R13-016 •• f
1 RESOLUTION NO. R13 -Cl b
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 BLUEBIRD LAND TRUST;
9 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, at 1200 Highview Road, Lantana, Florida (PCN: 00- 43- 45 -10-
14 08- 000 - 0830); and
15 WHEREAS, the parcel covered by this agreement is located in unincorporated Palm
16 Beach County portion of the City's utility service area; and
17 WHEREAS, the property historically receives water from a well and the owner now
18 requests that the City provide potable water in the future; and
19 WHEREAS, no additional construction will be required by the City to serve this
20 property.
21 NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF
22 THE CITY OF BOYNTON BEACH, FLORIDA, THAT:
23 Section 1. The foregoing "Whereas" clauses are hereby ratified and confirmed as
24 being true and correct and are hereby made a specific part of this Resolution upon adoption
25 hereof.
26 Section 2. The City Commission hereby authorizes and directs the Interim City
27 Manager to execute a Water Service Agreement between the City of Boynton Beach, Florida
28 and Bluebird Land Trust, a copy of said Agreement is attached hereto as Exhibit "A ".
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11
1 1 1 Section 3. This Resolution shall become effective immediately upon passage.
2 PASSED AND ADOPTED this 1 9 � day of February, 2013.
3
4
5 CITY OF BOYNTON BEACH, FLORIDA
6
7
9 Mayor - Woodrow L. a
10
11
12 ' a fili rcCray
13
14 ii�
15 •rrlmi T. or
16
17 .�
18 Commissi . - er Steven H s lzman
19 e/
20
21 Comminer - Way egal
22 ATTEST:
23
24 �
25 tY) • nt-Ct.
26 Ja -t M. Prainito, MMC
27 'Ay Clerk
28
29 G1 0
30
31
32 (4 sor Seal)
33 0 ,
34 s \C • \Ay e 'fi r Service \Reso - Bluebird Land Trust Water Service Agreement doc
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AGREEMENT FOR WATER SERVICE OUTSIDE THE CITY LIMITS
AND
COVENANT FOR ANNEXATION
(Individuals)
This Agreement, made on this 27 _ day of december , 2012_, by and between
Yves semeah hereinafter called the
"Owner(s),"
and
THE CITY OF BOYNTON BEACH, a municipal corporation of the State of Florida, hereinafter
called the "City "
WITN'ESSETH, the City and the Owner(s), in consideration of the privilege of receiving water
service from the City Water System and the mutual covenants expressed herein, the City of
Boynton Beach and the Owner(s), the heirs, successors and assigns, agree as follows
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
County Property Appraiser's Property Control Number (PCN) 00 43 45 09 000 1810
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 1 (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
Property
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 Property 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 (a) the Owner(s) to use a licensed
contractor to perform the necessary work or (b) 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
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Name 111111111111111
Address
CFN 20130136639
i ' OR BK 25896 P0 0261
RECORDED 03/23)2013 11:25:25
p "fi 1: 30 Palm Beach County, Florida
13 ttl' i\ r Sharon R. Bock, CLERK & COMPTROLLER
Pqs 0261 - 267; (7pgs)
AGREEMENT FOR WATER SERVICE OUTSIDE THE CITY LIMITS
AND
COVENANT FOR ANNEXATION
(Individuals)
This Agreement, made on this 27 day of december , 2012_, by and between
Yves semeah 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 privilege of receiving water
service from the City Water System and the mutual covenants expressed herein, the City of
Boynton Beach and the Owner(s), the heirs, successors and assigns, agree as follows
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
County Property Appraiser's Property Control Number (PCN) 00 43 45 09 000 1810
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 1 (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
Property
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 Property 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 (a) the Owner(s) to use a licensed
contractor to perform the necessary work or (b) 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
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AGREEMENT FOR WATER SERVICE OUTSIDE THE CITY LIMITS
AND
COVENANT FOR ANNEXATION
(Individuals)
8 Any water main extension made under the Agreement shall be used only for Property of
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 Ordinances and regulations of Boynton Beach
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 unless otherwise conveyed or abandoned to the property owner
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 Code of 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 base facility and 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 or her
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 Property
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 eligible under any one or more of the above -
referenced laws concerning annexation Owner(s) will inform any and all purchasers of this
property of this voluntary Petition for Annexation and its applicabilities to such purchasers
15 The Owner(s) acknowledges that this Agreement is intended to be and is hereby made a
covenant running with the land described in paragraph 1 above 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 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
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beyond the City's reasonable control
AGREEMENT FOR WATER SERVICE OUTSIDE THE CITY LIMITS
AND
COVENANT FOR ANNEXATION
(Individuals)
17 The Owner(s) hereby agrees to indemnify, defend and hold harmless the City of Boynton
Beach, its Mayor, Members of the 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 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
19 The Owner(s) warrants to the City that the Owner(s) holds legal and beneficial title to the
Property which is the subject of this Agreement
20 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
(REMAINDER OF THIS PAGE INTENTIONALLY LEFT BLANK)
TWO (2) SIGNATURE PAGES FOLLOW
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AGREEMENT FOR WATER SERVICE OUTSIDE THE CITY LIMITS
AND
COVENANT FOR ANNEXATION
(Individuals)
N WITNESS WHEREOF, the parties hereto have set their hands and seals this 27 day of
december , 2012_ Sealed and delivered in the presence of
TWO WITNESSES as to each Owner INDL. -+ . • (S) AS 0 R S)
LC,_-/1 7
�� F r t ness Signature Ow 0 ature
cn� C s ' eah
Printed Witness Name Printed Owner Name
4 s
Sotnd W ness Si , ids ture
ctC 0S UC
P Wit Nam& U
First Witness Signature Owner Signature
Printed Witness Name Printed Owner Name
Second Witness Signature
Printed Witness Name
FOR OWNER(S) NOTARIZATION
STATE OF FLORIDA )
ss
COUNTY OF PALM BEACH ) -*/)/ ‘441 i ,A /4:3 6 Q , I D _
I HEREBY CERTIFY that on this day. before-4k, ar4fficer duly a thonzed in the State of Florida and in the
Count\ of Palm Beach to take acknowledgments, personally appeared to me 1 �r':` `. EM E. A 4
as the Owner(s) named in the foregoing Agreement and that he /she acknow ged executing the same in the presence of
two subscnbing witnesses freer and voluntanlv and that , t e indi\ idual was personally known to me or pro ided the
following proof of identification f-L./)P 4 „[ ., i I � QS /iecit.L ,
WITNESS my hand and official seal in the Count and State last aforesaid this aY ldav of CDt L _201
(Notary Se 1) ‘'' �) Ca
MARIE T. MILLER
��+ - A Notary Public, State of Florida Notary Public Si e`
� � Commission #EE122609 migic '
"� My oomm, expires Aug. 16, 201®
p Printed Name of Notan Public
M\ Commission Expires At11 l 4°, 010 /6 Commission Number ,z / 2.2401
?age 4 of
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AGREEMENT FOR WATER SERVICE OUTSIDE THE CITY LIMITS
AND
COVENANT FOR ANNEXATION
(Individuals)
CITY OF BOYNTON BEACH, FLORIDA
A Florida municipal corporation
By:
Lori LaVerriere, 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 of Florida and in
the County of Palm Beach, to take acknowledgments, personally appeared Lori LaVernere, Interim City Manager
and Janet Praimto, City Clerk, respectively, of the City named in the foregoing Agreement and that they severally
acknowledged executing same and voluntarily under authonty duly vested in them by said City and that the City 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 Signature
Printed Notary Public Name
My Commission Expires: Commission No.
Page 5 of 5
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IRREVOCABLE SPECIAL POWER OF ATTORNEY
(Individuals)
STATE OF FLORIDA
COUNTY OF PALM BEACH
I/We, yves semeah , 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 43 45 09 000 1810
The powers and authority of my attorney, THE CITY OF BOYNTON BEACH,
FLORIDA, shall commence and be in full force and effect on the 27 day of
december , 2012 and the powers and authority shall be irrevocable by
Grantee
(REMAINDER OF THIS PAGE INTENTIONALLY LEFT BLANK)
SIGNATURE PAGE FOLLOWS
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IRREVOCABLE SPECIAL POWER OF ATTORNEY
(Individuals)
IN WITNESS WHEREOF, we have hereunto set our hands and seals this 211. day of
december , in the year 2012
Sealed and delivered in the presence of
TWO WITNESSES as to each Owner '1 I1 AL(S) • : 4 / R(S)
.VS A //
First Witness Signature Ierer Sign
5 i . 14. LK 1f 'Ai ....
• es emeah
Printed W. e - Printed Owner Name
. _
Se rd ?ri e ss Signature
rih' rated Witness Name
First Witness Signature Owner Signature
Printed Witness Name Printed Owner Name
Second Witness Signature
Printed Witness Name
STATE OF FLORIDA )
SS
COUNTY OF PALM BEACH )
THE FOREGOING INSTRUMENT was acknolNledged before me and executed the same thiZdax of e+n4
20 jy b:s, „ , 0 'AO, and who are known to
me or NA, : ha* ' : Aicei1 T i 4'Awing as proof of identification r 4 e 4r $6/ 'MP �J'4 4 ' V
M�SSIONe,. • i r ��
s t 16, i i �
(Notary Sei : ...,_,o Q °�J 2o //IA
* : • • ... : * = No :''' ature
• 1 #EE 008883 p1
9 •' i Bonded lhN ` pQ� � z _)y X77 C/� 2
s ,,, U o Printed Notary Public Name
M, Commission Expires 7/� er:74 Commission No ` De; 4e
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ASSIGNMENT OF BENEFICIAL INTEREST IN LAND TRUST
STATE OF FLORIDA
COUNTY OF PALM BEACH
THIS ASSIGNMENT is made this 14 day of November, 2012, Bluebird Land Trust, Richard
Housey, Trustee, and (hereinafter referred to as "Assignor "), to Doc's Realty Co, (hereinafter
referred to as "Assignees ").
WITNESSETH:
WHEREAS, the Assignor is a 100% beneficiary of Bluebird Land Trust, a Land Trust, by
instrument dated October 30, 2012, naming Richard Housey as Trustee; and
WHEREAS, EFFECTIVE November 14 , 2012, the Assignor desires to assign to Assignees
100% of Assignor's beneficial interest in the Trust as follows:
100% to: Doc's Realty Co. and appoint new Trustee: Yves Semeah
the total remaining beneficial interest ownership of assignor being 0 %; and WHEREAS, the
Trust instrument does not prohibit such assignment;
NOW, THEREFORE, for valuable consideration, the receipt of which is hereby acknowledged,
the Assignor hereby assigns to Assignees all Assignor's interest as hereinabove stated as the
beneficiary of the Trust, including all monies due or to become due to the Assignor thereunder;
and
Assignees, in consideration of the assignment of Assignor's interest in that certain property
located at: 1200 Highview, Road, Lantana, FL 33462, (the "Property ") agree to pay Assignor on
or before November 11 , 2012 or thereabouts, the sum of $23,500.00, representing the
assignment fee paid to Assignor by Assignees for the Assignment of Beneficial Interest in Land
Trust; and
The Assignor authorizes the Trustee of the Trust to pay directly to Assignees all monies or other
benefits representing, or arising from, the interest assigned hereby, if any.
Assignor acknowledges that Assignee acquired the Property at Foreclosure Auction on October
29 2012, subject to all liens and encumbrances excluding the foreclosing lien, but including
unpaid real estate taxes. Assignee acknowledges that the Property is in as -is, where -is condition,
without warranty or guaranty or inspection reports of any kind. Assignee acknowledges that all
inspections have been concluded and Assignee is satisfied with the condition of the Property.
IN WITNESS WHEREOF, the Assignor has executed this assignment the day and year first
above written.
(Signatories on following pages)
1 itzt
WITNESS: ASSIGNOR: Bluebird Land Trust
l , .. By: ..4..411. At.% ' �. •
Print Name: � J Richard ouse , Trus -
Pri Name: .7e t -- •' 4(.//71 5
State of FLORIDA )
County of PALM BEACH )
Before me, the undersigned officer in and for said county and state, personally appeared Richard
Housey, Trustee, Bluebird Land Trust, known to me (or satisfactorily proven) to be the person
whose name is subscribed to the foregoing instrument and acknowledged that he executed the
same for the purposes contained therein.
IN WITNESS WHEREOF, I have hereunto set my hand and official seal this day of
November, 2012. _
�
/4, ,; e NICOLE Y BYRD pp
My Commission expires: ��7/�� /c , - ' _.L& • 4 MY COMMISSION # EE18707u
No • Public ,• EXPIRES Aprtl 05, 2016
el
(407) 396 -0153 FbrdsNotaryS«vla cum
ASSIGNEES: DOC'S REALTY CO
-7 4,
Oir
Print Name: 4 A ' ca _!fc/ ' s ` - meah, President
'
Prmt Name: tt l
State of FLORIDA )
County of PALM BEACH )
Before me, the undersigned officer in and for said county and state, personally appeared Yves
Semeah, President of Doc's Realty Co, known to me (or satisfactorily proven) to be the person
whose name is subscribed to the foregoing instrument and acknowledged that he executed the
same for the purposes contained therein.
IN WITNESS WHEREOF, 1 have hereunto set my hand and official seal this ( day of
November, 2012. rTh
My Commission expires: 1'� -6?�� �-
Notary Public
• 'rr NICOLE Y BYRD
I ; _• - MY COMMI #
EEleroiA F
•Pt „r EXPIRE Apry 0 5.2016 1
2 (107 7960153 F1prp�
�YSatMs com
. ap
11111111111111111111111111111111101111111111
CFN 20120466931
OR BK 25607 PG 1526
IN THE CIRCUIT COURT OF THE JUDICIAL RECORDED 11/26/2012 14:21:26
CIRCUIT IN AND FOR PALM BEACH COUNTY, FLORIDA Palm Beech County, Florida
ALIT 15, 800.08 �
GENERAL JURISDICTION DIVISION Doc Stamp 110.60
Sharon R. Bock,CLERK 8 COMPTROLLER
CASE NO.2oioCA0o7287
Pg 1526; (lpg)
DEUTSCHE BANK NATIONAL TRUST COMPANY AS TRUSTEE OF THE INDYMAC INDX MORTGAGE LOAN TRUST 2006 -AR29
MORTGAGE PASS THROUGH CERTIFICATES SERIES 2006 -AR29 UNDER THE POOLING AND SERVICING AGREEMENT DATED
i /0 SEPTEMBER i 2006
-9 Plaintiff (s) / Petitioner (s)
• vs.
MARC C ALERTE; MARIE EVELYNE FADEUS; TENANT 1
., Defendant (s) / Respondent (s)
fA
CERTIFICATE OF TITLE
Chapter 45
THE UNDERSIGNED CLERK OF this Court Certifies that a Certificate of Sale was executed and filed in this action on
10/30/12 for the property described herein and that objections to the sale have either not been Sled within the time
allowed by statutory law or, if Sled, have been heard by the court. The property in Palm Beach County, Florida is descr as
follows:
LOT(S) 181, RIDGE GROVE - ADDITION NO. r, ACCORDING TO THE PLAT THEREOF ON FILE IN THE OFFICE OF THE CLERK OF
THE CIRCUIT COURT IN AND FOR PALM BEACH COUNTY, FLORIDA RECORDED IN PLAT BOOK 22, PAGE 43. SAID LANDS
SITUATE, LYING AND BEING IN PALM BEACH COUNTY, FLORIDA
was sold to:
BLUEBIRD LAND TRUST / RICHARD HOUSEY TRUSTEE
3800 Washington Road *606
West Palm Beach, PL 334o5
c".
_, CC Lt. WITNESS my hand and seal of this Court on NOVemgeg 2t s' . 20 /2 .
: ... J �
y U. Sharon R. Bock, Clerk & Comptroller, Palm Beach County
�
UU ( ` CIR
4
,� cv
.2� or A' d J/ /./ . . % t / % - MPT,t? 'r
,. C Deputy Clerk % � %' r ; fi P
r �r,,�[> . �_ • 1 11 �•t o ogoatA WILSON
r...., =^ y; ' qo� STATE OF FLORIDA . FILM BEACH CO j r: :: : ::: - .:::: rr Je •
� � I h0re�
s =°' .� "3`�'x• Y certify that the foregoing is a ?� � ��' 4
� „ 1 , "'•1 crue cosy of the record in my office with, � <4 `
-^-t-7 l; ;' fedac f any as req by Taw �'Cy OV
o
V.5 T, ..L 'S u c �a v F 20 /.2— , r f 0 f F
,HARON R BOCK
CI ERK & COMPTROLLER
BIV — l,,, !ill A .
DEPUTY CLERK
titx ✓J F� !/� t� �Vs
y J M1
Realty, inc.
December 3, 2012
Yves Semeah, D.D.S.
2945 N. Australian Avenue
West Palm Beach, FL 33407
Re: Certificate of Title — 1200 Highview
Dear Mr. Semeah:
Enclosed herewith, please find the original Certificate of Title as recorded in Official Records
Book 25607, Page 1526 in the Public Records of Palm Beach County, Florida.
In the event you have any questions regarding the foregoing, please do not hesitate to contact me.
ery truly yours,
Sharon Restrepo
President
Tel: 561 - 429 -6051 4500 Belvedere Road, Ste A -3 Fax: 561- 429 -6053
West Palm Beach, FL 33405
Page 1 of 1
Edwards, Charlene
From: Allen, Brent
Sent: Wednesday, December 19, 2012 10.02 AM
To: Edwards, Charlene; Bryant, Waneya, Robertson, Dravious
Subject: RE: Is service Available
Yes,
Charlene Water Service is available for 1200 Highview Rd It has a double water service and a
single meter box with a % yoke we will have to see the disconnection of the well they should contact
561 - 742 -6427 when ready.
Brent Allen
City of Boynton Beach Utility Dept.
Utility Engineering / Division
Supervisor Inspections and Locations
Office 561 - 742 -6407
Fax 561- 742 -6298
124 E. Woolbright Rd.
Boynton Beach, FL 33435
allenb@bbfl.us
From: Edwards, Charlene
Sent: Tuesday, December 18, 2012 11:25 AM
To: Allen, Brent
Cc: Penn, Anthony
Subject: Is service Available
Hello Brent Mr Semeah called to see if service is available for 1200 Highview Rd. Contact phone number
561 - 2512713.
12/27/2012
Return to:
Docs Realty Co.
1901 S. Federal Highway
Boynton Beach, FL 33435
TRUSTEES' AFFIDAVIT REGARDING APPOINTMENT OF SUCCESSOR TRUSTEE
STATE OF FLORIDA
COUNTY OF PALM BEACH
BEFORE ME, the undersigned authority, authorized to administer oaths and take
acknowledgements, personally appeared RICHARD HOUSEY who being by me first duly
sworn, deposes and says:
1. The undersigned, RICHARD HOUSEY, is the original Trustee of the Bluebird Land
Trust. Bluebird Land Trust has purchased the following property:
Lots 15 & 16, Block 43, North Palm Beach Plat No. 3, According to the Plat
Recorded in Plat Book 6, Page 39, as recorded in the Public Records of Palm Beach
County, Florida; said land situate lying and being in Palm Beach County, Florida.
2. Pursuant to the terms of the Bluebird Land Trust, RICHARD HOUSEY has tendered
his resignation as Trustee and all of the beneficiaries of the Bluebird Land Trust have
accepted same.
3. Pursuant to the terms of the Bluebird Land Trust, all of the beneficiaries of the Trust
1 have appointed YVES SEMEAH to be th- . ccessor Trustee of the Bluebird Land
"::' ... YVES ME�,rH has accepte o . ` . pp o i . _L, .�,!� /i / I �
' ICHA ' Sr 9 ' S S ' EAH
Sworn to and sub - . - • i efore -me._ this /gi- /) day of November, 2012 by RICHARD
HOUSEY who is .ersonally know to me or as produced
as identification.
_.-77Ke,44, • NICOLE BYRD 1
? •': MY COMMISSION # EE187079 1
Notary Pub is ' .• EXPIRES April 05, 2016
My Commission Expires: - 2/ /Sigi i (407) 390.0163 Flonclallolaryllervioccom 1
Sworn to and subscribed before me this / 3 day of November, 2012 by YVES SEMEAH
who is personally know to me or has produced C t: ((r / (' as
identification.
otary Public
My Commissi .. NICOLE Y BYRD
•.; MY COMMISSION # EE187079
EXPIRES
April 05, 2018
' 39$ -0163 Fiord(' com 1
Page 1 of 1
Gary R. Nikalits, CFA 1ertY Appraiser's Public Access PAPA er
Location Address 1200 HIGHVIEW RD
Municipality UNINCORPORATED
Parcel Control Number 00 43 45 09 09 000 -1810
Subdivision RIDGE GROVE ADD 1 IN
Official Records Book 25607 Page 1526
Sale Date NOV -2012
Legal Description RIDGE GROVE ADD NO 1 LT 181 I
Owners Mailing address
BLUEBIRD LAND TRUST 3800 WASHINGTON RD # 606
HOUSEY RICHARD TRUSTEE WEST PALM BEACH FL 33405
3
Sales Date Price OR Book /Page Sale Type Owner
NOV -2012 $15,800 25607/ 1526 CERT OF TITLE BLUEBIRD LAND TRUST
APR -2005 $129,000 18541 / 0363 WARRANTY DEED ALERTE MARC C &
JAN -2005 $104,000 18074 /1753 WARRANTY DEED OSOWSKY MARCIA
MAR -2002 $50,000 13748 / 0566 WARRANTY DEED MCLEAN WINNICA &
I FEB -2002 $10 13628 / 0927 QUITCLAIM BANK OF AMERICA NA
123 ;
No Exemption Information Available.
Number of Units 1 *Total Square 720 Acres 0.09
Feet
Use Code 0100 - SINGLE Z RM - Multi - Family (Medium Density) (00-
oning
FAMILY UNINCORPORATED)
I
Tax Year 2012 _ 2011 2010
} Improvement Value $8,039 $13,196 $13,196
Land Value $6,600 $6,000 $10,720 ;
Total Market Value $14,639 $19,196 $23,916
All values are as of January 1st each year
Tax Year 2012 2011 2010
Assessed Value $14,639 $19,196 $23,916
Exemption Amount $0 $0 $0
Taxable Value $14,639 $19,196 $23,916
Tax Year 2012 2011 2010
Ad Valorem $280 $376 $473
Non Ad Valorem $313 $313 $301
f
Total tax $593 $689 $774
http: / /www.pbcgov.com/papal Asps /PropertyDetail /PropertyDetail. aspx ?parcel= 004345090... 1 / 15/2013
Water Service Agreements Outside the City of Boynton Beach Limits pci_i2 /6a
( ( (Single Family Homes)
TO: APPLICANTS FOR WATER SERVICE OUTSIDE THE CITY L 1 OIIV13'
(SINGLE FAMILY HOMES) W
FROM: CITY OF BOYNTON BEACH UTILITIES DEPARTMENT Z1OZ L 33Q
RE: WATER SERVICE AGREEMENTS a,3 ^ IJv
1 Please note that all blanks (other than signatures) are to be typed or legibly p • , ` � a
2 Names in the blanks must match the owners' name exactly as it appears on the Deed to the Property
• Correct example John Ralph Customer and Ahce D Customer
• Incorrect example John R and Ahce D Customer
• Incorrect example John and Alice Customer
3 Sign the Agreement for Water Service Outside the City Limits and Covenant for Annexation (on Page 4) and
the separate Irrevocable Special Power of Attorney
4 Have all signatures properly witnessed and notanzed on both Agreements, including the full names inserted in
the Notary's Certification
5 Provide the Property Control Number below and attach a copy of the Deed to the Property and legal description
(Labeled "EXHIBIT A ")
6 Provide the Owner's Information and Property Information requested below
7 Return all documents to Customer Service Office, 100 East Boynton Beach Blvd, Boynton Beach FL, 33435
Sincerely,
Anthony M Penn
Customer Service Manager — Utilities Department
OUR OFFICE WILL NEED AT LEAST ONE WEEK'S REVIEW TIME FOR PROCESSING THIS APPLICATION, PRIOR TO SCHEDULING IT 3 -4
WEEKS BEFORE A CITY COMhIISSION MEETING FOR APPRON, AL CITY COMMISSION MEETINGS ARE NORMALLY SCHEDULED ON
THE 1 AND 3 TUESDAY OF EA/ERY MONTH THE TOTAL TIME SCHEDULE FOR APPROli AL COULD BE AT LEAST 5 -6 WEEKS FROM
THE DATE OF SUBMITTAL TO THE DATE OF COMMISSION APPRO\ AL DEPENDING UPON THE COMMISSION MEETINGS DATES
Owner's Information
Owner's _Name wes senreah
1lailingAddress 1901 s federal hwv bovnton bch fl 33435
No & Street C itti State Zip Code
Home Telephone Vo 561 844 0033 _ Iobile Telephone _Vo 561 251 2713
Property Information
.Iddress 1200 highview rd bovnton bch fl 33435
No & Street Citti State Zip Code
C \ Users\ InternetW7 \AppData\Local\Microsoft \ Window s \Temporary Internet
Files Content 1E5\B2J7R6XZ\Cover_Letter _ - _Single_ Family_Homes_8 -22 -12 [ 11 doc