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APPLICATION CERTIFICATION OF COMPLETION MINOR LANDSCAPING PLAN MODIFICATION PERMIT CITY OF BOYNTON BEACH DEVELOPMENT SERVICES DEPARTMENT PLANNING AND ZONING DIVISION CITING OFFICER: PROJECT NAME STREET ADDRESS PERMIT NO. PROPERTY CONTROL NO. APPLlCANT/ OWNER NAME: TEL. # APPLlCANT/ OWNER ADDRESS: FAX # FILE NO. OF PERMIT APPLICATION: Violation of this permit will subject the applicant 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 742-6265 Work unrelated to code action to be completed within 60 days. PLANNING & ZONING DIVISION: I~ {/ dU~ DATE: b" /i ",1 'I' ,,,,,,,,","""""W""'O"',,^'"XA,,,,"""~""~.". '"" """,'oo.'oc h~ {~l-7"~ &?f4i ?41f~~-f" Total Project Cost Estimate: City Codes Accessed via Webslte www.boynton-beach.org www.arnlegal.comlboynton_beach-fl.us CITY OF BOYNTON BEACH, FLORIDA PLANNING & ZONING DIVISION MINOR LANDSCAPE PLAN MODIFICATION I~m 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. ProjecVBusiness Name & Street Address /1/1/7 /l1CJ:./'/ C- /11 d <Iefl 2. Applicant's Name & Address (person or business entity in whose name this application is made): IYJI'tJItafl ,- (fU)/aAA Q~ 0A..M -3q,z'7 W, /ff-f~'c ~ Phone: 5~' 5""4' :3 ~ . 2 Fax: , I - ( 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: Do you require a permit for other site work (i.e. Irrigation)? _Yes _No Name of Removal Company: R E M o V A L Qty Species Height Trunk Caliper MonthN ear of Removal Total Tree Caliper Inches -+ -+ -+ -+ -+ Start of Removal: Month/Year: Completion of Removal: Month/Year: Gross Time Frame for removal: Minor Landscape Plan Modification Application CALL FOR INSPECTION UPON START OF REMOVAL: 742-6265 Name of Replacement Company: R E P L A C E M E N T Qty Species Height Trunk Caliper Month Near of Plantina Total Tree Caliper Inches -+ -+ -+ -+ -+ Start of Planting: Month/Year: Completion of Planting: Month/Year: Gross Time Frame for Replacement: Call for inspection upon start of Replacement: 742-6265 ALL CONTRACTORS HIRED FOR SERVICE MUST HA VE OCCUPA TlONAL LICENSE IN THE City Of Boynton Beach AND PROVIDE PROOF OF INSURANCE. I OL#~7-0000IZ3~1 2 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 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. Signature of Owner(s) or Trustee, or Authorized principal if property is owned by a corporation or other business entity. Date Print name or Letter of Authorization from Property Owner This application shall be effective until suspended, revoked, surrendered or expired. Violation of this application will subject the applicant 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. Be advised that Homeowner Associations may have more restrictive covenants than the city requirements. WORK UNRELATED TO CODE ACTION SHALL BE COMPLETED WITHIN 60 DAYS. Fee Schedule Estimated Value of Improvement: < $5,000.00 = > $5,001.00 = $100.00 $200.00 S:\Planning\SHARED\WP\FORMS\APPLlCA TIONS\MLSM.doc 3 . ~10/\1/2007 10:24 5612433588 DELRAV GARDEN CENTER PAGE 01 DELRAY GARDEN CENTER, Il\iC. FACSIMILE TRANSMITTAL SHEET Shari Coale FAX NUMBER: 561~ 742-6259 COMPANY: City ofBoynron Beach PHONE NUM8ERc 561~742..(j267 From: Tammy Pinto Date: October 11, 2007 TOTAL NO. OF PAGES INCLUDING COVER: 2 SENDER"8 REFEREllCE MUM.BIt: To: .e:: Ann Marie Motel YOUR RI!~I!""'CI! NUMBER: o URGENT It! FOR R.r:VIEW 0 PLEASR COMMENT 0 PLEASE RHPLY o PU~ASF.. RECYCLE NO'1'ESICOMIIIINI"S: Shari Coale Here is the lctt.cr you requestEd for the Tiki Hut that was built at Ann Marie Hotcl. If you need any additional infonna.tion please Cotttact me at the office Illld I will be happy to a..~st you. Thank you, Tattttny Pinto DF.LRAY GARDEN CENTRR, J.NC. . 3R27 W. ....'1'LANTYC AVP. . DEJ.R.\Y n.eAGH, flY. 334-45 PHONI:i; 561.2.4).6R69 . FAX: 561.H"-H88 . 10/11/2007 10: 24 5612433588 Jet 1 i ell 10:02a antune<!: ~~ Oetoberll1017. DELRAY GARDEN CENTER 9542.551;567 SEMINOLE TIKI HUTS 6331 GreeD St.. QoUywood, FL 33&24 954-214-1101 9.rcf To Whom It May COIlcera: PAGE 02 p.1 ., 7..s-r ~6-&7 I'f- ff;1\. r!' ~ A- ~... J. .J~ Dan Osc:eola ~ tb.t the Tiki hut built at tile Ann IIl1alie motel whieb is lo~ted at 911 s fed kwy in BoyntGD w~ built by Semi.ole did h..~ led by Alex Ant1mcz ifyoll hav~ any q1lation feel fJoee to call me Thank you, Sincerely yours, Joe DaD 0sc:~Ja. ~ ... SEM'NOlE TRIBE OF ~LOF:!D.':_ ENROlWMENTNUMEER . MO&9Z Joe Dsn 0sce01E< 6331 Green 51 _ Hollywood, Fe 33024 ., . ," .' 1 .~ ; . 1~! I..; I. 12nOO6 :.,; ';:, 'I: j ~ ;) ',' i ~. 1)4.23.2002 ~,.,,! . M