Item #06 Approval for Intent to Annex for Water Service for Francisco and Maria Medina - 521 2nd Street � re c e nter oE Good Li
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AGENDA ITEM COVER SHEET
Meeting Date: January 18, 2011
Item # (�
Reviewed By:
Contact Name: David A. Wheeler, P.E. Department Director: d �f •
Contact Number: 407 - 905 -3100, ext 1504 City Manager:
Subject: Intent to Annex for Water Service for Francisco and Maria Medina at 521 2 Street
District 2 — Commissioner Rosemary Wilsen
Background Summary:
Mr. & Mrs. Medina, who own the property at 521 2 Street, have been customers of the Ocoee water system for
many years. The property was not platted as part of a larger subdivision.
The Medina property was annexed into the City of Ocoee in 1978 as part of a larger parcel of land. The property
has been connected to the City of Ocoee water system since the early 1980s. It was subsequently discovered that
the property was not contiguous to lands within the City and the annexation was nullified by ordinance in 1985.
Some how, starting in 1996 the Orange County Property Appraiser switched the property to being in the City of
Ocoee; it was switched back last year. The switching back and forth between Ocoee and Orange County by the
Property Appraiser's Office has only affected the property taxes and where those taxes were sent upon payment.
Attached please find a copy of the Information Worksheet for Annexation Agreements Related to Sewer /Water
Service; the Intent to Annex Agreement is on file in the Engineering Department and the letter sent to the
Medinas explaining the mix -up by the Property Appraiser's Office and the request by Ocoee to formally execute
the Intent to Annex for Water Service process. The property is currently within unincorporated Orange County
and is not contiguous to the City Limits. However the properties are inside the City's JPA boundary, Water &
Sewer Territorial Boundary, and City Limits. See attached map from City's GIS Department. Therefore, this is
just an Intent to Annex for Water Service at this time.
There is a 6" water main along the east side of 2 Street that provides water service to the property. There are
no sewer facilities in the area to even consider sanitary sewer service. There is available capacity in the potable
water system for this residential customer.
The City's requirement about annexation/intent to annex to be able to provide service and the differences
between resident service and non - resident service were discussed with Mr. and Mrs. Medina. The City is not
requiring the Medinas to pay the water capital charge nor connection fee, as it is assumed that those were paid
when the property was provided service in the early 1980s. The Medinas are a current customer; therefore no
new deposit is required. The Application Processing and Recording Fee is being waived by the City.
The Engineering Department recommends approval of this Intent to Annex and execution of the Intent to Annex
Agreement.
Issue:
Approval and execution of the Intent to Annex Agreement with Mr. and Mrs. Medina to continue to provide
water service to their property at 521 2 Street.
Recommendations
The Staff recommends that the Mayor and City Commission approve of this Intent to Annex request for Mr. and
Mrs. Medina at 521 2nd Street and authorize the Mayor and City Clerk to execute the Intent to Annex
Agreement.
Attachments:
1) Map showing property
2) July 26, 2010 Letter from the City
3) Annexation Agreements for the parcel
Financial Impact:
There is no financial impact to the City.
Type of Item: (please mark with an x')
Public Hearing For Clerk's Dept Use:
Ordinance First Reading Consent Agenda
Ordinance Second Reading Public Hearing
Resolution Regular Agenda
Commission Approval
Discussion & Direction
Original Document/Contract Attached for Execution by City Clerk
Original Document/Contract Held by Department for Execution
Reviewed by City Attorney N/A
Reviewed by Finance Dept. N/A
Reviewed by 0
N/A
2
521 2nd Street
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Mayor „fie Center of Good L l vin °p Commissioners
S. Scott Vandergrift p «► , Gary Hood, District 1
} * '~ =x Rosemary Wilsen, District 2
City Manage ER '� Rusty Johnson, District 3
Robert Frank = Joel F. Keller, District 4
July 26, 2010
Francisco and Maria Medina
521 2 Street
Ocoee, Florida 34761
Dear Mr. and Mrs. Medina:
Until recently, the Orange County Property Appraiser had listed your property at 521 2 Street as
being inside the city limits of Ocoee and had done so since at least 1996. As a result of this inclusion,
you have been paying City of Ocoee taxes and receiving a number of City services, such as stormwater
management, building permitting, and trash pickup. However, other governmental databases, which
are not tied to the Orange County Property Appraiser's data, show your property as being in
unincorporated Orange County. This would lead, for example, to the 9 -1 -1 service dispatching the
Orange County Sheriff's Office rather than the City of Ocoee Police Department to your location in
response to emergency calls.
After checking all applicable records and reconstructing what transpired in the past, we can confirm
that your property is not in the City of Ocoee and is located in unincorporated Orange County.
Accordingly, the Orange County Property Appraiser has modified his records and sent the appropriate
record revisions for the Tax Years 2006 -2009 to the Florida Department of Revenue. We understand
that you will receive an Orange County tax bill for 2010 and will not pay City taxes. You will begin to
receive all services except potable water from Orange County on October 1, 2010; the City will
continue to be your water utility service provider (further discussed below).
Your property is part of a larger parcel annexed into the City of Ocoee in 1978, an action that was
nullified by a subsequent ordinance of the City in 1985, based on the finding that your property was
not eligible at that time for annexation due to its not being contiguous to the city limits. However, we
can now offer the option for you to request annexation into the city and will waive all normal property
owner costs for such an action.
City Commission policy requires all contiguous property owners receiving potable water service from
the city to annex into the city. Should you decide not to annex into the city, you will need to begin
planning for the provision of an alternative water service to your property. We will be unable to
continue to supply your property with potable water service after July 31, 2011. However, the
annexation of your property requires that at least one of your two neighbors who also receive City
water service to annex into the city, as your property is not currently contiguous to the city limits. If
both of these property owners decide not to annex into the city but you ask to do so, then we will be
City of Ocoee • 150 N Lakeshore Drive • Ocoee, Florida 34761
phone: (407) 905 -3100 • fax: (407) 905 -3167 • www.ocoee.org
Medina, p. 2
able to continue to provide potable water service to you beyond July 31, 2011. The actual annexation
process will not occur until one of your neighbors is in the city limits.
Mike Rumer is the City staff person who handles annexation requests. You can contact him at 407-
905 -3100 ext. 9 -1018 or mrumer@ci.ocoee.fl.us. He can also answer any questions you might have
about the history of your property and the annexation process. If he does not hear from you by August
15, 2010, then we will assume that you have chosen not to request annexation and you will seek an
alternative potable water supply.
We apologize for the confusion regarding jurisdiction and hope that you will respond in a timely
manner to address this issue.
Sincerely,
CITY OF OCOEE
Robert Frank
City Manager
cc: Commissioner Rosemary Wilsen, District 2
Mike Rumer, Planner
Steve Krug, Public Works Director
Cathy Sills, Utility Billing Supervisor
Ajit Lalchandani, Orange County Administrator
RF /ab
THIS INSTRUMENT PREPARED BY
AND SHOULD BE RETURNED TO:
Paul E. Rosenthal, Esq.
FOLEY & LARDNER, LLP
111 North Orange Avenue, Suite 1800
Post Office Box 2193
Orlando, FL 32802 -2193
(407) 423-7656
AFTER RECORDING RETURN TO:
City Clerk
CITY OF OCOEE
150 North Lakeshore Drive
Ocoee, Florida 34761
Tax Parcel Identification Number(s) 17- 22 -28- 0000 -00 -096
ANNEXATION AGREEMENT
[Water Service]
THIS ANNEXATION AGREEMENT (the "Agreement ") is made and entered into this 18
day of January 2011, by and between the CITY OF OCOEE, a Florida municipal corporation,
whose mailing address is 150 N. Lakeshore Dr., Ocoee, Florida 34761 (the "City ") and Francisco
and Maria Medina, whose mailing address is 521 2 Street, Ocoee, Florida 34761 (the "Owner ").
WITNESSETH•
WHEREAS, the Owner owns certain real property located at 521 2 Street, Ocoee, Florida
34761, Tax Parcel Identification Number 17- 22 -28- 0000 -00 -096 as more particularly described in
Exhibit "A" attached hereto and by this reference made a part hereof (the "Property"); and
WHEREAS, the Property is located within the City water territorial areas as set forth in the
Territorial Agreements (as defined below); and
WHEREAS, the Property is located within the Joint Planning Area as defined in Joint
Planning Area Agreement dated February 11, 1994 between the City and Orange County as it may be
amended from time to time (the "Joint Planning Area Agreement "), but the Property does not
currently meet the statutory requirements for voluntary annexation under the provisions of Section
171.044, Florida Statutes; and
WHEREAS, the Owner of the Property has requested, and the City has agreed, subject to the
terms, conditions and limitations hereinafter set forth, that the City shall provide water service to the
Property; and
WHEREAS, in consideration of the City providing water service to the Property, the Owner
desires to voluntarily petition the City to annex the Property pursuant to Section 171.044, Florida
Statutes; provided, however, at this time the City cannot annex the Property because the Property
does not currently meet the statutory requirements for voluntary annexation under the provisions of
Section 171.044, Florida Statutes; and
006.188179.1
WHEREAS, the parties acknowledge and agree that this Agreement constitutes a petition
for the voluntary annexation of the Property pursuant to Section 171.044, Florida Statutes; and
WHEREAS, the Owner agrees that at the time the City makes a determination that the
Property meets the statutory requirements for voluntary annexation under the provisions of Section
171.044, Florida Statutes, and upon the request of the City, the Owner shall execute all applications
and documents required by the City, pay all applicable fees, costs and expenses, and provide all
documentation required by Florida law, including, but not limited to, Section 171.044, Florida
Statutes, necessary for the voluntary annexation of the Property.
NOW, THEREFORE, in consideration of the premises and the mutual promises and
agreements set forth herein and other good and valuable consideration the receipt of which is hereby
acknowledged and intending to be legally bound hereby, the parties hereto do hereby agree as
follows:
SECTION 1. Recitals. The Recitals set forth above are true and correct and by this
reference are incorporated herein as part of this Agreement.
SECTION 2. Annexation.
A. The Owner and the City acknowledge and agree that this Agreement constitutes a
petition for the voluntary annexation of the Property pursuant to Section 171.044, Florida
Statutes. The Owner and the City further acknowledge and agree that the petition cannot be
processed at this time because the Property does not meet the statutory requirements for
voluntary annexation under the provisions of Section 171.044, Florida Statutes.
B. The City shall have the right, but not the obligation, to process the petition;
provided, however, that the petition shall not be processed by the City unless and until a
determination is made by the City, in its sole and absolute discretion, that the Property meets the
statutory requirements for voluntary annexation under the provisions of Section 171.044, Florida
Statutes, or such other provisions of the Florida Statutes as may then be applicable to voluntary
annexations. Following such determination by the City and upon the written request of the City,
the Owner shall within thirty (30) days of receipt of such written request from the City (i) execute
all applications and documents required by the City at the time of such request in order to process
the Owner' s petition for voluntary annexation including, but not limited to, the Application for
Annexation and Initial Rezoning Consistent with the Ocoee Comprehensive Plan and the
Annexation and Initial Zoning Hold Harmless Agreement; (ii) pay all applicable fees, costs and
expenses associated with the petition for voluntary annexation as required by the City; and (iii)
provide all documentation required by Florida law, including, but not limited to, Section
177.044, Florida Statutes, for the voluntary annexation of the Property including, but not limited
to, a metes and bounds legal description of the Property. Following the Owner' s compliance
with the foregoing, the City shall have the right, but not the obligation, to process this petition for
voluntary annexation without further action and/or request of the Owner.
C. In the event the City determines, in its sole and absolute discretion, that the
requested annexation is inconsistent with the Ocoee Comprehensive Plan, the Owner must apply
for a Comprehensive Plan Amendment and pay the applicable development review fees in
connection therewith. In the event the City determines, in its sole and absolute discretion, that a
006.188179.1
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developer agreement is required in connection with the annexation, then the Owner must pay the
applicable development review fees in connection therewith. The Owner shall pay such
additional development review fees as may be required by the Code of the City of Ocoee in effect
at the time of annexation.
D. The Owner acknowledges and agrees that this Agreement does not in any way
obligate or require the City to annex the Property or grant to the Owner any particular zoning
which may be requested in connection with such annexation.
E. The Owner acknowledges and agrees that any zoning granted to the Owner in
connection with the Property shall be consistent with the terms and conditions of the Joint
Planning Agreement as it may be amended from time to time.
SECTION 3. Water Service.
A. Subject to the terms, conditions and limitations set forth in this Agreement, the
City agrees to provide water service to the Property upon compliance by the Owner with all
applicable regulations of the City and the payment all fees, costs and expenses associated
therewith. The Owner shall execute all developer agreements for water as required by the City in
connection with the provision of water service to the Property.
B. This Agreement does not in any way reserve any water capacity or guarantee the
availability thereof.
C. The Owner acknowledges and agrees that for so long as the Property is not located
within the corporate limits of the City, the monthly rates and charges for water service as
established by the City from time to time shall be charged at the same rate charged to consumers
within the corporate limits of the City plus a surcharge equal to twenty percent (20 %) of such
monthly rates and charges for water service or such other surcharge as the City may impose from
time to time. The Owner agrees to pay all such charges for water service and surcharges as
required by the City.
D. The Owner acknowledges and agrees that the Property is not located in the
corporate limits of the City and that water capital charges as established by the City from time to
time shall be charged at the same rate to consumers within the corporate limits of the City plus a
surcharge equal to nineteen percent (19 %) of such water capital charges or such other charges as
the City may impose from time to time. The Owner agrees to pay all water capital charges and
surcharges as required by the City.
SECTION 4. Agreement Runs with the Land. In consideration of the City providing
water service to the Property, the Owner and the City acknowledge and agree that this Agreement
is irrevocable and, further, this Agreement and all other rights and obligations of the parties
hereunder are intended to and shall run with the Property, and shall bind, and inure to the benefit
of, the parties hereunder and their respective successors in title.
006.188179.1
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SECTION 5. Representations.
A. The Owner hereby warrants and represents to the City that the Owner currently
owns fee title to the Property and has full power and authority to enter into this Agreement and
that the Property is free and clear of all liens and encumbrances [except for the lien of the
mortgages referenced in the Joinder, Consent and Subordination attached hereto].
B. The City makes no representations or warranties with regard to this Agreement
and reserves the right to process Owner's petition for voluntary annexation in its sole and
absolute discretion.
SECTION 6. Title Evidence and Survey.
A. As a condition precedent to the execution of this Agreement by the City, the
Owner shall provide title evidence, in a form and substance satisfactory to the City, showing the
Owner as the owner of fee simple title to the Property. Such title evidence shall also show
whether the Property is encumbered by a mortgage or otherwise. In the event the Property is
encumbered, the Owner shall provide a Joinder, Consent and Subordination of all mortgagees to
this Agreement prior to the execution of this Agreement by the City.
B. Unless the Property is a platted lot as shown in the title evidence required above,
as a condition precedent to the execution of this Agreement by the City, the Owner shall provide
a survey in accordance with the minimum technical standards for land surveys set forth in
Chapter 61G17 -6, Florida Administrative Code. Such survey shall be consistent with the legal
description of the Property set forth in Exhibit "A ".
SECTION 7. Notices. Any notice required to be given hereunder shall be in writing and
shall be delivered in person or by certified mail, postage paid, return receipt requested as follows.
If such notice is to be given to the City, such shall be given at the address set forth above. If such
notice is to be given to the Owner, such shall be given at the address shown in the tax collector' s
records for the Tax Parcel Identification Number set forth above. Any notice, direction or other
communication delivered or mailed, as directed above shall be deemed to be delivered as of three
(3) days after the date of mailing or, if delivered personally, when received.
SECTION 8. Defaults and Remedies. IN THE EVENT THE OWNER FAILS TO
COMPLY WITH ANY OF THE TERMS AND CONDITIONS OF THIS AGREEMENT AND
SUCH FAILURE CONTINUES FOR THIRTY (30) DAYS AFTER WRITTEN NOTICE
FROM THE CITY, THE CITY MAY DISCONNECT AND TERMINATE ANY WATER
SERVICE PROVIDED TO THE PROPERTY. THE OWNER HEREBY CONSENTS TO
SUCH DISCONNECTION AND TERMINATION OF WATER SERVICE AND EXPRESSLY
WAIVES ANY CLAIMS BASED UPON THE DISCONNECTION AND TERMINATION OF
SUCH WATER SERVICE BY THE CITY.
OWNER'S INITIALS: %l ( !t I
006.188179.1
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SECTION 9. Indemnification.
A. The Owner hereby agrees to indemnify and save the City harmless from and
against all losses, costs, expenses, claims, damages, judgments, liabilities and causes of action
whatsoever (collectively, "Claims ") including reasonable attorneys' fees and paralegal fees both
at trial and at appellate levels, arising out of or alleged to have arisen out of this Agreement or
been occasioned, in whole or in part, by the exercise of the City of its rights granted hereunder.
The Owner shall use its best efforts to promptly notify the City in writing of any Claim and shall
provide the City with information regarding the Claim as the City may reasonably request, but
the failure to give such notice or provide such information shall not diminish the Owner's
obligations under this Section.
B. No Claim whatsoever shall be made or asserted against the City by the Owner for
or on account of anything done or as a result of anything done or omitted to be done in
connection with this Agreement.
SECTION 10. Recording. The Owner acknowledges and agrees that the City shall
record this Agreement in the Public Records of Orange County, Florida, and the Owner agrees to
pay all costs associated therewith.
SECTION 11. Territorial Agreements. The references herein to the Territorial
Agreements refer to (i) the Orange County /City of Ocoee Service Territorial Agreement
(Contract No. S- 87 -8), dated June 8, 1987, as amended by the First Amendment thereto dated
February 11, 1994, as it may be amended from time to time, and (ii) the Orange County /City of
Ocoee Water Service Territorial Agreement (Contract No. W- 88 -06), dated November 14, 1988,
as amended February 11, 1994, as it may be amended from time to time.
SECTION 12. Real Property Taxes for Conveyance. In the event of any conveyance
of real property by the Owner to the City, real property taxes in connection with the conveyance
shall be prorated as of the day before the acceptance of the conveyance by the City and the
prorated amount shall be paid by the Owner and shall be escrowed in accordance with the
provisions of Section 196.295, Florida Statutes.
SECTION 13. Miscellaneous.
A. ANY FUTURE OWNERS OF THE PROPERTY SHALL TAKE TITLE TO THE
PROPERTY SUBJECT TO THIS AGREEMENT AND BY ACCEPTING A DEED OF
CONVEYANCE TO THE PROPERTY, AGREE TO BE BOUND BY THE TERMS AND
CONDITIONS OF THIS AGREEMENT.
B. The Property shall be deemed a single parcel and any subparcels of the Property
which are created by subdivision or by any other means shall be subject to the terms and
conditions of this Agreement, subsequent sale and individual ownership notwithstanding.
C. This Agreement may not be modified or amended, or any term or provision hereof
waived or discharged except in writing, in recordable form, signed by the parties hereto, or their
respective successors and assigns. Any such modification or amendment shall not be effective
until recorded in the Public Records of Orange County, Florida.
006.188179.1
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D. This Agreement shall be construed and enforced in accordance with, and governed
by, the laws of the State of Florida.
E. All of the terms of this Agreement, whether so expressed or not, shall be binding
upon the respective successors, assigns and legal representatives of the parties hereto and shall
inure to the benefit of and be enforceable by the parties hereto and their respective successors,
assigns and legal representatives.
F. The headings of this Agreement are for reference only and shall not limit or
otherwise affect the meaning thereof.
G. In the event the either party institutes a legal proceeding against the other party, to
enforce the terms of this Agreement or for breach of any of the terms, conditions or covenants of
this Agreement, the prevailing party shall be entitled to recover from the other party its
reasonable attorney's fees, paralegal fees and costs, both at the trial and appellate levels.
H. In the event a third party institutes a legal proceeding against the City and/or the
Owner, regarding the enforceability of this Agreement or any other matters arising out of or
related to this Agreement, the annexation of the Property or the provision of water service, then
in such event the Owner shall pay all costs, fees, charges, and expenses of the City relative
thereto, including but not limited to attorney's fees and paralegal fees at both the trial and
appellate levels.
I. In addition to each and every remedy now or hereafter existing at law or in equity,
the parties hereto expressly agree that City shall have the right to enforce this Agreement by an
action for specific performance.
J. As from time to time requested by the City, the Owner agrees to execute such
additional documents as may be necessary in order to effectuate the provisions of this
Agreement.
K. This Agreement embodies and constitutes the entire understandings of the parties
with respect to the subject matter hereof and all prior or contemporaneous agreements,
understandings, representations and statements, oral or written, are merged into this Agreement.
L. The attached Exhibits are part of this Agreement as though fully set forth in this
Agreement.
006.188179.1
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IN WITNESS WHEREOF, the City has "CITY"
caused this Agreement to be executed as of the
day and year first written above. Signed, sealed CITY OF OCOEE, a Florida municipal
and delivered corporation
in the presence of:
By:
S. Scott Vandergrift, Mayor
Signature
Attest:
Print/Type Name Beth Eikenberry, City Clerk
(SEAL)
Signature
Print/Type Name
FOR USE AND RELIANCE ONLY BY APPROVED BY THE OCOEE CITY
THE CITY OF OCOEE, FLORIDA. COMMISSION AT A MEETING
APPROVED AS TO FORM AND HELD ON , 20
LEGALITY UNDER AGENDA ITEM NO.
this day of , 20
FOLEY & LARDNER, LLP
By:
City Attorney
STATE OF FLORIDA
COUNTY OF ORANGE
I HEREBY CERTIFY that on this day, before me, an officer duly authorized in the State
aforesaid and in the County aforesaid to take acknowledgements, personally appeared S. SCOTT
VANDERGRIFT and BETH EIKENBERRY, personally known to me to be the Mayor and City
Clerk, respectively, of the CITY OF OCOEE, a Florida municipal corporation, and that they
severally acknowledged executing the same on behalf of said municipality in the presence of two
subscribing witnesses freely and voluntarily under authority duly vested in them by said
municipality.
WITNESS my hand and official seal in the County and State last aforesaid this day of
, 20_.
Signature of Notary
Name of Notary (Typed, Printed or Stamped)
Commission Number (if not legible on seal):
My Commission Expires (if not legible on seal):
006.188179.1
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[EXECUTION PAGE FOR INDIVIDUAL OWNER]
IN WITNESS WHEREOF, the Owner has caused this Agreement to be duly executed the
D 4.-- day of J c u our j , 20 \ I .
Signed, sealed and delivered
i - presence of: "OWNER"
0
OR % - L.. r , ,.
X11. . u e / L Francisco Medina
ll -v
Print/Type Name
Signature
ts\D W - t \ \t 0-MS
Print/Type Name
STATE OF 4 o 4Z i cl o`
COUNTY OF O c r
I HEREBY CERTIFY that on this day, before me, an officer duly authorized in the State
and County aforesaid to take acknowledgements, personally appeared
, who [ ] is personally known to me or [ I71 produced
F Lt L as identification, and that jhe acknowledged executing the
foregoing instrument for the purposes and uses therein described.
WITNESS my hand and official seal in the County and State last aforesaid this ID, day of
20 1.L.
.
Signature of . `. TISHA WILLIAMS
, * MY COMMISSION t DD 850804
EXPIRES: January 22, 2013
� n d e Bonded Tin Budget Notary Services
Name of Notary (Typed, Printed or Stamped)
Commission Number (if not legible on seal):
My Commission Expires (if not legible on seal):
006.188179.1
-8-
[EXECUTION PAGE FOR INDIVIDUAL OWNER]
IN WITNESS WHEREOF, the Owner has caused this Agreement to be duly executed the
la day of 3.-a -ALL.. , 201,1 .
Si d, sealed and delivered
i ► e presence of: "OWNER"
Ns, 6 (Z- . /Xe, 7 , /
Inature Maria Medina
Print/Type Name
Signature
\\ \ $ `V oLrr
Print/Type Name
STATE OF \.D cL; do-
COUNTY OFOc
I HEREBY CERTIFY that on this day, before me, an officer duly authorized in the State
and County aforesaid to take acknowledgements, personally appeared
, who [ ] is personally known to me or [ ✓] produced
PLD L as identification, and that S he acknowledged executing the
foregoing instrument for the purposes and uses therein described.
WITNESS my hand and official seal in the County and State last aforesaid this IZ day of
o.xtut�l y , 20 ‘1 .
" er. TISHA WILLIAMS
Signature of ° MY COMMISSION N DD 850804
'` EXPIRES: January 22, 2013
‘P'9TF0 F P.c," Bonded flirt Budget Notary Services
Name of Notary (Typed, Printed or Stamped)
Commission Number (if not legible on seal):
My Commission Expires (if not legible on seal):
006.188179.1
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JOINDER, CONSENT AND SUBORDINATION
The undersigned hereby certifies that is the
holder of a mortgage, lien or other encumbrance upon the above described property, and that the
undersigned hereby joins in and consents to the foregoing instrument by the owner thereof and
agrees that its mortgage, lien or other encumbrance, which is recorded in Official Records Book
, Page , in the original sum of $ , of the Public Records of
Orange County of Florida, shall be subordinated to the foregoing instrument.
Signed, sealed and delivered "OWNER"
in the presence of:
By:
Signature
Print Name:
Print/Type Name Its:
(CORPORATE SEAL)
Signature
Print/Type Name
STATE OF
COUNTY OF
THIS IS TO CERTIFY, that on this day of , 2004, before me,
an officer duly authorized to take acknowledgements in the State and County aforesaid, personally
of
appeared as w h o [ ] is
personally known to me or [ ] produced as identification, and that who
acknowledged that he as the individual described in and who executed the foregoing instrument
and acknowledged the execution thereof to be his/her free act and deed as such officer thereunto duly
authorized, that the official seal of said corporation is duly affixed thereto.
IN WITNESS WHEREOF, I have hereunto set my hand and seal on the above date.
NOTARY PUBLIC
Name:
My Commission expires:
006.188179.1
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EXHIBIT "A"
LEGAL DESCRIPTION
W 120 FT OF N 151.3 FT OF S 960.05 FT OF E 1 /2 OF SE '/4 OF NE 1/4 OF SEC 17 -22 -28
006.188179.1
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