Preliminary Replat. Application No. List of Required Submittals Only complete applications will be accepted:

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Preliminary Replat Application No. List of Required Submittals Only complete applications will be accepted: Included in this packet: Pre-Application Meeting Notes Application Affidavit to Authorize Agent General Information If Variance Requested: Narrative for Variance Neighborhood Worksheet Public Participation Report Planning and Economic Development Department Development Review Services City of St. Petersburg P.O. Box 2842 St. Petersburg, FL 33731-2842 727.893.7471 UPDATED: 08-26-2015 Completed Preliminary Replat application and narrative (if applicable). Pre-application Meeting Notes. Affidavit to Authorize Agent, if Agent signs application. Application fee payment. Compliance with Chapter 177, Fla. Stat. as applicable and Section 16.70.050.1.7, preliminary plat, as applicable: Pursuant to section 177.041(2) Fla. Stat. a title opinion of an attorney at law licensed in Florida or a certification by an abstractor or a title company showing that record title to the land as described and shown on the plat is in the name of the person, persons, corporation, or entity executing the dedication. The title opinion or certification shall also show all mortgages not satisfied or released of record nor otherwise terminated by law. 24-inch x 36-inch black line print of the subject property prepared by a registered surveyor at a scale of not less than 100 feet to the inch. Subdivision title, date, north point, scale, and a brief description, including township and range. The title shall as nearly as possible identify the area of the City in which the proposed subdivision is located. The name and address of the owner and the surveyor; if the property is owned by a corporation or company, the name and address of its president or other responsible party. The boundaries and dimensions of the tract to be subdivided. Wooded area, marshes, preservation areas, and other conditions affecting the site. The location of existing and proposed property lines, streets, watercourses, railroads, bridges, power transmission and distribution lines, sewer, gas, and water mains, culverts, and drainpipes; city limits and any public utility easements on the land to be subdivided; the location of all structures on the land to be subdivided and on the land within ten (10) feet thereof; and of the exact location of the intersections of all adjacent streets within the boundary of the proposed plat. Page 1 of 10 Continued on next page.

Preliminary Replat List of Required Submittals, Continued Compliance with Chapter 177, Fla. Stat. as applicable and Section 16.70.050.1.7, preliminary plat, as applicable (continued): The names of adjoining subdivisions. The locations, dimensions, and purposes of proposed rightsof-way, easements and waterways, street names, and pavement widths when unusual intersections occur or planter islands are proposed or when paving width in excess of 24- feet is required. The proposed lot lines, lot and block numbers, and approximate dimensions. The approximate radii of all curves. On acreage of fill areas, a tie to the nearest section corner, quarter section, or other known point. When topography controls the street and lot layout, approximate contours with a vertical interval of not more than one (1) foot referred to city datum. Existing and proposed parks, school sites, or other public open spaces on the plat. Plat language when required in conjunction with special developments or conditions. Survey of the subject property prepared by a professional Surveyor and Mapper, signed and sealed. Flood zone information. The preliminary plat must be signed and sealed to conform to Chapter 5J-17, FL Administrative Code. Submittals. 3 signed and sealed copies of full-scale drawings. PDF of all above items (may be emailed to Staff Planner) The following items are required for applications requiring a variance: Narrative for Variance. Neighborhood Worksheet. Public Participation Report. A Pre-Application Meeting is Required Prior to Submittal. To schedule, please call (727) 892-5498. Page 2 of 10 Completeness review by city staff:

Pre-Application Meeting Notes Meeting Date: Address/Location: Type of Application: Staff Planner: Staff Contact Info: Neighborhood Association(s): Neighborhood Association President Name(s) & Contact Info: Issues/Concerns: Page 3 of 10

Preliminary Replat Application Application No. All applications are to be filled out completely and correctly. The application shall be submitted to the City of St. Petersburg s Development Review Services Division, located on the 1 st floor of the Municipal Services Building, One 4 th Street North. NAME of APPLICANT (Property Owner): City, State, Zip: Telephone No: NAME of AGENT or REPRESENTATIVE: City, State, Zip: Telephone No: NAME of SURVEYOR or ENGINEER: Company Name: City, State, Zip: Telephone No: NAME OF PLAT: PROPERTY INFORMATION: Street Address or General Location: Parcel ID#(s): PROPOSED LEGAL DESCRIPTION: GENERAL INFORMATION Email Address: Email Address: Email Address: Website Address: PRE-APPLICATION DATE: PLANNER: FEE SCHEDULE The fee for plats requiring no variances: $650.00 The fee for plats requiring a variance(s): $1,000.00 Cash, credit, checks made payable to City of St. Petersburg AUTHORIZATION City Staff and the designated Commission may visit the subject property during review of the requested variance. Any Code violations on the property that are noted during the inspections will be referred to the City s Codes Compliance Assistance Department. The applicant, by filing this application, agrees he or she will comply with the decision(s) regarding this application and conform to all conditions of approval. The applicant s signature affirms that all information contained within this application has been completed, and that the applicant understands that processing this application may involve substantial time and expense. Filing an application does not guarantee approval, and denial or withdrawal of an application does not result in remittance of the application fee. NOTE: IT IS INCUMBENT UPON THE APPLICANT TO SUBMIT CORRECT INFORMATION. ANY MISLEADING, DECEPTIVE, INCOMPLETE, OR INCORRECT INFORMATION MAY INVALIDATE YOUR APPROVAL. Signature of Owner / Agent*: *Affidavit to Authorize Agent required, if signed by Agent. Page 4 of 10 Date:

CITY OF ST. PETERSBURG PLANNING & ECONOMIC DEVELOPMENT DEPT. DEVELOPMENT REVIEW SERVICES DIVISION DEVELOPMENT REVIEW COMMISSION AFFIDAVIT TO AUTHORIZE AGENT I am (we are) the owner(s) and record title holder(s) of the property noted herein Property Owner s Name: This property constitutes the property for which the following request is made Property Address: Parcel ID No.: Request: The undersigned has(have) appointed and does(do) appoint the following agent(s) to execute any application(s) or other documentation necessary to effectuate such application(s) Agent s Name(s): This affidavit has been executed to induce the City of St. Petersburg, Florida, to consider and act on the above described property. I(we), the undersigned authority, hereby certify that the foregoing is true and correct. Signature (owner): Printed Name Sworn to and subscribed on this date Identification or personally known: Notary Signature: Commission Expiration (Stamp or date): Date: Page 5 of 10

Preliminary Replat Application GENERAL INFORMATION Pre-application Meeting All applicants are required to schedule a pre-application meeting. Meetings may be held via telecom. If an application is submitted without a pre-application meeting, and the application is deemed to be incomplete or incorrect, the application may be delayed. Please contact Pamela Crook to schedule: 727-892-5498. Commission Review By applying to the Commission, the applicant grants permission for Staff and members of the Commission to visit the subject property to evaluate the request. Applicants with special requests related to timing of site visits should advise Staff in writing at the time of application submittal. Any Code violations found by the City Staff or the Commission members during review of the subject case will be referred to the Codes Compliance Assistance Department. Public Hearing Applications appropriate for public hearing will be heard by the Commission on the dates listed on the Commission schedule. The public hearings begin at 2:00 P.M. in the City Council Chambers at City Hall, located at 175 5th Street North. All proceedings are quasi-judicial. Therefore, it is required that the property owner or authorized representative attend the hearing. If a variance is requested: Public Participation Report All applicants are required to contact the applicable Neighborhood Association President and complete the Public Participation Report prior to submittal of an application. Applications without the Public Participation Report will not be accepted. The contact information will be provided to the applicant by staff at the preapplication meeting. Legal Notification All applications made to the Commission are required by Florida Statute and City Code to provide public notification of requested variances. The applicant will be required to post a sign on the subject property and send via the U.S. Postal Service by Certificate of Mailing notification letters to all property owners within 200 feet of the subject property. The City will provide one (1) original notification letter, a list of properties, mailing labels, sign, and procedures to complete the posting of the sign and the notification of property owners. These legal notifications must be completed by the dates noted on the Commission schedule with verification of mailing returned to Staff within seven (7) days of the meeting date. Commission Approvals If approved by the Commission, permits, inspections, business taxes, and certificates of occupancy are required, when applicable. All conditions of approval must be completed and approved by the date specified in the report. Failure to satisfy these requirements will invalidate the approval of the request. Approval of a request by the Commission or POD (person officially designated) does not grant or imply other variances from the City Code, FEMA regulations, or other applicable codes. Applicants are advised to contact the Construction Services and Permitting Division at (727) 893-7231 to determine if any other regulations may affect a given proposal. Page 6 of 10

Preliminary Plat Application with Variance NARRATIVE (PAGE 1) All applications for a variance must provide justification for the requested variance(s) based on the criteria set forth by the City Code. It is recommended that the following responses by typed. Illegible handwritten responses will not be accepted. Responses may be provided as a separate letter, addressing each of the six criteria. ALL OF THE FOLLOWING CRITERIA MUST BE ANSWERED. APPLICANT NARRATIVE Detailed Description of Project and Request: Case No.: 1. What is unique about the size, shape, topography, or location of the subject property? How do these unique characteristics justify the requested variance? 2. Are there other properties in the immediate neighborhood that have already been developed or utilized in a similar way? If so, please provide addresses and a description of the specific signs or structures being referenced. 3. How is the requested variance not the result of actions of the applicant? Page 7 of 10

Preliminary Plat Application with Variance NARRATIVE (PAGE 2) All applications for a variance must provide justification for the requested variance(s) based on the criteria set forth by the City Code. It is recommended that the following responses by typed. Illegible handwritten responses will not be accepted. Responses may be provided as a separate letter, addressing each of the six criteria. ALL OF THE FOLLOWING CRITERIA MUST BE ANSWERED. APPLICANT NARRATIVE 4. How is the requested variance the minimum necessary to make reasonable use of the property? In what ways will granting the requested variance enhance the character of the neighborhood? 5. What other alternatives have been considered that do not require a variance? Why are these alternatives unacceptable? 6. In what ways will granting the requested variance enhance the character of the neighborhood? Page 8 of 10

Preliminary Plat Application with Variance NEIGHBORHOOD WORKSHEET Applicants are strongly encouraged to obtain signatures in support of the proposal(s) from owners of property adjacent to or otherwise affected by a particular request. NEIGHBORHOOD WORKSHEET Description of Request: Case No.: The undersigned adjacent property owners understand the nature of the applicant s request and do not object (attach additional sheets if necessary): 1. Affected Property Address: 2. Affected Property Address: 3. Affected Property Address: 4. Affected Property Address: 5. Affected Property Address: 6. Affected Property Address: 7. Affected Property Address: 8. Affected Property Address: Page 9 of 10

Public Participation Report with Variance Application No. In accordance with LDR Section 16.70.040.1.F.2. It is the policy of the City to encourage applicants to meet with residents of the surrounding neighborhoods prior to filing an application for a permit requiring review and public hearing. The applicant, at his option, may elect to include neighborhood mediation as a preparatory step in the development process. Participation in the public participation process prior to required public hearings will be considered by the decision-making official when considering the need, or request, for a continuance of an application. It is not the intent of this section to require neighborhood meetings, but to encourage meetings prior to the submission of applications for approval and documentation of efforts which have been made to address any potential concerns prior to the formal application process. APPLICANT REPORT 1. Details of techniques the applicant used to involve the public (a) Dates and locations of all meetings where citizens were invited to discuss the applicant's proposal (b) Content, dates mailed, and number of mailings, including letters, meeting notices, newsletters, and other publications (c) Where residents, property owners, and interested parties receiving notices, newsletters, or other written materials are located 2. Summary of concerns, issues, and problems expressed during the process 3. Signature or affidavit of compliance - President or Vice-President of any neighborhood associations Check one: ( ) Proposal supported ( ) Do not support the Proposal ( ) Unable to comment on the Proposal at this time ( ) Other comment(s): Association Name: President or Vice-President Signature: If the president or vice-president of the neighborhood association are unavailable or refuse to sign such certification, include a statement as to the efforts to contact them and (in the event of unavailability or unwillingness to sign) why they were unable or unwilling to sign the certification. Page 10 of 10