APPLICATION
SITE PLAN APPROVAL APPLICATION
"
'\
City of Boynton Beach, Florida
planning and Zoning Board
;,
This application must be filled out completely and accurately
and submitted in one (1) copy to the planning Department. Incomplete
applications will ,not be processed.
Please Print Legibly or Type all Information.
I.' GENERAL INFORMATION
J..e tUU CV-I
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1.
Project Name:
','
2. Date this Application is Accepted :
(to be filled out by planning Dept.)
- . " .. 'f . ....
Name (person or business entity in whose name this
is made) :
tVJ {L Mua. ;l-e fI
{fiU ~
{ (JJ u/lL IL.~~
3.
Applicant's
application
Address:
dOO
]38
Phone:
,
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(person, if any, representing
(l>fa~~
;J I{) if jp.Z ~ "
i3r lmL ~ R-<:.J\..,
73)' 3710
applicant) :
4.
Agent I S Name
Address:
,
Phone:
~
{li,i?J,/K /:3U/)[ZI./10
, 5.
p~~perty Owner's (or ~ust~e'~Y'Name:
,2() I de /tJJ t!..(},~z.L
jJ 6 :JI
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'/3:; - 33 &/0
,
Address:
Phone:
6. Correspondence Address (if different than applicant or agent)
* .
.
* This is the address to which all agendas, letters, and
other materials will be mailed.
Planning Dept. 10/82
Page 2
'.
7. What'is applicant's interest in the ~remises affected?
, 1{/}Cf /.l Y-li f h 10
~ Buyer, ~essee, Builder, Developer,
Contract purchaser, etc.)
8. street Address or Location of Site:
d.DO Jc /iU (,twiz
of site/propert1 control * : ,",
bttWj Ji.-i/i..a.4! ( )u:i-cU'r'~0<-)
9.
Legal Description
.
33- 45-13
',.
.. .
10. Intended Use(s) of site:
fUAJi./IL..t LlM.
I
4/
11. Developer or Builder,
"
12. Architect:
13. Landscape Architect:
14. Site Planner:
15. Engineer:
16. Surveyor:
17. Traffic Engineer:
18. Has a site plan been previously approved by the city council
for this property?
.-.--....
19. Estimated constructi'on cost of propo~:(',l impl'ovemcnts sholm on
this site plan: jJ[J[).OO
Planning Dept. 10/82
pag-e 3
.-
II. SITE DATA
The following- information must be filled out below and must appear,
where applicable, on all six (6) copies of the site p,lan.
1. Land'!~se Cateqory shown in
the Comprehensive Plan
2. Zoning District
'.".....
3. Area of site
acres
sq. ft.
4. Land Use -- Acreage Breakdown
'~,,,
a. Residential, including-,
surrounding lot area or
grgunds
acres
% of site
b. Recreation Areas *
(excluding- water area) "
acres
% of site
c. Water Area
acres
.% of site
d. cOllUllercial
acres
% of site
% of site
e. Industrial
acres
f. Public/In-
stitutional
,acres
% of site
g-. Public,Private, and Canal
Rig-hts-of-way
acres
% of site
.
h. Other (specify)
.
acres
% of site
i. Other (specify)
acres
% of site
j. Total Area of Site
100
% of site
* Including- open space suitable for outdoor , recreation, and
having- a minimum dimension of 50 ft. by 50 ft.
5. Surface Cover
a.. ~round Floor Building
Area ("building footprint")
b. Water Area
sq.ft. % of site
sq.ft. % of site
c. Other Impervious Areas,
including paved area of
public & private streets,
paved area of parking-
lots & driveways (ex-
eluding- landscaped areas) ,
and sidewalks, patios,
decks, and athletic
courts.
sq.ft. % of site
d. Total Impervious Area
sq.ft. % of site
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) .
Planning Dept. 10/82
n'."~4"~ nO". ,n/Q?
"..-'"
Page 4
, ., of " site
f. Other Landscaped Areas, '. sq.ft.
excluding Water Area
g. Other Pervious Areas,
including Golf Courses,
Natural Areas, "iards, and
SwC!-,les, but excluding , of site
Water Areas sq.ft.
h. Total Pervious Areas sq.ft. , of site
i. Total Area of Site i1,q.ft. 100 , of site
6. Floor Area
a. Residential sq. ft.
.' b. commercial/Office sq.ft.
c. Industrial/Warehouse sq.ft.
d. Recreational sq.ft.
e. Publici
Institutional sq.ft.
f. Other (specify) sq.ft.
g. Other (specify)
sq.ft.
h. Total Floor Area
sq.ft.
7. Number Qf Residential Dwelling Units
a. Single-Family Detached
b. Duplex
dwelling units
dwelling units
,
c. Multi-Family (3 +
attached dwelling units
(1) Efficiency
(2) 1 Bedroom
(3) 2 Bedroom
(4) 3+ Bedroom
d. Total Multi-Family
e. Total Number of Dwelling
Units
dwelling units
dwelling un,its
dwellin(j'\.1ni ts
dwelling units
dwelling units
8. Gross Density
Dwelling Units per flcre '
feet
stories
9. Maximum Height of Structures on Site
10. Required Off-Street Parking
a. Calculation of Required
Number of Off-Street
Parking Spaces
b. Off-Street Parking Spaces
Provided on Site Plan
"'P,.","i",,.., "O~....
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Page 9
IV.' MISCELLANEOUS
The following materials must be.-submitted in one (1) copy:
(checkl
~ 1. A check, payable to the City of-Boynton Beach, as per the
attached fee schedule.
"
v 2. For projects that generate at least three thousand (3,000)'
vehicle trips per day or two hundred and fifty (250) single
directional vehicle trips in a one (1) hour period, a traffic
.L'..~,:,,~t. 'a.-4Y.l:r" .:;..:; ::'.i.1~t be ::~:::.i ttcd.
1/.
3. Any other engineering and/or technical data, as may be re-
quired by the Technical Review Board to determine compliance
with the provisions of the City's Code of Ordinances.
V. CERTIFICATION
VI.
(I) (We) understand that this application and all papers and
plans submitted herewith become a part of the permanent records
of the Planning and Zoning Board. (I) (We) hereby certify that
the above statements and any statements or showings in any papers
or plans submitted herewith are true to the best of (my) (our)
knowledge and belief. This application will not be accepted
aa:.n:.;~o::~r.;he inotruction, be~~ 1-~ I
gnature o~ne;rrJ) or Trustee, ate-
or Authorized Principal if property
is owned by a corporation or other
business entity.
OF AGENTj /l
J CI/JJ
c f,iL~.(.,{-Ltt
Aut or~zed Agent
3';n.~~
Date
(I) (We) hereby designate the above signed person as (my)
(our) au1;-horized agent i regard to this apPl~i;;~ r
a ure of Ow er(s) or Trustee, . Da e
Authorized Principal if property
is owned by a corporation or other
business entity.
SPACE BELOW THIS LINE FOR OFFICE USE ONLY
Review Schedule:
Date Received:
Technical Review Board
Planning & Zoning Board
Community Appearance Board
City Council
Stipulations of Final Approval:
Date
Date
Date
Date
,
Other Government Agencies/Persons to be contacted:
Additional Remarks:
Planning Dept. 10/82
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