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APPLICATION CITY OF BOYNTON BEACH, FLORIDA PLANNING & ZONING DEPARTMENT SITE PLAN APPROVAL APPLICATION site Plan - Major Modification to Existing site Application Acceptance Date: Fee Amount Paid: W~ceipt Number:. This application must be filled out completely and aocurately and submitte in one (1) copy to the Planning Department. Incomplete applications will be processed. ., ~ SIl?MI~oJ Please print legibly or type all information. I I . GENERAL INFORMATION 1. Project Name: 2. Applicant's name (person or business entity in whose name this application is made): Phone: --Mf..t. \.~ 1~" .sw 1st ~ ~ ~, fir '5143r lW1-1~1- (#l..~ ~ 'l - Address: (Zip Code) FAX: 3. Agent's Name (person, if any, representing applicant): Phone: ~ /'.PCIc~ ~ poore ~ POt> 1'2., C'-~ ~. VA\'\'tvt. fo.)~~ 'fo~K. Irtll1 q\l&_ rln 0 _f)" (1'0 (Zip Code) .., ""~ "'II' 00 FAX: ~ - rlrr1 Address: 4. &.v.,...rt.j e~ll~r. l! - (or Trustee's) Name: ~ fM''''t 1!1~ ~G, SW '11 ~ PJtftllo.J ~ ~ Address: Jltr~f (Zip Code) FAX: 5. Correspondence address (if different than applicant or agent). * This is the address to which all agendas, letters, and other materials will be mailed. PLANNING & ZONING DEPARTMENT - November, 1991 A:sitePlan ( 2 ) 6. What is applicant's interest in the premises affected? (OWner, buyer, less~~,~BMilder, developer, contract purchaser, etc.) ~ 1. street address or location of site: ~ ~ ~~ ~ 'I/fJ3 st~ or (J!!JA~~ 8. Property Control I' Legal description of site: se& ~if(~ 9. Intended use(s) of site: ~. "'^~ ~~ 10. Developer or Builder: 11. 12. 13. 14. 15. 16. 11. 18. Architect: ~(FjDJ Landscape Architect: site Planner: ~~Q\I J()i tJ G~1Sf ~ JOH~ ~ JIt- J OH tJ ~~ Jp.. Engineer: surveyor: Traffic Engineer: Has a site plan been previously approved by the City Commission for this property? ~ Estimated constructiolll ~o~ts of proposed improvements shown 01 this site plan: ~,~, OP PLANNING & ZONING DEPARTMENT - November, 1991 A:sitePlan ( 3 ) II. SITE DATA The following informat~on must be filled out below and must appear, where applicable, on all copies of the site plan. 1. Land Use Category shown in ~~ fJUsr..w ~01 the Comprehensive Plan 2. Zoning District fX1p 3. Area of Site ~,c;, acres sq. ft. 4. Land Use -- Acreage Breakdown a. b. c. d. e. f. g. h. Residential, inoluding acres \ of s1..tr surrounding lot area of grounds Recreation Areas * aores .. of site (excluding water area) , ~~ Water Area . (Oct .11- .. of site I -- aores Conunercial -.-!I.~ acres .~ 'Ii of site Industrial acres .. of site Public/Institutional acres 'Ii of site Public, private and Canal rights-of-way acres 'Ii of site Other ~IS acres 100 'Ii of site (fVO lJ..:1l1 pA"tLctv ) acres 'Ii of sit.,:,: i. j. Total area of site 5:, acres 100 'Ii 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 .1' acres .0&4' 'Ii of sitt area ("building footprint") b. Water area :1 If acres . ,~ 'Ii of f:\ ,~, tl c. Other impervious areas, including paved area of pUblio & private streets, paved area of parking lots & driveways (ex- cluding, landscaped areas), and sidewalks, patios, decks, and athletio 2,.. ~ , .4-3 courts. aores , of ~... ;...,...... . d. Total impervious area '3.41 acres .(.0 'Ii of sit e. Landscaped area .01 acres . 0' 'Ii of sit inside of parking lots (20 sq. ft. per interior parking space required - see Sec. 7.5-35(g) of Landscape Code). PLANNING & ZONING DEPARTMENT - November, 1991 ,., . (" ~ I. ~.,.,., (4 ) f. Other landscaped areas, acres % of site g. other pervious areas, including golf courses, natural areas, yards, and swales, but excluding site water areas acres !Ii of h. Total pervious areas acres % of site i. Total area of site acres , of site 6. Floor Area a. Residential sq. ft. b. commercial/Office sq. ft. c. Industrial/Warehouse sq. ft. d. Recreational sq. ft. e. Public/Institutional sq. ft. f. other (specify) sq. ft. g. other (specify) sq. ft. Total floor area sq. ft. Dwellin Units a. b. Duplex c. Multi-Family (3 dwelling units) (1) Effiei ( 2 ) room 2 Bedroom 3+ Bedroom d. Total multi-family units dwelling u s dwelling unit dwelling units dwelling units e. Total number of dwelling units Gross Density 8. 9. dwelling units per acre ~ Maximum height of structures on site feet 2. storil 10. Required off-street parking a. Calculation of required number of off-street parking spaces b. Off-street parking spaces provided on site plan 2M-~ ~S ';'1.S~q1 C~ x.<bS C&\7 - <; 3 0ICrlS Lt SUI'.l@ l/~ ~ "4 PfO"'~ -61 PEGVlRtD ,-~ PLANNING & ZONING DEPARTMENT - November, 1991 ( 5) III. 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 unless signed according to the instructions below. ~~ S}qnature of OWner(s) or Trustee, of Authorized Principal if property is owned by a corporation or other business entity. '-1/1 /f'/ Date IV. AUTHORIZATION OF AGENT ;l12t Iq '-I Date ignate the above signed person as (my) gent in regard to this application. ~Jh4 si~ture of OWner(s) or Trustee, or Authorized Principal if property is owned by a corporation or other business entity. ~/t If/if I Date SPACE BELOW THIS LINE FOR OFFICE USE ONLY Review Schedule: Date Received Technical Review Board Planning & Zoning Board Community Appearance Board City conunission Stipulations of Final Approval: Date Date Date Date other Government Agencies/Persons to be contacted: Additional Remarks: . l; PLANNING & ZONING DEPARTMENT - November, 1991 A;SltePlan 40 J..., ~'Q< :>'t- VV ~~ CHECKLIST ,,0 s':>.)v. Iq'~ \ Ill/v The following list and information is provided as a checklist to ensure that the submittal of amended plans and documents is substantially complete for review. Turning in this list and the appropriate plans and documents will enable the submittal to be efficiently checked prior to being accepted by the Planning and Zoning Department. L I ~ I./r /IiJ liSt:.. c:, R-I tl..6 .e6STAv/U/A..>r Project Name: (i) Submit an amended Site Plan Review/CQRditional ~ application form that reflects the changes that were made as a result of amending the plans and documents to comply with the code of Ordinances and the Technical Review Committee comments. A copy of the original form with a distinguishable symbol identifying the change(s) may be submitted or a completed new form with the changes identified. It is the agent of the owners responsibility to notify the owner(s) of changes. If there are no changes required to be documented on the application form, a letter from the applicant stating same must be turned in with the amended submittal. Submit twelve (12) assembled and complete sets of plans and documents, including surveys that show compliance with the Code of Ordinances and comments made by the Technical Review Committee. Two (2) of the sets shall have the appropriate legible raised seal and signature of the designer responsible for the drawing(s). Plans and documents shall be assembled in twelve (12) individual complete packages with the title of the project on all pages and/or sheets and each page or sheet numerically numbered such as the following example: 1 of 3, 2 of 3, 3 of 3. ~ Submit color photographs of the buildings on the site that are to remain in their existing condition and photos of existing buildings that are located on the sites that abut the perimeter of the subject property. The minimum size is 8" by 10". Each photograph shall be labeled to identify the location of the existing structures with respect to the location of the proposed project. ~ Submit colored elevation view drawings - a colored duplicate copy of all drawings of the elevation views of each side of all buildings and signage associated with the project. The colored elevation views shall match the elevations shown in the documents that where submitted for site plan review. The applicable exterior surfaces as identified above shall be colored with the color name and associated color reference number identified. The type of exterior surface material shall be identified next to the associated color. The colored elevation drawings shall have compass direction or title of the side of the building identified. The title block of the original drawing shall be shown. The maximum size is 24" by 36". Do no submit on board of any kind. ~?9 G) Submit color samples as an example of the proposed colors. Each sample shall have attached a label that identifies the color by name and numerical/letter code from an established color chart. o Submit a 8 1/2" x 11" transparency of the landscape site plan drawing to be used on an overhead projector at board meetings.