www.brevardfl.gov/PlanningDev/PlanningAndZoning
Planning and Zoning
2725 Judge Fran Jamieson Way
Building A, Room 114
Viera, Florida 32940
(321) 633-2070 Phone
LAND DEVELOPMENT WAIVER APPLICATION
This form should be used for all waiver requests or appeals associated with the Code of
Ordinances, Section 62, as it relates to Subdivisions, Minor Subdivisions, and Site Plans. Fees
for Waivers are $775.00.
Office Use Only
___________________ __________ ________________
Request Date Fees Board Date
______________________ _____________________
Original Project Number Waiver Number
___________ _____________________
Coordinator Initials Reference Files
_____________________________________________
County Manager/Designee Approval
APPLICATION TYPE: Subdivision Waiver Site Plan Waiver Other
_______________________________________
If other, please indicate
Tax Parcel Identification:
____________ ____________ ____________ __________ ___________ _________
Township Range Section Subdivision Block/Parcel Lot
Tax Account Numbers (list all) ________________ ________________ _______________
________________ ________________ ________________ ________________
_________________________________ _________________________________________
Project Name Property Owner