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Backup Documents 03/08/2022 Item #16D 5 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 0 5 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 i County Attorney ice 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 alread comp ete 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. Karina Bardales Community and Human KB 03/04/2022 Services 2. Jennifer Belpedio County Attorney Office 3 1811a 3. BCC Office Board of County WM k �b1sl� 3/3 f 2 Z Commissioners 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 Karina Bardales,Grants Support Phone Number 239-252-2338 Contact/ Department Specialist/CHS Division Agenda Date Item was March 8,2022 ✓ Agenda Item Number 16.D.5 Approved by the BCC Type of Document Release of lien-Affordable Housing Number of Original 1 Attached Density Bonus : Garcia Documents Attached PO number or account 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? s*qke ak KB 2. Does the document need to be sent to another agency for additional signatures? If yes, N/A 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 KB signed by the Chairman,with the exception of most letters,must be reviewed and signed r !P > by the Office of the County Attorney. 4. All handwritten strike-through and revisions have been initialed by the County Attorney's N/A 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 KB 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 KB signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slip N/A 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 above date and all changes made during KB N/A ' 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 KB N/A is not BCC,all changes directed by the BCC have been made, and the document is ready for the 9 pxr> an option for Chairman's signature. this line. ** Please e-mail a recorded copy to Karina.Bardales@colliercountyfl.gov** 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 Receipt#%085 883 3/10/2022 12:06:53 PM co�00Rcoy,ro Crystal K. Kinzel Clerk of the Circuit Court and Comptroller 0 ffl g Customer Deputy Clerk Clerk Office Location PICK UP Donna A Rutherford Collier County Govt. Center MINUTES & RECORDS Donna.Rutherford@CollierClerk.com Building LA, 2nd Floor 3331 TAMIAMI TRL E (239) 252-7242 3315 Tamiami Trl E Ste 102 NAPLES, FL 34112-4901 Naples, Florida 34112-4901 1 Document Recorded DOC TYPE INSTRUMENT BOOK PAGE AMOUNT Release 6217680 6095 3028 $10.00 TOTAL AMOUNT DUE $10.00 Clerk Account#: BCC ($10.00) BALANCE DUE $0.00 Note: 3/10/2022 12:06:53 PM Donna A Rutherford: CHARGE ACCT 001-155930-649030 CHS Disclaimer: All transactions are subject to review/verification. The Clerk reserves the right to correct for clerical errors and to assess or refund charges as needed. ©00[11@OQ@CM Page 1 of 1 160 5 INSTR 6217680 OR 6095 PG 3028 RECORDED 3/10/2022 12:06 PM PAGES 1 CLERK OF THE CIRCUIT COURT AND COMPTROLLER Prepared by:Maria Aldana COLLIER COUNTY FLORIDA 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 certain Lien Agreement for Affordable Housing Density Bonus (the "AHDB Lien") executed by Ericka Garcia, to COLLIER COUNTY, recorded on 04/04/2006 in Official Records Book 4010, Page 1357 of the Public Records of Collier County, Florida, does satisfy, remise, release, quitclaim, exonerate and discharge the Affordable Housing Density Bonus Development Agreements against the premises conveyed by said Affordable Housing Density Bonus Agreements and more particularly described as follows: Unit 1205,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. 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 03/0$1 D,22- Agenda Item Number it . . ATTEST: BOARD OF COUNTY COMMISSIONERS CRYSTAL K. I EL, CLERK COLLIER COUNTY, FLORIDA 6.1). tilk, By: .: \.11t,iiimmiv By: �1' CLE' a." WIL 'AM L. MCDANIEL JR., CHAIRMAN Attest asAril_ # f sow siratute Approved for form and legality: J elleCr A. Bap edio Assistant County Attorney 0