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ANX2014-07012,r 1283 PALM ST ANX2014-07012 1 o Idlewild - Multiple Properties , �� Zoning: U Atlas #: 251 B anning & Development Department Petition 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 TIiE SCHEDULED DEADLINE DATE. A TOTAL OF 14 COMPLETE SETS OF APPLICATION AND SUPPLEMENTAL MATERIALS (1 ORIGINAL AND 13 COPIES) AS REQUIRED WITHIN ARE TO BE SUBMITTED FOR REVIEW BY THE DEVELOPMENT REVIEW COMMITTEE. APPIICATIONS 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 COMMUNIN DEVELOPMENT CODE. APPLICATION FEE: IMPACT FEE/ASSESSMENT FEE PROPERTY OWNER (PER DEED): MAILING ADDRESS: PHONE NUMBER: EMAIL: AGENT OR REPRESENTATIVE: MAILING ADDRESS: PHONE NUMBER: EMAIL: ADDRESS OF SUBIECT PROPERTY: PARCEL NUMBER(S): � � $d 76D Information on Impact Fees or Assessment Fees is available from the City of Cfearwater Engineering Department (562-4747). LEGAL DESCRIPTION: L EfJ -�y� �.j ��;�� L O% o�� CURRENT CITY SERVICES: REQUESTED CITY SERVICES: (select all that apply) SANITARY SEWER r� SANITARY SEWER SOLID WASTE V WATER �/" SOLID WASTE Pianning & Dev_elopment Department, 100 S. Myrtie Avenue, Clearwater, FL 33756, Tel: 727-562-4567; Fax: 727-562-4865 Page 1 of 7 f Revised 03113 � o f, � ��e�rwater � 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 (CITYj: �t�(� f� SITE AREA: � � � acres SIZE OF DEVELOPMENT : Existing: � Proposed: � (e.g., number of units, hotel rooms or non- residential square footoge) USE OF PROPERTY: Existing (currently on site): Proposed (new use, if any; plus existing if to remain): If residential use, is unit(s) rental? / �) �� (� � � V � 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 � f z (1 � � �' • bY /—� � � rX : �F �p . �,�, � ��> �' , who is personally known/has produced }-- L- �� Signature of property owner �representative Notary public, My commission expires: Signature of property owner or representative as identification. .. _... _ _ �'.__ _. _ _ ,�rruvvw..�--- - - �, VICKI JO M�ORA�3N EXPIRES: Msrch 04, 2015 �_.. FI. Notu7' Discount Assoc. C�. Pianning & Development Department, 100 S. Myrtle Avenue, Ciearwater, FL 33756, Tei: 727-562-4567; Fax: 727-562-4865 Page 2 ot 7 Revised 03/13 � 0 � C �arwater U PROPERTY OWNER (PER DEED): MAILING ADDRESS: PHONE NUMBER: EMAIL: AGENT OR REPRESENTATIVE: MAILING ADDRESS: PHONE NUMBER: EMAIL: Planning & Development Department Petition for Annexation Disclosure Statement 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 SUBIECT PROPERTY? PARTIES INVOLVED — NAME: IVHIVIt: ARE THERE ANY MORTGAGES OR LIENS ON THE SU6IECT PROPERTY? PARTIES INVOLVED — NAME: NAME: YES ✓ NO PHONE NUMBER: PHONE NUMBER: YES �/ NO PHONE NUMBER: F'tIVIVt IVl11VltSt1(: YES PHONE NUMBER: PHONE NUMBER: �" NO 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 k" day of _ � t,t (l � G � '�- . by �C:�1�,F Y1P -�'�.�,�' {�� , who is personally known/has ��/�,,,,,. �<.1__��,��,�// / produced � ��- asidentification. Signature of property owner or representa Notary public, My commission expires: Signature of property owner or representative VICK1 !0 MORAHAN � �� EXPIRFS: March 04, 2015 or i-80PJ-NOTnItY Fl. Ndnry' Discount Asaoc. Co. Planning & Development Department, 100 S. Myrtle Avenue, Clearwater, FL 33756, Tel: 727-562-4567; Fax: 727-562-4865 Page S of 7 Revised 031�3 0 � � i�arwater � PROPERTY OWNER (PER DEED): � MAILING ADDRESS: CITY OF CLEARWATER CASE NUMBER: i_ r Planning & Development Department Petition for Annexation Sunnlemental Statement �/we,�� /�I l�.��NE ,�_ t �-1 � %� 5' �" [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 know�edge and authorize City representatives to visit and photograph the property described in this application. Sworn to and subscribed before me this � day of �J i� ►'?�: � „ � � . by �« ;` � P�{� �u � i S+ , who is personally known/has ��'� � � � _ _ / � produced ��...— •�� L as identification. Signature of property owner (individual'or authonr representative of corporation, partnership or other entity) Signature of co-property owner � �� '� � �t L� �,u Notary public, My commission expires: �w�� MY COMMISSION # EEb0377 ` EXPIRFS: Merch 04, 2015 qRy Fl. Naery� Dincount Asa«. Co. Planning & Development Department, 100 S. Myrtle Avenue, Clearwater, FL 33756, Tel: 727-562-4567; Fax: 727-562-4865 Page 7 of 7 Revised 03113 �?-#: 2008186553 BK: 16312 PG: I342, 07/09/2008 at 02:05 PM, RECORDING 2 � BURKE,,CLERK.OF COURT P LLAS COUNTY, FL BY DEPUTY CL: : CLKPRII e0 IN THE CIRCUIT COURT FOR PINELLAS�COUNTY, FLORIDA PROBATE DIVISION IN RE: ESTATE OF OLIVE W 3TRU�L�A �e No. d g-� b(pd �S 3 Division Deceased. U C N: 522008C P004062XX ESXX KEN Ff L£D :��TE �oE.,.i RtcoKt;� 2008.1U� -7 PM G� 07 .� ��;�'�-�" K�N BURKE CLERK OF CIRCUIT COU(�? ORDER DETERMINING HOMESTEAD STATUS OF REAL PROPERTY (testate - validly devised, heirs, no spouse or minor chlld - exempt from claims) On the petition of Dazlene Fuerst, F/K/A Dazlene Struble, and David Fuerst, for an order determining homestead status of real property, all interested persons having been served proper notice of the petition and hearing, or having waived notice thereof, the court finds that: 1. 2. 3. 4. The decedent died testate and was domiciled in Pinellas County, Florida; The decedent was not survived by a spouse or minor child; Decedent's homestead is validly devised; Decedent's homestead was devised to one or more heirs of the decedent; 5. At the time of death, the decedent owned and resided on the real property described in the petition; it is ADJIIDGED that the following-described property (the "Property"): Lot 24, Block A, Cleardun, according to the map or plat thereof, as recorded in Plat Book 13, Page 47, Public Records of Pinellas County, Florida, Pazcel ID#03/29/15/15840/001/Q240, constituted the homestead of the decedent within the meaning of Section 4 of Article X of the Constitution of the State of Florida. PTNELLA5 COUNTY FL OFF. REC. BK 16312 PG 1343 • ADJi7DGED FCTR'THER that the Properly was validly devised to and the consritutional exemption from the claims of decedent's creditors inured to: • NAME ADDRESS RELATIONSHIP SHARE ' Darlene Fuerst 1260 Palm Street Adult Daughter 100% Clearwater, Florida 33755 ORDERED on � 2008. , C' cuit Judge ,.,., � <-,� ,;,:: . �: y ta _� .:;� .� 5 " � ' //f�n tfl� � tC/ jX_.� � `� � � " � �,-� f � � i i Y. � ` .> 3 .(Y"_.} ° j.% , . r - ; , �� -? ' '_�,,'�i`�,_�`_ � ;,, _ _