HomeMy WebLinkAbout020051~220
(Subcontractor)
ns ~s» -ucruhics RAMCO FORM 120~',
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Before me, the undersi ned authorit y eppeared ~.~ 3ri~1~1dt11 .
g y, parsonall
who. being duly sworn, says that he is the lienor he~ein or the agent ol the lienor hereio. _~
M#X.SXIA!~ld.~x~ . . . ~
(lienor's Name1 ~
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whose address is 650~. Les ~1,vd~ ~~t,,. .P~,el~e.~ F1~.~ 3345C? .. .'
(Lienor's Addressl
and that in pursuance of a contract with ~orae T.. ~1'1oM'~QP . ~
= lienor furnished labor, services o~ mate~iats consisting ot: 10esc~ibe specially tabricated materials separately) i
C~n:;tructed bedro~m ~nd bath, t~tal •f k00 squsre feet, ~dj~ining ~
existing hc:.:a at the lecation listsd bel~w.
on the following described real propertY ~n . cat t LuC3e Cetulty County, Florida:
(Describe real property su(ticiently for identification, includi~g st~eet and number, it known)
Legzl deserio~ion - 2322-413-~002-a~0/?
22 35 39 fro~n int. •f S. lin~ of N 3~4 oP S:. 1/4 and £. R~::
' Gentile Roaci, run h'S1y ~long Gentile Road R/'rt 1(?73.5 _°t. to -
PC::, th S. 9C0 Pt. th h'E1y246.5 f:. _
owned by Gepr~C T. 5no.r.den
_ _. .
of a total value of i8ri ~:1~Ilsatid dsli~~s.- -~_ dollars lS i`~,^~Q•00 1 ~.
of which there remains unpaid S ZC~'vOQ.~Q . for which amount he claims a lien on the above
described real property.
He further says that tie~or furnished the first of said Iabo~, services ar materials on .
J~zt. i5 s. ~~9 , 19 , and the last oi the same on LCC. 28~ l~j$Q , 19 , and lif the lien
is claimed by one not in privity with the owner) that the lienor served his nutice to owner on •
- .19 .by .
(Method of Service)
and, {if the lien is claimed by one not in privity with the contractorl that the lienor served a capy of his notice to °
~
owner on ~
(Contractor)
o~ .19. , by ,
(Metfiod of Service)
and additionally, (ii the lien is claimed by one not in privity with the subcontractor) that the lienor served a copy
ot his notice to owner on
~~ 514220
on
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