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APPLICATION ;.1 " \', :./~, " , .; ..~.. .0' ~ 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 1. Project Name: Bethesda Hospital 2815 So. Seacrest Blvd. Boynton Beach, Fl. . .' 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) : - . .- . ... .. ....~.. Siqn Craft Inc. ,........ i >~.:.::. '. '. ..... Address: 1890 Church st. v7 . P . B., Fl. 33409 Phone: (305) 686-0701. -,1. Agent's Name (person, if any, representing applicant) : i Paul Brown , ../ Address: 1890 Church St. West Palm Beach, Fl. .(,305) 686-0701 Phone: (305) flflfl-0701 5. Property Owner's (or Trustee's) Name: .. Address: Robert Hill 2815 South 'Seacrest Blvd. Bovnton Beach~ Fl. Phone: 627-3388 6. Correspondence Address (if different than applicant or agent) *: Srone 1890 Church st., W.P.B., Fl. * 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? New Siqnaqe to ;t:"eplace the, old siqnaqe (Owner, Buyer, Lessee, Builder, Developer, Contract Purchaser, etc.) 8. Street Address or'Location of Site~ 2815 South Seacrest Blvd. Boynton Beach. Fl. 9. Legal Description of Site: Leqal Attached to plans 10. Intended Use(s) of Site: Siqnaqe -- New siqnaqe to replace the old signage. '. 11. Developer or Builder: Contractor: Siqn Craft Inc. 1890 Church St., W.P .'B., Fl. / 12. Architect: None 13. Landscape Architect: None 14. Site Planner: None 15. Engineer: James Carlton 16. Surveyor: None 17. Traffic Engineer: None 18. Has a site plan been previously approved by the City Council for this property? Yes 19. Estimated construction cost of proposed improvements shown on this site plan: $75,000.00 9 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. l. Land Use Cateqorv shown in the Comprehensive Plan 2. Zoning District 3. Area of Site sq. ft. acres 4. Land Use -- Acreage Breakdown a. Residential, including surrounding lot area or grpunds b. Recreation Areas * (excluding water area) I' c. Water Area d. Commercial e. Industrial f. Public/In- stitutional g. Public,private, and Canal Rights-of-Way h. Other (specify) acres % of site acres % of site acres -% of site acres % of site acres % of site acres % of site acres % of site 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 a. Ground Floor Building Area ("building footprint") sq.ft. % of site b. Water Area sq. ft. % 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. sq.ft. % of site d. Total Impervious Area sq.ft. % of site e. Landscaped Area Inside of Parking Lots (20 sq.ft. per interior parking space required-- see Sec. 7.5-35(g) of Landscape Code) . sq.ft. % of site /0 Planning Dept. 10/82 n'___~__ ~__~ 'n/o~ .' . .. . Page 4 f. Other Landscaped Areas, sq. ft. ' % 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 sq. ft. % of site i. Total Area of Site ~q.ft. 100 % of site 6. Floor Area a. Residential sq. ft. b. Commercial/Office 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 sq. ft. 7. Number of Residential Dwelling Units I ! J a. Single-Family Detached . ) b. Duplex ...- ../ c. Multi-Family (3 + attached dwelling units (1) Efficiency (2) 1 Bedroom (3) 2 Bedroom (4) 3+ Bedroom d. Total Multi-Family e. Total Number of Dwelling Units d\Velling units d\...elling units dwelling units d\Velling units d\Velling units dwelling units dwelling units 8. Gross Density Dwelling Units per Acre '9. Haximum Height of Structures on Site feet stories lOa Required Off-Street Parking a. Calculation of Required Number of Off-Street Parking Spaces b. Off-Street Parking Spaces Provided on Site Plan II Planning Dept. lO/82 ... , Page 7 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 the attached fee schedule. 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 ir"p.:..ct .u1~~1:r-.:;i~ ::l~::t. ~c :::~=~.:. t.t.cd. . 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 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 s'gned accordi g to the instructions below. .~ Signature 0 Owner s 0 Trustee, or Authorized Principal if property is owned by a corporation or other business entity. ("2.- 2:2--4>" Date /~ t VI. Date I ,\(J the above signed person as (my) gard to this application. 12,..- 2.7-- "'16 Date /' Signature 0 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 Stipulations of Final Approval: Date Date Date Date Other Government Agencies/Persons to be contacted: Additional Remarks: J~ Planning Dept. 10/82