APPLICATION
..
The City of Boynton Beach
DEVELOPMENT DEPARTMENT
PLANNING AND ZONING DIVISON
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: 1- ) ~ - ()<g
Site: .........J-It~ PI · <3/IIc(. Ifssoc. ~C .
Address: ............................
Property Owner: ...... . . . . . . . . . . . ...
c:o~~ract~~....................
I, ~4';;d , acknowledge receipt of the inspection deposit refund, check # ......
drawn on the account of said C:ontractor in the amount of $500.00 for the above- referenced site.
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Print Name
Signature
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Planning & Zoning Print Name
Signature
Minor Landscape Plan Modification Application
CERTIFICATION OF COMPLETION
Minor Landscaping Plan Modification Permit
City of Boyn ton Beach
Development Department
Planning & Zoning Division
0'1 01/
Project Name: :1-1/9'1,-----,,> p~+ ~cJd
Project Address: Sl11--" ~f/-- ~tAA' ~d.
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File # :
Applicant / Owner Name:
Applicant / Owner Address:
Contact Phone Number:
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:d~ [1 {~
Date: ~/ 1'3/07
S:\Planning\SHARED\WP\FORMS\APPLICA TIONS\MLPM\MLPM.doc
4
City Codes Accessed via Website www.boynton-beach.org
www.amlega1.com/boynton_beach-fl.us
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:
1.
2.
Project/Business Name & Street Address ff,611/1;/}/r B...v IIs.Sfj ~~ /'/5 t. ;jt:./J~PT Z'-
, .Ib
Applicant's Name & Address (person or business entity in whose name this application is made): .
If!,/I h/N'r&lIl-CV'1nf),~ ) i o2IS' /.jbll~/AJJ hu/
Phone: ( ...5G ,) 710- "tit 0 Fax:
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: D)/ I k€ L.J %
Do you require a permit for other site work (i.e. Irrigation)? _Yes X' No
Name of Removal Company:
R
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Qty Species Height Trunk Caliper MonthlY ear of
Removal
J h, / ./oI.,L~ ;la' 02' 1/07
/ fll'le ~o 02' J/ib J
Total Tree
Caliper Inches -+ -+ -+ -+ -+
Start of Removal: MonthlYear:
Completion of Removal: MonthlYear:
Gross Time Frame for removal:
Minor Landscape Plan Modification Application
CALL FOR INSPECTION UPON START OF REMOVAL: 742-6265
Name of Replacement Company: f')/.S. J..Ih.JJ)<;LA-~"4J~. I/lc.
,
R
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P
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A
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M
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Qty Species Height Trunk Caliper Month Near of
Planting
/ J/~t-1.. 'I ''2. ;; If /5)11
jJJfllfOG I}v 1 ? ? $cf>l
.
Total Tree
Caliper Inches -. -. -. -+
-.
Start of Planting: MonthlYear:
Completion of Planting: MonthlYear:
Gross Time Frame for Replacement:
Call for inspection upon start of Replacement: 742-6265
ALL CONTRACTORS HIRED FOR SERVICE MUST HA VE OCCUPA T10NAL LICENSE IN THE
City Of Boynton Beach AND PROVIDE PROOF OF INSURANCE.
IOL# 143&2
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2
Page 1 of 1
Coale, Sherie
From: Hallahan, Kevin
Sent: Thursday, September 20, 2007 1 :20 PM
To: Coale, Sherie
Subject: RE:
Sherie,
Please have Fred Reve (One of the Gang members) write on the permit the building numbers where all of the
trees have been removed and where the replacement trees have been planted on the site. Is it possible to print
out a GISMO map of the Highpoint section 4 residents and have him mark the locations (red = out and green=
plant)? This should be done when he returns for his deposit check. Thanks. Kevin.
From: Coale, Sherie
Sent: Wednesday, September 19, 2007 12:25 PM
To: Hallahan, Kevin
Subject:
FYI- The High Point 4 (sounds like a gang, except there were only 2! ) were here and added onto the application.
I don't have any plans to show the addition and deletion of a pine and mahoghany, do you?
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9/21/2007
Minor Landscape Plan Modification Application
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 sh . gs in any papers or plans submitted herewith are true to the best of (my) (our) knowledge
and belief. s a Icati n will not b acc ted unless signed according to the instructions below.
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Signature of Owner(s} or T ustee, or Authorized principal if " Date
property is owned by a corporation or other business entity.
'~OLI Glt, L~ 12 J t.'))c
Print name
or
Letter of Authorization from Property Owner
Fee Schedule
Estimated Value of Improvement: < $5,000.00 = $100.00
> $5,001.00 = $200.00
Inspection Deposit:
$500.00
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 (60 days) final
inspection, the deposit amount will be forfeited and an inspection will be completed by
the forester at that time.
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1. COMPLETE THE APPLICATION
2. MAKE CHANGES TO BOTH SETS OF
PLANS.
3. HIGHLIGHT DAMAGED OR TREES TO
BE REMOVED WITH RED
4. HIGHLIGHT NEW INSTALLATIONS
(REPLACEMENT TREES, SHRUBS,
PLANTS, ETC. WITH GREEN)
5. RETURN ONE SET OF PLANS ALONG
WITH THE COMPLETED APPLICATION
AND APPLICABLE FEES TO PLANNING
AND ZONING.
6. YOU WILL BE ISSUED THE PERMIT TO
PROCEED WITH THE WORK.
7. CALL FOR INSPECTION UPON
COMPLETION OF WORK.
If you have questions: Kevin-742-6267 or
Sherie 742-6265