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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 $500.00 for the above- referenced site. .:\~L ~ v' ~ Vv'\ ~ ~0.1 t} 'jJJM ~} Print Name X ~ Signature >t- ~e-rl e....., ( ca l-e ~~~(C~ /'" Planning & Zoning Print Name x. Signature ~ .:II3Ii:I::(Ii~4IIo:&'I.J1''''i'j'':[.l''.'.:I.II::W;.fl:t::::a::::a~.:''lli~Cet:i.I'I~I'Jr'1~1'."~"'1:1I1::ultr".'1"".::a:~l'Ir:":I~C.]i'i..:I::I:"lel~":(.].'Jr"."NC1.:aI.:a'JI:a.'i' --- .-- - - - -- - - - - -- -.- -- - - -- ..- - - ---- -- Olll~>:c800.~:NVv ASRDc$r.-Sl.iITE:'1 00/: ... POMPA~O B~,4.CH;FtORIDk/. (954)-942-7245 Sun Trust! Sun Trust Bank 102528 ORDER CITY OF BOYNTON BEACH Attn: CITY OF BOYNTON BEACH 100 E BOYNTON BEACH BLVD BOYNTON BEACH, FL 33435 TO THE OF III 0 ~ 0 2 5 2 a III ': 0 b ~ ~ 0 0 7 gO': b b 0 7 b 0 7 g ~ ~ 5 0 ~ III 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 I&~~I CcnvV~ ~ J--c.. \ .- 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 E M o V A L Qty Species Height Trunk Caliper MonthNear of Removal Total Tree Caliper Inches ----- L. ~ "'~~ 'F'~<,) 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