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2. Planning Advisory Board (PAB) Application
   USE THIS FORM TO Request actions to affect changes to property (zoning changes, annexations, allowable uses, subdivisions).
4. Fees

   Once application is submitted it will be reviewed for completeness. Once verified complete, an invoice will be emailed to the applicant.

   1. Zoning Map Amendment (≤ 10 acres $2,500 / > 10acres $5,000)
   2. Land Use Map Amendment (≤ 10 acres $2,500 / > 10acres $5,000)
   3. LDC Text Amendment ($1,500)
   4. Comp Plan Amendment ($5,000)
   5. Subdivision Plat – Preliminary (≤ 20 units $3,000 / > 20 units $5,000)
   6. Subdivision Plat – Final ($1,500)
   7. Vacation of R.O.W. ($3,500)
   8. Small Cell Outside R.O.W. (per application) ($500)
   9. Voluntary Annexation ($2,000)
   10. Development of Regional Impact: Amend Development Order ($1,500)
   11. New Telecommunications Structure ($2,000)
   12. Revision to each PAB Application - 1/2 cost of original application fee (To offset additional display ad fee)
6. 2022 Submission Deadlines + Meetings Calendar
   
8. IMPORTANT NOTES
10. Pre-Application Meeting
    To guide you through the process and ensure that your application is understood and properly processed, you’ll need to meet with a City Planner prior to submitting your application. Completed applications are due 30 days prior to the Planning Advisory Board meeting date.
12. Please see the Land Development Code (LDC) for detailed information:

    1. LDC Text Amendment – see LDC Section 11.01.08.
    2. Preliminary Subdivision Plat – see LDC Section 11.01.05.
    3. Final Subdivision Plat – LDC Section 11.01.05.
    4. Zoning Map Changes – See LDC Section 11.01.07.
14. The LDC is available for review at
    www.fbfl.us/LDC
16. Application Requirements

    1. A complete application filed at least forty-five (45) days before the date of the Planning Advisory Board’s public hearing;
    2. Proof of Ownership (copy of deed or tax statement);
    3. A current survey of the property (no older than two years);
    4. If applying as an agent, Owner’s Authorization for Agent Representation form needs to be signed/ notarized and included in application;
    5. A detailed letter of intent stating the following:
    6. o The consistency of the proposed amendment(s) or action(s) with the City’s Comprehensive Plan.
    7. o A justification for the proposed amendment(s) or action(s).
18. Have you met with a planner for a pre-application meeting?*
    -- Select One --YesNo
19. What was the date of your pre-application meeting?*
    What was the date of your pre-application meeting?
21. If you have yet to have a pre-application meeting, please choose a date and time to schedule your meeting now. Every Tuesdays are reserved for pre-application appointments.*
    If you have yet to have a pre-application meeting, please choose a date and time to schedule your meeting now. Every Tuesdays are reserved for pre-application appointments.

    If you have yet to have a pre-application meeting, please choose a date and time to schedule your meeting now. Every Tuesdays are reserved for pre-application appointments.
23. PROPERTY INFORMATION
    Property information can be found at the Nassau County Property Appraiser’s Website → Map Search
25. Site Address*
27. City*
28. State*
29. Zip*
31. Parcel ID #(s)*
33. Lot*
34. Block*
35. Subdivision*
37. Zoning District*
    -- Select One --C-1C-2C-3CONSERVATIONGC/C-2 w/PUDI-2IAIWMU-1MU-8OT-1OT-2PI-1R-1R-1GR-2R-2 w/PUDR-3 w/PUDRERECW-1
38. Future Land Use Designation*
    -- Select One --8th St Mixed UseCentral Business District ConservationGeneral CommercialHigh Density ResidentialIndustrialIndustrial WaterfrontLow Density ResidentialMedium Density ResidentialMixed UsePublic & InstitutionalPublic and Semi PublicRecreation Waterfront Mixed Use
40. REVIEW TYPE*

    1. Zoning Map Amendment ≤ 10 acres
    2. Zoning Map Amendment > 10 acres
    3. LDC Text Amendment
    4. Comp Plan Amendment
    5. Subdivision Plat – Preliminary ≤ 20 units

    1. Subdivision Plat – Preliminary > 20 units
    2. Subdivision Plat – Final
    3. Vacation of R.O.W.
    4. Voluntary Annexation
    5. Revision to PAB Application
42. OWNER OF RECORD
    As recorded with the Nassau County Property Appraiser
44. First Name*
45. Last Name*
47. Company (if applicable)
49. Mailing Address*
51. City*
52. State*
53. Zip*
55. Telephone Number*
56. Email Address*
58. OWNER'S AGENT
    If other than owner. If an agent will be representing the owner, an Owner’s Authorization For Agent Representation form must be included
60. First Name
61. Last Name
63. Mailing Address
65. City
66. State
67. Zip
69. Telephone Number
70. E-mail Address
72. PROJECT INFORMATION
74. Previous Planning/Zoning Approvals
76. Summary of Request (more detailed information to be provided in required letter of intent)*
78. Certification*

    1. By signing below, I certify that the information contained in this application is true and correct to the best of my knowledge at the time of the application.
    2. I acknowledge that I understand and have complied with all of the submittal requirements and procedures.
80. Applicant First Name*
81. Applicant Last Name*
83. Today's Date*
    Today's Date
84. Upload Supporting Documentation*
86. 
87. Upload 2
88. Upload 3
89. Upload 4
91. DEPARTMENT OF PLANNING & CONSERVATION
    204 Ash Street | Fernandina Beach, Florida 32034 | 904 310-3480 | www. fbfl.us/planning
Leave This Blank:


93. 1. Receive an email copy of this form.
94. Email address

    This field is not part of the form submission.

95. Submit Submit and Print

* indicates a required field