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Item R1Meeting Date: 11 / 16/2011 Bulk Item: Yes No X Division: Growth Management Department: Planning and Env. Resources Staff Contact/Phone #: Tiffany Stankiewicz 289-2513 Michael Roberts 289-2502 AGENDA ITEM WORDING: A public hearing to consider a request for Administrative Relief for Steve Nannini on Lot 7, Block 5, Gulfstream Shores, Key Largo, Real Estate Number 00565390.000000. ITEM BACKGROUND: A building permit was applied for on 10/14/2005 and a ROGO application was applied for on 2/13/2006. The applicant applied for administrative relief on 7/15/2010 and is within the allowable time frame to be eligible for administrative relief under Section 138-27 of the Monroe County Code. Staff recommends that administrative relief be awarded in the form of a purchase offer by the Monroe County Land Authority. The property is in Tier 1 and is not on the list for re -consideration of a tier designation. The property is on the FEMA Injunction List. As of Quarter 4 Year 19 this application's market rate ranking was #135 out of 138 applications in the Upper Keys subarea. If the owner does not accept the offer provided by the Land Authority, the property remains in ROGO. The application will continue to earn perseverance points pursuant to the vesting provision for applications in the ROGO system prior to the effective date of Ordinance 09-2006. After the application has been in ROGO 5 years, it will begin earning 2 perseverance points per year for each year thereafter that the application remains in the ROGO system. The applicant may amend the ROGO application to increase points through land dedication or purchasing points. PREVIOUS RELEVANT BOCC ACTION: N/A CONTRACT/AGREEMENT CHANGES: N/A STAFF RECOMMENDATIONS: Approval in the form of a purchase offer by the Monroe County Land Authority. TOTAL COST: N/A INDIRECT COST: N/A BUDGETED: Yes N/A No 1 711 11i 11111 W t1i of W 04 " COST TO COUNTY: N/A SOURCE OF FUNDS: N/A REVENUE PRODUCING: Yes No AMOUNT PER MONTH Year APPROVED BY: County Atty X OMB/Purchasing N/A Risk Management _N/A DOCUMENTATION: Included X Not Required DISPOSITION: AGENDA ITEM # i MEMORANDUM MONROE COUNTY PLANNING & ENVIRONMENTAL RESOURCES DEPARTMENT We strive to be caring, professional and fair To: Monroe County Board of County Commissioners From: Tiffany Stankiewicz, Development Administrat Michael Roberts, CEP; PWS, Sr. Administrator Environmental Resources Through: Townsley Schwab, Director of Planning & Environmental Resource Date: October 20, 2011 Subject: Request for Administrative Relief for Nannini Lot 7, Block 5, Gulfstream Shores, Key Largo, Real Estate No. 00565390.000000 1 2 I. BACKGROUND 3 4 The applicant is eligible for Administrative Relief, has complied with all requirements of the 5 dwelling unit allocation system, has been considered in the first sixteen consecutive quarterly 6 allocations and has not received an allocation award. 7 8 Date Entered ROGO: 2/13/2006 9 10 Date Entered Administrative Relief: 7/15/2010 11 12 Tier Score: 16 13 Tier 1: 10 14 Perseverance: 6 15 16 This application was ranked #135 in Quarter 4 Year 19. 17 18 II. CURRENT CONDITIONS 19 20 Location: Lot 7, Block 5, Gulfstream Shores, Key Largo, Real Estate No. 00565390.000000 21 22 Owner: Steve Nannini Applicant/Agent: N/A 23 24 Land Use District: Improved Subdivision (IS) FLU: Residential Medium (RM) 25 26 Tier:1 27 28 Property is on the FEMA Injunction list. 29 Page 1 of 3 Reviewed by 05305610 1 2010: Total Assessed Value: $22,500 Purchase Price in 4/1/1998: $10,000 2 3 The Key Largo Wastewater Treatment District has not assessed this property and as of August 4 2011 the Key Largo Wastewater Treatment Board had not notified the property owners of a 5 decision of what they plan to do on SR-905. 6 7 Additional Relevant Information: 8 The property is located in Tier 1. The parcel is sparsely vegetated by herbaceous ground cover 9 with occasional lead trees and contains piles of mulch which have been dumped on the property. 10 The properties to the east, west, and south are vacant and the properties to the northeast, east, and 11 southwest are in public ownership. The property to the north is developed with single-family 12 residence. The subject parcel is located within a block of Gulfstream Shores Plat containing 31 13 parcels of which approximately 17 are in public ownership. The habitat data is a mix of 14 "developed" and "undeveloped" land. The species data (Florida Keys Carring Capacity) does not 15 depict any endangered species, although in the 2010 Fish & Wildlife Service FEMA biological 16 opinion, the subject lot is within an area which includes the wood rat, cotton mouse and east 17 indigo snake focus area. 18 19 The Gulfstream Shores plat was approved on July 6, 1954 for 100 lots and 1 tract. Based on the 20 Monroe County Property Appraiser records Gulfstream Shores has approximately 23 residential 21 units and 9 multi -family units for an overall total of 32 parcels developed with residential out of 22 the 101 platted lots/tract. The deduction of 32 residential developed properties from101 platted 23 lots/tract leaves approximately 69 vacant parcels. Over 50% of this subdivision is undeveloped. 24 The entire subdivision is in Tier 1. 25 26 27 III. LEGAL ELIGIBILITY AND OPTIONS 28 29 Eligibility for Administrative Relief Options: 30 Section 138-27 of the Monroe County Land Development Regulations and Policy 101.6.1 of the 31 2010 Comprehensive Plan provides a mechanism whereby an applicant who has not received an 32 allocation award in the ROGO system may apply to the Board of County Commissioners for 33 Administrative Relief. The applicant is eligible for Administrative Relief having complied with 34 all requirements of the dwelling unit allocation system and having been considered in at least the 35 first sixteen consecutive quarterly allocation periods, and not having received an allocation 36 award. The application was timely submitted for administrative relief in the form of one (1) 37 ROGO allocation award and the applicant has not expressed a desire to sell the property to the 38 County. 39 40 Relief Options under Administrative Relief: 41 The remedies available to the Board of County Commissioners for Administrative Relief 42 pursuant to Section 138-27 include: 43 44 a. Offer to purchase the property at its fair market value as its preferred action if the 45 property is located within: a) a designated Tier I area; b) a designated Tier II area Page 2 of 3 Reviewed by 05305610 1 (Big Pine Key and No Name Key); c) a designated Tier III -A area (Special 2 Protection Area); or d) a designated Tier III area on a non -waterfront lot suitable 3 for affordable housing. 4 b. Grant the applicant an allocation award for all or a number of dwelling units 5 requested in the next succeeding quarterly allocation period or extended pro rata 6 over several succeeding quarterly allocation periods as the preferred action for 7 buildable properties not meeting any of the criteria in (1) above. 8 c. Suggest or provide such other relief as may be necessary and appropriate. 9 10 In the event purchase is recommended and the owner refuses the purchase offer, the 11 applicant may remain in the ROGO System and continue earning perseverance points 12 according to Monroe County Code Section 138-28. 13 14 IV. RECOMMENDATION 15 16 It is recommended that the Board of County Commissioners find that the applicant has met the 17 criteria and qualifies for Administrative Relief. It is further recommended that a Resolution be 18 adopted that establishes this relief by an offer to purchase by the Monroe County Land 19 Authority. 20 21 Page 3 of 3 Reviewed by 05305610 RESOLUTION NO. —2011 A RESOLUTION BY THE MONROE COUNTY BOARD OF COUNTY COMMISSIONERS APPROVING THE REQUEST FOR ADMINISTRATIVE RELIEF MADE BY STEVE NANNINI ON PROPERTY DESCRIBED AS LOT 7, BLOCK 5, GULFSTREAM SHORES, KEY LARGO, RE # 00565390.000000 IN THE FORM OF A PURCHASE OFFER FROM THE MONROE COUNTY LAND AUTHORITY. WHEREAS, Steve Nannini submitted an application for administrative relief under Sec. 138-27 of the Monroe County Land Development Regulations; and WHEREAS, the Monroe County Board of County Commissioners makes the following findings of fact and conclusions of law: 1. The application for administrative relief from Steve Nannini is for Lot 7, Block 5, Gulfstream Shores, Key Largo in Monroe County, Florida having RE# 00565390.000000. 2. The date of the ROGO application is 2/13/2006. 3. The ROGO allocation application has been in the ROGO system for at least four (4) consecutive years and qualifies for administrative relief under Policy 101.6.1 of the Monroe County Year 2010 Comprehensive Plan. 4. Monroe County Code (MCC) Section 138-27 provides a mechanism whereby an applicant who has not received an allocation award in ROGO may apply to the Board of County Commissioners for administrative relief. 5. The Board of County Commissioners (BOCC) has the authority to grant administrative relief under Section 138-27(f) and may grant the applicant a building allocation, offer to purchase the property at fair market value, or provide such other relief as may be necessary and appropriate. 6. The applicant applied for administrative relief on 7/15/2010, under Section 138-27 of the MCC and Policy 101.6.1 of the 2010 Comprehensive Plan. 7. Policy 101.6.5 of the 2010 Comprehensive Plan provides criteria to be used for determining lands that are appropriate for acquisition and the criteria includes the environmental sensitivity of the vegetative habitat on the lot and the applicable Tier designation. ADMINISTRATIVE RELIEF RESOLUTION Page 1 of 2 RE# 00565390.000000 05305610 8. The subject property has the land use district designation of Improved Subdivision (IS), is located in the Gulfstream Shores Subdivision and is located in a Tier 1 designated area and is also within the Florida Forever acquisition boundary. 9. Monroe County Code (MCC) Section 138-27(f) states the Board may offer to purchase property at its fair market value as the preferred action for property located within Tier 1. be 1 1 t ' 1 l tRK93 WO 1 1'WK1100 612 81 MIJ' 1 Administrative relief is granted to Steve Nannini, for Lot 7, Block 5, Gulfstream Shores Subdivision, Key Largo in the form of a purchase offer by the Monroe County Land Authority. PASSED AND ADOPTED by the Board of County Commissioners of Monroe County, Florida at a regular meeting held on the 16th day of November, 2011. Mayor Heather Carruthers Mayor Pro Tem, David Rice Commissioner Kim Wigington Commissioner George Neugent Commissioner Sylvia J. Murphy BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA Wo ADMINISTRATIVE RELIEF RESOLUTION RE# 00565390.000000 05305610 Page 2 of 2 I w coo � law In NOM ;4 a g M pawm �e' uIH REF �1 a.�i p sS a�So�E u� fps �y i m! o e•� o P �� _ u j p w T_y 1 "a e°o S'ya 8 w; s•sz�= 'Y$� b= Ea aim+ Wr ��'gN Se.zp L . f ie 0 •;pi_ '4 ^ $Ye t7 Wcpx�tLLmeinM"8" W j6 sEM a co �O i / untie FED S y oa 3! mod, r:�z < Y u � Jf8a 8w€ MI �p m Y !k p !� O ZIL i g a� �E LP ICE ; 2 Y�. �+ O o a r^� - 11 to Y m U a W W o o ^� u � E a z�in 3 asx: trs 'gg fig= i i gada .EFa2 o.' m°� Q m�W pxe t 83 =4Yo� c #FFFg 0 J a CLe9 1 �N MONROE COUNTY PROPERTY APPRAISER DATA RECHAR PC YRBLT LEGALI LOCATION SUBDIVISION 00565840-000000 01 1958 BK 6 LT 21 GULFSTREAM SHORES KEY LARGO OR425-307 25 OCEAN DR GULFSTREAM SHORES 00565750-000000 01 1960 GULFSTREAM SHORES PB3-61 KEY LARGO LOTS 12 & 13 BK 20 PALM DR GULFSTREAM SHORES 00565420-000000 01 1963 BK 5 LT 10 GULFSTREAM SHORES PB3-61 KEY LARGO OR 20 OCEAN DR GULFSTREAM SHORES 00565020-000000 01 1971 GULFSTREAM SHORES PB3-61 KEY LARGO LOTS 9 & 10 BK 21 PALM DR GULFSTREAM SHORES 00565660-000000 01 1971 BK 6 LT 3 GULFSTREAM SHORES P133-61 KEY LARGO OR6 6 PALM DR GULFSTREAM SHORES 00565450-000000 01 1973 BK 5 LT 13 GULFSTREAM SHORES PB3-61 KEY LARGO OR47 26 N OCEAN DR GULFSTREAM SHORES 00565270-000000 01 1978 BK 4 LT 1 GULFSTREAM SHORES PB3-61 KEY LARGO OR6 206 N OCEAN DR GULFSTREAM SHORES 00565140-000000 01 1978 BK 2 LT 4 GULFSTREAM SHORES PB3-61 KEY LARGO OR59- 4 OLEANDER AVE GULFSTREAM SHORES 00565280-000100 01 1981 GULFSTREAM SHORES PB3-61 KEY LARGO SW1/2 LOT 2 BK 208 OCEAN DR GULFSTREAM SHORES 00565280-000000 01 1981 GULFSTREAM SHORES PB3-6 KEY LARGO NE1/2 LOT 2 & AL 210 OCEAN DR GULFSTREAM SHORES 00565110-000000 01 1983 BK 2 LT 1 GULFSTREAM SHORES P133-61 KEY LARGO OR5 1 HIBISCUS AVE GULFSTREAM SHORES 00565910-000000 01 1983 BK 6 LT 28 GULFSTREAM SHORES P133-61 KEY LARGO OR57 7 OCEAN DR GULFSTREAM SHORES 00565870-000000 01 1985 BK 6 LT 24 GULFSTREAM SHORES PB3-61 KEY LARGO OR59 15 N OCEAN DR GULFSTREAM SHORES 00565130-000000 01 1986 BK 2 LT 3 GULFSTREAM SHORES P133-61 KEY LARGO OR59- 3 OLEANDER AVE GULFSTREAM SHORES 00565210-000000 01 1987 BK 3 LT 3 GULFSTREAM SHORES PB3-61 KEY LARGO OR5 205 N OCEAN DR GULFSTREAM SHORES 00565610-000000 01 1987 BK 5 LT 29 GULFSTREAM SHORES P133-61 KEY LARGO OR59 5 GULFSTREAM DR GULFSTREAM SHORES 00565160-000000 01 1988 BK 2 LT 6 GULFSTREAM SHORES P133-61 KEY LARGO OR6 6 OLEANDER AVE GULFSTREAM SHORES 00564990-000000 01 1990 BK 1 LT 6 GULFSTREAM SHORES KEY LARGO OR543-71 OR1 13 PALM DR GULFSTREAM SHORES 00565050-000000 01 1990 BK 1 LT 12 GULFSTREAM SHORES PB3-61 KEY LARGO OR 25 PALM DR GULFSTREAM SHORES 00565180-000000 01 1991 GULFSTREAM SHORES PB3-61 KEY LARGO LOT 8 & PT 25' 216 HIBISCUS AVE GULFSTREAM SHORES 00565570-000000 01 1997 BK 5 LT 25 GULFSTREAM SHORES PB3-61 KEY LARGO OR52 15 GULFSTREAM DR GULFSTREAM SHORES 00564950-000000 01 1997 GULFSTREAM SHORES PB3-61 KEY LARGO LOTS 1-3 BK 1 5 PALM DR GULFSTREAM SHORES 00565080-000000 01 2000 BK 1 LT 15 GULFSTREAM SHORES PB3-61 KEY LARGO OR11 31 PALM DR GULFSTREAM SHORES 00565830-000000 08 1963 BK 6 LT 20 GULFSTREAM SHORES KEY LARGO OR330-187 0 23 OCEAN DR GULFSTREAM SHORES 00565430-000000 08 1973 BK 5 LT 11 GULFSTREAM SHORES PB3-61 KEY LARGO OR63 24 OCEAN DR GULFSTREAM SHORES 00565470-000000 08 1973 BK 5 LT 15 GULFSTREAM SHORES P133-61 KEY LARGO OR50 30 OCEAN DR GULFSTREAM SHORES 00565890-000000 08 1976 GULFSTREAM SHORES P133-61 KEY LARGO LOTS 4 & 25-2 11 OCEAN DR GULFSTREAM SHORES 00565000-000000 08 1976 BK 1 LT 7 GULFSTREAM SHORES KEY LARGO P133-61 OR543 15 PALM DR GULFSTREAM SHORES 00565220-000000 08 1978 BK 3 LT 4 GULFSTREAM SHORES KEY OR343-565 OR757-81 209 OCEAN DR GULFSTREAM SHORES 00565740-000000 08 1987 BK 6 LT 11 GULFSTREAM SHORES KEY LARGO P133-61 OR 16 PALM DR GULFSTREAM SHORES 00565190-000000 08 1987 GULFSTREAM SHORES P133-61 KEY LARGO LOTS 1 & 2 BLK 201 N OCEAN DR GULFSTREAM SHORES 00565860-000000 08 1988 BK 6 LT 23 GULFSTREAM SHORES P133-61 KEY LARGO OR59 19 OCEAN DR GULFSTREAM SHORES 00565040-000000 00 0 BK 1 LT 11 GULFSTREAM SHORES KEY LARGO OR312-75 OR VACANT LAND GULFSTREAM SHORES 00565170-000000 00 0 BK 2 LT 7 AND PT 25FT ROAD EXT GULFSTREAM SHORES P VACANT LAND GULFSTREAM SHORES 00565260-000000 00 0 BK 3 LT 8 AND PT 25FT ROAD EXT GULFSTREAM SHORES K VACANT LAND GULFSTREAM SHORES 00565310-000000 00 0 BK 4 LT 5 GULFSTREAM SHORES PB3-61 KEY LARGO OR605 VACANT LAND GULFSTREAM SHORES 00565320-000000 00 0 BK 4 LT 6 GULFSTREAM SHORES P133-61 KEY LARGO OR558 VACANT LAND GULFSTREAM SHORES 00565350-000000 00 0 BK 5 LT 3 GULFSTREAM SHORES PB3-61 KEY LARGO OR59- VACANT LAND GULFSTREAM SHORES 00565360-000000 00 0 BK 5 LT 4 GULFSTREAM SHORES P133-61 KEY LARGO OR59- VACANT LAND GULFSTREAM SHORES 00565390-000000 00 0 BK 5 LT 7 GULFSTREAM SHORES P133-61 KEY LARGO OR520 VACANT LAND GULFSTREAM SHORES 00565400-000000 00 0 BK 5 LT 8 GULFSTREAM SHORES P133-61 KEY LARGO OR475 VACANT LAND GULFSTREAM SHORES 00565410-000000 00 0 BK 5 LT 9 GULFSTREAM SHORES PB3-61 KEY LARGO OR531 VACANT LAND GULFSTREAM SHORES 00565560-000000 00 0 BK 5 LT 24 GULFSTREAM SHORES P133-61 KEY LARGO OR46 VACANT LAND GULFSTREAM SHORES 00565590-000000 00 0 BK 5 LT 27 GULFSTREAM SHORES KEY LARGO OR432-989-9 VACANT LAND GULFSTREAM SHORES 00565600-000000 00 0 BK 5 LT 28 GULFSTREAM SHORES PB3-61 KEY LARGO OR59 VACANT LAND GULFSTREAM SHORES 00565640-000000 00 0 BK 6 LT 1 GULFSTREAM SHORES PB3-61 KEY LARGO LOT 1 VACANT LAND GULFSTREAM SHORES 00565770-000000 00 0 BK 6 LT 14 GULFSTREAM SHORES P133-61 KEY LARGO OR33 VACANT LAND GULFSTREAM SHORES 00565810-000000 00 0 BK 6 LT 18 GULFSTREAM SHORES P133-61 KEY LARGO OR47 VACANT LAND GULFSTREAM SHORES 00565850-000000 00 0 BK 6 LT 22 GULFSTREAM SHORES PB3-61 KEY LARGO OR59 VACANT LAND GULFSTREAM SHORES 00565920-000000 00 0 BK 6 LT 29 GULFSTREAM SHORES P133-61 KEY LARGO LOT VACANT LAND GULFSTREAM SHORES 00565930-000000 00 0 BK 6 LT 30 GULFSTREAM SHORES P133-61 KEY LARGO LOT VACANT LAND GULFSTREAM SHORES 00564970-000000 80 0 BK 1 LT 4 GULFSTREAM SHORES PB3-61 KEY LARGO OR59- VACANT LAND GULFSTREAM SHORES 00564980-000000 80 0 BK 1 LT 5 GULFSTREAM SHORES PB3-61 KEY LARGO OR59- VACANT LAND GULFSTREAM SHORES 00565010-000000 80 0 BK 1 LT 8 GULFSTREAM SHORES P133-61 KEY LARGO OR548 VACANT LAND GULFSTREAM SHORES 00565060-000000 80 0 BK 1 LT 13 GULFSTREAM SHORES PB3-61 KEY LARGO OR39 VACANT LAND GULFSTREAM SHORES 00565070-000000 80 0 BK 1 LT 14 GULFSTREAM SHORES P133-61 KEY LARGO OR54 VACANT LAND GULFSTREAM SHORES 00565090-000000 80 0 BK 1 LT 16 GULFSTREAM SHORES P133-61 KEY LARGO OR18 VACANT LAND GULFSTREAM SHORES October 6, 2011 1oft MONROE COUNTY PROPERTY APPRAISER DATA RECHAR PC YRBLT LEGALl LOCATION SUBDIVISION 00565100-000000 80 0 BK 1 LT 17 GULFSTREAM SHORES P133-61 KEY LARGO OR41 VACANT LAND GULFSTREAM SHORES 00565120-000000 80 0 BK 2 LT 2 GULFSTREAM SHORES P63-61 KEY LARGO OR532 VACANT LAND GULFSTREAM SHORES 00565150-000000 80 0 BK 2 LT 5 GULFSTREAM SHORES P63-61 KEY LARGO OR506 VACANT LAND GULFSTREAM SHORES 00565230-000000 80 0 BK 3 LT 5 GULFSTREAM SHORES P133-61 KEY LARGO OR553 VACANT LAND GULFSTREAM SHORES 00565240-000000 80 0 BK 3 LT 6 GULFSTREAM SHORES P63-61 KEY LARGO OR553 VACANT LAND GULFSTREAM SHORES 00565250-000000 80 0 BK 3 LT 7 GULFSTREAM SHORES P63-61 KEY LARGO OR553 VACANT LAND GULFSTREAM SHORES 00565300-000000 80 0 BK 4 LT 4 GULFSTREAM SHORES P63-61 KEY LARGO OR549 VACANT LAND GULFSTREAM SHORES 00565330-000000 80 0 BK 5 LT 1 GULFSTREAM SHORES P83-61 KEY LARGO OR138 VACANT LAND GULFSTREAM SHORES 00565340-000000 80 0 BK 5 LT 2 GULFSTREAM SHORES KEY LARGO PB3-61 OR445 VACANT LAND GULFSTREAM SHORES 00565370-000000 80 0 BK 5 LT 5 GULFSTREAM SHORES P133-61 KEY LARGO OR59- VACANT LAND GULFSTREAM SHORES 00565380-000000 80 0 BK 5 LT 6 GULFSTREAM SHORES P133-61 KEY LARGO OR59- VACANT LAND GULFSTREAM SHORES 00565440-000000 80 0 BK 5 LT 12 GULFSTREAM SHORES P133-61 KEY LARGO OR58 VACANT LAND GULFSTREAM SHORES 00565460-000000 80 0 BK 5 LT 14 GULFSTREAM SHORES P133-61 KEY LARGO OR59 VACANT LAND GULFSTREAM SHORES 00565480-000000 80 0 BK 5 LT 16 GULFSTREAM SHORES P133-61 KEY LARGO OR59 VACANT LAND GULFSTREAM SHORES 00565490-000000 80 0 BK 5 LT 17 GULFSTREAM SHORES PB3-61 KEY LARGO OR59 VACANT LAND GULFSTREAM SHORES 00565500-000000 80 0 BK 5 LT 18 GULFSTREAM SHORES PB3-61 KEY LARGO OR54 VACANT LAND GULFSTREAM SHORES 00565510-000000 80 0 BK 5 LT 19 GULFSTREAM SHORES P133-61 KEY LARGO OR61 VACANT LAND GULFSTREAM SHORES 00565520-000000 80 0 BK 5 LT 20 GULFSTREAM SHORES KEY LARGO OR431-723 0 VACANT LAND GULFSTREAM SHORES 00565530-000000 80 0 BK 5 LT 21 GULFSTREAM SHORES P133-61 KEY LARGO OR53 VACANT LAND GULFSTREAM SHORES 00565540-000000 80 0 BK 5 LT 22 GULFSTREAM SHORES PB3-61 KEY LARGO OR53 VACANT LAND GULFSTREAM SHORES 00565550-000000 80 0 BK 5 LT 23 GULFSTREAM SHORES P133-61 KEY LARGO OR40 VACANT LAND GULFSTREAM SHORES 00565580-000000 80 0 BK 5 LT 26 GULFSTREAM SHORES P133-61 KEY LARGO OR52 VACANT LAND GULFSTREAM SHORES 00565620-000000 80 0 BK 5 LT 30 GULFSTREAM SHORES PB3-61 KEY LARGO OR65 VACANT LAND GULFSTREAM SHORES 00565630-000000 80 0 BK 5 LT 31 GULFSTREAM SHORES PB3-61 KEY LARGO OR13 VACANT LAND GULFSTREAM SHORES 00565650-000000 80 0 BK 6 LT 2 GULFSTREAM SHORES P133-61 KEY LARGO OR477 VACANT LAND GULFSTREAM SHORES 00565680-000000 80 0 BK 6 LT 5 GULFSTREAM SHORES P133-61 KEY LARGO OR545 VACANT LAND GULFSTREAM SHORES 00565690-000000 80 0 BK 6 LT 6 GULFSTREAM SHORES P133-61 KEY LARGO OR545 VACANT LAND GULFSTREAM SHORES 00565700-000000 80 0 GULFSTREAM SHORES P133-61 KEY LARGO LOTS 7 & 8 BK VACANT LAND GULFSTREAM SHORES 00565720-000000 80 0 BK 6 LT 9 GULFSTREAM SHORES KEY LARGO OR59-17-18 0 VACANT LAND GULFSTREAM SHORES 00565730-000000 80 0 BK 6 LT 10 GULFSTREAM SHORES P133-61 KEY LARGO OR14 VACANT LAND GULFSTREAM SHORES 00565780-000000 80 0 BK 6 LT 15 GULFSTREAM SHORES P133-61 KEY LARGO OR33 VACANT LAND GULFSTREAM SHORES 00565790-000000 80 0 BK 6 LT 16 GULFSTREAM SHORES P133-61 KEY LARGO OR33 VACANT LAND GULFSTREAM SHORES 00565800-000000 80 0 BK 6 LT 17 GULFSTREAM SHORES P133-61 KEY LARGO OR43 VACANT LAND GULFSTREAM SHORES 00565820-000000 80 0 BK 6 LT 19 GULFSTREAM SHORES P133-61 KEY LARGO OR47 VACANT LAND GULFSTREAM SHORES 00565900-000000 80 0 BK 6 LT 27 GULFSTREAM SHORES P133-61 KEY LARGO OR57 VACANT LAND GULFSTREAM SHORES 00565940-000000 92 0 GULFSTREAM SHORES KEY LARGO P133-61 TR A OR434-621- VACANT LAND GULFSTREAM SHORES October 6, 2011 2 of 2 s ,. ea l ` - Ate.. .... .. KL. G� • •.fir _._�p1�f �3!1 _ Ll�—C_�`_-�-- --- - l�# t it f � J i t.' � , A vuJ l Mrll�MICW1 AU LIAOn:;; T Tn7 cn Inw 11 1:1. .��11 • ,e ... ... _ �v.. ... ... 4 0�- ..., �.... � _'. p,F �hS 4 _ .� R.4. ,�"BI 11 /..1. �,�11 . - .. s..;.... :...-,:...:..,•,,w.. .... :. �,,.cn,.n,trl..y,,,p;:,>M.�it' 'ew�i"cv .... . . .. 'u?:�.m"i.se+�. 10/13/2005 10:02 30683 ONROE T rl� PAGE 02 � �1 Uni C"e Interior o • FISH AND WILDLIFE SERVICE bLA Florida Ecolo 'cal Services ®f oo 1339 2 Sum Vero Beach, Florida 32960 In Reply Refer To: FWS/414WENW05-13099 c`1 / • 1 / • i 1 ' : r.>, / ,lu a '-, 1 / ! ' 1 1 i Iel�l 1 � � . 1,1.,_ y 1 a111 IC' we highly wilikely to afftet federally protected species. 11arefom we have enbmitted a list of exempted projects toMonroe County '1' } municipalities 1 • I R County that o longer requireServiceqi. Your projectWs - ,::::1, - critaiaof .exempdonsand doesnot require our review. Please note 1 : Service Of this pMjVCt 1 11• Way iMPHOOCompliance With Other _:♦ :I a.1 or municipalreguMons. It Isr • I ••:11 responsibility ...,:II } 1 It ensure that :1 project ht.`all applicable raguladoni. If modifications are made:1 the - • 1 1/ 17n1 involving I•.z IIeffects tolisted speciesbecomesavailable, new species listed, or : designated critical1 1 1', 1:•: 1- adversely t= _!-1 by t project .I: 1 t f ♦1 1 tedwell assistwe may be necessary. ::: 1 / : ! 1 •: . ' I 1 • • .....:1 1 1 =: :,1 1 f 11 � 1 :. t 1.' t f ♦ v1. `. 1 ..;11. IF ! : • - •.• it 11 1 • 1 • • • • ' 1 } 13 • # I ■ f Sick Field Supavior Souffi Florib Ecological Services Office TAKE Pmmrl IN tCAW v .""'°iP"C". „.. . .... ....,.� �. -. .vT ."i�.... .^.s T. -:c �<-ar " ,�,'.?;'N.. .. �•'°:s..n, °T:, ...,:3: �'"°C:.^gi i'r: ,.4 .err... ».. a.'y�. .. 5<�-.',"t'^.^ '.^'Ir 1."roperty Search -- Monroe ( nty Property Appraiser Page I of 4 Karl D. Borgium Property Appraiser Monroe County, Florida U Mailing Address: NANNINI STEVE 167 VALOIS BLVD KEY LARGO, FL 33037 office (305) 292-3420 fax (305) 292-3501 PC Code: 00 - VACANT RESIDENTIAL Millage Group: 500K Affordable Housing: No Section -Township 29-60-40 Range: Property Location: VACANT LAND KEY LARGO Subdivision: GULFSTREAM SHORES Legal Description: BK 5 LT 7 GULFSTREAM SHORES P133-61 KEY LARGO OR520-451 OR913-482 0R969-900/901Q/C OR1382-1419(CW) OR1508-1246C(JB) 0R1508-1247(JB) http://www.mcpafl.org/PropSearch.aspx 7/7/2011 Property Search -- Monroe ( my Property Appraiser Page 2 of 4 Land Use Code Frontage Depth Land Area M10D - RESIDENTIAL DRY 75 100 7,500.00 SF Parcel Value History Certified Roll Values. http://www.mcpafl.org/PropSearch.aspx 7/7/2011 Property Search -- Monroe C .ity Property Appraiser Page 3 of 4 Roll Year Total Bldg Value Total Misc Improvement Value Total Land Value Total Just (Market) Value Total Assessed Value School Exempt School Taxable Value Value 2010 0 0 22,500 22,500 22,500 0 22,500 2009 0 0 40,500 40,500 40,500 0 40,500 2008 0 0 40,320 40,320 40,320 0 40,320 2007 0 0 67,200 67,200 67,200 0 67,200 2006 0 0 67,200 67,200 67,200 0 67,200 2005 0 0 67,200 67,200 67,200 0 67,200 2004 0 0 55,200 55,200 55,200 0 55,200 2003 0 0 34,800 34,800 34,800 0 34,800 2002 0 0 16,800 16,800 16,800 0 16,800 2001 0 0 12,000 12,000 12,000 0 12,000 2000 0 0 9,600 9,600 9,600 0 9,600 1999 0 0 9,600 9,600 9,600 0 9,600 1998 0 0 5,063 5,063 5,063 0 5,063 1997 0 0 5,063 5,063 5,063 0 5,063 1996 0 0 5,063 5,063 5,063 0 5,063 1995 0 0 6,750 6,750 6,750 0 6,750 1994 0 0 11,475 11,475 11,475 0 11,475 1993 0 0 11,678 11,678 11,678 0 11,678 1992 0 0 11,678 11,678 11,678 0 11,678 1991 0 0 13,500 13,500 13,500 0 13,500 1990 0 0 9,450 9,450 9,450 0 9,450 1989 0 0 9,450 9,450 9,450 0 9,450 1988 0 0 9,450 9,450 9,450 0 9,450 1987 0 0 10,500 10,500 10,500 0 10,500 1986 0 0 10,500 10,500 10,500 0 10,500 1985 0 0 10,500 10,500 10,500 0 10,500 1984 0 0 10,500 10,500 10,500 0 10,500 1983 0 0 7,088 7,088 7,088 0 7,088 1982 0 0 7,088 7,088 7,088 0 7,088 oate Or e aoes notr a in this list, please•re time tor the sale recordri processed. * r r patience a understanding. Sale Date Official Records Book/Page price Instrument Qualification /1/198 1508 / 1247 10,000 WD Q 5/1/19 913 / 482 15,500 WD Q 2/1/1973 520 / 451 2,200 00 Q http://www.mcpafl.org/PropSearch.aspx 7/7/2011 Property Search -- Monroe C ity Property Appraiser Page 4 of 4 This page has been visited 12,104 times. Monroe County Property Appraiser Karl Borglum P.O. Box 1176 Key West, FL 33041-1176 http://www.mcpafl.org/PropSearch.aspx 7/7/2011 parcels removed from injunction 3/24/2008 00555011-007100 6/13/2006 00555011-007500 3/23/2006 00555610-000000 3/23/2006 00555620-000000 7/26/2006 00556000-000000 7/26/2006 0055601 G-000000 7/26/2006 00556020-000000 7/26/2006 00556040-000000 7/26/2006 00556050-000000 9/29/2008 00563940-000000 11/27/2006 00564143-000300 3/23/2009 00564143-001500 9/13/2006 00564146-000200 9/13/2006 00564147-000100 6/16/2008 00564147-002600 r 8/31/2009 00564147-003800 7/14/2007 00566430-00000 c 2/22/2006 00572960-000000 2/22/2006 00572970-000000 7/26/2006 00573070-000000 6/13/2006 00573670-000600 10/18/2006 00573670-002100 6/13/2006 00573670-004400 6/13/2006 00573690-003300 6/13/2006 00573700-001100 2/22/2006 007477O -000000 9/13/2006 00984000-000400 3/23/2006 04376100-000000 3/23/2006 05198700-000000 Page 25 Vi `p .> 00 •� E a� y N m v � t yyy O O 3 O m U L CL d U S U O Z IP 4d 1 el I YI pp tF f t J 1 ! 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E. i, U W $ O .may k N N CL .w-1 t~n PP.. w a w � i J Z o : 0 11: Z Z W O aZ � io ❑;, U CD C*O W ; cc C3 rLo d W O J Z 0 1di W LL d ;t w ❑ Ln :. -J LO W N Z cc W a7: wUJ o r , Cc 72 �> CD x3 Vi x xy 3 x U Cc � o s _ ti mOl .aa) U U c C a cn CL CLO d (' U O CL O APPLICATION ONOE COUNTY PLANNING & ENVIRONMENTAL RESOURCES DEPARTMENT APPLICATION FOR RESIDENTIAL ADMINISTRATIVE RELIEF Administrative Relief fee: $1,011.00 RECORDED DEED OF THE SUBJECT PROPERTY AND 3) A VEGETATION SURVEY DATED WITHIN SIX MONTHS OF ADMINISTRATIVE APPLICATION SUBMITTAL. IF YOU HAVE QUESTIONS OR WISH TO MAKE AN APPOINTMENT TO DELIVER YOUR APPLICATION PLEASE CALL THE GROWTH MANAGEMENT OFFICE CLOSEST TO YOUR PROJECT. Property Owner's Name: {ef t G' 6 ^ t® r (Lobbyist Registration required for business entities) Property Owner's complete mailing address: I r J vca w r t ~>1 Phone: Fax: Agent's Name: (Required for agents are agent authorization for the ROGO Application from all property owners and Lobbyist Registration) Agent's complete mailing address:_ Phone:-� ' C '- _. y Fax: (Please attach a notarized statement authorizing representation of this application by all property owners. The statement should read: 1, (owner's name) authorize (individual you are authorizing to represent you) to represent my property for this application for Administrative Relief'. PROPERTY DESCRIPTION: Lot Block Subdivision { a1 Key (island): I C V' �"' ,r 'r Street: Ck e 0, �� MM:t 0,FR : � "� � Via" �t�� If metes and bounds, attach legal description on separate sheet. Building Permit Application #: k�l Sf 3 b .i (— / Date of most recent ROGO application: _. i'`" ij /u What kind of administrative relief are you seeking?2 i Note•. Pursuant to Monroe County Code preferred Board of County Commissioners action is to offer purchase if the property is designated Tier I, 11, III -A (Special Protection Area), or III on nonwaterfront lot suitable for affordable housing.. NOTARY: STATE OF FLORIDA COUNTY OF The foregoing signature was acknowledged before me this 1 day of y 120 6 BY ` who is personally known to me or produced (PRINT NAME OF PERSON SIGNING) l --s — as identification. NA y is4on expires: Signature of Notary Public, S e of a o Notary public State 01Florida seMy Comm.pins Jul t, 2012 Commission pplicant's Signature TO BE COMPLETED BY STAFF- DATE: *4—ROGO APPLICATION # S ` )_S-10 1 Page 2 of 2 Adm Relief idential Application July 9 2010.doc Applicants Initial and date: �� APPLICATION ONOE COUNTY PLANNING & ENVIRONMENTAL RESOURCES DEPARTMENT i= APPLICATION FOR RESIDENTIAL ADMINISTRATIVE RELIEF Administrative Relief fee: $1,011.00 Monroe County Code Section 138-27 Requirements for Administrative Relief (1) If an applicant for an allocation award: a. Whose application has been denied an allocation award for four (4) successive years in the Permit Allocation Systemand fails to receive an allocation award, said applicant may apply to the board for administrative relief pursuant to the terms and conditions set forth herein; and b. Whose proposed development otherwise meets all applicable county, state, and federal regulations; and c. Whose allocation application has not been withdrawn; and d. Who has complied with all requirements of the Permit Allocation System; and e. Applicant follows procedures for administrative relief contained in the land development regulations. (2) An application for administrative relief shall be made on a forth prescribed by the Director of Planning and may be filed with the Director of Planning no earlier than the conclusion of the fourth annual allocation period and no later than one hundred eighty (180) days following the close of the fourth annual allocation period. (3) Upon filing of an application for administrative relief, the Director of Planning & Environmental Resources shall forward to the board all relevant files and records relating to the subject applications. Failure to file an application shall constitute a waiver of any rights under this section to assert that the subject property has been taken by the county without payment of just compensation as a result of the dwelling unit allocation system. (4) Upon receipt of an application for administrative relief, the board shall notice and hold a public hearing at which time the applicant will be given an opportunity to be heard. (5) The board may review the relevant applications and applicable evaluation ranking, taking testimony from county staff and others as may be necessary and hear testimony and review documentary evidence submitted by the applicant. (6) At the conclusion of the public hearing, the board may take the following actions pursuant to Monroe County Code Section 138-27(f) and Monroe County Comprehensive Plan Policy 101.6.1 and Policy 101.6.5: a. Offer to purchase the property at fair market value as the Board of County Commissioners preferred action if the property is located withim i. a designated Tier I area; ii. a designated Tier II area (Big Pine Key and No Name Key); iii. a designated Tier III -A area (Special Protection Area); or iv. a designated Tier III area on a non -waterfront lot suitable for affordable housing. "Fair market value" shall be an amount which is no less than ad valorem valuation in the Monroe County Real Property Tax roll for the year 1992. b. Permit the minimum reasonable economic use of the property. "Minimum reasonable economic use" means; as applied to any residentially zoned lot of record, which was buildable immediately prior to the effective date of the Plan, no less than a single-family residence. c. Suggest such other relief as may be necessary and appropriate. (7) Limits on administrative allocations per quarter: The number of allocations that may be awarded under administrative relief in any one quarter shall be no more than fifty percent of the total available market rate allocations available in a quarter for that subarea. Any allocations in excess of fifty percent shall be extended into the succeeding quarter or quarters until the number of such allocations is fifty percent or less of the total number of market rate allocations available to be awarded. (8) Refusal of the purchase offer by the property owner shall not be grounds for the granting of a ROGO allocation award. ATTACHMENTS: 1) COPY OF CURRENT PROPERTY RECORD CARD, 2) COPY OF THE Page 1 of 2 Adm Relief Residential Application July 9 2010.doc Applicants Initial and date: :j / : . , { ` _._ �, (_I MONROE COUNTY, FL ITEM 1 OF 1 PERMIT RECEIPT OPERATOR: baumanb COPY # : 1 Sec:29 Twp:60 Rng:40 Sub: Blk: Lot: RE: ........: 00565390000000 DATE ISSUED.......: 07/15/2010 RECEIPT #.........: 03000001178 REFERENCE ID # ...: 05305610 NOTES ............ SITE ADDRESS .....: BK5 LT7 GULFSTREAM SHOR PB3-61 SUBDIVISION ...... CITY KEY WEST IMPACT AREA ...... OWNER NANNINI STEVE ADDRESS 167 VALOIS BLVD CITY/STATE/ZIP ...: KEY LARGO, FL 33037 RECEIVED FROM ....: STEPHEN NANNINI CONTRACTOR .......: LINDBACK, CARL ELOF III LIC # 01092 COMPANY ..........: LINDBACK CONSTRUCTION ADDRESS ..........: PO BOX 489 CITY/STATE/ZIP ...: ISLAMORADA, FL 33036-0489 TELEPHONE (305) 522-2718 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ----------------------- ZONING-032 FLAT RATE -------------------- 1.00 1011.00 ---------- 0.00 ---------- 1011.00 ---------- 0.00 TOTAL PERMIT ---------- 1011.00 ---------- 0.00 ---------- 1011.00 ---------- 0.00 METHOD OF PAYMENT ----------------- CHECK TOTAL RECEIPT AMOUNT --------------- 1,011.00 --------------- 1,011.00 REFERENCE NUMBER -------------------- WARRANTY DEED This Indenture made this 3rd day of April, 1998, BETWEEN James D. Daughtry and Catherine Paris, his wife, GRANTOR* and Steve , 0 167 Valdes Boulevard, Key Largo, Florida 33037, GRANTEE* Nannini WITNESSETH, That said Grantor, for and in consideration of the sum of TEN AND 00/100'S ($10.00) Dollars and other good and valuable consideration to said Grantor in hand paid by said Grantee, the receipt whereof is hereby acknowledged, has granted, bargained and sold to the Grantee and Grantee's heirs forever the following described land located in the County of Monroe, State of Florida, to -wit: Lot 7, Block 5, GULFSTREAM SHORES, according to the Plat thereof, as recorded in Plat Book 3 at page 61 of the Public Records of Monroe County, Florida. SUBJECT TO TAXES FOR THE YEAR 1998 NOT YET DUE AND PAYABLE. SUBJECT TO ALL CONDITIONS, EASEMENTS, RESTRICTIONS AND LIMITATIONS OF RECORD, IF ANY FOLIO NO. 00565390-000000/ALT KEY #1692484 and said Grantor does hereby fully warrant the title to said land, and will defend the same against the lawful claims of all persons whomsoever. *Singular and plural are interchangeable as context requires. IN WITNESS WHEREOF, Grantor has hereunto set Grantor's hand and seal this day and year first above written. v� i STATE OF FLORIDA COUNTY OF L ; � r - _/_ )?-,- z ;�, - ames D. Daug15&y Catherine Paris Grantor's Address: P.O. Box 3489 Tequesta, Florida 33469-3489 The foregoing instrument was acknowledged before me this 3rd day of April, 1998, by James D. Daughtry and Catherine Paris, his wife who is/areferso—nall—y )known to me or who has/have produced as identification who did take an oath. o�-- IqOTARY PUBLIC Commission Expiration: THIS INSTRUMENT PREPARED BY: DONNA L. STEELE EXCEL TITLE Of The Keys, Inc. BARBW E. PHILLIPS 103400 OVERSEAS HIGHWAY, SUITE 24 Y; MyCOMMISSON0CCIiMI KEY LARGO FLORIDA 33037 dThmN mftAumW 1s,2001 nd � � �:4;.;\.+. Bonded Tluu NofatY Publk UntlwAlars 98078 MONROE COUNTY �gMMlssioy'•.<<io; OFFICIAL RECORDS X usTlg %% G S p ? 9 ; Ar Q �o u • a :• a BCC 673501 Q ITEM 1 OF 1 MONROE COUNTY, FL PERMIT RECEIPT OPERATOR: baumanb COPY # : 1 Sec:29 Twp:60 Rng:40 Sub: Blk: Lot: RE: ........: 00565390000000 DATE ISSUED.......: 07/15/2010 RECEIPT #......... 03000001178 REFERENCE ID # ...: 05305610 NOTES ............: SITE ADDRESS .....: BK5 LT7 GULFSTREAM SHOR PB3-61 SUBDIVISION ...... CITY .............: KEY WEST IMPACT AREA ......: OWNER ............: NANNINI STEVE ADDRESS ..........: 167 VALOIS BLVD CITY/STATE/ZIP ...: KEY LARGO, FL 33037 RECEIVED FROM ....: STEPHEN NANNINI CONTRACTOR .......: LINDBACK, CARL ELOF III LIC # 01092 COMPANY ..........: LINDBACK CONSTRUCTION ADDRESS ..........: PO BOX 489 CITY/STATE/ZIP ...: ISLAMORADA, FL 33036-0489 TELEPHONE ........: (305) 522-2718 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ------------------------------------------------------------------------- ZONING-032 FLAT RATE 1.00 1011.00 0.00 1011.00 0.00 ---------------------------------------- TOTAL PERMIT 1011.00 0.00 1011.00 0.00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- ------------------ CHECK 1,011.00 --------------- TOTAL RECEIPT : 1,011 00 NEW APPLICATION FORM: PROPOSED TIER MONROE COUNTY PLANNING DEPARTMENT APPLICATION FOR RESIDENTIAL PERMIT ALLOCATION Marathon: (305) 289-2500 Plantation Key: (305) 852-7100 Application Fee: $430.00 (NO APPLICATION FEE FOR AFFORDABLE HOUSING) PLEASE PRINT AND ATTACH A COPY OF A PROPERTY RECORD CARD. IF YOU HAVE QUESTIONS OR WISH TO MAKE AN APPOINTMENT TO DELIVER YOUR APPLICATION, PLEASE CALL THE GROWTH MANAGEMENT OFFICE CLOSEST TO YOUR PROJECT. ONCE THIS APPLICATION IS ACCEPTED AND DEEMED COMPLETE, REVISIONS WILL ONLY BE ACCEPTED IF A NEW APPLICATION IS SUBMITTED. Owner(s) Name: Steve Nannini Ph. (\A') (H) Mailing Address: 167 Valois Blvd City: Key Largo StateFL Zip: 33037 Agent'sNameGay Marie Smith Ph.(W) 451-2675 (H)394-8004 Mailing Address: PO Box 1638 City: Tavernier State: FL Zip33070 PROPERTY DESCRIPTION: Lot 7 Block 5 Subdivision Gulf stream Shores Key: Largo Street: Ocean Drive MM: 106 RE: 00565390.000000 If metes and bounds, attach legal description on separate sheet. NUMBER OF UNITS: Mobile Home:_ House: XXRV: Live -aboard: Others: Check Yes o NO. If yes, then attach the requested documents: Yes _ No The project is combining contiguous lots in a legally platted subdivision with ty, and paved roads or is otherwise below density. Please attach a copy of a proposed restrictive Icovenant limiting the number of units on the property and running in favor of and enforceable by the County. Yes _ JThe unit(s) will be affordable housing. Attachment required is a current affordable housing approval from the Planning Department. Yes _ No The proposal includes dedication of vacant, buildable land located in areas proposed for acquisition. Attachments required with this application are: 1) letter from the Biologist stating the property I dedicateable, 2) proof of ownership, 3) copy of title insurance, 4) proposed WARRANTY DEED(S)D(S) (Quit Claim Deeds will not be accepted), and 5) land dedications must be in the same ownership as the owner listed above unless the applicant has an approved land dedication certificate. Please list the RE:'(s) of the land to be dedicated: Yes _ No'X-Transfer of ROGO Exemptions (TRE's) are being utilized in the development of p attached dwelling units. Attachment required. The applicant must submit a copy or a certified copy of the recorded Development Order approving the TRE's for this project. THE S is/are to be used for this application. l certify that 1) l have read and- akamined this application including attachments and know same to be true and correct; 2) Al/ provisions of laws and ordinances governing this type of work are complied with whether specked herein or not, including the provision of Local, State, or Federal requirements regulating construction or the performance of construction; and 3) Time periods for County action set forth in Section 9.5-113 of the County Code are hereby waived. y sue PETS MEYE Signature of Applicant Date a P+b^i'tStq e o to d tf�Ff�9 a e this �! 7I�-- day of 1 20_-1-1 �Ot!�{Id4�it€3 R# duce a:m as identification and who did (did not) take an oath. Bonded By National Notary TO BE COMPLETED BY STAFF- DATE: / t�� TIME: /�� PERMIT # F EB 13 2006 11/2005 n IN