Notice Of Commencement Form - State Of Florida, County Of St. Johns
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1NOTICE OF COMMENCEMENT
State of Florida County of St. Johns
Permit No.____________________________________
Tax Folio No._________________________________
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.
Expiration Date of Notice of Commencement (the expiration date is 1 year from the
Date of recording unless a different date is specified___________________________.
Owner’s name (print) ____________________________________________________________________
Owner’s address _________________________________________________________________________________________________________________
Owner’s interest in property _______________________________________________________________________________________________________
Legal description of property ______________________________________________________________________________________________________
Property address ________________________________________________________________________________________________________________
General description of improvement ________________________________________________________________________________________________
Fee simple title holder, if other than owner (print) ____________________________________________________________________________________
Address ________________________________________________________________________________________________________________________
Contractor’s name (print) _________________________________________________________________Phone (_____)____________________________
Address _________________________________________________________________________________Fax (_____)_____________________________
Surety’s name, if any (print) _______________________________________________________________Amount of bond $________________________
Address ________________________________________________________Phone (_____)_____________________Fax (_____)_____________________
Lender’s name (print) ____________________________________________________________________Phone (_____)____________________________
Lender’s address ________________________________________________________________________Fax (_____)______________________________
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 (print) ___________________________________________________________________________Phone (_____)_____________________________
Address _______________________________________________________________________________Fax (_____)_______________________________
IN ADDITION TO HIMSELF OR HERSELF, OWNER DESIGNATES__________________________________________________________________________________
OF _________________________________TO RECEIVE A COPY OF THE LIENOR’S NOTICE AS PROVIDED IN SECTION 713.13(1)(B), FLORIDA STATUTES.
PHONE NUMBER OF PERSON OR ENTITY DESIGNATED BY OWNER:_____________________________________________________________________________.
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.
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 Owner or Lessee, or Owner’s or Lessee’s Authorized Officer/Director/Partner/Manager
Date Signed
________________________________________________________________________ ___________________________________
________________
Print Name of Person Signing Above
In County Named
Of State
STATE OF FLORIDA COUNTY OF ST. JOHNS
The foregoing instrument was acknowledged before me this ________________ day of ___________________________________, 20_______________,
by _________________________________________________________________ as _________________________________________________________
Print Name of Person Signing Above
Type of authority…e.g. officer, trustee, attorney in fact
for_________________________________________________________________
________________________________________________________
Name of Party on Behalf of Whom Instrument was Executed
Notary Public Signature
Known Personally _______________Or Identification_____________________
________________________________________________________
Name of Notary Typed or Printed
Type of Identification_________________________________________
Commission Number and Expiration Date (stamp or seal):
Form # N1 Revised July 2012
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