HomeMy WebLinkAboutInv# 007 - S3S Construction, Inc. - 01/07/2025 (2)WAIVER AND RELEASE OF LIEN UPON PARTIAL PAYMENT
The undersigned lienor, in consideration of the partial payment in the amount of $39,876.25_
hereby waives and releases its lien and right to claim a lien for labor, services, or materials
furnished through 11/31/2024 to S3S Construction. Inc. on the project of the City of Dania
Beach Building Department Renovation_ to the following described property:
100 W. Dania Beach Boulevard, Dania Beach, FL 33004
This waiver and release is Partial.
Dated on: 1/10/2025
Lienor's Name: Tirone Electric, Inc.
Address: 6151 Pembroke Road
Hollywood, FL 33023
By: ______________________
Printed Name:
STATE OF FLORIDA
COUNTY OF ____________
The foregoing instruments were acknowledged before me by means of [how the individual appeared; check on].
□ physical presence or □online notarization this _____ day of , 20___, by
(name of person making statement).
Signature of Notary Public-State of Florida
Printed Name
Personally Known ______ OR Produced Identification _______
Type of Identification Produced_______________________________________________
NOTE: This is a statutory form prescribed by Section 713.20 Florida Statutes (1996). Effective
October 1, 1996, a person may not require a lienor to furnish a waiver or release of lien that is
different from the statutory form.