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PLANNING AND DEVELOPMENT LAND DEVELOPMENT COORDINATION CITY OF

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PLANNING AND DEVELOPMENT
LAND DEVELOPMENT COORDINATION
CITY OF TAMPA
INSTRUCTIONS FOR WRITTEN DETERMINATION - FORMAL DECISION APPLICATION
NOTE: Please be aware that these guidelines are provided as a guide to assist you in submitting your Written Determination - Formal
Decision application. These guidelines are derived from Chapter 27 Zoning and City Policy.
**INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED OR PROCESSED.**
PLEASE READ INSTRUCTIONS THOROUGHLY
I. PRE-APPLICATION COUNSELING
Prior to submittal of a formal decision application, it is required that the applicant have a counseling session with a staff member from
the Land Development Coordination Division.
II. MINIMUM REQUIREMENTS FOR APPLICATION
(ALL FORMS MUST BE TYPEWRITTEN OR NEATLY PRINTED, UNLESS OTHERWISE NOTED)
Application Fee (Please verify with staff which fee will be required):
General Request/Lot Split or Reconfiguration
$1
66.50
Nonconforming Status/Vested Rights
$238.50
Review of a Site Plan as Part of the Formal Determination: $
348.50
Application fee shall be paid by money order, cashier's check, business check or credit card. Personal checks and cash are not accepted.
Exhibit A - Please complete all information on this form. Please sign the application in the presence of a notary.
Exhibit B - "Additional Application Information"; Please complete all information on the form. Site plans, photographs, Polk Directory and
other information should be submitted with the application. Staff can assist you in telling what kind of information will be needed for
your specific request. Please note that the evidence submitted by you is imperative in supporting your request. Staff will conduct its own
research regarding the property, including City records and internet searches.
If you are proposing a lot split, you must submit a sealed survey that indicates that width of the proposed lots at the rear of the required
front yard; the point where the lot width is less than the required lot width for the underlying zoning district and the square footage
between that point and the front property line; the square footage of the lot; and the legal descriptions of the proposed lots. If this
information is not provided, your application will be considered incomplete and not accepted.
Exhibit: "Affidavit to apply for a zoning code related application and Authorized Agent for an application to the City of Tampa"
This must be signed in the presence of a notary. Land Development has notaries on staff.
III. SUBMITTAL OF AN APPLICATION
The application may be submitted in person to the Land Development office at 1400 North Boulevard or submitted online through the
City's Accela system at aca.tampagov.net/citizenaccess/default.aspx.
IV. OPEN RECORD PERIOD NOTIFICATION and EVIDENCE ATTESTING NOTIFICATION
All notice must be done in accordance with Section 27-149 of the City of Tampa Code of Ordinances.
Please see the summary sheet, which in part of the application, which must be signed by the applicant or agent. A copy will be
provided to you for assistance in completing the notice requirements correctly.
The final determination of the request can be issued no sooner than 15 days from the date of the submittal of the affidavit of
compliance, the certificate of and the pictures of the posted sign, which is provided by staff.
V . ZONING ADMINISTRATOR DETERMINATION
The Zoning Administrator shall render a written decision no later than 30 working days after the conclusion of the Open Record Period.
The written decision shall include the following (as applicable):
a. A summary of all information received and/or considered, submitted by the applicant, researched by staff and any
information submitted by the public;
b. Finds of fact;
c. A determination of compliance or a finding of all points of noncompliance with Chapter 27 and the Comprehensive
Plan; and,
d. The reasons for the decision, including conditions, if any.
The determination will be submitted to all persons who provided written information to the Zoning Administrator. The written decision
shall not be finalized until the review period has concluded pursuant to Section 27-61.
VI. INFORMATION REGARDING NONCONFORMITIES
To establish a nonconforming use, it must have been legally established prior to either 1956 (adoption of former zoning code Chapter
43) or prior to the late 1980s, depending on where the use is located in the City. Evidence to support a nonconforming use would
include the original Hillsborough County Property Appraiser's card, the Polk Directory, water or electric records, records of past or
current owners (leases, tax returns), notarized statements from licensed professionals and permit records. This is not a complete list.
To establish a nonconforming, residential lot, tax rolls from 1955, 1980, 1984, 1987, and 1989 through the present year.
To establish a nonconforming, non-residential lot, the tax rolls from 1986 though the present year.
Application for Written Determination -
Formal Decision
EXHIBIT A
City of Tampa
Land Development Coordination
1400 North Boulevard
Tampa, FL 33607
(813) 274-3100
Property Owner's Information:
Name(s):
Address:
City:
Zip Code:
Phone Number:
Email address:
Applicant's Information (if different than owner):
State:
Email address:
Phone Number:
Zip Code:
State:
City:
Address:
Name(s):
Parcel Information:
Address:
Name(s):
Agent/Contact (if applicable):
City:
State:
Zip Code:
Phone Number:
Email address:
Case Number:
Received By (print) :
Date Received:
Current Use of Land:
Folio Number(s) (List all):
Location
Address (List all):
Print Form
ADDITIONAL APPLICATION INFORMATION
EXHIBIT B
Case Number:
Application for Written Determination -
Formal Decision
City of Tampa
Land Development Coordination
1400 North Boulevard
Tampa, FL 33607
(813) 274-3100
Detailed Explanation for the Formal Decision:
Please attach additional information that may be appropriate, such as site plans, surveys, photographs, etc.
Please list the evidence submitted below.
AFFIDAVIT TO APPLY FOR A ZONING CODE RELATED APPLICATION and AUTHORIZED
AGENT FOR AN APPLCIATION TO THE CITY OF TAMPA
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 subject of the application for a (please check the appropriate box):
"That the undersigned has(have) appointed and does(do) appoint the agent(s) stated herein as his(their) agent
(s) solely to execute any application(s) or other documentation necessary to affect such application(s)" (if
applicable)
"That this affidavit has been executed to induce the City of Tampa, Florida, to consider and act on the above
described application"
Commission Expiration (Stamp or date):
Notary Signature:
Identification or personally known:
Sworn to and subscribed on this date:
Date:
"That I(we), the undersigned, hereby certify that the foregoing is true and correct"
Agent's Name(s):
Application Number:
Folio Numbers (List all):
I, THE UNDERSIGNED APPLICATION/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 ABOVE REFERENCED REQUEST. IF MY PROPERTY IS GATED, I WILL PROVIDE ACCESS
TO THE PROPERTY UPON REQUEST FROM THE CITY. I ALSO CONSENT TO THE POSTING OF A SIGN ON MY PROPERTY IF
THERE IS A THIRD PARTY SUBMITTAL OF A PETITION FOR REVIEW.
Rezoning
Alcoholic Beverage 1
Variance Review Board
Special Use 2Special Use 1
Formal Decision
(Print):
Signature (owner):
(Print):
Signature (applicant/agent):
Commission Expiration (Stamp or date):
Notary Signature:
Identification or personally known:
Date:
Sworn to and subscribed on this date:
Alcoholic Beverage 2
Substantial Change Incremental Review
Design Exception 1 Design Exception 2
Multiple authorizations may be necessary if there is more than one property owner.
Other
The undersigned authorizes the above agent(s) to represent me (us) and act as my (our) agent(s) at any public
hearing on this matter
The undersigned authorizes the above agent(s) to agree to any conditions necessary to effectuate this
application
NoYes
NoYes
N/A
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Date :
Case Number: FDN-
Agent email address:Applicant email address:
Applicant Phone Number:
Applicant Name(s):
Dear Property Owner or Neighborhood Association:
Please be advised that the applicant listed below has applied for a formal decision (written
determination) from the Zoning Administrator. If you have any documentation that you would
like to submit to the Zoning Administrator for consideration, please forward to Land
Development Coordination at the address above. Documentation may include, but not be
limited to, affidavits, photographs, historical records, etc.
DEADLINE FOR SUBMITTAL OF DOCUMENTATION IS ____ / ____ / ____. DOCUMENTATION
RECEIVED AFTER THE DEADLINE WILL NOT BE CONSIDERED IN THE REVIEW OF THIS RECORD.
Parcel
Address:
WRITTEN DETERMINATION -
FORMAL DECISION
NOTICE TO GOOD NEIGHBOR &
SURROUNDING PROPERTY OWNER FOR:
OPEN RECORD PERIOD
(Print):
Signature (applicant/agent):
EXHIBIT D
Agent Name(s):
Agent Phone Number:
Application for Written Determination -
Formal Decision
City of Tampa
Land Development Coordination
1400 North Boulevard
Tampa, FL 33607
Formal
Determination
Request for:
EXHIBIT E
AFFIDAVIT ATTESTING TO NOTIFICATION
"That I am (we are) the applicant or agent for the following described property:"
"That this property constitutes the property for which a formal decision of the Zoning Administrator is requested
according to Application Number:"
"That attached is a copy of the postmarked Certificate of Mailing receipt for notice (s) to property owners
within 250 feet of the subject parcel and a copy of the notice mailed out (Exhibit D), which notices were mailed
on:"
Application Number:
Date Mailed:
"That the registered neighborhood association/participating organization received a copy of the notice and
site plan or survey, if applicable, via regular mail."
"That a list of the property owners (with addresses and folio numbers, according to the most current ad
valorem tax record), the map from the Hillsborough County Property Appraisers office showing all properties
within 250' and affected registered neighborhood associations(s) is attached and made a part of this
Affidavit."
Sworn to and subscribed on this date:
Identification or personally known:
Notary Signature:
Commission Expiration (Stamp or date):
(Print):
Signature (applicant/agent):
City of Tampa
Land Development Coordination
1400 North Boulevard
Tampa, FL 33607
(813) 274-3100
Application for Written Determination -
Formal Decision
"That this property constitutes the property for which a formal decision of the Zoning Administrator is requested
according to Application Number:"
Parcel Address (List all):
"That I am (we are) the applicant or agent for the following described property:"
Property Owner/Agent
Name(s):
"That two (2) photographs showing the placement of and language on the "notification sign" be made a part
of this Affidavit."
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PUBLIC NOTICE CHECK LIST
APPLICANTS RESPONSIBILITY
Case #FDN-____-________
MAIL NOTICE
Participating neighbors (all property owners within 250-feet of the subject property and the dated variance/
buffer notice map upon which the list is based, obtained from the Hillsborough County Property Appraiser's
Office or via its official website/Web-based GIS service.
Mailed by “certificate of mailing” through the United States Post Office (receipt submitted with the
Affidavit of Compliance)
Participating Organizations (all organizations registered at www.tampagov.net/ldc.)
Mailed by regular mail to the address of the authorized representative of the participating organization. The participating
organization must receive a copy of the site plan or survey, if applicable.
POST SIGN(S)
Sign Posting (Post sign located on or near the front of the subject property, adjacent to and visible from
the street or public right of way and not within a building or obstructed by any site feature. If the property
maintains two (2) or more street frontages, at least one (1) sign must be posted per property frontage.)
Take two (2) photographs of each sign to be attached to the Affidavit of Compliance, which
show the posted sign on the subject property and the language as written on the sign when posted.
AFTER COMPLETING THE NOTICE REQUIREMENT (AFFIDAVIT MUST BE RECEIVED BY THE CITY)
SUBMITTAL OF AFFIDAVIT OF COMPLIANCE
Submitted to: Land Development Coordination, 1400 N Boulevard, or uploaded in the Accela system.
Affidavit attachments, must include:
The certificate of mailing to the property owner;
The ad valorem tax rolls used for providing notice to property owners and/or participating neighbors.
The official list of property owners, which shows the corresponding folio numbers and dated buffer notice
map, with the Property Appraiser's seal, upon which the list is based, obtained from the Hillsborough
County Property Appraiser's office or via its official website/Web-based GIS service, shall be considered the
most current tax roll, so long as the list has been produced no more than six (6) months prior to the date of
the filing for the pending application;
A copy of the mailed notice letter;
The list of participating organizations which were provided good neighbor notice, including the mailing address
and authorized representative; and,
Two (2) photographs of the posted sign, one which clearly shows the language on the posted sign and one which
clearly shows the location where the sign is posted on the subject property.
I reviewed and understand the above requirements for public hearing notice.
________________________________ ________________________
APPLICANT SIGNATURE DATE
This must be submitted to staff at the time of the submittal of the application. A copy will be provided to you to assist you
in the processing of the notice.
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PLANNING AND DEVELOPMENT LAND DEVELOPMENT COORDINATION CITY OF

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Completed 5 August 2020

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