Okaloosa County BOCC — May 3, 2016 — Hwy 98 documents for signatures

575-030-12 RIGHT OF WAY FDOT = Florida Department of Transportation RICK SCOTT 605 Suwannee Street JIM BOXOLD GOVERRDR Tallahassee, FL. 32399-0450 SECREIARY Donation of Property to the Florida Department of Transportation Okaloosa County BOCC ITEM/SEGMENT NO.: 4141323 101 E. James Lee Boulevard MANAGING DISTRICT: Three Crestview, FL 32536 F.A.P. NO.: N/A STATE ROAD NO.: 30 (US 98) COUNTY: OKALOOSA PARCEL NO.: 706 INTEREST CONVEYED: Temporary Construction Easement This is to advise that the undersigned, as owner of the property or property interest referenced above and as shown on Right of Way maps for referenced project, desires to make a voluntary donation of said property or property interest to the State of Florida for the use and benefit of the Florida Department of Transportation. The undersigned hereby acknowledges that he/she has been fully advised by a Department representative of his/her right to have the referenced property or property interest appraised, to accompany the appraiser during the appraisal inspection of the property, to receive full compensation for the above referenced property, and to receive reimbursement for reasonable fees and costs incurred, if any. Having been fully informed of the above rights, | hereby waive those rights unless otherwise noted below. Owner's Signature Charles K. Windes, Jr. Chairman/ Okaloosa County BOéC Type or Print Property Owner's Name 101 E. James Lee Boulevard Street Address Crestview, FL 32536 City, State, Zip Code Date www.dot.state.fl.us 08-TE.11-11/00 November 2, 2015 This instrument prepared by, or under the direction of, Cary Hawkins ¥+ Department of Transportation P. O. Box 607 Chipley, FL 32428 Legal description approved by, Eddy Rudd Parcel 706.1 Item/Segment No. 4141323 Managing District 3 S.R. No. 30 (U.S. 98) County Okaloosa TEMPORARY EASEMENT THIS EASEMENT made this __day of , 20__, by and between OKALOOSA COUNTY, a political subdivision of the State of Florida, grantor, and the STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION, whose address is Post Office Box 607, Chipley, Florida 32428, its successors and assigns, grantee. WITNESSETH that for and in consideration of the sum of One Dollar and other valuable considerations, receipt and sufficiency of which is hereby acknowledged, the grantor hereby gives, grants, bargains and releases to the grantee, a temporary easement for the purpose of constructing the project according to current construction plans in, upon, over and through the following described land in Okaloosa County, Florida, described as follows, viz: A portion of Commons Drive West (Triumph Road), being in Township 2 South, Range 22 West, Okaloosa County, Florida, described as follows: Commence at a 5/8 inch iron rod (no ID), marking the northwest corner of Lot 6, Block 11, Silver Beach, as per plat recorded in Plat Book 1, Page 16 %2, of the Public Records of Okaloosa County, Florida; thence North 23°31'24" West 364.02 feet to the centerline of survey of State Road 30 (U.S.98), as shown on Florida Department of Transportation (F.D.O.T.) Right of Way Map F.P. No. 414123 (said map being on file at F.D.O.T., District 3 Office, Chipley, Florida); thence North 63°48'26" East 743.62 feet along said survey line to a point on a tangent curve to the right (concave southeasterly) thence northeasterly along said survey line and said curve, having a radius of 1,910.30 feet, for a distance of 1,005.38 feet, through a central angle of 30°09'16" to end of curve; thence South 86°02'18" East 3,600.15 feet along said survey line; thence departing said survey line, run North 03°57'42" East 100.00 feet to the POINT OF BEGINNING at the intersection of the existing northerly right of way line of State Road 30 and the existing westerly right of way line of said Commons Drive West, as shown on said Right of Way Map; thence North 03°56'56" East 92.50 feet along said existing westerly right of way line of Commons Drive West; thence departing said weste