APPLICATION
City Codes'l\cc;ssed Via rWebsite
www.bovnton-beach.org
www.amlegal.comlboynton_beaeh_fl.us
.CiTY OF BOYNTON BEACH, FLORIDA
PLANNING & ZONING DIVISION
SITE PLAN REVIEW APPLICATION FOR
NEW SITE PLANS & MAJOR MODIFiCATIONS TO EXISTING SITE PLAN
Has applicant attended a pre-application meeting? _y~ ,Date Dec.€MBE12- 8,2003
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 fQLthe...initieilpr-ocessof
the Site Plan Review procedure. AN INCOMPLETE SUBMITTAL WILL NOT BE ~~~~:-~D. ; .
\ l '! .
Please print legibly (in ink) or type all information. \ \, ':.,'i, \ fEB,:r 11M
I. GENERAL INFORMATIONI\~;' L__._-.~_,~ . _ "
1. Project Name: Ll-\ \ C-K -..0, L - A ~ _"
Property Owner's (or Trustee's) Name: 0 t<..l 0 LE" J-I.oM€S Col:f. - Rog~( A.. Levy
2.
Address:~OO Co,JGR~ AVl?,JtJ6. Svrn; 2000, goCA RPtTO,JJ ~L 3S<fg7
/. ) , , (2" 'C d )
Phone: l.S-G::, J, qqq - I ~foD /;)(f. 3'-1 S- Fax: (Slo ,) q1g -09190
3. Applicant's name (person or business entity in whose name this application is made):
CH'Ck-~IL-A
Address: 5:200 BlJ,W'~G'TO^, f2..0AD; l\-rl.ANlA. GA. S0.3t.l9
. . (lip Code)
Phone: 40tf - 7lo~ - 782.2 Fax: 4oL/- - (P~Lf- :/sro
If contract purchaser, please attach contract for sale and purchase.
4. Agent's Name (person, if any, representing applicant): ~LL _
:I rVI6"tZ{JLAtJ LLC.
Address:-.933 lEE ~~\) I ~ l2.S, ~\Doe, Oe..L..ANi)O, (2'L 32810
. , (lip Code) .
Phone: .-!:lor -lotfS--SObg Fax: q.07 ~ l.o2..q -912-'-/
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 anq other materials will be mailed.
6.
What is applicant's interest in the premises affected? (owner, buyer, lessee, builder, developer,
contract purchaser, etc.)
I ESSE€:?
7.
Street address of location of site: SOlJll-\ WEST &u A.DR,:P.i'l I D~ BO'1JJTO...J Bat:.\-\ .
Boul.EVAep ItND W\rJatESree.. ff't(<.~ ~t\D (outf'AR.ct-L ~?\ /)~ RT/~ ~ijO~
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8.
.
Property Control #(PCN)
9.
08~34~302b003000D
Legal description of site: O\), ~(2.C.GL Z 00 THl? 6~
w\-\olESAlE ~\J& feD..
10.
C\-\ 1C.\L-C, L.. -A g~mu~ANr ~ f7H
D~\"e- THR..\J .
,Intended use(s) of site:
11.
INN~fl.-A,J llC
Architect:
12.
Landscape Architect: J",07eef'uq,J LLC. ~)(:...~A-rt.D T.. ART
Site Planner: T"r7~ifuA,J Ll('_
Engineer: T IJT6tl-PLtI\N LLc...
Surveyor: Acc..v rt..l~~l 2ue...\I~ (N($
Traffic Engineer: I~.pLM LlC
13.
14.
15.
17.
Has a site plan been previously approved by the City Commission for this property?
~es.
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;~iJ. SITE PLAN
Th~ following information must be filled out below and must appear, where applicable, on all copies of
the'sits'plan.
L~nd Use Category shown in the Comprehensive Plan: fc...D
?,oning District:, . -Pc..D
Area. of Site 0.. 87 acres
~,and Use - Acreage Breakdown:
a.
. b.
"<;7,730
.
sq. ft.
Residential, including
surrounding lot area of grounds
, % of site
acres
Recreation Areas *
(excluding water area)
. % of site
acres
Water Area
acres
% of site
Commercial
O.~7
acres
/00
% of site
. .. . . . ~ .'
;J.ei: "',: ': ~ Industrial
::-:.. ~ ~'~':':A ~:.::, :;::'_ .
acres
% of site
Public/lllstitutional
% of site
acres
fJ.ublic"P~iv,at~ and Canal rights-of-way
% of ~ite
acres
2
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ri:f.;:\{",, L
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_':_.~ ',f: . .
~1~~;,~ ,C', / i~lo,~r ~rea
r~";1' " ':::e:r=~l/office
irl.;iWt~~?~.y~tri'l;tW arehouse
"!!'/ ~~. '.~-,.::. '. .~. :{:' ; < ..,,~ .,.. ~ ' .
~'Y,j:"i':"; 'ecreational
;if:<,;'!t~: \:: {, >
f~~t~t\f~t~i'!:}!\~:,~UbiiC/1 nstitutional
tz'" ',i'" ;'f.;~:(:~:(_"pther (specify)
~ :";~1"/'~. "
~:',:pther (specify)
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g.
h.. '
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h.
Other (specify)
% of site
acres
i.
Other (specify)
% of site
acres
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. .
Surface Cover'
a.
Ground floor building 3.972
area ("building footprint") .
Water area N/ A.
SQ. F[acfe~
IO..S-
% of site
b.
% of site
eefe5
c. Other impervious areas, including paved area pf public & private streets, paved area of parking
lot~ & driveways (excluding landscaped areas), and sidewalks, patios, decks, and athletic courts.
2&/3gq SGo FT. ~ " 7S .3 % of site
d.
32,310) SQ.FT:aGFe6
..
~s-.~
Total impervious area
% of site
e. Landscaped area , ~ 3bt ~-FT. aefe8 14.2. % ~fsite
inside of parking lots (20 sq.ft. per interior parking space required - see Sec. 7.5-35(g) of
Landscape Code).
Other landscaped areas, '
acres
% of site
Other pervious areas, including golf course, natural areas, yards, and swales, but excluding
water areas acres % of site
Total pervious areas $;",3 G:.I StJi.. F7: aeFe5- /'1. 2 % of site
.
Total area of site37) 730 SQ.FT: (D.B1 acre0 100
% of site
5197:?
sq. ft.
sq. ft.
sq. ft.
~q. ft.
sq. ft.
sq. ft.
sq. ft.
:;~~~~ t
erof Residential Dwellin Units
sq. ft.
,ingle-family detached
sq. ft.
sq. ft.
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c.
(1 )
(2)
(3)
(4)
d.
. -.. "... -. .---
Multi-Family (3 + attached dwelling units)
Efficiency
1 Bedr-oom
2 Bedroom
3+ Bedroom
. dwelling units
dwelling units
dwelling units
dwelling units
dweiling units
Total multi-family
e. Total number of dwelling units
Gross Density
dwelling units per acre
Maximu m height of structures on site
feet
stories
Required off-street parkinq
a.
"
Calculation of required # of
off-street parking spaces.
;/100 Sti>.R: G~o.ss =- 1./0
Off-street parking spaces
provided on site plan
=
l1 a:.~;PR0'/""
=
=
'Calculation of required #
" , .. 'of handicap parking spaces
',':":,: :' 25-SD ::: .2.. ~~Ij(et>
Number of handicap
spaces provided on site plan
2 .pR.C'V J~D
=
.,1{ ..' 'ESENTATIVE OF THE PROJECT MUST BE PRESENT AT ALL
~'t~~:',.\,-~,;:,:'1 :."
~'-:,,~,!GALREVIEW COMMITTEE, PLANNING AND DEVELOPMENT BOARD
g:M,MUNITY REDEVELOPMENT AGENCY (CRA) AND CITY '
\::,~~SION MEETINGS HELD TO REVIEW THIS PROJECT.
.!~. r~.
12/10/03 14:20 FAX
@02
, .
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III. CERTIFICATION
(I) (We) understand that this application and e II papers and plans submitted herewith become a'
part of the permanent records of the Planning and Zoning Division (I) (We) he~by 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 acco in the instructions below.
/~J",L~~
Date I /
Signature of Owner or Trustee, of
Authorized Principa if property is owned by
a corporation or other business entity.
OR
Signature of contract purchaser (if applicant)
Date
IV. AUTHORIZATION OF AGENT
;)........ _ .....w If".
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Signature of Authorized Agent
_\~,l ~. O~
Date
(J) 0Ne) hereby designate the above-signed person as (my) (our) authorized agent in regard to
this application.
{)-J, i · ~
Date I
Signature of Own (5) or Trustee,
or Authorized Principal if property is owned
by a corporation or other business entity.
OR
Signature of contract purchaser (if applicant)
Date
r
A ~EPRESENTATIVE MUST BE PRESENT A1r ALL TECHNICAL REVIEW
COMMITTEE; PLANNING AND DEVELOPMENT BOARD OR COMMUNITY
REDE;VELOPMENT AGENCY (eRA) AND CITV COMMISSION MEETINGS HELD TO
REVIEW THIS PROJECT.
5
4) 3+ Bedroom
dwelling units
,.
d.
Total Multi-Family
dwelling units
e. Total Number of Dwelling Units
8.
Gross Densitv
dwelling units per acre
9.
Maxim urn Hei!!ht of Structures on Site
feet
stories
10. ReQuired Off-Street Parkin!!
Calculation of Required Parking Spaces I II 00 SQVA(<e" ~ ~(<os.s. -:z;:: 4c
Off-Street Parking Spaces
Number of Off-Street ParkinJ~ Spaces
Provided on Site Plan '::to ~
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 inde~nify, 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.
~~FREEDTOth~
Witnes
~
j,~
v Witness
I t, h- day of :x:o t.j
furW HaL
Applicant
INTERPLAN ~
TRANSMITTAL
933 LEE ROAD, FIRST FLOOR
ORLANDO, FL 32810
PH 407.645.5008
FX 407,629.9124
City of Boynton Beach Planning and Zoning Department
TO
100 East Boynton Beach Blvd., City Hall, West Wing
Boynton Beach, FL 33425
2003.0430
PROJECT NO.
January 9, 2004
DATE
UPS Standard
WE ARE SENDING VIA
561-742-6260
TELEPHONE
Maxime Ducoste
ATTENTION
Chick-fil-A - Boynton Beach
PROJECT
Conditional Use
SUBJECT
EMAIL ADDRESS
COPIES SETS
DATE
DESCRIPTION
1/8/04
1/7/04
Conditional Use Application
Check #10527 for $250.00 (Conditional Use Fee)
REMARKS
Max,
Enclosed is one (1) Conditional Use Application and one (1) check for $250.00 for the proposed
Chick-fil-A restaurant located at the southwest quadrant of Boynton Beach Boulevard and Winchester
Park Road. Should you have any questions, please call me at 800-373-5552. If I am not available,
Truman Gee is the Architectural Program Manager and can answer any questions that you may
have. Thank you.
Michael Boo
BY
Getra Thomason, Rick Abt, Rachel Hall, File
cc
F :\A.J\Chickfila\2003, 0430lTransmittaisl03043Otra08 ,doe
ARCHITECTURE . ENGINEERING . PROJECT MANAGEMENT . INTERIOR DESIGN . AA 003420 . CA 8660
development services for restaurant, retail, hospitality and commercial programs . www.interplanorlando.com
INTERPLAN ~
TRANSMITTAL
933 LEE ROAD, FIRST FLOOR
ORLANDO, FL 32810
PH 407.645.5008
FX 407.629.9124
OEe I 7 mi
City of Boynton Beach Planning and Zoning Division
TO
100 East Boynton Beach Boulevard
Boynton Beach, Fl 33425-0310
2003.0430
PROJECT NO.
December 16, 2003
DATE
UPS Priority
WE ARE SENDING VIA
561-742-6260
TELEPHONE
Eric Johnson
ATTENTION
Chick-fil-A - Boynton Beach
PROJECT
Site Plan Review
SUBJECT
EMAIL ADDRESS
COPIES SETS
DATE
DESCRIPTION
12
12
1
1
1
1
2
12/16/03
1 2/11 /03
1 2/11 /03
1 2/12/03
07/30/01
Site Plans
Required Architectural Documents
Site Plan Review Application
Check #279396 for $750.00 (Site Plan Review Fee)
Chick-fil-A letter of Authorization
Owner letter of Authorization
Overall Master Plans
REMARKS
Enclosed are twelve (12) complete sets of site plans, twelve (12) sets of required architectural
documents, one (1) site plan review application, one (1) check #279396 for $750.00, one (1) letter of
authorization as agent from Chick-fil-A, one (1) letter of authorization as agent from owner, and two
(2) sets of overall master plans. Should you have any questions or concerns, please call me at 800-
373-5552. If I am not available, Rachel Hall is the Program Manager and can answer any questions
that you may have. Thank you.
Michael Boo
BY
Getra Thomason, Rick Abt, Rachel Hall, File
cc
F:\A-J\Chlclcflla\2003 ,0430\Transmltlals\03043otra02.doc
ARCHITECTURE . ENGINEERING . PROJECT MANAGEMENT . INTERIOR DESIGN . AA 003420 . CA 8660
development services for restaurant retail, hospitality and commercial programs . www.interplanorlando.com
12/12/2003 12:27
9543709771
BIRCHWOOD DEVELOPERS
PAGE 01
BIRCHWOOD/BOYNTON. LLC
10010 WEST CYPRESS CREEK. SUITE 320
FORT LAUDERDALE. FL 33309
December 12, 2003
Chick-Fil-A
Boynton Beach Blvd.
DECf7!m
To Whom It May Concern:
Please accept this letter as authorization for Interplan LLC, to act as agent in
correspondence and representation of all approval and permitting matters required for
Chick-Fil-A at the location referenced above.
If you have any questions, please contact me at (561) 999-1860 ext 345
Robert A. ~ vy
Managing Member
Notary Public Seal
Subscribed and sworn to before me this .' ~daY of D~A.A.
Notary Public Signature: 1. ~~~ ~ . ~~t.
l~~
.2049.,3
My Commission Expires:
.".
~gct;.t
Chick-fit-A, Inc.
5200 Buffington Road
Atlanta, Georgia 30349-2998
Telephone 404 765-8000
.
December 11, 2003
DEe , 7 3m
Reference: Chick-fil-A at Boynton Beach, FL
To Whom It May Concern:
Please accept this letter as authorization for Rachel Hall of Interplan LLC, to act as agent in
correspondence and representation of all approval and permitting matters required for the
above mentioned project.
If you have any questions, please contact me at 404-765-7822.
Sincerely,
~~~ Q f~lJW-./
Sheila J. Turner
Senior Development Coordinator
/sjt
day OfUt rAmhty; 2003
. Notary Public
My Commission Expires:
",1111111/1"
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City Codes Accessed Via Web site
www,bovnton-beach.org
www.amlcgal.com/boynton_beach_fl.us
CiT'{ OF BOYNTON BEACH, FLORIDA
PLANNING & ZONING DIVISION
SITE PLAN REVIEW APPLICATION FOR
NEW SITE PLANS & MAJOR MODIFICATIONS TO EXISTING SITE PLAN
Has applicant attended a pre-application meeting? -:t~ ,Date Dec.€MBfI2- 8,2003
This application must be filled out completely, accurately and submitted as an original to the Planning and
loning 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 PR.OCESSED.
. ,
Please print legibly (in ink) or type all information,
1.
GENERAL INFORMATION
C ~ \ c.K ,- -"'I L - A
Property Owner's (or Trustee's) Name: 0 (Z.l 0 L{;
DEC11.
I.
Project Name:
2.
~oM6"Col:f. - Rcg~( A. Levy
Address:~OD Co,JGR~ A'if?N\J6) SUf7t 2000.. gOCA RPtTO,Jj \="L 3Syg7
/,. ) 6 ) (qg Code)
Phone: (..S-Io J qqq - I ~loO exr. 3 Lf S- Fax: S'lo' q ~g - 9190 ,
3, Applicant's name (person or business entity in whose name this application is made):
CH ICk-eIL -A
Address: S;-200 BvW, ~6-ro^-.l ~AD I l\'1uAN'7A I GA S0.3y.9
(Zip Code)
Phone: LfoLf - 7lc~- 782.2 Fax: L.JoLf - {P~Lf- ;YS.1l-0
If contract purchaser, please attach contract for sale and purchase.
4. Agent's Name (person, if any, representing applicant): ~LL
:r.~€"~{JLAN LLC
Address: 9 S 5 LEE ~A.'D, ~I ~ T {:'-ooe.. I O~L.ANDO J l=L 322 10
. . (lip Code)
Phone: -307 - ~lf~--S-Dbg Fax: lf07 - <C2-q .-9/2-L/
5,
Correspondence to be mailed to agent only; if no agent, then to applicant unless a substitute
is specified below:*
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r
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*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? (owner, buyer, lessee, builder, developer,
contract purchaser, etc.)
7.
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8. Property Control #(PCN) D8~3 4S""302lco030000
9. Legal description of site: O\)I ~(2.CGL Z oC THe 6:7s.
W\-\oLt~ALE CLv6 feD..
10.
Intended use(s) of site:
c.\"'''C~-CI L- -.A, g~'smue.~NT \.017H
D<l-\"E- THR..0 .
11. Architect:
IN~Rf'l-A,J lLC
12. Landscape Architect: J,v r~uq'" LLC - ~1(..t-\A-tt.D To' ART
13. Site Planner: T".r-rtif'LA,J Ll(_
14. Engineer: T 1JT~.p~"J LLL.-
15. Surveyor: ACL-\J(J...J~~-r ~\Je~IAJq
16. Traffic Engineer: ItJ'7~.:PLAN LLC
17. Has a site plan been previously approved by the City Commission for this property?
~es.
SITE PLAN
The following information must be filled out below and must appear, where applicable, on all copies of
the site plan.
1. Land Use Category shown in the Comprehensive Plan: Pc. D
2. Zoning District: .pc...D
3. Area of Site o. S'7 acres
4, Land Use -- Acreage Breakdown:
~7.73o
.
sq. ft.
a.
Residential, including
surrounding lot area of grounds
% of site
acres
b.
Recreation Areas *
(excluding water area)
% of site
acres
c. Water Area
acres % of site
acres 100 % of site
acres % of site
acres % of site
acres % of site
d.
0.'67
Commercial
e. Industrial
f. Public/Institutional
g. Public, Private and Canal rights-of-way
2
I
J
I 5.
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I 6.
I
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h.
Other (specify)
% of site
acres
I.
Other (specify)
% of site
acres
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.
Surface Cover
Ground floor building 3. 972
area ("building footprint") .
Water area N/ A.
IO.S-
SQ. FT.acrc~
a.
% of site
b.
% 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.
2g,38'9 SGg FT. ~ 75.3 % of site
,
d.
Total impervious area 3213'" J SQ. FT:aGFe6 ~b. ~ % of site
,
Landscaped area 5~, 310 I ~. FT. aefe5 I tj .2. % of site
inside of parking lots (20 sq.ft. per interior parking space required - see Sec. 7.5-35(g) of
Landscape Code).
e.
f.
Other landscaped areas,
acres
% of site
g. Other pervious areas, including golf course, natural areas, yards, and swales, but excluding
water areas acres % of site
h. Total pervious areas 5,3(",/ .,S4l.F7:~ 1'1.2 % of site
.
i. Total area of site3/} 730 SQ.f-T: (D.{:n acre0 /00 % of site
Floor Area
a. Residential
b. Commercial/Office 3} 972
c, IndustrialIW arehouse
d. Recreational
e. Public/Institutional
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 Dwellinq Units
a.
Single-family detached
sq. ft.
b.
Duplex
sq. ft.
3
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(2)
(3)
(4)
Multi-Family (3 + attached dwelling units)
Efficiency
1 Bedroom
2 Bedroom
3+ Bedroom
dvvelling units
dwelling units
dwelling units
dwelling units
d.
Total multi-family
dwelling units
e. Total number of dwelling units
dwelling units per acre
Gross Density
Maximum height of structures on site
feet
stories
Required off-street parkinq
a.
b.
Calculation of required # of
off-street parking spaces.
;/100 SQ.Ff. G~oss =- 40
.
=
Off-street parking spaces
provided on site plan
37 (\JAf!-"A,.JCE f2..c--Qvesr)
=
=
Calculation of required #
of handicap parking spaces
25 - SO ::: 2., R~l ~Ei>
=
Number of handicap
spaces provided on site plan
2 f>/UiV'.PeD
REPRESENTATIVE OF THE PROJECT MUST BE PRESENT AT ALL
TECHNICAL REVIEW COMMITTEE, PLANNING AND DEVELOPMENT BOARD
OR COMMUNITY REDEVELOPMENT AGENCY (CRA) AND CITY
COMMISSION MEETINGS HELD TO REVIEW THIS PROJECT.
4
12/10/03 14:20 FAX
14102
III. CERTIFICATION
(I) (We) understand that this application and e II papers and plans submitted herewith become a
part of the pennanent records of the Planning a',d Zoning Division (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 acco in the instructions be lOIN.
/ 'l---J vi ~ 1
Date I I
Signature of Owner or Trustee, of
Authorized Principal if property is owned by
a corporation or other business entity.
OR
Signature of contract purchaser (if applicant)
Date
IV. AUTHORIZATION OF AGENT
:2c tC (;\.QJ1 rt-U~_
Signature of Authorized Agent
_\ d-' I (cJ . 0 ~
Date
(I) ryJe) hereby designate the above-signed person as (my) (our) authorized agent in regard to
this application.
t').../ Ii' ~
Date I
Signature of Own (5) or Trustee,
or Authorized Principal if property is owned
by a corporation or other business entity.
OR
Signature of contract purchaser (if applicant)
Date
A REPRESENTATIVE MUST BE PRESENT A1r ALL TECHNICAL REVIEW
COMMITTEE, PLANNING AND DEVELOPMEI~'1r BOARD OR COMMUNITY
REDEVELOPMENT AGENCY (CRA) AND CITV COMMISSION MEETINGS HELD TO
REVIEW THIS PROJECT.
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I 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
I. 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
I substantial.
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RIDER TO SITE PLAN APPLICATION
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 enforcement of the same,
READ, ACKNOWLEDGED AND AGREED TO this
day of
,20 .
Witness
Applicant
Witness
6
ch\~~--rl \- A
Time and Date ofMeetin,5
Those attending meeting:
t~X U<A' ~'l
.3 ev
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PRE-APPLICATION CONTACT QUESTIONS
Applicant's Name: 12u/kc~~t<.y- Phone: Jtm - 3 73- SJ'J2-
/
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 NAi\;IE:
2.
LOCATION OF PROPERTY (CROSS STREETS/WTERSECTIONS)
~ -d~?
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\J I{/ [./1 tti't / {" '.M~ "'-z. A .
O! - 'f j - c;,( - f 0'" 2. ~ - 0 () - 30 ,'. vO Q
fi j (J'
3,
YVHA T '50ULD YOU LIKE TO DO? /) f -1 . /J d
V NEW PROJECT C;flt .'/ CJ ~A::. ,(~~ /u.a.-:!--,
BUILDING EXPANSION OR MODIFICATION~
CHAl"\fGE IN PRIOR USE?
IS THE STRUCTURE CURRENTLY VACANT?
VARIANCE TYPE:
POOL OR SCREEN ENCLOSURE
COMMERCIAL PROPERTY?
RESIDENTIAL PROPERTY?
INDUSTRIAL PROPERTY?
DO YOU KNO\V THE ZO~1NG CODE DESIGNATION?
s
4.
,
TIME Al"\fD DATE PREFERRED q~ '; k~1t....
HOvV M.A..i"\fY" PEOPLE vVILL BE AT THE PRE-APP \fEfTING? ;Zd
eh
~
5.
Note: Tell the person tlzat someone from the Department will call them to confirm the meeting.
.................................................................................,
· Pre-application meetings should be scheduled for a minimum of one (l) hou:- :ime module, and should be scheculed
no less than tW:J (2) days prior to date/time ofmeerL:.g, If urgency is sensed, disCL:sS with Mike or Lusia,
· Meerin:zs may be scheduled:
:yrondayaf:ernoons
Tuesday all day
'vVednesday all day
Thursday:nornings
Note: Lus:a is not available for Tuesday a.m. meetings,
ane. )"fike is not available on Mondays between 11 :30 a.rn. and 2:30 p,::-:,.
s: Ip I ann in g' Plan:: :'1 glP re-app licati oncon tactquesti 0 ns, cee
O~;,{ ~l:,f {'('
PRE-A.. 'PLICATION CONFERENCE REVleW FORM
Date
/2-g-03
Time Started:
Chd< --t,1 'A-
'3 ; i7cJ
Time Finished:
4- ' oc)
Attending as Applicant
6Z ill ~
L~h~.Ii J..e
CJL-lL!J
Phone
Fax
Proposed Project Information
Proposed Project Nam~ ~nd r. W
Type/Use (:...-h,J K - 'I l ,.
Site Location (Address if Available)
Site PCN
Existing Zoning Pel:>
Existing Land Use/Density
Anticipated Submittal Date
Proposed Zoning
Proposed Land Use/Density
/
Vacant
Notes and Comments
Lot Area
0, ~1" N-t?-e
Q{,Dlo/
240.9.7/
Lot Frontage
Lot Depth
Setback
Height
')/17 A rf. @ ii/Of);;' 3f. 7 ,t@
Parking Requirements or Improvements r I, 00 V R- \ @ Q \ S t
Landscaping/Buffering 10' - lAJ1il1 ,~ ~
Non-conforming Use or Change in Use_~ u~~.
~) G\.l\.-\.a.\\.t'J1 ~ to u,~ i.h() P her C"'~UL-:1
Other Zoning Changes Required
Environmental Review Requirements
Notes/Comments/Recommendations ~'aJ- A-lab 7>cw'll A.A c..< /~ 'f~ ..
-4f'~ ~ w .~./U&. CVri{.f 1M Pc-b. ~ flclo~r1'/
11,z~ WI9."Ad M;~ at:~->>1~ 40 p~ <'f'~'
-r7vt .~ ~,'1~1( vto fiWY1 ~ j lht"1 ~~ ~
~ .e-nc-/~ i.--..)I77~ -1~
[{)J NOTICE: The purpose of this conference shall be for the staff and applicant to discuss overall community goals, objectives,
policies and codes as related to the proposed development and to discuss s,rte plan review procedures. Opinions expressed
\ at the pre-application conference are not binding for formal review purposes. Additional staff comments may be forthcoming
"based on act1J_~1 e-la!:l~_su_t:mJi~eclfpr revi~.
:', .
PRE-APPLICATION MEETING
SIGN IN SHEET
PLEASE PRINT
IVIEETINGDATE: 11./9)-0"3:,
TIME:
ATTENDING FOR APPLICANT:
NOTICE: The purpose of this conf~rence 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
EI2/c ;[0/1 ~) ;tJ Ik
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J:'.5HRDA T A\PLA.\lNL'iO-5HARED\ WP\FO EUlS\PRE'.-\PPL 0-1EETf.\'G-SIG:'i 2i SHEET.D oc
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PROJECT NAME: Chick:l"i1-A
LOCATION: BJ's Outparcel South ofW. Boynton Beach Blvd.! East of Winchester
Park Blvd.
PCN:
I FILE NO.: CODS 03-010 II TYPE OF APPLICATION: I
AGENT/CONTACT PERSON: OWNER: ~OtJ 9111 0 tJ PrL. U ~ e
Rachel Hall- InterPlan LLC ADDRESS:
ADDRESS: 933 Lee Road 1st Floor PHONE:
Orlando, FL 32810 ~I FAX:
PHONE: 407-645-5008 <6 ~ -' rJ.J 1.;, c;'
FAX: 407-629-9124
Date of submittal/Projected meetine: dates:
SUBMITTAL / RESUBMITTAL 12/17/03
1 ST REVIEW COMMENTS DUE: N/A
PUBLIC NOTICE: j/(jID~ N/A
....-
TRC MEETING: 1/27/0\ 2/17 /~4 ~
LAND DEVELOPMENT SIGNS POSTED N/A
(SITE PLANS):
PLANNING & DEVELOPMENT BOARD 3/23/04
MEETING:
COMMUNITY REDEVELOPMENT N/A
AGENCY BOARD
CITY COMMISSION MEETING: ~ Lf/7/0tf
COMMENTS:
S:\Planning\SHARED\WP\PROJECTS\Chick-Fil-A\2003 PROJECT TRACKING INFO,doc