CN-370000-PL357-T174CO1.pdf

TASK ASSIGNMENT NOTWICATION FORM

DEP CONTRACT NO. PL357

Task Assignment Num~r: PL.357.174 Cb• agc Order l Date: September 13, 1019

Project N• ane: Stnte&Ie M•uged Arai L• ad Ust (SMALL) / Paling Waters State Park Owner's Name/Panel #: Chipley Coune, LLC County: Wuliington

""'"' llll#: ()O(IO(lfHIO '9 UJJ-l(J(J(J/ M ... gil,g Agam: Dltr I A~Q$- lt»+f- / Aueaed Jlg{H( S 197.000 I IIU#; mus

Contractor: American Government Scnica Corporatioa Conlnlctor Contract Manager: Wendi McAJee,e / Tammy Mehl

DHP Designated Task Manager. Mary K. 11lurmond Subcontractors: (List, ifaoy) _ _____ __ _

DEPContractManagcr: SandJaD. Ray

FEID No: 59-2346160 Phone Numbet: &13-933-3322

Phone Number: 850-145-2669 MBE: Yes.....ll_No MBE: _ Yes _x_ No Phont Number: 8.50-245-2669

Task Description (Use additional sheets if necessary): Thu Change Order ii to ntend the number ord• )'I to complete the resun:h that Js aeedcd. Aad to provide a Tltk Commitment on tile pettel described above • ad attached •• Emilait ""A .. i• attord• ace wit11 tbe specifications attacllled u E~hlblt "...-.

Deliverable: CotJt,..dor sball provide Title Commitment.

ferlormfnce Mysgrc: DEP Coatnct Manager will re¥1ew deliverable to ensure 1peciftcations were met.

Flunclal ConsegHnccs: DEP wHI not pay ror unsatill'actory deHvenblcs. Contractor shall be g!Yen the ript to remedy at ao 1:0St to DEP.

AGS approved coatl"llcted ntn ror tlie Contnct Title Closing Seokes: Title Scarcll/Closlag Com 111itmnt S 275.00, In .w,rdance witJa the rate sched• le attached u El[hlblt "B", tr Clolltng Occun: The Contractor will be paid tile Title lmur• nee Polic:y for Closinz (lmura• ce Premium / Prom• lpted Rate), Hd Closlng Fee ($200.00). on the HUD/Closbt1 State1rtenL

Tiek Commitment Dae Date: 14 days or be~t tlmefraiac Ir less. after exeeutioll of Talk Aalg• mcat Task Assignment Ead Date: JO da,ufterClosing Liquidated Damages Per Day Charies: NIA

Ja<l; Assieameot IxPe· Fee Schedule

Coa1D1itment Only

Total Task Aulg• 111ent Value

AMERICAN GOVERNMENT SERVICES CORPORA TTON

Authorized IOc:xccutc Task Amgnmcats

Strateclc M• -qed Areas Laad List (SMALL) Pasel oUPqa

A mount 'Not In Exe&cd·

I @ S27S.OO= S 275.00

5175.00 q,/3 -t'i Detc

FOR DEPARTMENT USE ONLY:

f d" Informaf un m1,1, ,on:

Org.Code E.0. Fund ·--- Object Code

Budget Entity

Module

37102000000 NE 348014 132600 37100400 N/A

~ : Procurement Section (MS9J)

Stratqic M.a11• ged Areas I.And List (SMALL) Paae I oUh,a

Category Project# Year Amount

084108 FFJ0030 16

8 o. oo

BLA Number Request and Task Initiation Form

Donations/ Title / ESA

Please attach all documentation as backup

From: Jeremiah Thompson

Date Requested: August 22, 2019

Project Name: Strategic Managed Area Lands List (SMALL) FF BOT / Falling Waters State Park

Owners Name: Chipley Course, LLC

Parcel Id # /Sheet s: (Original Task No. 169: 00000000-00-2444-0000);

Adding Parcel No. 00000000-00-2451-0000

Comment: FYI this is an additional parcel that we could acquire through dminimis with the current request to have permanent access vs. an easement.

Legal Descriptions: See Attached Property Card

County: Washington

Acreage: 100 +/-

Value: $197,000 Just Value

Contractor: TBD

Type of Interest Per Title Company: Fee Simple

Managing Agency/ Contact Person: DRP / Steve Cutshaw

Funding Source/ Information: Florida Forever

BLA: 328138

Assigned By: Daphne Thomas

Date Assigned: 07 /11/2019- Thursday

«,qPublic.net•u Washington County, FL

Parcel Summary

Parcel ID Location Addre$$

Brief Tax Description'

Property Use Code'

00000000-00·2451 ·0000

FALLING WATERS RD

CHIPLEY 32428

28413 lOORB 663 P 199 Nl/2 OF Nl/2 OF NEl /4 OF NEl/4

•The Description above Is not to be used on legal documents.

PlNTD PINE (005610) "The Use code is a Department of Revenue code. For zoning information please contact the Planning and Zoninadepartment at 850-415· 50?3.

Sec/Twp/Rng Tax District Millage Rate Acreage Homestead

View Map

Owner Information Primary Owner Chipley Course LLC POBox7S8 Lynn Haven. Fl 32444

Valuation

Building Value

Extra Features Value land Value

28-4-13 01 County (District 1)

14.7572 10.000 N land Agricultural Value

Agricultural (Market) Value

Just (Market) Value

Assessed Value

Exempt Value

Taxable Value

Maximum Save Our Homes Portability

2019 Preliminary Values so $0

$0

$2,050

$35,000

$35,000

$2.050

$0

$2,050 so

• Just {Market) Value" description - This is the value established by the Property Appraiser for ad valorem purposes. This value does not represent anticipated selling price.

Land Information

Code

005610

009910

Sales

Multi Parcel

N

N

N

Land Use

PLANTED PINE 3

MKTVALUEAG

Sale Date Sale Price

05/09/2006 $468.725

04/28/2005 $100

04/28/2005 $357,000

Tax Collector Site

Click here to view the Tax Collector website.

Instrument Book

WD 663

QC 585

WD 585

Number of Units

10.00

10.00

Page Vacant/Improved

199 Vacant

279 Vacant

274 Vacant

Unit Type

AC

AC

Grantor

MORRIS JIMMY & PATRICIA

PRUTIMBER

PRUTIMBER

Frontage

Grantee

Depth

CHIPlEYCOURSE

MORRIS JIMMY & PATRICIA

MORRIS JIMMY & PATRICIA

Generate Owner List by Radius Distance:

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Showaddressot:® Owner O Property

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Map

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1:2] AIIOwners

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No data available for the followlna modules: Building Information, Extra Features. Sketches.

Washington County makes every effort to produce the most accurate information possible. No warranties, expressed or implied, are provided for the data herein, its use or interpretation. The assessment information is from the last certified taxroll. All data is subject to change before the next certified taxroll.

User Privacy Policy GOPR Pr ivacy Not ice

Last Data Upload: 8/22/2019 1:40:44 AM Version 2.3.0

Developed by

NOTICE OF AO VALOREM TAXES & NON- AO VALOREM ASSESSMENTS

BILL# R 641600 20 18

REAL ESTATE TAX/NOTICE RECEIPT FOR Washington COUNTY

AO VALOREM TAXES

TAXING AUTHORITY MILLAGE RATE

COUNTY .0089735(

SCHOOL-STATE LAW .00419200

SCHOOL-DISCRETIONARY .00209800

NORTHWEST WATER MGMT .0000338(

TOTAL AD-VALOREM:

NON·AD VALOREM ASSESSMENTS

TAXING AUTHORITY

TOTAL NON-AD VALOREM:

COMBINED TAXES & ASMTS:

DISCOUNT:

UNPAID BALANCE:

Exemptions:

Property Address:

FALLING WATERS CHI PLEY 32428

TAX AMOUNT

$18.40 $8.59 $4.30 $0,07

$31.36

TAX AMOUNT

$0.00

$31.36

$0.00

$0.00

Proi>ertY Appraisers Site

PROPERTY# R 00000000-00-2451·0000

CHIPLEY COURSE LLC

PO BOX 758

LYNN HAVEN, FL 32444

10.000 ACRES

28 4 13 10 ORB 663 P 199 Nl/ 2 OF Nl/2 OF NEl/ 4 OF NEl/ 4

FAIR MKT VALUE $35000 DIST

ASSESS $2050 EXEMPT VALUE

TAXABLE VALUE $2050

** PAID **

Last Payment: 12/05/2018 Receipt number: 60394

Amt Collected: $30.11

$0

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Parcel Number 00000000-00-2451-0000 Mailing Address CHIPLEY COURSE LLC

PO BOX758

LYNN HAVEN, FL 32444

Property Usage PLNTD PINE

Date created: 8/22/2019 Last Data Uploaded: 8/22/20191:40:44 AM

Developed by~ ... Schneider

.. , GEOS PJII.TIJII.L.

Building Value $0 Just Value

Misc Value $0 Assessed Value

Land Value $0 Exempt Value

Ag Land Value $2,050 Taxable Value

Ag Market Value $35,000

I

$35,000 $2,050 $0 $2.050

N

A

Overview

LJ- h

~ -I Legend

0 Parcels

- Roads last2Sales Date Price Vacant

5/9/2006 $468725 y

4/28/2005 $100 y t;,qPublic.net'" Washington County, FL

Parcel Summary Parcel ID Location Address

00000000-00-2444-0000

FALLING WATERS RD

CHIPLEY 32428

Brief Tax Description•

27 4 13 90 ORB 663 P 199 BEG. 4.067 CS OF NWC OF NW4, RN SE 7.891 C, SE 13.956C. SW 7.5 C. TO SWC OF N2 OF NW4, N TO BEG.

ALSO S2 OF NW4 LESS PRT. OF PRCL IN OR 132 P 544

"The Description above is not to be used on legal documents.

Property Use Code• PLNTD PINE (005610) "The Use code is a Department of Revenue code. For zoning informat,on please contact the Plann,ng and Zoning department at 850-415-

5093.

Sec/Twp/Rng Tax District MIiiage Rate Acreage Homestead

View Map

Owner Informat ion Primary owner Chipley Course LLC PO Box 758 Lynn Haven, FL 32444

Valuation

Building Value

Exira Feat ures Value

Land Value

27-4-13 01 County (D istrict 1) 15.2973 90.000 N

Land Agricul tural Value

Agricultural (Market) Value

Just (Market) Value

Assessed Value

Exempt Value

Taxable Value

Maximum Save Our Homes Portabflity

2018 Certified Values

$0

$0

$0

$17.810

$162.000 $162,000

$17.810

$0

$17.810

$0

.. Just (Market) Value" descr iption - This is the value established by the Property Appraiser for ad valorem purposes. This value does not represent anticipated selling price.

Land Information

Code Land Use Number of Units Unit Type Frontage Depth

005900 SWAMP OR LOW 4.00 AC 0 0

005610 PLANTED PINE 3 86.00 AC 0 0

009910 MKTVALUEAG 90.00 AC 0 0

Sales

Mult i Parcel SaleOate Sale Price Instrument Book Page Vacant/Improved Grantor Grantee

N 05/ 09/ 2006 $468.725 WO 663 199 Vacant MORRIS JIMMY & PATRICIA CHIPLEY COURSE

N 04/28/2005 $100 QC 585 279 Vacant PRUTIMBER MORRIS JIMMY & PATRICIA

N 04/28/2005 $357,000 WO 585 274 Vacant PRUTIM BER MORRIS JIM MY & PATRICIA

Tax Colled or Site

Click he.-e to Yll!W the Tax Collector website

Generate Owner List by Radius Oistanc~:

Feet v

Show address ot:@ Owner O Property

Download format:

Address labels (5160)

Download

Map

Additional mailing label options:

0 Show parcel id on label

Skip labels:

No data available for the following modules: Building Information, Extra Features, Sketches.

Washington County makes every effort to produce the most accurate information possible. No warranties, expressed or implied, are provided for t he data herein, its use or interpretation. The assessment information is from the last certified taxroll. A ll data is subject to change before the next certified taxroll.

Last Data Upload: 7/3/20191:40:23 AM Version 2.2.28

Developed by

IL_.,. Schneirler

..., J' 0 £ 0SPA

0fl,u.

NOTICE OF AD VALOREM TAXES & NON-AD VALOREM ASSESSMENTS

BILL# R 637500 2018

REAL ESTATE TAX/NOTICE RECEIPT FOR Washington COUNTY

AD VALOREM TAXES

TAXING AUTHORITY MILLAGE RATE

COUNTY .00897350

SCHOOL-STATE LAW .00419200

SCHOOL-DISCRETIONARY .00209800

NORTHWEST WATER MGMT .0000338(

TOTAL AD·VALOREM:

NON·AD VALOREM ASSESSMENTS

TAXING AUTHORITY

TOTAL NON•AD VALOREM:

COMBINl!:D TAXES & ASMTS:

DISCOUNT :

UNPAID BALANCE:

Exemptions:

Property Address:

FALLING WATERS CHIPLEY 32428

TAX AMOUNT

$159.82 $74.66

$37.36

$0.60

$272.44

TAX AMOUNT

$0.00

$272.44

$0.00

$0.00

Property Appraisers Site

PROPl!:RTY # R 0000000 0· 00- 2444·0000

CHIPLEY COURSE LLC

PO BOX 758

LYNN HAVEN, FL 32444

90 .000 ACRES

27 4 13 90 ORB 663 P 199 BEG.

4.067 C S OF NWC OF NW4, RN SE

7.891 C, SE 13.956 C, SW 7.5

C, TO SWC OF N2 OF NW4, N TO

FAIR MKT VALUE $162000 DIST

ASSESS $17810 EXEMPT VALUE

TAXABLE VALUE $178 10

•• PAID **

La st Payment: 12/05/2018 Receipt number: 60393

Amt Collected: $261.54

$0

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I ~ r ri-7 1,948ft I I Parcel Number 00000000-00-2444-0000 Building Value $0

Mailing Address CHIPLEY COURSE LLC Misc Value $0

POBOX758 Land Value $0

LYNN HAVEN. FL 32444 Ag Land Value $17,810

Property Usage PLNTDPINE Ag Market Value $162,000

Date created: 7/3/'2019 Last Data Uploaded: 7/3/2019 1:40:23 AM

Developed by~ ... Schneider ... .,, Ot::OSPA T I AL.

I Overview

I : f-

H I J--1-1-D -f $] \ _J r C u-

I I I I r

-n-l e I

Just Value $162,000

Assessed Value $17,810

Exempt Value $0

Taxable Value $17,810

I

Legend

I I

N

A

0 Parcels

Roads

Last2Sales Date Price Vacant

5/ 9/2006 $468725 y

4/28/2005 $100 y