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<br />This Instrument Prepared By: <br />.Name: <br />Address: <br /> <br />NOTICE OF COMMENCEMENT <br /> <br />I 111111 11111 11111 11111 11111 11111 11111 11111 11111 IIRI 1111 IIII <br />2000012131 <br />Rcpt: 388417 Rec: <br />DS: o. 00 IT : <br />02/01/00 Dpty Clerk <br />JED PITTMAN, PASCO COUNTY CLERK <br />02/01/00 02:20p. 1 of 2 <br />OR BK 4303 PG 1,e.og <br /> <br />10.50 <br />0.00 <br /> <br />Permit No. <br /> <br />STATE OF Florida <br />COUNTY OF Pn !'lr!n <br /> <br />TilE UNDERSIGNED herby gives notice that improvement will be made to certain real <br />property, and in accordance with Chapter 713, Floridu Statues. the following <br />information is provided in this Notice of Commencement, <br /> <br />1. Description of property: (legal description of property, und street address if <br />available) <br /> <br />See Attached <br />2. General description of improvement: East Pasco Medical Center <br /> <br />Cath Lab <br /> <br />3, <br /> <br />Owner information Adventist Health Systems, D/B/A East Pasco <br />a. Name and address: 7050 Gall BId Z h h'll l' <br />ou evar, ep yr ~ s, F or~da <br />Attn Don E. Welch, CPO <br />b. Interest 1n property: ; <br /> <br />Medical Center <br />33541 <br /> <br />c, Name and address of fee simple titleholder (if other than owner): <br /> <br />R~. <br /> <br />Contractor: (name and address) <br /> <br />5, <br /> <br />Surety <br />a. Name and address: N/A <br /> <br />b. Amoun t of bond $ N In <br />, <br /> <br />Poole Construction Co" Inc. <br />544 Douglas Avenue <br />Altamonte Springs, FL 32714 <br /> <br />G. Lender: (name and address) <br /> <br />N/A <br /> <br />7, <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 7l3.13(1)(a)7. Florida <br />Statutes: (name and address) <br /> <br />Roy Clark <br /> <br />East Pasco Medical Center, 7050 Gall Boulevard, Zephyrhills. <br />In addition to himself, Owner designates the following person(s) to receive <br />H copy of the Lienor's Notice as provided in Section 7l3,13(1)(b) ,Florida <br />Statutes: (name and address) <br /> <br />FL <br /> <br />33541 <br /> <br />8, <br /> <br />9, <br /> <br /> <br />ion date of notice of commencement (the expiration date <br />dat of recording unless a different date is specified) <br /> <br />'Ii tM< <br /> <br />is 1 year froDl <br /> <br />(Signature of Owner) <br /> <br />Donald E Wp.lr!h <br />(Print Owner's Name) <br /> <br />r1<'() <br /> <br /> <br />Owner's Address: <br /> <br />The foregoing instrument was acknowledged befol'e me thiSA-/ -L~bY <br /> <br /> <br />JAt1aJ d vV ~ Ie. h who is personall~ho produ.:ed <br /> <br /> <br />as identintion and who did not take an oath. <br /> <br /> <br />County of f1J ~ (! (j Commission /I <br /> <br /> <br />My Commission Expires: g / J ( /-9, 600 <br /> <br />J'~~~\ SUSAN L BENNETT <br />{.:~:.. MY COMMISSION , CC 575808 <br />~ '1 EXPII&: AuguIt 11, 2000 <br />'.. IIandId nuu NalIIy PublIc ~ <br /> <br />All Information Must Be Typed or Printed Legibly <br />to Comply With Recording Requirements <br />