Get Broward County Public School Application Form

PUBLIC SCHOOL IMPACT APPLICATION The School Board of Broward County Florida Growth Management Section Portfolio Management and Services 600 SE 3rd Avenue 8th Floor Fort Lauderdale FL 33301 Phone 754-321-2177 Fax 754-321-2179 www. browardschools. com GENERAL PROJECT INFORMATION APPLICATION TYPE Land Use DRI Rezoning Flex/Reserve Allocation Site Plan Plat FOR INTERNAL USE ONLY School Board Number County Project Number City Project Number Project Name If yes provide the SBBC Number Has this project been previously submitted since Feb. 01 2008 Check No* Application Fee Amount Due/Paid Is proof of Payment attached Make check payable to School Board of Broward County. No cash will be accepted* PROJECT LOCATION AND SIZE Section Range Township General location of the project Side of at/between and Jurisdiction Area Acreage APPLICANT INFORMATION Owner s Name Phone City State Zip Address Developer/Agent Fax Number Agent s E-mail DEVELOPMENT DETAILS Land Use Designation Existing Proposed Page 1 of 2 Form No* 4726 03/09 Zoning Designation PERMITTED Residential Type Total Units Built Bedroom Mix PROPOSED Un-built Single Family 3 BR or Less 4 BR or Townhouse/ Duplex/ Villa 2 BR3 BR or Garden Apartment Mid Rise High Rise Mobile Home Does this project include a non-residential development If yes please describe other proposed uses VESTED RIGHTS/EXEMPTION INFORMATION Amount of Vested/Exempt development including number of units type and bedroom mix Exemption Criteria check any/all as applicable Vesting Criteria Generates less than one student Located within previously approved plan amendment or rezoning with a valid mitigation agreement with the School Board through an executed and recorded DRC or Tri-Party Age restricted to persons 18 and over Obtained site plan final approval prior to February 1 2008 Statutory exemption Applicable Statute Associated Application Number Site plan located within a plat for which school impacts have been satisfied Site Plan located within a plat with a valid final SCAD letter Number Supporting documentation is required Signature of Applicant/Agent Date Please attach a survey of the project site NOTE 30-Day review period only commences upon a determination of completeness by School District Staff* Applicant submitting a plat application must include an official letter containing plat name and municipal project number and must indicate that the plat has been approved or accepted by the municipality ALL APPLICANTS MUST SUBMIT THE APPLICATION TO THE 8th FLOOR. browardschools. com GENERAL PROJECT INFORMATION APPLICATION TYPE Land Use DRI Rezoning Flex/Reserve Allocation Site Plan Plat FOR INTERNAL USE ONLY School Board Number County Project Number City Project Number Project Name If yes provide the SBBC Number Has this project been previously submitted since Feb. 01 2008 Check No* Application Fee Amount Due/Paid Is proof of Payment attached Make check payable to School Board of Broward County. 01 2008 Check No* Application Fee Amount Due/Paid Is proof of Payment attached Make check payable to School Board of Broward County. No cash will be accepted* PROJECT LOCATION AND SIZE Section Range Township General location of the project Side of at/between and Jurisdiction Area Acreage APPLICANT INFORMATION Owner s Name Phone City State Zip Address Developer/Agent Fax Number Agent s E-mail DEVELOPMENT DETAILS Land Use Designation Existing Proposed Page 1 of 2 Form No* 4726 03/09 Zoning Designation PERMITTED Residential Type Total Units Built Bedroom Mix PROPOSED Un-built Single Family 3 BR or Less 4 BR or Townhouse/ Duplex/ Villa 2 BR3 BR or Garden Apartment Mid Rise High Rise Mobile Home Does this project include a non-residential development If yes please describe other proposed uses VESTED RIGHTS/EXEMPTION INFORMATION Amount of Vested/Exempt development including number of units type and bedroom mix Exemption Criteria check any/all as applicable Vesting Criteria Generates less than one student Located within previously approved plan amendment or rezoning with a valid mitigation agreement with the School Board through an executed and recorded DRC or Tri-Party Age restricted to persons 18 and over Obtained site plan final approval prior to February 1 2008 Statutory exemption Applicable Statute Associated Application Number Site plan located within a plat for which school impacts have been satisfied Site Plan located within a plat with a valid final SCAD letter Number Supporting documentation is required Signature of Applicant/Agent Date Please attach a survey of the project site NOTE 30-Day review period only commences upon a determination of completeness by School District Staff* Applicant submitting a plat application must include an official letter containing plat name and municipal project number and must indicate that the plat has been approved or accepted by the municipality ALL APPLICANTS MUST SUBMIT THE APPLICATION TO THE 8th FLOOR.