NOTICE TO OWNER/NOTICE TO CONTRACTOR PROJECT INFORMATION WORKSHEET MID STATE NOTIFIER19 NW 8 ST, OCALA, FL 34475INFO@MIDSTATENOTIFIER.COM 352-861-9100 NOTE: Due to the high volume of storage, we will maintain and store records in our warehouse for a period of 2 years. If you have any need for the Notice to Owners, Proof of Service or Claim of Liens, it is your responsibility to notify us and obtain these records to avoid being destroyed. DATE BUILDING PERMIT NOPROJECT NAMEPROJECT ADDRESSPROJECT CITY & ZIPPROJECT COUNTYLEGAL DESCRIPTIONLOTBLKSUBDIVISIONSECTIONTOWNSHIPRANGEOR/PLAT BOOKPAGEPARCEL NODESCRIPTION OF WORKOWNER NAME & ADDRESSFEE SIMPLE TITLE HOLDER & ADDRESSGENERAL CONTRACTOR NAME & ADDRESSBONDING CO/LENDER NAME & ADDRESSWHO DID YOU CONTRACT WITH (NAME, ADDRESS AND CONTACT INFO)YOUR INFORMATIONCOMPANY NAMECONTACT NAMEADDRESS STREET ADDRESS CITY STATE/PROVINCE ZIP/POSTAL CODE PHONEFAXEMAIL* FILE Drop files here or CaptchaHuman Verification Process
