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CITY OF TAMPA, FLORIDA

PLANNING AND DEVELOPMENT

LAND DEVELOPMENT COORDINATION

SPECIAL USE I (S1) APPLICATION

NOTE: Please be aware that these guidelines are intended only as a guide to assist you in submitting your Special Use

(1) application. These guidelines are derived from Chapter 27 of the City Code.

I. PRE-APPLICATION CONFERENCE Prior to submittal of a Special Use (1) application, it is strongly recommended that

the applicant schedule a complimentary conference with a staff member from the Land Development Coordination Division.

The purpose of the conference is to advise the applicant regarding the review standards and process for the application.

II. MINIMUM REQUIREMENTS FOR APPLICATION:

A. COMPLETE ORIGINAL APPLICATION FORM. (Exhibits A, A-1)

B. LEGAL DESCRIPTION (Exhibit B)

Must be typewritten. (Please use your deed or survey to find your legal description)

C. APPLICATION FEES:

Residential Development, Less than 19 units: $611

Residential Development, 19 units or greater and non-residential uses: $929

Adult Use: $834.50

Home Occupation or Extended Family Residence: $194

Payment may

be made by business check, bank check, MasterCard/Visa/AMEX (cash and

personal checks are not accepted)

D. CERTIFICATION OF COMPLIANCE WITH SPECIAL USE CONDITIONS (Exhibit C)

E. AFFIDAVIT TO AUTHORIZE AGENT (Exhibit D)

1. In Compliance

a. Adult Use - Adult use special use permit applications shall be submitted and processed under the procedures specified

for S-1 special use permits relating to constitutionally

protected first amendment activity. The specific standards set forth in

Section 27-132 shall be the only standards considered or applied in connection with the review or determination of an

application for an S-1 special use permit relating to constitutionally protect first amendment activity.

b. All other Special Uses - The applicant shall submit the Certification of Compliance with Special Use Conditions to

demonstrate that all of the conditions required for the Special Use have been met. The Zoning Administrator may

require additional information to insure compliance with the conditions. The additional information may include, but shall

not be limited to, a site plan, photographs and/or an approval from other reviewing agencies. For home occupations

include Statement of Home Occupation.

2. Not In Compliance (applicable when the Section 27-132 specific criteria for the special use does not specifically

prohibit a waiver request.) The petitioner must request a waiver or modification for any condition which is not met. Such

a request will require a public hearing before City Council. A waiver or modification may be approved by City Council

after a recommendation from City Staff. The applicant shall clearly demonstrate the justification for modifying the

condition and shall propose, to

the maximum extent possible, an alternative, which provides a safeguard similar to the

original condition.

F. SITE PLAN REQUIREMENTS

Adult Use - Survey showing the showing the distance separation requirements being met per

Section 27-132.

Home occupations - site plan/survey and floor plan (floor plan must show which room the home

occupation will occur) Only one is required for this request.

c. All other special uses - One copy is required at the time of submittal of a site plan as

required in Appendix A of these instructions.

III. SUBMITTAL OF AN APPLICATION:

The application and all information required in item II above shall be submitted in person to the Land

Development Office at 1400 North Boulevard or submitted online through the City's Accela system at aca.

tampagov.net/citizenaccess/default.aspx

REVIEW AND DECISION BY ZONING ADMINISTRATOR

A. REVIEW

The Land Development Coordination Division will certify the application when it has been determined that all

information on the application, including the legal description, is correct and complete. The Zoning Administrator

will evaluate the proposed Special Use for compliance with the applicable requirements of the Code.

B. APPROVAL

If the applicant meets all of the applicable requirements of the Code, the Zoning Administrator will

approve

the Special Use and notify the applicant in writing. The applicant may then apply for appropriate building

permits and licenses.

C. DENIAL

If the applicant does not meet all of the applicable requirements of the Code, the Zoning Administrator will

deny

the Special Use and notify the applicant in writing.

1. The applicant for a S(1) special use permit that does not relate to constitutionally protected first amendment

activity may appeal this decision to the City Council in accordance the with the procedures set forth below.

2. Appeal of zoning administrator's determination of permit for S-1 special use relating to constitutionally protected

first amendment activity. A party with standing to appeal the final determination of the zoning administrator with

respect to a S-1 special use permit application relating to constitutionally protected first amendment activity

shall be entitled, as a matter of right, to seek immediate review of such final determination by filing an

appropriate pleading with the Circuit Court.

IV. NOTIFICATION OF REQUEST AND TIME FRAME:

All notice must be done in accordance with Section 27-149 of the City of Tampa Code of Ordinances. Please see the

summary sheet which is part of the application and which must be signed by the applicant or agent. A copy will be

provided to you for assistance in completing the notice requirements correctly.

The determination of the AB-1 application is at least 15 days from the date of the submittal of the affidavit of

compliance and the certificate of mail.

APPENDIX A

CITY OF TAMPA, FLORIDA

LAND DEVELOPMENT COORDINATION

SPECIAL USE 1 - EXHIBIT

SITE PLAN REQUIREMENTS

One copy of a site plan is required for a Special Use I request which does not involve a constitutionally

protected first amendment activity. The site plan shall be drawn to an engineer's scale and shall include a North Point and

Legend.

The following specific information shall be provided for each development:

OFF SITE CONDITIONS:

Name, location, and width of existing street and alley rights-of-way, adjacent to the

site.

Width of existing pavement on all streets and alleys adjacent to the site.

Location, width and type of all easements adjacent to the site.

ON SITE CONDITIONS:

1. Location, size, height and use of all existing principal and accessory buildings.

2. Location, size, height and use of all proposed additions and/or new buildings

3. Existing and proposed building setbacks.

4. Total residential density or for commercial and individual developments, Floor Area Ratio for each individual

building and a total for all buildings.

Location and dimension of existing and proposed driveways and parking areas; include typical parking space

dimensions.

6. Existing and proposed parking lot landscaping.

7. The location and size of significant natural features such as trees, lakes, etc.

8. Existing and proposed buffering from adjacent uses.

GENERAL INFORMATION:

1. Name block showing petitioner, property owner, engineer and consultant (if different).

2. Legend, scale and north arrow.

3. Vicinity Map.

SEALED SURVEY REQUIREMENTS (4 Copies):

1. A sealed survey prepared by a registered surveyor showing the required distance separation requirements as stated

in Section 27-132 for the specific special use.

Application for Special Use-1

General Request

EXHIBIT A

City of Tampa

Land Development Coordination

1400 North Boulevard

Tampa, FL 33607

(813) 274-3100

PROPERTY OWNER'S INFORMATION

Name(s):

Address:

City:

Zip Code:

Phone Number:

Fax Number:

email address:

APPLICANT'S INFORMATION

State:

Fax Number:

email address:

Phone Number:

Zip Code:State:

City:

Address:

Name(s):

Parcel Address (List all):

Folio Number(s) (List all):

PARCEL INFORMATION

Current Use of Land:

Property Size (acres or SF): Current Zoning Dist:Future Land Use:

CONTACT FOR ALL RELATED CORRESPONDENCE

Name(s):

email address:

Fax Number:Phone Number:

Zip Code:State:City:

Address:

Proposed Special Use:

Application Number:

Rec'd By:Date Rec'd:

Receipt # /Amount Paid:

Other Applications on File:

Atlas Page:

APPLICATION CERTIFICATION

Legal Description is correct & complete:

Approved by (ROW Staff):

Date of approval:

Approved by (Zoning Staff):

Application/site plan is correct & complete:

LDC/Zoning SectionLDC/Right-of-Way Section

Date of approval:

LDC Date Counseled:Land Dev. Coor. Planner's Name/Initials:

Transportation Analysis Required w/Submittal?:

Trans. Date Counseled:Trans. Div. Engineer's Name/Initials:

PRE-APPLICATION AGENCY COUNSELING

**Staff signature does not guarantee accuracy or completion of application, nor approval by Zoning Administrator.**

CHANGE OF USE? (Y/N)

Print Form

click to sign

signature

click to edit

Other app's on file for property? (list):

Application Number:

EXHIBIT A-1

Application for Special Use-1

General Request

City of Tampa

Land Development Coordination

1400 North Boulevard

Tampa, FL 33607

(813) 274-3100

Name:

Address:

City: State:

Address:

Name:

ZIP Code:City: State: ZIP Code:

ADDITIONAL INFORMATION

All property owners and applicants must be listed. Use additional sheet if needed.

Current Use(s) of Land:

Structure Size or # of Units: Structure Size or # of Units:

Beginning February 1, 1990, the City of Tampa began to implement the concurreny provisions of the State Growth Management Act.

This form is to be utilized to monitor traffic volumes generated by development. Please complete the following information. Any

applicaton for a development permit will require this form to be completed and submitted to the Land Development Coordination

Division.

TRANSPORTATION MANAGEMENT FORM

Proposed Special Use:

Address:

Name:

Address:

Name:

ZIP Code:State:City:

Address:

Name:

PARTICIPATING ORGANIZATION(S) TO BE NOTIFIED

(ATTACHED ADDITIONAL SHEET IF NEEDED

**Participating Organization Names per http://www.tampagov.net/ldc

(Applicant's Responsibility to obtain and provide)**

Organization Name:

Contact's Name:

Address:

ZIP Code:State:City:ZIP Code:City: State:

Address:

Contact's Name:

Organization Name:

(Use additional pages if necessary):

"That have read the conditions in the Zoning code, Chapter 27, which must be met by this Special Use Application and do hereby

request a waiver or variance to the following conditions for the following reasons "

List Documentation:

"That I have read the conditions in the Zoning code, Chapter 27, which must be met by this Special Use Application and do hereby

provide the following documentation that this property meets the requirements:"

CERTIFICATION OF COMPLIANCE WITH THE SPECIAL USE CRITERIA

By signing the "AFFIDAVIT TO APPLY FOR A ZONING CODE RELATED APPLICATION and AUTHORIZED AGENT FOR AN

APPLCIATION TO THE CITY OF TAMPA" I hereby state the following is true and correct

LEGAL DESCRIPTION (use separate sheet if needed)

MUST BE TYPED & DO NOT ABBREVIATE:

EXHIBIT B

Application for Special Use-1

General Request

City of Tampa

Land Development Coordination

1400 North Boulevard

Tampa, FL 33607

(813) 274-3100

Application Number:

EXHIBIT C

Application for Special Use-1

General Request

City of Tampa

Land Development Coordination

1400 North Boulevard

Tampa, FL 33607

(813) 274-3100

CERTIFICATE OF COMPLIANCE

WITH SPECIAL USE CONDITIONS

Commission Expiration (Stamp or date):

Notary Signature:

Identification or personally known:

(Enter date here):

Sworn to and subscribed on this date:

"That I(we), the undersigned authority, hereby certify that the foregoing is true and correct."

"That this affidavit has been executed to induce the City of Tampa, Florida to consider and act upon the above

described property."

(Use additional pages if necessary):

"That have read the conditions in the Zoning code, Chapter 27, which must be met by this Special Use

Application and do hereby request a waiver or variance to the following conditions for the following reasons "

List Documentation:

"That I have read the conditions in the Zoning code, Chapter 27, which must be met by this Special Use

Application and do hereby provide the following documentation that this property meets the requirements:"

"That this property constitutes a request for the following special use:"

Parcel Address (List all):

"That I am (we are) the applicant(s) or agent(s) for the following described property:"

Applicant Name(s):

Application Number:

Proposed Special Use:

(Print):

Signature (applicant/agent):

(Print):

Signature (applicant/agent):

click to sign

signature

click to edit

AFFIDAVIT TO APPLY FOR A ZONING CODE RELATED APPLICATION and AUTHORIZED

AGENT FOR AN APPLCIATION TO THE CITY OF TAMPA

Property Owner's Name(s):

"That I am (we are) the owner(s) and record title holder(s) of the property noted herein"

Property Address (List all):

"That this property constitutes the subject of the application for a (please check the appropriate box):

"That the undersigned has(have) appointed and does(do) appoint the agent(s) stated herein as his(their) agent

(s) solely to execute any application(s) or other documentation necessary to affect such application(s)" (if

applicable)

"That this affidavit has been executed to induce the City of Tampa, Florida, to consider and act on the above

described application"

Commission Expiration (Stamp or date):

Notary Signature:

Identification or personally known:

Sworn to and subscribed on this date:

Date:

"That I(we), the undersigned, hereby certify that the foregoing is true and correct"

Agent's Name(s):

Application Number:

Folio Numbers (List all):

I, THE UNDERSIGNED APPLICATION/AGENT, HEREBY CERTIFY THAT ALL INFORMATION ON THIS APPLICATION IS TRUE

AND COMPLETE AND HEREBY AUTHORIZE AND ALLOW REPRESENTATIVES OF THE CITY TO ACCESS THE PROPERTY

UNDERGOING REVIEW FOR THE ABOVE REFERENCED REQUEST. IF MY PROPERTY IS GATED, I WILL PROVIDE ACCESS

TO THE PROPERTY UPON REQUEST FROM THE CITY.

Rezoning

Alcoholic Beverage 1

Variance Review Board

Special Use 2Special Use 1

Formal Decision

(Print):

Signature (owner):

(Print):

Signature (applicant/agent):

Commission Expiration (Stamp or date):

Notary Signature:

Identification or personally known:

Date:

Sworn to and subscribed on this date:

Alcoholic Beverage 2

Substantial Change Incremental Review

Design Exception 1 Design Exception 2

Multiple authorizations may be necessary if there is more than one property owner.

Other

The undersigned authorizes the above agent(s) to represent me (us) and act as my (our) agent(s) at any public

hearing on this matter

The undersigned authorizes the above agent(s) to agree to any conditions necessary to effectuate this

application

NoYes

EXHIBIT D

click to sign

signature

click to edit

DOCUMENTATION OF COMPLIANCE FOR

EXTENDED FAMILY RESIDENCE

K:Gloria Moreda/Misc/Compliancedoc

Name of all Property Owners: __________________________________________________________________________________

1. State the proposed floor area of the extended family residence: _______________________________________________

4. Explain the temporary need for having an extended family residence: __________________________________________

5. No rent will be charged to the extended family members.

The property owner understands that if the approved occupant of the extended family residence ceases to reside in the

dwelling, The Special Use approval shall lapse. No other persons, other than those approved by City Council may reside in the

extended family unit.

Requested waivers: _______________________________________________________________________________________9.

I hereby certify that the information on this application is true and complete:

PROPERTY OWNER

__________________________________ Sworn to & subcribed before me this day

Notary Public My Commission Expires:

Address of general location of subject property identified in Exhibit B:___________________________________________________

2. Is the structure housing the extended family member (s) a conforming structure? ________________________________

3. What is the relationship of the extended family member (s) to the property owner? _______________________________

(attach documentation proving relationship)

The property owner understands that City staff will conduct annual inspections of the property to insure that the

conditions of approved are maintained.

Attach evidence which verifies that main residence is owner occupied. Identifying document attached: _____________________

________________________________________________________________________________________________________

Exhibit E

GOOD NEIGHBOR NOTICE FOR

PARTICIPATING ORGANIZATIONS/

NOTICE TO PARTICIPATING NEIGHBORS

Date :

Applicant/Agent email address:

Applicant/Agent Phone Number:

Applicant/Agent Name(s):

Current Zoning District:

Dear Participating Neighbor (Property Owner) or Participating Organization:

Please be advised that the Zoning Administrator has received a request for the above-described special use application. As a

surrounding property owner/neighborhood association, you may submit any comments in writing, to the Zoning Administrator at:

City of Tampa

Land Development Coordination

1400 North Boulevard

Tampa, Florida 33607

The Zoning Administrator will not render a decision until at least 15 days from the post-marked date of this letter.

Parcel Address(es):

SPECIAL USE PUBLIC

NOTICE

Applicant/agent

(signature):

EXHIBIT F

Application for Special Use-1

General Request

City of Tampa

Land Development Coordination

1400 North Boulevard

Tampa, FL 33607

(813) 274-3100

Application Number:

APPLICANT/AGENT CONTACT INFORMATION

Proposed Special Use:

Print:

EXHIBIT G

AFFIDAVIT OF COMPLIANCE

Applicant Name(s):

"That I am (we are) the applicant(s) or agent(s) for the following described property:"

Parcel Address (List all):

"That this property constitutes the property for which a special use approval is requested according to

Application Number:"

Application Number:

(Print):

Signature (owner/agent):

(Print):

Signature (owner/agent):

Application for Special Use-1

General Request

City of Tampa

Land Development Coordination

1400 North Boulevard

Tampa, FL 33607

(813) 274-3100

Application Number:

Commission Expiration (Stamp or date):

Notary Signature:

Identification or personally known:

(Enter date here):

Sworn to and subscribed on this date:

"That attached is a copy of the postmarked Certificate of Mailing receipt for notice (s) to participating

neighbors within 250 feet of the subject parcel and a copy of the notice mailed out, which notice(s) were

mailed on:"

Date Mailed:

"That attached is a copy of the notice mailed (Exhibit D) to participating organizations as defined by the COT

regulations, and that a copy of the most recently filed site plan was mailed with said letter, which notice(s)

were mailed on:"

"That the Original List (property owners with addresses & legal descriptions) and Parcel Notice Map, all as

generated by the Hills. Co. Property Appraiser, and list of participating organization(s) is attached and made a

part of this Affidavit."

PUBLIC NOTICE CHECK LIST

APPLICANTS RESPONSIBILITY

SU1-________________________

MAILED NOTICE

Participating Neighbors

(all property owners within 250-feet of the subject property and dated variance/buffer notice map upon which

the list is based, obtained from the Hillsborough County Property Appraiser's office or via its official website/Web-based GIS service).

¾ Mailed by “certificate of mailing” through the United States Post Office (receipt submitted with the Affidavit of 

Compliance)

Participating Organizations (all organizations registered at www.tampagov.net/ldc)



¾ Mailed by regular mail to the address of the authorized representative of the participating organization. 

SUBMITTAL OF AFFIDAVIT OF COMPLIANCE (Exhibit F)

¾Submitted to:

Land Development Coordination, 1400 N Boulevard, Tampa, Florida 33607



or uploaded in the Accela system.



¾ Affidavit attachments, must include:

The certificate of mailing to the property owner and/or participating neighbors;

The ad valorem tax rolls used for providing notice to property owners and/or participating neighbors.

The official list of property owners and dated variance/buffer notice map upon which the list is based, obtained

from the Hillsborough County Property Appraiser's office or via its official website/Web-based GIS service, shall

be considered the most current tax roll, so long as the list has been produced no more than six (6) months prior

to the date of the filing for the pending application;

A copy of the mailed notice letter (E); and,

The list of participating organizations which were provided good neighbor notice, including the mailing address

and authorized representative.

I reviewed and understand the above requirements for public notice.

________________________________________ __________________

APPLICANT SIGNATURE DATE

APPENDIX A

CITY OF TAMPA, FLORIDA

LAND DEVELOPMENT COORDINATION

SPECIAL USE 1 - EXHIBIT

SITE PLAN REQUIREMENTS

Four (4) folded copes of a site plan are required for a Special Use I request which does not involve a constitutionally

protected first amendment activity. The site plan shall be drawn to an engineer’s scale and shall include a North Point and

Legend.

The following specific information shall be provided for each development:

OFF SITE CONDITIONS:

1. Name, location, and width of existing s

treet and alley rights-of-way, adjacent to the site.

2. Location, width and type of all easements adjacent to the site.

3. Location of all trees and water bodies within 20’ of the property lines.

ON SITE CONDITIONS:

1. Location, size, height and use of all existing principal and accessory buildings.

2. Location, size, height and use of a

ll proposed additions and/or new buildings

3. Existing and proposed building setbacks.

Total residential density OR

for commercial and individual developments, Floor Area Ratio for each individual

building and a total for all buildings.

5. Location and dimension of

existing and proposed driveways and parking areas; include typical parking space

dimensions.

6. Existing and proposed parking lot landscaping.

The location and size of significant natural features such as trees, lakes, etc.

8. Existing and proposed buffering from adjacent uses.

GENERAL INFORMATION:

1. Name block showing petitioner, property owner, engineer and consultant (if different).

2. Legend, scale and north arrow.

3. Vicinity Map.

SEALED SURVEY REQUIREMENTS (4 Copies):

1. A sealed survey prepared by a registered surveyor showing the required distance separation requirements as stated

in Section 27-132 for the s

pecific special use. Please check with staff for the requirements.

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