Backup Documents 10/27/2020 Item #16D 4 )5-
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 D 4
-1414) 11.iir3elc 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 10/30/2020
Services
2. County Attorney Office County Attorney Office 9CX•e, N 13 12.e 2.0
3. BCC Office Board of County
Commissioners l�'
4. Minutes and Records Clerk of Court's Office w,516)
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,Sr.Grant Coordinator, Phone Number 239-252-2339
Contact/ Department Community and Human Services
Agenda Date Item was October 27, 2020 Agenda Item Number 16.D 4
Approved by the BCC
Type of Document Recommendation to approve and authorized Number of Original 1
Attached the Chairman to sign on(1)release of Lien Documents Attached
for County Impact Fee program....
PO number or account
number if document is 791-138791-649030-33613.1
to be recorded
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not
appropriate. (Initial) Applicable)
1. Does the document require the chairman's original signature? SVicitft,00 vA. No
2. Does the document need to be sent to another agency for additional signature';? 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 sA
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
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 10/27/20 and all changes made during nti
15 the meeting have been incorporated in the attached document. The County option for
Attorney's Office has reviewed the changes,if applicable. s 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 4e option for
Chairman's signature. s 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
INSTR 5948528 OR 5839 PG 3427
RECORDED 11/4/2020 8:38 AM PAGES 1
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
Prepared by: Maria Aldana COLLIER COUNTY FLORIDA
REC$10.00
Collier County Community and Human Services
3339 E.Tamiami Trail,Building H,#211
Naples,FL 34112 1 6 4
{�
THIS SPACE FOR RECORDING {j
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 Joseph E. Torres,to COLLIER COUNTY,
recorded on 09/08/2006 in Official Records Book 4102,Page 2390 of the Public Records of Collier
County, Florida, in consideration of $8,947.84 ($7,158.27 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 105, BUILDING 8, BOTANICAL PLACE, A CONDOMINIUM, ACCORDING TO THE
DECLARATION OF CONDOMINIUM THEREOF RECORDED IN OFFICIAL RECORDS BOOK
3933, PAGE 2655 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 apnroved by the Board of County Commissioners on 101 Z7/Z&221,
Agenda Item Number I Li.DI.
ATTEST: BOARD OF COUNTY COMMISSIONERS
CRYSTAL I . KINZEL, CLERK COLLIER COUNTY, FLORIDA
,3?,tx64. `L;-:-DuNki\e1/4J By:
io Ch�1I A FY CLERK BU T L. SAUNDERS, CHAIRMAN
only,
Approved for form and legality:
CL)“ . �O
�`�O
Jennifer A. Belpedio -\�'
Assistant County Attorney o.
i