Backup Documents 04/22/2025 Item #16D5 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6D5
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 rn
Services 1 "� JA\
2. County Attorney Office
fifty (�(krrhoh- Jis4 C-112.4-
3. BCC Office Board of County f
Commissioners 651 10/ 'y/ZZ
4. Minutes and Records Clerk of Court's Office ,
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/ Depat Intent
Agenda Date Item was 4.22.25
Approved by the BCC 16 0 5
Type of Document AHDB Release of Lien Number of Original
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 613846 and all changes made during the ri I'
meeting have been incorporated in the attached document. The County Attorney's 944
Office has reviewed the changes,if applicable. y/ZZ
9. Initials of attorney verifying that the attached document is the version approved by the A, 1: r»
BCC,all changes directed by the BCC have been made,and the document is ready for the a s,
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
D5
INSTR 6672996 OR 6461 PG 1981
RECORDED 4/24/2025 3:08 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 Lien
Agreement for Affordable Housing Density Bonus (the "AHDB Lien") executed by Mark T.
Korzen to Collier County, recorded on 09/26/2006 in Official Records Book 4111, Page 1660,
referenced in that certain Warranty Deed executed by PJM Limited Partnership, LLLP to Mark T.
Korzen,recorded on 09/26/2006 in Official Records Book 4111,Page 1658 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 8204, BOTANICAL PLACE, A CONDOMINIUM, ACCORDING TO THE DECLARATION OF
CONDOMINIUM 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-52.
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 41-I-R_a_ ,2025
Agenda Item Number 16.D.5
ATTEST: t''S BOARD OF COUNTY COMMISSIONERS
CRYSTAL K. KINZEL, CLERK COLLIER COUNTY, FLORIDA
By: ' �� By:
Attest t0 le,gr.1410016-
1 PUTY CLERK B R L. SA DERS, CHAIRPERSON
cirtnt;rr,,,i,,
Appro e f• I frrm and legality:
.r, __
Jeffrey KI ►kow
County tto y