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HomeMy WebLinkAboutFEESA SCANNED BY St. Lucie County L!)NTlNiMi°fONS12fihT67W MOP Of I PAGFS Mcnou,ni 0702 APPLICATION AND CERTIFICATE FOR PAYMENT;amaalalaR APPLICATION NO: 2 Motra,weA sig"d ce tokatkal in altaah0d. APPLRAT1ON DATE: 4/012016 PEOIODTO: 4j9/2016 Use C Miano I wtCoatrac A whom varhW re"lanso, for line Items maY APPIY PKOJECr N0: ThrAll am 2 3 4 1 5 1 6 7 0. - 9 to 1 11 1 12 13 14 is MISCKIIRMOPWORK - SOMIJI 1..0 YYORKcIAhiturn Mae comaireted I Tafelfmo,pleled % ZSCE RffMNACa rena ".. pasmenO Yoml 'tltt4PS61au VALUE, and Straw 10 NNttN (IFYA91Aaa ArPuuno i AWWAnOv pry'ta1 _ t Until Price 3.6 7.0 7•S]_, e•0 AOt if 6.12 7U111c0Lga1 i t� t ` M-LOS[ack •IJ• &5o IR 11i11m0ies CO 2 Rust spot Stack A 8,00 E.T $2D.DD $224,00 8.00 000. $224.00 $0.00 $224.00 100.00% $0,00 $22.40 G.02 Rust spot Stick A(small llalnnty) moo Ea $28.00 $224.00 8.00 8,00 $224.00 $0.00 $224.00 100.00% $0100 $22.40 /1.02 Evil Spot Stack 2MOD Fa $28,00 $560,00 20.00 20.00 $560,00 $0.00 $560.00 100.001A $0.00 $56.00 Pernulte fees 1.00 1s $235.63 $235,63 1.00 1.00 $235,63 $0.00 $235.¢3 '1 DOA0% $0A0 CO 2 Rom Spot Stack A 1,00 EA $28.00 $20.00 1.00 1100 $20,00 $0.00 $28,00- 100,00% $0.00 UPID CO2 Edge 6' 0,67 LF. $110.00 $953,33 0.67 1167 $953,333 $0.00 053.33' 100.00% $0.00 $95,33 Overhead repair 0,4a $95:00 $45.60 0.10. 0.40 $45.60 $0.00 $45.60 100.00% $0.00 $4.56 C 02 Rust spot 10.00 ea $28.00 $2RO100 10.01) 10.00 $200,00 $0.00 $280,00 100.00% $0,00 $28.00 GRANDTOTALS $2,550,56 $2,550,56 $0.00 $2,55056 0.00%1 $0.00 $231.49 1 1 1 G702 APPLICATION AND CERTIFICATION FOR PAYMENT rev TOOWNERt FlirtService The AtriumlC.mldnmldnmAsso. APPLICATION NO: 2 Distribution to: 3055 Cardinal Dr. Ste 200 2900 North ALA RETAINAGE DOWNER Vero Umch. FL 32963 North Hutchinson Islarel Application Dole: 04/(09/16 BENDINEER PERIODTO; 04/09/16 CONTRACTOR FROM CONTRACTOR: VIAENGINEMIU MOVEriginneringlne Danielo,A Assoclates, Inc 103520thsttraiat NOTA LUMPSUMBID: Theanneen sbased 2700 N. Australian Ave., Stu 9 9ere Baaeh.pl. 32960 open estimated 9uandties listed In Exhibit QuanOty.Schedule. Tlreamuunt paid West Palm Reach, FI 33407 will be based upon actual quantlthei/work Performed at rates in Exhibit A CONTRACT: Concrete Restoration Repairs _.... _CONTRACT DATE: CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned ContractorcertlRes that to the best of the Contractor's knowledge. Application is made for payment, as shown below, in connection with the Comnd. Information and belief the Work covered by this Application for Payment law been / Continuation Sheet Sheet G703, icatmched. • completed I" accordance with the Contract Dnrumeots. that all amnums have been paid by the Contractor for Work fnrwhich previous Certificates for Payment were Issued and payments received from the Owner, and that correct payment shown turner Is now due $ 2314.93 2. Net thmrgc by Change Orclm $ $ 235A3 2,550.5ci CONTRACTOi(1,,... r 3. CONTRACT SOM TO DATG(I.Im 12.2) . C..� 4. TO rAI, COMPLETED & STOHI?D TD S 2,55OS6 DATE (Column 12on G703) By; (� .,..�5"^- Date: G4/09/16 5. IiETNNAGE: yy : di,xrA tti$itair R �p a 10 %nfComphned Work S State nil ^ illy Cn luau 4 :3T3 Florida County of: Palm Bench Sulm"bed and sworn to before me this . r ;7.P12ES Z b- h. % of Stated Material S — Notary Pnblic My Cotmnissianexpiras: Total Retain ige (Lines Sa +Sh or Total In Column 15 ofO703) S 0.00 ENGINEER'S CERTTFICATEFOR PAYMENT 6. TOTAL EARNED LESS RETAINAC.E $ 2,550,56 In artnntapce with the Contract Darnments, hated on on -site observationsand the dam (Line 4 Less Line 5 Total) comprising the appliention, the Engineer certifies to the Ownerthat to the host of the 7. 1,E5S 1'RBVIOUS CERTIFICArtiS lIOR Engineer's knowledge. Information and belief the Work has prograasnd as indlcmed. PAYMINT(Line 6 from prior Carl Ificate) S 2,319.07 the quality or the Work is in accordance witrihe ContractDocnments, and the Contractor O. CURRENT PAYMENT DUE S 231A9 isentitiodinpaymentofthe AMOIINTCliliTIFiF.''D. 9.gALANCETOFINISFI.INCLUDINGRETAINAI S 1 (Line 3 less Line 6) AMOUNT CERTIFIED........... $ CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS Total changes approved In previous months by Omer $235.63 Traxiloppraved this Month TOTALS S235.63 $0.00 NET CHANGES by Chang, Order $235.63 (ANach explanation if amnantrertrpeddli fen fmm theumounlapplted laltiut all jigureson this Application and an the Continuation Sheet that are changedre, conform with the amount maniflcd) ENGINEER -- BY., This Ceriffame 19 not negattable. The AMOUNT CERTIFIED is payable only to the Contractor named hamimissuarm, payment and acceptance of payment are without preludicxlo mtyrights of the Owner or Card rector under this CoetracL /GO/-G/G P 0702 APPLICATION AND CERTIFICATION FOR PAYMENT "All TO OWNED; FlsH s'n•Rr ThcAfthm l Omilomfol"m A+v+.. APPLICATIONNO. A Dwriliatlpn fin'. 31155 Cardhml DAStc Efhl 29A0 Nutth A IA RETAINAGE Qn1YNElt Vrrr Pew,11. 0L32963 NAdh Nnuhinwn lshnd AppileaUrn Date. i14(OR(ife PNGINEEH PERIOD TO; 04/118/16 CONTRACTOR FROMCONTRACTOM WAENGINEER! MVEnghmrHnalm Dani¢Dn R Ass-onles. Inr, 11135z(4hs1Anegl NOT A LIIMF SLIM DIU The an+m,ate,in,m1 2708 N. AnHmllnn Alc_ 51c•) Ycrn Deadl.11.32960 uprq mornalnl gwmak. lulM In Eahlldl A OVurAuyknotInk. Tw amwol paM lVeMPalm O,arh.h7 1.1407 an4lx lows, almle u,wU mnmOma/wrxk pnbamrd al rmv u,laltllmA CUN'rRAi;T: CONTRACT DATE: CONTRACTOR'S APPLICATION FOR PAYMENT Tile Arnim lglhvtrunlmrurtmN{n"thalinthe hrHo(the rnNlnqur'ukplwicdµe, Appilcallm, is made for paypnmt. is she" hclow,[new nrdlon will, Om Tomnel. htfommdnn and hotter the Work viweml by fill, Applicant oil for Paynrm0 tons Well CnnNnualun llunn..Sl,rel 0701p,At htrhe,l ,mvp1vtod-ortnnlmu'r Williite C+mtma Dnrnmrms, ibn1.1tanann, have been sad by the cuntiaai} for WArk Inwhkh I'mMnns Cmillun.'r to, Payment We'll Ixsn.nLhiil paymriaN r YHYCd from the comunG and Unit mmenl Imylhl1,l AhTHI herch, Ill nmV dUe. L 010GINALIAUVINAGTSUM $ 0204.3,611 Z Net rhaagr by i3l.mv Ordem S 9,2240dCONTRACTOR; 3. CONTRACTSUMTODATEDAnn I s:1 5 9ZQfiT70 .7. 1.'I'OCAI, t:OM1O'IA•7p1f #.Sl'UIIEP TfI S 'IZIInZ 0 lr�" UATIi fCnhlmn 12 on 1:70:11 - NQc"'""'ilx'iYi'`��4 ~'- a. in -Lnl f:nnlldArJ Wark S 4.nrafa j 4Jwwriml and swan, It. Iminn IS_".6 of 9fxrd M1inturGl 5 NaluryPuldlr, 1 • ' t my Ormmininnncpinaf Tonal Iimait•9r' (Une, 5.1 •Shur Trn:d u, rydomn IS al G7%3) A, TOTAL EARNED LKI RI:CAINACE f1AneJ L`ro Ijne GTfmm) 7, IJ«b'11•ItiiY11111S fliltTll'U tl'1'1lTlit pAYMnNT (Line A fine., pdnr 1]•nl1nn.•l O. CURRENT PAYMENT DUE 9. RAt.ANCilTIIFINI511.iN1;lAU11Nr R,"rA1NA, (LJn+3lrss IA,M AJ v'... I S 0,00 ENGINEER:SCCRTIITCATG FOR PAYMENT $ 02,Oh7.70 Innunrdnnce wulific Contract nortnnonfN hnuR on un nirnh,><•rvu8unxapd Ill.; Jail romprNDAtile oppllcauuO.Ilu.IhighammrcHlOux OI IhpnwdrrOwl Ill file heel of the Mldmvr`s MlmvlcdRr.ndurnroDnV m,A brlirfihoMknhl,Sx pmgmund.0 IndlmpNC S 113,315,M IhrynalUy alth+t Wluk fix In rpn.rdannf swlh der C,nnlne, Oranmcnlx, and the•f�nnrmsm S- 0.74Z66 is entilieJ In paymrnl nffhe Ad11111NT fIdO'IFifill S CHANGF,IIIIIIER,SUMMAIIY ACurrinN¢ implicTION5 'fatal rllanges alrymned in mmaaSumnlhshv Owue S2:.d2219 Tomin tmvcA lhta MUNh... k375.n0 SI6473,20 _ TOTAIt S25A0729. 116.•7.120 NETCHANCVCirylltmt rnnlur $44,24-00 94 067 70 me coo. 00 1�i oG 7.70 AMOUNT CERTIFIFII .......,,, S Flin-10 (ANu^Arni(OrvHlrm rfrnnrunU,rrt((trddtrJrrsJmm (hewrtrgml nt9rUnl.Inirhrf nflQtpma un rble APpgwllnn and nn Ilref?mrinmu(npShot 1hm nrr chnypv/nr mn(ann,vffh fMuunnn9l nHl/7nU OF: Tda CxH10dffiI k,unt m'gaOal,le, The AMOUNT CERTIFIED K pnyahie only iplhu C•mf wur mlmrd Itereia ISAuanrr. payment And a, reptalpx of paymnni Are willmul pminilki• to any rlghlsnflhe Owner ur Cnnirannr Omle! thhecAni na. "'zj '4 L V..4C t'01F, Dar: 1!i/110(16 Cnnfay Of, P,Jin Rm.l. 7 2. 6 6 Dane: -/GO/- o/G� G702 APPLICATION AND CERTIFICATION FOR PAYMENT FACE t TOCIWNERt Fisttfirvicc The Atrium l Condomin@m Asso. APPLICATION NO: 2 Distribution to: 3055 Cardinal Dr. Ste 200 290ONoM,AIA RECAINAGE DOWNER Veto Reach, FL 32963 North Hutchinson Island Application Data: 04/D9(76 =ENCINEER .PERIOD TO: 04/09/I6 CONTRACTOR FROM CONTRACTOR: VW ENGINEER: MOVEnRinneringlnc Daniello& Associates, Inc 183520th Ament NOT A LAMP SUM RID: Tbm mlkannt is baxed Q 27U0 N. Australian Ave., Ste 9 Vero Ueach,FL32960 spun estimated quantities listed In Rithlidt A Quantity Schedule. The amount paid West Pnlm Death. H 33407 will be lwsdepon anted quanon.re/work perfnemal at rates in l?sid6ltA. CONTRACT: Cuncretollestomtion Ropalrs CRNTRACTDATE: CONTRACTOR'S APPLICATION FOR PAYMENT The underAgned Contractor(eMfieN Riot to the hestofthe Contractor's knowledge, Appitrntlnn is made forpaymenl. as shown below, in connection with the Contract Information and bellefthe Work covered by dills Application for Payment has been Continuation SheeL Sheet G703, A attached. completed In accordance with the Contract Documents, thatall amounts have been paid by the Conireetnrfor Work for Whidr previous Certificates for Payment ware Wind and payments received from the Owner, and That current payment shown heroin is now dui. 2. Net change by Change Orders 3. C()NTRAIT sum TO DATE (Line I 1 2) 4. TOTAL COMPLIETED & STORP.O TO DATE (Column 12 on G703) 5. RETAINAGF_- a. 10 %of Completed Wnrk III _%al'Slared Material 71nn1 Retalnage (Lines So * Sh nr Total in Column 15 of(703) 6. TIYTAl. EARNED LESS RETAINAC,F. (Line 4 Less Line S Total) 7. LESSPREVIOUSCERTIFICATILS FOR PAYMENT (Line 6 from prior Certificate) 0. CURRENTPAYMENTDUE 9. OALANGE TO PINISN, INCLI/DING RETAINAI (Line 31ecs Line 6) S 2,314.93 $.. _ 23S.0 CONTRACI'OIL $ 2,550.56. $ 2.550.56 Date: 04/09/16 State AT: Florida CauntyoL• PalmBeach Subscriia:d and sworn to before me this Notary Puhllr. My Commission expires: $ 0.00 ENGINEER'S CERTIFICATE FOR PAYMENT S 2.55056 In acetrrda0en with the Contact Dammenla, bused on omsito observaUnns and the dam comprising the application. the Engineer all Ines tothe Owner [bat it, the (pest of the Engf mer's knowledge, information mid belief the Work has progrecswl us Rullented, $ 2.319.07 the quality of the Work is In accordance Withhe Contract Documents; And the Contractor $ 231A9 IscmIllml In payment of the AMOIINT CERTIEIRD. f !�APIOUNT (:RItTIPI CD........... S CIIANGEORDERSUMMARY ADDITIONS DEDUCTIONS Total changes approved In previturs months by Owner S23S.63 Total approved this Month TUTAU.S $235,63 $0.00 NI, r CRANGIES by Change Order $235.63 (Attach explanation if umount certiftEd differs fram the omuuat applied. Initial aR figureson this AppflwNau and an the fomth uation Sheet that am changed in conform with the amount certified) ENGINEER: By: ThLs[ertl0cale is not negotiable. The AMOUNTCERTIFIED is payable only to the Contractor named herein. Issuance,, payment and acceptance of payment are without prejudicti too myright%of the Owner or Contractor under this C rmrat L CONTINUA "ON SNEFT 6703 PAGE I OF IPAGFS DmOwOt G702 APPLICATION AND L'EIT IFICATEFOR PAYMENT, tilnmining APPLICATION NO: 2 Cnntracmr5 dgned CertiOeiOon hi n.hed. APPOCATION DATE: 4/0/2016 PERIODTO: 4/0/2016 DM Column 1 w COntradswhert Yart bb rrlainagc for HRO Hems ma7 Pply PROIECTNO: TheAtdmn 3 4 5 6 7 0 9 to 11 I f2 -' 13 1 it 15 DFSCRm77ON OF WORK 1Y:UtDU1RD YAMGt MMPLetED YaluPCnm lFM4 lOWIemnpIdc4 % RAMhM RIRAINA6R FROM vmvvv l9 TIrt PfiNRW Thul rWIal'UM0R1 TRAFtRmn VALOR And5lnrago TU1Nb'll IIPYAWAPLR AYMJ wl APIWATnN mm I• Onl lidre 3•5 Tva 7.5 a-5 lo+ III t2 CO 2 HO51 spot Stack A ROD Ea $28.00 $224.00 BAO 8.00 $224.00 SO.00 $224.00 100.000A snob $22.40 CO 2 Him spot Stack A (Small Ralrony) 0.00 Ea $28.00 $224.00 0.00 &00 $224.DD $0.00 $224.00 100.00% $0.00 $22.40 CO 2 Rust Spot Stack B 20.G0 Ea 01.00 $560,00 20.00 20.00 $560.00 $0.00 $561100 100.00% $0:00 $56.00 Pertulm fees 1,00 Is $23S.63 $235.63 1.00 1.00 $235.63 $0.00 S275.63' 10D.00% SO.GO GO 2 Host Spot Stack A LOG EA S28.00 $28.00 1.00 1.00 S2&6p $0.00 $20.00 100.00% $&nn 52.80 CO2 Edge 6' &67 LL $110.00 $953.33 0.67 8.67 $953,33 $0.00 $953.33 100.00% $0,00 $95133 Overhead repair OAR $95.00 $45.60 0.48 GAB S45.60 $0.00 $45.60 100.00% $OAO $4.56 CO Rost spot 10,00 ea 529.00 $280.00 10.00 10.00 $28&00 $0.00 $200.00 100.00% $0.00 SUM _ GRAND TOTAIS $2.550.56 $2,5S0.5G I S0.00 $2,55056 0.00%- SOAO S231.49