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Backup Documents 12/09/2025 Item #16D 4 G' -Jr6 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP V€CPC TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 12/9/25 BCC MTG THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE Print on p nk paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney 0 4 cee 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. Michelle Rubbo Community and Human MR 12/4/25 Services 2. County Attorney Office— County Attorney Office 12/f 3. BCC Office Board of County Commissioners 4. Minutes and Records Clerk of Court's Office I 2- 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 Michelle Rubbo Phone Number (239)252-6030 Contact/ Department Agenda Date Item was 12/9/25 Agenda Item Number 16.D.4 Approved by the BCC Type of Document SHIP IF RELEASE OF LIEN Number of Original 2 Attached Documents Attached PO number or account 1053.138791.649030.33907.1 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 STAMP OK MR 2. Does the document need to be sent to another agency for additional signatures? If yes, N/A 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 MR 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 MR 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 MR 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 MR signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slip N/A 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 on above date and all changes made during of the meeting have been incorporated in the attached document. The County Z( M�j or Attorney's Office has reviewed the changes,if applicable. "I thH 9. Initials of attorney verifying that the attached document is the version approved by the BCC,all changes directed by the BCC have been made,and the document is ready for the C(4 l p , l yF' Chairman's signature. Y e INSTR 6761934 OR 6534 PG 1758 RECORDED 12/10/2025 12:33 PM PAGES 1 CLERK OF THE CIRCUIT COURT AND COMPTROLLER Prepared by:Michelle Rubbo 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 for Deferral of 100% of Collier County Impact Fees for Single-Family Affordable Housing Dwelling executed by Heriberto Sanchez and Gloria Sanchez, to COLLIER COUNTY, recorded on 7/15/2003 in Official Records Book 3341, Page 0943 of the Public Records of Collier County, Florida, having met the 15-year affordability housing obligation associated with the $12,389.98 of SHIP Impact Fee Waivers, of which is hereby acknowledged does satisfy, remise, release, quitclaim, exonerate and discharge the Impact Fee Lien against the premises conveyed by said lien and more particularly described as follows: LOT 20, BLOCK 11, NAPLES MANOR ANNEX, ACCORDING TO THE PLAT THEREOF RECORDED IN PLAT BOOK 1, PAGE 110, 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 Conunissioners on ialcila5,,Agenda Item Number_16.D. 4 . * TEST BOARD OF COUNTY COMMISSIONERS 'CIMW KINZEL, CLERK COLLIER COUNTY,FLORIDA $4.4..17, 4,,,\I • ,,',#, 4 `,',,,.. ' )11" ' : , By: 04011/ 4641(411.414' ' c,' S''!.., ' ' , * KA-44A-AAC— .�,�*'': - DEPUtTCs B L. SAUNDERS, CHAIRPERSON Attest as o signature only Approved for form and legality: Cia1/ 5- D:It*.--; . RI Jeffrey A. Klatzkow County Attorney INSTR 6761935 OR 6534 PG 1759 i 1504 RECORDED 12/10/2025 12:33 PM PAGES 1 Prepared by:Michelle Rubbo CLERK OF THE CIRCUIT COURT AND COMPTROLLER Collier County Community and Human Services COLLIER COUNTY FLORIDA 3339 E.Tamiami Trail,Building H,/121 1 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 Agreement for Deferral of 100% of Collier County Impact Fees for Single-Family Affordable Housing Dwelling executed by Candido Mendez, to COLLIER COUNTY, recorded on 7/15/2003 in Official Records Book 3341, Page 967 of the Public Records of Collier County, Florida,having met the 15-year affordability housing obligation associated with the$13,581.98 of SHIP Impact Fee Waivers, of which is hereby acknowledged does satisfy, remise, release, quitclaim, exonerate and discharge the Impact Fee Lien against the premises conveyed by said lien and more particularly described as follows: LOT 33, BLOCK 10, NAPLES MANOR LAKES, ACCORDING TO THE PLAT THEREOF RECORDED IN PLAT BOOK 3,PAGES 86 AND 87,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 lr , Agenda Item Number 16.D. 4 . AI1, 1 BOARD OF COUNTY COMMISSIONERS Cfilli ,K. . KINZEL, CLERK COLLIER COUNTY, FLORIDA �r fig ,��is k aL! rd1101 40 '. .....4,dircil 1 By: i (��"� ,DEPUTY CLERK B R L. SA RS, CHAIRPERSON 4 f' ,v Attest as to Chairman's qf4'4 916 � signature only Approved for form and legality: ' f .Lifi........, Courtney L. DaSilva Assistant County Attorney