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Fort Walton Beach Council agenda — 04-12-11 regular — reading text
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limits of the City of Fort Walton Beach:
I certify that I am the fee simple legal owner of the above described property requested for annexation
into the City Limits of Fort Walton Beach and hereby provide ( 4/ 66' ? r e-;.% as
proof of ownership or contractual interest in this property.
I certify that I have examined the application and that all statements and diagrams submitted are true
and accurate to the best of my knowledge. Further, I understand this application; and attachments o
become part of the official records of the City of Fort Walton Beach, Florida, and are not returnable.
Owner's Signature)
Witness Signature)
Property Owner' s Contact Information
Address__ 3
OFFICIAL USE ONLY
MP13 Case #:
Date Received:
Phone 3'' G. r61 -2 -
Received By:
Page 1 of 1
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Owner Name Property Address Parcel Number
M
X
WELCH SHIRLEY 623 COUNTRY CLUB AVE 36- 1S -24- 0540 -000B -0150 aC
C
Owner Address Business Q
623 COUNTRY CLUB AVE NE
3
FT WALTON BCH, FL 325471727
Not all businesses may be listed on this parcel U
Homestead IlPrimary Millage District IF2010 Certified Millage Rate 1Property Type C
YES 110CEAN CITY / WRIGHT FIRE 13. 0489 SINGLE FAMILY O
U
GV
2010 CERTIFIED VALUES LEGAL DESCRIPTION to
Building Value 87, 021
Extra Feature Value F 1, 010 O
LandLand ValueValue 89, 600
COUNTRY CLUB EST LOT 15 BLK B
Agricultural Value 00 V
d
C
Just ( Market) Value 177, 631
The legal description shown here may be condensed for assessment Cp3
Assessed Value 109, 683
purposes. Exact description may be obtained from the recorded deed. a
Exemption Value 50, 500 0
Taxable Va:1:u:e=
jMfflM@Wg0 1 59, 183
Maximum Save Our Home Benefit or 10% Non -Homestead Cap 67, 948
OO
r
Just ( Market) Value is established by the Property Appraiser for ad valorem tax purposes. It does not represent anticipated selling Price
N
BUILDING INFORMATION =
Type Total Area Heated Area Exterior Wall=
j Roof Cover Interior Wall Flooring T
SINGLE FAM 2, 540 1, 860 BRICK DIMEN / TIMB DRYWALL CARPET
d
Year Built
Heating Type A/ C Type Baths Bedrooms Stories Building Building NotesNotes
Actual / Effective
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AIR DUCTED CENTRAL 1 2= 1 3 1— 1969/ 1969 IF PTO C
d
v
EXTRA FEATURE INFORMATION ! Q
Description Quantity Quantity Type Year Built Q
FIRPLC 1 11 UNITS 1969 =
R
O
LAND INFORMATION
l'
00
r
Description Frontage Depth Land Units Unit Type
d
SFR GOLF ( 000140) 100
D 0000001.
