R10-074
II I
1 RESOLUTION NO. RIO-o1 i
2
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 EDNA S. SEYMOUR AND
9 TAMMY L. MUSSELMAN; PROVIDING AN
10 EFFECTIVE DATE.
11
12
13 WHEREAS, the subject property is located outside of the City limits, but within our
14 water and sewer service area, located at 1057 Seagrape Road, Lantana, Florida (PCN: 00-43-
15 45-09-14-000-0570); and
16 WHEREAS, the parcel covered by this agreement includes a single family home
17 located in the unincorporated Palm Beach County; and
18 WHEREAS, water service has been designated between the county and the various
19 local utilities; and
20 WHEREAS, a water distribution main has recently been completed on this street,
21 allowing for the service to this parcel. No additional construction will be required by the City
22 to serve this property
23 NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF
24 THE CITY OF BOYNTON BEACH, FLORIDA, THAT:
25 Section 1. The foregoing "Whereas" clauses are hereby ratified and confirmed as
26 being true and correct and are hereby made a specific part of this Resolution upon adoption
27 hereof.
28 Section 2. The City Commission hereby authorizes and directs the City Manager
29 to execute a Water Service Agreement between the City of Boynton Beach, Florida and Edna
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1 j S. Seymour and Tammy L. Musselman, a copy of said Agreement is attached hereto as
2 Exhibit "A".
3 Section 3. This Resolution shall become effective immediately upon passage.
4 +h
5 PASSED AND ADOPTED this ~ day of June, 2010.
6
7
8 CITY OF BOYNTON BEACH, FLORIDA
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25 ATTEST:
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AGREEMENT FOR WATER SERVICE OUTSIDE CITY LIMITS
(Individuals)
This Agreement, made on this 7't1...- day of AplU L-- ,20 10 , by and between:
Edna S. Seymour & Tammy L. Musselman , hereinafter called the "OWNER(S),"
and
THE CITY OF BOYNTON BEACH, 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 ofthe 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 tqe 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.R-(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 shall be used only for the
Owner(s), unless written permission is granted by the City of Boynton Beach for other
party or parties to connect pursuant to the Code of Boynton Beach.
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AGREEMENT FOR WATER SERVICE OUTSIDE CITY LIMITS :r-
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This Agreement, made on this 7"'" day of AplU L.- ::o~
, 20 10 , by and between: . ~
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:r: Edna S. Seymour & Tammy L. Musselman , hereinafter called the "OWNER(S)," c) t-J.
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~. THE CITY OF BOYNTON BEACH, a municipal corporation of the State of Florida, ? gs
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0:- :=> WITNESSETH, the City and the Owner(s), in consideration of the mutual covenants 25 ~
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t::u c exchanged herein, agree as following: ~ ~
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Owner(s) represents and covenants that it owns the following described real property f~J"
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(hereinafter "Property") located outside the boundaries of the City, but in the City's water Q
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and wastewater service area: Q
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2. The City agrees to provide Owner(s) with water services from the City water system only CJ
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as necessary to service the Property. -I
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3. Owner( s) shall not use or supply water it receives from tJ1e City to service or benefit any en
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property other than the Property described in paragraph I above, unless written Q
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permission is granted by the City of Boynton Beach. a
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The Property requires 15?.-(specify number) Equivalent Residential Connection(s). ~.
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5. The Owner(s) agrees to pay all costs of engineering, material, labor, installation, and a
inspection of the facilities as required by the City Code to provide service to the LI
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Owner(s)'s premises. (J)
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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 (f;
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lines shall first be approved by the Director of Utilities and subject to inspection by the ~,
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City Engineers. -c
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7. The City shall have the option of either requmng 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 shall be used only for the
Owner(s), unless written permission is granted by the City of Boynton Beach for other
party or parties to connect pursuant to the Code of Boynton Beach.
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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 i~ 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 anyone 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.
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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 pIan 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
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AGREEMENT FOR WATER SERVICE OUTSIDE THE CITY LIMITS AND
COVENANT FOR ANNEXATION BETWEEN THE CITY OF BOYNTON BEACH AND
E:.t:>~o... ~. S~ ,~MOq~ -+ T~MN\ ~ L .M\J~E.'~ (INSERT NAME)
l \
IN WITNESS WHEREOF, the parties hereto have set their hands and seals this 7 'rt..-
day of /lPR-fL.- ,20ft.L. -
WITNESS as to Owners: INDIVIDUAL(S) AS OWNER(S):
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tness SIgnature
L;'ndo.. ().'vk 1..( Edna S. Seymour
Printed Witness Name Printed Owner Name
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Witness Signature ,
MCty-~G... 1:.., MQ{~'r'\et.
Printed Witness Name
.
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""it ess Signature
L IlId 0.. ~. ,,1</-<.. Tammy L. Musselman
Printed Witness Name Printed Owner Name
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Witness Signature .
Made.. J:. Ma ( -\- f r\ e 2..-
Printed Witness Name
FOR OWNER(S) NOTARIZATION:
STATE OF h...o (2....1 bA )
) ss:
COUNTY OF~\.M~<!.-~
I HEREBY CERTIFY that on this day, before me, an officer duly authorized in the State
aforesaid and in the County aforesaid to take acknowledgments, personally appeared
GDN~ HIUI!..~' r;zA-f!V MIASSEtNi!1Jto me known to be the person(s) described in and who
executed the ent that he/she acknowledged before me that he/she executed the
same; that e individual was personally known to r provided the following proof of
identification: .--.-" .~ _..---/
WITNESS my hand and official seal in the County and State last aforesaid this '7 rIv day of
App. I~ , 20~. -
(Notary Seal) ~ [~{j)
My Commission expires: IV '~/'IO Notary Public
c: \Documents and Settings\penna\Local Settings\Temporary Inter~ARYPUBUC.S'IATEOFFLORlCA
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Files\OLK9\FORM-March 2010 revisions. doc :.....~ e arue . enn
~ ~Commission #DDS91901
- 4 - .............,.:- Expires: OCT. 21, 2010
kJ~llr;; T1 ;" t: AT1A\IIC BONDING CO., INC.
AGREEMENT FOR WATER SERVICE OUTSIDE THE CITY LIMITS AND
COVENANT FOR ANNEXATION BETWEEN THE CITY OF BOYNTON BEACH AND
(INSERT NAME)
CITY OF BOYNTON BEACH, FLORIDA
a Florida municipal corporation
Kurt Bressner, City Manager
ATTEST:
City Clerk
Approved as to form:
City Attorney
STATE OF FLORIDA )
) ss:
COUNTY OF PALM BEACH)
I HEREBY CERTIFY that on this day, before me, an officer duly authorized in the State
aforesaid and in the County aforesaid to take acknowledgments, personally appeared
, City 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_
(Notary Seal)
Notary Public
My commission expires:
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. ' '.
IN WITNESS WHEREOF, we have hereunto set our hands and seals the /3-W day of
1la.4---' in the year 20 lD..
Sealed and delivered in the presence of
r=. ' ' ~ L a 'A~-'1-4Ct '--z ~
Witness Sig ture Owner Signat re
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Print Name Print Name
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wtess iignature
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Print Name
r~'YW,yj'$ ~>1J';,,'e /, ,n
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Witness Sign re . Owner Signature (
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. Y" e
Print Name I
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Witness
~eJth Krftsl\ftJrr
Print Name
STATE OF FLORIDA )
) SS:
COUNTY OF PALM BEACH )
. THE FOREGOING INSTRUMEN~~~ore me this /3/1} day of
- , 20&., by~: ) r nwr and
'n c.. N ') Q , who are known to me or who have produced
L , as identification and who did/gid not take an oath.
NOTARY PUBLIC-STATE OF FLORIDA fu-tJ. tlll!j\ Q 0 J 0 ~Mj , J4u j; vrJY)yt(
/.....,,'.. Catherine Cherry-Guberman NOTARY PUOLIC' .
f ~ ~ Commission # DD792144 Glthenhe J1fl((~ - f4uJ:trJyrVj
...""".../ Expires: MAY 27, 2012 Type or Print Name
BOXlJF.D THIHl ATr.Aj'"IC BONDING CO ,INC.
Commission No. Db f7Yd /L/Lj
My Commission Expires:
S:\CA\AGMTS\Water Service\power of atty. doc - 1-6-06
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Warranty Deed )' ,,0, ,. c:' HERBCO Form 4
By Individual ...' ... l.
/) -/Jtff This Instrument prepared by: J
r f . .' NICHOLAS P. WELLMAN (
ATTORNEY AT LAW
4655 South Military Trail APR-15-1988 11: 35am 88-098458
Lake Worth, Florida 33463
ORB 5636 P9 1074
Ccn 75,000.00 Doc 412.50
Warranty ilrr~, JOHN B OUN<LE.CLERK - PB COUNTY. FL
made this 14th day of April , 1988 , [Space Above This Line For Recording Datal
Between MARILYN T. SEARLES, a single person, being an unremarried widow,
having an address at 12 Strong Road, OWeko, New York 13827 , grantor,*
and ELLIS C. SEYMOUR and EDNA S. SEYMOUR, his wife, , grantee*,
whose post office address is 1057 Seagrape Road, Lantana, Florida 33462
.itnessetI,: That the grantor, for and in consideration of the sum of $10.00
and other good and valuable considerations, receipt whereof by grantor is hereby acknowledged, has
granted,bargained and sold to grantee, and grantee's heirs, legal representatives, successors and
assigns forever, the following described land, situate, lying and being in Palm BeachCounty, Florida:
LOT 57, HYPOLUXO RIDGE ADDITION #2, according to the Plat thereof as
recorded in Plat Book 27 at page 199 of the Public Records of Palm
Beach County, Florida.
SUBJECT TO: easements, prohibitions and restrictions of record; and
SUBJECT TO taxes for the Year 1988 and thereafter; and
SUBJECT TO Mortgage in the original principal amount of $44,500.00 given by
ROGER E. SEARLES and MARILYN T. SEARLES, his wife, to PEOPLES FEDERAL SAVINGS
AND LOAN ASSOCIATION OF LAKE WORTH now known as DUVAL FEDERAL SAVINGS AND LOAN
ASSOCIATION, dated 12/18/78 and recorded 2/05/79 in O.R.B. 3003 at page 69 in
the Public Records of Palm Beach County, Florida, which grantee by acceptance of
this Warranty Deed agree and covenant to assume and pay said Mortgage and the
obligation secured by it, and grantee agrees and covenants to comply with all terms
and provisions of said Mortgage and Promissory Note and to save, hold harmless and
indemnify grantor from all claims, suits, losses and damages arising outof said Mortgage
and Note.
The spouse with whom title to this property was acquired was continuously married to the
named <1ra~}o~hin this Deed from the time or its acquisition through the t.ime of said
~git rflf with all tenements, hereditaments and appurtenances thereto belonging or in anywise
appertaining. .
(!fo fliiaue nnll to fliioJll, the same in fee simple forever.
An II the grantor hereby covenants with said grantee that grantor is lawfully seized of said land in fee
simple; that grantor has good right and lawful authority to sell and convey said land; that grantor hereby
fully warrants the title to said land and will defend the same against the lawful claims of all persons
whomsoever; and that, except as above noted, said land is free from all encumbrances.
*"Grantor" and "grantee" are used for singular or plural, as context requires.
Itn llIIJitness .lJereof, grantor has hereunto set grantor's hand and seal the day and year
first above written,
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, . Thist. tumrnt prlpa~rcl By ancl Rr rn tll:'i Ii
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63 E oc~an Avenu II
Bo ,nton ,each, FL133435 :!
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Th I~ IQuilcla;\,.i Deed, Mjde thi, 20 t!> d,y of June . , A.D. ~ 0 P 6 I
EDtllA S. chEYMOUR, ~nremarried widow of Ellis C. Seymour, deceare
of I death il certific_te attached hereto and made a part, hereof. ,'!,
.01' th+ounty of I Palm Beach , State of F1or~da , g ~,~to and
T Y L.: MUSSELMAN, I, ! I
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ddrcss is: 11'057 sea~rape Road, Lantana, Florida 33462 ;;
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Ill' Ih~ 'Ilunly Ill' Palm Beafh I , State of Florida , g 1'~t,1
1 '
Wit esseth that the GRANTO~, for and in consideration of the SUlll of I !
- - - - - - - - - L - - - - - - - -I - - - - - - TEN DOLLARS ( $10) - - - - - - - - - - - - - - - - - - - - ~ - - ~RS
~ I ,
an other g I and valuable cJlJ1sidcration to ORANTOR in hand paid by GRANTEE. the receipt whereof is hereby knowl ed, has
g~nted. bargair, cd and quitclaillle~ to the said GRANTEE and GRANTEE'S heirs, successors and assigns forever, the followin$ desc .~ 'a~ situate,
Iyi~gandbeinglinthe('ollntyof I Palm Beach State of Florida ' to it,,: II:
, I' 1 I:
Lot' 57, ~,YPOLUXO ~, IDGE ADDITION #2, accordin<] to the ~lat ther. el,fi O~II"
fi e in the office of the Clerk of the Circu~ t Court ~n and for p;a1f11:
Be~ch Co~nty, F1o~ida, recorded in Plat Book 27 at Page 199. .' i '!
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TH~ ABOVE GRANTOR:, EDNA S. SEYMOUR, hereby reta~ns a ~ e es""a I~nl'
anf' to tre above ~escribed property. " I
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TO, ave andllO Hold "" I u"" to...... 'wilh .11 .... .i...... "" 'PO""'"'''''' tlremmto ~'J:',~r!f :i~:'!'anYWise
ap ,ertaining, ~nd, all the estate, right, title. in~erest. lien, equity and claim whatsoever of grantor, eitb~ri~ 1a, pr ~ 'ily, for
tb use, benefit and profit of th1 said grantee forever. ' 'I'! :!:
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n ,I ness , ereo, the g~ntor has hereunto set hand and seal the day and year first above written.' "i :
d and delivered tn our I
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, I (Seal)
Edna S. Se I' Ii
! P.O. Address: ! I i
' 1057 Seagrape Road ,II' i:
Lanta~a, Florida 3346!2 I!: I 1
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FLOR~DAI,i " ,j::l iJ;d;i "
PALM IBEACH " ': "'" I;:U/:r: ,:, ,:,
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Structural Detail Page 1 of I
__!::T','!",', pt~~.rtr. ARP!.,..t'~ Pub!;. A...... Sr""
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Owner Name: SEYMOUR EDNA S
PCN Number: 00-43-45-09-14-000-() 570
Building Structural Data and Drawing are for the Current Tax Roll.
BUILDING! 'II
Structural Element for Building 1
1. Exterior Wall 1 CB STUCCO
2. Year Built 1979
3. Air Condition Desc. HTG & AC
4. Heat Type FORCED AIR DUCT Subarea and Sq. Footage for Building 1
5. Heat Fuel ELECTRIC No. Code Description Sq. Footage
6. Bed Rooms 3 1. BAS BASE AREA 1496
7, Full Baths 2 USP UNFINISHED SCRN.
2. 200
8. Half Baths 0 PORCH
9. Exterior Wall 2 N/A 3. FGR FINISHED GARAGE 345
10. Roof Structure GABLE/HIP Total Sq uare Footage: 2041
11. Roof Cover ASPH/COMP, SHG. Total Area Under Air: 1496
12. Interior Wall 1 DRYWALL L. D",w,in'lt~L, 1
13, Interior Wall 2 N/A
14, Floor Type 1 CARPETING
15. Floor Type 2 N/A
16. Stories 1
Extra Feature
Description Year Built Units
No Extra Feature Available
Detailed Land Information
Land Line # Description Zoning
1. SFR RM 1
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"..' 2010 Pa!m b"a,r> COllllty Prrperty Apprdlser.
http://www,CO. palm-beach.f1. us/papa/aspx/web/detail_info2.aspx?p _ entity=004345091400." 3/11/20 I 0
All Owner Page 1 of 1
All Owner(s)
peN Number: 00-43-45-09-14-000-0570
Owner Names
MUSSELMAN TAMMY L
SEYMOUR EDNA S
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http://www.co. palm-beach.f1. us/papalaspx/web/all Owner. aspx?entity _id=00434509I 40000570&Owner _ N... 2/9/2010
NOTICEOF<PRQPQSEi:)PR()PERTYTAxeS>ANDPROPOSE.DORADOPTI:PNQN;';AUVALVt'(eMA~~C;l;lI'!llCR' ~... ... ..... .
)PERTY. ... . .... ... . . ..... -_-':-1 D VA OREM TAXES OONO"f ...
~~R.~~~~~TION o~ Op;O~;T~.4 5 -QJ - 1 ~QJ~:.~~~ t The taxing~U~lgi~e~~'~:I~~p~~ert~. axesaga:styourpropertYWiil-soon -l. .... ...P.AY...... ..... ...
I POL U X 0 RIO G E AD 0 2 hold PUBLIC HEARINGS to adopt budgets and tax rates forthe next year . THIS IS
) T 5 7 The purpose of these PUBLIC HEARINGS IS to receive opinions from the general · * N.O. .T.. .* ...
public and to answer questions on the proposed tax change and budget PRIOR 1 ... . .... . . ..
TO TAKING FINAL ACTION. . I A BILL .
Each taxing authority may AM EN D OR ALTER its proposal at the heanng l ............. ....
TAXING YOURT~~~~ERTY Il=O~~J~51fEtr\fub~~~ .. _n . -,4 PUBl.IC HEARINGON- THE PROPOS~D - I n~{?~~T~:g~J~bSET~!
AUTHORITY LAST YEAR ...... CHANGE IS MADE . ~.._!.A~~~!l[)_il_UDG!!.~ILL BE H.~LD. _~._~___~GE IS MADE I
PB COUNTY 28.73!>$;31-PALM- BEACH COUNTY (561) 355-3996! 33,37
FIRE/RESCUE 22,41 26,56 9/08 6:00 PM 301 N OLIVE AVE 6TH FL 26.56
LIBRARY 3,783.82 ~EST PALM BEACH 33401 4.44
PUBLlCSCHOOLS PBC SCHOOL BOARD (561) 434-8837
BYSTATELAW 2.82.12.316.38 9/09 5:05 PM 3300 FOREST HILL BLVD 322,08
BY LOCAL BOARD 1$5.53 ....144 .09 ~EST PALM BEACH 33406 154,73
SFWMD 11.43 17.41 SO FLA ~TR MGT D1ST (561) 686-8800 20.18....1
EVERGLAOES 9/09 5:15PM 3301 GUN CLUB ~OAD
CONST,PROJ, 2,91 2.92 WEST PALM BEACH 33406 3.38
m~frf~t~dent Special
F , 1. N . 0 , L 12 L 13 F L I N LAN 0 N A V I G 0 I S T (56 1) 627 - 3386 L 29
9/24 6:00PM 21 S, CYPRESS STREET
FELLSMERE 32948
CHILD SERV 19.59 22.54 CHILDRENS SV COUNCIL (561) 740-7000 22,54
. ... . 9/10 6:00PM 2300 HIGH RIDGE RD
BOYNTON BEACH 33426
HE A L T H!>1 . 42 P B C HE A L T H CAR E 0 I S T (56 1) 6 5 9 - 1 2 7 0 31. 42
9/10 5:15 PM 324 DATURA ST STE 401
~EST PALM BEACH 33401
tg~~e'lllgroved Debt
COUNTY DBT 1.67 1.67
SCHOOL DBT .00 · 00
LIBRARY DBT .42 ,42
TOTAL AD VALOREM 547.89 607.79 628.08
PROPERTY TAXr:S .
COLUMN 1 COLUMN 2 SEE REVERSE SIDE FOR EXPLANATIONS I COLUMN 3 I
IF YOU FEEL THAT THE MARKET VALUE
YOUR PROPERTY YOUfFPROPEIlTY BENEFITS APPLIED OF YOUR PROPERTY IS INACCURATE
VALUE LAST YEAR vAL:\.lEri'iJ$ YEAit TO THIS PROPERTY OR DOES NOT REFLECT FAIR MARKET
... .. . HOMESTEAD VALUE, OR IF YOU ARE ENTITLED TO
1 92581 MARKET VALUE 137255 HOMESTEAD/ADDL AN EXEMPTION THAT IS NOT REFLECTED
.. ABOVE, CONTACT YOUR COUNTY
WIDOWIWIDOWER PROPERTY APPRAISER AT:
83098 ASSESSED VALUE .87$1 >81 SENIOR Residential SEE REVERSE SIDE
Exemptions (561) 355-2866
... .... ... .. Commercial (561) 355-4090
50500 EXEMPTIONS ..50500 Agriculture (561) 355-2646
I GOVERNMENTAL CENTER - 5th FLOOR
32598 TAXABLE VALUE 32681 SEE REVERSE SIDE FOR 301 N. OLIVE AVE
MORE INFORMATION WEST PALM BEACH, FLORIDA 33401
FOR ADDITIONAL OFFICE LOCATIONS
PLEASE SEE REVERSE SIDE.
IF THE PROPERTY APPRAISER'S OFFICE IS UNABLE TO RESOLVE THE MATTER AS TO MARKET VALUE OR AN EXEMPTION, YOU MAY FILE A PETITION. PETITION
FORMS ARE AVAILABLE FROM THE COUNTY PROPERTY APPRAISER'S OFFICE. YOUR PETITION MUST BE FILED WITH THE CLERK OF THE VALUE ADJUSTMENT
BOARD ON OR BEFORE: 14 - S E P - 0 9 5 : 00 PM AT 301 N. OLIVE AVENUE, WEST PALM BEACH, FLORIDA 33401
YOUR FINAL TAX BILL MAY CONTAIN NON-AD VALOREM ASSESSMENTS WHICH MAY NOT BE REFLECTED ON THIS NOTICE SUCH AS ASSESSMENTS FOR ROADS, FIRE,
GARBAGE, LIGHTING, DRAINAGE, WATER, SEWER, OR OTHER GOVERNMENTAL SERVICES AND FACILITIES WHICH MAY BE LEVIED BY YOUR COUNTY, CITY, OR ANY
SPECIAL DISTRICT.
... ............. ........... .. ... .... .2009:"'PROPOSED.AND/OR.ADOPTED.NON~A:D.VALOREM.ASSESSM.ENTS..... · ........ .......... .....<.... .>....
LEVYING AUTHORITY TELEPHONE NUHBER RATE -, ASSESSED AHOUNT
;OLID WASTE AUTHORITY (561)697-2700 27~76,OO
I I !
I I
liitrl cts
:: , 1. N . 0 . 11. 1~1> T. 131 ~ 72 a N ~ ~ 0 0 P ~ R ~?ll:> S ~ J. C Y PRE S S - S T R E E T
I FELLSMERE 32948
CHI LOS E R V 1 9 , 59 22 . 541 CHI L DR ENS S v CO U N C I L (56 1) 740 - 70 0 0 22 . 54
9/10 6:00PM 2300 HIGH RIDGE RO
BOYNTON BEACH 33426
HEALTH 32,52 :;1,42 PBC HEALTH CARE OIST (561) 659-1270 31.42
9/10 5:15 PM 324 DATURA ST STE 401
WEST PALM BEACH 33401
Xg~~e'mgroved Debt
COUNTY OBT 1.40 1,67 I. 1.67
SCHOOL OBT .00 .00 . .00
LIBRARY OBT ,35 .42 .42
I
TOTAL AD VALOREM 547.89 607 . 79_~ I 628. ~8
rn~r[nTY TAXES ~ ---+
"V ", COLUMN 1 I COLUMN 2 I SEE REVERSE SIDE FOR EXPLANATIONS ---L COLUMN 3
IF YOU FEEL THAT THE MARKET VALUE
YOUR PROPERTY Yj)UftPftOPU1V BENEFITS APPLlEt' OF YOUR PROPERTY IS INACCURATE
VALUE LAST YEAR VAl.Uerl:ilS YEAIt TO THIS PROPERTY OR DOES NOT REFLECT FAIR MARKET
'" .. HOMESTEAD VALUE, OR IF YOU ARE ENTITLED TO
1 92581 MARKET VALUE 1$7255 HOMESTEAD/ADDl AN EXEMPTION THAT IS NOT REFLECTED
... ABOVE, CONTACT YOUR COUNTY
--- WIDOWIWIDOWER PROPERTY APPRAISER AT:
83098 ASSESSED VALUE "a3181 SENIOR Residential SEE REVERSE SIDE
. . Exemptions (561) 355-2866
... ...... ....... Commercial (561) 355-4090
50 50 0 EXEMPTIONS50~iO, 0 Agriculture (561) 355-2646
GOVERNMENT AL CENTER - 5th FLOOR
32598 TAXABLE VALUE SEE REVERSE SIDE FOR 301 N. OLIVE AVE
MORE INFORMATlO~---.J WEST PALM BEACH, FLORIDA 33401
FOR ADDITIONAL OFFICE LOCA nONS
PLEASE SEE REVERSE SIDE.
IF THE PROPERTY APPRAISER'S OFFICE IS UNABLE TO RESOLVE THE MATTER AS TO MARKET VALUE OR AN EXEMPTION, YOU MAY FILE A PETITION. PETITION
FORMS ARE AVAILABLE FROM THE COUNTY PROPERTY APPRAISER'S OFFICE. YOUR PETITION MUST BE FILED WITH THE CLERK OF THE VALUE ADJUSTMENT
BOARD ON OR BEFORE: 14 - SE P - 0 9 5: 00 PM AT 301 N. OLIVE AVENUE, WEST PALM BEACH, FLORIDA 33401
YOUR FINAL TAX BILL MAY CONTAIN NON-AD VALOREM ASSESSMENTS WHICH MAY NOT BE REFLECTED ON THIS NOTICE SUCH AS ASSESSMENTS FOR ROADS, FIRE,
GARBAGE, LIGHTING, DRAINAGE, WATER, SEWER, OR OTHER GOVERNMENTAL SERVICES AND FACILITIES WHICH MAY BE LEVIED BY YOUR COUNTY, CITY, OR ANY
SPECIAL DISTRICT.
" ....<.:::<.:. ':<:::>>:>2009::.PROPOSED':;AND/ORADOPTED::NON~AD:VALOREM:'ASSESSMENTS .... .. ':' ....:..:.. ........:....... . ...............
LEVYING AUTHORITY TELEPHONE NUMBER RATE I ASSESSED AMOUNT
;OLID WASTE AUTHORITY (561)697-2700 276.-0~---276.00
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I
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1IIIImlll~IIIIIIIIIIIIIII~IIIm1III1I11IIIII1I1I1I11III1I1III1I1I1~IIII~111111I111I111111111111111111111 TOTA~ NON-AD VA~ 276 , 0 (
00 NOT PAY
1111111.11111111.1111111.1.1.1.1.111I1.111I11111.1.111I11111.1 THIS IS NOT A BILL
00-43-45-09-14-000-0570 00207 HOMESTEAD
SEYMOUR EDNA S
MUSSELMAN TAMMY L
1057 SEAGRAPE RD
LAKE WORTH FL 33462 5953
37904B T = 00000098
Edna S Seymour & Tammy L Musselman
1057 Seagrape Road
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100434509140000570
Map Printed On {20lO-03-11 12:20}
Water Service Agreements Outside the City of Boynton Beach Limits
(Single Family Homes) tl()-O 7'-/
TO: APPLICANTS FOR WATER SERVICE OUTSIDE THE CITY LIMITS
(SINGLE FAMILY HOMES)
FROM: CITYOF BOYNTON BEACH UTILITIES DEPARTMENT
RE: WATER SERVICE AGREEMENTS
1. Please, all blanks (other than signatures) are to be typed
2. Sign the agreement (on p.3) and the Power of Attorney fonn
3. Have al\ signatures properly notarized on both fonns, 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.
0 Correct example: John R. Customer and Alice D. Customer
0 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 infonnation requested below.
7. Return al\ 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 APPROV AL, DEPENDING UPON THE ACTUAL DATES FOR COMMISSION
MEETINGS. (THE COMMISSION MEETS ON THE 1 ST AND 3RD TUESDAY OF EVERY MONTH)
Sincerely,
Peter V. Mazzella
Deputy Director of Utilities
Owners Information
Owner's Name: Edna S. Seymour & Tammy L. Musselman
Mailing Address: 1057 Seagrape Rd Lantana Florida 33462
No & Street City State Zip Code
Telephone No. :_561 582-4622
Prooerty Information:
Address: 1057 Seagrape Road Lantana, Florida 33462
-
No. & Street City Stale Zip Code
Property Control Number (PCN) _00-43-45-09-14-000-0570