ANX2014-12027LL j 940 MACOMBER AVE
° l�arwater �NX2014_� 2027
� � velopment Department
� �use to Home Concepts LLC, 1940 Macomber Avenu for Annexation
ming: Low Medium Density Re Atlas #: 251 B
ALL APPLICATIONS ARE TO BE FILLED OUT COMPLETELY AND CORRECTLY, AND SUBMITTED IN PERSON (NO FAX OR
DELIVERIES) TO THE PLANNING & DEVEIOPMENT 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 SU8M1T 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: $�
IMPACT FEE/ASSESSMENT FEE: TBD lnformation on Impact Fees orAssessment Fees is available from
the City of Clearwater Engineering Department (562-4747).
PROPERIY OWNER (PER DEED): House to Home Concepts LLC
MAILING ADDRESS: 653130`h St N, St. Petersburg, Fl 33702-6236
PHONE NUMBER:
EMAII:
AGENT OR REPRESENTATIVE:
MAILING ADDRESS:
PHONE NUMBER:
EMAIL:
ADDRESS OF SUBJECT 1940 Macomber Avenue, Clearwater, FL 33755
PROPERTY:
PARCEI NUMBER(S): 03-29-15-83970-000-0450
LEGAL DESCRIPTION: South einghamton Park Lot 45
CURRFNT CITY SERVICES:
REQUESTED CITY SERVICES: X
(se/ect all that applyJ
SANITARY SEWER
SANITARY SEWER
SOLID WASTE X
X SOLID WASTE
WATER
Planning 8 9aveioQrn�n� �cpartrneri[, ��+) �+. ?,?yr��:� �'+venue, t,fearovater, FL 3375$, iel: 727-5S2-9ba7; i�ex: 727-�62-4855
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Planning & Development Department
Petition for Annexation
Data Sheet
PLEASE ENSURE THAT THE FOLLOWING INFORMATION IS FILLED OUT, {N ITS ENTIRETY. FAILURE TO COMPLETE THIS
FORM WILL RESULT IN YOUR APPLICATION BEING FOUND INCOMPLETE AND POSSIBLY DEFERRED UNTIL THE FOLLOWING
APPLICATION CYCLE.
FUTURE LAND USE PLAN DESIGNATION
PRESENT (COUNTY): Residential Urban (RUj
RE4UESTED (CITY): Residential Urban (RU)
ZONIIVG DISTRICT
PRESENT (COUNTY):
REQUESTED (ClTY):
SITE AREA: 0.103
SIZE OF DEVELOQMENT :
Existing: 1 Unit
Proposed: 1 Unit
(e.g., number of units, hotel rooms or
non- residentia! square footage)
R-4, One, Two, and Three family Residentiai
Low Medium Density Residential (LMDR)
acres
USE OF PROPERTY:
Existing (currently on site);
Proposed (new use, if any;
plus existing if to remain):
If residential use, is unit(s)
reniai?
Single Family Home
Single Family Home
STATE OF FLORIDA, COUNTY Of PINELLAS
I(we), the undersigned, acknowledge that all representations made in this application are true and accurate to the best of my
knowledge and authorize City representatives to visit and photograph the property described in this application. ��,�
Sworn o and subscribed before me this ' day of
�---��� ��=-�.r`�L ^ c� (� ��1' � . bY
�lC � , who is personally known/has
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—'�s�:��. \�b- �,r� produced �� L- � '�`� as identification.
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Signature of property owne or representative n --,
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�/'-�� Notary public, ._ __�_. ��{p� . ��CKI 10 �tORAHAN
My commission expires: '��`� �'�'�����i�siov � eEbo3n
Signature of property owner or representative �`�a �';, �,;�,�, ,;,�un,'A���co
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Planning & Development Department
Petition for Annexation
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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:
❑ Signed and sworn (notarized) disclosure of interest statement (form attached}.
0 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 Fiorida 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]
0 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]
:�:Fv��:i.�-.Ti�:L �E�:.�:.�.�� T.�. .�..�.•R.AD"T� TIJ` DCTITIftiU C�R ����XAT:G�11� :��Q:.:/'`AT1�1N� A�U� ��TA CLJCC'T !'AI�� RC
FOUND ON THE FOLLOWING DOCUMENTS AND/OR ONLtNE AT THE FOLLOWING WEBSITES. IF THE APPLICANT IS
UNCERTAIN WHERE TO LOCATE THIS INFORMATION OR NEEDS ADDITIONAL ASSISTANCE, PLEASE CONTACT THE
PLANNlNG AND DEVELOPMENT DEPARTMENT, LONG RANGE PLANNING DIVISION AT 727-562-4567.
0 PARCEL NUMBER (Parcel I.D. Number) can be found on the Warranty Deed. It can also be found by searching the
Pinellas County Properry Appraiser's Office website at www.pcpao.or� (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.or�.
❑ 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://�is.pinetlascounty.org/public �is/. Search by property address or Parcel I.D.
Number and report will appear.
0 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:%/Qis.pinellascounty.or�/public ais/.
❑ ZONING DISTRICT (CITY) can be found by contacting the Planning and Development Department or viewing the City's
Zoning Atlas, available online at
nttp://w�vw.myclearwater.com/�ov/depts/pwa/engin/publications/enQatlas/atlas.asp.
� SITE AREA (ACRES) can be found by viewing a Property Report using Pinellas County's Public GIS Viewer available online
at htt���s pineilascounty.ora/public �isi.
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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 shail consider the extent to which:
❑ The proposed annexation wiil 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.
❑ Existing or proposed development is consistent with City regulations.
❑ Terms of a proposed Annexation Agreement, if any, promotes the City of Ctearwater Comprehensive Pfan.
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 compiy with all applicable City of Clearwater regulations and ordinances as set forth in the City
Code of �rdinances;
❑ 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;
❑ 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 iand dedication and/or fees in the amount and manner prescribed by Chapter 54, Article 11 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.
.. . _ _
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Planning & Development Department
Petition for Annexation
Disclosure Statement
PROPERTY OWNER (PER DEED): House to Home Concepts LLC
MAiLING ADDRESS: 6531 30`h St N, St. Petersburg, FL 33702-6236
PHONE NUMBER:
EMAIL:
AGENT OR REPRESENTATIVE:
MAILING ADDRESS:
PHONE NUMBER:
EMAIL:
OTHER PERSONS HAVING ANY OWNERSHIP INTEREST iN THE SUBJECT PROPERTY:
NAME:
INTEREST IS:
SPECIFIC INTEREST HELD:
DOES A CONTRACT EXIST FOR SALE Of THE SUBJECf PROPERTY?
CONTRACT IS:
PARTIES INVOLVED - NAME:
NAME:
ARE THERE ANY OPTIONS TO PURCNASE THE SUBIECT PROPERTY?
PARTIES INVOIVED - NAME:
IYf11VIL.
ARE THERE ANY MORTGAGES OR LIENS ON THE SUBJECT PROPERTY?
PARTIES iNVOLVED - NAME:
NAME:
YES
PHONE NUMBER:
PHONE NUMBER:
YES
PHONE NUMBER:
- - - -;.��-
ri-�viv� ivviv�o�n:
YES
PHONE NUMBER:
PHONE NUMBER:
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I�[�7
NO
STATE OF FLORIDA, COUNTY OF PINELLAS
I(we), the undersigned, acknowledge that all representations made in this application are true and accurate to the best of my
knowledge and authorize City representatives to visit and photograph the property described in this application.
Sw n to and subscribed before me this / day of
�' t�'L.� ��.-�' � , y �G • by
r; , who is personally known/has
,,- �;
�'� �u..�z. � �,-^ produced -� L- ;� � as identification.
—� ��
Signature of property own�r or representative
Notary public, �,.
My cammission expires:
Signature of property owner or representative
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etition for Annexation
� Affidavit to Authorize Agent/Representative
1. Provide names of all property owners on deed — PRINT full names:
House to Home Concepts LLC
2. That (I am/we are) the owner(s) and record title holder(s) of the following described property:
!�tylL� .!tiI�(°Lrtd?C! � �z
3. That this property constitutes the property for which a request for (describe request):
f�-L:rle'���i�.1 c?�-�)fvx.�rr�-�!
4. That the unders+gned (has/have) appointed and (does/do) appoint:
as (his/their) agent(s) to execute any petitions or other documents necessary to affect such petition;
5. That this affidavit has been executed to induce the City of Clearwater, Florida to consider and act on the above
described property;
6. That site visits to the property are necessary by City representatives in order to process this applicat+on and the
owner authorizes City representatives to visit and phatograph the property described in this application;
7. That (I/wel�the undersigned authority, hereby certify that the foregoing is true and correct.
(
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Property O ner Property Owner
Property Owner
STATE OF FLORIDA, COUNTY OF PINELLAS
Property Owner
BEFORE ME THE UNDERSIGNED, AN OFFICER DULY COMMISSIONED BY THE LAWS OF THE STATE OF FLORIDA, ON
THIS !� r � �I� _ DAY Of �� ( C_� Ci� �� ��= � � �� PERSONRLLY APPEARED
��`�'� ES �� �' �' �{�j ��� WHO HAVING BEEN FIRST DULY SWORN
DEPOSED AND SAYS TNAT HE/SHE FULLY UNDERSTANDS THE � NTENTS OF THE AFFIDAVIT THAT HE/SHE SIGNED.
j � i���/ _ _ > - --
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Notary Pu
Notary Seal/Stamp My Commission Expires:
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PROPERTY OWNER (PER DEED): House to Home Concepts LLC
Planning & Development Department
Petition for Annexation
Sunnlemental Statement
MAILING ADDRESS: 653130"' St N, St. Petersburg, FL 33702-6236
CITY OF CLEARWATER CASE
NUMBER:
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 OF fLORIDA, COUNTY OF PINELLAS
I(we), the undersigned, acknowledge that all representations made in this application are true and accurate to the best of my
knowledge and authorize City representatives to visit and photograph the property described in this application. /�,,�
Sworn to and subscribed before me this c� day of
v"i,,,� t� - .n �� ,
' �� c,��f i��.-9��1� , .�'� -•� . by
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Signature of property owned (individual or authorized
representative of corporation, partnership or other
entity)
Signature of co-property owner
who is personally known/has
produced �G �i �-
���% �����-
�
Notary public, ,
My commission expires: ���
as identification.
Plani�lr,y � De�a�iopment Deparirn�ni. � 3� 3. #,ty � ��. �: ,�e. (;learwat�rr, FL. 3375&, Tsi: 1?7-562-45&7: Fax: 127-�62 �8fi�
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C#: 2012368868 BK: 17821 PG: 191� 12/17/2012 at 11:46 AM, RECORDING 1 P' �S
i10.00 D DOC STAMP COLLECTION $� )0 KEN BURKE, CLERK OF COURT AND
;OMPTROLLER PINELLAS COUNTY, FL B1 ,�EPUTY CLERK: CLKCD51
Prepared by and retum to:
Robert D. Barcley, Esq.
Robert D. Barcley, P.A.
79014th Street North Suite 313
St. Petersburg, FL 33702
727-577-7914
File Number. 12-1206
940 MACtJMBER AVE
.NX2014-12027
�use to Nome Concepts LLC, 1940 Macomber Avenu
ming: Low Medium Density Re Atlas #: 251 B
[Spaee Abure TAis L�ne Por Recording Daia�
Special Warranty Deed
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ThIS SpeCiel Wet'Penty DCCo made this 12th day of llecember, 2012 between William R. Neiding and Georgia�fa S.-' � --
Neiding, husband and wife whose post office address is 31 Leeward (sland, Clearwater, EL 33767, grantor, and HOT�iSE �'"
TO HOME CONCEPTS, LLC, a Fbrida limited liability company whose post of�ce address is 6531 30th Street �Vdrth, ``
St. Petersburg, FL 33702, grantee: �. i;
(Whtnever u5td herein Ihe terms granlor anJ grantce include all Ihe partics �o ihi5 insirument and iM1e heirs, legal represenfa�ives, and •assigns of individuala� __�
anJ ihe successors and assigns of corporations, uusis and �rusrees)
WI[n¢SS¢th, Ihat said grantor, for and in consideration uC the sum TEN AND NO/I(� DOLLARS ($Yp7x)) and other,good
and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby�IwowledgEcj,�has
granted, hargained, and sold to the said grantee, and grantee's heirs and assigns forever, Ihe follp�Litig dexriD�d �yN, Situate,
lying and being in Pinellas County, Fbrida, to-wit ���� �� „
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Lot 45, SOUTH BINGHAMTON PARK, according to ihe Plat thereb(,�recorded ih Pfat Book 12,
Page 8l, of the Public Records of Pinellas County, Florida. `�
- � �
ParcelldentificationNumber:03/29/15/83910/000/Od50 ��. � ``��
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TogetheC with all the tenements, hereditxments nnd xppurtenance§,thareto betorging oran,anywise appertaining.
T� ::�... ...^.v .� 1-i31L1 'ti� :ac:.. .a :e� .,. '^ `a.,... _ _ ,
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And the grantur hereby covenants with said grantec,thaF.`t14�fanl�ir is Iawfully sr.ized of wid land in fee simple; that the
grantor has gWd right and lawful authority to sell and'cunvey saie� Innd; that the granror hereby fully warrants the litle to said
land and wil] defend the same against the lawfu] claims uf all pessix+s claiming by, through or under grantors.
In Witn¢SS WhC['COf, grantor has hereuntti xi grantbr's hand and scal the day and year iirst above written.
Signed, ualed and delivered in our,�r�sence^ ,
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_ ' (Seal)
Wimess Name: �'" William R. Neiding
-__ . ,
, � _ � (Seal)
Witness N e: ��„t����t�i C iaua S. Neiding
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State of Plorida - - � ,
County of Pincllas
Che foregoing instrument was acknowledged before mc this 12th day of December, 2012 by Wiliiam R. Nciding and
Georgiana S. Neiding, who [X] are persunally known or (_] have produced a driver's license as iden! • ion.
(Noiary SeaO :�}'c:" ; P.OBER'f D.6A(iCIEY� Nutary Puhlic - -
>� G:rturiis5i�n tt kE 203134
;s EzpiresJu,�e2u,2�J1G printed Name: Roben D. Barcicy __________
BaWe*heim.'8,:,.a,an_,i..�i+.g... ,
".ty Cummission Expires: June �b, 3012
Iiouole?irnt�