Backup Documents 10/22/2024 Item #16D 5 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP n
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 1 60 5
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 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. Michelle Rubbo Community and Human MR 10/17/2024
Services
2. County Attorney Office County Attorney Office C./J M/Z3
3. BCC Office Board of County
Commissioners iy,#O11 lo/Z4
4. Minutes and Records Clerk of Court's Office
10/./q/.2.1
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 Michelle Rubbo.Grants Support Specialist Phone Number 239-252-6030
Contact/ Department II,Community and Human Services
Agenda Date Item was October 22, 2024 Agenda Item Number 16.D.5
Approved by the BCC
Type of Document Recommendation to approve and authorized Number of Original 1
Attached the Chairman to sign one(1)Affordable Documents Attached
Housing Density Bonus Release of Lien
PO number or account
number if document is 1077-138711-649030-50137.1
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? MR
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 MR
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 MR
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 MR
document or the fmal negotiated contract date whichever is applicable.
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's MR
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 2/28/2023 and all changes made during thy'
the meeting have been incorporated in the attached document. The County yPh
Attorney's Office has reviewed the changes,if applicable. IS
9. Initials of attorney verifying that the attached document is the version approved by the __L ;• *A it
BCC,all changes directed by the BCC have been made,and the document is ready for the clCi x t • A�� oz�
Chairman's signature. I 'wluae
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
1 60 5
INSTR 6605473 OR 6408 PG 2658
RECORDED 10/25/2024 9:27 AM PAGES 1
Prepared by:Michelle Rubbo CLERK OF THE CIRCUIT COURT AND COMPTROLLER
Collier County Community and Human Services COLLIER COUNTY FLORIDA
3339 E.Tamiami Trail,Building H,#211 REC$10.00
Naples,FL 34112
THIS SPACE FOR RECORDING
RELEASE OF LIEN
KNOW ALL MEN BY THESE PRESENTS: That Collier County, whose post office address is
3299 E. Tamiami Trail, Naples, Florida 34112, the owner(s) and holder(s) of a certain Lien
Agreement for Affordable Housing Density Bonus (the "AHDB Lien") executed by Jessica
McNulty to Collier County, recorded on 04/04/2006 in Official Records Book 4010, Page 2405,
referenced in that certain Warranty Deed executed by PJM Limited Partnership, LLLP to Jessica
McNulty, recorded on 04/04/2006 in Official Records Book 4010, Page 2403 of the Public
Records of Collier County, Florida, does satisfy, remise, release, quitclaim, exonerate and
discharge the Affordable Housing Density Bonus Agreements against the premises conveyed more
particularly described as follows:
UNIT 1401, BUILDING 1, BOTANICAL PLACE, A CONDOMINIUM, ACCORDING TO THE
DECLARATION OF CONDOMINIUM THEREOF RECORDED IN OFFICIAL RECORDS BOOK 3933,
PAGE 2592, OF THE PUBLIC RECORDS OF COLLIER COUNTY, FLORIDA, TOGETHER WITH THE
EXCLUSIVE USE OF CARPORT NO. CP-5.
The undersigned is authorized to and does hereby satisfy and release these Liens with respect to
the above-named property, and consents to these Liens being forever discharged of record with
respect to said property.
This Release of Lien was approved by the Board of County Commissioners on (114er- 22 ,2024
Agenda Item Number 16.D,S
ATTEST: BOARD OF COUNTY COMMISSIONERS
CRYSTAL K. KINZEL, CLERK COLLIER COUNTY, FLORIDA
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• 4 , r DgPUTY CLERKr. CH HALL, CHAIRPE ON
c� ' rift!$ . Chairman's
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Approved`�foi 'orm and legality:
C y nseverino
A ant County Attorney
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