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NOTICE OF TERMINATION
Building Permit No. Tax Folio No.
State of Florida
County of
The Undersigned hereby give Notice of Termination of the Notice of Commencement record on ,200___, in Official
Records Book____________________at Page_______ of the Public Records of ___________________________County, Florida.
1. Description of Property (site address also)
2. General Description of Improvements:
3. Owner Information:
a. Owner address:
b. Interest in Property
4. Contractor:
5. Surety:
a. Name and address
b. Amount of Bond $
6. Lender Information:
a. Name and Address:
b. Designated Contact:
7. Persons within the State of Florida designated by Owner upon whom notices of other documents may be served as provided
by Section 713.13(1)(b), Florida Statutes.
Name and Address:
8. In addition to himself, Owner designates of
to receive a copy of the Lienor’s Notice as provided in Section 713.(1)(b), Florida Statutes.
9. Expiration date of Notice of Commencement (the expiration date is One (1) year from the date of recording unless a different
date is specified). Expiration date:
10. Pursuant of Florida Statutes Section 713.132, the Notice of Commencement is terminated as of the day of
200____ (but no less than days after the Notice of Termination is recorded).
11. This Notice of Termination applies to all real property subject to the Notice of Commencement except:
12. To the best of Owner’s knowledge, all lienor’s have been paid in full. A copy of the Contractor’s Affidavit is attached.
13. A copy of this document is being provided to the Contractor and to anyone who had provided Owner of its designee with a
Notice to Owner as provided in Florida Statutes Section 713.06(2)(c)(d).
________________________________ ______________________________________________
Owner’s Name (Print) Signature of Owner
________________________________ ______________________________________________
Owner’s Name (Print) Signature of Owner
State of Florida, County of ____________________
Sworn to and subscribed before me the undersigned authority by the Owner/Owners who is/are personally known to me or who produced ________________
As identification, this ________day of __________________________20_________.
__________________________________________
Notary Public
My Commission Expires:______________