730 REFFIN DR RFNC22-0012 revocable , power of attorney .-+-A,`, ;. REVOCABLE ENCROACHMENT AGREEMENT
,.(f )fin\ City of Atlantic Beach **ALL INFORMATION
HIGHLIGHTED IN GRAY
r
800 Seminole Road,Atlantic Beach, FL 32233
IS REQUIRED.
REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach, Florida,a municipal corporation organized and
existing under the laws of the State of Florida, hereinafter r ferred to as "CITY" and
(_YLt'4 A- -P1 ci (LSD 4-' Q 0 PT ck,i\c.. 1‘,.r- of Atlantic Beach, Florida, hereinafter
referred to as "USER".
WITNESSETH:
That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon
the property for the purpose as described in the City of Atlantic Beach.
This work is generally described as �7 .
Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to
relocation or removal on thirty(30)days'notice by CITY toSER,said notice to USER shall be given by certified mail,return
receipt requested,to the following address —7 30 l�E f F i N 7)2 l V rl/l—rectA 41 ( Q FL
22-
• In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter
upon the above described easement or property of the CITY, the USER shall replace at the USER's sole expense,
any and all material necessarily displaced during the action of maintaining, repairing, operating, replacing or
adding to of the utilities and facilities of the CITY or franchise utility provider.
• The facilities allowed by the permit shall meet the current requirements of the City Code, Building Codes, Land
Development Code and all other land use and code requirements of the CITY, including City Code Section 19-7(h)
which states "Driveways that cross sidewalks: City sidewalks may not be replaced with other materials, but must
be replaced with smooth concrete left natural in color so that it matches the existing and adjoining sidewalks."
• The USER, prior to making any changes from the approved plans and/or method, must obtain written approval
from the City of Atlantic Beach Public Works Department, for said change within 30 days after the day of
completion.
• This permit shall inure to the benefit of, and be binding upon, the USER and their respective successors and
assigns.
• USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY laws and/or
specifications, to include utilities locate requirements and use limitations/requirements of easements, public
right-of-ways and other public land. USER further agrees that the CITY and its officers and employees shall be
saved harmless by the USER from any of the work herein under the terms of this permit and that all of said
liabilities are hereby assumed by the USER.
,Q
b � / 94 iku.t Date
Property Owner/Agent(signed in presence of Notary Public)
STATE OF FLORIDA, COUNTY OF DUVAL
The foregoing instrument was acknowledged this day of 1— ,20 Z 2,-
by cr2 —cam ,who personally appeared before me and
• inted name of Signer)
ackn• •dged th. he/ signed t e instrument voluntarily for the purpose expressed in it.
l mob. •
_ --- Department Approval:
TONI GINDLESPERGER
Signature of Notary Pu•lic, tate of Flor'•. �: MYCOINMISS 353178
yI:: ION#GG
[ ] Personally Known •:•:
•;• '�:; EXPIRES:October 6.2023
[ ]Produced Identification(Type) ( , ( af.�`-' BendeditvuNotaryPubucu" 5-1.cott Williams, Public Works Director
H:\Applications&Forms\Word&Excel Document Originals\20180831 Revocable Encroachment Agreement.docx Revision Date:8/31/18
•
DURABLE GENERAL POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS, THAT I,
Erika M. Patterson, Social Security: #133-34-4102; DOB: 04/19/38, of
730 Redfin Dr.
Atlantic Beach, Florida 32233
do hereby make, constitute and appoint the following-named person:
my daughter, Sheila Ann (Patterson) Barton, Social Security: #594-01-3661; DOB: 12/21/64,
of: 10523 Beverly Nolle Rd.
Jacksonville, Florida 32225
Phone: (904) 620-9849
my true and lawful attorney-in-fact to act in, manage, and conduct all my estate and affairs, and for that purpose,
for me and in my name, place, and stead, and for my use and benefit, and as my act and deed, to act as my
attorney and agent at any and all places in relation to any interest in property owned by me, including, without
limitation, any interest in real property, including homestead real property; all personal property, tangible or
intangible; all property held in any type of joint tenancy, including a tenancy in common,joint tenancy with
right of survivorship, or a tenancy by the entirety; all property over which I hold a general, limited, or special
power of appointment; choses in action; and all other contractual or statutory rights or elections, including, but
not limited to, any rights or elections in any probate or similar proceeding to which I am or may become
entitled, and all other matters and things, in which I may have any interest whatsoever, giving and granting unto
my said attorney full power and authority to do and perform all and every act, deed, matter, and thing
whatsoever in and about my estate, property, and affairs as fully and effectually to all intents and purposes as I
might or could do in my own proper person, and specifically, but not in any way limiting the generality of the
foregoing, do hereby give and grant to said attorney the following special powers in aid and exemplification of
the full, complete, and general power granted above:
1. To execute and to file any income tax returns and declarations of estimated tax as required of me by
any Act or Acts of Congress; to represent and act for me before the United States Treasury Department,United
States Tax Court, and United States Courts in all matters and litigation pertaining to such taxes; to receive,
endorse, and collect checks in settlement of any refund or taxes for any taxable year; to execute consents
agreeing to a later determination of taxes than is provided by Statutes of limitation; to execute closing
liability; to file claims for abatement. refund. or credit of income taxes; to
a�'1CC111Z11iS relative to income tax
make any adjustments or settlement and to sign any and all receipts, waivers, settlements or agreements, with
reference to or pertaining to, income taxes and other taxes required of me under any Act or Acts of Congress.
Principal/Grantor
Initials
Subject: DURABLE GENERAL POWER OF ATTORNEY: Erika Margaret Patterson
SSN: 133-34-4102
DOB: 04 - 19 -38
2. To buy, receive, lease, accept, or otherwise acquire; and to sell, convey (by warranty deed or
otherwise), mortgage, hypothecate, pledge, quit-claim or otherwise encumber or dispose of; and to contract or
agree for the acquisition, disposal, or encumbrance of; any property whatsoever, whether real, personal, or
mixed, or any custody, possession, interest, or right therein, upon such terms as my said attorney shall think
proper.
3. To take, hold, possess, invest, lease, let, or otherwise manage, any or all of my property, whether real,
personal, or mixed, or any interest therein; to eject, remove, or relieve tenants or other persons from, and
recover possession of, such property, by all lawful means; and to maintain, protect,preserve, insure, remove,
store, transport, rebuild, repair, modify, or improve the same or any part thereof.
4. To make, do, and transact all and every kind of business of whatsoever nature or kind, including the
receipt, recovery, collection, payment, compromise, settlement, and adjustment of all accounts, legacies,
bequests, interests, dividends, annuities, demands, debts, taxes, and obligations, which may now or hereafter be
due, owing, or payable by me or to me.
5. To make, endorse, accept, receive, sign, seal, execute, acknowledge and deliver deeds, assignments,
agreements,certificates, hypothecations, checks, notes, bonds, vouchers, receipts, and such other instruments in
writing of whatsoever nature and kind as may be necessary, convenient, or proper in the premises in the
judgement of said attorney.
6. To deposit and withdraw for the purposes hereof, or for any other lawful purposes in either my said
attorney's name or my name or jointly in both our names, in or from any banks,credit unions, savings and loan
associations and other financial institutions, any funds, negotiable paper, or monies which may come into my
said attorney's hands as such attorney or which I now or hereafter may have on deposit or be entitled to, and no
such banks, credit unions, savings and loan associations and other financial institutions shall be required to
investigate or question the purposes for which such funds, deposits, monies, or negotiable instruments are being
deposited or withdrawn, and I do expressly relieve such banks, credit unions, savings and loan associations and
other financial institutions from all liability whatsoever for any such withdrawal or deposit by my said attorney,
regardless of my said attorney's reasons therefor whether known or unknown to such banks, credit unions,
savings and loan associations and other financial institutions.
I.
To institute, prosecute, defend, compromise, dibit ate, and dispose of legal, equitable, er
administrative hearings, actions, suits, attachments, arrests, distresses or other proceedings, or otherwise engage
in litigation in connection with the premises.
Principal/Grantor
Initials
2
• Subject: DURABLE GENERAL POWER OF ATTORNEY: Erika Margaret Patterson
SSN: 133-34-4102
DOB: 04 - 19 -38
8. To act as my attorney or proxy in respect to any stocks, shares, bonds, or other investments, rights, or
interests, I may now or hereafter hold.
9. To engage and dismiss agents, counsel, and employees, and to appoint and remove at pleasure any
substitute for, or agent of, my said attorney, in respect to all or any of the matters or things herein mentioned and
upon such terms as my attorney shall think fit.
10. To execute vouchers in my behalf for any and all allowances and reimbursements properly payable
to me by the United States, including, but not restricted to, those of the Social Security Administration, and to
receive, endorse, and collect the proceeds of checks payable to my order drawn on the Treasurer of the United
States.
11. To prepare, execute, and file income and other tax returns, and other government reports,
applications, requests and documents.
12. To take possession, and order the removal and shipment, of any of my property from any warehouse,
depot, dock, or other place of storage or safekeeping, governmental or private; and execute and deliver any
release, vouchers, receipts, shipping ticket, certificate, or other instrument necessary or convenient for such
purposes.
13. To waive, release, convey, transfer or destroy any and all rights of dower, curtesy, homestead or
other right or interest that I may now or hereafter have in any property or in or to which I may now or hereafter
have any right, title, or interest of any nature whatsoever.
14. To borrow money and execute promissory note or notes in my name evidencing such indebtedness,
and to pledge as security therefor any property belonging to me; to borrow or make loans on any and all life
insurance policies held by me or insuring my life.
15. To endorse or assign, to include sale, any certificate of title to any automobile which I own or in
which I have any interest.
16. My attorney-in-fact has the power to execute and fund an irrevocable income cap trust for the
purpose of securing Medicaid or other public assistance benefits for me
GIVING AND GRANTING unto my said attorney full power and authority to do and perform all and
every act, deed, matter, and thing whatsoever in and about my estate, property, and affairs as fully and
effectually to all intents and purposes as I might or could do in my own proper person if personally present, the
PrincipaUGrantor
Initials
3
• Subject: DURABLE GENERAL POWER OF ATTORNEY: Erika Margaret Patterson
SSN: 133-34-4102
DOB: 04 - 19 -38
above specially enumerated powers being in aid and exemplification of the full, complete, and general power
herein granted and not in limitation or definition thereof; and hereby ratifying all that my said attorney shall
lawfully do or cause to be done by virtue of these presents.
THE POWERS HEREIN GIVEN in this document are exercisable from the date of this instrument
forth. This DURABLE POWER OF ATTORNEY is not affected by subsequent incapacity of the
principal except as provided in Section 709.08, Florida Statutes. The attorney in fact is not personally liable
for any acts or decisions made in good faith and under the terms of this durable power of attorney.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my seal this ,79 day of
July, 2003.
‘-t/4 As.K.4/ ACl/Gbir)
Erika Margifet Patterson
Principal
STATE OF FLORIDA )
) SS.:
COUNTY OF DUVAL )
Sworn to (or affirmed) and subscribed before me on this 1y day of July 2003, by
ERIKA MARGARET PA 1-1'ERSON. ,
iik�lYg.�
LAW ENCS E.HAYDEN,JR. �• — - _ _
.At ' MY COMMISSION#DD 117655 tI gWrrence E. Hayden, Jr. C
EXPIRES:July 28 2006
�.y�`'' NOTARY PUBLIC—STATE OF FLORIDA
Bonded Thru Notary Public Underwrilets
[f one only]
_11)Zoduced
rsonally known, or
identification:
Type of identification produced: FL Driver's License#:#P362-211-38-639-0.
WE WITNESSED the principal sign the above Durable General Power of Attorney.
N c4T-nti uLf. Ann ` �- 1 L�(� �7f �1 i 7 .+ ..�✓�
Stephanie A.Brown Lindsa McQuillan
2175 Hovington Cir. E. 2175 'ovington Cir. E.
Jacksonville, FL 32246 Jacksonville, FL 32246
(Rev.W-29.96;HAYDEN Law)
Principal/Grantor
Initials
4