Backup Documents 07/14/2020 Item #16D11 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1141
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. Lisa N. Carr Community and Human LNC 7/14/2020
Services
2. County Attorney Office County Attorney Office C 7 J (3 I ,,ICelo
3. BCC Office Board of County dd
Commissioners J-1 ((` '(.14'gb
4. Minutes and Records Clerk of Court's Office ^
" 1ez�
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.Can, Senior Grants Coordinator, Phone Number 239-252-2339
Contact/ Depat intent Community and Human Services
Agenda Date Item was July 149 2020 Agenda Item Number 16.D.11
Approved by the BCC
Type of Document Release of Lien Disaster Recovery Number of Original 2
Attached Initiative Loan Program Documents Attached
PO number or account Account string/project#
number if document is 001-155930-649030
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? CA
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 fmal negotiated contract date whichever is applicable.
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's LNC
signature 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 6/23/2020 and all changes made during N/A is not
the meeting have been incorporated in the attached document. The County av'v 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 acki, 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
- _ 011
INSTR 5899283 OR 5793 PG 1180
RECORDED 7/28/2020 9:27 AM PAGES 1
CLERIER COUNTY FLORIDAOURT AND COMPTROLLER
Prepared by:Maria Aldana COLL
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 Disaster Recovery
Initiative Lien executed by James Poteet to COLLIER COUNTY,recorded on 3/5/2010 in Official
Records Book 4543, Page 527 of the Public Records of Collier County, Florida, in consideration
of$159,029.32, does hereby cancel and discharge said lien on property described as follows
71,ISLE OF SAINT THOMAS, NAPLES, FLORIDA 34114, more particularly described as LOT 71,
PORT-AU-PRINCE, ACCORDING TO THE PLAT RECORDED AT PLAT BOOK 13, PAGE 51 OF
THE PUBLIC RECORDS OF COLLIER COUNTY,FLORIDA(PROPERTY ID NO. 68342680007).
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 VIV Z-416 ,
Agenda Item Number ((,bt( .
ATTEST: BOARD OF COUNTY COMMISSIONERS
CRYSTAL K. KINZEL, CLERK COLLIER COUNTY, FLORIDA
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By:
A Y CLERK BURT L. SAUNDERS, CHAIRMAN
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Approved for form and legality:
Jenni A. Belpedio
Assistant County Atto ey (.Q�
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INSTR 5899284 OR 5793 PG 1181
RECORDED 7/28/2020 9:27 AM PAGES 1
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
COLLIER COUNTY FLORIDA
Prepared by:Maria Aldana 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 Disaster Recovery
Initiative Lien executed by Mary Edwards to COLLIER COUNTY, recorded on 3/5/2010 in
Official Records Book 4543, Page 546 of the Public Records of Collier County, Florida, in
consideration of 122,792.43, does hereby cancel and discharge said lien on property described as
follows
47 MOON BAY STREET,NAPLES,FLORIDA 34114, more particularly described as LOT 45 and LOT
47,PORT-AU-PRINCE,ACCORDING TO THE PLAT RECORDED AT PLAT BOOK 13,PAGE 51 OF
THE PUBLIC RECORDS OF COLLIER COUNTY, FLORIDA(PROPERTY ID NO. 68341680008).
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
7/approved by the Board of County Commissioners on 'V/4'46 ,
Agenda Item Number D .
ATTEST: BOARD OF COUNTY COMMISSIONERS
CRYSTAL K. KINZEL, CLERK COLLIER COUNTY, FLORIDA
By: I.� '�M �tsCJ4#44„#,„"itle€4,10,a.•
B
Z ':.' , i,w'U 'CLERK C ' y BURT L. SAUNDERS, CHAIRMAN
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Approved for form and legality:
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Jennifer A. Belpedi% \
Assistant County A ey �, \��
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