HomeMy WebLinkAboutMisc Letters COURTHOUSE BOX ANNExATIom AGREEMENT
ort Pierce Utilities INDIVIDUAL
206 S 6th Street , BERNME M.SKEW,A SINGLE WOMAN
Fort Pierce, FL 34950 VALESIA M.SNEAD,A smeie WOMAN
2674 iRoctuots AVENUE
FT.FIERCE,FLORIDA 34946
phone No. (772) 466-1600 (Folio}Number(s):
i2/19 11:55AM
,ipt #: 005190712000004
NIG 2574 IRoouojs Avs,FT.PIERCE,FLORIDA 34946
vomer #: 167717 Y Location Address
ition P 71198900 91
BERNETTE G SNEAD Mailing Address(if different from location address)
Pent Received: 270.00
int Tendered - Credit Card: 270.00 bit Pierce Utilities Authority for water service and/or sewer service outside the City limits of
Pori zation Number 518094 'Fing-described property which I own,to wit:
ID ALL OF LOTS 15 AND 16,BLOCK 27,SAN LUCIE PLAZA,UNIT I AccoRomr.
ment will be posted: 07-12-2019 ID IN PLAT BOOK 6,PAGE 57 OF THE PUBLIC RECORDS OF ST.LUCIE COUNTY,FLORIDA
i ster; CASHIER5 ry request for water service-and/or sewer service to my property,that if my property either
he City of Fort Pierce,Florida,as such term is defined in the Laws of Florida,is subject to a
agreement where contiguity has been waived by the County,or may otherwise be lawfully
Thank you - Have a nice day., sidered as an application for the annexation of my above-described property into the City of
property contiguous to the above described property owned by the undersigned at the time
also hereby for myself,my heirs,successors and assigns approve the annexation of my
and consent thereto in the event that it or any area Including it,is proposed for annexation
NEW HOURS M-F 9AM - 5PM 11 objections to annexation of the property and agree that this Agreement shall be construed
DRIVE THRU BAM - 5PM lent to,or approval of,such annexation now or hereafter required.
www.FPUA.com be binding upon my heirs,successors or assigns and that this document may be recorded in
orida for the purpose of serving as notice to all persons or entities.
1:0 Budget Billing Now Available set my hand and seal this A� day of. .2019.
rEAS INITNESSES.
CUSTOMER COPY
af i ce- Ck !% �'����Ct�! Signature-Bernefte M.Snead,a Single woman
Printed Witness Signature
Printed Signature
ILs Signature 2574 Iroquois Ave..Ft.Pierce.Florida 34946
Address
tcLn
Printed Witness Signature
una Qa.
Witness Signature Signature-Valesia M.Snead,a single woman
May�c-66 L- le, VA LEs I A �S ki
Printed Witness Signature Printed Signature
7391 Palm Hill Drive,Jacksonville,Florida 32244
Address
Printed Witness Si nathur .
"ass
STATE OF e
COUNTY OF
I hereby certify that on this day before me, an officer duty authorized to administer oaths and take acknowledgments,
Personally appeared Barnette M.Snead,in whose name the foregoing instrument was executed,and that she severally acknowledged
executing the same freely and voluntarily, and that I relied upon the following form of Identification of the above-named person:
Driver's License,and that an oath was not taken.
ANGELAL.W1130Witness my hand an4offi 'al Sea in th County and State last
Nota yFublic-SUteafNHodda sib his 4,01y official
A.D.2019.
Commission IGG088021
My Comm.Expires Jul 23.2021
No Sig at
Notary Ptrnted Signature