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16-16970
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16-16970
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Last modified
2/17/2017 7:20:16 AM
Creation date
2/17/2017 7:17:59 AM
Metadata
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Building Department
Company Name
FLORIDA HOSPITAL OF ZEPHYRHILLS
Building Department - Doc Type
Permit
Permit #
16-16970
Building Department - Name
FLORIDA HOSPITAL OF ZEPHYRHILLS
Address
7050 GALL BLVD
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� � � � . � . IIIIIN(IIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIiIIIII11N111111 <br /> ' 2016004922 <br />' _ Rcpt:1739995 Ree: 10.00 <br /> DS: 0.00 IT: 0.00 <br /> 01/12/2016 E. M. , Dpty Clerk <br /> N0ITCEOFCOMIVVI�NCEMEN'P PAULR 5 0'NEIL,Ph 0 Pq5C0 CLERK B COMPTROLLER� <br /> . 01/12/2016 10:17am 1 of 1 <br /> P�No. �R BK_ 9310 P� 679 <br /> " PropertyIdentificationNo.�'ZS2.� B��O� OjQpQQQ� <br /> 17�UNDERSIGNED hereby give informs you thet the improvement will be made to cermia rea]property,eud m eccordance�yft}� <br /> SecCon 713,13 ofthe Fioride Stamtes,the followiag informedon is provided in tlus NOTICE OF CObIIYILNCEMENT, <br /> I.Descriptionafproperty(/egaldarei on:) �^(OZ��� �OS �,-f�}-� ' <br /> a)Street Ad�es9:_ 705� /-,�11 ��,t�`t �ti,' I l F <br /> 2.Oeneial description ofimprovemenb. � � <br /> �'i.�SE•A-l(q—�}i onJ p 4,," 4 <br /> 3.Owner InformaLon �( l <br /> a)Namo�d address: j^Iul1��� . l�S.���� 1 <br /> b)IQame and address of fce simple tiNeholda(ff'othei�owner) G� .g `� � �� 3 3 s�! I <br /> ��r�u,��p��r <br /> �4.Contiactbr lnfom�etioa n <br /> a)Name and addcess:��re�� `�a,7-�� �},$��p C-��,�.�icy� �-N �}Z �'f 3 ¢Z 3 3 <br /> h)Telephone No.• Fax No.(Opt.) � <br /> S.Surery Inforwation . <br /> e)Nema end'eddreaas: <br /> b)Amotmt ofHond:, <br /> c)Telephane No.: • ' Pax No.(Opt.) <br /> 6.I,ender <br /> a)Name and eddrcss: <br /> - Phone No. <br />' 7.Identiry of person within the State of F7orida desigaated by owner opon whom notices or other doc�enfs mey be senred; <br /> a)Name and address; ' <br /> b)Telephone No.: Fex No.(Opt.) <br /> 8.1n addiRon ro himset�owner desig3ates the following persoa to receive e copy ofthe I,ienor's Nofice as'pravidul in Seaion <br /> 713.13(I)(b),Floride Smhrtes: <br /> a)Nama end addiess: ' <br /> b)Telephone No.: � Fax No.(Opt.) <br /> 9.Expica8on deta of Notiee of Commencement(the a�pLaaoa date is oae year frbm the date of ncording�mless a diffetant date is <br /> speel5ed): <br /> WARNING TO O WNER: ANY PAYMENI'S MADE BY TSE O'9VN&R AFTER TI��7ipptATION OF'THE NOTICE OF <br /> COMMENCEMEIVT ARE CONSIDERED IA'IPROPER PAYMENTS UNDER CHAP7'ER 713,pART I,SECTION 713.13, <br /> FI:OltIDA STATUTES;AND CAN RBSULT TN YOUR PAIfAVG TWICE FOR IIU�ROVEMENTS TO YOYTR pROPERTY. <br /> A NOTICE OF COMMENCEMENT MUST BE RECORIlED AND POSTED ON THE JOB SITE BEFORE TAE FiRST <br /> INSPECT70N. TI{YOU 11VTEND TO UBTAII�i FINANCIIHG,CUNSULT YOiJIt LENDSR OR AN ATPORNEY BEFORE ' <br /> CONIIVIENCIlYG WORK pR EiECORDING YOIIR NOTICE OF COMMENCEMENT. <br /> S!'A'fE OF FLOAIDA <br /> COUNTY OF PASCO %�• � s <br /> i � SigpemeeofOwvvorOwna9Am o.tredOffica/DireetadPu6�v/Mmagc <br /> l�.� •�,(,r/�!//r0./'/y <br /> MtNLO! <br /> The focegatng iostrument wes acimowledgad before me this �� dey of.JAN. ,2p i!. by Y+L AU 5. M E H L HO h,n! <br /> eS OIP�ECTOp, OF PLANT S��vl eES (rype ofwthority,ag offieer.Wstee,ettorney <br /> infact)Co[�LORIDA Ha6pITqV zG�M4e�Hlet�nemeofpaztyonbehaifofwhomfnstr�entwa�exscuted). <br /> Pe�sonally Known X OIt Praduced Identi5eation Notsry Sigashae �-��• «`-'-' <br /> Type of[deadficetion Produeed Name(priat) VS� M�'SG A L�/ 3. (-t l L L •• <br /> Verificatlon pursuant to Saction 92.525,Florida Stawtrs.Under panelHes of perjury,I declace that J have read the foregoing and thaz <br /> the facts stated init aze true to the best ofmy Imowledgc end belie£ <br /> ' ' ' , � , signenuc ofNeeuei Mnon sigdng Above � <br /> FORntsrwoC.mmm� , <br /> ;�1a,t+�iy� ' IQMBERLY J,HILL ' - ' - <br /> �r� .: MY COMMISSION R EE 198821 , , � , <br /> f�;�� EXPIRES:July 19,2016 , <br /> •.'h',Af��"'"Bonded_Thtu Notary Pu6Bc Ur�denvriters <br />
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