APPLICATION MAJOR MINOR DEVIATION - DEVELOPMENT - - SP (project number assigned by planning staff)

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City of Destin Community Development Department Planning Division City of Destin Annex 4100 Indian Bayou Trail Destin, Florida 32541 Phone (850) 837-4242 Fax (850) 460-2171 email to: planning@cityofdestin.com APPLICATION MAJOR MINOR DEVIATION - DEVELOPMENT - - SP (project number assigned by planning staff) Name & Project Number of the Previously Approved Development to which this deviation will apply: I. CONTACT INFORMATION: A. Owner(s): Mailing Address: Business Phone: Cell: Email: B. Authorized Agent (if applicable): _ Mailing Address: Business Phone: Cell: Email: C. Engineer: Mailing Address: Business Phone: Cell: Email: 1 of 8

D. Architect: Mailing Address: Business Phone: Cell: Email: E. Surveyor: Mailing Address: Business Phone: Cell: Email: II. PROPERTY INFORMATION: Existing Street Address: Parcel ID (s):,, Lot: Block: Plat Book: Page Number: Subdivision: _ III. PROJECT INFORMATION: A. General Information (brief project description of which this application is seeking approval): Future Land Use Map Designation(s) of the Property: Zoning District(s) of the Property: Type of Project / Proposed Land Use of the Property: Total Acreage and Square Footage of the Property: Number of Permanent or Long-term Residential Units: Number of Seasonal or Short-term Residential Units: 2 of 8

Total Number of Units Proposed: Number of Units per Acre Allowed: Number of Units per Acre Proposed: Proposed Building Height (Comprehensive Plan 2020 - Policy 1-2.1.4): Number of Proposed Stories (included parking decks above grade): Gross Floor Area of Proposed Structure: (Chapter 1 of the Comprehensive Plan: 2020 definition and Article 3, Sec. 3.00.00 Gross Floor Area of the Destin Land Development Code) (NOTE: Calculations from the Site Plan and Architectural Floor Plan must match.) B. White Sands Zone: The project is located in (check one): White Sands Zone I: White Sands Zone II: Outside White Sands Zones: C. Existing or Proposed Conditional Uses, Variances, Administrative Appeals, etc: Yes: (Provide a copy of Final Order) No: D. Development Intensity - Floor Area Ratio (FAR): This entire section must be completed for all non-residential projects that have the following Future Land Use Map (FLUM) Designations (Comprehensive Plan: 2020, Policy 1-2.1.2): CBN, CL, CG, CTS, ROI, CBR, TCMU, CMU, SHMU, NHMU, GRMU, HIMU, IN, A, INST, REC, and CON. Formula: Square footage of the subject parcel ( acre(s) x 43,560 sq. ft. ): Multiplied by FAR allowed in the Future Land Use Map Designation: X Non-residential structure (not including above-grade parking structure) FAR Calculation: (described in Policy 1-2.1.2, Comprehensive Plan: 2020) a). Sum of Gross Floor Area (square feet) all existing and proposed structures: (The gross floor area shall not include public parking structures or portions of parking structures dedicated to the public and shall adhere to Chapter 1 of the Comprehensive Plan: 2020 definition and Article 3, Sec. 3.00.00 Gross Floor Area of the Destin Land Development Code.) b). Divide result of item a above by the gross site area (square feet): 3 of 8

Compliance: FAR allowed in the Future Land Use Map Designation: FAR proposed for this project (Insert figure from item b ): The proposed project FAR ( is, is not ) in compliance. Formula for above-grade parking structures: Square footage of the subject parcel: ( acre(s) x 43,560 sq. ft. ) Multiplied by 0.50 bonus FAR allowed in ONLY NHMU, SHMU, and TCMU Future Land Use Map Designations: Maximum above-grade parking structure square footage allowed: Above-grade parking structure FAR Calculation (described in Policy 1-2.1.2, Comprehensive Plan: 2020): a). Sum of Gross Floor Area (square feet): (all existing and proposed above grade parking structures) b). Divide result of item a above by the gross site area (square feet): Compliance for above-grade parking structures: FAR allowed in the NHMU, SHMU, and TCMU Future Land Use Map Designations: 0.50 FAR proposed for this project (Insert figure from item b ): The proposed project FAR ( is, is not ) in compliance. E. Minor Subdivision (as defined in LDC Article 3): Not Applicable with this proposed development: Applicable: (see below & requires Minor Subdivision Application) Total Number of Lots Proposed: Minimum Lot Area Proposed: Minimum Lot Width Proposed: Minimum Lot Depth Proposed: 4 of 8

F. Airport Protection: FAA Permit Required: Permit Attached: Does the Proposed Project Lie within the Airport Noise Zone: Yes No If yes, requires disclosure statement and increased construction standards. For residential projects, requires a disclosure statement on the mylar of subdivision and at time of sale (Article III, Airport Zoning Regulations, Section 212-155 of Land Development Code). Does the Proposed Project Lie within Airport Clear Zone: Yes No Does the Proposed Project Lie within Airport Expansion Area: Yes No If Yes, attach statement from Okaloosa County of Airport Authority of "approval" or "no objection" to encroachment within the proposed expansion area. Construction Crane Registration Form Required: Approved Form Attached: G. Comprehensive Plan Compliance: Including, but not limited to the following: Concurrency Evaluation Certificates: Refer to and complete item No. 14 under Section 4 below for compliance. Does the Proposed Development Site Include the following (Insert "Yes" or "No" in every blank and include those with a "Yes" on the Plans): Multimodal District and Design Initiatives Within Harbor CRA District: 100-Year Flood Plains Conservation Areas Environmentally Sensitive Area Historic Landmarks In a Historic District Archeological Sites Habitat of Threatened Species Habitat of Endangered Species Within Town Center CRA District Waterfront Property Seaward of (Within) a V-Zone Seaward of the CCCL Protected Dunes Protected/Unique Vegetation Seaward of Shoreline Protection Zone Preserved Trees (24" d.b.h. and over) Protected Trees (12" d.b.h. and over) Within 200 Feet of a Potable Water Well If in a Flood Zone, give Minimum Base Flood Elevation Required: Provided: 5 of 8

IV. SUBMITTAL REQUIREMENTS A. Completed Application All applicable areas of the application shall be filled in and submitted to the Community Development Department Planning Division at the City of Destin Annex, 4100 Indian Bayou Trail, Destin, Florida 32541. B. Agent Affidavit (if applicable) Required if the applicant is other than the property owner. C. Application Fee: 1. $3,000.00 Major Deviation 2. $2,000.00 Minor Deviation Application fee includes First Submittal Reviews only. Subsequent Submittal Reviews and all mailing costs will be invoiced to the Applicant; invoices must be paid prior to submittal of additional Submittal Review Packages. NOTE: Accepted Payments are Cash, Check, Debit, Discover, MasterCard or Visa. Checks shall be made payable to the City of Destin and submitted to the Planning Division, City Hall Annex, 4100 Indian Bayou Trail, Destin, Florida 32541 D. Proof of Ownership A copy of the last recorded deed of the property. Owner on deed must correspond to Current Owner identified on page 1. E. Concurrency Evaluation Certificates (CEC s) The following must be provided: 1. Solid Waste 2. Sanitary Sewer (must submit completed questionnaire to DWU) 3. Potable Water (must submit completed questionnaire to DWU) 4. Traffic plus analysis (3 sets signed and sealed) 5. Stormwater Management plus calculations (2 sets signed and sealed) 6. DWU Service Questionnaire The applicant is responsible for returning each CEC to the Community Development Department, completed, approved and signed. F. Approval from Okaloosa County Airport Authority (if applicable) - This applies to projects that lie within airport expansion area as defined in Article 7, Section 7.15.00 of the Land Development Code. G. Plans Requirements (LDC Section 2.18.02) Including, but not limited to the following: 1. Cover Sheet 2. Boundary Survey, which includes the following: Signed and Sealed by Registered Surveyor No older than six months unless Engineer of Record certifies site has NOT changed Existing Conditions of site, which includes trees over 12 in diameter at breast height Delineated Topography 3. Demolition Plan (if applicable) 4. Site Plan 5. Drainage Plan Calculations must be signed & sealed by a Registered Florida Engineer and meet the requirements of Destin Code of Ordinances, Sections 6-346 and 6-352. 6. Utility Plan 6 of 8

7. Landscape Plan and Supporting Plans 8. Outdoor Lighting Plan 9. Detail Sheets 10. Architectural Elevations with height shown (North, South, East, and West) 11. General Architectural Floor Plans (all floors) with gross floor area calculated H. Other Required Plans 1. Construction Vehicle Parking Mitigation Plan (LDC Section 7.01.02.E) For non-residential and multi-family residential construction 2. Dust Control Plan (LDC Section 11.10.03) 3. Vibration Impact Mitigation Plan (LDC Section 7.02.03) I. Checklists The following checklists are extremely useful to the design professional in complying with City of Destin development regulations. The inclusion of them with the submittal package is optional. 1. Checklist A Site Plan Requirement 2. Checklist B Stormwater Management 3. Checklist C Landscape Plan 4. Checklist D Dust Control Plan 5. Checklist E Vibration Impact Mitigation Plan 6. Checklist F Outdoor Lighting Plan J. Emergency Contact Posting Requirements (LDC Section 7.01.02.B) V. SUBMITTAL PACKAGE QUANTITIES: A. THREE (3) COMPLETE paper packages, including ALL items in section IV. above. B. ONE (1) COMPLETE electronic package of PDF files on a portable storage device. (CD, DVD, USB Flash Drive or Dropbox link) NOTE: This application must be filled out completely and must be signed by the owner or his designated agent. If the applicant is different than the owner of the subject property, then an agent affidavit is required from the owner of the property. The agent affidavit must be completely filled out and submitted with this application. If the property has multiple owners, then all owners or their designated agents must sign this application. I HAVE READ THE INFORMATION IN THIS APPLICATION AND HAVE FILLED IN ALL ANSWERS CORRECTLY TO THE BEST OF MY ABILITY. APPLICANT: SIGNATURE: DATE: PRINTED NAME: 7 of 8

AGENT AFFIDAVIT SPECIAL POWER OF ATTORNEY KNOWN ALL MEN BY THESE PRESENTS, THAT I, am presently the owner and/or leaseholder at and desiring to execute a Special Power of Attorney, have made, constituted and appointed, and by these presents do make, constitute and appoint whose address is, County of, State of, my Attorney-in-Fact to act as follows, GIVING AND GRANTING unto said attorney full power to act as my agent in any and all matters pertaining to:. FURTHER, I do authorize the aforesaid Attorney-in-Fact to perform all necessary acts in the execution of the aforesaid authorization with the same validity as I could effect if personally present. Any act or thing lawfully done hereunder by the said attorney shall be binding on myself and my heirs, legal and personal representative, and assigns. PROVIDED; however, that any and all transactions conducted hereunder for me or for my account shall be transacted in my name, and that all endorsements and instruments executed by the said attorney for the purpose of caring out the foregoing powers shall contain my name, followed by that of my said attorney and the designation Attorney-in-Fact. STATE OF COUNTY OF OWNER Signature Printed Name The foregoing instrument was acknowledged before me this day of, 20, by. (name of person acknowledging) Personally known OR Produced Identification Type of Identification Produced Signature of Notary Printed Name of Notary or Seal 8 of 8