S:\Development\BUILDING\Forms-Templates-Signs\Notice of Commencement.doc 1/5/2018
AFTER RECORDING – RETURN TO:
PERMIT NUMBER:
NOTICE OF COMMENCEMENT
The undersigned hereby given notice that improvement will be made to certain real property, and in accordance with Chapter 713,
Florida Statues the following information is provided in the Notice of Commencement.
1.
DESCRIPTION OF PROPERTY
(Legal description and street address, if available)
TAX FOLIO NUMBER
: ______________________
SUBDIVISION
_______________________________
BLOCK
_________
TRACT
_________
LOT
________
BLDG
_______
UNIT
_______
__________________________________________________________________________________________________________
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 than Owner listed above): ________________________________________________________________
4.
CONTRACTOR’S NAME
:
________________________________________________________________________________________________________
b. Contractor’s address ___________________________________________________________________ c. 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.
LENDER’S NAME
: _________________________________________________________________________________________
b. Lender’s address: _____________________________________________________________________ c. 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. 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 designated person or entity: ______________________________________________________________________________________________
9. 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): , 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 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 Print Name and Provide Signatory’s Title/Office
Authorized Officer/Director/Partner/Manager
State of Florida
County of Palm Beach
The foregoing instrument was acknowledged before me this __________ day of _______________, 20________
By ___________________________________________________, as ________________________________________________
(name of person) (type of authority,…e.g. officer, trustee, attorney in fact)
For __________________________________________________.
(name of party on behalf of whom instrument was executed)
_____ Personally known or _____ Produced the following type of identification: __________________________________________
Notary
___________________________________________
Signature of Notary Public
(Print, type, or stamp commissioned name of Notary Public)
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