A)
Applicant Information
File Number _________ Date Received: ________________
Owners
name:
Authorized
agent:
Mailing
address:
Mailing
address:
E-mail:
E-mail:
Telephone:
Telephone:
FAX:
FAX:
Attach a letter from the property owner granting authorization if agent is submitting application.
B) Requested Amendment
Change From: _______________________ To: _________________________
Existing land use designation Proposed land use designation
C) Property Information
Address/location of proposed
amendment site:
Property ID number(s):
Acreage of site:
A legal description must be attached in order for the
application to be considered complete.
Please include a survey if available. Provide an 8.5 X 11 copy.
A copy of signed deed or other instrument documenting legal interest in the property to be
amended must be attached for the application to be considered complete. Provide an 8.5 X 11
copy.
Two aerial photographs obtained from the Bay County Property Appraisers Office which
identifies the subject property and all property within a 500 foot
radius of the subject property
must be attached to this amendment application. Provide an 8.5 X 11 copy.
An Environmental Analysis may be required for amendments currently designated
“Conservation” on the FLUM.
D) Review Fee Attached:
1. Large Scale Amendment (greater than 10 acres) $2,720
2. Small Scale Amendment (less than or equal to 10 acres) $1,450
Bay County Application to Amend the
Future Land Use Map of the
Comprehensive Plan
Revised 11/1/2012 Future Land Use Map Amendment Application Form Page 1 of 9
Form PA-1
E) Site Information
Please provide the following items along with your completed application.
A vicinity map showing the location of the subject property (8 1/2” by 11” sheet).
A site plan or drawing, drawn to scale deemed acceptable by the Planning Official,
which describes or shows the following. If possible, please include all on one map.
(8 1/2” by 11” sheet).
Location in relation to surrounding physical features such as streets, railroads,
water bodies, etc. Names of adjacent streets and other physical features must
be shown.
North direction arrow.
Township, Range, and Section
Dimensions of the site (length, width, etc.) in linear feet.
Size of the site in square feet or acres.
The plan for development. The type of development proposed for the site; the
general location of such development on the site, general parking and
stormwater requirements, and the size (square feet) of the proposed
development.
F) Justification and Consistency with the Comprehensive Plan
Explain the reasons for requesting the amendment which support why the proposed
Future Land Use Map is necessary and consistent with the Comprehensive Plan.
Cite specific policies furthered by the proposed amendment, and attach additional
pages as needed.
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
G) Proposed Development
Describe the type of development proposed for the site. For residential amendments
include the type and number of residential units.
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Revised 11/1/2012 Future Land Use Map Amendment Application Form Page 2 of 9
Form PA-1
H) Facility Capacity Analysis
Applicants must provide information as to how the site will have access to potable
water, sewage disposal, solid waste disposal, roads, and stormwater control.
1. Water and Sewer Service:
a. Potable Water Service
Provider
Permitted
capacity (gallons
per day gpd)
Current demand
- gpd
Available capacity
gpd
Private well (s)___
Current potable water demand of site under existing designation: _____________ gpd
Anticipated potable water demand if amendment is approved: ________________ gpd
b. Sanitary Sewer Service/Wastewater Treatment
Provider
*
Permitted
capacity - gpd
Current demand
- gpd
Available capacity
- gpd
Septic tanks or
other individual on-
site systems ____
*
If wastewater is to be treated using a package system, please fill-in “Package Plant” in
the provider column and state the capacity of the proposed system in the second
column.
Current wastewater demand of site under existing designation: _____________ gpd
Anticipated wastewater demand if amendment is approved: ________________ gpd
Revised 11/1/2012 Future Land Use Map Amendment Application Form Page 3 of 9
Form PA-1
Note: If potable water and sewage disposal is to be through a provider other than Bay
County, then the applicant must attach a letter from the proposed provider certifying
that adequate capacity and immediate hookups are available to the site.
2. Stormwater: Describe how stormwater will be controlled and treated:
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
3. Transportation: Use professionally acceptable methodology to determine the impacts
of the proposed development on transportation infrastructure. A traffic study shall be
required if the proposed development will impact a facility at or near its maximum
acceptable level of service, and/or if the proposed development will generate 100 or
more trips in the peak hour (Land Development Regulations Section 2008.6 and 7). The
Traffic Impact Analysis (TIA) must be performed using a traffic micro-simulation model
such as Synchro or HCS2000. The Bay County Transportation Planning Organization
Congestion Management System must be used to determine whether or not a facility is
at or near its maximum capacity for the road segment’s AADT. For roads where counts
do not exist for AADT, counts must collected by applicant.
ITE code
Land use
Units/sq. footage
Peak trips
Road segment
Existing LOS
Projected LOS
Acceptable LOS
In which hurricane evacuation zone(s) does the subject property occur:
_____ Tropical storm _____ Category 1 hurricane ______ Category 2 hurricane
_____ Category 3 hurricane ______ Category 4-5 hurricane ______ N/A
Revised 11/1/2012 Future Land Use Map Amendment Application Form Page 4 of 9
Form PA-1
I) Natural Resources
Identify any of the following natural resources or features present on or adjacent to the
subject property. An Environmental Analysis and/or Habitat Management Plan may be
required for subject properties which are located within currently designated
“Conservation Zones” or “Ecosystem Management Areas” by the Comprehensive Plan.
Natural Resources Yes No
Flood zones present:
Type and Map #
Rivers, creeks, streams:
Identify:
Bays, bayous, lakes:
Identify:
Wetlands:
Identify:
Gulf Beach/Dunes
Deer Point Lake Protection
Zone
Setbacks or control lines
Attach a list of soil types present and their suitability for dwellings, roads, septic tanks,
crops, and pasture (Soil Survey of Bay County, Florida)
Describe actions or measures that will be taken to protect natural resources from the
impact of development (attach additional pages if necessary).
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
J) Historic/Archaeological Resources
The State of Florida Master Site File, as published by the Florida Department of State,
Division of Historical Resources, must be utilized to identify the possibility of such
resources occurring on the subject property. To obtain a letter from the Department,
call (850) 487-2333
Revised 11/1/2012 Future Land Use Map Amendment Application Form Page 5 of 9
Form PA-1
K) Compatibility with Surrounding Land Uses
Adjacent zoning districts
Adjacent Future Land Use Map
designations
North
North
South
South
East
East
West
West
Discuss how the proposed use is compatible with surrounding land uses:
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
L) School Concurrency
1. Which public schools serve the site of the proposed amendment:
Name of school
Recommended
capacity
1
Current year
enrollment
1
Surplus or deficit
capacity
Elementary:
Middle:
High:
1
Information available from the Bay County Public School District
2. Will development resulting from the proposed amendment increase or decrease
the potential number of students attending the public schools that serve the
subject property? By how many?
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Revised 11/1/2012 Future Land Use Map Amendment Application Form Page 6 of 9
Form PA-1
3. If development resulting from the proposed amendment will result in an
anticipated student population at any public school serving the subject property
in excess of that school’s recommended capacity, how will this deficit be
corrected?
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
4. If proposed solution requires an amendment to the Bay County Public Schools
capital improvements program, please provide written verification that the School
District agrees to the proposed amendment.
M) Compatibility with Military Installations
Does the Future Land Use Map designation sought through the proposed amendment
allow types of development which could be considered potentially incompatible with
nearby military installations? If so, how will compatibility issues be resolved (attach
additional sheets, including any correspondence with military personnel, as necessary)?
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
N) Capital Improvements
Will development resulting from the proposed Future Land Use Map amendment require
capital improvements to public infrastructure (water or sewer service, roads, etc) in
order to support the resultant growth? If so, please specify which infrastructure will be
impacted, to what extent, and how will such improvements be funded (attach additional
sheets if necessary):
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Revised 11/1/2012 Future Land Use Map Amendment Application Form Page 7 of 9
Form PA-1
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
O) Certification and Authorization
(1) By my signature, I certify that the information contained in this application is true
and correct and understand that deliberate misrepresentation of such information
will be grounds for denial and reversal of this application and or revocation of any
approval based on this application.
(2) I authorize County staff to enter upon my property at any reasonable time for the
purpose of site inspection.
(3) I authorize the placement of a public notice sign on my property at a location to be
determined by County staff.
(4) I ____________________________ (print name) as the property owner or
authorized property owner representative have read and understand the attached
Information concerning Application for Amendment to the Bay County Comprehensive
Plan Future Land Use Map.
_________________________________ _______________________________
Applicant Name (Type or Print) Applicant Signature
________________________________ ________________________________
Title and Company (if applicable) Date
Revised 11/1/2012 Future Land Use Map Amendment Application Form Page 8 of 9
Form PA-1
FUTURE LAND USE MAP AMENDMENT
APPLICATION
COMPLETENESS CHECKLIST
Planning and Zoning Staff will only accept complete applications.
Requirements
Check if
Complete
Complete Application Form
$2,720.00 Fee – Large Scale
$1,450 Fee – Small Scale
Letter of Authorization
(If Necessary)
Legal Description
(8.5 X 11 copy)
Signed Deed to Property
(8.5 X 11 copy)
Aerial Photograph of Property
(8.5 X 11 copy)
Survey/Map of Property
(8.5 X 11 copy)
Justification
When submitting an application, please submit COPIES of any
original documents the documents may get folded, hole-
punched, or stapled.
BAY COUNTY COMMUNITY DEVELOPMENT DEPARTMENT
PLANNING AND ZONING DIVISION
840 West 11
th
Street, Room 2350
Panama City, Florida 32401
(850) 248-8250 FAX (850) 248-8267
e-mail: planning@baycountyfl.gov
Revised 11/1/2012 Future Land Use Map Amendment Application Form Page 9 of 9
Form PA-1