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Backup Documents 04/22/2025 Item #16D4 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 D 4 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 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 & Human �� �`'1 Services 2. ietiltifertre1pedit1 County Attorney Office 1- r k��fzk�� � r►� YAZ 3. BCC Office Board of County / Commissioners 135 k/ /� q/22 4. Minutes and Records Clerk of Court's Office ( l 5 Y/221 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/CHS Phone Number 252-6030 Contact/ Depatlment Agenda Date Item was 4.22.25 / Approved by the BCC IC 0 Li Type of Document SHIP Impact Fee Releases of Lien Number of Original 3 Attached Documents Attached PO number or account number if document is 1053.138791.649030.33863.1 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 Stamp OK if Original is NOT required 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 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 MR document or the foal 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-64846 and all changes made during the at . :11 meeting have been incorporated in the attached document. The County Attorney's n'fly E Office has reviewed the changes,if applicable. Y/ZZ 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 �,�1, Chairman's signature. //// E��i;, 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 16D4 INSTR 6672987 OR 6461 PG 1971 RECORDED 4/24/2025 2:56 PM PAGES 1 CLERK OF THE CIRCUIT COURT AND COMPTROLLER COLLIER COUNTY FLORIDA Prepared by:Michelle Rubbo 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 Agreement for Deferral of 100% of Collier County Impact Fees for Single-Family Affordable Housing Dwelling executed by Jean 0 Rinvil and Marie T Rinvil, to COLLIER COUNTY, recorded on 11/8/2002 in Official Records Book 3150,Page 1505 of the Public Records of Collier County, Florida, having met the 15-year affordability housing obligation associated with the $6,082.98 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: Lots 30 and 31, Block 5, of the Main Line Subdivision, as recorded in Plat Book 1, Page 5, 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 w s approved by the Board of County Commissioners on-1 kD Agenda Item Number 16.D. . ATTEST: BOARD OF COUNTY COMMISSIONERS CRYSTAL K. KINZEL, CLERK COLLIER COUNTY, FLORIDA tt By: t , t.,:4.` By: Att as est Chairman CLERK B R L. SA D RS, CHAIRPERSON signature ►nib►, Approve d oorri• . d legality: imift ii iiii Jeffrey •e ' lat.1 ow County • orne INSTR 6672988 OR 6461 PG 1972 16D 4 RECORDED 4/24/2025 2:56 PM PAGES 1 CLERK OF THE CIRCUIT COURT AND COMPTROLLER COLLIER COUNTY FLORIDA Prepared by:Michelle Rubbo 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 Agreement for Deferral of 100% of Collier County Impact Fees for Single-Family Affordable Housing Dwelling executed by Jean Denize and Marie Denize,to COLLIER COUNTY, recorded on 4/5/2002 in Official Records Book 3013, Page 1050 of the Public Records of Collier County, Florida, having met the 15-year affordability housing obligation associated with the $4,848.82 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 13,of the Jubilation Subdivision according to the plat thereof,as recorded in Plat Book 37,Pages 4-7,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 wa approved by the Board of County Commissioners on-.4 5 ,Agenda Item Number 16.D. ATTEST: fik' ` : BOARD OF COUNTY COMMISSIONERS CRYSTAL K. KINZEL, CLERK COLLIER COUNTY, FLORIDA By - r� ;� By: ,.DEPUTY CLERK B R L. SA DERS, CHAIRPERSON Attest as to Chainnares signature onto. Approv- i • • I, and legality: /) , Igh& Jeffrey •1 ' lat. o County ' orn.I INSTR 6672989 OR 6461 PG 1973 1 67). 4 RECORDED 4/24/2025 2:56 PM PAGES 1 CLERK OF THE CIRCUIT COURT AND COMPTROLLER COLLIER COUNTY FLORIDA Prepared by:Michelle Rubbo 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 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 8/5/1999 in Official Records Book 2578,Page 2540 of the Public Records of Collier County,Florida,having met the 15-year affordability housing obligation associated with the$7,140.34 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 12, Block 5, Naples Manor Extension, according to the Plat Book thereof, as recorded in Plat Book,at 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 A\ lgenda Item Number 16.D. Q• . • ATTFTI ' ,� �'�'�` ' �,�, n � ,, ;a. BOARD OF COUNTY COMMISSIONERS CRY TA*" .:;-`; 'CLERK COLLIER COUNTY, FLORIDA z .�•. : .ram BY '"♦J� . �, By Atiest at to Chairma A.,014/:,,,e441644— —IDEPUTY CLERK BURT L. SAUNDERS, CHAIRPERSON sly onbi Approve oil and legality: 1' I1►.i . Jeffrey A l 1 lat¶ ow County A' orne