Site Plan Time Extension Application (2-2011)
CITY OF BOYNTON BEACH 1 PLANNING & ZONING DIVISION 100 East Boynton Beach Boulevard Boynton Beach, FL 33435 Phone: (561) 742-6260 City Applications and Codes Accessed Via Website www.boynton-beach.or
gwww.amlegal.com/boynton-beach_fl.us 07-13-2010 SITE PLAN TIME EXTENSION APPLICATION Including: CONDITIONAL USE TIME EXTENSION* * Pursuant to Chapter 2, Article II, Section 2.C.5 of
the Land Development Regulations, any conditional use approved in connection with a site plan or site plan modification shall expire concurrently with the corresponding site plan or
site plan modification. I. GENERAL INFORMATION: This application must be filled out completely, accurately, and submitted as an original to the Planning and Zoning Division; an incomplete
application will not be processed. Print legibly (in ink) or type all information. In addition to the original, provide a copy of the completed application as part of the submittal,
and pay the applicable fee as adopted by the City Commission. This process is further described in Chapter 2, Article II, Section 2.F.6 of the Land Development Regulations. A. PROJECT
INFORMATION: 1. Name: ______________________________________________________________________ 2. Background Information and Approval Dates: a. Original Site Plan Approval Date*? ______________________
____________________ * The term site plan is construed to include the new site plan or major site plan modification application that was previously approved by the City Commission and
for whose expiration is the subject of this request for extension. Office Use Only Corresponding Site Plan File #: ________________________________ b. Original Site Plan Expiration Date?
_________________________________________ c. Number of Previously Approved Site Plan Time Extensions? _____________________ d. Current expiration date (if responding to item “c”) ____________________
__________ e. Proposed Expiration Date of Site Plan? ______________________________________ 3. Existing Land Use Classification (from Future Land Use Map): __________________________
4. Existing Zoning District (from Official Zoning Map): ___________________________________ 5. Existing Use of Property: __________________________ _____________________________ 6. Parcel
Control Number (PCN)*: ____ -____ -____ -____ -____ -______ -_______ CTY RNG TWP SEC SUB BLK LOT * List all PCN’s on an attached addendum for applications comprised of multiple lots.
7. Parcel Size (in square feet /acres): _______________________ /_______________________
2 8. Address and Legal Description*: __________________________________________________ ____________________________________________________________________________ * Provide on attached
addendum if more space is needed. B. APPLICANT: 1. Name: ______________________________________________________________________ Company Name: _________________________________________________________
_____ 2. Address: ____________________________________________________________________ City: _______________________________ State: ________________ Zip Code: __________ Phone: ______________________
_______ Email: ___________________________________ 3. Interest in Property (check one)*: Owner ( ), Lessee ( ), Contract Purchaser ( ) * Include a copy of the last recorded Warranty
Deed with all applications. a. Include written consent of all property owners of record if subject property is under joint or multiple ownership; b. If a lessee, include a copy of the
Lease Agreement and written consent of the owner(s); c. If an authorized agent, include a copy of the Agent Agreement or written consent by the seller(s) and owner(s); d. If a corporation
or other business entity, the name of the officer or person responsible for the application and written proof that such representative has the delegated authority to represent the corporation
or other business entity, or in lieu thereof, written proof that he is in fact, an officer of the corporation or other business entity; or e. If a contract purchaser, a copy of the Purchase
Contract and written consent of the seller(s) and owner(s). C. PROPERTY OWNER INFORMATION: 1. Name of Property Owner (Trustee): _______________________________________________ 2. Owner
Address: ______________________________________________________________ City: _______________________________ State: ________________ Zip Code: __________ D. AGENT INFORMATION*: 1. Name:
______________________________________________________________________ * All correspondence will be mailed to the agent unless there is no agent of record, in which case, all correspondence
will be mailed to the applicant. This party will receive agendas, letters, and other material. Company Name: ______________________________________________________________ 2. Address:
____________________________________________________________________ City: _______________________________ State: ________________ Zip Code: __________ Phone: _____________________________
Email: ___________________________________
3 E. AUTHORIZATION OF AGENT: Signature of authorized agent. Date Signature of Owner(s) or Trustee, of authorized principal if property is owned by a corporation or other business entity.
OR Date Signature of contract purchaser (if applicant). Date F. CERTIFICATION: (I) (We) understand that this application and all papers and plans submitted herewith become part of the
permanent records of the Planning and Zoning Division. (I) (We) hereby certify that the above 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, of authorized principal if
property is owned by a corporation or other business entity. Date OR Signature of contract purchaser (if applicant). Date II. MANDATORY REPORTS: In an attached addendum, the applicant
shall be required to provide written responses that address the review criteria of Chapter 2, Article Article 2, Section 2.F.6.c of the Land Development Regulations. The Planning and
Development Board and City Commission shall review this justification when evaluating each request for conditional use approval. III. CONCURRENCY REQUIREMENTS: Please be advised that
all applications for site plan time extension are subject to the City’s Concurrency Management Ordinance and cannot be approved unless public facilities (potable water, sanitary sewer,
drainage, solid waste, recreation, park, and road facilities) would be available to serve the project, consistent with the levels of service adopted in the City’s Comprehensive Plan.
IV. PUBLIC NOTICING REQUIREMENTS: Pursuant to City of Boynton Beach Ordinance 04-007 and 05-004, no quasi-judicial proceeding shall proceed until proof of notice of the proceeding, in
affidavit form, has been filed with the Office of the City Clerk and copied to Planning & Zoning. Proof of notice must include the name and address of each property owner to whom notice
was mailed and a photograph of each sign posted, as hereinafter required. The following notices must be paid for and provided by the applicant: A. MAILING: The applicant shall mail (by
first class mail) a notice of public hearing to the Planning and Zoning Division, and to all individuals and associations owning or having control over land located within 400 feet of
the boundary line of the subject property for which the quasi-judicial hearing is required. All notices shall be mailed and postmarked no less than 10 calendar days before the public
hearing. Palm Beach County Property Appraiser Office Attention: Mapping Division 4 Downtown Service Center South County Office301 North Olive Avenue 501 South Congress AvenueWest Palm
Beach, Florida 33401 Delray Beach, FL 33445Phone: (561) 355-2881 Phone: (561) 276-1250Fax: (561) 355-3881 B. SIGNAGE: One (1) sign for each street frontage of the property shall be posted
no less than 10 calendar days prior to the hearing. The sign shall be legible from a distance of 100 feet and shall contain a description of the approval being sought, the date, time
and location of the hearing, and a statement that the application being considered is available for inspection in the Development Department of the City of Boynton Beach.
5 C. POSTPONEMENT: When a quasi-judicial hearing is tabled or continued at the request of an applicant, re-notice of the hearing shall be provided by the applicant in the same manner
as original notice. D. CITY TECHNICAL SUPPORT AT PUBLIC MEETINGS: 1. Applicants who wish to utilize City electronic media equipment for presentations at City Commission Public Hearings
must notify the Planning and Zoning Department representative at least one (1) week prior to the scheduled meeting; 2. The notification is to include the scope of support to be provided,
including the corresponding agenda item, type of media, materials and equipment needed, along with contact information for the applicant; 3. The department representative will notify
the I.T.S. Department at least two (2) working days prior to the Commission Meeting to schedule technical support; 4. A copy of the items to be presented must be delivered to the I.T.S.
Department no later than 6:00 p.m. on the working day preceding the Commission Meeting. At the conclusion of the meeting, these items will be returned to the department representative
who originated the request; 5. In the event that media or materials are defective, I.T.S Department, will notify department representative by noon of the day of the meeting. 6. At least
thirty minutes prior to the Commission Meeting, non-City individual will meet with I.T.S. Department representative to finalize procedures. Continued on next page
6 E. AFFIDAVIT: AFFIDAVIT RE: Property Address: Project Name: File #: I /We, the undersigned do certify that to the best of my knowledge, the attached ownership list, 400’ radius map
and mailing labels are a complete and accurate representation of the real estate property and property owners within at least 400 feet of the above-referenced subject property. This
reflects the most current records on file in the Palm Beach County Property Appraiser’s Office. The notifications were postmarked a minimum of 10 days in advance of the public hearing.
Site signs were posted on the premises a minimum of 10 days in advance of the public hearing in accordance with City Ordinance 04-007. Attached, are photographs of the signs showing
their placement on the property and proximity to the abutting right-of-way. Sincerely, _____________________________ Applicant /Agent Notary Public, State of Florida Cc: Planning & Zoning
Department S:\Planning\Forms\Applications\New Applications (LDR Rewrite)\Site Plan Time Extension.doc