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SUBMITTAL CHECKLIST All submittals must include ten (10)

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Cover Page
PROJECT NAME:__________________________________________
SUBMITTAL CHECKLIST
All submittals must include ten (10) paper sets (folded & sorted into complete packet sets) and an electronic copy
(on cd or thumb drive) of the following:
Completed Development Application (complete all fields, use N/A when not applicable).
Architectural & Aesthetic Review Request (pg. 11, all submittals)
Variance Request (pg. 13, if applicable)
Special Exception Request (pg. 14, if applicable)
Boundary Survey (Dated to within 6 months of application submission).
Signed and Sealed Schematics depicting building on site, setbacks, grading, drainage and elevations, as
well as the relationship of the site to the neighboring sites (e.g. Site Plan, Drainage and Grading Plan, Roof
Plan, Landscape Plan, Elevations).
Tabular Data showing compliance with all lot coverage, floor area, building height, grade and landscaping
requirements.
SITE PLAN CHECKLIST
Please be sure to include the following on the Site Plan:
Depict and label 10’ Town Strip (front of property) and 5’ utility easement (rear of property), and all other
applicable easements.
Depict and label all setbacks and Code required setback lines (front, rear, side, pool, etc.).
Provide a tabular data table reflecting data from the tables on pgs. 7-8 of this development application.
For renovations and/or additions, please shade proposed addition area(s) to differentiate from existing.
Include all a/c equipment, pool equipment and emergency generators and label as proposed or existing.
Ensure that beam height and top of roof are dimensioned on all elevation drawings submitted.
Provide a construction schedule for the proposed project (including calendar dates).
LANDSCAPE PLAN CHECKLIST
Please be sure to include the following on the Landscape Plan:
Depict and label the 10’ Town Strip (front of property) and 5’ utility easement (rear of property).
Include and label both existing (to remain) and proposed landscaping on the subject property.
Provide a species legend/key including the height of all landscaping to be provided at installation.
Ensure that the requirements for 10’ Town Strip and front yard trees are met.
For multi-story construction, ensure that the requirements for privacy screening are met.
Ensure screening is provided for all ground mounted mechanical equipment (e.g. a/c compressors, pool
equipment, emergency generators).
NOTE: Checklists are not comprehensive. They are provided solely to remind Applicants to include items
commonly omitted from plans submitted to the Town.
Reviewed By: _______________
Date: ______________________
Fee Paid: ___________________
Town Receipt No: ____________
Page 1 of 14
DEVELOPMENT APPLICATION
TOWN OF PALM BEACH SHORES
247 EDWARDS LANE
PALM BEACH SHORES, FL 33404
(561) 844-3457
OWNER/APPLICANT:____________________________________________________________
PROJECT ADDRESS:_____________________________________________________________
APPLICATION NO.: SUBMITTAL DATE:
TYPE OF APPROVAL(S) REQUESTED (Check box(es) )
ADMINISTRATIVE APPEAL
SITE PLAN MODIFICATION
(14-62)
ARCHITECTURAL AND
AESTHETIC REVIEW (Pf. 14-86)
SITE PLAN REVIEW (14-62)
COMPREHENSIVE PLAN
AMENDMENT (Pf. 17.3(B))
SPECIAL EXCEPTION (Pf. 15.8)
PLAT APPROVAL
VARIANCE (Pf. 15.4)
REZONING (Pf. 17.3(B))
ZONING TEXT AMENDMENT
(Pf. 17.3(B))
PROPERTY OWNER(S)
APPLICANT (If different than Owner(s))
NAME:
ADDRESS:
PHONE:
EMAIL:
AGENT (If different than Owner(s))
CURRENT OCCUPANT (If different than Owner(s))
NAME:
ADDRESS:
PHONE:
EMAIL:
Page 2 of 14
PLANNER
DEVELOPER
NAME:
ADDRESS:
PHONE:
EMAIL:
ARCHITECT
LANDSCAPE ARCHITECT
NAME:
ADDRESS:
PHONE:
EMAIL:
SURVEYOR
ATTORNEY
NAME:
ADDRESS:
PHONE:
EMAIL:
ENGINEER (USE ADD’L. SHEET
FOR
MULTIPLE ENGINEERS)
NAME:
ADDRESS:
PHONE:
EMAIL:
Page 3 of 14
I (We) affirm and certify that I (We) understand and will comply with all provisions and regulations of
the Town of
Palm Beach Shores, Florida. I (We) understand that if this Application is approved by the
Town, the aforementioned real
property described herein will be considered, in every respect, to be a
part of the Town of Palm Beach Shores and
will be subjected to all applicable laws, regulations, taxes
and police powers of the Town including the
Comprehensive Plan and Zoning Ordinance. I (We)
further certify that all statements and diagrams submitted
herewith are true and accurate to the best
of my (our) knowledge and belief. Further, I (We) understand that this
Application and attachments
become part of the Official Records of the Town of Palm Beach Shores, Florida and
are not returnable.
I (We) acknowledge that no permit will be issued before all fees associated with Application are paid.
1. Owner acknowledges and understands that the fee for site plan review, architectural/aesthetic
review, variance, special exception, rezoning, etc. may not cover all review costs. A final statement
of any outstanding costs (covering advertising costs, legal, architectural and other consultant costs)
will be sent to the applicant upon completion of the review process. Owner accepts financial
responsibility for all costs incurred as a result of this Application.
2. A construction schedule is required of all developers during the development process. The Planning
and Zoning Board must approve your proposed construction schedule.
3. The Town requires payment of impact fees for floor area added during the development, re-
development or renovation of a property. These impact fees will be used to pay for capital
improvements relative to Fire Protection, Police Protection, Parks & Recreation and Public
Buildings. Impact fees must be paid to the Town before a Certificate of Occupancy will be issued.
4. Roll-off dumpsters for construction/demolition debris and solid waste must be rented through the
Town’s contracted solid waste hauler, Waste Management.
5. Final as-built plans must be submitted to the Town in digital form, preferably in PDF format.
By signing below, I acknowledge that I have read and understand the five (5) items listed above.
Signature of Owner Date
Printed Name of Owner
STATE OF FLORIDA
PALM BEACH COUNTY:
The foregoing instrument was acknowledged before me by means of ☐ physical presence or ☐ online
notarization this ______ day of _________________ 20_____ ,
by __________________________________________________ who is personally known to me or has
produced ___________________(type of identification) as identification.
_____________________________________ ____________________________________
(Name - type, stamp or print clearly) (Signature)
NOTARY'S SEAL
OWNER ACKNOWLEDGMENT & CERTIFICATION
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Page 4 of 14
Consent to an agent is required from the property owner(s) and contract purchaser, if applicable, if the
property owner(s) or contract purchaser does not intend to attend all meetings and public hearings and
submit it person all material pertaining to the Application. Consent to a firm shall be deemed consent for
the entire firm, unless otherwise specified.
This form shall serve as consent for the agent identified below to prepare or have prepared all documents
for the Application affecting property I (We) have an ownership interest in.
I (We) hereby designate and authorize the below-signed person to act as my (our) agent in regard to this
Application and accept financial responsibility for any costs incurred by the agent as a result of this
Application. Further, I (We) acknowledge that no permit will be issued before all fees associated with
Application are paid.
Signature of Owner or Trustee Date
STATE OF FLORIDA
PALM BEACH COUNTY:
The foregoing instrument was acknowledged before me by means of ☐ physical presence or ☐ online
notarization this ______ day of _________________ 20_____,
by __________________________________________________ who is personally known to me or has
produced ___________________ (type of identification) as identification.
_____________________________________ ____________________________________
(Name - type, stamp or print clearly) (Signature)
NOTARY'S SEAL
Agent Information:
_________________________________ ________________________________
Printed Name of Agent Name of Firm
_________________________________ ______________________
Signature of Agent Date
AUTHORIZATION OF AGENT & ACKNOWLEDGEMENT OF
FINANCIAL RESPONSIBILITY
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Page 5 of 14
All development applications required to be submitted to the Planning and Zoning Board for
review (Site Plan Review, Site Plan Modification, Architectural and Aesthetic Review, Special
Exceptions and
Variances) will be subject to the following procedures:
1.
Development Review Committee (“DRC”) review is regularly scheduled for the first
Wednesday of each month at 2:00 pm. In order to
be placed on the DRC agenda, a
complete application must be submitted to the Town Clerk by the close of business on
Monday of the week prior to the regularly scheduled DRC meeting. Incomplete
applications and late submittals will not be placed on a DRC agenda.
2.
If, as a result of the initial DRC review, it is determined by the DRC that a subsequent
DRC meeting is necessary, the complete
revised application must be submitted to the
Town Clerk by the close of business on Monday of the week prior to the regularly
scheduled DRC meeting. Applications that fail to include all revisions required by the
DRC,
or that are submitted late will not be placed on a DRC agenda until they
have been corrected and are
timely.
3.
If, as a result of the initial DRC review, it is determined by the DRC that the project can
proceed to the Planning and Zoning Board, a complete Planning and Zoning Board
application must be submitted to the Town Clerk including all revisions noted by the DRC.
A sufficiency review will be performed by the Town to confirm that all comments provided
by the DRC have been addressed and a complete revised application submitted. Once all
DRC comments have been adequately addressed and a complete revised application
submitted, the submittal will be placed on the agenda for the next available Planning and
Zoning Board, subject to legal advertising requirements. Planning
and Zoning Board
review is regularly scheduled for the fourth Wednesday of each month.
Applications that
fail to include all revisions required by the DRC or that are incomplete will not be
placed on a Planning and Zoning Board agenda.
APPLICATION FEE INFORMATION
Administrative Appeal
Site Plan Review
Site Plan Modification Review
$250.00
$350.00
$350.00
Variance Request
Special Exception Request
Telecom Site Plan Review or Modification
Plat Approval Request
Comprehensive Plan Amendment
Zoning Text Amendment / Rezoning
$350.00
$250.00
$500.00
$600.00
$750.00
$750.00
Sufficiency Review Zoning Official (rate per hour)
PROCEDURES AND TIMELINES
Page 6 of 14
NUMBER OF COPIES REQUIRED
Development Review Committee Ten (10) paper sets (folded & sorted into complete packet
sets), including one (1) sealed original with original
signatures and nine (9) copies, three (3) of which are sealed
by a licensed engineer, architect and/or surveyor, and an
electronic copy of all documents (on cd or thumb drive).
Planning and Zoning Board Ten (10) paper sets (folded & sorted into complete packet
sets), including one (1) sealed original with original
signatures and nine (9) copies, three (3) of which are sealed
by a licensed engineer, architect and/or surveyor, and an
electronic copy of all documents (on cd or thumb drive).
Local Planning Agency Ten (10) copies (folded & sorted into complete packet sets).
Town Commission Ten (10) paper sets (folded & sorted into complete packet
sets), including one (1) sealed original with original
signatures and nine (9) copies, three (3) of which are sealed
by a licensed engineer, architect and/or surveyor (as
applicable), and an electronic copy of all documents (on cd or
thumb drive).
Applicant acknowledges and understands that the fee for Site Plan Review,
Architectural/aesthetic Review, Variance, Special Exception, Rezoning, etc. may not cover all
review costs. A final statement of any outstanding costs (covering advertising costs, legal,
architectural, and other consultants) will be sent to the Applicant upon completion of the review
process.
Page 7 of 14
Tabular data showing compliance with all lot coverage, floor area, building height, grade and
landscaping requirements must be provided on all submitted plans (Town Code § 14-62).
PROJECT NAME:
PROJECT ADDRESS:
PROJECT LEGAL DESCRIPTION:
*** All boxes must be completed, use N/A where appropriate ***
GENERAL DATA
CODE
REQUIREMENT
EXISTING
PROPOSED
COMPREHENSIVE PLAN DESIGNATION:
(SF-5, MF-21, MF-30, MF-42, P, ROS)
None
LAND USE:
(Residential, Commercial, Recreational,
Marina, Public, etc.)
None
ZONING DISTRICT:
(A, B, C, D, P, ROS, designated at Pf. 3.1,
Zoning Ordinance)
None
FLOOD ZONE CATEGORY:
None
LOT COVERAGE, LANDSCAPING &
PARKING
CODE
REQUIREMENT
EXISTING
PROPOSED
TOTAL LOT SIZE: (sq. ft.)
None
TOTAL COVERAGE OF A LOT BY
BUILDINGS:
(Pf. 5.4, 6.4, 7.5 or 8.5, Zoning Ordinance)
TOTAL LANDSCAPE COVERAGE:
(Pf. 5.4.3, Zoning Ordinance)
OFF-STREET PARKING:
(Pf. 5.13, 6.12, 7.13 or 8.14, Zoning
Ordinance)
SETBACKS
CODE
REQUIREMENT
EXISTING
PROPOSED
FRONT YARD:
(Pf. 5.5, 6.6, 7.7 or 8.7, Zoning Ordinance)
REAR YARD:
(Pf. 5.6, 6.7, 7.9 or 8.9, Zoning Ordinance)
SIDE YARD:
(Pf. 5.7, 6.8, 7.8 or 8.8, Zoning Ordinance)
Page 8 of 14
FLOOR AREA
CODE
REQUIREMENT
EXISTING
PROPOSED
FIRST FLOOR AREA (sq. ft.):
None
SECOND FLOOR AREA (sq. ft.):
(Pf. 5.4.2, Zoning Ordinance)
TOTAL FLOOR AREA (sq. ft.):
(Pf.2.23, Zoning Ordinance)
None
FLOOR AREA RATIO:
(Pf. 5.4.2, Zoning Ordinance)
DWELLING UNIT DENSITY:
(Pf. 6.5, 7.6 or 8.6, Zoning Ordinance)
IMPERVIOUS AREA
NET INCREASE
EXISTING
PROPOSED
BUILDING FIRST FLOOR AREA (sq. ft.):
OTHER IMPERVIOUS AREA (sq. ft.):
(Decks, Patios, Walkways, Driveways, Pool
Deck & Pool Surface Areas)
TOTAL IMPERVIOUS AREA (sq. ft.):
ELEVATIONS
CODE
REQUIREMENT
EXISTING
PROPOSED
GRADE ELEVATION (NAVD):
(Pf. 4.6, Zoning Code)
ESTABLISHED 1
ST
FLOOR ELEVATION
(NAVD): (Pf. 4.6, Zoning Code)
MEAN CROWN OF ROAD ELEVATION
(NAVD):
None
BUILDING HEIGHT
CODE
REQUIREMENT
EXISTING
PROPOSED
TOTAL BUILDING HEIGHT (NAVD):
(Pf. 5.2, 6.2, 7.3 or 8.3, Zoning Ordinance)
TOP OF BEAM HEIGHT (NAVD):
(Pf. 5.2, 6.2, 7.3 or 8.3, Zoning Ordinance)
ROOF PITCH:
(Pf. 5.2, 6.2 or 7.3, Zoning Ordinance)
FLAT ROOF PERCENTAGE:
(Pf. 5.2, Zoning Ordinance)
Page 9 of 14
Provide a summary of the proposed project, describing in detail the construction, phasing and proposed development
to occur as part of this application (attach additional sheets if needed):
Note: Construction Schedule is due as part of site plan review and before building permit issuance. (Town Code §14-63). A
signed and notarized contract (signed by owner) must be provided before building permit issuance. (Town Code §14-108).
Provide an estimate of construction costs:
Describe the existing improvements located on the subject property (attach additional sheets if needed):
Provide a project history for the subject property, including any prior development approvals filed within the last year
in connection with the subject property. Please include the date of previous site plan approval by the Planning and
Zoning Board for this property (attach additional sheets if needed):
Provide the justification, special reasons, or basis for the approval of this application. Explain why this application
is consistent with
good planning and zoning practice, will not be contrary to the Town’s Comprehensive Development
Plan, and will
not be detrimental to the promotion of public appearance, comfort, convenience, general welfare, good
order, health,
morals, prosperity, and safety of the Town. Additionally, all standards set forth in the Town Code of
Ordinances for
Special Exceptions, Variances, Administrative Appeals, etc. must be addressed. (attach additional
sheets if needed):
Provide any other pertinent information related to the subject property to support the proposed request.
JUSTIFICATION STATEMENT
Page 10 of 14
DRAINAGE REQUIREMENTS
(For projects proposing additional on-site impervious area)
For proposed renovations/modifications to existing projects that result in LESS THAN a 50% increase in total
site imperviousness, retain 1” of stormwater volume from the total additional impervious area.
For proposed new construction, or renovations/modifications to existing projects that result in a GREATER
THAN a 50% increase in total site imperviousness, retain 1” of stormwater volume over the entire site.
Submit a Survey with topographic elevations and existing improvements.
A Drainage and Grading Plan and drainage calculations are required to be submitted with the application
package for new construction projects and substantial modifications to existing projects. The Drainage Plan
must show the following:
a. Existing and proposed elevations.
b. Location of sodded swales, sodded depressed retention areas, underground exfiltration trench
and/or other proposed stormwater treatment/retention methods.
c. Underground piping and inlets and other drainage system improvements proposed.
d. Drainage calculations showing the retention of the volume of 1” of stormwater from addition
impervious areas (or overall site).
e. Show drainage improvements and underground piping, including water and sewer services, on
the Landscape Plans to show no conflicts exist.
f. Include note that no runoff may be directed to adjacent properties and all storm flows and runoff
must be retained on-site prior to discharge into the adjacent roadway right-of-way following
retention of required stormwater volume.
g. Provide engineering details of gutter and downspout dry wells, if proposed.
h. Provide engineering detail of exfiltration trench, if proposed.
i. Provide engineering detail of sodded swales, if proposed.
j. Provide engineering detail of depressed dry retention areas, if proposed.
k. Provide Geotechnical Report or engineering assumptions/justification for coefficient of
permeability (K Factor) for exfiltration trench design, if proposed.
l. Engineering details/cross sections at property lines demonstrating no runoff will flow to adjacent
properties may be required.
Project Engineer or Architect shall be responsible for insuring the drainage improvements are completed in
substantial accordance with the approved plan.
Prior to C.O., Project Engineer or Architect to provide final signed and sealed certification that the drainage
improvements and grading have been completed in substantial accordance with the approved plan.
Upon receipt of final Certification from Project Engineer or Architect, Town Engineer to visit site and ensure
conformance of Town requirements prior to issuance of final C.O.
Page 11 of 14
Please be advised that pursuant to Sec. 14-86 and 14-87 of the Town Code of Ordinances, the Town Planning and
Zoning Board uses the following criteria in order to complete its Architectural and Aesthetic Review. Each criteria
must be addressed by the applicant prior to the application being processed.
1. Relationship of building to site: (Explain transition from streetscape; placement of parking and service areas;
and compatibility of building height and scale with site):
2. Relationship of building and site to adjoining area(s): (Explain how structures and landscaping are consistent
with established neighborhood character and will enhance the surrounding area. Include description of architectural
style, as well as textures, materials and colors to be utilized):
3. Landscape and site treatment: (Explain how landscaping, exterior lighting and other site elements will be used
to enhance architectural features, buffer the mass of buildings as appropriate, and enhance the privacy of the owner
and neighbors. Describe the use of native species and xeriscaping as appropriate.):
4. Building design: (Explain proposed building design and style, and how components such as roofs, windows,
doors, eaves and parapets are balanced in proportion to each other; address harmoniousness of colors, visual interest
and compatibility):
Please provide all documentation and/or samples necessary to address all architectural review criteria as
applicable. Attach additional pages as necessary.
REQUEST FOR ARCHITECTURAL AND AESTHETIC REVIEW
Page 12 of 14
1.
Previously approved (Original) site plan information:
a.
Original Project Name:
b.
Original Site Plan Application No.:
c.
Original Site Plan Approval Date:
d.
List of all other relevant information on file with original application:
2.
Requested Modification(s):
Please provide all documentation necessary to describe the proposed modification and to explain the reason(s) for
the proposed modification(s), including a survey, if applicable. Attach additional pages as necessary.
REQUEST FOR SITE PLAN MODIFICATION
Page 13 of 14
The Applicant is requesting a variance from the Town Code Section(s) to permit the following:
Please be advised that a variance from the terms of the Zoning Code shall not be recommended by the Planning and
Zoning Board, nor granted by the Town Commission, unless the Applicant is able to demonstrate the following:
1.
Explain the special conditions and circumstances which exist that are peculiar to the land, structure, or building
involved and which are not applicable to other lands, structures, or building in the same zoning district:
2.
Explain how the special conditions and circumstances that exist do not result from the actions of the Applicant:
3.
Explain how the literal interpretation of the provisions of the Zoning Ordinance would deprive the applicant of
rights commonly enjoyed by other properties in the same zoning district under the terms of the Zoning Code
and would work unnecessary and undue
hardship on the Applicant:
4.
Explain how the variance requested is the minimum variance that will make possible a reasonable use of the land,
building or structure:
5.
Explain how the granting of the requested variance will not confer on the Applicant any special privilege that is
denied by the Zoning Code to other lands, structures, or buildings in the same zoning district:
6.
Explain how the grant of the requested variance will be in harmony with the general intent and purpose of the
Zoning Code and will not be injurious to the neighborhood or otherwise detrimental to the public welfare:
The burden of meeting the standards as set forth above is upon the Applicant. Please provide all documentation
necessary to prove your case, including a survey, if applicable. Attach additional pages as necessary.
REQUEST FOR VARIANCE
Page 14 of 14
The Applicant is requesting a special exception pursuant to Town Code Section(s) to permit the following:
A Special Exception shall not be recommended by the Town Planning and Zoning Board, nor granted by the
Town Commission, unless the Applicant is able
to demonstrate the following:
1.
Explain how all structures will be separated from adjacent and nearby uses by appropriate screening devices:
2.
Explain whether or not excessive vehicular traffic will be generated on surrounding residential streets:
3.
Explain whether or not a vehicular parking or traffic problem is created:
4.
Explain where on the site appropriate drives, walkways and buffers will be installed:
5.
Explain how the proposed use will make a substantial contribution to the neighborhood environment and will
not
infringe on the rights of properties in the vicinity:
6.
Explain how the proposed use will not endanger, restrict or impair public safety:
The initial burden of meeting the standards as set forth above is upon the Applicant. Please provide all
documentation
necessary to prove your case, including a survey, if applicable. Attach additional pages as necessary.
REQUEST FOR SPECIAL EXCEPTION
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SUBMITTAL CHECKLIST All submittals must include ten (10)

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Completed 18 May 2021

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