Backup Documents 09/11-12/2012 Item #16D 7ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 160�
TO ACCOMPANY ALL ORIGINAL DOCUMENTS OCU NTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
ROUTING SLIP
Complete routing lines #I through #4 as appropriate for additional signatures, dates, and/or information needed. If the document is already complete with the
exception of the Chairman's si ature, draw aline through r ting lines #1 throu #4, complete the checklist, and forward to Ian Mitchell (line #5).
Route to Addressee(s)
(List in routing order)
Office
Initials
Date
1. Priscilla Doria
Housing, Human & Veteran
Services Department
(Initial)
2.Mary -Jo Brock, Executive Secretary
County Manager
PD
for Dick u
3.
September 11, 2012
Agenda Item Number
16.D.7
4. Ian Mitchell, Executive Manager
Board of County Commissioners
/
91 X31 (Z
T T— ririirciT ...,a D «,7.,
Two (2) Certifications
Number of Original
2
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 Ian Mitchell, needs 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
Priscilla Doria Housing, Human and
Phone Number
252 -5312
Contact
Veteran Services
(Initial)
or e-mail
1.
Original document has been signed/ initialed for legal sufficiency. (All documents to be
PD
for Dick u
Agenda Date Item was
September 11, 2012
Agenda Item Number
16.D.7
Approved b3i the BCC
by the Office of the County Attorney. This includes signature pages from ordinances,
Type of Document
Two (2) Certifications
Number of Original
2
Attached
I Signature needed on all documents.
Documents Attached
INSTRUCTIONS & CHECKLIST
1: 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
N/A (Not
avoronriate.
(Initial)
Applicable)
1.
Original document has been signed/ initialed for legal sufficiency. (All documents to be
PD
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 possibly State Officials.)
2.
All handwritten strike - through and revisions have been initialed by the County Attorney's
PD
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
PD
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
PD
signature and initials are required.
5.
In most cases (some contracts are an exception), the original document and this routing slip
PD
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 your deadlines!
6.
The document was approved by the BCC 09/11/2012 (enter date) and all changes
PD
N/A is not
made during the meeting have been incorporated in the attached document. The
an option for
County Attorney's Office has reviewed the changes, if applicable.
line 6.
1: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05
16D7
MEMORANDUM
Date: September 14, 2012
To: Priscilla Doria, SHIP Loan Processor
Housing, Human & Veteran Services
From: Teresa Cannon, Deputy Clerk
Minutes & Records Department
Re: SHIP (2) Certifications
Attached for your records are the originals of the document referenced above,
(Item #1D7) approved by the Board of County Commissioners on Tuesday,
September 11, 2012.
Please forward the fully executed original upon its return to the Minutes and Records
Department to be kept as a part of the Board's Official Records.
If you have any questions, please call 252 -8411.
Thank you
CERTIFICATION
For Implementation of
Regulatory Reform Activities
Required by S.H.I.P.
1607
On behalf of COLLIER COUNTY, I hereby certify that the following information is true and accurate
as of the date of submission:
1) Permits as defined in s.163.3164(7) and (8)* for affordable housing projects are expedited to a
greater degree than other projects; and
2) There is an ongoing process for review of local policies, ordinances, regulations, and plan
provisions that increase the cost of housing prior to their adoption.
3) The cumulative cost per newly constructed housing per housing unit, from these actions for
* *FY 11/12 is estimated to be $444.18.
4) The cumulative cost per rehabilitated housing per housing unit, from these actions for
* *FY 11/12 is estimated to be $ 0
Date l�
as to Chorft. , Chief Elected Official
�.110S.ut'! 9W'
it' ,. Fred W. Coyle, Chairman
Witness
� q
Date Date /
County ity Administr# r
Leo Ochs, Jr., Coun Manager
Date 13 2
Ms st (SEAL), ,
11�t�st as s:a�h44 a
Approved as to form and legal sufficiency:
— �) Date 81\S ``
Jennifer B. White, Assistant County Attorney
Note: This form will be utilized beginning with * *FY 2003/2004
* 163.3164(7) of the Florida Statutes: 'Development order" means any order granting, denying, or granting with conditions
an application for a development permit. 163.3164(8) of the Florida Statutes: 'Development permit" includes any building
permit, zoning permit, subdivision approval, rezoning, certification, special exception, variance, or any other official action
of local government having the effect of permitting the development of land.
SHIP ARJ2009 -2010
CERTIFICATION
On behalf of Collier County , I hereby certify that the information presented herein is true and
accurate as of the date of submission.
J.,
A—Date * 3 C�
Wit�eiste Y .
�.f st
�,y rah
Date
Witness
16D7
'-"j /
ate / I � �p��.
Chief Elected Official I I"
Fred W. Co , Chairman
Date <? 46
County /City A inistr for
Leo Ochs Jr., un Mannger
t^ ... .
+r �
*?---
(Seal) ,
ate
pproved as to form and legal sufficiency:
A
Jenn*er B. White, Assistant County Attorney
GENERAL INFORMATION
Name of Person to call regarding the Annual Report Form:
Kristi Sonntag, Manager Federal /State Grants
Housing, Human & Veteran Services Department
Telephone Number: 2`39) 252 -4663