ANX2014-11025f
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' 1260 SEDEEVA CIR
ANX2014-11025
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� � Idlewild Area - Multiple Properties
> Zoning: Low Medium Density Re Atlas #: 251 B
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Planning � Uevelaprnent Department
Petit�ion for Anne�tion
ALi APPLICATI�NS ARE T� BE fILLED OUT CdMPLETELY A1VD Ct�RRECTLY, AND SUBMITTED IN PERSON (NO FAX t)R
DELIVERIfSj TD TFtE PtANNING & OEV£LOPfkJIENT ClfPARTMEh�7 BY NQON ON THE SICFIEOULEO DEADLIPIE DA"TE;
A TOTAL OF 14 CbRAPLETE SEiS OF APi�1MCAT10N AAID SUPPLEMENTAL MATERIALS {1 ORIGfNAL AND 13 CAPIES} A5
REQUlRED WiTHIN I4RE Ti3 BE SliBMiTTED FOR REVIEW BY 7HE DEVELQPMENT REiIfEW CUMMfffEE. APP'UCATI(3NS
ANa SUPPLEMENTAL MI'#TERtALS ARE �EQIJIRED 1'O BE tOLLATED AND STARLED �NTCi SETS.
tT tS INCUMBENT UPON THE APPi.ICANT Tt7 SUBMIT COMPIETE ANp CORRECT INFORMATION. ANY MISLEADING,
DEGEi►'T'IVE� lNCQMPLE7'E OR INCORRECT iN�C)RMATION MAY f�1VAUDATE YOUR APPUCATION.
THE APPLtCANT, BY FILING TNIS APPUCATION, AGREES TO COMPLY WITH ALL APPUGI4BLE REQUIitEMENTS �IF ThtE
CC}MMUPIRY DEVELUPMENT COOE.
APPLICATf0�1 FEE: $�1
Ih+tPACT �EE/ASSESSMENT FEE: 7'�t� Infarmation on /mpaci Fees orAssessment Fees is available from
the City of Clearwater Engineerirxg Depar#ment (562-d747).
PR�PERT1t OWNER tPER DEED): US Happy Womes INC
MAILIPIG ADDRESS: 2�90 S Belcher Road, Largo FL 33771-4020
PHONE NUMBER: 532-3(}20
�MA�L: /"'+"�r r°t r
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MAlL1NGADDRESS:
PHONE NUMBER:
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EMAIL: c'"lr �,�,'x t,?i' �f�'t, �.��;��'�r'�1�'t"' �'�1. (i�;!"1`�
1ADDRE5S t?F SUBJECT x203 antt 1203 Y: 5heridan Road, Giearwater FL 33755
PROPERTY:
PARGEL h+IUMBER(5�: 03-29-I5-87912-A01-0o90
LE6Al D�SCRlPTIOtU: Sunset K�oll 81ock 1, �ot 9
CURRfNT CRY SERYICES:
REQt/ES7Et) CJ7Y 5ER1/fCES: x
(selecc alt that npply)
SANITARY SEWER
S.ANITARY SEWER
50 LI D VGASTE x
SUIID V1IASiE
WATER
Planning & tlevelnpm�nF �epartmenti, 9U0 5. Nlyrtle Av+entre, G{earwater, �L 337�G, Tei: 727�562-4567; Fax: ?Z7-562-4865
Rage 1 of 7 Revised 03�13
�
u
o P�lanning & Development �epartment
y ���� Petition for Annexati+�n
� Data Sheet
PI,.EASE ENStJRE THAT 'TFIE FOLL01NiNG {NFORMATiQN tS �tLLEQ OlJ'f, IN CfS �NTItiETY. FAI�t1RE TC? �OMPLE7E THIS
�+DRM 1NELL RESUIT #N YOUR �1PPI.tCAT1+ON BEING fQUND 1NCflMPLETE AND PCySS18LY QEFERREQ 11N7'll "fHE FOLLC}WIiVG
AP'FUCATtON CYGLE.
FUTl3RE IAWD US�;PLQN b�SIGNATIOP3
PRESENT {CpUNTY}: Residential Urban (RU)
REQUES'fED (GITY): Residentiat Urban (RU)
20NINC, DIST1tICT
PRESENT (COUNTY}: R-4, Une,l�ro, and fhree Family Residential
REC�UE$iEp (CiTY}: Low AJledium Density Residential �U+VlDR)
S17E 1lRf/�; p,16ri
SiZE �� �EllElflPMENT :
Existin�. 2
Praposed: z
(e.g., numaer of urrits, ha#et roams or
non- residential sguar� footagej
aeres
LlSE C!F PROPERTY:
Exis#ing (cu�re�th�r on s:rtey: Single Family
Proposed (new use, if �ny;
plus �xisting if to remain):
If resideniial use, is unii{s�
cental?
Single Family
yes
5TA7E Of �LORlQA, COUNTY 4f PlltiliilAS
I¢we), the undersigned, a�cknawledge that alt representations made in this application are true and accurate to the best of my
knowied$e and authorize �ty representatives to visit and pho#ograph the property described in this ap� '#�
Swa�n� ta and�subscribed before m�e�this ,-�. ��` �~ day� ofi
� �.d�. �.' � �� b�
�
�`" ° �°- ` � '������ who�is persorsally kno�nfhas
�°� .�.� �� ���~��� produced ���``�°,. r�,�: �. �;t : �- ..:,.� y ,,:dsidentifrcation,
praperty own�r or repre'sentati�re
Signature csf property owner or representative
t�otary,pubi�c, .
a
My commission expires: _ �';
NE7'tAEiti' F+UBLlG
aiATE C7� �k.CiRIpA
Comm# F..�1(1$At76
E�ir�s 8l�#12�1'�
Planning 8 Developm+Bnt Department, 100 5. �lyrtte Avenue, Clearwater, �L 33756, Tef: 727-562-4'567; �ax: 727'-562-4855
Page 2 �df 7 Revised �3113
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Planning & Develapment Department
P"�etition for Annexation
Subrnittal Package Instructi�rns & Checl�ist
IN A�DI'i'ION TO THE COMF'LETED AIVNEXATION PETITION FORM, ALI. PETRIQN FOR ANIVEXAT'!ON PACKAGES SHALL
tNCLUDE A SUBMITiAE PACKAGE THAT INCIUDES TH� FOLLO'UI�fIHG:
❑ Sign�ed and sworn (notariz+ed) disctosure c�f interest siaternent (form attached}.
D ff the property is ncrt a platted lot of record, a curr�nt 5urvey identifying tMe d6mensians, area and location of the
propect+y havin� been �repared, signed and sealed by a land surveyar currentiy registered in the State of Flvrida within
the mesi recent 22 months. [Note: Submit twa copies onlyj
0 I€ deVelopment is ta be tnitiated prior tt� subrnission of an annexafiion petttion and/or prior tfl the effecEive date of the
annexation, req��isite site �lans, plat, and engineering plans.
O Terms of a praposed �Agreement to Annex, if any.
Q If the proposed ar�nexation xequires a change in the land use classificati�n and zoning category assigned to the
prvperty, a justification for such change must be submitted in writing. if the'requested aaning i5 �at cansistent wiih the
Future Lan�l Use Map af the City of Clearwater Compr�hens+ve Plr�», the applitant witl be rec�uired to f+le a campanion
apptication toamend the map.
Cl Proof vfi owrnership (e.g., capy of deed, title insurance policy, or othe� instrument �lerrtonstrating 4wnership). (t'VOte:
5�,bmit two copies sanly)
❑ if connection to city services i� desired prior to the effective dat� of the annexation, applicant must provide notarized
Petition for Annexation Supplemental Statemeni (form attachedj. [Na#e: Submit original �nlyJ
❑ If applicant is designating an agent%representative to wo�k with City, applicant mu$i provide notarized Affidavit to
Authorize Agent,/Representati,re {form attachedj. [Note; Submit origir�ol �n1y]
1N�C}RMATiON REQUiR�D T� CUMPLETE THE PETii10N FOR AN�+IEXATI�N AFPi1GATlON /;►ND DATA SHEET GAN BE
FOtJND t)1�1 TN� FOLLOWING D�CUMENTS AND/OR ONLlNE A'C THE FOLLQWIAtG WEBSITES. fF THE A�PPLICANT 1S
UNGERTAIN WMER� TO Lt)C�P17E TH15 IIVFOt�tMJIA'TI�N QR NEEDS ADt�ITIQN/#l. AS515TANGE, PtEASE �CJNTAGT THE
PLANNING AND DEVELOPMENT DEPAR7MENT, IONG RANGE PLANNfNG WV151�N AT 727-552-4567.
❑ PARCEL NUNIBER (P�rcel I.D. Nurnber) can be found on the Warranty Deed. tt can also be found by searching the
Pinellas Cauniy Property Appraiser'� 0�€ice wehsite �t www.�ac ao.or� (search database by arddress).
D LEGAL f3ES�RIPTION �can be faund an the Warranty Deed. It can also be faund by viewing the property record ontine at
the Pinellas Gounty Property Appraiser's Office website at tivww.�cp��s�or�.
❑ FUTURE LAND USE PLAN DESIGNATIQN (COUNTY) can be found by viewing a Property Report using Finellas Count�s
Publie �GIS Viewer avaitabfe online at hit�s}f�;�s.�fneila�cc�un�,or�jpubiic is1, Search by property address ar Parcel I,C3.
Number and report will appear.
0 EUTURE LAND t3SE PLAN �ESIGNATtON (CITYj is typicafly the same as the Eand use designation �n Pinellas Caunty, unless
applicant is proposing a change (see sabmittal package requirements far more informatinnj.
0 ZC3tVING D15TRtC7 (COUNTY) can be found by viewing a Property Repor� u�ing Plnellas County's Public Gl5 Vlewer
availab{e anline at �#�p;1,��i�,pinella�couni+�.or��(�ubi'sc �is�j.
❑ ZONtNG DtSTRICT {C17Yj can be found by contacting the Planning and Development C?ep�rtmerti or viewing the Ciiy's
Zt�ning�Ailas, availabl�e a�nFinedt
�ttp:�%vwv�tw rrtycl�arw�te�:��ar�/�t�v/ti��pts�,?�ta�,en i� �u,t�licati+�r�s �en atlas �t#as,�s .
0 51TE AREA �ACRES} c�n be #oand by viewring a Property Report using Pinellas County's Public G15 Wiew�r availabte online
at �tt : � � i�.� �n+�llasce�unt� .r�r � ub�i�� ���-
Piann6ng 8 Developmeni Qepartment, 400 S. Myrtle Avenue. Gtearwater, FL 33756, Tel: 727-562-4567; �ax: 727-662-4$65
Page 3 ot i Revised 031�3
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ATTEIYDANCE Ai PUBLlC H�ARlIVGS
Pianning & Uevelopmen# Departrnent
Petition for Annexation
Inforrnatian for Applic�nts
The appiican# ar applicant's repres2ntaiive is encauraged to attend Gty Coun�il pubiie fi�earings untes� the annexation
pertains t� a property developed or ta be develaped with one single family d�ntetting.
STAN'DARDS FOR AIVNEXATiON
In de#ermining whefher to annex a`property, the City shal! consider the extent #o which:
Ct The proposed annexation will impact public services �e.g., water, sewer, palice, parks, etc.).
❑ The proposed annexation is consisient with xhe City of Clear�water Gorr►prelhensrve Plan.
f� 7he praposed annexation requites a change in the #uture land use and zoning ctassifications assigned to the
praperty as well as the jurisdictian fc�r said change.
t] Existing or proposed development is cc�nsi$tent with �ity regu{ations.
Ci Terms af a proposed Annexation Agreement, if any, promotes the City of Clearwater Com�rehensive P►an.
PROPEiiTY OWNfR AGREEMENT
Please be advised that, in consideration of th� annexaiian, the property owners da hereby agree that:
❑ Aii siruckures and improvements which are erected upon said property subsequerrt to the date of this petitian for
annexatinn 5hali enmply with aU ap�1icable Gity of Clearwa#er regulations and ordinances as set forth in ihe �City
Code of Ordinances;
L3 All residential rentat unitS, includir�g single-famity residentes must camply with the requirements in the city's
reside�tia! rental ord�nancp, whfch requi�es the property owner to obtain a Business Tax Receipt upon annexa#ion
into the city;
C! If development is to be ini#iaied prior to submissian of an annexation petitian andfor prior to ihe eff�ctive date of
the annexation, requisite site plans, plat, and engineering plans shaFl be submitted to ertsure cornpli�r�ce with the
city`s �mmunity Development C�de {see Submittal ?ackag� Instructions Checktis#}. It is recommended ihat the
applicant meet with �lannirtg and Oevelopme�nt Department staff to review pians andJor discuss the applicable city
regulat�ons;
CI All annexations of residentiai dwepings af eight dweiling urtits or more shall convey such �ecreation facilitie� fees
and recreation land dedication and%or fees in the arnount and manner prescribed by Chapter' S4, Article 1! of
Glearwatpr Cocie af Ordinances; and
0 When any substandard abutting str�eet or utitities ar� subsequently upgraded by the City to meet City Standards,
said improvement(s) wifl k>e done on an assessment basis, consistent with City procedures therefore.
Planning & Devela�ment DeparEmeni, 'f04 S. Myrtle Avenue, Gtearwater, �L 3375&, ie1: �27-5fi2-4567; Fax: 72'7-5$2-d$65
Page 4 of 7 Ftevisad {f3/13
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PROPERTY OWNfR {PfR DEEDjt li5 Happy Home$ INC
MAtLIN� ADDRESS: 2190 S Belcher Road, l.arg� fi 33771
PN�NE }V'Uf�11�ER: 532-302{�
EMAtL:
,�1+�E �"t' iDR �tL�t�����t�:
MA1LtNG ADDFt�SS:
PFIOiVE IVUMBER;
EivIAI L:
NANI E:
iNTEREST IS:
SPECiFIC INTEREST HELD:
Planning & i3evelopment Department
Peti�ion for Annexation
Dlsclosur� Statement
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_ L�c.�J�_'p�'.
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b��s R ci3t�T�€��° �t�r' �;��� "r"�����+��r' i������`�t�
CONTRACT tSc
RARTCES IlVVOIVED— N,4ME:
NAME:
A�t�'��C�i�� ,�J+11� {�''t'��1'�"iiy,�"��MS� Ti�#� �U83E�Ci' R��QPERiY�
PARTIfS INVOLVED — NAM€:
NRM E:
A�� i`NE�E l�Y` ��':�i��5 �t� �.iE�tS C�i `�� ���GC` �'[�Qi��i�?
� c�-
YES
PN(?NE NUMBER:
PH�NE NUMBER:
YES
RHiDNE NUMBER:
PHONE NUMBER:
� YE5
;%-NU
�
NO
PARTIE5INVQLVED—NAME: 'fit`1"?�'� iY�`�.i't�P�..����•���:� ���'t__PHORIENIIMBER: ����j��-{'� -L-��;��'(i-�'
NAME: PHONE I�UMBER.
STATE QF FLORIDA, G�UN'f'Y pf PINELLAS
I(wey, #he undersigned, acknowt�dge ihat all representati4ns made in this application are true and accurate to the best af my
knowleclge and authorize City representatives to visit and photograph the property described in this applicatio
Sworn to and su6scribed before me this ,������ day of
� H�_ z � _ ° `'� � �.�. � . by
f'"""'�., t���`��"��. `•. ``� � '` � , "";y . ^ who is personally knownJhas
j fi� �
� � roduced _ �� 1 ti'�.� � � , � ..� •..h� , -�....�� ,,,� as ider�tifrcali�r7.
S a of r� rty ow eror resentatiue �� � .--�'°°�`� �
Signature of properiy owner or representative
C3� FLCN7i%A:�
� ��tT ���
t�iann@�g &[?eveitspment Department, 'i0� S. Myrtle Avenue, Cteaaearater, FL ,��el; 727-562-4557; Fax_ 727-562-4$$5
page 5 0# 7 Revised 03►13
. � � � � ��
Flanning & Development Depa�e�t
Fetition far An��xat�ion
�= T Affidavit to Authorize ,A�gent/Representative
I. Provtde names af ali property owners on deed — PRINT fuit narnes:
US HappY Homes 1lVC
2. That (I am/we are) the owner(s) and recard titl� holder(sj of the following described property:
1203 Sheridan Road, Clearwa#er �L 33755
3. That this property constitutes the property for which a request for {describe request):
Annexa#ion in order to receiUe soiid waste ar�d sanitary se�vice
4. T[��t tF� �nc��r����+�d f�+��rr+�� �pp��n�� �r�,t�r�+�,t��} a�p��nt;
: '1�11",��,'�� �"
as (his/theirj agent(s} ta execute any petitians or aiher documents necessary to aff�ct such petition;
5, ihat this affidauit has been executed xo induce the City of Ci�arwater, Ftorida to �onsider and act on the above
described prope�tl►;
5. That siie visits to the property are necessary by City representatives in ar�#er ta process this applicat+on and the
owner authodzes City representatives to visit and photograph the property described in this applicatian;
7
Property Owner
STATE OF FLORID�I, Gt)UN'fY OF �INEI,IAS
Praperty Owner
8EF{}RE ME TIiE UNpERSIGNED, AN OFFICER DULY Ct31VIf�AiSSIC}CVEt3 BY THE LAWS (�F THE STATE (}F FLORiDA, ON
� ��,� ' �
THIS \y_:_„,.�"i DAY Of � �-�.� �`��`Y C- �1�,.. �� . PERSONALLY �0.PPEARED
���
,°-.,,C_,�„ �� �, o+,, *�'°� IAJMQ HAVIN� BEEtU FIRST DULY SWC)RN
DEPOSED AND SAYS 7HAT HE/SHE FULLY k1NpERSTANDS THE C{�Nl"ENTS t7F THE AFFIDAVIT THAT HE/5NE SIGPIED�
_� .
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���a��u� tte�rt�� , . _
� � f+i�C7i"A�iY PU81.3� � � �` _
STAT� (3F �LCSR117A Nntary Pu6iie Signatt�rc�
, Corrsrrs# �Eifl94C►� ,� � '��
Notary Se� ��i�s 8/912tJ1 � My Gommissian Expires: �`�-�� `°� �, �'�,�
—r
�'tanning 8� Devetopment �epaRment, 100 �. AAyrtle Avenue, �leanvater, FL 33756, Tei: 737-562-455�; Fa�: 727-562-4865
Page $ of 7 1Rev`ts�et� 0�113
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Planning & D€veiopment Department
Petition for Annexation
� Supplem:ental Statement
PROPER7Y OWPiER {PER DEEbj: US H�pRY Homes ING
MAILtNG A[1DEtESS: �1905 Beicher Road. Larga, FL33771
C1TY fl�F CLEARWATER CASE
NUMBfR;
t%w�, � `' '
�inse�t names of all prope ers], having fiied a Petition for Annexation regarding the above properiy%case number,
grant conser►t, agree and acknowledge thaf the City of Clearwater may immedi�iely or at a iater time prvicess the appiica#ion
to campletion, including adoption and recardation af related Ordinances, withflut the necessity to further not"€ce me/us. This
Supplemental 5tatement shaH supersede any provision in any Agreement to A�nex execated by me/us or rnyJour
predecessors in interest.
IJwe further agr�ee and acknowtedgQ #hat fJwe shall nat rescind the Petition for Annexation or execute any docu►nents
a#tempting such rescission, and that any attempted rescission shall be of no force and effect.
STATE Ci� FL4�2}DA, �bUNTY OF PINELLAS
I{we}, Lhe undersigned, acknowledge that aB representations made in this applicatian are irue and accurake ta the best of rny
knowledge and authorize City representaiives to visit and Rhotograph the properiy described in this appJic�w�., —
Sworn ko and subscribed before me this , �� day of
�,. '` � ���``�' �,� `..; F �� . by
�
.� � � t`T ; � ,. � '�, °�'"" ��.� , who is persor�aFly known�has
I ..f"� �% � ~
, .l t C �( � r ; prt�duced �' , x.- � � �_ � �, � �,� �..,�� as identificatian.
v_ - ---------- �
Sin `� '�-
g f property owner individua or aut�orized
repres+entative of corporation, partnership or other
entity)
My commission expires:
Signature of to-property owner
,� ,�°'"
NQ'C:A�2Y PUBl.tG
STAT'� OF �Lt3it{G311
Comm# EE1094�6
EX�S 8i$/2ci1:�
Planning & ilevelopment �epartrnent,100 S. Myrtle Avenuc, +�learvvaier, FL 33756, iel: 727-562-d587; �'ax: 727-562-4$85
!'age 7 of 7 Revised 03t13
I#: 2012256737 BK: 17704 PG: 1125, 09/04/2012 at 04:38 PM, RECORDING 6 PAGES
$52.50 D DOC STAMP COLLECTION $0.70 KEN BURKE, CLERK OF COURT PINELLAS .
COUNTY, FL BY DEPUTY CLERK: CLKDMC4
`I'he area above this ]ine is for the i�se of the recording official
`Z'Iz9s instzument was prepazed by and rehun to:
SHAFIN AMIIV REMTULd_.A, FSQLIIItE
MORRLS�HARDWICK�,SCHNEIDER, LLC
5110 EISEI+THOWER BLVD
�iT1T'E�2Q
-`£ADv�P� FL;-33fr34
(813)319-1268
MHS# FL-97006233-1�
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""*"'*"�'�"'THi5 CORRECTTVE DEED IS BEING RECORDED TO CORRECf THE PLAT �PAGE RECUitDED IPi'
SPEC[AL WARRANTY DEED THAT WAS RECORDED IN OFFICIAL RECORDS BOOK �7S'$6, PAGE l'A'� IN THE
OFF'1CIAL REC4RDS OF PINEi.LAS COUPITX, FLORIDA"*'"+'"s •` ',
fSpace Above This Line Far Recording Data]
Corrective Special V��rra�ity,,�eed
,,
,; ��� _
This Special Warranty Deed made chis � day df' � , 20 1a between
CitiMortgage> Znc. whose post office address is 1000 �e�hnolo�;y Drive, O Fallon, MO 633fi8, Grantor,
and SECRETARY OF HOUSING AND�$AI� pEV�LOPMENT whose mailing address is
4400 Will i2ogers Pkwy, Suite 300, Oklahoma C`ity, OK'Z�108L�'irantee:
I I \ �
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(Whenever used herein the terrru Granlor and Giante� in��u�e all ihe ppit�{es lo ihis insR�ment and the heirs, legal representatives, and
assigns of individuak, and the successors and,assigns d�corpo�atians; tfasLs and trustees)
Witnesseth, that said Grantor�for,und in �,or�sideration of the sum TEN AND NO/100 DOLLARS
($10.00) and otfier good aar� v31uab1e'considerations to said Grantor in hand paid by said Grantee, the
receipt whereof is her�b� acknow�edged, has granted, bargained, and sold to the said Grantee, and
Grantee's heirs and ass;gns �rl,r�ver; thg. following described land, situate, lying and being in Pinetlas
County, Florida, to-wit: , � � �
IA'I'�9; �LOC���, �I3NSE'1' KNOLL, ACCORI7ING TO TfiE PLAT T�-IEREOF AS
RECQRDED IN, P,LA�' BOOK 24, PAGE 26, PUBLIC RECORDS OF PTNELLAS
� � CO�TY, FLO,K,IDA
.
_ Pa1rr� ID: 83�29-IS-87912-OO1-0090
�� Propeiry Address: 1203 SHERIDAN ROAD, CL.EARWA'�'BR, FT. 337SS
� �>
Tagether with all the tenemenis, hereditaments and appurtenances thereto belonging or in anywise
aPP,�ining.
i'o Have and to Hold, the same in fee simple fot'ever.
And the Grantor hereby covenants with said Grantee ihat the Grantor is lawfully seized of said land in fee
simple; that the Grantor has good right and lawfui authority to sell and convey said land; that the Grant�r
hereby fully warrants the title to said land and will defend the same against the lawful ciaims of all persons
claiming by, through or under Grantors.
'PINELLAS COUNTY FL OFF. REC. BK 17704 PG 1126
In Witlless Whereof, Grantor has hereunto set Grantor's hand and seal the day and year first above `, ��
written �
,:;-1���
Signed, seaied and delivered in ot�r�resence: - -'
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Witness Name: Vanessa Gharrt
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Witness Name: valarie Banks
State of ��
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BY. �-� �Y-- '�
ame: �8 �oc�►me►,Z cort� offvr�
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CitiMortgage> Inc. � � `. � �
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ST. c�iAR� , ,' _
County of � �
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T e forego' g instrument was aclmowd"edgeil be�oie��7ne this Z� day o#
201Z� b � � for C�ti�lortgage.lnc.
who is Datiment Cmtr� O�icer of t�e,cor�oration. [ is personally known to me or [] has
produced a dziver's license as identif�ca�ioir., �� _-
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[Notary Seal) Notary Public
Printed Name: KeEly f3sle
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My Commission Expires: Z —Z�"— � (p
KELLY BALE .
Nc��ry Public - Nota� SeM.
State of Miasouri
St. Charles CouMy
Corrxnissian �1230A�t�•
N!y Commissio� Expires Fel�uary 2a. 20E6 :
PINELLA.S COUNTY FL OFF. REC. BK 17704 PG 1127
Atfidavit
The undersigned, upon being du3y sworn, under oath, states as fottaws:
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pavid Burne#te, AVP � �
i. Tha[ my nante is _, and T am an Assistartt Vice President of
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3. That, by vinue of the Unanimous loint Consent of the Execuiive Committee of;tl�e Board �� ��
oF Directors of CitiNlortgage, Inc. dated September ]�, 201Q a copy of which is �hel��heretc�; :;
aryd incorporated herein by this reference (hereinafter "Unanirnous Joint Consehj� rC�rtain �;�-', ��
�mployees of the 17ef�uh Document Execution Department, kno�vn as Docurt�e�t Coniro�- `�
Officers, are authorized to execute, acknowledge and deliver certain documed�s`�s listed i,h�,'1he
L3nanimous Joint Consent. � ` � �
4. That, a., of the date of this Affidavit, Document Control �Officers of the Default
Document Execution Departtnent af CitiMortguge, Inc_ includes, �iit.are not lijnited to, the
f�llawing perscros �u[horized to execute documents pursua� to the [�napimou��Joint Consent:
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• Pam Molloy . T � � � '
Teri rulf ,. ', � iC5}emola Adeyemo
• Uawn Kuhn +AngeIa Dobriek �� �� �' �� • Vanessa Ghant
• Da�� Mesey • Valerie QaRi�s, ' ����� • Rhonda Serblinger
• Mike 12oci:amore • CheryF Elzle`y' '� `-' • Don Semon
• Todd Keller • Wiltiam Huighe ��� ��� • Jessica 6aton
. Veronica Y Crigler • Jt>sepl� Juengst �� • JuJie Leise
• ICe11y Bale ,�Jvrli�a Sooth- -','� • Diane Campbell
• Robert A Raymer Jr ��► l.eGrr�n7ie Huddleston • Kaci Hale
• Gina Fister � 1�:ithan�I�rpeger • He�thec Palmisano
• Pam Hubbcll "rDamien Glenn
Funher Affiant SAyet� I�i�ug}ij: ' � '
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��$iaie o�'Missouri )
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Coc3i�ty of ST.CNARI£S )
�. .���!l.Il�i�I �
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Asst. Vice Fresident
Defa�tt Document E cution Bepart ent
•�::�a^3 ��',C1G� �
� Astiistant Secretflry
StlSAN VNa0i3
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__-� On this � day c,f �1 , 20 E�� , before me, the unders':gne.d notary pttblic,
personally appeared . David 9utt�s�� ��—. gU�,�,AI y!lOOp known to me �� be the
person whose name is snbscribed to tl�e within instrument �rid acknow[edged that he execute;d the
same far [he ptirpos�s therein cantained. ln �;�iiness whereof, I h�reunto seE n�y h�nd and officia!
seal. � � �1
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il�1y Con��i�ission Erptr2s: ��„� 1 �+.x �'4� � ,`. '.. _ �. � CA�iOV�IE Mc�ANtELS
Notary Pnhlic Natary Pubiic - P�otsry Se�1
S
#ate of M�soun
St. Charles f:o�nty
C�nlssion .# t fl948320
hfij Ccmmiuion E�G'rces �arrh 15, 2C14
'PINELLAS COUNTY FL OFF. REC. BK 17704 PG 1128
UNANIMOUS JOINT CONSENT OF THE EXECUTNE CONIlv1ITTEE
nF THE BOARD OF DiR�CTORS OF
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Septembe�r 15, 2010 ' ' ,
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By unanimous action the Executive Committee of the Boar(i �of Directors of
CitiMortgage, Inc. (the "Corporation") hereby consents to the actions set, forth he��}n and
aclopts the following resoIutions, all in lieu of a meeting of the Executive Comu�iRCe�e:'
;'.
WHEREAS it is desirable and necessary frorr�lime to tinqe fog,tfte Board
to authorize variaus departments and individi�a'�s1�a�cing�su�%�i�visory and
management resgonsibilities over the CorporaEtor��s� xea�; estate lending
aciivifies to have signature autharity `retating`�te' deeds, transfers and
i•eleases of interests in liened propexty�;,� �, �,
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NOW T�IEREFORE, BE I�'', RESOr,V,'E13, That the corporate
emp�oyees designated as 'tJocur3ie�t Coritrol Officers of the Default
Document Execution D�partm.�htt i�hQS��iesponsibilities over corporale
real estate loan operatipns a�-e dirl�'supervised and managed, be, and they
hereby are authorixeY� i�q �x��ute, ack'nowledge and deliver, subordination
agreements, foi`ecfosufe 'deeds, mortgages, assignments of morfgage,
quitciaim dee�ds; su�rrstituth�zts of tnistee, lien re�eases, affidavits and any
and ali necessarqddcuments for the prosecution of a foreclosure action or
the tra�s�ex o� re�l �state in the name of and on behalf of the Coiporation.
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PINELLAS COUNTY FL OFF. REC. BK 17704 PG 1129
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The undersigned, being the remaining members of the Executive Committee of the .' - �,�,
Board of Directors of CitiMortgage, Inc., hereby consent in writing to the above actions an�Y ,' � ;% `
do hereby approve the same.
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Sanjiv Das `' � ' � - -
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'PINELLAS COUNTY FL OFF. REC. BK 17704 PG 1130
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The undersigned, being the remaining members of the Executive Committee of tre,�;--��� '.�>
Board of Directors of CitiMortgage, Inc., hereby consent in writing to the above actions a� ;� ,%,�
.siohere�h�r.ap�rQV.�the_.same, ', �.,','
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_._._ .`, � r �.._F_.; ......... z; UPdated: 1CV152014
-°- ;l � D NE 1/4 of 3-29-15
ss,n 251 B
Property Appraiser General Information
Page 1 of 5 '
Interactive '�1ap of this plrcel Sales Ouerv Back to Ouery Results New� Search Taa� Collector Home Paee Contact Us WM
03-29-15-87912-001-0090
Compact Propertv Record Card
Portabilitv Data Current as of Email PrintRadius
CaIculator November Ol, 2014 Search
Ownershi /Mailin Address Site Address (First Buildin�)
1203 SHERIDAN RD
U S HAPPY HOMES INC Unincor orated
2190 S BELCHER R.D
LARGO FL 33771-4020 Jum� to building:
r(1) 1203 SHERIDAN RD u�
Property t.ise: 0810 (Single Family - more than one house per parcel)
[click here to hide] Legal Description
SUNSET KNOLL BLK l, LOT 9
:1�iort,s,age Letter � File fc�r Homestead
nprovement Va]t
per I'.S. 553.844
2015 Parcel Use
Living Units:
2
� 2014 �� 2015 �
No �[— No—� omestead Use Percentage: 0.00%
No No on-Homestead Use Percentage: 100.00%
� No No lassified Agricultural: No
No No
Parcel Information 2014 Notice of Pronosed Pronert� Taxes (TRI�'I Noticei
2014 Interim Value Information
Sc:hoc�l
Just/Nlarket ,4ssessed Value/ Co��lity I�-1t�nicipal
Year Value SOH Cap 1'axahle Value I�aaable �f•axable Value
Value
2014 $48,311 $48,311 $48,311 $48,311 $48,311
[click here to hide] Value History as Certified (yellow indicates correction on file)
Assessed SchoUl
Homestead J�ist/Niarket Countv Munici . a(
Year �xemptic�n �,r���� Value! Taxable Value Taxable -1,a.Y�ble Value
SOH Caa Val�ie
http://pcpao.org/general.php?strap=152903879120010090 I 1 /4/2014
' Property Appraiser General Information
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
No
No
No
No
No
No
No
No
No
No
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
$46,126
$42,770
$63,979
$72,910
$94,763
$111,900
$138,700
$125,700
$98,400
$91,000
$75,900
$68,100
$58,300
$48,600
$46,400
$44,000
$42,200
$42,600
$46,126
$42,770
$63,979
$72,910
$94,763
$111,900
$138,700
$125,700
$98,400
$91,000
$47,700
$46,600
$45,900
$44,600
$43,500
$42,900
$42,204
$42,600
2014 Tax Information
Click Here for 20l 4 Tax Bill Tax District:
Tax Collector Mails 2014 Tan Bills October 31 CTF
2014 Final Millage Rate 21.8998
2014 Est Taxes w/o Cap or $1,058.00
Exemptions
A significant change in taxable value may occur
when sold due to changes in the market or the
removal of exemptions. Click here for more
Seawall: No
Land tise
Multi-Fam <10 Units
(08)
$46,126
$42,774
$63,979
$72,9I0
$94,763
$111,900
$138,700
$125,700
$98,400
$91,000
$22,700
$21,600
$20,900
$19,600
$18,500
$17,900
$17,200
$42,600
$46,126
$42,770
$63,979
$72,910
$94,763
$111,900
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Page 2 of 5
$46,126
$42,770
$63,979
$72,910
$94,763'
$111,900'
$138,700'
$125,700''
$98,400',
$91,000',
$22,700'
$21,600''
$20,900
$19,600
$18,500
$17,900
$17,200
$42,600
Ranked Sales �wna� a� �nk�a s:,ies�� See all
transactions
Sale Date Book/Page Price � ti/I
06 Dec
2011
01 Apr
2003
03 Sep
1996
19 Jan
1988
17440 / 0630 � $35,500 U I
12637 / 2223 � $89,000 Q
09451 / 0435 � $52,000 Q
06664 / 0936 t�+ $54,000 Q
I
I
05808 / 1323 +�S► $37,000 Q
04100 / 1 120 �9 $19,900 Q
2014 Land Information
Frontage: None View:
Land Unit Total ,adiusted Me#hod
Size Va}ue Units A�iustments Value
63x112 215.00 63.0000 0.9120 $12,353 FF
[click here to hide] 2015 Building 1 Structural Elements Back to Ton
Site Address: 1203 SHERIDAN RD
http://pcpao.org/general.php?strap=152903879120010090 11 /4/2014
Property Appraiser General Information Page 3 of 5 '
Quality:
Average
Square
Footage:
1047.00
Foundation:
Continuous
Footing
Floor System:
Slab On Grade
Exterior Wall:
Cb Stucco/Cb
Reclad
Roof Frame:
Gable Or Hip
Roof Cover:
Shingle
Composition
Stories: 1
Living units: 1
Floor Finish:
Carpet/
Vinyl/Asphalt
Interior Finish:
Drywall/Plaster
Fixtures: 3
Year Built:
1950
Effective Age:
51
Heating:
Central Duct
Cooling:
Cooling
(Central)
Description
Screen I'orch Unfnished
Open Porch
Base
Building 1 Sub Area Information
Livi�i� Area Ftz Gross Area Ft2
0 I50
0 30
867 867
Total Living SF: 867 Total Gross SF: 1,047
Comn�
Proner
Recorc
Card
Factor Effective :
0.20
0.20
1.00 F
Total Effective SF: 9
[click here to hidej 2015 Building 2 Structural Elements Back to Ton
Site Address: 1203'/� SHERIDAN RD
http://pcpao.org/general.php?strap=152903 879120010090 11 /4/2014
' Property Appraiser General Information Page 4 of 5
Quality: Fair
Square Footage: 286.00
Foundation: Continuous
Footing
Floor System: Slab On
Grade
Exterior Wall: Cb
Stucco/Cb Reclad
Roof Frame: Gable Or
Hip
Roof Cover: Shingle
Composition
Stories: 1
Living units: 1
Floor Finish:
CarpeUHardtile/Hardwood
Interior Finish:
Drywall/Plaster
Fixtures: 3
Year Built: 1950
Effective Age: 51
Heating:
Unit/Space/Wal l/Floor
Cooling: None
Building 2 Sub Area Information
Description Living Area Ft'" Gross Area Ft� Factor Effective Ft`
Base 286 286 1.00 286
Total Living SF: 286 Total Gross SF: 286 Total Effective SF: 286
[click here to hide] 2015 Extra Features
Description Value/Unit Units Total Value as New Depreciated Value Year
No Extra Features on Record
here to hidel Permit Data
Permit information is received from the County and Cities. This data may be incomplete and may exclude pertnits that do not result in
field reviews (for example for water heater replacement pertnits). Any questions regarding permits should be directed to the permitting
office in which the structure is located.
Permit Number
CW 13-07724
'�'
�scription �� Issue Date �( Estimated Value
ROOF 21 Aue 2013 $
http://pcpao. org/general.php?strap=152903 879120010090
11/4/2014
Property Appraiser General Information Page 5 of 5
http:/lpcpao.org/general.php?strap=152903879120010090 11 /4/2014
Pinellas County Public GIS Viewer
Property Report: 0 Close Window
i203 SHERIDAN RD
03/29/15/87912/001/0090
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Page 1 of 1
' Pro�ertv Ao�raiser Tax Colledor '
' General
Municipality: UNINCORPORATED ,
Subdivison: SUNSET KNOLL
' Tax District: CTF
' Census Block: 1033
' Census Tract: 026300
' Zipcode: 33755
' Acreage: .164 '
' Zonin and Land Use
' Land Use
RU. Residential Urban '
Zoning Acreage '
R-4, One, Two, and Three Familv Residential .164 '
Public Safe
' Fire District: 05 - Clearwater '
' Evacuation Level: E '
' Political
Voter Precind: 528
At-Large District: District 2 ',
Norm Roche
' Single Member District: District 5 '
Karen Williams Seel
Environmental
within 330R. of Eagles Nest: No
within 660ft. of Eagles Nest: No
Rec clin b Ci
Curbside: nuU
Dropoff: nuU
Pickup: null
http://gis.pinellascounty.org/public_gis/web/parcel_report2.cfm?TYPE=ADDRESS&STN... 1 l /4/2014
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1203 Sheridan Raad Future Land Use
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Piannit�g & Uevelopment Department
Petition for Annexation
Ai.l. ARPLIGATICiNS AR� TO BE €IlLEO flUT COMtPLETEIY AND CORRECTLY, AND SiIBMITTED IN P�RSC)N (NO FAX OR
DEUVERIESj Tt1 TNE PIANNlMG $ QE1/ELUPMENT t?EPAR7M�{YT BY Nt30�V t3►N THE SCHEdULED DEAtiLINE t3ATE.
A TOTAI. QF 14 CONCPLETE SETS OE RPPU�ATION AND SUPPLEMENTAL MATERIALi �1. ORI�tNAI At�#D 13 CORtES} AS
RERUiREQ WlTHIN �4Rf Ta BE Sl1BM1`�TED f�R RE1/IEW BY Tti'E DEUELOPIwAENT REVIEW COMMCTT�E. APPLICA7'IdNS
AMD SUPPLEMENTAL MA'fEltiAtS' ARE REQUIRED TO BE Ci31.CATED AND S7APlED INTC1 SETS.
I7' IS INCUMBENT UPON T'HE APPLICIi►NT TO SUBMlT COMPLETE AND CORRECT INFORMA7fON. APIY MISLEADING,
DECEPTIVE, {NCtyMPLE'TE 4Fi IN�(3RRECi lNFORMIATION N1A'Y INYAUDA'fF YOtIR APPUCATION.
Ttt€ APPUGANT, BY FtllNG "�115 APPUCATtOM, AGREES 70 COMPLY WITH AlL APPUCABLE REQUIREMENTS OF THE
Gt3MMUNtTY OE{lEL�PNVI�MT CODE.
APPLlCATI(iN FEE:
IMPACT FEE/ASSESStVI�NT FEE:
Pit�FER1Y OWNER (PER DEEDj:
MAIUNG AL7�RESS:
PHQNE NUMBER:
� �
$0
TBD Information on lmpaet Fees arRssessment Fees is availabJe from
the City c�f +Clearw�ter Enginesring Departmenf (5&2-47471-
SFRH Tampa Notding LP
2190 S Belcher Road, Ste B Largo FL 33771-4€�20
532-3020
EMAtL: �'CYir'1 � � l� f�t:� �' .+' „� �;�t"� �'�`" ' �,�=, �,....� �Y'Y�
MAll1NG ADORESS:
RNQNE NUMBER;
EMAIL:
AQDRESS �F 5UBIECT �250 Sedeeva Circle N, Gtearwater FL 33755
PR�PERTY:
PARCEL �lUI�+IBER(5y: C13-29�-15-28098-000-OSOQ
LEGAL DES�RIPTION: ��a►adel Subdivis➢on tots 10 and il
CU�tRENT CITYSEftVlCES:
R€'+4UESTEDCfiI'YSER1fiiCES: x
(select vl! that app1Y)
SANlTARY SEWER
SAtVITARY SEWER
saud wASrE
X sauo u�+asr�
WATE#2
Planning & Deratopment Ciapartment, 9U4 S. btyrtte Awrt�nuc, Cloaruvatarr, FL 3375�'r, To{: T2'7-662 •4667; Fax: T27.562-d8&b
Page 1 of 7 i2evised 03113
LL
o Pianning & D►evelopment Department
} �� � +��� Petitian for A�nexatian
�
° Data Sheet
PLEASE ENSURE THAT THE FOt10iN1N+G iMWRMATl4N 1S FILLEI3 OU% iN lTS ENTIRETY. �AILURE TQ COMPCETE 'THIS
Fl"�RM WILL RESUt7 !N Y{}llit AFPLICAT104V BE11V+G Ft?UhID 1NGCiMPLETE AlYd P4SSIBL'Y DEFERRED UNTIL'THE FC?LLOWING
APPl.tGAT10I�i CYCl.E.
FUTI}RE LAN[? USE PLAN UEStGNATtQ�N
PR�SENT (CCIUIV7Yj: Residential Urban (RU)
REQUESTED (CITYJ; Residential Urhan (RU)
Z�NlNC �ISTRICT
t'RESENT (COUN"CY}; R-4, (3ne, Two, and Three Family Residential
REQUESTED ��iTYj: Low Mediurn Density ResidenCial (LMDRj
S1TE AR�k: b.294
stz� o� a�v€�a�+n��rr ;
Existing: �
Prop�d: �
(e_g., �umber of units, hotel rnomsor
non- resrdentiol square jrrotage)
aeres
U5E O� PROPE�tTY;
Exisiing{currentiy on sitej: Single Family
Proposed (new use, if any;
plus existin� if to remain): 5ingle Family
If residen�ial use, is unit(s)
yes
s�ental?
STATE OF �kARiDA, +CDUNTY OF PINELLR5
I{wej, the undersigned, acknowledge that aft representations made in this apptication are #rue and accurate #o #he 6est of my
knowledge and auihc�rize City r�pcese�tatives to visit and photograph �he property described fn this application.
Sworn to and subsc�ibed before me this ���'� ��"� day of
�
�`° �?�.�..�,. `_ �
�" W �� �,..�,��`' � . �y
�--.�.�w �
�� �� � z: � -.��� �� . � �, wh� is personalfy �nowr�%i�as
����"`�,, °���,.� ,produ�ed �:"~��:� • � �-�, f . � asider►tifcation.
owneror representative
Signature of property owner or representative
Notary pubf'rc; � ;A
� � � �'
My commissian expires ��"� p4 m� � t},
r.ar . _ �cA"Ti-iEfilN� T�PITI�i�`
57,�'i1 C,� FLORlC3n
4:;c+tntn# �E90F94t�5
��tpir�s �#9f��'! �
�la»ning 8. �#vmlopmen# D�p,aeKrr+e�st, 1Q0 S. Myr�Is Avenua, Clsarwatar, FL 33756, To1: 727-562-d5&T; Fnx: T27-56?-4863
page 2 at 7 Reuised 03/43
�
� ' ' �����
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Planning & Development Department
Petition for Annexation
U Submittal Facl�age Instructions & Chec�lis�
1N ADDITIt)N TO THE CCIMPLET'ED AMNEXA"TlQN PETITIOIV FORlltl, ALL PETITION FtaR AI+iMEXATIQN PP�CKAGES SifALI
iWGLtIDE A SUBMfTT�A:t PACIGAGE TFIAT iNCLUDES iHE WLlOW{�IG.
C7 Signed and sworn (notarized) diselosure of interest stateme�nt (form attached).
D tf the riroperty is not a platted !o# of record, a current survey ider�tifying titE dimensions, area and lotation of the
property haaing been prepared, si�ned and seated by a land sunreyor turrentiy regisiered in the State of Florida within
the mcrst recent 12 months. jNate: Submit two copies nnlyJ
❑ If development is to be initia#ed �rior tc� submissinn of an annexation petition �nd/or prior to the effectiae date of the
an�exation, requisite site plan�, plat, and engineering plans.
O Terms of a proposed Agreernent to ;Annex, if any.
i.] lf tt�e praposed annexation requires a�hange in the land use ciassificatian and zoning category assi�ned t� tfie
prQperty, a ju�tifieation for s�ch change must be submitted in writin�. if t�e requested zaning is n�t consistent with khe
Fu#u�e Land Use Map of the City of Clearvvater Comprehensive Ptan, the appiicant wil! be required ta file a companion
applitation to amend the rnap.
0 Proof nf ownership (e�g., topy of deed, titl� insurance policy, +�r o#her instrument demonstrating own�rship). [Note:
Submit two copies anty]
O If connection to city services is desired prior to the effective date of the annexation, appticant must provide noiarized
Pefi#ionfor An»exation Supplemental Statemer�t (form attachedj. [NOte: Submit original onty]
a{f appticant is designating an agen�tfrepresentative to work with City, appl'scant must provide r�otarized A#fidavit to
Autharize Agent/Representative �form attachedj. [Note: Submit originrri only]
fNft)RMATION itEQUIREi3 TO C011APLETE 7HE PE7iTI�N FQR ANMEXATiO�N aPPUGAI'ION ANQ DATA SHEET CAN BE
�I�UNO t3N 'CHE FQLLOWING t�OCUMENTS AND/dR 13NUNE AT 7liE F4LLOUfiiING 1NE8SITE5. FF THE APPLICAM7 t5
UI+iG�RiAIIN WHERE TO �.00ATE THtS iNFORMATIC?N OR NEEDS ADDITtONAL ASSI5TANCE, PLEASE CONTACT Ti1E
PtANNING AtVD QEYELOPMENT DEPARTMENT, IONG RANGE PLAN1111NG DNt�ION Ai 727-552-4567.
i� PARtEL NUMBER {Parcel 1.D. Nurrtber) can be found on the Warranty Deed. It can also be found by searehing the
Pinellas Cflunty Proper[y Appraiser's Office website at www.�cpao org (search database by add�ess�.
❑ LEGAL t�ESCRIF'TIf3N can be found on the Wa�ranty Deed. ft can also be found by viewing the property record vnline at
the Rinellas County Property Appraisers Office website at www.pcpa�o.or�.
❑ FUTURE LAND USE PLAN DESIGNATION (COUN7Y} ean be fauad by viewing a Property Report using Pinellas County's
Public GtS Viewer available online at hti�.(J�s,pinettas�c�unty.ar�pubiic �i,J. Search by property address or Parce{ I:D.
Number and report wiN appear.
❑ FUTIiRE LAPfD USE PLAN DESIGMATtON tCITYj is typically the same as the (and use desigrtation in Pinellas County, untess
applicant is proposing a change {see submittal package requirements #or more informationj.
C� Z�NING DtSTRiCT (COUNTYj can be found by viewing a Property Report using Pineltas County's Aublit GIS Viewer
available online at http://�is.�inellasc�untv.c�r�lqt��iic �is/.
q Z��ViMG DISTRICi (CiTY) can be found by contacting the Planning and Developrnent Department or vlewing the Gity's
Zoning Atlas, availabte oniine �t
htt :�avavw,rt� cfear��vater.com c�v de ts wa en in ubiications en �tl�s ai�as.�s ,
C3 SITE AREA (ACRES) can be found by viewing a Property Repart using Pinellas Gounty's Pub{ic GIS'Viewer avai[abfe online
att�...tt�:�l.+�. an�ll�scr��n#y.ar� puE�fic. �i>s.
iaianning &[3avaiopmant Dapartment, 1Ub S. Myr#Ip Aventre, Glearuvater, FL.. 33756, Te1- 727-5f2-b567; Fax: i27-�&2-d865
Page 3 of 7 Revised 03113
� ' N ������
� _ .
�
ATfENt3ANCE AT PI�BLIC FtEARfN+GS
Planning & Developrnent Department
Petition for Annexation
�nforma�ion �vr Applic�►nts
The appticant or applicant's representat:�ve is encouraged to attend Ci#y Countil public hearings unless #h� annexation
pertains to a prQperty developed or to be developed with one singie family dweiting.
STANDARDS FUR AN'NEXATiOrV
tn determining v�rhether to annex a properry, ihe City sha41 consider the e�ctent ta which;
0 The proposed annexa#ion wrifit impact public services (e.g., water, sewer, police, park:s, etc.}.
0 TMe prop�sed annexation is cor►sistent with thr City of Clearwater Gamprehensit�ec Plan.
0 The propased annexation requi�'es a change in the future land use and zoning classificatians assigned to the
property as wei! as the jurisdiction fior said change.
D Existing or proposed developmeni � consistent with City regulations,
❑ Terms of a proposed Annexation Agreement, 'rF any, promotes the City of Clearwater Comprehensive Plan.
PROPERTY OWNER AGREEMENT
Please be advised that, in �onsideration of the arrnexation, the property owners do hereby agree tha#:
❑ A!t stru3ctures atad impravements which are erected upon said praperty subsequent to the date of this pe#ition for
annexation shall com�ly with al) applicable City of Clearwater regulations a�rl ordinances as set for#h in the Gty
Cade of drdinar�ces;
C! All residential rental units, including single-farnily residences must compiy with the requirements in the city's
residential rentai ordinance, which requires the property owner to �btain a Busir�ess Tax Receipt upan annexation
intv the city,
D If development ts to be initiated priar to subrnission of an annexation peti#ion and,(or prior �o the effective date af
the annexation, reqaisite site pfans, pla�, and engineering plans shail be submitted ia ensure comp{iance with the
city's Cammunity Deuelopment Co�Je (see Submittal Paekage tnstru�tions Checkiist). !t is recommended that the
applicant m�eet wittr Planning and Devefopment Departmentstaff tu review ptans andJar discuss the appticable city
re�ulations;
❑ All annexations af r�sidential dweitings af eight dwelling units or more shalM con�ey such recreation #acilities fees
and recreation land dedication and/or fees in the amount and manner prescribed by Chapter 54, Ar[icle II of
Ctearwa#er Code of' Urdinances; and
0 When any substar�dard abutting street or utilities are subsequentfy upgraded by #he City to me�t City 5tandards,
said improw�ement(sj wi11 kae done on an assessmeni basis, consistent with Gi#y proced4�res #herefore.
�ianning & i�evaiapment �epartment. 1p0 S. Myrtle Avenire, C1f±arwater, FL 33756, Te1° i27-�a62-t15B7; Fax� T27-562-di16.s,
Page 4�pf T Revised 03/'[3
�
� ����
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Planning & Deuel�pment Department
P�#ition for Annexatian
�isclosure Statement
PROPERTY OWN�R {PEtt DEEUj: SFRH Tampa Holding LP
iNA,ILING AbCfRESS: 219U S Belcher Road, Ste B Largo FL 33771
PHON� NUMB�R;
EMAIL:
MAILING ADDRESS:
�MONE Nt1MBER:
EMAlL:
IUANf E:
IIVTEREST IS:
SPE�EFIC 1111T�FtF:ST4�FLD�
�� J� �C3�`t`� ��i" � ��',�l�'�� �t1�3�?�i` P�ttt��'i�
CC3NTRACT I5;
?ARTIES tNV'QLVED — NAME:
NAME:
A��'i���R� AI�Y �€?N� Tt� �l�i��J��'�� 5�l��' PF{C�R��
PAR7iE51NVOLVED— NAME:
NAME:
3 , �� ��e � �s
PA�KTiE51NV0LVEE3 — NAME:
NAME:
_ YES � NO
PHONE NUMBER:
PHONE NUtti�tBER:
YES '�,�! NO
PHQNE NUMBER;
PH(3NE NUMBER.
YE5
PHONE NUMBER:
PNOiVE NUMBER:
�� N�
5T+ATE {Jf FLORIDA, COUNTY OF PiNELLAS
1 twe}, Ehe undersigned, acknowledge that atl representations made in this applieation are t�ae and aceurate to ihe best ofi my
knowledge and a�thorize [ity representatives ta visit and photvgraph ihe property described in this appl��ca�,t'e��.� ,. ,�
Swnrn,to and subscribed before me this ., day of
...� ..
� � . `k ._ .. .
�,�.'° k �
� _ ti �,�_��.�,.�,,�� �� �. � by
_.. � �' �:���-� � -��:' � �,'�. �� _, who is personaiiy knownJhas
Signature �f"�ro�rty awner or cepresentative
Signature of propeRy awr�er or representati✓e
Planning 8, E1ev+�iapment D�paetmux�t, i40 5�.
Pdg@ 5 Uf 7
�_����;' as identificaiion.
:�. , . _ `,,
Not�ry public,
My commissian expires:
�toT�RY Pl3�,iG
6'��G�it+i�t,�B1�75f, 7�t; 72Z-562.AaS7; Fax: 727-56�-4865
�nr�# �E1 p�Ar� Rev3sed 03t� 3
�x�ires �f9!7�C31 ti
' i �� } .
� �
Flanning & Develc�prnent DeparCment
Fe�itian for Ann�xation
� T� A�ffidavit ta Author%ze Agent f Representat�ve
1. Provide names of all property owrters on deed - PRtNT full na mes:
SFRH Tampa Hotding l,P
2. That t! am/we are) the owner(s) and record titie holder(s) af the fotlowing described prpperty:
1260 Sedeeva Circle N, Ciearwater �L 33755
3. That this property constitutes the property fior uvhich a request for (describe request):
Annexation in arder to receive solid waste and sanitary service
4. �'��°�t.�+� �n�+����r��c� ���}ha�r�� �p�i3n�ed. �ncf �c�c�es/d�� a�i����t.
as (hisJiheir) agent{s) to execute any petitions or other documents necessary Lo affect such petition;
5. Tl�at this affidavit has been executed to induce the City of Clearwater, Florida ta consider and aat an the abave
described property;
6. That site v�sits to the property are necessary by Gity represeniatives in arder to pracess this appiication and the
owner authorizes Gty representaiives to visit anr! photograph the property� d�scribed in this application;
7. 'ii��� �i��}g �e',ur�d�rsi�r���} �c����ari�� �t�r�by ��rti#'yt#��t".th� fnr���ir�g'� �ru�=�r�d +�c��r��t:
. F . . . ���,.. . ..
E Praperty Owner Properiy Owner
Property Owner
STATE C)F FLaRI�d, CUilN7Y �F PINEtLAS
Property (3wner
BEFORE ME TNE tfIVDERSIGNED, AIU OFFICER DULY COMMISSIONED BY TH£ LAWS OF THE STATE OF FLORtDA, ON
_.~� . . w
THIS ---.,,cl ����� DAY OF � ��-� ���� • `'-- " -y ��`��� . PERSt?NALLY APPEARED
r - �
� sa�'� c a� � ..�
WNO HAVING BEEN FtRSi DULY SWORN
DEPOSED AIVD SAYS T#iA'F kiF»�/5HE FULtY UNDERSTAN DS THE CONTENTS dF THE l���Ii7AV11"iHA7 tiE/SFiE SIGNED.
�A"�IiEFiiN� "i I[D4i'tt+1t? g ,: . -`. � °,"'
._ u.
NfJTARY PUBLIC � �'``��, ���� "�-�.�°� �. . �
STATiE OF Ft,�OR1DA ' � Notary Puf�lic 5ignature° _._
, . Comm# E�ti?94(�6
Notary Seal/Starnp� ��� ��� �` My Cammission Expires: �` ���°',�,�` � �,
�
Planning &�evetoprnent Dapartment, i�t3 S. �+iyrtte Auerrue, Ctea�water, �L 337'S5, Te3� 727-562-d�S7; �ax: 737-�5�-4865
Page 6 of 7 i2evised 03l13
LL
0 � �.. � ����
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Planning & Developrnent Department
Petitic��n for Annexation
� 5upp�ementa� Sta�eme�t
PROPER7Y OWNER (PER DEED�:, S�RN Tampa Holding LP
MAiLING ADDRE55: 2190 5 Belcher Road, Ste S l�rgo, FL 33772
�ITY OF tIEARWATER G45E
NUNIBf R:
t/�ue1: : � �,
[insert names o� aq properry owne j, having filed a P ion for Annexation regarding the above prop�erty/case number,
grani consent, agree and acknawledge that fhe City of Ciearwater may fmmediately or at a later time process the application
ta camplefion, including adoption and recordation of retated Urdinances, without the necessity to further notice me/us. T'his
Supplemental Statement.shall supersede arfy provisian in any Agreerneni to Annex executed by me/us or rny/our
predecessors 'sn interest.
l%we further agree and ackn�wledg� ihat I/wQ shall not rescind the Petitian for Annexat'rpn or execute any documents
attempting such rescission, and that any at#empted rescissian shall be of no force and effect.
STATE C►F FiORtbA, COUNTY CIF PINE1.tAS
I�wej, the undersigned, acknowledge that ail representations made in this application are tru+e and accura3e to the best of my
knowledge and authorize City repre52ntatives to visit and photograph the property deseribed in this appl�i t� ���
Sworr�to and subscr�ibed before me this . day a#
t " �
,.��' by
_ __
� � ... `� `
� �r����_ ��` �..� � "-�-��,� � �� ' , who is personally knowr�,{has
,,._.__,� . ��...,.,. _
�..'~ � �� -� producec�'� �� � ��"° ��� � �' �", as identifcation.
Signate�re of �ro�erty owner (individuat or authorized
repres�ntativ� oi corporation, parinership or other
e�►tity)
Signature of co-property owner
My commissian expires:
STATE t7�F �l.i_'fR:t�.<
{:ORSR1� �E 11�i�ti
Expires 8!#l1;Lt�is
�
Pianning �& Davaiopmcnt DeparlmenY, ipQ S. A�4yr#Ig Avanase, Clsarwatsr, FL 33T56, T�ii: 727-582-A567; Fax: 727-�fi2-4865
Page 7 of 7 Revised 03/'!3
I#: 2014188518 BK: 18452 PG: 1545, 07/02/2014 at 12:46 PM, RECORDING 1 PAGES
$10.00 KEN BURKE, CLERK OF COURT AND COMPTROLLER PINELLAS COUNTY, FL BY
DEPUTY CI.ERK: CLKDUI4
Preparod By and Retum To:
Fidelity National T�le of Florida, Inc.
28059 US Hghway 19 North, Ste. 100
Clearwater, FL 33761
Ffb No. FTOS-FTPA14021783
PropeRy Approfser'a Parcel I.D. (folio) Numbeha)
U3129l15/28098l000/01 QO
WARRANTY DEED
THIS WARRANTY DEED dated June 12, 2014, by SFRH SF Re�tal, LP, a Delaware IlmNed partnership,
hereinafter caUed the granta, to SFRH Tampa Hoiding LP, a Delaware limited partnership, whose post office
address is 2190 Belcher Rd S Suke B, Largo, Fi 33771, hereinafter called the grantee:
(W herever used herein the terms "grentor" and 'grantee" include all the parties to this inshurtrent
and the heirs, legal representaWes and assigns of individuals, and the successors and assk�ns ot
corporations)
WITNESSETH: Thai the granta, tor and in consideration of the sum of 510.00 and other valuabie consideration,
receipt whereot is hereby acknowledged, hereby grants. bargains. sells, aliens. remisas. releases. corneys. and
confirms unto U�e grantee, all the certain land siluated in Pinellas County, Fbrida, to wit:
.'
� ,'
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Lot t0 a�d 11, Fbradel Sub-Divisbn, according to the map or p�t theraof, as recorded in Plat BQdk 15, Page(s)
7, d the Public Records of Pineilas County, Florida.
Deed of Cornenience, no consideration is due ��
��
Subject to easements, restrictions, reservations and ifmitations of record, if any. `� �� -�� ,
TOGETFtER with ail the tenements, hereditaments and appurtenances thereto bebnging dl In arfy, wlsa ,;
appeAaining. �
TO HAVE AND TO HOLD the same in Fee Simple torever. __ �� ��
AND the grantor hereby covenaMs with said grantee that the grantor is� t8w�fallq seized�of said �ajid in fee simple;
that the grantor has good right and lawful authority to seN and convey s�d land: that �e jrai�or hereby fuly
waRants the tiUe to said land �d will defend the same against the IaWhN daims of all persoiu whomscever, and
that said land is free of all encumbrances, except taxes accruing subs�ql�eM to Dec�mper 31, 2013.
IN WITNESS WHEREOF, the safd grantor has signed and �eafetiibes�,presants thgflay and year rirst above
writt ' - � .
Sig , e and live in the presence oi:
.�
� S�RH SF Rental, LP, a Delaware limited
Sig r `��P'd4�ershiP
��'� i� 1►i!✓)S ` ��.�R� SF Ren � yP,�tsLC ral Partner
(P ' t Name of Witness) _ _
��. � dam Le n. Vice President
itness Signa e) , , � �� "
� � ' � Address:
�p���y � t�� .��� '� 5300 NW 12th Ave Ste 1
(Print Name of itnessf ,� __ Ft Lauderdale, FL 33306
Slate of of �-�-o `x(qt r
County oi �g;IL � ' _
The foregoingvnSt�ument�as acknowledged betore me this � day of� , 2014, by Adam Levfnson, as
Y�ce,President of�S`FRii SF�Rental GP, LLC, a Delaware limited Gability comp6ny as the sole generai partner ot
S�RM�2errtal P a Delaware limited partnership, to me known to be the person(s) described in or who hasThave
pr�� ' as identification and who executed the foregoing instrument and he/stieRhey
acknowledg@d ttlat helshe/they executed the same.
Si
Witness m�ha �and official seal in the Counly and State last aforesaid this � day of
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Property Appraiser General Information
Page 1 of 4
Interactive ��tap of this parcel Sales Querv Back to Uuery Results New Search Tax Collector Home Paee Contact US WM
03-29-15-28098-000-0100
Comqact Proper#y Record Card
po�cab,�;ty Data Current as of Radius improvement �alue
Calculator Email Print Search per F.S. 553.844
November O1, 2014
Ownershi /Mailin Address Site Address
S F R H TAMPA HOLDING LP 1260 SEDEEVA CIR N
2190 S BELCHER RD STE B
LARGO FL 33771-4020 (Unincorporated)
PropertY• Use: Ol 10 (Single Family Home)
?Yiort�a�e Letter
Exemption
Homestead:
Government:
Institutional:
Historic:
[click here to hide] Legal Description
FLORADEL SUB LOTS 10 AND 11
� Fite for Homestead
2014
No
No
No
No
2015
No
No
No
No
Living Units:
1
2015 Parcel Use
omestead Use Percentage: 0.00%
on-Homestead Use Percentage: 100.00%
lassified Aericultural: No
Parcel Information 2014 Notice of Pronosed Pronertv Taxes (TRI�YI Notice)
Evacuation Zone
Most Recent Sales Plat
Cen5us TraCt {:�;pT the same as a FEl�iA
Recording Comparison Flood 7one1 Book/Page
18452/1545 � $g6,000 5ales 121030263001 D O15/007
uerv
2014 Interim Value Information
Year JusdMarket assessed Valuel Count r
Value SOH Cap 1'asable Value
2014 $57,301 $57,301 $57,301
�ch°°� l�iunicipal
Taxable Taxable Value
Value
$57,301 � $57,301
[click here to hide] Value History as Certified (yellow indicates correction on file)
Assessed Schoo(
�-Iomeslead Just/Market Countv Munici . al
Year �xemption G'alue ��aluel 'I'axable Value Taxable 'I'a.Yable Value
SOH Ca� Valu�
http://pcpao.org/general.php?strap=15290328098Q000140
11 /4/2014
Property Appraiser General Information Page 2 of 4
0
2013
2012
201I
'2010
2009
' 2008
I!� 2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
No
No
No
No
No
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
$53,604
$55,381
$64,804
$80,049
$103,882
$133,700
$151,900
$134,900
$103,500
$100,800
$89,904
$84,600
$77,500
$66,800
$63,200
$56,900
$56,700
$53,300
$53,604
$55,381
$64,804
$80,049
$103,882
$112,591
$109,312
$99,998
$83,300
$61,300
$60,200
$58,800
$57,900
$56,300
$54,900
$54,100
$53,200
$51,700
2014 Tax Information
Click Here for 201� Tax Bi(l Tax District:
Ta�c Collector Mails 2014 Ta�c Bills October 31 CT �'
2014 Final Millage Rate 21.8998
2014 Est Taxes w/o Cap or
Exemptions $1,254.88
A significant change in taxable value may occur
when sold due to changes in the market or the
removal of exemptions. Click here for more
infurmation.
$53,604
$55,381
$64,804
$80,049
$103,882
$62,591
$84,312
$74,998
$58,300
$36,300
$35,200
$33,800
$32,900
$31,300
$29,900
$29,100
$28,200
$26,700
$53,604
$55,381
$64,804
$80,049
$103,882
$87,591
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
$53,604
$55,381
$64,804
$80,049
$103,882
$62,591
$84,312
$74,998
$58,300
$36,300
$35,200
$33,800
$32,900
$31,300
$29,900
$29,100
$28,200
$26,700
Ranked Sales r��na� ar� ��ke�i s:,�e��� �8e il��
traiasactions
Sale Date Book/Page Price � V/I
OS Mar
2014
14 Nov
2012
12 Nov
2012
OS Feb
2007
30 Dec
I993
18 Sep
1989
18334 / 0638 . $77,000 Q
17795 / 2084 ■ $51,000 Q
I
I
17786 / 0041 e$48,000 U I
15617 / 2478 � $69,500 U I
oss22 i iso2 ■$ss,soo Q 1
07089 / 0663 � $48,000 Q I
2014 Land Information
Seawall: No Frontage: None View:
Land Use Land Size Unit Value Units Total Adiustments ,�diusted �'aiue :Vletlic�d
Single Family (O1) 95x135 215.00 95.0000 0.7979 $16,297 FF
[click here to hide] 2Q15 Building 1 Structural Elements Back to Ton
Site Address: 1260 SEDEEVA CIR N
Quality: Average
http://pcpao.org/general.php?strap=152903280980000100 11 /4/2014
• Property Appraiser General Information Page 3 of 4
Square Footage: I996.00
Foundation: Continuous
Footing
Floor System: Slab On
Grade
Exterior Wall: Cb
Stucco/Cb Reclad
Roof Frame: Gable Or
Hip
Roof Cover: Shingle
Composition
Stories: 1
Living units: 1
Floor Finish:
Carpet/Hardtile/Hardwood
Interior Finish:
Drywall/Plaster
Fixtures: 9
Year Built: 1951
Effective Age: 57
Heating: Central Duct
Cooling: Cooling
(Central)
Description
Enclosed Porch L�ntinished
Carport
I3ase Semi-finished
Base
Open pl�t in :�etiv Window
Building 1 Sub Area Information
Livin� Area Ft� Gross Area Ft�
0 224
0 360
572 572
840 840
Total Living SF: 1,412 Total Gross SF: 1,996
[click here to hide] 2015 Extra Features
Description Value/LJnit Units Total Value as New
PATIO/DECK $6.00 169.00 $1,014.00
fclick here to hidel Permit Data
Factor
0.45
0.25
0.80
1.00
Total Effec
Depreciated
$4
Permit infortnation is received from the County and Cities. This data may be incomplete and may exclude permits that do not resuk in
'ield reviews (for example for water heater replacement permits). Any questions regarding permits shouid be directed to the permitting
office in which the structure is located.
Permit Number Descri tion Issue Date
No Permit Data Found
http://pcpao.org/general.php?strap=1529032 80980000100
Estimated Value
11 /4/2014
Property Appraiser General Information Page 4 of 4
http://pcpao.org/general.php?strap=152903280980000100 11 /4/2014
. Pinellas County Public GIS Viewer Page 1 of 1
- Property Report:
� Close Window
.: <�; .
Procertv A��raiser
1260 SEDEEVA CIR N
03/29/15/28098/000/0100
.�c�x«.�%�,��
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Tax Collector
General
Municipality: UNINCORPORATED
Subdivison: FLORADEL SUB
Tax District: RF
Census Block: 1027 ',
Census Tract: 026300 '
Zipcode: 33755 '
Acreage: •z94 '
Zonin and Land Use
Land Use '
RU, Residential Urban
Zoning Acreage '
R-4, One. Two, and Three Famiiv Residential .294
' Pubiic Safe
Fire District: 05 - Clearwater
' Evacuation Level: D '
Politicai
Voter Precinct: 528
' At-Large District: District 2
Norm Roche
Single Member District: District 5 '
Karen Williams Seel
' Environmental
' within 330ft. of Eagles Nest: No
' within 660ft. of Eagles Nest: No
' Rec clin b Ci
' Curbside: null
' Dropoff: null '
' Pickup: nuil
http://gis.pinellascounty.org/public_gis/weblparcel_report2.cfm?TYPE=ADDRESS&STN... 11 /4/2014
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