AFTER RECORDING – RETURN TO:
PERMIT NUMBER:
NOTICE OF COMMENCEMENT
The undersigned hereby given notice that improvement will be made to certain real property, 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 Statutes:
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, ADDRESS 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 specified): , 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
The 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)
Under Penalties of perjury, I declare that I have read the foregoing and that the facts in it 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)
