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19-20331
Zephyrhills
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2019
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19-20331
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Last modified
1/14/2020 8:18:42 AM
Creation date
1/13/2020 1:34:46 PM
Metadata
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Template:
Building Department
Company Name
ADVENTIST HEALTH SYSTEM
Building Department - Doc Type
Permit
Permit #
19-20331
Building Department - Name
ADVENTIST HEALTH SYSTEM
Address
7350 DAIRY RD
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. Illlllillilllf{Illlllllillll{IiIllllllli{il{IIIII{i11111IiI{ <br /> 2018164200 <br /> Permit No. Parcel ID No 3 S-c95 % 1 'mod tJl r/ J CIC) "CXl <br /> NOTICE OF COMMENCEMENT <br /> state of Florida Countyof Pasco _ <br /> THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and In accordance with Chapter 713.Florida Statutes, O p <br /> the following information Is provided in this Notice of Commencement: (O y O <br /> 1. Description of Property:Parcel Identification No.35.25.21-0010-06500-0020 Zephvrhills Health&Rehab Center.Inc. h1" eV► <br /> street Address: 7350 Dairy Road ZePhyrltills FL 33540 ,.. <br /> • N f9(D <br /> 2. General Description of Improvement Installation of Emergency Generator 0 W <br /> Oa tr <br /> Ja <br /> 3. Owner Information or Lessee Information if the Lessee contracted for the Improvement: <br /> 13airy Road Health Care Properties.Inc. <br /> 485 N.Keller Rd.,Suite 250 Maltland.FL 32751 FL 3 p <br /> Address City State m" <br /> Interest in Property: 100% r a <br /> OMB <br /> Name of Fee Simple Titleholder. N/A <br /> Of different from Owner listed above) <br /> Address <br /> 4. Contractor,yoltAir Constructors,LLC city Stara 6 <br /> 220 W 7th Ave,Suite 210 Tampa,F'L 33602 FL '7 <br /> Address city State <br /> Contractors Telephone No,: 688.891.9713 <br /> 5. Surety.NIA <br /> Name <br /> Address city state <br /> Amount of Bond: 3 Telephone No.: <br /> 8. Lender.NiA :�i <br /> Name <br /> ;1DD N a <br /> Address • City state y m <br /> Lenders Telephone No.: �N o <br /> B� <br /> 7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by ��` <br /> Section 713.13(1 Ha)(7),Florida Statutes: , <br /> NIA "�G J <br /> Name <br /> % 6 <br /> ��ro <br /> Address City Slate 3 rin E <br /> Telephone Number of Designated Person: o <br /> 8. In addition to himself,the owner designates NIA of_ '�►�'m <br /> to receive a copy of the tenors Notice as provided In Section 713.13(i)(b),Florida Statutes. �O x <br /> Telephone Number of Person or Entity Designated by Owner. �ft 9- <br /> 0 <br /> 9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the OD 3 <br /> contractor,but will be one year from the dale of recording unless a different data Is specifloo 1 <br /> a <br /> WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT c <br /> ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I. SECTION 713.13, FLORIDA STATUTES AND CAN <br /> RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT'MUST BE s <br /> RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT <br /> WiTH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> Under penalty of perjury,I declare that I have read the foregoing notice of commencement and that the fads stated therein are true to the best <br /> of my knowledge and belief. /D <br /> STATE OF FLORIDA <br /> COUNTY OF PASCO <br /> Signature pf.Owner or Losses,or Owners or Lessee's Authorized <br /> Of Icerklirector/Partner/Manager <br /> David Rodman,Director of Finance&Officer <br /> signalory's Ttlle/ormce <br /> The foregoing Instrument was acknowledged before me this day of Cy '200by U 4 b 113 kG b1-r7 f7/V <br /> as t��F (type of authority,e.g.,officer,trustee,attorney In fad)for <br /> Q �L`� � of party on behalf cfwhom Ins executed). <br /> Personally Known U,f Produced Identification❑ Notary Signature <br /> Type of Identification Produced Name(Print) ' <br /> �dsr� Notary Public State of Florida <br /> Christina Hyland <br /> My Commission GG 1998D4 <br /> q R Expires 04/25/2022 <br /> wpdata/beslnollcecornmencemenLpcOS394e <br />
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