Escambia County Planning and Zoning

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Escambia County Planning and Zoning Development Services Department 3363 West Park Place Pensacola, FL 32505 Phone: (850) 595-3475 Fax: (850) 595-3481 http://myescambia.com/business/ds DO NOT SUBMIT INFORMATION BELOW WITH APPLICATION BOARD OF ADJUSTMENT APPLICATION FOR DEVELOPMENT ORDER EXTENSION/ADMINISTRATIVE APPEAL A. Prior to Application Submittal Please contact the Development Services Department located at 3363 West Park Place (595-3475) to make an appointment for a pre-application meeting with a Planner to personally discuss your site and prospective plans for it, to review the application forms and criteria with you, to answer any questions you may have, and/or any possible alternatives. B. Application Submittal It is important for the application packet to be complete and on time in order to process and schedule your request for the required public hearing(s). The submittal deadline is the FIRST THURSDAY of the PREVIOUS MONTH. In order for the application request to proceed in a timely manner, all items on the application forms and checklist (attached herein) must be completed and submitted prior to the deadline. Scheduling a pre-application meeting with a Planner is recommended. Any incomplete application will not be accepted by Staff and any application submitted after the deadline will be processed for the next available meeting. The owner and/or agent acting in his/her behalf, must sign the certification(s) where indicated on the application. If an agent is handling the request, the owner must submit an Affidavit of Ownership & Limited Power of Attorney (attached herein) authorizing said agent to act in his/her behalf. Signatures must be properly notarized and dated no more than sixty (60) days prior to application submittal. No guarantee is made for the approval of any petition. Fees are non-refundable regardless of the decision. C. Public Hearing(s) It is the Applicant s burden to show consistency with all applicable criteria. NOTE: The applicant, or his/her agent, must be present at the Planning Board meeting and the subsequent Board of County Commissioners meeting. The Applicant/Agent will receive Staff s Findings of Fact prior to the Planning Board Meeting. D. Public Notice Per the Land Development Code Chapter 2, Article 7: Adequate public notice/advertisement will be consistent with Florida Statutes and the Comprehensive Plan prior to the hearing. Current property owners within a 500 foot radius of the subject property will be notified of the proposed rezoning request by DSD at least fifteen (15) days prior to the hearing. Staff will obtain the list of mailing addresses from the Escambia County Property Appraiser s Office website (escpa.org). - 1 -

Escambia County Planning and Zoning Development Services Department 3363 West Park Place Pensacola, FL 32505 Phone: (850) 595-3475 Fax: (850) 595-3481 http://myescambia.com/business/ds Board of Adjustment Application FOR OFFICE USE ONLY - Case Number: Accepted by: BOA Meeting: Development Order Extension Administrative Appeal 1. Contact Information: A. Property Owner/Applicant: Mailing Address: Business Phone: Cell: Email: B. Authorized Agent (if applicable): Mailing Address: Business Phone: Cell: Email: Note: Owner must complete the attached Agent Affidavit. If there is more than one owner, each owner must complete an Agent Affidavit. Application will be voided if changes to this application are found. 2. Property Information: A. Project Name & Development Order Number (if applicable): B. Existing Street Address: Parcel ID (s): C. Total acreage of the subject property: - 2 -

3. Reason for Request A. Please explain why the extension or administrative appeal is necessary. B. Development Order Extension The LDC requires good faith efforts in adhering to its established periods, but extension of an eligible LDC time limit may be requested according to the provisions of this section whereby a landowner asserts that the limit does not anticipate legitimate delays in compliance. However, no applicant is automatically entitled to any extension. Short-term (6 month) extensions are evaluated by the Planning Official, and longer extensions (one year) shall be evaluated through a quasi-judicial public hearing review by the BOA. These extension processes allow additional time for concluding the compliance review, developing an approved use, and continuing or reestablishing some uses. 1. Limits on extensions. Extensions to LDC periods are subject to the following limitations: a. Availability. Extensions are available and may be granted only for LDC periods that specifically provide that option, only if a complete application for the extension was submitted prior to the expiration of the period for which the extension is requested, and only as otherwise allowed by the provisions of the LDC. b. Approving authority. Extensions to any period not required by the LDC but imposed as a condition of approval by an approving authority cannot be granted by another approving authority. c. Individual and multiple limits. An extension can only be granted based on a specific review of an individual period. If an extension of more than one period is requested, the extension criteria shall be evaluated for each limit. C. Administrative Appeal Application for appeal of an administrative decision shall be submitted for compliance review within 15 days after the date of the decision being appealed. A quasi-judicial public hearing for the appeal shall be scheduled to occur within 30 business days after receipt of a complete application. The application shall provide information as required by the adopted appeal procedures, including the following: 1. Decision appealed. A copy of the written administrative decision to be reviewed on appeal. 2. LDC reference. Identification of the specific LDC provisions for which noncompliance is alleged. 3. Alleged error. A description of how the decision of the administrative official is considered arbitrary or capricious. - 3 -

4. Conditions. Documentation satisfying the conditions established in the compliance review provisions of this section. 5. Remedy. A description of the proposed remedy. 6. Other information. Any other pertinent information the applicant wishes to have considered. D. Medical Hardship Temporary placement of a manufactured (mobile) home or park trailer may be requested according to the provisions of this section when a landowner asserts that existing medical conditions require in-home care and an accessory dwelling to reasonably provide it. The manufactured home may be placed within any mainland zoning district to remedy a medical hardship according to the temporary use provisions of Chapter 4, regardless of the density limits of the applicable zoning. The requirements to grant the temporary use of a manufactured home or park trailer as an accessory dwelling to provide in-home medical care is considered by the BOA in a quasi-judicial hearing whether conditions warrant such use. The BOA shall conduct a quasi-judicial public hearing as noticed to consider the requested medical hardship temporary use of a manufactured home or park trailer according to the provisions of this article. The applicant has the burden of presenting competent substantial evidence to the board that establishes each of the following conditions: 1. Certified need. A Florida-licensed physician certifies in writing the medical need, specifying the extent of the need for in-home medical care and the approximate length of time for such in-home medical care. 2. Minimum necessary. Conditions and circumstances make it difficult or impossible for the recipient and provider of medical care to reside in the same dwelling and the temporary accessory dwelling is the minimum necessary to provide relief of that medical hardship. 3. Adequate public services. The manufactured home or park trailer will have adequate water, sewer, solid waste removal, and electric services available. 4. Compatibility. The temporary use will not produce adverse impacts on the uses of surrounding properties. 5. Standard conditions. The temporary use can comply with the applicable standards of Chapter 4. - 4 -

4. Please complete the following form (if applicable): Affidavit of Owner/Limited Power of Attorney AFFIDAVIT OF OWNER AND LIMITED POWER OF ATTORNEY (if applicable) As owner of the property located at, Florida, property reference number(s) I hereby designate for the sole purpose of completing this application and making a presentation to the Planning Board and the Board of County Commissioners to request a rezoning on the above referenced property. This Limited Power of Attorney is granted on this day of the year of,, and is effective until the Board of County Commissioners or the Board of Adjustment has rendered a decision on this request and any appeal period has expired. The owner reserves the right to rescind this Limited Power of Attorney at any time with a written, notarized notice to the Development Services Bureau. Agent Name: Address: Email: Phone: Signature of Property Owner Printed Name of Property Owner Date Signature of Property Owner Printed Name of Property Owner Date STATE OF COUNTY OF The foregoing instrument was acknowledged before me this day of 20, by. Personally Known OR Produced Identification. Type of Identification Produced: Signature of Notary Printed Name of Notary (Notary Seal) - 5 -

5. Submittal Requirements A. Completed application: All applicable areas of the application shall be filled in and submitted to the Planning and Zoning Department, 3363 West Park Place, Pensacola, FL 32505. B. Application Fee: Application Fees: To view fees visit the website: http://myescambia.com/business/board-adjustment or contact us at 595-3448 Note: Fees include all notices and advertisements required for the public hearing and a $5 technical fee. Payments must be submitted prior to 3 pm of the closing date of acceptance of application. Please make checks payable to Escambia County. MasterCard and Visa are also accepted. C. Legal Proof of Ownership (ex: copy of Tax Notice or Warranty Deed) AND a Certified Boundary Survey (Include Corporation/LLC documentation if applicable.) D. Compatibility Analysis (if applicable): If the subject property does not meet the roadway requirements of Locational Criteria, a compatibility analysis prepared by the applicant is required to provide substantial evidence of unique circumstances regarding the parcel or use that were not anticipated by the alternative criteria. (See Documented Compatibility within the request zoning district of the LDC.) E. Signed and Notarized Affidavit of Owner/Limited Power of Attorney AND Concurrency Determination Acknowledgement (pages 4 and 5). By my signature, I hereby certify that: 1) I am duly qualified as owner(s) or authorized agent to make such application, this application is of my own choosing, and staff has explained all procedures relating to this request; and 2) All information given is accurate to the best of my knowledge and belief, and I understand that deliberate misrepresentation of such information will be grounds for denial or reversal of this application and/or revocation of any approval based upon this application; and 3) I understand that there are no guarantees as to the outcome of this request, and that the application fee is non-refundable; and 4) I authorize County staff to enter upon the property referenced herein at any reasonable time for purposes of site inspection and authorize placement of a public notice sign(s) on the property referenced herein at a location(s) to be determined by County staff; and 5) I am aware that Public Hearing notices (legal ad and/or postcards) for the request shall be provided by the Development Services Bureau. Signature of Owner/Agent Printed Name Owner/Agent Date Signature of Owner Printed Name of Owner Date STATE OF COUNTY OF The foregoing instrument was acknowledged before me this day of 20, by. Personally Known OR Produced Identification. Type of Identification Produced: Signature of Notary Printed Name of Notary (notary seal) - 6 -