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APP 004-10 (Large Plans in File)
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A drainage inspection will be conducted. p t Hl 11 h o Architectural — Inspection for compliance with previous architectural approvals (color, style, height, etc.). UpEMJ iL uf-- Compliance with conditions of approval — some approvals required covenants be filed, landscape buffering be provided, architectural changes be made, etc. vim/ RCu's WJL4 i Lo (} (SJg' c ac. loto SCVerne Landscaping — Corripliance wit6 approved plant; 01 chain link f nces must be completely screened with plant materials; buffering installed if required; no significant materials in right -of -way; safe sight corners; etc. To k49, Confirmation that all permitting requirements have been met — for example: DOT driveway permits on AIA, field permit from DEP for landscaping or fencing seaward of CCCL. Confirmation that water system capital connection charges have been paid Inspection for damage to roads and Town storm drain system opt Elevation — Copy of elevation certificate. Setbacks — Copy of tie - inform board survey, unless setbacks are shown on as- builts d 1e PJ Height — Certification by the project architect, engineer or surveyor that the eave height and roof height are constructed as shown on approved architectural plans. �] O ?EAI f 1 1S1 ' Confirm that all permit requirements for Gulf Stream lift station have been met Driveway Permit and Removal Agreement Deputy /constitems/Cocklst3 /21/02 C/O Issued I �0 / 7 J,___� rL William Wietsma, Architect 25 Seabreeze Avenue, Suite 304 Delray Beach, Fl. 33483 November 15, 2005 Town Of Gulf Stream 200 Sea Road Gulf Stream, Fl. 33483 Re: 3210 Polo Drive To Whom It May Concern: I have inspected the above - mentioned project and find that it meets the designed drainage requirements of the approved plans. Inspections were also made regarding the eave heights (10' -0" & 11'4" max.) and roof height (21' -0" max.) and they are in compliance with the approved plans. Sincerely, i a, Architect William Wietsma, Architect 25 Seabreeze Avenue, Suite 304 Delray Beach, Fl. 33483 November 15, 2005 Town Of Gulf Stream 200 Sea Road Gulf Stream, Fl. 33483 Re: 3210 Polo Drive To Whom It May Concern: I have inspected the above - mentioned project and find that it meets the designed drainage requirements of the approved plans. Inspections were also made regarding the eave heights (10' -0" & 11'4" max.) and roof height (21' -0" max.) and they are in compliance with the approved plans. ncerely, illiam Wi tsma, Architect NOTICE ug APPLICATION FOR DEVELOPMENT APPROVAL NOTICE IS HEREBY GIVEN that the Architectural Review and Planning Board of the Town of Gulf Stream will hold a Public Hearing on June 24, 2004 at 8:30 A.M., and the Town Commission will hold a Public Hearing on July 16, 2004 at 9:00 A.M., both in the Commission Chambers of the Town Hall, 100 Sea Road, Gulf Stream, Florida, at which the following will be considered: An application submitted by William Wietsma Co., Inc., agents for Margaret Price, owner, and George Dragas, contract purchaser of the property located at 3210 Polo Drive, Gulf Stream, Florida, legally described as Lots 16 & 17 Polo Cove Subdivision, for the following: 1. LAND CLEARING PERMIT to clear building site. 2. LEVEL 3 ARCHITECTURAL /SITE PLAN REVIEW to permit construction of a one story Bermuda style single family dwelling, consisting of 7,637.6 sq. feet, with a pool and cabana. The Architectural Review and Planning Board shall make a recommendation to the Town Commission, and the Town Commission shall make a final decision regarding the subject application at the meetings noticed above. These meetings may be adjourned from time to time and place to place as may be necessary to hear all parties and evidence. The complete application materials are on file in the Office of the Town Clerk located at 100 Sea Road, Gulf Stream, Florida 33483, and may be reviewed during regular business hours, which generally include non - holiday weekdays from 9:00 A.M. to 4:00 P.M. ALL PARTIES INTERESTED IN THESE MATTERS may appear before the Architectural Review and Planning Board and the Town Commission of the Town of Gulf Stream at the times and place aforesaid and be heard. SHOULD ANY INTERESTED PARTY SEEK TO APPEAL ANY DECISION MADE BY THE ARCHITECTURAL REVIEW AND PLANNING BOARD OR THE TOWN COMMISSION WITH RESPECT TO ANY MATTER CONSIDERED AT THESE PUBLIC HEARINGS, SAID PARTY WILL NEED A RECORD OF THE PROCEEDINGS, AND FOR SUCH PURPOSE, MAY NEED TO INSURE THAT A VERBATIM RECORD OF THE PROCEEDINGS IS MADE, WHICH RECORD INCLUDES THE TESTIMONY AND EVIDENCE UPON WHICH THE APPEAL IS TO BE BASED. 286.0105, F.S.S. TOWN OF GULF STREAM, FLORIDA Dated: June 10, 2004 , Rita L. Taylo Town Clerk COMMISSIONERS WILLIAM F. KOCH, JR. Mayor JOAN K. ORTHWEIN, Vice Mayor FRED B. DEVITT III ROBERT W. HOPKINS II WILLIAM A. LYNCH July 20, 2004 Mrs. Margaret Price 3210 Polo Drive Gulf Stream, FL 33483 Dear Mrs. Price: TOWN OF GULF STREAM PALM BEACH COUNTY, FLORIDA Telephone (561) 276 -5116 Fax (561) 737 -0188 Town Manager WILLIAM H. THRASHER Town Clerk RITA L. TAYLOR This is to confirm that at the meeting held by the Town Commission on July 16, 2004, your application for a Land Clearing Permit to clear the building site and a Level 3 Architectural /Site Plan Review to permit construction of a single -story Bermuda style single family dwelling with pool, spa and cabana consisting of 7,780 sq. ft. at the above address was considered. Your requests were approved with following conditions: 1. Chain link fence, if utilized, shall be screened on the outside with landscape material. 2. Gulf Stream Removal Agreement and Driveway permit to be signed prior to issuance of permit. 3. Mechanical equipment facing Polo Drive shall be fully screened from view with landscape material. 4. Roof tile shall be white color thru, not painted white. 5. Revised landscape plan shall be submitted to the ARPB for approval prior to Certificate of Occupancy. 6. Dock shall not extend closer than 15' from side property lines. If a building permit including aforementioned improvements is not applied for by July 16, 2005, these approvals shall expire. Sincerely, � Yv e E. Eckert, CMC Deputy Town Clerk cc: William Wietsma, Architect Mr. & Mrs. Dragas, Contract Buyers 100 SEA ROAD, GULF STREAM, FLORIDA 33483 PREPARED BY AND RETURN TO: J- JEFFREY THISTLE, ESQUIRE DEVITT 6 THISTLE, P. A. 30 S. E. 4th Avenue V Delray Beach, Florida 33483 NOV -27 -1989 11:03a' 9-337875 0�8337f5 70 P9 1 256 Con 1.09 DoE .55 JOHN R OUNKLEICLERK - PS COMM FL Q U I T C L A I M D E E D 004-10 THIS QUIT - CLAIM DEED, executed this AO M day of "November, - 1989, by WILLIAM FEATHER, JR., and MARGARET R. FEATHER, husband and wife, first parties, to MARGARET R. FEATHER, a married woman, second party, whose post office address is: 3210 Polo Drive, Gulf Stream, Florida, 33403. WITNESSETH: That the said first parties, for and in consideration of the .sum of Ten Dollars ($10.00) in hand paid by the second party, the receipt whereof is hereby acknowledged, do hereby remise, release and quit -claim unto the said second party forever, all the right, title, interest,. claim and demand which the said first parties have in and to the following described lot, piece or parcel of land, situate, lying and being in the County of Palm Beach, State of Florida, to -wit: Lots 16 and 17 of POLO COVE, an addition to the Town of Gulf Stream, Florida, according to the Plat thereof recorded in'Plat Book 24; at page 73, Public Records of Palm Beach County, Florida. SUBJECT TO easements, restrictions and reservations of record; zoning and- other restrictions imposed by_ governmental authority; and taxes for the year 1989 and subsequent years. TO HAVE AND TO HOLD the same together with all and singular the appurtenances thereunto belonging or in anywise appertaining, and all the estate, right, title, interest, lien, equity and claim 'whatsoever of the said first party, either in law or equity, to the only proper veer benefit and behoof of the said second party forever. . IN WITNESS WHEREOF, the said first parties have signed and sealed these presents the day and year first above written. Signed, sealed and ddelivered in the �esenc i0�c� "��� William amt '' T err, Jr. — Margaret R. Feather' STATE OF FLORIDA COUNTY OF PALM BEACH I HEREBY CERTIFY that on this day before me, an officer duly qualified to take acknowledgements, personally appeared WILLIAM. FEATHER, JR., and MARARET R. FEATHER, husband and wife, to be known to be the persons described in and who executed the - foregoing instrument and acknowledged before me that they executed the same- ,WITNESS my hand and official last-40resaid this O -day of RECORD VERIFIED PALM BEACH COUNTY, FLA. JOHN B. DUNNLE ''. V�. CLERK CIRCUIT COURT seal in tpe County and State %.i41.- Ca*.�C!, 1989.: is Ssion Expires: u(".,\-(3,_ -- **** ATTORNEYS' TITLE INSURANCE FUND, INC. * * ** 03/05/2004 ATID }AAY 15:18 :14 ATTORNEY TITLE INFORMATION DATA SYSTEM FOR COUNTY OF PALM BEACH * * * * * * x * * * * * * x * x x * * CERTIFIED PRINTOUT DATA FOR: STRAWN MONAGHAN & COHEN' P.A. CUSTOMER NO.: 812401 FUND BRANCH INFORMATION: CERTIFIED THROUGH 02/20/2004 AT 1100 PM CERTIFIED THROUGH BOOK 16572 PAGE 1270 CERTIFIED FROM 12/14/1977 FILE NUMBER: POLO COVE DESCRIPTION: LOTS 16 AND 17 OF POLO COVE IN GULFSTREA OPENED: 03/05/2004 ATID )AAY * * ** ATTORNEYS' TITLE INSURANCE FUND, INC. * * ** 03/05/2004 FOR COUNTY OF PALM BEACH 15:19 SP- PE BX- 24 PG- 73 FILE /ORDER REF: POLO COVE SEARCH FROM- 01011989 THRU- 02202004 ID- --Ll-- - -L2 -- -- L3 --- L1 -- --L2-- - L3 -- - -Ll -- - -L2 -- - -L3 -- 17 -' 16 oRECEIVED• MAY 19 2004 PLAT NAME: POLO COVE Town of Gulf Stream, FL DATE OF PLAT- 10/02/1953 AUTHORIZED LEVELS- L / / PLAT FUND BRANCH ICERTIFIED PTHROUGH 02/20/2004 AT 1O1:00EPMLEGALS. * * * * * * * ** RETRO DATA CERTIFIED * * * * * * * ** 10 instruments found for search arguments ATID * * ** ATTORNEYS' TITLE INSURANCE FUND, INC. * * ** PAGE 0001 OF 001C DOF: 06191999 PR: OR 11170 1634 SR: CN 199MIN 242372 DOI: 0101000 TOI: NC DESC: 1ST PARTY: MARGARET PRICE 2ND PARTY, AMOUNT: NAME: REFERENCE: LEGAL: LT 16 POLO COVE TYPE: Noy COMMENTS: C -$$V P FOX PLUMBING INC$ #612 IND AVE #BOYNTON BEACH FLA 33426 #L -SSN NE$ ®POST PB 24/73 1st pg- SEARCHD MULTI / / PS 24 / 73 01/01/1989- 02/20/2009 ATID * * ** ATTORNEYS' TITLE INSURANCE FUND, INC' * * ** PAGE 0002 OF 003 19E-d V00 1100 d 990 -1 29V9 -912 -199 N3H00 R NVHSYNOM NMVUS -WOJd 90:01 ►002 -90 -E0 DOF: 05201998 PR: OR 10411 1664 SR: CN 1998 0187473 DOI: 01011900 TOI: NC DESC: MIN: - 1ST PARTY. STEVE KUARNBURG PAULA MUNCY 7328 PINE TREE LANE LAKE CLARKE SHO tE S 2ND PARTY: AMOUNT: NAME: TYPE: REFERENCE: LEGAL: LT 73 LAKE CLARKE ISLE PB 24/73 COMMENTS: C -02HE FLANAG CO INC$ 43939 S CONGRESS AVE STE 106 #LAKE WORTH FL #L - $$NONE$ @POST PB 24 74 & ALL SAID PS 24/73 SEARCHD MULTI / / PB 24 / 73 01/01/1989- 02/20/2004 ATID * * ** ATTORNEYS' TITLE INSURANCE FUND, INC. * * ** PAGE 0003 OF 0010 DOF: 02171994 PR: OR 8128 580 SR: CN 1994 0058088 DOI: 0101000 TOI: NC DESC: MIN: 1ST PARTY: MARGARET FEATHER 3210 POLO DR GULFSTREAM 2ND PARTY: AMOUNT: NAME: TYPE: REFERENCE: LEGAL: LT 16, 17 PB 24/73 COMMENTS: C- $$NORTHERN QUALITY CONST INC$ #2200 N FL MANGO #W PALM BCH FL 33409# D- $$NONE$ SEARCHD MULTI / / PB 24 / 73 01/01/1989- 02/20/2004 ATID * * ** ATTORNEYS' TITLE INSURANCE FUND, INC. * * ** PAGE 0004 OF 0010 DOF: 02121991 PR: OR 6727 55 SR: CN 1991 0039477 DOI: 0205199 TOI: E DESSC-:— _ MIN: - - 1ST PARTY: ( TOWN GULF STRE 2ND PARTY: l GULF STREAM HOMEOWNERS IMPR ASSN INCa9 �• AMOUNT: _ NAME: TYPE: REFERENCE: LEGAL: OVR PUBLIC R/W FOL STS IN SEC 34 -45 -43 GULFSTREAM RD POLO DR OLD Scl COL RD WRIGHT WAY BANYAN RD LAKEVIEW DR MIDDLE RD GOLFVIEW DR PALM BAY SHOWN ON FOL SUB PLATS BLKS 1 -3 PB 26/13 PB 24/73 ! LTS 1 -14 PB 18/98 ! LTS 15 -42 PB 8/27 PB 24/185 LTS 1 -6 PB 31/53 COMMENTS: SEARCHD MULTI / / PB 24 / 73 01/01/1989- 02/20/2004 ATID * * ** ATTORNEYS' TITLE INSURANCE FUND, INC. * * ** PAGE 0005 OF 001 DOF: 02041991 PR: OR 6719 352 SR: CN 1991 0031226 DOI: 010119 IEE -d >00 /ZOO d 890 -1 Z9V9 -91Z -199 NNW 7 NVH9VNOH WVdlS -WO:d 90:01 YOOZ -90 -EO TOI: NC DESC_ MIN: - 1ST PARTY= ( GULF STREAM HOMEOWNERS IMRP ASSN INC C/0 CHARLES C HALLOCK 3580 P )LO DR GULF S REAM FL 334 2ND PARTY: AMOUNT: NAME: TYPE. REFERENCE: LEGAL: OVR UNDER & THRU EXISTING PUBLIC R /WS FOL STS WITHIN TOWN GULF STREA '4 IN SEC 34 -45 -43 1 GULFSTREAM RD 2 POLO DR 3 OLD SCHOOL RD 4 WRIGHT WAY A /K /A P OPE DR 5 BANYAN RD W GULF STREAM RD 6 LAKEVIEW DR W GULF STREAM RD 7 MIDDLE RD 8 GOLFVIEW DR 9 PALM WAY PUBLIC R /WS SAID STS SHOWN ON FOL SUBS: ELKS 1, 2, 3 B//13 %1B24/73 ! LTS 1-14 PB 31/53PB 18/98 ! LTS 15 -42 PB 18/27 ! GU LF STREAM COVE PB 2485 ! COMMENTS: C- $$CAROUSEL DEV INC$D- $$INTERNATIONAL FIDELTIY INS CO$ #10131 SW 4/T H ST #MIAMI FL 33165# @PFB, PA ATTACHED SEARCHD MULTI / / PB 24 / 73 01/01/1989- 02/20/2004 ATID * * ** ATTORNEYS' TITLE INSURANCE FUND, INC. * * ** PAGE 0006 OF 0010 DOF: 08301990 PR: OR 6565 1542 SR: CN 1990 0250398 DOI: 080619 TOI: SM DESC: MIN: - 1ST PARTY: LOUISE F MACKENZIE UNREMARRIED 2ND PARTY: WILLIAM FEATHER JR MARGARET R FEATHER H/W AMOUNT: NAME: REFERENCE: OR 6015/506 LEGAL: LTS 16, 17 PB 24/73 COMMENTS: SEARCHD MULTI / / PB 24 / TYPE: 73 01/01/1989- 02/20/2004 ATID * * ** ATTORNEYS' TITLE INSURANCE FUND, INC. * * ** PAGE 0007 OF 0010 DOF: 11271989 PR: OR 6270 1256 SR: CN 1989 0337875 DOI: 11201 TOI: QCD DESG-- MIN_ 1ST PARTY:- WILLIAM FEATHER JR MARGARET R FEATHER H/W � 2ND PARTY: MARGARET R F 0 DR GULF STREAM FL 33483 AMOUNT: 55 NAME: DEVITT THISTLE TYPE: REFERENCE: LEGAL: LTS 16, 17 PB 24/73 COMMENTS: SEARCHD MULTI / / PB 24 / 73 01/01/1989 - 02/20/2004 ATID * * ** ATTORNEYS' TITLE INSURANCE FUND, INC. * * ** PAGE 0008 OF 001 DOF: 03301989 PR: OR 6015 509 SR: CN 1989 MIN0089189 DOI: 010119 - TOI: AFF DESC: CONT /MARR ICE -d i00 /EOO d 690 -1 29V9- 812 -199 N3N00 7 NVNDVN@'I wyals -w0J4 80:01 1002 -90 -EO 1ST PARTY: LOUISE F 14ACKENZIE 2ND PARTY: AMOUNT: NAME: REFERENCE: LEGAL: LT 16, 17 PS 24/73 COMMENTS: DC ATTACHED SEARCHD MULTI / / TYPE, PS 24 / 73 01/01/1989- 02/20/2004 ATID * * ** ATTORNEYS' TITLE INSURANCE FUND, INC. * * ** PAGE 0009 OF 0010 DOF: 03301989 PR: OR 6015 506 SR: CN 1989 0089188 DOI: 032419 TOI : M DESC - - - - -- — -- -- 1ST PARTY: WILLIAM FEATHER JR MARGARET R FEATHERH H \1 2ND PARTY:i LOUICKENZIE UNREMARRIED AMOUNT: 150000.00 NAME: CHAPIN & ARMSTRONG REFERENCE: LEGAL: LT 16, 17 PS 24/73 TYPE: CONV COMMENTS: SEARCHD MULTI / / PB 24 / 73 01/01/1989- 02/20/2004 ATID * * ** ATTORNEYS' TITLE INSURANCE FUND, INC. * * ** PAGE 0010 OF 0010 DOF: 03301989 PR: OR 6015 505 SR: CN 19MIN0089187 DOI: 0323198 - TOI: WD i�� 1ST PARTY: F MACKENZIE SNGL 2ND PARTY:( WILLIAM FEATHER JR MARGARET R FEATHER H/W 3210 POLO DR GULF STREA M FL 33483 - AMOUNT; 3575.00 NAME: CHAPIN & ARMSTRONG TYPE: REFERENCE: LEGAL: LT 16, 17 PS 24/73 COMMENTS-. Let pg- SEARCHD MULTI / / PB 24 / 73 01/01/1989- 02/20/2004 ATID ATTORNEY TITLE INFORMATION DISPLAY SYSTEM + * SEARCH COMPLETE * * *t *tt * + * * *+ * * * * * * * * *t * *t * ** * + * * *t * * *t *t + + * * * * * * +t * * + *t * ** ETE * t * + IEE -d 700 /V00 d 090 -1 2970 -912 -199 QN07 I NVH9VNON OWNiS -Waj 00:01 700Z -00 -EO TOWN OF GULF STREAM SITE DATA TABLE Gross Lot Area 31735.6 Effective Lot Area 31 '-q66 FAR Calculations EXISTING DEiVIO NEW NET is Floor Living 5678.5 578.5 Ceilings over 15' (double) Q 2 1" Floor Living � O 1" Floor Covered (porches, overhangs > 2112') 087?— 887.2 2" floor Covered � O Awnings > 3' and screen encl. (a,50 %) Garage 839.7 839.7 Gross Floor Area 39 32.7 3q 32.7 7405 4 7405.q Out Buildings 232.2 232.2 Total Floor Area Proposed %637 G First 20,000 X. 6006 Over 20,000 X.20 2 292, , Total Allowable FAR Per Manual S812. 1k> Total Hardscape Area 9)7(�o Required Landscape Area (lot size x 40 %) 12 54.32 Actual % Landscaped Open Space Area l7� 204o.CM 55 %0 ® RECEIVED• h^.AY 17 2004 'own of Gulf Stream, FL TOWN OF GULF STREAM PALM BEACH COUNTY, FLORIDA COMMISSIONERS WILLIAM F. KOCH, JR.. Mayor JOAN K ORTHWEIN, Vice Mayor FRED B. DEVITT III ROBERT W. HOPKINS II WILLIAM A. LYNCH AGENT AFFIDAVIT STATE OF FLORIDA ) COUNTY OF PALM BEACH ) TOWN OF GULF STREAM ) Telephone (561)276-S116 Fan (561) 737-0188 Town Manager KRISTIN KERN GARRISON Town Clerk RITA L TAYLOR BEFORE ME THIS DAY PERSONALLY APPEARED (Owner) �A t (,5 LUV—T (�2� , WHO BEING DULY SWORN, DEPOSES AND SAYS: THAT THE PERSON (S) OR COMPANY OR FIRM LISTED BELOW HAVE THE CONSENT OF THE OWNER OF THE PROPERTY LISTED BELOW TO REPRESENT THE OWNER OF SAID PROPERTY AS AGENT FOR SITE PLAN REVIEW WITHIN THE TOWN OF GULF STREAM. THE SUBJECT PROPERTY IS LEGALLY DESCRIBED AS FOLLOWS: Lo C-:? 16 �1 AGENT'S /(S) NAME: WILL[Nw LO COMPANY OR FIRM NAME: LO W NK 0Ii, ' hL\ gyp, �F-tf- AGENT'S ADDRESS: 2.5 Nor? ski a` r- mod. AGENT'S PHONE: '561, 1-2--14-. FURTHER AFFIANT SAYETH NOT. (OWNER SIGNATURE / SWORN TO AND SUBSCRIBED BEFORE ME THIS I LA DD , 2001_ MY COMMISSION EXPIRES: ms /yvonne /app forms /affidavitowner /8i 100 SEA ROAD, GULF STREAM, FLORIDA 33483 TOWN I OF GULF STREAM C PALM BEACH COUNTY, FLORIDA WILLIAM F. KOCH, JR., Meyv JOAN K ORTHWEIN, Vice Mayor FRED B. DEVn7111 ROBERT W. HOPKINS II WILLIAM A. LYNCH AFFIDAVIT Telephone (561) 276.5116 Fez (561) 737 -0168 Town Manager KRISTIN KERN GARRISON Town Cierk RITA L TAYLOR *RECEIVED• STATE OF FLORIDA ) MAY 17 70M COUNTY OF PALM BEACH ) TOWN OF GULF STREAM Town or Gulf Stream, FL ) BEFORE ME THIS DAY PERSONALLY APPEARED �411.L1 f,K L0k5T5H-- WHO BEING DULY SWORN, DEPOSES AND SAYS THAT THE ACCOMPANYING LIST OF PROPERTY OWNERS, MAILING AD SSES AND LEGAL DESCRIPTIONS OF ALL PROPERTY (circle one): within 25 feet, *(for N. Ocean overlay, Demolition, Land Clearing, Signs and Site Plan Review (2) within 300 feet, *(for Variances or Appeals) (3) adjacent to *(for Special Exceptions) THE BELOW DESCRIBED PARCEL OF LAND IS, TO THE BEST OF HIS KNOWLEDGE, COMPLETE AND ACCURATE AS RECORDED IN THE LATEST OFFICIAL TAX ROLLS IN THE PALM BEACH COUNTY COURTHOUSE. *streets and waterways are excluded from this distance THE SUBJECT PROPERTY IS LEGALLY DESCRIBED AS FOLLOWS: LOT'--, lb V6LL) C,Ou , '- a1 Tyr- 24- r P606— `l FURTHER AFFIANT SAYETH NOT. SWORN TO AN DESCRIBED BEFORE ME THIS DAY OF (NOTARY P1 MY COMMISSION EXPIRES: 4tpo RITA L. TAYLOR .aluOFt niST. ulTiinvi. PIISnmms/yyvonne/appfortns/affidaviU6 /13/00 FL Nrnary Gem¢ 8 6wwing �M 100 SEA ROAD, GULF STREAM, FLORIDA 33483 200� Town of Gulf Stream TOWN OF GULF STREAM .RECEIVED• MAY 17 2004 Town of Gulf Stream, FL APPLICATION FOR DEVELOPMENT APPROVAL This form is to be used for all development review applications to be heard by the Town of Gulf Stream Architectural Review and Planning Board, Board of Adjustment, and /or Town Commission. To complete the form properly, please review the accompanying Town of Gulf Stream Instruction Manual for Application for Development Review Form. Failure to complete this form properly will delay its consideration. To be completed by all applicants. A. Project Information PART II. GENERAL INFORMATION I.A.1. Project/Owner Name: M R(wacL-\ I � I.A.2. Project Address: '7)24D V- LY.D ARPB File k_0 Y_/0 �� �a�•'T�a -c-T To � I.A.3. Project Property Legal Description: LD-j'S J 6 '• 1'1 L POLO C.oat-� f 4&-D2- D tip LAM"E1; I.A.4. Project Description (describe in detail, including # of stories, etc.) V GW -57-v- !�A vtrr_ 5� ; t I.A.5. Square Footage of New Structure or Addition: _r% r7? c% Y- �94N�^A� r , Architectural Style: J� 1.A.6. Check all that apply: 'Architectural /Site Plan Review 34 Land Clearing D North Ocean Boulevard Overlay (complete section B) A Demolition of Structures ❑ Non - residential uses ❑ Variance (complete section G) ❑ Special Exception (complete section F) 1.A.7. (a) Proposed F.F.E.: B. Owner Information M Type of Foundation: 'M Li 0 L 1.B.1. Owner Address: '3ZkV ':b%-D I.B.2. Owner Phone Number: I.B.3. Owner C. Agent Information I ,' 1 I.C.1. Agent Name and Firm Name: KL� I.C.2. Agent Address: Z_G I.C.3. Agent Phone 1_C.4. Agent Signature i�-- L t L. 33 4'd 4i3 roll X a &'' INc-. D Official Use Only Pre -App Date: -i -G `1 ARPB Date: (,-Z401_ App Date:. ^19�,tf Recommendation: L . A Corn Date: TC Date: -! (. - oLP Decision: p 5L) IT-6- "304 _ Fax Z-1 � -1(;3b Application for Development Approval Form ADA.2000 revised 6/13/00 Page 2 Town of Gulf Stream PART III. PROJECT DESCRIPTION AND JUSTIFICATION To be completed by all applicants after pre- application conference with Town Staff. Please be concise but brief. Attach additional sheets only when necessary and be sure to include the appropriate and complete question number for each response. A. Project Description and Justification III.A.1. In what zoning district is the project site located? GULF- 15KO-SAe, ea?..f` III.A.2. Is the project compatible with the intent of the zoning district? 1d.Yes ❑ No Z Gin -CI-i. I '?_� � 431tJ�ic� t ,r��p,�t MA i� ,� . Lot_ L jL 1. III.A.3. Is the project consistent with the Future Land Use Map and goals, objectives and policies of the Comprehensive Plan? RYes ❑ No Explain. 5$F_ III .A ,z . III.A.4. How are ingress and egress to the property to be provided? &0.r,.e7T PAfZGj 9L� r_vn S lap_0k c-.;4_ III.A.5. a. How are the following utilities ` to be provided to the property? N Stormwater Drainage D • S t Ct= b. c. d. Sanitary Sewer Potable Water Irrigation Water pgZtoprta� 5R; AQ SwST< TCZD J ham, —pjt e. Electricity >rrL f. Telephone g. h. Gas Cable Television (9i3 -Sl S �2D AcNz , cal A r, III.A.6. If the project involves the erection of one or more structures, please describe how the structures are consistent with the criteria in Section 66 -144 of the Town of Gulf Stream Code. (Attach additional sheet if necessary.) �2T V- «1c r- Ni,�L PART IV. ADDITIONAL INFORMATION Section A is to be completed by all applicants after pre - application conference with Town staff. Answering "Yes "to any question in Section A requires the completion of additional Sections as indicated. A. Additional Approvals /Requirements. ' IV.A.1. Does the project i volve land area within fifty feet (50') of the A1A (North Ocean Boulevard) right -of- way? ❑ Yes 'No (If "Yes ", section B of this part must be completed.) IV.A.2. Does the project involve the demolition of one or more structures? Xyes ❑ No (If "Yes ", section C of this part must be completed.) IV.A.3. Does the project involve the clearing or filling of any portion o ist' g cant lot or more than fifty percent (50 %) of the landscaped area of a developed lot? Qj Ye (If "Yes ", section D of this part must be completed.) IV.A.5. Does they�pjoject require approval of a Special Exception? ❑ Yes VINO (If "Yes ", section E of this part must be completed.) IV.A.6. Is the project at variance with any regulations contained in the Zoning Code? ❑ Yes *0 (If "Yes ", section G of this part must be completed.) Application for Development Approval Form ADA.32000 Page 3 B. Projects Requiring North Ocean Boulevard Overlay Permit P IV.13.1. What significant landscape features or architectural features are to be disturbed or added and to what extent? IV.B.2. Describe the need and justification for the disturbance /addition: IV.B.3. Will the disturbance /addition destroy or seriously impair visual relationships among buildings, landscape features and open space, or introduce incompatible landscape features or plant material that destroys or impairs significant views or vistas within the North Ocean Boulevard Overlay District? Yes No Explain: IV.B.4. How is the design consistent with the AM Landscape Enhancement Project? IV.B.5. What mitigation is proposed so that the disturbance /addition has the least impact possible to the visual and aesthetic quality of the North Ocean Boulevard Overlay District: Projects Requiring a Demolition Permit IV.C.1. When are the existing structures to be demolished? S�P5rr7�P$CL \ t ZDod IV.C.2. When are the proposed structures to be constructed? 5FPTSh5 V`7 IoA- IV.C.3. What is the landmark status of the structures to be demolished?� D. Projects Requiring a Land Clearing Permit IV.D.1. Describe those vegetative materials of 8 inches in diameter and greater to be North Ocean Boulevard Overlay District: B�w'gsNj IV.D.2. Describe the need and justification for the removal /relocation: LDc- h.TF.,p t tJ r t %P ' D �-' W 1 io?ti IV.D.3. How is the removal from the project site of vegetation to be mitigated: SZE- F3SW L.f WD� ; AFB IV.D.4. How are the remaining and relocated vegetative materials to be protected and preserved during the land clearing and constriction activities and thereafter? _ P. r- ?4X -1VV , -[ts_,yP tRl-ir llt0 IV.D.5. What replacement materials are proposed? V-95,-� .9p p)W Application for Development Approval, Form ADA.32000 Page February 2002 Out btream E. Projects Requiring a Special Exception. PIP, IV.E.1. Is the proposed use a permitted special exception use? ❑Yes ❑ No Cade Section: IV.E.2. How is the use welfare, and morals will be protected? d proposed to be operated so that the public health, safety, IV-E.3. Will the use cause substantial injury to the value other property in the neighborhood where it is to be located? ❑Yes ❑ No of IV.EA. How will the use be compatible with adjoining development and the character of the District where it is to be located? IV.E.5. What landscaping and screening are provided? IV.E.6. Does the use conform with all applicable regulations governing the District wherein it is to be lecated7 ❑ Yes ❑ No Explain. F. Non - Residential Projects and Residential Projects of Greater than 2 Units W.F.I. If common area facilities are to be provided, describe them and how they are ro be maintained. IV.F.2. If recreation facilities are to be provided, describe them and their potential impacts on surrounding properties. IV.F.3. For each of the following, list the number provided and their dimensions. Loading Spaces: Standard Parking Spaces: Small Car Parking Spaces: Handicapped Parking Spaces: Application for Development Approval Form ADA.32000 Page 5 1 own of Gulf Stream H. Projects Requiring Rezoning PI IV.1-1.1. What is the Future Land Use designation of the project site? IV.H.2. If the project involves a rezoning, Zoning Code text change, Future Land Use Map change, Comprehensive Plan text change, or any combination thereof, please describe the need and justification for the request. PART V. OPTIONAL INFORMATION This entire Part is optional for all applicants. Applicants are encouraged, but not required, to provide any additional relevant information regarding the project that was not covered elsewhere on this form or on any of the other materials submitted with the application. z.� t ` q t- j•11 H 92nd- 9V-kL,,•ki' _ , 11LID Roam c . u?� r 10.aszraf _ Tt, Application for Development Approval Form ADA.2000 revised 616/00 6"o —j44. __ 1 1w., 5t 1 - V` VP W IT11 HQ-ir7– — VQ:E�f� Page 7 Town of Gulf Stream O G. Projects Requiring a Variance (code Section 66 -150 through 157) YI P-. IV.G.1. From what specific Zoning Code regulation is a variance requested? IV.G.2. What does the Zoning Code require for this specific site? IV.G.3. What is proposed? IV.G.4. What is the total variance requested? IV.G.5. The following 8 mandatory variance findings from Section 66 -154, must be addressed: (Attach additional sheet if necessary.) (1) What specific conditions and circumstances exist which are peculiar to the land, structure, or building involved and which are not applicable to other lands, structures, or buildings in the same zoning district? (2) Did the special conditions and circumstances result from the actions of the applicant? Yes No (3) Will granting the variance confer upon the applicant any special privilege that is denied by the Zoning Code to other lands, buildings, or structures in the same zoning district? Yes No Explain: (4) How would a literal interpretation of the provisions of the Zoning Ordinance deprive the applicant of rights commonly enjoyed by other properties in the same zoning district under the same terms of the ordinance and work unnecessary and undue hardship on the applicant? (5) Is the Variance requested the minimum variance that makes possible the reasonable use of the land, building or structure? Yes No Explain: (6) Will granting the variance permit any prohibited use to be established or re- established: Yes No (7) Is the requested variance consistent with the goals, policies, and objectives of the future Land Use Map of the adopted Comprehensive Plan? Yes No (8) Will the variance be in harmony with the general intent and purpose of the Zoning Ordinance and not be injurious to the area involved or otherwise detrimental to the public welfare? Yes No Explain: Application for Development Approval, Form ADA.32000 Page February 2002 FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067 -0 077 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 ELEVATION CERTIFICATE FL B4. MAPAND PANEL 004-10 Important Read the instructions on pages 1- 7. 137. FIRM PANEL SECTION A- PROPERTY OWNER INFORMATION Bg.845E FL000 ELEVATIONS) FarlsuaxxCaparyllse ueor a ura as BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and(or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number 3210 PALM WAY CITY STATE ZJP CODE -- 3210 POLO DRNE FL 33483 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc) LOTS 16 AND 17, POLO COVE (PLAT BOOK 24, PAGE 73) BUILDING USE (e.g., Residential, Non - residential, Addition, Accessory, etc Use a Comments area, W necessary.) RESIDENTIAL LATTTUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: GPS (Type):_ ( iff - ##' - ##.##" or ##.##N*) ❑ MAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER 92 COUNTY NAME B3. STATE TOWN OF GULF STREAM 125109 PALM BEACH FL B4. MAPAND PANEL • d) Attained garage (top of slab) 7. 4 ft.(m) 137. FIRM PANEL • e) Lowest elevation of machinery and or equipment Bg.845E FL000 ELEVATIONS) NUIMEER B5. SUFFIX B6.FlRM NJDIX DATE EFFECTIVEREVLSFD DATE B8.FLOODZONE(S) (L aieAO, use dept of flooding) 125109001 D 93682 93092 A5 7 B10. InWrate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe): B11. Indicate the elevation datum used for the BFE in B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): B12. Is the bulling located in a Coastal War Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date SECTION C- BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Buldng elevations are based on: ❑ ConsWc ton Drawings' ❑ Building Under ConsWCtion' ® Finished Constudion 'A new Elevation Certificate will be required when construction of the building is complete. C2. Buidiing Diagram Number 1(Select the bulling diagram most simiarto the binding for Mich this certificate is bring completed -see pages 6 and 7. If no diagram accurately neloresents the building, provide a sketch or photograph.) C3. Elevations —Zones Al AM. AE, AH, A (with BFE), VE, V1 430, V (with BFE), AR, ARIA, ARIAE, AR/AI AW, ARIAH, ARIAO Complete Items C3.-a4 below according to the biding diagram specified in hem C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to Mused forthe BFE Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G. as appropriate, to docmnent the datum conversion. Datum NA ConversionlComments NA Elevation reference mark used NA Does the elevation reference marls used appear on the FIRM? ❑ Yes ® No • a) Top of bottom fox (inducing basement or enclosure) 8. Yft.(m) • b) Top of next higher floor NA. _ft(m) a • c) Bottom of lowest horizontal structural member (V zones only) WA. • d) Attained garage (top of slab) 7. 4 ft.(m) E • e) Lowest elevation of machinery and or equipment w servicirg the building (Describe in a Comments area) E A • t) Lowest ad(acenl (finished) grade (LAG) • g) Highest adaoont (finished) grade (HAG) Z. if -(m) m • h) No. of permanent openings (flood vents) within 1 ft above adjacent grade NA J • i) Total area of all permanent openings (flood vents) in C3.h NA sq. in. (sq. cm) This cerlificalion is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U S Code Section 1001 CERTIFIERS NAME PAUL D. ENGLE LICENSE NUMBER 5708 TITLE SURVEYOR &MAPPER COMPANYNAME O'BREN,SUITER &OBRIEN,INC. ADDRESS CITY STATE Z)PCODE 955 N.W. 17TH AVENUE, SUITE K -1 DELRAY BEACH FL 33445 DATE 10/12/05 (561) 276 -4501 Form 81 -31, January 2Q03 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A. Forlrnur Carpany Use: BUILDING STREET ADDRESS (Indudig Apt, Unit Suit, ardbrBUg. No.) OR P.O. ROUTE AND BOX Na Policy Number 3210 PALM WAY CITY STATE LP CODE Conpany NAIL Number GULF STREAM FL 33483 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation CeNfcate for (1) community official, (2) insurance agenVoompany, and (3) building owner. COMMENTS LOWEST FLOOR ELEVATION OF POOL HOUSE IS +7.4 FEET WITH A HIGHEST ADJACENT GRADE OF +6.8 FEET AND A LOWEST ADJACENT GRADE OF +6.2 FEET ❑ Check here if attachments SECTION E - BUILDING ELEVATION_ INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and ZoneA (without BFE), complete tiers E1 through E4. If the Elevation Cedificale is intended for use as supporting informaflon bra LOMA or LOMR -F, Section C must be completed. E1. Building Diagram Number_(Seled the building diagram most similar to Ube building for Mich this certificate is being completed –see pages 6 and 7. If no diagram aocuralety represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is _ ft.(m) _in.(an) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade. If available). E3. For Building Diagram 6-8 with openings (seepage 7), the next highotboor elevated floor (PJevaticn b) of the building Is _ fL(m) _in.(an) above the highest adlaoent grade. Complete Ram C3.h and C31 on front of form. E4. The top of the platform of machinery and/or equipment servdng the building is _ ft.(m) _in.(crn) ❑ above or ❑ below (check one) the highest adacent grade. (Use natural grade, if available). E6. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodp ain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's aut ho ind representative who completes Sections A, B, C (Items C3.h and C3.i only), and E for ZoneA (without a FEMA- issued or community - issuedBFE)orZoneAOmustsighhere, Thesfalaria* inSedo nsA, B, CandEarecwWlofhebestolmyknoWedge. PROPERTY OWNERS OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME STATE ZIP CODE SIGNATURE ❑ Check here If attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or odinarae to adrr inister fire comwnityls fioodplain management ofina ce can complete Sections A, B. C (or E), and G of this Elevation Certificate. Complete the apprx &e Rem(s) and sign below. G1. ❑ The information in Section C was aken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to oertity elevation infornation. (Indicate the source and date of the elevation data in Uhe Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMAassued or oxmmunity4ssued BFE) or Zone A0. G3. ❑ The following information (Items G4-G9) is provided for community floodplain management purposes. G7. This permit has been issued fa: ❑ New Construction ❑ Substantial Improvement G8. Bevadon of as-built lowest floor (including basement) of the building is: — _fL(m) Datum: G9. BFE or (in Zone AO) depth of flooding at ft building site is: __fL(m) Datum:_ LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE if attachments FEMA Form 81 -31, January 2003 Replaces all previous o N a I I� an i0 W �W^ 4 pOq n^ mNm luE �lJ i�n e ioa `0�O r zu, � N ^ mW�N a m .� x WO OiW W R W Jw� N eo WN�n' i O um Vl �a QV� Qy 4W $e¢° OW NNr¢a O�¢�WN a 2mW �2 $om�Q pz S d Q. W q@l Q QO3 3wZW I..jeW¢n �WW� `` ° y r ^QUR¢s 00� y`zo$ H 2 O~ O JQ O QI_ Wn1O �a U r" <'� WOWN k W^ +` Z W ZW o p W J ? 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