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HomeMy WebLinkAbout12-36-40BOARD OF COUNTY COMMISSION£RS January 28, 2002 PUBLIC WORKS DEPARTMENT James P. Smith 6014 Bamboo Drive Ft. Pierce, FL 34982 Re: Property Tax ID# 3402-610-0509-000/4 Dear Mr. Smith: Your application to split the property described by the reference ID number is tentatively approved subject to each parcel being combined with the adjacent lots as follows: 1) North V2 of Lot 14 on the submitted survey must be combined with the adjacent parcel described as Indian River Estates Subdivision Unit 9 Block 87 Lot 13 Property Tax ID# 3402-610-0509-000/4 Currently owned by you. 2) South ¥2 of Lot t4 must be combined with the adjacent parcel described as Indian River Estates Subdivision Unit 9 Block 87 Lot 15 Property Tax ID# 3402-610-0511-000/1 currently owned by Judith A. Suit. Upon receipt of a recorded Warranty Deeds reflecting final division of the property you will receive a final Letter of Approval. If you have any questions with regard to the above, please feel free to contact Linda Pendarvis at 561-462-1553. Sincerely, ~~ ~irecto RW:lap JOHN D. BRUHN, District No. '1 · DOUG COWARD, District No. 2 * PAULA A. LEWIS, District No. 3 * FRANNIE HUTCHINSON, District No. 4 · CLIFF BARNES, Distri County Administrator - Douglas M. Anderson 2300 Virginia Avenue ° Ft. Pierce, FL 34982 Public Works: (561) 462-1485 ° FAX (561) 462-2362 ) 462-1707 Fax 462-2362 * Division of Road & Bridge: (561) 462-2511 FAX 462-2363 DiVision of Engineering: (561 Divisian of Solid Waste: (561) 462-1768 FAX 462-6987 Division of Building & Inspections: (561) 462-1553 Fax 462-1735 · TDD (561) 462-1428 / OFFICE USE ONLY DATE' REC~-IVED: DATE APPLICANT NOTIFIED APPLICATION IS INCOMPLETE: LIST OF ADDITIONAL INFORMATION NEEDED: FILE NUMBER: DATE ADDITIONAL INFORMATION RECEIVED: RESEARCHED BY: ~ ********************** pROPER~X INFO ****************************** ZONING: LAND USE: . TAZ: , ** * * * * *'* '**.. ***.,~**** ******* 'k'*' ******* dr**** ** WARRANTY DEEDS FROM AUGUST 1, 1990. CHECK FOR EXISTING STRUCTURES- DO THEY MEET SETBACK REQUIREMENTS? NO YES IF PRIVATE UTILITY, HAVE LETTERS OF CAPACITY BEEN RECEIVED? WATER- YES NO YES NO DER- .__ SEWER- YES NO DER- YES NO _ IF USING SEPTIC SYSTEM, DOES EACH LOT CONTAIN AT LEAST 21,780 SQUARE FEET (1/2 ACRE) ? YES NO _ CERTIFICATE OF CAPACITY;REQUIRED ~ ' ~ DEFER~ ~FiDAViT ~QUI~D CO~NTS: ~ . ST. LU C I E couNTY 2300 Virginia Avenue Ft. Pierce, Florida 34982 Growth Management Division PAYMENT RECEIPT =============================================================== =============== TRANSACTION DATE: 15 JAN 2002 TRANSACTION NUMBER: 01146156 ...... ==================== REFERENCE NUMBER: LOT SPLIT - JAMES P SIMTH FEE CODE LOTSPLIT FEES COLLECTED DESCRIPTION LOT SPLIT AMOUNT PAID: FEE WAIVED: AMOUNT 100.00 $100.00 CHECK NBR: PAID BY: MEMO: 6137 JAMES P & JACKIE S SMITH ACSA LL/ O~ O~ ~0 o o~ J\ Ho 0 0 (G~t(II77ONI iON) .~mov4 ~ ~-~o~ ~/~ /LNVDVA ""X Z W W 0~'~ 0 N DATE: TO: FROM: RE: SUBJECT LOT: 09-04-81 11-26-91 NORTH OF LOT: 01-20-81 EAST OF LOT: 04-22-85 05-30-85 JANUARY 23, 2002 LINDA PENDARVIS PAULA LOT SPLIT - 3402-610-0510-000/4 INDIAN RIVER ESTATES UNIT 9 BLK 87 LOT 14 3402-610=0510.000/4 INDIAN RIVER ESTATES UN/T 9 BLK 87 LOT 14 CARL & MAy F VUGRINEc WILLIAM C & RUTH E KIRK LAST WILL & TESTAMENT OFRUTH E KIRK JOHN DAVID SPEAR TO: TO: 3402-610-00509-000/4/ND/AN RIVER ESTATES UNIT 9 BLK 87 LOT 13' W.C. COMPANY JAMEs p & JACKIE S SMITH TO: 3402-610_0528.000/3/ND/AN R/VER ESTATES UNIT 9 BLK 87 LOT 32 CHARLOTTE L & BRADLEY S MACEK SUMAc INVESTMENT,/NC TO: SUMAc INVESTMENT,/NC BRADLEY S & CHARLOTTE L MACEK TO: SOUTH OF LOT: 11-30-90 08-12-91 11-20-95 11-22-95 08-19-96 3402-610-0511_000/1/ND/AN R/VER ESTATES UN/T 9 BLK 87 LOT 15 EARL KERSEY HEBB BRIAN j & KRISTIAN D MOORE BRIAN j & KRISTIAN D MOORE BRIAN j MOORE JHM MORTGAGE SECURITIES, L.P. BRIAN j MOORE JHM MORTGAGE SECURITIES, L.P. SECRETARy OF HOUSING & URBAN DEVELOPMENT TO: TO: VS TO: SECRETARY OF HOUSING & URBAN DEVELOPMENT JUDITH ANN SUIT TO: LOT 14 IS VACANT AND HAS NOT St. Lucie Coun. ty Property Record Card £ucie ~ ~Page 1 of 2 St. County Property,~lppr~seser Geo~gr~Services Real Property Record for Parcel Number: 340261005100004 Record N~mber: I of t Location: TBD CTY ~ Section: 12 Township: 36S Range: 40E Show Loea~on Ma r~p~eed & Total Assessment ,and- 4700 - .... ~ Use and Photograph ............... :~ .............................................................................................................. :. ..................................................... : ................... ; .......................................................................................................................................................................... ................................................................................. : ................................................................................... ht¢ ://~'paslc.°rg/webmap/schpts/prc.pl? 10414268,340261005100004 1/23/2002 ri Vu~rlnmc and '~y F. Vugrinec, his Wife ' gtrk ' "' '. A~mofi~Z~. g~{~-: ~O Drive, Pt. P~eroe ~-~? ~ .s~. ,~ ~, ,~ · ' ' - · --- LOt 14, Bl~k 87, of I ' ----'~Y, P/orig. - -~c ~Ords of ~COkD 541476- - OR BOOK 1191 p~ 0140 LAsT WILL AND ?ES~ENT -of- i{~ E. KIRK I, RUTH E, KIRK, of the BoroLgh of Red Bank, County of MonmOuth and State of New Jersey, do hereby make and declare this to be my LastWtll and Testament. FIRST= I direct that m7 Just debts and fUneral eXgenses he Paid as soon after my death as is Practicable. SECOND: I give and devise to my son, JOHN DAVID SPEAR, my property in Flor/da known as Lot 14. Block 87, of Indian River Estates Unit 9, a Subdivision according to the Plat thereof, recorded in Plat Book 10. Page 74, of the Publlc ReCords of St. Lucle County, Florida and being the same property described in Deed Book 362, page 2025. In the event that my eon JOHN fails to survive me, then this der/se shall lapse. All the rest of my estate, herein- after referred to as my residuary estate, I give as follows: (A) One-third to my Son, JOHN DAVID SPEAR, Provided that he survives me. If he should fai~ to survive me, then in that event I give and dev/se his Share of my residuary estate to his son, ADA~LEE SPEA~. subject to the terms and conditions of Paragraph OR BOOK 1191 P~B~ 01~ FOD~TH of this Will, if saidADAMLEE SPEAR has not attained the age of tWenty-five (25) Years at the time of my death; (B) One-third to my daughter, Ab'DENA S. SYRACUSE, provided that she survives me. If she should fail to surv/ve me, then in that event I give and der/se her share of my residuary estate, per stirpes, Share and Share alike, to such of her children who sur- Vive me, subject to the terms and conditions of Paragraph FIFTH of this Will; and (C) One-third to my daughter, BARBARA WALTER, provided that she survives me. If she should fail to survive me, ~hen in that event I give and devise her Share of my residuary estate, per stirpes, Share and share alike, to such of her children who sur- vive me. (D) If any of my aforenamed three children, namely JOHN, AUDENA and BARBARA, should fail to survive me and not have any children SUrviving me, then that child's Share shall be divided eqUally by and among those of my three aforenamed children who do survive me. For purposes of this Paragraph THIRD the term children or child with respect to my son, JOHN DAVID SPEAR, shall refer to only his Son, ADA//LEE SPEAR. FOURTH: If any part of my estate shall be- COme payable or distributable to my grandson, ADAM LEE SPEAR, who Shall not have attained the age of tWenty-five (25) years, then I ~ive and der/se his Share of my estate -2- t/ ~OOK 1191 P~E 0142 ~OR to my hereina£Ter Trustees, Z~ TRUST, NEV~RTI~LEs$, hold and adm/nister until 'said grandson shall attain the aec of t-wen=y_five (25) years of age, and to pay to or for the henefl~ of said Erandson, so much, all or none, of said share, both income and principal, as my Trustees in t/aeir Uncontrolled and absolute discretion shall con- sider necessary or adVisable for the education o Erandson until he ah f such all attain The a§e of tWenty-five (25) years, et which time the remainder of his Share of my estate, with The accumulations, if any, shall be Paid and distributed To him, or if he shOuld die before time, shall be Paid and distributed Upon his death, in equal Shares, share and Share alike, to those of my daughters who Survive said ~rundson. If but one daughter should survive, Then she aha11 receive the entire share. The Term "edUcation,, as nsed in this Parasraph, includes without lim/tatton, a primary, SeCondary, vocational, college and P°st'~raduate education. The Trustees shall PrOVide adequate amounts for all la=ed ltVin~ and travel eXpenses as the Trustees, in Their discretion, shall determine to be reasonable. If my estate any beneficiary hereunder, with the exception of ADA}fLEE SPEAR, is s minor, then I empower my EXecutrix, in her discretion, to pay OVer the share of said minor to the parent of that minor, in Which event the refundln~ bond of such parent shall be a Sood, sufficient and com- Plete release and discharge of my EXecutrix in the matter' OR ~OOg ]--191 P~B~ Olz~ SIXTH: I nominate, constitute and appeint my daughter, ~JLARA WALTER, as EXecutrix of this my Last Will and Testament. If she shall fail for any reason either to assume or to complete the adm/nistra~ion of my estate, then I nominate, ConstitUte and appoint my daughter, AUDENA S. SYRAcuSE, as EXecutrix in the place and Stead of my dauEhter BARBARA. I nom/nate, constitute and appoint my dauEhters, BARBARA WALTER and AUDENA S. SYRACUSE, or the survivor of them, es Trustees of any trusts created or arising Under thc terms of th/s ~t1!. I direct that no Executrix or Trustee designated by me in this I~ill shall be required to §ire any bond or other security for the faithful performance of =heir duties as such in any ]Urisdlotion in which they may be called Upon to act, the same being hereby expressly Waived. SEVENTH: I make no provision for my son, ~ARTIN HALL¥, and make mention thereof only to indicate that such was intentional and not inadvertent. EIGHTH.. I may prepare a writ=eh statement or list to dispose of certain items of my tangible Personal property. I will either prepare this list in my hand- writing, or I Will sign a tYPed list. If I have Prepared such a list, it will be found with the original or with a copy of my Last Wil! and Testament. My Executrix shall make distribution of my tangible personal property as provided for in such lis t. I direct my Executrix to pay out -4- of my residuar7 estate al! estate and inheritance taxes by whatever name called tba= ma7 be payable because c£my death in respect of all Property comprisinE my estate for such death tax purposes, Whether or not such property Passes under this Will. TENTH: If any beneficiary referred =o in this WilI shall die within thirty (30) days after my death or the death of any Other person who is a beneficiary' Under this ~£11, such person sba1! be considered as ncc having Survived me, or such other PerSon. for ai1 purposes of this ~i11. By this Paragraph, I modify all otherwise cenflictln~ provisions of this Will, notwithstanding any law or rule of construct/on to the contrary. ELEVENTH: I hereby revoke al! Wills and COdicils heretofore executed by me. IN WIT~ss ~gREOF, I have hereunto SUbscribed my name this ~ ~ day of November, 1991. $I~NED, SEALED and DECLARED by RUTH E. KIPS. the Testatrix, to be her Last Will and Testament, in Our presenc% and we. ar her request and in her presence, and -5- ~ BOOK llgi P~ 014~ in the presence of each Other, have hereunto SUbscribed our names as w~tnesses, Address:. Adc[res s: -6- St. Lucie Cout}~ ty Property Record Card St. Lucie County Proper~y Appraiser Geographic Information Services Real Property Record for Parcel Number. 340 ' Location: 6014 BAMR ....... ' .............. .-2.-.~.!_005090004 R ...... ,~. 12 Township: 36S Range: 40E Show Location Ma:: ~r Legal Description, Deed & Total Assess ~]~uon, ~eed & Total Assessment Address: 6014 ga~o~,°- --'-'-'-'-.---~~o.~oO IIClasg.~ n ~-'-'-------~~~ Exempt.: 25000 Neighborhood & Use ........ Building Perimeter Sketch and Photograph Page 1 of 2 Improvements -BASE AREA -GARAGE 60 -OPEN POR 30 -POOL DECK C PRCIt/40 SW2 ~SP GU~'ITE Improvements / Extra Features SWI' ~K AVERA http:/Iwww.paslc.org/webmap/scfipts/prc.pl? 10414250,340261005090004 1/23/2002 -i I W. C. COMPA~T~ A. a corporation ~xtstin{t "~malt.r ~11~,1 d,. ~ra.t~ to ~, vo~t Pferce Flor fda 70747 ~&ll:o~ ~ad, Ua' , · . ~i..[~., ~IIM lA. ~,.nloe: zon ~zchzgan 49130 ns r~elpl Lot 13, Block 87, I~N RI~R EStATEs, UNIT NI~, a subdivSsion as recorde~- in Plat ~ok 10, Page 74 of the Public Records of St. Lucte County, Florida. ~0 ~ave and to ~[d, and t~ s.id &nd i~ [~ o[ December 31[ 1980. except t~es subsequen~ to C, .~-~ .................. ,.~ g~ ~ . ...,.,,~. A,td~ . 5600 Cassia Drive STATE COUNT~ aPPear, sworn.p 1981. St. Lucie Coun. ty Property Record Card St. £ucie County Property Appraiser Geographic Information Services Real Property Record for Parcel Number: 34026.1. . ### Sect ....12 Township: 36S Range: 40E Show Location Ma - Own er, Legal Description, Deed & Total Assessment ~l~oT 3~ :__ ' : '-UNIT 09- BL "~ .... II;;~; ~' .z {IVlAP 34/12S) (OR 466 HAddress: ,,5101 Balsam Dr H-135) I~ By~.'~~~'~<~' unoo I~Page::'50135 ~ ~00~ ' -~S:~ ~ate: 1985-05-0I~~l~h~ale Amt:Amt: 4920049200 _ 52.56/SqFt.Sa~e~T: -- i~~ ate valued: ~lPer~ts: C96- - ~ : 1~~~ .... ~0259 - Exempt.: 25000 ~~~uu Class: 0 - ~_ - ~ ~ ~~tal: 59000 ~ax~34~ eaerm Building Data Baths: 2: Bedrms: 3 Building ~ ~ ~ ~ Page 1 of 2 Improvements http://www.paslc.org/webmap/scripts/prc pl?10414433,340261005280003 1/23/2002 ~/ml',Gme m '. C.h.&rlotte L~ ~cek & Bradley B, Hicek, husband & 'wL£e S~C ln~lment, ~c. Until Buyer Closes on Home Norgage Loan, and/or the perLod of construction.. DOCUM~Ni-ARy~;,. ST~ ~~~"~:~.-~/:~:.~,,.,_.,~_._M.,' tAX I ' . ~ ~ I~ ...... ~ ~ ~ ~, ~o r~ o.l~ ~ ~ C~rlo~te & Bred ~cek, hus~ & ~e SuMac Bra~ey E. ~ek & ~loCte L. ~cek, his 6101 BGlsam ~Lve, ~t 32, 'Block 87, l~ ~ ESTA~S ~ NINE, ~ccordt~ Co t~ Plat ~he~f as r~o~ded in Plat-~ok 10, Page 74 of the ~bllc ~cords o~ SC. Lucre ~ty, Flor~. COUNTY 7~2 S. u.s. I PORT ~; LUCIE.'F WRITING OF A TITLE INSU~NC~ St. Lucie County Property Record Card St. Lucie County Property Appra's~er Geographic Information Services Real Property Record for Parcel Number: 340261. 0051.10001 Record Number: 1 of 1 Location: 6102 BAMBOO DR CTY ### Section: IX ~;~-fi~-~lip: 36S Range: 40E Page 1 of 2 Show Location Ma: Owner Legal Description, Deed & Total Assessment Name: SUIT, JUDITH A Address: 6102 Bamboo Dr Fort Pierce, FL 34982-3777 Legal: INDIAN RIVER ESTATES-UNIT 09- BL K 87 LOT 15 (MAP 34/12S) (OR 103 2-923) Neighborhood & Use General Building Data I, Improvements 7at SP5 -SCR PRCtt/50 ;BAS -BASE AREA GR.6 -GARAGE 60 Improvements / Extra Features 1977 http ://www.paslc. org/webmap/scripts/prc.pl ? 10414276,34026100511000y'd]'tSIdS/ "o~/~1/22/2002 due the prin* {u, or either; ~o~on he~r ~ mditib~s and .' by each and flce pxmnlum ~e rnoFt~a~ce ht hereun~r, then ailow~ and pam, abi~ Is or options , be/me n~, an onally appeared h day or 108~066 ~' ~;~: - _ ~O~ 10, BL0~ 87, Z~Z~ R~R EStATeS U~Z~ NO. ~Z~E, ACCO~ZN~ TO TH~ P~T TH~0F, ~CO~ ZN F~T B00~ 10, FAGK 74 0~ T~ PUBLIC ~C0~s OF ST. G~CZg COU~, F~RZDA. SUB~C~ TO Co~e~n~s, restrictions, e~eme~8 o~ record a~ ~axes Sa~ proper~ '~s no~ ~he homestead o~ The ~an~or(s) ~de~ ~ ~ns Ree Fee ~ DOI~GI AS DIYON ~ a~ . J COU~y OF F~ORIDA OOUGLa50lXO~ ~: gA~ ~RSE~ HEBB ... ~N~s ~ h~ and ~ ~ h ~c Coun~ ~ S~ last' ~CO~ & RE~U~ TO: FIRST ~E~C~ TiTL~ CO.ANy ST. LUCI~ CO~TY, INC. 302 SOUTH 2~ STRUT FT. P~CE, FLORIDA 34950 '- _/ z; ~o~eaald 11:35819 BRIAN M~RE ~d KR~TAN D. M~RE, ~, ~ BRIAN M~RE ~ ~ ~ ~ ~ 6102 ~ Drive, FL PJer~ F~ida 3e982 Doc T~ ~, .~ Cle~t Crr~u,l. Coud 1135819 ,*',~m~mgsm~pm, t~,, t~e+'~c * t ~ - St. Lucie , ~ of FI~i~ , ~. That cer~n pro~y ~i~ate 6102 ~ ~ive, In.an River ~at~, F~ Pier~, St. L~ie ~ty, Fl~ ~ more p~l~ly g~i~ ~ ST~Tg o~' Florida co~l'y oF St. Lucie e Scrivener o~ this g~rrument makes no representation of chack~ng the title a~ none wa~ requested and none made and has used the description furni~ed by request for ~nstrument.,, 3ohn Gaston ~;lt~ ~amh~ I~r Ft ~ ~ ~'. ~* ~-.~. ~r C~R~t!IT ~M[ IN THE CIRCUIT COURT OF T~R NINETEENTh{ JUDICIAL CIRCUIT IN AND FOR ST. LUCIE COUNTy, STATE OF FLORIDA J~ MORTGAOE SECURITIES, L.P. ,' Plaintiff, vs. Case .No.: 94-1130-CA0~ BRIAN J. MOORE, et ux;, et al., ~.. Defendant (s), The undersigned ' s~ * ' ' Clerk of abe Court certifie h~;at xecuted and filed a Certificate of Sale in this action for n'o Objections 'to the-sale have been filed withi~ allowed for filling objections. The following proper~y in ST. LUCIE County, Florida LOT 15, BLOCK 87, INDIAN RIVER E~TATES UNIT # NINE, ACCORDING TO - T~{~ PLAT THEREOF, RECORDED IN PLAT BOOK 10, 'PAGE 74 OF THE PUBLIC RECORDS OF ST. LUCIE COUNTY, FLORIDA. ' WAS SOLD TO: JHM'MORTGAGE SECURITIES, L.P. W}iOSR ADDRESS IS: P.O. BOX 5013, CARPINT~-RIA, CA 93014 WITNEss my hand and the seal of the court on P.o. ~o~ ~3~7 :.T':'..:"'-'.~?'~:.~..'t~~ Tampa, Florida 3360~ ~ ~"/2 '~'~'~'.% Copies ~o: f?"{~ .~9<:'.~ ~; ~ CLER~ Atty. for Plaintiff o? o~ · ,~. Doc 'l'ax : $ 0.70 '~ In'l: Tax : $ 0.00 O. O0 ~ ~ ~t~ ~ ~ S~ZT~S, L.P., ~d ~v~ ~ principal place o~ ~0 ~esa In =h ~ty o~ Scottsb~uf~ , s~ o~ Nebras~ ~0 ~; ' D~a~t~ Br~c~, 3751 ~re BI~., ~ o~ the Se~ the ml~d ~rt~ oZ ~ meco~ part, ~e rece~ph Securities L.P. F~ -'~'~ ~ourc~ ~o;~gage Corporation 1R~t~ Lashley ~ ~ ~i, ~ 69361 ' ~:. AFFY-M¢T IS PERSOnALLy KHO~N TO ME __ OR HAS PRODUCED AS ZDEHTTF:~CATZOH. orcgage 000~ XOOH HO 01d FE.A. Case (~ 094-245686-703 * ~nt Tax : $ 0.00 ~ ~, 'Clerk of the C~cu~..Cour: F~Ze Nu~er: Z494784 OR BOOK ~0~2 PAGE 0~3 Recorded: 08-26-96 03:32 DEED ~'OR PLOHIDA T~XS ~ND~ITO~, Ko. de ~0 19, 199~ C%~OS, Seareta~ of D--~ ..... ,' ~ ~d betw~ ~y 'G. wuhi~on D C (her~i~`~ ~_~ ~ouszn~ ~ ~ Develo~t o~ ~Z~ ~ SUZT, A B~G~ ~B~ 262-88-1367; aB "0r~tee(s).}. 6102 ~0 DRy, FT. PZ~, F~ort~ 34982. conv~ ~d a~t~,~e0 ~ sa~d Or~tee(s), · Flor~, ~re Pa~eularly ~er~ed aa fol~, to wit: L~ 15, B~ 87, ~ HZ~ ESTA~S ~IT N~, AC~ TO ~LZC ~S ~ ST. LUCZE ~, ~A. ·areel I~tAfAaa~ion ~er: 3402-610-05X1-000/~ -- B~X~ ~ s~ pr~e~y aa~ir~ ~ the.~ gr~bo~ pura~ eo prov/a$onf' of ~e he~onal ~s~ng A=t, as ~ded (12 US~ 1701 et seq.} ~d ~ D~ar~t of Housing ~d U~ D~el~e ~e (79 Stat. 667). T~E~R wi~ a~l ~ sin~lar, the ~ts, h~ed~s ~d pro~i~s thereof. ~d also all ~8 ea~a~e, right, ~i~le, in~es~, pr~erty, Posaesaio~, ela~ ~ ~ w~tso~er, ~ well in law aB in -- e~ity, of ~e Gr~tor, of, ~ ~d to the s~, ~ereo~, w~ ~ ap~ure~ees. TO ~ ~ ~ HO~ ~e ~ gr~t~ ~d ~eser~ ~r~ises wi~ the gr~tee(s), ~ their ~1~ pro,er use, b~fi~ ~d b~oof forever. ~ TO ~L cov~s, res:fictions, rese~ati~s, eas~t~, condiei~s ~ rights a~e~g of recor&; ~d ~CT ~o any state o~ ~ ~ ~id Grantor ~ea ~r~y specially wa~r~ against the lawful =la~s o~ ~2 pers~s claiming him/~. PREPARED BY: JUDY FOR~T RECORD a ~RETURN TO: Fib:et ~mer~ ~ns~ce C~p~y 168S ~ RO~ SUZ~ 100 WI~R ~, FLOR~A 32789 F~le NO~ t~d ., '0~ BOOK :LO3"J' PAGE , ]IUD ORLAI~O 0££i~e, Orlando, floz~da, £oz and c~ behal£ .35 F.R, ~6206 , as mu~uded, undez authoz~ and deXiveredin ~he pzesen~e 37S~ iligui~:t B~vd., ~L~tl 270, .Orlando,'FL 32803 / ~ STAT~ OF PLOItXDA CO42HT~ Or ORANGE .Ba~ore me personally &ppea~ed A~ ~)~ ~t~_~_, who ia ....... 'waX1 ]mow~ ~.o Re and knows to ma ~o ba~~ - ~ ~e cae auAy &ppolnt~d _ Y, ~ a~vle~ed oo:~t a ~t b/sb ~e~ed ~n mm af ~ ~0 ~. 0~2~, FI~A~, ~oz ~ on behX~ O~ ~Y G, CZ~OS, ~ing nd ~ D~l~t, Was~n, ~C, #i~ness~hand and o£~iaiaX aeaX this _.L.~da7 of~, ~996. ~Connission~ixes: