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Backup Documents 11/12/2024 Item #16D 8 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP \\\C1.8C5 TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 1 6 8 THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE D 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 11/7/2024 Services 2. County Attorney Office County Attorney Office GSSI��j r 3. BCC Office Board of County Commissioners cif 1y i$2PI (l (cf 4. Minutes and Records Clerk of Court's Office C's 13-q 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 November 12, 2024 Agenda Item Number I ( Approved by the BCC Type of Document Recommendation to approve and authorized Number of Original 6 Attached the Chairman to sign one(6) SHIP IF ROL Documents Attached PO number or account number if document is 1053.138791.649030.33807.1 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? 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-2.48aferand all changes made during ` t. r the meeting have been incorporated in the attached document. The County osini) << Attorney's Office has reviewed the changes,if applicable. l(l(2 f 2 Y I < <"_ 9. Initials of attorney verifying that the attached document is the version approved by the I n BCC, all changes directed by the BCC have been made,and the document is ready for the WSIMh ,FI, Chairman's signature. 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 I608 INSTR 6613968 OR 6415 PG 2593 RECORDED 11/19/2024 1:28 PM 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 Agreement for Deferral of 100% of Collier County Impact Fees for Single-Family Affordable Housing Dwelling executed by Andre Jean and Willia Attilis,to COLLIER COUNTY,recorded on 04/13/2004 in Official Records Book 3541,Page 3571 of the Public Records of Collier County, Florida,having met the 15-year affordability housing obligation associated with the$10,498.98 of SHIP Impact Fee Waivers, of which is hereby acknowledged does satisfy, remise, release, quitclaim,exonerate and discharge the Impact Fee Lien against the premises conveyed by said lien and more particularly described as follows: Lot 57,Hallandale Subdivision, according to the map or plat thereof recorded in Plat Book 4, Page 25,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 I 1 I I2I2`{,Agenda Item Number 16.D. g . ATTEST: BOARD OF COUNTY COMMISSIONERS CRYSTAL K. KINZEL, CLERK COLLIER COUNTY, FLORIDA ,By: By. ,,' pt. ` , ,co,, ',iai,r BUTY CLERK CH L, CHAIRPER ON v Approved for form and legality: Carly nseverino Assistant County Attorney . 6D8 INSTR 6613969 OR 6415 PG 2594 RECORDED 11/19/2024 1:28 PM PAGES 1 CLERK OF THE CIRCUIT COURT AND COMPTROLLER Prepared by:Michelle Rubbo 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 Agreement for Deferral of 100% of Collier County Impact Fees for Single-Family Affordable Housing Dwelling executed by Mike Lora and Gabriela Lora,to COLLIER COUNTY,recorded on 02/11/2004 in Official Records Book 3500,Page 0208 of the Public Records of Collier County, Florida, having met the 15-year affordability housing obligation associated with the $7,629.98 of SHIP Impact Fee Waivers, of which is hereby acknowledged does satisfy, remise, release, quitclaim,exonerate and discharge the Impact Fee Lien against the premises conveyed by said lien and more particularly described as follows: The West 150 feet of the east 150 feet of tract 62,Golden Gate Estates,Unit 83,according to the map or plat thereof recorded in Plat Book 5,Page 22,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 I(I IZIZy , Agenda Item Number 16.D. $ ATTEST: BOARD OF COUNTY COMMISSIONERS CRYSTAL K. KINZEL, CLERK COLLIER COUNTY, FLORIDA 4 r '� By: CHAIRPERS N Attest as to CIna i i a CLERK CHRI L, signature only s if C; Approved for form and legality: Car anseverino Assistant County Attorney 6D8 INSTR 6613970 OR 6415 PG 2595 Prepared by:Michelle Rubbo RECORDED 11/19/2024 1:28 PM PAGES 1 Collier County Community and Human Services CLERK OF THE CIRCUIT COURT AND COMPTROLLER 3339 E.Tamiami Trail,Building H,#211 COLLIER COUNTY FLORIDA Naples,FL 34112 REC$10 00 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 Agreement for Deferral of 100% of Collier County Impact Fees for Single-Family Affordable Housing Dwelling executed by Manel Viaud and Marie Viaud, to COLLIER COUNTY, recorded on 07/22/2004 in Official Records Book 3611, Page 2331 of the Public Records of Collier County, Florida, having met the 15-year affordability housing obligation associated with the$7,629.98 of SHIP Impact Fee Waivers,of which is hereby acknowledged does satisfy,remise, release, quitclaim, exonerate and discharge the Impact Fee Lien against the premises conveyed by said lien and more particularly described as follows: Lot 32, Block 4, of the Main Line Subdivision, of the Southwest '/4 of the Southwest 1/ of Section 3, Township 47 South,Range 29 East,Town of Immokalee,Collier County,Florida,as recorded in Plat Book 1,Page 98,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 l2 Zy , Agenda Item Number 16.D. 8 ATTEST: BOARD OF COUNTY COMMISSIONERS CRYSTAL K. KINZEL, CLERK COLLIER COUNTY, FLORIDA • '3y: i ;l ; By: '` A est r`'s Chi *.r'STY CLERK CH ALL, CHAIRPER N ,gig ure=only Approved for form and legality: y nseverino Assistant County Attorney 160 INSTR 6613971 OR 6415 PG 2596 RECORDED 11/19/2024 1:28 PM PAGES 1 CLERK OF THE CIRCUIT COURT AND COMPTROLLER Prepared by:Michelle Rubbo 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 Agreement for Deferral of 100% of Collier County Impact Fees for Single-Family Affordable Housing Dwelling executed by Habitat for Humanity of Collier County, Inc., to COLLIER COUNTY, recorded on 12/20/2000 in Official Records Book 2756, Page 3270 of the Public Records of Collier County, Florida, having met the 15-year affordability housing obligation associated with the$7,698.82 of SHIP Impact Fee Waivers,of which is hereby acknowledged does satisfy, remise, release, quitclaim, exonerate and discharge the Impact Fee Lien against the premises conveyed by said lien and more particularly described as follows: Lot 19, Block 13, Naples Manor Lakes, as recorded in Plat Book 3, Pages 86 and 87, 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 i i II Z,V( , Agenda Item Number 16.D.2 ATTEST: BOARD OF COUNTY COMMISSIONERS CRYSTAL K. KINZEL, CLERK COLLIER COUNTY, FLORIDA • l3y' A st�s � y: ,signs ,�� n�yDEPUTY CLERK CH LL, CHAIRPE ON Approved for form and legality: t � Carly s erino As stant County Attorney INSTR 6613972 OR 6415 PG 2597 1 6 0 b RECORDED 11/19/2024 1:28 PM PAGES 1 CLERK OF THE CIRCUIT COURT AND COMPTROLLER Prepared by:Michelle Rubbo 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 Agreement for Deferral of 100% of Collier County Impact Fees for Single-Family Affordable Housing Dwelling executed by Habitat for Humanity of Collier County, Inc., to COLLIER COUNTY, recorded on 06/21/2005 in Official Records Book 3826, Page 2860 of the Public Records of Collier County, Florida, having met the 15-year affordability housing obligation associated with the $12,033.58 of SHIP Impact Fee Waivers, of which is hereby acknowledged does satisfy, remise, release, quitclaim, exonerate and discharge the Impact Fee Lien against the premises conveyed by said lien and more particularly described as follows: Lot 13,Block 2,Naples Manor,as recorded in Plat Book 3,Page 57,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 1111424 ,Agenda Item Number 16.D.3 . ATTEST: BOARD OF COUNTY COMMISSIONERS CRYSTAL K. KINZEL, CLERK COLLIER COUNTY, FLORIDA s t)...,04. iA.4. C" By: Attes{!s to' tfmar S CLERK CHRI ALL, CHAIRPERS N r`, signature only ei, , l;li <<. Approved for form and legality: Carl everino As stant County Attorney ------------------- ----- INSTR 6613973 OR 6415 PG 2598 RECORDED 11/19/2024 1:28 PM PAGES 1 608 CLE Prepared by:Michelle Rubbo COLLIER COUNTY FLARI T COURTAND COMPTROLLER Collier County Community and Human Services REC$10.00 DA 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 Agreement For Waiver of Collier County Impact Fees executed by Immokalee Habitat for Humanity,Inc. to COLLIER COUNTY,recorded on 07/20/1995 in Official Records Book 2083, Page 1404 of the Public Records of Collier County, Florida, having met the 15-year affordability housing obligation associated with the$6,169.52 of SHIP Impact Fee Waivers,of which is hereby acknowledged does satisfy, remise, release, quitclaim, exonerate and discharge the Impact Fee Lien against the premises conveyed by said lien and more particularly described as follows: Lot 36, Naples Manor Extension, Block 5, according to the plat book thereof, as recorded in Plat Book 3,Page 101,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 I111212`1 , Agenda Item Number 16.D.g ATTEST: BOARD OF COUNTY COMMISSIONERS CRYSTAL K. KINZEL, CLERK COLLIER COUNTY, FLORIDA By; cunt -4.1 By: latest o crfaeP Y CLERK CH L, CHAIRPER N sttg nature only Approved for form and legality: Carly s erino Assi ant County Attorney