HomeMy WebLinkAboutAPPLICATION & CERTIFICATION FOR PAYMENT-1
G702 APPLICATION AND CERTIFICATION FOR PAYMENT
PAGE
TO OWNER: Atlantis III by the Sea Condo Assoc. PROJECT: Atlantis III -main APPLICATION NO: 12 Distribution to:
10200 S. Ocean Dr., Jensen Beach, FI 34957-2566 Units 101,201,301,401 DOWNER
501,701,602 & 702
Application Date: 11/11/14 ENGINEER
PERIOD TO: 11/11/14 CONTRACTOR
FROM CONTRACTOR: VIA ENGINEER: Mathers Engineering Corp
Daniello & Associates, Inc. 2431 SE Dixie Hwy NOT A LUMP SUM BID: The meant is based
2708 N. Australian Ave., Ste 9 Stuart, FI 34996 upon estimated quantities listed in Exhibit A Quantity Schedule. The meant paid
West Palm Beach, FI 33407 will be based upon actual quantities/work performed at rates in Exhibit A.
CONTRACT: Concrete Restoration Repairs CONTRACT DATE: 11/08/13
CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge,
Application is made for payment, as shown below, in connection with the Contract. information and belief the Work covered by this Application for Payment has been
Continuation Sheet, Sheet G703, is attached. completed in accordance with the Contract Documents, that all amounts have been paid by
the Contractor for Work for which previous Certificates for Payment were issued and
SCANNED
payments received from the Owner, and that current payment shown herein is now due.
BY
1. ORIGINAL CONTRACT SUM
$
134,455.10
2. Net change by Change Orders
St. Lucie County
$
_
0.00 CONT
3. CONTRACT SUM TO DATE (Line 1 f 2)
$
f�
134,455. 00
4. TOTAL COMPLETED &STORED TO
DATE (Column G on G703)
$
134,455.10 --
Date:' 11/I1/14 — (I '
5. RETAINAGE:
a. 10 % of Completed Work
$
State of Florida Calmly of: Palm Beach
Subscribed and sworn to before me this I day of November , 2014
b. _ % of Stored Material
$
Notary Public: nn
My Commission expiresRITA COLLAZO
Total Retainage(Lines 5a+5b or
?ii'A'.? .............ec,n.,«m
Total in Column l of G703)
$
13,445.51
tN1j1NttK', GtKI IrIGAIt tUK ��VT EXPIRES: June 13,2021
TOTAL EARNED LESS RETAINAGE
$
121,009.59
In accordance with the Contract Documents, based on on -site bs'bE$&F!&is ddtMdAkFAld'lotwy Public Unden
(Line 4 Less Line 5 Total)
comprising the application, the Engineer certifies to the OwnAtllaRffRIP, ocsj4'mR�""�""'
LESS PREVIOUS CERTIFICATES FOR
Engineer's knowledge, information and belief the Work has progressed as indicated,
PAYMENT (Line 6 from prior Certificate)
$
121,009.59
the quality of the Work is in accordance with the Contract Documents, and the Contractor
CURRENT PAYMENT DUE
$
13,445.51
is entitled to payment of the AMOUNT CERTIFIED.
BALANCE TO FINISH, INCLUDING RETAINAGE
$
134,455.10
(Line 3 less Line 6)
AMOUNT CERTIFIED ........... $
CHANGE ORDER SUMMARY
ADDITIONS
DEDUCT]IONSO
Total changes approved
in previous months b Owner
Total approved this Month
TOTALS
NET CHANGES by Change Order
$0.00
(Attach explanation if amount certified diers from the amount applied Initial all figures on this
Application and on the Continuation Sheet that are changed to conform with the amount certified.)
ENGINEER:
By:
Date:
This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the
Contractor named herein. Issuance, payment and acceptance of payment are without
prejudice to any rights of the Owner or Contractor under this Contract.
l
CONTINUATIONSHEETG703 PAGE 1 OF 1PAGES
Document 0702 APPLICATION AND CERTIFICATE FOR PAYMENT, containing APPLICATION NO: 12
Contractor's signed Certification is attached. APPLICATION DATE: 11/12/14
PERIOD TO: 11/12/14
Use Column I on Contracts where variable retamage for line items may
apply
PROJECT NO: Atlantis III- Main
B
C
D
E
F
G
H
I
VALUE
COMYLIil'EU
0
(U -%L')
'1'U F'W1SH
IF VARIHHLk
RESEN'1'L
APPLICA'1'lON
SPORED
AND S'I URED
(C -U)
RATE)
(D+E)
(NO'IIN
'1'U UA'1'E
OtV
Un
Price
U ORE)
(D+E+F
0
Flash Patch unit 602
2.00
sf
$12.00
24.00
$24.00
$24.00
100.00%
$2.40
Partial Depth unit 602
7.78
sf
$91.00
707.98
$707.98
$707.98
100.00%
$70.80
Remove SOD 201
22.00
If
$31.00
682.00
$682.00
$682.00
100.00%
$68.20
Remove SOD 401
22.00
If
$31.00
682.00
$682.00
$682.00
100.00%
$68.20
Install Dust Wall 201
31.00
If
$35.00
1,085.00
$1,085.00
$1,085.00
100.00%
$108.50
Credit Dust Wall 201 Prev. Invoice
31.00
If
-$4.00
(124,00)
($124.00)
($124.00)
100.00%
($12.40)
Install Dust Wall 401
25.00
If
$35.00
875.00
$875.00
$875.00
100.00%
$87.50
Credit Dust Wall 401 Prev. invoice
25.00
If
-$4.00
(100.00)
($100.00)
($100.00)
100.00%
($10.00)
Full Depth 201
185.00
sf
$73.00
13,505.00
$13,505.00
$13,505.00
100.00%
$1,350.50
Full Depth 401
185.00
sf
$73.00
13,505.00
$13,505.00
$13,505.00
100.00%
$1,350.50
Partial Depth 201
48.78
sf
$91.00
4,438.98
$4,438.98
$4,438.98
100.00%
$0.00
$443.90
Partial Depth 401
4867
sf
$91.00
4,428.97
$4,428.97
$4,428.97
100.00%
$442.90
0.00
$0.00
Full Depth 701
184.67
sf
73.00
13,480.91
$13,480.91
$13,480.91
100.00%
$1,348.09
Partial Depth 701
46.34
sf
91.00
4,216.94
$4,216.94
$4,216.94
100.00%
$421.69
Install Weather wall
35.00
If
31.00
1,085.00
$1,085.00
$1,085.00
100.00%
$108.50
Remove SOD 701
22.00
sf
31.00
682.00
$682.00
$682.00
100.00%
$68.20
Anodes
12.00
ea
49.00
588.00
$588.00
$588.00
100.00%
$58.80
Full Depth 301
184.34
sf
$73.00
13,456.82
$13,456.82
$13,456.82
100,00%
$1,345.68
Partial Depth 301
40.25
sf
$91.00
3,662.75
$3,662.75
$3,662.75
100.00%
$366.28
Anodes 301
12.00
ea
$49.00
588.00
$588.00
$588.00
100.00%
$58.80
Install Weather Wall 301
18.00
If
$31.00
558.00
$558.00
$558.00
100.00%
$55.80
Remove SOD 301
18.00
If
$31.00
558.00
$558.00
$558.00
100.00%
$55.90
Anodes 101
2.00
ea
$49.00
98.00
$98.00
$98.00
100.00%
$9.80
Installed/Removal weather wall 101
12.00
If
$31.00
372.00
$372.00
$372.00
100.00%
$37.20
Beam Spalls 101
1,40
cf
$310.00
434.00
$434.00
$434.00
100.00%
$43.40
0.00
$0.00
Full Depth 501
184.68
sf
$73.00
13,481.64
$13,481.64
$13,481.64
100.00%
$1,348.16
Partial Depth 501
53.17
sf
$91.00
4,838.47
$4,838.47
$4,838.47
100.00%
$483.85
Anodes 501
12.00
ea
$49.00
588.00
$588.00
$588.00
100.00%
$58.80
Weather Wall
20.00
If
$31.00
620.00
$620.00
$620.00
100.00%
$62.00
Remove SOD
22.00
If
$31.00
682.00
$682.00
$682.00
100.00%
$68.20
0.00
$0.00
Column Repair -Unit# 101
0.54
cf
$295.00
159.30
$159.30
$159.30
100.00%
$15.93
Screen Removal - Unit 9 10 1
43.00
If
$24.00
1,032.00
$1,032.00
$1,032.00
100.00%
$103.20
.Anodes -Unit # 101
1.00
ea
$49.00
49.00
$49.00
$49.00
100.00%
$4.90
Colum Repair -Unit 9201
6.28
cf
$295.00
1,852.60
$1,852.60
$1,852.60
100.00%
$18526
Anodes -Unit 201
I1.00
ea
$49.00
539.00
$539.00
$539.00
100.00%
$53.90
Wall repair -Unit 201
24.31
sf
$82.00
1,993.42
$1,993.42
$1,993.42
100.00%
$199.34
Hand mil removal -Unit 201
43.00
If
$19.00
817.00
$817.00
$817.00
100.00%
$81.70
Column Repair -Unit 301
4.05
cf
$295.00
1,194.75
$1,194.75
$1,194.75
100.00%
$119.48
Anodes -Unit 301
9.00
ea
$49.00
441.00
$441.00
$441.00
100.00%
$44.10
Wall repair -Unit 301
2.08
sf
$82.00
170.56
$170.56
$170.56
100.00%
$17.06
Hand Removal -Unit 201
43.00
If
$19.00
817.00
$817.00
$817.00
100.00%
$81.70
Colum Reparr -Unit 4401
3.43
cf
$295.00
1,011.85
$1,011.85
$1,011.85
100.00%
$101.19
Anodes -Unit 401
6.00
ea
$49.00
294.00
$294.00
$294.00
100.00%
$29.40
Wall Repair -Unit 401
5.19
sf
$82.00
425.58
$425.58
$425.58
100.00%
$42.56
CONTINUA TION SHEET G703
PAGE 1 OF 1PAGES
Document 0702 APPLICATION AND CERTIFICATE FOR PAYMENT, containing
APPLICATION NO: 12
Contractor's signed Certification is attached.
APPLICATION DATE: 11/12/14
PERIOD TO: 11/12/14
Use Column I on Contracts where variable retainage for line items may apply
PROJECT NO: Atlantis III- Main
E
C
D
E
F
G
H
I
VALUE
RESEN'1'L
COMPLETED
0
(G+C)
'fOF'1NISH
IFVARIAELI
APPLICA'1'lON
5'1'ORE1)
AND STORED
(C - U)
RATE)
(D+E)
(NO'1'IN
'1'0 DATE
Qtv
Un
Price
D OR E)
(D+E+F
0
Hand Removal -Unit 401
43.00
If
$19.00
817.00
$817.00
$817.00
100.00%
$81.70
Column Repair -Unit 501
5.64
cf
$295.00
1,663.80
$1,663.80
$1,663.80
100.00%
$166.38
Hand Removal -Unit 501
43.00
If
$19.00
817.00
$817.00
$817.00
100.00%
$81.70
Anodes -Unit 501
6.00
ea
$49.00
294.00
$294.00
$294.00
100.00%
$29.40
Wall repair -Unit 501
7.25
sf
$82.00
594.50
$594.50
$594.50
100.00%
$59.45
Colum Repair -Unit 702
7.42
cf
$295.00
2,188.90
$2,188.90
$2,188.90
100.00%
$218.89
Anodes -Unit 702
10.00
ea
$49.00
490.00
$490.00
$490.00
100.00%
$49.00
Walt repair -Unit 702
19.04
sf
$82.00
1,561.28
$1,561.28
$1,561.28
100.00%
$156.13
Sliding Glass Door Rem/Reinstall Unit-702
132.00
If
$31.00
4,092.00
$4,092.00
$4,092.00
100.00%
$409.20
spay, Deck-702
1,102.02
sf
$3.10
3,416.26
$341.26
$3,416.26
100.00%
$341.63
Waterproofing 702
1,102.02
sf
$2.99
3,295.04
$3,295.04
$3295.04
100.00%
$329.50
Stucco 702
70.85
sf
$12.00
850.20
$850.20
$850.20
100.00%
$85.02
Screen re -install (Unit 101)
43.00
If
$24.00
1,032.00
$1,032.00
$1,032.00
100.00%
$103.20
Hand Rail re -install (Unit 501)
43.00
If
$19.00
817.00
$817.00
$817.00
100.00%
$81.70
Painting _
2.10
If
$966.00
2,028.60
$2,028.60
$2,028.60
100.00%
$202.86
0.00
$0.00
0.00
$0.00
GRAND TOTALS
134,455.10
$131,380.10
$0.00
$0.00
$134,455.10
$59.00
$0.00
$13,445.5]
Distributed to: OWNER e
CHANGE ORDER ENGINEER
G701 CONTRACTOR
OTHER
THIS DOCUMENT HAS IMPORTANT LEGAL CONSEQUENCES; CONSULTATION WITH AN ATTORNEY IS ENCOURAGE WITH RESPECT TO ITS
COMPLETION OR MODIFICATION, AUTHENTICATION OF THIS ELECTRONICALLY DRAFTED AIA DOCUMENT MAY BE MADE BY USING AIA DOCUMENr D401
PROJECT: Oak Park Condominium Association
CHANGE ORDER NO:
11211 ProsperityFarms Rd.
Palm Beach Gardens, FL
DATE:
TO CONTRACTOR: Daniello & Associates, Inc.
PROJECT NOS:
(Name and address) 2708 N. Australian Ave, Ste 9
West Palm Beach, FI 33407
.CONTRACT DATE:
CONTRACT FOR:
The Contract is changed as follows: CREDIT CONTRACT WORK KNOT COMPLETED
rt
rt rt
12 Ap# 12
11/11/2014
11/8/2013
CONCRETE REPAIRS
The original Contract Sum was $ 134,455.10
Net change by previously authorized change orders
The Contract sum prior to this Change Order was $ 134,455.10
The Contract Sum will be increased/decreased by this Change Order in the mount of
The New ( Contract Sum) including this Change Order will be $ 134,455.10
The Contract Time will be ( increased) by (0 ) days.
IStuar-L
William J Mathers, PE
a0o sochue - Mathers Engineering Corp
N. Au t alien Ave,Ste 92431 SE Dixie Highway
Palm Beach, FI 33407 171 34996
11/11/14
Atlantis III by the Sea Condo Assoc., Inc.
10200 S Ocean Dr
Jensen Beach, FI 34957-2566
Torgo Software www.TorgoSoftwme.wm 1996-2011 ALL RIGHTS RESERVED Page 1 of 1
G702 APPLICATION AND CERTIFICATION FOR PAYMENT
thatall
PAGE
TO OWNER: Atlantis B1 by the Sea Condo Assoc. PROJECT: Atlantis HI -main
APPLICATION NO: 12 Distribution to:
10200 S. Ocean Dr., Jensen Beach, FI 34957-2566 Units 101,201,301,401
DOWNER
501,701,602 & 702
Application Date: 11/11/14 =FNGMER
PERIOD TO: 11/11/14 CONTRACTOR
FROM CONTRACTOR: VIA ENGINEER: Matbers Engineering Corp
Daniello & Associates, Inc. 2431 SE Dixie Hwy
NOT A LUMP SUM BID: The amount is based
2708 N. Australian Ave., Ste 9 Stuart,. Fl 34996
upon estimated quantities listed in Exhibit A Quantity Schedule. The amount paid
West Palm Beach, FI 33407
will be based upon actual quantitiestwork performed at rates in Exhibit A.
CONTRACT: Concrete Restoration Repairs
CONTRACT DATE: 11/08/13
CONTRACTOR'S APPLICATION FOR PAYMENT
The undersigned Contractor certifies that to the best of the Contraclor's knowledge,
Application is made for payment, as shown below, in connection with the Contract.
inforration and belief the Work covered by this Application for Payment has been
Continuation Sheet, Sheet G703, is attached,
completed in accordance with the Contract Do
w`ww�` cuments, amounts have been paid by
SC I wt- the Contractor for Won the which panel that Certificates
for Payment were issued and
¢, payment shown herein is now due.
1. ORIGINAL CONTRACT SUM ve GOUC�ty
$ 134,455.10
2. Net change by Change Orders ��. �UC1 $ 0.00 CONT
3. CONTRACT SUM TO DATE (Lime 1 & 2) $ I34,455.10
4. TOTAL COMPLETED & STORED TO $ 134,455.10
DATE (Column G on G703)
5. RETAINAGE: Date: I1/11/14— rl
a. 10 %of Completed Work S State of Florida County of: Palm Beach
Subscribed and sworn to before me this 11 day of November , 2014
b._% of Stored Material $ Notary Public: /%�
Total Retain Sa+56 or My C0�'�10p ° a Lines '( '•itit�;4,- RITACOLLAZO
( �tt� r• .
Total in Column l of G703)
s
13,445.51
ENGINEER'S CERTIFICATE F R
` T EXPIRES: 13,2021
6. TOTAL EARNED LESS RETAINAGE
$
121,009:59
In accordance with the Contract Documents, based on on -site
bid$p(h°.tsis a 4M1RWdretarr PwGe Uadm
(Line 4 Less Line 5 Total)
comprising the application, the Engineer certifier to the Own
7. LESS PREVIOUS CERTIFICATES FOR
Eirgimxr's lnowledge, information and belief the Work has progressed as indicated,
PAYMENT (Lime 6 from prior Certificate)
$
121,009.59
the quality of the Work is in accordance with the Contract Documents, and the Contractor
8. CURRENT PAYMENT DUE
$
13,44551
is entitled to payment ofthe AMOUNT CERTIFIED.
9. BALANCE TO FINISH, INCLUDINGRETAINAGE
s
134,455.10
(Line 3 less Line 6)
AMOUNT CERTIFIED ........... $
CHANGE ORDER SUMMARY
ADDITIONS
DEDUCTIONS
Total changes approved
in previous months by Owner
Total approved this Month
TOTALS
$0.00
NET CHANGES by Change Order
$0.00
(Attach explanation ifamount certified differsfrom the amount applied Initial all figures on this
Application and on the Continuation Sheet that are changed to conform with the amount certified.)
ENGINEER:
By.
Date:
This Certificate is not negotiable: The AMOUNT. CERTIFIED is payable only to the
Contractor named hemin. Issuance, payment and acceptance of payment arc without
prejudice to any tights of the Owner or Contractor under this Contract.
on..r.aa Arrt-A-A r run AND CEKI IFICATE FOR PAYMENT, containing
Conuactots signed Certification is attached.
AI•YL1l:A'1 ION NO: 12
APPLICATION DATE: 11/12/14
PERIOD TO: 11/12/14
___..,,•_••••••,•••,.,•„•„a,,,�,,,,�,�,a„44Am.cm111age tar tine
_ H..
items mayappN
C
VALUE
I D...
E
F
PROJECT
G
CUMPI-tIED
ANDSI'URED
NO:
((i+C)
Atlantis III-
I H
ALANLb
TO FINISH
(C-U)
Main
I
IF VARIABLE
RATE)
APPLICATION
RISEN'I'L
S'1'URED
ivy
Un
Face
(D+E)
(NU'1•IN
•1D '0A'1•L'
Flash Patch unit602
2.00
sf
$12.00
24.00
$24.00
D UK E
U+R+F
$24.00
100.00%
0
Partial Depth unit602
7.78
sf
$91.00
707.98
$707.99
$707.98
100.00%
42.40
$70.90
Remove SGD 201
22.00
If
$31.00
682.00
$682.00
S682.00
100.00%
S68.20
Remove SGD 401
22.00
If
$31.00
682.00
$682.00
S682.00
1DO.00%
$69.20
Install Dust Wall 201
31.00
If
$35.00
1,085.00
$1,085.00
$1,085.00
100.00%
$109.50
Credit Dust Wall 201 Prev. invoice
,31.00
If
-$4.00
(124.00)
($124.00)
($124.00)
100.00%
($12.40)
Install Dust Wall 401
25.00
If
$35.00
875.00
$875.00
$875.00
100.60%
$8750
Credit Dust Wall 401 Prev. invoice
25.00
If
-S4.00
(100.00)
(SI00.00)
($100,00)
100.00%
($I0.00)
Full Depth 201
185.00
sf
$73.00
13,505.00
$13.505.00
$13,505.00
100.00%
$1,350.50
Full Depth 401
185.00
sf
S73.00
13,505.00
$13,505.00
$13,505.00
100.00%
S1,350.50
Partial Depth 201
48.78
sf
$91.00
4,438.98
$4,438.98
94,438.98
100.00%
$0.00
S443.90
Partial Depth 401
49.67
sf
S91.00
4,428.97
$4,428.97
$4,428.97
100.00%
$442.90
Full Depth 701
184.67
sf
73.00
0.00
13.490.91
S13,480.91
$13,480.91
100.00%
$0.00
$1348.09
Partial Depth 701
46.34
sf
91.00
4,216.94
$4,216.94
$4,216.94
100.00%
$421.69
Install Weather wall
35.001f
31.00
'1,085.00
S1,085.00
$1,085.00
100.00%
S108.50
Remove SGD 701
22.00
sf
31.00
682.00
$682.00
$682.00
100.00%
$68.20
Anodes
12.00
ea
49.00
588.00
$589.00
$589.00
100.00%
S58.80
Full Depth 301
184.34
sf
S73.00
13,456.82
S13,456.82
$13,456.82
100.00%
SI,345.68
Partial Depth 301
40.25
sf
$91.00
3.662.75
$3,662.75
$3,662.75
100.00%
S366.28
Anodes 301
12.00
ea
$49.00
588.00
$588.00
$588.00
100.00%
$58.80
Install Weather Wall 301
18.00
If
$31.00
558.00
$558.00
$558.00
100.00%
$55.80
Remove SGD 301
18.00
If
$31.00
538.00
S558.00
$558.00
100.00%
$53.80
Anodes 101
2.00
ea
S49.OD
98.00
S98.00
S98.00
100.00%
S9.80
lastalleMemovaiweatherwall 101
12.00
If
S3LOD
372.00
$372.00
$372.00
100.00%
$37.20
Beam Spalls 101
1.40
of
$310,00
434.00
$434.00
$434.00
100.00%
S43A0
Full Depth 501
194.68
sf
$73.00
0.00
13,481.64
$13,481.64
S13,481.64
100.00%
SO.00
$1,348.16
Partial Depth 501
53.17
sf
$91.00
4.938.47
$4.838.47
$4,938.47
100.00%
$483.85
Anodcs501
12.00
ea
$49.00
588.00
$588:00
$588.00
100.00%
$58.80
Weather Wall
20.00
If
$31.00
620.00
$620.00
$620.00
100.00%
$62.00
Remove SOD
22.00
If
$31.00
682.00
$682.00
$682.00
100.00%
$68.20
Column Repair -Unit 9101
0.54
cf
$295.00
0.00
159.30
$159.30
$159.30
100.00%
$0.00
$15.93
Screen Removal - Unit 1101
43.00
If
$24.00
1.032.00
S1,032.00
$1.032.00
100.00%
$10320
Anodes -Unit# 101
1.00
ea
$49.00
49.00
$49.00
$49.00
100.00%
$4.90
Colum Repair -Unit 4201
6.28
cf
$295.00
1,952.60
$1,952.60
$1,852.60
100.00%
$185.26
Anodes -Unit 201
11.00
ea
349.00
539.00
$539.00
$539.00
100.00%
$53.90
Wall repair -Unit 201
24.31
sf
$82.00
1,993.42
S1,993.42
$1,993.42
100.00%
$199.34
Hand mil removal -Unit 201
43.00
If
$19.00
917.00
$817.00
$817.00
100.00%
$81.70
Column Repair -Unit 301
4.05
cf
$295.00
1,194.75,
$1,194.75
31,194.75
100.00%
$119.48
Anodes -Unit Sol
9.00
M
S49.00
441.00
S441.00
S441.00
100.00%
$44.10
Wall repair -Unit 301
2.08
sf
$82.001
170.56
$170.56
$176.56
100.00%
$17.06
Hand Removal -Unit 201
43.00
If
S 19.00
117.01
5817.00
$817.00
100.00%
$81.70
Column Repam-Unit 6401
3:43
of
S295.00
I,011.85
S1,OI1.95
$1.011.85
100.00%
S101.19
Anodes -Unit 401
6.00
ea
$49.00
294.00
$294.00
$294.00
100,00%
$29.40
Wall Rcpair -Unit 401
5.19
sf
S82.00
425:58
S425.58
$425.59
100.00%
$42.56
1
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Contrectots signed Certification is attached. APPLICATION NO: 12ached. APPLICATION DATE- 11/12/14
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PERIOD TO: 11/12 /14
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APPLICN1'ION
RESUN'I'L
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(D+U)
(NO'1'IN
10 DATE
Hand Removal -Unit 401
43.00
If
SI9.00
81700
$81700
D OR U)
(D+E+t'
0
Column Repair -Unit 50I
5.64
cf
$295.00
,
1,663.80
.
$1,663.80
5817.00
]00.00%
$81.70
Hand Removal -Unit 501
43.00
If
$19.00
817.00
E817.00
$1,663.80
100.00%
$16638
Anodes •Unit 501
6.00
ea
$49.00
294.00
$294.00
$817.00
$294.00
100.00%
100.00%
E81.70
Wall repair -Unit 501
-Unit 702
7.25
sf
S82.00
594.50
$594.50
$594.50
100.00%
E29.40
$59AO AS
Anode -Unit
Anodes -Unit 702
7.42
cf
$295.00
2,188.90
S2,188.90
$2,198.90
100.00%
$218.89
Wall repair -Unit 702
10.00
as
$49.00
490.00
S490.00
S490.00
100.00%
$49.00
Sliding Glass Door Rem/Reinstall Unit-702
19.04
132.00
sf
If
S82.00
$31.00
1,561.28
$1,561.28
$1,561.28
t00.00%
$I49.00
13
spray Deorfingk.
1,102.02
sf
$3.10
4,092.00
3,416.26
S4,092.00
$341.26
$4,092.00
100.00%
$409.20
Waterproofing 702
1,102.02
sf
$2.99
3,295.04
$3,295.04
$3,416.26
100.00%
$341.63
stucco 702
70.85
sf
$12.00
950.20
$850.20
$3,295.04
$850.20
100.00%
100.00%
$329.50
Screen re -install (Unit 101)
43.00
If
$24.00
1,032.00
51,032.00
$1,032.00
100.00%
$85.02
$$85.02
20
Hand Rail re -install (Unit 501)
43.00
If
$19.00
817.00
$817.00
$917.00
100.00%
$91.70
Painting
2.10
If
$966.00
2,028.60
$2,029.60
$2,028.60
100.00%
$202.8fi
0.00
$0.00
GRAND TOTALS
0.00
134,455.10
$131,380.10
$0.00
$0.00
$134.45K10
$59.0D
50.00
SO.00
$13,445.51
ST LUCIE BDG 20MNG
2300 NRMXAUF
FORT PIERCE, R 34982
11;09(2018 15:19:01
CREDIT CARD
NSA SALE
Card # AXM X) =8939
SEQ #: 9
Batch #: 856
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Onh
Date:
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Card Code:
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Receipt#:
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$228.38
ermitNumber:
Job Address:
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Amount:
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Onine address: httVJA*m.stludeco.oM/planning/permhting.htm
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November 09, 2018
0000146286
1811-0187
10200 S OCEAN DR PROJECT
$228.38
VISA
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Paid By: DANIELLO & ASSOCIATES INC
Received By: vaughne
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6 Urtiy
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Fee Description
NPIanR735 N-Plan Review - Commercial/Residential - Per $50,000 Value Each
Credi15 06-Credit Card Fee - 1.5%
Total:
Fee Amount
$225.00
$3.38
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11/9/2018 3:21:14 PM