[guided]The purpose of passing to the affine chart is that the tangent line to an affine plane curve has a direct first-order description. In the chart $Z \neq 0$, every point is written uniquely as $[x:y:1]$, and the projective equation $F(X,Y,Z)=0$ becomes the affine equation
\begin{align*}
f(x,y)=F(x,y,1)=0.
\end{align*}
The point $P=[X_0:Y_0:Z_0]$ corresponds to $(a,b)=(X_0/Z_0,Y_0/Z_0)$. The first-order Taylor expansion of $f$ at $(a,b)$ has linear part
\begin{align*}
\frac{\partial f}{\partial x}(a,b)(x-a)+\frac{\partial f}{\partial y}(a,b)(y-b).
\end{align*}
Because $f(x,y)=F(x,y,1)$, differentiating with respect to the first affine variable gives
\begin{align*}
\frac{\partial f}{\partial x}(a,b)=F_X(a,b,1)=F_X(q).
\end{align*}
Differentiating with respect to the second affine variable gives
\begin{align*}
\frac{\partial f}{\partial y}(a,b)=F_Y(a,b,1)=F_Y(q).
\end{align*}
Thus the affine tangent line is
\begin{align*}
F_X(q)(x-a)+F_Y(q)(y-b)=0.
\end{align*}
Why is this a genuine line? Smoothness of $P$ means that the projective gradient is not zero:
\begin{align*}
\left(F_X(q),F_Y(q),F_Z(q)\right) \neq (0,0,0).
\end{align*}
In this affine chart, the tangent direction is controlled by the first-order part of $f$. If $F_X(q)$ and $F_Y(q)$ are not both zero, the displayed equation is visibly a nonzero affine linear equation. If $F_X(q)=F_Y(q)=0$, then smoothness forces $F_Z(q)\neq 0$; Euler's identity below then gives $F_Z(q)=0$ because $q \in C_F$ and $F$ has degree $3$, a contradiction. Hence $F_X(q)$ and $F_Y(q)$ are not both zero in this chart, so the affine tangent equation is nonzero.[/guided]