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Statutory Deed PROJECT: NSP1 Transfer of Real Property ADDRESS: 2765 58`h Avenue NE, Naples, FL 34120 FOLIO NO: 38846560006 STATUTORY DEED THIS STATUTORY DEED, made this ? day of , 2013, by COLLIER COUNTY, a Political Subdivision of the State of Florida, whose Mailing address is 3335 Tamiami Trail East, Suite 101, Naples, Florida 34112-5356, hereinafter called the Grantor, to HABITAT FOR HUMANITY OF COLLIER COUNTY, INC., a private not-for-profit corporation, existing under the laws of the State of Florida, having its principal office at 11145 Tamiami Trail East, Naples, Florida 34113, hereinafter called the Grantee. (Whenever used herein the terms "Grantor" and "Grantee" include all the parties to this instrument and their respective heirs, successors or assigns.) WITNESSETH that the Grantor, for and in consideration of the sum of Ten Dollars, ($10.00) to it in hand paid by the Grantee, receipt whereof is hereby acknowledged, does hereby grant, bargain and sell unto the Grantee, the following described land lying and being in Collier County, Florida: The West 75 Feet of the West 150 Feet of Tract 79, GOLDEN GATE ESTATES UNIT NO.42, according to the Plat thereof as recorded in Plat Book 7, at Page 27 of the Public Records of Collier County, Florida; As Is, without any warranties, express or implied, as to the condition of the property,together with any personalty located therein. Property to be conveyed and occupied pursuant to Neighborhood Stabilization Program 1, CFDA No. 14.218, Developer Agreement between Collier County and Habitat for Humanity of Collier County, Inc., recorded June 20, 2012 at OR Book 4809, Page 52 in the Public Records of Collier County, Florida. Further, as a condition of this conveyance, notice of any subsequent conveyance or other transfer of rights of this property is required to be given to Collier County Department of Housing, Human and Veterans Services, its successors and assigns, 3339 Tamiami Trail East, Suite 211, Naples, Florida 34112. This requirement shall run with the land for a period of fifteen (15) years from the date of Habitat's conveyance or other transfer of this property. Subject to easements, restrictions, and reservations of record. IN WITNESS WHEREOF the said Grantor has caused these presents to be executed by its Board of County Commissioners acting through its Chairman, the day and year aforesaid. This Conveyance Approved by BCC: April 24, 2012, Agenda Item 11B ATTEST: Dwight E. Brock, Clerk BOARD OF COUNTY COMMISSIONERS COLLIER C NTY�/ ORIDA r =y , Deputy Clerk -Attes kas to Ctiajrmati s d-rx.\N-,rYNC r Approved as to form and legality: � � tJennifer elpedio,Assistan County Attorney 040 PROJECT: NSP1 Transfer of Real Property ADDRESS: 2765 58th Avenue NE,Naples, FL 34120 FOLIO NO:38846560006 STATUTORY DEED THIS STATUTORY DEED, made this day of , 2012, by COLLIER COUNTY, a Political Subdivision of the State of Florida, whose mailing address is 3335 Tamiami Trail East, Suite 101, Naples, Florida 34112-5356, hereinafter called the Grantor, to.. HABITAT FOR HUMANITY OF COLLIER COUNTY, INC., a private not-for-profit corporation,,existing under the laws of the State of Florida, having its principal office at 11145 Tamiami Trail Mast, Naples, Florida 34113, hereinafter called the Grantee. (Whenever used herein the terms "Grantor" and "Grantee" include all the parties to this instrument and their respective heirs, successors or assigns.) WITNESSETH that the Grantor, for and in consideration of the sum o en Dollars, ($10.00) to it in hand paid by the Grantee, receipt whereof is hereby acknowledged, does ereby grant, bargain and sell unto the Grantee, the following described land lying and being in Collier C nty, Florida: The West 75 Feet of the West 150 Feet of Tract 79, GOLDEN GATE STATES UNIT NO. 42, according to the Plat thereof as recorded in Plat Book 7, at Page 27 of the Pu c Records of Collier County, Florida; As Is, without any warranties, express or implied, as to the cond. on of the property, together with any personalty located therei . Property to be conveyed and occupied pursuant to Neigh orhood Stabilization Program 1, CFDA No. 14.218, Developer Agreement between Collier County and/Habitat for Humanity of Collier County, Inc., recorded June 20, 2012 at OR Book 4809, Page 52 in the,tsublic Records of Collier County, Florida. Further, as a condition of this conveyance, notice of any subsequent conveyance or other transfer of rights of this property is required to be given to Collier County Department of Housing, Human and Veterans Services, its successors and assigns, 3339 Tamiami Trail East, Suite 211, Naples, Florida 34112. This requirement shall run with the land and be contained within all future conveyance documents for a period of fifteen (15) years from the date of Habitat's conveyance or other transfer of this property. Subject to easements,restrictions, and reservations of record. IN WITNESS WHEREOF the said Grantor has caused these presents to be executed by its Board of County Commissioners acting through its Chairman, the day and year aforesaid. This Conveyance Approved by BCC: April 24, 2012, Agenda Item 11B ATTEST: Dwight E. Brock, Clerk BOARD OF COUNTY COMMISSIONERS COLLIER COUNTY, FLORIDA By: , geputy Clerk FRED W. COYLE, Chairman (OFFICIAL SEAL) / Approved as to form and legal sufficiency: Jennifer-b. White, Assistant County Attorney 1 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 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 Initials Date 1. 2. - - - 3. County Attorney Office County Attorney Office D.e W 5 Io1l 103 4. BCC Office Board of County S(cv-.e* Commissioners Yk�Q,.6-.0. S\3t:.\`." 5. Minutes and Records Clerk of Court's Office 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 Phone Number Contact/ Department SUE JIM ZIMMERMAN 239-252-262/2 Agenda Date Item was Agenda Item Number ' Approved by the BCC April 24,2012 V Item 11B " Type of Document Number of Original Attached STATUTORY DEED Documents Attached 1 PO number or account DOCUMENT TO BE DELIVERED TO number if document is HABITAT FOR HUMANITY OF to be recorded COLLIER COUNTY, INC. ' g Need S 40 .de- deI;..ieveck 1-.)* t2 PM s+.F4 at- cIast&9' 40 1.4 b, 4+._ INSTRUCTIONS & CHECKLIST�;�a d d o p frSds1e-- Initial the Yes column or mark"N/A" in the Not Applicable column, whichever is Yes N/A(Not appropriate. (Initial) Applicable) e Vfl i2 . 1. Does the document require the chairman's original signature? Q'),, 8eJ� 2. Does the document need to be sent to another agency for additional signatures? If yes, ''��''((ff provide the Contact Information(Name; Agency;Address; Phone) on an attached sheet. NA 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. 4. All handwritten strike-through and revisions have been initialed by the County Attorney's q Office and all other parties except the BCC Chairman and the Clerk to the Board NA 5. 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. 6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's 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 forwar ing to Tallahassee within a certain NA time frame or the BCC's actions are nullified. Be a re of your deadlines! 8. The document was approved by the BCC on 4/2 /12(enter date) and all changes made during the meeting have been incorporated in the attached document. The 4 ;, f County Attorney's Office has reviewed the changes, if applicable. • 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 �z , ,Y$' Chairman's signature. 1. :, , I:Forms/Count) Forms/BCC Forms/Original Documents Routing Slip A V,'S Original 9.03.04,Revised 1.26 05,Revised 2.24.05;Revised 11/30/12