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.� I illlll IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII Iill IIII 2018181249 THIS INSTR ENT PREP gRED U BY: Name: CVVJr-% V 'h alk.% Address: S;2 /yi Rapt:2001032 Rec: 10.00 35'H DS: .0.00 IT: 0.00 10/25/2018 E. M. , Dpty Clerk NOTICE OF COMMENCEMENT PAULA S.0'NEIL,Ph.D.PASCO CLERK g COMPTROLLER Permit Number: 10/25/2018 02:06 m 1 f 1 Parcel ID Number. �'y'- Z5 ZI . b 6 6 b. o 6 3 v 0 —007 7- OR BK �8@9 PG 1847 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) FHZH-004 West Florida Health Home Care gAhoc, A a- $WcAnt y- 0,.e 1.14s1- 3 37834 Medical Arts Q., Suite B ,A-Ri4-,r Zephyrhills, FL 33541 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: FLORIDA HOSPITAL ZEPHYRHILLS INC. 37834 MEDICAL ARTS CT STE B ZEPHYRHILLS FL 335 I/r Interest in property: Owner Fee Simple Title Holder(if other than owner listed above)Name: Address: 4. CONTRACTOR:Name: Lott Signs Phone Number. (813)909-9733. Address: 4141 Mowrey Road Wesley Chapel, FL 51S43 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 specked) 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 be waAA)-�,— Dawn Vaughan, Director/Agent for AHSSunbelt (Signature of Owner or Lessee,or Owner ssee'e (Print Name and Provide Signatory's Tide/Office) /'/Authorized OflicedDirectodPaMedMe ge) State of F 0/'1 JA- Coun of sLI'1't f oa al tY �o The foregoing Instrument was knowledged before me this �3 day of 20 by �o/�� ki �a'4 Who is personally known to me OR Name of person making statement who has produced Identification❑ type of Identification produced: a)i '''1' ANNE'MApIEGREEp Notary Signature _* :•: MY COMMISSION Y FF lW191 EXPIRES,December 29,2018 #4 t� .�011�8d ThN Ntl)2ty PabGe Undawritan