APPLICATION
SITE PLAN APPROVAL APPLICATION
"
City of Boynton Beach, Florida
Planning and Zoning Board
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
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1. Project Name:
2. Date this Application is Accepted :
(to be filled out by Planning Dept.)
3. Applicant's Name (person or business entity in whose name this
application is made) :
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Address:
Phone:
4. Agent's Name (person, if any, representing applicant):
Address:
Phone:
5. Property Owner's (or Trustee's) Name:
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Address: ~ .J 2- flhLbN fi v&
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Phone: ;2,?~ - 2-.70 ;7
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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
rage 2
7. What'is applicant's interest in the premises affected?
(3 LV AI 6 (.(
(Owner, Buyer, ~essee, Builder, Developer,
Contract Purchaser, etc.)
8. street Address or Location of Site:
(oIl
/V,e,
/~~__B'{/C
9.
Legal Description
frUl L S
L PI( IE.
of Site/Property Control #:
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10. Intended Use (s) of Site: {fPflR1f'18N-r
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11. Developer or Builder.
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12. Architect:
13. Landscape Architect:
14. Site Planner:
15. Engineer:
16. Surveyor:
17. Traffic Engineer:
18.
Has
for
a site plan been previously approved by the City Council
this property? _~____________ _ _____u
._----~-_._._~._~_.__.-
Lhis site
construct~ cost of
plan: SClO'-!!....Ci
propo~:(,tl imprOVeril12rlts
sholvn on
19.
Estimated
//,f fr[eR ,,./-
Planning Dept. 10/82
II. SITE DATA
Page 3
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 Cateqory shown in
the Comprehensive Plan
2. Zoning District
^
/
3. Area of Site
acres
sq. ft.
4. Land Use -- Acreage Breakdown
a. Resid~tial, including
surro~~~ing lot area or
grounds \
... "\
\
b. Recreation\Areas *
(excluding wpter area) ,
c. Water Area
d. Commercial
e. Industrial
f. Public/In-
stitutional
g. Public,private,
Rights-of-Way
h. Other (specify)
i. Other (specify)
"
j. Total Area of Site
* Including open s
having a minimu
5. Surface Cover
a. Ground Floor BU~ding
Area ("building, footprint")
b. Water Area
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.
.
/
;
% of site
acres
% of site
acres
.% of site
acres
% of site
acres
% of site
acres
% of site
acres
% of site
acres
% of site
acres
% of site
100
% of site
for outdoor recreation, and
o ft. by 50 ft.
% of site
% of site
sq. ft. % of site
sq.ft. % of site
,
sq.ft. % of site
d. Total Impervious Area
e. Landscaped Area Inside
of Parking Lots
(20 sq.ft. per interior
parking space required--
see Sec. 7.5-35(g) of
Landscape Code) .
PI~nninN n~~t. In/R2
Planning Dept. 10/82
Page 4
f. Other Landscaped Areas,
excluding Water Area
sq.ft.
'% of site
g. Other Pervious Areas,
including Golf Courses,
Natural Areas, Yards, and
Swales, but excluding
Water Areas
t
!
sq.!t.
sq;: ft.
;;q.ft.
% of site
h. Total Pervious Areas
% of site
i. Total Area of Site
100
% of site
a.
!
!
/ sq. ft.
!
! sq.ft.
sq. ft.
sq.ft.
6. Floor Ar a
b.
c.
d. Recreational
e. Publici
Institutional
!
I
sq. ft.
sq.ft.
f. Other (specify)
,
,
,
,
,
I
,
g. Other (specify)
sq.ft.
h. Total Floor Area sq.ft.
7. Number of Residential Units
a. Single-Family dwelling units
b. Duplex dwelling units
c. Multi-Family (3 +
attached dwelling
(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
10. Required Off-Street Parking
feet
stories
a. Calculation of Required
Number of Off-Street
Parking Spaces
b. Off-Street Parking Spaces
Provided on Site Plan
Planning Dept. 10/82
IV.' MISCELLANEOUS
Page 9
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 schedule.
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
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..........t"".........l",. ""'...u........r............ ................ ;"J,,- ....................._.............
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 is application will not be accepted
un s signed acco in to the i structions below.
"
8-<~~P~
/ D te
/
ignature of Owner(s) or Trustee,
or Authorized Principal if property
is owned by a corporation or other
business entity.
VI. 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.
Date
"
Signature of Owner(s) or Trustee,
or Authorized Principal if property
is owned by a corporation or other
business entity.
SPACE BELOW THIS LINE FOR OFFICE USE ONLY
Review Schedule:
Date Received:
Technical Review Board
Planning & Zoning Board
Community Appearance Board
City Council
Stipulations of Final Approval:
Date
Date
Date
Date
Other Government Agencies/Persons to be contacted:
Additional Remarks:
Planning Dept. 10/82