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NOTICE OF COMMENCEMENT
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713,
Florida Statutes, the following information is provided in this Notice of Commencement.
1
. DESCRIPTION OF PROPERTY (Legal description of the property & street address, if available)
3
. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
4
.
5
. SURETY (if applicable, a copy of the payment bond is attached):
6
.
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by
Section 713.13 (1) (a) 7., Florida Statutes:
8. a. In addition to himself or herself, Owner designates of
to receive a co
py of the Lienor’s Notice as provided in Section 713.13 (1) (b), Florida Statutes.
9. Expiration date of notice of commencement (the expiration date will be 1 year from the date of recording unless a different date is
specified): , 20
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
The foregoing instrument was acknowledged before me this day of , 20
by , as
for .
Personally Known Produced Identification
Rev. 10-15-12
AFTER RECORDING – RETURN TO:
PERMIT NUMBER: _________________________
TAX FOLIO NO.
: ____________________
SUBDIVISION
_______________________________BLOCK_________TRACT_________LOT________BLDG_______UNIT_______
2
.
GENERAL DESCRIPTION OF IMPROVEMENT
:
a. Name and address: __________________________________________________________________________________________________________________
b. Interest in property: __________________________________________________________________________________________________________________
c. Name and address of fee simple titleholder (if different from Owner listed above): ________________________________________________________________
a. CONTRACTOR’S NAME: __________________________________________________________________________________
Contractor’s address: _____________________________________________________________________ b. Phone number: ____________________________
a. Name and address: ___________________________________________________________________________________________________________________
b. Phone number: _______________________________________________________ c. Amount of bond: $_____________________________________________
a. LENDER’S NAME: _____________________________________________________________________________________________________________
Lender’s address: ________________________________________________________________________b. Phone number:____________________________
a. Name and address: __________________________________________________________________________________________________________________
b. Phone numbers of designated persons: ___________________________________________________________________________________________________
___________________________ ________________________________
b. Phone number of person or entity designated by Owner: _____________________________________________________________________________________
______________ ____
(Signature of Owner or Lessee, or Owner’s or Lessee’s
(Print Name and Provide Signatory’s Title/Office)
Authorized Officer/Director/Partner/Manager)
State of ___________________
County of _________________
__________ _______________ ______________________
___________________________________________________ ________________________________________________
(name of person) (type of authority,…e.g. officer, trustee, attorney in fact)
__________________________________________________
(name of party on behalf of whom instrument was executed)
_____ or ______ Type of Identification Produced _____________________________
Notary _______________________________________________
(Signature of Notary Public)
(Print, Type, or Stamp Commissioned Name of Notary Public)
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THIS
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________________________________________________________ ____________________________________________________
