Form B05
NOTICE OF COMMENCEMENT
Permit No.
Tax Folio No.
State of Florida
County of Bay
To Whom It May Concern:
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.
Description of property :
Revised 5/30/12
(legal description of the property, and street address if available)
General description of improvement:
Owner Name:
Address:
Owner’s interest in site of the improvement:
Fee Simple Titleholder Name:
Address:
Contractor Name:
Address:
Phone Number:
Payment Bond Surety:
Address:
Phone Number:
Amount of Bond: $
Lender Name:
Address:
Phone Number:
Person 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:
Name
Address
Phone Number:
In addition to himself or herself, Owner designates
of
to receive a copy of the Lienor’s Notice
as provided in Section 713.13(1) (b), Florida Statutes. Phone Number:
Expiration date of Notice of Commencement is one (1) year from date of recording
unless a different date is specified
.
Signature of Owner
Sworn to (or affirmed) and subscribed before me this day of , 20 ,
by
(name of person making statement).
Signature of Notary Public (State of Florida)
NOTARY SEAL
Personally Known or Produced Identification
Type of Identification Produced _____________________
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE
NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROVER 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
ON RECORDING YOUR NOTICE OF COMMENCEMENT.
