Backup Documents 03/12/2013 Item #16A 4ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 16A 4
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE �
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Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorne Y O�"IM
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 #I 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 throu h routing lines # 1 through #2, complete the checklist, and forward to the Coon Attorney Office.
Route to Addressees (List in routing order)
Office
Initials
Date
1.
(Initial)
Applicable)
2.
3/12/13
Agenda Item Number
16 -A -4
3. County Attorney Office
County Attorney Office
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_Vl�n -
3/12/13
4. BCC Office
Board of County
Commissioners
Number of Original
3 11), /
5. Minutes and Records
Clerk of Court's Office
Documents Attached
6 �// - �3
PRIMARY CONTACT INFORMATION 6
Normally the primary contact is the person who created /prepared the Executive Summary. Primary contact information is needed in the event one of the
a14.o 00 .11 .,a n, PPS to contact staff for additinnal or miccinQ information.
Name of Primary Staff
Jeff Wright, Asst. County Attorney
Phone Number
252 -8400
Contact / Department
(Initial)
Applicable)
Agenda Date Item was
3/12/13
Agenda Item Number
16 -A -4
Approved by the BCC
Does the document need to be sent to another agency for additional signatures? If yes,
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Type of Document
Release and Satisfaction of Lien
Number of Original
One
Attached
Original document has been signed/initialed for legal sufficiency. (All documents to be
Documents Attached
PO number or account
n/a
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
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INSTRUCTIONS & CHECKLIST
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
Initial the Yes column or mark "N /A" in the Not Applicable column, whichever is
Yes
N/A (Not
(Initial)
Applicable)
1.
-appropriate.
Does the document require the chairman's original signature?
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2.
Does the document need to be sent to another agency for additional signatures? If yes,
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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
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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
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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
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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
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signature and initials are required.
7.
In most cases (some contracts are an exception), the original document and this routing slip
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should be provided to the County Attorney Office at the Pine the item is input into SIRE.
Some documents are time sensitive and require forwar ng to Tallahassee within a certain
time frame or the BCC's actions are nullified. Be a re of your deadlines!
8.
The document was approved by the BCC on 3/12/13 and all changes made during the
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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 e
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BCC, all changes directed by the BCC have been made, and the document is read for the
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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
This Instrument Prepared By:
Jen Baker
Code Enforcement Department
2800 North Horseshoe Drive
Naples, FL 34104
(239) 252 -2440
RELEASE AND SATISFACTION OF LIEN
KNOW ALL MEN BY THESE PRESENTS: That
COMMISSIONERS OF COLLIER COUNTY, FLORIDA i s
certain lien against all real and personal property owned by
Olga Nikolakopoulos,
Respondents
16A a
the BOARD OF COUNTY
the owner and holder of a
The lien was recorded May 9, 2011 in Official Records Book 4679, Page 2418, in the
Official Records of Collier County, State of Florida. The lien secures the principal sum of
Seventeen Thousand six hundred sixty two dollars and zero 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:
BERKSHIRE VILLAGE AT BERKSHIRE LAKES BLK A LOT 30
1412 Monarch Circle 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,.,.,
- v'° 4 .
q RTf ' q. °�` , BOARD OF COUNTY COMMISSIONERS
DWIGHT 5: BROCK; Clerk
r
By.
Attssti�aEo it ,-. _ C
sign at>tre 01y;J
COLLI O NTY, FLORIDA
By:
lerk Georgia A. iller, Esq.,
Chairwoman
Approved as to form and legal sufficiency
.1
JeV ight
Assisfant County Attorney
INSTR 4813061 OR 4897 PG 3079
RECORDED 3/19/2013 9:55 AM PAGES 1
DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
COLLIER COUNTY FLORIDA
REC $10.00