I don't think that's as "first principles" as kidia intended. Here is the standard proof of the fundamental theorem:
Let F(x)= \int_a^x f(t)dt. Then F(x+h)= \int_a^{x+h}f(t)dt
= \int_a^x f(t)dt+ \int_x^{x+h}f(t)dt
So that F(x+h)- F(x)= \int_x^{x+h}f(t)dt. Now apply the mean value theorem to the function \int_x^{x+h}f(t)dt to argue that F(x+h)-F(x)= hf(x*) where x* is between x and x+h. Finally, divide both sides by h and take the limit as h goes to 0.