Backup Documents 01/08-09/2013 Item #16A11ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE f��1(3
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.
y p t� t]f�
Complete routing lines # I through #2 as appropriate for additional signatures, dates, and/or information needed. If the document is ahead com e �th e
exception of the Chairman's signature, draw a line throu routing lines #I throu #2, complete the checklist, and forward to the C Attomev Office
Route to Addressees (List in routing order)
Office
Initials
Date
1.
appropriate.
(Initial)
Applicable)
2.
1/8/2013
Agenda Item Number
16.A.I I
3. County Attorney Office
County Attorney Office
�Av-2,L_
4. BCC Office
Board of County
Commissioners
Number of Original
Za
5. Minutes and Records
Clerk of Court's Office
Documents Attached
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
Jen Baker /C a Enforcement
Phone Number
252 -2444
Contact / Department
appropriate.
(Initial)
Applicable)
Agenda Date Item was
1/8/2013
Agenda Item Number
16.A.I I
Approved by the BCC
Does the document need to be sent to another agency for additional signatures? If yes,
Type of Document
Release of Lien
Number of Original
1
Attached
Original document has been signed/initialed for legal sufficiency. (All documents to be
Documents Attached
PO number or account
l U-418911-649030
number if document is
by the Office of the County Attorney.
to be recorded
All handwritten strike - through and revisions have been initialed by the County Attorney's
INSTRUCTIONS & CHECKLIST
I: Forms/ County Forms/ BCC Forms / Original Documents Routing Slip WWS Original 9.03.04, Revised 1.2 R 0/12
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?
�-
2.
Does the document need to be sent to another agency for additional signatures? If yes,
provide the Contact Information (Name; Agency; Address; Phone on an attached sheet.
�w
3.
Original document has been signed/initialed for legal sufficiency. (All documents to be
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
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
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 lime the item is input into SIRE.
Some documents are time sensitive and require forwardble to Tallahassee within a certain
time frame or the BCC's actions are nullified. Be aw r of your deadlines!
8.
The document was approved by the BCC on 1/8/13 Ind 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
it
BCC, all changes directed by the BCC have been made, and the document is ready th
Chairman's signature.
I: Forms/ County Forms/ BCC Forms / Original Documents Routing Slip WWS Original 9.03.04, Revised 1.2 R 0/12
This Instrument Prepared By:
Jen Baker
Code Enforcement Department
2800 North Horseshoe Drive
Naples, FL 34104
(239) 252 -2440
16 All
INSTR 4791785 OR 4879 PG 2812
RECORDED 1/29/2013 9:37 AM PAGES 1
DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
COLLIER COUNTY FLORIDA
REC $10.00
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:
US Bank National Association as Trustee for the Benefit of Harborview 2005 -16 Trust
Fund,
Respondents
The lien was recorded on June 7, 2012 in Official Records Book 4804, Page 2608, in
the Official Records of Collier County, State of Florida. The lien secures the principal
sum of Eleven Thousand six hundred twelve dollars and forty seven cents, plus accrued
interest and penalties, if any, and imposes certain obligations against real property
situated in Collier County, Florida, which property is described as follows:
CONNOR'S VANDERBILT BCH EST UNIT 3 BLK S LOT 8
378 Egret Ave Naples, FL
Collier County, a political subdivision of the State of Florida, by execution of this Release
and Satisfaction of Lien, acknowledges payment as approved by the Board of County
Commissioners as satisfaction of the lien and hereby cancels said lien.
The Clerk of the Circuit Court is hereby directed to record this Release and Satisfaction
of Lien in the Official Records of Collier County, Florida, to acknowledge that the lien
ceases to exist.
ATTEST
DWIGHT,,E,a BROCK, Clerk
iit!t a,to rk
Approved as to form and legal sufficiency
J ff Wr ght
A i nt County Attorney
BOARD OF COUNTY COMMISSIONERS
COLLIES COUNTY, FLORIDA
By:
;b ./A. Hiller, Esq.,
airwoman