Backup Documents 12/08/2015 Item #16A23 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP b A 2 3
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.
3. County Attorney Office County Attorney Office KN 12/8/15
4. BCC Office Board of County '\c h -\ `
Commissioners v c,' / 1 Z\'t
5. Minutes and Records Clerk of Court's Officefx5mk I -3
171-1
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 Rosa E.Vill eal,Code Enforcement Phone Number 252-2444
Contact/ Department
Agenda Date Item was 12/8/15 Agenda Item Number 16-A-23
Approved by the BCC
Type of Document Release and Satisfaction— Jaen Number of Original 2
Attached Documents Attached
PO number or account
number if document is 111-138911-649030
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 KN
2. Does the document need to be sent to another agency for additional signatures? If yes, KN
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 KN
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 KN
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 KN
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 KN
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip KN
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 12/8/15 and all changes made during the _ KN
meeting have been incorporated in the attached document. The County Attorney'
Office has reviewed the changes,if applicable.
9. Initials of attorney verifying that the attached document is the version approved by e N
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
16A23
Ann P. Jennejohn
From: Ann P.Jennejohn
Sent: Monday, December 28, 2015 1:27 PM
To: Villarreal, Rosa
Subject: December 8, 2015 Item #16A13-#16A15 A23
Attachments: Items 16A13-16A15 & 16A23 12-8-15 BCC Meeting recorded documents.pdf
Hi Rosa,
Attached you'll fivtd copies of the recorded documents under
Agenda Items #16A13, #16A14, #16A1S & #16A23
from the Decewtber 8, 2.01-5 Board Meeting.
The fivtal page of the pdf is a receipt for $$ charges.
Thank you!
Aunt Jennejohn, Deputy Clerk
Clerk of the Circuit Court
Clerk to the Value Adjustment Board
Collier County Board Minutes & Records Dept
1
INSTR 5205223 OR 5222 PG 2242
RECORDED 12/10/2015 4:13 PM PAGES 1
DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
COLLIER COUNTY FLORIDA
This Instrument Prepared By: REC $10.00
Marlene Serrano
Code Enforcement Department ;�
2800 North Horseshoe Drive 16,4'. 3
Naples, FL 34104
(239) 252-2440
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:
Humberto L. Jaen
Respondent
The lien was recorded on February 22, 2008, in Official Records Book 4332, Page 0511, in the
Official Records of Collier County, State of Florida. The lien secures the principal sum of
seventeen thousand eight hundred thirty-seven dollars and eight cents ($17,837.08), plus
accrued interest and penalties, if any, and imposes certain obligations against real property
situated in Collier County, Florida.
THE NORTH ONE-HALF (N 1/2) OF TRACT 18, GOLDEN GATE ESTATES,
UNIT 4, ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK
4, PAGE 79 OF THE PUBLIC RECORDS OF COLLIER COUNTY, FLORIDA.
Site address: 3870 1st Avenue SW
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 3870 1st Avenue SW.
ATTEST BOARD OF COUNTY COMMISSIONERS
DWIGHT E. BROCK, Clerk COLLIER COUNTY, FLORIDA
By: I'. :
, �(. d ,)`, ( .(�)r' By.
Attest as to Chai an'�./Deputy Clerk TIN! NANCE , Chairman
signature only. \Z.\B\\S
Approved as to form and legality
Kevin Noell
Assistant County Attorney
2007070252