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11-12638
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11-12638
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Last modified
6/20/2012 2:25:15 PM
Creation date
6/20/2012 2:25:12 PM
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Building Department
Company Name
ADVENTIST HEALTH SYSTEM SUNBELT
Building Department - Doc Type
Permit
Permit #
11-12638
Building Department - Name
ADVENTIST HEALTH SYSTEM SUNBELT
Address
7050 GALL BLVD
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This InstrumentPrepared By: <br /> . l�ame: Rodda Construction Inc 250 E. Hi�hland Drive. Lakeland, FL 33813 I IIIIII IIIII I I I ( IIIII IIIII IIIII IIIII IIIII IIII <br /> , 2011193854 <br /> Permit No. Taz Folio No. <br /> Rcpt:1404192 Ree: 18.50 <br /> NOTICE OF COMMENCEMENT DS : 0. 00 I T: 0. 00 <br /> STATEOF Florida 12/14/11 K. Gareia, Dpty Clerk <br /> COU_NTY OF Pasco <br /> THE IINDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with <br /> Chapter 713, Florida Statutes, the fol[owing information is provided in this Notice of CommencemenG <br /> 1. Description of property: (legal description of property, and sireet address if available) <br /> Florida Hospilal Zephyrhills Angiography Room LegaL 35-25-21-0010-I0500-0000 <br /> 7050 Gall Blvd <br /> PRULA S 0'NEIL,Ph D PqSCO CLERK 8 COMPTROLLER <br /> ZephyrhiUs, FL 33541 12/14/11 0:49a 1 of 2 <br /> 2. Generaldeseription ofimprovement: Room Upgrades OR BK ���� PG 3864 <br /> 3. Owner/ Tenant information <br /> a. Name and Address: Florida Hospi#al Zephyrhills, 7050 GaU Blvd, Zephyrhills, FL 33541 <br /> b. Interest in property: Owner <br /> c. Name and address oJfee simple titleholder rf other than owner): <br /> 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 /> S. 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., F[orida Statutes: <br /> a Name and address: <br /> b. Phone number: <br /> 8. In addition to himself; Owne� designates the joUowingperson(s) to receive a copy of the Lienor's Notice as provided in <br /> Section 713.13{I)(b)., Florida Statutes: <br /> a. Name and address: Rodda Construction, Inc., 250 E. Highland Drive, Lakeland, F1338I3 <br /> b. Phone number: 863-669-0990 <br /> 9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different <br /> date is specified) <br /> WARNING TO OWNER: ANYPAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTTCE OF <br /> COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA <br /> STATUTES, AND CAN RESULT IN YOUR NG TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF <br /> COMMENCEMENT ST BE RECORD ND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND <br /> TO OBTAIN FINA C, CO SULT YOUR LENDER OR ANATTORNEYBEFORE COMMENCINC WORK OR RECORDING <br /> YOUR NOT C O ME CEM <br /> 1 <br /> (Signatu o Owne or Owne s uthorized Offuer/Director/ artner/Manager) <br /> r- ��.. � <br /> � <br /> (Signatory's Title/Off ) _' <br /> � i,�/f �� � �; <br /> The foregoing instru nt was ckn � l , edged bef e me this /�7 �day of , 2011, by � t�-�� ��-�v� �(��Z�t�� VI.QxL, <br /> (name of person) asl t,�ld� �Y1a..ti�(fy�uthorily, ... e.g. officer, trustee, attorney in fact) for (name of party on <br /> beha ojwho instrumen executed <br /> � KATHLEEN 3. McCALLl� <br /> . NOl'ARY PUBLIC <br /> t ature of Notary Public - Sta Florida) 97ATE OF �LORHaI► <br /> . Comm# DD728Z39 <br /> (Print, Type, or Stamp Com ' sioned Name of Notary Public) Explrea 1/16/201Z <br /> Personally Known OR Produced Identifieation Type of Identifieation Produced <br />
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