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I 2018203856 lull lull illll lllil lull ilill llll llil THIS IN TRUMENT PREI REI7 BY: Name: Rcpt:2011239 Rec: 10.00 Address: 3 B,2 YO 4- lea y DS: 0.00 IT: 0.00 ZQ.DA�� ./„�Z s &�,_ 3J ub 12/06/2028 K. S. , Dpty Clerk NOTICE OF COMMENCEMENT ALAS 20 1IL,ph.p_ppSCO CLERK $ C019PTROLLER 12/06/2018 09:15am OR BK �� PG of 1 Permit Number: 174.5 7 C Parcel ID Number. (�2 - Z V - 'Z 1 — G�/0 d 6 L AO.0C)i C) TJ 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 L C°( 1. DESCRIPTION OF PROPERTY:(Legal description of the property and street address if available) FHZH-008 FHZPG Community Care Family Practice(Blackstone&Nystrom) 1- �s jP'b I g t i 38240 Dau4htery Rd. Zephyrhills, FL 33540-1367 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: AHS/SUN BELT INC C/O EAST PASCO MEDICAL CENTER.7050 GALL BLVD ZEPHYRHILLS FL Interest in property: Owner 3 3S!f l Fee Simple Title Holder(it 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 S. 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 Liences Notice as provided in Section 713.13(1)(b),Florida Statutes.Phone number. 9. Expiration Date of Notice of Commencement(The'expiradon 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,)declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and bell Dawn Vaughan, Director/Agent for AHSSunbelt (Signature of Owner or Lessee,or Owners 's (Print Name and Provide SignaWs Tide/Office) ��-- Authorized Off icedaredor/ParMar/Mane State of T`1]f�&0k County of �S e-fn i r\&A e- _t The foregoing Instrument was acknowledged beforeme this 1 �L_day of 'S .20 by �Q k.y VN IC.Lt.� m Who is personally known to rrreXOR Name of person malting ent who has produced identification❑ type of identification produced: ZL SAHARSNEATH C—ZSrf\Rz2Z-A-, MY COMMISSION i)FF 204153 Notary Signature ";. z EXPIRES:June 26,2019 Bonded Thor Notary PubGoUnderwrders