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MARIE GALLIPEAUAGREEMENT (LIEN) THIS AGREEMENT, made and entered into this 40 day of h(V 20 )Li � , by and between Mari C 11; pta.t) of 12 43 Pa.i w► f , Clearwater, Florida 33755 , hereinafter referred to as "Owner," and the CITY OF CLEARWATER, FLORIDA, a municipal corporation, hereinafter referred to as "City;" LJFS KEN BURKE, CLERK OF COURT AND COMPTROLLER PINELLAS COUNTY, FL INST# 2014092861 04/03/2014 at 08:51 AM OFF REC BK: 18358 PG: 1889.1891 DOCTYPe:AGM RECORDING: $27.00 WITNESSETH: WHEREAS, the Owner presently owns the real property described herein, and has requested sanitary sewer service that as part of the Unified System Master Plan is being made available to serve the property and that the Owner be permitted to tap into the sanitary sewer line upon installation; and WHEREAS, the Owner is agreeable to have the City of Clearwater complete said special improvement and upon completion thereof to have the City immediately file a lien against the property in the amount of the impact fee for sanitary sewer service; and WHEREAS, the City is willing to install the sanitary sewer line and facility to serve the property under certain conditions; NOW, THEREFORE, in consideration of the foregoing premises and other good and valuable considerations, the parties hereto agree as follows: 1. The Owner agrees that the City may immediately commence and complete the installation of a sanitary sewer line and facility to serve the real property owned by them, legally described as follows: Parcel No. 03- 29 -15- 15840 - 002 -0220 Lot 22, Block B, Clear Dun, according to the map or plat thereof, as recorded in Plat Book 13, Page 47, Public Records of Pinellas County, Florida. Known as: 1263 Palm Street Clearwater, Florida 33755 and that upon completion of said work involving connection of said property to the City Unified Sewer System, that the City may immediately file a lien against the real property in the amount of $ 900.00, which is the Owner's impact fee as required by the City of Clearwater Code of Ordinances. Said lien shall provide that it may be paid in the office of the Official Records and Legislative Services with such interest rate as is provided by Florida Statutes, as amended from time to time per annum from the date, of the lien until paid and in case of default in the payment of said minimum monthly payments, together with the interest thereon, that the City may take immediate steps to enforce said lien by foreclosure or other proceedings. Said lien shall also provide that if the City is required to enforce the collection thereof by foreclosure or other proceedings, that the Owner shall be responsible for the payment of legal fees and all costs of said proceedings: - 2. The Owner by this amount set forth in e City of Clearwater a lien in the ner's impact fee requirement for • connection to the sanitary sewer line and facility against the above described real property and waives all requirements for and entitlement to the conduct of and notice of any public hearing by the City of Clearwater for a special improvement assessment against their property for the impact fee. The Owner further agrees upon the request of the City to execute all additional instruments, if any, which may be required to formally grant unto the City a lien against their described real property. 3. The City agrees to permit the Owner upon the completion of said installation to connect to the sanitary sewer line under the same conditions as other owners are permitted to do so. 4. This agreement shall be binding upon the heirs, administrators, personal representatives, successors and assigns of the parties hereto and a copy thereof may be immediately recorded in the Public Records of Pinellas County, Florida, by the City so as to serve as notice thereof to all other persons. IN WITNESS WHEREOF, the parties hereto have caused these presents to be executed on the date first above written. CteepetW ITNESS Marie Gallipeau 1263 Palm St. 1 lrr 3 r,1 Clearwater, Florida 33755 Witness Printed Signature WITNE ( I i.4 10, R. / Ao c t b rC l�-- Witness Printed Signature STATE OF FLORIDA ) COUNTY OF PINELLAS ) The foregoing instrument was acknowledged before me this I day of 2014; Notary Public Notary Name (print, type or stamp name of notary) QDBQ7) L. 1W.sW 4 Personally known Or Produced Identification Type of Identification Produced '%b tt OPT O(2-IV. i_i GAS E 1 RONERTA 1. GLUSKI sti'ss Notary Public - State of Florida `.I My Comm. Expires May 27, 2015 Commission # EE 90467 °O ;;, Bonded Through National Notary Assn. by 7 9 Countersigned:: — eteort efIcrcktof George N. Cretekos Mayor Approved as to form .11 Leslie Dougall-Si• - Assistant City Att.. CITY OF CLEARWAI'ER, FLORIDA By: -1k) L La4Y► William B. Home, II City Manager AI 1EST: Cat du Li= Rosemarie Call City Clerk