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From:Orlando Office Julius I Fax:18138674566 To:8i37800021®rcfax.com Fax:(813)780.0023. Page:2 of 4 02/0412019 10:37 AM <br /> ,r�urnx�.v avv stv-evr Vrt orb J6JJ b'v 1 665 rage 1 of 1 <br /> 02/04/2019 08:50 AM Rcpt:2025394 Rae-10.00 DS:0.00 1T:0.00 <br /> Paura S. O'NeX Ph.D.,Pasco County Crerfi&Comptrolrer <br /> NOTICE O O MENCEINEMT <br /> Permit Numbei 20704 Tax Folio d 02-2s-21-=0-00A00.0122 <br /> The undersign ereb vas notice that improvement will be made to <br /> certain Real Prope ,and in accordance with Chapter 713,Florida <br /> Statutes,the following information is provided In this Notice of Commencement. <br /> 1. DESCRIPTION OF PROPERTY: <br /> (Legal desedpflon of the properly and street address,!f avaliab/e). <br /> 3e220 Henry Dive,Zephyih➢ls,FL 33542 <br /> Thai portion of TractA.Tyson Subdhlalon,as recorded In Piet 4,Pg 109 of Publk Rem of Paean County,FL <br /> 2. GENERAL DESCRIPTION OF IMPROVEMENT: <br /> Provide new hunlaane Impad assembly,diesel generator with connected above ground tank, This space reserved for recording <br /> concrete Pad and corresponding electrical equipment.Removal of e:detlng duel generator. <br /> 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: <br /> Name&Address: Heartland of Zepbyddlis FL,LLC,333 N.Summn streel,Toledo,Ohio 43604 <br /> Interest in Property: Lessee <br /> Fee Simple Title Holder(if different from owner listed above):WELL PM Propertles,LLC,4600 Don Street,Tolodo,OH43615 <br /> 4. CONTRACTOR: Name: volt Cortlnrolora,LLC Phone Number: 613e674699 <br /> Contractors Address: 220 went 7th Avenue,rune 210,Tampa,FL 3=2 <br /> 5. SURETY(If applicable,a copy of the payment bond is attached):Amount of bond: $ <br /> Name: Phone Number: <br /> Address: <br /> 8. LENDER'S NAME: Phone Number: <br /> Lender's address: <br /> 7. Person's within the State of Florida Designated by Owner upon whom notice or other documents may be <br /> served as provided by Section 713.13(1)(a)7.,Florida Statutes. <br /> Name: CTCorporation System Phone Number. an•724-9870 <br /> Address: 1200 S.Pine bland Road,Plantation,FL 3=4 <br /> 8. In addition,Owner designates of to receive <br /> a copy of the Lienor's Notice as provided in Section,713.13(1)(b),Florida Statutes. <br /> Phone number of person or entity designated by Owner: <br /> 9. Expiration of notice commencement(the expiration date will be 1 year from date of recording unless a different date is <br /> specified. 20, <br /> WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF <br /> COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, <br /> FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. <br /> A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST <br /> INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY <br /> BEFOR OMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. 1 <br /> John Huber <br /> (Sign ofDwrffr or Lessee,or Owners or lessee's (Print Name and Provide Signato y'8 Tigelofflce) <br /> Authurbfd Ot6oer/Director/PartnenUanager) <br /> State of Ohio County of Lucas <br /> The foregoing instrument was acknowledged before me this 25th day of January 2019 by <br /> John Huber,Authorized Representative for Heartland atZephydri6s FI,LLC <br /> (type of authority,...e.g.officer,trustee,attorney in fact) (frame of party on behalf ofwhom instrument was executed) <br /> X Personally Known or Produced Identification <br /> P, "/. 0 <br /> SEA <br /> _(Signature of No Public Stilts of Ohio) ttilotafy Pilblio,Slapei 01'Ohio <br /> '. ., sty(balmfs9lQtt EYalltae �FormiPS02—Re;ri%d 01/13/15 <br />