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Backup Documents 03/08/2022 Item #16D 6 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 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 rrecceiiveedin the County At orney Office no later than Monday preceding the Board meeting. eee4914Zne9**NEW** ROUTING SLIPComplete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document 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. Karina Bardales Community and Human KB 03/04/2022 Services 2. Jennifer Belpedio County Attorney Office 3 3. BCC Office Board of County Commissioners W!I byf)s/ 3/8/22 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.6 ✓ Approved by the BCC Type of Document Release of Lien-CWIF: Garcia and Metz Number of Original . 2 Attached Documents Attached PO number or account number if document is 001-155930-369620 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, 0VZKB 2. Does the document need to be sent to another agency for additional signatures? Dyes, 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 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 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 KB 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 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 11/30/12 160 6 Receipt# 008535893 3/10/2022 12:14:52 PM :%1RC00„ ). Crystal K. Kinzel Clerk of the Circuit Court and Comptroller T11I;CIRs�1` 0 iffl 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 2 Documents Recorded DOC TYPE INSTRUMENT BOOK PAGE AMOUNT Release 6217696 6095 3078 $10.00 Release 6217697 6095 3079 $10.00 TOTAL AMOUNT DUE $20.00 Clerk Account#: BCC ($20.00) BALANCE DUE $0.00 Note: 3/10/2022 12:14:52 PM Donna A Rutherford: CHARGE ACCT 001-155930-369620 DEPT; 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. ©QQUriQQg ❑gg[11a Page 1 of 1 1 6 a 6 INSTR 6217696 OR 6095 PG 3078 RECORDED 3/10/2022 12:14 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 Deferral of 100% of Collier County Impact Fees for Owner Occupied Affordable Housing Dwelling(the "Impact Fee Lien")executed by Carlos Metz and Joyce Metz,to COLLIER COUNTY, recorded on 05/15/2008 in Official Records Book 4360, Page 2600 of the Public Records of Collier County, Florida, in consideration of $24,264.56 ($19,411.65 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 NO. 1603, BUILDING NO. 16 OF VISTA III AT HERITAGE BAY, A CONDOMINIUM, ACCORDING TO THE DECLARATION OF CONDOMINIUM THEROF, AS RECORDED IN OFFICIAL RECORDS BOOK 4322, PAGES 3638, 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 03/06o�a-- Agenda Item Number it • • Co . ATTEST: BOARD OF COUNTY COMMISSIONERS CRYSTAL .KINZEL, CLERK COLLIER COUNTY, FLORIDA •SON \Nit ( e)'1 " OA By ��. �' _11c�i1�11 By: .� �. ',~ `� LE' !' WILL/.M L. MCDANIEL JR., CHAIRMAN Att= ' C SIP • ,. gn �•.,�' �� :� $t Approved for form and legality: (:),97 Jennifer A. Belpedio C t Assistant County Attorney 7O 160 6 INSTR 6217697 OR 6095 PG 3079 RECORDED 3/10/2022 12:14 PM 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 certain Lien Agreement for Deferral of 100% of Collier County Impact Fees for Owner Occupied Affordable Housing Dwelling (the "Impact Fee Lien") executed by Ericka Garcia, to COLLIER COUNTY, recorded on 02/01//2006 in Official Records Book 3975, Page 2211 of the Public Records of Collier County, Florida, in consideration of$7,158.27 ($1,789.57 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 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 a proved by the Board of County Commissioners on1 J/08/2o21 , Agenda Item Number IL • . ATTEST: BOARD OF COUNTY COMMISSIONERS CRYSTAL K. KINZEL, CLERK COLLIER COUNTY, FLORIDA .4. . , ,,,,1,1,::::.... 4:p _ larb t, :‘,I.'-'.',4..:::::: • ilillIgn By: (--1-.2 / °Al° 1,0 11111r.. PUTY r E' WILL/• L. MCDANIEL JR., CHAIRMAN Sty v 4 • ,h ,*• Approved for form and legality: C).._): \,__ fa?' Jenm er A. Belpedio`- 037 ,\ Assistant County Attorney 4 r ,\ I