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2018181246 THIS INSTRUMENT PREPARED BY: Name 44-% Address: 3 87- rove Rcpt..:.2001027 Rec: 10.00 74,42 ky tih'116., i=L 3 3 L-0 ZkZ DS: 0.00 IT: 0.00 10/25/2028 E. M. , Dpty Clerk NOTICE OF COMMENCEMENT pgUL.A S O'N[IL,Ph.0.PA5C0 CLERK & COMPTROLLEF Permit Number: 10/25/2018 02:0 m PG f 1 OR BK 980 1844 Parcel ID Number: ) Z b 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 ZHNH-001 Nursing Center ]r O o'-O-s �"��•`�'�'` Pb / rIP �9 '"b'� 38250 A Avenue tdl i3 ho Igo I .3 + /V. Zephyrhills, FL 33542 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: SOUTH PASCO HEALTH CARE PROPERTIES INC 485 N KELLER RD STE 250 MAITLAND FL 32 Interest in property: Lessee 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 3 3 z;-V 3 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 Lienot'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 bell L, Dawn Vaughan, Director/Agent for AHSSunbelt (Signature of Owner or Lessee,or O*eJ or Lessee's (Print Name and Provide Signatory's Title/Office) Authorized Officer/DirectoNPartna nager) State of 'P\Qf Ati County of 1 G The foregoing Instrument was acknowledged before me this day of S lo-+eo i .20 O by �Q-V3 Y\ \� s /1�,.. Who is personally known to me OR Name of person making statemen who has produced Identification❑ type of Identification produced: $ARAHSNEATH MY C0141MISSION C FF 204153 Notary signature EXPIRES:June 2t3,2019 TA!a Fblary PuhSc Uade7�rs :;•z=