Fill and Sign the Affidavit of Abandonment and Intent to Form

Affidavit of Abandonment Page 1 of 3Prepared by, recording requested by and return to:Name: ___________________Company: ___________________Address: _____________________City: __________________________State: _____Zip: _____________Phone: _____________________Fax: _______________________----------------------Above this Line for Official Use Only--------------------- AFFIDAVIT OF ABANDONMENT AND INTENT TORECOMMENCE CONSTRUCTION- INDIVIDUAL STATE OF FLORIDACOUNTY OF _____________________.BEFORE ME, the undersigned authority, personally appeared ____________________________________, who being first duly sworn says:1. ____________________________________ is the owner of the following -described real property located in _______________________________ County, Florida: (legal description) ______________________________________________________________________________ ____________________________________________________________________________________________________________________________________________________________ _____________________.2. ___________________________________ contracted with the undersigned owner to make improvements as described in the Notice of Commencement to the real property described above.3. A Notice of Commencement was recorded in Official Record Book ______________, Page ______________, of the Public Records of __________________________ County, Florida. Affidavit of Abandonment Page 2 of 34. Construction ceased on the improvement on or about _____ day of ________________, 20 _____.5. Affiant intends to recommence construction of the improvements.6. All lienors giving notice have been paid in full except the following:Name/Address _____________________________________________________________________Amount Due ___________________________Name/Address _______________________________________________________________________Amount Due ___________________________7. The named lienors are notified that 30 days after the recording of this Affidavit the right of any person acquiring any interest, lien or encumbrance on the property, or of any lienor on the recommenced construction, shall be paramount to any lien on the prior construction unless the prior lienor records a claim of lien within the 30-day period. Signature of Owner _________________________ Owner's Name _____________________________ Owner's Address ___________________________STATE OF ___________ COUNTY OF _____________ Sworn to (or affirmed) and subscribed before me this _____ day of _________________, 20______ by _________________________ (name of person making statement) who is personally known to me or produced _________________________ as identification, and who did take an oath.____________________________ NOTARY PUBLICPrinted Name of Notary _________________________Commission Expires _________________________ Affidavit of Abandonment Page 3 of 3 Certificate of Service I, _____________________________________, hereby certify that I have delivered this day a true and attested copy of the foregoing to ___________________________________ by: ( ) Actual Delivery to the person to be served. ( )Mailing a true and correct copy of same by registered or certified U.S. mail, with postage prepaid, or by overnight or second-day delivery with evidence of delivery. ( ) If service cannot be made by the above methods, by posting on the premises. ________________________Signature