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Item VI (A) Resolution No. 94-32, adopting additional Concurrency Application Forms for Land Development Code AGENDA 11-15-94 "CENTER OF GOOD LIVING-PRIDE OF WEST ORANGE"oe OItem VI A c '`y NI.) CITY OF OCOEE JOUSTYYJOHNSON v Oa 150 N.LAKESHORE DRIVE PAUL W.FOSTER OCOEE FLORIDA 34761-2258 VERN COMBS co % 4/ 2322 JIM GLEASON :. rE� Op GOO``� CITY MANAGER STAFF REPORT ELLISSHAPIRO TO: THE HONORABLE MAYOR AND BOARD OF CITY COMMISSIONERS FROM: JANET G. RESNIK, CAPITAL PROJECTS/CONCURRENCY ANALYST DATE : NOVEMBER 8 , 1994 SUBJECT: CONCURRENCY APPLICATION FORMS ISSUE Should the Honorable Mayor and Board of City Commissioners approve Resolution 94- 32 which adopts additional forms for the implementation of Article IX of the Land Development Code? BACKGROUND AND DISCUSSION In April of this year, the City adopted a new Article IX of the Land Development Code (LDC) . The revisions to the Concurrency section of the LDC were made to formally adopt new requirements and procedures, as well as to clarify the process for developers . Prior -to the revisions, there was only one form incorporating all the different stages of the concurrency process, and applicants had difficulty determining which parts of the application were applicable for their current situation. Following the adoption, separate application forms were made for each phase of the development review process . Staff has devised these separate forms for use in the concurrency management system: - Preliminary Certificate of Concurrency Application - Final Certificate of Concurrency Application - Transportation Capacity Reservation Certificate Application - Application to Shift Transportation Capacity to a Subsequent Year - Application to Transfer Transportation Capacity to a New Owner These forms are attached to the Resolution and are outlined on Exhibit "A" . The form numbers are in keeping with the sequence of forms that have been developed for use with the LDC. The list of forms is maintained by the Planning Department . The City Attorney has reviewed these applications for both form and legality. RECOMMENDATION Staff respectfully requests that the Honorable Mayor and Board of City Commissioners adopt Resolution 94- 32 . cc : Montye Beamer, Administrative Services Director Russ Wagner, Director of Planning Oil RESOLUTION NO. 94- 32 A RESOLUTION OF THE CITY OF OCOEE, FLORIDA, ADOPTING ADDITIONAL FORMS FOR THE IMPLEMENTATION OF THE LAND DEVELOPMENT CODE PURSUANT TO SECTION 1-13 OF CHAPTER 180 OF THE OCOEE CITY CODE; PROVIDING THAT THIS RESOLUTION IS SUPPLEMENTAL TO PREVIOUS RESOLUTIONS ADOPTING LAND DEVELOPMENT CODE FORMS; PROVIDING FOR SEVERABILITY; PROVIDING FOR CONFLICTS; AND PROVIDING FOR AN EFFECTIVE DATE. WHEREAS, Section 1-13 of Chapter 180 of the Code of Ordinances for the City of Ocoee authorizes the City Commission of the City of Ocoee to from time to time adopt by resolution forms for the implementation of the Land Development Code; and WHEREAS, forms for the implementation of the Land Development Code have been prepared by the staff of the City of Ocoee, and the City Commission of the City of Ocoee, after reviewing the forms, desires to adopt and approve such forms . NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF THE CITY OF OCOEE, FLORIDA: SECTION ONE: Authority. The City Commission of the City of Ocoee has the authority to adopt this Resolution pursuant to Section 1-13 of Chapter 180 of Code of Ordinances of the City of Ocoee, Article VIII of the Constitution of the State of Florida and Chapter 166 , Florida Statutes . SECTION TWO: Additional Land Development Code Forms. The City Commission of the City of Ocoee hereby adopts and approves the additional CITY OF OCOEE LAND DEVELOPMENT CODE FORMS as set forth in Exhibit "A" attached hereto and by this reference made a part hereof . SECTION THREE: Resolution Supplemental. This Resolution is supplemental to Resolution Nos . 92-12 , 92-18, and all resolutions adopting Land Development Code Forms which may have heretofore been or may be hereafter adopted by the City Commission of the City of Ocoee. SECTION FOUR: Severability. If any section, subsection, sentences, clause, phrase or portion of this Resolution is for any reason held invalid or unconstitutional by any court of competent jurisdiction, such portion shall be deemed a separate, distinct and independent provision and such holding shall not affect the validity of the remaining portion hereto. SECTION FIVE: Conflicts. All resolutions, parts of resolutions or acts of the City Commission of the City of Ocoee in conflict herewith are hereby repealed and rescinded. SECTION SIX: Effective Date. This Resolution shall become effective immediately upon passage and adoption. PASSED AND ADOPTED this day of , 1994 . APPROVED: ATTEST: CITY OF OCOEE, FLORIDA Jean Grafton, City Clerk S . Scott Vandergrift, Mayor (SEAL) FOR USE AND RELIANCE ONLY BY APPROVED BY THE OCOEE CITY THE CITY OF OCOEE, FLORIDA. COMMISSION AT A MEETING APPROVED AS TO THE FORM AND HELD ON , 1994 LEGALITY THIS DAY OF UNDER AGENDA ITEM NO. , 1994 . FOLEY & LARDNER By: City Attorney C:\WP5I\DOCS\OCOEE\LANDDEV. 4 DOCS 111/7/94118W015 1 PER:dp 2 EXHIBIT "A" TABLE OF FORMS FORM NO. TITLE NO. OF PAGES CITY OF OCOEE CONCURRENCY FORM-23 MANAGEMENT APPLICATION 10 FOR A PRELIMINARY CERTIFICATE OF CONCURRENCY CITY OF OCOEE CONCURRENCY FORM-24 MANAGEMENT APPLICATION 11 FOR A FINAL CERTIFICATE OF CONCURRENCY CITY OF OCOEE CONCURRENCY FORM-25 MANAGEMENT APPLICATION FOR A TRANSPORTATION 9 CAPACITY RESERVATION CERTIFICATE CITY OF OCOEE CONCURRENCY FORM-26 MANAGEMENT APPLICATION TO SHIFT CAPACITY UNDER A 10 TRANSPORTATION CAPACITY RESERVATION CERTIFICATE CITY OF OCOEE CONCURRENCY FORM-27 MANAGEMENT APPLICATION FOR A TRANSFER OF A 14 TRANSPORTATION CAPACITY RESERVATION CERTIFICATE DATE RECEIVED TIME RECEIVED FEE PAID RECEIPT NO. APPLICATION NO. APPLICANT - DO NOT WRITE ABOVE THIS LINE - FOR CITY STAFF USE ONLY CITY OF OCOEE CONCURRENCY MANAGEMENT APPLICATION FOR A PRELIMINARY CERTIFICATE OF CONCURRENCY OWNER INFORMATION NAME : MAILING ADDRESS : PHONE : CONTACT PERSON: (Complete attached ownership list . ) AGENT INFORMATION (IF APPLICABLE) NAME : MAILING ADDRESS : PHONE: PROJECT INFORMATION PROJECT NAME (Please include all names associated with the project . ) FORM-23 PAGE 2 PRELIMINARY CERTIFICATE OF CONCURRENCY APPLICATION PROJECT INFORMATION (CONTINUED) . . . GENERAL LOCATION (Address, if applicable, and location map) TAX PARCEL IDENTIFICATION NUMBER: EXISTING AND PROPOSED LAND USE (BY PARCEL) PARCEL ONE: PARCEL IDENTIFICATION NUMBER: ACREAGE: ZONING: EXISTING USE : EXISTING NUMBER OF UNITS/SQ. FT. : PROPOSED USE : PROPOSED NUMBER OF UNITS/SQ. FT. : YEAR PROPOSED TO BE COMPLETED : PARCEL TWO: PARCEL IDENTIFICATION NUMBER: ACREAGE : ZONING: EXISTING USE: EXISTING NUMBER OF UNITS/SQ. FT. : PROPOSED USE : PROPOSED NUMBER OF UNITS/SQ. FT. : YEAR PROPOSED TO BE COMPLETED : PAGE 3 PRELIMINARY CERTIFICATE OF CONCURRENCY APPLICATION PARCEL THREE: PARCEL IDENTIFICATION NUMBER: ACREAGE : ZONING: EXISTING USE: EXISTING NUMBER OF UNITS/SQ. FT. : PROPOSED USE : PROPOSED NUMBER OF UNITS/SQ. FT. : YEAR PROPOSED TO BE COMPLETED: * NOTE: ATTACH ADDITIONAL SHEETS IF MORE THAN THREE PARCELS. PHASING INFORMATION LIST ALL PHASES BY PROPOSED USE, PROPOSED AMOUNT OF UNITS/SQUARE FEET, YEAR TO BE COMPLETED, AND OTHER APPLICABLE DATA. PAGE 4 PRELIMINARY CERTIFICATE OF CONCURRENCY APPLICATION PLEASE INCLUDE WITH THIS APPLICATION ANY PRELIMINARY SUBDIVISION/SITE PLANS OR FINAL SUBDIVISION/SITE PLANS FOR THE PROPERTY. ALSO INCLUDE BELOW WHAT APPROVALS HAVE BEEN RECEIVED FOR THESE PLANS FROM THE CITY. OTHER RESERVATION INFORMATION HAS WATER CAPACITY BEEN RESERVED FOR THIS PROJECT (Please give the amount reserved and the Developer Agreement information associated with the reservation. If capacity has not been reserved, the applicant should explain. ) HAS SEWER CAPACITY BEEN RESERVED FOR THIS PROJECT (Please give the amount reserved and the Developer Agreement information associated with the reservation. If capacity has not been reserved, the applicant should explain. ) ADDITIONAL COMMENTS; IF ANY. PLEASE LIST BELOW ANY ADDITIONAL INFORMATION IN SUPPORT OF THIS APPLICATION. * NOTE : RETURN COMPLETED APPLICATION TO ADMINISTRATIVE SERVICES DEPARTMENT, CITY OF OCOEE, 150 NORTH LAKESHORE DRIVE, OCOEE, FL 34761 . APPLICATION FEES SHOULD BE MADE PAYABLE TO THE CITY OF OCOEE . PAGE 5 PRELIMINARY CERTIFICATE OF CONCURRENCY APPLICATION AUTHORIZED SIGNATURE: My signature on this application as owner, or as the authorized agent, acknowledges that I understand the following: - A Preliminary Certificate of Concurrency is a non-binding analysis of capacity available . - A Preliminary Certificate of Concurrency does not reserve any infrastructure capacity. - I may apply for a Final Certificate of Concurrency anytime after approval of my Preliminary Subdivision/Site Plans . - I will not be able to obtain approval of my Final Subdivision/Site Plans until I obtain a Final Certificate of Concurrency. - The Development Administrator may require additional information in order for an accurate assessment to be conducted. I understand that the City of Ocoee cannot conduct special studies such as traffic counts on roads not regularly monitored and that I may be required to submit a traffic study obtained at my own expense . I also understand that review and approval of proposed development may be postponed for a reasonable time period in order for me to gather additional information. I also understand that proposed development may be denied approval for my failure to provide adequate information on the projected impacts created by the development . - I acknowledge that the information contained in this application is true and correct to the best of my knowledge . OWNER OR OWNER' S AUTHORIZED AGENT : SIGNATURE/TITLE DATE PRINT NAME AND TITLE [NOTE: THIS AUTHORIZED SIGNATURE PAGE MUST BE EXECUTED BY ALL OWNERS OR BY AN AUTHORIZED AGENT. IF THERE IS MORE THAN ONE OWNER, DUPLICATE THIS FORM FOR THE ADDITIONAL SIGNATURES.] PAGE 6 - PRELIMINARY CERTIFICATE OF CONCURRENCY APPLICATION POWER OF ATTORNEY Before me, the undersigned authority, this day personally appeared (hereafter the "Owner" ) who hereby appointed (hereafter the "Agent" ) as authorized agent to act in the Owner' s capacity in matters dealing with the following: (1) The Agent is the duly authorized agent of the Owner, serving as the Applicant for the property described in the attached application. (2) The Agent has the Owner' s full and complete permission to act on behalf of the Owner in seeking all approvals and conducting the necessary procedures associated with Article IX of the City of Ocoee Land Development Code . (3 ) The Agent has the Owner' s full and complete permission to sign and execute any applications, forms, and agreements associated with Article IX of the City of Ocoee Land Development Code and the Owner agrees to be bound by all actions taken by the Agent on the Owner' s behalf . (4) That they/she/he have/has appointed (specify himself or agent) to act as the Owner' s Authorized Agent to represent the Owner in connection with the proposed action and the real property described in this application. [IF OWNER IS AN INDIVIDUAL] Owner' s Signature Print Name : State of County of Sworn to and subscribed before me this day of , 19 by , [ ] who is personally known to me, or [ ] who produced as identification. Notary Public Print Name : My Commission Number: My commission expires : [NOTE: THIS POWER OF ATTORNEY MUST BE PROPERLY EXECUTED BY ALL OWNERS OF THE PROPERTY IN THE PRESENCE OF A NOTARY. DUPLICATE THIS FORM IF THERE IS MORE THAN ONE OWNER. ] PAGE 7 - PRELIMINARY CERTIFICATE OF CONCURRENCY APPLICATION POWER OF ATTORNEY Before me, the undersigned authority, this day personally appeared (hereafter the "Owner" ) who hereby appointed (hereafter the "Agent" ) as authorized agent to act in the Owner' s capacity in matters dealing with the following: (1) The Agent is the duly authorized agent of the Owner, serving as the Applicant for the property described in the attached application. (2) The Agent has the Owner' s full and complete permission to act on behalf of the Owner in seeking all approvals and conducting the necessary procedures associated with Article IX of the City of Ocoee Land Development Code . (3) The Agent has the Owner' s full and complete permission to sign and execute any applications, forms, and agreements associated with Article IX of the City of Ocoee Land Development Code and the Owner agrees to be bound by all actions taken by the Agent on the Owner' s behalf . (4) That they/she/he have/has appointed (specify himself or agent) to act as the Owner' s Authorized Agent to represent the Owner in connection with the proposed action and the real property described in this application. [IF OWNER IS A CORPORATION] a corporation By: Name (Print) : Title (Print) : State of County of Sworn to and subscribed before me this day of , 19 by who is the of , a corporation, and [ ] who is personally known to me, or [ ] who produced as identification. Notary Public Print Name : My Commission Number: My Commission Expires : PAGE 8 - PRELIMINARY CERTIFICATE OF CONCURRENCY APPLICATION POWER OF ATTORNEY Before me, the undersigned authority, this day personally appeared (hereafter the "Owner" ) who hereby appointed (hereafter the "Agent" ) as authorized agent to act in the Owner' s capacity in matters dealing with the following: (1) The Agent is the duly authorized agent of the Owner, serving as the Applicant for the property described in the attached application. (2) The Agent has the Owner' s full and complete permission to act on behalf of the Owner in seeking all approvals and conducting the necessary procedures associated with Article IX of the City of Ocoee Land Development Code . (3 ) The Agent has the Owner' s full and complete permission to sign and execute any applications, forms, and agreements associated with Article IX of the City of Ocoee Land Development Code and the Owner agrees to be bound by all actions taken by the Agent on the Owner' s behalf . (4) That they/she/he have/has appointed (specify himself or agent) to act as the Owner' s Authorized Agent to represent the Owner in connection with the proposed action and the real property described in this application. [IF A GENERAL OR LIMITED PARTNERSHIP] a partnership By: Name (Print) : Title : General Partner State of County of Sworn to and subscribed before me this day of 19 by who is a general partner of , a partnership, and [ ] who is personally known to me, or [ ] who produced as identification. Notary Public Print Name : My Commission Number: My Commission Expires : PAGE 9 PRELIMINARY CERTIFICATE OF CONCURRENCY APPLICATION OWNERSHIP LIST PARCEL ONE: OWNER' S NAME: OWNERSHIP INTEREST: MAILING ADDRESS : LEGAL DESCRIPTION: PARCEL TWO: OWNER' S NAME : OWNERSHIP INTEREST: MAILING ADDRESS : LEGAL DESCRIPTION: PAGE 10 PRELIMINARY CERTIFICATE OF CONCURRENCY APPLICATION PARCEL THREE: OWNER' S NAME: OWNERSHIP INTEREST: MAILING ADDRESS : LEGAL DESCRIPTION: * NOTE: IF MORE THAN THREE PARCELS, ATTACH ADDITIONAL SHEETS. DATE RECEIVED TIME RECEIVED FEE PAID RECEIPT NO. APPLICATION NO. APPLICANT - DO NOT WRITE ABOVE THIS LINE - FOR CITY STAFF USE ONLY CITY OF OCOEE CONCURRENCY MANAGEMENT APPLICATION FOR A FINAL CERTIFICATE OF CONCURRENCY OWNER INFORMATION NAME : MAILING ADDRESS : PHONE: CONTACT PERSON: (Complete attached ownership list . ) AGENT INFORMATION (IF APPLICABLE) NAME : MAILING ADDRESS : PHONE : PROJECT INFORMATION PROJECT NAME (Please include all names associated with the project . ) FORM-24 PAGE 2 FINAL CERTIFICATE OF CONCURRENCY APPLICATION PROJECT INFORMATION (CONTINUED) . . . GENERAL LOCATION (Address, if applicable, and location map) TAX PARCEL IDENTIFICATION NUMBER: PRELIMINARY CERTIFICATE OF CONCURRENCY (Date & Number, if applicable) EXISTING AND PROPOSED LAND USE (BY PARCEL) PARCEL ONE: PARCEL IDENTIFICATION NUMBER: ACREAGE : ZONING: EXISTING USE : EXISTING NUMBER OF UNITS/SQ. FT. : PROPOSED USE : PROPOSED NUMBER OF UNITS/SQ. FT. : YEAR PROPOSED TO BE COMPLETED: PARCEL TWO: PARCEL IDENTIFICATION NUMBER: ACREAGE : ZONING: EXISTING USE : EXISTING NUMBER OF UNITS/SQ. FT. : PROPOSED USE : PROPOSED NUMBER OF UNITS/SQ. FT. : YEAR PROPOSED TO BE COMPLETED: PAGE 3 FINAL CERTIFICATE OF CONCURRENCY APPLICATION PARCEL THREE: PARCEL IDENTIFICATION NUMBER: ACREAGE : ZONING: EXISTING USE : EXISTING NUMBER OF UNITS/SQ. FT. : PROPOSED USE : PROPOSED NUMBER OF UNITS/SQ. FT. : YEAR PROPOSED TO BE COMPLETED: * NOTE: ATTACH ADDITIONAL SHEETS IF MORE THAN THREE PARCELS . PHASING INFORMATION LIST ALL PHASES BY PROPOSED USE, PROPOSED AMOUNT OF UNITS/SQUARE FEET, YEAR TO BE COMPLETED, AND OTHER APPLICABLE DATA. PAGE 4 FINAL CERTIFICATE OF CONCURRENCY APPLICATION PLEASE INCLUDE WITH THIS APPLICATION ANY PRELIMINARY SUBDIVISION/SITE PLANS OR FINAL SUBDIVISION/SITE PLANS FOR THE PROPERTY. ALSO INCLUDE BELOW WHAT APPROVALS HAVE BEEN RECEIVED FOR THESE PLANS FROM THE CITY. OTHER RESERVATION INFORMATION HAS WATER CAPACITY BEEN RESERVED FOR THIS PROJECT (Please give the amount reserved and the Developer Agreement information associated with the reservation. If capacity has not been reserved, the applicant should explain. ) HAS SEWER CAPACITY BEEN RESERVED FOR THIS PROJECT (Please give the amount reserved and the Developer Agreement information associated with the reservation. If capacity has not been reserved, the applicant should explain. ) FOR NON-RESIDENTIAL PROJECTS, PLEASE INCLUDE A LETTER FROM INDUSTRIAL WASTE SERVICE (IWS) (Rick Dingess, 425-6600) INDICATING THE ABILITY OF IWS TO SERVICE THE PROJECT. PLEASE ALSO PROVIDE DETAILS ON HOW THE RECYCLING REQUIREMENTS WILL BE MET AND WHO WILL SERVE THE PROJECT FOR THAT PURPOSE. PAGE 5 FINAL CERTIFICATE OF CONCURRENCY ADDITIONAL COMMENTS; IF ANY. PLEASE LIST BELOW ANY ADDITIONAL INFORMATION IN SUPPORT OF THIS APPLICATION. * NOTE : RETURN COMPLETED APPLICATION TO ADMINISTRATIVE SERVICES DEPARTMENT, CITY OF OCOEE, 150 NORTH LAKESHORE DRIVE, OCOEE, FL 34761 . APPLICATION FEES SHOULD BE MADE PAYABLE TO THE CITY OF OCOEE. PAGE 6 - FINAL CERTIFICATE OF CONCURRENCY APPLICATION AUTHORIZED SIGNATURE: My signature on this application as owner, or as the authorized agent, acknowledges that I understand the following: - A Final Certificate of Concurrency (FCC) encumbers transportation capacity for ninety (90) days . Within the 90 day period, I must obtain a one-time renewal of my FCC for traffic circulation or receive a building permit or a Transportation Capacity Reservation Certificate (TCRC) ; otherwise the FCC expires for transportation capacity. I understand that only one additional FCC (two total for each project for a total of 180 days) may be obtained before I must obtain a TCRC or a building permit and that I must apply for a TCRC by the 70th day of my 90-day transportation reservation (or any 90-day extension thereof) . - A FCC reserves both solid waste capacity and recreation capacity for one (1) year from the date of issuance of the FCC. - A FCC reserves stormwater drainage capacity for one (1) year from the date of issuance of the FCC, subject to obtaining final engineering, if applicable, in compliance with the Land Development Code and other such stormwater drainage approvals as may be required by the Land Development Code and other applicable laws, statutes, ordinances, rules and regulations . - Sanitary sewer and potable water reservation capacity is done in accordance with the terms of independent developer agreements to be entered into with the City of Ocoee . A Final Certificate of Concurrency does not modify any such developer agreements . - My building permit will not be approved if the proposed use (s) , square footage and/or number of units listed on the permit application are greater than those submitted on this application and for which a Final Certificate of Concurrency (FCC) has been issued. I understand that I will need to apply for a separate FCC for any proposed use (s) , square footage and/or number of units not included in my FCC. - The Development Administrator may require additional information in order for an accurate assessment to be conducted. I understand that the City of Ocoee cannot conduct special studies such as traffic counts on roads not regularly monitored and that I may be required to submit a traffic study obtained at my own expense . I also understand that review and approval of proposed development may be postponed for a reasonable time period in order for me to gather additional information. I also understand that proposed development may be denied approval for my failure to provide adequate information on the projected impacts created by the development . - I acknowledge that the information contained in this application is true and correct to the best of my knowledge . OWNER OR OWNER' S AUTHORIZED AGENT: SIGNATURE/TITLE DATE PRINT NAME AND TITLE [NOTE: THIS AUTHORIZED SIGNATURE PAGE MUST BE EXECUTED BY ALL OWNERS OR BY AN AUTHORIZED AGENT. IF THERE IS MORE THAN ONE OWNER, DUPLICATE THIS FORM FOR THE ADDITIONAL SIGNATURES.] PAGE 7 - FINAL CERTIFICATE OF CONCURRENCY APPLICATION POWER OF ATTORNEY Before me, the undersigned authority, this day personally appeared (hereafter the "Owner" ) who hereby appointed , (hereafter the "Agent" ) as authorized agent to act in the Owner' s capacity in matters dealing with the following: (1) The Agent is the duly authorized agent of the Owner, serving as the Applicant for the property described in the attached application. (2) The Agent has the Owner' s full and complete permission to act on behalf of the Owner in seeking all approvals and conducting the necessary procedures associated with Article IX of the City of Ocoee Land Development Code . (3) The Agent has the Owner' s full and complete permission to sign and execute any applications, forms, and agreements associated with Article IX of the City of Ocoee Land Development Code and the Owner agrees to be bound by all actions taken by the Agent on the Owner' s behalf . (4) That they/she/he have/has appointed (specify himself or agent) to act as the Owner' s Authorized Agent to represent the Owner in connection with the proposed action and the real property described in this application. [IF OWNER IS AN INDIVIDUAL] Owner' s Signature Print Name : State of County of Sworn to and subscribed before me this day of , 19 , by , [ ] who is personally known to me, or [ ] who produced as identification. Notary Public Print Name : My Commission Number: My commission expires : [NOTE: THIS POWER OF ATTORNEY MUST BE PROPERLY EXECUTED BY ALL OWNERS OF THE PROPERTY IN THE PRESENCE OF A NOTARY. DUPLICATE THIS FORM IF THERE IS MORE THAN ONE OWNER. ] PAGE 8 - PRELIMINARY CERTIFICATE OF CONCURRENCY APPLICATION POWER OF ATTORNEY Before me, the undersigned authority, this day personally appeared (hereafter the "Owner" ) who herebyappointed (hereafter the "Agent" ) as authorized agent to act in the Owner' s capacity in matters dealing with the following: (1) The Agent is the duly authorized agent of the Owner, serving as the Applicant for the property described in the attached application. (2) The Agent has the Owner' s full and complete permission to act on behalf of the Owner in seeking all approvals and conducting the necessary procedures associated with Article IX of the City of Ocoee Land Development Code . (3) The Agent has the Owner' s full and complete permission to sign and execute any applications, forms, and agreements associated with Article IX of the City of Ocoee Land Development Code and the Owner agrees to be bound by all actions taken by the Agent on the Owner' s behalf . (4) That they/she/he have/has appointed (specify himself or agent) to act as the Owner' s Authorized Agent to represent the Owner in connection with the proposed action and the real property described in this application. [IF OWNER IS A CORPORATION] a corporation By: Name (Print) : Title (Print) : State of County of Sworn to and subscribed before me this day of , 19 by who is the of , a corporation, and [ ] who is personally known to me, or [ ] who produced as identification. Notary Public Print Name : My Commission Number: My Commission Expires : PAGE 9 - PRELIMINARY CERTIFICATE OF CONCURRENCY APPLICATION POWER OF ATTORNEY Before me, the undersigned authority, this day personally appeared (hereafter the "Owner" ) who hereby appointed (hereafter the "Agent" ) as authorized agent to act in the Owner' s capacity in matters dealing with the following: (1) The Agent is the duly authorized agent of the Owner, serving as the Applicant for the property described in the attached application. (2) The Agent has the Owner' s full and complete permission to act on behalf of the Owner in seeking all approvals and conducting the necessary procedures associated with Article IX of the City of Ocoee Land Development Code . (3) The Agent has the Owner' s full and complete permission to sign and execute any applications, forms, and agreements associated with Article IX of the City of Ocoee Land Development Code and the Owner agrees to be bound by all actions taken by the Agent on the Owner' s behalf . (4) That they/she/he have/has appointed (specify himself or agent) to act as the Owner' s Authorized Agent to represent the Owner in connection with the proposed action and the real property described in this application. [IF A GENERAL OR LIMITED PARTNERSHIP] a partnership By: Name (Print) : Title : General Partner State of County of Sworn to and subscribed before me this day of , 19 by who is a general partner of , a partnership, and [ ] who is personally known to me, or [ ] who produced as identification. Notary Public Print Name : My Commission Number: My Commission Expires : PAGE 10 - FINAL CERTIFICATE OF CONCURRENCY APPLICATION OWNERSHIP LIST PARCEL ONE: OWNER' S NAME : OWNERSHIP INTEREST: MAILING ADDRESS : LEGAL DESCRIPTION: PARCEL TWO: OWNER' S NAME : OWNERSHIP INTEREST: MAILING ADDRESS : LEGAL DESCRIPTION: PAGE 11 - FINAL CERTIFICATE OF CONCURRENCY APPLICATION PARCEL THREE: OWNER' S NAME : OWNERSHIP INTEREST: MAILING ADDRESS : LEGAL DESCRIPTION: * NOTE: IF MORE THAN THREE PARCELS, ATTACH ADDITIONAL SHEETS . DATE RECEIVED TIME RECEIVED FEE PAID RECEIPT NO. APPLICATION NO. APPLICANT - DO NOT WRITE ABOVE THIS LINE - FOR CITY STAFF USE ONLY CITY OF OCOEE CONCURRENCY MANAGEMENT APPLICATION FOR A TRANSPORTATION CAPACITY RESERVATION CERTIFICATE OWNER INFORMATION NAME : MAILING ADDRESS : PHONE : CONTACT PERSON: HAS THERE BEEN A CHANGE IN OWNERSHIP SINCE THE ISSUANCE OF THE FINAL CERTIFICATE OF CONCURRENCY? YES NO (IF YES, COMPLETE ATTACHED OWNERSHIP LIST. ) AGENT INFORMATION (IF APPLICABLE) NAME : MAILING ADDRESS : PHONE : PROJECT INFORMATION PROJECT NAME (Please include all names associated with the project . ) FORM-25 PAGE 2 TRANSPORTATION CAPACITY RESERVATION CERTIFICATE APPLICATION PROJECT INFORMATION (CONTINUED) . . . GENERAL LOCATION (Address, if applicable, and location map) TAX PARCEL IDENTIFICATION NUMBER: PROVIDE THE NUMBER OF THE FINAL CERTIFICATE OF CONCURRENCY WHICH THIS APPLICATION IS PREDICATED ON (OR ATTACH A COPY OF THE FINAL CERTIFICATE OF CONCURRENCY) . CHECK THE APPROPRIATE TRANSPORTATION CAPACITY RESERVATION PERIOD REQUESTED: ONE (1) YEAR TWO (2) YEARS THREE (3) YEARS IF THE RESERVATION IS FOR MORE THAN ONE YEAR, STATE THE QUANTITY OF TRANSPORTATION CAPACITY REQUESTED FOR EACH INDIVIDUAL YEAR OF THE CAPACITY RESERVATION. YEAR ONE YEAR TWO YEAR THREE (If applicable) STATE THE NUMBER OF UNITS/SQUARE FOOTAGE (SINGLE FAMILY LOTS, MULTI- FAMILY UNITS, COMMERCIAL LOTS OR SQUARE FOOTAGE) THAT THE RESERVATION IS TO COVER AND THE PHASE OF THE PROJECT THESE UNITS ARE LOCATED IN, IF APPLICABLE: PAGE 3 TRANSPORTATION CAPACITY RESERVATION CERTIFICATE APPLICATION PLEASE LIST ANY INFORMATION THAT HAS CHANGED FROM THE INFORMATION SUBMITTED ON THE FINAL CERTIFICATE OF CONCURRENCY APPLICATION. ADDITIONAL COMMENTS; IF ANY. PLEASE LIST BELOW ANY ADDITIONAL INFORMATION IN SUPPORT OF THIS APPLICATION. * NOTE: RETURN COMPLETED APPLICATION TO ADMINISTRATIVE SERVICES DEPARTMENT, CITY OF OCOEE, 150 NORTH LAKESHORE DRIVE, OCOEE, FL 34761 . APPLICATION FEES SHOULD BE MADE PAYABLE TO THE CITY OF OCOEE. PAGE 4 - TRANSPORTATION CAPACITY RESERVATION CERTIFICATE APPLICATION AUTHORIZED SIGNATURE: My signature on this application as owner, or as the authorized agent, acknowledges that I understand the following: - In addition to a Transportation Capacity Reservation Certificate (TCRC) for traffic circulation, a Final Certificate of Concurrency must be maintained to keep the project concurrent in all other areas . In the case of water and sewer capacity, this may be done through developers agreements . Transportation capacity under the TCRC may only be used if the project remains concurrent for water, sewer, solid waste, stormwater drainage, and recreation and open space (the latter two being for residential projects only) . - A TCRC reserves capacity for a set period of time . If I do not use the capacity within that time, I lose my reserved capacity and up to 30% of my reservation fee . A TCRC is valid only for the specific real property described in the TCRC application. - My building permit will not be approved if the proposed use (s) , square footage and/or number of units listed on the permit application are greater than those submitted on this application. - A transportation capacity reservation fee must be paid no later than (1) the date of expiration of my Final Certificate of Concurrency with respect to traffic circulation, or (2) 10 working days from receipt of notice from the Development Administrator. - A TCRC allows me to use the transportation capacity reserved only during the one-year period requested on my application. I must apply to shift the capacity to use the reserved capacity at any other time. - The City of Ocoee may require additional information in order for an accurate assessment to be conducted. I understand that the City of Ocoee cannot conduct special studies such as traffic counts on roads not regularly monitored and that I may be required to submit a traffic study obtained at my own expense . I understand that review and approval of proposed development may be postponed for a reasonable time in order for me to gather additional information. I understand that the project may be denied approval for my failure to provide adequate information on the projected impacts created by the development . - I acknowledge that the information contained in this application is true and correct to the best of my knowledge . OWNER OR OWNER' S AUTHORIZED AGENT: SIGNATURE/TITLE DATE PRINT NAME AND TITLE [NOTE: THIS AUTHORIZED SIGNATURE PAGE MUST BE EXECUTED BY ALL OWNERS OR BY AN AUTHORIZED AGENT. IF THERE IS MORE THAN ONE OWNER, DUPLICATE THIS FORM FOR THE ADDITIONAL SIGNATURES . ] PAGE 5 - TRANSPORTATION CAPACITY RESERVATION CERTIFICATE APPLICATION POWER OF ATTORNEY Before me, the undersigned authority, this day personally appeared (hereafter the "Owner" ) who hereby appointed , (hereafter the "Agent" ) as authorized agent to act in the Owner' s capacity in matters dealing with the following: (1) The Agent is the duly authorized agent of the Owner, serving as the Applicant for the property described in the attached application. (2) The Agent has the Owner' s full and complete permission to act on behalf of the Owner in seeking all approvals and conducting the necessary procedures associated with Article IX of the City of Ocoee Land Development Code . (3) The Agent has the Owner' s full and complete permission to sign and execute any applications, forms, and agreements associated with Article IX of the City of Ocoee Land Development Code and the Owner agrees to be bound by all actions taken by the Agent on the Owner' s behalf . (4) That they/she/he have/has appointed (specify himself or agent) to act as the Owner' s Authorized Agent to represent the Owner in connection with the proposed action and the real property described in this application. [IF OWNER IS AN INDIVIDUAL] Owner' s Signature Print Name : State of County of Sworn to and subscribed before me this day of , 19 by , [ ] who is personally known to me, or [ ] who produced as identification. Notary Public Print Name : My Commission Number: My commission expires : [NOTE: THIS POWER OF ATTORNEY MUST BE PROPERLY EXECUTED BY ALL OWNERS OF THE PROPERTY IN THE PRESENCE OF A NOTARY. DUPLICATE THIS FORM IF THERE IS MORE THAN ONE OWNER. ] PAGE 6 - PRELIMINARY CERTIFICATE OF CONCURRENCY APPLICATION POWER OF ATTORNEY Before me, the undersigned authority, this day personally appeared (hereafter the "Owner" ) who hereby appointed , (hereafter the "Agent" ) as authorized agent to act in the Owner' s capacity in matters dealing with the following: (1) The Agent is the duly authorized agent of the Owner, serving as the Applicant for the property described in the attached application. (2) The Agent has the Owner' s full and complete permission to act on behalf of the Owner in seeking all approvals and conducting the necessary procedures associated with Article IX of the City of Ocoee Land Development Code . (3) The Agent has the Owner' s full and complete permission to sign and execute any applications, forms, and agreements associated with Article IX of the City of Ocoee Land Development Code and the Owner agrees to be bound by all actions taken by the Agent on the Owner' s behalf . (4) That they/she/he have/has appointed (specify himself or agent) to act as the Owner' s Authorized Agent to represent the Owner in connection with the proposed action and the real property described in this application. [IF OWNER IS A CORPORATION] a corporation By: Name (Print) : Title (Print) : State of County of Sworn to and subscribed before me this day of , 19 by who is the of , a corporation, and [ ] who is personally known to me, or [ ] who produced as identification. Notary Public Print Name : My Commission Number: My Commission Expires : PAGE 7 - PRELIMINARY CERTIFICATE OF CONCURRENCY APPLICATION POWER OF ATTORNEY Before me, the undersigned authority, this day personally appeared (hereafter the "Owner" ) who hereby appointed , (hereafter the "Agent" ) as authorized agent to act in the Owner' s capacity in matters dealing with the following: (1) The Agent is the duly authorized agent of the Owner, serving as the Applicant for the property described in the attached application. (2) The Agent has the Owner' s full and complete permission to act on behalf of the Owner in seeking all approvals and conducting the necessary procedures associated with Article IX of the City of Ocoee Land Development Code . (3) The Agent has the Owner' s full and complete permission to sign and execute any applications, forms, and agreements associated with Article IX of the City of Ocoee Land Development Code and the Owner agrees to be bound by all actions taken by the Agent on the Owner' s behalf . (4) That they/she/he have/has appointed (specify himself or agent) to act as the Owner' s Authorized Agent to represent the Owner in connection with the proposed action and the real property described in this application. [IF A GENERAL OR LIMITED PARTNERSHIP] a partnership By: Name (Print) : Title : General Partner State of County of Sworn to and subscribed before me this day of , 19 by who is a general partner of , a partnership, and [ ] who is personally known to me, or [ ] who produced as identification. Notary Public Print Name : My Commission Number : My Commission Expires : PAGE 8 TRANSPORTATION CAPACITY RESERVATION CERTIFICATE APPLICATION OWNERSHIP LIST PARCEL ONE: OWNER' S NAME : OWNERSHIP INTEREST: MAILING ADDRESS : LEGAL DESCRIPTION: PARCEL TWO: OWNER' S NAME : OWNERSHIP INTEREST: MAILING ADDRESS : LEGAL DESCRIPTION: PAGE 9 TRANSPORTATION CAPACITY RESERVATION CERTIFICATE APPLICATION PARCEL THREE: OWNER' S NAME : OWNERSHIP INTEREST: MAILING ADDRESS : LEGAL DESCRIPTION: * NOTE: IF MORE THAN THREE PARCELS, ATTACH ADDITIONAL SHEETS . DATE RECEIVED TIME RECEIVED FEE PAID RECEIPT NO. APPLICATION NO. APPLICANT - DO NOT WRITE ABOVE THIS LINE - FOR CITY STAFF USE ONLY CITY OF OCOEE CONCURRENCY MANAGEMENT APPLICATION TO SHIFT CAPACITY UNDER A TRANSPORTATION CAPACITY RESERVATION CERTIFICATE OWNER INFORMATION NAME : MAILING ADDRESS : PHONE: CONTACT PERSON: HAS THERE BEEN A CHANGE IN OWNERSHIP SINCE THE ISSUANCE OF THE TRANSPORTATION CAPACITY RESERVATION CERTIFICATE? YES NO (IF YES, COMPLETE ATTACHED OWNERSHIP LIST. ) AGENT INFORMATION (IF APPLICABLE) NAME : MAILING ADDRESS : PHONE : PROJECT INFORMATION PROJECT NAME (Please include all names associated with the project . ) FORM-26 PAGE 2 CONCURRENCY APPLICATION TO SHIFT CAPACITY PROJECT INFORMATION (CONTINUED) . . . GENERAL LOCATION (Address, if applicable, and location map) TAX PARCEL IDENTIFICATION NUMBER: WHAT IS THE NUMBER OF THE TRANSPORTATION CAPACITY RESERVATION CERTIFICATE FOR THIS PROJECT? HOW MANY YEARS DOES IT COVER FOR THIS PROJECT? WHEN DOES IT EXPIRE? (ATTACH A COPY OF THE CERTIFICATE) WHAT IS THE QUANTITY OF CAPACITY ALLOCATED FOR EACH YEAR? YEAR ONE - YEAR TWO - YEAR THREE - HAS THE DEVELOPER PREVIOUSLY SHIFTED CAPACITY? IF SO, PLEASE PROVIDE THE DETAILS OF HOW MUCH CAPACITY WAS SHIFTED AND FROM WHAT YEAR TO WHAT YEAR (S) . PAGE 3 CONCURRENCY APPLICATION TO SHIFT CAPACITY WHAT IS THE CURRENT STATUS OF THE PROJECT? IS THE PHASING SCHEDULE STILL THE SAME? IF THE DEVELOPER HAS DEVIATED FROM THE PHASING SCHEDULE, PLEASE EXPLAIN. HAVE BUILDING PERMITS BEEN ISSUED? IF SO, HOW MANY? WHAT FUNDS HAS THE DEVELOPER EXPENDED TO DATE FOR SITE DEVELOPMENT? OTHER RESERVATION INFORMATION DOES THE DEVELOPER HAVE ADEQUATE WATER CAPACITY RESERVED FOR THE REMAINDER OF THE PROJECT (Please give the amount reserved and amount remaining and the Developer Agreement information associated with the reservation. If capacity has not been reserved, the applicant should explain. ) PAGE 4 CONCURRENCY APPLICATION TO SHIFT CAPACITY DOES THE DEVELOPER HAVE ADEQUATE SEWER CAPACITY RESERVED FOR THE REMAINDER OF THE PROJECT (Please give the amount reserved and amount remaining and the Developer Agreement information associated with the reservation. If capacity has not been reserved, the applicant should explain. ) ADDITIONAL COMMENTS; IF ANY. PLEASE LIST BELOW ANY ADDITIONAL INFORMATION IN SUPPORT OF THIS APPLICATION. * NOTE : RETURN COMPLETED APPLICATION TO ADMINISTRATIVE SERVICES DEPARTMENT, CITY OF OCOEE, 150 NORTH LAKESHORE DRIVE, OCOEE, FL 34761 . APPLICATION FEES SHOULD BE MADE PAYABLE TO THE CITY OF OCOEE . PAGE 5 - CONCURRENCY APPLICATION TO SHIFT CAPACITY AUTHORIZED SIGNATURE: My signature on this application as owner, or as the authorized agent, acknowledges that I understand the following: - A Transportation Capacity Reservation Certificate reserves capacity for a set period of time . If I do not use the capacity within that time, I lose my reserved capacity and up to 300 of my reservation fee . - My building permit will not be approved if the proposed use (s) , square footage and/or number of units listed on the permit application are greater than those submitted on this application. - Shifting of Capacity under a Transportation Capacity Reservation Certificate (TCRC) is the movement of reserved capacity from one or more specific yearly time frames set forth in the TCRC to other specific yearly time frames set forth in the TCRC. In order to shift capacity, the application requesting the shift must be submitted to the City at least forty-five (45) calendar days prior to the expiration of the TCRC. Any unused capacity for a specific yearly time frame may be carried forward into the next yearly time frame if the shifting request is approved. No unused capacity may be carried forward beyond the duration of the TCRC. - The City may require additional information for an accurate assessment to be conducted. I understand that the City cannot conduct special studies such as traffic counts on roads not regularly monitored and that I may be required to submit a traffic study obtained at my own expense . I understand that review and approval of development may be postponed for a reasonable time in order for me to gather additional information. I understand that proposed development may be denied approval for my failure to provide adequate information on the projected impacts created by the development . - I understand that the Development Administrator may approve this application with conditions if necessary to ensure an equitable allocation of transportation capacity. - I acknowledge that the information contained in this application is true and correct to the best of my knowledge . OWNER OR OWNER' S AUTHORIZED AGENT: SIGNATURE/TITLE DATE PRINT NAME AND TITLE [NOTE: THIS AUTHORIZED SIGNATURE PAGE MUST BE EXECUTED BY ALL OWNERS OR BY AN AUTHORIZED AGENT. IF THERE IS MORE THAN ONE OWNER, DUPLICATE THIS FORM FOR THE ADDITIONAL SIGNATURES . ] PAGE 6 - CONCURRENCY APPLICATION TO SHIFT CAPACITY POWER OF ATTORNEY Before me, the undersigned authority, this day personally appeared (hereafter the "Owner" ) who hereby appointed (hereafter the "Agent" ) as authorized agent to act in the Owner' s capacity in matters dealing with the following: (1) The Agent is the duly authorized agent of the Owner, serving as the Applicant for the property described in the attached application. (2) The Agent has the Owner' s full and complete permission to act on behalf of the Owner in seeking all approvals and conducting the necessary procedures associated with Article IX of the City of Ocoee Land Development Code . (3 ) The Agent has the Owner' s full and complete permission to sign and execute any applications, forms, and agreements associated with Article IX of the City of Ocoee Land Development Code and the Owner agrees to be bound by all actions taken by the Agent on the Owner' s behalf . (4) That they/she/he have/has appointed (specify himself or agent) to act as the Owner' s Authorized Agent to represent the Owner in connection with the proposed action and the real property described in this application. [IF OWNER IS AN INDIVIDUAL] Owner' s Signature Print Name : State of County of Sworn to and subscribed before me this day of , 19 by , [ ] who is personally known to me, or [ ] who produced as identification. Notary Public Print Name : My Commission Number: My commission expires : [NOTE: THIS POWER OF ATTORNEY MUST BE PROPERLY EXECUTED BY ALL OWNERS OF THE PROPERTY IN THE PRESENCE OF A NOTARY. DUPLICATE THIS FORM IF THERE IS MORE THAN ONE OWNER.] PAGE 7 - PRELIMINARY CERTIFICATE OF CONCURRENCY APPLICATION POWER OF ATTORNEY Before me, the undersigned authority, this day personally appeared (hereafter the "Owner" ) who hereby appointed , (hereafter the "Agent" ) as authorized agent to act in the Owner' s capacity in matters dealing with the following: (1) The Agent is the duly authorized agent of the Owner, serving as the Applicant for the property described in the attached application. (2) The Agent has the Owner' s full and complete permission to act on behalf of the Owner in seeking all approvals and conducting the necessary procedures associated with Article IX of the City of Ocoee Land Development Code . (3 ) The Agent has the Owner' s full and complete permission to sign and execute any applications, forms, and agreements associated with Article IX of the City of Ocoee Land Development Code and the Owner agrees to be bound by all actions taken by the Agent on the Owner' s behalf . (4) That they/she/he have/has appointed (specify himself or agent) to act as the Owner' s Authorized Agent to represent the Owner in connection with the proposed action and the real property described in this application. [IF OWNER IS A CORPORATION] a corporation By: Name (Print) : Title (Print) : State of County of Sworn to and subscribed before me this day of , 19 by who is the of , a corporation, and [ ] who is personally known to me, or [ ] who produced as identification. Notary Public Print Name : My Commission Number: My Commission Expires : PAGE 8 - PRELIMINARY CERTIFICATE OF CONCURRENCY APPLICATION POWER OF ATTORNEY Before me, the undersigned authority, this day personally appeared (hereafter the "Owner" ) who hereby appointed (hereafter the "Agent" ) as authorized agent to act in the Owner' s capacity in matters dealing with the following: (1) The Agent is the duly authorized agent of the Owner, serving as the Applicant for the property described in the attached application. (2) The Agent has the Owner' s full and complete permission to act on behalf of the Owner in seeking all approvals and conducting the necessary procedures associated with Article IX of the City of Ocoee Land Development Code . (3 ) The Agent has the Owner' s full and complete permission to sign and execute any applications, forms, and agreements associated with Article IX of the City of Ocoee Land Development Code and the Owner agrees to be bound by all actions taken by the Agent on the Owner' s behalf . (4) That they/she/he have/has appointed (specify himself or agent) to act as the Owner' s Authorized Agent to represent the Owner in connection with the proposed action and the real property described in this application. [IF A GENERAL OR LIMITED PARTNERSHIP] a partnership By: Name (Print) : Title : General Partner State of County of Sworn to and subscribed before me this day of , 19 by who is a general partner of , a partnership, and [ ] who is personally known to me, or [ ] who produced as identification. Notary Public Print Name : My Commission Number: My Commission Expires : PAGE 9 - CONCURRENCY APPLICATION TO SHIFT CAPACITY OWNERSHIP LIST PARCEL ONE: OWNER' S NAME: OWNERSHIP INTEREST: MAILING ADDRESS : LEGAL DESCRIPTION: PARCEL TWO: OWNER' S NAME : OWNERSHIP INTEREST: MAILING ADDRESS : LEGAL DESCRIPTION: PAGE 10 - CONCURRENCY APPLICATION TO SHIFT CAPACITY PARCEL THREE: OWNER' S NAME : OWNERSHIP INTEREST: MAILING ADDRESS : LEGAL DESCRIPTION: * NOTE: IF MORE THAN THREE PARCELS, ATTACH ADDITIONAL SHEETS . DATE RECEIVED TIME RECEIVED FEE PAID RECEIPT NO. APPLICATION NO. APPLICANT - DO NOT WRITE ABOVE THIS LINE - FOR CITY STAFF USE ONLY CITY OF OCOEE CONCURRENCY MANAGEMENT APPLICATION FOR A TRANSFER OF A TRANSPORTATION CAPACITY RESERVATION CERTIFICATE NEW (PROPOSED) CERTIFICATE OWNER INFORMATION NAME: MAILING ADDRESS : PHONE : CONTACT PERSON: (Complete attached ownership list . ) NEW AGENT INFORMATION (IF APPLICABLE) NAME : MAILING ADDRESS : PHONE : CURRENT CERTIFICATE OWNER INFORMATION NAME : MAILING ADDRESS : PHONE : FORM-27 PAGE 2 TRANSFER OF CERTIFICATE APPLICATION PLEASE GIVE THE NUMBER OF THE FINAL CERTIFICATE OF CONCURRENCY AND THE NUMBER OF THE TCRC THAT IS TO BE TRANSFERRED AND ATTACH ORIGINAL OF CERTIFICATE TO THIS APPLICATION. EXPLAIN BELOW WHETHER THE ENTIRE CERTIFICATE IS BEING TRANSFERRED OR WHETHER IT IS A PARTIAL TRANSFER. PROVIDE DETAIL NECESSARY TO DETERMINE WHAT IS UNDER NEW OWNERSHIP AND WHAT REMAINS UNDER THE EXISTING OWNERSHIP. PROJECT INFORMATION (If this is a partial transfer, provide all information for both the new certificate for which the transfer is being made and the remainder of the current certificate. ) PROJECT NAME (Please include all names associated with the project . ) GENERAL LOCATION (Address, if applicable, and location map) TAX PARCEL IDENTIFICATION NUMBER: WHAT STAGE OF DEVELOPMENT IS THE PROJECT IN? HAVE BUILDING PERMITS BEEN ISSUED FOR THE PROJECT? IF SO, HOW MANY? PAGE 3 TRANSFER OF CERTIFICATE APPLICATION WILL THE NEW CERTIFICATE OWNER BE PROPOSING ANY CHANGES TO THE EXISTING PLANS FOR THE PROJECT (Physical changes as well as changes to the phasing schedule) ? IF SO, EXPLAIN. IF THIS IS A PARTIAL TRANSFER, STATE THE TRANSPORTATION CAPACITY ALLOCATED TO THE TRANSFEREE ALONG WITH A LEGAL DESCRIPTION OF THE REAL PROPERTY TO WHICH THE TRANSFER IS BEING MADE AND STATE THE TRANSPORTATION CAPACITY BEING RETAINED BY THE CURRENT CERTIFICATE HOLDER AND PROPOSED REALLOCATION. OTHER RESERVATION INFORMATION DOES THE NEW CERTIFICATE OWNER HAVE WATER CAPACITY RESERVED FOR THE PROJECT? (Please give the amount reserved and the Developer Agreement information associated with the reservation. If capacity has not been reserved, the applicant should explain. ) DOES THE NEW CERTIFICATE OWNER HAVE SEWER CAPACITY RESERVED FOR THE PROJECT? (Please give the amount reserved and the Developer Agreement information associated with the reservation. If capacity has not been reserved, the applicant should explain. ) PAGE 4 TRANSFER OF CERTIFICATE APPLICATION DOES THE NEW CERTIFICATE OWNER OWN THE REAL PROPERTY TO WHICH THE CERTIFICATE IS BEING TRANSFERRED? YES NO IF YES, ATTACH A COPY OF DEED TO NEW CERTIFICATE HOLDER. ADDITIONAL COMMENTS; IF ANY. PLEASE LIST BELOW ANY ADDITIONAL INFORMATION IN SUPPORT OF THIS APPLICATION. * NOTE : RETURN COMPLETED APPLICATION TO ADMINISTRATIVE SERVICES DEPARTMENT, CITY OF OCOEE, 150 NORTH LAKESHORE DRIVE, OCOEE, FL 34761 . APPLICATION FEES SHOULD BE MADE PAYABLE TO THE CITY OF OCOEE. PAGE 5 - TRANSFER OF CERTIFICATE APPLICATION AUTHORIZED SIGNATURE, NEW (PROPOSED) CERTIFICATE OWNER: My signature on this application as owner, or as the authorized agent, acknowledges that I understand the following: - This application addresses only the .TCRC. Development of the real property is subject to the terms, conditions, limitations and expiration dates set forth in the underlying Final Certificate of Concurrency. Sanitary sewer and potable water capacity reservation may be done in accordance with the terms of independent developer agreements entered into with the City of Ocoee . - A TCRC reserves capacity for a set period of time . If I do not use the capacity within that time, I lose my reserved capacity and up to 30% of my reservation fee . - My building permit will not be approved if the proposed use (s) , square footage and/or number of units listed on the permit application are greater than those submitted on this application. - The Development Administrator may require additional information in order for an accurate assessment to be conducted. I understand that the City of Ocoee cannot conduct special studies such as traffic counts on roads not regularly monitored and that I may be required to submit a traffic study obtained at my own expense . I also understand that review and approval of proposed development may be postponed for a reasonable time period in order for me to gather additional information. I also understand that proposed development may be denied approval for my failure to provide adequate information on the projected impacts created by the development . - All Transportation Capacity Reservation Certificates (TCRCs) are valid only for the specific real property described in the original application. Transportation capacity may be reassigned or allocated within the boundaries set forth in the original TCRC by application to the City. At no time may transportation capacity or any TCRC be sold or transferred to another party or entity separate from the real property described in the original application and set forth in the TCRC. All TCRC' s run with the land described in such TCRC. - Approval of a transfer of a certificate does not expand or grant any rights or privileges other than those expressly set forth on the certificate. I acknowledge that the information contained in this application is true and correct to the best of my knowledge . NEW OWNER OR NEW OWNER' S AUTHORIZED AGENT: SIGNATURE/TITLE DATE PRINT NAME AND TITLE [NOTE: THIS AUTHORIZED SIGNATURE PAGE MUST BE EXECUTED BY ALL OWNERS OR BY AN AUTHORIZED AGENT. IF THERE IS MORE THAN ONE OWNER, DUPLICATE THIS FORM FOR THE ADDITIONAL SIGNATURES . ] PAGE 6 - TRANSFER OF CERTIFICATE APPLICATION AUTHORIZED SIGNATURE, CURRENT CERTIFICATE OWNER: My signature on this application as current owner of Transportation Capacity Reservation Certificate No . or as authorized agent, acknowledges that I understand the following: - This application addresses only the TCRC. Development of the real property is subject to the terms, conditions, limitations and expiration dates set forth in the underlying Final Certificate of Concurrency. Sanitary sewer and potable water capacity reservation may be done in accordance with the terms of independent developer agreements entered into with the City of Ocoee . - A TCRC reserves capacity for a set period of time . If I do not use the capacity within that time, I lose my reserved capacity and up to 30% of my reservation fee . - My building permit will not be approved if the proposed use (s) , square footage and/or number of units listed on the permit application are greater than those submitted on this application. - The Development Administrator may require additional information in order for an accurate assessment to be conducted. I understand that the City of Ocoee cannot conduct special studies such as traffic counts on roads not regularly monitored and that I may be required to submit a traffic study obtained at my own expense . I understand that review and approval of proposed development may be postponed for a reasonable time in order for me to gather additional information. I understand that development may be denied approval for my failure to provide adequate information on the projected impacts created by the development . - All TCRCs are valid only for the specific real property described in the original application. Transportation capacity may be reassigned or allocated within the boundaries set forth in the original TCRC by application to the City. At no time may transportation capacity or any TCRC be sold or transferred to another party or entity separate from the real property described in the original application and set forth in the TCRC. All TCRC' s run with the land described in such TCRC. - Approval of a transfer of a certificate does not expand or grant any rights or privileges other than those expressly set forth on the certificate . I acknowledge that the information contained in this application is true and correct to the best of my knowledge . CURRENT CERTIFICATE OWNER OR OWNER' S AUTHORIZED AGENT: SIGNATURE/TITLE DATE PRINT NAME AND TITLE [NOTE: THIS AUTHORIZED SIGNATURE PAGE MUST BE EXECUTED BY ALL OWNERS OR BY AN AUTHORIZED AGENT. IF THERE IS MORE THAN ONE OWNER, DUPLICATE THIS FORM FOR THE ADDITIONAL SIGNATURES .] PAGE 7 - TRANSFER OF CERTIFICATE APPLICATION POWER OF ATTORNEY, NEW (PROPOSED) CERTIFICATE OWNER: Before me, the undersigned authority, this day personally appeared (hereafter the "Owner" ) who hereby appointed (hereafter the "Agent" ) as authorized agent to act in the Owner' s capacity in matters dealing with the following: (1) The Agent is the duly authorized agent of the Owner, serving as the Applicant for the property described in the attached application. (2) The Agent has the Owner' s full and complete permission to act on behalf of the Owner in seeking all approvals and conducting the necessary procedures associated with Article IX of the City of Ocoee Land Development Code . (3) The Agent has the Owner' s full and complete permission to sign and execute any applications, forms, and agreements associated with Article IX of the City of Ocoee Land Development Code and the Owner agrees to be bound by all actions taken by the Agent on the Owner' s behalf . (4) That they/she/he have/has appointed (specify himself or agent) to act as the Owner' s Authorized Agent to represent the Owner in connection with the proposed action and the real property described in this application. [IF OWNER IS AN INDIVIDUAL] Owner' s Signature Print Name : State of County of Sworn to and subscribed before me this day of , 19 by , [ ] who is personally known to me, or [ ] who produced as identification. Notary Public Print Name : My Commission Number: My commission expires : [NOTE: THIS POWER OF ATTORNEY MUST BE PROPERLY EXECUTED BY ALL OWNERS OF THE PROPERTY IN THE PRESENCE OF A NOTARY. DUPLICATE THIS FORM IF THERE IS MORE THAN ONE OWNER. ] PAGE 8 - TRANSFER OF CERTIFICATE APPLICATION POWER OF ATTORNEY, CURRENT CERTIFICATE OWNER 3efore me, the undersigned authority, this day personally appeared (hereafter she "Owner" ) who hereby appointed (hereafter the "Agent" ) as authorized agent to act in the Owner' s capacity in matters dealing with the following: (1) The Agent is the duly authorized agent of the Owner, serving as the Applicant for the property described in the attached application. (2) The Agent has the Owner' s full and complete permission to act on behalf of the Owner in seeking all approvals and conducting the necessary procedures associated with Article IX of the City of Ocoee Land Development Code . (3) The Agent has the Owner' s full and complete permission to sign and execute any applications, forms, and agreements associated with Article IX of the City of Ocoee Land Development Code and the Owner agrees to be bound by all actions taken by the Agent on the Owner' s behalf . (4) That they/she/he have/has appointed (specify himself or agent) to act as the Owner' s Authorized Agent to represent the Owner in connection with the proposed action and the real property described in this application. [IF OWNER IS AN INDIVIDUAL] Owner' s Signature Print Name : State of County of Sworn to and subscribed before me this day of , 19 by , [ ] who is personally known to me, or [ ] who produced as identification. Notary Public Print Name : My Commission Number: My commission expires : [NOTE: THIS POWER OF ATTORNEY MUST BE PROPERLY EXECUTED BY ALL OWNERS OF THE PROPERTY IN THE PRESENCE OF A NOTARY. DUPLICATE THIS FORM IF THERE IS MORE THAN ONE OWNER. ] PAGE 9 - TRANSFER OF CERTIFICATE APPLICATION POWER OF ATTORNEY, NEW (PROPOSED) CERTIFICATE OWNER: Before me, the undersigned authority, this day personally appeared (hereafter the "Owner" ) who hereby appointed , (hereafter the "Agent" ) as authorized agent to act in the Owner' s capacity in matters dealing with the following: (1) The Agent is the duly authorized agent of the Owner, serving as the Applicant for the property described in the attached application. (2) The Agent has the Owner' s full and complete permission to act on behalf of the Owner in seeking all approvals and conducting the necessary procedures associated with Article IX of the City of Ocoee Land Development Code . (3) The Agent has the Owner' s full and complete permission to sign and execute any applications, forms, and agreements associated with Article IX of the City of Ocoee Land Development Code and the Owner agrees to be bound by all actions taken by the Agent on the Owner' s behalf . (4) That they/she/he have/has appointed (specify himself or agent) to act as the Owner' s Authorized Agent to represent the Owner in connection with the proposed action and the real property described in this application. [IF OWNER IS A CORPORATION] , a corporation By: Name (Print) : Title (Print) : State of County of Sworn to and subscribed before me this day of , 19 by who is the of , a corporation, and [ ] who is personally known to me, or [ ] who produced as identification. Notary Public Print Name : My Commission Number: My Commission Expires : PAGE 10 - TRANSFER OF CERTIFICATE APPLICATION POWER OF ATTORNEY, CURRENT CERTIFICATE OWNER Before me, the undersigned authority, this day personally appeared (hereafter the "Owner" ) who hereby appointed (hereafter the "Agent" ) as authorized agent to act in the Owner' s capacity in matters dealing with the following: (1) The Agent is the duly authorized agent of the Owner, serving as the Applicant for the property described in the attached application. (2) The Agent has the Owner' s full and complete permission to act on behalf of the Owner in seeking all approvals and conducting the necessary procedures associated with Article IX of the City of Ocoee Land Development Code . (3) The Agent has the Owner' s full and complete permission to sign and execute any applications, forms, and agreements associated with Article IX of the City of Ocoee Land Development Code and the Owner agrees to be bound by all actions taken by the Agent on the Owner' s behalf . (4) That they/she/he have/has appointed (specify himself or agent) to act as the Owner' s Authorized Agent to represent the Owner in connection with the proposed action and the real property described in this application. [IF OWNER IS A CORPORATION] a corporation By: Name (Print) : Title (Print) : State of County of Sworn to and subscribed before me this day of 19 by who is the of , a corporation, and [ ] who is personally known to me, or [ ] who produced as identification. Notary Public Print Name : My Commission Number: My Commission Expires : PAGE 11 - TRANSFER OF CERTIFICATE APPLICATION POWER OF ATTORNEY, NEW (PROPOSED) CERTIFICATE OWNER: Before me, the undersigned authority, this day personally appeared (hereafter the "Owner" ) who hereby appointed (hereafter the "Agent" ) as authorized agent to act in the Owner' s capacity in matters dealing with the following: (1) The Agent is the duly authorized agent of the Owner, serving as the Applicant for the property described in the attached application. (2) The Agent has the Owner' s full and complete permission to act on behalf of the Owner in seeking all approvals and conducting the necessary procedures associated with Article IX of the City of Ocoee Land Development Code . (3) The Agent has the Owner' s full and complete permission to sign and execute any applications, forms, and agreements associated with Article IX of the City of Ocoee Land Development Code and the Owner agrees to be bound by all actions taken by the Agent on the Owner' s behalf . (4) That they/she/he have/has appointed (specify himself or agent) to act as the Owner' s Authorized Agent to represent the Owner in connection with the proposed action and the real property described in this application. [IF A GENERAL OR LIMITED PARTNERSHIP] a partnership By: Name (Print) : Title : General Partner State of County of Sworn to and subscribed before me this day of , 19 by who is a general partner of , a partnership, and [ ] who is personally known to me, or [ ] who produced as identification. Notary Public Print Name : My Commission Number: My Commission Expires : PAGE 12 - TRANSFER OF CERTIFICATE APPLICATION POWER OF ATTORNEY, CURRENT CERTIFICATE OWNER Before me, the undersigned authority, this day personally appeared (hereafter the "Owner" ) who hereby appointed (hereafter the "Agent" ) as authorized agent to act in the Owner' s capacity in matters dealing with the following: (1) The Agent is the duly authorized agent of the Owner, serving as the Applicant for the property described in the attached application. (2) The Agent has the Owner' s full and complete permission to act on behalf of the Owner in seeking all approvals and conducting the necessary procedures associated with Article IX of the City of Ocoee Land Development Code . (3) The Agent has the Owner' s full and complete permission to sign and execute any applications, forms, and agreements associated with Article IX of the City of Ocoee Land Development Code and the Owner agrees to be bound by all actions taken by the Agent on the Owner' s behalf . (4) That they/she/he have/has appointed (specify himself or agent) to act as the Owner' s Authorized Agent to represent the Owner in connection with the proposed action and the real property described in this application. [IF A GENERAL OR LIMITED PARTNERSHIP] a partnership By: Name (Print) : Title : General Partner State of County of Sworn to and subscribed before me this day of , 19 by who is a general partner of , a partnership, and [ ] who is personally known to me, or [ ] who produced as identification. Notary Public Print Name : My Commission Number: My Commission Expires : PAGE 13 - TRANSFER OF CERTIFICATE APPLICATION OWNERSHIP LIST PARCEL ONE: OWNER' S NAME : OWNERSHIP INTEREST: MAILING ADDRESS : LEGAL DESCRIPTION: PARCEL TWO: OWNER' S NAME : OWNERSHIP INTEREST: MAILING ADDRESS : LEGAL DESCRIPTION: PAGE 14 - TRANSFER OF CERTIFICATE APPLICATION PARCEL THREE: OWNER' S NAME : OWNERSHIP INTEREST: MAILING ADDRESS : LEGAL DESCRIPTION: * NOTE: IF MORE THAN THREE PARCELS, ATTACH ADDITIONAL SHEETS.