APPLICATION
N JU\(~)-Lt}-QU,3
CITY OF BOYNTON BEACH. FLOR._A
PLANNING & ZONING DIVISION
SITE PLAN REVIEW APPLICATION
FOR
NEW SITE PLANS & MAJOR MODIFICATIONS TO EXISTING SITE
Application Accepta:e Late: Zl11 \_C()
Fee Paid: 1c;()-----ReCeiPt Number: 75dfJ3
This application must be filled out completely, accurately and submitted as an original to the Planning and Zoning
Division. TWELVE COMPLETE, sequentially numbered, ASSEMBLED AND STAPLED sets of plans including
a recent survey and appropriate fee shall be submitted with the application for the initial process of the Site Plan
Review procedure, AN INCOMPLETE SUBMITTAL WILL NOT BE PROCESSED,
,
Please print legibly (in ink) or type all information,
I. GENERAL INFORMATION
1.
Project Name:
~esdc. f"1eMovic..e. rto-sp''-\-c.\ P.",1<;"'1( Lot &pcv1Sicl>J
2. Applicant's name (person or business entity in whose name this application is made):
~-t"'~c:h
r^ ""....t>.rio. \.
\4~ ,p;-\<.l
.
Address:
28\S'
.$E"ue s +- IS I .; J. , 80YVl-tO 1-> Bel-,. ;::l- 33 ....5 5"
(Zip Code)
>( '-1'-15''-( Fax: 5"1.01 736'" 700 ID
Phone: SIoI 737 - Tn3
3, Agent's Name (person, if any, representing applicant): K'..,ss.o.l ,'VloNisoN
Address:
\"",
Phone:
5(.,' 8'/0 OB1C(
Fax: 5c.,1 8<;,3
4,
Property Owner's (or Trustee's) Name: ~e.5c\;
Address: :28\5 5f.bC.J'e~+ 13. Iud..
B"'y",tot-l 8...='-' 1'L
Mewo.o".;c.t ti:>sp"-t, l
'33'135"
(Zip Code)
Phone: $10\ 731 '17'3 :3 ~ '1L.j5'T
Fax: 5(., I 135" 700le
5, Correspondence to be mailed to agent only; if no agent, then to applicant unless a substitute
is specified below:*
*This is the one address to which all agendas, letters and other materials will be mailed.
6. What is applicant's interest in the premises affected? (owner, buyer, lessee, builder, developer,
contract purchaser, etc.)
o~o'\e.r
h..
Total floor area
I-J\A-
sq. ft,
7. Number of Residential Dwellinq Units
a,
Single-family detached
sq, ft,
b,
Duplex
-
sq, ft,
c, Multi-Family (3 + attached dwelling units)
(1) Efficiency dwelling units
(2) 1 Bedroom - dwelling units
(3) 2 Bedroom -- dwelling units
(4) 3+ Bedroom dwelling units
d,
Total multi-family
dwelling units
e. Total number of dwelling units
8, Gross Densitv ~dwelling units per acre
9.
Maximum heiqht of structures on site
feet
-
stories
10,
Required off-street parkinq
a. Calculation of required
number of off-street
parking spaces
:Se-c:.. ",--ti-oJ'e,l -pc-r~-\'-,'i ~kd.'t
b,
Off-street parking spaces
provided on site plan
Representative of the project must be present at all Technical Review Committee. Planning
and Development and City Commission meetings held to review this project.
Planning and Zoning Division - Rev, 10/15/1998
J:ISHRPA TAIPLANNINGISHAREDIWP\FORMSIAPPSINWSPISITEPLAN.OOC
h" Other (specify)
N \ k acres 0 % of site
i. Other (specify)
,,' b acres 0 % of site
j, Total area of site l, "'I Y: acres \ 0 lJ % 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 /oJ 'fTacres (:)
area ("building footprint")
% of site
b
Water area
t-J \ P< acres
o
% of site
c. Other Impervious areas, including paved area of public & private streets, paved area of parking
lots & driveways (excluding landscaped areas), and sidewalks, patios, decks, and athletic courts,
I .() '-I acres I -1 % of site
d. Total impervious area 1.0 '1 acres 8'-\ % of site
e, Landscaped area ' ::rL acres ZG % of site
inside of parking lots (20 sq.ft, per interior parking space required - see Sec. 7.5-35(g) of
Landscape Code),
f, Other landscaped areas,-111 acres c) % of site
g,
Other pervious areas, including golf course, natural areas, yards, and swales, but excluding
water areas 10\ 4- acres 0 % of site
,
h, Total pervious areas ,.01 acres . -/1 % of site
i. Total area of site I. '-l'-l acres tDO % of site
6. Floor Area
a. Residential 1-.1\04 sq, ft.
b. Commercial/Office V\i\ sq, ft,
c, IndustriallWarehouse \V\~ sq. ft.
d. Recreational !\..\\-I'\ sq. ft.
.
e. PublicJlnstitutional ~Sq. ft.
f. Other (specify)
~ sq. ft.
g. Other (specify) -
sq, ft.
Planning and Zoning Division - Rev. 10/15/1998
J:ISHRDA T AIPLANNINGISHAREDIWPlFORMSIAPPSINWSPISITEPLAN,DOC
7,
Street address or location of site: S '-"
<r JJ I~ CD("f.J../ '1 'jec,i.-J'c-,-,-'yr
&.,clICcr o~
r -Se Z()-j--<.,,\
SeoCJe6+ t
/tv.e
s,c
2'1 ""~ ,It,..
8,
Property Control #: 03 'is lj::; -.:,
Legal description of site: L<>'M
Bc=~ 2.3, ?c>",e ZZ-S-
0'1 coo DZ/jD 08 '-13 '-is'
;?'8, 2'f, 30 o",d 5!> ."p t-!i~"
33 0'1 0000:,60
o~'\-t Plat
9,
Intended use(s) of site:
?ar K L01- e ><P'V1S'IC>.~ f" -" ItcE>~'> fa \
10,
Developer or Builder:
6e~<lE>d", Me""bric.l Hospi+a I
11. Architect: KiM le<1 - H-o.-V\ ... Assocjeke,
12, Landscape Architect: \"'-; "",Ie,!, - !-h:>N\ ,. A-~so"-;c.-k<.,
13, Site Planner: KioVl l-e-l - I-h>r..... ..- .As~OC:cte<,
14, Engineer: f<"."",lev - /-h,roA. -r As~oc.;c-k~
15. Surveyor: (VI,,""!'''' + cc.i'.'....d
16, Traffic Engineer: 1.(."", ("'i - Ho~", or A'G50C;c.+e::.
17, Has a site plan been previously approved by the City Commission for this property? no
18, Estimated construction costs of proposed improvements shown on this site plan:<\ll co, coe. =
II. SITE DATA
The following information must be filled out below and must appear, where applicable, on all copies of the site
plan,
1, Land Use Cate~ory shown in the Comprehensive Plan oC ...... (./. - I_Ov;' {k,~", . ~I
2, Zonino District (2 \ " I.\- ... c- \ (
3, Area of Site acres sq, ft,
4, Land Use -- Acreaoe Breakdown
a. Residential, including N \A acres 0 % of site
surrounding lot area
of grounds
b. Recreation Areas' ~)~ acres D % of site
(excluding water area)
c, Water Area 10 lk: acres D % of site
d, Commercial \,c_P-\. acres too % of site
e. Industrial r-J\k acres 0 % of site
,
f. Public/Institutional N\A acres (y % of site
g, Public, Private and N\,I\-
Canal rights-of-way acres 0 % of site
Planning and Zoning Division - Rev. 10/15/1998
J:\SHRDA T AIPLANNING\sHAREO\WPIFORMSIAPPS\NWSP\sITEPLAN,DOC
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 Division (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.
Date
Signature of Owner(s) or Trustee, of
Authorized Principal if property is owned by
a corporation or other business entity,
IV, AUTHORIZATION OF AGENT
signa2~~
e.
;V( ,)1/J2,,~
;/
Date I
n Jey.,
(
(I) ryve) hereby designate the above signed person as (my) (our) authorized agent in regard to this
application.
Signature of Owner(s) or Trustee,
or Authorized Principal if property is owned
by a corporation or other business entity,
Date
SPACE BELOW THIS LINE FOR OFFICE USE ONLY
Review Schedule:
Date Received
Technical Review Committee
Planning & Development Board
Community Appearance Board
City Commission
Date
Date
Date
Date
Stipulations of Final Approval:
Other Government Agencies/Persons to be contacted:
Additional Remarks:
A REPRESENTATIVE OF THE PROJECT MUST BE PRESENT AT ALL TRC, P&D
AND CC MEETINGS HELD TO REVIEW THIS PROJECT.
Planning and Zoning Division - Rev. 10/15/1998
J:ISHRDA TAIPLANNINGISHAREDlWP\FORMSIAPPSINWSPlSITEPLAN,DOC
RIDER TO SITE PLAN APPLlCA TIOI"
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 plans, specifications, drawings, engineering and other data which
may be approved by the City of Boynton Beach, or its boards, commissions, staff or designees shall be
constructed in strict compliance with the form in which they are approved, and any change to the same shall be
deemed material and shall place the applicant in violation of this application and all approvals and permits which
may be granted.
The applicant agrees to allow the City of Boynton Beach all rights and remedies as provided for by the
applicable codes and ordinances of the City of Boynton Beach to bring any violation into compliance, and the
applicant shall indemnify, reimburse and save the City of Boynton Beach harmless from any cost, expense, claim,
liability or any action which may arise due to their enforcement of the same,
READ, ACKNOWLEDGED AND AGREED TO this
day of
,19 .
Witness
Applicant
Witness
Planning and Zoning Division - Rev, 10/15/1998
J:ISHRDAT AIPLANNINGISHAREO\WPlFORMSIAPPSINWSPISITEPLAN.DOC
NOTICL J APPLICANTS FOR APPROVAL Or-~ AND
DEVELOPMENT ORDERS OR PERMIT,
Please be advised that all applications for the following land development orders and permits which are submitted on or after
June 1, 1990 will be subject to the City's Concurrency Management Ordinance, and cannot be approved unless public facilities
(potable water, sanitary sewer, drainage, solid waste, recreation, park, and road facilities) would be available to serve the
project, consistent with the levels of service which are adopted in the City's Comprehensive Plan:
Building permit applications for the construction of improvements which, in and by themselves, would create demand
for public facilities,
Applications for site plan approval.
Applications for conditional use approval.
Applications for subdivision master plan approval.
Applications for preliminary plat approval.
Applications for final plat approval.
Applications for rezoning to planned zoning districts.
Applications for revisions to any of the applications listed above, which would Increase the demand for any public
facility,
Any other application which, in and by Itself, would establish the density or intensity of use of land, or a maximum
density or intensity of use of land,
.
Applications for development orders and permits submitted after February 1, 1990 and which generate more than 500
net vehicle trips per day, must comply with the Palm Beach County Traffic Performance Standards Ordinance, unless
exempt from that ordinance,
Please be advised, however, that the following applications will be exemot from the Concurrency Management Ordinance,
pending final approval of this ordinance by the City Commission:
Applications for the development of property which was platted on or after January 13, 1978 and either the final plat
or the preliminary plat and Palm Beach County Health Department permit applications were submitted or approved
prior to June 1, 1990, and the use of the property is consistent with the general use which was intended for the
property at the time of platting.
Applications for the development of property which was platted prior to January 13, 1978, the area of the platted lots
does not exceed 2 acres, and the proposed use would not generate more than 500 net vehicle trips per day,
Applications for building permit, if a site plan or conditional use application was submitted prior to June 1, 1990 and
subsequently approved and the site plan or conditional use has not expired,
Applications for the development of property within an approved Development of Regional Impact, and which are
consistent with the approved DR!.
Applications for approval of final plats, if the preliminary plat and application for Palm Beach county Health Department
permits for utilities have been submitted prior to June 1, 1990.
Applications for revisions to previously approved development orders or permits, which do not increase the demand
for any public facility,
Please be advised that these exemption rules are tentative and will be subject to final approval by the City Commission, If you
have any questions concerning the proposed Boynton Beach Concurrency Management Ordinance, please contact the
Boynton Beach Planning Division at (561) 742-6260,
Planning and Zoning Division - Rev. 10/15/1998
J:ISHRDA T AIPLANNINGISHAREDIWPIFORMSIAPPS\NWSPlSITEPLAN,DOC
CHAPTER 4
SITE PLAN REVIEW
Section 7. Submission Requirements,
Each applicant shall submit to the Planning and Zoning Division the following plans and exhibits in the number of
copies specified by the Planning and Zoning Division, together with a Site Plan Review application and a fee
adopted by resolution by the City Commission.
12 ASSEMBLED COPIES REQUIRED
A. Existina site characteristics map: A sealed survey, not older than six months, showing all adjacent streets,
alleys and driveways, and also illustrating:
1. Existing natural features, including but not limited to lakes, trees and other vegetation and
soils and topography,
2. Existing buildings, building elevations, other structures, including use, height, dimensions
and setbacks.
3. Existing utility lines and all easements,
4. Existing elevations (corner, street and finished floor)
B. Site development Dlan:
1. A scaled drawing clearly illustrating proposed buildings and other structures, and any
existing buildings and structures which are to be retained, including use, height, dimensions
and setbacks.
2. Proposed off-street parking spaces, driveways and sidewalks, including location,
dimensions and setbacks, traffic control markings and signage.
3. Proposed fences and walls, including location, dimensions, setbacks, height and material.
4. Proposed location of lighting on site.
5. Proposed dumpster location.
C. LandscaDe Dlan:
1. A separate scaled drawing (at the same scale as the site development plan) prepared as
required by state law clearly illustrating proposed trees, shrubs, grass and
2, Proposed berms, watercourses and other topographic features,
3. A notation on method of irrigation.
Architectural plan:
1.
2.
A scaled drawing clearly illustrating proposed building floor plan and elevations, including
height, exterior dimensions, exterior color and materials.
A colored elevation drawing (not mounted) showing all elevations of the building. (This
submittal can be waived by the Planning and Zoning Director when not applicable,)
Planning and Zoning Division - Rev. 10/15/1998
J:\SHROA TAIPLANNING\sHAREDIWP\FORMSIAPPSINWSP\sITEPLAN,DOC
E. Tabular Summary Contain;-"~
1, Total gross project area by acreage and square footage ana net buildable land area in acres
and square feet.
2. Total number of proposed residential units, including characteristics by number of bedrooms
and bathrooms and gross square footage of each typical unit.
3. Proposed nonresidential floor type of use and total gross square footage.
4. Square footage and percentage distribution of the total project site, including areas
proposed for landscaped open space, vehicular use areas, other paved areas, and building
coverage and total coverage,
5. Number and ratio of required and provided off-street parking spaces and number of loading
spaces.
6. Water bodies in acres and square feet.
7. Height of buildings.
F. Orainaae clan:
1, A separate scaled drawing (at the same scale as the site development plan) showing
elevations, flow arrows, proposed drainage structures, proposed treatment facilities, etc.
2. An engineer's certification in writing that drainage will conform with all rules, regulations,
codes, etc, including, but not limited to, Chapter 6, Article IV, Section 5 of these Land
Development Regulations,
Planning and Zoning Division - Rev. 10/15/1998
J:ISHRDA T A\PlANNINGISHAREDIWP\FORMSIAPPSINWSPlSITEPLAN,DOC
. ,05~~5/00 09:39 FAX 561 863 8175
KI!lLEY HORN
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DEPARTMENT OF DEVELOPMENT !;/30JDO ~
Division of Planning and Zoning
May 19, 2000
fA\~
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Russell Morrison
Kimley-Horn and Associates, Inc.
4431 Embarcadero Drive
West Palm Beach, Florida 33407
"
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.... ,
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,
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Re:
Bethesda Memorial Hospital-Parking Lot
NWSP 00-003
Dear Mr. Morrison:
The above-referenced project received a 3"' TRe staff review on April 12, 2000. The hourly rate
plus benefits charged by statIfor this review was $112.40. Please remit this amount to the
Planning and Zoning Department, Make checks payable to the "City of Boynton Beach".
Please contact me at (561) 742-6260 if you have additional questions,
SiI1CCl1ely,
~~~v
Lusia GB1av, AlCP
Senior PWme1
Cc: Michael W, Rumpf, Director of Planning and Zoning
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I:\iI-W)ATA.\PIaftj~WP.PAOJF.C..'TS\9dJIMdl MImotIlllbpltal PukInIP.cpuIIoa\JnalcllLclfor,doQ
Ame,U:/J's GaUlllay to /lie Gu(ft/nfUn
l00.tlioy,;ioalleadl Hi..... p,o. _310 Boya"" _~, __ 33425-t310 PIlDII0l(561) 375-6260
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FAX' (561) 37U25!l
.