Backup Documents 07/11/2017 Item #16A 4 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 16 A )�
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO `t
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.
Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already 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 County Attorney Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1. John Houldsworth Development Review 7/25/17
2.
3. County Attorney Office County Attorney Office
?Ai
4. BCC Office Board of County ' b
Commissioners -1‘.2.S\1--1
5. Minutes and Records Clerk of Court's Office a (7 a wV
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 John Houldsworth Phone Number I x-5757
Contact/ Department
Agenda Date Item was July 11,2017 Agenda Item Number 16-A4
Approved by the BCC
Type of Document Plat — Arthrex Boulevard Number of Original One
Attached Documents Attached
PO number or account
number if document is
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? n/a
2. Does the document need to be sent to another agency for additional signatures? If yes, 3H—
pr ovi de
H—provide the Contact Information(Name;Agency;Address; Phone)on an attached sheet. N //A—
3. Original document has been signed/initialed for legal sufficiency. (All documents to be JH
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 N/A
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 JH
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
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip
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 July 11,2017 and all changes made
during the meeting have been incorporated in the attached document. The County is t�)s �0�
Attorney's Office has reviewed the changes,if applicable. v,, Baer
9. Initials of attorney verifying that the attached document is the version approved by the r e
BCC,all changes directed by the BCC have been made, and the document is ready for the
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
16A4
Ex parte Items - Commissioner Penny Taylor
COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS AGENDA
07/11/17
Consent Agenda
16.A.4 This item requires that ex parte disclosure be provided by Commission members. Should a
hearing be held on this item, all participants are required to be sworn in. Recommendation to
approve for recording the minor final plat of Arthrex Boulevard, Application Number
PL20170001077.
NO DISCLOSURE FOR THIS ITEM
SEE FILE ®Meetings Correspondence De-mails ®Calls
Meetings and telephone conversations and conversations with staff
.6A 4
Ex parte Items - Commissioner Andy Solis
COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS AGENDA
07/11/17
Consent Agenda
16.A.4 This item requires that ex parte disclosure be provided by Commission members. Should a
hearing be held on this item, all participants are required to be sworn in. Recommendation to
approve for recording the minor final plat of Arthrex Boulevard, Application Number
PL20170001077.
❑ NO DISCLOSURE FOR THIS ITEM
SEE FILE ❑Meetings 'Correspondence ❑e-mails ❑Calls
16A4
Ex parte Items - Commissioner Donna Fiala
COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS AGENDA
07/11/17
Consent Agenda
16.A.4. This item requires that ex parte disclosure be provided by Commission members. Should a
hearing be held on this item, all participants are required to be sworn in. Recommendation to
approve for recording the minor final plat of Arthrex Boulevard, Application Number
PL20170001077.
NO DISCLOSURE FOR THIS ITEM
SEE FILE ❑Meetings ❑Correspondence DE-mail ['Calls
16.A.5. This item requires that ex parte disclosure be provided by Commission members. Should a
hearing be held on this item, all participants are required to be sworn in. Recommendation to
approve for recording the minor final plat of Esplanade at Hacienda Lakes Phase 1A,
Application Number PL20170001378.
V NO DISCLOSURE FOR THIS ITEM
SEE FILE ❑Meetings 1 (Correspondence DE-mail ['Calls
1 6 A 4
Ex parte Items - Commissioner Burt Saunders
COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS AGENDA
07/11/17
Consent Agenda
)(c 16.A.4. This item requires that ex parte disclosure be provided by Commission members. Should a
hearing be held on this item, all participants are required to be sworn in. Recommendation to
approve for recording the minor final plat of Arthrex Boulevard, Application Number
PL20170001077.
X NO DISCLOSURE FOR THIS ITEM
Consent Agenda
16.A.5. This item requires that ex parte disclosure be provided by Commission members. Should a
hearing be held on this item, all participants are required to be sworn in. Recommendation to
approve for recording the minor final plat of Esplanade at Hacienda Lakes Phase 1A,
Application Number PL20170001378.
X NO DISCLOSURE FOR THIS ITEM
1 6 A 4
Ex parte Items - Commissioner William L. McDaniel, Jr.
COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS AGENDA
07/11/17
Consent Agenda
16.A.4. This item requires that ex parte disclosure be provided by Commission members. Should a
hearing be held on this item,all participants are required to be sworn in. Recommendation to
approve for recording the minor final plat of Arthrex Boulevard, Application Number
PL20170001077.
X NO DISCLOSURE FOR THIS ITEM
SEE FILE Meetings (Correspondence e-mails Calls