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ANX2013-09029
0 PVr Clearwater U����� 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 NOON 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 INVALIDATE YOUR APPLICATION. THE APPLICANT, BY FILING THIS APPLICATION, AGREES TO COMPLY WITH ALL APPLICABLE REQUIREMENTS OF THE COMMUNITY DEVELOPMENT CODE. APPLICATION FEE: $0 IMPACT FEE /ASSESSMENT FEE: TBD Information on Impact Fees or Assessment Fees is available from l the City of Clearwater Engineering Department (562- 4747). C I C�i��l� /A PVI I LCA 12� f f() L I IJ A W l n4 PROPERTY OWNER (PER DEED): R.t A U I, N N\0 `0 L (t-) A /%�T� (j F SU IZU IV-(r zsi4 I MAILING ADDRESS: Z? L M S�, ( .( ,Lc) 1 .s s PHONE NUMBER: / /_ I - In n �\ EMAIL: (� 7�1-Z M -/4 A-C"�) L . L U NL — -- AGENT OR REPRESENTATIVE: (� t� P MAILING ADDRESS: PHONE NUMBER: EMAIL: ADDRESS OF SUBJECT _ PROPERTY: Z Z Z \A L PARCEL NUMBER(S): ©J/ 2C-) 1C G LEGAL DESCRIPTION: C��I V� U � u4 L(o -f- (� I- �-OT J� CURRENT CITY SERVICES: SANITARY SEWER SOLID WASTE _ WATER REQUESTED CITY SERVICES: / SANITARY SEWER SOLID WASTE (select all that apply) 1222 PALM! ST ANX2013 -09029 Molina, Maureen Zoning: Atlas #. 251 B Planning & Development Department, 100 S. Myrtle Avenue, Clearwater, FL 33756, Tel: 727 -562 -4567; Fax: 727 -562 -4865 Page 1 of 7 Revised 03113 t o Planning & Development Department Clearwater 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 UNTILTHE FOLLOWING APPLICATION CYCLE. SITE AREA: 1� l S 1 acres � -Po2-' A�� -P k UL�UAS G a--A C-ojATZ "-P—,/ Vi U Nl; TW 6 T1ikxZ 1-A OA I L M D R SIZE OF DEVELOPMENT: ,i r ��� E OF PROPERTY: Existing: �p `T x l7 ? ` ( 5 � Existing (currently on site): Proposed: Proposed (new use, if any; (e.g., number of units, hotel rooms or plus existing if to remain): non- residential square footage) If residential use, is unit(s) rental? O►J sk-T- t % \Sl�N�7 X 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 S rn to a subscribed before me this day of uJ 4413 . by A14 who is personally known /has produced QL- /'yl ySO— SS�- 6p -�7� -has identification. Signature of property owner or representative asr °V� Notary Public State of Florida r f No public, My Commission EE141534 016 Expir 10/26/2 , My commissi n expires. Signature of property owner or representative 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 6C FUTURE LAND USE PLAN DESIGNATION V PRESENT (COUNTY): I� tJ ► ►� REQUESTED (CITY): ZONING DISTRICT PRESENT (COUNTY): REQUESTED (CITY): SITE AREA: 1� l S 1 acres � -Po2-' A�� -P k UL�UAS G a--A C-ojATZ "-P—,/ Vi U Nl; TW 6 T1ikxZ 1-A OA I L M D R SIZE OF DEVELOPMENT: ,i r ��� E OF PROPERTY: Existing: �p `T x l7 ? ` ( 5 � Existing (currently on site): Proposed: Proposed (new use, if any; (e.g., number of units, hotel rooms or plus existing if to remain): non- residential square footage) If residential use, is unit(s) rental? O►J sk-T- t % \Sl�N�7 X 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 S rn to a subscribed before me this day of uJ 4413 . by A14 who is personally known /has produced QL- /'yl ySO— SS�- 6p -�7� -has identification. Signature of property owner or representative asr °V� Notary Public State of Florida r f No public, My Commission EE141534 016 Expir 10/26/2 , My commissi n expires. Signature of property owner or representative 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 Clearwater 0 PROPERTY OWNER (PER DEED): MAILING ADDRESS: PHONE NUMBER: EMAIL: AGENT OR REPRESENTATIVE: MAILING ADDRESS: PHONE NUMBER: EMAIL: t Planning & Development Department Petition for Annexation Disclosure Statement i 2k--JF { M 0 L) ll,]i A S� ZS LS " OTHER PERSONS HAVING ANY OWNERSHIP INTEREST IN THE SUBJECT PROPERTY: NAME: AW LCA 1Z M OLi -JA INTEREST IS: SPECIFIC INTEREST HELD: DOES A CONTRACT EXIST FOR SALE OF THE SUBJECT PROPERTY? YES CONTRACT IS: PARTIES INVOLVED — NAME: PHONE NUMBER: NAME: PHONE NUMBER: ARE THERE ANY OPTIONS TO PURCHASE THE SUBJECT PROPERTY? YES PARTIES INVOLVED — NAME: PHONE NUMBER: NAME: PHONE NUMBER: ARE THERE ANY MORTGAGES OR LIENS ON THE SUBJECT PROPERTY? YES PARTIES INVOLVED — NAME: PHONE NUMBER: NAME: PHONE NUMBER: STATE OF FLORIDA, COUNTY OF PINELLAS I oblIBS dsu —ZNO NO NO 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 S orn to and subscribed before me this day of nn `` AVIC, by \n Iv1AU EjEni AOL.(WA who is personally known /has -YV I ���A��� producedDL� /"I��Z�- S� �po S -Z�s identification. Signature of property owner or representative „ 100 W% Notary Public State of Flora pu IIC, My Commissio�EE1411�34 R Explre.10 /261 My commis � expires /I/_0 Signature of property owner or representative Planning & Development Department, 100 S. Myrtle Avenue, Clearwater, FL 33756, Tel: 727 - 562 -4567; Fax: 727 -562 -4865 Page 5 of 7 Revised 03113 voC ) Clearwater Planning & Development Department Petition for Annexation Affidavit to Authorize Agent /Representative 1. Provide names of all property owners on deed — PRINT full names: AN\,tLCAQ NkOLl0A S0 -,) N\-Au pA QL /N (2-t 41-S OF IP 2. That (I am /we are) the owner(s) and record title holder(s) of the following described property: M.Av M0 Lt%-JA 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; S. 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 (1 /we), the undersigned authority, hereby certify that the foregoing is true and correct. '(W 'k-6 rtic — Property Owner Property Owner -Y�A Property Owner Property Owner STATE OF FLORIDA, COUNTY OF PINELLAS BEFORE VE THE UNDERSIGNED, N OFFICER DULY COMMISSIONED BY THE LAWS OF THE STATE OF FLORIDA, ON THIS / DAY OF �(�� ��/ PERSONALLY APPEARED / r /��Q ''✓ %��O �- / 4' Sy/ -4HO HAVING BEEN FIRST DULY SWORN DEPOSED AND SAYS THAT HE /SHE FULLY UNDERSTANDS THE CONTENTS OF THE AFFIDAVIT THAT HE /SHE SIGNED. row °�e Notary Public State of Florida Kyle WilQon otary Pub t e My Commission EE 141534 of Expires 10/26/2015 Notary Seal /Stamp My Commiss on Expire O/S 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 Clearwater PROPERTY OWNER (PER DEED): MAILING ADDRESS: CITY OF CLEARWATER CASE NUMBER: Planning & Development Department Petition for Annexation Supplemental Statement M o c- l! r-3 6 lArAA(LCI+V- M UL[ �j A I /we, [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 CF FLORID A, COUNTY OF PINEL'�A,S 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 app Iicati Sv#rn to and subscribed before me this — day of US 13- . by lbl""llal NOL///V A-' who is personally known /has produced �L MS�Sa -Sf�o -(// D – S'i6 a as identification. Signature of property owner (individual or authorized representative of corporation, partnership or other entity) No�ublic, My commissio Signature of co- property owner Notary Public State of Florida My Commission EE141534 Expires 10/2612015 Planning & Development Department, 100 S. Myrtle Avenue, Clearwater, FL 33756, Tel: 727 -562 -4567; Fax: 727- 562 -4865 Page 7 of 7 Revised 03113 ClearwaterPlanning & Development Department Petition for Annexation U 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: ,Z Signed and sworn (notarized) disclosure of interest statement (form attached). ❑ 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 only] ❑ 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] 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 original only] ❑ If applicant is designating an agent /representative to work with City, applicant must provide notarized Affidavit to Authorize Agent /Representative (form attached). [Note: Submit original only] !NFORI AATION RECOLUMED TO COMPLETE THE PETITION FOR ANNEXATION APPLICATION AND DATA SHEET CAN BE FOUND ON THE FOLLOWING 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). 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.org. ❑ 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: / /gis.pinellascounty.org /public gis /. 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). ❑ ZONING DISTRICT (COUNTY) can be found by viewing a Property Report using Pinellas County's Public GIS Viewer available online at http: / /gis.pinellascounty.org /public gis /. ❑ ZONING DISTRICT (CITY) can be found by contacting the Planning and Development Department or viewing the City's Zoning Atlas, available online at http:// www. myclearwater .com /gov /depts /pwa /engin/ publications /engatias /atlas.asp. ❑ SITE AREA (ACRES) can be found by viewing a Property Report using Pinellas County's Public GIS Viewer available online at http: / /gis.pinellascounty•org /public gis /. Planning & Development Department, 100 S. Myrtle Avenue, Clearwater, FL 33756, Tel: 727 - 562 -4567; Fax: 727 - 562 -4865 Page 3 of 7 Revised 03/13 Clearwater 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 Plan. 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. ,LI" 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; '° All residential rental units, including single - family residences must comply with the requirements in the city's residential rental ordinance, which requires the property owner to obtain a Business Tax Receipt upon annexation into the city; 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 shall be submitted to ensure compliance with the city's 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 03/13 s _mss. RititM,tocY -_ - ' 03f2 §jB/15840 %001f :: . - `Warne- -hard G. Pa gett, .Et3y. Parcel lder� No. A 7.145 Mariner- Blvd., Ste: C . - ' 4330 Spring Hill Floriad 34609 This instrument was prepared by: INST # . 92-0071768 -_ �. Name WHARD G. ESQ JAN 10. 1992 3 2 56F'M- - -.� Address — 7/143AUrfnrar 8W, SM C C C W*tM HILL, FLORIDA 34609 — PINELUAS COUNTY-FLA + -, ••, Grantee S.S. No. 0.96 -24 -6695 _- OI-F •fiEC. BK 7762 PG 173'6'_`' k.— Ami, ct r Molina _.. 1 Grantee S.S. No. 1i� =TiZZ Na— - Molina - — - - — aureen � T WARRANTY . (Space- aboEvt this tine for recording data) LEG (SFATCTTORY FORM = SECT ON 689OZ FS.) T s__Wd&it=e made this da of . e�ember — 199'i _, WeeR ' MARINO MOLINA, JR. , IZ04 -6 -Matterhorn Avenue,- Spring Hill 34609-: of the County of Hernando State'of Florida. grantor', and AMILCAR MOLINA and MAUREEN MOLINA,-as Joint Tenants with -Right whose post office address is 1222 Palm Street, ,Clearwater 34615 - _1129 of the ounty of inellas State of Floriiia— = , - -- tee*, ' Witnesseth —that said grantor, for. and -n consider5tion of tXOMMXItXXXXXXXXXXXX.XXXXXXXXIXXXXXX LOVE, and AFFECTION------------ - --------------------------------- 9DJWX • r and ot�n good and valuabla< considerations to'said grantor in hand paid by said granteeAe receipt whereof is hereby ackrnow edged, has granted, bargained and sold -to the said grantee, and grantee's heitus and assips forever, the following described land, situate, lying,and being in Pinellas. County, Florida, to-Yrit: Lot 33, and the East 4,0 feet of Lot 34,. Block A,'CLEARDUN, according to the - map or plat thereof as recorded in Plat Book 13,' Page 47, public records of Pinellas County; Florida: of DtTtp This - conveyance from brother to sister and mother for ` RZC x17 gstate. planning purposes. �r 7i05�5? R"fr C�1 -1Q -92 91 15:47:0 ooctm«+orir Tax PA r 01 ,3ED -(10L4 _ yy� ?__ . 'nvangible Tax Pd. RECORDING $6.00 IKTP K.,rteM1 F kers Pinellas County DOC STAMPS '� $0. 60 P/C :! av o�rrct!et 7r "riG^iA REi.DRI? G.t7rIE5 - - fits . w_ASN -AMT.:�N ED: 310.0¢ CHANGE: 1.40 and:said gjantdr does hereby-fully warrant the title to said land, and will defend the same against the lawful claims of all persons -whomsoever. ".Grantor" and "grantee" are•used for singular or plural, as context requires. -- ft Wlt S' Whereof, grantor has hereunto set grantor's hand and seal the day and year first above written. Signed, . a delivered o p nce: 1e KIIA (Seat) j 1 ► Marino Molina, Jr. (Seal) STATE OF FLORIDA . a ft1:COREf VERIFIECI BY: COUNP?-OV HERNAI DO I HEREBY CERTIFY that on this day before me, an officer duly qualified to take acknowledgments, personally appealed _- MARINO MOLINA, JR. - - -- to'meinDtwtr io bittieperson(s) described in and who executed the foregoing instrument and acknowledged before mg that _. he - executed the ¢ame. WT ME! y hargtt find s fciai seal in the County and State la resaid this 4_7 , May_of D ec; 19 91 �• - - •My wriol psien e�p m: >fY k NMI= •,- - R.: �i Rtt61', 9itb1 d REWI No ry Public `• . - . ••. - `,�taota tittptrs Ort 21,1915 . � g]F•lIt.ODt� -. - �1RtIa Ib. AA 714344 OFFICE of VITAL STATISTICS CERTIFIED COI'Y TYPE IN CERTIFICATE OF DEATH 'EACK INK i LOCAL FILE NO. aLACN NK 3 t. DECEDENT'S NAME (First, Middle, Last, Suffix) b. r AMILCAR MOLINA Female 3, DATE OF BIRTH (Month, Day, Year) 4a. AGE -L;5I Birthday 4b N ER Y UNDERLYING CAUSE 4 . UNDER I DAY S. DATE OF DEATH (Month, Day, Year) _ (disease or Injury that Days Hours Minutes October 6, 1927 (Yen 80 January 9, 2008 6. SOCIAL SECURITY NUMBER 7. BIRTHPLACE (Clry and Stale or Foreign Country) 8. COUNTY OF DEATH 096 -24 -6694 Aguadilla, Puerto Rico Hernando 9. PLACE OF DEATH HOSPITAL: _ Inpatianl _ Emergency RooMOulpallenl Dead on Ardval (Ch""' only one) NONMOSPITAL: _ Hoapke Facility _ Nursing Home /Long Term Care Facility X- Decedent's Home _ Other (Specify) 10. FACILITY NAME (If not fnafaution. give street address) 11 a. CITY, TOWN, OR LOCATION OF DEATH 11 b. INSIDE CITY LIMITS? 1435 Deborah Drive Spring Hill _Yes Y No 12. STATUS (Specify) 13. SURVIVING SPOUSE'S NAME (If wile, give maiden name) vvMARITAL • p- Marred _ Maried, but Separated _ Widowed _ Divorced _Never Married Marino Molina 14a. RESIDENCE - STATE 14b. COUNTY 14c. CITY, TOWN, OR LOCATION Florida Hernando Spring Hill 14d. STREET ADDRESS 14e, APT. NO. 14f. ZIP CODE 14g. INSIDE CITY LIMITS? 1435 Deborah Drive 34609 I _Yes X- No 15e, DECEDENT'S USUAL OCCUPATION (INdfic le type of work done durfng most of wurk!ng fdr,) Do notfuse.'Rethad' I1b. KIND OF BUSINESSnNDUSTRY Seamstress Clothing Mfg Company 16. DECEDENT'S RACE (.Spacdy the rata/ ecAs to indicate whet derndanl considered himse/libemelf to be. More than one race may be specified.) X_ White _ Black or African American _ American Indian or Alaskan Native (Specify ulbe) _ Asian Indian ' Chinese _ Filipino _ Japanese _ Korean _ Vletnemeao _ Other Asian (Specify) Native Hawaiian - _ Guamanian or Chamorro _ Samoan _ Other Pacific let. ( Specily) _ Other (Specify) 17. DECEDENT OF HISPANIC OR HAITIAN ORIGIN? X- Yes (If Yea, specify) No Mexlcen Poetic Risen CemreUSoulh Amercan _ _ _Cuban _ (Specify, If decedent was el Hispanic o, Half- Origin) _ Other Hlapanic (Specify) _ Haitian 18. DECEDENTS EDUCATION (Speclly the decedent's highest degree or level of school completed at time of death.) DECEDENT EV ER IN 49a, LOCATION OF INJURY - STATE U.S. ARMED FORCES? p _ Bill ar less -p, High school but no diploma _ High school diploma or GED �19.WAS • _ College bul no degree College degree (Specify): _ Asso,lare _ Bachelor's _ Mosier'a _ Doctorate _ Yes }_ No 20. FATHER'S NAME (Fire?, Middle, Lest, Suffix) 21. MOTHER'S NAME (Final. Midge, Mafdan Surname) Unobtainable Diaz Candida Muniz 22a. INFORMANTS NAME 22b. RELATIONSHIP TO DECEDENT 231, INFORMANTS MAILING - STATE ' Mr, Marino Molina Husband Florida 23b. CITY OR TOWN 23c. STREET ADDRESS 23d. ZIP CODE 'Spring Hill 1435 Deborah Drive 34609 24. PLACE OF DISPOSITION (Wants olcemelery, crematory, or olherplace) 251. LOCATION - STATE 251. LOCATION - CITY OR TOWN Nature Coast Crematory Florida Lecanto 26a. METHOD OF DISPOSITION _ Sun, _ Entombment _ _ X- Cremation Donation Pemavaj Irom Slaht _Other (specify) 26b. IF�CREMATION. DONATION OR BURIAL AT SEA, 27a. LICENSE NUMBER (af Licensee) 211. SIGNA7)! E OF FUNERAL SERVICE LICENSEE OR PERSO AS SUCH WAS MEDICAL EXAMINER �CTING / CJ APPROVAL GRANTED? -X Yes No F044222 ► u 20. NAME OF FUNERAL FACILITY Cl 208. FACILITY'S MAIL tG - STATE Pinecrest Funeral Chapel Florida 29b. CITY OR TOWN 29c. STREET ADDRESS 291, ZIP CODE Spring Hill 3369 Mariner Boulevard 34609 30. CERTIFIER: _X Certifying Physician - To the best of my knowledge, death occurred at the time, dale and place, and due to IM causo(s) and manner staled. (Check one) _ Medical Esaminer - On the basis ni examination, and/or inveallgation, In my opinion, death occurred at the lime, date and place, due to the cause(s) and manner stated. Ws. ( Signalurc dT711. o/ srtll1 DATE SIGNED (mm /dvyyyo 32. TIME OF DEATH (24 hr.) 33. MEDICAL EXAMINER'S CASE NUMBER T1b. ► 0015 34a. LICENS UMBER (a /Cadilier) 34b. CERTIFIER'S NAME 35, NAME OF ATTENDING PHYSICIAN (If other Ihan Cedlfier) ME00372S I Joseph Wheeler M.D. 36a. CERTIFIER'S - STATE 36b. CITY OR TOWN 36c, STREET ADDRESS 36d, ZIP CODE Florida Brooksville 698 South Broad Street I 34601 37. SUBREGISTRAR - Signature and Data 7Ba. LOCAL REGISTRAR - Signature 31b. DATE FILED BY REGISTRAR (Mo. Day, 1'r) 10. ► l�� «� ��� JAN 1 5 2008 39. PROBABLE MANNER OF DEATH 1 The inllowing are under the dud Icllan of the medical examiner. 4a. REPORTED TO MEDICAL EXAMINER DUE TO X. Natural _ Accident _ Suicide _ Homicide _ Pending 111- st'galinn _ Undetermined CAUSE OF DEATH? _ Yes }{_ No 41. CAUSE OF DEATH - PART 1. Enter the chnln of events - diseases, injuries, or complications - that directly caused the death. Enter only one cause on a line. Approxlmete Interval: (See instruclions on back) DO NOT enter terminal event such as cardiac arrest, respiratory ertesl, or vanldcutar fibrillation without showing me etiology. i Onset to Death IMMEDIATE CAUSE (Final dlseaee or condition •I �• �` f 1 aaultlnn In death, a AIIJi_ rt //Ii F- ✓.�12C •r 1�C i•Y'( �t ?(.'dpi 7� Seguen0elly act conditions, if any, leading to the callee b. r f 1 E 0 S 14? R n"- (r i�_ Ci C ! I_ } j J? �i L^ r i Y.% A) it listed on line a. Enter the UNDERLYING CAUSE _ (disease or Injury that C. I Initiated the events' resulting in death) LAST 1 d. 1 PART it. Other significant and lions contrlbultna to death but not resulting In the underlying cause given in PART I. 42a. WAS AN AUTOPSY 42b. WERE AUTOPSY FINDINGS AVAILABLE PERFORMED? TO COMPLETE THE CAUSE OF DEATH? _ Yes No _ Yes _ No 438 IF SURGERY MENTIONED IN PART I OR II. ENTER REASON FOR SURGERY . DATE OF SURGERY (Mo.. DAY. Yr.) 44. DID TOBACCO CONTRIBUTE TO DEATH? 1U�SE _ Yes � No _ Probably _ Unknown 45. IF FEMALE. WAS SHE PREGNANT WITHIN THE PASTYEAR: • _ Yes -X No _ Unknown It Yes, specify Ilmeframe: _ 81 lime of denlh _ within 1 to 42 Jaya of death _ within 43 days la 1 year of death 46. DATE OF INJURY (Month. Day, Year) 47. TIME OF INJURY (24 hr.) 48. INJURY AT WORK? 49a, LOCATION OF INJURY - STATE 1 _ Yes _ No I 49b. CITY OR TOWN • 49c. STREET ADDRESS 49d, APT. NO. 49e. ZIP CODE .. 50. DESCRIBE HOW INJURY OCCURRED 51. PLACE OF INJURY (e.g. Decedent's home, construction site, restaurant. wooded area) '. I IF TRANSPORTATION INJURY. 528. Status of Decedent _ Driver/Operalor _Passenger _ Pedeshlan _ Other (Specify) 52b. Type of Vehicle Car /Mimvan S.II.V. Molmcycla Plckup TrucWCslgo Ven Bus Heavy Transport Other ( Specify) N JAN 1 5200F OF'TWE srAr Yv(�, PLORIDA DEP I'M OF THIS DOCUMENT IS P ED OR PHOTOCOPIED ON SECURITY P WITH A WATERMARK OF THE GREAT I hi F-4 ALT ` Oy' SEAL OF THE STATE FLORIDA. DO NOT AGGEFT WITHOUT VERIFFFFYYYYIII�ffNJJJG THE PRESENCE OF THE WATERMARK 111J✓L 11.J it 1, flY. waiir�iry [ THE DOCUMENT FACE CONTAINS A MULTI-COLORED BACKGROUND AND GOLD EMBOSSED SEAL. THE BACK ,Or CONTAINS SPECIAL LINES WITH TEXT AND SEALS IN THERMOCHROMIC INK. _ ` pW FORM 1947 (06 /04) I I III I II III hCOD WB'TPJ� •f ,' IIIIII VIII VIII � I F.: 34597811 1�� "11P�II� :le11��11111 ���y��® ■�1 ®11 I. � � all I I I jr ( I111111 SEEN BEEN] MOM BEL Is Willa Is I �oagill r003, o : 10, I— RI ®0 all I jr ( I111111 SEEN BEEN] MOM BEL Is Willa Is I �oagill r003, o : 10, I— RI ®0 im! _ 1 ----- ---- __ ,5535 J ^J / /n�II1 a __ I 4F uPV¢ aq I LQIen --t v J 4 YJ s 4 C IT WIL Clearwater u Prepared by: Engineering Department Geographic Technology Division too 5. Myrtle Ave, Clearwater, FL 33766 Ph: (727)5624750, Fax: (727)5264755 awvw.Mycl rwater.com Db[Wne� PIOR a—t Wd Wxrum PW me LlybLxmxa,er Erpneemp D.wr an and muar r ao»pred and aged by dx mupam rwm ma d"Ibp g I awf ma deM maAwl xes cvaetled roi me uryase o/ dawbpY,g a WaOAK nhesbteNm evenmry as avm. cy a cwnetr mare ere mamau.a, •+mm amaen rnpMd. cunwmnp ar omm pMltuMr Furin muroM, aM Uy a Gke,aalydMa• °•ate mY ANY alieleoevai aaaDtlabd rm ft u. a mxap of crM dne. xam: 7ne,..D.w,w ncwDO,xa IM men eaM mra,w.n Dn nx eon aDmdn. eagaxn.l,r xemran.M, wnw as cMetnarw.r. cx xaDpnD Apgkara c a,1D:IalarwaadGlMndnwp N W-<� E zoa toil o 200 s Feet Legend 4 City Owned Property I Agreement to Annex vD ` Transfer of Development Rights 12x5 J SUB NUMBER (-- Refer to Plat) 0 BLOCK NUMBER O SUB PARCEL NUMBER OPARCEL NUMBER(M &B) -- LAND HOOK (COMMON OWNERSHIP / PLATTED SUBDIVISION BOUNDARY 1j COUNTY HIGHWAY O STATE HIGHWAY U.S. HIGHWAY — Trails Unincorporated Enclave Unincorporated Outside of Clearwater Service Area Zoning Legend RESIDENTIAL DISTRICTS LDR - LOw Densey R.aH.Mxl LMDR -LOW Medium DenaayR—,xal MDR - Medium N—, R.aid.n.al MHDR Medum Hgh M 3dy R.sid. M HDIa - HVI,D• Ay R. M MHP - M.Nx Home P CRMDD "y - Coachman Rkp. N.phaomood Conaanaeon y Daeia IENC0D -IA.M EMBI.a NS,ahE.mooe Cana.maon OwdaY ObbM COMMERCIAL DISTRICTS SPECIALUSE DISTRICTS O -gnca IRT -I ala. Re rrnaneiecreabgy C.0 —cal O.SIR -oq Sp•aRY.cnaaon.l D - D—tmw, P - P,...,— A,ea Zoning Atlas Updated: a11212013 NE 114 of 3 -29 -15 251 B all I BEEN] MEN im! _ 1 ----- ---- __ ,5535 J ^J / /n�II1 a __ I 4F uPV¢ aq I LQIen --t v J 4 YJ s 4 C IT WIL Clearwater u Prepared by: Engineering Department Geographic Technology Division too 5. Myrtle Ave, Clearwater, FL 33766 Ph: (727)5624750, Fax: (727)5264755 awvw.Mycl rwater.com Db[Wne� PIOR a—t Wd Wxrum PW me LlybLxmxa,er Erpneemp D.wr an and muar r ao»pred and aged by dx mupam rwm ma d"Ibp g I awf ma deM maAwl xes cvaetled roi me uryase o/ dawbpY,g a WaOAK nhesbteNm evenmry as avm. cy a cwnetr mare ere mamau.a, •+mm amaen rnpMd. cunwmnp ar omm pMltuMr Furin muroM, aM Uy a Gke,aalydMa• °•ate mY ANY alieleoevai aaaDtlabd rm ft u. a mxap of crM dne. xam: 7ne,..D.w,w ncwDO,xa IM men eaM mra,w.n Dn nx eon aDmdn. eagaxn.l,r xemran.M, wnw as cMetnarw.r. cx xaDpnD Apgkara c a,1D:IalarwaadGlMndnwp N W-<� E zoa toil o 200 s Feet Legend 4 City Owned Property I Agreement to Annex vD ` Transfer of Development Rights 12x5 J SUB NUMBER (-- Refer to Plat) 0 BLOCK NUMBER O SUB PARCEL NUMBER OPARCEL NUMBER(M &B) -- LAND HOOK (COMMON OWNERSHIP / PLATTED SUBDIVISION BOUNDARY 1j COUNTY HIGHWAY O STATE HIGHWAY U.S. HIGHWAY — Trails Unincorporated Enclave Unincorporated Outside of Clearwater Service Area Zoning Legend RESIDENTIAL DISTRICTS LDR - LOw Densey R.aH.Mxl LMDR -LOW Medium DenaayR—,xal MDR - Medium N—, R.aid.n.al MHDR Medum Hgh M 3dy R.sid. M HDIa - HVI,D• Ay R. M MHP - M.Nx Home P CRMDD "y - Coachman Rkp. N.phaomood Conaanaeon y Daeia IENC0D -IA.M EMBI.a NS,ahE.mooe Cana.maon OwdaY ObbM COMMERCIAL DISTRICTS SPECIALUSE DISTRICTS O -gnca IRT -I ala. Re rrnaneiecreabgy C.0 —cal O.SIR -oq Sp•aRY.cnaaon.l D - D—tmw, P - P,...,— A,ea Zoning Atlas Updated: a11212013 NE 114 of 3 -29 -15 251 B kiMs 1 1111 � 1I WW, O I t111111111111 11IM11111111M W a= W � M 0001 In r ?7 MIMI= M M1211110 == mm MIA mm WIN sum 111"In SMIM MW LA® 1@01MMUMIMIMMMMEEN Win io ivy iiiiswi;iiii 9=1111m zu 6MOR = R-Ema WM �������ia9® MM WM&W GUM MM NE-W mum mm, mm melieiiiiie IWAM11 MM SUM Mimi kalm 9"M �� ��11l�0������I��������� �© a .. 9001 N fin ---------- ji E7 go. _°Clearwater Preparerl by Engineering Department _graphic Technology Division 100S. Myrtle Ave, Clearwater, FL 33756 Ph: C727)662.4750, Faa, (727)52 .4765 www.MyClearvvat-cons oaenP„e j it, —.Y a. avm n UY I Gb a c— d*— .1.. 1—, Ap,l—. N W E 200 100 0 200 Fee 1234 Address 123 MHP Lot Number E i234E Subdivision/Condo Number (• - Refer to Plat) C) Block Number (D Sub-Parcel Number ® Parcel Number (M&B) Land Hook (Common Ownership) Platted Subdivision Boundary Lot Ownership Line Original Platted Lot Line Unincorporated • Agreement to Annex Private Road /MHP Lot Line Trails Building Footprint City Owned Property: ..... .... Vacant Park, & R,c,,.t,., Area Improved Leasehold CRA Owned HOUSE ATLAS Updated: 8/122013 NE 114 of 3-29-15 251 B r ?7 MIMI= M M1211110 MIA N fin ---------- ji E7 go. _°Clearwater Preparerl by Engineering Department _graphic Technology Division 100S. Myrtle Ave, Clearwater, FL 33756 Ph: C727)662.4750, Faa, (727)52 .4765 www.MyClearvvat-cons oaenP„e j it, —.Y a. avm n UY I Gb a c— d*— .1.. 1—, Ap,l—. N W E 200 100 0 200 Fee 1234 Address 123 MHP Lot Number E i234E Subdivision/Condo Number (• - Refer to Plat) C) Block Number (D Sub-Parcel Number ® Parcel Number (M&B) Land Hook (Common Ownership) Platted Subdivision Boundary Lot Ownership Line Original Platted Lot Line Unincorporated • Agreement to Annex Private Road /MHP Lot Line Trails Building Footprint City Owned Property: ..... .... Vacant Park, & R,c,,.t,., Area Improved Leasehold CRA Owned HOUSE ATLAS Updated: 8/122013 NE 114 of 3-29-15 251 B r ?7 MIMI= M M1211110 N fin ---------- ji E7 go. _°Clearwater Preparerl by Engineering Department _graphic Technology Division 100S. Myrtle Ave, Clearwater, FL 33756 Ph: C727)662.4750, Faa, (727)52 .4765 www.MyClearvvat-cons oaenP„e j it, —.Y a. avm n UY I Gb a c— d*— .1.. 1—, Ap,l—. N W E 200 100 0 200 Fee 1234 Address 123 MHP Lot Number E i234E Subdivision/Condo Number (• - Refer to Plat) C) Block Number (D Sub-Parcel Number ® Parcel Number (M&B) Land Hook (Common Ownership) Platted Subdivision Boundary Lot Ownership Line Original Platted Lot Line Unincorporated • Agreement to Annex Private Road /MHP Lot Line Trails Building Footprint City Owned Property: ..... .... Vacant Park, & R,c,,.t,., Area Improved Leasehold CRA Owned HOUSE ATLAS Updated: 8/122013 NE 114 of 3-29-15 251 B MIMI= M M1211110 N fin ---------- ji E7 go. _°Clearwater Preparerl by Engineering Department _graphic Technology Division 100S. Myrtle Ave, Clearwater, FL 33756 Ph: C727)662.4750, Faa, (727)52 .4765 www.MyClearvvat-cons oaenP„e j it, —.Y a. avm n UY I Gb a c— d*— .1.. 1—, Ap,l—. N W E 200 100 0 200 Fee 1234 Address 123 MHP Lot Number E i234E Subdivision/Condo Number (• - Refer to Plat) C) Block Number (D Sub-Parcel Number ® Parcel Number (M&B) Land Hook (Common Ownership) Platted Subdivision Boundary Lot Ownership Line Original Platted Lot Line Unincorporated • Agreement to Annex Private Road /MHP Lot Line Trails Building Footprint City Owned Property: ..... .... Vacant Park, & R,c,,.t,., Area Improved Leasehold CRA Owned HOUSE ATLAS Updated: 8/122013 NE 114 of 3-29-15 251 B Descriptions provided by Engineering for Annexation: ANX2013 -09029 Short description for Ordinance Title: AN ORDINANCE OF THE CITY OF CLEARWATER, FLORIDA, ANNEXING CERTAIN REAL PROPERTY LOCATED ON THE NORTH SIDE OF PALM STREET, APPROXIMATELY 360 FEET EAST OF DOUGLAS AVENUE (COUNTY ROAD 345), CONSISTING OF LOT 33 AND EAST 4.0 FEET OF LOT 34, BLOCK A, CLEARDUN SUBDIVISION, WHOSE POST OFFICE ADDRESS IS 1222 PALM STREET, CLEARWATER, FLORIDA 33755, INTO THE CORPORATE LIMITS OF THE CITY, AND REDEFINING THE BOUNDARY LINES OF THE CITY TO INCLUDE SAID ADDITION; PROVIDING AN EFFECTIVE DATE. Full Legal Description for Section 1 of the Ordinance: Section 1. The following- described property is hereby annexed into the City of Clearwater and the boundary lines of the City are redefined accordingly: Lot 33, and the East 4.0 feet of Lot 34, Block A, CLEARDUN, according to the map or plat thereof, as recorded in the Plat Book 13, Page 47, Public Records of Pinellas County, Florida. (ANX2013- 09029) The map attached as Exhibit A is hereby incorporated by reference. Drafted by: -2!n!ri (James Benwell) Checked by fat,At4"�_ (Pawel Dembinski) Approved by: fl�IA' (Tom Mahony) — -1 11 TY Date: 9/16/2013 Date: ` `6 Zpa Date: / 3 Descriptions provided by Engineering for ANX2013- 09029.docx 1 of 1 9/17/2013 2:01 PM Map Request Planner Name: Andrew Hayslip Case Number: ANX2013 -09029 Date Requested: 9/11/13 Date Requested for: 9/25/13 Maps Needed z Color Aerial z Proposed Annexation zExisting Surrounding Uses Map z Location Map Zoning /Flexible Development Map z2" x 2" Location Map for Newspaper Z 2" x 2" PDF zFuture Land Use Required Documents ® Legal Description - to be hand delivered L -�/�� W� � "l 0� Z Plat - to be hand delivered 0. K, ® Map with Proposed Site Highlighted IN ADDITION TO THE REQUESTED MAPS, PLEASE PROVIDE VERIFICATION THAT THE LEGAL DESCRIPTION WE HAVE PROVIDED IS CORRECT A/ ACCURAT . Thomas Mahony, PSM, Geographic Technology ManagerC- Map Name Owner: Molina, Maureen Case: ANX2013 -09029 Site: 1222 Palm St. Size Property (Acres): 0.151 acres Land Use Zoning PIN: 03-29-15-15840-001-0330 From: RU R -4 RU LMDR To: Atlas Page: 1 251 B SAPlanning Department \C D B\Annexations (ANX)\Active Cases\Palm St. 1222 ANX2013 -09029 - Molina \Maps \ANX2013 -09029 Map Request Fomi.docx l Of 4ii a N vilw, Ilk 4 ' � r• � �� '�y,. � 1 �l� -u 4,/ M.lard t r � tai � '�' R. ra ,.. i � . � � ' �♦, -`h, tv �4"•All „ a 00 WN TER AJtal tt AERIAL MAP • - r: Molina, Maureen ANX2013-09029 Site: Palm St. ••- 0.151 acres • • Use Zoning 03-29-15-15840-001-0330 From: RU R-4 To: RU LMDR S: \Planning Department \C D B \Annexations (ANX) \Active Cases \Palm St. 1222 ANX2013 -09029 - Molina \Maps \ANX2013 -09029 Aerial Map.docx iiral(• t WY 66 Q C* 8 Q J 0 0 BERMUDA ST S Lo iY���tl�irvbiYi �•wa�y.��r rl r Lo •� --• —�� L2038s D DOQ �14�: ry ••12,r,. Y. 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WHEREAS, the owner of the real property described herein and depicted on the map attached hereto as Exhibit A has petitioned the City of Clearwater to annex the property into the City pursuant to Section 171.044, Florida Statutes, and the City has complied with all applicable requirements of Florida law in connection with this ordinance; now, therefore, BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF CLEARWATER, FLORIDA: Section 1. The following- described property is hereby annexed into the City of Clearwater and the boundary lines of the City are redefined accordingly: Lot 33, and the East 4.0 feet of Lot 34, Block A, CLEARDUN, according to the map or plat thereof, as recorded in the Plat Book 13, Page 47, Public Records of Pinellas County, Florida_ (ANX2013- 09029) The map attached as Exhibit A is hereby incorporated by reference. Section 2. The provisions of this ordinance are found and determined to be consistent with the City of Clearwater Comprehensive Plan. The City Council hereby accepts the dedication of all easements, parks, rights -of -way and other dedications to the public, which have heretofore been made by plat, deed or user within the annexed property. The City Engineer, the City Clerk and the Planning and Development Director are directed to include and show the property described herein upon the official maps and records of the City. Section 3. This ordinance shall take effect immediately upon adoption. The City Clerk shall file certified copies of this ordinance, including the map attached hereto, with the Clerk of the Circuit Court and with the County Administrator of Pinellas County, Florida, within 7 days after adoption, and shall file a certified copy with the Florida Department of State within 30 days after adoption. PASSED ON FIRST READING Ordinance No. 8502 -13 PASSED ON SECOND AND FINAL READING AND ADOPTED Approved as to form: Leslie K. Douga I i es Assistant City Att y December 5, 2013 George N. Cretekos Mayor Attest: OF THE a , �%t - /v.., Rosemarie Call City Clerk Ordinance No. 8502 -13 1 66 t' s PROPOSED ANNEXATION MAP Owner: Molina, Maureen Case: ANX2013 -09029 Site: 1222 Palm St. Property 0.151 acres Size Acres Land Use Zoning From : RU R -4 To: RU LMDR Exhibit A PIN: 1 03 -29 -15 -15840 -001 -0330 Atlas Page: I 251 B C: \Users\EIIen.Ayo\AppData \Local \Temp \Templ_ANX2013 -09029 (3).zip\ANX2013 -09029 Proposed Annexation Map.docx i- s BERMUDA ST g Q s .-• •fA' •' o� 1�yy 1.' 1��1' -•N. '. •n rs •.'M '.� .' e�i. .N.: ' • w .. Lob •'oi• •_• 1d '•C� : li•'.'�' .- = z 2 hl N .- N •N i0:' N N• fl- '•12L n a N' ..K .'•'� I .'• n n _ N 2g 01 -'.i, •'.''..'. � 6 7 13 1l, ; 6 r- g�- -4 t .13+. .tot- ,t51n ]'•1 3200 31N N e, I 30 Q 29 r11 •i�• 20 1T 2i^ �1't 2'' : • T —2 _2 � .N-I •- I� 5 � � �I a �I V� h � to � to `� � 02060 20 27 26 3020 �31 1— 6. 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PROPOSED ANNEXATION MAP Owner: Molina, Maureen Case: ANX2013 -09029 Site: 1222 Palm St. Property 0.151 acres Size Acres Land Use Zoning From : RU R -4 To: RU LMDR Exhibit A PIN: 1 03 -29 -15 -15840 -001 -0330 Atlas Page: I 251 B C: \Users\EIIen.Ayo\AppData \Local \Temp \Templ_ANX2013 -09029 (3).zip\ANX2013 -09029 Proposed Annexation Map.docx i- s BERMUDA ST g Q k 4 .- n V- .- N hl N .- in M o, M u> a n a nC �/ 5 I .'• n n _ N 2g 01 -'.i, •'.''..'. � 6 7 13 1l, ; 15 16 -4 t 38N 1 V- 5 6 I i� N 3200 31N N e, I 30 Q 29 r11 1... 1 26 N I I 7 Q6 230 2404 231 V 2470 23 I �7tOl 21 -A 064 —2 _2 � .N-I •- I� I � � � �I a �I V� h � to � to `� � 02060 20 27 26 3020 �31 1— 1 I .N. 1 PROPOSED ANNEXATION MAP Owner: Molina, Maureen Case: ANX2013 -09029 Site: 1222 Palm St. Property 0.151 acres Size Acres Land Use Zoning From : RU R -4 To: RU LMDR Exhibit A PIN: 1 03 -29 -15 -15840 -001 -0330 Atlas Page: I 251 B C: \Users\EIIen.Ayo\AppData \Local \Temp \Templ_ANX2013 -09029 (3).zip\ANX2013 -09029 Proposed Annexation Map.docx y s BERMUDA ST g Q 4 .- n V- .- N hl N .- in M o, M u> a n a .- h h h t0 t0 n n n N 2g 01 � 6 7 8 �1 1 iU �N•- 11 N 1� N 1� N 1� N 1� Al r �N•- r w w �- Q;— 18 25 26 27 26 3020 �31 1— I I 1 13 I 122 24 301 5 6 11 7 8 9 1CL 1 (� ,4� ,5 16 17 18 1 120 21 � 2 N r q•. ttpp1 N n 1 Q I t0 CO NI 1 23 � 2 ao3aa /DLEyy /LD pR e t 1 � M1 IN N N I� t�01 \ � 12 01 m tu 2024 024 � 26 �I I" `- " 1� s � 2026 \ 027 , , '1030 — — 11 60 ,02022 26 \ � I I 2 13 1 4 5 6 17 g I/ '10 � •� \ \ 3 F �. 264`p` ll g 202 , - I „ 022 L028 e 0 I -„ 4 `✓/ \ 020 23 120 19 18 t7 16 ,5 12 4 202 24 L �5 7 \ \ 6D 2ili t') N 24I Ra V4 N C14 t0 4 04 N N. C4 - 1t�D N 13N 20 :�� 30 8 22 7 04 WOODLAWN TER $ M 1 I I n .N- �•. n " Cl) n .- n n " en N S °' Ito N ao 23 o> a 1 r N tV r• ,t- N N N PROPOSED ANNEXATION MAP Owner: Molina, Maureen Case: ANX2013 -09029 Site: 1222 Palm St. Property 0.151 acres Size Acres Land Use Zoning From : RU R -4 To: RU LMDR Exhibit A PIN: 1 03 -29 -15 -15840 -001 -0330 Atlas Page: I 251 B C: \Users\EIIen.Ayo\AppData \Local \Temp \Templ_ANX2013 -09029 (3).zip\ANX2013 -09029 Proposed Annexation Map.docx ORDINANCE NO. 8503 -13 AN ORDINANCE OF THE CITY OF CLEARWATER, FLORIDA, AMENDING THE FUTURE LAND USE PLAN ELEMENT OF THE COMPREHENSIVE PLAN OF THE CITY, TO DESIGNATE THE LAND USE FOR CERTAIN REAL PROPERTY LOCATED ON THE NORTH SIDE OF PALM STREET, APPROXIMATELY 360 FEET EAST OF DOUGLAS AVENUE (COUNTY ROAD 345), CONSISTING OF LOT 33 AND EAST 4.0 FEET OF LOT 34, BLOCK A, CLEARDUN SUBDIVISION, WHOSE POST OFFICE ADDRESS IS 1222 PALM STREET, CLEARWATER, FLORIDA 33755, UPON ANNEXATION INTO THE CITY OF CLEARWATER, AS RESIDENTIAL URBAN (RU); PROVIDING AN EFFECTIVE DATE. WHEREAS, the amendment to the future land use plan element of the comprehensive plan of the City as set forth in this ordinance is found to be reasonable, proper and appropriate, and is consistent with the City's comprehensive plan; now, therefore, BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF CLEARWATER, FLORIDA: Section 1. The future land use plan element of the comprehensive plan of the City of Clearwater is amended by designating the land use category for the hereinafter described property, upon annexation into the City of Clearwater, as follows: Property Land Use Category Lot 33, and the East 4.0 feet of Lot 34, Block A, Residential CLEARDUN, according to the map or plat Urban (RU) thereof, as recorded in the Plat Book 13, Page 47, Public Records of Pinellas County, Florida. (ANX2013- 09029) The map attached as Exhibit A is hereby incorporated by reference. Section 2. The City Council does hereby certify that this ordinance is consistent with the City's comprehensive plan. Section 3. This ordinance shall take effect immediately upon adoption, contingent upon and subject to the adoption of Ordinance No. 8502 -13. PASSED ON FIRST READING PASSED ON SECOND AND FINAL READING AND ADOPTED November 20, 2013 December 5, 2013 George N. Cretekos Mayor Ordinance No.8503 -13 Approved as to form: Leslie K. Dougall- id s Assistant City Attorney Attest: a '' jc. Rosemarie Call --� — -.r'_ L� City Clerk Vil Ordinance No.8503 -13 66 4 2 A • .• � N (V tyN• I •f '.16� 16^ :ib' •1$' 19 20^ 21 .�.. Case: ANX2013 -09029 Site: 1222 Palm St. Property 0.151 acres Size (Acres): Land Use Zoning PIN: 03- 29 -15- 15840 -001 -0330 From : RU R -4 2061 Q Atlas Page: 251 B 41 • BERMUDA ST Q $ 5 4 _ N •,� 1 h 13 I Id 1 15 1 16 2066 —�3— ^ N ^ r r r N ^I 4 — N N ^ N ^ N 29N ^ O— ; 5 6 7^ 6 I 1 10 it~ — 2 14 1 3 36 5 5 1 34 1 1 33 3 32 I I I I 1 I ��'�!' rl•;'�` .. �► ��ri��iti irii�iir :��:�w:iii:w:;�w�::ihiii:i:1 � 8 _ fin. e• �:p •. • •. - ",',', .• o N N .N- _N •N- A4-'.:� y-i5• - •dj •'17: .1D 't9" •20'• fl ". 4 I I I 3 35 34 •• 31' :3Q • ' 29• •' •2!}". 27 2fi 25 -• 23 12 11 •10' •9'• •7� ,•' R.. N � N. •M. • -51 PALM ST 158ao �asssa - J 7 � FI :•Nr• ,: Tr, I •I.•N� •.�- N -.M� N N N N �•• O •'ni -1 ^ q �7 •cd0. . K4 i Case: ANX2013 -09029 Site: 1222 Palm St. Property 0.151 acres Size (Acres): Land Use Zoning PIN: 03- 29 -15- 15840 -001 -0330 From : RU R -4 2061 Q Atlas Page: 251 B 41 • BERMUDA ST Q $ 5 4 _ N •,� 1 h 13 I Id 1 15 1 16 2066 —�3— ^ N ^ r r r N ^I 4 — N N ^ N ^ N 29N ^ O— ; 5 6 7^ 6 I 1 10 it~ — 2 14 1 3 36 5 5 1 34 1 1 33 3 32 I I I I 1 I 28 30 2044 I 1 1 2 2061 —3 1 7 ' I I 10 1 1 1 12 13 A o 3 31N 3 30 1 29 1 1 26 1 7 7 1 26 2 25 2 24 2 23 2 24 23 2 22 21 — — 20491 ` `e' � �I N I N ^ NI N I I �1 z zo 2oso I WAR i Case: ANX2013 -09029 Site: 1222 Palm St. Property 0.151 acres Size (Acres): Land Use Zoning PIN: 03- 29 -15- 15840 -001 -0330 From : RU R -4 Q Atlas Page: 251 B s BERMUDA ST Q $ 4 _ N h —�3— ^ N ^ r r r N ^I N N N ^ N ^ N 29N ^ O— ; 5 6 7^ 6 I 1 10 it~ 12 13 14 15 16 17 I 18^ 25 26 27 28 30 2044 KU -- 1— 3 I O I I S 6 1 7 8 1 9 I 10 1 1 1 12 13 A 14 15 16 1 17 18 1 I I 1 120 21 1 22 I 24 — 2 �I N I N ^ NI N I I �I �N I WAR ao388 /DLL /LD $ D 1 2026 " 0 2024 12 12 W m 2 26 I I 1 r s. \ — — 11 60 \ 25 \ 1 12 1 3 4 5 6 17 8 (/ / 2026 2027 2 \1 10 11 2030 F 10 2022 102028 201 D 9 24 2021 1 1 I _ 1 3 11 2022 E m I 2020 23 120 19 18 17 16 15 12 2021 4 92024 L— 5 >, w —, ^ 6 \ 8 60 7 \ A (''� \\ 2017 21 1 ^ ^ 1 N N N N o N 14 N r 2020 80 �5 5 13 � ry0 6 N 8 2027 7 n 9 WOODLAWN TER I I QpC� RV 7777 N MN N N _$ N N 23 FUTURE LAND USE MAP Owner: Molina, Maureen Case: ANX2013 -09029 Site: 1222 Palm St. Property 0.151 acres Size (Acres): Land Use Zoning PIN: 03- 29 -15- 15840 -001 -0330 From : RU R -4 To: RU LMDR Atlas Page: 251 B Exhibit A C : \Users\Ellen.Ayo\AppData\Local \Temp \Templ_ANX2013 -09029 (3).zip\ANX2013 -09029 Future Land Use Map.docx ORDINANCE NO. 8504 -13 AN ORDINANCE OF THE CITY OF CLEARWATER, FLORIDA, AMENDING THE ZONING ATLAS OF THE CITY BY ZONING CERTAIN REAL PROPERTY LOCATED ON THE NORTH SIDE OF PALM STREET, APPROXIMATELY 360 FEET EAST OF DOUGLAS AVENUE (COUNTY ROAD 345), CONSISTING OF LOT 33 AND EAST 4.0 FEET OF LOT 34, BLOCK A, CLEARDUN SUBDIVISION, WHOSE POST OFFICE ADDRESS IS 1222 PALM STREET, CLEARWATER, FLORIDA 33755, UPON ANNEXATION INTO THE CITY OF CLEARWATER, AS LOW MEDIUM DENSITY RESIDENTIAL (LMDR); PROVIDING AN EFFECTIVE DATE. WHEREAS, the assignment of a zoning district classification as set forth in this ordinance is found to be reasonable, proper and appropriate, and is consistent with the City's comprehensive plan; now, therefore, BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF CLEARWATER, FLORIDA: Section 1. The following described property located in Pinellas County, Florida, is hereby zoned as indicated upon annexation into the City of Clearwater, and the zoning atlas of the City is amended, as follows: Pro e Zoning District Lot 33, and the East 4.0 feet of Lot 34, Low Medium Block A, CLEARDUN, according to the map or Density plat thereof, as recorded in the Plat Book 13, Residential (LMDR) Page 47, Public Records of Pinellas County, Florida. (ANX2013- 09029) The map attached as Exhibit A is hereby incorporated by reference. Section 2. The City Engineer is directed to revise the zoning atlas of the City in accordance with the foregoing amendment. Section 3. This ordinance shall take effect immediately upon adoption, contingent upon and subject to the adoption of Ordinance No. 8502 -13. PASSED ON FIRST READING November 20, 2013 PASSED ON SECOND AND FINAL December 5, 2013 READING AND ADOPTED — Leo �c.r\ Cr At-oS George N. Cretekos Mayor Ordinance No. 8504 -13 Approved as to form: L es Assistant City Atto ey Attest: , Rosemarie Call City Clerk Ordinance No. 8504 -13 s BERMUDA ST $ 4— .• r. n I 1 h a n n 3 ^ N N N h N ' N ^ N tp h A 2 5 6^ 7' 8 10 11F — 1— I 1 12 13 14 15 i6 17 1 18^ 25 26 27 28 30 2044 2031 1 1 -- 1— 3 1 1 5 6 1 7 8 1 9 10 I 1 1 12 13 14 15 16 1 17 18 1 1 1 20 21 122 24 0 1 I I A 1 1 1 — 2 23 N 2 $ 80388 �� w SEW /LD DR s h W 2029 12^ 2024 N N 1 I h N I N ry 1 71Z' \ 12 .N- 2 � 1 1 1 9/ \ 1 60 1 1 t - 1 _ �� 2026 21 2 \ 11 2030 F I �4 5 L T -^ s O w t 6 8 2022 N 7 r WOODLAWN TER 1 1 I 1 I N N PT-T- I � � r N ZONING MAP Owner: Molina, Maureen 5 ANX2013 -09029 1 • I Property 0.151 acres •16 16 • 1� i' PIN: q123 9 . 13 •e-• til' 15 14 �• To: RU LMDR Atlas Page: 251 B ry _ . • • t 8 N ! N .' . K._ O• N : . n• '. ••W .•'^-- S.• ,i�:. , .•!Q' • a - gyu pl . • • •nr`k •fn 'Cr.. o ,.�n N N 1 1 24 23 22 21 N I N I :.'1h 'h - _ — 20 2060 . r�i ' • :•..,Coo�• • _ ' :�•rte`�. ' ' ' •65 2Q g .s 13' • •':.oy • - . 5 , I I 3 34 1 : •31' '30'•x' '•29• - •2§ - 25 • -74T 3 2 • ' •N - 11 -.1 ••�1�N�_.. • .Zog rI l '1 1 I N a 4f ' • m:• . �p a • � • ,7 a �0i' , $ PALM ST L__�5840 Las99e :$, •,;: All R s BERMUDA ST $ 4— .• r. n I 1 h a n n 3 ^ N N N h N ' N ^ N tp h A 2 5 6^ 7' 8 10 11F — 1— I 1 12 13 14 15 i6 17 1 18^ 25 26 27 28 30 2044 2031 1 1 -- 1— 3 1 1 5 6 1 7 8 1 9 10 I 1 1 12 13 14 15 16 1 17 18 1 1 1 20 21 122 24 0 1 I I A 1 1 1 — 2 23 N 2 $ 80388 �� w SEW /LD DR s h W 2029 12^ 2024 N N 1 I h N I N ry 1 71Z' \ 12 .N- 2 � 1 1 1 9/ \ 1 60 1 1 t - 1 _ �� 2026 21 2 \ 11 2030 F I �4 5 L T -^ s O w t 6 8 2022 N 7 r WOODLAWN TER 1 1 I 1 I N N PT-T- I � � r N ZONING MAP Owner: Molina, Maureen 5 ANX2013 -09029 1 • I Property 0.151 acres •16 16 • 1� i' PIN: q123 9 . 13 •e-• til' 15 14 �• To: RU LMDR Atlas Page: 251 B _3 2 20491 t 36 •- ( l 34 e 1^ 1 33 o I 32 31N `r "' 1 30 1 29 ' l 1 28 N 1 I ^ I 7 I N N 1 1 24 23 22 21 N I N I 2064 _ — 20 2060 s BERMUDA ST $ 4— .• r. n I 1 h a n n 3 ^ N N N h N ' N ^ N tp h A 2 5 6^ 7' 8 10 11F — 1— I 1 12 13 14 15 i6 17 1 18^ 25 26 27 28 30 2044 2031 1 1 -- 1— 3 1 1 5 6 1 7 8 1 9 10 I 1 1 12 13 14 15 16 1 17 18 1 1 1 20 21 122 24 0 1 I I A 1 1 1 — 2 23 N 2 $ 80388 �� w SEW /LD DR s h W 2029 12^ 2024 N N 1 I h N I N ry 1 71Z' \ 12 .N- 2 � 1 1 1 9/ \ 1 60 1 1 t - 1 _ �� 2026 21 2 \ 11 2030 F I �4 5 L T -^ s O w t 6 8 2022 N 7 r WOODLAWN TER 1 1 I 1 I N N PT-T- I � � r N ZONING MAP Owner: Molina, Maureen Case: ANX2013 -09029 Site: 1222 Palm St. Property 0.151 acres Size (Acres): Land Use Zoning PIN: 03- 29 -15- 15840- 001 -0330 From : RU R -4 To: RU LMDR Atlas Page: 251 B Exhibit A C:\ Users \EIIen.Ayo\AppData \Local \Temp \Templ_ANX2013 -09029 (3).zip\ANX2013 -09029 Zoning Map.docx January 8, 2014 Maureen Molina 1222 Palm Street Clearwater, FL 33755 CITY OF CLEARWATER PLANNING AND DEVELOPMENT DEPARTMENT POST OFFICE Box 4748, CLEARWATER, FLORIDA 33758 -4748 MUNICIPAL SERVICES BUILDING, 100 SOUTH MYRTLE AVENUE, CLEARWATER, FLORIDA 33756 TELEPHONE (727) 562 -4567 FA_ti (727) 562 -4865 RE: Petition for Annexation for 1222 Palm Street (0.151± acres) — ANX2013 -09029 Dear Ms. Molina: Please be advised that the annexation petition for the above referenced property was approved by the Clearwater City Council on December 5, 2013. The property is now designated by the City's Residential Urban (RU) future land use category and Low Medium Density Residential (LMDR) zoning district and subject to the requirements of the Clearwater Community Development Code. The City ordinances for the annexation, Future Land Use Map amendment and Zoning Atlas amendment are enclosed for your files. To begin City services, please contact the Clearwater Customer Service Department at (727) 562 -4600. If you have further questions or need additional information, please contact me at (727) 562 -4626 or Andrew.Hayslip @myclearwater.com. Sincerely, CITY OF CLEARWATER Andrew Hayslip, Planner II Enclosures: Ordinances 8502 -13, 8503 -13 and 8504 -13 GEORGE N. CRETEKOS, MAYOR DOREEN HOCK- DIPOLITO, COUNCILMEMBER JAY POLGLAZE, COUNCILMEMBER BILL JONSON, COUNCILMEMBER PAUL F. GIBSON, COUNCILMEMBER ,,EQUAL EMPLOYMENT AND AFFIRMATIVE ACTION EMPLOYER" September 10, 2013 Maureen Molina 1222 Palm St. Clearwater, FL 33755 CITY OF CLEARWATER PLANNING AND DEVELOPMENT DEPARTMENT Posr OFFICE Box 4748, CLEARWATER, FLORIDA 33758 -4748 MUNICIPAL SERVICES BUILDING, 100 SOUTH MYRTLE AVENUE, CLEARWATER, FLORIDA 33756 TELEPHONE (727) 562 -4567 FAX (727) 562 -4865 RE: Petition for Annexation for 1222 Palm St. (0.151± acres) - ANX2013 -09029 Dear Ms. Molina: The City of Clearwater Planning & Development Department has conducted a preliminary review of your application for annexation for the property described above and has determined the application is complete. The application case number is ANX2013- 09029. The following City board review schedule has been tentatively established for your application. You will be notified if you are required to attend the meetings and should there be any change in meeting time or location. 10/03/2013 Development Review Committee Meeting Time TBD* Municipal Services Building, 2nd floor Planning & Development Department, Conference Room 216 100 S. Myrtle Ave., Clearwater, FL *Please call Sherry Watkins at 727.562.4582 no earlier than one week prior to the meeting for the approximate time of the case review. 11/21/2013 City Council Public Hearing (first reading) 6:00 PM City Hall Council Chambers, 3rd Floor 112 S. Osceola Ave., Clearwater, FL 12/05/2013 City Council Public Hearing (second reading) 6:00 PM City Hall Council Chambers, 3rd Floor 112 S. Osceola Ave., Clearwater, FL If you have any questions, please do not hesitate to contact me at Andrew.Hayslip @MyClearwater.com or 727.562.4626 Sincerely, Andrew Hayslip, Planner II GEORGE N. CRETEKOS, MAYOR DOREEN HOCK- DIPOLITO, CONCILMEMBER JAY POLGLAZE, COUNCILMEMBER BILL JONSON, COUNCILMEMBER PAUL F. GIBSON, COUNCILMEMBER "EQUAL EMPLOYMENT AND AFFIRMATIVE ACTION EMPLOYER" CRO), Clearwater City Commission Work session Item Agenda Cover Memorandum Final Agenda Item # Meeting Date: 11 -20 -13 SUBJECT/RECOMMENDATION: Approve the annexation, initial Future Land Use Map designation of Residential Urban (RU) and initial Zoning Atlas designation of Low Medium Density Residential (LMDR) District for 1222 Palm Street (Lot 33 and East 4 feet of Lot 34, Block A, Cleardun Subdivision); and Pass Ordinances #8502 -13, #8503 -13 and #8504 -13 on first reading. (ANX2013- 09029) 19 and that the appropriate officials be authorized to execute same. SUMMARY: This voluntary annexation petition involves a 0.151 -acre property consisting of one parcel of land occupied by a single - family dwelling. It is located on the north side of Palm Street, approximately 360 feet east of Douglas Avenue (County Road 345). The applicant is requesting annexation in order to receive solid waste service from the City, and will connect to City sewer when it is available in the future, as part of the City's Idlewild/The Mall Septic -to -Sewer Project. The property is contiguous to existing City boundaries to the west and to the south. It is proposed that the property be assigned a Future Land Use Map designation of Residential Urban (RU) and a Zoning Atlas designation of Low Medium Density Residential (LMDR). The Planning and Development Department determined that the proposed annexation is consistent with the provisions of Clearwater Community Development Code Section 4 -604.E as follows: • The property currently receives water service from the City. Collection of solid waste will be provided to the property by the City. The applicant will connect to the City's sanitary sewer service when it is available, and is aware of the fee that must be paid in order to connect and the financial incentives available. The property is located within Police District II and service will be administered through the district headquarters located at 645 Pierce Street. Fire and emergency medical services will be provided to this property by Station #51 located at 1720 Overbrook Avenue. The City has adequate capacity to serve this property with sanitary sewer, solid waste, police, fire and EMS service. The proposed annexation will not have an adverse effect on public facilities and their levels of service; and The proposed annexation is consistent with and promotes the following objective of the Clearwater Comprehensive Plan: Objective A.6.4 Due to the built -out character of the City of Clearwater, compact urban development within the urban service area shall be promoted through application of the Clearwater Community Development Code. Objective A.7.2 Diversify and expand the City's tax base through the annexation of a variety of land uses located within the Clearwater Planning Area. Policy A.7.2.3 Continue to process voluntary annexations for single - family residential properties upon request. • The proposed Residential ' - '-ian (RU) Future Land Use Map c Y.ory is consistent with the current Countywide Plan designation_ - this property. This designation primes —y permits residential uses at a density of 7.5 units per acre. The proposed zoning district to be assigned to the property is the Low Medium Density Residential (LMDR) District. The use of the subject property is consistent with the uses allowed in the district and the property exceeds the district's minimum dimensional requirements. The proposed annexation is therefore consistent with the Countywide Plan and the City's Comprehensive Plan and Community Development Code; and • The property proposed for annexation is contiguous to existing City boundaries to the west and to the south; therefore, the annexation is consistent with Florida Statutes Chapter 171.044. Z4 r ..-ftaAs View looking north at the subject property 1222 Palm Street West of the subject property View looking easterly along Palm Street Across the street, to the south of the subject property East of the subject property ANX2013 -09029 Molina, Maureen 1222 Palm Street View looking westerly along Palm Street CITY OF CLEARWATER PUBLIC HEARING NOTICE ANNEXATION, LAND USE PLAN AND ZONING ATLAS AMENDMENTS The City of Clearwater, Florida, proposes to adopt the following ordinances: ORDINANCE NO. 8502 -1 AN ORDINANCE OF THE CITY OF CLEARWATER, FLORIDA, ANNEXING CERTAIN REAL PROPERTY LOCATED ON THE NORTH SIDE OF PALM STREET, APPROXIMATELY 360 FEET EAST OF DOUGLAS AVENUE (COUNTY ROAD 345), CONSISTING OF LOT 33 AND EAST 4.0 FEET OF LOT 34, BLOCK A, CLEARDUN SUBDIVISION', WHOSE POST OFFICE ADDRESS IS 1222 PALM STREET, CLEARWATER, FLORIDA 33755, INTO THE CORPORATE LIMITS OF THE CITY, AND REDEFINING THE BOUNDARY LINES OF THE CITY TO INCLUDE SAID ADDITION, PROVIDING AN EFFECTIVE DATE. ORDINANCE NO. 8503 -13 AN ORDINANCE OF THE CITY OF CLEARWATER, FLORIDA, AMENDING THE FUTURE LAND USE PLAN ELEMENT OF THE COMPREHENSIVE PLAN OF THE CITY, TO DESIGNATE THE LAND USE FOR CERTAIN REAL PROPERTY LOCATED ON THE NORTH SIDE OF PALM STREET, APPROXIMATELY 360 FEET EAST OF DOUGLAS AVENUE (COUNTY ROAD 345), CONSISTING OF LOT 33 AND EAST 4.0 FEET OF LOT 34, BLOCK A, CLEARDUN SUBDIVISION, WHOSE POST OFFICE ADDRESS IS 1222 PALM STREET, CLEARWATER, FLORIDA 33755, UPON ANNEXATION INTO THE CITY OF CLEARWATER, AS RESIDENTIAL URBAN (RU); PROVIDING AN EFFECTIVE DATE. ORDINANCE NO. 8504 -13 AN ORDINANCE OF THE CITY OF CLEARWATER, FLORIDA, AMENDING THE ZONING ATLAS OF THE CITY BY ZONING CERTAIN REAL PROPERTY LOCATED ON THE NORTH SIDE OF PALM STREET, APPROXIMATELY 360 FEET EAST OF DOUGLAS AVENUE (COUNTY ROAD 345), CONSISTING OF LOT 33 AND EAST 4.0 FEET OF LOT 34, BLOCK A, CLEARDUN SUBDIVISION, WHOSE POST OFFICE ADDRESS IS 1222 PALM STREET, CLEARWATER, FLORIDA 33755, UPON ANNEXATION INTO THE CITY OF CLEARWATER, AS LOW MEDIUM DENSITY RESIDENTIAL (LMDR); PROVIDING AN EFFECTIVE DATE. The proposed ordinances will affect the land area shown on the map in this advertisement: (INSERT MAP HERE) Schedule of Public Hearings: Wednesday, November 20, 2013 before the City Council (15` Reading), at 6:00 p.m. Thursday, December 5, 2013 before the City Council (2nd Reading), at 6:00 p.m. All public hearings on the ordinances will be held in Council Chambers, 3rd floor of City Hall, 112 South Osceola Ave, Clearwater, Florida. The ordinance and complete legal description of the property proposed for annexation, by metes and bounds, may be inspected or obtained at Official Records & Legislative Services, located at City Hall. (Maureen Molina) ANX2013 -09029 Assigned Planner: Andy Hayslip (727) 562 -4626 Interested parties may appear and be heard at the hearing or file written notice of approval or objection with the Planning and Development Director or City Clerk prior to the hearing. Any person who decides to appeal any decision made by the Board or Council, with respect to any matter considered at such hearings, will need to request a record of the proceedings and, for such purpose, may need to ensure that a verbatim record of the proceedings is made, which record includes the testimony and evidence upon which the appeal is to be based per Florida Statute 286.0105. Michael Delk Rosemarie Call, MPA, CMC Planning and Development Director City Clerk City of Clearwater P.O. Box 4748, Clearwater, FL 33758 -4748 A COPY OF THIS AD IN LARGE PRINT IS AVAILABLE IN OFFICIAL RECORDS & LEGISLATIVE SERVICES. ANY PERSON WITH A DISABILITY REQUIRING REASONABLE ACCOMMODATION IN ORDER TO PARTICIPATE IN THIS MEETING SHOULD CALL (727) 562 -4093 WITH THEIR REQUEST. To learn more about presenting to Clearwater boards and City Council, go to http:// clearwater.granicus.com /ASX.php ?publish id =13 and click on "Resident Engagement Video." You can also check the informational video out from any Clearwater public library. Ad: 11/6/13 & 11/20/13 ANX2013 -6z-V029 GET REAL INVESTORS LLC PFEIFFER DANIEL PATRICIO CARLOS 4424 N LOIS AVE 246 BROADWAY PATRICIO HORTENSIA TAMPA FL 33614 DUNEDIN FL 34698 8 HIGHLAND AVE DUNEDIN FL 34698 MC CURRY JOSEPH B JR TRUELSON DENNIS R STEINWAY WILLIAM A 8 DOUGLAS AVE TRUELSON LINDA R STEINWAY BROOK C DUNEDIN FL 34698 414 NORFOLK ST 4 HIGHLAND AVE DUNEDIN FL 34698 DUNEDIN FL 34699 DEAN LISA PARK HEIGHTS LLC C/O ALICE MARY WEAVER 126 S OBRIEN ST 2764 SUNSET POINT RD STE 100 3 HIGHLAND AVE TAMPA FL 33609 CLEARWATER FL 33759 DUNEDIN FL 34698 SCOTT DEBORAH B PARK HEIGHTS LLC KREIDLER JAMES M 26 HIGHLAND AVE 2764 SUNSET POINT RD STE 100 KREIDLER LINDA M DUNEDIN FL 34698 CLEARWATER FL 33759 9 HIGHLAND AVE DUNEDIN FL 34698 BRAINARD MELISSA PARK HEIGHTS LLC COX KITTY O 22 HIGHLAND AVE 2764 SUNSET POINT RD STE 100 STEWART FRANKLIN L DUNEDIN FL 34698 CLEARWATER FL 33759 13727 JUDY AVE HUDSON FL 34667 PETERSON BRODY HAZLITT HENRY SMITH BYRD J 448 NORFOLK ST HAZLITT CATHARINE SMITH BARBARA DUNEDIN FL 34698 2764 SUNSET POINT RD STE 100 2080 DOUGLAS AVE CLEARWATER FL 33759 CLEARWATER FL 33755 TYNDALL MARY ANN STEPHENS BEENA B C/O LOUGH DAVID PR CLARK MARJORIE GONSALVES JOHN R REM 30345 US HIGHWAY 19 N # M 442 NORFOLK ST 65 VENTURA DR CLEARWATER FL 33761 DUNEDIN FL 34698 DUNEDIN FL 34698 WATTS MARI GOODWIN FAMILY TRUST DAMANN KATHERINE J 436 NORFOLK ST GOODWIN SIDNEY D THE 8743 95TH TERR N DUNEDIN FL 34698 427 NORFOLK ST LARGO FL 33777 DUNEDIN FL 34698 430 N NORFOLD ST LAND TRUST HAINES CYNTHIA V MORGAN RICKY A TRUSTEE CO THE 441 NORFOLK ST 2315 PALMWOOD DR PO BOX 430 DUNEDIN FL 34698 DUNEDIN FL 34698 OZONA FL 34680 NOWLAND SAMUEL PATRICIO FELIPE P SUNTRUST MTG INC 426 NORFOLK ST 447 NORFOLK ST 1001 SEMMES AVE DUNEDIN FL 34698 DUNEDIN FL 34698 RICHMOND VA 23224 FOLKENSON MICHELLE L PAULTRE FRANTZ G CECIL KIMBERLY A J 2058 DOUGLAS AVE 1308 VERMONT AVE 1246 PALM ST CLEARWATER FL 33755 TARPON SPRINGS FL 34689 CLEARWATER FL 33755 HELDRETH TIFFANY Y WARNER ALAN B VENEGAS ENRIQUE 2052 DOUGLAS AVE 1235 UNION ST 1244 PALM ST CLEARWATER FL 33755 CLEARWATER FL 33755 CLEARWATER FL 33755 FRAY PAUL J MIHALINEC LINDA HASTY SAMUEL C 1206 PALM ST 1237 UNION ST 1238 PALM ST CLEARWATER FL 33755 CLEARWATER FL 33755 CLEARWATER FL 33755 STEPPE WOODARD D SMITH DARRELL G NINRAT JANTAKAN STEPPE BARBARA B PO BOX 456 1234 PALM ST 2063 DOUGLAS AVE MONTEAGLE TN 37356 CLEARWATER FL 33755 CLEARWATER FL 33755 CLEARWATER FL 33755 BELL JESSIE L EGNACHESKI CHRISTOPHER MC ATEER KENNETH D 1207 UNION ST 1245 UNION ST MC ATEER MARY C CLEARWATER FL 33755 CLEARWATER FL 33755 1230 PALM ST CLEARWATER FL 33755 CLEARWATER FL 33755 CLEMENT LORETTA C EST BROWNING JUANITA J CHAMUSCO KAREN 2077 DOUGLAS AVE 1247 UNION ST 1224 PALM ST CLEARWATER FL 33755 CLEARWATER FL 33755 CLEARWATER FL 33755 CARELLI ROBERT C FISCHER ANN M MOLINA MAUREEN 1211 UNION ST 1253 UNION ST MOLINA AMILCAR CLEARWATER FL 33755 CLEARWATER FL 33755 1222 PALM ST CLEARWATER FL 33755 ZELLER JOSEPH L REYO JULINDA BUBAR JOAN E 1030 OSAGE ST AMNAY RAMESHWAR 1220 PALM ST CLEARWATER FL 33755 1255 UNION ST CLEARWATER FL 33755 CLEARWATER FL 33755 DEL VALLE JULIA FOX ALISON J HAMM CATHY M 1219 UNION ST 1256 PALM ST HAMM JOSEPH A CLEARWATER FL 33755 CLEARWATER FL 33755 2420 PINTAIL WAY ROBERTA GA 31078 ROSE DONNA K CASSIDY BILL J USA FED NATL MTG ASSN 1223 UNION ST CASSIDY DORTHY 950 E PACES FERRY RD STE 1900 CLEARWATER FL 33755 102 FARRAR DR ATLANTA GA 30326 AURORA IN 47001 CUMMINGS JOHN W WHITEHEAD KEVIN MILLER MARK A 2717 SEVILLE BLVD APT 5108 WHITEHEAD TRACY 1212 BERMUDA ST CLEARWATER FL 33764 1245 PALM ST CLEARWATER FL 33755 CLEARWATER FL 33755 HAWI IBRAHIM Z RUCH CHRISTOPHER E MARSHALL CARLEENE JO HAW[ CHAMIRAM S 3315 WIND CHIME DR W 1201 BERMUDA ST 1209 PALM ST CLEARWATER FL 33761 CLEARWATER FL 33755 CLEARWATER FL 33755 IVAN IRINA ALI AZEEM PAPALEO JOAN E 2061 DOUGLAS AVE ALI SABITA 1211 BERMUDA ST CLEARWATER FL 33755 205 STEEPLECHASE LN CLEARWATER FL 33755 PALM HARBOR FL 34684 CURRY ROBERT HALL VADA LORRAINE DOUCETTE DONALD F CURRY GARY BARCLAY MARVIN D REM DOUCETTE BARBARA L 2298 RICHTER ST 1250 BERMUDA ST 8395 75TH PL DUNEDIN FL 34698 CLEARWATER FL 33755 SEMINOLE FL 33777 MC CLENNING ELFRIEDA L EST JUBB LYNNE R THE IMAMOVIC AHMED M 1215 PALM ST JUBB PETER S THE 1221 BERMUDA ST CLEARWATER FL 33755 1242 BERMUDA ST CLEARWATER FL 33755 CLEARWATER FL 33755 WEBER DENISE A FRANZESE MICHAEL A CLIFFORD ROBIN B 1221 PALM ST 1234 BERMUDA ST 1225 BERMUDA ST CLEARWATER FL 33755 CLEARWATER FL 33755 CLEARWATER FL 33755 GARSON TIMOTHY T DURAKOVIC HASIBA MC KEON THOMAS E GARSON ROSEMARY G 1232 BERMUDA ST MC KEON THERESE M 1780 TEAKWOOD LN CLEARWATER FL 33755 1231 BERMUDA ST DUNEDIN FL 34698 CLEARWATER FL 33755 DAWSON CLIFFORD B III MALCOLM BRADLEY MAHONY JOHN 1233 PALM ST 169 ALVIN ST MAHONY MARGARET ANNE CLEARWATER FL 33755 KITCHENER ON N2J 3,17 1235 BERMUDA ST N CANADA CLEARWATER FL 33755 SHERMAN MARJORIE JONES PATRICK J T H R FLORIDA LLC 1235 PALM ST 1220 BERMUDA ST 1726 E 7TH AVE STE 6 CLEARWATER FL 33755 CLEARWATER FL 33755 TAMPA FL 33605 " " " " " "" TRAVIS CHRISTINE BRZOSTEK HENRY A 2748 KNOLL ST E 1245 BERMUDA ST 1103 SUNSET POINT RD PALM HARBOR FL 34683 CLEARWATER FL 33755 CLEARWATER FL 33755 WHEELER PAMELA 275 SANTA BARBARA CIR PALM DESERT CA 91260 MC ELDOWNEY DANIEL E JR MC ELDOWNEY NORMA J 1220 IDLEWILD DR CLEARWATER FL 33755 COVILL KENNETH L 1222 IDLEWILD DR CLEARWATER FL 33755 LE BON ANN M 1226 IDLEWILD DR CLEARWATER FL 33755 1222 PALM ST ANX2013-09029 1 Molina, Maureen ' Zoning: o � ��� s��N'��rVi U Atlas #: 251 B rianning & Development Department Petition for Annexation ALL APPLICATIONS ARE TO BE FILIED 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 14 COMPLETE SETS OF APPLICATION AND SUPPLEMENTAL MATERIALS (1 ORI6INAL 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 INVALIDATE YOUR APPLICATION. THE APPLICANT, BY FILING THIS APPLICATION, AGREES TO COMPLY WITH ALL APPLICABLE REQUIREMENTS OF THE COMMUNITY DEVELOPMENT CODE. APPLICATION FEE: $0 IMPACT FEE/ASSESSMENT FEE: TBD information on Impact Fees orAssessment Fees is available from the City of Clearwater Engineering Departmeni (562-4747). � ��1= C��74���,�4 PV1 I �-�l t2 M C� L 1� A � l 71� PROPERTY OWNER (PER DEED): (� �U1�%.��C�1� NlO L1� A ^ ���,-�E-j-T�a �j F � �VIV GP--tS�� � �� MAILING ADDRESS: � � 7,� � L M �T^, �_I ,l,c ) � . � �� � � PHONE NUMBER: /% /— l�) Z5 lC � EMAIL: �l✓ �1 �`t ��Z %�'�C� �� �C'�L . LC'�/V�_ AGENT OR REPRESENTATIVE: MAILING ADDRESS: PHONE NUMBER: EMAIL: ADDRESS OF SUBJECT (� PROPERTY: � Z Z Z \� l�'1�/�. S� PARCELNUMBER(S): �3��� I S (�j �f�C� I � LEGAL DESCRIPTION: L��-�� U ,�u� ��� T O� W� J� CURRENTCITYSERVICES: SANITARY SEWER SOLID WASTE � WATER REQUESTEDCfTYSERVICES: � SANITARYSEWER SOLIDWASTE (select all that apply) Planning & Development Department, 100 S. Myrtle Avenue, Clearwater, FL 33756, Tel: 727-562-4567; Fax: 727-562-4865 Page 1 of 7 Revised 03/13 o�� r,� } Planning & Development Department � ;.���a��at�e� Petition for Annexation � � Data Sheet PLEASE ENSURE THAT THE fOLLOW�NG 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 FOLLOWIN6 APPLICATION CYCLE. FUTURE LAND USE PLAN DESIGNATION �rP �� SITE AREA: PRESENT (COUNTY): REQUESTED (CITY): ZONING DISTRICT PRESENT (COUNTY): REQUESTED (CITY): �15 acres �� ►�� (1� 41_� � ► � � ,�,�-�'_ ..� � _ , � S1ZE OF DEVELOPMENT : � �� l� J�. U�E OF PROPERTY: Existing: tp � ��l� �� � isting (currently on site) Proposed: Proposed (new use, if any; (e.g., number of units, hotel rooms or plus existing if to remain): non- residential square footage) If residential use, is unit(s) rental? � �u�2�tti�L�� c�►:► v�►�. �. X� `�(i N�� -�-�C t �T� S� C�-� � U STATE OF FLORIDA, COUNTY OF PINELLAS I(we), the undersigned, acknowiedge 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 applicatior�� S rn to a d subscribed before me this 7 day of �,i� �%�� . by /'/�9"uQ��✓�oC./ n%�%' , who is personally known/has �� �aaA n. �`��-l��r�� produced�L-�H9S%i�0—S�f0-�p-5� �sidentification. Signature of property owner or representative My co Signature of property owner or representative C, expiresj /a Notary Public State of Florida My Commiuion EE141534 Expirea 1(�126/2018 Pianning & Development Department, 100 S. Myrtle Avenue, Clearwater, FL 33756, Tel: 727-562-4567; Fax: 727-562-4865 Page 2 of 7 Revised 03/13 . , o �� y �; . �£ �����arwater U PROPERTY OWNER (PER DEED): MAILING ADDRESS: PHONE NUMBER: EMAII: AGENT OR REPRESENTATIVE: MAILING ADDRESS: PHONE NUMBER: EMAIL: Planning & Development Department Petition for Annexation Disclosure Statement 1/1,�lU ��J M. � L1►J � l 2 Z Z ,� L N�. T Z--7 — _ � � �1 � CJ ��7 � �� �'i� A-r�� L OTHER PERSONS HAVING ANY OWNERSHIP INTEREST IN THE SUBIECT PROPERTY: NAM E: ��/�; I(_ � I� � V�1� � L��/'� INTEREST IS: �d`t'F-� �Z ���,�-".� 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: NAIVit: ARE THERE ANY MORTGAGES OR LIENS ON THE SUBJECT PROPERTY? PARTIES INVOLVED - NAME: NAME: � . ' 121(ai-i'TS D�ScJ�ul���> >t. YES �NO PHONE NUMBER: PHONE NUMBER: YES � NO PHONE NUMBER: NI1UIVt IVI.IIVItitK: 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 applicatior�„j S orn to and subscribed before me this ����r day of �S � � . by MAu2bEn� 1"\oL� � , who is personally known/has `\�(n�� � �� ti�� producedDL� /"I�Sa- S�o-�po•S�-Z�s identification. L�..l,`[��� -Q-�-1�r Y v�--Y� Signature of property owner or representative � ���--�/� My commi Signature of property owner or representative I C, � w Notary Public State of Flori� � WiISOn My Commiuion EE 141534 � 'Q �� Expire� 10l26/2015 Pianning & Development Department, 100 S. Myrtle Avenue, Clearwater, FL 33756, Tel: 727-562-4567; Fax: 727-562-4865 Page 5 of 7 Revised 03/13 o p; Planning & Development Department � ���ar�vater Petition for Annexation �� Affidavit to Authorize Agent/Representative 1. Provide names of all property owners on deed — PRINT full names: %�rN1,t �. c� 1z o �,l 1J i�C.�Zb-�fS�-�� JV�/-�U 5-�--�= L—T� f�, o L C t,.J� /.� tzt � �rs c�� s��n �co �s�� +P� 2. That (I am/we are) the owner(s) and record title holder(s) of the following described property: yvM, /� ��'_,l��l � M�(-. t ti► /� 3. That this property constitutes the property for which a request for (describe request): �-►.J ti l.-� �f� i l � ►.� /Jc-r�.�� � �-U.) ��Z 4. That the undersigned (has/have) appointed and (does/do) appoint: ��-�l � 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 describecl in this application; 7. That (I/we), the undersigned authority, hereby certify that the foregoing is true and correct. �Ylrl_�-�—_s�-�1��+ r'1--�'`- Property Owner Property Owner � `��.( /�.�(/� Property Owner Property Owner STATE OF FLORIDA, COUNTY OF PINELLAS BEFORE IyIE THE UNDERSIGNED, N OFFICER DULY COMMISSIONED BY THE LAWS OF THE STATE OF FLORIDA, ON THIS �� DAY OF � �G�� ��/ � , PERSONALLY APPEARED /�%L[QE�'�V I��O �- �^-�- �L'���.�'� '�D'?7�WH0 HAVING BEEN FIRST DULY SWORN DEPOSED AND SAYS THAT HE/SHE FULLY UNDERSTANDS THE CONTENTS OF THE AFFIDAVITTHAT HE/SHE SIGNED. ' oJ�"' °�b4 Notary PuWic State of Florida %' / : � � �' KvIP Wilenn _. - ry Pub � e My Commissan EE141534 / or,IL� Expins 10/26/2A19 Notary Seal/Stamp My Commiss(on Expire�: !D 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 , . °j ������-arwater � U PROPERTY OWNER (PER DEED) uf �T_11�I�LelJ1����� CITY OF CLEARWATER CASE NUMBER: Planning & Development Department Petition for Annexation Supplemental Statement 1�.�u �,-�r� � o � � �► � /�� � �cE4---� �ll� c�Lr � t� � �� � Z.Z /� L-hrl �T�. ( ��J . � �?��? SS I/we, [insert names of all property ownersJ, 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 shali 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. s�a� E c� ����ic�, co�r�r, �F �lN��:�s 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 applicati S rn to and subscribed before me this � day of �S� �� . by �l�it� OL /1l �r who is personally known/has � � ,�,1 � Q L,�� �^ l�� produced ��-�MS�So -Sf�a -�D — SS�6 � a as identification. Signature of property owner (individual or authorized representative of corporation, partnership or other entityj Not�ty,�iublic, C� My cammissia Signature of co-property owner Notary public State of Florida � My Commission EE741534 . �xpiros 10l26/2015 Planning & Development Department, 100 S. Myrtle Avenue, Clearwater, FL 33756, Tei: 727-562-4567; Fax: 727-562-4865 Page 7 of 7 Revised 03/13