APPLICATION
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PROJECT NAME: Gerrity
LOCATION: NE 8th Court
PCN: 08-43-45-20-01-000-0190
I FILE NO.: REZN 05-004 II TYPE OF APPLICATION: I
AGENT/CONTACT PERSON: OWNER: Bill Gerrity, Inc.
Bradley Miller ADDRESS: 5661 NE 6th Avenue
Miller Land Planning Consultants, Inc. Ft. Lauderdale, FL 33334
ADDRESS: 298 Pineapple Grove Way FAX: 954-491-3818
Delray Beach, FL 33444 PHONE: 866-441-2400
FAX: ,
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SUBMITTAL / RESUBMITTAL 4/5/05
1 ST REVIEW COMMENTS DUE:
PUBLIC NOTICE: 5/30/05
2nd REVIEW MEETING:
LAND DEVELOPMENT SIGNS POSTED
(SITE PLANS):
PLANNING & DEVELOPMENT BOARD 6/28/05
MEETING:
COMMUNITY REDEVELOPMENT
AGENCY BOARD
CITY COMMISSION MEETING: 7/19/05
COMMENTS:
S:\Planning\SHARED\WP\PROJECTS\Skylake\REZN 05-004\2005 PROJECT TRACKING INFO.doc
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APPLICATION ACCETABLE DATE: RECEIVED BY STAFF MEMBER:
FEE PAID: RECEIPT NUMBER:
HAS APPLICANT ATTENDED A PRE-APPLICATION MEETING? DATE:
CITY OF BOYNTON BEACH, FLORIDA
PLANNING & DEVELOPMENT BOARD
LAND USE AMENDMENT AND/OR REZONING APPLICAnON
This application must be filled out completely and accurately and submitted, together with the
materials listed in Section II below, in two (2) copies to the Planning DMslon. Incomplete
applications will not be processed.
PLEASE PRINT LEGIBLY OR TYPE ALL INFORMAnON.
I. GENERAL INFORMATION
1. Project Name: Sky Lake
2. Type of Application (check one)
a. Land Use Amendment and Rezoning
b. Land Use Amendment Only
x c. Rezoning only
3. Date this application is accepted (to be filled out by Planning Division)
April 6 2005
4. Applicants Name (person or Business entity in whose name this application is made)
Bill Gerrity Ine
Address: 5661 NE 6th Ave.
Ft Lauderdale. FL 33334
Phone: 866 441 2400
(Zip Code)
FAX: 954.491.3818
5. Agenfs Name (person, if any. representing applicant
Miller Land Plannina Consultants, Inc.
Address: 298 Pineaople Grove Way
Delray Beach. FL 33444
Phone: 561 /272.0082
(Zip Code)
FAX: 561/272.1042
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6. Property Owner's (or Trustee's) Name:
Bill Gerrity, Inc.
Address: 5661 NE 6th Ave.
Ft. Lauderdale, FL 33334
(Zip Code)
Phone: 866.441 .2400
FAX: 954.491.3818
7. Correspondence Address (if different than applicant or agent)*
*This is the only address to which all agendas, letters, and other materials will be
mailed
8. What is the applicant's interest in the subject parcel: (Owner, Buyer, Lessee, Builder,
Developer, Contract Purchaser, etc.)
Owner
9. Street Address or Location of Subject Parcel: NE 8th Court
PCN (s) 08.43.45.20.01.000.0190
10. Legal Description of Subject Parcel (please also provide on disk in "Word- format):
TRACT 19 OF SUBDIVISION OF SECTION 29 AND 20, TOWNSHIP 45 SOUTH OF
RANGE 43 EAST, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK
7. PAGE(S) 20. OF THE PUBLIC RECORDS OF PALM BEACH COUNTY, FLORIDA.
11. Area of Subject Parcel (to nearest hundredth (1/100) of an acre: 2.54
12.
Current Land Use Category:
LOR
13: Proposed Land Use Category: N/A
14.
Current Zoning District:
R1AA
15. Proposed Zoning District: R 1 A
16 Intended use of subject parcel: SINGLE-FAMIL Y
17. Developer or builder: Bill Gerrity, Inc.
18. Architect:
19. Landscape Architect:
20. Site Planner: Miller Land PlanninQ Consultants. Inc.
21. CMI Engineer:
22. Traffic Engineer:
23. Surveyor: GT SurveyinQ Services. Inc.
II. MATERIALS TO BE SUBMITTED WITH APPLICATION
The following materials shall be submitted in two (2) copies, unless otherwise indicated:
(please check)
~a. This application form.
~b. A copy of the last recorded warranty deed.
_c. The following documents and letters of consent:
_(1) If the property is under joint or several ownership: a written consent to the application
by all owners of record,
_(2) If the applicant is a contract purchaser: a copy of the purchase contract and written
consent of the owner and seller, and
~(3) If the applicant is represented by an authorized agent: a copy of the agency
agreement, or written consent of the applicant, and
_(4) If the applicant is a lessee: a copy of the lease agreement, and the written consent of
the owner, and
L(5) If the applicant is a corporation or other business entity: the name of the officer or
person responsible for the application, and written proof that said person has the
delegated authority to represent the corporation or other business entity. or in lieu
thereof, written proof that he is in fact an officer of the corporation.
~d. A sealed boundary survey of the subject parcel by a surveyor registered in the State of Florida,
dated not more than six (6) months prior to the date of submission of the application. at a scale
prescribed by the Planning Division. and containing the following infonnation:
~(1) An accurate legal description of the subject parcel.
~(2) A computation of the total acreage of the subject parcel to the nearest hundredth
(1/100) of an acre.
_(3) A tree survey, which conforms to the requirements of the City of Boynton Beach Tree
preservation Ordinance. (Also refer to Page 6, Sec. " h.(12) of this application if
property is occupied by native vegetation.) This requirement may be waived by the
Planning Director where found to be unrelated to the land use or zoning issues
involved with the application.
25-e. A complete certified list of all property owners, mailing addresses, and legal descriptions for all
properties within at least four hundred (400) feet of the subject parcel as recorded in the latest
official tax rolls in the county courthouse shall be fumished by the applicant, including a tax map
showing placement of 400 feet boundary. Postage, and mailing labels or addressed envelopes
must also be provided. Said list shall be accompanied by an affidavit stating that to the best of
the applicanfs knowledge said list is complete and accurate. Notification of surrounding
property owners will be done by the City of Boynton Beach.
Lf. A copy of the Palm Beach County Property Appraiser's maps showing all of the properties
referred to in paragraph e. above, and their relation to the subject parcel.
~. A statement by the applicant justifying the zoning requested, including reasons why the property
is unsuitable for development under the existing zoning and more suitable for development
under the proposed zoning. The statement should address the following criteria which the
Planning and Zoning Division utilizes in evaluating land use amendment and rezoning
applications:
1) Whether the proposed land use amendment/rezoning would be consistent with applicable
comprehensive plan policies. The division shall also recommend limitations or requirements
that would have to be imposed on subsequent development of the property in order to
comply with policies contained in the comprehensive plan.
2) Whether the proposed land use amendment/rezoning would be contrary to the established
land use pattem, or would create an isolated district unrelated to adjacent and nearby
districts or would constitute a grant of special privilege to an indMdual property owner as
contrasted with the protection of the public welfare.
3) Whether changed or changing conditions make the proposed land use amendment/rezoning
desirable.
4) Whether the proposed land use amendment/rezoning would be compatible with utility
systems, roadways and other public facilities.
5) Whether the proposed land use amendment/rezoning would be compatible with the current
and future use of adjacent and nearby properties or would affect the property values of
adjacent and nearby properties.
6) Whether the property is physically and economically developable under the existing land
use designationlzoning.
7) Whether the proposed land use amendment/rezoning is of a scale that is reasonably related
to the needs of the neighborhood and the city as a whole.
8) Whether there are adequate sites elsewhere in the city for the proposed use, in districts
where such use is already allowed.
_h. A comparison of the impacts that would be created by development under the proposed zoning,
with the impacts that would be created by development under the proposed zoning, with the
impacts that would be created by development under the existing zoning, which will include:
_(1) A comparison of the potential square footage of number and type of dwelling units
under the existing zoning with that which would be allowed under the proposed zoning
or development.
_(2)
_(3)
_(4)
_(5)
,;;
A statement of the uses that would be allowed in the proposed zoning or development,
and any particular uses that would be excluded.
Proposed timing and phasing of the development.
For proposed zoning of property to commercial or industrial districts, where the area of
the subject parcel exceeds one (1) acre, projections for the number of employees.
A comparison of traffic which would be generated under the proposed zoning or
development, with the traffic that would be generated under the current zoning; also,
an analysis of traffic movements at the intersections of driveways that would serve the
property and surrounding roadways, and improvements that would be necessary to
accommodate such traffic movements. For projects that generate more than five
hundred (500) net trips per day, a traffic impact analysis must be submitted which
complies with the Municipal Implementation Ordinance of the Palm Beach County
Traffic Performance Standards Ordinance.
(a) For projects that generate two thousand (2,000) or more net trips per day, the
traffic impact analysis must be submitted to the City at least 30 days prior to the
deadline for land use amendment and/or rezoning, in order to allow for timely
processing of the application and review by the City's traffic consultant and Palm
Beach County. The applicant shall be billed for the cost of review by the City's
traffic consultant.
(b) For projects that generate between five hundred (500) and two thousand (2.000)
net trips per day, the traffic impact analysis must be submitted at the application
deadline for land use amendment and/or rezoning, in order to allow for timely
processing of the application and review by Palm Beach County. However, if it is
the desire of the applicant to utilize the City's traffic consultant for review of the
traffic impact analysis prior to review by Palm Beach County, then the procedure
and requirements outlined under item "a" above shall be followed.
NOTE: Failure to submit traffic impact analysis in the manner prescribed above may
delay approval of the application.
_(6) For parcels larger than one (1) acre. a comparison of the water demand for
development under the proposed zoning or development with water demand under the
existing zoning. Water demand shall be estimated using the standards adopted by the
Palm Beach County Health Department for estimating such demand, unless a
registered engineer justifies different standards. Commitment to the provision of
improvements to the water system shall also be included, where existing facilities
would be Inadequate to serve development under the proposed zoning.
_(7) For parcels larger than one (1) acre, a comparison of sewage flows that would be
generated under the proposed zoning or development with that which would be
generated under the existing zoning. Sewage flows shall be estimated using the
standards adopted by the Palm Beach County Health Department for estimating such
flows. unless a registered engineer justifies different standards. Commitment to the
provision of improvements to the sewage collection system shall also be Included,
where the existing facilities would be inadequate to serve development under the
proposed zoning.
_(8) For proposed residential developments larger than one (1) acre, a comparison of the
projected population under the proposed zoning or development with the projected
...,,,
population under the existing zoning. Population projections according to age groups
for the proposed development shall be required where more than fifty (50) dwellings, or
50 sleeping rooms in the case of group housing, would be allowed under the proposed
zoning.
_(9) At the request of the Planning Division, Planning and Development Board, or City
Commission, the applicant shall also submit proposals for minimizing land use conflicts
with surrounding properties. The applicant shall provide a summary of the nuisances
and hazards associated with development under the proposed zoning, as well as
proposals for mitigation of such nuisances and hazards. Such summary shall also
include, where applicable, exclusion of particular uses, limitations on hours of
operation, proposed location of loading areas, dumpsters, and mechanical equipment,
location of driveways and service entrance, and specifications for site lighting.
Nuisances and hazards shall be abated or mitigated so as to conform to the
performance standards contained in the City's zoning regulations and the standards
contained in the City's noise control ordinance. Also, statements concerning the
height, orientation, and bulk of structures, setbacks from property lines, and measures
for screening and buffering the proposed development shall be provided. At the
request of the Planning and Development Board or City Commission, the applicant
shall also state the type of construction and architectural styles that will be employed in
the proposed development.
_(10) At the request of the Planning Division, Planning and Development Board, or City
Commission, the applicant shall also submit the following information:
_(a) Official soil conservation service classification by soil associations and all areas
subject to inundation and high ground water levels.
_(b) Existing and proposed grade elevations.
_(c) Existing or proposed water bodies.
_(d) Form of ownership and form of organization to maintain common spaces and
recreation facilities.
_(e) A written commitment to the provision of all necessary facilities for storm
drainage, water supply, sewage collection and treatment, solid waste disposal,
hazardous waste disposal, fire protection, easements or rights-of-way.
roadways, recreation and park areas, school sites, and other publiC
improvements or dedications as may be required.
_(11) For rezonings to planned zoning districts, the specific requirements for submission of
applications for rezoning to such districts shall also be satisfied. Furthermore. all
materials required for a subdMsion master plan shall also be submitted.
_(12) Where conformance with the county's Environmentally Sensitive Lands Ordinance is
required, an Application for Alteration of Environmentally Sensitive Lands
(Environmental 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 Land Use Amendment and/or Rezoning
Application to the City.
_13) All applications for a land use amendment and rezoning for any residential
development submitted after June 27, 2002 must submit a School Concurrency
Application and Service Provider Fonn. Applications are not deemed complete
until the City receives notification from the Palm Beach County School District.
III. APPLICATION FEES
Fees shall be paid at the time that the application is submitted, according to the fees which have
been adopted by ordinance or resolution. The Planning Division will inform the applicant as to
the fees which are required. All fees shall be paid by check. payable to the City of Boynton
Beach.
IV. Representative of the project must be present at all Technical Review Committee.
Planning and Development and City Commission meetings held to review this project.
Monday, April 04. 2lXX> 1:ZU I-'M
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VI. AGENT CONSENT FORM
STATE OF FLORIDA
COUNTY OF PALM BEACH
J
BEFORE ME THIS DAY PERSONALLY APPEARED Wllfiam C Gerrffv. Jr. . WHO BEING
DULY SWORN, DEPOSES AND SAYS THAT:
1. HeIshe is the owner d the reel property legally desc:ribed in AU8ctiment A;
2. Helsh8 _ auIhorizes and designates to act in hisIher behalf for the purposes of seeking a
change to 1he Fub.mt l.8IId Use Map 48 81~"ilI'Ob ...rcr Zoning de n lfl4:8liDn of lie real pR1p8Ily
legaIy described in AtfadHnenl A;
3. HeIshe has examined the foregoing Fubn Land Use Map amendmentandfor Rezoning
..ppIicaIion and heI8he unc:IerSI8nd8 hoW" propoeed chMge m.y aIIec:t Ihe... property
legaIy desa1bed In Att:achmenlA.
FURTHER AFFIANT SAYETH NOT.
The :rJ1instrument~ac:knowIedged bebe me 1his::L day 01 fI P I? I L.-. 2D~by
i~ ~ (Name of Person Acknc.wfSLtging) who is f*8OI181y
knOWn to or _ (type of 1denIIftcaIIon) as
~and who didfllA8t)tak8 an 0lIIh. I
, ~ lt~1()tv.VJ:-(j'l r:J.
(SIg Perwon Taking Acknowledgment) Owner\ SIgnature
William C. Gerrity, Jr. c/o
Bill Gerrify, Inc.
(Name of AcknowIedger Typed, Printed or Sfamped) OwneI's Name (Print)
'-If 2. rJ )J E ~ S Il/v--f
(Title CI Rank) tr88l AddIesS
@~M113333'f
(Serial Number. if any) City, Stale, ZIp Code
(Notary" Seal)
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TeleDhone fJ5{f ~ /.f1,) .- %)&
Q) GULDEREN ALDEMIR
, MY COMMISSION /I DD 142011
EXPIRES: October 7, 2006
l-lnJ.3-NOTAAY FL Notary SllIVice & Bonding, Inc.
V. APPLICANTS OWNERSHIP AFFIDAVIT
STATE OF FLORIDA
COUNTY OF PALM BEACH
I
BEFORE ME THIS DAY PERSONALLY APPEARED Bradley O. Miller
DULY SWORN, DEPOSES AND SAYS THAT:
, WHO BEING
1. He/she is the owner, or the owner's authorized agent, of the real property legally described in
Attachment A;
2. He/she understands the Future Land Use Map amendment andlor Rezoning application fee is
nonrefundable and in no way guarantees approval of the proposed amendment;
3. The statements within the Future Land Use Map amendment and/or Rezoning application are
true, complete and accurate;
4. He/she understands that all information within the Future Land Use Map amendment and/or
Rezoning application is subject to verification by City staff;
5. He/she understands that false statements may result in denial of the application; and
6. He/she understands that he/she may be required to provide additional information within a
prescribed time period and that failure to provide the information within the prescribed time
period may result In the denial of the application.
FURTHER AFFIANT SAYETH NOT.
The foregoing instrument was acknowledged before me this L{ day of &n I , 20..QL.., by
Bradley O. Miller (Name of Person Ackn~ who is personally
known to me or who has produced (type 0 identification) as
identification nd who . (d!!!. not) take an oath.
Nicole R. Simpson
(Name of Acknowledger Typed, Printed or Stamped)
Bradley O. Miller
Applicanfs Name (Print)
Notary
(Title or Rank)
00224289
(Serial Number, if any)
(Notary' Seal)
298 Pineapple Grove Way
Street Address
Delroy Beach, FL 33444
City, State, Zip Code
Teleohone ( ) 561/272.0082
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" :':J':~ NDIary "-, - SIaIe of Florida
, ,/.' &pea Ul 19. 2007
,~."".:-~.. CclmI'NIIIon # 00224289
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Division pf Corporations
Page 1 of2
Florida Profit
BILL GERRITY, INC.
PRINCIPAL ADDRESS
4420NE 15TH AVENUE
FORT LAUDERDALE FL 33334
MAILING ADDRESS
4420 NE 15TH AVENUE
FORT LAUDERDALE FL 33334
Document Number
P02000045327
FEI Number
731638539
Date Filed
04/25/2002
State
FL
Status
ACTIVE
Effective Date
NONE
Registered Agent
Name & Address
GERRITY, WILLIAM C JR
4420 NE 15TH AVENUE
FORT LAUDERDALE FL 33334
Officer/Director Detail
I Name & Address II Title I
GERRITY, WILLIAM C JR D
4420 NE 15TH A VENUE
FORT LAUDERDALE FL 33334
Ann IR rt
ua epo s
I Report Year II Filed Date I
I 2003 II 01/27/2003 I
I 2004 II 03/15/2004 I
I 2005 II 01/26/2005 I
http://ccfcorp.dos.state.fl.us/scripts/cordet.exe?a 1 =DETFIL&nl =P02000045327 &n2=NAMFWD&n3=00... 3/31/2005
1:\ )l Prepued By. GUY EWING
'\. HO.LSBORO BEACH TITLE" ESCROW. lNC
"4J 811 EAST HlLLS80RO BOULEVARD
-. DEEIUIIEJ.J) BEACH, n.
~ illl:idernallO IIle illurance of. tille insurance policy.
File Nwnber. GMIO!?I
""""" 10.. 08-f3.4S.Jo..ol-1OO-0190
III.I~IIIIIIIII.IIII
CFN 20040685202
OR BK 17841 ?G 1899
RBCCEJED 12/16/2184 1.119:53
Pal. lI4teQ CuuDt,. Florida .
AJlT 27~t"',,,
Doc St.ellp J. 925. Ie
DaJ'ot.h7 H W.11bn. ClIPI'll 01 Court
WARRANTY DEED Pg 1899; (1P1l>
(CORPORATE)
This w~~, dated 1113012004
by --L:::::"_ lk
RA MINI~~ FEAMlNISTRIES,INC., a Florida Non ~ Corporatkm
whose posto~ is:
P.O. BOX 1065, ~ND. FL
bemnafter called ~R, to
BILL GERRITY, ~~))i1brida CorporatloD
whose post oftkc addrC'liris: ()
4420 NE Ism A VENUE, ~~T !^UDERDALE, FL. 33334
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hereina.fter called the G~: ~) .
(Wherever.used he~ tbe3i' ~f tor" and -Grantee- incl~ aU parties to ~ mslrlmleDt and the heirs, legal
rcprescntBtivu and aasagns of mdi" ~ the SlM:CCllllOI'II and 8SSlps of COIpOnItiODS.)
WITNESSEm: That thc"r~\8Dd in coosideration of the sum of $10.00 and other wluable considerations,
receipt whereof is hereby aoknowl =" gr8lIt8. bugains, sells, alicos, mmses. releases, conveys and confums
UDto the GRANTEE, all that certain Ian in PAlM BEACH CoUDty, Florida, viz:
Tract l' of SUBDMSlON orSE ~.(\ND 20, TOWNSBlP 45 SOtrrH OF RANGE 43 EAST, aecol'db11
to the Plat thereof, u recorded lD Plat ,. 20, of the Publk Retords of P_ Beacb eo.DIy, Florida.
~
SUBJECl' TO covenants, conditions, restric~tiOWl, limitations, easements and agreements of record, if any;
taxes and assessments for the year 2004 and ~ucnt years; and to all applicable zoning ordinances and/or R:strictions
and prohibitions imposed by governmental au~~y,
,,'-..., \'S-
TOOETIIER with all the: tenements, hereditamenta an~~ances tbcreto bclonsing or in anywise appertaining.
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TO HAVE AND TO HOlD, the same in fee: simple forefG: .,,5>
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AND TIlE GRANTOR. hereby covenants wid! said G "~~ept as above noted, the GRANTOR is lawfully
sei2cd of said land in fee simple; that the GRANfOR has g .~.J.. and lawful authority to sell and convey said land;
that the GRANTOR hereby fully warrants the title to said land " , defend the same against the: lawful claims of all
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persons whomsoever. ,_::,,,,/,_-::-_). ~
( ./' J"/-,
IN WYJ'NESS WImR.EOF, GRANTOR bas signed and sealed thcK ~ the date Bet forth above.
. n:A MlNI8TlW:S aIkIa rEA M.INISI'lUd, ~..Ia Florida Noa Profit CorporadoD
SIGNED IN 1lIE PRESBNCE (f :!)
OF~~ '''7;'~A
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Wi _ ,~_. ./ :r
WitneBa.p~--r
Stan: of Florida
County of PALM BEACH
1 am a notary public of the state of norlcla and my commis&ion expires: 1_ ." d _ '" r
TIlE FORBGOING INSTRUMENT was acknowledged before me on Novcmbc:r ;19 ~ 2004
By: DAND:L LEE, VIce President of
rEA MINISTRIES altJa rEA MJNISTRlES, me., . Florida NOD Profit Corporadoll , on beba1f of the corporation.
He/She is personally known to me or who bas produced D SE as identification and who tae an oath.
...1....
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Signature:
Print Name:
" .
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...........
MILLER
LAND
PLANNING
CONSULTANTS, INC.
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298 PINEAPPLE GROVE WAY
DELRA Y BEACH, FLORIDA 33426
PHONE . 561/272-0082
FAX . 561/272-1042
SKY LAKE
Rezoning Application
Original Submission: April, 6 2005
Revised:
Aoolication{s) Reauest
This application requests the rezoning of a vacant 2.54 acre property located on NE 8th Court north
of Old Boynton Beach Boulevard and east of Congress Avenue. The application is being submitted
for a straight rezoning to change the current zoning from R 1 AA to R 1 A zoning district.
Upon approval of the rezoning, the subject parcel will be developed to be consistent with the
homes surrounding the property.
Proiect Descriotion
The subject property is located in a residential district. The plats that surround the property are Glen
Arbor to the south and east, Costa Bella to the west and Sky Lake and Laurel Hills to the North. We
are trying to create a mirror image of the properties to the south of the subject property and
extend the lot lines to create 10 single-family lots that will be of a similar size. The property is
currently zoned R 1 AA, which requires a 75' lot frontage. We are requesting the change to the R 1 A
zoning district to be consistent with the neighboring area. In order to be consistent, we need to
have a lot frontage of 64', which is less than the 75' frontage required by the R1AA zoning but
exceeds the minimum of 60' for the R1 A zoning district. The side setbacks will be 10' and rear
setbacks will be 25'. The maximum lot coverage will be 35%. which is less than what the R 1 A calls
for. The proposed density of the site is 3.93 units per acre.
The property is going to be subdivided into 10 single-family homes and each lot will provide its own
drainage. The property will have 1000 trips per day for the single-family homes based on 10 trips a
day. This will have no adverse impact on the area roadways.
The single family homes to be developed will be similar with what is in the surrounding area. There
will be a mix of one- and two-story homes. Single-family homes are the only use for this vacant
land. Non-residential uses such as schools. day care and place of worship uses are not permitted
because they do not front on a major arterial roadway.
Aoolication Summary
This application will allow the 2.54 acre property to be developed consistently with the surrounding
properties. Approval will allow the subject property to be consistent with the adjacent properties
that are already developed as single family.
M:\M L P C\PROJECTS\Sky Lake\just stmt 04060S.wpd
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. -
School District of Palm Beach County
School Concurrency Application and Service
Provider Form
Return completed form to:
PlaDBiDg Department
The School District of Palm Beach County
3320 Forest Hill Blvd. CoHO
West Palm Beach, JL 33406-5813
(561)434-3800 or (561)963-3877
Fax: (561)434-8187 or (561) 434-8815
Attention: Concurrency Section
Fee Paid & Date
Local Gov'l
School Disbict
Instructions: Submit one copy of the completed application and fees for the review, for each new
residential project requiring a detennination of concurrency for schools. A determination will be provided
within fifteen (15) working days of receipt of a complete application. A determination is not transferable and is
valid for one year from date of issuance. Once the Development Order is issued, the concurrency determination
shall run with the Development Order.
Part I. To be completed by Applicant
Owner's Name: Bill Gerrity, Inc.
Agenfs Name: Bradley D. Miller
Mailing Address: 298 Pineapple Grove Way, Delray Beach. FI 33444
Telephone Number: 561/272.0082 Facsimile Number561 /272 1042
Project Name:
Municipality or Unincorporated PBC
Property Control Number (PCN):
Project Location:
Concurrency Service Area (CSA):
DEVELOPMENT REQUEST:
Total # of Units: 3
Sky Lake
City of Boynton Beach
08.43.45.20.01.000.0190
NE 8th Court
19
Single Family
Types of Units:
3
Single Family
Apartments (3 stories or less)
High Rise Apartments
Age Restricted Adults Only
Provide Covenant
Phasing Plan:
If applicable, please attach a complete Phasing Plan showing the number and type of units to receive certificate
of occupancy yearly.
Proof of Ownership: Please attach copy of Warranty Deed and Consent Form
Part II. Local Government Review
Date Filed
Local Government Representative
Petition #:
Print Name
Title
Part III. To be completed by School District Staff
Date and Time Received:
Case Number:
I verify that the project complies with the adopted Level of Service (LOS) for Schools.
I verify that the project will comply with the adopted Level of Service (LOS) for Schools subject to
the attached conditions.
I cannot verify that the project will comply with the adopted Level of Service (LOS) for Schools
with the attached conditions.
School District Representative Date