Record and Return to:
File No: ___ Prepared by: ___
File No: ___ Prepared by: ___ Name: ___ Permit No.: ___ Address: ___ Key No. ___ Tax Folio/Parcel ID: ___
The quick brown fox jumps over the lazy dog.
NOTICE OF COMMENCEMENT
State of Florida
County of ___
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida State Statutes, the following information is provided in this Notice of Commencement.
Description of Property: (Legal description of the property):___ Property Address:___
General Description of Improvement: ___
Owner Infonnation: Name:___ Address:___ City:___ State___ Interest in Property:___ Name and Address of Fee Simple Titleholder (If other than owner):___
Contractor: Name: ___
Surety: Name: ___ Amount of Bond $___
Lender: Name: ___
Address: ___ City: ___ State ___ Phone No: ___ Fax No: ___
Phone No. _____ Fax No. _____
Address: ___ City: ___ State ___ Phone No. ___ Fax No. ___
Address: ___ City: ___ State ___ Phone No. ___ Fax No. ___
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:
Name: ___
Address: ___ City: ___ State: ___ Phone No: ___
Phone No. ___ Fax No. ___
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.
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 OW NER AFTER THE EXPIRATION OF THE NO TICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SEC 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 J OB SITE BEFORE THE FI RST INSPECTION. IF YOU INTEND TO OBTAIN FINANCI NG, 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/Partner/Manager
Tul-10ff
Signatory's Title/Office
State of Florida, County of _____
regoing instrument was acknowledged before me this_____ day of_____，20_by_—◆—◆—" as
(Name of Person)
ー ＝ ＝
·..... =.....
(Type of authority e.g., office, trustee, attorney in fact)
(Name of party on behalf of who instrument was executed)
(Name of party on behalf of who instrument was executed)
（2）
Signature of Notary
Personally known ___ OR Produced Identification ___ Type of Identification Produced:
Print, Type or Stamp Name of Notary
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 of Natural Person Signing Above
Jan 2020