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ANX2017-09019f4NX a-0 V7 - 09 0 19 17.53 �-uCAS J)fZ -�'1f 1 FDR\A/ATGR (14 758 LUCAS DR ANX2017-09019 lBRIGHTAND BFAUTIFU6 _BAY TO BEACH 1758 Lucas Drive - Wayne Alan Smith Zoning: LMDR - Low Medium Atlas #: 264A 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 CODE. 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): Wayne Alan Smith MAILING ADDRESS: 11815th Avenue N, St. Petersburg, FL 33704 PHONE NUMBER: GL{ E— ffj 0 - EMAIL: AGENT OR REPRESENTATIVE: MAILING ADDRESS: PHONE NUMBER: EMAIL: ADDRESS OF SUBJECT PROPERTY: 1758 Lucas Drive, Clearwater, FL 33759 PARCEL NUMBER(S): 05-29-16-94374-006-0140 LEGAL DESCRIPTION: Lot 14, Block 6, Virginia Grove Terrace 3rd Addition SOLID WASTE/ CURRENT CITY SERVICES: SANITARY SEWER RECYCLING WATER SOLID WASTE/ REQUESTED CITY SERVICES. x 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 ` , BRIGHT AW BEAUHEUI. - BAYTO BEACH 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): Residential Low (RL) REQUESTED (CITY): Residential Low (RL) ZONING DISTRICT PRESENT (COUNTY): REQUESTED (CITY): SITE AREA: 0.192 SIZE OF DEVELOPMENT: Existing: 1 Proposed: 1 (e.g., number of units, hotel rooms or non- residential square footage) R-3 Single Family Residential Low Medium Density Residential (LMDR) acres USE OF PROPERTY: Existing (currently on site): Proposed (new use, if any; plus existing ift o remain): ;if residential use, is units) rental? Single Family Single Family N0 G. ARE THERE ANY ACTIVE/OPEN PERMITS FOR THE PROPERTY WITHIN PINELLAS COUNTY?, YES ❑ NO - IF YES, PLEASE LIST/EXPLAIN: 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 applicatio . Sworn to and subs ribed before me this day of ►_ate- C�17 . by W M fe who is personally known/has 4 produced DfI ` as identification. Signature of property owner or representative /J Qj� Notaryn ppuubk State aF� Notary public, Sea MYCommlsftsl�onbrose My commission expires: Signature of prope, c, Mm"* Planning & Development Department, 100 S. Myrtle Avenue, Clearwater, FL 33766, Tel: 727-562-4567; Fax: 727-5624865 Page 2 of 7 Revised 02/16 �t/-....,,,_-.! CLE A RWATE R BRIGHT AND BEAUMUL • BAY70 BEACH 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:Hgis.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 h'ttp://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 02/16 r---�CLEA_kW__ATER BIUCKFMID Bi'AUnFUL- BAYTO BEACH 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 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). If 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 02116 !CLEARWATER Planning & Development Department CHT ti,DBE,LM.MYroBEACH Petition for Annexation Disclosure Statement PROPERTY OWNER (PER DEED): Wayne Alan Smith MAILING ADDRESS: 1181Sth Avenue N, St. Petersburg, FL 33704 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 SUBJECT PROPERTY? YES NO CONTRACT IS: PARTIES INVOLVED — NAME: PHONE NUMBER: NAME: PHONE NUMBER: ARE THERE ANY OPTIONS TO PURCHASE THE SUBJECT PROPERTY? PARTIES INVOLVED — NAME: NAME: ARE THERE ANY MORTGAGES OR LIENS ON THE SUBJECT PROPERTY? PARTIES INVOLVED — NAME: NAME: YES NO PHONE NUMBER: PHONE NUMBER: YES NO PHONE NUMBER: 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 applicatio Sworn to and subscribed before me this day of (I a1 CI 7 b wami?r 1 who is personally known/has cis produ ed PrI VI?IY JL 16:5A,419 as identification. Signature of prqferty owner Notary P'MI' State of Flon' arm Notary public, Sean Ambrose 'oi MyCommIssion FF 946598 My commission expires: Signature of pro 0 Planning & Development Department, 100 S. Myrtle Avenue, Clearwater, FL 33756, Tei: 727-562-4567; Fax: 727-562-4865 Page 6 of 7 Revised 02116 -�CLEARWATER / BWGFrr AM) BFAVnFUL- BAY -M BEACII Planning & Development L Petition for Ann Affidavit to Authorize Agent/Repre$(/ cation tative 1. Provide names of all property owners on deed —PRINT full names: Wayne Alan Smith 2. That (I am/we are) the owner(s) and record title holder(s) of the following described p operty: 1758 Lucas Drive, Clearwater, FL 33759 3. That this property constitutes the property for which a request for (describe re est): Annexation in order to receive solid waste and sanitary sewer service from t e City. 4. That the undersigned (has/have) appointed and (does/do) appoint: as (his/their) agent(s) to execute any petitions or other docume s necessary to affect such petition; 5. That this affidavit has been executed to induce the City of Cl arwater, Florida to consider and act on the above described property; 6. That site visits to the property are necessary by City rep sentatives in order to process this application and the owner authorizes City representatives to visit and phot raph the property described in this application; 7. That (1/we), the undersigned authority, hereby certi that the foregoing is true and correct. Property Owner Property Owner Property Owner Property Owner BEFORE ME THE UNDERSIGN THIS DAY OF DEPOSED AND SA' Notary Seal/Starp TE OF FLORIDA, COUNTY OF PINELLAS OFFICER DULY COMMISSIONED BY THE LAWS OF THE STATE OF FLORIDA, ON PERSONALLY APPEARED WHO HAVING BEEN FIRST DULY SWORN T HE/SHE FULLY UNDERSTANDS THE CONTENTS OF THE AFFIDAVIT THAT HE/SHE SIGNED. Notary Public Signature My Commission Expires: Planning & Development Department, 100 S. Myrtle Avenue, Clearwater, FL 33756, Tel: 727-562-4567; Fax: 727-562-4865 Page 6 of 7 Revised 02116 r--ICLEARWATER � BRIGHT M'D BEAUTIFUL • MYTO BE1.CFI Planning & Development Department Petition for Annexation Supplemental Statement PROPERTY OWNER (PER DEED): Wayne Alan Smith MAILING ADDRESS: 11815th Avenue N, St. Petersburg, FL 33704 CITY OF CLEARWATER CASE NUMBER: I/we, Wayne Alan Smith [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: © Annexation of Contiguous Parcel(s): [/we further agree and acknowledge that [/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 applications Sworn to and subscribed before me this �C ��_ day of A u G us - . by ne who is personally known/has cri produc d �1-��� / C�/7` as identification. Signature of 0(operty ower (individual or authorized representative of corporation, partnership or other entity)��'A�s� - - 1111"O/Florida' Notary public, 130 My commission expires: O� Signature of Planning 81 Development Department, 100 S. Myrtle Avenue, Clearwater, FL 33756, Tel: 727-562-4567; Fax: 727-562-4865 Page 7 of 7 Revised 02116 EAR TES.. BI LIGHT AND BEAU7IF'UL • BAY TO BEACH Case # ANX2017-09019 SIGN POSTING ACKNOWLEDGEMENT I hereby acknowledge that the sign required for this case being considered by the City of Clearwater for annexation was posted a minimum of 10 days before the City Council First Reading meeting. The sign was posted on the subject property in a location where it is capable of being read from the most significant adjacent street. Planning & Development Department Staff: Prini Name i n Name City Council Public Hearing Dates: • November 16, 2017 (1St reading) • December 7, 2017 (2nd reading) Date Posted November 1, 2017 Photo of sign uploaded into Accela I I— 1—lam Date Deadline to Post November 6, 2017 Annexation Map Request Planner Name: Kyle Brotherton Case Number: ANX2017-09019 Date Request Submitted: 9/5/2017 Date Requested for: 9/19/2017 Maps Needed ® Location Map ® Aerial Photograph ® Proposed Annexation ® Future Land Use Map ® Zoning Map ® Existing Surrounding Uses Map ® 2" x 2" PDF Map (for Newsp er) U?1� Required Documents ❑ Legal Description (warran deed or survey) - to be hand delivered ® Map with Proposed Site Highlighted ® EDR - no hard copies submitted - all submission material is accessible through Accela Location & Right -of -Way Language (for Ordinance Titie) Location: Located on the north side of Evans Drive approximately 240 feet east of Pineapple Lane. Right -of -Way: I I GINEERI,NG INSERT.I,TION OR N/A „ ER PROVIDED LEGAL DESCRIPTION VERIFIED BY: Thomas Mahony, PSM, eograpt Techno ogy Manager MAP NAME Owner(s): Wayne Alan Smith Case: ANX2017-09019 Property 0.192 Site: 1758 Lucas Drive Size(Acres): ROW (Acres): Land Use Zoning PIN: 05-29-16-94374-006-0140 From : RL R-3 To: RL LMDR Atlas Page: 264A September 5, 2017 City of Clearwater Clearwater Planning & Development, Post Office Box 4748, Clearwater, Florida 33758-4748 100 South Myrtle Avenue, Clearwater, Florida 33756 Telephone (727) 562-4567 Fax (727) 562-4865 Renea Vincent, AICP General Planning Administrator Pinellas County Planning Department 310 Court Street Clearwater, Florida 33756 Sergeant Beverly Borland Strategic Planning Pinellas County Sheriff's Office P.O. Drawer 2500 Largo, Florida 33778 Re: Notice of Voluntary Annexations (ITEM NO: ANX2017-08018, ANX2017-09019, ANX2017-09020, ATA2017-08001 & ATA2017-09001) Dear Madams: Please be advised that the City of Clearwater is in receipt of applications for voluntary annexation for properties located at 900 & 901 Glen Oak Avenue East, 3025, 3030, 3031 & 3055 Glen Oak Avenue North, 3046 Hoyt Avenue, 3058 Grandview Avenue, 3013 Lake Vista Drive, 701, 708 & 906 Moss Avenue, 3063 & 3069 Terrace View Lane, 1302 South Duncan Avenue, 1990 McMullen Booth Road, and 1758 Lucas Drive and two unaddressed parcels: 04-29-16-00000-220-0100 and 04-29-16-00000- 220-0210. The subject parcels are located within the City of Clearwater Planning Area and upon annexation into the City of Clearwater will be served by city sanitary sewer when made available and solid waste service. The proposed annexations are consistent with Florida law regarding municipal annexations pertaining to contiguousness with existing city boundaries and compact concentration. A copy of the petition for annexation and related documents are enclosed. The following schedule has been tentatively established for the City's review of the applications. Should a meeting time or location change, you will be contacted immediately. George N. Cretekos, Mayor ]BillJonson, Councihnember Jay Polglaze, Councilmember Iioyt Hamilton, Councihnember *� Doreen Hock DiPolito, Councilmember "Equal Employment and Affirmative Action Employer" Vincent & Borland September 5, 2017 Page 2 November 16, 2017 City Council Public Hearing (first reading) 6:00 PM City Hall Council Chambers, 3`d Floor — - - - - 112 S. Osceola Ave., Clearwater, Fl, December 7, 2017 City Council Public Hearing (second reading) 6:00 PM City Hall Council Chambers, 3`d Floor 112 S. Osceola Ave., Clearwater, FL Your prompt response will be greatly appreciated. Please contact me at (727) 562-4626 or kyle.brotherton@myclearwater.com if you have any questions. Sincerely, CITY OF CLEARWATER Kyle Brotherton Senior Planner Enclosures: Pinellas County Planning Department: Petition for Annexation, Warranty Deed, Plats of Record or Survey, and House Atlas Map. Pinellas County Sheriffs Office: House Atlas Map. cc: Camilo Soto, Assistant City Attorney Debbie Reid, Parks and Recreation Administrative Analyst Terry Teunis, Code Compliance Manager