HomeMy WebLinkAbout1373i
5183~3
~-• 1!)) MECNANICf RAMCO FORM t20' i
u[N ~~w FS 71~0~
~l~ttlli ~~ ~t~l~ ~
~ ~ ~~
~oiad~ of Brevard
Betore me. the undersigned authority, personally appeared Carl Johns Mana~er
who, being duly sworn, says that he is the lienor herein or the apent of the lienor herein,
Cltmatrol,Sales Inc
(Lienor's Name)
(Describe -eal property sutficiently for identification, including street and numbe~. if known)
; 2565 Melsh Street Pt Stiucie, FL
~ al so 1(~ifi~ Knor~m as Lot 5 Bl ock 792 Secti on 18 St Luci e
~ ' ^ ~~~RK ~, . ~'l..~~ _.
. . .. ~~ . .-
on the following described real property in st ~,UCtQ County. Florida:
.19 .by
whoseaad~ess~s 529 S IRduStry RQdd COCOa, Rt1i11~~~X8Iftt FlOrida 32922 ,
(Lienor's Address)
; and that in pursuance ot a contract with ~.. ~. Mc Qermott . ,
I 2565 Ne1sh Street PL ST l.ucie, Fl. ,
~ lienor furnished labor, services or materials consisting of: (Describe specially tabricated materials separately) ~
. I
Fabrication and installation of screen pool enclosure I9`~i ;~~, 2 f -': 3- v I ~
~1834;3 5-`~G~;; . ~ .
-~c~- ~
= owned by L. E. MC Det~ott
: of a total value of Thi rty-three hundred twenty-fi ve
of which the~e remains unpaid S 1643 . ~~
do~~ars IS 3325 .00 ~ ;
for which amount he claims a lie~ on the above
described real property.
! He turther says that lienor furnished the first of said labor, services or mate~ials on
Oec~mber 12 •~9 80, a~d the last of the same on December ~2 . 19$Q , and lii the lien
' is claimed by one not in privity with the uwner) that the lienor served his notice to owner on
.19 .bY .
- (Method of Service)
and, (ii the lien is claimed by one not in privity with the contractor) that the lienor served a copy of h~s notice to
owner on
(Contractorl
on , 19 , by ,
(Method of Service)
and additionally, (it the lien is claimed by one not in privity with the subcontractor) that the lienor served a copy
i
of his notice to owner on
. on
(Subcont~actor)
(Method ot Serv~ce)
~
~_r:__.
.'J -~'1•I! 1
~ ~•\, ~•,~s~•a~~./'~~
, ~ ~ ~ .:: C,,; .. ~ ~ ,~•.
Sworn to and subsc-ittaf~aef~ ~hs tfli~
. `• ~~ ~ . f~~
ii~ ,. ~ .~
• ~ i ~~
l~hi• I ri.l r ~i rr-.•nl /~r~•pru'i~
I~l~~~i~~ i s!;~~~
~' ~ 34
H~
~' .
Climatrol Sales Inc ~
. ~ Li nor !
~C ~y
BY
Agent
' ~.__24 d,~ i~ February ~s Sl •
~~i .
,~~ Cl~~-- -~ ~
~ ~ Notary Public ;
~'Johns 11-Q-
9 S Industry Road ~~~~
Cocoa, Florida 32922 ~
~