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Land Development and Planning Project Files_4005 S. Ocean Blvd._20170104_Development Order No. 39499 TRANSMITTAL FORM REPORT OF REVIEW& REQUESTED ACTION BY PLANNING BOARD To: Kenneth Bauer, Building Official Date: January 25, 2017 Building Department Application No. 39499 Applicant/Owner: 4005 Ocean Boulevard, LLC Property Address: 4005 S. Ocean Blvd., Highland Beach, Florida Property Control Number: 244347-04-00-005-0010 ❑ Preliminary Review: ® Final Review: APPLICATION NO.39499—CONSIDERATION OF A SITE PLAN APPROVAL FOR THE CONSTRUCTION OF A THREE-STORY, SINGLE FAMILY RESIDENCE OF APPROXIMATELY 12,351 SQUARE FEET IN THE RS (RESIDENTIAL SINGLE-FAMILY) ZONING DISTRICT. ❑ Amended Site Plan Review ❑ Other: THE PLANNING BOARD HAS REVIEWED THE ABOVE MATTER PER THE REQUEST OF THE BUILDING OFFICIAL DATED January 4, 2017 AND HEREBY CERTIFIES THAT THE FOLLOWING ACTION WAS TAKEN: ❑ Denied ® Recommendation to Approve based on plans dated November 23, 2016 from In-Site Design Group, LLC ❑ Approved with Modifications (as noted): ❑ Other: PLEASE TAKE WHATEVER ACTION IS REQUIRED TO COMPLETE THE SUBJECT MATTER, i.e., ISSUE PERMIT, TRANSMIT TO TOWN COMMISSION, RETURN TO APPLICANT, ET . avid Axelro/, Vice Chair January 25,2017 Planning Board Special Meeting Transmittal Form/Report Of Review & Requested Action By Planning Board IF THE ABOVE PLANS WERE DENIED OR APPROVED WITH MODIFICATIONS,PLEASE NOTE THE BOARD'S FINDINGS: At its January 25,2017 Planning Board Special Meeting,Member Shane made a motion to approve Application No.39499 subject the approval by the Florida Department of Environmental Protection(DEP). The motion was seconded by Member Weiss,which passed on a 5-0 vote. ............................................................................................................................................................................................................................................................................................................................. CLERK'S OFFICE USE ONLY. Reviewed by Planning Board: January 25,2017 Transmitted to Building Department: Page 2 of 2 Planning Board Minutes Wednesday,Januars 25,2017 Pare 5 of 5 APPROVED: Excused Absence Louis Reid :.-rg,C .• 0e D.ie elrod,Vic: TOWN SEAL arren L'{rs,Board •em. r Excused Absence G ✓��// Harvey Mart,Bo. ber ' Elyse Rie ,T.: d Member Charles Shane,Board Member • Evelyn W iss,Board Member ATTEST: l 6141-el_et te, k-- Lanelda Gaskins,C C,Deputy Town Clerk Date: 07/s/a0l7 HIGHLAND BEACH BUILDING'DEPARTMENT 3614 S, Ocean Boulevard Highland Beach, FL 33487 Ph: (561) 278-4548 DATE: January 18, 2017 TO: Planning Board MEETING OF: January 31, 2017 SUBJECT: 4005 Ocean Blvd, LLC (APPLICATION NO. 39499) FROM: Kenneth Bauer, Building Official Applicant 4005 Ocean Blvd, LLC Propetty Owner Name: Addres6: Property Characteristics Zoning District: Site Location: Parcel PCN# : 4005 Ocean Blvd, LLC 170 SE 14th Street Miami, FL 33131 RS, Residential Single -Family 4005 Ocean Boulevard 24-43-47-04-00-005-0010 PLANNING BOARD STAFF REPORT PERMIT 039499 NUMBER Request The applicant is proposing demolition of the existing single-family residence and construct a new three-story, single-family residence with attached garage and swimming pool consisting of: 9495 square feet of A/C space + 2786 square feet of roof deck. Total 12,281 sauare feet PLANNING BOARD 4005 Ocean Blvd, LLC Property Application # 39499 January 18, 2017 Page 2 of 3 The table below lists the zoning district, existing land use for the subject site and surrounding area. Subject Site RS, Residential Single -Family �r RS, Residential Single -Family North RS, Residential Single -Family RS, Residential Single -Family South RS, Residential Single -Family RS, Residential Single -Family East OCEAN OCEAN West RML, Residential Multi -Family Low Density RML, Residential Multi -Family Low Density Existing Condition The subject property consists of a single-family residence. The owners propose the demolition of the existing structure. Proposed Changes The applicant is proposing to construct a new three-story single-family residence with attached garage and swimming pool. The total area of the proposed single-family residence with attached garage is 12,281 square feet. Development Standards Highland Beach Code of Ordinances, Property Development Regulations, Section 30-69(a)(1) and Section 30-64, Table 30-2, in the RS (Residential Single -Family Zoning District). The Town of Highland Beach Building Department has reviewed the site plan and building elevations submitted by the applicant and has found that the proposed construction does comply with the Highland Beach Code of Ordinances. PLANNING BOARD 4005 Ocean Blvd, LLC Property Application # 39499 January 18, 2017 Page 3 of 3 The Building Official has reviewed the application and submitted documents on January 29, 2016, and hereby certifies the following action was taken: ❑ Plans meet Town of Highland Beach Zoning and other governmental agencies requirements. ® Plans meet Town of Highland Beach Zoning requirements; however, approvals are pending before the Town of Highland Beach will issue permits, with other governmental agencies as listed: Florida Department of Environmental Protection (FDEP) Notice to Proceed ❑ Plans do not meet Town of Highland Beach Zoning requirements. Should you have any further questions with regards to the matter please feel free to contact me at (561) 278-4540 or kbauer@highlandbeach.us Respectfully Submitted, Kenneth Bauer, Building Official Town of Highland Beach Transmit To: Valerie Oakes, Town Clerk Date: January 04, 2017 Application No: #39499 Applicant/Owner: 4005 OCEAN BLVD., LLC—Applicant & Owner Property Address: 4005 South Ocean Boulevard, Highland Beach, Florida 33487 Submit Application: Planning Board Description of Application: Site Plan Review, --Construction of Single Family Residence, RS- Zoning District "REVIEW GIVEN TO SUBJECT PROPERTY Pr inary Review Final Review: ❑ Amended ite Plan Review Other: Tj - �CERTIFIE CIAL HAS REVIEWED THE ABOVE MATTER DATED, January 04, 2017, AND HERETHAT THE FOLLOWING ACTION WAS TAKEN: N---'FPlans meet T wn of Highland Beach Zoning and other governmental agencies requirements. Plans me Town of Highland Beach Zoning re,9quirements; however, approvals are pending with other over ental agencies. � /'✓0Ir( 6_ 70 ARP �D �0%�L- r pwtJ (_7 9 g n----P1a-h-s do not meet Town of Highland Beach Zoning requirements. RECOMMENDATION: Applicant has submitted a site/floor plan, and elevations, to construct a three story, single family residence at the subject property, 4005 South ocean Boulevard, Highland Beach, located in the residential single-family zoning district. The total floor area calculations are approximately 12,351 square feet, with approximately 9,565 square feet under A/C. The Town of Highland Beach Building Department has reviewed the site plan, and building elevations submitted by the applicant, and found that the proposed construction does comply with the Highland Beach Code of Ordinances, Property Development Regulations, Section 30-64, Table 30-2, in the RS (Residential Single -Family Zoning District). EASE TAKE WHAT ER ACTION IS REQUIRED TO COMPLETE THE SUBJECT MATTER, i.e., H , DU�EJH RING RANSMIT TO QUASI-JUDICIAL BOARD, ETC. Mi ael Do�orcy, Buiidi ,fficial CLERK'S OFFI�W USE ONLY Date Received: Date of Workshop Meeting: 1 ' Vic' Date of Hearing: NOV 23 2016 • : - TOWN OF HIGHLAND BEACH HIGHLAND BEACH DWNING BOARD BUILDING DEPARTMENT NORDER APPLICATION Application # II I request a hearin f In oning Ordinances of the Town of Highland Beach. This request relates to the property a ng SER s t forth in this application. PROPERTY INFORMATION ASSOCIATED WITH THIS APPLICATION Address: 4005 5 OCEAN BLV 1 / Hi6691-41V.D W CRl PCN: 2-4 _ 43 -41 _04. _0O - 005 - elly Full Legal Description of the Property [as described in the deed] or reference to an attachment: w • I CiV LOT NO 5,2,' r Zoning District: RE-) What is the location of the installation?Al.% ❑ Intracoastal Waterway (ICW) ❑ Interior Canal/Basin ❑ N/A PROPERTY OWNER INFORMATION Name: 400 OCEAN 8W31 LLc Phone: 3o5 . B43 _-mp Fax: 796. 361. 07440 Mailing Address: 170 Se 14th SF �'te 1002 Mmini a 39 ai Email Address: dsc. re qo Aa , corn Aal. ex 3,,., APPLICANT INFORMATION Name: 4ws Omw/ eivv L.1.G Phone: 305 --3+3 - X;L Fax: -7% _36 j _ 0 Mailing Address: Q0 W KM V j SAUk I002 i M 0' 41( 1 FL 33I3/ Email Address: ��� �� ', C.OV'1 �/4V7 h0d1 �, c r-h ARCHITECT/DESIGNER INFORMATION Name: XN-SiTLO�- DES6/V 6iewe " Phone: W _92.1- 5333 1Fax: Mailing Address: r 6 �f1CKS�n/ ST2 N04CyGut00l7 i IriaQiDA 3'3O 20 Email Address: al)nie Pins4a0' signCiroup • Con-, DEVEOPMENT ORDER REQUEST Rezoning: Special Exceptions: ❑ Rezoning by a Property Owner or Party Other than ❑ Boat Basins the Town ❑ Boat Lifts Site Plan: ❑ Change of Nonconforming Use ❑ Dwelling, Single -Family, Zero Lot Line ❑ Site Plan Multifamily and Non -Residential ❑ Essential Public Service Structures ❑ Site Plan Review, Major Modification ❑ Houses of Worship X Site Plan Single -Family, Located on a Single Lot ❑ Off -Premises Parking ❑ Site Plan Single -Family, Located within a Larger ❑ Perpendicular Docking of Boats Project ❑ Post Offices Other: ❑ Recreation Facilities, Public ❑ Utility Facilities Provide a brief description of the project: of mow L� ulr mil^VIIIJREW I give permission to the members of the Planning Board and staff to inspect the property for the purpose of this application. I declare that all statements made herein are true, based upon the best available information, and I understand that willful false statements and the like are misdemeanors of the second degree under Section 837.06, Florida StatVrIceon. . Such willful false statements may jeopardize the validity of my application or any decision iss I have fully read the information outlining the Board procedures and application requi s. With t ' application, I am submitting the necessary supporting materials listed. Applicant's Signature ��� ) Date: Building Department Use: Date Application Received: Preliminary Review: LN Final Review: Amended Site Plan: Other: ❑ Plans meet Town of Highland Beach Zoning and other governmental agencies requirements. ❑ Plans meet Town of Highland Beach Zoning requirements, however, approvals are pending with other governmental agencies requirements. ❑ Plans do not meet Town of Highland Beach Zoning requirements. Building Official Signature: Date: Received by the Tow >Clerk's Office: I Received By: Date: Date Public Notices Mailed: Date Legal Advertisement Published: 21Page File No. 2160288/ln Prepared by and Return to: Lorri J. Kolbert Klein, Esq. Patch Reef Title Company, Inc. 6100 Glades Road, Suite 204 Boca Raton, Florida 33434 Parcel No.: 24-43-47-04-00-005-0010 WARRANTY DEED This Indenture made this day of August, 2016, BETWEEN John Ferber, a married man, whose post office address is: 6009 Old Ocean Blvd, Ocean Ridge, FL 33435 Grantor*, and 4005 OCEAN BLVD LLC, a Florida limited liability company whose post office address is: 170 SE 14`h St, Ste 1002, Miami, FL 33131 Grantee*. WITNESSETH, That said Grantor, for and in consideration of the sum of TEN AND 00/100 ($10,00) Dollars and other good and valuable considerations to said Grantor in hand paid by said Grantee, the receipt whereof is hereby acknowledged, has granted, bargained and sold to the Grantee and Grantee's heirs and assigns forever the following described land situate, lying and being in Palm Beach County, Florida, to -wit: The South 100 feet of the North 2150 feet (both measured at right angles) of Section 4, Township 47 South, Range 43 East, lying East of the center line of State Road A1A, the right of way of which road was conveyed to State of Florida by deed recorded in Deed Book 578, Page 129, Palm Beach County Records, which property situated in Palm Beach County, Florida. SUBJECT TO restrictions, reservations, covenants and easements of record which are not reimposed by this deed; taxes for the ,year 2016 and years subsequent thereto; and all applicable zoning ordinances. and said Grantor does hereby fully warrant the title to said land, and will defend the same against the lawful claims of all persons whomsoever. *"Grantor" and "Grantee" are used for singular or plural, as context requires. PAGE 1 OF WARRANTY DEED PAGE 2 OF 2 Grantor hereby certifies that he does not reside at the subject property and that the subject property is not his homestead; that neither he, nor his spouse, nor any minor children reside on the property; and that the subject property is not contiguous to his homestead; and that he permanently .resid s -- lep N V(p, occeqz-, k) 60 IN WITNESS WHEREOF, Grantor has hereunto set Grantor's hand and seal the day and year first above written. Signed, sealed and delivered in our presence: Witness: e rint name below signature) Witness. ow,&- L (Please print name below si ature) STATE OF Florida COUNTY OF Palm Beach The foregoing instrument was acknowledged before me this R day of July, 2016 by John Ferber, who is personally known to me of who has produced a � r identification. DEBORAH LYNN LEDBETTER MY COMMISSION #FF125583 ''ofn EXPIRES May 25, 201 a (a07) 398.01s3 11arldalloteryServlce.com My Commission expires: 1rl 1,,,�7 -2� -2, a 1 'MWM � •r r (Please print name of Notary) V41 REQUIRED ATTACHMENT TQ LOPMENT ORDER APPLICATION Before any Development Order shall be issued the Board shall make written findings certifying compliance with the specific rules governing individual Development Orders, and that satisfactory provisions and arrangements have been made concerning the following, where applicable: Information you provide will assist the Planning Board to determine whether your application meets the minimum criteria for obtaining a Development Order as described in Chapter 30 Zoning Code, Article 3 Development Review of the Code of Ordinances. Use additional pages if necessary. The Planning Board will not consider reference to a development order a complete response to the issue. Address the issues one at a time and be as detailed as possible. Attach additional sheets if necessary. A. Building orientation: Buildings shall be oriented to enhance the appearance of the streetscape. 1. Building orientation shall ensure that service areas are placed out of view from public rights -of -way, parking areas, and adjacent properties. Where, because of site constraints service areas can not be so located, such areas shall be screened from view by vegetative or structural means. Any structural screening shall be architecturally compatible with the principal building in terms of style, colors, construction materials, and finish. 2. Mass, bulk, and scale of all structures shall be compatible with other structures and uses both in the same zoning district and in the neighborhood. f2"�' B. Refuse service areas: 1. Refuse service areas shall be located in a manner that minimizes impacts to adjacent residential properties. 2. Refuse service areas shall be screened from adjacent properties and rights -of -way by an enclosure that is constructed of durable building materials such as concrete, stone, or brick. The enclosure shall be faced with the same style as the facade of the primary structure on the site. The gate to the enclosure shall have a similar appearance as the fagade of the building. The enclosure shall be the same color as the primary structure. 3. Enclosures shall be large enough and located in a manner that service vehicles can access the dumpster while it is in the enclosure. C. Mechanical equipment operation and location: 1. Mechanical equipment shall be located in a manner that minimizes impacts to adjacent residential properties. 2. Mechanical equipment, including equipment located on roofs shall be screened from view of adjacent residential properties and rights -of -way. Screening shall be of a material that is consistent with the architecture of the building. D. Lighting: 1. Outdoor lighting shall be arranged so that the light source is shielded from adjacent residential properties and rights -of -way. Light fixtures shall a type that directs the light downward. 2. Outdoor lighting shall be arranged so that no portions of adjacent residential properties are covered by the light shadow. There shall be no glare or spillover effect of lighting from the property on which a development order is approved to adjacent properties, and all lighting shall comply with the Palm Beach County Code, relating to safeguarding nesting female and hatchling marine turtles from sources of artificial light. Its 31Page E. Landscaping and trees: Please refer to Chapter 28 Xeriscape-Landscape Requirements, Installation and Maintenance in the Town of Highland Beach Code of Ordinances. r ►\M or1r F. Sims: Please refer to Chapter 23 Signs and Advertisement in the Town of Highland Beach Code of Ordinances. n E Irk" h5uNkz-D G. Walls and Fences: Please refer to Chapter 6 Building and Structures; Article 5 Seawalls; Bulkheads; Retaining Walls in the Town of Highland Beach Code of Ordinances. Additional Notes: 41Page (4) Exceptions to building height. The following exceptions to building height limits for single- family and multi -family units containing up to four (4) dwelling unit dwellings shall be permitted. a. Exceptions. Exceptions to building heights shall include such functional and nonfunctional architectural features as chimneys, cupolas, towers, dormers, parapet walls, domes, and spires. Mechanical features are considered exceptions to height limitations include heating, ventilating, and air conditioning equipment, and flagpoles and radio or television antennae, satellite receivers, digital transmitters, and telecommunication eguipment. III Measurement. Height exceptions shall be measured from that point of a flat or pitched roof utilized to determine building height. C. Limitations. Height exceptions shall comply with the limitations listed below: 1. Not more than two (2) height exceptions, including elevator housings, shall be allowed on any defined roof line. 2. The size of each architectural height exception, unless otherwise provided herein, shall be limited to a total of four feet by four feet by four feet (4' x 4' x 4') and a maximum volume of sixty-four (64) cubic feet. 3. The size of height exceptions or architectural features shall not exceed four (4) feet above that point of a flat or pitched roof utilized to determine building height, except as may be required to comply with building codes for functional chimneys or similar features. Q Parapet walls shall not exceed four (4) feet in height. 5. For single-family dwellings, heating, ventilating, air conditioning, and exhaust equipment, and radio or television antenna shall not exceed the height of a parapet wall. In the absence of a parapet wall, such equipment shall be screened in a manner consistent with the architectural style, colors, and materials of the principal structure. 31 The height of flag poles shall not extend more than four (4) feet beyond that point of a flat or pitched roof utilized to determine building height. 7. All height exceptions shall be constructed in a manner consistent with the architectural style, colors, and materials of the principal structure. Elevators. Elevator housings for single-family dwellings may exceed the height exception limits as provided herein, provided the structures are consistent with the standards listed below. 1. The exterior measurements of the housing or elevator structure shall not exceed six feet by six feet by ten feet (6' x 6' x 10) and a maximum volume of three hundred sixty (360) cubic feet. 2. One externally visible elevator housing per single-family residential structure is allowed. 3. A canopy or other weather protection for an elevator door may be provided in a scale consistent with the intended function. H The elevator housing shall be constructed in a manner consistent with the architectural style, colors, and materials of the principal structure. e. Observation decks and widow's walks. Observation decks and widow's walks shall be permitted subject to the standards listed below: 1. The observation area shall not exceed two hundred twenty-five (225) square feet, and habitable area shall not be provided. 0 The walks or decks shall be open air features and shall not be walled, roofed, or otherwise enclosed. 3. Electricity, water, and similar services shall not be installed, unless determined necessary by the building official to meet requirements of the building code. Q The surface of walks or decks shall not exceed the overall building height limit. 5. Not more than one deck or walk per principal structure or dwelling shall be installed. on Access to a deck or walk may be provided by an elevator or an unenclosed stairway, with such secondary access as may be required by the building official. 7. Swimming pools, spas, jacuzzis, and hot tubs, but not other recreational facilities, shall be allowed on a roof top of a single-family dwelling. Recreational facilities of this nature may be permitted on the roof of a multiple -family dwelling if approved by the town commission. a Safety railings shall be provided to meet building or safety codes, provided such railings shall not be opaque. a The decks, walks, and safety railings shall be constructed in a manner consistent with the architectural style, colors, and materials of the principal structure. N89 34 21 ' NOR rH 1INE GF NORTH 2, ' BENCHMAR SET P/K NAIL & DIS LB#690 ELEV.=4.07' NAV N8934 21 E 15.54 K K 5 D y 4'X'4.05' f..,;B7 I I I � � it 1p.•I� x tk . .ts• aez'.� it cgs t j Q� j (� O . X H12• I t07' .1B ,4.05' %BOY O x9.. � ^ Q I �W I � I I 10.20; Y kg 538' o N4.18' ' N89 3421 E 14.10' I COASTAL CONSTRUCTIONOL LINE PLAT 800K 80, PAGES GEES 137-155 PALM BEACH COUNTY RECORDS RECORDED 81221,97 I n� I � I ry 0 1 I I GENERAL PERMIT LINE �528-34 FLORIDA STA7IITES N07E• NO ACCESS 70 iPROPERTY. 4011 S OCEAN BL VD PARCEL ,y24-43-47-04-00-005-0040 I GRAPHIC SCALE 10 0 r0 20 10 90 1 I ( IN FEET ) 1 inch = 20 iL M o. 0.00' ELEVATION AS L OCA TED ON 8102116 J Z i FD 5/8" IRC LB#3300 _ Certified To: 1 1) PASCAL NICOLA 2) I 3) II 4) LEGAL DESCRIPTION: THE SOUTH 100 FEET OF THE NORTH 2,150 FEET BOTH MEASt� Q AT RIGHT ANGLES) OF SECTION 4. TOWNSHIP 47 OUTH, RANG 4 � EAST, LYING EAST OF THE CENTERLINE OF STAT ROAD AIA, THE RIGHT OF WAY OF WHICH ROAD WAS CONVEYE T Ck TA E F FLORIDA BY DEED RECORDED IN DEED BOOK 57 . P PA BEACH COUNTY RECORDS, WHICH PROPERTY S U BEACH COUNTY, FLORIDA. Report of Survey: TYPE OF SURVEY: BOUNDARY & TOPOGRAPHIC THIS SURVEY PERFORMED BY: I V `1 V 2 3 2 016 MERIDIAN LAND SURVEYORS LB #6905 1717 INDIAN RIVER BLVD. VERO BEACH, FLORIDA 32960 1 �y��l����R+' c7EAI �� ' PROFESSIONAL SURVEYOR &MAPPER IN RESPONSIBL cHa�3LE?,��JG DEPARTMENT CHARLES H. BLANCHARD P.S.M. #5755 ' THE EXPECTED USE OF THE LAND, AS CLASSIFIED IN THE FLORIDA STANDARDS OF PRACTICE (5J-17, FLORIDA ADMINISTRATIVE CODE) IS HIGH RISK/ COMMERCIAL. THE MINIMUM RELATIVE ACCURACY FOR THIS TYPE OF BOUNDARY SURVEY IS 1 FOOT IN 10,000. THE MEASUREMENT AND CALCULATION OF A CLOSED GEOMETRIC FIGURE WAS FOUND TO BE IN EXCESS OF THIS ACCURACY REQUIREMENT. ' THIS SURVEY MEETS ALL APPLICABLE REQUIREMENTS OF THE FLORIDA STANDARDS OF PRACTICE AS CONTAINED IN 5J-17, FLORIDA ADMINISTRATIVE CODE. ELEVATIONS AND DIMENSIONS SHOWN HEREON ARE MEASURED IN FEET AND DECIMAL PARTS THEREOF. THE LAST DATE OF FIELD WORK WAS: 08103/2016 BUILDING SETBACK LINES, IF SHOWN ARE BASED ON THE BEST AVAILABLE INFORMATION, BUT ARE NOT CERTIFIED TO. THE SETBACKS MUST BE VERIFIED PRIOR TO DESIGN OR CONSTRUCTION. ` THE BEARING BASE FOR THIS SURVEY IS A GRID BEARING OF N89°33'23"E, ALONG THE SOUTH LINE OF THE NORTH 2,150' AND BASED ON FOUND MCNUMENTATION. THIS SURVEY DOES NOT CERTIFY TO THE EXISTENCE OR LOCATION OF ANY UNDERGROUND IMPROVEMENTS: UTILITIES, FOUNDATIONS, OR ENCROACHMENTS, EXCEPT AS SHOWN. NO INSTRUMENTS OF RECORD REGARDING EASEMENTS, RIGHT-OF-WAYS, OR OWNERSHIP WERE SUPPLIED TO THIS SURVEYOR, EXCEPT AS SHOWN. NO TITLE OPINION OR GUARANTEE IS EXPRESSED OR IMPLIED. ' UNLESS A COMPARISON IS SHOWN, PLAT VALUES AND MEASURED VALUES ARE THE SAME. ` LEGAL DESCRIPTION IS AS PROVIDED BY THE CLIENT. UNLESS OTHERWISE INDICATED, FOUND MONUMENTATION. IS UNIDENTIFIED, THE ELEVATIONS SHOWN HEREON ARE BASED ON THE NORTH AMERICAN VERTICAL DATUM (NAVD) OF 1988. THE BENCHMARK IS U.S.C.&G. MONUMENT "ROCK 3 1970" ELEV.=3.43' NAVD 1988. THE CONVERSION FACTOR BETWEEN NAVD 1988 AND NGVD 1929 IS +1.55' THIS WAS DETERMINED USING CORPSCON FOR WINDOWS. VER.5.11.08 THE PARCEL OF LAND SHOWN HEREON APPEARS TO BE IN FLOOD ZONES X & V8 PER FLOOD INSURANCE RATE MAP 41251110001 C, DATED SEPT. 30TH 1982. "V" = AREA OF 100 YEAR COASTAL FLOOD WITH VELOCITY (WAVE ACTION) Legend & Abbreviations: (symbols not scaleable for size) PLS PROFESSIONAL LAND SURVEYOR E— GUY WIRE PSM PROFESSIONAL SURVEYOR & MAPPER WOOD UTILITY POLE LB LAND SURVEYING BUSINESS ® TELEPHONE SERVICE CL CENTERLINE CABLE T.V. BOX R RADIUS ELECTRIC BOX L LENGTH LIGHT POST A DELTAANGLE ® WELL E/P EDGE OF PAVEMENT V HYDRANT BIC BACK OF CURB D4 GATE VALVE B.M. BENCHMARK 98 IRRIGATION VALVE POC POINT OF COMMENCEMENT CED WATER METER POS POINT OF BEGINNING Q SANITARY MANHOLE 0 PERMANENT CONTROL POINT (PCP) SANITARY SERVICE O PERMANENT REFERENCE MONUMENT (PRM) SEPTIC TANK 0 IRON PIPE (IP) Q DRAINAGE MANHOLE IRON ROD & CAP (IRC) ® CURB INLET CONCRETE MONUMENT(CM) SURFACEINLET FD FOUND MITERED END SECTION (M) MEASURED CONCEPTUAL DRAINAGE F.F. FINISH FLOOR STREET SIGN MAIL BOX j - OAK TREE W/ DIA. �,� - CONCRETE POWER POLE WOOD POWER POLE PINE TREE Wl DIA. _ PALM TREE W/ DIA. EXOTIC TREE Wl DIA. ® SEA OAT CLUSTER W/ DIA. (CLASSIFIED AS BEACH DUNE) SEA GRAPE TREE/ CLUSTER W/ DIA, BEACH DAISY CLUSTER W/ DIA. (CLASSIFIED AS COASTAL STRAND) (CLASSIFIED AS BEACH DUNE) ORB OFFICIAL RECORD BOOK SEA GRAPE CLUSTER W1 DIA. PS PLAT BOOK (CLASSIFIED AS COASTAL STRAND) PGS - PAGES STRANGLER FIG W/ DIA. GUMBO LIMBO TREE W/ DIA. MERIDIAN LAND SURVEYORS 1717 INDIAN RIVER BLVD, SUITE 201 VERO BEACH, FL. 32960 LB#6905 PHONE: 772-794-1213, FAX: 772-794-1096 EMAIL: MLS.LB6905@GMAIL.COM TYPE: BOUNDAR Y& TOPOGRAPHIC REVISIONS PLAT OF SUR VEY FOR: PASCAL NICOLA 4005 S. OCEAN BLVD THISSURVEYISN0T VALID 6fiITH0UTTHESIGNATCBEARD THE ORIGI AL RAISED SEAL OF TILE FLORIDA LICENSED SURVEYORA,, DrbfAPPERNA,t1EDBELOlf" PROJECT#16-044 4 s DATE: fi/12, 14 f : B.242 PAGE 4X 3 I 7 DRAWN BY: S.P.T. - 6 CHECKED BY: C.H.B. 1 < < SCALE.- l:20 SHEET: IOFI NO. DrITE DESCRIPTION I .VO. DATE DESCRIPTION BY CItARL6S FL BLANCFIARD P.S_rLl 115755 MARA99444Gf 'Ci i h: DEC 1 700000F .F N ro Appraisals Tax Year 2016 InVroverrtem Value 5150v5I Land Value $3,221,192 Total Market Value S3,e81,70$ � '� ° � 5441, All valuts are as of tartuirY R st w �z each, {t Assessed/Taxable values Tax Year 2016 Aj,sesrued Valve a< E.iempi;§ 4?urYE il�'i. Taxable ValueIMP Taxes e� e � Tax Year 2016 Ad Vjlwerrl 1 3 Nom Ad Valorem S 170 Tool tax IN -SITE DESIGN GROUP LLC Architecture + Design + Engineering 1546 Jackson Street, Hollywood, FL 33020 AA26001758 954-921-5333 www.insitedesigngroup.com LA FINESTRA WINDOWS FRAMES -CLEAR ANODIZED PERMJ 039499 GiC;S���l?ED NOV 2 3 2016 HIGHLAND BEACH [SING DEPARTMENT IIVUMB�R' ALUMINUM & IMPACT RESISTANT WINDOW WALL SYSTEM RESYSTA COMPOSITE WOOD ALUMINUM & IMPACT RESISTANT GLASS RAILING STUCCO STUCCO SW- 7104 COTTON WHITE PROPOSED EXISTING RESIDENCE 4005 S OCEAN BOULEVARD ADJACENT SOUTH PROPERTY 4011 S OCEAN BOULEVARD 'H 1 t�. ,eF 3 xll x- b mm � r s , r. s A r, ,w sw �! j 1� � «- . 2��\ . « . . � � � \y ~ � � © _ ƒ� < _ . �.� > . : w � � �� ^^�� � .� y� � : � «: � � \� � \ ��� � � \�\©.« �r ..�r � ANNIE CARRUTHERS PRINCIPAUARCHITECT AR-97156 CGC1511058 annie@insitedesigngroup.com IN -SITE DESIGN. GROUP LLC ARCHITECTURAL SERVICES AA26001758 1546 Jackson Street Hollywood, FI 33020 954 921 5333 insitedesignngroup.com F-11 L��� �,rl L� QIA IN 3 C� 0 17 HIGHLAND BEACH BUILDING DEPARTMENT December 29, 2016 Town of Highland Beach Planning Department 3616 South Ocean Boulevard Highland Beach, Florida 33487 Re: 4005 South Ocean Boulevard PLANNING COMMENTS: COMMENT: 1.) Need Florida Division of Corporation Information for 4005 Ocean Blvd. LLC attached with application. RESPONSE: OWNER TO SUBMIT REQUIRED INFORMATION COMMENT: 2,) 3 Exceptions are listed. The Board allows 2 exceptions. RESPONSE: WE HAVE REMOVED THE MECHANICAL EQUIPMENT ON THE ROOF TO COMPLY WITH THE (2) EXCEPTIONS. THE TWO (2) EXCEPTIONS WE WILL KEEPING ARE THE PARAPET AND STAIR BULKHEAD. SEE REVISED PLANS ATTACHED COMMENT: 3.) Volume of stair enclosure exceeds 360 cubic feet. RESPONSE: WE HAVE REDUCED THE STAIR BULKHEAD SIZE TO UNDER 360 CUBIC FEET TO COMPLY. SEE REVISED PLANS ATTACHED If you have any questions please cal Annie Carruthers Principal/Architect AR-97156 me at 954-921-5333. 4005 Ocean Blvd LLC: Pascal Nicolai 170 SE 14t" St, Suite 1002 Miami, Florida 33131 Town of Highland Beach Planning Department 3616 South Ocean Boulevard Highland Beach, Florida 33487 I, Pascal. Nicolai manager of 4005 Ocean Blvd LLC, hereby authorize Annie Carruthers principal architect of In -Site Design Group LLC to represent me and to act on my behalf in regard to the Planning Board meeting. Sincerely, Pascal Nicolai Manager Signature of Authorized Agent: Date: 12-111.6 File No. 2160288,"In Prepared by and Return to: Lorri J. Kolbert Klein, Esq, Patch Reef Title Company, Inc. 6100 Gla;es Road, Suite 204 Roca Raton, Florida 33434 Parcel No.: 24-43-47-04-00-005-00l 0 PERMIT 03949f9 NUmt3ER M==��MWEDD NOV 2 3 2,016 HIGHLAND BEACH BUILDING DEPARTMENT WARRANTY DEED n, This Indenture made this - day of August, 2016, BETWEEN John Ferber, a married man, whose post office address is: 6009 Old Ocean Bled, Ocean Ridge, FL 33435 Grantor`. and 4005 OCEAN BLVTD LLC, a Florida limited liability company whose post office address is: 170 SE 14`h St; Ste 1002, Miami, FL 3313I Grantee", WITNESSETH, T hat said Grantor, for and in consideration of the sum of TEN AND 00/100 (S 10.00) Dollars and other good and valuable considerations to said Grantor in hand paid by said Grantee, the receipt whereof is hereby acknowledged, has granted, bargained and sold to the Grantee and Grantee's heirs and assigns forever the following described land situate, lying and being in Palm Beach County, Florida, to -wit: The South 100 feet of'the North 2150 feet (both measured at right angles) of Section 4, 'Township 47 South, Range 43 East, lying Fast of the center line of State Road A1A, the right of w2y of which road was conveyed to State of Florida by deed recorded in Deed Book 578, Page 129, Palm Beach County Records, which property situated in Palm Beach County, Florida. SUBTECT TO restrictions, reservations, covenants and easements of record which are not reimposed by this deed: taxes for the year 2016 and years subsequent thereto, and all applicable zoning ordinances. and said Grantor does herebtit fully warrant the title to said land, and will defend the same against the lawful clai;ns of all p,.-r ssons '4 hoinsoever. X"Grantor" and "Grantee" are used for singular or plural; as context requires, WAGE 1 OF 2 DEBORAH LYNN L DBMEp f1Y CO114►11i5S10N #FF12,9 EXPIRES May 25, 20, a (407)388fl15a Pic ridallotaryServlcQ.coT My Cormmission expires: �� -2- t .loin Ferber day of July, 2016 by John as NVARRA ' DEED PAGE 2 OF 2 Grantor hereby certifies that he does not reside at the subject properq- and that the subJect property is not his homestead; that neither he, nor his spouse, nor any .minor children reside on the properh'; and that the subject property Ls not contiguous to his homestead; and that he permanently resides ' LC_ m4e `r 4/ L' WITNESS WREREOF, Grantor has hereunto set Grantoes hand and seal the day and year first abo L-e -wj- tten. Signed, sealed and delivered in our presence: WittleSS:46 �rint name below signature) 'WitrleSS: (Please print name below si Mature) STATE OF Florida COU.N7Y OF Palm Beach The foregoing inst =ent u as acknowledged before me this _ Ferber, who is personally known to me or who has produced a iden.tI fic atlon Public (Please print name of Notarv) Annie, -arruthers Principal/Architect AR-97156 IN -SITE DESIGN GROUP LLC ARCHITECTURE DESIGN + ENGINEERING AA26001758 1546 Jackson Street Hollywood, FI 33020 954 921 5333 insitedesigngroup.com NU November 16, 2016 Town of Highland Beach Planning department 3616 South Ocean Boulevard Highland Beach, Florida 33487 IE I F, Do NOV 2 3 2-0i ) HIGHLAND BEACH BUILDING DEPARTMENT PROPOSED DEVELOPMENT ORDER REQUEST Re: 4005 South Ocean Boulevard To Whom It May Concern: The applicant and owner, 4005 S. Ocean Blvd LLC, has submitted a development order for the above mentioned property. The owner request to demolish the existing one story, non -conforming residence built in 1966. The existing residence encroaches on the setbacks both on the north and south side property lines by approximately two and a half feet as well as the front property line by over ten and a half feet according to the survey. The zoning district for the property is RS zoning as well as IRS zoning on the north and the south adjacent properties. The property is on the ocean with 20,983 square feet. The owner wishes to build a new single family residence with a ground floor garage area and three habitable areas above. The new residence shall conform to current zoning setbacks with a total height of 35 feet from the first habitable floor to the roof deck. A roof top stair access is proposed with 225 square feet of accessible roof area. The air- conditioned areas shall total 9,565 square feet and the gross area 12,351 square feet which includes garage and covered terraces. A new pool, spa, pool deck and driveway is proposed. The new driveway shall replace the existing circular two curb cut drive with one curb cut into the property. It is important to note that the proposed structure shall remain within the rear existing limits of construction. Exterior structure walls and columns are not proposed more eastward than the existing building. Retaining walls and low walls are also proposed for privacy at the front and side property lines. The existing seawall shall remain and be raised to the height of the proposed pool deck. The existing dock and stair to the beach shall be replaced. The new site shall meet or exceed landscape requirements and shall be regraded accordingly. The new proposed structure shall meet the current 2014 Florida building code and all applicable local zoning codes. The owner shall request DEP approval following Planning Board review. The architectural style proposed shall be contemporary design with large expanses of large missile impact glass and simulated wood veneer and stucco on the fapade. The proposed construction shall be concrete block and a concrete system for the intermediate flooring between levels. The roof shall be an insulated flat roof with drains, parapets and TPO finish. Architectural eyebrows and features are proposed. Rear terraces shall be cantilevered and shall be open with a first level outdoor patio area. The interior shall have an elevator. Exterior lighting shall be code compliant and comply to the sea turtle regulations. If you have any questions please feel free to contact me at 954-921-5333. R eslly, ruthers Principal/Architect AR-97156 2 Annie Carruthers Principal/Architect AR-97156 IN -SITE DESIGN GROUP LLC ARCHITECTURE DESIGN + ENGINEERING AA26001758 1546 Jackson Street Hollywood, FI 33020 954 921 5333 insitedesicingrour).com G3L���pti�D NOV 2 3 .2016 HIGHLAND BEACH BUILDING DEPARTMENT November 16, 2016 Town of Highland Beach Planning department 3616 South Ocean Boulevard Highland Beach, Florida 33487 PROPOSED DEVELOPMENT ORDER REQUEST Re: 4005 South Ocean Boulevard A. BUILDNG ORIENTATION The applicant and owner, 4005 S. Ocean Blvd LLC, has submitted a development order for the above mentioned property. The owner request to demolish the existing one story, non -conforming residence built in 1966. The existing residence encroaches on the setbacks both on the north and south side property lines by approximately two and a half feet as well as the front property line by over ten and a half feet according to the survey. The zoning district for the property is RS zoning as well as RS zoning on the north and the south adjacent properties. The property is on the ocean with 20,983 square feet. The owner wishes to build a new single family residence with a ground floor garage area and three habitable areas above. The new residence shall conform to current zoning setbacks with a total height of 35 feet from the first habitable floor to the roof deck. A roof top stair access is proposed with 225 square feet of accessible roof area. The air- conditioned areas shall total 9,565 square feet and the gross area 12,351 square feet which includes garage and covered terraces. A new pool, spa, pool deck and driveway is proposed. The new driveway shall replace the existing circular two curb cut drive with one curb cut into the property. It is important to note that the proposed structure shall remain within the rear existing limits of construction. Exterior structure walls and columns are not proposed more eastward than the existing building. Retaining walls and low walls are also proposed for privacy at the front and side property lines. The shall compliment the architecture. The wall in the front a rough natural stone is proposed on the stucco concrete block. The colors shall compliment the residence finishes. The screening on the side and for the mechanical equipment shall be simulated wood veneer like the front fapade and shall run horizontally. The existing seawall shall remain and be raised to the height of the proposed pool deck. The existing dock and stair to the beach shall be replaced. The new proposed structure shall meet the current 2014 Florida building code and all applicable local zoning codes. The owner shall request DEP approval following Planning Board review The architectural style proposed shall be contemporary design with large expanses of large missile impact glass and simulated wood veneer and stucco on the fapade. The proposed construction shall be concrete block and a concrete system for the intermediate flooring between levels. The roof shall be an insulated flat roof with drains, parapets and TPO finish. Architectural eyebrows and features are proposed. Rear terraces shall be cantilevered and shall be open with a first level outdoor patio area. The interior shall have an elevator. The building shall be orientated so that the front faces Ocean Drive. The existing residence also faces the street. As a single family residence, all homes on the east side of Ocean drive within several blocks have the same orientation. It is therefore appropriate for the fapade to face this direction. Equally the beach from shall reflect rear terraces, views and balconies that are also compatible in orientation to the adjacent homes to the north and south. The mass bulk and scale is compatible to the adjacent property and has also been compared to new homes developed in the area. The height is at regulation height with a ground level similar to other structures including 3833 South Ocean Boulevard currently under construction. B. REFUSE SERVICE AREAS: The refuse service areas shall be on the north side of the property just outside of the garage area. There is an existing property wall along the north fapade that will shield the refuse area. Only residential trash bins shall be located there. We have also added a gate facing the street and there will be an additional wall along the front property line that will shield the refuse area from Ocean drive. This shall minimize the impact on adjacent properties. The walls shall be concrete block and stucco and shall match the residence. Vehicles do not need to access the area directly as the bins shall be wheeled to the front pick up location on the appropriate day by the owner and be taken back to the refuse area after pick up. C. MECHANICAL EQUIPMENT OPERATION AND LOCATION: Mechanical equipment shall be located on the north property, along the south and on the roof. It is indicated on the plans that screening to match the residence in simulated wood veneer shall be utilized in addition to a landscape hedge. On the roof the screening shall be used and is noted on the roof plan. 2 D. LIGHTING: Exterior lighting shall be code compliant and comply to the sea turtle regulations. This project shall be reviewed by the DEP and shall be in strict conformance with their guidelines as well. Light source shall be shielded from adjacent residential properties and rights of ways. No glare or spill over effect shall be proposed. D. LANDSCAPING AND TREES The new site shall meet or exceed landscape requirements and shall be regraded accordingly including Chapter 28 as required. E. SIGNS Signs are not proposed for this project F. WALLS AND FENCES: Retaining walls and low walls are also proposed for privacy at the front and side property lines. The walls shall compliment the architecture and be of the same material and texture. The wall in the front a rough natural stone is proposed on the stucco concrete block. The colors shall compliment the residence finishes. The screening on the side and for the mechanical equipment shall be simulated wood veneer like the front facade and shall run horizontally. The existing seawal shall remain and be raised to the height of the proposed pool deck. The existing dock and stair to the beach shall be replaced. A roof top stair access is proposed with 225 square feet of accessible roof area. The railing along the roof access area shall be aluminum and glass so as to have less impact and be more transparent. If you have any questions please feel free to contact me at 954-921-5333. 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STATE =R fflC!IISE lb A0.9),5t N�Cr•wOOWMI.NN O"IY�•RAQYOICI•[�M mil! IILIDt1YlA�1� •L!, IM f {'IC 111�1 COOP Q NM1iM,. Nm•K1OII�IG�1C AD T�•1' AL pMl• O N 9t� -D 10as•IaiN 1�-� �L [INOC�NAO/. �O• cww�rarac trw� IRb�C.{p PROJECT: HIGHLAND BEACH RESIDENCE OWNER: 4005 S. OCEAN BLVD LLC ADDRESS: 4005 S OCEAN BOULEVARD HIGHLAND BEACH, FLORIDA 33487 DISTRIBUTION NOV-7di DESIGN APPROVAL )0000( PERMIT SUBMITTAL REVISIONS AS PER PL."M 504m CCMMENTS I2-30-20* 5 Rf SI DfNCf SQFT CAI CUI ATION AREAS PROPOSED C�KC)U NL' I Li 1(:t: A-i.: 1,1; 3.3G RCSIDCNCC IST f LCi�R A.,' �— 2.W'.4� RI:SILIF.NCk ?NIi ELC)rK Ai' I ).11 E.3S. RCSIDCN(_C�RD FLOOR ABC CI:I. KI IrAD:Rt,; A Ac., FSS A/C SUB 101AL iy,4y1.;7 C.ARAC,F & STORACf COVIFRFD AREAS IS T FI0OR _ iY)VfRfD TfRRACfS?VD fl C10R t.,^^9:.7f. _ -- W :; .3 N, D., a1ss NOV-10-20111, COVFRFD TFRRACF 3RD H C:l!R _ 41I. I•i LOOR PLAN -1.3 --- \0\A/('SI)8 lOfAl ; 1,7(ti81 CROSS TOTAI 7:.2fgl �R 3 1 AREA CALCULATIONS �K2 ANNIE CARRUTHERS PRINCIPAL/ARCHITECT AR-97156 CGC1511058 annie@insitedesigngroup.com IN -SITE DESIGN GROUP LLC ARCHITECTURAL SERVICES AA26001758 1546 Jackson Street Hollywood, FI 33020 954 921 5333 insitedesicIngroup.com f rE�I-E, L1�_ r� r. JAN 03 0017 HIGHLAND BEACH � BUILDING DEPARTMENT December 29, 2016 Town of Highland Beach Planning Department 3616 South Ocean Boulevard Highland Beach, Florida 33487 Re: 4005 South Ocean Boulevard AREA AND SITE CALCULATIONS: RESIDENCE SOFT CALCULATION AREAS PROPOSED GROUND FLOOR A/C 1,173.36 RESIDENCE 1 ST FLOOR A/C 2,547.49 RESIDENCE 2ND FLOOR A/C 2,918.39 RESIDENCE 3RD FLOOR A/C 2,781.56 BULKHEAD/ROOF ACCESS 73.76 A/C SUB TOTAL 9,494.57 GARAGE & STORAGE 1,292.76 COVERED AREAS 1 ST FLOOR 675.57 COVERED TERRACES 2ND FLOOR 323.00 COVERED TERRACE 3RD FLOOR 494.49 NON A/C SUB TOTAL 2,785.81 GROSS TOTAL 12,280.38 SITE CALCULATIONS REQUIRE I PROPOSE D D % OF SITE HOUSE GROUND/GARAGE FOOTPRINT 2,466.12 11.75% DRIVEWAY 1,205.00 5.74% POOL/DECKS/DRIVEWAY/WALKWAYS 2,155.00 10.27% SITE WALLS/EQUIPMENT SLABS 871.00 4.15% LANDSCAPING/PERVIOUS AREA 14,286.58 68.080% NET LAND AREA (NOT INCL STREET) 20,983.70 100.00% PROPOSED LOT COVERAGE 2,466.12 11.75% REQUIRED MAX LOT COVERAGE PROPOSED FAR 12,280.38 59% PROPOSED PERVIOUS AREA 14,286.58 68.08% REQUIRED MIN PERVIOUS AREA N/A SETBACKS PROPOSE REQUIRED D FRONT SETBACK FROM P.L. 25'-0" 25'-0" SETBACK FROM CCC LINE TO EAST STRUCTURE 90'-11" SIDE SETBACK NORTH 12'-0" 12'-0" SIDE SETBACK SOUTH 12'-0" 12'-0" REAR SETBACK TO P.L. (DEP REVIEW) 132'-4" 132'-4" BUILDING HEIGHT FIRST HABITABLE LEVEL TO ROOF 35'-0" 35'-0" ACCESSIBLE ROOF AREA 225 SF 225 SF ADJACENT NEIGHBORS NAME I ZONING TO THE NORTH ELIZBATH & PETER KULIN RS TO THE SOUTH HIGHLAND BEACH OCEAN VIEW LLC RS TO THE EAST OCEAN TO THE WEST CONDO MULTIPLE OWNERS RML If you have any questions please call me at 954-921-5333. Annie Carruthers Principal/Architect AR-97156 F TOWN OF HIGHLAND BEACH ,__-PLANNING BOARD . PI', ENT ORDER APPLICATION , ApplicaOon 9 4 I request aihearin ecardinQ the s if the Zoning q � tea, Ordinances of the Town of Highland Beach. This request relates to the o A� ' e;nts set forth in this application. PROFERTY-NFO:RMATION ASSOCIATED WITH THIS APPLICATION Address: 40aS 5 ocvW BtV D H16H441v) cp PCN: _ .. Full Legal Description of the Property [as described in the deed] or reference to an attac ment: a 4 7- 4 5 IX FT OE is goo FT of V LT 5 e o � �! �� Ke A r �,oniing District: What is the location of the installation? �AGA R ❑Intracoastal Waterway (ICW) ❑Interior Canal/BasinE. N/A PROPER Y OWNER PTFORMA ON Name: Phone: • 3 - 4t�0� 4CE�}N $�V� �. ?j Fax: 796• 361 ' a Mailing address: 170 -w /* Sk-002 /E'tM121i .33ISI EmailAddress:Y C� "PLICAW. INFORMATION Name: 5 oc�y Phone: ,S �. " . � Fax: �. " o e Mailing Address: Q0 S;e7 K-141 S Email address: e,' w- ARCRITEC'Ff ESIGNER D&ORMATION Name: _ Stiff LE&6iV 6;e-we Mailing Address: �� �f$iC•SD�'v�.��� Email Address: �ra�;;� E��d•� �dGe�:gr:�L^�= I?E TOPMENT ORDER. REQUEST Rezoning: ❑ Rezoning by a Property Owner or Party Other than the Town Site flan: i ❑ Site Plan Multifamily and Non -Residential Site Plan Review, Major Modification fX Site Plan Single -Family, Located on a Single Lot ❑ Site Plan Single -Family, Located within a Larger Proiect 1 Other: Phone: 1 -g.21 _ 5333 1 A404 UA00b , rolef'D 409 Fax: Z,C Special Exceptions: ❑ Boat Basins Boat Lifts Chanae of Nonconforming Use Dvelling. Single -Family, Zero Lot Line ❑ Essential Public Service Structures • Houses of Worship ❑ Off -Premises Parking ❑ Perpendicular Dock1112 of Boats Post Offices Recreation Facilities, Public o Utility Facilities Pro -Ode a brief description of the project: mods".. _ �► UM n s I give permission to the members of the Planning Board and staff to inspect the property for the purpose of this application. I declare that all statements made herein are true, based upon the best available information, and I understand that willful false statements and the like are misdemeanors of the second degree under Section 837.06, Florida Stat . Such willful false statements may jeopardize the validity of my application or any decision iss reon. I have fully read the information outlining the Board procedures and application requi s. With t application, I am submitting the necessary supporting materials listed. Applicant's Signatur Date: Building Department Use: /mot. _ �� . •- ' -- Preliminary Review: J-P� eet Tovin of Hi By: Site Plan: Other: ing and other governmental agencies requirements. ❑ Plans n of Highland Beach Zoning requirements. however, approvals are pending with other governmental agencies regp4rements. ❑ Plans do not meet Tow Hi an Zoning requirements. Building Official Signature. L' Date: '� t Received by the Town Clerk's Office: Received By: Date: Date Public Notices Mailed: Date Legal Advertisement Published: 2 1 P a n e O� �,16HLq�O 3 r �~ FC ORJUP' Building Department 3614 South Ocean Blvd. Receipt Number: RCPT2016-1720 Highland Beach, FI 33487 561-278-4540 Payer/Payee: 4005 OCEAN BLVD LLC 4005 S. OCEAN BLVD. HIGHLAND BEACH FL 33487 Cashier: Carol Holland Date: 11/28/2016 Fee Description Fee Amount Amount Paid Fee Balance Planning Board Fee $200.00 $200.00 $0.00 $200.00 $200.00 $0.00 MethodPayment Amount Number CHECK 2238 $200.00 Total Paid: $200.00 Printed 11 /28/2016 11:06:00 by Carol Page 1 of 1