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This space for use by Clerk of the Circuit Court only. I IIIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIII <br /> • 2013026022 <br /> Rcpt:1496217 Rec: 10.00 <br /> DS: 0.00 IT: 0.00 <br /> NOTICE OF COMMENCEMENT 02/11/13 C. M i ner, Dpty C 1 erk <br /> Permit Number <br /> Tax Folio No 02-26-21-0010-02500-0020 <br /> The undersigned hereby gives notice that improvements will be made to certain real property,and in accordance with SecHon 713.13 of the <br /> Florida Statutes,the following information is provided in the NOTICE OF COMMENCEMENT. � �� <br /> D <br /> 1 Legal Description of property(street address required): 7050 Gall Blvd Zephryhills FL O�D <br /> ZEPHRYHILLS COLONY COMPANY LANDS PB 1 PG 55 NORTH 1/2 OF TRACT 25 LYING EAST OF US 301 � �' N <br /> LESS EAST 230 FT THEREOF& ��.�+o <br /> Wz <br /> m <br /> 2. General description of improvements: Reroof oortion of the commercial buildinq ��� <br /> ��.+� <br /> 3 <br /> 3a. Owner Name: Florida Hos�ital Zephrvhills Inc ��'o <br /> Owner Address: 7050 Gall Blvd Zephryhills FL 33541 �3 D <br /> � <br /> 36 Owoer's interest in site' �a o <br /> � <br /> 3c. Fee Simple Title holder(of other than owner) � m <br /> O <br /> Address: �y+� <br /> r�° <br /> 4 Contractor Name. Tecta America � � <br /> 0 <br /> Address: 6809 N Nebraska Avenue Tam�a FL 33604 Phone 813-621-1700 .,,� � <br /> -� <br /> 5 Surety Name Amount of bond: � � <br /> Address: Phone: m <br /> � <br /> 6 Lender Name' Contact: <br /> Address: Phone <br /> 7 Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by <br /> Section 713 13(1)(a)7,Florida Statutes. <br /> Name Address: <br /> Phone Number <br /> 8. In addition to himself,Owner designates the following person to receive a copy of the Lienor's Notice as provided in Section <br /> 713 13(1)(b),Florida Statutes. <br /> Name' Address: <br /> Phone Number <br /> 9 Exp�ration date of Notice of Commencement(expiration date is one(I)year from date of recording unless a differa:nt date is <br /> specified). <br /> WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE <br /> CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13,FLORIDA STATUTES,AND CAN RESULT IN YOUR <br /> PAYING TWICE FOR IMPROVEA�NTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE <br /> JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY <br /> BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> 1�-���'4� �<cf�. <br /> Signature of Owner or Lessee,or Owner's or Lessee's Authorized Officer/DirectodPartner/Manager <br /> Signatory's Title/Office <br /> STATE OF FLORIDA <br /> COUNTY OF AAS C� <br /> The foregoing instrument was acknowledge before me diis �(Tr! day of �E'� ' Zp I':3 <br /> by KLAUCi MEHLHpf�4N ,as AC-CN7 for FLC:;IOA NOSI�ITAL Z�p1�Y�{I�I�LS <br /> Personally Known � OR Produced Iden[ification <br /> Type of Identification Produced <br /> r�.*.e-.�e�.,yca L�^�sn ':� �*: MY WMMi�SSIONY f EE 198821 <br /> Signature-Notary Public • . B���E�y�p�,2018 <br /> ���� Underwrilers <br /> Under penalties of perjury,I declare that I have read the foregoing and that the facts stated in it are tnie to the best of my knowledge an be�e. <br /> e�/��/ ��'��/,�-� <br /> S�gnature of Natural Person Signing Above <br /> (A copr of any bond musi be attached at Ihe ume of recordation of dus No�ice olCommencemenp U��dated 2'/NOV20I2 <br />