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This Instrument Prepared By:
<br /> Name: Rodda Construction,Ir �SOE.HiPhlandDrive, Lakeland,FL 33813 IIIIIIIIIIIIIIIIII�IIIIIIIIIIIIII��III�IIII �I�I�II III�I�I
<br /> 2012208822
<br /> Permit No. Tax Folio No.
<br /> NOTICE OF COMMENCEMENT
<br /> STATE OF Fkirida
<br /> COUNTYOF Pascp
<br /> THE UNDERSIGNED hereby gives notice that improvements will be made to certain reat property,and in accordance with
<br /> Chapter 713,Florida Statutes,fhe foUowing information is provided in this Notice of Commencemenx
<br /> 1. Description of property: (legal description of property,and street address if available)
<br /> Florida Hospital Zephyrhitiv-�r!l�r�frLegal: 35-25-21-OOIO-IOS00-0000
<br /> 7050 GaU Blvd ,�.!�. QS Pl01480692 Rec: 10.00
<br /> Zephyrh ills,FL 33541 00 I T: 0.00
<br /> 2. General description of improvement: Upgrade systems for new equipment 22�0��12 C. Cook, Dp{y C1 erk
<br /> 3. Owner/Tenant information
<br /> a. Name and Address: Florida Hospital Zephyrhills, 7050 Gall Blvd,Zephyrhil/s,FL 3354�
<br /> b. Interest in property:Owner
<br /> c. - Name and address of fee simple titleholder(if other than owner):
<br /> �4. Contractor:
<br /> a. Name and address: Rodda Construction,Inc.,250 E.Highland Drive,Lakeland,FI,33813
<br /> b. Phone number:563-669-0990
<br /> S. Surety
<br /> a. Name and address:N/A
<br /> PqULA S 0'NEIL,Ph D PqSCO CLERK 6 COMPTROLLER
<br /> b Amount of bond$ 12/07/12 10:46a 1 of 1
<br /> c. Phonenumber: OR BK $��� �4 �+r�
<br /> 6. Lender P� i oL
<br /> a. Name and address:N/A
<br /> b. Phone number:
<br /> 7. Persons wilhin the Stute of Florida designated by Owner upon whom notices or nther 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,' Owner designates the following person(s)to receive a copy of the Lienor's Notice as providerl in
<br /> Section 713.13(l)(b).,Florida Statutes:
<br /> a. Name and address: Rodda Constructivn,Ina,250 E.Highland Drive,Lakeland,F133813
<br /> b. Phone number:863-669-0990
<br /> 9. Expiration date of notice vf commencement(the expiration date is 1 year from the date oJrecording unless a clifferent
<br /> date is specified)
<br /> WARNING TO OWNER:ANYPA YJbf TS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICL OF
<br /> COMMENCEM�NT ARE CGI.NSIi? D IMPROPER PAYMENT'S UNDER CHAPTER 713,PART I,SECTION 713.1�,FLORIDA
<br /> STATUTES,.4ND CA RESULT I Y UR PAYINC TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTIC�OF
<br /> GUA�f11�'.EtVCF.M US 13E ItDEI)AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.IF YOU INTEND
<br /> TO OBTAIN FIIV ,CU L?'WITH YOUR LENDER OR ANATTORNEYBEFORE COMMENCING WORK OR RECORDINC
<br /> YOUR NOZ'I F O IENT.
<br /> (Sigttu e of Owner or vnsr's Authorued Officer/Director/Parrner/Manager)
<br /> �,�� �` �. �, �, z /�1�� .�,..�r . _
<br /> (Signatory's Title/Office)
<br /> The foregoing instrument '�lricknnwledgerl before nts tl�is��tay uf �t/�t '2111Z,by ��l�t i�'�t �������
<br /> (name ofperson) rrs r ' t�`� (type of authority,...e.g. officer,irusiee,attorney in fact)for(name o f party on
<br /> behalf of�am instrume t vas.execr�rff).
<br /> ' _�._.
<br /> �
<br /> ,,�,° �,. �. �'``�°: °, �,,s� f� sus�w�ee►au�rr
<br /> MY COMMISSION N EE 214702
<br /> i ature af 1�r�tu�,Pubtie .State of si�la) EXPIRES:August t1,2018
<br /> r . 9anded Thru Notary PubYc Undeiwtlhis
<br /> (Print, Type,or Stamp Commissioned Name oJNotary Public)
<br /> Personally Known�OR Produced Identification Type of Idenhf cation Pruduced
<br />
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