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APP 001-10 (Large Plans in File)
TOWN OF GULF STREAM ARCHITECTURAL REVIEW AND PLANNING REPORT Application #: 001 -10 Owner: William and Caroline Wietsma Address: 3211 Polo Drive Agent: William Wietsma William Wietsma Company, Inc. Proposed Improvement: Demolition of an existing 1 story Gulf Stream - Bermuda home. Construction of 2 story Gulf Stream - Bermuda pool home with an attached 2 car garage. Approvals Requested: Gross Lot size: 16,783 s.f. Permitted Floor Area: 5,538 s.f. Zoning District: RS-C: GS Core Finished Floor Elevation: 11.5' Architectural/ Site Plan Review, Level III Land Clearing Permit to remove /replace landscape materials. Effective Lot Area: 16,783 s.f. Proposed Total Floor Area: 5,529.2 s.f. Proposed Height: 27 9" (30' maximum) Base Flood Elevation: 7.0' Adjacent Residences: Gulf Stream - Bermuda Staff Recommendation: A. Motion to recommend approval of Level III Architectural /Site Plan with the following conditions: 1. The roof shall be redesigned to provide a distinction between stories and to break up massive roofs created on the north, south and east elevation. 2. Additional native trees, shrubs and /or ground covers be added to the planting plan. 3. Patios, decks and pools shall have no elevation greater than 8" above grade. Spot elevations shall be provided indicating that this condition has been met. 4. Pool safety barriers shall be installed to conform to current codes. Suggested Modifications: 1) Replace arched window on north elevation with a rectilinear form with multi-panes. 2) Add same style shutters to side elevations to unify architectural detailing. 3) Utilize white, flat, cement tile roof. Requirements that must be met prior to Building Permit: 1) A septic system must be approved by the Palm Beach County Health Unit. 2) Driveway Permit and a Gulf Stream Driveway Removal Agreement. 3) A Construction Traffic Management Plan shall be submitted for review and approval by the Gulf Stream Police Department. Considered During Review: Section 70 -100 Roof and Eave Heights; "Most structures in the town are characterized by simple roof designs with low to medium eave heights and roof heights. This type of design emphasizes the horizontal dimension of the structure while minimizing the vertical dimension". The proposed roof appears very massive on the north, south and east elevations and therefore does not comply with the intent of the manual. Architectural Review and ..anning Board ARPB File #001 -10 October 25, 2001 Page 2 "Maintaining an appropriate residential /human scale ". The roof system should be separated to provide a distinction between stories and to break up massive roofs created on the north, south and east elevations. The eave heights, eave lines, roof features, and roof heights appear to be in compliance with the code. Section 70 -238 Roofs; "Required. White flat untextured tile... ". Section 70 -239 Windows; "Gulf Stream - Bermuda windows are typically... Rectilinear in form ". Section 70 -240 Shutters; "Shutters are an important element of Gulf Stream - Bermuda style houses ". Staff Comments: Staff received the professional assistance of Mr. Jon Carleen of Urban Design Studio in preparing this report. ARPB Date: October 25, 2001 Action: 5 -0 to recommend approval of Level III Architectural /Site Plan with the four conditions listed on report. Of the three (3) suggested modifications, the applicant agreed to one of them, to utilize white, flat, cement tile. Town Commission Date: November 9, 2001 Action: 4-0 approval of Level III Architectural /Site Plan with the following conditions: 1. The design of the roof shall be that which was originally submitted with no separation between stories. 2. Additional native trees, shrubs and /or ground covers to be added to the planting plan. 3. Patios, decks and pools shall have no elevation greater than 8" above grade with spot elevations provided indicating that this condition has been met. 4. Pool safety barriers shall be installed to conform to current codes. Town of Gulf Stream TOWN OF GULF STREAM RECEIVED SEP 17 V!11 Town of Gull Stream, FL dukllrV D"Mr*nt 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. PART II. GENERAL INFORMATION To be completed by all applicants. ARPB File # I- A. Project Information / \ . I.A.1. Project/Owner Name:_ W 1 I I I aM CLJJ CI C [fro I r n e V� 1 e} S M Q I.A.2. Project Address: 3211 Po In Dry ye I.A.3. Project Property Legal Description: L= o f 5, re p I of of 6 bl 1 T 51rea m f two rerh e4 r-a1 WI UCC0.Gh („.O( -Lkti ' ,, I ((�� I.A.4. Project Description (describe in de fail, including # of stories, etc.) N e w 5 j ✓t Q I e resi cte- vice Z 5+o6e_s (e%z.IZ o46k kilp r06F r I.A.5. Square Footage of New Structure or Addition: 5. 53n Architectural Style: L1 L( I -r +r e q w B e —i-vo Lk J G 1.A.6. Check all that apply: N L9' Architectural /Site Plan Review Land Clearing El North Ocean Boulevard Overlay (complete section B) 0' Demolition of Structures ❑ Non - residential uses ❑ Variance (complete section G) ❑ Special Exception (complete section F) 1.A.7. (a) Proposed F.F.E.: 1 j, 15 B. Owner Information Type of Foundation: Sf�reud foo4 I vi Q 5 I.B.1. Owner Address:_ Z5 Seo breeze /venue SLLiTe 3o-+ 1.B.2. Owner PhoneNumf,,e...5�.I - 274 - -+8b3 Fax:_56I-Z74-763G I.B.3. Owner C. Agent Information `, i i 11 i a W ,. /i e f5 m cj I.C.1. Agent Name and Firm Name: W I II I A WI M efSPVq I.C.2. Agent Address: Z5 S _ ea breeze Avenue, I.C.3. Agent Phone Numger:,(o)_5(ol — 1.C.4. Pre -App Date: App Date: Com Date: Decision: 'cv 4ti1P7i ,GJ ) tifftciarUse Only ARPB Date: )p A =01 Recommendation: TC Date:! - - ,) Application for Development Approval Form ADA.2000 revised 6/13/00 Fax 274-7&3(o 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? (� u I f Stream Co re III.A.2. Is the project compatible with the intent of the zoning district? AYes ❑ No III.A.3. Is the project consistent with the Future Land Use Map and goals, objectives and policies of the Comprehensive Plan? (a Yes ❑ No Explain. III.A.4. How are ingress and egress to the property to be provided? III.A.5. a. b. C. d. e. f. How are the following utilities to be provided to the Stormwater Drainage oil - S 4 p re f e v Sanitary Sewer � -sr +P S e of i r Potable Water / All 1., , to Irrigation Water Electricity_( Telephone g. Gas h. Cable Tel visio 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.) o-f(Are is 5;W(lar I y-\ scale hei9k6orhooCI ah. t14 LINFPR�PVlt tti5 a, t PART IV. ADDI I�NAL INS�R ATION N(avlual. Section A is to be completed by all applicants after pre- application conference with Town staff. "Yes" to any question in Section A requires the completion of additional Sections as indicated. A. Additional Approvals /Requirements Z I W'Af F_)rl, ✓e. 251.9 til Answering IV.A.1. Does the project involve land area within fifty feet (50') of the Al (North Ocean Boulevard) right -of- way? ❑ Yes X 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? X Yes ❑ 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 of an existing vacant lot or more than fifty percent (50 %) of the landscaped area of a developed lot? )9 Yes ❑ No (If "Yes ", section D of this part must be completed.) IV.A.5. Does the project require approval of a Special Exception? ❑ Yes K No (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 KNo (If "Yes ", section G of this part must be completed.) Application for Development Approval Form ADA.32000 Page 3 Town of Gulf Stream B. Projects Requiring North Ocean Boulevard Overlay Permit O/A IV.B.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.6.3. Will the disturbance /addition destroy or seriously impair desirable visual relationships among buildings, landscape features and open space, or introduce incompatible landscape features or plant material that destroy or impair significant views or vistas within the North Ocean Boulevard Overlay District? ❑ Yes ❑ No IV.B.4. How is the design consistent with the A1A 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? C. Projects Requiring a Demolition Permit MCA. When are the existing structures to be demolished? I I / 1 /01 IV.C.2. When are the proposed structures to be constructed? I 1 / 710 1 — 8131 1 102- IV.C.3. What is the landmark status of the structures to be demolished? None- D. Projects Requiring a Land Clearing Permit IV.D.1. Describe those vegetative materials of 8 inches in diameter and greater to be removed /relocated. U 6PP- V4-t-o IrIe& IV.D.2. Describe the need and justification for the removal/relocation._ PUT C%k —'`j1ST4rJT W) TH pa W VWcJ IV.D.3. How is the removal from the project site of vegetation to be mitigated? S*}i , IV.D.4. How are remaining and relocated vegetative materials to be protected and preserved during the land clearing and construction activities and thereafter? IV.D.5. What replacement materials are proposed? `j� P.7-w CAD- A)r , FL'W Application for Development Approval Form ADA.32000 Page 4 Construction Traffic Management Plan Pursuant to Town Commission Policy, proposed plans for the orderly management of construction related traffic and parking shall be submitted concurrent with an application for Architectural /Site Plan Review or building permit. The plan must address the following: 1. Construction Address: 3211 pvt�_o Dr2_. 2. Construction time frame: From hl 15 1 0 1 To '!:)1 1 b 2 Where will delivery vehicles, contractors, subcontractors and other workers park? All parking must not block the free flow of traffic on local roads. Check all that apply: DEC On job site (may not block road) • Behind Town Hall -- workers will be shuttled to job site • Another site, please specify: attach) (owners' approval required, • Right -of -way, directly in front of property (not across the street) ❑ Other, please specify: 4. What route will construction vehicles take to the job site? Avoid all tight turns and narrow roads. List route: ,�70W jcD s 1 T 5. How will large deliveries (e.g., roof trusses, roof tile, paver brick, landscape trees, etc), be coordinated to minimize damage and disruption to local roads? ❑ Large deliveries will be broken into smaller loads before being transported into Town ,p; Only small vehicles will be used whenever possible. Use of larger trucks will be limited to times when no other options exist ❑ Flagmen will be used during any and all periods that traffic flow is impeded Site is large enough to contain vehicles on site while unloading ❑ Deliveries and various trades will be staggered in schedule to keep vehicle congestion at a minimum �¢ The Police Department (278 -8611) will be contacted prior to large deliveries occurring, in order to coordinate traffic management ❑ Other, please specify: 6. How will damage to Town right -of -way and roads be prevented and addressed? ,6 Any dust, debris on roadway originating from job site will be cleared at the end of each work day as required by Town regulations ,K Any damage to sod and landscaping will be immediately replaced ❑ White or green PVC pipes will be installed to preven amage along the following properties (list addresses): (Installation must comply with Town policy, 2" in diameter, spaced 9' apart, placed 2' from road edge with caps on top of pipe.) The Traffic Management Plan shall be signed by the submitting Architect or General Contractor and will be made a condition of approval for the site plan review and building permit. RECEIVED '!r- ^t 14" Of Guit Stresrti, FL 1kt4d1rV prrAOnwk Co nslcltems /Constmgmt.Quest. Updated 6/2/99 Si ned: Print: Name 1,} \4lpn wI��NA Title: (9WP .p._ [.00 auanaJtla6ewepiowawisw 6661- 'S Aaenagad uo @IOA snowlueun Aq pa4dopy 'papnloul aq IIeUS A3jadojd sluaplsa.l pue speoj IEDO, uo 30edwl aonpaj of samseaw JOU30 -NioM do uolleplul 03 JOIJd SJ03oeajuo3 GUI Aq pallelsui aq 01 'salIJadoad juaoefpe 6uo a sa Jo uolJeJaplsuoo apnloul NEWS pue salaluaA uollonilsu ojo3 sluolje of 6uINaed pa4eu6lsap apn►oul IIeUs veld all 'leno.idde do uol4lpuoo a spew aq IIIN► pue ►e44►wgns uoPeOl►dde all 30 4jed se paimbei aq p►noM sill 'ao33eJ4uoo aU3 Aq paMOI►o3 aq of „veld luawa6euew o!�1ea� u01joni4suoo. e Jiwgns Reis 1oa4llDJE loafoid aUl ssa3ojd MalAaJ veld 941s all 30 Iced SV '941S u013on.11suoo aU,, jol Aouedn000 3o @Ieol3l:Wao 3o aouenssl alI BUIMOIJ04 Alajelpawwl panowaa aq Reis sadld all '.aajawelp ul Z aq RLIS azls adld wnwlxew all 'cede ,6 Ala4ewixoadde ag pinoUs sadld asall '@Bpa s,peOJ woj3 ,Z 'Auado.id alall 30 luoa3 9l3 6uo►e apeJ6 anoge „92 'sadid :)Ad paddeo (uaaj6 )tJep p93uled ao► alllM Ile�sul o� pa iw�ad aq ►llM ails uoljonjjsuoo 9AI30e ue Jo Aq►UlolA alJ ul AI►ado.id uMO olM s3uapls0a uMOl 'Aollod AeM- 3o -gl6ld s,uMOl al4 01 u014daoxa ue sy wo�3 suMel lel�uaplsaa 6ul�oa�oad ul �slsse0o� pauOIIonjlsuoo Aq pasneo a6ewep Igpsa sl Ao!Iod 6ulM011od aUl AOIIOd U014U@A@Jd 86ewea- uolgon.ljsuo:) tlOIN07d 'Wbf381S dV10 d0 NMOl Town of Gulf Stream Address: 3211 PART I. APPLICATION REQUIREMENTS To be completed by Town staff during pre - application conference. A. Review and Approval Processes ❑ 1. N. Ocean Overlay Permit e2. Land Clearing Permit ❑ 3. Annexation Review ❑ 4. Comprehensive Plan Text Amendment Review tY 5. Demolition Permit ❑ 6. Future Land Use Map Change Review ❑ 7. Administrative Appeal ❑ 8. Zoning Code Text Amendment Review B. Application Materials ❑ 9. Sign Review 1910. Site Plan Review, Level II 1 ❑ 11. Site Plan Revision ❑ 12. Special Exception Review 1113. Subdivision Review ❑ 14. Variance Review 1115. Rezoning Review ❑ 16. (Other) Number of Copies Required Application Material Official Use Only Rec Need Rec Rev Rev 1 1. Completed Development Application ✓ 2. Fee of mo+ yb 1 3. General Location Map (on site plan) 1 j 9 1 LI 1172 4. Site Plan (2 full size, 10 reduced to 11 "x17" *) L q. \� 5. Building Elevations (2 full size, 10 reduced *) 0 6. Floor Plans (2 full size, 10 reduced *) '12--') 7. Roof Plan (2 full size, 10 reduced *) I I 4 11 L - i 8. Perspective Recommendi 9. Color Rendering 10. Drainage Plan (if altered) `12 11. Landscape Plan (2 full size, 10 reduced *) I I `I I 9 r ✓ 12. Septic Tank Permit ?6G -r""I ar \� 13. DOT Driveway Permit (if on At A, for any alterations to drive) 14. DOT Landscape Permit (A1 A) 2 15. Survey (11" x 17 ") I '1 L (� 16. Subdivision Plat (� 17. Concurrency Documents 1 18. Proof of Ownership (warranty deed) 1 19. Agent Affidavit 1 20. Adjacent Property Owners L j &+p- f Envelopes 21. Property Owners withi 25' 00' stamped addressed envelops, no re urn address .1 1 22. Property Owners Affidavit 1 Se 23. Photos of Existing Home, if applicable - 1 24. Construction Traffic Management Plan 1 25 Df��twk a,t n e evn ✓ *NOTE: Where multiple copies of a drawing are required, two copies shall be an original full - size (24" x 36 ") drawing which is signed and sealed. All other copies shall be reduced to 11"x17". Please refer to the instruction manual for more detailed information. Application for Development Approval Form ADA.32000 Page 1 May 2001 A. SE=TTLEMENT STATE. :NT U.S. Department of Ht, .sing and Urban Development B. Type of Loan OMB No. 2502 -0265 < VA ]. Lean Number B. Mortgage Insurance Case Number t. _FHA 2. _ FmHA 3. x Cenv. Unine. EM: 0025210113 C. NOTE: This form is fumished to give a statement you Of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items marked (P.O.C.) were paid outside the closing; they are shown here tar information purposes and are not included in the totals. D. Name and Address of Borrower E. Name and Address of Seller F. Name and Address of Lender WILLIAM S. WIETSMA ELIZA BETH ENOICOTT, AS TRUSTEE OF THE SunTrust Bank. CAROLINE WIETSMA ELIZABETH A. GEZELSCHAP 136 VENETIAN DRIVE REVOCABLE TRUST U/A DATED 11/11/86 14050 NW 14TH STREET, STE 100 DELRAY BEACH. FL 33483 SUNRISE. FL 33323 125 FIELD DAYS ROAD WEYBRIDGE. UT 05753 G. Property Location H. Settlement Agent 3211 POLO DRIVE COLONIAL TITLE GULFSTREAM, FL 33483 Place of Settlement I. Settlement REPLAT OF PART OF GULF STREAM PROPERTIES. LOT 5, PALM BEACH COUNTY 2929 E. Commercial Blvd., S.PH -C Date Ft. Lauderdale. F1. 33308 08/01/01 J. SUMMARY OF BORROWER'S TRANSACTION: - 08/01/01 1DO. Gross Amount Due From Borrower K. SUMMARY OF SELLER'S TRANSACTION: 400. Gross Amount Due To Seller 101. Contract sales price 675,000.00 102. property 401. Contract sales rice p 675,000.00 103. t charges tD borrower (line 1400) 14.506.02 g 402. Personal property 403. 104./YR 08101 to 09/30 17.55 105. 404.SWA $105/YR 08 /01 to 09/30 17.55 Adjustments for items paid by seller in advance 106. Cilyltown 405. Adjustments for items aid b seller in advance lazes to 406. City /town taxes 107. County taxes to to 108. Assessments to 407. County taxes to 109. 408. Assessments to 409. 110. 410. 711. 112. 411. 412. 120. GROSS AMOUNT DUE FROM BORROWER 689,523.57 420. GROSS AMOUNT DUE TO SELLER =675,017.551 200. Amounts Paid B or In Behalf of Borrower soo. Reductions In Amount Due To Seller 201. Deposit or earnest money 65,000.00 501. Excess Deposit (see instructions) 202. Principal amount of new loan(s) 540.000.00 203. 502. Settlement charges to seller (line 1400) Existing loan(s) taken subject to 49,421.00 204.' 503. Existing loan(s) taken subject to 504. Payoff of first mortgage loan 205. 505. Payoff of second mortgage loan 206. TERMITE TREATMENT 800.00 506.TERMITE TREATMENT 207. 800.00 208. 507. 209. 508. Adjustments for items un aid b seller 509. Adjustments for items un aid b 210. City/town taxes to seller 510. City /town taxes taxes 211. County Ot /Ot to 08101 3,746.71 to 212. Assessments 517. County taxes 01/07 to 08/01 3,746.71 to 213 512. Assessments to 214 513. 514. 215. 216. 515. 217 516. 218. 517. 219 518. 519. 220. TOTAL PAID BY /FOR BORROWER 609,546.71 520. TOTAL REDUCTION AMOUNT DUE SELLER 300. Cash At Settlement From or To Borrower 53,967.71 301. 600. Cash At Settlement To or From Seller Gross amount due from borrower (line 120) 689,523.57 601. Gross amount due to seller line 420 (line 302. Less amounts paid by /for borrower line 220 ( ) 609.546.71 675.017.55 602. Less reduction amount due seller (line 520) 53,967.71 303. CASH FROM BORROWER 79,976.86 603. CASH TO SELLER 621.049.84 IN THE EVENT A RE- PRORATION OF THE TAXES IS NECESSARY WHEN THE TAX BILLS FOR 2001 ARE PREPARED, THE PARTIES AGREE TO HANDLE SAID RE-PRORATION BETWEEN THEMSELVES. RESPA, HB 4305.2 - REV. HUD -1 (3186) L. SETTLEMENT CHARGES: FILE #: 01291 700. TOTAL SALESIBROKER'S COMMISSI based on price $ 675,000.00@ 6.00= 40,500.00 PAID FROM BORROWER'S PAID FROM SELLER'S Division of commission (line 700) as follows: FUNDS AT FUNDS AT 701. $ 40,500.00 to WILLIAM F. KOCH, JR.. INC. SETTLEMENT SETTLEMENT to 703. Commission paid at Settlement 704. 40,500.00 Hog. ITEMS PAYABLE IN CONNECTION WITH LOAN 801. Loan Origination Fee % 802. Loan Discount % 803. Appraisal Fee to SUNTRUST BANK / POC $3108 804. Credit Report to 805. Lender's Inspection Fee to 806. Mfg. Ins. Application Fee to 807. Assumption Fee to 808. APPLICATION FEE SUN TRUST BANK / POC T350B 809. TAX SERVICE FEE VALUTREE REAL ESTATE SERVICES. LLC 810. UNDERWRITING FEE SunTrust Bank. 69.00 811. COURIER FEE SunTrust Bank. 260.00 612. DOCUMENT PREPARATION FEE SunTrust Bank. 35.00 813. FLOOD ZONE DETERMINATION SunTrust Bank. 190.00 814. F.Z.D. LIFE OF LOAN FEE SunTrust Bank. 12.50 615. 8 .00 goo. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE 901. Interest from 08/01/01 to 09/01/01 @ S 96.1644 /day 31 Days 902. Mortgage Insurance Premium for to 903. Hazard Insurance Premium for yrs to 904. Flood Insurance Premium 905. M112.62 1000. RESERVES DEPOSITED WITH LENDER FOR 1001. Hazard Insurance 3 Mo. @$ 37.54 Into, 1002. Mortgage Insurance mo. @$ /mo. 1003. City property taxes mo. @$ Imo. 1004. County property taxes 12 mo. @$ 569.07 Imo. 6.828.84 1005. Annual Assessments Mo. @$ /Mo. 1006. FLOOD INSURANCE 3 mo. @$ 19.92 /mo. 1007. WINDSTORM INSURANCE 3 mo. @$ 64.00 Imo. 59.76 1008. 192.00 1100. TITLE CHARGES 1101. Settlement or closing fee to Colonial Title 1102. Abstract or title search to Colonial Title 200.00 200.00 1103. Title examination to Colonial Title 41.00 1104. Title insurance binder to 100.00 1105. Document preparation to 1106. Notary fees to 1107. Attorney's fees to (includes above items No: ) 1108. Title insurance to Colonial Title (includes above items No: 1104 ) 25.00 3.450.00 1109. Lender's coverage $ 540.000.00 - - -- 25.00 1110. Owner's coverage S 675.000.00 - - -- 3450.00 1111. ENDORSEMENT -FL FM Sr Colonial Title 1112. ENDORSEMENT- 8.1, 6 Colonial Title 347.50 1113. 0.00 5 1200. GOVERNMENT RECORDING AND TRANSFER CHARGES 7201. Recording fees Deed $ 11.10 Mortgage $ 101.10 Releases $ 112.201202. City /county /stamps Deed $ Mortgage $ 1203. State taxistamps Deed $ 4,725.00 ; Mortgage $ 1,890.00 1,890.00 1204. INTANGIBLE TAX - 4,725.00 1205. RECORD TRUSTEES AFFIDAVIT 1,080.00 1300. ADDITIONAL SETTLEMENT CHARGES 42.00 1301. Survey to O'BRTEN SURVEY / POC S500B - 1302. Pest inspection tp 7303. FEDERAL EXPRESS Colonial Title 1304. MISC. RECORDING /COPIES Colonial Title 45.00 45.00 1305. CITY /TAX LIEN SEARCH ABRAMOWITZ TAX &LIEN SERVICE, INC. 7.50 7.50 1306. ESCROW FINAL WATER /SEWER BILL 50.00 1307. RECORD NON -TAX CERTIFICATE ed Of County Comm. 250.00 1308. 10.50 1400. TOTAL SETTLEMENT CHARGES (enter on lines 103 and 502, Sections J and K) 14.506.021 A 49,421.00 raq Yp� UO -1 Settlement State and Ip the beet of my knowledge u ryyyyy ie a a' on us�1 by is transaction. I lure cer111y that I hav received a copy of 0" statement of p11 receipts and disbursements made 4305.2 - REV. HUD -1 (3/86) e or ate June 24, 2003 William Wietsma, Architect 250Seabreeze Ave., Suite 304 Delray Beach, Fl. 33483 Town of Gulf Stream 200 Sea Road Gulf Stream, Fl. 33483 Re: 3211 Polo Drive The above - mentioned property has been built in compliance with the ARB approved plans in regards to cave height (10' -0") and overall roof height (27' -0"). William Wie hitect *RECEIVED" JUN 2 4 2013 Town 01 Gulf Stream, FL ks D� 6�a3[o3 uN M L l Property Address: Owner: - I Town of Gulf Stream Certificate of Occupancy Check List The following will be required or inspected prior to release of a Certificate of Occupancy: Deputy /consti tems/Cocklst3 /2I /02 C/O Issued 12JI4 County Inspections —Final Inspection passed by Palm Beach County Drainage — A copy of the as -built drainage plan and Engineer's letter is required for Town records; storm drains are inspected for construction debris. A drainage inspection will be conducted. ? chime — Inspection for compliance with previous architectural approvals (color, style, height, etc.). !n, r Vfvl ee ual Ae k. , L gll oi8 eolr -• Z o Compliance with conditions of approval — some approva s required covenants be filed, landscape buffering be provided, architectural changes be made, etc. 12 Y Landscaping — Compliance with approved plans; all chain link fences must be completely screened with plant materials; buffering installed if required; no significant materials in right -of -way; safe sight comers; etc. kC 6/a4,,,3 Confirmation that all permitting requirements have been met — for example: DOT driveway permits on AlA, 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. b 2 Elevation — Copy of elevation certificate. b -?-310 Setbacks — Copy of tie - in/form board survey, unless setbacks are shown on as- builts eight — Certification by the project architect, engineer or surveyor that the eave height and roof height are constructed as shown on approved architectural plans. /-2 o Confirm that all permit requirements for Gulf Stream lift station have been met 6 o g Driveway Permit and Removal Agreement (� Deputy /consti tems/Cocklst3 /2I /02 C/O Issued 12JI4 TOWN OF GULF STREAM PALM BEACH COUNTY. FLORIDA L111H,d51(�9[4J� 1 WILLIAM F. KOCH, JR. Mayor JOAN N. ORTHWEIN, Vice Mayor FRED B. DEVITT III ROBERT W. HOPKINS II WILLIAM A LYNCH November 16, 2001 Mr. William and Caroline Wietsma 25 Seabreeze Avenue Suite 304 Delray Beach FL 233483 Re: 3211 Polo Drive, Gulf Stream, FL 33483 Dear Mr. and Mrs. Wietsma: 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 November 9, 2001, your Land Clearing, Demolition and Level 3 Architectural/Site Plan Review application to permit the construction of a two -story Gulf Stream Bermuda style pool home and the demolition of the existing structure at the above address was considered. Your requests were approved with following conditions: 1. The design of the roof shall be that which was originally submitted with no separation between stories. 2. Additional native trees, shrubs and/or ground covers to be added to the planting plan. 3. Patios, decks and pools shall have no elevation greater than 8" above grade with spot elevations provided indicating that this condition has been met. 4. Pool safety barriers shall be installed to conform to current codes. In addition, you agreed to install white, flat, cement rile on the roof. If a building permit is not applied for by November 16, 2002, these approvals will expire. Sincerely, 11 Veanboard Deputy Town Clerk 100 SEA ROAD, GULF STREAM, FLORIDA 33483 NOTICE Ce 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 October 25, 2001, at 8:30 A.M., and the Town Commission will hold a Public Hearing on November 9, 2001, 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., agent for William & Caroline Wietsma, owners of the property located at 3211 Polo Drive, Gulf Stream, Florida, legally described as Lot 5, Replat of Gulf Stream Properties Subdivision, for the following: 1. LEVEL 3 ARCHITECTURAL SITE PLAN REVIEW to permit the construction of a two -story single family Gulf Stream Bermuda style dwelling consisting of 5,530 square feet and a swimming pool. 2. DEMOLITION PERMIT to permit the demolition of the existing structure. 3. LAND CLEARING PERMIT to remove one mango tree. 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 Date: October 15, 2001 ' Rita L. Taylor own'Cle PALM BEACH COUNTY PLANNING, ZONING & BUILDING DEPARTMENT BUILDING DIVISION DRAINAGE CERTIFICATE OF COMPLIANCE PERMIT NUMER LOT 5, REPLAT OF PART OF GULF STREAM PROPERTIES, A SUBDIVISION WITHIN IN THE TOWN OF GULF STREAM, PALM BEACH COUNTY, FLORIDA, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 18, PAGE 98 OF THE PUBLIC RECORDS OF PALM BEACH COUNTY, FLORIDA. CERTIFICATION Based upon field review under my responsible charge and review of the final survey as required by the Building Division, it is my professional opinion that the lot grading has been constructed in substantial accordance with the approved drainage plan for the subdivision and /or the drainage control points referenced on the individual lot site plan or construction layout survey on file with the Building Division. Paul D. Engle Professional's Name 5708 Registration Number 6/9/03 As of this Date 2601 North Federal Highway Delray Beach, Florida 33483 Address 561) 276 -4501 Stj D. � 0/,-) Signature SEAL APPLICATION FOR LEVEL 1 ARCHITECTURAL /SITE PLAN APPROVAL Date of Application: (� C J II. Requested Approval: S Exterior Color Change 0 Addition under 300 square feet ❑ Landscape alterations ❑ Minor accessory structure ❑ Change in exterior wall, roofing, window or door materials ❑ New mailbox of non - standard design ❑ Increase in impervious surface (paving, etc.) ❑ Wall, fence or gate To be completed by all applicants. III. Project Information Owner Name: b-k wner Sig � AT ' O Project Address: D,1\ is Project Property Legal Description: Project Description (describe in detail): PART I. Wr Fa V -1-v- (v�- - sus /tu L ) IV. Attachments: Please attach color swatch, pictures or plans showing the proposed improvement to your home. Official Use Only Review Date: 0 3 Action: '(00 WILLIAM WIETSMA COMPANY, INC. NORTHERN TRUST BANK 5829 PH: (561) 274 -4863 OF FLORIDA, NA. 25 SEABREEZE AVE., SUITE 304 DELRAY BEACH, FL 33483 DELRAY BEACH, FL 33483 63.9651668 2/20/2003 PAY TO THE ORDER OF Town of Gulfstream $ *'945.00 Nine Hundred Forty -Five and 00/ 100 "a���.. 111111 sr���.�♦raa���t��r�s��� *x *�s�tr Wr����srrrr��t «w +a�a��t W�assss Wra�DOLLARS W Town of Gulfstream 200 Sea Rd. Gulfstream, Fl. 33483 MEMO 111005B 29111 1:0660096501:531000540411' WILLIAM WIETSMA COMPANY, INC. 5829 Torn of Gulfstream 2/20/2003 Date Type Reference Original Amt. Balance Due Discount Payment 01/04/2003 Bill 945.00 945.00 945.00 Check Amount 945.00 32 /I A 011 . Northern Trust Checking 945.00 n INVOICE E To-un of Gulf Ctrealr: 100 Sea Road Culf °`-ream, PL 33483 Att.n: Kris. Glrrison 2000 Palm Beach Lakes Blvd. Suite 600 West Palm Beach, FL 33409 561 - 669 -0066 C14Fnt. ID: TC'4, 94- 012.1'. Gulf Stream Architectural. F.e.vieor Architectural Review 7 3;-/I .e04 0-1 , Invoice # 36093 November 261 20T1 Pane 1 Professional. Servir.c:s for the period: September 22, 2001 to Oct.ol.er ?C, 2001 13r, ;f , r! :. ft: 94.012.11 3illing Group t /I° WietZmi.:a Resi.dence PROPP,S ^IJNA.T._, PERSCN!dEL Project. Planner Professional Support. Technical o,upport. Technical Support Aged Receivables: - CURP.ENTy 945.00 Total Labor TOTAL THIS 31-45 DAYS 0.00 Rate 95.00 45.00 55.00 46-60 DAYSL 0.00 hours 9.00 0.50 0.50 TOWN OF GULF' STREAM PA tSy APPIWVIfW By DATE 17�I] I o VENDOR ! KTNL 1.__ - ^ — -- DETAIL 2._ DFTAiL 3 _ DRUGATlCw x CV.� 60 911 DAYffir I". I D, Accounts over30 days are subject to 1.0% charge per month on the unpaid ba lance. Cha:ye 855.00 22.50 ?_'7.50 42.00 ". �1)T, 0.00 White/ Client Copy Yellow/ Remittance Copy 07/31/2001 10:50 FAX 5812747636 {41111am Wietsma Company 2 001 William Wietsma Company, Inc. 25 Seabreeze Avenue, Suite 304 Delray Beach, FL 33483 Office: 561-274-4863 Fax: 561-274-7636 To: Bill Thrasher, Town Manager Town of Guff Stream From: William Wietsma Fax: 737 -0188 pages: 2 Phone: Date: 7131/2001 Re: 3211 Polo Drive CC: Mr. Thrasher, The attached drawing shows the area of the roof that would have to be flat to change the front and rear elevations as suggested. This would result in 1216 square feet of flat roof, which is 24°/6 of the total roof area. As you know, the Gulf Stream Design Manual prohibits flat roofs of greater than 10% of the total roof area. Furthermore, I believe that such a large area of flat roof would compromise the integrity of the design, so even if albwed by the design manual, I would oppose changing the roof. However. I do think the proposal to reduce the size and prominence of the entrance is valid and I will submit a revised drawing shortly. Please thank the concemed Board member for his thoughtful attention to this Project. TOWN OF GULF STREAM PALM BEACH COUNTY, FLORIDA COMMISSIONERS WILLIAM F. KOCH, JR.. Mayor JOAN K ORTHW EIN. Vice Mayor FRED B. DEVITT III ROBERT W. HOPKIN511 WILLIAM A. LYNCH September 21, 2001 Jon Carleen Urban Design Studio 2000 Palm Beach Lakes Blvd. Suite 600 The Concourse West Palm Beach, Florida 33409 -6582 Dear Jon: Telephone (561)276 -5116 Fax (561) 737 -0188 IV Tawn Clerk RITA L TAYLOR Please find enclosed the set of drawings for Mr. Wietsma along with his application to demolish the existing dwelling and construct a new one. This is the one with the strange roof. Please review and advise. Thanks. Very truly yours, Rita L. Taylor Town Clerk Encl. inn RPA Rnen (,I 11 F RTFFAM F1 nalnn 33483 TOWN OF GULF STREAM ARCHITECTURAL REVIEW AND PLANNING REPORT (Report Prepared by Urban Design Studio) Application #: 01 -10 Owner: William and Caroline Wietsma Address: 3211 Polo Drive Agent: William Wietsma William Wietsma Company, Inc. Proposed Improvement: New single- family residence, 2 stories, 6 1/2:12 pitch hip roof. Approvals Requested: Vegetation Disturbance Permit? Yes N. Ocean Overlay Permit? N/A Special Exception(s): None Variances: None Gross Lot size: 16,783 SF Permitted Floor Area: 5,538 SF Zoning District: RS -C: Gulf Stream Core District Finished Floor Elevation: 1 1.5' AMS (Base Flood Elevation ) Proposed Architectural Style: Gulf Stream Adjacent Residences: Issues Considered During Review: Architectural /Site Plan Review, Level III. Effective Lot Area: 16,783 SF Proposed Total Floor Area: 5,529.2 SF Proposed Height: 27' -0" (30' maximum) Sec. 66 -367 Swimming Pools Regulation (g) states that all pools shall be enclosed by a self locking child resistant fence, wall or equivalent barrier at least 4' high. Also, regulation (h) states no aboveground pools (exceeds 2' in height). Recommendation: Applicant to provide documentation or label on plan "self locking child resistant fence ". For this purpose the existing 5' masonry wall shall serve as the "fence ". However, gate must be child proof. Elevations for the average grade of the lot, pool, pool deck, and patio need to be clearly identified on the landscape plan or survey. Sec. 66 -401 Use of Native Vegetative Native plant materials have been introduced on a minimal level. Recommendation: Additional native trees, shrubs and /or ground covers should be added to planting plan. DATEMPW RCHREV IUPDATE.I 00501. W PD LCC35 V Sec. 70 -28 Gulf Stream Core District Consistent: Gulf Stream Bermuda style Sec. 70 -71 Floor Area Ratios Appears to be in compliance. Sec. 70 -73 Second Floor Area Appears to be in compliance. Sec. 70 -74 Setbacks Appears to be in compliance Sec. 70 -76 Building Height Appears to be in compliance. Sec. 70 -80 Landscape Open Space Appears to be in compliance. Recommendation: "Most structures in the town are characterized by simple roof designs with low to medium eave heights and roof heights. This type of design emphasizes the horizontal dimension of the structure while minimizing the vertical dimension'. Also, it is important to maintain "an appropriate residential /human scale ". The roof system should be separated to provide a distinction between stories and to break up massive roofs created on the north, south and east elevations. Sec. 70 -100 Roof and Eave Heights Appears to be in compliance for eave heights, eave lines, roof features, and roof heights. However, roof appears very massive on the north, south, and east elevations. Sec. 70 -236 Generally (Gulf Stream Bermuda style) Appears to meet minimal criteria for compliance provided roof issues are adequately addressed. Sec. 70 -237 Building Form Appears to be in compliance provided roof issues are adequately addressed. Sec. 70 -238 Roofs Color of flat cement tile is not specified. Recommendation: Applicant to label on plan: "white, flat, cement the ". Sec. 70 -239 Windows Arched windows are not typical of the Gulf Stream Bermuda style. Recommendation: Replace arched window on north elevation with a rectilinear form with multi -panes. Sec. 70 -240 Shutters Traditional, horizontal slat shutters are a preferred element on Gulf Stream Bermuda houses. Recommendation: The same style shutters should be added to side elevations to unify architectural detailing. D:\T ZAP�ARCHREVIUPDATE.100501.WPD LCC35 Sec. 70 -241 Entrances Appears to be in compliance. Sec. 70 -242 Exterior Materials: Color Colors not available at time of review. Recommendation: Applicant to provide appropriate color samples for review. Sec. 70 -243 Other Features Appears to be in compliance. Sec. 70 -244 Garages The double garage door is acceptable, however, two single garage doors would be more appropriate. Recommendation: Change to two (2) single garage doors. Recommendation: a. Motion to postpone Approval of a Level III. Architectural /Site Plan for new construction of a two -story Gulf Stream Bermuda style residence. Based on a finding that the roof system should be re- designed. In addition, applicant to submit color samples, spot elevations of pool, fence safety standards, and labels roof tiles as "flat, white, cement tiles." b. Motion to recommend Approval of the issuance of a land clearing permit. Basis for Recommendation: Applicant is only removing 1 mango tree. Requirements that must be met prior to Building Permit: 1. The septic system must be approved by the Palm Beach County Heath Unit. 2. Drainage Plans shall be prepared by a Registered Engineer or architect and submitted prior to building permit. 3. A Construction Traffic Management Plan shall be submitted prior to the issuance of a building permit application. This plan shall be reviewed and Approved by the Town Manager and followed during construction. ARPB Date(s): TC Date: Action(s): Action: Consideration should be given to substituting or adding additional native plantings, replacing arched window on North Elevation, and adding shutters to the side elevations to unify architectural detailing. DATEM MRCHREVIUPDATE. 10050I.wPD LCC35 - - - -- — --... ,. 9—T. I L i,nrl a aL1 111L TOWN OF GULF STREAM PALM BEACH COUNTY, FLORIDA AGENT AFFIDAVIT STATE OF FLORIDA COUNTY OF PALM BEACH TOWN OF GULF STREAM N0.498 P.22 Telephone (661) 2765116 Fax (661) 737 -0165 Town Manager KRISTIN KERN GARRISON Town Clark RITA L TAYLOR BEFORE ME THIS DAY PERSONALLY APPEARED (Owner) Q C UK (i.. , 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: L.M Z3 � t 25T u``11T'' -2-4 (90L-r- STCLFia.i'1. `R� " AGENT'S /(S) NAME: �Y IL-I -IAN\ • r •• r r AGENT'S ADDRESS: _2S �&di3fL�$� -� (�( Su1T 504- AGENT'S PHONE: 51.11 Z-I a, ¢ 81x3 FURTHER AFFIANT SAYETH NOT. SWORN TO AND SUBSCRIBED BEFORE ME Td # M 5,qV -0 1S g7--6'aa -0 MY COMNIISSION EXPIRES: ( -) ms/yvo=e/appforms/affidavitowner /8/2/00 z� �Y OF '' , 20Q� (NOTARY 19 • 100 SEA ROAD, GULF STREAM, FLORIDA 33483 egN Odalys Ascano *W— *My Commisslan CC853295 ae„al Expires July 11, 2003 1i y4 v3u . j M1 :1 COMMISSIONERS G1�'6 •�•,s WILLIAM F. KOCH,JR. Maya a l'F.'�; �';'�• : 6 "` JOAN K ORTHW EIN, Vero Mayor " ;.V.: +�I'•n ff FRED S. DEV1'TT III ROBERTW. HOPKINSO E. " ?_ j�I. "k'ir,•I! WILLIAM A. LYNCH %',^,j,.i ..•,'I AGENT AFFIDAVIT STATE OF FLORIDA COUNTY OF PALM BEACH TOWN OF GULF STREAM N0.498 P.22 Telephone (661) 2765116 Fax (661) 737 -0165 Town Manager KRISTIN KERN GARRISON Town Clark RITA L TAYLOR BEFORE ME THIS DAY PERSONALLY APPEARED (Owner) Q C UK (i.. , WHO BEING DULY SWORN, DEPOSES AND SAYS: THAT THE PERSON (S) OR COMPANY OR FIRM LISTED BELOW HAVE THE CONSENT OF THE OWNER OF THE PROPERTY LISTED BELOW TO REPRESENT THE OWNER OF SAID PROPERTY AS AGENT FOR SITE PLAN REVIEW WITHIN THE TOWN OF GULF STREAM. THE SUBJECT PROPERTY IS LEGALLY DESCRIBED AS FOLLOWS: L.M Z3 � t 25T u``11T'' -2-4 (90L-r- STCLFia.i'1. `R� " AGENT'S /(S) NAME: �Y IL-I -IAN\ • r •• r r AGENT'S ADDRESS: _2S �&di3fL�$� -� (�( Su1T 504- AGENT'S PHONE: 51.11 Z-I a, ¢ 81x3 FURTHER AFFIANT SAYETH NOT. SWORN TO AND SUBSCRIBED BEFORE ME Td # M 5,qV -0 1S g7--6'aa -0 MY COMNIISSION EXPIRES: ( -) ms/yvo=e/appforms/affidavitowner /8/2/00 z� �Y OF '' , 20Q� (NOTARY 19 • 100 SEA ROAD, GULF STREAM, FLORIDA 33483 egN Odalys Ascano *W— *My Commisslan CC853295 ae„al Expires July 11, 2003 Monday September 24 2001 11:44 AM pB�OOy� PALM BEACH COUNTY PROPERTY APPRAISER n p� PROPERTY INFORMATION CARD P° C Parcel ID:20- 43- 46- 03 -02- 000 -0160 Owner: PRICE MARGARET R Address: 3210 POLO DR GULFSTREAM FL 33483 7338 Short Legal Description: PLAT OF POLO COVE LTS 16 & 17 Use Code: 0100 Agricultural Use: Rg /Tw /Sc: 43/46/03 Map ID: Mkt. Not Capped: Tax Diet: 20984 Cra /Date: Notes Indicator: Y Route: Zone: Code Name 00300 SOLID WASTE AUTHORITY Assessed Values Land Market: 1,020,000 Imprv. Market: 203,026 Total Market: 1,223,026 Mkt. Not Capped: 0 Mkt. Capped: 1,223,026 Cap. Adj. Value: 654,421 Ag Use Value: 0 Assessed Value: 654,421 * Exemptions: 25,000 * Total Value: 629,421 Penalty: * Total Taxable: 629,421 ` �IISTORIC -& -ECONOMIC- EXEMPTIONS -i RECEIVED �t $Erg Town at Guts Stream, Fl luiidinq DepwbTON Description Yrbeg Homestead Ful 1994 NAV Factor Exemptions 0.00 Tax Year: 2001 Subdivision: Loan: Mort Cc: Condo Type: Vac /impr: IMPROVED Sale Date: 11101189 Sale Amt: 0 Book: 06270 Page: 1256 Qual Cd: Certificate #: 0000000 Petition #: Yr Added: 1980 Acres(Deeded):0 Acres(EAA): Amount Status 25,000.00 Monday September 24 2001 11:46 AM PALM BEACH COUNTY PROPERTY APPRAISER d s� PROPERTY INFORMATION CARD Parcel ID:20- 43- 46- 03 -04- 000 -0050 Owner: SCHULTZ DEAN & CECILIA Address: 3180 POLO DR DELRAY BEACH FL 33483 7336 Short Legal Description: PLAT OF GULFSTREAM COVE LTS 5 & 6 Use Code: 0100 Agricultural Use: Rg /Tw /SC: 43/46/03 Map ID: Mkt. Not Capped: Tax Dist: 20984 Cra /Date: Notes Indicator: Y Route: Zone: Code Name 00300 SOLID WASTE AUTHORITY Assessed Values Land Market: 1,020,000 Imprv. Market: 407,570 Total Market: 1,427,570 Mkt. Not Capped: 0 Mkt. Capped: 1,427,570 Cap. Adj. Value: 1,041,331 Ag Use Value: 0 Assessed Value: 1,041,331 * Exemptions: 25,000 * Total Value: 1,016,331 Penalty: '* Total Taxable: 1,016,331 L, �- HISTORIC- & -EC=MI=XEMPTZONS -AI Description Yrbeg Homestead Ful 1999 Tax Year:2001 Subdivision: Loan: Mort Co: Condo Type: Vac /impr: IMPROVED Sale Date: 11116198 Sale Amt: 1,161,500 Book: 10781 Page: 0221 Qual Cd: Certificate #: 0000000 Petition #: Yr Added: 1980 NAV Factor Acres (Deeded) : 0 Acres(EAA): Exemptions % Amount Status 0.00 25,000.00 20 -SEP -2001 Property Appraiser GIS Page 1 of 1 C = Condo flag PCN List by Parcel Control Number Radius 0 - 25 S 20- 43- 46- 03 -05- 000 -0050 20- 43- 46- 03 -05- 000 -0040 20- 43- 46- 03 -05- 000 -0060 20- 43- 46- 03 -05- 000 -0230 20- 43- 46- 03 -05- 000 -0241 w 0 d Ol A a W N 0 m m a H d 0 z 0 0 M u c 0 U W U N a L W a U H d m U H d 0 .H A H d a a u w 0 H d 0 a W W N o a F M m rmi N [Wi uNi P voi N N o Q m o m O SS m m m o O m m Now E a U O W m O m O a W {QNWq d W m H W d m d m Q d Yf 0 > C 0 4 0 o q o ff o Wa 444111 o P W F N m QOU mOCU m iZiOU n R a s rt o e °am Q oU Noo Emil eH .1 o °am m9 om'yFH am H P U W O P O P> Ip O P .�. a 7 P a I W a i A a Qa' n W a N I W QQ m d i W QQ m N E f W W a W P W H C P a m 0.' P H r d P Q m C P d N H H a a N a W a i >� O O W o N W O N W O H W a a N W N 0 W m Q N m 0 N a m 0 N W E d W m r m P b N .F1 z W W W N W W W W W W F F F H F U U W W 1�G O O O O O w a a a a a a N NpNl h N O O U V O N a 0 0 0 0a a a a a a 0 P P P P P m m m m m m m m m m 0 0 0 o O o O N O N O N O N O N ONO o NO O l m HF o% O W O S O I HE X O W S o F i m .+ o% o N O S O I N .-� H o% O W O x O m ,� H o O N O (iH�f (iH 4% iC >Q O E 7 a SoE'F W F .'] K Q% MM W F pWp xU 8oF2 W ❑W❑ 4 4 X SaF2 W U' 4 Q xUx oF2m O O O O O H O r r m m b O ri m O r N N C O N M q m m N M N N m o m N O m m O N O O o \ P P H\ P r \ b N N\ W b N N m\ b m U b b H 0,00 q o O U lD m ri O P ri C1 ri O m H ei ri �oo �HH �oo S W oo S�o.i FUmYm FUGI ESC G1 F V W X W FU W �C W FU W %W W H F U' H wama W H F 8 O W H F 0 0 W H F S (Q� m H F S (7 HNO Hd0 and HdGQI G� Hd0 W d �a % W W W W W O N b O O O O O O O H O O ONO O P r r O "WO m m O W H O N" I!1 P m N r m 1I1 N N O mm m P N N O O r N WHO b b N m m O N O W M O W P P m m ow m r m "ON w o o M H V m m P N P m H P r N P WWaAx1� pp lWamax ymax Vp, MW46❑y m a1�(p(p�� 6 R 4 o C a 4 .� U Q Q .� w g R 5 u �Q �Q a zQo 4 >E M Q >Fm Q >F m Q> Fm Q >Fmi.] o F M m rmi N [Wi uNi yQ o Q m o m O SS m m m o O m m Now m O 6' N U O W m O m O {QNWq m H W d m d m Q d Yf K d Ill > C 0 4 0 o q o ff o Wa 444111 o W W a m QOU mOCU m iZiOU n QFU NOO2 a s rt o e °am Q oU Noo Emil eH .1 o °am m9 om'yFH am P U W O P O P> Ip O P .�. a 7 P Po Hg I W a i A a Qa' n W a N I W QQ m d i W QQ m W U i� U QQ rl E f W W a W P W H C P a m 0.' P H r d P Q m C P H W N H H a a N a W a i 2 N a i lC o 0 O W o N W O N W O H W a O H W O= N W N 0 W m Q N m 0 N a m 0 N }'. m❑ N U N U' ° N O N N O O - Cu O n I O ►O 0 o O , 0 O IO J O O N I O ILI ° 00 O VJ I O O O _ O i A4+-- - r N - O O O° TT N O ° O O O ARY R. NIKOLITS, CFA Key: M BEACH COUNTY PROPERTY APPRAISER Subjects ❑ 0 - 25 P -2001 SCALE: I" = 200' LOCATION: Rng 43E - iwp 465 -Sec 03 �k FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Read the instructions on pages I.7. O.M.B. No. 3067 -0077 Expires December 31, 2005 00 1 -1 0 BUILDING OWNER'S NAME Policy Number, ,10t�"J 5, i-O*r- BUILDING STREET ADDRESS (Including Apt, Unit Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. I Company NAIL Number 3211 POLO DRIVE CITY STATE ZIP CODE GULFSTREAM FL 33483 LOT 5, REPLAT OF PART OF GULF STREAM PROPERTIES (PLAT BOOK 18, PAGE BUILDING USE (e.g., Residential, Non - residential, Addition, Accessory, etc Use a Comments area, it necessary.) RESIDENTIAL LATTTUDEILONGrTUDE ( OPTIONAL) HORIZONTAL DATUM: SOURCE: GPS (Type):_ ( W -#W - ##.##' or ##.#####) ❑ NAD 1927 ❑ NAD 19&3 ❑ USGS Quad Map ❑ Other. — SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION TWIN OF GIRF STREAM 125109 1 PALM WACH I R. B4, MAP AND PANB1 • a) Top olotbm floa(ndudrgbasemorlaerdosure) B7. FM PALL v B9. BASE RACD ELEVATION(S) NUMBER BE SUFFIX 1 B6. FM IM DATE EFFECmVFh7EVL4ED DATE B&FL0CDM4E(S) ameAQreedWhdlbadrg) I 1251090001 D WM 9.3084 A5 7 810. Indcate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Oter (Describe): 811. Indicate the elevation datum used fa the BFE in B9: 19 %VD 1929 ❑ NAVD 1988 ❑ Other ( Describe); _ B12. Is the buldno lolled in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPAR ❑ Yes ® No Designation Dale_ C1. BUking elevations are based oh: ❑ Construction Drawrgs' ❑ Building Under Construction* ® Finished Construction 'A new Elevation Certificate will be megoked when constnrbm dthe building is complete. C2 BuIJM Diagram Number 1(Select the buildng diagram most similar to the building for which this certificate is being completed -see pages 6 and 7. ff no dagram accurately represents the taking, provide a skelch or pthotograph.) C3. Elevations -Zones Al AW, AE, AH, A (with BFE), VE, VI-V30, V (with BFE), AR, ARIA, ARIAS, AR/At-AW, ARAH, AR/AD Complete Items C3.-EH below according to the bolding diagram specified in Item C2 State the datum used. t the datum is dfierent fmm the datum used for the BFE in Sector B, convert the datum to that used fate BFE Show field measurements and datum conversion daAatiom. Use the space provided or to Comments area of Section D or Sedan G, as appropriate, to document the datum conversion. Datum WA CmversiaVComments WA Elevation reference mark used WA Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No • a) Top olotbm floa(ndudrgbasemorlaerdosure) 10. 3ft(m) v • b)Topdnedhighetlloa WA._ft(m) • c) Bolan of lowest for®ndal structural mertlbar (V zones only) WA . _tL(m) o 0 • d) Attached garege (top of slab) 9. 7ft(m) E • e) Lowest elevation of machinery ar d/orequpme t w v savidng the buitdirg (Desmbeina Comments area) 9.5L(m) E • ) Lowest a4acent (finisled) grade (LAG) 9.0 1-M m m • g) High aIacent (finstmo gacle (HAG) g. 6 L(m) • h) No. of permanent openings (flood vats) wittin 1 ft above a*mm grade WA o ) Total area d all permnanent openings (flood vats) in C3.h WA sq. in. (sq. on) OR ARCHITECT CERTIFICATION This certification 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 env false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. TITLE SURVEYOR & MAPPER COMPANY NAME MEN, SUITER & OMEN, INC. ADDRESS CITY STATE ZIPCODE 2501 NORTH FEDERAL HIGHWAY DELRAY BEACH FL 33483 611093 (561) 276-0501 IMPORTANT: In these spaces. cow the conesnondino information from Section A. I Falrarace Carpryuse: I 3211 POLO DRIVE CITY STATE ZIP CODE Conix" NAIC Nunter GULF STREAM R. 33483 SECTION D- SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides dthis Elevation Certificate fa (1) community official, (2) insurance agenuoompany, and (3) building owner. COMMENTS Check here SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), conplete Items E1 through E4. t the Elevation Certificate is intended far use as supporting information for a LOMA or LOMR-F, Section C must be competed. E1. Building Diagram Number_(Seled the building diagram most sirnilato the building forwhich this certificate is bang completed —see pages 6 and 7. t rho dagram acara* represents the build-,,i. provide a sketch or photograph.) E2 The top of the bottom : tx (including basement or enclosure) of the building is _ R(m) _in.(an) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade,'d available). Ei. FarBuidingDiagrams6$ withopenings( seepage7), thenodhigherflocrorelevatedfloor (elevationb)ofthebuildingis _ft(m)_in.(rm) above the highest a* -cent grade. Complete items C3.h and C31 on fiont dfam. E4. The tap d the platform of machinery ardlor equipment servicing the building is _ft(m) _in.(an) ❑ above or ❑ below (check one) the highest a4acent grade. (Use natural grade, 'd available). E5. For Zone AO only: If no flood depth number is avalable, is the top of the bottom floor elevated in accordance with the cormmunitys floodplain management ordnance? ❑ Yes ❑ No ❑ Unknown. The local official must off* this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owners autbuized representative who completes Sections A, B, C (Items C3.h and C3.i arty), and E for Zone A (without a FEMA4ssued or oommmu*- issued BFE) aZoneAOmustsignhere The daferrner& inSedosA, QC, andEareamscttofhebmtofmyMawfedge. PROPERTY OWNERS OROWNERS AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIPCODE SIGNATURE DATE TELEPHONE ❑ Check here'rf attachments SECTION G- COMMUNITY INFORMATION (OPTIONAL) The local official who is authoized by law or ordinance to administer the communitys floodpan management ordinance can complete Sedions A, B. C (or E), and G dthis Elevation Certificate. Compete the appiable item(s) and sign below. G1. ❑ The infonnatlon in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law tocer*elev-.�bninfamation. (Indicate the source and date of the elevalion data in the Comments area below.) G2 ❑ A community official competed Section E for a building located in ZoneA (without a FEMA4ssued orcommunilywissued BFE) or Zone A0. G3. ❑ The following information (Items G4-G9) is provided forcanmunity floodpain management purposes. G7. This permit has been issued fa: ❑ New Constru ion ❑ Substantial Improvement G6. Elevation of as-built bvestticor (including basement) of the bulking is: _ _ft(m) Datum: _ G9. BFEor (in Zone AD) depth of flooding at the drikingsite is: _._ft(m) Datum:_ LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE ❑ Check here # attachments n \ n & J T� a 9 - -- Y 1 J �aanoa�wumi avm � lnoia a�iv — Q W dd�� $ g ; " 9 I I I I I I I I � 9 L - b G Z ( �� �� I t 9 S D ) L X L L C B L M 3 B 4 1 L t l ��E b m ��O ? i 3 ��C q Y 0 d �� u 1 l P G � ' v P , I I �� I I I I A 9 r ` � A N 0 b - Y l 1 o [ . t l e b L n K L n v O O Z L l v 6 n r o I K � ( P s \ J v I a ��L L 9 . o a 7 v S � 1 o O ) P a 1 d f d ' J l l u 1 o . w a f P P s q Y ? 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