Backup Documents 06/28/2016 Item #16D 7 Th 4eo( v1Qf1d5-40
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SL 1613 /
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 �,
Services .)00-1L., Lei* (i
2. County Attorney Office-Jennifer County Attorney Office � � ...1 ', 0 Co
Belpedio
3. BCC Office Board of County t bA
Commissioners yif•S-WS// 'i 1 l t 1L,
4. Minutes and Records Clerk of Court's Office
`in) 9[ (16 11 t2p,
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/CH Phone Number 252-2901
Contact/ Department
Agenda Date Item was 06.28.2016 Agenda Item Number 16.D.7
Approved by the BCC
Type of Document SHIP IF Satisfaction(7) Number of Original 7
Attached Documents Attached
PO number or account 1-$10.00 Checks-Flynn
number if document is 4-SHIP Admin Account-791-138791-
to be recorded 369000-33429.1
1-Habitat for Humanity-Recording Account
1-Omega Land Title-Recording Account
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? SA+w ,....%jj c'LC0,0- 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 fmal 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 „b-
time frame or the BCC's actions are nullified. Be aware of your deadlines!
8. The document was approved by the BCC on 06/28/2016 and all changes made during WK Ant
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/County Forms/BCC Forms/Origina Documents Routing Stip WWS Ori final 9.03.04 Revised 1.26.05,1. , Revi Revised 11/30/12 ,-
INSTR 5286523 OR 5291 PG 777 16 D 7
RECORDED 7/6/2016 3:40 PM PAGES 1
DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
Prepared by:Wendy Klopf COLLIER COUNTY FLORIDA
Collier County REC$10.00
Community&Human Services Division
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 Impact
Fee Agreement executed by Matthew C Flynn to Collier County, recorded on 09/02/2004 in
Official Records Book 3636, Page 2534, of the Public Records of Collier County, Florida, in
consideration of $11,612.98, 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 35, BLOCK 10, NAPLES MANOR LAKES,ACCORDING TO THE
MAP OR PLAT THEREOF RECORDED IN PLAT BOOK 3, PAGES 86
AND 87, 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.
This Release of Lien was approved by the Board of County Commissioners on -
v u t 2 ,2016,Agenda Item Number ILO,U,^] .
ATTEST: BOA' OF COUNTY OMMISSIONERS
DWIGHT E.BROCK,CLERK OF I I LIER COUNT ,FLORIDA
By: ( ,•' • ''h t By. •
Attest as to
;,'x'1. ; i "EIK Chair an Donna Fiala,District 1 Commissioner
4gratigreiOnffiland legality:
Jennifer..Belpedio ^ \(p
Assistant County Attorney �"� �1�
0
INSTR 5286566 OR 5291 PG 994
RECORDED 7/6/2016 3:54 PM PAGES 1
DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT D
COLLIER COUNTY FLORIDA7
Prepared by:Wendy Klopf REC$10.00
Collier County
Community&Human Services Division
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 Impact
Fee Agreement executed by Feliciano Martinez and Sofia Martinez to Collier County,
recorded on 06/04/1998 in Official Records Book 2426, Page 2260, of the Public Records of
Collier County, Florida, in consideration of$6,169.52, 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 4 OF BLOCK I1, NAPLES MANOR ADDITION,
ACCORDING TO THE PLATBOOK THEREOF, AS
RECORDED IN PLAT BOOK 3._AT PAGE 68,OF THE PUCLIC
RECORDS OF COLLIER 'OIINTY, 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.
This Release of Lien was approved by the Board of County Commissioners on -
,2016,Agenda Item Number . 1 .
ATTEST: BOAR I •F COUNTY COMMISSIONERS
DWIGHT E.BROCK,CLERK OF CO IER COUNTY., LORIDA
By: � _ _f ,• By:
Attest as ;i RK Chairm.n Donna Fiala,District 1 Commissioner
ANIAIRP19 �':nd legality:
Jenm er A.Belped i W
Assistant County Attorneyya, 5\
0
INSTR 5286567 OR 5291 PG 995
RECORDED 7/6/2016 3:54 PM PAGES 1
DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
COLLIER COUNTY FLORIDA
REC$10.00
Prepared by:Wendy Klopf
Collier County
Community&Human Services Division
3339 E.Tamiami Trail,Building H,#211 1 6 D
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 Impact
Fee Agreement executed by Wilson F. & Gloria Corrales to Collier County, recorded on
10/25/2001 in Official Records Book 2914, Page 1328, of the Public Records of Collier County,
Florida, in consideration of $4,848.82, 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:
THE WEST 75 FEET OF THE EAST ISO FEET OF TRACT 26, GOLDEN
GATE ESTATES, UNIT 52, ACCORDING TO THE MAP OR PLAT
THEREOF RECORDED IN PLAT BOOK 7, PAGE 92, 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.
This Release of Lien was approved by the Board of County Commissioners on -
_)� , 2016,Agenda Item Number Itp 12): .
ATTEST: BOA OF COUNTY COMMISSIONERS
DWIGHT E.BROCK,CLERK OF C LIER COUNT ,FLORIDA
BY tu — 446V 41)0C By
A est •"AT.�,� Chair an Donna Fiala, District l Commissioner
AppSlnz.. legality:
Jennife'.Belpedio
Assistant County Attorney
INSTR 5286569 OR 5291 PG 997
RECORDED 7/6/2016 3:54 PM PAGES 1
DWIGHT E. BROOK, CLERK OF THE CIRCUIT COURT
COLLIER COUNTY FLORIDA 1 6 D 7
REC$10.00
Prepared by: Wendy Klopf
Collier County
Community&Human Services Division
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 Impact
Fee Agreement executed by Enrique Hernandez & Irma Rodriguez to Collier County,
recorded on 04/10/2002 in Official Records Book 3016, Page 0395, of the Public Records of
Collier County, Florida, in consideration of$4,848.82, 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:
THE WEST 165 FEET OF TRACT 10,GOLDEN GATE ESTATES,UNIT 40,
ACCORDING TO THE PLAT THEREOF,RECORDED IN PLAT BOOK 1,PAGE 25,
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.
This Release of Lien was approved by the Board of County Commissioners on -
3une a ,2016,Agenda Item Number I l.o, U .'1 .
ATTEST: BOA' ' OF COUNTY COMMISSIONERS
DWIGHT E BROCK,CLERK OF C�� IER COUNT ,FLORIDA
By.`�"'_` S C' By: ./
Attest as t,�,,h IR �SLERK Chair an Donna Fiala,District 1 Commissioner
not irl)i h and legality:
Jennifer A.Belpedio P\\Assistant County Attorney �rL
1607
INSTR 5286568 OR 5291 PG 996
RECORDED 7/6/2016 3:54 PM PAGES 1
DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
COLLIER COUNTY FLORIDA
REC$10.00
Prepared by:Wendy Klopf
Collier County
Community&Human Services Division
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 Impact
Fee Agreement executed by Habitat for Humanity of Collier County to Collier County,
recorded on 06/30/2000 in Official Records Book 2692, Page 3387, of the Public Records of
Collier County, Florida, in consideration of$7,586.34, 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 13, BLOCK 9,NAPLES MANOR LAKES,ACCORDING
TO THE PLAT BOOK THEREOF,AS RECORDED IN PLAT BOOK
3,AT PAUL 84,OF THE PUBLIC KUCOROS OF COLL(FA 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.
This Release of Lien was approved by the Board of County Commissioners on -
'1:,Cl c ,? , 2016,Agenda Item Number 11/4o, lJ,'1
ATTEST: BOA' 1 OF COUNTY OMMISSIONERS
DWIGHT E.BROCK,CLERK OF f LIER COUNT•' ,FLORIDA
By: 110 . 0
, By. • r
Attest as V' RK Chair an Donna Fiala,District 1 Commissioner
Apslgnaticietf and legality:
Jennitei A.Belpedio j '1
Assistant County Attorney �(2 \'1i
1 6 D7
578 OR 5291 PG 1019
RECORDED INSTR52867/6/2016 4:02 PM PAGES 1
Prepared by:Wendy Klopf DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
Collier County COLLIER COUNTY FLORIDA
Community&Human Services Division REC$10.00
3339 E.Tamiami Trail,Building H,#211
Naples,FL 34112
THIS SPACE FOR RECORD1NU
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 Habitat for Humanity to Collier County, recorded on 12/03/2001
in Official Records Book 2934, Page 2624, of the Public Records of Collier County, Florida, in
consideration of $4,848.82, 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 4,CARSON LAKES SUBDIVISION,ACCORDING TO THE PLAT THEREOF AS
RECORDED IN PLAT BOOK 34,PAGES 94 THROUGH 96,INCLUSIVE,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.
This Release of Lien was approved by the Board of County Commissioners on -
��,�C , 2016,Agenda Item Number kW,p, .
ATTEST: BOA' 0 OF COUNTY COMMISSIONERS
DWIGHT E.BROCK,CLERK OF C LIER COUN ,I'LORIDA
By: I. . . ,w�. By .
,,eE' , K Chair an Donna Fiala, District 1 Commissioner
Attest as Ch.
Appitearkinv legality:
JenniferB 1pe ( ,L/M°
,,
Assistant County Attorney �( Z�
INSTR 5286597 OR 5291 PG 1076
RECDWIGOHTDPAGESED 7/6/2016 4.07 PM
E BROCK, CLERK OFHE CIRCUIT COURT 1 6 D 7
COLLIER COUNTY FLORIDA
Prepared by:Wendy Klopf REC$10.00
Collier County
Community&Human Services Division
3339 E.Tamiami Trail,Building H,#211
Naples,FL 34112
THIS SPACE FOR RECORDING
RELEASE OF LIEN
KNOW ALL MEN BY THESE PRESENTS: That Collier County, whose post office address is
3299 E. Tamiami Trail, Naples, Florida 34112, the owner(s) and holder(s) of a certain Impact
Fee Agreement executed by Salomon Silguero, Jr. & Gloria A. Silguero to Collier County,
recorded on 10/31/2002 in Official Records Book 3143, Page 1521, of the Public Records of
Collier County, Florida, in consideration of S10,752.98, receipt of which is hereby
acknowledged does remise, release, quitclaim, exonerate and discharge from the lien and
operation of the said agreement, that certain portion of the premises conveyed by said lien, more
particularly described as follows:
LOT 37,BLOCKS,AMENDED PLAT OF NAPLES MANOR EXTENSION,
ACCORDING TO THE PLAT THEREOF,RECORDED IN PLAT BOOK 3,PAGE 101,
OF THE PUBLIC RECORDS OF COLLIER COUNTY,FLORIDA.
The undersigned is authorized to and does hereby release this Lien with respect to the above-
named property, and consents to this Lien being forever discharged of record with respect to said
property.
This Release of Lien was approved by the Board of County Commissioners on -
;c>� `? , 2016,Agenda Item Number Ila.1�,'�
ATTEST: BOA• D OF COUNTY COMMISSIONERS
DWIGHT E.BROCK,CLERK OF C 1 LIER COUNT ,F,[.ORIDA
By: t !, f 1.0 - By.
A
'W.
�' 'l3" ',` ��'. Chair, an Donna Fiala, District 1 Commissioner
Appr$i9frittX I�� a legality:
Jennifer A.Belpedio Q
Assistant County Attorney .y'1
0