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Illllllllllllllllllllllllllllllllfllllllllllllllllllllllllll 201111111111111111111Iillllllillllllllllllllllllllll THIS INS UMENT PREP�R ED BY: � - Name: Q,V�►r f/ AiV a h Rcpt:200103 Rec: 0 Address: © c� I DS: 0.00 I T: 0 z�Ojw1 t "j"Vls, V--4 �a SV l 10/25/2018 E. Dpty Clerk NOTICE OF COMMENCEMENT PAULA S.0'N Ph.D.PASCO CLE & COMPTROLLEF Permit Number: -0 0 3 6 z 10/25/ 18 02:08 m I o l S5-2b- 'al_t�t, G K 9801 PG 7. Parcel ID Number: 1 0 . /O T G b- D o 0 0 The undersigned hereby gives notice that improvement will be made to certain real property,and axordance 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-001 Florida Hos ital Ze h ills Z j-% Lb(ton Cam'C' Lotr-J -ItySZ -706&Gall Blvd. _ Zephyrhilis,FL 3541-1399 _ Rcpt:2008201 Rec: 10.00 2. GENERAL DESCRIPTION OF IMPROVEMENT: DS: 0.00 I T: 0.00 Install new si na a 11/26/2018 J. R. , Dpty Clerk 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: Florida Hospital Zephyrhills,7050 Gall Blvd.,Zephyr-hills, FL 3541-1399 Interest In property: Lessee Fee Simple Title Holder(if other than owner fisted above)Name: Address: 4. CONTRACTOR:Name:_SkPU06Sakf b5 LAD 44- 93- Phone Number. 497-67-8965--9/3—9 a 4—g733 Address: L/ o u-,n aJCL Ct t W�sr C./.np00% r'C S. SURETY(If applicabte,'a copy of the payment bond Is attached):Name: 2 3s4�3 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 ropy of the Liences 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 dale 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,I declare that 1 have read the foregoing and that the facts stated In It are true to the best of my knowledge-and ballet V , (&prstum of Owner or (Pont Name andCre Sonatarls TtftM =l Aulhorlma OfterlDlreeerlPartrrer ) State of, aAf'� C6 Countyo! �O_tIY1 i nJt� The foregoing Instrument was acknowledged before me this day of Q 4 h lks -211 166 by tt Ij A V Who is personally known to me[?X-OR Name of pawn rr"rig ant who has produced Identification 0 type of Identification produced: .F - MY COMMISSION i1 FF 204153 - No n signature EXPIRES:June 26,2019 o�ej OvAed MfutbtivJ Pal5eUdemAerf PAULA S.0'NEIL,Ph.D.PASCO CLERK &•COMPTROLLER 11/26/2018 11:08am . 1 of 1 OR BK 9821 PG 2930