Backup Documents 11/13/2018 Item #16A13 ORIGINAL I)OCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 16 A 13
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
al the time 11w item is placed on the agenda. MI completed routing slips and original documents must he received in the County Attorney(Mice no later
than Monday preceding the Board alerting.
**NEW** ROUTING SLIP
Complete routing lines 111 through 112 as appropriate for additional signatures,dates,and/in information needed. If the document is already complete with the
exception of the Chairman's signature,draw a line through routing lines 111 Ihrough 112,complete the checklist,and forward to the County Attorney Office.
Route to Addressee(s) (hist in routing order) Office Initials Date
I.
2.
3. County Attorney Office County Attorney Office 9//6,N
4. BCC Office Board of County Or:6 ,
Commissioners e.,/,24,04Z3
5. Minutes and Records Clerk of Court's Office
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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 Melissa Nute Phone Number x-2361
Contact/ Department
Agenda Date Item was 11/13/2018 Agenda Item Number 16A13
Approved by the BCC
Type of Document Plat .4 jpi; p%* (qtcA-o' Number of Original 1
Attached Documents Attached
PO number or account
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)
I. Does the document require the chairman's original signature? MN
2. Does the document need to be sent to another agency for additional signatures? If yes, N/A
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
signed by the Chairman, with the exception of most letters, must be reviewed and signed
by the Office of the County Attorney. MN
4. 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
5. The Chairman's signature line date has been entered as the date of BCC approval of the MN
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 MN
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 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 on 11/13/2018 and all changes made
during the meeting have been incorporated in the attached document. The County lve i i?:'
Attorney's Office has reviewed the changes, if applicable. li$ �'u
9. Initials of attorney verifying that the attached document is the version approved by the ,• *
BCC,all changes directed by the BCC have been made, and the document is ready for the 1p •':� • '
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
16A13
JOINDER AND CONSENT
The undersigned, as the holder of that certain Mortgage and Security Agreement dated
CLUt 16t WI and recorded in the Official Records Book 567OPage 34'1_, in the Public Records of Collier
County; all of which encumber the lands being platted as Southern Most Portion of Lot 8, Parnu St,
Southwinds Estates Naples FL, hereby joins in,consents to, and subordinates the lien of it's Mortgage
to the dedication of the plat of said lands for record,and further joins in and consents to the dedication
of the plat of said lands for record, and further joins in and consents to the dedication of and does
hereby dedicate to public use or private reservation,whichever the case may be, any portion thereof for
roads, streets ad right of way, and/or easements for utilities and drainage and purposes incidental
thereto as shown on said plat for the proposed lot split related to 10910 Parnu Street for separation of
the southern most portion of Lot 8 in relation to that portion of lot 8 as described in OR 4051, Page 2106
in the Public Records of Collier County.
IN WITNESS WHEREOF the said Mortgage holder has duly executed this instrument this 3) day of
,2020.
r
IBERIA BAN
BY:
PAUL BELFORE, SENIOR VICE PRESIDENT
THE FORGOING INSTRUMENT WAS ACKNOWLEDGED BEFORE ME BY MEANS OF , PHYSICAL
PRESENCE OR__ONLINE NOTARIZATION THIS 30 DAY OF Yn\rr j , 2020, A.D., BY
POtuI Beicafe. ,ON BELHALF OF SAID ENTITIES. HE IS PERSONALLY KNOWN TO BE OR HAS
PRODUCED AS IDENTIFICATION.
Rya Ulrich
NOTARY PUBLIC-STATE OF FLORIDA
SIGNATURE OF PERSON TAKING ACKNOWLEDGEMENT MYCOMMISSION EXPIRES FEB.9,2022 ti
COMMISSION NO.GG 178483
Ulfic
PRINTED NAME OF ACKNOWLEDGER: (SEAL)