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~otice oE ~omn~enren~ent
!TO 9E R~GORDED)
Property to be imp~oaed: I!.°.t. 5~. Colle~e. Park.Tsstates. Plat_ Unit_ 1, per_ plat_ t~:~reof .
. . .
in Plat Book 1?~__Pa~e_.52~~Public_ Records of St. Lucie County, Florida. ~ ~ N
(d escription su
f
~icient /o~ identif
ication) _i . ~ ~ ~ ~
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General description of the imp~ove»tent: ....-------R~$~dg~Ce ~..t"~.. _..~...Q~~rnz
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. Floridian Builders of Vero '~each~ Inc. ~Dp F
11'anie and add~ess of Owner- ~
~ :
22 South 26th Street Fort Pierce Florida `
__...------•--•---------r-------...---------------------------..._._.._...
Extent of Ownes's inte~est in property: (fee simple) othe~_
A~ame and address of f
ee simple title holder i
f other than Owne~_
_
(If ownershi¢ u othe~ than fee simple, the na»:e and address of the fee simple title holder must
also be ~iven)
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Floridian Builders of Vero Beach Inc. i
Nanie and address of Contractos-
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Nan:e and addsess of surety on payment b~nd, if any, and amount of the bond_ ~
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I
,
~ Amount _
,
Name and addsess, within the State of Florida, of a person other than the Owner signin~ thu ~
notice, designated by the unde~signed to ~eceiue service of notices or other docu»ients:
Title__S~~1~~~y__~Q~~3C _4~:.F41~ .~?-~~e.a--~0~__South _Second _Street __Fort . Pierce~._ Fla.___
Name and add~ess o
f person to ~eceive copy o
f Lieno~'s Notice as ¢~orrided in Sec. 84.061(2) (b)
. ,
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Florida Statutes (Optional): '
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DatPd this_~__7_t~,~---daY of_.__IiQ3!g~?e~________________ 19_67 ~
FR9~F VERO BFACH~ II1C .
. - - '
~ :~natu~e of Owner (o~ autho d agent)
\J ~ Orvis E. Coursey~ Presiden
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~~absc~~'atcd ~sLVO~n to befo~e me this.27t6:----• ----daY of-----Nove r----- 9----..7_
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..O~ARy
= r M ` G'~'m ~ ? r4 { e_xpises f - (Nota~y Public) ;
_ ~o U J, ~tnt~iv4t _ - -
;~d aeknow dgment of Ozuner) (or authorized agent of Oumer) `
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