ANX2016-070211450 CAROLYN LN
o ANX2016-07021
01 eamater
11450 Carolyn Lane -Evans
U Zoning: Low Medium Density Atlas #: 261A
ALL APPLICATIONS ARE TO BE FILLED OUT COMPLETELY AND CORRECTLY, AND SUBMITTED TO THE PLANNING &
DEVELOPMENT DEPARTMENT BY NOON ON THE SCHEDULED DEADLINE DATE. ALL PAGES WITHIN MUST BE SIGNED BY
ALL PROPERTY OWNERS LISTED ON THE DEED.
ONE (1) COMPLETE SET (1 ORIGINAL APPLICATION AND SUPPLEMENTAL MATERIALS) AS REQUIRED WITHIN IS TO BE
SUBMITTED FOR REVIEW BY THE DEVELOPMENT REVIEW COMMITTEE.
IT IS INCUMBENT UPON THE APPLICANT TO SUBMIT COMPLETE AND CORRECT INFORMATION. ANY MISLEADING,
DECEPTIVE, INCOMPLETE OR INCORRECT INFORMATION MAY INVALIDATE YOUR APPLICATION.
THE APPLICANT, BY FILING THIS APPLICATION, AGREES TO COMPLY WITH ALL APPLICABLE REQUIREMENTS OF THE
COMMUNITY DEVELOPMENT CODs.
APPLICATION FEE: $0
IMPACT FEE/ASSESSMENT FEE: TBD Information on Impact Fees or Assessment Fees is available from
the City of Clearwater Engineering Department (562-4747).
To Be Completed By City of Clearwater:
TYPE OF ANNEXATION: X CONTIGUOUS NONCONTIGUOUS (TYPE A ENCLAVE)
To Be Completed By Property Owner:
PROPERTY OWNER (PER DEED): Katrina Evans
MAILING ADDRESS:
1450 Carolyn Lane, Clearwater, FL 33755-2009
PHONE NUMBER:
404-427-2394
EMAIL:
katrinaevans@gma*il.com
AGENT OR REPRESENTATIVE:
MAILING ADDRESS:
PHONE NUMBER:
EMAIL:
ADDRESS OF SUBJECT
T
PROPERTY:
1450 Carolyn Lane, Clearwater, FL 33755-2009
PARCEL NUMBER(S):
02-29-15-90288-000-0090
LEGAL DESCRIPTION:
Terra -Alto Estates Lot 9
SOLID WASTE/
CURRENT CITY SERVICES: X SANITARY SEWER RECYCLING X WATER
SOLID WASTE/
REQUESTED CITY SERVICES: SANITARY SEWER X RECYCLING WATER
(select all that apply)
Planning & Development Department, 100 S. Myrtle Avenue, Clearwater, FL 33756, Tel: 727-562-4567; Fax: 727-562-4865
Page 1 of 7 Revised 02/16
Clearwater
Planning & Development Department
Petition for Annexation
Data Sheet
PLEASE ENSURE THAT THE FOLLOWING INFORMATION IS FILLED OUT, IN ITS ENTIRETY. FAILURE TO COMPLETE THIS
FORM WILL RESULT IN YOUR APPLICATION BEING FOUND INCOMPLETE AND POSSIBLY DEFERRED UNTIL THE FOLLOWING
APPLICATION CYCLE.
FUTURE LAND USE PLAN DESIGNATION
PRESENT (COUNTY)
REQUESTED (CITY)
ZONING DISTRICT
PRESENT (COUNTY):
REQUESTED (CITY):
SITE AREA: 0.18
SIZE OF DEVELOPMENT:
Existing: 1 unit
Proposed: 1 unit
(e.g., number of units, hotel rooms or
non- residential square footage)
Residential Low (RL)
Residential Low (RL)
Single Family Residential (R-3)
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)
rental?
ARE THERE ANY ACTIVE/OPEN PERMITS FOR THE PROPERTY WITHIN PINELLAS COUNTY?
IF YES, PLEASE LIST/EXPLAIN:
STATE OF FLORIDA, COUNTY OF PINELLAS
Single Family Residence
Single Family Residence
No
I (we), the undersigned, acknowledge that all representations made in this application are true and accurate to the best of my
knowledge and authorize City representatives to visit and photograph the property described in this application.
Sworn to and subscribed before me this /011t' day of
Tut4,4 Zol(o -.by
�j oQ who is personallyknows/has
Signalure of property owner or representative
Signature of property owner or representative
Planning & Development Department, 100 S. Myrtle
Page 2 of 7
produced as identification
4 '6' ZLd_-
Notary public,
My commission expires: jC�t) 3
Nicole 0.
Expires; January 31, 2020
,nub atr''WC`3VMW. 2-4567; Fax: 727-562-4865
Revised 02/16
_Clearwater
0 1- -�
Planning & Development Department
Petition for Annexation
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).
❑ If the property is not a platted lot of record, a current survey identifying the dimensions, area and location of the
property having been prepared, signed and sealed by a land surveyor currently registered in the State of Florida within
the most recent 12 months.
❑ 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/or engineering plans are required. City staff will review proposed plans to
determine their compliance with the City's Community Development Code.
❑ 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).
❑ 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).
❑ If applicant is designating an agent/representative to work with City, applicant must provide notarized Affidavit to
Authorize Agent/Representative (form attached).
INFORMATION REQUIRED TO COMPLETE THE PETITION FOR ANNEXATION APPLICATION AND DATA SHEET CAN BE
FOUND ON THE FOLLOWING DOCUMENTS AND/OR ONLINE AT THE FOLLOWING WEBSITES. IF THE APPLICANT IS
UNCERTAIN WHERE TO LOCATE THIS INFORMATION OR NEEDS ADDITIONAL ASSISTANCE, PLEASE CONTACT THE
PLANNING AND DEVELOPMENT DEPARTMENT, LONG RANGE PLANNING DIVISION AT 727-562-4567.
❑ PARCEL NUMBER (Parcel I.D. Number) can be found on the Warranty Deed. It can also be found by searching the
Pinellas County Property Appraiser's Office website at www.pcpao.org (search database by address).
❑ LEGAL DESCRIPTION can be found on the Warranty Deed. It can also be found by viewing the property record online at
the Pinellas County Property Appraiser's Office website at www.pcpao.org.
❑ FUTURE LAND USE PLAN DESIGNATION (COUNTY) can be found by viewing a Property Report using Pinellas County's
Public GIS Viewer available online at http://gis.pinellascounty.org/public gis/. Search by property address or Parcel I.D.
Number and report will appear.
❑ FUTURE LAND USE PLAN DESIGNATION (CITY) is typically the same as the land use designation in Pinellas County, unless
applicant is proposing a change (see submittal package requirements for more information).
❑ ZONING DISTRICT (COUNTY) can be found by viewing a Property Report using Pinellas County's Public GIS Viewer
available online at http://gis.pinellascounty.org/public gis/.
❑ ZONING DISTRICT (CITY) can be found by contacting the Planning and Development Department or viewing the City's
Zoning Atlas, available online at extgis.myclearwater.com/Zoning.
❑ SITE AREA (ACRES) can be found by viewing a Property Report using Pinellas County's Public GIS Viewer available online
at http://gis.pinellascounty.org/public gis/.
Planning & Development Department, 100 S. Myrtle Avenue, Clearwater, FL 33756, Tel: 727-562-4567; Fax: 727-562-4865
Page 3 of 7 Revised 02116
°Clearwater
0 Z
ATTENDANCE AT PUBLIC HEARINGS
Planning & Development Department
Petition for Annexation
Information for Annlicants
The applicant or applicant's representative is encouraged to attend City Council public hearings unless the annexation
pertains to a property developed or to be developed with one single family dwelling.
STANDARDS FOR ANNEXATION
In determining whether to annex a property, the City shall consider the extent to which:
❑ The proposed annexation will impact public services (e.g., water, sewer, police, parks, etc.).
❑ The proposed annexation is consistent with the City of Clearwater Comprehensive Plan.
❑ The proposed annexation requires a change in the future land use and zoning classifications assigned to the
property as well as the jurisdiction for said change.
❑ Existing or proposed development is consistent with City regulations.
❑ Terms of a proposed Annexation Agreement, if any, promotes the City of Clearwater Comprehensive Plan.
PROPERTY OWNER AGREEMENT
Please be advised that, in consideration of the annexation, the property owners do hereby agree that:
❑ All structures and improvements which are erected upon said property subsequent to the date of this petition for
annexation shall comply with all applicable City of Clearwater regulations and ordinances as set forth in the City
Community Development Code;
❑ 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 land dedication and/or fees in the amount and manner prescribed by Chapter 54, Article II of
Clearwater Code of Ordinances; and
❑ When any substandard abutting street or utilities are subsequently upgraded by the City to meet City Standards,
said improvement(s) will be done on an assessment basis, consistent with City procedures therefore.
Planning & Development Department, 100 S. Myrtle Avenue, Clearwater, FL 33756, Tel: 727-562-4567; Fax: 727-562-4865
Page 4 of 7 Revised 02/16
`Clearwater
Planning & Development Department
Petition for Annexation
Affidavit to Authorize
1. Provide names of all property owners on deed —PRINT full names:
Katrina Evans
!nt/Representative
2. That (I am/we are) the owner(s) and record title holder(s) of the following described proper y:
1450 Carolyn Lane
3. That this property constitutes the property for which a request for (describe req
Annexation of single family residence
4. That the undersigned (has/have) appointed and (does/do) appoint:
NWA
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 represetatives in order to process this application and the
owner authorizes City representatives to visit and photograph the property described in this application;
7. That (I/we),4he undersigned authority, hereby certify that the foregoing is true and correct.
Property Owner
Property Owner
OF FLORIDA, COUNTY OF PINELLAS
Property Owner
Property Owner
BEFORE ME THE UNDERSIGNED; AN OFFICER DULY COMMISSIONED BY THE LAWS OF THE STATE OF FLORIDA, ON
THIS lamtf` DAY OF 7'
. ?Z1 (0 2,-%I , PERSONALLY APPEARED
WHO HAVING BEEN FIRST DULY SWORN
DEPOSED AND S YS THAT HE/SHE FULLY UNDERSTANDS THE CONTENTS OF THE AFFIDAVIT THAT HE/SHE SIGNED.
Nicole D. Shutt
Commissial O FF956091
�= Expires: January 31, 2020
F;�.�`�Bonded thru Aaron Notary Notary Public Signature
Notary Seai%Stamp
My Commission Expires:
k4
Planning & Development Department, 100 S. Myrtle Avenue, Clearwater, FL 33756, Tel: 727-562-4567; Fax: 727-562-4865
Page 6 of 7 Revised 02/16
LL
Clearwater
0
Planning &Development Department
Petition for Annexation
Disclosure Statement
PROPERTY OWNER (PER DEED): Katrina Evans
MAILING ADDRESS: 1450 Carolyn Lane, Clearwater, FL 33755-2009
PHONE NUMBER: 404-427-2394
EMAIL: katrinaevans@Pmail.com
AGENT OR REPRESENTATIVE:
MAILING ADDRESS:
PHONE NUMBER:
EMAIL:
OTHER PERSONS HAVING ANY OWNERSHIP INTEREST IN THE SUBJECT PROPERTY:
NAME: N/A
INTEREST IS:
SPECIFIC INTEREST HELD:
DOES A CONTRACT EXIST FOR SALE OF THE SUBJECT PROPERTY?
YES X NO
CONTRACT IS:
PARTIES INVOLVED — NAME:
PHONE NUMBER:
NAME:
PHONE NUMBER:
ARE THERE ANY OPTIONS TO PURCHASE THE SUBJECT PROPERTY?
YES X NO
PARTIES INVOLVED — NAME:
PHONE NUMBER:
NAME:
PHONE NUMBER:
ARE THERE ANY MORTGAGES OR LIENS ON THE SUBJECT PROPERTY?
X YES NO
PARTIES INVOLVED— NAME: J.P. Morgan Chase Bank, N.A.
PHONE NUMBER:
NAME:
PHONE NUMBER:
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 /0111 day of
Signature'of property owner or representative
Signature of property owner or representative
Planning & Development Department, 100 S. Myrtle
Page 5 of 7
1—y" e- . 00/ & . by
_
14041i6-10— 6'VOV .N , who is personally known/has
produced
ary public,
commission expires:
VIA. Nicole D. Shutt or
, o's Commission # FMW1
as identification.
1ilpterye7-562-4567; Fax: 727-562-4865
Revised 02/16
°Clearwater
0
PROPERTY OWNER (PER DEED): Katrina Evans
MAILING ADDRESS: 1450
CITY OF CLEARWATER CASE
NUMBER:
Planning & Development Department
Petition for Annexation
Supplemental Statement
Lane, Clearwater, FL 33755-2009
/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.
Select One Option Below Which Applies to This Petition for Annexation:
X Annexation of Contiguous Parcel(s): 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.
❑ Annexation of Noncontiguous Parcel(s): I/we understand that this annexation is voluntary, and that I/we may withdraw
this Petition for Annexation prior to final action on this Petition by the City of Clearwater. I/we further agree and
acknowledge, however, that receipt of all sewer, solid waste or other city service is contingent upon completion of the
Petition for Annexation process, and that any withdrawal of this Petition prior to final action by the City, may result in a
discontinuance and termination of all City -provided services.
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 /Ot(e day of
SignatJe of property owner (individual or authorized
representative of corporation, partnership or other
entity)
Signature of co -property owner
1U&/1 '' ?1�!(�. by
9446 no— C-11&twho is personally known/has
produced
Notary public,
My commission expires:
Expires: January M, 2020
Bonded thru Aaron Notary
yF
as identification.
Planning & Development Department, 100 S. Myrtle Avenue, Clearwater, FL 33756, Tel: 727-562-4567; Fax: 727-562-4865
Page 7 of 7 Revised 02/16
-� Fidelity
c
Natio al Title"
Insurance Company
POLICY NO.: 92411-27-65004-27-2016.2730609-95041816
OWNER'S POLICY OF TITLE INSURANCE
Issued by
Fidelity National Title Insurance Company
Any notice of claim and any other notice or statement in writing required to be given to the Company under this Policy must be given
to the Company at the address shown in Section 18 of the Conditions.
COVERED RISKS
SUBJECT TO THE EXCLUSIONS FROM COVERAGE, THE EXCEPTIONS FROM COVERAGE CONTAINED IN SCHEDULE B, AND THE CONDITIONS, FIDELITY
NATIONAL TITLE INSURANCE COMPANY, a California corporation, (the "Company") insures, as of Date of Policy, against loss or damage, not exceeding the Amount
of Insurance, sustained or incurred by the Insured by reason of:
1. Title being vested other than as stated in Schedule A.
2. Any defect in or lienor encumbrance on the Title. This Covered Risk includes but is not limited to insurance against loss from
(a) A defect in the Title caused by
(i) forgery, fraud, undue influence, duress, incompetency, incapacity, or impersonation;
(ii) failure of any person or Entity to have authorized a transfer or conveyance;
(iii) a document affecting Title not properly created, executed, witnessed, sealed, acknowledged, notarized, or delivered;
(iv) failure to perform those acts necessary to create a document by electronic means authorized by law;
(v) a document executed under a falsified, expired, or otherwise invalid power of attorney;
(vi) a document not properly filed, recorded, or indexed in the Public Records including failure to perform those acts by electronic means authorized by
law; or
(vii) a defective judicial or administrative proceeding.
(b) The lien of real estate taxes or assessments imposed on the Title by a governmental authority due or payable, but unpaid.
(c) Any encroachment, encumbrance, violation, variation, or adverse circumstance affecting the Title that would be disclosed by an accurate and complete
land survey of the Land. The term "encroachment" includes encroachments of existing improvements located on the Land onto adjoining land, and
encroachments onto the Land of existing improvements located on adjoining land.
3. Unmarketable Title.
4. No right of access to and from the Land.
5. The violation or enforcement of any law, ordinance, permit, or governmental regulation (including those relating to building and zoning) restricting, regulating,
prohibiting, or relating to
(a) the occupancy, use, or enjoyment of the Land;
(b) the character, dimensions, or location of any improvement erected on the Land;
(c) the subdivision of land; or
(d) environmental protection
if a notice, describing any part of the Land, is recorded in the Public Records setting forth the violation or intention to enforce, but only to the extent of the
violation or enforcement referred to in that notice.
6. An enforcement action based on the exercise of a governmental police power not covered by Covered Risk 5 if a notice of the enforcement action, describing
any part of the Land, is recorded in the Public Records, but only to the extent of the enforcement referred to in that notice.
7. The exercise of the rights of eminent domain if a notice of the exercise, describing any part of the Land, is recorded in the Public Records.
8. Any taking by a governmental body that has occurred and is binding on the rights of a purchaser for value without Knowledge.
9. Title being vested other than as stated in Schedule A or being defective
(a) as a result of the avoidance in whole or in part, or from a court order providing an alternative remedy, of a transfer of all or any part of the title to or any
interest in the Land occurring prior to the transaction vesting Title as shown in Schedule A because that prior transfer constituted a fraudulent or
preferential transfer under federal bankruptcy, state insolvency, or similar creditors' rights laws; or
2730609 1 of 6 ALTA Owner's Policy (6/17/06)
with Florida Modifications
Copyright American Land Title Association. All rights reserved. The use ofthis Form is restricted to ALTA licensees and ALTA members in good -
v �
" .
standing as of the date ofuse. All other uses are prohibited. Reprinted under license from the American Land Title Association. :-
T:;
(b) because the instrument of transfer vest,rly Title as shown in Schedule A constitutes a preferential transfer under federal bankruptcy, state insolvency, or
similar creditors' rights laws by reason of the failure of its recording in the Public Records
(i) to be timely, or
(ii) to impart notice of its existence to a purchaser for value or to a judgment or lien creditor.
10. Any defect in or lien or encumbrance on the Title or other matter included in Covered Risks 1 through 9 that has been created or attached or has been filed or
recorded in the Public Records subsequent to Date of Policy and prior to the recording of the deed or other instrument of transfer in the Public Records that vests
Title as shown in Schedule A.
The Company will also pay the costs, attomeys' fees, and expenses incurred in defense of any matter insured against by this Policy, but only to the extent provided
in the Conditions.
In Witness Whereof, FIDELITY NATIONAL TITLE INSURANCE COMPANY, has caused this policy to be signed and sealed as of Date of Policy shown in Schedule
A, the policy to become valid when countersigned by an authorized signatory of the Company.
92411 Fl, 65004-27
First International Title, Inc
1999 N University Dr, Ste 300
Coral Springs, FL 33071
Tel: (954) 453-0365
Fax: (954) 772-4132
Countersigned:
Authorized Si natory
Fidelity National Title Insurance Company
'SEAL
� A1'IL41' Pr.�ichm
Semlan
2730609 2 of 6 ALTA Owner's Policy (6/17/06)
with Florida Modifications
Copyright American Land Title Association. All rights reserved. The use of this Form is restricted to ALTA licensees and ALTA members in good �m
standing as of the date of use. All other uses are prohibited. Reprinted under license from the American Land Title Association.
W
This instrument was prepared by:
Ari Miller, Esq. Recorded; dee; Etedtrncnically
Choice Legal Group, P.A.
(954)453-0365 ID 101
P.O. Box 9908, Ft. Lauderdale, FL 33310-0908
�o�anty
File Number: 65004-27 Date I ! 2! I S 11,e
Revised 10/06/93 simpiifile.com 800.460.5657
FL (conventional)
REO# A 150HOF
Folio# 02-29-15-90288-000-0090
SPECIAL WARRANTY DEED
THIS INDENTURE, made December 15, 2015, by and between FEDERAL NATIONAL MORTGAGE
ASSOCIATION A/K/A FANNIE MAE, PO BOX 650043, DALLAS, TX 75265-0043, DALLAS, TX
75265-0043, a corporation organized under and existing pursuant to the laws of the United States,
hereinafter called Grantor, and Katrina Evans, a single person of :1450 Carolyn Ln, Clearwater Ln ,
FL 33755 hereinafter called Grantee.
WITNESSETH, that the said Grantor, for and inconsideration of the sum ofTen Dollars in hand paid by Grantee and other
valuable considerations, the receipt whereof is acknowledged, hereby grants, bargains, and sells to the said Grantee,
forever, the following described land in the County of Pinellas, State of Florida, to -wit:
Lot 9, TERRA -ALTO ESTATES, according to the Plat thereof, as recorded in Plat Book 45, page 5, of the
Public Records of Pinellas County, Florida.
The property is commonly known as 1450 CAROLYN LN, CLEARWATER, FL 33755
TO HAVE AND TO HOLD the above-described property with appurtenances, unto the said Grantee, and their assigns,
forever, subject to covenants and restrictions of record, zoning and land use restrictions imposed by governmental
authorities, and matters an accurate survey would reveal,
AND SAID GRANTOR DOES hereby specially warrant the title to said lands and will defend the same against the
lawful claims of any person whomsoever claim by, through or under the said Grantor.
IN WITNESS WHEREOF the undersigned FEDERAL NATIONAL MORTGAGE ASSOCIATION A/K/A FANNIE MAE
has caused these presents to be signed in its name by its undersigned officers and its corporate seal affixed this
December 15, 2015.
Signed, sealed and delivered
In the prgsence f:
1'
�ss
' Y, C041 Ito,
Printed Witngss.Alamg�
9t tCC 1
Witness Nar
STATE OF FLORIDA)) ss.
COUNTY OF BROWARD))
FEDERAL NATIONAL MORTGAGE
By:
TION A/K/A FANNIE MAE
AMYFU S A
Signatory for C 'ice' egal Group,
P.A., as Attorney -in -Fact for
FEDERAL NATIONAL MORTGAGE
ASSOCIATION A/K/A FANNIE MAE
1 herby certify that on this day before me, an officer duly authorized in the state and County aforesaid to take acknowledgements, personally
appeared AMY FUCHS as Authorized Signatory for Choice Legal Group, P.A., as Attorney -in -Fact for FEDERAL NATIONAL MORTGAGE
ASSOCIATION A/K/A FANNIE MAE to me known and known to be the person described in and who executed the foregoing instrument as
Authorized Signatory for the corporation named therein and severally acknowledged before me they executed the same as such officers in the
same and on behalf of said corporation. t M
Witness and and o he county and State last aforesaid, the i day of 2015.
Notary Public, Flori a
My Commission Expires:
(Seal)
LEILANI D. SANTA
_°. .`�•: Notary Public - State of Florida
My Comm. Expires Jun 27, 2016
Commission # EE 211820
Bonded Through National Notary Assn.
Annexation Map Request
Planner Name: Kyle Brotherton
Case Number: ANX2016-07021
Date Request Submitted: 7/1/16
Date Requested for: 7/16/16
Maps Needed
® Location Map
® Aerial Photograph
® Proposed Annexation
® Future Land Use Map
® Zoning Map
® Existing Surrounding Uses Map
® 2" x 2" PDF Map (for Newspaper)
Required Documents
❑ Legal Descriptio (warranty dee or survey) - to be hand delivered
® Map with Proposed Site Hig lighted
® EDR - no hard copies submitted - all submission material is accessible through Accela
Location & Right -of -Way Language (for Ordinance Tit/e)
Location: On the northeast corner of Carolyn Lane and Weston Drive.
Right -of -Way: [ENGINEERING INSERT ROW'DESCRIPTION ®RAN/A.H_;ERE1
PROVIDED LEGAL DESCRIPTION VERIFIED BY: hX A JA' ,�,
/---- -1
Tho as Mahony, IPW, G ograph
Technol gy anager
MAP NAME
Owner(s): Katrina Evans
Case:
ANX2016-070021
Property
0.1ey
Site: 1450 Carolyn Lane
Size(Acres):
ROW (Acres):
Land Use Zoning
PIN:
02-29-15-90288-000-0090
From : RL R-3
To: RL LMDR
Atlas Page:
261 A