Fillable Easement Consent Packet Easement Consent Packet

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Easement Consent Packet Easement Consent Packet

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Note: Easement Consent re
q
uests are not a right, but a privilege that may be approved or denied by the
Easement Holder during the review process. Please allow sucient time for the Easement Holder to process
your re
q
uest.
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2300 N Jog Road
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(561) 233-5130
(561) 233-5144 FAX
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Form # 025PBO.043
Revised Date 06/17/20
Page 1 of 2
PALM BEACH COUNTY
PLANNING, ZONING & BUILDING
BUILDING DIVISION
PALM BEACH COUNTY REMOVAL AGREEMENT
Date: ________________________________
PR#: ________________________________
WHEREAS, _________________________________________________________________
(hereinafter referred to as "Owner(s)") are
desirous of constructing or installing a ______________
in a portion of the ______________________________ easement on Owner(s) property, the legal
description of this property being Lot _____ Block _____ Subdivision _______________________
or Metes & Bounds
___________________________________
, as shown in the attached sketch.
WHEREAS, the Owner(s) do covenant that he/she is the fee simple owner of the
property; and
WHEREAS, the above is to be erected for the use and enjoyment or proper functioning of
the property and special aesthetics.
NOW, THEREFORE, in consideration of Palm Beach County (“County”) issuing a building
permit for construction of an improvement within an easement to Owner(s), the Owner(s) hereby
agree to remove, at no expense to the County, the easement holders or the beneficiaries of the
Easement, the above-described improvement from the property within thirty (30) days notice by
the easement holder(s) that said improvement is inconsistent with the use of the Easement. It is
agreed by the Owner(s) that the improvement shall be as depicted on the building permit
application number ________________________________, filed with Palm Beach County
Planning, Zoning and Building Department, and that no other construction shall be in effect in
said Easement. It is agreed by the Owner(s), that this Declaration shall be recorded at the
Owner(s) expense in the Official Records of Palm Beach County, Florida, within ten (10) days of
the date listed above, and that this Removal Agreement shall be a covenant running with the land
and be binding upon the heirs, personal representatives, grantees,
assigns and successors in interest of the Owner(s).
In the event that County and/or Owner(s) are challenged with respect to the placement
of said improvement in the Easement, or a claim for damages is made as a result of the
placement of said improvement in the Easement, Owner(s) shall protect, defend, reimburse,
indemnify and hold County, its agents, employees and elected officers harmless from and
Form # 025PBO.043
Revised Date 06/17/20
Page 2 of 2
against all claims, liability, expense, loss, cost, damages or causes of action of every kind or
character, including attorney’s fees and costs, whether at trial or appellate levels or otherwise
from said challenge.
Upon the vacation, abandonment or discontinuance of the Easement or the removal
of the improvement within the Easement, this Removal Agreement shall immediately and
automatically terminate and be of no further force and effect.
SIGNED, SEALED, EXECUTED AND ACKNOWLEDGED on this __________ day of
_______________________ 20____.
Witness:
Owner Signature
Owner Signature
STATE OF FLORIDA
COUNTY OF PALM BEACH
The foregoing instrument was acknowledged before me this ___________________________
Date
by ___________________________________ , who is personally known to me or who has
Name of Person Acknowledging
produced _________________________________________ as identification and who did/did
not take an oath.
Type of I.D.
SEAL
_____________________
(Signature of person taking
acknowledgement
)
__________________ __________________________________
(Name of officer taking
acknowledgement typed, printed
or stamped)
__________________________________________ ______________________________________
(Title or rank) (Serial number, if any)
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Easement Consent Packet Easement Consent Packet

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Completed 19 June 2020

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