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APPLICATION PROJECT NAME: Dr. Sib(a LOCATION: 709 S. Federal Hwy PCN: 08-043-45-28-00-000-5020 I FILE NO.: NWSP 09-001 II TYPE OF APPLICATION: I AGENT/CONTACT PERSON: OWNER: HMRS LLC Francisco Perez-AzU(;L. ADDRESS: 10075 Jog Road #301 Perez Design, Inc. Boynton Beach, FL 33437 ADDRESS: 4205 W. Atlantic Avenue FAX: Suite 304 Delray Beach, FL 33445 PHONE: 561-289-8649 FAX: 561-279-2801 PHONE: 561-279-2006 E-Mail: fpa(tV,perezarchitects.com SUBMITTAL / RESUBMITT AL 1/7/09 1 ST REVIEW COMMENTS DUE: 1/23/09 PUBLIC NOTICE/ SIGNS 30 days / 10 days 3/14/09 IP ARC: TART MEETING: 2/17/09 LEGAL AD PLANNING & DEVELOPMENT BOARD 3/24/09 MEETING: CITY COMMISSION MEETING: 4/21/09 COMMENTS: S:\Planning\SHARED\WP\PROJECTS\Dr. Sibia 709 S.Federal Hwy\2008 PROJECT TRACKING INFO.doc City Codes Accessed Via Website www.bovnton-beach.org www.amlegal.comlboynton_beach_fl.us CITY OF BOYNTON BEACH, FLORIDA PLANNING & ZONING DIVISION SITE PLAN REVIEW APPLICATION FOR NEW SITE PLANS & MAJOR MODIFICATIONS TO EXISTING SITE PLAN Has applicant attended a pre-application meeting? '{( > ,Date "~:J. l0.091 .~~I:.i; A~l.tt1) This application must be filled out completely, accurately and submitted as an original to the Planning and Zoning Division. TWELVE COMPLETE, sequentially numbered, ASSEMBLED AND STAPLED sets of plans including a recent survey and appropriate fee shall be submitted with the application for the initial process of the Site Plan Review procedure. AN INCOMPLETE SUBMITTAL WILL NOT BE PROCESSED. Please print legibly (in ink) or type all information. I. GENERAL INFORMATION k7 _ ~lll2..!A u(J\.LOlN/.: Project Name: ~i N'\1)N .~~~\-\ tv\t::'\.)\t..t\''l. t-:J v\ D '-"\ Property Owner's (or Trustee's) Name: t~ IV\ \l..S tiC. Address: \ t> O'l S -:)0 1.\ 'R- \) .~ 2.,.0 \ 1'~~I1>~ <~ \+ 3> ;4 ~ ~ ~ S 3 i) ~ip Code) 1, 2. Phone: Fax: 3. Applicant's name (person or business entity in whose name this application is made~ 1--\ rv\ Q. L, LL C Address: \ 00'1 S -Sv kt )l. \) Phone: 56\-- ~Bq - e04-C\ 1:\ ::, -.) \ *))t.){ \)1bN '''?,L \\~ ~L\ ~ lJ - 's S '5 ~ I (Zip Code) Fax: If contract purchaser, please attach contract for sale and purchase. 4. Agent's Name (person, if any, representing applicant): -Pc YLCL tA.-S \ L-I ~ \ !\J c.. p\"f\t'J', ~ytP<.NC'Sc....r~ ?D1.Cl - A<..0f'o;, Address:~ 7...6 ~ 'v~ ~"fLA,I\j "\ \ C. " \j c !\J \Jt. ~ \.) \ ~ Pt':i.. t2-A-'1" e:'EA.(.H,FLC>R\'C\-~ ( (Zip Code) Phone: Slo I . L fl q .7..1.: C ~ Fax: C,1o I. 7..'1 q . t' "'}t~ >" .' t },~...." "5 t., 4 '3> :;4L\ S " . / ,~ (f \ 1.~D \ E-Mail: 5. *This is the one address to which all agendas; letters and other materials will be mailed. 6. What is applicant's interest in the premises affected? (owner, buyer, lessee, builder, developer, contract purchaser, etc.) Owner / Developer 7. Street address of location of site: 709 S. Federal Highway 8. Property Control #(PCN) 08-43-45-28-00-000-5020 9. Legal description of site: ... Sec ly-rrl\C-t~ 10. Intended use(s) of site: ~\~'b\c.1\'L bf'\='t.E. f 1Z-ET1\IL ( F'110~~SI 6NA<-_ c) 'P (:\ C~ 11. Architect: ~vtEL.. 1'>c>\(.,N ,'tJc.. . /",t-'.\C.li'(.EA'1i1uc(o < 12, Landscape Architect: l>'f1.V:.1>--~ LAl\JbS.CP<;f'c: p,<;'SG ( I I Lt=o UYt.,~N 13, Site Planner: 'Vc(lc L.. '\)CS \ '" N ',\'J<:' I .7 nN.PK~A.. -'t1'Z'Jc.c. 0 14. Engineer: c... p., VL~ it. L't) ~ w ~t ll.:: Y1.. 1 ~;:A\ h I,U.\\Ef:.LEI't.. 15. Surveyor:~o 'IS .~u l.{t-'\ c:-r-- I \N c....k:C:A:S ~<, i~ c~ ~ ~ 16. Traffic Engineer: \1HI.)e.t..-nl"{Jrt~.t"'\.; Cf~)t-~c...'-i"";\ ^'~-'. '\'S.. Ut--\OA R\CA-if(J.:),' 17. Has a site plan been previously approved by the City Commission for this property? ~o II. SITE PLAN The following information must be filled out below and must appear, where applicable, on all copies of the site plan. 1. Land Use Category shown in the Comprehensive Plan: \.oGA.\... \~E..\-~\.. coMk~f1.ClAL. 2. Zoning District: C - ~ 3. Area of Site .loe;, y.,q 4. Land Use - Acreage Breakdown: acres IiG ~co I sq. ft. a. Residential, including acres % of site surrounding lot area of grounds b. Recreation Areas .,. acres % of site (excluding water area) c. Water Area acres % of site d. Commercial 8 ~ Slf:,o\ acres \v~ % of site . e. Industrial acres % of site f. Public/Institutional acres % of site g. Public. Private and Canal rights-of-way acres % of site h. Other (specify) acres % of site i. Other (specify) acres % of site 2 j. Total area of site ~ ~ S '0'1 acres lo % of site *including open space suitable for outdoor recreation, and having a minimum dimension of 50 ft. by 50 ft. 5. Surface Cover a. Ground floor building area ("building footprint") b. Water area N j f><. acres N j J>.r % of site I ( c. Other impervious areas, including paved area of public & private streets, paved area of parking lots & driveways (excluding landscaped areas), and sidewalks, patios, decks, and athletic courts, . "'\ IS acres II') ~ % of site " leA acres \s.'h % of site d. Total impervious area .' Slq acres 111:>. ~ % of site e. Landscaped area .. \ Y1 acresZ- i , l. % of site inside of parking lots (20 sq.ft. per interior parking space required - see Sec. 7.5-35(9) of Landscape Code). f. Other landscaped areas, ~/l>< I acres ~/A % of site g. h. Other pervious areas, including golf course, natural areas, yards, an, swales, but excluding water areas ~ 7 I':>.. acres IV ~ % of site Total pervious areas " '~1 acres L II L % of site i. Total area of site .s f."S~C) acres JDD % of site 6. Floor Area a. Residential sq. ft. b, Commercial/Office qA~ ~ sq. ft. c. Industrial/Warehouse sq. ft. d. Recreational sq. ft. e. Publicllnstitutional sq. ft. f, Other (specify) sq, ft. g. Other (specify) sq, ft. h. Total floor area \OI-3~~ \ sq. ft. 7. Number of Residential Dwellina Units a. Single-family detached sq. ft. b. Duplex sq, ft. c. Multi-Family (3 + attached dwelling units) (1 ) Efficiency dwelling units (2) 1 Bedroom dwelling units (3) 2 Bedroom dwelling units 3 (4) 3+ Bedroom dwelling units d. Total multi-family dwelling units e. Total number of dwelling units 8. Gross Density dwelling units per acre 9. Maximum height of structures on site 4- 0 feet r-L stories 10. Required off-street DarkinQ Calculation of required # of off-street parking spaces. tJ\tl:> ID"f"\- \C ~: i/Z,?b @ 3..Dtt6f = ~~<'Il\L -r\.\t--Yl.\P,\'. '/7_00 (j.} 1 lie. 0 ~y = Va.C~~SSltlNI'(\... O~'Y.\c.~ '- l/ ;00 e I,L ~ -;e. \ ASG,. = n 1;-.-0... \.L.. ~ \ I !, 00 At" ":l 0 J. n ,. f \ ~F~'! ,7 f: \<-.\::.. 'P'\" L,.. e I ,~ ...."1 t'.~ ~L b. a. Off-street parking spaces provided on site plan DVL Calculation of required # of handicap parking spaces ~(: tt. ~ 6(., ZctA = \ \ -4,' , l- (s )(~) ~ 2- ?PI\<:.E'S ---.--- .---.---...-. ---- ----- . \ \_ 4,1 .z.(.,)tc\.)C'\) '.2" '0 S~\(t lS \0 c:,,~ ~ ~cO ~~"'c..~1> 'RtQ f( fJ'ZCA.ltbC\) Number of handicap spaces provided on site plan 4-~i1\ \ REPRESENTATIVE OF THE PROJECT MUST BE PRESENT AT ALL TECHNICAL REVIEW COMMITTEE, PLANNING AND DEVELOPMENT BOARD OR COMMUNITY REDEVELOPMENT AGENCY (CRA) AND CITY COMMISSION MEETINGS HELD TO REVIEW THIS PROJECT. 4 III. CERTIFICATION (I) (We) understand that this application and all papelS and plans submitted herewith become a part of the permanent records of the Planning and Zoning Division (I) (yVe) 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. )/lt7: Ji/YJ/<5 Uc- Signature of Owner(s) or Trustee, of /y)A-,y~6/"'~ Authorized Principal if property is owned by rYJ " /t1 tIJ Me a corporation or other business entity. )_ /..~e>3>7 Date OR Signature of contract purchaser (if applicant) Date IV. AUTHORIZATION OF AGEN~ C~- Signature of Authorized Agent l- "1- Zo::>; Date (I) (yVe) hereby designate the above-signed person as (my) (our) authorized agent in regard to this application. J}~-H )jrY1I<(~ Signature ofOwner(s) or Trustee, m.q~h"tJ/A"/ or Authorized Principal if property is owned /})t! /1J ~ r4. by a corporation or other business entity. ) - ;7 - .:< Z/..;i/' 5' Date OR Signature of contract purchaser (if applicant) Date A REPRESENTATIVE MUST BE PRESENT AT ALL TECHNICAL REVIEW COMMITTEE, PLANNING AND DEVELOPMENT BOARD OR COMMUNITY REDEVELOPMENT AGENCY (CRA) AND CITY COMMISSION MEETINGS HELD TO REVIEW THIS PROJECT. 8 RIDER TO SITE PLAN APPLICATION The undersigned as applicant for Final Site Plan Approval does hereby acknowledge, represent and agree that all plans, specifications, drawings, engineering, and other data submitted with this application for review by the City of Boynton Beach shall be reviewed by the various boards, commissions, staff personnel and other parties designated, appointed or employed by the City of Boynton Beach, and any such party reviewing the same shall rely upon the accuracy thereof, and any change in any item submitted shall be deemed material and substantial. The undersigned hereby agrees that all plans, specifications, drawings, engineering and other data which may be approved by the City of Boynton Beach, or its boards, commissions, staff or designees shall be constructed in strict compliance with the form in which they are approved, and any change to the same shall be deemed material and shall place the applicant in '<1olation of this application and all approvals and permits which may be granted. The applicant agrees to allow the City of Boynton Beach all rights and remedies as provided for by the applicable codes and ordinances of the City of Boynton Beach to bring any violation into compliance, and the applicant shall indemnify, reimburse and save the City of Boynton Beach harmless from any cost, expense, claim, liability or any action which may arise due to their enforcement of the same. (REAry::::::;otLEDGED AND AGREED TO this :J -'--~ I ~ Witness Applicant &OAJbvLR~4- Witness day of J Mlv A..-vt.. '1' tJ 4?-? , ,20~9 ,?J M~.> ~L.. C- /J1 A ;y ;?-p/.-'~ P1~A?~~t(1 9 ~ " "'&'I'J ~ ~ ~ N89032'54" E ~..J r'..~ F::' L.. :':~\ ere er' ~::~ r.') LEGAL DESCRIPTION 'J. BEGINNING AT A POINT 80 FEET SOUTH OF THE NORTHEAST CORNER OF THE NE 1/4 OF THE SE 1/4 OF SECTION 28, TOWNSHIP 45 SOUTH, RANGE 43 EAST, RUN SOUTH 82.9 FEET; THENCE WEST 410.2 FEET, THENCE NORTH 82.9 FEET; AND THENCE RUN EAST 410.2 FEET TO THE POINT OF BEGINNING, ALL IN SECTION 28, TOWNSHIP 45 SOUTH, RANGE 43 EAST, TOWN OF BOYNTON, COUNTY OF PALM BEACH AND STATE OF FLORIDA. LESS RIGHT -OF -W A Y TO THE TOWN OF BOYNTON AS IN DEED BOOK 218 AT PAGE 365, AND LESS WEST 30 FEET THEREOF AS RECORDED IN DEED BOOK 310 A T PAGE 131, AND LESS THAT PORTION CONVEYED BY ALFRED L. CULVER IN DEED BOOK 255 AT PAGE 420, AND LESS RIGHT-OF-WAY FOR U.S. HIGHWAY NO.1 AS IN OFFICIAL RECORD BOOKS 615 AT PAGE 475 AND 120, PAGE 450 OF THE PUBLIC RECORDS OF PALM BEACH COUNTY, FLORIDA. SUBJECT TO RESERVATIONS, RESTRICTIONS, EASEMENTS AND RIGHTS OF WAY OF RECORD. lENTS AND 'JE OF IREENBOY' AS Palm Beach County Property P "'':lraiser Property Search System Page 1 of 1 Property Information Location Address: 709 S FEDERAL HWY Municipality: BOYNTON BEACH 1--JOew""Il,^~"~, c;;,l [~""= calCUla~J ~0 ~. hilitv^~ , ". .'" ,',' -A--__.U,;,'" mr; Parcel Control Number: 08-43-45-28-00-000-5020 Subdivision: Official Records Book: 22248 Legal DescriptiQI"1: Owner Information Name: HMRS LLC Page: 342 Sale Date: Nov-2007 RGYGIse Side [,.';0;.,~[{~1 Mailing Address: 10075 JOG RD # 301 BOYNTON BEACH FL 33437 3537 Sales Information Sales Date Book/ Page Nov-2007 :l:l~48l034:l Apr-1992 07242} 1699 Jan-1970 0178510579 Price SaJeIype Owner $1,000,000 WARRANTY DEED HMRS LLC $100 WARRANTY DEED SMITH WILLIAM TR &. $36,500 WARRANTY DEED [Exemptions Exemption Information Unavailable. Appraisals Tax Year: Improvement Value: Land Value: Total Market Value: Property Information Number of Units: 0 *Total Square Feet: 1500 Acres: 0.64 Use Code: 1100 Description: STORES * in residential properties may indicate living area. Tax Year: Assessed Value: Exemption Amount: Taxable Value: r~,J Tax Values Tax Year: Ad Valorem: Non Ad Valorem: Total Tax: 1~.nr=.1 I..-va I il!@,.mm , ' .~,,^.,u NOTE: Lower the top and bottom margins to 0.25 on File->Page Setup menu option in the browser to print the detail on one page. http://www.co.palm-beach.fl.us/papa/aspx/web/detail_info.aspx?p_entity=08434528000005...1 /912009 Structural Detail Page 1 of 1 Owner Name: HMRS LLC PCN Number: 08-43-45-28-00-000-5020 Building Structural Data and Drawing are for the Current Tax Roll. BUILDING 1 m'IUH"{,:: B! !Lmr...;!;.3 !.if IU.l!'\C 4 Structural Element for Building 1 1. YEAR BUILT 2. RETAIL STORE 1952 1500 Subarea and Sq. Footage for Building 1 No. Code Description Sq. Footage 1. RETAIL STORE 1500 Total Square Footage: 1500 1",,,/;mRwI_IlArL;,,,,,,,,! Extra Feature Description Year Built Units PAVING- ASPHALT Unit may represent the perimeter, square footage, linear footage, total number or other measurement of the feature depending on the feature described. Detailed land Information Land Line # Description 1. COMMERCIAL Zoning C3 Sq. Footage 28700 [0~;~1 [1;';ii!;i@;'''''1,m...tall'''T I r'iiiii;;i;~'=""d,; ,,,I R~(or(lS~i1[1;b I ~x~r1Jption~:FU~ IlnfQrm,,!ion I ~xemptions I Community I ~mploYmeDt I NgwHorneEluver I Qffi<;eLo(,,!iOns V"lue Adjustment ,Board I Save Our Homes I Senior Corn"r I Qis<;lairner .Home I Unks I Glossary I FAQ I FOrnls I COnta<;LUs I PAPA @ 2008 Palm Beach County Property Appraiser. http://www.co.palm-beach.fl.us/papalaspx/web/detail_info2.aspx?p_entity=0843452800000...1/912009 .. , This Warranty Deed IIIII~ :'11'1111111111.. CFH 200705~6~58 OR BK 22248 PG 0342 RECORDED 11/19/2887 11134:15 Pal. Beach County. Florida AltT 1........ ee Doc Sta.p 7, .... II Sharon R. Bock. CLERI & COJIPTROLLER Pgs 0342 - 343~ (2pg8) Made Ihis 1&t day of November, 2007 by KENNETH A. SMITH, CO.TRUSTEE and DANIEL P. SMITH, CO.TRUSTEE of THE JENNIE A SMITH LIVING ~~ TRUST UNDER AGREEMENT DATED APRIL 20, 1992 ,;;:/) her' , ' r called the grantor, to 't,;/ ))IIIRS, LLC, , A FLORIDA L1MITEll LIABILITY -Y:;-,QPMPANY \~i'/ ,0 whose po~ address is: 1'Oo~JOG ROAD SUITE 301 BOYrQt.l BEACH, FL 33437 v:'2'J hereinafter called t~tee: (Whenever used he~.tli!l-1,erm "grantor" and 'grantee" indude all the parties to this instrument and the heirs, legal representaUves and assigns of individuals;ar:d1lie successors and assigns of corporations) W1tneueth, that'the ~ntor, for and in consideration of the sum of $10,00 and other valuable considerations, receipt whereof is hereby acknowledged, he(~)lrants, bargains, sells, aliens, remises, releases, conveys and confirms unto the grantee. all that certain land situate in PALM BEACH ()Q(Jnty, Florida, viz: BEGINNING AT A POIN~~{:ET SOUTH OF THE NORTHEAST CORNER OF THE NORTHEAST ONE-QUARTER (NE 1/4) OF THE SOUTH~J9NE-QUARTER (SE 1/4) OF SECTION 28, TOWNSHIP 45 SOUTH, RANGE 43 EAST; RUN SOUTH 82,9 F~~~:r.H.E. N.C. E WEST41 0,2 FEET: THENCE NORTH 82.9 FEET; AND THENCE RUN EAST 410,2 FEET TO THE P })OF BEGINNING; SAID LANDS LYING AND SITUATE IN SECTION 28, TOWNSHIP 45 SOUTH, RAN ~EAST, TOWN OF BOYNTON, COUNTY OF PALM BEACH AND STATE OF FLORIDA, (/.!,'J. v~;;"" (~"~I LESS AND EXCEPT THEREFROM . . HT-OF-WAY OF THE TOWN OF BOYNTON AS RECORDED IN DEED BOOK 218 AT PAGE 365; AND LESS{ T 30 FEET THEREOF AS RECORDED IN DEED BOOK 310 AT PAGE 131: AND LESS THAT PORTION CONVI;:~P BY ALFRED L. CULVER AS RECORDED IN DEED BOOK 255 AT PAGE 420: AND LESS RIGHT -OF-WAY!f.gaU,S. HIGHWAY NO.1 AS RECORDED IN OFFICIAL RECORD BOOK 120 AT PAGE 450 AND OFFICIAL RECOIW'J390K 615 AT PAGE 475, OF THE PUBLIC RECORDS OF PALM BEACH COUNTY FLORIDA "c,//~ , ' ~/iJI -.F""'~/f\ ALL OF SAID LANDS SITUATE, LYING AN~(ge IN PALM BEACH COUNTY, FLORIDA, Subject to covenants, restrictions, easements of record and taxes for the current year. Said property Is not the homestead of the Grantor(s) under the laws and constitution of the stllle of Florida In that neither Grantor(s) nor any member of the household of Grantor(s) reside thereon. Parcel Identification Number: 08/43145/28/001000/5020 Together with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining, To Have and to Hold, the same in fee simple forever. And the grantor hereby covenants w~h said grantee that the grantor 1& lawfully seized of said land In fee simple; that the grantor has good right and lawful authority to sell and convey said land; that the grantor hereby fully warrants the t~le to said land and will defend the same against the lawful daims of all persons whomsoever; and that said land 1& free of all encumbrances except taxes accruing subsequent to DeoMnber31,2006 In Wltnesa Whereof, the said grantor has signed and sealed these presents the day and year first above written. Signed, sealed and delivered In our presence: ~-~ Witness: (Signatur~ Print Name: ~...'n' ~/~z:.o B' NNETH SMITH, O-TRUSTEE 9995 PAPAYA TREE TRL BOYNTON BEACH, FL 33436 ~~//&--- By: DANIEL P. SMITH, CO-TRUSTEE 9995 PAPAYA TREE TRL BOYNTON BEACH, FL 33436 State of Florida County of'~,,^ "Q.~y-.... The foregoing instru t was acknowledged before me this ~ day of October, 2007, by DANIEL P. SMITH, CO.TRUSTEE, who Is personall t e or who has produced ~. L.. lo.L.. as IdenUflcaUon. S~C- IT'S'~\~OlO-'O N Y PUBLIC (aignatureh. .. .r" Print Name:'So~\""''' - <:z>.......... My Commlulon Expires: ~, u"1 II Incident to the laauance Of a title Inaurance contract. WARRANTYDEED.dot REV. 08128106 PL Book22248/Page342 e ~.......... ..~..........1Ift c.MIIaIIII . DO 7MI1S ....1IIIuIII.......,.. Page 1 of 2 ;0 . ... ~/ " . ~, \~~F: COu\ If((~ OF: '~/~J: ~,'.)>o \--;,/" ~'. \J.dn\ \~!./' On ttus::). 0 ;14+~_day of October, 2007 personally appeared before me: '(1((2\ \'d..J:/ FL PINELLAS h KENNEi~;~MITH, CO-TRUSTEE '':::''')::s' c? ...-0 who produced: "e;) . c:::;\ (X) DRIVER L1~E () STATE IDEN!tE4y.ATION CARD () U.S. PASSP~~>:? () FOREIGN PAS~ () MILITARY IDENtf~~,!~ON v/ \(,/;~-\ i ,~I) as identification, who take an ~i:yv') Vv// ~,' or: ,.~ (s. !, ~ ' ..,;;.,,,..... ( ) is personally know to me to be t~-p~rson(s) described herein, and who acknowledged executing the foregoing instrument for the purpO~expressed therein. ~/ (" )) \('\::::::/ /\ ~AlLP h1 (}lJr~"' NOTARY PUBLIC (signature) Print Name: My Commission Expires: Stamp/Seal: tOMDai '<lq : ~ H A-kh<;DVJ '.~TO: Sunbelt Title Agency 809 South Orlando Avenue Suites K-O W19!er Park, Florida 32789 11f2~qg notnowildot rev _ 10/912007 pi Book22248/Page343 Page 2 of 2 Page 1 of 1 Gary R. Nikolits,CF A Palm Beach County Property Appraiser Property Mapping System lIUlI Owner Information peN: 08434528000005020 :.-~ iT. ft :7 1I100 lI!KIo1 0031 I i Name: HMRS LLC Location: 709 S FEDERAL HWY Mailing: 10075 JOG RD # 301 BOYNTON BEACH, FL 33437 3537 Appraisal Value Market Value: Assessed Value: Exempt Amnt: Taxable: Tax Value Ad Valorem: Non ad valorem: Total: Sales Information Sales Date Noy-2007 Apr-1992 Jan-1971 Jan-1970 (l{ -.J ~ ~ ,.j;;:l' A l,l~~ 50111 . $598,681 $598,681 $ $598,681 0000 0071 $11,945.96 $511.5 $12,457.4 5lI3II> IJrice $1,000,00 $100 $39,500 36 500 l)(Hj;l) 0050 ) Legend CJ Parcel Borndary ~ Lot nuITber Palm Beach County Property Map Map Scale 1: 1604 Map produced on 1/9/2009 from PAPA http://www.pbcgov.com/papa http://gisweb.co.palm-beach.fl.uslipapagis/presentationlmapping/printnew.asp?MAPURL=h. .. 1/9/2009 Gary R. Nikolits,CFA Palm Beach County Property Appraiser Property Mapping System Legend c::::::::J Parcel B olrldary ~ Lot nurrber Page 1 of 1 Owner Information peN: 08434528000005020 Name: HMRS LLC location: 709 S FEDERAL HWY Mailing: 10075 JOG RD # 301 BOYNTON BEACH, FL 33437 3537 Appraisal Value Market Value: Assessed Value: Exempt Amnt: Taxable: Tax Value Ad Valorem: Non ad valorem: Total: Sales Information S.ales Date Nov-2007 Apr-1992 Jan-1971 Jan-1970 $598,681 $598,681 $ $598,681 $11,945.96 $511.50 $12,457.46 Prh;,g $1,000,000 $100 $39,50 36 500 Palm Beach County Property Map Map Scale 1: 1604 Map produced on 1/9/2009 from PAPA http://www.pbcgov.com/papa http://gisweb.co.palm-beach.fl.us/ipapagis/presentation/mapping/printnew.asp?MAPURL=h. .. 1/9/2009 A'f'PLICATION SUBMITTAL CHECKrtST NEW SITE PLAN & MAJOR MODIFICATIONS TO EXISTING SITE PLAN Project Name: . 701.5 ~ r/)r. ~'~ ~~- ~7'~.A/dt~ Owner! Agent: Submittal Date: /. ~. 09 ~ MI{S, .;/K Submittal Included Original Application ~ Twelve complete assembled & stapled sets of plans signed & sealed . Current survey (signed & sealed) --- . Site Plan ............-- . Landscape Plan ............-- . Elevations ------ . Paving, Grading & Drainage Plan /' . Floor Plans /' Rider to Site Plan Application ~ Appropriate Fees .....-- Owners of Record Consent Form A{II "t(.r1LV' OV ~ NI#- / Warranty Deed (Last Recorded) Copy of Purchase Contract Agent Authorization (including name & address) Traffic Study/Statement A/'.e,ed Colored Elevation Drawing /1/~ed5 J ~ r:::; "7"'"T [ ,-tJ7./}'r1 S:\Planning\SHARED\WP\FORMS\Templates and forms\New Site Plan Submittal Checklist.doc www.sunbiz.org - Department of Stat~ Page 1 of2 Home Contact Us E-Filing Services Document Searches Forms Help Pr~yiQJJ$,QnJ"i$t N~~tQnl",i$t Return TQl".l$t E.Y~nts No Name History Detail by Entity Name Florida Limited Liability Company HMRS, LLC Filing Information Document Number L03000050038 FEI Number 200447045 Date Filed 12/04/2003 State FL Status ACTIVE Effective Date 12/01/2003 Last Event AMENDMENT Event Date Filed 01/02/2004 Event Effective Date NONE Principal Address 10075 JOG ROAD SUITE 301 BOYNTON BEACH FL 33437 Mailing Address 10075 JOG ROAD SUITE 301 BOYNTON BEACH FL 33437 Registered Agent Name & Address SIB lA, HARDIAL 17825 FIELDBROOK CIR. BOCA RATON FL 33496 US Name Changed: 12/29/2003 Address Changed: 12/29/2003 Manager/Member Detail Name & Address Title MGRM LAMPERT, MITCHELL 10075 JOG ROAD SUITE 301 BOYNTON BEACH FL 33437 Title MGRM http://www.sunbiz.org/scripts/cordet.exe?action=DETFIL&in.Ldoc_number=L03000050038&in.Lcame_f...1/8/2009 www.sunbiz.org - Department of State SIBIA, ROOPTAZ 10075 JOG ROAD SUITE 301 BOYNTON BEACH FL 33437 Title MGRM SIBIA, SIRTAZ 10075 JOG ROAD SUITE 301 BOYNTON BEACH FL 33437 Title MGRM SIBIA, HARDIAL 17825 FIELDBROOK CIR. BOCA RATON FL 33496 Annual Reports Report Year Filed Date 2006 04/27/2006 2007 04/24/2007 2008 04/28/2008 Document Images 04/28/2008 -- ANNLJAl"Rf;PQRI 04/24/2QQ7:-ANNLJAl"Bf;PQET 04/27 /200Q::ANNLJAl" Bf;PORT Q4/24/2QQS--ANNLJAl"Bf;PQRI 04/19/2004--ANNLJAl"Rf;PQRT 01/02/2004.:- Amendment t2/29/2003 -- Reg. Agl?ntGhi:lngl? 12/o4/2QQ:3::mFlorida Limited Liability Page 2 of2 Note: This is not official record. See documents if question or conflict. Previous on List Next on List eVents No Name History Return To List Home Contact us Document Searches E-Filinq Services Forms Help Copyright and Privacy Policies Copyright C9 2007 State of Florida, Department of State, http://www.sunbiz.org/scripts/cordet.exe?action=DETFIL&inCLdoc_number=L03000050038&inCLcame_f...1/8/2009 . J Time and Date of Meeting & - :< ~ - ot Those attending mee;: . ~~, ~/r/~/.7i~ PRE-APPLICATION CONTACT QUESTIONS Applicant's Name: ~~ ~ Phone: ,u/ - ;;<.89- g't, 49 1. HA VB YOU SPOKEN TO ANY STAFF :MEMBER ABOUT THE PROJECT? Yes <.---- No (IF YES, HA VB THOSE STAFF MEMBERS BEEN SCHEDULED FOR THE PRE- APPLICATION :MEETING? STAFF MEMBERS NAME: 2. LOCATION OF PROPERTY (CROSS STREETSIINTERSECTlONS) ~~~~~~ _ _ ~ . ~A-'" _ F~_~ o ~- <(~ -.t&r-;;L~ -tn -CJOu -~t12.O 3. WHAT WOULD YOU LIKE TO DO? ------NEW PROJECT BUILDING EXP ANSlON OR MODIFICATION CHANGE IN PRIOR USE? IS THE STRUCTURE CURRENTLY VACANT? VARIANCE TYPE: POOL OR SCREEN ENCLOSURE ~ COMMERCIAL PROPERTY? ~~ RESIDENTIAL PROPERTY? INDUSTRIAL PROPERTY? DO YOU KNOW THE ZONING CODE DESIGNATION? 4. TThffi AND DATE PREFERRED 5. HOW MANY PEOPLE WILL BE AT THE PRE-APP MEETlNG? Note: Tell the person that someone from the Department will call them to confirm the meeting. .~................................................................................ · Pre-application meetings should be scheduled for a minimum of one (1) hour time module, and should be scheduled no less than two (2) days prior to date/time of meeting. If mgency is sensed, discuss with Mike. · Meetinl!s may be scheduled: Monday afternoons Tuesday all day Wednesday all day Thursday mornings Note: Mike is not available on Mondays between 11 :30 a.m. and 2:30 p,m. S:\Planning\Planning\Pre_App Fonn pp 1-3\Pre-application Form p l.doc J. L'-.l..)-.tV'r Lll,..fU !Vl~ L,;UN.t'.h.K.l:iNCE REVIEW FORM Date U! ~/ c ~ me Started Attending as Applicant It. ~ 4~i 00... Phone 5{gJ - cQ '1-8 Time F~",.led Fax Applicant Must Initial for Receipt of Art in Public Places Ordinance 05-060_ and Art Program Info Sheet: Proposed Project Information Proposed Project Name and { TypelUse p1€d/~ aJ. of.p..(t,es cf- r,e:t-tA.; Site Location (Address if Available) '7 c)C1 S; -,::.~ U 'AJ~ Site PCN Existing Zoning e. - '3 Existing Land Use.Density Anticipated Submittal Date Proposed Zoning ~ Proposed Land Use/Density I I Vacant Lot Area Lot Frontage Lot Depth Setback Height sr Parking Requirements or Improvements LandscapingIBuffering Non-conforming Use or Change in Use Other Zoning Changes Required Hazardous Material Notes and Comments c:zs 0 I' 3'501' NOTICE: The purpose of this conference shaD be for staff and applicant to discuss overall community goals, objectives, policies and codes as related to the proposed development and to discuss site plan review procedures. Opinions expressed at the pre-application conference are not binding for formal review purposes. Additional staff comments may be forthcoming based on actual plans submitted for review. s: \PIanning\Planning\Pre-App Form pp 1-3\Pre-application Form p2.doc . ~.': ^ . PRE-APPLICATION MEETING SIGN IN SHEET PLEASE PRINT MEETING DATE: TIME: AITENDING FOR APPLICANT: NonCE: The purpose of this conference shall be for the staff and applicant to discuss overall community goals, objectives, policies and codes as related to the proposed development and to discuss site plan review procedures. Opinions expressed at the pre-application conference are not binding for formal review purposes. Additional staff comments may be forthcoming based on actual laos submitted for review. City of Boynton Beach Attending for Applicant Attendin Staff JJ4121>/4~ .>>,a/4 CUCO~T€2- hva... )-) ;t~ cf< ci:&k Z~ ;+Le.r- EtJ~ "" S:\Planniog\Planning\Pre-App Form pp 1-3\Pre-applic:ation Form p3.doc: