Backup Documents 02/24/2015 Item #16D2 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 160
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 Dat
1. Peggy Hager Community and Human
Services
2. County Attorney Office County Attorney Office p
3. BCC Office Board of County
Commissioners \r `V(7) Z\Z.\
4. Minutes and Records Clerk of Court's Office ���C ; P
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 Mandy Moody,Grant Support Specialist, Phone Number 239-252-2338
Contact/ Department Community and Human Serv. es
Agenda Date Item was February 24,2015 Agenda Item Number 16.D.2
Approved by the BCC
Type of Document � .t..,i:AS— Number of Original
Attached Documents Attached 1
PO number or account
number if document is Recording Fee paid by account Account# H01500
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, 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 MM
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 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 MM
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 MM
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip N/A
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 01/13/15 and all changes made during MM-
the meeting have been incorporated in the attached document. The County No
Attorney's Office has reviewed the changes,if applicable. org
9. Initials of attorney verifying that the attached document is the version approved by the Q,
BCC,all changes directed by the BCC have been made,and the document is ready for th=
Chairman's signature. Arr-
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
1602
MEMORANDUM
Date: March 6, 2015
To: Mandy Moody, Grant Support Specialist
Community & Human Services
From: Teresa Cannon, Deputy Clerk
Minutes & Records Department
Re: Release of Lien
Enclosed, please find one (1) copy of the document as referenced
above, (Agenda Item #16D2) which was approved by the Board of
County Commissioners on Tuesday, February 24, 2015.
The original is being held in the Minutes and Records Department as
part of the Board's Official Records.
If you should have any questions, please call me at 252-8411.
Thank you
16D2
MEMORANDUM
Date: March 6, 2015
To: Paula Fleischman, Impact Fee Coordinator
Business Management & Budget, CDES
From: Teresa Cannon, Deputy Clerk
Minutes & Records Department
Re: Release of Lien
Enclosed please find one copy of the document referenced above (Agenda Item
#16D2), approved by the Board of County Commissioners on Tuesday, February 24,
2015.
The Minutes & Records Department has retained the original for public record.
If you have any questions, please contact me at 252-8411.
Thank you.
Enclosure
Enclosure (1)
INSTR 5088862 OR 5124 PG 934
16132
RECORDED 2/27/2015 8:28 AM PAGES 1
DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
Prepared by: Mandy Moody COLLIER COUNTY FLORIDA
REC$10.00
Collier County Community and Human Services
3339 E.Tamiami Trail, Building H,#211
Naples,FL 34112
THIS SPACE FOR RECORDING
RELEASE OF LIEN
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 Lien Agreement for Deferral of
100% of Collier County Impact Fees for Owner Occupied Affordable Housing Dwelling Units (the "Impact Fee
Lien") executed by Michelle Denise Canales to Collier County, recorded on February 12, 2009 in Official
Records Book 4427, Page 0387, of the Public Records of Collier County, Florida, in consideration of
$14,987.08, receipt of which is hereby acknowledged does satisfy, remise, release, quitclaim, exonerate and
discharge the Impact Fee Lien against the premises conveyed by said Impact Fee Lien and more particularly
described as follows:
Lot 125, Liberty Landing, according to the plat thereof, as recorded in Plat Book 47, Page 71 through 73,
inclusive, of the Public Records of Collier County, Florida.
The undersigned is authorized to and does hereby satisfy and release this Lien with respect to the above-named
property and consents to this Lien being forever discharged of record with respect to said property.
ATTEST: g` ° $ BOARD OF COUNTY COMMISSIONERS OF COLLIER
DWIGHT E. BROCK, CLERK COUNTY, FLORIDA
(1,
i ts, ABy: l w �
Attest as to Chairman's, Deputy Clerk TIM NANCE, CHAIRMAN al
signature only.. 4
Dated: 01 a--10- 1 ( s Approved as to form and legality:
(SEAL)
Jennifer A. Belpedio
Assistance County Atto aa\2
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