APPLICATION
SITE PLAN APPROVAL APPLICATION
City of 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 be processed.
Please print legibly or type all information.
I. GENERAL INFORMATION
1. Project Name: ~e t:o.t~VAl\ S~}
2. Date this application is accepted:
(to be filled out by Planning Dept.)
3. Applicant's name (person or business entity in whose name
this application is made):
Phone:
~(f
~ 'Jrno ~ 1li^-rT ~
,
.s~~ 2U S3
JO(-~b Fax:'JoI-S4:l::8~r
Address:
4. Agent's Name (person, if any, representing applicant):
Phone:
Jl8 Sf;: +1' ~1
~ (;eM'J1
~-111-qbcb Fax:LfflJ-/~/-qHJg
Address:
5. Property Owner's (or Trustee's) Name:
Phone:
11L- LI.M.rnW ._ p~t
&J\Te 'kJ!:f) I (aA..-r1 ~
, r
~~SOJ (MO '2-1dG
31\- ~sq~b Fax:101-~\
Address:
6. Correspondence address (if different than applicant or
agent)*:
* This is the address to which all agendasr
letters, and other materials will be mailed.
Planning Dept. 3/90
f':ige j
II. SITE DATA
The following information must be filled out below and must ,;;.:;:;:- 2ar,
where applicable, on all six (6) copies of the site plan.
2.
3.
Land Use Category shown in I ~r~
the Comprehensive Plan ~~
Zoning District (/'1
Area of Site Co. ~4')~
~L- C!:MM6~
1.
acres ~ sq. ft.
4. Land Use -- Acreage Breakdown
~
-
i. Other (specify)
acres
% of site
j. Total area of site
~ acres ~ 00
% 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 buildin~-O()(2 sq. ft. .~lf
area ("building foot~
% of site
b. Water area
-
sq . ft.
-
% 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.
.
sq. ft.
~ % of site
~ <b'f 1, % of site
-U % of site
d. Total impervious area~ sq. ft.
e. Landscaped area ~ sq. ft.
inside of parking lots
(20 sq. ft. per interior
parking space required -
see Sec. 7.5-35(g) of
Landscape Code).
Planning Dept. 3/90
t:age 4
- ",..-
f. other landscaped sq. ft. , of site
areas, 5
excluding water area
g. Other pervious areas,
including golf courses,
natural areas, yards, and
swales, but excluding ----- ~---- .-- ..
water - ft. cf site
areas sq. "
h. Total pervious areas ~ sq. ft. ---t-t---- '::J~ 01: site
-0
i. Total area of site .2S-\. (.oK sq. ft. --100 9- of site
0
,
6. Floor Area
a. Residential t sq. ft.
b. Commercial/Office sq. ft.
c. Industrial/Warehouse fI sq. ft.
d. Recreational If sq. ft.
e. Public/Institutional \, sq. ft.
f. Other (specify) ,,\ sq. ft.
g. Other (specify)
l ,
sq. ft.
h. Total floor area sq. ft.
7. Number of Residential Dwellin
a. Single-family detached dwelling units
b. Duplex ,- dwelling units
c. Multi-Family ( 3 +
attached dwelling units) f,
( 1) Efficiency dwelling units
( 2 ) 1 Bedroom dwelling units
( 3 ) 2 Bedroom dwelling units
( 4 ) 3+ Bedroom dwelling units
d. Total multi-family dwelling units
e. Total number of dwelling units
8.
Gross Density
dwelling units per acre
9.
Maximum height of structures on site
feet
stories
10. Required off-street parking
a. Calculation of required
number of off-street
parking spaces
b. Off-street parking spaces
provided on site plan
Planning Dept. 3/90
Page 9
IV. MISCELLANEOUS
The following materials must be submitted in one (1) copy:
(check)
1. A check, payable to the City of Boynton Beach, as per
the attached fee schedule.
2. Any other engineering and/or technical data, as may be
required by the Technical Review 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) 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.
Sign ure of
of Authorized
is owned by a corporation
business entity.
7 f-q I '10
x
Date
)\)
F AGENT
~1J-1 ( 'to
Date
VI.
uthorized Agent
the above signed person as (my)
regard to this application.
1/1..,1 Co
Date
or other
SPACE BELOW THIS LINE FOR OFFICE USE ONLY
Review Schedule:
Date Received:
Technical Review Board
Planning & Zoning Board
Community Appearance Board
City Commission
Date
Date
Date
Date
Stipulations of Final Approval:
Other Government Agencies/Persons to be contacted:
Additional Remarks:
Planning Dept. 3/90
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