Backup Documents 03/27/2012 Item #16D 1 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 160
1
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 PD 03/2.9/262
Services Department � cfif;/Abi-)
2.
3.
4. Ian Mitchell, Executive Manager Board of County Commissioners
5. Minutes and Records Clerk of Courts Office
PRIMARY CONTACT INFORMATION
(The primary contact is the holder of the original document pending BCC approval.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,including Ian Mitchell,needs to contact staff for additional or missing
information.All original documents 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 27,2012 Agenda Item Number 16.D.1
Approved by the BCC
Type of Document Two(2)release of liens Number of Original 2
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 03/27/2012(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
16D I
INSTR 4679134 OR 4784 PG 839
Prepared by: RECORDED 4/11/2012 12:41 PM PAGES 1
Priscilla Doria DW1GHT 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 Willie A. Smith and Tashonda Warren to Collier County, recorded on 6/27/2002 in
Official Records Book 3062, Page 1159, 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:
Lot 12, of the Jubilation Subdivision, according to the Plat thereof, as recorded in Plat Book 37,
Pages 4 through 7, of the Public Records of Collier County, Florida (1129 Serenity Lane,
Immokalee ,FL 34142).
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 4)3 day of MAe.CN ,;De.
ao)a-
,.. n V 0 4 Qo 1,,;,-,,
ATTEST,"�'.. ' ' ` , y BOARD OF COUNTY COMMISSIONERS
DWIGHT'E. BROC , CjI, ` COLLIER COUNTY, FLORIDA
By: ' tQe --J . By
later asfapi`gi� '� ty , e FRED W. COYLE, CHAI:S AN
$t{�mtar'r pt,a',. '
Approved as to form and
legal s iciency: k-
APE 0
e
Jeff Lir right
Assist. t County Attorney
160 1
INSTR 4679135 OR 4784 PG 840
RECORDED 4/11/2012 12:41 PM PAGES 2
Prepared by: DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
Priscilla Doria COLLIER COUNTY FLORIDA
Collier County REC$18.50
Housing,Human&Veterans Services Dept
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 Cypress Point Limited Partnership to Board of County Commissioners of Collier
County, recorded on 5/10/1994 in Official Records Book 1945, Page 0714, 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:
SEE ATTACHED EXHIBIT A.
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'} day of MA,C F4 , 2f, 11.
0701 a
A"FTESTT:�1, e,,,,4, i, BOARD OF COUNTY COMMISSIONERS
DWI IT.E:'BR , -Clerk COLLIER COUNTY, FLORIDA
--t ri t -�1
(-- ,4 In .r `v '-, I B W r
By �- " . _ ..tw..�s (' 1111/ y:
. 490 uty . ."k FRED W. COYLE, CHA AN
Approved as to form and __
legal s `i•iency:
Jeff tight
Assistant County Attorney
160 1
. . . . .
• •
.. .. . .
EXHIBIT "A"
A portion of the Southwest Quarter of Section 16, Township 49 South,
Range 26 East, Collier County, Florida, being more particularly
described as follows: COMMENCE at the intersection of the centerline
of 16th PLACE SW with the West boundary of the Southwest Quarter of
said Section 16 as shown on the Plat of GOLDEN GATE UNIT 4 PART 1, as
recorded in Plat Book 9, Pages 121 through 124 of the Public Records
of said County; thence N. 90'00'00"E., 686.40 feet along said
centerline; thence N. 00'00'00"E., 30.00 feet to the North
right-of-way line of said 16th PLACE SW, and the POINT OF BEGINNING;
thence S. 90'00'00"W., 609.14 feet along said right-of-way line to
the beginning of a curve concave to the Northeast having a radius of
25.00 feet; thence NORTHWESTERLY, 38.93 feet along said right-of-way
line and curve through -a central angle of 89'13'03", to the East
right-of-way line of SANTA BARBARA BOULEVARD, as recorded in said
Plat Book 9, Pages 121 through 124; thence N. 00'46'57"W. , 280.03
feet along said right-of-way line to the beginning of a curve concave
to the Southeast having a radius of 25.00 feet; thence NORTHEASTERLY,
39.61 feet along said right-of-way line and curve through a central .
angle of 90'46'57", to the South right-of-way line of GREEN
BOULEVARD, as recorded in said Plat Book 9, Pages 121 through 124;
thence N. 90'00'00"E., 1061.97 feet along said right-of-way line;
thence S. 00'00'00"W. , iW,0 ''Fe*` thence S. 90'00'00"W., 425.00
feet; thence S. 00/00/001%,./..0 i z3,cO feet; thence S. 90,00,00"W.,
24.00 feet; thence..S✓ OO'Op°p(j"y/,. 42,o feet to the POINT OF ,
BEGINNING.
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