Notice Of Commencement Form - State Of Florida, County Of Miami-Dade
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4NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO.______________________TAX FOLIO NO._____________________________
STATE OF FLORIDA:
COUNTY OF MIAMI-DADE:
THE UNDERSIGNED hereby gives notice that improvements 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.
Space above reserved for use of recording office
1. Legal description of property and street/address: ________________________________________________________________________
_______________________________________________________________________________________________________________________
2. Description of improvement: ___________________________________________________________________________________________
_______________________________________________________________________________________________________________________
3. Owner(s) name and address: __________________________________________________________________________________________
Interest in property: _____________________________________________________________________________________________________
Name and address of fee simple titleholder: _______________________________________________________________________________
4. Contractor’s name, address and phone number: _________________________________________________________________________
_______________________________________________________________________________________________________________________
5. Surety: (Payment bond required by owner from contractor, if any)
Name, address and phone number: _ ______________________________________________________________________________________
Amount of bond $_______________________________
6. Lender’s name and address: ___________________________________________________________________________________________
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,
Name, address and phone number: _ ______________________________________________________________________________________
_______________________________________________________________________________________________________________________
8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor’s Notice as provided in Section
713.13(1)(b), Florida Statutes.
Name, address and phone number: _ ______________________________________________________________________________________
_______________________________________________________________________________________________________________________
9. Expiration date of this 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 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(s) of Owner(s) or Owner(s)' Authorized Officer/Director/Partner/Manager
Prepared By __________________________________________
Prepared By _ _________________________________________________
Print Name ___________________________________________
Print Name _ __________________________________________________
Title/Office ____________________________________________
Title/Office ___________________________________________________
STATE OF FLORIDA
COUNTY OF MIAMI-DADE
The foregoing instrument was acknowledged before me this _______ day of_____________________________________. ______________
By ____________________________________________________________________________________________________________________
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❏
Individually, or
as___________________________________ for ___________________________________________________________
❏
❏
Personally known, or
produced the following type of identification: _____________________________________________________
Signature of Notary Public:
_____________________________________________________________
Print Name:
_____________________________________________________________
(SEAL)
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(s) of Owner(s) or Owner(s)'s Authorized Officer/Director/Partner/Manager who signed above:
By ___________________________________________________
By __________________________________________________________
123.01-52 PAGE 3 3/10
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