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INSTR#2020182000 OR BK 1020 rJ PG 1046 Page 1 of 2 <br /> * ' 10/28/2020 01:48 PM Rcpt:2220581 Rec:18.50 DS:0.00 IT:0.00 <br /> Nikki Alvarez-SoWles,Esq.,Pasco County Clerk&Comptroller <br /> .s <br /> PemntNo. �j CMQQa 793~?—'OZQ PamxlIDNo 35-25-21-0010-10500-0000 <br /> NOTICE OF COMMENCEMENT <br /> state of Florida sty of Pasco <br /> THE UNDERSIGNED hereby Gives notice that Improvement va be made to certain real property,and in accords—with Chapter 713,Florida Statutes, <br /> the folowiog information Is provided In this Notice of Commencement <br /> 1. Description of Property: Parcel IdantllicadOn No. See attached exhibit <br /> Streetaddress: 7050 GALL BLVD ZEPHYRHILLS FL 33541-1347 <br /> z Genorai Description of improvement Renovate existing dietary including servery and kitchen <br /> 3. owner information or Lessee Information if the Lessee contracted for the Improvement <br /> ADVENTIST HEALTH SYSTEM <br /> 7050 GALL BLVD-0 2EPHYRHILLS FL <br /> Address City Slate <br /> interest in Property. Owner <br /> Na of Fee Simple Titleholder. N/A <br /> Nam <br /> (K different from Owner tried above) <br /> Address City State <br /> 4. Contractor:Berglund Construction Company <br /> Name <br /> 4616 Eagle Falls Place Tampa FL <br /> Address City State <br /> Contractor`s Telephone Ne.: 863-899-1172 <br /> 5. Surety. N/A <br /> Name <br /> Address City State <br /> Amount of Hand:S Telephone No.: <br /> 8. Lender: N/A <br /> Name <br /> Address City State <br /> Lendots Telephone No.: <br /> 7. Persons within the State of Florida designated by the,owner upon whom notices or otter doom ft may be served as provided by <br /> Section 713.13(1)(a)(7),Florida Statutes: <br /> JORDAN SMITH <br /> Name <br /> 7050 GALL BLVD ZEPHYRHILLS FL <br /> Address City State <br /> Telephone Number of Designated Person: 352-518-1006 <br /> 8, in addition to himself,the owner designates of— <br /> to receive a copy of the U"Ws Noiico as provided in Section 713.13(1)(b),Florida Statutes. <br /> Telephone Number of Person or Entity Designated by Owner. <br /> 9. E)Vfation data of Notice of Commenaemment(to expfortion data may not be before the completion of constnx don and final payment to the <br /> contractor,but vA be one year from ow data of recording unless a different daft Is spediled): <br /> WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT <br /> ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES,AND CAN <br /> RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE <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 to foregoing notice of,commencement and s stated herein are true to the best <br /> of my knowledge and belef. <br /> STATE OF FLORIDA <br /> COUNTY OF PASCO <br /> Signaffira of Owngc s or Lessee a Autodzed <br /> � 1 <br /> signatoryya 9wofficeg�� �^ / (/ <br /> The foregoing instrument was admowledged before me thisge of�,2QYIt,by S�a r 5744�� <br /> as F/ i f; bwoo/*nn- (type of authority,e.g.,officer,trustee,attorney in fad)for <br /> (name f party on of whom insbument was executed). <br /> Personally Known M Produced Identification❑ Notary Signature rfJd`� <br /> Type of Identification Produced Name(Print) 1-1dPA ._ <br /> Nomry Public State of Florida <br /> Helen Bonnie Ford <br /> My Commissar GG 281451 <br /> EY <br /> Exptes 12/0412D22 <br /> wpd atskesJmnofroecommencorrraat_pco53o48 <br />