WARNING! FLORIDA'S CONSTRUCTION LIEN LAW ALLOWS SOME UNSPAID 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.
TO: PROPERTY OWNER
Name: ____________________________________
Address: ____________________________________
City, State, Zip: ____________________________________
TO: GENERAL / PRIME CONTRACTOR
Name: ____________________________________
Address: ____________________________________
City, State, Zip: ____________________________________
TO: CONSTRUCTION LENDER (IF APPLICABLE)
Lender Name: ____________________________________
Address: ____________________________________
CLAIMANT (FIRM GIVING NOTICE)
Company Name: ____________________________________
Authorized Agent: ____________________________________
Address / Phone: ____________________________________
The undersigned hereby informs you that he or she has begun to furnish, or will furnish, services or materials as follows:
Description of Labor, Services, or Materials:
For the Improvement of the Real Property Located at:
Street Address: __________________________________________________________________
County: ________________________ Folio / Parcel ID: __________________________
Legal Description: _______________________________________________________________
Under an Order Given By: ____________________________________________________
Date First Furnished: ___/___/2026 (Must be served within 45 days of this date).
Date: ________________________
Claimant / Authorized Signature: _______________________
Printed Name & Title: ___________________________
AFFIDAVIT OF PROOF OF SERVICE (Fla. Stat. § 713.18)
I, ________________________________, hereby certify under penalty of perjury that on the ______ day of _______________, 2026, a copy of this Notice to Owner was served upon the Owner and Contractor named herein in accordance with Section 713.18, Florida Statutes, by the following method:
[ ] Certified Mail, Return Receipt Requested (Article No.: ____________________________________)
[ ] Actual Delivery (Hand delivered by: __________________________________________________)
[ ] Overnight commercial courier delivery service with tracking verification.
Server Signature: ______________________________
Printed Name: _________________________________
State of Florida, County of _______________________
Sworn to and subscribed before me this _____ day of __________, 2026.
Notary Public Signature: _______________________ (Seal)