The URL can be used to link to this page

Backup Documents 04/14/2026 Item #16D 3 `c7 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1, 6 D 3 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 and Human MR 4/9/2026 Services 2. County Attorney Office County Attorney Office GGbV/tIP& 3. BCC Office Board of County Commissioners Dk , is/ 4. Minutes and Records Clerk of Court's Office S III5 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,Community and Human Phone Number 239-252-6030 Contact/ Department Services _ Agenda Date Item was April 149 2026 Agenda Item Number 16.D.3 Approved by the BCC Type of Document Recommendation to approve and authorized Number of Original 2 Attached the Chairman to sign Two(2)CWIF Documents Attached ROL's.... 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? No 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 MR should be provided to the County Attorney Office at the time the item is input into CivicPlus. 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 4/14/2026 and all changes made during N/A is not the meeting have been incorporated in the attached document. The County CGD an option for Attorney's Office has reviewed the changes,if applicable. this line. 9. Initials of attorney verifying that the attached document is the version approved by the N/A is not BCC,all changes directed by the BCC have been made,and the document is ready for the G(� an option for Chairman's signature. this line. 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 6 D 3 INSTR 6811643 OR 6576 PG 990 RECORDED 4/16/2026 12:46 PM PAGES 1 CLERK OF THE CIRCUITFLORIDA COURT AND COMPTROLLER COLLIER COUNTY 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 Lien Agreement for Deferral of 100% of Collier County Impact Fees for Owner Occupied Affordable Housing Dwelling (the "Impact Fee Lien") executed by Marie C. Saint Hilaire and Loundy Saint Hilaire to COLLIER COUNTY, recorded on 9/14/2007 in Official Records Book 4282, Page 0685 of the Public Records of Collier County,Florida, in consideration of$10,177.64 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 130,Independence,Phase II, according to the plat thereof,as recorded in Plat Book 43, Pages 64 through 66, 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 41A\ , Agenda Item Number 16.D. 3 ATTEST:. BOARD OF COUNTY COMMISSIONERS CRYST , KINZEL, CLERK COLLIER COUNTY, FLORIDA �71' By: , , �,. ,'1��`� ;.*;,.DEPUTY CLERK DAN KOWAL, HAIRPERSO Approved for form and legality: • Jeffrey A. Klatzkow County Attorney CAO INSTR 6811644 OR 6576 PG 991 1 6 D 3 RECORDED 4/16/2026 12:46 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. 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 Daulat Khan and Nasrin Akhtar to COLLIER COUNTY, recorded on 6/28/2007 in Official Records Book 4250, Page 2535 of the Public Records of Collier County, Florida, in consideration of$7,158.27 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: Unit 203, Building 9, Botanical Place, A Condominium, According to the Declaration of Condominium thereof recorded in official records Book 3933, Page 2658, 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. II This Release of Lien was approved bythe Board of County Commissioners on 114 47, Agenda pP I Item Number_16.D. 3 . ATTEST: BOARD OF COUNTY COMMISSIONERS 11 rIQI. EL, CLERK COLLIER COUNTY, FLORIDA tt t7/,' fl '. ' V„ J.Fd II f y s r 1 ° t't:,K� '7.r �9- / By '','A," 1 <.'.r s:, By: � • �' y; , r(r� �, ',''4, ,� .... , PUTY CLERK DAN KOWAL, HAIRPERS <) w4 ar �°"��` �� 14 1�C, . Approved for form and legality: tet ,:,.i)11 :=:::,___ Jeffrey A. Klatzkow CiLD County Attorney