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Backup Documents 09/13/2016 Item #16D 7 ORIGINAL DOCUMENTS60 7 CHECKLIST & ROUTING SLI 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 AttorneyOffice no later than Monday preceding the Board meeting. **NEW** ROUTING SLIP `5 Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is alreadyikomplete 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 � �IOw � Services Wi 2. County Attorney Office County Attorney Office 444°2) cltatico 3. BCC Office Board of County 'c),V- '" Commissioners 4i\C \\L 4. Minutes and Records Clerk of Court's Office `ern 663/t6 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 Phone Number 252-2901 Contact/ Department Agenda Date Item was 09/13/2016 ✓. Agenda Item Number 1.64441.4414.—, Approved by the BCC !(ID- Type of Document Release of Lien Number of Original 4 Attached Documents Attached PO number or account 4-Letters of Authorization from Habitat to number if document is use their recording account Or-A�4- 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?srPrmp ©M iJlek 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 signed by the Chairman,with the exception of most letters,must be reviewed and signed n0 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 09/13/2016 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 w. BCC,all changes directed by the BCC have been made,and the document is ready for the eiLlvb 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 *** INSTR 5312616 OR 5314 PG 784 RECORDED 9/15/2016 1:08 PM PAGES 1 *** 160 7 DWIGHT E. BROOK, CLERK OF THE CIRCUIT COURT, COLLIER COUNTY FLORIDA REC $10.00 Prepared by:Wendy Klopf Collier County Community and Human Services 3339 E.Tamiami Trail,Building H,#21 I 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 Elkim Angervil&Macdala Meus to Collier County, recorded on 11/18/2009 in Official Records Book4511, Page0201, of the Public Records of Collier County, Florida. in consideration of$14,987.08 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 folio Lot 62,Liberty Landing,According to the . C ,as recorde• k 47,Pages 71 through 73,inclusive,of the Public Records of Collier County,Fl• i 'I he undersigned is authorized to , d • her bya sa is;y• l si ' i• 1.41 with respect to the above-named property and consents to this Lien rip;; .. f rec(1 d it f pest to said property. ATTEST A+ BOARD 0 CO '''' is ISSIONERS DWIT4T E.BROCK,OVERK �k SF COL IR CO $ .RIDA Attest aS to 'iChairman Donna Fiala,District 1 Commissioner signatutte only. Approval for form and legality: Jenna er A.Belpedio t"1'` Assistant County Attorney *** INSTR 5312626 OR 5314 PG 798 RECORDED 9/15/2016 1:16 PM PAGES 1 *** 160 7 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.Tamiami Trail,Building H,#211 Naples,FL 34112 THIS SPACE FOR RECORDING RELEASE OF LIEN KNOW ALa, 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 Christy Marie Fegueroa to Collier County, recorded on 12/24/2008 in Official Records Book4415, Page 4068, of the Public Records of Collier County, Florida, in consideration of$14,987.08 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 folio A\N Z you Lot 49,Liberty Landing,according to the . , • -• ,as recur_ded . ok 47,pages 71 through 73,inclusive of the Public Records of Collier,County,F1. itui 6 The undersigned is authorized to i d • e: her=by sa is t'. I4,%s4 i: Li n with respect to the above-named property and consents to this Lien . o • R !"i, _• `f re,c• d •it pect to said property. ATTEST,. , BOARD OF COJy... •t ISSIONERS"b DWIGHT-E.BROCK,4613K SF COLL .R CO r •RIDA .` -, -\ • Y Y Attest ast6 N'SC ., k Chairman Donna Fiala,District 1 Commissioner signature only. ' Approval for form and legality: 1111 k'a Jennifer A. Belpe• 1`22 Assistant County Atto ney *** INSTR 5312629 OR 5314 PG 805 RECORDED 9/15/2016 1:20 PM PAGES 1 *** 160 7 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.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 Monica Martinez to Collier County, recorded on 11/29/2007 in Official Records Book4306, Page2063, of the Public Records of Collier County, Florida, in consideration of$13,616.20 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 follow•F --- ----. COT Lot 14,Trail Ridge,according to the plat th; - corded in '[a is Pages 71 through 77,inclusive,of the Public Records of Collier County,Flori•:.(. The undersigned is authorized to d Cer b sa is ' 1=<ls t Li with respect to the above-named and consents to this Lien + • • f'rec4 d it • ect to said property. property a .. ATTEST: ' •''. .. ?�� 7 BOARD OF CO ' ' , ISSIONERS DWIGHT?'r$3R+ K;a.ERJL-. ,- •F COLL..R CO ' , •RIDA By: r By .. — Mttest a4 tittliNWR CL R•-4 Chairman Donna Fiala,District 1 Commissioner signature only.. $hdi A.proval for form and legality Ns .t t , __ qi Jennifer A.Belpedio -717„1.-•\‘ '" Assistant County Attorney *** INSTR 5312630 OR 5314 PG 806 RECORDED 9/15/2016 1:22 PM PAGES 1 *** 160 7 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.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 Joe L Martinez&Maria Alvarado to Collier County, recorded on 10/05/2006 in Official Records Book 4117, Page 0095, of the Public Records of Collier County, Florida, in consideration of$8,158.66 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 foll vim:--—}--., Lot 122,Independence,Phase II,accordin i t e' thereof,as or,'i Plat Book 43,Pages 64 through 66, inclusive,of the Public Records of Collie, ,Florida. The undersigned is authorized to a d herib) s is y. .,. I s- i. Lin with respect to the above-named property and consents to this lien eti , • !: f rec..d it1,44: pest to said property. C"�,,, ATTEST ' .` ,, "� BOARD OF CO*4 P*N4 ISSIONERS DWI(a" T B�BROGJC,CLERK J OF COLL ,R CO ORIDA y •Attest as 41' Chairman Donna Fiala,District 1 Commissioner a3 signature fly E n • ..roval for form and legality: \ & Ae Jennifer A.Bel edio \\(47 Assistant County Attorney `��