FLS_application_detached_dwellings_duplex_accessory_use_or_structure
Planning & Development Department, 100 S. Myrtle Avenue, Clearwater, FL 33756, Tel: 727-562-4567; Fax: 727-562-4865
Page 1 of 7 Revised 01/12
Planning & Development Department
Flexible Standard Development Application
Detached Dwellings, Duplexes or Associated Accessory Use/Structures
IT IS INCUMBENT UPON THE APPLICANT TO SUBMIT COMPLETE AND CORRECT INFORMATION. ANY MISLEADING, DECEPTIVE,
INCOMPLETE OR INCORRECT INFORMATION MAY INVALIDATE YOUR APPLICATION.
ALL APPLICATIONS ARE TO BE FILLED OUT COMPLETELY AND CORRECTLY, AND SUBMITTED IN PERSON (NO FAX OR DELIVERIES)
TO THE PLANNING & DEVELOPMENT DEPARTMENT BY NOON ON THE SCHEDULED DEADLINE DATE.
A TOTAL OF 11 COMPLETE SETS OF PLANS AND APPLICATION MATERIALS (1 ORIGINAL AND 10 COPIES) AS REQUIRED WITHIN
ARE TO BE SUBMITTED FOR REVIEW BY THE DEVELOPMENT REVIEW COMMITTEE. PLANS AND APP LICATIONS ARE REQUIRED
TO BE COLLATED, STAPLED AND FOLDED INTO SETS.
THE APPLICANT, BY FILING THIS APPLICATION, AGREES TO COMPLY WITH ALL APPLICABLE REQUIREMENTS OF THE
COMMUNITY DEVELOPMENT CODE.
FIRE DEPT PRELIMARY SITE PLAN REVIEW FEE: $200
APPLICATION FEE: $200 (if for detached dwellings or duplexes) OR
$100 (if for accessory uses/structures for detached dwellings/duplexes)
PROPERTY OWNER (PER DEED):
MAILING ADDRESS:
PHONE NUMBER:
EMAIL:
AGENT OR REPRESENTATIVE:
MAILING ADDRESS:
PHONE NUMBER:
EMAIL:
ADDRESS OF SUBJECT PROPERTY:
PARCEL NUMBER(S):
LEGAL DESCRIPTION:
PROPOSED USE(S):
DESCRIPTION OF REQUEST:
Specifically identify the request
(include all requested code flexibility;
e.g., reduction in required number of
parking spaces, height, setbacks, lot
size, lot width, specific use, etc.):
Planning & Development Department, 100 S. Myrtle Avenue, Clearwater, FL 33756, Tel: 727-562-4567; Fax: 727-562-4865
Page 2 of 7 Revised 01/12
Planning & Development Department
Flexible Standard Development Application
Data Sheet
PLEASE ENSURE THAT THE FOLLOWING INFORMATION IS FILLED OUT, IN ITS ENTIRETY. FAILURE TO COMPLETE THIS FORM
WILL RESULT IN YOUR APPLICATION BEING FOUND INCOMPLETE AND POSSIBLY DEFERRED UNTIL THE FOLLOWING
APPLICATION CYCLE.
ZONING DISTRICT:
FUTURE LAND USE PLAN DESIGNATION:
EXISTING USE (currently existing on site):
PROPOSED USE (new use, if any; plus existing, if to remain):
SITE AREA: sq. ft. acres
GROSS FLOOR AREA (total square footage of all buildings):
Existing: sq. ft.
Proposed: sq. ft.
Maximum Allowable: sq. ft.
GROSS FLOOR AREA (total square footage devoted to each use, if there will be multiple uses):
First use: sq. ft.
Second use: sq. ft.
Third use: sq. ft.
FLOOR AREA RATIO (total square footage of all buildings divided by the total square footage of entire site):
Existing:
Proposed:
Maximum Allowable:
BUILDING COVERAGE/FOOTPRINT (1st floor square footage of all buildings):
Existing: sq. ft. ( % of site)
Proposed: sq. ft. ( % of site)
Maximum Permitted: sq. ft. ( % of site)
GREEN SPACE WITHIN VEHICULAR USE AREA (green space within the parking lot and interior of site; not perimeter buffer):
Existing: sq. ft. ( % of site)
Proposed: sq. ft. ( % of site)
VEHICULAR USE AREA (parking spaces, drive aisles, loading area):
Existing: sq. ft. ( % of site)
Proposed: sq. ft. ( % of site)
Planning & Development Department, 100 S. Myrtle Avenue, Clearwater, FL 33756, Tel: 727-562-4567; Fax: 727-562-4865
Page 3 of 7 Revised 01/12
IMPERVIOUS SURFACE RATIO (total square footage of impervious areas divided by the total square footage of entire site):
Existing:
Proposed:
Maximum Permitted:
DENSITY (units, rooms or beds per acre): BUILDING HEIGHT:
Existing: Existing:
Proposed: Proposed:
Maximum Permitted: Maximum Permitted:
OFF-STREET PARKING:
Existing: Note: A parking demand study must be provided In conjunction with any request
to reduce the amount of required off-street parking spaces. Please see the
adopted Parking Demand Study Guidelines for further information.
Proposed:
Minimum Required:
WHAT IS THE ESTIMATED TOTAL VALUE OF THE PROJECT UPON COMPLETION? $
ZONING DISTRICTS FOR ALL ADJACENT PROPERTY:
North:
South:
East:
West:
STATE OF FLORIDA, COUNTY OF PINELLAS
I, the undersigned, acknowledge that all
representations made in this application are true and
accurate to the best of my knowledge and authorize
City representatives to visit and photograph the
property described in this application.
Sworn to and subscribed before me this _________________ day of
_____________________________, ___________. to me and/or by
_______________________________, who is personally known has
produced _________________________________ as identification.
Signature of property owner or representative
Notary public,
My commission expires:
Planning & Development Department, 100 S. Myrtle Avenue, Clearwater, FL 33756, Tel: 727-562-4567; Fax: 727-562-4865
Page 4 of 7 Revised 01/12
Planning & Development Department
Flexible Standard Development Application
Site Plan Submittal Package Check list
IN ADDITION TO THE COMPLETED FLEXIBLE STANDARD DEVELOPMENT (FLS) APPLICATION, ALL FLS APPLICATIONS FOR A
SINGLE-FAMILY DETACHED DWELLING, DUPLEX, OR ACCESSORY USE/STRUCTURE ASSOCIATED WITH EITHER A SINGLE-FAMILY
DETACHED DWELLING OR DUPLEX SHALL INCLUDE A PLOT PLAN WITH THE FOLLOWING INFORMATION:
Responses to the General Applicability criteria as set forth in Section 3-914.A. The attached Flexible Standard Development
Application General Applicability Criteria sheet shall be used to provide these responses.
Responses to the flexibility criteria for the specific use(s) being requested as set forth in the Zoning District(s) in which the
subject property is located. The attached Flexible Standard Development Application Flexibility Criteria sheet shall be used to
provide these responses.
A signed and sealed survey of the property prepared by a registered land surveyor including the location of the property,
dimensions, acreage, location of all current structures/improvements, location of all public and private easements including
official records book and page numbers and street right(s)-of-way within and adjacent to the site.
If the application would result in the removal or relocation of mobile home owners residing in a mobile home park as
provided in F.S. § 723.083, the application must provide that information required by Section 4 -202.A.5.
If this application is being submitted for the purpose of a boatlift, catwalk, davit, dock, marina, pier, seawall or other si milar
marine structure, then the application must provide detailed plans and specifications prepared by a Florida professional
engineer, bearing the seal and signature of the engineer, except signed and sealed plans shall not be required for the repair
or replacement of decking, stringers, railing, lower landings, tie piles, or the patching or reinforcing of existing piling on
private and commercial docks.
A tree survey showing the location, DBH (diameter at breast height), and species on the parcel proposed for development
with a DBH of four inches or more and identifying those trees proposed to be removed.
A site plan with the following information:
North arrow, scale, location map and date prepared.
Location of the Coastal Construction Control Line (CCCL), whether the property is located within a Special Flood Hazard
Area, and the Base Flood Elevation (BFE) of the property, as applicable.
Location, setbacks and use of all existing and proposed building and structures.
Location of all existing and proposed parking areas, sidewalks and driveways.
Location, type of material and height of all existing and proposed fences.
Location of all existing and proposed utilities, including water, sewer, gas, and stormwater.
Location of all existing utility easements, including Official Records book and page numbers, and any proposed utility
easements.
Building or structure elevation drawings that depict the proposed building height, building materials, and concealment of
all mechanical equipment located on the roof.
Planning & Development Department, 100 S. Myrtle Avenue, Clearwater, FL 33756, Tel: 727-562-4567; Fax: 727-562-4865
Page 5 of 7 Revised 01/12
Planning & Development Department
Flexible Standard Development Application
General Applicability Criteria
PROVIDE COMPLETE RESPONSES TO EACH OF THE SIX (6) GENERAL APPLICABILITY CRITERIA EXPLAINING HOW, IN DETAIL, THE
CRITERION IS BEING COMPLIED WITH PER THIS DEVELOPMENT PROPOSAL.
1. The proposed development of the land will be in harmony with the scale, bulk, coverage, density and character of adjacent
properties in which it is located.
2. The proposed development will not hinder or discourage the appropriate development and use of adjacent land and buildings
or significantly impair the value thereof.
3. The proposed development will not adversely affect the health or safety or persons residing or working in the neighborhood
of the proposed use.
4. The proposed development is designed to minimize traffic congestion.
5. The proposed development is consistent with the community character of the immediate vicinity of the parcel proposed for
development.
6. The design of the proposed development minimizes adverse effects, including visual, acoustic and olfactory and hours of
operation impacts, on adjacent properties.
Planning & Development Department, 100 S. Myrtle Avenue, Clearwater, FL 33756, Tel: 727-562-4567; Fax: 727-562-4865
Page 6 of 7 Revised 01/12
Planning & Development Department
Flexible Standard Development Application
Flexibility Criteria
PROVIDE COMPLETE RESPONSES TO THE APPLICABLE FLEXIBILITY CRITERIA FOR THE SPECIFIC USE(S) BEING REQUESTED AS SET
FORTH IN THE ZONING DISTRICT(S) IN WHICH THE SUBJECT PROPERTY IS LOCATED. EXPLAIN HOW, IN DETAIL, EACH CRITERION
IS BEING COMPLIED WITH PER THIS DEVELOPMENT PROPOSAL (USE SEPARATE SHEETS AS NECESSARY).
1.
2.
3.
4.
5.
6.
7.
8.
Planning & Development Department, 100 S. Myrtle Avenue, Clearwater, FL 33756, Tel: 727-562-4567; Fax: 727-562-4865
Page 7 of 7 Revised 01/12
Planning & Development Department
Flexible Standard Development Application
Affidavit to Authorize Agent/Representative
1. Provide names of all property owners on deed – PRINT full names:
2. That (I am/we are) the owner(s) and record title holder(s) of the following described property:
3. That this property constitutes the property for which a request for (describe request):
4. That the undersigned (has/have) appointed and (does/do) appoint:
as (his/their) agent(s) to execute any petitions or other documents necessary to affect such petition;
5. That this affidavit has been executed to induce the City of Clearwater, F lorida to consider and act on the above described
property;
6. That site visits to the property are necessary by City representatives in order to process this application and the owner
authorizes City representatives to visit and photograph the property described in this application;
7. That (I/we), the undersigned authority, hereby certify that the foregoing is true and correct.
Property Owner Property Owner
Property Owner Property Owner
STATE OF FLORIDA, COUNTY OF PINELLAS
BEFORE ME THE UNDERSIGNED, AN OFFICER DULY COMMISSIONED BY THE LAWS OF THE STATE OF FLORIDA, ON
THIS ________________ DAY OF ___________________________________, _________________, PERSONALLY APPEARED
_____________________________________________________________________ WHO HAVING BEEN FIRST DULY SWORN
DEPOSED AND SAYS THAT HE/SHE FULLY UNDERSTANDS THE CONTENTS OF THE AFFIDAVIT THAT HE/SHE SIGNED.
Notary Public Signature
Notary Seal/Stamp My Commission Expires: