Loading...
HomeMy Public PortalAboutPRR 22-2923' I Cole, Scott COLE, SCOTT & KISSANE BUILDING Telephone (305) 350-5300 � 9150 SOUTH DADELAND BOULEVARD, SUITE 1400 Facsimile (305) 373-2294 & Klssane P.O. BOX 569015 Direct Line (786) 268-6812 MIAMI, FLORIDA 33256 December 8, 2022 The Town of Gulf Stream Building Department 100 Sea Road Gulf Stream, FL 33483 Re: PUBLIC RECORDS REQUEST Case: Property Address: Our File No. : Dear Records Clerk: Oilda.arteta@csklegal.com Martin E. O'Boyle v. LaPuente Carpentry Corp., et al. 23 North Hidden 0992.0002-00 Harbour Drive Pursuant to the Public Records Act, Chapter 119 of the Florida Statutes, our office submits this request for copies of every document related to the above -captioned matter, regardless of the format in which the information is stored. RECORDS REQUESTED The subject of this request is the property located at 23 North Hidden Harbour Drive, Gulf Stream, Florida, 33483 (the "Subject Property"). This request seeks records from January 1, 2019 to the present. Our office seeks any and all documentation including but not limited to building permits, applications (including permit applications), history of inspections, construction drawings and as-builts, notices of violations, notices of product approval, temporary and final certificates of occupancies related to all construction, improvements, repairs, and modifications of the Subject Property. If your office cannot comply with this request due to privilege, confidentiality or any other reason, please provide our office with the particular reasons that prevent you from complying with this request in writing, as required by Section 119.07(2)(a). If you claim that any exceptions apply to a portion of the records only, please omit production of that portion and provide copies of the remaining records. We agree to pay the reasonable cost of duplication as defined in Section 119.07(1)(a). However, please contact our office prior to incurring in any expense to produce these records for approval or to narrow the scope if necessary. Cols:., Scott & Kissane www.csklegal.com Miami I Fort Lauderdale West I Fort Lauderdale East I West Palm Beach I Orlando I Jacksonville I Tampa Bonita Springs I Naples I Pensacola I Fort Myers I Tallahassee I Key West December 8, 2022 Page 2 If your office cannot produce the records before December 23, 2022, we request an opportunity to inspect your records to expedite the production or narrow the scope as necessary. We thank you in advance for your courtesy and prompt attention to this matter. Should you have any questions or need more information in order to expedite this request, please contact me at 786-268-6812. Sincerely, /s/ Oilda Arteta Oilda "Odle" Arteta, FRP Paralegal for Cole, Scott & Kissane, PA Construction Division Direct Line (786) 268-6812 Email: oi1da.arteta(@CSK1ega1.com ON TOWN OF GULF STREAM PALM BEACH COUNTY, FLORIDA Delivered via e-mail December 15, 2022 Oilda Arteta [mail to: oilda.arteta@CSKlegal.com] Re: GS #2923 (23 North Hidden Harbour Drive) The subject of this request is the property located at 23 North Hidden Harbour Drive, Gulf Stream, Florida, 33483 (the "Subject Property"). This request seeks records from January 1, 2019 to the present. Our office seeks any and all documentation including but not limited to building permits, applications (including permit applications), history of inspections, construction drawings and as-builts, notices of violations, notices of product approval, temporary and final certificates of occupancies related to all construction, improvements, repairs, and modifications of the Subject Property. Dear Oilda Arteta [mail to: oilda.arteta@CSKlegal.com]: The Town of Gulf Stream has received your public records request dated December 8, 2022. You should be able to view your original request at the following link: PRR 22-2923 (laserfiche.com) The items you have requested can be found on the Town’s website: www.gulf-stream.org. Click on “Find a Town Record”, then click the Building Department folder and/or the Architectural Review folder and search by address. We have also submitted your request to the City of Delray Beach, who served as the Town’s building official for the time frame you have requested. The Town will use its very best efforts to further respond to your public records request in a reasonable amount of time by coordinating production with the City of Delray Beach. Sincerely, Reneé R. Basel, CMC Reneé R. Basel, CMC Town Clerk, Custodian of the Records TOWN OF GULF STREAM PALM BEACH COUNTY, FLORIDA Delivered via e-mail December 21, 2022 Oilda Arteta [mail to: oilda.artetagCSKle ag l.com] Re: GS #2923 (23 North Hidden Harbour Drive) The subject of this request is the property located at 23 North Hidden Harbour Drive, Gulf Stream, Florida, 33483 (the "Subject Property'). This request seeks records from January 1, 2019 to the present. Our office seeks any and all documentation including but not limited to building permits, applications (including permit applications), history of inspections, construction drawings and as-builts, notices of violations, notices of product approval, temporary and final certificates of occupancies related to all construction, improvements, repairs, and modifications of the Subject Property. Dear Oilda Arteta [mail to: oilda.artetaACSK]e ag l.com]: The Town of Gulf Stream has received your public records request dated December 8, 2022. You should be able to view your original request at the following link: PRR 22-2923 (laserfiche.com) At the link above, you will find the items the Town received from the City of Delray Beach regarding your request. They also noted that there is no inspection history for the dock permit and there are no CO's at this time because both permits are still open. We consider this request closed. Sincerely, tr� "#c Renee R. Basel, CMC Town Clerk, Custodian of the Records BP502I03 City of Delray Beach Florida 12/15/22 Inspection Inquiry - Inspection Selection 09:31:44 Property address . . . . . . 23 HIDDEN HARBOUR DR Property Control Number . . . 20 43 46 09 46 000 0050 Application number . . . . . 19 00181494 Application type . . . . . . POOL OR SPA - RESIDENTIAL Type options, press Enter. 1=Select Opt Str/Seq Pmt/Seq Inspection Type Seq Insp Result/Date 000 000 E3 00 POOL DECK/STEEL BONDING 0001 CN CA 6/13/19 000 000 E3 00 POOL DECK/STEEL BONDING 0002 CN CA 8/26/19 000 000 E3 00 POOL DECK/STEEL BONDING 0003 CN CA 8/29/19 000 000 E3 00 POOL BONDING 0001 GSB DA 4/18/19 000 000 E3 00 POOL BONDING 0002 GSB AP 4/23/19 000 000 E3 00 POOL LIGHT NICHE BOND 0001 GSB DA 6/07/19 000 000 E3 00 POOL LIGHT NICHE BOND 0002 GSB AP 6/13/19 000 000 MISN 00 DECK ROUGH 0001 CN CA 8/27/19 _ 000 000 POOR 00 POOL PER PIPE/LIGHT NITCH BOND 0001 ETG CA 6/06/19 More... F3=Exit Fll=View 2 F12=Cancel BP502I03 City of Delray Beach Florida 12/15/22 Inspection Inquiry - Inspection Selection 09:31:44 Property address . . . . 23 HIDDEN HARBOUR DR Property Control Number . . . 20 43 46 09 46 000 0050 Application number . . . . . 19 00181494 Application type POOL OR SPA - RESIDENTIAL Type options, press Enter. 1=Select Opt Str/Seq Pmt/Seq Inspection Type Seq Insp Result/Date 000 000 POOR 00 POOL STEEL/MAIN DRAIN/BONDING 0001 ETG CA 4/17/19 000 000 POOR 00 POOL STEEL 0001 DI DP 4/18/19 000 000 POOR 00 POOL STEEL 0002 DI AP 4/23/19 000 000 POOR 00 POOL STEEL 0003 CN DA 8/27/19 000 000 POOR 00 POOL MAIN DRAIN 0001 ETG AP 4/18/19 000 000 POOR 00 POOL PER PIPING 0001 ETG DA 6/07/19 Bottom F3=Exit F11=View 2 F12=Cancel `�RECEIVEU 4 T2EC1;✓T r L C) A 2 100 NW 1" Avenue • Delray Beach, FL 33444 _ T E6 06 2019 y TOE _NO--c,,,r, C:,,; .. (561) 243 7200 •Fax (561) 243-7221 Appr mnit SU Y: �' 1 v www.mydelraybeach.com It1i'i .,aI=DING PERMIT APPLICATION I APPL DATE /�, I /,, / /cf I F.B.C. VERSION C;r)[/ I ACCEPTED BY V 1 l I PERMIT NO./ I"-/ D/ V 7 `lf OWNER INFORMATION Name (Vlorlu 'El 01&A41.2 Address V NL*Tµ 141WPw 94SI"R Drive City bvif SfQ'+M State f 2-- Zip 334 97 Home Phone ( ) Cell Phone Fax No. ( ) Email Address I PROPERTY INFORMATION I Property Control Number: -zv - 1­43 - N(a - U'i _ 46 - tw _ W so Address of 1P,lropots'ed-Work T eN Legal Description LOT S 4 14,&OA, RACUxrt fCS1afej Ste or Apt # / Floor Project Name (if applicable) & DESIGNER INFORMATION ❑ Check if Owner/Builder (See Page 3) Contractor License No. Ctoc 0S69'JD Workers' Co m No. Company �� oAt-S (.LL Address Az� City _State Zip 3� a Phon 1. 44. 672 z Fax Cell �6/•%• 6 g ��7 Email 4AI Architect/Engineer's N, T•oQe4T CLsLC Address it? NE 4 Ave r Sw fe 10 I , (b IOAh'[ "ck FOR PERMIT EXPEDITERS � ONLY [for permit pick-up): Contact Name "h ✓J Phone ExL Cell c-LZ / %G JAG- Z ADDITIONAL INFORMATION Fee Simple Title Holder (if other than owner) Address City State Zip Mortgage Lender Bonding Company Address Address City State Zip Ed City State Zip DESCRIPTION OF PROPOSED IMPROVEMENTS Description of th roposed work (New Construction, Addition, Interior/Exterior Alteration, Windows/Doors, etc.) klrw r u o_. Se?- ()�- 9 b C-G>~ Is this a City or Re-hab project? ❑ Yes ❑ No Is the building served with an automatic fire sprinkler system? ❑ Yes ❑ No Current Use or Occupancy Is this a change in the Use or Occupancy? ❑ Yes ❑ No PERMIT VALUATION For Impact Fee Credit, Existing or Previous Structure Demolished? ❑ Yes ❑ No Type of Structure Demolished: ❑ SFR ❑ Commercial ❑ Commercial Accessory Building PLEASE CHOOSE ONE OF THE FOLLOWING: NEW CONSTRUCTION & ADDITIONS - FEE SCHEDULE I' MISCELLANEOUS PERMITS - FEE SCHEDULE II' ALTERATIONS & GENERAL CONSTRUCTION-SCHED. III' TOTAL COST OF CONSTRUCTION TO INCLUDE: TOTAL COST OF CONSTRUCTION: $ STRUCTURAL, ROOFING, ELEC, MECH, PLBG COST OF CONSTRUCTION WITHOUT TRADES: $ J, 9 Sy $ NOTE: OTHER ASSOCIATED TRADES TO BE FEED SEPARATELY UNDER FEE SCHEDULE II OR III_ THESE INCLUDE. LOW VOLTAGE, HOOD/SUPPRESSION SYSTEM, FIRE SPRINKLERS, IRRIGATION, LANDSCAPING, PAVING, ETC. -1- NOTE: ALL SUB -TRADES TO BE FEE'D SEPARATELY. THESE INCLUDE ELEC, MECH, PLBG, ROOFING, LOW VOLTAGE, HOOD/SUPP SYSTEM, FIRE SPRINKLERS, IRRIGATION, LANDSCAPING, PAVING, ETC. *SEE BUILDING PERMIT FEE SCHEDULE FOR DETAILS APPLICATION CERTIFICATION AND ACKNOWLEDGEMENT Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction A City Building Permit does not assure compliance with Homeowners Association's rules, regulations and/or deed restrictions. Applicant is advised to obtain approval from the Homeowners Association before improving any property. Applicant further acknowledges the following: Separate permits must be secured for ELECTRICAL, PLUMBING, MECHANICAL, WELLS, POOLS, FIRE SPRINKLER, SIGNS, LANDSCAPE, IRRIGATION, ROOFING, SHUTTERS, ETC. This permit becomes null and void if work or construction authorized is not commenced within six (6) months or it construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. Permit will be considered suspended or abandoned if it does not pass an inspection within 180 days and will be subject to a reactivation fee in the amount in force at the time of reactivation. • Failure to comply with all applicable construction regulations may result in the withholding of future permits. Submission of any false information or misrepresentation is a violation of law and shall result in revocation of your permit. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER'S AFFIDAVIT: I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. PROPERTY OWNER STAT OF I ORIDA, COUNTY OF PALM BEACH Signature Owner 1�1r1 G� � 1 t,rl C) LW C Printed Name of Owner STATE OF FLORIDA, COUNTY OF PALM BEACH The foregoing instrument was acknowledged before me This day _ � Al Atilr.420 By MCVAI A 0 Personally Known Known OR Produced Identification Types of Identification: Signature of Notary (SEA 69CHELLE MELICLA 2 * ... er EXPIRES: Decemb8, T020 NAM aaMed 7Ani Budget N-rY ser" GENERAL CONTRAV TOR STATE OF FL IDA, OUNTY OF PALM BEACH c nata�� ifier Pnnted Name of QualiVer STATE OF FLORIDA.. COUNTY OF PALM BEACH The foregoing instrument was acknowledged before me 11/ This —�7 day 11b, try 120 By - to -- — ,)dPersonally Known OR Produced Identification Type of Identification: Signature or Notary REBECCA MCDERMOTT 4O�.State of Florida -Notary Public Commission # GG 116360 ?,: My Commission Expires June 19, 2021 I ' • THIS PAGE FOR BUILDING DEPARTMENT USE ONLY - PERMIT NO: * 41 + ��V APPLICATION DATE: �16 //�, PCN: Zoning District _ _ Historic: ❑ Yes o No DevelopmenVCondominium/Apartment Set Backs: Front Side Street Side Interior Rear Type of Foundation: Monolithic Stem Wall Pile Square Footage of Commercial Demolition: Type/Size of Accessory Building: - --- Type of Structure Demolished: ❑ SFR ❑ Commercial ❑ Commercial Accessory Building STRUCTURE SET UP PERMIT CALCULATION Occupancy -----------_-_--__- _-- Adjusted Value $ _-- _J_ Const. Type — Permit Fee $ _-_ I( Roof Type -------------- ---_.__-- Electrical $ -- 1 le. 0 Flood Zone -- - -- - - - - -- -- Plumbing $ Plan Sq. Ft. (A/C) Mechanical $ Plan Sq. Ft. (Under Roof) Roofing $ Finish Floor Elev. Paving $ DEPARTMENT APPROY Irrigation $ --_ Landscaping $ Env. Services Engineering Shutter $ Misc Permit $ Planning i£ Zoning SPRAB / COA --_-- - Other $ - --- Plan Check Fee $ --- -- MCR # Landscaping / Irrigation Public Utilities --- ----- -- --- - 1 — �, I-m Total Permit Fee Fire Department Plan Review ADDITIONAL FEES Occ. Load --..--___--- Fire $ COUNTY IMPACT FEES Radon $ / �3 DPR $ Source: (Credit) Impact Fee Amount Due Water / Sewer $ — — Parks $ $ $ Parks / Rec $ Master Plan $ Public Bldgs. $ $ $— -------- Schools $ $ $ Total Additional Fees $ .. ___. _ -----._-_.-- . ___-- TOTAL FEES DUE $--- Road--- -4- Rvsd 5/10 CnIVEr - _ _I Ap r Pmvdt Sub r"a! D� ► RECEIVED 4 FEB 06 2019 MY OF GELRR4 BMIN FEB 04 201 TRAL PERMIT APPLICATION eL— u ev., i 100 NW 1" Avenue Delray Beach FL 33444 Town of Gui" Strean r . (561) 243-7200 Fax: (561) 2A3-7221 Webs/te• mVdelraybeach com PROPERTY CONTROL #: zo . (43 _ N6 . 0°I _ Lf& _0W WSv PLEASE PRINT: �vl� JOBSITE ADDRESS Z3 W,tte,, kAn.6w2 4- - PROPERTY OWNER NAME ftQ;TI AJ O ' t;0't L f IOME PI IONE (,� _ -` CELL 96 13fr3 I t 2 I PROPERTY OWNER ADDRESS S4 "tP AS Abau( ELECTRICAL CONT'R (COMPANY) NAME" AA f LfLT J'/ - �ys T�v�%112N ELECTRICAL CONT'R (COMPANY) ADDRESS 39,Dg4i/GLoc✓I/pQa Rb CITY_ '�-A{LC fgw-ea _- ST FI< zip 333/9 _ BUS. PHONE ( 9S r/ ) 777- 50V O CELL oo — 54 S K FAX E-MAIL -- (,T'T MET FOR OFFICE AF. ONLY: BLDG, PE-.RMIT N: F.LFC: PERMIT N: PERMIT FEE: PLAN OJE.CK H;E: _ MC'R N: APPROVAI S: -7 ELEC: FIRE: DATE: NOTE: PERMIT EXPFRES 1F WORK IS NOT STARTED WITHIN 180-DAYS OR IF ACTIVITY LAPSES FOR 180 DAYS. PLANS MUST BE ON THE JOB SITE FOR ALL INSPECTIONS. FINAL INSPEC770M IS REQUIRED ON ALL PERMITS. TYPE OF INSTALLATION (PLEASE CHECK ALL WORK TO BE PERFORMED BV A SINGLE ELECTRICAL CON'IRACfOR. EACH SEPARATE COST TO INCLUDE LABOR & MATERIAL) q / COST 11 / COST .NEW CONSTRUCTION / S FIRE ALARM / $ (3 SETS OF PLANS REQD) ALTERATION / $_ TEMP. SERVICE/POLE ! b POOL/SPA lS SW'VV (SEPARATE APP) LOW VOLTAGE: GENERAL REPAIR / $ i _ BURGLAR ALARM / S VOICE, DATA, ETC. / $ GENERATOR SLAB INCLUDED? V IV SERVICE CHANGE / $ (SEPARATE APP) SITE LIGHTING __ / S EXISTING SERVICE SIZE: PROPOSED SERVICE SIZE: DESCRIPTION OF WORK (Scope of work, # devices, etc.): Vou k OR�f�S SIGNATUKE OF QUALIFIER CONTR. REGISTRATION N WORKERS COMP # EXEMPT (FID WEIN) # STATE OF lOT IC) COUNTY OF The foregoing instrumentwas acknowledged before me this L day 20 t -! by I C ry O'SQ�nd S signature of Notary Public �'�or r►o�'P Personally Known _! OR Produced Identification Ty,Pe of Identification Produced (SEAL) MELI8SA HURT Co'►xrtasfort 11 GG IU085 'X*N October 26, 2021 krala ttw A.V," JrvQ ti Rvsd. 3/ 10 a. TOWN OF OMF BAZAM Appmere����r �ete9alt Subp4i � E(T4 OF ORRAM BEAEH 100 NW 1" Avenue Delray Beach FL 33444 (561) 243-7200 Fax: (561) 243-7221 Website: mydelraybeach.com I-tB 04 2019 RECEIVED RECEIVED 4 FEB - 0 6 2019 PLUMBA4'' �APRUCATION (INCLUDES GAS AND FIRE SPRINKLER) NF'w PvvL PROPERTY CONTROL #: ZO - 43 y� - 097 - 1-l6 -Ol) - OOSO PLEASE PRINT: JOBSITE ADDRESS Z 3 N-rtFN F�A•t hujr, gvl.F sTTGh� PROPERTY OWNER NAME IY�Z"1�" U ' 4 C HOME PHONE (_ CELL PROPERTY OWNER ADDRESS _ $ AMP 41 44dw PLUMBING CONT'R (COMPANY) NAME �tl+ 6OX Pk v—�%A-, LL L - PLUMBINGCONT'R (COMPANY) ADDRESS -;3( SE: S 044"< D CITv ` W,0, ST_ 1 - zIP 33 C Ly BUS. PHONE L_) _ CELL SG I - 7Z % - L Iri --? FAX E-MAIL 1 S4 t0X "A -- /%vAy •Cif FOR OFFICE USE ONLY: BLDG PER1vflT0: 1 7-1 751 Y7 PLBG PERMIT 4: PERMIT FEE: PLAN CHECK FEE: MCR M +k}#kk7kkH}s#}t}kgkk}}t}#+tklsifa APPROVALS: PLBG: /-rG, DATl3: FIRE: DATE: ESD: DATE: NOTE: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180-DAYS OR IF ACTIVITY LAPSES FOR 180 DAYS. PLANS MUST BE ON THE JOB SITE FOR ALL INSPECTIONS, FINAL INSPECTION IS REQUIRED ON ALL PERMITS. DESCRIPTION OF WORK: V RESIDENTIAL COMMERCIAL TYPE OF INSTALLATION - CHECK ALL THAT APPLY: GENERAL PLUMBING: NEW REPAIR/REPLACEMENT WATER HEATERS: ELECTRIC GAS SEWER CONNECTION: WATER CONNECTION: SOLAR PANEL INSTALLATION: SCOPE OF WORK (Describe WORK and LOCATION: Kitchen/Bedroom/Garage, etc): n � PROJiiCT COST, (LABOR w - FIRE SPRINICLER: (3 SETS OF PLANS REQUIRED) NUMBER OF HEADS NEW REPAIR/REPLACEMENT/RELOCATION PItO TLCT COST (L ABOIi AND MATERTA GAS WORK: NEW REPAIR/REPLACEMENT GENERATOR TYPE OF GAS: NATURAL: L.P. NUMBER OF OUTLETS: _ SCOPE OF WORK #44' 6 i< kkoLC1•COST (ABO0_,-1Ufa tJ _.- /11 77 SI NATUl1 Or- QUALIITER CONTR. REGISTRATION 0 STATE OF ' COUNTY OF _ The foregoing instrument was acknowledged before me this 1-51day of CJ 20J by 1 ['AA NHF-L,00-71(02 °o WORKi RS COMP Il EXEMPT (nl) IM- M # Personally Known Yl OR Produced Identification Type of Identification Produced Signature of Notary Public o1 �►ukc MICHELLEMEUVA SEAL) ON A GG 05W _ = * MYCOMMISSI Rvsd.3/10 f pWIRES:December8,2020 I _'i gaged*s TNV au sel Nowt skr �OFf�• r �J CITY OF DELRAY BEACH COMMUNITY IMPROVEMENT DEPT. (561) 243-7200 INSPECTIONS - CALL (561) 243-7218 Contractor, Owner, Agent Permit Type: POOL PERMIT - RES 8 / 12 Permit Phone Access#: 2326668 "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" Date Applied: 2 / 0 6 / 19 Prepared by: TIERNEYB Date Issued: 3 / 11 / 19 Permit No.: 19-00181494 000 000 POOR 00 city Ran a Twnsh . Section Subdivision Block Lot Plat/Book/Page 20 43 46 09 46 000 0050 Property Address Zoning Reviewed B 23 HIDDEN HARBOUR DR UK PHL Subdivision Name Improvements POOL OR SPA - RESIDENTIAL Owner's Name/Address/Tele hone Contractor's Name/Address/License/Telephone OBOYLE MARTIN E 23 S HIDDEN HARBOR DR DELRAY BEACH FL 334837244 PUGH POOLS LLC 561-644-0302 PO BOX 40 BOYNTON BEACH FL 33425 Additional Comments I Construction EPI/EER FFE FLZ Occupancy I S . Ft. Valuation _ .00 .00 R 51950 Schedule of Fees and Additional Information PERMIT FEES OTHER FEES: BLDG SURCHARGE-DCA BLDG SURCHARGE-DBPR GRAND TOTAL AMT CHRG AMT PAID AMT DUE ACCOUNT 1162.00 .00 1162.00 001-0000-329.21-00 14.42 .00 14.42 001-0000-208.05-00 21.63 .00 21.63 001-0000-208.06-00 1198.05 .00 1198.05 SPECIAL NOTES & RESTRICTIONS: BUILD NEW SWIMMING POOL & SPA ELEC: ABBA DECK:PUGH'S TYPE OF BARRIER: **N.O.C. REQD PRIOR TO INSPECTION** ****$1.00 HOLD FOR NOC**** ** ELECTRICAL FINAL MUST BE APPROVED BEFORE POOL FINAL CAN BE SCHEDULED *** ** POOL FINAL CANNOT BE SCHEDULED USING THE T T �(1iM,STr Tl SYSTEM )GA:1 T THIS PERMIT SHALL BECOME NULL AND VOID UNLESS THE WORK AUTHORIZED IS COMMENCED WITHIN ONE HUNDRED AND EIGHTY (180) DAYS AFTER ITS ISSUANCE, OR IF THE WORK AUTHORIZED IS NOT INSPECTED FOR A PERIOD OF ONE HUNDRED AND EIGHTY (180) DAYS FROM TIME WORK IS COMPLETED. Any change in building plans or specifications must be recorded with this office. Any work not covered above, must have a valid permit prior to starting. In consideration of the granting of this permit, the owner and builder agree to erect this structure in full compliance with the Code of Ordinances of the City of Delray Beach. CITY OF DELRAY BEACH COMMUNITY IMPROVEMENT DEPT. (561) 243-7200 INSPECTIONS - CALL (561) 243-7218 Contractor, Owner, Agent Permit Type: ELECTRICAL PERMIT 8/12 Permit Phone Access#: 2326635 "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" Date Applied: 2 / 0 6 / 19 Prepared by. TIERNEYB Date Issued: 3 / 11/ 19 Permit No.: 19-00181494 000 000 E3 00 C;ty Range Twnsh . Section Subdivision Block Lot Plat/Book/Page 20 43 46 09 46 000 0050 Property Address Zoning Reviewed B 23 HIDDEN HARBOUR DR UK PHL Subdivision Name Improvements POOL OR SPA - RESIDENTIAL Owner's Name/Address/Telephone Contractor's Name/Address/License/Telephone OBOYLE MARTIN E 23 S HIDDEN HARBOR DR DELRAY BEACH FL 334837244 ABBA ELECTRIC CONSTRUCTION COR 954-777-4820 3409 WILLOW WOOD RD LAUDERHILL FL 33319 Additional Comments Construction EPI/EER FFE FLZ Occupancy S . Ft. Valuation .00 .00 R 500 Schedule of Fees and Additional Information AMT CHRG AMT PAID AMT DUE ACCOUNT PERMIT FEES 170.00 .00 170.00 001-0000-322.20-00 GRAND TOTAL 170.00 SPECIAL NOTES & RESTRICTIONS: BUILD NEW SWIMMING POOL & SPA ELEC: ABBA DECK:PUGH'S TYPE OF BARRIER: **N.O.C. REQD PRIOR TO INSPECTION** ****$1.00 HOLD FOR NOC**** ** ELECTRICAL FINAL MUST BE APPROVED BEFORE POOL FINAL CAN BE SCHEDULED *** ** POOL FINAL CANNOT BE SCHEDULED USING THE AUTOMATED SYSTEM (VRU). CALL 561-243-7200. 00 170.00 THIS PERMIT SHALL BECOME NULL AND VOID UNLESS THE WORK AUTHORIZED IS COMMENCED WITHIN ONE HUNDRED AND EIGHTY (180) DAYS AFTER ITS ISSUANCE, OR IF THE WORK AUTHORIZED IS NOT INSPECTED FOR A PERIOD OF ONE HUNDRED AND EIGHTY (180) DAYS FROM TIME WORK IS COMPLETED. Any change in building plans or specifications must be recorded with this office. Any work not covered above, must have a valid permit prior to starting. In consideration of the granting of this permit, the owner and builder agree to erect this structure in full compliance with the Code of Ordinances of the City of Delray Beach. CITY OF DELRAY BEACH COMMUNITY IMPROVEMENT DEPT. (561) 243-7200 INSPECTIONS - CALL (561) 243-7218 Contractor, Owner, Agent Permit Type: GAS PERMIT 8 / 12 Permit Phone Access#: 2326643 "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" Date Applied: 2 / 0 6 / 19 Prepared by: TIERNEYB Date Issued: 3 / 11 / 19 Permit No.: 19-00181494 000 000 GAS3 00 C4 Range Twnsh . Section Subdivision Block Lot Plat/Book/Page 20 43 46 09 46 000 0050 Property Address Zonin Reviewed__ 23 HIDDEN HARBOUR DR UK PHL Subdivision Name Improvements POOL OR SPA - RESIDENTIAL Owner's Name/Address/Telephone Contractor's Name/Address/License/Telephone OBOYLE MARTIN E 23 S HIDDEN HARBOR DR DELRAY BEACH FL 334837244 FISHBOX PLUMBING LLC 561-324-2887 331 SE 5TH AVE POMPANO BEACH FL 33060 Additional Comments Construction EPI/EER FFE FLZ Occupancy S . Ft. Valuation .00 .00 R 500 Schedule of Fees and Additional Information AMT CHRG AMT PAID AMT DUE ACCOUNT PERMIT FEES 110.00 .00 110.00 001-0000-329.18-00 GRAND TOTAL 110.00 SPECIAL NOTES & RESTRICTIONS: BUILD NEW SWIMMING POOL & SPA ELEC: ABBA DECK:PUGH'S TYPE OF BARRIER: **N.O.C. REQD PRIOR TO INSPECTION** ****$1.00 HOLD FOR NOC**** ** ELECTRICAL FINAL MUST BE APPROVED BEFORE POOL FINAL CAN BE SCHEDULED *** ** POOL FINAL CANNOT BE SCHEDULED USING THE AUTOMATED SYSTEM (VRU). CALL 561-243-7200. 00 110.00 THIS PERMIT SHALL BECOME NULL AND VOID UNLESS THE WORK AUTHORIZED IS COMMENCED WITHIN ONE HUNDRED AND EIGHTY (180) DAYS AFTER ITS ISSUANCE, OR IF THE WORK AUTHORIZED IS NOT INSPECTED FOR A PERIOD OF ONE HUNDRED AND EIGHTY (180) DAYS FROM TIME WORK IS COMPLETED. — Any change in building plans or specifications must be recorded with this office. Any work not covered above, must have a valid permit prior to starting. In consideration of the granting of this permit, the owner and builder agree to erect this structure in full compliance with the Code of Ordinances of the City of Delray Beach. CITY OF DELRAY BEACH COMMUNITY IMPROVEMENT DEPT. (561)243-7200 INSPECTIONS - CALL (561) 243-7218 Contractor, Owner, Agent Permit Type: MISCELLANEOUS PERMIT 8/12 Permit Phone Access#: 2326650 "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" Date Applied: 2 / 0 6 / 19 Prepared by: TIERNEYB Date Issued: 3 / 1 1 / 19 Permit No.: 19-00181494 000 000 MISN 00 City --RangYe Twnshp. Section Subdivision Block Lot Plat/Book/Page 20 43 46 09 46 000 0050 Property Address _ Zoning Reviewed By 23 HIDDEN HARBOUR DR UK PHL Subdivision Name Improvements POOL OR SPA - RESIDENTIAL Owner's Name/Address/Telephone _ _ Contractor's Name/Address/License/Telephone OBOYLE MARTIN E PUGH POOLS LLC 561-644-0302 23 S HIDDEN HARBOR DR PO BOX 40 DELRAY BEACH FL 334837244 BOYNTON BEACH FL 33425 Additional Comments DECK Construction EPI/EER FFE FLZ Occupancy S . Ft. Valuation 00 .00 R 52950 Schedule of Fees and Additional Information AMT CHRG AMT PAID AMT DUE ACCOUNT PERMIT FEE - NO CHARGE .00 .00 .00 001-0000-329.35-00 GRAND TOTAL .00 .00 .00 SPECIAL NOTES & RESTRICTIONS: BUILD NEW SWIMMING POOL & SPA ELEC: ABBA DECK:PUGH'S TYPE OF BARRIER: **N.O.C. REQD PRIOR TO INSPECTION** ****$1.00 HOLD FOR NOC**** ** ELECTRICAL FINAL MUST BE APPROVED BEFORE POOL FINAL CAN BE SCHEDULED *** ** POOL FINAL CANNOT BE SCHEDULED USING THE AUTOMATED SYSTEM (VRU). CALL 561-243-7200. THIS PERMIT SHALL BECOME NULL AND VOID UNLESS THE WORK AUTHORIZED IS COMMENCED WITHIN ONE HUNDRED AND EIGHTY (180) DAYS AFTER ITS ISSUANCE, OR IF THE WORK AUTHORIZED IS NOT INSPECTED FOR A PERIOD OF ONE HUNDRED AND EIGHTY (180) DAYS FROM TIME WORK IS COMPLETED. Any change in building plans or specifications must be recorded with this office. Any work not covered above, must have a valid permit prior to starting. In consideration of the granting of this permit, the owner and builder agree to erect this structure in full compliance with the Code of Ordinances of the City of Delray Beach ACCOUNT# 125-0000-322.10-00 001-0000-341-45.00 125-0000-329.45-00 125-0000-329.15-00 125-0000-329.46-00 125-0000-322.20-00 125-0000-329.16-00 125-0000-329.52-00 125-0000-329.17-00 125-0000-329.18-00 125-0000-329.34-00 125-0000-322.50.00 125-0000-329.35-00 125-0000-329.55-00 125-0000-329.20-00 125-0000-322.30-00 125-0000-329.21-00 125-0000-359-20.00 125-0000-329.22-00 125-0000-329.23-00 125-0000-329.14-00 125-0000-322.40-00 125-0000-329.36-00 125-0000-329-37-00 125-0000-329.27-00 125-0000- 125-0000- CITY OF DELRAY BEACH BUILDING DIVISION CASH RECEIPT ITEM BUILDING PERMITS / SITE WORK PERMITS COPIES/PHOTOCOPY CUSTOM TUB INSPECTION DEMOLITION PERMITS EARLY SUBMITTAL ELECTRICAL PERMITS / TEMP FOR TEST ENCLOSURE PERMITS ENGINEERING AFFIDAVIT FENCE PERMITS GAS PERMITS LANDSCAPE PERMITS MECHANICAL / AIR COND / HTG PERMITS MISCELLANEOUS PERMITS OPEN PERMIT/PROPERTY SEARCH PAVING PERMITS PLUMBING PERMITS / IRRIGATION PERMITS POOL PERMITS REINSPECTION FEE ROOF PERMITS SEAWALL/DOCK PERMITS SHUTTER PERMITS SIGN PERMITS TRAILER (SALES) PERMITS TRAILER (CONSTRUCTION) PERMITS TREE PERMITS Customer/Owner/Contractor: Address: Customer's Signature PZB Staff: FEE Date: Bldg. Permit Please Print Name M Distribution: White - Customer Yellow - Finance Pink - Building NOv 2017 Perez, Elizabeth From: Sent: To: Subject: Good Morning, Application/Permit Number: Site Address: Description: Perez, Elizabeth Wednesday, February 27, 2019 10:19 AM 'geoff@pughspools.com' 23 Hidden Harbor Plan Review Status 1900181494 23 HIDDEN HARBOUR DR PERMIT STATUS: IN APPROVAL Plan Review Steps Plan Step Date to Reviewer Status Comments Agency ELECTRICAL REVIEW 2/7/2019 GREGORY S BANKS APPROVED PLUMBING REVIEW 2/11/2019 GENE GARR?SON DISAPPROVED Provide 3 copies of gas plan for review . PLAN REVIEW 2/27/2019 ELIZABETH PEREZ HOLD- waiting for plumbing approval. DOCUMENTS/RESPONSE ENGINEERING 2/6/2019 RALPH LUGO/243- PPROVED 7220 PLANNING AND 2/6/2019 NO REVIEW NO REVIEW NECESSARY ZONING NECESSARY Pls address the attached comments . Thank you. Elizabeth Perez Structural Plan Reviewer City of Delray Beach 561 243 7200 x 7165 1 ► RECEIVED -4 p00- TOWN OF GULF STREAW APR 2 3 2019 3931 SW 47`" Ave. e 100 SEA ROAD Davie, FI. 33314 Town of Gulf StreamFL Tel.954-584-6115 uULF STREAM: FLORIDA 33483 . F-mail:ppQeanauspillrobe,tet Soilprobe Engineering & Testing, Inc. April 22. 2019 � Fronte Foundations 130 W State Road 84 Fort Lauderdale, FL RE: Pile installation certification WIEND FOR CODE CO PLIANCE Proposed Pool & Renovations to Residence 8Y Qg:::� 23 N Hidden Harbor Dr. Delray Beach, FL Soilprobe Engineering & Testing, Inc. has completed field observation of steel helical piles installation for the above referenced project. Piling operation was conducted by American Foundation on March 12, 2019 and installation witnessed by a representative of this office. The purpose of this site inspections was to observe and document piles installation operation only. A total number of sixteen (16) 3" O.D. schedule 40 steel helix piers were placed at locations staked in the field by the owner's representative and to depths as indicated in the attached field inspection log. Pile installation data for each pile are presented in the attached field installation log. Following our observation of pile installation operation at the scheduled time. and our knowledge of project documents we certify that the referenced piles were adequately installed for achieving an allowable bearing capacity of 10 tons compression. Sincerely, ering & Testing, Inc. Ana, PE. No 37334 Enc. Pile Log Location Sketch Engineering is the essence of science and technology U Z Z W (Z V z LLJ W z_ Z w w m d. J 0 1v a a c N r C N c O v cc z Ca � r � a � d 0 J U In O ci A O m c .o O ` a N L x O Ii, -j ��, O O 0 0 0 Cl 0 0 0 0 0 0 0 0 0 0 . W* u m O Q Q r�l U OC N u O O O O O O O O O O O O O O O O .--4 -1 r-4 -1 r-1 -1 r-1 1 - -i '-1 - � 00 00 00 _ Dc 00 00 N 00 00 W _ 00 00 00 Ib 00 p E y^ f^ /^ L 0 LL Z L a L G T � m 1� Qj C 1` 10 Ln L0 CT to 1` fV m to N d 1- N t- 00 Z7 f0 It d m m d m N m M m m m m V m N ^y c tw 0 = w a% Mary Ci a Ql Z p d w i♦I m a+ N M l'I (n ^ 7 t` 00 00 m 00 CF)00 0000 00 00 0 00 00 0 In CD O 0 0 0 0 CD O O O O O O O O 1/1 v1 O lD O � O LD CD l0 (n �o O �D O l0 O ID O I.D d t!1 O LO O lO O t0 O l0 O �D � ✓i j O Z w w c 01 Ll fl L d d d d d d d d d d d d d d d d p u d d d d d d a d d d d d d d d d Q J O O a- ? `o p u `' W �+ w a v m m m m m m m m m m m m m m a Z a o c7 L; w z F' \ L l0 I- 00 Ol -1 O r-1 N fV M N d Ln LO N I, N 00 M N O ni .--1 M u a F .--1 •-1 rl N (V .. N Cr-1 N M �' Lfl lO (` 00 Q1 ID W Ql O '-1 ri rl r d 0 w _ 0 2.5 _ 1 � t � 1 l Iq �t SOILPROBE ENGINEERING AND TESTING Fronte Foundation Pile Location Sketch 3931 SW 47" Ave. P104 23 N Hidden Harbor Dr. Davie, FL 33314 Delray Beach, FL Tel. (954) 584-6115 nncrt ncwnuuru-nciurtn w_ I ���If� "II�'�"I �l�I� II��I IIIII I���� IIII III Im 11 118N8 IBIa F t ,t 2 C1 1<' , _a ,-t 4 1 7 PER1,1I71-14UNISER L ) R Et )\ ..:: 1_3 4 :J -2 f-' � 1n � r Counte, f l jr NOTICE OF COMMENCEMENT tsar ) The undcrsigncd hereby given notice that improvement will he made to certain real property, and m'accordance wcih'ehapter 713, Florida Statues the following information is provided in the Notice of Commenccmenc. I DESCRIPTION SUBDIVISION lal descnpuon k street address. it available) TAX FOLIO NO.: Id�O V+ - 7,6 +Of- �40 0,9 O — wTv hVr BLOCK TRA('T LOT S ' BLDC. UNIT 2. GENERAL DESCRIPTION OF IMPROVEMENT: 3 OWNER INFFORMATIONNJJe %%i� a Namdo ress � b Add7 U/(I'e/I^ I OV464 d Name and address of fee simple ndeholder p! other rhan (Nmcr) — 4 CONTRACTOR'S NAME, ADDRESS AND PHONE NUMBER: ltil"f. n PW 175611 l !c- ?/ 3 N Yd',J of GULF STREAM 100 SEA ROAD .3ULF STREAM, FLORIDA 3348; 5 SURETV'S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT: 6 LENDER'S NAME. ADDRESS AND PHONE NUMBER: f 7 Persons within the State of Florida designated by Owner upon whom notices or other documents maybe served as provided by Gulf Stream Section 713 13 (1) (a) 7, Florida Statutes NAME, ADDRESS AND PHONE NUMBER: • liLe Copy R In addition to himself or herself, owner designates the following to receive a copy of the L ienor's Notice as provided in Section 713 13 11 ) (b), Florida Statutes NAME, ADDRESS AND PHONE NUMBER: — ► RECEIVED-* 9 Expiration date of nonce of commencement (the expiration date is I year from the date of recording unless a different date is specified) , 20_ FEB 12 201 fiignatio o Print Name and Provide Signatory's Title/Office Owners .Authorized 011ace►/Director/Parmer/Manager State of Florida County of Palm Beach ) 1 i� 'rhe foregoing /instrument was acknowledged before me this _ , day of By /A/ a t* Pr �t iJ� le, r (name of person) (rype otauthonry, e g officer, trustee, anomey in fact) \ � For (name of party on behalf of instrument was executed 1 Personally known*dccIhavF,?Wgq# 1f0111 WnWV)0 7of identification NOTARY PUBLIC rSTATE OF FLORIDA LO Comm# FF948352 Ignature ofNotary Public)Under Penaltrcs of pequry, I1i1?20 oingand that the facts in it are true to the best of my knowledge and w/ belief (Section 92.525. Flonda Statutes) Signature(s) of Owner(i) or Owner(s)' .Authorized Officer/ Director / ParmerfManager who signed above: By By County Rev 08•09-07 (S.R—M,q) Cary of Dd-, Bench Rev 5'08 S1STE OF FLOP i ° P^L ?EACH COuy': � e 1,erfJ� fe :era ofegong I� a hr .e orr, 'r, ^tf Office Nlth .at �> SHARN R ROCK, CLERK & COMPT ER By - DEPUTY CLFRK APSP/ANSI-7 Suction Outlet Safety Compliance Data Sheet (One sheet for each drain or set of drains in the system) Job Name: Address: THIS DATA IS FOR THE: POOL �C _ AUXILIARY (Spa, Feature(s), etc.) _) SUCTION OUTLET(S) Are there drains: yes "A no _ (if no, go to truck & return pipe size) Single unblockable _ Two or more Drain make & model: Listed cover flow rate: gpm SYSTEM FLOW RATE System flow rate: �. gpm Method of determining system flow; Maximum flow from the pump curve —/'— Total dynamic head calculation (attach calculation sheet) Simplified total dynamic head (attach wipe length +filter +heater resistance) PUMP SELECTION TV Z.0 VS Z•� Pump make & model: � (attach pump performance curve, indicating flow as calculated above) SUCTION PIPE SIZE Branch piping size ,"-_ inch @ 6 fps or lower Truck line size 3 inch @ 8 fps RETURN PIPE Pipe size .3 inch @ 10 fps ❑' _ _ — Engineer of Record a Na, 1666ir 8 * — 'd STATE OF ';,, 0 Pt0R�P�O\�\ Sf ONA\- llllllll����\ al PUGH POOLS LLC. Commerce Group 12.01.18 Job Address: O'Boyle Residence 23 Hidden Harbour, Gulf Stream Primary inclusions to contract: • The pool structure shall be steel reinforced concrete construction. All construction and mechanical details covered by this contract shall conform to standard Contractor's Structural and Mechanical Specifications and/or Working Drawings on file in the Building Department, unless otherwise noted. • Plans completed by a State licensed engineer. • Permit application and fees (does not include fencing, electrical, gas, plumbing and deck permits or fees). • Instructions to owner on the proper use of the equipment. Swimming pool specifications: ► RECEIVED 4 Overall dimensions: 100 perimeter feet Shallowest to deepest depth: 3ft-6ft FEB (� A ZQ�� Waterline tile: A 6x6 tile included. Material allowance of $10/sgft Coping: Install only ,,,, Interior finish: Standard color quartz aggregate- Florida Gem Main drains: One anti -entrapment drains Skimmer: Two Vacuum line: included with vacuum safety release system Pump: Jandy JEP2.7 variable speed TOWN OF GULF STREAM Filter: Jandy cs250 cartridge 100 SEA ROAD Heater: Dandy JX1400K natural gas GULF STREAM, F LhRIUA .3483 Salt Chlorination system Jandy Tru-clear Bench: sunbench as first step and bench in deep end Light(s): 5 Jandy color LED Automated controls: Jandy RS8panel, jbox,transformer and iphone control system Spa specifications: Overall dimensions: 7ft inside diameter Waterline tile: As stated above for pool Coping As stated above for pool Interior finish: As stated above for pool # of Therapy Jets: six Light: One Jandy color LED Air blower: One 2hp Width of spillway: 3.5ft Level above deck to top of coping: +18" Outside of spa veneer: tile Other items included in this contract: I . Start up of pool and one month of pool service 2. Equipotential bonding grid installation 3. Small machine dig with removal of excess fill 4. Pool and spa alarm 5. 8" bond beam 6. Spa to spill into trough that will empty into pool through underground plumbing. 7. Pool to be built upon pilings. Piling installation not included in this quote. Items that are to be completed by others or at extra charge: All landscaping and irrigation work and repair All fence installation All Electrical and gas connections and supplies Additional Fill Deck installation CONTRACT PRICE: $ 52,E Date Signed TUWN JF GULF STREAM 100 SEA ROAD t Anericar r GULF STREAM, f:i r iFIDA 33483 City of Delray Beach Community Improvement Dept. 100 NW 1st Avenue Delray Beach, FL 33444 Phone: (561) 243-7200 Fax: (561) 243-722It, RECEIVED -4 www.mydelraybeach.com FEB 04 2019 PRIVATE SWIMMING POOLS SAFETY REQUIREMENTS Town of GUI{ Sirean`; FL AFFIDAVIT OF RESPONSIBILITY Submit this form along with your application for a pool, spa or hot tub. Company Name: Pu c�� I odL� <<< License Number: 06 o s ( q 2 ,2 Date: �� �-� 1.9 Permit Number: Section 434.2.17 of the 2001 Florida Building Code and Chapter 515 of Florida Statutes requires the provision of specific pool barriers around the entire perimeter of the pool. In addition to this executed affidavit, all provisions for the required pool barrier shall be shown on the plans, and manufacturer's product compliance information must be supplied. I (We) acknowledge that a new swimming pool, spa or hot tub will be constructed or installed at the above address, and hereby affirm that one or more of the following methods will be used to meet the requirements of the Florida Building Code, Section 424.2.17 and Florida Statutes, Chapter 515. Please initial all applicable methods: The pool will be equipped with an approved safety pool cover that complies with ASTM 1346-91, Standard Performance Specifications for Safety Covers for Swimming Pools, Spas and Not Tubs. A continuous barrier ("Kiddie Fence") will be used to isolate the pool from the home. Plans submitted show the location of the end, which is not removable without the use of tools. A continuous barrier such as a fence or screen enclosure shall be used to prevent external access to the pool. All doors and windows leading to the pool from the interior of the home that meet 434.2.17, shall have an exit alarm meeting the requirements of UL 2017. Other methods to be used. Please specify: Page 1 of-Z 0 I understand that by not having one or more of the approved safety pool barriers installed, or not creating a complete barrier around the perimeter of the pool, spa or hot tub at the time of final inspection, will constitute a violation of Chapter 515.F.S, and will be considered a misdemeanor of the second degree, punishable as provided in Chapter 775. F.S. W 2 Y 47 u6 p Qualifier's Signature 6at,6 Qualifier's N me (Please Print) The foregoing instrument was acknowledged befole me this N_- day of , 20 Iq , by _i�&,q who is per Hall kn o me or who has produced SEAL (Type f ID) _ _ _ as identification. _ REBECCA MCDERMOTT Signature and Commission # of Notary Public � �s =o///�,,State of Florida -Notary Public Commission # GG 116360 o�\, My Commission Expires of June 12, 2021 Property Owner's Signature is Required: Property Owner's Signature Date Property Owner's ame (Please Print) The foregoing instrument was acknowledged before me this 24. day of qan, , 201CJ-_, by t t 0 `e wh ersona Yknow to me or who has produced (Type of ID) -_ _ as identification. Signature and Commission # of Notary Pubic U:wwdate:forms: affidavit 10/03 Page 2 of 2 SEAL ro ~p4 , MICHELLE MEUCIA * * MY COMMISSION # GG 053W9 P' a� EXPIRES. Decamber8, 2020 �� of FT Bonded TNo Budget NO&W Servkes N H O H a M � W 0 rn tZ W ri W Ei a a cn 0 r K O r� H a a N H O 0 r+ z O 0 w a a Ln M Q (1 41 W r1 v v H r R: U U w -H Ul A O O Ln �4 v v �j � � a Q Q cnwa a x cn U � a w 0 a 0 a a w � Q O O Q O 0 ao 0 [4 o 0 0 0 OD O w }� o o PQ U U H 0 0 rx Oza U xW�U) W rn a d+ z a rn m H 0 W O O ri z oo 0 o Q in 0 H H 0 0 Q O w w Co O HOa t—i O cYi H x r1+ x 1 0 00 �+ r♦ rn O 0 rn O W D H ,-4 a a Na0w .. .. .. .. .. .. .. .. .. 0 `d H O O v O 4 -A • . 4-) r-1 -0 cd .0 U) U U U U U) r{ od rd v H v v v�A �4 cn a �4 U) b �4 1 H H 0U � a �wm r. O U v 04 In rl v a 0 In b v O 04 rd U) Q ro v O a 04 Ei -tI � r- r EE b Q > > • -- CL � a Ln Q EW ,; r IL ui a rAl LM snow a h f C as N a E E e a as pansry < k Ao O vv � v N LL�Q! i r E E r •;1 A y a in' 0 51 Io I� P. (01H 3013341 Otl3N OIWVNAO Itl101a N y; a� O U ~ O w L) m a E ` E W m t C c N o N C -� `° of = a; E o'E an d in c c ro 1> m m o C >Z N c 5 T Nor � OCL C Q O`>—_ C o o W iZ yr o m o - E o c N cc OE o> u m N n c a O C rn c r F° ` E o p o a q u m € 7W +� c a c E w a ",-_Aj iA D _wpop it o c c .L. a� .o N N `w m� ' E �' y n 3 °1 a" � � o � a a' a' � E -a {� •f0 U� >" E O, :c E w LL w A u y A N 3 ^Q J V / > tU L N t0 � E J m E o o E — E � 2 p: Ifl N ICl 1n T � V N v1OE —TTa- V mI N Ln_ _ N v a N - t0 • C 2'- `.�`r c E o L V q17� '�Iy E 5 N m m m 01 m m m m u .. (D w T U co qml MID m N N u o f.l_ yU N L d Q N L E m a E" w � _ O O L � tV N N t� V .•�' i l �..r • � f � � r f • t, — . f0 E �_ r V Q '• 4 ♦fir. •'` i1 ��� a ' C/) � � L �� �-a e R • ,e L N m Q7 m 0 m a cz O O CL Q1 c E E N X NV a N � o V C' a X E C Y c o $ o 0 NCN � � N W � p N W L O m .� O V / o c O .V C O N N L rd a O � o m E E m '_^ is rn a rn c cv V ! 0 1 X p. d f0 O O � E Z 2 - e c f0 � L U 2 a do 0 Y L U1 UI 21 C U O C m m ~ a j C O aj W N Ol 0 U) Y aj m 4--/ L Ol W M O x " 3 aj Y 2 c r rn 3 oM �- O Cl) jll'�,--�g 4 d � L a m `v lLL N M. c T' d E o v f- v� C 0 N C _u u a u Ln w M u W w � �y W =• �i. J _ C m^ 1- ® r J a� mu Q' C D d O T O y C = � O M c n O also E L L u Q�¢3 _ T c rn. E - -;. � Q N C C Tvw- N N ^� - % O VoCi E N w .c Z w. .L 7 3 W c sE E 01 C ° u � E w f✓ o C Cl V _ o` W o` oo Zn w u C w N O W as `my�aurEE • c u .� v LL o o d L 4a C rn w rnL in O._ E C CU(522 uv 3 m II ►I tilt . tilt , got "t tFt ad.� _ me o.a o m fu X [p w `m in a m S CD W N r ► RECEIVED FEB 04 0 WATER LINE UNOISNRBED OR COMPACTEM/ _ •�'�—�.y swL To T D4RD CUR6fE/gR CO RNCRflE /1�e 1T O.C/Be' ioR oEPM ro S` JO•P51 O.C/BW i0R OEPLH S� 8' POOL SECTION DBN BRICK 7 DBN EAI(K •• CONCRETE FrT_Jnrnl_ yACONCRETE rN' IV CONCRETE ? r�-Iaa _ !r _(rF_rl• Ems./!I TILE (ra:/Il�FI TILE In T1tt f J1_ NI_Ilt � 61'f�1 nl_ m 1/A._3, Q • BRITT- CANTI—LEVER MAPW LE DBN BRICK DBpI om(Y, CONCRETE WfM VEIL to SAND "Imo 1cpvE OVER —POUR 1A/AI I car InNIS t SPMY DECK 5/8' OR BETTER PLYWOOD SHEATHING 2^x 4'x 8' 0 2' D.C. SHORING DETAIL N.T.S. '-fa REBM CONi: 25DO PSI CONCRETE W/6'x 6' k 10/10 STEEL WIRE MESH OR 1 FIBER MESH, (11b/ YD.' ) —{ 8. 1 FOOTER DETAIL SCREEN •E►JCLOWU SCRCW (o' ENnO FNfiRE£ARIf, (Br OINENS) ooI PAYLT6 e•. r. Is' B-etml w PxEusr uxm. Fxico sam N01 COxCAETF aoao PM e m c 8- 1-3—#3 REBAR �uxwsmuxFa sax. I o \\— nersi J T6WN OF GULF STREAM toe SEA. R'%AD GULF STREAM Ft ORIDA 33483 SWIMMING POOL PLAN SCALE: 1 /8"=1'-0" 8" WATER LE`Jf-1 - - fyT Ij b 1A� 18"1II O.c Iz' bb 18" O.0 -ANN-FHTNAPw_ MD L12 :N t•-uRl. i 1 1/z.. z. PIPE PVC PnPFI Si'A_XiE(:TION DE IAIi_ COVER �t•-MIIYMUM STEEL CODER — 0 -- 5•-10•MIN, PVC PIPINf W GUNITE% SROICRETE'MNLLS ID KOR P. #16668 FIN POOLS a/OR SPAS FS W I MMI NG PC PLAN FOR, = N0. 16668 Ct)MlmfkcE clvoopl b�yli -0 STATE OF W (1111Y'.lkil,t/t 0�� ��oR(op•3�\`�� EL-SID ENGINEERING #EB-0006831 139ISLE VERDE H'AY" PALM BEACH GARDENS, FL 33418 For 44"t. Sv,M N BEVI _Q_ETAg, syoN WT.BT`;.:u DLIAIL ` I Fr 0 2a o 'o ba oo �N.. -. Ni � r I izr- nnj Mtn S m' N �-. O o O 'q ;o .n O - N TI _ —( T o0 0oco 01 (E .4 Z �+ oLLJ O- to Q I N+ �j -too � W J Iq 1) d LnIlI / \O: • �_ � � \ \ ) // \ % \\ #m � A < / £ / / ® —�) _ ±/ 2«& ID w »«_ # # ®9ƒ� :� � ��\ ��mmm \ $ ( § � tg Lj ' Q m \Lo /§�§ Q, §(\j� / � I \ �— •] 1� I - gonI'd Z —J. If1oM) Wd776 I T Poold) Wd9891 - - _ E -40 T..L3.7HS 6°0n 6ulgwnld„r+°d• i ._,(l,lol+od (,I-A0Wd999L V (+Poli) Wd9007 _ - laLua+bulsn 6ulgwnitl „S'[+o�i,�' p, --_- - IOC] NTOFF7j`SW3aHVg11OV3[TH7Vdl (11°M) Wd971i'9 (l—H)Wd990E -�u°d+aln°°mLblllsnbulgwnld„sz•°d aaluV may paLsl7°oWdVl � A VM W9911 �7S/ 6FT I Lo+olo+J!*al TbN9000-lT7N JSJJ of 1 Mt AoW pay(+ag al N moli fit BE Vuadp y yv 4E2. �} 9991'3-d'ON 0115 ,O/S'd0 91v1S N-a Isgv lldl34 OVA �8 b3WWINS 'S1'N (NIW-NI'0S-04i) Sd31S .1 1,41 l l ), Lit1WdWol lwb '.,A11`d1 lu ipn,; 31-AWA100ji Ulltl3ll I 'S"1'N H300v1 OV381-f — _ Wd JOVI0 ONidld 131"1 jV ., 1 '381 WO)Id 'dwlld WONd KHfUJ'd'100d Ow%001 M(1IdVdS djw1Nl)ls%fE (INYL9 MO'ld'low SNowfwnssv G► (_. �) �� �, c) ;> �) c & ni _ VdS Y10Od of N)[lllg'd NUMNS NIV)IO NIVW MO-I3 Hdld ` S31\RI1)Qw dWl nN111 MO'1�4 (3asIU) &0'13 9ZIS Mid (339/0) MO-1-4 971S Hdld �--:-.--vas- --- -- 1 lood z-oI — WC, (!I WYy/lZllV 3W MOZ A t-TS- Nd =1 j1AZ WH %VW,Zt-NIM7.9 id Ol r 13A31 N31VM f RZ SllO � �TL�W3A55 sl7fdfd .w 3M1 -WA Z 01lld ,Y ----- £ 30 U3311.S -A9NMV90 JO-4 9Ib£f 7.4 'SN3Q8VO HOV-79IV7Vd AVM 30N3d 37YI6F1 119000-93N ONI933NIOA/3 QI9-73 6399 ( '3 3NAON 415 `�aO �DO�S`S'� 9 j0 31v1S d 99991 ON A3N��c� � 11v M 10T--(9):ro99 nN 1F4d cluzz1owl 1Or9 se Oi Sam 100d;fw Y '3911119.1131VM WOHd'XVW.OZ-'N1W.011111110 TA-9-C&XQTAONd '► u3ddOJ E11V9'QI10s IN lds *all lsvoiow leiHp11'm011 TTV QNAONO Y 19)IA'J111OOJ UOd JJnQNo3'NFW ,,VT MILLIM no bMMI It PC 'Z 'N011,DamNOJ do J.NIOJ 1V AJ61YdVO Y.LVObaQV Ad019A of NO.L7VNiNO3 tv3n L')wu "ma alu-32121VNOLLVNhIK Huh&)LIaWOJ 011WJOInau'TV -I YOU 1401131knf \ (azwnang 10N too) U11911'100d Hm11NO"NVUL VIOA ZZ H71IMS 13YNNO3910'd'M 370001'1'S•d'S ADO'IJ ZRI --�= (Qu3nowd Luw 1XNVi'161X7 Ol 11nQ403'wW .,SF wH11M 1091LM Q1411090 03 QPIO9 s9 NFUU ZIIJ • [ /M HJ11M9 QV01N7AO M•111ns /Q SOLON JWtxd dB ilflaNOJ'J81fl'Mttyy .,1 113 A1$ H3LNVIS SOLON 1VIINVW NIH1(M na R,sEfhbz S1N /M 13M'd 1OOd dWV 99 - vulfNl grr,vuln P.-I •dld •I•n 9-1 ,- �q,at a°IP.•e,wma pupsu q/. L I,aua v.°el=rd Ils.0 Isanlatuls Iood al Illwlxotd a( ..pi o) °8T p-ld aq pits aJ1M 8q s191 Ts!xa 9uP13a1) =RM slulod paoeds CHsnba q of iega3 o3nlanals food of papoeq aq Ilegs aJIM Sq slgl wnlan37s lood Ulan an of Jnaos[ps Yonlaap do Isualew apelsgns olul °9 of °T paaolllsod aq pegs a3(dA Penoa9 Plps 84 --}._ '\ 9NIONou 1VI-lodlna3 "'_- uW w•p1f l.nW,df. Yf•odAW pnn.q un °aq 1 ---� °'t'.1 '.. T_ opl.uw vom6aul nr�• n �1 f pnrlroLMwplMd aolpaulquxld.ppu°nfn.u.Plml. i L"J P� PJaudlnba OI Waoefpe oP!s uolpns uo ge)su� O 1 -� •Au or• P.x+m+adpJ rw.l uu+p.d*u 1 lY 1O _�_.�.waaa. rnwrd(w 40 O�.. .. _. �._ .r..._ .. ••m.7 Pun •q u.v .rq upn wq,b (`l ,.IMuVd, • •.•wLntl °uE .. )q P.,f°6u fl ,..»f II >fuVl3P A. A.A PNo+leyl rvrlPll.pN pWY ( PN°I lunrW..Wl wnp, u.IIWu.91WP•MISW .q un PV.eN.d• ) I:aup wnlaJ a ul Ile)Sul O ++ P-8-Iu Iw 111Pa ud°,d.1 O ..nprm,d Algw.f.Y. rry •Iwd ppn.,rwwn•V.Pr.,9l r,q la wrul �/'�I P•IepW rq u.a pungp.d',OUPp�q aipap p.,V wdn,tl aWffl • �� Jawu9>IS ul llulsul O ' r 't1.ItIT'I IlllQ •(_, b 7�9q/swavTv 3JNJl 3N77SO'IJN3 N33UJS O(XI/M _ rvfdaLVw ,dlif1k) ou.vd - -- -- 3.L19SON / UVIH StNOTI IIV:I &J1VM 1NIXgU NVAHS Z"IJdNIINI -- N3NVTIJ JVA- O.wV QNVOO FNNIAIU----A(Ins NOI(YJ �lAt/(1 -.-1VOJ W30/3.LMU UNOINVHI A11'. /A ninnro(FI w1�tr wMs/aJl4aan7" --(-I ll)�1 WHOHVH 13rm N9 6fl lua G011 ! Z NUVsll Suvm l 031 Fi M-1 SNH Z - adVa alnoNanl AV.I ,) WdJ dH L z JWnd - _ kill (, - U) -.� dwlla vds nOoa -V,-- -- 2 _.__.sn I _ q- Slal IL'L(LIVf 9 / M 81 -o'U3SIVN SNOIS93W7(7 VdS SNO'llfV9 ---- 31NO'IonNouvlavn HlaaO . -- f II aJ13WM3d _ �ZS V3aV lIL -, Li I ,SNOISNWUIfXm RI :VIHH.LO 79 LNl N3d1(la3 78 V.LVQ'lOOd ttaap aloaaom 30 3aesd aoF apsa9 ,hL;81-9,,.Fh (sMo s axuoJyplt) dutelo adld am0jq 'll«I )lids''* l slaualsel T7a mgxwI panoldde/M palaaww pm Sim palelnsut pgos 8# moil saoeld pa-ds Allenba-q ut laals-w loud of palawm pm (ood Io la)aunnd antu0 pmwe anm daddm pgos ueq OMV 84.jlutS 17101 OU LOOZ '61 aun(pau8ls L81'LOOZ 3apdo anpnaax3 9L8Z AS IPU 21=s la lad poglalN aA!19-11V it I OZ (a) 9Z'089 331N (1IN0 ONldN091Y1.LN310d111t13 5v)� I�t�ulq 00 dwnd -L 011 S�!1 ONd,ll ld� , rwa 01.l 19Nbd �� lood d1, 0 001 79nyd gsnan wv-V,5vlo Bslm 3Ovw 9NV n37lavn ao o3ss3aaxa s3JlNvaavm a3Hlo ON sNoulONw avTlwls a3ONn uwJLuvaa A'I1NaaanJ NOISS3JOad SIHl a0 Sa3HW3W AU 09SI.Ja3X9 A'1HttlNI0a0'11(a5 UNV 3NVJJO l3A371V1LL ILI1M 1N31SISN0:)a3NNVW �L". djn L a kgmv V w UHlJnUNOJ 3aV 9wa33N9N3 U7S 73 AR 031V110"Ild S3)IAa3S dM SLNT"VM 439N1O43 SIHI. A1NV'"VA% -51 a33wON9 SIHI JO NOJSSUNN3J SS9adX3 InOHlIM 9NOANV 01 3IHVaa3:ISNVal- NON SI UNV 9NI1133NION3 (US- 13 JO AI.113d011d HIOS IM SNRTM NVId ONIVIRN19N3 SIHl 'vI 3n�n7 ~ dW(ld ZS3111� S3wl 311111373 UV3H N3AO WOHA IIV1NU[INOW NIW.0136 TIVHS 99M'd31VM 31IS 1V S3LpIL111(1NfIOa.)N3AO UPJV a9QNf1'ATLVNOul �NO11Jf1N15NOJ �Z,j ad Ol HOMd SJMI I(YI UNV 9Sf70H HIlM OI3Id NI SNOISNHWIU lnOAV'1 TIV AJM'JA ITVHSNO.IJV lNOJ IOOd 3lu "SV3NV )IJVH13S U3aln/)3N a0'S.LNgNFISV3 w NOLwnX].SNO,) IO(M HOJ AlI'7IHISNOdS3a ON SaKnsSV ONm. gmoNg (13sg3 "CI r QN`1� � '(JUd)SSVN9010LLVd/'100d3OVNJVNU', II wHL1MlVJ11a3AS7'7VM 100J.O,3dA1 fl Yj: >LdJ ILI '3�Q1-da'j0 R 6d3;5H W(lWNIW 9NIdld N0 NIV1US 3lVNINWI'13 Ul Stl US UVd'M1NV15HHStl OL U3N(lJ'JS 39 I'IVI151N3Wd1f103 VdS/lOOd 3H.L 'II A"iNOHdM)3JIA119Sa31VMNO'dl.LN3A3ad MO-1JMJVH'A'INO N0113a.)SIO S.a3dw0N31V 09S0 l\r4(J'd BSI WdtJ 6h 213nON'dnL SI 3A'IVA J'Jl WA Jl1V.LS- OaUAH 'SIHI. HSI'1dWOJJV 01031'IOSNOJ 981SnPq NOIJVNLNOJ IOOd (IHSN33Il V 'a3A, ' 1 -OS-.LVIIM NOSY -IN ANVN0:1 a9NMOHWOHIM AH 03NIVaO3Ha3A3N 7snW VdS/'100d MJ,'NOlITIdWW a31iV 01 Zi}�9 M�1� W(ly.04114. 1170E/'029 ft aJN OL'IVJNIL)3 fJ 11V / SZ Z p2 03S svo,mu JUJ Ol JWdvd SVO'TIV 6 ^ }F v I'L PIP J3S.)UJ J. 0011013alU.VN3dWHI a31VM 111111 01101LI NUJ HNnS -INd H91H UNV IV1SOWa31LL 3AVH Ol. N3LV9H l PI Z JflJ Ol NO] 1VT7V15w a31V3H VdS / IOOd S ( ONI Alb 3QOJ 119d W31SAS W HV'7V NO3JN3J ..AHVH 377.L..99 Ol ST."VU ALUVS 3SOOH OW'U 3W 34M 'S91V9 ONISOIJ- J US HIM 9JN3J ,V 110 J- HnSOIJN3 1,13310S AN QJUNnOVNOS VdS / 100d I. 531gM fs pna amol ON a3aVld nsWHM 3sv3i7a V WN Ma WKIIV1-d735'JNWM IHIW ASJ�•f-OU.Vd/V'dS/" 100,19NDIBIUMS 1NINAW31VLS TOS '9 _� 3. Wrronf�ay Im.a mISM gow�Sa�000�l , hIOZ/ 089 N 331,1013NIM UNnOa9 90 / M U9UNOU STfVNONVH a 9119OUVl'SHlll'Illus-AN'm 'S dO AO 01 lV r gvss Lo aaara 3 nss3ad afrros V V1, LVW ha Im nY WN 031d= I V ZbSP J3S M9 OSSJW NIV ON) S.liflNUN & I NOJ W St 3a11SSJNd ONIU W(11d NJ1VM m 15- food 3W 01 3m. 3W Wl' Ss3 IZ'S0 9 39S f)NIEMld JOJ S1w01 a1T19 T1V OI. aOM d U31'IddV a3WMd 3ldand la3ala 5mamw samNw aw Uwa rn e ZCI'Z'LZb%VJHJWSUaVUNV,LSJSNO,I WNOJN0-)01.9dIdJAd OS'NOV HDS9U019wf(WHId V')NJdld P 'a3A0a food Jd3JV5 R \OaddV IN WN Q 4.03 39 IS- 10ad 3W Z 'S(MVUNV.LS UV O1. 03JVId'SGlFVGNVJS 519 W1SV 01,3UVa931V1U9WN3J.w 3H Ol 193IS711 _C 3oo3 aNmm �ILjiFi' �l %7dSVJIG 4 YWlp'Lf 3W 3a L'Ikst/d0 S1N31t3n(x13a uwave IdSNA5('Iv SAW SZ0)ISd W&KfVlLV O13.tg-&)NOJ 73191ll10HS/9JAN09 Z -d5dWISNV Ywl 3wavllwa3IV.r i'I Is Is.)ooe i'NN 1 511N5p1Id/JHSNNNOM UV NU11fI1NJNOfS3U 9LJN9N$1'Ta JJshIOZ JHJ .3oNS IOOJ 9NIINWIMg. MVAJad Y'Np'J'J�j,19f JHd LIM,��1dWLSO'� S�LJ1Vld 9wa33w9N39SIM 'I 1 Oi a 105h 8 ]35�:FIn ]$! do IaO111Q3nyy 'SNOLLV51211i dS APPLICATION CERTIFICATION AND ACKNOWLEDGEMENT Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. A City Building Permit does not assure compliance with Homeowners Association's rules, regulations and/or deed restrictions. Applicant is advised to obtain approval from the Homeowners Association before improving any property. Applicant further acknowledges the following • Separate permits must be secured for ELECTRICAL, PLUMBING, MECHANICAL, WELLS, POOLS, FIRE SPRINKLER, SIGNS, LANDSCAPE, IRRIGATION, ROOFING, SHUTTERS, ETC • This permit becomes null and void if work or construction authorized is not commenced within six (6) months or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced Permit will be considered suspended or abandoned if it does not pass an inspection within 180 days and will be subject to a reactivation fee in the amount in force at the time of reactivation. • Failure to comply with all applicable construction regulations may result in the withholding of future permits. • Submission of any false information or misrepresentation is a violation of law and shall result in revocation of your permit. • NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER'S AFFIDAVIT: I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. ERTY OWNER TATE OF FLORIDA, COUNTY OF PALM BEACH atur_ e ofOwne Printed Name of Owner STATE OF FLORIDA, COUNTY OF PALM BEACH The foregoing instrument was acknowledged before me This day N;;U 20 All By _ M CL v \y i'�� ✓1 t � Personally Known OR Produced Identification MICHELLE MEJICIA Type of Identification: AAM MY COMMISSION x r,G 053809 (, e� EXPIRES: December 8. 2020 'j / -�L / Lk, '`.��F FtUP\ 93ndee Thru Budget Notary Sate,/ l- �,.J1/� Signature of Notary (SEAL) -2- GENERAL CONTRACTOR STATE OF FLORIDA, COUNTY OF PALM BEACH tgnat4r�of ua(tr Printed Name of Qualifier STATE OF FLORIDA, COUNTY OF PALM BEACH The foregoin(y instrument was acknowledged before me This Ll day Ill U 20,-' By )am\ Cl t k, t,, Personally Known OP.,,,,, MICHELLEMELICIA a .•.... n Produced Identificago * MY COMMISSION#GG0538o9 Type of Identification:o� EXPIRES: December8.2020 ,7: ,.'�fJ/1Cr JJ:•IV:dS Signature of Notary (SEAL) a- THIS PAGE FOR BUILDING DEPARTMENT USE ONLY* PERMIT NO: APPLICATION DATE: PCN: Zoning District Historic: a Yes o No Development/Condominium/Apartment Name Set Backs: Front Side Street Side Interior Rear _ Type of Foundation: Monolithic Stem Wall Pile Square Footage of Commercial Demolition: Type/Size of Accessory Building: Type of Structure Demolished: ❑ SFR ❑ Commercial ❑ Commercial Accessory Building SET UP Occupancy Const. Type Roof Type Flood Zone Plan Sq. Ft. (A/C) Plan Sq. Ft. (Under Roof) Finish Floor Elev. DEPAk-fM1 i T APPROVALS Env. Services Engineering Planning & Zoning SPRAB I COA Landscaping / Irrigation Fire Department Occ. Load Source: Public Utilities t Pfa-5-11eview COUNTY IMPACT FEES (Credit) Parks $ Public Bldgs. $ Schools $ Road $ 4- Rvsd 5/10 Impact Fee Amount Due PERMIT CALCULATION Adjusted Value $ Permit Fee $ Electrical $ Plumbing $ Mechanical $ Roofing $ Paving $ Irrigation $ Landscaping $ Shutter $ Misc Permit f $ _ Other $ Plan Check Fee $ MCR # Total Permit Fee $ ADDITIONAL FEES Fire $ Radon $ DPR $ 4q. t / /�— Water / Sewer $ Parks / Rec $ Master Plan $ Total Additional Fees $ TOTAL FEES DUE $ A 6 C D E F G 1 ISchedule of Values - Dock 2 Project: O'Boyle Residence Date: Dec 18, 2020 3 23 North Hidden Harbour Dr. 4 Gulf Stream, FL 33483 5 Plans Dock Site Plan - Currie Sowards Aguila Architects 6 Dock Structural Drawings - Alan Garcia, P. E. Description 9 10 Remove Existing Pilings 11 Relocate Existing Pilings Per Garcia Plan - New Composite Dock approx 7' x 128' (approx 24" over SeaWall Cap); Stringers 2 x 8; Ledger 3" x 12"; Decking PVC 12 Composite; Hardware Stainless 13 Quanity Unit Cost Unit Total Additional Amount 7 600.00 Piling $4,200.00 13 400.00 Piling $5,200.00 896 18.50 PSF $16,576.00 Sub -Total $25,976.00 CITY OF DELRAY BEACH COMMUNITY IMPROVEMENT DEPT. (561) 243-7200 INSPECTIONS - CAL (561) 243-7218 Contractor.Owner.' gent Perm; Type SEAtr?ALT DOCK/CANAL PMT Perrrt Phone Access#: 2540193 'Ity Range Twnshp. Section 43 46 09 roperty Address 23 HIDDEN HARBOUR DR Subdivision Name 8/12 "FAILURE MECHANIC WLEiO IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS'' Date Applied: 12 / 2 2 / 20 Prepared by: LYONSP Date Issued: I / 1 5 / 21 Permit No.. 20-0C194071 000 000 SDKC 00 Subdivision Block t-c;: PlaVBook/Page 46 0 0 C 0050 Zoning Reviewed By UK PHL Improvements DOCK/FINGER PIER NEW Owner s NameiAddress'Telephone Contractor's Name/Address/License/Telephone OBOYLE MARTIN E OW"1NER/BUILDER 23 S HIDDEN APARBOR DR DELRAY 3EA"I1 Fi, 334937244 DELRAY BEACH FL 3s444 Additional Comments Construction EPIlEER FFE FLZ Occupancy Sq Ft Valuation -C 00 R-SF 29999 Schedule of Fees and Additional Information A.M"- -HRG AMT PAID AM'. DUE ACCOUNT PERMIT FEES =268.00 .00 1268.00 001-0000-329.23-00 OTHER FEES: BLDG SURCHARGE-DCA 2.68 .00 12.68 001-0000-208.05--00 BLDG S".JRCHARGE-DBPR 9.02 .00 19.01- 001-0000-208.06-00 GRAND 'TOTAL 1299.'70 C0 1299.70 SPECIAL NOTES & RF6STRICTIONS: CONSTRUCT A NEW DOCK * NO INSPECTION UNTIL NOC IS SUBMITTED THIS PERMIT SHALL BECOME NULL AND VOID UNLESS THE WORK AUTHORIZED IS COMMENCED WITHIN ONE HUNDRED AND EIGHTY (180) DAYS AFTER ITS ISSUANCE, OR IF THE WORK AUTHORIZED IS NOT INSPECTED FOR A PERIOD OF ONE HUNDRED AND EIGHTY (180) DAYS FROM TIME WORK IS COMPLETED Any change in building plans or specifications must be recorded with this office Any work not covered above must have a valid permit prior to starting In consideration of the granting of this permit the owner and builder agree to erect this structure in full compliance with the Code of nrrlinanr.P.s of the Citv of Delrav Beach Nov ZOz o D6GL A?P. 1c)wN OF GULF STREA4 ► RECEIVED 4 1pprov d D�trnit Subm" pw i5 ,2n2o DEC 15 2020 100 NW I" Avenue • Delra;` U f 33444 r 23t2 .:: � - �� JWn of Gulf Stream. FL l 243-7200- Fax rffv UP Uit N'T ���� ( ) (561j 243-7221 www.mydeiraybeach.com BUILDING PERMIT APPLICATION s� DINNER;INFOFZMATION Name n1a2Y►N O' OVC.F city (rVlf WCAM State Ft_ zip 3343 Home Phone (994 Cell Phone ( ) Fax No. (915Lf Email Address PROPERTY-INF.ORMA -ION Property Control Number. zo-k3-4� -09 -1/6 -Duo -60 o Address of Proposed Work Z3 RO&ti U-A-v,m 1), Legal Description Loi S. I (4 WQ1- 4m WQ 45 & W, rJ Check if OwnedBuilder (See Page 3) CItCo 1712-t-( Contractor License No. 1�� L/ Workers' Comp No. U Q 4 kyf7(ne s- Company lu q• 010',Le- Address IZ W 6V51 )yl°t..Qal C9491L WI M city {KV�le 0 TO- Stater zip-s�?Y(i? Phone °) 54 3f00 -2 713 Fax ; 573& of U) Cell 561 20 3�l Email CURRIE SOWARDS _ Architect/Englneer's Name AGUILA ARCHITECTS Address 1� S tub C Swf; 10 ..»............................. I .................. ........»... «.. ......... r0R PERMIT EXPEDITERS ONLY (tor permit pick-up): Contact Name Phone Ex Ste or Apt # i Floor Cell Project Name (if applicable) PDDIT[ONAL INFORMATION ? ' Fee Simple Title Holder (if other than owner) Address City State zip Mortgage Lender I Bonding Company Address I Address City State Zip City State Zip '' ; .'UES,CRIPTION OEPROPO.SED IMPROVEMENTS `.;s "' Description of the prooased wnrk (Naw Construction, Addition, Interior/Exterior Alteration, Windows/Doors, etc.) DocK PER BAN PLAN siz60 COPIPs AtIACI`100 4 Is this a City or Re-hab project? ❑ YesWNo Is the building served with an automatic fire sprinkler system? ❑ Yes VNo Current Use or Occupancy fiUJ52 ( VPA�e"42 Is this a change in the Use or Occupancy? ❑ Yes ) No _PERMIT VAL'UAT.IQt( A For Impact Fee Credit, Existing or Previous Structure Demolished? ❑ Yes ❑ No Type of Structure Demolished: ❑ SFR ❑ Commercial ❑ Commercial Accessory Building PLEASE CHOOSE ONE OF THE FOLLOWING: NEW CONSTRUCTION & ADDITIONS - FEE SCHEDULE 1` MISCELLANEOUS PERMITS — FEE SCHEDULE It' ALTERATIONS & GENERAL CONSTRUCTION-SCHED.111" TOTAL COST OF CONSTRUCTION TO INCLUDE: STRUCTURAL, ROOFING, ELEC, MFnu 21 r °I 9 NOTE: OTHER ASSOCIATED TRADES TO BE FEED SEPARATELY UNDER FEE SCHEDULE II OR III. THESE INCLUDE: LOW VOLTAGE, HOOD/SUPPRESSION SYSTEM, FIRE SPRINKLERS, IRRIGATION, LANDSCAPING, PAVING, ETC. TOTAL COST OF CONSTRUCTION: b COST OF CONSTRUCTION WITHOUT TRADES: NOTE: $ ALL SUB -TRADES TO BE FEE'D SEPARATELY. THESE INCLUDE ELEC, MECH, PLBO. ROOFING, LOW VOLTAGE, HOOD/SUPP SYSTEM, FIRE SPRINKLERS, IRRIGATION, LANDSCAPING, PAVING, ETC. FEE -J.- — i l.23-2v 7 u 0 n uj CU C NO f0 N _> LLJ W c + c o c z Q Q v 0 u LJJ M N .2 N e X I Qi a (O LA. 0 O 0) (.O 3 =wu. x C9 < to iv `�' LLO o cr ao z ^� x 7( O j N F- O S. T C O U V) In C (B d. CO Y U O 0 N Z � IO �K w J . d � � Z W z w I Y p 111 M > O W M O� C' LL a N m (6 Cn •y L a M J C w O b 2 ( u roi' = C�1nU cE Zc L) a 70N Zc cm N � OU 0 m ; _ w — � 0 O O Q N U �O o NCB U O 0 N R C CD C 3 0 U Z O w v c� w •�, y ytZZtjj��,, t � F y�y o J = p a _ V N (6 V / I1 Q L1_ N C O N N C ro U 7 L T C a� L O_ cu n N OL. C (p N n O N N Y 0U V nm ca Q E c a a� Y 0 O � NU Z 3UN C � O @ N m N d a FC -ti _-m o N N L U cn Ema�m 0�x�000 7 .0 O C O ca3 °@ �� roLa� Z o3 dy Ewa y o Q@ a oy o v co aOroU 30 @ g c >.Ua-0 030'�mmo 3cUm C:, o- 0 Q�yQ>poNaQU.�_ O 0 3r, 0) i-ty L6 U