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!Illill Illll INiI lllll IIIII IIIII IIIII IIIII IIIII Illil IIII IIII aeiaeeeas2 NOTICE OF COD�F'MENCEMENT Permit No. Rcpt,:1372727 Rse: 50.00 Property Idcntificatian No. DS: 0.00 ET: 0.00 01/02/19 D. Bonilla, Dply Clsrk 1'F[E l3NDERSfGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Scction 713.13 of the Clorida Statutes,the following information is provided in the NOTICE OF COMMENCEMENT. 1. Description of property(legaJ descripllon:� �PHYRHILLS COLONY COMPANY LANDS PB 2 PG 8 A PORTION OF TRACTS 75 76 85 3 86 IN SEC 35 a) Street Address: 7350 Dai Road,Zephyrhills,FL 3354 2. General description of improvements 3, Owner Int'armation ' a) Name and add�a5s: ZephYrhills Health 8 Rehab Center,Inc.,7350 Dafry Road,Zephyrhills,FL 33540 b} Name and address of fee simple titleholder(if othcr than owner) N/A � � c} Mterest in property NIA f4. Contractor Information � �i a) Name and address: 'S�p nn P.v�.S .tnd�S� �1.lUj �s.a'�e.,M.n ��Q 'Tf�m�R- FL .33��/ b) Telephone No.: �j��,'�r L��G� Fa o.(Opt.) $'13• 4 D--�"�'raT 5. Surety Information —" 8� Name and address: N!A PqULA S.0'NEIL,Ph.D.PA5C0 CLERK $ COMPTROLL�R b) Amount of Bond:NIA 01/02/14 c) 7'e(ephane No.: NIA pR BK '�2Ag�� 1 of 1 G. Lcndcr �� 3364 a) Name and address: N/A 7. Identity of person within tfie State of Ftorida designated by owner upon whom aotices or other documcnts may be scrvcd; a) Name and address: Kevan Evans.VP.Adventtst Care Centers,602 Courtland St.,Ste 200,Orlando,FL 32804 b) Telephone No.: 407-975-3000 Fax No.(Opt.) 8. In addition to hirnself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Scction 713.]3(1)(b),FloRda Statute,c: a) Name and address: Kevan Evans,VP,Adventfst Care Centers,602 Courtland St.,Ste 200,Orlando,FL 32804 b) Telephone No.: 407-975-3000 � Fax No.(Opt.) _ 9. Expiration dale of Notice of Commencement(thC expiration date is one year from the date of recording unless a different date is specified}: 01f0212015 III -- — � WARNiNG TO OWNER:ANY PAYMENTS MADE BX THE OWNER AFTER THE EXPIRATION OF 7'HE NOTICF.OF I COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTlON 713.13, i F�,ORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IPROVEMENTS TD YOUR PROPERTY.A 1VOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE REFORE THF,FTRST INSPECTION.IF YOU INTEND TO OB'I'AiIV FINANCING,CONSUI.,T YOUR LEIVD�R OR AN ATTORNF,Y BEFORF, COMMENCING WORK OR RECORDING YOU NOTICE OMMENC NT. sTA'CE o ' JEANNIE GALLOWAY i COUN'TY �.t: Not�ry PuDlie•Staro ot Florida Sign re OF Owner or Owner s Authorized Uificer/DircctodPartncr/Managcr •i My Comm.Expires Jul 21,2015 � Commission#EE 114788 April Doherty,Administrator ��'�,'BondeA TAtouph Nationai Notup b=n. Print Name 'ihe k>regoing instrument was acknowledged before me this o� day of �G �- ___ ,20 I`7,by. /��. �s�'/"' as e of euthori �— �..•----��--- _` (typ ry,e.g.officer,trustce,attorncy in fact)for _ (nartee of party on bchalf of whom insttvment was •utu!). Pcrsonally Known �/OR Produccd Identifecation` Notary Signature _ "�ype of[dcntiRcation Produced /�k7�.�/� Name(print) � rilv► C C�'� �� Vcrification pursuant to Scction 92.525,Florida Statutes.Under penalties of cry'ury,f declare that I have rcad the fr�regoing anJ that thc facts statcd in it are true to the best of my knowladge and belief. � FORMS/NCX:n[dI00' . ___"'_`_ � N�tunl Pmen.