Backup Documents 04/22/2014 Item #16A 4 ORIGINAL DOCUMENTS CHECKLIST & ROUTING S P
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO A 4
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNA
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.
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.
3. County Attorney Office County Attorney Office
)\) /I 9 ALi
4. BCC Office Board of County b ,
Commissioners V N , / (cD`Z-31I.`\
5. Minutes and Records Clerk of Court's Office
(01231i4 l'.
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 r missing information.
Name of Primary Staff John Houldsworth Phone Number x-5757 I/
Contact/ Department
Agenda Date Item was April 22,2014 Agenda Item Number 16-A4
Approved by the BCC
Type of Document Plat—Inlan Properties One Number of Original One
Attached 180/1 Documents Attached
PO number or account
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? JH
2. Does the document need to be sent to another agency for additional signatures? If yes, JH
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 JH
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 JH
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
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip
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 April 22,2014 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.
9. Initials of attorney verifying that the attached document is the version approved by the
c\I
BCC,all changes directed by the BCC have been made,and the document is ready for the
Chairman's signature.
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
16A4
MORTGAGEE'S CONSENT TO
INLAND PROPERTIES ONE
A Replat of Tract 38 and a portion of Track 37, Unit 29, Golden Gate Estates
State of Florida:
County of Collier:
The undersigned Kenneth E. Kangas, Trustee of the Kenneth E.
Kangas Revocable Trust is the holder of that certain mortgage recorded in
Official records Book 4981, Page 242 of the Public Records of Collier
County, Florida, which encumbers the property described in the Plat
entitled INLAND PROPERTIES ONE and hereby certifies, a s the holder
• of said mortgage, that he does join in and consent to the subdivision of
the lands described in said mortgage, and agrees that the Mortgage
recorded in Official Records Book 4981, Page 242, and all such
documents may be modified and/or amended from time to time in the
Public Records of Collier County, Florida, and shall be subordinated
to any and all changes,dedications or any other modifications as shown
on the plat of INLAND PROPERTIES ONE recorded in Plat Book
In witness whereof, the undersigned Mortgagee has caused this Mortgagee's Consent to Plat of
INLAND PROPERTIES ONE to be signed as of the 72-day of June, 2014.
Signed, Sealed and Delivered
In the Presence of:
VKenneth E. Kangas Revocable Trust
itness
-I On by: t�l.1j,tvr 7X5--
Printed Name Kenneth E. Kangas, Trustee
(Vit ss
16 A4
Printed Name
State of Florida
County of Collier
I hereby certify that the foregoing is acknowledged before me this `j' day of June 2014, by
Kenneth E. Kangas, Trustee of the Kenneth E. Kangas Revocable Trust,who is personally
known to me or who has produced 91-0,',1'1-f ((cell(.e as identification.
Notary Public RY P
�P L/
B
4).e...\\ /./ %(..,!(%My commission expires /f 15- 5 MIKE DIRAUSO
'k: :fir Notary Public,State of Ohio
(seal) f' My Commission Expires
January 15,2018