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'
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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
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~~
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
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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
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