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Notice To Applicant

1. Processing will not be started, and the application will not be officially accepted until all the following items have been completed. Application must be submitted no later than the first working day of the month to be on that month's Technical Review Committee agenda.
The applicant or his/her authorized representative must be present at any requested meeting and any requested public hearing considering the application and it is the duty of the applicant or his/her authorized representative to obtain the time, date, and place of all public hearings and/or meetings at the Office of the City Clerk. Failure to appear shall be sufficient cause to deny the request due to lack of evidence.
2. PLAN SUBMITTAL: Please submit the application, attachments and all plans in PDF format on a CD, DVD or flash drive. In addition, submit sixteen (16) collated paper copies of the same. (Additional copies may be requested.)
A. APPLICATION: The application must be complete and accompanied by the filing fee which is non-refundable, engineering fees if applicable, must also be paid at the time of submittal. FEE: $250.00. Advertising fee $150. Additional requests for the same property $75 per request. Property located within the CRA FEE: $100.00.
B. SITE PLAN: Folded, signed, sealed and to scale indicating present and proposed structures and setbacks.
C. CONTIGUOUS LAND STATEMENT: State as to whether or not the owner has a proprietary interest, or in any way has other contractual interest in any land which is contiguous to the land which is the subject of this request. If so, also attach a legal description of the property and identify as "Additional Land Holdings in the Area." State the interest in such land.
D. CERTIFICATE OF OWNERSHIP: Submit a certificate from a duly licensed title or abstract company or a licensed attorney-at-law showing that the owner is the present titleholder of record. (WARRANTY DEEDS, TITLE INSURANCE DOCUMENTS, TAX RECEIPTS, ETC., ARE NOT ACCEPTABLE AS PROOF OF OWNERSHIP)
E. CERTIFICATE FROM OWNER OF RECORD: Certificate from the owner of record that the applicant has the authority to submit this application if the applicant is not the property owner.
F. LIST OF SURROUNDING PROPERTY OWNERS WITHIN 200' ON LABELS: This may be obtained from the Pinellas County Property Appraisers Office PCPAO.org by completing a Radius Search request.
G. LEGAL DESCRIPTION OF THE PROPERTY: Please include this with the application.
H. CERTIFIED BOUNDARY SURVEY OF THE PROPERTY: Survey must be current, within the last 12 months, and sealed. For fences and accessory structures, except swimming pools, the current survey is per Section 3.3.2.2.2 of Article III of the Land Development Code of the City of Oldsmar.
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Applicant/Owner Information

Applicant Name
Firm Name
Telephone No.
E-mail
Applicant Mailing Address
Owner Name
Telephone No.
E-mail
Owner Mailing Address
Property Information
Present Zoning
Property Size in Acres
Property Street Address
Present Use
Parcel ID No. & Legal Description
Number of structures on property at present
Statement of proposed use
Statement of items believed to justify the request
Physical Features and Flooding
List any outstanding Physical Features of the property (i.e. Soils, Topography, Wetlands, or other Preservation or Conservation Designations).
Does any part of the property lie under water or in a 100 year flood zone?
1. Yes
2. No
Base Flood Elevation
If Yes, Provide relevant details
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Certification

I HEREBY CERTIFY that I have read and understand the contents of this application, and that this application together with all supplemental data and information is a true representation of the facts concerning this request; that this application is made with my approval, as owner and applicant, as evidenced by my signature below. It is hereby acknowledged that the filing of this application does not constitute automatic approval of the request; and further that if the request is approved, I will obtain all necessary permits and comply with all applicable orders, codes, conditions, rules and regulations pertaining to the use of the subject property.
Date: ________________________________________
___________________________________________________________________________________________________
Signature of owner or owner's authorized representative
Certificate from Owner of Record
This page is only to be completed if the property owner is not the applicant.
1. Please provide the names of all property owners
2. That (I am/we are) the property owner(s) and record title holder(s) of the following described property. (Please provide legal description, address or general location)
3. That this property constitutes the property for which the variance request is made. (State the nature of the request)
4. That the undersigned (has/have) appointed and (does/do) appoint the following as (his/her/their) agent(s) to execute any petitions or other documents necessary to affect such petition.
5. That this affadavit has been executed to induce the City of Oldsmar, Florida to consider and act on the above described property; and that (I/we), the undersigned authority, hereby certify that the foregoing is true and correct.
___________________________________________________________________________________________________
Property Owner's Signature
___________________________________________________________________________________________________
Property Owner's Signature

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Notice To Applicant

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