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Rez No. Date Received REZONING APPLICATION INSTRUCTIONS FOR COMPLETING AND FILING THE REZONING APPLICATION Applications for rezoning may be submitted to the Planning and Zoning Department at any time between the hours of 8:00 a.m. and 5:00 p.m., Monday thru Friday. In order to be accepted for processing, the application must be accompanied by the Standard Application Items, as listed on Page 8. The application must be accompanied by the $5,000.00 processing fee [no fee is required when accompanied by a petition for voluntary annexation] (make checks payable to the City of Delray Beach). The Applicant shall be responsible for all advertising fees including newspaper publications. Please print or type all of the required information, and ensure that the application is complete and accurate. Applications for rezoning are reviewed by the Planning and Zoning Board, which holds its regular meetings on the third Monday of each month. Final action on a rezoning is by the City Commission, which meets on the first and third Tuesday of each month. An application for rezoning shall be submitted by the first Friday of the month in order to be on the agenda of the following month's P&Z Board meeting. It takes approximately twelve (12) weeks between submission of the application and final action by the City Commission. Please refer to Section 2.4.5(D) of the City's Land Development Regulations for the procedures and findings required for a rezoning application. A pre-application conference with a member of the Planning staff is strongly recommended, and can be scheduled at your convenience. We will be glad to assist you in any way possible. Notes: 1. A digital copy of the survey and application documentation provided on CD is required with the submittal of the application and each subsequent resubmittal. The digital copy must be in a PDF format and shall be prepared at a size of 8½ x 11 or 11 x 17, depending upon legibility. 2. Citizens that request a presentation before the Board or City Commission that is on a portable flash drive device must provide their media to the Planning and Zoning Department, no later than 12:00 pm one day prior to the meeting where they wish to present. The City laptops will not accept (won t even recognize) any jump drives inserted without prior IT scanning. There will be a zero tolerance policy on this. Applicants have the option to bring their own laptops for their presentation. Revised 02/16

CITY OF DELRAY BEACH PLANNING AND ZONING DEPARTMENT APPLICATION FOR REZONING Project Name: Address or General Location: PART ONE - APPLICANT INFORMATION: APPLICANT Name: Address: Telephone Number: E-Mail/Fax: AGENT Name: Address: Telephone Number: E-Mail/Fax: OWNER (if other than applicant) Name: Address: Telephone Number: E-Mail/Fax: -2-

PART TWO - PROPERTY INFORMATION: Property Control Number: Legal Description (attach separate sheet if necessary): Existing Zoning District: Proposed Zoning District: Existing Future Land Use Map Designation: Proposed Future Land Use Map Designation: Area of Property: sq.ft. acres Briefly Describe the Present Use of the Subject Property: Briefly Describe the Proposed Use of the Subject Property: -3-

PART THREE - STATEMENT OF REASONS FOR REZONING Land Development Regulations (LDR'S) Section 2.4.5(D)(2), requires a statement justifying the rezoning. The valid reasons stated in the code for approving a change in zoning include: A. That the zoning had previously been changed, or was originally established, in error; B. That there has been a change in circumstances which makes the current zoning inappropriate; and, C. That the requested zoning is of similar intensity as allowed under the Future Land Use Map and that it is more appropriate for the property based upon circumstances particular to the site and/or neighborhood. Identify the reason which applies and state specifically how your request fits within one or more of these reasons (if additional space is needed, please use separate sheet): Has any previous application been filed within the last year in connection with the subject property? (Yes) (No). If yes, briefly describe the nature of the application. -4-

OWNER'S CONSENT (This form must be completed by ALL property owners) I, the fee simple owner of the following (Owner's Name) described property (give legal description): hereby petition to the City of Delray Beach to change the zone district From To. I certify that I have examined the application and that all statements and diagrams submitted are true and accurate to the best of my knowledge. I consent to inspection and photographing of the subject property by the Planning and Zoning Department Staff for purposes of consideration of this application and/or presentation to the approving body. Further, I understand that this application, attachments and fees become part of the Official Records of the City of Delray Beach, Florida, and are not returnable. Owner's Signature) The foregoing instrument was acknowledged before me this, day of, 20 by, who is personally known to me or has produced (type of identification) as identification and who did (did not) take an oath. (Printed Name of Notary Public) (Signature of Notary Public) Commission #, My Commission Expires (NOTARY'S SEAL) -5-

OWNER'S DESIGNATION OF AGENCY (This form must be completed by ALL property owners if designating an Agent) I, the fee simple owner of the following (Owner's Name) described property (give legal description): hereby affirm that (Applicants/Agent's Name) is hereby designated to act as agent on my behalf to accomplish the above. I certify that I have examined the application and that all statements and diagrams submitted are true and accurate to the best of my knowledge. Further, I understand that this application, attachments and fees become part of the Official Records of the City of Delray Beach, Florida, and are not returnable. (Owner's Signature) The foregoing instrument was acknowledged before me this, day of, 20 by, who is personally known to me or has produced (type of identification) as identification and who did (did not) take an oath. (Printed Name of Notary Public) (Signature of Notary Public) Commission #, My Commission Expires (NOTARY'S SEAL) -6-

A F F I D A V I T Before me, the undersigned authority, personally appeared, who being by me first duly sworn, deposes and says: (Applicant s Name) 1. That the accompanying property owners list is, to the best of my knowledge, a complete and accurate list of all property owners names, mailing addresses, and legal descriptions of all property lying within five hundred feet (500 ) of the subject property as recorded on the latest official County tax rolls. 2. That the subject property is legally described as follows: (give legal description) The foregoing instrument was acknowledged before me this, day of, 20 by, who is personally known to me or has produced (type of identification) as identification and who did take an oath. (Printed Name of Notary Public) (Signature of Notary Public) Commission #, My Commission Expires (NOTARY'S SEAL) -7-

Standard Application Items LDR section 2.4.3(A) 1. A copy of the latest recorded warranty deed, and a certificate from an attorney or title insurance company (not title insurance) certifying who the current fee simple title holders of record of the subject property are, and the nature and extent of their interest therein. A sample exhibit of the Title Certificate is attached. 2. The written consent of the owner(s) must be provided in a certified form (page 6). When an application is executed on behalf of a corporation or business entity, documentation must be provided which demonstrates that the corporation's representative is authorized to act on behalf of the corporation. These forms are available from the Planning and Zoning Department. 3. A vicinity map which clearly shows the subject property, adjacent properties, and their relationship to streets located at a minimum within one-half mile of the property. Vicinity map shall be at a scale that is readily readable and include sufficient landmarks to quickly identify location of proposed project. 4. Survey (2 copies) which shows the property described pursuant to the legal description contained in the warranty deed. Such survey shall show all improvements on the property and must be certified as reflecting conditions on the site as they existed within six (6) months prior to the filing of the application. The survey shall be drawn at a scale of 1 =10 ; or 1 =20 or 1 =30. 5. A list of property owners within a 500' radius of the subject taken from the latest official County tax roll. In addition, a tax map showing all property lying within 500 of the subject property must be provided. NOTE: The applicant shall provide standard white (number 10) pre-addressed envelopes with the required postage for mailed notices. (Postage may either be in the form of stamps or metered postage. For metered postage, please ensure that the mailing date is turned off). The mailing labels must be typed and shall state the property owner s name, mailing address and property control number (PCN#). (For duplicates i.e. owners name and addresses are the same, please provide postage for only one pre-addressed envelope and submit the remaining duplicate labels). Please note: The list of property owners, tax map and mailing labels can be obtained at: Palm Beach County Property Appraiser s Office, 14925 Cumberland Drive (northwest corner of West Atlantic Avenue and Cumberland Drive), Delray Beach, FL 33446 Ph: (561)276-1250. Application filing fee, pursuant to LDR Section 2.4.3(K)(1). In addition, a fee of $100 is required for the posting of each public notice sign on the property and the applicant shall be responsible for all advertising fees including newspaper publications. If the required advertising fees are not paid at least four days (4) prior to the hearing, the presiding body, shall postpone action on the application until such fees are paid. In the event such postponement results in additional mailing or publication costs, the applicant shall be responsible for the additional fees. 6. For all projects which include residential dwelling units complete the attached School District of Palm Beach County School Concurrency Application and Service Provider Form and a check or money order for the appropriate fee made payable to: The School District of Palm Beach County. 7. In addition to the above a traffic study which addresses the most intense development potential of the site at both the existing and proposed zoning classifications must be provided. The study shall be prepared in accordance with Palm Beach County Unified Land Development Code, Traffic Performance Ordinance. Note: This requirement may be waived if it is determined by the Planning and Zoning Director that the existing and proposed zoning classifications are of similar intensity and that the potential changes in traffic are insignificant. (Insert new School Concurrency PDF) -8-

The School District of Palm Beach County School Concurrency Application & Service Provider Form Instructions: Submit one copy of the completed application and fees for the review of each new residential project requiring a determination of concurrency for schools. A determination will be provided within fifteen (15) working days of receipt of a complete application. A determination is not transferable and is valid for one year from date of issuance. Once the Development Order is issued, the concurrency determination shall be valid for the life of the Development Order. Please check ( ) type of application (one only): The School District of Palm Beach County Planning & Intergovernmental Relations 3661 Interstate Park Road, N., Building 200 Riviera Beach, FL 33404 Phone: (561)434-8042 Fax: (561)882-1942 Attention: Concurrency Section [ ] Concurrency Determination [ ] Concurrency Exemption [ ] Concurrency Equivalency [ ] Adequate School Facilities Determination [ ] Letter of No Impact [ ] Time Extension Fees: Concurrency Determination ($200.00 for 20 units or more / under 20 units $100.00), Adequate School Facilities Determination ($200.00), Equivalency ($125.00) Exemption or Letter of No Impact ($25.00), Time Extension ($75.00) PART I. PROJECT INFORMATION Project Name: Municipality: Property Control Number (PCN): Location of Subject Property: DEVELOPMENT REQUEST: Project Data Project Acreage Total Number of Units Will the Project be Phased?* (Y/N) Concurrency Service Area (CSA) School Area Code (SAC) Type of Units Single Family Multi-Family (other than Apts) Apartments (3 Stories or less) High Rise Apartments Age Restricted (Adults Only)** * If applicable, please attach a Phasing Plan showing the number and type of units to receive certificate of occupancy yearly. ** A Restrictive Covenant is required for age restricted communities. OWNERSHIP / AGENT INFORMATION: Owner s Name: Agent s Name: Mailing Address: Telephone No: Fax Number: Email Address: I hereby certify the statements or information made in any paper or plans submitted herewith are true and correct to the best of my knowledge. Owner or Owner s Agent Signature Date PART II. LOCAL GOVERNMENT REVIEW Date Application Filed: Petition Number: Reviewed By: Title: Did the Applicant pay the filing fee to you? Government Representative Signature ( ) YES (Please attach proof of payment) ( ) NO (If no, the applicant must pay the School District. The School District will not review without payment) DATE PART III. TO BE COMPLETED BY SCHOOL DISTRICT Date & Time Received: Case Number: I verify that the project complies with the adopted Level of Service (LOS) for Schools I verify that the project will comply with the adopted Level of Service (LOS) for Schools subject to the attached conditions I cannot verify that the project will comply with the adopted Level of Service (LOS) for Schools Revised 10/14 School District Representative Date

E-3 CANAL SOUTH MILITARY TRAIL HOMEWOOD BOULEVARD CONGRESS AVENUE E-3 CANAL S.W. 8TH AVE. S.W. 4TH AVE. SOUTH MILITARY TRAIL SWINTON AVENUE SEACREST GULF STREAM BLVD. L-30 CANAL A1A 906 BARWICK ROAD LAKE IDA ROAD C.S.X. R.R. LAKE IDA BOULEVARD F.E.C. R.R. 1 FEDERAL HWY. G. BUSH BLVD. STATE ROAD LAKE IDA ROAD N.E. 4TH ST. CONGRESS AVENUE N.W. 2ND ST. WATERWAY BLVD. ATLANTIC 806 AVENUE 95 ATLANTIC S.W. 2ND ST. AVENUE OCEAN INTRACOASTAL A1 A LOWSON BOULEVARD S.W. 10TH ST. 906 LINTON BOULEVARD OLD GERMANTOWN ROAD C.S.X. R.R. 95 S.W. 10TH AVE. LINDELL BL VD. LINTON F.E.C. R.R. DIXIE HIGHWAY FEDERAL HIGHWAY 1 BLVD. STATE ROAD A1A L-38 CANAL C-15 CANAL ONE MILE GRAPHIC SCALE CITY LIMITS N CITY OF DELRAY BEACH, FL PLANNING & ZONING DEPARTMENT 2002 - - DIGITAL BASE MAP SYSTEM - - -9-

Sample Title Certificate This is provided as an example of the information to be included in a title certificate Re: (Insert Address): The undersigned has reviewed the Chain of Title and the Public Records through (insert date), and finds that the following described property is presently owned by (insert property owner name(s) pursuant to that certain Warranty Deed recorded in Official Records Book, Page, of the Public Records of Palm Beach County, Florida (copy enclosed as Exhibit A, attached hereto and made a part hereof) (the Property ): Parcel ID No. (insert PCN). Parcel Description (Insert Legal Description): As of the date of the Title Report (insert date), the Property was encumbered by the following mortgage (if applicable): The Property is further encumbered by the following exceptions to title: Ad Valorem Real Property Tax and assessments for the year 201_ and subsequent years which are not yet due and payable; Restrictions, covenants, conditions, easements and other matters as contained on the Plat of Other Easements: Other Encumbrances: (such as but limited to Unity of Title etc.) This Certificate of Title is prepared and provided to the City of Delray Beach, Department of Planning and Zoning, for the purpose (Insert development action requested) and for no other purposes whatsoever. The City of Delray Beach and the Department of Planning & Zoning shall be entitled to rely upon this Certificate of Title the purpose of for this Property. -10-