HomeMy WebLinkAboutAnnexation AgreementRETURN TO: R.N. KOBLEGAR❑, III, ESQ., COURTHOUSE BOX
ANNEXATION AGREEMENT
INDIVIDUAL
This instrument prepared by:
R. N. Koblegard, III, Esquire
200 S. Indian River Drive, Suite 201
Fort Pierce, FL 34950
Property Appraisers Parcel Identification {Folio} Number(s):
2405-601-0003-000-5
To; WATERlWASTEWATER ENGINEERING
FORT PIERCE UTILITIES AUTHORITY
POST OFFICE Box 3191
FORT PIERCE, FLORIDA 34948-3191
Dear Sir
PATRICIA AVANT, AN UNMARRIED WOMAN
1920 N. 49T" STREET
FORT PIERCE, FLORIDA34947
4005 AVENUE T, FORT PIERCE, FLORIDA 34947
Location Address
1920 N. 49TH STREET, FORT PIERCE, FL 34947
Mailing Address (if different from location address)
The undersigned does hereby apply to Fort Pierce Utilities Authority for water service and/or sewer service outside the City limits of
the City of Fort Pierce, Florida to the following -described property which I own, to wit:
LOTS 3 AND 4, BLOCK 1, SUNLAND GARDENS, ACCORDING TO THE PLAT THEREOF, AS RECORDED
IN PLAT BOOK 8, PAGE 32, OF THE PUBLIC RECORDS OF ST. LUCIE COUNTY, FLORIDA.
I hereby agree that in consideration of my request for water service and/or sewer service to my property, that if my property either
becomes contiguous to the City limits of the City of Fort Pierce, Florida, as such term is defined in the Laws of Florida, is subject to a
Chapter 171 interlocal service boundary agreement where contiguity has been waived by the County, or may otherwise be lawfully
annexed, that this application shall be considered as an application for the annexation of my above -described property into the City of
Fort Pierce, Florida, together with any real property contiguous to the above described property owned by the undersigned at the time
of signing or acquired in the future. I do also hereby for myself, my heirs, successors and assigns approve the annexation of my
property into the City of Fort Pierce, Florida and consent thereto in the event that it, or any area including it, is proposed for annexation
by election or otherwise. I waive any and all objections to annexation of the property and agree that this Agreement shall be construed
to satisfy any requirements of law for consent to, or approval of, such annexation now or hereafter required.
I further confirm that this Agreement shall be binding upon my heirs, successors or assigns and that this document may be recorded in
the Public Records of St. Lucie County, Florida for the purpose of serving as notice toall
'persons or entities.
In Witness Whereof, I hereunto set my hand and seal this `� " day of 1�"V '�i T 3--, 2021.
SIGNED SEAL U AND ❑ IVERED OUR PRESENCE AS WITNESSES: 14
v
i ess 5' n to e S' tore — Patricia Avant an unrnarrie woman
Cwrv.Le e � T� C` t A
Printed Witnes�gnature Printed Signature
1920 N. 49T" STREET, FORT PIERCE, FLORIDA 34947
Signature Address
�1 ` 1 tt'&vV ► e-f-
Printed Witness Signature
STATE OF�r'' mac, car
COUNTY OF
hereby certify that on this day before me, an officer duly authorized to administer oaths and take acknowledgments,
personally appeared Patricia Avant, an unmarried woman, 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; and that an oath was not taken. PZ C_5 >tZJ1 IL f/ /„ ,A4_)r • °' '3 N t77 G
RUBBER STAMP NOTARY SEAL Witness my hand - td, official Se in the County and State last
aforesaid this— day of 1*✓'� A.D. 2021•
Cmak" a1013 2217E0
Eq*w sepal mbw 24, 2M
dTFEDFF!'��e Ilura�i7MewtlM�+1�*�
Vic.
N66y Signature
Notary Printed Signature