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Home My WebLink AboutAPPLICATION AND CERTIFICATE FOR PAYMENTFLE COCKY �. APPUCATIONAND CERTIFICATE F.ORPAY ' MENT TOOWNERa - - ..PAGE OF PAGES PROTECT Ng TheEmpress Condominium APPLCATION o 9600 S. Ocean Drive PERIOD TO. 10/31/2017 x CONTRACTOR J Jensen Beach, F133179 SCANNED PROJECT No: x OWNER FROM CONTRACTOR: BY CONTRACT DATE: 4/24/2017 x ARCHITECT Golden Construction Corp. ENGINEER: - P St. Lucie Countv Bunker Engineering Lake Worth Cir463 120 N.Federal" Suite No 305 Lake Worth FI.33463 Lake Worth F133460 CONTRACTORS APPLICATION FOR PAYMENT -- Application 15 madefor The: undersigned Contractor certinesthat to the hest of the ca , rames kn-iedge;lnforrnation and P"he'L sshow, In toimenton wim the Contract belief the Work owered by for Comhivatlan5heet LLattached, Payment has been tamplemd In accordance with the L ORINIGAL CONTRACT SUM ContactDowmentythatanamourdhs tiythc Contractorforworkforwhldtpre.Aous 2.Net change by Change Order $ 270$92.80 Certificates forPaymentwerebu*d a - a ed from ih Owner, and that corrent $ 273,43&70 shown there. in is now due.. / Dayment 3. CONTRACT SUM T4'DATE $.. 543,99350C 4. TOTAL COMPLETED&STORED TO DATE CONTRACTOR:. $ 543,991.50 S. RETAINAGE: Date: October 31, 2017 AS%Of completed work State of Florida 8.10 (Columns lEon Continuation Sheet County Of West Palm Beach ,>,w"„wr,,,� LIBB F. LIBREROS $ Subscribed and sworn to before `Na N4�7Ptmlk"Stam of Hodda (Columns comppleted work mns D+E on Continuation Sheet). , - • = op 10 Ff 189165 ' Total Reta(nage (line Sa+Sb or me this a 1.20] 9 Total in Column I of Continuation sheet $ _ 6. TOTAL EARNED. LESS RETAIIJ46F $ 543,99150 (Line 4 Less Line 5 Total) 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT— FL 496,30835] (Line6 from prior Certificated) 8. CURRENT PAYMENT DUE: 9. BALANCE TO FINISH, INCLUDING RETAINAGE (Une 3 Less Une 6) --I 5Ys,99/�C' 3 /8y 7/J 22 S, 2 7e; • Notary Public MY Commission Expiresa CERTIFICATE FOR PAYMENT In accordance with Contact Documents; based on on -side obsenatjonsand the date comprising aPPutatlorytfie ardiitectcertles to the Owe the o the best, of theArrhite knowledge, information and belief the Work has progressed as mdlated the e,L lIjwMIs.w...,. I - _ W --_- _...... Contact (Attxh eiplam application and ARCHITECT:. Tiffs CertiBai herein. Issuar of Contractor 717 FED "l ,S77. geffj ic2. 77 Payment of the AMOUNT CERTIFIED. the amount applied fonimtiatall figures on this ch2needtocordormmtheamountmr4fied) . Date: 14*' l i t TIFIED Is payable onlyte the Contactor named cot are without prejudice to any rights of the Owner D GC�C��dC� JUN 2 1 RECD 166&0376 PROJECL The Empress CDndootinium 96005. Ocean Drive Jensen Beach. F133179 2of2 APPLICATION DATE: 10/31/2017 PERIOD TO: 10/3112017 . AjeRePaIr Nocription _ .B ._ of Work QTY -ni C Lf Sf- Sf Sf Ea. Ea 5f If Lf' If tf if Lf Sf Sf Ea 1f ea. Ea Sf Ea., Sf Lf D $ S90.00 $ $ $. 5 $ S S i $ :S 5 5 $ $ .S :$ S 5 $ .. $ S $ $ $ $ $ $- $ $: 5 5 $ -Price 280A0 90.00 65.00' B0.00 35.00 J. 15.00- 27S0 2750 2250 22.so 2250 2250' Z2s 3.9S 2L000.00 100.00 IMF 11SO 5.0o 5.0015 - ".00 - 5540 35.00 7.00 7.00 25A0, 65.00 35:00 15.00 2750 27:50 _ 2L50 2L50 77 $ $ $ $, S" :$ $ $ :$, 5 $ $. S $ $ $- $ S._ S S $ $ $: S 5 $ $' $ $ 5 5 5..._ - Scheduled -Value 2,80100' 75,600.00 4500.00 33,650.00 16,000.00 1;p50A0 3590.00 4,SD0:00 - - 26,705]5 669" S 2Lpp0.00 100.00 28,087.50 28,087SO 2,&00.00, 2.800.00 5;490:00 16,720.0 L610.00 7A0 2344 1 700A0' 24,65fi.as - L71735 4,950.00 1;95250 6y9790 4,650.00 ... D ... _ Work Completed Previous App dUon $ SZ.00 $.75,600A0 $ . 210.00 S 13.650.00'5 200.00 .$ 16,000.00: 30,E $ 1,050.00' .5 -. 300A0 $ 4,500.00 $ - .S $ S _ - $ - 11g69.00 $ 26,705]S. 11869A0 $ 46,882.55 . LOO'S 21, .00 L00'S 100.00 2525.67 5 19,070.88' 1336:67 S 16,70838, 56DM $' 2;EOO.Op 560.00 $ ... 2;800.00 ,__6L00 $ 5;a90.0Q 304:00 $ 16,720.00' 46.00 $. 1,630.00 L00.S 7A0 334.91 5 2,3"37. 28.00 S 700.00' 37933 $ 2 6656.45. 19.00 .$ 665A0 114,49 $ 1;71735 180.00 $ 4,950.00 7100 $ 1;552.50 31i:00 5 6;99750 ' 203.00 $ 4,690.00 ARCHfrECf This Period S - 5 .$75;600.000.03 - $ S L365A0.5. '.16;W0.pp S 305.00- $ $ S $ 450.00 S S, - $_ - S S �g - S - 'S 2,67053 S S 4,68926 $ 5 S $ - 5 S .. 1.907A9. S. S - 1,670.84' ,5 $ 280.00 '$ $ 23DA0 S $ r 49: $ 5 L672.00 S $ $ 4."D.70 $ $ 234.44 $ $ 70.00 $ $ 2,465.65 5 'S 6650 $ $ 171t74 5 '495.00 $ $ 155:25 :$ $ _ 699.75. $ S 468.00 $ PROJECrNo: Total Completed ane5to2 e - 13;650.00 LO50.00 4500.00. 26;705.25 a6,88255 -. 2L000-00 - 100-00' '19,070.88. 16i708.33'1 .2,800:00 YSOgAO' 5,490.0D' 16,720A0 .L610.00 . 37 234437 700.00 24j656.a5 665.00 4950.00- 1,95250'. 6,99750 "4,680.00 Balance ToFinish 10.00 $ $-4 50.00 $ 0.00 OAO 0.00 53.00 5 0.00 OAO 0:00 0.00 D,w 0.00 0'00 a0.00 m OAO 0.00 0.00 -$ 72L33 S 91033 :$ . 0.00 S 0.00 $ -:0.00 $ 'O.OD $ OAO S 0.00 ,5, 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 s O.DO .$ •. Balance TOFinish 2,800.00 4500.00 L590.00 9,016.73 11,379..13 - - - - - _ - Retainage $ $5 $ - $ _ - $' - $ _ $ _ .$ $ _ $ - $ s S. - $ S . - 5.... _ s - $ _ $ _ S S $ $ - $ $ - $ - 6 - 1 2 3 ir 'v IO 640 50 200 Rae Post Pocket Repair RUASpoi Repa'u Stucco Repair' Not 11 Glass 04or Remove Sliding Glass Door Reinstall - Temporary Weather Wall Install Temp4raryweather Wall Remove Hurticane5huttersRemovat Hurrlane Shutters Reinstall 5orface Prep (Remov/Grin-Tiles Grout - Waterproofing Mpmbrahe - Motlfuadon Z00 30 53 300 : ' =869 11869 3 6 7. 8 9 SO- l0a 11 11a _32 12a 13. 14 35 Permi[Fees - 1Ea 16 ShutterTrack:Rempvai. 22471f 16a ShutterTrack Reinstall 22471f 1 Cha'go order & Additional.Otuantities Side TmCk Removal- 560D SideTrack Reinstall Hook Nook'Bars 560 ».--61ea 2 2. 2 Time pockt 304 2 o z RaB Post PocketRepair R 46 3 Crack Repair Gravity 1If 6 Crack Repair 334.911 7 Rai8n8 Removal 281f 7 Deck Repair ' 37933 7 Rail Pori Pocket Repair 19 7 Stucco Repair 314.49 7 5lidingGiass Door Remove I80 7 56ding Glasz Qoor Reinstall 71Lf 7 Temporary.Weather Wall..lnstall 311 7 Temporary Weather Wall Remove - 208 tf r IO--_ S 3S25S0 _5 33,255.00 0.00 $ $ b $ ,810.00 $ 31100.00 0.00 -$ 5 0 S 3 1735 $ 3,97350 O.OD $ _ $ 0 $ 20&00: $ 2,080.00 0.00 $... ,. S 0 $ '1;323;00 $. 13;230.00. 0.00- 0 _..26"4. 5. '2,640.00 0.00 0 '$ .194.31 $ L943.10 0.00.5 $ _ 5 S %40199: $ 14,019.&S 0.00 0 $ 432A0 $ 4,320.00 0 5 60100 S 6,030.00 0.00 $ $ 0- S 21350 $, 2;73$.o0' ''om $. $ 0 S 70.00: $ 700.00 0.00 $ 0 $ 26&75 :S 2.66750 .OAO __ 1 $ 333.00 'S 3,330.00 0.00 $ $ 1 5 62L00 $ 6,230.00 0.00 $ $ 2,523.97. ,5 15,239.70 0.00 .$ 5. )'' $ 84752 -:$ 8,475.20- 5 2SS7.65. '.$ 25,97650 0.00 $' 10350 $ 1.035.00 0.00 $ .$ �.: $ '26L25 5 2,61250 0.00 $ $ - S 26L25 5 - Z612M OAO $ $ 324.00 $ 3.240.00 _ 0.00 48&25 $ 4ss2s0 -:0;00;5 $ .5. 43875. :$... 4.382S0 oAo . 5 S. $ 11560.00 0.00 ;$ S. $. 34,500.00 0.00 $ $ $ 685.72 - S 6,857.20 om 5 - $ $ 411.75..E '4,11750. .0.00 5- '$ 283.50 $ - ] 835.Q .0.00 $ $. 6. (2,HOOAO) $:. (4Sao.001 ._.. 5. (11590.00) $ $ - -91033 S 111,37913) $ $ $ -721.33 $' (9,02&63) $ $ $ ., .S (32&70) $. ,(3,267.00) 0.00 $ $. (1,355.60) 0.004 $. •47,683.15 - ( $ . $ 543:991.50.. r $.. '