Backup Documents 05/08/2018 Item #16A12 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP b A
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
l'rinl on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Oilier
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#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.
2.
3. County Attorney Office County Attorney Office 1 (40/f/ )
4. BCC Office Board of County f\S
Commissioners J44/51 (Q 18
5. Minutes and Records Clerk of Court's Office
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 Jodi Hughes Phone Number x-5744
Contact/ Department
Agenda Date Item was 5/8/18 Agenda Item Number I 6A 12
Approved by the BCC
Type of Document Plat Number of Original 1
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? JH
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. JH
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 JH
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 5/8/18 and all changes made during the
meeting have been incorporated in the attached document. The County Attorney's « t
Office has reviewed the changes,if applicable.
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 e,b
Chairman's signature.
1: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
:Law Office of Sam Saad and Paradise CoaTo:Annette Watkins 09:21 05/30/18 ET Pg 2-2
1 6 A 1 2
Prepared by and return to:
Sam J. Saad III
Law Office of Sam J. Saad III
2670 Airport Pulling Road South
Naples,FL 34112
(239)963-1635
File No.: 9018
CONSENT AND JOINDER TO PLAT DEDICATION
The undersigned hereby certifies that it is the holder of the mortgage, lien or other encumbrance
recorded in Official Records Book 5309, Page 1520, of the Public Records of Collier County,
Florida ("Mortgage), encumbering the lands described as:
Tract 146, Less the West 351.50 feet, Golden Gate Estates Unit No. 97, according to the map or
plat thereof recorded in Plat Book 7, Page 95, Public Records of Collier County, Florida.
The undersigned hereby joins and consents to the dedications by the Owner of the lands
described in Dedications section herein, and agrees that the Mortgage shall be subordinated to
said dedications.
Signed in the presenc.e of SunTrust Bank
ar
a By: 4../. Ccs{
Print Name: 1}11,14} ��'/� Kl Print Name: li . • dr 414 tern Ciel
Its: /; C� SLA.C,l
_ 17;
Print Name: -Z C , u
State of Florida
County of L.Le�-
The foregoing instrijm. it was acknowledged before m this 3,�Vi`day of May 2018
by l '/I Hbrt4Flu(pthe G s.1 x2+ti 'of SunTrust Bank, a ke 1 .z&cfiL ccri, on behalf of the
bank. Such person is known to me or produced as identification.
,.„:1111Li
(NotaryTM Notary �lic
• � iaa•
Print Name: 1-
.19 L� �vt11
-"=4" - ,L
1 6 A 1 2
Prepared by and return to:
Sam J.Saad III
Law Office of Sam J.Saad III
2670 Airport Pulling Road South
Naples,FL 34112
(239)963-1635
File No.:9018
CONSENT AND JOINDER TO PLAT DEDICATION
The undersigned hereby certifies that it is the holder of the mortgage, lien or other encumbrance
recorded in Official Records Book 5111, Page 1589, of the Public Records of Collier County,
Florida("Mortgage), encumbering the lands described as:
Tract 146, Less the West 351.50 feet, Golden Gate Estates Unit No. 97, according to the map or
plat thereof recorded in Plat Book 7, Page 95, Public Records of Collier County, Florida.
The undersigned hereby joins and consents to the dedications by the Owner of the lands
described in Dedications section herein, and agrees that the Mortgage shall be subordinated to
said dedications.
Signed in the presence of: SunTrust Bank
By: ./ CC .r , /U tr lL-ci�4N.
r
Print Name -_ s�� Av`I LA Print Name: fes. J ' .2
Its: Oji
,a)c-if12Gz-`LJ
Print Name: jiltagI)c Lati
State of Florida
County of `_�&_?--
641
The foregoing instrument was acknowledged before me t is I day of May 2018
by A .._��`, ��� the • of SunTrust Bank, a , on behalf of the
bank. Such person is known to me or produced - as identification.
(Notary ��—
(N ry Seal) Notary Pub
Print Name: �s A114;
Ida 'l■�,
' C'
„vru2d uu_ 9. `
�� Z •