Appendix C - Final Subdivision Plat, Required Certifications and Suggested Texts and Formats for other Required Information APPENDIX C FINAL SUBDIVISION PLAT, REQUIRED CERTIFICATIONS AND SUGGESTED TEXT AND
FORMATS FOR OTHER REQUIRED INFORMATION
(SEE LDC section 10.02.04 for applicable,specific provisions)
The following text and format are intended as a guide for preparation of those platting materials
required to be submitted to reviewing authorities, including the Project Review Services Department,
Utilities Division, County Health Department, County Attorney and the Board of County Commission-
ers. Adherence to this format and text will substantially expedite review. Substantial deviation in
substance or form from the suggested text and format may result in delay or disapproval of the
submitted plat.
SURVEYOR'S CERTIFICATE
I HEREBY CERTIFY THAT THIS PLAT WAS PREPARED FROM A BOUNDARY SURVEY OF THE
PROPERTY PERFORMED BY ME, OR UNDER MY SUPERVISION, AS PROVIDED IN CHAPTER
177.041 FLORIDA STATUTES AND THAT THIS PLAT COMPLIES WITH ALL THE REQUIREMENTS
OF CHAPTER 177, PART 1,AS AMENDED, FLORIDA STATUTES.IT IS FURTHER CERTIFIED THAT
ALL PERMANENT REFERENCE MONUMENTS WILL BE SET PRIOR TO THE RECORDING OF
THIS PLAT AND THAT THE PERMANENT CONTROL POINTS AND LOT CORNERS WILL BE SET
PRIOR TO FINAL ACCEPTANCE OF THE REQUIRED IMPROVEMENTS.
(signature)
(TYPED OR PRINTED NAME HERE) DATE
Include Florida Professional Land Surveyor No.
COUNTY COMMISSION APPROVAL
STATE OF FLORIDA
COUNTY OF COLLIER
THIS PLAT APPROVED FOR RECORDING IN A REGULAR OPEN MEETING BY THE BOARD OF
COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA, THIS DAY OF
, 20 , PROVIDED THAT THE PLAT IS FILED IN THE OFFICE OF THE CLERK
OF THE CIRCUIT COURT OF COLLIER COUNTY, FLORIDA.
(Name of Clerk) (Name of Chairman), CHAIRMAN
CLERK OF CIRCUIT COURT IN AND FOR BOARD OF COUNTY COMMISSIONERS COL-
COLLIER COUNTY LIER COUNTY, FLORIDA
FILING RECORD
I HEREBY CERTIFY THAT THIS PLAT HAS BEEN EXAMINED BY ME AND THAT IT COMPLIES IN
FORM WITH THE REQUIREMENTS, OF CHAPTER 177, FLORIDA STATUTES. I FURTHER
CERTIFY THAT SAID PLAT WAS FILED FOR RECORD AT (a.m. or p.m.) THIS
DAY OF , 20 , AND DULY RECORDED IN PLAT BOOK
PAGE(S) , INCLUSIVE, OF THE PUBLIC RECORDS OF
COLLIER COUNTY, FLORIDA.
Supp.No.21 LDCC:1
COLLIER COUNTY LAND DEVELOPMENT CODE
(Name of Clerk)
CLERK OF CIRCUIT COURT
IN AND FOR COLLIER COUNTY
ENGINEERING SERVICES
THIS PLAT APPROVED BY THE ENGINEERING SERVICES DEPARTMENT OF THE COMMUNITY
DEVELOPMENT DIVISION OF COLLIER COUNTY, FLORIDA THIS DAY OF
, 20 .
(TYPED NAME)
ENGINEERING SERVICES DIRECTOR/COUNTY ENGINEER
COLLIER COUNTY, FLORIDA
COUNTY ATTORNEY
THIS PLAT APPROVED BY THE COLLIER COUNTY ATTORNEY THIS DAY OF
, 20 .
(TYPED NAME)
ASSISTANT COUNTY ATTORNEY
DEDICATIONS
STATE OF FLORIDA
COUNTY OF COLLIER
KNOW ALL MEN BY THESE PRESENTS THAT (OWNER(S)), THE OWNER(S) OF THE LANDS
DESCRIBED HEREON, HAVE CAUSED THIS PLAT ENTITLED (NAME OF SUBDIVISION) TO BE
MADE AND DO HEREBY:
A. DEDICATE TO THE (insert homeowners' association or legal entity):
1. Private road rights-of-way, as follows:
TRACT "R" AS A PRIVATE ROAD RIGHT-OF-WAY (R.O.W.) (insert street name) SUBJECT
TO THE EASEMENTS DEPICTED HEREON (insert easements; i.e., R.O.W., C.U.E.,P.U.E.,
D.E., etc.) WITH RESPONSIBILITY FOR MAINTENANCE.
2. Drainage or stormwater management easements as follows:
ALL DRAINAGE EASEMENTS (D.E.) FOR STORMWATER MANAGEMENT PURPOSES
WITH RESPONSIBILITY FOR MAINTENANCE.
3. Landscape buffer easements as follows:
ALL LANDSCAPE BUFFER EASEMENTS (L.B.E.) WITH RESPONSIBILITY FOR
MAINTENANCE.
4. Lake maintenance easements as follows:
ALL LAKE MAINTENANCE EASEMENTS WITH RESPONSIBILITY FOR MAINTENANCE.
Supp.No.21
LDCC:2
APPENDIX C
5. Access easements as follows:
ALL ACCESS EASEMENTS WITH RESPONSIBILITY FOR MAINTENANCE,
6. Or any other similar easement or tract intended to be dedicated for a set purpose, or
purposes.
7. All conservation/preserve areas/easements as follows:
ALL (CONSERVATION or PRESERVE) (TRACTS or EASEMENTS) ARE DEDICATED AS
COMMON AREAS WITH PERPETUAL RESPONSIBILITY FOR MAINTENANCE. THE
(CONSERVATION or PRESERVE) (TRACTS or EASEMENTS) MAY IN NO WAY BE
ALTERED FROM THEIR NATURAL OR PERMITTED STATE. ACTIVITIES PROHIBITED
WITHIN THE (CONSERVATION or PRESERVE)AREAS INCLUDE, BUT ARE NOT LIMITED
TO, CONSTRUCTION OR PLACING OF BUILDINGS ON OR ABOVE THE GROUND;
DUMPING OR PLACING SOIL OR OTHER SUBSTANCES SUCH AS TRASH; REMOVAL
OR DESTRUCTION OF TREES, SHRUBS, OR OTHER VEGETATION WITH THE EXCEP-
TION OF EXOTIC/NUISANCE VEGETATION REMOVAL; EXCAVATION, DREDGING OR
REMOVAL OF SOIL MATERIAL DIKING OR FENCING; ANY OTHER ACTIVITIES DETRI-
MENTAL TO DRAINAGE; FLOOD CONTROL, WATER CONSERVATION, EROSION CON-
TROL, OR FISH AND WILDLIFE HABITAT CONSERVATION OR PRESERVATION.
Such tracts, or easements must be dedicated to a homeowners' association, or to any other
lawfully existing entity which has, or would have at the time of final plat recording, the power
or authority to perform the obligation to maintain, along with the responsibility for such
maintenance.
B. DEDICATE TO COLLIER COUNTY:
1. The public rights-of-way (insert name) or depicted streets, roads, or access, as follows:
TRACT"A"AS A PUBLIC ROAD RIGHT-OF-WAY(R.O.W.)SUBJECT TO THE EASEMENTS
DEDICATED AND DEPICTED HEREON (list all ROW easements) WHICH EASEMENTS
ARE SUBORDINATE TO, AND MAY NOT BE USED INCONSISTENT WITH, THE USE OF
THE RIGHTS-OF-WAY BY COLLIER COUNTY FOR ROADWAY PURPOSES INCLUDING,
BUT NOT LIMITED TO, PAVEMENT, ROADWAY DRAINAGE, BIKE LANES, SIDEWALKS,
AND PATHWAYS.
ALL (CONSERVATION or PRESERVE) (TRACTS or EASEMENTS) WITHOUT
RESPONSIBILTY FOR MAINTENANCE AND SUBJECT TO THE CONDITIONS OF THE
DEDICATION IN PARAGRAPH A. 7. (name of appropriate paragraph) ABOVE.
2. Any tracts or easements intended to be conveyed to the public for such purposes as they may
be required, i.e., canal rights-of-way/easements, drainage or stormwater management
easements, preserve/conservation areas/easements,etc.,to include, but not be limited to the
following examples:
ALL DRAINAGE EASEMENTS (D.E.) WITHOUT RESPONSIBILITY FOR MAINTENANCE.
ALL LAKE MAINTENANCE EASEMENTS (L.M.E.) WITHOUT RESPONSIBILITY FOR
MAINTENANCE.
Supp. No.6 LDCC:3
COLLIER COUNTY LAND DEVELOPMENT CODE
C. DEDICATE To THE Collier County Water-Sewer District [or any other applicable entity: i.e.,
Immokalee Water-Sewer District, etc.]:
1.All County Utility Easements (C.U.E.$) for the purposes of utility installation, construction,
operation, or maintenance, including the right of access to perform any such purpose.
2. All interim water and sewer utility facilities constructed within this platted area, upon
acceptance of those interim utility facilities pursuant to the applicable County regulations,
including those set forth in the Code of Laws and Ordinances, Chapter 134.
D. DEDICATE A NON-EXCLUSIVE PUBLIC UTILITY EASEMENT (P.U.E.) TO ALL LICENSED
OR FRANCHISED PUBLIC OR PRIVATE UTILITIES AS SHOWN ON THIS PLAT FOR
PUBLIC UTILITY PURPOSES, INCLUDING CONSTRUCTION, INSTALLATION, MAINTE-
NANCE, AND OPERATION OF THEIR RESPECTIVE FACILITIES, INCLUDING CABLE
TELEVISION SERVICES, PROVIDED THAT SUCH USES BE SUBJECT TO, AND NOT
INCONSISTENT WITH, THE USE BY THE COLLIER COUNTY WATER-SEWER DISTRICT.
IN THE EVENT A CABLE COMPANY DAMAGES THE FACILITIES OF ANOTHER PUBLIC
UTILITY IT WILL BE SOLELY RESPONSIBLE FOR SAID DAMAGES.
E. RESERVE TO THE (appropriate owner entity(s) name(s)):
1. Any tracts intended for "Future Development," or being retained for other stated,
specific and allowed purposes.
BE SURE TO PROVIDE A SEPARATE ACKNOWLEDGMENT FOR EACH OWNER
WITNESSES: (NAME OF ENTITY)
By:
(TYPED NAME/TITLE OF OWNER)
PRINTED NAME (Include proper evidence of authority)
PRINTED NAME
ACKNOWLEDGMENT
STATE OF
COUNTY OF
THE FOREGOING DEDICATIONS WERE ACKNOWLEDGED BEFORE ME THIS
DAY OF , 2004, BY (NAME OF PERSON MAKING ACKNOWLEDGMENT) AS
(TITLE)OF(NAME OF COMPANY) WHO IS PERSONALLY KNOWN TO ME, OR HAS PRODUCED
AS IDENTIFICATION.
NOTARY PUBLIC - STATE OF
(SEAL)
PRINTED NAME
All dedications and consents are to be executed and acknowledged in accordance with the applicable
sections of Chapters 689 and 692 of the Florida Statutes.
Supp. No. 6 LDCC:4
APPENDIX C
PLEASE NOTE:AT THE APPLICANT'S DISCRETION,MORTGAGEE'S CONSENTS AND ACKNOWL-
EDGMENTS IN SUBSTANTIALLY THE FOLLOWING FORM MAY BE PROVIDED AS A SEPARATE
INSTRUMENT AS SET FORTH IN § 177.081(2), F.S., ADDITIONAL RECORDING FEES MAY BE
REQUIRED IF SUCH SEPARATE CONSENTS ARE PROVIDED.
MORTGAGEE'S CONSENT
STATE OF
COUNTY OF
(mortgagee), AUTHORIZED TO TRANSACT BUSINESS IN THE STATE OF FLORIDA, HEREBY
CERTIFIES THAT IT IS THE HOLDER OF A MORTGAGE UPON THE HEREIN DESCRIBED
PROPERTY AS RECORDED IN O.R. BOOK , PAGE OF THE
PUBLIC RECORDS OF COLLIER COUNTY,AND DOES HEREBY JOIN IN AND CONSENT TO THE
DEDICATION OF THE PROPERTY BY THE OWNER,AND AGREES THAT ITS MORTGAGE SHALL
BE SUBORDINATED TO THE DEDICATIONS SHOWN HEREON.
(NAME OF ENTITY)
(signature)
(TYPED NAME AND TITLE)
ACKNOWLEDGMENT
STATE OF
COUNTY OF
THE FOREGOING MORTGAGEE'S CONSENT WAS ACKNOWLEDGED BEFORE ME THIS
DAY OF , 2004, BY(NAME OF PERSON MAKING ACKNOWL-
EDGMENT) AS (TITLE) OF (NAME OF COMPANY) WHO IS PERSONALLY KNOWN TO ME, OR
HAS PRODUCED AS IDENTIFICATION.
NOTARY PUBLIC - STATE OF
(SEAL)
PRINTED NAME
All dedications and consents are to be executed and acknowledged in accordance with the applicable
sections of Chapters 689 and 692 of the Florida Statutes.
BE SURE TO PROVIDE A SEPARATE ACKNOWLEDGMENT FOR EACH MORTGAGE
Supp. No.6 LDCC:5