HomeMy WebLinkAbout2871 ~....y.+~.civ
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ft~RiQA fTA1'1i1!! OItW'f fORal A1-1t0yi MlowfacNrsd aRd tat wl~ ?y TA~ Fi. A W. DttM COwpoay
N.1 JI -19d~ lotlwariti~. fl~tldo
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~.ot~ee o~ ~~on~~enrer~ent
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~ (TO BE R~CORDL~b)
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Property to be improved: ~'Ots 1~ 2~ ~3 and 4~ B.1.ock 2 of Lafarid Subdivieion~ ~ ~
~ ~accoi~d~.n.
g.t;o'.tiie~~~p
~it'o~'"e'~e'~f.~'f:ri'~ie'o~'`~:ea..
; , o~ the C~.erk of ~he Ci~t Co~ur~- a~. St, . I~uc3.e• Co+un~y~
~ . ..~.o~l.da~..in.-P1,a~.Aoro~ r ?ap~. .12.. . .
; - (description suf
facient for identification) ; •
; • General description of the improvement: C~e,rgi~l,,~a3.~dtn,g,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,~,,,,, ~
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I~Iame and address of Owner: ....Si~.~t~e.~:,_.~T.o~10._~...ki908~~..~.~i~i.A...k~~~..~A~...... ~
~ J~hn L. Lester ~ . ~
j .................................................1029. Sauth IndZan Riv~er Dr~ve~ _~t, Pi~rce~ Flor3da
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' ~ :t~2~.50 ~
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= Extent of Owner's interest in p~operty: (fee simple) other: ....~~~~;~..~yt~.~~~'~E~..
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{ ~ Nar?ze and address of fee simple'title holder if other than O ~9G4 OrL 31 ~'~1 l2: 30
z wner :
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r RUG~R PU11 ftdS. Ci.c~?K .
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` Sl,.•LU~l~..CQUti~Y,..E~.O.ftl~!J~.
(1f ownership u other than fee simple, the name and address of the fee simple title holder must
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Name and add~ess of Contractor : ....................k~.g~_?~. I.~e~~...........:...::....................... A ~
~ _ _ Fort PSerce ~ Fl,~rida ~
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t Name and address of surety on payment bvnd, if any, and amaunt of the bond r...... ~:.'i
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Nnme and address, within the State~of Florida, of a person other than the Oumer signing this ~
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f- notice, designated by the undersigned to receive service of notices o~ othe~ docu~nents:
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' Name and address of pe~son to receive copy of Lienor's Nqtice as provided in Sec. 84,Ofi1(2) (5) ~
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` Florida Statutes (Optional): . . 1
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Dated this...~~.~:~day of.....D~eanber............ 19.~ '
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~ . Si att~re of Owner (or authorixed ~~r~ :
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Su6scri6ed and sworn to be ore me this..........r~~ ~ da o ~ 1~'• • E
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; ,t•"--s Q~;~t'•~;r~ ~ ;
; ' ~ • Not~ry Puulic, Stat~ ot Florda et large ~j • ~ : , ~ ' - .
f~Ily Com~nission Exp~ret PAay 17, 1~68 •.2,-l.~~t.-._ ..n:~-~-~.. . •9~'~",~,...~ a•=N ` :
My Commission expir~~.~t~ ~t ,?n«K.~,~.. 6 co:...... ~~y ~ ~;~~~a ~ ~ i
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; (Add acknowledgment o
f Ou,ner) (or authorixed agent o
f Owner) aa
~ fa. {I.lfl Elxida Shfrf~ nqrint 4Mf qlt ~oHa ~ ncpd~d aift~ Ib ClKk ~f tM draU Gwf N CHrRfy rR~n pr~fy h IKeN!}~ 7 1~1~~.
~ h Iw~rwr ~.T tMi p~~r, u b+fon r~tww~clN eooRNNN ef aa t~ProweMt oNw d~%rN st ~~f. /UH IMf ~ artiti~l
, M~h~ w Ms iMs ~l tM isonr~wMM i~ ~ uu~ P~~or p M» h+NM ~f N» Nts s~d M~et Ma D~+N~ cov7 M wNflwp~~~1s~.
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