Property Owner(s) of Record:
Parcel I.D. numbers to be combined:
Property Address (if applicable):
All parcels must be within the same ownership and taxes must be paid in full.
Upon execution by the City of Edgewater the property owner shall submit form to the Volusia
County Property Appraiser’s Office.
I, the undersigned owner(s) of record of the properties listed above, request approval from the
City of Edgewater to combine said parcels. I understand that if at some time in the future, the
property owner(s) of record wishes to split the parcels, they will be required to submit a Minor
Subdivision application and must meet all City codes in place at the time of the request.
Signature of owner Signature of owner
STATE OF FLORIDA
COUNTY OF VOLUSIA
Subscribed and sworn before me this ______ day of ____________________, 2020 by means of
physical presence or online notarization, and who is personally known to me or produced the
following identification _______________________.
SEAL
NOTARY PUBLIC
The City of Edgewater has no objections to the combination of the above listed parcels.
Signature of City Representative Date
Title of City Representative
Development Services
104 North Riverside Drive
Edgewater, Florida 32132
planning@cityofedgewater.org
(386) 424-2400 X 1502
PARCEL COMBINATION REQUEST