EXHIBIT "4"
CITY OF HALLANDALE BEACH
APPLICATION FORM
NO APPLICATIONS ARE AUTOMATICALLY SCHEDULED FOR A:W MEETINGS. APPLICATIONS
MUST BE DETERNI.Il\""ED TO BE COMPLETE BY STAFF BEFORE Al\"'Y PROCESSING OCC(JRS.
PLEASE PRINT OR TYPE
Date of Application: _J_u-'ly"----31-',_2_0_1_5_ _ _ _ _ _ __
Name of Owner: Angel Holdings. LLC.
Name of Applicant, if different from o w n e r : - - - - - - - - - - - - - - - - - - - Mailing Address: 1895 N.E. 214th Terrace, North Miami Beach. Florida 33179
Telephone: 305-775-2244
Name of Authorized Representative, if different from applicant: Troy N. Townsend, Pillar Consultants, Inc.
Mailing Address: 5230 South University Drive, Suite 104, Davie, Florida 33328
Telephone: 954-680-6533
Location~Su~ect~o~rty:_5_0_6_0_I_e_an_d_e_r_
D_ri_v_e_ __ __ _ _ __ _ _ _ __ __ _~
Folio Number: 5142 26 03 0380
Legal Description: Lots 1 and 2. Block 3. GOLDEN ISLES SECTION A Plat Book 42. Page 33. B.C.R.
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TYPE OF APPLICATION (Check the ones which apply to the request(s))
__REZONING FROM:
District TO: _ __ __ _ _ _ District
(acres)
SIZE OF SUBJECT PROPERTY TO BE CONSIDERED FOR REZONING
__CONDLnONALUSE
_VARIANCE
_LAl\TD USE PLAN A.lYfENDMENT
_REDEVELOPMENT AREA MODmCATION
_ SPECIAL SIGN VARIANCE
_TEXT CHA1\J"GES (CITY C O D E ) - - - - - - - - - - - - - - - - - - _ _MINOR DEVELOPMENT (Less than ten (10) residential units or less than 4,000 sq. ft. gross floor area)
Residential-Number of Units _ _ __
Commercial-Sq. Ft. _ _ __ _ __
_ _MAJOR DEVEL0Pt..1ENT(Ten or more residential units or more than 4,000 square feet of gross floor area)
Residential-Number of Units _ _ __
Commercial-Sq. Ft. _ __ __ __
_ _Platting or Replatting a Subdivision or portion thereof
acres)
(Size of property
L_Other Release of Unity of Title 1 40 /r $ s
lfSS 'Jdi#IY" l-Ie (J.ve f f St18
. . . .. .. .
. .. .
.. . . . . . .
. . . . . . . . . . .. .. . . .. . . . .
.. ·.·.·.·.·.·.·.·.·.·
... ·. · .· .· .
o
BRIEF DESCRIPTION OF REQUEST
The above named lots were combined through a unity of title. We plan to release the unity of title
and create 2 separate lots.
AUTHORIZED REPRESEi\1ATIVE
IJwe are ful ly aware of the request being made to the City of Hallandale Beach. If JJwe are unable to be
present, 1/we hereby authorize----- - - - -- - -- - - -- -- - - (individuaVfirm) to represent me/us in all matters related to this application. J/we hereby acknowledge
that the applicable fee was established to offset administrati ve costs and is not refundable.
State of Florida
County of Broward
The foregoing instrument was acknowledged
~+­
Before me this
3? \ -
dayor3u1y
,2o1S
\i,c\
_.;·
By' \ \fO
(Name
(Joint owner signature)
-State of Florida)
Personally know
~
or Produced identification _ __
Type of identification produced: _ __ _ __ _ _ ___ or Driver's License
*If joint ownership, both panies must sign. If partnership, corporation or association, authorized officer
must sign on behalf of the group. A notarized letter of authorization from the owner of record must
accompany the application, if an authorized agent signs for the owner(s).
E :\Sbared Plannmg Documents\Application Sheels\'\PPLICATJON FORM doc
. .
.
CITY OF HALLANDALE BEACH
MINOR DEVELOPMENT REVIEW
(SINGLE-FAMILY AND DUPLEX RESIDENCES)
SUBMISSION CHECKLIST
Date: July 31 , 2015
Folio # (required) . .:.5_14.. ;,.2:=-2=-6=--0=-3=--0
=-3=-8:...;:0_ _ _ _ _ _ __
Location/Subject property: 506 Oleander Drive Hallandale Beach
Applicant's Name: Angel Holdings. LLC.
Phone: _ _ _ _ _ _ __
Agent's Name (if applicable): PILLAR CONSULTANTS, INC.
Phone: 954-680-6533
Type of application (check one):
..x_ Single-Family _ _ Duplex
This checklist is for the convenience of applicants and the city to ensure basic submission infonnation is provided. Applicants
are responsible for submitting proposal in total compliance with all the requirements of Section 32-786 of the Zoning and Land
Development Code. Failure to provide any listed items shall .result in an incomplete application which will not be accepted by
the City. The adequacy oftbe submittal will be determined by staff.
Section I- General Information
A.
Applicant has had a pre-application conference with staff.
X Yes
No
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APP CITY
1.
Fees: Proof of payment (full fee)
2.
Application has been ful ly completed, including fu ll address, location and legal
description of the subject property. Application must be notarized.
3.
A certified plat of survey, prepared within one ( l ) year from date of application,
which includes:
a.
An accurate folio number and legal description of the subject property.
Computation of the total area of property in square feet and to the nearest
b.
tenth of an acre.
Zoning of the property.
c.
4.
Three copies of required site plan which shall:
Be prepared at a scale not smaller than one (1) inch equals (50) feet,
a.
b.
Be submitted on sheet(s) 24" x 36" unless the director determines
sheet size would be more appropriate
c.
Show the project name, name and address of the owner, designer and
developer, north arrow, date, and scale drawing (numerical and graphic),
d.
And reserve a blank space, three (3) inches wide and five (5) inches high for
the use of the reviewing authority.
5.
Proof of ownership, w·hich shall consist of at least one of the following:
a.
A fee simple title
b.
An option to acquire fee simple title within a specific period of time
c.
A leasehold interest in excess of20 years
X
X
X
d.
e.
f.
A substantial interest in a joint venture agreement or real estate syndication
which has or can obtain a fee simple title, or
A marketable title subject to certain condition which will not substantiall y
restrict development within a reasonable time
An executed copy of the warranty deed.
6.
A School Concurrency Availability Determination (SCAD) letter from the Broward
County School Board.
7.
All mortgages, including purchase money mortgages, all easements restricting land
Use, all liens and all j udgments, which may affect the site, must be identified.
8.
The site plan identifies the fo llo·wing:
a.
Identification of any existing site physiograph impacting the proposal such
as identification of the 100 year flood plain and water courses.
b.
Existing tree survey, including their location, type, height, trunk diameter at
4 feet above existing ground level and a written statement from a qualified
botanist, landscape architect, forester or ecologist explaining their value,
their tolerance to the proposed development, and what measures are to be
taken to minimize any negative impacts of the development as it is related
to vegetation (when applicable).
c.
Existing structures, including their location, current usage, size and condition
d.
Notation of the existing zoning for the site.
e.
Identification on the survey of any utility easement affecting the property.
(The site plan should qualify where the connection will be made to existing
water and wastewater uti lity lines at the point of site intersection and the size
ofthe lines.)
f.
Identification of the existing street right-of-way, the ·width of the improved
surface, any related existing drainage swale, and name of the street.
g.
Proposed fmished grading by spot elevations and, in particular, at locations
along lot lines.
h.
Identification of site drainage improvements to be made in accordance with
adopted design standards of the city.
1.
Proposed structures, including their location, use, height, gross floor area,
and where applicable, the density, number, size and type of residential
dwelling units. The total amount and percentage of site area to be utilized
for structural coverage shall be indicated.
J.
Proposed vehicular use areas, including off-street parking areas, driveways,
and on-site curb cuts. The total amount and percentage of site area to be
uti lized for vehicular use areas shall be indicated.
k.
Proposed fences, walls, screen planting and hedges, including their location,
type, size and height.
l.
Elevations for the proposed residence.
Source: City of Hallandale Beach, Zoning & Land Development Code, Article V
R Application Forms1.\..1inor Development Sir.gle&Dup lex Submission Checklist_6-4-l3.doc
" ;t
Prepan;d by:
Anthony S. Adelson
Law OffiCeS of Allthony S. Adelson, P.A.
501 Golden Isles Drive Suite 203
Hallandale, FL 33009
954-458-9238
File Number: 14-4093
Return to:
Robert Lederman, Esq.
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This Warranty Deed made this ~ day ofMarcb, 2015 between Angelo C. Acoc:ella and Toni Acoc:ella, h.usband
a nd wife whose post office address is 506 Oleander DriYe, HaUamble Beach, FL 33009, grantor, and Ancel Holdings,
LLC, a Florida limited liability company whose post office address is 1895 N.E. 2l4th Terrace, North Miami Beach, FL
33179, grantee:
(Wi'.enever used herein the terms 'grantor' and "grantee• include all the parties to this instrument and the heirs. legal representatives, and assigns of
indtvicluals, and !he suc:cessocs a.-.d assigns of ccxporations, trusts and trostees)
Witnesseth, that said grantor, for and in consideration of the sum ofTEN AND N0/100 DOLLARS ($10.00) 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 said grantee, and grantee's heirs and assigns forever, the following described land,
situate, lying and being in Broward County, Florida to-wit:
Lots 1 and 2, Block 3~ GOLDEN ISLES SECTION A, accordi.ag to rbe map or pJat tbereor as
recorded in Plat Book 42, Page 33, Public Records of Broward County, Florida.
Parcel rdentiflcatioo Number: 514226-03-0380
Subject to taus for 2015 and subsequent years; CO\'enaots, conditions, rutrictions, easements, aod
limiuations or record, il any.
Together ·with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining.
To Have and to Hold, the same in fee simple forever.
A nd the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the
grantor has good right and lawful authority to sell and convey said land; that the grantor hereby fu lly warrants the title to said
land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all
encumbrances, except taxes accruing subsequent to December 31 , 2014.
DoubleTime"
----------------------------------------------
. - ---
In Witness Whereof, grantor has hereunto set grantor's hand and se
Signed, sealed and delivered in our presence:
~:!!:~~
(witness as to bot
[Notary Seal]
Notary Public
#,ll-A- «. L~pe <...
My Commission Expires: -=s--a oua 1J'= 1D ~\)
Printed Name:
J
w--.-.;... n .... ,.,
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"-··""' •-.,.,--c
Albert J. Angel
ANGEL HOLDINGS LLC
100 Holiday Drive
Hallandale Beach FL 33009
[email protected]
305-775-2244
July 31, 2015
DELIVERED BY HAND
Althea P. Jefferson, Manager
Planning and Zoning Division
City of Hallandale Beach
Hallandale Beach, FL 33009
RE: Transmittal Letter 506 and 508 Oleander Drive; Application for Minor
Development Approval for Parcel Split
Dear Mrs. JeffersonConsistent with our conversation and your direction transmitted herewith are the
docum~nts requested to support the application to split 506 Oleander, a parcel with Unity
of Title, into two separate lots: 506 Oleander Drive (south parcel) and 508 Oleander Drive
(north parcel.
Included herewith are the following:
1) The Application Form (notarized). includi ng Address Assignment Request
2) The Submission Checklist
3) The Certified Plat of Survey (3). including folio and legal description, area
computation and zoning
4) Warranty Deed
5) The Combine/Split Request Form filed with Broward County
6) The Site Plan with colored site plan lines (3)
7) The breakout Boundary sketches, 3 copies for each of 506 Oleander and 508
Oleander, inclusive of legal description. area and lot dimensions
8) A copy of the Utility bills showing the addresses 506 Oleapder and 508 Oleander.
9) Proof of payment of the applicable $150 fee( pit-~
Please let me or my authorized agent Troy Townsend of Pillar Consultants know if you
require additional information.
' a pleasure working with you.
CC: TROY TOWNSEND & JAY EVANS, PILLAR CONSULTANTS
LORI PARRISH
Broward County Pro perty Appr aiser 's Office
B~OWARD
• COUNTY
II S S. Andrews Avenue, Room II I
Fort Lauderdale, Florida 3330 I
(954) 357-6830 · Far. (954) 357-8474
www.bcpa.net
PROPERTY
APPRAISER
REAL PROPERTY
COMBINE/SPLIT REQUEST FORM
I hereby request the Broward County Property Appraiser's office to 0 COMBINE or
Kl SPLIT the following folio number(s):
(X)
ParceiiD Numbers:
Parcel ID Numbers:
(X)
ParceiiD Numbers:
{X}
5142 26 03 0380
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Do any of these parcels currently have EXEMPTIONS: Yes _ _ No_ X_. If YES, type of
exemption(s):
(please mark "X" above after ID#, as applicable).
IMPO RTANT: All requests to combine real property must meet the following requirements: Same
ownership and tax districts (millage code), and all parcels must be contiguous (i.e., adjacent to each
other). To split parcels - except for already platted lots - the owner must provide us with a site survey.
To combine or split condo and co-op units, please contact our Condo Supervisor Maureen Morrison at
954.357.6303. Note: Per 197.192. Florida Statutes, we are not permitted to combine/split parcels if
Q!1}! taxes are owing upon the parcel(s).
Combine/Split Instructions: - - - - - - - - - - - - - - - - - - - - - The new line dividing the lots will be 104.05 feet North of and parallel with the
existing southerly lot line.
Owner's Name (printed):
Phone number: 305-775-2244
--------------~-----------
Please submit this completed form to [email protected] or fax to 954.357.8474.
Questions? Please contact Residential Supervisor Scott Lewis at 954.357.6893.
CkAPtUC HCAII,
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