Backup Documents 10/26/2010 Item #16A 5ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP l 6 A
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
Complete routing lines 41 through 44 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 throw #4, complete the checklist, and forward to Sue Filson line 45).
Route to Addressee(s)
List in routing order
Office
Initials
Date
1. Judy Puig
GMD Planning &
Re ulation/O erations
(Initial)
Applica ble)
Agenda Date Item was
2.
Agenda Item Number
16A5
Approved by the BCC
3.
Type of Document
4.
Number of Original
Attached
5 Ian Mitchell, Supervisor, BCC Office
Board of County
M69 9 to
6. Minutes and Records
Clerk of Court's Office
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 die BCC office only after the BCC has acted to approve the
item.)
Name of Primary Staff
Marlene Serrano
Phone Number
252 -2487
Contact
appropriate.
(Initial)
Applica ble)
Agenda Date Item was
October 26, 2010
Agenda Item Number
16A5
Approved by the BCC
signed by the Chairman, with the exception of most letters, must be reviewed and signed
Type of Document
Release of Liens
Number of Original
Attached
resolutions, etc. signed by the County Attorney's Office and signature pages from
Documents Attached
INSTRUCTIONS & CHECKLIST
I: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip W W S 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)
Applica ble)
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
Office and all other parties except the BCC Chairman and the Clerk to the Board
�l
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
sign ure 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
A
time frame or the BCC's actions are nullified. Be aware of your deadlines!
n
6.
The document was approved by the BCC on 10/26/10 (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.
I: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip W W S Original 9.03.04, Revised 1.26.05, Revised 2.24 05
This Instrument Prepared By:
Jeff E. Wright , Assistant County Attorney
Collier County Attorney's Office
3001 E. Tamiami Trail
Naples, FL 34112
(239) 252 -8400
16A 5
INSTR 4491056 OR 4619 PG 1426
RECORDED 11/1/2010 1:03 PM PAGES 1
DWIGHT E. BROCK
COLLIER COUNTY CLERK OF THE CIRCUIT COURT
REC $10.00
PARTIAL RELEASE 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:
Humberto L. Jaen, Respondent
The lien was recorded on February 22, 2008 in Official Records Book 4332, Pages 511-
514, in the Official Records of Collier County, State of Florida. The lien secures the
principal sum of seventeen thousand eight hundred thirty -seven dollars and eight cents,
plus accrued penalties.
Collier County, a political subdivision of the State of Florida, by execution of this Partial
Release of Lien, acknowledges partial payment and hereby cancels and releases the
lien in relation to the following property only:
3891 Estey Avenue, Collier County, Florida
Folio No. 26630080005
The Board of County Commissioners hereby acknowledges that the lien ceases to exist
as to the above described property only, and that the lien shall remain in full force and
effect with respect to all other real and personal property owned by Respondent.
IN WITNESS WHEREOF, the Boan
Florida, acting through its Chairman
Release of Lien, by action of
r- , 2010.
ATTEST
DWIGHT E. BROCK, Clerk
of County Commissioners of Collier County,
directs execution and recording of this Partial
the Board on this a Cv day of
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
By:
Attest s to CkimM y eput
t1o"rkwn 441.4
Approved as to form and legal sufficiency
I �
Joff Wright
A�&Ktant County Attorney
By:
Fred W. Coyle, Cha an
This Instrument Prepared By:
Jeff E. Wright , Assistant County Attorney
Collier County Attorney's Office
3001 E. Tamiami Trail
Naples, FL 34112
(239) 252 -8400
16A 5
INSTR 4491057 OR 4619 PG 1427
RECORDED 11/1/2010 1:03 PM PAGES 1
DWIGHT E BROCK
COLLIER COUNTY CLERK OF THE CIRCUIT COURT
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:
Richard K. Cruce, Respondent
The lien was recorded on November 20, 2008 in Official Records Book 4408, Pages
3648 -3652, in the Official Records of Collier County, State of Florida. The lien secures
the principal sum of three thousand three hundred seventeen dollars and fifty -two cents,
plus accrued penalties, and imposes certain obligations against real property situated in
Collier County, Florida, which property is described as follows:
6101 Taylor Road, Immokalee, FL
Folio No. 00059520007
Collier County, a political subdivision of the State of Florida, by execution of this Release
and Satisfaction of Lien, acknowledges payment as full 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.
IN WITNESS WHEREOF, the Board of County Commissioners of Collier County,
Florida, acting through its Chairman directs execution and recording of this Release and
Satisfaction of Lien, by action of the Board on this 2 day of
Or_- Za, e , 2010.
ATTEST
DWIGHT E. BROCK, Clerk
rm
epu y Clerk
Approved as to form and legal sufficiency
J ff E' Wright
As ant County Attorney
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
By.
Fred W. Coyle, Chairman
This Instrument Prepared By:
Jeff E. Wright , Assistant County Attorney
Collier County Attorney's Office
3001 E. Tamiami Trail
Naples, FL 34112
(239) 252 -8400
INSTR 4491058 OR 4619 PG 1428 16A 5
RECORDED 11/1/2010 1:03 PM PAGES 1
DWIGHT E. BROCK
COLLIER COUNTY CLERK OF THE CIRCUIT COURT
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:
Dian Edwards and June Edwards, Respondents
The lien was recorded on November 5, 2009 in Official Records Book 4506, Pages
2349 -2354, in the Official Records of Collier County, State of Florida. The lien secures
the principal sum of ninety -four thousand five hundred dollars, plus accrued penalties,
and imposes certain obligations against real property situated in Collier County, Florida,
which property is described as follows:
465424 1h Place SW, Naples, FL
Folio No. 35981560003
Collier County, a political subdivision of the State of Florida, by execution of this Release
and Satisfaction of Lien, acknowledges payment as full 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.
IN WITNESS WHEREOF, the Board of County Commissioners of Collier County,
Florida, acting through its Chairman directs execution and recording of this Release and
Satisfaction of Lien, by action of the Board on this 2 day of
Cc tr 6 (2 s 2010.
ATTEST ` BOARD OF COUNTY COMMISSIONERS
DWIGHT E. BROCK, Clerk COLLIER COUNTY, FLORIDA
By:
Ata/t is M E±M11r1 i eput rk
11 "etwo on,,
Approved as to form and legal sufficiency
Jej E. right
As 's jbnt County Attorney
By:
Fred W. Coyle, Chairmbri
This Instrument Prepared By:
Jeff E. Wright , Assistant County Attorney
Collier County Attorney's Office
3001 E. Tamiami Trail
Naples, FL 34112
(239) 252 -8400
INSTR 4491059 OR 4619 PG 1429 16A '-
RECORDED 11/1/2010 1:03 PM PAGES 1
DWIGHT E. BROCK
COLLIER COUNTY CLERK OF THE CIRCUIT COURT
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:
Lortoni Cardenas, Respondent
The lien was recorded on September 18, 2009 in Official Records Book 4492, Pages
3343 -3344, in the Official Records of Collier County, State of Florida. The lien secures
the principal sum of twelve thousand eight hundred sixty -seven dollars and ninety -six
cents, plus accrued penalties, and imposes certain obligations against real property
situated in Collier County, Florida, which property is described as follows:
5023 24`h Avenue SW, Naples, FL
Folio No. 36111400000
Collier County, a political subdivision of the State of Florida, by execution of this Release
and Satisfaction of Lien, acknowledges payment as full 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.
IN WITNESS WHEREOF, the Board of County Commissioners of Collier County,
Florida, acting through its Chairman directs execution and recording of this Release and
Satisfaction of Lien, by action of the Board on this ? day of
_,2010.
ATTEST
DWIGHT E. BROCK, Clerk
B(y�,_ _.
II� 49 • l 1 D uty Cle k
9104w* 44j"4 11 11
Approved as to form and legal sufficiency
Jlpff E Wright
A tant County Attorney
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
By. Ltj. (A)
Fred W. Coyle, Chairmani `,
This Instrument Prepared By:
Jeff E. Wright , Assistant County Attorney
Collier County Attorney's Office
3001 E. Tamiami Trail
Naples, FL 34112
(239) 252 -8400
INSTR 4491060 OR 4619 PG 1430
RECORDED 11/1/2010 1:03 PM PAGES 1
DWIGHT E. BROCK
COLLIER COUNTY CLERK OF THE CIRCUIT COURT
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:
Seven Stores, Ltd. and The Circle K Corporation
and Michael Martin, CPA, Reg. Agent, Respondents
The lien was recorded on February 8, 2005 in Official Records Book 3730, Pages 2037-
2038, in the Official Records of Collier County, State of Florida. The lien secures the
principal sum of three thousand five hundred one dollars and twenty -five cents, plus
accrued penalties, and imposes certain obligations against real property situated in
Collier County, Florida, which property is described as follows:
11339 Tamiami Trail East, Naples, FL
Folio No. 62250320002
Collier County, a political subdivision of the State of Florida, by execution of this Release
and Satisfaction of Lien, acknowledges payment as full 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.
IN WITNESS WHEREOF, the Board of County Commissioners of Collier County,
Florida, acting through its Chairman directs execution and recording of this Release and
Satisfaction of Lien, by action of the Board on this 2Co day of
CC-fa )e r , 2010.
ATTEST
DWIGHT E. BROCK, Clerk
By
`� a..., from uty
offlugW4 Oki
Approved as to form and legal sufficiency
County Attorney
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY. FLORIDA
By: ;�L_e�_ W
Fred W. Coyle, Chairm _.