Backup Documents 10/14/2014 Item #16A10 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT T
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIG A 1..
s �
Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarde o th Conn y r '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 Attomey Office.
Route to Addressee(s) (List in routing order) Office Initials Date
I.
2.
3. County Attorney Office County Attorney Office ai39'r`i
4. BCC Office Board of County T�
Commissioners x/51 t.\\3\\5
5. Minutes and Records Clerk of Court's Office Tnr\ t(tIi.s 34
1001
PRIMARY CONTACT INFORMATION I
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 John Houldsworth Phone Number x-5757
Contact/ Department
Agenda Date Item was October 14,2014 Agenda Item Number 16-A10
Approved by the BCC
Type of Document Plat - Slater Estate Number of Original One
Attached 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 I 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 fif
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 October 14,2014 and all changes made I '
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 the
Chairman's signature. Ilk
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
16A to
MEMORANDUM
Date: January 14, 2015
To: John Houldsworth, Senior Engineer
Engineering Services Department
From: Ann Jennejohn, Deputy Clerk
Minutes & Records Department
Re: Slater Estate Plat and unrecorded Mortgagee's Consent
Attached is the Final Plat and original (unrecorded) Mortgagee's Consent
document referenced above,(Item #16A10) approved by Board of County
Commissioners on October 14, 2014.
Our department will maintain a copy of the mortgagee consent document
in the Board's Official Records.
If you need anything further, please feel free to contact me at 252-8406.
Thank you.
Attachment
16A10
MORTGAGEE'S CONSENT
STATE OF FLORIDA
COUNTY OF COLLIER
(mortgagee), AUTHORIZED TO TRANSACT BUSINESS IN THE STATE OF FLORIDA, HEREBY
CERTIFIES THAT IT IS THE HOLDER OF A MORTGAGE UPON THE HEREIN DESCRIBED
PROPERTY AS RECORDED IN O.R. BOOK 5084 , PAGE 1996 OF THE PUBLIC
RECORDS OF COLLIER COUNTY, AND DOES HEREBY JOIN IN AND CONSENT TO THE
DEDICATION OF THE PROPERTY BY THE OWNER, AND AGREES THAT ITS MORTGAGE
SHALL BE SUBORDINATED TO THE DEDICATIONS SHOWN HEREON.
FINEMARK NATIONAL BANK&TRUST
12681 CREEKSID ANE
FORT MYE , ORIDA 339 9
/./4„,„„/
THOMAS LYTTON, S IOR VICE PRESIDENT
ACKNOWLEDGMENT
STATE OF FLORIDA
COUNTY OF
THE FOREGOING MORTGAGEE'S CONSENT WAS ACKNOWLEDGED BEFORE ME THIS
9 11 DAY OF , 2014, BY (THOMAS LYTTON) AS (SENIOR VICE
PRESIDENT) OF (FINEMARK NATIONAL BANK & TRUST) WHO IS PERSONALLY KNOWN TO ME,
OR HAS PRODUCED ----- AS IDENTIFICATION.
NOTARY PUBLIC -STATE OF FLORIDA
(SEAL)
1,11r TERESA M CYPHER
I MY COMMISSION#EE195279
•. *' • EXPIRES May 02,2016
\--I�'S�t ( (U (407 38&0153 FiondeNotaryServicecom
PRINTED NAME
All dedications and consents are to be executed and acknowledged in accordance with the applicable
sections of Chapters 689 and 692 of the Florida Statutes.
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