HOUSING FOR OLDER PERSONS APPLICATION FOR EXEMPTION OF EDUCATIONAL SYSTEM IMPACT FEES

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THE SCHOOL DISTRICT OF OSCEOLA COUNTY, FLORIDA HOUSING FOR OLDER PERSONS APPLICATION FOR EXEMPTION OF EDUCATIONAL SYSTEM IMPACT FEES Part I and II to be Completed by Owner/Applicant PART I Name of Owner/Applicant: Owner/Applicant Mailing Address: City: State: Zip Code: Telephone: ( ) FAX: ( ) E-mail: PLEASE NOTE: Florida has a very broad public records law. Most written communications to or from government officials regarding government business are public records available to the public and media upon request. Your e-mail address and communications may be subject to public disclosure. IF AN OWNER/APPLICANT IS REPRESENTED BY AN AGENT, A SIGNED AND NOTARIZED LETTER OF AUTHORIZATION MUST BE ATTACHED TO THIS APPLICATION. Name of Owner/Applicant s Agent: Agent s Mailing Address: City: State: Zip Code: Telephone: ( ) FAX: ( ) E-mail: PLEASE NOTE: Florida has a very broad public records law. Most written communications to or from government officials regarding government business are public records available to the public and media upon request. Your e-mail address and communications may be subject to public disclosure. Parcel ID Number(s): Site Address of the Residential Construction Number of Lots/Units in Residential Construction: Type of Residential Construction: Single-Family Homes Multi-Family Homes Mobile Homes Type of Residential Use: Sale Rental Number of Acres: Page 1 of 3 An Equal Opportunity Agency FC 900 2549 (Rev. 06/01/18)

THE SCHOOL DISTRICT OF OSCEOLA COUNTY, FLORIDA HOUSING FOR OLDER PERSONS APPLICATION FOR EXEMPTION OF EDUCATIONAL SYSTEM IMPACT FEES PART II Items to Attach to Application 1. Copy of Deed; and 2. Copy of legal description and Map; and 3. Evidence that the Residential Construction is within a community or housing facility (collectively Community ), as defined in 24 CFR 100.304, that is operated as Housing for Older Persons in compliance with the terms and provisions of the Federal Fair Housing Act, Title VIII of the Civil Rights Acts of 1968, as amended by the Fair Housing Amendments Act of 1988 and the Housing for Older Persons Act of 1995, 42 U.S.C. 3601-19, or its statutory successor in function. 4. A certified original and three (3) copies of the recorded Declaration of Covenants and Restrictions (the Declaration ) that runs with the land, cannot be revoked or amended for a period of at least thirty (30) years from recording, and that prohibits any person under the age of nineteen (19) years of age from residing within any Dwelling Unit on the property as a permanent resident with evidence in how the deed restrictions will be enforced. For purposes of this Application, a permanent resident means any person residing within the Community for a period in excess of sixty (60) consecutive days. Please do not record the Declaration until school district staff has reviewed and approved the Declaration with assistance of counsel.; and 5. Authorization letter from owner (if applicable); and 6. Attach any other documents or information which would be helpful to understanding your development and the requested exemption; and 7. Four (4) signed copies of the completed Application. 8. A check in the amount of $2,000 made payable to The School District of Osceola County Florida. Must reference HOPA and name of community. I/We certify that the above information is true and correct and that I/we understand that incorrect information may lead to a denial of this Application for an exemption, a loss of exemption from Educational System Impact Fees, if granted, and other legal action by the County and/or The School Board of Osceola County, Florida, to the extent permitted by law. Signature(s) Owner/Applicant/Agent Date The foregoing instrument was acknowledged before me this day of, 20, by, who is personally known to me or who has produced as identification. Signature of Notary Public SEAL or STAMP The foregoing instrument was acknowledged before me this day of, 20, by, who is personally known to me or who has produced as identification. SEAL or STAMP Signature of Notary Public Page 2 of 3 An Equal Opportunity Agency FC 900 2549 (Rev. 06/01/18)

THE SCHOOL DISTRICT OF OSCEOLA COUNTY, FLORIDA HOUSING FOR OLDER PERSONS APPLICATION FOR EXEMPTION OF EDUCATIONAL SYSTEM IMPACT FEES PART III - School District Staff to Complete The above Application meets the requirements for exemption of Educational System Impact Fees. Staff member name: Staff signature: Date: Exemption of Educational System Impact Fees is approved or denied. The School Board of Osceola County, Florida: Signature: Superintendent Date: Printed Name Page 3 of 3 An Equal Opportunity Agency FC 900 2549 (Rev. 06/01/18)

INSTRUCTIONS: HOUSING FOR OLDER PERSONS APPLICATION FOR EXEMPTION OF EDUCATIONAL SYSTEM IMPACT FEES Please review the following instructions carefully prior to the submission of the Housing for Older Persons ( HOPA ) Application for Exemption of Educational System Impact Fees (the Application ). Part I Processing of Application: The Application will not be processed unless: 1. The Application is submitted by the Owner, as defined by Section 24-2 of the Osceola County Code of Ordinances, or the Owner is the signatory on the Agent Authorization Form; 2. ALL INFORMATION, as requested in Part I for the Owner/Applicant, and where applicable, Owner/Applicant s Agent, must be provided with the exception of the fax number, which is optional. 3. The Parcel ID Number(s) and site address (if there is a site address) provided by the Applicant must match the information contained in the Osceola County Property Appraiser s website. 4. Must submit check in the amount of $2,000.00 made payable to The School District of Osceola County Florida. Must reference HOPA and name of community. 5. The School District shall within ten (10) business days following receipt of the Application provide written notification (letter or email) to the Applicant, either declaring the Application complete or providing a list of the deficiencies in the Application. The Applicant shall within ten (10) business days following receipt of the School District s written communication (letter or email) submit a written response (letter or email) to the School District. The School District shall within ten (10) business days following receipt of the Applicant s written response (letter or email) provide written communication (letter or email) to the Applicant, either declaring the Application complete or providing a list of the deficiencies in the Application. The Applicant shall within ten (10) business days following receipt of the School District s written communication (letter or email) submit a written response (letter or email) to the School District. The Application shall be considered null/void if the Applicant does not submit its responses by the required due dates. Additionally, if the Application is not approved within forty-five (45) business days of receipt through no delay of the School District, the Application will need to be resubmitted with ALL supporting documents along with a new check in the amount of $2,000. 6. No application is complete for processing until ALL requested information is provided. Upon completion, the District will process the Application within forty-five (45) days. 7. The Checklist must be signed and dated to acknowledge ALL requested information has been submitted. An Equal Opportunity Agency Page 1 of 3

Part II A. Evidence of Compliance with Federal Law: With its Application, the Applicant must submit at least one item for Category A, at least one item for Category C, and at least three items for Category B. 1. Category A - Evidence that this is a housing facility or community (collectively Community ): 24 CFR 100.304 defines a housing facility or community as any dwelling or group of dwelling units governed by a common set of rules, regulations or restrictions. Examples of evidence satisfying Category A include, without limitation, documents governing: a. A condominium association (i.e. Conditions, Covenants, and Restrictions for Condo Association); b. A cooperative; c. A homeowners or residential association (i.e. Declaration for the Homeowners Association); d. Leased property under common private ownership (i.e. lease and rental application); e. A mobile home park; and f. A manufactured housing community. 2. Category B - Evidence of intent to operate as housing for older persons: 24 CFR 100.306 requires a Community to publish and adhere to policies and procedures that demonstrate its intent to operate as housing for persons 55 years of age or older. Examples of evidence satisfying Category B include, without limitation, the following: a. Documentation demonstrating how the Community is advertised to prospective residents or designed to attract prospective residents 55 years of age or older; b. Statements posted in common areas of the Community describing the Community as housing for older persons; c. Policies and procedures demonstrating the actual practices of the Community; and d. A copy of the letter sent to the Florida Commission on Human Relations to be registered in the Housing for Older Persons Directory, along with proof of such registration. 3. Category C - Evidence of the Community s verification of age and occupancy: 24 CFR 100.307 requires a Community to be able to produce, in response to a complaint filed under this title, verification of compliance with 100.305 through reliable surveys and affidavits. Examples of Evidence satisfying Category C include, without limitation, the following: a. Procedures the Community uses to determine the occupancy of each unit, such as rental applications or purchase contracts; b. Surveys of the Community s residents; and c. Affidavits signed and notarized by the Community s residents. An Equal Opportunity Agency Page 2 of 3

B. Recorded Declaration of Covenants and Restrictions (Declaration): Attached to these Instructions is a sample Declaration which contains example language that would satisfy the requirements of federal and local law. Please do not record the Declaration until School District staff has reviewed and approved the Declaration with the assistance of counsel. PLEASE CONTACT SCHOOL DISTRICT STAFF WITH ANY QUESTIONS REGARDING THESE INSTRUCTIONS OR THE APPLICATION. Planning Services Department Director of Planning Services (407) 518-2964 An Equal Opportunity Agency Page 3 of 3

CHECKLIST: HOUSING FOR OLDER PERSONS APPLICATION FOR EXEMPTION OF EDUCATIONAL SYSTEM IMPACT FEES Please initial that all items have been completed, sign, date, and return the Checklist with the Housing for Older Persons ( HOPA ) Application for Exemption of Educational System Impact Fees (the Application ). Part I Processing of Application: The Application will not be processed unless: 1. The Application is submitted by the Owner, as defined by Section 24-2 of the Osceola County Code of Ordinances, or the Owner is the signatory on the Agent Authorization Form; 2. ALL INFORMATION, as requested in Part I for the Owner/Applicant, and where applicable, Owner/Applicant s Agent, must be provided with the exception of the fax number, which is optional. 3. The Parcel ID Number(s) and site address (if there is a site address) provided by the Applicant must match the information contained in the Osceola County Property Appraiser s website. 4. Must submit check in the amount of $2,000.00 made payable to The School District of Osceola County Florida. Must reference HOPA and name of community. 5. The School District shall within ten (10) business days following receipt of the Application provide written notification (letter or email) to the Applicant, either declaring the Application complete or providing a list of the deficiencies in the Application. The Applicant shall within ten (10) business days following receipt of the School District s written communication (letter or email) submit a written response (letter or email) to the School District. The School District shall within ten (10) business days following receipt of the Applicant s written response (letter or email) provide written communication (letter or email) to the Applicant, either declaring the Application complete or providing a list of the deficiencies in the Application. The Applicant shall within ten (10) business days following receipt of the School District s written communication (letter or email) submit a written response (letter or email) to the School District. The Application shall be considered null/void if the Applicant does not submit its responses by the required due dates. Additionally, if the Application is not approved within forty-five (45) business days of receipt through no delay of the School District, the Application will need to be resubmitted with ALL supporting documents along with a new check in the amount of $2,000. 6. No application is complete for processing until ALL requested information is provided. Upon completion, the District will process the Application within forty-five (45) days. 7. The Checklist must be signed and dated to acknowledge ALL requested information has been submitted. Part II A. Evidence of Compliance with Federal Law: With its Application, the Applicant must submit at least one item for Category A, at least three items for Category B, and at least one item for Category C. 1. Category A (Must submit at least one item.)- Evidence that this is a housing facility or community (collectively Community ): 24 CFR 100.304 defines a housing facility or community as any dwelling or group of dwelling units governed by a common set of rules, regulations or restrictions. Examples of evidence satisfying Category A include, without limitation, documents governing: a. A condominium association (i.e. Conditions, Covenants, and Restrictions for Condo Association); b. A cooperative; An Equal Opportunity Agency Page 1 of 2

c. A homeowners or residential association (i.e. Declaration for the Homeowners Association); d. Leased property under common private ownership (i.e. lease and rental application); e. A mobile home park; and f. A manufactured housing community. 2. Category B (Must submit at least three items.)- Evidence of intent to operate as housing for older persons: 24 CFR 100.306 requires a Community to publish and adhere to policies and procedures that demonstrate its intent to operate as housing for persons 55 years of age or older. Examples of evidence satisfying Category B include, without limitation, the following: a. Documentation demonstrating how the Community is advertised to prospective residents or designed to attract prospective residents 55 years of age or older; b. Statements posted in common areas of the Community describing the Community as housing for older persons; c. Policies and procedures demonstrating the actual practices of the Community; and d. A copy of the letter sent to the Florida Commission on Human Relations to be registered in the Housing for Older Persons Directory, along with proof of such registration. 3. Category C (Must submit at least one item.) - Evidence of the Community s verification of age and occupancy: 24 CFR 100.307 requires a Community to be able to produce, in response to a complaint filed under this title, verification of compliance with 100.305 through reliable surveys and affidavits. Examples of Evidence satisfying Category C include, without limitation, the following: a. Procedures the Community uses to determine the occupancy of each unit, such as rental applications or purchase contracts; b. Surveys of the Community s residents; and c. Affidavits signed and notarized by the Community s residents. B. Recorded Declaration of Covenants and Restrictions (Declaration): Attached to these Instructions is a sample Declaration which contains example language that would satisfy the requirements of federal and local law. Please do not record the Declaration until School District staff has reviewed and approved the Declaration with the assistance of counsel. PLEASE CONTACT SCHOOL DISTRICT STAFF WITH ANY QUESTIONS REGARDING THESE INSTRUCTIONS OR THE APPLICATION. Planning Services Department Director of Planning Services (407) 518-2964 Signature of Applicant Printed Name Date Signature acknowledges that the Application has been completed in accordance with the instructions and that all supporting documentation is enclosed. An Equal Opportunity Agency Page 2 of 2

DECLARATION OF COVENANTS AND RESTRICTIONS REGARDING EDUCATIONAL SYSTEM IMPACT FEES This Declaration of Covenants and Restrictions (the Declaration ) is made and executed this day of Month, Year, by, a Type of Entity, whose address is (the Declarant ). RECITALS WHEREAS, the Declarant holds fee simple title to and is the current owner of certain real property located in Osceola County, Florida (the Property ), as further described in Exhibit A, which is incorporated herein and made a part of this Declaration by reference; and WHEREAS, the Declarant intends to construct a residential community or facility on the Property consisting of approximately # (Type) residential dwelling units (the Community ); and WHEREAS, pursuant to the Osceola County Code of Ordinances, Chapter 24 (the Impact Fee Ordinance ), The School Board of Osceola County, Florida (the School Board ) is entitled to the collection of educational system impact fees to require residential construction to contribute its fair share of the cost of improvements and additions to the educational system necessary to accommodate such growth; and WHEREAS, Section 24-42 of the Impact Fee Ordinance provides for certain exemptions to the educational system impact fee, including, without limitation, an exemption for residential development that qualifies and is intended to be operated as housing for older persons, as that term is defined in the Impact Fee Ordinance and by applicable federal law; and WHEREAS, it is the intent of the Declarant that the Community be designated and operated as housing for older persons in compliance with the terms and provisions of the Federal Fair Housing Act, Title VIII of the Civil Rights Act of 1968, as amended by the Fair Housing Amendments Act of 1988 and the Housing for Older Persons Act of 1995, 42 U.S.C. 3601-3619 (collectively, the Acts ). NOW, THEREFORE, the Declarant does hereby declare that the Community is restricted as follows, and all of which restrictions and limitations are intended to be and shall be taken as consideration for any lease or deed conveyance hereafter made, and as one of the express conditions thereof, and that the restrictions and limitations are intended to be, and shall be taken as, covenants that run with and bind the land, and shall be as follows: 1. Recitals. The above recitals are true and correct and are hereby incorporated into and made a part of this Declaration by reference. 2. Housing for Older Persons. The Community is operated as housing for older persons in compliance with the terms and provisions of the Federal Fair Housing Act, Title VIII of the Civil Rights Acts of 1968, as amended by the Fair Housing Amendments Act of 1988 and the Housing for Older Persons Act of 1995, 42 U.S.C. 3601-3619, or its statutory successor in function, and the Community will continue to qualify and be operated as a housing for older persons pursuant to applicable federal law for a period of no less than thirty (30) years from the date of the recording of the Declaration. An Equal Opportunity Agency Page 1 of 4

3. Age Restriction. Declarant, for a period of no less than thirty (30) years from the date of the recording of this Declaration, shall not allow any persons under the age of nineteen (19) to reside as permanent residents in any dwelling unit within the Community. 4. Non-Compliance. If, within the thirty (30) year period from the date of the recording of the Declaration, the Community is no longer being operated as Housing for Older Persons, in compliance with applicable federal law, or persons under the age of nineteen (19) are allowed to reside as permanent residents in any dwelling unit within the Community, then the Declarant, or its successors and assigns (including any property management company and any homeowners, condominium or other community association, as applicable), shall lose its impact fee exemption and shall pay the educational system impact fee in effect at the time of the change or non-compliance for all dwelling units within the Community. 5. Enforcement. The School Board retains all enforcement rights and remedies available to it pursuant to law, including, without limitation, all enforcement rights set forth in the Impact Fee Ordinance, against the Declarant, and its successors and assigns (including any homeowners, condominium or other community association, as applicable), for any violation of the Impact Fee Ordinance and the restrictive covenants provided in this Declaration, and all such rights and remedies shall be cumulative. 6. Binding Effect. This Declaration shall be binding on Declarant, and its successors and assigns (including any property management company and any homeowners, condominium or other community association, as applicable), shall bind the Community and Property and run with the land, and the restrictions contained in this Declaration shall not be annulled, waived, revoked, amended, rescinded or modified for a period of no less than thirty (30) years from the date of the recording of this Declaration. At the end of each thirty (30) year period, the Declarant must obtain approval form the School Board to remove, amend, rescind, or modify this Declaration otherwise the Declarant shall be binding for an additional thirty (30) years. 7. Governing Law. This Declaration shall be governed by the laws of the State of Florida and, except for a suit in federal court, exclusive venue shall be in Osceola County, Florida. For any federal action, exclusive venue shall be in the United States District Court for the Middle District of Florida, Orlando Division. 8. Severability. If any of the restrictions or covenants contained in this Declaration is determined to be unlawful, invalid, or unenforceable by a court of competent jurisdiction, then the unlawful, invalid, and unenforceable restriction or covenant shall be severed from this Declaration and shall not affect any of the other provisions. The non-severed provisions shall remain in full force and effect. However, if any material restriction or covenant is determined to be unlawful, invalid, or unenforceable, then the School Board shall be entitled to revoke any approval of an impact fee exemption predicated upon the unlawful, invalid, or unenforceable restriction or covenant, and the Declarant shall pay the educational system impact fee in effect at the time of the change for all dwelling units within the Community. 9. Recording. This Declaration shall be recorded in the Public Records of Osceola County, Florida, at Declarant s cost and expense. An Equal Opportunity Agency Page 2 of 4

IN WITNESS WHEREOF, the Declarant has executed this Declaration as of the day and year first written above. WITNESSES Typed or Printed Name, a Type of Entity By: Name: Title: Typed or Printed Name STATE OF FLORIDA ) ) ss: COUNTY OF ) The foregoing instrument was acknowledged before me this day of, 2016 by as of, a Type of Entity, on behalf of the company, who is ( ) personally known to me or ( ) has produced as identification. (NOTARY SEAL) Notary Public, State of Florida Print Name: My Commission Expires: An Equal Opportunity Agency Page 3 of 4

EXHIBIT A LEGAL DESCRIPTION AND MAP DEPICTING LOCATION An Equal Opportunity Agency Page 4 of 4