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16-17655
Zephyrhills
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2016
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16-17655
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Last modified
7/18/2017 6:57:28 AM
Creation date
7/18/2017 6:57:27 AM
Metadata
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Template:
Building Department
Company Name
ADVENTIST HEALTH SYSTEM
Building Department - Doc Type
Permit
Permit #
16-17655
Building Department - Name
ADVENTIST HEALTH SYSTEM
Address
7350 DAIRY RD
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I <br /> � � � Illlllllllllllllillllllllllllflllllllllllfillllllillllllllll <br /> I 2016127388 <br /> Permit Na. ParcellD No.�5 a3 S�I-DO/D-D�.�"00���� �N� <br /> � �••'p <br /> ' NOTICE OF COMMENCEMENT <br /> Q n Qq � Nm� <br /> Ih S[ate of ���!`-'��t1 Caunty of /�S W �N m� <br /> u <br /> THE UNDERSIGNED hereby gives notice that improvement wilt be made to ca�in real property,and in accordance with Chapter 773,Florida Statutes, � ,W <br /> I the following inFormation is provided in this Notice of Commencement` ,Q <br /> 1. Description of Property: Pa�cel Identification No. 3���:�yZ�—������V���—��,"� _ � m <br /> ��a�,�d�e55: 73SD �fT/�2 Y RD,��pHYRLfi�C-5, �'� 33S�i0 <br /> �� <br /> � 2. General Descrlption oT Impmvement��� l�DU F— 3�� <br /> • � . <br /> P ` m r+ �i <br /> 3. Owner InformaGon ar Lessee infortnation if the Lessee corl2c[ed forthe improvement' .p m m <br /> 4 �14t1e.� �Rna��n ��RLT1� ('.A�2� Pl�r)t��P_-T�Es 2N� ,� m <br /> ��S/�l K£�'�.m�2 h�l �S?�. Z�O /1'R rT�f�'ND �L A I <br /> � <br /> Address City State � i <br /> � <br /> � Interest in Property. `��7� � <br /> II� Name of Fee Simple Titleholder. . � <br /> U pf different from Ovmer listed above) <br /> � State <br /> I� 4. Ccntracror. �C����N�3 �OD�/1�-�i Z/V�'— � <br /> �� Bo�mSo10997 ��116Wona .�� <br /> � Address �1 / p p p� City State <br /> Contractors Telephone No. �lO�'F�0 4�"/D 0 a"r `�a'75� �b <br /> c <br /> ;I 5. Surety: ��D <br /> � Name W N v, <br /> � Address City State 7C�� <br /> Amount of Bond: $ Telephone No. (��+m <br /> «!�r' <br /> "�, 6. Lender. ��.a� <br /> � �ame N�' <br /> � Address City State �IN� <br /> Lendets Telephone No. �`"D D <br />, � 3 0 <br /> 7 Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by � <br /> Section 713.13(1)(a)(7),Fbrida Slatutes: L7...� <br /> � � <br /> Name p � <br /> I�� ��� <br /> Y Address Ciry State ` ,�3 <br /> a Teiephone Numberot Designa[ed Person: /���� � <br /> \N A <br /> 8. In addition to himself,the ovmer des�qnates of_ � <br /> to receive a copy of the Lienofs Notice as provided in Section 713.13(1)(h),Florida Statutes. � <br /> Telephone Number of Person or Entity Designated by Owner. <br /> a 9. ExpiraGon date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the <br /> contrac[or,but will be one year from the date of recordinp unless a different date is specified): <br /> WARNING TO OWNER: ANY PAYMENTS MADE BY THE O'.NNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT <br /> ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAP7ER 713, PART 1 SECTION 713.13 FLORIDA STATUTES, AND CAN <br /> RESULT IN YOUR PAYING T1MCE FOR IMPROVEMENTS TO YOUR PROP�RN A NOTIC� OF COMMENCEMENT MUST BE <br /> RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTENO TO OBTAIN FINANCING,CONSULT <br /> � WITH YOUR LENDER OR AN ATfORNEY BEFORE COMMFI�G'NG VUORK OR RECORDING YOUR NOTICE OF COMMENCEMENT <br /> � Under penaity of perjury,l declare that I have read the fotegoing notice oT commencemen[an t fads stated therein are true to the best <br /> 8 oF my knowledge and bel�ef. <br /> I� STATE OF FLORIDA � <br /> P COUNTY OF PASCO <br /> 4 SignaNre of Ovme r Lessee,or Ovmers or lessee's Authorized <br /> OfficedDirector/P ner/Manager <br /> � � <br /> Signatarys TitlelOffics <br /> � The foregoing instrument was acknowled ed before me this�ay o�L�2d�,by /l���re...lO��s�/� <br /> a5 G'�FO r� (rype of authority,e.g.,officer,Wstee,attomey in fact)for <br /> � (name �rty on b�tj�lf who instrumentwas execute�. <br /> �/ f/ <br /> Persanally Known❑4$Produced Idenyt'd�ica/tlon{d Notary Signature �-!!" <br /> � Type of Ident�caGon Produced .l�(� Name(Print) �• U���� � <br /> � ;,��:��fY.y�; ROBYN D.BURLESON I� <br /> :.: :,� Commission#FF 023747 •• . , <br /> � � �'a° Expires Septemti�er i�2017 <br /> �`�R�„ �' ema.anwimrarnu+.�iun.eooaB6.ro�o <br /> � wpdata/bcslnoticecommencement_pc053048 � � . __ . " <br /> �I <br /> � <br /> ui <br />
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