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Florida Green Development Designation Standard Pre-Submittal Application Version 8 Effective January 1, 2012 Use this form for committing to meet the Florida Green Development Designation Standards and to request FGBC assign a contact person for answering questions regarding verification and submittal materials. Development / Property Information: Development Name:________________________________________________ County:___________________ Street/Legal Address of Property: _______________________________________________________________ City__________________________ ST_______ Zip Code______________(Required) Total Acreage: _________________ Planned type of development by acreage e.g., residential, commercial, etc: ____________________________________________________________________________________ ______ Please attach a short description of the project (100 words or less); include its planned unique green features Developer Contact Information: Developer Name (First, Last) ___________________________________________________________________ Developer Company: _________________________________________________________________________ Developer Address: __________________________________________________________________________ Developer City:_____________________ ST:____ Zip Code: ____________ Phone: _____________________ Developer Email: ___________________________________ Website:_________________________________ Pertinent development team members and their organizations (e.g., project manager, engineers, landscape architects, etc.). Attach additional sheet, if necessary. Indicate key green advocate if there was one: ____________________________________________________________________________________ ______ ____________________________________________________________________________________ ______ Application Fee: Base Fee: = $ 2,000 Plus Per Acre Fee: $1 x ____________ = $ _________ Total Acres Total Application Fee (max. $5,000) $ _________ Florida Green Building Coalition 25 E Central Blvd. • Orlando, FL 32801-2468 PH: 407- 777-4914

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Page 1: Z:_Development_Designation_Documents…floridagreenbuilding.org/files/1/File/Standard_Developmen…  · Web viewMake Check Payable to: Florida Green Building ... I plan to submit

Florida Green Development Designation StandardPre-Submittal Application

Version 8Effective January 1, 2012

Use this form for committing to meet the Florida Green Development Designation Standards and to request FGBC assign a contact person for answering questions regarding verification and submittal materials.

Development / Property Information:Development Name:________________________________________________ County:___________________Street/Legal Address of Property: _______________________________________________________________City__________________________ ST_______ Zip Code______________(Required)

Total Acreage: _________________ Planned type of development by acreage e.g., residential, commercial, etc: __________________________________________________________________________________________Please attach a short description of the project (100 words or less); include its planned unique green features

Developer Contact Information:Developer Name (First, Last) ___________________________________________________________________Developer Company: _________________________________________________________________________Developer Address: __________________________________________________________________________Developer City:_____________________ ST:____ Zip Code: ____________ Phone: _____________________Developer Email: ___________________________________ Website:_________________________________Pertinent development team members and their organizations (e.g., project manager, engineers, landscape architects, etc.). Attach additional sheet, if necessary. Indicate key green advocate if there was one:____________________________________________________________________________________________________________________________________________________________________________________

Application Fee:Base Fee: = $ 2 , 0 0 0

Plus Per Acre Fee: $1 x ____________ = $ _________Total Acres

Total Application Fee (max. $5,000) $ _________

Deposit Submitted with Application (minimum deposit required is $500) $ _________Make Check Payable to: Florida Green Building CoalitionMail Application and Payment to: FGBC 25 E Central Blvd. Orlando, FL 32801-2468

Agreement:I have read the entire Florida Green Development Standard and will abide by the policies it contains. I understand that this deposit allows FGBC to assign a project evaluator to provide information regarding documentation needed to verify points. I plan to submit the necessary documents indicated in the Green Development Reference Guide for all credits/points I am claiming. I understand that failure to complete the development or to meet the requirements of the Standard will not be grounds for a refund of the deposit. I have contractual authority to sign for the developer.

Please Print or Type:Name:_____________________________________________________ Title:__________________________Company: _________________________________________________Address: __________________________________________________City:_________________________ ST _____ Zip Code: ____________ Phone: _________________________Email: ____________________________________________________

Signature: _________________________________________________ Date: __________________________

Florida Green Building Coalition 25 E Central Blvd. • Orlando, FL 32801-2468 PH: 407-777-4914


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