may be
used to cerfy or “legimize” on an individual basis, that an exisng lot is a legal
building lot according to the Hillsborough County Land Development Code. Its purpose
is to oer clients a mechanism to ensure compliance prior to undertaking building
permits, transacons, etc.
Secondly, the Cered Parcel process may be used to create this “lot split” for one
addional lot only. More than one lot split requires a review through the formal
subdivision process. Cered Parcels must meet the following:
• Must be of a size that is consistent with the Comprehensive Plan and zoning
requirements.
• Must be of a size to meet one of the ulity opons below:
• Provide water and sewer connecon
• One-half acre for sepc tanks
• One full acre for sepc tanks within the well eld protecon area
• Must be provided with legal access
3 of 5
7/2020
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
SUBMITTAL REQUIREMENTS
1. A transmial leer detailing the applicant’s request and completed applicaon form.
2. One copy of recorded deed of the current parent property.
3. The folio number of the current parent parcel.
4. Concurrency Applicaon.
5. Owner Adavit (if applicable)
6. If cercaon of the subdivision of a parcel is sought, the applicant shall submit the
le
gal descripon of the original parent and the legal descripon(s) of each lot to be
established (2sets). The new legal descripons of the lots created shall be provided by
the applicant in a separate Exhibit “A”. (2 sets)
7. Within eleven (11) days of the ling of the applicaon, the Zoning Administrator
(designee) shall approve, approve with condions, or deny the applicaon. If
approved, the applicant will receive an approval leer. Otherwise, the applicant will
submit addressing comments requiring resubmial with the same review me as
noted above.
8. Check for ling fee. The current fee is $299.32 per lot, plus a $320.00 EPC fee; the check
should be made payable to the Board of County Commissioners (BOCC).
9. Survey: Two (2) signed and sealed survey(s) showing occupaon, prepared by a
professional engineer or land surveyor must accompany the applicaon. Addionally, a
survey (or copy) of the parent tract must be submied showing the locaon of the new
parcel to be cered. Copy of Plans and 8 ½ X 11 Paperwork formaed on PDF Disk or
Flashdrive should be included.
10. Notes:
11. References:
All Cered Parcel applicaons are submied by Appointment to the Site Intake Team
located on the 19th Floor of County Center.
4 of 5
7/2020
_________________________________________ ___________________________
CERTIFIED PARCEL APPLICATION
TO BE COMPLETED BY APPLICANT
Folio Number(s): _____________________________________________________
Project Name: _____________________________________________________________________
Address of Property: _______________________________________________________________
Secon / Township / Range: ______________ / _________________/ _____________________
Project Acreage: _____________________________ Individual Well: _________________
Number of Lots: _____________________________ Individual Sepc: _______________
Land Use Designaon: _______________________ Public Water: ___________________
Zoning District: _______________________________ Public Sewer: ___________________
Legal Description of Parcel to be certified:
_____________________________________________________________________________________
~
Legal Non-Conforming Status: ______________________________________________________
County-owned and Maintained Road (Name): ______________________________________
Easement: _________________________________________________________________________
Owner’s Name (Print): _____________________________________________________________
Address: ___________________________________________________________________________
City: _______________________ State: _________________ Zip: _________________
Telephone: ________________________ Email:
________________________
Applicant’s Name (Print): __________________________________________________________
Address: ___________________________________________________________________________
City: _______________________ State: _________________ Zip: _________________
Telephone: _______________________________ Email: ______________________________
Surveyor ’s Name (Print): ________________________________________________
Address: ___________________________________________________________________________
City: _______________________ State: _________________ Zip: _________________
Telephone: _______________________________ Email: ______________________________
I hereby certify that this application, as well as all plans submitted herewith, is a
truerepresentation of all facts concerning the proposed Subdivision.
Signa
ture of Owner or Authorized Agent Date
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5 of 5
7/2020
______________________________________________________
______________________________________________________
______________________________________________________
___________________________________________________
____________________________________________________________________
____________________________________________________________________
OWNER’S AFFIDAVIT DESIGNATING REPRESENTATION
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH
Before me this day personally appeared ____________________________________ who, being
duly sworn, hereby proclaims that he/she is the owner of _________________________________
Subdivision/Site Development, and does hereby authorize ________________________________
to act on his/her behalf as their agent with regard to the processing of said
Subdivision/Site Development.
Signature of Owner/Developer
Name of Owner/Developer (print)
Address of Owner/Developer
The foregoing instrument was acknowledged before me by means of
q physical presence or q online notarizaon, this______ day of_________________, _________ ,
(day) (month) (year)
by __________________________________________________________________________________________.
(name of person acknowledging)
q Personally Known OR q Produced Idencaon
____________________________________________________________________
(Signature of Notary taking acknowledgment)
Type of Idencaon Produced:
Type or Print Name of Notary Public
Commission number Expiraon date
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CERTIFIED PARCEL CHECKLIST AND APPLICATION (Hillsborough County)

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Completed 11 February 2021

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