Download as pdf or txt
Download as pdf or txt
You are on page 1of 5

Form 1.997 FLORIDA RULES OF CIVIL PROCEDURE Form 1.

997

FORM 1.997. CIVIL COVER SHEET


The civil cover sheet and the information contained in it neither replace nor
supplement the filing and service of pleadings or other documents as required by
law. This form must be filed by the plaintiffor petitioner for the use of the Clerk of
Court for the purpose of reporting judicial workload data pursuant to section
25.075, Florida Statutes. (See instructions for Completion.)
I. I. CASE STYLE

(Name of Court) COLUMBIA COUNTY, FLORIDA CIRCUIT CIVIL COURT

Plaintiff: DEREK SNEAD

Case#: ------
Judge: ______
vs.

Defendant : GATOR'S DOCKSIDE OF LAKE CITY LLC, Jerry Roberts, Dana


Faucher, Unknown Employees.

I. II. TYPE OF CASE (If the case fits more than one type of case, select the
most definitive category.) If the most descriptive label is a subcategory (is
indented under a broader category), place an x on both the main category and
subcategory lines.
Condominium
Contracts and indebtedness
Eminent domain
_ Auto Negligence
_Negligence - other_ Business governance
Business torts
Environmental / Toxic tort
_ Third party indemnification
Construction Defect
Mass Tort
_ Negligent Security
_ Nursing home negligence
_ Premises liability - commercial
_Premises liability - residential
_ Products liability
_Real property / Mortgage foreclosure_Commercial foreclosure $0 - $50,000
_Commercial foreclosure $50,001 - $249,999
_ Commercial foreclosure $250,000 or more
_Homestead residential foreclosure $0 - $50,000
Homestead residential foreclosure $50,001 - $249,999
Homestead residential foreclosure $250,000 or more
Nonhomestead residential foreclosure $0 - $50,000
Nonhomestead residential foreclosure $50,001 - $249,999
Nonhomestead residential foreclosure $250,000 or more
Other real property actions $0 - 50,000
_Other real property actions $50,001 - $249,999
_Other real property actions $250,000 or more

Form 1.997 FLORIDA RULES OF CIVIL PROCEDURE Form


1.997 2

_Professional malpractice _ Malpractice - business


_Malpractice - medical
_Malpractice - other professional

_Other_Antitrust I Trade regulation


Business transactions
_Constitutional challenge - statute or ordinance
_ Constitutional challenge - proposed amendment
_ Corporate trusts
_Discrimination - employment or other
Insurance claims
_Intellectual property
XLibel/Slander
Shareholder derivative action
_ Securities litigation
Trade Secrets
Trust litigation
III. REMEDIES SOUGHT (check all that apply):
I. X Monetary;
II. X Nonmonetary declaratory or injunctive
relief;
III. X Punitive
IV.

IV. NUMBER OF CAUSES OF ACTION: []


(specify)

V. IS THIS CASE A CLASS ACTION LAWSUIT?


I. Yes
IL X No

VI. HAS NOTICE OF ANY KNOWN RELATED CASE BEEN FILED?


I X No
II _ Yes if "yes," list all related cases by name, case number, and court.

VIL IS JURY TRIAL DEMANDED IN COMPLAINT?


L Yes
IL X No

I CERTIFY that the information I have provided in this cover sheet is accurate to
the best of my knowledge and belief, and that I have read and will comply with the
requirements of Florida Rule of Judicial Administration 2.425.

Signature "/S/" Derek Snead

Fla. Bar# -------------


Attorney of Party (Bar# if Attorney)
IN THE CIRCUIT COURT OF IBE THIRD JUDICIAL CIRCUIT

IN AND FOR COLUMBIA COUNTY, FLORIDA.

DEREK SNEAD,

Plaintiff,
vs. CASE NO.: -------

GATOR'S DOCKSIDE OF LAKE CITY LLC, Jerry Roberts,


Dana Faucher, Unknown Employees.,
Defendant.
----------

COMPLAINT AND DEMAND FOR JURY TRIAL

COMES NOW, Derek Snead Plaintiffs Pro Se, hereby sues Defendant

GATOR'S DOCKSIDE OF LAKE CITY LLC, Jerry Roberts, Dana Faucher,

Unknown Employees., In support thereof, Plaintiff states::

JURISDICTION AND VENUE


1. Plaintiff in this action seeks relief under the Fourth and Fourteenth
Amendments of the United States Constitution, and the Civil Rights Act of
1871, 42 U.S.C. §1983, including compensatory damages, punitive damages,
costs, and attorney’s fees, pursuant to 42 U.S.C.

2. The jurisdiction of this Court is invoked pursuant to 28 U.S.C. Sections 1331


and 1343 and on the supplemental jurisdiction of this court to entertain claims
arising under state law pursuant to 28 U.S.C. Section 1367.5. Venue is proper in
this district because it is where the events complained of occurred.
STATEMENT OF THE CASE
3. This is an action for damages arising from the Non driven parked vehicle that when passenger
Snead got out dinged the parked and unattended vehicle next to it on or around 4/15/2021,
deprivation of Snead's rights
4. That the Defendant(s) continuously ignore the Plaintiff request for information, false
information to the police that the Plaintiff

Respectfully submitted this 23rd day of March 2020.


"/SI" Derek Snead - E-Filed 03/23/2020
Derek Snead /OBA/ FRV Land Trust - Plaintiff Pro Se
2850 34th Street North, #397
Saint Petersburg, FL. 33713
mem335@gmail.com

Page 2 of 2

You might also like