Backup Documents 06/26/2018 Item #16D 8 ))3(fric..-Affok))sv
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 16 0 8
`�� 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 li1'° , 06/26/18
Services
2. County Attorney Office County Attorney Office
jawity-
3. BCC Office Board of County
Commissioners 3p$, •�� '�
4. Minutes and Records Clerk of Court's Office 14,574-1(b "/
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 06/26/18 Agenda Item Number 16D8
Approved by the BCC
Type of Document Release of Lien Number of Original 3
Attached Documents Attached
PO number or account Please use the SHIP account string for
number if document is recording:
to be recorded 791-138791-649030-33525.1
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? S�ahrtp, C K 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 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 06.26.018 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
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 5578724 OR 5527 PG 407
RECORDED 6/28/2018 3:59 PM PAGES 2
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
COLLIER COUNTY FLORIDA
REC$18.50
Prepared by: Wendy Klopf
Collier County Community&Human Services Division
3339 E.Tamiami Trail,Building H,#211
Naples,FL 34112 6 08
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 Immokalee Habitat for Humanity, Inc. to Collier
County, having met the 15 year affordability housing obligation associated with the $65,112.31
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 -
txt ci)(•,C) , 2018, Agenda Item Number t(4_,D 8 •
•
ATTEST: CRYSTAL K.KINZEL, BOARD 4F CO 4 •►d /Pi
' ERS
OF C 1 LIE' •UNTY, F i• r • .
74
ca.__ By
Atte5t' 104311I ra.., ANDY SOLIS, CHAIRMAN
pprov l`. i r �l-t t.:c.'legality:
Assistant County Attorney
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EXHIBIT A 1 6 0 8
Various lots as listed below for, Collier Village, according to the plat thereof recorded in Plat
Book 17, Pages 60-62, of the Public Records of Collier County, Florida.
BCC 15-yearImpact Impact Fee
Resolution# approval CO date affordability Legal Description* Fee Amount
date end date (OR/Page)
94-396 6/7/1994 4/7/1995 4/7/2010 Lot 1, Collier Village 1956/1035 $3,929.52
94-390 6/7/1994 4/7/1995 4/7/2010 Lot 4, Collier Village 1956/1000 $3,929.52
94-384 6/7/1994 3/15/1995 3/15/2010 Lot 5, Collier Village 1956/0993 $3,929.52
94-387 6/7/1994 4/7/1995 4/7/2010 Lot 6,Collier Village 1956/0979 $3,929.52
94-388 6/7/1994 3/29/1995 3/29/2010 Lot 7,Collier Village 1956/0986 $3,929.52
94-397 6/7/1994 4/7/1995 4/7/2010 Lot 8, Collier Village 1956/1042 $3,929.52
94-395 6/7/1994 4/7/1995 4/7/2010 Lot 9, Collier Village 1956/1028 $3,929.52
93-459 6/7/1994 7/29/1994 7/29/2009 Lot 10, Collier Village 1956/1135 $3,929.52
93-458 6/7/1994 7/29/1994 7/29/2009 Lot 11, Collier Village 1957/0313 $3,929.52
93-456 6/7/1994 8/1/1994 8/1/2009 Lot 13, Collier Village 1956/1142 $3,929.52
93-460 6/7/1994 8/12/1994 8/12/2009 Lot 33, Collier Village 1956/1121 $3,929.52
93-451 6/7/1994 9/29/1994 9/29/2009 Lot 40, Collier Village 1956/1114 $3,929.52
93-452 6/7/1994 7/29/1994 7/29/2009 Lot 41, Collier Village 1956/1107 $3,929.52
93-453 6/7/1994 7/22/1994 7/22/2009 Lot 42, Collier Village 1956/1100 $3,929.52
93-454 6/7/1994 7/22/1994 7/22/2009 Lot 43, Collier Village 1957/0278 $3,929.52
93-455 6/7/1994 7/22/1994 7/22/2009 Lot 44, Collier Village 1956/1058 $6,169.51
Total $65,112.31
CAO
INSTR 5578725 OR 5527 PG 409 pTRO� LFR
RECORDED 6128/2018 i 5 RPAAND S OM,
(=E
i FRI(�F THE C!R„U,,
COLLIER COUNTY FLORIDA
Prepared by:Wendy Klopf REC$�8.50
Collier County Community&Human Services Division
3339 E.Tamiami Trail,Building H,#211 6 13 8
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 Immokalee Habitat for Humanity, Inc. to Collier
County, having met the 15 year affordability housing obligation associated with the $80,203.71
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 -
LfvC , 2018,Agenda Item Number ‘el.A.
CRYSTAL.KI*EL, •
ATTEST: « BOARD O O Y COMM
WirERIM CLI
OF COL R C'i' T', • ' •A
e---6 )1\XL5W1-
01, A est,asit8.1 I Ey. `,DY SOLIS, CHAIRMAN
Syanati,r on .
pprova or orm an�ality:
. Bditiu
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E b ty e. of f;- Assistant County Attorney (62
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1608
EXHIBIT A
Various lots as listed below for, Naples Manor Extension, Amended Plat according to the plat
thereof recorded in Plat Book 3, Page 101, of the Public Records of Collier County, Florida.
BCC 15-yearImpact Impact Fee
Resolution# approval CO date affordability Legal Description* Fee Amount
date end date (OR/Page)
94-377 6/7/1994 9/21/1995 9/21/2010 Lot 1,Block 5,Naples 1956/0918 $6,169.52
Manor Extension
94-378 6/7/1994 9/21/1995 9/21/2010 Lot 2,Block 5,Naples 1956/0924 $6,169.52
Manor Extension
94-385 9/7/1994 12/31/1995 12/31/2010 Lot 3, Block 5,Naples 1956/0966 $6,169.52
Manor Extension
93-468 6/7/1994 6/24/1994 6/24/2009 Lot 22,Block 4,Naples 1956/1065 $6,169.51
Manor Extension
94-379 6/7/1994 4/8/1996 4/8/2011 Lot 27,Block 4,Naples 1956/0930 $6,169.52
Manor Extension
94-383 6/7/1994 12/31/1995 12/31/2010 Lot 28, Block 4,Naples 1956/0954 $6,169.52
Manor Extension
94-382 6/7/1994 2/1/1995 2/1/2010 Lot 30,Block 4,Naples 1956/0948 $6,169.52
Manor Extension
93-471 6/7/1994 6/3/1994 6/3/2009 Lot 45,Block 4,Naples 1957/0299 $6,169.51
Manor Extension
94-381 6/7/1994 7/26/1995 7/26/2010 Lot 32,Block 7,Naples 1956/0942 $6,169.52
Manor Extension
94-376 6/7/1994 7/31/1995 7/31/2010 Lot 18,Block 8,Naples 1956/0912 $6,169.52
Manor Extension
93-465 6/7/1994 6/24/1994 6/24/2009 Lot 33,Block 11,Naples 1956/1093 $6,169.51
Manor Extension
93-466 6/7/1994 6/24/1994 6/24/2009 Lot 34,Block 11,Naples 1956/1079 $6,169.51
Manor Extension
93-464 6/7/1994 6/3/1994 6/3/2009 Lot 32,Block 11,Naples 1956/1086 $6,169.51
Manor Extension
CAO
INSTR 5578726 OR 5527 PG 411
RECORDED 6/28/2018 3:59 PM PAGES 2
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
COLLIER COUNTY FLORIDA
Prepared by:Wendy Klopf REC$18.50
Collier County Community&Human Services Division
3339 E.Tamiami Trail,Building H,#211 1 6 0 8
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 Immokalee Habitat for Humanity, Inc. to Collier
County, having met the 15 year affordability housing obligation associated with the $11,788.56
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 -
" y^� . aid , 2018, Agenda Item Number KOOS .
e;f,
'iz -ST,A11(.KINkEL,
ATTEST: - BOARD 0. O ► Y COMMI: : �`S
ATTEST:; INkmUM ERK OF COL R 4' NTY •' A
tat
411 „ �!r ,'�► 'tir1 il►*1.i 1 BY: A
` < '` � • ANDY SOLIS, CHAIRMAN
signature..only,
• 'royal for form and legality:
Assistant County •ttorney
C
1608
EXHIBIT A
Two lots as listed below for, Joyce Park according to the plat thereof recorded in Plat Book 2,
Page 101 and 1 lot in Seminole, Plat Book 1, page 31, of the Public Records of Collier County,
Florida.
BCC 15-yearImpact Impact Fee
Resolution# approval CO date affordability Legal Description* Fee Amount
date end date (OR/Page)
94-394 6/7/1994 5/17/1995 5/17/2010 Lot 7,Block C,Joyce 1956/1021 $3,929.52
Park
94-393 6/7/1994 5/17/1995 5/17/2010 Lot 8, Block C,Joyce 1956/1014 $3,929.52
Park
94-386 6/7/1994 1/24/1991 1/24/2006 Lot 12, Block A, 1956/0972 $3,929.52
Seminole
Total $11,788.56
C