APPLICATION
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Total Project Cost
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"fbi. appll....oo mu.t be IiDed o.t eompletely and a...rately and .abmated t. :be7E;~;~g ~~d :"....J
Department. Incomplete applications will not be processed.
City Codes Accessed via Webs,;ta www.boynton-beach,org
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CITY OF BOYNTON BEACH, FLORIDA
PLANNING & ZONING DIVISION
MINO LANDSCAPE PLAN MODIFICATIO
I.
GENERAL INFORMATION: C \'R.c.\.J""\ e. \'\, \>(...Vt-~~
1. Project/Business Name & StreetAddress'5\<;" N. eOb-\~~ t::\\I(;-, ~oy~\TDN "&c..~.
2. Applicant's Name & Address (person or business entity in whose name this application is made):
'A~ ~~~ C...oR~"
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Phone:.-Z.~f';> -1s1'" 4\~~ Fax:2::A~ -7~1- q'\\D
Proposed Land$cape Plan - 60 % Native $pecies 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 c:aliper inches of replacement trees.
Is this work the result of a code enforcemept action? ~Yes _No
Name of citing code enforcement officer:. \L... 6/ \ t-...\ _ ~ I.- Pt- ~ ~ /
Do you require a permit for other site work (Le. Irrigation)? ___Yes 0
Name of Removal Company: TRo1>\L C5R.~ l~~\ L~
[Qty ---rSpecies I Height I Trunk Caliper J ~:~~~~ar o~
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( Ca/iperfnches :~...... -~:-L__________ I ---~____._.J
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Start of Removal: Month/Year: 0 c:\. - 07
Completion of Removal: MonthlYear: j ut--t~,. () e>
Gross Time Frame for removal: q Mf)~
AUG 23,2007 12:02 BOYNTON BEACH C
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Minor Landscape Plan Modification Application
PAGE ce
j CALL I'-OR INSPECTION tiPO~~T ART OF REMQV AL: 742-6265] ;37 ~ -
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Name of Replacement Company: \\(.ot>\~ (~~VlMIfJ (,cA-R-l? \Nc....
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ICUY"15pecles I Height TTrurl'k Caiiper , Month /Year"of I
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~IPer Inches ...... -<0 -~ I -' I
Start of Planting: MonthlYear:
Completion of Planting: MonthlYear:
Gross Time Frame for Replacement:
!c;.,'_~~~_,~~~pectlon upon start of Re;lacem~nt: 742-626~
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ALL CONTRACTORS HIReD FOR SERVICE MUST HA VE OCCUPA TlONAL LICENSE IN tHE
City Of Boynton Beach AND PROVIDE PROOF OF INSURANCE.
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2
AUG 23,2007 12:02 BOYNTON BEACH C
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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 th,! 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. ;rho a . . n wi at be accepted unle.. signed according to the in~~itbeIOW.
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Signature of Owner(s) or Trustee, or AuthorIzed principal if Date
property is owned by a corporation or other business entity.
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Print name
or
Letter of Authorization from Property Owner
Fee Schedule
Estimated Value of Improvement:
< $5,000.00 :;.;
> $5.001.00 '"
$500.00
$100.00
$200.00
Inspection Deposit:
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.
3
AUG 23,2007 12:03 BOYNTON BEACH C
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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: If. (; D <6
Site: ~ fA};).
Address 515'" 5'z?7/y. ~a~.:::s.- ~
Property Owner: ,4~ .;:Udf. iPo..r~ /L(Y/~~
Contractor: /?t7P"(!... Gre2--
I, , acknowledge receipt ofthe inspection deposit refund, check # . . .. . . drawn
on the account of said Contractor in the amount of $500.00 for the above- referenced site.
Print Name
....:511 ~"<L C oa/.e- Planning & Zoning Print Name
~ (! ~ignature
~
AGREE LIMITED PARTNERSHIP
31850 NORTHWESTERN HWY.
FARMINGTON HillS, MI 48334
LA SALLE BANK MIDWEST, N.A.
TROY, MICHIGAN 48084
9-80-720
36307
Pay:
***************************************F'
lve hundred dollars and no cents
PAY TO THE ORDER OF:
DATE
AMOUNT
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CITY OF BOYNTON BEACH
P.O. BOX 190
BOYNTON BEACH, FL 33425 0310
~tember 4, 2007
$********500.00
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Qty.
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53
12
30
12
4
27
12
6
5
7
3
11
Key
QV
SR
BS
SM
CESS
TC
SP
WR
CFP
DH
CA
JT
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Planting Plan Legend
Trees
Common Name
Live Oak
Queen Palm
Gumbo Limbo
Mahogany
Silver Buttonwood Std.
Yellow Tabebuia
Sabal Palm
Washingtonia Palm
Chinese Fan Palm
Dahoone Holly
Cassia
J atrophia
White Bird of Paradise
PLANNING AND ZONING DEPARTMENT
CITY OF BOYNTON BEACH
P.O. BOX 310
;;;Jj42;j~
.
Planting Plan Legend
Shrubbery
Qty. Key Common Name
558 CI Coco Plum
276 GB Green Buttonwood
350 CES Silver Buttonwood
39 MCH Wax Myrtle
40 VOA Viburnum
85 PS Philodendrum Selloum
52 TD F akahatchee Grass
62 RMB Pink Indian Hawthorne
178 1M Downy Jasmine
34 HL Spider Lily
84 IS Ilex Schelling
1224 AZ Aztec Grass
16 JS Jasmine Simplicafolium