Notice Of Commencement Form - State Of Florida, County Of Volusia
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1NOTICE OF COMMENCEMENT
Prepared by:
Name: _____________________________________
Address: ___________________________________
State of Florida
County of Volusia
Tax Parcel Number _______________________________________________________
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: _______________________________________________________
2. General description of improvement: _____________________________________________
3. Owner information: ___________________________________________________________
a. Name and address_____________________________________________________
b. Interest in property_____________________________________________________
c. Name and address of fee simple titleholder (if other than owner) ________________
4. Contractor: ___________________________________________________
Name and address______________________________________________________________
a. Phone number_____________________ Fax number______________
5. Surety: Name and address____________________________________
a. Phone number _____________________Fax number ______________
b. Amount of bond $ _________________________
6. Lender: Name and address_____________________________________________________
a. Phone number ___________________Fax 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:
a. Name and address
b. Phone number _____________________ Fax number _____________
8. In addition to himself, Owner designates of to receive a copy of the Lienor’s Notice as provided in Section 713.13(1) (b), Florida
Statutes
a. Phone number ________________Fax 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) _________________________________________
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCE-
MENT 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
Print Name of Owner
State of Florida
County of _________________________
Affirmed and subscribed before me this ___________ day of________________ 20___, by_________________________________
who is personally known to me or who has produced ________________________________________ (type of ID) as identification.
________________________________________________
Signature of Notary Public State of Florida
Print, Type or Stamp Name
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