ANX2006-06021
~.
CITY OF CLEARW A~rER
PETITION FOR ANNEXATION
PLANNING DEPARTMENT
MUNICIPAL SERVICES BUILDING, 100 SOUTH MYRTLE A VENUE, 2nd FLOOR
PHONE (727)-562-4567 FAX (727) 562-4576
77btIA5
APPLICANT, PROPERTY OWNERS, AND AGENT INFORMATION'
APPLICANT NAME
tellJ
/(,tJb Scarf
(72-7)2.39- -04 3 {
J4AJ1t/'t. r If-- Cd .-
(list all owners) r1f--- fl-
~,It/~ ..
MAILING ADDRESS
PHONE NUMBER
PROPERTY OWNERS
AGENT NAME
/L..c,vNP__1Ff- tJ ..
MAILING ADDRESS
ST
FAX NUMBER
7Jk,IVI ,f-5
/~~
rJf6~
PHONE NUMBER
C7l-7) 'in -1$ 3 ~ 3
FAX NUMBER
PROPOSED DEVELOPMENT INFORMATION
LOCATION
STREET ADDRESS
1(.. 0 ~
'5,..-rr
5T~E"'l
LEGAL DESCRIPTION
PARCEL NUMBER I \ I <;!., ( I 0(' I 3 'I I I -./
EXISTING CATEGORIES ZONING K - ~
/O'''(001Q
LAND USE
12L
f.L
PROPOSED CATEGORIES ZONING
EXISTING USE AND SIZE
PROPOSED USE AND SIZE
',. ,(
e 1 nanresldenllal use)
f...., (
{J '.''lJ ( ,
SIZE OF SITE
() ,I ,t..(
(number of dwelll urIlls, hotel roams or square faolag
4~ ..(~
I (we), the undersigned, acknowledge thaI all
representations made In thiS application
are true and accur to the best
knowledg
Signature of property owner or represenlallve
onresldenllal use)
Notary public,
my commisSion expires
Annexallon (ANX) Petlllon and Disclosure Statemenl docPage 3 of 4
d
.
\
CITY OF CLEARWAtER
PETITION FOR ANNEXATION
DISCLOSURE STATEMENT
PLANNING DEPARTMENT
MUNICIPAL SERVICES BUILDING, 100 SOUTH MYRTLE AVENUE, 2nd FLOOR
PHONE (727)-562-4567 FAX (727) 562-4576
PROPERTY OWNER NAME Jt-u.J rlbtf5
ADDRESS It, (j t See, -z: 7'" ST. c:.vw r t=l ~ 3 , s-s:,-
PHONE NUMBER 6%-7 ') Z >9 -bY" 3/ FAX NUMBER
REPRESENTA TIVE(S) NAME
ADDRESS
PHONE NUMBER FAX NUMBER
ANY OTHER PERSONS HAVING ANY OWNERSHIP INTEREST IN THE SUBJECT PROPERTY
NAME
INTEREST IS
SPECIFIC INTEREST HELD
DOES A CONTRACT EXIST FOR THE SALE OF THE SUBJECT PROPERTY? YES NO
CONTRACT IS
ALL PARTIES TO CONTRACT
NAME
NAME
ARE THERE ANY OPTIONS TO PURCHASE SUBJECT PROPERTY? YES NO
LIST ALL PARTIES TO OPTION
NAME
NAME
~
ARE THERE ANY MORTGAGES OR LIENS ON THE PROPERTY? (YES/ NO
MORTGAGE HOLDER(S) NAME -
LIEN HOLDER{S) NAME
I (we), the undersIgned, acknowledge that all
representations made In this applicatIon
are true and accurate to the best of my
knowledge
STATE OF FLORIDA, COUNTY OF PINELLAS
SWg[n to and subscnbed before me this 7n1 day of
..JUNE ,AD,#Zco'- l~
~ ~flr ,who I ersonall '
kno as produced s
IdentificatIon I
cWL
"iJ...' Hetha S De Marcy CIleIIn
\:_~ ::~~:: ~::2899
Slgnalure of property owner or representative
Notary pu b he,
Annexation (ANX) Pebtlon and Disclosure Statement doePage 4 of 4
"
KEN Bu_iERK OF COURT
PINElLAS COUNTY FLORIDA
INSTIl 200602894001125/2006 at 10 02 AM
OFF REC BK 14891 PG 2215-2215
DocType DEED RECORDING $1000
D DOC STAMP $125020
Prepared by and Return to: /"
Alday-Donalson Title Agencies of Amenca , 'Jnc
Alday-Donalson flUe Agencies of Amenca, Inc
6171 .:ast Fowler Avenue
Temple Terrace, Flonda 33617
FIle Number 5-05-2594
This Warranty Deed
Made thiS December 30, 200S A D By Robert Combes, as Trustee of 1 he 1606 Scott Street Trust Under L.and Trust Agreement
dated June 23, 2005
heremafter called the grantor,
to Kenneth W, Thomas, an unmarned man and Kenneth R. Thomas, an unmarned man,
whose post office address]s 125 L.llleolll Ave N, Clearwater, FL. 33755,
herem after called the grantee
(Whenever used herem Ihe term "grantor" and "grantee" ml..lude ~1I111e partlls to lhls Inslrumenl and ilK heirs, kgal represenl~t1Ves ~nd as\lgns of
mdlvlduals, and the successors and assigns ofcOIporatmns)
Witnesseth, that the grantor, for and 111 cons](.IcratlOll of the sum of Ten Dollars, ($10 00) and other valuable
consIderatIOns, receipt whereof IS hereby acknowledged, hereby grants, bargall1s, sells, ahens, remIses, releases, conveys and confirms
unto the grantee, all thai cel1am land sItuate m Pmellas County, flOrida, VIZ
L.ot 7, Bloch 19, Tlurd AddItIOn to '''ghl'lIul rilles SubdIVISion, acconllllg to the map or plat thereof, as recorded III Plat Book
32, Page 71, of the Public Records of Pmellas County, Florida
SUBJECT TO covenants, restnctlOns, edsements of record and taxes for thc current yem
Parcel ID Number 11.29 15 39114 019 0070
Together WIth all the tenements, hereditaments and appurtenances thereto belonging or m anywIse apperlammg
To Have and to Hold, the same In fee SImple forever
And the grantor hereby covendnls With smd g13ntee thdl the grantor IS lawfully SCl7Cd of saId land III fee SImple, that the
grantor has good right and l,\\'..ful authOrity to sell and convey smd land, that the gr:mtor hereby fully warrants the title to Said land and
WIll defend the same against the lawful c1allTIS of all persons whomsoever, and that saId land IS free of all encumbrances except taxes
accrumg subsequent to December 3 1,2005
In Witness Whereof, the saId grantor has Signed and ~ealcd thesc presents the day amI year first above wnltcn
Wlln ss Pnnled Name
l2amaUa D IliIt~
~~_Fh~c-
Robert Combes, as Trustee
Address Y1:3/ vev1t ll'an W(L~
mM\0Ct, i/I 33Lo3L/
(Seal)
State of Flonda
County of Plllellas
The foregolllg IIlstrumenl was acknowledged bcfore me thiS 30th day of Dccembcl, 2005, by Robert Cumbes, as frust(,c of The 1606
Scott Street Trust Under Land frust Agreement Dated June 23 me or who has produced a vahd
dn vcrs llcense as ]dentl ficatlOn
.t~~
,., ~
i 0
Ronald M Donalson
Notary PubliC' SlBte Of FIor1da
My CommlSSloI' E1[.>II PS Oct t 4, 2O:JO
CommiSSIOn No #DD j'509flQ
NotdrY Public
PFlnleu Name
(Seal)
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TO:
Customer ServIce Department, attn: Lynne Priester, Customer
Servicc Coordinator
FROM:
Planning Department
DATE:
1108/2007
ANNEXED PROPERTY INFORMATION
Property Address: 1606 Scott Street
Permanent Parcel Number: 11/29/15/39114/019/0070
Date of Annexation: 11/02/2006
AnnexatIon Ordinance Nos: 7698-06, 7699-06, and 7700-06
Current Property Owner: Kenneth W Thomas and Kenneth R Thomas
Property Owner Address/Phone: 1606 Scott Street, 33755, 727-239-0431
Use of Property: Smgle famIly reSIdential home
Proposed Use of Property: Smgle famIly reSIdentIal home
Services Currently Received from City: all servIces except stormwater
Services Needed from City (in addition to storm, recycling, etc.):
D Water
D Sewer
D Garbage
o Garbage Only
Notes:
1
Pre Annexation Services Request
~ ~ater I
o~
CITY OF CLEARWATER
Planning Department
The City of Clearwater Planning Department IS In receIpt of, and has deemed complete an
Annexation application for property located at
Property owner address and phone number
1606 Scott Street
Kenneth W Thomas
Clearwater, FL 33755
Kenneth R Thomas
1606 Scott Street
Tel # 727-488-8383
The property owner has demonstrated proof of ownership and seeks to have the following
services started as soon as all Impact fees and deposits have been paid
D Water
D Sewer
C8:l Garbage
Mike Reynolds
Planner III
562-4836
S \Planning Department\C 0 BlAnnexatJOnslANX - 2006\4NX2006-06021 1606 Scott Street -
Thomas\Pre _ AnnexatJOn _services doc
Pmc11as County PublIc GIS Vlewf~
..
Parcel Report for
Prooertv ADora Iser
MuniCipality
Zonmg'
Comp Land Use
Acreage
Tax DIstrict'
Voter Precinct
Fire District
Evac Level
Census Block
Census Tract
Zlpcode
wlthm 750ft of Eagle Nest
within 1500ft of Eagle Nest.
1606 SCOTT ST
11/29/15/39114/019/0070
Pmellas COunty
R-3-
Rl
0164
CTF
542
05 - Clearwater
NON-EVAC
209C
0265
33755
NO
NO
http //pubgls CO pmellas f1 us/publIc~gls/web/parcel_report2 cfm?TYPE=ADDRESS&ST
Page 1 of 1
(g] Close Window
6/12/2006
Pmellas County Property Apprms \fOrmatIOn 11 29 15 39114 019 0070' --
~
Page 2 of4
11 / 29 /
15 / 39114 / 019 / 0070
lZ-Jun-ZOO6 Jil'Tl Sl'1ith, CFA P1nella~ County Property Appraiser 15:58 51
Ownersh1p In forl'Tlat10n ResidentLal Propert~ Add ress, Use. and Sales
THOHAS, KENN ETH '" OBK, 14891 OPG ZZ15
THOHAS, KENN ETH R
U5 LINCOLN AUE N
CL EAR"'ATER fL 33155
EVAC Non-EUAe
COl'1parable sales value a::l Prop Addr. 1606 SeOTT ST
of Jan 1, 2005, based en Census Tract. 265 00
sales frol'1 2003 - 2004 '
132.600 Sale Date DR BOCk/Page Pr u::e (Qual/UnQ) Vac::/Il'Tlp
Plat In ferl'Tlat1en U/Z.005 14,891/2.215 178.600 (Q) I
1.954 Book 03Z Pgs 071- 7 /Z.005 14.4361 784 132.500 (u) I
0000: Book Pgs - 3 /2.005 14.16611. 878 138,100 (u) I
0000, Book Pg::l - 5 /1.998 10.1821 411 59.900 (u) I
2005 Value EXEMPTIONS
Ju::!t / Market' 110.300 Hel'1estead YES Ololnership 'X, 1 000
SAUE-OUR-HOHES CAP Govt Exef'! NO Use 'X,. 1 000
Assessed/Cap: 60.500 Inst1tut1onal Exel'Tl' NO Tax Exel'1pt 'X, 000
H1storH: Exel'1' 0
Taxable' 35.500 Agril:ultural 0
2005 Tax In forf'!a t 10n
01:9 tr 1C t, elF Seawall' Frontage.
Clearwater fLre View'
05 Mi 11age 22,78U Land Size Un1t Land Land Land
Front x Depth PrH:e Units MetM
05 Taxe::! 808,73
1) 10 x 102 55,000,00 1 00 T
SpEll::: 1al Tax .00 2) 0 x 0 00 ,00
3) 0 x 0 00 00
W1 thou t the Save-Dur-Hol'1es 4) 0 x 0 00 ,00
cap, 20DS taxes "nIl be 5) 0 x 0 ,00 00
1. 943,24 5) o x 0 00 00
W1thout any eXBl'1ptions.
2005 taxes w1ll be
2.512,11
Short Legal HIGHLAND PINES 3RD ADD B LK 1 9. LOT 1
Oesc::r1pt1on
Building Information
http Ilpao co pmellas fl uslhtbm/cgl-scr3?0=1&a=1&b=1&:r=&s=1&u=0&p=11+29+15+3
6/1212006
Pmellas County Property Apprms
lformatlOn 11 29 15391140190070
Page 30[4
emgertvand Land Use Code descnpJ1QJJ~
11 / 29 / 15 / 39114 / 019 / 0070
:01
12-Jun-2006 Ji~ S~lth, C~A Pinellas County Property Appraiser 15'58'58
Residen bal Card 01 of 1 Prop Use' 210 Land Use: OIL 1 Yln~ Un 1 ta, 1
I~p Type' Single Fanlly Prop Address 1606 SCOTT S1
Structural
Elemen.ts
Foundatlon
Floor Syste~
Exterlcr Wall
Roof Fra~e
Reef Celler
Cont~nuous Wall
Slab on Grade
Fl"'anelRclad Aln/Unyl
6able-H~p
B U Tar&6ravel/Othr
Quality
Year Built
Effective A~e
Heatin~
CrlCllMIl.
Fixtures
Dther Depreclatlon
Functional Depreclation
Ecencnc~ic Depreclatlon
Ayerage
1. 954
Z5
Central Duct
Cooling (Central)
6
o
o
o
# Stcries 1.0
Floor Finlsh Crpt/Unyl/SftWd/1err
Interlcr Finish Drywall/Plaster
sub
Areas
Descrlptlon Factor Area Descriptuln Factor Area.
1) Base Area 1. 00 1.222 7) ,00 0
2} Base Sen~ FJ.nished , 80 Ziti 8) .00 0
Jl Open Porch . ZO 96 9) , 00 0
4) 00 0 10) 00 0
5) 00 0 11) 00 0
6) ,00 0 12) , 00 0
Residen.tial Extra Features
Description Di~enSlcns Price Unlts Value ReD Year
1) 00 0 0 0 0
2) 00 0 0 0 0
Jl 00 0 0 0 0
4) , 00 0 0 0 0
5) ,00 0 0 0 0
6) 00 0 0 0 0
TO TA L RECDRD VA LU E' 0
Pinellas County Property Appraiser I
Parcel Information
http //pao co plnellas f1 uslhtbln/cgl-scr3?0=I&a=l&b=I&r=&s=l&u=0&p=ll+29+ 15+3
6/12/2006
CL W CoverS heet
.-
ANX2006-06021
1606 SCOTT ST
Date Received: 06/26/2006
THOMAS.. KENNETH
ZONING DISTRICT:
LAND USE:
ATLAS PAGE: 270B
PLANNER OF RECORD: MHR
"
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$ diiiiI
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UPClC 592-096-417
KEN THOMAS & KENNETH W THOMAS
125 N LINCOLN AVE
CLEARWATER Fl 33755
DWELLING POLICY
ADMINISTRATION OFFICE:
1110 W. Commercial Blvd., Suite 100
Fort Lauderdale, FL 33309
Customer Service: 1-800-425-9113
This policy Jocket with the Polley ProvISions, Oeclaratlons a I1d Endorsements, If any, Issued to form a part thereof, complete the polley
12/16/2005
Universal Property and Casua'lty Insurance
c/o Umversal Risk Advisors
1110 W, COMMERCIAL BLVD,
SUITE 300
FORT LAUDERDALE FL 33309
_ Homeowners (HaS)
Declaration Effective
t >>>- ~ ~~0} :;.:<<>m""''''"'''ww
~4j
12 01 AM Standard Time
"';;\;
Named Insured and Address
KEN THOMAS & KENNETH W THOMAS
125 N llNCOLN AVE
CLEARWATER FL 33755
Auent Name and Address
Wlke Insurance Services Inc
1000 S Fort Hamson Ave
Clearwater FL 33756-
(727) 446-9009
(727) 488-8383
Premium Summary
BaSI c Cove rages A tta ched End 0 rseme rlts
Premrum Premrum
Assess merits f Su rc h arges
Total Policy Premium
MGA feeS/Policy Fees (Includmg Assessments & Surcharges)
$2,060
$370
$33
$2,463
location 001
Townhousef Number of Protectlo rI
Form Constru clJon Year Rowhouse Families Occupied Class T ernto ry BCEG
H08 frame 1954 N 1 y 1 081 99
Dwelling ProtecIJve Dev I ce Cred Its Wind / Hall
County Replacement Cost Home Updated Burglar Fire S prmkle r Sh utter Exc I uSia n
pmellas y y N N N N N
LIMITS
$15~8J900
$15,800
$79000
$15,800
NOTE' The portion of your premium for hurricane coverage is' $1,020
Section 1 coverages subject to $1,000 non-hurricane deductible per loss.
Section 1 coverages subject to $3,160 hurricane deductible per calendar year.
This policy contains a separate deductible for hurricane
which may result In high out of pocket expenses to you.
ThiS poliCY covers only speCific listed causes of loss Other causes of loss,
such as water damage, are not covered Please read your policy carefully
If there are hurricane losses in a calendar year on more than one UPCIC fOliCy, the hurricane
deductible will be the highest amount stated in anyone of the policies. I you nave a hurricane
loss and choose a lower deductible at policy renewal, the lower deductible will not take effect
until January 1 of the following year.
DESCRIBED LOCATION - The DeSCribed Location covered by thiS policy IS at the above address unless otherwise stated
1606 SCOTT ST ,CLEARWATER, FL 33755
Flood coverage IS not provided by Umversal Property & Casualty Insurance Company and is not part of
this policy. &4-J.~
We Will prOVide the Insurance deScribed In thiS policy In return for the premium and compliance With all applicable provIsions of thiS policy
If we elect to continue thiS Insurance, we Will rerlew thiS policy If you pay the required renewal premium for each successive policy period
subject to our premiums, rules and forms then In effect You must pay us prior to the end of the current poliCy penod or else thiS policy
Will expire
Insurance IS prOVided only With respect to the follOWing coverages for which a limit of liability IS speCified, subject to all the conditions of
thiS policy
COVERAGES-SECTIO~~~
Co~~r~ge -A- Dwellmg
Coverage -B- Othe r Str u ctu res
Covera ge -( - Pe rson a I Property
Coverage -0- Loss of Use
PREMIU~S ~OVERA~E~L- ~~CTION II
$2,060 Coverage -E- Personal Liability
Coverage -F- Medical Payments
LIMITS PREMIUMS
$ 300,00~_ $18
$2,000 $4
Cou ntersl g natu re
Date
PreSide nt
UPCIC H0003 (01/02)
Pnnt Date 02/06/200611 23 18 AM
Page 1 of 2
12/16/2005
Universal Property and Casualty
c/o Universal Risk AdVisors
1110 W, COMMERCIAL BLVD,
SUITE 300
FORT LAUDERDALE FL 33309
Homeowners (H08)
Declaration Effective
Claims 1-800-218-3206
" c pt~I9:1~~oer~ ~F.Rb_!WJr91~erii)cl'~T,olJlll
592-096~417 12/16/2005 12/16/2006
1110 W CommerCial Blvd SUite 0 Fort Lauderdale FL
Service Contact your Agent Listed Below
l: ~fZ~""" ~
Mortgagee { Additional Interest 01
Agent Name and Address
Wlke Insurance ServiceS Inc
1000 S Fort Hamson Ave
Clearwater FL 33756-
(727) 446-9009
( )
Additional Interest
Mortgagee , Add It, anal Interest 01
Marty agee , Add ,tlona I Inte rest 02
Mortgagee I Additional Interest 03
( )
( )
( )
loan #
loan #
loan #
NUMBER EDITION
HO 00 08 (04/91)
HO 23 74 (04/91)
HO 04 30 (04/91)
HO 04 90 (04/91)
HO 04 96 (04/91)
UPCIC 3 (01/98)
U PClC 16 (01/98)
UPClC 23 (01/98)
UPCIC 24 (01/98)
Policy Forms and Endorsements Applicable to thiS PoliCY
DESCRIPTION
Homeowrlers 8 SpeCial Form
ReplacemerltCost Loss Settlement
Theft Coverage Irlcrease
Pe rso na I Pro perty Re pi a ceme nt Co st
No Coverage for Home Day Care BUSiness
Outline of Your HomeOwner PoliCY
Loss Assessment Coverage
S peCla I Prov,s 10 ns - FIOri da
HUrrlcarle Deductible
Personal Liability Irlcrease Endorsemerlt
Medical Payment Increase Endorsement
MGA Fee
EMERGENCY MANAGEMENT PREPAREDNESS ASSISTANCE TRUST FUNO SURCHARGE
CmZEN'S P&C RECOUPMENT
LIMITS PREMIUMS
$2,060
$2,000 $39
$309
$1,000
$300,000 $18
$2,000 $4
$25
$2
$6
This replaces all preViously ISSUed polley declarations, If any and .s subject to all forms and endorsements attached to thiS policy
UPCIC H0003 (01/02) Pnnt Date 02/06/200611 23 18 AM Page 2 of 2
r
;..;,'t~
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Universal Property & Casualty Insurance Company
1110 W. Commercial Blvd., SUite 100
Fort La~derdale; FL 33309
CREDIT REPORT DISCLOSURE NOTICE
Applicant KEN THOMAS
Polley Number 592:D%.:...41Z
Date Q2LO_6L200.6.
Agent & Agency Code [9.Q82]JNlke.Insurance..S.enl.l.CeS-.Inc
This IS to notIfy you that, as part of the Company's underwntlng procedures,
a credit report will be ordered on you from a credit bureau.The credit report
will be used as an underwntlng tool In order to establish your eligibility for
Insurance coverage
If your application IS denied or your policy IS cancelled as the result of the
credit report, you Will be notified of the means by which you may obtain a
copy of the report and by which you may Identify the specific Items In the
credit report which resulted In the denial or cancellation,
This notice IS provided to you In accordance with Flonda Statute 4-125004
If you have any questions, please contact your agent or wnte the Company
at the address provided on this notice
UN1VERSAL INSURANCE HOLDINGS, INC,
2875 Northeast 191 <t Street, Swte 300
Miami, FlOrida 33180
PRJVACY STATBMENT
The affiliates ofUmversallnsurance Holdmgs. Inc, strive to provide you with
high quallty Insurance products and efficient customer service In the course of domg so,
we obtam persondl mfonnatlOn about you and your family We consider this information
confidential and have procedures m place to protect the mformatlon agamst unlawful use
and disclosure We will disclose your mfonnatlOn only as necessary to proce<;s your
requests for Insuran(,e, to provide services to you as a policyholder or claimant, and as
otherWise allowed or reqUired by law
The followmg <;tatements descnbe how we obtam and use mfonnatlon about YOll,
and how we protect that information ThiS statement applies to our affiliates Identified
below, and applies not only to current customers but also to our former customers You
do not need to take any action m response to thiS notIce
Personal InformatIon We Collect
In connection With provldmg products and servICes to you, we obtam informatIOn
from several ~ources Most of the informatIOn we obtam tomes directly from YOll, such
as through the msurance applications you subnllt and other interactions YOll have With us
From thcse mteractlOn~ with you, we Icarn mfOlmatlOn such as your name, address,
telephone number, eXlstmg coverages, deSired coverages, and Similar informatIOn
We also learn mformatlon about YOll from your transa(,tlOns With us ThiS may
mclude mformatlon such as your current or past coverage') and related mformatlOn, your
prem!Um 1cve 1<;, you r payment 11lSlory, your claim s h I story, and other m form atlOn Your
lIl~urance agent also may proVide information to us, ::.llch as requested additions or
deletions of coverage and updated contact mfonnatlOn tor you Fmally, we may receive
mfonnatlon from outside partles that has a bearing on your eligibility f01 products or
::.ervlces m which you are or might be mtere::.ted These parties may mclude consumer
reportmg agencies. motor vehicle re(,ords bllleaus. or other sources
If you VISit an Internet site that we mamtdm, we might rcquc::.t certam mformatlon
about you that will enable us to Identify you as an user, mcludmg your name, a user
name, a password, and password remlndcrs We also might obtain mfonnal1on about
your web brow~er. opcratmg system dnd ~Imdar mfonnahon to Improve the performante
and operation of our site
Our Use of You r Persona II n forma tlOn
We do not share the mformatlOn we wHect With other parties, except our
affiliates, nonaffiliated partIes perfonnmg contractual services tor us, and as otherWIse
Rev 06/0 I
pemlltted by law Umversal Insurance Holdmg'i, lnc IS a holdmg wmpany with various
SUbSldlalles provldmg various products and servlccs relatmg to ltlsurance and other
finan(,lal ::,el vJ(,e::, The (Ompdme::, also may offer other product,; and servIces as the
Umvelsal Insuran(,e Holdmgs ramlly grows In order to proVide you w1th access to these
products and serVices, and to llnplove our servl(,e to you, we may share Il1formatlon
among mcmber,; of our corporatc famliy The 1I1formallon we share among affiliates IS
IIlTIlted to mfonnatlOn about your transactions and expenences w1th u~ ,md to mformatlon
that we otherwise are permitted to disclose by law
When we provide mformatlon to parties performing contractual ~ervlce::' for us
(such as marketmg and research), we wntractually reqlllre those partie::' to preserve the
wnfidentJallty OfYOlll personal mfonnatlon As indicated above, we abo might share
mfonnatlOn that we obtam about you With nonaffihated pm11es as allowed or reqlllred by
la\v ThiS mean::, that we will share mformatlon WIth parties as necessary to effect,
adm mister, or enforce tran<;aetlons that you request In other word,>, we might pi oVlde
your mfomlatlon, for example, to a company that prints and mads our msurance poliCies,
or to a wmpdny that adjusts claims YOll repol1 to us I-<mally, we dre permitted or
requlled to share mformatlon With certam other parties hsted 111 federal law and state
rules, such as Insurance adVISOry orgal1lzatlOns, our attorneys and accountants, consumer
reportmg agencies, and Civil and regulatory authorities
How We Protect Your Personal InformatIon
We maintain phYSical, electrolllc. and procedural safeguard<; to ensure the
confidcnt13hty of the personalmfonnatlon we obtam about YOll We re::,tnct acces::, to
your personal information to those employees who need to know that information to
proVide services to you
ThIS summary of our pmctices IS furmshed for your mformatlOD. No action I~
req uired by )'oU upon receipt of tbis notice.
ThiS notlCC dc~cnbes the practices and procedures of Umversallnsurancc Holdmgs Inc and the
subs]dlanes listed below I egardlllg produl:..ts or servIce,; that you obtain from any of Ihul1 If you obtam
financ13! products or service,; from other members of our c.orporatc f31mly you \1,']][ receive a separate
notice IdentIfYing their praetl(...e~ and procedure<;
Ul11versal Property & Caslla Ity I n<;llJ ance Co In pany
Unlver<;al Risk AdVisors, lne
Umversdl RIsk LIfe AdVISOrs, lnc
Universal Adjusting CorporatIOn
Ul11versallnspectlOn CorporatIOn
Ul11versal rlonda [n<;urance Agency. lnc
U S Insurance 'Iolutlons, lnc
Rev 06/0 I
, '
~ ( I I (
, "
f L.\,/"
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HOMEOWNERS
HO 00 08 04 91
HOMEOWNERS 8
MODIFIED COVERAGE FORM
AGREEMENT
We will provide the Insurance descnbed In this policy In return for the premium and compliance with all applica-
ble provIsions of this policy
DEFINITIONS
In this POliCY, "you" and "your" refer to the "named
Insured" shown In the Declarations and the spouse If
a resident of the same household "We," "us" and
"our" refer to the Company providing this Insurance
In addition, certain words and phrases are defined as
follows
1 "Bodily InJury" means bodily harm, sickness or
disease, Including reqUired care, loss of services
and death that results
2 "Business" Includes trade, profeSSion or occupa-
tion
3 "Insured" means you and residents of your house-
hold who are
a Your relatives, or
b Other persons under the age of 21 and In the
care of any person named above
Under Section IJ, "Insured" also means
C With respect to animals or watercraft to which
this policy applies, any person or organization
legally responsible for these ammals or water-
craft which are owned by you or any person in-
cluded In 3 a or 3 b above A person or or-
ganization uSing or haVing custody of these
ammals or watercraft In the course of any
"business" or without consent of the owner IS
not an "Insured",
d With respect to any vehicle to which this poliCY
applies
(1) Persons while engaged In your employ or
that of any person Included In 3 a or 3 b
above, or
(2) Other persons USing the vehicle on an
"Insured location" With your consent
4 "Insured location" means
a The "residence premises",
b The part of other premises, other structures
and grounds used by you as a reSIdence and
(1) Which IS shown In the Declara110ns, or
(2) Which IS acqUIred by you durmg the policy
penod for your use as a reSidence,
HO 00 08 04 91
c Any premises used by you In connection With a
premises In 4 a and 4 b above,
d Any part of a premises
(1) Not owned by an "msured", and
(2) Where an "Insured" IS temporanly reSiding,
e Vacant land, other than farm land, owned by or
rented 10 an "Insured",
f Land owned by or rented to an "Insured" on
which a one or two family dwelling IS being
bUilt as a reSidence for an "Insured",
g IndiVidual or family cemetery plots or bunal
vaul1s of an "Insured", or
h Any part of a premises occasionally rented to
an "Insured" for other than "bUSiness" use
5 "Occurrence" means an aCCident, including con-
tinUOUS or repeated exposure to substantially the
same general harmful conditions, which results,
dunng the policy period, In
a. "Bodily inJury", or
b "Property damage"
6 "Property damage" means phYSical injury to, de-
struction of, or loss of use of tangible property
7. "ReSidence employee" means
a An employee of an "Insured" whose duties are
related to the maintenance or use of the "resI-
dence premises," including household or do-
mestic services, or
b One who performs Similar duties elsewhere not
related to the "bUSiness" of an "Insured"
8 "ReSidence premIses" means
a The one famlJy dwelling, other structures, and
grounds, or
b Tha1 part of any other bUilding,
where you reSide and which IS shown as the "resI-
dence premIses" In the Declarations
"ReSidence premises" also means a two family
dwelling where you reSide In at least one of the
family units and which IS shown as the "reSidence
premises" In the Declarations
Copynght, Insurance Services Office, Inc, 1990
Page 1 of 15
SECTION 1- PROPERTY COVERAGES
COVERAGE A ~ Dwelling
We cover
1 The dwelling on the "residence premises" shown
In the Declarations, Including structures attached
to the dwelling, and
2 Materials and supplies located on or next to the
"residence premises" used to construct, alter or
repair the dwelling or other structures on the "resI-
dence premises"
This coverage does not apply to land, including land
on which the dwelling IS located
COVERAGE B - Other Structures
We cover other structures on the "residence prem-
Ises" set apart from the dwelling by clear space This
Includes structures connected to the dwelling by only
a fence, utility line, or Similar connection
This coverage does not apply to land, Including land
on which the other structures are located
We do not cover other structures
1 Used In whole or In part for "business", or
2 Rented or held for rental to any person not a ten-
ant of the dwelling, unless used solely as a pnvate
garage
The limit of hablllty for this coverage will not be more
than 10%,of the limit of liability that applies to Cover-
age A Use of this coverage does not reduce the
Coverage A limit of liability
COVERAGE C - Personal Property
We cover personal property owned or used by an
"Insured" while on the "residence premises" At your
request, we will cover personal property owned by
others while the property IS on the part of the "resI-
dence premises" occupied by an "Insured" We also
cover personal property owned or used by an "in-
sured" while It IS anywhere In the world but our limit of
liability will not be more than 10% of 1he limit of liabil-
Ity for Coverage C or $1000, whichever IS greater
Personal property In a newly acquired pnnclpal resI-
dence IS not subject to thiS limitation for 30 days from
the time you begin to move the property there
Special Limits of Liability These Ilmlts do not in-
crease the Coverage C limit of liability The special
limit for each numbered category below IS the total
limit for each loss for all property In that category
1 $200 on money, bank notes, bullion, gold other
than goldware, silver other than silverware, plati-
num, cOins and medals
Page 2 of 15
2 $1000 on secuntles, accounts, deeds, eVidences
of debt, letters of credit, notes other than bank
notes, manuscripts, personal records, passports,
tickets and stamps ThIS dollar limit applies to
these categories regardless of the medium (such
as paper or computer software) on which the ma-
tenal eXists
ThiS I1mlt Includes the cost 10 research, replace or
restore the information from the lost or damaged
matenal
3 $1000 on watercraft, including their trailers, fur-
nishings, equipment and outboard engines or mo-
tors
4 S 1 000 on trailers not used with watercraft
5 $2500 on property, on the "reSidence premises,"
used at any time or In any manner for any "bUSI-
ness" purpose
6 $250 on property, away from the "reSIdence prem-
Ises," used at any time or In any manner for any
"bUSiness" purpose However, thiS limit does not
apply 10 loss to adaptable electrOniC apparatus as
descnbed In SpeCial Limits 7 and 8 below
7 $1000 for loss to electrOnic apparatus, while In or
upon a motor vehicle or other motonzed land con-
veyance, If the electronic apparatus IS equipped to
be operated by power from the electrical system
of the vehicle or conveyance while retaining ItS
capability of bemg operated by other sources of
power Electronic apparatus Includes
a Accessones or antennas, or
b Tapes, Wires, records, diSCS or other media,
for use WIth any electronic apparatus
8 $1000 for loss to electronic apparatus, while not In
or upon a motor vehicle or other motOrized land
conveyance, If the electroniC appara1us
a_ Is eqUipped to be operated by power from the
electncal system of the vehicle or conveyance
while retaining ItS capability of being operated
by other sources of power,
b Is away from the "reSidence premises", and
c Is used at any time or In any manner for any
"bUSiness" purpose
ElectrOniC apparatus Includes
a AcceSSOries or antennas, or
b Tapes, Wires, records, dISCS or other media
for use With any electroniC apparatus
COPYright, Insurance Services Office, Inc, 1990
HO 00 08 04 91
",
J}l .. 1'''''[
Property Not Covered We do not cover
1 Articles separately described and specifically
Insured In this or other Insurance,
2 Animals, birds or fish,
3 Motor vehicles or all other motorized land con-
veyances ThiS Includes
a Their eqUipment and accessories, or
b Electronic apparatus that IS deSigned to be
operated solely by use of 1he power from the
electrical system of motor vehicles or all other
motOrized land conveyances ElectrOniC appa-
ratus Includes
(1) Accessones or antennas, or
(2) Tapes, Wires, records, diSCS or other media,
for use with any electrOniC apparatus
The exclUSion of property descnbed In 3 a and
3 b above applies only while the property IS In
or upon the vehicle or conveyance
We do cover vehicles or conveyances not subject
to motor vehicle registration which are
a Used to servIce an "Insured's" reSidence, or
b DeSIgned for assisting the handIcapped,
4 Aircraft and parts Aircraft means any contnvance
used or deSigned for flight, except model or hobby
aircraft not used or deSigned to carry people or
cargo,
S Property of roomers, boarders and other tenants,
except property of roomers and boarders related
to an "Insured",
6 Property m an apartment regularly rented or held
for rental to others by an "Insured",
7 Property rented or held for rental to others off the
"reSidence premises",
8 "Busmess" data, including such data stored In
a Books of account, draWings or other paper
records, or
b Electronic data processmg tapes, Wires, re-
cords, diSCS or other software media
However, we do cover the cost of blank recordmg
or storage media, and of pre-recorded computer
programs available on the retail market, or
9 Credit cards or fund transfer cards except as
prOVided In Additional Coverages 6
HO 00 08 04 91
COVERAGE D - Loss Of Use
The limit of liability for Coverage D IS the total limit
for all the coverages that follow
1 If a loss covered under thiS Section makes that
part of the "reSidence premises" where you reSide
not fit to live In, we cover, at your chOice, either of
the follOWing However, If the "reSidence prem-
Ises" IS not your prinCipal place of reSidence, we
WIll not prOVide the option under paragraph b be-
low
a AdditIOnal LIVing Expense, meaning any
necessary Increase In liVing expenses Incurred
by you so that your household can maintain ItS
normal standard of liVing, or
b Fair Rental Value, meaning the fair rental
value of that part of the "reSidence premises"
where you reSide less any expenses that do
not continue while the premises IS not fit to live
m
Payment under a or b Will be for the shortest
time reqUired to repair or replace 1he damage or,
If you permanently relocate, the shortest time re-
qUired for your household to settle elsewhere
2 If a loss covered under thiS Section makes that
part of the "reSidence premises" rented to others
or held for rental by you not fit to live In, we cover
the
Fair Rental Value, meaning the fair rental
value of that part of the "reSidence premises"
rented to others or held for rental by you less
any expenses that do not continue while the
premises IS not fit to live In
Payment Will be for the shortest time reqUIred to
repair or replace that part of the premises rented
or held for rental
3 If a CMI authonty prohibits you from use of the
"reSidence premises" as a result of direct damage
to nelghbonng premises by a Penl Insured Against
In thiS polley, we cover the Additional Llvmg Ex-
pense and Fair Rental Value loss as prOVided un-
der 1 and 2 above for no more than two weeks
The periods of time under 1 , 2 and 3 above are not
limited by expiration of thiS poliCY
We do not cover loss or expense due to cancellation
of a lease or agreement
COPYright. Insurance Services Office. Inc, 1990
Page 3 of 15
ADDITIONAL COVERAGES
1 Debns Removal. We will pay your reasonable
expense for the removal of
a Debns of covered property If a Penl Insured
Against that applies to the damaged property
causes the loss, or
b Ash, dust or particles from a volcanic eruption
that has caused direct loss to a bUilding or
property contained In a bUilding
This expense IS Included In the limit of hablllty that
applies to the damaged property
We will also pay your reasonable expense, up to
$500, for the removal from the "residence prem-
Ises" of
a Your tree(s) felled by the penl of Windstorm or
Hal!, or
b A neighbor's tree(s) felled by a Penl Insured
Against under Coverage C,
provided the tree(s) damages a covered structure
The $500 limit IS the most we will pay In anyone
loss regardless of the number of fallen trees
2 Reasonable Repairs In the event that covered
property IS damaged by an applicable Penl In-
sured Against, we will pay the reasonable cost in-
curred by you for necessary measures taken
solely to protect against further damage If the
measures taken Involve repair to other damaged
property, we will pay for those measures only If
that property IS covered under thiS policy and the
damage to that property IS caused by an applica-
ble Penllnsured Against
ThiS coverage
a Does not Increase the limit of liability that
applies to the covered property,
b Does not relieve you of your duties, In case of
a loss to covered property, as set forth In SEC-
TION I - CONDITION 2 d
3 Trees, Shrubs and Other Plants We cover
trees, shrubs, plants or lawns, on the "reSidence
premises," for loss caused by the following Penis
Insured Agamst Fire or lightning, Explosion, Riot
or CIVil commotion, Aircraft, Vehicles not owned or
operated by a reSident of the "reSidence prem-
Ises," Vandalism or malicIous mischief or Theft
We will pay up to 5% of the limit of liability that
applies to the dwelling, for all trees, shrubs, plants
or lawns No more than $250 of thiS limit will be
available for anyone tree, shrub or plant We do
not cover property grown for "bUSiness" purposes
ThiS coverage IS additional Insurance
4 Fire Department Service Charge We will pay up
to $500 for your liability assumed by contract or
agreement for fire department charges Incurred
when the fire department IS called to save or pro-
tect covered property from a Penl Insured
Agamst We do not cover fire department service
charges If the property IS located Within the limits
of the City, municipality or protection d Is1nct fu r-
nlshmg the fire department response
ThiS coverage IS additional msurance No deducti-
ble apphes to thiS coverage
5. Property Removed We Insure covered property
against direct loss from any cause while bemg
removed from a premises endangered by a Penl
Insured Against and for no more than 30 days
while removed ThiS coverage does not change
the hm It of Ilabl llty that applies to the property b e-
Ing removed
6 Credit Card, Fund Transfer Card, Forgery and
Counterfeit Money
We will pay up to $500 for
a The legal obligation of an "msured" to pay
because of the theft or unauthonzed use of
credit cards Issued to or registered m an "In-
sured's" name,
b Loss resultmg from theft or unauthonzed use
of a fund transfer card used for depOSit, With-
drawal or transfer of funds, Issued to or regis-
tered m an-"msured's" name,
c Loss to an "msured" caused by forgery or al-
teration of any check or negotiable mstrument,
and
d Loss to an "Insured" through acceptance m
good faith of counterfeit United States or Ca-
nadian paper currency
We do not cover use of a credit card or fund
transfer card
a By a reSident of your household,
b By a person who has been entrusted With ei-
ther type of card, or
c If an "msured" has not complied With all terms
and conditions under which the cards are IS-
sued
All loss resultmg from a series of acts committed
by anyone person or In which anyone person IS
concerned or Implicated IS conSidered to be one
loss
We do not cover loss arising out of "bUSiness" use
or dishonesty of an "Insured"
ThiS coverage \S additional Insurance No deducti-
ble applies to thiS coverage
Page 4 of 15
COPYright, Insurance Services Office, Inc, 1990
HO 00 08 04 91
~ .,
~.... t .....r-,t t I J
Defense
a We may InvestIgate and settle any claIm or
SUIt that we decide IS appropnate Our duty to
defend a claim or SUIt ends when the amount
we pay for the loss equals our limit of liability
b If a SUIt IS brought agamst an "msured" for
liability under the Credit Card or Fund Transfer
Card coverage, we will provide a defense at
our expense by counsel of our choice
c We have the option to defend at our expense
an "msured" or an "Insured's" bank against any
sUIt for the enforcemen1 of payment under the
Forgery coverage
7 Loss Assessment We will pay up to $1000 for
your share of loss assessment charged dunng the
policy period against you by a corporation or as-
sociation of property owners, when the assess-
ment IS made as a result of direct loss to the
property, owned by all members collectively,
caused by a Penllnsured Against under COVER-
AGE A - DWELLING, other than earthquake or
land shock waves or tremors before, dUring or af-
ter a volcaniC eruption
This coverage applies only to loss assessments
charged against you as owner or tenant of the
"residence premises"
~ ,
...
We do not cover loss assessments charged
against you or a corporation or association of
property owners by any governmental body
The limit of $1000 IS the most we Will pay with re-
spect to anyone loss, regardless of the number of
assessments
Condition 1 Policy Period, under SECTIONS I
AND II - CONDITIONS, does not apply to this
coverage
8 Glass or Safety Glazing Matenal
We Will pay up to $100 for
a The breakage of glass or safety glazmg mate-
rial which IS part of a covered bUilding, storm
door or stonn window, and
b Damage to covered property by glass or safety
glazmg matenal which IS part of a bUlldmg,
storm door or storm window
This coverage does not Include loss on the "resI-
dence premises" If the dwelling has been vacant
for more than 30 consecutive days Immediately
before the loss A dwelling bemg constructed IS
not conSidered vacant
Loss for damage to glass Will be settled on the ba-
SIS of replacement with safety glazmg matenals
when required by ordinance or law
This coverage does not Increase the limit of liabil-
Ity that applies to the damaged property
SECTION I - PERilS INSURED AGAINST
We Insure for direct physical loss to the property
described In Coverages A, Band C caused by a penl
listed below unless the loss IS excluded In SECTION I
- EXCLUSIONS
1 Fire or Ilghtmng
2 Wmdstonn or hall
This penl does not Include loss to the InSIde of a
bUilding or the property contained In a bUilding
caused by rain, snow, sleet, sand or dust unless
the direct force of wind or hall damages the bUild-
Ing causing an openmg In a roof or wall and the
ram, snow, sleet, sand or dust enters through this
opemng
This peril Includes loss to watercraft and their trail-
ers, furnlshmgs, equipment, and outboard engmes
or motors, only while mSlde a fully enclosed bUild-
Ing
3 ExplosIOn
4 RIOt or CIVil commotion
5. Aircraft, Includmg self-propelled miSSiles and
spacecraft
HO 00 08 0491
6 Vehicles
This penl does not mclude toss caused by a vehi-
cle owned or operated by a reSident of the "resI-
dence premises"
7 Smoke, meaning sudden and aCCidental damage
from smoke
This peril does not mclude loss caused by smoke
from fireplaces or from agricultural smudging or
Industrial operations
8 Vandalism or maliCIOUS mischief
ThiS penl does not Include loss to property on 1he
"reSidence premises" If the dwelling has been va-
cant for more than 30 consecutive days Immedi-
ately before the loss A dwelling being constructed
IS not conSidered vacant
9 Theft, Including attempted theft and loss of prop-
erty from a known place on the "reSidence prem-
Ises" when It IS likely that the property has been
stolen
ThiS peril does not Include loss caused by theft
that occurs off the "reSidence premises"
Copyng ht, Insura nce Services Office, I nc, 1990
Page 5 of 15
Personal property contained In any bank, trust or
safe deposit company or public warehouse will be
considered on the "residence premises"
Our liability will not be more than $1000 In any
one loss caused by theft
This penl does not Include loss caused by theft
a Committed by an "Insured",
b In or to a dwelling under constructIOn, or of
materials and supplies for use In the construc-
tion until the dwelling IS finished and occupied,
or
c From that part of a "residence premises"
rented by an "Insured" to other than an "in-
sured "
10 Volcamc eruption other than loss caused by
earthquake, land shock waves or tremors
SECTION 1- EXCLUSIONS
We do not Insure for loss caused directly or Indirectly
by any of the following Such loss IS excluded regard-
less of any other cause or event contnbutlng concur-
rently or In any sequence to the loss
1 Ordmance or Law, meaning enforcement of any
ordmance or law regulating the construction, re-
pair, or demolition of a bUilding or other structure,
unless specifically provided under thiS policy
2 Earth Movement, meaning earthquake Including
land shock waves or tremors before, during or af-
ter a volcaniC eruption, landslide, mine subSI-
dence, mudflow, earth Sinking, rising or shifting,
unless direct loss by
a Fire,
b ExplOSIon, or
c Breakage of glass or safety glaZing matenal
which IS part of a bUlldmg, storm door or storm
Window,
ensues and then we Will pay only for the ensuing
loss
ThiS exclUSion does not apply to loss by theft
3 Water Damage, meaning
a Flood, surface water, waves, tidal water, over-
flow of a body of water, or spray from any of
these, whether or not driven by Wind,
b Water which backs up through sewers or
drainS or whIch overflows from a sump, or
c Water below the surface of the ground, Includ-
Ing water which exerts pressure on or seeps or
leaks through a bUilding, Sidewalk, driveway,
foundation, SWimming pool or other structure
Direct loss by fire, explOSion or theft resultmg from
water damage IS covered
4 Power Failure, meaning the failure of power or
other utility service If the failure takes place off
the "reSidence premises" But, If a Peril Insured
Against ensues on the "reSidence premises," we
Will pay only for that enSUing loss
5 Neglect, meaning neglect of the "Insured" to use
all reasonable means to save and preserve prop-
erty at and after the tIme of a loss
6 War, including the follOWing and any consequence
of any of the follOWing
a Undeclared war, CIVil war, Insurrection, rebel-
lion or revolution,
b Warlike act by a military force or military per-
sonnel, or
c Destruction, seizure or use for a military pur-
pose
Discharge of a nuclear weapon Will be deemed a
warlike act even If aCCIdental
7 Nuclear Hazard, to the extent set forth In the
Nuclear Hazard Clause of SECTION I - CONDI-
TIONS
8 Intentional Loss, meaning any loss anslng out of
any act committed
a By or at the direction of an "msured", and
b With the Intent to cause a loss
Page 6 of 15
COPYright, Insurance Services Office, Inc, 1990
HO 00 08 04 91
SECTION 1- CONDITIONS
1 Insurable Interest and Limit of Liability Even If
more than one person has an msurable mterest In
the property covered, we will not be liable many
one loss
a To the "Insured" for more than the amount of
the "msured's" Interest at the time of loss, or
b For more than the apphcable I1mlt of liabIlity
2 Your Duties After Loss In case of a loss to
covered property, you must see that the followmg
are done
a Give prompt notice to us or our agent,
b Notify the police m case of loss by theft,
c Notify the credit card or fund transfer card
company In case of loss under Credit Card or
Fund Transfer Card coverage,
d Protect the property from further damage If
repairs to the property are required, you must
(1) Make reasonable and necessary repairs to
protect Ih e property, and
(2) Keep an accurate record of repair ex-
penses,
e Prepare an Inventory of damaged personal
property showmg the quantity, description, ac-
tual cash value and amount of loss Attach all
bills, receIpts and related documents that JUs-
tify the figures m the Inve ntory,
f As often as we reasonably reqUIre
(1) Show the damaged property,
(2) PrOVIde us with records and documents we
request and permit us to make caples, and
(3) Submit to examination under oath, while
not In the presence of any other "msured,"
and sign the same,
g Send to us, within 60 days after our request,
your Signed, sworn proof of loss whIch sets
forth, to the best of your knowledge and belief
(1) The time and cause of loss,
(2) The mterest of the "Insured" and all others
In the property Involved and all liens on the
property,
(3) Other Insurance which may cover the loss,
(4) Changes In title or occupancy of the prop-
erty dUring the term of the policy,
(5) SpeCifications of damaged bUildings and
detailed repair estimates,
(6) The Inventory of damaged personal prop-
erty descnbed In 2 e above,
(7) ReceIpts for additional living expenses
mcurred and records that support the fair
rental value loss, and
(8) EVIdence or affidaVit that supports a claim
under the Credit Card, Fund Transfer Card,
Forgery and Counterfeit Money coverage,
stating the amount and cause of loss
3. Loss Settlement Covered property losses are
settled as follows
a Property of the follOWing types
(1) Personal property,
(2) Awnmgs, carpetmg, household appliances,
outdoor antennas and outdoor eqUipment,
whether or not attached to bUlldmgs, and
(3) Structures that are not bUildings,
at actual cash value at the time of loss but not
more than the amount required to repair or re-
place
b BUildings under Coverage A or B
(1) If you repair or replace the loss or damage
to restore the building structure for the
same occupancy and use at the same site
within 180 days of the date of loss or dam-
age, we Will pay the lesser of the followmg
amounts
(a) The limit of liability that applies to the
damaged or destroyed bUilding struc-
ture, or
(h) The necessary amount actually spent to
repair or replace the loss or damage to
the bUlldmg structure but no more than
the cost of uSing common construction
matenals and methods where function-
ally eqUivalent to and less costly than
obsolete, an11que or custom construc-
tion matenals and methods
(2) If you do not make claim under Paragraph
(1) above, we Will pay the least of the fol-
lOWing amounts
(a) The limit of liability that applies to the
damaged or destroyed bUilding struc-
ture,
(b) The market value at the tIme of loss of
the damaged or destroyed bUlldmg
structure exclUSive of land value, or
HO 00080491
Copynght, Insurance Services Office, Inc, 1990
Page 7 of 15
(c) The amount which It would cost to repair
or replace that part of the bUilding struc-
ture damaged or destroyed with matenal
of like kind and quality less allowance
for physical detenoratlon and deprecia-
tion
4 Loss to a Pair or Set In case of loss to a pair or
set we may elect to
a Repair or replace any part to restore the pair or
set to Its value before the loss, or
b Pay the difference between actual cash value
of the property before and after the loss
5 Glass Replacement Loss for damage to glass
caused by a Penl Insured Against Will be settled
on the basIs of replacement with safety glaZing
matenals when required by ordinance or law
6 Appraisal If you and we fall to agree on the
amount of loss, eIther may demand an appraisal
of the loss In thiS event, each party Will choose a
competent appraiser wlthm 20 days after recelvmg
a wntten request from the other The two apprais-
ers Will choose an umpire If they cannot agree
upon an umpire wlthm 15 days, you or we may re-
quest that the chOice be made by a judge of a
court of record In the state where the "reSidence
premises" IS located The appraisers Will sepa-
rately set the amount of loss If the appraisers
submit a wntten report of an agreement to us, the
amount agreed upon Will be the amount of loss If
they fall to agree, they Will submit their differences
to the umpIre A decIsion agreed to by any two Will
set the amount of loss
Each party Will
a Pay Its own appraiser, and
b Bear the other expenses of the appraisal and
umpire equally
7 Other Insurance If a loss covered by thiS policy
IS also covered by other Insurance, we Will pay
only the proportion of the loss that the limit of li-
ability that applies under thiS policy bears to the
total amount of Insurance covenng the loss
8 SUIt A,gamst Us No action can be brought unless
the policy provIsions have been complied with and
the action IS started within one year after the date
of loss
9 Our Option If we give you written notice wlthm
30 days after we receive your Signed, sworn proof
of loss, we may repair or replace any part of the
damaged property with like property
10 Loss Payment We Will adjust all losses with you
We Will pay you unless some other person IS
named In the policy or IS legally entitled to receive
payment Loss Will be payable 60 days after we
receive your proof of loss and
a Reach an agreement with you,
b There IS an entry of a final judgment, or
c There IS a filing of an appraisal award with us
11 Abandonment of Property We need not accep1
any property abandoned by an "msured "
12 Mortgage Clause
The word "mortgagee" Includes trustee
If a mortgagee IS named In thiS policy, any loss
payable under Coverage A or B Will be paid to the
mortgagee and you, as Interests appear If more
than one mortgagee IS named, the order of pay-
ment Will be the same as the order of precedence
of the mortgages
If we deny your claim, that denial Will not apply to
a valid claim of the mortgagee, If the mortgagee
a Notifies us of any change In ownership, occu-
pancy or substantial change In fisk of which
the mortgagee IS aware,
b Pays any premium due under thiS policy on
demand If you have neglected to pay the pre-
mium, and
c Submits a Signed, sworn statement of loss
within 60 days after recelvmg notIce from us of
your failure to do so Policy conditions relating
to Appraisal, SUIt Against Us and Loss Pay-
ment apply to the mortgagee
If we deCide to cancel or not to renew thiS policy,
the mortgagee WIll be notified at least 10 days be-
fore the da1e cancellation or nonrenewal takes ef-
fect
If we pay the mortgagee for any loss and deny
payment to you
a We are subrogated to all the fights of the mort-
gagee granted under the mortgage on the
property, or
b At our optIon, we may pay to the mortgagee
the whole princIpal on the mortgage plus any
accrued Interest In thiS event, we Will receive
a full assIgnment and transfer of the mortgage
and al\ seCUrities held as collateral to the mort-
gage debt
Subrogation Will not ImpaIr the right of the mort-
gagee to recover the full amount of the mort-
gagee's claim
Page 8 of 15
COPYright, Insurance Services Office Ine, 1990
HO 00080491
"
I "it.(,
13 No Benefit to Bailee We will not recognize any
assignment or grant any coverage that benefits a
person or organization holding, stonng or moving
property for a fee regardless of any other provI-
sion of this policy
14 Nuclear Hazard Clause
a. "Nuclear Hazard" means any nuclear reaction,
radiation, or radioactive contamination, all
whether controlled or uncontrolled or however
caused, or any consequence of any of these
b Loss caused by the nuclear hazard will not be
considered loss caused by fire. explosion, or
smoke, whether these penis are speCifically
named In or otherwise Included within the Per-
Ils Insured Agamst In Section I
C ThiS pollcy does not apply under Section I to
loss caused directly or indirectly by nuclear
hazard, except that dIrect loss by fire resulting
from the nuclear hazard IS covered
15. Recovered Property If you or we recover any
property for which we have made payment under
thiS POliCY, you or we Will notify the other of the
recovery At your option, the property Will be re-
turned to or retained by you or It Will become our
property If the recovered property IS returned to
or retained by you, the loss payment Will be ad-
justed based on the amount you received for the
recovered property
16 Volcamc Eruption Penod One or more volcaniC
eruptions that occur within a 72-hour penod Will be
conSidered as one volcaniC eruption
SECTION 11- LIABILITY COVERAGES
COVERAGE E - Personalllablhty
If a claim IS made or a SUIt IS brought against an
"Insured" for damages because of "bodily Injury" or
"property damage" caused by an "occurrence" to
which thiS coverage applies, we Will
1 Pay up to our limit of liability for the damages for
whIch the "Insured" IS legally liable Damages in-
clude prejudgment Interest awarded against the
"Insured", and
2. PrOVide a defense at our expense by counsel of
our chOice, even If the SUIt IS groundless, false or
fraudulent We may Investigate and settle any
claim or SUit that we deCide IS appropnate Our
duty to settle or defend ends when the amount we
pay for damages resulting from the "occurrence"
equals our limit of liability
COVERAGE F - Medical Payments To Others
We Will pay the necessary medical expenses that are
Incurred or medically ascertained wlthm three years
from the date of an aCCident causing "bodily Injury "
Medical expenses means reasonable charges for
medical, surgical, x-ray, dental, ambulance, hospital,
professional nursing, prosthetiC deVices and funeral
services ThiS coverage does not apply to you or
regular reSidents of your household except "reSidence
employees" As to others, thiS coverage applies only
HO 00 08 04 91
1 To a person on the "msured location" with the
permission of an "msured", or
2 To a person off the "msured location," If the "bod-
Ily injury"
a Anses out of a condition on the "msured loca-
tion" or the ways Immediately adjOining,
b Is caused by the actiVities of an "Insured",
c Is caused by a "reSidence employee" In the
course of the "reSidence employee's" employ-
ment by an "Insured", or
d Is caused by an animal owned by or In the care
of an "Insured"
Copynght, Insurance Services Office, lnc, 1990
Page 9 of 15
SECTION 11- EXCLUSIONS
1 Coverage E - Personal Llab,llity and Coverage
F ~ Medical Payments to others do not apply to
"bodily inJury" or "property damage"
a Which IS expected or Intended by the "in-
sured" ,
b AriSing out of or in connection With a "bUSI-
ness" engaged In by an "Insured" ThlS exclu-
Sion applies but IS not limited to an act or
omiSSion, regardless of ItS nature or circum-
stance, Involving a service or duty rendered,
promised, owed, or Implied to be provIded be-
cause of the nature of the "business",
c. AriSing out of the rental or holding for rental of
any part of any premises by an "Insured" ThiS
exclusion does not apply to the rental or hold-
Ing for rental of an "Insured location"
(1) On an occasional baSIS If used only as a
residence,
(2) In part for use only as a residence, unless a
Single family unit IS Intended for use by the
occupYing family to lodge more than two
roomers or boarders, or
(3) In part, as an office, school. studiO or pn-
vate garage,
d AriSing out of the rendering of or failure to
render professional services,
e AriSing out of a premises
(1) Owned by an "Insured",
(2) Rented to an "Insured", or
(3) Rented to others by an "Insured",
that IS not an "Insured location",
f Anslng out of
(1) The ownership, maintenance, use, loading
or unloading of motor vehicles or all other
motorized land conveyances, Includmg
trailers, owned or operated by or rented or
loaned to an "Insured",
(2) The entrustment by an "Insured" of a motor
vehicle or any other motorized land con-
veyance to any person, or
(3) Vicarious liability, whether or not statutorily
Imposed, for the actions of a child or minor
uSing a conveyance excluded In paragraph
(1) or (2) above
ThiS exclUSion does not apply to
(1) A trailer not towed by or carried on a m010r-
Ized land conveyance,
(2) A motOrized land conveyance deSigned for
recreational use off pubhc roads, not sub-
Ject to motor vehicle registration and
(a) Not owned by an "Insured", or
(b) Owned by arl "Insured" and on an "in-
sured location",
(3) A motorized golf cart when used to play
golf on a golf course,
(4) A vehicle or conveyance not subject to
motor vehicle registration which IS
(a) Used to service an "Insured's" resI-
dence,
(b) DeSigned for assisting the handicapped,
or
(c) In dead storage on an "Insured loca-
tion",
9 AriSing out of
(1) The ownership, maintenance, use, loading
or unloadmg of an excluded watercraft de-
SCribed below,
(2) The entrustment by an "Insured" of an
excluded watercraft descnbed below to any
person, or
(3) Vicarious liability, whether or not statutorily
lmposed, for the actions of a child or minor
USing an excluded watercraft described be-
low
Excluded watercraft are those that are princI-
pally deSigned to be propelled by engine power
or electnc motor, or are sailing vessels,
whe1her owned by or rented to an "Insured"
ThiS exclUSion does not apply to watercraft
(1) That are not sailing vessels and are pow-
ered by
(a) Inboard or mboard-outdrlve engme or
motor power of 50 horsepower or less
not owned by an "insured",
(b) Inboard or Inboard-outdnve engme or
motor power of more than 50 horse-
power not owned by or rented to an "in-
sured",
(c) One or more outboard engines or mo-
tors WIth 25 total horsepower or less,
Page 10 of 15
Copynght, Insurance Services Office, Inc, 1990
HO 00080491
(d) One or more outboard engines or mo-
tors with more than 25 total horsepower
If the outboard engine or motor IS not
owned by an "Insured",
(e) Outboard engines or motors of more
than 25 total horsepower owned by an
"Insured" If
(I) You acquire them prior to the pohcy
penod, and
(a) You declare them at policy incep-
tion, or
(b) Your Intention to Insure IS re-
ported to us In wntlng within 45
days after you acqUIre the out-
board engines or motors
(II) You acqUire them dUring the policy
period
ThiS coverage applies for the policy pe-
nod
(2) That are sailing vessels, With or Without
aUXIliary power
(a) Less than 26 feet In overall length,
(b) 26 feet or more In overall length, not
owned by or rented to an "Insured"
(3) That are stored,
h Anslng out of
(1) The ownership, maintenance, use, loading
or unloading of an aircraft,
(2) The entrustment by an "Insured" of an
aircraft to any person, or
(3) VicariOUS liability, whether or not statutonly
Imposed, for the actions of a child or minor
uSing an aircraft
An aircraft means any contrivance used or de-
signed for flight, except model or hobby air-
craft not used or deSigned to carry people or
cargo,
I Caused directly or mdlrectly by war, Includmg
the follOWing and any consequence of any of
the followmg
(1) Undeclared war, CIVil war, Insurrection,
rebellion or revolution,
(2) Warlike act by a military force or mlhtary
personnel, or
(3) Destruction, seizure or use for a mll1tary
purpose
Discharge of a nuclear weapon Will be deemed
a warlike act even If aCCidental,
Which anses out of the transmisSion of a com-
municable disease by an "msured",
k Anslng out of sexual molestation, corporal
punishment or phYSical or mental abuse, or
Anslng out of the use, sale, manufacture,
delivery, transfer or possession by any person
of a Controlled Substance(s) as defined by the
Federal Food and Drug Law at 21 US C A
Sections 811 and 812 Controlled Substances
Include but are not limited to cocaine, LSD,
marijuana and all narcotic drugs However, thiS
exclUSion does not apply to the legitimate use
of prescnptlon drugs by a person follOWing the
orders of a licensed phYSICian
ExclUSions e , f, g., and h do not apply to "bodily
mJury" to a "resIdence employee" arising out of
and m the course of the "residence employee's"
employment by an "msured "
2 Coverage E - Personal Liability, does not apply
to
a Liability
(1) For any loss assessment charged agamst
you as a member of an association, corpo-
ration or community of property owners,
(2) Under any contract or agreement How-
ever, thiS exclUSion does not apply to Writ-
ten contracts
(a) That directly relate to the ownership,
maintenance or use of an "msured loca-
tion", or
(b) Where the liability of others IS assumed
by 1he "msured" prior to an "occur-
rence" ,
unless excluded In 111 above or elsewhere
In thiS policy,
b "Property damage" to property owned by the
"msured" ,
c. "Property damage" to property rented to, occu-
pied or used by or In the care of the "Insured "
ThiS exclUSion does not apply to "property
damage" caused by fire, smoke or explOSion,
d "Bodily IfIJury" to any person eligible to receive
any benefits
(1) Voluntarily proVided, or
(2) ReqUired to be provided,
by the "Insured" under any
(1) Workers' compensation law,
(2) Non-occupational dIsability law, or
(3) Occupational disease law,
HO 00 08 04 91
COPYright, Insurance Services Office, Inc, 1990
Page 11 of 15
e "Bodily InJury" or "property damage" for whIch
an "Insured" under this policy
(1) Is also an Insured under a nuclear energy
liability policy, or
(2) Would be an Insured under that policy but
for the exhaustion of ItS limit of liability
A nuclear energy liability policy IS one Issued
by
(1) American Nuclear Insurers,
(2) Mutual Atomic Energy Liability Undecwnt-
ers,
(3) Nuclear Insurance Association of Canada,
or any of their successors, or
f "Bodily Injury" to you or an "Insured" within the
meaning of part 8_ or b of "lfIsured" as de-
fined
3_ Coverage F - Medical Payments to Others,
does not apply to "bodily Injury"
a To a "reSidence employee" If the "bodily in-
jUry"
(1) Occurs off the "Insured locatIon", and
(2) Does not anse out of or In the course of the
"reSidence employee's" employment by an
"Insured" ,
b To any person ehglble to receive benefits
(1) Voluntanly prOVided, or
(2) ReqUired to be prOVided,
under any
(1) Workers' compensation law,
(2) Non-occupational disability law, or
(3) Occupational disease law,
c From any
(1) Nuclear reaction,
(2) Nuclear radiation, or
(3) Radioactive contamination,
all whether controlled or uncontrolled or how-
ever caused, or
(4) Any consequence of any of these, or
d To any person, other than a "reSidence em-
ployee" of an "Insured," regularly reSiding on
any part of the "Insured location"
SECTION II - ADDITIONAL COVERAGES
We cover the following In addition to the limits of
liability
1 Claim Expenses We pay
a Expenses we Incur and costs taxed against an
"Insured" In any SUit we defend,
b Premiums on bonds required In a SUIt we de-
fend, but not for bond amounts more than the
limit of liability for Coverage E We need not
apply for or furnish any bond,
c. Reasonable expenses Incurred by an "Insured"
at our request, including actual loss of earnings
(but not loss of other Income) up to $50 per
day, for assisting us In the investigation or de-
fense of a claim or SUit, and
d Interest on the entire Judgment which accrues
after entry of the Judgment and before we pay
or tender, or depOSit In court that part of the
judgment which does not exceed the limit of li-
ability that applies
2 First Aid Expenses We Will pay expenses for
first aid to others Incurred by an "Insured" for
"bodily inJury" covered under thiS policy We Will
not pay for first aid to you or any other "Insured "
3 Damage to Property of Others We Will pay, at
replacement cost, up to $500 per "occurrence" for
"property damage" to property of others caused by
an "Insured"
We Will not pay for "property damage"
a To the extent of any amount recoverable under
Section r of thiS POliCY,
b Caused Intentionally by an "Insured" who IS 13
years of age or older,
c. To property owned by an "Insured",
d. To property owned by or rented to a tenant of
an "Insured" or a reSident In your household, or
e Anslng out of
(1) A "bUSiness" engaged In by an "Insured",
(2) Any act or omission In connection with a
premises owned, rented or controlled by an
"Insured," other than the "Insured location",
or
(3) The ownership, maintenance, or use of
aircraft, watercraft or motor vehicles or all
other motonzed land conveyances
ThiS exclUSion does not apply to a motor-
Ized land conveyance deSigned for recrea-
tional use off public roads, not subject to
motor vehicle registration and not owned
by an "Insured"
Page 12 of 15
Copynght, Insurance Services Office, Inc, 1990
HO 00 08 04 91
4 Loss Assessment We will pay up to $1000 for
your share of toss assessment charged dUring the
policy penod agamst you by a corporation or as-
Sociation of property owners, when the assess-
ment IS made as a result of
a. "Bodily InJury" or "property damage" not ex-
cluded under Secllon II of this POliCY, or
b Liability for an act of a director, officer or trus-
tee In the capacity as a director, officer or trus-
tee, provided
(1) The director, officer or trustee IS elected by
the members of a corporation or associa-
tion of property owners, and
(2) The director, officer or trustee selVes with-
out derlvmg any mcome from the exercise
of duties which are solely on behalf of a
corporation or association of property own-
ers
ThiS coverage applies only to loss assessments
charged against you as owner or tenant of the
"residence premises"
We do not cover loss assessments charged
against you or a corporation or association of
property owners by any governmental body
Regardless of the number of assessments, the
limit of $1000 IS the most we will pay for loss aris-
Ing out of
a One aCCident, Includmg contmuous or repeated
exposure to substantially the same general
harmful condition, or
b A covered act of a director, officer or trustee
An act mvolvmg more than one director, officer
or trustee IS conSidered to be a Single act
The follOWing do not apply to thiS coverage
1_ Section II - Coverage E - Personal Liability
Exclusion 2 a (1),
2 Condition 1 Policy Period, under SECTIONS I
AND II - CONDITIONS
SECTION II ~ CONDITIONS
1_ Limit of liability Our total liability under Cover-
age E for all damages resulting from anyone "oc-
currence" Will not be more than the limit of liability
for Coverage E as shown In the Declarations ThiS
limit IS the same regardless of the number of "in-
sureds," claIms made or persons Injured All "bod-
Ily InJury" and "property damage" resulting from
anyone aCCident or from contmuous or repeated
exposure to substantially the same general harm-
ful conditions shall be conSidered to be the result
of one "occurrence"
Our totallrablllty under Coverage F for all medical
expense payable for "bodily InJury" to one person
as the result of one aCCident will not be more than
the limit of liability for Coverage F as shown In the
Declarations
2. SeverabIlity of Insurance ThiS Insurance applies
separately to each "msured" ThiS condition Will
not mcrease our limit of liability for anyone "oc-
currence"
3 Duties After Loss_ In case of an aCCident or
"occurrence," the "msured" Will perform the follow-
mg duties that apply You Will help us by seeing
that these duties are performed
a Give written notice to uS or our agent as soon
as IS practical, which sets forth
(1) The Identity of the polley and "Insured",
(2) Reasonably avallable Information on the
time, place and circumstances of the accI-
dent or "occurrence", and
(3) Names and addresses of any claimants and
Witnesses,
b. Promptly forward to us every notice, demand,
summons or other process relating to the accI-
dent or "occurrence",
c At our request, help us
(1) To make settlement,
(2) To enforce any right of contnbutlon or In-
demnity against any person or organlzallon
who may be liable to an "Insured",
(3) With 1he conduct of SUitS and attend hear-
mgs and trials, and
(4) To secure and give eVidence and obtarn
the attendance of Witnesses,
d Under the coverage - Damage to Property of
Others - submit to us wlthln 60 days after the
loss, a sworn statement of loss and show the
damaged property, If In the "Insured's" control,
HO 00080491
COPYright, Insurance SelVlces Office, Inc, 1990
Page 13 of 15
e The "Insured" will not, except at the "Insured's"
own cost, voluntarily make payment, assume
obligation or Incur expense other than for first
aid to others at the time of the "bodily Injury "
4 Duties of an InJured Person - Coverage F -
Medical Payments to others
The Injured person or someone acting for the in-
jured person will
a Give us wntten proof of claim, under oath If
required, as soon as IS practIcal, and
b Authorize us to obtain copies of medical re-
ports and records
The Injured person will submit to a phYSical exam
by a doctor of our chOice when and as often as we
reasonably reqUire
5 Payment of Claim ~ Coverage F - Medical
Payments to Others Payment under thiS cover-
age IS not an admissIon of liability by an "Insured"
or us
6 SUIt Against Us No action can be brought
against us unless there has been compliance With
the pohcy provIsions
No one Will have the right to JOin us as a party to
any action against an "Insured" Also, no action
With respect to Coverage E can be brought
against us until the obllgatlon of the "Insured" has
been determined by final Judgment or agreement
Signed by us
7 Bankruptcy of an Insured Bankruptcy or insol-
vency of an "Insured" Will not relieve us of our ob-
I1gatlons under thiS policy
8 Other Insurance - Coverage E - Personal LI-
ability ThiS Insurance IS excess over other valid
and collectible Insurance except Insurance wntten
speCifically to cover as excess over the limits of
liability that apply In thiS pohcy
SECTIONS I AND" - CONDITIONS
1. Po'llcy Period ThiS policy applies only to loss In
Section I or "bodily inJury" or "property damage" m
Section II, which occurs dUring the poliCY penod
2 Concealment or Fraud The entire poliCY Will be
VOid If, whether before or after a loss, an "Insured"
has
a Intentionally concealed or misrepresented any
matenal fact or Circumstance,
b Engaged In fraudulent conduct, or
c Made false statements,
relating to thiS Insurance
3 Llberahzatlon Clause If we make a change
which broadens coverage under thiS editIOn of our
policy Without additional premium charge, that
change Will automatically apply to your Insurance
as of the date we Implement the change In your
state, prOVided that thiS Implementation date falls
Within 60 days prior to or dUring the policy period
stated In the Declarations
ThiS Liberalization Clause does not apply to
changes Implemented through Introduction of a
subsequent edition of our policy
4 WaIver or Change of PolICY ProVISions
A waiver or change of a provIsion of thiS policy
must be In wntlng by us to be valid Our request
for an appraisal or examination Will not waive any
of our nghts
5 Cancellation
a You may cancel thiS policy at any time by
returning It to us or by letting us know In wntlng
of the date cancellation IS to take effect
b We may cancel thiS poliCY only for the reasons
stated below by lettmg you know In writing of
the date cancellation takes effect ThiS cancel-
lation notice may be delivered to you, or
mailed to you at your mailing address shown In
the Declarations
Proof of mailing Will be suffiCient proof of no-
tice
(1) When you have not paid the premium, we
may cancel at any lime by letting you know
at least 10 days before the date cancetla-
tlon takes effect
(2) When thiS policy has been In effect for less
than 60 days and IS not a renewal With us,
we may cancel for any reason by lettmg
you know at least 10 days before the date
cancellation takes effect
(3) When thiS policy has been In effect for 60
days or more, or at any time 1f It IS a re--
newal With us, we may cancel
(a) If there has been a matenal misrepre-
sentation of fact which If known to us
would have caused us not to Issue the
POliCY, or
Page 14 of 15
COPYright, Insurance Services Office, Inc, 1990
HO 00 08 04 91
(b) If the fisk has changed substantially
since the policy was Issued
This can be done by letting you know at
least 30 days before the date cancellalion
takes effect
(4) When thiS policy IS written for a period of
more than one year, we may cancel for any
reason at anmversary by letting you know
at least 30 days before the date cancella-
lion takes effect
c When thIS policy IS cancelled, the premium for
the period from the date of cancellation to the
expiration date will be refunded pro rata
d If the return premium IS not refunded with the
notice of cancellatIon or when thiS policy IS re-
turned to us, we will refund It wlthm a reason-
able lime after the date cancellation takes ef-
fect
6 Nonrenewal We may elect not to renew thiS
policy We may do so by delivering to you, or
mallmg to you at your mailing address shown m
the Declarations, written notIce at least 30 days
before the explratlon date of thiS policy Proof of
mailing will be sufficient proof of notice
7 Assignment Assignment of thiS policy will not be
valid unless we give our written consent
8 Subrogation An "Insured" may waive In wfltlng
before a loss all rights of recovery against any
person If not waived, we may require an assign-
ment of rights of recovery for a loss to the extent
that payment IS made by us
If an assignment IS sought, an "msured" must sign
and deliver all related papers and cooperate with
us
Subrogation does not apply under Section II to
Medical Payments to Others or Damage to Prop-
erly of Others
9 Death If any person named In the Declarations or
the spouse, If a reSident of the same household,
dies
a We Insure the legal representative of the de-
ceased but only with respect to the premises
and properly of the deceased covered under
the policy at the time of death,
b "Insured" mcludes
(1) Any member of your household who IS an
"Insured" at the time of your death, but only
while a reSident of the "residence prem-
Ises", and
(2) With respect to your properly, the person
having proper temporary custody of the
properly until appointment and qualificallon
of a legal representatIVe
'HO 00 08 04 91
COPYright, Insurance Services Office, tnc, 1990
Page 15 of 15
UNIVEllSAL PROPERTY & CASUALTY INSURANCE COMPANY
OUTLINE OF YOUR HOMEOWNERS POLICY
ThIS outlllle IS bemg provided to help you more easily
understand your Homeowner; PolIcy It hlghhght~ the
major coverages, excluSlOns Iltmtatlons and deductlbles
of your pohc..y and provides mformatlon on dls(..Qunts
surcharges. cancellatIOn and nonrenewal However, thIs
IS Just a glllde and not a ]egd] contract 1)lease read
your Homeowners policy carefully for complete
desLnptlons and detalli..
The followmg outhne IS for mformatlOnal purpo~e~
onl)' Flonda law prohibits tillS outhne from
changmg any of the p.-ovislOns of thc msm ance
contract which IS the ~ubJcct of thIS outline. Any
endorsement mc1udlng changes In types of coverage.
coverage hmlts, exclUSIOns. deduchb]es. rcnewal or
cancellatIOn prOV]SIOnS, surcharges (.l edIts, or any other
changes will be sent separately
SECTION 1- PROPERTY COVERAGE
Coverage A - Dwellmg
A pplles to your residence premIses and protects your
dwe]hng and structUles attached to your dwe]hng It also
protects against covered loss to bLll]dmg matena]s
located on your residence prelTIlSeS whICh arc bemg used
In connectIon with your resIdence premises
Coverage B - Other Structures
Protects dgmnst covered loss to any structure on your
residence premises, that IS not used for busmess
purposes, not phYSIcally anached to the dwelling
Covcrage C - Personal Property
Protects agamst covered loss to your personal property
such as dothlng and furniture Specml limits apply to
some types of persona] property including but not IUnlted
to money, securities, watercraft theft of Jewelry.
tirearms and s]lverware Please revIew your poltcy for a
complete list of Items that have speCIal hmlts or dre
excluded
Covcrage D - Loss Of Use
Protects against loss resulting from any additIOnal hvmg
expenses you Incur wh]le you are temporarily unable to
hve at your home because of a covered loss Payment
would Include such Items as temporary ]odgmg and
Increased costs for food
PERILS INSURED AGAINST
ThIS pohcy msures under Coverage A, B, and C, If
apphcab]e to your pohey, against sudden and accidental
dlrec..! phYSical los~es except as ]l1mted or excluded by
your polley callsed by F]re or Llghtmng, Wllldstorm or
Hal] Explosion, RIot or CIvIl CommotIon, A]rcraft.
Vehicles, Smoke, Vandahsm or MaIIClOU:'> MIschIef,
Theft, rallmg ObJec..ts, ACCIdental DI:'>charge or
Overflow of Water from Plumbmg Hedtmg AIr
ConditIOning or Househo]d Apphance, and Freezmg of
Plumbmg or Househo]d Apphances
Note: If your property ]S located m a FlOrida
WIndstorm UnderWriting ASSOcldt]On (FWUA)
deSignated area, "Windstorm Ol Ha]]" coverage must be
cxc]uded from your pohcy Be sure to obtain thiS
Important coverage If It has been excluded from your
polley
PROPERTY EXCLUSIONS
ThIS pohcy docs not provIde protectIOn under Coverages
A Band C. If apphcable to your pohcy, for losses
resu]tmg m any manner from Edrth Movement, other
than a covered smkho]e loss, Flood, Off Premises Power
Failure, Neg]ec..t, War or Nuclea] Hazard, and,
IntentlOna] or Cnmlnal Acts
Please review your pohcy for a complete hst of
exclUSIOns
SECTION II - LIABILITY COVERAGE
Covcrage E - Personal Liability
Generally provides coverages fOl bodtly mJury or
property damage that you or a person lllsured under your
pohc..y me legally obligated to pay The boddy IIlJury or
property dmnage must anse from an occurrence covered
under Section II of your poltcy Coverage for Anll11dl
Lrabrhty. under certam condItions and Home Day Care
Operattons, IS not covered
Coveragc F - MedIcal Payments To Other~
Provides coverages for reasonable and nece%ary med]cal
expense~ 1 I' a guest IS mJlIfed on your premIses or oft the
ll1sured premises under certam cm:umstances I he
bodIly lnJury must anse trom an occurrence covered
under SectIon II of your policy with hmlted exceptIons
Note: Coverage E - Persona] Llablhty and Coverage F -
Medica] Payments To Others do not apply to "BodIly
In)L1l)/" or "Property Damage" anslng out of the
mgestlOn or mhalatlon of lead In any form or substance
Radon and pollutants arc also excluded
UPCIC- 3 ( 1198)
rage I of2
UNIVERSAL PROI)ERTY & CASUAL I Y INSURANCft~ COMPANY
OUTLINE OF YOUR HOMEOWNERS POLICY
NONRENEWAL
PROVISIONS
AND
CANCELLATION
^ II cancellatIOns are gt anted a pro-] aU return of
premIUm Pro-rata mcans no Penalty for carly
cancellatIOn
Your Right To Cancel
You may cancel the pohey at any tune, for any reason,
by gIVing LIS advance wntten notlcc of the future
cancellation effectIve ddte
Our Right to Cancel
I f you r po Ilcy has been 10 effeet for 90 days or less and
the 10surance IS canceled for other than nonpayment of
prenllLlm we may cancel for any valid reason by glv10g
you at least 20 days notIce before the cancel]atlon
effective date, except where therc has been a matena]
misstatement, misrepresentation, or faIlure to comply
with undenvntmg reqUIrement:, estabhshed m the first 90
days, then we may cancelllnmedl3tely
I f your polley has been 10 effect over 90 days, 01 If your
pohcy IS a renewal wIth us, we may cancel your pollcy
for only a hmlted number of reasons by gIVing you at
least 90 days advance wn11en notlGe before the
c..anc..elldtlon becomes effectIve These mclude but die not
hmlted to matellal mIsstatement or substdntld] change of
nsk
] f the cancel ]atlOn 1S due to nonpayment of prem IUm, we
Will gl ve you at least I 0 days ad v dnc..e wn Uen notKe
Nonrenewal
If we do not 10tend to rene\\' your poltcy we wd] mati
nol1ce to you dt least 90 ddYs befure the expn'at]on date
of the poltcy The renewal premIum payment must be
received no later than the lenewa] date or the polley WIll
tCn11mate
rhe tollow1Og are bnef de:,cnptlOTlS 01 the prelllllllll
credlts that may be avatlable 011 your homeowners
polley Your pohcy DeclaratIons page w]1I :,how whKh
ofthese credlt5, lfany, apply to your pohcy
Protective I)evlces - If YOllr home has a central statIOn
burglar alarm. c..enlTa] stdtton tire dlarm or automatic fire
spnnkle] system, you maybe ehglble for prcmlUm
credIT5
Dcducllblc Credits - ^ hurrtcane deductIble of 2% and
d standard deductible of $1,000 apply to your pohcy,
however If your pohcy exclude~ w10d the humcane
deductlb]e does not dPp]y TlllS]S the amount of the loss
you must lIlGUr before thiS pohcy pays Deductlble
optIOns greater than the sk10ddrd deductlbles may be
avmlable at a premIum C]edlt Deductlb]es less than the
stdndard deductlb]es may be ava]lable whIch wl111esult
m premIUm mcrease
Windstorm ProtectIVe DeVice - ThIS credIt IS available
for homes eqU1pped WIth qualtfYmg stonn shutters or
other protect! ve deVices
BUlldmg Code Compliance - ThIS cred1l1s aval]ab]e on
homes bUl]t 10 compliance WIth accepted natlOna]
bUlldlOg codes deSigned to lessen the effect of losses
rcsultlOg from wmdslonns and humeanes
Superior Con~truchon - Certam homes of fire reSistIve
or wlOd reSistIve constructIOn are ehglble for a premlllm
credIt
Please contact your Agent for further mfonnatlon
regardlllg the above Credits
IlREMIUM CREDITS
TillS OU I LIN~ IS FOR INI<ORMA'IIONAL PURPOSI<:S ONLY, READ YOUR POLICY CAREFULLY YOUR
AG ENT WI LL ASSIS I YOU WITH ANY QUESTIONS A 80Ul YOU R POLICY
UPCIC-3 ( 1/98)
Page 2 of2
"-
UPCIC 24 01 98
UNIVERSAL PROPERTY AND CASUAL TV INSURANCE COMPANY
THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY
HURRICANE DEDUCTIBLE
Applies To All Homeowners Forms
It IS agreed that your policy IS changed as follows
A In the Definitions section of the policy, the follOWing definition IS added
"Hurricane" means
A TROPICAL WEATHER SYSTEM THAT HAS BEEN DECLARED AND DEFINED BY THE
National Oceanic and Atmospheric AdmInistration (NOM), Hurricane Center of the National
Weather Service to be a hUrricane, which IS a tropical cyclone Windstorm, having a well
defined rotary CIrculation, and constant surface wind speeds of seventy-four (74) miles per
hour or greater
B Under Section I - Conditions, the follOWing conditions are added
Deductible
We Will pay when a covered loss exceeds the deductible shown on the Policy Declarations
We Will then pay only the excess amount, unless we have Indicated otherwise In thiS policy
HUrricane Deductible
The hurricane deductible applIes In the event of sudden and accidental direct phYSical loss
caused by a hurricane to properly covered under Section I of thiS policy
The hUrricane deductible amount Will appear on your Polley Declaration as hurricane
deductible The hUrricane deductible Will be applied to your homeowners policy Coverage A-
Dwelling limit of liability or your renters or condominium Unit owners policy Coverage C -
Personal Property [Imlt of lIabIlity, as shown on your Policy Declarations We Will THEN PAY
ONLY THE EXCESS AMOUNT, UNLESS WE HAVE INDICATED OTHERWISE In thiS policy
The deductible appltes regardless of any other cause or event contributing concurrently or In any
sequence to the loss When the hUrricane deductible applies, no other deductible provIsion In
Section I of thiS policy applies to covered damage or losses caused by hUrricane
The hurricane deductible applies dUring the follOWing time periods
Beginning at the lime a humcane watch or warning IS Issued for any parl of FlOrida by the
National HUrricane Center of the Nalional Weather Service,
2 continuing for the tIme penod dunng which the hUrricane conditions eXist anywhere In
Florida, and
3 ending 72 hours follOWing the termination of the last hurricane watch or hurricane warning
for any parl of Flonda by the National Hurricane Center of the National Weather Service
All other provIsions of thiS policy apply
UPCIC 2401 98
Copynght, Insurance Services Office
UNIVERSAL PROPEk rv AND CASUAL TV INSURANCE I.;OMPANV
THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY
SPECIAL PROVISIONS - FLORIDA
SECTION I - PROPERTY COVERAGES
COVERAGE C - Personal Property
Items 10 and 11 Are deleted and replaced by the
following
10 $1,000 for loss to electrOnic apparatus while In
or upon a motor vehicle or other motorized
land conveyance, If the electroniC apparatus IS
equipped to be operated by power from the
electrical system of the vehicle or conveyance
while retaining Its capability of being operated
by other sources of power Electronic
apparatus Includes
a Accessories and antennas, or
b Tapes, wires, records, discs or other
media,
for use With any electronic apparatus
described In this Item 10
11 $1 ,000 for loss to electronic a pparatus while
not In or upon a motor vehicle or other
motorized land conveyance, If the electronic
apparatus
a Is equipped to be operated by power from
the electrical system of the vehicle or
conveyance while retalnmg ItS capability
of being operated by other sources of
power,
b is away from the "reSidence premises",
and
c Is used at any time or m any manner for
any "bUSiness" purposes
ElectroniC apparatus Includes
a Accessories and antennas, or
b Tapes, Wires, records, discs or other
medIa,
for use With any electrOniC apparatus
desCribed In thiS Item 11
PROPERTY NOT COVERED
Item 3 b IS deleted and replaced by the follOWing
3 Motor vehicles or all other motorized land
conveyances ThiS Includes
b ElectrOniC apparatus that IS desIgned to
be operated solely by use of the power
from the electrical system of motor
vehicles or all other motorized land
HOMEOWNERS
UPCIC 230102
ElectrOnic apparatus
conveyances
Includes
(1) Accessories and antennas, or
(2) Tapes, Wires, records, discs or other
media,
for use With any electrOnlc apparatus
desCribed In thiS Item 3 b
The exclUSion of properly desCribed In
3 a and 3 b above applies only while the
properly IS in or upon the vehicle or
conveyance
We do cover vehicles or conveyances not
subject to motor vehicle registration which are
a Used to servIce an "Insured's" reSidence,
or
b Designed for assisting the handicapped
COVERAGE D - LOSS OF USE
Item 1. Is deleted and replaced by the follOWing
1. If a loss covered under thiS Section makes
that part of the "reSidence premIses" where
you reSide not fir to live In, we cover the
Additional living Expense, meaning any
necessary Increase in living expenses
Incurred by you so that your household can
maintain ItS normal standard of living
Payment Will be for the shortest time reqUired
to repair or replace the damage or, If you
permanently relocate, the shorlest time
reqUired for your household to settle
elsewhere
SECTION I - ADDITIONAL COVERAGES
9 Glass or Safety Glazmg Material IS deleted
and replaced by the followmg
9 Glass Or Safety GlaZing Matenal
a We cover
(1) The breakage of glass or safety
glaZing material which IS parl of a
covered bUilding, storm door or
storm window,
(2) The breakage, caused directly by
Earlh Movement, of glass or safety
glaZing material whIch IS parl of a
covered bUilding, storm door or
storm Window, and
(3) The direct phYSical loss to covered
properly caused solely by the pieces,
Indudes copynghted material of Insurance Services Office Wllh 115 permiSSion
Page 1 of 6
fragments or splmters of broken
glass or safety glazing material
which IS part of a bUilding, storm
door or storm window
b This coverage does not Include loss
(1) To covered properly which results
because the glass or safety glazing
materral has been broken, except as
provided In a (3) above, or
(2) On the "residence premises" If the
dwelling has been vacant for more
than 30 consecutive days
Immediately before the loss, except
when the breakage results directly
from Earlh Movement as provided
for In a (2) above A dwellmg being
constructed IS not conSidered
vacant
Loss to glass covered under this Additional
Coverage 9 will be settled on the baSIS of
replacement with safety glazing materials
when required by ordinance or law
For Form HO 0008, we will pay UP to $100 for
loss under thiS coverage
ThiS coverage does not Increase the limit of
liability that applies to the damaged property
(This IS Additional CoveraQe 8 In Form HO 00
.QID
The followlnQ Additional CoveraCle IS added to all
Forms except HO 0008
11 Ordmance Or Law
a You may use up to 25% of the limit of
liability that applies to Coverage A for the
Increased costs you mcur due to the
enforcement of any ordinance or law
which reqUires or regulates
(1) The construction, demolttlon,
remodeling, renovation or repair of
that part of a covered bUilding or
other structure damaged by a Peril
Insured Against,
(2) The demolition and reconstruction of
the undamaged parl of a covered
bUilding or other structure, when that
bUilding or other structure must be
totally demolished because of
damage by a Penllnsured Against to
another parl of that covered bUilding
or other structure, or
(3) The remodelmg, removal or
replacement of the porllon of the
undamaged parl of a covered
bUilding or other structure necessary
to complete the remodeling, repair or
HOMEOWNERS
UPCIC 230102
replacement of that parl of the
covered building or other structure
damaged by a Peril Insured Against
b You may use all or part of thiS ordinance
or law coverage to pay for the Increased
costs you Incur to remove debris resulting
from the construction, demolition,
remodeling, renovation, repair or
replacement of property as stated In a
above
c We do not cover
(1) The loss In value to any covered
bUilding or other structure due to the
requirements of any ordinance or
law, or
(2) The costs to comply with any
ordinance or law whIch requires any
"Insured" or others to test for,
monitor, clean up, remove, contain,
treat, detOXify or neutralize, or In any
way respond to, or assess the
effects of, pollutants on any covered
bUilding or other structure
Pollutants means any solid, liqUid,
gaseous or thermal Irritant or
contaminant, Including smoke,
vapor, soot, fumes, aCids, alkalis,
chemicals and waste Waste
Includes materials to be recycled,
reconditioned or reclaimed
ThiS coverage IS additional insurance
SECTION I - PERilS INSURED AGAINST
The follOWing perri IS added
Sinkhole Collapse, meaning actual phYSical
damage ariSing out of, or caused by, sudden
settlement or collapse of the earth supporllng such
properly and only when such settlement or
collapse results from subterranean vOids created
by the action of water on limestone or similar rock
formations
The Section I - Earlh Movement Exclusion does
not apply to thiS peril
SECTION I - EXCLUSIONS
1 Ordinance or Law IS deleted and replaced by
the followmg
1. Ordinance Or Law, meaning any ordinance or
law
a ReqUiring or regulating the construction,
demolition, remodeltng, renovation or
repair of properly, Includmg removal of
any resulting debriS ThiS Exclusion 1 a
does not apply to the amount of coverage
that may be prOVided for under Additional
Includes cooynghted matenal of Insurance Services Office with Its permiSSion
Paae 2 of 6
Coverages, Glass Or Safety Glazing
Material or Ordinance Or Law,
b The requirements of which result m a loss
In value to property, or
c ReqUiring any "Insured" or others to test
for, monitor, clean up, remove, contain,
treat, detm(lty or neutralize, or In any way
respond to, or assess the effects of,
pollutants
Pollutants means any solid, liquid,
gaseous or thermal Irritant or
contaminant, including smoke, vapor,
soot, fumes, aCids, alkalis, chemicals and
waste Waste Includes matenals to be
recycled, reconditioned or reclaimed
This excluSion applies whether or not the
property has been physically damaged
(This IS Exclusion 1 a In Form HO 0003)
2 Earth Movement IS deleted and replaced by
the following
2 Earlh Movement, meamng earlhquake,
mcludmg land shock waves or tremors before,
dunng or after a volcanic eruptIon, landslide,
mine subsidence, mudflow, earlh smklng,
nsmg or shifting, unless direct loss by
a Fire, or
b Explosion,
ensues and then we will pay only for the
ensLllng loss
(This IS Exclusion 1.b. In Form HO 00 03 )
a Demand a mediation of the loss In
accordance with the rules established by
the Florida Insurance Oeparlment The
loss amount must be $500 or more, prior
to application of the deductible, or there
must be a difference of $500 or more
between the loss settlement amount we
offer and the loss settlement amount that
you request The settlement In the
course of the mediation IS bmdlng only If
both parlles agree, In Writing, on a
settlement and, you have not rescinded
the settlement wlthm 3 bUSiness days
after reaching settlement You may not
rescind the settlement after cashing or
deposltmg the settlement check or draft
we prOVided to you
We WIll pay the cost of conducting any
mediation conference except when you
fall to appear at a conference That
conference Will then be rescheduled upon
your payment of the mediator's fee for
that rescheduled conference However, If
we fall to appear at a mediation
conference, we Will pay your actual cash
expenses you Incur In attending the
conference and also pay the mediator's
fee for the rescheduled conference
4 Power Failure IS deleted and replaced by the
followmg
4 Power Failure, meanmg the failure of power or
other uhllty service If the failure takes place off
the "reSidence premIses" But If the failure of
power or other utility service results m a loss,
from a Penllnsured Against on the "reSidence
premises", we Will pay for the loss or damage
caused by the Penllnsured Against
(ThiS IS ExclUSion 1 d In Form HO 00 03)
SECTION I - CONDITIONS
6 Appraisal IS deleted and replaced by the
followmg
6 Mediation Or Appraisal
If you and we fall to agree on the amount of
loss, either may
b Demand an appraisal of the loss In thiS
event, each party Will choose a
competent appraiser Within 20 days after
recelvmg a written request from the other
The two appraisers Will choose an
umpire If they cannot agree upon an
umpire Within 15 days, you or we may
request that the chOice be made by a
Judge of a courl of record In the state
where the "reSidence premises" IS
located The appraisers Will separately
set the amount of the loss If the
appraisers submit a written reporl of an
agreement to us, the amount agreed
upon Will be the amount of the loss If
they fall to agree, they Will submit their
differences to the umpire A deCISion
agreed to by any two Will set the amount
of the loss
Each party Will
(1) Pay Its own appraiser, and
(2) Bear the other expenses of the
appraisal and umpire equally
HOMEOWNERS
UPCIC 230102
Includes CODvnQhted matenal of Insurance Services Office With Its permiSSion
Paae 3 of 6
If, however, we demanded the mediation and
either party rejects the mediation results, you
are not required to submit to, or parllclpate In,
any appraisal of the loss as a precondition to
action against us for failure to pay the loss
8 SUIt Agamst US IS deleted and replaced by
the following
8 SUit Agamst Us
No action can be brought unless the policy
provIsions have been complied with and the
action IS started within 5 years after the date
of loss
10 Loss Payment IS deleted and replaced by the
following
10 Loss Payment
We will adjust all losses with you We will pay
you unless some other person IS named In the
policy or IS legally en1ltled 10 receive payment
Loss will be payable
a 20 days after we receive your proof of
loss and reach written agreement with
you, or
b 60 days after we receive your proof of
loss and
(1) There IS a n entry of a fi nal
Judgement, or
(2) There IS a filing of an appraisal
award or a mediation settlement with
us
SECTION 11- EXCLUSIONS
Under 1 Coverage E - Personal Liability and
Coverage F - Medical Payments To Others,
Items a and I are deleted and replaced by the
follOWing
a Which IS expected or Intended by one or
more "Insureds",
AriSing out of the use, sale, manufacture,
delivery, transfer or possession by any
person of a Controlled Substance(s) as
defined under federal law Controlled
Substances Include but are not limited to
cocaine, LSD, mariJuana, and all narcotic
drugs However, this exclusion does not
apply to the legitimate use of prescnptlon
drugs by a person follOWing the orders of
a licensed physIcian
Under SECTION II - EXCLUSIONS the fOllOWing
IS added
2 COVERAGE E - Personal Liability, does not
apply to
g "Bodily InJury" or "property damage"
caused by any animal owned or kept by
HOMEOWNERS
UPCIC 230102
you whether or not the InjUry occurs on
your premises of any other location
SECTION I AND II - CONDITIONS
2 Concealment or Fraud IS deleted and
replaced by the following
2 Concealment Or Fraud
a Under Section I - Properly Coverages,
with respect to all "Insureds" covered
under this polley, we proVide no coverage
for loss under Section I - Properly
Coverages If, whether before or after a
loss, one or more "Insureds" have
(1) Intentionally concealed or
misrepresented any material fact or
CI rcu mstance,
(2) Engaged In fraudulent conduct, or
(3) Made false statements,
relating to this Insurance
b Under Section II - liability Coverages,
we do not proVide coverage to one or
more "Insureds" who, whether before or
after a loss, have
(1) Intentionally concealed or
misrepresented any material fact or
CI rcumsta nee,
(2) Engaged In fraudulent conduct, or
(3) Made false statements,
relating to this Insurance
5 Cancellation
Paragraphs b., c, d and e are deleted and
replaced by the follOWing
b When this policy has been IS effect for 90
days or less, we may cancel Immediately
If there has been a material misstatement
or misrepresentation or failure to comply
with underwriting requirements
c We may also cancel this policy subject to
the follOWing provISions A written
cancellation notice, together with the
specific reasons for cancellation, Will be
delivered to you, or mailed to you at your
malhng address shown m the
Declarations
Proof of mallmg Will be suffiCient proof of
notice
(1) When you have not paid the
premium, we may cancel at any time
by lettmg you know at least 1 0 days
Includes copynghted matenal of Insurarlce Services Office with Its permiSSion
Paae 4 of G
" '
I
before the date canCelldltOn takes
effect
(2) When this policy has been In effect
for 90 days or less, we may cancel
for any reason, except we may not
cancel
(a) On the basIs of property
Insurance claims that are the
result of an Act of God, unless
we can demonstrate, by claims
frequency or otherwise, that the
"msured" has failed to take
action reasonably necessary as
requested by us to prevent
recurrence of damage to the
Insured properly, or
of tile effective date of
coverage,
(d) If the cancellation IS for all
Insureds under poliCies of thiS
type for a given class of
Insureds,
(a) If there has been a material
misstatement,
(b) If the risk has changed
substantially since the polley
was Issued,
(c) In the event of failure to comply
With underwntlng requirements
established by us Within 90 days
(e) On the basIs of property
Insurance claims that are the
result of an Act of God, unless
we can demonstrate, by cla]ms
frequency or otherwise, that the
"Insured" has failed to take
action reasonably necessary as
requested by us to prevent
recurrence of damage to the
Insured properly, or
(f) On the baSIS of filing of claims
for parllal loss caused by
smkhole damage or clay
shrinkage, regardless of
whether thiS policy has been the
subject of a Sinkhole claim, or
on the baSIS of the risk
associated With the occurrence
of such a claim, If
(I) The total of such properly
claim payments for thiS
policy exceeds the current
policy limits of coverage for
properly damage, or
(II) You have failed to repair
the structure In accord-
ance With the engineering
recommendations upon
which any loss payment or
policy proceeds were
based
ThiS can be done by letting you know
at least 90 days before the date
cancellation takes effect
d When thiS policy IS cancelled, the
premIum for the period from the date of
cancellation to the explrallon date Will be
refunded pro rata
e If the return premium IS not refunded With
the notice of cancellation or when thiS
(b) On the baSIS of filing of claims
for partIal loss caused by
Sinkhole damage or clay
shrinkage, regardless of
whether thiS policy has been the
subject of a smkhole claim, or
on the baSIS of the risk
associated With the oCCurrence
of such a claim However, we
may cancel thiS policy If
(I) The total of such property
claim payments for thiS
policy exceeds the current
polley limits of coverage for
property damage, or
(II) You have failed to repair
the structure In accord-
ance With the engineering
recommendations upon
which any loss payment or
polley proceeds were
based
Except as prOVided In Item 5 b
above, we Will let you know of our
actIon at least 20 days before the
date cancellation takes effect
(3) When thiS polley has been In effect
for more than 90 days, we may
cancel
HOMEOWNERS
UPCIC 230102
Includes copvnohted matenal of Insurance SelVlces Office With 115 permiSSion
Pace 5 of 6
policy IS returned to us, we win refund It
within a reasonable time after the date
cancellation takes effect
6 Nonrenewat IS deleted and replaced by the
following
6 Nonrenewal
We may elect not to renew this policy
However, we will not nonrenew this policy
a On the basIs of properly Insurance claims
that are the result of an Act of God,
unless we can demonstrate, by claims
frequency or otherwise, that the "Insured"
has failed to take action reasonably
necessary as requested by us to prevent
recurrence of damage to the Insured
properly, or
b On the basIs of filing of claims for parllal
loss caused by sinkhole damage or clay
shflnkage, regardless of whether this
poltcy has been the subject of a sinkhole
claim, or on the basIs of the risk
associated with the occurrence of such a
claim However, we may elect to renew
this polley If
(1) The total of such properly claim
payments for this policy exceeds the
current poliCY limits of coverage for
properly damage, or
(2) You have failed to repair the
structure In accordance with the
engineering recommendations upon
which any loss payment or policy
proceeds were based
We may do so by delivering to you or mailing
to you at your mailing address shown In the
Declarations, wntlen notice, together with the
specific reasons for nonrenewal, at least 90
days before the expIration date of this policy
Proof of malhng Will be sufficient proof of
notice
8 Subrogation
The followmg sentence IS added to the first
paragraph of this condition
However, we waive any rights of recovery
against the corporation or association of
properly owners of the condominium where
the "residence premises" IS located
The follOWing condition IS added
10 Renewal Notification
If we elect to renew this policy, we will let you
know, In wntmg
a Of our decIsion to renew this policy, and
b The amount of renewal premium payable
to us
This notice Will be delivered to you or mailed
to you at your mailing address shown In the
Declarations at least 45 days before the
expiration date of this policy
HOMEOWNERS
UPCIC 23 0102
Includes oopvnohted matenal of Insurance Services Office with Its permission
Paae 6 of 6
UNIVERSAL PROPERTY AND CASUALTY INSURANCE COMPANY
UPCIC 1601 98
THIS IENDORSEMENT CHANGES YOUR POLICY PLEASE READ IT CAREFULLY
LOSS ASSESSMENT COVERAGE
Section 1 Additional Coverages. 7 and Section II
Addlllonal Coverages. 4, are deleted In all policy
forms HO 00 03 04 91, HO 00 04 04 91 and HO 00
060491 and replaced by the following
SECTION I - AdditIOnal Coverages
7 Loss Assessment
We will pay up to $1 000 for your share of loss
assessment charged dunng the policy penod
agamsl you by a corporation or assoclatJon of
property owners, when the assessment IS made as
a result of a direct loss to the property owned BY
ALL MEMBERS COLLECTIVELY CAUSED BY A
PERIL Insured Agamst Under COVERAGE A -
DWELLING, other thal"l earthquake or land shock
waves or tremors before dunng or after a volcamc
eru ptlon
ThiS coverage applies only to loss assessments
charged agamst you as oWl"ler or tenant of the
"residence premises"
We do not cover loss assessments charged against
you or a corporation of association of property
owners by any governmental body
The Ilm.t of $1,000 IS the most we Will pay Wlt:I1
respect to anyone loss, regardless of the number
of assessments
SECTION II - Add Itlonal Coverages
4 Loss Assessment
A We Will pay up to $1 000 for your share of loss
assessment charged dunng the poliCY penod
against you by a corporallon or assoclalion of
property oWl"lers when the assessment IS
made as a result of
(1) "Bodily inJury" or "property damage" NOT
EXCLUDED UNDER SECTION II OF THIS
POLICY, OR
(2) Liability for an act of a director, officer or
tru stee In th e ca pacify as a d Ifeclor, officer
or trustee, prOVided
a The dlfector, officer or trustee IS
elected by the members of a
corporation or aSSOClahon of property
owners, and
b The director, officer or trustee selVes
wlthouf denvlng any Income from Ihe
exercise of duties which are solely on
behalf of a corporation or assoclatJon of
property owners
ThIS coverage applies only to loss
assessments charges against you as
owner or tenant of the "reSidence
premISes"
B We do not cover loss assessments charged
against you or a corporallon or assoclalion of
property owners by any governmental body
Regardless of the number of assessments, the
Ilrnlf of $1,000 IS the most we Will pay for loss
anslng out of
(1) One aCCident, including conlinuous or
repeated exposure to substantially the
same general harmful condition, or
(2) A covered act of a dlfector, officer or
trustee An act InvolVing more than one
dlfector offi ce r or tru s tee I s co nSldere d to
be a smgle act
The followmg does not apply to thiS coverage
Section II - Coverage E - Personal liability
ExclUSion 2 a (1)
2 Increased Limit - ReSidence Premises
For an additional premium, the limit of liability for
Section I Addllional Coverage 7 and Secllon II
Addlllonal Coverage 4, Loss Assessment, IS
Increased to
Increase m Limit of liabilIty $ 0
Total Limit of LIability $ 1,000
SPECIAL LIMIT. We Will not pay more than $1,000
of you r assessment th at res u Its fro m a ded uctlb I e In
the poliCY of Insurance purchased by a corporallon
or association of property owners
UPCIC 1601 98 COPYright, Insurance Services Office
HOMEOWNERS
HO 23 74 06 94
THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY
REPLACEMENT COST LOSS SETTLEMENT ENDORSEMENT
Form HO 00 08 Only
For the premium charged, Section I, Condition 3
Loss Settlement, IS deleted and replaced In Form
HO 00 08 as follows
3 Loss Settlement Covered properly losses are
settled as follows
a. Properly of the following types
(1) Personal properly,
(2) Awnings, carpeting, household
appliances, outdoor antennas and
outdoor equipment, whether or not
attached to bLllldlngs, and
(3) Structures that are not bUildings,
at actual cash value at the time of loss but
not more than the amount required to repair
or replace
b BLIlldmgs under Coverage A or B at
replacement cost without deduction for
depreciation We will pay no more than the
smallest of the followmg
(1) The limIt of liability under this policy that
applies to the bUilding,
(2) The replacement cost of that part of the
bUilding damaged for like construction
and use on the same premises, or
(3) The necessary amount actually spent to
repair or replace the damaged bUilding
c We will pay no more than the actual cash
value of the damage until actual repair or
replacement IS complete Once actual
repair or replacement IS complete, we will
settle the loss accordmg to the provIsions of
b above
However, If the cost to repair or replace the
damage IS both
(1) Less than 5% of the amount of
Insurance In this policy on the bUilding,
and
(2) Less than $2500
we will settle the loss according to the
provIsions of b above whether or not actual
repair or replacement IS complete
d You may disregard the replacement cost
loss settlement provIsIons and make claim
under this policy for loss or damage to
bLllldlngs on an actual cash value basIs
You may than make claim wlthm 180 days
after loss for any additional liabilIty
accordmg to the provIsions of this CondItion
3 Loss Settlement
All other provIsions of this policy apply
HO 23 74 06 94
Copynght, Insurance Services Office, Inc , 1994
Page 1 of 1
HO 04 96 04 91
NO SECTION II - L1AB]L1TY COVERAGES FOR
HOME DAY CARE BUSINESS
LIMITED SECTION I - PROPERTY COVERAGES FOR
HOME DAY CARE BUSINESS
If an "Insured" regularly provides home day care
services to a person or persons other than
"Insureds" and receives monetary or other
compensation for such services, that enterpnse IS
a "business" Mutual exchange of home day care
services, however, IS not considered
compensation The rendenng of home day care
services by an "Insured" to a relative of an
"Insured" IS not considered a "business"
Therefore, with respect to a home day care
enterprise which IS considered to be a "bUSiness:
thiS polley
Does not proVide Seclion II - Liability
Coverages because a "bUSiness' of an
"Insured" IS excluded under exclUSion 1 b of
Section II - ExclUSions,
2 Does not proVide Section I - Coverage B
coverage where other structures are used In
whote or In part for "bUSiness",
3 Limits coverage for property used on the
"reSidence premises" for the home day care
enterpnse to $2,500 because Coverage C -
Special Limits of Liability - Item 8 Imposes
that limit on "bUSiness" property on the
"reSidence premises" (Item 8 Corresponds
to Item 5 In Form HO 00 08 )
4 Limits coverage for property used away from
the "residence premises" for the home day
care enterprise to $250, because Coverage C
- Special limits of Liability - Item 9 Imposes
that Ilmll on "bUSiness" property away from
the "residence premises" Special Limit of
Liability Item 9 Does not apply to adaptable
electrOniC apparatus as descnbed In Special
Limit of Liability Items 10 And 11 (lIems 9 ,
10 And 11 correspond to Items 6 , 7 And 8
respectively In FOnTl HO 00 08 )
THIS ENDORSEMENT DOES NOT CONSTITUTE A REDUCTION OF COVERAGE
HO 04 96 04 91
Copynght, Insurance Services Office
HO 04 90 04 91
THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY
PERSONAL PROPERTY REPLACEMENT COST
SECTION I
For an addlltonal premium, covered losses to the
follOWing property are settled at replacement cost
at the time of loss
a Coverage C - Personal Properly,
b If covered In this policy, awnings, car-
peting, household appliances, outdoor
antennas and outdoor equipment, whether
or not attached to bUildings
Personal Properly Replacement Cost coverage
Will also apply to the follOWing articles or classes
of property If they are separately descnbed and
speCifically Insured In thiS policy
a Jewelry,
b Furs and garments tnmmed With fur or
consisting principally of fur,
c Cameras, projection machines, films and
related articles of equipment,
d MUSical equipment and related artIcles of
equipment,
e Silverware, Silver-plated ware, goldware,
gold-plated ware and pewlerware, but ex-
cluding pens, penCils, flasks, smoking
Implements or Jewelry, and
f Golfer's eqUipment meaning golf clubs,
golf clothing and golf eqUipment
Personal Property Replacement Cost coverage
Will not apply to other classes of property
separately deSCribed and speCifically Insured
PROPERTY NOT ELIGIBLE
Property listed below IS not eligible for replace-
ment cost settlement Any loss Will be settled at
actual cash value at the lime of loss but not more
than the amount required to repair or replace
a Antiques, fine arts, paintings and Similar
articles of ranty or antiquity which cannot
be replaced
CopYright, Insurance Services Office
b Memorabilia, souvenirs, collectors Items
and Similar articles whose age or history
contribute to their value
c Articles not maintained In good or work-
able condlllon
d Articles that are outdated or obsolete and
are stored or not being used
2 REPLACEMENT COST
The follOWing loss settlement procedure applies
to all property Insured under thiS endorsement
a We Will pay no more than the least of the
follOWing amounts
(1) Replacement cost at the time of loss
Without deduction or deprecralton,
(2) The full cost of repair at the trme of
loss,
(3) The limit of liability that applies to
Coverage C, If applicable,
(4) Any appllcable speCial limits or liability
stated In thiS policy, or
(5) For loss to any Item separately
descnbed and speCifically Insured In thiS
POliCY, the limit of liability that applies to
the Item
b When the replacement cost for the entire
loss under thiS endorsement IS more than
$500, we Will pay no more than the actual
cash value for the loss or damage until the
actual repair or replacement IS complete
c You may make a claim for loss on an
actual cash value baSIS and then make
claim Within 180 days after the loss for
any additional liability In accordance With
thiS endorsement
All other provIsions of thiS policy apply
HO 04 90 04 91
THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY
HO 04300491
THEFT COVERAGE INCREASE
Form HO 00 08
For an additional premium, under Section 1- Perrls
Insured Against Perri 9 Theft IS deleted and
replaced by the following
9 Theft, Including attempted theft and loss of
properly from a known place on the
"residence premises" when It IS likely that
the property has been stolen
Personal properly contained m any bank,
trust or safe deposit company or public
warehouse Will be considered on the
"residence premises"
a Our Ilablhty In anyone loss caused by
theft will not be more than $ *
This peril does not Include loss caused by theft that
occurs off the "residence premises" unless a limit of
liability IS shown for a and b
b OUf liability In anyone loss caused by
theft off the "residence premises" will not
be more than $ *
This penl does not Include loss caused by theft
a Committed by an "Insured",
b In or to a dwelling under construction, or
of matenals and supplies for use In the
construction until the dwelling IS finished
and occupied, or
c From that part of a "residence premises"
rented by an "Insured" to other than an
"Insured"
The coverage In 9 b above, for loss caused by theft
that occurs off the "residence premises" does not
Include
a Property while at any other residence
owned, rented to, or occupied by an
"Insured", except while an "Insured"]s
temporarily liVing there Properly of a
student who IS an "Insured" IS covered while
at a residence away from home If the
student has been there at any time dUring
the 45 days Immediately before the loss,
b Watercraft and their furnlshmgs, equipment
and outboard engines or motors, or
c Trailers and campers
COVERAGE C PERSONAL PROPERTY - The
following additional Special Limits of Liability apply to
covered properly on the "reSidence premises" when
THEFT COVERAGE INCREASE IS purchased as
shown In 9 a above
a $1,000 for loss by theft of Jewelry, watches,
furs, precIous and semipreCIOUS stones
b $2,000 for loss by theft of firearms
c $2,500 for toss by theft of silverware, sltver-
plated ware, goldware, gold-plated ware and
pewterware This Includes flatware,
hollowware, tea sets, trays and trophies
made of or including silver, gold or pewter
*Entnes may be left blank If shown elsewhere In this
pohcy for this coverage
All other provIsions of this policy apply
HO 04 30 04 91
COPYright, Insurance Services Office, Inc, 1990
Page 1 of 1
Prepared by and Return 10
Alday-Donalson Title Agencies of Amellca , Inc
Alday-lJonlllson Title Agencies of America, Int
6171 1<.lIst Fowler Avenue
Temple lerrace, Flonda 33617
FIle Number 5-05-2594
1\- . 8URKE, CLERK OF COURT
prNELLAS COUNTY FLORIDA
INST# 200602894001/2512006 al10 02 AM
OFF REC BK 14891 PG 2215-2215
DocType DEED RECORDING $10 00
o DOC STAMP $125020
This Warranty Deed
Made tlm December 30,2005 A D By Robert Combes, as Trustee of 1 he 1606 Scott Street Trust Under Land Trust Agreement
dated June 23,2005
hereinafter called the grantor,
to Kenneth W. Thomas, an unmarned man and Kenneth R Thomas, an unmarried man,
whose post office address IS 125 LllIcoln Ave. N., Clearwater, FL 33755,
hereinafter called the grantee
(Whcnever used heremlhe term "grnnlm" and "grantee" lI1\..luJe dil (he pal lies to thiS mstrum\..nl dlld Ihc hClrs legal representahves and assigns of
II1dlvldllarS, dnd the succe~5ors and assigns ofeorpura\luns)
Witnesseth, that the grantor, for and III cons]deratlOn of the sum of J en Dollars, ($10 00) and other valuable
consideratIOns, receIpt whereof IS hereby acknowledged, hereby grants, barga11ls, sells, ahens, remIses, rc]eases, conveys and confirms
unto the grantee, all that certain land slluate m Pmellas County, F1onda, VIZ
Lot 7, Block 19, Third AdditIOn to Highland 1'llIes SubdiVision, accordlllg to the map or plat thereof, as recorded III Plat Book
32, Page 71, ofthe Pubhc Records of I'mcllas Cuunty, Flomla
SUBJECT TO covenants, restnLtlun~, casements ofreLOrd and taxes for thc LUrrent year
Parcel 10 Numbcr 11.29 IS 39114.0190070
Together w]lh all the tenements, hert,ditaments and appurtenances thereto bclongmg or m anywIse appertammg
To Have and to Hold, the same m fee slmpk forever
And thc grantor hereby COVCl1dnts WIth saId grdntee that the grantor IS lawfully seIzed of Said land m fee simple, that the
grantor has good right and ],lwful authonty to ~ell ,md WIlVCY said land, that the ghll1tor hcreby fully warrants the Iltlc to sard land and
will defend the same agamsl the lawful claims of all persons whomsoever, and that Said land IS free of all encumbranccs except taxcs
aecrumg subsequent to Decembcr 31,2005
In Witness Whereof, the saId granlor hdS SIgned and scalcd thcse presents thc day and year first above wntten
E~
- ~
Wlln S5 Prll11ed Name
~~./N/r;;1-c-
Robert Combes, as Trustee
Address 0CI3J Velt1t1-I'an VV(L~
nL1'V\P4, H 33l.fJ3Y
(Sea])
State of Flonda
County of Pmellas
The foregomg mstrumelll was acknowledged bLfore me thiS 30lh day of Decembcl, 2005, by Robert Combcs, as Trustee ot The 1606
Scott Street Trust Under Land '1 ru~t Agreement Datcd June 23,2005, who Is/are pcrsonally k wn me or who has produLed a vahd
dnvcrs license as ldentlfil,.atlon
,lA~
at!ij~
Ronald M Donalson
Notary Public <Jtele Of FIotIda
My Commlsslor> EXPIIf'S Oct 14, 200B
CommiSSIon No #Du3SI.J96Q
Nol.try Public
Prmtcd Name
(Seal)
Prepared by and Return to
Alday-Donalson Title Agencies of America, Inc.
Alday-Donalson Tille AgenCIes of America, IlIc
6171 East Fowler Avenue
Temple Terrace, Florida 33617
FIle Number 5-05-2594
K.... dURKE. CLERK OF COURT
PINElLAS COUNTY FLORIDA
INST# 2006028940 0112512006 at 10 02 AM
OFF REC BK 14891 PG 2215-2215
DocType DEED RECORDING $1000
D DOC STAMP $125020
This Warranty Deed
Made thIS December 30, 2005 A D By Rubert Cumbes, as Trustee uf'l he 1606 Scott Street Trust Under Land Trust Agreement
dated June 23, 2005
hereinafter called the grantor,
to Kenneth W. Thomas, an unmarried man and Kenllcth I{. 1 honms, all unmarried man,
whose post office addrcss IS 125 LlOcoln Ave. N., Clearwater, FL 33755,
herem after called the grantee
(Whenever used herem the lerm "granlor" and "granlee" IIldmk aliI hl parlles 10 IhlS IlIslrumlnl and thc hClr<;, legal rcpre~cnlallves and assigns of
indIViduals. and Ihc SUllcssors and assigns ollOrpOTI\II\lI\;)
Witnesseth, that the grantor, for and 11\ conslderatlOn of the sum of I en Dollars, ($10 00) and other valuable
conslderatlOns, receIpt whereof IS hereby acknowledged, hereby grants, bargams, sells, aliens, remises, releases, conveys and confirms
unto the grantee, all that certalll land sItuate III Pmellas County, F]orlda, VIZ
Lot 7, Block 19, Third Adl.htlOn to Highland I'mes Subdn'lslOn, accordmg to the map or plat thereof, as reeorded 10 Plat Book
32, Page 71, of the Public Record~ of Pmellas County, FlOrida
SUBJECT TO covenants, restrictIOns, easements ofree,ord and taxes for the current year
Parcel 10 Number 11.29 15391140190070
Together WIth all the tcncments, hereditaments and appurtendlKes thereto belongmg or m anywIse appertammg
To Have and to Hold, the same 1Il fee s]mple forcver
And the grantor hereby covendnts WIth saId grantce that the grantor IS lawfully selzcd of said land III fec SImple, that the
grantor has good right and ],lwful authonty to sell dnd (,onvey saId land, that the grantor hereby fully warrants the t]tle to saId land and
WIll defend the same agamst the lawful claims of all persons whomsoevcr, and that said land IS free of all cncumbrances exccpt taxes
accrumg subsequent to December 31,2005
J n Witness Whereof, thc said grantor has slgncd and ;,calcd thcse presents the day and ycar first above wntlcn
~~-~/~~
Robert Combes, as Trustee
Address 3Ci 31 V eV1( -h~lAn W{L~
ffi,1iV\ P Ct ,~j :3 3l/J -3 LJ
(Seal)
Wll
State of FlOrida
County of PlIlellas
The foregomg lIlstrument was acknowledged bcfore me thiS 30th day uf Decembel, 2005, by Robcrt Combes, as Trustce of The 1606
Scott Strect 'I rust Under Land frust Agrecmcnt Dated June 23, 2005, ,"VllO Is/are personall~~wn me or who has produced a valid
drivers hcense as Ident]ficatlOll ~
lA1.
iti;1~
Ronald M Donalson
No1ary Publlr Cjlate Of FJotIda
My CommlSslol' EXPIIBS Oct 14,2000
CommIssion No #OD.150969
Notary Public
PrlQled Name
(Seal)
TO:
Customer Service Department, attn: Lynne Priester, Customer Service
Coordinator
FROM:
Planning Department
DATE:
1/08/2007
ANNEXED PROPERTY INFORMATION
Property Address: 1606 Scott Street
Permanent Parcel Number: 11/29/15/39114/0 19/0070
Date of Annexation: 11/0212006
Annexation Ordinance Nos: 7698-06,7699-06, and 7700-06
Current Property Owner: Kenneth W Thomas and Kenneth R Thomas
Property Owner AddresslPhone: 1606 Scott Street, 33755, 727-239-0431
Use of Property: Smgle family resIdentIal home
Proposed Use of Property: Smgle family resIdential home
Services Currently Received from City: all servIces except stonnwater
Services Needed from City (in addition to storm, recyclmg, etc.):
D \Vater
D Sc" cr
D Garbage
o Garbage Only
Notes:
,.
7
Clearwater CIty CommISSIOn
Agenda Cover Memorandum
Work session Item #
Final Agenda Item #
Meeting Date
10/1 906
SUBJECTIRECOMMENDA TION:
APPROVE the PetItIon for AnnexatIon, Future Land Use Plan Amendment from the County ResIdential Low
(RL) Category to the CIty ResidentIal Low (RL) Category and Zomng Atlas Amendment from the County R-3,
Smgle FamIly Residential Distnct to the CIty LDw Medtum Density ResIdential (LMDR) DIstnct for 1606
Scott Street (ConststIng of Lot 7, Block 19, ThIrd Addition to HIghland PInes SubdIvIsion), and PASS
OrdInance #7698-06, #7699-06 & #7700-06 on first readIng
~
and that the appropriate officials be authonzed to execute same
(ANX2006-06021)
SUMMARY:
Thts annexatIOn mvolves a 0 1 64-acre property consisting of one parcel, whIch 1S located approxtmately 250 feet west
of thc mtersectIon of Scott Street and RIdge Avenue The property tS located withIn an enclave and IS contiguous to
eXIstmg Ctty boundanes, therefore, the proposed annexatIOn tS consistent WIth Pmellas County reqUIrements WIth
regard to voluntary annexation The applIcant IS requestmg thiS annexatIOn m order to receIve samtary sewer and
sohd waste service from the CIty The subject property IS occupIed by a smgle fam11y detached dwellmg It IS
proposed that the property be aSSIgned a Future Land Use Plan desIgnatIOn of ReSIdential Low (RL) and a zomng
category of Low MedIUm Denstty ReSIdentIal (LMDR)
The Plannmg Department determmed that the proposed annexatIOn IS conststent wIth the followmg standards
spectfied m the CommunIty Development Code
. The proposed annexation w111 not have an adverse Impact on publlc faclhtIes and theIr level of servIce
. The proposed annexation IS conSIstent With the CIty'S ComprehenSIve Plan, the Countywide Plan and the
Commumty Development Code
. The subject SIte IS located wlthm an enclave, IS contiguous to Ctty boundanes and reduces the enclave
ReViewed by Orlgmatmg Dept Costs
Legal Info Srvc N/A PLANNING DEPARTMENT Total
(Michael Revnolds)
-
Budget NIA Public N/A User Dept Fundmg Source
Works
PurchaSing NIA DCM/ACM PLANNING DEPARTMENT Current CI
FY
-
Risk Mgmt N/A Other N/A Attachments OP
ORDINANCES NO 7698-06, Other
7699-06 & 7700-06
STAFF REPORT
Submitted by D None
City Manager Appropriation Code
Rev 2/98
Thts mmexatton has been revIewed by the Pmcllas Planmng Counctl (PPC) County staff m accordancc wtth the
provtstons of Pmellas County Ordmance No 00-63, Scction 7(1-3), and no objections have been ralsed
Pleasc refer to the attached report (ANX2006-06021) for the complete staff analysls
The Commumty Development Board revlewed thts proposed annexatIOn at Its regularly scheduled meetmg on
September 19, 2006 and unammously recommended approval
S \Planmng Departmenl\C 0 B\AtmexatlOn~\ANX - 2006\ANX2006-06021 1606 Scott Street - Thomas\CC_coversheet doc
2
"
CDB Meetmg Date
Case Number
Owner! Applicant
Location
Agenda Item
September 19.2006
ANX2006-0602l
Kenneth W Thomas and Kenneth R Thomas
1606 Seott Street
F7
CITY OF CLEARWATER
PLANNING DEPARTMENT
STAFF REPORT
BACKGROUND INFORMATION
REQUEST:
(a) AnnexatIOn of 0 164 acres of property mto the City of
Clearwater,
(b) Future Land Use Plan amendment from ResIdenttal
Low (RL) Category (County) to ReSIdential Low (RL)
Category (City of Clearwater), and
(c) Rezomng from R-3, Smgle-Fan1l1y ResIdenttal DIstnct
(County) to Low MedIUm Density ReSIdential (LMDR)
DIstnet (CIty of Clearwater)
SITE INFORMATION
PROPERTY SIZE:
7,140 square feet or 0 164 acres
(70 feet wide by 102 feet deep, approximately)
PROPERTY USE:
Current Use
Proposed Use
Smgle-fanllly dwelhng
Smgle-farnIly dwellIng
PLAN CATEGORY:
Current Category
Proposed Category
ReSidential Low (RL) (County)
ReSIdentIal Low (RL) (CIty)
ZONING DISTRICT:
Current Dlstnet
Proposed Dtstnet
R-3, Smgle Fanl1ly ReSidentIal (County)
Low MedIUm DenSIty Residenttal (LMDR) (City)
Staff Report - Commumty Development Board - September 19, 2006 - Ca~e ANX2006-06021 Page I
SURROUNDING USES:
North
South
East
West
Smg1c-faImly ResIdenhal
Smgle-faImly ResIdenhal
Smgle-famIly Residential
Smgle-famIly RestdentIaI
ANALYSIS
The subject property IS located on the north sIde of Scott Street, approxlmately 250 feet west of
the mtersectIon of Scott Street and RIdge A venue The property IS located wIthm an enclave and
IS contiguous to eXIstmg City boundanes, therefore, the proposed annexation IS consistent WIth
Pmellas County reqUIrements Wtth regard to voluntary annexatton The apphcant requested this
annexatIon m order to receive sohd waste service from the CIty The subject SIte IS
approximately 0 164 acres m area and IS occupIed by a smgle famIly detached dwelhng It IS
proposed that the property be asstgned a Future Land Use Plan desIgnatlon of ReSIdentIal Low
(RL) and a ZOnIng category of Low MedIUm DenSity ResIdential (LMDR)
I. IMPACT ON CITY SERVICES:
Recommended Findings of Fact
Water and Sewer
The apphcant receIves all servIces from the CIty of Clearwater, except for stormwater The
property already recetves samtary sewer servIce
SolId Waste
CollectIOn of sohd waste wIll be prOVIded by the City of Clearwater The City has an lOterlocal
agreement WIth Pmellas County to proVIde for the dIsposal of solId waste at the County's
Resource Recovery Plant and capaCity IS aVaIlable to serve the property
PolIce
The property IS located wIthm Police DIStnct III and sefYlce wIll be adminIstered through the
dIStnct statton located at 2851 N McMullen Booth Road There are currently 56 patrol officers
and seven patrol sergeants assIgned to thiS dIstnct Commumty pohcmg service wtll be
proVlded through the CIty'S zone system and officers m the field The Pohce Department has
stated that It WIll be able to serve thIS property and the proposed annexatIOn wIll not adversely
affect pollee servIce and response ttme
FIre and Emergency MedIcal ServIces
FIfe and emergency medical servIces Will be proVIded to thts property by Stahon # 51 located at
1720 Overbrook Dnve The Ftre Department wtll be able to serve thIS property The proposed
annexatIOo wtlI oot adversely affect fire and EMS service and response time
Staff Report - Commumty Development Board - September 19, 2006 - Ca~e ANX2006-06021
Page 2
Rccommended ConclusIOns of Law
The Oty has adequate capacity to serve this property wIth samtary sewer, sohd waste, polIce, fire
and EMS servIcc The proposed annexatIOn wIll not have an adverse effect on pubhc facIhtIes
and theIr levels of servIce
II. CONSISTENCY WITH CITY'S COMPREHENSIVE PLAN: (Section 4-604.F.2]
Recommended Findings of Fact
The Pmellas County Comprehensive Plan and the Countywtde Future Land Use Plan map
deSignate the SIte as Resldenttal Low (RL) "It IS the purpose of the RL category to depIct those
areas of the County that are now developed, or appropnate to be developed, 10 a low densIty
resIdentIal manner, and to recognize such areas as pnmarIly well-SUIted for resIdentIal uses that
are consistent With the low densIty, non-1OtensIve quahtIes and natural resource charactenstlcs of
such areas" ResldenttalIs the pnmary use In thIS plan category up to a maxtmurn of five (5)
dwelhng umts per acre Secondary uses mclude ResIdenl1al EqUIvalent, InstItutIonal,
TransportatIon/Utlhty, Public EducatIOnal FacIhty, AncIllary Non-ReSIdentIal and
RecreatIOn/Open Space
The proposed annexatIOn IS conSistent With and promotes the followmg objectIve of the City of
Clearwater ComprehenSive Plan.
24 Objectlve - Compact urban development wlth10 the urban service area shall be promoted
through applIcation of the Clearwater Commumty Development Code
Rccommended Conclusions of Law
The property proposed for annexatIon IS located wtthm an enclave wtthm the CIty'S urban sefV1ce
area and Wilt be located m the RL category The proposed annexatIOn IS conSIstent the Ctty's
ComprehenSive Plan
III. CONSISTENCY OF DEVELOPMENT WITH COMMUNITY DEVELOPMENT
CODE AND CITY REGULATIONS: [Sections 2-1001.1. & 4-604.F.5.]
Recommended Findings of Fact
The site IS currently zoned R-3, Smgle FamIly ReSidentIal DIstnct and tS occupIed by a detached
dwelhng m P10ellas County The appltcant proposes to rezone the property to the Low MedIUm
DenSity ReSIdentIal (LMDR) DIstnct Under the current LMDR zomng dIStnct proVISIons, a
mtmmum lot WIdth of 50 feet and a mImmum lot area of 5,000 square feet are reqUIred The
subject stte tS 70 fect Wide and approXImately 7,140 square feet to lot area
Staff Report - Commumty Development Board - September 19, 2006 - Case ANX2006-06021
Page 3
Recommended Conclusions of Law
The subject property IS occupied by a smgle-family detached dwelhng and exceeds the City's
mmImum LMDR lot size and wIdth reqUIrements It IS therefore conSIstent With the Commumty
Development Code
IV. CONSISTENCY WITH THE COUNTYWIDE PLAN:
Recommended Findings of Fact
There IS no change requested m the CountYWIde Future Land Use Plan desIgnation for the sIte,
whIch wIll remam Rcsldenltal Low (RL) wIth a maxtmum denSIty of 5 dwelhng umts per acre
Recommended Conclusions of Law
No change IS proposed for the Future Land Use Plan desIgnatIOn of the property proposed for
annexalton and the proposed use and denSity of the property IS conSIstent wtth the current
deslgnalton
V. CONSISTENCY WITH PINEL LAS COUNTY:
Recommended Findings of Fact
Pursuant to Pmellas County Ordmance No 00-63, the Pmellas Plannmg CouncIl staff has
revIewed thIS annexatIon and detenmned that It complIes wIth all applIcable ordmance cntena
Pmellas County Ordmance No 00-63(1)(b) proVIdes for the voluntary annexatIon of property
that IS located wIthm and reduces an enclave on the effectIve date of the ordmance The subject
SIte IS located wlthm an enclave, IS conltguous to CIty boundanes and reduces the enclave
Recommended Conclusions of Law
The property proposed for annexalton IS located wlthm an enclave and Its annexatIOn wtll reduce
such enclave, therefore, the annexahon of thIS property IS consIstent Wtth Pmellas County
Ordmance No 00-63
VI. CODE ENFORCEMENT ANALYSIS:
There are no current code enforcement VIOlatIOns or any code enforcement hIStOry on thIS SIte
Staff Report - Commu!l1ty Development Board - September 19,2006 - Case ANX2006-0602l
Page 4
SUMMARY AND RECOMMENDATIONS
The proposed annexatIOn can be served by City of Clearwater services, Includmg samtary scwer,
sohd wastc, pohce, firc and emergency medical servlce~ without any adver~e effect on the servIce
level The proposed annexdtlon IS consIstent wtth both the Ctty's ComprehensIve Plan and IS
conststent WIth Pmellas County Ordmance No 00-63 regardmg voluntary annexatIOn
Bdsed on the above analysIs, the Planmng Department recommends the followmg actIons on the
request
(a) Recommend APPROVAL of the annexation of 0 164 acres of property mto the Ctty of
Clearwater,
(b) Recommend APPROVAL of the ResIdentIal Low (RL) Future Land Use Plan
classIficatIOn, and
(c) Recommend APPROVAL of the Low Medium Density Restdenttal (LMDR) zonmg
classlflcdhon pursuant to the Ctty's Community DevcIopment Code
Prepared by Planning Department Staff
htt'~ n. ~
MIchacl H Reynolds, AICP, Planner III
Attachments
ApplicatIon
Loc..atlOn Map
Aenal Photograph
Proposed AnnexatIOn
Future Land Use Map
Zonmg Map
Surroundmg Uses Map
SIte Photographs
8 IPlannrng Depm /men/le D B\Anllc~w/IOWJ IANX - 2006IANX2006-0602! 1606 SLott 811 eel - Thonu/\ \ANX2006-
06021 )taiL Rf!pOlI doc
Staff Report - Communlty Development BOJrd - 5cptcmber 19, 2006 - Case ANX2006-06021 Page 5
1t1V
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Location Map
Owner Kenneth W Thomas and Kenneth R Thomas Case AN X2006-06021
Site 1606 Scott Street Property SIze 0164
(Acres)
Land Use Zoning
PIN 11-29- 15-39114-0 19-0070
From RL (County) R-3(County)
To Rl City) LMDR (City) Atlas Page 270 B
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Future Land Use Map
Case'
Property Sw...
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AN X2006--D6021
Owner Kenneth W Thomas and Kenneth R Thomas
Site' 1606 Scott Street
land Use
From
Rl (County)
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0164
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PIN: 11-29-15-39114-019-0070
R-3jCounty)
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Owner Kenneth W Thomas and Kenneth R Thomas Case
Site 1606 Scott Street Property SlZC
(Acres)
Land Use Zoning
PIN
From RL (County) R~3(Counfy) ,
To RL City) LMDR (City) A tlas Page
A NX2006-06021
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Zoning Map
Owner Kenneth W Thomas and Kenneth R. Thomas
Site' 1606 Scott Street
land Use
From'
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1617
Case
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AN X2006-o6021
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Proposed Annexation Map
ANX20Q6-06021
Case
Property SlZC
(Acres)
Owner Kenneth W Thomas and Kenneth R Thomas
0164
Site 1 606 Scott Street
Zoning
Land Use
PIN 11-29-15-39114-019-0070
R-3(CountyJ
RL (County)
from
LMDR (City)
RL City)
To'
270 B
Atlas Page
'I~;;'
Aerial Map
Owner Kenneth W. Thomas and Kenneth R. Thomas
Case:
ANX2006-06021
Site: 1606 Scott Street
Property Size
(Acres):
0.164
Land Use
Zoning
PIN: 11-29-15-39114-019-0070
From:
RL (County)
R-3(County)
To:
RL City)
LMDR (City)
A tlas Page:
270 B
Views looking north
ANX2006-06021
Kenneth W. Thomas and Kenneth R. Thomas
1606 Scott Street
't
..
Reynolds, Mike
From
Sent
To
Cc
Subject
Doherly, Steve
Monday, August 28, 2006838 AM
Clayton, Gina, Reynolds, Mike
Brown, Steven
RE 1606 Scott Street
In light of Mike QUillen's response this seems to me to be the most prudent way to proceed
-m-Onglnal Message-----
From Clayton, Gina
Sent: Monday, August 28,2006837 AM
To: Reynolds, Mike
CC' Brown, Steven, Doherty, Steve
Subject: RE 1606 Scott Street
okay - If Engineering says that Impact fees will not be required - the staff report needs to be altered I would not
address the Impact fee Issue at all and Indicate that the properly already receives sanitary sewer service
-----On g ma I M essage-----
From Reynolds, Mike
Sent Monday, August 28, 2006 B 20 AM
To Clayton, Gina
Ce: Brown, Steven, Doherty, Steve
Subject. RE 1606 Scott Street
Gina,
I do not see any record of an Impact fee payment In permit plan Steve Doherty said that thiS address has had
sewer service since sometl m e In the 1990's (slm liar to the Terry Sherm an case)
Mike
-----On gl na I M essage-----
From" Clayton, Gina
Sent Fnday, August 25, 2006 5 4S PM
To: Reynolds, Mike
Subject RE 1606 Scott Street
Mike - I thought these fees are paid through Permit Plan I know you can check about the sewer fee
-----On g I nal M essag em--
From: Reynolds, Mike
Sent: Fnday, August 25, 20062 31 PM
To: Clayton, Gina
Ce: Brown, Steven
Subject: FW 1606 Scott Street
Gina,
Regarding your question/comment on my draft staff report for thiS Site, I am questioning the Impact fee
payment
Mike
-----On gin a I M essagem--
From: Reynolds, Mike
Sent Wednesday, August 23,20052 15 PM
To: Doherty, Steve
Ce. Melone, Donald
Subject. 1606 Scott Street
Steve,
1
. ~ '
.
Customer Service told me that this address has all services except storm water Old they pay their water
and sewer Impact fees to Engmeerlng?
Thank you
Mike
Michael H Reynolds, AICP
Planning Department
City of Clearwater
Tel # 727-562-4836
E-mail mike reynolds@myclearwater com
2
~ /
I
, ,
.4 \
Reynolds, Mike
From
Sent
To
Subject
McLaughlin, Brian
Tuesday, June 13, 2006 11 38 AM
Reynolds, Mike
RE 1606 Scott Street, Petition for Annexation
yes
-----Qn g ma I M essage-----
From: Reynolds, Mike
, Sent Tuesday, June 13, 2006 9 09 AM
To. Mclaughlin, Brian
Subject: 1606 Scott Street, PetJbon for AnnexatJon
Brian,
Will the Pollee Department support the annexation of 1606 Scott Street mto the City of Clearwater?
Thank you for your assistance
Mike Reynolds
Michael H Reynolds, AICP
Planning Department
City of Clearwater
Tel # 727-562-4836
E-mail mike reynolds@myclearwater com
1
v
..
;;
Reyndlds, Mike
From
Sent
To
Cc
Subject
Doherty, Steve
Monday, August 28,2006838 AM
Clayton, Gina, Reynolds, Mike
Brown, Steven
RE 1606 Scott Street
In light of Mike QUillen's response thiS seems to me to be the most prudent way to proceed
--n-Ong In a I Message-----
From Clayton, Gina
Sent: Monday, August 28,2006837 AM
To Reynolds, Mike
Cc: Brown, Steven, Doherty, Steve
Subject: RE 1606 Scott Street
okay - If Engineering says that Impact fees Will not be required ~ the staff reporl needs to be altered I would not
address the Impact fee Issue at all and indicate that the properly already receives sanitary sewer service
-----On gin a I Message-----
From" Reynolds, Mike
Sent: Monday, August 28, 2006 8 20 AM
To: Clayton, Gina
Cc Brown, Steven, Doherty, Steve
Subject: RE 1606 Scott Street
Gina,
I do not see any record of an Impact fee payment In permit plan Steve Doherly said that this address has had
sewer service since sometime In the 1990's (Similar to the Terry Sherman case)
Mike
-----Ong In a I Messa ge-----
From: Clayton, Gina
Sent: Fnday, August 25, 2006 5 45 PM
To Reynolds, Mike
Subject RE 1606 Scott Street
Mike - I thought these fees are paid through Permit Plan I know you can check about the sewer fee
-----0 rig I nal M essage-----
From. Reynolds, Mike
Sent: Friday, August 25, 20062 31 PM
To Clayton, Gina
Cc: Brown, Steven
Subject. fIN 1606 Scott Street
Gina,
Regarding your question/comment on my draft staff report for this site, I am questioning the Impact fee
payment
Mike
----~Ong In a I Messa 9 e-----
From: Reynolds, Mike
Sent. Wednesday, August 23, 20062 16 PM
To. Doherty, Steve
Cc Melone, Donald
Subject: 1606 Scott Street
Steve,
1
;
.
Customer Service told me that this address has all services except storm water Did they pay their water
and sewer Impact fees to Engineering?
Thank you
Mike
Michael H Reynolds, AICP
Plannmg Department
City of Clearwater
Tel # 727-5624836
E-mail mike reynolds@myclearwatercom
2
-
@
pcorr SF
, ,
-
2 x 2 Map
Owner Kenneth W Thomas and Kenneth R Thomas Case ANX2006-06021
Site 1606 Scott Street Property SIze 0164
(Acres)
land Use Zoning
PIN 11-29-15-39114-019-0070
from Rl (County) R-3{County)
To RL City) lMDR (City) A tlas Page 270 B
"'
/~ .
Case Number: ANX2006-06021 -- 1606 SCO IT ST
Owner(s): Kenneth W 1 homa&
125 Lmcoln Ave N
Clearwater, Fl 33755
TELEPHONE No Phone, FAX No Fax, E-MAIL No Emml
Owncr(s): Kenneth R Thomas
125 Lmcoln Ave N
Clearwater, FI33755
TELEPHONE No Phone, FAX No Fax, E-MAIL No Ematl
Loca tion located on the north Side of Scott Street approximately 250 feet we&t pf Ridge A venue
Atlas Page 270B
Zoning District: ,
Request: Proposed annexatIon of a 0 164 acre parcel mto the City of Clearwater at the request of the property owner,
a PetItIon to annex at the request of the property owner,
b Future Land Use Plan amendment from Resldenttal Low (RL) Category (County) to ResIdentIal Low
(RL) Category (City of Clearwater), and
c Rezomng from R-3, Smgle-Famtly ResidentIal DI&tnct (County) to Low MedIUm Denstty Resldenllal
(LMDR) Dmnct (Ctty of Cleanvater)
Proposed Use' Detached dwelhng
Neighborhood Clearwater Netghborhoods CoalitIOn
Association(s) Clearwater, Fl 33758
POBox 8204
TELEPHONE No Phone, FAX No Fax, E-MAIL No Ematl
Neighborhood North Greenwood A~~ocIatlOn, Inc
AssocJatlOn(s)' Cleanvater, Fl33755
1201 Douglas Road
TELEPHONE 560-4382, fAX No Fax, E-MAIL WADENWADE@AOLCOM
Neighborhood Kmgs Hwy Nelghboorhood Cnme Watch
Associahon(!>): Clearwater, Fl33756
1435 Woodbme Street
TELEPHONE No Phone, FAX No fax, E-MAIL No Ematl
Presenter, Mike Reynolds, Planner III
Attendees Included,
The DRC reviewed thiS applIcatIOn with the followmg comments'
General Engmeermg
No Comments
Environmental.
No Comment'>
Fire:
No Comments
Harbor Master'
No Comments
Legal
No Comments
Land Resources:
No Comments
Landscapmg:
No Comments
Parks and RecreatIOn'
1 No Issue& - annexdlIon of ~mgle family reSidence
Stormwater,
No Comments
Solid Waste,
No Comments
Development Review Agenda - Thursday, Augu&t 3, 2006 - Page 35
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CITY Of CLEARWATER. PUBLIC WORKS ADMINISTRATION
PO BOX 4748 CLEARWATER fl 346 \ 8-47 48 R EQU EST FO RAN N EXA TI 0 N
PHONE (727)562-4747 FAX (727) 562-4755
Name
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Street
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Property Acreage ~
State
ZiP
ROW Acreage
Toral Acreage ~lt:;:Q,~
Engineenng Comments
Annex# ~~
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Date Initial
\QJi~u6 S.t--_ (SK)
~J J ~)v~ 2- X--. (TM)
b 117 10.(, _ 9er M _ (OM)
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Inlllollog Entry and Cover Page
2 Legal Description Verltlcatlon
3 Address Verification
4 Locallon Maps
5 Engineering Comments
6 Mop QCJQA
7 final QCIQA
8 EmOlI Mops 10 Planner
9 Ordinance Number LOgged
ANNEXATION ORDINANCE
to Emoil Notification at Alias update
11 GIS House ond Zoning Atlas Update
12 CAD Areo Map Update
13 AI\O\ Prlnls DI~tnbuted
t 4 Slreet and SubdiVISion Dlreclory
15 MonThly 10tols
16 Rpcorded Copy ot Ordinance Dlsfflbutlon
\7 Annexation Log Comple led
(SK)
DATE:
(DK)
(JH)
(NOVO)
(JH)
(PO)
(SK)
(DK)
(SK)
~...
Reynolds, MIke
From
Sent
To
Subject
Rice, Scott
Monday, August 14, 2006 846 AM
Reynolds, Mike
Res ubm Iltals
Mike,
The Englneenng comments on the following cases a Informational o=and do not require any response
ANX2006-06021 1606 Scott Street Planner Mike Reynolds
ANX2006-050 15 1321 Wood b Ine Street Plan ner Mike Reynol ds
D. Scott Rice
Land Devel. Engr. Manager
727-562-4781
scott.rice@MyClearwater..com
1
~
.
'+' Casc Numbcr ANX2Q06-06021 -- 1606 SCOTT ST
Owner(s)
Kenneth W I homa:.
125 Lmcoln Ave N
Clearwater n 33755
TELEPHONE No Phone, FAX No Fax E-MAIL No Email
Kenneth R Thomas
125 Lmcoln Ave N
Clearwater, Fl 33755
TELEPHONE No Phone, FAX No Fax, E-MAIL No Emall
Owner(s):
LocatiOn, located on the north ~Ide of Scott Street approximately 250 feet we~t pf RIdge A venue
Atlas Page' 2708
Zonmg District: ,
Req uest Proposed annexatlOn of a Q 164 acre parcel mto the Clly of Clearwater at the request of the property owner,
a PetltlOn to annex at the reque:. t of the property owner,
b Future Land Use Plan amendment from Re:.]denttal Low (RL) Category (County) to Re1>ldential Low
(RL) Category (CIty of Clearwater), and
c Rezomng from R-3, SlOg Ie-Family ReSidential Dlstnct (County) to Low MedIUm Density ReSidential
(LMDR) Dlstnct (City of Clearwater)
Proposed Use Detached dwelling
Neighborhood Clearwater Neighborhoods CoalItion
AssoclatlOn(s)' Clearwater, Fl 33758
POBox 8204
TELEPHONE No Phone FAX No Fax, E-MAIL No Emall
Neighborhood North Greenwood A:,:,ocl3tlOn, Inc
Associahon(s): Clearwater, Fl 33755
1201 Douglas Road
TELEPHONE 560-4382, fAX No Fax, E-MAIL W ADENW ADE@AOL COM
Neighborhood Kmg:. Hwy Nelghboorhood Crnne Watch
AssoclatlOn(s): Clearwater, fl 33756
]435 Woodbme Street
TELEPHONE No Phone, FAX No Fax, E-MAIL No Emdll
Presenter, MIke Reynold1>, Planner III
Attendees Included:
The DRC reviewed thiS apphcahon With the followmg comments
General Engmcenng:
I 1 CIty water and :.amtary ~ewer :.erv]ce are avaJiable to thl\ Slle
E.nvlronmental'
No Comments
Fire
No Commenb
Harbor Master
No Comments
Legal
No Comments
Land Resources:
No Comments
Landscapmg:
No Comments
Parks and RecreatIon
No Issues - annexatlOn of smgle family re:'ldence
Stormwater
No Comments
Solid Waste
No Comment~
Development RevIew Agenda - Thursday, August 3, 2006 - Page 56
-
Reynolds, Mike
From
Sent
To
Subject
MclaughlJn, Bnan
Tuesday, June 13,200611 38 AM
Reynolds, Mike
RE 1606 Scott Street, PetitIon for Annexation
yes
----Onglnal Message-----
From Reynolds, Mike
Sent: Tuesday, June 13, 2006 9 09 AM
To Mclaughlin, Bnan
Subject 1606 Scott Street, Petition for Annexation
Brian,
Will the Police Deparlment supporlthe annexation of 1606 Scott Street Into the CIty of Clearwater?
Thank you for your assIstance
Mike Reynolds
Michael H Reynolds, AICP
Plannmg Deparlment
CIty of Clearwater
Tel # 727-562-4836
E-mail mike reyno]ds@myclearwatercom
1
~
Pre Annexation Services Request
CITY OF CLEARWATER
Planning Department
The City of Clearwater Planning Department IS In receipt of, and has deemed complete an
AnnexatIon application for property located at
Properly owner address and phone number
1 606 Scott Street
Kenneth W Thomas
Clearwater, FL 33755
Kenneth R. Thomas
1606 Scott Street
Tel # 727-488-8383
The property owner has demonstrated proof of ownership and seeks to have the follOWing
servIces started as soon as aJllmpact fees and deposits have been paid.
D Water
D Sewer
cgj Garbage
Mike Reynolds
Planner III
562-4836
S \Planmng Department\C D BlAnnexatlonslANX - 2006I/WX2006-060211606 Scott Street-
Thomas\Pre _Annexation _ seN/res doc
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--c -I T Y 0 F C L. EAR W A 1 E R
POST QrlllE Box 4748, CLEARWATER, FLORIDA 33758-4748
MUNICIPAl SERVICl S BUILDING, 10050UflI MYRTI E AWNUF, CLEARWATFR, FLORIDA 53756
fEn.PHON!. (727) 562-4567 FAX (727) 562-4865
PIA1"lNING DJ:PARTMENT
February 28, 2007
Mr Kenneth W Thomas
Mr Kenneth R. Thomas
1606 Scott Street
Clearwater, Flonda 33755
RE Petltlon for Annexation (ANX2006-06021) approval to annex property, located at
1606 Scott Street and consistIng 0 164 acres, mto the CIty of Clearwater.
Dear Kenneth W and Kenneth R Thomas
This letter IS to mform you that on November 2, 2006, the Clty CouncIl approved the
annexation of property at 1606 Scott Street The City of Clearwater can Issue approval
for uses at thIS property permitted wIthm the ReSidentIal Low (RL) Future Land Use Plan
category and Low Medtum Density ReSIdential (LMDR) zonmg dIstnct subject to the
requuements of the Commumty Development Code
If you have further questIOns or need addIttonal mformatIOn, please contact me at
telephone number 562-4836 Attached tS a set of copies of Ordmance Numbers 7698-06,
7699-06, and 7700-06
Smcerely,
~~14.~
MIchael H Reynolds, AICP
Planner III
S IPlann mg DepartmenllC D BIAIlllexatlOIlslANX - 2006\ANX2006-06021 j 606 SCUll "Ireet - 17lOmas V-mal Apprr;rmJl 1 eller doc
FRANK HmBAJill, MAYOR
JOH!'. DORw, COUNClJ.(\!EMBER
BILL JONSON, COUNClI},IFMBrR
*
J B JOHNSON, COU'ICHMI:.MBER
CARtFN A Pl:lLRSEN, COUNClIMEMBI R
"EQuAL EMPI OYMI'NT ....'1D AFIIRMHNF ACTION EMPLOYER"
ORDINANCE NO 7698-06
AN ORDINANCE OF THE CITY OF CLEARWATER,
FLORIDA, ANNEXING CERTAIN REAL PROPERTY
LOCATED ON THE NORTH 81 DE OF SCOTT STREET
APPROXIMATELY 250 FEET WEST OF THE
INTERSECTION OF SCOTT STREET AND RIDGE
AVENUE, CONSISTING OF LOT 7, BLOCK 19, THIRD
ADDITION TO HIGHLAND PINES SUBDIVISION, WHOSE
POST OFFICE ADDRESS IS 1606 SCOTT STREET, INTO
THE CORPORATE LIMITS OF THE CITY, AND
REDEFINING THE BOUNDARY LINES OF THE CITY TO
INCLUDE SAID ADDITION; PROVIDING AN EFFECTIVE
DATE
WHEREAS, the owner of the real property descnbed herein and depIcted on the map
attached hereto as Exhibit A has petitioned the City of Clearwater to annex the property iido the
City pursuant to SectIon 171 044, Flonda Statutes, and the City has complied With all appltcable
requirements of Flonda law In connection With thIS ordinance, now, therefore,
BE IT ORDAINED BY THE CITY COUNCil OF THE CITY OF
CLEARWATER, FLORIDA
Section 1 The followmg-descrlbed property IS hereby annexed Into the City of Clearwater
and the boundary lines of the CIty are redefined accordIngly
lot 7, Block 19, Thud AddrtJOn to Highland Pines SubdivIsion, according to the map
or plat thereof, as recorded In Plat Book 32, Page 71, Public Records of Plnellas
County, Flonda (ANX2006-06021)
Section 2 The provIsions of thiS ordmance are found and determined to be COIliSlstent
With the City of Clearwater ComprehensIVe Plan The CIty CounCil hereby accepts the (lfedlcattOn
of all easements, parks, nghts-of-way and other dedicatIons to the publiC, which have lsetofore
been made by plat, deed or user wlthm the annexed property The City Engmeer, the ~ Clerk.
and the Planmng Director are directed to Include and show the property descnbed herein upon the
offiCial maps and records of the City
Section 3 ThiS ordInance shall take effect Immediately upon adoption The Ci'tJlClerk
shall file certIfied copies of thiS ordmance, Including the map attached hereto, With the Ot=rk of the
Circuit Court and With the County Administrator of PlneUas County, Flonda, within 7 day.safter
adoption, and shall file a cerlified copy With the FlOrida Department of State Within 30 d2!i5 after
adoption
PASSED ON FIRST READING
October 19, 2006
PASSED ON SECOND AND FINAL
READING AND ADOPTED
NovE:'mber 2, 2006
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ASSistant City Attorney City Clbrk
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Owner Kenneth W Thomas and Kenneth R Thomas Case A NX2Q()b-B602 I
Site ] 606 Scott Street Property $17C OJSt
(AcrL3)
Land Use Laning
PIN 1 ] - 29 -15-39 H:t.{) J Q-OO 70
From RL (CoLnly) R-3[County)
To RL Otl! LMDR (City) A tlas Page 2m3
E'Chlh"lt ",'I" Ordln:mce W.J. 76~2 -00
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- ,
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ORDINANCE NO. 7699-06
AN ORDINANCE OF THE CITY OF CLEARWATER, FLORIDA,
AMENDING THE FUTURE LAND USE PLAN ELEMENT OF THE
COMPREHENSIVE PLAN OF THE CITY, TO DESIGNATE THE
LAND USE FOR CERTAIN REAL PROPERTY LOCATED ON THE
NORTH SIDE OF SCOTT STREET APPROXIMATELY 250 FEET
WEST OF THE INTERSECTION OF SCOTT STREET AND
RIDGE AVENUE, CONSISTING OF LOT 7, BLOCK 19, THIRD
ADDITION TO HIGHLAND PINES SUBDIVISION, WHOSE POST
OFFICE ADDRESS IS 1606 SCOTT STREET UPON
ANNEXATION INTO THE CITY OF CLEARWATER, AS
RESIDENTIAL LOW, PROVIDING AN EFFECTIVE DATE
WHEREAS, the amendment to the future land use plan element of the compreherlsve
plan of the City as set forth In this ordinance IS found to be reasonable, proper and appropriate,
and IS consistent with the City'S comprehensive plan, now, therefore.
BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF
CLEARWATER, FLORI DA
Section 1. The future land use plan element of the comprehensive plan of the City of
ClealWater IS amended by deSignating the land use category for the hereInafter deSCribed
property, upon annexation Into the City of Clearwater, as follows
Prooertv
Lot 7, Block 19, Third Addition to Highland Pines
SubdiVIsion, accordmg to the map or plat thereof,
as recorded In Plat Book 32, Page 71, Public Records
of Plnellas County, Flonda (ANX2006.06021)
Land Use CateQorv
ReSIdential Low
Section 2 The City Council does hereby certify that thiS ordinance IS conslstem wrth
the CIty's comprehensIve plan,
,
SectIon 3 ThIS ordinance shall take effect ImmedIately upon adoptIOn, contlngentrupon
and subject to the adopbon of Ordmance No 7698-06
PASSED ON FIRST READ]NG
Octoher 19, 1006
PASSED ON SECOND AND F]NAL
READING AND ADOPTED
November 2. 2006
4~/~
F~k V Hibbard
Mayor
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Future Land Use Map
AN X 200ii:r0 602 1
Owner Kenneth VI Thomas and Ke'ineth R Thomas
Case
Property ~\ze
(Acres)
SlIe 1606 Scott Street
OJ5t.
land Use
Zoning
PIN 11-29-]5-39ln.ll:..OJ9-0070
From
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R-3{County)
To
RlOly)
li',AOi? (Cily)
Atlas Poge
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Ord1.na nee :,&,. 7 S':\'J -(io
ORDINANCE NO. 7700-06
, '
AN ORDINANCE OF THE CITY OF CLEARWATER,
FLORIDA, AMENDING THE ZONING ATLAS OF THE CITY
BY ZONING CERTAIN REAL PROPERTY LOCATED ON
THE NORTH SIDE OF SCOTT STREET APPROXIMATELY
250 FEET WEST OF THE INTERSECTION OF SCOTT
STREET AND RIDGE AVENUE, CONSISTING OF LOT 7,
BLOCK 19, THIRD ADDITION TO HIGHLAND PINES
SUBDIVISION, WHOSE POST OFFICE ADDRESS IS 1606
SCOTT STREET, UPON ANNEXATION INTO THE CITY OF
CLEARWATER, AS LOW MEDIUM DENSITY RESIDENTIAL
(LMDR), PROVIDING AN EFFECTIVE DATE
WHEREAS, the assignment of a zoning dlstnct classification as set forth Inthls
ordinance IS found to be reasonable, proper and appropnate, and IS consistent wifh the
CIty'S comprehensive plan; now, therefore,
BE IT ORDAINED BY THE CITY COU NCIL OF THE CITY
OF CLEARWATER, FLORIDA
Secbon 1. The followmg descnbed property located in Plnellas County, Fblda, IS
hereby zoned as Indicated upon annexation Into the City of Clearwater, and the ztail1ng
atlas of the City IS amended, as follo'WS
Property
Lot 7, Block 19, ThIrd AddrtlOn to Highland Pines
SubdIVIsion, accordmg to the map or plat thereof,
as recorded In Plat Book 32, Page 71, Pubhc
Records of PIne lias County, Flonda (ANX2006-06021)
ZOnlna District
Low MedIum DenSIty
ReSldentlal (LMDR)
Section 2 The City Engineer IS directed to revIse the zomng atlas of the my In
accordance With the foregoing amendment
SectIon 3 ThiS ordinance shall take effect Immediately upon adoptIon, cmrtmgent
upon and subject to the adoptIon of Ordmance No 7698-06
PASSED ON FIRST READING
October 19. 2006
PASSED ON SECOND AND FINAL
READING AND ADOPTED
November 2, 2006
~-/~
Frank V HIbbard -
Mayor
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Zoning Map
Owner Kenneth W Thomas and Kenneth R Thomas
Case
ANX20~6021
Sile 1606 Scoll Street
Property S ILe
(Acres)
o ns~
land Use
Zoning
PIN 1 ] -29-15-391 altO 19-0070
From
RL (County)
R-3(County)
To
Rl Cilv)
LMD,~ (Cily)
Atlos Page
2 7tr'ih
Ordl0ance No. 7700-06
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Case # ANX2006-06021
Sign Posting Acknowledgement
I hereby acknowledge recelvmg a notlficatlon sign to post on the property I
own and/or represent that IS undergoIng either an annexatIOn, land use plan
amendment and/or rezomng, and will post the sign (provIded by Staff) on
the subject property so that It IS readable from the most sIgmficant adjacent
road a mlmmum of 15 days before the PublIc Heanng
~; IL! (/-!eM 1)3
Pnnt Name
51/-f-dC-0-6
Date
Postmg Date - No Later Than
Public Heanng Date - COB 9/1912006
910412006
CC 10/19/2006
CC 1 ] /02/2006
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I~
CITY OF
CLEARWATER
PlANNING DEPAR1 MEN"
p()~ I Olll( I Box 1i7 48, CII.AI1WA] lit, FIOI<IIJt\ 33758-474H
MIJ\J!( II'AI SII1VI(,I ~ BIIII DI"-", 100 SOld II MVB III AVI '\] I , CII.A!lWi\ 1111, h O!lI))A i i 7'jG
11111'110\ I (727) 562-4567 fAX (727) 562-4R6S
1.0\'(, R"NGI PIANNIM,
01 VIIQI'M! \1 RIVIIW
July 7,2006
Mr. Kenneth W Thomas
Mr Kenneth R. Thomas
1606 Scott Street
Clearwater. Flonda 33755
RE ApplIcatIOn for AnnexatIOn (ANX2006-06021) approval to permit a site, located at 1606
Scott Street and consistIng of 1 parcel totalIng 0 163 acres, Into the CIty of Clearwater.
Dear Kenneth W and Kenneth R. Thomas
Your annexatIOn petItIon rnatenal has been determIned by staff to be complete, The follOWIng
schedule has been establIshed for the reVlew of your applIcatIOn by vanous City boards. These
meetmgs are necessary m order to process your request appropnately The attendance by you or
your chent may be reqUIred at the Development ReView CommIttee and Commumty
Development Board meetmgs. Should any of the followmg meeting tImes and/or locatIons
change or If you Will be reqUIred to attend any of these meetIngs you WIll be contacted
tmmedlately
08/03/06
Development ReVIew CommIttee, time to be determmed (you Will be contacted If
your attendance IS reqUIred and there are Issues/concerns to diSCUSS); m the Plan-
mng Department conference room - Room 216 - on the second floor of the mu-
rucIpal service bmldmg, 100 South Myrtle Avenue III Cleruwater The case wlll
be forwarded to the Community Development Board when lt IS deemed suffi-
CIent
09/19/06
Commumty Development Board, meetmg starts at 1 00 pm tn the City Councll
Chambers on the 3rd Floor of City Hall at 112 S Osceola Avenue,
10/19/06
CIty CouncIl (first readmg), meetmg starts at 600 pm. m the City Councll
Chambers on the 3rd Floor of CIty Hall at 112 S Osceola Avenue
11/02/06
City CouncIl (second readmg), meetmg starts at 600 pm In the City CouncIl
Chambers on the 3 rd Floor of Ct ty Hall at 112 S Osceo la A venue
ll,\'~ 11111]'\1,11 ~I\\"I{
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.
,
;,.
July 7, 2006
Thomas and Thomas- Page Two
If you have any questIons, please do not heSItate to contact me at (727) 562-4836,
Smcerely,
1n('.~pO ~
MIchael H. Reynolds, AICP
Planner ill
S \Planmng DepartmentlC D BlAnnexatlOnslANX - 20061ANX2006-06021 1606 SCOIl Street - ThomaslANX2006-06021 complete Ilr doc
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CITY OF
CLEARWATER
PLA1'\JNING DFPAR I MEN r
Po'" 0111(1 Box 4748, Clb\llWAllH, FIOIUI>A 33758-4748
MUNICIPAl 51 HVI(I.'> BIIII DIM" 100 50lTf II MYH III AVI '\1 I , Ci l.AkWA II H, n OJ<Jl)A 317'56
111'1'110'\1 (727) 562-4567 rAX (727) 562 4Hi)5
IDN(, RAi\GI PIANNIM,
Drvll OI'MI N I RrvlI W
July 7,2006
Mr DavId Healey, AICP
ExecutIve DIrector
Pmellas Planmng CouncIl, SUIte 850
600 Cleveland Street
Clearwater, FL 33755
Mr Bnan K Smith
Director
Pmellas County Plannmg Department
600 Cleveland Street, SUIte 750
Clearwater, FL 33755
Lt Terry SterlIng
Strategic Plannmg
Pmellas County Shenf:fs Office
P 0 Drawer 2500
Largo, FL 33779
Re: Notice of Voluntary Annexation (ITEM NO.: ANX2006-06021)
Dear Mr Healey, Mr Smith & Lt SterlIng
Pursuant to SectIon 6(2) of the County Ordmance No 00-63, the City of Clearwater IS hereby
notIfYIng the Pmellas Plannmg CouncIl of Its receIpt of a new applIcatIon for voluntary
annexation of property located at 1606 Scott Street (ANX2006-06021) mto Its JunsdIctIon The
subject property IS located wIthm the City of Clearwater Plannmg Area and upon annexatIon wIll
be served by CIty of Clearwater sewer and solId waste servIce (where avaIlable) The proposed
annexatIons are conSIstent With Flonda law regardmg mUnIcipal annexations through their
adjacency With eXlstmg city boundanes and their compact m concentration A copy of the
petItion and dIsclosure statement are enclosed
A warranty deed mcludmg the legal descnptIon, plat of record and mappmg associated With thIS
property are enclosed
I I. I'h 1111\1\111) \\ \\1 II.
IllI" \)()i(\i\, ((lI" II \11 \11'1 I.
1111' II ",r,' ('II 'I II \11 \11111,
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"I I II \1 I \11'10\ \11 '\I ,\ '\IlI\lIlh \1 \ III I 1\( 111)'\ I \11'1 ())II,
(,
..
---.
July 7,2006
Healey, SmIth & SterlIng - Page Two
The followmg schedule has been tentatIvely establIshed for the reVIew of thIS applIcatIon by
vanous CIty boards Should any of the followmg meetmg tImes and/or locatIons change you wIll
be contacted nnmedIately
09-19-06
Commumty Develolment Board, meetmg starts at 1 00 p m m the CIty CouncIl
Chambers on the 3r Floor of CIty Hall at 112 S Osceola Avenue
10-19-06
CIty CommISSIon (first readmg), meetmg starts at 600 pm. m the CIty CounCIl
Chambers on the 3rd Floor of CIty Hall at 112 S Osceola Avenue
11-02-06
CIty CommIssIOn (second readmg), meetmg starts at 6 00 p m m the CIty CouncIl
Chambers on the 3rd Floor of CIty Hall at 112 S Osceola Avenue
Your early response wIll be greatly apprecIated Please do not hesItate to contact me at (727)
562-4836, should you reqUIre addItIonal mformatIon
Smcerely,
/J1t~ (4. ~
MIchael H Reynolds
Planner ill
cc Steven Brown, Long Range Planmng Manager
LeslIe Dougall-SIdes, AssIstant CIty Attorney
MIchael QUIllen, CIty Engineer
Art Kader, AssIstant Parks and RecreatIon DIrector
S IPlannmg DepartmentlC D BlAnllewtlOnslANX - 20061ANX2006-06021 J 606 Scott Street - Thomas1ANX2006-0602 J Letter to PPC doc
L--
I"
\
CITY OF CLEAR\\ I ER
PETITION FOR ANNEXATION
PLANNING DEPARTMENT
MUNICIPAL SERVICES BUILDING, 100 SOUTH MYRTLE AVENUE, 2nd FLOOR
PHONE (727)-562-4567 FAX (727) 562-4576
APPLICANT, PROPERTY OWNERS, AND AGENT INFORMATION:
K.eAJ
1(,6' SCJ:ITT
{72..1)Z3<f -04 .3 I
JCuv ItIi- T Ii- Cd ~
(lIst all owners) r1f-- fL
IC-tA/ AI ~ .-
APPLICANT NAME:
MAILING ADDRESS
PHONE NUMBER
PROPERTY OWNERS:
AGENT NAME'
MAILING ADDRESS.
PHONE NUMBER.
r/bttIf5
Sf
FAX NUMBER
~';:-5
/~A61-5
r/i6~
~-m-- tJ .-
C7l-7) crCZCl -1$.3 ~ .3
PROPOSED DEVELOPMENT INFORMATlON
LOCATION
STREET ADDRESS'
LEGAL DESCRIPTION'
PARCEL NUMBER
It.. Ot....
Il J~., , ..,/
Ci-"S
EXISTING CATEGORIES. ZONING
5r_/f
FAX NUMBER
:sT~E'I
3.11 1..(
/ 0'1 ( ooln
LAND USE
~L
?L..
PROPOSED CATEGORIES ZONING:
EXISTING USE AND SIZE
PROPOSED USE AND SIZE'
.,.Ie.
e f nonresldentlal use)
t": (
() '"""'(( . ,
(number of dwelll unIts, holel rooms or square footag
..,.. c~
srZE OF SITE.
(J. I " '-l
I we), the undersigned, acknowledge that all
representations made In this appllcatJon
are true and accur to the best
knowledg
Signature of property owner Of representallve
nresidentlal use)
Notary public,
my commission expires
Annexation (ANX) Petition and Disclosure Statement docPage 3 of 4
----
,~
,
CITY OF CLEAR.'fER
PETITION FOR ANNEXATION
DISCLOSURE STATEMENT
PLANNING DEPARTMENT
MUNICIPAL SERVICES BUILDING, 100 SOUTH MYRTLE AVENUE, 2nd FLOOR
PHONE (727)-562-4567 FAX (727) 562-4576
PROPERTY OWNER NAME }/Ll.j r~15
ADDRESS It, (j t SU>77' ST. G..vw f 1=L "'::5 3 '/ ~-
PHONE NUMBER (; ') 9 so- 3 / FAX NUMBER
7Z.7 Z ~ -(7
REPRESENTATIVE(S) NAME
ADDRESS
PHONE NUMBER FAX NUMBER-
ANY O~SONS HAVING ANY OWNERSHIP INTEREST IN THE SUBJECT PROPERTY
NAME'
INTEREST IS
SPECIFIC INTEREST HELD
DOES A CONTRACT EXIST FOR THE SALE OF THE SUBJECT PROPERTY? YES NO
CONTRACT IS
ALL PARTIES TO CONTRACT
NAME
NAME
ARE THERE ANY OPTIONS TO PURCHASE SUBJECT PROPERTY? YES NO
LIST ALL PARTIES TO OPTION
NAME
NAME
~
ARE THERE ANY MORTGAGES OR LIENS ON THE PROPERTY? eYESJ NO
MORTGAGE HOLDER(S) NAME -
LIEN HOlDER(S) NAME
I (we), the undersIgned, acknowledge that all
representatIons made In thiS applicatIOn
are true and accurate to the best of my
knowledge
STATE OF FLORIDA, COUNTY OF PINELLAS
SW9.-m to and subscnbed before me thiS 7TH day of
...JUNE ,A D, '$ftzax;.. t~
~ ~;n ,who I ersonall
no as produced s
Identification
(f/1L
~J\. Hetna S De Marcy CheIln
\~J ~~7:~::2a99
Signature of property owner or representahve
Notary public,
Annexation (ANX) Pellllon and Disclosure Statement docPage 4 of 4
Prepared by and Return to
Alday-Donalson Title Agencies of Amenca , Ine
Arday-DltnalSOll Tille Agencies or Amcncll, IlIe
6171 East Fowler Avenue
Temple Terrace, Flonda 33617
File Number 5-05<Z594
KEN BU.....\t:, CLERK OF COURT
PINELLAS COUNTY FLORIDA
INST# 200602894001125/2006 al10 02 AM
OFF REC BK 14891 PG 2215-2215
DocType DEED RECORDING $1000
D DOC STAMP $125020
This Warranty Deed
Made thiS December 30, 2005 A D By Robert Combes, as Trustee of 1 he 1606 Scott Street Trust Under Land Trust Agreement
dated June 23, 2005
hereinafter called the grantor,
to Kenneth W. Thomas, an unmarried man and Kenneth l~ Thomas, an unmarried mall,
whose post office address IS 125 Llllcoln Ave. N., Clcarwater, FL 33755,
heretnafter called the grantee
(Whenever used hereIn the lerm "grantor" and "granlee" IIIclU1Je all the parties to (h IS Inslrumenl and (he hens, legal represenlallves and assigns of
IIldlvlduals, and the successors and assigns of corporal IOns)
Witnesseth, that the grantor, for and In conSideratIOn of the sum ofTen Dollars, ($10 00) and other valuab]e
conSIderatIOns, receipt whereof IS hereby acknowledged, hereby grants, bargams, sells, aliens, remises, releases, conveys and confinns
unto the grantee, all that certam land situate m Pmellas County, F1onda, VtZ
Lot 7, Block 19, Third Addihon to Highland Pines SubdivIsIOn, accordlllg to the map or plat thereof, as recorded In Pial Book
32, Page 71 , of the Public Records of PlIlellas Co u n ty, FlOrida
SUBJECT TO covenants, restnctlOns, easements of record and taxes for the current year
Parce lID Number II 29 15.39114 019 0070
Together WIth all the tenements, hereditaments and appurtenances thereto belonglllg or III anYWise appertallllng
To Have and to Hold, the same III fee simple forever
And the grantor hereby covendnts With Said grantee that the grantor IS lawfully seized of Said land III fee slmple, that the
grantor has good nght and luwful authonty to sell and convey Said land, that the grantor hereby fully warrants the tttle to said land and
wllJ defend the same agalllst the ]awful claims of all persons whomsoever, and that saId land ]S free of all encumbrances except taxes
accrumg subsequent to December 31,2005
In Witness Whereof, the saId grantor has Signed and sealed these presents the day and year firs! above wntten
Signed, sealed and de:~ our presence
if W'~
Pamalla D Hill----
~~YN~(
Robert Combes, as Trustee
Address Y13J veVlt t(an VJ(L~
Tz:1)rv,"p (1, 0' 3 3 La 6l{
(Seal)
State of F10nda
County of Plllellas
The foregolllg Instrument was acknowledged before me thiS 30th day of Decembel, 2005, by Robert Combes, .IS Trustee of The] 606
Scott Street Trust Under Land Trust Agreement Dated June 23, 2005, who Is/are personall~~wn me or who has produced a valid
dnve" heen,e ., ,denb""'oon ~
.f.~'\.
o t
ll. n
Ronald M Donalson
Nola1y Public, SIBle Of FIortda
My CommlSslolo EXDa es Oct 14, 2000
CommiSSIon No IIno j'i0969
Notary Public
I'rmted N~me
(Seal)
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CITY OF CLEARWATER
PLANNING DEPAR'IMENT
P()~I 011)(1 I3u< 4748, CII~\Il\l,\IIIl, FIOIHIJI\ 3375H-4711)
MII\IUI'AI SIINlU ~ BUll DI.'\(" ] OD SOl! III MVIl III AVI \1 I , Ct I AI~I.I,\ II I~, II (Jlm)A -) 17'5(i
11111'110\1 (727) S62-45(i7 hlx (727) 562-4HiSS
I 0"(, It\ 0,(,1 PI"\ \ NI \(,
DI VII OI'MI "I RIV'II W
July 7,2006
Mr_ DavId Healey, AICP
ExecutIve DIrector
Pmellas Planmng CouncIl, SUIte 850
600 Cleveland Street
Clearwater, FL 33755
Mr Bnan K SmIth
DIrector
PmeUas County Plannmg Department
600 Cleveland Street, SUIte 750
Clearwater, FL 33755
Lt Terry Sterlmg
Strategic Plannmg
Pmellas County Shenff's Office
P 0 Drawer 2500
Largo, FL 33779
Re: Notice of Voluntary Annexation (ITEM NO.: ANX2006-06021)
Dear Mr Healey, Mr SmIth & Lt SterlIng
Pursuant to SectIon 6(2) of the County Ordmance No 00-63, the CIty of Clearwater IS hereby
notIfymg the Pmellas Plannmg Council of ItS receipt of a new applIcation for voluntary
annexatIOn of property located at 1606 Scott Street (ANX2006-06021) mto ItS jUnSdlctIon The
subject property IS located wIthm the City of Clearwater Plannmg Area and upon annexatIOn WIll
be served by CIty of Clearwater sewer and solId waste service (where aVaIlable) The proposed
annexations are conSIstent WIth Flonda law regardmg mUnIcipal annexations through theIr
adjacency wIth eXlstmg CIty boundanes and their compact m concentratIOn A copy of the
petltIon and disclosure statement are enclosed
A warranty deed mcludmg the legal descnptIOn, plat of record and mappmg associated wIth thIS
property are enclosed
II>\\~ IIII'IIII.!) \lli"h
Ir III'. 1)( '1(\'. (( II ,," 11'11 111111,
[\111 1(1"""" (r ,I '\! 11\11 \1111 I!
@
IIe'i I 111\111 H" ( ,)1 ,( 11\11 11111"
( \1,11 \ \ 1'111 h"" (1'1'" 11\11 '1111 h
I (lI \1 I \11' I ( 11 \ II \ I A \ I ) AI I I h \ I \ II \ I i\( 111)\ I \11'1 (.,1 I(
::,
...
"
July 7,2006
Healey, SmIth & SterlIng - Page Two
The followmg schedule has been tentatively establIshed for the reVIew of thIS applIcatIOn by
vanous City boards Should any of the followmg meetmg tImes and/or locatIons change you WIll
be contacted lInmedIately
09-19-06
Commumty Devel~ment Board, meetmg starts at 1 00 P m m the CIty Council
Chambers on the 3 Floor of CIty Hall at 112 S Osceola Avenue
10-19-06
City CommIssion (first readIng), meetIng starts at 600 pm. In the CIty CouncIl
Chambers on the 3rd Floor of CIty Hall at 112 S Osceola Avenue
11-02-06
City CommIssIOn (second readmg), meetIng starts at 600 p m m the CIty CouncIl
Chambers on the 3rd Floor of CIty Hall at 112 S Osceola Avenue
Your early response WIll be greatly apprecIated Please do not hesItate to contact me at (727)
562-4836, should you reqUIre addItIonal mformatIon
Smcerely,
/J1('~ (/J. ~
Michael H Reynolds
Planner III
cc Steven Brown, Long Range Planmng Manager
LeslIe Dougall-SIdes, AssIstant CIty Attorney
Michael QUillen, City Engmeer
Art Kader, ASSistant Parks and Recreation Director
5 lPlannmg DeparlmenllC D BlAnnexallOnslANX - 2006IANX2006-0602/ 1606 Scali Street - Tholnas1ANX2006-06021 Leiter 10 PPC doc
, /
..
..
]
MftL
CITY OF CLEARWATER PUBLIC HEARING NOTICE
ANNEXATION, LAND USE PLAN AND ZONING ATLAS AMENDMENTS
~
NOTE- All persons wlshmq to address an Item need to be present at the BEGINNING of the Commumtv
Development Board meetmQ. Those cases that are not contested by the applicant. staff. nelQhborma property
owners. etc will be placed on a consent aaenda and approved by a smale vote at the beqmnina of the meetma
The City of Clearwater, Florida, proposes to adopt the following ordinances
ORDINANCE NO 7698-06
AN ORDINANCE OF THE CITY OF CLEARWATER, FLORIDA, ANNEXING CERTAIN REAL PROPERTY
LOCATED ON THE NORTH SIDE OF SCOTT STREET APPROXIMATELY 250 FEET WEST OF THE
INTERSECTION OF SCOTT STREET AND RIDGE AVENUE, CONSISTING OF LOT 7, BLOCK 19, THIRD
ADDITION TO HIGHLAND PINES SUBDIVISION, WHOSE POST OFFICE ADDRESS IS 1606 SCOTT STREET,
INTO THE CORPORATE LIMITS OF THE CITY, AND REDEFINING THE BOUNDARY LINES OF THE CITY TO
INCLUDE SAID ADDITION. PROVIDING AN EFFECTIVE DATE
ORDINANCE NO 7699-06
AN ORDINANCE OF THE CITY OF CLEARWATER, FLORIDA, AMENDING THE FUTURE LAND USE PLAN
ELEMENT OF THE COMPREHENSIVE PLAN OF THE CITY, TO DESIGNATE THE LAND USE FOR CERTAIN
REAL PROPERTY LOCATED ON THE NORTH SIDE OF SCOTT STREET APPROXIMATELY 250 FEET WEST
OF THE INTERSECTION OF SCOTT STREET AND RIDGE AVENUE, CONSISTING OF LOT 7, BLOCK 19,
THIRD ADDITION TO HIGHLAND PINES SUBDIVISION, WHOSE POST OFFICE ADDRESS IS 1606 SCOTT
STREET UPON ANNEXATION INTO THE CITY OF CLEARWATER, AS RESIDENTIAL LOW, PROVIDING AN
EFFECTIVE DATE
ORDINANCE NO 7700-06
AN ORDINANCE OF THE CITY OF CLEARWATER, FLORIDA, AMENDING THE ZONING ATLAS OF THE CITY
BY ZONING CERTAIN REAL PROPERTY LOCATED ON THE NORTH SIDE OF SCOTT STREET
APPROXIMATELY 250 FEET WEST OF THE INTERSECTION OF SCOTT STREET AND RIDGE AVENUE,
CONSISTING OF LOT 7, BLOCK 19, THIRD ADDITION TO HIGHLAND PINES SUBDIVISION, WHOSE POST
OFFICE ADDRESS IS 1606 SCOTT STREET, UPON ANNEXATION INTO THE CITY OF CLEARWATER, AS
LOW MEDIUM DENSITY RESIDENTIAL (LMDR), PROVIDING AN EFFECTIVE DATE
Schedule of Public HearmQs
Tuesday, September 19, 2006 before the Community Development Board, at 1 00 P m
Thursday, October 19, 2006 before the City Council (1st Reading), at 600 P m
Thursday, November 2,2006 before the City CounCil (2nd Reading), at 600 pm
All public hearings on the ordinances will be held In Council Chambers, 3rd floor of City Hall, 112 South Osceola Ave,
Clearwater, Flonda The ordinance and complete legal description of the property proposed for annexation, by metes and
bounds, may be Inspected or obtamed at Official Records & Legislative Services, located at City Hall (Kenneth R &
Kenneth W Thomas) ANX2006-06021
Interested parties may appear and be heard at the hearing or file wrlllen notice of approval or objec!lon with the Plannmg
Director or City Clerk prior to the hearing Any person who decides to appeal any decISion made by the Board or Council,
with respect to any matter conSidered at such hearings, will need to request a record of the proceedings and, for such
purpose, may need to ensure that a verbatim record of the proceedings IS made, which record Includes the testimony and
eVidence upon which the appeal IS to be based per Flonda Statute 286 0105
Community Development Code Sec 4-206 states thai parly status shall be granted by Ihe Board In quasI-Judicial cases If the
person requesting such status demonstrates that s/he IS substantially affected Party status entities parlles to personally
testify, present eVidence, argument and witnesses, cross-examine Witnesses, appeal the decISion and speak on
reconSideration requests, and needs to be requested and obtained dUring the case diSCUSSion before the COB
. .
An oath will be administered swearing In all persons giVing testimony In quasI-Judicial public hearing cases Persons
without party status speaking before the COB shall be limited to three minutes unless an Individual IS representing a group
In whIch case the Chairperson may authorize a reasonable amount of time up to 10 minutes The Community
Development Board will review the case and make a recommendation to the City Council for flnaf diSposItion
Five days prior to the COB meeting, staff reporls and recommendations on the above requests will be available for review
by Interested parlles between the hours of 8 30 a m and 4 30 pm, weekdays, at the CIty of Clearwater, Planning
Department, 100 S Myrtle Ave, Clearwater, FL 33756 Please contact the Planning Department 562-4567 to diScuss any
questions or concerns about the project and/or to better understand the proposal
MlchaelOelk
Planning Director
Cynthia E Goudeau, MMC
City Clerk
City of Clearwater
POBox 4748, Clearwater, FL 33758-4748
YOU ARE BEING SENT Tl-IIS NOnCE IF YOU ARE THE APPl JCANT OR OWN PROPERTY WITHIN 200 FT OF
THE SUBJECT PROPERTY
A COPY OF THIS AD IN LARGE PRINT IS AVAILABLE IN OFF]CIAL RECORDS & LEGISLATIVE SERVICES ANY
PERSON WITH A DISABILITY REQUIRING REASONABLE ACCOMMODATION IN ORDER TO PARTICIPATE IN
THIS MEETING SHOULD CALL (727) 562-4093 WITH THEIR REQUEST
To learn more about presenting to Clearwater boards and City CounCil, go to
http 1/c1earwater qramCUS comNI8wPubllsher php?vlew Id=11 and click on "ReSident Engagement Video" You can also
check the informational video out from any Clearwater public library
Ad 910706 & 10/23/06
(
ORDINANCE NO 7698-06
AN ORDINANCE OF THE CITY OF CLEARWATER,
FLORIDA, ANNEXING CERTAIN REAL PROPERTY
LOCATED ON THE NORTH SIDE OF SCOTT STREET
APPROXIMATELY 250 FEET WEST OF THE
INTERSECTION OF SCOTT STREET AND RIDGE
AVENUE, CONSISTING OF LOT 7, BLOCK 19, THIRD
ADDITION TO HIGHLAND PINES SUBDIVISION, WHOSE
POST OFFICE ADDRESS IS 1606 SCOTT STREET, INTO
THE CORPORATE LIMITS OF THE CITY, AND
REDEFINING THE BOUNDARY LINES OF THE CITY TO
INCLUDE SAID ADDITION, PROVIDING AN EFFECTIVE
DATE
WHEREAS, the owner of the real property descnbed herein and depicted on the map
attached hereto as Exhibit A has petitioned the City of Clearwater to annex the property Into the
City pursuant to Section 171 044, Flonda Statutes, and the City has complied with all applicable
requirements of Flonda law In connection with thiS ordinance, now, therefore,
BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF
CLEARWATER, FLORIDA
Section 1 The followlng-descnbed property IS hereby annexed Into the City of Clearwater
and the boundary lines of the City are redefined accordingly
Lot 7, Block 19, Third Addition to Highland Pines SubdivIsion, according to the map
or plat thereof, as recorded In Plat Book 32, Page 71, Public Records of Plnellas
County, Flonda (ANX2006-06021)
Section 2 The provIsions of thiS ordinance are found and determined to be consistent
with the City of Clearwater Comprehensive Plan The City Council hereby accepts the dedication
of all easements, parks, nghts-of-way and other dedlcatrons to the public, which have heretofore
been made by plat, deed or user within the annexed property The City Engineer, the City Clerk
and the Plannrng Director are directed to Include and show the property descnbed herein upon the
offiCial maps and records of the City
Section 3 ThiS ordinance shall take effect Immediately upon adoption The City Clerk
shall file certified copies of thiS ordinance, Including the map attached hereto, with the Clerk of the
CirCUit Court and with the County Administrator of Plnellas County, Flonda, within 7 days after
adoption, and shall file a certified copy with the Flonda Department of State within 30 days after
adoption
PASSED ON FIRST READING
PASSED ON SECOND AND FINAL
READING AND ADOPTED
Frank V Hibbard
Mayor
Attest
~~
Cynthia E Goudeau
City Clerk
Ordmance No 7698-06
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Owner Kenneth W Thomas and Kenneth R Thomas Case A NX2006-06021
Site 1606 Scott Street Property SIze 0164
(Acres)
Land Use Zoning
PIN 11- 29-15-39114-019-0070
From Rl (County) R-3(County)
To RL City) LMDR (City) Atlas Page 270 B
Exh~b~t "A" Ord~nance No. 7698-06
ORDINANCE NO 7699-06
AN ORDINANCE OF THE CITY OF CLEARWATER, FLORIDA,
AMENDING THE FUTURE LAND USE PLAN ELEMENT OF THE
COMPREHENSIVE PLAN OF THE CITY, TO DESIGNATE THE
LAND USE FOR CERTAIN REAL PROPERTY LOCATED ON THE
NORTH SIDE OF SCOTT STREET APPROXIMATELY 250 FEET
WEST OF THE INTERSECTION OF SCOTT STREET AND
RIDGE AVENUE, CONSISTING OF LOT 7, BLOCK 19, THIRD
ADDITION TO HIGHLAND PINES SUBDIVISION, WHOSE POST
OFFICE ADDRESS IS 1606 SCOTT STREET UPON
ANNEXATION INTO THE CITY OF CLEARWATER, AS
RESIDENTIAL LOW, PROVIDING AN EFFECTIVE DATE
WHEREAS, the amendment to the future land use plan element of the comprehensive
plan of the City as set forth In this ordinance IS found to be reasonable, proper and appropriate,
and IS consistent with the City'S comprehensive plan, now, therefore,
BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF
CLEARWATER, FLORIDA
Section 1 The future land use plan element of the comprehensive plan of the City of
Clearwater IS amended by desIgnating the land use category for the hereinafter described
property, upon annexation Into the City of Clearwater, as follows
Property
Lot 7, Block 19, Third Addition to Highland Pines
SubdivIsion, according to the map or plat thereof,
as recorded In Plat Book 32, Page 71, Pubhc Records
of Plnellas County, Florida (ANX2006-06021)
Land Use Cateaorv
ResIdential Low
Section 2 The City Council does hereby certify that this ordinance IS consIstent with
the City'S comprehensive plan
Section 3 This ordinance shall take effect Immediately upon adoption, contingent upon
and subject to the adoption of Ordinance No 7698-06
PASSED ON FIRST READING
PASSED ON SECOND AND FINAL
READING AND ADOPTED
Frank V Hibbard
Mayor
Approved as to form
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AssIstant City Attolr~y
Attest
Cynthia E Goudeau
City Clerk
Ordinance No 7699-06
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ANX2006-06021
0164
PIN 11-29-15-39114-019-0070
Atlas Page
270 B
Ordlnance No. 7699-06
ORDINANCE NO. 7700-06
AN ORDINANCE OF THE CITY OF CLEARWATER,
FLORIDA, AMENDING THE ZONING ATLAS OF THE CITY
BY ZONING CERTAIN REAL PROPERTY LOCATED ON
THE NORTH SIDE OF SCOTT STREET APPROXIMATELY
250 FEET WEST OF THE INTERSECTION OF SCOTT
STREET AND RIDGE AVENUE, CONSISTING OF LOT 7,
BLOCK 19, THIRD ADDITION TO HIGHLAND PINES
SUBDIVISION, WHOSE POST OFFICE ADDRESS IS 1606
SCOTT STREET, UPON ANNEXATION INTO THE CITY OF
CLEARWATER, AS LOW MEDIUM DENSITY RESIDENTIAL
(LMDR), PROVIDING AN EFFECTIVE DATE
WHEREAS, the assignment of a zoning district classification as set forth In this
ordinance IS found to be reasonable, proper and appropnate, and IS consistent wIth the
City'S comprehenSive plan, now, therefore,
BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY
OF CLEARWATER, FLORIDA
Section 1 The follOWing descnbed property located In PlnelJas County, Florrda, IS
hereby zoned as Indicated upon annexation Into the City of Clearwater, and the' zOning
atlas of the City IS amended, as follows
Property
Lot 7, Block 19, Third Addition to HIghland Pines
SubdiVISion, according to the map or plat thereof,
as recorded In Plat Book 32, Page 71, Public
Records of Plnellas County, Flonda (ANX2006-06021)
ZOnlnQ Dlstnct
Low MedIum Density
ReSIdential (LMDR)
Section 2 The City Engineer IS directed to revise the zonmg atlas of the City In
accordance with the foregOing amendment
Section 3 ThiS ordinance shall take effect Immediately upon adoption, contingent
upon and subject to the adoption of Ordinance No 7698-06
PASSED ON FIRST READING
PASSED ON SECOND AND FINAL
READING AND ADOPTED
Frank V Hibbard
Mayor
Approved as to form
)
Attest
Cynthia E Goudeau
City Clerk
Ordinance No 7700-06
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1617
A NX2006-06021
Ordlnance No. 7700-06
I ANX200fl-Ofl021 ~
.
16U6 SCOTT STREET TRUST
5128 PURITAN RD
TA~PA FL 33617 - 7607
AkcND, BETH M
1613 LINWOOD DR
CLEARWATER FL 33755 - 2346
BAlDINUCCI, SALVATORE
BALDINUCCI, PATRICIA
1506 LYNN AVE
CLEARWATER FL 33755 - 2827
BATTEN, IRVING H
BATTEN, LOIS M
1601 LOGAN ST
CLEARWATER FL 33755 - 2824
BENTLEY, MARYANN
BENTLEY, DONALD S
1614 SCOTT ST
CLEARWATER FL 33755 - 2843
BLACK, WINSTON E
BLACK, DIANNA L
1518 LYNN AVE
CLEARWATER FL 33755 - 2827
BOWEN, ARCHIE P
1619 LINWOOD DR
CLEARWATER FL 33755 - 2346
BRILL, CHARLES H
BRILL, NELLIE T
1514 LYNN AVE
CLEARWATER FL 33755 - 2827
BROWN, EMMANUEL J
1609 SCOTT ST
CLEARWATER FL 33755 - 2844
CASTRO, MARTHA
1412 LYNN AVE
CLEARWATER FL 33755 - 2825
CLARK, DANIEL E
1573 LINWOOD DR
CLEARWATER FL 33755 - 2140
CLARK, DEMETRIUS A
1730 SCOTT ST
CLEARWATER FL 33755 - 2856
CLEMONS, EDDY R
CLEMONS, JACQUELINE 0
1571 CROWN ST
CLEARWATER FL 33755 - 2861
CRESSIA, LINDA M
1610 SCOTT ST
CLEARWATER FL 33755 - 2843
CUEVAS, JULIO A JR
1591 LINWOOD DR
CLEARWATER Fl33755 - 2140
DANDANEAU, JAYNE L
1522 LYNN AVE
CLEARWATER FL 33755 - 2827
DE VINE, MONICA
RUIZ, HECTOR I JR
1568 SHERWOOD ST
CLEARWATER FL 33755 - 2927
DEAN, JIMMIE E
2020 20TH AVENUE PKWY
INDIAN ROCKS BEACH FL 33785-
2967
DIXON, FREDDIE S
1419 RIDGE AVE
CLEARWATER FL 33755 - 2838
DOBIN, JUDAH B
DOBIN, JOSEFINA R
1591 SCOTT ST
CLEARWATER FL 33755.2842
MIL
Ah,'\OYO, OMA YRA
NIEVES, IBRAHIM 0
1625 LINWOOD DR
CLEARWATER FL 33755 - 2346
BEAULIEU, CONRAD
BEAULIEU, CHARLOTTE
1564 CROWN ST
CLEARWATER FL 33755 - 2800
BORDEN, KEITH M
BORDEN, LISA
1627 SCOTT ST
CLEARWATER FL 33755 - 2846
BROCK, RALPH J R
BROCK, JEANETTE
1595 SCOTT ST
CLEARWATER FL 33755 - 2842
CERAOLO, PATRICIA A
CERAOLO, SAMUEL
1601 CROWN ST
CLEARWATER FL 33755 - 2812
CLEMENSON, ROSEMARY B
1567 LINWOOD DR
CLEARWATER FL 33755 - 2140
CSX TRANSPORTATION INC
500 WATER ST
JACKSONVILLE FL 32202 - 4423
DANIELS, HERBERT L
SANDERS, LANETTA
1585 LINWOOD DR
CLEARWATER FL 33755 - 2140
DEMPS, ROBIN W
1580 LOGAN ST
CLEARWATER FL 33755 - 2821
DONOHOE, DALE C
DONOHOE, LAURA J
1613 LOGAN ST
CLEARWATER FL 33755 - 2824
EMERSON, PHILLIP H
EtvlERSON, GLADA S
1564 SHERWOOD ST
CLEARWATER FL 33755 - 2927
ENRIGHT, WILLIAM T JR
1561 SCOTT ST
CLEARWATER FL 33755 - 2842
ENSEY, KEITH A
1416 LYNN AVE
CLEARWATER FL 33755 - 2825
ESHTAMOA, TUVJAH
ESHTAMOA, THERESA A
1605 LOGAN ST
CLEARWATER FL 33755 - 2824
FOROUTAN, JAHANGIR
1404 RIDGE AVE
CLEARWATER FL 33755 ~ 2837
GONYO, NOELLA L
1604 SHERWOOD ST
CLEARWATER FL 33755 - 2929
GRAHAM, RICKY
1564 SCOTT ST
CLEARWATER FL 33755 - 2841
HACKMAN, DENNIS
HACKMAN, DARLEEN L
1579 LINWOOD DR
CLEARWATER FL 33755 - 2140
HALL, LUCY M
1615 CROWN ST
CLEARWATER FL 33755 - 2812
HANNUM, LAURIE L
1609 CROWN ST
CLEARWATER FL 33755 - 2812
HEISER, DONALD
1603 SCOTT ST
CLEARWATER FL 33755 - 2844
HERMANN, DALE W
HERMANN, CHARLOTTE
18213 VAN NESS AVE
TORRANCE CA 90504 - 5308
HUNTER, M LYNN
1631 LINWOOD DR
CLEARWATER FL 33755 ~ 2346
JEPPESEN, LEROY P
1415 RIDGE AVE
CLEARWATER FL 33755 - 2838
KAMUDA, JOHN
1400 RIDGE AVE
CLEARWATER FL 33755 - 2837
KLEE, JODY R
1607 LINWOOD DR
CLEARWATER FL 33755 - 2346
LEE, JENNIFER C
1567 CROWN ST
CLEARWATER FL 33755 - 2861
LONGO, JOSEPH JR
LONGO, ALISON
1452 OWEN DR
CLEARWATER FL 33759 - 2201
LUDWIG, JOSEPHINE M
1608 SHERWOOD ST
CLEARWATER FL 33755 - 2929
MADDOX, TERRY S
1507 RIDGE AVE
CLEARWATER FL 33755 - 2840
MAL TAS, ELIZABETH
1408 LYNN AVE
CLEARWATER FL 33755 - 2825
MATTHEWS, LE VONICE
1567 LOGAN ST
CLEARWATER FL 33755 - 2822
Me CORMICK, FRED A
MC CORMICK, JUDITH M
1625 SCOTT ST
CLEARWATER FL 33755 - 2846
MC CRAY, CRAIG S
WILIAMS, OCTAVIA
1560 CROWN ST
CLEARWATER FL 33755 - 2800
MENKEL, DOUGLAS A
1574 SHERWOOD ST
CLEARWATER FL 33755 - 2927
MERION, JAMES
1600 CROWN ST.
CLEARWATER FL 33755 - 2811
MESTLER, LYNN E
MESTLER, ELSIE J
1511 RIDGE AVE
CLEARWATER FL 33755 - 2840
MILLER, RUSSELL
MILLER, JULIE
1601 LINWOOD DR
CLEARWATER FL 33755 - 2346
MOLINE, ALLAN R
MOLINE, CELIA E
1508 RIDGE AVE
CLEARWATER FL 33755 - 2839
MONTERIO, ALBERT R JR
MONTERIO, ALBERT R SR
1614 LOGAN ST
CLEARWATER FL 33755 - 2823
MUELLER, JEFF
16:.!2 SCOTT ST
CLEARWATER FL 33755 - 2845
NAPIER, HUGH A
1604 SCOTT ST
CLEARWATER FL 33755 - 2843
NESTI, ROBERT
1575 CROWN ST
CLEARWATER FL 33755 - 2861
NEWTON, TODD 0
NEWTON, LAVOY G
PO BOX 1613
TRENTON FL 32693 - 1613
NOHEJL, GEORGE
NOHEJL, CAROLYN L
414 GARNER AVE
WALDORF MO 20602 - 2943
NUNN-WORLOS, TERRY D
1688 EAGLE TRACE BLVD
PALM HARBOR FL 34685 - 3310
OLSEN, PATRICIA B
OLSEN, CARL C
1604 LOGAN ST
CLEARWATER FL 33755 - 2823
ORR, DAVID L
ORR, ANNA P
14385 82ND TER
SEMINOLE FL 33776 - 2812
PAPPALARDO, ANGELO
1520 RIDGE AVE
CLEARWATER FL 33755 - 2868
PELDZIUS, PATRICIA
1610 LOGAN ST
CLEARWATER FL 33755 - 2823
PERRY, THOMAS A
1515 RlDGE AVE
CLEARWATER FL 33755 - 2840
PETRIE, MARLENE A
1604 CROWN ST
CLEARWATER FL 33755 - 2811
PETZINGER, ROBERT J
PETZINGER, MERCELlZA A
1570 CROWN ST
CLEARWATER FL 33755 - 2800
PONDS, DENNIS E
PONDS, CHERYL L
1597 LINWOOD DR
CLEARWATER FL 33755 - 2140
PROPER, DEBORAH
9660 TARA CAY CT
SEMI NOLE FL 33776 - 1171
QUERING, MARK
1405 RIDGE AVE
CLEARWATER FL 33755 - 2838
RAMIREZ, JACQUELINE
1450 PALMETTO ST
CLEARWATER FL 33755 - 5056
ROBINETTE, CHAD 0
1600 LOGAN ST
CLEARWATER FL 33755 - 2823
ROBINETTE, THERESA E
1576 LOGAN ST
CLEARWATER FL 33755 - 2821
ROBINSON, ANNETTE P
1612 SHERWOOD ST
CLEARWATER FL 33755 - 2929
ROHRET, KARIN E
DEMPSEY, THOMAS C
1500 RIDGE AVE
CLEARWATER FL 33755 - 2839
ROUNAK, JAMES G JR
1519 RIDGE AVE
CLEARWATER FL 33755 - 2840
RUSSELL, DOUGLAS J
1600 SCOTT ST
CLEARWATER FL 33755 - 2843
SAVINON, JENNIFER
1420 RIDGE AVE
CLEARWATER FL 33755 - 2867
SCHUL TE, ELIZABETH C
1416 RIDGE AVE
CLEARWATER FL 33755 - 2867
SILVER, JUDITH
80 BON AIRE CIR # R-11
SUFFERN NY 10901 - 7321
SPONAGLE, JASON
1608 CROWN ST
CLEARWATER FL 33755 - 2811
SPONAGLE, KENNETH F
SPONAGLE, EVANGELlA F
1616 CROWN ST
CLEARWATER Fl33755 - 2811
THOMAS, KENNETH W
ANSPACH, LAURIE
1593 LINWOOD DR
CLEARWATER FL 33755 - 2140
VALDES, MARIANA C
WHITE, CARlOAD M
1571 LOGAN ST
CLEARWATER FL 33755 - 2822
VALENTIN, PETER J
V,lIt-ENTIN, GLADYS I
1613 SCOTT ST
CLEARWATER FL 33755 ~ 2844
VENEZIA, VITO
VENEZIA, TONYA L
1575 LOGAN ST
CLEARWATER FL 33755 - 2822
VREELAND, ROBERT W
VREELAND, DIANE M
1405 WOOD AVE
CLEARWATER FL 33755 - 2858
WALLACE, WINTON W JR
1560 SCOTT ST
CLEARWATER FL 33755 - 2841
WATSON, MARY ANN
1409 RIDGE AVE
CLEARWATER FL 33755 - 2838
WELLS, BARBARA
HODGSON, MAUREEN
34 STEWART RD
ALLENTOWN NJ 08501 - 1117
WELLS, RICHARD
1523 RIDGE AVE
CLEARWATER FL 33755 - 2840
WEST, DOROTHY F
1561 CROWN ST
CLEARWATER FL 33755 - 2861
WHITE, ROY
WHITE, TERRY
1605 SCOTT ST
CLEARWATER FL 33755 - 2844