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<br />)'his JI\~::..rUl~eJlL Prcput-ed By: <br />th,me; <br />Addr'ess: <br /> <br />"HIII mn 111II 111II HIlI II II IIllI 11II 'flf <br />9910't189 <br /> <br />Pel'mit /lo. <br /> <br />Rcpt: 350842 <br />DS: 0.00 <br />08/17/99 <br /> <br />Rec: <br />IT: <br /> <br />NOTICE OF CO~l~lENCENE.NT <br /> <br />10.50 <br />0.00 <br />Dpty Clerk <br />JED PITTMAN, PASCO COUNTY CLERk <br />08/17/99 11:02a. 1 of 2 <br />OR BK 4208 PG 1042 <br /> <br />STATE OF F] or; c1rl <br />COUr<TV OPa !'ir:n <br /> <br />TilE UNDEHSIGNED her'by gives notice that improvement will be maje to cer'tain 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. 8nd street address if <br />available) <br /> <br />See Attached. <br />2. General description of improvement: East Pasco Medical Center <br /> <br />ER Renovation and Addition <br /> <br />3. <br /> <br />Owner information <br />a. N=e and address: <br /> <br />Adventist <br />7050 Gall <br /> <br />Health Systems, D/B/A East Pasco Medical <br />Boulevard, Zephyrhills, F~prida 33541 <br />Pell'" H. tJJl~ c.~ (: Fe> <br /> <br />Center <br /> <br />b. Interest in property: <br /> <br />c. N=e and address of fee siClple titleholder (if othel' than owner): <br /> <br />R. <br /> <br />Contractor: (name a~d address) <br /> <br />5. <br /> <br />Surety <br />a. Name and address: NA <br /> <br />Poole Construction <br />544 Douglas Avenue <br />Altamonte Springs, <br /> <br />Co., Inc. <br /> <br />FL 32714 <br /> <br />b. Amount of bond S NA <br /> <br />G. Lender: (name and address) NA <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 713.13(1)(a)7, Florida <br />Statutes: (name and address) Roy Clark <br /> <br />East Pasco Medical Center, 7050 Gall Blvd. Zephyrhills, FL 335. <br />In addition to himself, Owner designates the following person{s) to receive <br />u copy of the Lienor's Notice as provided in Section 713.13(1) (b) ,Florida <br />Statutes: (name and address) <br /> <br />8. <br /> <br /> <br />9. Expiration date of notice of commencement (the expiration date is 1 year froD' <br />t date of recording unless a different date is specified) <br /> <br />,tJ~ OOI1r. IJ,;. '/,IVc!/"........ eft; <br /> <br />(Signature of Owner) (Print Owner's Naule) <br /> <br />Owner's Address: <br /> <br />The foregoing instrument was acknowledged befol'e me this ~ / /1 / q cr by <br />..- ~ --- <br />~\\o...\c\ \", \kJ~\L~whO i~nallY known to me/~ho produ,:ed <br /> <br />as ide~ication and who did not take an oath. <br /> <br />State of Florida County of ~~c.n Commission /I .!:500QU9 <br /> <br />CJ :\.)()"\,.~"'\\\.\\~~~\.~\i\MY Commission Expires: ~ -/ - ,;;(CC/ <br />I (Notary) <br /> <br />All Information Must Be Typed or Printed Legibly <br />to Comply With Recording Requirements <br /> <br />,..,....... JUNE M HERNDON --, <br />,~<!,!\y.fs:t-~ . If <br />i.r~" :.~ MY COMMISSION' CC !i!lOOlr.:, . <br />~~~J:,; EXPIRES: February 1, 2001 i <br />"'~iif.:!~if.;., Bonded T11Iu NolIIy PubIlc Undllwrbl1l <br />