Application Form-MMRP-2023.09.54208Proje ct/Ca se #
MMRP-20 23 .0 9.54 20 8
Addre ss:Pa rcel Num ber(s):Loca tion De tai ls:
5 74 E WOOLBR IGHT R D, Boynton Beach,
FL 3 34 35
08 43 45 33 14 00 00 01 4 Bank of Am er ica
MINOR DEVELOPMENT
APPLICATION FORM
Pre-Applic ation Details / Projec t Information
Address
Parcel
Project
Number
S ubmiss ion
D ate
Project
Coordinator
Minor Land Dev elopment Applic ation Ty pe
Administrative
Adjustment
Adminis trative
W aiver
Certif ic ate of
Conf ormity
Lot Line
Modification
Minor Lands cape
Plan Modification
Minor Mas ter Plan
Modification
Minor Site
Plan Modification
Minor S ite Plan
Modif ic ation
(Arc hitec tural /
Elevation Changes)
Minor Site Plan
Modification
(Repaint)
Site Plan T ime
Extension
Mobile Vending Unit
New Minor S ite
Plan
S idewalk Cafe
S ign Program
Sign Program
Amendment
Projec t/C as e Name CIER-2023.08.33747
Estimated C onstruc tion V alue 13180
Parc el Siz e 14 acres
Total Square Footage 4500
Des cription of
Ex isting U se(s ) of
Property Site
Financial Center
Desc ription of
Propos ed U se(s ) of
Property Site
Financial Center
Prev ious Site
A pprov al on Subjec t
Property
No Yes
Is the propos ed use
eligible for the C ity ’s
Ex pedited
Dev elopment Rev iew
Program purs uant to
C hapter 2, A rticle I,
Section 5 of the Land
Dev elopment
Regulations ?
No Yes
Indicate the proposed
use(s ) and/or
des cribe the project's
c haracteristics that
av ails its elf the
opportunity f or
Program Eligibility
Ex is ting Land U se
C lass if ic ation
Local Retail Commercia l (LRC)
Propos ed Land U s e
C lass if ic ation
Loca l Reta il Commercial (LRC)
Ex isting Zoning
Designation
C3 Community Commercia l
Propos ed Zoning
Designation
C3 Community Commercia l
Is the property
located w ithin the
C ommunity
Redev elopment
Areas (C RA)
No
Lis ted in the C ity 's
Inv entory of Historic
Sites
No Yes
Will the applicant be the primary point of contact?
Yes No
A pplicant Information
First Name D evin Last Name Lumpuy
C ompany Name
S outheast Project
Management Group Inc.
Street A ddress 104 SE 1st Ave S uite 2 C ity D elray Beach
State Florida Zip 33444
Phone #(813) 334-2001 Email dlumpuy @southeastgc.com
Interes t in Property Ow ner Less ee Contrac t Purchas er
Property Ow ner (Trus tee) Inf ormation
Same as Applicant
Firs t Name E&A Las t Name Sunshine L LC
C ompany Name E&A S unshine LL C
Street Addres s E&A S unshine LL C C ity Columbia
State South Carolina Zip 29201
Phone #8037794420 Email dlumpuy@southeastgc.com
A gent Information
All correspondence will be emailed to the agent unless there I no agent of record, in which case, all correspondence will be emailed to the applicant. This
party will receive agendas, letters, and other materials.
Same as Applicant
First Name D evin Last Name Lumpuy
C ompany Name
S outheast Project
Management Group Inc.
Street A ddress 104 SE 1st Ave S uite 2 C ity D elray Beach
State Florida Zip 33444
Phone #(813) 334-2001 Email dlumpuy @southeastgc.com
A uthoriz ation of Agent
Signature of Ow ner or A gent 1 D evin L umpuy PM SEGC Signature of Ow ner or Agent 2
Date 1 09/20/2023 Date 2
C ertification
(I) (W e) understand that this application and all papers and plans submitted herewith become part of the permanent records of the planning
and zoning division. (I) (W e) hereby certify that the above statements or showings in any papers or plans submitted herewith are true to the
best of (my) (our) knowledge and belief. This application will not be accepted unless signed according to the instructions below.
Signature of Ow ner(s ) or
Trustee(s), or authoriz ed princ ipal
if property is ow ned by a
c orporation or other business
entity , or contrac t purchas er (if
applicant).
S ee building permit application:
CIER-2023.08.33747
Date of A uthoriz ed A gent Signature 09/20/2023
Rider to the Site Plan Applic ation
The undersigned as applicant for site plan approval does hereby acknowledge, represent, and agree that all plans, specifications, drawings,
engineering, and other data submitted with this application for review by the City of Boynton beach shall be reviewed by the various boards,
commissions, staff personnel, and other parties designated, appointed, or employed by the City of Boynton beach, and any such party
reviewing the same shall rely upon the accuracy thereof, and any change in any item submitted shall be deemed material and substantial.
The undersigned hereby agrees that all plans, specifications, drawings, engineering, and other data that may be approved by the City of
Boynton Beach, or its boards, commissions, staff, or designees shall be constructed in strict compliance with the form in which they are
approved, and any change to the same shall be deemed material and shall place the applicant in violation of this application and all approvals
and permits which may be granted.
The applicant agrees to allow the City of Boynton Beach all rights and remedies as provided for by the applicable codes and ordinances of
the City of Boynton Beach to bring any violation into compliance, and the applicant shall indemnify, reimburse, and save the City of Boynton
Beach harmless from any cost, expense, claim, liability, or any action which may arise due to their enforcement of the same.
A representative must be present at all Development Application Review Team (DART) meetings.
Read, Ac know ledged, and A greed No Y es
Applic ation Rider Applic ant Signature D evin Lumpuy PM S EGC Applic ation Rider Witness Signature S onia Barrera S EGC