APPLICATION
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CITY OF BOYNTON BEACH, FLORIDA
PLANNING & ZONING BOARD
SITE PLAN APPROVAL APPLICATION
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
Project Name: ~T132-5 RUN
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1.
i
I.
!
A ~ ~OC-I An ON
2.
Date this application is accepted:
(to be filled out by Planning Department)
,/0--/5-- 9/
3. Applicant's name (person or business entity in whose
name this application is made):
Phone:
.51~ PDf2-1 cCoO\JDOMI,..\(IJtu. A~ A'nA,..l
.3 5".:> 0 Cl.-U p) ~t 0 J Se LA ~E
'Bo"iNT 014 ~ A u-\ t= LO~I of}
731-5000
..... . .
Address:
",f)3t1'2b
(Zip Code)
FAX:
Phone:
Name (person, if any, representing applicant):
VA u tD BEA.6L:8-f
JA. 9'1 -::? . w. DO nt A\JE:. ~ ~
13o~-tr,ITb'-...\ plClAc.+\ I FL-OrZ.AoA 33t} 2b
(Zip Code)
40173~ '7110 FAX:
4.
Agent's
Address:
5. Property OWner's (or Trustee's) Name:
Sownt Pol2::r CoNDO M l t--\ (L1 f'\-{ A.? SooDl Pn-te-N.
~5oo CL--U!?HoUS6 LA-t-lG
619yt\Te-f-l ~~ I F L.ofZ-(Dtl '33~Zb
(Zip Code)
73+ 5DOO FAX:
Address:
6. Correspondence address (if different than applicant or
agent)*:
::'A~t;:: As A~Er...jT
* This is the address to which all agendas, letters, and
other materials will be mailed.
PLANNING DEPARTMENT - January 1991
A:SitePlan
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( 2 )
7. What is applicant's interest in the premises affected?
(Owner, buyer, lessee, builder, developer, contract
purchaser, et:c.) D LJJN E12-.
8. Street address or location of site: S"UTt\-PDf2;f'@.,tl-Ut:l~~
9. Legal description of site and property control #:
-T......., . ,\ '-8
_~~T A' dN-J ~~
'?UK
..... . .
10. Intended use(s) of site: COt'tDOrv\f....IIl..)M t;.~I.?TINC1
I \\ \? A t>P L-l U) Tt €> r\ 1= fJ 'tZ... G ot...F Oller G (*,2.11 G.E:'.5
11. Developer or builder:
12.
Are'hitee-e:
VAJID
13.
Landscape Architect:
~"?~
N4
gg
NA
NA
d.;\-
-- FtAM
'PlZG P A jZ.~~
14.
Site Planner:
15.
16.
Engineer:
Surveyor:
17.
Traffic Engineer:
18. Has a site plan been previously approved by the City
Commission for this property? y c;; S
19. Estimated construction costs of proposed improvements shown on
this site plan: :1f 4D/ &00 ~
PLANNING DEPARTMENT - January 1991
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II. SITE DATA
(3)
~, . . The following information must be filled out below and must
appear, where applicable, on all copies of the site plan.
1.
2.
3.
Land Use Category shown in
the Comprehensive Plan
PtJD
Zoning District
PtJD
Area of Si te
acres
sq. f1
4. Land Use -- Acreage Breakdown
a.
'Residential, including
surrounding lot area of
grounds
% of si1
acres
b~ Recreation Areas *
,', (excluding water area)
acres \ of sit
acres \ of si1
acres \ of si1
acres \ of sit
acres \ of sit
acres \ of sit
acres % of sit
acres \ of sit
c. Wa ter Area
d. Commercial
e. Industrial
f~ Public/Institutional
q. Public, private and
Canal rights-of-way
h. Other (specify)
i. Other (specify)
j.
acres
Total area of site
\ of sit
* including open space suitable for outdoor recreation, and
having a minimum dimension of 50 ft. by 50 ft.
5. Surface Cover
a.
b.
,c.
... . .
Ground floor building
area ("building footprint")
% of s11
acres
Water area
% of si 1
acres
other impervious areas,
including paved area of
public & private streets,
paved area of pa:rking
lots & driveways (ex-
cluding landscaped areas),
and sidewalks, patios,
decks, and athletic
courts.
% of si
acres
d.
acres
Total impervious area
% of si
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 si
acres
PLANNING DEPARTMENT - JANUARY 1991
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(4)
f. Other landscaped areas, acres " of site
g. Other pervious areas,
including golf courses,
natural areas, yards, and
swales, but excluding
water areas acres \ of site
h. Total pervious areas acres \ of site
io 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.
h.
Total floor area
sq. ft.
7. Nwnber of Residential Dwelling Units
_. . .
8.
9.
Gross Density
dwelling units per acre
Maximum height of structures on site
~2.
feet
2.
storief
10. Required off-street parki.ng
a.
Calculation of required
number of off-street
parking spaces
35~ CAe.~
b.
Off-street parking spacel
provided on site plan
-A=1-o CA e.s
PLANNING DEPARTMENT - JANUARY 1991
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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 scheduI~.
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 tc
the best of (my) (our) knowledge and belief. This applicatio~
will not be accepted unless signed according to the
i.n \trlfctions~ be. 1. 0"'!//7,
',:;,,' ct(([l(.' 1 / W-JU/'- /o-j-fl
S~gnature of Her(s) Trustee, Date
of Authorized Principal if property
is owned by a corporation or other
busine;ss entity.
VI.
AUTHORIZATJdN OF AGEN~
\.. " . . ';; , //1 1
{"'<;.t \ ' , "lo:.
Sign ture of Authori~
(I) (We) hereby designate the above signed person as (my)
( ur/ authorized/~ent in regard to this application.
;:' ,'(11((' (' , Ie) CL~\ ,
i 'ature 0' ,wner(s) or Trustee,
or Authorized Principal-if property
is owned by a corporation or other
business entity.
/0 -Z-1/
Date
/0-1-9/
Date
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
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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 deeme(
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
DAY OF
, 19 _.
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AP nI1ANT
PfLe At-
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0Y4tel PJ~e<$ (,19
Notary Public
SIIIt of Florida at 1M,.
My Call1missioll Expires
SepIember 1. 1991
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