Backup Documents 04/13/2010 Item #16A 7ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE "1 I
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 #1 through #4 as appropriate for additional signatures, dates, and/or information needed. If the document is already complete
exception exception of the Chairman's signature, draw a line through routing lines 41 through 44, complete the checklist, and forward to Sue Filson (line #5). V
Route to Addressee(s)
List in routing order
Office
Initials
Date
1. Judy Puig
CDES Administration
(Initial)
(.iI�3��0
Agenda Date Item was
April 13, 2010
2.
16A7
Approved by the BCC
signed by the Chairman, with the exception of most letters, must be reviewed and signed
3.
Type of Document
Release of Lien
4.
I
Attached
resolutions, etc. signed by the County Attorney's Office and signature pages from
5 Ian Mitchell, Supervisor, BCC Office
Board of County
Commissioners
S
�/~
1�tS�l�
6. Minutes and Records
Clerk of Court's Office
Chairman and Clerk to the Board and possibly State Officials.)
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 he 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
appropriate.
(Initial)
Applicable)
Agenda Date Item was
April 13, 2010
Agenda Item Number
16A7
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
I
Attached
resolutions, etc. signed by the County Attorney's Office and signature pages from
Documents Attached
INSTRUCTIONS & CHECKLIST
L Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip W WS 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
appropriate.
(Initial)
Applicable)
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,
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
document or the final negotiated contract date whichever is applicable.
4.
"Sign here" tabs are placed on the appropriate pages indicating where the Chairman's
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 04/13/10 (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.
L Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip W WS Original 9.03.04, Revised 1.26.05, Revised 2.24.05
16A7
This Instrument Prepared By:
Marlene Serrano
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 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:
Janet Peralta, Respondent
The lien was recorded on 02/06/2008 in Official Records Book 4327, Page 2186, et
seq., in the Official Records of Collier County, State of Florida. The lien secures the
accrued sum of Two Hundred and Nine Thousand dollars zero cents, plus costs,
accrued interest, and penalties, if any, and imposes certain obligations against real
property situated in Collier County, Florida, which property is described as follows:
2365 55th Terrace SW, Collier County, Florida
Collier County, a political subdivision of the State of Florida, by execution of this Release
and Satisfaction of Lien, acknowledges full 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.
IN WITNESS WHEREOF, the Board of County Commissioners of Collier County,
Florida, acting through its Chairman, directs execution and recording of this Release and
Satisfaction of Lien, by action of the Board on this / 3 day of
'2010.
ATTEST BOARD OF COUNTY COMMISSIONERS
DWIGHT` E., BROCK, Clerk COLLIER COUNTY, FLORIDA
By 7 W C�
"-11fies"t 6, 4 tto.'emu',,W uty Clerk Fred W. Coyle, Chairman -1
AppriXed as to form and legal sufficiency
/ 1
o
Jef Wrioht
Ass tont County Attorney
INSTR 4418141 OR 4556 PG 2950
RECORDED 4/15/2010 2 59 PM PAGES 1
DWIGHT E. BROCK
COLLIER COUNTY CLERK OF THE CIRCUIT COURT
REC $10.00