APPLICATION FOR ADMINISTRATIVE SITE PLAN REVIEW (COMMERCIAL/INDUSTRIAL) GENERAL INFORMATION The following items must be submitted to the Zoning Administrative Review Section for review of proposed commercial and industrial developments: 1 copy of application (attached) 1 set of plans (site, landscaping, floor plans, elevation) and provide CD of plans & application (see instructions for format) 1 set of plans not to exceed 8½” x 11” in size 1 copy of legal description Fee (See fee schedule attached) Survey The Site Plan must contain a complete legend (Ask for the standardized legend for your type of development at the Zoning Hearings Counter). Landscape plans must be accompanied by a Landscape Legend and a signed Certificate of Compliance (See Attached). The plan will be reviewed by the Department of Planning and Zoning, Public Works Department and by DERM for compliance with zoning regulations and for compliance with site plan review criteria. Additionally, the Parks and Recreation Department, Dept. of Transportation Administration, Fire Dept. and Dept. of Solid Waste will be conducting a concurrency evaluation of your project. Applicants will be notified of required revisions or corrections to the plan within 15 days from the date of submission. Revised plans, once received, will again be reviewed by all departments, and if approved will proceed to the Zoning Evaluation Unit for final review, resulting in written approval or denial of the plan. FIRE RESCUE DEPARTMENT reviews and comments on applications. Call (786) 331-4540 to obtain information required for proper plans review by this department. AVIATION DEPARTMENT reviews and comments on applications located within certain areas of all airports located in Miami-Dade County. Additional fees will be assessed for applications exceeding certain height thresholds. Call (305) 876-0479 for information on height thresholds. An appointment is required to submit the application when your site plan review application is complete and ready to submit. Please call the Zoning Administrative Review Section at (305) 375-2640 and schedule an appointment to submit the ASPR application. Aspraddpforres.&comm./sbl-5/13/09 American LegalNet, Inc. www.FormsWorkFlow.com APPLICATION FOR ADMINISTRATIVE SITE PLAN REVIEW (Commercial) S _____ T _____ R _____ FOLIO NUMBER: ________________________________ Stamped Received (1) APPLICANT’S NAME: ______________________________________________________ ADDRESS: _______________________________________________________________ PHONE: ________________ FAX: _________________ E-MAIL: ___________________ (2) PROPERTY OWNER’S NAME: _______________________________________________ ADDRESS: _______________________________________________________________ PHONE: ________________ FAX: _________________ E-MAIL: ___________________ (3) CONTACT PERSON’S NAME: _______________________________________________ ADDRESS: _______________________________________________________________ PHONE: ________________ FAX: _________________ E-MAIL: ___________________ (4) NAME OF PLAN __________________________________________________________ NO. OF SHEETS __________________________________________________________ PREPARED BY ___________________________________________________________ DATE OF PLAN ___________________________________________________________ NUMBER OF UNITS _______________________________________________________ (5) TYPE OF DEVELOPMENT: OFFICE ____________ COMMERCIAL ____________ INDUSTRIAL ____________ OTHER ____________ (6) SIZE OF PROPERTY: ______________________________________________________ ZONING ON PROPERTY: ___________________________________________________ LEGAL DESCRIPTION OF PROPERTY: _______________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ (7) ADDRESS OR LOCATION OF PROPERTY: ____________________________________ ________________________________________________________________________ (8) ZONING DISTRICT: _______________________________________________________ American LegalNet, Inc. www.FormsWorkFlow.com APPLICANT’S AFFIDAVIT The Undersigned, first being duly sworn depose that all answers to the questions in this application, and all supplementary documents made a part of the application are honest and true to the best of (my)(our) knowledge and belief. (I)(We) understand this application must be complete and accurate before the application can be submitted and the hearing advertised. ********************************************************************************************************************************* OWNER OR TENANT AFFIDAVIT (I)(WE), , being first duly sworn, depose and say that (I am)(we are) the  owner  tenant of the property described and which is the subject matter of the proposed hearing . Signature . Signature Sworn to and subscribed to before me this _____ day of ___________, ______. Notary Public: Commission Expires: *********************************************************************************************************************************************** CORPORATION AFFIDAVIT (I)(WE), , being first duly sworn, depose and say that (I am)(we are) the  President  Vice-President  Secretary  Asst. Secretary of the aforesaid corporation, and as such, have been authorized by the corporation to file this application for public hearing; and that said corporation is the  owner  tenant of the property described herein and which is the subject matter of the proposed hearing. Attest: ___________________________________________ __________________________________________ Authorized Signature _______________________________________ Office Held (Corp. Seal) Sworn to and subscribed to before me this _____ day of ___________, ______. Notary Public: Commission Expires: *********************************************************************************************************************************************** PARTNERSHIP AFFIDAVIT (I)(WE), , being first duly sworn, depose and say that (I am)(we are) partners of the hereinafter named partnership, and as such, have been authorized to file this application for a public hearing; and that said partnership is the  owner  tenant of the property described herein which is the subject matter of the proposed hearing. _____________________________________________ (Name of Partnership) By % By % By % By % Sworn to and subscribed to before me this _____ day of ___________, ______. Notary Public: Commission Expires: *********************************************************************************************************************************************** ATTORNEY AFFIDAVIT I, , being first duly sworn, depose and say that I am a State of Florida Attorney at Law, and I am the Attorney for the Owner of the property described and which is the subject matter of the proposed hearing. Sworn to and subscribed to before me this _____ day of ___________, ______. Notary Public: Commission Expires Signature American LegalNet, Inc. www.FormsWorkFlow.com OWNERSHIP AFFIDAVIT FOR CORPORATION STATE OF _______________________________ COUNTY OF ______________________________ Before me, the undersigned authority, personally appeared ________________________________ ___________________________________________ hereinafter the Affiant(s), who being first duly sworn by me, on oath, deposes and says: 1. Affiant is the president, vice-president or CEO of the Corporation, with the following address: ___________________________________________________________________________ 2. The Corporation owns the property which is the subject of the application. 3. The subject property is legally described as: ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 4. Affiant is legally authorized to file this application. 5. Affiant understands this affidavit is subject to the penalties of law for perjury and the possibility of voiding of any zoning approval granted. Witnesses: ______________________ Signature Affiant’s signature Print Name Print Name _______________________ ___________________________________ Signature ___________________________________ Print Name Sworn to and subscribed before me on the _ day of _________________20 Affiant is personally known to me or has produced . ___________________________ as identification Notary (Stamp/Seal) Commission Expires: [L:forms/afficorp.sam (1/04)] American LegalNet, Inc. www.FormsWorkFlow.com OWNERSHIP AFFIDAVIT FOR INDIVIDUAL STATE OF _______________________________ COUNTY OF ______________________________ Before me, the undersigned authority, personally appeared_______________________, hereinafter the Affiant, who being first duly sworn by me, on oath, deposes and says: 1. Affiant is the fee owner of the property that is the subject of the application. 2. The subject property is legally described as: ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 3. Affiant understands this affidavit is subject to the penalties of law for perjury and the possibility of voiding of any zoning approval granted. Witnesses: __________________________________ _______________________________ __________________________________ _______________________________ Signature Print Name Affiant’s signature Print Name ___________________________________ Signature ___________________________________ Print Name Sworn to and subscribed before me on the _______ day of ______________________, 20_____ Affiant is personally known to me or has produced ___________________________ as identification. Notary (Stamp/Seal) Commission Expires: [L:forms/afficorp.sam (1/04)] American LegalNet, Inc. www.FormsWorkFlow.com DISCLOSURE OF INTEREST* If a CORPORATION owns or leases the subject property, list principal stockholders and percent of stock owned by each. [Note: Where principal officers or stockholders consist of other corporation(s), trust(s), partnership(s) or other similar entities, further disclosure shall be made to identify the natural persons having the ultimate ownership interest]. CORPORATION NAME: _________________________________________________________ NAME AND ADDRESS Percentage of Stock _______________________________________________ ____________________ _______________________________________________ ____________________ _______________________________________________ ____________________ _______________________________________________ ____________________ If a TRUST or ESTATE owns or leases the subject property, list the trust beneficiaries and the percent of interest held by each. [Note: Where beneficiaries are other than natural persons, further disclosure shall be made to identify the natural persons having the ultimate ownership interest]. TRUST/ESTATE NAME ____________________________________ NAME AND ADDRESS Percentage of Interest _______________________________________________ ____________________ _______________________________________________ ____________________ _______________________________________________ ____________________ _______________________________________________ ____________________ _______________________________________________ ____________________ If a PARTNERSHIP owns or leases the subject property, list the principals including general and limited partners. [Note: Where the partner(s) consist of another partnership(s), corporation(s), trust(s) or other similar entities, further disclosure shall be made to identify the natural persons having the ultimate ownership interest]. PARTNERSHIP OR LIMITED PARTNERSHIP NAME: ______________________________________ NAME AND ADDRESS Percentage of Ownership _______________________________________________ ____________________ _______________________________________________ ____________________ _______________________________________________ ____________________ _______________________________________________ ____________________ _______________________________________________ ____________________ If there is a CONTRACT FOR PURCHASE, by a Corporation, Trust or Partnership list purchasers below, including principal officers, stockholders, beneficiaries or partners. [Note: Where principal officers, stockholders, beneficiaries or partners consist of other corporations, trusts, partnerships or other similar American LegalNet, Inc. www.FormsWorkFlow.com entities, further disclosure shall be made to identify natural persons having the ultimate ownership interests]. NAME OF PURCHASER: ____________________________________ NAME, ADDRESS AND OFFICE (if applicable) Percentage of Interest _______________________________________________ ____________________ _______________________________________________ ____________________ _______________________________________________ ____________________ _______________________________________________ ____________________ _______________________________________________ ____________________ Date of contract: _______________________ If any contingency clause or contract terms involve additional parties, list all individuals or officers, if a corporation, partnership or trust. _______________________________________________ ____________________ _______________________________________________ ____________________ _______________________________________________ ____________________ _______________________________________________ ____________________ _______________________________________________ ____________________ NOTICE: For any changes of ownership or changes in purchase contracts after the date of the application, but prior to the date of final public hearing, a supplemental disclosure of interest is required. The above is a full disclosure of all parties of interest in this application to the best of my knowledge and belief. Signature: (Applicant) Sworn to and subscribed before me this ______ day of _________, 20________. Affiant is personally know to me or has produced ____________________________________ as identification. _______________________________ (Notary Public) My commission expires: ____________ Seal *Disclosure shall not be required of: 1) any entity, the equity interests in which are regularly traded on an established securities market in the United States or another country; or 2) pension funds or pension trusts of more than five thousand (5,000) ownership interests; or 3) any entity where ownership interests are held in a partnership, corporation or trust consisting of more than five thousand (5,000) separate interests, including all interests at every level of ownership and where no one (1) person or entity holds more than a total of five per cent (5%) of the ownership interest in the partnership, corporation or trust. Entities whose ownership interests are held in a partnership, corporation, or trust consisting of more than five thousand (5,000) separate interests, including all interests at every level of ownership, shall only be required to disclose those ownership interest which exceed five (5) percent of the ownership interest in the partnership, corporation or trust. American LegalNet, Inc. www.FormsWorkFlow.com INSTRUCTION SHEET FOR PREPARER OF LANDSCAPE/IRRIGATION PLAN Attached is a copy of the landscaping compliance/certification letter required to be submitted for initial plan’s review and certification for final inspection. Professional Preparer: Please transfer entire copy on your letterhead, in the format provided, fill in the necessary information and submit as required. Owner/Builder: Please complete the attached certification letter and submit as required. Your attention and cooperation are appreciated. American LegalNet, Inc. www.FormsWorkFlow.com Owner/Corp. OWNER'S STATEMENT OF LANDSCAPE COMPLIANCE PROCESS NUMBER ___________________ I/We hereby certify that as owner/agent for owner of Lot ______, Block ______, Subdivision name ____________________________________, P.B. ______ Page ________, (or metes and bounds) legal description ______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ Located at (address) _________________________________________________, that the landscaping/irrigation plans being submitted comply with the requirements of Chapter18A (Landscape Code) and that the species as shown are in compliance with those approved by Miami-Dade County and that none of the species were selected from the "prohibited species" list. Further, if an automatic sprinkler system is being provided, it too, complies with the requirements of the ordinance as to type of heads, spray system, location, etc. I/We further certify that I/we am/are authorized under Chapter 481, Florida statutes to prepare and submit this landscaping/irrigation plan. ___________________________________ Owner’s Signature _____________________________________ Agent’s Signature/Title ___________________________________ Print Name _____________________________________ Print name of Corporation (Owner) STATE OF ________________________________ COUNTY OF ______________________________ The foregoing instrument was acknowledged before me this ________ day of _________________, __________, by _________________________________ of _______________________________________ a __________________________________ corporation, on behalf of the corporation. He/She is personally known to me or has produced ________________________________ as identification and did did not take an oath Witness my signature and official seal this ________ day of _________________________, _________, in the County and State aforesaid, the date and year last aforesaid. _________________________________________________ Notary Public _________________________________________________ Print Name My Commission Expires: _____________________________ Seal American LegalNet, Inc. www.FormsWorkFlow.com Professional /Corp. PROFESSIONAL PREPARER'S STATEMENT OF LANDSCAPING COMPLIANCE PROCESS NUMBER ______________________ Legal description: Lot ________, Block ________, Subdivision ________________________________ P.B. ________ Page ________, Development name ________________________________________ Located at (address) _________________________________________________________________ I/We hereby certify that the landscaping/irrigation plan being submitted complies with the requirements of Ordinance 18A (Landscape code) as to species, height, trunk width and location at time of planting, and that the species as shown are in accordance with the accepted species approved by Miami-Dade County and that none of the species are from the “Prohibited Species” list. I/We hereby certify as an arborist and/or landscape architect that there are/are no (circle one) specimen trees on the property. Additionally automatic sprinkler system (if applicable) comply with requirement of said ordinance as to type of heads, spray system, location, etc. I/We further certify that I/we am/are authorized under Chapter 481, Florida statutes to prepare and submit this landscaping/irrigation plan. _________________________________ Professional Preparer's Signature Seal: (If Corporation) _________________________________ Print Name STATE OF ___________________ COUNTY OF _________________ I, an officer authorized to take acknowledgments, according to the law and duly qualified and so acting, do hereby certify that on this date appeared before me _____________________________________________ to me known to be the person describe in and who executed the foregoing instrument and he/she acknowledged to me the execution there of to be his/her free act and deed for the uses and purposes therein mentioned; Witness my signature and official seal this ________ day of _________________________, _________, in the County and State aforesaid, the date and year last aforesaid. _________________________________________________ Notary Public _________________________________________________ Print Name My Commission Expires: _____________________________ Seal American LegalNet, Inc. www.FormsWorkFlow.com Professional/Individual PROFESSIONAL PREPARER'S STATEMENT OF LANDSCAPING COMPLIANCE PROCESS NUMBER _____________________________ Legal description: Lot________, Block, ________ Subdivision ______________________________________ P.B. __________ Page _________, Development name __________________________________________ Located at (address) ______________________________________________________________________ I/We certify that the landscaping plan being submitted complies with the requirements of Chapter 18A (Landscape Code) as to species, height, trunk width and location at time of planting, and that the species as shown are in accordance with the accepted species approved by Miami-Dade County and that none of the species were selected from the "Prohibited Species" list. Additionally automatic sprinkler system (if applicable) shall comply with requirement of said ordinance as to type of heads, spray system, location, etc. I/We further certify that I/we am/are authorized under Chapter 481, Florida statutes to prepare and submit this landscaping/irrigation plan. Seal: ___________________________________ Professional Preparer’s Signature ___________________________________ Print Name STATE OF _________________________ COUNTY OF _______________________ I, an officer authorized to take acknowledgments, according to the law and duly qualified and so acting, do hereby certify that on this date appeared before me ________________________________________ to me known to be the person described in and who executed the foregoing instrument and he/she acknowledged to me the execution thereof to be his/her free act and deed for the uses and purposes therein mentioned; Witness my signature and seal this _______ day of ______________________________, ____________, in the County and State aforesaid, the date and year last aforesaid. ___________________________________ Notary Public ___________________________________ Print Name My Commission Expires ________________ Seal American LegalNet, Inc. www.FormsWorkFlow.com LANDSCAPE LEGEND (This information is required to be permanently affixed to the plan.) Zoning District: _________ Net Lot Area: _________ acres _________ square feet OPEN SPACE REQUIRED A. Square feet of open space required by Chapter 33, as indicated on site plan: Net lot area = _______ square feet x _______ % = _______ square feet _________ B. Square feet of parking lot open space required by Chapter 18A, as indicated on site plan: The number of parking spaces _______ x 10 square feet per parking space = _________ C. Total square feet of landscaped open space required by Chapter 33 = A + B = _________ PROVIDED _________ _________ _________ LAWN AREA CALCULATION A. Total square feet of landscaped open space required by Chapter 33 = _________ B. Maximum lawn area (St. Augustine sod) permitted = _______ % x _______ square feet = __________ TREES A. The number of trees required per net lot acre ________ less the existing number of trees that meet minimum requirements (minus) _ ________ = _______ trees x net lot acreage = _________ B. 30% palm trees allowed (two palms = one tree) Palms provided = _________ C. Percentage of native trees required = the number of trees provided x 30% = ________ D. Street trees (max. average spacing of 35' o.c.): _______ linear feet along street ÷ 35 = _________ Palms as street trees (max. average spacing 25' o.c.): _______ linear feet along street ÷ 25 = _________ E. Street trees located directly beneath power lines (maximum average spacing of 25' o.c.): _ ______ linear feet along street ÷ 25 = _________ F. Total number of trees provide d = _______ _________ __________ _________ __________ __________ __________ ________ SHRUBS A. The total number of trees required x 10 = the number of shrubs required B. The number of shrubs required x 30% = the number of native shrubs required _________ _________ __________ __________ IRRIGATION PLAN: Required by Chapter 33. Auto irrigation _________ or hose bib _______ provided. TABLE containing information as indicated in sample: SYMBOL USED ON PLAN Symbol PLANT NAME New Existing Scientific NATIVE CALIPER SPECIES Common Yes No Installed HEIGHT CANOPY DIAMETER QUANTITY Installed Estimated Estimated at at maturity* maturity* * Required for trees located underneath or adjacent to powerlines and palms used at 1:1 ratio ADDITIONAL INFORMATION MAY BE REQUIRED BY CHAPTER 18A. American LegalNet, Inc. www.FormsWorkFlow.com Miami-Dade Fire Rescue Access Road Requirements The requirements identified in this document are minimum standards. The Authority Having Jurisdiction (AHJ), based on specific fire fighting and or Emergency Medical Service (EMS) needs, may require necessary modifications to these minimum standards on a case-by-case basis. Fire department access roads must be provided for every community, facility, building, or portion of a building. Set-up sites, fire lanes, and slopes in a project must be able to accommodate a truck with dimensions as follows. Overall length: 46 feet, 10 inches Bumper to bumper: 32 feet Wheelbase length: 256 inches Requirements for changes of elevation on Fire Department access roads Angle of approach: 11 degrees max = (1: 5.14 ratio) = (19.4%) Brake-over angle: 7 degrees max = (1: 8.14 ratio) = (12.3%) Angle of departure: 8 degrees rnax = (1: 7.12 ratio) = (14%) Driving inclines 11 degrees max = (1: 5.14 ratio) = (19.4%) Required dimensions for fire department access roads All pertinent dimensions of fire department access roads such as - drivable roadway width, turn radii, cul-de-sacs, and T or Y turnarounds must be identified on a site plan. All sidewalks and green space shall be identified separate from roadway dimensions. The minimum dimensions for fire department access roads shall be 20 feet unobstructed width (two-way traffic) and not less than 13 feet 6 inches of unobstructed vertical clearance NFPA 1 18.2.2.5.1. The AHJ will accept one-way traffic lanes to be a minimum of 15 feet unobstructed width. Dead end fire department access roads exceeding 150 feet shall be provided with approved provisions for the turning around of fire apparatus NFPA 1 18.2.2.5.4. An approved turn-around shall be by means described below. o A minimum 50 feet outside radius cul-de-sac of which must be a suitable surface as described in Emergency vehicle support capability and approved by the AHJ. o A T-Turn or Y-Turn with an extension of the "T or Y" to be a minimum of 46 feet from the edge of each side of the roadway (not the center of the roadway) which must be a suitable surface as described below and approved by the AHJ. Building access A fire department access road shall extend to within 50 feet of a single exterior door providing access to the interior of any and all buildings NFPA 1 18.2.2.2 American LegalNet, Inc. www.FormsWorkFlow.com Fire department access roads shall be provided such that any portion of the facility or any portion of an exterior wall of the first story of the building is located not more than 150 feet (450 feet if fully sprinklered) from a fire department access road as measured by an approved route around the exterior of the building or facility NFPA 1 18.2.2.3.1 Gated communities or properties Gates to communities or properties shall be a minimum 15 feet clear width if the approach to and/or departure from the gate is not within a turn radius. ' Gates that are within a turn radius shall be a minimum 20 feet clear width Fire Department access to gated communities shall be by Knox Key Switch model 3502 ONLY or Knox padlock model 3753 on manual gates where permitted. Emergency Vehicle Support Capability Fire department access roads shall be designed and maintained to support a minimum of 32 tons and shall be provided with a surface suitable for all-weather driving capabilities NFPA 1 18 2.2.5.2 Aerial apparatus set-up sites Sites shall be provided at the corner of each building over three stories in height-and at the approximate center of buildings in excess of 125 feet in length for fire fighting operations. Sites shall be no closer than 10 feet and no further than 30 feet from any building. Each site shall be a minimum 21 feet wide and 36 feet long with a cross slope no greater than 5 percent. Sites shall comply with the requirements of the emergency vehicle support capabilities above and also capable of withstanding any point forces resulting from outriggers. Fire hydrants, sprinkler systems, and other fire related devices Clearance from landscaping, parking, or other obstructions around fire hydrants and fire department connections to sprinkler systems shall be a minimum of seven and one-half feet in front of and to the sides of each appliance NFPA 1 18.3.4.1, 18, 3.4.2 Any required fire sprinkler post indicator valve and/or fire department connection shall be located not less than 40 feet from the protected building The fire department connection shall be within 150 feet of the closest fire hydrant. Should you desire to review your plans with the Miami Dade Fire Rescue Department prior to submittal of an application, please contact: Fire Water Engineering at 786-315-2773 to set up a consultation meeting. Consultation meeting has a fee of $190.00 (1st) hour or portion thereof and $65.00 each additional hour or portion thereof. Revised date: February 28, 2006 American LegalNet, Inc. www.FormsWorkFlow.com Commercial Development Legend Zoning District _________ Gross Land Area _________ Acres Net Land Area _________ Acres _________Square Feet Paved Area Prcntg. _________Required _________Provided Paved Area Sq. Ft. _________Required _________Provided Lot Coverage Prcntg. _________Permitted _________Proposed Lot Coverage Sq. Ft. _________Permitted _________Proposed Open Space Prcntg. _________Required _________Provided Open Space Sq. Ft. _________Required _________Provided Building Height Ft. _________Permitted _________Proposed Number of Stories _________Permitted _________Proposed Floor Area Ratio _________Permitted _________Proposed Building Type Use Square Footage Per Building "A" Retail, Office, Restaurant . . . _________ "B" Retail, Office, Restaurant . . . _________ "C" (as necessary) _________ Parking Spaces Required Per Type of Use "A" Retail, Office, Restaurant . . . _________ "B" Retail, Office, Restaurant . . . _________ "C" (as necessary) _________ Total Parking Spaces Required Setbacks: Front __________Required _________Provided Rear __________Required _________Provided Interior Side __________Required _________Provided Side Street __________Required _________Provided American LegalNet, Inc. www.FormsWorkFlow.com Industrial Development Legend Zoning District ______________ Gross Land Area ______________ Acres Net Land Area ______________Acres ______________ Square Feet Paved Area Sq. Ft. ______________ Provided Lot Coverage Sq. Ft. ______________ Proposed Open Space Sq. Ft. Required ____________.Provided _____________ Width of Greenbelts Sq. Ft. Required__________. Provided __________ Building Height Ft. Permitted ____________ Proposed ____________ Number of Stories Permitted ____________ Proposed ____________ Floor Area Ratio Permitted ____________ Proposed ____________ Building Type Use Square Footage Per Building "A" Office, Manufacturing, Warehouse . . . _____________ "B" Office, Manufacturing, Warehouse . . . _____________ "C" (as necessary) _____________ Parking Spaces Required Per Type of Use "A" Office, Manufacturing, Warehouse . . . _____________ "B" Office, Manufacturing, Warehouse . . . _____________ "C" (as necessary) _____________ Total Parking Spaces Required _____________ Setbacks: Front Required _____________Provided _____________ Rear Required _____________Provided _____________ Interior Side Required _____________Provided _____________ Side Street Required _____________Provided _____________ American LegalNet, Inc. www.FormsWorkFlow.com FEE SCHEDULE ADMINISTRATIVE SITE PLAN REVIEW FOR COMMERCIAL AND INDUSTRIAL PROJECTS Z707 Basic Fee...................................... ............................................. $ 2,201.63 Z708 Size of Property ($880.65 per 10 acres or portion thereof)..................................... $ __________ Z709 Size of Buildings ($293.55 per 5,000 sq. ft. or portion thereof)................................ $ __________ Z119 PUBLIC WORKS .......................... ............................................. $ 250.00 Z120 FIRE .............................................. ............................................. $ 190.00 Z060 Web Document Fee ..................... ............................................. $ 77.25 Subtotal $ __________ SUR8 8%Surcharge(on subtotal above) ............................................. $ __________ CN0 16%Concurrency Fee (on subtotal above) ............................... $ __________ Z109 DERM ............................................ ............................................. $ 250.00 Total $ __________ Revisions: First Revision at no charge Z706 Revision $880.65 (per subsequent revised plan) ........................ $ __________ SUR8 8%Surcharge ................................. ............................................. $ __________ Total $ __________ NOTE: The 8% surcharge is added to all fees except DERM and Concurrency. 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