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INSTR#2019153643ORBK997OPG1 453 Page 1 of I <br /> 09/10/2019 10:27 AM Ropt:2088801 Rec:10.00 DS:0.00 IT:0.00 <br /> Nikki Alvarez-Sowles,Esq.,PascoCounty Clerk&Comptroller <br /> 5604 <br /> t. 0 <br /> Permit No, Parcel 10 No3-26-21-0020-00000-0030 <br /> NOTICE OF COMMENCEMENT <br /> State., FL' -county of Pasco <br /> THE UNDERSIGNED.hereby gives notice that Improvement will be made to certain real property,and Inaccordance with Chapter 713,Florida Statutes, <br /> the following Information is provided in this Notice of Commencement <br /> 11. bisco.11.9n of Property. Parcel'Identification No. 03-26-21-0020-00000-0030 <br /> Street Address: 6429 Gall Blvd. Zephyrhills, FL <br /> 2. Rpti?"PI pepaiption of Impro.verent.' Construction of patient services room inside Walgreens#5604 <br /> < F- LIJ 3. Owner Information or Lessee Information 9 the Lessee contracted for the Improvement: <br /> 7. Of-Owner <br /> . — ? -%��-­`­ . <br /> X w Walgreeni CO. <br /> LU E W <br /> _'5 LL <br /> CO <br /> 0 Z =) E Tax CPO store 5856 PO Box 1159 Deerfield, IL 60015 <br /> 0 0 city state <br /> 0 0 <br /> Q < 04 of <br /> CL !ritprest!q property; <br /> LL W 1-- U.J F- W <br /> C) Cr W Z C/) (L 0 Name of Fee'Slmple Titleholder <br /> C) (if different from Owner listed above) <br /> >_ LL F- C). <br /> I-- U-1 ILL 0Y C) 0 Addresscity State <br /> ZMOOE 4 �omral6r.' Gregory Campion <br /> I-_ >_ 0 06 Name <br /> 0 a LU X 7202 Aldnia Ave.#103 Winter Park,FL 32792 <br /> Q < o Address city State <br /> X 0 0 F-- <br /> Contnect6r%Telephone No.: 321-229-2930 <br /> LL Ludt =n) r.a*. We <br /> Name <br /> o < ? <br /> X 0 C3:E 4Z <br /> LL <br /> W Address', city state <br /> 0 aAmo- of Bond: Telephone No.: <br /> % I- 1, <br /> 0 �— Z C) n(a <br /> LLI U) < Marne. <br /> (!) UJ E <br /> Add city state <br /> F <br /> i-enders Telephone No.: <br /> T. 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(I)(i)(7).Florida Statutes:, <br /> Name <br /> Address city State <br /> Telephone Number of Deslonatec!Person. <br /> in addition to himself,the owner designates Of <br /> 00' <br /> to receive a copy of the Lienors Notice as provided in Section 713.13(1)(b),Florida Statutes. <br /> Telephone Numh!!pf'Person.or Entity Designated by Owner. <br /> Expiration date-of Notice of Commencement(the expiration date may not be before the completion of construction and i payment to the <br /> e contractor,but will be one year from the date of recording unless a different date is sped5ed): <br /> .TO OWNER. ANY PAYMENTS. I I MADE BY-THE OWNER AFTER THE EXPIRATION THE NRITDICEA(O COMMENCEMENT <br /> 0 TI ' " <br /> 13' F ORID 'ST TU <br /> Ti E.OF Co CEMENT <br /> D To 0 IT IRA <br /> $N <br /> 7 3 13, FLO <br /> Ar ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,AFTER lr. SECTIC N 13 TES. AND CAN <br /> 0 <br /> RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY A NOT jOF CEMENT MUST BE <br /> ICE Co ZS <br /> 0 <br /> RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION, IF YOU INTEND OBT, INANCING.CONSULT <br /> WITH Y.PUR�LFNoER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTIC F OMMENCEMENT. <br /> _Me___ .d the facts <br /> Under penalty of perjut ant .. <br /> .y,I declare that I have the foregoing notice of commencement and that the facmgs s are true to the best <br /> ofmyknowledgeend <br /> STATE OF FLORIDA <br /> COUNTY OF PASCO <br /> -Zignaluor—ool Owner or Lessee,or Owner's or a's Authorized <br /> OffirAr/Director/Partner/Manager 7 <br /> Signatory's Title/Office <br /> The foregoing Instrument was acknowledged before me 111112;LANy 20rl.bN1 <br /> ae {type 0fau"^.e.ghcar,truWee,attorney in fact)for <br /> , <br /> g ltorb-L- Of w instrument was executed). <br /> fersanelly KnowhXLOR Produced!deracation 0 Notary Signal t <br /> Type pffdentification Produced Name(Print) <br /> JOANN ROSZAK <br /> Official Seal <br /> Notary Public-State of Illinois <br /> my commission Expires Nov 24,2021 <br />