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Dexeiption ofpqxrW. (tegal d=ip4on of propony, and sbvd addiras if awni table) 2312, Atlante Beach BlvdEMY�EL:OEEORTPlr=RCESHORMUNIT4=RLK, ;�LOTIZ Fort R U91,1
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Owner inforrawon..
a. Name and addre'u-, ZL� Canaft,M12.Monfic Beach Blvd W-Fort Plerce, FL:34949.
b. Phone number
c� Nam and addren of fl*simplc,ddcholder(ifOt*&Ah qv�lw):
Conwwtor
a. Namiandladdrmw Superior Feade-and : Rail of Amard 016u*M , I2M N Harb(o(Clty 014d, At* 1Q2, mf,.FL 326�.
b, Phone .number 32143110829
j. Aflame laajaddrjw. Na
b. Adndont6f.bond S We r- Phone number n/a
a. Name ash address( nl�
b. PhDO.enumbcr n1a
Pettorswith the State,of Florida desiOAed by Oww upon whom notic.4s,orotber dom=tg maybe smed as provided by Sc in 713,V3(IXa)7.:
Florida st=es..
a. Nam'aviliddress. fila
.b. Phwe number n/A
ire addition to biinisclf, (}wises. rho fotlriwing prxsno{s} to cteeive ac�py of the I,ar's Nance se tsrovided:in Seetian '$13:13{I }{b},
Florida Statubec.
& Namcearl addrew,eta
b. Phone number ] Up— —.
Expitaqoq dam of notice ofconium=mcm (& expiration date is ont.(I)'year from ft date ofrecording unless a diarm daft ismwiflod)
i St M BEMRE THE FMT
LM4DER
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under pmwbts of ptx ury, I
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Personally Known OR FroducedIdenfifi,cadon
Type of identificiia,0roduced