DEPARTMENT OF PLANNING AND DEVELOPMENT
LAND DEVELOPMENT COORDINATION
CITY OF TAMPA, FLORIDA
INSTRUCTIONS FOR SUBMITTING AND PROCESSING AN APPLICATION FOR
SUBSTANTIAL CHANGE DETERMINATION
PREAPPLICATION COUNSELING
Prior to submittal of an application, it is strongly recommended that the applicant schedule a conference with a staff
member from Land Development Coordination Division of the Department of Planning and Development (phone:
813-274-3100). The purpose of the conference is to advise the applicant regarding the review standards and process
for the application. The office is located at 1400 North Boulevard. Office hours are from 8:00 AM to 4:30 PM, Monday
through Friday.
MINIMUM REQUIREMENTS FOR APPLICATION – (ALL FORMS MUST BE TYPEWRITTEN OR NEATLY PRINTED,
UNLESS OTHERWISE NOTED)
Application Fee - $555.50
Business or cashier's check, or money order made payable to the City of Tampa, MasterCard/Visa/Amex are accepted
in person.- Personal checks and cash are not accepted.
Exhibit A and A -1 – Please complete all information on these forms. Please sign in the presence of a notary
Exhibit B – “Affidavit to Authorize Agent”; please complete if the applicant or property owner is appointing an
authorized agent to represent their interests with City staff and before City Council. The property owner(s) sign this
form and have it notarized. A notary is available in the LDC office.
Site Plans - 12 copies of the adopted site plan and 12 copies of the proposed site plan.
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
attached summary sheet which must be signed by the applicant or agent. A copy will be provided to you for
assistance in completing the notice requirements correctly.
STAFF REVIEW
LDC staff will distribute the site plans to the Development Review Staff for their review. If the request is determined to
be a "non-substantial" change, you will receive an approval letter, with any applicable conditions of development. If
the request is a substantial change, you will receive a denial letter with reasons for denial/finding of substantial
change(s) stated and with instructions on how to apply for a rezoning or special use permit for the property.
EXHIBIT A
City of Tampa
Land Development Coordination
1400 North Boulevard
Tampa, FL 33607
(813) 274-3100
Case Number:
Received By (print) :
Date Received:
Receipt # /Amount Paid:
Atlas Page:
Please explain why the requested change(s) is/are not considered "substantial change(s)":
Application for Substantial
Change Determination
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
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:
Original Case Number:
Ordinance Number:
Print Form
Application Certification by Land Development Coordination Division:
Application/site plan is correct & complete:
Approved by (Zoning Staff):
Date of approval:
Zoning Section
I, THE UNDERSIGNED APPLICANT/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 SUBSTANTIAL CHANGE DETERMINATION. IF MY PROPERTY IS GATED, I WILL PROVIDE
ACCESS TO THE PROPERTY UPON REQUEST FROM THE CITY.
Signature (applicant/agent):
Identification or personally known:
(Enter date here):
(Print):
Sworn to and subscribed on this date:
Signature (applicant/agent):
(Print):
Notary Signature:
Commission Expiration (Stamp or date):
Other applications on file for
this parcel? (list here):
Agent's Name:
ZIP Code:
Phone Number:
email address:
State:City:
Address:
Authorized Agent's Information (also complete Exhibit B):
EXHIBIT A-1
City of Tampa
Land Development Coordination
1400 North Boulevard
Tampa, FL 33607
(813) 274-3100
Application for Substantial
Change Determination
Please check the Plat, Survey, Title Policy and all other documentation relating to your property prior to design and construction. The City
of Tampa and its staff DO NOT review for compliance with individual private deed restrictions and covenants during permit review. The
issuance of a building permit by the City of Tampa signifies that the project is in compliance with the zoning codes of the City of Tampa
and City of Tampa and Florida building code. The issuance of a building permit DOES NOT insure compliance with private deed
restrictions or covenants.
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AFFIDAVIT TO AUTHORIZE AGENT
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 property for which the following request is made"
"That the undersigned has(have) appointed and does(do) appoint the agent(s) stated herein as his(their) agent
(s) to execute any application(s) or other documentation necessary to affect such application(s)"
"That this affidavit has been executed to induce the City of Tampa, Florida, to consider and act on the above
described property"
Commission Expiration (Stamp or date):
(Print):
Notary Signature:Signature (owner):
Identification or personally known:(Print):
Sworn to and subscribed on this date:
Signature (owner):
(Enter date here):
"That I(we), the undersigned authority, hereby certify that the foregoing is true and correct"
Agent's Name(s):
EXHIBIT B
City of Tampa
Land Development Coordination
1400 North Boulevard
Tampa, FL 33607
(813) 274-3100
Application for Substantial
Change Determination
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GOOD NEIGHBOR NOTICE FOR
PARTICIPATING ORGANIZATIONS/
NOTICE TO PARTICIPATING NEIGHBORS
Date :
Applicant/Agent email address:
Applicant/Agent Phone No.:
Applicant/Agent Name(s):
Current Zoning Dist:
Dear Participating Neighbor (Property Owner) or Participating Organization:
Please be advised that the Zoning Administrator has received a request for the above-described substantial change
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:
SUBSTANTIAL CHANGE
REVIEW
PUBLIC NOTICE
Applicant/agent
(signature):
EXHIBIT C
Application for Substantial
Change Review
City of Tampa
Land Development Coordination
1400 North Boulevard
Tampa, FL 33607
Application Number:
APPLICANT/AGENT CONTACT INFORMATION
Print:
Original Application Number:
Substantial Change Request:
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EXHIBIT D
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 substantial change review is requested according to
Application Number:"
Application Number:
(Print):
Signature (owner/agent):
(Print):
Signature (owner/agent):
Application for Substantial
Change Review
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 (Exhibit D), which notice(s)
were mailed on:"
Date Mailed:
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 Hillsborough County Property Appraiser, and list of participating organization(s) is attached
and made a part of this Affidavit."
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