Backup Documents 11/13/2012 Item #16A25ORIGINAL DOCUMENTS CHECKLIST & ROUTING L
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT T 6v6 2 5
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SI
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
Complete routing lines #1 through #4 as appropriate for additional signatures, dates, and/or information needed. If the document is already complete with the
exception ofthe Chairman's sipnahire draw a line th—...6 r....r;.... 1;..e.. 4 .�._,..._� y
- - - -- - - -- - - -- - -- -• - -_ . •� -•••• ••••�� •, •
Route to Addressee(s)
.—y. —1 wu. IULU utc WICUK115t, and
Office
rorward to Sue rns
Initials
lme #5).
Date
List in routing order
appropriate.
Initial
16.A °��
1. Judy Puig
GMD Planning &
Agenda Item Number
Approved b the BCC
signed by the Chairman, with the exception of most letters, must be reviewed and signed
Regulation/Operations
Type of Document
1,40ft 72e l,eq 5 g
Number of Original
2.
Attached I
6&%5-%ChM
Documents Attached
3.
contracts, agreements, etc. that have been fully executed by all parties except the BCC
4.
Chairman and Clerk to the Board and possibly State Officials.)
5 Ian Mitchell, Supervisor, BCC Office
Board of County
2.
All handwritten strike - through and revisions have been initialed by the County Attorney's
Commissioners(
`�"1 �1►Z,
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
document or the final negotiated contract date whichever is applicable
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
Jennifer Baker
Phone Number
252 -2444
Contact
appropriate.
Initial
16.A °��
Agenda Date Item was
November 13, 2012
Agenda Item Number
Approved b the BCC
signed by the Chairman, with the exception of most letters, must be reviewed and signed
' ✓
Type of Document
1,40ft 72e l,eq 5 g
Number of Original
1 ✓
Attached I
6&%5-%ChM
Documents Attached
INSTRUCTIONS & CURCKI.IST
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I: 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
appropriate.
Initial
Applicable)
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 possibly State Officials.)
2.
All handwritten strike - through and revisions have been initialed by the County Attorney's
N/A
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.
5.
In most cases (some contracts are an exception), the original document and this routing slip
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 yoyf deadlines!
6.
The document was approved by the BCC on 11/13/2012 (enter date) and all
changes made during the meeting have been incorporated in the attached document.
The County Attorney's Office has reviewed the changes, if applicable.
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I: 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:
Jen Baker
Code Enforcement Department
2800 North Horseshoe Drive
Naples, FL 34104
(239) 252 -2440
16A25
INSTR 4779627 OR 4869 PG 1182
RECORDED 12/27/2012 7:10 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 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:
Terry Dilozir,
Respondents
The lien was recorded on July 15, 2011 in Official Records Book 4702, Page 129, in the
Official Records of Collier County, State of Florida. The lien secures the principal sum of
Forty Nine Thousand five hundred eighty seven dollars and seventy three 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 MANOR ADD BLK 6 LOT 6
5322 Catts Street 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 OF COUNTY COMMISSIONERS
DWIGHT E. BROCK;,Clerk COLLIER COUNTY, FLORIDA
By By
A' Tr.�� ,4* o �� � Depufy rk Fred W. Coyle, Charim
Approved as to form and legal sufficiency
Jeff Wright/
Assisknt ounty Attorney