Double signature

Notice of commencement double signature

Permit Number:

Folio/Parcel ID #:

Prepared by:

Return to:

NOTICE OF COMMENCEMENT

State of Florida, County of Orange 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, and street address if available)

2. General description of improvement

3. Owner information or Lessee information if the Lessee contracted for the improvement

Name Address

Interest in Property

Name and address of fee simple titleholder (if different from Owner listed above)

Name Address

Contractor

Name Address

Telephone Number

5. Surety (if applicable, a copy of the payment bond is attached)

Name

Telephone Number

Number

Amount of Bond $

6. Lender

Name

Telephone Number

Address

8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor’s Notice as provided in §713.13(1)(b), Florida Statutes.

Name

Telephone Number

Address

Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by §713.13(1)(a)7, Florida Statutes.

Name

Telephone Number

Address

Expiration date of notice of commencement (the expiration date will be 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 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.

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52 Type of authority, e.g., officer, trustee, attorney in fact

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58 Signature of Notary Public – State of Florida

Signatory’s Title/Office

for

The foregoing instrument was acknowledged before me this

day of

Signature of Notary Public – State of Florida

Print, type, or stamp commissioned name of Notary Public

Personally Known

OR Produced ID

Type of ID Produced

Hidden

DocuemntPost type ID

Contractor signature

Notice of commencement double signature

NOTICE OF COMMENCEMENT

Company

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