Backup Documents 12/08/2015 Item #16D 3 TE 12./117)1S/
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 6 0 3
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. Wendy Klopf Community and Human 12/08/15
Services
2. County Attorney Office County Attorney Office C 121g �1 S
3. BCC Office Board of County 'T
Commissioners \ / \z.\q�tb
4. Minutes and Records Clerk of Court's Office
Ir (t."3*41
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 Wendy Klopf/CHS Phone Number 252-2901
Contact/ Department
Agenda Date Item was 12/08/15 Agenda Item Number 16.D.3
Approved by the BCC
Type of Document Release of Lien Number of Original 3
Attached Documents Attached
PO number or account 2-checks
number if document is 1-Accime-Habitat for Humanity account#
to be recorded H-01500
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? s 't 1M P o VC WK
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 WK
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 WK
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 WK
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip NA
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 12/08/15 and all changes made during WK
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 WKi� � �E
BCC, all changes directed by the BCC have been made,and the document is ready for the
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
1603
Ann P. Jennejohn
From: Ann P.Jennejohn
Sent: Monday, December 28, 2015 1:42 PM
To: Klopf, Wendy
Subject: Item #16D3, #16D5 D8 (12-8-15 BCC Meeting)
Attachments: Items#16D3, #16D5 D8 12-8-15 BCC Meeting recorded documents.pdf
Hi Wendy,
Copies of the recorded Releases of Lien (Itevv #16173 and #16D5) and the
Satisfactions of Mortgage under Agenda Item #16Ds, that were approved by the
Board during their meeting ovt Decew►ber s, 2015 are attached for you.
There's a receipt for the $$ recording charges behind each recorded document.
Thank you!
Ann Jennejohn, Deputy Clerk
Clerk of the Circuit Court
Clerk to the Value Adjustment Board
Collier County Board Minutes & Records Dept
1
INSTR 5205091 OR 5222 PG 1903
RECORDED 12/10/2015 2:28 PM PAGES 1
DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
COLLIER COUNTY FLORIDA
REC$10.00
Prepared by:Wendy Klopf
Collier County Community and Human Services
3339 E lamiami Trail,Building H.#211
Naples,FL 34112 1603
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 Alvaro Figueroa to Collier County,
recorded on 02/03/2006 in Official Records Book 3976, Page 2741, of the Public Records of
Collier County, Florida, in consideration of $7,158.27 plus interest, receipt of which is hereby
acknovviedged does satisfy, remise, release, quitclaim, exonerate and discharge the Impact Fee
I,ien against the premises conveyed by said Impact Fee Lien and more particularly described as
follows:
UNIT 105,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 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.
This Release of Lien was approved by the Board of County Commissioners on
2015,Agenda Item Number 1(0 03
Op
Al TES .... BOARD OF COUNTY COMMISSIONERS
DWIGT1T L. BROCKitderk COLLIER COUNTY, FLORIDA
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: att.le,04 By </lafirear___
:
Attest
enutv Clerk Tim Nance, Chairman
PlIP . an'
nn s
signature only.
Approved as to form and legality:
\\S
Jenn -r A. Belpedio
Assistant County Atto \
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INSTR 5205098 OR 5222 PG 1915
RECORDED 12/10/2015 2:31 PM PAGES 1
DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
COLLIER COUNTY FLORIDA
REC$10.00
Prepared by:Wendy Klopf
Collier County Community and Human Services
3339 1'.Tamianii Trail.Building H.4211 1 60 3
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 Bryan Lee & Kristina L. Lee to
Collier County. recorded on 02/01/2006 in Official Records Book 3975,Page 2299,of the Public
Records of Collier County, Florida, in consideration of 57,158.27 plus interest, 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:
UNIT 203, BUILDING 2, BOTANICAL PLACE, A CONDOMINIUM, ACCORDING TO THE DECLARATION
OF CONDOMINIUM THEREOF RECORDED IN OFFICIAL RECORDS BOOK 3933, PAGE 2655, OF THF
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.
This Release of Lien was approved by the Board of County Commissioners on -
aper..46n4A1,44.4_, 2015, Agenda Item Number 1 D 3 .
ATTEST: BOARD OF COUNTY COMMISSIONERS
DWIGIIT E. I3ROCK, Clerk COLLIER COUNTY. FLORIDA
•
By
& r By• :
_
, ,Deputy Clerk Tim Nance, Chairman
Attest as to a • - s_
signature only;;
Approved as to form and legality:
e'D
Jennifer A. Belpedio
0
Assistant County Atto OS \77
9
RECORDED 12/10/2015 2 17
OF THE CIRCUIT
DWIGHT E BROCK, CLERK
INSTR 5205068 OGES 1 COURT
R 5222 PG
COLLIER COUNTY FLORIDA
P1M856PA
REC$10 00
Prepared by:Wendy Klopf
Collier County Community and Human Services
3339 E. !amain Trail,Building H.4211 1 61.1 3
Naples, FL 34112
THIS SPACE FOR RECORDING
RELEASE OF LIEN
KNOW A1,I, MEN BY TIIESE PRESENTS: That Collier County, whose post office address is
3299 E. Tamnmi Trail, Naples, Florida 34112, the owner(s) and holder(s) of a certain Lien
Agreement for Deferral of 1000/u of Collier County Impact Fees for Owner Occupied Affordable
Housing Dwelling Units (the "Impact Fee Lien") executed by Myrlande Accime to Collier
County, recorded on 12/22/2011 in Official Records Book 4748. Page 3425of the Public
Records of Collier County, Florida, in consideration of $13,981.67 plus interest, 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 15, Regal Acres, according to the plat thereof, as recorded in Plat Book 49, Pages 87 through
90, 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.
This Release of Lien was approved by the Board of County Commissioners on
09:4,e1dvAli-edt. a ,2015, Agenda Item Number Ka,D 3
ATTEST: BOARD OF COUNTY COMMISSIONERS
DWIGHT E. BROCK, Clerk COLLIER COUNTY, FLORIDA
B Y
A
;ace. ?f,
By,
Deputy Clerk Tim Na ce, Chairman
P ,
Attest to - airman s
signature only.
Approved as to form and legality:
k Aa
Jenn"g" A. Belpediiik
Assistant County An. y0,97
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