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Backup Documents 03/24/2015 Item #16A15 ORIGINAL DOCUMENTS CHECKLIST & ROUTING sflp6 A 1 5 TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later than Monday preceding the Board meeting. **NEW** ROUTING SLIP VCCL 3 '2,(P Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document isdlready complete with the exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the Count Attorney Office. Route to Addressee(s) (List in routing order) Office Initials Date 1. 2. 3. County Attorney Office County Attorney Office (� K ' \ 3/24/15 \1-N 4. BCC Office Board of County Commissioners Vt\k / -3(2.,Sl5 5. Minutes and Records Clerk of Court's Office / �(Y1V ?`2 111 3:)9 PRIMARY CONTACT INFORMATION Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the addressees above,may need to contact staff for additional or missing information. Name of Primary Staff Jeff E. Wri ht, Code Enforcement Phone Number 252-2487 Contact/ Department Agenda Date Item was 3/24/15 Agenda Item Number 16-A-15 Approved by the BCC Type of Document Release and Satisfaction—Palm Lake Number of Original Three Attached Documents Attached PO number or account number if document is 111-138911-649030 to be recorded INSTRUCTIONS & CHECKLIST • Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not appropriate. (Initial) Applicable) 1. Does the document require the chairman's original signature? STAMP OK KN 2. Does the document need to be sent to another agency for additional signatures? If yes, KN provide the Contact Information(Name;Agency;Address; Phone)on an attached sheet. 3. Original document has been signed/initialed for legal sufficiency. (All documents to be KN signed by the Chairman, with the exception of most letters,must be reviewed and signed by the Office of the County Attorney. 4. All handwritten strike-through and revisions have been initialed by the County Attorney's KN Office and all other parties except the BCC Chairman and the Clerk to the Board 5. The Chairman's signature line date has been entered as the date of BCC approval of the KN document or the final negotiated contract date whichever is applicable. 6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's KN signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slip KN should be provided to the County Attorney Office at the time the item is input into SIRE. Some documents are time sensitive and require forwarding to Tallahassee within a certain time frame or the BCC's actions are nullified. Be aware of your deadlines! 8. The document was approved by the BCC on 3/24/15 and all changes made during the KN meeting have been incorporated in the attached document. The County Attorney's has reviewed the changes, if applicable. 9. Initials of attorney verifying that the attached document is the version approved by the N BCC, all changes directed by the BCC have been made,and the document is ready for t Chairman's signature. I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12 I 1 6 A 15 . INSTR 5099988 OR 5133 PG 1584 RECORDED 3/27/2015 8:51 AM PAGES 1 This Instrument Prepared By: DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT Jeff Wright COLLIER COUNTY FLORIDA REC$10.00 Code Enforcement Department 2800 North Horseshoe Drive Naples, FL 34104 (239) 252-2440 RELEASE AND SATISFACTION OF LIEN KNOW ALL MEN BY THESE PRESENTS: That the BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA is the owner and holder of a certain lien against all real and personal property owned by: Palm Lake, LLC Respondent The lien was recorded on November 12, 2010, in Official Records Book 4623, Page 1450, in the Official Records of Collier County, State of Florida. The lien secures the principal sum of Seven thousand six hundred dollars ($7,600), plus accrued interest and penalties, if any, and imposes certain obligations against real property situated in Collier County, Florida. Collier County, a political subdivision of the State of Florida, by execution of this Release and Satisfaction of Lien, acknowledges payment as approved by the Board of County Commissioners as satisfaction of the lien and hereby cancels and releases said lien. The Clerk of the Circuit Court is hereby directed to record this Release and Satisfaction of Lien in the Official Records of Collier County, Florida, to acknowledge that the lien ceases to exist. ATTEST BOARD OF COUNTY COMMISSIONERS DWIGHT E.,BROCK, Clerk COLLIER COUNTY, FLORIDA By.s\AUW-1,1Ctr Attest as to Chainnarr' ll Deputy erk Tim Nance, Chairman py a „ Datee l �CL 1L 2c l� Date: Approved as to form and legality / -7/72 Kevin Noell Assistant County Attorney CENA20100002928 16A15 INSTR 5099989 OR 5133 PG 1585 RECORDED 3/27/2015 8.51 AM PAGES 1 This Instrument Prepared By: DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT Jeff Wright COLLIER COUNTY FLORIDA Code Enforcement Department REC$10.00 2800 North Horseshoe Drive Naples, FL 34104 (239) 252-2440 RELEASE AND SATISFACTION OF LIEN KNOW ALL MEN BY THESE PRESENTS: That the BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA is the owner and holder of a certain lien against all real and personal property owned by: Palm Lake, LLC Respondent The lien was recorded on February 1, 2011, in Official Records Book 4647, Page 2996, in the Official Records of Collier County, State of Florida. The lien secures the principal sum of Seven thousand five hundred dollars ($7,500), plus accrued interest and penalties, if any, and imposes certain obligations against real property situated in Collier County, Florida. Collier County, a political subdivision of the State of Florida, by execution of this Release and Satisfaction of Lien, acknowledges payment as approved by the Board of County Commissioners as satisfaction of the lien and hereby cancels and releases said lien. The Clerk of the Circuit Court is hereby directed to record this Release and Satisfaction of Lien in the Official Records of Collier County, Florida, to acknowledge that the lien ceases to exist. ATTEST BOARD OF COUNTY COMMISSIONERS DWIGHT E. BROCK, Clerk COLLIER COUNTY, FLORIDA By. � J .. By: Attest as,to Chairman's D puty_Clerk Tim Nance, Chairman sign t ec�n '°�� Date: \mot) (2.0 Date: '3\-2-`-\\�� Approved as to form and legality Kevin Noell Assistant County Attorney CEPM20090017229 16A15 INSTR 5099990 OR 5133 PG 1586 RECORDED 3/27/2015 8:51 AM PAGES 1 This Instrument Prepared By: DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT Jeff Wright COLLIER O R COUNTY FLORIDA REC $ Code Enforcement Department 2800 North Horseshoe Drive Naples, FL 34104 (239) 252-2440 RELEASE AND SATISFACTION OF LIEN KNOW ALL MEN BY THESE PRESENTS: That the BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA is the owner and holder of a certain lien against all real and personal property owned by: Palm Lake, LLC Respondent The lien was recorded on February 10, 2011, in Official Records Book 4651, Page 509, in the Official Records of Collier County, State of Florida. The lien secures the principal sum of Twelve thousand two hundred dollars ($12,200), plus accrued interest and penalties, if any, and imposes certain obligations against real property situated in Collier County, Florida. Collier County, a political subdivision of the State of Florida, by execution of this Release and Satisfaction of Lien, acknowledges payment as approved by the Board of County Commissioners as satisfaction of the lien and hereby cancels and releases said lien. The Clerk of the Circuit Court is hereby directed to record this Release and Satisfaction of Lien in the Official Records of Collier County, Florida, to acknowledge that the lien ceases to exist. ATTEST BOARD OF COUNTY COMMISSIONERS DWIGHT E. BROCK, Clerk COLLIER COUNTY, FLORIDA C,JVS\cii OP_ By. . By: 8S 35 0 '' ' ; ff.putt'Jerk Tim Nance, Chairman sigmurtoolyDate: Q.y� :1.�..c��1c3 Date: A-2--4Am V:-: Approved as to form and legality Kevin Noell Assistant County Attorney CEV20100003082