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The Club Estates M e rn 0 ran d urn ENGINEERING SERVICES DEPARTMENT DATE: September 24,2004 TO: Maureen Kenyon, Supervisor, Clerk to Board FROM: Engineering Department File Copy Tonia Leavitt, Engineering Technician f).' on 1(} Engineering Services Department t:1~. cc: RE: The Club Estates Water and/or Sewer Facilities Acceptance On September 14, 2004 The Board of County Commissioners granted final acceptance of the water and/or sewer facilities within the above-referenced project. Attached, please find the following recorded documents, in order: 1. Utilities Facilities Warranty Deed 2. Bill of Sale 3. (2) Utilities Facilities Subordination, Consent and Joinder Also, please find attached the following documents for your files. 4. One copy of the Executive Summary submitted to the Board 5. One copy of the Location Map 6. Attorney's Affidavit 7. Owner's Affidavit 8. Copy of preliminary approval letter from Engineering Review 9. Engineer's final payment confirmation 10. Final Release of Lien from Utility Contractor for the Facilities Constructed 11. Certification of pressure testing of water mains by Engineer of Record PHONE: 659-5758 FAX: 213-2916 Engineering Web Site: http://colliergov.netJplanning/Enginhome.htm Memorandum to Maureen Kenyon, Supervisor, Clerk to Board Page 2 12. Letter by Engineer certifying that all water and/or sewer facilities are located within the public right-of-way or dedicated easements 13. One year (1) Warranty for work from Utility Contractor 14. DEP Certification Letter for water facilities 15. DEP Certification Approval for sewer facilities 16. LAB results on bacteriological test for water lines 17. Copy of video tape test report 18. Certification of pressure testing of force main (sewer) lines by Engineer of Record (Hydrostatic Testing) 19. Certification of the inflow/infiltration test for the sewer lines by Engineer of Record. 20. Coating certification of man holes, wet wells and dry well from manufacturer. 21. Lift station (s) start up report (s) (Pump Station) 22. Electrical Contractor's certification on Pump Station electric service wire sizing and voltage drop, pursuant to National Electrical Code specification. 23. Letter from Engineering Services Department certifying that the preliminary inspection reveals that the Utility facilities have been constructed in accordance with County ordinances and regulations. 24. Letter from the Fire District regarding ownership and maintenance of fire hydrants 25. Certification of field fire flow capacity testing by the appropriate FCD. 26. Verification of final cost (Detailed: quantities, sizes, unit cost, total cost, etc.) 27. Payment of water usage, laboratory and administrative charges for filling and flushing and Bacteriologically certifying water mains 28. Letter from Engineering Services Department certifying that the final inspection reveals that the Utility facilities have been constructed in accordance with County ordinances and regulations. 29. Copy of video tape test report for Final Approval 30 . Final Attorney's Affidavit PHONE: 659-5758 FAX: 213-2916 Engineering Web Site: http://colliergov.netJplanning/Enginhome.htm -.--.. .............._-- Dwight E. Brock Clerk BY: DALE DEPUTY CLERK RECEIPT: 3494290 County of Collier CLERK OF THE CIRCUIT COURT COLLIER COUNTY COURTHOUSE 3301 TAMIAMI TRAIL EAST P . O. BOX 4413 044 NAPLES, FLORIDA 34101-3044 ORIGINAL OFFICIAL RECEIPT When Validated DESCRIPTION AMOUNT ----------------------------- ---------- ----------------------------- ---------- NAME : PAYOR: REFNC: ENGINEERING REVIEW/S NIX BCC 113 138312 63 649030 DC: 4 DOCUMENTS 52.00 8.00 .70 DOC TYP SUBORD SUBORD B SALE DEED FILE ID 2839003 2839004 2839005 2839006 BOOK 2872 2872 2872 2872 é/ttJ hf-¡/~,> DEPT: RECORDING (COfPY PAGE 2105 2108 2111 2114 RECORDING OF LEGAL INSTRUMENT P.R.M.T.F. RECORDING FEE INDEXING DOCUMENTARY STAMPS - 70 DOCUMENTARY STAMPS - 35 INTANGIBLE TAX SALES COPIES MISCELLANEOUS FEES INTANGIBLE PENALTY INTANGIBLE INTEREST RECORDING DEPOSITS REFUNDS :/ii ~ '2529214 G8/DB/2GGl 2 8ILLEO: 60~ 70 ~11 A~T PAID: ¡ jj ¡ :: .~'-' TOTAL DUE: 60.70 Page 01 of 01 Retn: 2839006 OR: 2872 PG: 2114 SHIRLIY NII/laGlaIIRING RBVIIV RICORDID in the OffICIAL RICORDS of COLLIIR COUN'Y, fL HORSISHOI DRIVI 08/08/2001 at 07:57AM DVIGH' I. BROCI, CLBRI In 5586 RBC fIB DOC-.70 15.00 .70 UTILITY FACILITIES WARRANTY DEED TIllS INDENTURE made this 1L- day of ~d The Club Estates, L. C. , 1999, between (hereinafter referred to as "Grantor"), and the BOARD OF COUNTY COM:MISSIONERS OF COLLIER COUNTY, FLORIDA, AS THE GOVERNING BODY OF COLLIER COUNTY AND AS EX-OFFICIO THE GOVERNING BOARD OF THE COLLIER COUNTY WATER-SEWER DISTRICT, its successors and assigns, (hereinafter referred to as "Grantee"). WIT N E SSE T H: ~ V\ ."" \ That said Grantor, for and in consideration of the sum ofTen Dollars ($10.00) and other good and valuable consideration to said Grantor in hand paid by said Grantee, the receipt whereof is hereby acknowledged, has granted, bargained and sold to the said Grantee, and Grantee's heirs, successors and assigns forever, all water and sewer utility facilities lying within the following described land, together with appurtenant easement rights for the operation, installation and maintenance of said facilities, situate, lying and being in Collier County, Florida, to wit: ~ .~ " ~ ~ ,\, ..... ~ <"'V ~ TO HA VE AND TO HOLD the same unto the Grantee and its assigns, together with the right to enter , \ upon said land, excavate, and take materials for the purpose of constructing, operating, and maintaining utility . t facilities thereon. Grantor and Grantee are used for singular or plural, as the context requires. ~ IN WITNESS WHEREOF, Grantor has caused these presents to be executed the date and ye written. (See Exhibit "A" attached hereto and incorporated by reference herein.) and said Grantor does hereby fully warrant the title to said utility facilities, and will defend the same against . . the lawful claims of all persons whomsoever. For the purposes of this conveyance, the utility facilities conveyed herein shall not be deemed to convey any of the lands described in Exhibit "A". Grantor and Grantee are used for singular or plural, as context requires. cf~~~ <:r~")l a 1 ess /l Print Name:5ttS¡fH" A /i,f'Ei!.5 Utility Facilities Warranty Deed Page 1 of 2 OR: 2812 PG: 2115 STATE OF FLORIDA COUNTY OF COLLIER The foregoing Utilities Facilities Warranty Deed was acknowledged before me by Charles V. Benton, a member of The Club Estates, L.C., who is personally known to me or produced ~i/1 as identifi~ion. /7. -J} Witness my hand and official seal this Ie{ - day of {-¥-ALt' ' 1999. (~~~ ~ ~sSion Expires: (Seal) Prepared by: Cardillo, Keith & Bonaquist Pieter Van Dien, Esq. 3550 East Tamiami Trail Naples, Florida 34112 Utility Facilities Warranty Deed Page 2 of2 *** OR: 2872 PG: 2116 *** EXHIBIT A Tract A of The Club Estates according to the plat recorded in Plat Book 31, at Pages 78 to 80, of the Public Records of Collier County, Florida. 2839005 OR: 2872 PG: 2111 RBCORDBD in OFFICIAL RBCORDS of COLLIBR COURTY, FL 08/08/2001 at 07:57AK DWIGHT B. BROCK, CLBRK RBC FBB 15.00 Retn: SHIRLBY RII/BRGIRBBRIRG RBVIIV HORSBSBOB DRIVI BIT 5586 BILL OF SALE THIS BILL OF SALE evidencing the sale and conveyance of the water and sewer utility facilities described herein is made this Id'fl. day of tp<U.L , 1999, by The Club Estates, L. C. (hereinafter referred to as "Seller"), and the BOARD OF COUNTY COMJ'vIISSIONERS OF COLLIER COUNTY, FLORIDA, AS THE GOVERNING BODY OF COLLIER COUNTY AND AS EX-OFFICIO THE GOVERNING BOARD OF COLLIER COUNTY WATER-SEWER DISTRICT, its successors and assigns, (hereiIiafter referred to as "Buyer"). . WIT N E SSE T H: .~ ~ ,~ ~ ~ \. ~ ~ ~ That said Seller, for and in consideration of the sum ofTen Dollars ($10.00) and other good and valuable consideration to said Seller in hand paid by the said Buyer, the receipt whereof is hereby acknowledged, has granted, bargained, sold, transferred, set over and delivered, and by these presents does grant, bargain, sell, transfer, set over and deliver unto the Buyer, and the Buyer's heirs, successors and assigns forever, all those certain water and sewer utility facilities lying within the following described land, together with appurtenant easement rights for the operation, installation and maintenance of said facilities, situate, lying and being in Collier County, Florida, to wit: See Exhibit "A" attached hereto and incorporated by reference herein. .t \- ~ ~ - ), The Seller, for itself and its successors, hereby covenants to and with the Buyer and its successors and assigns that it is the lawful owner of the said goods and chattels herein referred to as utility facilities; that said goods and chattels are free from all liens and encumbrances; that it has good right, title and authority to sell same, and that it will warrant and defend the same against the lawful claims and demands of all persons whomsoever. Seller and Buyer are used for singular or plural, as the context requires. '- ~ \~ ~ fIJ. 3-~ 'f1l~ r.. WItness L\00-...S~Pi ~fìu:.'\. Print Name: IN WITNESS WHEREOF, SELLER has caused these presents to be executed the date and year first above written. less d rint Name:-5CtSM /Í/./l1ŒR.5 Page 1 of2 OR: 2872 PG: 2112 STATE OF FLORIDA COUNTY OF COLLIER The foregoing Bill of Sale was acknowledged before me by Charles V. Benton, a member of the Club Estates, L.c., who is /' personally known to me or who produced III /A as identification. Witness my hand and official seal this 1.2f'.dayof ~ ' 1999. ~/ N Public My Commission Expires: (Seal) J.æ~ Prepared by: Cardillo, Keith & Bonaquist Pieter Van Dien, Esq. 3550 East Tamiami Trail Naples, Florida 34112 ,".,(¡'1,"'\pJ',N :~ ..'.,...." 'M~ " S¡~~.. ~,.~ ¡\1"E c::: f1.,(.)'RlDA Ì' 10'! ,..~-;' j"... v.UC ;>1 NÜ. <.''.:69ín47 " cO'!'';''l''('1;.~\ON ~.~. \ M'i COM}.ßSS1ON . Page 2 of2 ttt OR: 2872 PG: 2113 ttt EXHffiIT A Tract A of The Club Estates according to the plat recorded in Plat Book 31, at Pages 78 to 80, of the Public Records of Collier County, Florida. - - 2839003 OR: 2872 PG: 2105 RBCORDBD in OFFICIAL RBCORDS of COLLIBR COUITY, FL 08/08/2001 at 07:57AM DIIGHT B. BROCI, CLBRK RBC FBI 15.00 Retn: SHIRLBY RII/BRGIRBBRIRG RBVIBI HORSBSHOB DRIYB BI'l' 5586 UTILITY FACILITIES SUBORDINATION, CONSENT AND JOINDER THJ.S SUBORDINATION, CONSENT AND JOINDER given this /2- 1;:, day of r/l.. , 1999, by Richard K. Bennett, Successor Trustee of Land Trust No. 5385 of Naples, Florida (h inafter referred to as "Mortgagee"), in favor of the BOARD OF COUNTY COMMISSIONERS OF COLLIER COl.T1'JTY, FLORIDA, AS THE GOVERi'-Tn>JG BODY OF COLLIER COUNTY AND AS EX-OFFICIO THE GOVERNING BOARD OF THE COLLIER COUNTY W A TER- SEWER DISTRICT, its successors and assigns, (hereinafter referred to as "County"). Mortgagee is used as singular or plural, as the context requires. WIT N E SSE T H: WHEREAS, Mortgagee is the owner and holder of that certain Mortgage Deed dated December 12, 1997 and recorded in Official Records Book 2371, Page 2220 et seq. of the Public Records of Collier County, Florida, as modified by that certain Mortgage Modification Agreement dated February 11, 1998 and recorded in Official Records Book 2388, Page 1276 et seq. of the Public Records of Collier County, Florida (hereinafter referred to as "Mortgage"), encumbering the premises legally described therein, (hereinafter referred to as the "Encumbered Property"). ~ \\. ~ d '" \VHEREAS, County has requested and received from the fee simple owner of the Encumbered Property non-exclusive easements for the installation and maintenance of utility facilities over and across a portion of the encumbered premises legally described in Exhibit "A" attached hereto and incorporated herein by virtue of this reference, which premises are hereinafter referred to as the "Easement Property". , :~ ~. WHEREAS, County has requested that Mortgagee consent to, join in and subordinate its Mortgage to the interest that County has in the Easement Property to which request Mortgagee has agreed. ~ ~ \- "'" ~ "- ~ ~ NOW, THEREFORE, in consideration ofTEN DOLLARS ($10.00) and other good and valuable consideration, the receipt of which is hereby acknowledged, the Mortgagee does hereby consent to, join in and subordinate the lien of its Mortgage and Financing Statement to the grant of that certain easement described herein over, under, and across the Easement Property and any interest of the County in any utility facilities located therein or affixed thereto. Except as subordinated to the easement described herein over, under, and across the Easement Property or any utility facilities located therein or affixed thereto, said Mortgage shall remain otherwise in full force and effect. Page 1 of2 - OR: 2872 PG: 2106 IN WITNESS WHEREOF, the Mortgagee has caused these presents to be executed the date and year first above written. t~ {~!2-ç RichaÎ-d K. Bennett~uccessor Trustee of Land Trust No. 5385 ST A TE OF FLORIDA COUNTY OF COLLIER The foregoing Facilities Agreement was acknowledged before me by Richard K. Bennett,.¡.vho is personally .known to m~or produced as identification. Witness my hand and official seal this 12th day of February , 1999. /al1-L/J rJ IYluid/J /Notary Public Efleen A. M-emO My Commission Expires: Seal Prepared by: Cardillo, Keith & Bonaquist Pieter Van Dien, Esq. 3550 East Tamiami Trial Naples, FL 34112 ".t"~... 'r¡: :~< EILEEN A MENDO E¡. J'1 MY COMMISSION # CC 763332 ~'l.;,;...:<t.~~ B EXPIRES: July 28,2002 ....,,¡~. OIlded Thru NoIary Public Underwritel'l *** OR: 2872 PG: 2107 **t EXHIBIT A Tract A of The Club Estates according to the plat recorded in Plat Book 31, at Pages 78 to 80, of the Public Records of Collier County, Florida. ..-.---.- M _.,,_._""_.__~ .... 2839004 OR: 2872 PG: 2108 RBCORDBD in OFFICIAL RBCORDS of COLLIBR COU.'Y, FL 08/08/2001 at 07:57AM DVIGH' I. BROCK, CLBRI RBC FIB 15.00 Retn: SHIRLBY NIl/IRGINIBRIRG RIVIBV HORSBSHOB DRIVI 11' 5586 UTILITY FACILITIES SUBORDINATION, CONSENT AND JOINDER THIS SUBORDINATION, CONSENT AND JOINDER given this JJ /l~ay of (Y1v.. >c h , 1999, by Thomas Hogg, Sf. (hereinafter referred to as "Mortgagee"), in favor of the BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA, AS THE GOVERNING BODY OF COLLIER CO~ TNTY At,,'D AS EX-OFFICIO THf GO\'ERNING BOA..T?~D OF THE COLLIER COUNTY WATER-SEWER DISTRICT, its successors and assigns, (hereinafter referred to as "County"). Mortgagee is used as singular or plural, as the context requires. WIT N E SSE T H: 'WHEREAS, Mortgagee is the owner and holder of that certain Mortgage Deed dated December 10, 1997 and recorded in Official Records Book 2375, Page 1565 et seq. of the Public Records of Collier County, Florida (hereinafter referred to as "Mortgage"), encumbering the premises legally described therein, (hereinafter referred to as the "Encumbered Property"). ~ ~ ~ ~ WHEREAS, County has requested and received from the fee simple owner of the Encumbered Property non-exclusive easements for the installation and maintenance of utility facilities over and across a portion of the encumbered premises legally described in Exhibit" A" attached hereto and incorporated herein by virtue of this reference, which premises are hereinafter referred to as the "Easement Property". ~ ."\ ~ ~ ~ ~. ~ ~ -\ ~ ~ WHEREAS, County has requested that Mortgagee consent to, join in and subordinate its Mortgage to the interest that County has in the Easement Property to which request :Mortgagee has agreed. NOW, THEREFORE, in consideration ofTEN DOLLARS ($10.00) and other good and valuable consideration, the receipt of which is hereby acknowledged, the Mortgagee does hereby consent to, join in and subordinate the lien of its Mortgage and Financing Statement to the grant of that certain easement described herein over, under, and across the Easement Property and any interest of the County in any utility facilities located therein or affixed thereto. Except as subordinated to the easement described herein over, under, and across the Easement Property or any utility facilities located therein or affixed thereto, said Mortgage shall remain otherwise in full force and effect. Page 1 of2 OR: 2872 PG: 2109 IN WITNESS WHEREOF, the Mortgagee has caused these presents to be executed the date and year first above written. L J4r~ Thomas Hogg, Sr. I STATE OF ~~' COUNTY OF ¡; , The foregoing Facilities Aë:.:~ent was acknowledged before. me ~y Th.omas Hogg, Sr., who is personally known to me or produced *~? ~ ~ as identIficatIOn. Witness my hand and official seal this ~y of ~ a~~ , 1999. g - ~/?J , ~¿"'c-e.../ 0J ey./~~ [... tary Public My Commission Expires: -0 ~ óZ., (Seal) Prepared by: Cardillo, Keith & Bonaquist Pieter Van Dien, Esq. 3550 East Tamiami Trial Naples, FL 34112 *** OR: 2872 PG: 2110 *** EXHIBIT A Tract A of The Club Estates according to the plat recorded in Plat Book 31, at Pages 78 to 80, of the Public Records of Collier County, Florida. EXECUTIVE SUMMARY Recommendation to approve final acceptance of water and sewer utility facilities for The Club Estates OBJECTIVE: The Board of County Commissioners, Ex-Officio the Governing Board of the Collier County Water-Sewer District, to accept the conveyance of the water and sewer facilities. CONSIDERATIONS: 1) The Developer of The Club Estates has constructed the water and sewer facilities within dedicated easements to serve this development. See attached location map. 2) Preliminary acceptance was approved by the Community Development and Environmental Services staff on 5/17/01. Final Acceptance is in accordance with Ordinance 2001-57. 3) Staff has recorded all appropriate legal documentation which has been reviewed by the County Attorney's office for legal sufficiency. 4) The water and sewer facilities have been operated and maintained by the Collier County Water-Sewer District during the one (1) year warranty period. 5) A final inspection to examine for any defects in materials and workmanship was conducted by the Community Development and Environmental Services Division staff and found to be satisfactory. 6) The Utilities Performance Security (UPS), submitted with the Subdivision bond may be reduced by 10% for the utility related items that have been satisfactorily completed. FISCAL IMPACT: The water facilities were constructed without cost to the Collier County Water-Sewer District. The cost of operating and maintaining the water and sewer facilities will be paid by monthly user revenues. GROWTH MANAGEMENT IMPACT: This project has been connected to the County Regional Water Treatment Plant and North/South Regional Wastewater Treatment Plant. Capacity presently exists to serve this project. RECOMMENDATION: The Community Development and Environmental Services Division Administrator recommends that the Board of County Commissioners, Ex-Officio the Governing Board of the Collier County Water-Sewer District, accept the water and sewer facilities for The Club Estates, and release the UPS to the Project Engineer or the Developer's designated agent. r t: ~ 0 ¡; :< n > ~ ! ! - 0 ~ N ... Z \ <XlU.8l1IOU.E\< ~ \ » lit tj ""tJ ~ I!; + ~ ~~ I N N ¡;: ~ . ~ ~ ~ - g / NOT TO SCAlE ã MT1DIOERG .... HI ml I u N ~ I .I ~- l~ ~~ ~. - g~ I g~ ~s lil !: ~ §! ~ ~ ii G)~i ~~ Î~ h N ... <~ ~ il N !I! '"tJ O;;u ~~~ °0 ~<- -m 00 Z-i Ñ N II: ~ en - ---4 ITI i '" ~ ~~;¡ §!:(~ ~ » ""tJ ATTORNEY'S AFFIDAVIT STATE OF FLORIDA COUNTY OF COLLIER BEFORE ME, the undersigned authority, personally on this 5/~day of Dc fv k 1999, appcm-cd Pi;;:t:;;r G. VaJ1 Dien,. who to me is well known, and having been sworn and under oath, deposes and states: 1. My name is Pieter G. Van Dien, I am over the age of twenty-one (21) years, am otherwise suijuris, and have personal knowledge ofthe facts contained herein. 2. I am a licensed attorney, Florida Bar # 0096695 authorized to practice law and am practicing law in the State of Florida. My business address is 3550 East Tamiami Trail, Naples, Florida 34112. My business telephone number is (941) 774-2229. My business mailing address is 3550 East Tamiami Trail, Naples, Florida 34112. 3. This Affidavit is given as an inducement to the Board of County Commissioners of Collier County, Florida, as the governing body of Collier County and as Ex-Officio the Governing Board of the Collier County Water-Sewer District to accept the dedication or conveyance of water utility facilities located within or upon the real property described in the attached Exhibit "A", which is incorporated herein by reference, said land being located in Collier County, Florida. 4. The Affiant has examined record title information to both the real and personal property referenced in this affidavit, including but not limited to, information requested from the Florida Secretary of State relative to any Uniform Commercial Code financing statements. 5 The record owner of the real and personal property described herein is The Club Estates, L.c., (hf':rejnafter "Owner") The Owner acquired record title to the subject real property bv instrument recorded at Official Records Book 2371, at Page 2218, Public Records, Collier County, Florida, as amended by instrument recorded at Official Records Book 2388, at Page 1274, Public Records, Collier County, Florida. (Copies attached) 6. The Affiant states that Charles V. Benton is a member of The Club Estates, 1. C. Further, Affiant states that Charles V. Benton has full power and authority to execute instruments conveying real and personal property on behalf of The Club Estates, 1. C. 7. The Affiant states that as of September 27, 1999, the subject real property is encumbered by the following liens: Page 1 of 3 Pages a. Mortgage between Richard K. Bennett, Successor Trustee of Land Trust No. 5385 and The Club Estates, L.c. dated December 12, 1997 and recorded in O. R. Book 2371, Page 2220, Public Records of Collier County, Florida as amended by that instrument dated February 11th, 1998 and recorded in O.R. Book 2388, Page 1276, Public Records of Collier County, Florida. b. Mortgage between The Club Estates, L.c. and Thomas Hogg, Sr. dated December 10, 1997 and recorded in O. R. Book 2375, Page 1565, Public Records of Collier County, Florida. c. Mortgage between The Club Estates, L.c. and Bank of America, N.A. d/b/a NationsBank, N.A. dated August 30th, 1999 and recorded in O.R. Book 2588, Page 693, Public Records of Collier County, Florida. d. UCC 1 Financing Statement given by The Club Estates, L.c. to Bank of American, N.A., d/b/a NationsBank, N.A. filed with the Florida Secretary of State on September 10, 1999. e. Assignment of Leases and Rents between The Club Estates, L. C. and Bank of America, N.A. d/b/a NationsBank, N.A. dated August 30th, 1999 and recorded in O. R. Book 2588, Page 721, Public Records of Collier County, Florida. f. Notice of Recommencement filed by The Club Estates, L.C. dated August 30th, 1999 and recorded in O.R. Book 2588, Page 726, Public Records of Collier County, Florida. 8. Affiant further states that the information contained in this Affidavit is true, correct and current as of the date this Affidavit is given. FURTHER AFFIANT SAYETH NAUGHT. DATED this 5"'~YOf {Jé'+V b-ef,1999. '----.., I / ~-_.-¡ ~/ /7 ~., // ",,' /' / .'~~~/ eref G Van llien ~ . ì:::,,'4J, fIT\-). (\ ~ I .0 SUBSCRIBED AND SWORN to before me this _~. day of~)~~_, 1999 by Pieter G. Van Dien, who is personally known to me. RENEE A PERJCINS NOTARY PUBLIC STATE OF JII.airoA COMMISSION NO. CC82OøO MY COMMISSION EXP. APR. Prepared by: Pieter G. Van Dien, Esq. CARDILLO, KEITH & BONAQUIST, P.A. 3550 East Tamiami Trail Naples, Florida 34112 (941) 774-2229 ~1-* ~.~ Notary Public My Commission Expires: (Seal) Page 2 of 3 Pages ~_""...,,~.,_u~___,______ EXHIBIT A Tract A of The Club Estates as shown by the plat of The Club Estates recorded in Plat Book 31, Pages 78 to 80, of the Public Records of Collier County, Florida. Page 3 of3 Pages OWNER'S AFFIDAVIT STATE OF FLORIDA COUNTY OF COLLIER BEFORE ME, the undersigned authority, personally appeared Charles V. Benton, a member of The Club Estates, L.C., who to me is well known, and having been duly sworn and under oath, deposes and states: 1. My name is Charles V. Benton. I am over the age of twenty-one (21) years, am sui juris, and have personal knowledge of the facts contained herein. 2. The Club Estates, L.C., a Florida Limited Liability Company, is the owner of the said real property legally described on Exhibit "A" and I am a member of said company. I have the power to convey real property on behalf of the company. 3. All persons, finns, and corporations, including the general contractor and all subcontractors, who have furnished services, labor or materials according to plans and specifications, or extra items, used in the construction or repair of water and sewer utility facilities on the real estate hereinafter described, have been paid in full and that such work has been fully completed and accepted by the owner. 4. No claims have been made to the Owner by, nor is any suit now pending on behalf of, any contractor, subcontractor, laborer or materialman, and further that no chattel mortgages or conditional bills of sale have been given or are now outstanding as to the subject utility facilities placed upon or installed in the aforesaid premises. 5. The utility facilities described herein are not included in, encumbered by, or subject to any real property mortgage, chattel mortgage, security agreement, Uniform Commercial Code financing statement, or any other encumbrance. 6. As and on behalf of the owner of the subject utility facilities, does for valuable consideration hereby agree and guarantee, to hold the Board of County Commissioners of Collier County, Florida, as the governing body of Collier County and as Ex-Officio the Governing Board of the Collier County Water-Sewer District harmless against any lien, claim or suit by any general contractor, subcontractor, mechanic or materialman, and against chattel mortgages, security interests or repair of the subject utility facilities. Affiant is used as singular or plural, as the context requires. Page 1 of2 The utility facilities referred to herein are located within the real property described in the attached Exhibit "A". FURTHER AFFIANT SA YETH NAUGHT. DATED this ~ay of ~ , 1999. / SUBSCRIBED AND SWORN)ü before me this P~ay of ~1 , 1999, by Charles V. Benton, who is -L personally known to me or _ wh produced ¡ý //1 as identification. Çàf~J~ Notary Printed Name My Commission Expires: Seal Prepared by: Cardillo, Keith & Bonaquist Pieter Van Dien, Esq. 3550 East Tamiami Trail Naples, FL 34112 F ClAl. AR SUSÞ.N M AKERS A NOr.\R'( i"!::,.UC 5!A1'E ~ ~ CQM.:,¡::f/ON NO. '-~ _n --··ON.,...,-n N<""\' , X,..1 MY Ø.¡M,..t\.;~·.. .I:o^' . _. Page 2 of2 EXHIBIT A Tract A of The Club Estates according to the plat recorded in Plat Book 3 1, at Page 78 to 80, of the Public Records of Collier County, Florida. .,---.--.....-.---.-----...----,.----- COLLIER COUNTY GOVERNMENT COMMUNITY DEVELOPMENT AND ENVIRONMENTAL SERVICES DIVISION ENGINEERING REVIEW SECTION PLANNING SERVICES DEPARTMENT 2800 NORTH HORSESHOE DRIVE NAPLES, FL 34104 May 16,2001 Mr. Kevin Higginson, P.E. Coastal Engineering Consultants, Inc. 3505 S. Horseshoe Drive Naples, FL. 34104 Re: The Club Estates Dear Mr. Higginson: This is to inform you that the above referenced project has been granted preliminary approval by Engineering Review in compliance with Collier County Land Development Code, Section 3.2.6.5.2. All water and sewer facilities approved and accepted and required to be maintained by Collier County shall be conveyed to the County pursuant to the provisions set forth in Collier County Ordinance No. 97-17, as amended. You are reminded that it is your responsibility to petition the Development Services Director for final approval of the improvements upon the expiration of the minimum one (I) year maintenance period. After satisfactory completion of all final inspections, the Board of County Commissioners shall adopt a resolution giving final approval of the required improvements, acknowledging the dedication{s) of the final subdivision plat and establishing County responsibility for maintenance of the required improvements if it is the Board's desire to accept and maintain the facilities. If you should have any questions or if we may be of assistance, please advise. ç-" \ ~ Ù)\\" Very COpy John R. Houldsworth Senior Engineer cc: Daryl Hughes, Engineer II Shirley Nix, Engíneering Technician FAJ((941) 643-6968 www.co.collier.fl.us PHONE (941) 403-2400 COLLIER COUNTY GOVERNMENT COMMUNITY DEVELOPMENT AND ENVIRONMENTAL SERVICES DMSION ENGINEERING REVIEW SECTION May 17,2001 PLANNING SERVICES DEPARTMENT 2800 NORTH HORSESHOE DRIVE NAPLES, FL 34104 Kevin Higginson Coastal Engineering Consultants, Inc. 3106 S. Horseshoe Dr. Naples, FL 34104 Re: Club Estates Dear Mr. Higginson: This is to inform you that the above referenced project has been granted preliminary approval by Engineering Review in compliance with Collier County Land Development Code, Section 3. All water and/or sewer facilities approved, accepted and required to be maintained by Collier County shall be conveyed to the County pursuant to the provisions set forth in Collier County Ordinance No. 97-17, as amended. You are reminded that it is your responsibility to petition the Development Services Director for final approval of the improvements upon the expiration of the minimum one (1) year maintenance period. After satisfactory completion of all final inspections., the Board of County Commissioners shall grant final approval of the required improvements establishing County responsibility for maintenance of the required improvements if it is the Board's desire to accept and maintain the facilities. If you should have any questions or if we may be of assistance, please advise. Very truly yours, ~dk- ~ Shi~ey- ~ Engineering Technician II cc: Joe Cheatham, Wastewater Director . Paul Mattausch, Water Director Lisa Taylor, Public Works John Houldsworth, Engineering Review Michael Stephenson, Coastal Engineering PHONE (941) 403-2400 FPù((941) 643-6968 www.co.collier.fl.us FINAL RELEASE OF LIEN KNOW ALL MEN BY THESE PRESENTS: That the undersigned, for and in consideration of the payment of the sum of TEN DOLLARS (10.00) paid by, THE CLUB ESTATES, L.C. receipt of which is hereby acknowledged, hereby releases and quit claims to. the said, THE CLUB ESTATES, L.C., Owner, its successors and assigns, all liens, lien rights, claims or demands of any kind whatsoever, which the undersigned now has or might have against the building on premises legally described as: THE CLUB ESTATES LYING IN THE SOUTH Yz OF OF THE SOUTH Yz OF SECTION 10 TOWNSHIP 50 SOUTH. RANGE 26 EAST COLLIER COUNTY, FLORIDA on account of labor performed and/or material furnished for the construction of any improvements thereon. That all labor and materials used by the undersigned in the erection of said improvements have been fully paid. IN WITNESS WHEREOF, I have hereunto set my hand and seal this 2nd day of February, 2000 DERGROUND, INe. ¡ WITNESSES: ~ <"r\ _~~~ -¡¡~JJJ~~~C , Pr-esident STATE OF FLORIDA COUNTY OF COLLIER The foregoing instrument was acknowledged before me this 2nd day of February, 2000 Thomas . ~. nyn, on be f of the company who is personally known to me and did not take oath. . My Commission Expires: . CATHYE V ANKERSCHAEVER Notary Public - State of Florirta My corom. expires Sept 19,2001 Comm. No. CC670403 - - COASTAL ENGINEERING CONSULTANTS INC CECI Graue Services Civil Engineering Survey & Mopping Coastal Engineering Real Estate Appraisal Environmental Assessment Website www.coastalengineering.com A GECI GROUP COMPANY October 8, 1999 Mr. Thomas Kuck, P.E. Senior Project Manager Engineering Collier Review Services 2800 North Horseshoe Drive Naples, Florida 34104 RE: The Club Estates, L.C. Engineer's Payment Confirmation CEC File No. 96.032 Dear Mr. Kuck: Coastal Engineering Consultants, Inc. confirms receiving payment for our services to date on the subject project. As of this date, no monies are outstanding from the owner (client). Sincerely, RING CONSULTANTS, INC. Blair A. Foley, P.E Principal Engineer BAF:mf \\CEC\ENG\DATA\96032\Kuck - Payment Confirmation. doc 3106 S Horseshoe Drive, Naples, Florida 34104 . Phone (941) 643-2324 Fax (941) 643- 1143 . E-Mail: engcollier@cecifl.com II COASTAL ENGINEERING ~ CONSULTANTS ;;..- INC. HYDROSTATIC TESTING FOR PRESSURE MAINS Project Name: The Club Estates CEC File No.: 96.032 Engineer of Record: Blair A. Foley, P.E. Date of Test: March 1, 1999 Test Pressure: 155 P .S.l. CEC Observer: Sal Bucolo, P.E. Utility Co. Observer: Randy Casey (Collier County) Contractor Representative: Jeff, Florida State Underground Description of Line Tested: Water Main for Entire Project CALCULATION OF ALLOWABLE LEAKAGE PER ONE (1) HOUR: Formula = (Length of pipe, feet) x (diameter of pipe, inches) x ..¡ (test pressure, PSI) + 133,200 ( 327 ) x ( 10") x ..¡ ( 155) + 133,200 (7937) x ( 6" ) x ..¡ ( 155) + 133,200 Total = .31 Gallons = 4.45 Gallons 4.76 Gallons RESULTS OF TEST: Length of Test: 1-1/2 Hours Allowable Leakage: 7.1 Gallons Start Time: 9:40 a.m. Pressure at Start oftest: 155 P.S.1. End Time: 11: 1 0 a.m. Pressure at End oftest: 151 P.S.1. NOTE: Anytime the gauge pressure falls 5 P.S.1. from the initial starting pressure during the test, the test shall"F AIL". Amount of water required to bring pressure up to beginning pressure: 2.5 Gallons Test Results: Failed - Date \\CEC\ENGIDATA\96032\Hydrostatic Testing/or Pressure Mains. doc .~~ c.,_.'_. ~_~ .___."'_'_""'_" ~_.._ _··'_·'_"_.,_~·~·H__ ,- ~.. II COASTAL ENGINEERING ~ CONSULTANTS ~INC. HYDROSTATIC TESTING FOR PRESSURE MAINS Project Name: The Club Estates CEC File No.: 96.032 Engineer of Record: Blair A. Foley, P.E. Date of Test: March 2, 1999 Test Pressure: 100 P.S.I. CEC Observer: Sal Bucolo, P .E. Utility Co. Observer: Randy Casey, Collier County Contractor Representative: Jeff, Florida State Underground Description of Line Tested: Force Main from lift station to CR-951 tie-in. CALCULATION OF ALLOWABLE LEAKAGE PER ONE (1) HOUR: Formula = (Length of pipe, feet) x (diameter of pipe, inches) x --J (test pressure, PSI) + 133,200 (160)x( 8 )x--J(100)+133,200 = 0.1 Gallons Total = 0.1 Gallons RESULTS OF TEST: Length of Test: 1 Hour Allowable Leakage: 0.1 Gallons Start Time: 10:00 a.m. Pressure at Start oftest: 100 P.S.I. End Time: 11 :00 a.m. Pressure at End oftest: 100 P.S.I. NOTE: Anytime the gauge pressure falls 5 P.S.I. from the initial starting pressure during the test, the test shall "FAIL". Amount of water required to bring pressure up to beginning pressure: -0- Gallons Failed ; Blair A. Fole , P.E. Coastal Engineering Consultants, Inc. Date J:\DATA\96032\Hydrostatic Testing/or Pressure Mains-3.doc COASTAL ENGINEERING CONSULTANTS INC CECI GrouD Services Civil Engineering Survey & Mopping Coastal Engineering Real Estate Appraisal Mortgage Broker Services Environmental Assessment A CECI GROUP COMPANY March 3, 1999 Ms. Shirley Nix Project Review Services Collier County Community Development and Environmental Services 2800 N. Horseshoe Drive Naples, Florida 34104 RE: The Club Estates, L.C. CEC File No. 96.032 Dear Shirley: I hereby certify that to the best of my knowledge and beliefthat all of the water main and waste water gravity main facilities within The Club Estates are located within the platted Right-of-Way or Collier County Utility Easements (C.U.E.). ~'P.E¡¿/t1f Principal Engineer BAF:maf \ \CEC\ENGIDA TA \96032 \Nix - Water Certification. doc 3106 S. Horseshoe Drive, Naples, Florida 34104 . Phone (941) 643-2324 Fax (941) 643-1143 . wwwcoastalengineering.com --- January 14, 1999 Board of Collier County Commissioners 3301 Tamiami Trail East Naples, FL. 34112 RE: WATER DISTRIBUTION SYSTEM "THE CLUB ESTATES" Lying in the South 1Iz of the South 1Iz of Section 10 Township 50S, Range 26E Collier County, Florida. Commissioners: This letter is to certify the completion ofthe WATER DISTRIBUTION SYSTEM located within the above referenced property. Florida State Underground, Inc. furnishes at least a one (1) year guarantee of material and workmanship on the system, upon acceptance by the Collier County Board of Commissioners. Sincerely, TPMlcvk 73 COMMERICAL BOULEVARD. NAPLES, FLORIDA 34104 · 643-6449 · FAX: 643-6891 - January 14, 1999 Board of Collier County Commissioners 3301 Tamiami Trail East Naples, FL. 34112 RE: SEWER DISTRffiUTION SYSTEM "THE CLUB ESTATES" Lying in the South 'l1 of the South 'l1 of Section 10 Township 50S, Range 26E Collier County, Florida. Commissioners: This letter is to certify the completion of the SEWER DISTRIBUTION SYSTEM located within the above referenced property. Florida State Underground, Inc. furnishes at least a one (1) year guarantee of material and workmanship on the system, upon acceptance by the Collier County Board of Commissioners. Sincerely, ~.::-- TPMlcvk 73 COMMERICAL BOULEVARD. NAPLES, FLORIDA 34104 · 643-6449 · FAX: 643-6891 Department of Environmental Protection Jeb Bush Governor David B. Struhs Secretary November 22, 1999 Charles V. Benton, Ph.D., Principal The Club Estates, Inc. 4141 Isles of Capri Road Naples, Florida 34114 Re: Collier County - PW The Club Estates (Collier County Regional WTP) 137549-001-DSGP Dear Dr. Benton: This acknowledges receipt of certification that the subject water distribution system extension has been completed in accordance with the plans and related materials permitted by this agency under Permit Number 137549-001-DSGP dated April 7, 1998. Based on this certification and satisfactory bacteriological results, we are approving these facilities for service. Your continued cooperation in our water supply program is appreciated. Sincerely, I ~¿; V:::?r'~ /12 d/" Charles R. Davault Professional Engineer Water Facilities CRDIMFJ/skw cc: Blair A. Foley, P.E. / Thomas E. Kuck, P.E.v "Protect, Conserve and Manage Florida's Environment and Natural Resources" Printed on recycled poper. .~.~.A . ~~~.' .:.;' . ....~, ~,\ Florida Department of Environmental Regulation ~ ~"1Ii) "tWin Tow~ Office BldR. - 2600 Blair Stone Road - 1àllahassee, Florld2 32399-2400 .~~/ "~ D£A _. 17.eG4J1OCC21 ~-~- FomtT- S~Ceft.aI~oI~ _ "- . June t. 1ft2 D£A_..... ~ .. Dr DEllI DOq1estic Wastewater Collection/Transmission Systems Certification of . Completion of Construction RfCtl\rs:~ SEP 'Z 9 1999 STR ero S T . . . D . I· ¡ () F p. South lnistríc' '-J U IN: his form IS to be completed and submitted to the epartment. prior to p ac n9 the system Intó"Òperation. A colléè-= onJtransmission system should not be placed into operation without prior Department approval. All information is to be typed or printed 1 ink and all blanks must be filled. . ' . ~ :onstruction Permit No.: ~ame of Project: ~ame of Owner: 52258-013-DWC THE CLUB ESTATES COLLIER COUNTY PUBLIC WORKS . Dated: January 13, 1999 'i'",.., ~ame of design engineer and Florida registration number ~f different from engineer signing certification): )ate(s) of connection to existing system or treatment plant Ma rc h 5, 1999 -reatment plant serving project . Name: COLLIER COUNTY SOUTH REGIONAL WWTP COLLIER NAPLES County: City: DER identification number (also known as GMS identification number): )ubstantial deviations from the approved plans and specifications (attach additional sh NONE Page 1 d3 _ o..c. "ISO G041'~ C""".. P. -. ....... ,_ ~501.5"" -.... .,......"00 _0;_ 7125 1......_ WWr. s..o. 11200 _ ,_ 32256-7$17 10' .'. <300 C:-... DotoncI 331' ,,_. __ $uoIo n:r 0...- ,_ 32103·3117 407_7556 _0""", '520 0.. ,.. _. -. """"" Xl4'0073" 1~~1OO _ Ooou>ct 2215 v.-.. ...... "- Jð2 "'" ........ ,_ 3310' .,J.332-6W5 __ DotoncI 1tOOS Con9<__.S-A ____»401 407.Q.a50,:('t,i4;"';.. . :.' i~.~~ """":.".. --~----^---- -_.__..,.,-----_...~ · FOR LAB USE ONLY State of F.t.orida Department of Health Office of Laboratory Services Jacksonville, Miami, Pensacola Tampa, West Palm Beach t·~i DRINKING WA TER BACTERIOLOGICAL ANAL YSIS Press hard, (5) copies SYSTEM NAME: SYSTEM I. D. NO: SYSTEM PHONE #: ADDRESS: COUNTY: DISTRICT: COLLECTOR: COLLECTOR PHONE #: SAMPLE SITE (Locality or Subdivision): DATE AND TIME COLLECTED: TYPE OF SUPPLY(Circle one): Community water system Noncommunity water system Private well Swimming pool Bottled water Nontransient - noncommunity water system Limited Use system TYPE OF SAMPLE(Circle one): Compliance Repeat (Check Box) [ ] Distribution [ ] Raw Replacement Main clearance Well survey Other [ ] Check here if payment made to county public health unit ---.-.'.-,'-">- --'--'-"---"- TO BE COMPLETED BY COLLECTOR Q,F SAMPLE I COLL. I SAMPLE POINT Cl NO. I (Specific Address) RES'D pH ¡----------- ---- , - TO BE COMPLETED BY LAB ANALYSIS METHOD: MF MTF MMO-MUG PA NON CONFIRM CONFIRM COLIFORM *TOTAL TOTAL FECAL E. COLI SAMPLE NUMBER -- " , - -' i * Results in this column are presumptive. Total coliform and fecal coliform o~ ~ coli confirmation will follow in 24-48 hours. P - Coliforms are present C - Confluent growth A - Coliforms are absent TNTC - Too numerous to c u INVOICE ADDRESS (if different than address below): TA - Turbid, Absence of gas or acid ER RETATIONS-REMARKS BY. PROGRAM REVIEWER ü " 5 " D >- ~~ ,c'" .~~ ,c' Jg c9 00 =~ u'" " -oi...: '" " -D ~ ~ ~z o~ ~Ë ~':'2. --------------- NAME AND MAILING ADDRESS OF PERSON/FIRM TO RECEIVE REPORT SATISFACTORY INCOMPLETE COLLECTION INFORMATION REPEAT SAMPLES REPLACEMENT SAMPLES REVIEWING OFFICIAL: TITLE: ..\.'.; " - . . "~...~ FOR LAB USE ONLY State of Florida Department of Health Office of Laboratorv Services Jacksonville, Miami, Pensacola Tampa, West Palm Beach , I ¡ ¡ DRINKING WA TER BACTERIOLOGICAL ANALYSIS Press hard, (5) copies SYSTEM NAME: SYSTEM I.D. NO: SYSTEM PHONE #: ADDRESS: COUNTY: DISTRICT: COLLECTOR: COLLECTOR PHONE #: SAMPLE SITE (Locality or Subdivision): DATE AND TIME COLLECTED: TYPE OF SUPPLY(Circle one): Community water system Noncommunity water system Private well . Swimming pool Bottled water Nontransient - noncommunity water system Limited Use system TYPE OF SAMPLE(Circle one): Compliance Repeat (Check Box) [ ] Distribution [ ] Raw Replacement Main clearance Well survey Other [ ] Check here if payment made to county public health unit TO BE COMPLETED BY COLLECTOR OF SAMPLE COLL. SAMPLE POINT Cl NO. (Specific Address) RES'D pH , -- TO BE COMPLETED BY LAB ANALYSIS METHOD: MF MTF MMO-MUG PA NON CONFIRM CONFIRM COLIFORM *TOTAL TOTAL FECAL E. COLI SAMPLE NUMBER , , / , ! * Results in this column are presumptive. Total coliform and fecal coliform or ~ coli confirmation will follow in 24-48 hours. P - Coliforms are present C - Confluent growth TA - Turbid, Absence of gas or acid A - Coliforms are absent TNTC - Too numerous to count INVOICE ADDRESS (if different than address below): INTERPRETATIONS-REMARKS BY. PROGRAM REVIEWER " · ~ · D ,. ~~ .:'" .~ ;:g jg 09 00 ~~ · -0 ~ '" . -D c: 5 ~z o~ ~2 ~~ NAME AND MAILING ADDRESS OF PERSON/FIRM TO RECEIVE REPORT SATISFACTORY INCOMPLETE COLLECTION INFORMATION REPEAT SAMPLES REPLACEMENT SAMPLES REVIEWING OFFICIAL: TITLE: -..;.,,,,,.. ~ ....~ ....It. ..... --:' . ".; . . "~...~ FOR LAB USE ONLY State of F-lorida Department of Health Office of Laboratory Services Jacksonville, Miami, Pensacola Tampa, ~est Palm Beach ; !·,'··ji DRINKING WA TER BACTERIOLOGICAL ANALYSIS Press hard, (5) copies SYSTEM NAME: SYSTEM I. D. NO: SYSTEM PHONE #: ADDRESS: COUNTY : DISTRICT: COLLECTOR: COLLECTOR PHONE #: SAMPLE SITE (Locality or Subdivision): DATE AND TIME COLLECTED: TYPE OF SUPPLY(Circle one): Community water system Noncommunity water system Private well Swimming pool Bottled water Nontransient - noncommunity water system Limited Use system TYPE OF SAMPLE(Circle one): Compliance Repeat (Check Box) [ ] Distribution [ ] Raw Replacement Main clearance Well survey Other [ ] Check here if payment made to county public health unit TO BE COMPLETED BY COLLECTOR OF SAMPLE COLL. SAMPLE POINT I Cl NO. (Specific Address) RES'D pH TO BE COMPLETED BY LAB ANALYSIS METHOD: MF MTF MMO-MYG PA NON CONFIRM CONFIRM COLIFORM *TOTAL TOTAL FECAL E. COLI SAMPLE NUMBER i * Results in this column are presumptive. Total coliform and fecal coliform o~ ~ coli confirmation will follow in 24-48 hours. P - Coliforms are present C - Confluent growth TA - Turbid, Absence of gas or acid A - Coliforms are absent TNTC - Too numerous to count INVOICE ADDRESS (if different than address below): INTERPRETATIONS-REMARKS BY. PROGRAM REVIEWER 'ê œ 5 œ JJ > ~~ .<:'" .~ ~ 'i§ 66 ~~ 'C'" ~ -0 ¡,; C> ~ -JJ c: § ~z 0., ~2 ~~ NAME AND MAILING ADDRESS OF PERSON/FIRM TO RECEIVE REPORT SAT! SFACTORY INCOMPLETE COLLECTION INFORMATION REPEAT SAMPLES REPLACEMENT SAMPLES REVIEWING OFFICIAL: TITLE: --, FOR LAB USE ONLY State of Florida Department of Health Office of Laboratory Services Jacksonville, Miami, Pensacola Tampa, West Palm Beach , . DRINKING WA TER BACTERIOLOGICAL ANALYSIS Press hard, (5) copies SYSTEM NAME: SYSTEM I.D. NO: SYSTEM PHONE #: ADDRESS: COUNTY : DISTRICT: COLLECTOR: COLLECTOR PHONE #: SAMPLE SITE (Locality or Subdivision): DATE AND TIME COLLECTED: TYPE OF SUPPLY(Circle one): Community water system Noncommunity water system Private well Swimming pool Bottled water Nontransient - noncommunity water system Limited Use system TYPE OF SAMPLE(Circle one): Compliance Repeat (Check Box) [ ] Distribution [ ] Raw Replacement Main clearance Well survey Other [ ] Check here if payment made to county public health unit _._----"" -------- TO BE COMPLETED BY COLLECTOR OF SAMPLE COLL. SAMPLE POINT Cl NO. (Specific Address) RES'D pH ~----- - ~- TO BE COMPLETED BY LAB ANALYSIS METHOD: MF MTF MMO-MUG PA NON CONFIRM CONFIRM COLIFORM *TOTAL TOTAL FECAL E. COLI SAMPLE NUMBER f--- f---- f----.- i * Results in this column are presumptive. Total coliform and fecal coliform o~ ~ coli confirmation will follow in 24-48 hours. P - Coliforms are present C - Confluent growth TA - Turbid, Absence of gas or acid A - Coliforms are absent TNTC - Too numerous to count INVOICE ADDRESS (if different than address below): INTERPRETATIONS-REMARKS BY, PROGRAM REVIEWER " ~ 5 ~ JJ >- ~~ J:'" .~~ i§ c , 00 =~ "'" ~ ...0 ;.: .. ~ ,,-JJ ~¡§ . u z :%g zO- c~~ NAME AND MAILING ADDRESS OF PERSON/FIRM TO RECEIVE REPORT SATISFACTORY INCOMPLETE COLLECTION INFORMATION REPEAT SAMPLES REPLACEMENT SAMPLES REVIEWING OFFICIAL: TI TLE: .. FOR LAB USE ONLY State of Florida Department of Health Office of Laboratory Services Jacksonville, Miami, Pensacola Tampa, West Palm Beach lF~ It: (ê~ IF'II WII_ [) N OV 0 8 199 DRINKING WA TER BACTERIOLOGICAL ANAL YSIS ------.--------- Press hard, (5) copies SYSTEM NAME: SYSTEM I.D. NO: SYSTEM PHONE #: ADDRESS: COUNTY : DISTRICT: COLLECTOR: COLLECTOR PHONE #: SAMPLE SITE (LocaLity or Subdivision): DATE AND TIME COLLECTED: TYPE OF SUPPLY(CircLe one): Community water system Noncommunity water system Private well Swimming pool BottLed water Nontransient - noncommunity water system Limited Use system TYPE OF SAMPLE(Circle one): CompLiance Repeat (Check Box) [ ] Di stributi on [ ] Raw RepLacement Main clearance WeLL survey Other [ ] Check here if payment made to county pubLic heaLth unit TO BE COMPLETED BY COLLECTOR OF SAMPLE COLL. SAMPLE POINT CL NO. (Specific Address) RES'D pH '".-.----- TO BE COMPLETED BY LAB ANALYSIS METHOD: MF MTF MMO-M!JG PA NON CONFIRM CONFIRM COLIFORM *TOTAL TOTAL FECAL E. COLI SAMPLE NUMBER "-,._~-- i * ResuLts in this coLumn are presumptive. TotaL coLiform and fecaL coliform or ~ coLi confirmation wiLL foLlow in 24-48 hours. P - CoLiforms are present C - ConfLuent growth TA - Turbid, Absence of gas or acid A - CoLiforms are absent TNTC - Too numerous to count INVOICE ADDRESS (if different than address below): INTERPRETATIONS-REMARKS BY. PROGRAM REVIEWER t; " :; " D >- ~~ .c'" .!t~ i8 09 00 ~~ 1J", " -00..: 0- " -" 0- E ~ž o~ ¡Ë ~~ NAME AND MAILING ADDRESS OF PERSON/FIRM TO RECEIVE REPORT SATISFACTORY INCOMPLETE COLLECTION INFORMATION REPEAT SAMPLES REPLACEMENT SAMPLES REVIEWING OFFICIAL: TI TLE: FOR LAB USE ONLY State of Florida Department of Health Office of Laboratory Services Jacksonville, Miemi, Pensacola Tempe, West Palm Beach DRINKING WA TER BACTERIOLOGICAL ANALYSIS Press hard, (5) copies SYSTEM NAME: SYSTEM I.D. NO: SYSTEM PHONE #: ADDRESS: COUNTY : DISTRICT: COLLECTOR: COLLECTOR PHONE #: SAMPLE SITE (Locality or Subdivision): DATE AND TIME COLLECTED: TYPE OF SUPPLY(Circle one): Community water system Noncommunity water system Private well Swimming pool Bottled water Nontransient - noncommunity water system Limited Use system TYPE OF SAMPLE(Circle one): Compliance Repeat (Check Box) [ ] Distribution [ ] Raw Replacement Mai n clearance Well survey Other [ ] Check here if payment made to county public health unit TO BE COMPLETED BY COLLECTOR OF SAMPLE COLL. SAMPLE POINT Cl NO. (Specific Address) RES'D pH --- TO BE COMPLETED BY LAB ANALYSIS METHOD: MF MTF MMO-M.UG PA NON CONFIRM CONFIRM COLIFORM *TOTAL TOTAL FECAL E. COLI SAMPLE NUMBER -----. i * Results in this column are presumptive. Total coliform and fecal coliform o~ ~ coli confirmation will follow in 24-48 hours. P - Coliforms are present C - Confluent growth TA - Turbid, Absence of gas or acid A - Coliforms are absent TNTC - Too numerous to count INVOICE ADDRESS (if different than address below): INTERPRETATIONS-REMARKS BY. PROGRAM REVIEWER " ~ ~ ~ !) >- ~~ .<:'" .~ ~ H <:9 00 ~~ ~ ..0 i..: 2.:~ <> E ~~ c~ ~2 5!:.~ NAME AND MAILING ADDRESS OF PERSON/FIRM TO RECEIVE REPORT SATISFACTORY INCOMPLETE COLLECTION INFORMATION REPEAT SAMPLES REPLACEMENT SAMPLES REVIEWING OFFICIAL: TITLE: J: IDA T A \96032\lnfiltration Test. doc Date qý Failed X Passed Test Results: Calculation of Actual Infiltration: No Flow Visible Gallons Allowable Infiltration: Length of Test: ~ hour(s) RESULTS OF TEST: Not Neces.!ID:Y = Gallons = Gallons = Gallons = Gallons = Gallons Total _ bldg. L- units) w/ units (occupied) x _ gal/day ( ) /5,280' x ( ) x 50 gal/day ( ) / 5,280' x ( ) x 50 gal/day Formula: (Length of pipe) / 5280' x (diameter of pipe) x 50 gal/day (in feet) (in inches) CALCULATION OF ALLOWABLE INFILTRATION PER 24 HOURS: Description of Line Tested: Sewer Line From MH-1 to Pumpstation Contractor Representative: Jeff, Florida State Underground Utility Co. Observer: Randy Casey (Collier County) CEC Observer: Sal Bucolo, P .E. Date of Test: March 1, 1999 Engineer of Record: Blair A. Foley, P.E. CEC File No.: 96.032 The Club Estates Project Name: SANITARY SEWER INFIL TRA TION TEST CERTIFICATION II COASTAL ENGINEERING ~ CONSULTANTS ~INC. 03/30 '99 14:30 4461 Baacock Brldee Parkway" Ntþ. Fe. Myers, FL 33903 ... 941·997-"45 · 941-997-'7117 FAX ytdtJ FROM : FLORIDA STATE UNDERGROUND INC. PHONE NO. : 941 643 6891 Mar. 30 1999 03:51PM P2 I ~""''e~ . ~ ~ c~.. I·~· ," "~.' ~. '. ..., , --" ;ø "The Finest in Wastewater Structure Rehabilitation!~ .. I P ,-,..~-"-<,-_._-,,--,-- -~--~..'"--'~-"---",'~ ~,--..~-" 04/21 '99 06: 11 LOCÄTIOII 4459 S~. 951 CLUB ES~ATES VOLTjGI NO LOADs 120/240 VOLT 1Ø VOLTAO& FULL LOAD, '20/240 VOLT YOLTAGI DIOPl {O VOLTAGE DROP VITH IN SI AS PER NATIONAL ELECt.IC COUK AND COLLIER COUNT~ ELECTRICAL CODe. 8UBJBCTJ LIFTSTATIOH ELECTRICA~ SilVICK VOLTAGE DROP TO WHOM It HAY CONCIRN, DATB14/20/99 BAY ELECTRIC OF COlliER, INC. COMP&.En SERVIC!. . INST"LLÀTlON 3925 lNrEA'~lat A¥EHUE NAPLES, F\. 33942 (113) 643·4310 ,A:J. (813) &41...U&3 . . ~ Apr. 21 1999 07:24AM P2 941 543 5891 FROM : FLORIDA STATE UNDERGROUND INC. 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" ._ '.t.: E I VI '- ~J COLLIER COUNTY UTILITIES WASTEWATER DEPARTMENT PROJECT VIDEO REVIEW "':1.) . "",, «'.'0";) ,òI'1f, f ~\ 1i0~1 DATE OF REVIEW: 3-8-99 PROJECT NAME: The Club Estates (South) ENGINEER OF RECORD: CONSTRUCTION CONTRACTOR: VIDEO CONTRACTOR: Sewer Viewer COMMENTS: Lines and services acceptable. RECOMMENDATIONS: ŒKJ ACCEPTABLE: . C:=J REVIEW NUMBERED COMMENTS IN ONE YEAR: c==J NUMBERED COMMENTS UNACCEPTABLE: (REPAIR/REPLACE) c==J OTHER RECOMMENDATIONS: &~ ----x..,~~;;.- o 9 1999 ""~'-~""'--""-'- COLLIER COUNTY GOVERNMENT coMMUNITY DEVELOPMENT AND ENVIRONMENTAL SERVICES DIVISION PL~NGSERVICESDEPARTMENT ENGINEERING REVIEW SECTION Planning Services Department 2800 North Horseshoe Drive Naples, Florida 34104 September 28, 1999 Mr. David Farmer Coastal Engineering Consultants 3106 S. Horseshoe Drive Naples, Florida 34104 RE: Club Estates, Water & Sewer Dear Mr. Farmer: A preliminary inspection of the referenced project was conducted by Randy Casey of the Engineering Review Section of the Planning Services Department on September 27, 1999. Conditions were found to be acceptable, and appear to meet County standards. If you should have any questions, please do not hesitate to call Randy Casey at (941) 403-2418. Sincerely, ~º1U Thomas E. Kuck, P.E. Engineering Review Manager TEKftaalf: \Inspection form Club Estates / water & sewer cc: Cindy Erb, Engineering Technician, Public Works Joe Cheathan, Wastewater Director, Utilities Paul Mattausch, Water Director, Utilities Evelyn Ferguson, D.O.R. Billing Supervisor ¡tandy Casey, Engineering Inspector, Engineering Review Section JShirley Nix, Engineering Tech. II, Engineering Review Section File PboDe (941) 403-1400 I'D (941) 643-6968 www.co.coUIer.ß.ua _.~._..._~--- GOLDEN GATE FIRE CONTROL & RESCUE DISTRICT 4741 GOLDEN GATE PARKWAY· NAPLES, FLORIDA 34116-6901 (941) 455-2121 · FAX (941) 455-7917 December 14, 1999 Sal Bucolo, P.E. Coastal Engineering Consultants, Inc. 3106 South Horseshoe Drive Naples, Florida 34104 Dear Mr. Bucolo: Subject: Hydrant Flow Tests - The Club Estates On December 8, 1999, the Golden Gate Fire Control & Rescue District did a flow test on thirteen (13) fire hydrants at The Club Estates. The results are: 1. Hydrant 15502601 - HYD #1 Club Estates Dr. 2. Hydrant 15502602 - HYD #2 Club Estates Dr. 3. Hydrant 15502603 - HYD #3 Club Estates Dr. 74 Static PSI 60 Residual PSI 56 Pitot Flow PSI 2604 GPM at 20 PSI Residual 4. Hydrant 15502604 - HYD #4 Club Estates Dr. 74 Static PSI 60 Residual PSI 54 Pitot Flow PSI 2556 GPM at 20 PSI Residual 5. Hydrant 15502605 -HYD #5 Club Estates Dr. 6. Hydrant 15502606 - HYD #6 Club Estates Dr. 74 Static PSI 60 Residual PSI 52 Pitot Flow PSI 2508 GPM at 20 PSI Residual 7. Hydrant 15502607 -HYD #7 Club Estates Dr. 74 Static PSI 60 Residual PSI 50 Pitot Flow PSI 2458 GPM at 20 PSI Residual Sal Bucolo, P.E. Page 2 December 14, 1999 8. Hydrant 15502608 - HYD #8 Club Estates Dr. 74 Static PSI 60 Residual PSI 52 Pitot Flow PSI 2508 GPM at 20 PSI Residual 9. Hydrant 15502609 - HYD #9 Club Estates Dr. 10. Hydrant 15502610 - HYD #10 Club Estates Dr. 11. Hydrant 15502611 - HYD #11 Club Estates Dr. 12. Hydrant 15502612 -HYD #12 Club Estates Dr. 74 Static PSI 60 Residual PSI 55 Pitot Flow PSI 2579 GPM at 20 PSI Residual 13. Hydrant 15502613 - HYD # 13 Club Estates Dr. 74 Static PSI 60 Residual PSI 60 Pitot Flow PSI 2695 GPM at 20 PSI Residual Before completion of the project, the hydrants need to be painted OSHA safety yellow. The caps need to be painted OSHA safety light blue. Also, blue road reflectors need to be installed to show location of all hydrants. This Fire District does not accept ownership nor does it maintain fire hydrants after their installation. Total cost for the thirteen (13) flow tests is $455.00. Total due the Golden Gate Fire Control District is $280.00 (prepaid $175.00). ~K&- ~ Donald R. Peterson Fire Chief DRP/pm Enclosures .--..--.--- Golden Gate Fire Department Hydrant Flow Tests by Hydrant Number Hydrant Number greater than or equal to "15502601" and Hydrant Number less than or equal to "15502613" 15502601 HYD #1 CLUB ESTATES DR Date/Staff Static Resid Pitot Pitot 2 GPM @20 psi @1 0 psi @Opsi 12/08/1999 74 60 56 0 1256 2604 2854 3086 14 COry,$çqttL./PRIVERlENGINEER Subtotal Tests: 1 Max: 1256 2604 2854 3086 Min: 1256 2604 2854 3086 Avg: 1256 2604 2854 3086 15502602 HYD #2 CLUB ESTATES DR Date/Staff Static Resid Pitot Pitot 2 GPM @20 psi @10 psi @ 0 psi 12/08/1999 74 60 56 0 1256 2604 2854 3086 14 GOry,$cQttl../PRIVER/ENGJNE:ER Subtotal Tests: 1 Max: 1256 2604 2854 3086 Min: 1256 2604 2854 3086 Avg: 1256 2604 2854 3086 15502603 HYD #3 CLUB ESTATES DR Date/Staff Static Resid Pitot Pitot 2 GPM @20 psi @10 psi @Opsi 12/08/1999 74 60 56 0 1256 2604 2854 3086 14 . .COry'm$çottL/PRIVER/ENGINEER Subtotal Tests: 1 Max: 1256 2604 2854 3086 Min: 1256 2604 2854 3086 Avg: 1256 2604 2854 3086 15502604 Date/Staff HYD #4 CLUB ESTATES DR Static Resid Pi tot Pitot 2 GPM @20 psi @10 psi @Opsi 12/14/1999 11 :28 Page 1 Golden Gate Fire Department Hydrant Flow Tests by Hydrant Number Hydrant Number greater than or equal to "15502601" and Hydrant Number less than or equal to "15502613" 12/08/1999 74 60 54 0 1233 2556 2802 3030 14 COry,$GQttL1ORIVr::Rlr::NGINEER Subtotal Tests: 1 Max: 1233 2556 2802 3030 Min: 1233 2556 2802 3030 Avg: 1233 2556 2802 3030 15502605 HYD #5 CLUB ESTATES DR Date/Staff Static Resid Pitot Pitot 2 GPM @20 psi @1 0 psi @ 0 psi 12/08/1999 74 60 52 0 1210 2508 2749 2973 14 . GQryL $GQtt 1.IDRIVr::Rlr::NGI Nr::ER Subtotal Tests: 1 Max: 1210 2508 2749 2973 Min: 1210 2508 2749 2973 Avg: 1210 2508 2749 2973 15502606 HYD #6 CLUB ESTATES DR Date/Staff Static Resid Pitot Pitot 2 GPM @20 psi @1 0 psi @ 0 psi 12/08/1999 74 60 52 0 1210 2508 2749 2973 14 .COry'n$GQttl.lO RIVr::Rlr::NGIN r::E:Rn Subtotal Tests: 1 Max: 1210 2508 2749 2973 Min: 1210 2508 2749 2973 Avg: 1210 2508 2749 2973 15502607 Date/Staff 12/08/1999 14 HYD #7 CLUB ESTATES DR Static Resid Pitot Pitot 2 74 60 50 0 nCqry,$GQttl.lORIVr::RlE NGI Nr::r::R .n GPM 1186 @20 psi 2458 @10 psi 2695 @ 0 psi 2914 12/14/1999 11 :28 Page 2 ___....'M_ Golden Gate Fire Department Hydrant Flow Tests by Hydrant Number Hydrant Number greater than or equal to "15502601" and Hydrant Number less than or equal to "15502613" Subtotal Tests: 1 Max: Min: Avg: 15502608 HYD #8 CLUB ESTATES DR @ 0 psi 2973 Date/Staff Static Resid Pitot Pitot 2 12/08/1999 74 60 52 0 14 COry,$cQtt L/[)ßIVERlE:NGJNçEBm Subtotal Tests: 1 Max: Min: Avg: 1186 1186 1186 GPM 1210 1210 1210 1210 2458 2458 2458 @20 psi 2508 2508 2508 2508 2695 2695 2695 @10 psi 2749 2749 2749 2749 2914 2914 2914 2973 2973 2973 15502609 HYD #9 CLUB ESTATES DR Date/Staff Static Resid Pitot Pitot 2 GPM @20 psi @1 0 psi @ 0 psi 12/08/1999 74 60 55 0 1244 2579 2826 3057 14 Cqryl...$ÇQtt..l/[).RIVER[ENGINEER Subtotal Tests: 1 Max: 1244 2579 2826 3057 Min: 1244 2579 2826 3057 Avg: 1244 2579 2826 3057 15502610 Date/Staff 12/08/1999 14 HYD#10 CLUB ESTATES DR Static Resid Pitot Pitot 2 74 60 55 0 C~ryl $çotìl./PRIVERlE:NGINEER. 12/14/1999 11 :28 GPM @20 psi @1 0 psi 1244 2579 2826 @ 0 psi 3057 Page 3 ~--+--------'-. Golden Gate Fire Department Hydrant Flow Tests by Hydrant Number Hydrant Number greater than or equal to "15502601" and Hydrant Number less than or equal to "15502613" Subtotal Tests: 1 Max: Min: Avg: 1244 1244 1244 2579 2579 2579 2826 2826 2826 3057 3057 3057 15502611 HYD#11 CLUB ESTATES DR Date/Staff Static Resid Pitot Pitot 2 GPM @20 psi @1 0 psi @Opsi 12/08/1999 74 60 55 0 1244 2579 2826 3057 14 .CQry, $çottL/PRI\lçR/ENGINEER .. Subtotal Tests: 1 Max: 1244 2579 2826 3057 Min: 1244 2579 2826 3057 Avg: 1244 2579 2826 3057 15502612 HYD#12 CLUB ESTATES DR Date/Staff Static Resid Pi tot Pitot 2 GPM @20 psi @1 0 psi @ 0 psi 12/08/1999 74 60 55 0 1244 2579 2826 3057 14 GQryL$çottLlDRI\lçR/ENGJNEER Subtotal Tests: 1 Max: 1244 2579 2826 3057 Min: 1244 2579 2826 3057 Avg: 1244 2579 2826 3057 15502613 Date/Staff 12/08/1999 14 HYD#13 CLUB ESTATES DR Static Resid Pitot Pitot 2 74 60 60 0 GQry,$cott I../DRIVçR/ENGINEERn GPM @20 psi @1 0 psi 1300 2695 2954 @Opsi 3195 12/14/1999 11 :28 Page 4 __~_"~'___'"____'_"'_""_fi'''_'_'__·'_''_·'__·"'·_'_··--,' ",-."" -,..-.- .'. Subtotal Tests: 1 Total Flow Tests: 13 12/14/1999 11 :28 Golden Gate Fire Department Hydrant Flow Tests by Hydrant Number Hydrant Number greater than or equal to "15502601" and Hydrant Number less than or equal to "15502613" Max: Min: Avg: 1300 1300 1300 2695 2695 2695 2954 2954 2954 3195 3195 3195 Page 4 FLORIDA STATE UNDERGRO(JND, INC. CONTRACTOR'S CERTIFIED LIST OF INSTALLED 1\1ATERIALS & COSTS SYSTEM NAME: THE CLUB ESTATES DATE: JANUARY 13,1999 THIS IS A: WATER SYSTEM SE\VER SYSTE¡V! x --,._--------_._~...- -- ITEM DESCRIPTION SIZE QUANTITY UNIT COST TOTAL COST TAP SLEEVE & VALVE 20"XlO" 1 EA 5.220.00 5,220.00 PVC WM C900 CL200 10" 327 LF 18.88 6,173.76 PVC WM C900 CL150 6" 7937 LF 6.92 54,924.04 GATE VALVE W /BOX 10" 1 EA 847.00 847.00 GATE VALVE W/BOX 6" 9EA 452.00 4,068.00 FIRE HYDRANT ASSEMBLY 15 EA 1,912.00 28,680.00 SCH 40 PVC SERVICE SLEEVE 4" 40 LF 5.40 216.00 PERM BACTERIAL SAMPLE PI. 3EA 735.00 2,205.00 JACK & BORE STEEL CASING 20" 50LF 171.88 8,594.00 TOTAL 110,927.80 I DO HEREBY CERTIFY THE ABOVE DESCRIBED LIST OF MATERIALS, QUANTITIES OF MATERIALS, KINDS OF A1ATERIALS, INCLUDING INSTALLATION AND ALL COSTS AS INSTALLED, TO BE COMPLETE, TRUE AND ACCURATE AS PER FINAL PAY ESTIMATE AND/OR ALL INVOICES OR STATEMENTS OF (BY OR FROM) THIS CERTIFTING COJvTRACTOR AND AS PER THE PROJECT AND/OR DES1GN ENGINEERS TIFfED RECORD DRAWINGS OF THIS SYSTEM AS DESCRIBED BY NAME SHOWN, AS OF THIS DATE. PERSONALLY KNOWN, SWORN TO & SUBSCRIBED BEFORE ME TillS , PRESIDENT UNDERGROUND, INe. FLORIDA STATE UNDERGROUND, INC. CONTRACTOR'S CERTIFIED LIST OF INSTALLED MATERIALS & COSTS SYSTEM NAME: THE CLUB ESTATES DATE: JANUARY 13,1999 THIS IS A: WATER SYSTEM SEWER SYSTEM x -- ------- ITEM DESCRIPTION SIZE QUANTITY UNIT COST TOTAL COST MANHOLE COMPLETE 6-8 4' 1 EA 1,370.00 1,370.00 COLLIER COUNTY PUMP STATION 1 EA 55,890.00 55,890.00 PVC FM C900 CL 100 8" 160 LF 12.60 2,016.00 TAP SLEEVE & VALVE 12"X8" 1 LS 3,645.00 3,645.00 PVCSANITARYSEWER6-8 10" 42LF 44.00 1,848.00 JACK & BORE STEEL CASING 16" 50LF 156.90 7,845.00 PVC FM C900 CL 200 8" 100 LF 15.11 1,511.00 TOTAL 74,125.00 I DO HEREBY CERTIFY THE ABOVE DESCRIBED LIST OF MATERIALS, QUANTITIES OF MATERIALS, KINDS OF MATERIALS, INCLUDING INSTALLATION AND ALL COSTS AS INSTALLED, TO BE COAIPLETE, TRUE AND ACCURATE AS PER FINAL PAY ESTIMATE AND/OR ALL INVOICES OR STATEAfElvTS OF (BY OR FROM) THIS CERTIFYING CO^TRACTOR AND AS PER THE PROJECT AND/OR DESIGN ENGINEERS CER ' IED RECORD DRAWINGS OF THIS SYSTEM AS DESCRIBED BY NAAIE SHOWN, AS OF THIS DATE. v PERSONALLY KNOWN, SWORN TO & SUBSCRIBED BEFORE ME TillS CATHYE RSCHAEVER ðt i~9J Ires ept 19, 2001 OMA~ FLØItlDA STA (SEAL) Official Receipt - Collier County Board of County Commissioners CDPR1103 - Official Receipt !Trans Number 1.125952 I Date 04/14/19992:09:59 PM Post Date 04/14/1999 _~ment Slip Nbr UT 51744 -I -I FSUCH#21110 CLUB ESTATES ST RD 951 DOR314 WO#17238/17825 Payor: FLORIDA STATE UNDERGROUND INC Fee Information 14 I GL Account ~--- waivë{i Fee Code kscriPtion Amount 140800000011510000000 $656.89 I 2CYIN COUNTY INVOICES --~. Total $656.89 Payments . Payment Code [CHECK Amount I $656.89 $o.OOJ $656.89 $656.89 I Account/Check Number 21110 -r \ Total Cash Total Non-Cash Total Paid Memo: FSU 73 COMERCIAL BLVD NAPLES, FL 34119 Cashier/location: TERILLA_J / 1 User: EMERSON_K Collier County Board of County Commissioners CD-Plus for Windows 95/NT Printed:04/14/1999 2:10:47 PM Official Receipt - Collier County Board of County Commissioners CDPR1103 - Official Receipt 'Date 02/22/2000 1 :03:59 PM Post Date 02/22/2000 =~ent Slip Nbr UT 66694 ~._~ r.Trans Number [181270 FLORIDA STATE UNDERGROUND CLUB ESTATES Payor: FLORIDA STATE UNDERGROUND Fee Information -- ~.~~.- f Fee Code Description ! 42CYIN COUNTY INVOICES GL Account ·-~--'----~~ea--l --- 40800000011510000Ö~-=E.. -. ~48.301 .~-::J Total $48.30 --------~ ~-~" Payments \. Payment Code CHECK ,-----~---- ~~~~~ntl~~::~~-====~_...~..--~-~-~..~-~~\ Total Cash ~_·~$ö-:õõl Total Non-Cash t==- $4ª.:ªº-J Total Paid [== $48.3Qj Memo: DOR#740 W0#23229 TIE-IN BAC-T Cashier/location: GARRETT_S / 1 User: COLLAZO_R Collier County Board of County Commissioners CD-Plus for Windows 95/NT Printed:08/07/2000 9:30:04 AM -.--- - COLLIER COUNTY GOVERNMENT COMMUNITY DEVELOPMENT AND ENVIRONMENTAL SERVICES DMSION Engineering Services Department 2800 N. Horseshoe Dr. . Naples, Florida 34104 · 239-659-5744 · Fax 239-643-6968 www.co.collier.t1.us May 11, 2004 COASTAL ENGINEERING 3106 S. HORSESHOE DR. NAPLES, FL 34104 RE: AR-5747 "CLUB ESTATES" Dear Applicant: A final utility inspection was conducted on the above referenced project by Randy Casey, Engineering Services Department, effective 6/28/04. Conditions were found to be acceptable, and appear to meet County Standards. If you should have any questions, please do not hesitate to call Randy Casey at (239) 403-2418 or Don Nobles at (239) 403-2391. Sincerely, Tonia Leavitt Engineering Technician cc: Joe Cheatham, Wastewater Director, Utilities AI VanderMaulen, Wastewater Dept. Paul Mattausch, Water Director, Utilities Jacquelyn Johnson, Public Works Diane Deoss, D.O.R. Billing Supervisor Don Nobles, Engineering Inspections Supervisor Randy Casey, Engineering Inspector Sherry Eaton, Engineering Services Reading File c o l~~ " T c o ... rI .v --,'.. -.....--...---.-'-..' COLLIER COUNTY UTILITIES W ASTEW A TER DEPARTMENT PROJECT VIDEO REVIEW DATE OF REVIEW: 5/28/2004 PROJECT NAME: CLUB ESTATES AKA LOCATION: SOUTH ONE YEAR WARRANTY:YES RESPONSIBILITY: COUNTY COMMENTS: LINES AND SERVICES ARE ACCEPTABLE RECOMMENDATION: ~CCEPTABLE DREVIEW NUMBERED COMMENTS IN ONE YEAR D~BEREDCOMMENTSUNACCEPTABLE o OTHER Q~~2 o PHB CHI Form 12 - Rev. 01/00 (Final Attorney's Affidavit) Utilities Acceptance - Doc. #320 FINAL ATTORNEY'S AFFIDAVIT STATE OF F loll \(~A COUNTY OF CoLhQ.{L I") jV\. BEFORE ME. the undersigned authority. personally on this rI- 0 day of rn ri '{ . 20JJ.!i., appeared MARC. f. 0ffTC.s, E.rr ' who to me is well known, and having been sworn and under oath, deposes and states: 1. My name is MA rz.c.. f: OJl1Jé. S ..6's1- I am over the age of twenty-one (21) years, am otherwise suijuris. and have personal knowledge of the facts contained herein. 2. I am-a licensed attorney. Florida Bar # 18 ').2 s r-¡ authorized to practice law in Florida and am practicing law in the State of Florida. My business addressisJat>f 1Ï4.W\IAWH ¡Ut'- N. g.t.. 119 MAples fJ.. 3'1/ðßMy business telephone h~mber is 59 g- '3 J 7 Lf . My business mailing address is SA Mt \t¡>. ~ A '«> \J -e... 3. This Affidavit is given as an inducement to the Board of County Commissioners of Collier County, Florida. as the Governing Body of Collier County and as Ex-Officio the Governing Board of the Collier County Water-Sewer District, to conduct a final inspection of [identify type of utility facility by inserting water, or sewer. or water and sewer] utility facilities located within or upon the real property described in the attached Exhibit "A", which is incorporated herein by reference. said land being located in Collier County, Florida. 4. The Affiant has examined record title information to both the real and personal property referenced in this affidavit, including but not limited to. information requested from the Florida Secretary of State rf'ative to any Uniform Commercial Code financing statements. 5. The record ow~~r of the utility facilities described herein is the Board of County Commissioners df Collier County, Florida, as the Governing Body of Collier County and as Ex- Officio the Governing Board of the Collier County Water -Sewer District (hereinafter "County"). The County acq~ired its record interest by [insert exact name of each instrument] recorded at Official Records ISaak ~ 8 7),.at page ~ \ 1 L{ [insert official record book and first page of each instrument \I'ì(~ere owner acquired title] [if a utility easement was also acquired continue sentence and add: 'together with an appurtenant utility easement recorded at Official Records \ Book , pag~ 1 Public Record;. Collier County, Florida (copies attached). So e.e,. Q#-~tI~eá ~o¡tckd.- CD/''f$ of ctoc.-UW1eNJ-s .....-..----.--,-.--"-.' - 6. Subsequent to the time that the County recorded its interests in the subject utility facilities and, if applicable, easement as specified in paragraph 3, above, no interest of the County in the subject utility facilities and, if applicable, easement is encumbered of record by any document filed by or on behalf of the landowner (or predecessor in title to the underlying real estate in the Public Records of Collier County, Florida, and/or the Office of the Secretary of State. 7, Affiant further states that the information contained in this Affidavit is true, correct and current as of the date of the recordation of the recorded documents referenced herein which conveyed or granted the subject utility facilities and/or easement interests to the County. [INFORMATIONAL NOTE: Per Ordinance the date of this Affidavit must not be si ned and dated more than sixt (60) da s rior to the meetin at which the Board of Count Commissioners considers the acce tance of the sub'ect utilit facilit documents.] FURTHER AFFIANT SAVETH NAUGHT. :J~ DATED this 0 day of /YJAf ,WL-cpL/ 7pe--dð~ Affiant Signature JJ!JN-C ~ 6M'C..5 Affiant Printed Name [No witnesses required] ;)' '1~ I\J A [Notary block] _ SUBSCRIBED ANDrSWORN to be!o.r~ me this _~____day of / ntUa· 'YfJRt, {. ()Ii" is _________________' 20___, by (insert name of person takinq the oath), who is personally known V"" OR produced identification _. Type of identification produced le<.! My Commission Expires: tYJ~_~~£!1~_¡)L Notary Printed Name 4"lllltll, ii~" ~~I!}, f'{.A/~ .~. .'ð. ··1>.:·..··'d'.'~ 'F"Rfl'~'~'''' MELODY L. MAYBIN MY COMMISSION # DD 039558 EXPIRES: October 19,2005 Bondt!d Thru Notary Public Underwriters