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. IIIIIIIIIIIIIIIIIIIlIIIIIIIIIIIIIlIIIIIIIIIIIIIIIIIIIIIIIIII THIS INST�MENT PREPARED BY: 2018181248 Name: Address: 7 3 a 17 ngm Rcpt:2001030 Rec: 10.00 �.o .,,�/,.,Yl s, r�3 !v D5: 0.00 IT. 0.00 20/25/2018 E. M. , Dply Clerk NOTICE OF COMMENCEMENT PAULA S.O'NEIL,Ph.D.PASCO CLERK L COMPTROLLER Permit Number: 10/25/201 02:04 m 1 f 1 Parcel ID Number. 3 S'- Z�� Z1. D01 0 - O 9SOa- O o 2 o OR BI 80 , PG 1846 The undersigned hereby gives notice that Improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes,the following Information is provided in this Notice of Commencement. 1. DESCRIPTION OF PROPERTY:(Legal description of the property and street address if available) SBZH-001 Nursing Center Ze 4Q.6 4 "J IS C A 1 oc&4 0-12 04 L b Z 7350 Dairy Road A U A- .ObrLk-era_ �_-r_ ___ -_ Y, Zephyrhills, FL 33540 1S e-c. 3 S 2. GENERAL DESCRIPTION OF IMPROVEMENT: Remove and install new signage 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: DAIRY ROAD HEALTH CARE PROPERTIES INC 485 N KELLER RD STE 250 MAITLAND FL 3275 Interest in property: Lessee Fee Simple Title Holder(f other than owner listed above)Name: Address: 4. CONTRACTOR:Name: Lott Signs Phone Number: (813)909-9733 Address: 4141 Mowrey Road Wesley Chapel, FL 5. SURETY(If applicable,a copy of the payment bond Is attached):Name: Address: Amount of Bond: 6. LENDER:Name: Phone Number. Address: 7. Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(1)(a)7.,Florida Statutes. Name: Phone Number. Address: 8. In addition,Owner designates Of to receive a copy of the Lienor's Notice as provided In Section 713.13(1)(b),Florida Statutes.Phone number: 9. Expiration Date of Notice of Commencement(The expiration is 1 year from date of recording unless a different date is specified) WARNING TO OWNER. ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalties of perjury,I declare that I have read the foregoing and that the facts stated in It are true to the best of my knowledge and hQuel. P-- Dawn Vaughan, Director/Agent for AHSSunbelt (Signature of Owner or Lessee,or a or Lessee's (Print Name and Provide Signatorys Tile/Office) Authorized Officer/Director/12 eneger) State of E 14(-�A d� County of _S cosy\ nb The foregoing Instrument was acknowledged before me this day of SQL T cv .20 $ by �G{5 C'N ��GL-0<bjsac Who Is personally known to me p�OR Name of person making statement 4 who has produced Identification❑ type of Identification produced: ti,"�r i�;•., sLSARAHSNEATH rr MY COMMISSION#FF 204153 Notary gnawre =�t = EXPIRES:June 26,2019 Bonded Thru Notary public Underwriters