HomeMy WebLinkAbout1479 •
4'x(1133
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~ ~ ST. LUCIE
.
Before me. the undersigned authority. personally appeared WIti.IAM GE.,ALD
who, being duly sworn, says that he is the lienor herein or the agent of the lienor herein,
Shelton Construction Co. -
(lienor's Name)
whose addressis..P• 0. Box 1992, Vero Beach, FL 32960
(Lisnor's Addressl
and that in pursuance of a contract with ~ H • Midel is
lienor furnished labor, services or materials consisting ot: (Describe specially fabricated materials separately)
Labor and materials consisting of removal of damaged roof, replaceme t
of certain portions and flashing of roof, placement of fillers in ro f
and two steel columns and contract to finish roof repairs; electrica
work; remove carpet and contents and storage; and supervision of oth r
workers.
S t . Luc le ........Count Florida:
on the following described real property in y,
(Describe real property sufficiently for identification, including street and number, if known)
N 445' of Lot 1, WILLIAM CARLSAN'S S/D, as per plat thereof filed at
Plat Book 3,. Page 24, Public Records of St. Lucie County, Florida,
and that part of the aforesaid Lot 1, lying East of U.S. Hwy. 1, as
described in Deed Book 155, Page 460, St. Lucie County, FL, also havi
reference at O.P.. Book 264, Page 325 and O.R. Book 213, Page 2295, St
Lucie County, FL; Street address: 4000 N. U.S. 1, Ft. Pierce, FL 334 0
owned by N,_.H,_ M,idelis...
20/100
of a total value of Seventeen .Thousand. Thirty .Seven - douars (s .17., Q37.20 - .1 .
of which there remains unpaid Z ~.1. ,.53.2 ..20 ,for which amount he claims a lien on the above
described real property.
Se tember 9
He further says that lienor furnished the (first of said labor, services or materials on p.
19 79 ,and the last of the same on .$ep_tember. _21 , 19 7.9 . ,and (if the lien
is claimed by one not in privity with the owner) that the lienor served his notice to owner on y~.A.
1
,19 .by
(Method of Service)
and, (if the lien is claimed by one not in privity with the contractor) that the lienor served a copy of his notice to '
i
€ owner on N/A
~ (Contractor)
on ,19.. ,by..
(Method of Service)
and additionally, (if the lien is claimed by one not in privity with the subcontractor) that the lienor served a copy
1
~ N/A
of his notice to owner on
(Subcontractor)
FILED 4M• :ED
,by_
R: (Method of Service)
t CLE~•
i RECO-- ~ ' _ SHELTON CONSTRUCTInN
` ~ .
} 4'7(1133 - '
AGENT ' •
Sworn to and subscribed before me this ~ day of 19.,4
~J ~ Notary Public' f•• -
l~hi.. In•f,nn?/•,?~ ~?„•p,?r/•/1I?~~: Shelton Construction ''JO11Rr r~~clc sr~1F`oi >to'Rftu~`,~ utOt
/ P . 0. Box 1992 Iv:~s otr."~tb tt~,
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