===== PAGE 1 ===== # DEVELOPMENT APPLICATION FORM INSTRUCTIONS: The following information is required pursuant to the City's Unified Land Development Regulations (ULDR), Section 47-24, Development Permits and Procedures, and must be filled out accurately with all applicable sections completed. Only complete the sections indicated for application type with N/A for those items not applicable. Refer to "Specifications for Plan Submittal" by application type for submittal requirements, which can be found on the City's website. Select the application type and approval level in SECTION
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and complete the sections specified under each type.
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## APPLICATION TYPE AND APPROVAL LEVEL ## LEVEL I ## ADMINISTRATIVE REVIEW COMMITTEE (ADMIN) □ New nonresidential less than 5,000 square feet □ Change of use (if same impact or less than existing use) □ Plat note or Nonvehicular access line (NVAL) amendment □ Administrative site plan ☐ Amendment to site plan* Affordable Housing per §166.04151(7) Fla. Stat. (Live Local Act) Property and right-of-way applications (MOTs, construction staging) Parking Agreements (separate from site plans) COMPLETE SECTIONS B, C, D, G
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## MISCELLANEOUS Affordable Workforce Housing Tax Reimbursement reimbursement □ Community Residence ☐ Construction Noise Waiver ☐ Design Review Team (DRT) ## COMPLETE SECTIONS B, C, D, I ## LEVEL II ## DEVELOPMENT REVIEW COMMITTEE (DRC) □ New Nonresidential 5,000 square feet or greater □ Residential 5 units or more □ Residential 5 units or more ☐ Nonresidential use within 100 feet of residential property ☐ Redevelopment proposals ☒ Development in Regional Activity Centers (RAC)* □ Change in use (if greater impact than existing use) □ Development in Uptown Project Area* ☐ Regional Activity Center Signage ☐ Affordable Housing (≥10%) ## COMPLETE SECTIONS B, C, D, E, F ## LEVEL III ## PLANNING AND ZONING BOARD (PZB) □ Conditional Use ## Select the application type from the list below and check the applicable type Parking Reduction Flex Allocation Cluster / Zero Lot Line □ Modification of Yards* Waterway Use Mixed Use Development Community Residences* Social Service Residential Facility (SSRF) ## EXTENSION OR DEFERRAL □ Medical Cannabis Dispensing Facility* Community Business District for uses greater than 10,000 square feet Request to defer after an application is scheduled for public hearing
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COMPLETE SECTIONS B, C, D, E, F Request extension to previously approved application (request must be within origin) (request must be within original approval date timeframe) COMPLETE SECTIONS B, C, H ## APPEAL Appeal decision by approving body and De Novo hearing items COMPLETE SECTIONS B, C, H ## LEVEL IV ## CITY COMMISSION (CC) ☐ Land Use Amendment ☐ Rezoning Rezoning □ Plat □ Public Purpose Use □ Central Beach Development of Significant Impact Vacation of Right-of-Way City Commission Review No PZB Review ☐ Vacation of Easement* COMPLETE SECTIONS B, C, D, E, F ## PROPERTY AND RIGHT-OF-WAY □ □ Road Closures Construction Staging Plan Revocable licenses
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COMPLETE SECTIONS B, C, H*Application is subject to specific review and approval process. Levels III and IV are reviewed by Development Review Committee unless otherwise noted.
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## APPLICANT INFORMATION ## If applicant is the business operator, complete the agent column and provide property owner authorization Applicant/ Property Owner Address City, State, Zip ✓ IP 110 TOWER OWNER LLC; % GEM REALTY CAPITAL Phone 900 N Michigan Ave, Ste 1450 Chicago, IL 60611 Email 954-357-6835 Proof of Ownership comercialtrim@bcpa.net Applicant Signature: Warrenty Deed Diana Urbina Signature Authorized Agent Address City, State, Zip William Reicherter Phone Authorization Letter Email 4100 N Powerline Rd., Ste L2-5 Pompano Beach, FL 33073 Agent Signature: 561-800-5054 lisag@bocasign.com Provided Signature William Reichertor
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## PARCEL INFORMATION Address/General Location Folio Number(s) Legal Description (Brief) 110 SE 6th Street Fort Lauderdale, FL 33301 City Commission District 504210550110 Civic Association Sub of Blk 56 Ft Lauderdale 1-63 D
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## LAND USE INFORMATION Existing Use Land Use Zoning District Proposed Applications requesting land use amendments and rezonings. Proposed Land Use Proposed Zoning District ===== PAGE 2 =====
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PROJECT INFORMATION
Provide project information. Circle yes or no where noted. If item is not applicable, indicate N/A.
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PROJECT DIMENSIONAL STANDARDS Indicate all required and proposed standards for the project. Circle yes or no where indicated.
Required Per ULDR
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For projects in Downtown, Northwest, South Andrews, and Uptown Master Plans to be completed in conjunction with the applicable items above.
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For projects in Dow
Tower Stepback
Front / Primary Street
Sides / Secondary Street
Building Height
Streetwall Length
Podium Height
Tower Separation
Tower Floorplate (square feet)
Residential Unit Size (minimum)
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AMENDED PROJECT INFORMATION
Provide approved and proposed amendments for project. Circle yes or no where indicated.
Project Name
Proposed Amendment Description (Describe in detail)
Original ApprovalProposed AmendmentAmended
Residential Uses (dwelling units)
Non-Residential Uses (square feet)
Lot Size (Square feet/acres)
Lot Density (Units/acres)
Lot Width
Building Height (Feet)
Structure Length
Floor Area Ratio (F.A.R.)
Lot Coverage
Open Space
Landscape Area
Parking Spaces
Tower Stepback
Building Height
Streetwall Length
Podium Height
Tower Separation
Tower Floorplate (square feet)
Residential Unit Size (minimum)
Does this amendment require a revision to the traffic statement or traffic study completed for the project?
Does this amendment require a revised water sewer capacity letter?
===== PAGE 3 ===== ## H ### EXTENSION, DEFERRAL, APPEAL INFORMATION Provide information for specific request. Circle approving body and ye Project Name Provide information for specific request. Circle approving body and yes or no Request Description EXTENSION REQUEST Approving Body Original Approval Date Expiration Date (Permit Submittal Deadline) Expiration Date (Permit Issuance Deadline) Requested Extension (No more than 24 months) ## DEFERRAL REQUEST Code Enforcement (Applicant Obtain by Code Compliance Division)
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Approving Body Scheduled Meeting Date Requested Deferral Date Previous Deferrals Granted Justification Letter Provided *Note: Deferral requests are subject to a fee per deferral. See Fee Schedule for amount. ## APPEAL REQUEST / DE NOVO HEARING ## Approving Body 30 Days from Meeting (Provide Date) 60 Days from Meeting (Provide Date) Appeal Request Indicate Approving Body Appealing De Novo Hearing Due to City Commission Call-Up ## MISCELLANEOUS Provide information on the specific request Stabilized Value Date ## COMMUNITY RESIDENCE DEVELOPMENT REVIEW TEAM (DRT)* Complete Section F ## NOISE WAIVER* Construction End Time Application is subject to specific fees based on hourly rate with minimum amount of: DRT $477, Affordable Housing Tax Reimbursement $2,500, Noise Waiver $954 CHECKLIST FOR SUBMITTAL AND COMPLETENESS: The following outlines the necessary items for submittal to ensure the application is deemed complete. Failure to provide this information will result in your application being deemed incomplete.
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Preliminary Development Meeting completed on the following date: January 9, 2026
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Development Application Form completed with the applicable information including signatures.
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Proof of Ownership warranty deed or tax record including corporation documents and SunBiz verification name.
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Address Verification Form that includes all parcels within the proposed development. Project and Unified Land Development Code Narratives project narrative and the applicable ULDR sections and criteria as described in the specifications for submittal by application type.
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Electronic Files, File Naming, and Documents consistent with the applicable specifications for application type, consistent with the online submittal requirements including file naming convention, plan sets uploaded as single pdf. Traffic Study or Statement submittal of a traffic study or traffic statement. Stormwater Calculations signed and sealed by a Florida registered professional engineer consistent with calculations as described in the specifications for plan submittal for site plan applications. Water and Wastewater Capacity Request copy of email to Public Works requesting the capacity letter. OVERVIEW FOR ONLINE SUBMITTAL REQUIREMENTS: Submittals must be conducted through LauderBuild. No hardcopy application submittals are accepted. Below only highlights the important submittal requirements that applicants must follow to submit online and be deemed complete. View all the requirements at LauderBuild Plan Room. Uploading Entire Submittal upload all documents at time the application is submitted to prevent delay in processing. - File Naming Convention file names must adhere to the City's File Naming Convention. Reduce File Size plan sets and other large files must be merged or flattened to reduce file size. Plan Sets plan sets like site plans, plats, etc. must be submitted as a single pdf file. Staff will instruct when otherwise. Document Categories choose the correct document category when uploading. ===== PAGE 4 ===== DRC PROCESS OVERVIEW: Below is the development review process flowchart with key steps to guide applicants.
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CONTACT INFORMATION: Questions regarding the development process or LauderBuild, see contact information below. GENERAL URBAN DESIGN AND PLANNING QUESTIONS Planning Counter 954-828-6520, Option 5 planning@fortlauderdale.gov ## LAUDERBUILD ASSISTANCE AND QUESTIONS DSD Customer Service 954-828-6520, Option 1 lauderbuild@fortlauderdale.gov ===== PAGE 5 ===== ## planet fitness EXTERIOR SIGN PACKAGE - FORT LAUDERDALE DATE: 10.06.2025 Project Address: 110 SE 6th St. Fort Lauderdale, FL 33301 ===== PAGE 6 =====
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SITE PLAN Scale: NTS AJ Amoroso PA
VICINITY MAP
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project name: Planet Fitness - Fort Lauderdale project address: 110 SE 6th St. Fort Lauderdale, FL 33301
date:
10/06/25
scope of work:
Exterior Signage
client:
cien
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ALL ELECTRIC SIGNS ARE UL LISTED AND LABELED notes All designs, renderings, and concepts produced by SignWorks are the intellectual property of our company and are not to be used, shared, or manufactured by any other company without our written consent. These designs are created exclusively for our clients with the intent of being fabricated and installed by SignWorks. COLORS SHOWN ON DRAWINGS ARE FOR PRESENTATION PURPOSES ONLY. ALL COLORS MUST BE CONFIRMED AND INITIALED BY PROJECT MANAGER PRIOR FABRICATION The enclosed renderings, concepts, branded images, color representations, layouts, wording and all aspects of this design / presentation remain the exclusive property of SIGNWORKS BOCA and may not be shared, copied, duplicated in any way shape or manner without the permission of SIGNWORKS BOCA. Any unauthorized reproduction, duplication in any way, shape or fashion will constitute trade infringement and will be subject to recovery of lost revenue under Florida law. ===== PAGE 7 =====
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NORTH ELEVATION - Sign A Scale: NTS
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NORTH ELEVATION - PROPOSED LOCATION - Sign A Scale: 3/16"=1' NORTH ELEVATION - NIGHT VIEW Scale: NTS
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project name: Planet Fitness - Fort Lauderdale project address: 110 SE 6th St. Fort Lauderdale, FL 33301 ## date:10/06/25 scope of work: Exterior Signage client
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ALL ELECTRIC SIGNS ARE UL LISTED AND LABELED ## notes All designs, renderings, and concepts produced by SignWorks are the intellectual property of our company and are not to be used, shared, or manufactured by any other company without our written consent. These designs are created exclusively for our clients with the intent of being fabricated and installed by SignWorks. COLORS SHOWN ON DRAWINGS ARE FOR PRESENTATION PURPOSES ONLY. ALL COLORS MUST BE CONFIRMED AND INITIALED BY PROJECT MANAGER PRIOR FABRICATION The enclosed renderings, concepts, branded images, color representations, layouts, wording and all aspects of this design / presentation remain the exclusive property of SIGNWORKS BOCA and may not be shared, copied, duplicated in any way shape or manner without the permission of SIGNWORKS BOCA. Any unauthorized reproduction, duplication in any way, shape or fashion will constitute trade infringement and will be subject to recovery of lost revenue under Florida law. ===== PAGE 8 =====
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FRONT VIEW Scale: 3/4"=1'-0" SIDE VIEW Scale: 3/4"=1'-0" ROUTED AND PUSH THROUGH 16" - 31" COPY ## ELECTRICAL SPECIFICATIONS ALL ELECTRICAL COMPONENTS WILL BE ETL LISTED AND LABELED AS PER NEC ARTICLE 600 & DESIGNED TO CONFORM TO UL #48 PER F.S.553-19. ALL SIGNS ARE TO BE GROUNDED AND BONDED PER NEC 250. ALL WIRING INSIDE LETTER WILL BE 12V-CLASS 2 18GA/LOW VOLTAGE WIRING. ALL PRIMARY WIRING WILL BE (3) #12 CU THWN AS PER NEC ARTICLE 600. JUCTION BOX INSTALLED BY CUSTOMER'S ELECTRICAL CONTRACTOR TO WITHING 6' OF SIGN LOCATION. HVHZ 1620 WITH WIND LOADS PER ASCE 7-10. ETL APPROVED, WEATHERPROOF, 20 AMP ELECTRICAL SERVICE DISCONNECT SWITCH ASPER NEC ARTICLE 600, CONNECT TO PHOTOCELL AND/OR ASTRONOMICAL TIME CLOCK. ## Intertek ## CODES & SPECIFICATIONS
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1. DESIGN, FABRICATION AND CONSTRUCTION TO THE FOLLOWING: A. THE FLORIDA BUILDING CODE 5th EDITION (2014) B. AMERICAN WELDING SOCIETY AWS D1.1-04 & D1.2 C. AMERICAN CONCRETE INSTITUTE BUILDING CODE REQUIREMENTS FOR STRUCTURAL CONCRETE ACI 318-11. 2. STRUCTURAL STEEL REQUIREMENTS: A. PLATES, ROLLED SHAPES AND BARS SHALL BE ASTM A36, OR EQUAL B. STANDARD PIPE SHALL BE ASTM A53, GRADE B OR EQUAL (FY=35 KSI) C. STRUCTURAL TUBING SHALL BE ASTM A500, GRADE B OR EQUAL (FY=46 KSI) D. ALL BOLTED CONNECTIONS SHALL BE MADE WITH ASTM A307 BOLT OR EQUAL E. ALL ANCHOR BOLTS SHALL BE ASTM A307 OR EQUAL (FLAT WASHERS) F. ALL WELDS SHALL BE MADE WITH E70XX ELECTRODES OR EQUAL G. STRUCTURAL STEEL SHALL BE SHOP PRIME COATED WITH RUST INHIBITIVE PRIME
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### 3. NEC 2011 COMPLIANT 4. ALL CONCRETE SHALL HAVE A MINIMUM COMPRESSION STRENGTH AT 28 DAYS/3000 PSI 5. GROUT SHALL BE NON-METALLIC AND NON-SHRINK WITH MINIMUM COMPREHENSIVE STRENGTH OF 5000 PSI AT ONE DAY 6. ALL REINFORCED STEEL SHALL HAVE A MINIMUM YIELD STRENGTH OF 60,000 PS AND SHALL CONFORM TO ASTM A615 ALL REINFORMED STEEL SHALL BE INSTALLED IN ACCORDANCE WITH ACI 318-WITH A MINIMUM CONCRETE COVER OF 3 INCHES 7. H.V.H.Z. SECTION 1620 F.B.C., ASCE 7-10 175 MPH, EXPOSURE C, CATERGORY 2, CHAPTER 16. 8. ALL FERROUS TO NON FERROUS SURFACES SHALL BE SEPARATED BY 3M #355 POLYESTER CLEAR TAPE OR EQUAL ## SPECIFICATIONS: 1. ALUMINUM TUBE, BUTTED & WELDED 2. FACE MATERIAL - 1/8" ROUTED ALUMINUM WITH 1/2" PUSH-THRU ACRYLIC 3. RETAINER (SEE STANDARD RETAINER METHODS) 4. POP RIVET RETAINER AT TOP & BOTTOM 5. NON-DRILL POINT PAN-HEAD SCREW RETAINER AT SIDES 6. FACE MATERIAL - 1/8" ROUTED ALUMINUM WITH 1/2" PUSH-THRU ACRYLIC 7. .063" PRE-FINISHED ALUMINUM SKIN AT SIDES, POP RIVETED TO FRAME 8. WHITE LED'S 9. LED POWER SUPPLY 10. TOGGLE SWITCH / SWITCH PLATE 11. 3/8 FASTENERS THRU INTERNAL ANGLE GREASE TO COLUMN
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## COLORS / FINISHES : P-1 Purple (Akzo Nobel - Grip Gard #490-D6) P-2 White P-3 Classic Gray 1548 (Cabinet) V-1 Purple (Translucent Mulberry 422 - Oracal) notes ALL ELECTRIC SIGNS ARE UL LISTED AND LABELED
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CROSS SECTION VIEW SCALE: X = 1'-0" client FRONT VIEW DETAILS SCALE: X = 1'-0"
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Exterior Signage scope of work: 10/06/25 project name: ## date: 110 SE 6th St. Fort Lauderdale, FL 33301 project address: Planet Fitness - Fort Lauderdale SIDE VIEW DETAILS SCALE: X = 1'-0"
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All designs, renderings, and concepts produced by SignWorks are the intellectual property of our company and are not to be used, shared, or manufactured by any other company without our written consent. These designs are created exclusively for our clients with the intent of being fabricated and installed by SignWorks. COLORS SHOWN ON DRAWINGS ARE FOR PRESENTATION PURPOSES ONLY. ALL COLORS MUST BE CONFIRMED AND INITIALED BY PROJECT MANAGER PRIOR FABRICATION The enclosed renderings, concepts, branded images, color representations, layouts, wording and all aspects of this design / presentation remain the exclusive property of SIGNWORKS BOCA and may not be shared, copied, duplicated in any way shape or manner without the permission of SIGNWORKS BOCA. Any unauthorized reproduction, duplication in any way, shape or fashion will constitute trade infringement and will be subject to recovery of lost revenue under Florida law. ===== PAGE 9 =====
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Bolted to the alum. Columns. Electrical will go in that column and up and primary to be supplied by "others".
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project name: Planet Fitness - Fort Lauderdale project address: 110 SE 6th St. Fort Lauderdale, FL 33301 date: 10/06/25 scope of work: Exterior Signage client
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ALL ELECTRIC SIGNS ARE UL LISTED AND LABELED notes All designs, renderings, and concepts produced by SignWorks are the intellectual property of our company and are not to be used, shared, or manufactured by any other company without our written consent. These designs are created exclusively for our clients with the intent of being fabricated and installed by SignWorks. COLORS SHOWN ON DRAWINGS ARE FOR PRESENTATION PURPOSES ONLY. ALL COLORS MUST BE CONFIRMED AND INITIALED BY PROJECT MANAGER PRIOR FABRICATION The enclosed renderings, concepts, branded images, color representations, layouts, wording and all aspects of this design / presentation remain the exclusive property of SIGNWORKS BOCA and may not be shared, copied, duplicated in any way shape or manner without the permission of SIGNWORKS BOCA. Any unauthorized reproduction, duplication in any way, shape or fashion will constitute trade infringement and will be subject to recovery of lost revenue under Florida law. ===== PAGE 10 =====
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SITE PLAN Scale: NTS
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AJ Amoroso PA John J. Orlando P.E. Digitally signed by John J. Orlando P.E. Date: 2025.10.09 18:08:41 -04707
This item has been digitally signed and sealed by John J. Orlando, PE on the date adjacent to the seal. Printed copies of this document are not considered signed and sealed and the signature must be verified on any electronic copies.
Conforms to the requirements of the 18th Edition (2023) of the Florida Building Code sections 1620 HVHZ and 3107, V(U)T = 170 mph, Exposure category = C, Rink category = B John J. Orlando PE LLC - 165 Old Ridge Road - Macon, GA 31211 - 478 731 5394 - jorlandolocox.net - Florida registration # 0044089 Job 0225BSW
## VICINITY MAP
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## IGNWORKS 4100 N Federal Hwy. #L2-L3 Pompano Beach, FL 33064 Project name Planet Fitness - Fort Lauderdale project address 11D SE 6th SL Fort Lauderdale, FL 33301 date: 10/06/25 scope of work: Exterior Signage client
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ALL ELECTRIC SIGNS ARE UL LISTED AND LABELED notes All designs, renderings, and concepts produced by SignWorks are the intellectual property of our company and are not to be used, shared, or manufactured by any other company without our written consent. These designs are created exclusively for our clients with the intent of being fabricated and installed by SignWorks. COLORS SHOWN ON DRAWINGS ARE FOR PRESENTATION PURPOSES ONLY. ALL COLORS MUST BE CONFIRMED AND INITIALED BY PROJECT MANAGER PRIOR FABRICATION The unclassified reenvirings, oversepts, branded images, option representations, layout, wording and all aspects of this design / presentation remain the existing property of SIGNWORKS BOCA and they not share, coupled, uplisted in any way shape or manner without the permission of SIGNWORKS BOCA. Any unauthorized reproduction, duplication in any way, shall be厦 ===== PAGE 11 =====
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## 110 TOWER ===== PAGE 12 ===== ## DRC-Narrative-- Projecting Signage To The City of Fort Lauderdale: We are requesting a DRC for the installation of a projecting sign at 110 SE 6th Street Unit 130 Fort Lauderdale, FL 33301. Our RAC signage UDP-PDMR-2522 was approved for DRC. Several other tenants in the same building currently have projecting signs installed, all of which were approved through a Special Administrative Approval process. These existing signs establish a clear precedent and demonstrate that a projecting sign is appropriate for the property, compatible with the building façade, and consistent with the visual character of the surrounding area. Our requested sign is intended to provide adequate visibility for customers, improve wayfinding, and maintain uniformity with the other businesses on the property. Without this DRC approval, our business would be at a significant disadvantage compared to neighboring tenants who benefit from increased visibility through their projecting signage. Existing- zero signs. Propose-one projection sign on the building. Code 47-22.4.C.13.d-. Flags shall be permitted and shall be limited in number to one (1) flag for each fifteen (15) lineal feet of street frontage per building site. Please note: The photos are a replacement for the survey per the RAC meeting. For these reasons, we respectfully request approval of the DRC to allow installation of the proposed projecting sign. Regards, William Reicherter William Reicherter Owner, Boca Signworks LLC dba Priority One Signs LLC 561-800-5054
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Boca SignWorks, LLC (561) 800-5054 http://bocasign.com ===== PAGE 13 ===== ## AGENT AUTHORIZATION FORM Additional Insured: GV-IP 110 Tower Owner LLC % GEM Realty Capital Inc ("Owner") as the current title owner of the real [Print First and Last Name of the title Owner OR Name of Corporation] properly located at 110 SE 6th Street, Fort Lauderdale, FL 33301 (“Property”), do hereby authorize [Print Property Address] ## William Reicherter ___ ("Authorized Agent") to act as my agent regarding the submittal [Print First and Last Name of Agent] of a variance/special exception application to the City of Fort Lauderdale and appear at any and all scheduled hearings before the Board of Adjustment for the City of Fort Lauderdale, on the date, time and location specified on the Hearing Notice. I authorize my agent to communicate with the City of Fort Lauderdale regarding my pending variance/special exception application and, by signing this authorization form, I hereby authorize the City of Fort Lauderdale to accept and rely on any and all communications from my Authorized Agent, whether written or oral, regarding all issues related to my pending variance/special exception application. I understand and agree that, as the Property Owner, I remain responsible for all terms and conditions outlined in the variance/special exception application, all required hearing appearances related to my variance/special exception application, and any request by the City of Fort Lauderdale and/or the Board of Adjustment to submit additional document(s) and or record(s) in support of my pending variance/special exception application. Notwithstanding the City's receipt of my completed and executed Agent Authorization Form. I understand and agree, the City will mail or deliver all notices relating to my pending variance/special exception application to my property address, as listed on my variance/special exception application. I further understand and agree, the City of Fort Lauderdale and the Board of Adjustment assume no liability for my failure or my Authorized Agent's failure to comply with any terms or conditions outlined in my variance/special exception application, and/or my failure or my Authorized Agent's failure to appear on my behalf at any duly noticed hearings before the Board of Adjustment. I further agree to INDEMNIFY AND HOLD HARMLESS and hereby RELEASE, WAIVE, DISCHARGE, HOLD HARMLESS AND FOREVER COVENANT NOT TO SUE the City of Fort Lauderdale, its elected officials, employees, servants, representatives, associates, officers, agents, guests, invitees, volunteers, partners, successors and assigns from any and all liability, claims, demands, action, judgments, costs, expenses, court costs, attorney fees and causes of action whatsoever arising out of or related to any loss or damage to property, and/or injury to any person, including death, WHETHER CAUSED BY, ALLEGEDLY CAUSED BY, OR CONTRIBUTED IN WHOLE OR IN PART by the action, failure to act, negligence, breach of contract or other misconduct by my me, my Authorized Agent, my employees, servants, representatives, associates, officers, agents, volunteers, partners, successors and assigns. ===== PAGE 14 ===== # DEVELOPMENT SERVICES DEPARTMENT – ZONING & LANDSCAPING DIVISION BOARD OF ADJUSTMENT - AGENT AUTHORIZATION FORM Rev: 0 | Revision Date: 01/30/2024 | Print Date: 0/00/0000 I.D. Number: BOAAAF relating in any way to the City of Fort Lauderdale's reliance of the authority granted to my Authorized Agent pursuant to this Form. BY SIGNING THIS RELEASE AND HOLD HARMLESS AGREEMENT, I ATTEST, AFFIRM, AND REPRESENT THAT I AM THE TITLE OWNER/AUTHORIZED PERSON FOR THE PROPERTY AND THAT ALL OF THE FOLLOWING STATEMENTS ARE TRUE AND CORRECT: I am at least eighteen (18) years of age and of sound and competent state of mind at the time executed this Agent Authorization Form; I executed this Agent Authorization Form as an expression of my own free act and deed; There are no oral representations or statements, apart from this Agent Authorization Form and intend to be bound by its terms; and I was not induced by the City, its employees and/or agents, or anyone, to execute this Agent Authorization Form. *Please provide proof of ownership. If the property is owned by an Corporation, please submit Sunbiz Verification with this form. ## WITNESS: Morgan Elliott Witness Signature Morgan Elliott Print Name 1/14/2026 Date Diana Urbina Signature - Owner/Authorized Individual Diana Urbina Print Name - Owner/ Authorized Individual Sr. Property Manager Print Title - Authorized Individual STATE OF Florida COUNTY OF Bowland The foregoing instrument was acknowledged before me by means of physical presence or online notarization, this day of Jan. 2026 by Diana Urbina, an individual who is personally known to me or has produced as identification [NOTARY'S] ANGELA RYAN MY COMMISSION # HH 686261
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EXPIRES: October 9, 2029 (Signature of Notary Public- State of Florida) 10-9-2029 My Commission Expires:
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Miyela Kymn Print./Type. or Stamp Commissioned Name of Notary Public ===== PAGE 15 ===== # GV-IP 110 TOWER OWNER, LLC c/o GEM Realty Capital 900 N. Michigan Ave, 14th Floor Chicago, IL 60611 November 6, 2025 City of Fort Lauderdale, FL Located in Broward County, FL Re: Authorization of Property Manager to Act on Behalf of Landlord GV-IP 110 Tower Owner, LLC 110 SE 6th Street Fort Lauderdale, FL 33301 To Whom It May Concern: Please let this letter serve as notice that Diana Urbina of Cushman & Wakefield is the duly authorized Property Manager for the property located in Fort Lauderdale, Florida, and is authorized by the Landlord (GV-IP 110 Tower Owner, LLC) to act on ownership's behalf in all matters relating to permitting, construction projects, and other managerial or operational issues. This authorization includes, but is not limited to, executing documents, submitting and approving applications, coordinating with contractors, consultants, and government agencies, and responding to all requests made to the City and/or County regarding construction, build-outs, tenant improvements, and vendor or service contracts requiring the Landlord's consent or approval. Your cooperation in recognizing this authorization is greatly appreciated. Sincerely,
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Michael Fox Vice President GV-IP 110 Tower Owner, LLC State of Illinois County of Cook This instrument was acknowledged before me on 11/6/2025 (date) by Michael Fox (name/s of person/s.) Samanthalได้ Signature of Notary Public) OFFICIAL SEAL SAMANTHA CLARK Notary Public, State of Illinois Commission No. 975511 My Commission Expires July 25, 2027 ===== PAGE 16 =====
Abbey Ajayi - Tax CollectorNotice of Ad Valorem Tax and Non-Ad Valorem Assessments
Property ID NumberEscrow CodeAssessed ValueExemptionsTaxable ValueMillage Code$2,068,435.60
504210-55-0110FBTFBTSee BelowSee BelowSee Below9312$2,068,435.60
GV IP 110 TOWER OWNER LLC
% GEM REALTY CAPITAL INC
900 N MICHIGAN AVE STE 1450PAYMENTS MUST BE MADE IN US FUNDS AND DRAWN ON US BANK ACCOUNT.
CHICAGO, IL 60611
110 SE 6 ST\nSUB OF BLK 56 FT LAUDERDALE\n1-63 D
LOTS 5 THRU 8 INCL,BLK 2\n& LOTS 1 THRU 4 INCL,5 E 45,
Taxing AuthorityMillageAD VALOREM TAXES\nAssessed ValExemptionsTaxable ValTaxes LeviedEEX-25-00000022\nPaid ByReceipt #
BROWARD COUNTY GOVERNMENT
COUNTYWIDE SERVICES5.66580100,993,2100100,993,210572,207.33
VOTED DEBT0.000000000.00
BROWARD CO SCHOOL BOARD
GENERAL FUND4.82000100,993,2100100,993,210486,787.27
CAPITAL OUTLAY1.50000100,993,2100100,993,210151,489.82
VOTER APPROVED DEBT LEVY0.16450100,993,2100100,993,21016,613.38
SO FLORIDA WATER MANAGEMENT
EVERGLADES C.P.0.03270100,993,2100100,993,2103,302.48
OKEECHOBEE BASIN0.10260100,993,2100100,993,21010,361.90
SFWMD DISTRICT0.09480100,993,2100100,993,2109,574.16
NORTH BROWARD HOSPITAL1.23910100,993,2100100,993,210125,140.69
CHILDREN'S SVCS COUNCIL OF BC0.45000100,993,2100100,993,21045,446.94
CITY OF FORT LAUDERDALE
FT LAUDERDALE OPERATING4.11930100,993,2100100,993,210416,021.33
DEBT SERVICE0.23060100,993,2100100,993,21023,289.03
FT LAUDERDALE DDA
FT LAUD DDA OPERATING0.61110100,993,2100100,993,21061,716.95
DEBT SERVICE0.35680100,993,2100100,993,21036,034.38
FL INLAND NAVIGATION0.02700100,993,2100100,993,2102,726.82
Total Millage:19.41430Ad Valorem Taxes:$1,960,712.48
Levying AuthorityNON-AD VALOREM TAXES RateAmount
03 FT LAUDERDALE FIRE-RESCUE142,030.00
032 FT LAUDERDALE STORMWATER CAT II@ 3306.66005,698.75
03T FT LAUDERDALE STORMWATER TRIP@ 6.100046,179.44
Non-Ad Valorem Assessments:$193,908.19
Combined Taxes and Assessments:$2,154,620.67
If Postmarked ByNov 30, 2025
Please Pay$0.00
BROWARD COUNTY2025 Paid Real EstateFolio: 503859
Abbey Ajayi - Tax CollectorNotice of Ad Valorem Tax and Non-Ad Valorem Assessments
Paid 11/21/2025 Receipt #EEX-25-00000022 Paid By FB TAX MANAGEMENT$2,068,435.84
Make checks payable to:PAY YOUR TAXES ONLINE AT:
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