Notice Commencement Form Volusia County – Fill Out and Use This PDF

Permit No

Tax Parcel Number

NOTICE OF COMMENCEMENT

State of Florida County of Volusia

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:

FOR CLERK’S OFFICE USE ONLY

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 other than owner)

4.a. Contractor: Name and address

b.Contractor’s 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 $		.00

6.a. Lender: 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: ________________________________

8.a. In addition to himself, 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 ________________________________

9.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 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 (Section 713.13[1] [d])

_________________________________________________

Signatory’s Title/Office

State of _______________________, County of ______________________________

The forgoing instrument was acknowledged before me this _________ day of ____________ 20______ by _______________________________________________,

______________________________________________________________

(Type of authority …e.g. officer, trustee, attorney in fact)

__________________________________________________________		_____________________________________________________
Signature of Notary Public - State of Florida		Print, Type or Stamp Name of Notary Public
Personally Known_________ OR __________ Produced ID	Type of ID Produced__________________________________________________________________
04.04.14		Volusia County Permit Center Fax # 386-822-5734