Notice Of Commencement Form - State Of Florida
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1Permit No.
_________________________
Tax Folio No. _________________________
NOTICE OF COMMENCEMENT
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with
Section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT.
1. Description of property:
Legal Description: _________________________________________________________________
Street Address:
_________________________________________________________________
2. General description of improvements: ___________________________________________________
3.
Owner’s Information:
Name: _______________________________________________________
Address: _____________________________________________________
Interest in Property: _____________________________________
Name and Address of fee simple titleholder (if other than owner):
_____________________________________________________________
4.
Contractor Information: Name: _______________________________________________________
Address: _____________________________________________________
Telephone No. _____________________ Fax No. (Opt.) ______________
5.
Surety Information:
Name: ________________________________________________________
Address: ______________________________________________________
Amount of Bond: _______________________________________________
Telephone No. _____________________ Fax No. (Opt.) ______________
6.
Lender Information:
Name: ________________________________________________________
Address: ______________________________________________________
Telephone No. _____________________ Fax No. (Opt.) _______________
7.
Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served:
Name: ________________________________________________________
Address: ______________________________________________________
Telephone No. ____________________ Fax No. (Opt.) _______________
8.
In addition to himself, owner designates the following person to receive a copy of the Lienor’s Notice as
Provided in Section 713.13 (1) (b), Florida Statutes:
Name: ________________________________________________________
Address: ______________________________________________________
Telephone No. ____________________ Fax No. (Opt.) ________________
9.
Expiration date of Notice of Commencement (the expiration date is 1 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 YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCEING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
_____________________________________________________
Signature of Owner or Owner’s Authorized Officer/Director/
Partner/Manager
_____________________________________________________
Print Name
State of Florida
County of Leon
The Foregoing instrument was acknowledged before me this _____ day of ______________________, 20____,
by________________________________________________ who is personally known to me or has produced
________________________________ as identification and who did/did not take an oath.
BOB INZER, CLERK CIRCUIT COURT
_______________________________________________
Signature of Notary/Deputy Clerk
_______________________________________________
Printed Name
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
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