Loading...
Backup Documents 12/12/2017 Item #16D12 • Cat led tILe, ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP TO ACC OMPANY ALL DOCUMENTS SENT TO rj THE BOARD OF COUNTY COMMS ONERS OFFICE FOR SIGNAT6 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. Susan Golden Community and Human ' Services 1 2. Jennifer Belpedio County Attorney Office Q I e 3. BCC Office Board of County Commissioners YN.c/S t\77--. 4% 4. Minutes and Records Clerk of Court's Office —RY1 004fie 3:24106-1 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 miss' information. Name of Primary Staff Susan Golden/C .S Phone Number 252-2336 Contact/ Department Agenda Date Item was 12/12/2017 Agenda Item Number 16.D.12 Approved by the BCC Type of Document Release of LienNumber of Original Attached I I U 13 43 641.IP ti C) Documents Attached 1 PO number or account _ uj�c)( number if document is to be recorded # a 1' i3 S9` (1,CC7``tq () 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? S-1,r.p 4313- 2. Does the document need to be sent to another agency for additional signatures? If yes, NA 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 SG 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 NA 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 SG 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 SG signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slip NA 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 12/12/2017 and all changes made during the SG N/A is not meeting have been incorporated in the attached document. The County Attorney's an option for Office has reviewed the changes, if applicable. this line. 9. Initials of attorney verifying that the attached document is the version approved by the /A is not BCC,all changes directed by the BCC have been made,and the document is ready for the uS option for Chairman's signature. is line. Sv�,t1C.o\l€ 2.:253b ) \4•C ..\\4 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 5506327 OR 5474 PG 2214 RECORDED 2/6/2018 10:35 AM PAGES 1 DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT COLLIER COUNTY FLORIDA REC$10.00 Prepared by: Susan Golden Collier County Community and Human Services � / 6 3339 E.Tamiami Trail,Building H,#211 L 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 Rebecca D. Christopher to Collier County, recorded on 09/07/2006 in Official Records Book 4109, Page 0304, of the Public Records of Collier County, Florida, in consideration of$0.00, receipt of which is hereby acknowledged does satisfy, remise, release, quitclaim, exonerate and discharge the Affordable Housing Density Bonus Agreement against the premises conveyed by said AHDB Lien and more particularly described as follows: UNIT 404, BUILDING 7, BOTANICAL PLACE, A CONDOMINIUM, ACCORDING TO THE DECLARATION OF CONDOMINIUM THEREOF RECORDED IN OFFICIAL RECORDS BOOK 3933, PAGE 2655, 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 December 12,2017,Agenda Item Number 16.D.4. ATTEST: BOARD OF CO ► Y COMMISSIONERS DWIGHT E. BROCK, Clerk COLLIER CO 'ITY LURID /. By: By: ;,. A eputy Clerk Andy olis,Chairman Attest as to -`•i 's. signature Approved as to form and legality: Jenm r A. Belpedio Assistant County Attorney