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Backup Documents 09/26/2017 Item #16D 5 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIt b 05 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 14 09.07.17 Services 2. County Attorney Office County Attorney Office q 'as i -) 3. BCC Office Board of County Commissioners sC\Nr4S `AziAr-` 4. Minutes and Records Clerk of Court's Office X1114,1n t . + ►pc 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/C S Phone Number 252-2901 Contact/ Department Agenda Date Item was 09.'$.17 Agenda Item Number 46e Approved by the BCC .10 ll(-)( Type of Document Release of Lien Number of Original 10 Attached Documents Attached PO number or account Please use the SHIP account string for number if document is recording:791-138791-649030--33325.1. to be recorded 3 (p`7. 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 chaisruan's original signature? S ►►��``''''��((�� d WK 2. Does the document need to be sent to another agency for additional signatutes? 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 09.12.17and all changes made during the WK 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 t ry 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 16D5 Prepared by:Wendy Klopf Collier County Community&Human Service Division 3339 Tamiami Trail East#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 Susan J Frederick to Collier County, recorded on 04/15/1999 in Official Records Book 2535, Page 1978, of the Public Records of Collier County, Florida, in consideration of $3,929.52, upon satisfactory completion of the terms and conditions of the Impact Fee 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 NORTH 75' OF THE NORTH 150' OF TRACK 15, UNIT 24, GOLDEN GATE ESTATES, ACC 40 • 1 e t ' AT THEREOF, RECORDED IN PLAT BOOK 3, PA f-"a•3►i'- • . 6 '`1 ' • BLIC RECORDS OF COLLIER CO rWrn RIDA. 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 q ID-4) , 2017, Agenda Item Number 1(11)5 . ATTEST: COLLIER • DWIGHT E.BROCK;CLERK c._ r - t oz , By: 'Wes tori /11 Bit UTairYt�It+S CLERK PENNY LOR, CH AN Approves ror0and legality: Jenni er A.Belpedio cy, Assistant County Atto �`/ G�. /N\� INSTR 5452488 OR 5435 PG 308 RECORDED 9/27/2017 4 05 PM PAGES 1 DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT COLLIER COUNTY FLORIDA REC$10.00 16 05 Prepared by:Wendy Klopf Collier County Community&Human Service Division 3339 Tamiami Trail East#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 Aliedo Dorvilus and Velina Dorvilus to Collier County, recorded on 09/17/1999 in Official Records Book 2593, Page 0700, of the Public Records of Collier County, Florida, in consideration of$4,290.34, upon satisfactory completion of the terms and conditions of the Impact Fee 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 22, Block 144, Unit 4, Golden Gate City, as recorded in Plat Book 5, Page 115, 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 ed o14p , 2017, Agenda Item Number 1t4,1\77 ATTEST: COLLIER (O a DWIGHT E. BROCK,CLERK r' —* 14'U IIERK PENNY OR,CHA N Attest as'ta ai ` n s App*PitAMIYand legality: Jenm r A. Belpe io Assistant County Atto ‹).' ,\ �ry INSTR 5452489 OR 5435 PG 309 RECORDED 9/27/2017 4:05 PM PAGES 1 DWIGHT545:::::E. BROCK, CLERK OF T COLLIER COUNTY FLORIDA HE CIRCUIT COURT REC$10.00 1- 605 Prepared by:Wendy Klopf Collier County Community&Human Service Division 3339 Tamiami Trail East#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 Juan Marante to Collier County, recorded on 12/16/1999 in Official Records Book 2622, Page 0530, of the Public Records of Collier County, Florida, in consideration of $4,290.34, upon satisfactory completion of the terms and conditions of the Impact Fee 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 105 FT. OF TRACT 135 IN GOLDEN GATE ESTATES UNIT 77, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 5, PAGE 15, OF - ; • cr ' ECORDS OF COLLIER COUNTY, FLORIDA. �• QAT 2, 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 q I c.)Cp , 2017, Agenda Item Number u.4,t1r ATTEST: COLLIER • ipDWIGHT E. BROCK,CLLRK A e. A . 1 0,c • By: /-&14f - D P_I `a ,�1!� ' PENNY LOR,CH'air N 14. Approv* fiiir TAlegality: Jerlrrifer A. Belpe��o INSTR 5452490 OR 5435 PG 310 CRECORDED 9/27/2017 4:05 PM PAGES 1 Assistant County Attorney J DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT COLLIER COUNTY FLORIDA REC$10.00 1 6 D5 Prepared by:Wendy Klopf Collier County Community&Human Service Division 3339 Tamiami Trail East#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 Scott W Price to Collier County, recorded on 12/16/1999in Official Records Book 2622, Page 0452, of the Public Records of Collier County, Florida, in consideration of $3,217.75, upon satisfactory completion of the terms and conditions of the Impact Fee 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' OF TRACT NO. 421N GOLDEN GATE ESTATES UNIT 1 NO. 78 ACCORDING TO THE PLAT THEREOF RECORDED IN PLAT 1 BOOK 5, PAGE 16 OF THE PUBLIC RECORDS OF COLLIER COUNTY, 1 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 a1 (4' , 2017, Agenda Item Number LPC 5 . ATTEST: COLLIER I S ar DWIGHT E. BROCK,CLERK _ -- . �, • 110C. By: YAC' RK PENNY T OR,CHAI N A• ttest as to Chairman s • AppriNfiktge 7. d legality: \ , , ^ Jenni �r A. Belped. .,` ,D\ s Assistant County Attorney �' ^\a- STR 52491 D 9/27/2017 4:05 PM PAGES 1 DI INWIGHT 54E. BROCKOR CLERK5435PG OF311 THE CIRCUIT COURT RECORDED COLLIER COUNTY FLORIDA REC$10.00 16 0 5 Prepared by:Wendy Klopf Collier County Community&Human Service Division 3339 Tamiami Trail East#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 Cheryl Korbel to Collier County, recorded on 10/20/2000 in Official Records Book 2734, Page 2317, of the Public Records of Collier County, Florida, in consideration of $4,848.82, upon satisfactory completion of the terms and conditions of the Impact Fee 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 EAST 75 FEET OF TRACT 115, UNIT 81, GOLDEN GATE 1 ESTATES, ACCORDING TO THE PLAT "1IIEREOF RECORDED IN 1 PLAT BOOK 5, PAGE 19, OF THE PUBLIC RECORDS OF COLLIER (NMDA. 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 9ID.LC , 2017, Agenda Item Number j Le 3 . ATTEST: :^ COLLIER 40 DWIGHT E.BROCK,CLERK j 1 / By- . .•, 311211 ' .. :' DEP '1 Y 4; RK PENNY LOR,CH AN Attest as to al * 'S Approvmt ,legal ity: INSTR 5452492 OR 5435 PG 312 Jenni er A. Belomppedio C7' 7 RECORDED 9/27/2017 4:05 PM PAGES 1 Assistant County Attorney re DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT AN COLLIER COUNTY FLORIDA REC$10.00 16D5 Prepared by:Wendy Klopf Collier County Community&Human Service Division 3339 Tamiami Trail East#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 Herbert R.Oldham and Dolores D.Oldham to Collier County, recorded on 01/04/2001 in Official Records Book 2761, Page 2780, of the Public Records of Collier County, Florida, in consideration of$4,848.82,upon satisfactory completion of the terms and conditions of the Impact Fee 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 150 FEET OF TRACT 118,GOLDEN GATE ESTATES, UNIT 74,ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 5, PAGE 10,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 j , 2017, Agenda Item Number ({,05 . ATTEST: COLLIER • ipDWIGHT E. BROCK,CLERK ..A 1 L— By: u �� ,' PENNY IV''LOR, CH fAN sinnature only. Approve rform and egality: p INSTR 5452493 OR 5435 P Jenm er A. Belpedio RECORDED 9 G 313 Assistant County Attorney DWIGHT E. g /2��2017 4.05 M3 pAGES ROCK, CLERK OF THE CIRCUIT COURT COLLIER COUNTY FLORIDA REC$10.00 1 605 Prepared by:Wendy Klopf Collier County Community&Human Service Division 3339 Tamiami Trail East#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 Felipe and Evelyn Rodriguez to Collier County, recorded on 03/20/2001in Official Records Book 2793, Page 0464, of the Public Records of Collier County, Florida, in consideration of$5,491.82, upon satisfactory completion of the terms and conditions of the Impact Fee 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 14, BLOCK 106,GOLDEN GATE, UNIT 3, ACCORDING TO THE PLAT THEREOF RECORDED IN PLAT BOOK 5, PAGES 97 TO 105, INCLUSIVE,OF THE:P ORDS OF COLLIER COUNTY, FLORIDA. OA r? 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 OII , 2017, Agenda Item Number \t cA lr) . ATTEST: COLLIER • 9 9 DWIGHT E. BROCK,CLERK .A I 1 By: / , D '1 1! CL'iK PENNY 101x'LOR,CH JAN Attest as to CII an's Approved for o ane a ity: sig INSTR 5452494 OR 5435 PG 314 Jennifer A. Belpedio RECORDED 9127!2017 4:05 PM PAGES 1 Assistant County Attorney Q'' DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT f\ COLLIER COUNTY FLORIDA REC$10.00 1605 Prepared by:Wendy Klopf Collier County Community&Human Service Division 3339 Tamiami Trail East#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 Michelle Ross to Collier County, recorded on 05/25/2001in Official Records Book 2831, Page 1790, of the Public Records of Collier County, Florida, in consideration of $4,848.82, upon satisfactory completion of the terms and conditions of the Impact Fee 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 150 FEET OF TRACT 84. U GOLDEN GATE ESTATES. UNIT 68. A SUBDIVISION ACCORDING TO THE MAP OR PLAT THEREOF AS RECORDED IN PLAT BOOK 5, PAGE 90. OF THE PUBLIC RECORDS OF COLLIER COUNTY. ft. 612_jDA. 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 610 �(0 , 2017, Agenda Item Number )t.pc . ATTEST: • COLLIER A DWIGHT E.BROCK,CLERK • `4 .. . _%I at By: if , D Y I ERK PENNY�� LOR, CH i AN Attest as C ia►rman's Approveifonitgality: INSTR 5452495 OR 5:731_4: PG 315 RECORDED 9/27/201 05 PM PAGES 1 Jennifer A.Belpedio � DWIGHT E. BROCK, RK OF THE CIRCUIT COURT Assistant County Attorney ' • COLLIER COUNTY FLORIDA REC$10.00 1 605 Prepared by:Wendy Klopf Collier County Community&Human Service Division 3339 Tamiami Trail East#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 Camila Henry to Collier County, recorded on 10/25/2001 in Official Records Book 2914, Page 1336, of the Public Records of Collier County, Florida, in consideration of $4,848.82, upon satisfactory completion of the terms and conditions of the Impact Fee 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 EAST 75 FEET OF THE EAST 150 FEET 01"TRACT 58,(:OLDEN GATE ESTATES, UNIT 67,ACCORDING TO THE MAT THEREOF RECORDED IN PLAT BOOK 5, PAGE 89,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 ongl/ , 2017, Agenda Item Number I 1 Y)5 . ATTR T: COLLIER ( • i i DWIGHT E.BROCK,CLERK I. L . c)•C // ;DEP-STY LE• " PENNY OR, CHA N ' Attest as t o Chas � s Approved fc '!``"—d lity: �t��'"`'` INSTR 5452496 OR 5435 PG 316 Jenner A.Belpedio ( 7 112 RECORDED 9/27/2017 4:05 PM PAGES 1 County y \� COLDVVILIER COUNTY FLORIDA HT E. BROCK, CLERK OF THE CIRCUIT COURT Assistant Attorney CY REC$10.00 1605 Prepared by:Wendy Klopf Collier County Community&Human Service Division 3339 Tamiami Trail East#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 Jason H. Ratz to Collier County, recorded on 11/21/2001in Official Records Book 2929, Page 0747, of the Public Records of Collier County, Florida, in consideration of $4,848.82, upon satisfactory completion of the terms and conditions of the Impact Fee 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 WEST 150 FEET OF TRACI' 89, GOLDEN MATE ESTA'T'ES, UNIT 62, ACCORI)INC 'U) 'I'HI'. \IAP OR Pi,A'1' THEREOF RECORDED IN PLAT 1400K 5, PAC.h. 87, 01,"111E 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 j atp , 2017, Agenda Item Number AL2 ATTEST: COLLIER 1040 DWIGHT E.BROCK,CLERK c , A�. By: ,.DEP A Y C :RK PENNY - OR,CHA O'N Attest a o Ch. an s Approved foli U IQ lity: �� INSTR 5452497 OR 5435 PG Jennifer A. Belppdi CT' J RECORDED 31P7 9 9/2 OK C ER PM PAGES 1 Assistant County Attorney �\ DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT COLLIER COUNTY FLORIDA REC$10.00 (7)