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# 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
Provide project information. Circle yes or no where noted. If item is not applicable, indicate N/A.
PROJECT DIMENSIONAL STANDARDS Indicate all required and proposed standards for the project. Circle yes or no where indicated.
For projects in Downtown, Northwest, South Andrews, and Uptown Master Plans to be completed in conjunction with the applicable items above.
Provide approved and proposed amendments for project. Circle yes or no where indicated.
| Project Name | |
| Proposed Amendment Description (Describe in detail) | |
| Original Approval | Proposed Amendment | Amended |
| 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? |
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## 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)
| Abbey Ajayi - Tax Collector | Notice of Ad Valorem Tax and Non-Ad Valorem Assessments |
| Property ID Number | Escrow Code | Assessed Value | Exemptions | Taxable Value | Millage Code | $2,068,435.60 |
| 504210-55-0110 | FBTFBT | See Below | See Below | See Below | 9312 | $2,068,435.60 |
| GV IP 110 TOWER OWNER LLC |
| % GEM REALTY CAPITAL INC |
| 900 N MICHIGAN AVE STE 1450 | PAYMENTS 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 Authority | Millage | AD VALOREM TAXES\nAssessed Val | Exemptions | Taxable Val | Taxes Levied | EEX-25-00000022\nPaid By | Receipt # |
| BROWARD COUNTY GOVERNMENT | | | | | | | |
| COUNTYWIDE SERVICES | 5.66580 | 100,993,210 | 0 | 100,993,210 | 572,207.33 | | |
| VOTED DEBT | 0.00000 | 0 | 0 | 0 | 0.00 | | |
| BROWARD CO SCHOOL BOARD | | | | | | | |
| GENERAL FUND | 4.82000 | 100,993,210 | 0 | 100,993,210 | 486,787.27 | | |
| CAPITAL OUTLAY | 1.50000 | 100,993,210 | 0 | 100,993,210 | 151,489.82 | | |
| VOTER APPROVED DEBT LEVY | 0.16450 | 100,993,210 | 0 | 100,993,210 | 16,613.38 | | |
| SO FLORIDA WATER MANAGEMENT | | | | | | | |
| EVERGLADES C.P. | 0.03270 | 100,993,210 | 0 | 100,993,210 | 3,302.48 | | |
| OKEECHOBEE BASIN | 0.10260 | 100,993,210 | 0 | 100,993,210 | 10,361.90 | | |
| SFWMD DISTRICT | 0.09480 | 100,993,210 | 0 | 100,993,210 | 9,574.16 | | |
| NORTH BROWARD HOSPITAL | 1.23910 | 100,993,210 | 0 | 100,993,210 | 125,140.69 | | |
| CHILDREN'S SVCS COUNCIL OF BC | 0.45000 | 100,993,210 | 0 | 100,993,210 | 45,446.94 | | |
| CITY OF FORT LAUDERDALE | | | | | | | |
| FT LAUDERDALE OPERATING | 4.11930 | 100,993,210 | 0 | 100,993,210 | 416,021.33 | | |
| DEBT SERVICE | 0.23060 | 100,993,210 | 0 | 100,993,210 | 23,289.03 | | |
| FT LAUDERDALE DDA | | | | | | | |
| FT LAUD DDA OPERATING | 0.61110 | 100,993,210 | 0 | 100,993,210 | 61,716.95 | | |
| DEBT SERVICE | 0.35680 | 100,993,210 | 0 | 100,993,210 | 36,034.38 | | |
| FL INLAND NAVIGATION | 0.02700 | 100,993,210 | 0 | 100,993,210 | 2,726.82 | | |
| Total Millage: | 19.41430 | | Ad Valorem Taxes: | | $1,960,712.48 | | |
| Levying Authority | NON-AD VALOREM TAXES Rate | Amount |
| 03 FT LAUDERDALE FIRE-RESCUE | | 142,030.00 |
| 032 FT LAUDERDALE STORMWATER CAT II | @ 3306.6600 | 5,698.75 |
| 03T FT LAUDERDALE STORMWATER TRIP | @ 6.1000 | 46,179.44 |
| Non-Ad Valorem Assessments: | $193,908.19 |
| Combined Taxes and Assessments: | $2,154,620.67 |
| If Postmarked By | Nov 30, 2025 | | | | | | |
| Please Pay | $0.00 | | | | | | |
| BROWARD COUNTY | 2025 Paid Real Estate | Folio: 503859 |
| Abbey Ajayi - Tax Collector | Notice 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: |
| BROWARD COUNTY TAX COLLECTOR | Property ID Number | broward.county-taxes.com |
| GOVERNMENTAL CENTER ANNEX | 504210-55-0110 | If Postmarked By | Please Pay |
| 115 S. ANDREWS AVENUE, ROOM # A100 | | Nov 30, 2025 | $0.00 |
| FORT LAUDERDALE, FL 33301-1895 | | | | | |
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PAYMENTS MUST BE MADE IN US FUNDS AND DRAWN ON US BANK ACCOUNT
GV IP 110 TOWER OWNER LLC
% GEM REALTY CAPITAL INC
900 N MICHIGAN AVE STE 1450
CHICAGO, IL 60611