Pursuant to IRC Section R301.1.5, a survey may be required when a structure is built less than two feet from or
into any required building code and/or zoning ordinance setback, or where other special circumstances exist. The
survey must be completed by an Arizona registered land surveyor. These requirements do not apply to recently
platted subdivisions that are currently in production or fences unless there are discrepancies encountered in the
field that would require the property lines to be identified by a licensed surveyor.
PERMIT APPLICATION REQUIREMENTS
Applicant is to complete the following information at the time of application:
Project Address: ___________________________________________________________________________
Applicant Name (please print): _______________________________________________________________
Applicant Signature: __________________________________________
I hereby affirm that I am the project owner or the owner’s designated representative and that I have been made aware of the survey
requirements for this project.
1. All property corners must be verified (existing pins) or set by an Arizona registered land surveyor prior to the
2. Registered land surveyor is to complete this form at the time of survey. This form must be presented to the
building inspector at the footing inspection.
3. After all foundation forms have been set and prior to pouring the foundation, the building inspector must verify
the setback requirements for the proposed construction. Failure to maintain required building code and/or
zoning ordinance setbacks may require additional approvals.
TO BE COMPLETED BY REGISTERED LAND SURVEYOR
I hereby affirm that I have been designated by the Owner/Owner’s agent as the Land
Surveyor responsible for the survey requirements for this project as set forth above. I
agree to and understand the survey requirements for this project. I have surveyed the
above project and have verified the location of all existing property pins and/or set
new property pins at all property corners.
(Seal, Sign and Date)
Plan Reviewer: Verify that the proposed construction complies with all applicable building code and/or zoning
ordinance setback requirements. Obtain copies of any special approvals for encroachment into setbacks (i.e.,
building code modification, variance). Notify the applicant that a survey will be required for this project. Applicant
is to sign this form confirming notice of survey requirements. Note in the scope of the permit, “All property corners
must be identified or set by an Arizona registered land surveyor prior to the footing inspection.” Attach this form to
the site plan (both sets).
Building Inspector: Obtain this form at footing inspection. Verify that property pins have been located and/or
set. Verify that proposed construction meets all building code and/or zoning ordinance setbacks. Forward this
form to the Records section of Planning & Development.
Records Staff: Place this form with the project records. Scan into SIRE with the other related documents.
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For more information or for a copy of this publication in an alternate format, contact Planning & Development at
602-262-7811 voice or TTY use 7-1-1.
S:\Residential Construction, Survey Requirements