APPLICATION (REVISED COPY)
CITY OF BOYNTON BEACH, FLORIDA
PLANNING & ZONING DBPARTMBNT
lilTS PLAN IUlV::: APPLICl\~'~S;t> lop'i
NBW SITB PLANS << MAJOR MODIFICATIONS TO BXISTING SITE
....
Application Acceptance Date:
Fee Paid:
Receipt Number:
This application must be filled out completely, accurately and submitted as
an original to the Planning and Zoning Department. Twelve complete,
sequentially numbered and assembled 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 incoaplete submittal will
not be processed.
Please print legibly (in ink) or type all information.
I. GENERAL INFORMATION
1.
project Name:
A- Ct;MIVt~ll.et..lt(... ~l LDI U, fOe.
Lo Do(..,CE WA--/2.&HdVses
Address:
Applicant's name (person or business entity in whose name this
application is made):
U/A/.:./.,F! J, Co l)ou::E
474-0 5, C)CEA,J ~D
/filiI-/- LA ~ D ft::eAC;1 I ~
,/07 - 3b?'" ~6 7S- Fax: '107. 3r~i~ 7~9~
2.
Phone:
3.
Agent's Name (person, if any, representing applicant):
;jC:.~/2ME G ~ O~) I 41IC#I7Ft/
Address: I/w S, ~IC~ Pf'':J I #3
1:!)'jt-J70N ~~.a4, nA 33,,":,~
Phone: 'io j ~ 73l. - (P/~ Fax: l.fc7, ?(~~ _cz,dr~'f
4.
Property Owner's (or Trustee's) Name:
ell 111,1.J~~ J, W[);;c.t;JE
Address: _ If-jt.fo ~ / O(e~tJ. ~D
1-11611 till) I;) ~,'~ tlf K-
JL - 1.Z.~ Codel
Phone: Lf/./}' 3~e' - ...,.~ 7 ~ Fax: lfD)' S.., 'f" 7 &;7 g,
5 .
Correspondence to be mailed to:*
tf~)126E c., CJAt/l~
/1tf'V' s,~OEI2KL. -Ifw'1 I #3 I ~^,r:ON (~H/~ R
* This is the address to which all agendas,' letters and 3]~~
other materials will be mailed.
PLANNING & ZONING DEPARTMENT - November 1991
A:SITEPLAN
I
( 2 )
6. What is applicant's interest in the premises affected?
(OWner, buyer, lessee, bui der, developer,' contract'
purchaser, etc.) wi/lEI!.
I
1.
8.
street address or location of sitel
.6 t IV l ~"7Zc- /:/ Ut:::.G
Property Control 'I Oe> ~3 ~ tf" O!> 000 0 I 0 J
Legal description of site I L,(,) I to
L~.Jo N tNDf) <;. T2...J 4-1" PAIl. "
9. Intended use ( s) of 8i te s WA-~. J,-fNS,6S
10. Developer or Builders To U ~.(,,2f. cst:>
11.
12.
13.
14.
15.
16.
11.
6/?t:)ll~e C, ~/~
NO"/,F
site Planner I IV/) J,J€...,.
Engineer a ~ ,6, Ult,lfl~.JI1 sIr, /);?A/~~~ : M ,'1:ES-d, J;:f"
Surveyor abCJ1/ti!tJ tJ4 etJ/ltAlL,O
No tJE .
Architect.
Landscape Architect:
Traffic Engineerl
18.
Has a site plan been previously approved by the City I~^
commission for this property? rv~
Estimated construction costs 9fJProposed improvements shown
this site plan: ~ 3 'i 1.),06'0 ' Ill:) ,
PLANNING & ZONING DEPARTMENT - November, 1991
A:SitePlan
z.
II. SITE DATA
I 3 ).
The following informat~on must be filled out below and must
appear, where applicable, on all copies of the site plan.
1. Land Use categrrv sbQwn in
the Comprehens ve Plan
2. Zoning District M-J
3. Area of Site t:>, 'It? 8 acres
.A. Land Use -- Acreage Breakdown
a.
b.
c.
d.
LJ I (J if if=- sq. ft.
Residential, including
surrounding lot area of
grounds
Recreation Areas *
(excluding water area)
acres
, of s11
acres
, of sl1
, of s11
/4-0 , of sll
, of s1
, of s1
, of s1
, of s1
, of s1
Water Area
acres
Conunercial
/!:)/~4:,
acres
e. Industrial
f. Public/Institutional
g. PUblic, private and
Canal rights-of-way
h. Other (specify)
acres
acres
acres
acres
1. Other (specify)
acres
j.
, of sl
Total area of site
o , i:f 1./.3 acres
I{)., 0
* including open space suitable for outdoor recreation, and
having a minimum dimension of 50 ft. by 50 ft.
5. Surface Cover
. I
a.
Ground floor building , J75b
area ("building footprint")
!1,...,;? c).o S ~ of 1 ' V'")
Wa ter r.rea t:..'
acrep
..LCf~
, of sJ
acres
o
b.
, of sj
c.
Other impervious areas,
including paved area of
public , private streets,
paved area of parking
lots' driveways (ex-
cluding landscaped areas),
and sidewalks, pat~o.s, . ~I
decks, an~ athletic
courts · rt:;,,- ;,0' .s. (6 F or acres
, Z-b,
Total impervious area' ~r acres
, of s,
, ,r;-
~
)I
, of s;
~
. ~..
--
d.
e.
. >--.'....-
Landscap8d area . ~~'3:-- acres
inside of parking lots
(20 sq. ft. per interior
parking space required
see Sec. 1.5-35(g) of
Landscape Code).
....- {)!.t../ t -:-, of s,
.
PLANNING & ZONING DEPARTMENT - November, 1991
'3
l\ : S \ t- 0. P 1 ,:111
g.
-I tlJ
other landscaped areas, .~ acres
. . ~.w ( ,( r-
Other pervious areas, '~~y..~ fr')
including golf courses, ~7 ~-I
natural areas, yards, and
swales, but excluding
water areas
( 4) .
. ~ /
;.~' 1; of sit
f.
h. Total pervi9~""areas
\f ~ <; 6 f,-
\
. .
1. ~otal a~ea af aite
6. Floor Area
a. Residential
b. commercial/Office
a. Indust~ial/Warehouse
d. Recreational
e. Public/Institutional
f. other (specify)
~,
" .
. Ut/
~BcreB
acres
o
, of sit
o.t(
\ of sit
, Oct 4-1, acre8
\pp
, of sit
g. Other (specify) . sq. ft.
h. Total floor area --1 rz' Co 0 sq . ft.
1. Number of Residential Dwelling Units
a. single-family detached ~O sq. ft.
b. Duplex sq. ft.
c. Multi-Family (3 + attached
dwelling units)
11) Efficiency dwelling units
(2) 1 Bedroom dwelling units
13) 2 Bedroom dwelling units
(4) 3+ Bedroom dwelling units
d. Total mUlti-family "-YO dwelling units
e. Total number of dwelling unit8 ~
8.
Gros8 Deqsity
tJD
dwelling units per acre
9.
~axi~um beiglL~of structures on site
2'
feet
1
atol
10. Required off-street parking
a. calculation of required
number of off-street
parking spaces
\ Sp~ pea t?o1>~tffr
l~t'pt) / 'jOO : 1A
I
b.
Off-street parking spacI
provided on site plan
14
PLANNING & ZONING DEPl\R'l'MEN'l' - November, 199]
'A-
( 5')
III. CERTIFICATION
(I) (We) understand that this application and all papers and
plans submitted herewith become a part of the permanent
records of the Planning and Zoning Soard. (I) (We) hereby
certify that the above statements and any statement. or
showings in any papers or plans submitted herewith are true tc
the best of (my) (our) knowledge and belief. ~his applicatiol
will not be accepted unless signed according to the
instr ctions below.
/
S". SO. 9Ja-
Date
OWner s or Trustee,
d Principal if property
is owned by a corporation or other
entity.
IV.
l.~
~ ~ 19~-
Date
of Author zed Agent
) hereby designate the above
utho~t in regard to
S gnatu f OWner s) or Trustee,
or Authorized Principal if property
is owned by a corporation or other
business entity.
signed person as (my)
this application.
'v
S.So.tt~
Date
SPACE BELOW THIS LINE FOR OFFICE USE ONLY
Review Schedule.
Date Received
Technical Review Board
'Planning' Zoning Board
Community Appearance Board
City commission
Stipulations of Final Approval.
Date
Date
Date
Date
Other Government Agencies/Persons to be contacted.
Additional Remarksl
PLANNING' ZONING DEPARTMENT - November, 1991
A:SitePlan
G
EXHIBIT "A"
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 Ci ty 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 violation of this application and all
approvals and permits which may be granted.
The applicant agrees to allowing 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 ich may arise due to their enforcement of the same.
day of
Wi
,1,17 IJ4q~ '
Witness
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