Backup Documents 12/10-11/2013 Item #16A12�*
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO I Z ((o
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 Collpty Attorney Office
at the time the item is placed on the agenda. All completed routing slips and original documents roust be received in the County Attqne�ffic o r
2.
than Monday preceding the Board meeting. 11
Complete routing lines #I through #2 as appropriate for additional signatures, dates, and/or information needed. If the document is already complete with the
exception of the Chairman's signature, draw a line through routing lines #1 throu #2 complete the checklist and forward to the C Attonn Office
Route to Addressees (List in routing order)
Office
Initials
Date
1.
appropriate.
Initial
Applicable)
2.
12/10/13 V
Agenda Item Number
16-A-12
3. County Attorney Office
County Attorney Office
KN
12/10/13
4. BCC Office
Board of County
Commissioners
GtA
One
5. Minutes and Records
Clerk of Court's Office
Documents Attached
�Z
30
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, mav need to contact staff for additional or missin information
Name of Primary Staff
Marlene Se o, Code Enforcement
Phone Number
252-2487
Contact / De artment
appropriate.
Initial
Applicable)
Agenda Date Item was
12/10/13 V
Agenda Item Number
16-A-12
Approved by the BCC
Does the document need to be sent to another agency for additional signatures? If yes,
KN
Type of Document
Release & Satisfaction - Dixon
Number of Original
One
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
number if document is
111-138911-649030
to be recorded
All handwritten strike -through and revisions have been initialed by the County Attorney's
KN
INSTRUCTIONS & rNr.K1 jQT
L 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
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 12/10/13 and all changes made during
KN
the 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 the
KN
BCC, all changes directed by the BCC have been made, and the document is ready for the
Chairman's signature. if
L 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
16Al2
INSTR 4925038 OR 4993 PG 98
RECORDED 12/17/2013 11:34 AM 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
COMMISSIONERS OF COLLIER COUNTY, FLORIDA is
certain lien against all real and personal property owned by
Chad C. Dixon,
Respondent
the BOARD OF COUNTY
the owner and holder of a
The lien was recorded on July 17, 2013, in Official Records Book 4944, Page 3740, in
the Official Records of Collier County, State of Florida. The lien secures the principal
sum of Sixteen Thousand, One Hundred and Seventy Four Dollars and Seventy Nine
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 acknowlOdge that the lien
ceases to exist.
ATTEST
DWIGHT.E. BROCK, Clerk
Rest as to Chair III 'Sti Deputy Clerk
W
Approved as to form and legality
Kevin Noel[
Assistant County Attorney
BOARD OF C, UNTY COMMISSIONERS
COLLI CO, N�Y, FjLORIDA
By:
4o is A. iller, Esq.,
Chairwoman