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APPLICATION 01' CITY OF BOYNTON BEACH, FLORIDA PLANNING & ZONING BOARD SITE PLAN APPROVAL APPLICATION This application must be filled out completely and accurately and submi. tted 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: Bfa 5TOL liT IIIlNTt'R '5 'RUN 11 CONlJOft1INIllfrJ 2. Date this application is accepted: (to be filled out by Planning Department) 3. Applicant's name (person or business entity in whose name this application is made): Address: B~I5TOL CONlJOfrJINIIJfrJ A550CII1T10N 3700 CLu6hou~e Lane Bovnton Beach. FLo~Lda 11416 (Zip Code) 714-1000 FAX: 714-468/ Phone: 4. Agent's Name (person, if any, representing applicant): TIft1 fiItTZ Address: 5197 CanaL lJ~Lve Lake Wo~th] FLo~Lda Phone: 964-8591 FAX: 31461 (Zip Code) 964-8')91 5. Property owner's (or Trustee's) Name: NtL50JI rpO~TNO!J ~~,~......7"_{ t-b-r ~..... D ( ~S-("C'G 50 BIti..~toL Lane Address: Bo~nton Beach] FLo~Lda 33436 (Zip Code) 736-1564 FAX: 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 DEPARTMENT - January 1991 A:SitePlan (2 ) II 7. What is applicant's interest in the premises affected? (OWner, buyer, lessee, builder, developer, contract purchaser, etc.) 8. Street address or location of site: BniAfnJ In~~}OII .flimmit4 9. Legal description of site and property control #: T7?ACT P AT IItJIVTfJl'J fllJIV 10. Intended use(s) of site: 7?~~LdentLaL AddLtLon~ 11. Developer or builder: 12. Architect: 13. Landscape Architect: 14. Site Planner: 15. Engineer: 16. Surveyor: 17. Traffic Engineer: 18. Has a site plan been previously approved by the City Commission for this property? Je~ " 19. Estimated construction costs of proposed improvements shown ( this site plan: PLANNING DEPARTMENT - January 1991 A:SitePlan (3) II. SITE DATA The fOllowing information must be filled out below and must appear, where applicable, on all copies of the site plan. Land Use Category shown in the Comprehensive Plan Zoning District Area of Site 1. 2. 3. 'RES IlJt/171 A L 9. lj, lJ. acres sq. f1 4. Land Use -- Acreage Breakdown a. b. c. d. e. f. g. h. i. Residential, including surrounding lot area of grounds acres % of si 1 Recreation Areas * (excluding water area) acres % of si 1 Water Area % of si1 acres Conmercial acres % of si 1 Industrial acres % of si 1 Public/Institutional acres % of si1 Public, private and Canal rights-of-way acres % of si1 Other (specify) % of si1 acres Other (specify) acres % of si1 j. Total area of site acres 100 % of si1 * including open space suitable for outdoor recreation, and having a minimum dimension of 50 ft. by 50 ft. 5. Surface Cover a. b. c. % of si Ground floor building area ("building footprint") acres Water area % of si acres 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. acres % of s: d. acres Total impervious area % of s e. Landscaped area inside of parking lots (20 sq. ft. per interior parking space required - see Sec. 7.5-35(g) of Landscape Code). % of s acres A:SitePlan PLANNING DEPARTMENT - JANUARY 1991 (4) f. Other landscaped areas, acres , of 8i~ g. Other pervious areas, including golf courses, natural areas, yards, and swales, but excluding water areas acres \ of si1 h. Total pervious areas acres \ of si1 i. Total area of site acres 100 !fa of si1 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. h. Total floor area sq. ft. 7. Number of Residential Dwelling Units a. Single-family detached Duplex MUlti-Family (3 + attached dwelling units) (1) Efficiency (2) I Bedroom (3) 2 Bedroom (4) 3+ Bedroom sq. ft. sq. ft. b. c. dwelling units dwelling units dwelling units dwelling units dwelling units d. Total multi-family e. Total number of dwelling units 8. 9. Gross Density dwelling units per acre Maximum height of structures on site feet stor 10. Required off-street parking a. Calculation of required number of off-street parking spaces b. Off-street parking spa provided on site plan PLANNING DEPARTMENT - JANUARY 1991 A:SitePlan (9 ) IV. MISCELLANEOUS The following materials must be submitted in one (I) copy: (check) 1. A check, payable to the City of Boynton Beach, as per th attached fee schedule. 2. Any other engineering and/or technical data, as may be required 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 tl the best of (my) (our) knowledge and belief. This applicatiol will not be accepted unless signed according to the . tr~ctions ?flow. i (y".. ~) (I 7 / 1l Signature of OWner(s) Trustee, Date of Authorized Princip if property is owned by a corporation or other business entity. VI. ~ //4 h J / Date nate the above signed person as (my) t in regard to this application. &, I /7/~1 e, Date perty or other SPACE BELOW THIS LINE FOR OFFICE USE ONLY Review Schedule: Date Received Technical Review Board Planning & Zoning Board Community Appearance Board City Commission Date Date Date Date Stipulations of Final Approval: Other Government Agencies/Persons to be contacted: Additional Remarks: PLANNING DEPARTMENT - JANUARY 1991 A:SitePlan RIDER TO SITE PLAN APPLICATION 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 aspects of the proposed project 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 acknowledges that the City of Boynton has all rights and remedies as provided by the applicable codes and ordinances of the City of Boynton Beach to bring any violation into compliance, and that in the event of enforcement action by the City, the applicant shall indemnify, reimburse and save the City of Boynton Beach harmless from any costs, expense, claim, liability or any action which may arise due to their enforcement of the same. READ, ACKNOWLEDGED AND AGREED TO THIS .;2(p DAY OF ~J.YV.._ , 19~. o ~ h.fl;. ~ P-.Lic. ' ~ N(jTA~r ~).I~Lu~ ..)l.~\,t u,. ,t\~'''j~./f~ iW CQtI,J4lS'ej(};, DP NiJV .2:i, lY94 BONDED fiiRU [~liERAL INS. UNO~ A:SitePlan