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Backup Documents 09/10/2019 Item #16D11 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 011 ) 111ilVfiti. \ THTO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO /97f E BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE 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 P' 09/06/2019 Services 2. Jennifer Belpedio County Attorney Office .::: c;\\aV.C\ 3. BCC Office Board of County �S�/�� Commissioners l& 4. Minutes and Records Clerk of Court's Office q/11, 1 L-4,_ � 3.'.21-51x, 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/ Department Agenda Date Item was 09/10/2019 Agenda Item Number ,. a / /6 Approved by the BCC / Type of Document RELEASE OF IMPACT FEE LIEN J Number of Original 2 Attached Documents Attached PO number or account 111.138759.649030 number if document is 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) .J�-A 1. Does the document require the chairman's original signature? y p n(IL NA 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 JNR 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 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 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 II and all changes made during the meeting /A is not have been incorporated in the attached do umnt. The County Attorney's Office has n option for reviewed the changes,if applicable. Cis 0311`1 his line. 9. Initials of attorney verifying that the attached document is the version approved by the A is not BCC,all changes directed by the BCC have been made,and the document is ready for the ..(11; 1 option for Chairman's signature. ;lis line. :4\_/-- \ 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 5764943 OR 5673 PG 1263 RECORDED 9/12/2019 4:16 PM 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 1 6 0 1 1 Naples,FL 34112 j 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 Unit (the "Impact Fee Lien") executed by Regina Rhodes to Collier County, recorded on 07/30/2007 in Official Records Book 4263,Page 3857 of the Public Records of Collier County, Florida, in consideration of$24,372.52, 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: LEGAL DESCRIPTION—LOT 200, TRAIL RIDGE, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PHAT BOOK 44, PAGES 71 THROUGH 77, 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 September 10, 2019, Agenda Item Number I(o b 1 I • ATTEST: BOARD OF COUNTY COMMISSIONERS CRYSTAL K. KINZEL, CLERK COLLIER COUNTY, FLORIDA cejiapo, .f lii,, ; ej4viNak, 0,400 - ' St to Chajrmac�DEPUTY CLERK W./ iam L. McDaniel, Jr, C AIRMAN ;, , ...cli'l;3ture only. Approved as to form and legality: Jenni A. Belpedio 055 \\0\ Assistant County Attorney 9 INSTR 5764944 OR 5673 PG 1264 RECORDED 9/12/2019 4:16 PM 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 1 6 011 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 Unit (the "Impact Fee Lien") executed by Manuel Meza III & Joanna Villanueva to Collier County, recorded on 02/12/2007 in Official Records Book 4182, Page 2386 of the Public Records of Collier County, Florida, in consideration of$10,207.81, 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: LEGAL DESCRIPTION—LOT 92, INDEPENDENCE, PHASE II, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PHAT BOOK 43, PAGES 64 THROUGH 66, 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 September 10, 2019, Agenda Item Number 1(o b ATT iv BOARD OF COUNTY COMMISSIONERS t, •KINZEL, CLERK COLLIER COUNTY, FLORIDA Bliry: .i' DEPUTY CLERK W'' iam L. McDaniel, Jr C AIRMAN nairmas's nature only. Approved as to form and legality: Z-C) Jennifer A. Belpedio Assistant County Attorney 14)3.)‘.e �6