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<br />Permit Number <br /> <br />111111111111111111111111111111111111I11111111I11111111111111 <br />2006013900 <br /> <br />Parcel Identification Number,:!fJ':,l.s--,:2/- cJOIO-/OSCXJ- cJOOO <br /> <br />Rcpl: 981961 <br />OS: 0.00 <br />04/12/06 <br /> <br />Rec: 10.00 <br />IT: 0.00 <br />Dpty Clerk <br /> <br />Prepared by: <br /> <br />Return to: International Sign & Design Corp <br />10831 Canal St., <br />Largo, Fl. 33777 <br /> <br />, <br />JED PITTMANi PASCO COUNTY CLERK <br />04/12/06 1 :14am 1 of 1 <br />OR BK 6933 PG 627 <br /> <br />NOTICEOFCO~NCEMENT <br />State of Florida, County offis ({) <br /> <br />The undersigned hereby gives notice that Improvement(s) will be made to certain real property, and in accordance <br />With Chapter 713, Florida Statutes, the following information is provided in the Notice of Commencement. <br /> <br />1. <br /> <br />Description of property (legal description of the property, and street address if available) <br />7050 Gall Boulevard <br />Zep.hyrhills, FL 33542 <br />General description ofImprovement(s)- <br /> <br />Signage 1'\ A~ /." <br />E/fST J~1C'c:J/n~-V/Mc.l.~"NR:-?< <br />Owner Information Florida Hospital Zephyrhills <br />Name Richard S. Byf ield <br />Address 7050 Gall Blvd. c~?o//)'~//t~f/E. .? .?SV~ <br /> <br />Telephone Number <br />Fax Number <br />Interest In Property: <br /> <br />813/783-6189 <br />813/783-6106 <br /> <br />2. <br /> <br />3. <br /> <br />4. Fee Simple Title Holder (If other than owner shown above) <br />Name N/A <br />Address <br /> <br />Telephone Number <br />Fax Number <br /> <br />R <br /> <br />Contractor <br />Name <br />Address <br /> <br />William H. Griffin <br />International Sign & Design Corp <br />10831 Canal St <br />Largo, Fl. 33777 <br /> <br />Telephone Number: 727-541-5573 <br />Fax Number: 727-544-7745 <br /> <br />6. Surety (If any) N/A <br /> Name <br /> Address <br />7. Lender (If any) N/A <br /> Name <br /> Address <br /> <br />Telephone Number <br />Fax Number <br />Amount of bond $ <br /> <br />Telephone Number <br />Fax Number <br /> <br />8. Persons within the State of Florida designated by Owner upon whom notices or other documents <br />may be served as provided by ~713.13(1)(a)7., Florida Statutes. <br />Name N/A Telephone Number <br />Address Fax Number <br /> <br />9. In addition to himself or herself, Owner designates the following to receive a copy ofthe Lienor's Notice as provided in <br />~713.13(1)(b), Florida Statutes. <br />Name N/A Telephone Number <br />Address Fax Number <br /> <br />10. Expiration date of notice of commencement (the expiration date is one year from the date of recording <br />unless a different ~ is specified): <br /> <br /> <br />SCANNED <br />/)3-0s -Oip 9- <br /> <br />~ '~8. ~ <br />Date Signed <br /> <br />Sign <br /> <br />o 0 : per~713.13(l)(g), "owner must sign <br />d no one el may be permitted to sign in his or her stead." <br /> <br />Sworn to and subscribed before me this dI g day of /ibru ti If 20 () " by <br /> <br />who is ~;'onally known to me OR <br />as identification. <br /> <br />produced <br /> <br />~...." SUSAN L. BENNE'IT <br />~W~ MY COMMISSION # DD34S26S <br />~ EXPIRFS:AugustIl,2008 <br />1~J.NOrAJI.Y Fl. Nowy Iliroluat Asooc. Co. <br /> <br />~ (In/?6ff <br />Signature" of Notary ( . al al to below) <br /> <br />Form Revised: 12/05 <br />