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10-10037
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10-10037
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Last modified
1/26/2011 9:11:47 AM
Creation date
1/26/2011 9:11:45 AM
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Building Department
Company Name
FLORIDA HOSPITAL OF ZEPHYRHILLS
Building Department - Doc Type
Permit
Permit #
10-10037
Building Department - Name
FLORIDA HOSPITAL OF ZEPHYRHILLS
Address
7050 GALL BLVD
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This Instrument Prepared By: <br /> Name <br /> Address <br /> Y Permit No. Tax Folio No. Lt. . f', ';,2 /" .C�j 0 ' L S — 0 �/ ' C <br /> NOTICE OF COMMENCEMENT <br /> STATE OF ■•-LC3 rA r D,A <br /> COUNTY OF p,rki. . <br /> THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter <br /> 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) 70 6 Q G co ` j v cS ? e �� . L )(S R. <br /> .. O Z, rwp Z(o j2 1 <br /> 2. General description of improvement: 3 y n •4 j e / �) Z t �3 ��/ <br /> 3. Owner information + 1 <br /> a. Name and address: I— ar. 61.1: �1= - S {� , C75C` 6�r �,` I 2,..- �j4 i !'j `t 3 S <br /> b. Interest in property: <br /> c. Name and address of fee simple titleholder (if other than owner): 0.t tp <br /> 4 Contractor: <br /> a. Name and address: INTERNATIONAL SIGN & DESIGN — 10831 CANAL STREET, LARGO, FL 33777 <br /> b. Phone number: 727 - 541 -5573 <br /> 5. Surety 111101111111111111II11111IIIII11111IIIIIIIIIIIIIII11111111 <br /> a. Name and address: 2010015757 <br /> b. Amount of bond $ . <br /> c. Phone number: <br /> 6. Lender Rcpt :1286542 Rec: 10.00 <br /> a. Name and address: DS: 0.00 IT: 0.00 <br /> b. Phone number: 02/05/10 S. Shultz, Dpty Clerk <br /> 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as <br /> provided by 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 following person(s) to receive a copy of the Lienor's Notice as provided in Section <br /> 713.13(1)(b), Florida Statutes: <br /> a. Name and address: <br /> b. Phone number: <br /> 9. Expiration date of notice of commencement (the expiration date is 1 year from t.--1 date of recording unless a different date is <br /> 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 <br /> INTEND TO ■ =TAI' (INAC CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR <br /> RECORDI G p) COM MENT. <br /> PAULA S. O'NEIL, PRSCO CLERK & COMPTROLLER <br /> Signa d r of Owner or Owner's Auth iz fficer /Director 02/05/ 10 08 : 35am 1 of 1 <br /> Pa er onager �v// ,�,,. ,- OR BK 8263 PG 1020 <br /> story's Title/Office C�� C) <br /> The foregoing instrument was acknowledged before me this r ' � � day of SAN • ; ;C; ) <br /> „ICJ i1 N !-EAS�C) 1 tIC: CEO of person) as L..• EO (Year by <br /> (type of authority, <br /> ...e.g. officer, trustee, attorney in fact) for f- GOJai1 C) A. i-ki P1TA L_ ywi—tytii - /ILL ; (name of party on behalf of whom <br /> instrument was executed). <br /> V i,..`,'v t! ; - lC. -.3, - <br /> Signature of Nota Public — State of Florida <br /> Print, Type, or Stamp Commissioned Name of Notary Public ; U" "', KIMBERLY J. HILL <br /> Commission Number * : ,1, :, MY COMMISSION # DD 774429 <br /> .4 ;g EXPIRES: July 19, 2012 <br /> Personally Known ✓ Produced Identification ;p, B Pub --• - rwdters <br /> Verification Pursuant to Section 92.525, Florida Statutes <br /> Under penalties of per • I dec re that I have read the foregoing and that the facts stated in it are true to the best of my knowledge <br /> and belief. 0 /-- <br /> Signs re f Natural Person Signing A ove <br />
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