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APPLICATION CITY OF BOYNTON BEACH, FLORIDA PLANNING & ZONING DEPARTMENT SITE PLAN REVIEW APPLICATION FOR NEW SITE PLANS << MAJOR MODIFICATIONS TO EXISTING SITE Application Acceptance Date: Fee Paid: Receipt Number: This application must be filled out completely, accurately and submitted as an original to the Planning and Zoning Department. Twelve complete, sequentially numbered and assembled sets of plans including a recent survey and appropriate fee shall be submitted with the application for the initial process of the site Plan Review procedure. An incomplete submittal will not be processed. Please print legibly (in ink) or type all information. I. GENERAL INFORMATION 1. Project Name: (~CXl.Jr\:+-on--. l~'fS '?-l~-t~ 2. Applicant's name (person or business entity in whose name this application is made): ~1eJ S. ~~,,~ A0P!~ Ass~Os. Address: J S4c> ~ 12bA-O a:::P6 , t=C 3~t{.69' ~........ 4: (Zip Code) Phone: ~/4-"71 053>8 Fax: ~( :-]ir-tol 3. Agent's Name (person, if any, representing applicant): rE:f=F L& Address: SA.VY\<2. Phone: ~--'<- (Zip Code) Fax: 4. Property Owner's (or Trustee's) Name: ~(.P~( ~. Co.inif ~ ~D ,/c(2.. A;;~~ Address: ~~ Phone: ~ (Zip Code) Fax: 5. Correspondence to be mailed to:* , :::s-~~ L\~ * This is the address to which all agendas, letters and other materials will be mailed. PLANNING & ZONING DEPARTMENT - November 1991 A:SITEPLAN 6. What is applicant's interest in the premises affected? (OWner, buyer, lessee, builder, developer, contract purchaser, , ete.) (' ~~ P ~~t1S~ 1. Street address or location of site: ~ ~~ t.-.ors ("2 - (~- It+ ~(,}0'<Y1+{')()I ~ ' B. Property control I' Legal description of site: (...e,,-~ t'2.., ( 2..A i ;"3 , \3--A , .... , J!:4-1 if A. ~0~O(h QlA.I2..i.c. ~ ~'f1~"" gS2G...d" <Pi"D J:J~f ~ 2.- ~B 57 ~-(~S ~iO~ ~C'~~~ 9. 10. 11. 12. 13. 14. 15. 16. 11. 18. ( 2 ) In~ended use(s) of site: ~c..e.1 (k,5ef\r("c'.h ~1)2(jQ~W W~ Developer or Builder: C~!~~E. Architect: :r~GAl>5'\Vf2../ ~(t-~\I~ Ues..l~ ~o:::- I ........... . Landscape Architect: UJbQ~ \.1?~l~n site Planner: ~ ~S\Cj("\ Engineer: ~~~(.~ Surveyor: l-c.6b~ E2- ~~$ex:::.. Traffic Engineer: f\JA Has a site plan been previously approved by the City Commission for this property? ~t) Estimated constru9tion costs of proposed improvements shown this site plan: ~ I ~ . <::)C:> PLANNING & ZONING DEPARTMENT - November, 1991 A:SitePlan II. SITE DATA ( 3 ), The following information must be filled out below and must appear, where applicable, on all copies of the site plan. 1. ~nd Use Category shown in ()~~ the Comprehensive Plan 2. Zoning District P \1) 3. Area of Site S.-Z .11 . Land Use -- Acreage Breakdown a. b. c. d. e. f. g. h. i. acres 3'57'1 lC\2- sq . ft. Residential, inclUding ~;I~ surrounding lot area of grounds Recreation Areas * (excluding water area) acres , of s1 , of si acres to C)q~::>4(r7. i'l) of sl , of sj Water Area Conunercial ~ 01=F(GE:./ R...-o Industrial (.~ acres acres (~~b , of sj acres Public/Institutional Public, private and canal rights-of-way Other (specify) ~o; l('.,(')O~<' n/A f , of sj acres Jl/A . 3~S acres , of sj -5d2 ~'7 , of s, acres Other (specify) ~ ~2.1 acres 2..5,~ , of' s j . S /2... acres _, 66, 00 Total area of site , of s * including open space suitable for outdoor recreation, and having a minimum dimension of 50 ft. by 50 ft. " 5. Surface Cover 14, b ,. of s a. Ground floor building I ~~ area ("building footprint") acres b. ~ acrep If,l , of Ii Water area c. Other impervious areas, including paved area of public , private streets, paved area of parking lots' driveways (ex- cluding landscaped areas), and sidewalks, patios, decks, and athletic courts. acres ~.s 4'2~1 , of I d. Total impervious area b t t acres , of I -Z4A- ZS, b e. Landscaped area ~,i inside of parking lots (20 sq. ft. per interior parking space required - see Sec. 7.5-35(g) of Landscape Code). acres % of PLANNING & ZONING DEPARTMENT - November, 1991 'A: s; t-f,Pl :i1l f. g. ( 4 ) Other landscaped areas, !Ii of sitl acres Other pervious areas, including golf courses, natural areas, yards, and swales, but excluding water areas !Ii of sitl acres h. acres Total pervious areas 2. ~ I 25.b .. of sit i. acres Total area of site cp,- 1'7- I 0::::> , of sit 6. Floor "rea a. Residential A/A sq. ft. 1/ b. commercial/Office;l~,~o I c>o I D:X::> sq. ft. c. Industrial/Warehouse r)}O sq. ft. I d. Recreational n/~ sq. ft. .J e. Public/Institutional n/A sq. ft. .J f. other (specify) n/,Q sq. ft. ) g. Other (specify) "/A sq. ft. J h. Total floor area , OC> ,000 sq. ft. , Number of Residential Dwelling Units a. Single-family detached Jl/A I b. Duplex () I A . 7. c. sq. ft. sq. ft. d. Multi-Family (3 + attached dwelling units) (1) Efficiency (2) 1 Bedroom (3) 2 Bedroom (4) 3+ Bedroom Total multi-family dwelling units dwelling units dwelling units dwelling units dwelling units niQ 1 e. Total number of dwelling units ~ 8. Gross Density _f'\/A dwelling units per acre I 9. Maximum height of structures on site ~feet ~ stOI 10. Required off-street parking a. Calculation of required b. number of off-street parking spaces , 1/2_/ Z ~~ -\- lJ/tJ,~ 4u:?ovvvp t' 25 1Jlo,i~<=- 425 ?'25 ~IW"~ 4co f.~tck;;) Off-street parking spaCE provided on site plan PLANNING & ZONING DEPARTMENT - November, ]991 ( 5 ) III. CERTIFICATION (I) (We) understand that this application and all papers and plans submitted herewith become a part of the permanent records of the Planning and Zoning Board. (I) (We) hereby certify that the above statements and any statements or showings in any papers or plans submitted herewith are true tc the best of (my) (our) knowledge and belief. This applicatiol will not be accepted unless signed\ according to the in~t}~n8 /0 / ...~ / ) //,/y-,,~=-=___ .' S gnature of own~ s) or ustee, of Authorized frincipal if property is owned by a/corporation or other business entity. rtl,I'1~ t Date IV. AUTHORIZATION OF AGENT Signat of Authorized Agent W~) hereby deSlg,na t~ the above (our) au h9~ized ~nt in)f9ard to '7'lTl . 1~~ .' '/ /' / , /~",/." ;' ~-- ~:~:...' / /---- (/ SignatUt'e' of c~; or Tr~stee, or Authorized~rincipal if property is owned by a corporation or other business entity. Il I, led I I Date signed person as (my) this application J M-.b 4U-- Ill' /qt.{ Date SPACE BELOW THIS LINE FOR OFFICE USE ONLY Review Schedulel Date Received Technical Review Board Planning , Zoning Board Community Appearance Board City Commission Stipulations of Final Approval: Date Date Date Date Other Government Agencies/Persons to be contacted: Additional Remarks: PLANNING & ZONING DEPARTMENT - November, 1991 A:SitePlan EXHIBIT "A" RIDER TO SITE PLAN APPLICATION The undersigned as applicant for Final 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 which 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 allowing 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. ACKNOWLEDGED AND AGREED TO this , 19~. CI'l'Y, OF BOYNTON BEACH, FI --'-'IDA ~ RESOLUTION NO. 92-2.- ADOPTED DEe. 15, 1992 EXHIBIT U~" FEES FOR LAND DEVELOPMENT RELATED ACTIVITIES CITY OF BOYNTON BEACH TYPE OF APPROVAL Community Design Plan Appeal FEE $ 750 $ 750 ~50V $ 750 $ 100 $ 1,000 $ 1,500 $ 125 $ 250 Site Plan, Major Site Plan Modification o - 2 acres 2 - 5 acres 5+ acres Central Business District Site Plan or Major Site Plan Modification Conditional Use o - 3 acres 3+ acres Time Extensions for Site Plans, Conditional Uses Height Exception Zoning Board of Adjustment and Parking Lot Variances First Variance Each Additional Variance Subdivision Preapplication o - 20 acres 20+ acres $ 400 $ 100 $ 1,000 $ 1,000 $ 1,000 $ 1,500 $ 1,500 $ 2,000 $ 750 plus administrative costs $ 500 $ 400 $ 1,000 $ 2,000 Subdivision Master Plan o - 20 acres 20+ acres Preliminary Plat o - 20 20+ Final Plat Submission Plat Master Plan Modification Subdivision Variance Rezoning and Land Use Amendments o - 10 acres 10+ acres Planned Development District Review and Rezoning o - 5 acres 5+ acres $ 1,500 $ 2,000 , CI'rY OF BOYNTON BEACH, FLORIDA - RESOLUTION NO. 92-2U ADOPTED DEC. 15, 1992 FEES FOR LAND DEVI JPMENT RELATED ACTIVITIES Page 2 TYPE OF APPROVAL comprehensive Plan Text Amendment Annexation o - 5 acres 5+ acres Abandonments (easement or right-of-way) Environmental Review Permit Application Permit Administrative Appeals Modifications Minor Site Plan Planned Development Review of Use Not Listed in Zoning Code or Planned District Zoning Code Text Amendment (after City Commission approval to review) Site Plan Waiver A:LANDFEE1.JM FEE $ 500 $ 1,000 $ 2,000 $ 500 $ $ $ 250 250 200 $ $ 100 500 $ 150 $ $ 250 100 1994 REVIEW SCHEDULE SECOND HALF SITE PLAN REVIEW AND CONDITIONAL USE APPROVAL *PROJECTS LOCATED WITHIN THE CENTRAL BUSINESS DISTRICT * ORIGINAL AMENDED CITY COMH REDEV SUBMITTAL PLANS *C.R.A.B. P&D COMMISSION AGENCY DEADLINE DEADLINE HEETING MEETING MEETING & MEETING Jun 01 Jul 13 Aug 09 Aug 09 Aug 16 Jul 06 Aug 15 Sep 12 Sep 13 Sep 20 Aug 01 Sep 12 Oct 10 Oct 11 Oct 18 Aug 30 Oct 11 Nov 14 Nov 08 Nov 15 Sep 30 Nov 10 Dec 12 Dec 13 Dec 20 Oct 25 Dec 08 Jan 09, , 95 Jan 10, 195 Jan 17,'95 NOTE: (1) TO FACILITATE THE PROCESSING OF THE REQUEST, IT IS RECOMMENDED THAT THE APPLICANT SET-UP, BY APPOINTMENT, A PRE-APPLICATION MEETING WITH THE DIRECTOR OF THE PLANNING & ZONING DEPARTMENT (407) 375-6260 PRIOR TO THE SUBMITTAL DEADLINE DATE. THE HEETING WILL ADDRESS CONCERNS REGARDING THE TYPE OF SUBMITTAL, BOARD REVIEW SCHEDULE, SUBMITTAL PROCEDURES, FEE, APPLICATION FORM, AND TYPE AND NUMBER OF PLANS/DOCUMENTS THAT ARE REQUIRED TO BE SUBMITTED. (2) IF A SUBMITTAL IS RECEIVED BY THE ORIGINAL SUBMITTAL DEADLINE DATE AND WITHIN THO (2) WORKING DAYS FOLLOWING THE ORIGINAL SUBHITTAL DEADLINE, THE SUBMITTAL IS DETERNINED ACCEPTABLE FOR PROCESSING, THE SUBMITTAL WILL FOLLOW THE APPROVAL SCHEDULE IDENTIFIED ABOVE. HOWEVER, IT SHALL EE NOTED THAT THE AMENDED PLANS DEADLINE DATE ALLOCATES ONLY TEN (10) WORKING DAYS FOR THE APPLICANT TO SUBMIT A COHPLETE PACKAGE THAT INCLUDES THE PLANS THAT HAVE BEEN Jl.,MENDED TO COMPLY HITH THE TRC COMHENTS GENERATED FROM THE REVIEW OF THE ORIGINAL SUBMITTAL DOCUMENTS. TO KEEP THE REVIEW PROCESS ON SCHEDULE THE AMENDED PLANS DEADLINE DATE I S STRICTLY ENFORCED. IT SHALL ALSO BE NOTED, THAT PRIOR TO A PROJECT BEING RECOMMENDED FOR APPROVAL BY THE PLANNING & ZONING DEPARTMENT, AND BEING PRESENTED TO THE PLANNIN3 & DEVELOPMENT BOARD OR THE COMMUNITY REDEVELOPMENT ADVISORY BOARD, THE PROJECT SHALL BE RECOMMENDED FOR APPROVAL BY THE TECHNICAL REVIEW COMMITTEE. (3) APPLICATIONS WHICH REQUIRE SUBMITTAL OF A TRAFFIC IMPACT ANALYSIS, PURSUANT TO THE MUNICIPAL IMPLEMENTATION ORDINANCE OF PALM BEACH COUNTY TRAFFIC PERFORMAnCE ST.l\N[lARDS ORDINANCE REQUIRE ADDITIONAL REVIEW TIME. NOTE: REFER QUESTIONS PEGARDING TRAFFIC TO THE DIRECTOR OF THE PLA:mING & ZONING DEPARTMENT. (4) THE ABOVE DATES MAY EE SUBJECT TO CHANGE. A:94REV2HF.trb t-Jo chGLP-"}..u +0 l~(ev1 O(J<;.r~ <;0(JYn4~c~: i} SUI-~ (!()dtCill j b~ sfk (-l~ ') ?:) A n:h.!ccturc0s (~I06(fb,u.. ~K. .ejL;-ut0f(c9Yl~ . QualiJy3fmn the ground u-e. , DEVELOPING · BUILDING · LEASING · MANAGING City of Boynton Beach Planning and Zoning Review Quantum 12, 13, 14 Motorola Response to TRC Comments Resubmittal of Site Plan, Landscape Plan and Preliminary Drainage Plan CHECKLIST ITEMS: 1) We are resubmitting the original Site Plan Review/Conditional Use application with all changes crossed out with new information added in its place for the applicable item. 2) There are no buildings on property adjacent to the subject site(s), In addition there are no buildings on the subject site, 3) Color elevation of building improvements to be constructed on site is being submitted at this time, 4), Color samples, Benjamin Moore Mooreguard Royal Blue and GN6 (light grey) paint chips along with a stucco sample are being submitted at this time, Response to TRC Comments 1) We have reviewed all comments made by Engineering, Bill Hukill. It is our understanding that all comments must be complied with prior to issuance of a Building Permit. 2) We have reviewed all comments made by Planning and Zoning, Mike Haag. New plans being submitted on this date reflect changes regarding Items #1 and #2. All other items will be complied with prior to the issuance of a Building Permit. A sign package will be submitted at a later date prior to issuance of C, O. on the completed building, 3), We have reviewed all comments made by Director of Utilities, John Guidry. Plans are being redrafted to reflect all comments made and it is our understanding that no Building Permits will be issued until all comments have been addressed and changes made to the plans. 1540 LATHAM ROAD. WEST PALM BEACH, FL 33409 · (407) 471-0338 · FAX (407) 471-1201 4) We have reviewed all comments made by City Forester, Kevin Hallahan, We have met with the City Forester and the revised landscape plans reflect tree removal mediation, tree relocation on site, It is our understanding that no Building Permits will be issued until all conditions of the City Forester have been met. Preliminary Sewer and Water plans have been forwarded to Fire, Engineering and Public Works for review and comments, The plans submitted were not a formal submittal, but for discussion and comments only. Engineer for the project, Mark Williams of Southern Design will/has contacted the various departments to get comments and will have final drafts ready for submittal to the City agencies, HRS, and SFWMD on Monday or Tuesday of next week, Based on comments made at TRC and based on engineering imput we have decided to pursue three points of ingress / egress to the subject site. This decision was made after looking at the ultimate design of the medians as they relate to parcels on the opposite side of the street as well as the subject properties side of the street. The center island will be labeled as a right turn in right turn out only with no U-turn in the median, We would like to have staff explore how we can most easily accomodate having three points of ingress/egress approved for the site without holding up the site plans approval process. ~~~~ ~~ ~ 3 I I \)/'o jqf CITY OF BOYNTON BEACH, FLORIDA PLANNING & ZONING DEPARTMENT SITE PLAN REVIEW APPLICATION FOR NEW SITE PLANS & MAJOR MODIFICATIONS TO EXISTING SITE Application Acceptance Date: Fee Paid: Receipt Number: This application must be filled out completely, accurately and submitted as an original to the planning and Zoning Department. Twelve complete, sequentially numbered and assembled sets of plans including a recent survey and appropriate fee shall be submitted with the application for the initial process of the Site Plan Review procedure. An incomplete submittal will not be processed. Please print legibly (in ink) or type all information. I. GENERAL INFORMATION 1. Proj ect Name: {~c..>dJ"",.h..\~ ~'('s 1"2, I?' -14 2. Applicant's name (person or business entity in whose name this application is made): ThDleJ S. CA""lPrlF(~ AnP!N2-. As:5.~()~ Address: J ':S4o Lr::vt'{A-tI)'\.1?o~::t-O a:::P6 , R.. 3~J{69' Phone: -40, 4--(1 OS'::SP) Fax: k>( 4,l Z,~tde) 3. Agent's Name (person, if any, representing applicant): ::JEFF ~ Address: SAtfYte.. Phone: ~'\~ (Zip Code) Fax: 4. Property Owner1s (or Trustee's) Name: ~,.e.( c;S. Ca1-nif ~ ~D /~)(2.. A>~~ Address: ~~ Phone: ~ (Zip Code) Fax: 5. Correspondence to be mailed to:* '\. ::sFk~ L~ * This is the address to which all agendas, letters and other materials will be mailed. PLANNING & ZONING DEPARTMENT - November 1991 A:SITEPLAN 6. What is applicant's interest in the premises affected? (Owner, buyer, lessee, builder, developer, contract purchaser',etc.) ~~~ f5u~d.s~ 1. Street address or location of site: ~'~nn f1~K l-ors (-Z-(3-1t+ ~(~)(=:Nyjt(')OI~. B. Property Control I: Legal description of site: l-o-r:::> t~ i (2 -.4,i ,'-3 i \"3..-A I l!:L.rJ tiJl <t(..:>exv+Ot'h ~~..e.i< f-\:sr -s,()~""" g.ea-cl, f'1"D -1:J a,-f * 2... ~6 57 PG- J 34..::.J <?:,S' ?taun 9.M..c~ ~t'()~ ~ 9. 10. 11. 12. 13. 14. 15. 16. 17. lB. ( 2 ) Intended use (s) of site: ~C~ / llisen.<<("' h. ~-tR,<SQ~~ \ I wtfh. Developer or Builder: C~~~~kJ~ Architect: -r~GAP5{""VR-/ ~.td-ouz& U~t)U\ ~o::.. ~ I ........... . Landscape Architect: Uf"bQ~ l.l:;>~l~n Site Planner: L):yLY\ l)eS\<jf\ Engineer: ~,)~~t~1'f'\ Surveyor: l-<.cSb0't9 €l ~.$:~oG' Traffic Engineer: f\jA Has a site plan been previously approved by the City Commission for this property? Jl't\ Estimated construgtion costs of proposed improvements shown this site plan: ~ ,~~ . l""f......." . C)O ~ t PLANNING & ZONING DEPARTMENT - November, 1991 A:SitePlan ( 3 ). II. SITE DATA The following information must be filled out below and must appear, where applicable, on all copies of the site plan. 1. Land Use Category shown in the Comprehensive Plan ()~~ 'p l1) 6,"2.. 2. 3. Zoning District Area of site acres 3'57,{ lC\ 2- sq. ft. .4. Land Use -- Acreage Breakdown a. b. c. d. e. f. g. h. i. j. Residential, including ~/A acres \ of s! surrounding lot area of grounds Recreation Areas * f\J/A acres , of s: (excluding water area) Water Area \ .4 acres (o()qt~A(r7.j%) of s Conunercial '3 acres \ of s ~(Ge./R.t-D I ~"b Industrial ~ acres \ of s Public/Institutional n/A acres % of s , Public, private and nIt:> canal rights-of-way acres 'Ii of s . other (specify) ~3/i_ acres ~LiIIS 'Ii of s ~o;; l~ -J: '}Q~ 2::2.- other (specify) ~~ acres ~2k'8 'Ii of' E ~ Total area of site B .'2- acres _, c>e" 00 'Ii of * including open space suitable for outdoor recreation, and having a minimum dimension of 50 ft. by 50 ft. 5. Surface Cover 14, b \ of , a. Ground floor building I ~~ area ("building footprint") acres b. ~ acrep 11,1 \ of Water area c. Other impervious areas, including paved area of public & private streets, paved area of parking lots , driveways (ex- cluding landscaped areas), and sidewalks, patios, g I I decks, and athletic R~ courts. ~. - be 0 2;L acres acres ~ 41, S \ of acres ~1g~2- 'Ii of d. Total impervious area ~ 2~r8 e. Landscaped area inside of parking lots (20 sq. ft. per interior parking space required - see Sec. 7.5-35(g) of Landscape Code). % of PLANNING & ZONING DEPARTMENT - November, 1991 " : S i h' P 1 :"1 ( 4 ) f. other landscaped areas, acres % of sit g. Other pervious areas, including golf courses, natural areas, yards, and swales, but excluding water areas acres % of sit h. Total pervious areas 2..~ acres -2.~. g ~.~ iii of sit 1. Total area of site <R-r7- acres I tX.':> \ of si1 6. Floor Area a. Residential A/A sq. ft. 1/ b. commercial/Off ice /R'.O I CO coc> sq. ft. I c. Industrial/Warehouse YI)O sq. ft. I d. Recreational J)/~ sq. ft. .J e. Public/Institutional n/A sq. ft. .J f. other (specify) n/,Q sq. ft. ) g. Other (specify) r'\/A sq. ft. .J h. Total floor area ~,~cr sq. ft. , ~ 1 s4:" ~C) (9C):) I I Number of Residential Dwelling units a. single-family detached Jl fA I n/A . ~ 1'\0 7. sq. ft. b. Duplex sq. ft. c. Multi-Family (3 + attached dwelling units) (1) Efficiency (2) 1 Bedroom (3) 2 Bedroom (4) 3+ Bedroom d. Total multi-family nit:} J dwelling units dwelling units dwelling units dwelling units dwelling units 8. e. Total number of dwelling units ~ Gross Density ...IlIA dwelling units per acre I Maximum height of structures on site '45 ' ~feet 2- ste 9. 10. Required off-street parking a. Calculation of required b. number of off-street parking spaces \ 1/2- ,/ Z. ~~ -\- l/tJL~ 4Q901JYYf -t 25 1Jlp~~c- 4ZS 52.5 ~' Hy'.,e~ Off-street parking spac provided on site plan 2)'07' ~ fc-D-t.)l,ck") PLANNING & ZONING DEPARTMENT - November, ]991 (I) (We) understand that this application and all papers and plans submitted herewith become a part of the permanent records of the Planning and Zoning Board. (I) (We) hereby certify that the above statements and any statements or showings in any papers or plans submitted herewith are true 1 the best of (my) (our) knowledge and belief. This applicatic will not be accepted unless signed. ccording to the ins~ru ns be19w. i , );)~ S gnature of OWne of Authorized Vr cipal if is owned by a/c rporation business entity. III. CERTIFICATION ustee, property or other IV. AUTHORIZATION OF AGENT I 1'6/ c;:~ ( 5 ) ,,1,1'1~ I Date H /, /9:::1 I I Da te signed person as (my) this application) Af\JP ~b'folii ner( or Trustee, Principal if property is owned ~corporation or other business entity. tlfr/o.c4 Date SPACE BELOW THIS LINE FOR OFFICE USE ONLY Review Schedulez Technical Review Board Planning , Zoning Board Community Appearance Board City Commission Stipulations of Final Approval: Date Received Date Date Date Date other Government Agencies/Persons to be contacted: Additional Remarks: PLANNING & ZONING DEPARTMENT - November, 1991 A:SitePlan EXHIBIT "A" RIDER TO SITE PLAN APPLICATION The undersigned as applicant for Final 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 which 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 allowing 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. \\/lO q~ ~ Q5<L-'00/N TO this CITY OF BOYNTON BEACH PLANNING & ZONING DEPARTMENT COMMENT SHEET' Project Title LA I\.) ~~ '<- Permit Application No.: q 5' - D4D9 MOlcRot-.A- (9UkvTtJk. J:2.)/"3 ~)4) oS I I eo - C- 0.-. cis e-ct P t:::.. 2/ r I q ~ Name of Reviewer Type of Review 'l'he application number listed above is the referenced number for your proposed construction. Prior to further processing on your project, the comments listed below must be rectified. To discuss the comments it is recommended that an appointment be set-up with the reviewer. For an appointment I call t 407) 375-6260 between 8 A. H. and 5 P. M., Monday thru Friday. After amending the plants) to show compliance with the comment(s}, return both sets of plans for re-review to the Building Department. To expedite the review of the plans, the designer responsible for the drawings may make line changes to the plants) at the Building Department (each line change must be initialed and dated). Note: Additional comments may be gen.erated as a result of the review of amended plant's) and/or documents. *********************~****************************************************** Applicant's Name and Phone No. : Date Called: Comments Received By (Print Name): signature: Date: Comments only: plans and Comments: Date Reviewed: **************************************************************************** P l-. E~ s ~ I IV tl) I eA- T l? e:> N IJ f< A- LV / I.J .6- / A.) ,1tPe:- LU J+ T~R.. fJAv /+ Iv /+-&..-1f1, C?' t.U1 It- LR c;- JJ.. j '1 H-D SG: /-. (10 R A-L fJ '-..4 ~({ Nt?,- ~ R ~ ~ u ,R ~ ~ (3. Y (0 R"L~.I;:'l9 ~ Q LJ Ji- vU r v If-'\. P A- oR. K . T (+~ P L/+t.L/rf.,<..J 6- ~ VU ( L L /~ I-, 60 (6 E= /1\.) ~ P E=c- T~ tJ /+- r T ("""'t ~ t9 ~~/= /10 4-,--- L-, A-vu (J .:SeA-- p~ jltJ 6 P~cT( B /IU A- N d) L<J r '-I.- R lSJ ~\J I~~fj TO 86 CD VVL~ L.. ~J';;- 4-vV (/) ~ ;-1AJCr--8D D ft~A.. L J f+- PR l D R ~~ flPP~ 0 LJ (()...Je- .tJ U G tR. /~L t'- LA-t-U/) ~ e:'/l-P~ rok .,H- I S S l Ie;;:- \ **************************************************************************** * Departments required to review the project * · f) * t2' () i \ '4 \ rz:s~ .******~*~**********l;;**~************************************************** Page of