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HomeMy Public PortalAboutApp 014-10TOWN OF GULF STREAM ARCHITECTURAL REVIEW AND PLANNING REPORT Application #: 014-10 Address: 3032 Gulf Stream Road Proposed Improvement: Approvals Requested: Owner: M/M Theodore S. Forman Agent: Gary Stofft Addition of a den and covered porch. Level 2 Architectural/Site Plan To permit additions to the rear of an existing one- story Bermuda style single family dwelling, consisting of a den and covered porch, a total of 570 SF. Gross Lot size: 13,715 SF Permitted Floor Area: 4,536 SF Zoning District: RS-C: GS Core Finished Floor Elevation: Existing Adjacent Residences: Considered During Review: Section 70 -71 Floor area ratios. Section 70 -74 Setbacks Section 70 -97 Architectural style Staff Recommendation: Effective Lot Area: 13,715 SF Proposed Total Floor Area: 3,015 SF Proposed Height: Existing Base Flood Elevation: 7.0' NGVD Gulf Stream - Bermuda Motion to Approve of a Level 2 Architectural /Site Plan Review to permit additions to the existing one -story Bermuda style single family dwelling, consisting of a den and covered porch, a total of 570 SF. ARPB Date: November 20, 2014 Action: Level 2 Architectural /Site Plan Review: Approved as requested and recommended. (5 -0) 032- PART 1. APPLICATION REQUIREMENTS To be completed by Town Staff during pre - application conference. A. Review and Approval Processes 0 1. N. Ocean Overlay Permit 0 2. Land Clearing Permit ❑ 3. Annexation Review ❑ 4. Comprehensive Plan Text Amendment Review ❑ 5. Demolition Permit ❑ 6. Future Land Use Map Change Review ❑ 7. Appeal 0 8. Zoning code Text Amendment Review B. Application Materials ❑ 9. Sign Review X10. Site Plan Review, Level II 0 11. Site Plan Revision ❑ 12. Special Exception Review ❑ 13. Subdivision Review ❑ 14. Variance Review D 15. Rezoning Review 0 16. (Other) NUMBER OF,1" COPIES REQUIRED APPLICATION MATERIAL EV�e 1 1. Completed Development Application 2. Fee of /coo + i + = I'D fS 1p-/S 12 3. Generation Location Ma on site Plan 12 4. Site Plan 2 full size, 10 reduced to 11 x17' 12 5. Building Elevations 2 full size, 10 reduced" o -/ 12 6. Floor Plans (2 full size, 10 reduced' ) 12 7. Roof Plans 2 full size, 10 reduced' fa -/,9 1 8. Perspective and /or Color rendering Recommended for meeting) 1 9. Drainage Plan if altered 12 10. Landscape Plan 2 full size, 10 reduced' 11. Septic Tank Permit 12. DOT Driveway Permit (if on A1A, for any alterations to drive 13. DOT Landscape Permit (At A) 12 14. Survey 11" x 17" /0- /S 15. Subdivision Plat 16. ConGurrency Documents 1 17. Proof of Ownership warrant deed /b_1-5- 1 18. Agent Affidavit 19. Adjacent Pro ert Own En a 20. Property owners withil 2 ' 300' (stamped addressed envelopes, no return a e'ss ) la h 1 21. Property Owners Affidavit 1 t 22. Photos of Existing Home if applicable) 1 23. Construction Traffic Management Plan I •i.1I1TG 11116...... 24. y,.. vu�+ ,.r � /tyt, -... u:.-:_ _ -- - -- •-•- ••• °••.1 '• -• q VIgYY1111 me Icluifeu, two copies Snab De an original full size (24" x 36 ") drawing which is signed and sealed. All other copies shall be reduced to 1111 x 17 ". Please refer to the instruction for more detailed information. Application for Development Approval, Form ADA.32000 Page 1 November 2001 Town of Gulf Stream TOWN OF GULF STREAM ® RECEIVED i OC I 1 D 2014 Town of Gulfstream, FL APPLICATION FOR DEVELOPMENT APPROVAL This form is to be used for all development review applications to be heard by the Town of Gulf Stream Architectural Review and Planning Board, Board of Adjustment, and /or Town Commission. To complete the form properly, please review the accompanying Town of Gulf Stream Instruction Manual for Application for Development Review Form. Failure to complete this form properly will delay its consideration. ARPB File #_H-10 To be completed by all applicants. PART II. GENERAL INFORMATION A. Project Information LA. 1. Project/Owner Name: I.A.2. Project Address-.- 303), I.A.3. Project Property Legal Description: Lo-r $ p LF 4CG1 �dAr1 p;R.T 1 S P)--ra-c f3AnL X d Pwi t -1 n QA' _ r� I.A.4. Project Description (describe in detail, including # of stories, etc.) CXI ls-r yig t "1-tarLY hF.�. Ir\t t v .4� - dram„ _ , .mac fir , f / ...t,. L), . I % f) i . n I.A.5. Square Footage of New Structure or Addition: r I o & 1 1 LIV i iC k ts$ o .. y 0 Architectural Style: (3F.4zr �n A 1.A.6. Check all that apply: `.Architectural /Site Plan Review ❑ Land Clearing ❑ North Ocean Boulevard Overlay (complete section B) K Demolition of Structures Non - residential uses ❑ Variance (complete section G) ❑ Special Exception (complete section V�\Ip:T 1N1` 1.A.7. (a) Proposed F.F.E.: TO t�PTCA �K16!! k) • Type of Foundation: S'N"-Av\ W � B. Owner Information I.B.1. Owner Address: 3 p Ca Ul_FS -I iyCty n �O�s -�� I.B.2. Owner Phone Number: �� —3t� `? I.B.3. Owner Signature: C. Agent Information C r T I.C.I. Agent Name and Firm Name: L(414 C � F-111M _T I.C.2. Agent Address: 41 N• S1pJ„ojOw1 1) )V& I.C.3. Agent Phone Number: (o)r' (oI- d��..prJ�q cell FaxS 1.C.4. Agent Signature: Official Use Only Pre -App Date: ARPB Date: App Date: Recommendation: Com Dale: TC Date: Decision: 10 fy Application for Development Approval Form ADA.2000 revised 6/13/00 Page 2 Town of Gulf Stream PART III. PROJECT DESCRIPTION AND JUSTIFICATION To be completed by all applicants after pre- application conference with Town Staff. Please be concise but brief. Attach additional sheets only when necessary and be sure to include the appropriate and complete question number for each response. A. Project Description and Justification III.A.1. In what zoning district is the project site located? RS 12— &y..Si X4 f 2. F& M► �w III.A.2. Is the project compatible with the intent of the zoning district ? es No �- Explain: A OO ITy, I o�: �f 1 � SF L t !�R W io 1W'iotS } � >sc III.A.3. Is the project consistent vgj�h the Future Land Use Map and goals, objectives and policies of the Comprehensive Plan? Yes No Explain: M)orrin.1 of 412 5S �I IrJ �P To )t4t))S III.A.4. How are ingress and egress to the property to be provided? Nor III.A.5. a. b. C. d. e. f. 9- h. How are the following utilities being provided to the properly? Stormwater Drainage Sanitary Sewer Potable water Irrigation Water Electricity Telephone Gas Cable Television 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.) N SAM_G pl_F:ScrsL. Ntw SPPcr_ t^EESTS At-( PART IV. ADDITIONAL INFORMATION Section A is to be completed by all applicants after pre - application conference with Town staff. Answering "Yes" to any question in Section A requires the completion of additional Sections as indicated. A. Additional Approvals /Requirements IV.A.1. Does the project involve 1 d area within fifty feet (50') of the A1A (North Ocean Boulevard) right -of -way? Yes No (If "Yes ", Section B of this part must be completed.) IV.A.2. Does the project involve the demolition of one or more structures? Yes yS No Pp�•rtAL � (If "Yes ", Section C of this part must be completed.) IV.A.3. Does the project involve the clearing or the filling of any portion of an exi g vacant lOo�or�mo e�tha L_ fifty percent (50 %) of the landscape area of a developed lot? Yes No (If "Yes ", Section D of this part must be completed.) IV.A.4. Does the project require approval of a Special Exception? Yes No (If "Yes ", Section E of this part must be completed.) IV.A.5. Is the project at variance with any regulations contained in the Zoning Code? Yes No (If "Yes ", Section G of this part must be completed.) Application for Development Approval, Form ADA.32000 Page February 2002 ?c.vn of Gulf Stream B. Projects Requiring North Ocean Boulevard Overlay Permit IV.8.1. What significant landscape features or architectural features are to be disturbed or added and to what extent? IV.B.2. Describe the need and justification for the disturbance /addition: IV.B.3. Will the disturbance /addition destroy or seriously impair visual relationships among buildings, landscape features and open space, or introduce incompatible landscape features or plant material that destroys or impairs significant views or vistas within the North Ocean Boulevard Overlay District? Yes No Explain: _ IV.B.4. How is the design consistent with the Al A 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 IV.C.1. When are the existing structures to be demolished? I>T STPiLT O�- (.br i-7-N U TION IV.C.2. When are the proposed structures to be constructed? 1 e+�MFA1P�y PFT ntr,�j_ IV.C.3. What is the landmark status of the structures to be demolished? WaIlL D. Projects Requiring a Land Clearing Permit IV.D.1. Describe those vegetative materials of 8 inches in diameter and greater to be North Ocean Boulevard Overlay District: IV.D.2. Describe the need and justification for the removal /relocation: IV.D.3. How is the removal from the project site of vegetation to be mitigated: IV.D.4. How are the remaining and relocated vegetative materials to be protected and preserved during the land clearing and constriction activities and thereafter? IV.D.5. What replacement materials are proposed? Application for Development Approval, Form ADA.32000 Page 4 February 2002 COMMISSIONERS SCOTT W. MORGAN, Mayor ROBERT W. GANGER, Vice -Mayor JOAN R. ORTHWEIN THOMAS M. STANLEY DONNA S. WHITE November 21, 2014 TOWN OF GULF STREAM PALM BEACH COUNTY, FLORIDA Mr. & Mrs. Theodore S. Forman 3032 Gulf Stream Road Gulf Stream, Florida 33483 Dear Mr. & Mrs. Forman: 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 Public Hearing held by the Architectural Review and Planning Board on November 20, 2014, your application for a Level 2 Architectural /Site Plan Review to permit an addition to the rear of an existing one -story Bermuda style single family dwelling, consisting of a den and covered porch, a total of 570 square feet, at 3032 Gulf Stream Road was considered. The application was approved as requested. This approval shall expire on November 20, 2015 if a Building Permit Application, including the aforementioned improvements, has not been applied for. Very truly yours, Rita L. Taylor Town Clerk CC: Gary Stofft, Architect 100 SEA ROAD, GULF STREAM, FLORIDA 33483 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 THURSDAY, NOVEMBER 20. 2014 AT 8:30 A.M. 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 Gary Stofft as agent for Mr. & Mrs. Theodore S. Forman, owners of property located at 3032 Gulf Stream Road, Gulf Stream, Florida 33483, legally described as Lot 18, Gulf Stream Properties Subdivision, for the following: LEVEL 2 ARCHITECTURAL /SITE PLAN REVIEW to permit an addition to the rear of an existing one -story Bermuda style single family dwelling, consisting of a den and covered porch, a total of 570 square feet. The Architectural Review and Planning Board shall make a final decision regarding the subject application at the meeting noticed above. The meeting 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 of the Town of Gulf Stream at the time and place aforesaid and be heard. SHOULD ANY INTERESTED PARTY SEEK TO APPEAL ANY DECISION MADE BY THE ARCHITECTURAL REVIEW AND PLANNING BOARD WITH RESPECT TO ANY MATTER CONSIDERED AT THE PUBLIC HEARING, SAID PARTY WILL NEED A RECORD OF THE PROCEEDINGS, AND FOR SUCH PURPOSE, MAY NEED TO INSURE THAT A VERBATIM RECORD OF THE PROCEEDINGS IS MADE, WHICH RECORD INCLUDES THE TESTIMONY AND EVIDENCE UPON WHICH THE APPEAL IS TO BE BASED. 286.0105, F.S.S. TOWN OF GULF STREAM, FLORIDA Dated: October 24, 2014 Rita L. Taylo Town Clerk U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY National Rood tnsurana Program IMPORTANT: Follow the Instructions on pages 1 -9. D'AY OMB No. 1660 -0008 Expiration Date: July 31, 2015 SECTION A — PROPERTY INFORMATION I FOR INSURANCE COMPANY USE Al. Building owner's Name FORMAN CHERYL L FORMAN THEODORE 14- 1037000 YRE I Policy Number: or P.O. Route and Box No. "' GULFSTREAM otate FL ur 0oce 33483 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) PL OF GULF STREAM PROPERTIES LT 18 20- 43- 46 -03 -05 -000 -0180 A4. Building Use (e.g., Residential, Non•Residentlal, Addition, Accessory, etc.) RESIDENTIAl A5. Latitude /Longitude: Lat. N9809933" 3'1 Long. Mn"nA" Horizontal Datum: [] NAD 1927 rEl NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood Insurance. A7. Building Diagram Number IA A8. For a building with a crawispace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) N/A sq ft a) Square footage of attached garage N/A sq ft b) No. of permanent flood openings in the crawlspace or N/A b) Number of permanent flood openings in the attached garage enclosure(s) within 1.0 foot above adjacent grade within 1.0 foot above adjacent grade 4,11A c) Total net area of flood openings in AS.b N/A sq in c) Total net area of flood openings in A9.b NIA sq In d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes ® No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFlP Community Name & Community Number GULFSTREAM- 125109 B2. CountY Name PALM BEACH 83. State FL B4. Map /Panel Number 85. Suffix 125142 0001 D B6. FIRM Index Date 10/15/1982 B7. FIRM Panel Effective/ Revised Date 10115/1982 B8. Flood Zone(s) A5 B9. Base Flood Elevation(s) (Zone A0, use base flood depth) 1 7.00 1310. Indicate the source of the Base Rood Elevation (BFE) data or base flood depth entered in Item B9: ❑ FlS Profile ® FIRM ❑ Community Determined ❑ Other /Source: Ell. Indicate elevation datum used for SFE in Item B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other /Source: 812. Is the building located In a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ®No Designation Date: _ / _/_ ❑ CBRS ❑ OPA SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ® Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations —Zones Al —A30, AE, AH, A (with BFE), VE, V1 —V30, V (with BFE), AR, AR /A, AR /AE, AR /Al —A30, AR /AH, AR /AO. Complete Items C2.a —h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: PB Vertical Datum: NGVD 1929 Indicate elevation datum used for the elevations in Items a) through h) below. ® NGVD 1929 ❑ NAVD 1988 ❑ Other /Source: Datum used for building elevations must be the same as that used for the BFE. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) b) Top of the next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Descdbe type of equipment and location In Comments) f) Lowest adjacent (finished) grade next to building (LAG) g) Highest adjacent (finished) grade next to building (HAG) h) Lowest adjacent grade at lowest elevation of deck or stairs. Including structural support SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification Is to be signed and sealed by a land survevor. engineer. or architect authori7eri by law to nprtifv ebavatinn Check the measurement used. 13. 91 ® feet ❑ meters N/ A ® feet ❑ meters N/ A ® feet ❑ meters N/ A ® feet ❑ meters 13 75 ® feet ❑ meters , 13 , 00 ® feet ❑ meters 13_ . -23_ ® feet ❑ meters N/ . A ® feet ❑ meters SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification Is to be signed and sealed by a land survevor. engineer. or architect authori7eri by law to nprtifv ebavatinn ELEVATION CERTIFICATE, page 2 D'AWL IMPORTANT: In these spaces, copy the corresponding Information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or B0. Route and Box No. Policy Number: ZIP Code SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments C.2.E. REFERS TO AIR CONDITIONER MACHINERY SERVICING BUILDING LATITUDE AND LONGITUDE OBTAINED BY GPS /FLOOD ZONE DETERMINATION IS FURNISHED BY FEMA THIS ELEVATION IS INTENDED FOR FLOOD INSURANCE PURPOSES ONLY; NOT TO BE USED FOR LOMA OR ZONING Signature S.t,p..p Date 10/222014 secTION W BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items El -E5. If the Certificate is Intended to support a LOMA or LOMR -F request, complete Sections A, B,and C. For Items E1 -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. El. Provide elevation Information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (Including basement, crawlspace, or enclosure) is _ . _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is _ . _ ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and /or 9 (see pages B-9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is _ . _ ❑ feet Cl meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is _ . _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and /or equipment servicing the building Is _ . _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only: If no flood depth number Is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this Information in Section G. SECTION F — PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMAissued or community- Issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Owner or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments. SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who Is authorized by low or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used In Items G8 -G10. In Puerto Rico only, enter meters. G1. ❑ The Information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who Is authorized by law to certify elevation Information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA- issued or community- Issued BFE) or Zone A0. G3. ❑ The following Information (Items G4 -G9) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compllance /Occupancy Issued G7. This permit has been Issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as-built lowest floor (Including basement) of the building: _ . ❑ feet ❑ meters Datum G9. BFE or (in Zone AO) depth of flooding at the building site: _ . ❑ feet ❑ meters Datum GSO.Community's design flood elevation: _ . ❑ feet ❑ meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑ Check here If attachments. P RAA A, [19 J 11 171111 o ............. .0 ��.:...... - A.,...... ELEVATION CERTIFICATE, page 3 BUILDING PHOTOGRAPHS ,VA,L17LA See Instructions for Item Afi. IMPORTANT: In these spaces, copy the corresponding Information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. Policy Number: 3032 GULFSTREAM RD CI State ZIP Code Company NAIC Number: GULFSTREAM FL 33483 If using the Elevation Certificate to obtain NFIP flood Insurance, affix at least 2 building photographs below according to the instructions for Item AS. Identify all photographs with date taken; "Front View" and "Rear View "; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as Indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. FRONT VIEW /SIDE VIEW DATE: 10122/2014 FEMA Form 0860 -33 f7 /171 A�MiMroe mI odatnnc ELEVATION CERTIFICATE, page 4 BUILDING PHOTOGRAPHS pgyILp Continuation Page ow— "'"""""' IMPORTANT: In these spaces, copy the corresponding Information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or PO. Route and Box No. Policy Number: 3032 GULFSTREAM RD FL 33483 If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View "; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. REAR SIDENIEW SIDE DATE: 1 012 2/2 01 4 FEMA -Farm 086-0 -33 (7/12) R0e1,1C05 311 orevious editions. LEGAL COURIER WILL CALL 119111111NIIINIIINNIII�IIIIHNI�QIIIIINII�I DICKENSON, MURRPW, RE" SWAN //#27 GFN 20100256761 Q N OR BK 23949 PG 1592 THIS INSTRUMENT PREPARED BY AND RETURN TO: RECORDED 07/14/2010 16:13:42 .David B. Dickenson,Esq. Palm Beach County, Florida DICKENSON, REX and SLOAN, P.A. ART 950, 000.00 Doc Stamp 6,650.00 98�Iorth Federal Highway, S -410 Sharon R. Bock, CLERK 8 CORPTROLLER �BDe8* aton,Florida 33432 2P9s) Pgs 1592 - 1593• ( F WD Appraisers Parcel Identification (Folio) Numbers: 20- 43- 46 -03 -05 -000 -0180 Space Above This Line For Recording Data r WARRANTYDEED THIS' AR 'Y DEED, made the day ofd_, 2010 by Daniel C. Shedrick, an unmarried man, whose post 0 1 e address is 11 Mill Path, Bridgehampton, 1VY 11932 herein called the Grantor, to Theodore S. Forman Jr. and- fie�yl L. Forman, husband and wife, whose post office address is 3032 Gulfstream Road, Gulfstream, FL 3�483rhereinafter called the Grantees: (Wherever used hereiti.�Q�`y. terms "Grantor" and "Grantee" include all the parties to this instrument and the heirs, (ego( representatives and assigru di..dua(s, and the successors and assigns ofcarporat(ons) W I T N E S S E T H.-( A the Grantor, for and in consideration of the sum of TEN AND 00 /100'S ($10.00) Dollars and other valuable iy§tduations, receipt whereof is hereby acknowledged, hereby grants, bargains, sells, aliens, remises, releases, con TZri ,confi ms unto the Grantee all that certain land situate in Palm Beach County, State of Florida, viz.: Lot 18, GULF STREAM PRQp�tTIES, according to the Plat thereof as recorded in Plat Book 18, Page 27, Public Records of Paliti.111�ch^ County, Florida. tom, Subject to easements, restrictions (* reservations of record and taxes for the year 2010 and thereafter. ' TOGETHER, with all the tenements, heredifaments and appurtenances thereto belonging or in anywise appertaining. TO HAVE AND TO HOLD, the same in fee simple forever. AND, the Grantor hereby covenants with said Grantees that the Grantor is lawfully seized of said land in fee simple; that the Grantor has good right and lawful authority to sell and convey said land, and hereby warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all encumbrances, except taxes accruing subsequent to December 31, 2009. RECEIVED, OCT 15 2014 Town of Gulfstream, FL Book23949/Page1592 Page 1 of 2 Witness #1 WHEREOF, the said Grantor has signed and sealed these presents the day and year first above in thla, L.� I (� Daniel C. Shedrick ��. ltiQ,6En1WAL�j III S STATE OF NEW YORK COUNTY OF V 45` ST The foregoing instrument was I&Lagw�edged before me this day of 2010 by Daniel C. Shedrick who is personally knd� 1101 me or has produced F LtNL as identification. r1 � ovaSEAL !Cl %!,_ � v,on.M. JEFFREY, M.GREENWALD Notary Public, State of New York- =� N0.01GR6093982 Qualified in Suffolk County �oJ o Commission Exp'[as June 9, My Commission Expires: o��CFI VEO,W rOw17 Of�u f r a�14 m, F� Book23949 /Page1593 Page 2 of 2 TOWN OF GULF STREAM PALM BEACH COUNTY, FLORIDA COMMISSIONERS WILLIAM F. BOCH, JR. Mayor JOAN B. ORTHWEIN, Vice Mayor FRED B. DEVITT III CHRIS D. WHEELER MORIEL J. ANDERSON STATE OF FLORIDA ) COUNTY OF PALM BEACH ) TOWN OF GULF STREAM ) �r Telephone (561) 276 -5118 Fax �EpE�VE p (561)Tenag88 1ILLIAM H.THRASHER Town Clerk AGENTAFFIDAVIT TO wf'Oj RITA TAYLOR (,'�� /Sffeam, F( L BEFORE ME THIS DAY PERSONALLY APPEARED (Owner) C� (pr mcr , 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: le �& I� AGENT'S(S) NAME: COMPANY OR FIRM NAME: ILIA S7d(-F� IF� -� S AGENT'SADDRESS: Lia N• SwI� -r�� pV� L� 33 AGENT'S PHONE: _ �;� � - -:�L4 3 0q 95 FURTHER AFFIANT SAYETH NOT. ", LC i (Owner Signature) 6t �- - - - .,} . SWORN AND SUBSCRIBED BEFORE ME THIS ��" , DAY O FC O�--I��,�� �, 20Lq l /d�- �Y>u Notary Public Slate of Florida (N TARY PLF13LICY MY COMMISSIO SRTo'yn S S"Or gc. My ommission 0o „sod Expires 0307/2015 100 SEA ROAD, GULF STREAM, FLORIDA 33483 TOWN OF GULF STREAM PALM BEACH COUNTY, FLORIDA COMMISSIONERS WILLIAM F. KOCH, JR. Mayor JOAN K. ORTHWEIN, Vice Mayor FRED B. DEVITT III CHRIS D. WHEELER MORIEL J. ANDERSON STATE OF FLORIDA COUNTY OF PALM BEACH TOWN OF GULF STREAM AFFIDAVIT h ' RiecI, Oct T©µ17 of Gulfstfeam F1 Telephone (561) 276 -5116 Fax (561) 737 -0166 Town Manager WILLIAM H. THRASHER Town Clerk RITA L. TAYLOR BEFORE ME THIS DAY PERSONALLY APPEARED C Ae r I Fo f ry) ' � T , WHO BEING DULY SWORN, DEPOSES AND SAYS THAT THE ACCOMPANYING LIST OF PROPERTY OWNERS, MAILING ADD 'S AND LEGAL DESCRIPTIONS OF ALL PROPERTY (circle one): (1) within 25 feet, *(for N. Ocean Overlay, Demolition, Land Clearing; Signs and Site Plan Review (2) within 300 feet, *(for Variances or Appeals) (3) adjacent to *(for Special Exceptions) THE BELOW DESCRIBED PARCEL OF LAND IS, TO THE BEST OF HIS KNOWLEDGE, COMPLETE AND ACCURATE AS RECORDED IN THE LATEST OFFICIAL TAX ROLLS IN THE PALM BEACH COUNTY COURTHOUSE. *street and waterways are excluded from this distance THE SUBJECT PROPERT IS LEGALLY DESCRIBED AS FOLLOWS: l O-T ag Parr. n, FURTHER AFFIANT SAYETH NOT: SIGN ) J SWORN AND SUBSCRIBED BEFORE ME THIS i DAY OF eX -{06( 1t, 20 (NOTARY PU IC)/ MY COMMISSION EXPIRES: RN e'� Notary u x: aeo . Robyn S S ilver • My Commision EE070435 Deputy /forms /const/10 /15/08 °R Expires 03/0712015 TED FORMAN From: Cheryl Forman <cherylforman @me.com> Sent: Wednesday, October 15, 2014 9:34 AM To: ted @formanlawoffices.com Subject: Addresses The Goves 3054 Gulf Stream Rd. Margaret Runnette 3023 Polo Dr. The Lounsbury's 3011 Polo Dr. The Lyons 2945 Polo Dr. The Delafield's 2930 Gulfstream Rd. The Dockerty's 3000 North Ocean Blvd. The Magretas 3018 North Ocean Blvd. The Papera's 3030 North Ocean Blvd. Sent from my iPhone 1 i RECEIVED j OCT 152014 Town of Gulfstream, FL wP21tue� ; `j i r tr E ,. f _`= + ioa9W