Backup Documents 12/08/2020 Item #16A42 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 4
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 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 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. RiskRisk-Management
3. County Attorney Office County Attorney Office JAK 12-8-20
4. BCC Office Board of County BS byjiipp
JH/s/ 12-8-20
Commissioners 45. Minutes and Records Clerk of Court's Officep
12 %t\1) ta'-`!
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 Mike Oassorio/Code Enforcement Phone 239-252-5706
Contact/ Department
Agenda Date Item was December 8,2020 Agenda Item Number 16A4g
Approved by the BCC
Type of Document Release of a code enforcement lien with an Number of Original 1
Attached accrued value of$212,426.17,for payment of Documents Attached
$3,500,in the code enforcement action entitled
Board of County Commissioners v.Jeffrey
Gallucci,Deborah L.Gallucci and Mary P.
Stevens
PO number or account N/A
number if document is
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?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 MO
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 MO
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 MO
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 December 8,2020 and all changes made MO
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 th
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
I 6 A 4 2
This Instrument Prepared By: INSTR 5971631 OR 5862 PG 2901
Jeffrey A. Klatzkow, Esquire RECORDED 12/17/2020 3:46 PM PAGES 1
Collier County Attorneys Office CLERK OF THE CIRCUIT COURT AND COMPTROLLER
3299 E. Tamiami Trail-Suite 800 COLLIER COUNTY FLORIDA
REC$10 00 INDX$1 00
Naples, FL 34112
(239) 252-8400
PARTIAL 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:
Jeffrey Gallucci, Deborah L. Gallucci and Mary P. Stevens
Respondents .
The lien was recorded on February 12, 2015, in Official Records Book 5120, Page 875, in the
Official Records of Collier County, State of Florida. The lien secures the principal sum of four
thousand eight hundred twenty-six dollars and seventeen cents ($4,826.17), plus accrued interest
and penalties, if any, and imposes certain obligations against real property situated in Collier
County, Florida.
Henderson Creek PK 1st Add Block H Lot 21 and Lot 22.
Site address: 41 Henderson Drive
Collier County, a political subdivision of the State of Florida, by execution of this Partial Release
and Satisfaction of Lien, acknowledges payment as approved by the Board of County
Commissioners as partial satisfaction of the lien and hereby cancels said lien with respect to the
above-described property only.
The Clerk of the Circuit Court is hereby directed to record this Partial Release and Satisfaction of
Lien in the Official Records of Collier County, Florida, to acknowledge that the lien ceases to exist
as to 41 Henderson Drive.
ATTEST BOARD OF COUNTY COMMISSIONERS
CRYSTAL K. KINZEL, Clerk COLLIER COUNTY, FLORIDA
By: etW �, ' < < By: .�--
Attest 8S to Cha'�i
t'J '►�� .n'�'`a:uty Clerk urrrt L. Saunders, Chairman
Date:51i' '- 0 Date: 19 - ?6
Appro -d s 11,.. " and legality
till Vail —
Jeffrey , %. ,! ow
County torn!
[20-CED-01503/1574790/1]
16A42
INSTR 5971632 OR 5862 PG 2902
RECORDED 12/17/2020 3:46 PM PAGES 2
This Instrument Prepared By: CLERK OF THE CIRCUIT COURT AND COMPTROLLER
Jeffrey A. Klatzkow, Esquire COLLIER COUNTY FLORIDA
Collier County Attorney's Office REC$18 50 INDX$1 00
3299 E. Tamiami Trail-Suite 800
Naples, FL 34112
(239) 252-8400
PARTIAL 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:
Jeffrey Gallucci, Deborah L. Gallucci and Mary P. Stevens
Respondents
The lien was recorded on February 12, 2015, in Official Records Book 5120, Page 875, in the
Official Records of Collier County, State of Florida. The lien secures the principal sum of four
thousand eight hundred twenty-six dollars and seventeen cents ($4,826.17), plus accrued interest
and penalties, if any, and imposes certain obligations against real property situated in Collier
County, Florida.
All of that tract or parcel of land lying and being in Sections 10 and 11,
Township 51 South, Range 26 East, Collier County, Florida, being more
particularly described as follows: All of Lot 3, Block F, Henderson Creek
Park, according to the Plat thereof as recorded in Plat Book 6, Page 8, Public
Records of Collier County, Florida, and the following described parcel:
Beginning at the Northeast corner of said Lot 3, Block F, run South 89° 24'
50" East for 10.12 feet; thence run South 1° 59' 00" West for 50.01 feet; thence
run North 89° 24' 50" West for 10.17 feet to the Southeast corner of said lot
3; thence run North 2° 02' 10" East for 50.02 feet to the point of Beginning.
Together with that certain 1978 Skyline Mobile Home, VIN # 0365112AM, and
Title Numbers #15887467 and #15887466.
Site address: 3 Creek Cir
Collier County, a political subdivision of the State of Florida, by execution of this Partial Release
and Satisfaction of Lien, acknowledges payment as approved by the Board of County
Commissioners as partial satisfaction of the lien and hereby cancels said lien with respect to the
above-described property only.
The Clerk of the Circuit Court is hereby directed to record this Partial Release and Satisfaction of
Lien in the Official Records of Collier County, Florida, to acknowledge that the lien ceases to exist
as to 3 Creek Cir.
ATTEST BOARD OF COUNTY COMMISSIONERS
CRYSTAL K. KINZEL, Clerk COLLIER COUNTY, FLORIDA
By: By:
;Attest as to Ch ' a uty Clerk u L. Saunders, Chairman
Date: : r�O1),I Date: i;" -ab
[20-CED-01503/1574825/1]
1 6 A42
Appro •d isrm and legality
.404(
Jeffre I. I. zkow
County f'tto ey
[20-CED-01503/1574825/1]