Backup Documents 01/13/2026 Item #16D 7 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 6 D
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 1.13.2026 BCC MTG
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
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. Lori Blanco Community and Human LB j 1/8/2026
Services
2. County Attorney Office—Jeffrey A. County Attorney Office
Klatzkow G G 1J I/13 lap.
3. BCC Office Board of County
Commissioners
4. Minutes and Records Clerk of Court's Office
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 Lori Blanco Phone Number 239-252-2675
Contact/ Department
Agenda Date Item was 1/13/2026 Agenda Item Number 16.D.7
Approved by the BCC
Type of Document RELEASE OF LEIN Number of Original 1
Attached Documents Attached
PO number or account 1053 138791 649030 33907.1
number if document is SHIP DR INS DED
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)
I. Does the document require the chairman's original signature STAMP OK LB
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 Yes
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 N/A
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 Yes
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 Yes
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 CCD
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 N/A is not
the meeting have been incorporated in the attached document. The County Ca an option for
Attorney's Office has reviewed the changes,if applicable. this line.
9. Initials of attorney verifying that the attached document is the version approved by the N/A is not
BCC,all changes directed by the BCC have been made,and the document is ready for the Cc,D an option for
Chairman's signature. this line.
Pp
INSTR 6774440 OR 6545 PG 1869
RECORDED 1/15/2026 9:28 AM PAGES 1
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
COLLIER COUNTY FLORIDA
REC$10.00
Prepared by:Tara Bishop
Collier County Community and Human Ser%ices
2671 Airport Road South Unit 203
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 Collier County Disaster Assistance Grant Funding executed by Judith
Ann Melick. to COLLIER COUNTY, recorded on 12/6/2024 in Official Records Book 6420,
Page 1289 of the Public Records of Collier County. Florida. having met the homeowners
insurance obligation associated with the S2,537.92,of SHIP Disaster Assistance program.of which
is hereby acknowledged does satisfy. remise. release. quitclaim. exonerate and discharge the Lien
against the premises conveyed by said lien and more particularly described as follows:
Unit Number 273,of QUAIL. ROOST, UNIT II. A CONDOMINIUM, according to the Declaration
of Condominium thereof, as recorded in Official Records Book 1140, at Page 1078 through 1165,
inclusive, of the Public Records of Collier County. Florida together with an undivided interest or
share in the common elements appurtenant thereto.
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 January 13, 2026,
Agenda Item Number 16.D.
ATTEST: BOARD OF COUNTY COMMISSIONERS
CRYSTAL K. KINZEL. CLERK COLLIER COUNTY, FLORIDA
.:', ;Az,
EiT` ..,. " DG Its
I P1 Il' ( 1 Rk I).A\ kO\\ \1.. C' IAIRPERSO\
• ttest as to Cflalrn an'S
4signature only.
0*,le, xwt :,:
Approved for form and legality:
----- CGS
Courtney 1.. I)aSilva IZ/ISt Z5-.
Assistant County Attorney