Fla. Stat. § 713.245
(4) Within 90 days after a claim of lien is recorded for labor, services, or materials for which the contractor has been paid, the owner or the contractor may record a notice of bond as specified in s. 713.23(2), together with a copy of the bond and a sworn statement in substantially the following form:
CERTIFICATE OF PAYMENT TO THE CONTRACTOR TO: Lienor (name and address from claim of lien) Contractor (name and address) Surety (name and address)
Under penalties of perjury, the undersigned certifies that the bond recorded with this certificate conforms with s. 713.245, F.S., that the bond is in full force and effect, and that the contractor has been paid $_____ for the labor, services, and materials described in the Claim of Lien filed by __________ dated _____, (year) , and recorded __________, (year) , in Official Records Book _____ at Page _____ of the Public Records of __________ County, Florida.
Dated this _____ day of __________, (year) .
(Address) _______________
_______________
STATE OF FLORIDA COUNTY OF _____
Sworn to (or affirmed) and subscribed before me this _____ day of _____, (year) , by (name of person making statement) .
(Signature of Notary Public - State of Florida)
(Print, Type, or Stamp Commissioned Name of Notary Public)
Personally Known _____ OR Produced Identification _____
Type of Identification Produced_______________
(Address) _______________
_______________
STATE OF FLORIDA COUNTY OF _____
Sworn to (or affirmed) and subscribed before me this _____ day of _____, (year) , by (name of person making statement) .
(Signature of Notary Public - State of Florida)
(Print, Type, or Stamp Commissioned Name of Notary Public)
Personally Known _____ OR Produced Identification _____
Type of Identification Produced_______________ Any notice of bond recorded more than 90 days after the recording of the claim of lien shall have no force or effect as to that lien unless the owner, the contractor and the surety all sign the notice of bond.
(6) The contractor may join in a certificate of payment to the contractor at any time by recording a sworn statement substantially in the following form:
JOINDER IN CERTIFICATE OF PAYMENT TO: Owner (name and address from certificate of payment) Lienor (name and address from claim of lien) Surety (name and address) The undersigned joins in the Certificate of Payment to the Contractor recorded on __________, (year) , in Official Records Book _____ at Page _____ of the Public Records of __________ County, Florida, and certifies that the facts stated in the Certificate of Payment to the Contractor are true and correct.
Dated this _____ day of __________, (year) .
(Address) _______________
_______________
STATE OF FLORIDA COUNTY OF _____
Sworn to (or affirmed) and subscribed before me this _____ day of _____, (year) , by (name of person making statement) .
(Signature of Notary Public - State of Florida)
(Print, Type, or Stamp Commissioned Name of Notary Public)
Personally Known _____ OR Produced Identification _____
Type of Identification Produced_______________
(8) If the contractor disputes the certificate of payment to the contractor, the contractor must record, not later than 15 days after the date the clerk certifies service of the certificate, a sworn statement in substantially the following form:
NOTICE OF CONTEST OF PAYMENT TO: Owner (name and address from certificate of payment) Lienor (name and address from claim of lien) Surety (name and address)
Under penalties of perjury, the undersigned certifies that the contractor has not been paid or has only been paid $_____ for the labor, services, and materials described in the Certificate of Payment to the Contractor recorded in Official Records Book _____ at Page _____ of the Public Records of __________ County, Florida.
Dated this _____ day of __________, (year) .
(Address) _______________
_______________
STATE OF FLORIDA COUNTY OF _____
Sworn to (or affirmed) and subscribed before me this _____ day of _____, (year) , by (name of person making statement) .
(Signature of Notary Public - State of Florida)
(Print, Type, or Stamp Commissioned Name of Notary Public)
Personally Known _____ OR Produced Identification _____
Type of Identification Produced_______________
History.--s. 13, ch. 90-109; s. 9, ch. 92-286; s. 3, ch. 93-99; s. 58, ch. 95-211; s. 814, ch. 97-102; s. 16, ch. 98-246.