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HomeMy WebLinkAboutREQUEST FOR REAL PROPERTY SPLIT - COMBINATIONRECEIVED KI a- o IQ SCANNED DEC 21 2018 ,HINT LUCIE COUNTY PROPERTY APPRAISER BY ST. writs SPuncy, Por EST FOR REAL PROPERTY SPLIT/COMBINATION St. Lucie County BEFORE AN APPLICATION FOR A PARCEL SPLIT / COMBINATION CAN BE ACCEPTED ALL PREVIOUS / CURRENT TAXES MUST BE PAID IN FULL (Attach a copy of receipt / bill indicating paid in full) ACTION REQUESTED: COMBINE© SPLIT❑ THE FOLLOWING PARCEL(S): 3404-501-0513-000/6 3404-802-0020-000/7 Special Comments or Instructions: Combine 2 parcels into 1 for renovation permitting approval Is parcel vacant? 1 / \ I or improved? L� � I If improved indicate location of building(s) (Identify by parcel & address) 3404-501-0513-000/6 - 5204 Citrus Ave Ft Pierce, 34982 Title must be the same for all parcels being combined IN MAKING THIS REQUEST, I RECOGNIZE AND AGREE TO THE FOLLOWING: I. This action does not nullify or alleviate any existing liens or encumbrances on the properties, and the Property Appraiser is not responsible for any problems or complications resulting from this action Uwe have requested. 2. That this action will be completed by the Property Appraiser's office on a non -priority basis, "first come -first served'. 3. That I/we am/are the owner(s) of record or the legal agent for the owner(s) of record, and that I/we may be required to provide recorded proof of such ownership or agency. If acting as agent, written proof of agency is required. 4. That the Property Appraiser is not responsible for errors arising from errors or omissions in surveys or other information submitted in connection with this request. 5. That I/we have verified with the St. Lucie County Planning Department or other Jurisdictional Agency as to what adverse effects, if any, this split/combination may have on the property. 6. ( If the pr erty ' o d /we in t+no fy mortgagees associated with the properties listed above. Celle f� lY 41 • �miloi 12/20/2018 SIGNATURE, Owner Date SIGNATURE, Agent Date Steve R Polk & Camille A Polk PRINT, Owner Mailing Address: 276 NE Summer Rd Port St Lucie, FL 34983 Phone: Home 214-693-8600 Work FOR USE BY PROPERTY APPRAISER'S OFFICE O Order taken by: PRINT, Agent Fax Date I L