TOWN OF CUTLER BAY
Department of Community Development
Planning and Zoning
(305) 234-4262
Town of Cutler Bay | 10720 Caribbean Boulevard, Suite 105 | Cutler Bay, FL | www.cutlerbay-fl.gov
Page 1 of 5
Received: ____________________
PLAN #: _____________________
LAND USE APPLICATION
Application Date: ________________
Proposed Project Name: _____________________________________________________________
Action Requested:
Growth Management Plan Amendment Future Land Use Map Amendment
Rezoning/Zoning Map Amendment Land Development Regulations Text Amendment
Conditional Use Variance Site Plan Review Administrative Adjustment
Other: ____________________________________________________________________________
Property Information:
Primary Address: ____________________________________________________________________
(If the property is unaddressed, please describe the location, such as “NE corner of ______.”)
Folio No.: ___________________________________________________________________________
Legal Description: Lot ________________, Block __________________, Section _________________
Subdivision: ________________________________________________________________________________________
Is contiguous property under the same ownership as the subject property? Yes No
(If yes, please include legal descriptions, property addresses, and folio numbers for all such properties.)
Property Owner Information:
(If multiple owners, use multiple sheets; if owned by a corporate entity, use the “Disclosure of Interest form.)
Property Owner Name: ____________________________________________________________________
Property Owner Address: __________________________________________________________________
Property Owner Email: ____________________________________________________________________
Property Owner Telephone Number: ______________________________________________________
Applicant Information: Check here if same as Property Owner
(Any applicant who is not the property owner must also register as a Lobbyist with the Town Clerk’s Office.)
(Any applicant who is a lessee of the property is required to submit an executed “Owner’s Sworn-To-Consent” and
a copy of an active lease valid for a period of at least one (1) year.)
Applicant Name: __________________________________________________________________________
Applicant Address: ________________________________________________________________________
Applicant Email: __________________________________________________________________________
Applicant Telephone Number: _____________________________________________________________
TOWN OF CUTLER BAY
Department of Community Development
Planning and Zoning
(305) 234-4262
Land Use Application Page 2 of 5
Received: ____________________
PLAN #: _____________________
Property Details:
Has this property been the subject of a land use application in the last 18-months? Yes No
If yes, please provide the nature of that application and the final disposition: _______________
____________________________________________________________________________________
____________________________________________________________________________________
Is this application the result of a Code Compliance warning or Notice of Violation? Yes No
If yes, please provide the Code Compliance case number: _______________________________
Is there an existing/established use on the property? Yes No
If yes, please provide the nature of the use and when the use was established:
Type/Nature of Established Use: ___________________________________________________________
Year Established: _______________ Certificate of Use No.: ____________________________________
Is there an option to purchase/lease the subject property? Yes No
(If yes, the party holding the option is required to complete a Disclosure of Interest” form.)
Is the party holding the option the same as the applicant indicated above? Yes No
If no, please provide the name of the individual/entity holding the option:
_____________________________________________________________________________________
Legal Description: Lot __________________, Block __________________, Section _________________
Subdivision: _______________________________________________________________________________
Application Proposal:
What is the proposed use of the property? _________________________________________________
Describe the nature of the request being made through this application:
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
(In addition to this description, a Letter of Intent and the Applicant’s justification for the proposed changes are required.)
TOWN OF CUTLER BAY
Department of Community Development
Planning and Zoning
(305) 234-4262
Land Use Application Page 3 of 5
Received: ____________________
PLAN #: _____________________
Required Attachments:
All items must be submitted on 8.5” x 11”, 8.5” x 14” or 11” x 17” paper. One digital PDF copy and one hard
copy (11”x17” preferred; larger size may be required) of all plans is required. All required forms are
available on the Towns website. (Colors correspond to Planning and Zoning Fee Schedule.)
Site Plan Review
(Single
Family)
Site Plan Review
(Administrative
)
Site Plan Review
(All Others)
Variance
Conditional Use
Rezon
ing/Zoning
Map Amendment
LDR Amendment
GMP Amendment
Proof of Ownership/ Leasehold
X
X
X
X
X
X
Power of Attorney (If Applicable)
X
X
X
X
X
X
Letter of Intent
X
X
X
X
X
X
Justification for Proposed Change
X
X
X
X
Statement of Hardship
X
Current Property Survey
X
X
X
X
X
X
Site Plan of the entire lot(s) showing
property lines and all buildings or
structures, with distance from property
line indicated. All off-street parking areas,
driveways, interior streets, paving,
mechanical equipment, or other surfaces
should be shown and dimensioned.
X
X
X
X
X
X
Landscape Plans including the location,
quantity, size, name, and condition of all
existing and proposed plant materials and
trees. All landscaped areas should be
shown and dimensioned on the plans. A
description of all tree preservation
measures on-site and in the public right-
of-way should be included.
X
X
X
X
X
X
Architectural Elevations of each side of
the proposed structure(s) indicating
height, architectural elements such as
windows, doors, materials, textures, and
other information.
X
X
X
X
X
X
Floor Plan(s) of the entire structure(s)
showing room use, dimensions, walls,
doors, windows, major appliances,
plumbing fixtures, stairs, or other egress.
X
X
X
X
Signed consent of contiguous property
owners. (Requirements found here.)
Mailing Labels for all property owners
within 1000 radius of the subject property
(3 complete sets).
X
X
X
X
Lobbyist Registration
(Required for any person interacting with
the town regarding a project who is not
the property owner.) Form found here.
X
X
X
X
X
X
X
X
Cost Recovery Affidavit Form found here.
X
X
X
X
X
X
X
X
TOWN OF CUTLER BAY
Department of Community Development
Planning and Zoning
(305) 234-4262
Land Use Application Page 4 of 5
Received: ____________________
PLAN #: _____________________
Responsibilities of the Applicant:
By submitting this Land Use Application, and signing below, I acknowledge the following
responsibilities and further acknowledge that there is no express or implied guarantee of
approval following submittal of this application and payment of associated fees.
1. Filing fees may not be the total cost of a hearing. Some requests require notices to be
mailed to property owners up to a mile from the subject property. In addition to mailing
costs, fees related to application changes, plan revisions, deferrals, re-advertising, etc.,
may be incurred. Application withdrawn within 30 days of the filing are eligible for a
refund of 25% of the hearing fee but after that time hearings withdrawn or returned
will be ineligible for a refund. I understand that fess must be paid promptly.
2. The South Florida Building Code requirements may affect the ability to obtain a
building permit even if this Land Use Application is approved; and that a building
permit will probably be required. The applicant is responsible for obtaining permits and
inspections for all structures and additions proposed or built without permits. And that
a Certificate of Use and Occupancy must be obtained for the use of the property after
it has been approved by the Town Council (if approval is granted), and that failure to
obtain the required permits and/or Certificates of Completion or of Use and Occupancy
will result in enforcement action against any occupant and owner. Submittal of a Land
Use Application may not forestall enforcement action against the property.
3. The Department Environmental Resources Management (DERM), and other agencies
will review zoning applications which may affect the scheduling of hearings and the
outcome of the application process. These reviews may require additional public
hearings before DERM’s Environmental Quality Control Board (EQCB), or other boards,
and /or the proffering of agreements to be recorded. The applicant also acknowledges
that they must comply promptly with any DERM conditions and advise this office in
writing if this Land Use Application will be withdrawn.
4. Any covenant to be proffered must be submitted to the Town of Cutler Bay Legal
Counsel, on Town form, at least one (1) month prior to the anticipated hearing date. The
covenant will be reviewed, and the applicant will be notified if changes or corrections
are necessary. Once the covenant is acceptable, the applicant is responsible for
submitting the executed covenant with a current ‘Opinion of Title’ within one (1) week
of the hearing, and that Legal Counsel must carry a cover letter indicating subject
matter, application number and hearing date.
5. The Town of Cutler Bay Department of Public Works reviews Land Use Applications
and may require corrections or conditions for approval.
6. Each party will be limited to a presentation of 20 minutes. This time limitation may be
extended by the Chair of the meeting.
7. The applicant is responsible for tracking the status of the application and all hearings
that may be associated with the application and review process.
TOWN OF CUTLER BAY
Department of Community Development
Planning and Zoning
(305) 234-4262
Land Use Application Page 5 of 5
Received: ____________________
PLAN #: _____________________
I (we) hereby affirm that ownership and property information presented on this application is current
and accurate and, further, that the undersigned meet the requirements of the Land Development
Regulations (Chapter 3 of the Town Code) to submit this application. I (we) acknowledge that
inaccurate or incomplete ownership, improper authorization, or property identification will make this
application and resulting actions null and void. I (we) the undersigned owner and authorized agent of
the area of land described above, hereby submit for your approval the above stated request.
__________________________________________________ _______________
(Signature of Property Owner) Date
__________________________________________________ _______________
(Signature of Applicant, etc.) Date
If ownership is joint, each owner must sign, use additional pages as necessary. If ownership is a partnership, the
Partnership Agreement must be included. If ownership is a corporation, Articles of Incorporation (full document filed
with the Secretary of State) and a Board Resolution authorizing an individual or agent to sign on its behalf must be
included. If ownership is an LLC, Articles of Organization (full document filed with the Secretary of State) and legal
documentation authorizing an individual or agent to sign on its behalf must be included. If necessary, submit proof of
ownership documents, such as copies of the recorded act of sale, act of exchange, act of donation, cash sale or deed.
State of ____________________________
County of __________________________
____________________________________ being first duly sworn, deposes and says that: They are the owner
of the subject property and/or have the requisite authorization to execute this application on behalf
of the property owner and that matters and facts stated in this Land Use Application are true and
correct to the best of their knowledge, and that they, in the capacity indicated above, are authorized
to execute this application for review and consideration by the Town of Cutler Bay.
Sworn and subscribed before me this ________ day of _______________________, 20_______.
_______________________________________
Affiant Signature
____________________________________ ____________________________________
Print Name and Title Notary Public, State of Florida
My Commission Expires: ______________