Fill and Sign the Florida Limited Liability Form

Notice to Owner Page 1 of 2 WARNING! FLORIDA'S CONSTRUCTION LIEN LAW ALLOWS SOME UNPAID CONTRACTORS, SUBCONTRACTORS, AND MATERIAL SUPPLIERS TO FILE LIENS AGAINST YOUR PROPERTY EVEN IF YOU HAVE MADE PAYMENT IN FULL. UNDER FLORIDA LAW, YOUR FAILURE TO MAKE SURE THAT WE ARE PAID MAY RESULT IN A LIEN AGAINST YOUR PROPERTY AND YOUR PAYING TWICE. TO AVOID A LIEN AND PAYING TWICE, YOU MUST OBTAIN A WRITTEN RELEASE FROM US EVERY TIME YOU PAY YOUR CONTRACTOR. NOTICE TO OWNER- CORPORATION or LLC TO: __________________________________ DATE: _____ __________________________________ __________________________________ The undersigned hereby informs you that the undersigned has furnished or is furnishing services or materials as follows (general description of labor, services or materials): ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ for the improvement of the real property identified as ______________________________________________________________________________ ______________________________________________________________________________ under an order given by (name of the person who contracted with the undersigned): ______________________________________________________________________________ (OPTIONAL INFORMATION): Any Demand made pursuant to Section 713.16(2) or Section 713.16(4), Florida Statutes, must be served as follows: Attention:___________________________________ Name of Lienor:___________________________________ Address:___________________________________________________________________ Florida law prescribes the serving of this notice and restricts your right to make payments under your contract in accordance with Section 713.06, Florida Statutes. Notice to Owner Page 2 of 2 IMPORTANT INFORMATION FOR YOUR PROTECTION Under Florida's laws, those who work on your property or provide materials and are not paid have a right to enforce their claim for payment against your property. This claim is known as a construction lien. If your contractor fails to pay subcontractors or material suppliers or neglects to make other legally required payments, the people who are owed money may look to your property for payment, EVEN IF YOU HAVE PAID YOUR CONTRACTOR IN FULL. PROTECT YOURSELF: -- RECOGNIZE that this Notice to Owner may result in a lien against your property unless all those supplying a Notice to Owner have been paid. -- LEARN more about the Construction Lien Law, Chapter 713, Part I, Florida Statutes, and the meaning of this notice by contacting an attorney or the Florida Department of Business and Professional Regulation. By: __________________________________________ (Signature) Title Type or Print Name: __________________________________ Name of Company: _____ Address: _____ _____ Copies to: _____ 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