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City of Greenacres
Application for
Site & Development Plan Amendment
Instructions to Applicant:
Answer all questions completely.
A filing fee in the amount of $330.00 for Class One and $2,210 for Class Three Modification
must accompany this application.
Provide required attachments (warranty deed, survey and plans) as shown on the attached
checklist.
Project Name
Agent’s Name
Address
City State Zip
Phone Fax
Email
Owner’s Name
Address
City State Zip
Phone Fax
Ema
Correspondence Address: (If different than agent or owner)
Address
City State Zip
Phone Fax
Email
This is the address to which all agendas, letters and other materials will be forwarded.
Petitioner’s Statement: (Explanation and reasons for the request) Use attachments as
necessary.
Project Location & Address
Parcel Identification Number(s)
Property Size (Square feet/Acres)
Present Use of Property
Proposed Use of Property
Existing Future Land Use Designation
Existing Zoning of Property
Owner’s Authorization: Each petition must bear the signatures of all owners of property in the
petitioned area. A letter of authorization allowing a person other than the owner to sign or
represent such a petition must be attached to and accompany said petition. (Please use
attached form)
Signature of Owner(s) of Record Print Name
Signature of Applicant or Agent Print Name
Sworn to and subscribed before me this
is personally known to me, or who has produced
day of 20 by who
as identification.
Signature of Notary Public
Notary Public State of
Print Name
County of
Commission Number Commission Expires
Notary Seal
(Print, Type, or Stamp Commissioned Name of Notary Public)
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Agent Authorization Form
City of Greenacres
I hereby give AUTHORIZATION to
to act on my behalf, to submit or have submitted this application and all required material and documents,
and to attend and represent me at all meetings and public hearings pertaining to the application(s)
indicated above. Furthermore, I hereby give consent to the party designated above to agree to all terms
and conditions, which may arise as part of the approval of this application for the proposed use of
Applicant Information
Signature Print Name
Addres
Agent Information:
Signature
City
Print Name
State Zip
Address City
Notary Public Information:
The foregoing instrument was acknowledged before me this
day
State Zip
of 20 by Name of person acknowledging. He or
she is personally known to me, or who has produced as
identification (type of identification and did or did not take an oath (circle correct
response).
Signature of Notary Public Print Name
Notary Public State of County of
Commission Number Commission Expires
Notary Seal or Stamp
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Site and Development Plan Amendment Submittal Checklist
GENERAL REQUIREMENTS
1. Application Review Fee.
2. Completed application signed by owner and applicant. Agent’s authorization or power
of attorney must be attached if applicant is other than owner.
3. Copy of the Warranty Deed.
SURVEY
4. SURVEY (to include):
a. Submit seven (7) copies 24” x 36”, one (1) set 11” x 17”, and one (1) Electronic
Digital Copy.
b. Survey, signed and sealed, (not more than a year old) and legal description of the
property, including any and all easements of record (referenced by Official Records
(OR) Book and page) prepared by a surveyor registered in the State of Florida.
c. Existing topographical conditions of the property.
d. Existing streets and roadway improvements (medians, landscaping, signage,
driveways, etc. within 100’ of project boundary.
e. Existing structures within 100’ of project boundary.
f. Existing utilities (including inverts of pipes, rim elevations, wells and septic tanks,
etc.) within 100’ of project site.
g. Existing trees identified by caliper and species.
SITE PLAN
5. SITE PLAN (to include):
a. Submit seven (7) copies 24” x 36”, one (1) set 11” x 17”, and one (1) Electronic
Digital Copy.
b. Project name, date, scale, north arrow and revision dates on each drawing.
c. Manual Signature and Seal of a Florida Registered Professional.
d. Location Map clearly showing the location of the property in relation to existing
roads and landmarks.
e. Tabular Project Data (gross site area, building lot coverage, floor area, impervious
area, landscape/open areas, water management area, derivation of number of
parking spaces, and project density).
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f. Project information (number of users of facility, employees, seating and hours of
operation).
g. Location of lots, buildings and structures with applicable setbacks.
h. Off-street parking and loading layout (with dimensions and access location).
i. Location and details of refuse collection areas.
j. Location, size and orientation of signs.
k. Location of lighting standards and foot candle dispersion.
l. Zoning of the site and identification of land use and zoning of adjacent properties.
m. Location and nature of all recreational facilities and common areas if any.
n. Proposed phasing of construction if applicable.
ENGINEERING PLANS
6. ENGINEERING PLANS (to include):
a. Submit seven (7) copies 24” x 36”, one (1) set 11” x 17”, and one (1) Electronic
Digital Copy.
b. Proposed streets and roadways with dimensions and cross section.
c. Curve radii for all internal and external vehicular use areas.
d. Access to the project by means of paved dedicated right-of-way.
e. Proposed traffic control signs and striping.
f. Proposed water distribution system with location of fire hydrants and point of
connection.
g. Proposed sanitary sewer collection system and point of connection, or size and
location of septic tank and drainfield if applicable.
h. Drainage statement describing system design and the design standards used.
i. Proposed storm water management system with location of inlets, piping and
positive outfall along with typical section and top surface area of storm water
retention/detention pond, including soil types, slope, bottom and top elevations.
j. Existing and proposed fire protection systems.
k. Traffic Impact Analysis addressing at a minimum: Distribution and assignment of
traffic, intersection improvements, additional roadway needs (travel lanes and turn
lanes), traffic control devices, future right-of-way dedications and compliance with
Palm Beach County Traffic Performance Standards Ordinance.
ARCHITECTURAL PLANS
7. ARCHITECTURAL PLANS (to include):
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a. Submit seven (7) copies 24” x 36”, one (1) set 11” x 17”, and one (1) Electronic
Digital Copy.
b. Floor plans, elevations, construction materials, finishes and colors, along with type
of construction of all buildings per Florida Building Code by a Florida Registered
Professional.
LANDSCAPE PLANS
8. LANDSCAPE PLANS (to include):
a. Submit seven (7) copies 24” x 36”, one (1) set 11” x 17”, and one (1) Electronic
Digital Copy.
b. Location, size and specification of all proposed landscaping prepared by a Florida
Registered Professional.
c. Depiction of tree preservation and removal.
d. Clear Sight Distances.
e. Environmental assessment report. This report shall provide a written assessment
of the current environmental conditions found on site, including any endangered or
threatened flora or fauna, or ecological communities.
f. Irrigation note to read as follows: “All landscaped areas shall be provided with an
automatically operated irrigation system that will adequately cover all living plant
material, such system shall include a rain sensor.”
PLAN REVISIONS
9. If revisions to the plans previously submitted are required during the application review
process, the petitioner shall submit the same number of plans as required for application
submittal.
a. Submit seven (7) copies 24” x 36”, one (1) set 11” x 17”, and one (1) Electroni
Digital Copy.
c
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