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Summit Construction of Vero Beach, LLC <br />2837 Flight Safety Drive <br />Vero Beach, FL 32960 <br />FINAL WAIVER AND RELEASE OF LIEN OR CLAIM AGAINST BOND <br />The undersigned, in consideration of the FINAL payment in the amount of $28,787.15 <br />hereby waives and releases its lien and right to claim a lien for labor, services or <br />materials furnished through 3/31/2014 to Summit Construction of Vero Beach, LLC to <br />the following property: <br />GIFFORD BALLFIELDS IMPROVEMENTS <br />4715 43RD AVENUE, VERO BEACH, FL 32960 <br />This waiver and release does not cover any retention of labor, services or materials <br />furnished after the date specified. <br />Date <br />State of Florida <br />County of (v1Ci tv 24vu <br />Lie <br />BU <br />is Name: JAMES A. SMALLEY UTILITY <br />INGS, INC. <br />nature <br />eoffr/ <br />Title <br />The foregoing instrument was acknowledged before me this -r day of Atif <br />, 2014 by A3 rytPh A . wvia(! ( who i ersonally kn�W,r or furnished the <br />following identification <br />IOP' r Notary Public State of Florida <br />Christy Shulhan <br />c. _ p My Commission EE017547 <br />'?oF iso Expires 10/21/2014 <br />My commission expires: <br />i <br />Notary Pu <br />Note: This is a statutory form prescribed by Section 713.2, Florida Statutes (1996). Effective October 1, <br />1996, a person may not require a lienor to furnish a waiver of release that is different from the statutory <br />form. <br />146 <br />