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Backup Documents 05/27/2025 Item #16D 2 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP ,�� TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO i � THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE Pri t 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 Services SAfq,v 477 2. Jeffrey A. Klatzkow County Attorney Office 35b,nn,/ i 5/27 3. BCC Office Board of County 1)4 �. E Commissioners7 it 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/ Department Agenda Date Item was 5.27.25 1(4 . D, j- Approved by the BCC Type of Document CWIF Lien Releases Number of Original 3 Attached Documents Attached 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 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 final 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-6' S nd all changes made during the N/A is not an meeting have been incorporated in the attached documFnt. The County Attorney's -iL 'option for, Office has reviewed the changes,if applicable. S 2? 2,5 this line 9. Initials of attorney verifying that the attached document is the version approved by the t,./A is n' `le Y BCC,all changes directed by the BCC have been made,and the document is ready for the IL� ,'Ition fe Chairman's signature. a Wei 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 INSTR 6687923 OR 6473 PG 2336 t L RECORDED 5/29/2025 4:11 PM PAGES 1 CLERK OF THE CIRCUIT COURT AND COMPTROLLER COLLIER COUNTY FLORIDA REC$10.00 Prepared by:Michelle Rubbo 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. Tatniami Trail, Naples, Florida 34112, the owner(s) and holder(s) of a certain Lien Agreement for Deferral of 100% of Collier County Impact Fees for Owner Occupied Affordable Housing Dwelling (the "Impact Fee Lien") executed by Jacinto Benavides and Ana A. Almendariz Garza, to COLLIER COUNTY, recorded on 10/20/2010 in Official Records Book 4616, Page 79 of the Public Records of Collier County, Florida, in consideration of$18,239.08 having met the term is hereby acknowledged does satisfy, remise, release, quitclaim, exonerate and discharge the Impact Fee Lien against the premises conveyed by said Impact Fee Lien and more particularly described as follows: LOT 3, REGAL ACRES, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 49, PAGES 87 THROUGH 90,INCLUSIVE, 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 55/27/2 j , Agenda Item Number 16. P. 2 ATTEST: BOARD OF COUNTY COMMISSIONERS CRYSTAL K. KINZEL, CLERK COLLIER COUNTY, FLORIDA on .r ,fr •' •` 4.1%.":440444" Attesf a`s to Pr�arn� CLERK B RT L. SAUNDERS, CHAIRPERSON ;signature only 4 Appt•.'.el for . • .nd legality: itel Jeffrey ti a' kow Coun • ttort y INSTR 6687924 OR 6473 PG 2337 t 62 RECORDED 5/29/2025 4:11 PM PAGES 1 CLERK OFTHE CIRCUIT COURT AND COMPTROLLER COLLIER COUNTY FLORIDA REC$10.00 Prepared by: Michelle Ruhbo Collier County Community and Human Services 3339 E.Tamiami Trail,Building I-I,#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 Deferral of 100%of Collier County Impact Fees for Owner Occupied Affordable Housing Dwelling (the "Impact Fee Lien") executed by David James Hogue and Julie Lynn Hogue, to COLLIER COUNTY, recorded on 12/3/2018 in Official Records Book 5576, Page 2111 of the Public Records of Collier County, Florida, in consideration of$22,835.25 having met the term is hereby acknowledged does satisfy, remise, release, quitclaim, exonerate and discharge the Impact Fee Lien against the premises conveyed by said Impact Fee Lien and more particularly described as follows: 32 48 27 E1/2 OF NE1/4 OF SE1/4 OF NE1/4 5 AC OR 162 PG 27 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 5/Z7/25 , Agenda Item Number l6, D. 2 . ATTEST: BOARD OF COUNTY COMMISSIONERS CRYSTAL K. KINZEL, CLERK COLLIER COUNTY, FLORIDA . e f l , -i r- ,. rw By: By: . - : �, DEPUTY CLERK T L. SA D •RS, CHAIRPERSON t Atte-st:as to Chairman's k _' i. signature only App ;v: • '.i, , 'lid legality: fiqZ4I i._ _ . Jef ,!i, A. latz ow Couil, At ii•ney INSTR 6687925 OR 6473 PG 2338 RE CLERK OF THE CIRC11 PM PAGES 1 LOR DAURT AND COMPTROLLER CORDED 512912025 4. COLLIER COUNTY F Prepared by:Michelle Rubbo REC$10.00 Collier County Community and Human Services 3339 F.Tamiami Trail,Building H,ff211 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 Deferral of 100% of Collier County Impact Fees for Owner Occupied Affordable Housing Dwelling (the "Impact Fee Lien") executed by Wilbert Luders and Ncainsile A Khumalo, to COLLIER COUNTY,recorded on 7/18/2017 in Official Records Book 5416, Page 2913 of the Public Records of Collier County, Florida, in consideration of$20,537.70 having met the term is hereby acknowledged does satisfy,remise, release, quitclaim, exonerate and discharge the Impact Fee Lien against the premises conveyed by said Impact Fee Lien and more particularly described as follows: LEGACY LADS LOT 23 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 5)27/25 , Agenda Item Number II. DTZ___• ATTEST: BOARD OF COUNTY COMMISSIONERS CRYSTAL K. KINZEL, CLERK COLLIER COUNTY, FLORIDA NVI- By: _ .•�.r04 ._L� ' Y• Ag.,/....104€41.4— attest as toPAP,W nli CLERK BURT L. SAUNDERS, CHAIRPERSON signature only Apprl ` f')i• • : • legality: be„al Jeffre I' 'tzkow Count Att p ey