Notice Of Commencement Form - State Of Florida County Of Manatee
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1
2NOTICE OF COMMENCEMENT
Permit No. ________________________
Tax Folio No. ______________________
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 property (legal description of property):________________________________________________________
a) Street (job) Address:____________________________________________________________________________
2. General description of improvement(s):____________________________________________________________________
____________________________________________________________________________________________________
3. Owner or Lessee information (Lessee as owner only if contracted for improvements)
a. Name and address:__________________________________________________________________________________
b. Interest in property:_________________________________________________________________________________
c. Name and address of fee simple titleholder (if other than owner):_____________________________________________
4. Contractor Information
a. Name and address:__________________________________________________________________________________
b. Phone number:__________________________________Fax No. (Opt.)_______________________________________
5. Surety Information
a. Name and address:__________________________________________________________________________________
b. Amount of bond $ __________________________________________________________________________________
c. Phone number:__________________________________Fax No. (Opt.)_______________________________________
6. Lender
a. Name and address:__________________________________________________________________________________
b. Phone number: ____________________________________________________________________________________
7. Persons within the State of Florida designated by Owner upon who notices or other documents may be served as provided by
Section 713.13(l)(a)7., Florida Statutes:
a. Name and address: _________________________________________________________________________________
b. Phone number: ____________________________________________________________________________________
8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in
Section 713.13(l)(b), Florida Statutes:
a. Name and address: _________________________________________________________________________________
b. Phone number: ____________________________________________________________________________________
Expiration date of notice of commencement (the expiration date is 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 1, SECTION 713.13, FLORIDA STATUES, 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 Lessee, or Owner’s or Lessee’s Authorized Officer/Director/Partner/Manager
Signatory’s Title/Officer: _____________________________________
State of Florida
County of Manatee
The foregoing instrument was acknowledged before me this ____ day of ____________________, 20___ by
___________________________________________, who is personally known to me or has produced
__________________________________________, Expiration Date: ____________________
(Driver’s License #)
and who did/did not take an oath.
__________________________________________
Signature of Notary
Public - State of Florida
__________________________________________
Print, Type, or Stamp
Commissioned Name of Notary Public
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