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~ John T Brennan and Marilyn A Brennan - 2704 Placid Ave., Fort Pierce, Fla. 33450
~ Owned by:
~ N~me ~nd ~ddress of owner
E Fee Simple
Cwner's ~~terest in the site of the ~mprovement N~m~ and ~ddress of fe~ simpl~ title hold~r, if ofMr Man ownN
The person(s) or firm(s) who witl make said improvements under direct contract(s) is/are:
Tom lillv Construction - Hawley Road, Fort Pierce, Florida 33450
N~me u+d address of conn~ctw
and any others they may hire
N~me and +ddress of conrractw
The name and address of the surety on the payme~t of bonds (if any) as provided under Section 84.231 Florida
Statutes ~s: None _ ~
_ and the amount of such bond is 3 .
The name and address of the owner's authorized agent with this State (if any) on whom may be served notices or
other documents ~oncerning said improvement is: None
~ Copy of Notice to Owner as provided in Section 84.061 (2) (b) Florida Statutes is also to be sent to CITIZENS FEDERAL -
~ SAVINGS AND LOAN ASSOCtAT10N OF ST. LUCIE COUNTY, Fort Pierce, Florida.
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1
(OwnN a Autlwriztd Aq~nt)
70
Sworn to and subscribed before me this_ day of o~ p'"
ilNa~1. .[.`l. ~fr~r
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My Com ssio expires ~ 2' : ~ W ! ~~~os
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St~te of fler~d~. ~t tar~~ Mp~~ ~{~j(. Su~! 0' ~~Ofld~ it ~tq! ' - ~ • ~ ~ ~
T iJly Commusan Exp:res Sept. 16. 1915 ,S'T:~ ~ q~
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