4818 Cortez Circle ROE INSTR 5311577 OR 5313 PG 1141
PROJECT: Naples South Water Rehab RECORDED 9/13/2016 12:04 PM PAGES 3
Folio: 63101760008 DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
Right of Entry accepted by BCC COLLIER COUNTY FLORIDA
Pursuant to Resolution 2010-39 DOC@.70$0.70 REC$27.00
RIGHT OF ENTRY
KNOW ALL MEN BY THESE PRESENTS that Thomas A. Elliott and Judith M. Elliott, as Trustees
of the Elliott Revocable Trust dated March 4, 2010, whose post office address is 4818 Cortez Cir.
Naples, FL 34112, hereinafter known as "Grantor", for and in consideration of Ten Dollars ($10.00)
and other valuable consideration to them in hand paid, does hereby grant unto BOARD OF
COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA, AS THE GOVERNING BODY OF COLLIER
COUNTY AND AS THE EX-OFFICIO GOVERNING BOARD OF THE COLLIER COUNTY WATER-SEWER
DISTRICT, whose post office address is 3335 Tamiami Trail East, Suite 101, Naples, Florida 34112, its
successors, assigns, agents, or contractors hereinafter known as "Grantee", the temporary
license and right to enter upon the lands of the Grantor, as described in Exhibit "A", which is
attached hereto and made a part hereof, to place or remove water utility infrastructure and
other equipment, appurtenant thereto for the purpose of rehabbing the potable water system in
the Naples South neighborhood.
(Wherever used herein the terms "Grantor" and "Grantee" include all the parties to this
instrument and their respective heirs, legal representatives, successors or assigns. regardless of
the number and gender in which used, shall be deemed to include any other gender or number
as the context or the use thereof may require.)
THIS PROPERTY IS GRANTOR'S HOMESTEAD
ALL RIGHT AND PRIVILEGE herein granted shall remain in full force and effect for a period
of one (1) year from the completion of the work pertaining to rehab of the water systems on the
lands of the Grantors described in Exhibit "A". This Right of Entry shall have full force and effect
until the expiration of the contractor warranty for the construction relating to this project is
completed, including, but not limited to final inspections, acceptance and payment of the
contractor.
ADDITIONALLY, the rights and interest granted hereunder are conditioned upon the
reasonable exercise thereof by Grantee. Grantee agrees not to unreasonably interfere with
Grantor's use of the lands described in Exhibit "A", and agrees to provide Grantor with advance
notice when exercising its rights hereunder. Grantee further agrees that it shall, at the Grantee's
cost, repair any surface damage caused to Grantor's property as a result of Grantee's exercise
of its rights hereunder in accordance with the Collier County Utility Standards including, but not
limited to restoration of Grantor's driveway up to the right-of-way line matching prior existing
conditions as nearly as possible. If the Grantor's driveway is painted, Grantee will attempt to
match the color, wear and tear excepted.
IN WITNESS WHEREOF, the Grantor has caused these presents to be executed in their
name this day of ,# , 2016.
ELLIOTT REVOCABLE TRUST,
--' u/t/a dated March 4, 010
Witnes (Signature)
Name: 1//,‘\ � �
i1;U-t<iZ- �,;;ti�Y c �� r
'rint or Ty•e) THOMAS A. ELLIOTT, Trustee
Witness (Si nature) C@4c�/Se , G/Pette ((frt` e`~ Shb(JI
Name: /'"ky /0 1-t(.( 11 JUDITH M. ELLIOTT, Trustee
(Print or Type)
STATE OF r
COUNTY OF (oll,'ev
he foregoing Right of Entry was acknowledged before me this day of
Q(..7L.6- , 2016, by Thomas A. Elliott and Judith M. Elliott as Trustees, who are personally
known to me or who have produced fw'-t4 Mfr«s ('CthS�
as identification.
X01111 ll///
(Affix Notarial Sea`l‘0 PN miJ �
0, •..•••••..N/ � (Sign re of Notary Public)
Q)•.• 0TARy••••c �� y1, LAA 1^-4
(Print Name of Notary Public)
My Comm.Expires; = NOTARY PUBLIC
• June 03,2019 Serial/Commission # YF 2-3 ? 3i67
No.FF 237310 ; +
N .• •O'T A. My Commission Expires: G 'i/
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EXHIBIT "A"
LOT 13, BLOCK 5, NAPLES SOUTH UNIT 1, according to the Plat thereof, recorded in Plat Book 4,
Page 89, Public Records of Collier County, Florida
Folio: 63101760008
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THIS DOCUMENT HAS A LIGHT BACKGROUND ON TRUE WATERMARKED PAPER. HOLD TO LIGHT TO VERIFY FLORIDA WATERMARK.
BUREAU of VITAL STATISTICS ,
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CERTIFICATION OF DEATH
'"" STATE FILE NUMBER: 2014147118 DATE ISSUED: October 27, 2014 ..
DECEDENT INFORMATION STATE FILE DATE: October 24, 2014 °.7
__ NAME: JUDITH MARIE ELLIOTT :_.
DATE OF DEATH: October 23,2014 SEX: FEMALE AGE:074 YEARS ri
ID" DATE OF BIRTH: SSN:
1Tr 4
BIRTHPLACE: WALLKILL, NEW YORK, UNITED STATES
``if i PLACE WHERE DEATH OCCURRED: DECEDENT'S HOME
FACILITY NAME OR STREET ADDRESS:4818 CORTEZ CIRCLE ,�
,-;-;:A
LOCATION OF DEATH: NAPLES, COLLIER COUNTY, 34112 .,
' SURVIVING SPOUSE, DECEDENT'S RESIDENCE AND HISTORY INFORMATION
tif.2 MARITAL STATUS: MARRIED
f SPOUSE(IF FEMALE, MAIDEN NAME):THOMAS A ELLIOTT
. RESIDENCE: 4818 CORTEZ CIRCLE, NAPLES, FLORIDA 34112, UNITED STATES
COUNTY: COLLIER ,
glii
OCCUPATION, INDUSTRY: HOMEMAKER, OWN HOME
W RACE: X White Black or African American Asian Indian Chinese Filipino Native Hawaiian <
Q ` American Indian or Alaskan Native--Tribe: _Japanese Korean _Vietnamese v
CC `: Guamian or Chamorro Samoan Other Pacific Isl: -
W Other Asian: Other: Unknown
p HISPANIC OR HAITIAN ORIGIN?NO, NOT OF HISPANIC/HAITIAN ORIGIN r
Ci • EDUCATION: SOME COLLEGE CREDIT, BUT NO DEGREE EVER IN U.S.ARMED FORCES?NO r
W € 70
W PARENTS AND INFORMANT INFORMATION o
FATHER: UNKNOWN O
< MOTHER: MARION L SCHNEIDER m
m
INFORMANT: THOMAS A ELLIOTT XI
CI RELATIONSHIP TO DECEDENT: SPOUSE ' co
>
> : INFORMANT'S ADDRESS: 4818 CORTEZ CIRCLE, NAPLES, FLORIDA 34112, UNITED STATES m
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`=-_ PLACE OF DISPOSITION AND FUNERAL FACILITY INFORMATION
PLACE OF DISPOSITION: THE BEACHWOOD CREMATORY
r j: NAPLES, FLORIDA
I{ METHOD OF DISPOSITION: CREMATION a,
r"„ FUNERAL DIRECTOR/LICENSE NUMBER: DANA M. HALL, F052147 '
FUNERAL FACILITY: THE BEACHWOOD SOCIETY INC F041000
4444 TAMIAMI TRAIL NORTH SUITE 1, NAPLES, FLORIDA 34103
-'' CERTIFIER INFORMATION
! TYPE OF CERTIFIER: CERTIFYING PHYSICIAN MEDICAL EXAMINER CASE NUMBER: NOT APPLICABLE `
,t0. I. TIME OF DEATH (24 hr): 0043 '% /
•
(#' €'; 1'
«�;: CERTIFIERS' NAME: CYNTHIA MARIE NEHRKORN `, '.'
CERTIFIER'S LICENSE NUMBER: ME74143
NAME OF ATTENDING PHYSICIAN (If other than Certifier):NOT ENTERED
C71.4.C4. 4
".�'i THE ABOVE SIGNATURE CERTIFIES TAA,7JIHIS IS A PS ''
TsRJB� COPY OF THE OFFICIAL RECORD ON FILE IN THIS OFFICE. REQ: 20�5359 $7
S7.4;',..• THIS DOCUMENT IS PRINTED OR PHOTOCOPIED ON SECURITY PAPER WITH WATERMARKS OF THE GREAT
::::'..01"E WARNING: SEAL OF THE STATE OF FLORIDA.DO NOT ACCEPT WITHOUT VERIFYING THE PRESENCE OF THE WATER- _
.n MARKS.THE DOCUMENT FACE CONTAINS AS
MULTICOLORED BACKGROUND,GOLD EMBOSSED SEAL,AND
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u "o THERMOCHROMIC FL.THE BACK CONTAINS SPECIAL LINES WITH TEXT.THE DOCUMENT WILL NOT PRODUCE
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