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Backup Documents 05/08/2018 Item #16A13 C�'- ORIGLNAL DOCUMENTS CHECKLIST & ROUTING SLIP 16 A 1 ly 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 Complete routing lines#I 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#I through#2,complete the checklist,and forward to the County Attorney Office. Route to Addressee(s) (List in routing order) Office Initials Date 1. 2. 3. County Attorney Office County Attorney Office kit 4. BCC Office Board of County AS Commissioners 4t}k S )! 1'S. 5. Minutes and Records Clerk of Court's Office `! 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 Lucia Martin/Development Review Phone Number 252-2279 Contact/ Department Division Agenda Date Item was May 8,2018 Agenda Item Number 16.A.13 Approved by the BCC Type of Document Quit-Claim Deed&Bill of Sale Number of Original 1 Attached Documents Attached PO number or account number if document is GMD: 131-138327-649030 to be recorded INSTRUCTIONS & CHECKLIST Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is N/A(Not appropriate. (Initi ) Applicable) 1. Does the document require the chairman's original signature? Yes 2. Does the document need to be sent to another agency for additional signatures? If yes, N/A 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 signed by the Chairman, with the exception of most letters,must be reviewed and signed by the Office of the County Attorney. LM 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 LM 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 LM signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slip ,L-M should be provided to the County Attorney Office at the time the item is input into SIRE. 3\/21 . 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 05/8/18 and all changes made during the meeting have been incorporated in the attached document. The County ',) ftr,,t < Attorney's Office has reviewed the changes,if applicable. rutc,. 9. Initials of attorney verifying that the attached document is the version approved by the BCC,all changes directed by the BCC have been made,and the document is ready for the qtt; Chairman's signature. 4631i 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 16A13 INSTR 5556081 OR 5509 PG 2659 RECORDED 5/15/2018 10:45 AM PAGES 4 DWIGHT E.BROCK,CLERK OF THE CIRCUIT COURT COLLIER COUNTY FLORIDA DOC@.70$0.70 REC$35.50 (Space above for recording information) UTILITY FACILITIES QUIT CLAIM DEED AND BILL OF SALE THIS QUIT CLAIM DEED made this O day o M4t1, 2018, between BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA, AS THE GOVERNING BODY OF COLLIER COUNTY AND AS THE EX-OFFICIO GOVERNING BOARD OF THE COLLIER COUNTY WATER-SEWER DISTRICT (hereinafter collectively referred to as "Grantor"), and RACETRAC PETROLEUM, INC., a Georgia corporation, its successors and assigns(hereinafter referred to as "Grantee"). WITNESSETH: That said Grantor, for and in consideration of the sum of Ten Dollars ($10.00) and other good and valuable consideration to said Grantor in hand paid by said Grantee, the receipt whereof is hereby acknowledged, hereby quit claims, remises and releases to the said Grantee, and Grantee's heirs, successors and assigns forever, all sanitary sewer force main utility facilities and/or system(s) or portion(s) thereof lying in, on, over and under the following described land, for operation, relocation, installation, repair and/or maintenance of said facilities, system(s) or portion(s) thereof, all situate and lying and being in Collier County, Florida,to wit: (See Exhibit"A" attached hereto and incorporated by reference herein.) and said Grantor does hereby remise, release, and quitclaim to the said Grantee, and Grantee's heirs assigns forever, all the right, title, interest, claim and demand which grantor has in and to the said utility facilities and/or system(s) or portion(s)thereof, be they realty, personalty, or mixed. The purpose of this quit-claim deed and bill of sale is to convey back to Grantee all sanitary sewer force main utility facilities contained in Official Records Book 2699, Page 2209, Public Records, Collier County, Florida. 9063052_1 16A13 IN WITNESS WHEREOF, Grantor has caused these presents to be executed in its name by the Board of County Commissioners acting by the Chairman or Vice of said Board, the day and year first above written. �, GRANTOR: ATWES w"` . --: BOARD OF CO (TY COM S ONERS I vigli E ,$rock Cl a COLLIER CO TY,FLOR DA / L c34. By: INA ih '}'i t airman s ANDY SOLIS, ' 'MA 1 -;turn only. Appr ed'as to form and legality: T lei '3/act 7)t Scott A. Stone:Assistant County Attorney 9063052_1 (OV) 16A13 EXHIBIT A 9063052_1V1 e 16A13 a L Sloiibrd t'`~q�a�.,paoNr 7 team LEGAL DESCRIPTION.' _, rsNDEoy �e ®lik1sTpnVErnP '1 ‘: qDDURON BT'iD t� �IT-0Y}I'AVE-NSI�.0 THE WEST 20.00 FEET OF LOT 61,GOLDEN GATE ESTATE PHASE NO.35,ACCORDING TO ;114311201...LT�A6's Tiburon r,:':"� ©LiTiifAVeNirz Ee9can arch1 THE PLAT THEREOF AS RECORDED IN PLAT BOOK 7 PAGE 85 OF THE PUBLIC RECORDS A°.• - I N' C®° r b Goitcit 1 � y 1� CAVA ]�iorilnu6riPT, r it�� -AN i:i ZI'1 r OF COLLIER COUNTY,FLORIDA. E .0 -- k r l CONTAINING 420 SQUARE FEET. ill ,'.' � : J 1 �I9�,\,111' Rp • f\' 11 v!DANCE LD35DA1 � 1 Vlrteia 5 L SURVEYOR'S NOTES., ,.! DANIELSADCC m -'p1: 1� i g.- l �,ill. UrITfflS DD �y�� �m 1• THIS SKETCH OF LEGAL DESCRIPTION DOES NOT REPRESENT A BOUNDARY SURVEY. 3t ; Wm 'ii l N0ALi __ f,7_, �1 0 ki 1Y^� + Naples-'' sAmtiii a s-Shiley': is 2.BEARINGS SHOWN HEREON ARE REFER TO AN ASSUMED MERIDIAN OF S89'3726T ? ' (lir r a-i ALONG THE NORTH RIGHT OF WAY LINE OF PINE RIDGE ROAD(STATE ROAD 896). '' /; � �' DDTCLEBBUSN II '; 3.ADDITIONS OR DELETIONS TO SURVEY MAPS OR REPORTS BY OTHER THAN THE ssnsmrenn( erE�sfno ®�,�c, I.Liwri�5rjn�� .� Am SIGNING PARTY OR PARTIES IS PROHIBITED WITHOUT WRITTEN CONSENT OF THE ,.=1° • b. --� .fib gg 1� l� sx T AVESW i cry � � GdfggiffNa °c.Golf&C ��, 1 AM ESN._-. SIGNINGPARTYORPARTIES. ,�J .1 1 ,. Tlf. ( r 4. THE INFORMA 7/ON PRO WDED BY RACETRAC PETROLEUM INC +r SDA y� cEDAx,TaFFLn_= LEGEND.• LOCATION MAP:NOT TO SCALE ORB=OFFICIAL RECORDS BOOK RACETRACT PETROLEUIUI,INC. a.fi PG=PAGE 3725 PINE RIDGE ROAD NAPLES,FLORIDA 34109 b t 1,1 REMAINING OF LOT 61 ti _N89°3_7'26"W 330.00'_ _ --___47 ' NORTH LINE,SOUTH 225;LOT 61, c LAWN t�`� `o eS g��a N o� PORTION OF LOT 61, o �' LOT 60 ZMa �� o�w LOT 76 o.,,�N o z/ GOLDEN GATE ESTATE PHASE NO. 35 o o i. o13 a a , � PLAT BOOK 7,PAGE 85 s°` i' w z NOT TO SCALE: N il 15'LESS OUT PARCEL PER ORB 2660,PG 3375 R 5 NORTH RIGHT OF WAY L INE&NORTH LINE OF THE Awl a SOUTH 15'OF THE NORTH 225'OF LOT 61 � - r�MS89°3T26'E 330.00' _r_ ._�,.y — -- PLATTED SOUTH LINE OF LOT 61 PINE RIDGE ROAD(STATE ROAD 896) 150'RIGHT OF WAY AS SHOWN ON FDOT RIGHT OF WAY MAP SECTION 03504-2603(SHEET 6 OF 13,LAST REVISED 4/14/80 t 1 �H AND Ls 'AL PESCRIPTION , ss SURVEYOR'S CERTIFICATION --L-, I HEREBY CERTIFY THAT THIS SKETCH AND LEGAL „J 1 ILL DESCRIPTION WAS PREPARED UNDER MYRESPONSIBLE \ CHARGE AND MEETS THE STANDARDS OFel1111111110' URVEYING AND MAP IN IOVC.FORTH BY THE FLORIDA BOARD OF PROFESSIONAL -- X SURVEYORS AND MAPPERS IN CHAPTER 5J-17,FLOR/r" FNM 2240 NE DIXIE HI GHWA Y ADMINISTRATIVE CODE AND THAT IT IS TRUED' RECT I /�NCi�AI BEACH Ij FLORIDA 349�� TO THE BEST OF MY KNOWLEDGE AND BELIEF r RVEYMAP k/ S7 I V t,�17 poi) AND REPORT OR THE COP/ES THEREOFA�` OT VALID PHONE 772-334-0868 WITHOUT THE SIGNATURE AND THE O;,,NAL RAISE. ,a /� g ps OFA FLORIDA LICENSED SURVEY*/ND MAPP.`. WA TSONKIL LANE@ GMAIL,COM LICENSED BUSINESS NO.8241 - ^: %.WATSON JOB#:17-450 SHEET 1 OF 1 PROFESSIONAL SURVEYOR&MAPPER N0.5647 STATE OF FLORIDA DATED;3-3-2018 SCALE-NOT TO SCALE