This Instrument Prepared By:
Name ___________________________________
Address ___________________________________


Permit No. _____________          NOTICE OF COMMENCEMENT            Tax Folio No. _____________

STATE OF _____________________,
COUNTY OF_____________________.


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 property, and street address if available)


2. General description of improvement:


3. Owner information
a. Name and address:
b. Interest in property:
c. Name and address of fee simple titleholder (if other than owner):


4. Contractor:
a. Name and address:
b. Phone number:


5. Surety
a. Name and address:
b. Amount of bond $ __________
c. Phone number:


6. Lender
a. 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(l)(a)7., Florida Statutes:
a. Name and address:
b. Phone number:
 

8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(l)(b), Florida Statutes:
a. Name and address:
b. Phone number:


9. Expiration date of 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 1, SECTION 713.13, FLORIDA STATUES, 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

                                                                                _________________________________________                                                       Signatory's Title/Office       

                                                       

 The foregoing instrument was acknowledged before me this ____ day of ____________________, 20___ by __________________________________________________________________ (name or 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