Notice Of Commencement Form - Alachua County, Board Of County Commissioners, Department Of Growth Management, State Of Florida
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1Alachua County, Board of County Commissioners
Submit Application to: Building Division
Department of Growth Management
10 SW 2
nd
Ave., Gainesville, Fl 32601
Tel. 352.374.5243
Tel. 352.374.5249, Fax. 352.338.3224
Fax. 352.491.4510
NOTICE OF COMMENCEMENT
This Instrument Prepared By:
Name: _________________________________
Address: _______________________________
Permit No: _____________________________
Tax Folio No: ___________________________
STATE OF: ____________________________,
COUNTY OF: ___________________________
THE UNDERSIGNED HEREBY gives notice that improvement(s) 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: Street Address: ____________________________________________________________________________
Legal Description: _______________________________________________________________________________________________________
2. GENERAL DESCRIPTION OF IMPROVEMENT(S):____________________________________________________________________________
_______________________________________________________________________________________________________________________
3. OWNER INFORMATION: a.) Name: ___________________________________ Address: _________________________________
b.) Interest in Property: ____________________________________________________________________________________________________
c.) Fee Simple Titleholder (if other than owner) Name: ______________________________ Address: _____________________________________
4. CONTRACTOR: a.) Name: __________________________Address: _____________________________ b.) Phone: _____________
5. SURETY: a.) Name: ________________________________________ Address: _________________________________________
b.) Amount of bond $: _______________________________________
c.) Phone: _____________
6. LENDER: a.) Name: ____________________________ Address: _______________________________ b.) Phone: _____________
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: _________________________________ Address: ____________________________________ b.) Phone: _____________
8. In addition to himself, Owner designates the following person(s) to receive a copy of Lienor’s Notice as provided in Section 713.13(1)(b),
Florida Statutes.
a.) Name: ________________________________ Address: _____________________________________ b.) Phone: _____________
9. Expiration date of notice of commencement (the expiration date is one (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 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 or Owner’s Authorized Officer/Director
Partner/Manager
Signatory’s Title/ Office_________________________________
The foregoing instrument was acknowledged before me this _____ day of ___________________, _____ (year)
by ______________________________________ (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).
___________________________________________________
Signature of Notary Public – State of Florida
Print, Type, or Stamp Commissioned Name of Notary Public
Commission Number: ________________________
Personally Known ___ or Produced Identification____________
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 ar
e true to the best of my knowledge and
belief.
___________________________________________________
Signature of Natural Person Signing Above
Form revised on June 29, 2007. Downloadable from:
/formsdocs.php
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