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R11-094I RESOLUTION NO. R11- oqq ►) 3 A RESOLUTION OF THE CITY OF BOYNTON BEACH, 4 FLORIDA, AUTHORIZING AND DIRECTING 5 EXECUTION OF AN AGREEMENT FOR WATER 6 SERVICE OUTSIDE THE CITY LIMITS AND 7 COVENANT FOR ANNEXATION BETWEEN THE CITY 8 OF BOYNTON BEACH AND RAYMOND A. 9 MARCINKOSKI; PROVIDING AN EFFECTIVE DATE. 10 11 12 WHEREAS, the subject property is located outside of the City limits, but within our 13 water and sewer service area, located at 1147 Highview Road, Lantana, Florida (PCN: 00 -43- 14 45- 09 -09- 000 - 1990); and 15 WHEREAS, the parcel covered by this agreement includes a single family home 16 located in the unincorporated Palm Beach County; and 17 WHEREAS, water service has been designated between the county and the various 18 local utilities; and 19 WHEREAS, a water distribution main has recently been completed on this street, 20 allowing for the service to this parcel. No additional construction will be required by the City 21 to serve this property 22 I NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF i' 23 THE CITY OF BOYNTON BEACH, FLORIDA, THAT: I 24 Section 1. The foregoing "Whereas" clauses are hereby ratified and confirmed as 25 ! being true and correct and are hereby made a specific part of this Resolution upon adoption 26 hereof. 27 Section 2. The City Commission hereby authorizes and directs the City Manager 28 1 to execute a Water Service Agreement between the City of Boynton Beach, Florida and S. \CA \RESOWgreements \Water Service\Reso - Marcmkoski Water Service Agreement (1147).doc Ii I Raymond A. Marcinkoski, a copy of said Agreement is attached hereto as Exhibit "A ". 2 Section 3. This Resolution shall become effective immediately upon passage. 3 . 4 PASSED AND ADOPTED this G day of September, 2011. 5 6 7 8 10 12 13 14 15 16 17 18 19 20 21 22 23 24 ATTEST: 25 26 27 / ►� 28 Jan j M. Prainito, MMC 29 ity Clerk 30 31 ! 32 33 >' 34 rte a Seal) 35 CITY OF BOYNTON BEACH, FLORIDA May driguez ice Mlivor — William Orlove Com io �odrow Winer — t eKHolz Commissioner — Marlene Ross S: \CA\RESO\Agreements \Water Service \Reso - Marcinkoski Water Service Agreement (1147).doc Return to: (enclose self-addressed stamped envelope) 11111111111111IIIft111 Name: CFN 20110359456 Address: OR BK 24764 PG 0144 RECORDED 89/27/2011 11:19:26 Pal. Beach County, Florida Sharon R. Bock,CLERK ~ COKPTROLLER Pgs 0144 - 148; (5pgs) r) R 11-O'1'-{ i AGREEMENT FOR WATER SERVICE OUTSIDE CITY LIMITS (Individuals) This Agreement, made on this lL day of Jv; .If r ' 20 -1L, by and between: f /J Y /'10 Iff) ;J. /1;;' iCi IV /(c> Ji.! I , hereinafter called the "OWNER(S)," .~ RaYmond Marclnkoski and ~ 1065S.RidQeRd -..-..,. Lantana, FL33462-6137 1 nL ~~ ~ _ ACH, a municipal corporation of the State of Florida, hereinafter called the "CITY." WITNESSETH, the City and the Owner(s), in consideration of the mutual covenants exchanged herein, agree as following: 1. Owner(s) represents and covenants that it owns the following described real property (hereinafter "Property") located outside the boundaries of the City, but in the City's water and wastewater service area: 2. The City agrees to provide Owner(s) with water services from the City water system only as necessary to service the Property. 3. Owner(s) shall not use or supply water it receives from the City to service or benefit any property other than the Property described in paragraph 1 above, unless written permission is granted by the City of Boynton Beach. 4. The Property requires --l-(specify number) Equivalent Residential Connection(s). 5. The Owner(s) agrees to pay all costs of engineering, material, labor, installation, and inspection of the facilities as required by the City Code to provide service to the Owner(s)'s premises. 6. The Owner(s) shall be responsible for installation and conformance with all applicable codes, rules, and regulations of all service lines upon the Owner(s)'s premises and all such lines shall first be approved by the Director of Utilities and subject to inspection by the City Engineers. 7. The City shall have the option of either requiring the Owner(s) to use a licensed contractor to perform the necessary work or the City may have the work performed in which case the Owner(s) will pay in advance all estimated costs thereof. In the event the City has such work performed, the Owner(s) will also advance to the City such additional funds as may be necessary to pay the total actual costs of providing the work. 8. Any water main extension made under the Agreement !?1!OP~luS~ rr for the Owner(s), unless written permission is granted by the City 0 Boyn on eac tor other party or parties to connect pursuant to the Code of Boynton ~~.b~U S.;~JJlj ,l, ~ :,) HJV38 hC! UU 8:1U AlL G:\Water Service Agreements\WSA FORM-March 2010 revisions.doc -1- U 9. Ownership and title to all mains, extensions, and other facilities extended from the City Water Distribution System to and including the metered service to Owner(s) shall be vested in the City exclusively. 10. The Owner(s) agrees to pay all charges, deposits, and rates for service and equipment in connection with water service outside the City limits applicable under City Ordinances and rate schedules which are now applicable or as may be changed from time to time. 11. Owner(s) shall pay a twenty -five percent (25 %) surcharge on all water use charges to the Property. 12. Any rights -of -way or easements needed by the City to provide water to the Property shall be provided by the Owner(s) and at the Owner(s)'s expense. 13. It is understood by the Owner(s), and shall be binding upon the Owner(s), his transferees, grantees, heirs, successors, and assigns, that all water to be furnished, supplied, and sold under this Agreement is made available from surplus. If the surplus does not exist at the time of Owner(s)'s actual request for commencement of service, as determined by the City's Director of Utilities, then this CITY, without liability, may refuse to initiate service to the subject premises. 14. The Owner(s) further agrees in consideration of the privilege of receiving water service from said City, that the execution of this Agreement is considered to be a voluntary Petition for Annexation pursuant to Section 171.044 of the Florida Statutes or any successor or amendment thereto. Furthermore, should any other general law, special act, or local law be enacted which provides for voluntary or consensual annexation, this Agreement shall also be considered a request by the Owner(s) for annexation under such other laws. The Property shall be subject to annexation at the option of the City at any time they are eligible under any one or more of the above - referenced laws concerning annexation. Owner(s) will inform any and all purchasers of any or part of this property of this voluntary petition for annexation and its applicabilities to such purchasers. 15. The Owner(s) acknowledges that this covenant for annexation is intended to be and is hereby made a covenant running with the land described in "Exhibit A," attached hereto and made a part hereof. This Agreement is to be recorded in the Public Records of Palm Beach County, Florida, and the Owner(s) and all subsequent transferees, grantees, heirs, or assigns of Owner(s) shall be bound by this Annexation Agreement. 16. It is agreed that the City shall have no liability in the event there is a reduction, impairment, or termination in water service to be provided under this Agreement due to any prohibitions, restrictions, limitations, or requirements of local, regional, state, or federal agencies or other agencies having jurisdiction over such matters. Also, the City shall have no liability in the event there is a reduction, impairment or termination of water service due to acts of God, accidents, strikes, boycotts, blackouts, fire, earthquakes, other casualties, or other circumstances beyond the City's reasonable control. G: \Water Service Agreements \WSA FORM -March 2010 revisions.doc -2- i 17. The Owner(s) hereby agrees to indemnify, defend and hold harmless the City of Boynton Beach, Florida, its Mayor, Members of City Commission, officers, employees, and agents (both in their individual and official capacities) from and against all claims, damages, law suits and expenses including reasonable attorneys' fees (whether or not incurred on appeal or in connection with post - judgment collection) and costs rising out of or resulting from the Owner(s)'s obligation under or performance pursuant to this Agreement, including disputes for breach of warranty of title. 18. It is understood by Owner(s) and by the City that the attached site plan "Exhibit B" has been reviewed by the City of Boynton Beach for compatibility with the City's comprehensive plan as it relates to land use and density, found to be generally acceptable to the City and is to be the guide for development of this subject land. In the event that the site plan is not approved, there shall be no commitment on the part of the City to serve Owner(s) if a subsequent site plan results in a change in land use, density or an increase in equivalent residential connections. 19. No prior or present agreements or representations shall be binding on any of the parties hereto unless incorporated in this Agreement. No modifications or change in this Agreement shall be valid upon the parties unless in writing executed by the parties to be bound thereby. 20. The Owner(s) warrants to the City that Owner(s) holds legal and beneficial title to the property which is the subject of this Agreement. 21. In the event of a sale of the property by Owner(s), Owner(s) agrees to provide written notice of the existence of this Agreement to the buyer of the property prior to or in conjunction with the closing of the sale transaction. SIGNATURE PAGE FOLLOWS G: \Water Service Agreements \WSA FORM -March 2010 revisions.doc -3- I AGREEMENT FOR WATER SERVICE OUTSIDE THE CITY LIMITS AND COVENANT FOR ANNEXATION BETWEEN THE CITY OF BOYNTON BEACH AND "9 Y A10 , � . h1,4 �' c 1 y kLi S k I (INSERT NAME) IN WITNESS WHEREOF, the parties hereto have set their hands and seals this J day of /,7Ay , 201. WITNE S as to Owners Wits Si natu i E r K -- 0 Y�� Printed Witness Name je/tA � _A�� W' ess Signature x In c�rT C- r v 1v7 Printed Witness Name Witness Signature Printed Witness Name Witness Signature Printed Witness Name FOR OWNER(S) NOTARIZATION: STATE OF F/ o r1 C10— ) COUNTY OF ru &WA ss: INDIVIDUALS) AS OWNER(S): Own Signature 1ZdQV/ /,r. / 1 °1 nA " Printed Owner Name Owner Signature Printed Owner Name I HEREBY CERTIFY that on this day, before me, an officer duly authorized in the State afo said an i ,,� County aforesaid to take acknowledgments, personally appeared 11 n 1Y I ) 11 06,c..to me known to be the person(s) described in and who executiVd the foregoing instrument that he /she acknowledged before me that he /she executed the same; that the individual was personally known to me or provided the following proof of identification: �/�� , WITNESS my hand and official seal in the County and State last aforesaid this 26 0- day of d�La.(.�. , 20 11 (Notary Seal) .:� MY COMIAISS!Cd� 4 �JD 857332 (�( My Commission i ptp�gES February 28, tots ota Public Banded Thru Notary PubNc Under ry G: \Water Se Vlce Agreements \WSA FORM -March 2010 revisions.doc AGREEMENT FOR ''CATER SERVICE OUTSIDE THE CITY LIMITS AND COVENANT FOR ANNEXATION BETWEEN THE CITY OF BOYNTON BEACH AND y i�1 1. (INSERT NAME) Nvattim Ral, Plend Wrcinkoski 1%5G RangeR(L Lantana, Fi. 1 j Citylcri Appx City STATE OF FLORIDA ) ) ss: COUNTY OF PALM BEACH) CITY OF BOYNTON BEACH, FLORIDA a Florida unicipal corporation 6-/ hurt Bressner, City Manager I HEREBY CERTIFY that on this day, before me, an officer duly authorized in the State aforesaid, and in the County a, resaid to take acknowledgments, personally appeared :fifty Manager of the City named in the foregoing agreement and that he acknowledged executing same and voluntarily under authority duly vested in him by said City and that the City seal affixed thereto is the true corporate seal affixed thereto is the true corporate seal of said City. WITNESS my hand and official seal in the County and State last aforesaid this " day of 20 f (Notary Seal) _ �...�'+ ,7 , ' t _ v + 1 ,,, N~rt `P' My commission expires---! 1 ,,.,,. Cacn��n� �,1, t�ln ��a.n r n�tti i��a #D 7921'I" MAY 27, 2012 G; \Water Service Agreements \WSA FORM —March 2010 revisions.doc —5— e� THIS INSTRUMENT PREPARED BY: James A. Cherof, Esquire Goren, Cherof, Doody and Ezrol. P.A. 3099 East Commercial Blvd. Suite 200 Ft Lauderdale, FL 33308 IRREVOCABLE SPECIAL POWER OF ATTORNEY (By Individuals) STATE OF FLORIDA COUNTY OF 1 B,, C44 I /We, f/) y M 6 Nv A hereinafter "Grantee ", hereby make, constitute, and appoint THE CITY OF BOYNTON BEACH, FLORIDA, true and lawful attorney in fact for Grantee and in Grantee's name, place and stead, for the sole purpose of executing on behalf of Grantee the power to initiate, maintain, and complete a voluntary petition for annexation of the real property described herein into the CITY OF BOYNTON BEACH. This power shall extend to the CITY OF BOYNTON BEACH full and complete authority to act on Grantee's behalf to accomplish annexation by any available means. The real property which is the subject of this power is described as follows: PCN No.: 00 y3 9.1 0- 0 0 0 0 / s YO The powers and authority of my attorney, THE CITY OF BOYNTON BEACH, FLORIDA, shall commence and be in full force and effect on the C day of !" d / , 20 and the powers and authority shall be irrevocable by Grantee. r IN WITNESS WHEREOF, we have hereunto set our hands and seals the y 5 day of m zl y , in the year 20 8. Sealed and delivered in the presence of Wit�e �irX) Print Name Witness Signature Print Name W 61'�' Witness Signatur R ,, ,r� 1. z+ - Vi✓I Print Name Witness Print Name STATE OF FLORIDA COUNTY OF PALM BEACH SS: / � Y Ow • er Signature �e,�yM A(d A. M OR C I H RO ski Print Name Owner Signature Print Name AAkew 'h. . THE FOREGOING INSTRUMENT was cknowledged before me this 2 5 u , day of / 20? 1 by and who a knowA to me or who have produced as identification and who did /did not take an oath. "'' s ue N AR 6UBLIC =.; r MY COMMISSION # DD 857332 '; EXPIRES: February 28, 2013 1 ftWedTIC*WyPWIc Undenabm Type or P int Name My Commission Expires: Commission No. S:\CA\AGMTS \Water Service \power of atty.doc — 1 -6 -06 H:\1990\900182.BB\AGMT\PowerofAttorney-Ind 1- 6- 06.doe The City of Boynton Beach September 20, 2011 MS. SHARON BOCK, RECORDING MANAGER PALM BEACH COUNTY CLERK OF THE CIRCUIT COURT P. 0. BOX 4177 WEST PALM BEACH, FL 33402 ATT.W.... 11 MILLIE RE: ACCOUNT #1031 — SEVEN (7) PAGES = $61.60 Dear Ms. Bock: Please record the following seven (7) pages as one (1) document. AGREEMENT FOR WATER SERVICE OUTSIDE THE CITY LIMITS FOR RAYMON A. MARCIN KOSKI 1147 HIGHVIEW ROAD. LANATANA, FL 33462 PC If you have any questions, please do not hesitate to contact me. Very truly yours, Janet M. Prainito, MMC City Clerk c: Central File PBC Recording File S:\CC\WP\PBC recordingMater Service Agreements1201 11Raymond Marcinkoski 1147 Highview Rd.doc 'An EcitialOppoi-tLaiiit Employe 1207 1191 1206 1182 1200 1173 1170 1155 1147 1133 Peak Rd 1134 1 147 Highview Rd . Legend 1125 1107 1101 1093 1124 1108 1100 1094 i a 0 m 1213 1191 Hiyhview Rd 1125 1206 1200 1192 1180 1170 1162 1156 1148 11.10 1134 1124 1124 1209 1199 1191 1177 1163 1155 11.15 1 1147 HIGHVIEW RD Map Printed On {2011 -08 -09 18:01) 1177 1169 1163 1155 1131 1133 1127 y N } Y 1119 1107 1101 1093 Streets Parcels Buildings 1108 1100 1094 1111 1105 -9 ell ._) vfl "Nr I IN I 11111111 ul 11 ill 11 Ill 11 Ill 11 III 'I Ill 11 III I V( Pr t?�._i id irtull lu ee illiam R. Nlerklc Atiorne) at 1_11\1 ee illians R. Merkle, P.A. 1401 S. ( (ingress :e1'enue wise 120 Boynton Beach. Ill 33420 -65.1( 561.732-262o fl:c Nantoei 14577 t1`A c a,! No RECORDED 04 1. . lyi Palm Beach c ourit 0 10, :i Doe Stomp jQ Av'l - - -I spa :e.\;xn -T - :u! I:,C ,. RC,t:dm .;.;tai - - - Personal Representative's Deed This Personal Represent:Itive's Deed nr.de to 25th q K April 2011 Li o een Theresa Kohler, a. Personal Representative of the Estate o Catherine N1. Schellinger, Deceased "hovo pose oW atAw" in 114h Rt. V. (Ape elan Court House, NJ 08210, grant; r, and Raymond A. Marcinkoski as Trustee of the Rat "tnond A. elarcinkoski Re%ucabh Trust Dowd .lulu 9. 1499 "hos ! post office address is 1065 Ridge Road South, Lantana, FI. 33462. r,lt;te hcnt 'Cl ' :, C let - :1 - , knit WA WW I= LJ We :? Mn b. C" OW L l; 0" 00 t'ae uIl.i [h_ —A a"P , c 0"o mom 1r" s M3 Mani ON itnesselh, that said •3rimm Or and in consideration UI iae ',am 11 ".v :("'o D( I 'kR�� I .11 L k anti Valuable consic.craitons ts) ,a_d gran to 11-111d 1'J ;1 1', ; ! u:;_ .;it .,•. :I ! t: l I aft J. i LS!'S .:!'lcli. .md, ;Old Co Ile ti;lk� Wy a:1;'. bemy ::I Palm Beach :'ounh. i !, I Kh I, . Lot 198, RIDGE GIOA E ADDI l ION \O. 1, arcorctiu;; lu [ht V1,11 111ue01 un 1111, ri1 Ii., eliCttt I t Clerk of the ('ircuit Conrt in and for Palm Beach ( uuntN. I-lurida. Al t teunl(-d iu Plat 8,,411, :: ` I" ,. 43. Palm Beach Coup t`' Public Records AND Lot 199, RIDGE Gk )VE ADDITION NO. 1. according to the Plat thereof on file in the Office of the Clerk of the Circuit Court in and for Pafm Beach County, F1oricla, as recorded in Plat Boot. 22. Pate 43. Paint Beach C'oui ty Records. Both properties subj ct to easements, restrictions, reserlations and covenants of record. Parcel Identification Nun.ber: 00- 43450904000 -1980 and 00-43-45-09-09-000-1990. respectiwh AT ]'HE REQUE` T OF THE GRANTEE, THIS DEED HAS BEEN PREPARED e1'4'I HO1 1' BENEFIT OF A TI'l LE SEARCH Together \\Ifni ..I, tit: Ceaeliil r.t,, heretiitan:rnt, anC a ,urc:.,,..._ I!r_, _. h:!nn' ,. 1 .I:1 .... . . . To th" c and to Hold. t!. a! 11, .n inn4, And me `mnwr :!elcs colt' write "ate n gw vc wy !:'C _J. j o1 4 pm, ! Isla ,1Ii1 �a _ tt.1 : it Jid land. that we ym mor "a rants the uce to wd I &A Ar am a,V 01 (tar.i'.1 I d '.01 ..I.a._i 1!r . ,. `laln's tit .:I ;x'rsvas c!attnmt� ��. ihruugl:. of t.nciei 1 .;!ulanl In Witness Whereof. Gran n' has Keuntu set onuunQ hand and KS! illy Q Xid ) CS1 141 It "hc A .......:1 DoutneDme- l..l jIIJ dclnertLl to W ; presetl.e "�1lta��5 \'link: t \1r[Ill'• '�.l�n it i'. "�'� � --.,.a _ .. Slate of Nckx Jersc\ C'euiity of Cape May N1 The lorego.t�g Instrument wa: acknowledged before me this 251h day of April, 2011 by "Theresa h�ulti.t a, Kepr- nentattve of the estate of ,atherine n'1. Schellinaer. deceas who ed. ho IN :s pe.sonal]y lalawn to Inc u, driver's license as tdenttficatior y Notar, Sea]; Nutar)' Pr;bit` Printed N ime, C: "I ti,l, C ut:unts�t�x� E:zp:;c> -- -88f�8'F1i1FRi�EH.�3fliY NOTAPY PUBLIC OF FY MY COMMISSIONEXPIRLSa ;,�un,',r Yrr,uw l IZ pri. "<'rrul+t¢ Deed- E .ige _' DoubleTirn&' Search Result i��� Document Detail Type: D Date /Time: 5/26/1992 03:24:54 CFN: 19920160698 Book Type: O Book /Page: 7257/93 Pages: 8 Consideration: $16,000.00 Party 1: WHITE MARY BARTLEY ROBERT R PERRY RUTH RICH HELEN KELLEY URSULA SINCLAIR EMILY FISHERA CLAIRE Party 2: SCHELLINGER CATHERINE & KENNETH SCHELLINGER KENNETH (M) Legal: RIDGE GRV ADD 1 L199 L Copyright © 2011 by NewVision Svstems Corporation. All rights reserved. Page 1 of 2 http: / /oris.co.palm- beach.fl.uslor_web 1 ldetails_des.asp ?doc_id =515 5746 &flle_num = 19920160698 &linke... 5/25/2011 Palm Beach County Property Appraiser Property Search System - Property Information 2010 2009 2008 V Location Address: 1147 HIGHVIEW RD V1xrt Municipality: UNINCORPORATED Calculate Parcel Control Number: 00- 43- 45- 09 -09- 000 -1990 Improvement Value: $13,170 $30,507 2010 Prop"ed Subdivision: RIDGE GROVE ADD 1 IN Land Value: $10,720 $29,778 Reverse Side Official Records Book: 07257 Page: 0093 Sale Date: Apr -1992 l lely Leaal Description: RIDGE GROVE ADD NO 1 LT 199 $94,915 - Owner InformatiL n * May indicate living area in Use Code: 0100- RESIDENTIAL Name: SCHELLINGER CATHERINE & KENNET residential properties. Mailing Address: PO BOX 134 are as of January 1 each year - Assessed and Taxable Valu:.* GREEN CREEK N) 08219 0134 - Sales Information Tax Year: 2010 Sales Date Book /Page Price Sale Tvpe Owner Apr -1992 07257/0093 $16,000 WARRANTY DEED $23,890 Aug -1991 07087/0612 $100 REP DEED Exemptions Exemption Information Unavailable. - Appraisals 2010 2009 2008 V Ad Valorem: $472 Tax Year: 2010 2009 2008 Total Tax: - Property Information — Improvement Value: $13,170 $30,507 ;53,700 NOTE: Lower the top and bottom margins Number of Units: 1 Land Value: $10,720 $29,778 $41,215 *Total Square Feet: 1079 Total Market Value: $23,890 $60,285 $94,915 * May indicate living area in Use Code: 0100- RESIDENTIAL residential properties. All values are as of January 1 each year - Assessed and Taxable Valu:.* Tax Year: 2010 2009 2008 Assessed Value: $23,890 $60,285 $94,915 Exemption Amount: $0 $0 ; Taxable Value: $23,890 $60,285 $94,915 - Taxes Tax Year: 2010 2009 2008 V Ad Valorem: $472 $1,148 $1,610 f Non Ad Valorem: $301 $276 $256 Total Tax: $773 $1,424 $1,866 Tax Collector WebSite NOTE: Lower the top and bottom margins to 0.25 on File - >Page Setup menu option in the browser to print the detail on one page. Page 1 of 1 http: / /www.co.palm- beach. fl.us/ papa /aspx/webldetail _ info.aspx ?p_entity= 00434509090001990 &geonay... 5/25/2011 Structural Detail Structural Element for Building 1 1.Exterior W all 1 WOOD SIDING 2. Year Built 1951 3.Ai r Condition Desc. NO HTG /AC Subarea and Sq. Footage for Building 1 4. Heat Type NONE No. Code Description Sq. Footage S.He at Fuel NONE 1. BAS BASE AREA 673 6. Bed Rooms 1 FEP FINISHED 2 ' 77 7.Ful I Baths ENCLOSED PORCH 1 8. Half Baths 0 3 UST UNFINISHED 63 STORAGE 9.Exterior W all 2 N/A UCP UNFINISHED 10. Roof Structure FLAT 4 ' CARPORT 266 11. Roof Cover BUILT -UP T/G Total Square Footage : 1079 12. Interior Wall 1 WALL BD. / WOOD Total Area Under Air : 673 13. Interior Wall 2 N/A 14. Floor Type 1 VINYL /ASPH TILE 15. Floor Type 2 N/A 16. Stories 1 - Extra Feature Description Year Built Units WALL 1981 ISO 11981 PATIO 110 Unit may represent the perimeter, square footage, linear footage, total number or other measurement of the feature depending on the feature described. L r- Detailed Land Information Land Line # Description Zoning IRM Units I1 Acres 10 1. ISFR Record Search I Exemotion E -File I Information I Exemptions I Community I Emolovment I New Home Buyer Offce Locations Value Adiustment Board I Save Our Homes I Senior Corner I Disclaimer Home I Links I Glossary I M I Forms I Contact Us I PAPA @ 2011 Palm Beach County Property Appraiser, Page 1 of 1 http: / /www. co.palm- beach. fl .uslpapalaspxlwebldetail_info2. aspx ?p_entity= 00434509090001990 &Owner... 5/25/2011 Owner Name: SCHELLINGER CATHERINE PCN Number: 00- 43- 45 -09 -09 -000 -1990 Building Structural Data and Drawing are for the Current Tax Roll. BUILDING 111 _ , : ' 11 ­1 3, ' : ' 11 -, ` Water Service Agreements Outside the City of Boynton Beach Limits (Single Family Homes) TO: APPLICANTS FOR WATER SERVICE OUTSIDE THE CITY LIMITS (SINGLE FAMILY HOMES) FROM: CITYOF BOYNTON BEACH UTILITIES DEPARTMENT RE: WATER SERVICE AGREEMENTS I . Please, all blanks (other than signatures) are to be typed 2. Sign the agreement (on p.3) and the Power of Attorney form 3. Have all signatures properly notarized on both forms, including the full names inserted in the notary's statement. 4. Names in the blanks must match the owners' name as it appears on the deed. ❑ Correct example: John R. Customer and Alice D. Customer ❑ Incorrect example: John R and Alice D. Customer 5. Attach a survey and legal description (LABELED "EXHIBIT A "), or provide the property control number. 6. Provide the name and address information requested below. 7. Return all documents to this office. NOTE THAT OUR OFFICE WILL NEED AT LEAST ONE WEEK'S REVIEW TIME TO PROCESS THIS APPLICATION, PRIOR TO US SCHEDULING IT FOR THE CITY COMMISSION METING. THE TIME SHEDULE IS THEREFORE AT LEAST 3 -4 WEEKS FROM DATE OF SUBMITTAL TO DATE OF APPROVAL, DEPENDING UPON THE ACTUAL DATES FOR COMMISSION MEETINGS. (THE COMMISSION MEETS ON THE 1 AND 3' TUESDAY OF EVERY MONTH) Sincerely, Peter V. Mazzella Deputy Director of Utilities Raymond Marcinkoski 1065 S. Ridge Rd Lantana, FL 33462 -6137 Owners Information Owner's Name: k &l y 1 o Jy o !). 1�-1 6J kc l N K vsl�q Mailing Address: )2,t) SJ J - 4 }/ �4N14- No. & Street City Telephone No.: S ,+ Z if6 17 Property Information: Address: l f y s' l7 ! # Vl u /?) LA N 7 t14 No. & Street City FL- 3 j y(, Z State Zip Code I rL 33y42 State Zip Code z-- Property Control Number (PCN) 0 , ' , yY 1 j 0 r t`' -1 rJ ell 0 / 9 j v