Fillable Zoning Certificate Of Use Application (City of Dania Beach)

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Zoning Certificate Of Use Application (City of Dania Beach)

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The Zoning Certificate Of Use Application (City of Dania Beach) form is 2 pages long and contains:

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  • 5 check-boxes
  • 43 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Dania Beach

BROWSE CITY OF DANIA BEACH (FL) FORMS

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FORM UPDATED 6/12/2020
CITY OF DANIA BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
ZONING DIVISION
100 W Dania Beach Blvd. Dania Beach, FL 33004
TEL: 954-924-6805 / FAX: 954-922-2687
CERTIFICATE OF USE APPLICATION
There is a non-refundable $30 fee for the processing of this application.
(Remit a check payable to the City of Dania Beach.)
CERTIFICATE OF USE APPLIED FOR (CHECK ONE):
[ ] New Business [ ] Change of Business Name [ ] Change of Ownership
[ ] Adding or Changing of Use [ ] Transfer Location (existing business to new location)
NOTE: Application must be signed by business owner or authorized corporate officer.
NOTE: Application must be signed by business owner or authorized corporate officer.
_______________________________________ ______________________
Signature Title
____________________________________________________ _____________________________
Printed Name Date
State of Florida:
County of Broward:
The foregoing instrument was acknowledged before me this ______ day of _______, by____________________________
who is personally know to me or who has produced ___________________________as identification, and who did (or did
not) take an oath.
_____________________________________________________
NOTARY PUBLIC (SEAL)
MY COMMISSION EXPIRES:
_____________________________________________________________________________________________________
OFFICE USE ONLY: DO NOT COMPLETE BELOW THIS LINE.
CERTIFICATE NUMBER: _________________REVIEWED BY: ________________ APPROVED BY: _____________
[ ] DENIED: INFORMED APPLICANT VIA:__________________________________ DATE:____________________
Date of Application: ___________________________________
Name of Business:_____________________________________
D/B/A:______________________________________________
Business Address:_____________________________________
Building #:________________ Bay/Suite #:________________
Email :______________________________________________
Business Owner’s Name: _______________________________
Business Owner’s Address: _____________________________
Business Owner’s City/State/Zip:_________________________
Folio #:_______________________
Property Zoned:________________
Business Tel:__________________
Business Fax:__________________
Emergency Tel:________________
Square Ft of Bay/Space:__________
Multi-Tenant Bldg: [ ] Yes [ ] No
Home Tel:____________________
Alternate Tel:__________________
PROPOSED USE (DETAILED DESCRIPTION OF ACTIVITIES): _____________________________________
__________________________________________________________________________________________________
____________________________________________________________________________________________
NOTE: THIS APPLICATION IS ONLY REVIEWED TO DETERMINE IF THE USE IS ALLOWED BY THE ZONING DISTRICT. ALL OTHER
CITY OR STATE REQUIREMENTS AND REGULATIONS CONTINUE TO BE APPLICABLE. A CERTIFIED DISTANCE SEPARATION
SURVEY MUST BE SUBMITTED FOR ANY USE/S REQUIRING DISTANCE SEPARATIONS AS SPECIFIED IN THE CODE.
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FORM UPDATED 6/12/2020
CERTIFICATE OF USE
SUPPLEMENTAL INFORMATION
1. CURRENT USE OF STRUCTURE _______________________________________________
A. Square Footage _____________________________________________________
2. PROPOSED USE OF THE STRUCTURE* _________________________________________
A. Square Footage ____________________________________________________
3. SINGLE OR MULTI-TENANT BUILDING _________________________________________
A. IF MULTI-TENANT: YOU MAY BE ASKED TO PROVIDE A LIST OF OTHER
TENANTS IN THE PROPERTY , THEIR USES AND SQUARE FOOTAGE
4. TOTAL NUMBER OF PARKING SPACES ON-SITE __________________________________
A. Total Spaces Required (Staff Only) ______________________________________
5. IF VACANT, HOW LONG HAS IT BEEN VACANT? _________________________________
6. * VACANCY FOR GREATER THAN 6 MONTHS AND/OR A CHANGE OF USE MAY
REQUIRE SITE PLAN APPROVAL PURSUANT TO ARTICLE 635 AND OR COMPLAINCE
WITH VEHICULAR USE AREA LANDSCAPING PURSUANT TO ARTICLE 275 PRIOR TO
ISSUANCE OF CERTIFICATE OF USE.
7. ARE THERE ANY CODE VIOLATIONS? __________________________________________
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Zoning Certificate Of Use Application (City of Dania Beach)

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Completed 15 July 2020

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