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FIA. 1~67 lAW3 ~ 11AMG0 rORM ~tOr
FS 71~:~d
(~l~tt~t ~t~ert 3
3p32~
~ ~~or~~ ~
~ou~ cf St . Lucie
8afore ms, th~ undersiynsd authority, personally appeared BUD PAR1~R
who, beiny duly sworn, says Ihat he is the lienor herein 8?c # 7jic~iC*ii6i~bX~x?i,
BUD PARKER d/b/a INDIAN RIVER POOLS
. . . . . _ .
(Lienor's Name)
whose address is ......8504 South U, S. ~1, Port St . Lucie ~ Florida 33452 ;
_ _ _ _
(lienor's Address) ~
and that in pursuance of a contraci with Geo1'ge A, Costa d/b/a Costa Development ~
. . . ,
Corporation of Florida, Inc.
(ienor furnished labor, services o? materials consisting of: (Desaibe specially fabriwted materials saparatsly)
Re: LaSagra Highrise
Including ~ut not limited to: (2) Saunna Rooms -
(1) Pool
Landscaping
Concre~e Patio -
~.kN os~ ~tn iv~i + w~+-?`~`~ 1 ~P/J €
i Lighting, etc. ~ t
~aenty-Three Thousand Nine Hundred_g v~it Ei e no/100-- - ~
oF a total value of . dd~ars~i 1~, 97~. OU ) ;
~
oi which there remains unpaid S 10 , 300 . 00 , For which amount he daims a lien on the Folbwing
St. Lucie
desaibed real property in County, Florida:
(Describe real prope~ty sufficiently ?or identification, induding street and number if known) :
f
f~ ~
I7~Jr'1i00 'DoD~-DOD/ ;
7 =
THE NORTH 500 FEET o~ THE NORTH BEACH SUBDIVISION ~s RECOR~ED
~N PLAT BOOK 7 PIIGE 50, ST LUGIE GOUNTY, FLORIDA, LOCATED
i Oi~ ~~QP,TH BEACH, FORT P I ERGt, FLOR I DA, I t~lED I ATELY SOUTH OF
~ PEPPER PARK ON THE EAST SIDE OF AlA.
' ~wned b Lucille V. Costa ~
~ y
, _ _ _ _ . _ . ~
= October ~
, ~ He further says thai lienor fumished the First of said labor, services or materials on ;
F ~
; 19.73~ and the last oF 1he same on ....DeCe~ber . 20 , 19 75., and (if the lien '
i
s is daimed by one not in privi~y with the owner) that the lienor served his notice to ~wner on _
~
C ~ ~
_ _ t9 by. . _ In privity -
~ 03 (Method of Service)
~.~4.~sEO ~3 2c~
9 .i "
` Si`~u ~?r ,c'~!'"Tr f~~~ ~ Bud 'rarker d/h/. a. Indian River Pool
-~AS r~ ? ~
i k~ ^ ' ;,z COU~~''~
:
, _
Lienor t
: C:E' ` ~
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F ~'1- •
~ ~ t9 4 55 P~ 6 ~
, -
~ ~ ~ March 76 ~
; Swom to and subscribed beFore ms this._ .....__._......day of _ 19
- _ • . . . ,
, ~/)1~~ :
~.~._~~C~.a~`',~~~- . _ _ . .
~ ~ . ' ~ Nof~ ' PublitN. "
~ ~ J. ry fo~ #L ~t, Sbh eF Fbrid ot lary.
Commiss3~c~,i~.. B~ires,• Mr c.i~~~ Ex~~., ,~M
Ru ert Jasen Smith Es ui e'•: _ _~~~1' Am~~icaa ~n a.~~
"/7itc /uc/r~nur~rl ~~r~~+,~rr~l 1~~~. p ? ~I . ~ : . , h
715 Delaware Avenue •„~t'~;:'~
• ~~~~>n Ft . Piei ce Florida 3345~ '~l ' °'i
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