Backup Documents 12/10/2019 Item #16D 8 To Rec . L2`12--i9
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 6 D S
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATU V
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. Tom Calderon) Community and Human 12/3/19
Services
2. Jennifer Belpedio County Attorney Office ) .)7' 161\6l\
3. BCC Office Board of County
Commissioners \— 1t IANAk
4. Minutes and Records Clerk of Court's Office
AT /2111116 v: pr -
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 Tom Calderon Phone Number 252-4220
Contact/ Department
Agenda Date Item was 12/10/19 7 Agenda Item Number 16.D
Approved by the BCC
Type of Document Release of Lien-County Wide Impact Fees Number of Original 22
Attached Documents Attached
PO number or account
number if document is 111-138759.649030
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? vc N/A
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 TC
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 TC
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 TC
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 t e item is input into SIRE.
Some documents are time sensitive and require forwarding t Tallahassee within a certain
time frame or the BCC's actions are nullified. Be aware o your deadlines!
8. The document was approved by the BCC 12/10/2019 and all changes made during the TC 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. his 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 • . op ' ' or
Chairman's signature.
D\C
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
1608
INSTR 5802631 OR 5705 PG 1703
RECORDED 12/12/2019 2:41 PM PAGES
Prepared by:Tom Calderon CLERK OF THE CIRCUIT COURT AND CO1
MPTROLLER
Collier County Community and Human Services COLLIER COUNTY FLORIDA
3339 E.Tamiarni Trail,Building H,#211 REC$10.00
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 Samuel Trejo & Rebecca Castro, to
COLLIER COUNTY, recorded on 2/29/2008 in Official Records Book 4334, Page 1267 of the
Public Records of Collier County, Florida, in consideration of $15,553.08 ($12,442.46 plus
interests 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 27, Liberty Landing, according to the plat thereof, as recorded in Plat Book 47, Page 71, 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 \Z.\�O\\C\
2019, Agenda Item Number
ATTEST: BOARD OF COUNTY COMMISSIONERS
CRYSTAL K. KINZEL, CLERK COLLIER COUNTY, FLORIDA
d'Ae1041 tr441110
.�.l t� (9..Q e_, By: �..
lJ�- mr_
;hint fo LERK ` WILLI•j L. MCDANIEL, JR, C AIRMAN
sIrmaM OFI
Approved Sfetittfonn and legality:
9-)
Je OP A. Belpedio ` ��
Assistant County Attorney
S
16 O 8
INSTR 5802632 OR 5705 PG 1704
RECORDED 12/12/2019 2:41 PM PAGES 1
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
Prepared by:Tom Calderon COLLIER COUNTY FLORIDA
Collier County Community and Human Services 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 Agreement
with Developer for Deferral of 100% of Collier County Impact Fees for Owner Occupied
Affordable Housing Dwelling(the"Impact Fee Lien")executed by Habitat for Humanity of Collier
County,Inc.,to COLLIER COUNTY,recorded on 2/12/2007 in Official Records Book 4182,Page
0102 of the Public Records of Collier County,Florida, in consideration of$24,215.65 ($19,372.52
plus interest) 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 127, Trail Ridge, according to the plat thereof, as recorded in Plat Book 44, Pages 71-77, 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 ``ZVe:5\\'
2019, Agenda Item Number t
ATTEST: BOARD OF COUNTY COMMISSIONERS
CRYSTAL K.•KINZEL, CLERK COLLIER COUNTY, FLORIDA
-096
ce).4111116, ler
l c p By: -.."r.dr. ..!►
QaE 1 SCLERK WILLI L. MCDANIEL, JR, C'AIRMAN
ttesign ,uon1y.
Approved for form and legality:
Jennifer A. Belpedio (J'
Assistant County Attorney Q