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
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1. Project Name:
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) :
Address:
_Oft. 4 fA e s 1f..,,J. JA{,t) ~~
'14 ~.,,\/ ~~
oel,Qk1 f?~P6H
~7(, 7-;04-
Av~
~I-A ?-; 44f
7 37 - 3..200
Phone:
4. Agent's Name (person, if any, representing applicant):
~'6e.- 11e/A ~~
Address:
Phone:
5. Property Owner's (or Trustee's) Name:
:D~ + /Aes IA. N, JAGb6s
Address:
Phone:
~A"", beACH- J f't,A
(~os 1 ~ 7 ~ - 7 ~ 0 +-
6. Correspondence Address (if different than applicant or agent)
* .
~~ I~ . 11~/^ ,w ?;
* This is the address to which all agendas, letters, and
other materials will be mailed.
Planning Dept. 10/82
Page 2
7~ What is applicant's interest in the premises affected?
O\V,JeR,.,
(Owner, Buyer, Lessee, Builder, Developer,
Contract Purchaser, etc.)
8. Street Address or "Location of Site~
,j ~ \\/, e> 0..(0 TO,..) J:? EAsbH
e,oy J-r 0 ~ 1?J ~ ~~~.
9. Legal Description of Site:
\Ve?1 aT\<. Of LOl 2i Of 1tfe': ~I$DIV!~IOtJ OF ~~<'lll?O 'to
-fO<.V0tbH-l'f' 4S 4ouil1 I ~A~ G,~ 4~ ~trS11 f.tc..GORO \0G \0 ~
toO? \ I '?A6e 4- I L.e>> 1~C eM1 ? A6 Ix) oe~t.eu;eD ,0
'O~tO e~ 11~ pL IZ5 PUgLIL ~e" If' p~l,M ~tt<Uti (;6.
10. Intended Use(s) of Site: ~eSSIO~A\... ,.0&, ~ecs
11. Developer or Builder:
tJ t' 1 hv A I L. A 1-1.H l S :r;LlLe
tJ~S( t,J&(L
12. lwuhi I!e~ t:
'D-AV 10 L, iD{~$S~Ot-S T) 1-* '
13. Landscape Architect: l~rL.,oAy' 4 A'vsoc".
14. Site Planner: _t?~II"ltrJ'~ tJ. A~S06
15 Engineer: ~12OS?I~ ~ A-~6(,~
Surveyor: 06(2.letJ htJI1etL ~ t?~il)e0
/
Traffic Engineer: ~/k
I
Has a site plan been previously approved by the City Council
for this property? ~ (?
Estimated construction cost of proposed improvements shown on
this site plan:
~ 2] t; J OtJO
flVA ~f ~t61Lb
Planning Dept. 10/82
Page 3
II. SITE DATA
The following information must be filled out below and must appear,
where applicable, on all six (6) copies of the site plan.
1. Land Use Category shown in 6 "/~ lAt!~1 c..PcL
the Comprehensive Plan
2 . Zoning District v- 1/1
I
3 . Area of Site lb~ acres 1:1 O-<b-V sq. ft.
1
4. Land Use -- Acreage Breakdown
a. Residential, including acres % of site
surrounding lot area or
gr()unds
b. Recreation Areas * acres % of site
(excluding water area) "
c. Water Area acres . % of site
.d. Commercial . tJ1 acres 100 % of site
e. Industrial acres % of site
f. Public/In- acres % of site
stitutional
g. Public ,Private, and Canal
Rights-of-Way acres % of site
h. Other (specify) acres % of site
i. Other (specify)
acres
% of site
j. Total Area of Site
~
100
% of site
* Including open space suitable for outdoor recreation, and
having a minimum dimension of 50 ft. by 50 ft.
5. Surface Cover
sq. ft.
17~0~
(;/
% of site
a. Ground Floor Building , & 03-0
Area ("building footprint") I
sq. ft.
b. Water Area
{J
% 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.
, ~ S '00
I I j
sq. ft. SO, ~O % of site
sq.ft. Y 7. ~c; % of site
sq. ft. 1,44 % of site
d. Total Impervious Area
e. Landscaped Area Inside
of Parking Lots
(20 sq. ft. per interior
parking space required--
see Sec. 7.5-35(g) of
Landscape Code) .
Planning Dept. 10182
PI~nnin~ n~~t. IO/R2
, . .
Page 4
f. Other Landscaped Areas, psrO sq. ft. ' Z~l . % of site
excluding Water Area
g. Other Pervious Areas,
including Golf Courses,
Natural Areas, Yards, and
Swales, but excluding :; "1 00 <6,~
Water Areas I sq.ft. % of site
h. Total Pervious Areas t 1],/ ~)~ sq. ft. ~~ r~ % of site
I
i. Total Area of Site ~l '(}bO ::;q.ft. 100 % of site
6. Floor Area
a. Residential sq.ft.
b. Commercial/Office ~I ~~r sq. ft.
c. Industrial/Warehouse sq. ft.
d. Recreational sq. ft.
e. Publici
Institutional sq. ft.
f. Other (specify) sq. ft.
g. Other (specify) sq. ft.
e. Total Number of Dwelling ."A^
Units ~
8. Gross Density Dwelling Units per Acre
9. Maximum Height of Structures on Site
1),0
feet
stories
10. Required Off-Street Parking
a. Calculation of Required
Number of Off-Street
Parking Spaces
toz, [; <) f' i 00 ~ 1. t. 1z.(
b.
Off-Street Parking Spaces
Provided on Site Plan
~0
?P~e.4,
Planning Dept. 10/82
Page 7
IV. MISCELLANEOUS
The following materials must be submitted in one (1) copy:
(chec~< )
1. A check, payable to the City of Boynton Beach, as per the
attached fee schedule.
jJ/A 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
illiPaCt .atl&lY~~3 ~~~t be =~=~i~tcd.
3. Any other engineering 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 Ordinances.
V. CERTIFICATION
(I) (We) understand that this application and all papers and
plans submitted herewith become a part of the permanent records
(We) hereby certify that
or showings in any papers
the best of (my) (our)
will not be accepted
ons below.
/,-t23>t7
Date
VI. AUTHORIZATION OF AGENT
Date
Signature of Authorized Agent
(I) (We) hereby designate the above signed person as (my)
(our) authorized agent in regard to this application.
Date
Signature of Owner(s) or Trustee,
or Authorized 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 Council
Date
Date
Date
Date
Stipulations of Final Approval:
Other Government Agencies/Persons to be contacted:
Additional Remarks:
Planning Dept. 10/82