SEWER ONLY - BARBARA L BROADHEAD INTER VIVOS TRUSTKEN BURKE, CLERK OF COURT
AND COMPTROLLER PINELLAS COUNTY, FL
INST# 2013400618 12/1812013 at 04:24 PM
OFF REC BK: 18258 PG: 1635 -1637
DocType:AGM RECORDING: 527.00
AGREEMENT
(Sewer Only) I
THIS AGREEMENT, made and entered into this (4` day of ► ! W �a�Pt ,
by and between the CITY OF CLEARWATER, a municipal corporation, hereinafter referred to as
"City," and Barbara L. Broadhead Inter Vivos Trust hereinafter referred to as "Owner ";
A.T.A. 13 -54 -564
WITNESSETH:
WHEREAS, the Owner now owns the following described real property, located outside the
municipal boundaries of the City of Clearwater:
Parcel ID #: 03- 29- 15- 12060- 003 -0090
Legal Description: Lot 9, Block "C ", Brooklawn Subdivision according to the map or
plat thereof as recorded in Plat Book 13, Page 59, of the Public
Records of Pinellas County, Florida.
Also known as: 2075 The Mall
Clearwater, Florida 33755
and
WHEREAS, the Owner desires to connect to the City sewer main and is agreeable to signing an
Agreement with the City for municipal sewer service; and
WHEREAS, the City is agreeable to furnishing sewer service upon certain conditions and
considerations;
NOW THEREFORE, the parties hereto hereby covenant and agree as follows:
1. The City agrees to provide sewer service, subject to the terms of this Agreement, and to permit the
Owner to connect to its sewer main at the Owner's expense.
2. The Owner agrees:
a) to pay the appropriate annexation fee when this Agreement is submitted for processing;
b) to pay normal sewer connection charges and monthly sewer service charges to the City on the
same basis as sewer users outside the municipal boundaries are charged, as set out in the Code of
Ordinances of the City, until the property is annexed;
c) that all recreation land, recreation facilities and open space land dedication and fees will be due
upon annexation in an amount and manner as prescribed in Clearwater Community Development Code
Chapter 54. In particular, the owner shall either:
(1) pay the required recreation facilities fee if this is the only fee required at the time this
Agreement is submitted for processing, or
(2) place in escrow a deed transferring title to land or a promissory note made payable to the City
of Clearwater, or both as required, such deed and promissory note, copies of which are attached hereto as
Exhibit A (if applicable) to be conveyed or paid prior to the second ordinance reading effectuating the
annexation of the subject property;
(d) that at such time as it becomes possible for the City to annex said real property, this
Agreement will constitute an application to annex at that time, and the City will have the right, with no
further notice to the Owner, to initiate action to annex the property to the City;
(e) that it is to the mutual benefit of the Owner and the City, in recognition of the eventual
incorporation of the property within the City, to have site and building plans reviewed and accepted by the
City in advance of obtaining any requisite permit from Pinellas County. Acceptance of such plans shall
precede the execution of this Agreement by the City and any construction on this property shall comply
with the applicable building and fire codes in effect in the City of Clearwater;
(f) that all of the property described above shall be deemed a single parcel subject to annexation
as provided herein, and any subparcels of the property described above which are created by subdivision
or by any other means shall be included for the purposes of the subsequent annexation procedure,
subsequent sale and individual ownership notwithstanding;
(g) that the terms and provisions of the Agreement shall be commitment and obligation which
shall not only bind the present owner of said described real property, but shall be a covenant which shall
run with the land and shall bind and be enforceable against the heirs, successors and assigns of the Owner;
and
(h) if the Owner or the heirs, successors, and assigns of the Owner, shall default in the
performance of the terms and provisions of this Agreement, and the City shall institute legal proceedings
to enforce the terms and provisions hereof, the Owner or the heirs, successors, and assigns of the Owner
shall pay all costs of such proceedings including the payment of a reasonable attorney's fee in connection
therewith.
3. The City shall not be liable for any damage resulting from any unavoidable cessation of service
caused by Act of God, necessary maintenance work, or any cause beyond the control of the City.
4. All notices to be furnished hereunder shall be furnished to the City of Clearwater, to the City
Manager, P.O. Box 4748, Clearwater, Florida, 33758 -4748 and to the Owner at the post office address for
the property described above, at any other address which may be furnished by the Owner from time to
time, or at the address for the Owner according to the property tax rolls of Pinellas County, Florida.
5. This Agreement shall be recorded in the public records of Pinellas County, Florida.
IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed the day and
year first above written.
WITNESS AS TO OWNER:
OWNER(S):
Barbara L. Broadhead, Trustee
STATE OF FLORIDA )
COUNTY OF PINELLAS )
BEFORE ME personally appeared Barbara L. Broadhead, Trustee , to me known to be the
individual(s) described in and who executed the foregoing instrument and severally acknowledged before
me that they executed the same for the purposes herein expressed; and that said instrument is the free act
and deed of said individual(s).
WITNESS m nd and official seal th.
PALe
Notary Public
day of J(,(,!�
Notary Name (print /type) �.f Q i Wag
My Commission Expires:
ELAINE M. WAHL
;_:: MY COMMISSION M OD 988432
EXPIRES; September 4, 2014
fir. Q " 8obeddTThhrru Notary Public Underwriters
3
CITY OF CLEARWATER, FLORIDA
By:
William B. Horne II
City Manager
STATE OF FLORIDA )
COUNTY OF PINELLAS )
Attest:
Rosemarie Call
City Clerk
BEFORE ME personally appeared William B. Horne II, the
City, who acknowledged that he executed the foregoing instrument.
did not take an oath.
WITNESS my hand and official seal this
Notary Public
Notary Name (print /type)
My Commission Expires: t W`� fly
App1oved as to form:
day of
Leslie K. Dougall +. s
Assistant City Attorney
S /Form - Annexation Agreement 1410.0029
REV. 2/27/13
City Manager of the above -named
He is personally known to me and
es___
rvti }:SJ -,20 / .
o`PRY
*CE
NO114 Ry HARRIGER
CRY PUBLIC
SrfATE OF FLORIDA
Comm# EE142238
EX.pires 1/4/2016
rropeny .= Appratser general Information
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03- 29- 15- 12060- 003 -0090
Portability Data Current as of June 07, Radius Improvement Value
Calculator Print
2013 Search per F.S. 553.844
Ownership/Mailing Address
Site Address
°'C
'.
k
{ ., N'
' "1
BROADHEAD, BARBARA L INTE'
VIVOS TRUST
BROADHEAD, BARBARA L THE
2075 THE MALL ST
CLEARWATER FL 33755 -1148
2075 THE MALL CLEARWATER
33755
Property Use: 0110 (Single Family Home) Living Units:
1
[click here to hide] 2012 Legal Description
BROOKLAWN BLK C, LOT 9
2013 Exemptions Mortgage Letter'
'File
2012 Caps /Classified Agricultural Value
for Homestead Exemption
Save- Our -Homes Cap Percentage:
100.00%
Homestead: Yes
Government: No
Institutional: No
Historic: No
Non - Homestead 10%
Cap: No
Classified
Agricultural: No
2012 Parcel Information 2012 Trim Notice
Most Recent Conveyance
Sales Comparison
Census Tract
Evacuation Zone
Plat Book/Page
16226/1617
571,100 Sales Query
1210326300
E
013/059
2012 Final Value Information
School
Save -Our- Just /Market Assessed Value/
County Municipal
Year Homes Value SOH Taxable
cap Cap Taxable Value Taxable Value
Value
2012 Yes S57,842 S57,842 S24,500 S32,342 S24,500
[click here to hide] Value History as Certified (yellow indicates correction on file)
Save -Our- Just /Market Assessed School
Value;' County Municipal
Year Homes Cap Value SOH Taxable
Cap Taxable Value Taxable Value
Value
2012 Yes S57.842 S57.842 S24,500 $32,342 S24.500
2011
2010
2009
Yes
Yes
Yes
S69.555
S76,582
S98,835
S69,555
S69.085
S67,269
$24,500
$24.500
$24,500
http://www.pcpao.orgigeneral.php?strap=152903120600030090
$44.055
$43,585
$41,769
S24,500
S24.500
S24,500
6 7'2013
i"iupt.:rLy fkppraiser 'Jenerai morn-ration
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
5118.400
5143.100
5130.700
$107,200
$98.500
582.200
577,600
569.400
559.300
S54.400
553.000
S54,000
$50.500
567,202
565.245
563.654
561,800
$60.000
558,900
557,500
556.600
555.000
553.600
$52.800
$52,000
550.500
2012 Tax Information
Tax District:
CTF
2012 Final Millage Rate 22.0630
2012 Est Taxes w/o Cap or
51.276.17
Exemptions
A significant change in taxable value may occur
when sold due to changes in the market or the
removal of exemptions. Click here for more
information.
Click Here for 2012 Tax Bill
Seawall: No
Page 2 014
524.500 541.702 524.500
539.745 N/A 539.745
538.154 N/A 538.154
536,300 N/A 536.300
534.500 N/A $34,500
533,400 N/A $33,400
532.000 N/A 532.000
531.100 N/A 531,100
529.500 N/A 529.500
528,100 N/A $28,100
$27.300 N/A 527.300
526,500 N/A 526,500
525,000 N/A 525,000
Ranked Sales ON hat are Ranked Sales?) See all
transactions
Sale Date Book/Page Price Q/U V/I
1975 04263 / 0386 0 $19,500 Q
1973 04112 / 1445 0 $19.900 Q
30 Dec 06907 / 1752 0 $11,600 U
1988
2012 Land Information
Frontage: None View:
Land Use Land Size Unit Value Units Total Adjustments Adjusted Value Method
Single Family (01) 56x100 130.00 56.0000 0.9009 S6,559 FF
[click here to hide] 2012 Building 1 Structural Elements Back to Ton
Site Address: 2075 THE MALL CLEARWATER 33755-
Quality: Average
Square Footage:
1977.00
Foundation:
Continuous Footing
Floor System: Slab
On Grade
Exterior Wall: Cb
Stucco /Cb Reclad
Roof Frame: Gable
Or Hip
http:/ivww.pcpao.org'generaI.php?strap= 1 5290 3 1206000 30090
6/7/2013
rroperty Appraiser General information Page ; of -1
Roof Cover:
Composition
Shingle
Stories: 1
Living units: 1
Floor Finish:
Carpet/
Vinyl /Asphalt
Interior Finish:
Drywall /Plaster
Fixtures: 6
Year Built: 1973
Effective Age: 35
Heating: Central
Duct
Cooling: Cooling
(Central)
S Pf
BSF
BA S
OPu
2
GRF
Open plot in New Window
Building 1 Sub Area Information
Description Living Area Ft2 Gross Area Ft2 Factor Effective Ft2
Screen Porch 0 168 0.25 42
Open Porch Unfinished 0 126 0.15 19
Garage 0 336 0.35 118
Base Semi - finished 252 252 0.80 202
Base 1.095 1,095 1.00 1,095
Total Living SF: 1,347 Total Gross SF: 1,977 Total Effective SF: 1,476
[click here to hide] 2012 Extra Features
Description Value /Unit Units Total NewValue
No Extra Features on Record
Depreciated Value Year
[click here to hide] Permit Data
Permit information is received from the County and Cities. This data may be incomplete and may exclude permits that do not result in
field reviews (for example for water heater replacement permits). Any questions regarding permits should be directed to the permitting
office in which the structure is located.
Permit Number
Radius
(feet):
300
Description
Issue Date
No Permit Data Found
Estimated Value
Aerials: 2011 Color
Transparency: 0.5
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rruperty Appraiser senera! tnrornlatton
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FEE SIMPLE DEED
Please Return to:
Name: J. Gerard Correa, P.A.
Address: 275 - 96th Avenue North, #6
St. Petersburg, FL 33702
This Instrument Prepared by
Name: J. Gerard Correa, PA.
Address: 275 - 96th Avenue North, #6
St. Petersburg, FL 33702
Property Appraiser Parcel Identification
Folio Number(s): 03129/151120690 /00310090
KEN BURKE, CLERK OF COURT
PINELLAS COUNTY FLORIDA
INST# 2008109063 04/22/2008 at 09:17 AM
OFF REC BK: 16226 PG: 1617 -1618
DocType:DEED RECORDING: 818.50
D DOC STAMP: 80.70
SPACE ABOVE THIS LINE FOR PROCESSING DATA SPACE ABOVE THIS LIME FOR RECORDING DATA
THIS INDENTURE, made the 8th day of April , 2008, by
BARBARA BROADHEAD and AUDREY WENTZ, formerly known as AUDREY ROBERTS, joint tenants with
rights of survivorship and not as tenants in common hereinafter called the first party,
to BARBARA L. BROADHEAD, Trustee U.D.T. 4 -8 -08 , with full power and authority to protect, conserve and
to sell, lease or to encumber, or otherwise to manage and dispose of the real property described herein, pursuant to
Section 689.071, Florida Statutes, whose post office address is 2075 The Mall Street, Clearwater, FL 33755, hereinafter
called the second party:
(Wherever used herein the terms "first party" and "second party" include all the parties to this instrument and the heirs, legal representatives, and
assigns of indivifiials, and the successors and assigns of corporations, wherever the context so admits or requires.)
WITNESSETH, That the first party, for and in consideration of the sum of $ TEN ( 10.00) DOLLARS ,and other
valuable considerations, receipt of which is hereby acknowledged, hereby grants, bargains, sell, aliens, remises, releases, and
transfers unto the second party, all that certain land situate in Pinellas County, State of Florida ,viz:
LOT NINE (9), BLOCK "C ", BROOKLAWN SUNDNISION, according to the map or plat thereof as
recorded in Plat Book 13, Page 59, of the Public Records of Pinellas County, Florida.
Subject to easements, restrictions, reservations of record and taxes for the year 2008 and all subsequent years.
THIS DEED WAS PREPARED WITHOUT BENEFIT OF I H LE EXAMINATION AT THE REQUEST OF THE FIRST
PARTY.
Under that certain Trust Agreement known as The BARBARA L. BROADHEAD Inter Vivos Trust Agreement dated April
8, 2008, BARBARA L. BROADHEAD, as Grantor, has not less than a beneficial interest for life and is entitled to a
homestead tax exemption according to Florida Statute 196.041(2). Barbara Broadhead, one of the Grantor's of this deed
retains a life estate in the subject property for her lifetime.
Together with all the tenements, hereditaments and appurtenances thereto belonging or in anyway appertaining and all
the estate, right, title, interest, lien, equity and claim whatsoever of the said first party, either in law or equity to the only
proper use, benefit and behalf of the said second party forever.
To Have and to Hold, the same in fee simple forever.
In Witness Whereof, the said first party has hereunto set their hands and seal the day and year first above written.
Signed, sealed nd -deli eyed iin. the presence of :
/ r
04.f14-4.vr&.
Witness Signature (as to First party)
C�i i ct Iii . ((X rS 1 Yl
6 ,e /LL .rJ/f. (SEAL)
First party Signature
BARBARA BROADHEAD
Printed Name
s Sen Lure (as to First party,
Printed Name
2075 The Mall Street. Clearwater, Florida 33755
Post Office Address
as to Co-First party, if any)
C-,<I> AUDREY WWENTZ
Printed Name
Printed
ture (as to Co-First party, if any)
rrr�
i Name
2075 The Mall Street, Clearwater, Florida 33755
Post Office Address
STATE OF Florida
COUNTY OF Pinellas
I hereby Certify that on this day, before me, an officer duly authorized to
administer oaths and take acknowledgments, personally appeared
BARBARA BROADHEAD .mown to me to be the person s described in and who executed the foregoing instrument, who
acknowledged before me that she executed the same, and an oath was taken . (Check one:) ( ) Said person(s) is/are personally
known to me. (x) Said person(s) provided the following type of identification: Driver's license
Witness my hand and official seal in the County and State last
aforesaid this 8th day of April t A.D. 2008
NOTARY RUBBER STAMP SEAL
J. GERARD CORREA
Notary Public - State of Florida
Commission Expires Dec 13, 2009
Commission # DD462487
STATE OF ce ts4\es, c— )
COUNTY OF )
I hereby Certify that on this day, before me, an officer duly authorized to
administer oaths and take acknowledgments, personally appeared
AUDREY WENTZ. formerly known as AUDREY ROBERTS. known to me to be the persons described in and who
executed the foregoing instrument, who acknowledged before me that she executed the same, and an oath was taken . (Check
one:) ( ) Said person(s) is/ale personally known to me. (x) Said person(s) provided the following type of identification:
pr :. v - +25 I'S VS- C-4:1-r. `
NOTARY RUBBER STAMP SEAL
4
4
J. GERARD CORREA
Notary Pubic- State of Florida
Commission Expires Dec 13, 2009
Commission # DD462487
Witness my hand and official seal in the County and State last
aforesaid this \-day of �S", \ , A.D. 2008
ted Name