"Notice of Commencement Form" - Collier County, Florida

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Permit No. _______________Tax Folio No. _______________________
NOTICE OF COMMENCEMENT
State of FLORIDA
County of COLLIER
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 L
essee contracted for the improvement:
a. Name and address: _______________________________________________________________________________.
b. Interest in property: _______________________________________________________________________________.
c. Name and address of fee simple titleholder
:
(if different from Owner listed above)
____________________________________________________________________________________________________.
Contractor
4.a.
:
(name and address)
___________________________________________________________________________________________________.
b. Contractor’s phone number: ______________________________.
Surety
5.
(if applicable, a copy of the payment bond is attached):
___________________________________________________________.
a. Name and Address:
b. Phone number: ________________________________. c. Amount of bond: _______________________________.
Lender
6a.
:
(name and address)
__________________________________________________________________________.
b. Lender’s 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: ______________________________________________________________.
8a. In addition to himself or herself, Owner designates ___________________________ of _______________________
to receive a copy of Lienor’s Notice as provided in Section 713.13 (1)(b) Florida Statutes.
b. Phone number of person or entity designated by owner: __________________________________.
Expiration date
9.
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.
__________________________________________
_____________________________________
(Signature of Owner or Lessee, or Owner’s or Lessee’s Authorized Officer/Director/Partner/Manager)
(Signatory’s Title/Office)
The foregoing instrument was acknowledged before me this ______ day of ______________________________,
_______
), by _______________________________
) as _______________________
(year
(name of person
(type of authority,...e.g.
for _______________________________
.
officer, trustee, attorney in fact)
(name of party on behalf of whom instrument was executed)
CRYSTAL K. KINZEL
CLERK OF THE CIRCUIT COURT & COMPTROLLER
___________________________________
______________________________________
(Signature of Notary Public – State of Florida)
(Signature of Deputy Clerk)
___________________________________
______________________________________
(Printed name of Deputy Clerk)
(Print, Type, or Stamp Commissioned Name of Notary Public)
Personally Known ________ OR Produced Identification _______
by means of
physical presence or
on line notarization.
Type of Identification Produced ____________________________
Rev.01/2020
Permit No. _______________Tax Folio No. _______________________
NOTICE OF COMMENCEMENT
State of FLORIDA
County of COLLIER
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 L
essee contracted for the improvement:
a. Name and address: _______________________________________________________________________________.
b. Interest in property: _______________________________________________________________________________.
c. Name and address of fee simple titleholder
:
(if different from Owner listed above)
____________________________________________________________________________________________________.
Contractor
4.a.
:
(name and address)
___________________________________________________________________________________________________.
b. Contractor’s phone number: ______________________________.
Surety
5.
(if applicable, a copy of the payment bond is attached):
___________________________________________________________.
a. Name and Address:
b. Phone number: ________________________________. c. Amount of bond: _______________________________.
Lender
6a.
:
(name and address)
__________________________________________________________________________.
b. Lender’s 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: ______________________________________________________________.
8a. In addition to himself or herself, Owner designates ___________________________ of _______________________
to receive a copy of Lienor’s Notice as provided in Section 713.13 (1)(b) Florida Statutes.
b. Phone number of person or entity designated by owner: __________________________________.
Expiration date
9.
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.
__________________________________________
_____________________________________
(Signature of Owner or Lessee, or Owner’s or Lessee’s Authorized Officer/Director/Partner/Manager)
(Signatory’s Title/Office)
The foregoing instrument was acknowledged before me this ______ day of ______________________________,
_______
), by _______________________________
) as _______________________
(year
(name of person
(type of authority,...e.g.
for _______________________________
.
officer, trustee, attorney in fact)
(name of party on behalf of whom instrument was executed)
CRYSTAL K. KINZEL
CLERK OF THE CIRCUIT COURT & COMPTROLLER
___________________________________
______________________________________
(Signature of Notary Public – State of Florida)
(Signature of Deputy Clerk)
___________________________________
______________________________________
(Printed name of Deputy Clerk)
(Print, Type, or Stamp Commissioned Name of Notary Public)
Personally Known ________ OR Produced Identification _______
by means of
physical presence or
on line notarization.
Type of Identification Produced ____________________________
Rev.01/2020