Backup Documents 01/24/2017 Item #16K1 ORIGINAL 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. The completed routing slip and original documents are to be forwarded to t Cty to y Office
at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the Conn At i o later
than Monday preceding the Board meeting.
**NEW** ROUTING SLIP
Complete routing lines#1 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 through#2,complete the checklist,and forward to the County Attorney Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1.
2.
3. County Attorney Office County Attorney Office JAK 1/24/17
4. BCC Office Board of County ?"7-b5-\
Commissioners /cS/ 1\a4\\-1
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 Wanda Rodri uez,ACP Phone Number 252-8123
Contact/ Department Office of the ounty Attorney
Agenda Date Item was 1/24/17 Agenda Item Number 16-K-1
Approved by the BCC
Type of Document Resolution setting balloting date for Pelican Number of Original one
Attached Bay Services Division Board Documents Attached _
PO number or account N/A
number if document is
to be recorded aO -10
INSTRUCTIONS & CHECKLIST
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? STAMP Ok N/A
2. Does the document need to be sent to another agency for additional signatures? If yes, N/A
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
by the Office of the County Attorney.
4. 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
5. The Chairman's signature line date has been entered as the date of BCC approval of the JAK
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 JAK
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip N/A
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 1/24/17 and all changes made during the c
meeting have been incorporated in the attached document. The County : i • - ----- ,"',,,,,,';41
Office has reviewed the changes,if applicable. Lt,
9. Initials of attorney verifying that the attached document is the version app a ved by the cAN-1211--"S . .,,
BCC,all changes directed by the BCC have been made,and the document i ready for thee, a
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
Ann P. Jennejohn 1 6 1
From: Ann P.Jennejohn
Sent: Monday,January 30, 2017 4:51 PM
To: Wayne A. Fyffe
Subject: Resolution 2017-10 (PBSD balloting date)
Attachments: Resolution 2017-010.pdf
Good Afternoon,
Attached of your records, is a copy of Resolution 2017-10,
setting the balloting date of March 6, 2017 for the recommendation
of members to the Pelican 13a9 Services Division Board
(by property owners within Pelican Bay)
Thank you!
Ann Jennejohn, Deputy Clerk
Clerk of the Circuit Court
Clerk to the Value Adjustment Board
Collier County Board Minutes & Records Dept.
239-252-8406 Fax 239-252-8408
1
1 K1
RESOLUTION NO. 2017 -
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF
COLLIER COUNTY, FLORIDA, DESIGNATING NOMINEES FOR
APPOINTMENT TO FILL FIVE (5) EXPIRING TERMS ON THE
PELICAN BAY SERVICES DIVISION BOARD AND CONFIRMING A
BALLOTING DATE OF MARCH 6, 2017.
WHEREAS, Collier County Ordinance No. 2002-27, created the Pelican Bay Municipal
Service Taxing and Benefit Unit, superseding and repealing prior Pelican Bay Municipal Service
Taxing and Benefit Unit Ordinances; and
WHEREAS, Ordinance No. 2002-27, as subsequently amended, provides for the creation
of the Pelican Bay Services Division Board, specifies the composition of said Advisory Board,
and sets forth the process for nomination and appointment of its members; and
WHEREAS, all members of this Advisory Board are appointed by and all vacancies are
filled by the Board of County Commissioners; and
WHEREAS, on March 31, 2017, there will be one vacancy on this Advisory Board
representing "commercial/business/other interests" and four vacancies representing "residential
interests"; and
WHEREAS, Ordinance No. 2002-27, as amended, provides for public announcement and
advertisement of all current vacancies on this Advisory Board and that timely applications for
appointment shall be considered nominees for appointment to fill said vacancies; and
WHEREAS, pursuant thereto, one resident of Pelican Bay has applied for the
"commercial/business/other interests" vacancy and five residents of Pelican Bay have applied for
the "residential interests" vacancies; and
WHEREAS, at its January 24, 2017 regularly scheduled meeting, the Board of County
Commissioners acted to set the balloting date for the recommendation of members to the Pelican
Bay Services Division Board by the record title owners of property within the Pelican Bay
Municipal Service Taxing and Benefit Unit.
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA, that
1. Jacob Damouni has applied for nomination for appointment to fill the vacancy
referenced herein representing the "commercial/business/other interests" on this
Advisory Board.
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16K1 .
2. Joseph Chicurel, Kenneth Dawson, Thomas F. Cravens, David C. Nordhoff, and Scott
Streckenbein have applied for nomination for appointment to the vacancies referenced
herein representing "residential interests" on this Advisory Board.
3. The balloting date for the nominees referenced herein for the expiring terms described
in this Resolution is and shall be March 6, 2017.
4. This Resolution shall be published and spread in the public records of the Clerk of
Courts.
THIS RESOLUTION ADOPTED after motion, second and majority vote favoring same,
this 24th day of January, 2017.
ATTEST: BOARD OF COUNTY COMMISSIONERS
DWIGHT 'BROCK, CLERK COLLIER COUNTY, FLORIDA
By: auA : 494- . 0,c B• y OJj4
t ' PENNY TA R' CWOMAN
es ans
Appro' _' rgr and legality:
1
Jeffrey r. ill tzkow
Count A o ey
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