APPLICATION
CI'l'Y OF BOYN;l'C'N BEACH, FLORIDA
PLANNING & ZONIN~ OEPARTMENT
SITE PLAN REVIEW APPLICATION
FOR
NEW SITE PLANS & MAJOR MODIFICATIONS TO EXISTING SITE
Application Acceptance Date:
-Q~> fit.
Fee Paid: ~:>' 'au')
Receipt Number:
t033YO
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
Hot be processed.
Please print legibly (in ink) or type all information.
I. GENERAL INFORMATION
1. Project Name: 5FA-~ ~~r
"c?L-~ ...\;;.;::/v''T c:t4, M l LL t,
2. Applicant's name (person or business entity in whose name this
application is made):
.sCDTT i{ 1vM-tt'f.do l3/us
'iOD--tdfE:. /s.r ~JL. 'ldG NE fit/\, A1vF~/
tfo.; /'Jt:o '" ~, PL. is? 4-.3 >
lZip Code)
5701- 73)....'- (P'J,7v-- Fax: AloiJE
Address:
Phone:
3.
Address:
Agent's Name (person, if any, representing applicant):
6&!9/26r_ G. 8w/~ . ~gCi'"
,
;2..?O;J.- ~. to . 6'h-- Sr,
~NTbN ~ A-
(;70/ ~ 73;-- bt S Y
3~tf~
5~iP Code)
Phone:
Fax:
4.
Property Owner's (or Trustee's) Name:
Address:
~ A-c5 ~U cA--;..[" ( ;;..)
~ n I-r..
/rl k1... ,..,
n H; ,... (Zip Code)
Fax:
Phone:
5. Correspondence to be mailed to:*
* This is the address to which all agendas, letters and
other materials will be mailed.
PLANNING & ZONING DEPARTMENT - November 1991
A: SrrEPLAN
( 2 )
6. What is applicant's interest in the premises affected?
(OWner, buyer, lessee, builder, developer, contract
purchaser, etc.) a?tvAf~
I
1. street address or location of site:
IOU-N. f7=~ I4tv( ,
8. Property Control I:
Legal description of site:
f...ors ;).:(), ;;LIJ J, .;t:l./ ~ 3 I ~OIPto~
9. Intended use(s) of site:
,IU-tA-?e- S;~ () ~(
10.
Developer or Builder:
~ &.. ~t:4?O
11.
Architect:
6Gofl6e
c,Oavt1
N01JE.
I\/?) a
12.
Landscape Architect:
Site Planner:
13.
15.
16.
Surveyor:
~ 1:3. ~ /!? E-, (DfU\-f~)
,
I2t CVt14fW L. S~PJA-(U) :i ~~5
IVr> tJ ~
14.
Engineer:
Traffic Engineer:
17. Has a site plan been previously approved by the City ,.,)0
Commission for this property? ~~
18.
Estimated construction costs of proposed improvements shown 01
this site plan: ~ ;;-'Y' ~, VD
PLANNING & ZONING DEPARTMENT - November, 1991
A:SltePlan
II. SITE DATA
The following information must be filled out below and must
appear" wh~re applicable, on all copies of the site plan.
1. L~!1d U!e Ca!:~gQ!Y-J!hown in
the Comprehensive Plaq
2.
3.
Zoning District
Area of Site
c.-4-
(!) ,:;..~ (~f)
.A. Land Use -- Acreage Breakdown
a,
b,
c.
d.
e.
f.
g.
h.
Residential, including
surrounding lot area of
grounds
Recreation Areas *
(excluding water area)
Water Area
Conunercial
Industrial
Public/Institutional
PUblic, private and
Canal rights-of-way
other (specify)
i.
Other (specify)
'~
flA
~A
o /)..<; (-'~)
NA--
fJ'A
tJA
N'A-
~
acre!
VOl ql,?
( ) ),
sq . ft.
, of sitt
, of sitE
\ of sitE
% of sitE
, of sitE
% of sitE
!Ii of sitE
\ of sitE
\ of sitt
acres
acres
acres
acrer
acres
t c:>O
acres
acres
acres
acres
j .
Total area of site
01 ~CVij acrel
~oo
, of sit.
· including open space suitable for outdoor recreation, and
having a minimum dimension of 50 ft. by 50 ft. '!
5. Surface Cover
Ground floor building .~
area ("building footprint")
J~
a.
b.
Water area
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. ',. \1--
acres
Vll1z-
c.
d.
Total impervious area I l'h
Landscaped area If' OJ,.,-
inside of parking lots
(20 sq. ft. per interior
parking space required -
see Sec. 7.5-35(g) of
Landscape Code).
e.
acrel"
acres
A8
acres
b~/~
t 1 I ('2--
acres
PLANNING & ZONING DEPARTMENT - November, 1991
7'. _ co I ,~.-. T"\ ~
, of sit!
!Ii of sib
, of sit
, of sit
\ of sit
( 4 )
f. Other landscaped areas, Oe.O~ acres /}.,O % of site
g. Other pervious areas,
including golf courses,
natural areas, yards, and
swales, but excluding N~ % of site
water areas acres
h,. Total pervious areas (9..0-1 acres ~~ lh. \ of site
. ' t9 /1); (Y~cre~ 1&0 '" of site
i. Total area of site
, '
6, Floor Area
a, Residential tJA sq. ft,
b, commercial/Office ta? sq, ft,
c. Industrial/Warehouse Nt\. sq. ft.
d. Recreational t1~ sq. ft.
e. Public/Institutional N~ sq. ft.
f. other (specify) N~ sq. ft.
g.
other (specify)
sq. ft.
h.
Total floor area
'}..~ sq. ft. ( [~(,L t\t]O~ f11.tlfi
7. Number of Residential Dwelling Units
R.
Single-family detached
Duplex
~ sq. ft.
N"~ sq. ft.
b.
c.
Multi-Family (3 + attached
dwelling units)
(1) Efficiency
(2) 1 Bedroom
(3) 2 Bedroom
(4) 3+ Bedroom
N/l.
'1
~
11\
dwelling units
dwelling units
dwelling units
dwelling units
d.
Total mUlti-family
~ dwelling units
e.
Total number of dwelling units
ri~ dwelling units per acre
N~
8.
Gross Density
9.
Maximum height af structures on site
~o
feet
'2-
storiE
10, Required aff-street parking
a.
calculation of required
number of off-street
parking spac?s
.lJ..t'i 4- t' [2-c?O ~ r f
b.
Off-street parking spaces
provided on site plan
(tIf
PT.ll.UNTUr:: (. ?nNTNrl n.1iP~!"J)"'Mt'Urp _ U"'..n.....hnv l1H11
( 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 Boar.d. (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 Imy) lour) knowledge and belief. This application
will not be accepted unless signed according to the
instruotions below,
~~ ~~'
v' nature of owned s Dr' 4~tee.
of Authorized Prinoipal if property
is owned by a corporation or other
business entity.
II /~/C} (.
Date
IV, AUTHORIZATI N OF AGENT
e~
of Authorized Agent
flw ~ '7 (~f,
Date
v
(I) (We) hereby designate the above signed person as Imy)
(our) authorized agent in regard to this application.
~tJ4' ~~.~(
S gnature of OWner(s) or.' rustee,
or Authorized Principal if property
is owned by a corporation or other
business entity.
ll/~ f Iq~
Date
v
SPACE BELOW THIS LINE FOR OFFICE USE ONLY
Review Schedule:
Date Received
Technical Review Board
Planning , Zoning Board
Community Appearance Board
City conunission
Stipulations of Final Approvals
Date
Date
Date
Date
Other Government Agencies/Persons to be contacted:
Additional Remarks:
PLANNING & ZONING DEPARTMENT - November, 1991
A:SltePlan
(6)
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
actio which may arise due to their enforcement of the same.
ACKNOWLEDGED
'-
AND AGREED TO this day of
,19 .
-~~
plicant
~d-~
v
Witness
SEAFOOD rv:. \RKET "OLD DL TCH MILL"
LOCATION MAP
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