Fillable Easement Access Instrucon Sheet The Hillsborough County Board (Hillsborough County)

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Easement Access Instrucon Sheet The Hillsborough County Board (Hillsborough County)

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________________________________________________________________________________________________________________________________
_________________________________________________
_________________________________________________
Development Services
Easement Access
Instrucon Sheet
The Hillsborough County Board of County Commissioners adopted lobbying ordinance No# 8 as amended.
Prior to meeng privately with a board member, county aorney, chief assistant county aorney, county
administrator, assistant county administrator or department head, you may be required to register as a lobbyist.
OFFICIAL USE ONLY
Applicaon # _________-_________ Folio # ________________________
Zhm Date: ______________________ Sec: _____ Twn: _____ Rng: _____
Bocc Date: _____________________ Atlas Page: ___________________
General: Acreage: ____________ Zoning: ____________ Lu: ____________
Locaon: __________________________________________________________________________
Psc Tech: _____________________ Gz: _____________________ Reciept # _____________________
Development Services Planner Who Provided Land Use Counseling: _____________________________________________
Types of Applicaon:
BOCC Acon Administrave Acon LUHO Acon
Rezoning
Administrave Waiver Special Use Permit
Personal Appearance Administrave Review Alcoholic Beverage Zoning
Major Modicaons Specied Use Other
Other Alcoholic Beverage Zoning (No Waivers)
Non-Conforming Lot (NCL)
Non-Conforming Use (NCU)
Other
Site Informaon: Tax Folio # _______________________________________________________________________________________________________
Street Address: ____________________________________________________________________________________________________________________________
Current Use:________________________________________________________________________________________________________________________________
(Addional informaon, see Exhibit “A”)
Representative/Primary Contact:
Phone: Daytime (____) _____________ Evening (____) ____________
Address:____________________________________________________________________________________________________________________________________
City: _______________________________________________________________________ State: _______________ Zip: _______________
Is this applicaon accompanied by other applicaons? Yes No
If yes, what are the applicaon numbers? ______________________________________________________________________________________________
If this is a DRI, list the project name and number: ______________________________________________________________________________________
If this is an Annual Report Submial: Anniversary Date:______________________ Reporng Period ________________to _________________
I hereby swear or arm that all the
Informaon provided in the submied
Applicaon packet is true and accurate
To the best of my knowledge, and authorize
The representave listed above to act on
My behalf on this peon.
Signature of the Applicant
I hearby authorize the processing of this
applicaon and recognize that the nal
acon taken on this peon shall be
binding to the property as well as to the
current and any future owners.
Signature of the Applicant
7/2020
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________________________
Development Services
Exhibit A
Applicaon # __________________________________________ Type : _________________________________________
Site Informaon
Folio # ________________________ Secon ____________ Township ___________ Range ________________
Acreage _________________________________________
Applicant ______________________________________________________________________________
Address: ________________________________________________________________
City: _____________________ State: ________________ Zip: __________________
Daytime Phone (______) ___________________
Evening Phone (______) ___________________
Property Owner _______________________________________________________________________________________________
Address: ____________________________________________________ City: _____________________ State: ______ Zip: _________
Daytime Phone (______) ___________________
Evening Phone (______) ___________________
Ulies To Be Ulized
Water: Public Water Private Water (well)
Wastewater: Public Sewer Sepc Tank Interim Treatment Plant
Zoning Violaons
Are you in zoning violaon? Yes No
Have you been issued a citaon? Yes No
If so, when were you cited? _____________________________________
Are you scheduled for the Code Enforcement Board? Yes No
If a DRI, is the Project in noncompliance with the terms of the Development Order? Yes No
Zoning History
Has the property received an approval as a Non-Conforming Lot (NCL) or a Non-Conforming Use (NCU)? Yes No
If yes, please list the peon number: ___________________________
If a Zoning or Special Use peon has been heard on the property in the past year, please provide the peon number:
7/2020
Development Services
Easement Access Review
There are three situaons requiring an easement access review:
1. Any lot within the unincorporated areas of Hillsborough County that does not front on a publicly owned
and maintained road right-of-way is required to show proof of an “Easement Access Agreement” prior to
the issuance of any permits by the Hillsborough County Building Department.
2. If the lot or parcel in queson fronts on a County owned but not maintained road right-of-way, the
Easement Access Review is sll necessary to ensure there is sucient ingress and egress for the re trucks,
ambulances, police cars and other emergency vehicles.
3. If the lot or parcel in queson has a recorded easement of een (15) feet recorded prior to July 11, 1986,
then the een (15) feet will be allowed for an easement. The easement shall sll be required to undergo
the easement access review, however, to ensure that the easement legally connects the lot or parcel in
queson to a County owned and maintained road right-of-way.
*The proposed easement shall rst be reviewed to ensure that it meets the requirements established by the
Board of County Commissioners in Resoluon Number R86-0156. Approval shall be granted upon nding
the easement to have: sucient egress and ingress for vehicles of any branch of the Emergency services of
Hillsborough County in the event of an emergency; and the legal suciency of access to prevent the lot or
parcel from being landlocked. The easement shall also be clear of trees, water, environmentally sensive
lands and exisng structures.
Width requirements for easement are determined as follows:
1. If the easement is to be used for access by one (1) residenal lot or parcel only, a minimum easement
width of twenty (20) feet is required for a single family residence (either a xed dwelling or a mobile
home).
2. If the easement is to serve two (2) or three (3) dwelling units, a minimum easement width of thirty
(30) feet, is required.
If there are no problems with your applicaon or easement, the reviewer will render a decision regarding
your applicaon for an easement access review within twenty (20) working days aer the date of ling the
completed applicaon. Appeals of this decision may be made to the Board of County Commissioners, and
must be led with the Development Services Department within thirty (30) days of the date of the reviewer’s
decision. Further informaon on the easement access procedure may be obtained from the Development
Services Department.
All easements must be recorded in the Clerk’s Oce prior to the issuance of any permits. A copy of the
easement access agreement (approval Leer) must be submied to the Hillsborough County Building
Department prior to the issuance of any permits.
7/2020
Development Services
Easement Access
Instrucon Sheet
If your property does not front on a County owned and maintained right-of-way, you are required to provide,
or obtain, an easement from a County owned and maintained right-of-way to your lot or tract of land.
The following documents shall be submied with the applicaon for easement access.
1. A Current Deed for the lot or tract of land requiring an easement to a County owned and maintained road.
2. Adavit Acknowledging Easement Restricons (The legal descripon for the lot and the legal descripon
for the easement must be typed, or printed in black ink only on the adavit in the space provided and
connued on the reverse side.)
3. Adavit Acknowledging an Agreement for Ingress and Egress of an Easement (not required if on County
owned but not maintained right-of-way, or if the easement is listed on the applicant’s deed.
4. Complete Applicaon. All informaon must be typed or printed in black ink only.
5. Check for Filing Fee. The fee is $100. Make check or money order payable to the Board of County
Commissioners (BOCC).
6. Survey showing number of lots.
Approval of this request does not exempt the applicant from complying with all other County and State laws,
regulaons, or ordinances, as may be required. The aached pages contain the applicaon for Easement
Access Review. Any quesons regarding this informaon should be directed to the Hillsborough County
Development Services Department at (813) 272.5920.
Required Easement Widths
(For All Easements Being Recorded Aer July 11, 1986)
USE SIZE
Access by one (1) lot for single family residence
(xed dwelling or mobile home) ....................................... 20 feet
Access by two (2) or three (3) dwelling units... .......................... 30 feet
7/2020
____________________________________________________
_________________________________________________________________
_________________________________________________________________
________________________________________________________________
Adavit Acknowledging
Development Services
Easement Restricon
Before me, the Undersigned Authority in and for Hillsborough County and the State of Florida, personally
appeared ___________________________________, who being by me rst duly sworn, deposes and says:
That I do swear on the __________ day of ______________________________, 20____, that as the owner
of the property described in the adavit, I hereby acknowledge that access to the property provided by the
described easement does not conform to the Hillsborough County engineering standards.
I do further acknowledge that Hillsborough County does not have any obligaon of responsibility to
improve, maintain or otherwise alter the described access easement.
I do further acknowledge that the access easement shall be maintained so as to allow the passage of any
and all vehicles of the Emergency Services of the Hillsborough County Government.
Legal Description of Property and easement: __________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
______________________________________________
Property Owners: _____________________________________
_____________________________________
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH
The foregoing instrument was acknowledged before me by means of
physical presence or
online notarizaon, this
________ day of __________________________________ , _________________ , by___________________________________________________ .
(day) (month) (year) (name of person acknowledging)
Personally Known OR
Produced Idencaon
Type of Idencaon Produced
(Notary Seal)
(Signature of Notary Public - State of Florida)
(Print, Type, or Stamp Commissioned Name of Notary Public)
(Commission Number) (Expiraon Date)
7/2020
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_________________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________________
_______________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
__________________________________________________
_______________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Development Services
Adavit Acknowledging
an Agreement of Easement
This easement made this __________ day of __________________________, 20_______, by and between
_________________________________________ as the rst party, and _________________________________________
as the second party.
WITNESSETH:
That the First party, for and in consideraon of the sum of ___________ dollars and other valuable consideraons paid,
receipt of which is hereby acknowledged, do (does) hereby grant unto the second party ____________________________,
its successors and assigns a perpetual easement (said easement is run with land of the second party) through and across
lands of the rst party in Hillsborough County, Florida.
Legal Descripon as Follows:
__________________________________________________
Signature of First Party
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH
The foregoing instrument was acknowledged before me by
means of physical presence or online notarization,
this day of ___________________, , by_______ _________
(year) (year) (year)
.
(name of person acknowledging)
q Personally Known OR q Produced Idencaon
Type of Idencaon Produced_____________________________
(Signature of Notary taking acknowledgment)
Type or Print Name of Notary Public
Commission number Expiraon date
Signature of Second Party
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH
The foregoing instrument was acknowledged before me by
means of physical presence or online notarization,
this day of ___________________, , by_______ _________
(year) (year)
(year)
.
(name of person acknowledging)
q Personally Known OR q Produced Idencaon
Type of Idencaon Produced_____________________________
(Signature of Notary taking acknowledgment)
Type or Print Name of Notary Public
Commission number Expiraon date
7/2020
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Easement Access Instrucon Sheet The Hillsborough County Board (Hillsborough County)

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Completed 11 February 2021

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