Notice Of Commencement Form - Florida, County Of Broward

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NOTICE OF COMMENCEMENT

Permit No.________________

Folio No._________ - ______ - _________

State of Florida, County of Broward

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.



Description of Property:

Unit __________

Block

Bldg _______

Lot



Lengthy Legal, Please see description attached hereto

Space reserved for use of recording office

Subdivision/Condominium : ______________________________________________

. _

Address: _____________________________________________________________

General Description of Improvement: ________________________________________________________________________________________________

_________________________________________________________________________________________________________________________________

Owner Information or Lessee information if the Lessee contracted for the improvement:

a. Name: __________________________________________________________________________________________________________

Address: ________________________________________________________________________________________________________

b. Interest in Property Name: __________________________________________________________________________________________

c. Name of fee simple titleholder (if different from Owner listed above): _________________________________________________________

Address: ________________________________________________________________________________________________________

a. Contractor Name: _________________________________________________________________________________________________

Address: ________________________________________________________________________________________________________

b. Contractor's Phone Number: (________) ________-_____________

Surety (if applicable, a copy of the payment bond is attached):

a. Name: __________________________________________________________________________________________________________

Address: ________________________________________________________________________________________________________

b. Phone Number: (________) _________-_______________

c. Amount of Bond: $__________________________.

Lender:

a. Name: __________________________________________________________________________________________________________

Address: ._______________________________________________________________________________________________________

b. Lender's Phone Number :(________) ________-______________

Persons within the State of Florida designated by Owner upon who notices or other documents may be served may be served as provided by

Section 713.13(1)(a)7, Florida Statutes:

a. Name: __________________________________________________________________________________________________________

Address: ________________________________________________________________________________________________________

b. Phone numbers of designated persons: (________) ________-______________

a. 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.

b. Phone number of person or entity designated by person: (________) ________-______________.

Expiration date of notice of commencement _________________ (the expiration date may not be before the completion of construction and final

payment to the contractor, but will be 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.

Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated therein 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)

____________________________________________________________________________

(Signatory’s Title/Office)

The foregoing instrument was acknowledged before me this

______ day of ______, 20_____, by __________________________________________ as

(name of person)

______________________________________ for ___________________________________

(type of authority . . . . e.g. officer, trustee, attorney in fact)

(name of party on behalf of whom instrument was executed)

_____________________________________________________________________________________________________