PLANNING AND DEVELOPMENT DEPARTMENT SITE PLAN REVIEW SECTION / CURRENT PLANNING APPLICATION FOR PRELIMINARY SITE DEVELOPMENT PLAN APPROVAL

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PLANNING AND DEVELOPMENT DEPARTMENT SITE PLAN REVIEW SECTION / CURRENT PLANNING APPLICATION FOR PRELIMINARY SITE DEVELOPMENT PLAN APPROVAL Project Number City Development Number Application Date (Assigned by Planning Dept.) (Applicant to provide) DEVELOPMENT NAME: I. TYPE OF REQUEST (check appropriate box or boxes) [ ] 656.404 (a) MORE THAN ONE MULTI-FAMILY STRUCTURE ON A LOT UNDER ONE OWNERSHIP, INCLUDING CONDOMINIUMS, MAY BE ERECTED ON A LOT, PROVIDED THE SITE PLAN HAS BEEN APPROVED BY THE DEPARTMENT. [ ] 656.404 (b) A NEW STRUCTURE OR COMBINATION OF MULTIPLE STRUCTURES EQUALING 40,000 SQUARE FEET OR MORE OF ENCLOSED GROSS FLOOR AREA MAY BE ERECTED ON A LOT, PROVIDED THE SITE PLAN HAS BEEN APPROVED BY THE DEPARTMENT. [ ] 656.404 (c) SITE PLANS FOR PUBLIC SCHOOL FACILITIES SHALL BE REVIEWED ACCORDING TO PERFORMANCE CRITERIA AND STANDARDS WHICH HAVE BEEN COORDINATED WITH THE DUVAL COUNTY SCHOOL BOARD PRIOR TO APPROVAL BY THE DEPARTMENT. [ ] 656.404 (d) A MODIFICATION FROM THE REQUIREMENTS OF PART 12 OF THE ZONING CODE (LANDSCAPE AND TREE PROTECTION REGULATIONS), MAY BE PERMITTED ON A LOT, PROVIDED THE MODIFICATION HAS BEEN APPROVED BY THE DEPARTMENT PURSUANT TO SECTION 656.1220 [ ] 656.404 (e) THE SUBDIVISION OF LAND INTO THREE OR MORE LOTS OR THE ESTABLISHMENT OF A NEW PUBLIC OR PRIVATE STREET IN ACCORDANCE WITH THE STANDARDS, SPECIFICATIONS, DETAILS AND CRITERIA SET FORTH IN THE LAND DEVELOPMENT PROCEDURES MANUAL, PROVIDED THE SITE PLAN HAS BEEN APPROVED BY THE DEPARTMENT Site Plan, July 19, 2017.

II. PROJECT OR DEVELOPMENT LOCATION A. REAL ESTATE PARCEL IDENTIFICATION NUMBER (S) ; ; ; B. PROJECT LOCATION C. INTERSECTING STREETS: BETWEEN AND D. IS PROJECT LOCATED ON STATE ROAD? (Y/N); S.R. NUMBER E. COUNCIL DISTRICT PLANNING DISTRICT F. TOTAL LAND AREA (Acres) III. DEVELOPER / OWNER / ADDRESS / PHONE & FAX NUMBERS/ E-MAIL A. OWNER / DEVELOPER: B. AGENT: (Person to contact for this submission) C. ENGINEER or ARCHITECT: D. SURVEYOR: 2

IV: PROJECT OR DEVELOPMENT SPECIFICATIONS A. CURRENT ZONING CURRENT LAND USE Development of Regional Impact (DRI) Resolution Number B. NON-RESIDENTIAL (NR REVIEW) Type of Use Lot Coverage (%) Number of Stories Height Existing Structures Proposed Structures Building(s) Pad Size Retention/Wetland Area (%) Landscaped Area (%) Vehicle Use Area (%) Total Enclosed Area Off-Street Parking Spaces Setbacks: Front Rear Side Side C. APARTMENTS / CONDOMINIUMS / TOWNHOMES (APT REVIEW) Type of Use Total Number of Lots/Units Lot Coverage (%) Number of Stories Height Existing Structures Proposed Structures Building(s) Pad Size Retention/Wetland Area (%) Landscaped Area (%) Recreation Area Off-Street Parking Spaces Setbacks: Front Rear Side Side Typical Lot Dimensions X ; X ; X 3

D. SUBDIVISION (PSD REVIEW) Total Number of Lots Total Phases/Units This Phase/Unit Lot Coverage (%) Recreation Area Pond/Wetland Area (%) Typical Lot Dimensions X ; X ; X Setbacks: Front Rear Side Side E. UTILITY SERVICES PROVIDER Attach Availability Letter Water Source Sewer Treatment Electricity F. LEGAL DESCRIPTION (Attach Legal Description) 4

ATTACHMENT A INFORMATION TO BE SHOWN ON SITE PLAN Place a check mark to indicate site plan compliance with the following items: [ ] a. Project or Development name (includes any former name if existing). [ ] b. Name of Owner, Developer, Engineer, Surveyor, and Landscape Architect. [ ] c. Show vicinity map, north arrow, map scale, and date of drawing. [ ] d. Data Summary to include: 1. Total anticipated phases/units 2. Total site area 3. Active recreation area (acres) 4. Number of lots and dwelling units 5. Number of buildings with square footage 6. Existing and proposed zoning 7. Parking requirements per Section 656.604 8. Percent of building coverage to lot area [ ] e. Show all contiguous right-of-ways, easements, and platted lots. Indicate all median openings and driveways within 200 feet of proposed project. Identify all streets and give ROW dimensions and pavement widths. Include sidewalks per Section 654.133. [ ] f. Include street layout, lots and blocks. Give site dimensions for all lots and include a 50 x 50 pad with driveway location on all single family lots of 6,000 square feet or less. [ ] g. Indicate all jurisdictional wetlands, indicate FEMA flood zone within project, and provide complete vegetative and wildlife survey for projects over fifty (50) acres. [ ] h. Show existing conditions and indicate existing improvements that will be undisturbed. [ ] i. Provide a master plan of original development and proposed phasing and units. Indicate PUD Ordinance and DRI Resolution Number in lower right corner. [ ] j. Indicate right-of-ways proposed as a new road by either the Florida Department of Transportation, Jacksonville Transportation Authority, or City of Jacksonville. [ ] k. Identify type of Fire Protection Service, give distances to location of nearest fire hydrants and show all proposed hydrants. [ ] l. Indicate locations of signage and give dimensions. [ ] m. Show locations for compactors, dumpster pads, and areas for securing bicycles. [ ] n. Identify surrounding zoning of all adjacent parcels. [ ] o. Show all existing and proposed sidewalks [ ] p. Residential subdivisions shall indicate protected trees and R.O.W. buffer standards 5

APPLICATION SUBMISSION The applicant shall prepare the required number of application packages per distribution list that include: Site/sketch plan complying with Attachment A (24 x 36 Standard) Site plan depicted on an 8 ½ x 11 Completed application form Legal Description After the submittal, all applications will be circulated to review agencies for ten (10) working days. Each application package should be placed in an unsealed clasp style envelope and be addressed to the appropriate agencies listed on the Agency Distribution List and mailed or delivered to: Planning and Development Department Development Services Division Edward Ball Building 214 North Hogan Street, Room 2100 Jacksonville, Florida 32202 Attention: Seva Abasova Filing Fee Site Plan Application s Fee: Subdivision $746.00 Non-Subdivision $648.00 No application will be accepted until all the requested information has been supplied and the required fee has been paid. Please do not submit checks with the applications. A copy of the receipt from the City Tax Collector with the following information: Project name/city Development Number/ Preliminary Site Plan Review shall be submitted to the Planning and Development Department. Based upon comments received, two (2) copies of a revised site plan may be required prior to staff issuing preliminary site plan approval. However, preliminary site plans may also be approved or approved with conditions prior to issuing final engineering approval 6

PARTIAL LISTING OF REQUESTS FOR DEVIATION (Check request) ** In order for staff to review a request for deviation pursuant to 654.137, relevant information pertaining to such a request must be provided at the time of submittal. The Planning Department shall consider either the alternative sidewalk plan (Option A, B, or C of Section 2.1.2A LDPM) or a contribution to the sidewalk fund in lieu of constructing sidewalks per the criteria of Section 2.1.2E(1) Land Development Procedures Manual. In all cases either the sidewalks must be constructed per the LDPM alternative sidewalk plan or a payment into the sidewalk fund. 654.134 654.111(k) 654.125(b) Not to be required to provide underground electrical distribution in accordance with Section 654.134, but to have overhead electric lines. (Call Bell South First) To be allowed to have a cul-de-sac more than 1,000 feet maximum length. To be allowed to exceed block length of 1,500 feet between intersecting streets. 7

AGENCY DISTRIBUTION LIST [1] Seva Abasova [7] Kristen Reed COJ Development Services Division COJ Community Planning Division 214 North Hogan Street, Suite 2100 214 North Hogan Street, Suite 300 255-8555 255-7837 [2] Blaine Warnock [8] Amy Ingles COJ Concurrency Management Office COJ Transportation Planning Division 214 North Hogan Street, Suite 2127 214 North Hogan Street, Suite 300 255-8319 255-7818 [3] Scott Clem [9] Jeffrey Lucovsky Florida Dept. of Transportation Landscape Architect District 2, Urban Office COJ Development Services Division 2198 Edison Avenue 214 North Hogan Street Jacksonville, Fl. 32204 255-8533 (State roads only) [4] Howard Seltzer [10] Lurise Bannister COJ Current Planning COJ Transportation Planning Division 214 North Hogan Street, Suite 300 214 North Hogan Street, Suite 300 255-7846 255-7839 [5] Randy Gallup [11] Brad Thoburn Real Estate Office/School Board Jacksonville Transportation Authority 1701 Prudential Drive, 121 West Forsyth Street, Suite 200 Jacksonville, FL. 32207 Jacksonville, Fl. 32202 390-2259 (Residential development only) [6] Lisa Sheppard [13] William Joyce COJ Historic Preservation Section Public Works Department 214 North Hogan Street, Suite 300 214 North Hogan Street, Suite 1079 255-7843 255-8762 (Proposed roads only) 8

OWNER/AGENT AUTHORIZATION I certify that I am the owner of the property referenced above. I hereby authorize to act as my agent to initiate this site plan review application for consideration by the Planning and Development Department and that all information provided is true to the best of my knowledge. (Owner of Subject Property) Date (Print name) 9