AFTER RECORDING – RETURN TO:
Name: ________________________________________________________________
Address: ________________________________________________________________
PERMIT NUMB
ER:
NOTICE OF COMMENCEMENT
The undersigned hereby given notice that improvement will be made to certain real prop
erty, and in accordance with Chapter 713,
Florida Statues the following information is provided in the Notice of Commencement.
1. DESCRIPTION OF PROPERTY (Legal description & street address, if available) TAX FOLIO NO.: _______________________________
SUBDIVISION
_______________________________BLOCK_________TRACT_________LOT________BLDG_______UNIT_______
__________________________________________________________________________________________________________
2. GENERAL DESCRIPTION OF IMPROVEMENT:
__________________________________________________________________________________________________________
3. OWNER INFORMATION: a. Name________________________________________________________________________________________________
b.
Address________________________________________________________________________________ c. Interest in property_______________________
__
d.
Name and address of fee simple titleholder (if other than Owner) ______________________________________________________________________
________
4. CONTRACTOR’S NAME, ADDRESS AND PHONE NUMBER:
____________________________________________________________________________________________________________________________________
____
________________________________________________________________________________________________________________________________
5. SURETY’S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT:
____________________________________________________________________________________________________________________________________
6. LENDER’S NAME, ADDRESS AND PHONE NUMBER:
____________________________________________________________________________________________________________________________________
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 Statut
es:
NAME, ADDRESS AND PHONE NUMBER:
____________________________________________________________________________________________________________________________________
8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor’s Notice as provided in Section
713.13 (1) (b), Florida Statutes
:
NAME, A
DDRESS AND PHONE NUMBER
:
____
________________________________________________________________________________________________________________________________
9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is
sp
ecified):________________ ______, 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.
____
____________________________________________ ____________________________________________________
Signature of Owner or Print Name and Provide Signatory’s Title/Office
Owner’s Authorized Officer/Director/Partner/Manager
State of Florida
County of Broward
Th
e foregoing instrument was acknowledged before me this __________ day of _______________, 20________
By _
__________________________________________________, as ________________________________________________
(name of person)
(
type of authority,…e.g. officer, trustee, attorney in fact)
For __________________________________________________.
(name of party on behalf of whom instrument was executed)
_
____ Personally known or _____ produced the following type of identification: __________________________________________
Notary ___________________________________________
(Signature of Notary Public)
Unde
r Penalties of perjury, I declare that I have read the foregoing and that the facts in i
t are true to the best of my knowledge and
belief (Section 92.525, Florida Statutes).
Signature(s) of Owner(s) or Owner(s)’ Authorized Officer/ Director / Partner/Manager who signed above:
By __________________________________________________ By _______________________________________________
Rev .08-09-07 (S.Recording)