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This Instrument Prepared By: <br /> Name: Rodda Construction, Inc., 250 E. Highland Drive, Lakeland, FL 33813 I i VIII VIII VIII VIII VIII VIII <br /> 20011 0006198 <br /> Permit No. Tax Folio No. <br /> NOTICE OF COMMENCEMENT Rcpt.: 1282845 Rec: 10.00 <br /> STATE OF Florida <br /> • <br /> DS : 0.00 IT: 0.00 <br /> COUNTY OF Pasco 01/14/10 Dpty Clerk <br /> THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with <br /> Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. <br /> 1. Description of property: (legal description of property, and street address if available) <br /> Florida Hospital Internal Medicine/Geriatrics Clinic Legal: 35- 25 -21- 0060 - 00000 -0011 <br /> 38005 Arborridge Drive <br /> Zephyrhills„ FL PAULA S. O'NEIL, PRSCO CLERK & COMPTROLLER <br /> 2. General description o improvement: Internal Medicing/Geriatrics Clinic <br /> 01/14/10 ep3n 1 °W@ 4 <br /> p f p g OR BK 11 PG <br /> 3. Owner / Tenant information <br /> a. Name and Address Adventist Health Systems DBA FL Hospital Zephyrhills, 7050 Gall BIvd,Zephyrhills, FL <br /> 33541 <br /> b. Interest in property: Owner <br /> - • c. Name and address of fee simple titleholder (if other than owner): <br /> Ft 4. Contractor: <br /> a. Name and address: Rodda Construction, Inc., 250 E. Highland Drive, Lakeland, FL 33813 <br /> b. Phone number: 863- 669 -0990 <br /> 1 Surety <br /> a. Name and address: N/A <br /> b Amount of bond $ . <br /> c. Phone number: <br /> 6. Lender <br /> a. Name and address: N/A <br /> b. Phone number: <br /> 7. Persons within the State of Florida designated by Owner upon whom notices • or other documents may be served as <br /> provided in section 713.13(1)(a)7., Florida Statutes: <br /> a. Name and address: <br /> b. Phone number: <br /> 8. In addition to himself, Owner designates the followingperson(s) to receive a copy of the Lienor's Notice as provided in <br /> Section 713.13(1)(b)., Florida Statutes: <br /> a. Name and address: Rodda Construction, Inc., 250 E. Highland Drive, Lakeland, Fl 33813 <br /> b. Phone number: 863 - 669 -0990 <br /> 9. Expiration date of notice of commencement (the expiration date is I year from the date of recording unless a different <br /> date is specified) . <br /> WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF <br /> COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA <br /> STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF <br /> COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND <br /> TO OBTAIN F Cl SULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING <br /> YOUR NO CE OF COM FINANCING, <br /> % EMENT. <br /> I. " : fiIiz( <br /> ature of Own or Owner's Authorized Officer /Director /Partner/Manager) <br /> A, ,2 6v= O4 j 5 ,2vvgc <br /> (Signatory's Title/Office) fiA , ft / / The foregoing instrument was acknowledged before me this / day of✓ , 200, by _Am., ' ' <br /> (name o person) - as (type of authority, ... e.g. officer, trustee, attorney ' fact) for (na � e of party o ' <br /> ..SA f,9: Y 4Y9.YC9 <br /> behalf f who instrument ecut KATHLEEN S. MCCALLUM <br /> a a uU ry�ii <br /> s';�a� Comm# 000728233 <br /> �' ` - • 4 Expires 1/16/2012 <br /> (Si nature of Notary Public - ate of Florida) 4.a;' s <br /> ;; Florida Notary Assn., Inc <br /> (Print, Type, or Stamp Commissioned Name of Notary Public) <br /> Personally Known OR Produced Identification Type of Identification Produced <br />