Backup Documents 02/14/2012 Item #16A 4ORIGINAL DOCUMENTS CHECKLIST & ROUTING 6 A
U NG SLI� `t
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper. Attach to original document. Original documents should be hand delivered to the Board Office. The completed routing slip and original
documents are to be forwarded to the Board Office only after the Board has taken action on the item.)
ROUTING SLIP
Complete routing lines #I through #4 as appropriate for additional signatures, dates, and/or information needed. If the document is already complete with the
exception of the Chairman's denature_ draw a line through rmrti— linnc R1 *6... d, ue « _� ._ _1__._.__. __ I .. _ -.. -. .. _.
- --
Route to Addressee(s)
.. .—, ...,,., -W U checRlin, and
Office
iorwara to Sue rns
Initials
ome #5).
Date
List in routing order
a ro riate.
(Initial)
A licable
1. Judy Puig
GMD Planning &
Agenda Item Number
16A4
Approved by the BCC
Regulation/Operations
2.
Release of Lien
Number of Original
1
3.
resolutions, etc. signed by the County Attorney's Office and signature pages from
Documents Attached
4.
contracts, agreements, etc. that have been fully executed by all parties except the BCC
5 Ian Mitchell, Supervisor, BCC Office
Board of County
t ?1
Oa /7
2.
Commissioners
;pM;�
6. Minutes and Records
Clerk of Court's Office
To-\
24L` �Z
PRIMARY CONTACT INFORMATION
(The primary contact is the holder of the original document pending BCC approval. 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, including Sue Filson, need to contact staff for additional or missing
information. All original documents needing the BCC Chairman's signature are to be delivered to the BCC office only after the BCC has acted to approve the
item.)
Name of Primary Staff
Marlene Serrano
Phone Number
252 -2487
Contact
a ro riate.
(Initial)
A licable
Agenda Date Item was
February 14, 2012
Agenda Item Number
16A4
Approved by the BCC
signed by the Chairman, with the exception of most letters, must be reviewed and signed
Type of Document
Release of Lien
Number of Original
1
Attached
resolutions, etc. signed by the County Attorney's Office and signature pages from
Documents Attached
INSTRUCTIONS & (''URC1 i ,1W
I: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05
Initial the Yes column or mark "N /A" in the Not Applicable column, whichever is
Yes
N/A (Not
a ro riate.
(Initial)
A licable
1.
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. This includes signature pages from ordinances,
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resolutions, etc. signed by the County Attorney's Office and signature pages from
contracts, agreements, etc. that have been fully executed by all parties except the BCC
Chairman and Clerk to the Board and possibly State Officials.
2.
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
3.
The Chairman's signature line date has been entered as the date of BCC approval of the
` 1
document or the final negotiated contract date whichever is applicable.
M
4.
"Sign here" tabs are placed on the appropriate pages indicating where the Chairman's
r,
signature and initials are required.
5.
In most cases (some contracts are an exception), the original document and this routing slip
should be provided to Ian Mitchell in the BCC office within 24 hours of BCC approval.
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!
6.
The document was approved by the BCC on 02/14/12 (enter date) and all
changes made during the meeting have been incorporated in the attached document.
The County Attorney's Office has reviewed the changes, if applicable.
I: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05
This Instrument Prepared By:
Marlene Serrano
Code Enforcement Department
2800 North Horseshoe Drive
Naples, FL 34104
(239) 252 -2440
RELEASE OF LIEN
INSTR 4661445 OR 4767 PG 3013
RECORDED 2/24/2012 8:30 AM PAGES 1
DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
COLLIER COUNTY FLORIDA
REC $10.00
16A 4
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:
Joseph H. Deroma Living Trust
The lien was recorded on July 1, 2010, in Official Records Book 4581, Page 3480, in
the Official Records of Collier County, State of Florida. The lien secures the principal
sum of four thousand dollars, plus accrued fines, and operational costs of one hundred
twelve dollars and sixty -nine cents.
Collier County, a political subdivision of the State of Florida, by execution of this Release
of Lien, acknowledges receipt of payment and hereby cancels and releases the lien.
IN WITNESS WHEREOF, the Board of County Commissioners of Collier County,
Florida, acting through its Chairman, directs execution and recording of this Release of
Lien, by action of the Board on this 41L day of _ ,2w,�1J a ,- �/ , 2012.
Q F,Z,E; 0M Clerk
ID pu y Clerk
Approved as to form and legal sufficiency
Jeff k. Wight
AssisfW County Attorney
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
By: w.
Fred W. Coyle, Chairm n