Backup Documents 09/11/2018 Item #16D 7 To 'ie . c -t 3_ V
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 1 6 D 7
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. Susan Golden Community and Human 9/6/18
Services
2. Jennifer Belpedio County Attorney Office 3 91 " IV(
3. BCC Office Board of County P‘' /
Commissioners \rvC / '\vz_VCI,
4. Minutes and Records Clerk of Court's Office
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 Susan Golden/C S Phone Number 252-2336
Contact/ Department `
Agenda Date Item was 9/11/2018 Agenda Item Number 16.D.7 ✓
Approved by the BCC
Type of Document Release of Lien-CWIF Number of Original 5
Attached Documents Attached
PO number or account n/�,
number if document is t\, ' ‘Z,k) �j 1 - 49 V3
to be recorded `
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? 544k,,,,f) cnKL SG
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 SG
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 SG
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 SG
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 9/11/2018 and all changes made during the ,---S6--
meeting
S6--
meeting have been incorporated in the attached document. The County Attorney's T,
Office has reviewed the changes,if applicable.
9. Initials of attorney verifying that the attached document is the version approved by the SG V
BCC,all changes directed by the BCC have been made,and the document is ready for the ` 'j3
Chairman's signature.
(7.15\.L.
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 .41t--"Sj.....---'
1607
TINS T R 5612418 OR 5552 PG 3964
RECORDED 9/14/2018 1:50 PM PAGES 1
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
COLLIER COUNTY FLORIDA
REC$10.00
Prepared by:Susan Golden
Collier County Community and Human Services
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 Lien
Agreement for Deferral of 100% of Collier County Impact Fees for Owner Occupied Affordable
Housing Dwelling Units(the"Impact Fee Lien")executed by Joseph Monaldi to Collier County,
recorded on 02/02/2007 in Official Records Book 4178,Page 0916, and subordination agreement
recorded on 04/17/2009 in Official Records Book 4444, Page 4117, of the Public Records of
Collier County,Florida, in consideration of $8,712.70,receipt of which is hereby acknowledged
does satisfy, remise, release, quitclaim, exonerate and discharge the Impact Fee Lien against the
premises conveyed by said Impact Fee Lien and more particularly described as follows:
UNIT 304,BUILDING 8,BOTANICAL PLACE,A CONDOMINIUM,ACCORDING TO THE DECLARATION
OF CONDOMINIUM THEREOF RECORDED IN OFFICIAL RECORDS BOOK 3933, PAGE 2655, OF THE
PUBLIC RECORDS OF COLLIER COUNTY,FLORIDA.
The undersigned is authorized to and does hereby satisfy and 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.
This Release of Lien was approved by the Board of County Commissioners on tiAtt\l‘a.e.feX 1 . , 2018,Agenda Item Number `L.T I .
ATTEST: ,•
BOARD OF COUNTY COMMISSIONERS
CRYSTAL K.Kfl Ztyi' COLLIER CO Y,FLORIDA
CLERK
/117/
By: 3LLL.L.( < ( ' By: 11
«i- '� ►� :PUTY CLERK r1_ SOLIS, HA AN
Attest as to E
?signature only.
Approved as to form and legality:
JennA. Belpe
Assistant County Attorney ot.��
° ; 3
607
INSTR 5612419 OR 5552 PG 3965
RECORDED 9/14/2018 1:50 PM PAGES 1
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
COLLIER COUNTY FLORIDA
REC$10.00
Prepared by:Susan Golden
Collier County Community and I-Iuman Services
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 Lien
Agreement for Deferral of 100% of Collier County Impact Fees for Owner Occupied Affordable
Housing Dwelling Units(the"Impact Fee Lien")executed by Guerline Mathieu to Collier County,
recorded on 11/29/2007 in Official Records Book 4306, Page 2103, of the Public Records of
Collier County,Florida,in consideration. of $15,553.15,receipt of which is hereby acknowledged
does satisfy, remise, release, quitclaim, exonerate and discharge the Impact Fee Lien against the
premises conveyed by said Impact Fee Lien and more particularly described as follows:
LOT 13,LIBERTY LANDING, ACCORDING TO THE PLAT THEREOF,AS RECORDED IN PLAT BOOK 47,
PAGES 71 THROUGH 73,INCLUSIVE,OF THE PUBLIC RECORDS OF COLLIER COUNTY,FLORIDA.
The undersigned is authorized to and does hereby satisfy and 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.
This , Release of Lien was approved by the 6Boardrrofd County Commissioners on m \ , 2018,Agenda Item Numb . \�, .
ATTEST: BOARD OF COUNTY COMMISSIONERS
CRYSTAL K.KINZEL,'. COLLIER CO ' TY,FLORIDA
CLERK .
By: ( WA • By: .
Attest as to 4'UTY CLERK /FT 11;Y SOLIS, HAIRMAN
signature only.
Approved as to form and legality:
Jenna . Belpedio
Assistant County Attom y `<
1607
INSTR 5612420 OR 5552 PG 3966
RECORDED 9/14/2018 1:50 PM PAGES 1
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
COLLIER COUNTY FLORIDA
REC$10.00
Prepared by:Susan Golden
Collier County Community and Human Services
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 Lien
Agreement for Deferral of 100% of Collier County Impact Fees for Owner Occupied Affordable
Housing Dwelling Units (the "Impact Fee Lien") executed by Jerry L. & Deyanira G. Sliger to
Collier County,recorded on 06/30/2011 in Official Records Book 4696.Page 3181, of the Public
Records of Collier County, Florida, in consideration of $19,057.83, receipt of which is hereby
acknowledged does satisfy, remise, release, quitclaim, exonerate and discharge the Impact Fee
Lien against the premises conveyed by said Impact Fee Lien and more particularly described as
follows:
• LOT 135,LIBERTY LANDING,ACCORDING TO THE PLAT THEREOF,AS RECORDED IN PLAT BOOK 47,
PAGES 71 THROUGH 73,INCLUSIVE,OF THE PUBLIC RECORDS OF COLLIER COUNTY,FLORIDA.
The undersigned is authorized to and does hereby satisfy and 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.
This elease of Lien was approved by the Board of County Commissioners on -
-. .,..ki , '. , J 1 \ 2018 Agenda Item Number
ATTEST: BOARD OF COUNTY COMMISSIONERS
CRYSTAL K.KINZEL, COLLIER CO ' Y,FLORIDA
CLERK
By. (IUk , i _ By: ,itL IA
E TY CLERK •:'iwi SOLIS, CHAIRMAN
,i as ic, ,,, 1
7,ignature only,
Approved as to form and legality:
Jenni er A. Belpedi 0
Assistant County Attorney 4 )c: i
1607
INSTR 5612421 OR 5552 PG 3967
RECORDED 9/14/2018 1:50 PM PAGES 1
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
COLLIER COUNTY FLORIDA
Prepared by:Susan Golden REC$10.00
Collier County Community and Human Services
3339 E.Tamiami Trail,Building FI,#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 Lien
Agreement With Developer for Deferral of 100% of Collier County Impact Fees for Owner
Occupied Affordable Housing Dwelling Units (the "Impact Fee Lien") executed by Habitat for
Humanity of Collier County, Inc. to Collier County, recorded on 12/03/2009 in Official Records
Book 4514,Page 2832,of the Public Records of Collier County,Florida,in consideration of$0.00,
for meeting term, of which is hereby acknowledged does satisfy, remise, release, quitclaim,
exonerate and discharge the Impact Fee Lien against the premises conveyed by said Impact Fee
Lien and more particularly described as follows:
LOT 135,LIBERTY LANDING,ACCORDING TO THE PLAT THEREOF,AS RECORDED IN PLAT BOOK 47,
PAGES 71 THROUGH 73,INCLUSIVE,OF THE PUBLIC RECORDS OF COLLIER COUNTY,FLORIDA.
The undersigned is authorized to and does hereby satisfy and 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.
This ,Release of Lien was approved by the Board of County Commissioners on -
1\6 1 l , 2018,Agenda Item Number ,
ATTEST: BOARD OF COUNTY COMMISSIONERS
CRYSTAL K. KINZEL, COLLIER CO ► TY,FLORIDA
CLERK
By: akk..k S Q - By: �L
„
11� 1lunr' i� C'UTY CLERK i" SOLIS, • I' AN
attest as to C
signature only. •
Approved as to form and legality:
Jenm A. Belpedl 037
��
Assistant County Atto ey ,\SN
1607
iNSTR 5612422 OR 5552 PG 3968
RECORDED 9/14/2018 1:50 PM PAGES 1
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
COLLIER COUNTY FLORIDA
REC$10.00
Prepared by:Susan Golden
Collier County Community and Human Services
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 Lien
Agreement for Deferral of 100% of Collier County Impact Fees for Owner Occupied Affordable
Housing Dwelling Units (the "Impact Fee Lien") executed by Esmeralda Rodriguez to Collier
County,recorded on 08/09/2010 in Official Records Book 4593,Page 2447,of the Public Records
of Collier County, Florida, in consideration of $19,057.83, receipt of which is hereby
acknowledged does satisfy, remise, release, quitclaim, exonerate and discharge the Impact Fee
Lien against the premises conveyed by said Impact Fee Lien and more particularly described as
follows:
LOT 131,LIBERTY LANDING,ACCORDING TO THE PLAT THEREOF,AS RECORDED IN PLAT BOOK 47,
PAGES 71 THROUGH 73,INCLUSIVE,OF THE PUBLIC RECORDS OF COLLIER COUNTY,FLORIDA.
The undersigned is authorized to and does hereby satisfy and 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.
This Release of 'Lien was approved by the Board of County Commissioners on -
` \ , 2018,Agenda Item Number\ r1�, .
ATTEST: BOARD OF COUNTY COMMISSIONERS
CRYSTAL K.KINZEL, COLLIER COY ` Y,FLORIDA
CLERK
"P/
,' °i* ,� C t By:
By: I l„
_.,.�. , ai :k PUTY CLERK •! I SOLIS, C IRMAN
Attest as to
signature only.
Approved as to form and legality:
Jennifer A. Ipedio _ Qp ;
Assistant County Attorney
3