Exhibit_B_-_Certified_Affordable_Housing_Application_Form.pdf

PDF 1 MB Posted Apr 29, 2026

Attached to: Multi-Family Affordable Housing Gap Financing
Solicitation number: Y26-179
Issued by: Orange County, Orlando City, Florida

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Written by GovTribe AI · Apr 29, 2026

This is an Orange County Certified Affordable/Attainable Housing Application Form issued by the Housing and Community Development Division in Orlando, Florida. The form serves as the primary certification mechanism for developers, builders, owners, and agencies seeking to establish affordable or attainable housing projects within Orange County and its municipalities. The application requests comprehensive project information including development type (rental or ownership), unit counts, affordability levels (ranging from 30% to 140% of Area Median Income), property details, financing structure, and developer qualifications. Applicants must submit completed forms electronically to AffordableHousing@ocfl.net and must provide supporting documentation including conceptual site plans, location maps, legal descriptions, certified surveys, property appraisals, and evidence of ownership or property control. The form accommodates multiple project types including garden-style apartments, mid-rise and high-rise multifamily units, townhouses, and single-family detached and attached units, with options for projects seeking 9% or 4% Low-Income Housing Tax Credits, impact fee discounts, local government contributions, Live Local Act projects, or Affordable Housing for Religious Institutional Lands projects.

The application requires detailed financial information including acquisition costs, appraised values, per-unit costs, and total development costs, along with rent or sales price schedules stratified by affordability levels and bedroom counts. Applicants must demonstrate organizational capacity through documentation of years of experience, units produced, rehabilitated, owned, and managed, along with descriptions of recently completed affordable housing projects. The form includes mandatory certifications regarding ownership or site control of the property, absence of bankruptcy or debarment, compliance with Orange County codes, execution of required affordability restriction documents including Land Use Restriction Agreements pursuant to Florida's Live Local Act, and provision of evidence including HUD-1 closing statements and proof of tenant or homebuyer income. Additional scoring considerations include proximity to transit facilities, green building certifications (LEED or FGBC), term of affordability, Access to Opportunity Model scoring, and provisions for special populations including permanent supportive housing, special needs housing, and veteran housing. The form was last revised in March 2026 and is available in Spanish upon request.

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Orange County Certified Affordable/Attainable

Housing Application Form

Housing and Community Development Division

525 E South St, Orlando, FL 32801 407-836-5150

Submit completed form to:

AffordableHousing@ocfl.net

Number of Units I. TYPE OF APPLICATION AND NUMBER OF UNITS. Select all that apply.

Rental - Affordable Housing (30-80% Area Median Income (AMI))

Rental - Attainable Housing (81-120% AMI)

Ownership - Affordable Housing (50-120% AMI)

Ownership - Attainable Housing (121-140% AMI)

Tax Credit Project 9%

Project is seeking*:

4% N/A

Impact Fee Discount

Live Local Project

Local Gov't Contribution

AHRIL Project

TOTAL NUMBER OF UNITS

*Note that incentives are dependent upon type of project

III

O R p

AHTF $

Lot A or Lot B

Developable Acreage

. FINANCE INFORMATION.

mount of Funds Requested:

elect AHTF Assistance

. PROPERTY INFORMATION.

arcel Identification Number ddress/Street/Intersection ounty Commission District ithin the Urban Service Area ater Service Provider ewer Service Provider ross Acreage roposed Density (Dwelling Units Per Acre)

Additional Jurisdiction (if applicable)

Zoning

No. of Buildingsroposed Stories/Height tructure Type: Garden-Style Apartments

Mixed-Use

Land Use

Within Urban Service Area

Single Family

MF Mid-Rise

Attached

Townhouse

MF High-Rise

Detached Other

Check all that apply range County Certified Affordable/Attainable Housing Application Form evised: March 2026. All previous revisions are obsolete. Para más información en español, or favor llame al numero 407-836-5150 (Housing and Community Development Division).

mailto:AffordableHousing@ocfl.net

Revised: February 2026. All previous revisions are obsolete. Para más información en español, por favor llame al numero 407-836-5150 (Housing and Community Development Division).

Own the property Option to Purchase

Demonstrate and Describe the Proof of Ownership or Site Control (complete copies of all documents must be submitted)

Describe a brief project narrative. Please include a copy of the conceptual site plan as an email attachment.

IV. PROPOSED DEVELOPMENT INFORMATION.

Development Name

County Case Number / Name (if applicable)

Acquisition or contract price of property

Appraised Value (Submit copy of appraisal, if available)

Per Unit Cost

Total Development Cost

Do you, or your agency, own or have the option to purchase the property?

Not Applicable

Orange County Certified Affordable/Attainable Housing Application Form Revised: March 2026. All previous revisions are obsolete. Para más información en español, por favor llame al numero 407-836-5150 (Housing and Community Development Division).

DevelopedIs the site vacant or developed? Vacant

Number of Units Beds/Baths Square Feet Sales Price

Single Family Detached

Single Family Attached

b. Price Schedule

Number of Affordable Units by Percentage of Metropolitan Statistical Area [MSA].

0 - 50% 51 - 80% 81 - 120%

Number of Affordable Units by Percentage of MSA

≤ 30% 31 - 50% 51 - 60% 61 - 80%

Number of Attainable Units by Percentage of Metropolitan Statistical Area [MSA].

≤ 120% ≤ 140% Market Rate

Number of Attainable Units by Percentage of MSA

81 - 120% 121 - 140% Market Rate

b. Rent Schedule

a. Affordability

V. OWNERSHIP INFORMATION. COMPLETE FOR HOME OWNERSHIP PROJECTS ONLY.

VI. PROPOSED OCCUPANCY AND RENT SCHEDULE. COMPLETE FOR RENTAL PROJECTS ONLY.

a. Affordability

Number of Units Unit Rental Rate Percentage of AMI Utility Adjustment

Studio

One Bedroom

Two Bedroom

Three Bedroom

Four Bedroom

If you would like to provide additional information on the project regarding pricing and rent schedules, please provide as an attachment.

Orange County Certified Affordable/Attainable Housing Application Form Revised: March 2026. All previous revisions are obsolete. Para más información en español, mailto:AffordableHousing@ocfl.net

IX. ENTITY DETAILS. Provide the entity name, name(s) of officers and/or directors and the address of principal place of business (for all that apply).

VIII. DEVELOPER/BUILDER/OWNER/AGENCY INFORMATION (Party to Agreement).

Corporation Non-profit Corporation

Limited Liability Corporation

Proprietorship

Partnership

Limited Partnership

Ltd Liability Partnership

Developer Builder Owner Agency

Organization

Officers or Directors

Business Address

Contact Person

Telephone

Fax

FEIN and/or UEI

*Update County staff as information changes

VII. ADDITIONAL CONSIDERATIONS.

Minimum 10% of rental units for: (check all that apply)

Permanent Supportive Housing

Special Needs

Veteran

NGBS Level years

For Office Use Only Access of Opportunity Model Score (60 or more)

Distance to Closest Transit Facility or Stop

Green Building Certification

LEED FGBC

Term of Affordability

EXPERIENCE AND QUALIFICATIONS. Provide information related to the organization’s experience. Include the following details: Years of Experience, Units Produced, Units Rehabilitated, Units Owned, Units Managed. Describe the organization’s capacity for building, acquiring, and providing affordable housing units and provide information about any recently completed affordable housing projects. Use a separate sheet to continue, if necessary.

Please describe the outcomes for these projects. Use a separate sheet to continue, if necessary.

Has the owner or any person having a 25% or greater ownership interest ever been:

Party to a bankruptcy in receivership or adjudicated as bankrupt?

Denied a business-related license or had it suspended or revoked by any administrative, governmental, or regulatory agency?

Debarred, suspended, or disqualified from contracting with any government agency?

If any of the above are checked, please furnish details in a separate attachment.

Has the organization previously completed affordable housing projects in Orange County or any of its municipalities?

XI. AFFORDABLE HOUSING CERTIFICATION CHECKLIST.

Please make sure to submit the following information with your application for affordable housing certification:

• Conceptual site plan – subject to meeting all Orange County codes

• Location map

• Complete legal description

• Certified survey or property appraiser map

• Property appraiser information

• Evidence of ownership or interest of property (i.e. deed, sales contract, etc.)

Orange County Certified Affordable/Attainable Housing Application Form Revised: March 2026. All previous revisions are obsolete. Para más información en español, XII. CERTIFICATION.

The Developer/Builder/Owner certifies the following:

The undersigned certified that the above statements are representations of fact upon which Orange County must rely in proceeding with the process.

Developer/Builder/Owner (signature) Witness (signature)

Developer/Builder/Owner Name (Printed) Witness Name (Printed)

Title Title

Date Date

The developer/builder/owner will provide evidence of final sales price (i.e., HUD-1 closing statement).

The developer/builder/owner will provide evidence of homebuyer/tenant income.

The developer/builder/owner shall provide evidence of rents charged for the different income group being served.

The developer/builder/owner is free from any obligations o r interest that would conflict with the interest of Orange County in general.

The developer/builder/owner currently owns or has entered into an agreement for sale or has an option to purchase the property for development.

The developer/builder/owner has the capacity to plan, design, develop and construct affordable housing units on a timely basis.

The developer/builder/owner is not on any US list of debarred or suspended contractors.

The developer/builder/owner agrees to execute all documents required by Orange County, including but not limited to documents containing affordability restrictions include the requisite Land Use Restriction Agreement for Affordable Multi-Family Rental Development Pursuant to Chapter 2023-17, Laws of Florida, the Live Local Act (LURA).

mailto:AffordableHousing@ocfl.net

Gross Acreage

Blank Page

9% Tax Credit: Off

4% Tax Credit: Off

Single Family attached Number of units:

Single Family attached beds/baths:

Single Family attached square footage:

Single Family attached sales price:

Number of studio units:

Stuido Rental Rate:

Studio, Percentage of AMI:

Studio Utility Adjustment:

Number of one bedroom units:

One Bedroom Rental Rate:

One Bedroom, Percentage of AMI:

One Bedroom Utility Adjustment:

Number of two bedroom units:

Two Bedroom Rental Rate:

Two Bedroom, Percentage of AMI:

Two Bedroom Utility Adjustment:

Number of three bedroom units:

Three Bedroom Rental Rate:

Three Bedroom, Percentage of AMI:

Three Bedroom Utility Adjustment:

Number of four bedroom units:

Four Bedroom Rental Rate:

Four Bedroom, Percentage of AMI:

Four Bedroom Utility Adjustment:

Date Witness Signed_af_date:

Witness Title:

Witness Name:

Developer/Builder/Owner Name (Printed):

Rental, Affordable Housing: Off

Ownership, Affordable Housing: Off

Attainable Ownership, number of units:

Not Applicable: Off

Local Government Contribution for Affordable Housing: Off

Impact Fee Discount for Affordable Housing: Off

Ownership, Attainable Housing: Off

Rental, Attainable Housing: Off

Affordable Rental, number of units:

Attainable Rental, number of units:

Affordable Ownership, number of units:

Number of Affordable rental units less than 30% MSA:

Number of Affordable rental units 31 - 50% MSA:

Number of Affordable rental units 51 - 60% MSA:

Number of Affordable rental units 61 - 80% MSA:

Number of market rate rental units:

Number of Affordable Owner units 0 - 50% MSA:

Number of Affordable Owner units 51 - 80% MSA:

Number of Affordable Owner units 81 - 120% MSA:

Single Family number of Detached units:

Single Family Detached Beds/Baths:

Single Family Detached Square footage:

Single Family Detached Sales Price:

Number of Attainable Owner units ≤ 120% MSA:

Number of Attainable units ≤ 140% MSA:

Number of market rate Owner units:

Developer/Builder/Owner Title:

Date Developer/Builder/Owner Signed_af_date:

Live Local Act Project: Off

Affordable Houisng For Religious Institutional Lands Project: Off

Number of Attainable Rental units 81 - 120% MSA:

Number of Attainable Rental units 121 - 140% MSA:

Property Price:

County Case Number/Name if Applicable:

Development Name:

Appraised Value:

Total Number of Units:

Total Development Cost:

Per Unit Cost:

Information about organization's experience and completed affordable housing projects:

Previous OC Projects: [ ]

Describe outcomes of other affordable housing projects:

Names of Officers or Directors:

Business Address:

Contact Person:

Telephone Number:

Email:

Fax:

Developer: Off

Builder: Off

Owner: Off

Proprietorship: Off

LLP: Off

Non-profit Corporation: Off

Corp or Inc: Off

Partnership: Off

LLC: Off

LP: Off

Name of Organization:

Federal Tax ID # and/or Data Universal Numbering System:

Permanent Supportive Housing: Off

Special Needs: Off

Veteran: Off

LEED: Off

FGBC: Off

NGBS: Off

Describe Certification:

Score:

Years of Affordability:

Distance to transit:

Amount of Funds Requested:

Lot A: Off

Lot B: Off

Parcel ID Number:

Project Address/Street Name/Intersection:

Additional Jurisdiction (if applicable):

Is the project within the urban service area:

Water Service Provider:

Sewer Service Provider:

Gross Property Acreage:

Property Acreage Available for Development:

Proposed Density:

Zoning:

Land Use:

County Commission District: [District]

Multi-Family Mid-Rise: Off

SF: Off

Multi-Family High-Rise: Off

Townhouse: Off

Proposed Stories or Height:

Other: Off

Garden: Off

Proposed No:

of Buildings:

Other Description:

Urban Service Area: [Urban Service Area]

Mixed-Use: Off

Attached: Off

Detached: Off

Property is Owned: Off

Property is Available to Purchase: Off

Own/option to purchase not applicable: Off

Site is Vacant: Off

Site is Developed: Off

Type of Units Description:

Text25:

Bankruptcy: Off

Denied: Off

Disqualified: Off

File details come from the government source that posted it. Updated Apr 29, 2026.