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APPLICATION City Codes Accessed via Website www.boynton-beach.org www.amlegal.comlboynton_beach-fl.us CITY OF BOYNTON BEACH, FLORIDA PLANNING & ZONING DIVISION MINOR LANDSCAPE PLAN MODI FICA liON Total Project Cost Estimate: $1-00 \ Oc-O This application must be filled out completely and accurately and submitted to the Planning and Zoning Department. Incomplete applications will not be processed. I. GENERAL INFORMATION: 1. Project/Business Name & Street Address Southeast Neiahborhood Park (2882 S.E. 2nd Street) 2. Applicant's Name & Address (person or business entity in whose name this application is made): Jodv Rivers, 100 E. Bovnton Beach Blvd., Bovnton Beach. FL 33435 Phone: (561) 742-6226 Fax: (561) 742-6233 Proposed Landscape Plan - 60 % Native species required for Replacement Trees. a. Detailed description of new landscape plan showing all tree species. b. Symbol for trees removed. c. Total caliper inches of trees removed. d. Symbol for tree replacements. e. Total caliper inches of replacement trees. Is this work the result of a code enforcement action? Yes ~No Name of citing code enforcement officer: nla Do you require a permit for other site work (Le. Irrigation)? ~ Yes _No Name of Removal Company: Not known R E M o V A L Qty Species Height Trunk Caliper MonthlYear of Removal 191 Mango 20' - 30' 8" 2006 Total Tree Caliper Inches ~~~~~ 1,528" Start of Removal: MonthNear: 03/2006 Completion of Removal: MonthNear: 03/2006 Gross Time Frame for removal: one month Minor Landscape Plan Modification Application CALL FOR INSPECTION UPON START OF REMOVAL: 742-6265 Name of Replacement Company: R E P L A C E M E N T Not known Qty Species Height Trunk Caliper Month /Year of Plantina 11 Live Oak 12' -14' 3" 04/2006 11 Paradise 12' -14' 3" Tree 04/2006 11 Cinnecord 12' -14' 3" 04/2006 2 Tibouchina 6'-7' 2" 04/2006 Total Tree Caliper Inches ~~~~ 101" ~ Start of Planting: MonthNear: 04/2006 Completion of Planting: MonthNear: 04/2006 Gross Time Frame for Replacement: one month Call for inspection upon start of Replacement: 742-6265 ALL CONTRACTORS HIRED FOR SERVICE MUST HA VE OCCUPA TlONAL LICENSE IN THE City Of Boynton Beach AND PROVIDE PROOF OF INSURANCE. IOL# 2 Minor Landscape Plan Modification Application VI. CERTIFICATION (I) (VIle) understand that this application and all papers and plans submitted herewith become a part of the permanent records of the City of Boynton Beach. (I) (VIle) 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 according to the instructions below. \~alo Date Signature of Owner(s) or Trustee, or Authorized principal if property is owned by a corporation or other business entity. Wally Majors ~ Print name or Letter of Authorization from Property Owner This application shall be effective until suspended, revoked, surrendered or expired. Violation of this application will subject the applicant to possible code enforcement action or suspension or revocation of this permit pursuant to the City of Boynton Beach Code of Ordinances, Chapter 7.5. Issuance of this permit does not relieve the applicant from compliance with State and Federal requirements. Be advised that Homeowner Associations may have more restrictive covenants than the city requirements. WORK UNRELATED TO CODE ACTION SHALL BE COMPLETED WITHIN 60 DAYS. Fee Schedule Estimated Value of Improvement: < $5,000.00 = $100.00 > $5,001.00 = $200.00 S:\Planning\SHARED\WP\FORMS\APPLlCA TIONS\MLSM.doc 3 CERTIFICATION OF COMPLETION MINOR LANDSCAPING PLAN MODIFICATION PERMIT CITY OF BOYNTON BEACH DEVELOPMENT SERVICES DEPARTMENT PLANNING AND ZONING DIVISION CITING OFFICER: PROJECT NAME STREET ADDRESS PERMIT NO. PROPERTY CONTROL NO. APPLICANT! OWNER NAME: TEL. # APPLICANT! OWNER ADDRESS: FAX # FILE NO. OF PERMIT APPLICATION: Violation of this permit will subject the applicant to possible code enforcement action or suspension or revocation of this permit pursuant to the City of Boynton Beach Code of Ordinances, Chapter 7.5. Issuance of this permit does not relieve the applicant from compliance with state and federal requirements. Homeowner Association Covenants may be more restrictive than city requirements. CALL FOR FINAL INSPECTION 742-6265 Work unrelated to code action to be completed within 60 days. PLANNING & ZONING DIVISION: DATE: S:IPlanningISHAREDIWPIFORMSIAPPLlCA TIONSIMinor Landscaping Plan Modification .doc