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17-18254
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2017
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17-18254
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Last modified
5/23/2019 9:03:20 AM
Creation date
5/23/2019 8:46:46 AM
Metadata
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Building Department
Company Name
ADVENTIST HEALTH SYSTEM
Building Department - Doc Type
Permit
Permit #
17-18254
Building Department - Name
ADVENTIST HEALTH SYSTEM
Address
7350 DAIRY RD
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Rcpt: <br /> IIIIIII1IIIlII11111II111I DS: 0.002586 IT: 0.00 <br /> 2017011097 00 <br /> IIIIIIIIIIIIIIIIIIII�e�IIiIIIIIII 01/26/2017 K. D. K. , Dpty Clerk <br /> 1~� // <br /> Permit No. Parcel ID No ✓-25-2I - ouI o —�000-0ow <br /> NOTICE OF COMMENCEMENT <br /> State of �Pi xk County of <br /> THE UNDERSIGNED hereby gives notice that Improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes, <br /> the following information is provided in this Notice of Commencement:1. Description of Property: Parcel Identification No. k-' t 4c a? Gel r <br /> Street Address e - �L �•� 0 <br /> 2. General Description of Improvement R P ro(/A rr;a h - F nT�t`TU F=�h i Cke �°5r de <br /> PI,c S e Z •- fT' - <br /> 3. Owner Information or Lessee Information If the Lessee contracted for the Improvement <br /> Doff;r 4 Yoa I e,.1-41 C G.re 01-0 eerT i 4S-- <br /> �RS' m l Yeller Rd khr-( FL• <br /> Address a City State <br /> Interest in Property: t t7 (3,i .or <br /> Name of Fee Simple Titleholder. <br /> (If different from Owner listed above) _ <br /> dress p Ciry State <br /> 4. Contractor. l`L1GLr1 e'om&e7;e-S Lr `� C <br /> N-ate <br /> 20 /V• Etyan lLJ7h ST. Sv,A 3 Son Ti¢r7 _ FL- <br /> Ad Address Ciry State <br /> Contractor's Telephone No.: <br /> 6. Surety: <br /> Name <br /> Address City State <br /> Amount of Bond: $ Telephone No.: <br /> 6. Lender: <br /> Name <br /> Address City State <br /> Lender's Telephone No.: <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)( <br /> a)(7).FloridaFr� Statutes: <br /> ;MV Arrtl V6- 0E Fac, Elfra-P � C6nse-ee,-77c' /9i 7• <br /> Name <br /> y�� u. ��, a� sue, Z. 'Ire;_►t,�td �-<-. <br /> Address � City State <br /> Telephone Number of Designated Person: "L ( 7S`/��� pA, <br /> 8. In addition to himself,the owner designates �BAri /r.L<rl �/Ji 0� f1h of_ <br /> �..yL..h CO Aah ya,�-•US 40e to receive a c copy of the tlenoes Notice as provided in Section 713.13(1)(b),Florida Statuettes. <br /> Telephone Number of Person or Entity Designated by Owner. h//3 0 y Q7 7 or <br /> g. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the <br /> contractor,but will be one year from the date of recording unless a different date is specified): <br /> WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT <br /> ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES. AND CAN <br /> RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE <br /> RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT <br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> Under penalty of perjury,I declare that I have read the foregoing notice of commencement and that cis stated therein are We to the best <br /> of my knowledge and belief. <br /> STATE OF FLORIDA <br /> COUNTY OF PASCO <br /> Signature of Owner 'essee,or Owners or Lessee's Authorized <br /> Officer/Oirector/PartnedM an ager <br /> Signatory's Title/Office / <br /> The foregoing instrument was acknowledged before me thls�day of Q►' 20 J by K£-r4T7C•N rJ S O I,, <br /> as C FO 1 (type of authority,e.g.,officer,trustee,attorney In fad)for <br /> Pro DU 1C- 5 name of rDn behalf of whom instrum t executed). <br /> Personally Known 11 Produced Identification❑ Notary Signature <br /> Type of Identification Produced Name(Print) H 9lS 77 H/9 H y/.1 <br /> PAULA S.O'NEIL,Ph.D.PASCO CLERK & COMPTROLLER <br /> 01/02�6/2017 1:08am PG f •r '"""' ' <br /> �"�d,•• '� CHRISTINA HYLAND <br /> 9488 �0�51 MY COMMISSION#FF100013 <br /> EXPIRES April 25, 2018 <br /> (d09 9DB•0180 FlorldalloteryService.com <br /> wpdatalbcs/noUcecommen cement_fic053048 <br />
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