Notice Of Commencement - State Of Florida, County Of Orange
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1
2Permit Number: ______________________
Folio/Parcel Identification Number: _____________________________
Prepared by: ______________________________________________
Return to: ________________________________________________
NOTICE OF COMMENCEMENT
State of Florida, County of Orange
The undersigned hereby gives notice that improvement(s) 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(s)
_____________________________________________________________________________________________________
3
Owner information
Name: _______________________________Telephone Number ________________________________________________
Address _____________________________ Interest in Property ________________________________________________
4. Fee Simple Title Holder (if other than owner shown above)
Name _______________________________ Telephone Number ________________________________________________
Address ______________________________________________________________________________________________
5. Contractor
Name _____________________________________________ Telephone Number __________________________________
Address ______________________________________________________________________________________________
6. Surety (if any)
Name _______________________________ Telephone Number ________________________________________________
Address _____________________________ Amount of bond $ _________________________________________________
7. Lender (if any)
Name _______________________________ Telephone Number ________________________________________________
Address _____________________________________________________________________________________________
8. 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 ______________________________________________________________________________________________
9. 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 ______________________________________________________________________________________________
10. Expiration date of notice of commencement (the expiration date is 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, 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.
11. ___________________________________
_________________________________________________
Signatory’s Printed Name/Title/Office
Signature of Owner
(or Owner’s Authorized Officer/Director/Partner/Manager §713.13[1][d])
The foregoing instrument was acknowledged before me this_______ day of__________ ________by___________________
(month)
(year)
(name of person)
as_________________________________________ 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 ID________________
Type of ID Produced ____________________________________________
Verification pursuant to Section 92.525, Florida Statutes: Under penalties of perjury, I declare that I have read the foregoing and that the facts
stated in it are true to the best of my knowledge and belief.
______________________________________________________________________________
Signature of Natural Person Signing on Line 11-Above
Form Revised: 10/2016
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