HomeMy WebLinkAboutMisc Letters 'RETURN TO:R.N.KOBLEGARD VIA COURTHOUSE BOX 145 ANNExATKINAGNEELENT
This Instrument prepared by: IND—VAL
R.N.Koblegard,III,Esquire
200 S.Indian River Drive,Suite 201
Fort Pierce,FL 34950
Property Appraisers PIT met Identification(Folio)Number(s):
1433.701-0321-000.1
TO: WATER1WASTEWATER ENGWES^-AT 2305 N 19,STREET FORT PIERCE,FL 34948
FORT PIERCE LMUTIES AUTHDmTY Location Address
POST OFFICE BOX3191
Foar-Pance,FLONX A 34948-3191 Mailing Address(if different from location address)
Dear Sir.
The undersigned does hereby apply to the Fort Pierce Utilities Authority for water service andlor sewer service outside the City limits
of the City of Fort Pierce,Florida to the following-0esrsibed property which i own,to wit:
LOT 1,BLOCK 20,PARADISE PARK,ACCORDING TO THE PLAT THEREOF RECORDED IN PIAT BOOK B,PAGE 17,
PUBLIC RECORDS OF ST.LUCIE COUNTY.FLORIDA.
Strwecr TO 2914 AND CURRENT TAXES,EASEMENTS AND RESTRIC310.YS OF RECORD.
THE ABOVE-0ESCRIBED PROPERTY IB THE HOMESTEAD OF THE GRANTORS.
I hereby agree that In consideration of my request for water service and/or sewer service to my property,that if my property becomes
contiguous to the City limits of the City of Fort Pierce,Florida,as such term IS defined In the Laws of Florida,or may otherwise be
lawfully annexed,that this application shall be Considered as an application for the annexation of my property(above-described)into
the City of Fort Pierce,Florida.1 do also hereby for myself,my heirs,successors and assigns approve the annexation of my property
into the City of Fort Pierce,Flarida.and Consent thereto in the event that it,or any oma including it,is proposed for annexation by
election or otherwise.I waive any and all objections to annexation of the pmperty 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 SL Luria County.Florida for the purpose of serving as notice to!!persons or entities.
In Witness Whemof,wahereuntosetourhandsendsealthisdaY of JUN- .2018.
Signed,sealed and delivered In our presence as witnesses:
�r ,� xl7Pv1n1T�fn i1
rgnature signal" /r / �L
,G MILE' 5-12 to Memardo Gaffirza(`-A%r7LVd0 CTtS14 L'Zts
Printed Means Signature Primed Signature
2305 N IV Street
Address
(LMtness adore Fort Pierce.FL 34948
r I�LrI P/� Sri IMQy,�r� City,state,Zip
Panted WBness Signature db�a..ReYer
Signatu
re
Rosa Bens Reyes Gatarza,his wife
STATE OF FL Printed Signature
COUNTY OF -l A.ICA 41 2305 N 19"Street
Address
Fort Pierce,FL 34946
City,State,Zip
I hereby certify that on Nis day before me.an officer duty authorized to administaroaths and take acknowledgments,personally
appeared Melnardo Galarza and Rosa Elena Reyes Golarza,his wife,known to me to be the persons described in and who executed
the foregoing Instrument who acknowtedged before me thatthey"muted the same,that i relied upon the fallowing forms of
Identification of the above-named persons:Drivel's Licenses;and that an oath was not taken.
RUBBER STAMP NOTARYSaAL Witness my hand and official Seal in the County and State last
aforeseld this day of FIA n 0 A.D.2018.
_, �a47m _ �SlgnatlLl
... _ .
RwlrrTMSA,pAirlY
Nota'doted Si nature
LLR9�lftlM'DmmMbIFFlM4'mWeIMMmJp,A9�T��N1W1ln Ma4tlo mW hie-904th 16P S4bc Piw�seE1RM 00eM.
5
S
Far rit P i;e rce Ut i 7 i t i es
206 S 6th Street
Fort:,�Pierce, FL 34950
Telephone No. (772) 466-1600
06/02/1,6 12:50PM
Receipt; #: 006.160602000017
Customer #: 237362
Location #: 71834800
For: ROSA REYES
Payment;Receivetl: 60.00
Amount lendeFed!1- Cash: 500.00
Change Back: ,.�� 440.00
Payment will belposted: 06-02-2016
Register!,: ( CASHIER6
Thank you 'r', Have a nice day....
d
NEW HOURS M-F 9AM - 5PM
' DRIVE,i�THRU BAM - 5PM
www.FPUA.com
* Budget Bibling Now Available **
CUSTOMER COPY
GUS(ujgr t,ur
is
i�