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Backup Documents 05/23/2017 Item #16D 1 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 160 1 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 V 5125 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. Elizabeth Hernandez Community and Human f e/ .— Services 2. 2. Jennifer Belpedio County Attorney Office 3. BCC Office Board of County T��T Commissioners 4. Minutes and Records Clerk of Court's Office 5(21{ in 3:©fpm 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 Elizabeth Herna dez/CHS Phone Number 252-2338 Contact/ Department Agenda Date Item was 05/23/2017 Agenda Item Number Approved by the BCC Type of Document t elease of Lien Number of Original Attached Documents Attached 8 PO number orac•ou • : ', --- fd3.15597L'/.45'903o• 2C7aJ, number if document is Six Letters of Authorization to use Habitat to be recorded for Humanity Recording account. '1 ebb -$t-Elora ; I oro;) INSTRUCTIONS & CHECKLIST Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not appropriate. (Initial) Applicable) 1. Does the document require the chairman's original signature? — ..n—cs-$ 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 EH 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 EH 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 EH 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 05/23/2017 and all changes made during EH ( < 4 the meeting have been incorporated in the attached document. The County Attorney's Office has reviewed the changes,if applicable. ILs " 9. Initials of attorney verifying that the attached document is the version approved by the . " s. BCC, all changes directed by the BCC have been made, and the document is ready for the is Chairman's signature. �g °t 1: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 1601 INSTR 5410350 OR 5398 PG 3002 RECORDED 5/26/2017 10:42 AM PAGES 1 DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT COLLIER COUNTY FLORIDA Prepared by:Elizabeth Hernandez 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 Habitat for Humanity of Collier County, Inc. to Collier County, recorded on 11/07/1997 in Official Records Book 2361 Page 0907, 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 36 OF BLOX'K 13. NAPLES MANOR LAKES.ACCORDING To THE PLAT BOOK "THEREOF. AS RI CORDED IN PLAT BOOK 3,AT PAGE 86,OF HE 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 - Ini a„9 3 , 2017, Agenda Item Number /6. D, / . ATTEST: BOARD 0' CO ' TY COMMISSIONERS DWIGHT E.BROCK,CLERK OF CO ''' _' OUNTY, FLORID By)A111 ! .'• - ' By: / ! DEpUT E'er" Penny Tayl.1 airman Attest as to Chaimlan s signature/will/oval for form and -:ality: C)'' Jenni er A.Belpedio C71 Assistant County Attorney 0 1601 INSTR 5410351 OR 5398 PG 3003 RECORDED 5/26/2017 10:42 AM PAGES 1 DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT COLLIER COUNTY FLORIDA Prepared by:Elizabeth Hernandez 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 Michael & Jennifer MacMenamin to Collier County, recorded on 03/07/2002 in Official Records Book 2994 Page 2513, 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 II,OF THE JUBILATION SUBDIVISION ACCORDING TO THE PLAT THEREOF,AS RECORDED IN PLAT BOOK 37,PAGES 4 THROUGH 7,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 - N cy P:j, , 2017,Agenda Item Number 16 . D. / {J ATTEST: BOARD • 'OU Y COMMISSIONERS DWIGHT E.BROCK,CLERIC OF COL • "eUNTY, FLORIDA BY ,a!-. _Ski. g t: By: Attest as to Wil, • LE'a`" Penny Taylor, firman O si naturep*form . approval or corm and ._ality: \ A \ 111 vi Jennifer A. Belpedio ift0 _ Assistant County Attorney C'e£f ,_ crfa 16O1 - INSTR 5410358 OR 5398 PG 3011 RECORDED 5/26/2017 10:49 AM PAGES 1 DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT COLLIER COUNTY FLORIDA Prepared by:Elizabeth Hernandez 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 Habitat for Humanity of Collier County, Inc. to Collier County, recorded on 11/21/2002 in Official Records Book 3158 Page 2601, 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 39,Block A,Habitat Village,according to the plat thereof as recorded in Plat Book 37, Pages 48 through 51,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 - -01 U , 2017, Agenda Item Number /d, £, I . ATTEST: BOARD S' CO TY COMMISSIO ERS DWIGHT E. BROCK, C1 ERIC OF CO ,. - • OUNTY, FLORI + �, By: �.._ // Byr Attes • 0 $l 1 1C�;ER .cam Penny Tayl a%hairman ' prova or orm grid le lity: Jennife .Belpedio �\�'� Assistant County Attorney Gj 1 1601 INSTR 5410359 OR 5398 PG 3012 RECORDED 5/26/2017 10:49 AM PAGES 1 DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT COLLIER COUNTY FLORIDA Prepared by:Elizabeth Hernandez 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 Habitat for Humanity of Collier County, Inc. to Collier County, recorded on 03/07/2002 in Official Records Book 2994 Page 2971, of the Public Records of Collier County, Florida, in consideration of$10,428.82 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 6,BLOCK C,HABITAT VILLAGE,ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 37,PAGES 48 THROUGH 51,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 - f44Q,J � , 2017, Agenda Item Number 16. 0, / . ATTEST: BOARD ►. rd TY COMMISSI S ERS DWIGHT-E. BROCK,CLERK * OF C• / I ' COUNTY,FLORI• i By Attest as to Chairuan Penny Tayl, Chairman signature on Approva r form andlegality: Jennifer A. Belpedio C Assistant County Attorney ENT>j) 1601 INSTR 5410360 OR 5398 PG 3013 RECORDED 5/26/2017 10:49 AM PAGES 1 DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT COLLIER COUNTY FLORIDA Prepared by:Elizabeth Hernandez 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 Habitat for Humanity of Collier County, Inc. to Collier County, recorded on 03/02/1999 in Official Records Book 2518 Page 0996, of the Public Records of Collier County, Florida, in consideration of$3,929.52 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 9, BLOCK B, SEMINOLE SUBDIVISION IN IMMOKALEE, ACCORDING TO THE PLAT BOOK THEREOF, AS RECORDED IN PLAT BOOK 1, AT PAGE 31,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 - 'Mal s9-3 , 2017,Agenda Item Number Jo.j, ! . ATTEST;.' * BOARD S.' CO . TY COMMISSIO RS D , IGHT E.BROCK, CLETtK OF CO ' ' OUNTY, FLORID• By: 1-15Lthat // Attest as to Chairrnia TY C °Ta _ Penny Taylee airman ' slgna `r orm and le a' IN rzPr���1 fo f g" a \ Jennifer A. Belpedio C \ \:'1 Assistant County Attorney 1601 INSTR 5410361 OR 5398 PG 3014 RECORDED 5/26/2017 10:49 AM PAGES 1 DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT COLLIER COUNTY FLORIDA Prepared by:Elizabeth Hernandez 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 Habitat for Humanity of Collier County, Inc. to Collier County, recorded on 08/05/1999 in Official Records Book 2578 Page 2568, of the Public Records of Collier County, Florida, in consideration of$7,140.34 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 4, BLOCK 12. NAPLES MANOR EX rENSiON. ACC'OR[MNC TO THE PLAT BOOK THEREOF, AS RECORDED IN PLAT BOOK 3 AT PAGE 9B, 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 - 'VIA L3 , 2017, Agenda Item Number /_ D, I . ATTEST:- BOARD n, 0 14 TY COMMISSIO RS DGHT'E.BROCK,CLERK. OF COL �' 'OIJNTY,FLORID• By: W3611•••1\ j/ %' By: Attest as to ChaFirmi UTY Penny Taylor airman / signata l �t for form and lel.1 y: U n e. CLA Jennifer.Belpedio U Assistant County Attorney 1 6 D 1 INSTR 5410362 OR 5398 PG 3015 RECORDED 5/26/2017 10:49 AM PAGES 1 DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT COLLIER COUNTY FLORIDA Prepared by:Elizabeth Hernandez 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 Habitat for Humanity of Collier County, Inc. to Collier County, recorded on 11/04/2003 in Official Records Book 3436 Page 3399, of the Public Records of Collier County, Florida, in consideration of$13,149.98 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 55, Charlee Estates, as recorded in Plat Book 40, Page 1, 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 - Mj , 2017, Agenda Item Number 16, I . • ATTEST: BOARD 1 ' TY COMMISSIONERS DWIGHT-E..BROCK,,CLERK OF COLL l; . TY,FLORIDA By: :‘,4111k, _� By: /&d.I.Aile Attest as to Chaitmafl tUT >'C E ' Penny Taylor, .irman / SlgttBlipfp for formand legal' : JennifrrA. Belpedio I a`` Assistant County Attorney 1601 INSTR 5410363 OR 5398 PG 3016 RECORDED 5/26/2017 10:49 AM PAGES 1 DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT Prepared by:Elizabeth Hernandez COLLIER COUNTY FLORIDA PREC$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 Habitat for Humanity of Collier County, Inc. to Collier County, recorded on 08/29/1997 in Official Records Book 2342 Page 1904, 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 20 OF BLOCK 12, NAPLES MANOR LAKES,ACCORDING TO THE PLAT BOOK THEREOF,AS RECORDED IN PLAT BOOK 3, AT PAGE 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 - ' 3 , 2017, Agenda Item Number /6 . ATTEST: BOARD S OU TY COMMISSIO _ 'S DWIGHT E. BROCK, CLERK = OF COL/' = OUNTY, FLORIDA 1 \ 1� By: •- By: / Attest as 0 , Y C l' 1 Penny Taylor airman signature only. Approval for form anti legali '. Jen r A.Belpedio G \1\\ I� Assistant County Attorney J