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CLB Agenda 07/17/2013 CONTRACTORS LICENSING BOARD Agenda July 17 , 2013 (k6f6041 COLLIER COUNTY CONTRACTORS' LICENSING BOARD AGENDA JULY 17, 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 ADDITIONS OR DELETIONS: III. APPROVAL OF AGENDA: IV. APPROVAL OF MINUTES: DATE: June 19, 2013 V. DISCUSSION: (A) Work Shop Review from July 8, 2013 VI. NEW BUSINESS: (A) Andrew Seijas — Qualify Second Entity VII. OLD BUSINESS: (A) Orders of the Board VIII. PUBLIC HEARINGS: (A) Case #2013 -07 — Albert J. Scott — D /B /A — Beaumont Communications Inc. (B) Case #2013 -08 — Misena Spahiu — D /B /A — Naples Expert Flooring, Inc. IX. REPORTS: X. NEXT MEETING DATE: WEDNESDAY, AUGUST 21, 2013 COLLIER COUNTY GOVERNMENT CENTER ADMINISTRATIVE BUILDING THIRD FLOOR IN COMMISSIONERS CHAMBERS 3299 E. TAMIAMI TRAIL NAPLES, FL 34112 June 19, 2013 MINUTES OF THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD MEETING June 19, 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: Ronald Donino Kyle Lantz Thomas Lykos Robert Meister Jon Walker Excused.• Michael Boyd Terry Jerulle ALSO PRESENT: Michael Ossorio — Supervisor, Contractors' Licensing Office James F. Morey, Esq. — Attorney for the Contractors' Licensing Board Ian Jackson — Licensing Compliance Officer June 19, 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 9:03 AM and read the procedures to be followed to appeal a decision. Roll call was taken and a quorum was established. Seven voting members were present. II. AGENDA — ADDITIONS OR DELETIONS: Additions: Under Item V, "Discussion" o A. House Bill #269 Under Item VI, "New Business" o C. James Hardy — Waiver of Exam — Credit Report Continuations: Under Item VIII, "Public Hearings" o Case # 2013- 07: Albert J. Scott, d/b /a Beaumont Communications, LLC was continued to the next meeting, as requested by Mr. Scott's attorney III. APPROVAL OF AGENDA: Thomas Lykos moved to approve the Agenda as amended. Second in support by Kyle Lantz. Carried unanimously, 7— 0. IV. APPROVAL OF MINUTES— APRIL 17,2013: Vice Chairman Patrick White moved to approve the Minutes of the April 17, 2013 meeting as submitted. Second in support by Thomas Lykos. Carried unanimously, 7— 0. V. DISCUSSION• A. House Bill #269 (A copy of the Bill was distributed to the members.) • The Bill was signed into law by the Governor on Friday, June 14, 2013. • Effective date: July 1, 2013 Michael Ossorio referenced Page 7, specifically Citations under "Prohibitions; penalties." (Section 489.127, subsections 5 and 6) June 19, 2013 Vice Chairman Patrick White noted: • The percentage that local government can seek in collection was increased from 25% to 75% (Page 8) • The amount of a fine was increased from $1,000 to $2,500 per day for each day the violation is not abated He stated much of the Ordinance and Code tracked Florida Statutes. He suggested contacting the County Attorney's Office to determine whether the Board of County Commissioners requires a recommendation from the Contractors' Licensing Board. He also suggested scheduling a Workshop with the BCC and the County Attorney's office to discuss revising the Code to conform to State law. Past practice has been to ask permission of the BCC before making recommendations concerning modifying the Code. Thomas Lykos noted the Florida Homebuilders Association has worked for two years to increase the amounts of the penalties and fines levied for unlicensed contracting. He suggested the Contractors' Licensing Board endorse the changes that have been made. Vice Chairman White and Mr. Lykos volunteered to work with the County Attorneys' Office. Michael Ossorio suggested contacting DSAC (Development Services Advisory Committee) to bring the changes to that Committee's attention. It was noted on Page 7 the word, "shall," was replaced by "may" indicating some flexibility. Michael Ossorio will contact Jamie French, the County Attorney's Office, and will notify the Contractors' Licensing Board members via email. VI. NEW BUSINESS: (Note: Regarding cases heard under Section VI and Section VIII, respectively, the individuals who testified were first sworn in by the Attorney for the Board.) A. Edward G. Ernest — Contesting Citation(s) Citation: #7598 ( "Unlicensed Painting Contractor ") Date Issued: April 5, 2013 Fine: $300.00 Description of Violation: Engage in the business or act in the capacity of a Contractor, or advertise self or business organization as available to engage in the business of, or act in the capacity of'a Contractor, without being duly registered or certified. June 19, 2013 Edward Ernest: • Not guilty — did not do any painting • Has a "Maintenance" License — Lawn mowing business (9 years) • He did caulk, spackle and "patch painting" • Was simply helping out a disabled friend • Was not paid — no compensation of any kind Ian Jackson, Licensing Compliance Officer: • April 5, 2013: Complaint was received concerning possible unlicensed or unpermitted construction • Location: 1200 Cherrystone Court, Unit A -101 • A permit had not been pulled — unpermitted remodeling of the Condo unit • Site inspection: Officer was not allowed access to view the unit o Met "Curt" for the second time — initially met in February o Curt stated he was delivering tile • Met with Mr. Ernst who stated he was "helping out a friend " o Stated he thought his Business Tax Receipt would allow him to do the work, i.e., "patch painting" o A Citation was issued for Unlicensed Contracting • A "Stop Work" Order was issued for unpermitted painting and also for unpermitted construction work taking place • Working with the City of Naples to obtain a Permit under the owner of the condo unit • Exhibit 6 — Collier County Business Tax receipt — "No Contractor work" • Exhibit 8 and 9 — Handyman Affidavit: "Can NOT Do List" o Painting is listed as activity requiring a Specialty Contractors' License o Signed by Edward G. Ernst on September 2, 2007 • The County has no position on whether Mr. Ernst was involved in the unpermitted construction work — the Citation was issued only for unlicensed painting. Mr. Jackson stated because he had not been allowed inside the unit, he had no idea how much work has been done and relied on the statements made by Mr. Ernst while they were speaking outside the condo. Mr. Ernst admitted that he was painting at the time of the site inspection. Thomas Lykos noted Ian Jackson had referenced "neither individual" would allow access to the condo and requested clarification. Ian Jackson replied the individuals were a gentleman named "Curt" and Edward Ernst. Mr. i,ykos asked Mr. Ernst to explain his relationship to "Curt" and the response was, "He's a friend." Q. "Does he also have a relationship with the owner of the condo? A. "Yes, sir." June 19, 2013 Q. (TL) "And was Curt compensated for his work ?" A. "Not that I know of — I mean, we've all been friends and we don't change money." Q. (TL) "Was there any other benefit that you received from the owner of the condominium ?" A. "No, sir. He's been in Germany for three months. I haven't received anything from the man — I never have and I never will. I do it because he's disabled. That's my main reason." Q. (TL) "I understand." A. "First of all, he's a good friend and I was just helping out. I don't see where the problem was. I didn't do anything illegal." Q. (TL) "Why did you refuse to allow Mr. Jackson access to the condo ?" A. "Because `Ian' told me not to let anybody in his place. I have a key and I'm held responsible. That's what he asked me to do." Vice Chairman White asked Edward Ernst if he was referring to the owner and if his first name was Ian. A. "Yes, Ian Vester." Chairman Joslin asked Mr. Ernst if he was admitting responsibility for what went on in the condo since he had a key. A. "There are a lot of people with keys — even Curt has a key. I don't know how many people have a key. But I know I do and I don't want to be held responsible if something comes up missing in there. He asked me never to let anybody in. So that's what I go by. I abide by what he said." Q. "Was he here in the country at the when this went on — was he here at all ?" A. "He was once in a while. He's been in and out of there, but he's been gone for three months now." Q. "So at the time when you were doing the work, the owner was not even present ?" A. "He wasn't present the last time — I've only been there a few times. I go for about an hour and make sure there's no leaks — nobody's broke into the place, you know, for him and stuff. But I haven't been there that much to redo a place or whatever." Mr. Ernst directed his question to Ian Jackson asking if they have seen each other twice. Ian Jackson: "Yes. Once in February and once in April at the condo." Jon Walker asked Mr. Ernst if he had dealt with Ian Jackson previously. A. "Just in February." Q. "Okay. So you know he is a County official, right ?" A. "Yes." Q. "Your concern for not letting him in the premises was possibly that he would take something ?" A. "The owner asked me not to let anybody in the building." 5 June 19, 2013 Q. (JW) "Even if this was a County official who was just trying to verify what type of work was going on? A. "I'm only abiding by what he asked." Q. (JW) "That's kind of murky to me." A. "I don't know what to say to that. He asked me not to let anybody in his place, so I didn't. It's not my responsibility to let him in there — I wouldn't think." Q. (JW) "It appears to me that you guys had something that you didn't want him to see." A. "That shouldn't make me guilty because I didn't let a man in the premises — that I was asked not to let anybody into. If I didn't have a key, I would have let him in because I wouldn't have any responsibility." Chairman Joslin noted Mr. Ernst testified he was to spackle some holes in the wall and the paint over the patched holes. He asked Staff if the actions qualified as work performed by a Drywall Contractor — if a Drywall Contractor would perform the same type of work. Michael Ossorio stated it would have been determined in the field. Spackling a couple of holes and painting did not necessarily constitute work performed only by a Drywall or Stucco Contractor. He continued that painter typically sands and/or spackles to prepare walls for painting. A drywall company can't paint, but a painting company can finish the wall and prepare it for paint. Ian Jackson distributed copies of two photographs of the interior of the condo to the Board for their review. Vice Chairman Patrick TEhite moved to approve admitting the photographs into evidence as County's Exhibits E -10 and E -11. A second was offered in support. Carried unanimously, 7— 0. Ian Jackson stated he was ultimately allowed access to the interior of the unit by the Condo Association president. He determined the unit was being substantially remodeled — new drywall, new kitchen, new bathrooms, new plumbing, new electrical. He issued a "Stop Work" Order for the unpermitted remodel. The photographs were taken on April 6, 2013. Ronald Donino asked Mr. Jackson how many times he met Edward Ernst. A. "I met with Mr. Ernst on February 21St " Q. "And he was doing something then ?" A. "They were at the condo and they said they were cleaning. I had no other evidence to indicate otherwise. No action was taken." Q. "And the second time ?" A. "The second time — Mr. Frnst indicated that he was painting the condo. So I issued the Citation." 0 June 19, 2013 Vice Chairman White asked Mr. Jackson if he believed the photographs accurately reflected the condition of the property when they were taken on April 6th? A. "Yes." Vice Chairman White asked Mr. Ernst to view the photographs. He asked him if the property looked like the photos on April 6 th A. "Yes, sir." Q. "Is the place where you were doing the caulking, patching and patch painting evident in those photos? Is that part of the photos somewhere ?" A. "No, sir. Nope. Any painting that was done in the place, I was an eye witness because he was there. I was there at the time. Ian, himself, did all of the painting that was done in the place so far." Q. "Other than what you have stated, you have done .... A. "I haven't even painted the patch — I just got started on the caulking. It was pretty early in the morning, and when I got there, I started out caulking. And that's as far as I got before Mr. Jackson came." Q. "But you did say that you had caulked, spackled, and patch painted the condo walls." A. "No, he asked me what I was going to do in there and I was telling him. I planned to caulk, spackle, and patch paint." Q. "So what you actually only had done, up to today, was just caulking the nail holes or screw holes? (The question was repeated.) A. "Yeah, and I'm not even finished with that — I mean, I don't have to go in there and do it as a job. I do it on my free time. When I get done mowing in East Naples, I go over there for about an hour." Q. "I understand. What part of the condo — if it's not shown in those photos — in what part of the condo that you were doing ... T' A. "I started in the back right bedroom." Q. "And those photos depict what area of the condo ?" A. "This is the kitchen area." Richard Meister asked the following questions: Q. "So all that painting was done by the owner, Ian ?" A. "Yes, sir." Q. "I thought he had a stroke." A. "He did. He's still a hard - working man." Ian Jackson noted the condo was owned by a corporation, Regina Vester, LLC, which is owned by a Gunter Vester and the registered agent is Keith Marvelle who is a real estate agent. He stated he has spoken with Mr. Marvelle who is attempting to work with the City of Naples to satisfy the permit requirement but without success because he has been unable to contact the homeowners in Germany. In summary, the registered agent for the corporation that owns the property can't reach the owners in Germany. 7 June 19, 2013 Chairman Joslin asked, "Who is the other Ian ?" Ian Jackson replied, "I think he's a man by the name of Ian Jens — a local business owner who portrayed himself, on my first visit in February, as a representative of the condo owners in Germany. Curt and Ed provided his phone number. There could be a mix -up of the name — I could be mistaken." Chairman Joslin asked Mr. Ernst for clarification. A. "The guy's name that I know is Ian Vester. When he closed, he was excited and called me up to come over and look at it. I thought it was his place." Q. "Who gave you a key ?" A. "Ian." Mr. Ernst stated "Ian's" last name was Vester. Vice Chairman White asked if "Ian" could be Mr. Vester's middle name — that he does not use Gunter. A. "I do not know that, sir, at all." Vice Chairman White noted there was no "contracting" if there was no consideration. Thomas Lykos stated that, in a workshop, the definition of contracting had been discussed. He noted the wording in the Ordinance that defined the term of contracting had been changed. He referenced a previous case heard by the Board during which the testimony was that there had not been an exchange of good or services. Chairman Joslin again asked Mr. Ernst to confirm that he had not been paid in cash — dollars and cents, and the response was, "Correct." He asked if there was any other type of trading of services and the response was, "No, no trading." Mr. Ernst stated that he didn't see where there was a problem because "the man was disabled." Chairman Joslin stated he was trying to understand how, when Mr. Ernst was not sure of the man's full name, he could volunteer his services. He also noted that Mr. Ernst was in possession of a key to the property. Edward Ernst stated he thought he received the "ticket" because he had been painting under "contractor capacity." He reiterated he hadn't painted anything in the condo. Vice Chairman White asked Mr. Ernst if he had paid the fine and the response was, "No." Mr. White stated there appeared to be two issues: First, whether or not the activity that was claimed to have taken place was contracting under the scope of the Code, and whether what Mr. Ernst says he did versus what the County has said he did falls under the scope of work that a Painting Contractor is licensed to do. If it is within that scope of work, then the Board can consider whether or not to deny his request to dismiss the Citation. Attorney James Morey, Counsel to the Board, referred the members to Chapter 22, 8 June 19, 2013 Article V, Section 22 -162 of the Municipal Code for the definition of contracting: "Contracting means, except as exempted in this part, engaging in business as a contractor and includes, but is not limited to, performance of any of the acts as set forth in Subsection (3) which define types of contractors. The attempted sale of contracting services and the negotiation or bid for a contract on these services also constitutes contracting. If the services offered require licensure or agent qualification, the offering, negotiation for a bid, or attempted sale of these services requires the corresponding licensure.." Attorney Morey: "I think the crux of the question asked by Mr. White: was there a bid — was there a negotiation or consideration — was there an agreement to do these services — an offering to hire ?" Patrick White: "The quote is `engaging in the business of ...' Attorney Morey referenced the qualification for a Painting Contractor: "Painting contractor requires 24 months experience, a passing grade on an approved test and a passing grade on a business and law test and means those who are qualified to use spraying equipment as well as hand tools to finish both exterior and interior work. A painting contractor may do paperhanging, sandblasting, water- proofing, and may clean and paint roofs." Jon Walker inquired whether the handing of a key constitutes an agreement. Attorney Morey replied that it might, but asked what was the agreement — was it to safeguard the property or to give someone access. Patrick White asked what was the benefit, the consideration for the person who accepted the key. He noted there has been no indication from either the County or Mr. Ernst that he used the premises, for example, to watch the big screen TV or have a party or to use the pool. Nothing indicated that he received anything of value or benefit, and certainly no testimony from the County or Mr. Ernst about being engaged in a business. Thomas Lykos asked if the Board could ask questions concerning the unpermitted work. Attorney Morey stated he would defer to the County Attorney's Office and noted discussion of the details of an ongoing investigation may not be allowed. Michael Ossorio requested that the questions refer to the Citation and the investigation/testimony by Ian Jackson because the homeowner may return to Collier County in the future. Mr. Ossorio indicated the owner will be contacted and asked for his understanding concerning the unpermitted work in the condominium. He concluded the unpermitted work does not have any bearing on Mr. Ernst's situation — unlicensed painting — and the Board may hear a case in the future involving the same address and a charge of unlicensed general contracting by an individual. June 19, 2013 Chairman Joslin moved to approve finding that Edward Ernst was guilty of the violation specified in Citation #7598 and impose a fine of $300.00. Second in support by Jon Walker. Discussion: • Lantz: I don't think he was compensated so I have a hard time finding him guilty. • Joslin: He admitted he was there to paint. • Ernst: What I'm trying to get to is that I haven't painted anything in that condo. I am telling you under oath that I did not paint in that condominium at all. o He clarified when he spoke with Ian Jackson, he said he intended to paint — not that he had done any actual painting. • Lykos: When the wording in the Ordinance was changed, it was to be clear that anybody who worked for compensation would be considered "contracting for services" whether or not they held themselves out as a Contractor. It was the action of taking compensation for work as opposed to someone who held himself out as a Contractor. At that time, people were trading services and we wanted to be certain that we addressed those circumstances. The way the Ordinance is written, if there was no proof that compensation was exchanged, the Mr. Ernst was not contracting. o He noted in a single family home, there is an owner with liability insurance. In the present situation, the property is a condo, and the owner of the condo and Mr. Ernst put the other condo owners at risk. It is a different circumstance. Chairman Joslin called for a vote. Motion carried, 4 — "Yes " 13 — `No. " Vice Chairman White, Kyle Lantz, and Thomas Lykos were opposed. Chairman Joslin reminded Mr. Ernst that he was required to pay the $300 fine. Robert M. Gallagher - Waiver of Examination(s) Michael Ossorio provided background information: • In 1996, Mr. Gallaher was licensed as a Tile and Marble Contractor • In 2007, his license was null and void for non - renewal • He is before the Board to request a Waiver of Examination and to reinstate his Tile and Marble Contractor's license. He will be required to pay all fees. • Mr. Gallagher has been issued a floor covering license Robert Gallagher: • He left the state in 2007 and went to New Mexico where he worked installing tile and marble. The Contractor was from Marco Island. • In addition to his Collier County license, he let his licenses lapse in Lee County, Cape Coral, Sanibel, Punta Gorda, and Charlotte County. mi June 19, 2013 • His licenses haves been reinstated everywhere else. o He stated he would provide copies of same, if required. • He has not worked in Collier County except as an employee for "Floor Crafters." • He began work in 1990 for Robb and Stuckey. Vice Chairman White asked if Mr. Gallagher if he petitioned the other Counties to waive the same examinations as he was requesting from Collier County. Robert Gallaher stated he was not required to re -test elsewhere but did have to explain his situation to each Licensing Board. He provided letters of reference from a contractor, a floor covering business and an interior designing concerning his competency in the trade and his workmanship. Michael Ossorio reminded the Board that more than three years have passed since Mr. Gallaher's license lapsed and he is required to take the tests unless the Board issued a Waiver. He noted the Tile and Marble test and the Business Procedures test have not changed since he took them initially. (Test score: 98% for each) He stated the County recommended reinstating his license which will become effective upon payment of the back fees. Vice Chairman White moved to grant the Request for a Waiver of Examination and reinstate the Tile and Marble license of Robert M. Gallagher upon payment of all back fees. A second in support was made. Discussion: Lykos: If this was a completely new license application, it is possible that the credit report would be taken into consideration before the application was approved. It is possible that the Board would deny the license or approve a probationary period based on the credit scores. It is not an automatic process. • Ossorio: That is correct. Chairman Joslin called for a vote. Carried unanimously, 7 — 0. C. James Hardy Waiver of Examination(s) / Review of Credit Report(s) Michael Ossorio stated: • James Hardy was licensed as a Glass and Glazing (Specialty) Contractor in four different jurisdictions • The license lapsed in 2011 • There have been no complaints in any of the other Counties where he was licensed (Pinellas, Hillsborough, Pasco and Sarasota) • The County has no objection. • Recommendation: Granting the Request for a Waiver of Examination and reinstating his license which will become effective upon payment of the back fees. 11 June 19, 2013 James Hardy: • Lee County recently reinstated his license without requiring re- testing. Chairman Joslin pointed out Mr. Hardy's business card does not include his license number which is required. Vice Chairman White noted there was only one affidavit which was a character reference but no affidavits concerning his workmanship or attesting to his continuing to work in the trade since his Collier County license lapsed. Mr. Hardy stated he has been working since 2011 in Pinellas, Hillsborough, Sarasota and Pasco Counties. Mr. White stated the application was incomplete and referred to "Verification of Construction Experience" on Page 7. James Hardy: • I have been in business since 2004 • Company name: Clear Choice Windows and More, Inc. • Install and service windows /doors Michael Ossorio stated the County occasionally retrieves an old application from storage to help the applicant who was issued a license approximately 5 years ago. Anything that is missing will be corrected before the license is issued. Thomas Lycos explained to Mr. Hardy: "The way our Ordinance is written, in order for us to approve your application, we have to verify that you have been performing that work on a regular basis from the time that your license lapsed in Collier County until now. What we want, for the record, because your packet is incomplete, is for you to tell us in detail that you have been performing that work for the past two years so we will have formal verification. Please give us some details so we may comply with our Ordinance." James Hardy: "I have salesmen who sell windows and doors. The installers are all employees of mine. I have been doing that for the last two years everywhere else except Collier County where my license had lapsed. Chairman Joslin asked if the business still employed 29 people and the response was, "Yes." Michael Ossorio asked Mr. Hardy to verify that his licenses in Hillsborough, Sarasota, Pinellas and Pasco Counties were current and that Clear Choice Windows and More, Inc. was conducting business in these counties. James Hardy stated, "Correct." Vice Chairman White moved to grant the Request for a Waiver of Examination and reinstate the Glass and Glazing license of James Hardy upon payment of all back.fees. Second by Thomas Lykos. Carried unanimously, 7— 0. Mr. Hardy was cautioned to not distribute any of his "old" business cards and to insure that his trucks displayed the Collier County license. 12 June 19, 2013 D. Nathan J. Hinz — Review of Credit Report(s) Chairman Joslin noted the Board was to review Mr. Hinz's credit report concerning his sealing and striping contracting business. He stated the name of the business, Nathan Contracting Services, LLC, was not very descriptive regarding the type of work. It could be misleading to the public. Nathan Hinz replied it was his intention to obtain a residential contractor's license and operate both businesses under the same LLC. When asked for a tentative date, Mr. Hinz replied, "In approximately one year." Vice Chairman White referred to Mr. Hinz's individual credit report and noted he paid $50 for the report. He stated there were seven outstanding collection items ranging in value from under $500 to almost $1,200. He requested clarification from Mr. Hinz as to why the items had not been paid. Nathan Hinz responded that several have been paid especially those that he had generated. Several were the responsibility of his ex -wife but he will pay them as soon as possible because they remain on his credit report. He stated he has paid in cash for his vehicles and other items. He will do so until he can open a small line of credit to pay off the debts and re- establish his credit. Mr. White requested an estimate of the time required to remove the items from his credit report and the response was, "I believe within the next three months." Mr. Hinz estimated his credit report should be clear within a year. Thomas Lykos moved to approve granting the sealing and striping contractor's license to Nathan J. Hinz and imposing a probationary period of six months after which Mr. Hinz is to present an improved credit report to the Board.for review. Second by Jon Walker. Mr. Lykos explained the Board was not setting a specific target for Mr. Hinz to reach — only that they see improvement when he returns in six months. At that time the Board will decide to extend his probation, suspend his license, or end the probation. Chairman Joslin called for a vote. The motion was carried unanimously, 7 — 0. OLD BUSINESS: A. Victor Treissa, d /b /a Kitchen Installations of SWFL, LLC — Review of Credit Chairman Joslin noted Mr. Treissa had returned at the end of his six -month probationary period with a current credit report. He noted the credit score had been raised by approximately 23 points. Victor Treissa stated he is working on improving his credit rating but still has not been able to finalize all the medical bills. He stated two items that he has paid have not been reflected on the new credit report, i.e., a Sprint bill for approximately $300. He further stated, with reference to the foreclosure action, the Judge ruled that 13 June 19, 2013 the Bank of America had not acted in good faith and a loan restructuring was in process. It was noted that the amount owed to the State of Florida, which had been paid prior to the initial hearing, was also not reflected on his current credit report. The receipt of payment had been provided with the initial application packet. When asked about the status of the FPL bill, Mr. Triessa stated he is disputing the bill since he was not residing in the State of Florida when the usage occurred. He was living in Georgia at the time and did not have an account with FPL. Chairman Joslin stated while there had been improvement, he would move to extend the probation for another six months. Mr. Triessa agreed, stating the discipline was good for him. Chairman Joslin moved to approve extending the probationary period for Victor Treissa for an additional six months. Mr. Triessa will appear before to the Board in December, 2013, and provide a current credit report for review. Second by Vice Chairman White. Carried unanimously, 7— 0. B. Orders of the Board Vice Chairman White moved to approve authorizing the Chairman to sign the Orders of the Board. Second in support by Thomas Lykos. Carried unanimously, 7 — 0. VIII. PUBLIC HEARINGS: A. Case #2013 -07: BCC vs. Albert J. Scott, d/b /a "Beaumont Communications, LLC" • Continued to July meeting IX. REPORTS: (None) X. MEMBER COMMENTS: Thomas Lykos stated he will not attend the July meeting. (He will be on vacation.) Jon Walker announced his term has expired and he would not renew his application as a member of the Board. He commended the members for treating each case with zeal and vigor. He stated it had been his pleasure to have served as a member of the Board. Chairman Joslin thanked Mr. Walker for his service and his contributions through his comments and questions. 14 June 19, 2013 XI. NEXT MEETING DATE: Wednesday, July 17, 2013 BCC Chambers, 3rd Floor — Administrative Building "F," Government Complex, 3301 E. Tamiami Trail, Naples, FL There being no further business for the good of the County, the meeting was adjourned by the order of the Chairman at 10:38 AM. COLLIER COUNTY CONTRACTORS LICENSING BOARD Richard Joslin, Chairman The Minutes were approved by the Vice Chairman on , 2013, "as submitted" [] OR "as amended" [_]. 15 Andrew Seijas Gulf Coast Home Services, Inc. 640 York Ter. Naples, FL 34109 July 1, 2013 To Whom It M y Concern: I am writing to explain the unique series of events that put me in the position I am in, qualify these two companies in such an unorthodox manner. About two years ago I partnered up with two of my peers to start up a flooring installation company Gulf Coast Home Services, Inc. (GCHS). Before long our reputation for being dedicated to quality and customer satisfaction spread like wild fire. We immediately became very busy through our network of contractors, builders, and word of mouth referrals. About a year into our new business a high end builder that we used to do some installations for in the past heard that my partners and I started our own business and asked us to start bidding their projects because they were impressed with our integrity, speed, and quality of installation. This builder is London Bay Homes, an account that can bring in $1.5 million and up in gross sales of both material and labor. This is where things get tricky, in order to do business with a company like London Bay Homes I would not be able to do it as just an installation company. Builders of this stature typically only do business with flooring dealers. Flooring dealers have credit terms with all of the major flooring distributors, with the ability to buy at wholesale and sell at retail. This requires them to have a warehouse with a fork lift in order to receive shipments of goods. At this point in order for me to take my company to the next level and grow my business I needed to find a way to become a dealer, but as a young company we did not have the financial fortitude to do it on our own. This is when I reached out to a friend of mine that I have known for over 15 years who is a reputable and well established flooring dealer that mainly deals with high end clientele. After some negotiation it was decided that becoming partners with Southwest Floor Design, Inc. would be a good fit. Now I have my own installation company GCHS with its own set of clients and accounts, and I am also partners in a flooring dealership SWFD where I can now start to bring in more business, making profit on both material and labor. As a side note GCHS does a good portion of the installation for Southwest Floor Design. Now I am getting awarded contracts from London Bay Homes through Southwest Floor Design (SWFD). Unfortunately the qualifier for SWFD tile and marble license was no longer able to be a qualifier for personal reasons. In order to do business with London Bay I_need to immediately- transfer my license over to SWFD. The only way- to do this quickly would to stop qualifying GCHS and apply to qualify SWFD; this process would only takes about five days. The other option was to qualify SWFD as a second entity; this process at the time I inquired would have taken about six weeks. I was looking at getting close to $500,000 in business from London Bay in the next few- weeks which made the choice easy. I figured that once I get SWFD qualified I could go back and take my time getting GCHS re- qualified as I could do my installs through SWFD for a short period. In order to keep my accounting separate I have decided that I need to keep GCHS and its accounts separate form SWFD. This is why I am looking to qualify GCHS as a second entity. Sincerely, ;1 Andrew Seijas ,,Licensee Information '.c r,see [,d u m b e r C3 1091 I'ga:r , �uthlevest Ffcc;- Design, Inc. p crtrar_tc S. anus s = e,. :;1 ties i:2r`6..'s Lf_= tls °e =dd a _.: person or business t_ Jdr -'_ss =i, Classifications ------ Generate Defaults - � Add a Classification _, add a _- La _s. cat.cr to this Li__ns =_e _;:ter _.:tit bel =it . re:. , vi 11 suggest wossib1e matches as v o t;,pe: T.LE r, �LE C-NTP_. Lir k' � a _. E, t Er r ` IBILS * s ue _ _ �t ��,� _ ,.. •,T 6,'0 3', _01 F Ia _.. c I T i .Tr ` _1 _ _�_iF.� _,e �_ 1 _ -TT _E f': `.iTP:, .. .... _ Iii 15r 201.3 vhl�- Per- Fields 'Hide or Cl a!- Ids ni aU jentl er vG Contractor Licensing R =_n e %hiabi License Issuances License Category Attach Driver License Photo Add issuance__.__.__ L rk _ ce__. __._ `tats'S Gat? Issi.e t I� rce NLrrber E p +r t r C e E TIL N1 RELE ..t! _ F... uspcnded Eig,yIDri ' }_g1 }: 'U_1 LD C1 ,_ r ,'ER_17NG IN! TF., _ 014.'l 1'2012 29330 09,'31_.'_013 TILE t N:I<.RSu'= COINTR, --t,e II 2 2 ?1 }1g _ 0g _omrnent_, Reneva, able' ShoF More Fields Hide or Clear Fields f r;. Licensee Information Uccnseemmnbc' Name /Description .Sxuth»es:r Fioorresior,znc Type Cont-actor znspe 7-tor k- her Courty, we,mucensec i'currertproject,, {! New Licensee (no project) | _ Stah-is -;�ctive ~ Start Date - End Date | - submi n ---------- /-' o�na�mcn� �p�roto,� |~� _~ 4ctv.h/Desohpdon �4! cerbicotco -om cDI�:�Iuu: JOOg�, zggss (�usirc,s Tux mumb�r �:crino o�o�a�) (SusincSsTax mu,nber ' Ti|e & marb|c �zZoro) 4dd this flaiiing4ddrcssasmLocation Stre�-tmaiUno Addn:s, 7335 Pulling Rd m olddrc,sUne- z ,d,.IrcoLine -7|-------------------------- ' --�--------- F�� s��/Zip FL �1�C9 country Email ! Contractor Attributes contractorr/p.e �uonc�s on°er, License mumbcr� vvorx�-,scompensobon [------ ExFliration Date Location | _____-__`. . Fax 2 5 5 - --- ��' nmory _- S, �v More Fields / Hide or clear Fields | r_ ------------- - oDe] - L Sponsorship A.ppUcdon Date ] - -�- usineoTax meo:ipt7 reo Add R- elated Parcels and Addresses | Add Locadon | To link a location to this Licensee enter location information belovi Citv% suggest possible matches as you type: Contacts Add a Contact To link a contact to this Licensee,. enter contact inf-ormation belovv. Citi',Je-,�i will suggest possible matches as vou t , ipe: Er: Date Fln—.r er Qualifier MARK E. Address: 3421 4LLEGHNEY COU T 23: Applicant c--,.:)u�hv*;estFl,�),DrC�esign,. Inc- Address: 7935A irport Pulling Rd Y, Qualifier Seijas,A ndrevv. Address; 12921 Silverthorn Ct. Phone: (2-39'l 27 | } * ,Licensee Information Licensee Number 1-CC= 11200€ 0786c Name [Gulf Cca t Home Ser., °€ces, inc i Til=e Ccrtr —actcr r,la _ -az �i1 t ;tips f.�r this 'ter!`• °� -'�.dd a .x _rs,� .r �•usin °5s t,J -'4JI j _�5 cG =b, Classifications Generate Defaults 'Ad a Classi�ication ad'j L r: C e s> r S€ I _ C c TR_.. _ .1 L _ ten. _ _, i '? _0f -iTR. i "' -'�.t Ztl t _{",. _ _ -..7 3- _20 17 - -- husr Mr-f . Fields- -Hidee or ( a; Fi - ni qu dent €* er ;LC 3. Contractor Licensing F.ene,k,a i_- License CatetJ.or Lccal - Specialty T License Issuances :attach Driver License Photo - Add Issuance Lick; _ _ _ - -- 4 — -- - -- .__v. i `s _Cates IS .:.ISS.ti,� %v r Erir t .r C TT_ 5`L.++.:L� -' "� Uv__� ]` �; �_t3a� t - _ F - ,:E.Ir,� r�NTR.. cti,.. J ]....`2J 201200000486 _ uv: ] ril !"L� li �+ p �.t �E 17 t7 �2 Comments let n.rj°.ew _eiga_ r.c longer qualities the Company ��ho4 ('rficr� Fieh� I Hide er dear Fields License _aiegt7r/ Lccal - Specialty Rene:vvable-, v Unique Identifier LCr" 3 _� i Growth Management Division C q i! t ber County 2800 Horseshoe Drive N. �..,r �..,.r y Naples, FL 34104 239- 252 -2400 Receipt Number: Transaction Number: Date Paid: Amount Due: Payment Details: Amount Paid: Change / Overage: Contact: FEE DETAILS: RECEIPT OF PAYMENT 2013122399 2013 - 025282 06/25/2013 $105.00 Payment Method Amount Paid Check Number Check $105.00 129 $105.00 $0.00 Southwest Floor Design, Inc. 7935 Airport Pulling Rd N 109 Naples, FL 34109 Fee Description Reference Number Original Amount GL Account Fee Paid Second entity application fee C30091 $105.00 $105.00 113- 138900 - 321210 Cashier Name: LeaDerence Batch Number: 3204 Entered By: greenberg_j Collier County / City of Naples / City of Marco Island Second Entity Qualification Guidelines The applicant shall submit the followring information .and/or documentation to the licensing office with his/her complete lication: . °a 1. A notarized statement signed by an authorized agent of the entity presently qualified as well as a notarized statement signed by an authorized agent of the proposed entity attesting to the fact that each is aware of what entity the licensee is presently qualifying and what entity the licensee is requesting to qualify. 2. A credit report not more than mold for the present and the proposed entity. If the proposed entity is newly formed (less than one year old), then a credit report shall also be required of its qualifier. 3. Proof that the licensee has been active in construction for the previous twelve months with the present entity. Applicant shall submit a list of up to three of the latest jobs completed including the date of completion, address, description of work, and the name of owner. (Use questionnaire) 4. If the proposed entity has previously been qualified (within the previous 12 months), a statement as to why the previous qualifier is no longer willing to qualify the entity. (Use questionnaire) 5. If the proposed entity has previously been qualified (within the previous 12 months), a list of the three jobs completed by the proposed entity within the last twelve months of qualification. Include the dates of completion, address, description of work, name of previous qualifier, and name of owner. (Use questionnaire) 6. A statement that there are no outstanding liens or judgments against the present entity or against the proposed entity, or against any consumer /consumers that are a result of construction performed by either the present entity or the proposed entity. If liens or judgments are present, an explanatory statement is required. (Use questionnaire) 7. Bank statements for the previous three tnontlis on both the present and the proposed entity (if applicable). 8. Verification of bank balance for each entity, for the same date, not to exceed three months prior to the scheduled hearing. 9. Statements indicating the mariner of remuneration of the licensee for the present as well as the proposed entities. (Use questionnaire) 10. Statement showing the licensee's ownership in the present entity as well as ownership in the proposed entity. (Use questiomlaire) Second Entity Qualification Guidelines continued 11. Application fee of - Make check payable to the Collier County Board of County Commissioners. This fee is nonrefundable regardless of the outcome of the request for additional entity. If approved, the additional fee for the license will be according to the schedule adopted by the Board of County Commissioners. 12. A statement of need, from the licensee, for maintaining the present entity qualification while requesting to qualify an additional entity. (Use questionnaire) 11 A list of principal suppliers for the present and proposed entity. (Use questionnaire) 14. A list of persons authorized (currently as well as the previous six months) to pull permits for the licensee. (Use questionnaire) 15. A list of all officers in the present as well as in the proposed entity. (Use questionnaire) 16. A properly completed Application to Qualify a Second Entity. It should be noted that the qualifier must be responsible for and capable of supervising, directing, managing, and controlling both the contracting activities of the entity he /she now qualifies as well as the proposed entity. Managing of contracting activities includes the proper collection and disbursement of funds and the proper payment of subcontractors and suppliers. In addition, he /she must be responsible for and capable of the supervision, direction, management, and control of all entities for which he /she pulls permits. Geographical location of all entities involved must be so situated as to permit the aforementioned supenrision, direction, management and control. The Board will consider the ownership, interest, status as a corporate officer or partner, check waiting authority, and other factors as evidence of control of the entities. At the sole discretion and option of the Board, the Board may deem it a requirement that the qualifier be able to sign on checks relating to construction payables. ALL APPLICANTS MUST APPEAR BEFORE THE CONTRACTOR LICENSING BOARD FOR FINAL APROVAL THE-BOAk TH) COLLIER COUNTY CERTIFICATE OF COMPETENCY CERTIFICATION INFORMATION LCC20120000786 Certification Information Collier County Board of County Commissioners Date: September 27, 2012 DBA: Gulf Coast Home Services, Inc dba Gulf Coast Flooring & Finishes ADDRESS: 640 York Terrace Naples, FL 34109 PHONE: 2392739509 CELL: FAX: LICENSEE NBR: LCC20120000786 INSURANCE: General Liability February 15, 2013 Worker's Compensation February 16, 2013 ISSUANCE NBR: 201200000485 ORIG ISSD: March 06, 2012 EXPIRATION: September 30, 2013 NOTE: It is the Qualifier's responsibility to keep all business, licensing and requirements current and to provide up to date copies for Collier county files. This includes all insurance certificates and any change of address information. Collier County * City of Marco * City of Naples Contractor Licensing TILE & MARBLE CONTR. Cert Nbr: Exp: Status: LCC20120000786 09/30/2013 Active Gulf Coast Home Services, Inc dba Gulf Coast Flooring & Finishes Seijas, Andrew 640 York Terrace Naples, FL 34109 Signed: BUILDING REVIEW AND PERIbIITTING CONTRACTOR LICENSING SECTION COLLIER COUNTY / CITY OF NAPLES / CITY OF MARCO ISLAND Contractors Licensing Board Community Development & Environmental Services Division 2800 North Horseshoe Drive Naples, Florida 34104 Telephone: (941)403-243 1 Facsimile: (941) 403 -2345 ATTACH (TAPE ON ALL SIDES) A RECENT PHOTO OF QUALIFIER. PHOTO MUST BE FULL - FACED, VIEW APPROX. 2" x 2". A CLEAR AND RECOGNIZABLE LIKENESS. APPLICATION TO QUALIFY SECOND ENTITY THIS FORM MUST BE CONIPI,FTFD IF YOU WISH TIO INITIATE OR CHANGE THE STATUS OF AN EXISTING LICENSE. READ ALL INSTRUCTIONS AND MAKE SURE YOU HAVE SIGNED WHERE INDICATED. TYPE OR PRINT IN INK. MAKE CHECKS PAYABLE TO THE COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS. ALL CHECKS MUST CLEARLY STATE APPLICANT'S NAME AND ADRESS. PLEASE ALLOW 2 - 3 WEEKS FOR PROCESSING. FEES�t 1. Applicant's Name (Licensee) LICENSE # UNDER THE FEDERAL PRIVACY ACT, DISCLOSURE OF SOCIAL SECURITY NUMBERS IS VOLUNTARY UNLESS SPECIFICALLY REQUIRED BY FEDERAL STATUTE. IN THIS INSTANCE; SOCIAL SECURITY NUNIBERS ARE MANDATORY PURSUANT TO TITLE 42 UNITED STATES CODE, SECTIONS 653 AND 654; AND SECTIONS 455.203(9), 409.2577, AND 4092598, FLORIDA STATUTES. SOCIAL SECURITY NUMBERS ARE USED TO ALLOW EFFICIENT SCREENING OF APPLICANTS AND LICENSEES BY A TITLE IV -D CHILD SUPPORT AGENCY TO ASSURE COMPLIANCE WITH CHILD SUPPORT OBLIGATIONS. SOCIAL SECURITY NUMBERS MUST ALSO BE RECORDED ON ALL PROFESSIONAL AND OCCUPATIONAL LICENSE APPLICATIONS AND WILL BE USED FOR LICENSE IDENTIFICATION PURSUANT TO THE PERSONAL RESPONSIBILITY AND WORK OPPORTUNITY RECONCILIATION ACT OF 1996 (WELFARE REFORM ACT), 104 PUB.L. 193, SEC. 317. Place of Birth: (Cih) y i. =i (State) {Nation) Social Securitv Number ! Date of Birth SEX: - Male _ Female ' RACE: _( l) White_- (2) African -Anerican ; _ (3) Hispanic _; (4) Asian _(5) Indian; (6) Other 2. Name of Business To Be Qualified: _ Mailing Address: ~Street or P.O. Box icity State Zip Street Address: Street City Business Phone Number: ( :`) r _; " Federal ID Number: State Zip t APPLICATION TO QUALIFY SECOND ENTITY 3. Applicant's (Licensee) Name: Last First Biddle Applicant's (Licensee) Official Mailing Address of Record: Street Cite County Street Address (if Post Office Box is listed above): Street Home Phone (`-_ ) City County Office Phone (_ ) State State Zip Zip 4. VERIFICATION OF GENERAL LIABILITY INSURANCE and WORKERS' COMPENSATION (or exemption from Workers Law) INSURANCE (ATTACH A CERTIFICATE OF INSURANCE OR EXEMPTION. I HEREBY AFFIRM THAT I HAVE OBTAINED GENERAL LIABILITY AND PROPERTY DAMAGE INSURANCE IN THE AMOUNTS SET FORTH BELOW and workers' compensation insurance (unless exemption has been riled with and approved by the Bureau of Workers' Compensation compliance), for the safety and welfare of the public. 1 further affirm that I have met all continuing education requirements. I understand that it is my responsibility to maintain all documentation supporting this affirmation of eligibility. I affirm that these statements are true and correct and I recognize that providing false information may result in a FINE, SUSPENSION or REVOCATION of my contractor's liccnse. APPLICANT'S SIGNATURE PRINT OR TYPE NAME DATE TO FILE A NOTICE OF ELECTION TO BE EXEMPT from the provisions of the FLORIDA WORKERS' COMPENSATION LAW, contact your nearest Florida Department of Labor and Employment Security, Bureau of Workers' Compensation Compliance office to obtain form # BCM- 250 -T. 3 APPLICATION TO QUALIFY SECOND ENTITY S. QUESTIONNAIRE — QUALIFYING A SECOND ENTITY THIS FORM MUST BE CO'YIPLETED BY THE APPLICANT REQUESTING TO QUALIFY A SECOND ENTITY OR REQUESTING A CHANGE TO AN EXISTING SECOND ENTITY QUALIFICATION. THE APPLICANT AND PRESIDENTS (OR PARTNERS /OWNERS) OF ALL COMPANIES INVOLVED MUST SIGN WHERE INDICATED. PLEASE USE THIS SHEET. ONLY USE ADDITIONAL SHEETS IF NECESSARY. A. Explain why you wish to maintain your present license(s) while qualifying this additional business. B. Has the proposed entity been previously qualified? If so, explain why the previous qualifier is no longer willing to continue to qualify this entity. C. If the proposed entity has been qualified within the last 12 months, list the last three jobs completed by the proposed entity. Include dates of completion, address, description of work, name of previous qualifier and name of owner. D. List the last three jobs completed by you tinder your existing license. Include date of completion, address, description of work, name of previous qualifier and name of owner. E. Do the business(s) you presently qualify and /or wish to qualify have any outstanding liens against them or against the property of consumers as a result of construction work or a contract they had with your firm? YES NO If yes, identify- business and provide explanation. F. List principal suppliers for the past six months for the business you presently qualify. G. List principal suppliers for the past six months for the business you are applying to qualify. 11 APPLICATION TO QUALIFY SECOND ENTITY H. List persons authorized (currently and in the past 6 weeks) to pull permits on your license(s). I. How are you being paid by the business(s) you presently qualify- (examples: salary, % of profits. etc.)? J. How will you be paid by the business you are applying to qualify? K. what percentage of ownership do you have in the present business(s) you are qualifying and what percentage of ownership will you have in the business you are attempting to qualify? L. Do you (applicant) have check writing authority for the present and proposed entity? YES — NO If yes, provide a letter from the bank. M. List officers (or partners, owners) of business you are applying to qualify and give title /position held. N. List officers (or partners, owners) of business you presently qualify and give title /position held. O. Do the business(s) you presently qualify and wish to qualify have any other licenses presently qualifying those businesses? YES NO If yes, list licensee's name, license number and address. P. Submit notarized statements signed by an authorized agent of the entity(s) you presently qualify and from an authorized agent of the proposed entity attesting to the fact that each is aware of what entity you presently qualify, and what entity you are requesting to qualify. 5 APPLICATION TO QUALIFY SECOND ENTITY 6. FINANCIAL RESPONSIBILITY. Aft applicants /licensees must answer the questions below. If you answer "yes" to any of the questions, a written explanation is required. Additional documentation is also required, as indicated. If you are applying- to qualify, a corporation. partnership or other legal business entity. ALL OFFICERS OF THAT ENTITY MUST ALSO EXPLAPN IF ANY OF THE BELOW WOULD PERTAIN TO THEM. This would include the president, vice president, secretary, andlor partners or owner of the proprietorship. HAVE YOU, the business organization, or any of the above mentioned individuals in any capacity ever: YES NO A. Undertaken construction contracts or work that a third party, such as a bonding or surety company, completed or made financial settlements? B. Had claims or lawsuits filed or unpaid or past due accounts by your creditors as a result of construction operations? C. undertaken construction contracts or work which resulted in liens, suits or judgments being filed? D. Had a lien filed against you by the U. S. Internal Revenue Service or Florida Corporate Tax Division? If "yes ", you must attach a copy of the Notice of Lien, and any payment agreement, satisfaction. Release of Lien or other proof of payment. E. Made an assignment of assets in settlement of construction obligations for less than the debts outstanding? y F. Been charged with or convicted of acting as a contractor without a license, or if licensed as a contractor in this or any other state, been "subject to" any disciplinary action by a state, county, or municipality? If "yes ", you must attach a copy of any state, county, municipal or out -of -state disciplinary order or judgment. G. Filed for or been discharged in bankruptcy within the past five years? If "yes ", you must attach a copy of the Discharge Order, Order Confirming Plan, or if a Corporate Chapter 7 case, a copy of the Notice of Commencement. H. Been convicted or found guilty of, or entered a plea of polo contendere to, regardless of adjudication, a crime in any jurisdiction within the past 10 years? NOTE: IF YOU, THE APPLICANT/LICENSEE, HAVE HAD A FELONY CONVICTION, PROOF TIIAT YOUR CIVIL RIGHTS HAVE BEEN RESTORED WILL BE REQUIRED PRIOR TO LICENSURE. NOTE: The Board requires any applicantllicensee who answers "yes" to any question contained in the Financial Responsibility Section of Use .=application to supply a complete explanation of the response, and include a statement detailing the steps taken by the licensee to prevent a recurrence of the circumstances leading to the conviction, discipline, judgment, bankruptcy, or other event leading to the response. You must include any proof of payment, satisfaction of liens, judgments and bankruptcy discharge papers in your submittal, if applicable. Applicants may be required to appear before the Application Review Committee to answer questions regarding such responses. 7. CREDIT REPORT (Reports that do not include the following information will not be acceptable) Reports for the present and proposed entities must be submitted (not more than six months old) from a nationally recognized credit - reporting agency and must be submitted before an additional license can be issued. If you are applying to qualify as an individual, the credit report must be on you. If you are applying to qualify a business organization, the credit report must be on the business organization. If your business is newly established, you will ALSO need to submit credit reports on the following: the newly formed business and the majority owners holding 25% or more interest PLUS letters from three construction related suppliers indicating that an account either exists or has been opened for the entity you are applying to qualify. A credit report is also required for the entity that you are presently qualil} ing. 6 APPLICATION TO QUALIFY SECOND ENTITY Make sure you give written authorization to the credit agency so the,- can accurately check your credit references. Federal. State. Coumv, ( including all counties within the State of Florida) public records pertaining to judgments, bankruptcies, and tax liens must be searched and results noted on the credit report. The credit report must include a public records check of the-home counties and all other counties where 2i °l0 or more of the contractor's cork has been done over the last three years. (If public records reflect unsatisfied obligations. attach written explanation and legal documentation.) The credit report must reflect officers, partners; and proprietors and FELLA and Social Security numbers_ Attach a credit report(s) from a nationally recognized credit- reportin_ agency to this application. If you are unable to receive the credit report, you may have a credit agency send the credit report directly to: Florida Construction Industry Licensing Board, 7460 Arlington Expressway. Suite 300, Jacksonville, Florida 32211-7467, and complete this statement: I have requested a credit report(s) on - _ -Date (PROPOSED ENTITY A- ND �PRFSE iT ENTITY) to be sent directiv from (NATME OF CREDIT REPORTENG AGE-NCY) 8. CORPORATIONS — ATTACH A COPY of the current Annual Report Form filed with the Florida Secretary of State or, if your corporation is newly established, attach a copy of the Florida Certificate of Incorporation for the proposed and present entities, if applicable. All foreign (out of state) corporations must register with the Florida Secretary of State (850) 488 -9000. 9. FICTITIOUS NAME — ATTACH A COPY of the recorded Fictitious Name Registration from the Division of Corporations. also submit a copy of the filed application or newspaper article for the proposed and present entities, if applicable. (This does not apply to corporations using their registered name.) 10. ORGANIZATIONAL RELATIONSHIPS — Do you qualify any business other than the business you are applvirn to qualify? YES -. NO (If "yes ", what percentage of the business do you own (if any)? _ ` %). Contact Board office for guidelines to qualify more than one business. Company Name: _ Company Address: Your License Number: 11. PROOF OF CONTINUING EDUCATION IS REQUIRED when reactivating or reinstating a license. When reactivating or reinstating your license, you must attach a copy of your Certificate of Completion from a Board approved sponsor. You must provide proof of your continuing education hours, equal to those required of an active licensee, during the period of time your license was delinquent or inactive (beginning December of 1993). 7 A FFIDA VI T and correct to the best of my knowledge. STATE OF FLORIDA COUNTY OF -- - , - y f. certify that the foregoing is true AUTHORIZED OFFICER FOR THE FIRM The foregoing instrument was acknowledged before me this - (DATE) by of (NAME OF OFFICER, TITLE/AGENT) (NAME OF CORPORATION) a corporation, on behalf of the corporation. He/She has (STATE R PLACE OF CORPORATION) produced as identification and did not take an oath. , ---3 IDENTIFICATION) - 1— z---" - - --- (TYPE OF SIGNATURE OF NOTARY (PRINT NAME OF NOTARY) NOTARY PUBLIC JEFFREY FAis-r NOTARY PUBLIC STATE OF FLORIC-A Comm* EEI 13752 I ;.; n. AFFIDA TWIT The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County Ordinance 90 -105. as amended. and vouches for the truth and accuracy of all statements and answers herein contained. The undersigned hereby certifies that he /she is legally qualified to act on behalf of the business organization sought to be licensed in all matters connected with its contractinc, business and that he /she has full authority- to supervise construction undertaken by himself/'herself or such business or organization and that he /she 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 v,-ill be held strictly accountable for any and all activities involving his Iicense. Any willfid falsification of any information contained herein is grounds for disqualification. APPLICANT (PLEASE PRINT) NAME OF COMPANY SIGNATURE OF APPLICANT STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this w.. by (DATE) who has produced ..: (NAME OF PERSON ACKNOWLEDGING) (TYPE OF IDENTIFICATION) as identification and who did not take an oath. JEFFREY FAIST NOTARY PUBLIC STATE OF FLORIDA Comm EE113752 EXoi s 1 8)201 5 SIGNATURE OF NOTARY (PRINT NAME OF NOTARY) NOTARY PUBLIC I COLLIER COUNTY GOVERNMENT COi%f- \1L1ITY DEVELMNIENT AND ENA,`1R0NkfENTAL SERVICES DIVISION _78,00 N. llorseshne Dr. • Naples. Florida 34194 e 239 - 403 -2400 s FAX 239- 403 -2334 MEMORANDUM DATE: November 29, 200'7 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 C'ontractor 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 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 t-nay other--vise be authorized by law. We are fully committed to safe- guarding and protecting your SSIN and once collected, will be maintained as confidential and exempt under Chapter 119, Florida Statucs. John Tangorra Southwest Floor Desian, Inc President 7935 Airport Pulling Rd. N Suite 109 Naples, FL 34109 6/17/1 3 I John Tangorra am aware that Andrew Seijas is applying to qualify Gulf Coast Rome Services, Inc. with his Tile & Marble Contractor License ( License # LCC20120000786) as of June 17, 2013. Sir ' rely { 4 —Jolin Tangoz% President Notrary JEFFREY FAiST . %NOTARY PUBLIC STATE OF FLORIDA Comm# EE113752 )-FynireS 711A A-1 S Andrew Seijas 640 York Ter. Naples, FL 34109 6/17113 Andrew- Seijas President Gulf Coast Home Services, Inc. 640 York Ter. Naples, FL 34109 I Andrew Seijas am aware that I qualify Southwest Floor Design for the Tile & Marble Contractors License and that I am applying to qualify Gulf Coast Home Services, Inc. with my Tile & Marble Contractor License ( License # LCC20120000786) as of June 17, 2013. Sincerely, Andrew Seijas President Notrary JEFFREY FAiST )NOTARY PUBLIC STATE OF FLCR DA Comm# EE113752 Expires. 7 i1819015 F� Ft 0t2.DA COMMUNITY BRINK vvww.floridacommuniiybank.net Last statement: February 28, 2013 This statement: March 31, 2013 Total days in statement period: 31 Page 1 of 4 Direct inquiries to: Local Branch, 239 552 -1840 GULF COAST HOME SERVICES, INC. AGNT ACCT FOR GULF COAST FLOORING &FINISH Florida Community Bank, N.A. PAYROLL ACCOUNT 2400 N Tamiami Trail Ste 100 640 YORK TER Naples FL 34103 NAPLES FL 34109 Small Business Checking Account number Enclosures 1645275500 Beginning balance 81 Total additions Total subtractions Ending balance CHECKS Number Date Amount 2027 03 -04 1,400.00 _ 2028 03 -25 2,326.76 2029 03 -18 690.84 2030 03 -18 1,200.00 2031 03 -19 520.00 2032 03 -19 720.00 2033 03 -21 600.00 2034 03 -25 400.00 2035 03 -26 600.00 2036 03 -22 400.00 2038 03 -21 750.00 2039 03 -25 540.00 2040 03 -21 480.00 2041 03 -21 400.00 2042 03 -22 4,000.00 2043 03 -22 900.001 10885 * 03 -06 637.21 10892 * 03 -26 1,076.92 10893 03 -05 1,147.91 10901 * 03 -01 ----664.92 10902 03 -01 369.40/ 10903 03 -11 607.74 10907 * 03 -04 443.28 10908 03 -05 458.80 10911 * 03 -06 1,076.92 10913 * 03 -22 1,102.91 10914 03 -07 277.05. $- 703.20 53, 348.36 48,620.08 $4,025.08 Number Date Amount 10915 03 =05 671 -35 10916 03 -08 221.64 10917 03 -05 124.91 10918 03 -11 150.00 10919 03 -05 501.53 10920 03 -11 554.10 10921 03 -11 369.40 10922 03 -11 406.34 10923 03 -05 544.86 10924 03 -04 953.32 10925 03 -08 643.73 10926 03 -12 221.64 10927 03 -12 386.53 10928 03 -05 369.33 10929 03 -08 324.33 10930 03 -14 461.75 10931 03 -12 310.84 10932 03 -18 360.36 10933 03 -19 150.00 10934 03 -12 594.35 10935 03 -26 110.82 10936 03 -15 369.40 10937 03 -14 203.17 10938 03 -12 572.57 10939 03 -11 818.62 10940 03 -14 643.73 10941 03 -14 369.40 007229 M e m b e r PLEASE SEE REVERSE SIDE FOR IMPORTANT INFORMATION. F�/'FLORIDA COMMUNITY BANK 112t �/ 1255 TAMIAMi TRAIL, PORT CHARLOTTE, FL 33953 •TELEPHONE_ It (866) 764-0006 L°; Ko R FLORIDA COMMUNITY BANK " VI IN- N.:.`lcridacommunitybank.net DEBITS GULF COAST HOME SERVICES, INC. March 31, 2013 Number Date Amount 10942 03 -18 312.42 10943 03 -18 324.33 10945 * 03 -28 277.05 10946 03 -28 360.36 10948 * 03 -26 594.35 10952 * 03 -26 572.57 10953 03 -26 953.32 Page 2 of 4 Number Date Amount 10954 03 -28 759.76 10955 03 -29 221.64 10956 03 -29 238.30 10957 03 -28 386.21 10958 03 -26 461.75 * Skip in check sequence Date Description Subtractions 02 -28 'Overdraft Fee 28.00 FOR OVERDRAFT CHECK # 2026 03 -01 Preauthorized Wd 133.35 TRAVELERS INSUR CL PAYMENT 130301 03 -04 ` Preauthorized Wd 387.30 PrimeTax ACH 130301 T5608 03 -04 ' Preauthorized Wd 1,825.24 PrimeTax ACH 130301 FOR OVERDRAFT CHECK # 10911 Preauthorized Wd 319.62 PrimeTax ACH 130308 T5608 03 -11 ' Preauthorized Wd 1,729.52 PrimeTax ACH 130308 T5608 03 -05 ' Preauthorized Wd 276.60 PRIMEPAY INVOICE INVOICE 130305 03 -05 ' Overdraft Fee 28.00 FOR OVERDRAFT CHECK # 10923 03 -05 ' Overdraft Fee 28.00 FOR OVERDRAFT CHECK # 10915 03 -05 ' Overdraft Fee 28.00 FOR OVERDRAFT CHECK # 10893 03 -06 ' Overdraft Fee 28.00 FOR OVERDRAFT CHECK # 10911 Preauthorized Wd 319.62 PrimeTax ACH 130308 T5608 03 -11 ' Preauthorized Wd 1,729.52 PrimeTax ACH 130308 FOR OVERDRAFT CHECK # 10931 007229 2 j,t e n b e , PLEASE SEE REVERSE SIDE FOR IMPORTANT NFORMATION. FDIC FLORIDA COMMUNITY BANK 1255 TAMIAMI TRAIL, PORT CHARLOTTE, FL 33953 • TELEPHONE: 1 1866) 761-10,006 `GPN -cR T5608 03-11 ' Overdraft Fee 28.00 FOR OVERDRAFT CHECK # 10918 03-11 ' Overdraft Fee 28.00 FOR OVERDRAFT CHECK # 10921 03 -11 ' Overdraft Fee 28.00 FOR OVERDRAFT CHECK # 10922 03 -12 ' Overdraft Fee 28.00 FOR OVERDRAFT CHECK # 10926 03 -12 ' Overdraft Fee 28.00 FOR OVERDRAFT CHECK # 10931 007229 2 j,t e n b e , PLEASE SEE REVERSE SIDE FOR IMPORTANT NFORMATION. FDIC FLORIDA COMMUNITY BANK 1255 TAMIAMI TRAIL, PORT CHARLOTTE, FL 33953 • TELEPHONE: 1 1866) 761-10,006 `GPN -cR �_FCB FLORIDA C0MIv1UNITY BANK www.1orivaccrrmunirybank.nel 007229 3 GULF COAST HOME SERVICES, INC. Page 3 of 4 March 31, 2013 Date Description Subtractions 03 -12 ' Overdraft Fee 28.00; FOR OVERDRAFT CHECK # 10927 03 -14 ' Overdraft Fee 28.00_ FOR OVERDRAFT CHECK # 10941 03 -14 ' Overdraft Fee 28.00 FOR OVERDRAFT CHECK # 10930 03 -15 ' Overdraft Fee 5.00 FOR CONTINUOUS OD ON 03-15-13 03-15 ' Overdraft Fee 28.00 FOR OVERDRAFT CHECK # 10936 03 -18 ' Overdraft Fee 5.06 FOR CONTINUOUS OD ON 03 -18 -13 03 -18 ' Overdraft Fee 28.00. FOR OVERDRAFT CHECK # 10942 03 -18 ' Overdraft Fee 28.00 FOR OVERDRAFT CHECK # 10943 03 -18 ' Overdraft Fee 28.00 FOR OVERDRAFT CHECK # 10932 03 -25 ' POS Purchase 150.00 MERCHANT PURCHASE TERMINAL 442733 SUNBIZ ORO FL F ILIN 850 245 6 FL 03 -22 -13 4420330000038997 03 -25 ' POS Purchase ___ _ _ _ _ 3.0210 MERCHANT PURCHASE TERMINAL 461043 THE HOME DEPOT 280 NAPLES FL 03 -23 -13 4420330000038997 03 -25 ' Preauthorized Wd 316.53 PrimeTax ACH 130322 T5608 03 -25 ' Preauthorized Wd 1,816.78 PrimeTax ACH 130322 T5608 03 -26 ' Overdraft Fee 28.00 FOR OVERDRAFT CHECK # 10952 03 -26 ' Overdraft Fee 28.00 FOR OVERDRAFT CHECK # 10948 03 -26 ' Overdraft Fee 28.0.0 FOR OVERDRAFT CHECK # 2035 03 -29 ' Preauthorized Wd 132.30 TRAVELERS INSUR CL PAYMENT 130329 CREDITS Date Description Additions 03 -01 Deposit 3,102.25 03 -01 Deposit 6,000.00 03 -06 Deposit 900.00' 03 -06 Deposit 2,026.11 03 -07 Deposit 3,100.00 N 03 -11 Deposit 1,300.00 93 e m be r PLEASE SEE REVERSE SIDE FOR IMPORTANT INFORMATION. �� FLORIDA COMMUNITY BANK 7=1 FMC-7 1255 TAMIAMI TRAIL, PORT CHARLOTTE, FL 33953 • TELEPHONE: 1 (366) 764 -0006 LENDER FCB r ^PIDACOMMUNIT`-!BAINK mrIW- rloridacom mun itybank. net 007729 4 GULF COAST HOME SERVICES, INC. Page 4 of 4 March 31, 2013 Date Description Additions 03 -12 Deposit 3,000.00 -1 3,000.00 03 -13 Deposit - 801.07 03 -15 Deposit 1,000.00 03 -18 Deposit 220.00 03 -19 Deposit 6,000.00✓ 03 -21 Deposit 13,500.00 03 -22 Deposit 250.00 03 -27 'Remote Transfer 4.000.00 ./ FR ACC 03 -27 -13 TIME: 07:30:02 03 -27 Deposit 4,000.00 03 -29 Deposit 1,950.00 DAILY BALANCES Amount Date Amount 02 -28 - 731.20 03 -01 7,203.33 03 -04 2,194.24 03 -05 - 1,985.05 03 -06 - 801.07 03 -07 2,021.88 03 -08 832.18 Date Amount 03 -11 - 2,907.16 03 -12 - 2,077.09 03 -13 922.91 03 -14 - 811.14 03 -15 - 213.54 03 -18 - 2,970.49 03 -19 1,63951 Date Amount 03 -21 12,909.51 03 -22 6,756.60 03 -25 904.43 03 -26 - 3,549.30 03 -27 4,450.70 03 -28 2,667.32 03 -29 4,025.08 Thank you for banking with Florida Community Bank, N A. N1 e m b e r PLEASE SEE REVERSE SIDE FOR IMPOR'ANT INFORMATION. FLORIDA COMMUNITY BANK FDIC- 1255 TAMIAMI TRAIL, PORT CHARLOTTE, Fl- 33953 • TELEPHONE: 1 (866) 764 -0006 -FCB FLOK!6A C6M-tU ITY BANK ,N�- v.floridaeommunifybank.nef Last statement: March 31, 2013 This statement: April 30, 2013 Total days in statement period: 30 GULF COAST HOME SERVICES, INC. AGNT ACCT FOR GULF COAST FLOORING &FINISH PAYROLL ACCOUNT 640 YORK TER NAPLES FL 34109 Small Business Checking Page 1 of 3 Direct inquiries to: Local Branch, 239 552 -1840 Florida Community Bank, N.A. 2400 N Tamiami Trail Ste 100 Naples FL 34103 Account number 1645275500 Beginning balance $4,025.08 Enclosures 76 Total additions 47,661.02 Total subtractions 49,418.35 Ending balance $2,267.75 CHECKS Number Date Amount 2037 - - 04 -02 550.00 2044 * 04 -02 360.00 2045 04 -02 325.00 2046 04 -09 360.00 2047 04 -15 360.00 2048 04 -15 690.84 2049 04 -15 1,145.50 2050 04 -12 1,466.81 2051 04 -12 433.54 2052 04 -12 605.00 2053 04 -15 332.46 2055 * 04 -18 600.00 2059 * 04 -30 500.00 2060 04 -30 350.00 2062 * 04 -30 2,000.00 10874 * 04 -09 1,076.92 10912 * 04 -11 1,147.91 10944 * 04 -12 1,102.91 10949 * 04 -02 221.64 10950 04 -01 369.40 10951 04 -02 203.17 10959 * 04 -12 1,102.91 10960 04 -04 554.10 10961 04 -04 221.64 10963 * 04 -02 315.69 10964 04 -10 110.82 10965 04 -08 369.40 Number Date Amount 1. 0966_ 04 -05 607.74 10967 04 -02 300.14 10968 04 -01 953.32 10969 04 -04 643.73 10970 04 -04 295.52 10971 04 -05 386.53 10972 04 -08 324.33 10973 04 -08 461.75 1 0974 04 -12 1,102.91 10975 04 -11 369.40 10976 04 -15 315.69 10977 04 -15 369.40 10978 04 -22 607.74 10979 04 -09 332.46 10980 04 -10 953.32 10981 04-11 525.06 10982 04 -12 386.53 10983 04 -16 262.45 10984 04 -11 461.75 10985 04 -12 1,102.91 10986 04 -15 443.28 10987 04 -23 294.48 10988 04 -15 408.71 10989 04 -22 369.40 10990 04 -22 304.75 10991 04 -17 818.62 10992 04 -22 525.06 005437 1 Me m be r PLEASE SEE REVERSE SIDE FOR IMPORTANT INFORMATION. FDIC, FLORIDA COMMUNITY BANK f2r i 1255 TAMIAM( TRAIL, PORT CHARLOTTE, FL 33953 • TELEPHONE: 1 j866) 764 -0006 Mk- __-FC B FL.ORiDA COINAAtUNiTY BANK ww,v.ioridacommunitybonk_net 005437 2 GULF COAST HOME SERVICES, INC. April 30, 2013 Number Date Amount 10993 04 -23 312.42 10994 04 -23 262.45 10995 04 -18 461.75 10997 * 04 -22 443.28 10998 04 -25 221.64 10999 04 -23 408.71 11001 * 04 -26 369.40 11002 04 -30 531.01 Page 2 of 3 Number Date Amount 11003 04 -23 818.62 11004 04 -25 643.73 11006 * 04 -23 461.75 11009 * 04 -30 240.11 11010 04 -30 818.62 11011 04 -30 461.75 * Skip in check sequence DEBITS Date Description Subtractions 04 -01 Preauthorized Wd 308.23 PrimeTax ACH 130329 T5608 04 -01 Preauthorized Wd 1,693.97 PrimeTax ACH 130329 T5608 04 -02 ' Overdraft Fee 28.00 FOR OVERCRAFT CHECK # 10967 04 -02 ' Overdraft Fee 28.00 FOR OVERDRAFT- - CHECK # 10963 04 -02 ' Overdraft Fee 28.00 FOR OVERDRAFT CHECK # 2045 04 -05 ' Preauthorized Wd 223.32 PRIMEPAY INVOICE INVOICE 130405 04 -08 ' Preauthorized Wd 254.27 PrimeTax ACH 130405 T5608 04 -08 ' Preauthorized Wd 1,457.73 PrimeTax ACH 130405 T5608 04 -11 Remote Transfer 4,000.00 TO ACC 04-11 -13 TIME: 12:12.05 0415 ' Preauthorized Wd 231.19 PrimeTax ACH 130412 T5608 04 -15 ' Preauthorized Wd 1,338.85 PrimeTax ACH 130412 T5608 04 -17 ' Overdraft Fee 28.00 FOR OVERDRAFT CHECK # 10991 04 -18 ' Overdraft Fee 28.00 FOR OVERDRAFT CHECK # 10995 04 -18 ' Overdraft Fee 28.00 FOR OVERDRAFT CHECK # 2055 M e m b e r PLEASE SEE REVERSE SIDE FOR IMPORTANT INFORMATION. ®I FLORIDA COMMUNITY BANK f2r 1255 TAMIANII TRAIL, PORT CHARLOTTE, FL 33953 • TELEPHONE: 1 (866) 764.0006 m L13ER FCB F E0 R_' DA COM V4Uti iTy BANK , sfn ^N.�(aridacommunitybank.net 005437 3 GULF COAST HOME SERVICES, INC. Date Description Subtractions 04 -22 ' Preauthorized Wd 240.98 04 -04 PrimeTax ACH 130419 2,500.00 04 -05 T5608 5,255.00 04 -22 ' Preauthorized Wd 1,334.29 04 -15 PrimeTax ACH 130419 300.00 04 -15 T5608 5,000.00 04 -23 ` Overdraft Fee 28.00 nn -1 a FOR OVERDRAFT CHECK # 10994 nnn nn 04 -23 ' Overdraft Fee 28.00 FOR OVERDRAFT CHECK # 10987 04 -23 ` Overdraft Fee 28.00 FOR OVERDRAFT CHECK # 10993 04 -29 ' Preauthorized Wd 94.14 PrimeTax ACH 130426 T5608 04 -29 Preauthorized Wd 731.50 PrimeTax ACH 130426 T5608 CREDITS Date Description _ _ .__ Atld.tions 04 -03 Deposit 2,200.00 04 -04 Deposit 2,500.00 04 -05 Deposit 5,255.00 04 -10 Deposit 15,500.00 04 -15 ' Remote Transfer FR ACC 04 -15 -13 TIME: 08:45:37 300.00 04 -15 Deposit 5,000.00 04 -18 ' Remote Transfer FR ACC 04 -18 -13 TIME: 06:58:19 100.00 nn -1 a rlo—it nnn nn 04 -26 Deposit DAILY BALANCES Amount Date Amount 03 -31 4,025.08 04 -01 700.16 04 -02 - 1,659.48 04 -03 540.52 04 -04 1,325.53 04 -05 5,362.94 04 -08 2,495.46 04 -09 726.08 Date Amount 04 -10 15,161.94 04-11 8,657.82 04 -12 1,354.30 04 -15 1,018.38 04 -16 755.93 04 -17 -90.69 04 -18 - 1,108.44 04 -19 3,891.56 Date Amount 04 -22 66.06 04 -23 - 2,576.37 04 -24 2,229.65 04 -25 1,364.28 04 -26 7,994.88 04 -29 7,169.24 04 -30 2,267.75 Thank you for banking with Florida Community Bank, N.A. 1 e m o e r PLEASE SEE REVERSE SIDE FOR IMPORTANT INFORMATION. FLORIDA COMMUNITY BANK FDIC 1 MI 255 TAAMI FRAIL, PORT CHARLOTTE, FL 33953 • TELEPHONE: 1 (8661, 76a -0006 M-OUS - C _ CB F FILOR-IDA O.NvoUNITY BANK ,www noridacornmuniiybank.net Last statement: April 30, 2013 This statement: May 31, 2013 Total days in statement period: 31 Page 1 of 3 Direct inquiries to: Local Branch, 239 552 -1840 GULF COAST HOME SERVICES, INC. AGNT ACCT FOR GULF COAST FLOORING &FINISH Florida Community Bank, N.A. PAYROLL ACCOUNT 2400 N Tamiami Trail Ste 100 640 YORK TER Naples FL 34103 NAPLES FL 34109 Small Business Checking Account number 1645275500 Beginning balance $2,267.75 Enclosures 72 Total additions 42,578.00 Total subtractions 42,179.57 Ending balance $2,666.18 CHECKS Number Date Amount 2056 05 -13 400.00 2057 05 -14 400.00 2058 05 -22 400.00 7061 * 05 -07 100.00 2070 05 -13 690.84 YO- 7-1 05 -14 360.00 2072 05 -17 325.00 2073 05 -13 277.05 2074 05 -14 277.05 2076 * 05 -10 500.00 2078 * 05 -17 2,081.25 2079 05 -21 360.00 2080 05 -21 360.00 2081 05 -21 400.00 2082 05 -21 390.00 2083 05 -21 700.00 2084 05 -23 191.45 10996 * 05 -10 1,102.91 11000 * 05 -07 110.82 11005 * 05 -02 73.88 Number Date Amount 11007 * 05 -10 1,102.91 11008 05 -06 277.05 11012 05 -24 1,102.91 11013 05-06 461.75 11014 05 -14 300.14 11015 05 -06 953.32 11016 05 -07 461.75 11018 * 05 -13 554.10 11019 05 -14 661.38 11020 05 -14 315.69 11021 05 -14 369.40 11022 05-21 300.14 11023 05 -13 953.32 11024 05 -14 461.75 11026 05 -20 554.10 11027 05 -21 586.07 11028 05 -21 332.46 11029 05 -30 230.87 11030 05 -21 315.69 11031 05 -21 461.75 11032 05 -28 230.87 11033 05 -21 277.05 11034 05 -29 360.16 11035 05 -21 953.32 11036 05 -21 277.05 11037 05 -24 230.87 11038 05 -17 646.45 005433 1 JI e m b e : PLEASE SEE REVERSE SIDE FOR IMPORTANT INFORMATION. �� FLORIDA. COMMUNITY BANK 1255 TAMIAMI TRAIL, PORT CHARLOTTE, FL 33953 • TELEPHONE: 1 (866{ 764 -0006 LENDER CB L��DA C UNITY BAS K W\rnnJi0l idcccmmunitybon%.ret 005433 2 GULF COAST HOME SERVICES, INC. May 31, 2013 Number Date Amount 11040 * 05 -28 554.10 11041 05 -29 586.07 11042 05 -29 332.46 11044 * 05 -29 315.69 11045 05 -29 554.10 Page 2of3 Number Date Amount 11047 * 05 -28 277.05 11049 * 05 -28 953.32 11050 05 -28 277.05 11052 * 05 -30 646.45 * Skip in check sequence DEBITS Date Description Subtractions 05 -06 ' Preauthorized Wd 117.48 PrimeTax ACH 130503 T5608 05 -06 ' Preauthorized Wd 171.60 PRIMEPAY INVOICE INVOICE 130506 05 -06 ' Preauthorized Wd 853.04 PrimeTax ACH 130503 T5608 05 -07 ' Remote Transfer 4,000.00 TO ACC 05 -07 -13 TIME: 14:26:30 05 -07 'Overdraft Fee 28.00 FOR OVERDRAFT CHECK # 11000 05707 ' Overdraft Fee _ _ _ _ __ 28.00--- _ FOR OVERDRAFT CHECK # 11016 05 -07 ' Overdraft Fee 28.00 FOR OVERDRAFT CHECK # 2066 05 -13 ' Preauthorized Wd 196.79 PrimeTax ACH 130510 T5608 05 -13 ' Preauthorized Wd 1,164.83 PrimeTax ACH 130510 T5608 05 -14 ' Overdraft Fee 28.00 FOR OVERDRAFT CHECK # 11024 05 -14 'Overdraft Fee 28.00 FOR OVERDRAFT CHECK # 11019 05 -20 ' Preauthorized Wd 354.80 PrimeTax ACH 130517 T5608 05 -20 ' Preauthorized Wd 1,691.50 PrimeTax ACH 130517 T5608 05 -21 ' Overdraft Fee 28.00 FOR OVERDRAFT CHECK # 2081 05 -21 ' Overdraft Fee 28.00 FOR OVERDRAFT CHECK # 11031 05 -21 ' Overdraft Fee 28.00 FOR OVERDRAFT CHECK # 11027 1,1 e m b e r PLEASE SEE REVERSE SIDE FOR IMPORTANT INFORMATION. FLORIDA COMMUNITY BANK 112t FDIC 1255 TAMIAMI TRAIL, PORT CHARLOTT E, FL 33953 • TELEPHONE: 1 (866) 764 -0006 LENDER --:----FCB FLORIDA COMMUNiTy BANK n nn v.iECfidacorn unt J(7Qftk. ^ @1 GULF COAST HOME SERVICES, INC. Page 3 of 3 May 31, 2013 Date Description Subtractions 05 -28 ' Preauthorized Wd 295.06 05 -01 PrimeTax ACH 130524 05 -02 2,664.87 T5608 7,476.87 05 -28 ' Preauthorized Wd 1,413.61 - 2,033.94 PrimeTax ACH 130524 166.06 T5608 05 -29 ' Overdraft Fee 28.00 FOR OVERDRAFT CHECK # 11041 CREDITS Date 05 -01 05 -07 ' Remote Transfer sw.UV FR ACC 05 -07 -13 TIME: 11:52:22 05 -08 ' Remote Transfer 3,000.00 FR ACC 05 -08 -13 TIME: 07:05:29 05 -09 Deposit 8,000.00 05 -14 ' Remote Transfer 900.00 FR nrr 05 -14-13 TIME: 10:25:23 DAILY BALANCES Amount Date Amount 04 -30 2,267.75 05 -01 2,738.75 05 -02 2,664.87 05 -03 7,476.87 05 -06 3,842.63 05 -07 - 2,033.94 05 -08 166.06 Date Amount 05 -09 8,166.06 05 -10 4,885.24 05 -13 323.31 05 -14 - 1,403.10 05 -15 3,596.90 05 -17 544.20 05 -20 2,943.80 Date 005433 3 Amount 05 -21 - 2,853.73 05 -22 1,746.27 05 -23 1,554.82 05 -24 5,721.04 05 -28 1,719.98 05 -29 - 456.50 05 -30 2,666.18 Thank you for banking with F /arida Community Bank, N.A. 'vle:*tber PLEASE SEE REVERSE SIDE FOR IMPORT ANT !NFORMATION, FD IC, FLORIDA COMMUNITY BANK 1255 TAjMIAMi TRAIL, PORT CHARLOTTE, FL 33953 • TELEPHONE: 1 (866) 764 -0006 LENDER __FCB r O;.R.DA iOfvlViIJNITY BANK w"Nw.r1oridacornmunitybank.net Last statement: April 30, 2013 This statement: May 31, 2013 Total days in statement period: 31 Page 1 of 2 Direct inquiries to: Local Branch, 239 552 -1840 GOLF COAST HOME SERVICES, INC. AGNT ACCT FOR GULF COAST FLOORING&FINISH Florida Community Bank, N.A. MATERIAL ACCOUNT 2400 N Tamiami Trail Ste 100 640 YORK TER Naples FL 34103 NAPLES FL 34109 Small Business Checking Account number 1645100701 Beginning balance Total additions Total subtractions Ending balance $4.61 8,030.00 7,933.00 $ 101.61 CHECKS Description Additions Number Date Amount Number Date Amount 1025 R 05 -03 4,000.00 R -Check has been returned DEBITS ' Remote Transfer 30.00 Date Description Subtractions 05 -03 ` NSF Return Item Fee 28.00 FOR RETURN OF CHECK # 1025 05 -06 ' Overdraft Fee 5.00 FOR CONTINUOUS OD ON 05 -06 -13 05 -08 ' Remote Transfer 3,000.00 TO ACC 00DATE: 05 -08 -13 TIME: 07 :05:29 05 -14 ' Remote Transfer 900.00 TO ACC 05 -14 -13 TIME: 10:25:23 CREDITS Date Description Additions 05 -03 ' NSF Returned Item 4,000.00 CHECK 1025 05 -07 ' Remote Transfer 30.00 FR ACC 05 -07 -13 TIME: 08:04:54 05 -07 ' Remote Transfer 4,000.00 FR ACC 05 -07 -13 TIME: 14:26:30 010952 1 Member PLEASE SEE REVERSE SIDE FOR IMPORTANT INFORMATION. F�2� FLORIDA COMMUNITY BANK 1255 TAMIAMI TRAIL, PORT CHARLOTTE, FL 33953 • TELEPHONE: 1 f866r 764 -0006 LENDER __FCB _OP,IDA COAAMUN1Ty BAINK sr�vJ.`"oridacom mun iybonk.net 010952 2 GULF COAST HOME SERVICES, INC. Page 2 of 2 May 31, 2013 DAILY BALANCES Date Amount Date Amount Date Amount 04 -30 4.61 05 -06 -28.39 05 -08 1,001.61 05 -03 -23.39 05 -07 4,001.61 05 -14 101.61 Thank you for banking with Florida Community Bank, N.A_ M c m b e r PLEASE SEE REVERSE SIDE FOR IMPORTANT iNFORiV1AT!ON. FLORIDA COMMUNITY BANK u 1255 TAM(AM! TRAIL, PORT CHARLOTTE, FL 33953 • TELEPHONE: 1 (866) 764 -0006 LENDER :_* -FCB LOPJDA CON MUN1TY BANK vtww.Floridacommuniiybonk.nel Last statement: March 31, 2013 Page 1 of 1 This statement: April 30, 2013 Direct inquiries to: Local Branch, 239 552 -1840 GULF COAST HOME SERVICES, INC. AGNT ACCT FOR GULF COAST FLOORING &FINISH Florida Community Bank, N.A. MATERIAL ACCOUNT 2400 N Tamiami Trail Ste 100 640 YORK TER Naples FL 34103 NAPLES FL 34109 Small Business Checking Account number Enclosures CHECKS Number Date 026 04 -12 1645100701 Beginning balance 1 Total additions Total subtractions Ending balance Amount Number Date 4.000.00 $4.61 4,000.00 4,000.00 $4.61 Amount CREDITS Date Description Additions 04-11 ' Remote Transfer 4,000.00 FR ACC 01645275500DATE: 04 -11 -13 TIME: 12:12:05 DAILY BALANCES Date Amount 03 -31 4.61 Date Amount Date Amount 04-11 4,004.61 04 -12 4.61 Thank you for banking with Florida Community Bank, N.A. 005434 Me m be r PLEASE SEE REVERSE SIDE FOR IMPORTANT iNFORMATION. ®I° FLORIDA COMMUNITY BANK 1e i255 TAMIAMI TRAIL, PORT CHARLOTTE, FL 33953 • TELEPHONE: 1 (866) 764 -0006 LENDER CB FT op-,DA COMNtUNITY BAINK w Nw.floridccommuniiybank.ne Last statement: February 28, 2013 This statement: March 31, 2013 Total days in statement period: 31 GULF COAST HOME SERVICES, INC. AGNT ACCT FOR GULF COAST FLOORING&FINISH MATERIAL ACCOUNT 640 YORK TER NAPLES FL 34109 Small Business Checking Account number CHECKS Number 1024 R Page 1 of 1 Direct inquiries to: Local Branch, 239 552 -1840 Florida Community Bank, N.A. 2400 N Tamiami Trail Ste 100 Naples FL 34103 1645100701 Beginning balance Total additions Total subtractions Ending balance Date Amount 03 -07 6,750.0( Number Date R -Check has been returned $32.61 6,750.00 6,778.00 $4.61 Amount DEBITS Date Description Subtractions 03 -07 'NSF Return Item Fee 28.00 FOR RETURN OF CHECK # 1024 CREDITS Date Description Additions 03 -07 ' NSF Returned item 6,750.00 CHECK 1024 DAILY BALANCES Date Amount Date Amount 02 -28 32.61 03 -07 4.61 Date Amount Thank you for banking with Florida Community Bank N.A_ 016575 1 'A e m b e r PLEASE SEE REVERSE SIDE:-OR IMPORTANT INFORMATION. FDIC FLORIDA COMMUNITY BANK 1255 TAMIAMI TRAIL, PORT CHARLOTTE, FL 33953 • TELEPHONE: 1 (866) 764 -0006 �E DER FCB FLORIDA C(5,177tUN I TY BAINK rnvw.I bridacommunityloank.net Last statement: April 30, 2013 This statement: May 31, 2013 Total days in statement period: 31 Page 1 of 1 Direct inquiries to: Local Branch, 239 552 -1840 GULF COAST HOME SERVICES, INC. AGNT ACCT FOR GULF COAST FLOORING&FINISH Florida Community Bank, N.A. SAVINGS ACCOUNT 2400 N Tamiami Trail Ste 100 640 YORK TER Naples FL 34103 NAPLES FL 34109 Small Business Checking DEBITS Account number 1642633900 Beginning balance $414.43 Total additions .00 Total subtractions 350.00 Ending balance $64.49 Date Description Subtractions 05 -07 ' Remote Transfer 30.00 TO ACC -07 -13 TIME: 08:04:54 05 -07 ' Remote Transfer 320.00 TO ACC -07 -13 TIME: 11:52:22 DAILY BALANCES Date Amount 04 -30 414.49 Date Amount Date 05 -07 64.49 Thank you for banking with Florida Community Bank, N.A. Amount 010926 1 M e m b e r PLEASE SEE REVERSE SIDE FOR IMPORTANT INFORMATION. FLORIDA COMMUNITY BANK FDIC 1255 TAMIAMI TRAIL, PORT CHARLOTTE, FL 33953 • TELEPHONE: 1 (866( 764 -0006 LENDER _FCB FLORIDA COI UTAUNITY BANK wr v� w.ioridacommunilybonk.net Last statement: March 31, 2013 This statement: April 30, 2013 Total days in statement period: 30 GULF COAST NOME SERVICES, INC. AGNT ACCT FOR GULF COAST FLOORING &FINISH SAVINGS ACCOUNT 640 YORK TER NAPLES FL 34109 Small Business Checking DEBITS Page 1 of 1 062633900 Direct inquiries to: Local Branch, 239 552 -1840 Florida Community Bank, N.A. 2400 N Tamiami Trail Ste 100 Naples FL 34103 Account number 1642633900 Beginning balance $814.49 Total additions .00 Total subtractions 400.00 Ending balance $414.49 011048 1 Date Description Subtractions 04 -15 ' Remote Transfer _ 300.00---- TO ACC -15 -13 TIME: 08:45:37 04 -18 ` Remote Transfer 100.00 TO ACC -18 -13 TIME: 06:58:19 DAILY BALANCES Date Amount 03 -31 814.49 Date Amount 04 -15 514.49 Date Amount 04 -18 414.49 Thank you for banking with Florida Community Bank, N.A. M e m be r PEASE SEE REVERSE SIDE FOR IMPORTANT INFORMATION. �� FLORIDA COMMUNITY BANK 1255 TAMIAN TRAIL, PORT CHARLOTTE, FL 33953 • TELEPHONE: 1 (866} 764 -0006 M- 1 Last statement: February 28, 2013 Page 1 of 1 0072017 This statement: March 31, 2013 Direct inquiries to: Local Branch, 239 552 -1840 GULF COAST HOME SERVICES, INC. AGNT ACCT FOR GULF COAST FLOORING &FINISH Florida Community Bark, N.A. SAVINGS ACCOUNT 2400 N Tamiami Trail Ste 100 644 YORK TER Naples FL 34103 NAPLES FL 34109 Small Business Checking Account number 1642633900 Beginning balance $14.49 Enclosures 1 Total additions 4,800.00 Total subtractions 4,000.00 Ending balance $814.49 DEBITS Date Description Subtractions 03 -27 ' Remote Transfer _ 4T0-0QS�0 TO ACC -27 -13 TIME: 07:30:02 CREDITS Date Description Additions 03 -21 Deposit 4,800.00 DAILY BALANCES Date Amount Date Amount 02 -28 14.49 03 -21 4,814.49 Date Amount 03 -27 814.49 Thank you for banking with Florida Community Bank, N.A. M e m b e r PLEASE SEE REVERSE SIDE FOR IMPORTANT INFORMATION. C ®1 FLORIDA COMMUNITY BANK 112t T 1255 TAMiA l TRAIL; PORT CHARLOTTE, FL 33953 • TELEPHONE: 1 (866) 764 -0006 .ENDcR �1 Statement Period Date: 3/1/2013 - 3/31/2013 Date Account Type: Regular Bus Checking FIFTH THIRD BANK (SOUTH FLORIDA) fw, Beginning Balance P.O. BOX 630900 CINCINNATI OH 45263 -0900 Banking Center: Fountain Park SOUTHWEST FLOOR DESIGN INC Banking Center Phone: 239-594 -5304 7935 AIRPORT RD N STE 110 0 Commercial Client Ser ✓ices: 1- 800 -589 -5355 SUITE 110 .vww,53.com NAPLES FL 34109 -1746 8946 Withdrawals / Debits 6 items totaling $11,293.77 Date Account Summary - Description 03/04 03/01 Beginning Balance DEPOSIT $14,042.31 Number of Days in Period 03/07 31 11 Checks 34.62 $(38,992.77) 03/20 )000000000002652 6 Withdrawals / Debits DEBIT CARD PURCHASE AT APPLEBEES 41386374, NAPLES, FL ON 031913 FROM CARD #: $(11,293.77) Daily Balance Summary XXXXXXXX>0002652 03/25 3 Deposits / Credits 03/27 $46,089.73 DEBIT CARD PURCHASE AT PARMESAN PETES, NAPLES, FL ON 032613 FROM CARD #: Amount Date Amount 03/31 Ending Balance 03/08 $9,845.50 03/22 27,864.01 03/04 Checks 03/19 8,726.68 03/25 10,002.30 11 checks totaling $38,992.77 Indicates gap in check sequence = Electronic Image s = Substitute Check 03/27 9,951.90 03/06 Number Date Paid Amount Number Date Paid Amount Number Date Paid Amount 34 i 03/06 4,101.42 38 i 03/05 1,632.40 42 i 03/28 106.40 35 i 03/01 1,337.93 39 i 03/20 226.90 43 i 03/22 13,500.00 36i 03/06 4,146.60 40i 03/22 4,146.60 44i 03/25 7,107.26 37 i 03/06 1,343.63 41 i 03/22 1,343.63 Withdrawals / Debits 6 items totaling $11,293.77 Date Amount Description 03/04 59.42 DEBIT CARD PURCHASE AT BOKAMPERS SPORTS B, NAPLES, FL ON 030113 FROM CARD #: DEPOSIT X2652 03/07 349.84 5/3 ONLINE TRANSFER TO CK: X)00=2830 REF # 00307400233 03/08 34.62 DEBIT CARD PURCHASE AT JOEY D'S ITALIAN R, NAPLES, FL ON 030713 FROM CARD #: 03/20 )000000000002652 03/21 45.04 DEBIT CARD PURCHASE AT APPLEBEES 41386374, NAPLES, FL ON 031913 FROM CARD #: Daily Balance Summary XXXXXXXX>0002652 03/25 10,754.45 5/3 ONLINE TRANSFER TO CK: XXX00(2830 REF # 00309005301 03/27 50.40 DEBIT CARD PURCHASE AT PARMESAN PETES, NAPLES, FL ON 032613 FROM CARD #: Amount Date Amount XXXXX>0000=2652 Deposits / Credits Date Amount Description 3 items totaling $46,089.73 03/19 2,200.00 DEPOSIT 03/19 5,490.23 DEPOSIT 03/20 38,399.50 DEPOSIT Daily Balance Summary Date Amount Date Amount Date Amount 03/01 12,704.38 03/08 1,036.45 03/22 27,864.01 03/04 12,644.96 03/19 8,726.68 03/25 10,002.30 03/05 11,012.56 03/20 46,899.28 03/27 9,951.90 03/06 1,420.91 03/21 46,854.24 03/28 9,845.50 03/07 1,071.07 For additional information and account disclosures, please visit www.53.com Page 1 of 2 Withdrawals / Debits 22 items totaling $41,201.07 Date Amount Description 04/01 Statement Period Date: 4/1,12013 - 4/30/2013 + r X,X,XXXXXXM',,X2652 Oar02 36.74 DEBIT CARD PURCHASE AT JOEY D'S ITALIAN R, NAPLES, FL ON 040,13 FROM CARD:`: Account Type: Regular Bus Checking 04.08 FIFTH THIRD BANK CEBt T CARD PURCHASE .rT CREATIONS N T ?LE, FAW_17NGV?LLE, NY ON 0405'_3 FROM CARD -: `.XX;1,Y KXXX`XX: =.26_z 2 C� �. ^C , JF. F. =_c - -- ��: ,:= .PLES. FL ON 0408:3 FRCi i CARD -: t- _,. i3 0I,L!NC TANS EK TO CK: XXXX&<2830 REF = 00i!0 =F 21024 Banking Center: Fountain Park ® SCUT! - ;'EST FLOOR CESIG J INC XXXXXXXXX)<XX2652 04; 11 1,532.24 Banking Center Phone: 239 - 594 -5304 7 9?5 . ': RPCRT P.D `J S T E _ 10 0 DEBT CARD PURCHASE AT TOAST AT VANDERB ?L, NAPLES, FL ON 041113 FROM CARD =: Commercial Ciie -t Services: 1-800- 589 -5355 04;'12 SUi 7 E _ 10 5/3 ONLINE TRANSFER TO CK: XXXXX,X2830 REF = 00310722326 04/15 262.72 DEBIT CARD PURCHASE AT EMENEE, 07184664650, NY ON 041213 FROM CARDl#: XXXXXXXXXXXX2652 0,1:16 253.77 W'p „�1.53.com NAPLES FL 34109 -1746 8998 04117 89.83 DEBi1 CARD PURCHASE AT RV WATER FLTER ST 0, ROSEBURG, OR ON 041613 FROM CARD-: XX,XXXXXXXXXX2652 `��f 1111 "11'tII11iI111( 1111 I�, i „`,1'tll,�lill�l�l�,ll„'lilll�� THE DIXIE GROUP CUSTOMERS 419288 SOUTHWEST FLOOR 1 11349511 041713 04/18 42.57 DEBIT CARD PURCHASE AT CAPERS KITCHEN & B, NAPLES, FL ON 041713 FROM CARD4: XYXXXXXXXXXX2652 04/18 Account Summary - MOHAVVK FACTORING EDI EDI PYMNTS SOUTH WEST FLOOR DESIG 041813 04101 Beginning Balance $9,845.50 Number of Days in Pe ^cd 30 22 Cf-ecks > _b6.864.84' __ .._. .. �....._ DeJI” 2 174.95 rar30 F --lira Bala;Ire 561554.54 Checks 22 checks totaling $166,864.84 rcirt=_ __ . _ e c _c _ - .ect "Gr'c Tmage _ = ScbStaLte . C.... Number Date Paid Amount Number Date Paid Amount Number Date Paid Amount .j i ^ 0 28.01 53 , ,. , i1 1,867.13 61 "i 04%22 1,331.64 46 7 2,200.-0 54 . 0 1_ 11,281.67 62 i 04/22 5,000.00 47 i _ 8 _,861.97 55 04.' 15 8,188.68 63 1 04i23 1,777.05 48 i 101i :" i � 600.130 - ; v`'-: 15 278.04 64 i 0425 6, =42.27 49 i �!?- 1,200.00 57 i 04/11 5,660.20 65 i 04/24 366.67 50 i 04 12 14,200.00 58 i 04/11 15,500.00 66 i 04129 80,000.00 51 i 04 15 31500.00 59 i 04;116 5,000.00 67 i 0411"29 7;000.00 52 i 04111 2,781.21 Withdrawals / Debits 22 items totaling $41,201.07 Date Amount Description 04/01 32.52 DEBIT CARD PURCHASE AT BOKAMPERS SPORTS B, NAPLES, FL ON 032813 FROM CARD: X,X,XXXXXXM',,X2652 Oar02 36.74 DEBIT CARD PURCHASE AT JOEY D'S ITALIAN R, NAPLES, FL ON 040,13 FROM CARD:`: XXXXXKCC(XXX2652 04.08 ..1 7 CEBt T CARD PURCHASE .rT CREATIONS N T ?LE, FAW_17NGV?LLE, NY ON 0405'_3 FROM CARD -: `.XX;1,Y KXXX`XX: =.26_z 2 C� �. ^C , JF. F. =_c - -- ��: ,:= .PLES. FL ON 0408:3 FRCi i CARD -: '-XXXXX1XXXX =2552 i3 0I,L!NC TANS EK TO CK: XXXX&<2830 REF = 00i!0 =F 21024 04110 47.'5 DEBIT CARD PURCHASE AT CAPERS KITCHEN & B, NAPLES, FL ON 040913 FROM CARD: XXXXXXXXX)<XX2652 04; 11 1,532.24 DEBIT CARD PURCHASE AT CREATIONS ?N TILE, FARNiINGVILLE, NY ON 041013 FROM CARD': XXX?CXXXXXXXX2652 04j 12 29.37 DEBT CARD PURCHASE AT TOAST AT VANDERB ?L, NAPLES, FL ON 041113 FROM CARD =: XXXXXXXXX,XXX2652 04;'12 15,000.00 5/3 ONLINE TRANSFER TO CK: XXXXX,X2830 REF = 00310722326 04/15 262.72 DEBIT CARD PURCHASE AT EMENEE, 07184664650, NY ON 041213 FROM CARDl#: XXXXXXXXXXXX2652 0,1:16 253.77 DEB; T CARD PURCHASE AT SHERWIN WILLANS , NAPLES, FL ON 041513 FROM CARD:": XX,XXXXXXXXXX2652 04117 89.83 DEBi1 CARD PURCHASE AT RV WATER FLTER ST 0, ROSEBURG, OR ON 041613 FROM CARD-: XX,XXXXXXXXXX2652 04/17 774.29 THE DIXIE GROUP CUSTOMERS 419288 SOUTHWEST FLOOR 1 11349511 041713 04/18 42.57 DEBIT CARD PURCHASE AT CAPERS KITCHEN & B, NAPLES, FL ON 041713 FROM CARD4: XYXXXXXXXXXX2652 04/18 6,580.57 MOHAVVK FACTORING EDI EDI PYMNTS SOUTH WEST FLOOR DESIG 041813 For additional information and account disclosures. please visitwxvv 53.com Page 1 of 4 I METH THIRD BANK Withdrawals I Debits - continued Date Amount 04,'22 5,000.00 C,4 23 500.0 04 24 35. _ 041'25 2,022.50 04126 7 �6.' 3 04;3; , 6 29.64 04730 003, d n Description DEBIT CARD PURCHASE AT ALPHA. TILE ST ONE F. FORT INIVERS, FL ON 0419:3 FROi'l CARD -: XXXXXXXXXXXX26511 DEBIT CARD PURCHASE AT ALPHA TILE STOi iE F, FOR- i,IYERS. FL ON 042213 FROiN CARD =: XXXXvXXXXXXX2652 DEBIT CARD PUPCHASE AT CAPERS KITCHEN & B, NAPLES. F ON 042313 FROr;! C'RE- {XXX.XXXXXXXX2652 CES17 CARD PURCHASE AT OLD ?MASTER PRODUCT: VAfi NUYS. CA ON 042313 FP.OP-1 CARD =: XXXXXXXXXXXX2652 DEB- CARD PURCHASE aT BEDROS!APiS BLDG SP, DORAL ON 042513 FRO A C:'-PD =: X.XXX`XXXXXXXX26 -52 DEB - CfP.D PURCHIASE TPOP CAL COf 1S. P.'JCT, 7ia.PLES, FL Crl 10429 _3 FR01,! CARD xxx.- xi.v1<yv x26.,_ DEBT- -?RD PURCHASE fT APPLE GROVE DE, BO rlTOPi BE�.0 . FL ON 042913 FROV APD= X;'X'.X XXXX X2652 Deposits / Credits Date Amount Description 4 items totaling $259,774.95 04,'09 98,74 4. 52 DEPO517 0 12 24„ -.x.29 DEPOSIT 04%24 131,954,14 DEPOSI- Daily Balance Summary Date Amount Date Amount Date Amount 04.-01 °,Qi2..8 04;`12 63,980.32 04:23 23,80'_._9 0ai02 ,776.24 04'15 51,150.88 04,.24 159,153.48 Oa( "04 7,5r6.2µ 0 4 11 75 45,897.11 04,'25 150,988.71 04;'08 5,681.40 041;7 45,032.99 041'26 150,192.58 04.09 98,931.91 04/18 38,409.85 04:29 63,192.58 04710 96,856.!5 04 22 27,078.21 04`30 04/11 58,233.40 FIFTH THIRD IDENTT_TY PROTECTTOPd SERVICES ARE DESIGNED -0 SAFEGUARD YOU WITH POVVERFUL, PROA,CT VE SOLUTIONS THAT MAY HELF STOP FRAUD BEFORE !! OCCURS. L ! EARN HOT/ YOU CA GET THE PEACE OF i''IIND YOU � DESERVE AND EXCLUSIVE CUSTOMER PRICING. VISIT CONVENIENT BANKING CENTER, OR 53.COM."IDE M- YALERT TODAY. FIFTH THIRD BANK, NIEMBER FDIC. Page 2 of 4 Statement Period Date: 5,; 1/2013 - 5,`31(2013 FIFT1-4 THIRD BANK Account Type: Requiar Bus Checking .0, 3q_1 12c n r V7 A . -i I �� s Banki--g Center: Fountain Park SOUTH`;/EST FLOOR DES[GPj INC BanKling Center Phone: 239-594-5304 7935 AIRPORT PC STE (,Dg n Commercial Client Services: 1-800-589-5355 'iAPLES FL 3-1!09-1146 8999 Account Summary - 7777----� 05/0-1 Beginning Baipnce 561,554.54 Number o1 Dams m Period 34 Checks -,�77f482. '13' Le Deposits �reiits 532.162.98 05131 Ending Ba!ance 4 55. 15 �iZeCz S 34 checks totaling $75,482.13 ...iliac Z:ap SeCLC7_ -C -_ i = C. " -ric lrnage s 4::iJ 'tt"Ut. cl,eck Number Date Paid Amount Number Date Paid Amount Number Date Paid Amount 68 7 05 3.099.69 so I _D/ 16 800-00 92 i 05, /29 360.00 G5,' ,6 L 5.000.00 93 i 05/24 700.00 7 ..5.106 2, _5 0 0.0 0 82 i 05 24 2,6 9 8.9 4 94 i 05/28 390.00 71 ; I f 0507 3,000.00 8.3 05/24 7,266.33 95 f 05/24 700.00 72 05/09 05 23 4,000.00 96 1 05/29 300,00 1-3 0 S 8 1,049.67 86-i 05/3 t 763.20 97 05 ' /29 i5o.0110 74' G5; "071 4,030.00 87 i 05/ 23 6,750.00 98 1 05/28 5,500.00 0IJ/ - 88 05129 1-47.20 99 05,730 542.15 5 � 14 1,469,16 0 5/ 10 8,000.00 89 1 05 30 799.87 too i 05/30 3,099.19 G5 /10 125.00 90i 05,29 183.93 1011 05/31 206.44 78 i 05/ 14 196.32 91 f 05.129 360.00 102 i 05/131 4,000.00 -,000.00 20 items totaling $3,770.23 Date Amount Description 67 :;Cj DEBIT CARD PURCH ASE AT :%!ER17CREDTT, INC., FORTr,'IYEPS, FL0N0-13013FR0F,-1CAPC1. XXXXXXXXXXXX2652 70.30 DEBI T CARD PURCHASE AT PARMESAN PETES, NAPLES, FL ON 043013 FROM CARD#: XXXXXXXXXXXX2652 05:''=2 3 2 . 5 0 DEBIT CARD PURCHASE AT MERIT CREDIT; INC., FORT,"WERS, FL ON 050113 FROM CARD1-: XXXXX,XXX.'IXXX2652 05:02 69.44 DEBIT CARP, PURCHASE AT THE UPS STORE 1-622, NAPLES, FL ON 050113 FROM CARD XXXXXXXXXXXX2652 0`i 07 49.08 DEBT-1 CARD PURCHASE AT CAPERS KITCHEN & 6, NAPLES, FL ON 050613 FROM CARD#: XXXXXXXXXXXX2652 05,109 211.95 DEBIT CARD PURCHASE AT THE UPS STORE 1-622, NAPLES, FL ON 050813 FROM CARD`: XXXXXXXXXXXX2652 U15/1 13; 75.75 SERVICE CHARGE 05113 330.44 DEBIT CARD PURCHASE AT PARMESAN PETi ES, NAPLES, FL ON 05I01 3 FROM CARD': XXXXXXXXXXXX2652 05/13 67.88 DEBIT CARD PURCHASE AT SUSHI THAI, NAPLES, FL ON 050913 FROM CARD#: XXXXXXXXXXXX2652 0 5/ 14 27.22 DEBIT CARD PURCHASE AT SHERVIVIN WILLIAlVIS 4, NAPLES, FL ON 051313 FROM CARD: XXXXXXXXXXXX2652 05,/15 2 1. 10 DEBIT CARD PURCHASE AT SHERWIN VVILLIAMS #, NAPLES, FL ON 051413 FROM CARDI XXXXXXXXXXXX2652 005i 15 222.60 DEBIT CARD PURCHASE AT BEST BUY MHT OGGO,INJAPLES, FL ON 051413 FROM CARD#: XXXXXXXXXXXX2652 ;:o,- additioral information and account disclosures. please visit wwv; 53-con-i Page I Of 4 ;=I: H i iIRi3 E3ANK Witil'idrawals / Debits - continued Date Amount Description 05116 42.35 DEBIT CARD PURCHASE AT DON PABLO'S, SARASOTA, FL ON 051513 FROM CARD #: XXXXXXXXXXXX2652 05/1_7 56.18 DEBIT CARD PURCHASE AT JOEY D'S ITALIAN R, NAPLES, FL ON 051613 FROM CARD: XXXXXV -,M) X2652 05123 90.00 DEBT CARD PURCHASE AT LEE COUNTY PEPo1IIT, 239479 -8512, FL ON 052213 FROM CARD--: xxxxxxxxxxxx26ti2 05 {23 90,00 DEBIT CARD PURCHASE AT LEE COUNTY PERMIT, 239 - 479 -8512, FL ON 052213 FROM CARD #: XXXXXXX)M)0(2652 05/24 45.75 DEBIT CARD PURCHASE AT CAPERS KITCHEN & B, NAPLES, FL ON 052213 FROM CARD-#: XX)OXXXXXXXX2652 05/29 1,385.90 DEBIT CARD PURCHASE AT HERITAGE FOREST PR, DELAND, FL ON 052813 FROM CARD =: Daily Balance Surnmarl Date Amount XXXXXXXVXXXX2652 05/31 102.29 DEBIT CARD PURCHASE AT L2GLEE COUNTY TAX, 239 - 533 -6000, FL ON 0531,13 FROM CARD #: 61,416.74 61,314.80 58,215.11 55,215.11 48,136.03 47,086.36 47,017.37 05 110 05/13 05/14 05/15 05/16 05%17 05/21 XXXXXXXX)IX00(2652 05/31 1,200.00 DEBT CARD PURCHASE AT INTREGIONAL TRANS, FT MYERS, FL ON 052913 FROM CARD #: XXXXX,VXXXXX2652 Deposits / Credits 4 'stems totaling $32,152.93 Date Amount Description 05/09 150.00 DEPOSIT OS/17 1,290.76 D E P 0 S 7 05/22 20,722.22 DEPOSIT 05/23 10,000.00 5/3 ONLINE TRA.' SFER FROM CK. )000=2830 REF # 00314479287 Daily Balance Surnmarl Date Amount Date Amount Date Amount 05/01 05/02 05/03 05%v6 05/07 05./08 05/09 61,416.74 61,314.80 58,215.11 55,215.11 48,136.03 47,086.36 47,017.37 05 110 05/13 05/14 05/15 05/16 05%17 05/21 38,816.62 38,718.30 37,025.60 36,781.90 30,939.55 32,174.13 27,174.13 05/22 05,23 05;24 05128 05%29 05/30 05131 47,896.35 45,966.35 34,555.33 28,665.33 25,178.30 20,737.09 14,465.16 Page 2 of 4 Checks Statement Period Date: 3/1/2013 - 3/31/2013 50 checks totaling $121,148.82 * Indicates gap in check sequence i = Eiectronic Image s = Substitute Check Account Type: Bus Basics Checking FIFTH THIRD BANK Date Paid Amount Number Date Paid Amount Number (SOUTH FLORIDA) P.0. BOX 630900 CINCINNATI OH 45263 - 0900 ° Banking Center: Radio Road 03/22 SOUTHWEST FLOOR DESIGN INC 500.00 3823 i 03/05 1,000.00 3844 i Banking Center Phone: 239- 643 -5332 3,000.00 7935 AIRPORT RD N STE 110 0 Commercial Client Services: 1-800-589-5355 2,000.00 3824 i 03/05 500.00 3845 i SUITE 110 750.00 www.53.com 03/01 NAPLES FL 34109 -1746 8560 03/20 6,000.00 Account Summary - 03/05 03/01 Beginning Balance $79,554.94 Number of Days in Period 31 50 Checks $(121,148.82) 2,065.48 3827 i 03/05 298.82 3849 *i 29 Withdrawals/ Debits $(24,796.82)', 03/01 14 Deposits / Credits $72,406.37 1,800.00 03/31 Ending Balance $6,015.67 2,340.35 3829 i 03/06 5,205.08 3851 i Checks 50 checks totaling $121,148.82 * Indicates gap in check sequence i = Eiectronic Image s = Substitute Check Number Date Paid Amount Number Date Paid Amount Number Date Paid Amount 8 i 03/22 500.00 3823 i 03/05 1,000.00 3844 i 03/14 3,000.00 3802 *i 03/06 2,000.00 3824 i 03/05 500.00 3845 i 03/15 750.00 3803 i 03/01 750.00 3825 i 03/05 183.30 3846 i 03/20 6,000.00 3805 *i 03/05 1,371.00 3826 i 03%04 586.73 3847 i 03%21 298.00 3807 *i 03/01 2,065.48 3827 i 03/05 298.82 3849 *i 03/20 5,818.16 3808 i 03/01 963.98 3828 i 03/06 1,500.00 3850 i 03/21 1,800.00 3809 i 03/01 2,340.35 3829 i 03/06 5,205.08 3851 i 03/28 956.76 3810i 03/05 8,688.90 3831 *i 03/07 947.50 3852i 03/25 500.00 3811 i 03/01 714.74 3832 i 03/08 1,000.00 3854 *i 03/29 424.75 3815 *i 03/04 11,280.79 3834 *i 03/06 1,000.00 3856 *i 03!25 13,231.34 3816i 03/05 9,708.37 3835i 03/13 1,049.50 3857i 03/27 7,618.02 3817 i 03/05 239.94 3836 i 03/11 774.00 3859 *i 03/27 1,200.00 3818 i 03/05 3,489.26 3837 i 03/11 2,500.00 3860 i 03/27 1,000.00 3819 i 03/05 570.00 3838 i 03/18 153.00 3861 i 03/28 4,000.00 3820 i 03/04 47.04 3840 *i 031/13 6,279.20 3862 i 03/28 606.47 3821 i 03/04 250.00 3841 i 03/14 3,000.00 38631 03/28 500.00 3822i 03/06 250.00 3843 *i 03/19 2,238.34 Withdrawals / Debits 29 items totaling $24,796.82 Date Amount Description 03/01 92.41 DEBIT CARD PURCHASE AT ANTICO STONE & TIL, 09549722900, FL ON 022813 FROM CARD #: X9888 03/01 8,000.00 5/3 ONLINE TRANSFER TO CK: X;0000(4718 REF # 00306865394 03/04 635.99 DEBIT CARD PURCHASE AT BEST BUY MHT 0000, NAPLES, FL ON 030213 FROM CARD #: X9888 03/04 1,889.63 DEBIT CARD PURCHASE AT BRINKER BROWN FAST, NAPLES, FL ON 030113 FROM CARD #: X9888 03/04 342.35 MERCHANT FEES 44450010 42903 SOUTHWEST FLOOR DESIGN 030113 03/06 690.89 DEBIT CARD PURCHASE AT OFFICE MAX, NAPLES, FL ON 030513 FROM CARD #: X9888 03/08 283.17 MOHAWK FACTORING PAYMENTS 230684 030813 03/11 47.90 FIFTH THIRD ACH MPS BILLNG OE3168 SOUTHWEST FLOOR DESIGN 031113 03/11 2,000.00 5/3 ONLINE TRANSFER TO CK: )000=4718 REF # 00307766679 03/12 445.35 5/3 INSTALL LOAN #00871802799 PAID BY AUTO BILLPAYER 03/15 1,582.52 MOHAWK FACTORING PAYMENTS 230684 031513 03/15 13.77 MERCHANT PAYMENT TARGET T0899 AT LOC 990075 TARGET T0899 NAPLES Naples FL For additional information and account disclosures, please visit www.53.com Page 1 of 2 FIFTH THIRD BANK Withdrawals / Debits - continued Date Amount Description 03/21 342.86 DEBIT CARD PURCHASE AT ANTICO STONE & TIL, 09549722900, FL ON 032013 FROM CARD #: 14 items totaling $72,406.37 Date XXXXXXxXXXXX9888 03/21 485.64 DEBIT CARD PURCHASE AT ANT CO STONE & TIL, 09549722900, FL ON 032013 FROM CARD #: 64,627.98 03/12 X00000000(>00(9888 03/22 85.00 DEBIT CARD PURCHASE AT SHELL OIL 57542486, NAPLES, FL ON 032013 FROM CARD#: CK: XXXXXX2905 REF # XXXXX)0000=9888 03/22 500.00 DEBIT CARD PURCHASE AT CAMPING WORLD RV S, FORT MYERS, FL ON 032113 FROM CARD #: FROM CK: XXXXXX2905 )00000000000(9888 03/25 15.89 DEBIT CARD PURCHASE AT AIRPORT HESS, NAPLES, FL ON 032313 FROM CARD #: XXX)(XX` XXXX (9888 03/25 88.58 DEBIT CARD PURCHASE AT EXXONMOBIL 9757, NAPLES, FL ON 032213 FROM CARD #: REF # 00307400233 X0(9888 03/25 159.03 DEBIT CARD PURCHASE AT PUBLIX SUPERMARKET, NAPLES, FL ON 032413 FROM CARD #: 03/27 13,842.93 *oo00000000(9888 03/25 186.46 DEBIT CARD PURCHASE AT BED BATH & BEYOND, NAPLES, FL ON 032313 FROM CARD;#: 03/28 6,551.74 X)0(XX)O00IXXX9888 03/25 476.11 DEBIT CARD PURCHASE AT GMAC INSURANCE 4W, WINSTON- SALEM, NC ON 032213 FROM CARD #: DEPOSIT 6,015.67 X;00000000(9888 03/25 4,200.00 DEBIT CARD PURCHASE AT CAMPING WORLD RV S, FORT MYERS, FL ON 032213 FROM CARD-4: 6,944.00 DEPOSIT X)0000000000(9888 03/26 750.00 TELEPHONE INITIATED PAYMENT AT Home Finance TEL -PMT 00429420133777 032613 03/27 143.99 DEBIT CARD PURCHASE AT JGEAR SHOES &BOOTS, 08888243613, WI ON 032613 FROM CARD #: XXXXXX )0000(9888 03/28 8.86 DEBIT CARD PURCHASE AT AIRPORT HESS, NAPLES, FL ON 032713 FROM CARD #: X9888 03/28 22.02 DEBIT CARD PURCHASE AT JOEY D'S ITALIAN R, NAPLES, FL ON 032713 FROM CARD #: X)0000000000(9888 03/28 1,197.08 DEBIT CARD PURCHASE AT THASSOS WEST PALM, RIVIERA BEACH, FL ON 032713 FROM CARD#: CK: XX)(XXX4452 REF # X)0000000000(9888 03/29 68.87 DEBIT CARD PURCHASE AT FASHION FRESH DRY, NAPLES, FL ON 032813 FROM CARD:t: Fuel Rebat, EasySavings, NY ON 032313 TO CARD #: X)0000)00000(9888 03/29 42.45 THE DIXIE GROUP CUSTOMERS 419288 SOUTHWEST FLOOR 1 11199367 032913 Deposits / Credits 14 items totaling $72,406.37 Date Amount Description Amount 03/01 64,627.98 03/12 03/05 3,745.70 5/3 ONLINE TRANSFER FROM CK: XXXXXX2905 REF # 00307210902 03/07 349.84 5/3 ONLINE TRANSFER FROM CK: XXXXXX2905 REF # 00307400198 03/07 349.84 5/3 ONLINE TRANSFER FROM CK: XXXXXX4452 REF # 00307400233 03/12 3,122.50 DEPOSIT 15,729.61 03/27 13,842.93 03/08 03/12 9,000.00 DEPOSIT 03/28 6,551.74 03111 9,792.70 03/15 3,143.75 DEPOSIT 6,015.67 03/15 6,944.00 DEPOSIT 03/19 13,934.50 DEPOSIT 03/22 11,425.50 DEPOSIT 03/25 10,754.45 5/3 ONLINE TRANSFER FROM CK: XX)(XXX4452 REF # 00309005301 03/25 0.85 DEBIT CARD RETURN AT Fuelman Fuel Rebat, EasySavings, NY ON 032313 TO CARD #: XXXXXXOCCCO(9888 03/27 3,060.75 DEPOSIT 03%27 5,995.00 DEPOSIT 03/27 579.69 5/3 ONLINE TRANSFER FROM CK: X 0000(2905 REF # 00309174911 Daily Balance Summary Date Amount Date Amount Date Amount 03/01 64,627.98 03/12 21,469.85 03121 12,681.11 03/04 49,595.45 03/13 14,141.15 03/22 23,021.61 03/05 27,291.56 03/14 8,141.15 03/25 14,919.50 03/06 16,645.59 03/15 15,882.61 03/26 14,169.50 03/07 16,397.77 03/18 15,729.61 03/27 13,842.93 03/08 15,114.60 03/19 27,425.77 03/28 6,551.74 03111 9,792.70 03/20 15,607.61 03/29 6,015.67 Page 2 of 2 ® Statement Period Date: 4j 112013 - 4130/2013 Account Type: Bus Basics Checking FIFTH THIRD BANK ; ,SOUI?i --L ORIDA) s e P.O 30X 63(}900 CINCINNATI OH 45263-0900 Banking Center: Radio Road FLOOR DESIGN INC 0 Banking Center Phone: 239 -643 -5332 SOUTHWEST FL 7935 AIRPORT O N DE 110 N Commercial Client Services: 1- 800 - 589 -5355 www.53.com SUITE 110 NAPLES FL 34109 -1746 8887 I�l��lnlnnlllilnli�millll�l��l�llnrllll�rlll ,llllinml 04/01 56 50 11 o4/30 Beginning Balance Checks Withdrawals / Debits Deposits / Credits Ending Balance 50 items totaling $15,866.18 $6,015.67 $(77,694.81) $(15,866.18) $188,814.25 $101268.93 Number of Days in Period 04/01 30 Checks X0(XXXXX)M)0(9888 04/01 243.79 DEBIT CARD PURCHASE AT VERIZON WRLS P3385, NAPLES, FL ON 032913 FROM CARD #, : 56 checks totaling $77,694.81 * Indicates gap in check sequence i = Electronic Image s = Substitute Check 959.26 DEBIT CARD PURCHASE AT VERIZON WRLS P3385, NAPLES, FL ON 032913 FROM CARD#: Number Date Paid Amount Number Date Paid Amount Number Date Paid Amount 9i 04/22 500.00 3883i 04/10 2,275.00 3906i 04/17 600.00 3848 *i 04101 3,611.55 3884i 04110 1,000.00 39071 04/17 750.00 3853 *i 04105 1,000.00 3886 *i 04/10 6,796.45 3908i 04/18 1,000.00 3865 *i 04/04 1,500.00 3887 i 04/10 700.00 3909 i 04/22 3.00 38661 04/03 7,012.53 3888i 04/10 1,100.00 3910i 04/22 800.00 3868 *i 04/05 1,000.00 3889 i 04/17 66.34 3911 i 04,129 625.32 3869i 04/04 1,000.00 38901 04/17 250.00 3913 *i 04j25 57.11 3870i 04/09 141.90 3892 *i 04/22 3,108.37 3914i 04/25 670.50 3871i 04/09 2,878.81 3893i 04/18 1,608.82 3916 *i 04/24 366.67 3872; 04/04 1,000.00 3894 i 04124 2,390.64 3917 i 04/26 1,500.00 3873i 04/10 980.29 3895i 04116 55.00 3918i 04/26 116.60 3874i 04/08 210.00 3897 *i 04/18 275.00 3921 *i 04/30 1,592.14 3875i 04108 5,255.00 3899 *i 04/16 63.60 3922i 04/30 1,079.90 38761 04108 3,324.54 3900i 04/18 1,369.55 3923i 04/30 1,846.87 3877i 04108 400.00 3901i 04/17 400.00 3924i 04/30 1,555.59 3878i 04/08 239.38 3902i 04/22 27.65 3926 *i 04/29 500.00 3879i 04/12 1,072.72 3903i 04119 500.00 4761 *i 04/29 2,114.22 3880i 04/15 750.00 3904i 04/18 589.50 7469 *i 04/29 1,480.01 3882 *1 04/18 1,214.12 3905 i _ _ __ 04117 5,370.12 Withdrawals / Debits 50 items totaling $15,866.18 Date Amount Description 04/01 22.00 DEBIT CARD PURCHASE AT PEACE RIVER CAMPGR, ARCADIA, FL ON 032913 FROM CARD #. X0(XXXXX)M)0(9888 04/01 243.79 DEBIT CARD PURCHASE AT VERIZON WRLS P3385, NAPLES, FL ON 032913 FROM CARD #, : XXX)0=)0 00(9888 04101 959.26 DEBIT CARD PURCHASE AT VERIZON WRLS P3385, NAPLES, FL ON 032913 FROM CARD#: XX)M)00 XXXX9888 04/01 80.06 MERCHANT PAYMENT WAL -MART #0811 AT LOC 811001 2725 SE HIGHWAY 70 ARCADIA FL 04/02 115.49 DEBIT CARD PURCHASE AT CUSTOM HITCH & TRA, NAPLES, FL ON 032913 FROM CARD #: XXXXXXXXXXXX9888 04/02 20.00 FIFTH THIRD ACH MPS BILLNG 4445001042903 040213 04/03 555.36 MOHAWK FACTORING PAYMENTS 230684 040313 04/04 56.64 DEBIT CARD PURCHASE AT PARMESAN PETES, NAPLES, FL ON 040313 FROM CARD #: XX)=XX)=>0(9888 For additional information and account disclosures, please visit www.53.com Page 1 of 4 FIFTH THIRD BANK Withdrawals / Debits - continued U Date Amount Description 04,104 100.00 DEBIT CARD PURCHASE AT EXXONMOBIL 9757, NAPLES, FL ON 040313 FROM CARD#: XXXXXXXXXXXX9888 041"04 129.55 DEBIT CARD PURCHASE AT BRINKER BROWN FAST, NAPLES, FL ON 040313 FROM CARD#: XXXXXXXXXXXX9888 04/Q8 3 1.00 rFRTT CARD PURCHASE AT GRILL & FILL TAMIA, NAPLES, FL ON 040613 FROM CARD.-: XXXXXXXXXXXX9888 04/08 41.19 DEBIT CARD PURCHASE AT THE OLIVE GARD0001, FORT MYERS, FL ON 040513 FROM CARD #: XXXXXXXXXXXX9888 04108 138.91 DEBIT CARD PURCHASE AT PUBLIX #1314, NAPLES, FL ON 040713 FROM CARD#: XXXXXXXXXXXX9888 04/08 279.18 DEBIT CARD PURCHASE AT OLYMPIC STONE & MA, FT LAUDERDALE, FL ON 040513 FROM CARD #: XXXXX>O(>MXX9888 04i09 47.90 FIFTH THIRD ACH MPS BILLNG OE3168 SOUTHWEST FLOOR DESIGN 040913 04/ 10 55.89 DEBIT CARD PURCHASE AT EXCEL SUPPLIES, FT. MYERS, FL ON 040913 FROM CARD.=: X)(XXXXX>M)0(9888 04r 10 80.11 DEBIT CARD PURCHASE AT SHELL OIL 57542486, NAPLES, FL ON 040813 FROM CARD--: XXX)XXXXXXXX9888 04x"10 107.10 DEBIT CARD PURCHASE AT AIRPORT HESS, NAPLES, FL ON 040913 FROM CARD.: XXXXXXXXXXXX9888 04,/11 45.16 DEBIT CARD PURCHASE AT PARMESAN PE i ES, NAPLES, FL ON 041013 FROM CARD#: XXXXXXXXXXX,X9888 Oa; ; ! 2,008.77 DEBIT CARD PURCHASE AT ALPHA TILE STONE F, FORT MYERS, FL ON 041013 FROM CARD- XXXXXXXXXXXX9888 041. 11 318.79 TELEPHONE IN1 T IATED PAYMENT AT VZ WIRELESS VE E CHECK 4602393 041 i 13 04/12 44535 513 INSTALL LOAN #00871802799 PAID BY AUTO BILLPAYER 04/15 13.77 DEBIT CARD PURCHASE AT PUBLIX --1314, NAPLES, FL ON 041413 FROM CARD.#: XXXXXXXXXXXX9888 04/.'15 22.02 DEBIT CARD PURCHASE AT JOEY D'S ITALIAN R, NAPLES, FL ON 041213 FROM CARD #.: XXXXXXXXXXXX9888 04/15 137.98 DEBIT CARD PURCHASE AT PUBLIX .#1314, NAPLES, FL ON 041413 FROM CARD#: XXXXXXXXXXXX9888 04/1"5 228.30 Happy Floors ACH Debits SWFD SOUTHWEST FLOOR DESIGN CK # 3891 041513 04/17 60.88 DEBIT CARD PURCHASE AT PARMESAN PETES, NAPLES, FL ON 041613 FROM CARD#: XXXXXXXXXXXX9888 04/18 75.00 DEBIT CARD PURCHASE AT NORTH NAPLES FIRE, 2395973222, FL ON 041613 FROM CARD #: XXXXXXXX00(XX9888 04/18 430.96 DEBIT CARD PURCHASE AT WALGREENS #4482, NAPLES, FL ON 041613 FROM CARD #: XXXXXXXXXXXX9888 04119 19.04 DEBIT CARD PURCHASE AT CALISTOGA BAKERY C, NAPLES, FL ON 041813 FROM CARD#: XXXXXXXXXXXX9888 04/19 500.00 CAPITAL ONE PHONE PYMT 310839759004439 7049877774TANGORRA JOH 041913 04/19 750.00 CAPITAL ONE PHONE PYMT 310839759004440 7102024157TANGORRA JOH 041913 04122 105.57 DEBIT CARD PURCHASE AT AIRPORT HESS, NAPLES, FL ON 041913 FROM CARD #: XXXXXXXXXXXX9888 04/23 132.00 OVERDRAFT FEE 04/24 1,014.80 TELEPHONE INITIATED PAYMENT AT CenturyLink SPEEDPAY 311592675 042413 0426 28.32 DEBIT CARD PURCHASE AT SPANKYS SPEAKEASY, NAPLES, FL ON 042413 FROM CARD#: XXXXXXXXXXXX9888 L�4/26 105.97 DEBII i CARD PURCHASE AT THE HOME DEPOT 634, NAPLES, FL ON 042413 FROM CARD#: XXXXXXXXXXXX9888 04/26 152.03 DEBIT CARD PURCHASE AT PUBLIX #1314, NAPLES, FL ON 042513 FROM CARD #: XXXXXXXXXXXX9888 04,129 4.08 DEBIT CARD PURCHASE AT PUBLIX #488, NAPLES, FL ON 042713 FROM CARD#: XXXXXXXXXXXX9888 04%29 10.13 DEBIT CARD PURCHASE AT THE HOME DEPOT 634, NAPLES, FL ON 042713 FROM CARD#: XXXXXXXXXXXX9888 041/29 35.44 DEBIT CARD PURCHASE AT PUBLIX #488, NAPLES, FL ON 042713 FROM CARD #: XXXXXXXXXXXX9888 04/'29 36.28 DEBIT CARD PURCHASE AT CHILI'S GRI3670000, Naples, FL ON 042613 FROM CARD #: XXXXXXXXXXXX9888 04/29 44.80 DEBIT CARD PURCHASE AT JEKYLL ISLAND CAMP, JEKYLL ISLAND, GA ON 042513 FROM CARD #: XXXXXXX>M)0(9888 04/29 44.80 DEBIT CARD PURCHASE AT JEKYLL ISLAND CAMP, JEKYLL ISLAND, GA ON 042513 FROM CARD #: XX)00(XXXXXXX9888 04/29 92.77 DEBIT CARD PURCHASE AT EXXONMOBIL 9757, NAPLES, FL ON 042613 FROM CARD #: XXXXXXXX0000(9888 04/30 52.99 DEBIT CARD PURCHASE AT CAPERS KITCHEN & B, NAPLES, FL ON 042913 FROM CARD#: XXXXXXXXXXXX9888 Page 2 of 4 ( tt, �Itttttttultltttl' It�tlnl�lttlttlnt�tlll�t�ltt�tlllttt11 'I Withdrawals / Debits - continued Date Amount 04/30 63.60 04/30 110,07 04/30 2,713.08 04/30 3,000.00 Description DEBIT CARD PURCHASE AT SUNCREST SUPPLY, RIVIERA BEACH, FL ON 042913 FROM CARD >00=XXXXXXX9888 DEBIT CARD PURCHASE AT NAPLES LUMBER AND, NAPLES, FL ON 042913 FROM CARDS: XXXXXXXXXXXX9888 Happy Floors ACH Debits SWFD SOUTHWEST FLOOR DESIGN CK t 3925 043013 FIFTH THIRD BANK DIRECT ACH 043013 Deposits j Credits Statement Period Date: 4/ 1/2013 - 4/30/2013 1 Account Type: Bus Basics Checking FIFTH THIRD t3ANK ;SOJT -! _! ORIDA) 5,286.00 ?.O. BOX 630304 CINCINNATI OH 45263-0906 04/03 SOUTHWEST FLOOR DESIGN INC 0 Banking Center: Radio Road 7935 AIRPORT RD N ST 110 Banking Center Phone: 239-643-5332 SUITE 110 NAPLES FL 34109 -1746 8887 Commercial Client Services: 1- 800 - 589 -5355 296.07 www.53.com ( tt, �Itttttttultltttl' It�tlnl�lttlttlnt�tlll�t�ltt�tlllttt11 'I Withdrawals / Debits - continued Date Amount 04/30 63.60 04/30 110,07 04/30 2,713.08 04/30 3,000.00 Description DEBIT CARD PURCHASE AT SUNCREST SUPPLY, RIVIERA BEACH, FL ON 042913 FROM CARD >00=XXXXXXX9888 DEBIT CARD PURCHASE AT NAPLES LUMBER AND, NAPLES, FL ON 042913 FROM CARDS: XXXXXXXXXXXX9888 Happy Floors ACH Debits SWFD SOUTHWEST FLOOR DESIGN CK t 3925 043013 FIFTH THIRD BANK DIRECT ACH 043013 Deposits j Credits 11 items totaling $188,814.25 Date Amount Description 04/01 5,286.00 DEPOSIT 04/03 30,636.00 DEPOSIT 04/03 1,500.00 5/3 ONLINE TRANSFER FROM CK: XXXXXX2905 REF = 00309846169 04/09 296.07 DEPOSIT 04/09 5,464.63 5/3 ONLINE TRANSFER FROM CK: XXXXXX4452 REF T 00310421024 04/11 0.80 DEBIT CARD RETURN AT Fuelman Fuel Rebat, EasySavings, NY ON 041113 TO CARDY: 30,817.63 04/15 XXXXXXXXXXXX9888 04/12 15,000.00 513 ONLINE TRANSFER FROM CK: XXXXXX4452 REF ? 00310722326 04/17 1,170.00 5,13 BANKCARD CREDIT DEP 4445001042903 SOUTHWEST FLOOR DES SOUTHWEST FLOOR DES 041713 04/17 3,465.00 DEPOSIT 04/23 11,777.50 DEPOSIT 04126 114,218.25 DEPOSIT Daily Balance Summary Date Amount Date Amount Date Amount 04/01 6,385.01 04111 2,337.57 04122 (1,190.09) 04/02 6,249.52 04(12 15,819.50 04/23 10,455.41 04103 30,817.63 04/15 14,667.43 041/24 6,683.30 04104 27,031.44 04/16 14,548.83 04/25 5,955.69 04/05 25,031.44 04/17 11,686.49 04/26 118,271.02 04/08 15,112.24 04/18 _ 5,123.54 04/29 113,283.17 04109 17,804.33 041/19 3,354.50 04./30 101,268.93 04/10 4,709.49 FIFTH THIRD IDENTITY PROTECTION SERVICES ARE DESIGNED TO SAFEGUARD YOU WITH POWERFUL, PROACTIVE SOLUTIONS THAT MAY HELP STOP FRAUD BEFORE IT OCCURS. LEARN HOW YOU CAN GET THE PEACE OF MIND YOU DESERVE AND EXCLUSIVE CUSTOMER PRICING. VISIT A CONVENIENT BANKING CENTER OR 53.COM/IDENTITYALERT TODAY. FIFTH THIRD BANK, MEMBER FDIC. Page 3 of 4 FIFTH THIRD BANK Suggested instructions for balancing either your checking or savings account. I Frter Ending Balance from statement.. S 2 List Deposits_; Credits made after statement date: Date Amount Date AMOLrt Enter total of above Deposits(Credits. ?) `? 3. Compute sub -total ' =I plus -2, 3% 4 List Checks arc, `vlithdrawals / Debits rot yet paid by bark: Check ='Date E Amount Check .'Date Amount Erter total of above Checks and VV thdra1va(s ? Debits. Having trouble balancing your statement? If revised bank balance is MORE than your checkbook balance: a) Have you verified your acCition and subtraction above arc in your checkbook? b) Does the above list mciude all of your oLtstarcirg checks, withdrawals and debits? c) Have your added all ATM deposits in ,Your checkbook? d) Have you added all credits and advarces it your checkbook? If revised bank balance is LESS than your checkbook balance: a) Have you verified your accition arc subtraction above arc in your checkbook? bj Have you decuctec service arc other bark charges it your c1neckbook? C Have you Cecuctec all ATM rvithcra'fvals it yoLr checkbook? dj Have y.Tu Gcu �ci. a u euit lire and pve2 �iGfu �% $ payments it Your checkbook' subtract lire 4 from lire 3. This shoLlc be .our presert accourt balance. (Si S ERROR RESOLUTION_ PROCEDURE FOR ELECTRONIC TRANSACTIONS if you 'Deie._ ri ere -s an error or your staff met or r ece!pz, or if you e_d mor e nformat or about a .-Tansact[or. olease contact is as o° as you can_ You car :ail is at ' 800- 972-3030, or -+ante s at `ft- Thiro Sank Customer Servicc: Madisonville Jperav ors _err Mai! Drop I',IOC?A :rnati. O`' 45263, or orst Jour nearest Fifth Third Sanking Center We must hear from you 1o'ate- s 50 Days a _e- we sent you the Fl s at mErt o r cn the o. or problem apnea. s ell is your name and account umber. ;2, Describe the error or he `ransacton you are unsure aboi:t and Xplaln as clearly as o'' -an Why Jolt believe h ne'is an e o. or ,Vhv, you need more -,` rna-.or. 3 Tell is he dollar amount of the susoe:ted mOr. We Will 'nVESigate yOUr .Dm pl31n2 and mli correct any error promptly. If we take more khan iG Dusiness Gays (or 20 business days -G a new account) m .^.o This, we well ^edit Your ac :ount for tfle amount you' think 's ' -r error. 50 that you ':vill have use of the alone! during `� 't .ake5 is .G mpiete our inve5tica` on. _ __ Preauthorized Transfers. If you are t, C eco,ent of Creaut o .Zed oepos ;ts, You may --ontact is at -800-912-3030 during normal business hours or visir the � f`ih T ^Ir,^, Bank : ^.LED siCe 3i :vmw., 53. :om t0 :_nfirm receipt of a p `authorized deposit. Page 4 of 4 Statement Period Date: 5, /1/2013 - 5/31/2013 Account Type: Bus Basics Checking FIFTH THIRD BANK ;SOUTH °LORIDA; .f1r O. BOX 6309Cd0 CINCINNATI 0r 45263 -9900 ' Banking C'enter: Radio Road SOUTHWEST FLOOR DESIGN INC Banking Center Phone: 239 -643 -5332 7935 AIRPORT RD N STE 109 0 Commercial Client Ser ✓ices: 1- 800 -589 -5355 NAPLES FL 34109 -1746 VA"N.1.51corn 8892 * Indicates gap in check =sequence i = Electronic Image s = Substitute Check Number Date Paid Amount 10 i 05,122 500.00 3915 *i 05/02 268.84 3919 *i 05/01 262.35 3927 *i 05/02 7,297.86 3928i 05i01 5,000.00 39291 05/01 3,145.00 3930i 05/01 6,769.29 3931 i 05,106 320.00 3932 i 05102 46.15 3933 i 05/08 970.92 3934i 05/02 18,283.60 3935 i 05/02 800.00 3936i 05/06 1,500.00 3937i 05'/06 210.00 3938 i 05/08 186.98 3939i 05/16 3,394.04 390 i . 175107 - _ _ 65_0.7_3 3941 i 05/06 1,290.00 39421 05/06 4,812.00 3943 i 05/09 7,917.94 3944 i 05/08 549.00 3945i 05/13 182.92 3946 i 05/14 5,908.71 3948 *i 05/09 10,000.00 3950 *i 05/08 260.40 Number Date Paid Amount Number Date Paid Amount 3952 *i 05/09 1,200.00 3979-1 05;122 719.46 3954 *i 05/20 416.42 3980i 05122 625.50 3955! 05/15 3,700.00 3981i 051,122 511.35 39561 05/21 300.00 3982i 05/22 2,549.00 3957 i 05115 8,098.69 3983 i 051"21 471.70 3958 i 05/16 400.00 3984 i 05/21 l, MCI. 00 3959 i 05/17 1,000.00 3985 i 05/23 131.90 3960i 05/23 3.00 3986i 05/24 17.15 3961 i 05/22 214.00 3987 i 05/29 84350 3962 i 05/23 199.28 3988 i 05,/24 2,500.000 39631 05%20 6,354.27 3989i 05/24 180.63 3965 *i 05/16 1,000.00 3990 i 05/28 1,659.79 3966i 05/28 100.00 3991i 051/22 5,627.27 3967i 05/17 1,900.00 3992i 05/23 8,850.00 3968i 05/17 500.00 3993i 05/31 312.44 3969 i 05,/20 6,565.10 3994 i 05/29 1589.2? 39701 05/20 4,915.19 3996 *i 05/30 638.64 3971 i 05/21 160.01 q __ 3_97 i -- 0578 3972i 05%24 17,348.92 3998i 05/30 i2o.21 3973! 05/28 1,000.00 3999! 05/31 4,150.00 3974i 05/22 644.30 4000i 05/29 4,401.72 3975i 05/22 2,600.00 4001i 05j30 1,150.00 3976i 05/22 5,000.00 4005 *i 05/30 2,567.30 3977i 05/21 528.00 4014 *i 05/31 2,147.00 3978i 05122 2,790.56 4017 *i 05131 460.00 For additional information and account disclosures, please visit xww.53.com Page 1 or 4 FIFTH THIRD BANK f Withdrawals ( Debits 3.61 69 items totaling $35,239.20 Date Amount 19.28 Description 051,01 104.00 DEBIT CARD PURCHASE AT L2GLEE COUNTY CLER, 239 - 533 -5000, FL ON 043013 FROM CARD #. DEBIT CARD PURCHASE AT PUBLIX #1314, NAPLES, FL ON 050513 FROM CARD #: XXXXXXXXXX)0(9888 05/06 XXXXXXXXXXXX9888 05Ot 17 8.5 0 DEBIT CARD PURCHASE AT HADINGER FLOORING, NAPLES, FL ON 043013 FROM CARD #: 63.89 DEBIT CARD PURCHASE AT SPANKYS SPEAKEASY, NAPLES, FL ON 050213 FROM CARD #: XXXXXXXXXXXX9888 05101 395.98 DEBIT CARD PURCHASE AT US AUTO PARTS NETW, 800 - 913 -6127, CA ON 043013 FROM CARD#: 05,/06 XXXXX)O(XXXXX9888 05102 100.00 DEBIT CARD PURCHASE AT MERIT CREDIT, INC., FORT MYERS, FL ON 050113 FROM CARD #: XXXXXXXXXXXX9888 XXXXXXXXXXXX9888 05/02 58.62 FIFTH THIRD ACH MPS BILLVG 4445001042903 050213 050/03 39.80 MERCHANT PAYMENT AT LOC 006143 7925 AIRPORT RD N NAPLES FL 05/03 60.88 DEBIT CARD PURCHASE AT PARMESAN PETES, ES, NAPLES, FL ON 050213 FROM CARD #: XXXXXXXXXXX0(9888 XXXXXXXXX00(9888 0503 7.95 AMERICAN EXPRESS PAYMENT DATE 13123 COLLECTION 4099197063 SOUTHWEST FL4099197063 05/08 050313 05'06 3.61 DEBIT CARD PURCHASE AT AIRPORT HESS, NAPLES, FL ON 050513 FROM CARD #: XM)00(X)OCXXX9888 05,'06 19.28 DEBIT CARD PURCHASE AT AIRPORT HESS, NAPLES, FL ON 050513 FROM CARD #: X9888 05/06 31.74 DEBIT CARD PURCHASE AT PUBLIX #1314, NAPLES, FL ON 050513 FROM CARD #: XXXXXXXXXX)0(9888 05/06 56.19 DEBIT CARD PURCHASE AT AIRPORT HESS, NAPLES, FL ON 050513 FROM CARD #: XXXXXXXX000C9888 05/06 63.89 DEBIT CARD PURCHASE AT SPANKYS SPEAKEASY, NAPLES, FL ON 050213 FROM CARD #: XXXXXXXXXXXX9888 05,/06 74.64 DEBIT CARD PURCHASE AT FASHION FRESH DRY, NAPLES, FL ON 050313 FROM CARD #: XXXXXXXXXXXX9888 05iO6 107.95 DEBIT CARD PURCHASE AT PUBLIX #1314, NAPLES, FL ON 050413 FROM CARD #: X9888 05(06 248.20 DEBIT CARD PURCHASE AT CHEM TAINER, WEST BABYLON, NY ON 050513 FROM CARD #: XXXXXXXXXXX0(9888 05/06 527.57 MOHAWK FACTORING EDI EDI PYMNTS 230684 SOUTH WEST FLOOR DESIG 050613 05/08 53.52 DEBIT CARD PURCHASE AT PARMESAN PETES, NAPLES, FL ON 050713 FROM CARD #: XXXXX)00=) X9888 05/08 5,740.00 5/3 ONLINE TRANSFER TO CK: XXXXX0(4718 REF # 00313128650 051,09 23.38 DEBIT CARD PURCHASE AT PIZZA HUT, 000 -0000000, FL ON 050713 FROM CARD#: XX000X0O0CXXX9888 05/09 1,587.78 DEBIT CARD PURCHASE AT BEST BUY MHT 0000, NAPLES, FL ON 050813 FROM CARD #. XXXX0000(X)0(9888 05/09 147.90 FIFTH THIRD ACH MPS BILLNG OE3168 SOUTHWEST FLOOR DESIGN 050913 05/10 15.89 DEBIT CARD PURCHASE AT AIRPORT HESS, NAPLES, FL ON 050913 FROM CARD #: X)0( OC9888 05/10 445.35 5/3 INSTALL LOAN #00871802799 PAID BY AUTO BILLPAYER 05/110 75.75 SERVICE CHARGE 05i13 21.97 DEBIT CARD PURCHASE AT JETS PIZZA FL 13, NAPLES, FL ON 050913 FROM CARD #: XXXXXXXXXXXX9888 05/13 43.43 DEBIT CARD PURCHASE AT SHORES LIQUORS, FORT MYERS, FL ON 051013 FROM CARD #: XXXXXXXX)aXX9888 05/ 13 70.000 DEBIT CARD PURCHASE AT PEACE RIVER CAMPGR, ARCADIA, FL ON 051013 FROM CARD #: XXXXXXXXXXXX9888 05/13 140.88 DEBIT CARD PURCHASE AT PUBLIX #1039, FT MYERS, FL ON 051013 FROM CARD #: X9888 05/14 147.76 DEBIT CARD PURCHASE AT CAMPING WORLD #08, FORT MEYERS, FL ON 051313 FROM CARD #: )00=9888 )0000=)00=9888 05/15 20.00 DEBIT CARD PURCHASE AT MERIT CREDIT, INC., FORT MYERS, FL ON 051413 FROM CARD #: XXX)CXXXXXXXX9888 05/15 24.51 DEBIT CARD PURCHASE AT CHEDDAR'S #810, FORT MYERS, FL ON 051313 FROM CARD #: )COMXX)00=9888 05/15 25.95 DEBIT CARD PURCHASE AT EXXONMOBIL 9757, NAPLES, FL ON 051413 FROM CARD #: XXXXXXXXXXXX9888 05/15 51.40 DEBIT CARD PURCHASE AT PARMESAN PETES, NAPLES, FL ON 051413 FROM CARD #: XXX00XXXXXXXX9888 05/16 113.40 DEBIT CARD PURCHASE AT VICENTE OF LONDON„ NAPLES, FL ON 051513 FROM CARD #: XXX>DMXXX)0(9888 05/16 189.00 DEBIT CARD PURCHASE AT EASTERN MARINE WEB, 03024537327, DE ON 051513 FROM CARD #: XXXXXX000000(9888 05117 18.88 DEBIT CARD PURCHASE AT AIRPORT HESS, NAPLES, FL ON 051613 FROM CARD #: XXXXXXXXXXXX9888 05/17 40.34 DEBIT CARD PURCHASE AT FASHION FRESH DRY, NAPLES, FL ON 051613 FROM CARD #: )0(XXXXXXXXXX9888 05/17 52.99 MERCHANT PAYMENT SOU BEST BUY #52 AT LOC 008 6325 NAPLES BLVD NAPLES FL Page 2 of 4 N T 0 0 0 J 1 0 0 a 0 c ® Statement Period Date: 5/1/2013 - 5/31/2013 Account Type: Bus Basics Checking FIFTH THIRD BANK (SOUTH �! ORIDA ?.O. BOX 530300 QNQNNATI OH. 45263 -0Q00 SOUTHWEST FLOOR DESIGN INC 0 Banking Center: Radio Road 7935 AIRPORT RD N STE 109 Banking Center Phone: 239 -643 -5332 NAPLES FL 34109-1746 � 8892 commercial Client Services: 1 -800-589 -5355 rrn. ,v.53.ccm Illnlll�f�nl�r�lll�lllh�lhlll fllI Jill lln'lllllllf +11118 Withdrawals / Debits - continued Date Amount Description 05,/20 28.06 DEBIT CARD PURCHASE AT ANTICO STONE & TIL, 09549722900, FL ON 051713 FROM CARDS: 05/01 60,490.00 XXXXXXXXXXXX9888 05,120 73.59 DEBIT CARD PURCHASE AT OLD EUROPE BISTRO, NAPLES, FL ON 051713 FROM CARD.": 05/09 19,740.00 XXXXXXXXXXXX9888 05/20 106.02 DEBIT CARD PURCHASE AT AIRPORT HESS, NAPLES, FL ON 051713 FROM CARD =: XXXXXXXXXXXX9888 05120 137.84 DEBIT CARD PURCHASE AT PUBLIX V13 T4, NAPLES, FL CC T�)51 FROM- C-ARII7: XXXXX;'�X' XXX�8-88 05/20 6,000.00 5%3 ONLINE TRANSFER TO CK: XXXXXX4718 REF # 00314236890 05/21 50.93 DEBIT CARD PURCHASE AT CAPERS KITCHEN & B, NAPLES, FL ON 052013 FROM CARD-«: XXXXXXXXXXXX9888 ' 05522 70.25 DEBIT CARD PURCHASE .AT PINCHERS CRAB SHAC, NAPLES, FL ON 052113 FROM CARD1: XXXXXXXXXXXX9888 05/22 1,000.00 TELEPHONE INITIATED PAYMENT AT CHASE EPAY 1565234784 052213 05/22 1,000.00 TELEPHONE INITIATED PAYMENT AT CHASE EPAY 1565236199 052213 05/22 2,500.00 CAPITAL ONE PHONE PYMT 314139879024557 7102024157TANGORRA JOH 052213 05/23 602.23 TELEPHONE INITIATED PAYMENT AT Lowes BRC CC LOWTELPAY 513088202 N 052313 05/123 10,000.00 5/3 ONLINE TRANSFER TO CK: XXXXXX4452 REF # 00314479287 05/24 18.08 DEBIT CARD PURCHASE AT AIRPORT HESS, NAPLES, FL ON 052313 FROM CARD #: XXXXXXXXXXXX9888 05/24 32.56 DEBIT CARD PURCHASE AT PARMESAN PETES, NAPLES, FL ON 052313 FROM CARD #: XXXXXXXXXXXX9888 05/24 73.37 DEBIT CARD PURCHASE AT SPANKYS SPEAKEASY, NAPLES, FL ON 052213 FROM CARD #: XXXXXXXXXXXX9888 05/24 236.83 MERCHANT PAYMENT Sunshine Ace Ha AT LOC 026001 141 Tamiami Trail No Naples FL 05/28 11.20 DEBIT CARD PURCHASE AT AIRPORT HESS, NAPLES, FL ON 052613 FROM CARD #: XXXXXXXXXXXX9888 05/28 12.55 DEBIT CARD PURCHASE AT OAKES FARMS, NAPLES, FL ON 052613 FROM CARD #: XXXXXXXXXXXX9888 05/28 22.24 DEBIT CARD PURCHASE AT AIRPORT HESS, NAPLES, FL ON 052513 FROM CARD #: XXXXXXXXXXXX9888 05/28 28.30 DEBIT CARD PURCHASE AT ZOOKIES SPORTS PUB, NAPLES, FL ON 052413 FROM CARD #: XXXXXXXXXXXX9888 05/28 29.21 DEBIT CARD PURCHASE AT WYNN'S MARKET, NAPLES, FL ON 052513 FROM CARD #: XXXXXXXXXXXX9888 05/28 100.13 DEBIT CARD PURCHASE AT PUBLIX #1314, NAPLES, FL ON 052713 FROM CARD#: XXXXXXXXXXXX9888 OS/28 _ _ _ 100.30 DEBIT CARD PURCHASE AT AIRPORT HESS, NAPLES, FL ON 052613 FROM CARD #: XXXXXXXXXXXX9888 05/28 173.88 DEBIT CARD PURCHASE AT PUBLIX SUPERMARKET, NAPLES, FL ON 052513 FROM CARD #: XXXXXXXXXXXX9888 05/28 260.73 DEBIT CARD PURCHASE AT SUNSHINE ACE HARDW, NAPLES, FL ON 052413 FROM CARD #: XXXXXXXXXXXX9888 05/28 151.33 MERCHANT PAYMENT Sunshine Ace Ha AT LOC 026001 141 Tamiami Trail No Naples FL 05/29 23.50 DEBIT CARD PURCHASE AT CALUSA ISLAND MARI, GOODLAND, FL ON 052713 FROM CARD #: XXXXXXXXXXXX9888 05/29 1,229.23 THE DIXIE GROUP CUSTOMERS 306880 SOUTHWEST FLOOR M 11399168 052913 05/31 8.86 DEBIT CARD PURCHASE AT AIRPORT HESS, NAPLES, FL ON 053013 FROM CARD #: XXXXXXXXXXXX9888 05/31 29.10 DEBIT CARD PURCHASE AT TOAST AT VANDERBIL, NAPLES, FL ON 053013 FROM CARD #: XXXXXXXXXXXX9888 Deposits / Credits 5 items totaling $166,822.SO Date Amount Description 05/01 60,490.00 DEPOSIT 05/08 27,663.50 DEPOSIT 05/09 19,740.00 5/3 BANKCARD CREDIT DER 4445001042903 SOUTHWEST FLOOR DES SOUTHWEST FLOOR DES 050913 05/17 52,934.00 DEPOSIT 05/21 5,995.00 DEPOSIT Page 3 of 4 FIFTH THIRD BANK M Daily Balance Summary Date Amount Date Amount Date Amount 05/01 145,903.81 05113 126,793.80 05/22 105,678.31 05/02 119,048.74 05114 120,737.33 05/23 85,891.90 05/03 118,940.11 05/15 108,816.78 05/24 65,484.36 05106 109,675.04 05/16 103,720.34 05/28 60,384.70 05107 109,024.31 05/17 153,142.13 05/29 52,297.51 05/08 128,926.99 05/20 128,545.64 05/30 47,815.30 05109 127,789.99 05/21 132,030.00 05/31 40,707.90 05/10 127,253.00 Suggested instructions for balancing either your checking or savings account. 1. Enter Ending Balance from statement (1) $ Having trouble balancing your statement? _. List Deposits Credits made after statement date: If revised bank balance is MORE than your checkbook balance: Date Amount Date Amount a) Have you verified your addition and subtraction above and in your checkbook? b) Does the above list include ail of your outstanding checks, withdrawals and debits? Enter total of above Deposits /Credits. 2} $ c) Have your added all ATM deposits in your checkbook? d) Have you added all credits and advances in your checkbook? 3. Compute sub -total ( =1 plus Y2). (3) 4. List Checks and Withdrawals / Debits not yet paid by bank: Check z /Date Amount Check # /Date Amount Enter total of above Checks and Withdrawals / Debits. If revised bank balance is LESS than your checkbook balance: a) Have you verified your addition and subtraction above and in your checkbook? b) Have you deducted service and other bank charges in your checkbook? c) Have you deducted all ATM withdrawals in your checkbook? d) Have you deducted ail credit line and preauthorized (4 ) $ payments in your checkbook? 5. Subtract line 4 from line 3. This should be your present account balance. (5) $ ERROR RESOLUTION PROCEDURE FOR ELECTRONIC TRANSACTIONS If you beiieve `here is an error on your statement or receipt, or if you need more information about a transact on, please contact us as soon as you can. You can call us at 11-800-972-3030, or ,,vr :te us at Fifth Third Bank Customer Service; Madisonville operations Center; Mal Drop LMOC3A; Cincinnati, OH 45263, or visit you nearest Fifth Third Banking Center. we must hear from you no later than 60 days after we sent you the FIRST statement on which the error or problem appeared. (1) Tell us your name and account number. (2) Describe the error or the transaction you are unsure about and explain as clearly as you can why you believe there is an error or why you need more information. (3) Tell us the dollar amount of the suspected error. We will investigate your complaint and will correct any error promptly. If we take more than 10 business days (or 20 business days for a new account) to do this, we will recredit your account for the amount you think is in error, so that you will have use of the money during the time it takes us to complete our investigation. Preauthorized Transfers. If you are the recipient of preauthonzed deposits, you may contact us at 1- 800- 972 -3030 during normal business hours or visit the Fifth Third Bank web site at www.53.com to confirm receipt of a preauthonzed deposit Page 4 of 4 Bank Home Help I Sign Off Ccmsurrner E--fac;t—omc San FLORIDA COM Accounts Accounts o\ier-,Aew Account acti'vit',li Statements Download banking transactions Manage banking categories Create a bankiirg zrapof-tt Account Information Here are your account details. For transaction history, please go to the Account Acf!°At,,/ page. Current balance: Available balance: Last statement date: Last statement balance Interest rate'. Interest YTD-. Interest last year: How Do I... Teams FAQs $520.66 5520.66 05/31/2013 $2,666.18 Bank Home Help I Sign Off C-or-SU-771el- EsC 'C' Sam 17-'CB FLORIDA CC Accounts Accoijnts overv�P-Vv Account acti'•ity Statements Download banking transactions Manage banking, categories ies Create P- banking N Account Information J Here are your account details. For transaction history, please go to the Account Activity page. Current balance: Available balance: Last statement date: Last statement balance: Interest rate'. Interest YTD: Interest last year: How Do I... Terms FAQs $64,49 $64.49 05/3112013 $64.49 ^ ` - Bank Home I Help I Sign Off '~��lJ��C��i�A��^�~ Accounts � � � ^`^ � Accounts owar�evv AocountecdMty Statements Download banking transactions Manage banking octegohes Create a banking report Account Information �� [°��1 Hen* are your account details. For transaction hiatory, p|eeao go to the Account Acti,it.; page. Current balance: Available balance: Last statement date: Last statement balance: Interest nab*: Interest YTD Interest last year: How LDo J~ Terms FAQs $101.61 $101.61 O6/31/2013 $101.61 Account SUmmary Welcome, SOUTHWEST FLOOR DESIGN INC Tuesdai Sure 25,20 -3 Account Activity Account Sumrnar/ A_cauRt Statements & Cccur^ents Account REGULAR BUSINESS CHECKING (X4452) — Account Name: REGULAR BUSINESS CHECKING Account Number: Balance as of 06/24/13; 5148,482.85 Available Balance; 5148,268.20 Account Profile Interest Details Last Statement Beginning Balance $61,55454 Interest Earned Since Last Statement Penod $0.00 Last Statement Ending Balance 314,465.16 Interest Earned Last Statement Period $0.00 Last Statement Beginning Date 05,01 /2013 Interest Earned in 2013 $0.00 Last Statement Ending Date 05131/2013 Interest Earned in 2012 $0.00 Date Account Opened 10/19/2012 Account - Urnma;—v Welcome, SOUTHWEST FLOOR DESIGN INC Tuesday, June 25, 2013 Account Acti'vit"r Account Summary Acco. _ S ta t ?gents & Doc gents Account BUSINESS BASICS CHECKING i (X2830) Account Name: BUSINESS BASICS CHECKING Balance as of 06/24/13: 545,721.31 Account Number: Available Balance: 545,535.18 Account Profile Interest Details Last Statement Beginning Balance 5101,268.93 Interest Earned Since Last Statement Period 50.00 Last Statement Ending Balance 540,707.90 Interest Earned Last Statement Period 50.00 Last Statement Beginning Date 05/01;'2713 Interest Earned in 2013 50.00 Last Statement Ending Date 05/31/2013 Interest Earned in 2012 50.00 Date Account Opened 08/24/2006 _' "R TC PaQe 6 :)f 9 25i0612013 10 14,17 EDT 12392360270 From As`ley PaLkis Q:7z,,Ps_n, Pr-_filf4 - SQ07HVVEST; LOOR DESiGN. iNC subcode:97010 Ordwed L OWN '424,-�"- 154-5 no WkwaW A oe ')flE--31'� fu the busisss Yn. 011M on Al caw V 151 'qps- onrswA n Mv nus aj� -7LCK-)R DESIGN, iNC NpKys. OL 11 Doe 5 vn.PWvMr: A- 43: VOK 13 vkxxv""s 7ax M 2�51772 - G kwo! a mw. DET, 14 C Rghow DBTpawusS moiTs H�g 2.-) 24 0 Tr?de bao-ce oFaN Imaes 10 SMIT) 14 wyge 31450 Hiq'hcnz;� s 7-00"1" F an-A bsw�e no, SMOG - 611101 i 4 BT Preriicted DST fo�- 06126;2013- 22> P-7 2 E-, i Payment Trend inAcKon: W tndustr-y pay cc-rYipariscr,!: 40 VA 3% vets to of US huMnesses Mng wohfn GBT range Most !mjuf,-,F'y 'Purr,�;slasinq Terms: --RE-�T DS Ah WAsk4s 10 DBT Same ndnvy 16 DST Is owl so 2-2 24 301 12 14 14 12 �.'Njvl- i 71 .3 ��vla r I Page 7 of 9 25106/2,0113 1D- -14.17 EDT 123923612 %0 F rom Ashley Paulus qn, n ade Urss --tals G 5% 5", 4% 1 D F, m W Bu, si - s s 2 C- a, v Las', B a a 1 a t,. g -- r, Reported Sale Ts7wrr,-� High sa;znc,. Cu. 1-30 ZI-607 34-?C, 9 1, Cur D-8— Credit EANK CAR.D S SE-:1 7 3 A iP AFIR - j JN 67 ME, 1 n. ZJ4 J� �'ry ti B a a 1 Date 3 N c�aiance 1 Cur D-8— i- S SE-:1 7 AFIR - j JN 67 S, C-- T! 7 ME, Month:s DBT B a a 1 911 3 N i- 3 - '12 SE-:1 7 AFIR - j JN 67 TO'. Page 8 rf 9 25/06,,2013 1-3: 14.17 EDT 123*92360270 From Asn !ey Paulus Susiness 7L DOR CWVR TaNz Top APR13 MARU FES13 .!.ANA DEC12 NOW 2 G=E.._ SERI 2 A U".3 12 Sots of Wgw: R cn, a Feumul Tax 10: 23' AP7E ADHN Am! Addrass: 1575 i-`�NE RkLD-7-E a v p -amme: Prmmcipnl(,s.i� j�,'HN FA,,N�,3 PRA. DYV'viNER' Prirl.lary 3,51-C, CID-je� `,11A7ERle�L3 - 5ill Nurnber of Empioy,��es: 2 Sams: 1165 CDC, Ep erlan p,ides its-aff cri ,te depft,- an ac!:;urecy -z-,f tl'-e data r.-�ah�tair-ed r o�Lir cfatabase-sz� ju a arm Q t7 t b'e h avi 0 r to E�p e ri a f- vvi fu,- - th e, - S t " e n g t-,e; -, and e nt7 a v .7- e - h- e p,-j vve s- C. f th e i, 7,170 t 'M, 3 J 0 P a %,, a i & 3 b --fe r a k ng s- -011.1 d � "R red --!ecisiors- Give �redft whena cwd0s due, -Cail !-N',0-520-<221; optjcr formor--, End Df "PW 701 �Aymahm Oxon D A ,:.I a.. _f is 3L._H',NE,57 FLOO !N-C To Page 9 O 25/0612013 10:14:17 EDT 123923502 70 From. Ash ej PauLs oil MERIT CREDIT HAS RETRIEVED THE ABOVE BUSINESS REPORT FOR LICENSING PURPOSES AS REQUESTED BY THE BUSINESS OWNER /PROPRIETOR. PUBLIC RECORDS FOR THIS REPORT HAE BEEN CHECKED AND VERIFIED AT THE COUNTY (INCLUDING PINELLAS) , STATE AND FEDERAL LEVELS. PUBLIC RECORDS LEA- RN'. -D: G SOURCES OF INFORMATION: EXPERIAN BUSINESS INFORMATION SERVICES IRS LIEN SECTION COUNTY COURTHOUSE RECORDS IF YOU HAVE ANY QUESTIONS REGARD-LNG THIS REPORT, PLEASE CONTACT Z*MRIT CREDIT AT: 1- 800 -371 -3348 OR 239- 277 -3202. COMPANY NAME: SOUTHWEST FLOOR DESIGN INC FEDERALID:205420723 CURRENT STATUS: ACTIVE BUSINESS PRINCIPAL(Sj. JOHN TANGORRATITLE: PRESIDENT ELIZABETH SCHMITT TITLE: V &S ANDREW SEIJAS TITLE: VP DATE INCORPORATED: 08/24/2006 fir it Czedit ray ..j__, I }, MERIT CREDIT HAS RETRIEVED THE ABOVE BUSINESS REPORT FOR LICENSING PURPOSES AS REQUESTED BY THE BUSINESS OWNER /PROPRIETOR. 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: GULF COAST NOME SERVICES INC FEDERALID:900738828 CURRENT STATUS: ACTIVE BUSINESS PRINCIPAL(S): ANDREW SEIJAS TITLE: DIRECTOR EDGAR 1AUREGUI TITLE: VP LOUIS JAUREGUI TITLE: VPO DATE INCORPORATED: 06/24/2011 8--u'sinass Proflie - GULF COAST HOME SERVICES, INC Subcode- 9—, " it Grderea 3 13, 1 33 CST E.',�,o e r ass T.,ansact(on Momber C5-1,-Z-- �'-,5-7 Search inquiry: F S N!0;"29-"' S:LI/EP.-HOR.:1i --T BO'lliTA, Oilss-ess' GULF COAST ;HOME SERVICES. INC Business identification Number: 29?' S; 1 v e r, h o r:-, C' Experian File Established: -7 2," 1 3iD ,fa S s. F= 3 5 -2=5D Date of Incorporation: r".5 i 2 Legal Filings and Collections Trade Information 05T. Kg�-ies� D:S� ;PravOUS 6 Mcnz�s o CoPtirt-cus fraues r- ega; so -- - —r',! u�, ; - ail -races -6 '-'QS 2)rese;.t- :'verace caocice ��aiance range so so Corporate Registration TH'E FOLLO,AdNG INFOF)MA710N '% AS PROA/1-DED B"/ THP STATE OFF P OP DA. State of Origin: P Date of Incorooration: "6;24!2Q';' Current Status: ACTive Business Type: Garter Number:. I M`85 Agenr: S-,JAS J Agent Address: 129-2- SH-VERT HORN COUP? EON TA SPRiNGS. Additional Company Background Information Principal(s): AENDREv'! SEAS i�p 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. --id o� r e por 1; of 1 reco-t '. f7erei r" rS l-- Lime i I sr! a 1. cc n J'5'rde n ce far Jvo ur excl ,, s ive U Se ;�o r ie gitim aie 0 usin e ss ' ourposes and shail r,,�t be re-,iroduced. Nfeither Exper."ar, ",f C M t I or .reliance Loon tC. 1--,brmvi�; n Soiun;cirls. tric.. nor the; es or disc wfors warrant such i iForrrar,"arnar shalf-hey be liable for ye.. iis,- 1: , 10 1 1 ir 30 1 ; ri, Exce-an 7D'73, Ali "gi Is served. Priva�z-t PQiiQv x .-r- ...arks :ierainare serAce marks ExperTan. - �- e r: a r a e E: x e r a P,ucis ess �rOfiie - G-3ULF: CC-AST 1-110MIE SERVICES. !NC ;-c Page 1 of 9 25/06/2013 13;1417 EDT 12392360270 From: Aslh?ev Paulus 7 3 =p- ---------------------------------------------------------------------------- Sc ---------------------------------------------------------------------------- ZPA T ---------------------------------------------------------------------------- Fr - D D V E Z, ZI m L I L .T. 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C 0 0 0 V O z N u t O 6 h C I C F `l r-1 _ U �J7 c IL, N � O c N •� c�i cn L 00 ly �, O 4--1 • '� '�j O O • � `n r U N U� O O Cj C O ^O^ CL L- 0 U s O _U O C co w O ca IN co L N 3 N � 0 0 � � --, o c c u s U C O ^O^ CL L- 0 U s O _U O C co w O ca IN co L N 3 w-,v .sunbiz.org - Department of State Home Contact Us E- Filing Services No Filing History Fictitious Name Detail Fictitious Name GULF COAST FLOORING & FINISHES Filing Information Registration Number G11000066149 Status ACTIVE Filed Date 06/30/2011 Expiration Date 12/31/2016 Current Owners 1 County MULTIPLE Total Pages 1 Events Filed NONE FEI /EIN Number NONE Mailing Address 12921 SILVERTHORN COURT BONITA SPRINGS, FL 34135 Owner Information Document Searches GULF COAST HOME SERVICES, INC. 12921 SILVERTHORN COURT BONITA SPRINGS, FL 34135 FEI /EIN Number: 90- 0738828 Document Number: P11000058585 Document Images View image in PDF format No Filing History Fictitious Name Search Submit http: / /ww- w.sunbiz.org /scripts /ficidet.exe ?action= DETREG &docnum =Gl 1000066149 &rd... 6/25/2013 Mail by Entity Name 'Ms lorida Profit Corporation ULF COAST HOME SERVICES, INC. ilinp Information ocument Number P11000058585 EI /EIN Number 900738828 ate Filed 06/24/2011 tate FL tatus ACTIVE 40 YORK TERRACE IAPLES. FL 34109 ;hanged: 02/08/2012 failing Address 40 YORK TERRACE IAPLES, FL 34109 :hanged: 02/08/2012 ,egistered Agent Name & Address BJAS, ANDREW J 40 YORK TERRACE IAPLES, FL 34109 ,ddress Changed: 02/08/2012 Ifficer/D i rector Detail lame & Address itle DP EIJAS, ANDREW J 40 YORK TERRACE IAPLES, FL 34109 itle VP AUREGUI, EDGAR 030 SEA GRASS LN. APLES, FL 34116 Page t of 2 httn-/ /search .sunbi 7. org/ Inauirv/ CoroorationSearch /SearchResultDetail /EntitvName /dome -... 6/17/2013 F)etail by Entity Name itle VPO Page 2 of 2 JAUREGUI, LOUIS 165 DELBROOK WAY MAO ISLAMDotg& 34145 E-Filing Services Document Searches Forms Help Annual Reports Report Year Filed Date 2012 02/08/2012 2013 03/22/2013 PE IT; View image in PDF format ZZ 2 01 iN N,,! L �R 0 R T i View image in PDF format j Dorn`suc P,rc)Fit View image in PDF format htti):Ilsearch.sunbiz.orgllnquirylComorationSearchISearcfiResultDetaillEntityNameldomp-... 6/17/2013 2013 FLORIDA PROFIT CORPORATION ANNUAL REPORT DOCUMENT# P11000058585 Entity Name: GULF COAST HOME SERVICES, INC. Current Principal Place of Business: 640 YORK TERRACE NAPLES. FL 34109 Current Mailing Address: 640 YORK TERRACE NAPLES, FL 34109 FEI Number: 90- 0738828 Name and Address of Current Registered Agent: SEIJAS. ANDREW J 640 YORK TERRACE NAPLES. FL 34109 US FILED Mar 22, 2013 Secretary of State Certificate of Status Desired: No The above named entity submits `his statement for the purpose of changing its registered office or registered agent. or both, in the Stare of �:Ionda. SIGNATURE: Electronic Signature of Registered Agent Officer /Director Detail Detail : Title DP Name SEIJAS, ANDREW J Address 640 YORK TERRACE City- State -Zip: NAPLES FL 34109 Title VPO Name JAUREGUI. LOUIS Address 165 DELBROOK WAY City- State -Zip: MARCO ISLAND FL 34145 Title VP Name JAUREGUL EDGAR Address 6030 SEA GRASS LN. City - State -Zip: NAPLES FL 34116 Date I hereby certify that the information ndicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath: that I am an officer or director of the corporation or the receiver or trustee empowered to execute this report as required by Chapter 607, Florida Statutes; and that my name appears above. or on an attachment with all other like empowered. SIGNATURE: ANDREW SEIJAS PRESIDENT 03/22/2013 Electronic Signature of Signing Officer /Director Detail Date Detail by EntitN Name IN �. )UTHWEST FLOOR DESIGN; INC. ina Information Document Number FEI /EIN Number Date Filed State Status Princieal Ad 1687 GORDON RIVER LANE NAPLES, FL 34104 Mailina Address P06000110921 205420723 08/24/2006 FL ACTIVE 935 AIRPORT PULLING RD. NORTH 10 APLES, FL 34109 hanged: 02/21/2011 WHITE. JOHN P 1575 PINE RIDGE ROAD SUITE 10 NAPLES, FL 34109 Officer /Director Detail lame & Address 'itle D &P ANGORRA, JOHN P 687 GORDON RIVER LANE (APLES, FL 34104 itle V &S SCHMITT, ELIZABETH 1687 GORDON RIVER LANE NAPLES, FL 34104 itle VP Page 1 of 2 http:/ /search. sunbiz.org/ Inquiry! CorporationSearchI SearchResultDetail /EntityName /domp -... 6/25/2013 [lero [b` Entity Name 'os.Andrew 4O York Terrace ap|es.FL341OS Hume us sfixnoSonxcee nnua|Reoor5�'-- Report Year Filed Date 2011 02/21/2011 2012 02/10/2012 2013 04/14/2013 Document Searches Forms Help http:l,lsearch.sunbiz.orgllnquirylCorporationSearchISearchResultDetaillEntit.vNameldomp-... 6/25/2013 View image in PDF for View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format 81'-%4 --,OKD-3 lli�L View image in PDF format Help http:l,lsearch.sunbiz.orgllnquirylCorporationSearchISearchResultDetaillEntit.vNameldomp-... 6/25/2013 lerchant fpsurance, Solutions To:lnsurance Dept (12392522469) 15:19 46/25/13 EST P9 2 -2 A�oRU CERTIFICATE OF LIABILITY INSURANCE DATE i 06J25/201I 3 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS ICERTIFICATE 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 I REPRESENTATIVE OR PRODUCER. AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policyfles3 must be endorsed. If SUBROGATION IS WAIVED.. subject to I 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), �ROCfJCER I NAME: CF Patty ?wedge- LUdv,,ig Mercha- Insurance - Bonita PHONE (239 ) 323 4382 FAX I IAfC, No, Esri'. fAiC. Noi: 12326 Isabella Drive Eh°�L ved egmerchantinsurancesoiutons.co� i ADDRESS: i�`' g v Bonita Springs _ 34135 INSURED Guif Coast Home Services Inc. DBA Gulf Coast Flooring & Finishes 640 York Terrace Accident Insurance Co. Inc Travelers Insurance Bridgefie €d Employers Insurance Company Naples FL 34109 1 INSURER r: I f" nVPPar:I =S r ;=PTIFIr ATF NIHIVIRPIZ- RIZV1^1Ir1fU Ail IMFtFp. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOkN HAVE BEEN ISSUED TO THE INSUP,ED NAMED ABOVE FOR THE POLICY GEFCC NCICATED. Nv ^TS:nTHSTANDING AtiY RECUIREMEN7 TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUNIEN� `A,'TH RESPEC- TO V, -IHiCH THIS CERTIFICATE MAY BE ISSUED OR MIAY PERTAIN. THE INSURANCE AFFORDED By THE POLICIES DESCRIBED HEREIN IS SUB. ECT 70 ALL THE -EFMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES- LIMITS SHO';`JN MAY HAVE BEEN REDUCED BY PAID CLAIMS. WSR � IADDL'SUBRI POLICY EFF POLICY EXP LTR TYPE OF INSURANCE € PCLICY NUMBER fMMrDQ1YYyYI i MM!DDrYYYYJ LIMITS SENER;AL _IA BILL T Y - 'H `✓- C =RRE N CE S 000.� "�7c \` 100,000 GENEPAL LIABtLii ?RC -.iSEJ +tc4- l..urre.':L2: J i ME EAny cme prsc'. S 5.0100 A CPP0000974 2('14%2013 2/14;2014 PERS ^VzLa e a:E:R,e s 1.000.000 �EFsE+iA�AGGRE6 - S 2,000.000 A`I'L kvGREGA- L:ht = ?,:PPLPS PE °- PRODUIC S NAP: ;P AG - S .000,000 X 3v- P"LIC`! LIABILITYT :.0 °.-'6tN ED SINGLE LE r -M.- 'P� _AUTOMOBILE accden >. ANYAU =C 5C�f !^P =n S 00,000 , Av ^s `- %� SCHEDULED !LED BA- 9B828394- 13 -SEL 6f2512013 6f2512014 A• 60J�ILY I1IJtJRY .Per acc n. s 340.000 -x �/ �/ NCN .3Y ^. -Nth PROPERT`� PANIAGE -n,., S uiREr; AI,TCS �"� AUTOS ro ; -ice UMBRELLA L }AB - F OCCUR _ EACH OCCURRENCE 8 _ -- EXCESS LIAR CL:? #! i5 +iHQr', !:�� AGGREGATE S DEL) ' I ri - ENTiO N S I I S WORKERS COMPENSATION JC�:A -J G AND EMPLOYERS' LIABILITY YIN':. TJRY # Ia , R hN: RCP E'CRFC4T. E�?fEYE . ?n�P C ,_r.ICERMFMBEREXCLjC.FD N N'A 0830-50270 2r'1 & ?2fl13 2i16;2fl14 EL =AC-, =AC-,4C' S 1.U00.0i�G (Mandatory in NH) EL. .SEASE E :iPL31 -__; 1.000.000 � � e ;b2 �r�et �v_§s . RIP r -.4 s 0PERA'10NS h9 io'R DiSE?SE r IUC' is itT : S 1,000,000 DESCRIPTION OF OPERATIONS ! LOCA -PONS 1 VEHICLES !Attach ACORD 10`. Additional Remarks Schedule, it more space is required) Andrew Seijas is covered by the ,vorkers comp policy C Collier County Contractor Licensing Board 2800 N. Horseshoe Drive Naples ACORD 25 (2010105) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ;z JL THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 'FL 34104 O 1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD r r 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 `Vebsite: w-wiv.colliertax.com CHECKLIST Copy of Articles of Incorporation and or Fictitious letter from the State stating that your business name is on file. (850 - 245 -6052 or 6058) vvw".sunbiz.org Copy of State license from Department of Business and Professional (850 - 487 -1395) or Department of Health. (850 - 488 -0595) Copy of City Business Tax Receipt. (239- 213 -1300) Copy of Llotor Vehicle Repair Registration Certificate from Department of Agriculture. (800 -435- 7352} Copy of Health inspection from Deparment of Hotels and Restaurants (850-487-1395) or Department of Auriculture. (800 - 435 -'352) Yellow Fire Compliance (list offire district phone number enclosed) Copy ofylarco Zoning Certificate. (239- 389 -5000) Completed Zoning application with appropriate fee made payable to: Board of County Commissioners. (239 - 252 -5603 i Complered 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. CHECK ONE: Date: Original Application Classification Transfer of License - Code Number - - Renewal of License :L� License Amount 1) CORPORATE NAME - la) DBA NAME - - lb) BUSINESS OWNER OR QUALIFIER'S NAI IE - 2) PHYSICAL ADDRESS - (No P.O. Box allowed) 2a) IS RESIDENCE USED AS AN OFFICE - Yes No 3) BUSINESS MAILING ADDRESS - Street City Zip 4) OWNER OR QUALIFIER'S RESIDENTIAL ADDRESS - S) TELEPHONE - Business: Home: -. . 6) LEGAL FORM OF BUSINESS: Sole Proprietorship Partnership �- Corporation LLC LLP 7) OPENING DATE OF BUSINESS OR DATE ASSUMED - ~ 8) OFFICE WITHIN CITY LIMITS OF NAPLES - _ Yes — No If Yes, City License No. 9'= SOCIAL SECURITY N9. or FEDERAL EMPLOYER IDENTIFICATI 3 NOs - -see back of application for explanation 9a) TYPE OF BUSINESS CONDUCTED: 10) NUMBER OF EMPLOYEES - Including number of owners: 11) FILL IN THE APPROPRIATE AREAS - a) Rental units (moteUhotel/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 - 'Ylust 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 IT ARE TRUE TO THE BEST OF MY KNOWLEDGE. xxxAPPLICANT'S SIGNATURE: DATE: (Owner and/or representative of business) TITLE: * ** *THIS LICENSE IS NON - REFUNDABLE FOR BUSINESS STATED ABOVE * * ** tom. 7 Coti t y COLLIER COUNTY GOVERNMENT DEPT. OF ZONING & LAND DEVELOPMENT REVIEW V`PAFW.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. Verification 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 I ! I ZONING CERTIFICATE # TG- APPLICANT'S NAME PHONE: APPLICANT'S HOME ADDRESS UCj t TYPE OF BUSINESS TO BE CONDUCTED C' o rf i n BUSINESS NAME (IF ANY) y L S .I ytn r 1, the undersigned, hereby affirm that I 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 1 have read, understood, and agree to abide b th#?provisions of LDC Section 5.02.00 Home. Occupations' (see back of application). <.�'�} i� s APPLICANT SIGNATURE DATE � ( FEE: $50.00 aCHECKS PAYABLE TO: "COLLIER COUNTY TAX COLLECTOR" TO BE COMPLETED BY Couwry STAFF 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. t BEFORE THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD BOARD OF COUNTY COMMISSIONERS, COLLIER COUNTY, FLORIDA, CONTRACTORS' LICENSING BOARD Petitioner, iN Albert J. Scott D /B /A — Beaumont Communications Inc. Respondent. Case Number: 2013 -07 License Number: EF2000073b /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. I& 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 WI IEREFORE, in consideration of the foregoing, the Petitioner respectfully requests the Collier County Contractors' Licensing Board to find the Respondent guilty of the violationA charged. Dated: �� Ci f Signed: Collier County Contractors' Licensing Supervisor or Des t ti 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. i 4 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: z:_t c 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 Date job startcd: 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." V5 — Z)- 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: County of: 1 �) Sworn to (or affirmed) and subscribed before me this 29th day of May, 2013, A i U 6 (signature of person making statement). (signature of Notary Public) aplIt-',k, UMAWHA LYNN ROE * FAY (X)MMISSO 1 EE 875239 // EXPIRES: February 17, 2017 print, type or stamp commissioned name of Notary Public: BaidedThruBudgetNdaryServfces Personally known F- L DL or produced identification t =— 1 DBPR - SCOTT, ALBERT JOE; Doing Business As: BEAUMONT COMMUNICATIO... Page 1 of 1 3:53:30 PM 5/2812013 Licensee Details Licensee Information Name: SCOTT, ALBERT JOE (Primary Name) BEAUMONT COMMUNICATIONS INC (DBA Name) Main Address: 4600 ENTERPRISE AVENUE UNIT D NAPLES Florida 34104 County: COLLIER License Mailing: LicenseLocation: 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: 8S0,4i37, 7,39.5 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 455.27511), 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 riot 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. View blaster Proiect View All Activities for this Licensee Add new person or business to Address Book Licensee Inforntation Contacts To link a contact to this Licensee, enter contact information below. CityView will suggest possible r ALBERT J. SCOTT, Address:3959 BISH'OPWOOD CT WEST # 201, Phone: (239) 000 -0000 fairs I I -ink I Tuns r2perrirjinn Description Type Property Alert I Pri 2 I Display? adds ntact es ;as you types Applicant BEAUMONTCOMMUNICATIONSINC ,Address:460© ENTEPPRIS 111-1111- z We FYI! A M 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 8t', 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. Scot • 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`'', 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 disciplinay 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 . Rob Gangui Licensing Compliance Officer Coller County Contractors' Licensing Phone - (239) 252 -2914 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: `-- `' k Person making report: Phone number of person making report: Date violation observed: Address of violation: Are there Fire Code violations on this property: ( ) YES (.-fN0 If YES please attach copies of all documents, notices of violation, red tags, citations, etc. Please describe complaint: 0sm ^t� 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 1 -'7 Aj Beaumont Communications, Inc. 4600 Enterprise Ave., Unit D Naples, FL 34104 Office (239) 643 -7635 * Fax (239) 643 -8560 * UL S8474 -1 Name /Address Greent-inks Gol'rVillas 7995 Maliogany Run Lane Naples. FL 34113-1624 Proposal Date Proposal # 7/14/2011 7129 Contact Rep At Job Site Location Qty Description Amount Total 1'1 IE FOLLONVING PROPOSAL IS FOR WIRELESS FIRE ALARM MONTTORING FOR (17) BUILDINGS (see attached spread sheet for cost savings) 17 N.ircless C pmmnnieatnl' (each buildinp . reyuiirsa radio) PRTCINCi INCLUDES: 744.00 13.648.00 "First years Monitoring * *Permitting Fees " *Test & Inspection " *Installation & Proui-amine ADDRESS * 17990 Mahnpnnay Ron T am "79M Mahngnnay Ram Lane * *7970 Mahuguna) Run L.u!c "7915 Mabugonay Run Lane * "7965 Mahogonay Run Lane * *7910 Mahogonw RtLu l arc * *7(M Maho¢onay Run Lein(- * *7905 Mahogonay Run Lane * "7955 Mahogona), Run Lane * *7895 Mahogonay Run Lane * *7935 IYtnhoguuar Run Laue *'7885 Mab)�ouay Run Lane *'7940 Mahoeonay Run Cane * *7880 Mahogonay Run Lane * +7430 Mahogonat Run bane s "7870 i4ahng011a)l Run Lanz "7925 Mahogonay {tun Lane MONTHLY MONITORING FELT AFTFI: - llli FIRST YEAR $50,00 per building We hereby propose to furnish labor and materials - complete in accordance Total $12,648.00 with the above specifications for the sum of: - - - - - - - - - - - - - - - - - Payments will be made as follows. 100 %deposit payment due for erluipment In receipt of Lour deposit_ YOU are aceepung all terms and conditions Labor %till be billed accorelingIN All Materials aie guaranteed to be as specified All .vork to be completed in a %vorl manlike manor accordinlg to standard practices Any altern ion or deviation I'rum the above specifications ications imrolving extra costs.w dI be exttuted onl)° upon wn-incn orders and wil l become an extra charge over and above estima!e All agreements contingent upon stripes, accidents or delays beyond our control One yearwan'anh'(in finas from time of atsutll 'rhe price provided does not include any parts or labor not listed above This proposal subject to acceptance within 30 days and is void dicrea(lcr at the option of the undersigned Acceptance of Proposal The above prices, specifications and conditions are hereby accepted. Vou are authorized to do the work specified. Payments will be made as outlined above. The undersigned has read and accepts the conditions of the proposal and all of its terms as a binding contract. Datr: Signature: G- u M M X Pn...................... R I i FILUS! i bI I Y it z rn M :E M M Date:09/09/2011 Sequence:8139758 CapSequence:O Account:8300075259 Amount:$2,976.00 Serial:1420 Transit/Routing:67010169 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 vr- - 6k Greenlinks 11 00001404 c/b Benson's KT Orlon Bank 3 050 Horseshoe D r #275 775 Airpoit Rfxid Check Date Napier, FL 3.4104 Naples, FL 34104 Sep 2, Z017 two Thousand Nine Hundred Seventy Six DOW ra and Zero Cents Check Amount Pay vo the order of Beaumont Communications, Inc 4600 Ente rp rise Av a. Unit D Naples, FL 34104 Date:09/09/2011 Sequence:8139756 CapSequence:O Account:8300075283 Amount:$2,976.00 Seria1:1404 Transit/Routing:67010169 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 to 41e 0 0 M W, 2 In F, 0 M 'M M -J� 4ILF ....... .. ... ............... In M 0 V) 0 3ma 0 C) M —f Vii U < aj 4 :13 rn f;Li 1", .. .......... z If. fi� a rn C� Date:09/09/2011 Sequence:8139756 CapSequence:O Account:8300075283 Amount:$2,976.00 Seria1:1404 Transit/Routing:67010169 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 to Date:09/09/2011 Sequence:8139754 CapSequence:O Account:8300075275 Amount:$1,488.00 Serial:1348 Transit/Routing:67010169 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 v- -I I GreenTinks 1 00001348 c/o Benson's KT Iberia Bank Opa rihting GI- 10075 634016(670 3050 HoMeshoe Dr. #275 775 Airport Rvz4 Check Date Naples, FL 34104 MDples, FL 34104 Sep 2,2011 One Thousand Four Hundred Eighty Eight Dollars and Zero Cents ......... 1"014 0110: It* 11 *At 'k k Check Amount Pay to the order of Beaumont Communicatlons, Inc M 4600 Entorprise Ave, Unit D Naples, FL 341D ' � • Date:09/09/2011 Sequence:8139754 CapSequence:O Account:8300075275 Amount:$1,488.00 Serial:1348 Transit/Routing:67010169 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 v- -I I M M C> M m (pj Ae - I x% M Date:09/09/2011 Sequence:8139754 CapSequence:O Account:8300075275 Amount:$1,488.00 Serial:1348 Transit/Routing:67010169 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 v- -I I (41 M 31) A) M -J3 'r < M 0 M V1 M x M ti M Date:09/09/2011 Sequence:8139760 CapSequence:O Account:8300075267 Amount:$5,208.00 Serial:1480 Transit/Routing:67010169 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 V:� - I A. Greenfinks IV 00401480 C/o Benson's KT Iberia Bank 53-101 t5WO 3050 Horseshoe Dr #275 775 Airport Road Check Date Naples, FL �$41 04 Naples, FL 34104 Sep 2, 2011 L — ft*** .......... Five Thousand Two Hundred Eight Dollars and Zero Cents Check Amount ME= Pay to the order of Beaumont Communicatlons, Inc 4600 Enterprise Aye. Unit D Maples, FL 34104 (41 M 31) A) M -J3 'r < M 0 M V1 M x M ti M Date:09/09/2011 Sequence:8139760 CapSequence:O Account:8300075267 Amount:$5,208.00 Serial:1480 Transit/Routing:67010169 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 V:� - 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. Jnfi DESCRIPTION: WIRELESS MONITORING TAKE OVER - 7870 MAHOGANY RUN LN - BLDG 1700 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 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 Comurient 3: The Munituring 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 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 F_ --IL4 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: PRFR2013010075301 Contact Name: BEAUMONT COMMUNICATIONS INC APPLICATION NO: PRFR20130100753 Address: 4600 ENTERPRISE AVE UNIT D JOB SITE ADDRESS: 7885 Mahogany Run LN, City, State Zip: NAPLES, FL 34104 -- Unit:BLDG 1500 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 - 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. Currecliun Cuminent 3. The Munituring 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 ►eview(s) rnay reveal additional defideiicies 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 E -tt� 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 Fumi (MCIF) piuvided is nut 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. jr—r16 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: 1 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 IF_�- -- -T 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) piuvided is not 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. IF-_1% 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 RI JN I N - RI DG 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. x--19 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 t�— ,7-0 I:::- -- -11) u -- -e, ne--L -0-Y r_"�la r 1) t /' -7 "i �. +-�-s .._-in t �� V---* __^IL c- — -? cnL /_'._ I9 Q .� -a it 'r3?.i' RR,g,.y q y S t M' i y 4 a s ;$ a g� x :r 'a 'r3?.i' RR,g,.y q y S t M' i y 4 a s w! s I % —+e s s eo, —., . , s L ./ • 2'��L __. r_ ._C� oo - <I ., _C 2 :;: .J: \3;C2;. �_ � r ,SECTION ' 105 PERMITS 105 SECTION 105 PERMITS Page 1 of 7 105.1 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 system(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 notified '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 paramotors of work intended to be performed during the year. 105.1.2 Annual 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 permit 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. r"r__?_-z .A_RTICLE 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) Wilfully 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) There are three categories of violations: violations of subsection 489.132(1), F.S.; and contractor's licensing board. O.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. (Lack of required license, certificate, or registration). The following ore designated to enforce subsection 487.127 (1), F:S.: Collier County Building . Officlal,: ail - -license compliance officers, the :chief building inspector, chief electrical inspector, chief plumbing /inechanical inspector, and/or other inspectors authorized from .titne4o -time by the building official: Procedures specified in this section shall .apply except, to the extent, if any, that Seetlop 489,127 or Section 489.132, may require different procedure(s), The. penalties for each uncontested violation of subsection 489:127(1) and /or 489.132(1), F.S., are $300-00 for the first uncontested violntloti and $500.00 for each subsequent uncontested viblAon. by the same individual or entity. Penalties for contested violations of subsection 489.127(1), F.S., are as now-or hereafter spppified in Section 489.127, F.S. Penalties for contested violation' of subsection 489.132(1), F.S., .are as now or hereafter specified in Section 489.132, F.S. The citation form atiached hereto as Exhibit "A" is -approved, which form may be amended from time =to -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.5rovision that was violated or it can be assumed that it was not clear to the violator hoWto.comply with the violated 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 public health, safety, or welfare;, nor created any significant threat of any such adverse affect: The notice of noncompliance should ' ideritify, the speoifc provisioh that was violated, should provide inforM tion on flow to comply with that provision dnd should specify a reasonably time for full compliance. The notice of noncompliance shall not tie 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 -j BEFORE THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD BOARD OF COUNTY COMMISSIONERS, COLLIER COUNTY, FLORIDA, CONTRACTORS' LICENSING BOARD Petitioner, V. Misena Spahiu D /B /A — Naples Expert Flooring, Inc. Respondent. Case Number: 2013 -08 License Number: 28588 ADMINISTRATIVE COMPLAINT Collier County (County) files the Administrative Complaint against Misena Spahiu ( Respondent), a Collier County licensed Floor Covering Contractor( license #28588), and states the following facts and allegations in support of the cited violations below: 1. The Respondent is currently licensed by Collier County as a Floor Covering Contractor with License number 28588. 2. Under the provisions of Collier County Ordinance 90 -105, as amended, Section 22 -201, the following actions by a holder of a Collier County / city certificate of Competency shall constitute misconduct and grounds for discipline pursuant to Section 22 -202. a. On June 14th, 2013, it was discovered that, on a remodel construction project at 238 Stanhope Circle, that Bernard Spahiu and Edrit Frasheri, Corporate Officers of Naples Expert Flooring, had two men, Renaldo Frasheri and Alex Galarza, performing construction with no workers' compensation coverage, as required pursuant to Florida State Statute 440.10(1)(a). Said violation of the Florida State Workers' Compensation Statute constitutes a violation of Collier County Ordinance 90 -105, as amended, Section 22.201(6). b. Thereafter, pursuant to Collier County Ordinance 90 -105, as amended, Section 22 -202 (b) and Section 22 -202 (c), the investigation was conducted and found sufficient cause to file formal charges. 3. Collier County brings the following charge in this formal complaint against the Respondent. COUNT 4. Collier County Ordinance 90 -105, as amended, Section 22- 201(6) states :Disregards or violates, in the performance of his /her contracting business in the county, any of the building, safety, health, insurance or workers' compensation laws of the state or ordinances of this 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 violations charged. Dated: June 21, 2013 Signed:4r� Collier County Contractors' Licensing Supervisor or Designee Mesina Spahiu — d /b /a Naples Expert Flooring, Inc. C.L.B. Case #2013 -08 Table of Contents E1 through E3 — Case Detail Report E4 through E8 — Photos of Job site and workers from June 14th, 2013 E9 through E11— Formal Complaint E12 — Notice of Hearing E13 — Certified Mail Receipt E14 — USPS Track & Confirm E15 through E16 —Corporation Detail E17 through E20 —Corporation Exemption Holders E21— Misena Spahiu Exemption Details E22 — Bernard Spahiu Exemption Details E23 — 2013 Florida Profit Corporation Annual Report E24— Picture I.D. of Bernard Spahiu and Edrit Frasheri E25 through E26 — Certificate Detail Report E27 — CityView Insurance Information E28 — Florida Citrus, Business & Industries Fund Insurance Quote Dated June 14, 2013 E29 — Florida Statute 440- 10(1)(a) Liability for Compensation E30 — Collier County Ordinance 90 -105, as amended, Section 22.201(6) E31 through E37 — October 1, 2008, Case File E38 through E41— March 16, 2012, Case File c&6jgo,u.net Report Title: Code Case Details Date: 7/312013 8:36:59 AM Case Number: cemis20130008494 b 7' I Case Number: ICEMIS20130008494 I Case Type: Misconduct Priority: Normal Inspector: clements_k Jurisdiction: Contractor's Licensing Status: Refer to CLB Date & Time Entered: 6/1412013 2:40:11 PM Entered By: clements_k Case Disposition: Case Pending Origin: I Field Observation Detail Description: 6/14113 - Observed men installing carpeting in residence. Location Cornrnents:1238 Stanhope Circle Contractor Naples Expert Flooring Inc. Qualifier I Spahiu, Misena Business Management & Budget Office 1 Code Case Details Execution Date 7/3/2013 8:36:59 AM "~ F rA Desc Assigned Required Completed Outcome Comments Preliminary Investigation clements_k 6/14/2013 6/14/2013 Needs 6/14/13 - Observed work being done at 238 Investigatio Stanhope Circle, talked to Mark Mazoni from J n L Bruce Contracting, who was there oversee the carpet installation. The two gentlemen installing carpet told me there names were (Eddie Fasheri and Bernard Frasheri) said they worked for Naples Expert Flooring. Check to see there was active general liability and worker comp insurance on Naples Expert Flooring. There were two workers comp exemptions for the company, one for Edrit Fasheri and one for Misena Spahiu (qualifier). No workers comp. insurance. The two gentlemen had no Identification on them, said they had left it in the van that dropped them off. They called to get the van to bring their wallets back to the job site. Talked to Misena Spahiu (qualifier) on the phone and she said that Bernard and Edrit should be on job site. Went back to talked with the gentlemen and found them gone, walked away from the back of the house. Posted stop work order. Called Masena to come in to the office this afternoon at 2:00 with the two workers. Investigation clements_k 6/14/2013 6/14/2013 Refer to 6/14/13- Mesina came into office and brought CLB the drivers licenses of Bernard Spahiu and Edrit Freasheri neither were on jobsite. Mesina gave me a quote from Florida Citrus, Business & Industires Fund, I told her that it was only a quote that was dated today 6/14/13. This is not insurance. It had not been paid for and it was dated today. Then she went outside to make a phone call and came back with Bernard Spahiu and Edrit Frasheri. They stated that they brought the two men onto job site this morning and they wanted to try them out, the two men on job site were (Renaldo Frasheri and Alex Galarza), not who they said there were. After further investigation I found that Renaldo Frasheri is listed as Asst. Secretary, Director on Sunbiz.org under Naples Expert Flooring, for the 2013 annual report and Corporation papers, and was told he is the cousin of Edrit, and Alex is a soccer play friend who used to work at Lowes. They asked if they could please have a break just this time. They were told that they will have to appear before the Contractor Licensing Board in July 2013. Business Management & Budget Office 2 Code Case Details Execution Date 7/3/2013 8:36:59 AM Desc Assigned Required Completed Outcome Comments Cont. Investigation clements_k 6/17/2013 6/17/2013 Complete 6/17/13 - Sent Notice of Hearing by Certified Mail to Misena Spahiu /Naples Expert Flooring Title Reason @2167 Morning Sun Lane, Naples, FL. Compliance Fine /Day Condition 34119. Ms. Spahiu came into Contractor Licensing office today and was also hand delivered the Notice of Hearing. She is aware of the date and time of the hearing, July 17th, 2013 @ 9:00 A.M. at the Harmon Turner Building at the main government center. Schedule for CLB michaelossori 6/17/2013 7/1/2013 Complete 0 Generate CLB Notice of Hearing michaelossori 7/1/2013 7/1/2013 Complete 0 Enter Hearing Results clements_k 7/17/2013 Pending R N �.a ?�sM1h"'�dw• .� ✓ ;: .�t: c .k^ � :6+ "'I Y r Violation Description Status Entered Corrected Amount Comments Worker's Compensation Violation Open 6/14/2013 $0 2nd Offense Business Management & Budget Office 3 6-5 n � s � Title Reason Result Compliance Fine /Day Condition Business Management & Budget Office 3 6-5 E�� ,� � � .. .. �w .� ,.... ... . � � \ . \> » :. /� : � �� 7( : \ « » 2° �� y \ d� v2. a «\< «�. . may« <x...�a::�_�� : Contractors' Licensing Board 2800 North Horseshoe Dr. Naples, Fl. 34104 Complaint Number- 2013 -08 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: June 14th. 2013 Against: Naples Expert Flooring, Inc. Contractor's Name: Misina Spahiu Phone: 877 -4738 Business Name: Naples Expert Flooring Inc. License Number if known: 28588 Collier County Competency number:28588 Contractor's Business Address: 2167 Morning Sun Lane, Naples FL. 34119 Filed By: i Name: Collier County Contractors' Licensing/ Karen Clements Address: 2800 N. Horseshoe Drive, Naples, FL. 34104 Business Phone: 239 - 252 -2450 Address where work done: 238 Stanhope Circle City: Naples County: Collier Date of contract: Date job started: June 14th, 2013 Date job completed or new home occupied: N/A Were there plans and specifications? N/A Is there a written contract? N/A. If yes, amount of Contract: N/A Has Contractor been paid in full? N/A. If not, what amount? N/A Was a Building Permit obtained? N/A Building Permit number if known: Have you communicated by letter with the licensee? Yes Date: June 17th, 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): Section 22.201(6). Disregards or violates, in the performance of his contracting business in the county, any of the building, safety, health, insurance or worker's compensation laws of the state or ordinances of this county. Please state the facts which you believe substantiate your charge of misconduct against the subject contractor. List facts separately for each subsection number above: On June 14th, 2013, is was discovered that, at a remodel construction proiect at 238 Stanhope Circle Bernard Spahiu and Edrit Frasheri, Corporate Officers of Naples Expert Flooring, Inc. qualified by Collier County Certificate holder, Mesina Saphiu, had two men on *ob site that they were trying out, Renaldo Frasherl and Alex Galarza, performing construction work with no workers' compensation coverage, as required pursuant to Florida State Statute 440.10(1)(a). Said violation of the State of Florida workers' compensation Statute constitutes a violation of Collier County Ordinance 90-105, as amended, Section 22.201(6) Complainant's signature) State of: County of-,,,:-_ Sworn to (or affirmed) and subscribed before me this day of 2011, By (signature of person making statement). (signature of Notary Public) Notary Public State of Florida Public Florida Jennifer lanco Blanco My Commissi D960168 type or stamp commissioned name of Notary Public: g My Commission D ires 02/lUI;1014 ��Personally known or produced identification Collier County Growth Managcmcnt Division/ Planning and Regulation Operations Department/ Licensing Section CERTIFIED MAIL # 7007 2560 0001 1485 5667 RETURN RECEIPT REQUESTED Date: June 17, 2013 Ms Misena Spahiu / N Wiles Expert Flooring Inc. 2167 Morning Sun Lane Naples FL. 34119 RE: Complaint filed against you by Collier County Contractors' Licensing, regarding a violation of Collier County Ordinance 90 -105, as amended, Section 22.201(6) on June 14, 2013. Dear Ms. Spahiu; • complaint has been filed against you by the above referenced Collier County Department Section. • hearing of this complaint will be held by the Contractors' Licensing Board on July 17`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 numbers) 22.201 6 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 #C28588 and/or suspension or revocation of your permit privileges against your state license # N /A. Sincerely, Karen Clements Licensing Compliance Officer Phone #239 - 252 -2450 ■ Complete Items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that wa can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: Ms, Mr s trna S Pf)q-h u Ajofle 5 FX f ert F14 rip , Inc, x;;ll(P7 Iyorl-) /n9 Scu-? Gar)e 2. Article Number (Transfer from service label) _ PS Form 3811, February 2004 7007 2560 A. Signature 1 X ❑ Agent ❑ Addressee B. Received by ( Prin Ite of Delvem1 " x D. Is delivery address different from item 17 ❑ Yes If YES, enter delivery address below: ❑ No i i 3. Service Type R . — Certified Mall ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes I 0001 1485 5667 I Domestic Return Ln CC rq r=I R . — E3 C3 Service,,, C3 Restricted Delivery Fee O RTIFIED MAIL,,,, RECEIPT Total Postage ✓i Fees VPostal estic Mail Only; No Insurance coverage Provided) livery information visit our website at www_usnc P- Ln CC rq r=I R . — E3 C3 Return Receipt Fee (Endorsement Required) C3 Restricted Delivery Fee O (Endorsement Required) Lrl ru Total Postage ✓i Fees i._. nt o c3 f4 p 0.; o.; tti or PO Box No. a 16 Norm n - -- --------- City State, Z,P� 4 ------------------ e r, �L .. 3V1 '7 PS Form 3800, August 2006 See Reverse for Instructions I E�3 USPS.com® - Track & Confirm English Customer Service USPS Mobile uses 1iw 1Y m,. Cift TO* 8"apawlP 8WMW umvpyowmim Track & Confirm GET EMAIL UPDATES PRINT DETAILS YOUR LABEL NUMBER SERVICE 70072560000114855667 Check on Another Item What's your label (or receipt) number? LEGAL ON USPS.COM Page 1 of 1 Register/ Sign In Search USPS.com or Track Packages p &W11nIW Sa lons STATUS OF YOUR ITEM DATE & TIME LOCATION FEATURES Delivered June 18, 2013,11:49 am NAPLES, FL 34119 Certified Mail - Processed through June 18, 2013, 1:56 am FORT MYERS, FL 33913 USPS Sort Facility Site Index Depart USPS Sort j June 17, 2013 FORT MYERS, FL 33913 Facility Processed through June 17, 2013,10:12 pm FORT MYERS, FL 33913 USPS Sort Facility '.. Find Privacy Policy, Government Services > Terms of Use, Buy Stamps & Shop > F01,4 > Print a Label with Postage No FEAR Act EEO Data, Customer Service > Delivering Solutions to the Last Mile > Site Index CopyrighkD 2013 USPS. All Rights Reserved ON ABOUT.USPS.COM About USPS Horne, Newsroom > Mail Service Updates, Forms & Publications > Careers � https: // tools. usps. com /go /TrackConfinnAction.action OTHER USPS SITES Business Customer Gateway) Postal Inspectors > Inspector General > Postal Explorer> A 6/21 /2013 Detail by Entity Name Detail by Entity Name Florida Profit Corporation NAPLES EXPERT FLOORING INC Filing Information Document Number FEI /EIN Number Date Filed State Status Effective Date Last Event Event Date Filed Event Effective Date Principal Address 2167 MORNING SUN LN NAPLES, FL 34119 Changed: 04/29/2010 Mailing Address 2167 MORNING SUN LN NAPLES, FL 34119 P06000010330 721610124 01/20/2006 FL ACTIVE 02/01/2006 AMENDMENT 04/13/2006 NONE Changed: 04/29/2010 Registered Agent Name & Address SPAHIU, MISENA 2167 MORNING SUN LANE NAPLES, FL 34119 Address Changed: 03/15/2011 Officer /Director Detail Name & Address Title PD SPAHIU, MISENA 2167 MORNING SUN LANE NAPLES, FL 34119 http: / /search.sunbiz.org/ Inquiry/ CorporationSearch ISearchResultDctaillEntityName /domp- Page 1 of 3 Ely 6/14/2013 Detail by Entity Name Page 2 of 3 Title VPD BRACE, NIGERT 9580 VICTORIA LN #104 NAPLES, FL 34109 Title SD FRASHERI, EDRIT 2731 ORANGE GROVE TRL NAPLES, FL 34120 Title CEOD SPAHIU, BERNARD 2167 MORNING SUN LN NAPLES, FL 34119 Title TD BRACE, NESIM 9580 VICTORIA LN #104 NAPLES, FL 34109 Title Asst. Secretary, Director FRASHERI, RENALDO 2731 ORANGE GROVE TRAIL NAPLES, FL 34120 Annual Reports Report Year Filed Date 2011 03/15/2011 2012 01/12/2012 2013 03/08/2013 Document Images 03/08/2013 -- ANNUAL REPORT View image in PDF format 01/12/2012 -- ANNUAL REPORT View image in PDF for 03/15/2011 --ANNUAL REPORT View image in PDF format 04/29/2010 -- ANNUAL REPORT View image in PDF for 04/17/2009 -- ANNUAL REPORT View image in PDF format 01/21/2008 -- ANNUAL REPORT View image in PDF for 10/08/2007 -- ANNUAL REPORT View image in PDF for 03/22/2007 -- ANNUAL REPORT View image in PDF format 04/13/2006 -- Amendment View image in PDF for 01/20/2006 -- Domestic Profit View image in PDF format http: // search. sunbiz. org / Inquiry/ CorporationSearch /SearchResultDetail/EntityName /dome -... 6/14/2013 Proof of Coverage Page 1 of 1 N9C floor VC Databases C'Fo 11onu: Employer Detail Page Carrier Location information i -. Return,.tosear,,ch#?age I Employer Information Employer Name Employer Type NAICS Code I NAPLES EXPERT FLOORING INC I CORPORATION I 238330 Coverage History Locations Governing Class Effective Cancellation Effective Car Policy Wrap Code` Date at 12:01 A.M. N—h- rier Office View Locations 05478 Dec 11 2010 May 6 2011 BRIDGEFIELD CASUALTY 19618036 NO INSURANCE View Locations 05478 Dec 112009 Dec 11 2010 BRIDGEFIELD CASUALTY 19618036 NO INSURANCE --P, cay.na my �vvernmg ldass lode associated wim the Named Insured on the policy, as reported by the Insurance Carrier, and is not validated as correct. Exemption Listings Exemption Holder Name Owner Election Listings No Owner Election of Coverage Listings Employer Name History Employer Name Name Type Change Date (NAPLES EXPERT FLOORING INC Legal Current RaturnAoAearch Page E17 https: / /apps8. fldfs. com/ proofofcoverage /EmployerDetail.aspx ?EmpID= 001505143 6/14/2013 Proof of Coverage Page 1 of 1 AC'C' llomc %VC Dalabdses CFO Hume Exemption Detail Page This database was last updated Friday, June 14, 2013 12:13 AM. I Return:to Previous.Pag-e 1 Exemption Details Name Title Effective Date ! `Termination Date Exemption Type "Business Activities - Employer Name. Click Here to View T NAPLES EXPERT EDRIT FRASHERI SC Oct 5 2011 Oct 4 2013 Construction Activities Listed on FLOORING fiE Exemption O - - Click Hereto View LES EXPE EDRIT FRASHERI DI May 31 2006 May 30 2008 Construction Activities Listed on NAP RT FLLX,aRING'NC Exemption - - - - - - *Termination may be through the revocation of the exemption, or expiration of the exemption. ' "The exemption only applies to the business activities listed on the exemption. Return to.Search Page i https: / /apps8. fldfs. com/ proofofcoverage /ExemptionDetail.aspx ?pr person _ id = 000196632 FW 18 6/14/2013 Proof of Coverage Page 1 of 1 WC; tiomc WC; Databasua CFO Iiome Exemption Detail Page This database was last updated Friday, June 14, 2013 12:13 A11. I Return #os;Previous Page Exemption Details Name Title Effective Date - 'Termination Data Exemption Type — Business Activities Employer Name Click Here to View NIGERT BRACE VP May 30 2008 Oct 9 2009 Construction Activities Listed on MAPLES EXPERT APPLES EXPERT Exemption N - NIGERT BRACE VP May 31 2006 May 30 2008 Construction Click Hereto View Activities Listed on NAPLES EXPERT Exemption FLOORING G 9NC N *Termination may be through the revocation of the exemption, or expiration of the exemption. —The exemption only applies to the business activities listed on the exemption. ( , Retum to,Search Page l https:Happs8. fldfs. com/ proofofcoverage/ ExemptionDetail .aspx ?pr�erson_id= 000383553 6/14/2013 Proof of Coverage Page 1 of 1 VYC 1-1ome WC Databases CFO 1tonle Exemption Detail Page This database was last updated Friday, June 14, 2013 12:13 AM. I Return So.Previous. Page ; Exemption Details Name Title F Effective Date `Termination Date Exemption Type "Business Activities Employer Name OLSI Click Here to Vew pL1=5 EXPERT ARQIMANDRITI DI Mar 18 2008 Mar 18 2010 Construction Activities Listed on F BORING INC Exemption - - - - 'Termination may be through the revocation of the exemption, or expiration of the exemption. The exemption 0111y applies to the business activities listed on the exemption. i Rekurr AaAearch Page I https: / /apps8. fldfs. com/ proofofcoverage lExemptionDetail.aspx ?pr _person _ id = 000312793 M E -20 6/14/2013 Proof of Coverage Page 1 of 1 WC. 1-lome WC. Databases CFO Bonne Exemption Detail Page This database was last updated Friday, June 14, 2013 12:13 AM. L,. Return to Previous - Page; Exemption Details Name +. Title Effective Date "Termination Date Exemption Type ' "Business Activities Employer Nance Click Here to View MISENA SPAHIU PR Oct 13 2011 Oct 12 2013 Construction Activities Listed on NAPLES EXPERT APPLES EXPERT Exemption - R - - MISENA SPAHIU PR Oct 13 2009 Oct 13 2011 Construction Click Here to View Activities Listed on NAPLES EXPERT Exemption FLOORING iEC - IINC MISENA SPAHIU PR Mar 18 2008 Oct 13 2009 Construction Click Here to View Activities Listed on EXPERT NAPLES PPLES EG Exemption -..,.._... NC Click Here to View MISENA SPAHIU PR Mar 8 2006 Mar 7 2008 Construction Activities Listed on NAPLES EXPERT APLES1EX ER Exemption 'Termination may be through the revocation of the exemption, or expiration of the exemption. "The exemption only applies to the business activities listed on the exemption. I . ReturnA0,8earch Page j Chi https:Happs8. fldfs. com/ proofofcoverage/ ExemptionDetail .aspx ?pr_person_id= 004794408 6/14/2013 Proof of Coverage Page 1 of 1 WC; Home WC; Databases CFU Horne. Exemption Detail Page This database was last updated Friday, June 14, 2013 12:13 AM. (, Re #urn tp Previous Page , I Exemption Details Name Title +: Effective Date *Termination Date Exemption Type : ••Business Activities Employer Name BERNARD SPAHIU CE Oct 13 2011 Oct 12 2013 Construction Click Here to Sinew Acti vities Listen pn S ER T NAPLES EX EX PER Exemption FLOORING BERNARD SPAHIU CE Oct 13 2009 Oct 13 2011 Construction Click Here to View Activities Listed on NAPLES-EXPERT Exemption FLOOi2iNGfNC BERNARD SPAHIU CE Mar 18 2008 Oct 13 2009 Construction Click Here to View Activities Listed on NAPLES EXPERT APLES1EXPER Exemption - -- - `Termination may be through the revocation of the exemption, or expiration of the exemption. The exemption only applies to the business activities listed on the exemption. Return to Search Page https:Happs8. fldfs. com/ proofofcoveragelExemptionDetail .aspx ?pr _person_id = 000053 761 6/14/2013 2013 FLORIDA PROFIT CORPORATION ANNUAL REPORT DOCUMENT# P06000010330 Entity Name: NAPLES EXPERT FLOORING INC Current Principal Place of Business: 2167 MORNING SUN LN NAPLES, FL 34119 Current Mailing Address: 2167 MORNING SUN LN NAPLES, FL 34119 US FEI Number: 72- 1610124 Name and Address of Current Registered Agent: SPAHIU, MISENA 2167 MORNING SUN LANE NAPLES, FL 34119 US FILED Mar 08, 2013 Secretary of State Certificate of Status Desired: No The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida. SIGNATURE: Electronic Signature of Registered Agent Officer /Director Detail Detail : Title PD Name SPAHIU, MISENA Address 2167 MORNING SUN LANE City- State -Zip: NAPLES FL 34119 Title SD Name FRASHERI, EDRIT Address 2731 ORANGE GROVE TRL City- State -Zip: NAPLES FL 34120 Title TD Name BRACE, NESIM Address 9500 VICTORIA LN #104 City- State -Zip: NAPLES FL 34109 Title VPD Name BRACE, NIGERT Address 9580 VICTORIA LN #104 City- State -Zip: NAPLES FL 34109 Title CEOD Name SPAHIU, BERNARD Address 2167 MORNING SUN LN City- State -Zip: NAPLES FL 34119 Title ASST. SECRETARY, DIRECTOR Name FRASHERI,RENALDO Address 2731 ORANGE GROVE TRAIL City- State -Zip: NAPLES FL 34120 Date I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath; that I am an officer or director of the corporation or the receiver or trustee empowered to execute this report as required by Chapter 607, Florida Statutes; and that my name appears above, or on an attachment with all other like empowered. SIGNATURE: MISENA SPAHIU PRESIDENT 03/08/2013 Electronic Signature of Signing Officer /Director Detail Date Certificate Detail Report CDPR2305 - Certificate Detail Report CERT NBR QUALIFIER NAME 28588 MISENA SPAHIU CLASS CODE CLASS DESC 4170 FLOOR COVERING CONTR. ORIG ISSD DATE 1/31/2006 RENEWAL DATE DBA NAPLES EXPERT FLOORING INC DETAIL COUNTY COMP CARD COUNTY EXP DATE EXPIRE DATE 9/30/2012 COUNTY OL EXEMPT N CNCL DATE COUNTY OL NBR COUNTY OL EXP DATE 052465 9/30/2012 REINSTATE DATE 1/31/2008 DBA PHONE FAX (239)877 -3396 MAILING ADDRESS PHYSICAL ADDRESS 2167 MORNING SUN LANE 2167 MORNING SUN LANE NAPLES FL 34119- NAPLES LIABILITY INSURANCE COMPANY EXP DATE LUTGERT INSURANCE - BONITA SPRINGS 1/26/2013 PHONE EFFECTIVE DATE (239)948 3545 1/26/2010 POLICY NUMBER CNCL DATE 20679016 INSURANCE LIMITS 1,000,000 WORKERS COMPENSATION INSURANCE WC EXEMPT Y COMPANY EXP DATE PHONE (000)000 -0000 POLICY Collier County Board of County Commissioners CD-Plus for Windows 95 /NT EFFECTIVE DATE STATUS INACTIVE STATE NBR STATE EXP DATE 0TH OL NBR 0TH OL EXP DATE FL 34119- CNCL DATE Printed on 6/17/201 3:12:40PM Page 1 CDPR2305 - Certificate Detail Report COMPANY PHONE POLICY INSURANCE LIMITS BONDINSURANCE EXP DATE LAST UPDATE DATE LAST UPDATE USER 3/16/2012 KATHYBADGER Collier County Board of County Commissioners CD-Plus for Windows 95 /NT EFFECTIVE DATE CNCL DATE PREV UPDATE DATE PREV UPDATE USER 12/29/2011 GREENBERG J Printed on 6/17/201 3:12:40PM Page 2 2 Licensee. Information � �l Florida Citrus, Business & Industries Fund THIS IS A QUOTATION ONLY AND IS NOT A BINDER OF INSURANCE OR A GUARANTEE OF INSURANCE. THIS QUOTE IS ONLY VALID FOR 30 DAYS FROM JUNE 14, 2013 Naples Expert Flooring Inc June 14. 2013 to June 14, 2014 Classification Description Class Code Effective Dates Rate Payroll Annual Premium FLOOR COVERING INSTALL- RESILIE 5478 06/14/13 To 06/14/14 0.0628 $ 126,480 7,943 Payment c e u e Payments are based solely on the information contained in this quote. Payment Schedule 10 Monthly Payment(s) of $ 715 First Monthly Payment Due 7/152013 Subtotal 7,943 Increased Limits 0 Total 7,943 Drug Free Credits Safety Credit Subtotal 7,943 Modification Factor 1.00 Excess Rate Adjustment Standard Premium 7,943 Premium Discount N/A Standard Premium less Premium Discount 7,943 JUA - Surcharge Expense Constant 200 Terrorism Risk Insurance Act Premium 25 Total $ 8,168 Minimum Limits - Statutory $ 100,000 $ 500,000 $100,000 Each Accident Disease Policy Limits Each Disease Payment Option 1 - Monthly Installments 15% held in Escrow 10% of Standard Premium less Premium Discount Expense Constant Terrorism Premium FUBA Association Member Dues Total Downpayment Due Now Agent: LS3 We reserve the right to revoke this quote at any time and for any reason. 102227 FUBA Workers' Comp Coverage Provided by Florida Citrus, Business & Industries Fund 794 200 25 85 $ 1,104 $1,191 ar Statutes & Constitution :View Statutes : Online Sunshine Select Year:2012 0 The 2012 Florida Statutes Title XXXI Chapter 440 View Entire Chapter LABOR WORKERS' COMPENSATION Page 1 of 2 440.10 Liability for compensation. — (1) (a). Every employer coming within the provisions of this chapter shall be liable for, and shall secure, the payment to his or her employees, or any physician, surgeon, or pharmacist providing services under the provisions of s. 440.13, of the compensation payable under ss. 440.13, 440.15, and 440.16. Any contractor or subcontractor who engages in any public or private construction in the state shall secure and maintain compensation for his or her employees under this chapter as provided in s. 440.38. (b) In case a contractor sublets any part or parts of his or her contract work to a subcontractor or subcontractors, all of the employees of such contractor and subcontractor or subcontractors engaged on such contract work shall be deemed to be employed in one and the same business or establishment, and the contractor shall be liable for, and shall secure, the payment of compensation to all such employees, except to employees of a subcontractor who has secured such payment. (c) A contractor shall require a subcontractor to provide evidence of workers' compensation insurance. A subcontractor who is a corporation and has an officer who elects to be exempt as permitted under this chapter shall provide a copy of his or her certificate of exemption to the contractor. (d)1. If a contractor becomes liable for the payment of compensation to the employees of a subcontractor who has failed to secure such payment in violation of s. 440.38, the contractor or other third -party payor shall be entitled to recover from the subcontractor all benefits paid or payable plus interest untpss the contractor and subcontractor have agreed in writing that the contractor will provide coverage. 2. If a contractor or third party payor becomes liable for the payment of compensation to the corporate officer of a subcontractor who is engaged in the construction industry and has elected to be exempt from the provisions of this chapter, but whose election is invalid, the contractor or third -party .payor may recover from the claimant or corporation all benefits paid or payable plus interest, unless the contractor and the subcontractor have agreed in writing that the contractor will provide coverage. (e) A subcontractor providing services in conjunction with a contractor on the same project or contract work is not liable for the payment of compensation to the employees of another subcontractor or the contractor on such contract work and is protected by the exclusiveness -of- liability provisions of s. 440.11 from any action at law or in admiralty on account of injury to an employee of another subcontractor, or of the contractor, provided that: 1. The subcontractor has secured workers' compensation insurance for its employees or the contractor has secured such insurance on behalf of the subcontractor and its employees in accordance with paragraph (b); and 2. The subcontractor's own gross negligence was not the major contributing cause of the injury. (f) If an employer fails to secure compensation as required by this chapter, the department shall assess against the employer a penalty not to exceed $5,000 for each employee of that employer who is 6 ' (3) Abandoning a construction project in which he is engaged or under contract as a contractor. A :project may be presumed abandoned if the contractor terminates the project without just cause, or fails to notify the owner in writing of termination of the contract and basis for same, or fails to perform work for 90 consecutive days without just cause and no said notice to the owner. (4) Diverting funds or property received for the execution of a specific contract project or operation or diverting funds earmarked for a specified purpose to any other use whatsoever. (5) Departing from or disregarding in any material respect the plans or specifications of a construction job without the consent of the owner or his duly authorized representative. (6) Disregards or violates, in the performance of his contracting business in the county, any of the building, safety, health, insurance or workers' compensation laws of the state or ordinances of this county. (7) Falsifying or misrepresenting any material fact in his application and supporting papers for the purpose of obtaining a certificate of competency under this article, (8) Committing mismanagement or misconduct in the practice of contracting that causes financial harm to a customer. Financial mismanagement or misconduct includes, but is not limited to, any of the following: a. The contractor fails to fulfill his contractual obligations to a customer because of inability, refusal or neglect to pay all creditors for material furnished or work or services performed in the operation of the business for which he is licensed, under any of the following circumstances: 1. Valid liens have .been recorded against the property of a contractor's customer for supplies or services ordered by the contractor for the customer's job, the contractor has received funds from the customer to pay for the supplies or services; and the contractor lrus riot find the liens removed frorn the property, by pnymnnt or by bond, within 30 drays after the date of such liens; 2. The contractor has abandoned a customer's job and the percentage of completion is less than the`percentage of the total contract price paid to the contractor as of the time of abandonment, unless the contractor is entitled to retain such funds under the terms.of the contractor refunds the excess funds within 30 days after the date the job is abandoned; 3. The contractor's job has been completed, and it is shown that the customer has had to pay more for the contracted job than the original contract price, as adjusted for subsequent change orders, unless such increase in cost was the result of circumstances beyond the control of the contractor, was the result of circumstances caused by the customer, or was. otherwise permitted by the terms of the contract between the contractor and the customer. b. The contractor's job been completed, and it is shown that the customer has incurred financial harm by having to seek a variance or other 'administrative remedy because of actions by the contractor.. (9) Performing any act which assists a person or entity in engaging in the prohibited unlicensed practice of contracting, if the licensed contractor knows or should have known that the person or entity was unlicensed. AW Community Development Environmental Services Division - Contractor's licensing Investigation Report Permit Number Name of Ownerls- Date 6 1 68 County /City. I al,6o Time Recd Job address 5¢0 qgy t0ye Received by s( Contractor 4do .� Phone Number 677 -4738 Comp. Card # ZOO Qualifier State Lic. No. — Complainant Phone Number Complaint: gator Date APPOINTMENTS September 2008 October 2008 S M T,. W T; F S S M T.. -W T November 2008 1 23 45 6 , F _;::5 - S 'M- TW - TFS 7 8 9 '...10 11 12. 73 14 15 1617 18 19 20 5 fi 7 8- 0 10 ,71 12 13 14 15 16 -B 1 3 4 5 6 7 8 21 22 23 24 25 26 27 17 18 19 20 21 22 23 24 25 10 11 12 13 14 15 28 29 30 26 27 28 29 30 31 16 17 18 19 20 21 .22 23 24 25 26 27 28 29 30 fy; v , x t rtificate Detail Report _R2305 - Certificate Detail Report CERT NBR QUALIFIER NAME DBA 28588 MISENA SPAHIU NAPLES EXPERT FLOORING INC. DETAIL CLASS CODE CLASS DESC 4170 FLOOR COVERING CONTR. ORIG ISSD DATE M 1/31/2006 Jd` 1 tl RENEWAL DATE�)�`J COUNTY COMP CARD COUNTY EXP DATE EXPIRE DATE 9/30/2008 CNCL DATE REINSTATE DATE 1/31/2008 MAILING ADDRESS 16121 CALDERA LANE NAPLES COMPANY LUTGERT INS - BONITA PHONE (239)948 -3545 POLICY NUMBER 20679016 TNc[]RANCE LIMITS 1,000,000 WC EXEMPT Y COMPANY PHONE COUNTY OL EXEMPT N COUNTY OT, NBR 052465 PHONE (239) 877 -3396 COUNTY OL EXP DATE 9/30/2009 DBA FAX PHYSICAL ADDRESS 16121 CALDERA LANE FL 34110- NAPLES LIABILITY INSURANCE EXP DATE 1/26/2009 EFFECTIVE DATE 1/26/2008 CNCL DATE WORKERS COMPENSATION INSURANCE POLICY llier County Board of County Commissioners -P7 ijs for Windows 95 /NT EXP DATE EFFECTIVE DATE STATUS INACTIVE STATE NBR STATE EXP DATE 0TH OL NBR 0TH OL EXP DATE FL 34110- CNCL DATE "^3 Printed on 10111200 3:07:13PM http: idnesday, Oct 01, 2008 03:18 PM .asp ?EmpID= %20001505143 11 L! ,,e Search _ES EXPERT FtOORM INC GREENBACK CIRCLE r 303 .ES (34�i1'2 rte% Collder 'ORATlO�1 + � • r - I—� No Coverage History No OwnerElmlan Of Coverage Listings No Addidonal Locations Search ©asljop �i www.sunbiz.org - Department of State Home Contact Us E- Filing Services Previous on List Next on.._Lst Return To List Events No Name History Detail by Entity Name Florida Profit Corporation NAPLES EXPERT FLOORING INC Filing Information Document Number P06000010330 FEI Number 721610124 Date Filed 01/20/2006 State FL Status ACTIVE Effective Date 02/01/2006 Last Event AMENDMENT Event Date Filed 04/13/2006 Event Effective Date NONE Principal Address 16121 CALDERA LANE NAPLES FL 34110 US Changed 03/22/2007 Mailing Address 16121 CALDERA LANE NAPLES FL 34110 US Changed 03/22/2007 Registered Agent Name & Address SPAHIU, MISENA 16121 CALDERA LANE NAPLES FL FL US Address Changed: 03/22/2007 Officer /Director Detail Vame & Address Title PD 3PAHIU, MISENA 16121 CALDERA LANE MAPLES FL 34110 US -itle VPD TRACE, NIGERT 6121 CALDERA LANE IAPLES FL 34110 US Pagel of 2 Document Searches Forms Help www.sunbiz.org - Department of State Page 2 of 2 Title SD FRASHERI, EDRIT 16274 RAVINA WAY NAPLES FL 34110 US Title CEOD SPAHIU, BERNARD 16121 CALDERA LANE NAPLES FL 34110 Title TD BRACE, NESIM 16121 CALDERA LANE NAPLES FL 34110 Title D ARQIMANDRITI, OLSI 2161 MARIGOLD WAY NAPLES FL 34109 Annual Reports Report Year Filed Date 2007 03/22/2007 2007 10/08/2007 2008 01/21/2008 Document Images 01/21. /2008.. - ANNUAL.. REPORT;,wrna Previous on List Nex_t_or1 -L(st Return To_List - - - -- - - - - -- Events No Name History Liza : ��M � J [ . Home Contact us Document Searches E- Filing Services Forms Help Copyright and Privacy Policies Copyright © 2007 State of Florida, Department of State. ht.tn-//www..-;unbi7.-rirg/ COLLI I ER CQUNTYN2 4226 BUILDING REVIEW & PERMITTING CITATION ics tha upon Pursuant to section 489.127.0)(a), Florida Stutuiis,, the undersigned hereby eel tir t I personal investigation, hic/she has reasonable and probable grounds to believe that the person whose - name ap I pears below, as Issued To; did violate Subsection 489 127(1). Florida Statutes, and Collicr county , Contractor's Licensing Ordinance No. 97-68 (as may be amended frow time to time) by committing the violation stated I below. , ) ;1D 'I, av [me AMtffl) )/ y� I JYealDf�l F, �- Add lV LIT CityState zip ``I (� Fj Tag No. --fo—cation. of Violation �54 Mon�tb�r( OPTIONS, I have'been informed of the violation of Lhave been charged and elect the to. option (theck iinc), on I h-e.0 1) ❑ J choose. to pay the penalties of $ itation.. 2) - c fioqsc not . to o pay the penalty And will request in writing by certified mail or hand delivery an Administrative Hearing before the Contractor's Licensing B ,�ate Violation Observed 6 1 lot Description of Violation ola G W a) ❑ Falsely hold self or business orgiiiii HD out as a license, ccrtificT.Ie'hleror `,- registrant; b) ❑ Falsely impersonate a certificate holder or registrant; C) ❑ Present as his own the certificate or registration of another; d) ❑ Knowingly give false or forged evidence to the Board of a m6mber'thcrebf* c) ❑ Use or attempt to use a certificate or registration which has been suspended di: revoked; f) ❑ Engage in the business or act in the capacity of a contractor or advertise self or business organization as available to engage in the business or act in a capacity of a contractor without being duly registered or certified;: 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 489.1195, Florida Statues; h) E] Commence or perform work -for 4 which arbuilding pertrut is required I pursuant . to 'an t d state minimum building code,'withctt'such permit being in effect, or 1ifully or deliberately disregard or violate any Collier County ordinance relating to ertified or unregistered contractors. d -te A person or business organization operating on an t tiv u se certiticate or registration, or operating beyond the scope of work or Ag=cLZ�of thhce registration, is not duly certified or registered. P SI _ NATURE (Ri-;ffffHNT) SLNIAJE (INVESTIGATOR) PRINT (RLCIPIENT'S NAME) PIXI'&T (19VlftST1dATOR,A, NAME) Pursuant to 489.127, Florida Statues, 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 REVERSE FOR INSTRUCTIONS) COLLIER COUNTY CONTRACTORS LICENSE DEPARTMENT E 37 iergovxet Report Title: Code Case Details Date: 6/17/2013 10:01:13 AM Case Number: cecv20120004007 I Case Number: ICECV20120004007 I Case Type: ICode Violation I Priority: I Normal Inspector: Iclements_k i Status: Closed Date & Time Entered: 3/16/2012 2:25:24 PM Entered By: clements_k Case Disposition: Case Pending Jurisdiction: Contractor's Licensing Origin: Field Observation Detail Description: Workers Comp Violation, Spahiu, Misena, Citation #6790, $300.00 Location Comments: 14126 Los Altos Ct. Contractor Spahiu, Misena Contractor Naples Expert Flooring Inc. Contractor Naples Expert Flooring Inc. Contractor Naples Expert Flooring Inc. Contractor Naples Expert Flooring Inc. Contractor Naples Expert Flooring Inc. Contractorl Naples Expert Flooring Inc. err Business Management & Budget Office 1 Code Case Details x Execution Date 6/17/2013 10:01:13 AM Desc Assigned Required Completed Outcome Comments Preliminary Investigation clements_k 3/16/2012 3/16/2012 Citation 3/16/12 - Observed work going on at 4126 Required Los Altos Ct., Talked to homeowner (wife) and to Contractor who were both out in the garage at the time I walked up on job site. I introduced myself and explained to the homeower who and what I was there for and asked if they had work going on and if I could speak to the Contractor on site. The homeowner agreed and I questioned Bernard Spahiu, he told me he was the contractor and said his company name is Naples Expert Flooring, Inc., I then asked if there were any other workers on job site and he told me his wife's brother Nigert Brace who is 10% of the company. I went back to the truck to check the company on computer and while in truck observed man cutting on the table saw. Checked workers comp and found no workers comp insurance only an exemption, checked workers comp web site and found that Nigert Brace has not had current workers comp since 2009. Talked to Qualifier of Naples Expert Flooring ( Misena Spahiu) explained to her that we needed current Liability insurance faxed over to us immediately and that Nigert did not have current workers comp exemption and asked if there was a workers comp policy in place. She said no and did not say anything about current exemption for Nigert. I let her know that there was going to be a citation issued for a workers comp violation and told her that Nigert could not be on job site. Issued Citation #6790 to Bernard for Misena and he signed, and said he did not have correct material for the job on site and needed to go and get the correct material and he would drop off Nigert. I explained to the homeower that Nigert could not be on job site and why, she understood and was worried that she and her husband might be in trouble. I assured her that it was not there fault, and Bernard told her be would be right back, this was 11:30 A.M. When I got back into the office at 3:00, the homeowner (husband) called and did not like me on his property and said that I should have waited until his job was finished, that I disrupted his work site and he did not like it. I explained what I have just written to him and told him that I was sorry that he felt that way and offered my supervisors name and phone number. Issue Citation (Licensing) clements_k 311612012 311612012 Complete 3/6/12 - issued citation #6790 $300.00 Naples Expert Flooring, Inc. 3usiness Management & Budget Office 2 Code Case Details Execution Date 6/17/2013 10:01:13 AM Desc Assigned Required Completed Outcome Comments Citation Paid /Contested clements_k 3/26/2012 3/26/2012 Payment Did not have workers comp exemption for Condition Not Nigert Brace, who was using table saw and Received cutting flooring. Generate Follow Up Letter clements_k 3/26/2012 3/26/2012 Complete Citation Paid clements_k 4/15/2012 4/16/2012 Payment Not Received Generate Follow Up Letter clements_k 4/16/2012 4/16/2012 Complete Citation Paid wolfelinda 5/4/2012 4/20/2012 Paid Violation Description Status Entered Corrected Amount Comments Worker's Compensation Violation Open 3/16/2012 Result $300 Did not have workers comp exemption for Condition Nigert Brace, who was using table saw and cutting flooring. no Business Management & Budget Office FN Title Reason Result Compliance Fine /Day Condition no Business Management & Budget Office ml,