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� � I IIIIII II�I(IlII�IIIII�illl NIII IIIII Il�ll lilll IIIII I�II II�i � � . � •� 2015203338 Permit No. Parce!ID No NOTICE OF COMMENCEMENT state of Ftorida county of Pasea THE UNDERSlGNED hereby gives notice that improvement wE!(be made to certain reat property,and in accardarrce with Chapter 713,Florida Statutes, the foilowing information is provided in tnis Notice of Commencement: 1. Description of Property: Parcel Identification No. � 1-� �.� Q C'� , f'� T S n � ['1�d � Street Address: 7n50 Gall BIVd Fiorida Hospital Zephyrhills 2. General Description of lmprovement MRI Reptacement 3. Owner lnformation or Lessee informatian if the Lessee contracted for the improvement: 3..� Na�i��'u^-� � 7 Ct 5�i C't o..l2�L, ` ��Y. .�..��ti"�..� � Address City —� State Interest in Property� Name af Fee Simple Titieholdar (!f different from Owner{isted abovej Address �ehr Canstruc#ors ��j'' �f � ' i�� r�5 te Contractor s►�a �'�`�"� �.-r��;.0 Name Address Gity State Contractor's Telephone No.: �i� ?1 - '��""�'V° `�(d� 5. Surety� Name Address Gity State Amount of Bond: $ Telephone No.� 6. Lender: Name - Address City State Lender's Telephone No.. 7. Persons within the State of Florida designated by the owner upon whom rsotices or other docaments may be served as provided,by Section 713.13(1)(a)(7),Florida Statutes: � � � Name Address C9ty State Telephone Number of Designated Person: 8. I�addition to himself,the owner designates flf to receive a copy of the Lienor's Notice as provided in Sectian 713.13(1)(b),Florida Statutes. Telephone 13umber of Person or Entity Designated by dwner' 9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the contractor,but wili be one year from the date of recording unless a differenf date is specified): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT AE2E CONSIDERED IMPRdPER PAYMENTS tlNDER CHAPTER 713, PART 1, SECTlON 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR 1MPROVEMENTS TO YOUR PROPERTY. A NOTICE {)F CdMMENCEMENT MUST SE RECORDED AND POSTEd ON THE JOB SI?E BEFORE THE FIRST INSPECTION. IF YOU INTEND TO QBTAIN FINANCING,CONSULT WITN YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalty of perjury,I declare that 1 have read the foregoing notice of commencement and that the facts stated therein arp true to the best of my knowledge and belief. STATE OF FLOR{DA ��,,r/�� r2�G�..(�LGd� COUNTY OF PASCO �/��'�l 8igna ure of Owner or Lessee,or Owner's or Lessez's Authorized dfficer/DirecforlPartnertivtanager �,.r'�'?'�/ ,�w�` 6PJiu.� Signa ory's TitlelQffice The foregof�g instrument was acknowledged before me this ,��day of ��C• ,20�"��,by �L AUS H . M EI-c��o�iti,( as ��''�� p�-�°`u� ��VS��'-'" {ty�e�f authurify,e.g.;o�cer,trustee,attorney'sn fact}foc � � ' �"L d d,l Cr,r� i-IOS 1�i i A 4.- Z E p I-k y R I-1 I LL.� (name of party on behalf of whom instrument was executed). Personally Known�j OR Prqduced Identification❑ Notary Signature �'`s"'�"Q'"��`R'`�� ' �`t'"¢"1 Type of identification Produced Name{Print) ��r"�r3��`'4y '�. Fl f LL s �'� ' itcpt:1735$77 Rec: 10.00 . pS: 0.00 I T: 0.00 '°`�"� 12/22/2015 J. f2. , Dpty Clerk N'��'��` ��Y,CHiLL :.�S � MY COMMISSION N EE 198821 �•. �� EXPIRES:Juiy 19,2418 � ��P��;� BondedThn►NotaryPob!'roUriderNrifers � . � ---� wpdatalbcslnoticecommencement pc05304$ pp�y�q S 0'NETL,Ph D PA5C0 GIERK & GaMPTR4l.LER' 12/22/201��Gm PG �� OR BK