Backup Documents 07/07/2015 Item #16F1 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT Tq
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGMBT
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
4. BCC Office Board of County
Commissioners \AN( tS/ 1 kSVS
5. Minutes and Records Clerk of Court's Office 12mrt e(`5 4,31
VA
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 \A\A \ S ver f\s
Agenda Date Item was Agenda Item Number
Approved by the BCC u� a D)s 1 �'' c }t I
Type of Document Number of Original
Attached E Ev' Documents Attached
PO number or account
number if document is • p, p
to be recorded \\ 1 �R7% t�`� r C,4 t03v
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not
appropriate. (Initial) Ap licable)
1. Does the document require the chairman's original signature? V\
2. Does the document need to be sent to another agency for additional signatures? If yes,
provide the Contact Information(Name;Agency;Address;Phone)on an attached sheet. (v
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
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
document or the final negotiated contract date whichever is applicable. CD--c
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's
signature and initials are required. e0
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 D car:
time frame or the BCC's actions are nullified. Be aware of your deadlines!
8. The document was approved by the BCC on n\1\15,(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.
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 e
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
16F1
Ann P. Jennejohn
From: Ann P.Jennejohn
Sent: Thursday,July 16, 2015 1:37 PM
To: Fleishman, Paula
Subject: Item#16F1 July 7, 2015 BCC Meeting
Attachments: July 7, 2015 Termination of Agreement(Item#16F1).pdf
Hi Paula,
The"Timber Ridge" Termination of Agreement;
terminating their impact fee deferral agreement
due to satisfied obligations, that was approved by
the Board on July 7th, was recorded and I've attached
a copy attached for you. The last page is a receipt
for the charges involved in recording the document.
Please let me know if I can do anything further
regarding this item.
Thank you!
Ann Jennejohn, Deputy Clerk
Clerk of the Circuit Court
Clerk of the Value Adjustment Board
Collier County Minutes 6c Records Dept.
239-252-8406
239-252-8408 (Fax)
1
16FJ.
INSTR 5147297 OR 5173 PG 1489
This instrument prepared without opinion RECORDED 7/10/2015 2:30 PM PAGES 2
of title by,and after recording return to: DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
COLLIER COUNTY FLORIDA
Charles A.B.Thomson,Esq. REC$18.50
Coleman,Yovanovich&Koester,P.A.
4001 Tamiami Trail North,Suite 300 _
Naples,Florida 34103 — --
(239)435-3535
TERMINATION OF AGREEMENT
WHEREAS, the Board of County Commissioners of Collier County, Florida ("County") recorded
that certain Amended and Restated Agreement for 100% Deferral of Collier County Impact Fees
("Agreement"), in Official Records Book 2047, Page 233, against the below-described real property
("Property"),owned by Immokalee Non-Profit Housing,Inc.,a Florida non-profit corporation("Owner"):
Tract"A"Timber Ridge—Unit One,as recorded in Plat Book 24,Pages 1 and 2 of the
Public Records of Collier County, Florida, located in Section 32, Township 46 South,
Range 29 East,Collier County,Florida.
WHEREAS, Owner has satisfied all requirements and obligations under the Agreement and County
desires to record this instrument to evidence such satisfaction and terminate and release the Agreement in its
entirety,including any and all lien rights against the Property thereunder.
NOW, THEREFORE, for Ten Dollars ($10.00) and other valuable consideration, County hereby
acknowledges that all requirements and obligations upon Owner and/or the Property under the Agreement have
been satisfied or completed in full and, in connection therewith, County hereby terminates and releases the
Agreement in its entirety, including,without limitation, any and all lien rights and other encumbrances against
the Property. It is the intent of County by the recording of this instrument that the Agreement be terminated in
fall, shall be of no further force or effect, and shall no longer be an encumbrance or cloud upon title to the
Property in any way whatsoever.
Dated this I day of \..i\ ,2015.
ATTEST:'DWT HT E. BROCK, CLERK COUNTY: COLLIER
By: _' _ L. BOARD OF COUNTY COMMISSIONERS
Print N .e: lirrri IA A i A A a•• coLuarky,F RIDA
• II +i . . By:
Sig attire 0 y. Tim Nance,Chairman
Appro - .`i and legal sutficiency:
aM�
A
Jeffrey Kl.7 o ,
County A '1 ey
TERMINATION OF AGREEMENT
PAGE 1 OF 2
16F1
OWNER:
Immokalee Non-Profit Housing,Inc.,
a Florida ot-for-profit corporat' n
By: ��
' eve
Print Name: .C�X1 • 6 ld
Title: JEL
STATE OF FLORIDA
COUNTY OF COLLIER
The foregoing instrument was acknowledge before me this I t day of r1 e.
SJ
2015, by SC�r\ f\G fl , as Elf WA" e.'irft\Or of Immokalee Non-Profit Housing,
Inc., a Florida not-for-profit corporation, on behalf of said corporation, and who is I- • rsonally known to
me or[ ]produced as identification.
(SEAL) ?l 0-ri'4'4 n
NOTARY PUBLIC
Print Name: PO ° 12-Cm t°ii)
My Commission Expires: tF d 0 3g Oct
Al Pie"a M.ROMERO
1 : � Notary Public-State of Florida
i s� My Comm.Expires Apr 2,2017
Commission N FF 008809
TERMINATION OF AGREEMENT
PAGE 2 OF 2