Loading...
HomeMy WebLinkAbout2032 - - ~ - 4'7428 4 stw ltll Yttw~rh~' RAIIiiCO FORM 1?a1S ' urr u?w. n »aa ~ t ~1~'tnt oaf text - - - - ° ~owtt~ sf St. I,vloie - Hob ~ruolls _ f3eforo nie. the undersi ed authari I rod 9n tY l1? aPPM - t - who. being duly sworn. says that ha is the lisnor hero+n a the spent of the lienor heroin f. Hab ~Ilalsss ttia Dalsae Plolltb~iln~ Os. - :~ia)wr's Name1 whose address is.......... 81I..E• ~O~ss.. lb0e~ . Pi~aN, . lli. - - - (Wnor's Addrossl - f and that in pun:u.:nce of a contract with ~ SbA ~ 3 lienor furnished labor. services or materials consisting of: (Describe specially fabricated materials ssparateiyl. mbar aed Irsi~ial for ea~~etb pleabd>Qg ~ os )~onse - ~ . on the following described real property in.......~r..Lri+ofd ....................:-•--••-•-••-........................County. Florida: (Describe real property sufnciendy far identification, including street and number. if known) - 1125. S. «asbaei~s - _ LaE 25, Bloat 52, tlbit 5 Post 3t. L>sais - - awned b Bil].ias- }jeh at1d..A,~..~~..... - - ~ . y•----....-•-• of a total value of . ~ _ . dollars ti (l~!1Q.OO~j of which there remains unpaid s~~~f~,~Q.-...,#~?S•.oO.,...:....j.... for which amount he claims a lien on the above - ~ described real property. ~ - He further says that liarior famished the first of said labor, ssnrices.or materials on -.--~~..3~ 19~.__., and the last of the same on.........l~Ta..2_...........--.-- • t9Z~.--•, and (if the lien ~ is claimed by one not in privity with the owner) that the lienor served his notice to owner on i (Method of Service) and, (if the lien is claimed by one not in privity with the cornractorl that the lierwr served a copy of his notice to - owner on _ ~ler• dbs -Pointe . 3o~uth. Haildera - beT 20 - contractor) on..._. ......................................................19.7.... by....~• - (Method of Servicel j -and additionally, (if the lien is daimsd by one not in prnrity with the subcoMractorl that the lienor served stogy - i - . of his nonce to owner on -,T~;:_'.~.~.... 18ubcontractor) ~ ~ i - (Mslhod ~?t S~rrjcpl ' ~ 3 . - _ - l _ - ttlf UAli! t• Lis~il D ~ • • PpTfUS iii , sti? a~~'~---- Rt.COtW ~'fR1ilC©_~ Agent ` - f/(') i Sworn to and s~ibscribsd beforo me this- ~ ~ of Gta". -...•......:..19.~P....:" eoo~C~~ ~ Notary- Public - Tltis Irtsfrun:~nl prratrr~•d b~•: Bob Boras - 1 _ .-1ddr~~c~ g],l ~ StAtE of f1~ot~' ~ 7 lbrt piiroe, llorf8a 35450 ~°j~ f~uc wut. M ~ ~0. - - - ~ Its . ~