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Backup Documents 09/11/2018 Item #16D 9 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP , c1,.�3 TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE 1 6 D 9 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 Initi.is Date 1. Susan Golden Community and Human ]4. 9/6/18 Services 2. Jennifer Belpedio County Attorney Office 3. BCC Office Board of County rO,Sh,7\ Commissioners \M-- i G‘Vz..' 4. Minutes and Records Clerk of Court's Office `-'-C Cilla-)113 t{:"ri 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/CHS Phone Number 252-2336 Contact/ Department Agenda Date Item was 09/11/2018 Agenda Item Number 16.D.9 Approved by the BCC Type of Document SHIP IF Release of Lien Number of Original 5 Attached Documents Attached PO number or account Hok' , 7 (k' - b 4C1©3D number if document is C to be recorded .3556 s 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? S4pv 01<o, ( 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 09/11/2018 and all changes made during the —S lA is not meeting have been incorporated in the attached document. The County Attorney's , = + `'t.4P i Office has reviewed the changes,if applicable. ,t1;.`,„ ,�r 9. Initials of attorney verifying that the attached document is the version approved by the �6 41,,,,,:,,,,a,, BCC,all changes directed by the BCC have been made,and the document is ready the an option for Chairman's signature. l this line. \.Z . j \---7.--- 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 1609 INSTR 5612433 OR 5553 PG 10 RECORDED 9/14/2018 1:56 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 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 Agreement for Waiver of Collier County Impact Fees (the "Impact Fee Lien") executed by Habitat for Humanity of Collier County, Inc. to Collier County, recorded on 02/14/2001 in Official Records Book 2777, Page 2057, of the Public Records of Collier County, Florida, in consideration of $7,698.82, 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 6,BLOCK 8,NAPLES MANOR,UNIT 1,AS RECORDED IN PLAT BOOK 3,PAGE 57, 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. ''--,^ 1 This Release of Lien was approved by the Board of County Commissioners on< �1�" ' 'l , 2018,Agenda Item Number 11e,''' ,. 1 . ATTEST: BOARD OF CO ., TY COMMISSIONERS CRYSTAL K. KINZEL, COLLIER C• I T FLORI)er CLERK /. By: � .�(-A- � f �� 1 e-�- By. , i `.i PUTY CLERK A )REW SOLIS, CHAIRMAN Attest as to Chit{° an 'signature only. Approved as to form and legality: N 4a Jenmfer A. Belpedio /- Assistant County Attorney 66\ 0 1609 INSTR 5612434 OR 5553 PG 11 RECORDED 9/14/2018 1:56 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 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 Agreement for Deferral of 100% of Collier County Impact Fees for Single-Family Affordable Housing Dwelling (the "Impact Fee Lien") executed by Habitat for Humanity of Collier County, Inc. to Collier County, recorded on 11/16/2004 in Official Records Book 3679, Page 0634, of the Public Records of Collier County, Florida, in consideration of $13,579.72, 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 16, CHARLEE ESTATES, PHASE II, A SUBDIVISION, AS RECORDED IN PLAT BOOK 41, PAGES 91 AND 92,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. 1,,, ,_ This Release of Lien was approved by the Board of County Commissioners on � 1`(�,V/1 t,\ , 2018, Agenda Item Number 110 .9 . ATTEST: BOARD OF ! TY COMMI IONERS CRYSTAL K. KINZEL.' COLLIER '• , FLO' 0 ,/ CLERK • By: l -Gt.,(. ' ',Po C ~ By: A Attest as to Ch:i5� ' O ,CLERK ANDY SOLIS, CHAIRMAN signature only. Approved as to form and legality: Jenni er A. Belpe t9` Assistant County Attorney \a' 4. e 1609 INSTR 5612435 OR 5553 PG 12 RECORDED 9/14/2018 1:56 PM PAGES 1 Prepared by:Susan Golden CLERK OF THE CIRCUIT COURT AND COMPTROLLER Collier County Community and Human Services COLLIER COUNTY FLORIDA 3339 E.Tamiami Trail,Building H,#211 REC$10.00 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 Agreement for Waiver of Collier County Impact Fees(the "Impact Fee Lien")executed by Immokalee Habitat for Humanity, Inc. to Collier County, recorded on 02/19/1997 in Official Records Book 2284, Page 2217,of the Public Records of Collier County,Florida,in consideration of $6,169.52,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 30 OF BLOCK 13, NAPLES MANOR LAKES, ACCORDING TO THE PLAT BOOK THEREOF, AS RECORDED IN PLAT BOOK 3, PAGE 86,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\10.‘'. .0 . ATTEST: BOARD OF : TY COM IONERS CRYSTAL K. KINZEL • COLLIER '• , FLO'. 0 ' CLERK By: 0,„ ��.� COL' By: , Al Attest as to Cham2`Ll4 CLERK ANDY SOLIS, CHAIRMAN "signature only. Approved as to form and legality: 42 Jennifer A. Belpedi Nom" Assistant County Attorney CA0 INSTR 56 5553 PG 13 RECORDED 12436 9/14/2OR 18 1:56 PM PAGES 1 1609 CLERK OF THE CIRCUIT COURT AND COMPTROLLER Prepared by:Susan Golden COLLIER COUNTY FLORIDA Collier County Community and Human Services 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 Agreement for Deferral of 100% of Collier County Impact Fees for Single-Family Affordable Housing Dwelling (the "Impact Fee Lien") executed by Jubilation Development Corporation to Collier County,recorded on 01/10/2003 in Official Records Book 3194,Page 0707, of the Public Records of Collier County, Florida, in consideration of $6,082.98, 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 24, OF THE JUBILATION SUBDIVISION,ACCORDING TO THE PLAT THEREOF,AS RECORDED IN PLAT BOOK 37, PAGES 4 THROUGH 7, 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 - ,)4(th Y- `\ , 2018, Agenda Item Number )1<2 : ,9 . ATTEST: BOARD OF COUNTY COMMISSIONERS CRYSTAL K. KINZEL, j COLLIER CO A TY, FLORIDA CLERK ,/ ', By: �1 ES ( . By: Attest as to Ch aR ' Y CLERK A i SOLIS, CHAIRMAN signature only. 4 Approved as to form and legality: S , V Jeer ��i A. Belpe - ' Assistant County Attorney 6 1609 INSTR 5612437 OR 5553 PG 14 RECORDED 9/14/2018 1:56 PM PAGES 1 Prepared by:Susan Golden CLERK OF THE iE CiRCUi T COURT AND COMPTROLLER pCOLLIER COUNTY FLORIDA Collier County Community and Human Services 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 Agreement For Waiver of Collier County Impact Fees for Single-Family Affordable Housing Dwelling executed by Habitat for Humanity of Collier County, Inc. to Collier County, recorded on 03/07/2002 in Official Records Book 2994, Page 3049, of the Public Records of Collier County, Florida, in consideration of $10,428.82, does satisfy, remise, release, quitclaim, exonerate and discharge the Impact Fee Lien for term, against the premises conveyed by said Impact Fee Lien and more particularly described as follows: LOT 8 BLOCK B, HABITAT VILLAGE, ACCORDING TO THE PLAT BOOK THEREOF, AS RECORDED IN PLAT BOOK 37,PAGES 48 THROUGH 51,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 161, . ATTEST: BOARD OF C! TY COMM IONERS CRYSTAL K. KINZEL, COLLIER P 1 . , FLO' 0 /• CLERK By: t0-itiUtA (� By: it Attest as toC°q¢. CLERK DY SOLIS, CHAIRMAN signature only. Approved as to form and legality: CA43 Jemm�k. Belpe >< � n Assistant County Attorney