APPLICATION (SITE PLAN)
~. '.
SITE PLAN APPROVAL APPLICATION
City of Boynton Beach, Florida
Planning and Zoning Board
This application must be fill~d 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
1. Project Name:
Humana MedFirst Boynton Beach
2. Date this ApplicatioR is Accepted :
(to be filled out by Planning Dept.)
3. Applicant's Name (person or business entity in whose name this
application is made) :
Humdeco, I nc .
Address:
500 West Main Street
Louisville, KY . 40201
Phone:
(502) 580-1256
4. Agent's Name (person, if any, representing applicant):
Address:
Randy B. Oakes. Proiect Manaqer
500 West Main Street
Louisville, KY 40201
Phone:
(502) 580-1256
5. Property Owner's (or Trustee's) Name:
Robert Q. & Doris E, Wyckoff, Clarence H, & Airane S,
Lansford - 1511 Carandis Circle, West Palm Beach, FL 33406
Address:
675 NW 1st Avenue, Boynton Beach, FL 33453
Phone:
Not known at this time
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 Dept. 10/82
Page 2
7. What is applicant's interest in the premises affected?
Contract Purchaser
(Owner, Buyer, Lessee, Builder, Developer,
Contract Purchaser, etc.l
8. Street Address or Location of Site:
Fronting on New Bovnton Road.
bounded by NW First Ave. to the rear, and fifty (50) feet east of NW 7th St.
9. Legal Description of Site: See attached sheet
10. Intended Use(s) of Site: Physicians Office
11. Developer or Builder: Not Known At This Time
12. Architect:
Godsey & Associates
13. Landscape Architect:
George F. Young, Inc.
14. Site Planner:
George F. Young, Inc.
15. Eng ineer :
George F. Young, Inc.
16. Surveyor:
Craven-Thompson & Associates, Inc.
17. Traffic Engineer:
18. Has a site plan been previously approved by the City Council
for this property? Not Known
19. Estimated construction cost of proposed improvements shown on
this site plan:
$250.000.00
"
Planning Dept. 10/82
Page 3
II. SITE DATA
The following information must be filled out below and must appear,
where applicable, on all six (6) copies of the site plan.
1. Land Use Cateqorv shown in
the comprehensive Plan
Commercial
2.
Zoning District
C-2
3. Area of Site
O.~R
acres
?':;,111
sq. ft.
4. Land Use -- Acreage Breakdown
a, Residential, including
surrounding lot area or
grounds
acres
% of site
e. Industrial
acres % of site
acres - % of site
0.58 acres 100 % of site
acres % of site
acres % of site
b, Recreation Areas *
(excluding water area)
c, Water Area
d, Commercial
f, Public/In-
stitutional
'1" Public,Private, and Canal
Rights-of-way
acres
% of site
h, Other (specify)
acres
% of site
i. Other (specify)
acres
% of site
j. Total Area of Site
0.58
100
% 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 3125
Area ("building footprint")
sq.ft.
12
% of site
b, Water Area 0
sq,ft.
o
% of site
c. 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, 13482
sq, ft,
53
% of site
d. Total ImperviOUS Area 16607
sq.ft,
65
% of site
e. Landscaped Area Inside
of Parking Lots
(20 sq,ft, per interior
parking space required--
see See, 7.5-35('1') of
Lcmdscape Code) ,
581
sq.ft.
2 % 0 f site
Planning Dept. 10/82
Pl:"CFlinn "",nt, ll1/R7.
Page 4
f. Other Landscaped Areas, 5752.5 sq.ft. 23 '% of site
excluding Water Area
g. Other Pervious Areas,
including Golf Courses,
Natural Areas, Yards, and
Swales, but excluding
Water Areas 2372.5 sq.ft. 9 % of site
h. Total Pervious Areas "10687 sq.ft. 42 % of site
i. Total Area of Site 7,,1, tiq. ft. 100 % of site
6. Floor Area
a. Residential sq.ft.
b. Commercial/Office 3125 sq.ft.
c. Industrial/Warehouse sq. ft.
d. Recreational sq. ft.
e. Publici
Institutional sq.ft.
f. Other ( specify) sq. ft.
g. Other (specify)
sq.ft.
h. Total Floor Area 3125 sq.ft.
7. Number of Residential Dwelling Units
a. Single-Family Detached dwelling units
b. Duplex dwelling units
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 Density
Dwelling Units per Acre
9. Maximum Height of Structures on Site
22+
feet
One (1) stories
10. Required Off-Street Parking
a. Calculation of Required
Number of Off-Street
Parking Spaces
b. Off-Street Parking Spaces
Provided on Site Plan
16
29 - including 2 handicap
"
Planning Dept. 10/82
Page 7
IV. MISCELLANEOUS
The following materials must be submitted in one (1) copy:
(check)
1. A check, payable to the City of Boynton Beach, for two hundred
dollars ($200).
2. For projects that generate at least three thousand (3,000)
vehicle trips per day or two hundred and fifty (250) single
directional vehicle trips in a one (1) hour period, a traffic
-im~~~t auuly~is must be submitted.
3. Any other engineering and/or technical data, as may be re-
quired 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 to the best of (my) (our)
knowledge and belief. This application will not be accepted
unless signed ac~prd. ing~t tQ~' structio?4S blow.
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Signature of Owner(s) 0 Trustee, Date
or Authorized Principal if property
is owned by a corporation or other
business entity.
VI.
,AUTLeRIZATI~ OF AGENT
"D ),
-."-- \l. ',' '1.:,
, -, -
S~gnature of Authorized Agent
,/ /,
" 1(' 'I iC
J ' , ~ ~)
Date
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f
(I) (We) hereby designate the above signed person as
(ou.r!p authori:;;ed ^age~ in re'1ar?- tQ this application.
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j0,1",''1'~( iJ- h~ '" c" VI=-! $!/I- ~ohAtGl. 9/ u '8S'
Signature of Owner(s)t or Trustee, I Date
or Authorized Principal if property
is owned by a corporation or other
business entity.
(my)
SPACE BELOW THIS LINE FOR OFFICE USE ONLY
Review Schedule:
Date Received:
Technical Review Board
Planning & Zoning Board
Community Appearance Board
City Council
Date
Date
Date
Date
Stipulations of Final Approval:
Other Government Agencies/Persons to be contacted:
Additional Remarks:
Planning Dept. 10/82