Backup Documents 03/12/2024 Item #16D6 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 1 6136
THE BOARD OF COUNTY C22MMISSIONERS 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 03/7/2024
Services
2. County Attorney Office County Attorney Office
.00 r 311021
3. BCC Office Board of County
Commissioners (if by /Y13fr/ 3f L/Z`1
4. Minutes and Records Clerk of Court's Office
MF 3-Ig 2
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,Grants Coordinator II, Phone Number 239-252-2339
Contact/Department Community and Human Services Division
Agenda Date Item was March 12, 2024 Agenda Item Number 16.D.6
Approved by the BCC,
Type of Document Releases of Lien Number of Original 3
Attached Documents Attached
PO number or account
number if document is 791-138791-649030 33807.1
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)
I. Does the document require the chairman's original signature? 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
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 03/12/2024 and all changes made during 1ti111 .
the meeting have been incorporated in the attached document. The County an op '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 f / 2 an option for
Chairman's signature. phis line.
Please return a signed recorded copy to: Lisa Carr, CHS,3339 E. Tamiami Trail, Bldg H
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
. 6 0 6
INSTR 6521219 OR 6340 PG 1745
RECORDED 3/19/2024 3:27 PM PAGES 1
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
Prepared by:Lisa N.Carr 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 Claudia Lorelli,to COLLIER COUNTY,
recorded on 05/17/2006 in Official Records Book 4038, Pate 2012 of the Public Records of
Collier County,Florida,in consideration of$8,947.84 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 6,BOTANICAL PLACE, A CONDOMNIUM, ACCORDING TO
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 approved by the Board of County Commissioners on MO (2 12624,
Agenda Item Number 16.D.Lit
ATTEST: BOARD OF COUNTY COMMISSIONERS
CRYSTAL K. KINZEL,CLERK COLLIER COUNTY, FLORIDA
By: :
Y B
Attest as to Ct aaman'�Df TY CLERK Chris 1, hairman
L.„.. signature only ..
App ved for form and legality:
pfa
Derek D. Perry \�0��
Assistant County Attorney '`
GPO
1606
INSTR 6521220 OR 6340 PG 1746
RECORDED 3/19/2024 3:27 PM PAGES 1
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
COLLIER COUNTY FLORIDA
Prepared by:Lisa N.Carr 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 Maricela Trejo Mendieta,to COLLIER
COUNTY, recorded on 05/02/2009 in Official Records Book 4431, Page 1773 of the Public
Records of Collier County, Florida, in consideration of$24,215.58 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:
LOT 59,TRAIL RIDGE,ACCORDING TO PLAT THEREOF, AS RECORDED IN PLAT BOOK
44, PAGES 71 THROUTH 77, INCLUSIVE, 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 MA( rZ)2OZl,
Agenda Item Number 16.D.6 ,
ATTEST: BOARD OF COUNTY COMMISSIONERS
CRYSTAL K. KINZEL, CLERK COLLIER COUNTY, FLORIDA
By: By:
Attest as to Ch(Y).2/t/I1t...b4P&
irma , DECLERK Chris all, Chairman
signature only
A ved for form and legality:
se,,A,44, d(to.x.r,orj
Derek D. Perry
Assistant County Attorney .;,\Ii
16Q6
INSTR 6521221 OR 6340 PG 1747
RECORDED 3/19/2024 3.27 PM PAGES 1
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
COLLIER COUNTY FLORIDA
Prepared by: Lisa N.Carr 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 F. 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 Jean Cramer, to COLLIER COUNTY,
recorded on 01/17/2008 in Official Records Book 4321, Page 2600 of the Public Records of
Collier County, Florida, in consideration of $24,264.56 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 1606, VISTA III AT HERITAGE BAY COMMONS, A SUBDIVISION AS RECORDED IN
PLAT BOOK 43, PAGES 46 THROUTH 54, 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 11412. 12) z0 z9,
Agenda Item Number 16.D.(2 •
ATTEST: BOARD OF COUNTY COMMISSIONERS
CRYSTAL K. KINZEL, CLERK COLLIER COUNTY, FLORIDA
By: rr PC"
1"1(
By:
Attest as to Chai.man's EPU CLERK Chris all, Chairman
signature only
Ap ved for form and legality:
De
Derek D. Perry \\'
Assistant County Attorney
Th