Backup Documents 05/27/2014 Item #16D11 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP D
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO ultE6 THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNAT
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. Ve W �**NEW** ROUTING SLIP C-0 rdj n �l/((
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. Mandy Moody HHVS
2.
37 €re'-Wght County Attorney Office
2M5 ,51,2:71//
4. BCC Office Board of County IAA 11�c.k
Commissioners J\ / / {c\otk o� •
5. Minutes and Records Clerk of Court's Office �m 6 c (1(4 'SS
1
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/HHVS Phone Number 252-2338
Contact/ Department
Agenda Date Item was 05/27/2014 Agenda Item Number 16.D.11
Approved by the BCC
Type of Document Satisfaction of Mortgage Number of Original 4 17
Attached Documents Attached
PO number or account Recording fees will be paid by the 111-
number if document is MSTU General Fund Op Support&
to be recorded Housing-Affordable Housing Acct.#111-
13879-649030
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? MM V'
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 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 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 -ivfM
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 NA 1/
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 05/14/13 and all changes made during MM ✓
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 the
Chairman's signature.
I:Forms/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
16011
INSTR 4993768 OR 5046 PG 3633
Prepared by: RECORDED 6/10/2014 2:34 PM PAGES 1
DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
Collier County
COLLIER COUNTY FLORIDA
Housing,Human&Veteran Services REC$10.00
3339 E.Tamiami Trail,Building H,#211
Naples,FL 34112
THIS SPACE FOR RECORDING
SATISFACTION AND 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 Impact Fee Agreement
executed by Silvia Aguilar to Collier County, recorded on May 30,2007 in Official Records Book 4236, Page
0999, of the Public Records of Collier County, Florida, in consideration of $10,198.33 ($8,158.66 plus
interest), receipt of which is hereby acknowledged does remise, release, quitclaim, exonerate and discharge
from the lien and operation of the said agreement, that certain portion of the premises conveyed by said lien,
more particularly described as follows:
Lot 81, Independence,Phase II, according the plat thereof, as recorded in Plat Book 43,Pages 64 through
66,inclusive, of Public Records of Collier County,Florida.
The undersigned is authorized to and does hereby 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: BOARD OF COUNTY COMMISSIONERS OF COLLIER
DWIGHT E. BROCK, CLERK COUNTY, FLORIDA
- ►�
• Jl.�. -- _ By: /.
:I.uty Clerk Tom Henning, Chair n
r.
Dated: 01'W- ML Approved as to form and legality:
PP
(SEAL)
Attest as to Chairman's
signature only.
Jennifer A. Belpedio
Assistance County Attorney 4130 \14-
INSTR 4993769 1 6
OR 5046 PG 3634
RECORDED 6/10/2014 234 PM PAGES 1 0 1 1
Prepared by: DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT COLLIER Collier County REC$10 00
FLORIDA
Housing, Human& Veteran Services
3339 E. Tamiami Trail, Building H, #211
Naples, FL 34112
THIS SPACE FOR RECORDING
SATISFACTION AND 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 Impact Fee Agreement
executed by Evangelina Guitierrez to Collier County, recorded on January 28, 2010 in Official Records
Book 4532, Page 2183, of the Public Records of Collier County, Florida, in consideration of a total of
$26,720.81 ($22,325.96 plus interest), receipt of which is hereby acknowledged does remise, release,
quitclaim, exonerate and discharge from the lien and operation of the said Agreement, that certain portion of the
premises conveyed by said lien, more particularly described as follows:
Lot 77, Trail Ridge, according to the plat thereof, as recorded in Plat Book 44, Pages 71 through 77,
inclusive, of Public Records of Collier County,Florida.
The undersigned is authorized to and does hereby 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: BOARD OF COUNTY COMMISSIONERS
DWIGHT E. BROCK, CLERK OF COLLIER COUNTY, FLORIDA
/
5 , -
�� c �`r /ter _/�- 'I, • /� ,„/
�f .; v L epu Clerk TOM HENNING, Chair
;J
Dated: , g l
Attest as to Chairman%
cinnattirp only.
Approved as to form and legality:
E_ '
Jennife”'• . Belpedio `
Assistance County Attorne■
16D11
INSTR 4993770 OR 5046 PG 3635
RECORDED 6/10/2014 2:34 PM PAGES 1
Prepared by: DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
Collier County COLLIER COUNTY FLORIDA
Housing, Human & Veteran Services REC$10.00
3339 E. Tamiami Trail, Building H,#211
Naples,FL 34112
THIS SPACE FOR RECORDING
SATISFACTION AND 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 Impact Fee Agreement
executed by Tomas E. Payero Madera to Collier County, recorded on December 5, 2008 in Official Records
Book 4411, Page 2916, of the Public Records of Collier County, Florida, in consideration of a total of
$23,963.93 ($19,372.46 plus interest), receipt of which is hereby acknowledged does remise, release,
quitclaim, exonerate and discharge from the lien and operation of the said Agreement, that certain portion of the
premises conveyed by said lien, more particularly described as follows:
Lot 168, Trail Ridge, according to the plat thereof, as recorded in Plat Book 44, Pages 71 through 77,
inclusive, of the Public Records of Collier County, Florida. Street Address 13425 Covenant Road, Naples,
Florida 34114.
The undersigned is authorized to and does hereby 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.
BOARD OF COUNTY COMMISSIONERS
ATTEST: OF COLLIER COUNTY, FLORIDA
DWIGHT E. BROCK, CLERK
AIL
TOM HENNI G, C .•rman
Deputy Clerk
Dated..
Mott as to Ci{ ii h'i
§itinliture only.
Approved as to form and legality:
Jen fer A. Belpe o
Assistance County Attorney
16011
INSTR 4993771 OR 5046 PG 3636
RECORDED 6/10/2014 2:34 PM PAGES 1
Prepared by: DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
Collier County COLLIER COUNTY FLORIDA
REC$10.00
Housing, Human&Veteran Services
3339 E. Tamiami Trail, Building H, #211
Naples, FL 34112
THIS SPACE FOR RECORDING
SATISFACTION AND 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 Impact Fee Agreement
executed by Dania F. Sevilla to Collier County, recorded on September 19, 2006 in Official Records Book
4108, Page 0153, of the Public Records of Collier County, Florida, in consideration of $8,712.70, receipt of
which is hereby acknowledged does remise, release, quitclaim, exonerate and discharge from the lien and
operation of the said agreement, that certain portion of the premises conveyed by said lien, more particularly
described as follows:
Unit 404, Building 4, Botanical Place, A condominium, according to the Declaration of Condominium
thereof, recorded in official Records Book 3933, Page 2655, of the Public Records of Collier County,
Florida.
The undersigned is authorized to and does hereby 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: BOARD OF COUNTY COMMISSIONERS OF COLLIER
DWIGHT E. BROCK, CLERK COUNTY, FLORIDA
•
By: i
' y Duty e Tom Henning, Chai I an
r �
Dated: Approved as to form and legality:
1 pp g Y
Attest as to
signature only.
Jennifer A. Belpedio
Assistance County Attorney \a\\4(
6l
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