Backup Documents 10/11/2022 Item #16K7 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP y�
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO it
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.
** ROUTING SLIP** e C OYCl t\Nei i
Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is alreadf compl e 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 CAK/rev 10/6/22
4. BCC Office Board of County
Commissioners td1 b /51 10/(IIQZ
5. Minutes and Records Clerk of Court's Office
19 iiJ - 3'I3eiti
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 Michael Ossorio Phone Number 252-2440
Contact/Department
Agenda Date Item was 10/11/2022 Agenda Item Number 16- K
Approved by the BCC
Type of Document(s) Pelican Lake-Release& Satisfaction of Number of Original 1
Attached Lien Documents Attached
PO number or account 111-138911-649030
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(instead of stamp)? No/
CAK/rev
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 legality. (All documents to be signed by CAK/rev
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 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 CAK/rev
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 CAK/rev
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 uploaded to the
agenda. 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 10/11/22 and all changes made during CAK/rev bat
the meeting have been incorporated in the attached document. The County Attorney 'far
Office has reviewed the changes,if applicable. thiS j
9. Initials of attorney verifying that the attached document is the version approved by the CAK/rev NIA i8 not
BCC, all changes directed by the BCC have been made,and the document is ready for the itt option far
Chairman's signature. tdilito,
Please Expedite
1:Forms/County Forms/BCC Forms, Part of a Settlement .24.05;11/30/12;4/22/16;9/10/21
INSTR 6317280 OR 6180 PG 2978 ?'; 7
RECORDED 10/13/2022 10:31 AM PAGES 1
CLERK OF THE CIRCUIT COURT AND COMPTRO LER
COLLIER COUNTY FLORIDA
REC$10.00
This Instrument Prepared By:
Colleen A. Kerins, Esquire
Collier County Attorney's Office
3299 E. Tamiami Trail-Suite 800
Naples, FL 34112
(239) 252-8400
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:
PELICAN LAKE PROPERTY OWNERS ASSOC OF COLLIER COUNTY, INC.,
Respondent
The lien was recorded on September 20, 2022, in Official Records Book 6175, Page 2661, in
the Official Records of Collier County, State of Florida. The lien secures the principal sum of sixty
thousand dollars and no cents ($60,000.00), plus accrued interest and penalties, if any, and
imposes certain obligations against real property situated in Collier County, Florida.
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 and releases 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 BOARD OF COU TY COMMISSIONERS
CRYSTAL K. KINZEL, Clerk COLLIER CO ,Ce)
LOR1,�A
By. By.
► Qvl�Gl•arti- CS as Willi L. McDaniel, Jr., Chairperson
Date: 3C%CteArtatT, Date: L(7III ZZ
Approved as to form and legality
r
Colleen A. Kerins
Assistant County Attorney
[22-CED-01685/1746265/1]