ANX2015-01001Q � 1490 GRpVE
� �� _.�_. :� ANX2 C�RC
-�r�,...,�-�;,. � 015"0 � �01 � E C T
` �� oniR►'man III, Andrew S.
9 Low Mediurr� pe
ALL APPIICATIONS t+�� ._ �S'tY Re qtlas #: 261q
i}EUVERIES) TC) THE PLAl�1Nl111G +& DEVEIur�.._.
Planning & Development Depa�-iment
Petiti�n for �A.nr�exation
:TLY, AN� 5UBMiTTED iN PERS�N �NO FAX OR
IN qN THE SCHEDUIED DEADiiNE DA71E.
A TOTAL OF 14 CClMPL�TE 5f1'S OF APPL1CA710N AN� 5UPPLEMENTAL IVfAT�RIAlS {1 QRIGINAL AN£f 13 ��PIESj AS
REQUfREQ irVITHIN AR� Tt3 BE Sl1BMITTED FOR FtEViE�II BY THE DEVECOPNIENT REVIEW COMMfTTEE. A��LICATIQNS
A[UD SUPP�EMEt�AL MATERtALS Af�£ REQIlIRED 7C3 B� CaLlATED AND STAPtED �NT'O SE�S.
!7 t5 i�+iCUMBENT UP0�1 THE APRLiCANT TO SUBlAII�' CtJNlPLETE A1VD CflRRELT iNFt3RMATl�N. A1VY N1lSLEADING,
t?ECEPTIVE, INC{7MPlE�E UR INCOFtR�CT tIVFORfV�ATION MAY tNVALIDA�TE YOUR APP�ICATI(?N.
THE APPLi�A(VT, BY FlLtiV� 7HIS APPUCATIOlV, A�REES 7Q CUMPLY WITN A1L APPLtCASLE REt2UlREM�N7'5 C1f THE
C�MT►AUNITY' DEV�IOPMENT GODE
APPLBCATtON F�E:
IM�ACT FEE/ASSfSSIV1EIVT FEE:
$�
T�D lnforma#ion on /mpact Fees orAssessment Fees is availabt� from
the Crty of Ctearwater Engineering Department (5fi2-4747}.
PROPER,fY OWNER dPER DEE�}: , ,
i �'�
MAILING ADDRESS:
PNbN� EUI�NiB�R:
EMA1L:
/ '� �
�' 2t,�.? � . L����f" t'3't4.. rL
149Q Grave CircSe Cour�, Cfearwater, FL 33755-2018 ,-a�, �'t, ��-�-,� %�--�-� `� �
R!`G11YT A� pC�DQCC�#i'TAT147C•
11V6i11/ �Jf\ i{Lri�LJL.t771'1i1Y1.
MAILING ADDRE55:
PtiONE NUMBER;
EMA1L'
At}DR�SS OF SUBlECT i490 Grove Gircle Court, Clearwater, FL 33755-2018
PftU�ERI'Y:
PARCEL NUMBER(5): 02-29-15-33i50-000-0oz0
I.EGAL DESCRIPTION
cu���nrr c�rY s��v�c�s:
Grove Circle Subdivision Lot 2
SANITARY SEINER
REQUESTE�CITYSfR�/1�'�5. x SANITARYSEWER
(selsct all thr�# appfY)
SOLlD WASTE x
x SOUR WAS7E
WATER
�lanning & Development Department, 100 S. �/1yrtlQ Avenue, Cteanwater, FL 33756, Tel: 727-562-456?; Fax: 727-562-4865
Page i of 7 Revised a3/'13
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Plana�ing & IIevelopment Departmet�t
Pe#ition for An�e��tion
�Data Sl�ee�
�CEASE ENSU}iE fiHAT THE F�LEQWiNG INFORMATION 1S FttLE[1 OUT, IN CTS fMTiRETY. FAILURE �'Cl C{7MPLETi E 7H15
FQRM WILL RESUL7 !�1 Y�liR APPLICAT3dN B�ING FOUND fNCOMpLETE AiVD POSS�B�.'Y DEFERREU UNTILTHE FOLLC}WING
,APPLfCATIt}(+l CYCiE.
'rUTUR� LANC} t15E P�A�11 t3E5EGNATiOi�i
PRESENT {COUNTY): Residential Low (RL)
REQUESTED {CiTYj; Residential Low �RLj
Zt3d11:!"+:6 ^.}ES i �:CT
PRESENT tC�UNTY):
REQU�STED {CiTY):
SETE AREA: 0.233
SIZE �F DEVEI.UPMENi' :
�xisting: �
Proposed: �
{e.g., number of units, hotel rooms ar
non- residen£ia! squarn footage}
R-3, Single Famiiy Resider►tial
Low tvledium Density Resider�tiai (LMD�ij
acres
USE C1� PRUPERTY:
Existing (currenily on site�: Single Family
Proposed (new use, if any;
plus exisiing if to remain}: Single �amily
If residential use, is unit{s�
rental? �°
� .j�K���
S7A7E UF � , COUNTY t7F 8�i��
1(we}, the un�lersigneci, acknowledge that ali represen#ations made in this application are true and accurate to the best of my
knvwledge and auLhorize CEty representatives to visit and photograph ihe property described in this applieation.
Swnrn to and subscril�ed before me this �� day of
,� e. c� � �,, �j �. r � � I . by
/�� �"� \ 1 ,:Ll-�-�-•-' �f,t �.+-..... -. 6J /1 lar���- ..V.. y !1/uihn ic norcnnallv knnurr�/hac
��' �� �` .. _ . _ . � r_. __..._ ., .
/ P � �. � , f "�";"� produced ��= l� � as identification.
Signaiure
qf propesty owner or representative
'+�RLX�1 �+1 C,Ai�IAl�D
J�otary i�ub!)�
�9itcheil Gounty
A)orth �arn�;�
ou�cr�Fx�a��'��t'��t s
..�.a._____
Notary public�
My commission expires:
� �� � �
Ptannirtg 8, Development [}epar#ment, 140 5. �llyr#le Avenue, Ctearwater, FL 33756, Tel: 727-b62-456i; Fax, 727-562-4865
Page Z of 7 Revised a3/13
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Flanni�� Si Development Departsnent
P�tition for An��xa�ion
Submitt�l Package Instructions � Ch+ecklist
I�E ADDlT10N Ta T'HE �OM�LETEQ ANNEXATIQIV PEfi7`iON fOitM, ALL PEi'1710M F{�R ANNEXA7lOiV PACKAGES SHALI
I�lCLUAE ,4 SIi�NIITfAL ��iCKAGE TWAT iNCLUDES 7N� Ft'3LLC71NING:
C� Signed and swarn (notarized} disclosure of interesi statement {farm attached).
[3 If the property is not a platted lot of record, a current survey id�ntifying the dimensians, area and location af the
property having been prepared, signed and sea(ed by a tand surveyor currently reg�stered in the Siate af Fio�rida wiihin
the most recent 12 mpnths, (Note: Submit tvs�o copies on1yJ
❑!f developrnent is to be initiated prior to submission of an annexation petition andJor prior to the effective date of the
annexation, requisite sit� plans, plat, and engineering plans.
�?p� :rs t�# a rr��esed �.p.2emen' to Annex, if anv.
L� fif tfre 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 consisteni with the
�uture Land Use Map of tfie City of Clearwater Comprehensive Plon, the appEicant will be required to file a companion
app{ication to amend ih� map- �
Ci Proof of ownershi� {e:g,�copy of deed,r'ttitle insurance policy, or acher instrument demonstrating ownershipj. [tVot�°
x__�__�_�_..�„ ,�;,,. � --- �.
�Submit twa copies onlyj t�_..�--== . ��-� °� �; °�� -.�'�'�z���:�� .- �..��-�'��'.�-�-
� ^'�
� if connection to city services is desired prior to the efifective date af the annexation, appiicant must pravide notarized
Pet'stion for Annexation Supplementa! Statement (form attached}. (Note: Submit original oniyJ
Q if applican# is designating an agent/representativ� to wprk with City, applicant must provide notarized A#fid�vit ta
Authorize Age�t/R�epresentat'sve (form attached). [Note: Su6mit origina( on/y)
11VFUItIYfii7lUiV R�t'Zi1iK�u � t3 [.vnnrit � t i't9t YC 1 i'! tV111 ruis HfVlVtiSA 111J111 i�wriii.i� i ivni i�NU UH t H ari�c i+;.►�i�e DC
FOUND ON THE F�LLi3WING DOCl1MENTS A9VD/OR ONIINE AT THE FOLLO'WIING WEBSliE5. Il= THE APPLI�ANT iS
UNCERTAlN WHfRE TO LUCATE THIS iNFORMAT10�1 OR NfEDS ADDI7lONAl ASSISTANCE, PLEASE CON7'ACT THE
PLA1VNiNG AND pEVELt�PIVIENi DEPARTMEN7, LONG RAIVGE PIANNING DIVISIflN AT 727-562-4557.
Cl PARCEL NUMBER {Par�el l.D. Number) can be found on the Warranty Deed. It can also be found by searching i}�e
Pinellas County Property Appraiser's Office website at www.pcpao.ar� (search database by address}.
D LEGAL t3ESCRIPTION can be found on the Warranty Deed. lt Can aiso be found by viewing the property record Qnline at
the Pinellas County Property Appraiser's Office website 3t www.pcpao.orQ_
CI FU7URE LAND USE PLAN DESiGMATION {COUNTY� can be found by viewing a Property Report using Pinelias Gounty's
Rubiic GIS Viewer available online at http:1/�is.pineilascouniy.org/public �isl. Search by property address or Parce3 I.D.
Number and report wi11 appear.
� FUTl1RE LAND USE PLAN DE53�NATiON (CITY) is typically the same as the (and use designation in Pineiias County, unless
appiicant is proposing a change (see submittal packag� requir�ments for more information).
Ci ZDNING C�ISTRICf (C�U�1TY} can be found by viewing a Property Report using Pinellas County's Public G1S Viewer
availabie online ai hitp:/I�is.�inellascounty.or�[pubiic�is(.
�7 ZOiVING d1STRICT (CITY) can he faund by contacting the Planning and Deuelopment D�partment or viewing the Gity'�
Zoning Atlas, availabie online at
htip�f/www mvclearwater.comJ�ov/depts wa engin�publications en ailas atias.�.
� SITE AI�EA {ACRES) can be found by viewing a Property Report using Pinei)as Couniy's Public G!S Viewer available online
at http:%��is.pineklascQUniV.or�/pubiic gis/.
Plarening � C7evelopment Uepartmeni, 10� 5. Myrtle Aaenue, Clearwater, FL 33758, Tei: 727-562j1567; Fax: 727'-562-4886
Page 3 of 7 Revised 03113
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� PROPERiY UV1fi�ER (PER DEE[}}: ,�j,�,'�-�f�s°`
�'4''� MAIL�NG AD�RESS: i494 Grove Circie t
���t��� �un����': � 2 � - �" `i," —
�a.�'�.w�l E MAI L: s�tn o a.tys. If '� �
ACENT OR REPRE5EtV"CAT11lE: -"
MAtLtNG ADQR�SS:
P}iONE NUMBER:
EMAIL:
Plannirag & Develop►ment Uepartment
Petitian for Annex�tion
lDi��los��� State��nt
�YZC��'�t� �� �.3.1 �l�J� i�t
Clearwater, �i.33755-2�1$ .�--
� { � �- % 2. 7 �-.� --
a �
�P' ��� r ai.�l'! c> ,. �;�'i
�� C?T�#EFt P�RSC}(�S HAi/iNG ,�#�tY (�11I1ffN�RSHIF� �PriTERES? t�i T�c SiJBJECi" PR(I�P�RTY:
�
1VAME:
INTEREST IS:
SPECiFiC INTER�ST HELD:
�C��� fi �t}iV�'��iC7` EKla�`"� Ft3R SAi.E �"}F T'HE Si��;�E�'T' P�C;P�R`�'Y?
C�NTRAC715:
PARTfES INVOLVED- NAME:
NAME:
A.Fi� TH�RE AC+�iY flF'Ti�1�15 �'t� P'tJRC�.��E TH� 5t1BJ��CT` �'RCJP��TY?
FARTIE5 INVOLVEI? - NAlbl�:
NAME
A�i� THERE ANY EVlt�Ft�'�A��S t�7R L;��� t�N TN� ���J��'i' P2G�P�i�TY�
P�RTIES iNi/OLVED - NAME:
NAME:
�
�
_ YES �/' NO
PH�?NE NUf1t1BER:
PHQNE NUMBER:
YES E� NO
PHOiVE NUh�6ER:
PHONE NUIVIBER:
YES
PHC3NE NUMBER:
PHONE NUMBER:
�Of �f O
�� e �
SiAT� fl� , �flL'NTY t3�
i(wej, tne undersigned, acknowie�'ge that afl representat:ons mau�e sn ihis application are true and accurate to the best of my
knawledge and authorize �ity reptesentatives to visit and photograpM the property described in this applicafiion.
..� .
�warn io anci supscrii�ed peior� rne inis �� oay of
��' n � _ 1��� z> � , t? / ('�.• �Y
i
�- � r--t i�i �.`�` ,� �� r� a1 �1 �C����r,/�� ��%who is persona{ly known/haS
Sig
re of property owner or representative
RLYM W GRRLAMO
AJO$aSJ �UbIiC
Mdt�helt Counay
produced /3,! �". �� �+--- as iden�tification.
NoLary pu�5lic,
My commission expires
�� �r-:1�
Ptanning & i7evelopment C}epartment, 90Q S_ �A}rrtl� Avenue, Glearwater, FL 33755, iel: 727-562-A587; Fax: 727-562-d$6�
Page b of 7 Reviser! 03/93
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Planning & Development Department
Petition for Ann�xation
Affidavit io Authorize A
. Provide names of all property owrters on deed -� PRI� �
���^s�,'�`ra�^T ."�¢.iS � �� T� , � �. "�.
��� � f��,�_
.epresenta�ive
2. That (I am/we are} the o�nrr�er�sj and record iitle holder(s} of the following described property:
I490 Grove Circle +�ot�rt, Clearwater, FL 33755
3. That this property cor�stitutes the proper#y for which a request for (describe requestj:
Annexatian into the �ity to receive solid waste and saritary sewer servic�.
4. TMat the undersigned {has%havej appointed and �does/do} appoint:
as {I-,is/theirj agent�s} ta 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 a�t on the above
described property;
5. That site visits to the property are necessary by City representatives in order to process this applitation anci 2he
owner authorize< �ity representaiives to visit and photagraph the property described in this applicatian;
7. That (I/we�, the under ' ed �uth�rity, hereb ce 'fy that the foregoing is true and cQrrett.
i7 1"i � /i
__ d..GC�I �� � , ..
�� ���
; ' Property Qwner Property C}wner
Properiy Owner
Property flwner
STATf OF �, C�UNTY OF fl1lift�S
9�t;r t �R.`� L"��,L-� {1�,,�tG..
BEFORE ME TNE llNDER51GNEp, AN �FFiCEF; DLlLY COMiv115SIONEQ 8� THE LAWS C?F "CHE S"(ATE OF �, (3iV
TNiS �� tu DAY OF �1, � C��,�=�� Y"' �� ��, PERS�f�iALLYAPPEARED
��j� G��r-e:,ve..3 � `�.1�.'.;� ��"� ,m2= �- d� ! 1;� Wi-lC7 HAVIPIG BEEN �IRST C7ULY S11UC3RN
,T HE/SNE FULLY UNDERSTANQS THE CQNI'�NTS Of THE AFFIDAVIT THA7 HE/SNE S1GIJED.
VERLYN 1�/ G1IRLAND _ �
�10��Ifj� PUbl1C
�112�hl1i COilPlfy
Norfh Catolin�
�fyComrrals�ion Exoires Sep 18, �OiS
hlokary Seal/Stamp
`7
�����
C ��
� Notary Public Signature
� ` J /
i�Ay Commissian Expires: `' �C��: � �% f �
Planning & Devatopment De�artment, 1�0 S. �fyrtle Avenue, Clearwater, FL. 33756, Ts3: 727-562-d5fi7; Fax: 727-�fi2-48&b
Page 6 of 7 Revised 031�33
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P�annang & Developmen� Department
Pet��ior� �o� Annexa�tian
�upt�lemental Statement
PROPERTY OINNE#t {PER I3EED}._ y�c� (-' �. �..� �� � °� t�-'-� � �'� ��'�
�•,
MAlLING ADDRESS: 1490 Grave Circie Court, Clearwater, EL 33755-2028
�lTY QF C! EAR'lAIAT�R �ASE
�1U11118�R:
� ' �,Lr'
I/we, .=' • n�„ r��'3.�! c�[ }-L' i.�.� __.,—� ,, c��� r� r���'L
jir�s�;i nan;�s a� a!i p; �F��t�, c�,�n�rs], ha:�in6 €;:e�i a PQi'st�on f:�r Arnex����n re��rding th� ab�v�j property!case nurnber�
grant consent, agree and a�knowiedge that the City af Ci�arwater may immediately or at a iater time process the application
to c�mpletion, induding adopiinn and recordation of related Ordinances, without the necessity to furthe� notice me/us. This
Supplementai Statement shall s�persede any p�ovasion in any Agreement to Annex executed by meJus or my/'our
predecessors in interest.
I/we fnrther agree and acknowtedge that i/we shal4 r�ot rescind the Petiiion for Annexation or execute any docurnents
attempting such rescission, and that any attempted rescission shail be of no #orce and effect.
�� L-q`�"d'� !..- t'. � � i�lZ-4L� �
57AaE OF � , �QUIVTY OF;�S
1(we}, the undersigned, acknowledge ihat all representations made in th;s application are true and accurate to the bes€ o€ my
i�fiQtiivi�u�e ai�u aiai11O1fZC� 4ity I��tc'SEiiLaiiJcS iv L'i5ii a'��v N�viGS�o�� �h° Nivr.°i.}' `�LSC�;�l°� ;(; ih=5 �rY��C�.lC.^.
Sworn to and subscribed befiore me Ihis �?� day of
'� )�,��; c��d-'�. �'J � Y'` � � 1 . by
�� � � � ,i� �.��� '� �; ��'� ���.���o is personaliy knownlhas
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praduced �/ t�- +� �--- as identificatio�.
nature of proper#y owner (individuai or authorized �-
snt+,tY}
'�`E3�LYi� W GARtA."3D
�loR�ry �ub4ic
MiiiChell Gounty
5ignatur of d�+�a��tites Sep i8, 2�16
i�lc~;�r�r F:�.:blic,!
Niy commission expires: �,�1 ��G , s� �,f G=�
Planning & Development DepartmenL, 100 S. �llyrtle Avanue, Ctearwatier, FL 33755, Tei: 727-562-4567`; �ax: 7?7-562-48fi5
Page 7 of 7 Revised 03113
STATE OF FLORIDA
C�UNTY OF PTNELLAS
PiNELL�� G�UNTY ��fi,
D�fi . R�C . 8K 2! 5 I Q P� i 8�8
I HEREBY CERTIFY that on this day, befoze me, an officpr duly authorized
in the 5tate aforesaid and in the County aforesaid to take acknowledgments,
personally appear�d C�ERYL W. HER3��NSEN, to me personally known, to be the
persan described in and vrha executed the faregoing instrument and she
acknocaledged bef are that she executed the same.
���ITNESS my han� ar.d nffic�.�l seal in the Count�,r and State aforesaid this
22 day of March, 2Qp2.
•N'C�N fi�.V/i �.. +��%���.�
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;'� � Commi;sfan iC [}ll 075FpD
��°,"„;,�•'" y Bonded 9y NBtionai Notery Aasn.
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Notary Public
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f'I�CLAS GE�k'T1': f?_�F:I�A
e�1�it��lf� q�'cFr'��,� %�'f:4�i:1� ,=ti�;
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REL�DIhp� t��� F�it;CS 1 �'Q.��4
DOt� STt1f��F - (�n�'19 ,5 :.itt
FECORD FEES �� �i !�� �
;��;� � �_��<?� �ld1�lNd�lq��lli� _.._
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TDTf�.: ;1?.�J
. (;:. �:;.,,. .._ . _._.. C1iECK ��iT.TE1�I�RE➢: �1;?,%'i?
t;r;r; �,r ; C�'�tlGE: ° �r
. �f�'�; �� � DEED 't.[ )
�rr ��F�urr c���;
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THIS TNDENTURE, made this 22 day of March, 2002, by aiid s�etween CHERYL W.
HERMP�NSEN, as SUCCESSOR TR'v'STEE OF THE ANDREW +S . WATERMAN, JR. , TRUST Dr'�TED
NOVEMBER 3, 2000, hereinafter. called Grantor and ANDREW S. 'r1:iTEi2MAiv' IiS,
hereinafter called Grantee, whose mailing address is:
tu3vR�.i4 S. WATEFSi�iV ZiI
c/ o Mi�V I S WATERbIAN
1490 Grove Circle Corirt
Clearwater, Florida 33755
WITNESSETH: That the grantor for and in consideration of the sum of Ten
Dollars (510.00} in hand pa�d by the Grantee to tl-ie Grantor, receipt whereof
is acknowledged by the Grantor, the Grantor hereby grants, conveys, bargains
and sells, aliens, remises, and transfers to the Grantee, his heirs and
assigns, the following described real property located in Pinellas County,
Florida:
Lot 2, GROV� CIKCL�; SiTBDItJISIOTJ, according �o the map or �lat
thereof recorded in Piat Book 43, Page 29 of the Pub�ic Records of
n; � i .�'..vuai i'i,. ;.a-,
L111C114� l�y � V1111Gt.
TOGETHSR with all of the tenements, hereditaments and appurtenances thereunCo
appertaining.
TO HAVE AND TO HOLD the same in fee simple Eorever but subject to the right
of MAVIS WATERMAN to occupy the said property during her lifetime or until
remarriage in accordance witil a Stipulation between MAVIS WATERMAN and
ANDR�W S. WATERMAN, JR., fil�d in the Circuit Court of Pinellas County,
Florida, in the case of WATERMAN v. WATEItMAN, Chancery No. $4,�J72_
The initial trustee of said trust, TiiE ANDREW S. WATERMAN, 3R. T'RUST DATEB
NOVEMBER 3, 2000, died on July 31, 2001. This deed conforms to the terms
of said trust.
IN wIT'NESS W�iEREQF, t�tze said G�antor has r��eunto set her hand and seal on
t:e day and year first above *ariL�en.
P7ITNESSES :
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CHERY� FV. HERMANSEI�1
As �uccess�r '£rustee of th�
ANDREW S . WATER2dAN, �7R . �'BLJST'
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51 I�I�-A WAIERMP�k
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DiIC ST�'"�' -� I�i�'l�) � � .'t'El
f�ECDkD FEES 4 ��.��s
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THIS INDENTURE, made this 22 day of March, 2002, by and pet:�reen CHERYL W.
HERMANSEN, a� SUCCESSOR TRUSTEE OF THE A23DREW S. WAT.r.RMAN, JR., TRi1ST DATLB
NOVEMBER 3, 2000, hereinafter called Grantor and ANI�REW S. W1lT�RMAN III,
hereinafter called Grantee, whose mailing address is:
� ic�W S. WATERMt�N I3 A
C/o MAVIS WATERbfAN
1490 �rove Circle Court
C3ear�ater, Florida 33755
WIT'NESSETH: That the grantor for and in consideration of the sum of Ten
Dollars ($10.00) in hand paid by the Grantee to the Grantor, receipt whereof
is acknowledged by the Grantor, the Grantor herehy grants, cantreys, bargains
and se11s, aliens, remises, and transfers to the Grantee, his heirs und
assigns, the following described real property located in Pinellas County,
Florida:
Lot 'l, GROVfi CIRCL� 5CTBBIVISIOPI, according to the map or plat
�iiGicvi icCOiucu ii1 ri'ai. �uOn �"x.'� � �' ` ''i" '�'' �"� " "'' "i
_ Fd_jCc �S Gi �iiE rtiui_C ncCv�uS v
Pinellas County, Florida.
TOGE?'iiER with all of the tenements, hereditamenCs and appurtenances thereunCo
appertaining.
TO H.�vE AND TO xOLD the same in £ee simple forever but subject to the right
of MASiZS WATEi2MAN to occupy the said property during her lifetime or vntil
remarriage in accordance with a Stipulation between MAVT3 wATEAMAN and
ANDREW S. WATERMAN, JR., filed in the Circuit Caurt of Pinellas County,
Florida, in the case of WATERMAN v. WATERB3ADi, Chancery No. 84,072.
The initial trustee of said trust, T:iE ANDRE47 5. WATERMAN, JR_ TRJ�T D�TED
NOVEMBER 3, 2000, died on July 31, 2001. This deed conforms �o the terms
of said trust.
IN �riIT�7ESS wHEREOF, t�e sUid Gtantor has rereunco set her hand and seal on
the day and year first above written.
w3TrrESSES :
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Print Name : rj% ;�,� L, i i; ^%�� '�
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CIiERYL W. HERASANSEN
As Successor Trustee of the
A27UREW $ . WAT::RMP,N, ..TR . TRUiT
�ATED NOVEMIIEiZ 3, 2000.