Notice Of Commencement Form - State Of Florida, Jefferson County

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THIS INSTRUMENT PREPARED BY:
________________________________
________________________________
________________________________
NOTICE OF COMMENCEMENT
TO WHOM IT MAY CONCERN:
THE UNDERSIGNED HEREBY INFORMS YOU THAT IMPROVEMENTS WILL BE MADE TO THE CERTAIN REAL
PROPERTY AND IN ACCORDANCE WITH SECTION 713.13, FLORIDA STATUTES, THE FOLLOWING
INFORMATION IS STATED IN THIS NOTICE.
1. DESCRIPTION OF PROPERTY:
2. GENERAL DESCRIPTION OF IMPROVEMENT:
3. NAME AND ADDRESS OF OWNER:
4. OWNER’S INTEREST IN SITE OF IMPROVEMENT:
NAME AND ADDRESS OF THE FEE SIMPLE TITLE HOLDER (IF OTHER THAN OWNER):
5. NAME AND ADDRESS OF CONTRACTOR:
6. NAME AND ADDRESS OF LENDER MAKING A LOAN FOR CONSTRUCTION OF IMPROVEMENT:
7. NAME AND ADDRESS OF PERSON WITHIN THE STATE OF FLORIDA DESIGNATED BY OWNER UPON WHOM
NOTICES OR OTHER DOCUMENTS MAY BE SERVED:
8. IN ADDITION TO HIMSELF, OWNER DESIGNATES THE FOLLOWING PERSON TO RECEIVE A COPY OF THE
LEINOR’S NOTICE AS PROVIDED IN SECTION 713.06(2)(b), FLORIDA STATUTES:
9. THE EXPIRATION DATE OF THIS NOTICE OF COMMENCEMENT IS ONE (1) YEAR FROM THE RECORDING
DATE HEREOF.
___________________________________
STATE OF FLORIDA
COUNTY OF _______________________
THE FOREGOING NOTICE OF COMMENCEMENT WAS ACKNOWLEDGED BEFORE ME THIS _________ DATE OF
___________________ 20___, BY ___________________________________________, THE ACKNOWLEDGER IS EITHER
(A) PERSONALLY KNOWN TO ME; OR (B) HAS PRODUCED __________________________________ AS
IDENTIFICATION, THE ACKNOWLEDGER (DID) OR (DID NOT) TAKE AN OATH.
MY COMMISSION EXPIRES:
______________________________________
NOTARY PUBLIC, STATE OF FLORIDA
___
______________________

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