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VC CLEARWATER SENIOR HOUSING LTDReturn to: err 1 ow LG.Yiq 1 Ile Clearwater Gas System s.! 777 Maple St. Clearwater, FL 33755 Parcel I. D. No. 33-28-16-00000-220-0100 KEN BURKE, CLERK OF COURT AND COMPTROLLER PINELLAS COUNTY, FL INST# 2023255881 10/04/2023 04:59 PM OFF REC BK: 22585 PG: 2691-2700 DocType:EASEMENT RECORDING: $86.50 D DOC STAMP: $0.70 GAS UTILITY EASEMENT FOR AND IN CONSIDERATION of the sum of One Dollar ($1.00) in hand paid, the receipt of which is hereby acknowledged, and the benefits to be derived therefrom, VC CLEARWATER SENIOR HOUSING LTD, a Florida Association whose principal address is 3030 HARTLEY RD STE 310 JACKSONVILLE FL 32257-8213 ("Grantor") does hereby grant and convey to the CITY OF CLEARWATER, FLORIDA, a Florida municipal corporation, whose mailing address is P.O. Box 4748 Clearwater, FL 33758-4748 ("Grantee"), a non-exclusive, gas utility easement over, under and across the following described land lying and being situated in the County of Pinellas, State of Florida, to wit: The property located at 2425 N MCMULLEN BOOTH RD, CLEARWATER FL 33759 As more particularly described and depicted in EXHIBIT "A" appended hereto and by this reference made a part hereof This easement is for natural gas distribution pipes and appurtenant facilities only. Clearwater Gas System, a component of the CITY OF CLEARWATER, FLORIDA, shall have the right to enter upon the above-described premises to construct, reconstruct, install, and maintain therein the herein referenced natural gas transmission pipes, together with appurtenances thereto (collectively, "Facilities"), and to inspect and alter such Facilities from time to time. Grantee shall be solely responsible for obtaining all governmental and regulatory permits required to exercise the rights granted herein. Grantor and Grantee, for themselves, their heirs, successors, and assigns, agree as follows: 1. Grantor hereby grants to Grantee, its successors and assigns a non-exclusive five (5) feet easement (herein referred to as the "Easement Area"), in perpetuity on, over, under, across and through the Servient Property described in Exhibit "A", attached hereto, for the purpose of constructing, operating, inspecting and maintaining, underground conduit, pipes, facilities appurtenant equipment for the provision of natural gas as the same may be installed from time to time; with the right to reconstruct, improve, add to, enlarge, change the size of and remove such facilities or any of them within the Easement Area. In the event the Easement Area crosses any roadway, sidewalk or other impervious area, Grantor will require Grantee to perform installations and repairs without removing said surface improvement. This may require a directional bore or other contractor suggested and owner approved method. 2. The legal description on the accompanying Exhibit "A" attached hereto and incorporated herein by this reference, will be replaced with a Descriptive Easement, two and a half (2.5) feet on either side of all facilities installed/as-built by GRANTEE, as will be shown on a certified surveyed sketch and legal description to be provided by GRANTEE within sixty (60) days after the installation of facilities by GRANTEE. The easement will then be recorded in the public record with the Descriptive Easement attached as Exhibit "A". 3. Grantee by acceptance hereof, agrees to construct, repair, and maintain, at its sole cost and expense, the Facilities which shall comply with all applicable rules and regulations. In the event Grantee shall perform any construction, repairs, alteration, replacement, relocation or removal of any Facilities, Grantee shall thereafter restore any improvements, including landscaping and related irrigation, disturbed thereby to as near as practicable the condition which existed prior to such activities. [GM 15-2064-066/258069/1 ] GM 15-2064-066/257077/1 4. The Grantor shall have and retains the right to construct improvements on, maintain and utilize the Easement Area (including, but not limited to, the construction of driveways, parking areas, landscaping, and related improvements) provided such construction does not unreasonably impair Grantee's access to the Easement Area or Grantee's ability to repair, replace and service the Facilities within the Easement Area. 5. Nothing herein shall create or be construed to create any rights in or for the benefit of the general public in or to the Easement Area. 6. This Easement shall not be changed, altered, or amended except as to the Descriptive Easement as contemplated in section 2, above, or by an instrument in writing executed by Grantor and Grantee or their respective successors and assigns; provided, however, that in the event Grantee shall abandon the use of the Easement Area, then Grantee shall, within a reasonable time thereafter, release and convey to Grantor or its successors and assigns all rights hereby granted pursuant to this Easement. 7. This Easement and all conditions and covenants set forth herein are intended to be and shall be construed as covenants running with the land, binding upon, and inuring to the benefit of Grantor or Grantee, as the case may be, and their respective successors and assigns. 8. Grantor warrants and covenants with Grantee that it is the owner of fee simple title to the herein described Servient Parcel, and that Grantor has full right and lawful authority to grant and convey this easement to Grantee, and that Grantee shall have the non-exclusive, limited purpose quiet and peaceful possession, use and enjoyment of this easement. It is expressly understood that Grantor reserves all rights of ownership of the Easement Premises not inconsistent with the easement rights granted herein. The Remainder of this Page Intentionally Left Blank [GM 15-2064-066/258069/1 ] GM15-2064-066/257077/1 173WITNESSINliEREOF, the undersigned Grantor has caused these presents to be duly executed this �h day of reitxtA ar, 2023. Signed, sealed, and delivered In the presence of. 0 TN SS signature TCLAA' U#46 ;'54f.t2p Print Witness Name vviTNESS signature� At/e-- /4( ;§' Print Witness Name STATE OF� COUNTY OF ba -1 : S8 VC CLEARWATER SENIOR HOUSING LTD Print Name: Title: Ni.:? The foregoing instru en was acknowledged before me by means of iiphysical presence or E online notarization, this 3 /,;20.3 (date) by M 1 (io. .- Wt8Ys an , (name of member, manager, officer or agent, title of member, manager, offic& or agent), of VC CLEARWATER SENIOR HOUSING LTD, a Florida limited liability company, on behalf of the company, who is personally known to me or has produced as identification. Signature of person taking acknowledgment Name typed, printed or stamped [GM15-2064-066/258069/1 ] GM 15-2064-066/257077/1 Title or rank Serial number, if any Exhibit "A" Legal Description of Property PART OF NW 1/4 OF NW 1/4 OF SEC 33-28-16 DESC BEG SE COR OF OAKBROOK ESTATES PER PLAT BK 118, PGS 47 & 48 TH N00D01'46"E 464.95FT ALG E BNDRY LINE OF SD OAKBROOK ESTATES TH N89D 55'05"E 610.23FT TO W R/W OF MCMULLEN BOOTH RD TH S00D22'55"W 206.02FT TH S00D06'03"E 261.55FT TH N89D50'10"W 609.56FT TO POB CONT 6.52AC(C) [GM 15-2064-066/258069/1 ] GM 15-2064-066/257077/1 LEGAL DESCRIPTION AND SKETCH EXHIBIT A DESCRIPTION: A 5.00 foot wide strip of land being a portion of the lands described in Official Records Book 21787, Page 500 of the Public Records of Pinellas County, Florida, lying within Section 33, Township 28 South, Range 16 East, Pinellas County, Florida, being more particularly described as follows: COMMENCE at the Southeast corner of OAKBROOK ESTATES, a subdivision as recorded in Plat Book 118, Page 47 of said Public Records; THENCE run Easterly along the South line of the Northwest 1/4 of the Northwest 1/4 of said Section 33, S89°49'49"E a distance of 212.32 feet to a point on a line parallel with and 5.00 feet Westerly of the Northerly projection of the East Right of Way line of Barton Lane, a 60.00 foot public Right of Way per SHADY OAKS FARMS, a subdivision as recorded in Plat Book 80, Page 95 of said Public Records, said point also being the POINT OF BEGINNING; THENCE departing the South line of the Northwest 1/4 of the Northwest 1/4 of said Section 33, run Northerly along said 5.00 foot Westerly parallel line, N00°07'56"E a distance of 15.54 feet to a point; THENCE departing said 5.00 foot Westerly parallel line, run S86°55'56"E a distance of 131.67 feet to a point; THENCE run S89°45'06"E a distance of 147.30 feet to a point; THENCE run N88°47'38"E a distance of 118.41 feet to the Westerly Right of Way line of McMullen Booth Road, a 200 foot public Right of Way per Official Records Book 8128, Page 288 of said Public Records; THENCE run Southerly along said Westerly Right of Way line, S00°06'51"E a distance of 5.00 feet to a point, said point bearing N00°06'51"W a distance of 6.52 feet from the intersection of said Westerly Right of Way line and the South line of the Northwest 1/4 of the Northwest 1/4 of said Section 33; THENCE departing said Westerly Right of Way line, run S88°47'38"W a distance of 118.38 feet to a point; THENCE run N89°45'06' W a distance of 147.49 feet to a point; THENCE run N86°55'56"W a distance of 126.53 feet to the aforesaid Northerly projection of the East Right of Way line of Barton Lane; THENCE run Southerly along said Northerly projection, S00°07'56"W a distance of 10.28 feet to the South line of the Northwest 1/4 of the Northwest 1/4 of said Section 33; THENCE departing said Northerly projection, run Westerly along the South line of the Northwest 1/4 of the Northwest 1/4 of said Section 33, N89°49'49"W a distance of 5.00 feet to the POINT OF BEGINNING. The above described parcel of land contains 0.05 acres (2,039 square feet), more or less. THIS IS NOT A SURVEY John J Beland Digitally signed by John J Beland DN: c=US, o=MCKIM AND CREED, d n Q u a l i fi a r=A01410 C 0000018 A4BAEC9A50000A9D5, cn=John J Beland Date: 2023.09.15 08:54:52 -04'00' JOHN BELAND, PSM DATE FLORIDA CERTIFICATE No. 7004 McKIM & CREED, INC. Note: Not Valid without the original signature and embossed seal, or the digital seal and signature, of a Florida licensed surveyor and mapper, -ar Gas System L' a Greener rthGas PREPARED BY: 4v McKIaM&CREED te 115E Tampa, 3 FL 336le 24 Phone (8131 549-3740 Business Certificate LB 7917 BY DATE DRAWN JJB 9/12/23 2425 MCMULLEN BOOTH ROAD GAS LINE EASEMENT Project #: 03288-0004, 17SURV REVISION BY DATE CHECKED DJR 9/15/23 PID 33-28-16-00000-220-0100 ORB 21787, PAGE 500 SHEET 1 OF 3 FILE PATH = I:\03288\0004\Geomatics\17SURV\92-C3D\04-S&D\v0\03288-0004_17SURV v0.dwg PLOT DATE = 9/15/2023 8:54 AM EXHIBIT A SECTION 33, TOWNSHIP 28 SOUTH, RANGE 16 EAST 0 50 100 GRAPHIC SCALE 1" = 1 SECTION 33 TOWNSHIP 28 SOUTH RANGE 16 EAST PINELLAS COUNTY PID 33-28-16-00000-220-0100 VC CLEARWATER SENIOR HOUSING, LTD. (ORB 21787, PAGE 500) POINT OF COMMENCEMENT SE CORNER OF OAKBROOK ESTATES, PER PB 118, PAGE 47 SLINE OFTHE NW 1/4 OF THE NW 1/4 OF SECTION 33 POINT OF BEGINNING INTERSECTION OF THE S LINE OF THE NW 1/4 OF THE NW 1/4 OF SECTION 33 AND A LINE PARALLEL WITH AND 5.00' W OF THEE R/W OF BARTON LANE EASEMENT CONTAINS ±0.05 ACRES (2,039 SQ FT) BARTON LANE (60.00' R/W PER SHADY OAKS FARMS, PB 80, PAGE 95) NOTES: 1. This Sketch and Description was prepared without the benefit of a Title Report; there may exist easements, encumbrances, and Rights of Way not shown in this Sketch and Description. 2. Bearings shown hereon are Grid Bearings based on the Florida State Plane Coordinate System, West Zone, 1983 North American Datum, 2011 Adjustment (NAD83/2011); the South line of the Northwest 1/4 of the Northwest 1/4 of Section 33, Township 28 South, Range 16 East, having a bearing of S89"49'49"E, is referenced as the Bearing Basis for this Sketch and Description. 3. Instruments of record shown hereon are referenced to the Public Records of Pinellas County, Florida. 4. Certified to Clearwater Gas Systems. THIS IS NOTA SURVEY ABBREVIATIONS: LB - LICENSED BUSINESS No. - NUMBER ORB - OFFICIAL RECORDS BOOK PB - PLAT BOOK PID - PARCEL IDENTIFICATION NUMBER PSM - PROFESSIONAL SURVEYOR & MAPPER RNV - RIGHT OF WAY SQ FT - SQUARE FEET This legal description and sketch is incomplete without the signed and sealed legal description. VClearwa►er Gas System tia Greener 4 khGas PREPARED BY:41 v,MCKIM&CREED Tampa, FL 33624 Phone (813) 948-37 0 Bueineaa Certificate. LB 7917 BY DATE DRAWN JJB 9/12/23 2425 MCMULLEN BOOTH ROAD GAS LINE EASEMENT Project #: 03288-0004, 17SURV REVISION BY DATE CHECKED DJR 9/15/23 PID 33-28-16-00000-220-0100 ORB 21787, PAGE 500 SHEET 2 OF 3 FILE PATH = I:\03288\0004\Geomatics\17SURV\92-C3D\04-S&D\v0\03288-0004_17SURV v0.dwg PLOT DATE = 9/15/2023 8:54 AM EXHIBIT A SECTION 33, TOWNSHIP 28 SOUTH, RANGE 16 EAST 0 15 30 I — ,sO `1� ,(ORB S (o i,, �b yO 4 G 00�4P l'.•.1" OP. ' s" PID 33-28-16-00000-220-0100 GRAPHIC SCALE 1" - 30' VC CLEARWATER SENIOR POINT OF COMMENCEMENT HOUSING, LTD. SECTION 33 21787, PAGE 500 TOWNSHIP 28 SOUTH SE CORNER OF OAKBROOK ESTATES, ) PER PB 118, PAGE 47 RANGE 16 EAST S LINE OF THE NW 1/4 OF PINELLAS COUNTY THE NW 1/4 OF SECTION 33 (BEARING BASIS) S89°49'49"E 212.32' a x v i H t 3 azi I f ABBREVIATIONS: LB - LICENSED BUSINESS No. - NUMBER ORB - OFFICIAL RECORDS BOOK PB - PLAT BOOK PID - PARCEL IDENTIFICATION NUMBER BARTON LANE PSM - PROFESSIONAL SURVEYOR & MAPPER R/W - RIGHT OF WAY SQ FT - SQUARE FEET —4-- (60.00' R/W PER SHADY OAKS FARMS, 3 PB 80, PAGE 95) . 1 O w1 4 in (x H I — A LINE PARALLEL WITH PID 33-28-16-00000-220-0100 AND 5.00' W OF E R/W OF BARTON LANE VC CLEARWATER SENIOR SECTION 33 HOUSING, LTD. TOWNSHIP 28 SOUTH RANGE 16 EAST a (ORB 21787, PAGE 500) x EASEMENT CONTAINS PINELLAS COUNTY v FIM S86°55'56"E 131.67 ±0.05co ACRES (2,039 SQ FT) S894 ° 5'06"E 147.30' N86°55'56"W 126.53' N89°45'06"W 147.49' O N L3 N PROJECTION OF E R/W OF BARTON LANE S LINE OF THE NW 1/4 OF THE NW 1/4 OF SECTION 33 Line Table POINT OF BEGINNING INTERSECTION OF THE S LINE OF THE NW 1/4 OF THE Line # Length Direction NE NW 1/4 OF SECTION 33 AND A LINE PARALLEL WITH L1 15.54' N00°07'56"E SHADY IS \1 AND 5.00' W OF THEE R/W OF BARTON LANE L2 10.28' S00°07'56"W 95) I L3 5.00' N89°49'49"W I O (°:i PID 33-28-16-00000-220-0100 SECTION 33 VC CLEARWATER SENIOR TOWNSHIP 28 SOUTH RANGE 16 EAST I EASEMENT CONTAINS HOUSING, LTD. PINELLAS COUNTY ±0.05 ACRES (2,039 SQ FT) (ORB 21787, PAGE 500) S00°06'51"E I 00 3 N O+ i) I ELj 5.00' S89°45'06"E 147.30' N88°47'38"E 118.41' N89°45'06"W 147.49' S88°47'38"W 11838' °` �a w `33 o N THIS wi N00°06'51"W 6.52' I SLINE OFTHE NW 1/4 OF THE NW 1/4 OF SECTION 33 I IS NOT A SURVEY This legal description and sketch is incomplete -ap� o rsi without the signed and sealed legal description. ,...N.,`CteanaterGasS tem Y`i• e Greener '"Gas PREPARED BY, v McKIM&CKEED V 3903 NeMtlele Boulevard, Suite 115E Tampa, FL 33624 Phone (613) u9-3740 Business 37rtificate: LB 7917 BY DATE 2425 MCMULLEN BOOTH ROAD GAS LINE EASEMENT Project #: 03288-0004, 17SURV DRAWN JJB 9/12/23 PID 33-28-16-00000-220-0100 ORB 21787, PAGE 500 SHEET 3 OF 3 CHECKED DJR 9/15/23 REVISION BY DATE Exhibit "A" [INSERT SKETCH AND LEGAL DESCRIPTION] [TO BE REPLACED WITH AS -BUILT SURVEY AFTER INSTALLATION OF FACILITIES AND BEFORE RECORDING] Parcel Number 33-28-16-00000-220-0100 I -iJ oaginntwoutrilliMA AIM MIZIELIMOK mossirit fi — i 0. T 1 te:, Y 11. MOM ,,se ,laanawr / PROPOSED BUILDING E=5850 II I OMENS ..�. ter-... At Or ?OM Mr IStIreS r.sitslA — N« NINSMIEW sn '� VM 4:114 OBIPAILY 1 Lr 5' gas easement granted to CGS 41, .7.1r1,6sukosume. [GM15-2064-066/258069/1] GM15-2064-066/257077/1 MST SW NA KCATIOlo MST tS CAS al APPPLltietATCY COX74.4.V.O. TO OE ..M.011UPFED 4.111.11•6 10 15 b1 s53 I� t NOTES: 1 5,40.411100.16 NOT, naiSTC041.0 an Or. CL. AFFIDAVIT OF NO LIENS STATE OF : ss COUNTY OFDt.W* .• 1.0\ ' �L' «<`�M L• �1�q a� t .Q (45 i r 1 (name of member, manager, officer or agent, title of member, manager, officer o1ragent), of VC CLEARWATER SENIOR HOUSING LTD, whom, being duly authorized does depose and say: 1. That VC CLEARWATER SENIOR HOUSING LTD is the owner of legal and equitable title to the following described property in Pinellas County, Florida, to wit: As more particularly described and depicted in EXHIBIT "A" appended hereto and by this reference made a part hereof 2. That said property is now in the possession of the record owner. 3. That there has been no labor performed or materials furnished on said property for which there are unpaid bills for labor or materials against said property, other than those which will be paid during the normal course of business, except: (list, or if none, insert "NONE". If no e t , it will be deemed that "NONE" has been entered.) NON s_ 4. That there are no liens or encumbrances of any nature affecting the title of the property herein described, except leasehold tenancies, easements and restrictions of record, any encroachments, overlaps or other rights of third parties which would be shown by a current survey, except: (list, or if n e, insert "NONE". If no entry, it will be deemed that "NONE" has been entered.) IVpN42— 5. That no written notice has been received for any public hearing regarding assessments for improvements by any government, and there are no unpaid assessments against the above- described property for improvements thereto by any government, whether or not said assessments appear of record. 6. That there are no outstanding sewer service charges or assessments payable to any government. 7. That the representations embraced herein have been requested by the CITY OF CLEARWATER, its agents, successors and assigns to rely thereon in connection with the granting of a gas utility easement to encumber the above-described property. [GM 15-2064-066/258069/1 ] GM 15-2064-066/257077/1 Signed, sealed, and delivered In the presence of: T ESS signature .gbL*H;16)(4.i Print Witness Name WITNESS signature /�/C 1644113 Print Witness Name STATE OF r1L COUNTY OF bG-t' : ss VC CLEARWATER SENIOR HOUSING LTD By: \J &\ Print Name: Title: The foregoing instruirent was acknowledged before me by means of 112/physical presence or ❑ online notarization, this a 113 pta3 (date) by ivWq to (name of member, manager, officer or agent, title of member, manager, offitr or agent), of VC CLEARWATER SENIOR HOUSING LTD, a Florida limited liability company, on behalf of the company, who is personally known to me or has produced as identification. (YA 1' Signature of person taking acknowledgment [GM 15-2064-066/258069/1 ] GM15-2064-066/257077/1 Title or rank Serial number, if any