City of Edgewater
Appeal Application 1
APPEALS APPLICATION
104 N. Riverside Drive
Edgewater, FL 32132
Planning@cityofedgewater.org
386-424-2400 ext. 1502
Fees: $500.00 Case No.
Applicant Information (MUST BE A PERSON)
Name
Phone
Email
Street Address
City
State
ZIP Code
Property Owner Information (if different from applicant)
Name
Phone
Email
Street Address
City
State
ZIP Code
Request
Street Address/Location
Parcel ID No.
Case #
Section of Code from which appeal is requested
Date of Decision
Agency
Requested Appeal
Specific Reason for Appeal
Disclaimer and Signature
Pursuant to Chapter 286, F.S., if an individual decides to appeal any decision made with respect to any matter considered
at a meeting or hearing, that individual will need a record of the proceedings and will need to insure that a verbatim
record of the proceeding is made. The City does not prepare or provide such record.
PLEASE SUBMIT YOUR APPLICATION WITH ALL REQUIRED ATTACHMENTS. SUBMISSIONS OF
INCOMPLETE APPLICATIONS WILL DELAY PUBLIC HEARINGS.
APPLICATION FEES ARE NON-REFUNDABLE.
I have read and agree to the terms and conditions set forth in this application.
Applicant Signature
Date
City of Edgewater
Appeal Application 2
AGREEMENT FOR CONSULTANT, ENGINEERING, PLANNING,
ENVIRONMENTAL, LEGAL, ADVERTISING COSTS & ON-SITE INSPECTIONS
The City of Edgewater contracts for certain consultant, engineering, planning, environmental and legal services
related to its review of development projects. All fees charged by any such consultant, engineering, planning,
environmental, on-site inspections and/or legal service providers are required to be paid by the owner/applicant. In
addition, the owner/applicant is required to pay all advertising and recording costs in connection with application
submitted by the undersigned.
The undersigned agrees that it shall be liable to the City for one hundred percent (100%) of the actual costs, both
direct and indirect, of coordinating and reviewing the application submitted by the undersigned, including, but not limited
to, the following:
Engineering Review and Approval Fees
Planning Consultant Fees
On Site Inspection and Approval Fees
Legal Fees
Advertising Costs
Recording Costs
The owner/applicant does hereby acknowledge that on-site inspections by City staff, consultants, elected and
appointed officials are permitted on said property.
The undersigned agrees to pay the above-referenced fees within thirty (30) days of receipt of an invoice for same
and further agrees to pay to the City interest on the unpaid balance at the rate of one percent (1%) per month for any fees
not remitted within thirty (30) days of receipt of an invoice for same. No site inspections, Development Order or
Certificates of Occupancy will be issued until all of the above-referenced fees are paid in full.
OWNER/APPLICANT:
Signature
Printed Name
Title
Date
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