Subdivision Application Step 1 of 5 20% Thank you for your interest in our Subdivision Program. We require some basic information to determine whether a subdivision is eligible for our program. Please complete the form below to submit your application.Agency InformationAgency Name*Agency Code*Contact Name* First Last Phone*Email* Enter Email Confirm Email Subdivision InformationSubdivision Name*County*Select one:AlachuaBakerBayBradfordBrevardBrowardCalhounCharlotteCitrusClayCollierColumbiaDe SotoDixieDuvalEscambiaFlaglerFranklinGadsdenGilchristGladesGulfHamiltonHardeeHendryHernandoHighlandsHillsboroughIndian RiverJacksonJeffersonLakeLeeLeonLevyLibertyMadisonManateeMarionMartinMiami-DadeMonroeNassauOkaloosaOkeechobeeOrangeOsceolaPalm BeachPascoPinellasPolkPutnamSaint JohnsSaint LucieSanta RosaSarasotaSeminoleSumterSuwanneeTaylorUnionVolusiaWakullaWaltonWashingtonAddress*Please provide the address of a typical home in the subdivision. Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Subdivision Contact Name* First Last Subdivision Contact Phone*Subdivision Contact Email Subdivision DetailsProtection Class*12345678910Latitude/Longitude of Main Entrance*Approximately what percentage of the dwellings in the community are single family homes?*Please enter a value between 0 and 100.Approximately what percentage of the dwellings in the community are condominiums?*Please enter a value between 0 and 100.Approximately what percentage of the dwellings in the community are apartments?*Please enter a value between 0 and 100.PhotosPlease provide any available photos of the homes in this community. Drop files here or Accepted file types: jpg, gif, png, tiff, tif, psd. Builder InformationName(s) of builder(s) in the subdivision* Are any of the builders currently on our Accredited Builders list?*YesNoIf yes, please list the Accredited Builders.* Please list any unique construction features (e.g., reinforced concrete roof deck) used by the builder(s). Is there limited access to the subdivision with:*Select all that apply. A single entrance 24-hour security patrol 24-hour manned gate(s) Passkey gate(s) None of the above Is this a 55+ Retirement Community?*YesNoIs this a golf course community?*YesNoDoes the subdivision have a Homeowners Association?*YesNoDoes the subdivision have any Deed Restrictions?*YesNoIf yes, please describe the deed restrictions:*
