Backup Documents 03/23/2021 Item #16D11 '11) efie-to=
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO e i
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE b s
Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the Coun tt a 'lie
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 ater
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. Can Community and Human LNC 3/22/21
Services
2. County Attorney Office County Attorney Office
�1��r 1
3. BCC Office Board of County pt�
Commissioners in os4 3')(n,
,,..<
4. Minutes and Records Clerk of Courts Office C' Pi (()(LI (D.
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, Sr. Grant Coordinator, Phone Number 239-252-2339
Contact/ Depai Intent Community and Human Services
Agenda Date Item was March 239 2021 Agenda Item Number 16.D 11
Approved by the BCC
Type of Document Recommendation to approve and authorized Number of Original 1
Attached the Chairman to sign one(1)Release of Documents Attached
Lien for a unit that is no longer subject to
the terms of the AHDB 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? Sly DV LNC
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 t 0 Q
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 3/23/21 and all changes made during the
meeting have been incorporated in the attached document. The County Attorney's 3
Office has reviewed the changes,if applicable.
9. Initials of attorney verifying that the attached document is the version approved by the
BCC,all changes directed by the BCC have been made, and the document is ready for the s)..,43,
Chairman's signature.
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 6027691 OR 5917 PG 871
RECORDED 3/30/2021 9:03 AM PAGES 1
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
COLLIER COUNTY FLORIDA
REC$10.00
Prepared by:Lisa Carr
Collier County Community and Human Services 3339 E.Tamiami Trail,Building H,#211 i b i i
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 certain Lien
Agreement for Affordable Housing Density Bonus (the "AHDB Lien") executed by Kristen J.
Smith to Collier County, recorded on 1/09/2007 in Official Records Book 4166, Page 1781, as
well as that certain Lien Agreement executed by PJM Limited Partnership, LLLP to Collier
County, recorded on 12/21/2005 in Official Records Book 3952, Page 0269, both Liens being
further referenced in that certain Warranty Deed executed by PJM Limited Partnership, LLLP to
Kristen J. Smith,recorded on 01/09/2007 in Official Records Book 4166,Page 1779 of the Public
Records of Collier County, Florida, does satisfy, remise, release, quitclaim, exonerate and
discharge the Affordable Housing Density Bonus Agreements against the premises conveyed more
particularly described as follows:
UNIT 8104, BOTANICAL PLACE, A CONDOMINIUM, ACCORDING TO THE DECLARATION OF
CONDOMINIUM RECORDED IN OFFICIAL RECORDS BOOK 3933,PAGE 2592,OF THE PUBLIC RECORDS
OF COLLIER COUNTY,FLORIDA,TOGETHER WITH THE EXCLUSIVE USE OF CARPORT NO. CP-50.
The undersigned is authorized to and does hereby satisfy and release these Liens with respect to
the above-named property, and consents to these Liens being forever discharged of record with
respect to said property.
This Release of Lien was approved by the Board of County Commissioners on ma'r-h �3, 2021
Agenda Item Number t Q 0. I
ATTF§T * •.`'<,, BOARD OF COUNTY COMMISSIONERS
Crystal K; Kinzer clerk COLLIE OUNTY, FLORIDA
B Y� 1' - .ct�e • By:
"` t ,� �)eputy Clerk
Attes *a . P y aylo hairperson
fi19re only.
Approved as to form and legality:
OLA,*'e !�K. -
Jenni er A. Belpedio a,,,\
Assistant County Attorney o\
[21-GRC-01095/1601467/1] 2\