DBPR FORM CO 6000-1 Effective: August 18, 2005 STATE OF FLORIDA DEPARTMENT OB BUSINESS AND PROFESSIONAL REGULATION DIVISION OF FLORIDA CONDOMINIUMS, TIMESHARES, AND MOBILE HOMES 1940 North Monroe Street, Northwood Centre Tallahassee, Florida 32399-1033 (850) 487-9832 NOTICE OF CONDOMINIUM RECORDING INFORMATION This form is to report recording information for the declaration and amendments adding phases as required by sections 718.104(2), 718.403(8), Florida Statutes, and Rule 61B-17.001(3), Florida Administrative Code, and to remit the annual fees required by Rule 61B-23.002(1)(b), F.A.C. PLEASE ATTACH COPIES OF ANY RECORDED DOCUMENTS TO THIS FORM IF DOCUMENTS PRIOR TO RECORDING WERE NOT ALREADY REVIEWED, APPROVED AND ON FILE WITH THE DIVISION. If there are changes to the documents on file with the Division, please refer to Rule 61B-17.006, F.A.C. and submit the changes in amendment form. 1. Name of Condominium ______________________________________________________________________ Street Address _____________________________________________________________________________ City ____________________________ County ____________________ State _________ Zip Code ________ 2. Project number assigned by the Division _________________________________________________________ 3. Name of Developer/Owner ____________________________________________________________________ Street Address ______________________________________________________________________________ City ____________________________ County ___________________ State __________ Zip Code _________ 4. Name of Condominium Association _____________________________________________________________ Mailing Address _____________________________________________________________________________ City ____________________________ County ___________________ State __________ Zip Code _________ 5. Please complete the following information if reporting the recording of a declaration of condominium. County where recorded ______________________________________________________________________ Official Records Book No. __________________________________ Page No._________________________ Date Recorded __________________________________________________________ month day year Number of units located in or on the land being submitted by the declaration to condominium ownership. ___________________________________________________________________ If a phase condominium, identify the phase(s) which was submitted with the recording of the declaration 1 American LegalNet, Inc. www.FormsWorkFlow.com DBPR FORM CO 6000-1 Effective: August 18, 2005 6. If reporting an amendment or amendments adding phases, please provide the following information for each phase. Phase Number _______________________ County where recorded ______________________ Official Records Book No. ______________________ Page No._________________________ Date Recorded ________________________________________________________________ month day year - Number of units described in the phase ____________________________________________ Total units in the condominium after addition of this phase ____________________________ - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Phase Number _______________________ County where recorded _______________________ Official Records Book No. ______________________ Page No.__________________________ Date Recorded __________________________________________________________________ month day year - Number of units described in the phase ______________________________________________ Total units in the condominium after addition of this phase ______________________________ - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Phase Number _______________________ County where recorded _______________________ Official Records Book No. ______________________ Page No._____ _____________________ Date Recorded __________________________________________________________________ month day year Number of units described in the phase ______________________________________________ Total units in the condominium after addition of this phase ______________________________ If additional space is needed, please attach a separate page and include all of the information in question six for each amendment. 7. Are the association annual fees of $4 per residential unit included? Rule 61B-23.002(1)(b), Florida Administrative Code, requires this payment to be made along with the Notice of Recording Information. Yes _____________________ No ____________________ _______________________________________ Print name of person submitting this form ______________________________________ Signature _______________________________________ Title (Indicate whether developer or agent of developer) ______________________________________ Date Contact Telephone Number ________________________ 2 American LegalNet, Inc. www.FormsWorkFlow.com