Backup Documents 03/12/2024 Item #16D3 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 1 6 CI 3
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 Coun Attomey Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1. Lisa N. Can Community and Human LNC 03/7/2024
Services
2. County Attorney Office County Attorney Office O D Q S J 2`'c
b S
3. BCC Office Board of County
Commissioners Lll ` , , j 2/a/7 Y.
4. Minutes and Records Clerk of Court's Office
OfF
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.3
Approved by the BCC
Type of Document Release of Lien Number of Original 1
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)
1. 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 duringri
"
the meeting have been incorporated in the attached document. The County D ¢).V.o t
Attorney's 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 n n
Chairman's signature.
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
1603
INSTR 6521261 OR 6340 PG 1829
RECORDED 3/19/2024 3:57 PM PAGES 1
Prepared by:Lisa Carr CLERK OF THE CIRCUIT COURT AND COMPTROLLER
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 Claudia L.
Lorelli to Collier County, recorded on 08/21/2006 in Official Records Book 4091, Page 3787, 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 0425, both Liens being
further referenced in that certain Warranty Deed executed by PJM Limited Partnership, LLLP to
Claudia L. Lorelli, recorded on 08/21/2006 in Official Records Book 4091, Page 3785 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 105, BUILDING 6, BOTANICAL PLACE, A CONDOMINIUM, ACCORDING TO THE
DECLARATION OF CONDOMINIUM THEREOF 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-40.
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 n1 IQt CF( /Z. ,2024
Agenda Item Number 16.D. 3
ATTEST: BOARD OF COUNTY COMMISSIONERS
CRYSTAL K:KINZEL, CLERK COLLIER COUNTY, FLORIDA
By: iffDf/ By:
Attest as to Chairn?an's , DEPUTY CLERK CHRIS , CHAIRMAN
L signature only
App ved for form and legality:
P(‘) O
Derek D. Perry rl 'i
Assistant County Attorney