city of miramar | building division commercial

City of Miramar | Building Division Community Development Department

2200 Civic Center Place | Miramar, Florida 33025

Tel: 954.602.3200 | Fax: 954.602.3635

www.miramarfl.gov

Commercial

Interior Build-Out &

Renovation Package

Who Can Apply

A. Licensed Contractors: Licensed Contractors as per Florida Statutes Chapter 489, and Broward County Construction

Licensing. Contractors shall be properly registered in the Building Division. Properly registered means updated licenses and

insurances provided prior the application process.

For all new projects, commercial interior build-out and renovations, additionally to the paper application and plans, a CD will

be required with specifications and Plans in PDF format.

Required Documents

Disclaimer: Because of proposed projects vary widely respect to different procedures and the way to be completed, the

information shown below does not necessarily reflect all requirements needed for permit application. This information is

intended only for minimum guidelines about how to proceed with the application for permit. As per Florida Building Code,

the construction documents shall be of sufficient clarity to indicate the location, nature and extent of the work proposed

and show in detail that it will conform to the provisions of this Code and relevant laws, ordinances, rules and regulations,

as determined by the Building Official. Therefore, it will be the entire responsibility of contractors/applicants to provide all

required documentation to apply for permit.

□ All required applications based on the scope of work (Structural, Plumbing, Electrical, Mechanical, etc.).

The application forms must indicate the square footage & description of the proposed work. All applications

shall be submitted prior to issue the permits, and approved set of plans.

□ Attention applicant • Based on the scope of work, you may need to make additional copies

of the standard application form.

□ Job contract • Completed & signed by all parties. Contract shall indicate the job value for every discipline

Provide a breakdown cost per discipline matching the contract value.

□ Plans signed & sealed by Professional Engineer or Registered Architect. Plans shall indicate type

of Occupancy, Occupancy Load, Type of Constructions, all details and information related to the scope of

work. Plans for submittal shall be less than 24” X 36” sheet size. Four (4) sets of plans are required and may

be as follow:

• Two (2) sets of plans originally signed & sealed by Professional Designer.

• Two (2) sets of copied plans from the original set of plans (Not required to be Signed & Sealed by the

Professional Designer).

□ All applicable current Product Approvals (N.O.A, s) & any other applicable specifications.

□ Heating - Cooling Load Specifications & Energy Calculations.

□ Approval from Broward Planning & Development Management Division. 1 North University Drive,

Plantation, Florida 33324.

□ Health Department (For Sale of Food). Refer to the attached address list for more information

□ Division of Hotels & Restaurants (For the sale & consumption of food). Refer to the attached address list for

more information

□ Statement of Responsibilities Regarding Asbestos (If the scope of work includes demolition). Refer

to the attached address list for more information.

□ For Miramar Engineering Services approval, a “Fixtures Count” from the Designer of Record shall be submitted directly

to this Dept. The contractor/applicants are responsible to obtain the approval from this department, prior final approval

of the plans.

FOR MORE INFORMATION, READ THE FOLLOWING PAGES REV 01/2021

www.miramarfl.gov



Tel: 954.602.3200 | Fax: 954.602.3635

www.miramarfl.gov

Application Checklist

For Commercial Build-Out & Renovation

For all new projects, commercial interior build-out and renovations, additionally to the paper

application and plans, a CD will be required with specifications and Plans in PDF format.

Disclaimer: The information shown below does not necessarily reflect all requirements needed for permit application.

This information is intended only for minimum guidelines about how to proceed with the application for permit. As per

Florida Building Code, construction documents shall be of sufficient clarity to indicate the location, nature and extent

of the work proposed and show in detail that it will conform to the provisions of this Code and relevant laws,

ordinances, rules and regulations, as determined by the Building Official. Therefore, it will be the entire responsibility

of contractors/applicants to provide all required documentation to apply for permit.

ProjectName: _ _

Project Address:

Folio No.:

FOR REVIEW PURPOSE THE FOLLOWING ARE REQUIRED:

- FOUR SETS OF PLANS: TWO (2) ORIGINALLY SIGNED & SEALED BY PROFESSIONAL DESIGNER, AND TWO (2) COPIES

OF THE ORIGINAL PLANS. PLANS SHALL NOT BE MORE THAN 24”X36” SHEET SIZE

- CONTRACT SIGNED BY BOTH PARTIES (OWNER & CONTRACTOR), AND SCHEDULE OF VALUES INDICATING THE

COST PER DISICPLINE (COST SHALL INCLUDE LABOR & MATERIALS).

- ALL APPLICATION FORMS BASED ON THE SCOPE OF WORK:

□ STRUCTURAL / BUILDING □ ROOFING □ WALKING COOLER

□ MECHANICAL □ FIRE ALARMS □ LV, DATA COMMUNICATIONS

□ PLUMBING □ FIRE SPRINKLERS □ LANDSCAPING

□ ELECTRICAL □ FIRE SUPRRESSION □ IRRIGATION

*OTHER APPLICATION FORMS MAY BE REQUIRED BASED ON THE PROPOSED WORKS AND PLANS.

- REQUIRED DOCUMENTS

□ ENERGY CALCULATIONS □ SPECIAL INSPECTOR FORMS (ORIGINALSIGNED&

SEALED) FOR SPECIALTY STRUCTURAL

□ HEAT LOAD CALCULATIONS □ IDENTICAL DOCUMENT AFFIDAVIT FOR PLANS IN

DIGITAL FORMT ALONG WITH CD (PDF FORMAT)

□ GEOTECHNICAL REPORT (ORIGINAL SIGNED & SEALED) □ BROWARD CO. ENVIRONMENTALREVIEW &

TRANSPORTATION CERTIFICATES

□ STRUCTURAL CALCULATIONS (ORIGINAL SIGNED &

SEALED) FOR MAJOR STRUCTURAL CHANGES

□ DIVISION OF HOTELS & RESTAURANTS (FOR THE

SALE & CONSUMPTION OF FOOD).

□ BROWARD HEALTH DEPARTMENT (FOR SALE OF

FOOD). □ PROOF OF PROPERTY OWNERSHIP COPY

PRIOR SUBMITTAL, APPLICANT SHALL VERIFY THE FOLLOWING:

- APPROVAL FROM PLANNING & ZONING DEVELOPMENT REVIEW COMMITTEE (DRC).

- APPROVAL FROM PLANNING & ZONING COMMUNITY APPEARANCE BOARD (CAB)

- APPROVAL FROM ENGINEERING SERVICES. CITY OF MIRAMAR

- PAYMENT OF ALL IMPACT FEES FOR BROWARD COUNTY AND CITY OF MIRAMAR

________________________________________________________________

Broward County Board of Rules and Appeals Effective: January 1st, 2021 One North University Drive, 3500-B Telephone: 954.765.4500 Fort Lauderdale, Florida 33324 Facsimile: 954.765.4504

FORM FOR “SPECIAL BUILDING INSPECTOR” SECTION 110.10 – BROWARD COUNTY ADMINISTRATIVE CODE

AND THE FLORIDA BUILDING CODE, 7th Edition (2020)

NOTICE TO PROPERTY OWNER: You are hereby directed in accordance with Section 110.10.1 or 110.10.2 of the Broward County Administrative Code and the Florida Building Code to retain a Special Structural Inspector (A Florida Registered Architect or Licensed Engineer) to perform the following mandatory or discretionary inspections, as outlined in Section 110.10 of the Florida Building Code and submit progress reports, inspections reports, and a Certificate of Compliance to the Building Official as per Sections 110.10.6 and 110.10.7 of the Florida Building Code. Note: The Building Official determines which discretionary inspections are to be delegated.

DATE: ___________________________________ IDENTIFICATION, CONTROL OR BUILDING PERMIT # ___________________________

PROJECT NAME: ___________________________________________________________________________________________________

JOB ADDRESS __________________________________________________________________________ ZIP _______________________

LEGAL DESCRIPTION: _________________________________________________________________ FOLIO # _____________________

A. MANDATORY INSPECTIONS TYPE BY CODE: 1) Precast Concrete Units – Section 110.10.2.1 ..................................................................................................................................................................... Yes No 2) Reinforced Unit Masonry – Section 110.10.2.2 (per ACI 530.1-13-Level B Quality Assurance) *

*unless noted otherwise on plan ...........................................................................................................................................................................................Yes No 3) Connections – 110.10.2.3........................................................................................................................................................................................................ Yes No 4) Metal System Buildings – Section 110.10.2.4.......................................................................................................................................................................Yes No 5) Smoke Control Systems – Section 110.10.2.5 .................................................................................................................................................................... Yes No

B. DISCRETIONARY INSPECTION TYPE BY BUILDING OFFICIAL: 1) Building Structures or part thereof of Unusual Size, Height, Design or Method of Construction and

Critical Structural Connections – Section 110.10.1.1 .......................................................................................................................................................Yes No 2) Windows, Glass Doors and Curtain Walls on buildings over two (2) stories – Section 110.10.1.1....................................................................... Yes No 3) Pile Driving Only – Section 110.10.1.1 .................................................................................................................................................................................Yes No 4) Precast Concrete Units – Section 110.10.2.1 ..................................................................................................................................................................... Yes No 5) Reinforced Unit masonry – Sections 110.10.2.2 .................................................................................................................................................................Yes No 6) Other........................................................................................................................................................................................................................................... Yes No

C. MANDATORY DOCUMENTATION

1) Inspection schedule stating the specific inspection that will be made and at what phase of construction must be submitted with this application. 2) Progress Report/Inspection reports during construction in accordance with Section 110.10.6. 3) Certificate of Compliance must be submitted prior to the scheduling of the final building inspection, Section 110.10.7.

ACKNOWLEDGMENT

Owner’s Signature: _________________________________ Permit Holder’s Signature: ________________________________________________

Printed Name: _________________________________ Printed Name: ________________________________________________

License # (if applicable) ________________________________________________

SPECIAL BUILDING INSPECTOR: _______________________________________________________________________________________

Registered Architect and/or Licensed Engineer Signature of Special Building Inspector, Embossed Seal AND Date

Printed Name of Special Building Inspector ________________________________________________________________

Address of Special Building Inspector ________________________________________________________________

State of Florida Registration # ___________________________ Fax # _________________________ Telephone # _____________________________

________________________________________________________________________________ Date: __________________________________

Building Official (or designated representative)

***BE ADVISED THIS DOES NOT PRECLUDE YOU FROM OTHER MANDATORY INSPECTIONS IN THE CODE*** C:\Users\MGUERASIO\Documents\BORA\Master Forms\7th edition 2020 FBC Special Bldg Insp Form.doc

Environmental Protection and Growth Management Department

PLANNING AND DEVELOPMENT MANAGEMENT DIVISION

1 North University Drive • Plantation, Florida 33324 • 954-357-6666 • broward.org/planning

ENVIRONMENTAL REVIEW APPROVAL GUIDE

Environmental review approval is an important step in the building or construction permit process

in Broward County. We verify that all required environmental licenses and pending environmental

enforcement issues referenced in Broward County’s Natural Resource Protection Code (the Code)

have been addressed. Any environmental operation licenses required upon completion of the

project are also identified. Environmental review approval will be granted after compliance is

confirmed. Most evaluations will require an approval review fee. The fee is subject to the size and

nature of the project and calculated once the review is complete. Fees may be paid by cash, check

or credit card.

REVIEW REQUIRED

Building Construction All new building construction: residential or nonresidential

All additions to non-residential buildings

All interior alterations to industrial buildings or warehouses if a building permit is required

All interior alterations to commercial or office buildings where a change in use or seating capacity will

occur or where the building has been vacant for six months or more if a building permit is required

Final interior construction of existing shell buildings if a building permit is required

All foundations or slabs greater than 250 square feet, except residential slabs

Site Preparation and Infrastructure New construction and all road and bridge expansion

Land clearing and grubbing

Removing trees in unincorporated Broward County and certain municipalities

Constructing docks, sea walls, boat ramps and bulkheads

Commercial driveways and parking lots

All drainage projects, including those in independent drainage districts

Other Impacts All work performed near the ocean

All new or replacement emergency generators, excluding portable generators

All open burning

All landfill and solid waste transfer facilities

All new commercial or multifamily swimming pool construction

Constructing or installing above or below ground storage tanks

Temporary buildings and construction trailers

1

https://broward.org/planning

5th Edition (2014) FBC BuildingBroward County Administrative Provisions

APPENDIX A

~ BROWARD COUNTY UNIFORM BUILDING PERMIT APPLICATION

Select Trade: Building Electrical Plumbing Mechanical Other __

Application Number: Application Date: Job Address: Unit: City: Tax Folio No.: Flood Zone: BFE: Floor Area: Job Value: Building Use: Construction Type: Occupancy Group:

1 Present Use: Proposed Used: Description of Work: New Addition Repair Alteration Demolition Revision Other:

Legal Description: Attachment

Property Owner: Phone: Email: 2 Owner’s Address: City: State: Zip:

Contracting Co.: Phone: Email:

3 Company Address: City: State: Zip: Qualifier’s Name: Owner-Builder: License Number: Architect/Engineer’s Name: Phone: Email:

Architect/Engineer’s Address: City: State: Zip: Bonding Company:

4 Bonding Company Address: City: State: Zip: Fee Simple Titleholder’s name (if other than owner): Fee Simple Titleholder’s Address (If other than owner): City: State: Zip:

Mortgage Lender’s Name: Mortgage Lender’s Address: City: State: Zip:

Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR CONDITIONERS, etc. OWNER’S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning.

WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY 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.

X X Signature of Property Owner or Agent Signature of Qualifier

STATE OF FLORIDA COUNTY OF

STATE OF FLORIDA COUNTY OF

Sworn to (or affirmed) and subscribed before me this day of Sworn to (or affirmed) and subscribed before me this day of , 20_ by , 20_ by

(Type / Print Property Owner or Agent Name) (Type / Print Qualifier’s Name)

NOTARY’S SIGNATURE as to Owner or Agent’s Signature NOTARY’S SIGNATURE as to Qualifier’s Signature

Notary Name Notary Name (Print, Type or Stamp Notary’s Name) (Print, Type or Stamp Notary’s Name)

Personally Known or Produced Identification Personally Known or Produced Identification Type of Identification Produced Type of Identification Produced

Code in Effect: APPROVED BY: Permit Officer Issue Date:

A jurisdiction may use a supplemental page requesting additional information and citing other conditions, please inquire. Note: If any development work as described in FS 380.04 Sec. 2 a-g is to be performed, a development permit must be obtained prior to the issuance of a building permit.

—



Tel: 954.602.3200 | Fax: 954.602.3635

www.miramarfl.gov

Digital Folder

Distribution

IMPORTANT: All digital applications (CDs/DVDs) that do not follow the format shown below

will be rejected. Each discipline’s drawings shall be on the CD (Compact disc) in the order

shown below. ALL FILES SHALL BE PROVIDED ONLY IN PDF FORMAT.

COVER SHEET

CIVIL - SITE PLANS

LANDSCAPING

IRRIGATION PLANS

ARCHITECTURAL

STRUCTURAL

PLUMBING – FIRE SPRINKLERS

ELECTRICAL – ELECTRICAL FIRE ALARM – LOW VOLTAGE – DATA-CCTV

MECHANICAL – FIRE SUPPRESSION & KITCHEN HOOD – WALKING COOLER

OTHER DOCUMENTS AND SPECIFICATIONS

NOTE: ALL INFORMATION FOR EQUIPMENT (FREEZERS, REFRIGERATORS, ETC.) AND OTHERS PRE-

MANUFACTURED ITEMS THAT ARE BUILT-IN AND NEED TO BE CONNECTED TO WATER, SEWER,

ELECTRICTITY OR GAS SHALL BE ON THE DIGITAL FORMAT FOLLOWING THE ORDER SHOWN

ABOVE.

FOR MORE INFORMATION ABOUT FILES DISTRIBUTION, PLEASE CONTACT MR. HECTOR ACOSTA AT 954-602-

3245 [email protected]

ATTENTION: BESIDES THE CD WITH PLANS IN DIGITAL FORMAT (PDF FILES), ALSO APPLICANT

SHALL PROVIDE THE AFFIDAVIT OF IDENTICAL DOCUMENTS, SIGNED & SEALED BY THE

PROFESSIONAL DESIGNER OF RECORD.

Rev. 01/2021

mailto:[email protected]

Rev. 01/2021

__________________________________________________________________________________________________

____________________________________________________________



Tel: 954.602.3200 | Fax: 954.602.3635

www.miramarfl.gov

Affidavit of Identical

Documents

CD/ DVD DIGITAL APPLICATION PLANS REVIEW.

□ PDF Files:

I, (print full name) ________________________________________________________ Architect/Engineer of

Record with registration number AR/PE #___________________________________________________ with

the Architectural/Engineering Firm (Name)_______________________________________________________,

hereby attest or affirm that the electronic files submittal of the plans for project located at the location shown

below are an exact and accurate duplicate of the complete hardcopy set of plans submitted to the Building

Division.

Project Name______________________________________________________________________________________

Property Address: __________________________________________________________________________________

Folio No.; _________________________________________________________________________________________

I also hereby acknowledge that if there are any discrepancies between the two versions, the review process for said

project will be terminated, become null and void, and require re-application under a new permit application number.

Previously reviewed plans and comments will be discarded. This affidavit will apply to all documents submitted

electronically throughout the life of the project including initial submittal, re-works, revisions, shop drawings, etc.

Plan’s reference/job identification number from title block: _________________________________________________

Designer of Record Contact Phone: ________________________________

Contact Email: ________________________________________________

Architect/Engineer of Record Signature & Seal

Sworn to (Or affirmed) and subscribed before me this ______day of _____________ 20________,

Notary Name: ______________________________________________

Notary Seal Notary Signature: ____________________________________________ ________________________________

□ Personally known □ Produced Identification ___________________ I.D. No. ___________________________

City of Miramar | Building Division Community & Economic Development Department


Tel: 954.602.3200 | Fax: 954.602.3635

www.miramarfl.gov

OTHER PERMITTING

AGENCIES

INFORMATION

NOTICE OF COMMENCEMENT BROWARD COUNTY RECORDS DIVISION

BROWARD COUNTY GOVERNMENT CENTER │115 S. ANDREWS AVE ROOM #114 │ FORT LAUDERDALE, FL 33301 PHONE (954) 357-7283

SOUTH BROWARD DRAINAGE DISTRICT

6591 S.W. 160 AVENUE │ SOUTHWEST RANCHES, FLORIDA 33331

PHONE (954) 680-3337

IMPROVEMENTS WITHIN DISTRICT’S EASEMENTS: A permit shall be obtained from the District prior to the construction

of any docks, decks, fences, brick pavers, seawalls, sprinkler intake lines or other improvements within the easements,

rights-of-way or water management areas of the District

BROWARD PLANNING & DEVELOPMENT MANAGEMENT DIVISION 1 NORTH UNIVERSITY DRIVE │ PLANTATION, FL 33324

PHONE (954) 357-6666

DEPARTMENT OF BUSINESS REGULATIONS (DBPR) DIVISION OF HOTELS & RESTAURANTS

5080 COCONUT CREEK PARKWAY, SUITE A │ MARGATE, FL 33063 PHONE: (850) 487-1395

All restaurants, food stores, deli’s, etc. (anything pertaining to food), must go to the above mentioned and have their plans approved by the Division of Hotels & Restaurants. This approval is required prior submittal of the plans to the Building Division.

BROWARD COUNTY CERTIFICATE OF COMPETENCY ENVIRONMENTAL LICENSING AND BUILDING PERMITTING DIVISION

1 NORTH UNIVERSITY DRIVE PLANTATION, FLORIDA 33324 │ 954-765-4400

BROWARD COUNTY BUSINESS TAX RECEIPT REVENUE COLLECTION DIVISION │ TAX & LICENSE SECTION

115 S. ANDREWS AVENUE ROOM A-100 │ FORT LAUDERDALE, FLORIDA 33301 │ (954) 831-4000

BROWARD COUNTY PUBLIC HEALTH UNIT 2421A SW 6TH AVENUE

FORT LAUDERDALE │ FLORIDA 33315 │ 954-467-4700

REV 04/2016

Miramar | Building Division Community Development Department


Tel: 954.602.3200 | Fax: 954.602.3635

www.miramarfl.gov

NOTICE OF COMMENCEMENT

& NOTICE OF TERMINATION


In accordance with Section 713.13 of the Florida Statutes, a Notice of Commencement is required for

the construction of, improvements to, alteration of or repair of real property. The Notice of

Commencement must be recorded with Broward County Records, Taxes and Treasury Division.

− If the direct contract is greater than $2,500, the applicant shall file with the issuing authority prior

to the first inspection either a certified copy of the recorded notice of commencement or a

notarized statement that the notice of commencement has been filed for recording, along with a

copy thereof.

− If the direct contract for repair or replace an existing heating or air conditioning exceed the amount

of $7,500, a certified copy of the recorded notice of commencement is required.

− In the absence of the filing of a certified copy of the recorded notice of commencement, the issuing

authority or a private provider performing inspection services may not perform or approve

subsequent inspections until the applicant files by mail, facsimile, hand delivery, or any other

means such certified copy with the issuing authority.

− The certified copy of the notice of commencement must contain the name and address of the

owner, the name and address of the contractor, and the location or address of the property being

improved.

− The issuing authority shall verify that the name and address of the owner, the name of the

contractor, and the location or address of the property being improved which is contained in the

certified copy of the notice of commencement is consistent with the information in the building

permit application.

Attention Applicant: Construction Cost of Improvement will be based on contract signed by both parties

(owner & contractor) and/or as determined by the Building Official (Florida building Code 109.3).

Recording a Notice of Commencement

− Complete the Notice of Commencement Form (See attached form).

− Recording the Notice of commencement at the. Broward County Records, Taxes and Treasury

Division. Broward County Governmental Center Room 114. 115 S. Andrews Ave.

Fort Lauderdale, FL 33301.

See attached information about eRecording Vendors in Broward County.

TERMINATING A NOTICE OF COMMENCEMENT

An owner may terminate the period of effectiveness of a Notice of Commencement, after completion of

construction, or after construction ceases before completion and all contractors and sub-contractor’s

(lienors) have been paid, by filing a Notice of Termination of Notice of Commencement. (See attached

form)

REV 1/21

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__________________________________________________________________________________________________________

__________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________

________________________________________________ ____________________________________________________

AFTER RECORDING � RETURN TO:

PERMIT NUMBER:


The undersigned hereby given notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statues the following information is provided in the Notice of Commencement.

1. DESCRIPTION OF PROPERTY (Legal description & street address, if available) TAX FOLIO NO.: _______________________________

SUBDIVISION _______________________________BLOCK_________TRACT_________LOT________BLDG_______UNIT_______

2. GENERAL DESCRIPTION OF IMPROVEMENT:

3. OWNER INFORMATION: a. Name________________________________________________________________________________________________

b. Address________________________________________________________________________________ ________________________

d.

c. Interest in property_

Name and address of fee simple titleholder (if other than Owner) ______________________________________________________________________________ 4. CONTRACTOR�S NAME, ADDRESS AND PHONE NUMBER:

5. SURETY�S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT:

6. LENDER�S NAME, ADDRESS AND 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: NAME, ADDRESS AND PHONE NUMBER:

8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor�s Notice as provided in Section 713.13 (1) (b), Florida Statutes: NAME, ADDRESS AND 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):________________ ______, 20____

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 Owner�s Authorized Officer/Director/Partner/Manager

Print Name and Provide Signatory�s Title/Office

State of Florida

The foregoing instrument was acknowledged before me this __________ day of _______________, 20________

By ___________________________________________________, as ________________________________________________ (name of person) (type of authority,�e.g. officer, trustee, attorney in fact)

For __________________________________________________. (name of party on behalf of whom instrument was executed)

_____ Personally known or _____ produced the following type of identification: __________________________________________

Notary ___________________________________________ (Signature of Notary Public)

Under Penalties of perjury, I declare that I have read the foregoing and that the facts in it are true to the best of my knowledge and belief (Section 92.525, Florida Statutes).

Signature(s) of Owner(s) or Owner(s)� Authorized Officer/ Director / Partner/Manager who signed above:

By __________________________________________________ By _______________________________________________

Rev .08-09-07 (S.Recording)

This instrument prepared by:

Name Address -_...... -------------------

NOTICE OF TERMINATION ( of Notice of Commencement)

space above rf'OG"""'f'O" use of recording office STATE OF FLORIDA COUNTY OF BROWARD

The undersigned hereby gives notice that the effective period of that certain Notice of Commencement dated I _______I recorded in O.R. Book I Page

Instrument Number , of the Public Records of Broward County, Florida, will terminate, and in accordance with Section 713.132, Florida Statutes, the following information is provided:

The date and recording information for the Notice of Commencement being terminated are as described above, and all information contained therein is hereby expressly incorporated into this NOTICE OF TERMINATION.

1.

2. The Notice of Commencement shall be terminated as of _________________ I or 30 days from the recording date of this Notice of Termination, whichever date is later.

3. This Notice of Termination applies to:

D all the real property subject to the above described Notice of Commencement.

D only to the portion of such real property described as:

4. Alilienors have been paid in full or prorata in accordance with Section 713.06(4), Florida Statutes.

5. A copy of this notice has been served on the contractor and on each lienor who has given notice, if any.

Owner signature:: ________________Owner signature:

Printed name: name:

SWORN TO AND SUBSCRIBED before me this ___ day _.___________ 20 by:

Personally known to me, or produced ____________________________ as identification.

Notary signature Print name

seal: Exhibits attached:

Contractor's Final Payment Affidavit

Property Legal Description

D Copy of Notice of Commencement

Revised 3/23/15