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� �I lill�Ilill I�III illl�11111�IIII II�II Ilifl!flll I!Ili IIII Ifll �+ Permi:No 016075716 Parcel ID No 35-25-21-0010-10500-0000 - NOTICE OF COMMENCEMENT state of Florida County of Pasco THE UNDER�IGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713, Florida Statutes�, the following i formation is provided in this Notice of Commencement: d��t:��@ Rec: 10.00 1 De cription of Property: Parcel Identification No. 35-25-21-0010-10500-0000 �S: 0.00 IT: 0.00 str et,4ddress: 7050 Gall Blvd. Zephyrhills, FL 33541 �5/16/2016 B. hI. , Dpty Clerk 2. Ge eral Description of Improvement ED Expansion and Ortho Renovation 'AULA� 5�'NE1L,Ph D PASCO CLFRK & COPIPTROLLER �50R BK 1��m PG �� 3. Ow er Information or Lessee inforrnation if the Lessee contracted for the improvement: �� qdventist Health System/Sunbelt Inc. ; dba Florida Hospital Zephyrhills '� Name Tam a 14055 Riveredqe Drive, Suite 250 P FL Ad ress City State Int�rest in Property: Na e of Fee Simple Titleholder• (If different from Owner listec1 above) Ad �ess grasfield & Gorrie LLC c'ty state Co tractor: � Name g41 W Morse Blvd Winter Park FL Ad ress , City State Co tractor's Telephone No.: 407-562-4500 `-�j�'1�� 5. Su ety Name AdIkiress City State Artiount of Bond: $ Telephone No.. 6. Lerl der• I Name A dress City State Le der's Telephone No.: 7. P rsons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by S�ction 713.13(1)(a)(7), Florida Statutes: Klaus Mehlhorn N me 7050 Gall Blvd. Zephyrhills FL A dress City State T lephone Number of Designated Person: 813-783-61$9 8. In addition to himself,the owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. T�lephone Number of Person or Entity Designated by Owner• 9 ExIpiration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the cdIntractor,but will be one year from the date of recording unless a different date is specified): 1 1/1/17 �NARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT A�2E CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN �SULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY A NOTICE OF CaMMENCEMENT MUST BE R CORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT IITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT U der penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of�my knowledge and belief. STATE OF I LORIDA .�Z/! ��//�'�� COUNTY O PASCO G��GGQ `,��ir;••., KIMBERLY J.HILL Signature of Owner or Lessee,or Owner's or Lessee's Authorized :�►`'-"�: _,,. ,r_ MYCOMMISSIONBEE198821 Officer/Director/Partner/Manager ;�., g EXPIRES:July 19,2016 .�,qf�� BondedThruNotaryPublkUndenmters �IVI[C TOS� C%lr P0.-/�EVT S�t�V9C C5 Signatory's Title/O�ce The foregoirg instrument was acknowledged before rr� this ��day of '�'QY ,20�e,by 1�+LAU�-a iJ4=µL.H O('�Yti( I as p�a�C?Qfi � pF PLAIIT 5E.4'�VICC J (type of authority,e.g.,officer,trustee,attorney in fact)for d�LO��,I OA ��i�i TI�►1_ 'ZE�t�1/i�►1-f 1 Lt� (name of party on behalf of whom instrument was executed). Personally Known�OR Produced Identification❑ Notary Signature ° �-r-� Type of Ide tification Produced Name(Print) �`'��f$�b+Ly rT� l�Ej LL �