Form B05 NOTICE OF COMMENCEMENT Permit No. State of Florida County of Bay Tax Folio No. To Whom It May Concern: 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. Description of property (legal description of the property, and street address if available): General description of improvement: Owner Name: Address: Owner's interest in site of the improvement: Fee Simple Titleholder Name: Address: Contractor Name: Address: Phone Number: Payment Bond Surety: Address: Phone Number: Lender Name: Address: Phone Number: Person 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: Name Address Phone Number: In addition to himself or herself, Owner designates of as provided in Section 713.13(1) (b), Florida Statutes. to receive a copy of the Lienor's Notice Phone Number: Amount of Bond: $ Expiration date of Notice of Commencement is one (1) year from date of recording unless a different date is specified . Signature of Owner Sworn to (or affirmed) and subscribed before me this by day of , 20 , (name of person making statement). Signature of Notary Public (State of Florida) NOTARY SEAL Personally Known or Produced Identification Type of Identification Produced _____________________ WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROVER 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 ON RECORDING YOUR NOTICE OF COMMENCEMENT. Revised 5/30/12 American LegalNet, Inc. www.FormsWorkFlow.com