Backup Documents 05/12/2020 Item #16D 7ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 b Q 7
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 11 °mari 1h9 VW
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 # I through #2, complete the checklist, and forward to the County ftomey Office.
Route to Addressees (List in routing order)
Office
Initials
Date
1. Lisa N. Carr
Community and Human
LNC
5/8/2020
Services
2. County Attorney Office
County Attorney Office
3. BCC Office
Board of County
Commissioners
4. Minutes and Records
Clerk of Court's Office
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VJ
10:59"
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
Lisa N. Carr, Senior Grants Coordinator,
Phone Number
239-252-2339
Contact / Department
Community and Human Services
Agenda Date Item was
May 12, 2020
Agenda Item Number
16 D 7
Approved by the BCC
Type of Document
Release of Lien
Number of Original
1
Attached
Documents Attached
PO number or account
Account string/project #
number if document is
123-155974-649030-32001.1
to be recorded
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark "N/A" in the Not Applicable column, whichever is
Yes
N/A (Not
approlDriate.
Initial
Applicable)
1.
Does the document require the chairman's original signature?
2.
Does the document need to be sent to another agency for additional signatures? If yes,
LNC
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
LNC
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
LNC
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
LNC
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
LNC
si nature and initials are required.
7.
In most cases (some contracts are an exception), the original document and this routing slip
LNC
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 on 5/12/2020 and all changes made during
N/A is not
the meeting have been incorporated in the attached document. The County
an option for
Attorney's Office has reviewed the changes, if applicable.
this line.
9.
Initials of attorney verifying that the attached document is the version approved by the
N/A is not
BCC, all changes directed by the BCC have been made, and the document is ready for the
d
an option for
Chairman's signature.
this line.
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
160 7
INSTR 5867520 OR 5763 PG 2413
RECORDED 5/15/2020 11:23 AM PAGES 1
CLERK OF THE CIRCUIT COURTAND COMPTROLLER
COLLIER COUNTY FLORIDA
REC $10.00
Prepared by: Maria Aldana
Collier County Community and human Services
3339 E. Tamiami Trail, Building 11, #21 1
Naples, F1.34112
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 (the "Impact Fee Lien") executed by Spasc Dimitrov and Nikolina Dimitrova,
to COLLIER COUNTY, recorded on 4/26/2006 in Official Records Book 4025, Page 1573 of the
Public Records of Collier County, Florida, in consideration of $8,712.70 ($6,970.16 plus interest)
having met the term 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 3, BOTANICAL PLACE, A CONDOMINIUM, ACCORDING TO THE
DECLARATION OF CONDOMINIUM THEREOF RECORDED IN OFFICIAL RECORDS BOOK
3933, PAGE 2655, OF THE PUBLIC RECORDS OF COL,L,IER 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
Agenda Item Number fG D,7
,
ATTEST: BOARD OF COUNTY COMMISSIONERS
CRYSTAL K. KINZEL, CLERK COLLIER COUNTY, FLORIDA
4
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fittest as t0 chair *rn n S �?E UTY L RI
signature only. �
Approved for form and legality:
Jennifer A. Belpedio IN
Assistant County Attorney
By: � l.GCiA•�—
BURT L. SAUNDERS, CHAIRMAN
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