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THIS INSTRUMENT PREPARED BY: 2018181247 Name: V {� Address: b SO i vd Rcpt:2001028 Rec: 10.00 DS: 0.00 IT: 0.00 NOTICE OF COMMENCEMENT - 10/25/2018 E. M. , Dpty Clerk PAULA 5.0-NEIL,Ph.D.PRSCO CLERK 8 COMPTROLLER Permit Number: 10/25/2018 02:02 m 1 of 1 Parcel ID Number: 0 Z - z` z l O di 0 . O Z J dy— O O Z 0 OR SK �0I P 9 G 1845 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:(Lega(description of the property and street address if available) FHPG-022 Pulmonary and Critical Care, Urology _ 2.P,o�,u,e l lS ��„�l �►. —4�-+��s 6748 Gall Boulevard V,o p q 55 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: FLORIDA HOSPITAL ZEPHYRHILLS INC. 7050 Gall Boulevard Zephyrhills FL 33541 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 33543 5. SURETY(If applicable,a copy of the payment bond is attached):Name: Address: Amount of Bond: 6. LENDER:Name: Phone Number: Address: T. 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 1, 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,)declare that I have read the foregoing and that the facts stated in Ware true to the best of my knowledge and belief. AA&)-n'- Dawn Vaughan, Director/Agent for AHSSunbelt (Signature of Owner or Lessee,or Owner or essee'a (Print Name and Provide Signator/s Title/Office) Authorized Oflicer/Director/PartnerlM r) State of {y 1 br i A 0% County of P Y'V\ i Rt) £ The foregoing Instrument was acknowledged before me this 7) day of 00-AQ 20 O by 'a w'n • cL U'( Who is personally known to me IXOR Name of person makings ement who has produced Identification❑ type of identification produced: SARgFiSNEATH -- . + MY CO Notary Signature MMISSION 9 FF 204153 EXPIRES:June 26,2019 '_;;;t4 ' Bonded Thre NolarypubGc Underwriters