Application for Concurrency Review - Development Review (ROW Use Permits Only) - Planning & Development - Seminole County Government - Florida
[Submit to Engineering Division - Application Fee is $65.00 or $260.00]
* Indicates required information
APPLICANT INFORMATION
* Applicant Name:
* Mailing Address:
* City:
* State:
* Zip:
* Phone Number:
Fax Number:
Email:
 
OWNER INFORMATION Same as above
* Owner Name:
* Mailing Address:
* City:
* State:
* Zip:
* Phone Number:
Fax Number:
Email:
 
PROJECT INFORMATION
* Project/Subdivision Name:
* Property Address:
* City:
* State:
* Zip:
 
Please list all Tax Parcel ID numbers for all properties included in this proposal/request.
* Tax Parcel I.D. #1: Look up your Parcel #
Tax Parcel I.D. #2: Look up your Parcel #
Tax Parcel I.D. #3: Look up your Parcel #
Tax Parcel I.D. #4: Look up your Parcel #
 
This proposal:
 
* A Signed and Sealed Traffic Impact Study is:
Land uses which require a traffic study regardless of size are convenience stores, gasoline stations, banks, and fast food restaurants.
MAILED OR DELIVERED.
NOT REQUIRED: since this application is specifically for:
   
* Utility Service Provision:
a) Water Service (Utility Provider): Served by
Not Served.
b) Sewer Service (Utility Provider): Served by
Not Served.
   
A Water and Sewer Demand Estimate (if served by Seminole County) Prepared By a Certified Engineer is:
MAILED OR DELIVERED.
NOT INCLUDED: I understand that Seminole County will make an estimate of water and sewer demand based upon the information in this application, but that I am solely responsible for assuring the accuracy of demand calculations for the purpose of paying connection fees. If sufficient data to perform an accurate demand calculation is not provided, applicants engineer will need to meet with the County Environmental Services Division prior to completing a utility agreement and payment of fees to determine a final demand calculation.
 
* PROJECT SIZE AND PHASING: Below, clearly identify past or existing uses or structures, if
applicable, and proposed new development/construction. Credit for prior uses can only be given
if the information is clear and complete. (Note: Sizes, types, and number of units as filled out below and as indicated on the plans will be assumed as maximums for estimating project demand and the Certificate of Concurrency will be conditioned upon and only valid for such maximums provided on this application)
PHASE
Number of Phases
(if applicable) 		NUMBER OF ACRES SPECIFIC USE (S) BUILDING GROSS
SQUARE FEET or
NUMBER OF
UNITS / LOTS
Example: Phase I 15 Single Family 95 Units
 
Documents to submit with this application:
  • Water and Sewer Demand Estimate Prepared by a Certified Engineer
  • Signed and Sealed Traffic Impact Study

Documents may be mailed or delivered to our office at:

   
  Seminole County Govt. Services Bldg.
Development Review Division
Attn: In Take Counter
1101 E. 1st Street
Sanford, FL 32771
Phone (407) 665-7410
   
 

In order for the application to be processed, all forms must be complete and all fees paid. Please contact Central Intake Desk at (407) 665-7371 for determination of applicable fee amount (either $65.00 or $260.00). Applicants are notified of incomplete applications.

   
CERTIFICATION

I hereby certify that the information contained herein is true and correct and that I am either the true and sole owner of the subject property, or am authorized to act on behalf of the true owner(s) in all regards on this matter, pursuant to proof and authorization submitted with the corresponding development application or attached hereto. I hereby represent that I have the lawful right and authority to file this application.

I understand that submission of the form initiates a process and does not imply approval by Seminole County. I further understand that issuance of a Certificate of Concurrency will require successful completion of Development Review and payment of Facility Reservation Fees, and that likewise no final development order will be issued except upon successful completion of this Concurrency Review. I further understand that “Inquiry Only” Review will result in no Certificate of Concurrency being issued, and therefore no binding assurance of future capacity, and that a new Concurrency Review application will be required in conjunction with the first final development order applies for on this property.

* I have read and agree with the statements above.