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, � This spnce for use by Clerk of the Circuit Court anly. I II�III IIIII IIIII IIIII IIIII IIIII IIII�IIIII II�II{ll�l III{IIII <br /> ; 2015189460 <br /> Rept:1730260 Rec: 10.00 . <br /> DS: 0.00 IT: 0.00 <br /> NOTICE OF COMMENCEMENT 11/25/2015 J. R. , Dpty Clerk <br /> Permit Number• <br /> Tax Folio No. 35-25-21-0010-10500-0000 <br /> The undersigned hereby gives natice that Improvemenls will be made lo certain real proper[y,and in nccordance with Section 713.13 of ihe <br /> Florida Stamtes,the following infarmation is provided In the NOTTCE OF COMMENCEMENT. <br /> 1 Legal Description of property(street address required): <br /> 7050 Gall Blvd- eahvrhills FL 33541 <br /> 2. General description of improvements: Replacement of a CVHF 500 <br /> 3a. OwnerName: Adventist Health Svstem/Sunbelt Inc <br /> Owner Address: 7nsn rall Blvd-Zeohvrhills FL 33541 <br /> 3b. Owner's interest in site: <br /> 3a Fee Simple Tide holder(of other than owner) <br /> Address: <br /> . Contractor Name: Tampa Bav Trane <br /> Address: 902 N Himes-Tampa,FL 33609 Phone: 813-877-8251 . <br /> 5. Surery Name: Amount of bond: <br /> Address: Pltone: <br /> 6. Lender Name: Contact: <br /> Address: Phone: <br /> 7 Person within the State of Florida designated by owner upon whom notices or other documenu may be served as provided by <br /> Section 713.13(i)(a)7,Florida Statutes. <br /> Name: Address: <br /> Phone Number <br /> 8. In addition to himself,Owner designates the following person to receive a copy of the Lienor's Notice as provided in Section <br /> 7I3.13(1)(b),Florida Statutes. <br /> Name: Address: <br /> — I <br /> Phone Number: <br /> 9 Expiration date of Notice of Commencement(expiration date is one(l)year from date of recording unless a different date is <br /> specified). <br />� WARNINC7'OO�VNER: ANYPAYMEN'fSMAUEIlI'TIIEOWNF,ItAR7'V.RTffEEXPIRATIONOFTHENOTICEOFCOMMENCE111ENTARE <br /> CONSIDERED IA1PROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13,FLORIDA STATUTES,AND CAN RFSULT IIV VOUR <br /> PAYING TWICE FOR IMPROVEMENTS TO VOUR PROPERTY,A NOTICE OF COMMENCEAIEN7'MUS7'BE RECORDED ANU POSTED ON TIIE ' <br /> JOB SITE BEFORE THE FIRST 1NSPECTION. IF YOU INTEND TO OBTAfN FINANCING,COIVSULT WITH YOUR LENDER OR AN ATTORNEY <br /> BEFORE COMfvIENCING WORK OR RECORDING YOUR NOTICE OF CO�IMENCEMENT. <br /> ���� ,i�'��G'lu�-� <br /> Signature of Owner or Lessee,or Owner's or l.essee's Authorized Officer/Director/Partner/Manager <br /> ���.��t.�,�/ i«�r- <br /> Signatory's Title/Oflice <br /> STATE OF FLORiDA <br /> COUNTY OF PASCO <br /> The forcgoing instrument was acAnowledge before me this�_day of 1\����V1��� ,20�� • <br />� by�`Cla>� {�l��Y�r��k ss�[��.1 n�`ifeeftO.for L�� <br /> Personally Known OR Produced fdentification <br /> Type of 1 n�iG yro uce <br /> �;o`�°•• MAHANEY <br /> , ��:, r..��'."fbi A <br /> 1'i� •� fv1Y CUH:�:II:�S14N#FF186580 � <br /> �y"��OyM1�Q.�'} EXI''IRES J:s:u.r.iry 1.2019 ' -- <br /> (eo�ssa-otss �t�.r��t::i,:.,:'..; ,•,. <br /> Under pe , � d Iliat the facrs stated in it are[rue ro the best of my knowledge and belief. <br /> �������� <br /> Sigiature of Namral Person Signing Above . PRULA S.0'NEIL,Ph D PASCO CLERK 6 COMPTROLLER <br /> � il/25/2015'••12:04 m 1 of 1 <br /> (A copy of mre bond must be nnrchcd ol ihe lime of rewrdalion of Ihis Notice of Commcnccmcnt) OR BK g 29� P� 22j5 / <br />