Address: City/State/Zip: TWN-RN-SEC: Folio(s): Zoning: Future Land Use: Property Size: Property Owner Information Name: Daytime Phone:

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Address: City/State/Zip: TWN-RN-SEC: Folio(s): Zoning: Future Land Use: Property Size: Property Owner Information Name: Daytime Phone:

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VESTED RIGHTS AND VESTED RIGHTS EXTENSION IMPORTANT INSTRUCTIONS TO ALL APPLICANTS: You must schedule an appointment to submit this application. To request an appointment please call 813-272-5600. All requirements listed on the submittal checklist must be met. Incomplete applications will not be accepted. Property Information Address: City/State/Zip: TWN-RN-SEC: Folio(s): Zoning: Future Land Use: Property Size: Property Owner Information Name: Daytime Phone: Address: City/State/Zip: Email: FAX Number: Applicant Information Name: Daytime Phone: Address: City/State/Zip: Email: FAX Number: Applicant s Representative (if different than above) Name: Daytime Phone: Address: City / State/Zip: Email: FAX Number: I HEREBY SWEAR OR AFFIRM THAT ALL THE INFORMATION PROVIDED IN THIS APPLICATION PACKET IS TRUE AND ACCURATE, TO THE BEST OF MY KNOWLEDGE, AND AUTHORIZE THE REPRESENTATIVE LISTED ABOVE TO ACT ON MY BEHALF FOR THIS APPLICATION. _ Signature of Applicant _ Type or Print Name I HEREBY AUTHORIZE THE PROCESSING OF THIS APPLICATION AND RECOGNIZE THAT THE FINAL ACTION ON THIS PETITION SHALL BE BINDING TO THE PROPERTY AS WELL AS TO CURRENT AND ANY FUTURE OWNERS. _ Signature of Property Owner _ Type or Print Name Office Use Only Intake Staff Signature: Intake Date: Case Number: Public Hearing Date: Receipt Number: Type of Application: Revised 04/23/2014 Development Services, 601 E Kennedy Blvd. 19 th Floor

AFFIDAVIT TO AUTHORIZE AGENT STATE OF FLORIDA COUNTY OF HILLSBOROUGH (NAME OF ALL PROPERTY OWNERS), being first duly sworn, depose(s) and say(s): 1. That (I am/we are) the owner(s) and record title holder(s) of the following described property, to wit: ADDRESS OR GENERAL LOCATIONS: Folio No: 2. That this property constitutes the property for which a request for a: applied to the Board of County Commissioners, Hillsborough County. (NATURE OF REQUEST) is being 3. That the undersigned (has/have) appointed as (his/their) agent(s) to execute any permits or other documents necessary to affect such permit. 4. That this affidavit has been executed to induce Hillsborough County, Florida, to consider and act on the abovedescribed property; 5. That (I/we), the undersigned authority, hereby certify that the foregoing is true and correct. Signature (Property Owner) Signature (Property Owner) STATE OF FLORIDA COUNTY OF HILLSBOROUGH The foregoing instrument was acknowledged before me this by Date Property Owner Who: Personally known to me Florida Drivers License Other Type of Identification And Who: did did not take an oath. Signature of Notary taking acknowledgement Type/Print Name of Notary Commission Number Expiration Date STATE OF FLORIDA COUNTY OF HILLSBOROUGH The foregoing instrument was acknowledged before me this by Date Property Owner Who: Personally known to me Florida Drivers License Other Type of Identification And Who: did did not take an oath. Signature of Notary taking acknowledgement Type/Print Name of Notary Commission Number Expiration Date

PROPERTY/PROJECT INFORMATION SHEET APPLICATION PREFIX AND NUMBER: Shaded Area For Official Use Only ADDITIONAL HEARING INFORMATION: CUT-OFF DATE: (If Applicable) NOTICE DEADLINE: Proposed Project Name (If Applicable): Are Code Enforcement issues pending? If Yes, list citation numbers List each folio within the proposed project along with the corresponding information for each (Use additional sheets if necessary). Folio Numbers Owner(s) Name(s) as listed on the deed Acreage Current Zoning* Comp. Plan Category S/T/R** Total Acreage * If Current Zoning is PD, list PD application number as well. ** Section / Township / Range

PROCEDURES FOR ISSUANCE OF DEVELOPMENT ORDERS (LAND USE HEARING OFFICER PROCESS) This section includes general application submittal and review information, and specific submittal requirements for applications that require review in accordance with Section 10.02.00 of the Land Development Code (LDC) for issuance of a development order through the Land Use Hearing Officer (LUHO) process. SUBMITTAL AND REVIEW PROCEDURES This section includes general information for application submittals and reviews. A. Preapplication Conference A preapplication conference with county staff is encouraged prior to application. B. Application and Fees A request for a development order shall be initiated in accordance with this manual by payment of appropriate fees as referenced in Section 2.0 and by filing an application as referenced in Section 3.0 with attached specifically required supplemental information. C. Completeness Review All applications shall be reviewed for completeness in accordance with submittal requirements herein. If applications are determined to be incomplete, review of the application may be delayed or terminated in accordance with Section 10.02.02.B. of the LDC. D. Setting the Matter for Public Hearing Before the Land Use Hearing Officer The Administrator shall set the matter for hearing before a LUHO in accordance with Section 10.02.02.C of the LDC. E. Public Notice Requirements Public notice shall be provided in accordance with Section 10.02.02.D of the LDC and Section 12.0 of the manual. F. Motions for Disqualification Motions for disqualification of a LUHO hearing shall be filed in accordance with Section 10.02.02.G of the LDC. G. Application Review The application shall be reviewed in accordance with prescribed general and specific review criteria herein and the LDC and in compliance with the Comprehensive Plan. H. Staff Reports When an application has been set for hearing before the LUHO, the Administrator shall coordinate and assemble the reviews of other departments and governmental agencies having an interest in the application and shall prepare a report summarizing the factors involved and the department findings, recommendations, and conditions. The report shall be filed as required in Section 10.02.02.F of the LDC. I. Hearing Before the Land Use Hearing Officer The nature of the hearings before the LUHO, including the order of presentation of the hearing, evidence which may be presented at the hearing and the matters that constitute the record of the hearing is set forth in Section 10.02.03 of the LDC. The participants before the LUHO shall be the applicant, county staff, county agencies, proponents,

and opponents, inclusive of the public and witnesses with relevant testimony. The proponent shall be defined as a participant in favor of the application, exclusive of the applicant; whereas, the opponent shall be defined as a participant against the application. Both definitions are inclusive of the public and any other parties of record. J. Findings and Decision of the Land Use Hearing Officer The items that can be considered by the LUHO for making a decision are referenced in Section 10.02.03.E of the LDC. The decision of the LUHO shall be as described in Section 10.02.03.F of the LDC. K. Reconsideration of a Matter On motion and upon such terms as are just, the LUHO may grant a rehearing of an application as prescribed in Section 10.02.03.H of the LDC. L. Appeals Appeals to the decision of the LUHO shall be filed in accordance with Section 10.0 of the manual. VESTED RIGHTS UNDER THE COMPREHENSIVE PLAN A. General Description Due to changes in land use regulations, certain land development rights of property owners may be vested with respect to the Future of Hillsborough Comprehensive Plan, the land development regulations adopted to implement the plan, and the requirements for the determination of capacity of public facilities and availability of public facilities (concurrency). These regulations set forth a procedure for the determination of vested rights. Any person claiming vested rights to develop property shall make application for a Vested Rights Order pursuant to these regulations. B. Cross Reference to Land Development Code Section 11.02.00 C. Submittal Requirements: 1. Application - referenced information as indicated in Section 3.0 of the Development Review Procedures Manual. 2. Affidavit to Authorize Agent (If applicable) 3. Property Information Sheet. 4. Deed - submit copy. 5. Legal Description - of the property for which vesting is requested. This may be all or a portion of the property contained in the deed. 6. Plot Plan or Survey - of property for which vesting is requested. Existing and proposed structures should be shown and labeled. 7. Detailed Statement - a statement describing in detail the reason for the vested rights application. Said statement shall provide a synopsis of the support data submitted with the application. The applicant shall indicate how or to what extent compliance with the regulations of the Comprehensive Plan, land development regulations, and plan amendments could preclude the development's investment-backed expectations. The applicant should indicate specific uses, densities, and intensities that could be negatively impacted by the implementation of the Comprehensive Plan, land development regulations and Comprehensive Plan amendments. The data used for support of the vested rights submittal should include items such as financial

statements, property survey, government approvals, etc. 8. General Location Map - showing the location of the site. 9. Vested Rights Information Form- submit copy of completed form provided herein. 10. Subiz information. (If applicable) VESTED RIGHTS EXTENSION REQUEST A. General Description Prior to the expiration of the time period set forth in the Vested Rights Order, the applicant or his successor in interest may request an extension of said order. B. Cross Reference to Land Development Code Section 11.02.04 C. Submittal Requirements 1. Application - referenced information as indicated in Section 3.0 of the Development Review Procedures Manual. 2. Affidavit to Authorize Agent (If applicable) 3. Copy of Vested Rights Order - including an extensions that have been granted. 4. Supporting Documentation for Extension Request - as outlined in LDC Section 11.02.04.C that includes a statement as to why the extension is reasonable and necessary in light of the development approved. 5. Subiz information. (If applicable)

VESTED RIGHTS INFORMATION FORM 1. Date the property was acquired (attach supporting documentation). 2. Current use(s) of the property. 3. Describe the vested rights to develop the property being claimed, including the nature, extent, and density or intensity of each use for which vested rights are being claimed. 4. Specify each and every act of Hillsborough County that authorized the specific development for which this claim of vested rights is asserted, and the date of each act. Include permit or ordinance numbers, (where known), and attach copies of approvals and permits. 5. Specify the amount, date and purpose of each expenditure or obligation incurred in reliance on the acts identified above (include copies of contracts). 6. Construction/Improvements 7. Land Acquisition/Rent 8. Taxes/Fees. 9. Specify the date, nature, and extent of each physical improvement that has been made to the property. 10. Attach a pro forma statement of the expenses and revenues for the development for which a determination of vested rights is sought if a statement or estimate of expenses and revenues is available.

CHECKLIST OF SUBMITTAL REQUIREMENTS FOR A VESTED RIGHTS AND VESTED RIGHTS EXTENSION Vested Rights Applicant Intake Initials Initials Requirements 1. Application (Included in this packet) 2. Affidavit to Authorize Agent (If applicable) NOTE: All property owners must sign either the Application form or the Affidavit to Authorize 3. Property Information Sheet (all information must be completed for each folio included in the request.) 4. Recorded Deed for the Subject Property. This can be obtained from the Clerk of the Circuit Court Recording Library located at 419 Pierce Street, (813) 276-8100 ext 4367. 5. Legal Description 6. Plot Plan or Survey 7. Detailed Statement 8. General Location Map 9. Vested Rights Information Form (Included in this packet) 10. If property owner is a corporation, submit the Sunbiz information indicating that you are authorized to sign the application and/or affidavit. This can be obtained at http://sunbiz.org/ Vested Rights Extension Applicant Intake Initials Initials Requirements 1. Application (Included in this packet) 2. Affidavit to Authorize Agent (If applicable) 3. Copy of Vested Rights Order 4. 5. Supporting Documentation for Extension Request If property owner is a corporation, submit the Sunbiz information indicating that you are authorized to sign the application and/or affidavit. This can be obtained at http://sunbiz.org/

AIRPORT HAZARD EVALUATION (Effective October 13, 2015) Properties located within the map areas depicted below may be subject to a separate Airport Height Zoning Permit approval process of the Hillsborough County Aviation Authority (HCAA), pursuant to the HCAA s Airport Zoning Regulations. Additionally, pursuant to an Interlocal Agreement between the HCAA and Hillsborough County, any Land Development Proposal within proximity to Tampa International Airport and Tampa Executive Airport and Educational facilities and landfills located with certain mapped areas will be transmitted to HCAA for review. For additional information and questions: Tampa International Airport Information Link: http://www.tampaairport.com/airport height zoning Contact: Tony Mantegna / Tampa International Airport Phone: (813) 870 7863 tmantegna@tampaairport.com