ANX2014-070100
� 1710 Calumet ST
ANX2014-07010
LL
° Clearwat 1710 Calumet Street
Zoning: Atlas #:
U
& Development Department
� ���cion for Annexation
ALL APPLICATIONS ARE TO BE FILLED OUT COMPLETELY AND CORRECTLY, AND SUBMITTED IN PERSON (NO FAX OR
DELIVERIES) TO THE PLANNING & DEVELOPMENT DEPARTMENT BY NOON ON THE SCHEDULED DEADLINE DATE.
A TOTAL OF 13 COMPLETE SETS OF APPLICATION AND SUPPLEMENTAL MATERIAIS (.1 ORIGINAL AND 12 COPIES) AS
REQUIRED WITHIN ARE TO BE SUBMITTED FOR REVIEW BY THE DEVELOPMENT REVIEW COMMITTEE. APPLICATIONS
AND SUPPLEMENTAL MATERIALS ARE REQUIRED TO BE COLLATED AND STAPLED INTO SETS.
IT IS INCUMBENT UPON THE APPLICANT TO SUBMIT COMPLETE AND CORRECT INFORMATION. ANY MISLEADING,
DECEPTIVE, INCOMPLETE OR INCORRECT INFORMATION MAY INVALIDATE YOUR APPLICATION.
THE APPLICANT, BY FILING THIS APPLICATION, AGREES TO COMPLY WITH ALL APPLICABLE REQUIREMENTS OF THE
COMMUNITY DEVELOPMENT CODE.
APPLICATION FEE:
IMPACT FEE/ASSESSMENT FEE:
PROPERTY OWNER (PER DEED):
MAILING ADDRESS:
PHONE NUMBER:
EMAIL:
$0
TBD Information on Impact Fees or Assessment Fees is available from
ihe City of Clearwater Engineering Deparfinent (562-4747).
Instrument Transformers, Inc.
1907 Calumet Street, Clearwater, FL 33755
AGENTOR REPRESENTATIVE: Brian J. Aungst, Jr. , Esq.
MAILINGADDRESS: P•O. Box 1669, Clearwater, FL 33757
PHONENUMBER: (727) 444-1403
EMAlL: b�a@macfar. com
ADDRESS OF SUBJECT
PROPERTY:
PARCEL NUMBER(S):
1710 Calumet Street, Clearwater, FL 33765
01-29-15-00000-340-2710
LEGAL DESCRIPTION: Metes and bounds description, see Exhibit "A" aCtached
hereto and made a part hereof by reference.
CURRENTCITYSERVICfS: SANITARYSEWER
REQUESTED CITV SERV/CES: g SANITARY SEWER
(select a!1 that applyJ
SOLID WASTE X WATER
X SOLID WASTE
Planning 8� Development Department, 100 S. Myrtle Avenue, Clearwater, FL 33756, Tet: 727-562-4567; Fax: 727-562-4865
Page 1 of 7 Revised 02/12
EXHIBIT ,•A•�
Cornmence at the South 1/4 (Fhe Southeast carner oP the Southwest 1/4) of Sectlon 1, Township
29 5outh, Rang.e i5 East, Plnellas County, Fforlda, and go North 89°ZX'54" West, 50.01 faet, alonp
the South boundary of said Sect►on 1, to a polnt on the West right-bf-way Iine of Hercules Avenue;
th'ence South OQ°18'13" West, i71,55 feet, along sa►d West right-of-way Ilna to a pofnt on the
Northerly right-of-way Iine of the Seabaard System Railroad tight-of-wny; thence North 72°54'38"
West, 1139.�2 feet alang said Northerly right-of way line, to the Potnt of Beglnning; thence North
72°54'38" WesC, 224.36 faet, along tha aforementloned Northerfy rfqht-of way iine; thenca North
DO°09'S2" West, 29?.58 fee�; thence 5outh 89°28'38" Eest� 189,97 feetj Ch�nce South 00°12'S5"
East, 6Q.00 feet; thenca 5outh 04°45'32" L�ast, 30�.8Z feet, to tha �oint of 6aginning,
TOGET}iER WITH e 20 fooC wide Ingress, egress, drafnage andjor utility easement over Che
folfowing descrlbed property;
Comrnence at the South 1(4 corner (the Soutbeast corner of the SouEhwest l/4) of Sectlon i,
Townsh)p 29 South, Range 15 East, Pinellas County, Flarida, and go North 89°z1'54° West, 50.�1
feet, along tha South boundary of sald Se�tion 1, to e polnt on the West right-of-way line of
Hercules Avenue; thence South 00°I8'13" West, 171,55 feet, afong sald West right-of-way pne to
a polnt on the Northeriy rlght-of-way Ifne of tha Seabasrd System Rallroa,� rlght-o4-way; thence
North 72°S4'38" West, 1117.47 feet, along said Northerly rlght-oP-way Iine, to the PoInC of
Beglnriing; thence North 04°45'32" West, 31D,05 feet;, thence North Oa°17'S5" West, 58.89 feet to
� polnt on the South right-of-way Ilne o( Calumet Street; thenca North 89°i8`52" West, 20,00 feet,
along sald 5outh rlght-pf-way ifna to the Southwest corner of Calumet Streat right-a�way; thence
5outh 00°12'55" East, 60.00 feet; thence South 04°45'32" East, 302,82 feet, to'a polnt on ths
Northariy right-of-YVay Ilne of the Seaboard System Rallrroad ripht-of-way; thence South 7z�sa�3s��
East, z1.55 feet, along satd Northerfy rlght-of•way line, to the Po1nt of Beginn�ng.
All lying and situate In Pinellas County, Flor(da,
0
° �learwater
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Planning & Development Department
Petition for Annexation
Data Sheet
PLEASE ENSURE THAT THE FOLLOWING INFORMATION IS FILLED OUT, IN ITS ENTIRETY. FAILURE TO COMPLETE THIS
FORM WILL RESULT IN YOUR APPLICATION BEING FOUND INCOMPLETE AND POSSIBLY DEFERRED UNTIL THE FOLLOWING
APPLICATION CYCLE.
FUTURE LAND USE PLAN DESIGNATION
PRESENT (COUNTY):
REQUESTED (CITY):
ZONING DISTRICT
PRESENT (COUNTY):
REQUESTED (CITY):
SITE AREA: 1. 5 acres
SIZE OF DEVELOPMENT :
Existing: 1. 5 a c r e s
Proposed: � q_�� a � r P s
(e.g., units, hotel rooms or non-
residential square footageJ
IRT
IRT
USE OF PROPERTY:
Existing (currently on site):
Proposed (new use, if any;
plus existing if to remain):
Light Manufacturing
Parking; Li�ht Manufacturing
STATE OF FLORIDA, COUNTY OF PINELLAS
I(we), the undersigned, acknowledge that all representations made in this application are true and accurate to the best of my
knowledge and authorize City representatives to visit and photograph the property described in this application.
Sworn to and subscribed before me this l.� �� day of
�/ U/l/� .�2li/ � . by
-----_..
�� � •� - , who i e�rs�nally kri n/has
� � 'ro�uce� / as identification.
Signature of property owner o Y esent�
Signature of property owner or representative
�j`��G�%l.-f�,l.�L-C� C�` �---�-�%�'+.u-'l��✓
`' -°" \
Notary public,
My commission
�,t� °�W� Notery Public State of Florida
MY �ommissiun EE112096
Expirea 07/YOl2015
Planning & Development Department, 100 S. Myrtle Avenue, Clearwater, FL 33756, Tel: 727-562-4567; Fax: 727-562-4865
Page 2 of 7 Revised 02/12
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Planning & Development Department
Petition for Annexation
Submittal Package Instructions & Checklist
IN ADDITION TO THE COMPLETED ANNEXATION PETITION FORM, ALL PETITION FOR ANNEXATION PACKAGES SHALL
INCLUDE A SUBMITTAL PACKAGE THAT INCLUDES THE FOLLOWING:
9u Signed and sworn (notarized) disclosure of interest statement (form attached).
G�7� If the property is not a platted lot of record, a current survey identifying the dimensions, area and location of the
property having been prepared, signed and sealed by a land surveyor currently registered in the State of Florida within
the most recent 12 months. [Note: Submit two copies onlyj
��P ❑ If development is to be initiated prior to submission of an annexation petition and/or prior to the effective date of the
annexation, requisite site plans, plat, and engineering plans.
❑ Terms of a proposed Agreement to Annex, if any.
❑ If the proposed annexation requires a change in the land use classification and zoning category assigned to the
���+ property, a justification for such change must be submitted in writing. if the requested zoning is not consistent with the
Future Land Use Map of the City of Clearwater Comprehensive Plan, the applicant will be required to file a companion
application to amend the map.
� Proof of ownership (e.g., copy of deed, title insurance policy, or other instrument demonstrating ownership). [Note:
Submit two copies only]
�p�p, ❑ If connection to city services is desired prior to the effective date of the annexation, applicant must provide notarized
Petition for Annexation Supplemental Statement (form attached). [Note: Submit origina/ on/y]
l� If applicant is designating an agent/representative to work with City, applicant must provide notarized Affidavit to
Authorize Agent/Representative (form attached). [Note: Submit origina/ on/yj
INFORMATION REQUIRED TO COMPLETE THE PETITION FOR ANNEXATION APPLICATION AND DATA SHEET CAN BE
FOUND ON THE FOILOWING DOCUMENTS AND/OR ONLINE AT THE FOLLOWING WEBSITES. IF THE APPLICANT IS
UNCERTAIN WHERE TO LOCATE THIS INFORMATION OR NEEDS ADDITIONAL ASSISTANCE, PLEASE CONTACT THE
PLANNING AND DEVELOPMENT DEPARTMENT, LONG RANGE PLANNING DIVISION AT 727-562-4567.
� PARCEL NUMBER (Parcel I.D. Number) can be found on the Warranty Deed. It can also be found by searching the
Pinellas County Property Appraiser's Office website at www.pcpao.org (search database by address).
�rr! LEGAL DESCRIPTION can be found on the Warranty Deed. It can also be found by viewing the property record online at
the Pinellas County Property Appraiser's Office website at www.pcpao.ors.
01 FUTURE LAND USE PLAN DESIGNATION (COUNTY) can be found by viewing a Property Report using Pinellas County's
Public GIS Viewer available online at http://�is.pinellascountv.or�/public �is/. Search by property address or Parcel I.D.
Number and report will appear.
� FUTURE LAND USE PLAN DESIGNATION (CITY) is typically the same as the land use designation in Pinellas County, unless
applicant is proposing a change (see submittal package requirements for more information).
Ld ZONING DISTRICT (COUNTY) can be found by viewing a Property Report using Pinellas County's Public GIS Viewer
available online at http://�is.pinellascountv.or�/public ais/.
l�d' ZONING DISTRICT (CI7'Y) can be found by contacting the Planning and Development Department or viewing the City's
Zoqing Atlas, available online at
htt : /www.mvclearwater.com/gov/depts/pwa/en�in/publications/en�atlas/atlas asp.
� SITE AREA (ACRES) can be found by viewing a Property Report using Pinellas County's Public GIS Viewer available online
at http://�is.pinellascounty.or�/public �is/.
Planning & Development Department, 100 S. Myrtle Avenue, Clearwater, FL 33756, Tel: 727-562-4567; Fax: 727-562-4865
Page 3 of 7 Revised 02/12
�1
� � �arwater
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ATTENDANCE AT PUBLIC HEARINGS
Planning & Development Department
Petition for Annexation
Information for Applicants
The applicant or applicant's representative is encouraged to attend City Council public hearings unless the annexation
pertains to a property developed or to be developed with one single family dwelling.
STANDARDS FOR ANNEXATION
In determining whether to annex a property, the City shall consider the extent to which:
❑ The proposed annexation will impact public services (e.g., water, sewer, police, parks, etc.).
❑ The proposed annexation is consistent with the City of Clearwater Comprehensive Pian.
❑ The proposed annexation requires a change in the future land use and zoning classifications assigned to the
property as well as the jurisdiction for said change.
❑ Existing or proposed development is consistent with City regulations.
❑ Terms of a proposed Annexation Agreement, if any, promotes the City of Clearwater Comprehensive Plan.
PROPERTY OWNER AGREEMENT
Please be advised that, in consideration of the annexation, the property owners do hereby agree that:
❑ All structures and improvements which are erected upon said property subsequent to the date of this petition for
annexation shall comply with all applicable City of Clearwater regulations and ordinances as set forth in the City
Code of Ordinances;
❑ If development is to be initiated prior to submission of an annexation petition and/or prior to the effective date of
the annexation, requisite site plans, plat, and engineering plans shall be submitted to ensure compliance with the
citys Community Development Code (see Submittal Package Instructions Checklist). It is recommended that the
applicant meet with Planning and Development Department staff to review plans and/or discuss the applicable city
regulations.
❑ All annexations of residential dwellings of eight dwelling units or more shall convey such recreation facilities fees
and recreation land dedication and/or fees in the amount and manner prescribed by Chapter 54, Article II of
Clearwater Code of Ordinances; and
❑ When any substandard abutting street or utilities are subsequently upgraded by the City to meet City Standards,
said improvement(s) will be done on an assessment basis, consistent with City procedures therefore.
Planning & Development Department, 100 S. Myrtle Avenue, Clearwater, FL 33756, Tel: 727-562-4567; Fax: 727-562-4865
Page 4 of 7 Revised 02/12
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Planning & Development Department
Petition for Annexation
Disclosure Statement
PROPERTY OWNER (PER DEED): Instrument Transf ormers , Inc .
MAILINGADDRESS: 1907 Calumet Street, Clearwater, FL 33765
PHONE NUMBER:
EMAIL: '
AGENTORREPRESENTATIVE: Brian J. Aungst, Jr., Esq.
MAILINGADDRESS: P•0. Box 1669, Clearwater, FL 33757
PHONENUMBER: (727) 444-1403
EMAIL: bj aC�macfar . com
OTHER PERSONS HAVING ANY OWNERSHIP INTEREST IN THE SUBJECT PROPERTY:
NAME:
INTEREST IS:
SPECIFIC INTEREST HELD:
DOES A CONTRACT EXIST FOR SALE OF THE SUBIECT PROPERTY?
CONTRACT IS:
PARTIES INVOLVED - NAME:
NAME:
ARE THERE ANY OPTIONS TO PURCHASE THE SUBJECT PROPERTY?
PARTIES INVOLVED - NAME:
NAME:
ARE THERE ANY MORTGAGES OR LIENS ON THE SUBJECT PROPERTY?
PARTIES INVOLVED - NAME:
NAME:
YES X NO
PHONE NUMBER:
PHONE NUMBER:
YES X NO
PHONE NUMBER:
PHONE NUMBER:
YES
PHONE NUMBER:
PHONE NUMBER:
G`���L��
STATE OF FLORIDA, COUNTY OF PINELLAS
I(we), tne undersigned, acknowledge that all representations made in this application are true and accurate to the best of my
knowledge and authorize City representatives to visit and photograph the property described in this application.
Sworn to and subscribed before me this �`�� day of
� �I c��'� , ;,�� /� , by
/ . who i ersonally know /has
l � �-
. � produced 1 as identification.
Signature of property own �'"r`epresenfati
Signature of property owner or representative
� `�
�G��2� � �1
Notary �iublic,
My commissio�
2
Planning & Development Department, 100 S. Myrtle Avenue, Clearwate�;
Page 5 of 7
; Kathfeen A O'Hearn
� My Commission EE112096
Revised 02/12
° Clearwater
Planning & Development Department
Petition for Annexation
� Affidavit to Authorize Agent/Representative
1. Provide names of all property owners on deed — PRINTfull names:
Instrument Transformers, Inc.
2. That (i am/we are) the owner(sj and recard t�tle holder(s) of the foAowing described property:
Parcel ID # 01-29-15-00000-340-2710
3. That this property constitutes the property for which a request for (describe request):
Voluntary Annexation
4. That the undersigned (has/have) appointed and (does/do) appoint:
Brian J. Aungst, Jr., Esq.
as (his/their) agent(s) to execute any petitions or other documents necessary to affect such petition;
5. That this affidavit has been executed to induce the City of C{earwater, Florida to consider and act on the above
described property;
6. That site visits to the property are necessary by City representatives in order to process this application and the
owner authorizes City representatives to visit and photograph the property described in this application;
7. That (I/ e), t e undersigne , uthority ereby certify that the foregoing is true and correct.
a
Property Owner Property Owner
Property Owner
STATE OF FLORIDA, COUNTY OF PtNELLAS
Property Owner
BEFORE ME THE UNDERSIGNED, AN OFFICER DULY COMMISSIONED BY THE IAWS OF THE STATE OF FLORIDA, ON
THIS � DAY OF c�.-TT(w7�, .�(�} (4- , PERSONALLY APPEARED
1--� S '���� ��¢� L WHO HAVING BEEN FIRST DULY SWORN
DEPOSED AND SAYS THAT HE/SHE FULLY UNDERSTANDS THE CONTENTS OF THE AFFIDAVIT THAT HE/SHE SIGNED.
,,��� p�e KATHLEEN SCHOOIEY
„�`r°. `�s_, Notary Pubtic - State ot florida �" °
,•= My Comm. Expires May 8, 20i6 Notary Public Sign�
%"�,,� �a:= Commission #� EE 196832
Not S`E�e°fj�t''ampBonded Through N�ional Notary Aasn. My Commission Expires: a,� �j` a� J j,,,�
--r
Planning & Development Department, 100 S. Myrtle Avenue, Clearwater, FL 33756, Tel: 727-562-4567; Fax: 727-562-4865
Page 6 of 7 Revised 02l12
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PROPERTY OWNER (PER DEED):
MAILING ADDRESS:
CITY OF CLEARWATER CASE
NUMBER:
Planning & Development Department
- - P-etition for Annexation
Supplemental Statement
Instrument Transformers, Inc.
1907 Calumet Street, Clearwater, FL 33765
I/we,
as agent for Instrument Transformers, Inc.
[insert names of all property owners], having filed a Petition for Annexation regarding the above property/case number,
grant consent, agree and acknowledge that the City of Clearwater may immediately or at a later time process the application
to completion, including adoption and recordation of related Ordinances, without the necessity to further notice me/us. This
Supplemental Statement shall supersede any provision in any Agreement to Annex executed by me/us or my/our
predecessors in interest.
I/we further agree and acknowledge that I/we shall not rescind the Petition for Annexation or execute any documents
attempting such rescission, and that any attempted rescission shall be of no force and effect.
STATE OF FLORIDA, COUNTY OF PINELLAS
I(we), the undersigned, acknowledge that all representations made in this application are true and accurate to the best of my
knowledge and authorize City repr.esentatives to visit and photograph the property described in this application. �
Sworn to and subscribed before me this %� '� day of
JU,�U�.-� , �!� , by
-� , who is rsonally kno /has
� � � • � � produced �' as identification.
Signature of-property owner (indivi`dual or authorized
representative of corporation, partnership or other
entity)
Signature of co-property owner
����c -��. ��.;��.��
Notary public,
My commission
��}►"" "� Notary Public State of Florida
—K3 en eam
'� �. � My Cammisaian EE112096
�?,._..d� c�,.,,.e����.,,,,...,.�
Planning 8� Development Department, 100 S. Myrtle Avenue, Clearwater, FL 33756, Tel: 727-562-4567; Fax: 727-562-4865
Page 7 of 7 Revised 02/12