After recording, return to:
Permit No.:
Tax Folio No.:
State of Florida | County of Lake
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 the Property:
(legal description of the property and street address if available)
Legal Description:
Street Address:
2. General Description of Improvement
3. Owner’s Information or Lessee information if the lessee contracted for the improvement:
Name:
Address:
Interest in Property:
Name & Address of fee simple titleholder
(if different than owner)
:
4. Contractor Information
Name: Phone No.:
Address:
5. Surety
(if applicable, a copy of the payment bond must be attached)
:
Name: Phone No.:
Address: Amount of Bond: $
6. Lender Information:
Name: Phone No.:
Address:
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:
Name: Phone No.:
Address:
8. In addition to himself or herself, Owner designates of
to receive a copy of the following Lienor’s Notice as provided in Section 713.13(1)(b), Florida Statutes: Phone No.:
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 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, by means of physical presence or online notarization , this ______ day of
___________, _________(year), by _____________________________ who is personally known to me or who has produced ____________ _______
as identification, and who executed the foregoing instrument, and who did take an oath.
____________________________________
Signature of Notary Public – State of Florida
____________________________________
(Print, type, or stamp commissioned name of Notary Public)
From content revised: 01/22/2020
Astatula, Clermont, Eustis, Fruitland Park, Howey in the Hills, Groveland, Lady Lake,
Lake County, Leesburg, Mascotte, Minneola, Montverde, Mount Dora, Tavares, Umatilla
Notice of Commencement