APPLICATION
APPLICATION ACCEPTANCE DATE:
RECEIVED BY STAFF MEMBER-
FEE PAID:
RECEIPT NUMBER:
CITY OF BOYNTON BEACH, FLORIDA
PLANNING & ZONING DEPARTMENT
SITE PLAN REVIEW APPLICATION
FOR
NEW SITE PLANS & MAJOR MODIFICATIONS TO EXISTING SITE
Application Acceptance Date:
Fee Paid:
Receipt Number:
This application must be filled out completely, accurately and submitted as
an original to the Planning and Zoning Department. Twel ve complete,
sequentially numbered and assembled 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. P roj e c t Name: J ~V It..a \J 1:4. ..t. ~1:::J2 k: 1I..1l~ lo'T fbfL
LUEAJL ~~r l~ .
2. Applicant's name (person or business entity in whose name this
application is made) :
12..o~~DM~
~lO~ I Lua~ Wp-{ ,l~. t~'l")
~~ tt). ~tJtb\J ~ ~Y), ~uraJ ~'~
(Zip C~e)
'7bt- ?"'-- '5~ Fax: ~l- ~9- ~167
Addres s :
Phone:
3. Agent's Name (person, if any, representing applicant) :
Address:
(Zip Code)
Phone:
Fax:
4. Property Owner's (or Trustee's) Name:
Address:
Phone:
~~Co~l\~'
~
~ J 4E!:
,.-.
Fax:
~
(Zip Code)
','
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? ~wn~ buyer,
lessee, builder, developer, contract purchaser, etc.)
Ot.U~
7 .
Street address or location of site:
~bOvJ.~~ ~~
R-
Of>- 4.7. ""~ . '1)'( - D\ -00'2 - 0'2.4C
Lt> "i S 1..4- I '1.,,~ , 1.(p
~ ~1JlON ~iA~
PLAi ~ l,? l ~ %.>"L
8 .
Property Control #:
Legal description of site:
9. Intended use(s) of site:
GoM~l- fr2..L JJ't\ J..I, bJI \\JlSt,S
10. Developer or Builder:
~ 6\OM.e~
12.
Architect: ~ C. ~S
Landscape Architect: ~~
Site Planner: N"OtJe b
~e ~11...a: T\S-r=.t.E. ~ ~SOCtA~
Engineer: 4r~ t)tA.\~: b1-. ~\ZTotJ $~-r~
Surveyor: J~'" .L-. ~E{?~D ci 1\ss~"Tes, hJ~.
11.
13.
14.
15.
Planning and Zoning Department - Rev. 3/18/97
S:\PLANNING\SHARED\WP\FORMS\APPS\NWSP\SITEPLAN.WPD
16. Traffic Engineer:
~D~
17. Has a site plan been previously approved by the City Commission for
this property? -r~~
18. Estimated construction costs of proposed improvements shown on this
site plan: "l~ I ~OO . 00
II. SITE DATA
The following information must be filled out below and must appear~ where
applicable, on all copies of the site plan. (~G)
1. Land Use Category shown in the Comprehensive Plan LocA.L. ~~WL ~t..l&..U
. G.....
2.
3.
Zoning District
+Je-t'~~Dt C.1,
t!?/~L~
sq. ft.
t~.1SJO
Area of Site
acre~
4. Land Use -- Acreage Breakdown
b.
c.
d.
e.
g.
h.
i.
a.
Residential, including
surrounding lot area
of grounds
% of site
acres
Recreation Areas *
(excluding water area)
% of site
acres
Water Area
% of site
acres
Commercial
(!) · ~\4~
I tP c:>
acre~
% of site
f.
Industrial 1 acres % of site
Public/Institutional acres % of site
Public, Private and
Canal rights-of-way acres % of site
Other ( specify) acres % of site
Other (specify) acres % of site
,j
Planning and Zoning Department - Rev. 3/18/97
S:\PLANNING\SHARED\WP\FORMS\APPS\NWSP\SITEPLAN.WPD
j .
Total area of site
acres
% of site
* including open space suitable for outdoor recreation, .and having
a minimum dimension of 50 ft. by 50 ft.
5. Surface Cover
Ground floor building tb # c;d::;~cre~
area ("building footprint")
a.
o , r?1 9
% of site
b.
Water area
o
acres
o
% of site
c. Other impervious areas, including
paved area of public & private
streets, paved area of parking
lots & driveways (excluding 1044-~ ~I
landscaped areas), and -~
sidewalks, patios, decks, 1
and athletic courts. O. l"l acre~
d. Total impervious area 0 ,~oS- acre1
'Z.~~rr 'ley
e. Landscaped area 0 . (!)lo acrej
inside of parking lots
(20 sq. ft. per interior
parking space required -
see Sec. 7.5-35(g) of
Landscape Code) .
(9,5l4-1 % of site
O."~l' % of site
O'~ % of site
f.
Other landscaped areas,
()
acres
C)
% of site
g.
Other pervious areas, including
golf course, natural areas,
yards, and swales, but excluding
water areas () acres
(9
% of site
h.
Total pervious areas
o · orovc acreJ
o I 3l~ acrel
0,7,.0
% of site
i.
Total area of site
l&>o
% of site
6. Floor Area
Planning and Zoning Department - Rev. 3/18/97
S:\PLANNING\SHARED\WP\FORMS\APPS\NWSP\SITEPLAN.WPD
g.
Other (specify,
o
sq. ft.
h.
~sq. ft.
Total floor area
7. Number of Residential Dwelling Units
b.
c.
(1 )
(2 )
(3 )
( 4 )
d.
e.
a.
Single-family detached
~
sq. ft.
Duplex
sq. ft.
Multi-Family (3 + attached
Efficiency
1 Bedroom
2 Bedroom
'3+ Bedroom
-,welling uni ts)
dwelling units
dwelling units
dwelling units
dwelling units
Total multi-family
dwelling units
Total number of dwelling units
Nbr
Gross Density N~ dwelling units per acre
Maximum height of structures on site 1h feet 1- stories
8.
9.
10. Required off-street parkinq
a. Calculation of required
number of off-street
parking spaces
b.
Off-street parking spaces
provided on site plan
?~~
~
l?~
l?~
Planning and Zoning Department - Rev. 3/18/97
S:\PLANNING\SHARED\WP\F.ORMS\APPS\NWSP\sITEPLAN.WPD
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 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 grante?
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 enfor ement of the same.
AND AGREED TO
, 19
this ~'fL., day of (ielgv~ {- (err 1
y//Yl2t&/~
Applicant
~,
l~ ~t.?~
/
Planning and Zoning Department - Rev. 3/18/97
S:\PLANNING\SHARED\WP\FORMS\APPS\NWSP\SITEPLAN.WPD
III. CERTIFICATION
(I) ~ understand that this application and all papers and plans
submitted herewith become a part of the permanent records of the
Planning and Zoning Department (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
~s~accord::g the instructions below.
Signature of Owner(s) or Trustee, of
Authorized Principal if property is owned by
a corporation or other business entity.
~~
Date
(771
IV. AUTHORIZATION OF AGENT
Signature of Authorized Agent
Date
(I) (We) 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:
Planning and Zoning Department - Rev. 3/18/97
S:\PLANNING\SHARED\WP\FORMS\APPS\NWSP\SITEPLAN.WPD
APPLICATION ACCEPTANCE' nE:
RECEIVED BY STAFF MEMBEh.
FEE PAID:
RECEIPT NUMBER:
CITY OF BOYNTON BEACH, FLORIDA
PLANNING & ZONING DEPARTMENT
SITE PLAN REVIEW APPLICATION
FOR
NEW SITE PLANS & MAJOR MODIFICATIONS TO EXISTING SITE
Application Acceptance Date:
Fee Paid:
Receipt Number:
This application must be filled out completely, accurately and submitted as
an original to the Planning and Zoning Department. Twelve complete,
sequentially numbered and assembled 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. Pro j e c t Name: J ~V l L.O. \J 4 ..t. ~ I:::J2 k:.J a.Jk lo'T fbrz-
Lt..EA-e.- ~ P"( r l ~ .
2. Applicant's name (person or business entity in whose name this
application is made) :
12..o~1..-FeLoM~
~lO~ I ~~ WPi ,l~. ~'l")
b~ tt). ~tJtb\J ~ ~Y), ~uraJ ~ ~
\ (Zip Cu'C1e)
'7bt- ?"''''- '5~ Fax: Sbl- ~9 - ~167
Address:
Phone:
3. Agent's Name (person, if any, representing applicant):
Address:
(Zip Code)
Phone:
Fax:
4. Property Owner's (or Trustee's) Name:
Address:
Phone:
~~ LD\.?i I \~.
~
~-Mf!:
(Zip Code)
Fax:
$~
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? ~w~ buyer,
lessee, builder, developer, contract purchaser, etc.)
ot.U~
7.
Street address or location of site:
~foOvJ.~~ ~
R-
8.
Property Control #:
Of>- A.?- ""~ . '1}'( - D\ -00'2.. - 0'2.4C
,
Lt> "is 1..4-,1.,,~, 1(p
~e... ~1JtON ~iA~
PLAt ~ l'? l ~ %.>"L
Legal description of site:
9. Intended use(s) of site:
GoM~L- fruJJ't\u., ~\~~
10. Developer or Builder:
.....
&lA2o 6\oM.e ~
13.
Architect: ~ C. ~S
Landscape Architect: ~~
Si te Planner: N" O~
~e ~.tl...a: T\S-GUL f- ~SOCtA~
Engineer: ~~ t)tA.\~.# ~. ~\ZTotJ $tutl-r~
Surveyor: -(2..~'" .\.-. ~Ef>~D ci ~s~'Tes, hJ~.
11.
12.
14.
15.
Planning and Zoning Department - Rev. 3/18/97
S:\PLANNING\SHARED\WP\FORMS\APPS\NWSP\SITEPLAN.WPD
16. Traffic Engineer:
~D~
17. Has a site plan been previously approved by the City Commission for
this property? -r~~
18. Estimated construction costs of proposed improvements shown on this
si te plan: t>l~ I ~no . 00
II. SITE DATA
The following information must be filled out below and must appear~ where
applicable, on all copies of the site plan. (~G)
1. Land Use Category shown in the Comprehensive Plan LocA.L.~~WL ~t..l~
-GLAc
2 .
Zoning District
+JBt,fkf;>~\? t G. 'L.
l1? I ~ LV:;
sq. ft.
3 .
1~.1SJO
Area of Site
acre~
4. Land Use -- Acreage Breakdown
a.
b.
c.
d.
e.
g.
h.
Residential, including
surrounding lot area
of grounds
% of site
acres
Recreation Areas *
(excluding water area)
% of site
acres
Water Area
% of site
acres
Commercial
(J> · ~\4~
I tPC:>
acre~
% of site
f.
Industrial acres 9- of site
0
Public/Institutional acres % of site
Public, Private and
Canal rights-of-way acres 9- of site
0
Other (speci fy) acres % of site
Other ( specify) acres 9- of site
0
i.
Planning and Zoning Department - Rev. 3/18/97
S:\PLANNING\SHARED\WP\FORMS\APPS\NWSP\SITEPLAN,WPD
j .
Total area of site
acres
% of site
* including open space suitable for outdoor recreation, and having
a minimum dimension of 50 ft. by 50 ft.
5. Surface Cover
Ground floor building (t;) # C7d-1~cre~
area ("building footprint")
a.
b.
o
acres
Water area
c. Other impervious areas, including
paved area of public & private
streets, paved area of parking
lots & driveways (excluding 1044-~ ~I
landscaped areas), and -~
sidewalks, patios, decks, 1
and athletic courts. O. l"l acre~
d. Total impervious area {) ,1,0<7 acre1
~'l4o~ rr 'ley
e. Landscaped area () . Db acrej
inside of parking lots
(20 sq. ft. per interior
parking space required -
see Sec. 7.5-35(g) of
Landscape Code) .
o , r,,1 9
% of site
o
% of site
(9., S l4-\ % of site
o . ~~ l~ 9- of site
0
o'~ % of site
e
o
O,'},L/
l~o
f.
Other landscaped areas,
o
acres
% of site
g.
Other pervious areas, including
golf course, natural areas,
yards, and swales, but excluding
water areas () acres
% of site
% of site
% of site
a. Residential ~ sq. ft.
b. Commercial/Office ~sq. ft. lst Fin , (21tr!'~ pt., 14 r~
c. Industrial/Warehou~~ ~y. ft.
d. Recreational +Sq. ft.
Public/Institutional ft.
e. +sq.
f. Other ( specify)
sq. ft.
Planning and Zoning Department - Rev. 3/18/97
S:\PLANNING\SHARED\WP\FORMS\APPS\NWSP\SITEPLAN.WPD
g.
h.
Other (specify)
6/
sq. ft.
Total floor area
~3D
sq. ft.
7. Number of Residential DwellinQ Units
a.
b.
c.
(1 )
(2 )
(3 )
(4 )
d.
e.
Single-family detached
sq. ft.
Duplex
sq. ft.
(3 + attached ~welling units)
dwelling units
dwelling units
dwelling units
dwelling units
Multi-Family
Efficiency
1 Bedroom
2 Bedroom
'3+ Bedroom
Total multi-family
dwelling units
Total number of dwelling units
N~
N~
8 .
Gross Density
't..
stories
dwelling units per acre
1h
9.
Maximum height of structures on site
feet
10. ReQuired off-street parking
a. Calculation of required
number of off-street
parking spaces
Off-street parking spaces
provided on site plan
b.
?~~
~
t?~
l?~
Planning and Zoning Department - Rev. 3/18/97
S:\PLANNING\SHARED\WP\F.ORMS\APPS\NWSP\SITEPLAN.WPD
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 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 enfor ement of the same.
#~-~,
AND AGREED TO
, 19
this fJd'f1-. day of algvr; {- /t:f11
vm~
Applicant
t/
Planning and Zoning Department - Rev. 3/18/97
S:\PLANNING\SHARED\WP\FORMS\APPS\NWSP\SITEPLAN .WPD
III. CERTIFICATION
(I) ~ understand that this applicatiQn and all papers and plans
submitted herewith become a part of the permanent records of the
Planning and Zoning Department (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
-,s~COrding the instructions below.
Signature of Owner(s) or Trustee, of
Authorized Principal if property is owned by
a corporation or other business entity.
~dT)
Date
(111
IV. AUTHORIZATION OF AGENT
Signature of Authorized Agent
Date
(I) (We) 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:
Planning and Zoning Department - Rev. 3/18/97
S:\PLANNING\SHARED\WP\FORMS\APPS\NWSP\SITEPLAN,WPD