Backup Documents 09/24/2013 Item #16A 7ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT 'To
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIG' GNATU A 7
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. An completed routing slips and original documents must be received in the County Attorney Office no later
than Monday preceding the Board meeting.
Complete routing lines #I through #2 as appropriate for additional signatures, dates, and/or information needed If the document is already complete with the
exception of flee Chairman's signature, draw a line through routing lines #1 through #2, complete the checklist, and forward to the County Attorney Office.
Route to Addressees (List in routing order )
Office
Initials
Date
1.
appropriate.
Initial
Applicable)
2.
09/24/13
Agenda Item Number
16A7
3. County Attorney Office
County Attorney Office
KN
9/24/13
4. BCC Office
Board of County
Commissioners
Number of Original
Z
5 Minutes and Records
Clerk of Court's Office
Documents Attached
al 3 0.3�
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
Marlene Serrano/ Code Enforcement
Phone Number
239 - 252 -2487
Contact / Department
appropriate.
Initial
Applicable)
Agenda Date Item was
09/24/13
Agenda Item Number
16A7
Approved by the BCC
Does the document need to be sent to another agency for additional signatures? If yes,
MS
Type of Document
Release of Lien _ C.�Z„
Number of Original
1
Attached
Original document has been signed/initialed for legal sufficiency. (All documents to be
Documents Attached
PO number or account
signed by the Chairman, with the exception of most letters, must be reviewed and signed
MS
number if document is
1.3$`T\.\ — 64c\ p
to be recorded
All handwritten strike - through and revisions have been initialed by the County Attorney's
INSTRUCTIONS & CHECKLIST
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
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?
MS
2.
Does the document need to be sent to another agency for additional signatures? If yes,
MS
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
MS
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
5.
The Chairman's signature line date has been entered as the date of BCC approval of the
MS
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
si afore and initials are required.
7.
In most cases (some contracts are an exception), the original document and this routing slip
MS
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 09/24/13 and all changes
made during the meeting have been incorporated in the attached document. The
Coun Attorney's 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 fo the
Chairman's signature.
I: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05; Revised 11/30/12
16 A7
This Instrument Prepared By:
Marlene Serrano
Code Enforcement Department
2800 North Horseshoe Drive
Naples, FL 34104
(239) 252 -2487
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:
Josse L. Perez and Isabel Perez,
Respondents
The lien was recorded on August 6, 2012 in Official Records Book 4895, Page 2289, in
the Official Records of Collier County, State of Florida. The lien secures the principal
sum of Six Thousand and Eighty Dollars and Eighty 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:
GOLDEN GATE EST UNIT 13
110 Wilson Blvd. South, 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.
ATTE'TT BOAR OF C UNTY COMMISSIONERS
DWIGHT E; �BkOdl�,Clerk COL IE CO NTY, FLORIDA
By:� - By:
p ' rmV&puty Clerk iller, Esq., A 25
Sig C G i oma
Approved as to form and legal sufficiency
�C
Kevin Noe I
Assistant County Attorney
16 A7
This Instrument Prepared By:
Marlene Serrano
Code Enforcement Department
2800 North Horseshoe Drive
Naples, FL 34104
(239) 252 -2487
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:
Josse L. Perez and Isabel Perez,
Respondents
The lien was recorded on August 6, 2012 in Official Records Book 4825, Page 837, in
the Official Records of Collier County, State of Florida. The lien secures the principal
sum of Five Thousand One Hundred Eighty Dollars and Eighty 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:
GOLDEN GATE EST UNIT 13
110 Wilson Blvd. South, 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 C UNTY qOMMISSIONERS
DWIGHT E. BROCK, Clerk COLLI R 10 NTY, F ORIDA
By: � ' By.
ftQuty Clerk G gi A. filler, Esq.,
51118Uf� " Chairwoman
Approved asib Tdrm and legal sufficiency
Kevin Noell
Assistant County Attorney
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO `/ to jq
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 Attorne ff�o I r
than Monday preceding the Board meeting. 7
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 routine lines # 1 through #2_ complete the checklisL and forward to the Cnuntv Attomev Office
Route to Addressees (List in routing order)
Office
Initials
Date
1.
Attorney
Initial
Applicable)
2.
9/24/13 4
Agenda Item Number
16 -A -7
3. County Attorney Office
County Attorney Office
KN
10/8/12
Type of Document
ML Release of Lien - Perez
Number of Original
Originally
Attached
Original document has been signed/initialed for legal sufficiency. (All documents to be
Documents Attached
sffwved
PO number or account
41443011-649030
9/224/13
4. BCC Office
Board of County
H
to be recorded
Commissioners
o�
KN
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
Marlene Serrano, Code Enforcement
Phone Number
252 -2487
Contact / Department
Attorney
Initial
Applicable)
Agenda Date Item was
9/24/13 4
Agenda Item Number
16 -A -7
Approved by the BCC
Does the document need to be sent to another agency for additional signatures? If yes,
KN
Type of Document
ML Release of Lien - Perez
Number of Original
Two
Attached
Original document has been signed/initialed for legal sufficiency. (All documents to be
Documents Attached
PO number or account
41443011-649030
number if document is
by the Office of the County Attorney.
to be recorded
All handwritten strike - through and revisions have been initialed by the County Attorney's
KN
INSTRUCTIONS & CHECKLIST
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
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?
KN
2.
Does the document need to be sent to another agency for additional signatures? If yes,
KN
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
KN
signed by the Chairman, with the exception of most letters, must be reviewed and signed
by the Office of the County Attorney.
4.
All handwritten strike - through and revisions have been initialed by the County Attorney's
KN
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
KN
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
KN
signature and initials are required.
7.
In most cases (some contracts are an exception), the original document and this routing slip
KN
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 9/24/13 and all changes made during the
KN
meeting have been incorporated in the attached document. The County Attorney's
Office has reviewed the changes, if applicable.
9.
Initials of attorney verifying that the attached document is the version approved by qe
KN
BCC, all changes directed by the BCC have been made, and the document is ready f the
Chairman's signature.
I: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05; Revised 11/30/12
This Instrument Prepared By:
Marlene Serrano
Code Enforcement Department
2800 North Horseshoe Drive
Naples, FL 34104
(239) 252 -2487
INSTR 4902023 OR 4975 PG 363
RECORDED 10/14/2013 4:14 PM PAGES 1
DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
COLLIER COUNTY FLORIDA
REC $10.00
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:
Josse L. Perez and Isabel Perez,
Respondents
The lien was recorded on August 10, 2012 in Official Records Book 4825, Page 837, in
the Official Records of Collier County, State of Florida. The lien secures the principal
sum of Five Thousand One Hundred Eighty Dollars and Eighty Six Cents, plus accrued
interest and penalties, if any, and imposes certain obligations against real property
situated in Collier County, Florida.
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
DWIGHT E.,BROCK, Clerk
41ftes'-'ai Deputy Clerk
to Chaian s
stnature only.
Approved as to form and legality
Kevin Noell
Assistant County Attorney
BOARD OF COUNTY COMMISSIONERS
COLLIE,WCOUN Y, FLORIDA
By:
Hiller, Esq.,
man
This Instrument Prepared By:
Marlene Serrano
Code Enforcement Department
2800 North Horseshoe Drive
Naples, FL 34104
(239) 252 -2487
INSTR 4902024 OR 4975 PG 364
RECORDED 10/14/2013 4:14 PM PAGES 1
DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
COLLIER COUNTY FLORIDA
REC $10.00
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:
Josse L. Perez and Isabel Perez,
Respondents
The lien was recorded on March 13, 2013 in Official Records Book 4895, Page 2289, in
the Official Records of Collier County, State of Florida. The lien secures the principal
sum of Six Thousand and Eighty Dollars and Eighty Six Cents, plus accrued interest and
penalties, if any, and imposes certain obligations against real property situated in Collier
County, Florida.
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
DWIGHT E. $ROCK, Clerk
�Ititl.4ti1
. ;
-Deputy Clerk
eJ j i.J alftv an
signature onf�.
Approved as to form and legality
Kevin Noell
Assistant County Attorney
BOARD OF COUNTY COMMISSIONERS
COLLIE T O NTY, LORIDA
By:
ec gi A iller, Esq.,
ChaWw6man