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Backup Documents 01/11/2011 Item #16D 2ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 0 TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE 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 sienature draw a line rhrnnoh routino lines ju i ,t ... t ue ----I . -... — -t - • - - - -- - -- - Route to Addressee(s) List in touting order -��•- r2 �, •. _ �.. . ,. ­ U MM; UX c[tccKnst, ana Office rorwarn to tan Mitchell Initials line #5 . Date 1. Priscilla Doria Housing, Human & Veteran Services Department PD 11/12/2011 2. Original document has been signed/ initialed for legal sufficiency. (All documents to be PD for Ock u 3. January 11, 2011 Agenda Item Number 16.D.2 4. Ian Mitchell, Executive Manager Board of County Commissioners �IZoI�� 5. Minutes and Records Clerk of Courts Office Number of Original 4 rKIMARY CONTA CT 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 (Initial) Please call or e-mail 1. Original document has been signed/ initialed for legal sufficiency. (All documents to be PD for Ock u Agenda Date Item was January 11, 2011 Agenda Item Number 16.D.2 Approved by the BCC by the Office of the County Attorney. This includes signature pages from ordinances, Type of Document Four (4) releases of liens. Number of Original 4 Attached Signature needed on all documents. Documents Attached INSTRUCTIONC & f AF.f Ki .1QT 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 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 final negotiated contract date whichever is applicable. 4. "Sign here" tabs are placed on the appropriate pages indicating where the Chairman's PD si gnature 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 on 11/11/2011 (enter date) and all changes PD made during the meeting have been incorporated in the attached document. The Ir County Attorney's Office has reviewed the changes, if applicable. I: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05 Prepared by: Priscilla Doria Collier County Housing, Human, and Veteran Services 3301 E. Tamiami Trail Naples, FL 341112 RELEASE OF LIEN THIS SPACE FOR RECORDING KNOW ALL MEN BY THESE PRESENTS: That Collier County, whose post office address is 3301 E. Tamiami Trail, Naples, Florida 34112, the owner(s) and holder(s) of a certain Impact Fee Agreement executed by Habitat for Humanity of Collier County, Inc. to Collier County, recorded in Official Records Book 4514, Page 2902, of the Public Records of Collier County, Florida, on December 3, 2009, 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 1, Regal Acres, according to the plat thereof, as recorded in Plat Book 49, Pages 87 through 90, inclusive of the Public Records of Collier County, Florida. (10231 Kingdom Court, Naples, Florida 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 //P� day of Jal7t(c. , 2011 ATTEST;. DWIGHT E. BROC.I',.Clerk By: De C sI ! Mg,@ Approved as to form and legal suffjei ncy: Jeff E. ri t Assistan ounty Attorney BOARD OF COUNTY COMMISSIONERS COLLIER COUNTY, FLORIDA By: FRED W. COYLE, CHAI AN 2 wit I offin INSTR 4518134 OR 4644 PG 2191 RECORDED 1/20/2011 4:11 PM PAGES 1 Prepared by: DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT Priscilla Doria COLLIER COUNTY FLORIDA Collier County REC $10.00 Housing, Human, and Veteran Services 3301 E. Tamiami Trail Naples, FL 341112 THIS SPACE FOR RECORDING RELEASE OF LIEN KNOW ALL MEN BY THESE PRESENTS: That Collier County, whose post office address is 3301 E. Tamiami Trail, Naples, Florida 34112, the owner(s) and holder(s) of a certain Impact Fee Agreement executed by Habitat for Humanity of Collier County, Inc. to Collier County, recorded in Official Records Book 4514, Page 2902, of the Public Records of Collier County, Florida, on December 3, 2009, 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 1, Regal Acres, according to the plat thereof, as recorded in Plat Book 49, Pages 87 through 90, inclusive of the Public Records of Collier County, Florida. (10231 Kingdom Court, Naples, Florida 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 day of ja nu ��- , 2011. ATTEST: DWIGHT E. BROCK.Clerk v Approved as to form and legal suffj i ncy: Jeff E. ri t Assistan ounty Attorney BOARD OF COUNTY COMMISSIONERS COLLIER COUNTY, FLORIDA B `� W Y• FRED W. COYLE, CHA AN .1 THIS SPACE FOR RECORDING RELEASE OF LIEN KNOW ALL MEN BY THESE PRESENTS: That Collier County, whose post office address is 3301 E. Tamiami Trail, Naples, Florida 34112, the owner(s) and holder(s) of a certain Impact Fee Agreement executed by Habitat for Humanity of Collier County, Inc. to Collier County, recorded in Official Records Book 4514, Page 2922, of the Public Records of Collier County, Florida, on December 3, 2009, 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 6, Regal Acres, according to the plat thereof, as recorded in Plat Book 49, Pages 87 through 90, inclusive of the Public Records of Collier County, Florida. (10251 Kingdom Court, Naples, Florida 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 %/' day of 12 QnJ , 2011. ATTEST: BOARD OF COUNTY COMMISSIONERS DWIGHT E.-BROCK, Clerk COLLIER COUNTY, FLORIDA Ryl: Dep C er Approved as to form and legal su iency: Jeff E. ght Assistant County Attorney By: �� W FRED W. COYLE, C RMAN 2 INSTR 4518135 OR 4644 PG 2192 RECORDED 1/20/20114:11 PM PAGES 1 Prepared by: Priscilla Doria DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT COLLIER COUNTY FLORIDA Collier County REC $10.00 Housing, Human, and Veteran Services 3301 E. Tamiami Trail Naples, FL 341112 THIS SPACE FOR RECORDING RELEASE OF LIEN KNOW ALL MEN BY THESE PRESENTS: That Collier County, whose post office address is 3301 E. Tamiami Trail, Naples, Florida 34112, the owner(s) and holder(s) of a certain Impact Fee Agreement executed by Habitat for Humanity of Collier County, Inc. to Collier County, recorded in Official Records Book 4514, Page 2922, of the Public Records of Collier County, Florida, on December 3, 2009, 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 6, Regal Acres, according to the plat thereof, as recorded in Plat Book 49, Pages 87 through 90, inclusive of the Public Records of Collier County, Florida. (10251 Kingdom Court, Naples, Florida 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 %/' day of 12 QnJ , 2011. ATTEST: BOARD OF COUNTY COMMISSIONERS DWIGHT E.-BROCK, Clerk COLLIER COUNTY, FLORIDA Ryl: Dep C er Approved as to form and legal su iency: Jeff E. ght Assistant County Attorney By: �� W FRED W. COYLE, C RMAN 2 si INSTR 4518136 OR 4644 PG 2193 RECORDED 1/20/20114:11 PM PAGES 1 Prepared by: DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT Priscilla Doria COLLIER COUNTY FLORIDA Collier County REC $10.00 Housing, Human, and Veteran Services 3301 E. Tamiami Trail Naples, FL 341112 THIS SPACE FOR RECORDING RELEASE OF LIEN KNOW ALL MEN BY THESE PRESENTS: That Collier County, whose post office address is 3301 E. Tamiami Trail, Naples, Florida 34112, the owner(s) and holder(s) of a certain Impact Fee Agreement executed by Habitat for Humanity of Collier County, Inc. to Collier County, recorded in Official Records Book 4514, Page 2926, of the Public Records of Collier County, Florida, on December 3, 2009, 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 7, Regal Acres, according to the plat thereof, as recorded in Plat Book 49, Pages 87 through 90, inclusive of the Public Records of Collier County, Florida. (10255 Kingdom Court, Naples, Florida 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 %'' day of U0 2011. ATTEST: DWIGHT E. BROCK,.,Clerk By: ,(geputy Clerk Approved as to form and legal sufficiency: Jeff R, W ght AssistAneCounty Attorney BOARD OF COUNTY COMMISSIONERS COLLIER COUNTY, FLORIDA By. FRED W. COYLE, CHAIRMAN 2 .t INSTR 4518137 OR 4644 PG 2194 Prepared by: RECORDED 1/20/2011 4:11 PM PAGES 1 DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT Priscilla Doria COLLIER COUNTY FLORIDA Collier County REC $10.00 Housing, Human, and Veteran Services 3301 E. Tamiami Trail Naples, FL 341112 THIS SPACE FOR RECORDING RELEASE OF LIEN KNOW ALL MEN BY THESE PRESENTS: That Collier County, whose post office address is 3301 E. Tamiami Trail, Naples, Florida 34112, the owner(s) and holder(s) of a certain Impact Fee Agreement executed by Habitat for Humanity of Collier County, Inc. to Collier County, recorded in Official Records Book 4514, Page 2938, of the Public Records of Collier County, Florida, on December 3, 2009, 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 10, Regal Acres, according to the plat thereof, as recorded in Plat Book 49, Pages 87 through 90, inclusive of the Public Records of Collier County, Florida. (10267 Kingdom Court, Naples, Florida 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 4h day of , 2011. ATTEST. DWIGHT E. BROOK; Clerk By: Atuft . .fit'. 4 , uty Clerk S Approved as to form and legal su ciency: Jeff bright Assist t County Attorney BOARD OF COUNTY COMMISSIONERS COLLIER COUNTY, FLORIDA By: G-�rk FRED W. COYLE, CHAIRMAN