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<br />FILE No.974 05/31 '02 12:24 ID:ADAMS TANK&LIFT <br />STATE OF FLORIDA <br />C(,)i.JNTY,QF PASCO <br />rii!S ':: ro CERTiFY THAT THE FOREGOING IS A <br />e':;) crnREcT COP'!" OF THE DOCUMENT ON FILE <br />P:J8L,C RFl.V~D II'J TillS OFF!C~,- \~fNESS MY <br />!;rd) OFFiC'AL StAl_ THIS~ DAY OF <br />/- .- 0 O".i- <br /> <br />(~'ED Plm iAN, Cl"~ '-~LERKNOTICE OF COMMENCEMENT <br /> <br />FAX:7275458398 <br /> <br />PAGE <br /> <br />2 <br /> <br />1111111111111111I1111111111111111111111111111111111I11111111 <br />2002085260 <br /> <br />1tECE1'l~D <br /> <br />1'\ .. ,. <br />~\.h1 lJ J ,.-"- <br /> <br />Pennit No. <br />PatC8ll.O. No. Q2-26-21:ooao-ooAOO-0122 <br /> <br />State of Florida <br />County Of Pasco <br /> <br />Rcpt.: 593446 <br />DS: 0.00 <br />06/04/02 <br /> <br />Rec: 6.00 <br />IT: 0.00 <br />Dpty Clerk <br /> <br />THE UNDERSIGNED hereby give notice that the improvement will be <br />made to certain real property in accordanCe with Chapter 713, Florida statues. <br />the foll~ng informatiOn is provided in this notice of commencement. <br /> <br />1. DescriptiOn of property (legal desoription of propeR)' QlN ~ltiD IT available) 38220 HenlY Dr. Zepyrttills. Fl. <br />TYSON SUB PB 4 PG 109 peR OF TRACT "A" OESC AS COM NE COR OF S1/2 OF SW1f4 SECTION 2 <br />TH S89DG 53' 27"W 1083.00 FT <br />2. General desCription of improvements Install fuel tank for emeraencv ganerator <br /> <br />3. Owner informatIOn <br />A. Name and address Health Care And Retirement corp. Of AmerIca, PO Box 10086 Toledo. OH <br />B. InteNSt In property Fee Simple <br />C. Name and address at fee simple title holder (If other than CMII1ef) <br /> <br />k <br /> <br />4. ContraCtor (name and address) <br /> <br />Adams Tank & Uft. Inc. <br />8440 43rd st. N. Pinetlas Pane. FI. 33781 <br />NlA ii~0~~~~"Ar0 : f~:~O fOUNT:f' CL1ERK <br />~ ~~ 4966 ~ 89 <br />N1A <br /> <br />5. Surety <br /> <br />A. Name and address <br />8. Amount of bond <br />6. Lender (name and address) <br /> <br />7. Person ~in the state of Florida designated by owner upon who notices or other docUments may <br />be selVed as provided by Section 713.13(1)(a)(7). Florida statues. <br />Name and address NJA <br />8. In addition to him or herself. 0lM'I&I" designates NlA <br />of to receive a copy of the Lienor's Notice <br />as provided in Section 713.13(1)(b). Florida Statues. <br />9_ EJcpiration date of notice of commencement~ ~ (the expiration date is one <br />year from the date of recording unless a different date is specifi ~ <br /> <br />State of Florida :J ' <br />Ccun\y Of (M' u "'Jf/ - - ~ of Ownet - <br />~)S{L^'-' ':)'tr( if .v1d...M.~ III ~t[Ql~r <br />Print Name And Titfe 0 <br /> <br />The following instrument was acknoWledged before me this <br />who is pefSOI18l1y knoWn to ~or whO produced <br /> <br />After recording, return to: <br />Name Adams Tank & Uft. Inc <br />Address a.44O 43rd St. N. <br />City Pinellas Park Fl. 33781 <br /> <br />,J/:if: day of ~ 2002- <br />As id tification.- <br /> <br />=(::"re (Yh1'f!}11t~'mf2tjLJ1?"~ <br /> <br />StI!I"iaIl mher if <br />,''':''::-;; 1la~e -n..uSmus any <br />~ "-" ~ <br />*. *My Commission CC846006 <br />~'t",~" Expires June 13. 2003 <br /> <br />MAY 31 '02 11:05 <br /> <br />7275458398 <br /> <br />PAGE. 002 <br />