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APP 02~18 (Large Plan In File)
COMMISSIONERS WILLIAM F. KOCH, JR. Mayor JOAN K. ORTHWEIN, Vice Mayor FRED B. DEVITT III ROBERT W. HOPKINS II WILLIAM A. LYNCH November 21, 2002 Mr. Robert O'Brien 12 Banyan Rd. Gulf Stream, FL 33483 Dear Mr. O'Brien: TOWN OF GULF STREAM PALM BEACH COUNTY, FLORIDA Telephone (561) 276 -5116 Fax (561) 737 -0188 Town Manager WILLIAM H. THRASHER Town Clerk RITA L. TAYLOR This is to confirm that at the Public Hearing held by the Architectural Review and Planning Board this date, your application for a Level 2 Architectural /Site Plan Review to permit an addition consisting of 547.5 square feet to your existing Bermuda style residence at 12 Banyan Road was considered. The application was approved conditioned upon the following: 1) A Construction Traffic Management Plan shall be submitted and approved by the Gulf Stream Police Department prior to application for a building permit and shall be followed during construction; 2) Compliance with all National Flood Insurance Program requirements applicable to the addition. This approval shall expire on November 21, 2002 if a Building Permit Application, including the aforementioned improvements, has not been applied for. Very truly yours, ,2�& ,i 7,&-t-, Rita L. Taylor Town Clerk cc: Shane Ames 100 SEA ROAD, GULF STREAM, FLORIDA 33483 Town of Gulf Stream TOWN OF GULF STREAM z RECEIVED Q C T 15 2002 Town of Gult Stroern, IFL M- 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 # O 1- - l � To be completed by all applicants. PART II. GENERAL INFORMATION A. Project Information I.A.I. Project/Owner Name: 06 F- I Ei`1 I.A.2. Project Address: 12 �'JA � YA f� RD- 61 4L F611Z- E�Ar� , F l- ) 33J,5:!> I.A.3. Project Property Legal Description: Lo T 51 r-i L LF 61-eEA r ,1 PIS P E-}z -r1 C 5 Igo, rL PAC, G- � Z h• C� c f =t- �. �I�,T ill of PA L fil I.A.4. Project Description (describe in detail, including # of stories, etc.) ADnI T lo�, o F FIST V 190 P,44 I.A.5. Square Footage of New Structure or Addition: '+-7 ..57 5 F Architectural Style: D G--(L rd J DA 1.A.6. Check all that apply: 0 Arch itectural/Site. Plan Review ❑ Land Clearing Overlay (complete section B) ❑ Demolition ❑ North Ocean Boulevard of Structures 0 Non - residential (complete section G) 0 Special Exception (complete section F) uses 0 Variance 1.A.7. (a) Proposed F.F.E.: ` ATC. I EX 1ST Type of Foundation: 5 TtM B. Owner Information 1.8.1. Owner Address: ,&,5 rb ov/r 5 I.B.2. Owner Phone Number: 5(0 I - 3-,,7�,- q (P a (y Fax: S(oI - &33 I.B.3. Owner Signature: C. Agent Information I.C.1. Agent Name and Firm Name: :514A I.C.2. Agent Address: 2v .3 Dr�CI[; 13I..`/1) hGL;I" LG-Il f"Lj 334+5 I.C.3. Agent Phone Number: (o) 6-'(,I Fax 0449 1.C.4. Agent Signature: -- icial Use Only Pre -App Date ✓ ARPB Date 1 - "-cl App Date /Q ° 1 h1-G 1— Rec. Com Date TC D Dec. � 144- /.y� �/ Application for Developf ent pproval Form ADA.32000 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? III.A.2. Is the project compatible with the intent of the zoning district? '(Yes ❑ No Explain. III.A.3. Is the project consistent with the Future Land Use Map and goals, objectives and policies of the Comprehensive Plan? XYes ❑ No Explain. III.A.4. How are ingress and egress to the property to be provided? L XI _,�'r_ III.A.5. How are the following utilities to be provided to the property? a. Stormwater Drainage b. Sanitary Sewer c. Potable Water d. Irrigation Water e. Electricity f. Telephone g. Gas h. Cable Television I�) T 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.) 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 land area within fifty feet (50') of the A1A (North Ocean Boulevard) right -of- way? ❑ Yes XNo (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 )(No (If "Yes ", section C of this part must be completed.) IV.A.3. Does the project involve the clearing or filling of any portion of an existing vacant lot or more than fifty percent (50 %) of the landscaped area of a developed lot? ❑ Yes X No (If "Yes ", section D of this part must be completed.) IV.A.5. Does the project require approval of a Special Exception? ❑ Yes IX No (If "Yes ", section E of this part must be completed.) IV.A.6. Is the project at variance with any regulations contained in the Zoning Code? ❑ Yes XNo (If "Yes ", section G of this part must be completed.) Application for Development Approval Form ADA.32000 Page 3 Town of Gulf Stream B. Projects Requiring North Ocean Boulevard Overlay Permit IV.B.1. What significant landscape features or architectural features are to be disturbed or added and to what extent? IV.B.2. Describe the need and justification for the disturbance /addition. IV.B.3. Will the disturbance /addition destroy or seriously impair desirable visual relationships among buildings, landscape features and open space, or introduce incompatible landscape features or plant material that destroy or impair significant views or vistas within the North Ocean Boulevard Overla y District? El Yes ❑ No Explain. IV.13.4. How is the design consistent with the AM Landscape Enhancement Project? IV.B.5. What mitigation is proposed so that the disturbance /addition has the least impact possible to visual and aesthetic quality of the North Ocean Boulevard Overlay District? the C. Projects Requiring a Demolition Permit IV-C.1. When are the existing structures to be demolished? IV-C.2. When are the proposed structures to be cons tructed? IV-C.3. What is the landmark status of the structures to be demolished? D. Projects Requiring a Land Clearing Permit IV.D.1. Describe those vegetative materials of 8 inches in diameter and greater to be removed /relocated. 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 remaining and relocated vegetative materials to.be protected and preserved dur' the land clearing and construction activities and thereafter? i IV-D.5. What replacement materials are proposed? Application for Development Approval Form ADA.32000 Page 4 TOWN OF GULF STREAM ARCHITECTURAL REVIEW AND PLANNING REPORT Application #: 002 -18 Property Owner: Robert O'Brien Address: 12 Banyan Agent: Shane Ames, Architect (at NE corner of Oleander) Proposed Improvements: 547.5 square feet addition to the existing Bermuda Approval Requested: Special Exception: N/A Gross Lot Area: 15,196 S.F. Permitted Floor Area: 5,015 S.F. Zoning District: RS -Core Max. Height: 20' (24' w/ features) style single family dwelling Architectural/ Site Plan Review -Level II Variances: N/A Effective Lot Area: 15,196 S.F. Proposed Floor Area: 4046.5 S.F. Proposed Height: 15.5' plus roof features Existing Finished Floor Elevation: 5.9' - 6.5' NGVD (addition to match existing) Minimum Flood Elevation: 7' NGVD (see below) Existing/Proposed Architectural Style: "Other various style " /Anglo Caribbean Adjacent Residences: Adjacent to the east is a Bermuda; adjacent to the north and across the street to the west are other various style homes. Key Issues Considered During Review: "substantial improvement review" required due to the existing home's elevation below 7'NGVD Staff Recommendation: B. A motion to approve a Level II Architectural/Site Plan Review, based on a finding that the proposed plans are consistent with applicable review standards, subject to the following conditions: 1. A Construction Traffic Management Plan shall be submitted and approved by the Gulf Stream Police Department prior to application for building permit and shall be followed during construction. 2. Comply with all National Flood Insurance Program requirements applicable to the addition. Basis for Recommendation: The architect has designed an attractive addition that nicely compliments the existing small scale and charm of the home. The proposed floor area is well below that permitted by the Design Manual. Minimum Flood Elevation The existing home is below the 7' elevation required by the Flood Insurance Rate Map (FIRM) for this area. As such, the home may not be improved in excess of 50% of the existing home's value. The property owner has submitted documentation from appraisers indicating the home's value to be $270,925 (structure). Documentation submitted by a licensed contractor shows the combined value (application #000 -09 and 002 -18) of the additions to be $ 78,600. National Flood Insurance Program (NFIP) provisions allow additions that are less than 50% of the existing structure's value to be constructed at the same elevation as the existing home. Code Requirements that must be met prior to issuance of a Building Permit: 1. Health Department approval of the septic system will be required prior to issuance of a building permit. ARPB Date: 11/21/02 Action: Approved (4 -0) LOT 5 6 F/C 1 WALL CORNER LEGAL DESCRIPTION ?.4'W, ,F2.1'N, 0.4'w LOT 54, "GULFSTREAM PROPERTIES NO. 2 ", ACCORDING TO TH E THEREOF AS RECORDED IN PLAT BOOK 18 PAGE 42, OF THE PUBLIC PALMBEACH COUNTY, FLORIDA, TOGETHER WITH THE WEST 1/2 OF LYING EAST AND ADJACENT THERETO AS IN OFFICIAL RECORD BOOK 1765. CERTIFIED TO: ROBERT B. O'BRIEN PROPERTY ADDRESS 12 BANYAN ROAD GULFSTREAM, FL 33483 BOUNDARY SURVEY INVOICE # 14279 SURVEY DATE 08/29/01 SURVEY DATE 06/21/01 ADDED PROPOSED ADDITION & PORCHES 06/25/01 SPOT SURVEY 01/17/02 SPOT SURVEY 01/26/02 FINAL SURVEY 09/25/02 FLOOD ZONE A5 -7.00 MAP DATE 09/30/82 MAP NUMBER 125109 0001 D **NOTE** FINISHED FLOOR OF NEW ADDITION TO MATCH EXISTING RESIDENCE 20 O 20 40 60 Scale 1 " = 20' PLAT RECORDS OF PALM WAY 6533, PAGE I7.5' 1 FND 2" MONUMENT. 1 E /P, 2.0'W 4.6 ... • � •• `COI r� RECEIVE �1 2.6' vl BRICK WALK .5 n ,• .13.8';' .' a 1 4' a"i p 11.2' d 2002 2B. : 1 M 4' -11-17T �. M ° -01 '. � 00 • _M p 1 GE r: n ao GARA ..• a. ,°� N a a m "•, J &f � CtU�tl BillT1,k. CE O • ° 1 C W m N ' 1 ,l7, Rd'F NUMBER CENTRAL ANGLE CHORD BEARING RADIUS ARC ' CURVE 1 71 °27'00" S.47 °05'37 "E. 15.00 28.0' STANDARDS FOR CODE FOR THE I X_ LQ .. - :� : .; , "10.0 . � : ,.. • .. 4 q� 15' 11 BY �c PAUL J. STQWf!I5 4.5' 2 1 O 31.9' to ^ 15.6 N 1 Zi w 3 3932' 2.5: OP 4.7' a p.7' 1 a. N 0 1 1 ® WM 5 q 14.2' c�v 1 l L ¢ =1 3.7' LO T RY _ ti RESIDENCE a 3 IS FF =5.9' 15.3 J 1 0.51 0 4.1' 1 3 1 O 39.66' o X3.1 1 CL to r o+ OP �? o+ c�v 1 L. 40.17 to N C14 2.50 7.9 16.3 r 5.0 04.0 4. ' SP &C n/ 1 ,d .t, ! 4.-0' 1 ^,• #5495 l i w !/A '`C ' C� EF 7.5' Lp'• 20 6'N CATCH' SP &C 0.4'W- BASIN #5495 FND PK h� t NAIL & WASHER 1`1 ELEV- 8� o NUMBER CENTRAL ANGLE CHORD BEARING RADIUS ARC ' CURVE 1 71 °27'00" S.47 °05'37 "E. 15.00 18.71 LEGEND AND NOTES (FOR ABBREVIATIONS SEE BACK OF THIS PAGE) I. BASIS OF BEARINGS AS INDICATED ON SKETCH. 2. LEGAL DESCRIPTION PROVIDED BY CLIENT. 3. THE LANDS SHOWN HEREON WERE NOT ABSTRACTED BY THIS OFFICE FOR EASEMENTS, RIGHT -OF -WAYS, OWNERSHIP OR OTHER INSTRUMENTS OF RECORD. 4. UNDERGROUND OR INTERIOR PORTIONS OF FOOTINGS, FOUNDATIONS, WALLS OR OTHER NON- VISIBLE IMPROVEMENTS WERE NOT LOCATED. 5. ELEVATIONS ARE BASED ON THE NATIONAL GEODETIC VERTICAL DATUM OF 1929 UNLESS OTHERWISE SHOWN. 6. FENCE TIES ARE TO THE CENTERLINE OF FENCE. WALL TIES ARE TO THE FACE OF WALL 7. IN SOME INSTANCES GRAPHIC REPRESENTATIONS HAVE BEEN EXAGGERATED TO MORE CLEARLY ILLUSTRATE THE RELATIONSHIP BETWEEN PHYSICAL IMPROVEMENTS AND /OR LOT LINES. IN ALL CASES DIMENSIONS SHALL CONTROL THE LOCATION OF THE IMPROVEMENTS OVER SCALED POSITIONS. S. THE DIMENSIONS AND DIRECTIONS SHOWN HEREON ARE IN SUBSTANTIAL AGREEMENT WITH RECORD VALUES UNLESS OTHERWISE NOTED. 9. PARTY WALLS ARE CENTERED ON PROPERTY LINE AND ARE 0.7' WIDE UNLESS OTHERWISE NOTED. - - - CENTERLINE WOOD FENCE -X X- METAL FENCE _CbNC.' •'CHAT.:.. WOOD BRICK PAVERS I HEREBY CERTIF STANDARDS FOR CODE FOR THE I OF THE FLORIDA NOT VALID W AND MAPPE BY �c PAUL J. STQWf!I5 2Q� RIGHT-OF -WAY_ �•� 18' ASPHALT P Vq EMEN - D4 DENOTES WATER VALVE BANYAN ROAD CONCRETE BLOCK WALL QO MONITORING WELL - OVERHEAD WIRES ® CABLE JUNCTION BOX CONCRETE FENCE -a- POWER /LIGHT POLE GUY ANCHOR O WATER METER - DENOTES ELEVATION 1z FP &L /SBT PAD THE SURVEY REPRESENTED HEREON MEETS THE MINIMUM TECHNICAL kVEYS AS SET FORTH IN CHAPTER 61G17 -6 OF THE FLORIDA ADMINISTRATIVE PROFE.WIONAL SURVEYORS AND MAPPERS PURSUANT TO SECTION 472.027 IRE AND THE IGI RAISED SEAL OF A FLORIDA LICENSED SURVEYOR DATE 08/30/91 PJS LAND SURVEYOR FLORIDA CERTIFICATION NO. 5241 -4A E/P 0.0'S SURVEYING, INC. LB NO. 5495 i <�e2 r A-4 FND 2" CONC MONUMENT 5615 S. UNIVERSITY DR. DAVIE (954)252 -5254 DAVIE, FLORIDA 33328 BOCA (561)488 -9628 FAX (954)252 -5358 ©1998 ATLANTIC COAST SURVEYING INC. ��0 = I " > = % 1 5 ' r - I . " 4 4 0 6 C . 4 P I l J 6 1 l e I z t r ' l f n l r ! , , . D i 1 1 ' r I a j 4 A L b a p p O " / I D G D / , j M C E V T o G d r 4 P L s - H r g J r - r o e r 4 L . 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OfiHfifiT O � J LL — 7 APPROVED SE" NOV 2 12002 TOWN OF GULF STREAM, FL i�l UU I N 0 RIGHT ELEVATION ��,) WW gQa�� �® =n = W _ a � v U� W A Fs n U Q V i Q w LL ra 0 0 z " ^rcx � w 8 =0W��_ 77- v �F—� ou. rte,, s�JrreRy— i Z Z m 77 HHE ,�� 0 w W,44A7rdp(7ro, ,� J - m a FtT�l� 0 Q REAR ELEVATION (r4Ew) �EIVE� 15 2002 Guff Stream, M- DepartmeM eHCCK o OYTG 0 BCALG BBBI JOB NT Q eHeer W 4 J W— 7 BNSGTa -U r N�MLI>^ , Extli• pc�F ro POEM 114 SEAM GEroEND SST LFoEND }}� 3� 1X12 �tEADEfz•�lrWED � NFiIL.P.Pi PI 3 -2x12 WD,P05r (TyP,� 3.2x1�51'�/2- 5 /81XId f�7• � 3 /r}II N2 •p}�J yctg a al�o•o. s- rAalel. 3- 2T(lo5 (.IEN76R•Unl.L1En �NAII.eO) ROOF FRAMING NOTES: l BNLDeR MUIl YERIPI'.NA. BEA)11EXARS fSHCUH OJ TRADE TR °_'AID SHALL COOfpWTE ' YRH lIL' TRW )1AIIFACRYtl:R ANp ANT ORER fEJ,Areo AND SMH{AuL.L� HOTI%" LTEOT . �E1Lf+Oa0.p_'"OiIDiRSN!OLTI CP ANT oLL f R AJCCER R -p 11: 0 NM L FOR ANT D BC pAEPANGR S . MRST O E MADE wN TON f.) CALENDAR OA ATYYRES I AI F RMYO S e Y N OTNTFeI.CAARWTKIN Te Tco T OF RtC4IRTE0 O f Tiff OULLDEW FECEIR CP tIffSE I'� -�N• ), d1YDERG TRGS hWiF,t^IIVER MULL rR VIDE THREE CLtFLETE GETS OF PLLT EIGBFiTED ^FclTl•FOF � i �CV.ED/ or TIE TRtl C AN,, ACaroTe1EP ETGINEM TO TOE 5. DNDFR 0RA1L PROVIDE .I)Y] AE FEIPV WELE raR PPDFE.R AND AGIC" E M10PGG ANo CRACJO O ALL STGLI ,, F£LATIDI CO —ENT. FQ2 — OYRANOI Q T)1E PFCVECT AS PER Irk ORACPG — Tp CO'TEIRIRT AND IECOT NOATICW. 110155 M.Y1F6L111f�R MULL PFCmDE ADEGUTE 1'ERMAIY]R ORACGG FOR AW NAND-ER N ATTIC AREA AND COCfiDNATE GA"M wDN T)S kvA TRLSG MANFKIII ER INLLL AL50 PRONDE PERM4Y:IR. mEOWE pRgCRG FGR CHANDELIERS AND COGRO WTE WTH i>£ O I ANOKR BUILDER AND ELjG RACAL CON)RAGTOR t AACR•- 4L,,Wr OE HELD FESPOWIOLe —De— GP TRLSGEG AS YDICATeD ON TR- IIR.IYRG 1MY. rcv. ARE tERFIBD BY BUYDER.DevEL.AY4t AND Ts— PV)A]'ACi1EER AS TO fE/.S ,TY G LAY—. A ALL WRIER TRNSES AND bOCO GIRDERS eFNW' ON tLA5CNRT OR OCN TM MLL1 NAYS tM DEARGC OF Y AND XaNm TO IWl BELOW W M APPROlW HRGGME STRAP WTH SEAT. G. CO MN O TRANYSR OF LOADS FROM TIE ROOF TO F ATION TO DE MANTAI ED DT rR1O'et STRAPPNtl AND HALM i TRNG flGDEER 6Ml.1 -. pESI'AY THE R TRew. FOR TIE Fe� LOAD. ABOVE AND BOOR LOADG FOR GRAWY LOADS, AS YELL AS. DO LOADS AS R°R -e CL THE POOR TRA A ARE PI —ERLY ERAC'ED AND CLOCKED GGNT*LtW -T FOR YND LOADS THE ]•]PG CONT. BORCM PLATE OF BEARYG w OVER TIff FLOOR TROSeS SNOILD Be PFWERLT STRAPPED. SNEATNING NOTES: ROOF SHEAT}lING, I. IN]' OR.GRZAMffR APA ORERIOR OWWRE 1, C-D SHEATHNG GRADE PLTHOGO s ZATIRNG, NSTAU.0 CCNT. MIN- 1. W OYM ROOF TRDSSES ANO PERPDIOICULAR TO ROOF FRMYW TRU M W PANEL END .CANTS STAGGERM. SHEATHING SIULL`SE NAILED TO ROOF T]U55E5 W W CO)FDI RA RS [[O.W V 1 W LONG W O..YI' FULL WO HEAD, 5PACFD 4' O.C. PANEL EDGEAI AND WFMEWATE SUPPORTS ,L CUV'HRADCI bGiMDARIEs. ALL RDOP —THYIG SHALL bE ATTACNeD Tb A MR. W CCITT. BLAB- FASCIA W m COMMON AWLS / A' O.C. AND 2`G MA -FA NAILED TO EAcw TRUSS W a -Mid N Ls. PERMANENT BRACING, 1 I. 14 COAT. BOTTOM CNCRD IIORaORTAL LATFAAL BRACING 1W LEO TO THE UPPER .,De OP E BOITOPI CLIOiD A MAX. 5' -O' O.C. IN EIKLOSED AAEAS 1 21-0. O.C. FOR OPDI AREAS W I -W LOMMW NAILS I G. YNTERSECTIO4 I. THE ABODE LATERAL BRmHG SINLL BE RESTRAINED W W DIAGONAL CROSS - BRACING I W -0' O.C. W 5 -Nd COMMON NAILS "I EA. NTE ZGTIOL APPROVED SE NOV 2 1 2002 TOWN OF GULF STREAM, FL TRUSS ANCHORAGE SCHEDULE PRODUCT DESIGN LOAD (LBS.) A -1 A -2 o O TT MAN.FACTlI7 P4UCT OO NALE CAPAGTT P6Fef�DCLLA TO WN PDLl1 TO WALL SBAra TAI'R]]1 a1iD )1318 Sn 46 -L* el snc0 rAwal e+FB rs L6 sn 1m m LtS 01 6B.00 T—e04 QYO BOO Iya 59518 m18 m Saco TAFR31 eieD r atRU' moo Iaa Sn m tai lB D>B.)CT TAFODI OifD /STRAP YbG0196. Sq LQ mue M Se.CO TARN aRD )IS 16 HOS 11m 110518 51 �.KD TARN GdiO GOlB NOS 11S 110518 m SASF TARN aM10 / 6rRAP 9]0.6 NOSlB IOM L6 I m $•� TARN M i SIRAP ]SOO lH6 NOS 1Ba M105 tm w >iE.)ro CIP pAGTI GNeOGw SD )1518 WA �-O RP RAG11 FIfD Em1 RD Yn L6 WA WA m sa.co 1rm cAn. o-uB r tTRAP r eAD1 rb mDD lla wA �° m cAG)1 MouD r sTRAP r eAw ra aoo lea wA wA 19 ®.CO RIP W]1 FIIO I S1RM r Eb1 B,D NOO l8 a Deco TARIII e+rD r ervAF - fOO La sn 16 m 1Ga '�- +�o�omoadomoo�oao� ',,� o�omoaor�000moolr� 1u�oaaomooemoolo _�smoaoo ®�ome��lo _Nom: L45=- IN A40017?t2N 7a `J :W� FOR 7HLa L.47E•44L 1440 9!W 'r. 'T: �J - �IL�✓ " 8-RTPAA 51-4 ' I.I /LI�Af1.7E• _ ENO Uod) Iti• OI'Gt•IG 3 -2TLIA Pa5T + -hiE4I Top tL eeAv--, :: iAU. t-4ATC14 6YJ3 -r•/ f9EL0 -'a121F -r r/ 2-5h te- ' To PMrc}I X157• /r-16L.0 v61Z'IFr I EA 3TJ D P -•TPco E A94 CFiGd)� I.11�. oper,"ff, 61wG N V I, STAgcF. • �.' r 3/,., It t5 ai1�L34zxV4 - Ft � �75 col. • I�EiAI L Nt5 RECEIVE 0 C T 1 5 2002 Town of Gulf Stream j I BuWing LL 9 a 21 W 0 a Vie~ w Q Jim g~ M H Uj Q Z W Lu U I:: iL ir U� 6 V W CD It O Q W NN OO ° Z W �M W O TOWN OF GULF STREAM PALM BEACH COUNTY, FLORIDA COMMISSIONERS WILLIAM F. KOCH, JR., Mayor JOAN K. ORTHW EIN, Vice Mayor FRED B. DEVITT III ROBERT W. HOPKINS II WILLIAM A. LYNCH STATE OF FLORIDA ) COUNTY OF PALM BEACH ) TOWN OF GULF STREAM ) rrr "r is AGENT AFFIDAVIT Telephone (561) 276 -5116 Fax (561) 737-018 R EC E I V E DI Town Manager KRISTIN KERN GARRISON OCT Town Clerk 1 5 2002 RITA L. TAYLOR Tom of Guff Stream, PL &Aft Depertrn" BEFORE ME THIS DAY PERSONALLY APPEARED (Owner) d ie4, ( /r. P� , WHO BEING DULY SWORN, DEP SES 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: Lt;;'T 5-J4 Cjd I'f -iTMAi P1WFM -1165 140 *2 • Pb• ib, P. 4°L dIs P, b44, Cad OTY FL, .IITN idI✓s71l2 o� . PA-M IAN-y L -*461 •4 )kP,'AceHT T461LFTO A S IH PxvK (0533 , p, 1-1 (0 S AGENT' S /(S) NAME: COMPANY OR FIRM NAME: At4 D& SI WJ AGENT'SADDRESS: /Lab 01)(16 bL✓D , DELRAi Be-d, EL., 33444 AGENT'S PHONE: � 5(n () 27 z}— (A 4 1414 FURTHER AFFIANT SAYETH NOT. (OWNER SIGNATURE) SWORN TO AND SUBSCRIBED BEFORE IVIE THIS I PjkZ)'\ DAY OF QQz. , 20 0�;L- rpvr Holly K DeGraff *My Commission CC877149 Expires October 5, 2003 (NO Y P LIC) MY COMMISSION EXPIRES: C�C_�- Fz" ms /yvonne /app forms /affidavitowner /8/2/00 100 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 ROBERT W. HOPKINS II WILLIAM A. LYNCH AFFIDAVIT STATE OF FLORIDA ) COUNTY OF PALM BEACH ) TOWN OF GULF STREAM ) BEFORE ME THIS DAY PERSONALLY APPEARED Telephone (561) 276 -5116 Fax (561) 737 -0188 Town Manager KRISTIN KERN GARRISON i r &Town Clerk • a V V& Town `L. TAYLOR 0 C T 15 2002 TO" of Gult Stream, !rL a' Omow, U/.�iel -eN , WHO BEING DULY SWORN, DEPOSES AND SAYS THAT THE ACCOMPANYING LIST OF PROPERTY OWNERS, MAILING ADDRESSES AND LEGAL DESCRIPTIONS OF ALL PROPERTY (circle one): (0 within 25 feet, *(for N. Ocean overlay, Demolition, Land Clearing, Signs and Site Plan Review (2) within 300 feet, *(for Variances or Appeals) (3) adjacent to *(for Special Exceptions) THE BELOW DESCRIBED PARCEL OF LAND IS, TO THE BEST OF HIS KNOWLEDGE, COMPLETE AND ACCURATE AS RECORDED IN THE LATEST OFFICIAL TAX ROLLS IN THE PALM BEACH COUNTY COURTHOUSE. *streets and waterways are excluded from this distance THE SUBJECT PROPERTY IS LEGALLY DESCRIBED AS FOLLOWS: LO 1 S X 91/ %R &vt e5Nd.2t/)/,i (1-,d-/7A41tU /a,eC. '/ .4 Wes rYZ oi-"'A /„ "7 FURTHER AFFIANT SAYETH NOT. SWORN TO AN DESCRIBED BEFORE ME THIS (SIGNATURE) 1 J lzV\- DAY OF Q CJ-- , 20 O Q- .;6.,n Holly K DeGraff *� *My Commission CC8771 %�''r Expires October 5, 2003 i- RY P LIC� MY COMMISSION EXPIRES: �iC.� P5 - /4 a C�� ( ms /yyvonne /appforms /affidavit /6/ 13/00 100 SEA ROAD, GULF STREAM, FLORIDA 33483 23 -SEP -2002 Property Appraiser GIS Parcel List by Parcel Control Number Radius 0 - 25 Page 1 of 1 20- 43- 46- 03 -06- 000 -0540 ACRES- 0 SALE INST -QC MTG -C36 PL SHOWING GULF STREAM PROP 2 LT 54 & W 1/2 OF PALM WAY LYG OBRIAN ROBERT B VALUE- PRICE- 100PUSE -0100 E OF & ADJ THERETO 12 BANYAN RD TAXBL- 313848 DATE -03/97 TAXDIST -20984 DELRAY BEACH FL 33483 -7425 BLDG- 75043 BOOK -09751 NAV- 00300 LAND- 475000 PAGE- 0077 EXC- HX 20- 43- 46- 03 -00- 001 -0020 ACRES- 4.85 SALE INST -00 MTG- 3- 46 -43, TH PT OF WLY 475.21 FT OF SLY 667 FT OF GOV LT 1, GULF STREAM SCHOOL INC VALUE- PRICE- 30000PUSE -7200 E 1/2 OF ABND PALM WAY & N 1 /2OF ABND PANDANUS RD LYG WITHIN 3600 GULFSTREAM RD TAXBL- DATE -01/73 TAXDIST -20984 (LESS WLY 128.21 FT OF NLY 70 FT & PB18P42) LYG SLY OF DELRAY BEACH FL 33483 -7410 BLDG- 1912247 BOOK -02107 NAV- 00300 LAND- 2500000 PAGE- 0917 EXC- 40 20- 43- 46- 03 -06- 000 -0530 ACRES- 0 SALE INST -WD MTG- PL SHOWING GULF STREAM PROP 2 LT 53 VEHSLAGE STEPHEN T & VALUE- PRICE- 825000PUSE -0100 40 S STANWICH RD TAXBL- 646637 DATE -05/01 TAXDIST -20984 GREENWICH CT 06831 -3109 BLDG- 146637 BOOK -12569 NAV- 00300 LAND- 500000 PAGE- 0256 EXC - 20-43-46-03-06- 000 -0550 ACRES- 0 SALE INST -WD MTG- PL SHOWING GULF STREAM PROP 2 LT 55 & E 1/2 OF PALM WAY LYG MCARTHUR DUNCAN T & VALUE- PRICE- 312500PUSE -0100 W OF & ADJ THERETO 3500 N OCEAN BLV TAXBL- 238675 DATE -05/90 TAXDIST -20984 DELRAY BEACH FL 33483 -7439 BLDG- 182366 BOOK -06552 NAV- 00300 LAND- 300000 PAGE- 0645 EXC- HX 20- 43- 46- 03 -06- 000 -0560 ACRES- 0 SALE INST- MTG- PL SHOWING GULF STREAM PROP 2 LT 56, W 1/2 OF PALM WAY LYG E GULF STREAM SCHOOL INC VALUE- PRICE- PUSE -0100 OF & ADJ THERETO & S 1/2 OF PANDANUS RD LYG N OF & ADJ 3600 GULFSTREAM RD TAXBL- DATE- TAXDIST -20984 THERETO DELRAY BEACH FL 33483 -7410 BLDG- 58764 BOOK- NAV- 00300 LAND- 525000 PAGE- EXC- 40 20- 43- 46- 03 -06- 000 -0570 ACRES- 0 SALE INST -SA MTG- PL SHOWING GULF STREAM PROP 2 LT 57 & S 1/2 OF PANDANUS RD LOVE LORRAINE TRUST VALUE- PRICE- PUSE -0100 LYG N OF & ADJ THERETO 3524 OLEANDER WAY TAXBL- 634114 DATE -10 /01 TAXDIST -20984 DELRAY BEACH FL 33483 -7422 BLDG- 84114 BOOK -12997 NAV- 00300 LAND- 550000 PAGE- 1708 EXC - 20-43-46-03-07- 000 -0491 ACRES- 0 SALE INST -WD MTG- REPL OF GULF STREAM PROP NO 2 LTS 49A, 50 & 51 FRIIS NILS & VALUE- PRICE- 565000PUSE -0100 3432 N OCEAN BLV TAXBL- 545486 DATE -08/91 TAXDIST -20984 DELRAY BEACH FL 33483 -7343 BLDG- 254819 BOOK -06932 NAV- 00300 LAND- 775000 PAGE- 0263 EXC- HX 20 0010 00- 001 -0010 4, 20 ORER ` DA 14 O10JHMUDA CLU U 006 -100 1 0 1 -0 10 0 II SHORES 0 ' LFU I U399P�1 A�fiULFSTREA I CONDO OR2239P496 ONO 14 10 CONDO ,° ,z OR2265PB0 I °5 4 5 -0 20 0 0101 3 O�PO 13000 0 1 -003 I 20 3 -45 00-0)1-01 0 34 -05 -DO -C 011 I 0360 20 01- 0 0 111 01 ° 0080 _ _ I 08 00- 001 -0080 i 0091 15 5 13 I 3 4 I 20 I 0020 - scflooL -ROAD- — - - _ 3 00- 001 -0020 I I 0081 I I 0083 6 3 ° I P I 51 I 56 O071 2 I 5 8 1 I 3 y4 I I 55 0063 _ — - — - 0520 a7 I II oe 9 I 4 3 0 52 06 000- 6 0 04 1 e e I oa / 001 °6 0 0481 w 5 � 49 2 I / 0062 10 I 0441 6 1 °3 0061 REV I V ED I 3 I 0 1 0140 I 2D 20 I � 45 0130 0431 0 C{ 15 2002 I 00- 003 -0140 00 -003 -0130 I _ — - — 43 � 0053 Tow ° To of G it Stream, ft I os L -AKEU{ oa 13— Departrrr!�nt I 0011 I 05 / 0 51 29 GARY R. NIKOLITS, CFA Key: PALM BEACH COUNTY PROPERTY APPRAISER Subjects 1-1 0 - 25 23 -SEP -2002 SCALE: 1" = 200' LOCATION: Rng 43E - Twp 46S - Sec 03 QUIT CLAIM DEED RAMCO FORM a \ x11.1.1.. 11x1. Id11,111 —d 1-1.1) // Robert B. 0'B`: ' (C�l —112 Banyan Rd. uulfstream, F1.33483 Inw.ml I Nip +11d by Robert B. O'Brien A.. 12 Banyan Rd. Gulfstream, Fl. 33483 APR -17 -1997 2:09Pi 97- 136122 ORB 9751 P9 77 1 JI ■ ■11 11111 111 1 1111 Can 10.00 Doc 70 DOROTHY H. WILKEN, CLERK PB COUNTYI FL. SPACE ABOVE THIS LINE FOR PROCESSING DATA SPACE AOOVE TIIIS LINE FUR RECUR DMC DATA Zhts Quit ClffhtiM Peed, Executed file 25 day of March , ig 97 , b,y Sarah L O'erion -- firstparry,to Rnhert it — O'Brien :,IT whose, post office address is 17 n�nyan Fd Gulfstream Florida-3348-3—: second part) ,ad n a1 pvlrr a1W 'a and u • ru n., in,Irunrvnr +..J rnv „a•ra i.yal ,.v vs.nla.,re, and e.aW'a .1 ..v.rw... .1r r..v „<eM,.r. and al.ipna or ewPO.ar,on.. wnala..1 rM eon1.1, wr,tlm Ia a �v.w1., 1'r, Aitnessetl), That the first party, for and in consideration of file sum oj' S In 00 Ton nni I az-s4-, in hand paid by the said second party,the receipt whereof is herebv acknowledged, does hereby remise, release, and quit claim unto the second party forever, all the right, tide, interest, claim and dernund n•hich fire said first party has in and to the following described lot. piece or parcel of land• situate, lying and being in fire Counrr of Palm Seach State of Florida to -wit. Lot 54 of Gulf Stream Properties N0.2 according to the Plat thereof recorded in Plat Book 18 page 42 of the Public Records of Palm Beach County, Florida, together with the West 1/2 of Palm Way lying East and adjacent thereto as in Official Record Book 6533, page 1765. To pabe allb to Palb The same together with all and singular the appurtenances thereunto belonging or in anywise appertaining, and all the estate, right, title, interest, lien, equity and claim whatsoever of rile said first party, either in law or equity to the only proper use, benefit and behoof of fire said second parry forever. c1n Fitness phereat, the said first party has signed and sealed these presents rile day and year first above written. Signed• sealed and delivered in the presenae of.' w. sls — is. wr 10—un) Pm N w' �ww. IM w n r..las Pdnud N— `• , . n eA/Lz, wS 1regH , lil�rzrE/✓ PNPIad N 00 t R 62, uE (tau llfAl! N.J . Pad O(n„ A",,,, C, 5"7 RECEIVED C C T 15 2002 TOM of Gulf Strearn, FL Building DWm msftw wi,ruu sirauvrs (u w c..Gr lw1. it arty) Priaud N.w. C. GI.— Si .,—, lit ant l P1iw<J Nune WI,xM Sii;-- W IV Cv-G—. it .,y) Pw,onc.A.1- Z ` P MN N.. STATE OF EbLpp2 ) r COUNTY OF Fk, UE cW t hereby Certify that un this day, before nth, amhurired ) 9 to administer oaths and take acknuwledgmenta, personally appeared en s. personally t s 6A e tau L Ot L2,121 Rt4 known to me to be the person_ described in and who exec./� [d the foregoing instrument, who acknowledged before me that 514E = executed the same, and an oath was not taken. (Check one:) fl Said person(s) islare personally known to Inc. O Said penun(s) provided the .sI following type of identification: NOTARY RUBBER STAMPSEAL m Witness hand and official seal in Ilse Cuunly and State last aforesaid Y 3 this z5 duy of M19KC(4 A. U. IY C%% B% THELMA Lli}S3 - :y II 91 2 1rG,'•' (� u1 t COMMISSION NUMBER 1.1'0;+ r Nw.r>siwawr. TiEL/rlp LtgTFYL.- CC955155 9�fOFFLCO M CO MIS IONOgaP. Ph-d N.. RECEIVED C C T 15 2002 TOM of Gulf Strearn, FL Building DWm msftw Town of Gulf Stream APPLICATION FOR Substantial Improvement REVIEW Tax appraisers Folio # 10 -41C-5 - 4 U - c7 -5 - o (d -,C)oG - a a +0 Property Address: yA Aj City and Zip Code: Owner's Name: d r2. d(- Od/�t ter, Co- Owner's Name: Owner's: Mailing Address: Owner's Telephone FIRM Panel: Lowest floor Elevation: Axe- -C 6/I 6/3 125109 0001 D Flood Zone: A F. FL • c- -ue v- _ 5 , 1� i I am attaching an appraisal report of my property, or Initials: I am not submitting an appraisal report of my property, Initials: I accept Gulf Stream Estimated Market Value, or Initials: I accept Gulf Stream Estimated Replacement Cost; Initials: BFE: 7 FAMA'ATME I accept the attached estimated cost of construction as a fair and total cost of the improvements proposed for my home. Initials: SIGNATURES: Owner: Date: /o /,/s,/'� rz)z Co- Owner: HEQ IVED Date: 0 C l 1 5 2092 TWA of Guff Stream, PAL rtr> STATE OF '10r, Affidavit COUNTY OF P aL co POCi�� Before me this day personally appeared (Print Name) who, being duly sworn deposes and says that he has read, understands, and agrees to comply with all of the aforementioned conditions. Date: / a _Owner . Signature Co -Owner Signature Sworn to and subscribed before me this day of GC-)- A.D. 20 0Q . " Holty K DeGraff * *My Commission C Expires October 5, NcQtary C S e of r or, elm My commission expires OCR `J, Total Labor and Materials Overhead and Profit Do 0 00 Total Cost STATE OF I=lc)c -, c1 o,� Affidavit COUNTY OF 'PC,ICn-Cn h Before me this day personally appeared (Print Name) who, being duly sworn deposes and says that he has read, understands, and agrees to comply with all of the aforementioned conditions. Date: off Contractors ignature Sworn to and subscribed before me this 16� day of Q'--C A. D .20 OZL Holty K DeGraff k My Commission CC877149 Expires October 5, 2003 Notary bli tate of rZor, dc� My commission expires Oc-�-- a�3 CONTRACTOR COST OF IMPROVEMENTS AFFIDAVIT Folio #: 2d— ,4-3.- 4 -a7-1� -oIn- 0C%J- oS4-Q Contractor Name: License #: Cc-v-- CS::�9 S5 Address: - IM AS,< X16-4. Telephone: Property Address: I hereby attest to the fact that I, or a member of my staff personally inspected the above- mentioned property and produced an attached itemized list of improvements, which is hereby submitted for a Substantial Improvement Review. These improvements are all OF THE IMPROVEMENTS proposed for this structure. I understand that I am subject to enforcement and penalties and violation action and /or fines if the inspection of the property reveals that I have made improvements NOT INCLUDED ON THE ATTACHED LIST OF IMPROVEMENTS TO THIS STRUCTURE. I understand that the permit issued by Gulf Stream pursuant to this affidavit does not authorize the reconstruction, repair or maintenance of any illegal additions, fences, sheds or non - conforming uses or structures on the subject property. See Attached Itemized List 3 ESTIMATED COST OF IMPROVEMENT FOLIO # I-0- 43- 4(,o -(o3- tyb_ c»CS vS 4,Q Address N, P'_)AH'iA',H )"�—\O - This Cost Estimate oflmnrovem.ent mTjst he nrernnrer] nnrl .Rinr7pr] by n lirpn zpH riOn Prnl ( nnfrnrfnr ITEMS MATERIALS COST LABOR OFFICIAL USE Concrete, Form, ETC 3 0 0 0, c o 0 0 Carpentry Material rough oo. a 0 -Carpentry Labor (rough) Roofing 2 f 00.. o Insulation & Weather Strip i 00. OD Exterior Finish stucco Doors, Windows & Shutters 00, O O Doors, Windows & Shutters Doors, Windows & Shutters Lumber Finish Carpenter Labor, finish o 0 Hardware finish 6 Hardware (rough) Cabinets built -in Floor covering (tile/rug) z 600. a o Plumbing -Shower/ Tub/ Toilet Electrical a o `� a Light Fixtures 3,00 Built -in Appliances HVAC Paint Overhead and Profit TOTAL 30 o. c) (Flease attach any additional information) L / Contractor Name: 1� �(•�t�y f r,•� 7�7"G GCG License # CCIC 059c�55 Address: Signature Phone Date /ZS ^ ! Z- Owner COST OF IMPROVEMENTS AFFIDAVIT Folio #: q-,g - 4 Z) -- Zt V - t?3-- i7 (P - c' '0 '0 - O S 4O Contractor Name: � y d�°e -�,� �S 4�r License #: CC C- bS ci955 Owner Name: a ..2 /�. Odd (r,� Address: �� /�/�,••y�,, Telephone: 5�G l- 7 2�2 I hereby attest to the fact that the cost of improvements submitted for the Substantial Improvement Review by my contractor are ALL OF THE IMPROVEMENTS proposed for this structure. No other contractor will be making any improvements not included in the attached list. I understand that I am subject to enforcement action and /or fines if inspection of the property reveals that I have made improvements NOT INCLUDED ON THE ATTACHED LIST OF IMPROVEMENTS TO MY BUILDING. I understand that any permit issued by Gulf Stream or Palm Beach County pursuant to this affidavit does not authorize the reconstruction, repair or maintenance of any illegal additions, fences sheds or non- conforming uses or structures on the subject property. NOTICE TO PROPERTY OWNERS Remodeling or adding on to your home? Here' s information YOU need to know about the 50% Rule. If your home or business is below the 100 -year flood elevation, Gulf Stream has flood damage prevention regulations that may affect how you remodel, renovate, or add on to your building. These laws are required by the National Flood insurance Program in order for flood insurance to be made available to community residents and property owners. Save yourself time, aggravation and money. Please read the following information: Substantial Improvement means any reconstruction, rehabilitation, addition, or other improvement of a structure, the cost of which equals or exceeds 50 percent of the market value of the structure before the "start of construction" of the improvement. This term includes structures, which have incurred "substantial damage" regardless, or the actual repair work performed. If a building is "substantially improved ", it must be brought into compliance with Gulf Stream flood damage prevention regulations, including elevating the lowest habitable floor to or above the 100 -year flood elevation. Gulf Stream} following National Flood Insurance Program requirements has the responsibility to determine "substantial improvement" and has implemented the following procedures to do so: 1. Gulf Stream will estimate Market Value by using the tax assessment value of your structure (excluding the land), times 120 %. Example: Structure Assessment value x 120% = Estimated Market Value. We will also estimate Replacement Cost by multiplying the Square footage of the building by the average construction costs per square foot for the type and grade of structure or x S = replacement cost. If you may disagree with these estimates, you may hire a state licensed appraiser and submit a comparable property appraisal. 2. You must obtain and submit to Gulf Stream a detailed and complete cost estimate for all the reconstruction, rehabilitation, addition, or other improvements proposed to your building, prepared and signed by a licensed general contractor The contractor must sign an affidavit indicating that the cost estimate submitted includes all the costs of improvement to your home, not just structural. (see copy aitached� Information sheet. Page 2 Gulf Stream will evaluate the cost of improvements and determine if they are fair and reasonable. The cost of improvement does not include items not considered a permanent part of the structure. (i.e. plans, surveys, permits, sidewalks, pools, screens, sheds. gazebos, fences, etc. see attached copy.) 3. If it is determined that your building will be "substantially improved ", then an Elevation Certificate must be submitted to Gulf Stream to determine if the lowest floor elevation is in compliance with Gulf Stream ordinances, and the National Flood Insurance Program Requirements. Garages and carports are not considered to be the "lowest floor ". 4. If the lowest floor is below the 100 -year flood elevation, the building must be elevated to or above that level. Likewise, all electrical and mechanical equipment (heating and cooling, etc.,) bathrooms, and laundry rooms must be elevated to or above the 100 -year flood level. Only parking, building access, and limited, incidental storage is allowed below the flood level. If the lowest floor, electrical and mechanical, equipment, laundry and bathroom are already above the 100 -year flood elevation, the building can be improved, added on to, or reconstructed without further modifications. 5. Building plans must be prepared to show how the building is to be elevated. If located in a V -Zone, Coastal High Hazard Area, these plans must be prepared and certified by a registered professional engineer or architect. Certificates for this purpose are available from the Building Official. Certified plans are required prior to issuance of a Building Permit. 7DERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Read the instructions on Dacles 1- 7. O.M.B. No. 3067 -0077 Expires July 31, 2002 SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number ROBERT O'BRIEN BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number 12 BANYAN ROAD CITY STATE ZIP CODE GULFSTREAM FL 33483 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 54, " GULFSTREAM NO. 2" Residential, Addition, Accessory, etc. Use a Comments area, if necessary RESIDENTIAL LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type): ( ##� ## - ##•## or NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2 COUNTY NAME B3. STATE GULFSTREAM 125109 1 PALM BEACH COUNTY FL B4. MAP AND PANEL B5. SUFFIX B6. FIRM INDEX DATE B7. FIRM PANEL B8. FLOOD ZONE(S) 69. BASE FLOOD ELEVATIONS) NUMBER na . _ft. (m) 00 EFFECTNEMEVISED DATE na. (Lone A0, use depth of flooding) 1251090001 D 09 -30 -82 09 -30 -82 A5 7.00' u v. I n,n.a= u =a iw ui u ro Daae ruuu [iuvauUn tart / uara or ease 11000 aepun enerea n Cy. LJ FIS F'rotile Qg FIRM LU Community Determined ❑ Other (Descrbe): B11. Indicate the elevation datum used for the BFE in 139: ® NGVD 1929 ❑ NAVD 19M ❑ Other (Desalbe): _ B12. Is the WEN located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ®No Designation Data SEC11ON C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ® Finished Constriction *A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number 1(Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations —Zones Ai -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, AR/AE, AR/Al -A30, AR/AH, AR/AO Complete Items C3: as below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum Conversion/Comments _ Elevation reference mark used Does the elevation reference mark used appear on the FIRM? [:]Yes ❑ No ❑ a) Top of bottom floor (including basement or enclosure) 5. 9 ft. (m) Ca ❑ b) Top of next higher floor na . ft.(m) ❑ c) Bottom of lowest horizontal structural member (V zones only) na . _ft. (m) 00 C) d) Attached garage (top of slab) na. w c ❑ e) Lowest elevation of machinery and/or equipment _ft.(m) m servicing the building (Describe in a Comments area) 5. 1 ft.(m) t= ca ❑ f) Lowest adjacent (finished) grade (LAG) 4.9 ft.(m) zm y U) ❑ g) Highest adjacent (finished) grade (HAG) 4. 9 ft.(m) ❑ h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade _ ❑ i) Total area of all permanent openings (flood vents) in C3.h _sq. in. (sq. cm) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. 1 certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code Section 1001 CERTIFIER'S NAME PAUL J. STOWELL LICENSE NUMBER 5241 TITLE PRESIDENT COMPANY NAMEATLANTIC COAST SURVEYING INC ADDRESS CITY STATE ZJP CODE 5615 S IJNVERSI DRIVE DAVIE FL 33328 SIGNATU DATE TELEPHONE 09 -25 -02 954- 252 -5254 FEMA Form 81 -31, UL 00 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS IMPORTANT: In these spaces, copy the correspon information from Section A. For Insurance Company Use: BUILDING S FREET ADDRESS (Induding Apt, Unit, Sub, ana v Bldg. No.) OR P.O. ROUTE AND BOX NO. Poky Number CORAL SPRINGS 12 BANYAN ROAD CITY STATE ZIP CODE Company NAIC Number GULFSTREAM FL 33483 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 INVOICE # 14279 ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items El through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR -F, Section C must be completed. El. Building Diagram Number_(Select the building diagram most similar to the building for which this certificate is being completed – see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is _ ft. (m) _in.(cm) ❑ above or [:]below (check one) the highest adjacent grade. (Use natural grade, 9 available). E3. For Building Diagrams 6.8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is _ ft.(m) _in.(cm) above the highest adjacent grade. Complete items C3.h and C3.i on front of form. E4. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community s 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, C (Items C3.h and C3.i only), and E for Zone A (without a FEMA-issued or community - issued BFE) or Zone AO must sign here. The statements in Sections A, B, C, and E are correct to the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑ Check here N attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordnance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. G 1. ❑ The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law 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. PERMIT NUMBER I G5. DATE PERMIT ISSUED I G6. DATE G7. This permit has been issued for ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building is: — —ft(m) Datum: G9. BFE or (in Zone AO) depth of flooding at the building site is: — _ ft-(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE Check here if attachments FEMA Form 81 -31, JUL 00 REPLACES ALL PREVIOUS EDITIONS NOTICE OF 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 November 21, 2002 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 for a LEVEL 2 ARCHITECTURAL /SITE PLAN REVIEW submitted by Shane Ames as agent for Robert O'Brien, owner of the property located at 12 Banyan Rd., Gulf Stream, Florida and legally described as Lot 54, Gulf Stream Properties ##2 and the west % of Palm Way lying east and adjacent thereto, to permit an addition to the existing Bermuda style single family dwelling consisting of 547.5 square feet The Architectural Review and Planning Board shall make a final decision regarding the subject application at the meeting noticed above. This 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 THIS MATTER 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 THIS 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: November 7, 2002 2.� Rita L. Taylor, wn Clerk 4-1 0-c- 91.2-olOZ Town of Gulf Stream ��Pr /� p A _, , PART I. APPLICATION REQUIREMENTS To be completed by Town staff during pre- application conference. A. Review and Approval Processes 0 1. N. Ocean Overlay Permit !C 2. Land Clearing Permit ❑ 3. Annexation Review ❑ 4. Comprehensive Plan Text Amendment Review ❑ 5. Demolition Permit ❑ 6. Future Land Use Map Change Review ❑ 7. Administrative Appeal ❑ 8: Zoning Code Text Amendment Review B. Application Materials Number of Copies Required r� N A Recomm X12 Nrq �'r�vu'F-{ SS IVA 12, iN 6 Envel '/11 /'1 1 Application Material 12 ❑ 9. Sign Review '2�10. Site Plan Review, Level II 1111. Site Plan Revision ❑ 12. Special Exception Review ❑ 13. Subdivision Review ❑ 14. Variance Review ❑ 15. Rezoning Review ❑ 16. (Other) 1. Completed Development Application 2. Fee of A00- + 50 + = T;o 3. General Location Map (on site plan) 4. Site Plan (2 full size, 10 reduced to 11 "x17 " *) 5. Building Elevations (2 full size, 10 reduced *) 6. Floor Plans (2 full size, 10 reduced *) 7. Roof Plan (2 full size, 10 reduced *) 8. Perspective 9. Color Rendering 10. Drainage Plan (ifieiter€i) V, I �I 11. Landscape Plan (2 full size, 10 reduced *) 12. Septic Tank Permit 13. DOT Driveway Permit (if on A1A, for any alterations to drive) 14. DOT Landscape Permit (Al A) 15. Survey (11" x 17 ") 16. Subdivision Plat 17. Concurrency Documents 18. Proof of Ownership (warranty deed) 19. Agent Affidavit (- 20. Adjacent Property Owners ' L�'s+ D-e ; 21. Property Owners withi 25 300' stamped addressed envelops, no re rn address 22. Property Owners Affidavit 23. Photos of Existing Home, if applicable 24. Construction Traffic Management Plan ; 251 U A 1k.w Vs% 1 �__4 T Jl . *NOTE: Where multiple copies of a drawing are required, two copies shall be an original full - size (24" x 36 ") drawing which is signed and sealed. All other copies shall be reduced to 11"x17". Please refer to the instruction manual for more detailed information. Application for Development Approval Form ADA.32000 May 2001 Page 1 Construction Traffic Management Plan Pursuant to Town Commission Policy, proposed plans for the orderly management of construction related traffic and parking shall be submitted concurrent with an application for Architectural /Site Plan Review or building permit. The plan must address the following: 1. Construction Address: 11>0 ,41 7A IV 2. Construction time frame: From To 3. Where will delivery vehicles, contractors, subcontractors and other workers park? All parking must not block the free flow of traffic on local roads. Check all that apply: �On job site (may not block road) ❑ Behind Town Hall -- workers will be shuttled to job site ❑ Another site, please specify: attach) (owners' approval required, ❑ Right -of -way, directly in front of property (not across the street) ❑ Other, please specify: 4. What route will construction vehicles take to the job site? Avoid all tight turns and narrow roads. List route: 5. How will large deliveries (e.g., roof trusses, roof tile, paver brick, landscape trees, etc), be coordinated to minimize damage and disruption to local roads? ❑ Large deliveries will be broken into smaller loads before being transported into Town Only small vehicles will be used whenever possible. Use of larger trucks will be limited to times when no other options exist ❑ Flagmen will be used during any and all periods that traffic flow is impeded Site is large enough to contain vehicles on site while unloading ❑ Deliveries and various trades will be staggered in schedule to keep vehicle congestion at a minimum The Police Department (278 -8611) will be contacted prior to large deliveries occurring, in order to coordinate traffic management ❑ Other, please specify: 6. How will amage to Town right -of -way and roads be prevented and addressed? Any dust, debris on roadway originating from job site will be cleared at the end of each work day as required by Town regulations ❑ Any damage to sod and landscaping will be immediately replaced ❑ White or green PVC pipes will be installed to preven amage along the following properties (list addresses): (Installation must comply with Town policy, 2" in diameter, spaced 9' apart, placed 2' from road edge with caps on top of pipe.) The Traffic Management Plan shall be signed by the submitting Architect or General Contractor and will be made a condition of approval for the site plan review and building permit. q OCT IL , s. 5 Signed: , 1 0f ' Print: Name Title: Constr.ltems /Const.Mgmt.Quest. Updated 6/2/99