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Home My WebLink AboutMISCJ G702 APPLICATION AND CERTIFICATION FOR PAYMENT vac r 700WNER: Elliot Merril Community Magm[ Bryn Mawr Condominium APPLICATION NO: REI'AINAOR 5 Dittibutionto: 835 th Place Vero Duch, FL 32960 DOWNER Application Data. PERIDDTO: 09/27/18 eENGINCER FROM CONTRACTOR: VLI ENGINEER: MLEngineering Inc 09/27/18 CONTRACTOR Danielle, SaLTar&Sons 2030Awm.e , NOTALUMPSUMDID:Thcamcnet is based 2700N.Im UcaUan Ave.,Ste 9 Vero Beach. FL 32960 uPonwr tcdgaontltimilswdtnflhibl[AQuandty SrENule.Theamouotpald Wont Palm Bc Concr 33407 will be hued upon actual gwntubt/wark performed at rates In ErMbitA. CONTRACT; Cencrem Rastoratloo Repairs CONTRACT DATE: CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certinesthattothe beg oftheContrazmrsknowledge, Application IS made for payment, asshown below, in connection with the Contract Information and belief the Workcovered by misAppllotion for Payment has been Conlinumlon SheetShoe[ G703, Is attached. completed In accordance with the Contract Doeumonts,thatall amounts have been paid by the Contractor par Work lorwhich previous CertineatesforPayment were issued and payments received from the Owner, and thatcurt.at payment shown herein is now due. 1. ORIGINAL CONTRACTSUM 2. Netcbange by Orange Orders 3. CONTRACT SUM TO DATE (Line 1 t 2) 4. TOTAL COMPLETED & STORED TO DATE (Column 12 on G703) 5. RlrrAINAGE a. 10 %of Completed Work S b._%ofslared Material $ Total Retalnage (Lines5a+Sb or Total In Column 15 ofG703) 6. TOTAL EARNED LESS RETAINAGE (Line 4 Lass Line 5 Total) 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT (Line 6 from prior Certificate) 8. CURRENT PAYMENT DUE 9. DALANCETO FINISH, INCLUDING ROTAINAI (Line 3 I= Line 6) $_ 33,429:60 S 7,454.29 CONTRA--" S 40;88329 S 40,883.29 0y: State of Subscribed and sworn to before Nanny Public My Commission expires: fi. $ 0.00 ENGINEER'S CERTIFICATE FOR PAYMENT S 40,883.29 In accordance with the Contract Documents, based on on -site observations and the data comprising the application. the Engineer certifies to the Owner that to the best of the Engineer's knowledge, information and belief the Work has progressed as indicated, S 38,253.Ofi the quality of the Work is In accordance with the Contract Document; and the Contractor S 2,636.23 Is entitled to Puymontafthe AMOUNT CERTIFIED. S / (0.00) AMOUNT CERTIFIED.........._ S CHANGE ORDER SUMMARY Total lunges approved In Preview months by Owner ADDITIONS DEDUCTIONS $10,521.47 Total approved this Month S3,067.18 TOTALS $10521.47 $3067.1E NOT CHANGESby Change Order $7,45429 (Attach explanation ifomount cerdffed differs from the amount applied. initial all figuresan this Application andan the CandavationSheet thatare changed to conform with the ameuntcertifred.) ENGINEER: BY: This Certincam is notncgmiable. The AMOUNT CERTIFIED Is payable only to the Contractor named hem]&Issuance, payment and acceptance ofpaymant am without prejudice to any rights of the Owner or Contractor underth@ Contract SCANNED By :ie County Date: 09/27/18 ., RITACOLLAZO f`@ - MYCOMMISSIONGGG 114113 € EXPIRES: June 13. ZD21 �z,63o.z3 Date• 1 Z CONTINUATION SHEETG703 Page 1 of Document G702 APPLICATION AND CERTIFICATE FOR PAYMENT, containing APPLICATION NO: 5 Contmctar's signed Certification is attached. APPLICATION DATE: 9/27/2018 Use Column 1 an Contracts where variable retainage for line items may apply PERIOD TO: 9/27/2028 2 3 4 5 6 ...,rw, NO. Dgnmdwr DESCRIPTION OF WORE SCHEDULED 7 6 9 WORK COMPLETED 30 11 Value Completed 12 Total Completed 13 % 14 BALANCE 15 RETMNAGE FROM PREVIOU THIS PERICK Total FROM PREVIOUS THISPENOD VALUE and Storage TOFINISH (IFVA"LE APPLICATION APPLRMTION RATE) QtV Unit Price C3 •5 7i8 7.5 8.5 10.11 6-12 Building A -5061 North AIA 56.00 sf $79.00 $4,424.00 45.22 45.22 $3,572.38 $0.00 $3,572.38 81% $851.62 $357.24 Surface Spoils Deck Coating 70.00 sf $7.50 $525.00 70.00 70.00 $525.00 $0.00 $525.00 1000/0 $0.00 $52.50 Railing Post 20.00 ea $135.00 $2,700.00 20.00 20.00 $2,700.00 $0.00 $2,700.00 100% $0.00 $270.00 Crack Repair Top Rail 2.00 ea $60.00 $120.00 0.00 $0.00 $0.00 $0.00 0.00% $120.00 $0.00 Expansion Joint Top Rail 2.00 ea $35.00 $70.00 0.00 $0.00 $0.00 $0.00 0.00% $70.00 $0.00 Remove & Replace Screen 2.00 ea $525.00 $1,050.00 0.00 $0.00 $0.00 $0.00 0.00% $1,050.00 $0.00 Mobilization And General Conditions 1.00 Is $6,000.00 $6,000.00 1.00 1.00 $6,000.00 $0.00 $6,000.00 100% $0.00 $0.00 30.00 sf $79.00 $2,370.00 30.00 30.00 $2,370.00 $0.00 $2,370.00 100% $0.00 $0.00 $0.00 $237.00 Buildin B- 5059 North A1A Surface Spalls Deck Coating 50.00 sf $7.50 $375.00 50.00 50.00 $375.00 $0.00 $375.00 100% $0.00 $37.50 Railing Post 8.00 ea $135.00 $1,080.00 8.00 8.00 $1,080.00 $0.00 $1,080.00 300% $0.00 $108.00 Edge 6.00 If $115.00 $690.00 6.00 6.00 $690.00 $0.00 $690.00 100% $0.00 $69.00 Remove & Replace Screen N/A _ Mobilization And General Conditions 1.00 30.00 Is sf $3,000.00 $79.00 $3,000.00 $2,370.00 1.00 25.06 1.00 25.06 $3,000.00 $1,979.74 $0.00 $0.00 $3,000.00 $1,979.74 100% 84% $0.00 $390.26 $0.00 $0.00 $0.00 $0.00 $197.9797 Building C• 5055 North AlA Surface Spalls Deck Coating 40.00 sf $7.50 $300.00 33.96 33.96 $254.70 $0.00 $254.70 85% $45.30 $25.47 Railing Post 23.00 ea $135.00 $3,305.00 23.00 23.00 $3,105.00 $0.00 $3,105.00 100% $0.00 $310.50 Crack Repair Top Rail 9.00 ea $60.00 $540.00 0.00 $0.00 $0.00 $0.00 0.00% $540.00 $0.00 Expansion Joint Top Rail 6.00 ea $35.00 $210.00 6.00 6.00 $210.00 $0.00 $210.00 100% $0.00 Remove & Replace Screen $21.00 Mobilization and General Conditions 1.00 Is $4,500.00 $4,500.00 1.00 1.00 $4,500.00 $0.00 $4,500.00 100% $0.00 $0.00 $0.00 Change Order No 1 $0.00 Permit - Buildings A,B&C 1.00 Is $1,042.02 $1,042.02 1.00 1.00 $1,042.02 $0.00 $1,042.02 100% $0.00 $0.00 $0.00 NOC- Buildings A, B & C Change Order No. 2 1.00 Is $39.00 $39.00 1.00 1.00 $39.00 $0.00 $39.00 100% $0.00 $0.00 Deck Coating -BIdgA 39.33 sf $7.50 $294.98 39.33 39.33 $29498 . . $000 $294.98 100% $0.00 $0.00 $29.50 Railing Post -BIdgA 1.00 ea $135.00 $135.00 1.00 1.00 $135.00 $0.00 $135.00 100% $0.00 $13.50 C.01 Column repair -BIdgA 0.89 cf $305.00 $271.45 0.89 0.89 $271AS $0.00 $271.45 100% $0.00 $27.15 Deck Coating -BIdgB 22.58 sf $7.50 $169.35 22.58 22.58 $169.35 $0.00 $169.35 100% $0.00 $16.94 Surface Spalls -BIdgB Railing Post -BIdgB 1.11 sf $79.00 $87.69 1.11 1.11 $87.69 $0.00 $87.69 100% $0.00 $8.77 Edge -BIdgB 1.00 ea $135.00 $135.00 1.00 1.00 $135.00 $0.00 $135.00 100% $0,00 $13,10 7.25 If $115.00 $833.75 7.25 7.25 $033.75 $0.00 $833.75 100% $0.00 $83.38 $0.00 0 CON77NUATION SHEET G703 Document G702 APPLICATION AND CERTIFICATE FOR PAYMENT, containini Contractor's signed Certification is attached Use Column I on Contracts where variable reminage for line items may apply - DESCRIPTION OF WORK a D 6 SCHEDULED VALUE 7 WORKCOMPLETED 8 9 30 Value Co OM PREVIO THIS PERIO Total FROM PREVIOUS APPLICATION APPLICATION hang Order rd�N QtY Unit Price 3.5 7+e 7•5 Expansion Joint Top Rail -BldgC 15.00 ea $35.00 $525.00 Change order 15.00 15.00 $525.00 No. 4 C.01 Expansion joint at pool 194 If $17.00 $3,298.00 Thu-day9 13 2018 3 Workers (/ / ) 24 mh $65.90 194.00 124.00 $1,581.60 Friday (9/14/2010) 3 Workers $1,581.60 24.00 24.00 $1,581.60 Materials 24 mh $65.90 $1,581.60 24.00 21.00 4.00 $ 1,581.60 1.00 Is $527.03 $527.03 1.00 $527.03 Building A -5061 North ALA Surface Spalls 10.78 Crack Repair Top Rail 2.00 Expansion Joint Top Rail 2.00 Remove & Replace Screen 2.00 Building C- 5055 North ALA Surface Spalls 4.94 Deck Coating 6.04 Crack Repair Top Rail 9.00 $79.00 ($851.62) $60.00 ($120.00) $35.00 fS7n nm Page 2 of 2 APPLICATION APPLICATION DATE: 9/27/2018 PERIOD TO: 9/27/2018 PROJECT NO: Bryn Mawr 11f�d 13 14 15 pleted % BALANCE RETMNALE 'EMOD rage TO FINISH 0"ARbaux RATE) .5 11 6-12 $0.00 $0.00 $525.00 100% $0.00 $52.50 $0.00 $0.00 $0.00 $3,298.00 1000/0 $0.00 $329.80 $0.00 $1,581.60 100% $0.00 $158.16 $0.00 $1,581.60 1000/0 $0.00 $158.16 $0.00 $527.03 100% $0.00 $52.70 $0.00 $0.00 $0.00 ($851.62) $0.00 ($120.00) $0.00 ($70.00) $0.00 ($1,050.00) $0.00 $0.00 ($390.26) $0.00 ($45.30) $0.00 ($540.00) $0.00 CHANGE ORDER 1 57,O � Distributed to: OWNER ENGINEER CONTRACTOR OTHER B THIS DOCUMENT HAS IMPORTANT LEGAL CONSEQUENCES; CONSULTATION WITH AN ATTORNEY IS ENCOURAGE WITH RESPECT TO ITS COMPLETION OR MODIFICATION. AUTHENTICA71ON OF THIS ELECTRONICALLY DRAFTED AIA DOCUMENT MAY BE MADE BY USING AIA DOCUMENT D401 PROJECT: Bryn Mawr Condomininum 5055+ 5059 & 5061 North AlA Fort Pierce, FL 34949 TO CONTRACTOR: Daniello, Salazar & Sons 2708 N. Australian Ave, Ste 9 West Palm Beach, FI 33407 The Contract is changed as follows: Building A -5061 North AIA Spalls Crack Repair Top Rail Expansion Joint Top Rail Remove & Replace Screen Building C- 5055 North AIA ;rface Spalls .,eck Coating Crack Repair Top Rail CHANGE ORDER NO: DATE: PROJECT NOS: CONTRACT DATE: CONTRACT FOR: 10.78 sf $79.00 ($851.62) 2.00 ea $60.00 ($120.00) 2.00 ea $35.00 ($70.00) 2.00 ea $525.00 ($1,050.00) 4.94 sf $79.00 ($390.26) 6.04 sf $7.50 ($45.30) 9.00 ea $60.00 ($540.00) 5 9/27/2018 5/24/2018 CONCRETE REPAIRS Total ($3,067.18) The original Contract Sum was $33,429.00 Net change by previously authorized change orders 10,521.47 The Contract sum prior to this Change Order was $43,950.47 The Contract Sum will be increased/decreased by this Change Order in the amount of (3,067.18) The New ( Contract Sum) including this Change Order will be $40,883.29 The Contract Time will be ( increased ) by (0 ) days. -Ilo, Salazar & Sons N. Australian Ave, Ste 9 Palm Beach, FI 33407 Engineering INC 0 37th Avenue Beach, FL 32960 Community Management 20th Place Beach, FL 32960 1 Torgo Software www.TorgoSoftware.com 1996-2011 ALL RIGHTS RESERVED Page 1 of 1 Original Contract Amount $33,429.00 G 701-CO $10,521.47 $43,950.47 Sub -total Building A $135.00 $271.45 $2,329.00 $3,390.00 $87.69 $135.00 $833.75 $2,330.00 $3,916.13 $2,330.00 $360.34 $294.21 Building B $360.34 $169.35 9iu ling:- 7 $360.34 $525.00 G 701-CO $10,521.47 Planning & Development Services Building & Code Regulation Division 2300 Virginia Avenue Fort Pierce, FL 34982 Phone:(772)462-1553 Fax:(772)462-1578 Receipt Online address: http:/hvww.stfucieco.org/planning/pertniWng.htm Quick Links: Permit Status Lookup Online Building Inspection System Daily Inspector Schedule Date: November 16, 2018 Receipt M 0000145482 Permit Number: 1806-0269 Job Address: 5055 N AIIA PROJECT Amount: $157.15 Paid With: CHECK SCANNED BY St. Lucie County Check # 2159 Paid By: DABUEKKO, SAKAZAR ABD SONS INC Received By: humphreya Fee Description Fee Amount NPermi714 N-Permit Fee - Resid & Comm Renovations $2501 plus $157.15 Total: $157.15 11/16/2018 1:41:31 PM