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APPLICATION . ., . , ....-.:.- CITY OF BOYNTON BEACH, FLORIDA PLANNING & ZONING BOARD SITE PLAN APPROVAL APPLICATION 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: Barnett Bank 2. Date this application is accepted: (to be filled out by Planning Department) 3. Applicant's name (person or business entity in whose name, this application is made): Miller Electric Company Address: P.O. Box 1799 Jax., Fla. (904) 354-4461 32201 (Zip Code) FAX: 350-9166 Phone: 4. Agent's Name' (person, if any, representing applicant): Ronald A. Autrey Address: 5090 Charlemagne Jax., Fla. Phone: (904) 387-5417 32210 (Zip Code) FAX: .5. Property Owner's (or Trustee's) Name: Barnett Bank t....~ Address: P.O. Box 44145 Jax., Fla. 32231-4145 (Zip Code) FAX: 6. correspondence address (if different than.applicant or agent)*: ..-~ * This is the address to which all agendas, letters, anl other materials will be mailed. PLANNING DEPARTMENT - January 1991 C:SitePlan Cb -, . ( 2 ) .--- 7. What is applicant's interest in the premises affected? (Owner, buyer, lessee, builder, developer, contract purchaser, etc.) General Contractor 8. Street address or location of site: 114 N. Federal Hwy. 9. Legal description of site and property control ft: (see attached Sheet) 10. Intended use(s) .of site: Bank 11. Developer or builder: Ronald A. Autrey 12. Architect: N/A 13. Landscape Architect: N/A 14. Site Planner: 15. Engineer: Riva. Klein & Partnp.rc; MiAmi. 1='1 16. Surveyor: 17. Traffic Engineer: N/A 18. Has a site plan been previously approved by the City Commission for this property? 19.. Estimated construction costs of proposed improvements shown this site plan: $2000.00 PLANNING DEPARTMENT - January 1991 C:SitePlan C\ "I " , . . . , <:71-., ,,' ,-Y, /'(q J.vi~ 4-( EXHIBIT --1L- ~ 'brtlr'-' ,~ ne~l property 9itu~tc, lying nnd being in Palm De~ch County, Florid nnd bei~g more particularly described as follows: . Lot 41, DeHey'o subdivision, Doynton Deach, Florida, according to the J?lat thereof on file in the Office of the Clp.rr. of the Circuit, Court in and for pnlm Beach County, J:".lor.tc1a os record- ed in Plat Dook 1, page 37, le~s the ,West 50.0 feet thereof and less the East 25.0 fe~t thereof, and less the so~th 45.0 feet thereof. ' J ~. ," ... AND Lots 3 thru 6 Funk Drothers Addition, according to the Pl'nt thereof on file in the Office of the Clerk of the,Circuit Co~rt !n and for Palm BeacJl County, Florida as recorded in P~at Dook 2, page 13, les~ the East 25 feet and the West 50 feet for Road right-of-way. . I ' SUBJECT TO: Conditions, restrictions, limitations, e~seme~ts and ~oning ordinances of record and all taxes subsequent to the' year 1975. " ' ,. . . -'s- . : . I I' ,.', , " .' . , .' '(\J '\ , . ,"... :......,..... " .. .. ", (9 r 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 tl 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 the best of (my) (our) knowledge and belief. This applicati will not be accepted unless signed according to the inst tions below. ' ;!:{5/11 I Date wner(s) or Trustee, Principal if property is owned by a corporation or other business entity~. VI. AUTHORIZATION OF AG NT ~---- Signature of Auth ized Agent (We) hereby designate the above authorized agent in regard to '/1~ . 1 Signature of Owner(s) or Trustee, or Authorized Principal if property is owned'by a corporation or other business entity. 3/20/91 Date signed person as (my) this application. 3/")s/cJI I I Date , 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 DEPARTMENT - JANUARY 1991 C:SitePlan ~ . J 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 aspects of the proposed project shall be constructed in strict compliance with the form in which they are approved, and any change to the same shall be deeme material and shall place the applicant in violation of this application and all approvals and permits which may be granted. The applicant acknowledges that the City of Boynton has all rights and remedies as provided by the applicable codes and ordinances of the City of Boynton Beach to bring any violation into compliance, and that in the event of enforcement action by the City, the applicant shall indemnify, reimburse and save the city of Boynton Beach harmless from any costs, expense, claim, liability or any action which may arise due to their enforcement of the same. READ, ACKNOWLEDGED ?iliD AGREED TO THIS ,;<r) 'i:LDAY ~(A./('(!IC , 19 q / . OF r1,(,..,..^.:~r.::'~ r:o.: "~ :'..' ~". ~:~':i ,...- / '\ \Y