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<br />~ <br /> <br />- This~Instrument Pl"cpurcd Uy: <br />Namc: <br />Address: <br /> <br />,- <br /> <br />11"11I11111 \"'11111I1111111111 11111 11111 111I \111 <br />97111c:55 <br /> <br />NOTICE OF COM~lENCEMENT <br /> <br />Rcot: 1855&9 <br />DS: 0. 0121 <br />10/02,nn <br /> <br />Rec: <br />IT: <br /> <br />10.50 <br />0.0121 <br />Dotv ClerK <br /> <br />Permit No. <br /> <br />STATE OF Florida <br />COUNTY OF Pasco <br /> <br />JED PITTMAN, PASCO COUNTY CLER:{ <br />1121/02/97 12: 44pID 1 of 2 ". <br />OR BK 3813 PG 1688 <br /> <br />TilE UNDERSIGNED herby gives notice that improvement will be maje to certain real <br />property. and in accordance wi th Chapter 713. Florida Statues. the following <br />infor-mation is provided in this Noticc of Commencement. <br /> <br />1. Description of pr-operty: (legal descr-iption of property, und street address if <br /> <br />available) See Attached! <br /> <br />2. General description of improvement: <br /> <br />Discharge Center Renovations <br /> <br />3. Owner information <br />a. Name and address: <br /> <br />Adventist Health Systems, D/B/A. East Pasco Medical Center <br />7050 Gall Boulevard - Zephyrhills, Florida 33:;41 <br /> <br />b. Interest in propertY:OWner <br /> <br />c. Name and address of fee simple titleholder (if other than owner): CPwner <br /> <br />R ~. <br /> <br />5. <br /> <br />Surety <br />a. Name and address: N/A <br /> <br />Poole Construction Company, Inc. <br />544 Douglas Avenue <br />Altamonte Springs, Florida 32714 <br /> <br />Contractor: (name and address) <br /> <br />b. Amount of bond $ N/A <br /> <br />G. Lender: (name and address) N/A <br /> <br />7. Persons within the State of Florida designated by Owner upon whoa notices or <br />other documents may be served as provided by Section 7l3.l3(l){a)1. Florida <br />Statutes: (n81lle and address) David Haugan <br /> <br />East Pasco Medical Center <br />7050 Gall Boulevard - Zephvrhills Florida 33541 <br />designates Che 1011ow1ng personlsl~ receTve <br />as provided in Scction 7l3.l3{l){b).Florida <br />The Edge Group Consultants, Inc. <br /> <br />444 Bunker Road - suite #201 <br />West Palm Beach Florida 31405 <br />9. Expiration date of notice of commencement -(the expir!ltfon date is 1. year froD' <br />the date of recording unless a different date is specified) <br /> <br /> <br />~ K-. ~ David HaUC2n <br />, {Signature of Own~ (Print Owner's Naulel <br /> <br />Owner's Address: 7050 Gall Boulevard - Zephyrhills, Florida 33541 <br /> <br />The foregoing instrument was acknowledged before me this ~ / :5i) ,C?'7 by <br /> <br />\:)0\\1 \C\ \-\tWC)~ \, 0s pers~nall;k~~~/WhO produ.::ed <br /> <br />8. <br /> <br />In addition to himself, Owner <br />a copy of the Lienor's Notice <br />Statutes: (name and address) <br /> <br />(Fd - ~Aft ~ ,#f,/,J.c, (!,~1-<~ <br /> <br />as identification and who did not take an oath. <br /> <br />State of Florida County Of~~~ C ~ <br /> <br />(\)"'N""'~ ,,,",,,,,,, . ~~\-\.J"(\.\.",,,-- Hy Commission Expires: <br />'," (Notary) <br /> <br />Commission /I <br /> <br /> <br />JUNE M. HERNDON <br />ISSIIN , CC 590009 <br />lJ.i EXPIRES: FebruIIY 1. 2001 <br />'7 IIondId nuu NalIIY NlIID \MdIIWIIIIII <br /> <br />All Information Must Be Typed or Printed Legib <br />to Comply With Recording Requirements <br />