Backup Documents 02/12/2013 Item #16A 2 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLID (ReC - �i��[3
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO A 2
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNA
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#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
cLc 2..VA \2 .
4. BCC Office Board of County
Commissioners
5. Minutes and Records Clerk of Court's Office Pm 2f l5(f3
PRIMARY CONTACT INFORMATION I
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 Jen Baker/Code Enforcement Phone Number 252-2444
Contact/ Department
Agenda Date Item was February 12,2013 ,,,..7 Agenda Item Number 16.A.2
Approved by the BCC
Type of Document Release of Lies Number of Original 2
Attached 4Sairt ons Documents Attached QY- ■.c._.>
PO number or account 111-138911-649030
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? l.._
2. Does the document need to be sent to another agency for additional signatures? If yes,
provide the Contact Information(Name;Agency;Address; Phone)on an attached sheet. � ),D
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 2-�
by the Office of the County Attorney.
4. All handwritten strike-through and revisions have been initialed by the County Attorney's --�
Office and all other parties except the BCC Chairman and the Clerk to the Board �w
5. The Chairman's signature line date has been entered as the date of BCC approval of the
ocument 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. _Sc>,-
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 allahassee within a certain -Q
time frame or the BCC's actions are nullified. Be aware o our deadlines!
8. The document was approved by the BCC on 2/12/13 and all changes made during the ;- s,,
meeting have been incorporated in the attached document. The County Attorney's k,,1,1.#''.'a
Office has reviewed the changes,if applicable.
9. Initials of attorney verifying that the attached document is the version approved b e
BCC,all changes directed by the BCC have been made, and the document is real y for the ae �l ,“0,,�'ko
Chairman's signature. ll, ,i3 4;
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revisea z. •'5;Revised 11/30/12
16A2
MEMORANDUM
Date: February 22, 2013
To: Jen Baker, Enforcement Supervisor
Code Enforcement Department
From: Ann Jennejohn, Deputy Clerk
Minutes & Records Department
Re: Recorded Code Enforcement Release(s) and Satisfaction of Lien
Cases CEPM20100009396 & CEAU20100009395 (Sylvia Derrick)
Case CEPM20080003635 (Brian and Sylvia Christopher)
Case CESD20100005001 (Carlos and Diana 0. Leon)
Cases CEPM20100017789 & CEPM20110000638 (Elvis Camacho)
Case CELU20100019962 (Sandra S. Sage)
Attached for your records are copies of the recorded documents referenced above,
(Item #16A2 thru #16A6) approved by the Board of County Commissioners on
February 12, 2013.
The originals will be held in the Minutes and Records Department for the Board's
Official Record.
If you have any questions, please contact me at 252-8406.
Thank you.
Attachments
16ite
INSTR 4801226 OR 4887 PG 1538
This Instrument Prepared By: RECORDED 2/18/2013 4:20 PM PAGES 1
Jen Baker DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
Code Enforcement Department COLLIER COUNTY FLORIDA
2800 North Horseshoe Drive REC$10.00
Naples, FL 34104
(239) 252-2440
RELEASE AND SATISFACTION OF LIEN
KNOW ALL MEN BY THESE PRESENTS: That the BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA is the owner and holder of a
certain lien against all real and personal property owned by:
Sylvia Derrick,
Respondents
The lien was recorded on June 21, 2011 in Official Records Book 4694, Page 366, in
the Official Records of Collier County, State of Florida. The lien secures the principal
sum of Five Thousand seven hundred twelve dollars and sixty four cents, plus accrued
interest and penalties, if any, and imposes certain obligations against real property
situated in Collier County, Florida, which property is described as follows:
NAPLES PARK UNIT 4 BLK 47 LOT 30
616 92ND Ave N Naples, FL
Collier County, a political subdivision of the State of Florida, by execution of this Release
and Satisfaction of Lien, acknowledges payment as approved by the Board of County
Commissioners as satisfaction of the lien and hereby cancels said lien.
The Clerk of the Circuit Court is hereby directed to record this Release and Satisfaction
of Lien in the Official Records of Collier County, Florida, to acknowledge that the lien
ceases to exist. "'
ATTEST `' r ,: ` BOARD • COUNTY CO MISSIONERS
DWIGHT E. SROtI ,.Clerk COLLI COU TY, FLORIDA
By- -
' C By. l
° # - De•uty Clerk vrivir
Flier, Esq.,, a
' .141111410400
Approved as to form and legal sufficiency
4 1
Jeff • t
Assis - t County Attorney
16 A2
INSTR 4801225 OR 4887 PG 1537
1
This Instrument Prepared By: RECORDED 2/18/2013 4:20 PM PAGES
Jen Baker DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
Code Enforcement Department COLLIER COUNTY FLORIDA
2800 North Horseshoe Drive REC$10.00
Naples, FL 34104
(239) 252-2440
RELEASE AND SATISFACTION OF LIEN
KNOW ALL MEN BY THESE PRESENTS: That the BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA is the owner and holder of a
certain lien against all real and personal property owned by:
Sylvia Derrick,
Respondents
The lien was recorded on October 19, 2011 in Official Records Book 4728, Page 1891,
in the Official Records of Collier County, State of Florida. The lien secures the principal
sum of Forty Four Thousand two hundred ninety four dollars and fifty six cents, plus
accrued interest and penalties, if any, and imposes certain obligations against real
property situated in Collier County, Florida, which property is described as follows:
NAPLES PARK UNIT 4 BLK 47 LOT 30
616 92ND Ave N Naples, FL
Collier County, a political subdivision of the State of Florida, by execution of this Release
and Satisfaction of Lien, acknowledges payment as approved by the Board of County
Commissioners as satisfaction of the lien and hereby cancels said lien.
The Clerk of the Circuit Court is hereby directed to record this Release and Satisfaction
of Lien in the Official Records of Collier County, Florida, to acknowledge that the lien
ceases to exist.
ATTEST BOARD i F CO NTY •MMISSIONERS
DWIGHT E. BROCK,'Clerk COLLI:R COU TY, F ORIDA
,aidtAd't
qy: s� rQ C By: ' i
t ,Clerk C %i. ; . Hiller, Esq.,
v Chairwoman
yTM
Af K
Approved as'to form and legal sufficiency
t
J eight
A-, ant County Attorney