Article I. DEFINITIONS AND INTERPRETATION

§ 72-4. Plat certification and dedications template.

Latest version.

PLAT CERTIFICATION AND DEDICATIONS TEMPLATE
USE OF DEDICATIONS

A dedication does not transfer ownership of property but is only a perpetual permission to enter upon and to use such areas, by the general public, government personnel (as representative of the public), and utility company personnel (authorized by the government) for the placement, maintenance and use of facilities within each area in accordance with its purpose as described on the plat.

In using the following dedication forms, delete any of the named facilities not involved on the plat and add any other desired to be dedicated to the use of the public, such as retention areas, bike or riding easements, etc.

In cases of multiple ownership, use the form for two persons and add the additional names in the second line and add spaces for appropriate signatures.

For the man and wife ownership, add a comma and his wife after her name in the second line.

The exact name of the subdivision should be placed in the blank following the word "entitled."

(Single Owner)
DEDICATION

KNOW ALL MEN BY THESE PRESENTS, That, I, ___________, being the owner in fee simple of the lands described in the attached plat, entitled ___________, located in Volusia County, Florida, do hereby dedicate said lands and plat for the uses and purposes therein expressed and dedicate all Streets, Avenues, Roads, Alleys, Thoroughfares, Parks, Canals, Utility Easements, Utility Rights-of-Way, and Drainage Easements shown or described thereon and dedicate the water and sewer systems installed or to be installed to the perpetual use of the Public, for proper purposes, and IN WITNESS WHEREOF, I, ___________, hereunto set my hand and my seal on this _____ day of ________ A.D. 20___.

Signed _____	(Seal)
Signed, sealed and delivered in the presence of:
_____
_____

STATE OF ___________
COUNTY OF ___________

The foregoing instrument was acknowledged before me this (date) by (name of person acknowledging), who is personally known to me or who has produced (type of identification) as identification.

	(Signature of person taking acknowledgment)
	(Name typed, printed or stamped)
	(Title or rank)
	(Serial number, if any)

(Two Persons)
DEDICATION

KNOW ALL MEN BY THESE PRESENTS, That we, ___________ and ___________, being the fee simple owners of the lands described in the attached plat, entitled ___________ located in Volusia County, Florida, do hereby dedicate said lands and plats for the uses and purposes therein expressed and dedicate all Streets, Avenues, Roads, Alleys, Thoroughfares, Parks, Canals, Utility Easements, Utility Rights-of-Way, and Drainage Easements shown or described thereon and dedicate the water and sewer systems installed or to be installed to the perpetual use of the Public, for proper purposes, and

IN WITNESS WHEREOF, We set our hands and seals on this _____ day of ________, A.D. 20___.

Signed	_____	(Seal)
	_____	(Seal)
Signed, sealed and delivered in the presence of:
_____
_____

STATE OF ___________
COUNTY OF ___________

The foregoing instrument was acknowledged before me this (date) by (name of person acknowledging), who is personally known to me or who has produced (type of identification) as identification.

	(Signature of person taking acknowledgment)
	(Name typed, printed or stamped)
	(Title or rank)
	(Serial number, if any)

(Corporation)
DEDICATION

KNOW ALL MEN BY THESE PRESENTS, That ___________ incorporated under the laws of the State of ___________ being the owner in fee simple of the lands described in the attached plat, entitled ___________, located in Volusia County, Florida, hereby dedicates said lands and plat for the uses and purposes therein expressed and dedicates all Streets, Avenues, Roads, Alleys, Thoroughfares, Parks, Canals, Utility Easements, Utility Rights-of-Way, and Drainage Easements shown or described thereon and dedicate the water and sewer systems installed or to be installed to the perpetual use of the Public, for proper purposes, and

IN WITNESS WHEREOF, has caused these presents to be signed and attested to by the officers named below and its corporate seal to be affixed hereto on this _____ day of ________ A.D. 20___.

(Name of Corporation) _____

By _____ (Corporate Seal)

Attest:

_____
Title

Signed, sealed and delivered in the presence of:

_____

STATE OF ___________
COUNTY OF ___________

The foregoing instrument was acknowledged before me this (date) by (name of officer or agent, title of officer or agent) of (name of corporation acknowledging) , a (state or place of incorporation) corporation, on behalf of the corporation. He/she is personally known to me or has produced (type of identification) as identification.

	(Signature of person taking acknowledgment)
	(Name typed, printed or stamped)
	(Title or rank)
	(Serial number, if any)

(Individual)
JOINDER AND CONSENT TO DEDICATION

I, ___________, hereby certify that I am the holder of a Mortgage, Lien, or other encumbrance upon the property shown and described in the attached plat, entitled ___________ located in Volusia County, Florida, and that I hereby join in, and consent to, the dedication, shown on the plat, of the lands therein, and described by the owner thereof, and agree that my Mortgage, Lien, or other encumbrance, which is recorded in Official Records Book _____, at Page _____, of the Public Records of Volusia County, Florida, shall be subordinate to the said dedication.

Signed and Sealed on this _____ day of ________, A.D. 20___.

By _____	(Seal)
Signed, sealed and delivered in the presence of:
_____
_____

STATE OF ___________
COUNTY OF ___________

The foregoing instrument was acknowledged before me this (date) by (name of person acknowledging), who is personally known to me or who has produced (type of identification) as identification.

	(Signature of person taking acknowledgment)
	(Name typed, printed or stamped)
	(Title or rank)
	(Serial number, if any)

(Two Persons)
JOINDER AND CONSENT TO DEDICATION

WE, ___________, and ___________, hereby certify that we are the holders of a Mortgage, Lien or other encumbrance upon the property shown and described in the attached plat, entitled ___________ located in Volusia County, Florida, and that I hereby join in, and consent to, the dedication, shown on the plat, of the lands therein, and described by the owner thereof, and agree that our Mortgage, Lien, or other encumbrance, which is recorded in Official Records Book _____, at Page _____, of the Public Records of Volusia County, Florida, shall be subordinated to the said dedication.

Signed and Sealed on this _____ day of ________ A.D. 20___.

By _____	(Seal)
By _____	(Seal)
Signed, sealed and delivered in the presence of:
_____
_____

STATE OF ___________
COUNTY OF ___________

The foregoing instrument was acknowledged before me this (date) by (name of person acknowledging), who is personally known to me or who has produced (type of identification) as identification.

	(Signature of person taking acknowledgment)
	(Name typed, printed or stamped)
	(Title or rank)
	(Serial number, if any)

(Corporation)
JOINDER AND CONSENT TO DEDICATION

___________ incorporated under the laws of the State of ___________ hereby certifies that it is the holder of a Mortgage, Lien, or other encumbrance upon the property shown, and described in the attached plat, entitled ___________, located in Volusia County, Florida, does hereby join in, and consent to, the dedication, shown on the plat, of the lands therein, and described by the owner thereof, and agrees that its Mortgage, Lien, or other encumbrance, which is recorded in Official Records Book _____, at Page _____, of the Public Records of Volusia County, Florida, shall be subordinated to the said dedication.

IN WITNESS WHEREOF: ___________ Has caused these presents to be signed in its Corporate Name by its ___________, its Corporate Seal to be hereunto affixed and attested by its ___________ this _____ day of ________ A.D. 20___.

Name of Corporation

By (Title)	SEAL
Attest (Title)
Signed, sealed and delivered in the presence of:
_____
_____

STATE OF ___________
COUNTY OF ___________

	(Signature of person taking acknowledgment)
	(Name typed, printed or stamped)
	(Title or rank)
	(Serial number, if any)

CERTIFICATE OF SURVEYOR

KNOW ALL MEN BY THESE PRESENTS, That the undersigned, being a licensed and registered professional surveyor and mapper, does hereby certify that on ________ I completed a boundary survey of the lands as shown in the foregoing plat, that said plat is a correct representation of the lands therein described and platted; that the plat was prepared under my direct supervision; that permanent reference monuments have been placed as shown thereon and complies with all requirements of Chapter 177, Florida Statutes; and that said land is located in Volusia County.

	Seal
Dated _____	By	_____
	LS#	_____

[CERTIFICATES OF APPROVAL]

Certificate of Approval by Land Development Manager

THIS IS TO CERTIFY, THAT ON ________ this plat was approved.

By _____
Land Development Manager or His Authorized Representative

Certificate of Approval by County Registered Surveyor

THIS IS TO CERTIFY, THAT ON ________ this plat was approved.

By _____
County Registered Surveyor

Certificate of Approval by County Council of Volusia County, Florida

THIS IS TO CERTIFY, THAT ON ________ the foregoing plat was approved by the County Council of Volusia County, Florida.

_____ Chairman of the County Council of Volusia County	COUNTY SEAL
Attest: _____ County Manager of Volusia County and Ex Officio Clerk

Certificate of Clerk

I HEREBY CERTIFY, that I have examined the foregoing plat and find that it complies in form with all the requirements of Chapter 177, Florida Statutes, and was filed for record on ________ at _______ File No. _____.

_____
Clerk of the Circuit Court in and for Volusia County, Florida

(Ord. No. 96-32, §§ LXXVII, LXXIX, LXXX, 12-19-96; Ord. No. 2008-25, § III, 12-4-08; Ord. No. 2012-05, § I, 4-19-12)

                    
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