Fillable City of Greenacres Application for Special Exception Approval (City of Greenacres)

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City of Greenacres Application for Special Exception Approval (City of Greenacres)

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The City of Greenacres Application for Special Exception Approval (City of Greenacres) form is 7 pages long and contains:

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BROWSE CITY OF GREENACRES (FL) FORMS

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ty State
Fax
City of Greenacres
Application for
Special Exception Approval
Instructions to Applicant:
Answer all questions completely.
A filing fee in the amount of $830.00 and advertising fees in the amount of $450.00 for developed property
OR $1,660.00 and advertising fees in the amount of $450.00 for undeveloped property OR $2,210.00 and
advertising fees in the amount of $450.00 for a Planned Unit Development (PUD) must accompany this
application. If the special exception is a PUD request, an additional $15.00 per acre filing fee is also
required. Since advertising costs vary, the f inal amount will be reconciled up on receipt of invoices
from the newspaper.
Provide required attachments (warranty deed, survey and plans) as shown on the attached checklist.
Project Name
Agent’s Name
Address
Ci Zip
Phone
Email
Owner’s Name
Address
City State Zip
Phone Fax
Email
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.
Project Location & Address
Parcel Identification Number(s)
Property Size (Square feet/Acres)
Existing Use of Property
Existing Future Land Use Designation
Existing Zoning of Property
Proposed Use of Property
Type of Special Exception (Provide Code Section)
Petitioner’s Statement: (Explanation, and reasons for the request) Use attachments as
necessary.
Applicant’s Statement of Justification: (Attach additional sheets as necessary).
The applicant is to explain how the request conforms to the following finds:
A. That the proposed request is in compliance with all elements of the Comprehensive Plan.
B. That satisfactory provisions have been made for ingress and egress to the property and
proposed structures therein with particular reference to automotive and pedestrian safety
and convenience, traffic flow and control, and access in case of fire or catastrophe.
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C. That off-street parking and loading areas have been provided where required with particular
attention to the items in (B) above.
D. That refuse and services areas have been provided with particular reference to items (B) and
(C) above.
E. That the proposed request will not create nuisance factors detrimental to adjacent and
nearby properties and the City as a whole. Nuisance factors shall include but not
necessarily be limited to noise, odor, smoke, glare, electrical interference and/or mechanical
vibrations.
F. That utilities have been provided with reference to location, availability and compatibility.
G. That satisfactory provisions have been made for screening and buffering with reference to
type, dimensions and character.
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H. That signs and proposed exterior lighting have been provided with consideration of glare,
traffic safety, economic effect and compatibility and harmony with properties in the district.
I. That required yards and other open space have been provided.
J. That the proposed request will ensure general compatibility with adjacent properties and
other property in the district.
K. That the change proposed is not out of scale with the needs of the neighborhood or the city.
L. That any special requirement set out in the Schedule of District Regulations for the particular
use involved have been met.
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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 day of 20 by who
is personally known to me, or who has produced as identification.
Signature of Notary Public Print Name
Notary Public State of County of
Commission Number Commission Expires
Notary Seal
(Print, Type, or Stamp Commissioned Name of Notary Public)
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Name of person acknowledging. He or she is
as identification
County of
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
Address
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
personally known to me, or who has produced
(type of identification and did or did not take an oath (circle correct response).
Signature of Notary Public Print Name
Notary Public State of
Commission Number Commission Expires
Notary Seal or Stamp
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Affidavit
State of Florida
County of Palm Beach
City of Greenacres
Before me this day personally appeared who being duly
sworn, deposes and says:
That the accompany list of property owners, mailing addresses and legal
descriptions of all property within 300 feet of the below described parcel of land
is, to the best of his or her knowledge, complete and accurate as recorded in the
latest official tax rolls in the Palm Beach County Courthouse.
The subject Property is Legally described as follows. See attached.
Further Affiant sayeth not.
Signature
Sworn to and subscribed before me this day of 20 by who
is personally known to me, or who has produced as identification.
Signature of Notary Public Print Name
Commission Number Commission Expires
Notary Seal
(Print, Type, or Stamp Commissioned Name of Notary Public)
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Special Exception Submittal Checklist
GENERAL REQUIREMENTS
1. Application Review Fee and Advertising 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.
4. A list of all property owners within a three hundred (300) foot radius of boundary lines of
the subject property from the most recent tax roll information as provided by the Palm
Beach County Appraiser’s Office.
5. Executed affidavit signed by the person responsible for completing the property owner
list.
6. Two (2) sets of STAMPED (meter stamps not acceptable), plain envelopes with the typed
names of the owners within a 300’ radius of the boundary lines of the subject property.
No return address.
SURVEY
7. 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.
DEVELOPMENT CONCEPT PLAN
8. DEVELOPMENT CONCEPT PLAN (to include):
a. Submit seven (7) copies 24” x 36”, one (1) set 11” x 17”, and one (1) Electronic
Digital Copy.
b. The boundaries and dimensions of the property and its relationship to the
surrounding road system including the width of the existing travel way.
c. The location and dimension of existing manmade features such as existing roads
and structures with indication as to which are to be removed, renovated or altered.
d. The location of existing easements, watercourses, section lines, water and sewer
lines, well and septic tank location, and other existing important physical features
in and adjoining the project.
e. Identification of surrounding land use, future land use designation, and zoning
within 100 feet of the site as well as for the petitioned site.
f. A layout of the proposed lots and/or building sites including the following: common
open areas, generalized landscaping and buffer zones, internal circulation patterns
including off-street parking and loading facilities, total project density, percentage
of building lot coverage, floor area square footage, percentage of impervious
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surface coverage, percentage of open space areas, the shape, size, location and
height of all structures.
g. Proposed phasing of construction for the project, if applicable.
h. Estimated square footage of the structures, the number of employees, estimated
seating, and the estimated number of users of the facility, such as members,
students and patients, if uses other than residential proposed.
i. Proposed hours of operation for commercial uses.
j. A drainage statement or drainage plan, if required.
k. Size, location and orientation of signs.
l. Proposed lighting of the premises.
m. Traffic Impact Analysis addressing at a minimum: Distribution and assignment of
traffic, intersection improvements, additional roadway needs (travel lanes and/or
turn lanes), traffic control devices, future right-of-way dedications and compliance
with Palm Beach County Traffic Performance Standards Ordinance.
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) Electronic
Digital Copy.
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City of Greenacres Application for Special Exception Approval (City of Greenacres)

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Completed 19 February 2021

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