Fillable ANNEXATION APPLICATION (City of Edgewater Florida)

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ANNEXATION APPLICATION (City of Edgewater Florida)

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City of Edgewater
Annexation Application 1
ANNEXATION APPLICATION
104 N. Riverside Drive
Edgewater, FL 32132
386.424.2400 ext. 1502
Planning@cityofedgewater.org
Application Fee: $200.00
Case Number: office use only
Applicant Information (Must be a person)
Name: enter applicant name here
Phone: en
Email:
Mailing Address:
Property Owner Information (if different from applicant)
Name: Phone:
Address:
Property Information
Street Address/Location:
Parcel ID No:
Acreage:
Existing Future Land Use Designation:
Existing Zoning Designation:
Required Documents:
• Current Deed
• Signed and sealed survey showing all existing structures and all new alterations (waterfront property must
show the Mean High Water Line and Wetlands Vegetation Line) and must include a metes and bounds legal
description.
• Any other materials deemed necessary by Staff
Disclaimer and Signature
Pursuant to Chapter 286, F.S., if an individual decides to appeal any decision made with respect to any matter
considered at a meeting or hearing, that individual will need a record of the proceedings and will need to insure
that a verbatim record of the proceeding is made. The City does not prepare or provide such record.
PLEASE SUBMIT YOUR APPLICATION WITH ALL REQUIRED ATTACHMENTS. SUBMISSIONS OF INCOMPLETE
APPLICATIONS WILL DELAY PUBLIC HEARINGS.
APPLICATION FEES ARE NON-REFUNDABLE.
I have read and agree to the terms and conditions set forth in this application.
Applicant Signature: Date:
City of Edgewater
Annexation Application 2
NOTARIZED AUTHORIZATION OF OWNER
(to be completed only if applicant is not the property owner)
I/weClick here to enter text. as the sole or joint fee simple holder of the property described as
Click here to enter text. authorize Click here to enter text. to act as my agent to seek Annexation of
the above-referenced property.
Owner Signature: Date:
Print Name:
Owner Signature: Date:
Print Name:
STATE OF FLORIDA, COUNTY OF VOLUSIA
Subscribed and sworn before me this Click here to enter text. day of Click here to enter text., 2020 by
means of ☐ physical presence or ☐ online notarization, and who is ☐ personally known to me or
☐ produced the following identification
Click here to enter text..
SEAL
Notary Public
City of Edgewater
Annexation Application 3
AGREEMENT FOR CONSULTANT, ENGINEERING, PLANNING,
ENVIRONMENTAL, LEGAL, ADVERTISING COSTS & ON-SITE INSPECTIONS
The City of Edgewater contracts for certain consultant, engineering, planning,
environmental and legal services related to its review of development projects. All fees charged by
any such consultant, engineering, planning, environmental, on-site inspections and/or legal service
providers are required to be paid by the owner/applicant. In addition, the owner/applicant is
required to pay all advertising and recording costs in connection with application submitted by the
undersigned.
The undersigned agrees that it shall be liable to the City for one hundred percent (100%) of
the actual costs, both direct and indirect, of coordinating and reviewing the application submitted
by the undersigned, including, but not limited to, the following:
Engineering Review and Approval Fees
Planning Consultant Fees
On Site Inspection and Approval Fees
Legal Fees
Advertising Costs
Recording Costs
The owner/applicant does hereby acknowledge that on-site inspections by City staff,
consultants, elected and appointed officials are permitted on said property.
The undersigned agrees to pay the above-referenced fees within thirty (30) days of receipt
of an invoice for same and further agrees to pay to the City interest on the unpaid balance at the
rate of one percent (1%) per month for any fees not remitted within thirty (30) days of receipt of an
invoice for same. No site inspections, Development Order or Certificates of Occupancy will be
issued until all of the above-referenced fees are paid in full.
OWNER/APPLICANT
Signature: Date:
Print Name: Title:
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ANNEXATION APPLICATION (City of Edgewater Florida)

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Completed 22 January 2021

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