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I Illlli Ilill IIIII IIIII lilll I{I{III{II IIII!I{III IIIII IIII IIII 2018164200 Permit No. Parcel ID No 3 5—n-9,53 r9! `L}cy c) — OF I ao NOTICE OF COMMENCEMENT State of Florida County of Pasco THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes, p p the fallowing information is provided in this Notice of Commencement: (p V1(► 1. Description of Property: Parcel Identification No.35.25.21-0010-08500-0020 Zephyrhills Health&Rehab Center,Inc. " N r+ Street Address: 7350 Dairy Road Zephyrhilis FL 33540 . N0(D 2. General Description of Improvement Installation of Emergency Generator m(0 0o Lit A 7C A 3. Owner Information or Lessee information if the Lessee contracted for the improvement: dairy Road Health Care Properties.Inc. ;0 Name 485 N.Keller Rd.,Suite 250 Maitland,FL 32751 FL 3 tfD1 Address City State -' Interest in Property: 100% . vmm Name of Fee Simple Titleholder. N/A (If different from Owner listed above) � m Address VoltAir Constructors,LLC city state a. Contractor,, M Name 220 W 7th Ave,Suite 210 Tampa,FL 33602 FL Address City State Contractors Telephone No.: 888-891-9713 5. Surety. NIA Name Address City State Amount of Bond: $ Telephone No.: a. Lender:N/A U N b C Name Address City State v n m Lender's Telephone No.: N o l9 (0�m` 7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by pp.. Section 713.13(1)(a)(7),Flodda Statutes: r- NIA Name (MOD 7 � o D Address City State 3 N Telephone Number of Designated Person: o a. In addition to himself,the owner designates N/A of On to receive a copy of the Lienor's Notice as provided In Section 713.13(1)(b),Florida Statutes. 1%40 Telephone Number of Person or Entity Designated by Owner: `�+f ra" 9. Expiration date of Notice of Commencement the expiration date may not be before the completion of construction and final a VW~ ( xP Y payment to the 3 contractor,but will be one year from the date of recording unless a different date is specified): 1 WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT 0 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 penalty of perjury,I declare that I have read the foregoing notice of commencement and that the facts stated therein are We to the best of my knowledge and belief, STATE OF FLORIDA COUNTY OF PASCO Signature of,Owner or Lessee,or Owners or Lessee's Authorized Office r/Di rectar/Partner/Manage r David Rodman,Director of Finance&Officer Signatory's Title/Office \ ,1 The foregoing Instrument was acknowledged before me this ,day of _C- ,20�- by !� y r/� kc.b,-r7 9,,/ as (type of authority,e.g.,officer,trustee,aftomey In fact)for A�i^ ,,Q Y/ R L/'r4L i184 C�lg'4J_C �� e�'I/f-�name of a �1/-T7T_ [� ( party on behalf of whom insiru executed). Personally Known Eµ Produced Identification❑ Notary Signature Type of Identification Produced Name(Print) !� M ` RO% Notary Public State of Florida Christina Hyland 011 My Commission GG 199604 Expires 04/2512022 wpda[a/bcslnoticecommencementyc053048