Notice Of Commencement Form - State Of Florida
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1NOTICE OF COMMENCEMENT
Permit No. _____________________________________
Tax Folio No. ___________________________________
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 the Notice of Commencement.
1.
Description of property: (legal description of property and street address if available).
__________________________________________________________________________________
2.
General description of improvement:
__________________________________________________________________________________
3.
Owner information:
Name__________________________________________________________________________
Address ________________________________________________________________________
Phone __________________________________ Fax __________________________________
Interest in property________________________________________________________________
Name and address of fee simple titleholder
(if other than Owner)
______________________________________________________________________________
______________________________________________________________________________
4.
Contractor:
Name _________________________________________________________________________
Address _______________________________________________________________________
Phone ______________________________________ Fax ______________________________
5.
Surety:
Name _________________________________________________________________________
Address _______________________________________________________________________
Amount of bond: $ ___________________ Phone _________________ Fax ________________
6.
Lender:
Name _________________________________________________________________________
Address _______________________________________________________________________
Phone _____________________________________ Fax _______________________________
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 Statues:
Name _________________________________________________________________________
Address _______________________________________________________________________
Phone _____________________________________ Fax _______________________________
8.
In addition to himself or herself, Owner designates the following person(s) to receive a copy of
the Lienor’s Notice as provided in Section 713.13(1)(b), Florida Statues.
Name _________________________________________________________________________
Address _______________________________________________________________________
Phone _____________________________________ Fax _______________________________
9.
Expiration date of notice of commencement (the expiration date is 1 year from date of recording
unless a different date is specified) ________________________________________
Signature______________________________________
(Owner or Owner’s Authorized Officer/Director/Partner/Manager)
Owner’s Name
_________________________________
Owner’s Address
_______________________________
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE
NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENT 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 BY 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.
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 Above
C:\Documents and Settings\HUTCHEKD\Desktop\NoticeofCommencement.docx
REV 5/20/09
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