Notice Of Commencement Form - State Of Florida, City Of Ocala

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City of Ocala Planning & Development
201 SE 3rd Street, 2nd Floor
Ocala, Florida 34471
Phone: (352) 629-8421
Fax: (352) 629-8264
NOTICE OF COMMENCEMENT
Permit No. # ________________________________
Tax Folio/Parcel ID: ____________________
State: _______
County: ____________________________
The undersigned hereby gives notice that improvement will be made to certain real property. In accordance
with Chapter 713, Florida Statutes, the following information is provided in the Notice of Commencement:
1. Description of property (legal description, lot, block, and street address if available): ___________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
2. General description of improvement: ________________________________________________________________
3a. Owner name/address: ___________________________________________________________________________
_______________________________________________________________________________________________
_
3b. Interest in property:
_____________________
3c. Name and address of fee simple title holder (if other than owner): __________________________________
________________________________________________________________________________________
_
4. Contractor – Qualifier Name and Address: ____________________________________________________________
______________________________________________________________________________________________
__
5. Surety – Name and Address: ______________________________________________________________________
Amount of bond: $ _______________________
6. Lender – Name and 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:
________________________________________________________________________________________________
8. In addition to him/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 Statutes [Provide Name/Mailing Address]:
______________________________________________________________________________________________
__
9. NOC expiration date (one full year from the date of recording unless 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.
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 Owner/A Natural Person
Date
(or Owner’s Authorized Officer/Director/Partner/Manager)
STATE OF FLORIDA
County of
___________________________________
The foregoing instrument was acknowledged before me this
day of
, 20__, by
_____
_________
(print 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).
________________________________________
Notary Public
(Seal)
Personally Known __________ -OR- Produced Identification __________
City
NOC.Sept 2009 [2a]

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