Backup Documents 10/27/2020 Item #16D11 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 1 6011
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. Hilary Halford Community and Human Y-P 10/22/2020
Services
2. Jennifer Belpedio County Attorney Office
3. BCC Office Board of County
,10130k, �c 3�-
Commissioners a.�..._
4. Minutes and Records Clerk of Court's Office
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 Hilary Halford/CHS Phone Number 252-2670
Contact/ Department
Agenda Date Item was 10/27/2020 Agenda Item Number IQ
, 1
Approved by the BCC �t
Type of Document Termination of Agreement and Prelease of Number of Original 1 Termination of
Attached Lien Documents Attached Agreement and 1 Lien
Release
PO number or account � ��+� �W N/A
number if document is 1 1(0—i 3
to be recorded 1 _ ;f7);N
& ECKLIST
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? O'v HH
2. Does the document need to be sent to another agency for additional signatures? If yes, HH
provide the Contact Information(Name;Agency;Address;Phone*See Below)on an
attached sheet.
3. Original document has been signed/initialed for legal sufficiency. (All documents to be HH
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 HH
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 HH
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 on 10/27/2020 and all changes made during HH 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 an option for
Chairman's signature. this line.
** Please send to the Clerk's Minutes & Recording Department
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 5948615 OR 5839 PG 3724
RECORDED 11/4/2020 10:00 AM PAGES 1
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
COLLIER COUNTY FLORIDA
This instrument prep red by REC$10.00
Christopher 1 Thornton,Esquire
Thornton lass Firm,I'I.I.0
3080 Tamiami Trail East
Naples,F'1, 34112
239.649-4900
TERMINATION OF AGREEMENT 1 6 011
KNOW ALL MEN BY THESE PRESENTS, that Collier County, whose post office address is 3299 E.
Tamiami Trail, Naples Fl. 34112, and 580 Oakhaven Circle, LLC, whose address is 1900-A Sunshine Blvd,
Naples FL 34116, do hereby terminate that certain Agreement Authorizing Affordable Housing Density Bonus
and Restrictions on Real Property dated January 26, 1993 and recorded July 27, 1993 in Official Records Book
1849, page 700, of the Public Records of Collier County, Florida. The parties acknowledge and confirm that all
conditions and requirements of the Agreement have been satisfied.
The Clerk of the Circuit Court is hereby directed to record this Termination in the Official Records of Collier
County, Florida to acknowledge that the Agreement Authorizing Affordable Housing Density Bonus and
Restrictions on Real Property is terminated and cancelled of record,
ATTEST: BOARD OF COUNTY COMMISSIONERS
•
CRYSTAL K.KINZEL,-Clerk COLLIER 'OUNTY,FLORIDA
k:-
B , By:
' Chairman's
Burt L.Saunders Chairman
Date: [UDate:•
Approved as to.Iq i my,
09'U
aPA
Jennifer A, 13elpcdio p
Assistant County Attorney
WITNESSES: 580 OAKHAVEN CIRCLE,LLC,
a Florida limited liability company
Print: od `r Jt�tla,r1;
By: Henry Holzkamper
Manager
ri rat: Scr12 q/,m' Cc" Address: 1900-A Sunshine Blvd
Naples,FL 34116
STATE OF =L OR/ b4
COUNTY OF(n c_c_ii z2
The foregoing instrument was acknowledged before me by means of physical presence or 0 online
notarization-3O day of,,leg ,by Henry Holzkamper,as Manager for 580 OAKI IAVEN CIRCLE,
l.1,C, a Florida limited liability company, on behalf of the limited liability company. Said person is peisonally
known to me or has produced a valid driver's licens�e,//�s identification. A/u g74,A a.
[Affix Notary Seal] Notary Public;-�S�tate of Florida
Print Name: �C;t,i,u- A-t--/ OiU
My Commission Expires: l%3/_ •
2; r-' :r s DONNA A.BALDONI
1.1 MY COMMISSION#GG 07654b
=;r�i�� EXPIRES:June 23,2021
'e4,`,..... Bonded Thru Notary Public Underwrilers
INSTR 5948613 OR 5839 PG 3722
RECORDED 11/4/2020 9:58AM PAGES 1
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
his instrumentprepared by: COLLIER COUNTY FLORIDA
ChristopherJ.Thornton,Esquire REC$10.00
Thornton Law Firm,PLI.0
3050 Tamiami Trail East
Naples,FL 34112
239-649-4900 1 6 L 1 1
SATISFACTION AND RELEASE OF LIEN
KNOW ALL MEN BY THESE PRESENTS, that Collier County, whose post office address is 3299 E.
Tamiami Trail, Naples FL 34112, hereby acknowledges receipt of the full, complete and final payment for all
sums due and satisfaction of all conditions under that certain Agreement for Waiver or Deferral of Collier County
Impact Fees,dated September 21, 1993 and recorded October 7, 1993, in Official Records Book 1872,page 1724,
as modified by the Addendum recorded September 29, 2005 in Official Records Book 3900, page 3283, as
modified by Assumption recorded January 5, 2006 in Official Records Book 3960, page 2344, as modified by
Assumption recorded May 15, 2014 in Official Records Book 5037, page 3616, and as modified by Assumption
recorded October 31, 2016 in Official Records Book 5328, page 2528, all of the Public Records of Collier
County,Florida(collectively,the"Deferred Impact Fee Agreement").
The Deferred Impact Fee Agreement was recorded as set forth above and imposed a lien in the amount of
$189,224.31 and certain obligations on the owner of the property described therein.
The Clerk of the Circuit Court is hereby directed to record this Satisfaction and Release in the Official Records of
Collier County, Florida to acknowledge that the Deferred Impact Fee Agreement and the lien created thereby are
satisfied,released and cancelled.
ATTEST: BOARD OF COUNTY COMMISSIONERS
CRYSTAL,K. KINZEL,Clerk COLLIER COUNTY, FLORIDA
CCVAA.A5set. By:
Dar2T\Y E' Burt L. Sau ders,Chairman
Date: id .% ' Date: 0 U
; tt St as 0.. airman s
Approved as tostrodUreO ty
"-Jo
Jennifer A. Belpedio n
Assistant County Attorney
0