Backup Documents 10/23/2018 Item #16D 8 He(, blas !i
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE1 6 0 iii
Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Oce
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 ..}V4_, 10/17/18
Services
2. Jennifer Belpedio County Attorney Office ,,,. G� ia3 I I$`
3. BCC Office Board of County QHS (•�� la
Commissioners �`� S b\zA\\%
4. Minutes and Records Clerk of Court's Office
—Pm to(aLl It b 11:3,94tri
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 Susan Golden/CHS Phone Number 252-2336
Contact/ Department
Agenda Date Item was 10/23/2018 Agenda Item Number 16.D.
Approved by the BCC
Type of Document Release of Lien—Term Met Number of Original 4 I/.
Attached Documents Attached
PO number or account 111.138759.649030
number if document is
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? STA
OK
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 10/23/2018 and all changes made during the SG i
meeting have been incorporated in the attached document. The County Attorney's
1.,-44:-.:„
Office has reviewed the changes,if applicable. Fa ;
9. Initials of attorney verifying that the attached document is the version approved by t - i•
BCC,all changes directed by the BCC have been made,and the document is ready f sr the 3IZ .\t : ,, • `i
Chairman's signature. !• ..?_
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 5629597 OR 5566 PG 72 1 b 0 8
RECORDED 10/26/2018 9:25 AM PAGES 1
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
COLLIER COUNTY FLORIDA
REC$10.00
Prepared by:Susan Golden
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 Agreement
For Deferral of 100% of Collier County Impact Fees for Single-Family Affordable Housing
Dwelling executed by Habitat for Humanity of Collier County, Inc. to Collier County, recorded
on 11/21/2002 in Official Records Book 3158,Page 2473,of the Public Records of Collier County,
Florida, in consideration of $11,612.98, does satisfy, remise, release, quitclaim, exonerate and
discharge the Impact Fee Lien for term, against the premises conveyed by said Impact Fee Lien
and more particularly described as follows:
LOT 55,BLOCK A,HABITAT VILLAGE,ACCORDING TO THE PLAT BOOK THEREOF AS RECORDED IN
PLAT BOOK 37,PAGES 48 THROUGH 51,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 i Release of Lien was approved by the Board of County Commissioners on -
$%L a-6 , 2018, Agenda Item Number 11Q,r R .
ATTEST: , BOARD OF : TY COM IONERS
CRYSTAL K. K1N•ZEL, CLERK COLLIER ' I , FLO'. /•
By: OULAJL 1 --:‘ rJ ( . By: ....
'' ; DEPUTY CLERK ANDY SOLIS, CHAIRMAN
Attest as to airma $
signature only,
Approved as to form and legality:
\ •
Jenne -r A. Belpedio
Assistant County Attorn- °3:). \ ;'
16D8
INSTR 5629598 OR 5566 PG 73
RECORDED 10/26/2018 9:25 AM PAGES 1
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
COLLIER COUNTY FLORIDA
Prepared by: Susan Golden 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 Agreement
For Waiver of Collier County Impact Fees for Single-Family Affordable Housing Dwelling for
Habitat for Humanity, Inc. executed by Habitat for Humanity of Collier County, Inc. to Collier
County,recorded on 03/07/2002 in Official Records Book 2994,Page 2899, of the Public Records
of Collier County,Florida,in consideration of $10,428.82,does satisfy,remise,release,quitclaim,
exonerate and discharge the Impact Fee Lien for term, against the premises conveyed by said
Impact Fee Lien and more particularly described as follows:
LOT 7 BLOCK C, HABITAT VILLAGE, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT
BOOK 37, PAGES 48 THROUGH 51, 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
, 2018, Agenda Item Number 16. .
ATTEST: BOARD OF ! TY COMMI IONERS
CRYSTAL K. KINZEL, CLERK COLLIER '• , FLO:
By: .z �c By: A
Attest as to Chalrriarc s-
TY CLERK - DY SOLIS, CHAIRMAN
signature only.
Approved as to form and legality:
Jennifer A. Belpedio
Assistant County Attorn- )
0
1608
INSTR 5629599 OR 5566 PG 74
RECORDED 10/26/2018 9:25 AM PAGES 1
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
COLLIER COUNTY FLORIDA
Prepared by:Susan Golden 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 Agreement
For Waiver of Collier County Impact Fees executed by Habitat for Humanity of Collier County,
Inc. to Collier County, recorded on 02/14/2001 in Official Records Book 2777, Page 2021, of the
Public Records of Collier County, Florida, in consideration of $7,698.82, does satisfy, remise,
release, quitclaim, exonerate and discharge the Impact Fee Lien for term, against the premises
conveyed by said Impact Fee Lien and more particularly described as follows:
LOT 7,BLOCK 4,AMENDED PLAT OF NAPLES MANOR EXTENSION,AS RECORDED IN PLAT BOOK 3,
PAGE 101,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.
T4is Release of Lien was approved by the Board9of County Commissioners on
-40A--) a_. , 2018, Agenda Item Number 1 . .
ATTEST: e BOARD OF C' TY COMMI ONERS
CRYSTAL K. KINZEL, CLERK COLLIER d ' , FLO' .i
/
,
By: `;. �R By: A i
est as to L PUTY CLERK A DY SOLIS, CHAIRMAN
Signature only.
Approved as to form and legality:
Jenni er A. Belpedio
Assistant County Attorney CI P(40 },
•
0
1608
INS T R 5629600 OR 5566 PG 75
RECORDED 10/26/2018 9:25 AM PAGES 1
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
Prepared by:Susan Golden COLLIER COUNTY FLORIDA
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 Agreement
For Waiver of 50% and Deferral of 50% of Collier County Impact Fees for Single-Family
Affordable Housing Dwelling executed by Froylan Resendiz to Collier County, recorded on
04/30/2002 in Official Records Book 3027, Page 1721, of the Public Records of Collier County,
Florida, in consideration of $4,848.82, does satisfy, remise, release, quitclaim, exonerate and
discharge the Impact Fee Lien for term, against the premises conveyed by said Impact Fee Lien
and more particularly described as follows:
LOT 6, OF THE JUBILATION SUBDIVISION, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN
PLAT BOOK 37, PAGES 4 THROUGH 7, 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
, 2018, Agenda Item Number \l,D. .
ATTEST: BOARD OF C TY COMMIS IONERS
CRYSTAL K. WEL, CLERK COLLIER 'S , FLO' i ;
By: (1).„.44,,X-;�:
e By: L
�" a PUTY CLERK A DY SOLIS, CHAIRMAN
Attest ail()o
signature nlu,. .-
Approved as to form and legality:
Jenni *`• . Belpedio
Assistant County Attorney, '
0