□ □
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.
1. DESCRIPTION OF PROPERTY (Legal description of the property & street address) Legal Description:____________________________________________________
______________________________________________________________________________________________________________________________________________
2.
GENERAL DESCRIPTION OF IMPROVEMENT: _______________________________________________________________________________________________________________________________________________________________________________________
3.
OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
a. Name and address: _____________________________________________________________________________________________________________________
b. Interest in property
: ___________________________________________________________________________________________________________________________
c. Name and address of fee simple titleholder (if different from Owner listed above): ___________________________________________________________________________
4. a. CONTRACTOR: Name & Address____________________________________________________________________________________________________
b. Phone number: _________________________
5. SURETY (if applicable, a copy of the payment bond is attached): a. Name and address: ____________________________________________________________
b. Phone number: _____________________________ c. Amount of bond: $_____________
6. a. LENDER: Name and address: _______________________________________________________________________________________________________
b. Phone number: _______________________________
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 and address: _____________________________________________________________________________________________________________________
b. Phone numbers of designated persons: _____________________________________________________________________________________________________
8. 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 Owner: _______________________________________________________________________________________
9. Expiration date of notice of commencement (the expiration date will be 1 year after the date of recording unless a different date is specified):____________, 20____.
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 SITE OF THE IMPROVEMENT 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.
__________________________________________________________
(Print Name and Provide Signatory’s Title/Office)
________________________________________________________
(Signature of Owner or Lessee, or Owner’s or Lessee’s
Authorized Officer/Director/Partner/Manager)
Rev.8-8-2024
TAX FOLIO NO.:____________________________________________________
(Signature of Notary Public)
(Print, Type, or Stamp Commissioned Name of Notary Public)
__________________________________________________
Instrument Prepared By:
Name: ___________________________________________
__
Address: ______________________________________________
______________________________________________________
Permit Number: _____________________________
State of __________________________ County of __________________________
NOTICE OF COMMENCEMENT
State of____________________________ County of _____________________________
The foregoing instrument was acknowledged before me by means of ___ physical presence or sworn to (or affirmed) by ____ online notarization
this ________ day of _________________________, 20______ by _________________________________________________,
(name of person)
as _____________________________________________________ for _________________________________________________
(type of authority,,e,g, officer, trustee, attorney-in-fact)
(name of party on behalf of whom instrument was executed)
Personally Known ____ or Produced Identification ___
Type of Identification Produced _______________________________
