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APPLICATION 1 '. . .../ .;. ; . 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 (~) copy to the Planning Department. Incomplete applications will not be processed. Please Print Legibly or Type all Information. I. GENERAL INFORMATION 1. project Name: Medical Office Buildin~ Bethesda Memorial Hospital Boynton Beach, Florida 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) : - . .- . ... ... . .... Bethesda Healthcare Corporation . ..';.. ... :.~ .... .". ....Address: 2815 South Seacrest Boulevard Boynton Beach, Florida 33435-7995 Phone: (305) 737-7733 4. Agent's Name (person, if any, representing applicant): Autumn H. Blakeley. AlA 0'" K..rk Ou~la p Address: Universal Medical Buildings, Inc. 839 North Jefferson Street Phone: Milwaukee, Wisconsin 53202 (414) 278-0100 5. Property Owner's (or Trustee I s) Name: Walter Metz Alan O. Jared. 111 p~ ~, Address: 2611 South Seacrest Blvd. 2623 South Seacrest Blvd. Boynton Beach, Florida Boynton Beach. Florida Phone: (305) 737-7733 Ext 4573 6. Correspondence Address (if different than applicant or agent) * . . * This is the address to which all agendas, letters, and other materials will be mailed. /D Planning Dept. 10/82 ~'- .! ,. Page 2 7. What is applicant's interest in the premises affected? Buyer (Owner, Buyer, Lessee, Builder, Developer, Contract Purchaser, etc.) 8. Street Address or 'Location of Site": Corner of S.W. 26th Street Seacrest Boulevard and South 2nd Street 9. Legal Description of Site: See Attached Survev lO. Intended Use(s) of Site: Medical Office Building 11. Developer or Builder: Universal Medical Buildings. Inc. - . . 12. Architect: Zimmerman Design Group 13. Landscape Architect: Zimmerman Design Group 14 . Site Planner: Zimmerman Desi~n GrOUD 15. Engineer: Harold Au~ustine. P.E. 16. Surveyor: Richard Shephard and Associates 17. Traffic Engineer: l8. Has a site plan been previously approved by the City Council for this property? No 19. Estimated construction cost of proposed improvements shown on this site plan: $417.000 // Planning Dept. lO/82 .I . II. SITE DATA Page 3 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 Cateqorv shown in the Comprehensive Plan Office/Commercial l,and lTf;e 2. Zoning District C-l 3.38 147.432 3." Area of Site 4. Land Use -- Acreage Breakdown a. Residential, including surrounding lot area or grpunds b. Recreation Areas * (excluding water area) " c. Water Area d. Commercial e. Industrial f. Public/In- stitutional 9. Public,private, and Canal Rights-of-Way h. Other (specify) i. Other (specify) acres sq. ft. acres % of site acres % of site acres "% of site acres ] 00 % of site acres % of site aqres % of site 3.38 acres % of site acres % of site acres '% of site 3.38 100 % of site -j. Total Area 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 Building 21.233 Area ("building footprint") 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. 92.045 b. Water Area sq.ft. % 0 f site 14.4 N/A o % of site sq.ft. sq.tt. ~ ot sit.e 62.4 d. Total Impervious Area % 0 f site 113,278 sq.ft. 76.8 e. Landscaped Area Inside of Parking Lots (20 sq. ft. per interior parking space required-- see Sec. 7.5-35(g)'of Landscape Code) . 5,157 3.5 % of site sq.ft. ".2 Planning Dept~ 10/8 . . Page 4 f. Other Landscaped Areas, 28,997 sq. ft. ,q 7 ' % of site excluding Water Area g. Other Pervious Areas, including Golf Courses, Natural Areas, Yards, and Swales, but excluding Water Areas sq. ft. % of site h. Total Pervious Areas' 34.154 sq.ft. 23.2 % of site i. To tal Area of Site 147.432 ~q.ft. 100 % of site 6. Floor Area a. Residential sq. ft. b. Commercial/Office 54.567 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. h. Total Floor Area 54.567 sq. ft. 7. Number of Residential Dwelling Units a. Single-Family Detached NOT APPLICABLE d\.;e1ling units b. Duplex c. MUlti-Family (3 + ~ttached dwelling units (l) Efficiency (2) 1 Bedroom _ ( 3) 2 Bedroom (4) 3+ Bedroom dwelling units dwelling units dwelling units dwelling units dwelling units dwelling units d. Total Multi-Family e. Total Number of Dwelling Units 8. Gross Density Dwelling Units per Acre 2 stories 9. Ha:drnum Height of Structures on Site 10. Required Off-Street Parking 24.67 feet a. Calculation of Required Number of Off-Street Parking Spaces b. Off-Street Parking .Spaces Provided on Site Plan 273 278 (203 + 75) /J Planninq Dept. 10/82 .' Page 7 IV. MISCELLANEOUS The following materials must be submitted in one (l) copy: (check) Inc1 1. A check, payable to the City of Boynton Beach, as per the attached fee schedule. Site plan over $100,000 value Community Appearance Board Review $300.QO 50.00 $350.00 2. For projects that generate at least three thousand (3,OOO) vehicle trips 'per day or two hundred and fifty (250) single directional vehicle trips in a one (1) hour period, a traffic iri.?~ct 'u..,<::.l:i-.:;i.:; ~~=t be =~==:. toted. 'This project does not generate 3,uOO vehicle trips per day or 250 single directional vehicle trips in a one hour 3. Any other engineering and/or technical data, as may be re- ~ period quired by the Technical Review Board to determine compliance . with the provisions of the City's Code of Ordinances. ' v. CERTIFICATION VI. (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 unle igned accord in ,to he instructions below. Signature of Owner(s) 0 Trustee, .0 ct;,a;e~ /73t. or Authorized Principal if property is owned by a corporation or other business entity. AUTHORIZATION OF AGENT J{;J.:t-O~, 01... 1.1 ~ '=J' /1 J1. Signature of Authorized Age t Oat the above signed person as (my) gard to this application. CJtJ:~~ /116 -. ", Signatu e of 0 ner{) 0 Trustee, or Authorized Principal if property is owned by a corporation or other business entity. SPACE BELOW THIS LI~E FOR OFFICE USE O~LY Review Schedule: Date Received: Technical Review Board Planning & Zoning Board Community Appearance Board City Council Stipulations of Final fipproval: Date Date Date Date Other Government figencies/Pcrsons to be contacted: ~ Additional Remarks: - -- "- 'n/~"