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Backup Documents 05/08/2012 Item #16D 3ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 16 D THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE ROUTING SLIP Complete routing lines #I 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 sienature_ draw aline through mating lines #1 - - - - -- ------ - r–hm1_ . . , ........ .A P--.,--A r._ :au c_ — _ ea _.n.a ro Route to Addressee(s) List in routing order ............�., ...... Office ..,. ..a... w .a.. .vua.ucu Initials mac n� . Date 1. Lisa N. Carr Housing, Human & Veteran Services Department LNC 05/14/2012 2. Original document has been signed/ initialed for legal sufficiency. (All documents to be LNC for Wck u 3. May 8, 22012 Agenda Item Number 16.D. 3 4. Ian Mitchell, Executive Manager Board of County Commissioners 5. Minutes and Records Clerk of Courts Office Number of Original 1 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 Lisa N. Carr Housing, Human and Veteran Phone Number 252 -2338 Contact Services (Initial) Please call or e-mail I. Original document has been signed/ initialed for legal sufficiency. (All documents to be LNC for Wck u Agenda Date Item was May 8, 22012 Agenda Item Number 16.D. 3 Approved by the BCC by the Office of the County Attorney. This includes signature pages from ordinances, Type of Document Modification to Lien Agreement Number of Original 1 Attached contracts, agreements, etc. that have been fully executed by all parties except the BCC Documents Attached INSTRUCTIONS & CHECKLIST I: Forms/ County Forms/ BCC Forms / Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05 Initial the Yes column or mark "N /A" in the Not Applicable column, whichever is Yes N/A (Not appropriat e. (Initial) I. Original document has been signed/ initialed for legal sufficiency. (All documents to be LNC -Applicable) 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 Attomey's LNC 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 LNC document or the final negotiated contract date whichever is applicable. 4. "Sign here" tabs are placed on the appropriate pages indicating where the Chairman's LNC signature and initials are required. 5. In most cases (some contracts are an exception), the original document and this routing slip LNC 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 05/8/2012 (enter date) and all changes made LNC N/A is not during the meeting have been incorporated in the attached document. The County an option for 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 16D 3 Prepared by and to be returned to: Lisa Carr Collier County Housing & Human Services 3339 E Tamiami Trail Suite 211 Naples, FL. 34112 MODIFICATON TO LIEN AGREEMENT DISASTER RECOVERY INITIATIVE FLORIDA DEPARTMENT OF COMMUNITY AFFAIRS SINGLE FAMILY REHABILITATION ASSISTANCE PROGRAM As provided by the APRIL 19, 2010 Lien Agreement and by the FEBRUARY 4, 2010 Disaster Recovery Initiative Single Family Rehabilitation Assistance Agreement ( "Agreement "), a copy of which is attached hereto, and recorded in Official Records Book 4557 page 3072, of Public Records of Collier County, Florida. I /We Carlos Vallejo, as Grantee (s), do hereby acknowledge that (East 75 ft of the West 150 ft of Tract 93, Golden Gate Estates, Unit No. 64, according to the Plat Recorded at Plat Book 7, Page 64 of the PUBLIC RECORDS OF COLLIER COUNTY, FLORIDA (PROPERTY ID NO. 39898920004) (the "Property "), is subject to this lien ( "Lien ") in favor of Collier County, Florida. This Modification to Lien Agreement is to update the Lien amount: ALL ORIGINAL TERMS APPLY. The additions to the existing language in the Agreement are shown herein by underlining deletions from the Agreement are shown by stfik*GZhf:eugB s-. We further acknowledge the terms and conditions of this Lien, including the following: The Lien secures the sum of Fifty T turd- and 00/100�ot ng nn�99; Eight Thousand Four Hundred and Eighty 00 /100 Dollars ($8,480.00); and 2. The basis of the Lien is the Agreement attached hereto as attach Exhibit "A "; and 3. The Lien shall bear a zero percent (0 %) interest rate; and 4. The Lien shall be released after five (5) years if the owner(s) has continued to occupy the home located on the Property as their principal residence; and 5. If prior to five (5) years the Property is transferred, sold, refinanced or no longer occupied by the owner(s), the principal shall be forgiven and subtracted by monthly amounts equal to 1/60'h of the amount listed in Section 1 of this Lien. The number of monthly amounts subtracted shall be from the date of the Agreement to the date of such transfer, sale, refinance or non - occupancy. REMAINDER OF PAGE INTENTIONALLY LEFT BLANK SIGNATURE PAGE TO FOLLOW 16D 34 IN WITNESS WHEREOF, the said Grantees have signed and sealed these presents this oZ 0 day of � A , 2012 I FSSES: Print Name: L i5>4►' Print Name: /14 ,[f!- gkw STATE OF FLORIDA COUNTY OF COLLIER By: ✓ eel Carlos Vallejo The foregoing instrument was acknowledged before me this —99 day of / l a2 C � , 2012, by who " are personally known to me or produced proof of ide tity. (NOTARIAL SEAL) J L(Signature of Notary Public) ; s,� o, , " " " " " " " "'• " " "•'••••••• (Print Name of Notary Public) LISA OIEN "" "•* Comm# DD0781837 ? Serial / Commission #: ?€ Expires 4/23/2012 My Commission Expires: ea Fb,tda !Votary Assn., Inc w■■.■..■ nu ■■ .... goo .u■.... ■.■ ■.. ■....■ ■ ■ui ATTEST: DWIGf E, BROCK- •CIYRK By: , _ ju r Attest at gnawe Approved as to form and legal Sufficiency Jenny er B. White �� Assistant County Attorney BOARD OF COUNTY COMMISSIONERS COLLIER COUNTY, FLORIDA B Y FRED W. COYLE, CHAIR N INSTR 4419360 OR 4557 PG 3072 RECORDED 4/19/2010 3:58 PM PAGES 2 Prepared by and to be returned to: DWIGHT E. BROCK Collier County Housing & Human services COLLIER COUNTY CLERK OF THE CIRCUIT COURT 3301 ETamiamiTrail REC $18.50 Building H Room 211 Naples, F4 34112 LIEN AGREEMENT DISASTER RECOVERY INITIATIVE FLORIDA DEP tRTMENT OF COMMUNITY AFFAIRS SINGLE FAMILY REHABILITATION ASSISTANCE PROGRAM As provided by the FEBRUARY 4, 2010 Disaster Recovery Initiative Single Family Rehabilitation Assistance Agreement ( "Agreemenf), a copy of which is attached hereto as Exhibit "A ", Uwe CARLOS VALLEJO, as Grantee(s), do hereby acknowledge that 2875 35TH AVE NE, NAPLES, FLORIDA 34120, more particularly described as (EAST 75 FEET OF THE WEST 150 FEET OF TRACT 93, GOLDEN GATE ESTATES, UNIT NO. 64), ACCORDING TO THE PLAT RECORDED AT PLAT BOOK 7, PAGE 64 OF THE PUBLIC RECORDS OF COLLIER COUNTY, FLORIDA (PROPERTY ID NO. 39898920004) (the "Property'), is subject to this lien ( "Lien's in favor of Collier County, Florida. We further acknowledge the terms and conditions of this Lien, including the following:: 1. The Lien secures the sum of Fifty Thousand and 00 /100 Dollars ($50,000.00) and 2. The basis of the Lien is the Agreement attached hereto as Exhibit "A"; and 3. The Lien shall bear a zero percent (0 %) interest rate; and 4. The Lien shall be released after five (5) years if the owner(s) has continued to occupy the home located on the Property as their principal residence; and 5. If prior to five (5) years the Property is transferred, sold, refinanced or no longer occupied by the owner(s), the principal shall be forgiven and subtracted by monthly amounts equal to 1 /60a' of the amount listed in Section 1 of this Lien. The number of monthly amounts subtracted shall be from the date of the Agreement to the date of such transfer, sale, refinance or non - occupancy. IN WITNESS WHEREOF, the said Grantees have signed and sealed these presents this 19th day of A pg�, 1 2010 Nam /6I,-4L. ' iii STATE OF FLORIDA COUNTY OF COLLIER By: Qm�cS V& Carlos Vallejo By: Th foregoing instrument was acknowledged before me this LL day of i 2010, by �(k /�OS p who onally known o me or L_] produced as proof of i (NOTARIAL SEAL) (�i$lta f No Public) Public) C, , � t.c 1 a. Del 6-- _ ' �����PRISCILLA'poRip.••• "••••• (Print Name of Notary Public) commit 000e9ts36 ' Serial / Commission #:� My Commission Expires: M� / Lo Expires 5/20/2013 p i Il3 ''far€ -rrdallo3ryAaan.lnc = 16D 31 Exhibit "A" COLLIER COUNTY HOUSING AND HUMAN SERVICES DISASTER RECOVERY INITIATIVE FLORIDA DEPARTMENT OF COMMUNITY AFFAIRS SINGLE FAMILY REHABILITATION ASSISTANCE PROGRAM AGREEMENT This Agreement is executed this 4m day of February, 2010 by CARLOS VA LR1n ( "Owner'), the undersigned and real Property owner of a single- family home located at 2875 35'H A VE bl NAPLES- FLORIDA 34120 ( "Property'), who has been awarded Single Family Rehabilitation Assistance not to exceed the amount of EDZTY THOUSAND AND 00 /100 J MLLARS ($50 000 M. ( "Assistance's through Collier County from the Florida Department of Community Affairs' Disaster Recovery Initiative. By signing this document, Owner, to the fullest extent permitted bylaws and regulations, holds harmless Collier County and their agents and employees from and against all claims, damages, losses, and expenses, direct, indirect, or consequential (including, but not limited to, fees and changes of attorneys and other professionals and court and arbitration costs) arising out of or resulting from the performance of the work. Owner agrees to execute a Disaster Recovery Initiative Florida Department of Community Affairs Single Family Rehabilitation Assistance Program Lien Agreement (`lien'). This Agreement shall be attached to Lien as Exhibit "A ". Owner acknowledges that the amount of Assistance will be secured by a Lien against the Property. The Lien will be a Deferred Payment Loan, bear a zero percent (0 %) interest rate and shall be non - amortizing. The Lien shall be released after five (5) years if Owner continues to occupy the Property a principal residence. If prior to five (5) years the Property is transferred, sold, refinanced or no longer occupied by Owner, the principal shall be forgiven and subtracted by monthly amounts equal to 1/60i6 of the amount Assistance. The number of monthly amounts subtracted shall be from the date of this Agreement to the date of such transfer, sale, refinance or non - occupancy. IN WITNESS WHEREOF, said Owner has executed this Agreement effective the date and year first above written. i • u i.: Lam.• STATE OF FLORIDA COUNTY OF COLLIER By: \e S, Carlos Vallejo By: foregoing m. In was acknowledged before me this �_ day of i 2010, by who rV I are personally known t6 me or L_] produced as proof of identity. (NOTARIAL SEAL) ........PR D ... ....,,,,� (Si �Zatt -- o�f N�o�tary public) CommaDD089193C T-4 St* L�!JAr�4— E*kea 5R0/lllt3 ' (Print Name of Notary Public) Serial / Commission #: Al) t) * Pbdda PlatryAon rye ; My Commission Expires: �� .M /ii..1.NiwrwwIM/NN�pwd � � a 16D 31 Prepared by and to be returned to: Lisa Carr Collier County Housing & Human Services 3339 E Tamiami Trail Suite 211 Naples, FL. 34112 160 31 INSTR 4694929 OR 4797 PG 3282 RECORDED 5/17/2012 8:49 AM PAGES 4 DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT COLLIER COUNTY FLORIDA REC $35.50 MODIFICATON TO LIEN AGREEMENT DISASTER RECOVERY INITIATIVE FLORIDA DEPARTMENT OF COMMUNITY AFFAIRS SINGLE FAMILY REHABILITATION ASSISTANCE PROGRAM As provided by the APRIL 19, 2010 Lien Agreement and by the FEBRUARY 4, 2010 Disaster Recovery Initiative Single Family Rehabilitation Assistance Agreement ( "Agreement "), a copy of which is attached hereto, and recorded in Official Records Book 4557 page 3072, of Public Records of Collier County, Florida. I /We Carlos Vallejo, as Grantee (s), do hereby acknowledge that (East 75 ft of the West 150 ft of Tract 93, Golden Gate Estates, Unit No. 64, according to the Plat Recorded at Plat Book 7, Page 64 of the PUBLIC RECORDS OF COLLIER COUNTY, FLORIDA (PROPERTY ID NO. 39898920004) (the "Property "), is subject to this lien ( "Lien ") in favor of Collier County, Florida. This Modification to Lien Agreement is to update the Lien amount: ALL ORIGINAL TERMS APPLY. The additions to the existing language in the Agreement are shown herein by underlining; deletions from the Agreement are shown by striketh;<dugh-s We further acknowledge the terms and conditions of this Lien, including the following: 2. 3 M The Lien secures the sum of Fifty Thousand and 00400 Dotes ($50 00 Eight Thousand Four Hundred and Eighty 00 /100 Dollars ($8,480.00); and The basis of the Lien is the Agreement attached hereto as attach Exhibit "A "; and The Lien shall bear a zero percent (0 %) interest rate; and The Lien shall be released after five (5) years if the owner(s) has continued to occupy the home located on the Property as their principal residence; and If prior to five (5) years the Property is transferred, sold, refinanced or no longer occupied by the owner(s), the principal shall be forgiven and subtracted by monthly amounts equal to 1 /601h of the amount listed in Section 1 of this Lien. The number of monthly amounts subtracted shall be from the date of the Agreement to the date of such transfer, sale, refinance or non - occupancy. REMAINDER OF PAGE INTENTIONALLY LEFT BLANK SIGNATURE PAGE TO FOLLOW 160 3 IN WITNESS WHEREOF, the said Grantees have signed and sealed these presents this 'R14 day of )IACkfCkj 2012 I NESSE� , y Print Name: (, i Sp Z. Ca-(r- Print Name: / /� ✓fit' STATE OF FLORIDA COUNTY OF COLLIER By: (�, cal Carlos Vallejo The foregoing instrument was acknowledged before me this —99 day of Alt? it C� , 2012 by C' 42 �os fig L(�� a who [___] are personally known to me or [ v] produced D41 "-k as proof of ide tity. ` (NOTARIAL SEAL) ek T J (Signature of Notary Public) i -s,q ©, OI LISA LISA •• " " "•• "• ■ ■ ■ ■ ■ ■ ■ ■ ■• (Print Name of Notary Public) EN . Serial / Commission #: ^*qYP a, Comm# DD0781837 ;it ya Expires 4/23/2012 My Commission Expires: Zf-R%V*`` Florida Notary Assn., Inc C iY .................. ................■ ■.■. @...■: ATTEST: DWIGHT E. BROOK, • ;ERK By: u r 41gutu t �1+� Approved as to form and legal Sufficiency Jenn'irer B. White Assistant County Attorney BOARD OF COUNTY COMMISSIONERS COLLIER COUNTY, FLORIDA By: ' "Iu� W FRED W. COYLE, CHAI N INSTR 4419360 OR 4557 PG 3072 RECORDED 4/19/2016 3:58 PM PAGES 2 Prepared by and to be returned to: DWIGHT E. BROCK Collier County Housing & Human Services COLLIER COUNTY CLERK OF THE CIRCUIT COURT 3301 ETamiamiTrail REC $18.50 Building H Room 211 Naples, FL. 34112 LIEN AGREEMENT DISASTER RECOVERY INITIATIVE FLORIDA DEPARTMENT OF COMMUNITY AFFAIRS SINGLE FAMILY REHABILITATION ASSISTANCE PROGRAM As provided by the FEBRUARY 4, 2010 Disaster Recovery Initiative Single Family Rehabilitation Assistance Agreement ("Agreement"), a copy of which is attached hereto as Exhibit "A ", Uwe CARLOS VALLEJO, as Grantee(s), do hereby acknowledge that 2875 35TH AVE NE, NAPLES, FLORIDA 34120, more particularly described as (EAST 75 FEET OF THE WEST 150 FEET OF TRACT 93, GOLDEN GATE ESTATES, UNIT NO. 64,), ACCORDING TO THE PLAT RECORDED AT PLAT BOOK 7, PAGE 64 OF THE PUBLIC RECORDS OF COLLIER COUNTY, FLORIDA (PROPERTY ID NO. 39898920004) (the "Property"), is subject to this lien ( "Lien ") in favor of Collier County; Florida. We further acknowledge the terms and conditions of this Lien, including the following:: 1. The Lien secures the sum of Fifty Thousand and 00 /100 Dollars ($50,000.00); and 2. The basis of the Lien is the Agreement attached hereto as Exhibit "A "; and 3. The Lien shall bear a zero percent (0 %) interest rate; and 4. The Lien shall be released after five (5) years if the owner(s) has continued to occupy the home located on the Property as their principal residence; and 5. If prior to five (5) years the Property is transferred, sold, refinanced or no longer occupied by the owner(s), the principal shall be forgiven and subtracted by monthly amounts equal to 1 /60"' of the amount listed in Section 1 of this Lien. The number of monthly amounts subtracted shall be from the date of the Agreement to the date of such transfer, sale, refinance or non - occupancy. IN WITNESS WHEREOF, the said Grantees have signed and sealed these presents this /9t�l day of T. 2010 -WI SSES: IP P Name: PrintName: STATE OF FLORIDA COUNTY OF COLLIER By: � 41-- C0 6s Vallejo By: Th foregoing instrppment was acknowledged before me this day of �• 2010, by UCt/ 16 d V a /�c r U who LX 1 re personally known to me or [_ 1 produced as proof of identi (NOTARIAL SEAL) r (� ature of Not�FV' Public) ............................................ PRiSGILIJA•DORIA (Print Name of Notary Public) Serial / Commission #:b/�n gcJ /(� 3 ( Q ;=;Rrs�n;^ Comm #DD0891636 Expires 5/20/2013 My Commission Expires: �1G d0 I r� n _ 7 7„r.,� ,rda�lotary Assn..Inc .......... .- .... .......................u: 160 31 Exhibit "A" •' COLLIER COUNTY HOUSING AND HUMAN SERVICES DISASTER RECOVERY INITIATIVE FLORIDA DEPARTMENT OF COMMUNITY AFFAIRS SINGLE FAMILY REHABILITATION ASSISTANCE PROGRAM AGREEMENT This Agreement is executed this 4m day, of February, 2010 by CARLOS VALLEJO ( "Owner"), the undersigned and real property owner of single - family home located at 2875 35TH AVE NE NAPLES FLORIDA 34120 ("Property'), who has been awarded Single Family Rehabilitation Assistance not to exceed the amount of FIFTY THOUSAND AND 00 /100 f DOLLARS ($50,000.00) ( "Assistance ") through Collier County from the Florida Department of Community Affairs' Disaster Recovery Initiative. By signing this document, Owner, to the fullest extent permitted by laws and regulations, holds harmless Collier County and their agents and employees from and against all claims, damages, losses, and expenses, direct, indirect, or consequential (including, but not limited to, fees and changes of attorneys and other professionals and court and arbitration costs) arising out of or resulting from the performance of the work. Owner agrees to execute a Disaster Recovery Initiative Florida Department of Community Affairs Single Family Rehabilitation Assistance Program Lien Agreement ( "Lien'). This Agreement shall be attached to Lien as Exhibit "A ". Owner acknowledges that the amount of Assistance will be secured by a Lien against the Property. The Lien will be a Deferred Payment Loan, bear a zero percent (0 %) interest rate and shall be non - amortizing. The Lien shall be released after five (5) years if Owner continues to occupy the Property a principal residence. If prior to five (5) years the Property is transferred, sold, refinanced or no longer occupied by Owner, the principal shall be forgiven and subtracted by monthly amounts equal to 1160'' of the amount Assistance. The number of monthly amounts subtracted shall be from the date of this Agreement to the date of such transfer, sale, refinance or non - occupancy. IN WITNESS WHEREOF, said Owner has executed this Agreement effective the date and year first above written. r o .� L/Ilf I � � • Ir, . STATE OF FLORIDA COUNTY OF COLLIER By: �e t Carlos Vallejo By: foregoing �inistranent was acknowledged before me this '� day of i 2010, by who [�] are personally known to me or produced as proof of identity. (NOTARIAL SEAL) ...... (Si $tgre of Notary lic) PRISCILLA�DORIA �� Com# m DD08916M 5 Tint Name of Notary (P Public) Y Expires 512012013 Serial / Commission #: (�� _ fir. FlorWallotaryAsm, Inc My Commission Expires: �� RIrY .Nlt�tu1lwY.hmnn.Itla.1.16;B111 P 16D 34