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N-O T ICE OF-------- |
THIS AREA IS RESERVED FOR |
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Permit Number |
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Parcel ID Number |
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CLERK OF THE COURT |
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COMMENCEMENT |
CERTIFICATION |
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State of Florida |
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C o un t y of P i ne l la s
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OFCOMMENCEMENT.
1. Description of property (legal description): a) Street (job) Address:
2.General description of improvements:
3.Owner Information or Lessee information if the Lessee contracted for the improvement:
a)Name and address:
b)Name and address of fee simple titleholder (if different than Owner listed above)
c)Interest in property:
4.Contractor Information
a) Name and address:
b) Telephone No.: |
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Fax No.: (optional) |
5.Surety (if applicable, a copy of the payment bond is attached) |
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a)Name and address:
b)Telephone No.:
c)Amount of Bond: $
6.Lender
a)Name and address:
b)Telephone No.:
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:
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b) Telephone No.: |
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Fax No.: (optional) |
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8. a) In addition to himself or herself, Owner designates |
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of |
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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 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.
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(Signature of Owner or Lessee, or Owner’s or Lessee’s (Authorized Officer/Director/Partner/Manager) |
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(Print Name and Provide Signatory’s Title/Office) |
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The foregoing instrument was acknowledged before me by means of |
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physical presence or |
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on-line notarization, this |
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of |
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, 20 |
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by |
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as |
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(type of authority, e.g. officer, trustee, attorney in fact) |
for |
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, as |
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(Name of Person) |
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(type of authority, e.g. officer, trustee, attorney in fact) |
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for |
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(name of party on behalf of whom instrument wasexecuted). |
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Personally Known |
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Produced ID |
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□ |
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□ |
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Type of ID |
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Notary Signature |
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Print name