PRELIMINARY PLAT APPLICATION INFORMATION

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CHARLOTTE COUNTY COMMUNITY DEVELOPMENT DEPARTMENT PRELIMINARY PLAT APPLICATION INFORMATION Sufficiency Review Supply a copy of the completed Application form plus Supporting Materials (see checklist below). Staff will have 5 working days from the application submittal date to review the application for completeness. If incomplete, the application will be returned with an explanation why the application was considered incomplete. The applicant may resubmit at any time, but the application will not be reviewed again until the next nearest application deadline. If deemed complete, the application will be logged in and assigned to a P&Z and BCC hearing cycle and staff will commence review. The applicant is responsible for promptly providing any information that needs to be updated, modified, or newly submitted; otherwise, the placement of the application on a public hearing agenda will be delayed or a recommendation of denial may be necessary. No additional changes may be made to any information in an application subsequent to one week before the hearing packet is due to be compiled for the Planning and Zoning Board members or the NOVUS Agenda item deadline for the Board of County Commissioners. The planner assigned to the petition will be able to inform the applicant of the drop-dead date. Supporting Materials checklist 5 sets of proposed subdivision plans sized 11" x 17" and 5 sets sized 18 x 24. Boundary survey and legal description, including acreage, of the property being subdivided Proof of all taxes paid A FLUCCS map, listed species survey, and heritage tree survey (less than one year old) Copy of Preliminary Site Plan approval letter A check made payable to the Charlotte County Board of County Commissioners. The fee is $1,830.00, with an additional $12 per lot One disc of subdivision plans in PDF format One disc of subdivision plans in.dwg Auto CAD or.dxf Universal CAD format i

Public Hearing Information TIME: 1:30 P.M. Planning and Zoning Board 2:00 P.M. Board of County Commissioners PLACE: Charlotte County Administration Center, Building A, Room 119 18500 Murdock Circle, Port Charlotte, FL 33948 UNLESS OTHERWISE ADVERTISED IN THE LOCAL NEWSPAPER The applicant will receive written notification of the hearing date. The applicant and/or a representative/agent must be present at both the Planning and Zoning Board and the Board of County Commissioners Meetings. Should you have any questions or need assistance, please contact the Charlotte County Community Development Department, 18400 Murdock Circle, Port Charlotte, FL 33948 or call 941-764-4954. ii

CHARLOTTE COUNTY COMMUNITY DEVELOPMENT DEPARTMENT PRELIMINARY PLAT APPLICATION Date Received: Petition #: Receipt #: Log-in Date: Amount Paid: 1. Name of proposed subdivision: 2. Parties involved in the application: A. Name of Applicant: B. Name of Agent: C. Owner of Record*: * The name and address of every person having a beneficial interest in this property, however small, in the form of a partnership, limited partnership, corporation, trust, or in any form of representative capacity whatsoever for others, shall be disclosed and a list attached to this application, with no exceptions. 1

D. Name of Surveyor: E. Name of Engineer: F. Name of Attorney: 3. Property Location Section: Township: Range: Property ID #: Commission District: 4. Total acreage: 5. Has the property ever been the subject of a public hearing? If yes, Hearing Held by: Date: Petition #: Board of County Commissioners Planning and Zoning Board Board of Zoning Appeals Other (Describe) ATTACH ALL DEPARTMENT COMMENTS AND DECISION LETTERS 2

6. Has an administrative interpretation ever been applied for or received for the subject property? If yes, Date: Type: PROVIDE A COPY OF THIS INTERPRETATION. 7. Has this property been platted before? If yes, in what name? Date recorded: Has the previous plat been vacated? 8. *Zoning designation(s): *Future Land Use Map designation(s): *if more than one, provide acreage of each Number of lots allowed: Number of lots proposed: Minimum lot size: Minimum lot dimension: Total density: 9. Type of proposed development: Single family Mobile home Institutional Multi-family Industrial Commercial Mixed Use 10. Is any variance from the subdivision requirements anticipated or requested per Article II, Section 3-7-21, of the County Code? If yes, ATTACH a description of the variance request. 11. Is this proposed plat part of a Development of Regional Impact (DRI)? If yes, name the DRI: 3

12. Is the proposed subdivision located within a flood hazard zone as established by F.E.M.A.? If yes, please specify: 13. What is the proposed minimum elevation of road crown and of the lots? Road: feet above sea level Lots: feet above sea level Existing elevation ranges from an average low of to an average high of feet above sea level. Elevations based on: NGVD 1929 NGVD 1988 14. What type of potable water and sanitary sewer facilities will service this plat? Wells Septic Tanks Central Water Central Sewer ATTACH: Utility letters proving service is available or Health Dept. letter verifying that the septic systems are acceptable based on the proposed subdivision 15. Is development of utility infrastructure proposed prior to final plat? 16. Rights-of-way for this proposed subdivision are intended to be: dedicated private existing dedicated roads Indicate which of the processes you will be following for roadway construction: Not constructing roadways prior to final plat. (note: bonding is required - show proof that applicant has met with County Engineer to ensure the rights-of-way will be constructed under the supervision of the County Engineer.) Constructing roadways prior to final plat. (note: documentation must be submitted with final plat showing that the rights-of-way have been constructed under the supervision of the County Engineer and approved.) If constructing new roads, and they are to be dedicated to the County, all paperwork shall be in accordance with Article VII of Charlotte County Code 3-7. ALL ROADS SHALL BE CONSTRUCTED TO COUNTY STANDARDS 4

17. Is any excavation activity proposed as part of this subdivision? If so, indicate if the applicant will need to file for an exemption from the Excavation and Earthmoving Code or what excavation Group # will be applied for: 17. Will the subdivision be constructed in phases? If yes, please specify: 5

AFFIDAVIT I, the undersigned, being first duly sworn, depose and say that I am the applicant or agent of the property described and that is the subject matter of the proposed Preliminary Plat request, that data and other supplementary matter attached to and made part of the application, are honest and true to the best of my knowledge. STATE OF, COUNTY OF The foregoing instrument was acknowledged before me this day of, 201, by who is personally known to me or has/have produced as identification and who did/did not take an oath. Notary Public Signature Signature of Applicant/Agent Notary Printed Signature Printed Signature of Applicant/Agent Title Address Commission Code City, State, Zip Telephone Number 6

PROPERTY OWNER AUTHORIZATION TO APPLICANT I, the undersigned, being first duly sworn, depose and say that I am the owner of the property described and which is the subject matter of the proposed hearing. I give authorization for to be the applicant for this Preliminary Plat. STATE OF, COUNTY OF The foregoing instrument was acknowledged before me this day of, 201, by who is personally known to me or has/have produced as identification and who did/did not take an oath. Notary Public Signature Signature of Owner Notary Printed Signature Printed Signature of Owner Title Address Commission Code City, State, Zip Telephone Number 7

APPLICANT AUTHORIZATION TO AGENT I, the undersigned, being first duly sworn, depose and say that I am the applicant for the Preliminary Plat of the property described and which is the subject matter of the proposed hearing. I give authorization for to be my agent for this application. STATE OF, COUNTY OF The foregoing instrument was acknowledged before me this day of, 201, by who is personally known to me or has/have produced as identification and who did/did not take an oath. Notary Public Signature Signature of Applicant Notary Printed Signature Printed Signature of Applicant Title Address Commission Code City, State, Zip Telephone Number 8