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INSTR#t 2019046761 BK 9876 PG 708 03/21/2019 09:59am Page 1 of 1 Rcpt: 2038571 Rec: 10.00 DS: 0.00 IT: 0.00 Paula S. O'Neil , Ph.D. Cj Pasco County Clerk & Comptroller /rl Permit No. J y 2 f/ Parcel ID No 11-26-21-0010-00800-0260 NOTICE OF COMMENCEMENT State of FL 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, the following information is provided in this Notice of Commencement: 1. Description of Property: Parcel Identification No. 11-26-21-0010-00800-0260 Street Address: 5935 7th Street, Zephyrhills, FL 33542 2. General Description of Improvement Interior alteration to convert existing surgery center to health clinic 3. Owner Information or Lessee information if the Lessee contracted for the improvement: Davita Medical Group do DaVita Healthcare Partners Name 2000 16th Street Denver CO Address City State Interest in Property: 80202 Name of Fee Simple Titleholder: ZEPHYRHILLS 7TH STREET LLC _601 21 ST ST STE 3001f different from Owner listed above) Vero Beach, FL Address City State 32960 4. Contractor: Sharp General Contractors, Inc. Name 3553 SW 10th Street Pompano Beach FL Address City State Contractor's Telephone No.: 954-984-9080 33069 5. Surety: Name Address City State Amount of Bond: $ Telephone No.: 6. Lender: Name Address City State Lender's Telephone No.: 7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)(7),Florida Statutes: Name Address City State Telephone Number of Designated Person: 8. In addition to himself,the owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes. Telephone Number of Person or Entity Designated by Owner: 9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the contractor,but will be one year from the date of recording unless a different date is specified): one year 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 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 true to the best of my knowledge and belief. STATE OF FLORIDA COUNTY OF PASCO tgn. ure of fl er`0r■t essee�o�Owner s or Lessee's Authorized O icer�artner/Manager igna iSrTiUe/8ffir� The foregoing instrument was acknowledged before me this jLday of 122,VV,20/1.by ra d l e r as aon• 0s,4:1 (type au�belf ,e.g.,officer,trustee,attorney in fact)for (J►a'Vi W Mad-ud 8,-Oko (name of rty on of whom instrument was executed). Personally Known2f�OR Produced Identification❑ Notary Signature Type of Identification Produced Name(Print) r c/S L CAAIE10HE T.UNDSEY +: ,= MY COMMISSION O GG 248424 •, EXPIRES:Demmber 13,2022 . �'F i`;"• Bonded na Notary Pd tie lhderrrtitera wpdata/bcs/noticecommencement_pc053048