Backup Documents 10/08/2019 Item #16D 3 •
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 160 3
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
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.
**NEW** ROUTING SLIP
Complete routing lines#1 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 through routing lines#1 through#2,complete the checklist,and forward to the County Attorney Office.
Route to Addressee(s) (List in routing order) Office Initial Date
1. Susan Golden Community and Human 9/26/19
Services
2. Jennifer Belpedio County Attorney Office
C.- -01-1()) to/g /11
3. BCC Office Board of County l,J\--ta
Commissioners \ �S/ \o`k ‘
4. Minutes and Records Clerk of Court's Office
WS lotidict a- trhOrt'‘
—
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 Susan Golden/CHS Phone Number 252-2336
Contact/ Department
Agenda Date Item was 10/08/2019 Agenda Item Number 16.D.,5
Approved by the BCC
Type of Document Two(2)Satisfactions of Mortgage CDBG— Number of Original 2
Attached Met term Documents Attached
PO number or account 705-138705-649030-33631
number if document is
to be recorded
INSTRUCTIONS & CHECKLIST
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? STAMP
OK
2. Does the document need to be sent to another agency for additional signatures? If yes, NA
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 SG
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 NA
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 SG
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 SG
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip NA
should be provided to the County Attorney Office at the time the item is input into SIRE.
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!
8. The document was approved by the BCC 10/08/2019 and all changes made during the N/A is not
meeting have been incorporated in the attached document. The County Attorney's3J an option for
Office has reviewed the changes,if applicable. this line.
9. Initials of attorney verifying that the attached document is the version approved by the ''''N/ is not
BCC,all changes directed by the BCC have been made,and the document is ready for he an ption for
Chairman's signature. ,line.
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 gze\
INSTR 5777074 OR 5683 PG 3689 16 D 3 t
RECORDED 10/14/2019 8:59 AM PAGES 1
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
Prepared by:Jason Rummer COLLIER COUNTY FLORIDA
Collier County REC$10.00
Community and Human Services
3339 E,Tamiami Trail
Naples,FL 34112
THIS SPACE FOR RECORDING
SATISFACTION OF MORTGAGE
KNOW ALL MEN BY THESE PRESENTS: That COLLIER COUNTY, whose post office address is 3299 E.
TAMIAMI TRAIL, NAPLES, FLORIDA 34112, the owner(s) and holder(s) of a certain Mortgage executed by
Misael J.Gonzalez Lazaro,a single man and owner to COLLIER COUNTY,dated 8/5/2014 and recorded on 9/3/2014
in Official Records Book 5072 Page 3327 of the Public Records of Collier County, Florida, having met the
affordability housing obligation associated with the$20,000.00 of CDBG funds and certain promises and obligations
set forth in said Mortgage,upon the property described in the aforementioned mortgage,
Legal Description: Enclave at Naples A Condominium Building 14-203, Property Address: 1220
Wildwood Lakes Blvd. Unit#203,Naples, Florida 34104
COLLIER COUNTY hereby acknowledges the met obligation set forth in said Mortgage and satisfaction of said
Mortgage,and surrenders the same as cancelled,and hereby directs the Clerk of said Circuit Court to cancel the same
record.
This Satisfaction of Mortgage was approved by the Board of County Commissioners on October 8, 2019, Agenda
Item Number li -T.)—
ATTEST:
v,,3 t mo - BOARD OF COUNTY COMMISSIONERS
CRYSI4.Kiy I1�i.EL;; COLLIE'��'.-,- LORIDA
CLERK, :, • a
-Air_ 41111111, ,40
t' 41,
60„d• r
a1'!! IT PUTY CLERK WIL "AM L. MCDANIEL JR., CHAIRMAN
$g Iy �` •
Approved as to form and legality:
10 I
Jenn r A. Belpe•i O
Assistant County Atto". p`\,
INSTR 5777075 OR 5683 PG 3690 16 D 3
RECORDED 10/14/2019 8:59 AM PAGES 1
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
COLLIER COUNTY FLORIDA
• Prepared by:Jason Rummer REC$10.00
Collier County
Community and Human Services
3339 E.Tamiami Trail
Naples,FL 34112
THIS SPACE FOR RECORDING
SATISFACTION OF MORTGAGE
KNOW ALL MEN BY THESE PRESENTS: That COLLIER COUNTY, whose post office address is 3299 E.
TAMIAMI TRAIL, NAPLES, FLORIDA 34112, the owner(s) and holder(s) of a certain Mortgage executed by
Miguel A Perez Simon and Diamela Una Ferrer a married couple and owner to COLLIER COUNTY,dated 7/10/2014
and recorded on 8/26/2014 in Official Records Book 5070 Page 3700 of the Public Records of Collier County,Florida,
having met the affordability housing obligation associated with the$20,000.00 of CDBG funds and certain promises
and obligations set forth in said Mortgage,upon the property described in the aforementioned mortgage,
Legal Description:Golden Gate,Unit 2,Block 50,Lot 1,OR1997 PG2033 Folio#3578720008,Property
Address: 4641 17th Ave. SW,Naples,Florida 34116
COLLIER COUNTY hereby acknowledges the met obligation set forth in said Mortgage and satisfaction of said
Mortgage,and surrenders the same as cancelled,and hereby directs the Clerk of said Circuit Court to cancel the same
record.
This Satisfaction of Mortgage was approved by the Board of County Commissioners on October 8, 2019, Agenda
Item Number t(o-"p-3
ATTEST:
BOARD OF COUNTY COMMISSIONERS
CRYSTAL K. KINZEL, COLLIE' V . FLORIDA
CLERK -�.
,
B i 0 By: -.ow,
, y ,t PU CLERK WIL/ AM L. MCDANIEL JR., CHAIRMAN
st'asA ;� t ••
,� t ;< tireon [„
• SHift�`
Approved as to form and legality:
I'
Jenna = A. Belpedio 7 \\�
Assistant County Attorney > ,\3