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<br />NOTICE OF COMMENCEMElrr <br /> <br />I/Alr: #- ZoO <c B . <br /> <br />\ \\\\\\ \\\ft'''\\\ \\'" II" \\\U \ll" \\\\ \ll\ <br />961303"18 <br />19055 Rec: 10.50 <br />Bcpt: 1 00 IT. 0.00 <br />OS: ~ O. . Dpt, Clel <br />12/12/~ ASCO COUIlTY CLE <br />.lED PI~' P 1 of 2 <br />12/12/96 01:"5p. PG 64: <br />OR Bit 3670 <br /> <br />This Instrument Prepared By: <br />?fame: <br />Address: <br /> <br />Permit No. <br /> <br />STATE OF Fl Dr; o;:! <br />COUNTY OF Pasco <br /> <br />TIlE UNDERSIGNED herby gives notice that improvement will be made to certain real <br />property. and in accordance with Chapter 713. Florida Statues, the following <br />information is provided in this Notice of Commencement. <br /> <br />1. Description of property: (legal description of property, 6nd street address if <br />available) <br /> <br />See Attached. <br /> <br />Zephyr Haven Nursing Home <br />38250 "A" Avenue <br />Zephyrhills, Florida 33541 <br /> <br />-'" <br /> <br />2. General description of improvement: <br /> <br />3. <br /> <br />Owner information <br />a. Name and address: <br /> <br />b. Interest in property: OWner <br />c. Name and address of fee simple titleholder <br /> <br />South Central Nursing Homes of <br /> <br />500 Winderly Place, Suite 115 <br /> <br />Maitland, Florida 32751 <br />(if other than owner): <br /> <br />Zephyrhills, Inc <br /> <br />~ <br /> <br />Same <br /> <br />Contractor: (name and address) <br /> <br />Surety <br />a. Name and address: N/A <br /> <br />Poole Construction Company, Inc. <br /> <br />544 Douglas Avenue <br />Altamonte Springs, Florida 32714 <br /> <br />b. Amount of bond $ <br /> <br />6. Lender: (name and address) N/A <br /> <br />8. <br /> <br />Persons within the State of Florida designated by Owner upon whom notices or <br />other documents may be served as provided by Section 713.13(1)(a)7. Florida <br />Statutes: (name and address) T S tt <br />om u on <br /> <br />South Central Nursing Homes of Zephyrhills, Inc. <br />In addition to himself. Owner designates the following person(s) to receive <br />6 copy of the Lienor's Notice as provided 1n Section 713.13(1)(b),Florida <br />Statutes: (name and address) 500 Winderly Place, Suite 115 <br /> <br />Maitland, Florida 32751 <br /> <br />7. <br /> <br />9. Expi ation date of notice of commencement (the expiration date is 1 year froDI <br />of reco ding unless a different date is specified) <br /> <br /> <br />T/A.e, ",,\-.+5 E -;;;;u.+f.r:v- <br />(Print Owner's Name) <br /> <br />Owner's Address: 500 Winderly place, Suite 115. Ma;t:l;:!no FT. 1?75l <br />The foregoing instrument was acknowledged before me thiS~/~/~bY <br />1/,()f}~ ,thE SuTlv/') who is p=.:sonalll k~. to~e/who produced <br />as ident~cation and who did not take an oath. <br />Coufty of <L})A,~ ~ Commission t CCS,S3"3J? <br />/, Commission Expires: .5 - I q - d (> () c) <br /> <br /> <br /> <br />All Information Must Be Typed or Printed Legibly <br />to Comply With Recording Requirements <br />