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____________________________________________________________________________
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NOTICE OF COMMENCEMENT
Permit No.________________ Folio No._________ - ______ - _________
State of Florida, County of Broward
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:
Lot Unit __________ Block Bldg _______
Lengthy Legal, Please see description attached hereto
Space reserved for use of recording office
Subdivision/Condominium : ______________________________________________
Address: _____________________________________________________________
2. General Description of Improvement: ________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________
3. Owner Information or Lessee information if the Lessee contracted for the improvement:
a. Name: __________________________________________________________________________________________________________
Address: ________________________________________________________________________________________________________
b. Interest in Property Name: __________________________________________________________________________________________
c. Name of fee simple titleholder (if different from Owner listed above): _________________________________________________________
Address: ________________________________________________________________________________________________________
4. a. Contractor Name: _________________________________________________________________________________________________
Address: ________________________________________________________________________________________________________
b. Contractor's Phone Number: (________) ________-_____________
5. Surety (if applicable, a copy of the payment bond is attached):
a. Name: __________________________________________________________________________________________________________
Address: ________________________________________________________________________________________________________
b. Phone Number: (________) _________-_______________
c. Amount of Bond: $__________________________.
6. Lender:
a. Name: __________________________________________________________________________________________________________
Address: ._______________________________________________________________________________________________________
b. Lender's Phone Number :(________) ________-______________
7. Persons within the State of Florida designated by Owner upon who notices or other documents may be served may be served as provided by
Section 713.13(1)(a)7, Florida Statutes:
a. Name: __________________________________________________________________________________________________________
Address: ________________________________________________________________________________________________________
b. Phone numbers of designated persons: (________) ________-______________
8. a. 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.
b. Phone number of person or entity designated by person: (________) ________-______________.
9. Expiration date of notice of commencement _________________ (the expiration date may not be before the completion of construction and final
payment to the contractor, but 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.
Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of my
knowledge and belief.
(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 ______, 20_____, by __________________________________________ as
(name of person)
______________________________________ for ___________________________________
(type of authority . . . . e.g. officer, trustee, attorney in fact) (name of party on behalf of whom instrument was executed)
(Signature of Notary Public - State of Florida)
(Print, Type, or Stamp Commissioned Name of Notary Public
Personally known, or Produced the following type of identification
Type of Identification Produced __________________________________________________
G:\Zoning 2009\Forms & Sample docs\Website Docs\ Building \ Forms\ notice_of_commencement Modified: 7.30.2012
