Backup Documents 09/26/2017 Item #16D 6 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1606
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 aW9 . 09.07.17
Services
2. County Attorney Office County Attorney Office clI a S V d
3. BCC Office Board of County b d
Commissioners WAS// '4Z4\-1
4. Minutes and Records Clerk of Court's Office G� l f
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/ HS Phone Number 252-2901
Contact/ Department
Agenda Date Item was 09.112..17 Agenda Item Number 1-6.139- kl.+2
Approved by the BCC
Type of Document Release of Lien Number of Original 1
Attached Documents Attached
PO number or account Please use the SHIP account string for
number if document is recording:791-138791-649030-33525.1
to be recorded 33H1p1
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not
appropriate. (Initial) Applicable)
I. Does the document require the chairman's original signature? SA.A„,P 0 If' 31:cpj
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 09.12.17 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
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
1606
INSTR 5453115 OR 5435 PG 2401
RECORDED 9/29/2017 9:11 AM PAGES 2
DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
COLLIER COUNTY FLORIDA
Prepared by:Wendy Klopf REC$18.50
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 Waiver Agreements executed by Habitat for Humanity of Collier County, Inc. to Collier
County, having met the 15 year affordability housing obligation associated with the $36,448.14
of SHIP Impact Fee Waivers, 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:
See Exhibit A
The undersigned is authorized to and does hereby release these Liens with respect to the above-
named properties, and consents to these Liens being forever discharged of record with respect to
said properties.
This Release of Lien was approved by the Board of County Commissioners on -
au, ,2017,Agenda Item Number I(Dap .
ATTEST: BOARD 0 'O Y COMMISSIONE,
DWIGHT E.BROCK,CLERK OF COL/ - -•UNTY,FLORIDA
By: By:
0:04,--(44
Attest as �� � • PENNY TA R,CHAI'
"�
AppldgnatfirfantYad legality:
Jenk A.Be ped'
Assistant County A y p�
LQ\
1606
EXHIBIT A
BLOCK A, LOTS 6, 10, 28 & 29 AND BLOCK B, LOTS 7, 8, 12, 25 & 32, SEMINOLE
SUBDIVISION IN IMMOKALEE, ACCORDING TO THE PLAT THEREOF, AS
RECORDED IN PLAT BOOK 1, PAGE 31 OF THE PUBLIC RECORDS OF COLLIER
COUNTY, FLORIDA.
15 year Lien Impact Fee
BCC Approval CO date affordability Legal Description Folio (OR/Pg) Amount
date/Item# end date
02/23/99 16A4 02/23/00 02/23/15 Lot 6,Block A,Seminole 73180140008 2518/0961 $ 3,929.52
02/23/99 16A4 04/13/00 04/13/15 Lot 28,Block A, Seminole 73180600001 2518/0968 $ 3,929.52
02/23/99 16A4 04/13/00 04/13/15 Lot 29,Block A,Seminole 73180620007 2518/0975 $ 3,929.52
02/23/99 16A4 04/20/00 04/20/15 Lot 7,Block B, Seminole 73181000008 2518/0982 $ 3,929.52
02/23/99 16A4 04/20/00 04/20/15 Lot 8,Block B, Seminole 73181040000 2518/0989 $ 3,929.52
02/23/99 16A4 05/26/00 05/26/15 Lot 32,Block B, Seminole 73181680004 2518/1010 $ 3,929.52
12/14/99 16A4 08/25/00 08/25/15 Lot 10,Block A,Seminole 73180240005 2622/0664 $ 4,290.34
12/14/99 16A4 08/25/00 08/25/15 Lot 12,Block B, Seminole 73181160003 2622/0671 $ 4,290.34
02/08/00 16A6 08/25/00 08/25/15 Lot 25,Block B, Seminole 73181520009 2640/0831 $ 4,290.34
Total $36,448.14