Backup Documents 03/27/2012 Item #16D 2 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATU
ROUTING SLIP
Complete routing lines#1 through#4 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#4,complete the checklist,and forward to Ian Mitchell(line#5).
Route to Addressee(s) Office Initials Date
(List in routing order)
1. Priscilla Doria Housing, Human&Veteran PD 0/2012
Services Department cig',Q
2.
3.
4. Ian Mitchell, Executive Manager Board of County Commissioners 4162 r
5. Minutes and Records Clerk of Courts Office
PRIMARY CONTACT INFORMATION
(The primary contact is the holder of the original document pending BCC approval.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,including Ian Mitchell,needs to contact staff for additional or missing
information.All original documents needing the BCC Chairman's signature are to be delivered to the BCC office only after the BCC has acted to approve the
item.)
Name of Primary Staff Priscilla Doria Housing,Human and Phone Number 252-5312
Contact Veteran Services Please call or e-mail
for pick up
Agenda Date Item was March 27,2012 Agenda Item Number 16.D.2
Approved by the BCC
Type of Document Two(2)release of liens Number of Original 2
Attached Signature needed on all documents. Documents Attached
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. Original document has been signed/initialed for legal sufficiency. (All documents to be PD
signed by the Chairman,with the exception of most letters,must be reviewed and signed
by the Office of the County Attorney.This includes signature pages from ordinances,
resolutions,etc.signed by the County Attorney's Office and signature pages from
contracts,agreements,etc.that have been fully executed by all parties except the BCC
Chairman and Clerk to the Board and possibly State Officials.)
2. All handwritten strike-through and revisions have been initialed by the County Attorney's PD
Office and all other parties except the BCC Chairman and the Clerk to the Board
3. The Chairman's signature line date has been entered as the date of BCC approval of the PD
document or the fmal negotiated contract date whichever is applicable.
4. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's PD
signature and initials are required.
5. In most cases(some contracts are an exception),the original document and this routing slip PD
should be provided to Ian Mitchell in the BCC office within 24 hours of BCC approval.
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!
6. The document was approved by the BCC 03/27/2012(enter date)and all changes PD N/A is not
made during the meeting have been incorporated in the attached document.The an option for
County Attorney's Office has reviewed the changes,if applicable. line 6.
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05
160 2
INSTR 4679141 OR 4784 PG 853
RECORDED 4/11/2012 12:46 PM PAGES 1
Prepared by: DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
Collier County COLLIER COUNTY FLORIDA
Housing,Human&Veterans Services Dept REC$10.00
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 Jairde Jesus Toro Gomez and Elizabeth Diaz De Toro to Collier County, recorded on
June 11, 2008 in Official Records Book 4369, Page 1378, of the Public Records of Collier County,
Florida, hereby 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:
Unit 1610, Vista HI at Heritage Bay, a Condominium, pursuant to Declaration of Condominium,
recorded in Official Records Book 4322, Page 3638, of the Public Records of Collier County,
Florida(9047 Gervais Circle,Unit 1610,Naples,FL 34120).
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.
Dated this oi+ day of f�(A.ee.l+, 2012.
ATTEST: _ BOARD OF COUNTY COMMISSIONERS
DWIGHT E.;,BR'0Ct(, Clerk COLLIER COUNTY, FLORIDA
By: '�� �, :,. y:
- ta,a y ty erk
ww, FRED W. COYLE, CH�1 I' AN
`11 !3°• Y �-'
Approved as to form and
legal sufficiency:
Je E. , right
As ' . t County Attorney
16D 2
INSTR 4679142 OR 4784 PG 854
RECORDED 4/11/2012 12:46 PM PAGES 1
Prepared by DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
Collier County COLLIER COUNTY FLORIDA
Housing,Human&Veterans Services Dept REC$10.00
3339 E.Tamiami Trail,Building H,#211
Naples,FL 34112
THIS SPACE FOR RECORDING
RELEASE OF LIEN
KNOW ALL MEN BY THESE PRESENTS: That Collier County, whose post office address is 3299 E.
Tamiami Trail, Naples, Florida 34112, the owner(s) and holder(s) of a certain Impact Fee Agreement
executed by Anthony McClain and Angelique McClain to Collier County, recorded on September 17,
2007 in Official Records Book 4282, Page 2530, of the Public Records of Collier County, Florida, hereby
does remise, release, quitclaim, exonerate and discharge from the lien and operation of the said
agreement, that certain portion of the premises conveyed by said lien, more particularly described as
follows:
Lot 201, Trail Ridge, according to the plat thereof, as recorded in Plat Book 44, Pages 71 through
77, inclusive, of the Public Records of Collier County, Florida (13606 Legacy Lane, Naples, FL
34114).
The undersigned is authorized to and does hereby release this Lien with respect to the above-
named property, and consents to this Lien being forever discharged of record with respect to said
property.
Dated this 7 day of 114-tC lH , 2012.•ATTTS O. a�°NR� 'A, BOARD OF COUNTY COMMISSIONERS
DWIQNT BROelaterk COLLIER COUNTY, FLORIDA
4•• _, Deputy er FRED W. COYLE, CH AN
Att.$t SS. ,t.l � Deputy
*I *t*1 es+j.
Approved as to form and
legal suffi iency:
Jeff E. Wright
Assistant County Attorney