City of Greenacres
Application for
Zoning Change Approval
Instructions to Applicant:
Answer all questions completely.
A filing fee in the amount of $2,210.00 and advertising fees in the amount of $650.00 must
accompany this application. Since advertising costs vary, the final amount will be
reconciled upon 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
City State Zip
Phone Fax
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.
Petitioner’s Statement: (Explanation and reason for the request).
Use attachments as necessary.
Location & Address
Parcel Identification Number(s)
Property Size (Square feet/Acres)
Present Use of Property
Existing Zoning of Property
Proposed Zoning District (Check as Appropriate)
Agricultural Residential (AR)
Residential Estate (RE)
Residential Low-1 (RL-1)
Residential Low-2 :(RL-2)
Residential Low-3 (RL-3)
Residential Medium-1 (RM-1)
Residential Medium-2 (RM-2)
Residential High (RH)
Residential Mobile Home (RMH)
Mixed Development (MXD-C or MXD-R)
Mixed Use Development-Office (MXD-O)
Mixed Development-Original Section (MXD-OS)
Office, Professional, Institutional (OPI)
Commercial Neighborhood (CN)
Commercial General (CG)
Commercial Intensive (CI)
Government Use (GU)
Study Zone (SAZ)
Applicant’s Statement of Justification (Attach additional sheets as necessary).
The applicant is to explain how the request conforms to the following findings:
A. That the proposed change would not be contrary to the land use plan and would not have
an adverse effect on the Comprehensive Plan.
B. That the proposed amendment is consistent with the existing land use pattern.
C. That the creation of an isolated district unrelated to adjacent and nearby districts will not
occur.
D. That the proposed amendment does not conflict with the population density pattern nor will
it cause possible increase or overtaxing of the land on public facilities such as schools,
utilities, streets, etc.
E. That the existing district boundaries are illogically drawn in relation to the existing
conditions on the property proposed for change.
F. That changed or changing conditions make the passage of the proposed amendment
necessary.
G. That the proposed change will not create or excessively increase traffic congestion or
otherwise affect public safety.
H. That the proposed change will not adversely influence living conditions in the
neighborhood.
I. That there are substantial reasons why the property cannot be used in accord with existing
zoning.
J. That the proposed change will not constitute a grant of special privilege to an individual owner
as contrasted with the public welfare.
Note: Additional attachments may be added to provide more information in answering
questions.
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
who Sworn to and subscribed before me this day of 20 by
is personally known to me, or who has produced as identification.
(Type of 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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signature
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signature
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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
Address City State Zip
Agent Information:
Signature Print Name
Address City State Zip
Notary Public Information:
The foregoing instrument was acknowledged before me this day
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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signature
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signature
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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. (Type of
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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signature
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Zoning Change 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 including property control number or folio number and legal
description of property.
4. All residential projects must submit a completed School Concurrency Form (attached).
The form will be sent back to the applicant after sufficiency review. The applicant must
then submit it to the School District and pay any submittal fees.
5. 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.
6. Executed affidavit signed by the person responsible for completing the property owner
list.
7. Two (2) sets of STAMPED (meter stamps not acceptable), plain envelopes with the typed
names of the owners within a three hundred (300) foot radius of the boundary lines of the
subject property. No return address. Executed affidavit signed by the person responsible
for completing the property owner’s list.
Survey
8. 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
9. 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 relationships to the
surrounding road system including the width of the existing travelway.
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
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 turn
lanes), traffic control devices, future right-of-way dedications and compliance with
Palm Beach County Traffic Performance Standards Ordinance.
Plan Revisions
10. 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.