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APPLICATION PROJECT NAME: Ann'n'l..lrie Motel LOCATION: 911 South Federal Hwy PCN: 08-43-45-28-00-000-5060 I FILE NO.: CODS 02-007 I TYPE OF APPLICATION: Conditional Use AGENT/CONTACT PERSON: OWNER: Same Rina Czerwinski PHONE: 561-733-3861 PHONE: 561-732-9283 FAX: 561-733-3861 FAX: 561-733-3861 ADDRESS: 18 Colonial Club Dr #103 ADDRESS: 911 South Federal Hwy. Boynton Beach, FL Boynton Beach, FL Date of submittal/Projected meetine: dates: SUBMITTAL / RESUBMITT AL 11/6/02 1 ST REVIEW COMMENTS DUE: 11/25/02 PUBLIC NOTICE: 2/1/03 TRC MEETING: 1/7/03 PROJECTED RESUBMITTAL DATE: N/A ACTUAL RESUBMITTAL DATE: N/A 2ND REVIEW COMMENTS DUE: N/A LAND DEVELOPMENT SIGNS POSTED N/A (SITE PLANS): PLANNING & DEVELOPMENT BOARD N/A MEETING: COMMUNITY REDEVELOPMENT 2/11/03/ AGENCY BOARD CITY COMMISSION MEETING: 2/18/03 COMMENTS: S:\Planning\SHARED\WP\PROJECTS\Ann Marie Motel COUS\2002 PROJECT TRACKING INFO,doc . . City Codes Accessed via Website www,bovnton-beach,org www.amlega\.comlboynton_beach_tl.us Has applicant attended a pre-application meeting? ~ ~ S Date: I () ,- ~ - 0 )... CITY OF BOYNTON BEACH, FLORIDA PLANNING & ZONING DIVISION CONDITIONAL USE APPLICATION NOTE ThIS form must be filled out completely and accurately and must accompany all applIcatIOns subnntted to the Planning DIvision (two (2) copIes of applIcatIOn reqUIred) PROJECT NAME, (not legal descnptIon) PCN NUMBER, Of? -- i L~ '- 1.5 -01 If - 0 () - 00 () -' ~IJO b () CORRESPONDENCE ADDRESS: * (If dIfferent than agent or owner) *This is the only address to whieh all agendas, letters and other materials will be forwarded, ill .-6. ill PLANNiNG AND .__L~' 'NG DIPT Date SubmItted. / '() - .P. - () :J- Applicant's Name: R,; iv ff /-5 ~* (~2~L ~(,)) ~u S~ j- Apphcant's Address: (?' 00&;> /Vt At.. e {u 6 '-Dr -#. [(-')3 _B<"l':/YT(.)J\) 6E*-~f) F< .3 3 i 3> ~- Phone' q (]( - f 33- .3,Y-(.;; / Fax. % ( - 7 3;, - '3 ~(;; / Legal Descnption: AN IV' In ~ 6 moTE L .,' - - ~ /'/TEl(. fJ /ZISES 17 j /1 ..., -r-17 / / J .. I ,f vi r-- ILl 0 :r J1) ") 1\ ( - r L. .,A-D /<- V" t fl\J 7 f'..- L ~ J(..." ' fV ( /uU i(J')G Lv C rt-L 1< (JiM 1// .r;J 1 77J l< " 5 \ tv!? c--rrA--N <.:?1 ~ J1/T (lC(Gb n -712 iW ~ LJ jJ (7- r9 Cl.T {I r:3<i14~"Jt3 S . (! ~}U i<.1T7if E ~ /1-7vb /, ' tJ 12- COR <:./T"k' ~ fen (] AJ {;' (VI f7 UXf E?; ') fJ1 orG [ I2J)O A, :s ProJect DescnptlOn: wILL FOOD C t3t3~ I1-lYf) f30~R.-A-(;'t~ To 0-U r;, <7 'IS i Jl/ f! ()() /v( S f}-'fl '-rH F .fZ;c'L (4R. E 1- k;;C () ?-/7 LL 13 C b rf- :;1 C 6 4-r/ f) 1 Ute jf-E 5 /1d'{]J " @ &<2'.f... CPr" ~~ T .1) (fZj /o-j ;( '; PlCo~1 PE , / fI- r;; 'TffG L!O(L> Agent Signature The Owner has hereby deSIgnated the above-sIgned person to act as hIS agent m regard to thIS petItIOn, (To be executed when Owner desIgnates another to act on his behalf.) 2 I. GENERAL INFORMATION a. All property owners located wIthIn (400) four hundred feet surroundmg the subject parcel shall be notified, b The ownershIp of all surroundmg propertIes as submItted by the apphcant, shall be reVIewed by the CIty Clerk, who shall notIfy the owners by regular mall of the date and purpose of the pubhc hearing held in conJunctIon wIth the condItIonal use apphcatIOn, c, Notice of the public hearing shall also be advertIsed m a newspaper pubhshed m the CIty at least ten (10) days m advance of the heanng, d, At the pubhc heanng held by the Planning and Development Board and CommunIty Redevelopment Agency Board (CRA), eVIdence for or agamst may be presented. e, The Plannmg and Development Board or CRA may recommend, approval wIth modIficatIon or denIal of the applicatIOn subJect to the standards prOVIded In Ordmance No, 76-46 A wntten report of the Board's findmgs shall be forwarded to the CIty CommIsSIOn. f. At a regular meeting, the City CommiSSIOn may approve, approve wIth modIficatIOn or deny the apphcation subJect to the standards provIded m Ordinance No. 76-46. g, Each new apphcation for condItIOnal use approval shall be accompanIed by a fee payable to the CIty of Boynton Beach as per the fee schedule, as well as addressed envelopes for property owners to be notIfied, h. Each application for an extension m tIme of a condItIonal use approval shall be accompanied by a fee payable to the CIty of Boynton Beach for one hundred and twenty- five ($125) dollars. Such apphcatIOn shall be submItted to the Plannmg Director not less than 45 days prior to the expIratIOn of the approval. 1. Representative of the prolect must be present at all TechnIcal Review CommIttee, Planning and Development Board, or CRA, and CIty CommISSIon Meetings held to reVIew thIS proiect. II. CONTENTS OF THE CONDITIONAL USE APPLICATION Apphcation for conditIOnal use shall contam two (2) copIes of the following Items. a. Statement of the apphcant's mterest In the property to be developed, mcludIng a copy of the last recorded Warranty Deed, and a certIficate from an attorney-at-law or a tItle Insurance company certlfymg who the current fee SImple tItle holders of record of the subJect property are, and the nature and extent of their mterest therem, and: 1 If Joint and several ownershIp, a wntten consent to the development proposal by all owners of record, or 3 2. If a contract purchase, a copy of the purchase contract and wntten consent of the sellerlowner, or 3 If an authonzed agent, a copy of the agency agreement and wntten consent of the pnncIpal/owner, or 4. If a lessee, a copy of the lease agreement and wntten consent of the owner, or, 5 If a corporatIOn or other busmess entity, the name of the officer or person responsible for the applicatIon, and written proof that saId representatIves have the delegated authonty to represent the corporatIOn or other busmess entIty, or m lieu thereof, wntten proof that he is m fact an officer of the corporatIOn. b Legal survey, prepared by a surveyor regIstered m the State of Flonda, showmg an accurate legal descnption of the subject property, and the total acreage computed to the nearest one-hundredth (1/100) of an acre (these two surveys are in addItIOn to the surveys reqUIred on page 6 of thIS apphcatIOn, Sec. 111,19.). c VICInIty map, showing the locatIOn of the subJect property m relation to the surroundmg street system, d. Drawmg showmg the locatIOn of all property lymg four hundred feet (400) adJacent to the subJect parcel, and a complete list of the property owners' names, mailing addresses and legal descnptIOns, The owners of property shall be those recorded on the latest official County tax rolls, Such hst shall be accompanIed by an affidavit stating that to the best of the apphcant's knowledge, SaId hst IS complete and accurate. Contact: Palm Beach County, Property Appraisers Office, Attn: Mappmg DIVISIOn, 301 North Ohve Ave" WPB, FL. III, SITE PLAN REQUIREMENTS Twelve (12) complete, assembled and stapled sets of plans shall be submItted. All drawmgs shall be scaled and the maXImum SIze sheet shall be 24" X 36", The followmg SIte informatIon shall be shown on the submitted plans or where applicable, separately submitted. Incomplete site p~rs WIll not be processed. :2 ~. - 4 S-'- l{ ~~ 5 J [ J", -~ ~ /--f vt r ;V 7 f?(). I). 1-7 D{- (Please check) F T f- E Lj (01J- - c, Nt' 1/1 of:- . S~ I!l{ hi ~ U6 II ~ E" 55 w L Y / Z Gu3.;l / j- c<'-fll 3, Adjacent propertIes or land uses. ' V f-~SS /I?. iZjw! 4 Pavement edge and/or nght-of-way hnes for all streets, alleys, SIdewalks, turn lanes, dnveways and unImproved nghts-of-way wIthm one-hundred (100) feet of the SIte Also, names of adjacent streets and nghts-of-way 1. Boundanes and dimenSIOns of the parcel. 2, Scale, graphIc scale, north arrow, and date. 5. LocatIOn of all proposed structures, and any eXIstmg structures that are to remam on the SIte. 6, Setbacks of all structures (over 3 ft. in heIght) from property hnes. 4 7. Use of each structure, mdlcated on the sIte plan, 8 Number of efficIency, I-bedroom, 2 bedroom, etc, dwellmg UnIts m each reSIdential structure, to be mdIcated on sIte plan, 9 IndIcatIon of height and number of stones of each structure, 10 Indication of structures, equipment, etc , above 45 foot heIght, mcludmg heIght m excess of 45 ft. 11. Floor plans or typIcal floor plans for all structures. 12, Fmlsh floor elevatIOns of all structure 13. Uses wlthm each structure, mdlcated on floor plans. 14. ElevatIOns or typical elevatIOns of all structures; mcludmg matenals, surfaces, mcluding roofs. 15 IndIcatIOn of the numbers and types of recreatIOnal faclhtIes to be prOVIded for residential developments. 16, IndIcatIOn on SIte plan of locatIon, onentatIOn, and heIght of all freestandmg SIgnS and wall SIgnS, 17, LocatIOn of walls and fences, and mdlcation of their heIght, matenals, and color. 18. A landscape plan, showmg conformance WIth the Landscape Code and Tree Preservation Code, and showmg adequate watering facIlitIes, Plants must be keyed out according to speCIes, size and quantIty. 19, A sealed survey, by a surveyor regIstered m the State of Flonda, and not older than SIX (6) months, showmg property lines, mcludmg beanngs and dImenSIOns, north arrow, date, scale, eXlstmg structures and pavmg, eXlstmg elevatIOns on SIte, nghts- of-way and easements on or adjacent to the SIte, utIhtIes on or adjacent to the SIte, legal descnption, acreage to the nearest one-hundredth (1/100) of an acre, locatIOn sketch, and surveyor's certificatIon, Also, SIzes and locatIOns of eXlstmg trees and shrubs, including common and botanIcal names, and mdlcatIOn as to WhICh are to be retamed, removed, and relocated, or replaced. 20. LocatIon of eXlstmg utIlity lines on or adJacent to the property to be mdlcated on the SIte plan, in additIon to being shown on the survey. Also, locatIOn of eXlstmg fire hydrants on or adjacent to the site, 21, Location of addItIOnal fire hydrants, to meet standards set forth in ArtIcle X, SectIOn 16 of the SubdIvision and Plattmg RegulatIons, 22. Fire flow calculations Justifymg lme size for both on/off SIte water lines. 5 Land Use Cateeorv shown on the ComprehensIve Plan Future Land Use Map (1 (}("1 1"17 e:tt'''...C-f t/( 2, Zonine District ('/!J 3 Area of Site IlL {~j/f_ 4 Land Use - Aereaee Breakdown: a, Residential, mcludmg SIte surroundmg lot area or grounds acres %of b, RecreatIon Areas * (excludmg water area) acres % of SIte acres % of site acres % of SIte acres % of SIte acres % of SIte acres % of site acres % of SIte acres 100% of SIte c Water Area d. Commercial IlL e Industnal f. Pubhc/Institutional g, Public, Pnvate, and Canal RIghts-of-Way h. Other (specify) 1. Total area of Site Includmg open space suitable for outdoor recreatIOn, and havmg a mmlmum dimension of 50 ft, by 50 ft. 5 Surfaee Cover a. Ground Floor BUIldmg ("bUIldmg footpnnt") sq, ft, % of SIte Area b. Water Area sq. ft. % of sIte c, Other ImpervIous Areas, mcludmg paved area of pubhc & pnvate streets, paved area of parking lots and driveways (excluding landscaped areas)and sIdewalks, patios, decks, and 8 6, athletic courts sq ft. % of SIte d, Total ImpervIOus Area sq ft. % of SIte e. Landscaped Area InSIde ofParkmg Lots (20 sq ft. per mtenor parkmg space reqmred--see Sec 7.5- 35(g) of Landscape Code). sq. ft % of site f. Other Landscaped Areas, excludmg Water Area sq ft. % of SIte g. Other PervIOUS Areas, mcludmg Golf Courses, Natural areas, Yards, and Swales, but excludmg Water Areas sq ft. % of SIte h. Total PervIOUS Areas sq ft. % of SIte 1. Total Area of SIte sq, ft. 100% of SIte Floor Area a, ResIdential b, CommercIal/Office c. Industnal/Warehouse d, RecreatIOnal e, Pubhc/InstltutIOnal f. Other (specify) g. Other (specify) h. Total Floor Area sq. ft. sq ft. sq ft. sq ft. sq ft. sq, ft. sq. ft. sq. ft. 7 Number of Residential Dwelling Unit.s a. Smgle-FamIly ResidentIal dwelling UnIts b. Duplex dwelhng UnIts c. MultI-family (3 + attached dwellmg UnIts 1) EfficIency ~3 dwellmg umts -? 2) I Bedroom .J 3) 2 Bedroom J dwelhng UnIts dwelling units 9 4) 3+ Bedroom dwellmg UnIts d, Total MultI-FamIly dwellmg UnIts e. Total Number of Dwellmg UnIts il{ 8, Gross Density dwellmg umts per acre 9. Maximum Heie:ht of Struetures on Site feet ( stones 10, Required Off-Street Parkine: CalculatIon of Reqmred Parkmg Spaces I~ Off-Street Parking Spaces Number of Off-Street Parkmg Spaces J,O ProvIded on SIte Plan RIDER TO SITE PLAN APPLICATION The undersIgned as apphcant for Fmal SIte Plan Approval does hereby acknowledge, represent and agree that all plans, specificatIons, drawmgs, engmeenng, and other data submItted wIth this apphcation for review by the CIty of Boynton Beach shall be reVIewed by the vanous boards, commISSIOns, staff personnel and other partIes designated, appomted or employed by the CIty of Boynton Beach, and any such party revIewing the same shall rely upon the accuracy thereof, and any change m any Item submItted shall be deemed matenal and substantIal. The undersIgned hereby agrees that all plans, speCIficatIOns, drawmgs, engmeenng and other data WhICh may be approved by the City of Boynton Beach, or ItS boards, commIssions, staff or designees shall be constructed in stnct compliance WIth the form m WhICh they are approved, and any change to the same shall be deemed material and shall place the applicant in vIOlatIOn of thIS apphcatIOn and all approvals and permIts WhIch may be granted. The apphcant agrees to allow the CIty of Boynton Beach all nghts and remedIes as prOVIded for by the apphcable codes and ordmances of the CIty of Boynton Beach to bnng any vIOlatIOn mto comphance, and the apphcant shall indemnIfy, reimburse and save the CIty of Boynton Beach harmless from any cost, expense, claIm, hablhty or any actIon whIch may anse due to theIr enforcement of the same. READ, ACKNOWLEDGED AND AGREED TO this /? ,;><.... day of ~ . .;:1 VO/-.- Witness Witness 10 NOTICE TO APPLICANTS FOR REZONING ANDIOR LAND USE ELEMENT AMENDMENT CONDITIONAL USE APPROVAL BOARD OF ZONING APPEALS VARIANCE All apphcatIOns receIved by the CIty of Boynton Beach shall be accompanied by the list of names and addresses of all property owners within four hundred (400) feet of the subJect property. ApplicatIOns wIll not be accepted wIthout these maIling labels and addressed envelopes CONTACT, PALM BEACH COUNTY PROPERTY APPRAISERS OFFICE ATTN: MAPPING DIVISION 301 North Olive Avenue West Palm Beach, Flonda (561) 355-3881 AFFIDAVIT STATE OF FLORIDA ) ) ) S.S COUNTY OF PALM BEACH BEFORE ME THIS DAY PERSONALLY APPEARED tltvXI-J C2GfW/~~o BEING DULY SWORN, DEPOSES AND SAYS: That the accompanying Property Owners List is, to the best of hIS knowledge, a complete and accurate list of all property owners, maIlmg addresses and legal descnptIOns as recorded m the latest offiCIal tax rolls m the County Courthouse for all property WIth Four Hundred (400) feet ofthe below described parcel ofland. The property m question is legally described as follows' SEE ATTACHED EXHIBIT "A" ~Jf:j ---- FURTHER AFFIANT SA YETH NOT (SIgnature) Sworn to and subscribed before me thIS 8- day of CQ:~b--'\ A.D" 20~ 11 Notary Pubhc State ofFlonda at Large ef / VICTORIA K, DORNIEDEN . ? My COITion Exp, 211612006 . . No, DO 017330 y ? e....cnally Known [J Olher-LO. My CommISSIon Explres:_ 20 NOTICE TO APPLICANTS FOR APPROVAL OF LAND DEVELOPMENT ORDERS OR PERMITS Please be advIsed that all apphcatIOns for the following land development orders and permIts WhIch are submItted on or after June 1, 1990 wIll be subject to the CIty'S Concurrency Management Ordmance, and cannot be approved unless pubhc faclhties (potable water, sanItary sewer, dramage, sohd waste, recreation, park, and road facilities) would be aVaIlable to serve the proJect, consIstent wIth the levels of servIce whIch are adopted m the City's ComprehensIve Plan: Buildmg permIt apphcations for the constructIOn of Improvements whIch, m and by themselves, would create demand for pubhc faclhtIes Apphcations for sIte plan approval. ApphcatIOns for conditIOnal use approval. Apphcations for subdivisIOn master plan approval. Applications for prehminary plat approval ApphcatIOns for final plat approval. ApphcatIons for rezonIng to planned zOnIng dlstncts. ApplicatIOns for reVIsions to any of the applicatIOns hsted above, whIch would Increase the demand for any pubhc facIlity, Any other apphcatIOn which, in and by itself, would establish the density or mtenslty of use of land, or a maXImum densIty or mtenslty of use ofland. * ApphcatIOns for development orders and permIts submItted after February 1, 1990 and WhICh generate more than 500 net vehIcle tnps per day, must comply wIth the Palm Beach County Traffic Performance Standards Ordinance, unless exempt from that ordinance. Please be advised, however, that the followmg applicatIOns will be exempt from the Concurrency Management Ordinance, pendmg final approval of thIS ordinance by the City Commission: 12 Applications for the development of property WhICh was platted on or after January 13, 1978 and either the final plat or the preliminary plat and Palm Beach County Health Department permIt applicatIons were submItted or approved prior to June 1, 1990, and the use of the property IS consistent with the general use which was mtended for the property at the time of plattmg, Apphcations for the development of property which was platted prior to January 13, 1978, the area of the platted lots does not exceed 2 acres, and the proposed use would not generate more than 500 net vehIcle tnps per day. ApphcatIons for buildmg permIt, If a site plan or conditional use applicatIOn was submitted pnor to June I, 1990 and subsequently approved and the site plan or conditional use has not expired. Apphcations for the development of property wlthm an approved Development of Regional Impact, and which are conSIstent with the approved DR!. Applications for approval of final plats, if the prehminary plat and apphcatIOn for Palm Beach county Health Department permits for utIhtIes have been submitted prior to June 1, 1990, ApplicatIOns for revisions to previously approved development orders or permits, which do not increase the demand for any public facIlity. Please be advised that these exemption rules are tentative and will be subjeet to final approval by the City Commission. If you have any questions eoneerning the proposed Boynton Beaeh Coneurreney Management Ordinanee, please eontaet the Boynton Beach Planning Division at (561) 742-6260) Rev 10/16/01 J \SHRDATA\Planning\SHARED\WP\FORMS\APPLlCATIONS\COUS\Revised Conditional Use app-03-26-0l doc 13 , . 23. Sealed engmeenng drawmgs for proposed utIhtIes, as per City specIficatIOns. 24. InformatIOn regardmg form of ownershIp (condommIUm, fee sImple, lease, etc ) 25 Location and onentatIOn of garbage cans or dumpster faclhtIes All garbage dumpsters must be so located to provIde dIrect access for the City front-endloaders, and the dumpster area must be provided wIth adequate wIdth and height clearance The SIte must be so designed to elimmate the necessity for the front-end loader to back mto any street. If any use reqUIres the dIsposal of wet garbage, a ten foot by ten foot (10' x 10') concrete slab shall be provided. All dumpsters must be screened and landscaped in accordance wIth the CIty Landscape Code (see Sec. 7.5-35(1)) A mmlmum 10-foot wIde openIng IS reqUIred for dumpster enclosures, 26 A parkmg lot desIgn and constructIOn plan showmg conformance to the CIty Parking Lot RegulatIOns, and mcludmg the followmg mformatIOn, Any exceptIOns to the Parking Lot RegulatIOns that are proposed for that are contmued wIll reqUIre an apphcation for vanance to the Parking Lot RegulatIons. a. LocatIOn of all parkmg and loadmg faclhtIes, b. A parkmg lot layout plan, mcludmg curbs, car stops, and double stnpmg, c. A cross-sectIon ofmatenals to be used m the construction of the parkmg lot. d, A lighting plan for the bUIldmg extenor and SIte, mcludmg extenor secunty lighting, and hghting for dnveways and parkmg lots; to mclude the locatIOn of hghting standards, direction of lightmg, fixture types, lamp types and sizes, and average IlluminatIOn level(s) m foot candles. e. Information showing conformance WIth the City Street and Sidewalk Ordmance, mcludmg construction of SIdewalks along adjacent pubhc streets, f. LocatIOn of eXIstmg and proposed publIc and pnvate streets, mcludmg ultImate nghts-of-way. g, On-sIte traffic plan, mcludmg arrows and other pavement markmgs, traffic SIgnS, and stop SIgnS at eXIts h. LocatIon of handicap parkmg spaces, plus SIgnS and access ramps, conSIstent WIth the State Handicap Code 1. A drainage plan for the entIre SIte, mcludmg parkmg area; to mclude finIsh grade and pavement elevatIOns, dramage calculatIOns, and detaIls of the dramage system. If the total ImpervIOUS area on SIte exceeds twenty-five thousand (25,000) square feet, then drainage plans and calculations must be prepared by an engineer registered m the State of Florida, and must be sealed, PercolatIon tests must by provided WIth drainage calculatIons, 6 ~ . j ... J, Existmg elevations on adJacent propertIes, and on adjacent nghts-of-way 27 Where conformance wIth the County's EnvIronmentally SensitIve Lands Ordmance is reqUIred, an ApphcatIOn for Alteration of Environmentally SensItIve Lands (EnvIronmentally Impact Study) must be submItted to the Palm Beach County Department of Environmental Resources Management (copy to City) pnor to or concurrent wIth the submIttal of the sIte plan to the City. 28 Submit a traffic Impact analysIs for the proposed use, The analysIs shall comply WIth the Palm Beach County Traffic Performance Standards Ordinance SIX (6) copies of the analysis shall be submItted WIth all condItIOnal use apphcatIOns. NOTE FaIlure to submIt traffic impact analysIs m the manner described above may delay approval of the sIte plan apphcatIOn, 29. In addition to the above reqUIrements, the followmg Items shall be submItted to the Plannmg and Zoning DIVISIOn no later than the sIte plan deadlme: a. One copy of colored elevations, not mounted, for all bUIldmgs and sIgnage to be constructed on site. These elevatIOns must be of all sIdes of each type ofbUIldmg and sIgnage proposed and the colors proposed must be accompanIed by a numencal code from an estabhshed chart of colors. b, Elevations must also mclude mformatIOn related to bUIldmg matenals. All elevations must be submitted on 24" X 36" drawmgs. Buildmgs constructed wIll be mspected on the baSIS of the elevatIOns submItted to the City and approved by the CIty CommiSSIOn. FaIlure to construct bUIldmgs consIstent WIth elevatIOns submitted will result in the CertIficate of Occupancy bemg WIthheld, c, A transparency of the site plan (maxImum sIze of 8-112" x 11") or 8-112" x 11" reductions of submItted plans to be used at public heanngs, However, the Plannmg and ZOnIng DIvIsion will not be responsible for poor quality transparenCIes whIch result from the submIssion of poor quality sIte plan bluepnnts, and poor quahty transparencies will not be presented to the Planning and Development Board or eRA and City CommISSIOn. d, Colored photographs of surroundmg bUIldings (minimum SIze 8" x 10"). 30 Any other engmeering and/or technIcal data, as may be reqUIred by the Techmcal ReVIew CommIttee to determme comphance WIth the proVISIOns of the CIty'S Code of Ordinances, Any of the above reqUIrements may be waived by the TechnIcal Review CommIttee, If such mformation IS deemed to be non-essential by the Committee. IV SITE DATA The followmg informatIOn must be filled out below and must appear, where apphcable, on all copIes of the SIte plan. 7 TIme and Date of Meetl._..;; Those attendmg rveetIry' ,-1i-0~ iuc/ t-;"-t -I ' 61)( ~i IC'>/L ~. :.3 J:' )r; (f ,/ b{Jv Applicant's Name (ofl/ PRE-APPLICATION CONTACT QUESTIONSM '/ i; It,tL) Phone t~ ';;, (r- / tu 7 f 1. HAVE YOU SPOKEN TO ANY STAFF MEMBER ABOUT THE PROJECT? Yes No (IF YES, HAVE THOSE STAFF MEMBERS BEEN SCHEDULED FOR THE PRE- APPLICATION MEETING? STAFF MEMBERS NA.J.\1E, 2. LOCATION 9;; !R~TT1~O~~;~ETf~~ECTIONS) I ' !t~FI; --i-c tL c:(..l_ 11 /'/~, //<--t'i t" ~z7f (>-cc4 '-10 )r?~ WHAT WOULD YOU LIKE TO DO? NEW PROJECT BUILDING EXPANSION OR MODIFICATION CHANGE IN PRIOR USE? IS THE STRUCTURE CURRENTLY VACANT? VARIANCE TYPE, POOL OR SCREEN ENCLOSURE COMMERCLALPROPERTY? RESIDENTIAL PROPERTY? INDUSTRIAL PROPERTY? DO YOU KNOvV THE ZONING CODE DESIGNATION? " .) " 4. TIME A.J.'\ID DATE PREFERRED 5 HOW MAJ.'-N PEOPLE WILL BE AT THE PRE-APP MEETING? Note: Tell the person that someone from the Department will call them to confirm the meeting, .................................................................................. . Pre-applIcatIOn meetmgs should be scheduled for a ITIllllmUm of one (1) hour time module, and should be scheduled no less than two (2) days pnor to date/tIme of meetmg, If urgency IS sensed, discuss with Mike or LusJa, . .i\[eetinl!s may be scheduled: Monday afternoons Tuesday all day Wednesday all day Thursday mormngs Note' Lusla IS not available for Tuesday a,m, meetmgs, and Mike IS not available on Mondays between 11,30 a,m, and 2 30 p,m. S \P I ann i ng'.Planning\P re-app Ileati oneon taetquestlOns, doc ~ *' -Pet (AA LS e IxM 1C' @) AN JV( JV101eJ" fVlote I PRE-APPLICATION MEETING LOG IHEETING DATE: to - Z-O"2- APPLICATIONS: '~S ZONING DISTRICT: PROJECT NAME: I TIME: :? ' l-'V -- L{ ~C.70 -"~1 ~ ATTENDING STAFF: ATTENDING AS APPLI }\1'T: PHONE: NA1\1E OF APPLICANT/CONTACT: ei /,u l~S ADDRESS: PHONE: 5'& ( ~7 ~ 2. ~. q Z-~-::; 'FAX: \) 0 ~ C PROJECT ADDRESS: q' L ,7 {-L'J . II S If' < h,AQY {I/lr.-f-,vc PROPOSED TYPE OF USE/OCCUPAl'{CY: I 1 -e DATE SUBIVIITTAL RECEIVED: I DATE El ED: COlYll\1ENTS: "E :t d cpct-fajJ~(f I Ish If ~ J \SHRDATA\.PI:lnning'.5H..\...'U:D\WP\.PROJECTS\PRE .;"PPLlCATIO~S :\lEETL"G LOGS\Pre-Applic:ltion \[eetin;:: Log,doc PRE-APPLICATION MEETING SIGN IN SHEET PLEASE PRINT l\1EETINGDATE: le'V'2-- CJ 2- TIME: 3- Y pM ATTENDING FOR APPLICANT: DC\. r-- I ~f\ Z-e~1 1.V11S.....; NOTICE: The purpose of this conference shall be for the staff and applicant to discuss overall community goals, objectives, policies and codes ass related to the proposed development and to discuss site plan review procedures, Opinions express at the pre-application conference are not binding for formal review purposes, Additional staff comments may be forth coming based on actual lans submitted for review, City of Boynton Beach Attending for Applicant Attending Staff Eelc- ~JvnS:LJ;J . ])U~ -!). I I I I I I I I I I I '2~~J~ v <, J".5HRDA T A\P LA:\fN 11'< G\S HARE DI WP\FOR.\IS\PRE-APPL MEETf.',G-SIG:'i c-; SHEET,DOC 7671 -f/~, do -JC}-{ l 6-ncz.e. I hIYnK5 r pllone . Fax' COUN"IY J)ATA. )tUN \TION REQUEST '-...._ . . 1_/11111 /'7<1-/,:<:' NA!~E OF CO:<?~Sf ~_~D {OR INDIVIDUAL: ./<.; f) 11 C'Z.. er y Ii h sid~ "--?h ~ fe-/ Fall' p-.DDRESS : . 'j'ELE?HO"E ~-v"'"B' .5(,/- '1;.j l- - t, 0 ~4 r:ESCRIPnc,~ CF Rw~ CR AAEA REQUESTED: if ~~)' .f)~ ...J.f3-ft5 d. ~.. 00- <;>00: SO" 0 4~"1~ ~ -J~O"~€-- ~. InAf zf s: () 0 CHECK ONE: .a...A3ELS ~PRINT-OUT & LABELS PRINl'-OUT HOt-r.EOWNERS ASSN INDIVIDUAL O~~ERS NAXES OF EACH CONDO UNIT TAX ROLL RECEIPT I, THE UNDERSIGNED, WISH TO ORDER THE ABOVE: DESCRIBED DATA RUN. I UNDERST~~D THAT I WILL BE RES?ONSIBLE FOR A-~ C~~GES INCURREO. PLEASE CONTACT, PHONE #355-2358 #35S-2352 CLARICE P. PETERKI~ OR FAX 355-4416 GLOlllIA DEAN Please return to South County Semce Center AttD: Jane 16-0CY-2002 C = Condo flag Property Appraiser GIS PCN List by Parcel Control Number S 08-43-45-28-00-000-5060 C 08-43-45-27-14-000-0150 08-43-45-27-06-000-0010 C 08-43-45-27-14-000-0160 08-43-45-27-06-000-0020 C 08-43-45-27-14-000-0170 08-43-45-27-06-000-0280 C 08-43-45-27-14-000-0180 08-43-45-27-06-000-0290 C 08-43-45-27-14-000-0190 08-43-45-27-06-000-0300 C 08-43-45-27-14-000-0200 08-43-45-27-06-000-0310 C 08-43-45-27-14-000-0210 08-43-45-27-06-000-0320 C 08-43-45-27-14-000-0220 08-43-45-27-06-000-0330 C 08-43-45-27-14-000-0230 08-43-45-27-06-000-0340 C 08-43-45-27-14-000-0240 08-43-45-27-06-000-0350 08-43-45-27-54-000-0010 08-43-45-27-06-000-0360 08-43-45-28-00-000-5030 08-43-45-27-06-000-0460 08-43-45-28-00-000-5040 C 08-43-45-27-14-000-0010 08-43-45-28-00-000-5050 C 08-43-45-27-14-000-0020 08-43-45-28-00-000-5070 C 08-43-45-27-14-000-0030 08-43-45-28-23-002-0010 C 08-43-45-27-14-000-0040 08-43-45-28-23-002-0030 C 08-43-45-27-14-000-0050 08-43-45-28-23-002-0050 C 08-43-45-27-14-000-0060 08-43-45-28-23-002-0060 C 08-43-45-27-14-000-0070 08-43-45-28-23-002-0080 C 08-43-45-27-14-000-0080 08-43-45-28-23-002-0090 C 08-43-45-27-14-000-0090 08-43-45-28-23-002-0110 C 08-43-45-27-14-000-0100 08-43-45-28-23-002-0120 C 08-43-45-27-14-000-0110 08-43-45-28-23-002-0130 C 08-43-45-27-14-000-0120 08-43-45-28-23-002-0140 C 08-43-45-27-14-000-0130 08-43-45-28-23-002-0150 C 08-43-45-27-14-000-0140 08-43-45-28-23-002-0170 Page 1 of 1 Radius 0 - 400 08-43-45-28-23-002-0180 08-43-45-28-23-002-0190 08-43-45-28-23-003-0010 08-43-45-28-23-003-0020 08-43-45-28-23-003-0031 08-43-45-28-23-003-0050 08-43-45-28-23-003-0060 08-43-45-28-23-003-0171 08-43-45-28-23-003-0181 08-43-45-28-23-003-0200 08-43-45-28-24-000-0030 08-43-45-28-24-000-0040 08-43-45-28-24-000-0080 08-43-45-28-24-000-0140 08-43-45-28-24-000-0180 08-43-45-28-24-000-0200 08-43-45-28-24-000-0220 08-43-45-28-24-000-0231 16-QCT-2002 C = Condo flag Property Appraiser GIS PCN List by Parcel Control Number S 08-43-45-28-00-000-5060 C 08-43-45-27-14-000-0150 08-43-45-27-06-000-0010 C 08-43-45-27-14-000-0160 08-43-45-27-06-000-0020 C 08-43-45-27-14-000-0170 08-43-45-27-06-000-0280 C 08-43-45-27-14-000-0180 08-43-45-27-06-000-0290 C 08-43-45-27-14-000-0190 08-43-45-27-06-000-0300 C 08-43-45-27-14-000-0200 08-43-45-27-06-000-0310 C 08-43-45-27-14-000-0210 08-43-45-27-06-000-0320 C 08-43-45-27-14-000-0220 08-43-45-27-06-000-0330 C 08-43-45-27-14-000-0230 08-43-45-27-06-000-0340 C 08-43-45-27-14-000-0240 08-43-45-27-06-000-0350 08-43-45-27-54-000-0010 08-43-45-27-06-000-0360 08-43-45-28-00-000-5030 08-43-45-27-06-000-0460 08-43-45-28-00-000-5040 C 08-43-45-27-14-000-0010 08-43-45-28-00-000-5050 C 08-43-45-27-14-000-0020 08-43-45-28-00-000-5070 C 08-43-45-27-14-000-0030 08-43-45-28-23-002-0010 C 08-43-45-27-14-000-0040 08-43-45-28-23-002-0030 C 08-43-45-27-14-000-0050 08-43-45-28-23-002-0050 C 08-43-45-27-14-000-0060 08-43-45-28-23-002-0060 C 08-43-45-27-14-000-0070 08-43-45-28-23-002-0080 C 08-43-45-27-14-000-0080 08-43-45-28-23-002-0090 C 08-43-45-27-14-000-0090 08-43-45-28-23-002-0110 C 08-43-45-27-14-000-0100 08-43-45-28-23-002-0120 C 08-43-45-27-14-000-0110 08-43-45-28-23-002-0130 C 08-43-45-27-14-000-0120 08-43-45-28-23-002-0140 C 08-43-45-27-14-000-0130 08-43-45-28-23-002-0150 C 08-43-45-27-14-000-0140 08-43-45-28-23-002-0170 Page 1 of 1 Radius 0 - 400 08-43-45-28-23-002-0180 08-43-45-28-23-002-0190 08-43-45-28-23-003-0010 08-43-45-28-23-003-0020 08-43-45-28-23-003-0031 08-43-45-28-23-003-0050 08-43-45-28-23-003-0060 08-43-45-28-23-003-0171 08-43-45-28-23-003-0181 08-43-45-28-23-003-0200 08-43-45-28-24-000-0030 08-43-45-28-24-000-0040 08-43-45-28-24-000-0080 08-43-45-28-24-000-0140 08-43-45-28-24-000-0180 08-43-45-28-24-000-0200 08-43-45-28-24-000-0220 08-43-45-28-24-000-0231 0'\ 4-l o r..(I) ..... 0(1) r.l Q) f-;..:I 01 r.. m << r....:I :s: N .....(1) (I) or.l 1"-..:1 I"- ....... o o '" Z..... r..(I) O~ f-;r.. r..0 N:S: U') '" 00 ....... .......... ..... r.l (1)(1) , r.. 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N U .....NO ()I1Mrl I tLI I t I f-<UriI~ri1 CIlHf-<OC9 ZP;:";O"; Ho.Qo:Io. riI H .,; CIl o O'\1"""iCO N';<CO 1'-"'..... NON CO '" '" , I , CIlrilH riI~o:I P;:H~ ~:;f-< 00000 00:1.....0:1 H ~ rilH ~~ On Account PurchaSe GARY R, NIKOLITS, C.F.A. P.B.C, PROPERTY APPRAISER 301 NORTH OLIVE AVENUE WEST PALM BEACH, FLORIDA 33401 10/16/02 3:28:16 PMInvoice # 815 Cashier ID: CP Station ID: CP # of items: 3 CZERWINSKI DL: A RINA CZERWINSKI 561 742-6074 -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- Description Print Lines Per Thousand Labels Per Thousand Radius Map Item # 502 504 027 Quantity 0,735 @ $1.01 0,072 @ $7,25 1 @ $5,00 Price $0.74 $0,52 $5.00 -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- Sub Total Grand Total $6,26 $6,26 Old balance: $0,00 New bar"PCl\: $6;.26 \\0. ~ . ,V Slgn: ~( OY~llL MAP #829