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<br /> 2011135788
<br /> NOTICE OF COMMENCEMENT Rcpt:1386263 Rec: 10.00
<br /> D5: 0.00 IT: 0.00
<br /> MRI#4383 08/31/11 K. Garcia, Dpty Clerk
<br /> Permit No.
<br /> Tax Folio No. 35-25-21-0010-06900-0020
<br /> THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with m �
<br /> Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. o � c
<br /> 1.Description of property (legal description): ZEPHYRHILLS COLONY COMPANY LANDS PB 1 PG 55 TRACTS 69, 70, 71, 74, � w D
<br /> 75, 76, 86 & 87 LYING WEST OF WIRE ROAD & EAST OF DAIRY; SEC 35 TWN 25 RGE 21; 7350 DAIRY ROAD, '�
<br /> �
<br /> ZEPHYRHILLS, FL � � o
<br /> 2.General description of improvements: ROOFING '"� m
<br /> 3.Owner Information �� �
<br /> a)Name and address. ADVENTIS HEALTH SYSTEM;SUNBELT INC, (�m S
<br /> C/O EAST PASCO MEDICAL CENTER, 7050 GALL BLVD, ZEPHYRHILLS, FL 33541-1347 �� o
<br /> b)Name and address of fee simple title holder (if other than owner): N/A Na D
<br /> c)Interest in property: OWNER �
<br /> 4 Contractor Information � r o
<br /> c� �
<br /> a)Name and address: _MILBAR ROOFING. INC. , 15911 U.S. HWY 301, DADE CITY FL 33523 �
<br /> b)TelephoneNo.: 352/567-6047 Fax No.(Opt.) � w °+ �
<br /> 5.Surety Information F , �
<br /> a) Name and address: � o
<br /> b) Amount of Bond: � �
<br /> c) Telephone No.. Fax No. (Opt.) ��
<br /> 6.Lender �
<br /> a) Name and address: �
<br /> Phone No.
<br /> 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served:
<br /> a) Name and address:
<br /> b) Telephone No : Fax No. (Opt.)
<br /> 8.In addition to himself, owner designates the following person 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:
<br /> b) Telephone No : Fax No. (Opt.)
<br /> 9.Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a
<br /> different 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,
<br /> FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY A
<br /> NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
<br /> INSPECTION IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
<br /> COMMENCING WORK R RECORDING YOUR NOTICE OF COM ENCEME T
<br /> �s c v
<br /> S T oF � �o .I'�e v e Co.� f o �J
<br /> � LOWAY 10.
<br /> 's} N � P �� _ g �� � �� Sign re ner o ' er's Authorized Officer/Director/Partner/Manager
<br /> • • M�t Comm. E�plres JW �21, p015 .��e V �_ C,a 1rf0l.� �!� , b� �J,�.� _�,,��,� f ,
<br /> COIRlllitibp 1► EE 1147M Print Name and Title
<br /> 001101� �MM��MIR. )
<br /> before me this [ day of �� , 20�, by
<br /> ✓t �'J � y as Sh� �+G vr �y.� (type of authority, e.g. officer, trustee, attorney in fact)
<br /> for � c. / name of party on behalf of whom instru ent was ted).
<br /> Personal y Known OR Producecj,.l,dentification Notary Signature
<br /> Type of Identificati n Produced %!C ry�,, Hy�,�,�ame(print) Gai, i/ h<</�✓
<br /> --- AND ---
<br /> Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I eclare th have read the foregoing
<br /> and that the facts stated in it are true to the best of my knowledge and belief. L%(./`'
<br /> Signature of Natural Person gning (' .) Above
<br /> FORMSMOC,rv5d2007
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