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APPLICATION City Codes Accessed via Wehsite www,bovnton-beach,org www.amlegal.comlboynton _beach _ fl : I Ute 2 0 2001 Has applicant attended a pre-application meeting? Date: 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 submitted to the Planning Division (two (2) copies of application required). PROJECT NAME: \"JOCL.&eJ<.:.u...\ -:p\J:)~ ~T D AGENT'S NAME: W.1==>. -ro"'^~"-\~ . ~(\.. ~P\ c..:::.~.s.u",,\o-T~_ \~. ADDRESS: 22.~'S C~b{'2...c>re &'-'-0. ~ 2c:1~ ~c...p. ~~ . 'R... ~451 PHONE: ~\ - ~'!:) '&- D~"i".s- FAX: '"S\:> \ - ~~..,- ~,1.' FAX: PROJECT LOCATION: ~\tl c:::..c~~ \Lle...::.,-tYl--",-u.r -\ c...;::::.Nc:..nes.::o (not legal description) PCNNUMBER: D~ - 4~ - AS-&\ - \l~ D::J"l..- <.J~a CORRESPONDENCE ADDRESS: * \4 PT c...::.::.~~~~D~ \A..:L... "2. 2.. ~ S- u.:::.uc n..o'\"G'- ""&'-~. ~ 1.4 ~ . ~y:::. Q..t:>~ ~... . 3a:,4S \ ... . ~. (if different than agent or owner) *This is the only address to which all agendas, letters and other materials will be forwarded. Date Submitted: \ L- 2..C - C I Applicant's Name~ ~~e- t:>..) ~~ r.J t:A. Applicant's Address: Phone: Fax: Legal Description: Tebc...T . & ~ .:::>\ h~....'U.- Co:) ..... \"\.G ~ c::F \~ co~e.(L.\<-~ -:P~,t>s. (U5,-~<::r.:>' ~ PL.114" ~'c... ~~ _ Ri:.~ ~ 4~ ~@,.'-... <- \\.e-~~ ~ P,b~ lQeo~. F'\-. , Project Description: C-'-I ~ 'P\~tU'\'" OCo.J-t , ~.~ Owher Signature c c1 ~)~~ Agent Signature r> , The Owner has hereby designated the above-signed person to act as his agent in 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 surrounding the subject parcel sha'l be notified. b. The ownership of all surrounding properties as submitted by the applicant, shall be reviewed by the City Clerk, who shall notify the owners by regular mail of the date and purpose ofthe public hearing held in conjunction with the conditional use application. c. Notice of the public hearing shall also be advertised in a newspaper published in the City at least ten (10) days in advance ofthe hearing. d. At the public hearing held by the Planning and Development Board and Community Redevelopment Agency Board (CRA), evidence for or against may be presented. e. The Planning and Development Board or CRA may recommend, approval with modification or denial of the application subject to the standards provided in Ordinance No. 76-46. A written report of the Board's findings shall be forwarded to the City Commission. f. At a regular meeting, the City Commission may approve, approve with modification or deny the application subject to the standards provided in Ordinance No. 76-46. g. Each new application 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 in 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 application shall be submitted to the Planning Director not less than 45 days prior to the expiration of the approval. 1. Representative of the proiect 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 Application for conditional use shall contain two (2) copies of the following items: a. Statement of the applicant's interest in the property to be developed, including a copy of the last recorded Warranty Deed, and a certificate from an attorney-at-law or a title insurance company certifying who the current fee simple title holders of record of the subject property are, and the nature and extent of their interest therein, and: 1. If joint and several ownership, a written consent to the development proposal by all owners of record, or 3 2. If a contract purchase, a copy of the purchase contract and written consent of the seller/owner, or If an authorized agent, a copy of the agency agreement and written consent of the principaVowner, or If a lessee, a copy ofthe lease agreement and written consent of the owner, or, If a corporation or other business entity, the name of the officer or person responsible for the application, and written proof that said representatives have the delegated authority to represent the corporation or other business entity, or in lieu thereof, written proofthat he is in fact an officer ofthe corporation. 3. f 4. 5. b. Legal survey, prepared by a surveyor registered in the State of Florida, showing an accurate legal description 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 application, Sec. Ill. 19.). c. Vicinity map, showing the location of the subject property in relation to the surrounding street system. d. Drawing showing the location of all property lying four hundred feet (400) adjacent to the subject parcel, and a complete list of the property owners' names, mailing addresses and legal descriptions. The owners of property shall be those recorded on the latest official County tax rolls. Such list shall be accompanied by an affidavit stating that to the best of the applicant's knowledge, said list is complete and accurate. Contact: Palm Beach County, Property Appraisers Office, Attn: Mapping Division, 301 North Olive Ave., WPB, FL. III. SITE PLAN REQUIREMENTS ~ ~ ~ --- /' /' Twelve (12) complete, assembled and stapled sets of plans shall be submitted. All drawings shall be scaled and the maximum size sheet shall be 24" x 36". The following site information shall be shown on the submitted plans or where applicable, separately submitted. Incomplete site plans will not be processed. (Please check) 1. Boundaries and dimensions of the parcel. 2. Scale, graphic scale, north arrow, and date. 3. Adjacent properties or land uses. 4. Pavement edge and/or right-of-way lines for all streets, alleys, sidewalks, turn lanes, driveways and unimproved rights-of-way within one-hundred (100) feet of the site. Also, names of adjacent streets and rights-of-way. 5. Location of all proposed structures, and any existing structures that are to remain on the site. 6. Setbacks of all structures (over 3 ft. in height) from property lines. 4 ,...-/ .. ./ /' -' ,.-/ /" /' /' /' .-/ /' /' /' / /" u f(t> . 7. Use of each structure, indicated on the site plan. 8. Number of efficiency, I-bedroom, 2 bedroom, etc, dwelling units in each residential structure, to be indicated on site plan. 9. Indication of height and number of stories of each structure. 10. Indication of structures, equipment, etc., above 45 foot height, including height in excess of 45 ft. 11. Floor plans or typical floor plans for all structures. 12. Finish floor elevations of all structure. 13. Uses within each structure, indicated on floor plans. 14. Elevations or typical elevations of all structures; including materials, surfaces, including roofs. 15. Indication ofthe numbers and types of recreational facilities to be provid~d for residential developments. 16. Indication on site plan of location, orientation, and height of all freestanding signs and wall signs. 17. Location of walls and fences, and indication oftheir height, materials, and color. 18. A landscape plan, showing conformance with the Landscape Code and Tree Preservation Code, and showing adequate watering facilities. Plants must be keyed out according to species, size and quantity. 19. A sealed survey, by a surveyor registered in the State of Florida, and not older than six (6) months, showing property lines, including bearings and dimensions, north arrow, date, scale, existing structures and paving, existing elevations on site, rights- of-way and easements on or adjacent to the site, utilities on or adjacent to the site, legal description, acreage to the nearest one-hundredth (11100) of an acre, location sketch, and surveyor's certification. Also, sizes and locations of existing trees and shrubs, including common and botanical names, and indication as to which are to be retained, removed, and relocated, or replaced. 20. Location of existing utility lines on or adjacent to the property to be indicated on the site plan, in addition to being shown on the survey. Also, location of existing fire hydrants on or adjacent to the site. 21. Location of additional fire hydrants, to meet standards set forth in Article X, Section 16 ofthe Subdivision and Platting Regulations. 22. Fire flow calculations justifying line size for both on/off site water lines. 5 t..J1r:a ,J4 . --- ~ 23. Sealed engineering drawings for proposed utilities, as per City specifications. 24. Information regarding form of ownership (condominium, fee simple, lease, etc.). I 25. Location and orientation of garbage cans or dumpster facilities. 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 eliminate the necessity for the front-end loader to back into 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(I)). A minimum 10-foot wide opening is required for dumpster enclosures. 26. A parking lot design and construction plan showing conformance to the City Parking Lot Regulations, and including the following information. Any exceptions to the Parking Lot Regulations that are proposed for that are continued will require an application for variance to the Parking Lot Regulations. a. Location of all parking and loading facilities. b. A parking lot layout plan, including curbs, car stops, and double striping. c. A cross-section of materials to be used in the construction of the parking lot. d. A lighting plan for the building exterior and site, including exterior security lighting, and lighting for driveways and parking lots; to include the location of lighting standards, direction of lighting, fixture types, lamp types and sizes, and average illumination level(s) in foot candles. e. Information showing conformance with the City Street and Sidewalk Ordinance, including ~onstruction of sidewalks along adjacent public streets. f Location of existing and proposed public and private streets, including ultimate rights-of-way. g. On-site traffic plan, including arrows and other pavement markings, traffic signs, and stop signs at exits. h. Location of handicap parking spaces, plus signs and access ramps, consistent with the State Handicap Code. 1. A drainage plan for the entire site, including parking area; to include finish grade and pavement elevations, drainage calculations, and details of the drainage 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 in the State of Florida, and must be sealed. Percolation tests must by provided with drainage calculations. 6 ~Jp. ---- J. Existing elevations on adjacent properties, and on adjacent rights-of-way. 27. Where conformance with the County's Environmentally Sensitive Lands Ordinance is required, an Application 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) prior 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 applications. NOTE: Failure to submit traffic impact analysis in the manner described above may delay approval of the site plan application. "..-- . 29. In addition to the above requirements, the following items shall be submitted to the Planning and Zoning Division no later than the site plan deadline: a. One copy of colored elevations, not mounted, for all buildings and signage to be constructed on site. These elevations must be of all sides of each type of building and signage proposed and the colors proposed must be accompanied by a numerical code from an established chart of colors. ' b. Elevations must also include information related to building materials. All elevations must be submitted on 24" x 36" drawings. Buildings constructed will be inspected on the basis of the elevations submitted to the City and approved by the City Commission. Failure to construct buildings consistent with elevations submitted will result in the Certificate of Occupancy being withheld. c. A transparency of the site plan (maximum size of 8-1/2" x 11 ") or 8-1/2" x 11" reductions of submitted plans to be used at public hearings. However, the Planning and Zoning Division will not be responsible for poor quality transparencies which result from the submission of poor quality site plan blueprints, and poor quality transparencies will not be presented to the Planning and Development Board or CRA and City Commission. d. Colored photographs of surrounding buildings (minimum size 8" x 10"). 30. Any other engineering and/or technical data, as may be required by the Technical Review Committee to determine compliance 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 information is deemed to be non-essential by the Committee. IV SITE DATA The following information must be filled out below and must appear, where applicable, on all copies of the site plan. 7 1. Land Use Cate20rv shown on the Comprehensive Plan Future Land Use Map: C- 2. Zonin2 District <:'-'3> 3. Area of Site 4-. ~ 4-S" ~-. 4. Land Use - Acrea2e Breakdown: a. Residential, including site surrounding lot area or grounds acres %of b. Recreation Areas * (excluding 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 a... ~ 4 'S" e. Industrial f. Public/Institutional g. Public, Private, and Canal Rights-of-Way h. Other (specify) 4- .!) <\. s 1. Total area 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 ("building footprint") 2.~. "2.~c , sq. ft. \ ~ . (.g % of site Area b. Water Area ~/~ sq. ft. % of site c. Other Impervious Areas, including paved area of public & private streets, paved area of parking lots and driveways (excluding landscaped areas)and sidewalks, patios, decks, and 8 athletic courts sq. ft. % _of site. d. Total Impervious Area f 3. ~ I:M... sq. ft. '-, .,~ % of site e. Landscaped Area Inside of Parking Lots (20 sq. ft. per interior parking space required--see Sec. 7.5- 35(g) of Landscape Code). sq. ft % of site 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 sq. ft. % of site h. Total Pervious Areas 1. Total Area of Site 6. Floor Area a. Residential b. Commercial/Office c. Industrial/Warehouse d. Recreational e. Public/Institutional f. Other (specify) g. Other (specify) h. Total Floor Area , . 'S:) ~... sq. ft. ~ 'Z. . 'Z..\ % of site lL ~ 4. $"" c...... sq. ft. 100% of site sq. ft. S~. -z.~~ , sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. 7. Number of Residential Dwelling Units a. Single-Family Residential ~/~ 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 9 4) 3+ Bedroom dwelling units d. Total Multi-Family dwelling units e. Tolal Number of Dwelling Units 8. Gross Density dwelling units per acre 9. , Maximum Hei!!ht of Structures on Site 4-s feet 4- stories 10. Required Off-Street Parkin!! Calculation of Required Parking Spaces Off-Street Parking Spaces Number of Off-Street Parking Spaces Provided on Site Plan 1/ z....=- ~ I 2.~. ~ob 3ae::.-.:> 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 ofthe 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 enforcement of the same. READ, ACKNOWLEDGED AND AGREED TO this l~ ~ day of ~ . ""t ~,.<::" ~ / i tness ~.p :rct't^~~~ ,..)(\. --t:2~ ~ s: vVItness ~P''' M ~~ Applicant 10 , 2 U LUUI NOTICE TO APPLICANTS FOR REZONING AND/OR LAND USE ELEMENT AMENDMENT CONDITIONAL USE APPROVAL BOARD OF ZONING APPEALS VARIANCE All applications 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 CaNT ACT: PALM BEACH COUNTY PROPERTY APPRAISERS OFFICE ATTN: MAPPING DIVISION 301 North Olive Avenue West Palm Beach, Florida (561) 355-3881 AFFIDAVIT STATE OF FLORIDA ) ) ) S.S. COUNTY OF PALM BEACH BEFORE ME THIS DA Y PERSONALLY APPEARED \-U?~~~,..)n. , WHO 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, mailing addresses and legal descriptions as recorded in the latest official tax rolls in the County Courthouse for all property with Four Hundred (400) feet of the below described parcel ofland. The property in question is legally described as follows: SEE ATTACHED EXHIBIT "A" FURTHER AFFIANT SA YETH NOT. ~ C:> ,~ (Signature) L:> / { tt- Sworn to and subscribed before me this z.c day of cc::e-L 11 A.D., 20~. Notary Public State of Florida at Large OFFICIAL NarARYSEAL 4 STEVEN T UTRECHf My Commission Expires: I -S- 200 2.. NOTARYPUBUC srATE OF FLORIDA /' COMMISSION NO. CC871720 . MY COMMISSIOt'g~!:SEPT 15 NOTICE TO APPLICANTS FO PRO V AL OF LAND DEVELOPMENT ORDERS OR PERMITS srJJA-~ Please be advised that all applications 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 Ordinance, and canrtot be approved unless public facilities (potable water, sanitary sewer, drainage, solid waste, recreation, park, and road facilities) would be available to serve the project, consistent with the levels of service which are adopted in the City's Comprehensive Plan: Building permit applications for the construction of improvements which, in and by themselves, would create demand for public facilities. Applications for site plan approval. Applications for conditional use approval. Applications for subdivision master plan approval. Applications for preliminary plat approval. Applications for final plat approval. Applications for rezoning to planned zoning districts. Applications for revisions to any of the applications listed above, which would increase the demand for any public facility. Any other application which, in and by itself, would establish the density or intensity of use of land, or a maximum density or intensity of use ofland. * Applications for development orders and permits submitted after February 1, 1990 and which generate more than 500 net vehicle trips per day, must complv with the Palm Beach County Traffic Performance Standards Ordinance, unless exempt from that ordinance. Please be advised, however, that the following applications will be exempt from the Concurrency Management Ordinance, pending 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 intended for the property at the time of platting. Applications 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 trips per day. Applications for building permit, if a site plan or conditional use application was submitted prior to June 1, 1990 and subsequently approved and the site plan or conditional use has not expired. Applications for the development of property within an approved Development of Regional Impact, and which are consistent with the approved DR!. Applications for approval of final plats, if the preliminary plat and application for Palm Beach county Health Department permits for utilities 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 subject to final approval by the City Commission. 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City Codes Accessed via City Home Page www.ci.bovnton-beach.fJ.us \'\/ww,amleQal.com/bovnton beach fJ CITY OF BOYNTON BEACH~ FLORIDA PLANNING & ZONING DIVISION nr,r 2'11 W;,M-JD "'~ ':T SITE PLAN REVIEW APPLICATION FOR NEW SITE PLANS & MAJOR MODIFICATIONS TO EXISTING SITE Application Acceptance Date: Fee Paid Receipt Number Has applicant attended a pre-application meeting? Ye.s. .Date JUto..\E "Z..O~l This application must be filled out completely. accurately and submitted as an original to the Planning and Zoning Division. TWELVE COMPLETE. sequentially numbered. ASSEMBLED AND STAPLED 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. Project \,JCc::.L~lC.l..\-T P\...A:cA T~t..T e:::. Name: 2. Applicant's name (person or business entity in whose name this application is made): \ S&Ac.- M I e 12..~\-1 , Phone: Fax: ~'Y~'f"\.,.) ~ ~ oJ 'F<-. 334l.<... (Zip Code) Address: \ LD 0 ~ S. c.u N c.-''l.C:~ ~vce. 3. Agent's Name (person. ifany. representing applicant): u. R~t'''''14::>\c..,o....)s...~ta.. \-\-PT ~..1S.\J""T~T~" I...;)c... Address: 2.1..~S' c..:::::'n.?c,;)\~ ~'--.jQ. '* 2.40 ~ ~ CU:>~~ . ?1.... .3.343' . Phone: "Sb\ -~'D~- c~~$"' Fax: 5'6l-~, - c:s,Z , (Zip Code) 4. Property Owner's (or Trustee's) Name: Address: "G(2.c.\~\~ ~\:.T \ ~~\ I (",gcU") ~. ~~ CeR.lS'.s..s.. ~'lCS ~.~. p~. a'2.d:, ~ (Zip Code) Phone: Fax: 5. Correspondence to be mailed to agent only; if no agent. then to applicant unless a substitute is specified below:* MA'-~ ~ ~e-..T *This is the one address to Wlich all agendas, letters and other materials \'\ill be mailed. 6. What is applicant's interest in the premises afected? (owner. buyer, lessee, builder, developer, contract purchaser, etc.) D\AA to..S'6n.. / a.::.~ e.'--~fle1z- ' II. I" . The following information must be filled out below and must appear, w,ere applicable. on all copies of the site plan. 1. 2. 3. 4. b. c. d. e. f. g. h. i. 7. Street address or location of site: \ '- D ~ S, ~ .....:><:-f\.a'..s. ~ I~ '\( '6. 8. Property Control #(PCN) DB - (\ ~- 4s- - 3> \ - \1 - a~ 1. - C~~~ 9. Legal description of site: ~ T ~ t::>::::. ~ \..10~ N C...,,;) ~ f=".-.DT' c.F \J c,:)~ C:aa.J C-\Lr I::>s. (tG;c..cn.oGo ,...-l> t="\..PT {b~ "- a~" Ptx-~ <"'3.. ~Q. pu ~'-l"'" {l...C<:....b nos c:.F=- p~~"", ro~~\.l.. L.~.:. ~T'1 ~. Intended use(s) of site: c...:::.rf'0-- 6' \u:...\~.. c::.t=i='- ~ --\ rLa'\P l..... / PUOf',.~O~, ?~~~ 10. Developer or Builder: 11. 12. 13. 14. 15. 16. 17. Architect: \A. PDt"" ~ ~ T\-' Landscape Architect: c..\'U)~T ~Q.N e..~~c.w.. ..\ ~b..... Site Planner: \-\ 'PT ~,j, b~"'T~~ . I-c.... Engineer: \4-f'r ~~&.~"'TPO'-.lT~ .I~""" Surveyor: l..G-NO""p~ ~'lo~~"i:::'~ -4 \""'''~PPI-.llc.. ,,~. Traffic Engineer: \(., t-AU-~ - \~O(l..tJ Has a site plan been previously approved by the City Commission for this property? ~t04 \C..'-JQ~~ 18. Estimated construction costs of proposed improvements shown on this site plan: 4.1 ~l ",,,,,.::.0-.. SITE DATA Land Use CateQorv shown in the Comprehensive Plan Zoninq District c. -.3 Area of Site 4 . ~4~ Land Use -- AcreaQe Breakdo'Ml -_. ". n ~'.... c..~",^,""i.6\,-~\.r;>...." \..-- ._,.'. Z-l "S. 4~c+ . 'Z~ , acres sq. ft. a. Residential. including ~/A. acres % of site surrounding lot area . of grounds Recreation Areas * N/~ acres % of site (excluding water area) Water Area ~ / r.:.. acres % of site Commercial 0... ~Q.-S acres \ 0 c::::. % of site Industrial ~ / C::., acres % of site Public/Institutional ~/~ acres % of site Public, Private and Canal rights-of-way ~k acres % of site Other (specify) ~/~ acres % of site Other (specify) ~ / t.:.. acres % of site . j. Total area of site 4 .~4.s acres \C~ % 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 C.Cc'1 acres \ '3 .lP % of site area ("building footprint") b. Water area D acres (:) % of site c. Other impervious areas, including paved area of public & private streets, paved area of parking lots & driveways (excluding landscaped areas), and sidewalks, patios, decks, and athletic courts. ~.5'5 acres ~ -r.,~ % of site d . Total impervious area \. (00 acres ~ 1. . Z-l % of site e. Landscaped area \. L.c::. acres 31.. Z. , % of site inside of parking lots (20 sq.ft. per interior parking space required - see Sec. 7.5-35(g) of Landscape Code). f. Other landscaped areas,~ acres % of site g. Other pervious areas, including golf course, natural areas, yards, and swales, but excluding water areas ~\Ir.::. acres % of site . h. Total pervious areas \ .~ acres ~1... 'Z... \ % of site i. Total area of site A. ~'5 acres \Ob % of site 6. Floor Area a. Residential ~/p. sq. ft. b. Commercial/Office 5~1 'Z.~o sq. ft. c. Industrial/Warehouse w/p.. sq. ft. d. Recreational ~/p sq. ft. e. Public/Institutional N/~ sq. ft. f. Other (specify) sq. ft. g. Other (specify) sq. ft. h. Total floor area S~. 2..~~ sq. ft. 7. Number of Residential DwellinQ Units a. Single-family detached sq. ft. b. Duplex sq. ft. c. Multi-Family (3 + attached d'Aelling 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. A-t ':'j. Maximum heiqht of structures on site u.' feet 4- stories 10. Required off-street parkinq a. Calculation of required number of off-street parking spaces b. Off-street parking spaces provided on site plan Z.~l ~C)L Representative of the project must be present at all Technical Review Committee, Planning and Development and City Commission meetings held to re\iew this project. III. CERTIFICATION (I) (We) understand that this application and all papers and plans submitted hereWth become a part of the permanent records ofthe Planning and Zoning Division (I) (We) hereby certify that the above statements and any statements or showngs in any papers or plans submitted herewth are true to the best of ( ) (our) knowledge and belief. This application will not be accepted unless signed cdrdi g the instructions below ~-T I e.~ l.,.;;;;;.~\ Signature of Ow s) Trustee, of Authorized nncipal if property is owned by a corporation or other business entity. Date IV. AUTHORIZATION OF AGENT \0 - t ~ - a \ orized Agent Date hereby. designate the above signed person as (my) (our) authorized agent in regard to licatio . ~_ la, L""'~ Date c. 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 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: A REPRESENTATIVE OF THE PROJECT MUST BE PRESENT AT ALL TRC, P&D AND CC MEETINGS HELD TO REVIEW THIS PROJECT. ~ 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 wth 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, staf or designees shall be constructed in strict compliance wth 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 enforcement of the same. READ, ACKNOWLEDGED AND AGREED TO this \ & day of ~-2 T ( Applicant , 209.., ~. p. ~ \""'" P \L,--.5., ~ n. Witness Palm Beach County Property Appraiser Property Search System Page 1 of2 Palm Beach County Property Appraiser Public Access System GARY R. NIKOLITS, CFA Owner Information I Owner Name IMOTIRAM VERONICA R II Situs Address 111609 CONGRESS AVE Confirmation Information II Parcel Control Number 1108-43-45-31-17-002-0000 I Subdivision: I IWOOLBRIGHT PLAZA II Book:1109l67 II Page: 111226 II Sale Date:IIMar-1996 I Mailing 11609 S CONGRESS AVE II Legal:llwoOLBRIGHT PLAZA TRACT B I Address: I I I I IBOYN"I'ON BEACH FL 33426 6543 I I I Improvement value:11 Land value:1I Market value:1I Use code:11 1900 II 2001 Certified Appraisal $1,200,0001 N umber of Units: I $011 Total Sq. Ft:11 $1,200,00011 Acres:11 Description:IIPROF OFFICES II 2001 Certified Tax 2001 Certified Assessed & Taxable Values Ad valorem:1I Non ad valorem:1I Total: II $29,479.4411 $640.7411 $30,120,1811 Assessed value:11 Exemption amount:11 Taxable:11 $1,200,000,001 $01 $1,200,000.001 2001 Exemption DescriPtion:11 Exemption Holder:11 II cOde:ID II Percentage: I http://www.pbcgov.com/papa/detail_info.asp?p _ entity=0843453 1 170020000 11/16/2001 Palm Beach County Property Appraiser Property Search System Page 2 of2 Sales Information I Sales Date II Book II Page II Price IIInstrument 1I0wner I I Mar-1996 II 09167 II 1226 II $965,OOOIIWD II I I Dec-1994 II 08548 II 0216 II $1,250,0001IWD II I I Jan-198l II 03447 II 1267 II $500,0001IWD II I [!] Please send comments to: propapp@Co.palm-beach.fl.us> Copyright <Q 2000 by Palm Beach County Property Appraiser All Rights Reserved http://www.pbcgov.com/papa/detail_ info.asp?p_ entity=0843453 1 170020000 11/16/2001 '.. u..)OtJ /bua}t/- na w- /J2tffY-B PRE-APPLICATION TRACKING LOG Meeting Date: /J- -/1-0 D Time: PURPOSE OF APPLICATION: AI'Ev .~/rr fLAtJ /0 :.~o A,).-(, ZONE: PROJECT N~~E: ( Woolbn Jd- (lu2.tL I {O cl- 5 Attendi Staff: I-tAJ Ill- c;/J'LA V; D i a j-ft;fJS()/J Attending for ApJ?Jicant: rf2~s Tb~lP KINS Phone: 5&1- cl'lt- {)9SC;;- Name of Owner: PERMIT NUMBER: Fax: Address: Phone: Name of Applicant/Contact: Fax: Address: Phone: Fax: PROJECT ADDRESS: lGo? .s, ~Q0Av~. Phone: TYPE OF APPLICATION: TYPE OF BUSINESS: Date Submittal Received: COMMENTS: \forms\Pre'Application Meeting Log.doc "'" (i.;o!Yfb~;J frq~ ~UcJ E , MEETING DATE: TIME: ID::;;D ATTENDING FOR APPLICANT: PRE-APPLICATION MEETING SIGN IN SHEET PLEASE PRINT rz....l" \ D Ll> ~ 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 plans submitted for review. City of Boynton Beach Attending for Applicant Attending Staff \)'(i~ U llJ D~6 IJ Az.es~ ~?\<4~~'-..,. ~~1A #Jav \ J:\SHRDATA\PLANNING\SHARED\WP\FORMS\PRE-APPL MEETING,SIGN IN SHEET.DOC _.''-' --- PROJECT NAME: Woolf" -but Plaza LOCATION: 1609 S. Congress Avenue COMPUTER ID: I FILE NO.: COUS 01-007 II TYPE OF APPLICATION: I AGENT/CONTACT PERSON: OWNER: Veronica Motiram H.P. Tompkins PHONE: N/A PHONE: 561-998-0955 FAX: FAX: 561-997-5721 ADDRESS: same as project ADDRESS: 2295 Corporate Blvd. #240 Boca Raton, FL. 33431 Date of submittal/Projected meetine: dates: SUBMITTAL / RESUBMITT AL 10/29/01 1 ST REVIEW COMMENTS DUE: 11/19/01 PUBLIC NOTICE: 01/12/02 TRC MEETING: 12/18/01 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 01/22/02 MEETING: COMMUNITY REDEVELOPMENT N/A AGENCY BOARD CITY COMMISSION MEETING: 02/05/02 COMMENTS: S:\Planning\SHARED\WP\PROJECTS\Woolbright Plaza\2001 PROJECT TRACKING INFO,doc