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Att APPIl�ATit'�NS ARf '['� 8E FiLLEt� fl'UT #�i4tPl�LY ANl� Ct�RRECi'l.Y, �tAlt? SiiBMi'iCEt? �N P�RS�C�M (�t4 fAX OR
i��i9"���,1�5�'i'fJ 7ME PLANMING &�EVEI.C9PMEiVi t3E�ART�'l�N"t BY NCN�4t ON ThlE SC}�tE031il,ECt D�aAtJUiVf DAi�, •
A'CGTAi. OF 14 COMPLEi'E SE'�S OF AP�l.iCAT10N AND SUPPLEMENi`AL A+lAT'�RIALS (I t;RlG�NAL AtVD 23 CaPI��) ,4�
AEt�ti}REt9 WfTI^ttl�1 A#� T4 9E S13HM1T7ED �9R Ii�V1EW BY THE DEVELDFl1t1Ei1t't` FEEVi�W Ct}MMI��. RRPi.ICATi�?tVS
tA�D SUPf+LEMENTAI AAAT'�R[ALS ARf itE4U1RED T�9 8E C�I.LA"1'ED �ANC� STi�D 1►JiC? S�TS,
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iT aS iN�l1MB�NT tiFON iHE APPLItAhT Tt? SUBNfiT Ct3MPLET� IiHQ Ct?Rl2�C7 lNFOiiMAT1�N. AIVY M1SL�'ADIN�,
DEC�3rTf1t'€, I�'+iCl�Mt"�7 � C?i� INCt)RRE�'!' lt�lFt>FiMATItl�i N1AY ltiY�ll.IAATE YiClUR Ai"Pt1CATit'Yt4,
THE APPI,IGAM% SY FlLIAt�i '�!�lIS AF�t.t£ATiON..AGREfS Tt� �t?i�+IPiY 1Al3'if�l A�l. APPLIGI�LE R€�(iU��kE�1AENTS t't� THE
GOAliM1,)lwtifY �E1�ELC±PME►+[TCt3DE. '
�APPil+CAitt3h� 1���» $U -
I�Pa�CT i�fE/A55€55MEN�r ��: TBDF ;rtf�rrnatic>n on lmp�►ct�-�es orAss�ssment �aas is avail�ble fr�,rr
the City of Clearwaf�rEngine�ring Deper#merrf (562 �17Q7}.
' P�t����-nr ovur��� �p�� u���r):
MAILtNG Ap�f4E55:
PHfl�tE NUMBE�«
EaS+G�ti! :
A#��i�i'i �R R���IESENTA"t11YE:
MAIL1AiG A[IDRES$:
,
F'�dONE NUMB£R:
�MAIt:
Al3i�Ri�S OF SilB1��.7
PR+ARER7Y:
FARCEL NUMBEFi(S);
�.��a� r�ESCR�rrron.
cu�+r�nrr terr st��c�s:
�'QU�S7'E!7 tiiY3f�t1tES:
(select a!t rhar ap�tv)
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S�1Mii'ARY
SEW�R
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SOIID WASTE
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Plant9ln� � pAVwlopm+ant Dppar#�[33r 1008. AA3rrtle�AvanuES, �{�tw�alst�. f� 337Ri�, T¢l: 72T-5S2-#567: P�4. T1T�2-l045
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� PLan�in� �. �eve%p�tt��at DeparGm�� �
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��i��► fc�r Anne�a��n
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AiEASE ENSt�RE THAi` Tr1E FQt�.pWlN�i t�lFflltMATEt}N IS fiilED t3iiT.'�N 1T�'� ��►y1'!!a�►. r� +..�n� rvz �z;n��l�� �IC T1�tc
�Cl�M WI#.l ftEStAL7 ��+1' a'��.!^ ,�.: ,�: ,.;;:'��: ��7ra:a i��iifi�i� INC�QMPL�E Ai+ED P{3SStBi.Y i�EP£RRE[� ltN'�'EL'iHE �Citi.tll3ltIIVG
APPUCATtLIi� CY�LE, •
�UTURf i,AND i�SE PtAH t!E!�lGiVATtOtY
PRES�NT (GOUNTY'j:
R EQU ESTE[3 4GiTYj:
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aL3NiSYG C>iS�TRl�Ci
PRESEMT �CUUMTY}: C�,,--
REQUE�7Ei? {C'TY}: _ �../�
Si7� AR�: ���! �� �, t acres
Sii� i3� [}�LCl��ti£3d7 : ,
Fxis#€rro: 1
, Prapus:d: � 4
(e�.g., nt�;�rrza�r a,f unlis. ltotei roorrr.s ar
n�an- resideniiol square footagef
0
i
iL'�E �,2r PRt3PEF€�':
�xtsttng (curre�ti� an site?: � 14`�£st.� ��t�..+� ��t+f�:`� „__
r rc�po�ed �naiv use, if ar�y; �
�lus existin� ii tfl remainj: �'t P`..lC-� t..� �� 3�.-�.
� If residentiat �.�se, is unit(s)
ren*,a!? �r,,/'T� E..,
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57ATE flF FL�7RIflJt, �t3�tNTY i}F Pl�lEllAS
!(v�e�, the understgned, ,8ckr►owletlge th�t �ii represent�fens sriade irt this app!€taiion are true and accusdte to the t�est oF my
knowledge and authorise Clt}r re�r�s�ntat#•les tn visit an8 �hatvgra,ph th�e pr�perty describe�i in this appi(c fo�.
Swor� to and sutascrfbed �e#ore rne this �� day vf
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_ ,�Ctrlt_tC-`� ��1 �.�i�`� ,�}Y
� c��.,, 1`��i. �?i`,�-nr.,,c ��,,.,,�,T whai �rsonalEyknowu''/has
praduced as ideatiRcafion.
5ignaiure of properiy avr,cr.a�represenYative ,� ,
n
Notary pubEiti :` �
MycORtlrti55iDn e�cj3lfeS:
5igtsat�r€ af pro�►erty c�wner ar
F'Gnnnl�g �S Dev�3n�;mor�t #�e+partr,3or=t, 4� S. t�yrtts Asre�us,
Sa"�,f+ 2 t?t T
C#NDY CUIVER
Notary PuCics - State ot flotld8
My Camm fxpires Oer1t. 201fs
Commisaron � EE BBt�DtJ
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Subm��tal
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1'l��anir�� & Dev�l�p��nt Tfep�rimeut
�'����iot� f�r Ann��ati+va�
� It�str��c�ns &. ��ie��fs�
IN �4�3DiTi+G�V YO TN� Ct)MP't.E3"E�i t�tN�fEXA3tt7N PE"t'tTtUN FORM, ALL F�'tTl�iN FGR ANN£XA7}ON PACKAP�ES Sl�AL!
I�lC#.UtlE A SllBMCi'!'AC PACKAG� TMAT lNCLlJDES TW� �Ci3.1.C11M1liN�: ,
❑ Sigtt�ci andswOrn �nptat{teti) tlis�la�sure of irrter�st statement 4fomt �tt��ched},
Ci�tf the propetty is na# a platted !ot of r�eca�d, a current surv�y id�nt3�ying the dimensions, erea and lotat;on of ihe
property haviag been prepared, s3�ned anc sealed by a lan� surveycr currenily re�st�red �n th� Sta#Q af Flarid� w�ithin
ihe masc recem 12 months_ jNore: 5ubnsit i�vc� copies c►nlyj
Ci }(,if developmertt is't� bE ihitiated priqr ta snbmission of an annexativn patttit�n and%ar prior ta the effectirfe date crf tf�e
artne�raLicyn, ret�uisite stte pl8ns, p1�t, arasi en�3neerdng plans.
��T'ernss o# a propssed Agr�ment tn Annex, �f any.
C3,�1€ the proposed annexatf�n reqvires � ehange 3n the land use elassificatic�r� ar� zflr�ing c2tegory assigned t� th�
f�Fa1��Y, a�ustification for such c�ange rnust be submi�t�� in writing: If the requeste� tanin� �s not c�r.sastent �i�F the
future Land Use ii+ri�p c�f the ��ty of Cieanuater �'arr►prehenstve Wnn; th� apqlicarri wii! be repuired to f+t� a comp�n�on
ap�#I�ati�n ta amend tt►e map. _
{3' Praaf of o��+nership (e.g. v�,r �# d�� title insurance pollcy, tsr aiher irstrum�nt demonstra�ing owne�ship). (Natp:
Subm}f t� copies ontyj .
GI if connectian io rf;y sersrlces is desireci prior to the effectiv� date of zi�e ann�x�zi�on, ��ticant mrssx prava�le no,arzpd
Petitit�n #or'Ar�nexat��sr� 5upplern�n�? St�tem;�nt (iarm �t�aehed}. (Nate: Submi�originaluntyj �� ""�f `
0 i# a�plicant is desig�ati�g an agentJreprese�tsiive ia wcr;t with �ty, appli�ant rt�usc pr�v��e r�etarized Afffiid�vlt ��
Rufhorixe Agent/RepreSenta#ive {fd�srs a�ta�hed). (Note: S�tbrttit origi�tvf anlyj �,���,
#Ni�Diii4�lTlOtd i�EQ�1Fi�t� Tt? �{;MPLEi'E TNE Pk'TiT'90N FAR ANIVE�fAT?�N APP3.lCATtL3M �1ND i7iAiA St�E�T tAN 8E
�u�c� t�r� rt�� �a.tr�wt�� t�ocurrut��t� �nrnjc�� on+km� a� rr�� �tu.�war++� w��r��s, t� at�� ,���a.K.�n►� �s
Ud�/�ERTAIN 1NHE�iE Tt7 1.{�TE THlS lNF4RMA'�'3C?N tiR �IE�DS P►�DITJOiNA! ASStSTi1lliiE. Pi.EASE COt�tT'AC'!' T3iE
QLaNNlN� A1V� ��VEU1Pt�E�T!' DEPAR�i'�lE�Va, �.t3� R�il�GE Pu�M�'M� D�v�N �a� �rr-s�x-�5sa.
.
C! PAi�t�� Ni1M8� (Parce! 1.D. Numberj ran be�found vn ti+e WarrantY De�d. ft can a�so b�+ found by se�rch;ng the
P►raellas County Froperty Appraiser's t3ffce website ai v�,,2r�a,�nrg (saarcM database by address j.
3 LEGRl. t�ESCRiPTION cars be fcruz�d on the Warranty Reed. t! can also be faund by viewing the property �ec'rsrd oniine ai
ihe Pin�et�as Cswnty Prc�p�ety� Appr.�isp�`s Offce webslte �t u�c�_org.
C� Ft1TURE IAND U5E Pl�A1V DE5iGA1A71t}N (CK�[1NTY) can be found by viewing a Prop�rty Re�ort vsing PinetEas Co��aty's
Pubiic Gt5 Vieweravailabie onfin� �c h�t �;1lgis aireelt��cp��or�j ubfic �isl. Sea�ch by property address w Parcef l.D.
iVumbet and report witJ appear.
p FUTURE iRNi3 USE PtAN DESIGNATIOfii {Ci7Yj is typically#he same as the lancl use designatfon fn Pfnellas Cs�untY, unfess
appiicant �s prcpasJng � chang� �see slibmlttal pacicage r�qu➢remenis #or more informatlon}.
Cl ZDN(Al�, DISTRi�T (COUN7Y} can be found by vi�wing a Prnperky Repc�r# using Flnellas Caunty's Pubfk G1S Viewer
availabie �rnitne at httb:llaFs.�inellascotrntv or�/9uhlic �is/.
C'3 �ONfNG I�15TfifCi (p7Yj can be f0urtd bY contatt3ng the Pt�rtn3ng and t}}evelraprn�nt Departm�nt or uiev+r�ng the City's
�on�ng At�as. avallab�e onl�ne at .
httn;//Vk+i1w tte rw e�wa en ir.���,�ylit�tians as.as .
�J StTE A3tEA jACR€5) cart b� found by viewing a Prm�erty Repvrt u�ing PIne(ias County's PubSi� �!5 VEewer avaiiabie c�niine
at%�p"/!�1 c�in�►ta�rountvora/nublie ais;(.
W�l.Altli'!� jie Ci91'�i0�'k'kPi193ES 'A'Cjf�4iiTT9Ctli, i�S�i S. T�`�'4#3C� A.Y�9Stt8, G�e�n�ra�r, �L �zs8, Ta�t:..72'f.��s�-���; �a� g27-�2-426�
F'a�� 3 oi T e^c,�?%tacd �3E+,�
:'ac � 1� 2u3�: i�.�"».� i'� F�x
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�n�c�rrr�����a i+�r A,��►li�a�ts
�TT'T�Mil�4111iE AT PEiBUG H EARl�2GS
'The �ppl:cant or ap�s!(c�nt's representat3ve Is entoufa�ed #a att�nd City £ouncil public h�arings unless ih� annexation
periains to a properry devetoped c�r to be developed a�lth ane single famiiy r#�v�lling.
STAiVi�ARQS f+OR ANN£3U4Tit�H
• tr� de#errts�ning whether to ann�x a property, t�� C'rty Sh�ti SQnSideP the BXtEC�ttB which:
fl The pr��cssed annexation v�i�1 irx�pact pubtic serttites (e.g., vrater, sewer, pofice, parics, et�.j.
+ �
� The pra�qsed arsnexatian Is consis#ent with the pty of Clearwater Com�rrPh�rzs�ve Pion. �
� Tlie pro�as�r3 annexattan requires a chang� in th� fitur� tand use ard a�:tir�g ctassl�cativns assign�e� tc� the
propertyas urell as th� )urlsdict}on fir�r �atd change,
� ,:r.�"as � �" _ -a _-.;.:j:�. ... .........x��s.�a+: �..�iae a.i�7 zc�UiiSilQP15.
+� T�rms of.a propase� M�exati�n R�eemerrt, ii anY, prvznotes the Gity � Glear,�-�t�r �om,�rett2nsive Ptcn.
�
PR{1F€Ri'i� �C#WTIER }�.C�����tiAf�lT
�lea�e b adv'ss�ti that, in consi�eratior, ar th� an^�exatio,^, th� prape� ov�ners d� hereby a�r�e that,
�A3! struttures an� improvements which are �r�rtecl upcsn safd praperty subs�quent to tha date of this pati�lon fp*
ar�ne�catic�n s�all cr�rr�p�ty wlth a!I appltcable City of Glearv,�a�er r���tazi�ns and ardinances as set farth in th� City
,�ad� af prdinances;
� Aii res�ienxrai rental c,nits, i�cluding s�r��le�farnily residersces must ccrn�iv ufith t�e re�uir�rrar�� �;� �kr� cit�s
residetrt3al rentai ordinance, which requires the prvpeRy owner to fltstairi a 9�siness Tax #teceip# upan a�nexa�ion
��'tv �� c(iy; �
� tf d�ve�opmerrt is iQ be init�ated prior to submission o# an anneacatiun pet,i�io� �n�!/or prlor to ttte ef#ectfve date of
the annea�a#ion, requlshe site plans. piat, and engineering pians shall be su�cnitted ta ensur�e co�spita�ee ++vith the
cit�Is Cornmunity Devel�pm�nt God� ��ee Submitxai Package tnstrttttions Checkltst). ff !s recornrner�ded'tttat�th€�
appfirz�rt me�# wi#h Pl�nnir�g and peveloprneni Depertment s#�fi !a �view pians and�or dl�cuss the a�npllcabte cit�r
regutatiar+s;
�f A,�# annexations of rssidenti�l dw�tling,s o{ eight dweiting units �r mor2 shaEi cor�vey Such re�reatlon fa�itities fe�s
and �ecreatton iand dedication andlcu- f�es in the arrszwnt and manner prescr��ed by �hapter 54. Artisle It of
�tearwdter Code di t�rdinances; and
L?' Whet� any suti5tdt�d2�td 3bta�.litg street ar sUlities are subsequertly upgrade�f by �r� Ciky to mee# Ctty Stand�rds,
said improvement(s} wiil be done an an �ssessment b�sis, �ns�stent �aRh �1ty pr�cedures th�refare.
Planninq iL CM�v�ia#mwnc Dop�rEan+�nt 1A0 �. l�Exztjo �urcrz�c�. Gi�art�r-�r. P'c. ;3.°�7�s�. �ra:� r7r_s�x.assr: rmx� �xr_sas.,i�s�
3%B�Iti +� OfT RaWrstgii E�319 S
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t� ��T ����t���
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PRt?F�li�' C2W�UER {PER DEEii):
, MAtt!#JG ADDRESS:
Rf�tON€ NUMBER:
EM1�11Lt
, , A+�fNi`G31R �ttESfNTAT1VE:
i1AAi�.1NG A�flRESS:
PH4NE Nl�MBER:
ENIAIl.:
07H�R P#R'StTNS NA1tING ANY �WNERSI,�IP j�41TERES'T 1N 7HE SU81ELi PiiO�#�'F'�t:
�IAME:
I�iTERFST IS:
_�.�.�...._. r •
SP�CIfiIC ENTERFST HELQ; ,
�30E5 A t{:t�M'iiAAC1' IXtST f{iR BAL� QF Ti�€ �Si181��7 PRt�PER"{'Y? YE�v ,� NU
G�NTRA�;t'!5: �� '
PARTlE51C�YC?I.VfiD-1�AMf: PHt7N� 3d�lvt8�r�: �.. _...,_._.
. NAME: ___._.. g�tONE Ivt�MBLR: - -.__
1,RE T1�ER� ANY C►FTiG"7�1S Ti� PURCiiASE Ts�� SU�ECi` f't��3 FE�2TY?
PR��ES CNtf(?i.VEt} --l�AhAE:
� N+4MEt
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A�f 'T'Hf� AIVY Mt}Ri�iA�SES Cfii LIENS aN THE SLtBl�R PRI�PEiiT�? �l Y�S NK.1 '
PHtiNE NUMBER: ���'�W.��.�
PH OIVE NUMBER:
� Y�5 1� ��
Pti�l�VE NCIMBER,
PH'C3NE MUMB�R;
4�ART1E5 {M1tUOt,Vgii �NAM#E: ��__�j�},,,,,t-��? rua1L��
NAM'�t �� S �it3 �Ik'�
STA'iF t� FWRIt3A, Gt)lJN3'Y t3# PINEI.tAS
i�we�, the undersigned, acknaw�edge the# �II repres�n}.atit�ns made in khis appilcaii�an are trs�e and asxuratE to the b�st of rny
knovv3edge arn# autharize �ity representa3iues to visat and phoingraph ihe p�operty described i� this appii�tion,
5warn to antl5utssct'Ebed betote t»e Cltis 1 lv_ �s�y of
,_,;, C� r�c<Cz s" t.,i C' � �S
��.....L.�Wr• Y
` -�--�� c. �•� .��;�y��q.� r y. . whfl Is e ors nally know±t has
_ �_ �__�..__�
produced ._..�_' __ as identificatlon.
�
St,g��'.ur'e af properky n�t representative
, N�t�ry pubtic, � -
My cgmmEss4on ex�sires: 1�.._,,,�' '�.. �° �'� � 1
i�MR7'{Ip¢'j�. S: �RinvqF��d�.ti.!nM�#�� O�tjs#:t9?19Y� 1fl0 S. �RyfRfa 7�IV0nYP� Ciaa a�� . r �, , c� ;� .
+� ... tcs Rt �:�� ..
�' �13017 w kx =�,°,, � � 3";BVIat �Q�li3
„`r f` c NOJ�r� P�,aUC -� SIAt6 D1 �ItM�i
��"� �__ My Comm. Exp�fes Dac 2l, 201f�
. ` `,,�,�' COmmiSSiort �M EE ,361200
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AirPi�a',, 9oada0'.TEuwrpt►t1qt�I��Mc1�ry�Assn�.
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� ��::��i�g �, �ev��npme.�t Qepar��a�i
� �������� P���tio�i f��- �r�����i+��
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;� � �f��d��� �c� ,�lu��+��°��� :��,��e�ar�se��t��re
1, P�avide names of atl properry ow�ers or� d�ea — PR1NTfW! r►ames:
i G�in1 �i; �. r r�R T-�:'?�,�,�� #_._.
"t"'r�4�,t �E �nn�,,� -r.I _.,_.
.
2. 7hat �i �m/we are) th� owaer�s� at�d rectatd title t�lder(sj of th� follnw�n� described prop2rty:
� "'� fi 1 E F --�
H. ?itat this pra��ri� constitutes the property f�r which a reques! for (c3�scrlbe rec�uest):
�,�,
�t. 7'hat the underzigned �hasJhavej appainted and {does/�cs} a�po�nt;
as ;h3s/the3r} �gent{5) to �xecute arry petlIions �� oth�r tiucunt�nts n�ces5ary tc� a�ffect stacf? petitit�n;
5. 7hat this a#fidavi# h�s b�:n exe�uted to induce the G�ty of Clearwatet, ��orfda t� +c�nsider ant! act csn ti�e abav�
�1�cribed property; ' .
b, That sEte t+isiu to ih� pEapert�r are necesa�ry #�y Gity repr�sentnt;ves in ard��- ta �roce�s thfs appi;cafiian and #h�
owner aukh4rix�s City representatiues to vEsi# �nd �5hott3�raph th� prope; ty d�scYi�d in �his a;apdicati�r;
,
7. '�hat �lfYre), th�� s:�r: ',. by t�r�ify that th� €or� e�in� Is e and co #,
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rre rtyC�wner ,r�p�rtyG'� ner `
�
Pro�r�5' �wner PrCpertY Ow�er
_
sr�r€ o� ��or�aa, cou� of �tnr�itas
BEf{7RE ME THE UNt7£RSIGN6CJ, APi OFfiCEit DULY fAMMiSS10NEC7 BY 7NE IAWS flF Ti#E S7A'TE CiP Flt?Ri�1A, fJ�t
TMiS �.�..^ DAY dF ��. �.� e:: C" t:-: ,� C 1 J PERSt}NAIiY APPEAREO
...� —
,,._ l'{ G� C>, �--{ ._�t' r"Yt tr"�rt f' y""3 WHi3 HAYI�C, BEEN FlRS7 DUCY SWORN
DEf'OSED AND �1Y5 THAT hfE,/SHE FUE�Y UNDERSiANDS� THE taC3N"tENTS t�F 7HE A�Fit�AVITTHRTN�ISHE 54GAtED.
t�ot�try 5ea11Stamp
�,� �
� �,� ,�..�-�.t,'��.._„�
�� tary Pu�i(c 5�g^�ature
My carnr+nis5ion Exp➢res: l�, � Z.. �--
..�.�.._ � �- C:;' } �.�^
i�►n/i�ri.
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�•Aw.., ,�g� �'/ �til,t ��� �'�l�i t, 4ifD 9. i�tt1�.4Y! s7u4, Cisa�rs�aCas, �=L 3�7�, %t7� ?'a7'�ti"�37; f�X' 727-5$�8�6
��, �. : r�nu1 s ,
• A� Sta#3�+IFFD►itla� t��vi�tlC�31i3
� _�MY Go�r rn :�o,res DaC 2X. 2ttfi �
't �`` CUnr s 5�•:'r. +Y EE 86i?OQ
� �,R�ltl@
=; tiat:u�ai kw�itYAlt�t.
• 3�e ^_ 17 ; €i � � 3 �,:=! > F;� r�ax , ��:. �,
�
' �������� ?>iar�ing S� �3�v�ic��ar���t ������ e�t
�'��ii�t�k� �s'J�' 1�:1�3C���L��il�
�' ��.���en�a�ni,�� Si�:�er�te���
,
��t�p��r�r ow��;�� ���r��:
MAiL1NG A�DR�SS: .
1=
r d�b
�17Y �3F �Cl.�'ARWIITER G�Sf
r . Nu�s�a� � .
IJwe, r
[irt�ert names cf afl property owne sj, having fll�:d � Petition fpr Anne�rat3on regarding Che abnva property/case number,
�ra❑t consent, agr�e and acknpvu#edge that the City of �learwat�r �ay ir; �mediately or at a l�ter time proeess #he app�catian
to compietion, incFudir�g adaptiot� arfd recordati�n of reiated Ordina»ces, withoui th� rsecessity ta further not)ce me/a,s.1'h,s
Supp�eme�d( StaLements�all supe�sede any provision ir► any :��reer.�ent to Annex executed by me/us csr mY/flur
prgdec�ssars in ir�terest. , ,
IJwe further agree and admowledge that IJwe 3hatl not resctnd the Pet�tlan for Rnnexation 4r execut� any dacumems
a3ter±tpti»g such rescission, dnd t�tat dny attempted r�scitsion shai! �e of nvfarce and �;c*tt. ,
STAT� � fi.i?itibA, Ct?tJN �Y t3F FINELL�tS
l(w�), the undersi;gned, acknawledge that ati represerst�*�ons marle trt this application �re true �;r� a4�arai� ta ihe b�s�: �� r�r1
kna�led�� and autttnrize Gity repres�r�taiives to v�sit and photograph the prflperty described in fhis �pplicaii�ri.
5warn to an� st�bsc�ibed before me ihfs � W ��y �
, ��.�: � i L c G � � �_ _ . � �' i % �y
�v' Cz�,; �-t ��.a'1� v`� �;- ("1 wF�c '' pe o�ly k wnJE�as
+�"�►��� a& iderstific�tson.
5�natur� of prt�perty ow�ter f indivldu�l or 2ut�t�rixed � .
representative of ccrporation, partr�ership ar other (fL� ,/' ,�
�LMt•T� / 4 � i .. �Lf V����'i..�.'t S 1 f �� �' :ti—�_.�1 �.
of ea-prerperty owner
Not�ry publlC, �
kty camm#ssion expires:
�rAr��
� `•,�m• CI�IDY CUIVER
FR.. n �h :.
=:�' 1„ : Nutory Ppbik - St�te ot Flo�i�a
_ My Comm. Expites (}8C 17, 20t�
:�` 4;=' Gommission � EE 86t20U
,
�� o" c��;' Bon�ad ThraupA N y�
��IHiNt jtj��f�Vi�' Y.�..
� r
F'3rtnnin� �E TJ�t�rDtapdnaet De►pulttmFttt� 1tl1� �. �+,rr2la� dlut�t4s� Gi�tsz?��r, �►.'3��� 7�*i*i: P27-S��-4��'i; ��x^. 727-5�2�5$
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h��v;-�si 0�:1 �
[7�r 11 2014 16:+33 HP �ax
Pa9� 2
�
' �j �����,�� Plannfng & DeveEapmeat Department
� P�eti#fon fvr Anne�tion
�►u ��.�un�s aaE ra aE �u�c aur con��Ey �►�ra to+��rn�r. ,�� suen+�rr�a s� p�asc�a t�a F�x qn
DEWERES)'TO THE PLANHING � DEVEtOPMENI" DERARYMEN"f MiY NQQIY QN TNE SGHEOULED DEA�JNE DATE.
J� TGTA� Q� 14 CCMPIETE SETS DF APPL1CATfON AMD SUPPLEMIEMILL Mi1TF.R1Ai.3 �1 OII��SINAL AN0 23 C�PfESj AS
�QU�D lAlt[l1EN �iRE TO �E StJBMITfED: FOR REY�S11i BY THE DfliEt�DPIIi�M' NEYIEW COMiritTTEE. APPL.ICAY1pt�i
ANp SUPPLEI�+�NTAL MATERIALS ARE REQUtI�D Tt�:E COWt7ED AND STAPLFD ENTO SE75.
!T IS INCUMBEi�lT i!P!ON TH� AIPPl,IGM'F TO 5�18MfT CQMPLETE AND CORRECT 1NFClRMA7�N. ANY MISlEADIi�,
'nECEP"lwE� MK+QMPi.�T� Oi! ii�tt�#REGT lNPOftIIAAt�t tMAY lNVA11DATE 1fOUit A►PUGtION.
iHE APAUCANT, 6Y HLING 'TNIS APPlJCAfilON, AGREES TO CCyN�LY WC�H ALL A�PI..IG81.E REQl1lREMEI�iTS QF TNE
OONNNUNITY DEl/EIOPMEtiiT CODE.
APPUCATiCJN Ff.�: $0
fMP1lGT ��/AS3ESSiYIENT i�E: TBG tnfamafion on lnr�9c!` FeBS 4rASSessrnent Fee.� is s�vaailebAa fiam
the City af Clean+va�er �gineering Depertmenf (582-4'74ij.
PRqp�lt7Y OW11�R {pER DEED�t
MAILING RADRFSS:
�1i0liE NUMBER:
ENWII:
A6EMT OR kE0'kESENTATIV€;
M111{.ITV�a ADi�RESS:
PHOME Nl1MBER;
EMA1L:
ADDI�SS f�F SUBJEl;i'
PitQRER7Y:
PARCE L NIJMBER(Sj:
�EGi�, DESCR�PTtON:
C U1�,E'M i' C! 7 Y Sf R i/� CE',�:
Jt'�QUE�TED +�'YSFRVtCES:
{sekct otl ahor apptyJ
-1'i i {p
'�� ct �, n..- _�Q
5MtRARY 5ElN
�
0
��� SaL10 WA5'tE
SEWER SOUD WASTf
f WAl`Eli
Pi�nlnp a I�w�loy�n►rnt tf,�lwrtlnw�.1� J�. MYrt�s Awnw, CNNruwabr. !�t i�7i�, "Ta�i: 'Ml.s6Z.ibd't: (�ax: 72T.�1t=-41Nt6
�'�4r►1 �7 RoYisOd03rta
Fi
�
0
�c 11 �Oi4 15:43 � Fax
{�age 3
�LL Flanning & �vetapment Deparbnent
������ Petition for Aaanexattion
'' Data Sh�et
��E �n�su� �'►wx nfi� Fa�win� �r�o�na�r�or� �s �tt�o cwT, u� ns �nrnwt�tv. FA�u� to �� rr�is
Fo� wru. �sut� i� trou� ��uun+an� aE�trs wux� uNCO��,� �u vass�tv c��r�o u�mt �� Fot,�a�+rnt�w
a�uno� crccE.
fUTGRE 1AND USE PLAN GESi6NAT1pN
PRE5ENT (COUN�:
R�ctu�� {cinr�:
ZOt�ttlVC DISTRICf
PRfS�NT {COUh'T1():
a�c�u�a �ctnr�;
C
iT
st�r� a�t�a: _ A-.'Sy^b.23�, acres
SIZE CF DEVELOPME11tT :
Existing; �
Propos�+d: �
(e.�., rryrnber of unkx l�ote! r�re»3 or
»cn- rsasiderrt;at squa�e f��'1
USE OF PRO PER7Ys
E�sting (currrrttiy on slte},
Prcpose�d {npw use, iF arry;
pfus enisttng if to r�rt���):
Iftesiderrtiai use, is un�t{s)
rrrrtal?
S1�tf�� f�M1c.'i !'i'OME
..
e .
sr�Tf af Fu�cri.. oounrr o� rin�4u►�
i(wej, ihe undersignetl, atkncswtedse that all representakians made in this a�plication are true and accurai� to the be3t of my
knowledga snd authorit�s C[ty rcpresentat�ves ta visi# and pt►crtc�raPh tha properiy described +n th€s appltr,at(at
Sworn o and subscribed befcre me this �� d�y of
�' ...
�.._ � K.t if _�f.s�.� �Y
. �2.i who is lhes
� _ _ _ � produted ��an.
owncr
proPeriY aw�er ar r+epresentat�ve
. �
My zvmmission e�tres:
�
�
PlMnin�: Gw10l�1M►t Wp�rfr�yM►tN,100 8. NRyftie Xvaetiwr, CYrwwrnr, Fl ",{3TaIS� Tii12 72i-d�lT-48t7,: l�sx; 727�Qit�4:ii6
➢a�o i�T Rwl,qd ��J'!3
C3ec 11 '2014 ib;43 HP Fax
° �1��'�fi��
�
Submittal.
page 4
Pl�niag 8� aev�topment nepar4m�ent
Petition for Ann�xa�ion
: Znstrucct�i+�t�s & Checktist
W ADD1T10l�! TD �"F{E ODM't�7"ED ANND�ATIQN PETITK)N FORM. AI.R PEit17QN FI�R ANIUEItAT�1N PIIGtACsES
iNQ,tiDE A Stl6iV1�t7'AL P1ICKAC� TMAT i!�lCLUDES THE fOlICiWING:
t� 5igrted artd sworn (natadted� disciasure of 'rr►t�est statement {forrn �ctachedj.
O xtf the prqpetly f3 noE a platted !ot a# rec�l, a current sunrey (dentifying the c�mensians, area and lamtion of the
property having been prepared.si�ned �nd sealed by � land surveyor cwrenty n�Isttred in the 5tate of Fiorida wlthin
th+� rnost ►�tertt 12 marnthx. [Noit: Sabmk two tWyle's oralY}
i3 �jf daveiopmeM is ta be initiated prior to submissian of m ann�xatfan rseittlia►� and/ar p►ior te the effective date of t�e
anner�atlon, requi�ltg site p1am, piat> and englneerk�g plans.
GI �Terrns af � propcsed Agrreementto Annex, if any.
O,�tt the propaced an�exatlo� requir� a change in ihe land use dassficati� and zontng category assigned to the
preperty. a justification for such char�e must be submicted l� +Nriting, If th� requeardad �oning is not consistent wiih the
iuturt Land U�e Map o# the C1ry of Clearwater Cor►tprrhtnsive Plon, the apPl"�cant +ntitt be raquired tv fl!e a tams�anicn
apptka�ion to ar�nri the map.
0 i�ao# of o�wt�ership {e,g. apy pf dead title insuronce pollcy, a other instrument dernonstrating ownership}. (Nvtr:
Subm.it iwv rop,�es onlyj
G7 if czu�rection to city servtces is desired prksr io the efFective date vf the annex�tian. �PRtka�nt must pravide notarix+ed
P�tltion #or Ann�atbn 5uppiemen�tal Statement {f�m attaehedj. (N+�te: sutur,tt or�r»ot watyj ��''�
0 tf applicant #s designating an agertt/rspresentative to v�mrk w3th C'rky, �piicant must provide notari�ed Aftirdavit ta
Authra'ite Ag�ntjRepr�sentst�ve lforrn attachedj• INote; Subrnii ortpiAOf oMyj �,��,
INfORN1A71bN IIEQIl�1REti TO CAMP1.Ei� THE PEC([40N FOR ANfiIEiGATlCN APPUCATION pIYCt pATA SNEET CAN 8E
PQ1lND QN 7ME I�LflWIf�fG OOGtlN�NTS AND/OR ONUNE AT TME �OLLQWINCi WESSiTE'S. tf iME APP�ICANT i5
UMtkRTA1N W►l�IERE TC LDGTE TNtS 1MFQRMATION QR !lE�D3 A�DttlC�NA4 AS'�ISf11�CE. PLEASE GONTAR TNE
FLANN�F6 ANQ DEVfLDPh�Ni' i�ARTMEN'f. LiQNG RANGE �iAk�VINCw DIVK�ON AT 7"27-5K1-�+15b7.
O PARCEL NUMBER (Parcel l.D. �tumberj can be fcund �n she Warranty Dred. ft can also be k►und by searching the
Pin�tias County Property Appraise�s O(f�ce website at www.ncoaa.or� {search database byr address).
❑ kEGAI DESCRI PftGN can be found cn the Warranty Deed. lt carr alsn be faund by viewi� #he propertY record bnfine at
the P'sr�e�as County PraPertY Ap�raiser's Ofiice weFssite at v,ry�r�.ocaao.or�r.
O FUTURE LRNt? USE PLAN DESIGNATIC?!� �COUN7r) �n be found b�r view�nQ a Praqarty Repc+rt using Pinel#as Caur�ty's
Pu�Itc G!S Viewer �railable enli�e at 11Lt�:11� .js nine�sc��r►ts�.ora/�biic Qrs/. Search bY ��P�Y addrexs or Parc�l I:D.
Number and report wil� appear.
Q FUTURE LANt3 USE pLAN E?f51�NATIpN (CITY} is typicaiiy the same �s tAe land use des�gnatlon in Ainellaa Couniy, unless
applttaM is ptoposing a thange {see submitta! package requirements ic�r mqre information},
❑ ZO�IiNG Di4TRitT tCOUNTY) can ba fas�nd by viewir� a Propert,� Report usir� PineNas CaunlY's Pub}k G!S Viewer
avai€�fle r�►thne it htt�:llg'��i.C�,�(Is���3tiG��/ j��� 8�1•
Q�DNING D{STRICT (Ci7Yj can be fCU�1d by car►tacti►►g ihe PlBnning an� L7evefaprner�i bepartment tir viewing the Cityrs
�or�ing Atias, avdilabte onitne at
�tcn:ltx�ut.��a r.�amla�+ld�.►z�tsj�lwa/en ' /n�bitea�,onsfenASetasistlas.asn,
C! StTE AREA �ACRfS} cart be ^fbund by viswing a Preperty Repori using P}neNas CountZis Public GIS Visvrer available onllne
at htm:lf�is.�netl�ntv„+or�I��,C �isl.
p� 3� i O�voloP�'►1�nt WpMtbnAlll�, !00 3. Mytltl► Avvnw. CIMfM►aMr> ft �1Mi'�1, 7N: M7-11��107; FiRx: 7YT�b 3
D�c 11 2014 16:44 HA Fax
page 5
4 Planning & I3eveiopmen# Departme�#
° �ar��ter . .
�
Pet�t�on for Anae�tian
Infurmation far A�plicants
�►,�r�� �►,r nus�c H��s
The appii�� or app�cant's represeniative is enccuraged to attiend City Counai p�llc hearir�gs Unless the an�exation
pertalns to a propetty devdoped ar to be develaped v�ith ane single family dwelling.
STANDARD6 fOR At�IEXATION
in t1+�termininQ whether �o aru+eac a property, the Qty sha� taRSidtr Lhe extent tq wttich:
�"�he p�opo�seed annexation wili impaa pubitc senriaes (e.g., wart�r. sewer. pollte, parks, etc.j.
t� The praposed ann�tion is cons�stent wtcb the Qty af Cltarwater Comprehenstve Ptan.
� The proposed �nraezation requlres a ct�ange ln ihp 1'u�ure i�nd use and xcmH�g ci�ssitkation3 ass�ned to the
property as unsN as the jur�sdlciion tor said c#►anQe.
� Exist�g or proposed tlevelopmern is cansister+t with C+ty r�gulations.
0 Terrns ot a Fr�s�osed Anneacatian Agreement, if anY, Promates ihe Chy of �learwater Corr�prehensiuwe Plon.
PRt3PERTY QWNER AiQRiE1M�NT
�#ease #� advised tha� in ctx�sidtr=tion af the annex�tion, tha property own�ers do hereby ag�eQ th�t:
l�rAl! swCtutes gnd irr�rovernerrts which �re eretted ups�n s�d properiy suhseque�# to the da#�e of this petltiar� for
anne�catian shalt campfy with all applltabie Cit�r oi'dcawwater reguiations an8 c�dinances as set for� in the Gty
�ode of 4rdinanc�s;
Al! resideMiai rentai units, ir�lu+ding single�amily residences must cornply wlkh the requiremerrtt in th� city's
resid�nt�al rent� ordinance, which reqs�res the prope�tyr awner to abiain a Business Tax Rece3pt upon annexation
�th� ctty;
fd !f devebpnient is to be �nitfated pria° tc su�nission ai aa an+aenation Detitiar� andlar prior to the etftctive datae af
the annexai'r4n, requix#te site plans. Plac. and ert�ineering plans shali be submltted ta ensune tompilante wlth the
citlrs Cummunity D�nrefapment Cade (� Submttql Padcaige tnsirurttions Checkl}st?, �t is recornmer�drd t�hat the
appllGant meeL w{th Pianning snd Devriopmsr�t DepaRment staff io review pl�ns andjor t3lscu�.s the appl�ble ttty
/�Cgt1l8titJRS:
Q" Ali annexaticns a# eesidenti� dwetNng,� ef aight dwellEng urtits or more shall cwfveY suth reKreatlon fac�itles fees
ar►d recr�a#ion t�nd dedi�on andfor fees €rt the arnounz and mar�ter presu'ib4d by t��ter 54, Rrticle tl of
ClearwaterCode ot Drdinances; and
�when arry subst�nd�d �uttlr� strest or util�sies are subsequently up�raded by ihe Ctty ta meet CYty► Standards,
said impro�rement�s} wiq be done on in assessment basis, C�onsista�tt wiih City procedur�s ttterefate,
��i Dwrkspnwnt DvRw�b�wnt, 400 �, Mrrtl� Awnw, CY�r�ww►. Fi a3�bd. Tr�_ an.sax.asrr: s,uc: m,sas.��ul�
RMS�q OJ113
[7ec � 1 2Q14 1�44 HF Fax
Pa9e 8
u �11ILDltt� �, IiBY�OjttYlEl�i D�p1I'#�t't�At
� �`t��t���' ' . .
P�et�t�on far A�ane�ti�n
° Supplemental 5tatement
�o�mraw�t��� c�c�;
MAiUNG A�t3RESS:
iITY OF �LEJIR1NAi'ER iA3f
NiJMBER:
�
i/we,
�nsvrt namas of aIFP�1�rtY � I� havirsg flled a Petition for Mne�tlon regaroling thr abr�ve ProptrtYlcase numbcr,
grant conser�i, a�'ere and acknowledge that the Gity af Uearuvater may immedia#riy or at a later ti�me process the appfication
to tc3mpEetion+ ir�uding adoption and recordat�on aF relateci C}rdinances, without the netessity ta further r�pticr me/us. Th1s
Suppkmentpl Ststement sftaM superstde any pravisia� in any Agreernent to Arinex e�necuted by me/us or my/cwr
I�retJecesscrs in in#a��st.
tl+A+e furthcr a�rse and aCkr�ow{ed�e ihat I%vreshalE nat resdnd the Petition for A�►ne�cation cr execa�te any documerrts
atterr�pting such resdsxla�, and that any mempted rescissior� shalt be s�f na fc�ca �nd �feet.
sra� c� �r.oeia� cciurrnr � �n,ew�s
1 �vra}, the underslgnecl, �cknawied�e that atl represcntatiorts mach in dsi� apYpikation are true and a�rate to tlte �resraf mY
knowkcl�e ar�d authOriza �ty repres�tativas to visit and photo6raph the properLy descr�ed �n this applkation.
5warn to nd sul�ibed beFore me thls /-�� day ai
a. il t � � bY
i -�r --. ` .
i � �t.l' �o who is pers+�naily knownJhas
��,�
�/ ��F �,'� produted as tdenGflca#ion.
,� 5(gnat�re af P�P
representat�ve of
antity}
�
signa�wrc
(indivlduai s�r �n,ttht�rixed
►. Parrtne+�3hip +or cather
awner
� ���
�Iatary puDik.
My tommisiion �piras;
'/ �,•t,{+it€ (, ;�
"' ��~S
�� � �
� � �
� � � -���
.
'�'ti_ � rtr� i!.
F+iM11�&fp i dlivr�o0++'��k �p�'bn�nR 1D0 S. Mxrtkr Av�nuuuR qw'rrytt�r� FL 33TE16. TN: 727-fl�2■i�l7� Ff�C T27-6i?.+41163
P�a 7 a4 7 R�v� o3ft a
Dec 19 201 d 1�44 }� Fax
Pa� �'
LL Pl�nneng � Uev�lopme�t D�p�rtm��t
° � ����r • �
Pet�t�an for An��eatatit�n
U Disclosur� S#atement
PROPER71r flWNER (PER D�):
n�aur�� Aaa�ss.
PHONE NUMSER:
ENWL:
AGENT Olt R#Pi�SENTATNEs
MAI�INCs AD[)RESS-
F'HONE Nt1MBER:
EMAII:
tiilE� FEFISDl�S HAYiNG AN1f OWNEIlSNtP 1!W'N'ER�i" IN THE SU81EL7 PIIQpERTY:
NAMf:
iNTERESTIS>
SPECIFIClN7EREST HELD:
DOE5 A CQNTRAt T EICl3T I�DR SAtE +D� TH� SIIBfEC� PROF�Rrv? YES ,f'' NO
WNTRf�Cf IS:
3�ARTIES iNVqLVf D— NAME: PHOlVE NllMBER:
NAM!£: PHONE NUMBER:
ARE'iNEkE ANr oP1tC�VS tv PuRtw�i'iE'r11E St�lECt PROPERiY? YES _�I NO
:Fc
�
PARTIE5Ii��tLt���t� — �v�s�: P�a�u� �uut�s��; _ :.., . .. :
NAME� PHONE NUA1f�3Eli:
AIiE THERE ANY MCR7'C,1l�iES OR ttENS ON TNE SU6IECT PI�OPEi1TYi
' ► .; � . a � ' . -,.
�:�..� '•i
� YES iVp
PMC3NE NUMB�R: L�A �'3�i t�'7 �
PHONE IVUMBER:
STA7E tiF ftORiDlly EGUMY t)F P�NELUS
{ iWE), ihe undersigned, acknowledge that ai! represent�tions made in this ap�lcatian are true and accurste to the best of my
kn�fwted�e and autharize Ctty represeMativ+�s to visit and phetp�rxph Rhe pro�erty dCSUibed ln thLs applkstia�.
5worn to ar►d subscribed Detore me this J� day of
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���� ' '�e.f C.� . who Is persona0y kr►ownJhas
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p�oPertY Owner �r
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page 7
µ �{�[�1� �`�3 Planni�,g 6k De�etapmer�t i�eepat�nt
Q ���sL TT i�i�Wr� �
' Petition for Anne�tiaa
� Af�davit t� Autharize en# Represe�ntative
1. Provide n��s oF ali property owner3 on deed — PRlNT fuU names;
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2 Tt�at (I arn/we ane) the awner(sj and rernrd t;tie holderjs) of the �ollawing deunbed �xrsperty;
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3. 7hat thia Wope�tY constitutes t#�e praperty for whl�h a�uest for �d�sscribe request�:
_.�N+��A T ! c�nr%
4 That the undrrsig�ed (has/hav�) appainted and tdo�s/do) sppoint:
as {hisJtheir} agent�s) ta execu#e arry peiit►ans or oihe� s�curnents necessary to affec� such petit�on;
5. "ihat this a#fidavit has been ex�cutad t+a int�ce the CkY o+i C#ean�ratrr, �forida io consider and ac� an the above
deuribea prapertyr,
6. That slte v�1ts #O the pn5perty a�e n�arY �`Y �Y represeMatives in ow�der to process #hls appi�cstion and ihe
owner authori=es tt�tY r�press�►tativ�es tc rnsit and photograph the propert�+ describe� �a this appliwtion;
7. that p/wej, the u�,,,_,nd�rs�n+�,d.aut 'irarr�by certi#y that the foregoang ts true and +-=±--e�!_
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P�o rty Ownef Property t)wner
Property Owner Proptrty Owner
STAT� Of FEOitIRA, CQ11t�tTY QF �NYEELAS
BEFORE Mf 1iiE i.iNDERSlGNED, At�i gFF�Eit pUtY CAIVlMl55lONEO BY TNE iAYdS QF THE STATE OF FtURtDA, ON
TNIS � J � DAYOF � r'11 J C�Cf �� . DERSQNALLYAPPEAREO
l d�fl N �'�.i`a�,, '''�E Ql,e ,j'J �e wiiO HAVI��i6.'Si DutY SwoRi�
DEPOSED ANi? SRYS 7}iAT tiElStiE FU LLY UNDERSTANO5 THE CAN7'�iVTS OF TH E
Natary Seal�Sramp
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Aiotary Pub1�
My Ccrnmission f�ires:
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r�snawna � wv�aqn�.nt ta.�.rene+n�r, to�t s. �.,�v.e,u., ca.«�w�ne.r. � sszaa. �rM: rxraox�aea, r.x asr•ass.4e�a
r,�.a ot r �.,r�.a a�rts
I#: 2006083717 BK: 14971 PG: 1401, 03/07/2006 at 12:47 PM, RECORDING 2 PAGES
$18.50 D DOC STAMP COLLECTION $1435.00 KEN BURKE, CLERK OF COURT PINELLAS
COUNTY, FL BY DEPUTY CLERK: CLKDM89
.3 OF.S
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Prepazed By: Mikell L. SG Germaio
SOMERS TITLE COMPANY
32684 U.S. Highway 19 NortL
Palm Aarbor, FL 34684
727-771-8855
incidental to the issuance of a titk insuca�e policy.
File Number: 06020006p
Parcel ID #: OS/29/16/94392/006/0300
Grantee(s) SS #:
�� SU WARRANTYDEED
I, 4 3 S.00 (INDIVIDUAL)
This WARRANTY DEED, dated 03/03/2006 by
ARIAN KiJSHTA, a married maa, iadividually, and as Trustee of ihe AA TRUST
whose post office address is:
hereinaRer called the GRANTOR, to
JOHN V. TEDESCO and TRACI M. TENIIVIEN, husband and wife
whose post office address is: �.7�/ LC✓.�A�`,i i� iQ •, Ll [.4 r u--k %�� �• � 3 7 S�
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hereinafier called the GRANTEE:
(Wherever used herein the terms "Grantor" and "Grantee" include all parties to this inst�ut�ent and Et3e heirs,
legal representatives and assigns of individuals, and the successors and assigns o�'-cor�ontioiis� �,' ,
WITNESSETH: That the GRANTOR, for and in consideration of the sum b�'$1�.b0,arid other valuable
considerations, receipt whereof is hereby acknowledged, hereby grants, baipains, seZls„a�iens, iymises, releases,
conveys and confirms unto the GRANTEE, all that certain land situate in �'ip�(las Cbut�ty, Florida, viz:
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Lot 30, Biock 6, VIRGII�TIA GROVE TERRACE FOURTH e�DpITION,�ecording to the plat Wereof, as
recorded in Plat Book 37, Page 75 of the Pnblic Records of�inel��s Connty, Florida
PROPERTY IS NOT THE HOMESTEAD OF TH� GjtA1V3'OR, NOIt�S CONTIGiJOUS TO THE GRANTOR'S
HOMESTEAD
GRANTOR HAS FULL POWER AND Ai9�'HOT�ITY TO L'ONVEY THE ABOVE DESCRIBED PROPERTY,
AND NO CONTRARY POWERS,OR�S'tRIC170NS APPEAR IN THE TRUST DOCUMENT, AND THE
TRUST IS IN FULL FORCE AN1� �EC:C: .��
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PINELLAS COUNTY FL OFF. REC. BK 14971 PG 1402
SUBJECI' TO covenants, conditions, restrictions, reservations, limitations, easements and agreements of record, if any;
taxes and assessments for the yeaz 2006 and subsequent years; and to all applicable wning ordinances and/or restrictions
and prohibitions imposed by govemmental authorities, if any.
TOGETHER with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining.
TO HAVE AND TO HOLD, the same in fee simple forever.
AND THE GRANTOR hereby covenants with said GRAN'I`EE that ezcept as above noted, the GRANTOR is lawfully ':
seized of said land in fee simple; that the GRANTOR has good right and lawful authoriry to sell and convey said land; ��� �
that the GRANTOR hereby fully warrants the title to said land and wil] defcnd the same against the lawful claims of all ��
persons whomsoever. . _ ' �� � � .
IN WI7NESS WHEREOF, GRANTOR has signed and sealed these presents the date set forth above. �' �� ` ,;�-
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SIGNED IN TH P E E OF THE FO G WTINESSES: �� '�
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Witness Signature: - -
Wifiess Print Name: �'!!KFLI . � pRIAN KU� indiv��
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Witr�ess Signature: �>
Wimess Print Nazne: KIUE ARIAN KUSHTA, as TrM�fee,
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Wimess Signature:
W imess Print Nazne:
Wimess Sig�ature:
Witness Print Name:
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State of Florida `
County of Pinellas
THE FOREGOING INST'xiJMENT was sworn �td�eclmow�edged before me on 03/03/2006 by:
ARIAN KUSHTA, a married man, individneSJy, and as Tfqst�e of the AA TRUST
who is personally Imown to me or who has produCed,drivers lic�ase as identificarion.
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Notary Seal ,���� ` MyComr.�s.�i�xpires Signature ���KELL L. ST. GERMAtM1i
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PA: (737�663-Q60, Fax: (7Y7�626I765
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Original Platted Lot Line
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• Agreement to Annex
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City Owned Property:
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HOUSE ATLAS
Updated: 17P29/2014
SW 114 of 5-29-16
264A
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Vh:�727�663�1750,Fax: p37)626�1766
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'� �. -: ��� Unincorporated Endave 7ype "B"
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___ _ Zoning Atras
Updated: 2/92015
< �-'' � � '.: SW 114 of 5-29-16
�
Property Appraiser General Information
Page 1 of 4
1 nteractive %-tan of this parcel Sales Querv Back to Ouen� Results New Search Tax Collector Hotne Pa�e Cot�tact I1s WNI
05-29-16-94392-006-0300
Compact Property Record Card
Po�cab;r,tv - Data Current as-of
Calculator Mar'Ch 03� 2015
Address Chan�e
TEDESCO, JOHN V
TEMMEN, TRACI M
1701 EVANS DR
CLEARWATER FL 33759-1909
Property Use: 0110 (Single Family Home)
Radius Im�roveme��t Valc
Email PrintSearch per F.S. 553.844
Site Address
1701 EVANS DR
(Unincorporated)
[click here to hide] Legal Description
VIRGINIA GROVE TERRACE 4TH ADD BLK 6, LOT 30
tilort�a�e Letter � File for Homestead 2015 Parcel Use
Living Units:
1
Exem tion 2014 2015
Homestead: No No omestead Use Percentage: 0.00%
Government: No No � on-Homestead Use Percentage: 100.00%
Institutional: No No lassified Agricultural: No
Historic: No No
Parcel Information Latest Notice of Pronosed Pronertv Taxes (TItIYI Notice)
Most Recent Evacuation Zone p�at
Recording �ales Comnarison Census Tract (Nt)T the same as a FE;�1:1 gook/Page
Flood 'Lone)
14971/1401 � $106,200 Sales 121030268041 NON EVAC 037/075
uzrv
2014 Interim Value Information
Year JustilVtarket Assessed Value.! Countv
Value SOH Cap "I'axable Value
2014 $79,238 $72,185 $72,185
School
Taxable
Value
$79,238
Municipal
1'a�able Value
$72,185
[click here to hide] Value History as Certified (yellow indicates correction on file)
Year 3-lomestead Just,'Market Cc�untv MLIIliC1�I
Exemption Value Taxable Value Taxable Value
http://www.pepao.org/general.php?strap=1629059439200603 00
3/3/2015
�
Property Appraiser General Information
Page 2 of 4
0
2014
2013
2012
2411
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
No
No
No
No
No
No
No
No
No
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
$79,238
$65,623
$62,830
$72,426
$89,709
$99,078
$132,300
$151,700
$144,200
$111,800
$97,400
$92,800
$78,300
$'74,200
$63,500
$59,600
$57,100
$55,100
$57,400
Assessed
Value!
SOH C�ip
$72,185
$65,623
$62,830
$72,426
$89,709
$99,078
$132,300
$151,700
$144,200
$97,300
$94,500
$92,800
$61,000
$60,100
$58,400
$56,900
$56,000
$55,100
$57,400
2014 Tax Information
, Click IIere for?Q14 Tax Bill Tax District:
Ta�c Collector Mails 2014 Ta7c Bills October 31 ��Tl�'
2014 Final Millage Rate 21.8998
2014 Est Taxes w/o Cap or $1,735.30
Exemptions
A significant change in taxable value may occur
when soid due to changes in the market or the
removal of exemptions. Click here for more
information.
$72,185
$65,623
$62,830
$72,426
$89,709
$99,078
$132,300
$151,700
$144,200
$72,300
$69,500
$67,800
$36,000
$35,100
$33,400
$31,900
$31,004
$30,100
$32,400
School
Taxable
Value
$79,238
$65,623
$62,830
$72,426
$89,709
$99,078
$132,300
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
$72,185
$65,623
$62,830
$72,426 j
$89,709 ''
$99,078
$132,300
$151,700
$144,200
$72,300
$69,500
$67,800
$36,000
$35,100
$33,400
$31,900
$31,000
$30,100
$32,400
Ranked Sales r�� nac ar,� F�nk,�� sa��s��� See all
�- transactians
Sale Date Book/Page Price /LI W/I
07 Mar 14971 / $205,000 Q
2006 1401 0
OS Aug 12144 / g110,000 Q
2002 1829 �
11 Dec 09189 / $63,004 U
1995 0832 ■
04085 / $29,000 Q
0325 +t�
I
I
I
2014 Land Information
Seawall: No Frontage: None View:
I�aiad IJse Land Size Unit Value Units �I'otai �.ciiustments .�diusted �'alue ;17.eth�c�
Single Family (01) 85x 120 450.00 85.0000 1.0379 $39,700 FF
[click here to hide] 2015 Building 1 Structural Elements Back to Ton
Site Address: 1701 EVANS DR
Quality: Average
http:Uwww.pepao.org/general.php?strap=162905943920060300 3/3/2015
�
n
Property Appraiser General Information
Square Footage: 1614.00
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:
CarpetJHardtile/Hardwood
Interior Finish:
Drywall/Plaster
Fixtures: 6
Year Built: 1959
Effective Age: 47
Heating: Central Duct
Cooling: Cooling
(Central)
Description
t:�tilitv
Upen Porch
Ca�
F3ase
Description
Page 3 of 4
Open plot in �vew Window
Building 1 Sub Area Information
Livir►� .Area FY Gross Area Ft�
0 60
0 90
0 252
1,212 1,212
Total Living SF: 1,212 Total Gross SF: 1,614
[click here to hide] 2015 Extra Features
Value/LJnit Units Total Value as New
http://www.pcpao.org/general.php?strap=162905943920060300
Factor
0.35
0.20
0.25
1.00
Total Effec
Depreciated
3/3/2015
Property Appraiser General Information Page 4 of 4
http://www.pcpao.org/general.php?strap=162905943920060300 3/3/2015
Pinellas County Public GIS Viewer
,- Property Report: 0 ciose w�r,dow -
1701 EVANS DR
05/29/16/94392/006/0300
� .:
Pro�ertv Aooraiser
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� Z'�.4s,..,,,s
��{'�r,,,;�
• -i•
Page 1 of 1
General
Municipality: UNINCORPORATED '
Subdivison: VIRGINIA GROVE TERRACE 4TH ADD '
Tax District: CTF
Census Block: 1030 '
Census Tract: 026804 '
Zipcode: 33759
Acreage: .234
Zonin and Land Use
Land Use
RL. Residential Low '
', Zoning Acreage '
' R-3, Sinqle Familv Residential (6,000 SF Min) .234 '
' Public Safe
' Fire District: 05 - Clearwater '
' Evacuation Level: NON-EVAC
Political
' Voter Precinct: 610 '
At-Large District: District 1 '
Janet C. Long
' Single Member District: District 5
Karen Williams Seel
' Environmental
' within 330ft. of Eagles Nest: No '
' within 660ft. of Eagies Nest: No
' Rec clin b Ci
' Curbside: nuil '
, Dropoff: null '
' Pickup: null '
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