City of Pompano Beach
Department of Development Services
Planning & Zoning Division
100 W. Atlantic Blvd, Pompano Beach, FL 33060
Dwelling Unit Occupancy Affidavit
Phone: 954.786.4654 Fax: 954.786.4666
G:\Zoning 2009\Forms and documents\Website Documents\Word Documents\BTR\Applications\PDF\Occupancy_Affidavit.doc
AFFIDAVIT: DWELLING UNIT OCCUPANCY
State of Florida}
County of Broward}
I am the of the property
(Print Name) (Property Owner or Local Designated Representative)
located at in the City of Pompano Beach, FL.
(Address)
I acknowledge that I have been advised of and understand the provisions of the City of Pompano Beach Code of
Ordinances Chapter 153, pertaining to Rental Housing (copy attached). I agree that the property listed above shall be in
compliance with Code of Ordinances Chapter 153, and as well as all city code requirements.
I acknowledge that I have been advised of and understand the provisions of the City of Pompano Beach Zoning Code
Article 9 pertaining to the definition of “Dwelling Unit” and “Family”. I agree that the property listed above shall be in
compliance with the Zoning Code Article 9 definitions of “Dwelling Unit” and “Family”, unless otherwise authorized
pursuant to other provisions of the Pompano Beach Code of Ordinances.
Zoning Code Article 9
Dwelling Unit - “A room or combination of connected rooms within a dwelling that constitutes a single and separate
habitable unit that contains independent living, sleeping, and sanitation facilities (and may or may not contain cooking
facilities), and that is used or designed for occupancy on a weekly or longer basis by only one family. The term “dwelling
unit” shall also include a habitable unit licensed by the state to provide a family living environment and care for a group
of six or fewer unrelated persons who meet statutory definitions of a frail elder (Fla. Stat. §429.65), physically disabled or
handicapped person (Fla. Stat. §760.25), developmentally disabled person (Fla. Stat. §393.063), nondangerous mentally
ill person (Fla. Stat. §394.455), child determined to be dependent (Fla. Stat. §39.01 or §984.03), or child in need of
services (Fla. Stat. §984.03 or §985.03), and that may include such supervision and care by supportive staff as may be
necessary to meet the physical, emotional, and social needs of the residents.”
Family - “An individual or two or more persons related by blood, marriage, state-approved foster home placement, or
court-approved adoption—or up to three unrelated persons—that constitute a single housekeeping unit. A family does
not include any society, nursing home, club, boarding or lodging house, dormitory, fraternity, or sorority.”
BEFORE ME, the undersigned authority, personally appeared (PRINT NAME) who after
being duly sworn, deposes and says: That I am the person whose signature appears below, and that the
information I have provided above in this document is true and correct.
Signature: ______________________________________
SWORN TO AND SUBSCRIBED before me this ____ day of _______________ 20 ____, in Pompano Beach, Broward
County, Florida.
Notary Public _________________________________
Seal of Office Notary Public, State of Florida
_________________________________
(Print Name of Notary Public)
___________________Personally Known
_______________Produced Identification
Type of identification Produced:
_________________________________
