__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Permit Number: _____________________________________
Folio/Parcel ID #: ____________________________________
Prepared by: _______________________________________
Return to:
NOTICE OF COMMENCEMENT
__________________________________________
State of Florida, County of Orange
The unders
igned hereby gives n
otice 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, and street address if available)
2. General description of improvement
3. Owner information or Lessee information if the Lessee contracted for the improvement
Name
_________________________________________________
_________________________________
Address_______________________________________________
_________________________________
Interest in Property________________________________________________________________________
Name and address of fee simple titleholder (if different from Owner listed above)
Name
_________________________________________________
_________________________________
Address________________________________________________________________________________
4. Contractor
Name_________________________________________________Telephone Number__________________
Address________________________________________________________________________________
5. Surety (if applicable, a copy of the payment bond is attached)
Name_________________________________________________Telephone Number__________________
Address_______________________________________________Amount of Bond $___________________
6. Lender
Name
_________________________________________________Telephone Number__________________
Address________________________________________________________________________________
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may
be served as provided by §713.13(1)(a)7, Florida Statutes.
Name
______________________________________________
___
Telephone Number__________________
Address________________________________________________________________________________
8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor’s
Notice as provided in §713.13(1)(b), Florida Statutes.
Name
_______________________________________
__________
Telephone Number__________________
Address________________________________________________________________________________
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)
_______________________________
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 Lessee, or Owner’s or Lessee’s Authorized Officer/Director/Partner/Manager Signatory’s Title/Office
The foregoing instrument was acknowledged before me this day of
month/year
by
name of person
as
Type of authority, e.g., officer, trustee, attorney in fact
for
Name of party on behalf of whom instrument was executed
Signature of Notary Public – State of Florida Print, type, or st
amp commissioned name of Notary Public
Personally Known OR Produced ID
Type of ID Produced
Form content revised: 01/23/14
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