APPLICATION
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SITE PLAN APPROVAL APPLICATION
City qf Boynton Beach, Florida
Planning and Zoning Board
This application must be filled out completely and accurately
and submitted in one (1) copy to the Planning Department. Incomplete
applications will not pe processed.
Please Print Legibly or Type all Information.
I. GENERAL INFORMATION
1. Project Name: 77u, &:clcI1l1<; /~f"';1
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A,{:i,.'c/ I: 2c'V/1k11 /:CY/J:/ ~..- X 04-
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1/<-..07 i/lfc 1/1 r<c<~ c;; ,r..::/o r"l.clc(
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2. Date this Application is Accepted :
(to be filled out by Planning Dept,)
3.
Applicant's
application
.. 'r ,'.
Name (person or business entity in whose name this
is made) :
L - d r I/""')/ (:r-o J1 e-
v;:.<?, (~'{ 1'?1J. /":?., [rfl
-;:;:-7-1 (.J ''4e-rlAJ1 0/;"0//>,'1--<:,-- f-~ (), //G700
/',/60'1'<,7ICI1/ ~'I,.,t1t' vflc. t.:~'r OC-::JII/
Address:
Phone:
z..C) '~.;: .- G-, (~ (~ -- 8 -1-~,d
4. Agent's Name
?-f) (f?
Address:
y,.-5.c.4- 8 7
Phone:
-1-(/1--1'7+ -/f-~8 /
5. Property Owner's (or Trustee's) Name:
!~trrv' Ct?')l1e-
/
Phone:
/0-1:' t:-.L ('://1''[(7 /~if)'1
,..J
7/7 -I C; ;6 e rC{11 '?Z( rr1, /j:~,-
t,1":'~/J{;1(l'/[11, U1VJI7t>cY-}cr.:7r- OC;/! /
"7 -c> :.Z ., - V':- C.:> c-~ '.- fS +- ~ c:
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Address:
~ (:) 0
6. Correspondence Address (if different than applicant or agent) *:
c:.C( ('77(>- C-'c _c ctl-.c (./~_
* This is the address to which all agendas, letters, and
other materials will be mailed,
Planning Dep~. 10/82
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rage 2
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What'is applicant's interest in the premises affected?
cf)tc.,?"er- c(;:ct~~u.:~l-f~ t r If.? ."ly;_ _
8.
(Owner, Bu~er, ~essee, Builder, Developer,
Contract puichaser, etc.)
Street Address or Location of Site: ~(G~~4v/~icY~ ffC1ac!'
, (
~ - ,,-"5 c4- I /~CY/1'f(}I-1 _ ~('<~J1f--I'.<<}r-/c.( q ______
Legal Description of 51 te/Property Control #: ;rAe/. S;'~'IA / If f-; 00
~d- trl-y,{(/ It,{rl'f, /7/: {J{)*t~-C_,~y;{~_ L:(,~r / ~'C; ~ OC; H~i-
d- ffiaoj'- 6, 7h !!d!t.r &<<cA ht/~?:,~ (C, aetl- .A/c?, 8, ac'Cc 1/'-1!!J!1
/ ~Lg / (f
10 fAIJ'" I~;;t/- YkacfL '~rs. reccnle,II'I1 Ned- K'XJcK s.:; ,,71- f/Jq~-
/ - J
,4!-- >>{e- '(/J!t<c> IfJ~(c:rcl! d- tJ, _ Sd'(C 1 ({;(I/ 61-/~-(/{ ~
9.
10. Intended Use {s} of 8i te: /<!;clctI11 &tVn ~/J'JIJ1trCIIq( Ja'k.'t'! ~~
lj
,11. Developer or Builder. IS/I! fP-e'e/ UI1://tr((DYIc/1 ~'!e/?tl tcJ1Ya?~3
1-:>0/ "hI::. C)rv/t, t/,/v,- ,Stl!j,'.'--- ,S, J./Z-I.7ld Jc~(f'lYJ F;;lr/d'~ ?:j1-:~/
12. Architect: ;(5t/{'t?(IISyofi.f1- Arcl1;jects. I f?: A.
p I
13.
14.
15.
16.
17.
18.
19,
Landscape Architect: (;, U/c("l)rl.')u/ ~hofcl cl/7/1,,45'5,"C(.','~-S
Site Planner: Pone/cl/l s:jcl+1- Atz'/;M"(*, p .4-.
Engineer: [i.{;/It~ v'- A ( r;;, ':)111~11. Jht.. , ,
I
Surveyor: Ad.-/. j~ '.(.;;- -- ~j'1lS./::JI1 c'01ct .4'5c,t "~g :Y::;1c-,
Traffic Engineer: Afl1e...
Has a site plan been previously appruv~d by the City Council
for this proper ty? _LffJ __________.. _____ ._."__._________
Es t ima ted cons truction co s t 0 f propo:~ cd iri"[H'over.l.;/', ts shOh'n on
<If-. -""? C __' ,', /'" C'r":.'
this site plan: 7f-:> -......" ;;>\j / {.../,--C-' .. ~
Planning Dept., 101,82
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Page 3
II. SITE DATA
The following information must be filled out below and must appear,
where applicable, on alY six (6) copies of the site plan.
1. Land Use Category shown in c..o 1'l'J1Y! e~ i'- c... / t1. /
the Comprehensive Plan
2. Zoning District C ~
3. Area of Site . S(p acres 2- 4, C;., / 4- sq. ft.
4 . Land Use -- Acreage Breakdown
a. Residential, including C acres c.? % of site
surrounding lot area or
grgunds
b. Recreation Areas * (7 acres C./ % of site
(excluding water area) I
c. Water Area 0 acres C..J . % of site
d. Conunercial ., SCt:: acres /CJO % of site
e. Industrial 0 acres c....' % of site
f. Pub1ic/ln- 0 .acres 0 % of site
stitutional
g. Public,private, and Canal C.J
Rights-of-Way acres C..J % of site
h. Other (specify) C) acres (?J % of site
11i1t:' .,;
i. Other (specify) C' acres c-...J % of site
j. Total Area of Site
, .':~u.,
100
% of site
* Including open space suitable for outdoor recreation, and
having a minimum dimension of 50 ft. by 50 ft.
5.. Surface Cover
a. Ground Floor Building '7. 97 7- sq. ft. J. 7-. S % of site
Area ("building footpr int") I
b. Water Area
o
sq. ft.
c'
% of site
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. ~, 7.... I<f{ sq. ft.
I
3340 (C % of site
d. Total Impervious Area
/ C:,'-Z-tC7 f
, sq. t.
,
e. Landscaped Area Inside
of P~rking Lots
(20 sq. ft. per interior
parking space required--
see Sec. 7.5-35(g) of
Landscape Code) .
s C) 4- sq, ft.
G?:.; I % of site
Z- % of site
Plannin9 Dept. 10/82
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f. Other Landscaped Areas,
excluding Water Area
Page 4
'~,J5+C:.J sq.ft. ':>/,1, % of site
g. Other Pervious Areas,
including Golf Cou~ses,
Natural Areas, Yards, and
Swales, but excludi~~
Water Areas
<'"' ..;;
h. Total Pervious Areas
i. Total Area of Site
/3,'3 +'1-
I
, i? (p
6. Floor Area
sq. ft.
sq. ft.
:iq.ft.
D
% of site
,-:;r -.... CJ7
-'> - '> ..
% of site
100
% of site
C;; sq. ft.
"?, Cf 1 z..... sq. ft.
,
a. Residential
b. Commercial/Office
c. Industrial/~arehouse
d. Recreational
C"/' sq.ft.
(7 sq.ft.
e. Publici
Institutional
(') sq. ft.
C/ sq.ft.
f. Other (specify)
A.t;l?e..-
g. Other (specify)
.A.~; /'1t?--
C:"
sq. ft.
h. Total Floor Area
.~ 17 z-- sq. ft.
7. Number of Residential Dwelling Units
a. Single-Family Detached
b. Duplex
c. Multi-Family (3 +
attached dwelling units
(1) Efficiency
(2) 1 Bedroom
(3) 2 Bedroom
(4) 3+ Bedroom
"'. ~
~.-'
c'" )
c;
C"' .:
(--;"
("'.... )
d. Total Multi-Family
C~'I
e. Total Number of Dwelling
Units ~/
dwelling units,
dwelling units
dwelling units
dwelling units
dwelling units
dwelling units
dwelling units
8. Gross Density ~) Dwelling Units per ~cre
9. Maximum Height of Structures on Site '!:. '3 & feet
10. Required Off-Street Parking
a. Calculation of Required b.
Number of Off-Street
Parking Spaces
'7, (f (17-. -;- ~r-y', -;: I {;;, <;jflf.(C~
I , ;?!r~I/,z.?1
Planning Dept. 10/82
I
storie
Off-Street Parking Spaces
Provided on Site Plan
/.-'5 c;;,,,,,At'e"'-5=- ;C7fCic/j ~{ec/
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Page 9
IV.
MISCELLANEOUS
(check)
The fOllowing materials must be submitted in one (1) copy:
1. A check, payable to the City of Boynton Beach, as per
the attached fee schedule. '
2. For projects that generate at least three thousand ,
(3,000) vehicle trips per day or two hundred and fifty.
(250) single directional vehicle trips in a one (1)
hour period, a traffic impact analysis must be submitted
3.
Any other engineering and/or te~hnical data, as may be
required by the Technical Revie~ Board to determine
compliance with the provisions of the City's Code of
Ordinances.
V. 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) here~y
certify that the above statements and any statements or
showings in any papers or plans submitted herewith are tr4e
to the best of (my) (our) knowledge and belief. This
application will not be accepted unless signed according to
the instructions below.
Signature of Owner(s) or Trustee,
or Authorized Principal if property
is owned by a corporation or other
business entity.
Date,
VI.
Agent
-; -\<6-~~1
Date. '
(I) (We) hereby designate the above signed person as (my)(ou
authorized agent in regard to this application.
)(~h~~'~
Signature of Owner(s) or Trustee,
or Authorized Principal if property
is owned by a corporation or other
business entity.
7 ~ !1r -,<t?)
Date
SPACE BELOW THIS LINE FOR OFFICE USE ONLY
Review Schedule:
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 Dept 1/89
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MAR~-20-89 MON
P _ 1 1
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1 1 : 57 BILL FREE CUSTOM HOMES
paqe 9
IV,' MISC~~ANEOOS
The following ma~er1als must be submitted in one {1) copy:
I
Review sohed~lel
Technical Review Board
~Planninq & Zoning BOard
Community Appearanoe Board
City Council '
Stipulations of Final Approval;
(cheek)
~ ~
v.
)(-'7
VI.
X --7
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l.
A check, payable. to the City of Boynton Beach, as per the
attaohed fee Sch6dule.
2.
For projects that generate at lea9t three thousand (3,000)'
vehicle, trips per day or two hundred and fifty (250) single
directional vehicle trips in a one (1) hour period, a traffic
.1 ... .,. .. I." ..'" ...,.,,,..."- \...... ..,.""'....1 ......"'A
...&~....w.'" "-' .w...~\.4..r ...~... j,u"",... w I,J-.", .,; .........".... w ............
Any other enqineering and/or technical data, as may be re-
quired by the Technical Review Board to determine compliance
with the provisions of the City's Code of OrdinanQes.
C2RTIFICATION
......
3.
(I) (We) understand that this application and all papers and
plans submitted herewith oecome a part of the permanent records
of the Planning and Zoninq Board. (X) (We) hereby certify that
~he above statements and any statements or showings in any papers
o~ plans submitted herewith are true to the best of (my) (our)
knowledge and belief This application will not be accepted
unless s1qned according to the instructions below.
~e ~~s) or Trustee, - 3,{,-;,:i.rt
or A\1thorized. princip&'l if property
is owned by a oorporation 'or other
business entity.
AUTHORIZATION OF AGENT
srJn~~:~~~~rffid 'Agent 3 -c ~j; ~
(I) (We) hereby desiqnate the above signed person as (my)
(our) authorized aqent in regard to this applieation.
~ ~.~ --&lU-
s gnature 0 lQ~n~~Xs) or Trustee, Date
or A\1thorizecr-Principal if property
is owned by a corporation or other
b~sines9 entity.
I
SPACE BELOW THIS LI~~ FO~OFFICE USE ONLY
"I 1
Date Received:
Date
Date
Data
Dat.e
Other Govetnment Aqencies/Persons to be contacted:
Addit~onal Remarks:
"t...............
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