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ANX2014-090172107 BELL CHEER DR LL ; ANX2014-09017 o � Mann, Roger D& Carolyn A qtlas #: � � Zoning: � �`�%~�.,. .... V�.:�''�.✓ Planning & 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 N(�ON ON THE 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. 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 INVAUDATE YOUR APPUCATION. THE APPLICANT, BY FILING THIS APPLICATION, AGREES TO COMPL'Y WITH ALL APPLICABLE REQUIREMENTS OF THE COMMUNITY 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: $0 TB� Information on ImE�act Fees orAssessment Fees is available from the City of Clearwater Engineering Departmenf (562-4747). Roger D. Mann and Carolyn A. Mann 2107 Bell Cheer Drive, Clearwater, Fl. 33764-4845 �� z -� - �� - � `�a ,� /' �'v�� (� "7G"Q.�,/�a .b � , r r. ADDRESS OF SUBJECT 2107 Bell Cheer Drive, Clearwater, Fl_ 33764-4845 PROPERTY: PARCEL NUMBER(S): LEGAL DESCRIPTION CURRENT CITY SERVICES: 24-29-15-72144-000-0010 Pleasant Ridge Estates Lots 1& 2 SANITARY SEWER REQUESTEDCITYSERVICES: X SANITARYSEWER (select a!1 that applyJ �G f?7 SOLID WASTE x SOLID WASTE WATER Planning 8 Development Department, 100 S. Myrtle Avenue, ClearwaRer, FL 33756, Tel: 727-562-4567; Fax: 727-562-4865 Page 1 of 7 Revised 03/13 LL ° �ar�vater �� U 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 INCOMPLETIE AND POSSIBLY DEFERRED UNTIL THE FOLLOWING APPLICATION CYCLE. FUTURE LAND USE PLAN DESIGNATION PRESENT (COUNTY): Residential Low (RL) REQUESTED (CITY}: Residential Low (RL) SITE AREA: ZONING DISTRICT PRESENT (COUNTY): REQUESTED (CITY): 0.454 SIZE OF DEVELOPMENT : Existing: 1 Proposed: 1 (e.g., number of units, hotel rooms or non- residential syuare footage) R-3, Single Family Residential Low Medium Density Residential (LMDR) acres USE OF PROPERTY: Existing (curreni:ly on site) Proposed (new use, if any; plus existing if t�� remain): If residential use, is unit(s) rental? Single Family Dwelling Single Family Dwelling 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 applica 'o Sworn to and subscribed before me this �'�_ day of �� U� .'� � ��'-L' � � , by ..� r " � l t�' u'�.0 /�"� �i�y, who is personally known/has /�� „�., � �i%��,� ,,.�, ,,,r,� produced _ 2"( �� .. as identification. Signat� of p�perty owner or representative , �G' 7�-� / ,�' � , �� Signature roperty owner or repre entative ��,/-� � �� `'I ✓�" 1,;. Notary public:, My commission expires: ��T �Notary PuMic State of Flo�da Richard DeCastro 11 My Commission EE 224868 Y�„f,,.� ��piror aei�*i�a�e Planning & Development Department, 100 S. Myrtle Avenue, Clearwater, FL 33756, Tel: 727-562-4567; Fax: 727-562-4865 Page 2 of 7 Revised 03/13 LL ° � earwater 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 Roger D. Mann and Carolyn A. Mann 2107 Bell Cheer Drive, Clearwater, FL 33764-4845 �-� � � _ �'� i - r. �.-. ., i /'ia�-i cl ,r �1 �2 ,�e�,y , l' /^- �' o �7 OTHER PERSONS HAVING ANY OWNERSHIP INTEREST IN THE SUBJECT IPROPERTY: 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 v NO PHONE NUMBER: PHONE NUMBER: YES ✓ NO PHONE NUMBER: PHONE NUMBER: YES �NO PHONE NUMBER: PHONE NUMBER: 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 applica 'o,rZ Sworn o and subscribed before me this _ day of ; ��" � � , ' .� �' � � . by � ((�,�� ,; ,' �- �4 �(- '�� z�'` who is personally known/has ----�T— produced _ �� as identification. Signature pro erty owner or representativ ��=' L,' �' �" �� , —. �� - Signature perty owner or r ive My c�m uWic State of Florida �1 � ��•�_ ( My Commission EE 224888 Expiros 08/1al2018 Planning 8 Development Department, 100 S. Myrtle Avenue, Clearwal:er, FL 33756, Tel: 727-562-4567; Fax: 727-562-4865 Page 5 of 7 Revised 03/13 LL ° ater � � earw Planning & Development Department Petition for Annexation � Affidavit to Authorize Agent/Representative 1. Provide names of all property owners on deed — PRINT full names: Roger D. Mann Caroly�n A. Mann 2. That (I am/we are) the owner(s) and record title holder(s) of the following described property: �%r'7 �x'// �s�� i-. r � . ��o�w�� L- �-�� "� � 3. That this property constitutes the property for which a request for (describe request): 4. That the undersigned (has/have) appointed and (does/do) appoint: 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 Clearwater, 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/we), the un signed authority, hereby certify that the foreg is rue and correct. , Z��' - �- � �-,�--,� Property Owner operty Owner Property Owner STATE OF FLORIDA, COUNTY 01= PINELLAS Property Owner BEFORE ME THE UNDERSIGNED, AN OFFICER DULY COMMISSIONEC) BY THE LAWS OF THE STATE OF FLORIDA, ON �, /�� % � !� t THIS � �/1 � DAY OF � ' � � � �.� �� ` J - ' ` , PERSONALLY APPEARED � :,/� —T �Ld ��.�"" �-�-'' �"� a� � �� ;'��'�� \ WHO HAVING BEEN FIRST DULY SWORN DEPOSED AND Notary Seal/Stamp ',�-IAT HE/SHE FULLY UNDERSTANDS THE CONTLNTS OF E AFFIDAVIT THAT HE/SHE SIGNED. 1SB' P� ; ) � �� ha d p�C �are a� FlQ a. r _. _ a ; I. a� nd�' MY Commisaion �fro �.' E"�'�ee oe�14�20tg 22a e Notary Public Signature mission Expires: Planning & Development Department, 100 S. Myrtle Avenue, Clearwater, FL 33756, Tel: 727-562-4567; Fax: 727-562-4865 Page 6 of 7 Revised 03/13 ~ #24,613 �921G176 WARRANTVDEED CENTURY TITLE �NO A65TRACT, IIVC. This Wa�'ranty Deecl .��a�� 30th ,�u�, ��l August Norman T. Stacey and Allison Stacey, his wife hereinajrercalled �he,¢ranrn�, !v Roger D. Mann and Carolyn A. Mann, husband an<� wife (ss# 3�G -3P -�f�%) (ss# fOf�Go-�93� (��iC11��G �: ��2.$ A. D. 19 89 by whose pos� ojJice addre.s.s rs 2107 Bell Cheer Drive,, Clearwater, Florida �34624 hererna/'rercalled �he,¢rantee: 1N'hcrr�rr u.rJ hrrrin ihr irrm� "grantor" and "grantee" include ail the partia [o Ihis instrumenr and the heirc leeaf rc�rc.cntati�c� and a.�i�ns of individuals and the successors and assigns of cor�wrations.) Witness�th: Tha� the ,L'rantor Jor and in consideration oj Ihe sum oj SI0.00 and other valuable cunsrderulrnns, recer�r �vlreren% rs herehv acknowledRed, hereby ltran�s, barRoins, sells, a/iens, rernises, re%ases, con vevs und conjir�ns unio rhe krnnree a// �ha� certain land si�uale in Pinellas Coun! v, Flnrida, vi�: Lots 1& 2, Pleasant Ridge Estates, according to the map or plat thereof, as recorded in Plat Book 53, page 71, Public Records of Pinellas County, Florida. Parcel #24/29/15/72144/000/0010 . �{� .-7 �`,C. �/'�►_,��__ i f/ / � __. _ _... �..� �� D �'� ,—. '7��f ��_ ,, , ,r:��rr , � , ... -- .,, ', _ , ', ; _ , _ ,.; I ., i: _ „ l;lurk ,. . „ ,. _ _...._ _ ...._. G)epttly (3y __ _—_ __ _.... . •"�;..Y�h ?i'�d f'i '��ui t �i� �1 i'��, i��{�J �. i�f�7 �)�� i r`�i4i�."�� i;=�� i_'.L�—��i,_.,...��:; �._ �� i Y_� j � v � �_�i.' ,. �T'^! � .1 y T i, ... i i 3��• Tf%3��L: 4�:'�;", -- �:�t.�:�'t t�f i f s��!''i1.,�Gi1*va y~� i'� �� i�';'��':��F _11= ; '+.! , i ii : To�ether wi�h all the tenements, herediramen[s and appurtenances thereto belonRin� or in anywise opper�a�nrng. To Ha ve and to Hold� the same in Jee simple forever. A nd the grantor hereby covenants with said Rrantee �hat the grantor is lawfu!ly seized oJsaid /ortd in Jee simp/e; thvt the grQntor has good right and lawfu! authority to sel! ond convey sard land; that the grantor herebv ju/ly warrants the tit/e to said /and and wi// defend the same against the lQwful c/aims oJa!! persons whomsoever; ...� and thot said /and' is jree oJ a!l encumbrances, except taxes accruing s�.��q,t�P�{�t�� I,�ecep�beh��1;��9 88 and easements and restrictions of record. C�itii?J[:Y 'I'iTI.i; Ai;L �•. `�='-i':'-.-r �`��', �� Martha S. Weaver _--- - BY: _... - . . . -------`J .� .. : . r _ .,,. .. ?'... _ . r�;,,,;r,;._�!; . i:; w`�.�h int: ., :rl ic ',hc v✓.ili; _ c. �. 'C'.. ..�_�.r_„ _ . .,.. , In Witness Whereof� Ihe said ,�ran�or has srRned and sea/ed /hese presents the dav and year .Iirs� above wri�ten. `,� ',,�� :� '��, Signe ea d de/ivered in our presence: ` -�-'�`=n; /� '�' � -' �,� r�-, ' ��'1 G'oZc„_.. �-Y , /� _ G`1-c.. ct.� --��--r-�� '� a:..�. . ��% ' , 1 or�}lar� ,�'. ,Scacey � i .� .�. r �%��;,li- � �:'< � �'_C C;� c� = z - �1 C. � -�:-e�, , `� .� �. — -- ,� / j ��llison Stacey = - �n , , -> / � ��; STATEOF Florida COUNTY OF P1ri2113S � I HERFBY CERTIFY that on this day, bofore me, an offirer duly awhorized in �he �St�te aforctaid and in �he Count�� al<�rr�aid to iake acknowled�ementt, personally appearcd � � • Norman T. Stacey and Allison Stacey, his wife _ to me kno�� n ro he Ihc rcrson S dcscribed in and wh� e.recuted thc lorcgoine 4n��rumeni�and tt1ev a�kno��leJti�d hc(�rc mc thai ��r execured thc 1ame. �. � '� W ITNLSS mv hand and offirial �eal in thc County and State last aforcsaid ix. �` �a �� AL1c3USti 4. D. 1989• ian• i �c ��,1�`� � 4 �` �omm' �' n c�f'ires: ^ a�� :_y!�� E3 r.,�� 0 ��