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18-20099
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18-20099
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Last modified
5/28/2019 2:03:40 PM
Creation date
5/28/2019 2:03:39 PM
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Building Department
Company Name
FLORIDA HOSPITAL ZEPHYRHILLS
Building Department - Doc Type
Permit
Permit #
18-20099
Building Department - Name
FLORIDA HOSPITAL ZEPHYRHILLS
Address
7050 GALL BLVD
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8114921 <br /> r n _ <br /> Permit No. Parcel ID No&:f�6 '0,_ <br /> NOTICE OF COMMENCEMENT <br /> State of County of PA:51,2 <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 <br /> 1. Description of Property: Parcel Identification No._-,•)? a�na 1—ootn—/0.7OD—DOT <br /> Street Address: /OJ �lta{.4 <br /> 2. General Description of Improvement r -. <br /> 3.' Owner Information or Lessee infornalio��nif the Lessee contracted for the Improvement: <br /> Nale <br /> Address City Stale <br /> Interest In Property: <br /> Name of Fee Simple Titleholder. <br /> (If different from Owner listed above) <br /> Address n �1 City State <br /> 4. Contractor. <br /> r., �t amel/7y[� ,�tr�V /CMG BLS i�19 <br /> Address 7. (� ? City, Stale <br /> Contractor's Telephone No.: O�y //J� 7G O� <br /> 5. 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.: ��l Q Z U <br /> 7. Persons within the Slate of Florida designated by the owner upon whom notices or other documents may be served as provided by W ZZ W J <br /> Section 713.13(1)(a)(7),Florida Statutes: 1 ry C.7 = <br /> J U <br /> Name 6i�l ti�Q !/`7�nn7 U�n�IC3 x O U O —/� 0 � <br /> A,.n�,��� �, as. W to a LJ <br /> o <br /> Address Ct �= Z J <br /> Telephone Number of Designated Person: . /� � � State U_I- Q Q O <br /> }*!-,W U <br /> 8. In addition to himself,the owner designates of _ ckc <br /> to receive a copy of the Uenors Notice as provided in Section 713.13(1)(b),Florida Statutes. ®� } W Y <br /> Telephone Number of Person or Entity Designated by Owner. <br /> 9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the ® ~ J <br /> via <br /> contractor,but will be one year from the date of recording unless a different date is specified): �y W O U_ <br /> WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ® � a n" Q O W ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13. FLORIDA STATUTES, AND CAN Ll��. <br /> RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE —J W O t� _ �p ? <br /> RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT I_ U U O r <br /> !1 <br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT, Ili U <br /> of dermy penalty <br /> tdg f perjury,Iand declare that I have read the foregoing notice of commencement and that the fads stated therein are true to the best f. 1 jJ C7 ?JLLJ <br /> g <br /> STATE OF FLORIDA _ z COUNTY OF PASCO / / � _�_L CO) Q in <br /> Signature of Owner or Lessee,or Owners or Lessee's Authorized <br /> Rep 791t 42Rep 07 Ree: 10.00 Officer/Director/Partner/Manager <br /> DS: 0.00 IT: 0.00 bIF1E'CTOR o1= PAl,)T OVEp,ATI0145 .0 6 <br /> 07/10/2018 J. R., Dpty Clerk <br /> Signatory's Title/Office <br /> The foregoing Instrument was acknowledged before me this q day of �Ly ,20 LA by W I Ltl AM M. HQLCCI Mt3 'o \ • �� <br /> as 1R Tom (type of authority,e.g.,officer,trustee.attorney In fad)for oo s 0 <br /> FLOPIIDA NOSPIrAL ZL5P;4%/p,{.t 1 L.L5 !L <br /> ��`,,,,,,fff (name of party an behalf of whom instrument was executed). fF, <br /> Personally KnownyJ gR Produced Identification❑ Notary Signature +`R�a�'I'L`"t •• � f y/} <br /> Type of Identification Produced Name(Print) i41 MISER Ly ,T; "I L V <br /> PPULR S.0'NEIL,Ph.D.PRSCO CLERK & COMPTROLLER • • f( <br /> 07/10/2018 8: 2am 1 Of I KIMBERLY J.HILL <br /> OR BK 975�3 PG 3266 � MY COMM(SSIOtJtGGot4310 <br /> °4 4f EXPIRES:July21,2021 <br /> ••.A,tb'+Bonded tw Nonry Public lk6wmilim <br /> wpdatalb cslnolicecomm encement_pcO53048 <br />
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