Fill - Free fillable Final Plat For Zero Lot Line Application (City of Gulfport Mississippi) PDF form

Revision date 12/19/19

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 -

ZERO LOT LINE

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 12/19/19

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 12/19/19

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.

 Survey data. Primary control points, approved

by the city engineer or description 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 of

each street or other public way.

 Lots and blocks. Identification by letter of each

block 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 lines for townhomes.

Minimum building setback lines on all lots and

other sites.

 Adjoining land. The names of recorded

subdivision plats of adjoining platted land by

records name, date and number; the names of

owners of record for adjoining unsubdivided

land.

 Certificate of owner. Notarized certification

by the landowners 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 to City Council

Consideration: 2 copies Mylar, 1 copy Linen, 7 copies

Blacklines.

The final plat shall contain the following information:

 Location map. A diagram showing the location of

the proposed subdivision.

Revision date 12/19/19

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 subdivide has

compiled with one (1) of the following

alternatives:

a) A bond or certified check has been posed,

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 general subdivision plan shall be

accompanied by the following items:

 Protective covenants. Protective covenants in form

for recording.

Engineering plans. The cross sections and profiles of

streets showing grades approved by the city engineer.

The profiles shall be drawn to city standard scales and

elevations and shall be based on 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 approval by the Planning Commission.

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

amount of $175.00 plus $5.00 per 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 12/19/19

Page 5 of 5

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Final Plat For Zero Lot Line Application (City of Gulfport Mississippi)

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