APPLICATION
The City of Boynton Beach
DEVELOPMENT DEPARTMENT
PLANNING AND ZONING DMSON
100 E. Boynton Beach Boulevard
P.O. Box 310
Boynton Beach, Florida 33425-0310
TEL: 561-742-6260
FAX: 561-742-6259
www.boynton-beach.org
INSPECTION DEPOSIT REFUND
Date:
, .
Site: .T.~(.. /Il..AlL
Address: .2.<r.()tI..H.'.~..~~~.
Property Owner: ~/! I!.rT.'!r: .. ....
Contractor: ..~e...~(".~..ot~ C~f. ..fh-c.
I, L bo."'"C.I' M~ ~\~ , acknowledge receipt of the inspection deposit refund, check # .Ie!. ?--~2!t
drawn on the account of said Contractor in the amount of $500.00 for the above- referenced site.
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Print Name X
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Signature >t-
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Planning & Zoning Print Name x.
Signature ~
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102528
ORDER
CITY OF BOYNTON BEACH
Attn: CITY OF BOYNTON BEACH
100 E BOYNTON BEACH BLVD
BOYNTON BEACH, FL 33435
TO THE
OF
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Minor Landscape Plan Modification Application
CERTIFICATION OF COMPLETION
Minor Landscaping Plan Modification Permit
City of Boynton Beach
Development Department
Planning & Zoning Division
File #: .-At Iv pm
CJq. 005
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Project Name: YJe.;:r - /L.;I-i L-
Project Address: ::?-<iIbD !-It9"'- ~~ ~ r
Applicant! Owner Name: ~. p. Il.,. r: A. k
Applicant / Owner Address: -9l:TO A/W 5'3 ,4/-. ~ /IJ?) f/~~; t-
Contact Phone Number: (05) (pq{. f.J fJ?()
Citing Officer (if Code Enforcement Action):
Violation of this permit will subject the applicant / owner 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
561-742-6265
Work unrelated to code action must be completed within 60 days.
Planning & Zoning signature: ~ t ~
Date: I';L <6- Oq
S:\Planning\SHARED\WP\FORMS\APPLICA TIONS\MLPM\MLPM.doc
4
Total Project Cost
Estimate:
00 @~OW~IQ)
JAN 2 6 2009
City Codes Accessed via Website www.boynton-beach.org
www.amlegal.comlboynton _ beach- flus
CITY OF BOYNTON BEACH, FLORIDA
PLANNING & ZONING DIVISION
MINOR LANDSCAPE PLAN MODIFICATION
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: lrL~~\ ~t.1.1OJ..-1::e&-tC-L 'S-,t.1"'\'lrl.. (~~
1. Project/Business Name & Street Address Zf:CD HiJL.... f<,icJ~ ~ ]oYVt~ ~ J rL- 334Z)
2. Applicant's Name & Address (person or business entity in whose ~ame this aP8lication is
made): ClVrH- fU)R.l~ ~LONAL ~Sf(:+?.tA'll~ -AUftbl<.liY lSr-I'2J=A)
t)co NLU % street-I 6ul1e lro ~tu) ~ t=L 33Dhi
Phone:(.:3C:15)ca11'(PC,QO Fax: (30S)(;A'S.t330
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. /,c'e. A.'"ftI:\~ ~V'--S\
d. Symbol for tree replacements. \. ?C-' r~ - I)
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:---.reucV\. ~'---
Do you require a permit for other site work (Le. Irrigation)? _Yes _No
Name of Removal Company:_~ 9~ ~re... CoVllY'h4vfS J [vtL.
R
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M
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Qty Species Height Trunk Caliper MonthNear of
Removal
Total Tree
Caliper Inches -----
L.
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Start of Removal: Month/Year: ~~,-y ZCO'1
Completion of Removal: Month/Year: ~~~ ZOO""
Gross Time Frame for removal: (po 'P",,~S
CALL FOR INSPECTION UPON START OF REMOVAL: 742-6265
Name of Replacement Company:_~ &J~ L..avU:bU1.pL Co\l1~a1YS J IVlC.
R
E
P
L
A
C
E
M
E
N
T
Qty Species Height Trunk Caliper Month Near of
Planting
Total Tree
Caliper Inches ----
- ,. .....
. l~ t1. 'fP-t~ -p~v.c,.J
Start of Planting: Month/Year: re.br--t.l:J-.~Y zooC1
Completion of Planting: Month/Year: ~..-(;.t... 2J:>t!>'"
Gross Time Frame for Replacement: CJo o....c)
Call for inspection upon start of Replacement: 742-6265
ALL CONTRACTORS HIRED FOR SERVICE MUST HA VE OCCUPA TIONAL LICENSE IN THE
City Of Boynton Beach AND PROVIDE PROOF OF INSURANCE.
I OL # q 2- - 5 ilL,
3
VI. CERTIFICATION
(I) (We) 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) (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 ap'plicaf n ill not be accepted unless signed according to the instructions below.
l . z..3 '0\
Date
Signature w er(s o~ see, or Authorized principal if
property is owned by a corporatio or other business entity.
print~~ t-\:~;2l~
or
Letter of Authorization from Property Owner
Fee Schedule
I nspection Deposit:
< $5,000.00 =
> $5,001.00 =
$500.00
$100.00
$200.00
Estimated Value of Improvement:
Two separate checks are required. The Inspection Deposit fee is refundable upon
completion of a successful final inspection (no later than 60 days from
commencement). In the event that the applicant fails to call for a timely (GO days)
final inspection, the deposit amount will be forfeited and an inspection will be
completed by the forester at that time.
4
RIA
SOUTH FLORIDA
REGIONAL
TRANSPORTATION
AUTHORITY
800 NW 33rd Street Pompano Beach, Florida 33064
954/942.7245
954/7881878 www.sfrto.fl.goy
LETTER OF AUTHORIZATION
To Whom It May Concern:
Please allow this letter to serve as consent/authorization for Mr. Jonathan Haigh - Urban
Resource Group (A Division of Kim ley-Horn and Associates) to act as agent on behalf of South
Florida Regional Transportation Authority in all matters relating to the permitting and
development of Tri-Rail Boynton Beach Landscape Betterment Plan.
South Florida Regional ansportation Authority
Daniel R. Mazza, P.E./Director of Engineering and Construction
,.';i Commissioner Bruno A. Barreiro Alice N. Bravo, P.E. James A. Cummings
Commissioner Jeff Koons Felix M. Lasarte, Esq. George Morgan, Jr. F. Martin Perry
Commissioner Josephus Eggelletion, Jr. Marie Horenburger
Joseph Giulielli