Backup Documents 03/13/2012 Item #16D 3 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP' 6 D
3
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
ROUTING SLIP
Complete routing lines#1 through#4 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#4,complete the checklist,and forward to Ian Mitchell(line#5).
Route to Addressee(s) Office Initials Date
(List in routing order)
1. Priscilla Doria Housing, Human&Veteran PDr) 0,7012
.
Services Department �,O.
2.
3.
4. Ian Mitchell, Executive Manager Board of County Commissioners 0 4114 I'
5. Minutes and Records Clerk of Courts Office
PRIMARY CONTACT INFORMATION
(The primary contact is the holder of a original document pending BCC approval.Normally the primary contact is the person who created/prepared the executive
summary.Primary contact informati is needed in the event one of the addressees above,including Ian Mitchell,needs to contact staff for additional or missing
information.All original documen needing the BCC Chairman's signature are to be delivered to the BCC office only after the BCC has acted to approve the
item.)
Name of Primary Staff Priscilla Doria Housing,Human and Phone Number 252-5312
Contact Veteran Services Please call or e-mail
for pick up
Agenda Date Item was March 13,2012 Agenda Item Number 16.D.3
Approved by the BCC
Type of Document One(1)release of liens-Density Bonus Number of Original 1
Attached Signature needed on all documents. Documents Attached
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. Original document has been signed/initialed for legal sufficiency. (All documents to be PD
signed by the Chairman,with the exception of most letters,must be reviewed and signed
by the Office of the County Attorney.This includes signature pages from ordinances,
resolutions,etc. signed by the County Attorney's Office and signature pages from
contracts,agreements,etc.that have been fully executed by all parties except the BCC
Chairman and Clerk to the Board and possibly State Officials.)
2. All handwritten strike-through and revisions have been initialed by the County Attorney's PD
Office and all other parties except the BCC Chairman and the Clerk to the Board
3. The Chairman's signature line date has been entered as the date of BCC approval of the PD
document or the final negotiated contract date whichever is applicable.
4. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's PD
signature and initials are required.
5. In most cases(some contracts are an exception),the original document and this routing slip PD
should be provided to Ian Mitchell in the BCC office within 24 hours of BCC approval.
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!
6. The document was approved by the BCC 03/13/2012(enter date)and all changes PD N/A is not
made during the meeting have been incorporated in the attached document.The an option for
County Attorney's Office has reviewed the changes,if applicable. line 6.
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05
160 3
INSTR 4679128 OR 4784 PG 829
Prepared by: RECORDED 4/11/2012 12:35 PM PAGES 1
Priscilla Doria DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
Collier County COLLIER COUNTY FLORIDA
Housing,Human&Veterans Services Dept REC$10.00
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 Impact Fee Agreement
executed by Graciela M. Wright to Collier County, recorded on 3/15/2006 in Official Records Book
3998, Page 2528, of the Public Records of Collier County, Florida, hereby does remise, release,
quitclaim, exonerate and discharge from the lien and operation of the said agreement, that certain portion
of the premises conveyed by said lien,more particularly described as follows:
Unit 105, Building 3, Botanical Place, a condominium, according to the Declaration of
Condominium, recorded at Official Records Book 3933,Page 2655,of the Public Records of Collier
County,Florida.(4510 Botanical Place Circle,#105,Naples,FL 34112)
The undersigned is authorized to and does hereby 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.
Dated this/,3 day of P4 4-Q C H, 2012.
ATTEST:: • i ! BOARD OF COUNTY COMMISSIONERS
DWIGHT;1 `t BRO(K,_e1erk COLLIER COUNTY, FLORIDA
f
r� a I If
;i7
�� B
By e ,'M1 .� Y
�. '' ,eputy Jerk FRED W. COYLE, CH AN
Attest el WOW%" i
3igntt>i Yltoi41 J . L
Approved as to form and
lega Ail iciency:
arab
Jeff I . right
Assi •• t County Attorney
1603
INSTR 4679127 OR 4784 PG 828
Prepared by: RECORDED 4/11/2012 12:35 PM PAGES 1
Priscilla
Prepared by: DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
Collier County COLLIER COUNTY FLORIDA
Housing,Human&Veterans Services Dept REC$10 00
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 Affordable Housing
Density Bonus Development Agreement executed by Graciela M. Wright to Collier County, recorded
on 06/07/2006 in Official Records Book 4050, Page 4149, of the Public Records of Collier County,
Florida,hereby does remise,release, quitclaim,exonerate and discharge from the lien and operation of the
said agreement, that certain portion of the premises conveyed by said lien, more particularly described as
follows:
Unit 3105, Botanical Place, a condominium, according to the Declaration of Condominium,
recorded at Official Records Book 3933, Page 2592, of the Public Records of Collier County,
Florida.(4510 Botanical Place Circle,Unit 105,Naples,FL 34112)
The undersigned is authorized to and does hereby 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. /
Dated this 13 day of ?-1A-g.0 , 2012.
ATP IP,' ?¢Ro ' BOARD OF COUNTY COMMISSIONERS
E. BROCIK : Jerk COLLIER COUNTY, FLORIDA
d f,r Kam# c .'�-A4a� F ,:;,%.:, '.�r i-M1.
BO key . :"'AIIME4W y:
e:�•t"ii-: ' m' =,pu"rClerk FRED W. COYLE, C IRMAN
' �,,� .
Approved as to form and
lega iciency:
Lia
Jef IF/right
Assi County Attorney