APPLICATION
SITE PLAN APPROVAL APPLICATION
City of Boynton Beach, Florida
Planning and Zoning Board
This application must be filled out completely and accurately_:!s
and submitted in one (l) 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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Project Name: ~(.)\1r.:::'
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2. Date this Application is Accepted :
(to be filled out by Planning Dept.)
~~ - :27- ?S"
Phone:
Name (person or business entity in whose name this
is made) : \
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3.
Applicant's
application
Address:
Phone:
Name (person, if fI5Y' ,r.e,p,resenting applicant) :
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4.
Agent's
Address:
5. Property Owner's (or Trustee's) Name: C'~'ffCtL.-- (~~~.~c-
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Address:
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Phone:
6. Correspondence Address (if different than applicant or agent) *:
* This is the address to which all agendas, letters, and
other materials will be mailed.
Planning Dept. 10/82
10.
11.
12.
l3.
l4.
15.
l6.
17.
18.
19.
Page 2
7. What is applicant's interest in the premises affected?
crill~J7~
(Owner, Buyer, Lessee, Builder, Developer,
Contract Purchaser, etc.)
8.
St~eet Address(_~r Location of Site:
(~=10.oJ ~K~k
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9. Legal Description of Site:
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, L ~KfrFh~ ,,2tCH
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C~0,\ ,\lD(t<O~)
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In tended Use ( s) of Site: ~<::0tr-)' nc:i'r-"t<- ~T\U L\ '(
Developer or Builder: C~f+t__ (~'~~0 tfnce.A1'---....
Architect:
6fL+1'PnJ') 6rfA-tf)
Landscape Architect: C)ef~)1 (~~?~()
Site Planner: 67Jn\fhJl 6rtfAV
Engineer: I~l\ ds-, (.~?\'K:R~~~_
Surveyor: ~r~J-..~ fY-H~
Traffic Engineer: rrw(E ~" ~c:--::k-
Has a site plan been previously approved by the City Council
for this property? cl'lS
Estimated construction cost of proposed improvements shown on
this site plan: i- \el\C\ro~~
Planning Dept. 10/82
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 Category shown in
the Comprehensive Plan
2.
Zoning District
Puo
..-'"'\ ..Il ,,1' :"
3 . Area of Site '(J,c.,i'/V....::-
4. Land Use -- Acreage Breakdown
a. Residential, including
surrounding lot area or
grqunds
b. Recreation Areas *
(excluding water area) ,
c. Water Area
d. Commercial
e. Industrial
,
f. Public/In-
stitutional
g. Public,Private, and Canal
Rights-of-Way
h. Other (specify)
i. Other (specify)
J ~
I ,
~.~'I!l~ri~'-T r,\\ \..- ['tl.=:)
l..' ,........ ~ \l (; [ l ~,\I" J' ..... I
acres
". ~ ~.
\'=(' ~~_.-<r,--
.t!"[. :;' --""'-----
sq. ft.
r-C')
l.../1:. "'
Q
% of site
acres
I ~::(j
q4~" acres % of site
C acres t' " % of site
C; ['
acres C' % of site
0 acres [, % of site
0 acres (! % of site
0 acres r[!
T'l acres 't
~,.'"
D L\
acres
% of site
% of site
% 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"
b. 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
courts.
d. Total Impervious Area
sq. ft.
0.c4
% of site
0,'
, '
( :
% of site
sq. ft.
\\" "...--?J,
" """
1111. .. '....."
,'~
sq. ft. r'"-f:,7:' e.:- % of site
\J .'-..
sq. ft. I~, % of site
sq.ft. n" .1--..,. % of site
,;1..1......'). ;"'J
A l'~
~ d I
" ~ ,j
e. Landscaped Area Inside
of Parking Lots
(20 sq.ft. per interior
parking space required--
see Sec. 7.5-35(g) of
Landscape Code) .
PIRnnin0 Dept. 10/~2
Planning Dept. 10/82
h. Other Landscaped Areas,
excluding Water Area
i. Other Pervious Areas,
including Golf Courses,
Natural Areas, Yards, and
Swales, but excluding
Water Areas
j . Total Pervious Areas
k. Total Area of Site
5. Floor Area
a. Residential
b. Commercial/Office
c. Industrial/Warehouse
d. Recreational
e. Publici
Institutional
f. Other (specify)
g. Other (specify)
D
sq. ft.
Page 4
'0
...J
'% of site
":;2 I' ;-1"2- .-.. ,,'7
. J '-\-' '-- sq. ft. \ l \~'J % of site
. Ii t,.
......1 r.~\~ ...~........ --r <~
sq.ft. ~)1 ~~ % of site
J ., " ) ,~..-/
,f() ~.r*--.., sq. ft. 100 % of site
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c:..)
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sq.ft.
sq.ft.
sq. ft.
h. Total Floor Area
12110
1'C sq.ft.
6. Number of Residential Dwelling Units
~J dwelling units
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
,r~\
7. Gross Density C.;
''\
r ,
"'-'.1
sq. ft.
sq. ft.
1;'1
l.'
/'\
i~ \
I
~j
sq. ft.
!/l-tl 0 r'r sq. ft.
,-\
~' dwelling units
V dwelling units
b dwelling units
dwelling units
C dwelling units
./
0 dwelling units
o
Dwelling Units per ~cre
8. Maximum Height of Structures on Site
'\ \
9. Required Off-Street Parking
a. Calculation of Required
Number of Off-Street
Parking Spaces
;R-
Planning Dept. 10/82
feet
\
,
1
l
stories
b. Off-Street Parking Spaces
Provided on Site Plan
< ~ C)
0-
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, for two hundred
dollars ($200).
2. A transparency (overlay) of the site plan sheet, suitable for
use in an overhead projector, with dimensions not to exceed
6 in. X 9 in.
3. For projects that generate at least three thousand --D-, 000) --~--
vehicle trips per day or two hundred and fifty (250) single
directional vehicle trips in a one (1) hour period, a traffic
impact analysis must be submitted.
4. 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 s tements and any statements or showings in any papers
or~~ns s bm~tted herewith are true to the best of (my) (our)
kn Wl,~dge nd belief. This application will n,o, t"be a,ccepted
un ~ss sig ~according to the instructions b~lr~. , ,
11 ~" ~~~~
Signature of Owner(s) or Trustee, ! Da e
or Authorized Principal if property
is owned by a corporation or other
bu ess en
VI.
A
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Signature of Authorized Agent Date
/'"\
(~'), ' (We) ~,h, "eby des"igna, te thea, bove s, ign, ed pers"on as (my)
( ~ aut 0 zed age~t if re~~~]~ar;h~S fPPlica,ion.\ ~
~ ~t ' ~(' {\lH-dX/JttJt4J~JZ!~)(lV ~/'77~0
Signatur of Owner(s) or Trustee, Date
or Authorized Principal if property
is owned by a corporation or other
business entity.
AGENT
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