Backup Documents 07/09/2019 Item #16D 2 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIT 6 D 2
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
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. JASON RUMMER Community and Human Pts 07.05.2019
Services
2. Jennifer Belpedio County Attorney Office Will
i1l q
3. BCC Office Board of County �\--\--k\r>`�
Commissioners /// c t\ck
4. Minutes and Records Clerk of Court's Office 41/6 /11
Jt32Y'L'
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 JASON RUMMER CHS Phone Number 252-5505
Contact/ Depat latent
Agenda Date Item was 07.09.2019 / Agenda Item Number 16.D.ii.Z ",/
Approved by the BCC /
Type of Document AHDB LIEN RELEASE Number of Original 3
Attached Documents Attached
PO number or account 111.138.759.649030
number if document is
to be recorded
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark"N/A"in the Not Applicable column, . i'-• Yes N/A(Not
appropriate. - Initial) Applicable)
1. Does the document require the chairman's original signator:`. 3% wk p 0K,Av .
2. Does the document need to be sent to another agency for . itional signatures? If yes, 77 JNR
provide the Contact Information(Clerk of Courts)on an att. hed sheet.
3. Original document has been signed/initialed for legal sufficienc :11 docum- o be JNR
signed by the Chairman,with the exception of most letters,must be reviewed and signed �,,, (77
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 JNR
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 JNR
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip N A
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 Tallahassee within a certain
time frame or the BCC's actions are nullified. Be aware your deadlines!
8. The document was approved by the BCC 07/09/2019 nd all changes made during the NAA`'is not
meeting have been incorporated in the attached document. The County Attorney's Allk Cli. n option for
Office has reviewed the changes,if applicable. C7 fqis line.
9. Initials of attorney verifying that the attached document is the version approved by the i /A is not
BCC,all changes directed by the BCC have been made,and the document is ready for 1 e .n option for
Chairman's signature. this line,
5----..
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
INSTR 5737952 OR 5651 PG 562 ..:1 2
RECORDED 7/11/2019 9.01 AM PAGES 1
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
COLLIER COUNTY FLORIDA
Prepared by:Jason Rummer 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 and holder of a certain Lien Agreement
for Affordable Housing Density Bonus (the "AHDB Lien") executed by Mario F. and Maria D.
Castillo to Collier County, recorded on 02/01/2007 in Official Records Book 41771 Page 0377, of
the Public Records of Collier County, Florida, in consideration of is hereby acknowledged does
satisfy,remise,release,quitclaim,exonerate and discharge the Affordable Housing Density Bonus
Agreement against the premises conveyed by said AHDB Lien and more particularly described as
follows:
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 July 9th 2019,
Agenda Item Number r .
ATTEST t-,.; . ;1 q BOARD OF COUNTY COMMISSIONERS
CRYS .L•K.'KINZEL, COLLIER COAiir ORIDA
CLERIC�p
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,
�A9itik ^ zJ
` � � � , 101.
By `t. By: ,
re,,'''. e'41.
•aL) TY CLERK WILLI L. MCD•NIEL JR., 'AIRMAN
sigh OdA
Approved as to form and legality:
Jennife A. Belpedio �1
Assistant County Attorney �p 62\\``
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INSTR 5737953 OR 5651 PG 563
RECORDED 7/11/2019 9:01 AM PAGES 1
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
COLLIER COUNTY FLORIDA
Prepared by:Jason Rummer 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 and holder of a certain Lien Agreement
for Affordable Housing Density Bonus(the"AHDB Lien")executed by Erkin Ergashev and Firuza
I.Ergasheva to Collier County,recorded on 09/14/2016 in Official Records Book 5313 Page 3291,
of the Public Records of Collier County,Florida, in consideration of is hereby acknowledged does
satisfy,remise,release, quitclaim, exonerate and discharge the Affordable Housing Density Bonus
Agreement against the premises conveyed by said AHDB Lien and more particularly described as
follows:
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 July 9th, 2019,
Agenda Item Number D
ATTEST:, BOARD OF COUNTY COMMISSIONERS
CRYSTAL K. KINZEL COLLIER COQ.'+, FLORIDA
CLERK i' �I
Be"BY: CIAAAA Aliso/ 0�
f r A j* i. TY CLERK WIL 1,6 M L. M I A NIEL JR.,lHAIRMAN
t
ti „t
signature only.
Approved as to form and legality:
Jennifer A. Belpe ek—
Assistant County Attorney C9�
1602
INSTR 5737954 OR 5651 PG 564
RECORDED 7/11/2019 9:01 AM PAGES 1
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
COLLIER COUNTY FLORIDA
REC$10.00
Prepared by:Jason Rummer
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 and holder of a certain Lien Agreement
for Affordable Housing Density Bonus (the "AHDB Lien") executed by Michelle C. Picone to
Collier County, recorded on 12/30/2016 in Official Records Book 5349,Page 1114, of the Public
Records of Collier County, Florida, in consideration of is hereby acknowledged does satisfy,
remise, release, quitclaim, exonerate and discharge the Affordable Housing Density Bonus
Agreement against the premises conveyed by said AHDB Lien and more particularly described as
follows: �f
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 July 9th, 2019,
Agenda Item Number /41D..-1,.
ATTO R `� BOARD OF COUNTY COMMISSIONERS
CR AL K KTNZ COLLIER CO "' LORIDA`
e
wily,aDRP CLERK WILLI� L. MC L ' ., !•IRMAN
slant Ire.onW.
ti
Approved as to form and legality:
10
Jenni r A. Belpedi*iiik
Assistant County Atto ' l S'"
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