APPLICATION
PROJECT NAME: Boynton Bagels
LOCATION: 3377 N. Federal Highway
PCN: 00-43-46-04-12-000-0080
I FILE NO.: LUAR 06-020 II TYPE OF APPLICATION: I
AGENT/CONTACT PERSON: OWNER: Peters 3377 N. Federal Highway
Bradley Miller LLC
Miller Land Planning Consultants ADDRESS: 6023 Le Lac Road Boca Raton,
ADDRESS: 420 W. Boynton Beach Blvd. FL 33496
Suite 201 Boynton Beach, FL 334235 FAX:
FAX: 561-736-8079 PHONE: 561-988-9619
-
PHONE: 561-736-8838
SUBMITTAL / RESUBMITTAL 6/7/06
1ST REVIEW COMMENTS DUE:
PUBLIC /IPARC NOTICE: 7/9/06
TART MEETING:
LAND DEVELOPMENT SIGNS POSTED 7/9/06
(SITE PLANS):
LEGAL AD: 7/22/06
PLANNING & DEVELOPMENT BOARD
MEETING:
COMMUNITY REDEVELOPMENT 8/8/06
AGENCY BOARD
CITY COMMISSION MEETING: 9/6/06 + 9/19/06
COMMENTS:
S:\Planmng\SIIARED\WP\PROJECTS\Boynton Bagels\U JAR\1006 PROJECT TRACKlNG INFO.doc
MILLER
LAND
PLANNING
CONSULTANTS, INC.
" /
4:.10 W. Boynton Beach Boulevard
Suite #201
Boynton Beach, Florida 33435
PHONE . 561/736-8838
FAX . 561/736-8079
May 8, 2006
Michael Rumpt
CITY OF BOYNTON BEACH
PLANNING & ZONING DEPARTMENT
100 E. Boynton Beach Boulevard
Boynton Beach. FL 33425-0310
Re: Peters 3377 N. Federal Highwoy
peN 00-43-46-04-12-000-0080
Annexation, Land Use Amendment, Rezoning Applications
Dear Mike:
On behalf of Peters 3377 N. Federal Highway, LLC, attached are applications requesting
annexation and approval of the City land use and zoning for the referenced parcel of land. After
your review of the applications, please contact me or Ailish Quilter should you need any
additional information.
Sincerely,
CONSULTANTS, INC.
Bradley D. Miller, AICP
President
cc: Douglas Peters
M:\M L P C\PROJECTS\Boynton Bagels\rumpf 060706.wpd
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PlANNINr
ZONIi:'
APPLICATION ACCETABLE DATE: RECEIVED BY STAFF MEMBER:
FEE PAID: RECEIPT NUMBER:
HAS APPLICANT ATTENDED A PRE-APPLICATION MEETING? YES DATE: MAY 25,2006
PLANNING & DEVELOPMENT BOARD
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PLANNING ANO
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CITY OF BOYNTON BEACH, FLORIDA
LAND USE AMENDMENT AND/OR REZONING APPLICATI N
This application must be filled out completely and accurately and sub ,
materials listed In Section II below, in two (2) copies to the Planning Division. Incomplete
applications will not be processed.
PLEASE PRINT LEGIBLY OR TYPE ALL INFORMATION.
I. GENERAL INFORMATION
1. Project Name: PETERS 3377 N. FEDERAL HIGHWAY
2. Type of Application (check one)
X a. Land Use Amendment and Rezoning
b, Land Use Amendment Only
c. Rezoning only
3. Date this application is accepted (to be filled out by Planning Division)
4. Applicants Name (person or Business entity in whose name this application is made)
PETERS 3377 N FED HIGHWAY. LLC - DOUGLAS PETERS. MGMR
Address:
6023 LE LAC ROAD
BOCA RATON, FL 33496
(Zip Code)
Phone: (561) 988-9619
FAX:
5. Agent's Name (person, if any, representing applicant
MILLER LAND PLANNING CONSULTANTS, INC. c/o BRADLEY D, MILLER. AICF
420 W. BOYNTON BEACH BLVD.. SUITE 201
BOYNTON BEACH. FL 33435
Address:
Phone:
(561) 736-8838
(Zip Code)
FAX: (561) 736-8079
6. Property Owner's (or Trustee's) Name:
PETERS 3377 N. FEDERAL HIGHWAY. LLC
Address: 6023 LE LAC ROAD
BOCA RATON. FL 33496
(Zip Code)
Phone:
(561) 988-9619
FAX:
7. Correspondence Address (if different than applicant or agent)'
AGENT'S ADDRESS
'This is the only address to which all agendas, letters, and other materials will be
mailed
8. What is the applicant's interest in the subject parcel: (Owner, Buyer, Lessee, Builder,
Developer, Contract Purchaser, etc.)
OWNER
9. Street Address or Location of Subject Parcel: PARCEL IMMEDIATELY SOUTH OF
3377 N. FEDERAL HIGHWAY
PCN (s)
00-43-46-04-12-000-0080
10. Legal Description of Subject Parcel (please also provide on disk in 'Word" format):
SEE ATTACHED
11. Area of Subject Parcel (to nearest hundredth (1/100) of an acre: .09 ACRE
12. Current Land Use Category: CH-5 (COUNTY)
13: Proposed Land Use Category: LRC
14, Current Zoning District: CG (COUNTY)
15.
Proposed Zoning District:
C-3
16 Intended use of subject parcel: RESTAURANT
17. Developer or builder: PETERS 3377 N. FEDERAL HIGHWAY, LLC
18.
Architect:
GEORGE BREWER
19.
Landscape Architect:
TO BE PROVIDED WITH SITE PLAN APPLICATION
20. Site Planner: GEORGE BREWER
21. Civil Engineer: TO BE PROVIDED WITH SITE PLAN APPLICATION
22. Traffic Engineer: TO BE PROVIDED WITH SITE PLAN APPLlCATIO!\
23.
Surveyor:
COMPASS SURVEYING
II. MATERIALS TO BE SUBMITTED WITH APPLICATION
The following materials shall be submitted in two (2) copies, unless otherwise indicated:
(please check)
_a. This application form.
_b. A copy of the last recorded warranty deed.
_c. The following documents and letters of consent:
_(1) If the property is under joint or several ownership: a written consent to the application
by all owners of record,
_(2) If the applicant is a contract purchaser: a copy of the purchase contract and written
consent of the owner and seller, and
_(3) If the applicant is represented by an authorized agent: a copy of the agency
agreement, or written consent of the applicant, and
_(4) If the applicant is a lessee: a copy of the lease agreement, and the written consent of
the owner, and
_(5) If the applicant is a corporation or other business entity: the name of the officer or
person responsible for the application, and written proof that said person has the
delegated authority to represent the corporation or other business entity, or in lieu
thereof, written proof that he is in fact an officer of the corporation.
_d. A sealed boundary survey of the subject parcel by a surveyor registered in the State of Florida,
dated not more than six (6) months prior to the date of submission of the application, at a scale
prescribed by the Planning Division, and containing the following information:
_(1) An accurate legal description of the subject parcel.
_(2) A computation of the total acreage of the subject parcel to the nearest hundredth
(1/100) of an acre.
_(3) A tree survey, which conforms to the requirements of the City of Boynton Beach Tree
preservation Ordinance. (Also refer to Page 6, Sec, II h.(12) of this application if
property is occupied by native vegetation.) This requirement may be waived by the
Planning Director where found to be unrelated to the land use or zoning issues
involved with the application.
_e. A complete certified list of all property owners, mailing addresses, and legal descriptions for all
properties within at least four hundred (400) feet of the subject parcel as recorded in the latest
official tax rolls in the county courthouse shall be furnished by the applicant, including a tax map
showing placement of 400 feet boundary. Postage, and mailing labels or addressed envelopes
must also be provided. Said list shall be accompanied by an affidavit stating that to the best of
the applicant's knowledge said list is complete and accurate. Notification of surrounding
property owners will be done by the City of Boynton Beach.
_f. A copy of the Palm Beach County Property Appraiser's maps showing all of the properties
referred to in paragraph e, above, and their relation to the subject parcel.
_g. A statement by the applicant justifying the zoning requested, including reasons why the property
is unsuitable for development under the existing zoning and more suitable for development
under the proposed zoning. The statement should address the following criteria which the
Planning and Zoning Division utilizes in evaluating land use amendment and rezoning
applications:
1) Whether the proposed land use amendment/rezoning would be consistent with applicable
comprehensive plan policies. The division shall also recommend limitations or requirements
that would have to be imposed on subsequent developmenl of the property in order to
comply with policies contained in the comprehensive plan.
2) Whether the proposed land use amendment/rezoning would be contrary to the established
land use pattern, or would create an isolated district unrelated to adjacent and nearby
districts or would constitute a grant of special privilege to an individual property owner as
contrasted with the protection of the public welfare.
3) Whether changed or changing conditions make the proposed land use amendment/rezoning
desirable.
4) Whether the proposed land use amendment/rezoning would be compatible with utility
systems, roadways and other public facilities.
5) Whether the proposed land use amendment/rezoning would be compatible with the current
and future use of adjacent and nearby properties or would affect the property values of
adjacent and nearby properties.
6) Whether the property is physically and economically developable under the existing land
use designation/zoning.
7) Whether the proposed land use amendment/rezoning is of a scale that is reasonably related
to the needs of the neighborhood and the city as a whole.
8) Whether there are adequate sites elsewhere in the city for the proposed use, in districts
where such use is already allowed.
_h. A comparison of the impacts that would be created by development under the proposed zoning,
with the impacts that would be created by development under the proposed zoning, with the
impacts that would be created by development under the existing zoning, which will include:
_(1) A comparison of the potential square footage of number and type of dwelling units
under the existing zoning with that which would be allowed under the proposed zoning
or development.
_(2) A statement of the uses that would be allowed in the proposed zoning or development,
and any particular uses that would be excluded.
_(3) Proposed timing and phasing of the development.
_(4) For proposed zoning of property to commercial or industrial districts, where the area of
the subject parcel exceeds one (1) acre, projections for the number of employees.
_(5) A comparison of traffic which would be generated under the proposed zoning or
development, with the traffic that would be generated under the current zoning; also,
an analysis of traffic movements at the intersections of driveways that would serve the
property and surrounding roadways, and improvements that would be necessary to
accommodate such traffic movements. For projects that generate more than five
hundred (500) net trips per day, a traffic impact analysis must be submitted which
complies with the Municipal Implementation Ordinance of the Palm Beach County
Traffic Performance Standards Ordinance.
(a) For projects that generate two thousand (2,000) or more net trips per day, the
traffic impact analysis must be submitted to the City at least 30 days prior to the
deadline for land use amendment and/or rezoning, in order to allow for timely
processing of the application and review by the City's traffic consultant and Palm
Beach County. The applicant shall be billed for the cost of review by the City's
traffic consultant.
(b) For projects that generate between five hundred (500) and two thousand (2,000)
net trips per day, the traffic impact analysis must be submitted at the application
deadline for land use amendment and/or rezoning, in order to allow for timely
processing of the application and review by Palm Beach County. However, if it is
the desire of the applicant to utilize the City's traffic consultant for review of the
traffic impact analysis prior to review by Palm Beach County, then the procedure
and requirements outlined under item "a" above shall be followed.
NOTE: Failure to submit traffic impact analysis in the manner prescribed above may
delay approval of the application.
_(6) For parcels larger than one (1) acre, a comparison of the water demand for
development under the proposed zoning or development with water demand under the
existing zoning. Water demand shall be estimated using the standards adopted by the
Palm Beach County Health Department for estimating such demand, unless a
registered engineer justifies different standards. Commitment to the provision of
improvements to the water system shall also be included, where existing facilities
would be inadequate to serve development under the proposed zoning.
_(7) For parcels larger than one (1) acre, a comparison of sewage flows that would be
generated under the proposed zoning or development with that which would be
generated under the existing zoning. Sewage flows shall be estimated using the
standards adopted by the Palm Beach County Health Department for estimating such
flows, unless a registered engineer justifies different standards. Commitment to the
provision of improvements to the sewage collection system shall also be included,
where the existing facilities would be inadequate to serve development under the
proposed zoning.
_(8) For proposed residential developments larger than one (1) acre, a comparison of the
projected population under the proposed zoning or development with the projected
population under the existing zoning. Population projections according to age groups
for the proposed development shall be required where more than fifty (50) dwellings, or
50 sleeping rooms in the case of group housing, would be allowed under the proposed
zoning.
_(9) At the request of the Planning Division, Planning and Development Board, or City
Commission, the applicant shall also submit proposals for minimizing iand use conflicts
with surrounding properties. The applicant shall provide a summary of the nuisances
and hazards associated with development under the proposed zoning, as well as
proposals for mitigation of such nuisances and hazards. Such summary shall also
include, where applicable, exclusion of particular uses, limitations on hours of
operation, proposed location of loading areas, dumpsters, and mechanical equipment,
location of driveways and service entrance, and specifications for site lighting.
Nuisances and hazards shall be abated or mitigated so as to conform to the
performance standards contained in the City's zoning regulations and the standards
contained in the City's noise control ordinance. Also, statements concerning the
height, orientation, and bulk of structures, setbacks from properly lines, and measures
for screening and buffering the proposed development shall be provided. At the
request of the Planning and Development Board or City Commission, the applicant
shall also state the type of construction and architectural styles that will be employed in
the proposed development.
_(10) At the request of the Planning Division, Planning and Development Board, or City
Commission, the applicant shall also submit the following information:
_(a) Official soil conservation service classification by soil associations and all areas
subject to inundation and high ground water levels.
_(b) Existing and proposed grade elevations.
_(c) Existing or proposed water bodies.
_(d) Form of ownership and form of organization to maintain common spaces and
recreation facilities.
_(e) A written commitment to the provision of all necessary facilities for storm
drainage, water supply, sewage collection and treatment, solid waste disposal,
hazardous waste disposal, fire protection, easements or rights-of-way,
roadways, recreation and park areas, school sites, and other public
improvements or dedications as may be required.
_(11) For rezonings to planned zoning districts, the specific requirements for submission of
applications for rezoning to such districts shall also be satisfied. Furthermore, all
materials required for a subdivision master plan shall also be submitted.
_(12) Where conformance with the county's Environmentally Sensitive Lands Ordinance is
required, an Application for Alteration of Environmentally Sensitive Lands
(Environmental Impact Study) must be submitted to the Palm Beach County
Department of Environmental Resources Management (copy to City) prior to or
concurrent with the submittal of the Land Use Amendment and/or Rezoning
Application to the City.
_13) All applications for a land use amendment and rezoning for any residential
development submitted after June 27, 2002 must submit a School Concurrency
Application and Service Provider Form. Applications are not deemed complete
until the City receives notification from the Palm Beach County School District.
IIi. APPLICATION FEES
Fees shall be paid at the time that the application is submitted, according to the fees which have
been adopted by ordinance or resolution. The Planning Division will inform the applicant as to
the fees which are required. All fees shall be paid by check, payable to the City of Boynton
Beach.
IV. Representative of the project must be present at all Technical Review Committee,
Planning and Development and City Commission meetings held to review this project.
- -
V. APPLlCANrS OWNERSHIP AFFIDAVIT
STATE OF FLORIDA
COUNTY OF PALM BEACH
~--------j
BEFORE ME THIS DAY PERSONALLY APPEARED DOUGLAS PETERS , WHO BEING
DULY SWORN, DEPOSES AND SAYS THAT:
1. He/she is the owner, or the owner's authorized agent, of the real property legally described in
Attachment A;
2. He/she understands the Future Land Use Map amendment andlor Rezoning application fee is
nonrefundable and in no way guarantees approval of the proposed amendment;
3. The statements within the Future Land Use Map amendment and/or Rezoning application are
true, complete and accurate;
4. He/she understands that all information within the Future Land Use Map amendment and/or
Rezoning application is subject to verification by City staff:
5. He/she understands that false statements may result in denial of the application; and
6. He/she understands that he/she may be required to provide additional information within a
prescribed time period and that failure to provide the information within the prescribed time
period may result In the denial of the application.
FURTHER AFFIANT SAYETH NOT.
The foregoing instrument was acknowledged before me this :;;- day of":!.UI-Ir
____J?D"'C.LA..5 .p~""Ir~~ (Name of Person Ackn ing)
known to me or who has produced L L. P
identification and who did (did not) take an oath.
~VJ/Jef L3 ~
(Signature of Person Taking Acknowledgment)
(' It ILt2()L B- (;,../4 ~t1-I'-'A
(Name of Acknowledger Typed. Printed or Stamped)
/!/Vrft/Gy
(Title or Rank) ,
])'D (5':;)-~Y3
(Serial Number, if any)
(Notary' Seal)
6023 LE LAC ROAD
Street Address
BOCA RATON. FL 33496
~-~--~.----
City, State, Zip Code
Telephone (561988-9619
@'CARROLB,GUBANA
I 1 MY COMMISSION # DO' 55943
~... EXPIRES October 8, 2006
1.tl(X)-3-NOTARY FL Notmy Setvice & Bonding, Inc
SPACE BELOW THIS LINE FOR OFFICE USE ONLY
Review and Processing Schedule:
Date Accepted by Planning Division
Date Transmitted to City Clerk
Date Notifications Mailed to Surrounding Property Owners
Dates of Advertisement in Newspaper (rezoning and/or land use amendment)
Dates of Advertisement in Newspaper (annexation)
Date of Transmission of Departmental Review Forms to Department Heads
Date of Review by Technical Review Committee
Date of Pre-Hearing Conference
Date of Public Hearing Before Planning & Development Board
Date of Public Hearing Before City Commission
Date of Transmission of Proposed Comprehensive Plan Amendment to Florida Department of
Community Affairs, pursuant to Florida Statutes, F.S. 163.3184 (1) (a)
Date of Transmission of Proposed Comprehensive Plan Amendment to Other Governmental
Agencies Requesting Notification, Pursuant to Florida Statutes, F.S. 163.3184 (1) (b)
Date of Receipt of Notice from Florida Department of Community Affairs Regarding
Comprehensive Plan Amendment, pursuant to Florida Statutes, F.S. 163.3184 (4)
Date of Hearing Before Florida Division of Administrative Hearings, Pursuant to Florida Statutes,
F.S. 163.3184 (5) (b)
Date of Hearing Before City Commission on Revised Comprehensive Plan Amendment,
Pursuant to Florida Statutes, F.S. 163.3184 (6) (a)
Date of Transmission of Revised Comprehensive Plan Element to Florida Department of
Community Affairs, Pursuant to Florida Statutes, F.S. 163.3184 (6) (a)
Date of Receipt of Notice from Florida Department of Community Affairs Regarding Revised
Comprehensive Plan Amendment
10
Date of Hearing Before Florida Division of Administrative Hearings, Pursuant to Florida Statutes,
F.S. 163.3184 (7)
Date of First Reading of Ordinance to Annex
Date of First Reading of Ordinance to Rezone and Amend Future Land Use Map
_Date of Second Reading of Ordinance to Annex
Date of Second Reading of Ordinance to Rezone and Amend Future Land Use Map
Date of Expiration of Zoning
Date of Expiration of Time Extension for Zoning
11
NOTICE TO APPLICANTS FOR SITE PLAN,
CONDITIONAL USE, PLANNED ZONING DISTRICT,
SUBDIVISION, OR OTHER APPROVALS
RE: Plans, Elevations, and Other Documents Submitted to City Commission and Board Meetings
Any documents prepared by applicants which are distributed at the public meetings must be provided,
at a minimum, in the following quantities in order to allow each Commission or Board member to have
a copy, as well as the City Manager, City Attorney, Recording Secretary, Planning Director, and
Building Official:
City Commission:
10 copies
Planning and Development Board:
12 copies
Community Appearance Board:
12 copies
Also, for any site plans, master plans, and elevations which are submitted for the record at
Commission or Board meetings, and which are revisions to plans or elevations which were previousiy
submitted to the City, six (6) copies of the revised plans or elevations must be sUbsequently submitted
to the Planning Division. Furthermore, any colored elevations which are exhibited to the Boards or
Commission which are different from those which were previously submitted must be submitted to the
Building Department so that the building color and elevations can be inspected prior to the issuance of
a Certificate of Occupancy.
These measures will allow the City to have an accurate record of the project as it was approved by the
Commission or the Boards, and will allow for the efficient inspection of the project.
12
NOTICE TO APPLICANTS FOR APPROVAL OF LAND
DEVELOPMENT ORDERS OR PERMITS
Please be advised that all applications for the following land development orders and permits which are
submitted on or after June 1, 1990 will be subject to the City's Concurrency Management Ordinance,
and cannot be approved unless public facilities (potable water, sanitary sewer, drainage, solid waste,
recreation, park, and road' facilities) would be available to serve the project, consistent with the levels
of service which are adopted in the City's Comprehensive Plan:
- Building permit applications for the construction of improvements which, in and by themselves, would
create demand for public facilities.
- Applications for site plan approval.
- Applications for conditional use approval.
- Applications for subdivision master plan approval.
- Applications for preliminary plat approval.
- Applications for final plat approval.
- Applications for rezoning to planned zoned districts.
- Applications for revisions to any of the applications listed above, which would increase the demand
for any public facility.
, Applications for development orders and permits submitted after February 1, 1990 and which
generate more than 500 net vehicle trips per day, must comply with the Palm Beach County Traffic
Performance Standards Ordinance, unless exempt from that ordinance.
Please be advised, however, that the following applications will be exempt from the Concurrency
Management Ordinance, pending final approval of this ordinance by the City Commission:
- Applications for the development of property which was platted on or after January 13, 1978 and
either the final plat or the preliminary plat and Palm Beach County Health Department permit
applications were submitted or approved prior to June 1, 1990, and the use of the property is
consistent with the general use which was intended for the property at the time of platting.
- Applications for the development of property which was platted prior to January 13, 1978, the area of
the platted lots does not exceed 2 acres, and the proposed use would not generate more than 500
net vehicle trips per day.
- Applications for building permit, if a site plan or conditional use was submitted prior to June 1, 1990
and subsequently approved, and the site plan or conditional use has not expired.
- Applications for the development of property within an approved Development of Regional Impact,
and which are consistent with the approved DRI.
- Applications for approval of final plats, if the preliminary plan and application for Palm Beach County
Health Department permits for utilities have been submitted prior to June 1, 1990.
- Applications for revisions to previously approved development orders or permits, which do not
13
increase the demand for any public facility.
Please be advised that these exemption rules are tentative and will be subject to final approval by the
City Commission.
If you have any questions concerning the proposed Boynton Beach Concurrency Management
Ordinance, please contact the Boynton Beach Planning Division at (561) 375-6260.
J:ISHRDATAIPlanningIHUDSON\COMP PLAN PROCESSINEW LUAR APPLlCATION2.doc
Revised 12/05
14
Division of Corporations
Page lof2
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Florida Limited Liability
PETERS 3377 N. FEDERAL HIGHWAY, LLC
PRINCIPAL ADDRESS
6023 LE LAC ROAD
BOCA RATON FL 33496
MAILING ADDRESS
6023 LE LAC ROAD
BOCA RATON FL 33496
Document Number
L05000059299
FEI Number
204380194
Date Filed
06/06/2005
State
FL
Status
ACTIVE
Effective Date
NONE
Total Contribution
0.00
Registered Agent
Name & Address
PETERS, DOUGLAS R
6023 LE LAC ROAD
BOCA RATON FL 33496
M
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anager em er eta!
I Name & Address II Title I
PETERS, DOUGLAS R B
6023 LE LAC ROAD
BOCA RATON FL 33496
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Division of Corporations
Page 2 of2
Report Year
2006
Annual Reports
II
II
Filed Date
03/10/2006
Previous Filing I Return to List I Next Filing I
No Events
No Name History Information
Document Images
Listed below are the images available for this filing.
03/1012006_-- Al'!N REPIUNIFORM BUS REP
06/06/2005 -- Florida Limited Liabilites
THIS IS NOT OFFICIAL RECORD; SEE DOCUMENTS IF QUESTION OR
CONFLICT
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THIS INSTRUMENT PREPARED BY
AND RETURN TO:
J.W. SMITH. ESQ.
INVESTORS TITLE, ESCROW & EXCHANGE SERVICES, LLC
2201 N.W. CORPORATE BLVD., STE. WI
BOCA RATON, FL 33431
CFN 20050659054
OR BK 19429 PG 16.39
RECORDED 10/18/2005 15~36:44
Pal. Beach County, Florida
AHT 350, 000.00
Doc St..p 2,450.00
Sharon R. Bock,CLRRK t CQ"PTROLLER
Pg 1639; Opg)
Folio Numbers:
FIleNo.
~924J
~j\ SPACE ABOVE TIllS LINE FOR RECORDING DATA
THIS W ~ DEED, made the 7th day of October, .2005 by THOMAS P. WICZKOWSKI, a single
man, herein calt~' # r, to PETERS 3377 N. FEDERAL mGOW AY, LLC, a Fla. limited liability company
whose post office ({; . 60.23 LE LAC ROAD, BOCA RATON, FL 33496, hereinafter called the Grantee;
(Wherever used her '~ihfr11"ms, "gran/or" and "granree" include aff (he parties to thIS instrument and the heirs, legal
representatives and as~1jfldi].'/duals, and the successors and assigns of corporations)
WIT N E SSE T H: ~t~ gantor, for and in consideration of the sum ofTEN AND 0011 DO'S ($10.00) Dollars
and other valuable consf(~~/ receipt whereof is hereby acknowledged, hereby grants, bargains, sells, aliens,
remises, releases, conveys an~~ums unto the grantee all that certain land situate in PALM BEACH County, State
of Florida, viz.: .,..j
/"}
Lots 8 and 9, less the wJ(;;r;:u. feet for road right-of~waYI and Lot 10, less the Northerly 150 feet,
KING'S SUBDIVISION, r~.:~~ Plat Book 20, Page 47, Public Records of Palm Beach County,
Florida, ((._ ~,:,
TOGETHER, with all the tenements, 'h&~nts and appurtenances thereto belonging or in anywise appertaining.
TO HAVE AND TO HOLD, the same in fe~e forever.
AND, the grantor hereby covenants with saiJ.6;ntee that the grantor is lawfully seized of said land in fee simple; that
the grantor has good right and lawful authority t~;J'pd convey said land, and hereby warrants the title to said land
and will defend the same against the lawful c~~i..0f all persons whomsoever; and that said land is free of all
encumbrances, except taxes accruing subsequent to'~)er 31, 2004.
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IN WIT~SS WHEREOF, the said grantor bas Sig~~~d these presents the day and year first above written.
Sign sealed ered in t~e presence of: ~""\\ (
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1M P. WlCZKO KI
)-~DRJVE. DELRAY BEACH. FL3]oU4.r720
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The foregoing instrument was acknowledged before me this 7th day of Octo~~"'iit THOMAS P. WICZKOWSKI
who is personally known to me or has produced t D. L, \( \'..=-as-{d!futification, and who did not
take an oath. /.-' ~
Wi ess 19nature
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1.b)C'ss #1 Printed N~me
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Witness #2 Printed Name
State of Florida
SEAL
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