Backup Documents 06/11/2019 Item #16C11 Aid-4° ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 6 11
I
HE 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 the County Attorney Office
at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no 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 routingzlines#1 through#2,complete the checklist,and forward to the Count Attorney Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1. Jennifer A. Belpedio, Esq., Asst. County Attorney
\ ley
County Atty. T' J V.5/ 9--/
l
2. BCC Office Board of County II
1)11 Commissioners
3. Minutes and Records Clerk of Court's Office q11,ital :53 (mPRIMARY 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 C. Perry Peeples Phone Number 239-252-8073
Contact/Department
Agenda Date Item was June 11,2019 Agenda Item Number 16-C-11
Approved by the BCC
Type of Document Easement Number of Original
Attached Documents Attached I
PO number or account 414-263614-649030-70139.1.7 RECORDING FORM
number if document is ATTACHED
to be recorded
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? S O 1/ CPP
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 ,� 1
Office and all other parties except the BCC Chairman and the Clerk to the Board 'v
5. The Chairman's signature line date has been entered as the date of BCC approval of the N/A
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 CPP
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 as stated above and all changes made CPP
during the meeting have been incorporated in the attached document. The County
Attorney's Office has reviewed the changes,if applicable.
9. Initials of attorney verifying that the attached document is the version approved by the
BCC,all changes directed by the BCC have been made,and the document is ready for the
Cad)
Chairman's signature.
l: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
Memorandum 16 C 11
TO: Minutes & Records Management
FROM: C. Perry Peeples, Real Property Management
DATE: June 12, 2019
RE: Pump Station 101.07 — FPL Easement-Second
On June 11, 2019 the BCC approved Agenda Item 16.C.11, approving the Easement to FPL
and authorizing the Chairman to execute the Easement.
Attached is the original Easement for attestation. Please attest to Commissioner McDaniel's
signature as Chairman on the document.
After attesting to the Chairman's signature on the Easement, please record the Easement
using the recording form attached.
Please contact me if you have any questions or comments at Extension 8073 or
perrypeeples@colliergov.net.
Thank you.
INSTR 5728383 OR 5643 PG 441
RECORDED 6/18/2019 2:54 PM PAGES 2
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
COLLIER COUNTY FLORIDA
EASEMENT DOC@.70 S0.70 REC $18 50 r
(BUSINESS) 16 C l i
This Instrument Prepared By
Work Request No.8796971
Sec. 28, Twp 48 S, Rge 25 E Name: Patrick Riley
Parcel I.D.: 62835920005 Co. Name: FP&L
(Maintained by County Appraiser) Address: 4105 15th Ave.SW
Naples, Florida 34116
The undersigned, in consideration of the payment of $1.00 and other good and valuable consideration,
the adequacy and receipt of which is hereby acknowledged, grant and give to Florida Power & Light
Company, its affiliates, licensees, agents, successors, and assigns ("FPL"), a non-exclusive easement forever
for the construction, operation and maintenance of overhead and underground electric utility facilities
(including wires, poles, guys, cables, conduits, and appurtenant equipment) to be installed from time to
time; with the right to reconstruct, improve, add to, enlarge, change the voltage, as well as, the size of,
and remove such facilities or any of them within an easement described as follows:
A portion of Lot 28, Block 40, Naples Park, Unit 6----See Exhibit"A" ("Easement Area")
Together with the right to permit any other person, firm or corporation to attach wires to any facilities
hereunder and lay cable and conduit within the Easement Area and to operate the same for
communications purposes; the right of ingress and egress to the Easement Area at all times; the right to
clear the land and keep it cleared of all trees, undergrowth and other obstructions within the Easement
Area; the right to trim and cut and keep trimmed and cut all dead, weak, leaning or dangerous trees or
limbs outside of the Easement Area which might interfere with or fall upon the lines or systems of
communications or power transmission or distribution; and further grants, to the fullest extent the
undersigned has the power to grant, if at all, the rights hereinabove granted on the Easement Area
heretofore described, over, along, under and across the roads, streets or highways adjoining or through
said Easement Area.
IN WITNESS WHEREOF, the undersigned has signed and sealed this instrument on this day of
, , 2019.
Board of County Comers of Collier County, Florida
as the Governin Body Collier : y and as Ex-Officio
the Gove in B ••• • .o Collier Co nt . ' a ;r-S- , er
District /4- �-
By:
WILLIAM L. MCDANIEL, JR., Chairman
3335 Tamiami Trail East,Suite 101
Naples, Florida 34112
Attest:
Crystal K. Kinzel, Clerk of the Circuit Court
�� �+�;,¢ as �' ut Clerk
ihis Conveyance Approved By
to Chairmal p y The Board Of County
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er A. Belpedio, A sis int County Attorney
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