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JOSEPH E. SMITH, CLERK OF,"'• CIRCUIT COURT - SAINT LUCIE COUNTY -
FILE # 4171865 OR BOOK 3 PAGE 2793, Recorded 03/23/2016 at 2 PM
&ANNto - .
BY Il RECEI`' .0 MAR 2 3 2016
StLucie Coon U% ,ECORDINO-RETl1RN TO: II
PERMrr NUMBER:
The undersigned hereby given notice that it
Florida statutes the following information is
1. DESCRIPTION OF PROPERTY (Legal
Convenience Store with gas. 8630 US Hwy 1,
2. GENERAL DESCRIPTION OF IMPROVE
3. OWNER INFORMATION: a. NameF
b. Address 3225 Cumberland Blvd, Suite 100,
d. Name and address of fee simple titleholder
4. CONTRACTOR'S NAME, ADDRESS AND
5. SURETY'S NAME, ADDRESS AND PHOI
6. LENDER'S NAME, ADDRESS AND PHO
7. Persons within the Slate of Florida designated
Section 713.13 (1)(a) 7., Florida Statutes:
Racetrac Petroleum, Inc.
8. Regional Store Support Center
Attn: John Maxwell, Const. Man
4525 Vineland Rd., Suite 202
9' Orlando, FL 32811
Signature of Owner or
Owner's Authorized 0
'II',it ]p:a i•:14:•ul far l¢Coirlim: inln
or will be made to certain real property, and in accordance with Chapter 713.
in the Notice of commencement.
ion and street address) TAX FOLIO NUMBER: 3+21
T Are rS AT �Rir Ar_ 11NrT'
Port St Lucie. FL 34952
State offl.'YiftG��tx,
County Qpagj_0, The foregoingipstrument was ackjtgwledged before
Petroleum Inc
GA 30339
interest in property
NUMBER: Mulligan Constructors 3601 Vineland Rd, Suite 14, Orlando, FL 32811
NUMBER AND BOND AMOUNT:
NUMBER:
Owner upon whom notices or other documents may be served as provided by
(Name of party on behalf of whom instrument was
Sri qn L VI%I SOYI
(Printed Name of Notary Public)
flowing to receive a copy of the Lienor's Notice as provided in Section
)n date is 1 year from the date of recording unless a different date is
Print Name and Provide Signatory's
this I _Mtday of _ hydi 20 Jam.
as PreNde lt-
(Type of authority...e g. Owner, officer, trustee, attorney in fact)
:ecuted) Personally Known or produced the following type of ID: _
L ' NOTARY PUBUC
ROCKDALE COUNTY
Of Notary Public) cseol i STATE OF GEORGIA
!1r Commission Eltpires August 16, 2019
Under nalties of perjury, I declare that I have read tfre foregoing and that the facts in it are true to
belief ( eclion 92.525, Florida Statutes).
Stgnature(g) or Owner(s) or Owner(sy Authorized Ofricer/Directer/Partner/Mon�1ager/Awho signed above.
By: By VI(i'�liam l� 1 lli lam
I
an. owwwntl�omar) �i
STATE OF FLORIDA
ST. LUCIE COUNTY
THIS IS TO CERTIFY THAT THIS IS A
TRUE AND CORRECT COPY OF THE
ORI AL. _-
SMIT C Q`
By:
D® uty lerk
MA t 2 3 2016
6C n off,.
Date: