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<br />~ <br />"- <br />(\, <br /> <br />-~ <br />, <br />tJ\ <br />'" <br />1"- <br />"i <br />"'J <br /> <br />.J <br />().,\. <br />'" <br />t'J " <br />~t <br />\:) <br />~~ <br />).- <br />i ~. \.J <br />.'-'- <br />'- <br />"=><':::::: <br />."\ ---! <br /> <br />a: <br /> <br />.1'1;1s Instruwcnt Pl'c'pu,'cd Uy: <br />Nc.me: <br />A<:'drcss: <br /> <br />11111111111111111 1111111111111I111111 111I1111I111I <br />96105775 <br /> <br />pCI'm1l No. <br /> <br />Rcpt: 105901 <br />DS: 0.00 <br />10/0B/9b <br /> <br />Rec: <br />IT: <br /> <br />NOTICE or COI~~1ENCD1ENT <br /> <br />10.50 <br />0.00 <br />Dpty Clerk <br /> <br />JED PITTMAN, PASCO COUNTY CLERK <br />10/0B/9b 04:2bp. 1 of 2 <br />OR BK 36 4- 1 PG q 5 1 <br /> <br />STATE or Florida <br />COUNTY OFPasco <br /> <br />TilE UNDERSIGNED herby gives notice thot improvement will be maje to certcin reul <br />property, and in accordonce with CIHlpter 713. Florida Statues, the following <br />information is provided in this Notice of Commencement. <br /> <br />1. Description of propcrty: (legel description of property, ~nd street address if <br />oveil"ble~ <br /> <br />Attached <br /> <br />2. General description of impr'ov(:cJent: <br /> <br />3. <br /> <br />New Building <br /> <br />Owner inforwation <br />B. Name and address: <br /> <br />Sunbelt Living Center <br />Sunbelt Healthcare Centers, Inc. <br />500 Winderley Place, suite #115 <br />Maitland, Florida 32751-7206 <br /> <br />b. <br /> <br />Interest in property: <br />Owner <br />Name and address of fee si",ple titleholder (if other than owner): <br /> <br />c. <br /> <br />4. <br /> <br />Contractor: (name and address) <br /> <br />Poole Construction Co~pany, Inc. <br />544 Douglas Avenue <br />Altamonte Springs, Florida 32714 <br /> <br />5. <br /> <br />Surety <br />a. Name and address: <br /> <br />b. Amoun t of bond S N/A <br /> <br />G. <br /> <br />Lender: (name and address) <br /> <br />N/A <br /> <br />7. <br /> <br />Persons within the State of Florida designated by Owner upo~ whom notices or <br />other documents may be served as provided by Section 7l3.l3(1)(a)7. Florida <br />Sta tutes: (name and address) Tom Sutton <br /> <br />Sunbelt Healthcare Centers, Inc. <br /> <br />500 Winderlev place, Suite #115 <br />designates the (allowing person(s) to receive <br />as provided in Section 7l3.13(1)(bl,Florida <br /> <br />Maitland, FL 32751-7206 <br /> <br />8. <br /> <br />In cddlt10n tc hi~self. Owner <br />H copy of the Lienor's Notice <br />Statutes: (name and address) <br /> <br />Expiration date of notice of commencement (the expiration date is 1 year frocl <br />the date of recording unless a different date is specified) <br /> <br /> <br />~ ~ ~~ Sunbelt Healthcare Centers, Inc. <br />(Signature of Owner) (Print Owner's Nacle) <br /> <br />Owner's Address: 500 Winderley Place, Suite #115 Maitland, Florida 32751-7206 <br /> <br />The foregOing instrument was acknowledged before me thisl/ cf( b / ~bY <br /> <br />~OmA-S E 5f.(.71;;ij::,ho is p~lly k~ IE. me/whO produ.::ed <br /> <br />9. <br /> <br />and who did not take an oath. <br /> <br />S <br /> <br /> <br />OFFICIAL NarARYSEAL <br />E G JUDGE <br />NOfARY PUBUC srATE OF FLORIDA <br />COMMISSION NO. CC553387 <br />MY COMMISSION EXP. MAY 19 <br /> <br />Commission II Cc.,5~33 37 <br />My Commission Expires: b-IQ-J!1ooo <br /> <br />All Information Must De Typed or Printed Legibly <br />to Comply With Recording nequiremcnts <br />