For Office Use Only
Application No. _______________
Submittal Date: _______________
Page 1 of 2
City of Deerfield Beach • Planning & Zoning Division
150 NE 2
Avenue • Deerfield Beach, FL 33441
Office 954-480-4206 • Questions? Web.firstname.lastname@example.org
APPLICATION FOR PLAT OR PLAT NOTE AMENDMENT
Pursuant to Code Section 98-12.
Application Type (Check applicable box)
☐Plat Approval ☐Plat Note Amendment
COMPLETE ALL SECTIONS OF APPLICATION LEGIBLY.
INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED.
An application must be deemed complete and in compliance with the Land Development Code by Staff
prior to the items being scheduled for public hearing.
All of the following items must be submitted to be deemed a complete application (documentation may be provided
with the development plan application requirements in Attachment A):
☐ Complete Application (including Development Plan Application Form)
☐ Application Processing Fee (See fee schedule)
☐ Proof of Ownership from the property owner. If the owner cannot be verified through the Broward County Tax
Roll, a copy of either the recorded warranty deed, valid purchase contract, or a signed and notarized letter from
the owner of record must be submitted with this application.
☐ Disclosure Affidavit for all owners, representatives, and applicants for the project that will be speaking on behalf
of the application.
☐ Agent Authorization Letter if applicable, authorizing the applicant/agent to act on all property owners’ behalf.
☐ Public Notice Requirements (for applications requiring City Commission approval only) as required by the
provisions set forth in Code Section 98-35(1).
☐ (5) 24”x 36”, (1) 11”x17”, & (1) Electronic Copy of Current Boundary Survey (12 months or less) signed and
sealed by a Florida registered surveyor of the subject property, containing the information required by Code
☐ (5) 24”x 36”, (1) 11”x17”, & (1) Electronic Copy of Proposed Plat consistent with requirements set forth in
Article IX Division 3 of the Broward County Land Development Code.
☐ One (1) Digital CD of required submittals listed above must be provided.
☐ Other Information may be required as determined by staff.