Backup Documents 09/24/2024 Item #16F 5 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 16 F 5
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 routinglines#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. County Attorney Office County Attorney 9/24/2024
4kar Cod CS
y
2. BCC Office Board of County Commissioners
3. Minutes and Records* Clerk of Court's Office cOOPY
b/c2i/
*NOTE TO MINUTES AND RECORDS:
Please return an electronic copy of the document(s) to grant.cox@colliercountyfl.gov
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 Grant Cox/Real Property—Facilities Phone Number 239-252-5373
Contact/ Department Management
Agenda Date Item was 9/24/2024 Agenda Item Number 16.F.5
Approved by the BCC
Type of Document Agreement Number of Original 1
Attached Documents Attached
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 G.C.
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 G.C.
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 G.C.
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 above date,and all changes made during G.C. N/A is not
the meeting have been incorporated in the attached document. The County an op :y or
Attorney's Office has reviewed the changes,if applicable. 3,s lip'
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 esgin`j
Chairman's signature. I
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
INSTR 6602627 OR 6406 PG 1619 16 F 5
RECORDED 10/18/2024 9:49 AM PAGES 3
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
COLLIER COUNTY FLORIDA
EASEMENT DOC@.70$0.70 REC$27.00
(BUSINESS) CONS$1.00
This Form Approved by FPL&CAO
Sec. 09, Twp. 49, Range 25 Name: Orlando Fernandez
Parcel I.D.: 66330200022 Company: Florida Power & Light
(Maintained by County Appraiser) Address: Golden Gate Service Cntr
Form 3722(Stocked) Rev 6/11 4105 15th Ave S, Naples FL 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 perpetual, non-exclusive easement for the
construction, operation and maintenance of overhead and underground electric utility facilities (including a
switch cabinet,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:
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 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; 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 19th day of August, 2024.
Board of Co nt Commissioners
Collier Co , lorid
By:
C S HALL, Chairman
3299 Tamiami Trail E, #303
Naples, Florida 34112-5746
Attest:
Crystal K. Ki' zo
By:
'wmmit7-4 tt t as to Chairman's
Print Nam: C' �.1�.. _�_ ,�� .ignature only
l►ep,uty lerk
3299 Ta iam'r TrpiiE, 4th Flr.
Naples, Florida 34112
Approved as to form and le lily:
wly Stkr,ierle- C2 sistant County Attorney CAQ
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