APPLICATION FOR SMALL SCALE AMENDMENT

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APPLICATION FOR SMALL SCALE AMENDMENT To be Completed by City Clerk Application No. Date Received: Received by: Please submit a completed application to the Planning Department for payment and meeting scheduling. Chapter 47 of the Titusville Land Development Regulations contains the instructions for filing and the required exhibits. INCOMPLETE APPLICATIONS SHALL NOT BE ACCEPTED. 1. Annexation Does the request include an annexation? Yes No 2. Project Information Project Name Property Address/Location Description 3. Applicant/ Owner Name of Applicant/Contact Name of Owner Street Address Street Address City State Zip City State Zip Telephone # Telephone # Fax # Fax # E-Mail Address E-Mail Address 4. Applicant Status Owner Tenant Agent Other 5. Parcel ID Tax Acct. 6. Site Size (Attach Legal Description) 7. Current Land Uses Acres: Square Feet: Identify the land uses located on-site and adjacent to the subject site (identify all uses that touch property on each boundary), such as grocery store, citrus farm, office, single family residential, etc.: SUBJECT SITE: 8. Current Designations (entire site) NORTH: SOUTH: EAST: WEST: Future Land Use: Zoning: Updated 03/03/06 1

9. Proposed Designations Future Land Use: Zoning: 10. Building Status Existing Building(s) on the site? New Building(s) proposed? 11. Current Use 12. Proposed Maximum Density (If applicable) 13. Proposed Maximum Intensity (If applicable 14. Proposed Maximum Height (If applicable) 15. Number of Employees and Attendees 16. Note any previous rezonings on the site 17. Check other applications submitted 18. Narrative Dwelling Units/Acre: (Square Feet & Acres) Total Density: (Measured from the ground up to the mid point of a sloped roof) (For non-residential requests such as retail or houses of worship) Conditional Use Vacation of Right of Way Vacation of Easement Site Plan Master Plan Approval Subdivision Plat Other Please provide a brief description of your request and the proposed project: All applications shall require Planning Staff review prior to submittal. All applications shall be submitted to the Planning Department and officially logged in by 4:00 p.m. on deadline dates. Incomplete applications and applications without appropriate backup information/justification will not be accepted and will not be considered to be officially submitted until the appropriate information is Updated 9/21/2007-2 -

submitted. Meeting dates for incomplete applications will not be set until all required information is submitted. Petitions requiring review from other boards or commissions prior to being forwarded to the Planning and Zoning Commission (P&Z)/City Council are not guaranteed placement on the schedule noted above. All meeting agendas will be posted on the City s web site and staff reports for the request can be obtained by contacting the Planning Department at 321-383-5825. Per Section 39-211 (a) of the Concurrency Management System: Rezoning applications and annexation requests may be approved; however, such approval shall be conditional in nature and shall not entitle the applicant to proceed with the development unless the public facilities are available concurrent with the impacts of development as provided in Section 39-212 (See Acknowledgement statement #5 below) ACKNOWLEDGEMENT 1. I am the owner and/or legal representative of the owner of the property described, which is the subject of this application. 2. All answers to the questions in said application and all surveys and/or site plans and data attached to and made a part of this application are honest and true to the best of my knowledge and belief. By my signature below, I acknowledge that I have complied with all submittal requirements and that this request package is complete. I further understand that an incomplete application submittal may cause my application to be deferred. 3. Should this application be granted, I understand that any condition(s) imposed upon the granting of this request shall be binding to the owner, his heirs, and successors in title to possession of the subject property. 4. I understand that I must attend all applicable meetings and have been informed of the meeting date(s) and time(s). I understand that if I fail to appear at an applicable meeting, the appropriate Board or Commission may either table or deny the request. 5. I understand that my request if approved does not encumber provision of utility, road or other City infrastructure capacity. The analysis provided by staff of existing levels of service for public facilities and services in the vicinity of the parcel identified in this application is a non-binding analysis, and does not guarantee capacity will be available in the future or encumber/reserve capacity for any period of time. This matter is subject to quasi-judicial rules of procedure. Interested parties should limit contact with the City Council, Board of Adjustment & Appeals, and Planning & Zoning Commission on this topic to properly noticed public hearings or to written communication to the City Clerk s Office, City of Titusville, P.O. Box 2806, Titusville, FL 32781 (Signature) (Date) DATE RECEIVED: FOR OFFICE USE ONLY ACCEPTED BY: PLANNING AND ZONING COMMISSION DATE & TIME: SUMMARY: CITY COUNCIL DATE & TIME: CASE NUMBER: Updated 9/21/2007-3 -

SUBMITTAL CHECKLIST Please fill out the following and submit the documents to the Planning Department. Payment of fees does not ensure a favorable decision. Additional information may include documents initially waived at the pre-application meeting but subsequently determined necessary by staff. 1. Complete Application and Fees 2. Warranty Deed 3. Notarized Owner Authorization Form 4. Legal Description 5. Certified Survey, if determined by the Administrator (sealed and containing permanent reference points as described by Chapter 177, Florida Statutes (2005), with bearings, distances and closures)* 6. Conceptual Site Plan (Hardcopy plus an electronic copy in PDF or CAD format)* Names, addresses and address labels for all property owners within 500 feet of 7. the subject property. Note: This listing is available from either the Brevard County Property Appraiser s Office or the City of Titusville Planning Department. Current charge for this service is $35.00. If the request involves a change from a higher density of residential or from 8. residential to non-residential, detail how surrounding neighbors will be contacted. *If site plan is larger than 11 x 17, 30 hardcopies must be provided. 1. THE CONCEPTUAL SITE/SUBDIVISION PLAN SHALL INCLUDE THE FOLLOWING: 30 copies of conceptual plans - layout of parking areas, driveway entrances, green areas, conservation areas, bike ways, parks, public facilities and such other amenities. 2. Population densities, building intensities and/or building height(s). 3. Any proposed reservation or dedication of land for public purposes. 4. Listing of amount of parking spaces needed for the requested use and the amount currently on site, if applicable. 5. 100-year Flood Zone for all sites outside the X floodplain. 6. Indicate if the existing building has fire sprinklers and fire hydrants 7. Boundaries for surface water bodies (normal high water mark) including wetlands, lakes, Indian River Lagoon. 8. Include estimated build-out date and estimated water allocation permit application date for new projects. 9. Other: Applicant/Owner Signature _ Date Updated 9/21/2007-4 -

CITY OF TITUSVILLE PLANNING & GROWTH MANAGEMENT DEPARTMENT APPLICATION FEE SCHEDULE ***EFFECTIVE: September 22, 2009 (Res. #40-2009)*** PLANNED INDUSTRIAL PARK/PLANNED UNIT DEVELOPMENT/URBAN VILLAGE Planned Industrial District (PID) Zoning Concept Plan/PID Approval $450.00 plus $8.00 per acre. Plus Concept Plan/PID Approval Advertisement Preliminary Application $450.00 plus $8.00 per lot/dwelling unit Final Application Approval $1,000.00 plus $8.00 per lot/dwelling unit Planned Unit Development (PUDZ) Zoning Preliminary Master Development Plan Approval Preliminary Master Development Plan Advertisement Final Master Plan Approval Final Master Development Plan Advertisement Urban Village (UV) Zoning Preliminary Master Development Plan Approval Preliminary Master Development Plan Advertisement Final Master Plan Approval $450.00 plus $8.00 per lot/dwelling unit. Plus $1,000.00 plus $8.00 per lot/dwelling unit. Plus $450.00 plus $8.00 per lot/dwelling unit. Plus $1,000.00 plus $8.00 per lot/dwelling unit. Plus Final Master Development Plan Advertisement VACATIONS Vacating rights-of-way, streets and alleys - $890 plus advertisement fee ***Street Vacations Advertisement - $400.00 total for 2 advertisements Vacating easement - $890 plus advertisement fee *** Easement Vacations Advertisement - $400.00 total for 2 advertisements Street Name Acceptance $600.00 Comprehensive Plan Amendment (CPA) Annexation 1 and/or Land Use Change - ANNEXATIONS, CPA s & SSA s $1,500.00 plus $8.00 per acre plus advertisement fee (Requests may be combined) ***Comprehensive Plan Amendment Advertisement (display ad) 2 - $1,675.00 total for 2 advertisements ***Annexation Advertisements (display ad) 2 $1,250.00 total for 2 advertisements Text change per F.S. 166.041 - $700.00 plus advertisement fee ***Text Change Advertisement (display ad) - $1,675.00 total for 2 advertisements Revised September 29, 2009 Planning Department

CITY OF TITUSVILLE PLANNING & GROWTH MANAGEMENT DEPARTMENT APPLICATION FEE SCHEDULE ***EFFECTIVE: September 22, 2009 (Res. #40-2009)*** Small Scale Comprehensive Plan Amendment (SSA) Annexation 1 and/or Land Use Change - (exclusive of those annexations accompanying water service agreements) ***Small Scale Amendment Advertisement - $1,500.00 plus $8.00 per acre plus advertisement fee $400.00 total for 2 advertisements ***Annexation Advertisements (display ad) 2 - $1,250.00 total for 2 advertisements ZONING/REZONINGS Zoning/Rezoning (when not accompanied by a CPA) - $1,500.00 plus $8.00 per acre plus ***Zoning/Rezoning Advertisement 3 - $200.00 advertisement fee CONDITIONAL USE PERMITS Conditional Use Permit (CUP)- $1,500.00 plus $8.00 per acre plus ***Conditional Use Permit Advertisement 3 - $175.00 advertisement fee CONCURRENCY REVIEW/ZONING CONFIRMATION LETTER Concurrency Assessment for site plan/subdivision submittals - $100.00 Zoning Confirmation Letter - $35.00 DEVELOPMENT AGREEMENT/VESTED RIGHTS APPLICATION/BENEFICIAL USE DETERMINATION/TRANSFER OF DEVELOPMENT RIGHTS Development Agreement $1,500.00 plus $8.00 per unit/1,000 square feet non-residential plus legal advertisement cost Development Agreement Advertisement - $150.00 advertisement fee Vested Rights Application $1,500.00 plus $8.00 per unit/1,000 square feet non-residential plus legal advertisement cost Vested Rights Application Advertisement - $150.00 advertisement fee Beneficial Use Determination $1,500.00 plus $8.00 per unit/1,000 square feet non-residential plus legal advertisement cost Beneficial Use Determination Advertisement 3 - $175.00 advertisement fee Transfer of Development Rights- $450.00 plus $8.00 per dwelling unit Note #1: Applicants shall be required to pay a Legal Precinct Descriptions due to Annexation fee of $210.00 as required by the Brevard County Supervisor of Elections. Note #2: In the event that more than one amendment to the City s Comprehensive Plan is considered in a given submittal, the City reserves the right to adjust the advertising costs to reflect any economy realized by advertising more that one request in a single ad. Such adjustments will be at the discretion of the City Manager and will be accomplished in the form of a refund to the applicant after the advertising costs have been incurred. Note #3: In the event that a zoning/rezoning is processed in conjunction with a CPA/SSA application, a fifty (50) percent reduction in the zoning advertising fee will be given. In the event that a conditional use permit is processed in conjunction with a zoning/rezoning application, a fifty (50) percent reduction in the conditional use permit advertising fee will be given. Revised September 29, 2009 Planning Department

OWNER S AUTHORIZATION FOR SMALL-SCALE PLAN AMENDMENT APPLICATION DATE: TO: City of Titusville Attn: Planning Department 555 S. Washington Avenue Titusville, FL 32796-3584 RE: (Address and/or Legal Description) Please accept this document as authorization for Name of Applicant To apply for a Comprehensive Plan Amendment for the property described above. Owner s Signature Owner s Name Street Address City, State, Zip Code Telephone Number State of County of Sworn to and subscribed before me this day of. Form of Identification Notary Public My Commission Expires: (Date) Updated 9/21/2007-6 -

Planning & Zoning Commission/City Council Public Hearings 2011 APPLICATION DEADLINE AND MEETING SCHEDULE Application Deadline P & Z Meeting City Council Meeting Mon. September 13, 2010 Wed. November 17, 2010 Tue. November 23, 2010 Mon. October 4, 2010 Wed. December 8, 2010 Tue. December 14, 2010 Mon. October 18, 2010 Wed. December 22, 2010 Tue. December 28, 2010 Mon. November 1, 2010 Wed. January 5, 2011 Tue. January 11, 2011 Mon. November 15, 2010 Wed. January 19, 2011 Tue. January 25, 2011 Mon. November 29, 2010 Wed. February 2, 2011 Tue. February 8, 2011 Mon. December 13, 2010 Wed. February 16, 2011 Tue. February 22, 2011 Mon. December 27, 2010 Wed. March 2, 2011 Tue. March 8, 2011 Mon. January 10, 2011 Wed. March 16, 2011 Tue. March 22, 2011 Mon. January 31, 2011 Wed. April 6, 2011 Tue. April 12, 2011 Mon. February 14, 2011 Wed. April 20, 2011 Tue. April 26, 2011 Mon. February 28, 2011 Wed. May 4, 2011 Tue. May 10, 2011 Mon. March 14, 2011 Wed. May 18, 2011 Tue. May 24, 2011 Mon. March 28, 2011 Wed. June 8, 2011 Tue. June 14, 2011 Mon. April 11, 2011 Wed. June 22, 2011 Tue. June 28, 2011 Mon. May 2, 2011 Wed. July 6, 2011 Tue. July 12, 2011 Mon. May 16, 2011 Wed. July 20, 2011 Tue. July 26, 2011 Mon. May 30, 2011 Wed. August 3, 2011 Tue. August 9, 2011 Mon. June 13, 2011 Wed. August 17, 2011 Tue. August 23, 2011 Tue. July 5, 2011 Wed. September 7, 2011 Tue. September 13, 2011 Mon. July 18, 2011 Wed. September 21, 2011 Tue. September 27, 2011 Mon. August 1, 2011 Wed. October 5, 2011 Tue. October 11, 2011 Mon. August 15, 2011 Wed. October 19, 2011 Tue. October 25, 2011 Mon. August 29, 2011 Wed. November 2, 2011 Tue. November 8, 2011 Mon. September 12, 2011 Wed. November 16, 2011 Tue. November 22, 2011 Mon. October 3, 2011 Wed. December 7, 2011 Tue. December 13, 2011 Mon. October 17, 2011 Wed. December 21, 2011 Tue. December 27, 2011 NOTE: Meeting dates may be cancelled/rescheduled due to holidays. FILING INSTRUCTIONS All applications shall require Planning staff review prior to submittal. All applications shall be submitted to the Planning Department and officially logged in by 4:00 p.m. on above noted deadline dates. Incomplete applications and applications without appropriate backup information/justification will not be accepted and will not be considered to be officially submitted until the appropriate information is submitted. Meeting dates for incomplete applications will not be set until all required information is submitted. Applications requiring review from other boards or commissions prior to being forwarded to the Planning and Zoning Commission (P&Z)/City Council are not guaranteed placement on the schedule noted above. Applications requiring additional review time due to their complexity, size, or other application specific requirements are not guaranteed placement on the schedule noted above.