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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: '1SD.OD \J~II'J'i3 4/.d Receipt Number: .:J ILl-- f I ' This application must be filled out completely and accurately and submitted in one (1) copy to the Planning Department. Incomplete applications will n be processed. Please print legibly or type all information. I. GENERAL INFORMATION 1. Project Name: Waffle House @ Gateway Centre 2. Applicant's name (person or business entity in whose name this application is made): Address: Richard Higginbotham North Lake Foods, Inc. 4444 W. Cypress Street Tampa, FL 33607-4007 Phone: (813) 867-1116 (Zip Code) FAX: (813)872-9184 3. Agent's Name (person, if any, representing applicant): Address: David R. Miller, AlA Daivd Miller and Associates 105 South Narcissus Avenue, Suite 608 West Palm Beach, FL 33401 Phone: (407)655-1775 (Zip Code) FAX: (407) 659-67"11 4. Property OWner's (or Trustee's) Name: Alfred Marulli The David Associates Address: 214 Brazilian Avenue Palm Beach, Florida 33480 (407)832-9785 (407) 655~~tfo Code) FAX: 5. Correspondence address (if different than applicant or agent)*: ADDlicant's and aeent'R ~ddrPRRPR ~hnvp~ ( 2 ) 6. What is applicant's interest in the premises affected? (OWner, buyer, lessee, builder, developer, contract purchaser, etc.) lessee, developer 7. Street address or location of site: S.W. Corner of N.W. 7th Av~nue and W. Boynton Beach Boulevard 8. Property Control *: Legal description of site: See attached description 9. Intended use(s) of .site: Free standing restaurant NorthLake Foods, Inc. 10. Developer or Builder: 11. 12. 13. 14. 15. 16. j 17. 18. Architect: David R. Miller, AlA Landscape Architect: Si te Planner: David R. Miller AlA Engineer: Thomas Twomey, P.E. Surveyor: Traffic Engineer: Has a site plan been previously approved by the City Commission for this property? yes Estimated construction costs of proposed improvements shown on this site plan: $180,000 (estimate) 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. Land Use Category the Comprehensive Zoning District Area of Site 2. 3. shown in Plan /? c- - --z.. Commercial .284 12357 sq. ft. acres 4. Land Use -- Acreage Breakdown a. b. c. d. e. f. g. h. i. Residential, including surrounding lot area of grounds o o , of site acres Recreation Areas * (excluding water area) o , of site o acres Water Area o o , of site acres Conunercial 100 .284 , of site acres Industrial o o , of site , of site acres Public/Institutional Public, private and Canal rights-of-way Other (specify) o acres o o o , of site acres acres , of site Other (specify) acres , of site j . .?R4 Total area of site , of site acres 100 * including open space suitable for outdoor recreation, and having a minimum dimension of 50 ft. by 50 ft. 5. Surface Cover a. acres b. Ground floor building .043 area ("building footprint") 15 , of site Water area o , of site o acres c. Other impervious areas, including paved area of public & private streets, paved area of parking lots & driveways (ex- cluding landscaped areas), and sidewalks, patios, ... ... .... .. (4 ) f. Other landscaped areas, .Og] acres 32 % of site g. Other pervious areas, including golf courses, natural areas, yards, and swales, but excluding water areas 0 acres 0 % of site h. Total pervious areas ~105 acres 37 % of site i. Total area of site .284 acres 100 % of site 6. Floor Area a. Residential 0 sq. ft. b. Commercial/Office 1865 sq. ft. c. Industrial/Warehouse 0 sq. ft. d. Recreational 0 sq. ft. e. Public/Institutional 0 sq. ft. f. Other (specify) sq. ft. g. Other (specify) ------- sq. ft. h. Total floor area HI f, .. sq. ft. 7. Number of Residential Dwelling Units NOT APPLICABLE a. Single-family detached sq. ft. b. Duplex sq. ft. c. Multi-Family (3 + attached dwelling units) (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. 9. Gross Density dwelling units per acre Maximum height of structures on site 20 feet 1 stories ( 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 sta~ements or showings in any papers or plans submitted her,with are true to the best of (my) (our) knowledge and belief. iThis application will not be ac pted unless signed according j'O the ins uct ns ~,r~. . Il I !;;. /1'~ { ate ( S nature of OWner(s) or'Trustee, of Autho~ized Principal if property is owned by-a corporation." or other business entity. IV. AUTH gnate the above in regard to I / /z~hL ! I Date I i signed petson as (my) this application. !~/~g Si er(s) or Trustee, or Principal if property is owned by a corporation or other business entity. 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: CITY or 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 submitte in one (1) copy to the Planning Department. Incomplete applications will be processed. Please print legibly or type all information. I. GENERAL INFORMATION 1. Proj ect Name: Waffle House @ Gateway Centre 2. Applicant's name (person or business entity in whose name this application is made): V . \ ld I f}1~ ~t"J \\ Richard Higginbotham ,. ~ '6 North Lake Foods, Inc. Address: 4444 W. Cypress Street Tampa, FL 33607-4007 Phone: (813)867-1116 (Zip Code) FAX: (813)872-9184 3. Agent's Name (person, if any, representing applicant): Address: David R. Miller, AlA Daivd Miller and Associates 105 South Narcissus Avenue, Suite 608 West Palm Beach, FL 33401 Phone: (407)655-1775 (Zip Code) FAX: (407) 659-6711 4. Property OWner's (or Trustee's) Name: Alfred Marulli The David Associates Address: 214 Brazilian Avenue Palm Beach, Florida 33480 (407) 832-9785 (407) 655<"~!f 0 Code) FAX: 5. Correspondence address (if different than applicant or agent)*: Applicant's and agent's addresses above. ( 2 ) * 6. What is applicant's interest in the premises affected? (OWner, buyer, lessee, bui~der, developer6 contract purchaser, etc.) contrac tor purcnaser, aev~lop r 7. Street address or location of site: S.W. Corner of N.W. 7th Av~nue and W. Boynton Beach Boulevard 8. Property Control *: Legal description of site: See attached description 9. Intended use(s) of ~ite: Free standing restaurant 10. Developer or Builder: NorthLake Foods, Inc. 11. Architect: David R. Miller, AlA 12. Landscape Architect: 13. Si te Planner: David R. Miller AlA 14. Engineer: Thomas Twomey, P.E. * 15. Surveyor: Avirom and Hall 16. Traffic Engineer: 17. Has a site plan been previously approved by the City Commission for this property? yes 18. Estimated construction costs of proposed improvements shown on this site plan: $180,000 (estimate) 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 Commercial Zoning District Area of Site C-3 .284 4. Land Use -- Acreage Breakdown 2. 3. a. Residential, including surrounding lot area of grounds o b. Recreation Areas * (excluding water area) o acres 12357 ( 3 ) sq. ft. % of sit, % of sit, % of sit, % of sit, % of sit. % of sit, % of sit, % of sit, % of sit, c. Water Area d. Commercial ,284 e. Industrial f. Public/Institutional Public, private and Canal rights-of-way Other (specify) g. h. i. Other (specify) j . Total area of site .?R4 acres o % of sit, * including open space suitable for outdoor recreation, and having a minimum dimension of 50 ft. by 50 ft. 5. Surface Cover b. a. Ground floor building .043 area ("building footprint") 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 acres o o o acres acres 100 o o acres o o acres o o acres acres acres acres 100 acres 15 o o acres % of sitl % of sitl ( 4 ) f. Other landscaped areas, .09] acres 32 % of site g. Other pervious areas, including golf courses, natural areas, yards, and swales, but excluding water areas 0 acres 0 % of site h. Total pervious areas ~105 acres 37 % of site i. Total area of site .284 acres 100 % of site 6. Floor Area a. Residential 0 sq. ft. b. Commercial/Office 1865 sq. ft. c. Industrial/Warehouse 0 sq. ft. d. Recreational 0 sq. ft. e. Public/Institutional 0 sq. ft. f. Other (specify) sq. ft. g. Other (specify) ------- sq. ft. ~. Total number of dwelling units 8. 9. Gross Density dwelling units per acre Maximum height of structures on site 20 feet 1 storief ( 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 her~with are true to the best of (my) (our) knowledge and belief. .This application will not be accepted unless signed according ~o the instructions below. ~ &Ir/l#,w&.. W:~~ Signa ture 0 OWner ( s ) 'Trus'tee, of Autho~ized Principal if property is owned by a corporation' or other business entity. Date IV. ~/~ (I) (We) hereby designate the above signed person as (my) (our) authorized agent in regard to this application. ~wft-~ ~l~'QI.l S gnature OWner ( ) or Trustee, or Authorized Principal if property is owned by a corporation or other business entity. - Date 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 Approval: Date Date Date Date Other Government Agencies/Persons to be contacted: Additional Remarks: ,/ LEGAL DESCRIPTION . I . The North 35.00 feet of Lots 23 arid 24, Block 3, LAKE BOYNTON ESTATES PLAT 1 and Lots 1 and 2, Block 3, LAKE BOYNTON ESTATES PLAT 1, according to the plat thereof, as recorded in Plat Book 13, Page 32, Public Records of Palm Beach County, Florida. LESS: COMMENCING at the southwest corner of said Lot 2; thence northerly, along the west boundary of said Lot 2, a distance of 91.28 feet to the POINT OF BEGINNING; thence continue northerly, along said west boundary of Lot 2, a distance of 18.64 feet to the northwest corner of Lot 2; thence easterly, along the north boundary of Lots 1 and 2, a distance of 100.00 feet to the northeast corner of Lot 1; thenc~ southerly, along the east boundary of Lot 1, a distance of 46.38 feet to the beginning of a curve concave to the southwest, having a r~dius of 25.00 feet and a delta of 88024'59"; thence northwe,terly, along the arc of said curve 38.58 feet; thence North 89059'53" West, according to the right-of-way map of Section 93640-2175, State Road 8-804, as fi1e4 : in the office of the Clerk of the Circuit Court, Palm Beach County, Florida, 75.72 feet to the POINT OF BEGINNING. Subject to reservation~, restrictions, rights-of-way and easements of record. ~