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~ BROWARD S a~~ p RA i
CLERK C{RC T
. R'CpRp~'ERIf1Ep..-.._
BEFORE ME, the undersigned authority, personally appeared ...yllxl,~xA~1..19?....~~RS....:.......
who, being duly sworn, says that he is the lienor herein
for the agent of the lienor herein), Adobe Building Centers, Inc. whose address is
-2056 Scott Street, Hollywood, Florida 33020
l lienor's Address)
and that in pursuance of a contract with CUSTOM.,i30USING SYSTEMS
- 'lienor furnished labor, services or material consisting of: (Describe specially fabricated materials -
separatelyl. ,
Drywall materials, metal framing materials, screws, miscellaneous
small tools, equipment rental and services
of a total value of EIGHT„HUNDRED NINETY-FOUR and 99,100-----,,,,,,,,,,,,,,„ Dollars
894...919 of which there remains unpaid $ .b~4...99.............., for which amount he
claims a lien on the following described real property in .ST..-••L[ICIE County, Florida:
(Describe real property sufficiently for identification, including street and number if known)
Lot 18, Block 13, PORT SAINT LUCIE, Section 25,
according to the Plat thereof-, recorded in Plat Book •
13, Page 32, of the Public Records of St. Lucie
County, Florida. ~
a/k/a 350 N.W. LaPlaya, Port St. Lucie, Florida
JAMES HAZELRAMP
Owned by
May 16,
He further says that lienor fumished the first of said labor, services or materials on .
, 1980....., and the last of the same on .,,,,July..3, 1980...., and (if the lien is
claimed by one not in privity with the owner) that the lienor served his notice to owner on
,,,,,,,,June 19.r,, 19 80,,,, by Certified Mail and if the lien is claimed by a wb-con-
(Method of~Service)
tractor or materialman tosub;contractor) that the lienor served his notice to owner on the privity con-
- tractor on ......N/.~1 19........, by N/.~?................... ,and (if the lien is claimed
- (Method of Service)
bx a materialman to a sub•subcontractor) that the lienor served his notice to the subcontractor on
N/A N/A
19......... by . .
. .
(Method of Service)
AD ILDII~Q C RS, INC.
By: ....~/vim'/'
Lienor or Authorized Age ~
I .
SWORN TO AND SUBSCRIBED before me this ~ 9th day of . ,September r~ ` ~';~1..: , .
RECORD AND RETURN TO: Notary Publ'~~, S~~ ~ i
TROAIA3 R SAAI<IADY ~ .g ~ ~ ` r- ~ 't
~ ;
I:, .
This /nstrument p~epareZANINB - /NTER~VAT?ONAL B S~ ~ ~ ~:t''':-~.
Address: =455 >;A3T 3UNR/SE BLVD. ~ E'~ ~
; .
PT. LAUDERDALE, FLORIDA SJ.~4 V ~
X339 p~E 2~i '
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