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<br />Name: <br />Address: <br /> <br />~~~IJ'1~W~l~IIIIIIIIIIII ~I" 111111111111I1111111111 <br /> <br />Permit No. <br /> <br />Rcpt: 531166 <br />OS: 0.00 <br />09/25/01 <br /> <br />Rec: 10.50 <br />IT: 0.00 <br />_____ Dpty Clerk <br /> <br />~~92;~~IMANi : rcs;o fOUNT:, C~ERk <br /> <br />OR Bk 4729 PG 517 <br /> <br />TilE UNDERSIGNED herby gives notice that improvement will be maje to cerptn real <br />property. and in accordance with Chapter 713. Florida Statues. the foIl ing <br />information is provided in this Notice of Commencement. <br /> <br />NOTICE OF COM~IENCEMENT <br /> <br />F~orida <br />STATE OF <br />COUNTY OF Pasco <br /> <br />1, Description of property: (legal description of property. ~d street address if <br />available) <br />Legal Description Attached <br /> <br />2. General description of improvement: <br /> <br />3. Owner information <br />a. Name and address: East Pasco Medical Center, Inc. <br /> <br />7050 Gall Boulevard, Zephyrhills, Florida 33541 <br />b. Interest in property <br />: (Donald E. Welch, CFO) <br /> <br />c. Name and address of fee simple titleholder (if other than owner): <br /> <br />R. <br /> <br />5. <br /> <br />Surety <br />a. Name and address: <br /> <br />pOb1e Construction Co., Inc. <br />106 S. Palm Ave., P.O. Box 279 <br />Howey In The Hills, FL. 34737 <br /> <br />Contractor: (name and address) <br /> <br />b. AIIIoun t of bond S <br /> <br />N/A <br />N/A <br /> <br />G, Lender: (name and address) <br /> <br />7. Persons within the State of Florida designated by Owner upon whom notices or <br />other documents may be served as provided by Section 113.13(1)(a)7. Florida <br />Statutes: (name and address) <br /> <br />8. In addition to himself, Owner designates the following person(s) to receive <br />H copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida <br />Statutes: (name and address) <br /> <br />9. is 1 year frolll <br /> <br /> <br />Owner's Address: <br /> <br />(Print Owner's Nawe) <br />Ga~l Boulevard, Zephyrhi11s, FL. 33541 <br /> <br />The foregoing instrument was aCknowledged before me this ()q I C)., r I ~ / by <br />\<\c....~..c-~~ \~\1"\Q~~rsOnally kn~/WhO Produ=-~~ <br />, <br /> <br />as identification and who did not take an oath. <br /> <br />~ <br />State of Florida County of VQS <'-6 <br /> <br />~~~:L\"\""" :.....~~)'.."l'...;:-\c)\f" My Commission <br />(Notary) <br /> <br />CollllDission N f C ~o~3 '7 <br />Expires: .,:l-I-::2.........s- <br /> <br />All Information Must Be Typed or Printed Legibly <br />to Comply With Recording Requirements <br /> <br />~~"r~. <br />6:A)~ <br />.Il,'t.....;.ff:~~ <br />,Rr..~" <br /> <br />JUNE M, HERNDON <br />MY COMMISSION # CC 980237 <br />EXPIRES: February 1, 2005 <br />80nO,0 ThN -IV Pulllio Uncltrwlilell <br />