Backup Documents 06/12/2012 Item #16A15ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper. Attach to original document. Original documents should be hand delivered to the Board Office. The completed routing slip and original
documents are to be forwarded to the Board Office only after the Board has taken action on the item.)
ROUTING SLIP
routing lines # 1 through #4 as appropriate for additional signatures, dates, and /or information needed. If the document is already complete h 1
Complete g Sh ,;„ g 1 ♦ham. h {1d c mnlete the checklist. and forward to Sue Filson (line #5).
exception of the Chairman's signature, draw a tine uuvuE, "
Addressee(s)
1. ...•.,.. • 11 11 - r - - - -
Office
Initials
Date
ng order) y Puig
E
GMD Planning &
appropriate.
Agenda Date Item was
Regulation/Operations
Agenda Item Number
16A15
Approved by the BCC
Type of Document
Release of Lien
Number of Original
2
2.
Documents Attached
3.
resolutions, etc. signed by the County Attorney's Office and signature pages from
4.
contracts, agreements, etc. that have been fully executed by all parties except the BCC
5 Ian Mitchell, Supervisor, BCC Office
Board of County
Chairman and Clerk to the Board and 2ossibly State Officials.)
All handwritten strike- through and revisions have been initialed by the County Attorney's
N/A
Commissioners
Office and all other parties except the BCC Chairman and the Clerk to the Board
6. Minutes and Records
Clerk of Court's Office
3.
The Chairman's signature line date has been entered as the date of BCC approval of the
PRIMARY CONTACT INFORMATION
(The primary contact is the holder of the original document pending BCC approval. 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, including Sue Filson, need to contact staff for additional or missing
information. All original documents needing the BCC Chairman's signature are to be delivered to the BCC office only after the BCC has acted to approve the
item.
Name of Primary Staff
Marlene Serrano
Phone Number
252 -2487
Contact
appropriate.
Agenda Date Item was
June 12, 2012
Agenda Item Number
16A15
Approved by the BCC
Type of Document
Release of Lien
Number of Original
2
Attached
Documents Attached
71UCTwrT1-T1f1NC Rr CHVCKLIST
l: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05
Initial the Yes column or mark "N /A" in the Not Applicable column, whichever is
Yes
(Initial)
N/A (Not
Ap licable)
appropriate.
1.
Original document has been signed/initialed for legal sufficiency. (All documents to be
signed by the Chairman, with the exception of most letters, must be reviewed and signed
by the Office of the County Attorney. This includes signature pages from ordinances,
resolutions, etc. signed by the County Attorney's Office and signature pages from
contracts, agreements, etc. that have been fully executed by all parties except the BCC
Chairman and Clerk to the Board and 2ossibly State Officials.)
All handwritten strike- through and revisions have been initialed by the County Attorney's
N/A
2.
Office and all other parties except the BCC Chairman and the Clerk to the Board
3.
The Chairman's signature line date has been entered as the date of BCC approval of the
document or the final negotiated contract date whichever is applicable.
4.
"Sign here" tabs are placed on the appropriate pages indicating where the Chairman's
signature and initials are required.
In most cases (some contracts are an exception), the original document and this routing slip
5.
should be provided to Ian Mitchell in the BCC office within 24 hours of BCC approval.
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 our deadlines!
6.
The document was approved by the BCC on 06/12/12 (enter date) and all
changes made during the meeting have been incorporated in the attached document.
The County Attorney's Office has reviewed the chan es, if a licable.
l: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05
This Instrument Prepared By:
Jeri Baker
Code Enforcement Department
2800 North Horseshoe Drive
Naples, FL 34104
(239) 252 -2440
INSTR 4708205 OR 4808 PG 3520
RECORDED 6/19/2012 4:54 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
COMMISSIONERS OF COLLIER COUNTY, FLORIDA i s
certain lien against all real and personal property owned by
Adriana and Jose Arizmendi,
Respondents
16A15
the BOARD OF COUNTY
the owner and holder of a
The lien was recorded on June 21, 2011 in Official Records Book 4694, Page 378, in
the Official Records of Collier County, State of Florida. The lien secures the principal
sum of Four Thousand seven hundred twelve dollars and thirty eight 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 UNIT 4 BLK 139 LOT 28
1991 48TH Street SW 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
of Lien in the Official Records
ceases to exisf.
ff �.
ATTEST
DWIGHT E, "rBROCK_CIkk
B
lttttst ' r�►t tdui�
atonlatura (on
hereby directed to record this Release and Satisfaction
of Collier County, Florida, to acknowledge that the lien
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
Clerk Fred W. Coyle, Charima
Approved as to form and legal sufficiency
R
eff right
ssi ant County Attorney
This Instrument Prepared By:
Jen Baker
Code Enforcement Department
2800 North Horseshoe Drive
Naples, FL 34104
(239) 252 -2440
16A15
INSTR 4708206 OR 4808 PG 3521
RECORDED 6/19/2012 4:54 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
COMMISSIONERS OF COLLIER COUNTY, FLORIDA i s
certain lien against all real and personal property owned by
Adriana and Jose Arizmendi,
Respondents
the BOARD OF COUNTY
the owner and holder of a
The lien was recorded on August 19, 2011 in Official Records Book 4712, Page 463, in
the Official Records of Collier County, State of Florida. The lien secures the principal
sum of Sixteen Thousand five hundred ninety two dollars and twenty nine 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 UNIT 4 BLK 139 LOT 28
1991 48TH Street SW 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
DWIGHT B. - R6�I Clerk
B - f
t anti Co puty Clerk
y T•
Approved as to form and legal sufficiency
Jeff r' ht
Assis nt County Attorney
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
By: W
Fred W. Coyle, Charim