P-CASE DEVELOPMENT APPLICATION Plat (Incomplete Applications will not be accepted.)

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Community Development 7525 NW 88 th Avenue Tamarac, FL 33321 Telephone (954) 597-3530 Fax (954) 597-3540 FOR STAFF USE ONLY: CASE #: Master File #: Project #: Date Received: Received by: Zoning district: Land Use Classification: Surrounding zoning: North: South: East: West: Fee(s) Collected: P-CASE DEVELOPMENT APPLICATION Plat (Incomplete Applications will not be accepted.) Project Name: Project Address (if applicable): Project Location: Parcel Size: acres/sq. ft. Folio No. Project Description: (Identify all changes to notes on the plat or easement/right-of-ways that are being vacated) Applicant/Agent/Contact: Phone: Address: Fax: E-Mail Address: Property Owner s Name: Phone: Address:

PLAT APPLICATION CHECKLIST The following checklist is designed to assist the applicant in preparing the required materials for review. The application will not be accepted if all required items are not present at the time of submittal. The following items are required as part of a complete application for a Plat; 1. A completed City of Tamarac P-Case Development Application. 2. Justification Letter. The letter should state why the request is needed and address the relevant sections of Chapter 21 of the Code of Ordinances. 3. Proof of property ownership. (i.e. deed, property appraiser or contract to purchase) 4. Designation of Agent for Quasi-Judicial Proceedings form. This form must be completed by the property owner. This form names that person who will represent the said application at required meetings. 5. Local Publication Agency Fee Affidavit all legal advertisements will be processed by the City of Tamarac. Applicants will be billed at a later time for the cost of the legal advertisement in local print publication. 6. Public Hearing Signs must be posted on the property (at each public right-of-way) within three (3) days of the submittal of the official development application. 7. Public Hearing Sign Affidavit must be submitted to the Community Development Department seven (7) days prior to the scheduled public hearing date. 8. Completion of the Public Notification process: a. The Community Development Department will provide complete instructions on the public notification process prior to the development project being schedule for the Public Hearing. At which time the applicant will be provide with the notification letter, site location map and detailed instructions relating to the disbursement of the notification letters to all property owners that adjacent to the subject property (within a four hundred foot (400 ) radius of said property). It is suggested that the applicant consult with a Planning and Zoning Consulting Firm, Real Estate Research Company, etc., to obtain a complete list of all properties that are to be notified. 9. Six (6) copies and one (1) reduced sized (8.5 x 11 ) copy of the plat along with an electronic version of proposed Plat. As of August 1, 2003, all plats approved by the City of Tamarac required the following language to precede the municipal signature: No building permits shall be issued for the construction, expansion, and/or conversion of a building within this plat until such time as the developer provides this municipality with written confirmation from Broward County that all applicable impact fees have been paid or are not due. 10. Appropriate fees. **INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED**

DESIGNATION OF AGENT FOR QUASI-JUDICIAL PROCEEDINGS DATE: PROJECT NAME: IN THE MATTER OF: ANY PERSON APPEARING ON YOUR BEHALF, IN YOUR ABSENCE, MUST BE DESIGNATED AS YOUR AGENT ON THIS FORM OR SUCH PERSON WILL NOT BE ENTITLED TO SPEAK AT THE QUASI- JUDICIAL HEARING AND THE MATTER MAY BE DETERMINED WITHOUT THE BENEFIT OF THEIR TESTIMONY., WILL ATTEND THE QUASI-JUDICIAL HEARINGS TO BE HELD IN MY ABSENCE. IN ADDITION, HAS MY PERMISSION TO ACT AS MY AGENT IN ALL MATTERS RELATING TO ANY PROCEEDINGS RELATED TO, LOCATED AT. (Name of the Project) (Address of the Subject Property) THIS FORM MUST BE RETURNED PRIOR TO THE QUASI-JUDICIAL HEARING. SIGNATURE OF OWNER: (Print Name of Property Owner) SIGNATURE OF DESIGNATED AGENT: ADDRESS AND PHONE NO. OF DESIGNATED AGENT: Phone: Fax: STATE OF FLORIDA: COUNTY OF BROWARD: The foregoing instrument was acknowledged before me this day of, 20, by, owner of property, who is personally known to me or has produced identification ( )and (Type of Identification) who (did/did not) take an oath. Notary Public State of Florida Type or Print Name of Notary

Local Publication Agency Fee Affidavit Recovery of cost of public notification fees in local publication advertisements: There is hereby imposed a fee for all site specific projects which will be processed through the Quasi-Judicial hearing process therefore requiring additional public notification in local publication. The fee(s) associated with these publications will be determined at a later date and the applicant will be notified of the associated fee(s) by invoice from our Financial Services Department, when deemed necessary by the Director of Community Development. Such fee shall be equal in amount to the actual costs, as determined by the by the City s outside local publication agency. THIS FORM MUST BE RETURNED AT THE TIME OF SUBMITTAL. SIGNATURE OF DESIGNATED AGENT: ADDRESS AND PHONE NO. OF DESIGNATED AGENT: Phone: Fax: STATE OF FLORIDA: COUNTY OF BROWARD: The foregoing instrument was acknowledged before me this day of, 20, by, who is personally known to me or who has produced identification ( ) (type of identification) and who (did/did not) take an oath. Notary Public State of Florida: (Type or Print Name of Notary)

STATE OF FLORIDA COUNTY OF BROWARD Public Hearing Sign Affidavit I,, do swear and affirm: (Print Name) 1. That I have posted a Notice of Public Hearing on the Property on, 20, for a hearing to be held before the City of Tamarac City Commission/Planning Board (circle one) on, 20. 2. The Notice was placed at the location set forth below:. 3. The location where the Notice was placed was legible from the adjoining roadway. Affiant Signature Sworn to and subscribed before me this day of, 20. Notary Public State of Florida Type or Print Name of Notary

STATE OF FLORIDA COUNTY OF BROWARD Public Notification Affidavit I, _, do swear and affirm: (Print Name) 1. That I have mailed Public Notices to adjacent property owners within four hundred feet (400 ) of the project. (Name of Project) 2. The Public Notice informed adjacent property owners that there will be a public hearing held before the City s Planning Board/City Commission on, 20 for the project. (Name of Project) Affiant Signature Sworn to and subscribed before me this day of, 20. Notary Public State of Florida Type or Print Name of Notary

PUBLIC NOTICE SIGN REQUIREMENTS EACH LETTER ON THE SIGN SHALL BE AT LEAST FOUR INCHES (4 ) IN HEIGHT. THE SIGN MUST BE ATTACHED TO A POST WHICH IS IMPLANTED IN THE GROUND. THE FREE STANDING SIGN SHALL BE THREE FEET BY THREE FEET (3 X 3 ) IN SIZE AND POSTED CONSPICUOUSLY AT LEAST TWO FEET (2 ) ABOVE GRADE ON EACH RIGHT-OF-WAY OF THE PROPERTY. THE SIGN MUST BE POSTED AT LEAST FIFTEEN (15) DAYS BEFORE THE PUBLIC HEARING. THE LANGUAGE TO BE INCLUDED ON THE SIGN SHALL READ AS FOLLOWS: A LAND DEVELOPMENT PERMIT IS BEING SOUGHT FROM THE CITY OF TAMARAC FOR THIS PROPERTY. PLEASE CALL THE COMMUNITY DEVELOPMENT DEPARTMENT AT (954) 597-3530 FOR FURTHER INFORMATION.