Fill - Free fillable Final Plat Application (City of Gulfport Mississippi) PDF form

Revision date 12/18/19

Page 1 of 5

If the property or properties listed above have more than one owner, please check this box. In the case

of multiple owners, reverse side must be completed. Each additional owner will need to complete

and sign the reverse side of this application. We can only accept applications with original signatures.

SECTIONS A. THROUGH G. MUST BE SUBMITTED FOR A COMPLETE APPLICATION.

CITY OF GULFPORT

Urban Development - Planning Division

1410 24th Avenue

Gulfport, MS 39501

(228) 868-5710

APPLICATION FOR

FINAL PLAT

GENERAL DESCRIPTION OF REQUEST:

_____________________________________________________________________________________________________

___________________________________________________

OWNERSHIP AND CERTIFICATION:

I hereby certify that I have read and understand this application and that all information and attachments are true

and correct. I also certify that I agree to comply with all applicable city codes, ordinances and state laws.

Finally, I certify that I am the owner of the property involved in this request or have authorization to act as the

owner’s agent for the herein described request.

OWNER

____________________________________

Printed Name Of Owner

____________________________________

Mailing Address

____________________________________

City State Zip code

____________________________________

Home Phone Work/Cell Phone

____________________________________

Signature Of Owner

AGENT

____________________________________

Printed Name Of Agent

____________________________________

Mailing Address

____________________________________

City State Zip code

____________________________________

Home Phone Work/Cell Phone

____________________________________

__________________________________________________

Signature Of Agent

For Staff Use Only

Case File #:___________________

Date Received:________________

Receipt #:____________________

Received By:__________________

Zoning: ______________________

Ward: ________Flood:__________

Size:_________________________

Property Information

TAX PARCEL #

(If necessary, use separate sheet of paper)

Address of Property Involved:_______________________________________________________________

Lot(s)______________, Block(s)_______________, Subdivision___________________________________

General Location:_________________________________________________________________________

✔

Revision date 12/18/19

Page 2 of 5

This page must be completed if the property or properties involved have more than one owner. All

persons listed as owners to the property or properties listed on page one must complete and sign this part

of the application.

I hereby certify that I have read and understand this application and that all information and attachments

are true and correct. I also certify that I agree to comply with all applicable city codes, ordinances and

state laws. Finally, I certify that I am the owner of the property involved in this request or authorized to

act as the owner’s agent for herein described request.

NAME OF OWNER (PRINT)

ADDRESS (STREET, CITY, STATE, ZIP CODE

PHONE # (H) (W)

TAX PARCEL NUMBER(S) OWNED

SIGNATURE:

NAME OF OWNER (PRINT)

ADDRESS (STREET, CITY, STATE, ZIP CODE

PHONE # (H) (W)

TAX PARCEL NUMBER(S) OWNED

SIGNATURE:

NAME OF OWNER (PRINT)

ADDRESS (STREET, CITY, STATE, ZIP CODE

PHONE # (H) (W)

TAX PARCEL NUMBER(S) OWNED

SIGNATURE:

(Use additional forms as needed)

IN CASES OF MULTIPLE APPLICANTS, PLEASE IDENTIFY THE PERSON WHO WILL BE ACTING AS YOUR SPOKES

PERSON/AGENT FOR YOU:

Revision date 12/18/19

Page 3 of 5

IMPORTANT NOTICE

1. Please be advised that failure to submit a complete

application, with all supporting documents, could delay

your hearing date. The Planning Commission will not

consider a request until all information is submitted and

accurate.

2. Please be advised that the application deadline dates

posted are designed to allow the staff time to review the

application and receive required comments from

coordinating agencies. The application is not considered

complete until all required information from the

applicant is available for review by the staff and

coordinating agencies.

3. Please see page 5 to determine the deadline dates for

filing your application.

The final plat shall contain the following information:

 Location map. A diagram showing the location of

the proposed subdivision.

 Survey data. Primary control points, approved by the

city engineer, or descriptions and ties to such control

points, to which all dimensions, angles, bearings and

similar data on the plat shall be referred; the

boundary lines of the subdivision, right-of-way lines

of streets, easements and other rights-of-way, and

property lines of residential lots and other sites, with

accurate dimensions, bearings or deflection angles,

and radii, arcs and central angles of all curves; the

location and description of monuments, according to

state law; and statement of the closure error.

 Miscellaneous data. Notations giving scale, (true)

north arrow, and date of final plat.

 Streets. The name, right-of-way width and location

of streets and other public way.

 Lots and blocks. Identification by letter of each

street and by number of each lot in each block.

 Nonresidential sites. The purpose for which sites,

other than residential lots, are dedicated or reserved.

 Utilities. The location and dimensions of any utility

rights-of-way or easements.

 Easements. The location, dimensions and purpose of

any other easements.

 Building setback line. Minimum building setback

line on all lots and other sites.

 Adjoining land. The names of recorded subdivision

plats of adjoining platted land by record name, date

and number; the names of record owners of adjoining

unsubdivided land.

 Certificate of owner. Notarized certification by the

landowner of the adoption of the plat and the

dedication of streets and other public areas.

 Certificate of survey. Certification by the registered

professional engineer or land surveyor that the plat

represents a survey made by him, that the monuments

shown thereon actually exist as located and that all

dimensional and other data are correct.

SUBMISSION REQUIREMENTS

A. Page one of this application, completed and signed.

B. Proof of ownership (Copy of deed or affidavit)

C. If applicable, notarized proof of authority to act as

agent for owner (board resolution, etc.)

D. The City of Gulfport Planning Division Staff will notify,

by letter, property owners adjacent to the requested

action identified in this application using the Land Roll

database from the County Tax Office. If you would like

to have additional persons or property owners notified,

please provide a list of additional persons to be

notified.

E. Specification requirements.

The final plat will be submitted in six black line copies in a

sheet size no larger than 18 by 24 inches and one copy no

larger than 11 by 17 inches. Where necessary, the plan may

be on several sheets accompanied by an index sheet showing

the entire subdivision. Two electronic versions of the

general plan shall also be provided with the application in the

form of an AutoCad .DWG file or .DXF 16-bit file.

Once Planning Commission Approval is received the

following final plats will be provided prior to City Council

Consideration: 2 copies Mylar, 1 copies Linen, 7 black lines.

Revision date 12/18/19

Page 4 of 5

 Approvals. Space for certificates of approval of the

planning commission, the city engineer and the county

health officer, where such approval is called for by these

regulations. The certificate of the city engineer shall state

that the subdivided Has complied with one (1) of the

following alternatives:

a) A bond or certified check has been posted, which

is available to the city and in sufficient amount

to assure such completion of all required

improvements;

b) All improvements have been installed in accord

with the requirements of these regulations

and with the action of the Planning

Commission in giving tentative approval of

the general subdivision plan.

 Flood zone designations. The location of all flood zone

designations as shown on the latest Flood Insurance Rate

Map.

F. Attendant items: The final plat shall be accompanied by

the following items:

 Protective covenants. The protective covenants in

form for recording.

 Engineering plans. The cross sections and profiles of

streets showing grades approved by city engineer.

The profiles shall be drawn to city standard scale and

elevations and shall be based on a datum plane that is

mean gulf level.

 Conveyances. A conveyance to the city by fee simple

or by easement of land set aside for parks, recreation

area or other public use, such conveyance to be

without reservation of right except for restriction that

land is to be dedicated only to the specified purposes.

 Abstracts. An abstract of title disclosing a good and

merchantable fee simple title in the landowner. A title

insurance policy may be substituted for the abstract if

specifically approved by the Planning Commission.

G. Cash or check payable to the City of Gulfport in the

amount of $175.00 plus $5.00 for each lot.

STORM WATER REQUIREMENTS

Mississippi Department of Environmental Quality

requires the issuance of Storm Water Permits in

accordance with the provisions of the Mississippi Water

Pollution Control Law (Section 49-17-1 et seq.,

Mississippi Code of 1972).

There are currently two types of permits: 1) Small

Construction Activities that Disturb One (1) Acre to Less

than Five (5) Acres; and 2) Large Construction General

Permit (five (5) acres or more).

If you are not familiar with these requirements, our

office has available the referenced permit packages. Our

office does not issue the permit. We do require that any

individual , partnership, company, corporation, etc., that

is requesting the issuance of a building permit , tree

permit, or any type of action from our Planning

Commission or Zoning Board of Appeal and

Adjustment, which has been identified and applies to the

Mississippi Water Pollution Control Law, be provided

with and acknowledge receipt of the Small Construction

General Permit Packet or Large Construction General

Permit Packet, before final action can be taken by this

Department.

If you need additional information on these permits,

please contact Mississippi Department of Environment

Quality (MDEQ) at (601) 961-5171 or

www.deq.state.ms.us.

Revision date 12/18/19

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