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APPLICATION CITY OF BOYNTON BEACH, FLORIDA PLANNING & ZONING DEPARTMENT SITE PLAN APPROVAL APPLICATION Site Plan - Major Modification to Existing Site Application Acceptance Date: Fee Amount Paid: Receipt Number: This application must be filled out completely and accurately and submittec in one (1) copy to the Planning Department. Incomplete applications will I be processed. Please print legibly or type all information. I . GENERAL INFORMATION 1. Project Name: Community Deliverance Church 414 N. W. 10th Avenue, Bovnton Beach. FL 2. Applicant's name (person or business entity in whose name this application is made): * Reverend James Bouie Address: 544 N. W. 13th Avenue Boynton Beach, FL (407) 734-3275 33435 (Zip Code) Phone: FAX: 3. Agent's Name (person, if any, representing applicant): none Address: none (Zip Code) Phone: FAX: 4. Property OWner's (or Trustee's) Name: Reverend James Bouie Address: Community Deliverance Church 414 N. W. 10th Avenue Bovnton Beach. FL 3343S (Zip Code) (407) 734-3275 FAX: 5. Correspondence address (if different than applicant or agent)*: N 1 ~__ * This is the address to which all agendas, letters, and other materials will be mailed. PLANNING & ZONING DEPARTMENT - November, 1991 A:SitePlan ( 2 ) 6. What is applicant's interest in the premises affected? (OWner, buyer, lessee, builder, developer, contract purohaser, ete.) 7. Street address or location of site: 4\4 NW I~""+lo .6~ 8. Property Control #: Legal description of site:.J..oTl, "2.ll, '212.. 21?if ~ '214- c..++E~.gy -HlLL ~/O ~-;tSfo~ ~ WI ~L""" ~ OJ L.o u Nt"Y . 'Ft..JnV2.. l t::::)A 9. Intended use(s) of site: _~IL,..T(~ ~\LD'..sG. -r::o f% U4IbD At.., A +boL,€;- ~ WOi2..CJ..lIP - A C+.iue-c:....L1-A l?6LI~~ ~TI~ 'P) Jo....C./E 10. Developer or Builder: #Jl:>~ 1ZG dj?lO 11. Arohiteots 12. Landscape Architect: 13. Site Planner: 14. Engineer: ~IZ.L++. HAe-TJ.N 15. Surveyor: .c:>~IE;)J. t...ul-r~ ~ OB(2\a....} 16. Traffic Engineer: 17. Has a site plan been previously approved by the City Conunission for this property? ')lex:;.. - u.JHaJ IT u..Jb,4- -A: GLU r3 18. Estimated construction costs of proposed improvements shown on this site plan: -:::P 1 i!!3~. 4=> ~I POLLAU t=C?~ ~LO~. -4 I ~c>C1O ~~ ~12..~1~ ~ ~t-...\04~(YE- ~~U\ ns~c., . PLANNING & ZONING DEPARTMENT - November, 1991 A:SitePlan ( 3 ) II. SITE DA'TA The following information must be filled out below and must appear, where applicable, on all copies of the site plan. Land Use Category shown in the Comprehensive Plan Zoning District Area of Site 1. 2. 3. /--.o~ R- \ (~ c-~ .'28 IZSOO sq . ft. acres 4. Land Use -- Acreage Breakdown Residential, inoluding surrounding lot area of grounds &. Regrea~iQA Areas * (exo1uding water area) a. (Ie .~ % of sitl aores aores % of sit, acres % of sit acres , of sit aores % of sit aoros % of sit acres % of sit aores % of sit aores 11 of sit c Water Area (1. CORlIIlercial I e. Industrial f. Pub1io/Institutiona1 g. Pub1io, private aaa Canal rights of way h. Other (specify) i. Other (speoify) j . ..'2g, 11. SoO % of sit Total area of site acres * inoluding open spaoo suitable for outdoor reoreation, and having a minimum dimension of SO ft. by SO ft. 5. Surface Cover a. b. c. d. Ground floor building .03'2.. acres area ("building footprint") LL- % of sit Water area acres % of sit Other impervious areas, including paved area of public & private streets, paved area of parking 'lots & dr i veways ( ex- cluding landscaped areas), and sidewalks, patios, decks, and athletic courts. ~ acres I ~l Z- Total impervious area ~ acres ~~ % of sit ~L % of sit e. .~ acres (~ % of sit Landscaped area inside of parking lots (20 sq. ft. per interior parking space required - see Sec. 7.5-35(g) of Landscape Code). PLANNING & ZONING DEPARTMENT - November, 1991 A:SitePlan ( 4 ) f. Ot.her landscaped areas, inc u ourses, natural areas, yards swales, b ~ng areas h. Total pervious areas i. Total area of site 6. Floor Area aores ,. of site acres E acres , of sitE acres , of sitE sq. ft. sq. ft. sq. ft.. sq. ft. sq. ft. 14-0Q sq. ft. a. Residential b. Commercial/Office c. Ind~trial/Warehouso fd. Recreational c. Publio/Institutional f. Other (specify) G"~~ c:::.e.Nve~'DI-J ~ T l}.l '"" "LD " g. Other (speoify) sq. ft. Total floor area ~oo h. sq . ft. 7. Number of Resident.ial Dwellin~ Units a. Single-family detacbed Duplex sq. ft. sq. ft. b. c. Multi-Family (3 d~ielling units) .( 1) Efficiency (2) 1 Bedroom (3) 2 Dedroom (4) 31 Dedroom + attached dwelling cPJlslling dwelling dwelling unit.s units units unit.s d. Total multi-family ,"o1olling units 8_ Total number of dwelling units 8. GroEtG Density mielling units per acre 9. Maximum height of structures on site ~ feet ONE storie 10. Required off-street parking a. Calculation of required number of off-street parking spaces b. Off-street parking spaces provided on site plan S4 ~T~- ~~~ ~Tt~ 4-~:r4 PerL ?6C2.&:::::I~ ~~ I t? ?7~.J). ~ rz.e-a lO I i? c;,p p~ P'tAP lit f71:3t::' I .}I.~ t:>ICAp f'r20v I oe::::> ;4... ~~lZ- ~PA~ PLANNING & ZONING DEPARTMENT - November, 1991 A:SiteP-.. ( 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 to the best of (my) (our) knowledge and belief. This application will not be accepted unless signed according to the instructions below. ~. ! - I "..,r') ..} ;f e t ,/;/j;&Ifi,ld~~ /:~JL-e_L_d Signaeure ot/'~er(s) or Trustee, of Authorized Principal if property is owned by a corporation or other business entity. f;' - \-, ~. ~\ #j "-" >,j ~.. Date IV. AUTHORIZATION OF AGENT Signature of Authorized Agent Date (I) (We) hereby designate the above signed person as (my) (our) authorized agent in regard to this application. ~. Signatur of or Authorized is owned by a corporation or other business entity. _ ..R.--<'...s.> \~;- b ~ Cf~ 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 & ZONING DEPARTMENT - November, 1991 A:SitePlan CITY OF BOYNTON BEACH BOARD OF ADJUSTMENT APPLICATION Submittal Deadline: Five (5) weeks before meeting date Please print or t.ype Submittal date: The undersigned owner (s) hereby respectfully petition (s ) the Board of Adjustment to grant to petitioner(s) a special exception or variance to the, existing Zoning or Sign Code 'of said City pertaining to the property hereinafter described and in support thereof state(s): Property involved is described as follows: Lot (s) ~ ~ ~\ ~ Block < *'~ ,Subdivision ('j.l~yr-l H:Ll.s Plat Book ~, Page ':;<A or c. ~!?-erwise described as follows: Property Address ~ u...) fO+~ <A V~ The following documents are required application to form a single package. accepted: to be submitted with this Incomplete package will not be 1. A sealed survey by a registered surveyor in the State of Florida, not over six (6) months old, indicating: A. All property lines B. North arrow C. Existing structures and paving D. Existing elevations E. Rights-of-way, with elevations F. Easements on or adjacent to the site G. Utilities on or adjacent to the site H. Legal description I. Number of acres to the nearest one-hundredth (1/100) of an acre J. Location sketch of property K. Surveyor's Certificate 2. A site plan properly dimensioned and to scale showing: A. All proposed structures B. All existing structures that are to remain on site c. Setback lines for all structures drawn perpendicular from the properly lines to the closest vertical wall of structures , D. Use of each structure (or uses within multiple occupancies) E. Use of adjacent properties including right-of-way lines for all streets and alleys, sidewalks, turn lanes and driveways F. Elevations of the lowest finished floor of all structures on the site 3. Certified list of names and post office addresses of property owners and legal descriptions of their property within 400 feet of subject property, as recorded in the County Courthouse. Such list shall be accompanied by an Affidavit (see attached) stating that to the best of the applicant's knowledge, said list is complete and accurate. 4. Proof of purchase petition, accompany ownership of property contract agreement. a notarized copy of a the petition. by petitioner(s), such as deed or If an agent is submitting the letter designating him as such must 5. Statement of special conditions, hardships or -reasons justifying the requested exception or variance. Respond to the six (6) questions below (A-F) on a separate sheet (Please print or type): A. That special conditions and circumstances exist which are peculia+ to the land, structure or building involved and which are not applicable to other lands, structures or buildings in the same zoning district; BOARD OF ADJUSTMENT APPLICATION Page 2 B. That the special conditions and circumstances do not result from the actions~of the applicant; C. That granting the variance requested will not confer on the applicant any special privilege that is denied by this Ordinance to other lands, buildings or structures in the same zoning district; D. That literal interpretation of the provisions of this chapter would deprive the applicant of rights commonly enjoyed by other properties in the same zoning district under the terms of the Ordinance and would work unnecessary and undue hardship on the applicant; E. That the variance granted is the minimum variance that will make possible the reasonable use of the land, building or structure; . F. That the granting of the variance-will be in harmony with the general intent and purpose of this chapter and that such variance will not be injurious to the area involved or otherwise detrimental to the public welfare. 6. Application fee in the amount of $275, payable to the City of ::t::dB:::::s:U:: :::::~aE~!~~ l. O<{~n..f Name of appll.cant: --5:l,/\- ______ _------1._ ~€~ ,- Applicant's address: ~ Applicant's phone #: 7. 8. ') Date: Signature of Applicant: ----------------------------------------------------------------------- To be completed by the Building Official or Representative 1. Property is presently zoned: Formerly zoned: 2. Property Control Number: 3. Denial was made upon existing zoning or sign requirements (list sections[s] of Code from which relief is required): 4. Nature of exception or variance required: Permit denied: Building Department Date: 5. Case Number: Meeting Date: To be filled out by Board BOARD OF ADJUSTMENT ACTION: Approved Aye Denied Nay Stipulations: Signed: Chairman C E R T I F I CAT ION TO THE BEST OF MY KNOWLEDGE AND BELIEF, THE ATTACHED LIST IS A TRUE AND CORRECT LIST OF PROPERTY OWNERS WITHIN FOUR HUNDRED (400) FEET OF THE APPLICANT'S PROPERTY. ; APPLIC~TjAGENT BRDOFADJ.DOC Rev.lj91 (,-/D-93 V 0 It:> -rillS PR.O :ree..;: REFER 7D PeRl'll i -11= 9'3- /3 9 3 ~o~ LlPDJJ7C: - bOT Noot'