Tax Folio Number
This Instrument Prepared
By:
Name_________________________
Address_______________________
Permit Number__________________
NOTICE OF
COMMENCEMENT
STATE OF ________________
COUNTY OF______________
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 property, and street address if
available)
2. General description of
improvement:
3. Owner information or Lessee
information
if the
lessee
contracted for the
improvement
a. Name and
address:
b. Interest in
property:
c. Name and address of fee simple titleholder (if different from owner listed
above):
4.
Contractor:
a. Name and
address:
b. Phone
number:
5. Surety (if applicable, a copy of the payment bond is
attached
)
:
a. Name and
address:
b. Phone
number:
c. Amount of bond $
_
6.
Lender:
a. Name and
address:
b. 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
Statutes:
8. Name and
address:
a. Phone numbers of designated
persons:
9. In addition to himself, Owner
designates
the following person(s) to receive a copy of the Lienor’s Notice as provided in
Section
713.13(1)(b), Florida
Statutes:
a. Name and
address:
b. Phone number of person or entity designated by Owner:
Expiration date of notice of
commencement
(the expiration date will be one 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, SEC TI ON
713.13,
FLORIDA STATU T ES , AN D CAN RESULT IN YOUR PAYING TW ICE
FOR IMPROVEMENTS
TO YOUR PROPERTY.
A NOTICE OF
COMMENCEMENT MU S T
BE
RECORDED AND
POSTED ON THE JOB SITE BEFORE THE
FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING
,
CONSULT W I TH YOUR LENDER OR AN
ATTORNEY
BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF
COMMENCEMENT.
Signatur
e 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__(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 Stamp
Commissioned
Name of Notary
Public
Commission Number
Personally,
Known_
or Produced Identification,
_
NOTE: This statutory form was revised by the 2012 Florida Legislature
and has an effective date of October 1,
2012.
:
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