Loading...
CLB Agenda 06/19/2013 CONTRACTORS LICENSING BOARD Agenda June 19 , 2013 r COLLIER COUNTY CONTRACTORS' LICENSING BOARD AGENDA JUNE 19, 2013 9:00 A.M. COLLIER COUNTY GOVERNMENT CENTER ADMINISTRATIVE BUILDING BOARD OF COUNTY COMMISSIONERS CHAMBERS ANY PERSON WHO DECIDES TO APPEAL A DECISION OF THIS BOARD WILL NEED A RECORD OF THE PROCEEDINGS PERTAINING THERETO, AND THEREFORE MAY NEED TO ENSURE THAT A VERBATIM RECORD OF THE PROCEEDINGS IS MADE, WHICH RECORD INCLUDES THAT TESTIMONY AND EVIDENCE UPON WHICH THE APPEAL IS TO BE BASED. ROLL CALL II. ADDITIONS OR DELETIONS: III. APPROVAL OF AGENDA: IV. APPROVAL OF MINUTES: DATE: April 17, 2013 V. DISCUSSION: VI. NEW BUSINESS: (A) Edward G. Ernst — Contesting Citation(s) (B) Robert M. Gallagher — Waiver of Examination(s) (C) James Hardy — Waiver of Examination(s) (D) Nathan J. Hinz — Review Of Credit Report(s) VII. OLD BUSINESS: (A) Victor Treissa DBA Kitchen Installations of SWFL, LLC. (B) Orders of the Board VIII. PUBLIC HEARINGS: (A) Case # 2013 -07 — Albert J. Scott — D /B /A - Beaumont Communications Inc. IX. REPORTS: X. NEXT MEETING DATE: WEDNESDAY, JULY 17, 2013 COLLIER COUNTY GOVERNMENT CENTER ADMINISTRATIVE BUILDING THIRD FLOOR IN COMMISSIONERS CHAMBERS 3299 E. TAMIAMI TRAIL NAPLES, FL 34112 April 17, 2013 Ab April 17, 2013 Naples, Florida LET IT BE REMEMBERED, that the Collier County Contractors' Licensing Board, having conducted business herein, met on this date at 9:00 AM in REGULAR SESSION in Administrative Building "F," 3rd Floor, Collier County Government Complex, Naples, Florida, with the following Members present: Chairman: Richard Joslin Vice Chair: Patrick White Members: Michael Boyd. Terry Jerulle Kyle Lantz Thomas Lykos Robert Meister Excused: Ronald Donino Jon Walker ALSO PRESENT: Michael Ossorio — Supervisor, Contractors' Licensing Office Jeff Wright, Esq. — Assistant County Attorney James F. Morey, Esq. — Attorney for the Contractors' Licensing Board Ian Jackson — Licensing Compliance Officer 1 April 17, 2013 Any person who decides to appeal a decision of this Board will need a record of the proceedings and may need to ensure that a verbatim record of the proceedings is made, which record includes the testimony and evidence upon which the Appeal is to be based. I. ROLL CALL: Chairman Richard Joslin called the meeting to order at 9:02 AM and read the procedures to be followed to appeal a decision. Roll call was taken and a quorum was established. Six voting members were present. II. AGENDA — ADDITIONS OR DELETIONS: Michael Ossorio requested to reverse the order of the cases to be heard under Item VIII, "Public Hearings." III. APPROVAL OF AGENDA: Vice Chairman Patrick White moved to approve the Agenda as amended. Second in support by Thomas Lykos. Carried unanimously, 6 — 0. IV. APPROVAL OF MINUTES — MARCH 20, 2012: Thomas Lykos moved to approve the Minutes as submitted. Second in support by Terry Jerulle. Carried unanimously, 6 — 0. V. DISCUSSION: (None) (Lyle Lantz arrived at 9:05 AM.) VI. NEW BUSINESS: (Note: Regarding cases heard under Section VI and Section VIII, respectively, the individuals who testified were first first sworn in by the Attorney for the Board.) A. Joseph Epifanio — Waiver of Examination(s) Mr. Eipfanio was not present. Chairman Joslin decided to "table" the Item, to be Beard later during the proceeding. OLD BUSINESS: A. Orders of the Board Thomas Lykos moved to approve authorizing the Chairman to sign the Orders of the Board. Second by Vice Chairman White. Carried unanimously, 7— 0. April 17, 2013 VIII. PUBLIC HEARINGS: B. Case #2013 -04: BCC vs. Allen G. Reeves, d /b /a "A G Reeves, LLC." Chairman Joslin outlined the manner in which the Public Hearing will be conducted: • Hearings will be conducted pursuant to the procedures contained in Collier County Ordinance #90 -105, as amended, and Florida Statutes, Title XXXII, "Regulation of Professions and Occupations, " Chapter 489. • The Hearings are quasi-judicial in nature. • Formal "Rules of Evidence" shall not apply. • Fundamental fairness and due process shall be observed and shall govern the proceedings. • Irrelevant, immaterial, or cumulative evidence shall be excluded. • All other evidence of the type commonly relied upon by reasonably prudent persons shall be admissible, whether or not such evidence would be admissible in a trial in the Courts of the State of Florida. • Hearsay evidence may be used for the purpose of supplementing or explaining any evidence but shall not be deemed sufficient by itself to support a Finding, unless such hearsay would be admissible over objection in a civil action in Court. • The "Rules of Privilege" shall be effective to the same extent that such Rules are now, or hereafter may be, recognized in civil actions. • Any member of the Contractors' Licensing Board may question any witness before the Board. • Each party to the proceedings shall have the right to call and examine witnesses, to introduce Exhibits, to cross- examine witnesses, to impeach any witness regardless of which party called the witness to testify, and to rebut any evidence presented against the party. • The Chairperson or, in his/her absence, the Vice Chair, shall have all powers necessary to conduct the proceedings at the Hearing in a full, fair, and impartial manner, and to preserve order and decorum. • The general process of the Hearing is for the County to present an Opening Statement to set forth the charges and, in general terms, how the County intends to prove the charges. • The Respondent will present his/her Opening Statement setting forth, in general terms, defenses to the charges. • The County will present its Case in Chief by calling witnesses and presenting evidence. • The Respondent may cross - examine the witnesses. • After the County has closed its Case in Chief, the Respondent may present his/her defense as described previously, i.e., to call and examine witnesses, to introduce Exhibits, to cross - examine witnesses, to impeach any witness regardless of which party called the witness to testify, and to rebut any evidence presented against the party. April 17, 2013 • After the Respondent has presented his/her case, the County will present a rebuttal to the Respondent's presentation. • When the Rebuttal is concluded, each party is permitted to present a Closing Statement. • The County is allowed a second opportunity to rebut the Respondent's Closing Statement. • The Board will close the Public Hearing and begin deliberations. • Prior to beginning deliberations, the Board's Attorney will give a "charge" to the Board, similar to the charge given to a jury, setting out the parameters on which the decision will be based. • During deliberations, the Board can request additional information and clarification from the parties. • The Board will decide two different issues: o Whether the Respondent is guilty of the offense as charged in the Administrative Complaint. A vote will be taken on the matter. o If the Respondent is found guilty, the Board must decide the sanctions to be imposed. • The Board's Attorney will advise the Board concerning the sanctions and the factors to be considered. • The Board will discuss the sanctions and vote. • After the matters are decided, the ChairNice Chair will read a Summary of the Order to be issued by the Board. The Summary is a basic outline of the Order and may not reflect the same language contained in the Final Order. • The Final Order will include complete details as required under State laws and procedures. Vice Chairman Patrick Wliite moved to approve opening the Public Hearing in Case No. 2013 -04. Board of County Commissioners vs. Allen Gene Reeves, d/b /a "A. G. Reeves, LLC, "License No.: 3444001CPC 1428056. Second by Terry Jerulle. Carried unanimously, 7— 0. Ian Jackson, Licensing Compliance Officer, requested to enter the information packet into evidence. Vice Chairman White moved to approve entering Case No. 2013 -04: Collier County Board of County Commissioners vs. Allen Gene Reeves, d/b /a "A. G. Reeves, LLC, "License Number 34400 1CPC 1428056, consisting of the Administrative Complaint and Exhibits into evidence. Second by Kyle Lantz. Carried unanimously, 7 — 0. • The information packet, consisting of 21 pages, was entered into evidence as County's Exhibit "A." Kyle Lantz stated Mr. Reeves lived across the street from him several years ago for a period of approximately five years. Mr. Lantz stated he did not have a relationship with the Respondent and his voting would not be effected. 4 April 17, 2013 Ian Jackson presented the County s Opening Statement: • The County was prepared to show, through sworn testimony and documented fact, that Allen Reeves willfully violated Section 105.1 of the 2010 Florida Building Code by contracting with the owners of 37 condominium units at the Nevis and Montego Buildings on Cove Tower Drive to replace their water heaters, none of which had been issued permits at the time of said installations. Said action constitutes a violation of Collier County Ordinance #90 -105, as amended, under Section 22- 102.1(2), "Willfully violating the applicable Building Codes or laws of the State, City, or Collier County. " The Respondent stated he had not prepared an Opening Statement and admitted to replacing 37 water heaters without first obtaining permits for each. Chairman Joslin noted Mr. Reeves had admitted he was guilty of the charges. Allen Reeves: "Sure - it's a water heater." County's Case in Chief: Ian Jackson stated: • February 11, 2013: The County received information that 37 water heaters may have been installed during 2012 at 445 and 455 Cove Tower Drive without permits. o Obtained a list of units where A. G. Reeves, LLC replaced the water heaters; o Conducted research; o Unable to locate permits issued to replace any of the water heaters. • February 19,2013: Met with Allen G. Reeves, Mr. Reeves acknowledged that lie replaced the equipment in 2012 and understood permits were required. o A Notice of Hearing was issued for the March, 2013 Contractors' Licensing Board. • February 20, 2013: "Convenience" permits were issued for all 37 installations • March 4, 2013: Mr. Reeves requested a Continuance of the Hearing scheduled for March 17U' • March 8, 2013: Notice of Hearing was issued - April 17'' Hearing Date • March 19, 2013: Inspections were conducted • March 20, 2013: All inspections passed. Mr. Jackson noted the following exhibits: • E 10: Copy of Contract signed by Thomas J. Kirsch (Owner - Unit # 1104) on March 26, 2013 o Contract was signed after the most recent violation was abated • E -20 and E -21: Code Case Details -February 28, 2012 o Installation of a hot water heater in multi - family home without a permit o Case was closed on March 2, 2012 April 17, 2013 Direct Examination o Respondent by Ian Jackson: Q. Mr. Reeves, did the installation of the 37 water heaters take place in July, 2012? A. Somewhere around there, yes. Mr. Jackson noted the Contract (letter) was dated January 31, 2012. The installation did not take place until July, 2012 — there had been ample time for Mr. Reeves to obtain permits before the water heaters were installed. Thomas L. DeGram, Chief Building Official, was called to testify as a Witness on behalf of the County. Direct Examination of Witness by Ian Jackson: Q. Mr. DeGram, what is your position with Collier County? A. I am the Interim Chief Building Official for Collier County. Q. What is your license number as a Building Code administrator? A. It is U -1611. Q. Does the replacement of a water heater in this type of building require that a permit is to be issued? A. Yes, it does. Q. In this case, does the installation of water heaters prior to obtaining permits constitute a violation of the 2010 Florida Building Code, Section 105.1? A. Yes, it does. Q. With the installation of the 37 water heaters in approximately July, 2012, and the after - the -fact permitting of the units in February/March, 2013, is it your opinion that Mr. Reeves violated the applicable Building Codes and the laws of Collier County? A. Yes, it is. Examination of Witness by Contractors' Licensin-a Board: Q. Approximately how many permits does Collier County issue each year for water heaters? A. (Richard Noonan, Interim Chief Inspector — Mechanical Plumbing) Collier County issues between 500 —1,000 water heater permits per year. Q. Are there contractors who are installing water heaters properly by obtaining permits first as far as you know? A. Yes, we have multiple contractors who obtain permits before installation. Q. What are the costs to obtain a permit? A. Contractors have two options: an individual permit costs $65.00 plus $4.00 for State filing fees. The total of $69 includes the inspection fee. April 17, 2013 A. The Contractor can come into the office and buy "convenience" permits which are issued in advance in blocks of ten. The total cost is $79.00 each. They may be used as needed by the Contractor — it is more convenient for the Contractor and a bit more expensive. Chief Inspector Noonan explained the process: • Convenience Permits are not effective until the Contractor emails or faxes the paperwork to the County detailing the address of the installation and name of the homeowners. After the information has been logged into the system, the Contractor may call to schedule an inspection for the next day. • Stand Alone Permits: Is a "walk- through" permit ... usually the paperwork is reviewed and the permit issued on the same day Q. How long due the "Convenience" permits remain valid? A. A Contractor has six months from the date of issuance to use the permit. He cited an example: A Contractor purchased a "Convenience" permit on July 25th. On January 25th, he sent the name and address of the homeowner to the County — he would then have an additional six months to install the water heater and request an inspection. He noted the Convenience permits could be extended for an additional fee of $100. Respondent's Case in Chief: Allen Reeves confirmed the cost of the Convenience Permit is $77.26 per block. He stated his company purchases packs of ten and, since January 1, 2013, has purchased 397 permits. He noted permits purchased in 2012 were extended without payment of an additional fee, but the policy was changed in 2013. He further state three of his 2012 permits are presently "on hold" until a decisions is made by the County concerning their status. • He noted there are 107 plumbing contractors in Naples. His office contacted each one during the past month. Approximately 80% stated they are not pulling permits. • He noted the reason why the Board of Directors for the Towers preferred that permits were not pulled was due to the inclusion of the additional expense of hard - wiring the disconnect boxes for the new water heaters which added $200 to $300 to the cost of the water heaters. He protested the past violation stating he contacted Jamie French for a determination concerning whether or not a permit was necessary since the dwelling was a duplex. Mr. French told the Respondent the property was residential and a permit was not necessary. • When he was informed one week later of a different decision, he did obtain a permit. • The issue was the County insistence that the electrical wiring was to be upgraded which meant hiring an electrical contractor. He stated the County was piggy- backing on his permit to enforce the electrical upgrade. April 17, 2013 He noted he argued the same point before the Board of County Commissioners two years earlier. Vice Chairman White stated he sits on a Condominium Board and could not understand how a Board would condone the installation of water heaters without obtaining the required permits. Mr. Reeves explained the decisions were usually made by the Property Manager And stated he has been turned down for jobs because he indicated he would obtain a permit as required by law. Kyle Lantz noted he has been a Plumbing Contractor for ten years and confirmed that nothing Mr. Reeves stated was incorrect. If a Contractor submits a bid to install water heaters and includes obtaining a permit in the bid, he will not be hired. It is an economy -driven decision. Terry Jerulle stated he is a Contractor who pulls permits and, while he may not like some of the things the County does, "rules are rules" and must be followed. Allen Reeves reminded the Board "we are talking about a water heater — not a new construction job. It's not a refrigerator that requires electric for ice — it's a water heater." Thomas Lykos stated he has been in too many condo units where he has observed shoddy, non - compliant workmanship concerning electrical and plumbing which could place neighboring units as risks for fire and flood. To say, "It is just a water heater" was offensive and he was disappointed in the Respondent as a professional to display that type of attitude and to speak so flippantly about his responsibility to follow the rules and do the right thing for his clients. He further stated if Mr. Reeves knew the names of contractors who were working without pulling proper permits, he should alert the County's Building Department. Mr. Reeves countered stating he accepted blame and admitted he did not pull the permits initially, but he did obtain them after - the -fact and paid an additional $55.00 fine for each permit. He also stated the requirement to obtain a permit was instituted only three years ago. Chairman Joslin asked the Respondent if he understood why a permit and inspection were required and to explain his understanding of the reasons for same. Allen Reeves responded it was for the safety of the people involved to have the work inspected. Chairman Joslin cited other examples of water heaters exploding, or leaking and flooding the units below. He stated not obtaining a permit and not having the work inspected placed other owners at risk. After a Contractor obtained a permit and had the work inspected, the issue of liability was no longer his. If a problem occurred, it became the manufacturer's issue to resolve. He cautioned the Respondent that trying to justify his action was not "going to work with this Board." April 17, 2013 Vice Chairman White stated there appeared to be an enforcement issue as well as an equity issue with respect to the extension of time for some of the older permits. He encouraged the County to strategize about how to address the two sets of issues presented. "There is a more systemic set of issues." He admitted the issue of water heater permitting has been one of controversy over the past three years. The way out of the controversy is not by ignoring the law. Chairman Joslin stated to extend a permit that cost $79.00 by charging an additional $100 seemed a bit excessive. He continued if a Contractor buys a block of permits, he should be allowed to use them without paying an additional fee because he did not sell them within a certain period of time. Vice Chairman White noted one of the benefits of purchasing in bulk was to minimize the County's administrative costs. Thomas Lykos stated if he had a job to install 37 water heaters, he would purchase 40 permits and pro -rate cost of the 3 permits which would not be used, Le, charge each customer an extra $6.00. He further stated the Board's purpose was not to solve the County's problem on how to manage water heater permits. Vice Chairman White stated one of the issues has been that if a Contractor does not include the costs of obtaining a permit as part of his bid, he placed himself in a more advantageous position. "The playing field was not level." He questioned what could the Board do, from an enforcement perspective, to send a message to the 80% of Contractors who do not obtain permits that the practice is not acceptable. The County must enforce its rules in a fair and even handed way so that everyone understands the cost of doing business. That is the responsibility for the public health, safety and welfare. Ian Jackson presented the County's Closing Statement: The County, through the documents contained in Exhibit "A," the sworn testimony of the Chief Building Official, and the sworn testimony of Allen G. Reeves admitting he deliberately did not obtain permits, has shown that Mr. Reeves willfully violated Section 105.1 of the 2010 Florida Building Code which, in turn, is a violation of Collier County Ordinance 90 -105, as amended, Section 22- 201.1(2): "Willfully violating the applicable Building Codes or laws of the State, city, or Collier County." Thomas Lykos pointed out the "contract" (E -10) was not a contract but a proposal addressed to Cove Towers Preserve, dated January 31, 2012. The document was signed by Thomas J. Kirsch on March 26, 2012 but the identity of Mr. Kirsch as the president or a member of the Board of Directors was not confirmed. Mr. Reeves explained he sent to a proposal to Michelle King - Terrell, as the Property Manager. He did not provide individual contracts to be signed by each homeowner. He did not meet any board member or specific homeowners — the maintenance man provided access to the water heaters located in (outside) mechanical rooms. April 17, 2013 Michael Ossorio stated he was contacted by a unit owner who asked when the County was going to conduct an inspection of her new water heater. She stated the Association did not give her any choice in the selection of a Contractor. Mr. Reeves stated he intends to contact every Condominium Association and the Property Managers for each Association to inform them that permits are now required for the installation of new water heaters. He stated he will also contact the Naples Daily News because the public is not aware of the new requirement. Vice Chairman White noted the Respondent's Proposal did not contact a reference to obtaining a permit. Ian Jackson stated the County had completed its case. Allen Reeves confirmed he did not prepare a Closing Statement. Vice Chairman Patrick White moved to approve closing the Public Hearing. Second by Thomas Lykos. Carried unanimously, 7— 0. Attorney Morey outlined the Charge to the Board: • The Board shall ascertain in its deliberations that fundamental fairness and due process were accorded to the Respondent • Pursuant to Section 22- 203(g) (5) of the Codified Ordinance, the formal Rules of Evidence set out in Florida Statutes shall not apply. • The Board shall consider solely the evidence presented at the Hearing in its deliberation of the matter. • The Board shall exclude from its deliberations irrelevant, iiiunaterial and cumulative testimony. • The Board shall admit and consider all other evidence of a type commonly relied upon by reasonably prudent persons in the conduct of their affairs, whether or not the evidence so admitted would be admissible in a Court of Law. • Hearsay evidence may be used to explain or supplement any other evidence but hearsay, by itself, is not be sufficient to support a Finding unless such hearsay would be admissible over objection in a civil action in Court. • The Standard of Proof in actions where a Respondent may lose his/her privileges to practice his/her profession is that the evidence presented by the Complainant must prove the Complainant's case in a clear and convincing manner. • The Burden of Proof on the Complainant is a larger burden than the "Preponderance of Evidence" Standard set in civil cases. • The Standard of Evidence is to be weighed solely as to the charges set out in the Complaint. • The only charges the Board may decide upon are the ones to which the Respondent has had an opportunity to prepare a defense. • The damages awarded by the Board must be directly related to the charges. • The decision made by the Board shall be stated orally at the Hearing and is effective upon being read, unless the Board orders otherwise. 10 April 17, 2013 • The Respondent, if found guilty, has certain appeal rights to the Contractors' Licensing Board, the Courts, and the State's Construction Industry Licensing Board ( "CILB "), if applicable, pursuant to Florida Statutes and the Florida Administrative Code. • The Board shall vote upon the evidence presented in all areas and if the Respondent is found in violation, shall adopt the Administrative Complaint. • The Board shall also make Findings of Fact and Conclusions of Law in support of the charges set out in the Complaint. Chairman Joslin reminded the Board that Allen G. Reeves is a State - certified Contractor. Thomas Lykos moved to approve finding the Respondent, Allen G. Reeves, guilty of Count I of the Complaint based upon the testimony and evidence presented. Second by Vice Chairman Patrick White. Discussion: Vice Chairman White stated proving intent has always been a key element for him. In the case before the Board, the Respondent admitted his guilt and provided a copy of a proposal which did not mention obtaining a permit as required before proceeding with the installation of 37 water heaters for a condo development. He stated that evidence allowed him to make a finding of "willful." Chairman Joslin called for a vote. Motion carried unanimously, 7 — 0. Attorney Morey noted when a State - certified Contractor has been found to be guilty of misconduct under Section 22 -203 of the Ordinance, the Contractors' Licensing Board may impose any of the following Sanctions: (1) Revocation of the Collier County (or City) Certificate of Competency, (2) Suspension of the Collier County (or City) Certificate of Competency, (3) Denial of the issuance or renewal of the Collier County (or City) Certificate of Competency, (4) Recovery of investigative costs incurred by the County for the prosecution of the violation. (5) Denial of the issuance of Collier County or City building permits or requiring the issuance of such permits with specific conditions. Attorney Morey further advised the Board that, when imposing any of the possible Disciplinary Sanctions on a State - Certified Contractor who has been found to have violated the Ordinance, the Contractors' Licensing Board shall consider the following: (1) The gravity of the violation; (2) The impact of the violation on public Health/Safety or Welfare; (3) Any actions taken by the violator to correct the violation(s); (4) Any previous violations committed by the violator, and 11 April 17, 2013 (5) Any other evidence presented at the Hearing by the parties relevant as to the Sanction which is appropriate for the case given the nature of the violation(s) or the violator. Michael Ossorio confirmed the investigative costs totaled $325.00. Vice Chairman White requested the information regarding the County's costs should be presented during the public hearing. Vice Chairman White noted the violation regarding the permits had been corrected prior to Hearing. He stated he did not give much "weight" to be prior violation due to the differing /changing opinions concerning whether it was or was not a residential dwelling unit. He would support any penalty that included reimbursement to the County of investigative costs. Attorney Morey reminded the Committee that since the Respondent is a State- certified Contractor, the Board may make recommendations to the State. The Board may impose restrictions or special conditions on the issuance of permits. Vice Chairman Patrick White moved to approve re- opening the public hearing. Second by Thomas Lykos. Carried unanimously, 7— 0. Thomas L. DeGram, Chief Building Official: Thomas Lykos stated he was trying to remember the circumstances surrounding a request by the County to the State Attorney General for opinion concerning the application of the Building Code to the subject of water heaters. He remembered the final determination which was in multi - family or commercial, a permit would be required but not for single - family residences. Q. Didn't the County specifically request an opinion from the State on how to apply the Code under these circumstances. A. That is my understanding. Q. You weren't part of that? A. I was not part of that. Mr. Lykos stated he mentioned the opinion because it was due to Mr. Reeves appearance before the Board of County Commissioners and the public conversation concerning whether or not permits were required, what were the benefits to the community, the burden placed on the County to administer water heater permits. He continued in consideration of the penalty phase of the case before the Board, Mr. Reeves was active in the public discourse concerning how the Code was to be applied and the final decision made by the County concerning what would and would not require a permit. There were extensive conversations between plumbers and the County, and the County with the State concerning exactly what the State would hold the County liable for with regard to permits for water heaters. 12 April 17, 2013 He further stated the charge is a "willful violation" but because of Mr. Reeves involvement with the State's opinion on this issue, the violation goes beyond just "willful" since he was part of the conversation that led to the County's opinion concerning exactly how permits for water heaters would be handled. His actions were in defiance of the County's regulations. Chairman Joslin stated it was his understanding that because Mr. Reeves appeared before the Board of County Commissioners that the Board asked the County to obtain an opinion from the State for clarification. He noted until that time, it was not clear whether or not a permit was required. Afterward, the decision was made. Chairman Joslin confirmed he agreed with Mr. Lykos position because Mr. Reeves opened the "can of worms" and his current violation was more than just willful. Allen Reeves stated neither the City of Naples (which is in Collier County) nor Marco Island requires permits to install water heaters. Lee County does not require permits. He noted if it was not a state -wide determination — the problem was with Collier County and the complaint that was presented to the Board of County Commissioners was why not all or none. Chairman Joslin pointed out while the City of Naples and Marco Island may make different decisions Collier County's determination was that permits are required. Michael Ossorio provided background information on the decision process, i.e, input was obtained from the Board of Adjustment and Appeals (`BOAA ") before soliciting an opinion from the State. Vice Chairman White concurred there may have been some grey areas concerning the issue of multi - family duplex versus residential, but there was no grey area regarding the case before the Board. Permits were required for the 37 units. Discussion ensued concerning the appropriate penalty, i.e., whether probation should be added; whether permit pulling privileges should be suspended for a period of timc. Vice Chairman White noted the Respondent has tried to work in concert with the County even though he also appeared, at times, to be at odds with the County's decisions. He stated he was trying to find a balance between no penalty and being too harsh. Attorney Moray reminded the members what the Board is allowed to do with reference to a State - certified Contractor. • The Board may deny the issuance of Collier County or City Building Permits or require the issuance of Permits with specific conditions. • The Board may send a recommendation to the State's Contractors' Licensing Board to assess penalties and further action(s) such as revocation, restriction, imposition of fines, and to levy investigative costs. 13 April 17, 2013 Vice Chairman White moved to approve closing the Public Hearing. Second by Michael Boyd. Carried unanimously, 7— 0. Terry Jerulle stated he respected "to some degree" the Respondent's intention to contact the Condominiums and Property Managers in Collier County to inform them of the requirement to pull a permit to install a water heater. However, it should have been done as soon as the County passed the regulation regarding water heater permits. The purpose of requiring a permit and inspection is to identify and prevent shoddy workmanship by Contractors. He concluded by stating, "Either you follow the rules or you change the rules. You don't ignore the rules." Kyle Lantz moved to approve requiring the Respondent to reimburse the County in the sum of $325.00 for investigative costs spent in the prosecution of the matter. Vice Chairman White stated he would offer a second in support if the Motion were amended to include notification to the State's Construction Industry Licensing Board ( "CILB ") of the decision as well as a recommendation for further action. Kyle Lantz amended his Motion to include Vice Chairman White's suggestions. Second by Vice Chairman White. Discussion: Terry Jerulle stated he would recommend to the State to impose a fine of $1,000 as well as issue a public reprimand. Chairman Joslin restated the Motion. That the Respondent was found guilty of the violation; The Respondent was ordered to reimburse the County the sum of $325.00 for investigative costs within fifteen days of receiving the Board's Order, That a recommendation would be sent to the State's Construction Industry Licensing Board to impose a fine of $1,000 and to issue a public reprimand. Chairman Joslin calledfor a vote. Motion carried unanimously, 7— 0. Chairman Joslin outlined the Board's Order: This cause came on for public hearing before the Contractors' Licensing Board on April 17, 2013 for consideration of the Administrative Complaint in Case #2013 -04 filed against Allen Gene Reeves, d/b /a "A. G. Reeves, LLC," the holder of record of Collier County Certificate of Competency Number 34400 and State - Certified Plumbing Contractor Number CFC 1428056. • Service of the Complaint was made in accordance with Collier County Ordinance 90 -105, as amended. 14 April 17, 2013 • The Board, at this Hearing, having heard testimony under oath, received evidence and heard arguments respective to all appropriate matters, and thereupon issued its Findings of Facts and Conclusions of Law as follows. Fin dinzs of Fact: • Allen Gene Reeves, d/b /a "A. G. Reeves, LLC," is the holder of record of Collier County Certificate of Competency Number 34400 and State Certified Plumbing Contractor #CFC 1428056. • The Board of County Commissioners, Collier County, Florida, Contractors' Licensing Board is the Petitioner (Complainant) in this matter. • The Board has jurisdiction of the person of the Respondent. • Respondent, Allen Gene Reeves, was present at the Public Hearing but was not represented by Counsel at the Hearing held on April 17, 2013. • The Respondent had been properly noticed concerning the Hearing. • All notices required by Collier County Ordinance 90 -105, as amended, had been properly issued and were personally delivered. • The Respondent acted in a manner that is in violation of Collier County Ordinances and is the one who committed the act. • The allegations of fact as set forth in Administrative Complaint as to: o Count 1, under Section 22- 201.1(2): "Willfully violating the applicable Building Codes or laws of the State, City or Collier County" has been found to be supported by the evidence presented at the Hearing. Conclusions of Law: The Conclusions of Law alleged and set forth in the Administrative Complaint as to Count 1 has been approved, adopted and incorporated herein, to wit: "The Respondent violated Section 22- 201.1(2) of Collier County Ordinance 90 -105, as amended, in the performance of his contracting business in Collier County by acting in violation of the Section set out in the Administrative Complaint with particularity." Order of the Board: Based upon the foregoing Findings of Fact and Conclusions of Law, and pursuant to the authority granted in Chapter 489, Florida Statutes, and in Collier County Ordinance 90 -105, as amended, by a vote of seven (7) in favor and none (0) in opposition, a majority vote of the Board members present, the Respondent has been found in violation as set out above. Further, it is hereby ordered by a vote of seven (7) in favor, and none (0) in opposition, a majority vote of the Board members present, that the following disciplinary sanctions and related Order are hereby imposed upon the holder of Collier County Certificate of Competency #34400 and State Certified Plumbing Contractor Number CPC - 1428056, to wit: o The Respondent is required to reimburse the County the sum of $325.00 for investigative costs within 15 days of this Order; 15 April 17, 2013 o The State will be notified of the Board's Findings of Fact, o A recommendation will be sent to the State's Construction Industry Licensing Board to impose a fine of $1,000 and to issue a public reprimand. Chairman Joslin noted the case was closed. Assistant County Attorney Jeff Wright stated that County had withdrawn Item (A) under "Public Hearings." (Case #2013 -06: Albert L. Diaz, d/b /aA & MProfessional Home Services, LLC ) BREAK: 10:26 AM RECONVENED: 10:38 AM VI. NEW BUSINESS: (Note: Regarding cases heard under Section VI, the individuals who testified were first sworn in by the Attorney for the Board.) A. Joseph Epifanio — Waiver of Examination(s) (d/b /a "American Pool and Fountain Service, Inc.") Chairman Joslin requested that Mr. Epifanio explain the reasons why he had requested a Waiver. Joseph Epifanio stated he was involved in an accident 3 %2 years ago and has been unable to work. Michael Ossorio provided background information: • Mr. Epifanio had been licensed for swimming pool repair and maintenance; • He qualified "Tuna Fish Services, Inc." • He maintained his educational credits • He maintained his state registration as a Registered Pool and Spa Servicing Contractor (License # RP 252555083) • His Collier County certificate has lapsed (thirteen months ago) • He took his last exam three years ago. The County recommended granting Mr. Eipfanio's application for a Waiver and reinstating his license in Collier County. Chairman Joslin moved to approve granting Joseph Eipfanio's request to Waive further examination. Second by Vice Chairman Patrick White. Carried unanimously, 7— 0. IX. REPORTS: (None) 16 April 17, 2013 X. MEMBER COMMENTS: (None) XI. NEXT MEETING DATE: Wednesday, June 19, 2013 Board of County Commissioners' Chambers, 3rd Floor — Administrative Building "F," Government Complex, 3301 E. Tamiami Trail, Naples, FL 34112 There being no further business for the good of the County, the meeting was adjourned by the order of the Chairman at 10:48 AM. COLLIER COUNTY CONTRACTORS LICENSING BOARD Richard Juslin, Chairman The Minutes were approved by the Vice Chairman on , 2013, "as submitted" [I OR "as amended" [_1. 17 L Edward G. Ernst Contest of Citation #7598 Table of Contents E1— Request for Hearing (provided by Respondent) E2 — Copy of Citation E3 — Confirmation of Hearing E4 & E5 — County Case Detail Report E6 — Collier Tax Collector "Maintenance Service" Business Tax Receipt E7 — Collier Tax Collector "Maintenance Service" Business Tax Receipt E8 & E9 — Collier Tax Collector "Maintenance Service / Handyman Affidavit" April 17, 2013 To The Director of the Building Review and Permitting Department. I, Edward G. Ernst request an Administrative hearing before the Contractor's Licensing Board regarding citation #7598. Sincerely, <LL,,,fc, Cam— - Edward G. Ernst 99z- CQL LiER COUNTY2 75 9 8 SCANRWAJEW& PERMITTING CITATION Pursuant to section 489.127. (3)(a), Florida Statues, the undersigned hereby certifies that upon personal investigation, he/she has reasonable, and probable grounds to believe that the person whose name appears below, as Issued To, did violate.Subsection 489 127(1), Florida Statutes, and Collier county Contractor's Licensing Ordinance. No. 0 -68 (as May be amended from time to time) b committing the violation stated below. Month ) Dav Year Time /PM Issued To: Address L a City State ( Zip 1f _Telpphpne No. h I Race I Sex I height Vehicle Make /Type (if applicable).. ear 1of fag No: Location of Violation ; opik INS: I have'b" informed of the violation of which I )tale been charged and elect the following optioii'(Oh k one) ry 4� � I) Q ).chpose to pay the penalties of S W - - on the Citation. 2) ❑ I choose not i6 -pay the penalty and will ieque.st in writin b certifi 1 or hand g Y delivery an Administrative Hearing before.t ,Contt tors _L� thsing Boar Ki Description Qf Violation a ed 4140 1) a) ❑ Falsely hold Belt br busii e4 s�tr oi h der or ' registrant; ❑ Falsely impersonate a certifi nlder re registrant; c) Q"- Present as bls oWn "tlte c&d11cat6 & reglstrad6n of another, d) ❑ Knowingly give7alse di.forged evidence to the Board of a member theredf, e) '❑ -Use or attempt to use a certifibale orregistratioo which has been suspended or ked; f) Engage in the business or act in the capacity of a contractor or advertise self or ZZZ[wsiness organization as available to engage in the business or act in a capacity of a eontcactor'without beingduly7egistered orc6tifie8; g) ❑ Operate a business organization engaged in contracting after (60) days following the termination of its only qualifying agent without designating another primary qualifying agent, except as provided in ss 489.119 and 489.1 195, Florida Statues; h) ❑ - Commence or perform work for which a but'tdmg 06ft it is tequtr+ed pursuant to an adopted staidWgn. imum baild ng code without subh- petinit being in effect 40r ii) [' wll'fully br'deliberatclydisregaed'o 0rofate anyK'blliei Catntynattce telatttig to uncertified d orunreghstered•Fontradors:" A person or business organization opeeatidg ' n'an inacti ' u' nded'ceruficafe'or registration, or operating beyond the scope of work or Zen hi I scope of the registration, is not duly certified or registered. SIGNATURE (RECIPIENT) SfNA .' (INVESTIGATOR) ' w. PRINT (RECIPIENT'S NAME) PAW (1NVES1IGATO 'S NAME) i Pursuant to 489.127, FloriddStatucs, willful refusal to sign and accept this citation constitutes a !misdemeanor of the second degree, punishable as provided in section 775.082 or 775.083 Florida Statutes. (SEE REVE,R,,k413 FOR INSTRUCTIONS) IJAWt_ COLLIER COUNTY CONTRACTORS LICENSE DEPARTMENT Growth Management Division Planning & Regulation Operations Department Licensing Section April 18, 2013 Edward George Ernst 4535 28Th Ave SW Naples, FL 34116 RE: Contesting Citation Dear Mr. Edward G. Ernst, You have been added to the agenda for the Contractor Licensing Board meeting on Wednesday, June 19, 2013. The meeting is held at 9:00am at the W. Harmon Turner Building (Bldg. F, Admin. Bldg.), 3299 Tamiami TH. E., Naples, FL in the Commissioner's Meeting Room on the 3rd floor. If you have any questions or concerns, please call (239) 252 -2431. Sincerely, 0 Joann Greenberg Customer Service Specialist Licensing/Operations <-:Z:-4xV 1'3: Growth Management Division* Planning & Regulation *2$00 North Horseshoe Drive *Naples, Florida 34144 *239. 252 - 2400 *www.colliergov.net c *,,�r Report Title: Code Case Details Date: 6/11/2013 2:30:31 PM Case Number: ceu120130004992 Case Number: CEUL20130004992 Case Type: Unlicensed Priority: Normal Inspector: Ian,lackson Jurisdiction: City of Naples Origin: Complaint Status: Citation Date & Time Entered: 4/5/2013 12:57:14 PM Entered By: Ian,lackson Case Disposition: Unpaid Detail Description: Complaint made to City of Naples Building Dept concerning possible unlicensed / unpermitted construction at 1200 Cherrystone Ct A -101. Complaint referred to County Licensing for investigation. Citation 7598 issued to Edward George Ernst. $300.00 unlicensed painting Location Comments: 11200 Cherrystone Ct A -101 / folio 5380040002 CA, Business Management & Budget Office 1 Code Case Details Execution Date 6/11/2013 2:30:31 PM Desc Assigned Required Completed Outcome Comments Preliminary Investigation IanJackson 4/5/2013 4/5/2013 Citation 4/5/13. Complaint made to City of Naples Required Building Dept., referred to County Licensing for initial investigation. Possible unpermitted / unlicensed construction at 1200 Cherrystone Ct A -101. At location, found individual, "Curt", who stated he was delivering tile to be installed. Curt stated he was not installing. Found second individual, Ed, who stated he was painting interior of condo. Ed continued in stating he was working with a Collier Business Tax receipt for Maintneance service. Explained license requirement for painting. Neither individual willing to allow access to unit to establish scope of work. Issue Citation (Licensing) IanJackson 4/5/2013 4/5/2013 Complete 4/5/13. Issued citation 7598 to Ernst, $300.00 for unlicensed painting. Was approached by Richard Hannon, Association President. Explained licensing violation. Hannon stated he would contact me when access to condo is possible. Will close this case and open new case, if necessary. Have been in communication w/ City of Naples Code Enforcement concerning possible unpermitted remodel of condo. Citation Paid /Contested clements k 4/19/2013 4/18/2013 Contested Schedule for CLB Meeting /Send greenbergJ 6/19/2013 Pending Letter Violation Description Status Entered Corrected Amount Comments Unlicensed Painting Open 4/5/2013 $0 Title Reason Result Compliance Fine /Day Condition s Business Management & Budget Office COLLIER COUNTY BUSINESS TAX RECEIPT NUMBER: 043202 COLLIER COUNTY TAX COLLECTOR - 2800 N. HORSESHOE DRIVE - NAPLES FLORIDA 34104 - (239) 403 -2477 VISIT OUR WEBSITE AT: www.colliertax.com 10.00 THIS RECEIPT EXPIRES SEPTEMBER 30, 2008 DISPLAY AT PLACE OF BUSINESS FOR PUBLIC INSPECTION LOCATION: 4535 28TH AVE SW I FAILURE TO DO SO IS CONTRARY TO LOCAL LAWS, ZONED: HOME OCCUPATION LEGAL :FORM ' BUSINESS PHONE: 304-1823 `S PR ET ),,'DOUBLE "E" MOWING " ERNST, EDWARD G .o.11iep County Tax Collector Guy Carlton .. ........ . .. 4a0-60514RAOMSW off ices OCC: I F,CH 40(thomson42 Trans v _.._ ,, - Check It 34116 ` ` •.. t ,!Y Yrj fP r r ec. 'W;0(14993 Acct . (143202 ~ ;10.0(J NUMBER OF EM OYEES: OWNER ONLY -NO EMPLOYEE f.us i nt?s Tax WALK --1N CLASSIFICAT16NVAINT. SERVICE! NO CONTRACTO$ d l t. Card $10.00 • : . =r" I �Mri i ence Fee- CLASSIFICATI E037033og This document is a business tax only. This is not certification that Iicen ee u 1 ��. �,✓� It does not permit the licensee to violate any existing regulatory zoning faf�i eo%nt$r or cities ' iJ l nor does it exempt the licensee from any other taxes or permits that may be required tsy1aw. Details Collier County Tax Collector 3291 East Tamiami Trail Naples, FL 34112 -5758 Collier County Business Tax Receipt Tax Year Info: 2012 Prev;Atsrd BUSINESS INFORMATION I License #11043202 1 Name: DOUBLE "E" MOWING DBA: Location: 4535 28TH AVE SW Zoned: HOME OCCUPATION Mail is 4535 28TH AVE SW Mai1-2 -.1 City, State, Zip: II IjNAPLES , FL 34116 Phone: 11304-1823 1 Code: PUBLIC 03703306 Description: F�� SERVICES MAINT. State Lic: Class: SERVICE/ NO CONTRACTOR WORK OWNER County Lic: Category: ONLY -NO EMPLOYEES City Lic: Preq: Prev,Record Page 1 of 1 Nex :Aecord j OWNER INFORMATION Name 1: ERNST, EDWARD G Name 2: Address 1: 4535 28TH AVE SW IAddress 2: City, State, zip: NAPLES, FL 34116 Phone: 304 -1823 Open Date: 04 -05 -05 Changed Date: 05 -01 -12 Paid Date: 09 -05 -12 Closed Date: 00 -00 -00 ** LICENSE IS PAID ** ** LICENSE IS Open ** Next Record 2005 Tax 2006 Tax 2007 Tax 2008 Tax 2009 Tax 2010 Tax 2011 Tax Infonnation Information Inforniation Information Information Information Infonnation e0i CAN NOT DO LIST COMPLIANCE SERVICES (2 lo) 403-2431 CONTRACTORS OR SUB-CONSTRACTORS OFFERING TO PERFORM THESES SERVICES ARE REQUIRED BY LAW TO POSSESS A VALID CONTRACTOR'S LICENSE EITHER BY THE STATE OF FLORIDA OR COLLIER COUNTY CONTRACTOR'S LICENSING CONTRACTORS GENERAL BUILDING RESIDENTIAL SUB - CONTRACTORS AIR CONDITIONING CLASS A AIR CONDITIONING CLASS B AIR CONDITIONING CLASS C JOURNEYMAN AIR CONDITIONING ELECTRICAL JOURNEYMAN ELECTRICIAN MECHANICAL PLUMBING JOURNEYMAN PLUMBER ROOFING SHEET METAL SWIMMING POOL /SPA COMMERCIAL SWIMMING POOL /SPA RESIDENTIAL SWIMMING POOL/SPA SERVICING SPECIALITY CONTRACTORS ACOUSTICAL ALUMINUM ALUMINUM INCLUDING CONCRETE ALARM CONTRACTOR I (BURGLAR & FIRE) ALARM CONTRACTOR II (BURGLAR) CABINET INSTALLATION CARPENTRY COMMERCIAL COOLING EQUIPMENT CONCRETE PLACE & FINISHING CONCRETE FORMING & PLACING CONCRETE CONTRACTOR REST, PNEUMATICALLY PLACED DECORATIVE METAL DEMOLITION (WRECKING) DREDGING CONTRACTOR DRYWALL ELEVATOR EXPDXY STONE EXCAVATION CONTRACTOR FENCE ERECTION FIRE PROTECTION SYSTEM CONTRACTOR FLOOR COVERINGS GARAGE DOORS RESTRICTED GASOLINE TANK & PUMP GLASS & GLAZING INSULATION ALL TYPES INSULATION BUILDING IRRAGATION SPRINKLER LANDSCAPING LIQUIFIED PETROLEUM GAS MARINE SEAWALLS & DOCKS MASONRY MOBILE HOME SET UP, TIE DOWN PAINTING PAVING UNLIMITED PLASTERING & STUCCO POLLUTANT STORAGE CONTRACTOR REINFORCING STEEL ROOF COATING, PAINTING OR PRESSURE CLEANING SANDBLASTING SATELLITE DISH INSTALLATION SEALING & STRIPPING SEPTIC TANK SIGN CONTRACTOR NON ELECTRIC SIGN ELECTRICAL CONTRACTOR SOLAR HEATER INSTALLATION STRUCTURAL STEEL ERECTION STRUCTURE MOVING 'PILE & MARBLE TILE, MARBLE & TERRAZZO TREE REMOVAL & TRIMMING UNDERGROUND UTILITY CONTRACTOR WELL DRILLING I WILL NOT BE DOING ANYTHING THAT S LISTED ON THIS PAPER G, A o SIGNATURE UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THE FACTS STATED IN IT ARE TRUE. HANDYMAN AFFIDAVIT.WD ,�a To: Whom It May Concern: Fr: Robert Gallagher Date: April 17, 2013 RE: Application for License I would like to explain the reason my credit report is so bad and for why I let my licenses expire. I opened up a Flooring business, Designers Choice Unlimited in 1997. We were successful for many years. In 2003, I invested my assets in a Charter Boat Business on Fort Myers Beach as well as some real estate ventures. I had to close the Charter Boat Business in 2007 as it was mostly a cash basis and the employees would skim from the cash brought in. Since I could not always be there, as Designers Choice was my first priority, we went thru many employees and finally decided to close the business since we couldn't break even or see any gains. I personally lost over $300,000.00 in this venture and had to sell personal property to pay off the boat. We sold 10 acres we had, which should have been worth over $250,000 but of course at that time was not. Since the best offer we could get was $75,000.00 for the charter boat and we had a payment on it for $275.000.00. After that, the real estate market collapsed, and we lost more. Designers Choice had landed a contract with BBL in Lee County, called The Oasis. This project was the only thing keeping our doors open at that time since the economy had declined and there was no other work. Then BBL claimed bankruptcy and Designers Choice lost over $200,000.00 when that happened. We had to close the business. I had to work out of state to make ends meet as best we could to personally survive as I have a wife and 4 children. Now that the market here is picking up again, I have acquired my Lee County License, Cape Coral, Sanibel and Punta Gorda licensees. I would like to expand into Collier County. I greatly appreciate you taking the time to let me explain my situation. Sincerel , Robert M. Gallagher GMD Operations & Regulate Licensing, s 2800 North I�Ao Na 1 APPLICATIO COLLIER COUNTY /CITY OFL PL] FIRM P a e l� D 1 _ 1 gg R,. �; &ITY OF MARCO INSTRUCTIONS: This application must be typewritten or legibly printed. The application fee must accompany this application. The fee is not refundable after the application has been accepted and entered on the records. All checks should be made payable to the Board of Collier County Commissioners. For further information, consult Collier County Ordinance No. 90 -105, as amended. NAME OF COMPANY: Exact Corporate/ Business Name:__ {Zp Ge— + r k G e M x i 4c f- of-or-P. Fiction Name /DBA: Qualifier Name: R t 6f-r-+ M G,, I l a 4 Le_ r Physical Address: 1-12,99 0 G,q 40 0 Lc. -cc C,' t F-4, r1l z`j ❑ Residential 3 4 (Number &Street) (City) (State) (Zip Code) Mailing Address: 1-7 2- " do u1 Fd M ye;-5 (- j. 3341-7 (Nurnber & Sheet) (City) (State) (Zip Code) Telephone: Z34- 8 7Z- 73 3y TYPE OF LICENSE: ❑ General $230.00 ❑ Building $230.00 ❑ Residential $230.00 ❑ Mechanical $230.00 E- Mail:�%t {�l���l•erP�oj`(��,1ot Lo ✓►1 ❑ Electrician $230.00 ❑ Plumber $230.00 ❑ Air Cond. $230.00 ❑ Swimming Pool $230.00 ❑ Roofing $230.00 Specialty $205.00 Specialty, trade: C)CI T ,e. C GE OF STATUS: ( Reinstatement ( ) From One Business to Another ( ) Dormant License to Active or% i1e.� Mpr�pk, Page 1 of 4 The names, titles, home address and phone numbers of all Officers /Managing Members of the Firm. 234 - 81 Z- -133q t72cY4 ko•J LaXKc- 6/-, F +. MlcrS 3391-7 �3 - 72- n4Z Gerry � ynCt. �,r, ta; c s,�(ch-�- 1'11 ,10 WAS CCA or. Fi M ycrs 33913 b.rc,c, *or `7310 Cool icy c 234- 2-73 ~0631 e(• 8 ^1 1c ri 3,3 ab7 J 2. List all businesses, firms, entities or contracting businesses you have been associated with during the last ten years (ex. Held a license for or been a partner). Attach extra pages if needed. ;kc-e(i List all debts you or any company(s) associated with you refused to pay and the reasons for the refusal to pay. Attach extra pages if needed. i;,5 e e- AFFIDAVIT I, R06c-f+ t� Grc �UL , Lcr certify that the foregoing is true and correct to the best of my knowledge. STATE OF FLORIDA COUNTY OF The foregoing instrument as acknowledged before me this Authorized Officer of the Firm d J °Y - � (Date) By / of 67 I is 11 e{' r (Name of officer, title /agent) (Name of Corporation El F'b o C� Gt, Corporation on behalf of the corporation. (State or Place of Corporation) He /She has produced (?er6onal) m 6i b u A identification and did not take an oath. (Type of id ntification) NOTARY'S SEAL P•ly KIM NORTH ,'r° 10's Notary Public - State of Florida ` » •z My Comm. Expires Nov 15, 2016 g, a Commission #r EE 219105 ��'•° s� l• Bonded Through National Notary Assn. Page 2 of 4 (SIGNATURE OF NOTARY) cr QUALIFIER INFORMATION• Name: 11 G.,\\rciL,.cr Address: 17 2g 4 tAeollo w Lam- cz r• r—k I to l t 0 F 3 3 4 61 (Number & Street) (City) (State) (Zip Code) Telephone: 2- 19 7 2- 73 3 y Date of Birth: 30 - b S.S. #: 000 -00- _ E -Mail: (2�� al u t \ a4'X-- r Cruet Q Qto 1 La Driver's License: © v 1. Type of Certificate of Competency for which application is made. 2. The names and telephone numbers of two persons who will know your whereabouts. T! ac.y G �► \� �g�•�` 23 9 - 2219- Iq 952 GCAry t_ 239— 67Zr j01Z 3. Have you ever been convicted of a crime related to Contracting ?, (If yes attach extra sheet with explanation) 7. Have you or any firms you have been associated with ever flied bankruptcy? �j y 8. List all debts you or any company(s) associated with you refused or failed to pay and reasons why. 9. List your business or work experience during the past ten years. T I r r6 e cz 14 ro- cJO4� LCar 134 1; Y L�,,1 -i a � r S 10. Statement of any formal training you have had in the area for which the application is made. Page 3 of 4 From: FAXmaker LEE COUNTY SOUTHWEST FLORIi?A BOARD OF COUNTY COMMISSIONERS John E. Manning District one Cecil L. Pendergrass District Two Larry Taker April 12, 2013 District Three To: 92522469 Page: 2/2 Date: 4/12/2013 9:09:58 AM ORIGINAL -! P R APR I 201 Tammy Hal District Four COLLIER COUNTY CONTRACTOR LIC Frank Mare 2800 N HORSESHOE DRIVE District Five NAPLES, FL 33942 Doug Meurer Interim County Manager Andrea R. Fraser Interim CountyAttomey Diana M. Parker County Hearing Examiner LETTER OF RECIPROCITY This Ietter is to verify that ROBERT M GALLAGHER took the Pro Metric examination, sponsored by Lee County. BUSINESS & LAW: 98.0% DATE: 10 /0 `file & Marble Contractor - TM: 98.0% DATE: 10/05/1996 The applicant needed to e e in the trade at the Licensing Board appearance. ROBERT M GALLAGHER has had a Tile and Marble Contractor License in Lee County since 10/22/2010. If you have any questions or if I can be of fiu-ther assistance, please contact Contractors Licensing at (239) 533 -8895. Sincerely, f' David Paschall Contractor Licensing ;v P.O. Box 398, Fort Myers, Florida 33902 -0398 (239) 533 -2111 Internet address httpJ/www.lee- county.com nichncp.ipr AN EQUAL OPPORTUNITY AFFIRMATIVE ACTION EMPLOYER AFFIDAVIT The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County Ordinance No. 2006 -46, as amended, and vouches for the truth and accuracy of all statements and answers herein contained. The undersigned hereby certifies that he is legally qualified to act on behalf of the business organization sought to be licensed in all matters connected with its contracting business and that he has full authority to supervise construction undertaken by himself or such business or organization and that he will continue during this registration to be able to so bind said business organization. The qualified license holder understands that in all contracting matters, he will be held strictly accountable for any and all activities involving his license. Any willful falsification of any information contained herein is grounds for disqualification. STATE OF FLORIDA COUNTY OF -P i The foregoing instrument as acknowledged before me this �Za(ce f t K G a1k 4-1Ve APPLICANT (PLEASE PRINT) P-Ae t K NAME OF COMPANY SIGNATURE OF APPLICANT H_ J �'_ 13 (Date) i3y f A-e r+ M, , C! a 1 6 q h e r who has produced Fe r5op a / J 1 j 0i b yj), (.. (Name of person acknowledging) J (Type of identification) as identification and did not take an oath. NOTARY'S SEAL �••H�Y p ••y KIM NORTH Notary Public - State of Florida _• ' •e My Comm. Expires Nov 15, 2016 Commission # EE 219105 'way �•'`� Bonded Through National Notary Assn. Page 4 of 4 IGNATURE OF NOTARY) AFFIDAVIT IT IS understood and acknowledged by the Collier County Contractors' Licensing Board and myself that if I fail to acquire, or maintain at all times effective Workmen's Compensation Insurance it will result in the possible revocation of my Certificate of Competency. IN LIGURE OF PCANT ,/ t3 be--e� M 6,4 1 t a der col-p.- BUSINESS NAME — �1 / --- -- DATE BEFORE ME this day personally appeared I\ D erq M, al o ��&(,ho affirms and says that he has less than one employee and does not require Workmen's Compen ti on understands that at any time he employees one or more persons he must obtain said Workmen's Compensation Insurance. STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledgcd before me this L)— 1 'l -; 3 by &ber-4 - M. L a-Hori � e� (Date) who has produced (�� � �n� l ) 1/1 G'L b w//L (name of person acknowle grog) V (Type of identification) as identification and who did not take an oath. NOTARY'S SEAL Los Pa,� KIM NORTH �``ok Notary Public - State o]Assn. i My Comm. Expires Nov Commission # EE 2 t30nded Through National N SIGN TUBE OF NOTARY I rvl_ N(_0 r+ l (PRINT NAME OF NOTARY PUBLIC) NOTARY PUBLIC AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER I, e f , am a resident of County, /e:' ! t (State) and have resided here for more than five (5) years. During the last five years I have known T,61 � applicant). I have had the opportunity to observe his or her business and personal dealings and find him or her to be a person of honesty, integrity and good character. (Signature)�� �! f (Name)ri (Address) -A-ml l Telephone) STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this Coro I Sc. tiffer/ (name of person acknowledging) Lq - / 2H1 5 by Date) who has produced 'r5ona f a �0-C) Uji/— v (Type of identification) as identification and who did not take an oath. NOTARY'S SEAL KIM NORTH Notary Public - State of Florida s• •: My Comm. Expires Nov 15. 2016 s� a Commission # EE 219105 °° ��• °� Bonded Through National Notary Assn. SI IG ATURE OF NOTARY + )l wL r 6r.ft (PRINT NAME OF NOTARY) NOTARY PUBLIC AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER T, ��Q- �- , am a resident of 42-A, County, (State) and have resided here for more than five (5) years. During the last five years I have known &&fti (Applicant). I have had the opportunity to observe his or her business and personal dealings anA find him or her to be a person of honesty, integrity and good character. (Signature) (Name) C� IQ Mon re (Address) -v77 77 S OS Fes` Ff- �ekO, FL-, Telephone) � � 1— -Z (0 STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this + I a— 1 by (Date) 010 C bnP Li-C t400rer who has produced DeL50L7 d,I I 1 WvL (name of person acknowledging) i (Type of identification) as identification and who did not take an oath. SIGNATURE OF NOTARY NOTARY'S SEAL (PRINT NAME OF NOTARY) NOTARY PUBLIC �•i•►Av p�fy�i� KIM NORTH Notary Public • State of Florida _• . • My Comm. Expires Nov 15, 2016 s Commission # EE 219105 "7- 420"; Bonded Through National Notary Assn. 10 RIFICATION OF CONSTRUCTION EXPERIENCE GMD Operations & Regulatory Management Department Licensing Section 2800 N. Horseshoe Drive Naples, FL 34104 Applicant's Name: D e Gct N1 q " Ct' CC3 p Certificate Category Requested: The Applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate the Applicant must verify their experience within this trade. You are being requested to provide information that will aid the Applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker (e.g. as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience must provide the following information: Name, Title and license number of the person signing below and verifying Applicants relevantexperience: Name: Title: �C1�'1�1� License Number (if applicable): Name of Business: :a1j1 E Business Address: Business Phone � TUR-2 62. The Applicant's years of experience from to The applicant's scope of work (specific duties) included: 'Flame- (=GyEK-% N Ci S1ltr' •� Additional Comments: r=4aPil J T YW V / &Y eft%leuk �t►b CJC-&rAO" Sk %%° Falsifying any information provided herein may subject your license o revocat' n. 07v-� Signs Print Name: • State of Florida County of Collier The foregoing instrument was acknowledged bet n t day of �e by M8 0"L C A4 Sb5) E w o is personally kno to me or produced as identification and who did not take an oath. Signature of Notary gNotary Public State of Florida 6 cl William P Stafford My Commission EE 216227 Expires 07/15/2016 Applicant's Name: [VERIFICATION OF CONSTRUCTION EXPERIENCE■ GMD Operations & Regulatory Management Department Licensing Section 2800 N. Horseshoe Drive Naples, FL 34104 20666 M Gal \aq� -er corp- Certificate Category Requested: ,;A The Applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate the Applicant must verify their experience within this trade. You are being requested to provide information that will aid the Applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker (e.g. as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience must provide the following information: Name, Title and license number of the person signing below and verifying Applicants relevant experience: Name: L- Title: %G�11� License Number (if applicable): Name of Business: Business Address: Business Phone: c:2 f —d 7S- 620 2 The Applicant's years of experience from The applicant's scope of work (specific duties) included: fL� �' A/Z State of Florida County of Collier Signature V Print Name: -P .e' 4' l E5 PIIA The foregoing instrument was acknavledged before me on this . day of }4 o)q I 1 2- o 13 by �l who is personally known to me or producod as identification and who did not take an oath. AM 71 ► F�`'t�� Signaturj of Notary ..���'•��• KIM NO:Nov15.2016 `�s. Notary Public - Stida My Comm. Expires Commission # 5 ' %" t Bonded Through Natiossn. 7 Applicant's Name: (VERIFICATION OF CONSTRUCTION EXPERIENCE■ GMD Operations & Regulatory Management Department Licensing Section 2800 N. Horseshoe Drive Naples, FL 34104 oberg- K Gdkk4 c, � Certificate Category Requested: T\ \C A The Applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate the Applicant must verify their experience within this trade. You are being requested to provide information that will aid the Applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker (e.g. as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience must provide the following information: Name, Title and license number of the person signing below and verifying Applicants relevant experience: Name: �etl i � Kh� Title: lfl Ceo- c°,5 9!C1P1%zK— License Number (if applicable): Name of Business: S• l`L�• �layo'�S _1 6.0 ©S� ���Od•�a Z0.. Business Address: &494rD )Pkwu.r'J Business Phone: 237- S61 -42.0 The Applicant's years of experience from 1p9D to 2.61J The apphcantt''s scope of work (specific duties) included: o& an4l. i-mo uJ ot•��1 L h40 -E-< <� . 3_ �-�7 /�.,1'��e a��_S�e g � -ey"m rtw,% Additional Comments: )96� i=r g2Q&::r&s d-00,-es-t- a.0-4 - r-a-ze- . Falsifying any information provided herein may subject your license to revocation. State of Florida County of Geliier --ee The 19regoing instrument was acknowledged before me on by JV14n . en who is pers r as identification and who did not take an oa . 1!ICKI L. KELLEY e* Commi ssion # EE 6 Expip , p eo g1 tem r 2a gm res Se w TMy F n , 81111d rr l Signature Print Name: i & 4,19,eZ2 day of(�pr -i f 2oi n to m pr produce d l .r� - 02 4u, Signature of Notary LULLir,K uU UIN 1 Y lJU V _b"MEN I COMMUNITY DEVELOPMENT AND ENVIRONMENTAL SERVICES DIVISION 2800N. Horseshoe Dr. • Naples.. Florida 34104 • 239 -403 -2400 • FAX 239 -403 -2334 IO ,3:wf DATE: November 29, 2007 TO: Applicant's FROM: Michael Ossorio, Contractor Licensing Supervisor. CC.: Robert Dunn, CoIIier County Building Director. Alamar Finnegan, Collier County Permitting Supervisor. Robert Zachary, County Attorneys Office. All Contractor Licensing personnel. SUBJECT: Collection of social security numbers. Pursuant to Chapter 1 l 9, Florida Statues and Collier County Contractor Licensing Ordinance 2006 -46 Sec. 2. l .1, all applicants are required to submit their social security number (SSN) for the following purposes: a) Assess applicant's ability to satisfy creditors by reviewing their credit history. b) Verification of applicant's test scores and information. Our office will only use your SSN noted above for those reasons pursuant to Chapter 119, Florida Statues and as may otherwise be authorized by law. We are fully committed to safe - guarding and protecting your SSN and once collected, will be maintained as confidential and exempt under Chapter 119, Florida Statues. Robert M. Gallagher Corp. - Unsecured Claims from Closed Business - Designers Choice Unlimited Century Link Shore -Line Carpet Supplies Exxon Mobil Waste -Pro Fort Myers Ford Credit GE Capital Professional Leasing & Investments Progressive Ins. Home Depot Credit Serv. Jim Lytell Marble & Stone Resoration Ruck Brothers Cain & Bultman Star Ins. Company Ceramic Matrix Branch Banking & Trust Reason for unpaid — is we were doing the Oasis project thru BBL and they went bankrupt. Designers Choice lost over $200,000.00 and we the result was we had to close the business. At that time there was not much else work going on in the area. 011/12/2913 10:15 2392773258 MERIT CREDIT PAGE 05/07 Business Profile • ROBERT M. GALLAGHER CORP Subcode: 97ol35 Ordered: 03116/201312:42 ;48 CST Transaction Number: 05101 68611 Search Inquiry: ROBERT M. GALLAGHER CORP/17299 MEADOW LAKE CIR/FORT MYERSIF L133967/US/Nt"3r599075 Y it i Experian Y i • A -,Vivid (if limighl This information is the primary name and address for the business you inquired on. All data in this report pertains to the business, ROBERT M. GALLAGHER CORP Business Identification Number: 17299 Meadow bake Cir Experlan File Established: 012010 Fort Myers, Ft. 33567 -2546 7 Odte of Incorporation., 0912012010 LeW- Rlilnus arid +G Rations ' ?lratfl4 lellbriatatioti ' Bankruptcy filings: 0 Monthly average DST: 0 Tax lien filings: 0 Highest DIET previous 6 months; 0 Judgment filings; 0 Highest DBT previous 5 quarters: 0 Total Collections: 0 Total continuous trades: 0 Sum of legal filings: $0 Current continuous trade balance: $0 UCC filings: 0 Trade balance of all trades (0); $0 Cautionary UCC filings present? No ,overage balance previous 5 quarters: $0 Highest credit amount extended: $0 6 month balance range: $0-SO Additional information maY be available on this business TOP sumnory of ingideiras a Category ry MAR13 FESIS JAN13 DEC12 NOV12 OCT12 SEP12 AUG12 JUL12 Categ BUREAU � 1 Totals 1 1 TOP 0 THE FOLLOWING INFORMATION WAS PROVIDED 13Y THE STATE OF FLORIDA, State of Origin: Fl- Date of incorporation: 09/20/2010 V Current Status: Active �0 Business Type: Institutions - Protit Charter Number: P100000787 TO Agent: GALLAGHER ROBERT M Agent Address; 17299 MEADOW LADE CIRCLE FORT MYERS, FL Ad ddidonaf Company Bwikam and Infomawon . Key Personnel Princlpekl(s)l: GARY LYNCH. VP TOP Business Profile- ROBERT M. GALLAGHER CORP 112 04,/12/2018 10:15 2392773258 MERIT CREDIT PAGE 06/07 Experlaa prides itself on the depth and accuracy of the data maintained on our databatse$. Reporting your customer's payment behavior to Experlan win further strengthen and enhance the power of the information available for making sound credit decisions. Give credit where credit Is due. Cull I i O.529 -f 221, opttan #4 for more information. End of report 1 of 1 report The Ir*n ilon herein is lumished l+t cor*jenq* ipryour exck, st've us* fdr ktgttlmete business purposes end 4hell not be reproduced, Naflher Exparian lnformaWn Solutions, Ina. nor their snureC3 or dls ributom *verr ®nt such Unfiormetion nor shell they be fable for your us* or r*ll4n0# uppn It. 0 Expentan 2013, All rights reserved. Privaov c olicv. Experian and the Expetian n eft herein are service mdil►'tCS or registered trademarks of Expori!an. Business Profile - ROBERT M. GALLAGHER CORP 212 104/12/2Q13 10:15 2392773258 MERIT CREDIT PAGE 07/07 W Merit Credit Fast, Accurate 8 Secure. MERIT CREDIT HAS PITRIVMD TIM ABOVE BUSZMSS REPORT 1+'OR LIC ZMSZM PURPOSCS AS RLQUEKED BY THE BUS33MBS O1WMR. /8RDVRIETOR. WSLIC RRC0jWS TM 'PHIS MPORT HAVE HSEN CHSCRED AND VERISIM AT THE COUM UWCUUDING PINELLAS), STATE AND FEDERAL L nLS. PUBLIC atECORDS LEARNED: p SOVRtT:3 OF xmrom4T7tdv: EXpmtxmm taus, UE38 =mosmTIpN OERvxcxs IRS LIEN SZCTI+ON COUNTY COURTHOUStG RECCfts Ir YOU HAVE ANY QUESTIONS REGARCIING THIS UPORT, PLZABZ CONTACT bMMT CREDIT AT: 1- 800 -371-3348 OR 239- 277 -32 02. COMPANY NAME: ROBERT M. GALLAGHER CORP � e G y 61 v Pn L f � �J0J �� `� r S S -k,00 V- a b : n,� io 04/12/'2013 10:15 Prepared By: Merit Credit (239) 277 --3202 (800) 371 -334$ 2392773256 TRANSUNION CREDIT REPORT [FOR] (SUB NAME) (I) Z NP6284423 MERIT CREDIT (SUBJECT) GALLAGHER, ROBERT M. [CURRENT ADDRESS] 17299 MEADOW LAKE Cl., [FORMER ADDRESS) 17338 MEADOW LAKE Cl., 18411 S. TAMIAMI TR., MERIT CREDIT `. 77- PR 122013 ..................A.. L [MKT SUB] [INFILE] 16 UP 12/65 FORT MYERS FL. 33967 FORT MYERS FL. 33967 416108. FORT MYERS FL. 33908 (POSITION] (CURRENT EMPLOYER AND ADDRESS] DESIGNER CHOISE 'UNLI SECRETARY [SSNi [DATE] [TIME] 04112/13 09 :21CT (BIRTH DATE) 7199 12/63 (DATE RPTD] 2/11 [RPTD3 1/07 (FORMER EMPLOYER AND ADDRESS) 3/05 DESIGNERS CHOICE FT MYERS 11/97 ! - `4y.. M O D E L P R O F I L E * * * A L ER T * **_...__, ____ -____ * * *FICO CLASSIC 04 ALERT: SCORE, +545 : 038, 010, 013, 018 * ** IN ADDITION * * *'TO THE FACTORS LISTED ABOVE., THE NUMBER OF INQUIRIES ON THE CONSUMER'S ** *CREDIT FILE HAS ADVERSELY AFFECTED THE CREDIT SCORE. _-------------------------- - - - - -- C R E D I T S U M M A R Y * ** T O T A L F I L E H I S T O R Y PR =1 COL =1 NEG -8 RSTNEG =2 -58 TRD =19 RVL =6 INST =6 MTG=6 OPN =1 INQ =6 HIGH CRED CRED LIN BALANCE PAST DUE MNTHLY PAY ,AVAILABLE REVOLVING- $302K $306K $150K $0 $388 51% CLOSED W /SAL: $136K $8673 $628 TOTALS: $302K $306K $287K $8673 $1016 ------- ----- --- --- ---- ---- -- --- -- P U B L I C R E C O R D S SOURCE DATE LIAR ECOA COURT ASSETS DOCKET# TYPE PLAINTIFF/ATTORNEY Z 5064207 9/108 $7760 I cI 8CC5143 CIVIL JUDGMENT GE MONEY BANK __-___ __- M- .,________ ________________ C O L L E C T I O N S SUBNAME SUBCODE ECOA. OPENED CLOSED $PLACED CREDITOR MOP ACCOUkzT# VERIFIED BALANCE REMARKS MIDLAND FUND Y 36ET009 I 12/10 $21.6K BANK OF AMERICA 09B 8537940682 3/13A $33.9K PLACED FOR COLLECTIO ______________ ___ ___ _ _ __ _- T R A D E S SUBNAME SUSCODE OPENED HIGHCRED PERMS MAXDEL4 PAYFAT 1 -12 MOP ACCOUNT# VERFITD CREDLIM PASTDUE AMT -MOP PAYPAT 13 -24 ECOA COLLATRL /LOANTYPE CLSD /PD BALANCE REMARKS MO 30/60/90 BK WEST B 804N400 3/05 $125K 240M 109 359510021 3/13A $0 S RECREATIONAL MER.0 2109F $61.4K UNPAID BLNC CHRGD OFF GECRB /LOW L 235041,' 2/06 $6071 R09 3/13A $4900 $13 I CHARGE ACCOUNT 12/07F $9175 UNPAID BLNC CHRGD OFF PAGE 61/07 04/12/2 @13 10:15 2392773258 MERIT CREDIT PAGE 02/07 DISCOVER FIN B 9616003 8/88 $10.6;K 3/13A $9300 I CREDIT CARD 7/11F S10.6JK BBC OF AMER B 1597029 5/95 $26.OK 12/10A $19.OK I CREDIT CARD 8/08F $0 CHRYSLR FIN F 624C377 12/03 $5518 1010693752 11/10A S AUTOMOBILE 2/09F $5518 GMAC MRTG F lMSZO01 5/02 S52.0K 7434220729 12/08A I CONVENTIONAL REAL 12/08F $50.OK SUNTRUST BK 8 423.AO63 10/03 $14.7K 21500002154702118 1/09,A S AUTOMOBILE 1/09F $0 MORT SERV CT F 3988001 12/04 S207K 9540029539236 I /11A C CONVENTIONAL REAL 1/110 $0 EVERHOME MTG F 704R001 11/04 $151K 140661001 4/13A $153K C HOME EQUITY LOAN $150K TD AUTO FIN F 6240382 12/03 $0 101069 1/12A C SLDTO CALVARY 1/120 $0 BK OF AMER B 1597029 6/96 $0 454:5 3/11A. C FLEXIBLE SPENDING 2/080 $D BK OF AMER B 4275002 20992810 C CONVENTIONAL REAL BK FLORIDA, 8 lVJL001 300 P HOME EQUITY LOAN 9/02 $95.OK 4 /,10,A, 4 /10C $0 11/04 $151K 9/07A $153K BK OF AMER B 6331205 1/00 $21.6K 63090000565672 2/05A C AUT04MOBILE 2/05C $0 AMERZQUEST F 1QA8001 1/04 $70.8K 8740055415657 1 /05A Z CONVENTIONAL REAL 1 /050 $0 1ST NATHK FL B 1Y4L"001 10/01 $9282 78088001 10/04A C AUTOMOBILE 10/04C $0 WELLSFARGO F 1BR6001 11/03 $4200 4211130355027753 9/04A I INSTALLMENT SALES 9/040 $0 $6591 R09 UNPAID BLNC CHRGD OFF $0 R09 QURCH BY OTHER LENDER 33 O/ 0/ 0 1M I09 $0 UNPAID BLNC CHRGD OFF 7 01 0/ 0 36ON628 1409 $2069 'IIRx'NSFRD: OTHER LENDER 11 0/ 0/ 0 60M 19P $0 111111111111 SETTLED I FULL BLNC 360HIS73 3/09 555555555555 MOS $0 $6690 05 555555555543 FORECLOSURE CLTRL SLD 48 3/ 1/23 MIN388 111111111111 COl Sa 111111111111 26 0/ 0/ 0 $0 001 PURCH BY OTHER LENDER 14 0/ 0/ 0 $0 R01 CLOSD BY CRDT GRANTOR 48 0/ 0/ 0 1801411$0 6/48 555555555555 MO1 $0 05 555555555544 FORECLOSURE CURL SLD 48 6/ 1/24 111111111111 R01 11111111x111 33 O/ 0/ 0 60H 1111113. I01 $0 CLOSED 7 01 0/ 0 360M586 11111X11X11 M01 $0 11 0/ 0/ 0 36M298 111111111111 101 $0 111111111111 CLOSED 36 0/ 0/ 0 31M186 111111111 I01 $0 CLOSED 9 0/ 0/ 0 04/12/2013 10:15 2392773256 MERIT CREDIT PAGE 03/07 BK OF AVER B 4275002 10/02 21137804 6/04,A, C CONVENTIONAL REAL 6/040 $108K 360M1129 111111111111 Mi01 $0 1111111 $0 CLOSED 19 0/ 0/ 0 SAC OF AMER S 427S002 12/02 $119K 180MI189 X111111 M01 21343532 10/03A $0 C CONVENTIONAL REAL 10/030 $0 CLOSED ------------------------------------ 7 0/ 0/ 0 I N Q U T R I E S DATE SUBCODE SUBNAME TYPE AMOUNT 4/12/13 ZNP6284423(FLA) MERIT CREDIT 1/16/13 ZNP6284423(FLA) MERIT CREDIT 9/13/22 XR00285394(SCT) CONVERGENT O 7/02/12 ZNF6284423(FLA) MERIT CREDIT 2/24112 YPE5254168(IND) MS SVCS LLC 7/08/11 FCE1892691(CHI) DISCOVER FIN -------------------------- CREDI T REPORT S E R V I C E D BY TRANSUNION 800- 888 -4213 2 BALDWIN PLACE P.O. BOX 1000,CRESTER, PA. 19022 Consumer disclosures can be obtained online through TransOn,ion at: http: / /www.transunion.com ------------------------------------------------------------------------------ CREOITOR CONTACT INFORMATION LEE CIRCUIT ZP5064207 (239) 533 -5000 1700 MONROE ST FORT MYERS FL. 33901 MIDLAND FUND YC36ET009 (800) 825 -8131 $875 AERO DR SAN DIEGO CA. 92123 BE WEST BZ804N400 (800) 827 -7500 1450 TREAT BV WALNUT CREEK CA. 94596 GECRB /LOW 7LH235041J (800) 444 -1408 PO BOX 956005 ORLANDO FL. 32$96 DISCOVER FIN BC9616003 POH 15316 WILMINGTON DE. 19850 BK OF AMER BC1597029 PO BOX 982235 EL PASO TX. 79998 CHRYSLR FIN FA.624C377 (866) 251-9400 P.O. BOX 551080 JACKSONVILLE FL. 32255 GMAC MRTG FFIMSZ001 (800) 766 -4622 PO BOX 4622 WATERLOO IA. 50704 SUNTRUST BE 5Y423A063 (877) 596 -5+07 PO BOX 85526 RICHMOND VR. 23285 MORT SERV CT FM398ROol (600) 330 -0423 2001 BISHOP GATE B MOUNT LAUREL NJ. 08054 EVERHOME MTG FM704R001 (800) 669 -9721 301 WEST BAY STREE JACKSONVILLE FL. 32202 TD AOTO FIN FA624C3$2 (800) 556 -8172 PO BOX 9223 FARMINGTON MI. 48333 BK OF AMER BM427SO02 (800) 451 -6362 4161 PIEDMONT PKWY SIMI VALLEY CA. 93065 BK FLORIDA BBlVJL001 (239) 254 -2100 P.O. BOX 61279 FORT MYERS FL. 33906 BK OF AMER 816331205 (600) 215 -6195 9000 5OUTHSIDE BLV JACKSONVILLE FL. 32256 AMERIQUEST FMIQA8001 (800) 430 -5262 505 S MAIN ST ORANGE CA. 92868 18T NATSK FL BZ1Y4F001 04/12/413 10:15 2392773258 MERIT CREDIT 1150 CLEVELAND STR CLEARWATER FL. 33755 WELLSFARGO FFlBR6001 SUPREME RE SERVING URBANDALE IA. 50323 CONVERGENT O Y 0285394 1016 E PIKE STREET SEATTLE WA. 98122 MS SVCS LLC Y 5254168 123 W FIRST ST CASPER WY. 82601 DISCOVER FIN F 1892691 8475 SO. SANDY PK SANDY UT. 84070 END OF TRANSUNION REPORT (877) 4.01 -5414 (800) 444 -8485 (307) 266 -3290 MERIT CREDIT HAS RETRIEVED THE ABOVE PERSONAL CREDIT REPORT FOR LICENSXNG PURPOSES AS REQUESTED BY THE BUSINESS OWNER/PROPRIETOR. PUBLIC RECORDS FOR THIS REPORT RAVE BEEN CHECKZA AND VERIFIED AT THE COUNTY, STATE AND FEDERAL LEVELS. PUBLIC RECORDS HAVE ALSO BEEN VERIFIED. FOR PINELLAS COUNTY. PUBLIC RECORDS LEARNED SOURCES OF INFORMATION: TRANS UNION LLC IRS LIEN SECTION COUNTY COURTHOUSE RECORDS IF YOU HAVE ANY QUESTIONS REGARDING THIS REPORT, PLEASE CONTACT MERIT CREDIT AT: 1-800 -371 -3348 OR (239) 277-- 3202. PAGE 04/07 Detail by Document Number Page 1 of 2 No Events No Name History Document # Search Search it by Document Number =RT M. GALLAGHER CORP a Information ment Number IN Number Filed or Country s Live Date ri P10000078736 273566334 09/27/2010 FL ACTIVE 09/20/2010 7299 MEADOW LAKE CIRCLE ORT MYERS, FL 33967 7299 MEADOW LAKE CIRCLE 'ORT MYERS, FL 33967 iALAGHER, ROBERT M 7299 MEADOW LAKE CIRCLE ORT MYERS, FL 33967 & Address P - ALLAGHER, ROBERT M 7299 MEADOW LAKE CIRCLE 'ORT MYERS, FL 33967 'itle VP YNCH, GARY B 7130 WILDCAT DRIVE ORT MYERS, FL 33913 itle D 1ARTIN, JAMES E 097 PINEAPPLE ROAD ORT MYERS„ FL 33967 http : / /search. sunbiz. orgl Inquiry/ CorporationSearch/ SearchResultDetail lDocumentNumber /... 4/12/2013 , Detail,by Document Number Report Year Filed Date 2011 04/26/2011 2012 04/24/2012 Home Contact Us E- Filing Services Document Searches 04/24/2012 -- ANNUAL REPORT View image in PDF format 04/26/2011 -- ANNUAL REPORT View image in PDF format 09/27/2010 -- Domestic Profit View image in PDF format No Name History Home I COntad us I D-QLjjm nt Starch EE -Film rrvi fo I 'He-lo, I Forms Page 2 of 2 Help Document # Search Search http: // search. sunbiz. org / Inquiry/ CorporationSearch/ SearchResultDetail lDocumentNumber /... 4/12/2013 Ce rt ij'i � d Copy I certify the attached is a true and correct copy of the Articles of Incorporation of ROBERT M. GALLAGHER CORP., a Florida corporation, filed electronically on September 27, 2010 effective September 20, 2010, as shown by the records of this office. I further certify that this is an electronically transmitted certificate authorized by section 15.16, Florida Statutes, and authenticated by the code noted below. The document number of this corporation is P10000078736. Authentication Code: 100929091251- 600185791066 #1 Given under my hand and the Great Seal of the State of Florida at Tallahassee, the Capital, this the 2010 Twenty Ninth day of September, U t Certifwate ofstatus I certify from the records of this office that ROBERT M. GALLAGHER CORP. is a corporation organized under the laws of the State of Florida, filed electronically on September 27, 2010, effective September 20, 2010. The document number of this corporation is P 10000078736. I further certify that said corporation has paid all fees due this office through December 31, 2010, and its status is active. I further certify that said corporation has not filed Articles of Dissolution. I further certify that this is an electronically transmitted certificate authorized by section 15.16, Florida Statutes, and authenticated by the code noted below. Authentication Code: 100929091251- 600185791066 #1 f► i E Given under my hand and the Great Seal of the State of Florida at Tallahassee, the Capital, this the Twenty Ninth day of September, Electronic Articles of Incorporation For ROBERT M. GALLAGHER CORP. P10000078736 FILED September 27, 2010 Sec. Of State rduniap The undersigned incorporator, for the purpose of forming a Florida profit corporation, hereby adopts the following Articles of Incorporation: Article I The name of the corporation is: ROBERT M. GALLAGHER CORP. Article II The principal place of business address: 17299 MEADOW LAKE CIRCLE FORT MYERS, FL. US 33967 The mailing address of the corporation is: 17299 MEADOW LAKE CIRCLE FORT MYERS, FL. US 33967 Article III The purpose for which this corporation is organized is: ANY AND ALL LAWFUL BUSINESS. Article IV The number of shares the corporation is authorized to issue is: 1,000 Article V The name and Florida street address of the registered agent is: ROBERT M GALLAGHER 17299 MEADOW LAKE CIRCLE FORT MYERS, FL. 33967 I certify that I am familiar with and accept the responsibilities of registered agent. Registered Agent Signature: ROBERT M. GALLAGHER Article VI The name and address of the incorporator is: ROBERT M. GALLAGHER 17299 MEADOW LAKE CIRCLE FORT MYERS, FL 33967 Incorporator Signature: ROBERT M. GALLAGHER Article VII The initial officer(s) and/or director(s) of the corporation is /are: Title: P ROBERT M GALLAGHER 17299 MEADOW LAKE CIRCLE FORT MYERS, FL. 33967 US Title: VP GARY B LYNCH 17130 WILDCAT DRIVE FORT MYERS, FL. 33913 US Title: D JAMES E MARTIN 7310 COOLIDGE ROAD FORT MYERS„ FL. 33967 US Article VIII The effective date for this corporation shall be: 09/20/2010 P10000078736 FILED September 27, 2010 Sec. Of State rdunlap 'W var �t r/ I\ W, Arl V ZMM • I� 0 +a O r--1 N M 0 ca V O 0 w OC (FV 4: z v � u 0 0 cn ►1 E r� VI L> cn c 0 03 0 =0 H 0 - ocrj 0 03 rO �� z � � � Tn 3 V 1 C%1 c U O aj W O O � y o O �� cn cn N CKS 0 0 M 04 V 1 U x c 3 O m L � O N 0 m C) U a> rVI V 1 u 0 0 M (l ^O •J W ro cu , Al u S U � O c O 0 U O y� W IICJ co �1 W ti V 0 L 0 Q. 0 U as _ O L U O ,o L m x �x =, v� I,/ !, Art 4I w 0 0 't M U V 0 O Q% cd cd P� z 0 _N 611 L� O 0 4 U CIO N cri 0 �o aw 0 �a� N �y p z � v O 'v o O � N � ® can O Cfj �lc� V) UO 0 0 M U Q� N c x 0 v O n i .0 O w O U C COO U 0 0 o v C4 L U � �03--I ,S•^ O •� V N• L 'L3 � Cd U1 C/) O � U O c 0 0 Q L O U a> 5 O L C tC ^0^,, L y n N 0 yr :Y .. vr4 -, =i w 0 v � � w l O (Ci u Q . N CCj L O O DI �I 0 .Cli O b� O u 4. N �o 03 4-1 p� z � � U w � x `V v O O i•-� y O O cn H z u V) 14 cn Cld 0 0 0 V U N V) x 3 O H v O n H .� IL•1 � O W Cp C O U a � U O O SNI bo o � U b� U 0 x l O •O O ci N � U O (A b M--1 CCS 0 O 0. L. O �. 0 � U O C co 4 0 I L d�d co .0 fA u O7l. X lIRSDEPARTMENT OF THE TREASURY INTERNAL REVENUE SERVICE CINCINNATI OH 45999 -0023 ROBERT M GALLAGHER CORP 17299 MEADOW LAKE CIRCLE FORT MYERS, FL 33967 Date of this notice: 09 -29 -2010 Employer Identification Number: 27- 3566334 Form: SS -4 Number of this notice: CP 575 A For assistance you may call us at: 1- 800 -829 -4933 IF YOU WRITE, ATTACH THE STUB AT THE END OF THIS NOTICE. WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER Thank you for applying for an Employer Identification Number (EIN). We assigned you EIN 27- 3566334. This EIN will identify you, your business accounts, tax returns, and documents, even if you have no employees. Please keep this notice in your permanent records. When filing tax documents, payments, and related correspondence, it is very important that you use your EIN and complete name and address exactly as shown above. Any variation may cause a delay in processing, result in incorrect information in your account, or even cause you to be assigned more than one EIN. If the information is not correct as shown above, please make the correction using the attached tear off stub and return it to us. Based on the information received from you or your representative, you must file the following form(s) by the date(s) shown. Form 1120 03/15/2011 If you have questions about the form(s) or the due date(s) shown, you can call us at the phone number or write to us at the address shown at the top of this notice. If you need help in determining your annual accounting period (tax year), see Publication 538, Accounting Periods and Methods. We assigned you a tax classification based on information obtained from you or your representative. It is not a legal determination of your tax classification, and is not binding on the IRS. If you want a legal determination of your tax classification, you may request a private letter ruling from the IRS under the guidelines in Revenue Procedure 2004 -1, 2004 -1 I.R.B. 1 (or superseding Revenue Procedure for the year at issue). Note: Certain tax classification elections can be requested by filing Form 8832, Entity Classification Election. See Form 8832 and its instructions for additional information. IMPORTANT INFORMATION FOR S CORPORATION ELECTION: If you intend to elect to file your return as a small business corporation, an election to file a Form 1120 -S must be made within certain timeframes and the corporation must meet certain tests. All of this information is included in the instructions for Form 2553, Election by a Small Business Corporation. (IRS USE ONLY) 575A 09 -29 -2010 ROBE B 9999999999 SS -4 If you are required to deposit for employment taxes (Forms 941, 943, 940, 944, 945, CP -1, or 1042), excise taxes (Form 720), or income taxes (Form 1120), you will receive a Welcome Package shortly, which includes instructions for making your deposits electronically through the Electronic Federal Tax Payment System (EFTPS). A Personal Identification Number (PIN) for EFTPS will also be sent to you under separate cover. Please activate the PIN once you receive it, even if you have requested the services of a tax professional or representative. For more information about EFTPS, refer to Publication 966, Electronic Choices to Pay All Your Federal Taxes and Publication 4248, EFTPS (Brochure). If you need to make a deposit before you receive your Welcome Package, please visit an IRS taxpayer assistance center to obtain a Federal Tax Deposit Coupon, Form 8109 -B. To locate the taxpayer assistance center nearest you, visit the IRS Web site at http:// www. irs .gov /localcontacts /index.html. Note: You will not be able to obtain Form 8109 -B by calling 1- 800 - 829 - TAXFORMS (1- 800 - 829 - 3676). The IRS is committed to helping all taxpayers comply with their tax filing obligations. If you need help completing your returns or meeting your tax obligations, Authorized e -file Providers, such as Reporting Agents (payroll service providers) are available to assist you. Visit the IRS Web site at www.irs.gov for a list of companies that offer IRS e -file for business products and services. The list provides addresses, telephone numbers, and links to their Web sites. To obtain tax forms and publications, including those referenced in this notice, visit our Web site at www.irs.gov. If you do not have access to the Internet, call 1- 800 - 829 -3676 (TTY /TDD 1 -800- 829 -4059) or visit your local IRS office. IMPORTANT REMINDERS: * Keep a copy of this notice in your permanent records. This notice is issued only one time and the IRS will not be able to generate a duplicate copy for you. * Use this EIN and your name exactly as they appear at the top of this notice on all your federal tax forms. * Refer to this EIN on your tax - related correspondence and documents. If you have questions about your EIN, you can call us at the phone number or write to us at the address shown at the top of this notice. If you write, please tear off the stub at the bottom of this notice and send it along with your letter. If you do not need to write us, do not complete and return the stub. Thank you for your cooperation. Keep this part for your records. CP 575 A (Rev. 7 -2007) Return this part with any correspondence so we may identify your account. Please correct any errors in your name or address. Your Telephone Number Best Time to Call INTERNAL REVENUE SERVICE CINCINNATI OH 45999 -0023 I CP 575 A 9999999999 DATE OF THIS NOTICE: 09 -29 -2010 EMPLOYER IDENTIFICATION NUMBER: 27- 3566334 FORM: SS -4 NOBOD ROBERT M GALLAGHER CORP 17299 MEADOW LAKE CIRCLE FORT MYERS, FL 33967 OJ/12/2013 15 :35 2396932522 EDISON BACKFAX PANE 01 DATE{IiM MOfYYM CERTIFICATE OF UABILITY INSURANCE I 041UM THIS CAR"[1PICATE IS 15SUED AS A MATTER OF 1NFOiiMAY A ONLY C�� ER THE CoArERAGE�AFFORDED SY THE POLICIES CERTIFICATE DOES NOT AFRRMAME1.Y OR NATIVELY AMEND, g AUTHORIZED EELOIN. THIS CERTIFICATE OF INSURANCE DOES NOT CONS11TUTE A CONTRACT BEi11Vlr<EN THE iSStAN6 � i, Rr_pRfaSENTATNE OR PRMUCER, AND THE CERTIFICATE HOLL'1ER. IMPORTANT: If the etc Inotder is an ADDITIONAL 1iStIREI?. til+e poli0y(�sl mast he f SUB1rtOfaAT !.S WANEI?, ffiuls to to the to, m and cnn ntax�S of the PC", G e Min puftWs may require an endorsement. A statsnI60 on thus ceAfi�e does t►�t colfrier rights t+� tale —wrt .stn Mnidar In lieu of such end4 �IlCiM�R ;dison Mstxance A9WYr 11114. 113 1 Myms'> 1C,r$Lltelvard #A RobertM llagherCom A•Old inlonInsurancecompanv WIWI aasuasO Robert M, Gallagher INSISUR gg jI, Southern insurance Cam 19216 17M Meadow lake Circle I II :The Travelers Ind. Co 25668 Fort Myers, FL3396? pqWr4M . u C FtCA1ENU FtEVISIONNUMB91t: CQVERAG HAVE SEEN ISffiUED TO THE INSURED NAMED ABOVE FOR THE POLICY PEfilfdD THIS IS TO CERTIFY THAT THE POLICIES OF INSUA:ANC6 LISTED BELOW OF ANY CONTRACT OR OTHER i)OCUMEl+1'i WITH RESPECT TO WHICH THIS INDICATED. Nr3TWITHyCTANDING ANY F�QUIREMFNT. TERM OR CONDITION INDICATED. AFFORDED BY THE POLICIES DESCRIBED HLREIN IS SUBJECT TO ALL THE TERMS, MAY BE ISSUED OR 1111RY PERTAIN, THE INSURANCE OF SUCH POLICIES, LIMITS SHOWN MAY HAVE SEEN FtEptJCED 8'f PAID CLAIMS. EiCGLUSIONS AND CONDITIONS Y P lNSR E To - TYpE I ANC LIMITS 1,000 0 EAGN OCC%jRfkENCE 4 s t89=1712 t3ENLRA4 LIaeILrTY MPGO925C 09f30M3 IAA! cE3►oaemr Lw-) 4 5 500,000 A X COMMEACIAL(;&E l0RALLI- 8I-ITy i a] *=R MEDW(An4drte rnan I d 10,000 CLAIMS -MADE PERSONAL i ADY INJURY S 1,000,000 GQJ0IAL AGGREGA : 2,000,0013 PRODUCTS - CAMFMP AGG $ 2,000,000 GEML 1!4tRRWATE LIMIT APPLIE'8 PER: S PuLct 17 PRO• M L COWBSNED 5INOLK LWI T S $00,00f ALrTDA4C)BILEI LIAaILlTY DA43OX180 01!31/13 011"31M4 (E"sccideft - eoDILY INJURY (per Cal+) e C X ANY AUTO ALL ClVNGO AUTO$ QMLY IN AJRY (per 8XIOVA S SCHECKI UD 6=5 PROPERTY DAMAGE S (Par acaldrntl HIRED AVr08 3 No"WNEO AGITUI r E -- ---------- --- Ul1taRELLA LIAR Op 1R I EALW OCCURRSISICe S EKC U" CLAIM81,1ADE A0GREGATE S , A" mvpLOYCAW LIAWLITY o113W'13 0130114 eL FACH AGCJ[3�T1T x g ANY *ROPRII:TORApAffTNBRACAlECIrmAS j'l"'i N + A ICMI $30501 .._ OrFKmm mR e=140ED? t J ELL DISEASE - EA EMPL E (Milo I "' y m KH) IFcnhr w rr L. GIs ('OI.1CY tT PiPIT0VOOF OPER PONS I L � (AlMeh AOQ1t0 4an, AddM" fW a ft ft$14004. Smee SPwex RUIM01 0 li an Goliler County Dowd of Countycommissloners Fax! 238 - 262 -2489 2800 N. HarseShft Drive ACORD 25 (21109109) COLL 002 ,Hp_ mmIRATIom DADO= m THEFtem NOTICB SWILL BE b L BEFORE IN ACCORDANCE WITH T"9 POLICY PROVISIONS. AUT"OR=13 RSIORMWATNE e 190-2009 AGAR The ACMD name and logo are registered rtl arlta of ACORD R? JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION 08-24 -2012 * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 10/03/2012 PERSON: GALLAGHER FEIN: 273566334 BUSINESS NAME AND ADDRESS: ROBERT M GALLAGHER CORP 17299 MEADOWLAKE CIR. FORT MYERS FL 33967 SCOPES OF BUSINESS OR TRADE: 1- CARPET INSTALLATION EXPIRATION DATE: 10/03/2014 ROBERT M 2- TILE, STONE, MOSAIC OR TERRAZZ IMPORTANT: Pursuant to Chapter 440 . 0504), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05112), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.051131, F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate ntv longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413 -1609 DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW °„ ,d' EFFECTIVE: 10/03/2012 EXPIRATION DATE: 10/03/2014 PERSON: ROBERT M GALLAGHER FEIN: 273566334 BUSINESS NAME AND ADDRESS: ROBERT M GALLAGHER CORP 17299 MEADOWLAKE CIR. FORT MYERS, FL 33967 SCOPE OF BUSINESS OR TRADE: I- CARPET INSTALLATION 2- TILE, STONE, MOSAIC OR TERRAZZ IMPORTANT FO Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election L under this section may not recover benefits or compensation under this D chapter. H Pursuant to Chapter 440.0502►, F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on E the notice of election to be exempt. R E Pursuant to Chapter 440.0503), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413 -1609 CUT HERE * Carry bottom portion on the job, keep upper portion for your records. OWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 ,,Lee County Tax Collector's Office Page 1 of 1 "Jj Home • FAQ • En Espafiol • Contact Us • Printable Version earch... Inform abon Property Taxes Yehtcles 1 Vessels Driver License Hunting & Fishing Local Business Taxes Pay Online a viewCartf k'�Checkaut' MCIp af` Page 1 - of 1 2 matches Show me �0—]Fsaj per page Copyright © 2009, Lee County Tax Collectors Office. All rights reserved. - View Site Policies - View Payment Policies http://www.leetc.com/search—results.asp 4/12/2013 Page 1 - of Show me 0 ©ANK 2 matches per page Account Name/ Address Business Outstanding 1100653 ROBERT M GALLAGHER CORP Descri lion MARBLE / TILE / TERRAZZO Balance GALLAGHER ROBERT CONTRACTOR 17299 MEADOW LAKE CIR FT MYERS FL33967 1103735 ROBERT M GALLAGHER CORP MISCELLANEOUS MAINTENANCE OR REPAIR ROBERT M GALLAGHER CORP 17299 MEADOW LAKE CIR FT MYERS FL33967 Page 1 - of 1 2 matches Show me �0—]Fsaj per page Copyright © 2009, Lee County Tax Collectors Office. All rights reserved. - View Site Policies - View Payment Policies http://www.leetc.com/search—results.asp 4/12/2013 Clear Choice Windows and More, Inc. 12505 Starkey Rd • Suite H •Largo, FL • 33773 Tel: 727 -532 -4010 *Fax: 727- 532 -4510 www.ClearChoiceWin.com May 7, 2013 To: All board members Re: Jim Hardy / Clear Choice Windows and More Inc. My name is Jim Hardy owner of Clear Choice Windows and More. I started Clear Choice in 2004; we sell, install and service windows and doors. We have 29 great employees and have installed over 28 million in sales. We hold an A+ rating with the BBB and have no complaints. We are also a Super Service Award winner with Angie's list 5 years in a row. We are very proud of these accomplishments. Back in 2010 1 registered with your county thinking we were going to do business down there. Due to the sluggish economy it never took off and we did not renew. We are currently doing business as far as North Port and I have in paper work to register in Lee County now. One of my project managers has moved to North Port (where he's from) and we wants to bring our expertise to Collier County. So I'm asking to please reinstate us to do business in Collier County. Thank you, 4r ident H 'rdy HURRICANE WINDOWS ■ SLIDING DOORS ■ ENTRY DOORS Your Local Trusted Window and Door Specialists "CLEAR CHOICE PGT PremierVlud' WINDOWS Door D and Door Dealer AND MORE INC. Made in Florida Specifically Jim Hardy for Florida! President Authorized, PHONE 727.532.4010 X201 Factory- Direct FAx 727.532.4510 Installer EMAIL jim @clearchoicewin.com No Sub - 12775 Starkey Rd., Largo, FL 33773 Contractors HURRICANE WINDOWS ■ SLIDING DOORS ■ ENTRY DOORS Your Local Trusted Window and Door Specialists p� 9v Co er C01411ty CDES Operations & Regulatory Management Licensing Section 2800 North Horseshoe Drive Naples, FL 34104 APPLICATION FOR COLLIER COUNTY /CITY OF NAPLES /CITY OF MARCO FIRM INSTRUCTIONS: This application must be typewritten or legibly printed. The application fee must accompany this application. The fee is not refundable after the application has been accepted and entered on the records. All checks should be made payable to the Board of Collier County Commissioners. For further information, consult Collier County Ordinance No. 90 -105, as amended. NAME OF COMPANY: Exact Corporate /Business Name: �A(Z N0(GC— W INnCWS' AN-0 NO /A)C, Fiction Name /DBA: Qualifier Name: Physical Address: y d ' I' I _`_'i t rub (Number & Street) LAR60 `33 (City) (State) (Zip Mailing Address: W- AS lAijdliC. (Number & Street) (City) (State) (Zip Code) Telephone: I a7 "S jZ" "t 0u l-Go TYPE OF LICENSE: ❑ General $230.00 ❑ Building $230.00 ❑ Residential $230.00 E -Mail: A Q- e ZA (8P CE4 411 l Zb ❑ Electrician $230.00 ❑ Plumber $230.00 ❑ Air Cond. $230.00 ❑ Mechanical $230.00 ❑ Swimming Pool $230.00 ❑ Roofing $230.00 Specialty $205,OQ Specialty trade: 19 a 5 2 V' CHANGE OF STATUS: ��, '; Reinstatement ( } From One Business to Any � \, ( 1) Dor►artQen Page 1 of _' e7 ❑ 12. Planning Approval fee for Home Occupation or Business location if in Collier County. Make Check payable to "Collier County Tax Collector.) $50.00 - Home Occupation $125.00 - Commercial Location ❑ 13. Submit a recent photograph (2 X 2) of Qualifier, taped on application. (Note: A clear copy of your Driver's License is OK.) ® 14. Collier County Business Tax License (formally Occupational License), if your office is located in Collier County. Submit form & check for fee. Make Check payable to "Collier County Tax Collector ". Contact Occupational License at (239) 403 -2477 for fee amount. NOTE: IF YOUR OFFICE IS NOT LOCATED IN COLLIER COUNTY NEED COPY OF CURRENT OCCUPATIONAL LICENSE WHERE YOUR OFFICE IS LOCATED. PROOF OF EXPERIENCE 1.8.1 When determining if the applicant possesses the required experience, the Contractor Licensing Board Supervisor or his /her designee shall accept the following as proof of experience: A. Affidavits /notarized letters from former employers with specifics as to the number of years experience, work performed and any other relevant information. R. CopieA of other certificates of competency, if any, held in other counties, cities; C. Affidavits from any building director in locations where the applicant has worked; D. Affidavits from any union organization of which the applicant has been a member, relative to the trade for which the applicant has made application; E. Affidavits from any other reasonable source as approved by the Contractor Licensing Supervisor within the trade applied for. 1.8.2 Education at an accredited school may be utilized to satisfy a portion of the experience requirements of this section. Specifically, each full year of school level work in the field for which application is made shall be credited to the applicant as .75 years experience, but such credit shall be for no more than one -half of the total experience required. 1. The names, titles, home address and phone numbers of all Officers /Managing Members of the Firm. emu[, to z rate (2 i all businesses, firms, entitles or contracting businesses you have been associated with during the last ten ears (ex. Held a license f/od^r o/r been a�% partner). Attach extra pages if needed,. rt "0 I/AI/ t!_ n V V �' •w�1 A%Y) �11 / 11 it.±s�CWLiirlf�i /d N /, w %/ 3. List all debts you or any company(s) associated with you refused to pa y and the reasons for the refusal to pay. Attach extra pages if needed, AFFIDAVIT I v � iM &S j'A%ZO�_ certify that the foregoing is true and correct to the best of my knowledge. Authorized o the Firm STATE OF F ID COUNTY OF S_ k, The foregoing instrument as acknowledged before me this{�i p (Date) n t By� ac CHOI of 01 C� � f>I k)f)N t.6 PHS10 E� I v C (Name of officer, tit agent) (Name of Corporation) a L_-)U Qft Corporation on behalf of the corporation. (State or Place of Corporation) entlfication and did not take an oath. (Type of identification) NOTARY'S SEAL CHRISTINA AMELIA DUDLEY -GRAY MY COMMISSION # EE125163 Ar z EXPIRES August 25, 2015 (407) 398 0153 FtoddallotaryServica.com Page 2 of 4 UALIFIER INFORMATION: Name: J %1'/'7 E A Address: �� G�'l (Number &Street) (City) (State) (Zip Code) Telephone: j �— �, `— /✓� %S Date of Birth: S.S. #: 000 -00 -� E -Mail: s%/ t �( h/f� /� �/� (j/rA Driver's License: ! 1. Type of Certificate of Competency for which application is made. 2. The names and telephone numbers of two persons who will know your whereabouts. , Orx G. j4 / ( -, -- -7 7;7 - � o q - (7 3. Have you ever been convicted of a crime related to Contracting ?�iN ri (if yes attach extra sheet with explanation) 7. Have you or any firms you have been associated with ever filed bankruptcy? A 7 h 8. List all debts you r any company(s) associated with you refused or failed to pay and reasons why. 9. List your business or work experience during the past ten years. S7AAn0_9 U jFAa <Wrxci� W -2-pU44 10. Statement of any formal training you have had in the area for which the application is made. Page 3 of 4 AFFIDAVIT The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County Ordinance No. 2006 -46, as amended, and vouches for the truth and accuracy of all statements and answers herein contained. The undersigned hereby certifies that he is legally qualified to act on behalf of the business organization sought to be licensed in all matters connected with its contracting business and that he has full authority to supervise construction undertaken by himself or such business or organization and that he will continue during this registration to be able to so bind said business organization. The qualified license holder understands that in all contracting matters, he will be held strictly accountable for any and all activities involving his license. Any willful falsification of any information contained herein is grounds for disqualification. APPLICANT (PLEASE PRINT) 0, iL9At(_knC� "�k:i )s k�o r <� NAME OF COMPANY SI URE OF AP (CANT STATE OFF IDA COUNTY OF �nei,yc s The foregoing instrument as acknowledged before me this (Dat } g who has produced , - of pe Boi a know le ing) (ype of identification) as identification and knot take an oath. NOTARY'S SEAL Y) CHRISTINA AMELIA DUDLEY -GRAY MY COMMISSION # EE1251E EXPIRES August 25, 2015 AFFIDAVIT It is understood and acknowledged by the Collier County Contractors' Licensing Board and myself that if I fail to acquire, or maintain at all times effective Workmen's Compensation insurance it will result in the possible revocation of my Certificate of Competency. SI N TURE OF APPLICANT r 4n11 p11�OI�iS *^4D (V%py(k, BUSINESS NAME DATE BEFORE ME this day personally appeare _ who affirms and says that he has less than one employee and does n t require Workmen's Compensation and understands that at any time he employs one or more persons he must obtain said Workmen's Compensation Insurance. STATE OFF IDA COUNTY OFr�_ The foregoing instrument was acknowledged before me this -_,_Q 3 \\ �(Dj (Date) -bye. who has produced �� % - (name of person actin !edging) (Type of Ident(flcation) as identification and who did not take an oath. NOTARY SEAL DUDLEY -GRAY MY COMMISSION # EE125163 EXPIRES August 25, 2015 AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER I, E I C K U 0141304:1 t= tZ , am a resident of h IzA t: LLJ4 ' C O U 4_ County, 1� L n po b P� (State) and have resided here for more than five (5) years. During the last five years I have known S A�� Vi applicant). I have had the opportunity to observe his or her business and personal dealings antl find him or her to be a person of honesty, integrity and good character. (Signature) (NameAiP 4W LAS: t 1 M-A (Address)Q05:3 Atl A &M F 0 041bt Telephone) -V-1 ` g6-2 113 STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this by � } cDat�> - k) who has produced �- (name of person acknowledging} (Type of identification) a:; identification and who did not take an oath. NOTARY'S SEAL (PRINT NAME OF NOT*Y) NOTARY PUBLIC 5►pr °.&e,'� CHRISTINA AMELIA DUDLEY -GRAY MY COMMISSION # EE125163 ?;F ' EXPIRES August 25, 2015 (407) 398.0153 FloridalloteyService.com (VERIFICATION OF CONSTRUCTION EXPERIENCER GMD Operations & Regulatory Management Department Licensing Section 2800 N. Horseshoe Drive Naples, FL 34104 Applicant's Name: Certificate Category Requested: The Applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate the Applicant must verify their experience within this trade. You are being requested to provide information that will aid the Applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker (e.g. as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience must provide the following information: Name, Title and license number of the person signing below and veifying Applicants relevant experience: Name: Title: Name of Business: Business Address: License Number (if applicable): Business Phone: The Applicant's years of experience from to The applicant's scope of work (specific duties) included: Additional Comments: Falsifying any information provided herein may subject your license to revocation. Signature Print Name: State of Florida County of Collier The foregoing instrument was acknowledged before me on this day of by who is personally known to me or produced as identification and who did not take an oath. Signature of Notary -T L\ Vd 4W ►\ I/ tii OK ok h4 -H O Pat I CC3 3 O 75 O RM x 3 O H �o a � G r^ VI E-+ o w b O U U U C 4-4 q o � • O 'd os k "C3 •V C U O � U O N U ~' O � CC3 O �,�, O 4 •�1�< O co 0 co XK N WIL vio 71 '' p (U • O ct3 O O ® ', O h J � O U � � 3 � � f� O T 4 rn 3 F � cn u � CC3 3 O 75 O RM x 3 O H �o a � G r^ VI E-+ o w b O U U U C 4-4 q o � • O 'd os k "C3 •V C U O � U O N U ~' O � CC3 O �,�, O 4 •�1�< O co 0 co XK N WIL vio 71 '' Detail by Entity Name Page 1 of 2 Events No Name History Entity Name Search Search Return to Search Results etail by Entity Name LEAR CHOICE WINDOWS AND MORE, INC ment Number IN Number Filed or Country S tive Date Event t Date Filed t Effective Date cinal Address P04000085325 201200721 06/01/2004 FL ACTIVE 06/12/2004 AMENDMENT 06/12/2006 NONE 2775 STARKEY RD ILDG A ARGO, FL 33773 ;hanged: 01/19/2011 Aailing Address 2775 STARKEY RD 3LDG A ARGO, FL 33773 ;hanged: 01/19/2011 Reaistered Agent Name & Add -1ARDY, JAMES S 12775 STARKEY ROAD 3LDG A -ARGO, FL 33773 Name Changed: 02/05/2013 Address Changed: 01/19/2011 Officer /Director Detail Name & Address Title P HARDY, JAMES httn- // search. sunbiz. orp-/ Inauirv/ CorporationSearch/ SearchResultDetaillEntityName /domp -... 4/25/2013 CLEAR15 OP ID: KB CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YIYY) TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7 OCCUR 04/26/13 IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS THIS CERTIFICATE CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 727 - 784 -8554 NAME: Jim Hard Stahl & Associates Insurance 727 - 789 -2823 3939 Tampa Road PHONN E .727 -532 -4010 'FAX C No), E-MAIL ADDRESS: Oldsmar, FL 34677 Michael Pagano, AAI INSURE S AFFORDING COVERAGE NAIC 0 INSURER A: Southern Owners Insurance Co 10190 INSURED Clear Choice Windows and INSURER B :Auto- Owners Insurance Co. 18988 INSURER C: $ 2,000,00 More Inc Jim Hardy 12775 Starkey Rd., Bldg A INSURER D: INSURER E: Ee,cdde SINGLE LIMIT n Largo, FL 33773 INSURER F: $ B L;UV tI%AW C.7 vcrn 1 Irly^ 1 c nvmuc+�. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR A TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7 OCCUR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE POLICY NUMBER 2068889412 MM/LDDY/YYW 10/15/12 MM/LDDrYYYY 10/15/13 LIMITS EACH OCCURRENCE $ 1 +000,00 A A PREMISES Ea occurrence $ 300,00 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 PRODUCTS - COMP /OP AGG $ 2,000,00 [�GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- LOC AUTOMOBILE LIABILITY Ee,cdde SINGLE LIMIT n $ $ 1 +000,00 BODILY INJURY (Per person) $ B X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS 4698766800 05/02/12 05/02/13 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ UMBRELLALIAB EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB HOCCUR CLAIMS -MADE WC STATU- OTH- $ _ DED I I RETENTION $ WORKERS COMPENSATION E.L. EACH ACCIDENT $ AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN N E.L. DISEASE - EA EMPLOYEE $ OFFICER/MEMBER EXCLUC (Mandatory In NH) NIA If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) License Holder: James S. Hardy License #C -9592 CERTIFICATE HULUtK `� ^'•" "-"" "'^ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Collier County Contractors Licensing Board AUTHORIZED REPRESENTATIVE 2800 North Horseshoe Drive Naples, FL 34104 •wnnn n^O0f%0AT1/1k1 All A h+. maamghrl ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD Date CERTIFICATE OF LIABILITY INSURANCE 2/19/2013 Producer: Lion Insurance Company 2739 U.S. Highway 19 N. Holiday, FL 34691 This Certificate is issued as a matter of information only and confers no rights upon the Certificate Holder. This Certificate does not amend, extend or alter the coverage afforded by the policies below. (727) 938 -5562 Insurers Affording Coverage NAIC # Insured: South East Personnel Leasing, Inc. & Subsidiaries 2739 U.S. Highway 19 N. Holiday, FL 34691 Insurer A: Lion Insurance Company 11075 Insurers: Insurer c: Insurer D: Insurer E: Coverages The policies of msuence listed below have been iss insured named a ve r policy period i ica Notwithstanding anyrequsrement,termorco itionoanycortract or r ocumentwt respect to ch this certificate may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terns, exclusions, and conditions of such policies. Aggregate limits shown may have been reduced by paid claims. "SR LTR ADDL NSRD Type of Insurance Policy Number Policy Effective Date (MM/DD/YY) Policy Expiration Date (MM /DD/YY) Limits GENERAL LIABILITY Each Occurrence Damage to rented premises (EA Commercial General Liability Claims Made 0 Occur occurrence) $ Mad Ep Personal Adv Injury General aggregate limit applies per: Policy ❑ Project ❑ LOC General Aggregate Products • Comp/Op A99 AUTOMOBILE LIABILITY Combined Single Until (FA Accident) Arty Auto Bodily Injury All Owned Autos (Per Person) Scheduled Autos Bodily Injury Hired Autos (Per Accident) Nor}Ownsd Autos Property Damage (Per Accident) EXCESS /UMBRELLA LIABILITY EachOcourerce Aggregate Occur ❑ Claims Made Deductible A Workers Compensation and Employers' Liability WC 71949 01/01/2013 01/01/2014 X WC Statu- to Limits 1ER OTH- E.L. Each Accident $1,000,000 Any proprietor /partner /executive officer /member excluded? NO E.L. Disease - Ea Employee $1,000,000 E.L. Disease - Policy Limits $1,000,000 If Yes, describe under special provisions below. Other Lion Insurance Company is A.M. Best Company rated A- (Excellent). AMB # 12616 Descriptions of Operations /Locations/Vehicies /Exclusions added by Endorsement/Special Provisions: Client ID: 08 -66-007 Coverage only applies to active employee(s) of South East Employee Leasing Services, Inc. that are leased to the following "Client Company ": Clear Choice Windows and More, Inc. Coverage only applies to injuries incurred by South East Personnel Leasing, Inc. & Subsidiaries active employee(s) , while working in Florida. Coverage does not apply to statutory employee(s) or independent contractor(s) of the Client Company or any other entity. A list of the active employee(s) leased to the Client Company can be obtained by faxing a request to (727) 937 -2138 or by calling (727) 938 -5562. Project Name: ISSUE 02 -19 -13 (TD) Bet in Date: 8/14/2011 CERTIFICATE HOLDER CANCELLATION COLLIER COUNTY CONTRACTOR LICENSING BOARD Should arry of the above desc6bed policies be cancelled bef ore the wpiration date thereof ,thelssingirsurerwll endeavor to mail 30 days written notice to the certificate holder named to the left, but failure o do so shall impose no obligation or liability of any kind upon the insurer, its agerts or representatives. 2800 N. HORSESHOE DRIVE NAPLES, FL 34104 ,. a tn Y` oc .ssKf � : 55md April 24, 2013 Pinellas County/ C -9592 Hillsborough County / SP14191 Pasco County / GG 09322 Sarasota County/ RGWD- SWD -52 Sincerely, James Hardy President (727) 532- 4010 x201 limCE clearchoicewin.com Clear Choice Windows and More, Inc. 12505 Starkey Rd • Suite H *Largo, FL • 33773 Tel: 727 - 532 -4010 *Fax: 727 - 532 -4510 www.ClearChoiceWin.com Your Local Trusted Window and Door Specialists 7 Iv 7► 6,r 4z;01 nt GMD Operations & Regulatory Management Licensing Section 2800 North Horseshoe Drive Naples, FL 34104 APPLICATION FOR COLLIER COUNTY /CITY OF NAPLES /CITY OF MARCO FIRM INSTRUCTIONS: This application must be typewritten or legibly printed. The application fee must accompany this application. The fee is not refundable after the application has been accepted and entered on the records. All checks should be made payable to the Board of Collier County Commissioners. For further information, consult Collier County Ordinance No. 90 -105, as amended. NAME OF COMPANY: Exact Corporate/ Business Name: 94n trt24c_"x(& St2Oct5 L C_ Fiction Name /DBA: Qualifier Name: 4",2- v Physical Address: SF ber & Street) �- 341/1 (City) (State) (Zip Code) Mailing Address: I r �� la.ii1n ��;� JlirwtEs F< 3411 1t (Number & Street) (City) (State) (Zip Code) Telephone: X39 / ° bar TYPE OF LICENSE: E -Mail: ►'14I��.,�,a�:S���y� ��.,� -, ❑ General $230.00 ❑ Electrician $230.00 ❑ Building $230.00 ❑ Plumber $230.00 ❑ Residential $230.00 ❑ Air Cond. $230.00 ❑ Mechanical $230.00 ❑ Swimming Pool $230.00 ❑ Roofing $230.00 Specialty $Zd 00 Specialty trade: s -+ ipi ��` cam, , CHANGE OF STATUS: ( ) Reinstatement ( ) From One Business to Another ( ) Dormant License to Active Page 1 of 4 The names, titles, home address and phone numbers of all Officers /Managing Members of the Firm. 4)to � Sr Aiv(&5 F1 3q11-3 931 -'fr q - �-Sr� 2. List all businesses, firms, entities or contracting businesses you have been associated with during the last ten years (ex. Held a license for or been a partner). Attach extra pages if needed. 3. List all debts you or any company(s) associated with you refused to pay and the reasons for the refusal to pay. Attach extra pages if needed. AFFIDAVIT I, 1`44n44r4 � �i�Z certify that the foregoing is true and correct to the best of my knowledge. 44, 4 l Authoriz d Officer of the Firm STATE OF FLORIDA COUNTY OF Wfu/?) The foregoing instrument as acknowledged before me this T1 / 3 (Date) By �J t2;Mty -) C I N Z of Sryl'Ces L.LG (Name of officer, title /agent) (Name of C oration) a El oy Corporation on behalf of the corporation. (State or Place of Corporation) f He /She has produced, -D}(1Vef � L -i'Cen Ste.- identification and did not take an oath. (Type of identification) NOTARY'S SEAL NOTARY PUBLIC -STATE OF FLOIUDi: S_aan E. Heasley SIGNATURE OF NOTARY Curnrnission #DD947761 ( ) '. Expires: DEC. 17, 2013 BONDED THRU ATLANTIC BONDING CO., INC. Page 2 of 4 QUALIFIER INFORMATION: Name: I\1 14T HA 4 1{ 114 Z- Address: ( 7 i A 141 TI a f NiOW4 tS �� at f j� -3 (Number & Street) (City) (State) (Zip Code) Telephone: 3 - it q Date of Birth: 9 -/ y E -Mail x -c tLn,(ai.c'z Driver's License: k 5,2d -(o C) 1. Type of Certificate of Competency for which application is made. 2. The names and telephone numbers of two persons who will know your whereabouts. 5e,t(u L.. ?Kz I3t�3 3. Have you ever been convicted of a crime related to Contracting? )� jo (If yes attach extra sheet with explanation) 7. Have you or any firms you have been associated with ever filed bankruptcy ?_ 0 8. List all debts you or any company(s) associated with you refused or failed to pay and reasons why. 9. List your business or work experience during the past ten years. lam^ S� t► . SC �. ustc.��w� 10. Statement of any formal training you have had in the area for which the application is made. 1U-0 —k Page 3 of 4 MT )me Print Data Analysis Import/Export Settings Configuration Diagnostics Licensee Information Licensee Number LCC20120004702 Date sofEcarrvTest Name Hinz, Nathan J. ExartTestresuit Type YContractor OAF, 09/2013 Status Open ........... Fail View Master Proiect view All Activities for this Licensee Examination Results Add a new Person or business to Address Boob I�Add Exam Result ink (xart;eTe t Ty Date sofEcarrvTest Cib Scorereceired ExartTestresuit RESIDENTIAL CONSTRUCTION ............................. OAF, 09/2013 Bonita Springs 6 Fail BUSINESS AND LAW 04 /09 2013 Bonita Springs 75 .Pass Show More Fields ide or Clear Fields Active M Charge Exam Fee .1 Exam Code F103S3 Sponsoring County COLLIER COUNTY Sponsorship App Date 11/14/2012 Sponsorship Expiration Date 1 05/14/2013 Testing Facility PROMETRIC Tuesday, May 21, 2013 10:59 AM AFFIDAVIT The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County Ordinance No. 2006 -46, as amended, and vouches for the truth and accuracy of all statements and answers herein contained. The undersigned hereby certifies that he is legally qualified to act on behalf of the business organization sought to be licensed in all matters connected with its contracting business and that he has full authority to supervise construction undertaken by himself or such business or organization and that he will continue during this registration to be able to so bind said business organization. The qualified license holder understands that in all contracting matters, he will be held strictly accountable for any and all activities involving his license. Any willful falsification of any information contained herein is grounds for disqualification. APPLICANT (PLEASE PRINT) NAME OF COMPANY SIGNATURE rMKILICANT STATE OF FLORIDA n �r� COUNTY OF The foregoing instrument as acknowledged before me this _ %il& (z. c)0/--;3 Date) By who has produced 4Uj&,44j L'/��ier� (Name of person acknowled ) (Type of identification) as identification and did not take an oath. NOTARY'S SEAL NOTARY PL13LIC -STATE OF FLORIDA r Susan E. Heasley CornmAssion #DD947761 ....... r Expires: DEC. 17, 2013 1s0"F —D THRUATUMC BONDING CO., LNC. Page 4 of 4 IGNATURE OF NOTARY) AFFIDAVIT IT IS understood and acknowledged by the Collier County Contractors' Licensing Board and myself that if I fail to acquire, or maintain at all times effective Workmen's Compensation Insurance it will result in the possible revocation of my Certificate of Competency. �Flj SIGNATURF/OF APPLICANT � r BUSINESS NAME 5 -OL D -13 DATE BEFORE ME this day personally appeared Wli. who affirms and says that he has less than one employee and does uut require Workmen's Compensation understands that at any time he employees one or more persons he must obtain said Workmen's Compensation Insurance. STATE OF FLORIDA COUNTY OF eg � The foregoing instrument was acknowledged before me this by who has produced ( �) (name of person ack wledging) (I'yp a of identification) as identification and who did not take an oath. NOTARY'S SEAL NOTARY PUBLIGSTATE Of FLORIDA rl Susan E. Heasley Commission # DD947761 .••' Expires: DEC. 27, 2013 BONDED THRU ATLANTIC BONDING CO., INC. 20 - /,1,, S GNATURE OF NOTARY (PRINT NAME OF NOT PUBLIC) NOTARY PUBLIC [VERIFICATION OF CONSTRUCTION EXPE .__.... GMD Operations & Regulatory Management Department Licensing Section 2800 N. Horseshoe Drive Naples, VL 34104 Applicant's Name: lu t -t-) tJ Certificate Category Requested: The Applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate the Applicant must verify their experience within this trade. You are being requested to provide information that will aid the Applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker (e.g. as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience must provide the following information: Name, Title and license number of the person signing below and verifying Applicants relevant experience: Name: _ �% %f ! �� �J� oo7 Title: U' k--5z �K1T- License Number (if applicable): JJ-3 / Z Ncunc of Business: Ile- Business Address: ,Z2 $ 4%^ Gl%/��LES . Ir L Business Phone: Z1 -- ,2 �_ /The Applicant's years of experience from �O/ Q to alo/ "Z_.. The applicant's scope of work (specific duties) included: �f�t£3�r./�G ��✓� ,� ls�G- �— S��a /iwG- /o.�.r -/� t;r Additional Comments: Falsifying any information provided herein may subject your license to r ocation. Sign e Prin ame:_ -19W �� 2-1-, 01 r 0 JK U� State of Florida County of Collier The f°Feg instrument c owle ed before me on this by `� OA 1� 7 who is personally known 1 as identification and who did n take an oath. 'P, - ANGELA REYNOSO '= NAY r:OV1� SSIOFJ # DD929178 r` 'n • off'' PIR -`; ilPITI ber29,2013 oft.• _ �4W) 398 -�15i 'do��rySurr:z.com 8 VERIFICATION OF CONSTRUCTION EXPERIEN GMD Operations & Regulatory Management Department Licensing Section 2800 N. Horseshoe Drive Naples, FL 34104 Applicant's Name: _ f4-14 /►`'�' Certificate Category Requested: The Applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate the Applicant must verify their experience within this trade. You are being requested to provide information that will aid the Applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker (e.g. as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience must provide the following information: Name, Title and license number of the person signing below and verifying Applicants relevant experience: Name: grall-A P I`e— l Title: \ Zsv� License Number (if applicable): Name of Business: Business Address: n In I, r - i •• Business Phone: 3Q9 J5 Q The Applicant's years of experience from Dtv� to ol-W o The applicrunt's scope nf work (9pecific duties) included: Yre Additional Comments: Falsifying any information provided herein may subject your licens State of Florida County of Collier V/ Ys The for oing instr nt was acknowledged befure uue uu this day of- by " utn 2 �° _ who is personally known to me or as identification and who did take an oath. ,6"t L r ANGELA REYNOSO � MY COMMISSION # DD929178 E Se Member 29, 2013 ( 407) 398 -0153 r- ion��;[dot�ry5ervice.com AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER I, :LQ2y2£5 I'— A(/ 1 kJILLi/% am a resident of County, Cat( z7elt- (State) and ha _e resided h re for more than five (5) years. a-e During the last five years I have known 1 l applicant). I have had the opportunity to observe his or her business and personal dealings and find him or her to be a person of honesty, integrity and good character. (Signature) (Name) lj1G� 11E0&'X11UO/� STATE OF FLORIDA COUNTY OF (Address) Telephone) 232?— -- Z 2241 The fo oing instrument was acknowledged before me t q/ �!` P 915 P M915 b 700, 'Jrv'/' d�I,o'l at tltJ who has produced .% (name of persona owledging) (Type of i4ek-jfication) as identification and who did not take an oath. NOTARY'S SEAL o•?" "•� - ANGELA REYNOSO MY COMMISSION # DD929178 "rgrfl°'` EXPIRES Se Member 29, 2013 ( 407) 398 -0153 f- -,Nnl r:' VServ1ca.c0m AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER. am a resident of County, • (State) and have resided here for more than five (5) years. During the last five years I have known / ' rlilV - i�1 -45:I! :=_ (Applicant). I have had the opportunity to observe his or her business and personal dealings and find him or her to be a person of honesty, integrity and good character. (Signature) (Name) XN MaS (Address) Telephoho ne) STATE OF FLORIDA COUNTY OF The foregoing i strument was acknowledged before me this � b 7ig�t Ae w ho has produced � n 0 l` "o (name of person acknowledging) (Type of id ification) as identification and who did not take an oath. OR)" SI NOTARY'S SEAL NOTARY PUBLIC GYP ANGELA REYNOSO =' MY COMMISSION # DD929178 '? EX IRE" Se.i! ember 29, 2013 (407)398 -0153 NolmyService.com --e 0.njdjD 10 RESOLUTION OF AUTHORIZATON WHEREAS �d ' 1.. o ki r94 c rjA & �ZV,crj (Name.of Business Entity) proposes roposes to engage in contracting as ' in (Type oflegal entity: co .Collier.County, Florida, P•� Partnership, etc. da according 1nl to Colliers County Ordinance 200.646, as amended; and WHF1tF.AS N� r 1i�4a1 ( JtUifi f7 /�Cr S Ele ✓l �t S (Name of B mess En ti ) d-Pr�ses to qualify'for a Certificate of Competency with ,u 14 z (Name Of Individual) NOW, THEREFORE, BE IT HEREBY RESOLVED THAT: We the undersigned _ bw &i ER of ,t .� (Officers, Owners, partners) J� A#I G"UrR*M LtG S�x✓� S L.L. -Chereby resolve and rr:Prescmt to the Collier county (Name ofBusiuness Entity) Contractors' Licensing Board that the qualifying agent; Ti Ulm is active (Name of Individual) in all niattcry cornieoted with the contracting busiucss of ),(,a n el v- s Lt � ,and We further resolve and represent that ". 42- mess Entity) is legally empowered to act for i (Names of Individual) `tn all matters connected with its (Name ofBusiness Entity) contracting business, and has the authority to supervise construction undertaken by Art-Tt{Ixi ��t7 .ocT.x(U s��r✓.crs L -L.� (Name of Business Entity) DULY PASSED AND ADOPTED 7MS day of Goers, Pa tners, Owners - with Witness MUMS Wliness Corporate Seal (if Applicable) . Or Notary Public Certificate SWOM to and Subscri and before me this -�2 Notary Public Narhe Printed Commission Number bb '1y 77CP My Commission expires: NOTARY PL F Heasley -C omm- # DD947761 Ey Aires: DEC. 17, 2013 w"rIC BONDLRG CO., INC. day of , o?d l3 by it & I Z otary Public Signature UVLLILN. UUV1N 1 1 U V V 1.�111.N1V1L1N 1 COMMUNITY DEVELOP111ENT AND ENVIRONMENTAL SERVICES DIVISION 2500 N. Horseshoe Dr. • Naples, Florida ;4104 a 239 -403 -2400 • PAX 239 -403 -2334 DATE: November 29, 2007 TO: Applicant's FROM: Michael Ossorio, Contractor Licensing Supervisor. CC: Robert Dunn, Collier County Building Director. Alamar Finnegan, Collier County Permitting Supervisor. Robert Zachary, County Attorneys Office. All Contractor Licensing personnel SUBJECT: Collection of social security numbers. Pursuant to Chapter 119, Florida Statues and Collier County Contractor Licensing Ordinance 2006 -46 Sec. 2.1.1, all applicants are required to submit their social security number (SSN) for the following purposes: a) Assess applicant's ability to satisfy creditors by reviev�ring their credit history. b) Verification of applicant's test scores and information. Our office will only use your SSN noted above for those reasons pursuant to Chapter 119, Florida Statues and as may otherwise be authorized by law. We are fully committed to safe - guarding and protecting your SSN and once collected, will be maintained as confidential and exempt under Chapter 119, Florida Statues. MAY -21 -2013 15:07 Credit Check 561 616 5553 CREDIT CHE MAY 2 12013 CONFIDENTIAL MAY -21 -2013 15:07 Credit Check -,n 561 616 5553 P.02 CREDIT i Al 2 12013 CONFIDENTIAL Individual Cre ` °Reriort .te.. HINZ, NATHAN JAMES � � � r 1 {\] � Lrdered By: i 3ress 129 TAHITI STREET Customer :9999 NAPLES, FL 34113 Received :05/2 "_ /13 Completed :05/21/13 :ial #: Applicant •2379 Bill Amt :$50.00 CREDIT RECORD :edit history has been checked for a period of seven years or from open date.) .edieos Dams Date N.i,9b Unpaid past Pay 11i8turic Stn: Currant Nor, :wvnt Lumber Reported Opannd Credi: Balance Due Terms 30 64 90 status Rav LCOA :X DSNB AS AGREED 748174161 04/13 09/11 0 0 0 REV 00 00 00 R1 16 C ..A -04/13 0000000000000000 12/12 09/12 :GINAL CREDITOR: MEDICAL OF AMER 76 01/11 10/06 ,A =06/0$ 'LYSBANKDE 0069687 04/13 02/08 ,A =01/09 ONE 05/13 07/11 ,A =1.1/11 ONE 630900461 09/12 01/12 A =09/12 ALRY PORT 986146 05/13 09/12 GINAL CREDITOR: HSBC BANK NEVADA 0446002 02/10 10/08 GINAL CREDITOR: ME DIC L IFINANCIA 07/08 03/08 A =07/08 COLLECTION 110 110 110 COLL -- - -- 09-* 00 A COLLECTION 955 955 955 28 -- -- - - R9-* 05 A AS AGREED 680 CLOSED 0 REV 0000 00 R1 .48 A COLLECTION 1190 1190 1190 35 -- -- - R9-* 02 A 513 0 0 REV 523 540 540 COLL - - -- -- .13 PAID 4487 CLOSED 0 0 -- -- -- 0 0 0000 00 PD COLLECT R9-* 00 A COLLECTION 49-* 00 A PD COLLECT 09-* 01 A AS AGREED I1 04 A -red by: APPLICANT - SEE NAME ABOVE wtina AaAnrv- ('.roefit r..hank Inn- - qni GYf. �'31111A f`nr! Q..ue u 1n t.. .� o. ,. e� r. owan rernw MAY -21 -2013 15 :07 Credit Check 561 616 5553 P.03 CREDIT CHECK CONFIDENTIAL. ne ..... HIhZ, NATHAN JAMES 08/08 Customer: 9999 Page; 2 CREDIT RECORD PAID :edit history has been Checked for a period of Seven years or from open date.} redi.tor cats Date Nigh Unpaid Past ccpunn r}wnber Reported Gponsd Credit Balance Duct day Riatar!c Sta: Current Mats ^t:r=a 30 60 90 Status lea ECOA CIFINANCIA AS AGREED 174007432317776 08/03 08/02 2522 CLOSED 0 0 0000 00 11 11 A A =08/03 04/13 7T SCLUTNS COLLECTION 86015 05/13 07/12 1173 1173 1173 COLL -- -- -- 09-* 01 A :GINAL CREDITOR: HSBC ORCHARD BANK R1. 17 C 3GN REC COLLECTION ,THMTR1000684332 03/13 11/06 306 489 489 COLL -- -- 09-* 07 A :GINAL CREDITOR: MEDICAL 'COVER -- .A =07/08 FB MACYS 0229.27 ,A =10/11 .RB /SMRTCN 4407102168 ,A =07/08 .CO CARD ,A =08/08 ,C MORT . 2205906 A =07/08 .0 904892367 A =10/06 C 904564354 A -03/04 C BANK A =09/08 01/09 12/07 142869 0 10/06 02/04 10200 CLOSED 03/04 0 =/04 10/10 04/07 9319 CLOSED 1173 PAID 0 0 0 PD WAS =20 0 0103 02 M5°* 13 A 0 00 00 00 0 00 00 00 0 REV --- -- -- AS AGREED 21 11 A AS AGREED 21 02 A PD COLLECT R9-* 04 A .,red by. APPLICANT - SEE NAME ABOVE )rtina Aaennv: Credit Check Inc. . �r11 7 Mvi -henna t'ni try ltd }v U %Al^�# o. ii ov--6 Wl AS AGREED 08/08 11/86 1426 PAID 0 REV 0000 00 R1 37 A AS AGREED 04/13 09/11 1039 0 0 REV 00 cc 00 R1. 17 C PD COLLECT 04/09 02/08 124 PAID 0 REV - - -- -- R9-* 01 A COLLECTION 05/12 03/C8 965 964 964 28 -- -- -- R9-* 05 A 01/09 12/07 142869 0 10/06 02/04 10200 CLOSED 03/04 0 =/04 10/10 04/07 9319 CLOSED 1173 PAID 0 0 0 PD WAS =20 0 0103 02 M5°* 13 A 0 00 00 00 0 00 00 00 0 REV --- -- -- AS AGREED 21 11 A AS AGREED 21 02 A PD COLLECT R9-* 04 A .,red by. APPLICANT - SEE NAME ABOVE )rtina Aaennv: Credit Check Inc. . �r11 7 Mvi -henna t'ni try ltd }v U %Al^�# o. ii ov--6 Wl MAY-21-2013 15:08 Credit Check 561 616 5553 P.04 ,vIT H SM R ECK CONFIDENTIAL HINZt NATHAN JAMES customer! 9999 Page: 3 CREDIT RECORD :edit history has been checked for a PeriOd Of seven years or from open date,) redlzor a=aunz N"Mb4r Cato Repoirced saes Opened HlQh Cxctd-lr Unpaid WL I a ncs pbut cue Pay Terms, xistor-C 9cAt 30 Go 90 currant mos stritux Nov Ecok )LAND FUND COLLECTION 130498964 04/13 03/09 303 377 377 COLL -- 09-* 04 A CREDITOR: GE MONEY BANK '10NSTAR FORECLOSURE 16464004 07/10 12/07 142869 0 0 0 0000 05 MS-* 10 A ,A-07/08 STUDNTLN PD WAS 120 :6498199 03/13 08/08 7000 0 0 0 0003 10 I5-* 39 A ,A-03/13 STUDNTLN PD WAS 120 . 6497599 03/13 01/C2 1750 0 0 0 0003 10 IS- 48 A ,A-07/08 STUDNTLN PD WAS 120 6497899 03/13 08/08 5500 0 0 0 0003 10 T5-* 48 A ,A=03/13 STUDNTLN PD WAS 120 6497699 03/13 08/02 5500 0 0 0 0003 10 15" 48 A ,A-07/08 STUDNTLN PD WAS 120 6497799 03/13 ll/C3 55CO 0 0 0 0003 10 15-* 48 A ,A=07/08 STUDNTLN PD WAS 120 6497999 03/13 08/02 5000 0 0 0 0003 10 15-* 39 A A=07/08 ST"JDNTLN PD WAS 120 6498099 03/13 1:/03 4483 0 0 0 0003 10 15-* 39 A A=07/0a LIAMFUDGE 85986 05/13 07/12 442 589 589 COLL -- -- -- COLLECTION 09-* 01 A GINAL CREDITOR: TECHNICAL COLL LOWCOUNTRY Total trade lines on this report: 30 UC RECORDS. -red by: APPLICANT - SEE NAME ABOVE )rtin.q Agency: Credit Check. Inc. - 3017 rtxchanaa Court lqiiitp H 1Alaa4 Pnlrn Ml IlArlCj i=M4% &4& MAY-21-2013 15:08 Credit Check 561 616 5553 P.05 sm .EDIT X ry CONFIDENTIAL .[? CHE....L., r Me....: HINZ, NATHAN JAMES Customer: 9999 page; 4 IBLIC RECORDS: 'BLIC RECORDS HAVE BEEN CHECKED AT THE COUNTY, STATE AND FEDERA.:, LEVELS WITH -E FOLLOWING RESULTS: CLEAR AS OF 05/21/13. �URCE(S): EQUIFAX TRANSUNION QUIRIES: /21/13 by 'C'REDIT CHECK (TU) #00630273 )MMENTS: AUD RECORDS HAVE BEEN SYSTEMATICALLY CHECKED BY THE ABOVE ACCESSED BUREAUS. FESCAN/EQUIFAX, HAWK ALERT/TRANSUNIOW CHECKED FOR FRAUD. PORT WORKED BY RENEE tEDIT SCORE: PLICANT FICO SCORE. C511 (Scores range from 300 to 650) 1 *** END OF REPORT *** hla TM Pam "o"alon " do'*44"CIA end IS not 10 be dW99d UWA Ca M*W by the Pair Creal ReWk4 A4L Is =ah=iy ft an aid In de*nnhrq ft oreatr daelraNIty of the Wpikw*s). Of Is In no way gmenteed• Qy y%raoovpW4q SW aq at W& Wool, you spvalWly agree to 1014 C(80 Check Inc. Ma"t"s Iran YN 11abally wjWsaGv&(. tired by: APPLICANT - SEE NAME ABOVE orting Agency: Credit Check, Inc. - 3017 Exchange Court, Suite H. West Palm Beach, FL 33409 . (561) 616-6666 TnTAI P - Aq TTEMEN 1P This certifies that I, _ NJATM ► N-iruz am a memo (APPLICANT'S NAME) member o r t /� - Managing member of 1�rk4m 0-w Q'rA4e -7 ,Wcr ,,,,D, L. L c (LIMITED UUIUTY COMPANY NAME) I own Q/o of the units issued by the Limited Liability Company listed above. Affidavit of Applicant:.I certify that the information contained is a true and correct statement to the best of my knowledge. . io � --2- . (PRINT NAMLO PPUCANT'S SIGNAME) ;�/,�2J -2 0 1 Detail by Entity Name No Events No Name History 29 TAHIT ST IAPLES, FL 34113 29 TAHIT ST IAPLES, FL 34113 IINZ, NATHAN J 29 TAHITI ST IAPLES, FL 34113 lame & Address 'itle MGR IINZ, NATHAN J 29 TAHITI ST IAPLES, FL 34113 No Annual Reports Filed 04/29/2013 -- Florida Limited Liability View image in PDF format Page 1 of 2 Entity Name Search Search http:/ /search. sunbiz.org/ Inquiry/ CorporationSearch ISearchResultDetail /EntityName /flal -11... 5/21/2013 Return to Search Results Detail by Entity Name Florida Limited Liability Company NATHAN CONTRACTING SERVICES LLC Filing Information Document Number L13000062218 FEI /EIN Number NONE Date Filed 04/29/2013 State or Country FL Status ACTIVE Effective Date 04/29/2013 29 TAHIT ST IAPLES, FL 34113 29 TAHIT ST IAPLES, FL 34113 IINZ, NATHAN J 29 TAHITI ST IAPLES, FL 34113 lame & Address 'itle MGR IINZ, NATHAN J 29 TAHITI ST IAPLES, FL 34113 No Annual Reports Filed 04/29/2013 -- Florida Limited Liability View image in PDF format Page 1 of 2 Entity Name Search Search http:/ /search. sunbiz.org/ Inquiry/ CorporationSearch ISearchResultDetail /EntityName /flal -11... 5/21/2013 Detail by Entity Name Page 2 of 2 No Events No Name History Entity Name Search .Return to Search Results Search Horne Con -.t u,, ( Document . rK2 5 ; F:. -Fdinc Servi er F nm Help Home Contact Us f n ervices ocumen earc es Forms Help Coovriaht ?) and Privacy Policies State of Fforida, Department of State http: // search. sunbiz.orgllnquirylCorporationSearchISearchResultDetaillEntityNamelflal-11... 5/21/2013 Print Page 1 of 2 Subject Corporate Filing - 700247353947 From: limitedonline @dos.state.fl.us (limitedonline @dos.state.fl.us) To: NATHANH1NZ57 @YAHOO.COM; Date: Monday, April 29, 2013 11:23 AM The Articles of Organization for NATHAN CONTRACTING SERVICES LLC were filed electronically on April 29, 2013, effective April 29, 2013, as verified by the letter and authentication number shown below and were assigned document number L 13000062218. Please refer to this number whenever corresponding with this office. Electronic filing and certification is provided for in section 15.16, Florida Statutes and has the same legal effect as any other filing or certificate. To maintain "active" status with the Division of Corporations, an annual report must be filed yearly between January 1 st and May 1 st beginning in the year following the file date or effective date indicated above. If the annual report is not filed by May 1st, a $400 late fee will be added. It is your responsibility to remember to file your annual report in a timely manner. A Federal Employer Identification Number (FEI/EIN) will be required when this report is filed. Contact the IRS at .— for an SS4 form or go to www.irs.gov. Please be aware if the limited liability company's address changes, it is the responsibility of the limited liability company to notify this office. Should you have any questions regarding this matter, please contact this office at the address given below. Deidre Butler Regulatory Specialist II Registration Section -- -Division of Corporations - P.O. Box 6327 - Tallahassee, FL 32314 Letter Number: 130429142342- 700247353947 http: / /us -mg6. mail. yahoo.com /neo /launch ?.rand= c2hkltrr5gdgh 5/20/2013 y" IR DEPARTMENT OF THE TREASURY YY i�i7 INTERNAL REVENUE SERVICE CINCINNATI OH 45999 -0023 NATHAN CONTRACTING SERVICES PLC NATHAN JAMES HINZ SOLE MBR 129 TAHITI ST NAPLES, FL 34113 Date of this notice: 05 -21 -2013 Employer Identification Number: 46- 2820721 Form: SS -4 Number of this notice: CP 575 G For assistance you may call us at: 1- 800 - 829 -4933 IF YOU WRITE, ATTACH THE STUB AT THE END OF THIS NOTICE. WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER Thank you for applying for an Employer Identification Number (EIN). We assigned you EIN 46- 2820721. This EIN will identify you, your business accounts, tax returns, and documents, even if you have no employees. Please keep this notice in your permanent records. When filing tax documents, payments, and related correspondence, it is very important that you use your EIN and complete name and address exactly as shown above. Any variation may cause a delay in processing, result in incorrect information in your account, or even cause you to be assigned more than one EIN. If the information is not correct as shown above, please make the correction using the attached tear off stub and return it to us. A limited liability company (LLC) may file Form 8832, Entity Classification Election, and elect to be classified as an association taxable as a corporation. If the LLC is eligible to be treated as a corporation that meets certain tests and it will be electing S corporation status, it must timely file Form 2553, Election by a Small Business Corporation. The LLC will be treated as a corporation as of the effective date of the S corporation election and does not need to file Form 8832. To obtain tax forms and publications, including those referenced in this notice, visit our Web site at www.irs.gov. If you do not have access to the Internet, call 1- 800 - 829 -3676 (TTY /TDD 1- 800 - 829 -4059) or visit your local IRS office. IMPORTANT REMINDERS: * Keep a copy of this notice in your permanent records. This notice is issued only one time and the IRS will not be able to generate a duplicate copy for you. You may give a copy of this document to anyone asking for proof of your EIN. * Use this EIN and your name exactly as they appear at the top of this notice on all your federal tax forms. * Refer to this EIN on your tax- related correspondence and documents. If you have questions about your EIN, you can call us at the phone number or write to us at the address shown at the top of this notice. If you write, please tear off the stub at the bottom of this notice and send it along with your letter. If you do not need to write us, do not complete and return the stub. Your name control associated with this EIN is NATH. You will need to provide this information, along with your EIN, if you file your returns electronically. Thank you for your cooperation. ACOROr `�, CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 05/2212013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the po cy (les) must be endorsed. 9 SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Titanium Insurance, Inc. 4280 Tamiami Trail E Suite 302- E Naples - FL 34112 GUN FAUT NAME: Susan H W No . 239 - 417 -1636 (Z, Nol; 239 -417 -2864 ADDRESS; INSURERS) AFFORDING COVERAGE NAIC t INSURER A: Canopus US Insurance Inc LIMITS INSURED Nathan Contracting Services LLC 129 Tahiti St Naples FL 34113 INSURER 8: COMMERCIAL GENERAL LIABILITY KI ❑ CLAIMSMADE OCCUR INSURER C: INSURER 0: INSURER E: EACH OCCURRENCE INSURER F: k.Vvtmut3 CERTIFICATE NUMBER: RFVISInld IMI IIURFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE S POLICY NUMBER POLICY EFF POLICY EXP LIMITS COMMERCIAL GENERAL LIABILITY KI ❑ CLAIMSMADE OCCUR EACH OCCURRENCE $ 1,000,000 PREMISES (Ea occurrence) S 100,000 ❑ MED EXP (Any one person) $ 5,000 A 13 -0030 05122/2013 05/22/2014 ❑ PERSONAL &ADVINJURY $ 1,000,000 GENL AGGREGATE LIMIT APPLIES PER: POLICY FE—IMECT LOC GENERAL AGGREGATE f 2,000, 000 PRODUCTS - COMPIOPAGG $ 2,000,000 ❑ OTHER: S AUTOMOBILE LIABILITY ❑ ANY AUTO (Ea acct I=Ll $ BODILY INJURY (Per person) $ SCHEDULED ❑ AUTOS�D ❑ AUTOS BODILY INJURY (Per ecciderd) S ❑ HIRED AUTOS ❑ AUTOS � ❑ 1 (Per accident) $ $ ❑ ❑ UMBRELLA UAB EXCESS UAS ❑ ❑ OCCUR CLAIMS-MADE EACH OCCURRENCE $ AGGREGATE $ ❑ DED ❑ RETENTION $ f WORKERS COMPENSATION D EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTrVE YIN FFICERIMEMBER EXCLUDED? NIA S ERTM ❑ TATUTE E.L. EACH ACCIDENT S E.L DISEASE - EA EMPLOYEE $ Mandatory In and yea. deaaibe under E.L. DISEASE - POLICY LIMIT f IDESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Addidonal Remarks Schedule, may be apached I Mora space Is required) pressure washing and sealing of paved driveways, walkways, pod decks and patios. vwcn _ CANCELLATIDN Collier County Contractor Licensing Board 2800 N. Horseshoe Dr. Naples ACORD 25 (2013104) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED FL 34104 GL� ®1988.2013 ACORD CORPORATIO .All The ACORD name and logo are registered marks of ACORD reserved. 05 -23 -2013 JEFF ATWATER STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 05/23/2013 PERSON: HINZ FEIN: 462820721 BUSINESS NAME AND ADDRESS: NATHAN CONTRACTING SERVICES LLC 129 TAHITI ST NAPLES FL 34131 SCOPES OF BUSINESS.OR TRADE: 1- PAVING (5221) 3- PAINTING STRIPES(STREET (9402) EXPIRATION DATE: 05/23/2015 NATHAN J 2- SEALCOATING IMPORTANT: Pursuant to Chapter 440 . 05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate go longer meats the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413 -1609 DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW 9 EFFECTIVE: 05/23/2013 EXPIRATION DATE: 05/23/2015 PERSON: NATHAN J HINZ FEIN: 462820721 BUSINESS NAME AND ADDRESS: NATHAN CONTRACTING SERVICES LLC 129 TAHITI ST NAPLES, FL 34131 SCOPE OF BUSINESS OR TRADE: 1- PAVING (5221) 2- SEALCOATING 3- PAINTING STRIPES(STREET (9402) IMPORTANT OPursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election L under this section may not recover benefits or compensation under this D chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be H exempt... apply only within the scope of the business or trade listed on E the notice of election to be exempt. R E Pursuant to Chapter 440.05031, F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. f, CUT HERE QUESTIONS? (850) 413 -1609 * Carry bottom portion on the job, keep upper portion for your records. OWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 COLLIER COUNTY BUSINESS TAX RECEIPT APPLICATION 2800 N. Horseshoe Drive, Naples, FL 34104 Make Check Payable to: Collier County Tax Collector Phone: 239 - 252 -2477 Fax: 239 - 643 -4788 Website: www.colliertax.com CHECKLIST Copy of Articles of Incorporation and/or Fictitious letter Yellow Fire Compliance (list of fire district phone number from the State stating that your business name is on file. enclosed) (850- 245 -6052 or 6058) www.sunbiz.org Copy of Marco Zoning Certificate. (239- 389 -5000) Copy of State license from Department of Business and Professional (850 - 487 -1395) or Department of Health. Completed Zoning application with appropriate fee made payable (850- 488 -0595) to: Board of County Commissioners. (239- 252 -5603) Copy of City Business Tax Receipt. (239- 213 -1800) Completed Business Tax Receipt application with appropriate fee made payable to: Collier County Tax Collector. (239- 252 -2477) Other: Please contact the Property Appraiser's office at 239 - 252 -8145 regarding tangible tax. o f Txe _s� av a CpD W"f;t Copy of Motor Vehicle Repair Registration Certificate from Department of Agriculture. (800- 435 -7352) Copy of Health inspection from Department of Hotels and Restaurants (850- 487 -1395) or Department of Agriculture. (800- 435 -7352) CHECK ONE: Original Application Transfer of License # Date: Classification _ Code Number Renewal of License # License Amount 1) CORPORATE NAME - Wr47144" ('"rrrlAr a- S6,KV, L 3 LL C la) DBA NAME - lb) BUSINESS OWNER OR QUALIFIER'S NAME - Oyl-Tt+14+`t 91A1Z V_� 2) PHYSICAL ADDRESS - iii - r,4*,T/ ST AfwcEs icl 3yit3 (No P.O. Box allowed) 2a) IS RESIDENCE USED AS AN OFFICE - Yes ✓ No 3) BUSINESS MAILING ADDRESS - I -.�tl -r44rn ST MmOgFs GG -3q11_3 Street City Zip 4) OWNER OR QUALIFIER'S RESIDENTIAL ADDRESS - Iaq 7n*jg ST ea Ce 5) 6) 7) 8) 9) TELEPHONE -Business: Home:3 LEGAL FORM OF BUSINESS: Sole Proprietorship Partnership Corporation _ tLC LLP OPENING DATE OF BUSINESS OR DATE ASSUMED - OFFICE WITHIN CITY LIMITS OF NAPLES - _ Yes _ No If Yes, City License No. SOCIAL SECURITY NO. or FEDERAL EMPLOYER IDENTIFICATION NO. lit — i iJ 20 1 -/ Z I *see back of application for explanation 9a) TYPE OF BUSINESS CONDUCTED: S Er L lob— 4- j- r4jeW&- 10) NUMBER OF EMPLOYEES - Including number of owners: 11) FILL IN THE APPROPRIATE AREAS - a) Rental units (motel/hotel/apts.) Number of units: b) Seating Capacity (rest. /cafes, etc) Number of seats: c) Number of coin - operated machines owned by business or individual: 12) STATE LICENSE OR CERTIFICATION NUMBER - Must have photo copy of state license if state licensed and certified UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN I �T / TIE BEST OF MY KNOWLEDGE. xxxAPPLICANT ' S SIGNATURE: (Owner and/or representative of business) TITLE: * ** *THIS LICENSE IS NON -Rl DATE: FOR BUSINESS STATED ABOVE * * ** t CO)e T C 0 U " ty, COLLIER COUNTY GOVERNMENT DEPT. OF ZONING & LAND DEVELOPMENT REVIEW WWW.COLLIERGOV.NET (239) 252 -2400 FAX (239) 643 -6968 LAND USE AND ZONING CERTIFICATE HOME OCCUPATION Please take the time to fill out this form as completely as possible. Remember that only someone actually living at the address given below may engage in the home occupation described. Customers or employees not living at this address are prohibited from traveling to and from the residence if visits are related to this home occupation. The applicant is the person in whose name the occupational license will be issued, and the applicant's signature must appear on this form. Verb cation as property owner or lessee in the form of Valid Florida's Driver License or Florida Identification Card and/or copy of valid lease agreement is required. APPLICATION DATE APPLICANT'S NAME ►4`f°%{•� APPLICANT'S HOME ADDRESS 1 a 9 TYPE OF BUSINESS TO BE CONDUCTE BUSINESS NAME (IF ANY)_ — ZONING CERTIFICATE # TC- 1`+t °Z PHONE: am-, 77 Sr &w-, us 31-1113 D 1, the undersigned, hereby affirm that l am the legal owner of the property at the above address or that .1 have the legal right to conduct the business described above at this address by virtue of my leasehold interest in this property, and that l have read, understood, and agree to a ' e by the provisions of LDC Section 5.02.00 'Home. Occupations° (see back of application). APPLICANT SIGNATURE DATE. FEE: $50.00 CHECKS PAYABLE TO: `COLLIER COUNTY TAX COLLECTOR" TO ;$E COz Pwz= p BY ZONING: PROPERTY ID # DATE REVIEWED BY APPROVED HOLD DENIED COMMENTS /RESTRICTIONS: Must comply with Section 5.02.00 of the LDC (see back of application). Tax Collector Staff: Please forward a copy of issued certificate and receipt to Collier County Zoning Department. D I 1 r Findings of Fact, Conclusions of Law and Decision of the Board Collier County Contractors' Licensing Board For Applications Submitted to the Board for Review Type of Application: X Credit Report Review Waiver of Testing Requirements Reinstatement of License Request to Qualify Second Entity Other (specify) THIS CAUSE came on for public hearing before the Contractors' Licensing Board (hereafter Board) on December 9, 2012, for consideration of the application submitted to the Board for review. The type of application is set out above. The Board having heard testimony under oath, received evidence, and heard arguments relative to all appropriate matters, thereupon issues its Findings of Fact, Conclusions of Law and Order of the Board as follows: FINDINGS OF FACT 1. That Victor Treissa d /b /a Kitchen Installations of SWFL, LLC. (the "Applicant ") has submitted an application to the Collier County Contractor Licensing Supervisor or his designee for a Certificate of Competency as a Cabinet Installation Contractor and based on the credit reports supplied by the Applicant the Licensing Superviser determined a review of the credit by the Board is necessary. 2. That pursuant to Section 22- 184(b) of the Collier County Contractors' Licensing Ordinance (Ordinance 90 -105, as amended) applications which do not appear on their face to be sufficient require referral to the Board for a decision regarding approval or denial of said application. E 305469.1 1/412013 3. That the Board has jurisdiction over this matter and that Victor Treissa d /b /a Kitchen Installations of SWFL, LLC was present at the public hearing on December 19, 2012, and was not represented by counsel. 4. All notices required by Collier County Ordinance No. 90 -105, as amended, have been properly issued. 5. The facts in this case are found to be: a. Applicant has adequately demonstrated through testimony and evidence presented at this hearing that her licensure will not result in risk of economic loss resulting from the Applicant's ability to pay lawful contractual obligations, subject to her satisfaction of the terms set out herein. b. Credit report does not meet the standards of Florida Rule 61G4- 15.006 for Financial Responsibility. C. It is appropriate for the Applicant to be issued a probationary license and subject to further credit review. CONCLUSIONS OF LAW 1. Based upon the foregoing facts, the Board concludes that the applicant has met the standard set out in Ordinance 90 -105, as amended, subject to the restrictions and Stipulations set out herein. ORDER OF THE BOARD 1. Based upon the foregoing Findings of Fact and Conclusions of Law, and pursuant to the authority granted in Chapter 489, Florida Statutes, and Collier County Ordinance No. 90 -105, as amended, by a vote of 5 in favor and 2 opposed, a 2 305469.1 1/4 /2013 unanimous vote of the Board present, the Applicant's credit report is approved so that a license may be granted subject to the following conditions: 2012. a. Six (6) month probationary license shall be issued; b. Applicant is to provide updated approved form of credit report within thirty (30) days; c. Applicant is to provide updated business and personal credit reports to the Contractor Licensing Supervisor six (6) months from the date of the hearing held December 19, 2012 and shall appear before the Board for a review of the credit reports at the next regularly scheduled Board meeting after submitting the reports. ORDERED by the Contractors Licensing Board effective the 19th day of August, CONTRACTOR'S LICENSING BOARD CQ��IER COUNTY, FLORIDA By: Richard J6slin, Chairman I HEREBY CERTIFY that a true and correct copy of the above and foregoing Findings of Fact, Conclusions of Law, and Order of the Board has been furnished the Applicant, and Michael Ossorio, Licensing Compliance Supervisor, 2800 North Horseshoe Drive, Naples, FL 34103 on thisY thyat.Qecember, 2012. 3 ntractor's Licensing Board 305469.11/4W13 I Prepared By: Merit Credit (239) 277 -3202 (800) 371 -3348 TRANSUNION CREDIT REPORT (FOR] [SUB NAME] [MKT Sr] (I) Z NP6284423 MERIT CREDIT 16 NP [SUBJECT] TREISSA, VICTOR M. (ALSO KNOWN AS] VICTOR,TRESSA [CURRENT ADDRESS] 3730 WHITE BV., NAPLES FL. 34117 [FORMER ADDRESS] 441 NE. 12TH AV., NAPLES FL. 34120 200 FOREST LAKES BV., #206. NAPLES FL. 34105 [POS [CURRENT EMPLOYER AND ADDRESS] SMART BY KITCHEN (FORMER EMPLOYER AND ADDRESS] SELF EMPLOYED SALES ATE j [TIME] 28/13 13:18CT $SN] L`� [BIRTH DATE] 5/76 ION [RPTD] 12/06 [DATE RPTD] 6/06 4/06 ---------------------------------------------------------------------------- M O D E L P R O F I L E * * * A L E R T * ** * * *FICO CLASSIC 04 ALERT: SCORE +504 : 038, 013, 020, 018 * ** IN ADDITION * * *TO THE FACTORS LISTED ABOVE, THE NUMBER OF INQUIRIES ON THE CONSUMERTS ** *CREDIT FILE HAS ADVERSELY AFFECTED THE CREDIT SCORE. C R E D I T S U M M A R Y * ** T 0 T A L F I L E H I S T O R Y PR =1 COT, =6 NEG =4 HSTNEG =1 -40 TRD =9 RVL =3 INST =4 MTG =1 OPN =1 INQ =4 HIGH CRED CRED LIM BALANCE PAST DUE MNTHLY PAY AVAILABLE REVOLVING: $0 $300 $0 $0 100% MORTGAGE: $324K $ $317K $65.OK $3163 CLOSED W /BAL: $7416 $7416 $289 TOTALS: $324K $300 $324K $72.4K $3452 ---------------------------------------------------------------------- - - - - -- P U B L I C R E C O R D S SOURCE DATE LIAB ECOA COURT ASSETS DOCKET# TYPE PLAINTIFF/ATTORNEY Z 5064186 10/09R $241 I RD 4346846 STATE TAX LIEN B4496P407 C O L L E C T I O N S SUBNAME SUBCODE ECOA OPENED CLOSED $PLACED CREDITOR MOP ACCOUNT# VERIFIED BALANCE REMARKS ARS Y 2BQ4002 I 6/12 $513 MEDICAL 09B 000000000000000000 11 /12A $513 PLACED FOR COLLECTIO ARS Y 2BQ4002 I 7/11 $1140 MEDICAL 09B 000000000000000000 11 /12A $1140 ACCT INFO DSP BY CSM ARS Y 2BQ4002 I 7/11 $815 MEDICAL 09B 000000000000000000 11 /12A $815 ACCT INFO DSP BY CSM ARS Y 2BQ4002 I 7/11 $760 MEDICAL 09B 000000000000000000 11 /12A $760 ACCT INFO DSP BY CSM MERCHANTSCOL Y 2057001 I 3/12 $133 10 FLORIDA POWER L 09B 12396158 9/12A $133 ACCT INFO DSP BY CSM ENHANCRCVRCO Y 26MT002 I 6/11 $339 11 SPRINT 09B 52833676 ---------------------------------------------------------------------------- 7 /11A $339 PLACED FOR COLLECTIO T R A D E S SUBNAME SUBCODE OPENED HIGHCRED TERMS MAXDELQ PAYPAT 1-12 MOP ACCOUNT# VERFIED CREDLIM PASTDUE AMT -MOP PAYPAT 13 -24 ECOA COLLATRL /LOANTYPE CLSD /PD BALANCE REMARKS MO 30/60/90 REGIONAL ACC F 85UD091 11/04 $12.1K 66M289 109 62545101 12/12A $6641 C AUTOMOBILE 5/09F $6641 UNPAID BLNC CHRGD OFF SUNCOAST CU Q 298QOOI 8/04 $0 009 41997 12/12A $775 C DEPOSIT ACCT OVRD 2/07F $775 UNPAID BLNC CIIRGD OFF CHASE AUTO B 8251008 2/04 $14.5K 72M301 109 528210054870 1 /09A $0 C AUTOMOBILE 1109F $0 RESLVD RPT BY GRANTOR BK OF AMER B 427SO02 5/06 $324K 36OM3163 2/08 55555555555X M05 128271063 12/12A $65.OK $11.5 05 XXXXX5555555 I CONVENTIONAL REAL $317K FORECLOSURE INITIATED 48 2/ 2/36 FST PREMIER B 41PFOOI 8/05 $332 11/07 R01 461007873501 8/12A $200 $0 $100 05 I CREDIT CARD 8/07C $0 ACCT CLSD BY CONSUMER 48 0/ 0/ 0 CHEVRON 0 103TO01 12/05 $426 lIllIX11111X R01 121529 8/07A $300 $0 111iXi I CREDIT CARD 8/07C $0 PURCH BY OTHER LENDER 18 0/ 0/ 0 PEAK 5 F lYZ9001 11/04 $12.1K 66M289 111111111111 101 16795201 9/06A $0 111111111 C AUTOMOBILE 9/06C $0 CLOSED 21 0/ 0/ 0 BLAIR CORP C 24LE006 10/03 $0 1X1111111111 R01 87427 11/05A $300 $0 11 I CHARGE ACCOUNT 8/04P $0 14 0/ 0/ 0 FRD MOTOR CR F 3796761 8/01 $3211 24M164 iiii1111 I01 28294546 8/03A $0 C AUTOMOBILE ---------------------------------------------w_--__----__-_-________-_------ 8/03C $0 CLOSED 8 0/ 0/ 0 I N Q U I R I E S DATE SUBCODE SUBNAME TYPE AMOUNT 1/28/13 ZNP6284423(FLA) MERIT CREDIT 4/29/12 FPC1246538(NTL) COAF 4/29/12 ACH0217602(CHI) BILL HOLT CH 3/03/11 YPE1334717(IND) ------------------------------------------------------------------ PINNACLE ---- - - - - -- C R E D I T R E P O R T S E R V I C E D BY TRANSUNION 800 - 888 -4213 2 BALDWIN PLACE P.O. BOX 1000,CHESTER, PA. 19022 Consumer disclosures can be obtained online through TransUnion at: http : / /www,transunion.com -------------------------------------------------------------------------- CREDITOR CONTACT INFORMATION COLLIER CIR ZP5064186 (941) 774 -8800 3301 TAMIAMI TRL E NAPLES FL. 34101 ARS YC2BQ4002 (954) 321 -5957 1801 NW 66TH AVE FORT LAUDERDAL FL. 33313 MERCHANTSCOL YC20S7001 (800) 226 -6188 PO BOX 2842 TAMPA FL. 33602 ENHANCRCVRCO YC26MT002 (800) 496 -8941 8014 BAYBERRY RD JACKSONVILLE FL. 32256 REGIONAL ACC FA85UD091 (817) 794 -0001 110 WEST RANDILL M ARLINGTON TX. 76011 SUNCOAST CU QU298Q001 (813) 621 -7511 PO BOX 11904 TAMPA FL. 33680 CHASE AUTO BB8251008 PO BOX 901076 FORT WORTH TX. 76101 BK OF AMER BM427SO02 (800) 451 -6362 4161 PIEDMONT PKWY STMT VALLEY CA. 93065 FST PREMIER BZ41PF001 (605) 357 -3440 3820 N LOUISE AVE SIOUX FALLS SD. 57107 CHEVRON OC103TO01 (800) 243 -8766 POB 5010 CONCORD CA. 94524 PEAK 5 FZ1YZ9001 (877) 236 -7672 6782 S POTOMAC ST ENGLEWOOD CO. 80112 BLAIR CORP CZ24LE006 220 HICKORY ST WARREN PA. 16365 FRD MOTOR CR FA3796761 (800) 727 -7000 POB 542000 OMAHA NE. 68154 COAF F 1246538 (888) 396 -2623 3905 N. DALLAS PAR PLANO TX. 75093 BILL HOLT CH A 0217602 (706) 635 -5454 250 LIBERTY BLVD CANTON GA. 30114 PINNACLE Y 1334717 (952) 345 -5322 7825 WASHINGTON AV MINNEAPOLIS MN. 55439 END OF TRANSUNION REPORT MERIT CREDIT HAS RETRIEVED THE ABOVE PERSONAL CREDIT REPORT FOR LICENSING PURPOSES AS REQUESTED BY THE BUSINESS OWNER /PROPRIETOR. PUBLIC RECORDS FOR THIS REPORT HAVE BEEN CHECKED AND VERIFIED AT THE COUNTY, STATE AND FEDERAL LEVELS. PUBLIC RECORDS HAVE ALSO BEEN VERIFIED FOR PINELLAS COUNTY. PUBLIC RECORDS LEARNED 1 SOURCES OF INFORMATION: TRANS UNION LLC IRS LIEN SECTION COUNTY COURTHOUSE RECORDS JEFF ATWATER CHIEF FINANCIAL OFFICER 4 woT*�`. STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers, Compensation law. EFFECTIVE DATE: 1/2912013 PERSON: TREISSA FEIN: 461410822 BUSINESS NAME AND ADDRESS: KITCHEN INSTALLATIONS OF SWFL LLC 3730 WHITE BLVD NAPLES EXPIRATION DATE: 1/29/2015 VICTOR FL 34117 SCOPES OF BUSINESS OR TRADE: CARPENTRY? INSTALLATION OF CA Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or oertifrcate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DFS- F2 -DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 07 -12 QUESTIONS? ($50)413 -1609 4 Prepared By: Merit Credit (239) 277 -3202 (800) 371 -3348 TRANSUNION CREDIT REPORT [ FOR] [ SUB NAME] [ MKT SUB] [ INFILE] [ DATE] [ TIME] (I) Z NP6284423 MERIT CREDIT 16 NP 8/01 05/20/13 13:58CT [ SUBJECT] CRED LIM BALANCE [ BIRTH DATE] TREISSA, VICTOR M. REVOLVING: $0 5/76 [ ALSO KNOWN AS] 100% MORTGAGE: $324K VICTOR,TRESSA $65.OK $3163 [CURRENT ADDRESS] $7416 [DATE RPTD] 3730 WHITE BV., NAPLES FL. 34117 TOTALS: $324K 6/06 [ FORMER ADDRESS] $3452 ---------------------------------------------------------------------------- P U B L I C R E C O R 441 NE. 12TH AV., NAPLES FL. 34120 4/06 200 FOREST LAKES BV., #206. NAPLES FL. 34105 DOCKET# TYPE [ POSITION] [CURRENT EMPLOYER AND ADDRESS] Z 5064186 10 /09R $241 [RPTD] SMART BY KITCHEN 4346846 STATE TAX LIEN 12/06 [FORMER EMPLOYER AND ADDRESS] SELF EMPLOYED SALES ECOA OPENED CLOSED -------------------------------------------------------------------------- M 0 D E L P R O F I L E * * * A L E R T * ** * * *FICO CLASSIC 04 ALERT: SCORE +523 : 038, 013, 020, 018 "', IN ADDTTTON * * *TO THE FACTORS LISTED ABOVE, THE NUMBER OF INQUIRIES ON THE CONSUMER'S * *CREDTT FILE HAS ADVERSELY AFFECTED THE CREDIT SCORE. C R E D I T S U M M A R Y * * * T O T A L F I L E H I S T O R Y PR =1 COL =5 NEG =4 HSTNEG =1 -41 TRD =9 RVL =3 INST =4 MTG =1 OPN =1 INQ =5 HIGH CRED CRED LIM BALANCE PAST DUE MNTHLY PAY AVAILABLE REVOLVING: $0 $300 $0 $0 100% MORTGAGE: $324K $ $317K $65.OK $3163 CLOSED W /BAL: $7416 $7416 $289 TOTALS: $324K $300 $324K $72.4K $3452 ---------------------------------------------------------------------------- P U B L I C R E C O R D S SOURCE DATE LIAB ECOA COURT ASSETS DOCKET# TYPE PLAINTIFF /ATTORNEY Z 5064186 10 /09R $241 I RD 4346846 STATE TAX LIEN B4496P407 ---------------------------------------------------------------------------- C O L L E C T I O N S SUBNAME SUBCODE ECOA OPENED CLOSED $PLACED CREDITOR MOP ACCOUNT# VERIFIED BALANCE REMARKS ARS Y 2BQ4002 I 7/11 $815 MEDICAL 09B 000000000000000000 11 /12A $815 ACCT INFO DSP BY CSM ARS Y 2BQ4002 I 6/12 $513 MEDICAL 09B 000000000000000000 11 /12A $513 PLACED FOR COLLECTIO ARS Y 2BQ4002 I 7/11 $760 MEDICAL 09B 000000000000000000 11 /12A $760 ACCT INFO DSP BY CSM ARS Y 2BQ4002 I 7/11 $1140 MEDICAL 09B 000000000000000000 11/12A $1140 ACCT INFO DSP BY CSM ENHANCRCVRCO Y 26MT002 I 6/11 $339 11 SPRINT 09B 52833676 7 /11A $339 PLACED FOR COLLECTIO ---------------------------------------------------------------------------- T R A D E S SUBNAME SUBCODE OPENED HIGHCRED TERMS MAXDELQ PAYPAT 1 -12 MOP ACCOUNT# VERFIED CREDLIM PASTDUE AMT -MOP PAY,PAT 13 -24 ECOA COLLATRL /LOANTYPE CLSD /PD BALANCE REMARKS MO 30/60/90 REGIONAL ACC F 85UD091 11/04 $12.1K 66M289 I09 62545101 4/13A $6641 C AUTOMOBILE 5/09F $6641 UNPAID BLNC CHRGD OFF SUNCOAST CU Q 298QO01 8/04 $0 41997 4/13A C DEPOSIT ACCT OVRD 2/07F $775 CHASE AUTO B 8251008 2104 $14.5K 528210054870 1 /09A C AUTOMOBILE 1 /09F $0 BK OF AMER B 427SO02 128271063 I CONVENTIONAL REAL FST PREMIER B 41PF001 461007073501 I CREDIT CARD 5/06 $324K 3/13A $317K 8/05 $332 8/12A $200 8/07C $0 CHEVRON 0 103TO01 12/05 $426 121529 8/07A $300 I CREDIT CARD 8/07C $0 •1• $775 UNPAID BLNC CHRGD OFF 72M301 I09 $0 DISP INV CMP -BY GRNTR 360M3163 2/08 555555555555 M05 $65.OK $11.5 05 55XXXXXX5555 FORECLOSURE INITIATED 48 21 2/37 11/07 R01 $0 $1 QO 0.5 ACCT CLSD BY CONSUMER 48 0/ 0/ 0 11111X11111X R01 $0 1111X1 PURCH BY OTHER LENDER 18 0/ 0/ 0 PEAK 5 F lYZ9001 11/04 $12.1K 66M289 16795201 9/06A $0 C AUTOMOBILE 9/06C $0 CLOSED BLAIR CORP C 24LE006 10/03 $0 87427 11/05A $300 $0 I CHARGE ACCOUNT 8/04P $0 FRD MOTOR CR F 3796761 8/01 $3211 24M164 28294546 8/03A $0 C AUTOMOBILE 8/03C $0 CLOSED ---------------------------------------------- I N Q U I R I E S DATE SUBCODE SUBNAME TYPE 5/20/13 ZNP6284423(FLA) MERIT CREDIT 5/11/13 UWA3747126(WAS) T- MOBILE 1/28/13 ZNP6284423(FLA) MERIT CREDIT 4/29/12 FPC1246538(NTL) COAF 4/29/12 ACH0217602(CHI) BILL HOLT CH ---------------------------------------------- C R E D I T R E P O R T S E R V I C E D B Y TRANSUNION 111111111111 I01 111111111 21 0/ 0/ 0 1X1111111111 R01 11 14 0/ 0/ 0 11111111 I01 8 0/ 0/ 0 ----------------- - - - - -- AMOUNT 800 - 888 -4213 r. 2 BALDWIN PLACE P.O. BOX 1000,CHESTER, PA. 19022 Consumer disclosures can be obtained online through TransUnion at: http: / /www.transunion.com ---------------------------------------------------------------------------- CREDITOR CONTACT INFORMATION COLLIER CIR ZP5064186 (941) 774 -8800 3301 TAMIAMI TRL E NAPLES FL. 34101 ARS YC2BQ4002 (954) 321 -5957 1801 NW 66TH AVE FORT LAUDERDAL FL. 33313 ENHANCRCVRCO YC26MT002 (800) 496 -8941 8014 BAYBERRY RD JACKSONVILLE FL. 32256 REGIONAL ACC FA85UD091 (817) 794 -0001 110 WEST RANDILL M ARLINGTON TX. 76011 SUNCOAST CU QU298Q001 (813) 621 -7511 PO BOX 11904 TAMPA FL. 33680 CHASE AUTO BB8251008 (800) 336 -6675 PO BOX 901076 FORT WORTH TX. 76101 BK OF AMER BM427S002 (800) 451 -6362 4161 PIEDMONT PKWY SIMI VALLEY CA. 93065 FST PREMIER BZ41PF001 (605) 357 -3440 3820 N LOUISE AVE SIOUX FALLS SD. 57107 CHEVRON OC103T001 (800) 243 -8766 POB 5010 CONCORD CA. 94524 PEAK 5 FZIYZ9001 (877) 236 -7672 6782 S POTOMAC ST ENGLEWOOD CO. 80112 BLAIR CORP CZ24LE006 220 HTCKORY ST WARREN PA. 16365 FRD MOTOR CR FA3796761 (800) 727 -7000 PO13 542000 OMAHA NE. 68154 T- MOBILE U 3747126 (800) 318 -9270 12920 SE 38TH STRE BELLEVUE WA. 98006 COAF F 1246538 (888) 396 -2623 3905 N. DALLAS PAR PLANO TX. 75093 BILL HOLT CH A 0217602 (706) 635 -5454 250 LIBERTY BLVD CANTON GA. 30114 END OF TRANSUNION REPORT MERIT CREDIT HAS RETRIEVED THE ABOVE PERSONAL CREDIT REPORT FOR LICENSING PURPOSES AS REQUESTED BY THE BUSINESS OWNER /PROPRIETOR. PUBLIC RECORDS FOR THIS REPORT HAVE BEEN CHECKED AND VERIFIED AT THE COUNTY, STATE AND FEDERAL LEVELS. PUBLIC RECORDS HAVE ALSO BEEN VERIFIED FOR PINELLAS COUNTY. PUBLIC RECORDS LEARNED SOURCES OF INFORMATION: TRANS UNION LLC IRS LIEN SECTION COUNTY COURTHOUSE RECORDS IF YOU HAVE ANY QUESTIONS REGARDING THIS REPORT, PLEASE CONTACT MERIT CREDIT AT: 1- 800 - 371 -3348 OR (239) 277 -3202. Business Profile - KITCHEN INSTALLATIONS OF SWFL, LLC Subcode: 970135 Ordered: 05/20/2013 14:00:53 CST Transaction Number: C510218642 Search Inquiry: KITCHEN INSTALLATIONS OF SWFL, LLC /3730 WHITE BLVD/NAPLES/FL/34117/US/N/A/940891890 Experian- A world of Insight This information is the primary name and address for the business you inquired on. All data in this report pertains to the business. KITCHEN INSTALLATIONS OF SWFL, LLC Business Identification Number: 940891890 3730 White Blvd Experian File Established: 11/2009 Naples, FL 34117 -4126 Date of Incorporation: p 11/18/2012 SIC Code: Construction, Single- family Houses - 1521 Bankruptcy filings: Tax lien filings: Judgment filings: Total collections: Sum of legal filings: UCC filings: Cautionary UCC filings present? 0 Monthly average DBT: 0 0 Highest DBT previous 6 months: 0 0 Highest nFT previous 5 quarters: 0 0 Total continuous trades: 0 $0 Current continuous trade balance: $0 0 Trade balance of all trades (0): $0 No Average balance previous 5 quarters: $0 Highest credit amount extended: $0 6 month balance range: $0_$0 TOP 0 THE FOLLOWING INFORMATION WAS PROVIDED BY THE STATE OF FLORIDA. State of Origin: FL Date of Incorporation: 11/18/2012 Current Status: Active Business Type: Profit Charter Number: L120001457 Agent: TREISSA VICTOR Agent Address: 3730 WHITE BLVD NAPLES, FL Key Personnel Principal(s): VICTOR TREISSA, OWNER Operating Information Primary SIC Code: CONSTRUCTION, SINGLE - FAMILY HOUSES - 1521 Top 0 Experian prides itself on the depth and accuracy of the data maintained on our databases. Reporting your customer's payment behavior to Experian will further strengthen and enhance the power of the information available for making sound credit decisions. Give credit where credit is due. Call 1- 800 - 520 -1221, option #4 for more information. End of report 1 of 1 report The information herein is furnished in confidence for your exclusive use for legitimate business purposes and shall not be reproduced. Neither Experian Information Solutions, Inc., nor their sources or distributors warrant such information nor shall they be liable for your use or reliance upon it. Business Profile - KITCHEN INSTALLATIONS OF SWFL, LLC 112 © Experian 2013. All rights reserved. Privacy policy. Experian and the Experian marks herein are service marks or registered trademarks of Experian. Business Profile - KITCHEN INSTALLATIONS OF SWFL, LLC 2/2 Iff Merit CreditINC Fast, Accurate & Secure. MERIT CREDIT HAS RETRIEVED THE ABOVE BUSINESS REPORT FOR LICENSING PURPOSES AS REQUESTED BY THE BUSINESS OWNWPROPRIETOR. PUBLIC RECORDS FOR THIS REPORT HAVE BEEN CHECKED AND VERIFIED AT THE COUNTY (INCLUDING PINELLAS), STATE AND FEDERAL LEVELS. PUBLIC RECORDS LEARNED: 0 SOURCES OF INFORMATION: EXPERIAN BUSINESS INFORMATION SERVICES IRS LIEN SECTION COUNTY COURTHOUSE RECORDS IF YOU HAVE ANY QUESTIONS REGARDING THIS REPORT, PLEASE CONTACT MERIT CREDIT AT: 1- 800- 371 -3348 OR 239 - 277 -3202. COMPANY NAME. KITCHEN INSTALLATIONS OF SWFL, LLC FEDERALID:461410822 CURRENT STATUS: ACTIVE PRINCIPAL(S): VICTOR TREISSA TITLE: MANAGER DATE INCORPORATED: 11 /19/2012 BEFORE THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD BOARD OF COUNTY COMMISSIONERS, COLLIER COUNTY, FLORIDA, CONTRACTORS' LICENSING BOARD Petitioner, V. Albert J. Scott D /B /A — Beaumont Communications Inc. Respondent. Case Number: 2013 -07 License Number: LF20000736 /C.C. #33194 ADMINISTRATIVE COMPLAINT Collier County (County) files the Administrative Complaint against Albert J. Scott ( Respondent), a State of Florida licensed Alarm Contractor 1( license # EF20000736 /Collier County Certificate #33194), and states the following facts and allegations in support of the cited violations below: 1. The Respondent is currently licensed by the State of Florida as a Certified Alarm Contractor 1 with License number EF20000736. 2. Under the provisions of Florida Statute 489.516(3), the Collier County Contractors' Licensing Board is authorized to impose penalties against State Certified Contractors for willfully violating Building Codes. 3. Under the provisions of Collier County Ordinance 90 -105, as amended, Section 22- 201.1, the following actions by a holder of a Certified Alarm Contractor 1 shall constitute misconduct and grounds for discipline pursuant to Section 22 -202. a. In November, 2012, East Naples Fire Inspector Lt. Michael Cruz discovered the unpermitted installation of GSM radio communication fire alarm systems in 17 separate buildings located within the Green Links Golf Villas community located at 7995 Mahogany Run Lane. b. A STOP WORK order was issued by Lt. Cruz and the contractor was notified of the violations. c. Subsequent permit applications submitted by the contractor were all rejected for discrepancies d. Directives to address discrepancies with the permit applications were provided by the Collier County Planning and Regulation Department. e. The contractor's inability or refusal to implement the directives of the Collier County Planning and Regulation Department now result in a willful building code violation. f. Thereafter, pursuant to Collier County Ordinance 90 -105, as amended, Section 22 -202 (b) and Section 22 -202 (c), the complaint was investigated and found sufficient cause to file formal charges. 4. Collier County brings the following charge in this formal complaint against the Respondent. COUNT 5. Collier County Ordinance 90 -105, as amended, Section 22.201.1(2) states "Willfully violating the applicable building codes or laws of the State, City, or Collier County ". WHEREFORE, the Petitioner asserts the above facts and charges are grounds for disciplinary action under Section 22 -201 of Collier County Ordinance 90 -105, as amended, and WHEREFORE, in consideration of the foregoing, the Petitioner respectfully requests the Collier County Contractors' Licensing Board to find the Respondent guilty of the violationh charged. Dated: / i �i Signed: Collier County ConAractors' Licensing Supervisor or Desi i; v SUMMARY In April, 2013 The Collier County Contractors' Licensing Office received a complaint from East Naples Fire Inspector Lieutenant Michael Cruz regarding seventeen (17) separate unpermitted installations of GSM radio communication fire alarm systems by Beaumont Communications Inc. /EF20000736 within the Green Links Golf Villas located at 7995 Mahogany Run Lane Naples, FL. 34113. Lt. Cruz advised that the unpermitted installation was first discovered on September 13th, 2012 and that the contractor was formally notified of the permitting violations. Database research indicates that eight (8) permit applications were submitted in January, 2013, but all were rejected by the Collier County Planning & Regulation Department for discrepancies. Despite corrective measures being provided by the County, no permits were issued at the time of the last check of databases. No other permit applications were ever submitted for the other addresses with existing violations. In May, 2013, a meeting was held with the qualifier of Beaumont Communications Inc., Albert J. Scott where a Notice of Hearing was served to him for an appearance in front of the Contractors' Licensing Board for having committed a willful building code violation. The installation of seventeen (17) GSM radio communication fire alarm systems within the Green Links Golf Villas community without a building permit in issuance is a violation of Florida Building Code Section 105.1. Mr. Scott's inability or refusal to take the corrective measures required for permit issuances construes a violation of Collier County Ordinance section 22- 201.1(2) for "Willfully violating the applicable building codes or laws of the State, City, or Collier County." C.L.B. Case #2013 -07 Albert J. Scott D /B /A — Beaumont Communications Inc. Table of Contents E1 /E3 — Formal Complaint E4 —State D.B.P.R. Licensing Detail Report E5 — Collier County Certificate Detail Report E6 — Hand Delivered Notice of Hearing E7 — Complaint from E. Naples Fire Prevention Bureau E8 — Contract Proposal for Work Performed E9 — Payment to Contractor for Work Performed E10/E17 — Correction Directives for Rejected Permit Applications E18/E53 — Photographs of Jobsite and Unpermitted Installations E54 — Florida Building Code Section 105.1 Pertaining to Permitting E55 — Collier County Ordinance 22- 201.1(2) Outlining Misconduct by State Certified Contractors. Contractors' Licensing Board 2800 North Horseshoe Dr. Naples, Fl. 34104 Complaint Number- 2013 -07 Complainant: Any person who believes that a Contractor holding a State Certification or Certificate of competency has violated Collier County Ordinance 90 -105, as amended, may submit a sworn complaint to the Contractor Licensing supervisor, or his / her designee. The complaint shall be in substantially the form prescribed by the Contractor Licensing Supervisor. The complainant shall pay a fee of $50.00 to defray the costs of administering the complaint, at the time of filing the complaint. The complaining party shall state with particularity which section(s) of this Ordinance he or she believes has been violated by the contractor and the essential facts in support thereof. Complaint: Please print or type and return signed copies of the complaint. Date: May 29th, 2013 Against: Contractor's Name: Albert J. Scott Phone: (239) 643 -7635 Business Name: Beaumont Communications Inc. License Number if known: #EF20000736 Collier County Competency number: #33194 Contractor's Business Address: 4600 Enterprise Ave. unit "D" Naples, FL. 34104 Filed By: —t Name: Collier County Contractors' Licensing Address: 2800 N. Horseshoe Dr. Naples, FL. 34104 Business Phone: (239) 252 -2914 Address where work done: Green Links Golf Villas 7995 Mahogany Run Lane (17 separate buildings) City: Naples, FL. County: Collier Date of contract: July 14th, 2011 Datc job started: Unknown Date job completed or new home occupied: Unknown Were there plans and specifications? Yes Is there a written contract? Yes. If yes, amount of Contract: $12,648.00 Has Contractor been paid in full ? Yes. If not, what amount? Not Applicable Was a Building Permit obtained? No Building Permit number if known: Not Applicable Have you communicated by letter with the licensee? Yes Date: May 8th, 2013. Do you have a reply? Yes Please attach to this form all copies of the purchase agreement, building contract, home improvement contract, copies of receipts and /or cancelled checks available and any additional evidence to substantiate your allegations. List any subsections of Section 4 of Collier County Ordinance number 90- 105, as amended, which, in your opinion, have been violated by the contractor which is the subject of this complaint, (list subsection number): Collier County Ordinance #90 -105, as amended, section22- 201.1(2) "Willfully violating the applicable building codes or laws of the State, City, or Collier County." — .3- Please state the facts which you believe substantiate your charge of misconduct against the subject contractor. List facts separately for each subsection number above: Failure to obtain required permitting for GSM radio communication fire alarm installations. ( Complainant's signature) State of:� 0r' County of: C C, C Sworn to (or affirmed) and subscribed before me this 29th day of May, 2013, by Bob'(n C • GoOp U6 (signature of person making statement). (signature of Notary Public) SAMANTIiA LYNN ROE ,r * M' (XOWWKM #i EE 87509 EXPIRES: February 17, 2017 �rint, type or stamp commissioned name of Notary Public: BaidedllwBudgetNotarySavices Personally known E L PL— or produced identification V —:3 UBPR - SCOTT, ALBERT JOE; Doing Business As: BEAUMONT COMMUNICATIO... Page 1 of 1 3:53:30 PM 512812013 Licensee Details Licensee Information Name: SCOTT, ALBERT ]OE (Primary Name) BEAUMONT COMMUNICATIONS INC (DBA Name) Main Address: 4600 ENTERPRISE AVENUE UNIT D NAPLES Florida 34104 County: COLLIER License Mailing: License Location: License Information License Type: Rank: License Number: Status: Licensure Date: Expires: Certified Alarm System Contractor I Cert Alarm I EF20000736 Current,Active 06/09/2008 08/31/2014 Special Qualifications Qualification Effective View Related License Information View License Complaint _1940 North Monroe Street, Tallahassee FL 32399 :: Email: Customer Contact Center :: Customer Contact Center: ,350.487. 1395G,@ The State of Florida is an AA /EEO employer. Copyright 2007 -2010 State of Florida Privacy Statement Under Florida law, email addresses are public records. If you do not want your email address released in response to a public- records request, do not send electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395. *Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if they have one. The emails provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public. Please see our Chapter 455 page to determine if you are affected by this change. httns:// www. mvfloridalicense .com/Licen-,eDetail acniQ,TT)= Rr ;(i= ')R(''TZAAnA 1 jr�uT7on00_- ,r_ _II . . Home Based Business Sub - certif=icate Requia Contacts To fink a contact to this Licensee, enter contaetinformat on below. 0 yView wdl suggest possible j ALBERT J. SCOTT, Address.39S9 BISHOPWOOD £T WEST # 201, Phone.(2313) 040 -DODO A Collier County Growth Management Division / Planning and Regulation Operations Department/ Licensing Section CERTIFIED MAIL # HAND DELIVERED — Mr. Albert J. Scott d/b /a — Beaumont Communications Inc. 4600 Enterprise Ave. unit "D" Naplcs, FL. 34104 Date: May 8h, 2013 RE: Complaint filed against you by Collier County Contractors' Licensing regarding a violation of Ordinance 90 -105, as amended, Section 22- 201.1(2) in (date of violation) November, 2012 Dear: Albert J. Scott • complaint has been filed against you by the above referenced individual. • hearing of this complaint will be held by the Contractors' Licensing Board on June 19'h, 2013 at 9:00 AM in the Board of County Commissioner's Room, Third Floor, Administration Building (W. Harmon Turner Bldg.), at 3301 East Tamiami Trail, Naples, Florida. Your presence before the Contractors' Licensing Board is required at this time. The packet you will receive marked composite exhibit "A" will be delivered to the members of the Contractors' Licensing Board one week prior to the hearing. If you wish to prepare a defense packet and have it delivered in conjunction with composite exhibit "A ", you must make fifteen copies and have them in our office by 8:00 AM on Wednesday, one week prior to the hearing. In your packet, you may give a summary of events. At this meeting, you may present evidence and be represented by an attorney of your choice. In the event the Contractors' Licensing Board finds you in violation of Section number(s) 22- 201.1(2) of Ordinance # 90 -105, as amended, the range of disciplinary. sanctions which may be imposed are from an oral reprimand to a suspension or revocation of your Collier County Certificate #33194 and/or suspension or revocation of your permit privileges against your state license #EF20000736 . vl Licensing Compliance Officer Coller County Contractors' Licensing Phone - (239) 252 -2914 f� A GROWTH MANAGEMENT DIVISION FIRE DEPARTMENT REPORTING FORM Please check the Fire Department that applies: ( ) North Naples FD KEast Naples FD ( ) Big Corkscrew FD () Immokalee FD ( ) Ochopee FD Please check who report is directed to: ( ) Building Department (,� Contractor Licensing () Golden Gate FD () Isle of Capri FD ( ) Code Enforcement Date of report: "-- Person making report: Phone number of person making report: Date violation observed: Address of violation: Are there Fire Code violations on this property: ( ) YES (-fNO If YES please attach copies of all documents, notices of violation, red tags, citations, etc. Fax completed form to Department directed to: Building Department: 239 - 252 -2334 Contractor Licensing:. 239 -252 -2469 Code Enforcement: 239 - 252 -2343 REVISED FORM 7/2012 v% Beaumont Communications, Inc. 4600 Enterprise Ave., Unit D Naples, FL 34104 Office (239) 643 - 7635 * Fax (239) 643 -8560 * UL S8474 -1 Name f Address Greent-inks Golf 'Villas 7995 Mahogany Run Lane Naples. FL 34113 -1624 )osal Date Proposal # 7/14/2011 7129 Contact Rep Al Job Site Location Qty Description Amount Total T1 iL FOLLOWING PROPOSAL IS FOR hfiRELCSS FIRE ALARM MONITORING FOR (17) BUILDINGS' (see attached spread sheet for cost savings) 17 \Vireless Conununicam r (each building requires a radio) PRICING iNCLUDES: 744.00 12.648.00 * "First Nears Monitoring "Permitting Fees * *Vest & inspection * *htstall ition & Ptvgraaning ADDRI. S :S * *7990kinhoenmy Rim I arc- "7970 Mahngonay Run Lane * *7970 Mahuguna) Run l,.anc * *7915 Mahogunay Run Lane "7965 Mahogmray Run lane *$7910 Mahogona) -Run Lauc * *79;n Mahogonay iiun Law *"790, Mahogonay Run Late * "7955 Mahogitnay Run Lane * *7895 Mahogonay Run Lane ,1*7935 Mahogouay Run Lane "7885 Malltal-ottay Run Law * *7940 Mahogonay Run Lane " *7880 Mahogonay Run Lane " *7930 Muhog'onn) Run [sane 0*7870 Mahneonny, Run Lane *"7925 Mahogonay Run Lanz MONTHLY MONITORING FEL AF FER. THE FIRST YEAR $30,00 her building We hereby propose to furnish labor and materials - complete in accordance Total $12,648.00 with the above specifications for the sum of------------------ Pavntcuts vdl be anadeas follows; 100 %deposit paymciit due forerlutpment to receipt ofyour deposit. you are accepting all semis and conditions Labor %till be btlled accoldinelv.. All Materials are guaaanteed to be as spxci ied All work to be completed ut a woikmanlikc: aaannor accurding to standard prncuces A+ny altenition or,deN Mtlon Itomthc above specs ficauoms involving e%lra costs, will be executed only upon ttrrttcn orders and will become an extra charge over and above esontate All agreement. crntungenl upon strikes, accidents or delays :beyond our control One y�r wnrranq on tarts Isom Iimr of otstalL The price provided floes not Include any pants or labor not tasted above This proposal subject o acceptance within 30 days and is void thereafter at the option of the undersigned Acceptance of Proposal The above prices, specifications and conditions are hereby accepted. You are authorized to do the work specific([. Payments will be made its outlined above. The undersigned has read and accepts the conditions of the proposal and all of its ternis as a binding contract. hate: Signature: r_ CZ r% Greenlinks 111 00001420 c/o Banson's KT Qrion 5pnk 65640101670 3050 Horseshoe Dr. 9275 775 Airport Read Check Date M M Naples, FL 34104 Nap�--s. r-L 34104 . . .. Sep 2, 2011 Two Thousand Mine H tin d red Seventy Six Dollars and Zero Cents ...... Check Amount M �F� 7 Pay to the order of Beaumont CQmmuniratigns, Inc 4600 Enterprise Ave, Unit D —Naplea,FI-34104 5, M M r% M M M nw, L11 M M M . V 77 . I id kJ 414 inn 33 "-"- . ................ . ... . S z r 0- ix Z-31-! . ............ 0, z P M Date:09/09/2011 apSequence: Amount:$2,976.00 Tran Code:O Debit/Credit:D Run:4 Batch:4 Pocket:l Return Item Code:O Branch:O Pay:- End Point:19 Application ID:19 lf�- — Ck Greenli As 11 00001404 c/o Benson's KT Orion flank' 3 050 Horseshoe D r $275 775 Airpoit Rfkad Naples, FL 34104 Naples, FL 34104 Check Date Sep 2, 2011 two Thousand Nine Hundred Seventy Six Dollars and Zero Cents Check Amount Pay tv the order of Beaumont C orn m u n Ications, Inc 4600 Ente rp rise Ave. Unit D Naples, FL 34104 -7 --------- ** ---------- ---- 10 A Lit 1, 4, 73 UV Date:09/09/2011 CapSequence:O M z O 0 Cl) M M a: X x 111 M I . ............ C yr < UV Date:09/09/2011 CapSequence:O M z O 0 Cl) M M a: X x 111 M I . ............ M R C, unt:$2,976.00 Serial:1404 Now Tran Coae:U UeJDit/UreUit:D Run:4 Batch:4 Pocket:l Return Item Code:O Branch:O Pay:- End Point:19 Application ID:19 T -Ill V) 0 g Gl V) z Wpbrq orj W I- P. Z P M R C, unt:$2,976.00 Serial:1404 Now Tran Coae:U UeJDit/UreUit:D Run:4 Batch:4 Pocket:l Return Item Code:O Branch:O Pay:- End Point:19 Application ID:19 WMMMMMPK:xAiLLViL3 Greenlinks I cio Benson's KT 3050 Horseshoe Dr. 9275 Naples, FL 34104 Iberia Bank Operating GI- 1(1075 775 Airport Roar! Naples, FL 34104 C)ne Thousand Four Hundred Eighty Eight Dollars and Zero Cents Pay to the o rcla r of Beaumont c orn m u n icatlons, Inc 4600 En to rp rise Ave, Unit D Naples, FL 34104 (Y (pj K U) M M vo 00001348 153,4016(670 Check Date Sup 2, 2011 Check Amount fl -Ca M 7, Tm .... . , U T.: :... , : - 'PI ;-C� M Date:09/09/2011 %OMMOOMMOSequence:0 Amount:$1,488.00 Seria1:134800 K M O M IM x M Tran Code:O Debit/Credit:D Run:4 Batch:4 Pocket:1 Return Item Code:O Branch:O Pay:- End Point:19 Application ID:19 F--- I I uate:uN /wo/2ui apSequence:O Amount:$5,208.00 Serial:148 Tran Code:O Debit/Credit:D Run:4 Batch:4 Pocket:l Return Item Code:O Branch:O Pay:- End Point:19 Application ID:19 F -- I a- Greenfinks IV 00001480 clo Benson's KT Iberia Bank 153-101&$70 3050 Homeshav Dr #275 775 Airport Road Check Data Naples, rL 34104 Kspeq, FL U1 D4 M Y, Sep 2, 2411 :0 z M 0 Five Thousand Two hundred Eight loollars and Zero Cents ChiqGk Arnourit W i CY M, :7. r M uate:uN /wo/2ui apSequence:O Amount:$5,208.00 Serial:148 Tran Code:O Debit/Credit:D Run:4 Batch:4 Pocket:l Return Item Code:O Branch:O Pay:- End Point:19 Application ID:19 F -- I a- COLLIER COUNTY GOVERNMENT GROWTH MANAGEMENT DIVISION / PLANNING AND REGULATION 2800 N. Horseshoe Drive, Naples FL 34104 * Phone (239) 252 -2400 Outstanding Corrections Date: January 16, 2013 PERMIT NO: PRFR2013010076001 Contact Name: BEAUMONT COMMUNICATIONS INC APPLICATION NO: PRFR20130100760 Address: 4600 ENTERPRISE AVE UNIT D JOB SITE ADDRESS: 7870 Mahogany Run LN, City, State Zip: NAPLES, FL 34104 -- Unit:BLDG 1700 Fax: (239) 643 -8560 Email: Dear Applicant: Plans submitted with the referenced permit have been reviewed. We are unable to approve your permit application for the reason(s) indicated below. All corrections must be clouded. Corrections must be submitted in person, the office receiving corrections is open until 4:00 pm. JOB DESCRIPTION: WIRELESS MONITORING TAKE OVER - 7870 MAHOGANY RUN LN - BLDG 1700 Rejected Review: Fire Review Reviewed By: Margaret Jani Phone: 239-687-6650 Email:mjani @ccfco.org Correction Comment 1: The plan checklist provided is not the current edition. Please obtain, complete and submit the correct plan checklist. Correction Comment 2: Please ensure all documentation /information requested in comments 15, 17, 18, 19 and 23 of the current edition of the plan checklist is provided. Correction Comment 3: The Monitoring Company Information Form (MCIF) provided is not the current edition. In addition when complete the correct MCIF, please ensure the following documentation /information is provided: - The UL category and file number was not included on MCIF. - Copies of the monitoring company's state license and UL Certificate of Compliance were not observed in the submittal package. Please provide. Correction Comment 4: This review shall be considered incomplete pending receipt of additional information. Subsequent review(s) may reveal additional deficiencies Submit 4 sets of revised sheets along with 4 letters of response addressing each item. PLEASE NOTE: Collier County Plan Review and Inspections routinely reviews all outstanding permit applications in order to determine their status. The review process includes appropriate responses from the permit applicant when the permit cannot be approved. When the applicant is advised of deficiencies and does not respond within six (6) months with corrected plans or an appeal to the Code Enforcement Board, the permit application will be canceled as per Collier County Ordinance 2002 -01, Section, 104.5.1.1 to 104.5.1.4. IMPORTANT: The new Digital Flood Insurance Rate Map ( DFIRM) will be effective on March 30, 2012. All development and building permit must be in compliance with the DFIRM flood zone and flood elevation requirements beginning on March 30, 2012. Please note that applications submitted prior to March 30 2012 but issued after March 29, 2012, must be in compliance with the DFIRM requirements. COLLIER COUNTY GOVERNMENT GROWTH MANAGEMENT DIVISION / PLANNING AND REGULATION 2800 N. Horseshoe Drive, Naples FL 34104 * Phone (239) 252 -2400 Outstanding Corrections Date: January 16, 2013 PERMIT NO: PRFR2013010075501 Contact Name: BEAUMONT COMMUNICATIONS INC APPLICATION NO: PRFR20130100755 Address: 4600 ENTERPRISE AVE UNIT D JOB SITE ADDRESS: 7880 Mahogany Run LN, City, State Zip: NAPLES, FL 34104— Unit:BLDG 1600 Fax: (239) 643 -8560 Email: Dear Applicant: Plans submitted with the referenced permit have been reviewed. We are unable to approve your permit application for the reason(s) indicated below. All corrections must be clouded. Corrections must be submitted in person, the office receiving corrections is open until 4:00 pm. JOB DESCRIPTION. WIRELESS MONITORING TAKE OVER - 7880 MAHOGANY RUN LN - BLDG 1600 Rejected Review: Fire Review Reviewed By: Margaret Jani Phone:239- 687 -5650 Email:mjani @ccfco.org Correction Comment 1: The plan checklist provided is not the current edition. Please obtain, complete and submit the correct plan checklist. Correction Comment 2: Please ensure all documentation /information requested in comments 15, 17, 18, 19 and 23 of the current edition of the plan checklist is provided. Correction Comment 3: The Munituring Curnpany Information Furm (MCIF) provided is not the current edltlon. In addition when complete the correct MCIF, please ensure the following documentation /information is provided: - The UL category and file number was not included on MCIF. - Copies of the monitoring company's state license and UL Certificate of Compliance were not observed in the submittal package. Please provide. Correction Comment 4: This review shall be considered incomplete pending receipt of additional information. Subsequent review(s) may reveal additional deficiencies Submit 4 sets of revised sheets along with 4 letters of response addressing each item. PLEASE NOTE: Collier County Plan Review and Inspections routinely reviews all outstanding permit applications in order to determine their status. The review process includes appropriate responses from the permit applicant when the permit cannot be approved. When the applicant is advised of deficiencies and does not respond within six (6) months with corrected plans or an appeal to the Code Enforcement Board, the permit application will be canceled as per Collier County Ordinance 2002 -01, Section, 104.5.1.1 to 104.5.1.4. IMPORTANT: The new Digital Flood Insurance Rate Map (DFIRM) will be effective on March 30, 2012. All development and building permit must be in compliance with the DFIRM flood zone and flood elevation requirements beginning on March 30, 2012. Please note that applications submitted prior to March 30. 2012 but issued after March 29 2012 must be in compliance with the DFIRM requirements.. a- -- I l=( COLLIER COUNTY GOVERNMENT GROWTH MANAGEMENT DIVISION / PLANNING AND REGULATION 2800 N. Horseshoe Drive, Naples FL 34104 * Phone (239) 252 -2400 Outstanding Corrections Date: January 16, 2013 Contact Name: BEAUMONT COMMUNICATIONS INC Address: 4600 ENTERPRISE AVE UNIT D City, State Zip: NAPLES, FL 34104 — Fax: (239) 643 -8560 Dear Applicant: PERMIT NO: PRFR2013010075301 APPLICATION NO: PRFR20130100753 JOB SITE ADDRESS: 7885 Mahogany Run LN, Unit:BLDG 1500 Email: Plans submitted with the referenced permit have been reviewed. We are unable to approve your permit application for the reason(s) indicated below. All corrections must be clouded. Corrections must be submitted in person, the office receiving corrections is open until 4:00 pm. JOB DESCRIPTION: WIRELESS MONITORING TAKE OVER - 7885 MAHOGANY RUN LN - BLDG 1500 Rejected Review: Fire Review Reviewed By: Margaret Jani Phone:239- 687 -5650 Email:mjani @ccfco.org Correction Comment 1: The plan checklist provided is not the current edition. Please obtain, complete and submit the correct plan checklist. Correction Comment 2: Please ensure all documentation /information requested in comments 15, 17, 18, 19 and 23 of the current edition of the plan checklist is provided. Currectiuri Curnrment 3. The Monitoring Company Information Form (MCIF) provided is not the current edltlon. In addition when complete the correct MCIF, please ensure the following documentation /information is provided: - The UL category and file number was not included on MCIF. - Copies of the monitoring company's state license and UL Certificate of Compliance were not observed in the submittal package. Please provide. Correction Comment 4: This review shall be considered incomplete pending receipt of additional information. Subsequent reviews) may reveal additional dericiencies Submit 4 sets of revised sheets along with 4 letters of response addressing each item. PLEASE NOTE: Collier County Plan Review and Inspections routinely reviews all outstanding permit applications in order to determine their status. The review process includes appropriate responses from the permit applicant when the permit cannot be approved. When the applicant is advised of deficiencies and does not respond within six (6) months with corrected plans or an appeal to the Code Enforcement Board, the permit application will be canceled as per Collier County Ordinance 2002 -01, Section, 104.5.1.1 to 104.5.1.4. IMPORTANT: The new Digital Flood Insurance Rate Map ( DFIRM) will be effective on March 30, 2012. All development and building permit must be in compliance with the DFIRM flood zone and flood elevation requirements beginning on March 30, 2012. Please note that applications submitted prior to March 30, 2012, but issued after March 29 2012 must be in compliance with the DFIRM requirements. COLLIER COUNTY GOVERNMENT GROWTH MANAGEMENT DIVISION / PLANNING AND REGULATION 2800 N. Horseshoe Drive, Naples FL 34104 * Phone (239) 252 -2400 Outstanding Corrections Date: January 16, 2013 PERMIT NO: PRFR2013010074801 Contact Name: BEAUMONT COMMUNICATIONS INC APPLICATION NO: PRFR20130100748 Address: 4600 ENTERPRISE AVE UNIT D JOB SITE ADDRESS: 7895 Mahogany Run LN, City, State Zip: NAPLES, FL 34104 -- Unit:BLDG 1400 Fax: (239) 643 -8560 Email: Dear Applicant: Plans submitted with the referenced permit have been reviewed. We are unable to approve your permit application for the reason(s) indicated below. All corrections must be clouded. Corrections must be submitted in person, the office receiving corrections is open until 4:00 pm. JOB DESCRIPTION: WIRELESS MONITORING TAKE OVER - 7895 MAHOGANY RUN LN - BLDG 1400 Rejected Review: Fire Review Reviewed By: Margaret Jani Phone: 239-687-5650 Email:mjani @ccfco.org Correction Comment 1: The plan checklist provided is not the current edition. Please obtain, complete and submit the correct plan checklist. Correction Comment 2: Please ensure all documentation /information requested in comments 15, 17, 18, 19 and 23 of the current edition of the plan checklist is provided. Correction Comment 3: The Monitoring Company Information Forni (MCIF) piuvided is riot the current edition. In addition when complete the correct MCIF, please ensure the following documentation /information is provided: - The UL category and file number was not included on MCIF. - Copies of the monitoring company's state license and UL Certificate of Compliance were not observed in the submittal package. Please provide. Correction Comment 4: This review shall be considered incomplete pending receipt of additional information. Subsequent review(s) may reveal additional deficiencies Submit 4 sets of revised sheets along with 4 letters of response addressing each item. PLEASE NOTE: Collier County Plan Review and Inspections routinely reviews all outstanding permit applications in order to determine their status. The review process includes appropriate responses from the permit applicant when the permit cannot be approved. When the applicant is advised of deficiencies and does not respond within six (6) months with corrected plans or an appeal to the Code Enforcement Board, the permit application will be canceled as per Collier County Ordinance 2002 -01, Section, 104.5.1.1 to 104.5.1.4. IMPORTANT: The new Digital Flood Insurance Rate Map (DFIRM) will be effective on March 30, 2012. All development and building permit must be in compliance with the DFIRM flood zone and flood elevation requirements beginning on March 30, 2012. Please note that applications submitted prior to March 30, 2012 but issued after March 29 2012 must be in compliance with the DFIRM requirements. V—=- -16 COLLIER COUNTY GOVERNMENT GROWTH MANAGEMENT DIVISION / PLANNING AND REGULATION 2800 N. Horseshoe Drive, Naples FL 34104 * Phone (239) 252 -2400 Outstanding Corrections Date: January 16, 2013 PERMIT NO: PRFR2013010074301 Contact Name: BEAUMONT COMMUNICATIONS INC APPLICATION NO: PRFR20130100743 Address: 4600 ENTERPRISE AVE UNIT D JOB SITE ADDRESS: 7905 Mahogany Run LN, City, State Zip: NAPLES, FL 34104— Unit:BLDG 1300 Fax: (239) 643 -8560 Email: Dear Applicant: Plans submitted with the referenced permit have been reviewed. We are unable to approve your permit application for the reason(s) indicated below. All corrections must be clouded. Corrections must be submitted in person, the office receiving corrections is open until 4:00 pm. ,JOB DESCRIPTION; WIRELESS MONITORING TAKE OVER - 7905 MAHOGANY RUN LN - BLDG 1300 Rejected Review: Fire Review Reviewed By: Margaret Jani Phone:239- 687 -5650 Email:mjani @ccfco.org Correction Comment 1: I he plan checklist provided is not the current edition. Please obtain, complete and submit the correct plan checklist. Correction Comment 2: Please ensure all documentation /information requested in comments 15, 17, 18, 19 and 23 of the current edition of the plan checklist is provided. Correction Comment 3: The Monitoring Company Information Form (MCIF) provided is not the current edition. In addition when complete the correct MCIF, please ensure the following documentation /information is provided: - The UL category and file number was not included on MCIF. - Copies of the monitoring company's state license and UL Certificate of Compliance were not observed in the submittal package. Please provide. Correction Comment 4: This review shall be considered incomplete pending receipt of additional information. Subsequent review(s) may reveal additional deficiencies Submit 4 sets of revised sheets along with 4 letters of response addressing each item PLEASE NOTE: Collier County Plan Review and Inspections routinely reviews all outstanding permit applications in order to determine their status. The review process includes appropriate responses from the permit applicant when the permit cannot be approved. When the applicant is advised of deficiencies and does not respond within six (6) months with corrected plans or an appeal to the Code Enforcement Board, the permit application will be canceled as per Collier County Ordinance 2002 -01, Section, 104.5.1.1 to 104.5.1.4. IMPORTANT: The new Digital Flood Insurance Rate Map ( DFIRM) will be effective on March 30, 2012. All development and building permit must be in compliance with the DFIRM flood zone and flood elevation requirements beginning on March 30, 2012. Please note that applications submitted prior to March 30, 2012, but issued after March 29 2012 must be in compliance with the DFIRM requirements. T-- -tom COLLIER COUNTY GOVERNMENT GROWTH MANAGEMENT DIVISION / PLANNING AND REGULATION 2800 N. Horseshoe Drive, Naples FL 34104 * Phone (239) 252 -2400 Outstanding Corrections Date: January 16, 2013 PERMIT NO: PRFR2013010074701 Contact Name: BEAUMONT COMMUNICATIONS INC APPLICATION NO: PRFR20130100747 Address: 4600 ENTERPRISE AVE UNIT D JOB SITE ADDRESS: 7910 Mahogany Run LN, City, State Zip: NAPLES, FL 34104— Unit:BLDG 1200 Fax: (239) 643 -8560 Email: Dear Applicant: Plans submitted with the referenced permit have been reviewed. We are unable to approve your permit application for the reason(s) indicated below. All corrections must be clouded. Corrections must be submitted in person, the office receiving corrections is open until 4:00 pm. JOB DESCRIPTION: WIRELESS MONITORING TAKE OVER - 7910 MAHOGANY RUN LN - BLDG 1200 Rejected Review: Fire Review Reviewed By: Margaret Jani Phone:239- 687 -5650 Email:mjani @ccfco.org Correction Comment 1: The plan checklist provided is not the current edition. Please obtain, complete and submit the correct plan checklist. Correction Comment 2: Please ensure all documentation /information requested in comments 15, 17, 18, 19 and 23 of the current edition of the plan checklist is provided. Correction Comment 3: The Monitoring Company Information Form (MCIF) provided is riot the current edition. In addltlon when complete the correct MCIF, please ensure the following documentation /information is provided: - The UL category and file number was not included on MCIF. - Copies of the monitoring company's state license and UL Certificate of Compliance were not observed in the submittal package. Please provide. Correction Comment 4: This review shall be considered incomplete pending receipt of additional information. Subsequent review(s) may reveal additional deficiencies Submit 4 sets of revised sheets along with 4 letters of response addressing each item. PLEASE NOTE: Collier County Plan Review and Inspections routinely reviews all outstanding permit applications in order to determine their status. The review process includes appropriate responses from the permit applicant when the permit cannot be approved. When the applicant is advised of deficiencies and does not respond within six (6) months with corrected plans or an appeal to the Code Enforcement Board, the permit application will be canceled as per Collier County Ordinance 2002 -01, Section, 104.5.1.1 to 104.5.1.4. IMPORTANT: The new Digital Flood Insurance Rate Map (DFIRM) will be effective on March 30, 2012. All development and building permit must be in compliance with the DFIRM flood zone and flood elevation requirements beginning on March 30, 2012. Please note that applications submitted prior to March 30. 2012, but issued after March 29 2012 must be in compliance with the DFIRM requirements. W. COLLIER COUNTY GOVERNMENT GROWTH MANAGEMENT DIVISION / PLANNING AND REGULATION 2800 N. Horseshoe Drive, Naples FL 34104 * Phone (239) 252 -2400 Outstanding Corrections Date: January 16, 2013 PERMIT NO: PRFR2013010074401 Contact Name: BEAUMONT COMMUNICATIONS INC APPLICATION NO: PRFR20130100744 Address: 4600 ENTERPRISE AVE UNIT D JOB SITE ADDRESS: 7915 Mahogany Run LN, City, State Zip: NAPLES, FL 34104— Unit:BLDG 1100 Fax: (239) 643 -8560 Email: Dear Applicant: Plans submitted with the referenced permit have been reviewed. We are unable to approve your permit application for the reason(s) indicated below. All corrections must be clouded. Corrections must be submitted in person, the office receiving corrections is open until 4:00 pm. JOB DESCRIPTION: WIRELESS MONITORING TAKE OVER - 7915 MAHOGANY RtIN I N - RI_.nG 1100 Rejected Review: Fire Review Reviewed By: Margaret Jani Phone: 239-687-5650 Email:mjani @ccfco.org Correction Comment 1: The plan checklist provided is not the current edition. Please obtain, complete and submit the correct plan checklist. Correction Comment 2: Please ensure all documentation /information requested in comments 15, 17, 18, 19 and 23 of the current edition of the plan checklist is provided. Correction Comment 3: The Monitoring Company Information Form (MCIF) provided is not the current edition. In addition when complete the correct MCIF, please ensure the following documentation /information is provided: - The UL category and file number was not included on MCIF. - Copies of the monitoring company's state license and UL Certificate of Compliance were not observed in the submittal package. Please provide. Correction Comment 4: This review shall be considered incomplete pending receipt of additional information. Subsequent review(s) may reveal additional deficiencies Submit 4 sets of revised sheets along with 4 letters of response addressing each item PLEASE NOTE: Collier County Plan Review and Inspections routinely reviews all outstanding permit applications in order to determine their status. The review process includes appropriate responses from the permit applicant when the permit cannot be approved. When the applicant is advised of deficiencies and does not respond within six (6) months with corrected plans or an appeal to the Code Enforcement Board, the permit application will be canceled as per Collier County Ordinance 2002 -01, Section, 104.5.1.1 to 104.5.1.4. IMPORTANT: The new Digital Flood Insurance Rate Map ( DFIRM) will be effective on March 30, 2012. All development and building permit must be in compliance with the DFIRM flood zone and flood elevation requirements beginning on March 30, 2012. Please note that applications submitted prior to March 30. 2012, but issued after March 29 2012 must be in compliance with the DFIRM requirements. r—,r(9 COLLIER COUNTY GOVERNMENT GROWTH MANAGEMENT DIVISION / PLANNING AND REGULATION 2800 N. Horseshoe Drive, Naples FL 34104 * Phone (239) 252 -2400 Outstanding Corrections Date: January 16, 2013 PERMIT NO: PRFR2013010075801 Contact Name: BEAUMONT COMMUNICATIONS INC APPLICATION NO: PRFR20130100758 Address: 4600 ENTERPRISE AVE UNIT D JOB SITE ADDRESS: 7980 Mahogany Run LN, City, State Zip: NAPLES, FL 34104— Unit:BLDG 100 Fax: (239) 643 -8560 Email: Dear Applicant: Plans submitted with the referenced permit have been reviewed. We are unable to approve your permit application for the reason(s) indicated below. All corrections must be clouded. Corrections must be submitted in person, the office receiving corrections is open until 4:00 pm. JOB DESCRIPTION: WIRELESS MONITORING TAKE OVER - 7980 MAHOGANY RUN LN - BLDG 100 Rejected Review: Fire Review Reviewed By: Margaret Jani Phone: 239-687-5650 Email:mjani @ccfco.org Correction Comment 1: The plan checklist provided Is not the current edition. Please obtain, complete and submit the correct plan checklist. Correction Comment 2: Please ensure all documentation /information requested in comments 15, 17, 18, 19 and 23 of the current edition of the plan checklist is provided. Correction Comment 3: The Monitoring Company Information Form (MCIF) provided is not the current edition. In addition when complete the correct MCIF, please ensure the following documentation /information is provided: - The UL category and file number was not included on MCIF. - Copies of the monitoring company's state license and UL Certificate of Compliance were not observed in the submittal package. Please provide. Correction Comment 4: This review shall be considered incomplete pending receipt of additional information. Subsequent review(s) may reveal additional deficiencies Submit 4 sets of revised sheets along with 4 letters of response addressing each item. PLEASE NOTE: Collier County Plan Review and Inspections routinely reviews all outstanding permit applications in order to determine their status. The review process includes appropriate responses from the permit applicant when the permit cannot be approved. When the applicant is advised of deficiencies and does not respond within six (6) months with corrected plans or an appeal to the Code Enforcement Board, the permit application will be canceled as per Collier County Ordinance 2002 -01, Section, 104.5.1.1 to 104.5.1.4. IMPORTANT: The new Digital Flood Insurance Rate Map (DFIRM) will be effective on March 30, 2012. All development and building permit must be in compliance with the DFIRM flood zone and flood elevation requirements beginning on March 30, 2012. Please note that applications submitted prior to March 30, 2012, but issued after March 29, 2012, must be in compliance with the DFIRM requirements V r 7j .�F.Y e---' - --) 71 �< it ^ ';v .� c-- — -a c l- ... k .. qy. 4 y�. 'JO�Kyf }:: '11 :: A' �in 1 .:• k �' +2.,y `, . : %:J:. v. "�'.:i� vrv!M `:. � 4�;: ?8' .! 1 y iiY'C� :' :Y.... .., .. - i .. ":�., i::�y �:.� � �. -. _ <' ... !.. NSEECTION 105 PERMITS Page 1 of 7 105 SECTION 105 PERMITS 105.1 Required. Any owner or authorized agent who intends to construct, enlarge, alter, repair, move, demolish, or change the occupancy of a building or structure, or to erect, install, enlarge, alter, repair, remove, convert or replace any electrical, gas, mechanical or plumbing system, the installation of which is regulated by this code, or to cause any such work to be done, shall first make application to the building official and obtain the required permit. 105.1.1 Annual facility permit. In lieu of an individual permit for each alteration to an existing electrical, gas, mechanical, plumbing or interior nonstructural office systeni(s), the building official is authorized to issue an annual permit for any occupancy to facilitate routine or emergency service, repair, refurbishing, minor renovations of service systems or manufacturing equipment installations/relocations. The building official shall be noted of major changes and shall retain the right to make inspections at the facility site as deemed necessary. An annual facility permit shall be assessed with an annual-fee and shall be valid for one year from date of issuance. A separate permit shall be obtained for each facility and for each construction trade, as applicable. The permit application shall contain a general description of the paramctors of worts intended to be performed during the year. 105.1.2 Annua( permit records. The person to whom an annual permit is issued shall keep a detailed record of alterations made under such annual permit. The building official shall have access to such records at all times or such records shall be filed with the building official as designated. 105.1.3 Food permit. As per Section 500.12, Florida Statutes, a food( permit from the Department of Agriculture and Consumer Services is required of any person who operates a food establishment or retail store. 105.2 Work exempt from pdrmit. Exemptions from permit requirements of this code shall not-be deemed to grant authorization for any work to be done in any manner in violation of the provisions of this code. Permits shall not be required for the following: Gas: 1. Portable heating appliance. 2_ Replacement of any minor part that does not alter approval of equipment or make. such equipment unsafe. Mechanical: 1. Portable heating appliance. 2. Portable ventilation equipment. V:�,_e-z 1 ARTICLE V. BUILDING TRADES* Page 30 of 36 .Sec_ 22 -201.1 Misconduct --State certified contractors. The following actions by. state certified contractors.shall constitute misconduct and grounds for discipline pursuant to section 22 -202 of this article. (1) Failing or refusing to provide proof of public liability and property damage insurance coverage and workers compensation insurance coverage as required by _Florida Statutes. (2) Willfully violating the applicable building codes or laws of the state, city or Collier County. (3) If the CLB finds through its public hearing process that the contractor was found by another county or municipality within the past 12 months, to have committed fraud or a willful building-code violation and -the. CLB finds that such fraud -or other willful violation would have been fraud or a willful violation if committed in Collier County or- within the respective city. (4) Fraud. (Ord. No. 94 -34, § 4; Ord. No. 99-45, § 4.2-- 4.2.3, 6 -8 -99; Ord. No. 06-46, § 1(4.1.8.2)) Sec. 22 -202. Disciplinary proceedings, including minor violations. (a) Thera are three categories of violations: violations of subsection 489.132(1), F.S.; and contractor's licensing board. @ violations of subsection 489.127(1), F.S.; (ii) (iii) other violations within the jurisdiction of the (1) Subsection 489.127(1), F.S., is incorporated herein. (hack of required license, certificate, or registration). The following aro designated to enforce subsection 487.127 (1), F:S.: Collier County Building. Official,: all --license compliance officers, the-- chief building inspector, chief electrical inspector, chief plumbing /mechanical inspector, and/or other inspectors authorized from .tune =to -time by the building official. Procedures specified in this section shall .apply eXcept. to the exteint, if shy � -that Saoilon 489.127 or Section 469.132, mar require dilferbnt procedure(s). The. pen Ries for each uncontested violation of subsection 409 927(1) - and /or 489.132(1), F.S., are $=.00 for the first uncontested violation and $500.00 for each subsequent uncontested violation. by the same individual or entity. Penalties for Contested violations of - subsection 469.127(1), F.S., are as now -or hereafter specified in gection 469.127, F.S. Penalties for contested violations* of subsection 489.132(1), F.S., we as now or hereafter specified in Seotion 489.132, F.S_ The citation form attached hereto as Exhibit "A is approved, which form may be amended from, time4o time by resolution of the board of county commissioners. (2) Minor violations: The contractor licensing supervisor or designee shall issue. a "notice of noncompliance" as the county's first response to a minor violation of -any provision of any regulatory law, including this section; when (i) it, is reasonable for staff to assume .that the violator, at the time of violation, was not aware of the'ProVslon that was violated or it can be assumed that it was not clear to the violator how to.comply -with the vidtated provision; and (ii) that violation has not' then resulted in economic harm or physical harm to any person; and .(iii) the violation has neither adversely affected the pubjic he ith, safety, or welfare;. nor croated any significarit threat of any such adverse affect: The notice of noncompliance should ' identify. the specific - provisioh. that was Violated, should provi de infoi�M tion on flow to comply with that'provision and should specify a reasonably tiiMe for full compliance. The notice of noncompliance shall not :be accompanied with any immediate threat of any monetary fine or any other disciplinary. penalty; but may specify that failure of the violator.to correct the violation within the time specified in the notice for compliance may result in disciplinary proceedings. Each ��