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CLB Agenda 03/19/2014 CONTRACTORS LICENSING BOARD Agenda March 19 , 2014 a tic r County COLLIER COUNTY CONTRACTORS' LICENSING BOARD AGENDA MARCH 19, 2014 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. I. ROLL CALL II. ADDITIONS OR DELETIONS: III. APPROVAL OF AGENDA: IV. APPROVAL OF MINUTES: DATE: February 19, 2014 V. DISCUSSION: VI. NEW BUSINESS (A) Orders Of The Board (B) Olaf Kuemmel, SWF Garage LLC — Review of Exam(s) (C) Veronica A. Compean, Compean Maintenance, Inc - Verification of Experience (D) Robert A. Zielinski, RAZ Construciton, LLC - Second Entity Application (E) Doug Nettles, Marco Island Home Services, LLC - Verification of Experience (F) Seth B. Hollander, Hollander Construction Company, Inc - Motion for rehearing of Case 2014 -02 (G) Christopher L. Adams, Crescent Beach Custom Homes, LLC - Waiver of exam(s) for Reinstatement VII. OLD BUSINESS: (A) Roger Drouin, Novelte Construction and Design, LLC - Review of Suspension VIII. PUBLIC HEARINGS: (A) Case # 2014 -04 Richard J. Ranck D /B /A RV Lanai of SW Florida, Inc. (B) Case # 2014 -05 William B. Neuzil D /B /A Naples Construction Group, LLC IX. REPORTS X. NEXT MEETING DATE: WEDNESDAY, APRIL 16, 2014 COLLIER COUNTY GOVERNMENT CENTER ADMINISTRATIVE BUILDING THIRD FLOOR IN COMMISSIONERS CHAMBERS 3299 E. TAMIAMI TRAIL NAPLES, FL 34112 MINUTES OF THE MEETING OF THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD February 19, 2014 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: Patrick White Vice Chair: Thomas Lykos Members: Ronald Donino Terry Jerulle Richard Joslin Kyle Lantz Gary McNally Excused: Michael Boyd Robert Meister ALSO PRESENT: Michael Ossorio — Supervisor, Contractors' Licensing Office Colleen Greene, Esq. — Assistant County Attorney James F. Morey, Esq. — Attorney for the Contractors' Licensing Board Rob Ganguli — Licensing Compliance Officer February 19, 2014 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. L ROLL CALL: Chairman Patrick White 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, DELETIONS, OR CHANGES: Addition: • Under Item VII, "Old Business" o A. Additional documentation was presented for the Barcelo matter. III. APPROVAL OF AGENDA: Vice Chairman Thomas Lykos moved to approve the Agenda as amended. Gary McNally offered a Second in support of the motion. Carried unanimously, 7 — 0. IV. APPROVAL OF MINUTES— JANUARY 15,2014: Corrections: • Page 3: (last bullet point, "Recommendation ") o Change MuniCode to Collier County's Code of Ordinances criteria • Page 9: (4th Paragraph, "Chairman White ") o Change "would be" to "could be" • Page 10: ( "Motion ") o Carried unanimously, 9 — 0. • Page 31: (3rd bullet point, "Opening Statement ") o Insert: "months" following 2 1/2 Richard Joslin moved to approve the Minutes of the January 15, 2014 meeting as submitted. Ronald Donino offered a Second in support of the motion. Carried unanimously, 7— 0. V. DISCUSSION (None) February 19, 2014 VI. NEW BUSINESS: A. Orders of the Board Vice Chairman Thomas Lykos moved to approve authorizing the Chairman to sign the Orders of the Board. Richard Joslin offered a Second in support of the motion. Carried unanimously, 7— 0. (Note: With reference to the cases heard under Section VI, the individuals who testified were first sworn in by the Attorney for the Board.) B. Jody A. Cabrera — Verification of Construction Experience (d /b /a "Cabrera Electrical Service, Inc. ") Michael Ossorio: • The Applicant took the County's Master Electrical examination in 2005. • The County's Code changed in 2008 and in 2010. • The Applicant is a Registered Electrical Contractor with the State of Florida and specializes in residential. • There is an issue with limitation of amps in multi - family residences. • The Applicant was issued a Citation for working on a commercial job site without a license. The permit was pulled by another Contractor and the fee was paid. • Question regarding experience: The Applicant worked for Gary Beaumont, Beaumont Electric Co., Inc., as an apprentice from December 29, 1997 through June 28, 1999. • Criteria required: • Four years as an Apprentice plus two years as a licensed Journeyman OR • Six years as an Apprentice (without school) plus two years as a licensed Journeyman Mr. Ossorio questioned the type of State exam taken by the Applicant. Jody Cabrera replied: • It was a different exam. • The difference at the time was to qualify for an unlimited Master's with the State, an applicant had to prove three years' of three -phase experience and I could only prove two, with Community Electric and Jackson Total Service. • I was not eligible at that time. • I am not eligible now. Michael Ossorio referenced County's MuniCode and stated the Applicant needs at least six years of experience. He noted Mr. Cabrera has pulled many permits with the County for residential work. February 19, 2014 Jody Cabrera noted he has business his business, for the past ten (10) years, under the State's Residential Specialty license. Kyle Lantz asked if the County also required three -phase experience. Michael Ossorio referenced MuniCode for the County, Section 22 -181, requires supervision on residential and commercial jobsites. The County relies on the affidavits supplied by the Applicant. He was an apprentice in 1997 and became State certified as a Specialty Electrical Contractor and sat for the Masters exam in 2005. Chairman White asked if the minimum experience is six years. Mr. Ossorio replied the requirement is six years as an apprentice if the Applicant has not attended an approved apprentice program. He explained if the Applicant had worked for Beaumont Electric for six years as an Apprentice and two years as a licensed Journeyman, as approved by the County. The County does provide a test for Journeyman status. Chairman White stated the Board needs additional information for the record to supplement the affidavits that Mr. Cabrera supplied. He also noted an error on the application concerning "ownership." The application stated Mr. Cabrera is the managing member of Cabrera Electrical Service, Inc., which is a corporation. Jody Cabrera stated the company was an "S- Corp." Chairman White asked the Applicant if he was the President of the corporation and the response was, "yes." Chairman White stated the form used was for a limited liability company as opposed to a corporation. He asked the Applicant if he was the owner of the corporation and the response was, "yes." Chairman White asked the Applicant if he could provide additional information concerning his experience. Jody Cabrera stated: • His company has been in business for ten years • His status is more than a Journeyman, i.e., he has run the company with employees Kyle Lantz asked noted the State's Electrical Contractors Board allows six options to obtain experience and the experience has to be within the last twelve years. While the Applicant has been working as an Electrician for the past ten years, he has not done any commercial or multi - family work or three -phase work during that time. He asked Michael Ossorio if the County has the same requirements as the State. Michael Ossorio read from Section 22- 183(b) of the MuniCode, "Experience Requirements," which outlines the criteria he follows: "To determine if the Applicant possesses the experience required by this Section, the Contractor Licensing Supervisor or his /her designee shall February 19, 2014 consider the following forms of proof of experience: (1) Affidavits from former employers with specifics as to the number of years of experience, work performed and any other relevant information; (2) Copies of other certificates of competency, if any, held by the applicant in other counties or cities; (3) Affidavits from any building director in locations where the applicant has worked; (4) Affidavits from any union organization of which the applicant has been a member relating to the trade for which the applicant has made application; (5) Affidavits from any other source within the trade applied for." Mr. Ossorio noted while the Applicant was certified by the State as a Residential Electrical Contractor, he have provided an affidavit from the County's Chief Electrical Inspector regarding his workmanship on a job site. He further stated: the Applicant could take and pass the new NEC C -10 exam to prove that he was updated on the new Codes, including commercial. The County's Chief Electrical Inspector provided an affidavit concerning his work in the field. He concluded by confirming the County has not received any complaints filed against the Applicant. Kyle Lantz noted during the past three or four Code cycles, most of the Codes that have changed in "Electric" have applied to residential work. The Codes for commercial work have not changed very much. Michael Ossorio stated when one of the County's Inspectors met the Applicant on a job site, the issue was quickly rectified — "to his credit" —the violation was minor. Richard Joslin asked the Applicant if he was licensed in other counties. A. I was registered in Lee, the City of Bonita Springs, and the City of Marco Island. I have not renewed the Bonita Springs or the Lee County registrations. Kyle Lantz asked the Applicant if he was still State registered but not with Collier County. A. I am registered with the State. February 19, 2014 Michael Ossorio explained a State certified Contractor does not have to register in a County unless he is conducting business in that County. Richard Joslin asked if the Applicant had maintained his continuing education. A. I have never missed my C.E. to maintain my license. When asked about his employees, Mr. Cabrera stated since June, 2013, he no longer employs workers because of lack of jobs. He stated due to the restrictions on his license, it was difficult to obtain enough jobs to keep his workers busy. Vice Chairman Lykos stated he was not sure what the issue was before the Board. Chairman White asked how the category of "Electrician" in Collier County related to the Applicant's license with the State. He also asked what was required for the Applicant to obtain the licensure to be approved. Kyle Lantz explained the Applicant was limited by the State to working on residential properties and up to four - family residences. He can't do three -phase work. The goal is to be able to work on everything, i.e., condos, multi - family, commercial, and industrial. He cannot work on alarm systems but he could do any other type of electrical work. Michael Ossorio stated: • The County has 61 different types of licenses which sometimes overlap with the State. • The State has its own categories of license which Collier County may not have. • One of them is "Electrical Specialty." • Collier County has "Master Electrical" license. • The Applicant took and passed the Master exam in 2005. • He chose to take the (lower) State test and became a "Specialty" Contractor which has limitations on the type of work he can do. • He is before the Board to obtain a Certificate of Competency as a Master Electrical based on the results of his 2005 exam. • Although the licenses are separate, they run parallel to each other. • If the Board choses to approve a Masters Electrical license, Mr. Cabrera does not need to maintain his State registration unless he wants to work in other counties. Chairman White noted the Applicant's registration with the State had certain limitations. He asked if Mr. Cabrera would need to update his status with the State. Michael Ossorio stated the Applicant could be a State - certified Specialty Electrical Contractor and a registered Master Electrical Contractor. He stated it was "unusual but we do see it." In five years, if he remains in good standing, Mr. Cabrera could petition the State's Construction Industry Licensing Board ( "CILB ") to become a State - certified Master Electrician. February 19, 2014 He recognized the Applicant had been specialized for ten years and the affidavits go back to 1997 when he was a Journeyman, but the Applicant must provide proof that he is competent to be granted a Master Electrical Contractor license without retesting. He reiterated there have been two major changes to the Electrical Code. Vice Chairman Lykos asked what requirements were necessary for the Applicant to obtain a Certificate of Competency from Collier County as a Master Electrical Contractor. Michael Ossorio responded: • Four years as an Apprentice (in an approved program) plus two years as a licensed Journeyman OR • Six years as an Apprentice (without school) plus two years as a licensed Journeyman The Affidavits must specify what the Applicant's duties were; what he actually did on the job site as an Apprentice and as a Journeyman. Vice Chairman Lykos stated the County required proof of both residential and commercial experience. He noted the affidavits did not specify the number of years the Applicant worked as an Apprentice or as a Journeyman; they did not specify if the work done was commercial or residential; sufficient details were not provided. Richard Joslin asked the Applicant is he had done any work with any other company during the past ten years. A. Not particularly. When I got the license, there were less restrictions than there are today. At the time I became licensed, I was restricted to four stories and below, unlimited units. At that time, the difference between residential and commercial was a grey area. The scope of the license has shrunk over the years. Jody Cabrera noted he contacted Tallahassee and was told the Specialty licenses were being phased out. Vice Chairman Lykos stated in order for the Applicant to obtain commercial experience, he would have to work for another Contractor because his license restricts him solely to residential work. The County requires the commercial experience in order to approve a Master Electrical Contractor license. Mr. Cabrera replied when he worked for Community Electric, the work consisted solely of high -rise jobs. At Jackson Total Service, he worked on multi- family residences and the Canterbury House in the Vineyards. When he worked for Premiere, he worked on the country club at Naples Lakes and The Community School. Mr. Lykos noted the Community Electric letter was not specific -- it described the work the company did but was not specific as to the type of work the Applicant performed as an individual. The letters should be specific as to the 0 February 19, 2014 length of time worked as an Apprenticeship and as a Journeyman, as well as the type of work done by the Applicant. Chairman White stated, since the Applicant was under oath, he was entitled to present testimony, i.e., to self - certify his experience and fill in the details missing in the affidavits. The Board must be comfortable that the Applicant actually possesses the level of experience required by the County. He noted the most detailed Affidavit was from Beaumont Electric which detailed the Applicant's experience as an Apprentice and Journeyman from December 29, 1997 through June 28, 1999 but were specifically limited to single and multi- family residences. He continued Mr. Ossorio wanted proof that the Applicant was knowledgeable about any C -10 and an affidavit from Rich Long, the County's Chief Electrician. He suggested the application could be tabled to allow the Applicant to obtain the specific documentation required. Kyle Lantz pointed out the letter from Jackson Total Service noted the Applicant had worked as an electrician on a two - story, multi - family commercial project in Lely as well as on an assisted - living, commercial project in the Vineyards from 1994 through 1996. Beaumont letter also outlined work on single and multi- family dwellings during that time. Michel Ossorio stated the "numbers didn't add up." Mr. Beaumont informed the Licensing office that, in 1999, the Applicant worked for him as an Apprentice and prior to that, he was an Apprentice. The Applicant must provide proof of his Journeyman experience after 1999. Mr. Lantz confirmed he has been a State Electrical Contractor for over ten years and stated he has never done "commercial" work — it was all multi - family and multi - family is considered commercial. Three -phase multi - family is commercial. If the Applicant is doing multi - family, he is doing commercial work. He is doing the equivalent of commercial work. If he has been running his own company for ten years, he probably knows what he is doing. It is not that much different to do commercial work from residential. Jody Cebrera stated: • On remodel jobs, he uses a lot of MC to keep other contractors from damaging his work — it may be a bit more expensive but it is sturdier and he does not worry about it being damaged • Regarding pipe bending, he has done a little of PVC on the exterior of homes • He hasn't done much EMT work since he left Jackson Total Service when he worked on the Canterbury House — it was 1,000 feet of pipe per week Kyle Lantz confirmed the part that "makes him an electrician" is knowing how to wire. He stated even if the Applicant had no commercial experience, he would be comfortable with someone who had ten years of residential experience to move up. February 19, 2014 He further stated the Applicant has been in the trade long enough — he has paid his dues — it's not a big stepping stone to move up to the next level. He continued while the affidavits were "not great," they provided a pretty good time line from 1993 to 1999. The Applicant has been around enough single family and multi - family jobs to know what is going on. Terri Jerulle asked Kyle Lantz if he was comfortable with not requiring the Applicant to be tested even though his last test was in 2005. Mr. Lantz replied most of the Code changes since 2005 have applied to residential and in grounding which applies to residential. Those have been the big issues that have been upgraded. He would have learned about that through his continuing education courses. Mr. Jerulle asked Mr. Lantz if he was more inclined to approve the Applicant's application rather than accepting Mr. White's suggestion to take the exam and obtain additional letters as Mr. Ossorio requested. Mr. Lantz replied, "Correct." Jody Cabrera added that during the technical portion of the Continuing Education courses, Code changes are reviewed and the attendees are tested on changes for the current year. The courses encompass the Business & Law as well as the trade portion which is tested by exam. Kyle Lantz explained Electrical Contractors are required to do seven hours of technical -- since very few places offer the continuing education courses Mr. Cabrera probably took the same classes as he did. It's different than the courses for a G.C. (General Contractor) license. Richard Joslin stated he understood Mr. Lantz's position. His concern is allowing the Applicant to perform "commercial" work without having the credentials to prove he is qualified — it was a big step. Kyle Lantz explained other trades allow license holders who have been in business for a certain period of time to take tests to move up from "B" license to "A" license status. There is nothing for Electrical and the Applicant is in a "Catch -22" situation. Mr. Joslin asked Michael Ossorio if the Board approved the application, would Mr. Cabrera be able to obtain reciprocal status in Bonita Springs and Lee County — could he be "grandfather" into other counties. Michael Ossorio stated if the Board elected to approve his application, Mr. Cabrera could reciprocate with other counties. He might be able to apply in Bonita Springs but was uncertain concerning Lee County — there are several licensing boards, i.e, Cape Coral, Sanibel, Bonita, and in unincorporated Lee County. In the past, Lee County was a General Contracting certified county. But Lee County no longer accepts State registration. If the Applicant becomes state registered, he may not be able to work in Bonita. Chairman White thanked Mr. Lantz's for his questions and comments which helped him to attain a level of comfort concerning the application. February 19, 2014 Kyle Lantz moved to approve accepting Jody Cabrera's experience and approve his application for a Master Electrical Contractors license. Gary McNally offered a Second in support of the Motion. Discussion: • Vice Chairman Lykos stated while he respected Mr. Lantz's input, he was not 100% convinced. The lack of documentation of the Applicant's commercial experience and not being tested since 2005 concerned him. • He stated if including taking the test could be part of the motion, possibly through a six -month probationary period, he would feel more comfortable. • Terry Jerulle supported a probation period during which time the Applicant could take /past the test and obtain a letter from the Collier County Chief Electrician. Jody Cabrera confirmed he will do whatever is necessary, i.e., take the test, for the Board to approve his application. Chairman White clarified that Mr. Lantz and Mr. McNally agreed to amend the motion to approve imposing a probationary license with a requirement for Mr. Cabrera to take and pass the Master Electrical test within the next six months. Michael Ossorio added if Mr. Cabrera took and passed the test within the six month period, the probation would be lifted immediately and he would not need to report back to the Board. He clarified if the Applicant began the registration process as soon as possible and paid the necessary fees, he could become actively licensed within two weeks. Chairman White confirmed Mr. Cabrera would be required to return only if he did not pass the exam within the probationary period. Chairman White called for a vote on the amended and restated motion. Carried unanimously, 7— 0. C. Robert C. Marzzacco — Review of Credit Report (d /b /a "Gulf Coast Construction & Design Corp. ") Michael Ossorio stated the Applicant submitted a full application to be a qualified, registered General Contractor but his credit scores are below the minimum standards accepted by Collier County. [Reference: MuniCode 22- 184(A)(3)] Chairman White clarified some "housekeeping" issues: • The affidavit verifying construction experience was not dated. o Response from Applicant: It was signed on July 12, 2012 as was the letter. W February 19, 2014 • Was the test score for the General Contractors licensing exam which the Applicant took on May 8, 2012 still valid? o Response from Michael Ossorio: Yes. Robert Marzzacco stated he was not proud of his credit scores but the issues were due to medical bills incurred by his five former wives. He has been in contact with representative of Chase Bank and is working to pay off the legitimate bills. He has questions concerning some of the providers. Chairman White stated his concern was that the scores were below the threshold used by the County, i.e., 660 for FICO. The Applicant's score is 571. He stated it was difficult to determine what had been accomplished over the past six months. He asked the Applicant for an estimate concerning how long it would take to clear the past due accounts. Mr. Marzzacco stated his goal was pay a majority of the bills by the end of the year. The judgments were due to houses that he lost. Kyle Lantz asked for specific details concerning the payment plan, i.e., how much was to be paid and by what date. The Applicant stated he was in the process of contacting Experian, Equifax, and Trans - Union. It will take time. He has saved some money for the negotiated pay -off amounts. Michael Ossorio noted even if the Applicant was approved, the State will require that he is bonded ($20,000). If the Board also requires bonding, a copy of the bond obtained for the State will be sufficient. The cost is approximately $1,500 to obtain the bond. Robert Marzzacco stated he would obtain a bond, if required. Chairman White requested additional information concerning bonds. He asked if a bond is required and obtained by an Applicant, can the Applicant still be placed on probation. He also asked if securing a bond could be a condition of obtaining a license, i.e., a license would not be issued until a copy of the bond is provided to the Contractors Licensing Office. Michael Ossorio explained that no matter what the Board requires on a local level, the State of Florida's CILB will require the Applicant to be bonded and his license will not become active until the bond is supplied. Vice Chairman Lykos stated he reviewed the application and credit report. His conclusion was to not approve the application because a General Contractor's license comes with a great deal of responsibility. He stated there are three outstanding civil judgments noted on the credit report in addition to the medical bills and several accounts have been placed for collection. He stated he was not sure that issuing even a probationary license would be in the community's best interests. 10 February 19, 2014 He suggested that Mr. Marzzacco establish a workable plan and return to the Board in the future to demonstrate the plan has been implemented and progress has been made. At that time, he would be more inclined to approve authorizing a probationary license. When asked how he was currently employed, the Applicant stated he was a supervisor at Impact Storm Protection. Previously, he was a supervisor for a condo management company. Robert Marzzacco stated he has been in construction his entire life; that his father was a Contractor in Pennsylvania. He moved to Florida approximately .five years ago. When he graduated from high school, he ran jobs for Timberline Log Homes. When the Carpenters' Union called, he supervised an addition to a power plant for one year making dry wall from dry ash which came off the power plant. He further stated he will work to straighten out his credit. He has been in the Coast Guard and in the Fire Service in Pennsylvania for 27 years — "it's not that I'm a bad person — I'm registered with the State and the Federal Government." There are no late payments to any lumber yards or suppliers. The credit issues are personal. "I can provide references from pool contractors on Marco Island. There are a lot of credible people who know me." Chairman White noted the issues were not with the Applicant's character or integrity. He stated experience is a component of the .decision making process — the Board must be comfortable the Applicant knows not only how to do the work but also run his business in a fiscally responsible way. Robert Marzzacco stated the Board would not see him because of a work - related issue. Chairman White continued the Board understood it was a personal credit report and not a business credit report. The Board wants to be sure that the Applicant is able to open/maintain a new business — that he will succeed and the community will not to be harmed. Kyle Lantz asked about Mr. Marzzacco's previous work experience and if he ever handled pricing, billing, budgets, quotes, etc. Robert Marzzacco stated in his current job, he meets with clients, provides quotes, and supervises employees who install impact glass, i.e., windows, doors, shutters, roll- downs. When he worked for the condo maintenance company, he ran the jobs and made sure everyone was doing what they had to do at the job sites. Mr. Lantz asked him to explain the business money aspect in his various jobs — to elaborate on his experience. The Applicant stated he uses various computer programs — he inputs the size of the window, for example, and obtain material costs from vendors. He stated he knows from his construction experience how long it will take to install the item. Mr. Lantz asked if he prepared the proposal for the customer outlining how much the job would cost. A. Correct. 11 February 19, 2014 Q. Is making sure the customer pays and everyone gets paid part of your responsibilities? A. Correct. We require 50% down to order windows. Q. And you're been doing that portion of the job for how long, including your other jobs? A. For all of them except the management company — the front office does that. Q. And on some of your larger construction jobs .... A. Handled all that. We had CAD systems for the drawings ... they charge a lot more down here than we did in Pennsylvania. Terry Jerulle stated as a General Contractor, once you are past the testing of the Codes, the laws, and you have the experience, the major obstacle is managing money and it can be a lot of money. The only thing we have to show how you manage money is your credit report. He continued while the Applicant may have the experience and has passed the test, he was not convinced that the Applicant can manage money. He was concerned that everyone on the project would be paid. Robert Marzzacco said he has been "straight up and honest" with his responses to the Board's questions. He stated, "You will not see me back here, I can tell you that." Gary McNally asked about the Applicant about his contact with the bank to reorganize his debts and what he has done during the past month — had he created a document that outlines his plan. Robert Marzzacco stated he obtained credit reports from Experian, Equifax, and Trans - Union. He contacted Jonathan at Chase Bank who determined the order in which each creditor should be contacted — the plan is to eliminate the smaller debts first — 90% of his debt load consists of smaller amounts. He stated he was not certain that he incurred all the debts on the credit reports. There were at least two creditors whose names are not familiar to him. He stated he is still sorting through everything while continuing to work. Gary McNally asked if Mr. Marzzacco would have a written re- organization plan within the next 30 to 60 days and the response was, "Yes." Richard Joslin stated he would support the Board denying the application for a license due to the credit history. In thirty days, the Applicant can bring back documentation from Chase Bank outlining the re- organization plan for the Board to review. It would show good faith on his part. Chairman White stated if Mr. Joslin's opinion was supported by the Board, the Applicant had the option to withdraw his application and come back later rather than having the application be denied. He asked the members for their perspective. Michael Ossorio explained if the application is withdrawn, it would be as if the Applicant never appeared before the Board. If he works with Chase Bank to correct his mistakes and his credit score is above 660, he might meet the criteria of the Administrative part of the Ordinance. In that case, he would not have to appear before the Board. 12 February 19, 2014 Thomas Lykos stated: • The Applicant had a certain amount of money but no plan. • Preparing a bid or quote for a customer by typing measurements into a computer program to price out the cost of a window is not the same as managing the finances of a company. • With a General Contractors' license, the Applicant would have the authority to build a high -rise condominium on the beach. • That's the amount of responsibility that comes with a G.C. license. • When I hear someone ask the question, "What is your plan for the financial management of your business," and the Applicant said that he typed measurements of a window into a computer and the program gave him the numbers — it means, #1, the Applicant did not understand the question, and, #2, he did not have a plan to manage the finances of his company. To convince the members of the Board and myself that the Applicant has the knowledge and experience to manage the finances of a General Contractor construction company, he must first get a "handle" on his debt, the public records, and the civil judgments, and put a plan together outlining how he will run his business as well as the financial side of the business, as well as a plan to pay off the debts. Chairman White stated it could include having a General Contractor's license and a construction business. He further stated there did not seem to be any simple or easy choices. A majority of the Board members are not comfortable enough, at this point, to go forward with issuing a probationary license which typically gives six months to clean up the credit report. The Board is saying, because of the magnitude of the license and the financial hole that he is in, the Applicant needs to do more "back filling" to bring the Board to a more comfortable place. Gary McNally asked if the Board had the authority to table the application for a period of sixty days. The Applicant could come back with the documentation requested by Mr. Lykos. Chairman White explained the Applicant is entitled to a decision — either positive or negative. He asked Robert Marzzacco if the Board did table his application for sixty days, would that give him sufficient time to fill the gap. If not, he should request a vote. Richard Joslin noted if the application were withdrawn, the Applicant would not be place in a "bad spot" with the Board. It would give you sixty days to put your plan together with Chase Bank. Any payments made to settle debts will show good faith to the Board and also increase the credit score. The Applicant is asking the Board for a major amount of help but he is not putting forward that the Board can see. Kyle Lantz noted there were approximately 20 marks on the Applicant's credit report. With $2,000, for example, the Applicant could pay off a good "chunk" of 13 February 19, 2014 the smaller debts. It would show that he was actively working on a solution. (Suggestion: Keep the receipst for each payment and provide copies to the Board.) Chairman White suggested the Applicant contact an accountant or CPA to create a thought - through Business Plan for the Gulf Coast Construction & Design Corporation. The Plan should clearly outline what types of jobs to pursue and how to manage the business finances, i.e., how each deposit will be handled. The point is to each the Board's concerns. Robert Marzzacco said his intention is not to build bridges or condominiums. He will concentrate on remodeling condos. He asked if he withdrew his application, would he be required to start the entire process over again. After additional comments from the members of the Board, the Applicant decided to table his application. He will return before the Board in sixty days with more documentation. Vice Chairman Thomas Lykos moved to approve denying the application. Chairman White noted that a Second in support had not been made. Chairman White moved to approve allowing the Applicant to table the application and to come back before the Board in sixty days. Kyle Lantz offered a Second in support of the motion. Motion carried, 6 — "Yes " /1- "Opposed. " Terry Jerulle was opposed. BREAK: 10:25 AM RECONVENED: 10:35 AM (Note: The following Case was heard outAgenda order) E. Joseph S. O'Malley — Verification of Construction Experience (d /b /a "Irish Electrical Service, Inc. ") Michael Ossorio provided background information: • Mr. O'Malley applied for a Master Electrical Contractor's license • Pursuant to the Code [under 22- 183(A)(3)], he does not meet the requirements to allow the Contractors' Licensing office to administratively issue the license • His application was forwarded to the Board for review Criteria- Four years in an Apprenticeship or Union program under the direction of a Master Electrical Contractor plus two years as a licensed Journeyman OR Six years working for an Electrical Contractor plus two years as a licensed Journeyman 14 February 19, 2014 Michael Ossorio noted Mr. O'Malley had not submitted an affidavit from any Master Electrical Contractor to verify his electrical experience. Joseph O'Malley stated he prepared an outlined which summarized his work experience. (Note: The document was distributed to the Board's members for their review.) Mr. Ossorio read a portion from Section 22 -183 as follows: • A Master's experience shall be as a Journeyman; • A Journeyman's experience shall be an Apprentice or a trainee having completed an approved Apprentice program registered with the Department of Labor and Employment demonstrating four years of viable, practical experience in a particular trade or demonstrating six years of viable, practical experience in aparticular trade .... Section 22- 183(b) of the MuniCode entitled "Experience Requirements" outlines specific requirements: "To determine if the Applicant possesses the experience required by this Section, the Contractor Licensing Supervisor or his/her designee shall Consider the following forms of proof of experience: (1) Affidavits from former employers with specifics as to the number of years of experience, work performed, and any other relevant information; (2) Copies of other Certificates of Competency, if any, held by the Applicant in other counties or cities; (3) Affidavits from any Building Director in locations where the Applicant has worked; (4) Affidavits from any Union organization of which the Applicant has been a member relating to the trade for which the Applicant has made application; (5) Affidavits from any other source within the trade applied for." Kyle Lantz noted the Applicant had a Journeyman's license and asked if it was still active. Joseph O'Malley replied he took and passed the Masters' Exam in 1992 but never activated it after he moved from Texas to Florida. Terry Jerulle questioned Mr. O'Malley concerning his work experience on the Essex project on Marco Island. Mr. O'Malley stated he did the underground, the slab work, and serviced the decks; he turned the job over to Rich Long. Mr. Lantz asked if he was currently doing any field work in his present position at D. J. Gould Electric. A. I haven't done field since approximately 2000. I am a shareholder and an officer of the corporation; my management responsibilities include estimating 15 February 19, 2014 jobs, sending out bills, collecting money, paying suppliers, and hiring employees. If I start my own company, I will remain a shareholder in Gould Electric. Mr. O'Malley stated: • . The scope of work for his company will be limited to remodeling condos, residential properties, and performing service work. • He contacted Laser Electrical in Dallas but did not receive a response. • From 1988 through 1991, he worked for J. R. Orlando Electric in Lee County as a Project Supervisor. (Mr. Orlando has passed away.) • He had 20 years of experience "with my hands" before working at D. J. Gould. • His experience includes high and mid -rises projects, three- phase, single phase, high/low voltage work, and fire alarm installation. He concluded that he has the necessary electrical experience as well as the management /business acumen to become a successful Contractor. When asked by Chairman White if he had any concerning regarding the Applicant's experience, Kyle Lantz replied, "I have no concerns." Kyle Lantz moved to accept Joseph O'Malley's work experience and approve his application for a Master Electrical Contractor's License. Richard Joslin offered a Second in support of the motion. Disell'ssion. Vice Chairman Thomas Lykos expressed concern regarding the lack of documentation of the Applicant's field experience from companies other than Winfield Companies, LC who was associated with D. J. Gould Electric. He stated the Board needs verification of that experience based on the laws of the County. He requested that the Applicant expand on his field experience. A. I have been with the Company (D.J. Gould) since 1991 [23 years]. It would be difficult to go back beyond 1991 to get any letters. I have a total of 34 years of experience — 20 of it was in the field. When I came out here from Texas I was doing huge jobs ... 360 to 400 units, tunnel jobs, conduit, three -phase services, 2000 amps ... those were the things that I was doing on my own from an early age in the `80s. When I went to D. J. Gould Electric, we started — the two of us — back in the field wiring single - family houses, doing service calls, doing all the little things and slowly worked that back up to the point where we were doing bigger jobs again. I have done all different phases of work with my hands. 16 February 19, 2014 From a supervisory position, I feel very confident and competent. The letters that I included were the only ones that I could obtain from the people who I have relationships with and have worked for them for a number of years. I have done countless jobs with them and have done a good job for them. Chairman White observed the letters that Mr. O'Malley submitted contained a degree of detail. He stated if the letters had been from Master Electricians, it would have been more effective. Vice Chairman Lykos asked the Applicant to detail which jobs he worked on in the field from 1991 to 2000 and what he did on each project. A. Maronda Homes: Was our first big customer. We wired houses every day with them. Lakewood Condominiums: Was our first condominium job — four story, mid -rise, and I was the supervisor on the job. It was a Hambro deck — I piped the decks, I wired the decks, I did all the masonry work, I built the services, pulled the 750 aluminum into the feeders and into the transformers. Breckenridge Condos: Was a BBL job in Estero — I managed it, I was not in the field. But part of my job as a manager — a supervisor — was to go to the job and spot problems — keep the guys pointed in the right direction. Enchanted Homes: That's another one that I did early on — we worked for most of them for a number of years until they left the area. Toward the end, I was not doing homes on a daily basis. Jim Walter Homes: I did a lot of their homes by myself all over the state. I worked in the field from approximately 1980 until 2000. Gary McNally asked the Applicant if he had kept up his Continuing Education courses. A. I don't have any CEU requirements because I haven't had a Contractors' license but my partner did carry the license and I attended the classes with him on a number of occasions — at least three. When I was with my crew in Florida, I would sign them up for classes and go with them. The last CEU that I took was probably six or seven years ago. I took and passed my test in 2011. Chairman White called for a vote on the motion. The Motion carried unanimously, 7— 0. D. Thomas G. Conroy — Verification of Construction Experience (d /b /a "Better Breathing, LLC ') Michael Ossorio stated the Applicant applied to obtain a Class "C" Air — Conditioning Contractor's license. He cited from Chapter 22, Section 162(6) 17 February 19, 2014 of the MuniCode as follows: Class "C" Air Conditioning Contractor requires 24 months experience as a licensed Journeyman or equivalent with a passing grade on an approved test and a passing grade on a business and law test and means any person whose business is limited to the servicing of air conditioning, heating, or refrigeration systems, including duct alterations in connection with those systems he /she is servicing, which may include duct cleaning and equipment sanitizing which requires at least a partial disassembly of the system. Placement of fire safing and fire stopping materials shall be permitted on wall, ceiling and floor penetrations created within the scope of the work allowed by this Section. He stated a Business Procedures exam and a trades test are required. • Business Procedures exam — 2006 — Passed (Score: 76) • Air Conditioning Service (C) Trade Exam — 2013 — Passed (Score: 78) Mr. Ossorio noted the Applicant was a Certified Roofing Contractor. He further stated the experience required was working for an Air Conditioning Contractor for 24 months. Thomas Conroy stated he intends to start an air -duct servicing business — strictly cleaning and not servicing a/c units. • He stated he has experience with air ducts — he worked for Boston HVAC. • He produced proof that the company existed from the State of Massachusetts website • He found one person that he worked with who will sign an Affidavit /letter • He has not been able to find the owner of the company • He worked for the company from 1984 through 1989 in Bridgewater, MA Job description: • Installed duct work; • Duct cleaning • The Applicant fabricated and installed metal duct work; • We would take blueprints for buildings and fabricate /install the entire duct system; • We did mostly commercial jobs; • The last two years that the company was open, we started getting residential work • The company went out of business in 1990. Kyle Lantz asked the Applicant why he chose a Class "C" license. A. I said I wanted to start an air -duct cleaning business and was told a Class "C" was what I needed. I said I was not interested in installing or servicing a/c units — strictly air duct cleaning. 18 February 19, 2014 Michael Ossorio stated Class C is the minimum license requirement for duct cleaning and servicing air conditioning. He noted while the State no longer has a Class "C" license, Collier County does. The Applicant would be considered a "Specialty" Contractor by Collier County. In response to a question, Michael Ossorio explained that he, as Supervisor for the Contractors' Licensing Office, has approved licenses and placed them on restriction. Example, if a Floor Covering Contractor has never installed carpet, he can be restricted to installing floor covering. The Code allows some latitude to restrict a Contractor to a particular category. Michael Ossorio referenced Chapter 22, Section 162(6) [previously noted in Minutes] and stated some of the Affidavits did not "make sense," specifically the affidavit from Bill Newzil. Mr. Conroy replied Mr. Newzil (his brother -in -law) does remodeling projects and often asks for his assistance: • Mr. Conroy would open up the duct work and examine it. • He would advise whether the ducts should be cleaned or replaced. He stated that approximately 50% of the calls his roofing business receives are due to air - conditioning issues, i.e., a condensation pan has overflowed. He further stated he works with a number of property maintenance companies. Kyle Lantz asked the Applicant if he had done roof top change outs - condensers. A. In the past, yes. Q. Do you have an EPA card? A. No. We didn't install the units — we just flashed them in. Q. What do you mean by "change outs "? A. In the past when I worked for Boston HVAC? Q. Yes. A. We would install everything — the root -top units, the duct work. We would install new roof -top units and change the entire duct work — it was when flexible ducts started to become popular. We would take out everything — but mostly leave the big run, then install the flexible duct and fiberboard. I learned how to fabricate and install that, also. We mainly fabricated sheet metal but it quickly moved to flex duct and fiberboard. Q. So you're a duct guy who doesn't know many systems? The Applicant reiterated he was not interested in servicing units —just air duct cleaning. He stated he "knows everything there is to know about air duct systems," but he was not interested in becoming a service provider for a/c units themselves. After further discussion concerning the Applicant's qualifications and the scope of work allowed by the Class "C" license, it was determined the application 19 February 19, 2014 should be tabled to allow Mr. Conroy an opportunity to obtain the necessary Affidavits to verify his experience. Michael Ossorio stated if the Applicant had submitted Affidavits that supported his duct cleaning experience, a restricted license would have been issued. Chairman White moved to approve tabling Mr. Conroy's application up to, but not more than, sixty days. Kyle Lantz offered a Second in support of the motion. Motion carried, 6— "Yes 71— "Opposed." Mr. Lykos was opposed. (Kyle Lantz left at 11: 00 AM. Quorum remained at 6 voting members.) F. Rodney W. Gatewood — Waiver of Examination (Reinstatement) (d /b /a "Gatewood Glass, Inc. ") Michael Ossorio referenced 22- 191(1) [renewal application] and stated the Applicant's Certificate is null and void but, after reviewing his Credit Report, the County would not object to renewing the license. Rodney Gatewood stated: • He took and passed the test • His license was active up through 2005 • He sold his business in 2001 but continued to operate it under the new ownership • The new owners told Mr. Gatewood that he would not be required to qualify the company; the company's billing office was moved to Minnesota and the fee for his license renewal was not paid • He was not aware the fee has not been paid or that his license had lapsed until recently • He has applied to reinstate his license without taking the exam again Mr. Ossorio noted Mr. Gatewood has continued his trade in Lee County and is currently licensed in Lee County. He verified with Lee County that no complaints had been filed against Gatewood Glass. Terry Jerulle stated he has dealt with Gatewood Glass in the past but did not feel there was a conflict of interest. He further stated he could vouch for Rodney Gatewood's credibility and experience. Terry Jerulle moved to approve the application to reinstate Rodney Gatewood's license as a Glass and Glazing Contractor without requiring an examination. Vice Chairman Lykos offered a Second in support of the motion. Carried unanimously, 6 — 0. 20 February 19, 2014 G. Keith E. Morrison — Waiver of Examination (Reinstatement) (d /b /a "MAC Custom Pools ") Michael Ossorio provided background information: • Mr. Morrison is a State - certified Residential Contractor • He has applied to reinstate his Specialty license — Aluminum Contractor with Concrete • He is current in Lee County, Sanibel, Cape Coral and Sarasota County • The County would not object to approving the application Keith Morrison stated he is current with his Continuing Education requirements, and no complaints, no judgments or failures to pay have been filed against his company. Richard Joslin asked the Applicant why he chose the name "MAC Custom Pools" for his business. A. Morrison Aluminum Construction, Inc. builds pools. We abbreviated it. There are three licenses in the office. My brother and I own the company. My brother holds the Residential Pool Contractor's license. I hold the aluminum and builder. Vice Chairman Thomas Lykos moved to approve Keith Morrison's application to reinstate his Specialty license as an Aluminum Contractor with Concrete without requiring an examination. Richard Joslin offered a Second in support of the motion. Carried unanimously, 6 — 0. VII. OLD BUSINESS (Note: With reference to the cases heard under Section VII, the individuals who testified were first sworn in by the Attorney for the Board.) A. Dagoberto T. Barcelo — Six Month Credit Review (d /b /a "Barcelo's Custom Cabinets & Mill Work, Inc. ") Chairman White noted the Board had received additional documentation at the beginning of the hearing. (See: Amendment to the Agenda re: Item VII (A). Michael Ossorio referenced the Findings of Fact dated January 16, 2013 with the old Credit Report. A new business credit report (using the new reporting format) was submitted in January, 2014. • There were no records of bankruptcy, liens, judgments, or other filings against the business. 21 February 19, 2014 Dagoberto Barcelo stated: • Instead of filing for bankruptcy, he chose to use a pre -paid credit card offered by his bank. • He has maintained the credit card for the past year and has used it to pay his mortgage as well as all bills related to his business. • His credit score has improved. • His company is small and he has had to prove himself to his suppliers. Michael Ossorio noted no complaints have been filed against the Applicant's company during his first year in business. Mr. Barcelo had been placed on a one- year probation in January 2013. County's Recommendation: Termination of the probationary period. Richard Joslin moved to approve terminating the probation and allowing the Applicant to continue with his license as a Cabinet Installation Contractor. Gary McNally offered a Second in support of the motion. Carried unanimously, 6 — 0. B. Jimmy M. Dean — Six Month Credit Review (d /b /a "J.D. Dean Construction, Inc. ") Michael Ossorio provided an overview: • Mr. Dean applied for a General Contractor's License but was placed on probation by the Board on August 21, 2013 for a period of six months • He provided a current business credit report, dated February 5, 2014, in addition to a written explanation of the bills that have been paid but have not yet been removed from the report • His credit score has improved • He obtained a $20,000 bond which is still in place (Cost: $1,500) Chairman White stated he was pleased with the progress report provided by the Applicant. Mr. Ossorio confirmed the credit report does not reflect the payments made. Chairman White referenced one of the items currently under negotiation, i.e., a Civil Judgment in the amount of $15,426. Mr. Dean replied he is going through the process with the collection agency. There are irregularities to be explained by the collection agency (example, the nearly -new boat was sold for only $1,500). He has requested proof of the sale before he does anything else. He stated the boat should have sold for at least $5,000. In response to a question from Chairman White, the Applicant stated he contacted the collection agency on February 181h but was informed the agency was waiting for direction from its legal counsel. He estimated he needed an additional three months to complete negotiations. He noted he still has not received any receipts from the collection agency. 22 February 19, 2014 Chairman White stated the priority should be to resolve the larger amounts either by payment or negotiated installment plan within three months. Vice Chairman Lykos noted the two Midland accounts have not been paid, as ordered by the Board. He suggested allowing the Applicant a period of six months to adhere to the terms of the Board's order to avoid placing the Board's Members in a position where it might be necessary to take action to revoke his license. Michael Ossorio noted the Respondent has pulled Permits and asked if he had ever been issued a "Stop Work" Order for Building Permit issues. A. No. Q. Have you pulled all necessary Building Permits to take care of your clients? A. Yes. Terry Jerulle asked for a recommendation from the County. Mr. Ossorio replied, "We'll see Mr. Dean in six months." Vice Chairman Lykos noted the original Order of the Board placed the Respondent on probation for a period of six months. Richard Joslin stated the Applicant had made noticeable improvement. Vice Chairman Lykos concurred Mr. Dean had made a substantial improvement but had not fulfilled all of the conditions of the Order. He stated whether the Applicant is grant three or six months, if the terms of the Order have not been followed at the end of the time period, he will advocate to revoke the license. Richard Joslin supported extending the probation for another six months. Vice Chairman Lykos moved to approve extending the probationary period for six months and to require the Respondent to fulfill the Order of the Board dated August 21, 2013. The Respondent is to appear before the Board in six months. Ronald Donino offered a Second in support of the motion. Carried unanimously, 6 — 0. C. Darleen Row — Six Month Credit Review (d /b /a "Dazzling Floors, Inc." Michael Ossorio stated he has been unable to contact Ms. Row; a certified letter was sent to her address in January, 2014, with no response; her phone has been disconnected. Ms. Row was not present for the Hearing. County's Recommendation: To revoke or suspend Ms. Row's license. Vice Chairman Lykos moved to approve suspending the Collier County Certificate of Competency as a Floor Covering Installation Contractor issued to Darleen Row, d/b /a "Dazzling Floors, Inc. " Terry Jerulle offered a Second in support of the Motion. Carried unanimously, 6 — 0. BREAK: 11:32 AM 23 February 19, 2014 RECONVENED: 11:37 AM VIII. PUBLIC HEARINGS (Note: With reference to the cases heard under Section VII, the individuals who testified were first sworn in by the Attorney for the Board.) A. Case 2013 -03: Deborah J. Plumber, d /b /a "Tiger Masonry, Inc." The Respondent, Deborah J. Plumber, was present and was not represented by counsel. Chairman White briefly outlined the order of the proceedings to be followed: • Open the Public Hearing; • Swear the witnesses; • Accept any evidence from the parties; • The County will present its "Opening Statement;" • The Respondent will present his/her "Opening Statement;" • The County will next present its "Case in Chief ;" • The Respondent will present his /her defense; • The County may offer any rebuttal; • Each Party may present a "Closing Statement" and the Public Hearing will conclude. • The Board will close the Public Hearing and begin deliberations. • The Board's Attorney will give a "Charge" to the Board, similar to the Charge given to a Jury, setting out the parameters on which the Board will base its decision. • During deliberations, the Board can request additional information and clarification from the parties. • The Board will decide two different issues: • First, whether the Respondent is guilty of the offense as charged in the Administrative Complaint. • A vote will be taken on the issue. • Second, if the Respondent is found guilty, the Board will decide the sanctions to be imposed. • The Board's Attorney will advise the Board concerning the sanctions that may be imposed and the factors to be considered. • The Board will discuss the sanctions and vote. • The Chair will orally report the decision of the Board. • The Final Order will include the complete details as required under State laws and procedures. Rob Ganguli, Licensing Compliance Officer, requested to enter the packet of information previously provided to the Board Members for Case 2014 -03 into evidence. 24 February 19, 2014 Vice Chairman Thomas Lykos moved to open the Public Hearing in Case No. 2014 -03: The Board of County Commissioners vs. Deborah J. Plumber, d/b /a "Tiger Masonry, Inc. " License No.: 18458 (Masonry Contractor) and License No. 201300000372 (Concrete Forming and Placing Contractor), and to enter the information packet into evidence as County's Exhibit Richard Joslin offered a Second in support of the motion. Carried unanimously, 6 — 0. Chairman White asked the Respondent if she had any documentation to be entered into evidence. Response: "No, sir." Rob Ganguli presented the County's "Opening Statement:" • Ms. Plumber is the Qualifier for two Collier County issued licenses: one for Masonry and the other for Concrete Forming and Placing; • She is appearing before the Board for two counts of misconduct: o Count I: working outside the scope of her license; and o Count II: commencing work that required a Building Permit without obtaining one. Chairman White asked Ms. Plumber for her response. A. I'm guilty — I'll make this short and sweet. I'm guilty. I'm trying to rectify this problem by removing part of the problem — my brother. He has gone to work for a General Contractor. So I will not be put in this position again. Q. Has the County had any discussion with you about sanctions? What I'm trying to see is if you are not contesting the violations at this point, if there is some way we can come to an understanding about how we can dispose of the matter. Michael Ossorio stated that, in the past, Stipulation have been entered into the record. When asked for a recommendation, he responded the County incurred $550 in costs to investigate the matter. He further stated when he spoke with the Respondent previously, he outlined the parameters of the Administrative Complaint and what the County was looking for, generally, regarding the penalty phase. He explained she produced documentation (E -11) when requested and, as a Qualifier, took responsibility for the violations. Chairman White: "I'm assuming you have had an opportunity to read what the County has presented to us." Respondent: "Yes." Chairman White: "And it's your conclusion and your choice today — without counsel present — to essentially admit to the violations ... that's what having said "guilty" means ... as to the two Counts." 25 February 19, 2014 Chairman White continued: "What we're trying to do is, as simply as possible, get to the part where we would talk about the sanctions — the penalties to be imposed. And if you're agreeable to doing that and it's still your position that you are admitting to the two violations, I am prepared to look for a motion to close the Public Hearing. We would then entertain a motion to find you in violation; we would have the Charges read as to what we are to weigh as factors, and then we would talk about the penalty. If that's agreeable to you, I would just ask you to say so on the record." Respondent: "That's agreeable." Vice Chairman Lykos stated: • One of the objections the Board had, in the past, to entering a Stipulated Agreement was that the details of the infractions were not read into the record. • By skipping over the process, the details were not recorded. He suggested that Mr. Ganguli could read his report into the record. Rob Ganguli stated: On January 3, 2014, I received a Complaint regarding possible unlicensed or unpermitted activity at 1461 Caxambas Court, Marco Island, Florida being performed by the Collier County licensed Masonry Contractor, and Concrete Forming /Placing Contractor, Tiger Masonry Inc. [Collier County Certificate Numbers #18458 and #201300000372] A site visit was made to the property with Marco Island Inspector Gary Konicek, where a corporate officer for Tiger Masonry Inc., Roger Call, was discovered on site. Mr. Call explained that he was there to provide an estimate for a small concrete repair on a retaining wall, and nothing more. At that time, additional work was discovered on the boat lift /dock at the location which Mr. Call claimed to know nothing about. Contact was made with the property owner, Ronald Hodge. When questioned about Tiger Masonry working on his home, Mr. Hodge stated he had paid a deposit of $50,000.00 to Tiger Masonry to perform and "oversee" a various scope of work inclusive of a kitchen remodel, electrical and plumbing, as well as the boat lift /dock renovation. Mr. Hodge was informed of possible permitting requirements for work observed and described by him and a STOP WORK Order issued by the City of Marco Island Building Services until an investigation was conducted into this matter. 26 February 19, 2014 On January 10, 2014, a meeting was held with the Qualifier of Tiger Masonry, Deborah Plummer, who initially claimed to have no knowledge of the $50,000 deposit received or any work at the location other than the concrete repair on the retaining wall. A subsequent meeting was held with Contractors' Licensing Supervisor Michael Ossorio on January 16, 2014. Ms. Plummer was required to produce the company's most recent bank deposit statement. Review of the document revealed a deposit to Tiger Masonry's corporate account in the amount of $50,000. At the meeting, Ms. Plummer admitted to Supervisor Ossorio she had accepted the $50,000 deposit on a contract which totaled $120,000 for kitchen remodeling, electrical, plumbing, and the boat dock/lift work which she was aware was beyond the scope of her Masonry license, and Concrete Forming /Placing license. Ms. Plummer stated she had arranged for a General Contractor, Stagecoach Restorations, LLC. [License 4511821] to take over the jobsite and complete the project for the homeowner. On June 18, 2013, a previous infraction was discovered City of Marco Island Inspector Kim Ferris and myself at a jobsite located at 861 S. Collier Boulevard where Ms. Plummer received two Citations: (1) unlicensed general contracting. and (2) commencing work requiring a building permit without obtaining a Permit. Based upon this repeat violation, a Notice to Appear before the Contractors' Licensing Board on February 19, 2014 was sent via Certified Mail and received by the Respondent. As part of the Permit application submitted by Stagecoach Restorations LLC, the City of Marco Island Building Official required a complete inspection of the jobsite to determine the exact scope of work that had been performed. This inspection was conducted on January 30, 2014, and a determination was made by the Building Official that work had been performed without the issuance of building permit. The investigation into this matter also revealed invoices for subcontracted electrical and plumbing work to Tiger Masonry for this jobsite. The activities conducted by Tiger Masonry, Inc. violated Collier County Ordinance 90 -105, as amended, Section 22- 201(2) and Section 22- 201(18) as follows: "Contracting to do any work outside the scope of his /her competency as listed on his /her competency card and as defined in this Article or as restricted by the Contractors' Licensing Board. " "Proceeding on any job without obtaining the applicable permits or inspections from the City Building and Zoning Division or the County Building Review and Permitting Department." 27 February 19, 2014 Update: A permit was issued by the City of Marco Island's Permitting Department to Stagecoach Restoration, LLC, on February 12, 2 014. Vice Chairman Lykos asked Mr. Ganguli if he was aware if the homeowner had been negatively impacted from a financial standpoint. Mr. Ganguli replied he did not think the homeowner had incurred any financial loss. Terry Jerulle asked the Respondent what happened to the $50,000 deposit. A. It was spent mostly — more than half was spent on appliances and the rest was on the countertops. Q. That the owner has? A. Yes. Gary McNally moved to approve closing the Public Hearing. Vice Chairman Lykos offered a Second in support of the motion. Carried unanimously, 6 — 0. Chairman White asked the Board's Attorney to present the Charge. Attorney Morey outlined the Charge to the Board: • The Board shall ascertain in its deliberations that fundamental fairness and due process were accorded to the Respondent. • That, pursuant to Section 22- 203(g) (5) of the Codified Ordinance, the formal Rules of Evidence set out in Florida Statutes shall not apply. • The Board shall consider solely the evidence presented at the Hearing in its deliberation of the matter. • The Board shall exclude from its deliberations irrelevant, immaterial, and cumulative testimony. • The Board shall admit and consider all other evidence of a type commonly relied upon by reasonably prudent persons in the conduct of their affairs, whether or not such evidence would be admissible in a Court of Law. • Hearsay evidence may be used to explain or supplement any other evidence but hearsay, by itself, is not be sufficient to support a Finding unless such hearsay would be admissible over objection in a civil action in Court. • The Standard of Proof in actions where a Respondent may lose his /her privileges to practice his /her profession is that the evidence presented by the Complainant must prove the Complainant's case in a clear and convincing manner. • The Burden of Proof on the Complainant is a larger burden than the "Preponderance of Evidence" standard set in civil cases. • The Standard of Evidence is to be weighed solely as to the charges set out in the Complaint. • The only charges the Board may decide upon are the ones to which the Respondent has had an opportunity to prepare a defense. • The damages awarded by the Board must be directly related to the charges. 28 February 19, 2014 • The decisions made by the Board shall be stated orally at the Hearing and are effective upon being read, unless the Board orders otherwise. • The Respondent, if found guilty, has certain appeal rights to the Contractors' Licensing Board, the Courts, and the State's Construction Industry Licensing Board ( "CILB "), if applicable. • The Board shall vote upon the evidence presented in all areas and if the Respondent is found in violation, shall adopt the Administrative Complaint. • The Board shall also make Findings of Fact and Conclusions of Law in support of the charges set out in the Complaint. Chairman White stated he would normally have open the floor to discussion but the Respondent had essentially made an admission of guilt. Vice Chairman Lykos moved to approve finding the Respondent guilty as to Count I and Count II of the County's Administrative Complaint. Ronald Donino offered a Second in support of the motion. Carried unanimously, 6 -0. Attorney Morey noted the Board found the Respondent to be guilty and the Respondent is a Collier County licensed Contractor. She holds two licenses: Masonry Contractor (License #18458) and Concrete Forming and Placing Contractor (License #201300000372). He stated the Contractors' Licensing Board may, but is not required to, impose any of the following Sanctions, either alone or in combination: (1) Revocation of a Collier County (or City) Certificate of Competency, (2) Suspension of a Collier County (or City) Certificate of Competency, (3) Denial of the issuance or renewal of a Collier County (or City) Certificate of Competency, (4) Imposition of a period of probation, not to exceed two years in length, during which time the Contractor's contracting activity shall be under the supervision of the Collier County Contractors' Licensing Board, (5) Imposition of a fine not to exceed $5,000, (6) Issuance of a public reprimand, (7) Requirement for re- examination or participation in a duly- accredited program of continuing education directly related to the Contractor's contracting activity, (8) Recovery of reasonable investigative costs incurred by the County for the prosecution of the violation, and (9) Denial of the issuance of Collier County or City building permits or requiring the issuance of such permits with specific conditions. Attorney Morey further advised the Board that, when imposing any of the possible Disciplinary Sanctions on a Contractor, the Contractors' Licensing 29 February 19, 2014 Board may consider all the evidence presented during the Public Hearing as well as: (1) The gravity of the violation; (2) The impact of the violation on Public Health/Safety or Welfare; (3) Any actions taken by the violator to correct the violation(s); (4) Any previous violations committed by the violator, and (5) Any other evidence presented at the Hearing by the parties relevant to the Sanction which is appropriate for the case, given the nature of the violation(s) or the violator. Chairman White asked the County for its recommendation. Michael Ossorio noted a second offense for unlicensed contracting carried a $2,000 fine. The fine for working without a permit, second offense, is $2,000. The total fine is $4,000. • Tiger Masonry has been in business for approximately 16 years. • There have only been two complaints filed against the company. Recommendation: • The Respondent is to take and pass the Business Procedures test within twelve months; • The Respondent will be placed on probation for a period of twelve months; • If any other violation occurs during the probationary period, the Respondent's license will be immediately suspended pending a full Hearing before the Contractors' Licensing Board • Impose a fine of $3,500 for each violation; the additional $1,500 is because the Respondent is a licensed Contractor • Reimbursement to the County for costs in the sum of $550 to be paid within thirty days of the Board's Order • The fines are to be paid within 90 days from the date of the Board's Order Chairman White asked the Respondent to inform the Board of any corrective action she had taken to assure the Board that the violations would not occur again. A. I am fine with Mr. Ossorio's recommendations — I want to move on from this. I survived last year and it was a year of a lot of change. My brother, who is a part owner of Tiger Masonry, has partnered with a licensed General Contractor. When he finds these jobs, he will handle them with a licensed G. C. so I will not be put in the mix of this. I hope that is satisfactory. I don't know what else I can do — I can't undo what's been done — I can only .go forward and try to make things right in a way that's legal and legitimate. Richard Joslin asked the Respondent if she knew about the contract. A. Bits and pieces. And I know I'm fully responsible. I am not proud of myself. When I had my first initial interaction with Rob, I panicked and I lied, and I'm not proud of it. That's why I'm here — to try to make things right. I told Mike to apologize to Rob for me because it's not in my character. I don't like it. As I have said, I want to learn from this and move on. Because there were a lot of changes happening in my world, it was no excuse to let this happen. M February 19, 2014 Chairman White stated he wished more individuals who appeared before the Board as Respondents understood what it was Ms. Plummer offered as her experience in the process. He appreciated it. Chairman White called for discussion among the Board's members regarding the sanctions recommended by the County. Terry Jerulle noted an invoice in the information packet from Proud Plumbing. He asked the Respondent if Tiger Masonry had hired the company to do the plumbing work. A. Correct. Vice Chairman Lykos: • I appreciate the fact that Ms. Plummer acknowledged she had not been totally forthcoming during the initial investigation. • My concern: There seems to be philosophy of not being forthright in the leadership of your company. • During the initial site visit, Mr. Call denied any knowledge of what was going on, stating he was only there to give an estimate. That was when the dishonesty — the deceit — started. • A call was placed to Patrick Lagemann, the President of Tiger Masonry, who denied any knowledge of the job and actually claimed the work was contracted through Stagecoach, not Tiger Masonry. o When you were questioned about the deposit and the job, you denied any knowledge or responsibility for the money or the job. I understand that you might have panicked initially and were worried about what the consequences might be if you told the truth, but my concern is there are three leaders inside this company whose initial reaction was to deceive. • It is disturbing. Respondent: "You could say that or you could say that we're tight and we're trying to protect each other and get through this. But it was wrong that we all did that. Yes. But that's not the general character of the people in this company." Vice Chairman Lykos: "Unfortunately, that's the way your company has been represented in this situation." A. I understand how you'd see it that way. Chairman White pointed out the relevant issue, in the Board members' minds, was the gravity of the violations and that there were prior violations of a somewhat similar nature, at least to the extent that there was a pattern. The counterweight was the admission of guilt which comes back to "corrective action." 31 February 19, 2014 He acknowledged that, when under stress, people are not always honest. He hoped that forthright disclosure would be the first order of business, not second, if the company is ever again involved in any situation with the County. Richard Joslin stated he supported the County's recommendations. His only other thought was to revoke the license. Terry Jerulle concurred stating he also thought about recommending revocation but would support the County's recommendation. Mr. Joslin noted the company has been in business for 16 years which carried some weight, even though the company had made a "pretty major" mistake. He agreed that the recommended penalty was fair. If there is a pattern which continues in the future, the company will not have a license. Chairman White: "It is this Board's position to understand the facts, to have them made part of the public hearing process for all of the community to appreciate, but also to acknowledge that the preference I have is for individuals and business entities to acknowledge and accept the sanctions as well as put on the record that they have taken steps to learn from the experience. He continued: "The statements we have heard from Ms. Plummer are contrite, credible, and sincere. The Board has had individuals who exhibited a distinctly different demeanor." Vice Chairman Lykos pointed out there had been a previous similar violation; apparently they didn't learn until after they were caught for the second time. Chairman White stated it indicated, to him, there was a systemic communication and management issue within the company. The corrective action that counter - weighed the prior violation as a factor was that there has been an adjustment to the management process and a recognition of how to control business in a way to prevent the same circumstances from arising again. He continued that if the company is cited again for violations and appears before the Board, it is a foregone conclusion what the outcome could be. Recommendation: • The Respondent is to take and pass the Business Procedures test within twelve months; • The Respondent will be placed on probation for a period of twelve months; • If any violation occurs during the probationary period, the Respondent's license will be immediately suspended pending a full Hearing before the Contractors' Licensing Board • Imposition a fine of $3,500 for each violation; $7,000 to be paid within ninety days from the date of the Board's Order • Reimbursement to the County for investigative costs incurred in the sum of $550 to be paid within thirty days of the Board's Order • If any of the conditions regarding testing and payment of fines are not met within the timeframe, the Respondent's license will be immediately suspended. February 19, 2014 Chairman White noted under the terms of the probation, the Respondent must report each job to the Contractors' Licensing Office and to fully cooperate with the Office Supervisor. Richard Joslin moved to approve imposing the following Sanctions with regard to Deborah Plummer, d/b /a Tiger Masonry, Inc.: • The Respondent will be placed on probation for a period of twelve months; • The Respondent is to take and pass the Business Procedures test within sixty days; • The Respondent must report each job to the Contractors' Licensing Office and to fully cooperate with the Office Supervisor; • Imposition a fine of $3,500 for each violation; $7,000 is to be paid within ninety days; • Reimbursement to the County for investigative costs incurred in the sum of $550 to be paid within thirty days; • If any violation occurs during the probationary period, the Respondent's license will be immediately suspended pending a full Hearing before the Contractors' Licensing Board; • If any of the above conditions are not met within the timeframe, the Respondent's license will be immediately suspended, pending a Hearing before the Contractors' Licensing Board. Ronald Donino offered a Second in support of the motion. Carried unanimously, 6 — 0. Chairman White outlined the Findings of Fact: o The Respondent, Deborah Plummer, is the holder of record of two Collier County Certificates of Competency: Masonry Contractor (License #18458) and Concrete Forming and Placing Contractor (License #201300000372). o The Board of County Commissioners, Collier County, Florida, Contractors' Licensing Board is the Petitioner (Complainant) in this matter. o The Board has jurisdiction of the person of the Respondent. o Respondent, Deborah Plummer, was present at the Public Hearing and was not represented by Counsel at the Hearing held on February 19, 2014. o All notices required by Collier County Ordinance 90 -105, as amended, had been properly issued and were personally delivered. o Based on the evidence presented, the Respondent acted in a manner that is in violation of Collier County Ordinances and is the one who committed the act. o The allegations of fact as set forth in Administrative Complaint as to: o Count 1, under Section 22- 201(2) of Ordinance 490 -105, as amended: "Contracting to do any work outside the scope of his /her competency as listed on his /her Competency Card and as 33 February 19, 2014 defined in this Article or restricted by the Contractors' Licensing Board" o Count II, under Section 22- 201(18) of Ordinance #90 -105, as amended: "Proceeding on any job without obtaining applicable permits or inspections from the City Building and Zoning Division or the County Building Review and Permitting Department, " were found to be supported by the evidence presented at the Hearing. Conclusions of Law: • The Conclusions of Law alleged and set forth in the Administrative Complaint as to Count I and Count II were approved, adopted and incorporated herein, to wit: The Respondent violated Section 22- 201(2) of Collier County Ordinance 90 -105, as amended, regarding Scope of Work, and Section 22- 201(18) regarding working without the required permits. Order of the Board: • Based upon the foregoing Findings of Fact and Conclusions of Law, and pursuant to the authority granted in Chapter 489, Florida Statutes, and in Collier County Ordinance 90 -105, as amended, by a vote of six (6) in favor and none (0) in opposition, a majority vote of the Board members present, the Respondent has been found in violation as set out above. • Further, it is hereby ordered by a vote of nine (6) in favor, and none (0) in opposition, a majority vote of the Board members present, that the following disciplinary Sanctions are hereby imposed upon Deborah Plummer, the holder of Collier County Certificates of Competency 418458 (Masonry Contractor) and #201300000372 (Concrete Forming and Placing Contractor) to wit: • The Respondent will be placed on probation for a period of twelve months; • The Respondent is to take and pass the Business Procedures test within sixty days; o The Respondent must report each job to the Contractors' Licensing Office and to fully cooperate with the Office Supervisor; o Imposition a fine of $3,500 for each violation; $7,000 is to be paid within ninety days; o Reimbursement to the County for investigative costs incurred in the sum of $550 to be paid within thirty days; o If any violation occurs during the probationary period, the Respondent's license will be immediately suspended pending a full Hearing before the Contractors' Licensing Board; o If any of the above conditions are not met within the timeframe, the Respondent's license will be immediately suspended, pending a full Hearing before the Contractors' Licensing Board. Chairman White noted the case was closed. 34 February 19, 2014 IX. REPORTS: X. MEMBER COMMENTS: (None) XI. NEXT MEETING DATE: Wednesday, March 19, 2014 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 12:30 PM. COLLIER COUNTY CONTRACTORS LICENSING BOARD Patrick White, Chairman The Minutes were approved by the Chairman on "as submitted" [] OR "as amended" ". 35 2014, 0, E�V� 09 CONSTRUCTION LLC State Certified General Contractor /Lic. # CGC 1504995 State Certified Plumbing Contractor /Lic. # CFC 1426144 Residential - Commercial - Remodeling February 21, 2014 Collier County Contractor Licensing Board 2800 North Horseshoe Drive Naples, FL 34104 Re: Contractor Licensing Dear Board Members: Please accept this writing as my request to appear before the board on March 19, 2014. 1 passed the Florida licensing exam and obtained my State Certified General Contractors license in June of 2002. My license has been continuously active and I have maintained all continuing education credits. I would like to use my State license to qualify a new business that I just started for Epoxy Stone. During the license application process, it was brought to my attention that on one section of my 2002 state licensing exam I made a 73.75, which is 1.25 points below the required 75 points for Collier County. My options were to retake the test or bring my request before the board for approval. It is my request that the board approve my 2002 test scores as is and allow me to qualify my second business with my current State Certified General Contractors License. Your approval will be greatly appreciated. s Sincerely, 51� Olaf Kuemmel SWF Construction LLC - 28440 Old 41 Road, Unit 11 - Bonita Springs, FL 34135 Phone: 239 - 948 -1520 - Fax: 239 - 948 -1519 - Email: swfcl @earthlink.net v e'1rr <Z;0 U my GMD Operations & Regulatory Management Licensing Section 2800 North Horseshoe Drive Naples, FL 34104 APPLICATION FOR COLLIER COUNTY/CITY OF NAPLES /CITY OF MARCO FIRM INSTRUCTIONS: This application must be typewritten or legibly printed. The application fee must accompany this application. The fee is not refundable after the application has been accepted and entered on the records. All checks should be made payable to the Board of Collier County Commissioners. For further information, consult Collier County Ordinance No. 90 -105, as amended. NAME OF COMPANY: Exact Corporate /Business Name: S W F CT a (- p' ! — LLL Fiction Name /DBA: Qualifier Name: C) k Ok -� K u e (Y1 M e Physical Address: g 33 i�o m v i e vJ Q�c , N g e S F L 3y 11 O (Number & Street) ( (fity) (State) (Zip Code) Mailing Address: 33 �Q�M C UJ c . a P \e S F L - 'A 1 10 (Number & Street) (City) (State) (Zip Code) Telephone: a39 - Z4 0 - 5 3y $ TYPE OF LICENSE: ❑ General $230.00 ❑ Building $230.00 ❑ Residential $230.00 ❑ Mechanical $230.00 ❑ Roofing $230.00 Specialty trade: It CHANGE OF STATUS: ( ) Reinstatement ( ) From One Business to Another Page 1 of 4 E -Mail: Sw� gckc g!4e O ❑ Electrician $230.00 ❑ Plumber $230.00 ❑ Air Cond. $230.00 ❑Swimming Pool $230.00 &.7 / Specialty $205.00 ( ) Dormant License to Active 1. The names, titles, home address and phone numbers of all Officers /Managing Members of the Firm. J (= Lons}c'�ca ova LL AP R a$`lyo pfd `ll �d "i1 k ow�.ka S oc�nUS,rt_ 2. List all businesses, firms, entities or contracting businesses you have been associated with during the last ten years (ex. Held a license for or been a partner). Attach extra pages if needed. S W F ('vc-�'\,o r LLC_ 3. List all debts you or any company(s) associated with you refused to pay and the reasons for the refusal to pay Attach extra pages if needed. C)(\<"_ AFFIDAVIT V,X VV\ e 1 certify that the foregoing is true and correct to the best of my knowledge. Authorized Officer of the Firm STATE OF FLORIDA COUNTY OF CokN \ e C The foregoing instrument as acknowledged before me this I a I a O ( y �\ (Date) By CA O. due mme of S W F Cra ('q LL C (Name of officer, title /agent) (Name of Corpo ation) a N_ k or � 6 a Corporation on behalf of the corporation. (State or Place of Corporation) He /She has produced F L Q cw c (S L� crr, Ce identification and did not take an oath. (Type of identification) NOTAR PATRICU A. !20: MY COMMISSION 9 D02 (� �A Bonded TIKU EXPIRES: July 28 ` iryPi - '�"' (SIGNAT URE OF NOTARY) Page 2 of 4 QUALIFIER INFORMATION• Name: d` a� �4,u e py,l m e t Address: UJ (Number & Street) Telephone: ga"N. 3�1 O - 5,Y4 S S.S. #: 000 -00- - - C\0`I $ c . 1y a p 1,e (City) Driver's License: 145`�O. 6110 - U $ - 310`1- 0 r- L 3`i1 \d (Zip Code) Date of Birth: E -Mail: S W -- ! ca f a q e @j e_gX A4\ \; t1 K . (\ e+ 1. Type of Certificate of Competency for which application is made. 2. The names and telephone numbers of two persons who will know your whereabouts. ��sh sir 3. Have you ever been convicted of a crime related to Contracting ?_ NC) (If yes attach extra sheet with explanation) 7. Have you or any firms you have been associated with ever filed bankruptcy ?_ \I e S - ►Q C Sores a 11 u 8. List all debts you or any company(s) associated with you refused or failed to pay and reasons why. yU Oil -e A 9. List your business or work experience during the past ten years. C-"264-i-'6 C1rf"c'o,1 C-oAAScaS-k--of — cDWR Q-G(\ �--cvck�ov\ L-LL 10. Statement of any formal training you have had in the area for which the application is made. C ,P- A- ad' c) T (- a e\ CA w i'1-h Page 3 of 4 C AFFIDAVIT The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County Ordinance No. 2006 -46, as amended, and vouches for the truth and accuracy of all statements and answers herein contained. The undersigned hereby certifies that he is legally qualified to act on behalf of the business organization sought to be licensed in all matters connected with its contracting business and that he has full authority to supervise construction undertaken by himself or such business or organization and that he will continue during this registration to be able to so bind said business organization. The qualified license holder understands that in all contracting matters, he will be held strictly accountable for any and all activities involving his license. Any willful falsification of any information contained herein is grounds for disqualification. CA a -� due nnM'e � APPLICANT (PLEASE PRINT) -SwF G('d�ge LLC- NAME OF C P SIGNATURE OF APPLICANT STATE OF FLORIDA COUNTY OF (n k,1 PC The foregoing instrument as acknowledged betore me this I a x a o ty (Date) By U\ a k-vf tM rn' 1 who has produced (Name of person acknowledging) as identification and did not take an oath. NOTARY'S SEAL 'fi r MY COMMISSION N DD 976 02 .. EXPIRES: July 201Unde4 rtlM� BOWW Tlnu Notes Public (Type of identification) (SIGNATURE OF NOTARY) Page 4 of 4 State of Florida Florida DPpanmen-, Department of Business and Professional Regulation Bus nesg6_, Protessibnal Exam Grade Report Regulation CANDIDATE: 213159 EXAM: GC General ID: '19098 KUEMMEL,OLAF 28440 OLD 41 RD,UNIT 11 c -' BONITA SPRINGS FL 34135 '`` Site: RADISSON MART PLAZA HOTEL 777 NW 72ND AVENUE MIAMI FL 33128 {'`° Examination Part Date Take# Pass.Gr. Grade Status BUS Business/Finance 18-JUN-02 2 70 73.75 Pass Examination Part Date Take# Pass.Gr. Grade Status CA Contract Administration 19-JUN-02 2 70 78.33 Pass Examination Part Date Take# Pass.Gr. Grade Status PM Project Management 19-JUN-02 2 70 75 Pass Overall Examination Status: Pass A B C D s January 30,2014 11:29 ex27a-Exam Grade Report Page 122 of 239 AFFIDAVIT IT IS understood and acknowledged by the Collier County Contractors' Licensing Board and myself that if I fail to acquire, or maintain at all times effective Workmen's Compensation Insurance it will result in the possible revocation of my Certificate of Competency. SIGNATURE OF APPLICANT S l�.J F �r o,sa LL C BUSINESS NAME aol DATE EFORE ME this day personally appeared O \A �- V, U e W (NA e 1 who affirms and says that he Ls less than one employee and does not require Workmen's Compensation understands that at any ne he employees one or more persons he must obtain said Workmen's Compensation Insurance. `ATE OF FLORIDA )UNTY OF Col \*% e(- e foregoing instrument was acknowledgod before me this i I a S a0I Y (Date) who has produced _ �� \Qc� \j ets LAC-t y\S� (name of person acknowledging) `('Iwe of identification) dentification and who did not take an oath. NOTARY'S SEAL 93E] t SIGNATURE OF NOTARY (PRINT NAME OF NOTARY PUBLIC) NOTARY PUBLIC VERIFICATION OF CONSTRUCTION EXPERIENCFl UMD Operations & Regulatory Management Department Licensing Section 2800 N. Horseshoe Drive Naples, FL 34104 applicant's Name: CAa �- 'ertificate Category Requested: (J y X 'he Applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the pplication for this certificate the Applicant must verify their experience within this trade. You are being requested to rovide information that will aid the Applicant in meeting this requirement. You should verify time of active experience ,orking as an apprentice or a skilled worker (e.g. as a worker commanding the wage of mechanic or better in the trade). 'ime served solely in a supervisory or administrative role should be described, but may or may not be considered efficient to demonstrate required trade experience. The person verifying trade experience must provide the following iformation: ame, Title and license number of the person signing below and verifying Applicants relevantexperience: ame: ZUG/ `?ih tle: QW h ei "" License Number (if applicable): ZCC 2 Q Z 0,0 0 ZZ e67 � J ame of Business: ,��,E7�i a �/L >?. '7� / a ��& isiness Address: _ CZ�Z��i',� isiness Phone: C 3 7 �� Ye- 11-4/06 3 The Applicant's years of experience from to ie applicant's scope of work (specific duties) included: _fe z 3 C4 /M(4- h Q- .- - e h 1 Y, o� f` �'�.i� 1,/l ta r 4L-9e-- c �'l �a 7 i f /L /1e -- vG j e c./ f �=s r 1 �./ru h c z •� >✓ C� �,-- ,gyp �e�� �'�h �Ca a-�^ lla& j c r-e ditional Comments: lye � 5 +-- Sys N •, 14A o �/�L° �� C >'S �, �+.1 A 6L Isifying any information provided herein may subject your license to revo tac ion Signature Print Name: to of Florida inty of Collier foregoing instrument was acknowledged b i1u-s `J dad �-06C ^ Z-o ra-2 -G who is personally known to me end who did not take an oath: 4W` " PATRIOA A. 190N A MY COMMISSION i DD 976102 EXPIRES' July 28.2014 Baided Thru"Pais Ur dewdhn 2 fiC�,4 Z-rl-) of Signature of Notary — 4) 4�, VERIFICATION OF CONSTRUCTION EXPERIEN GMD Operations & Regulatory Management Department Licensing Section 2800 N. Horseshoe Drive Naples, FL 34104 Applicant's Name: `ti� Kv, etnnr�e' Certificate Cateeon• Requested: E-L _O X V S 0111 e The Applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate the Applicant must verify their experience within this trade. You are being requested to provide information that will aid the Applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker (e.g. as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience must provide the following information: Name. Title and license number of t``h��ee> person signing below and verifying Applicants relevantexperience: Name: re, I Le-g- K. wox Title: Gl Ire'sl J-Y" � Q� License Number ifapplicable): ( LC��,o�3 OoO3`IOTS Name of Business: C Business Address: lgalzz� lz CA � ryt t A40 C !A M 4 e y f !F L 33CI 6 3- Business Phone: _L Q �d —4 i (o The Applicant's years of experience from _ a)LO - to The applicant's scope of work (specific duties) included: Pit SCO b e— S O.P "MO L � t v\� ';r0*V. 011012C4 VW1e%nC-. .0VVX,eh4 aKC—k CV\mG�'tn4 +n _eli,�ir" t' r S 40 Additional Comments:—, C—x4r -e ywe ( y }�Y1Ot�� (� d� P� �1 1,) V ? Q r , O Y WO-v Wo-vr, p4 h11 U \ CA C Y kv palslf�li g any Information provided herein may subject yuur license lu revocation. ' 1 Signature �^ // Print Name:_ �G YZV , f ei YLt� sate of Florida :ounry of Collier -he was y �—a%- \05 AV O ,\ rdewificatkin anri u.ti mid not take an oath. - a U ien?�onthi 3 da 07 O� l is personally l:nowm PATFM A. am MY COMhtlSSM # D0 OTM EXPIRES' Juh 26, 2014 dlf •',, Bonded Thu Nohry Pubic W*Wkwn Signature of Notary RIFICATION OF CONSTRUCTION EXPERIEN GMD Operations & Regulatory Management Department Licensing Section 2800 N. Horseshoe Drive Naples, FL 34104 Applicant's Name: \ O. �- KU<' YYIm f 7ertificate Category Requested: the Applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate the Applicant must verify their experience within this trade. You are being requested to )rovide information that will aid the Applicant in meeting this requirement. You should verify time of active experience vorking as an apprentice or a skilled worker (e.g. as a worker commanding the wage of mechanic or better in the trade). rime served solely in a supervisory or administrative role should be described, but may or may not be considered ufficient to demonstrate required trade experience. The person verifying trade experience must provide the following nformation: Jame, Title and license number of the person signing below and verifying Applicants relevantexperience: Jame e5 -I_- 'itle: OWn e- License Number (if applicable): LCC.o1013 000 I $� O lame of Business: usiness Address: 0 \ry y \ e w usiness Phone: a3`1 a b9 • y S 9 The Applicant's years of experience from 1 to ,lot 9 he applicant's scope of work (specific duties) included: i �IiV�U�e-�- 'e- 0 e CA- N'\ClT\Ckcac �ey\-k' �C\rveC\ v,JV, VI\ � . (raFet �o, ��c ���s�� -�On a�� dditional Comments: �` q ► S Q h eX�e C 'r \ f1 Y\ S O(' p SS 1 Or Q if1c� c ► a ��a�veob�e aSSe�- --� (20 Co ec GceOA- ilsifying any information provided herein may subject your lac nse to re ocation. \\ _v ate of Florida )unty of Collier e foregoing instrument was acknowledged Mater 3%,a0ny identif cation and w o did not take an oath. a�'"r •y, PAliBgA LONN MY COMMISSIOP= EXPIRES JuBonded Thru Nomry bm Signature I Print Name: 5� on this- -3_� _day of ao 14 onally known to me rhr t Signature of Notary -\e (S. STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 KUEMMEL, OLAF SWF CONSTRUCTION 28440 OLD 41 RD, BONITA SPRINGS LLC UNIT 11 FL 34135 050),487-1395 Congratulations! With this license you become one of the nearly one million STATE OF FLORIDA AC# F321237950 Floridians licensed by the Department of Business and Professional Regulation. DEPARTMENT OF BUSINESS AND Our professionals and businesses range from architects to yacht brokers, from PROFESSIONAL­REGULATION , ­ —11 boxers to barbeque restaurants, and they keep Florida's economy strong. 11',-, Every day we work to improve the way we do business in order to serve You better' CGC1504995 4/-12 128040146 For information about our services, please log onto www.myfloridalicense.com. ! ,�- ,, CERTIFIED rbWERAL.�,,CONTRACTOR There you can find more information about our divisions and the regulations that -� KUEMMEL impact you, subscribe to department newsletters and learn more about the Department's initiatives. SWF CONShi5C!t-I6NtL-LC ')ur mission at the Department is: License Efficiently, Regulate Fairly. We .onstantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! IS CERTIFIED under the provisions of Ch.489 FS Expiration date: AUG 31, 2014 L12081401993 34 6267950 DETACH HERE STATE OF FLOR16A DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD SEQ# L12081401993 08/14/20121128040146 1CGC1504993,,-,! rhe GENERAL CONTRACTOR qamed below IS CERTIFIED inder the provisions of Chapti6r, 1 x-48 Expiration date: AUG 31, KUEMMEL, OLAF. N SWF CONSTRUCTION LLC 28440 OLD 41 RD, UNIT 11 BONITA SPRINGS FL 34135 RICK SCOTT GOVERNOR DISPLAY AS REQUIRED BY LAW KEN LAWSON SECRETARY ox °wA ti► r- Ur rLUK1UA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD .� 1940 NORTH MONROE STREET WE TALLAHASSEE FL 32399 -0783 KUEMMEL, OLAF SWF CONSTRUCTION LLC 28440 OLD 41 ROAD #11 BONITA SPRINGS FL 34135 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and business- ft boxers to barbeque restaurants, and they keep Florida's economty strong. from Every day we work to improve the way we do business in order to serve you better,. For information about our services, please log onto www.myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's initiatives. i (850), 487 -1395 STATE OF FLORIDA AC# 6 29 7 70 5 DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CFC1426144' �QB /14,/-12 128040146 CERTIFIEDPLL M.ING'.CONTRACTOR KUEMriEL, � SWF CONSTRUCTION 7ur mission at the Department is: License Efficiently, Regulate Fairly. We ,onstantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! ! Is CERTIFIED under the provisions of ch.489 Fs Expiration date: AUG 31, 2014 L12 0 8 14 0174 8 DETACH HERE 6 2 6 7 7 5 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL CONSTRUCTION INDUSTRY LICENSING REGULATION i BOARD i SEQ# L12081401748 LICENSE NBR,' 08/14 2012 128040146 CFC1426144 - "A The PLUMING CONTRACTOR Nit lamed below IS CERTIFIED Tnder the provisions of ChapterM89 ".FS.._. :xpiratian date: AUG 31 2014,..1 i KUEMMEL, OLAF SWF CONSTRUCTION LLCM 28440 OLD 41 RD, UNIT 11 BONITA SPRINGS _ FL 34135 i RICK SCOTT i GOVERNOR KEN LAWSON i SECRETARY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER E(_ CAD - VELA- 1 am a resident of FLoeiplq County, (State) and have resided here for more than five (5) years. During the last five years I have known 0\ O, -- K LkQ M(y\ e 1 (Applicant). I have had the opportunity to observe his or her business and personal dealings and find him or her t 'be a person of honesty, integrity and good character. (Signature) (Name) PA N(CL Jt6 (Address) *7 / SP/Z/ A)&S L'4 A)EC N ITS- SLr- / nx� F(—, 015 � Telephone 03 7) zqg Z- (E 5— STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this a - Li - { 1 by e_� �e •% (Date) who has produced _ F� Q��� � � s L� �eu�S e (name of person acknowledging) (Type of identification) as identification and who did not take an oath. NOTARY'S SEAL c.CA 1 SIGNATURE OF NOTARY Pa--s \ c \ G `►y .�sov� (PRINT NAME OF NOTARY) NOTARY PUBLIC EAas"P.-PATRIM A. ISON MY COMMISSION N DD 976402 EXPIRES: July 28, 2014 Bonded Thru Notary PuD6c UndeiwA►as NOTARY'S SEAL c.CA 1 SIGNATURE OF NOTARY Pa--s \ c \ G `►y .�sov� (PRINT NAME OF NOTARY) NOTARY PUBLIC AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER am a resident of L t County, 16 i - (State) and have resided here for more than five (5) years. )wring the last five years I have known — 0\0A- KU - 04-\M c- I (Applicant). I have had he opportunity to observe his or her business and personal dealings and find him or her to be a person of ionesty, integrity and good character. (Signature) j 4" t; (Name) ' J b (Address) 9'00 % &-/2 �V 6L003 Telephone) _ 2 JQi - ;?, l % L - 3 STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this - 3 by (Date) "A- 001tAo. ACS* \o who has produced —FL QtweCS 1-. crv"Se (name of person acknowledging) (Type of identification) as identification and who did not take an oath. N' », „ PATWA A. IS�I 14 �;� MY COMRdMAM M DD 976402 EXPIRES: Juh 28, 2014 tit , • W4ea Thu NoWy Pu* Wdenalws NOTARY'S SEAL SIGNATURE OF NOTARY vc;�v c � c � a V' �SC)V1 (PRINT NAME OF NOTARY) NOTARY PUBLIC STATEMENT OF OWNERSHIP This certifies that I, D\r� 4— am a member or (APPLICANT'S NAME) Managing member of �D W F C-)- -o L' (LIMITFD I.IARII.ITYCnMPANYNAMEI I own 5 J % of the units issued by the Limited Liability Company listed above. Affidavit of Applicant: I certify that the information contained is a true and correct statement to the best of my knowledge. (PRINT NAME) ZI (APP1.If.ANT's SIGNATURE) a"d - ao11-A (DATE) Jan 26 14 01:1 by 239- 277 -0167 2392770167 Premier Profile - S`1VF CONSTRUCTION CORP Subcode: 664760 Ordered: 0 ti2E/2014 11:43:C9 CST Transaction Number: C009091441 Search Inquiry: svvf construction Ilc/bonita springlFL,`202136920 Model Description: Intelliscore Plus V2 p.7 ExperEan- Doing Business As: S�YF CONSTRUCTION LLC Website: wvw_}1rffCns_IrUClions_�im Primary Address: 23440 OLD 41 RD * 200 Phone: (239) 948 -'520 BONITA SPGS, FL 34135 -7070 Tax ID: 2C- 2136920 This ousiness is the ultimate parent. i "i See_1 �e_corgor�2e hierarchy_h}Lclickigghere Risk Scores and Credit Limit Recommendation Intel! score Plus Financial Stability Risk °�//+� MEDIUN,l s MEDIUM L RISK f 'SK Score range: 1 - 100 percentile Credit Umil Recommendation: $11,601) 1)a - Days Beyond Terms Derogatory Legal Fraud Alerts Company CET Original Filings High Risk .41ers ---- =•? SV1dF Construction LLC. is headcuarlered in 3oniLz Springs FL. It is a construction company. Tt-e company offers flooring• kitchen remodeling, custom cabinetry, and window replacemert It serves Naples, Bonita Springs, Estero, and Bonita Beach Years on File: 13 (FILE ESTABLISHED 09-!2001 11 SIC Code: OPERATIVE BUILCERS - 1531 State of Incorporation: FL CONSTRUCTION, SINGLE- FAN111-Y HOUSES - 1521 Gate of Incorporation: 01/0112005 FLOOR COVERING STCRES - 5: ' 3 Business Type: Institutions - Prof t NAICS Code: Residential tial Reoce(ers - 23'0' 18 Contacts: OLAF KUENIMEL - OWNER New Single- Frmily Haas ng C»stri-xtion (except For -Sate Builders) - ANTH•ONY FELICE - VICE PRESIDENT 236115 Floor Covering Stores - 442210 OLAF KLIENNEA - OWNER Number of Employees: 10 Sales: s 52,360, ?00 Business Alerts Active Business Indicator: Possible OFAC Match: Business Victim Statement: j' E:cneriar. sho�,vs this busiress as xtK-e No CFAC match found i No victiri statement on file 'IcN - Verification Triggers The orimary Business Name, Ada,ecs, and P-ione Number on Experian File were reviewed for Fligh Risk indicators, no High Ris: indicators were found. Pr=imer Frorle - S61F CONSTRUCTION CORP 1i 6 Jan 28 14 01:17p 239 - 277 -0167 Credit Risk Score: Intelliscore Plus i. I Current lntelliscore Plus Score: Co This score predicts the iikel hood of serious credit delinquencies for this business viitnin the next 12 months. Payment history anc public record along :rich other variables are used tc predict future r sk. Higher scores indicate lovre• risk. Factors lowering the score > NUMBER OF COMMERCIAL AC,' OUNTS V.1M -I NET 1 -30 DAYS TERM NUMBER OF CONIM RCI.AL COLLECTION ACCOUNTS > NUfv1BER OF DEROGATORY COINAMERCIA- LEGAL ITEMS > NUMBER OF RECENTLY ACTIVE COMMERCIAL ACCOUNTS Quarterly Score Trends Quarterly Score Trends 100 EO so -0 - 130 50 ao - 3 24 =" 12 14 to 7 0 3L�fc9 3 Cwt Credit Risk Score: Financial Stabil"Risk Current Financia? Stability Risk Score: V5 This score p-ecicts the iikelihcod of `•narcial stability risk within the next 12 months The score uses trade ine and collections information. public filings zs we I as other varables to predict future risk. Higher scores indicate lower r sk. Factors lowering the score > NUMBER OF COib'Fv1ERCIAL COLLECTION ACCOUNTS > NUMBER OF ACTIVE COIvlfvIERCIAL ACCOUNTS - NUMBER OF C01r1falERCIAL DEROGATORY PUEL IC RECORDS RISK ASSOCIATED VOTH THE COMPANY'S INDUSTRY SECTOR Credit Limit Recommendation f 2392770167 p.8 Risk Class: 3 eeot aiexstr� raor� The risk class groups scores by nsk into ranges of similar performance Range 5 is the highest risk, rarge 1 is the lowest risk. Industry Risk Comparison 259/0 of businesses irdicate a Nclher l keiihocd of severe delinquency. The Quarterly Score Trends provide a view o` the likelihood of delincuenry over the past 12 months for ti:is business. The herd=_ :vill indicate if tae score im ;roved. remained stable, fluctuated or declined over the last 12 mcrmths. Risk Class: 3 The isk class groups scores by risk nto ranges of similar perf4rmance. Range 5 is time highest -isk, range 1 is tha lowest risk. Industry Risk Comparison 14% of businesses ineica:e a higher iikalih�od of firancia stability risk. Credit Lim Recommendation Th s recommendation compares this business against similar businesses n the Experian business credit database. It is based cn trade nforra: on. industry, age of business arc the Intellisxre $11,800 Plus. The recommendation is a guide The final decision rust be made based on your ccmpany's business policies. TOP Q = raerniar Profile - SVVF' CONSTRUCTIQ*: CORP 2/5 Jan 28 14 01:17p 239 - 277 -0167 Payment Performance Trade and Collection Balance Current DBT: 3 Total trade and collection (12): Predicted DE T : N ±A Ail trades (9). Monthly Average DBT: 13 All collections (3): Highest DST Previous 6 Months: 15 Continuous trade (5): Highest DBT Previous S Quarters: 21 6 month average: 'Payment Trend Indication: Highest credit amount extended: Payment tend indicator not available Most frequent industry purchasing terms: UCC filings: Industry Durchasing semis net a�-ailab e Industry Comparison Cautionary UCC filings: Industry DBT Range Comparison $503 The current DBT of this business is 0. 80`.>n of businesses have a DB- range of 0 -5 ID BT for this business: 0 AUG13 T $500 JUL123 -18% 15 15 5500 lit Y3T Pange- 0 -F n -15 1 fir - 2392770167 p.9 TC DBT Trends Monthly DBT Trends 0U.- ierly DBT Trends 30 30 20 21 '`0 - 20 15 - 15 15 15 15 15 15 14 10 iG 5 J ' �a �0 }0 0 0 0 1.3 jk "63 - 3- Monthly Payment Trends Legal Filings Cur S'.003 Bankruptcy: No :;20C Tax Lien filings: 0 CURRENT Judgment filings: 2 S °'303 Sun of legal filings: $4,720 S100 UCC filings: 5100 N;A Cautionary UCC filings: Nc $503 7811• 14 15 $500 TC DBT Trends Monthly DBT Trends 0U.- ierly DBT Trends 30 30 20 21 '`0 - 20 15 - 15 15 15 15 15 15 14 10 iG 5 J ' �a �0 }0 0 0 0 1.3 jk "63 - 3- Monthly Payment Trends Prern car Pro'ile SYdF : ONSTRUCTION CORE 3; 6 Payment Trends Analysis OPERATIVE BUILDERS - 153 1 Cur Date Reported P Industry Business DBT Balance 1009 Cur DBT 100 ".� CURRENT 77% 15 0 5100 DEC13 77% 15 0 5100 NOV13 751/0 14 0 5100 OCT 13 77 %. 15 15 $5 SEP1 7811• 14 15 $500 AUG13 78 °. %0 14 15 $500 JUL123 -18% 15 15 5500 Prern car Pro'ile SYdF : ONSTRUCTION CORE 3; 6 Account Status Days Beyond Terms Cur 1.30 31.60 6: -90 �1 s 1 OO` -C 1009 100 ".� 100% 100:; 100 °S Prern car Pro'ile SYdF : ONSTRUCTION CORE 3; 6 Jan 28 14 01:18p 239-277-0167 2392770167 P.10 TC-P � Date Quarterly Payment Trends Original Outstanding Date Payment History- Quarterly Averages Days Beyond Terms Account Status ------- Balance Balance Days Beyond Terms Agency Quarter "Months DBT Balance 31-60 Cur 1-30 91+ 5475 04 - OCT - DEC 14 $200 711� -i6311 .r25 -0800 tab- JUL - SEP 15 S500 51,084 S',084 01-1-13 APR - JUA 21 3500 %2OO 28% 3152009 -01-13 AN - MAR 0 so so 0612010 04-12 OCT - DEC 0 so NET 30 TC-P � Date Status Original Outstanding Date (Trade Lines with an (•) aller the date are newly reported) Days Beyond Terms Placed ------- Balance Balance Closed Agency Agency Phone E3i2010 Paid ,n -Ull 5475 -$104 04,'2010 A.G ADJUSTMENT-S LTD -i6311 .r25 -0800 '-2/2009 Open ACcount 51,084 S',084 CASH S 4 00 REVENUE SYSTEN1S INC. :800) 4667-4064 3152009 Paid n Full 55.244 so 0612010 RECEIVABLE MANAGEMENT PLUMBiNG 0 NET 30 0312013 N PRNTG&P(A8JL 12.i2013 SERVICES {4f,41242 -4000 Trade Line Type Lines Reported DST Recent High Credit ContinUOL S 5 $900 Ne.v Combined Trade 5 $900 Additional 4 C-24,600 Total Trade 9 525,500 -r Q Balance Current 01-30 31-60 61-90 91+ S100 100% SO $100 00% $1 co 1 %C w 5200 100% '1,=P ;0 Pre7-,i?r Prcfile - SWF CONSTRUCTION CORP 4i ;- PayrnerIf Experiences Account Status (Trade Lines with an (•) aller the date are newly reported) Days Beyond Terms Business Date Last Payment Recent High Date L Category Reported Sale Terms Credit Balance Cur 1 -2 0 31-60 61-90 91+ Comrnantiz; CONS71RUCTN 01 ;2014 Terms Credii B NET 30 SO 'CRAFTS —112013 12112005 V CASH S 4 00 so DISTRIBUTIR 'V2013 1312013 N.,ARIED S5; O <a100 FINCL SVCS OV2014 PLUMBiNG 0 NET 30 0312013 N PRNTG&P(A8JL 12.i2013 VARIED SO Pre7-,i?r Prcfile - SWF CONSTRUCTION CORP 4i ;- Paymenj Experiences A Account Status - (Trade Lines with a an (*) a* t the date are newly reported) D Days Beyond Terms Business D Date L Last P Payment Recent High :qatagog­_ __Reported S Sale T Terms Credii B Balance Cur 1-30 31-60 61-90 91+ C Comments ALUM NUM, 0 06!2013 1 12112005 V VARIOUS $ $0 C CUST 8 YR FINCL SVCS 0 05,,2012 0 0212012 V VARIEC 524.500 $ $0 A ACCTCLOSED PLUMBiNG 0 08:2013 0 0312013 N NET 10 $100 S S100 100 TRAINSPORTIN 0 09,2012 N NET 30 - -SO P PROMPT 40 yo' Pre7-,i?r Prcfile - SWF CONSTRUCTION CORP 4i ;- Jan 28 14 01:18p 239 - 277 -0167 2392770167 p.11 File Date Filing Type Status Amount Filing Number Jurisdiction I 09;2312008 Federal Tax -ten Released $9,007 2008000252205 LEE COUNTY CIRCUIT COURT F -led by: INTERNAL REVENUE SERVICE Judgments 52,894 F:le Date Plaintiff 52,894 -_ -- - 12,1612009 CAIN AND BULTMAR 14C 10'28%2009 CAIN AND BULTMAN INC 1 011 612 00 9 CITY ELECTRIC SUPPLY CCMPA.NY 08;25.12009 CITY ELECTRIC SUPPLY CCIAPANY Status Amount Filing Number Satisiiec 52,894 2009SC005887 Filed 52,894 2009SC005887 Satisfied S'.826 09SC946 Filed S1,826 2009095696 Jurisdiction SARASO T A. COULSTY CIRCUIT COURT SARASOTA COUI.T'f CIRCUIT COURT LAKE COUNTY CIRCUIT COURT LAKE COUNTY CIRCUIT COURT UCC Filing Summary I Date Range 'rear Cautionary Total Released I - - - -- -- - -- - UCCs Filed Termination Continuous - -- -- —... .IAN PRESENT 2014 JU_ - DEC 2013 -AN - JUN 2013 -U- - DEC 2012 JAN - JUN 2012 PRIOR TO JAN 2012 1 1 Total 0 1 0 1 CatiJonary UCC. Filings nc ude one or more of -he rollewia9 rb lateral: 'ccoun's, Accowils Rsceiwable,, Coitrnct Rights Hereofte• Acquirer Property Inventory, Leases, Notes Receivab a or Proceeds. UCC Details UCC CONTINUED Date. 04125 .2011 UCC FILED Date: 10120:2006 Filing Number: 20110447069X Filing Number: 200603949744 Original Filing Daie: 10212006 Jurisdiction: SEC O- STATE FL Original Filing dumber: 2.005039497 Secured ?arty: SUNTRUST BANK 'VA RICHMOND 23260 PO BOX 26202 Original Filing State: FL Jurisdiction: SEC OF STATE_ FL Secured Party: Leasing Information i Leasing Company: LEASING SERVICES Address: CEDAP RAPIDS, 52406 -0509 Phone: (319) 365 -8000 Origination Date: 0112008 Orrinal Lease Amount: 514,312 Lease Product Type: OFFICE ECU? Lease Term: Gil MONTHS Payment Interval: 12; YEAR Payment Type: Fixed Current Scheduled Amount Due: $238 Amount of Overdue Payments: $238 Remaining Balance: S715 Late Payments: 0 Corporate Registration THE FOLLOWING INFORMA710N 1,^,rAS PROVIDED BY THE STATE OF FLORIDA. State of Origin: FL Date of incorporation: 01101,2005 s Amended 1 Assigned 0 Premier P-atile - SbVF CONSTRUCTION CORP 5, Jan 28 14 01:18p 239 - 277 -0167 2392770167 p.12 Current Status. Active Business Type: Institutions - Profit Charter Number: L0500000C1 Agent: KUEMMEL CLAF Agent Address: 27051 ECENRCCK CT BONITA SPRINGS, FL TC� Business Name I Location BIN The inquired upon business, SWF CONSTRUCTION CORP, is the Ultimate parent VVF CONSTRiJCT!OV CORP 2E440 OLD 41 RC !,'200 - SON!TA SPGS,;:L 735562 -747 Branches of the inquired upon business: Sk,''F CONSTRUCTION CORP 20 FAIRVIEW S_VD - FORT MYERS BEACHLFL 845570054 OP Summary of Inquiries I Business JAN W DEC13 NOV13 OCT13 SEP13 AUG13 JUL13 JUN13 MAY13 -- ____ -- BLDG tv1ATRL 1 — :RED CARD 1 Tctals a 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 -510 -1221, option #4 for more information. End of report 1 of 1 report Ttc :ifo.aiarion heretn is h1wished in ccnude.rrce to ycwr (;xGusve use for fcgiNrnate ixrsi'ess pr-rl oses 3"d shall ner be reproduced. Neither Exp?nar lnn,rtratkm solutions. Inc.. nor lrrek sun,-os or dis. rb✓!ors warrenl such ir;formulien nor sha11 !hev to li<:ole for your use or Idanc upon i!. F,`• Fxxrian 2014. /u! rights resar.,ed. rivac•r n_Q r Experian and tho Expe<. ian rnarks ,*rein are eriice rnarks or registered trademarks of Experian A Premier ProVe - S%/VF CONSTRUCTION CARP 616 Jan Ltd 14 U1 ;19p 239- 277 -0167 2392770167 p.13 Merit Credit Fast, Accurate & Secure 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 CHECXED AND VERIFIED AT THE COUNTY (INCLUDING PINELLAS), STATE AND FEDERAL LEVELS. PUBLIC RECORDS LEARNED: 3 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: SWF CONSTRUCTION LLC FEDERALID: 20- 2136920 CURRENT STATUS: ACTIVE BUSINESS PRINCIPAL(S): OLAF KUEMMEL TITLE: PRESIDENT DATE INCORPORATED: 12130/2004 s Jan 28 14 01:16p 239 - 277 -0167 Preparec By: Merit Credit (239) 277 -3202 (800) 371 -3348 TRANSUNION CREDIT REPOR- :FOR] [SUB NAME] Z lIP6284423 MERIT CREDIT 2392770167 p.2 [MKT SUB] [INFILE] [DATE] [TIME] 16 NF 9101 01128114 11:35C`_ [SUEJECT] [SSN) [BIRTH DATE {UEMMEL, OLAF F. -9C98 10/68 [ALSO KNOWN AS] ,CEUMMEL, OLAF [CURRENT ADDRESS] [DATE RP -_D] 27061 EDEN ROCK CT., BONITA SPRINGS FL. 34135 1/07 [FORMER ADDRESS] 2328 HERITAGE GREENS DR., NAPLES FL. 34119 3/07 28440 OLD 41 RD -, #10. BONITA SPRINGS FL. 34133 [POSITION] `CURRENT EN_PLOYER AND ADDRESSI [RPTD1 SWF CONSTRUCTION CORP OWNER BONITA SPR =IGS FL. 7/04 - -- ----------------------------------------------------------------------- S P E C I A L M E S S A G E S ** *ADDRESS ALERT: CURRENT INPUT ADDRESS DOES NOT MATCH F =LE ADDRESS(ES) ** ----------------------------------------- M O D E L P R O F I L E * * *FICO CLASSIC 04 SCOPE +682 : 03B, 010, 018, 013 * ** ---------------------------------------- C R E D I T S U M M A R Y * ** T 0 T A L F I L E H I S T O R Y PR =5 COL =O NEG =11 HSTNEG =O TRD =25 RVL =9 INST =7 MTG =9 OPN =O INQ =3 HIGH CRED CRED LIM 3ALANCE PAST DUE MNTHLY PAY AVAILABLE REVOLVING: $996 $1000 $516 $0 $10 48% INSTA71,MENT: $44.8K $ $25.1K $0 $507 MCRTGtAGE: $154K $ $ TOTALS: $199K $1000 $25.6K $0 ;517 ----------------------------------------- P U B L I C R E C O R D S SOURCE DATE :,IAB ECOA COURT ASSETS PAID DOCKET# 7Y7E PLAINTIFF;ATTORNEY 2 5064304 6 /10R I FE `3110 1014779 CHAPTER 7 BANKRUPTCY DISCHARGED BRIAN C ZINN Z 5064186 3 /10R $191K C CI 6/1-0 95514CA CI`JIL JUCGNIENT IN BANKRUPTCY WILLIAM F KULP Z 5064226 10!09R $29-94 C CI 12/09 009SCO058B7 PAID CIVIL JUDGMENT CAIN AND BULTMAK INC Z 5064206 8/09R $1826 C CI 6/10 2009095696 CIVIL JUDGMENT IN BANKRUPTCY CITY ELECTRIC SUPPLY C 2 5064206 8/09R S1326 C CI _0/09 9SC946 PAID CI`V'IL JUDGMENT CITY ELECTRIC SUPPLY C --------------------------------- T R A D E S Jan 28 14 01:16p 239 - 277 -0167 2392770167 p.3 SUBNAME SUBCODE OPENED HIGHCRED TERMS MA):DELQ PAYPAT 1 -12 MOP 1CCOUNT4 VERFIED CREDLIM PrSTDUE AMT -MO? PAYPAT 13 -24 ECOA CCLLATRL /1,0ANTYPE CLSD /PD BALANCE REMARKS No 30/6G/90 SUNTRUST BK B 423AO21 6/06 $65.9K C9p :470897260000 9/09A $7 -.OK $0 I HOME EQUITY LOAN 8/09? $0 ACCT CLSD BY CONSUMER FNB OMAHA B 1765005 5/ -1 $986 MIN10 111111111111 R01 34245265572 1/14A $1000 $0 111111111111 I SECURED CREDIT CA $516 31 0/ 0/ 0 GECRB /BRDC B 235064C 6/07 $231 lllli1111�.11 RCl 447993101224 1 /14A $500 $0 1111I111Ii`_1 1. CREDIT CARD 9 /11C $0 ACCT CLSD BY CONSUMER 48 0/ 0/ C CAF F 451gK001 9/13 S26.2K 601 -0507 11- IC1 12/13A $0 = AUTOMOBILE S25.1K 3 0/ 0/ 0 BK OF AMER B 6331059 4/02 $2103 XXXXXXXXXXXX RO1 3339 5/13A $1600 $0 Xlllliii1111 A CREDIT CARD 9 /11C $0 ACCT CLSD BY CONSUMER 48 0/ C/ 0 CREDITACPT F 950YD02 12/10 $33.2K 57M584 111111111111 IOl 9/12A $0 11111111 I -AUTOMOBILE 9/12C $0 CLOSED 20 0/ 0/ 0 HS3C /R.S B 2DQ1120 12/06 $4373 1111111XXX11 RO1 2936111000l 7/09A $4400 $0 1 =1111 C CH zRGE ACCOUNT 8/08C $0 CLOSED 30 C/ 0/ 0 BK OF AMER B 6331062 8/06 $87.9K 360M956 1_1111111111 :101 11/08A $0 1'iillll111 I SECOND MORTGAGE 11/08C $0 TRNSFRD: OTHER LENDER 22 0/ 0/ 0 APPLIED BNK B 24UB126 1/02 $780 11111111111 RO1 422709747040 8/08A $1C00 $0 1111 = 1111111 = CREDIT CARD 3/08C $0 ACCT CLSD BY CONSUMER 48 0/ 0/ 0 CREDITONEBA *K B 54MR013 5/02 $395 1111'1111111 RD-" 47319CO42571 10 /C7A $400 $0 11111111'_111 I CREDIT CARD 5 /C7C $0 ACCT CLSD BY CONSUMER 48 0/ 0/ 0 TD AUTO FIN F 624C139 11 /C3 $26.9K 72M X1111111 -111 I01 1010692008 9/07A $0 111111iiiiii I AUTOMOBILE 9/07C $0 CLOSED 46 0/ 0/ 0 SUNTRUST BK B 423AO21 7/04 $65.GK 111111111111 CC1 1470394261530 7/06A $65.,)K $0 11111111111 C HO'-1E EQUITY LOAN 7/05C $0 ACCT CLSD BY CONSUMER 23 D/ D/ 0 1ST NATBK FL B 1Y4F001 7/04 $154K 360M735 1111? 1✓0_ 80174442 1 /05A C CONVENTIONAL REAL 5 0/ O/ 0 1S^ NATBK FL B 1Y4F001 7/04 $18.E.K 481I454 11111 101 78523101 1 /05A Jan 28 14 01:16p 239- 277 -0167 2392770167 p.4 C AUTOMOBILE 5 0/ 0/ 0 OCWEN LOAN B 813P004 5/03 $219K 360M1457 11111XXI 11401 32629115 6 /C4A SC I CONVENTIONAL REAL 6/04C $0 -RNSFRD: OTHER LENDER 8 0/ 0/ 0 2.1EX B 21WBOC1 8/02 $0 RUR 3499909752327543 5/11A $8200 $C I CREDIT CARD 4 /10C $0 INCLUDED IN BNKRUPTCY FIFTH THIRD B 9925002 8/05 $307K MUR 401/83843 4 /11A $0 C CONVENTIONAL REAL 4111C $0 CHAPTER 7 BANKRUPTCY FRD MOTOR CR F 3796761 9/07 $19.4K IUR 42998627 12/10A $0 I AUTO LEASE 121100 $0 CHAPTER 7 BANKRUPTCY GREEN TREE F 1190001 8/06 $79.4K MUR 89097372 6 / -0A $0 I SECOND MCRTGAGE 6/10C $0 CHAPTER 7 BANKRUPTCY PNC MOR ^GAGE B 6613209 8/06 $469K -MUR 330004785680 6/10A $0 I CONVENTIC14AL REA- 6/10C SO CHAPTER 7 BANKRUPTCY GhiAC Q 2592672 11/35 IUR 9908838194 3 /10A $0 AUTO LEASE 3/10C SO CHAPTER 7 BANKRUPTCY FIFTH THIRD B 9925002 1/06 $837K MUR 401830468 10 /09A $0 C CONVENTIONAL REAL 10 /09C $0 CHAPTER 7 BANKRUPTCY BNKUNTED FSB B °5LX)01 6/04 -$330K MUR 5163401957 8/09A 'CO, C CONVENTIONP:� REAL B /09C $0 CHAPTER 7 BANKRUPTCY yGMAC MORT. F 2672002 2/07 $787 -{ MUR in8100318_1 4/09A $0 c CONVENTIONAL REAL 4/09C $0 CHAPTERj7 BANKRUPTCY IRST DATA F 85ZN001 504 $1-41 IUR /520185889000 1 /08A $0 LEASE 1;08C $0 CH_APTER 7 BANKRUPTCY ----------------------------------------------------------------------------- I N Q U I R I E S DATE SUBCODE SUBNA14E TYPE AMOUNT 11/28/14 ZNP6284423(FLAP MERIT CREDIT 1/041/13 QDY0007004 (DAY) PKC 11/13/12 QDY0007004 (DAY) PKC C R E D I T R E P O R T S E R V I C E D B Y TRANSUNION 800 -888 -4213 2 HALL-WIN PLACE P.O. 3CX 1000,CEESTER, PA. 19022 Cons.:rter disclosures can be obtained online through TransUnion at: ht -p: /. /tawg. transunio -i. com Jan 2b 14 U1 :1 tip 239 - 277 -0167 CREDITOR CONTACT INFORMATION 2392770167 p.5 HILLSBORO BK Z25064304 (813) 301-5065 801 N FLORIDA AVE TAMPA FL. 33634 COLLIER CIR. ZP5064186 (941) 774 -880C 3301 TAMIAMI TRL E NAPLES FL. 34101 SARASOTA Cl ZP5064226 (941) 861 -7400 2000 MAIN STREET SARASOTA FL. 34237 LAKE CIRCJ =T ZP50E4206 (352) 742 -410C 550 W MAIN STREET TAVARES FL. 32778 SUNTRUST BK EZ423AO21 (877) 596 -5407 PO SCX 35526 RICHMOND VA. 23285 FKB OMAHA EC17ES005 P.O. BOX 3412 ONLA1HA NE. 68197 GECRBiBRDC BC235C64C (E66) 450 -2330 PO BOX 965005 ORLANDO FL. 32896 CAF FZ45WK.001 (E04) 342 -6400 2040 THALBRO, ST RICHMOND VA. 23230 BK OF AMER BC6331059 PO BOX 982235 EL PASO TX. 79998 CREDITACPT FZ950YO02 (248) 353 -2700 PO BOX 3070 SOU7H_IELD MI. 58086 HSSC /RS SC2DQ1120 (800) 695 -E930 PO BOY, 30253 SALT LAKE CITY UT. 84133 BK OF AMER BM6331062 1800) 669 -6607 4_61 PIEDMONT PKWY GREENSBORO NC. 27410 APPLIED BNK BC24UB126 4700 EXCHANGE COUR BOCA RA ^ON Fl. 33431 CRIDITONEBNK BC54MRD13 1877) 825 -3242 PO BOX 98872 LAS VEGAS NV. 89193 TC AUTO FIN FA624C139 ;800) 222 -17C1 27777 INKSTER RD FARMINGTON HIL N_I. 48334 1ST NATBK FL BZlY4F001 1150 CLEVELAND STR CLEARWATER FL. 33753 OCWEN LOAN BM813PD04 (561) 682 -8000 1661 ORTHINGTON R WEST PALM BEAC FL. 33409 AMEX BC21WB001 (800) 874 -2717 P.O. BOX 981537 EL PASO TX. 79998 FIFTH THIRD BM992SO02 (513) 356 -4801 5050 KINGSLEY DR CINCINATTI CH. 45263 FRD MOTOR CR FA3796761 , (800) 727 -7000 POB 542000 OMAHA NE. 69154 GREEN TRE`. FZ1190001 (800) 643 -0202 PO BOX 6172 RAPID CITY SD. 57709 PIS C MORTGAGE BM 6 613 2 0 9 3232 NEWARK DR MIAMISBURG , OH. 43342 GKAC QZ2592612 (800) 200 -462 P.O. 3CX 380901 BLOOMINGTON MN. 53438 BNKUNTED FS--A BM95LX001 93 (��4) g 7_ 6.. 2979 4350 SHERIDAN ST HOLLYWOOD Fes. 33021 GMAC VORT. FM2672002 (800) 76E -4622 3451 HAMMOND AVE WATERLOO IA. 50704 FIRST DATA FZ85ZN001 1516) 643 -6000 265 BROAD HOLLOW R MELVILLE NY. 11747 PNC Q 0007004 Jan 28 14 01:16p 239 - 277 -0167 2392770167 p.6 FORMERLY NATIONAL MIAMISBURG OH. 15342 END OF TRANSLNION REPORT MERIT CREDIT BAS RETRIEVED THE A30VE FERSONAL CREDIT REPORT FOR LICENSIKG PURPOSES AS REQUESTED 3Y THE BUSINESS OWNER /PROPRIETOR. PUBLIC RECORDS FOR THIS REPORT HAVE BEEN CHECKED AND VERIFIED AT TFE COUNTY, STATE AND FEDERAL LEVELS. PUBLIC RECORDS SAVE ALSO SEEN VERIFIED FOR PINELLAS COUNTY. PUBLIC RECORDS LEARNED 5 SOURCES OF INFORMATION: TRANS UNION LLC IRS LIEN SECTION COUNTY COURTHOUSE RECORDS IF YOU HAVE ANY QUESTIONS REGARDING THIS REPORT, PLEASE CONT.AC^ MERIT CREDIT AT: 1- 800 -371 -3348 OR (239; 277 -3202. s Electronic Articles of Organization For Florida Limited Liability Company Article I The name of the Limited Liability Company is: S'"T GARAGE LLC L14000013661 FILED 8:00 AM January 24 2014 Sec. Of State nculligan Article 11 The street address of the principal office of the Limited Liability_ Company is: 28440 OLD 41 RD STE 1 I BONITA SPRINGS. FL. 34135 The mailing address of the Limited Liability Company is: 28440 OLD 41 RD STE 11 BONITA SPRINGS, FI.. 34135 Article 111 Other provisions, if any: NEW BUSINESS Article 1V The name and Florida street address of the registered agent is: KUEMMEL OLAF 28440 OLD 41 RD STE 11 BONITA SPRINGS, FL. 34135 Having been named as registered agent and to accept service of process for the above stated limited liability company at the place designated in this certificate, I hereby accept the appointment as registered agent and agree to act in this capacity. I further agree to comply with the provisions of all statutes relating to the proper and complete performance of my duties, and I am familiar with and accept the obligations of my position as registered agent. Registered Agent Signature: OLAF KUEMMEL , Article V The name and address of person(s) authorized to manage LLC Title: MGR SWF CONSTRUCTION LLC 28440 OLD 41 RD STE l 1 BONITA SPRINGS. FL. 34135 Title: AMBR S COCNSTRUCTION LLC 28440 OLD 41 RD STE 11 BONITA SPRINGS, FL. 34135 Title: AMBR JIGLALI MARIAN 787 PALM VIEW DRIVE NAPLES, FL. 34110 Title: AR KUEMMEL OLAF 28440 OLD 41 RD STE 11 BONITA SPRINGS, FL. 34135 Article VI The effective date for this Limited Liability Company shall be: 02/01/2014 Signature of member or an authorized representative Electronic Signature: OLAF KUEMMEL L14000013661 FILED 8:00 AM January 24 2014 Sec. Of Staie nculligan I am the member or authorized representative submitting these Articles of Organization and affirm that the facts stated herein are true. I am aware that false information submitted in a document to the Department of State constitutes a third degree felony as provided for in s.817.155, F.S. 1 understand the requirement to file an annual report between January 1 st and May 1 st in the calendar year following formation of the LLC and every year thereafter to maintain "active" status. Certificate of Status I certify from the records of this office that SWF GARAGE LLC, is a limited liability company organized under the laws of the State of Florida, filed electronically on January 24, 2014, effective February 01, 2014. The document number of this company is L14000013661. I further certify that said company has paid all fees due this office through December 31, 2014, and its status is active. I further certify that this is an electronically transmitted certificate authorized by section 15.16, Florida Statutes, and authenticated by the code noted below. Authentication Code: 140127092648- 800255996328 #1 Given under my hand and the Great Seal of the State of Florida at Tallahassee, the Capital, this the Twenty Seventh day of January, 2014 .Is 0`C 4* ten Metzner becretm a# Mate Detail by Entity Name Detail by Entity Name Florida Limited Liability Com ar SWF GARAGE LLC ocument Number EI /EIN Number ate Filed us Date 33 PALM VIEW DRIVE APLES, FL 34110 hanged: 01/29/2014 lailing Address 33 PALM VIEW DRIVE IAPLES, FL 34110 ;hanged: 01/29/2014 LAF, KUEMMEL 3440 OLD 41 RD STE 11 ONITA SPRINGS, FL 34135 lame & Address itle MGR ;WF CONSTRUCTION LLC 8440 OLD 41 RD STE 11 ; ONITA SPRINGS, FL 34135 itle AMBR WF CONSTRUCTION LLC 8440 OLD 41 RD STE 11 ONITA SPRINGS, FL 34135 itle AMBR L14000013661 NONE 01/24/2014 FL ACTIVE 02/01/2014 Page 1 of 2 http: // search. sunbiz. org / Inquiry/ CorporationSearch ISearchResultDetail /EntityName /flal -I1... 2/21/2014 Detail by Entity Name MARIAN, JIGLAU 787 PALM VIEW DRIVE NAPLES, FL 34110 TltienkR Contact Us OLAF, KUEMMEL 28440 OLD 41 RD STE 11 BONITA SPRINGS, FL 34135 :knnuai Keports No Annual Reports Filed E- Filing Services Document Searches 01 /24/2014 -- Florida Limited Liability I View image in PDF format S- opwnwht "c and r.'v_aSY f cLi;, gs State of i "loridA, Department: of State t Page 2 of 2 Forms Help http: / /search.sunbiz.org/ Inquiry/ CorporationSearch /SearchResultDetaiI /EntityName /flal -11... 2/21/2014 reb 14 14 06:37p Weems Insursance of Naple 239775 -8576 p.1 I I DATE (MMIDDNYYY) CERTIFICATE OF LIABILITY INSURANCE 02/14/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(SL AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not Confer rights to the certificate holder in lieu of such endorsements . PRCDUCER 'CONTACT NAME V EEMS INSURANCE OF NAPLES INC PHONE FAX N: 2661 Airport Rd S Ste 8105 (A, Na. EXT): (239)775.8705 IC, Nol: Naples, FL 34112 -4872 E-MAIL ADDRESS. susa1>&,veemsk-sur8nw comnaslbiz w INSURERS) AFFORDING COVERAGE NAIC 0 INSURER A: Cypress Pmpeny B Casuaity Ins. Co. ;0953 INSURED NSURER B $100,0 SwF GARAGE LLC NSURERC 633 Palm #few Or NSURER D Naples, FL 34110-1242 NSUR9tE: NSURER F: $5.0 COVERAGES CERTIFICATF NIIMRFR- orlll r�........ .Xc. wrvrr nvnnccr%. THIS 1S TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO YMICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORTED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN RDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE JNSR WVD POLICY NUMBER D/YY NNID LIMITS GENE X I RAL LIABILITY. COMMERCIAL GENERAL LIABILITY 20POW9711-0 07114/2D14 O '412015 EACHOCCURRENCE $14)D, DAMAGES TO RENTED CLAMS -MADE F OCCUR PREMISES ',Ea ocnarence) $100,0 MEDEXP ONEPERSON $5.0 PERSONAL&ADV NJJRY Sim, GENERAL AGGREGATE $200, GEIdL AGGREGATE UMITAPPJJES PER: X POLICY PRO - CT LOC PRODUCTS - COMP /OP AGG $200. AUTOMOBILE LIABILITY COMBINED SINGLE OMIT Es socidert AUTO LL ED SCHEDULED BODILY INJURY (Per on) BODILY INJURY (Pera ¢ iderq AUTOS AUTOS H #RED AUTOS NON-01MNED AUTOS PROPERTY DAMAGE -(Per accident UMBRELLA UAB OCCUR EAC-IOCCURRENCE EXCESSUAB CLAIMS-MADE AGGREGATE DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS LIABILITY YIN ANY PROPRIETORJPARTNERIEXECUTIVE ❑ OFFICERINEMEFR EXCLU7ED7 W A VIC STATLL OTH- TORY OMITS ER (Mandatory In NH) } E.L. EACH ACCIDENT If yes, describe under DESCRIPTION OF OPERATIONS below E, L. DISEASE - EA EMPLOYEE EL DISEASE - POL.CY LI1,1I71- ACORD 101, AdMional Remarks Schedule, If more apace is ropulred) DESGPoPTIONS OF OPERATIONS I LOCATIONS I VEHICLES #Attach CERTIFICATE HOLDER CANCELLATION Collier County Contractors Licensing 2800 Horseshoe Dr N LBBIFORE HOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Naples, FL 34104 -6998 THE EXPIRATION TE THEREOF, NOTICE WILL HE ELIVERED IN ACCORDANCE I THE POLICY PR VISIONS. HORIZED REPRESENTATIVE INS INSURANCE OF NAPLES INC ACORD 25 2010105 ( ) The ACORD name and logo are registered marks of ACORD ACORDs provided by Forms Boss. ww6w.Fonrs Boss .Com; (C) Impressive Publishing 800-20 8-1977 JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 2/4/2014 EXPIRATION DATE: 2/4/2016 PERSON: KUEMMEL OLAF FEIN: 383923015 BUSINESS NAME AND ADDRESS: SWF GARAGE LLC 883 PALM VIEW DR NAPLES FL 34110 SCOPES OF BUSINESS OR TRADE: PAINTING NOC & SHOP OPERATIONS Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a DFS- F2 -DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 07 -12 QUESTIONS? (850)413 -1609 A JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 2/4/2014 EXPIRATION DATE: 2/4/2016 PERSON: JIGLAU MARIAN FEIN: 383923015 BUSINESS NAME AND ADDRESS: SWF GARAGE LLC 787 PALM VIEW DR NAPLES FL 34110 SCOPES OF BUSINESS OR TRADE: PAINTING NOC & SHOP OPERATIONS Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation d, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a DFS- F2 -DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 07 -12 QUESTIONS? (850)413 -1609 s V U'l $$ -4 Application for Employer Identification Number OMB No. 7605 -0003 s L04v. January 20% IFOr use by empioyOM, Corporations, partnerships, trusts. e6tet9c, churches. EM 0.wwmsn •r�lrcT.caaury government agencies, indfan tribal ontloot, certain Individuals, and otitwa.) rnemai ne.�.v.rr son nor ► See separate instructlonz for each line- ► Keep a copy for your reCords. 1 Laf name Of enthy (or krdlvlduaq ton wfwm the EIN Is bakrg requesWd SWF GARAGE. LLC 2 Trade name d buatnot s (if different from naRee on bne 1) 3 Execator, administrator, trustee. "Care of" name m 4a Lfatltrg address (room, apt.. rmho no. and street, or P_0. N4 6a Street addrvsc Of diffwrent) (Do not enter a P.O. boxy S 833 PALM VIEW DRIVE a 4b City. Ste*, and ZIP code (d foreign, see instructiions) Sb City, state, and ZIP Code (if foreign, we instnxliorrs) I- 0 NAPLES. FLORIDA 341 w a 6 County and state when. prineinal business is loeatod COLLIER COUNIM FLORIDA 7a Name of responcfble party 7b SSN.ITIN. or EIN SWF CONSTRUCTION, LLC 20-2136920 80 Is INC appk2lion for a Mrled ►aamy company RLq (a 8b a 82 Is -Yet: enter the number of a foreign w4valvW • . 0 Yes ❑ No LLC members ► 4 Be 11% to "Yes" was the LLC armed in the United 5tates9 ❑ Yes ❑ No 9a Type of entity (check only the bud. Csudon. lift is "yam "see the k1&Intc0oA4 for the corrdcl box to check. ❑e p'OPr*tOr (SSM t ~ ❑ Estate (5SN of decade,() ❑ Pa�ncrahip ❑ Plan administrator (W m Corporation (aAter form mater to be 614 ► ❑ Trust (cud of grantor) ❑ Porronat smvlce corperatiar, ❑ National Guard ❑ StataJlocal8owwrvnertt ❑ Chuch or chwch•eontralled organization ❑ Farnow Coopvmive ❑ Federal goverrmenthrAtary O�nonpront. ym bWo.. (spedfA ❑ REMIG O noen riaoa+er goMpnrntY►ts/enterpA9os Group LWrabn Number (GEM it any ► 9b N a Corporation. name the state or foreign Country Slate I Forep txwnuy (d aPPl*ble) where t+oorpamted FLORIDA 0 rq zr 10 ReesOn for WPWQ (checlt only one box) ❑ Banking purpose (specify purpose) ► matted new bustncas (sPecily tyPW r► Q CharWd type of arganitalion (specify new type) I- ❑ Purchased going bustttesa ❑ Rmd wWwtsett (04ck the boat and see Nno 13.) ❑ Cmatad a trust (speCffy typo) ► ❑ Cornpliarrce Ah SRS WWWdin9 f,Q.W*n. ❑ Ocated a pertston plan Vpo Other r 11 Date txainess or acquired 05Y. Yea). See instructions. 13 Highot number of employeoe &X-OW IA the noxf 12 If no employees expected, *0 tiro 14. j°8"cul Hoj!�pld (enter -0- If �Oiher 12 14 roonlh of accounting If you aspect pour arnoWniml tat Mb ft to be $1,000 or lase in a tuff calendar year and want to tae Form 944 snnU* k*bead of Fbrn 941 quartprty, check hoe. NOW empfo)morit that ggM Ity 40erany will be $1,000 or ices if you exiled to pay $4.000 or luss in total WON) R you 00 not Clock this box, you must file Form 941 for every quarter. ❑ 12 Past vats wages or annuities were paid (month. day. year). Now if appuant Is a an'tMo" Agent, inter date Woorne will first be paid to nonresident alien (tnor^ dr, YW . . . . . . . . . . I► M,A 16 VWX Oft but that best dmalbes the pmljDW aCM- y or your business. ❑�1 ❑ N Y81V s acd aseatnee ❑ Wholesale- agandboaltm Courudta► d -Awai t n ❑ Transportation & W"amud AcoomnwtaUor, i food savleo ❑ WhobsaleothrY ❑ Retail ❑ local estale ❑ Manufacturing ❑ Finance 1t, insuariee ❑tither (speclty) 77 indlcdte prtrte Cal W10 Of tperehandise sold, xmwiffe Wp eon work done, Products prod =d, or seMcm Provided, 1s UK the applicant WWty 8►MYm on ins t ewer applied for and race an EIN7 ❑ Yes )?Diu — It "Yea' write Previous EIN hors 10- Cbs+Netr this Cation ode it yov -N9 to 3011wime are tamed WWI" b Cabe nit tmlry's fW ono arswa Ose MX anal The CWPj W d Wit tam. Third Ow w"'s nears Party Dagent twpnorr raapar psWdr era olt' c Designee Addrose ano Zip cone Nz number On** srsa Qndu pewma a pe*", t dean tivl I tetra wnkw ft apply rd ro &e lest of my bordedpe and held, k it sae. fdatet, sad t6orpitta. ApptFvo Id onme rwenber tnu4de arw coda) Ntarne 300 tick fW cr Pk! daarW b- OLAF KURNMEL (239 ) 349-s3ao / let tssrrber (rrehds area Does) Slonatws 01 "l e, Z. , C►y� For Privacy Act Ynd PAPONNO* Reduction Act NOtigo, see separate Inct Mlone. _L No. 7tI M Form S$-4 tFiw. t-2D1W JAN-24 -2014 16:26 96% R iv r a , P .'02 ­,f B TOTAL P.001 on 0 fi .7„ . - Fsi r--- - , .sun,:lihic slot,' .\, .•t 4416...DRIVER tICENSE CLASS E-;40+4 -,-,- ‘, ....,-,t.•,,,,.- , ,._...EMMEL ,glia .: ,..,, PALAI VIEW DR 40101 %.,' ANApixs,Ft.341110-1242 ...: sato% 5-10 Alitvoe . .- .. ,. .. ....5,. AAPticlAir-R rexpoRA,. _my Op e,....n ot.....,00 cenalehrtes consent to any sobnely east nwoueed bv Ift. .f., ..! Veronica & Alfonso Compean 2725 Barrett AVE Naples, FL 34112 February 24, 2014 Collier County Licensing Department 2800 North Horseshoe Dr. Naples, FL 34104 To whom it may concern, My husband Alfonso Compean worked for Sunset Landscaping for 15 years before he decided to start his own business with me as his partner. We started our business in 2009 to establish a more secure financial income and service a larger group of customers, I have been by his side through the entire process trying to get the landscape license that will benefit our company and allow us to bring in more money. We want to grow from lawn maintenance into other things such as planting, mulching, cutting trees so we can offer our customers a variety of services. It is clear that a business cannot thrive if it does not grow with the customers' demands; our only obstacle is my husband's inability to read English making it very difficult to pass the business & law exam. I have taken all the tests and classes required for the landscape license but due to my lack of hands on experience I have not been able to acquire the license. Alfonso has all the knowledge necessary to perform all the duties needed while I take care of the office work and mowing lawns on the days that I work with him. We do not want to risk everything that we have built for ourselves by going behind the backs of the county and performing services without the appropriate licenses, I will continue to help him all that I can but for now we are both limited on the tasks we are allowed to perform for our customers. We do not plan to move since this is where we have built our life along with our 5 children, not only will the landscape license help us business wise, it will also help with the financial responsibilities we owe to our children who go to school. Having a student in college requires money and I do not want that to be the reason why I cannot send my child to school. Not only is the landscape license a way to do jobs legally, it is also a way to provide more for the family. Alfonso and I have been married 21 years and we only see ourselves progressing along with the business. Sincerely, Veronica A. Compean t .41 Crala d .. i l 9T(Vm D Operations & Regulatory Management Licensing Section `E a 2 4 2011 2800 North Horseshoe Drive r� V.& a — , .. Naples, FL 34104 ��� - S rJ ± - �A5 1 r( APPLICATION FOR COLLIER COUNTY /CITY OF NAPLES /CITY OF MARCO FIRM INSTRUCTIONS: This application must be typewritten or legibly printed. The application fee must accompany this application. The fee is not refundable after the application has been accepted and entered on the records. All checks should be made payable to the Board of Collier County Conunissioners. For further information, consult Collier County Ordinance No. 90 -105, as amended. NAME OF COMPANY: � o Exact Corporate/ Business Name: MQ � C_ 0,0 Fiction Name /DBA: L (qualifier Name: �� �� r� C ra � 1. t�m�f �iPl � G� �at S �� Physical Address: `Z rJ doni-If!S T (Number & Street) (Ci ) (State) (Zip Code) (�- Mailing Address: (Number ey, Street) (Ci (State) (Zip Code) _ W18- , 6' Telephone: 2 v,�C ') E -Mail: 1f" COD CCU • c COmca51 TYPE OF LICENSE: ❑ General $230.00 ❑ Electrician $230.00 ❑ Building $230.00 ❑ Plumber $230.00 ❑ Residential $230.00 V Air Cond. $230.00 ❑ Mechanical $230.00 ❑imming Pool $230.00 ❑ Roofing $` 2 30 .00 Uj Specialty $205.00 Specialty trade:�1 CHANGE OF STATUS: ( ) Reinstatement ( ) From One Business to Another ( ) Dormant License to Active Page 1 of 4 I . The names, titles, home address and phone numbers of all Officers /Managing Members of the Firm. 2. List all businesses, firms, entities or contracting businesses you have been associated with during the last ten years (ex. Held a license for or been a partner). Attach extra pages if needed. 3. List all debts you or any company(s) associated with you refused to pay and the reasons for the refusal to pay. Attach extra pages if needed. n one AFFIDAVIT � t 11 I, r• y-, �-, certify that the foregoing is true and correct to the best of my knowledge. Lt-1 o -, Authorized Officer of the Firm STATE OF FLORID!° COUNTY OF P.c I lb tt--f The foregoing instrument as acknowledged before me this 20(q (Date) By V r N . L' of (Name of officer, title /a ent) (Name of Corporation) a %" 0- Corporation on behalf of the corporation. (State or Place of Corporation) He /She has producedC 1�3- Lob 8--0 identification and did not take an oath. (Type of identification) NOTARY'S SEAL �'4 sA NA014 J. AR -c' (P178L1G P �'`'r`AlL D�g7g3g6 (SIGNATURE OF NOTARY) . Como 412 ,3120,` EX4►res sinCe Page 2 of 4 QUALIFIER INFORMATION: d Name: �FCC�n�eG- N. Lor,.,: Address: _S —6a f (Number & Street) (City) - (State) (Zip Code) Telephone: 2 `3 q - ti f3 - :2- ca S Date of Birth: c, _ :-7 3 S.S. #: 000 -00- b-12 `L E -Mail: (: Driver's License: P-73 _ (c iG S ° 6 1. Type of Certificate of Competency for which application is made. 2. The names and telephone numbers of two persons who will know your whereabouts. 3. Have you ever been convicted of a crime related to Contracting? n O (If yes attach extra sheet with explanation) 7. Have you or any firms you have been associated with ever filed bankruptcy? nC: 8. List all debts you or any company(s) associated with you refused or failed to pay and reasons why. 7!Qn4 - 9. List your business or work experience during the past ten years. 10. Statement of any formal training you have had in the area for which the application is made. Page 3 of 4 AFFIDAVIT The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County Ordinance No. 2006 -46, as amended, and vouches for the truth and accuracy of all statements and answers herein contained. The undersigned hereby certifies that he is legally qualified to act on behalf of the business organization sought to be licensed in all matters connected with its contracting business and that he has full authority to supervise construction undertaken by himself or such business or organization and that he will continue during this registration to be able to so bind said business organization. The qualified license holder understands that in all contracting matters, he will be held strictly accountable for any and all activities involving his license. Any willful falsification of any information contained herein is grounds for disqualification. ir r"i0 0- 0c APPLICANT (PLEASE PRIN ) 1. L NAME OF COMPAN oil L--r� Ci L D o-rx—i—� SIGNATURE OF APPLICANT STATE OF FLORIDA , COUNTY OF Co n C�r The foregoing instrument as acknowledged betore me this G Z L( I 2-�)l -1 (Date) I By —r r1%0-0, L�Pcx:lc\ who has produced Q. L - "Jbs , veer 1 s ce-Nce (Name of person acknowled ing) (Type of identification) as identification and did not take an oath. NOTARY'S SEAL C�J��A S SA LOMONJ -CARD SJGNATURE OF ARY) Y ASS ,t r 6Rd paJF3LIC L 0 RID DD979396 ysl rF s�1 Eyfls fes 4012014 __ . Page 4 of 4 AFFIDAVIT IT IS understood and acknowledged by the Collier County Contractors' Licensing Board and myself that if I fail to acquire, or maintain at all times effective Workmen's Compensation Insurance it will result in the possible revocation of my Certificate of Competency. *t C, A 0 -� SIGNATURE OF APPLICANT t3►nr� ~C� �n �v� � ��, c. BUS SS NAME DATE BEFORE ME this day personally appeared !�1 !J - ^�-��� who affirms and says that he ias less than one employee and does not require Workmen's Compensation 1inderstands that at any ;ime he employees one or more persons he must obtain said Workmen's Compensation Insurance. 2TATE OF FLORIDA BOUNTY OF (:.c,1� °ems 'he foregoing instrument was acknowlcdged before me this �_e A 2 -e (Date) y ro_ncl 1 � �__..._ . _ ._ .who has produced Ti.. '', eIr L; (name of person aackhowledging) ffype of identification) s identification and who did not take an oath. ATURE OF NOTARY NOTARY'S SEAL (PRINT NAME OF NOTARY PUBLIC) NOTARY PUBLIC SALOMO`l J. CARMENAS �pt7979396 14 y, %McE 1913 Expires 4123120 AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER County, am a resident of Collier (State) and have resided here for more than five (5) years. During the last five years I have known � `2` OYN k <<--A e oWoEc-1 applicant). I have had the opportunity to observe his or her business and personal dealings and find him or her to be a person of honesty, integrity and good character. C (Signature) (Name) S f4en (Address) -i nQ) ��� l� VJU CL 2f Telephone) 239 ` ,S— t,L TE, STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this a a4 2(j by (Date) Q. who has produced euA- ` t. (name person acknowledging) (Type of identification) as identification and who did not take an oath. agg ES 69592016 NOTARY'S SEAL 1444ell gc�r-� S GNATu69 OF NOTARY 'j)Al SY ee ye C (PRINT NAME OF NOTARY) NOTARY PUBLIC AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER I, ANGELWA HFEWAME,Zam a resident of CbLLJ E.R County, FLOIDA (State) and have resided here for'more than hive (5) years. During the last five years I have known i A. (Applicant). I have had the opportunity to observe his or her business and personal deali s and, find him or her to be a person of honesty, integrity and good character. (Signature) &�-I ' ' .+M&jg (Name) AAj6 LI /V A HE P i J A A I D 2 (Address) 164 MARSEi LLE TA, M A PLUS PL. 34112. Telephone) Z3 q/ 9 k I --1 93 4 STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this 2 /,2 q / y by J. 0 (D ate) who has produced �L. DR1 VER S Li C. (name of person acknowledgin (Type of identification) as identification and who did not take an oath. Notary public State of Florida Edward A Hardy My commission OD992302 or r� Expires 05/30/2014 NOTARY'S SEAL - '.. � / : MAIMbA. 14ARDY (PRINT NAME OF NOTARY) NOTARY PUBLIC RESOLUTION OF AUTHORIZATON WHEREAS Ci�� ��`� Gproposes to (Name of Business Entity) engage in contracting as 1rl <-- in (Type of legal entity: corp., partnership, etc. Collier County, Florida, according to Collier County Ordinance 2406 -46, as amended; and WHEREAS (fir - _ -A A : rlCproposes to (Name of Business Entity) qualify for a Certificate of Competency with \ N ( C,s n mow. hmj (Name of Individual) NOW, THEREFORE, BE IT HEREBY RESOLVED THAT: We the undersigned 6 t ' C 'r, of (Officers, Owners, Partners) �OtV��l pA MA t-t LZAA_t-1 C E --g-C- hereby resolve and represent to the Collier County (Name of Business Entity) Contractors' Licensing Board that the qualifying agent, \4 Ek's t-3 (C s A Caft �, is active (N me of Individual) � in all matters connected with the contracting business of Go vv, NP N�,nl'( r lkOCA and (Name of Business Enti,(y) We further resolve and represent that %; -2pt1, Ja is (Names of Individual) legally empowered to act for COV111 6,, W\A 14fif- r�Ak TpVm all matters connected with its (Name of Business Entity) contracting business, and has the authority to supervise construction undertaken by G0 A&V8N k MAtrDE —ek-ac (Name of Business Entity) DULY PASSED AND ADOPTED THIS 2� day of 2O i (Officers, Partners, Owners - with \ Designation underneath) Witness Witness Witness Corporate Seal (if Applicable) Ltx—� Or Notary Public Certificate �� >J Sworn to and subscribed before me this - day of � ,2 ° by q4J � "�� C pA-DZ --40, Notary Public Name Printed Notary Public Signature Commission Number �Q q-? 3��° My Commission expires: I )? h SALOMOt3 3' CAF't"A St�Y ASSV� > - -( A,v t FV3L1C Y 4- �LOR1DA o K'sz Comm #DD979396 y SINCE lg\ � expires 4123120�� COLLIER COUNTY GOVERNMENT COI EVE NITY DEVELOPMENT AND ENVIRONNIENTAL SERVICES DIVISION 2800 N. Horseshoe Dr. • Naples, Florida 34104 • 239 -403 -2400 • FAX 239 -403 -2334 MEMORANDUM DATE: November 29, 2007 TO: Applicant's FROM: Michael Ossorio, Contractor Licensing Supervisor. CC: Robert Dunn, Collier County Building Director. Alamar Finnegan, Collier County Permitting Supervisor. Robert Zachary, County Attorneys Office. All Contractor Licensing personnel. SUBJECT: Collection of social security numbers. Pursuant to Chapter 119, Florida Statues and Collier County Contractor Licensing Ordinance 2006 -46 Sec. 2.1.1, all applicants are required to submit their social security number (SSN) for the following purposes: a) Assess applicant's ability to satisfy creditors by reviewing their credit history. b) Verification of applicant's test scores and information. Our office will only use your SSN noted above for those reasons pursuant to Chapter 119, Florida Statues and as may otherwise be authorized by law. We are fully committed to safe - guarding and protecting your SSN and once collected, will be maintained as confidential and exempt under Chapter 119, Florida Statues. OZ4"I STAFF USE ONLY: Ne -rori t C(a rz Name of Applicant Trade: IT GE ('rev C-T0Z Score: 7 7.1 % Take on (-0 212yC 7 , Given in- sponsored by Cokk ,- CC)o Business & Law Score: �Z °7o Taken on_ Given in f�0.e� sponsored by Colly¢.r Cook -0 Page 5 of 5 sees *0 0 a Ex&*%erians?A 0 go 600' Sl a 4 Credit Report Prepared For: VERONICA A COMPEAN Report as Of: 2/18/2014 a „ , E?6perian Personal & Confidential Please Keep in a safe place for your records. VERONICA A COMPEAN •�� Experlarr Report As Of: 2/18/2014 Table of Contents -- - � Personal Information _. .. ��. _.� �._ .._.�.�........_._.____ ____._____ _� �� �,. _ 1 Report Summary .. .................................. ...... .......... 2 Bankruptcy& Court Judgments ................ ._ ....... ... ..... ... _............_........ . ...... .._..._..._................. _..._ .................... .......................... ........... .._........._........_......._........_....... ......... _....... ...... ..........._.._.. 3 CreditInquires _ . ............. ..... _.. .. ......... .................................... _ _......._..... __..... __.__ _. _ . _.. ._ __ ._ . _ ....... 4 Credit Cards, Loans & Other Debt . r ..._�__...__.__ ._.._ 5 CreditScore ....... .......................__...__.................._................._...... ........_._..................._ ....... .........._....__.............. 17 Experian................................................................................................................... ............................... 18 FreeCreditReport.com I A Part of Experian VERONICA A COMPEAN Report As Of: 2/18/2014 :0:: Experian- -- Personal Information Here you will find your personal information, including your legal name(s), year of birth, current and previous addresses, and current and previous employers. Profile A it �F airy ,.FExperian° g to Equifax iranstlniati 4 r�� °"" Name ', VERONICA A COMPEAN �! (Also Known As) AKA ! VERONICA ALFONSO Year of Birth 1973 Address(es) 2725 BARRETT AVE, NAPLES, FL What's missing from this picture? 34112 -6306 £ 29 PECAN ST, NAPLES, FL 34114- See your ExperianO, Equifax® and Log In Now' - 8142 TransUnion® Credit Reports and Scores www,FreeC,oditReport.com at a special "Members Only" price. 2675 BARRETT AVE, NAPLES, FL 34112 -6305 Current Employer PUBLIX Previous Employer PUBLIX SPRMKT WEEKLY PY Personal Statement This space is reserved for statements of dispute. For most consumers, no information appears in this section. Personal Information Page 1 of 1 Report Summary Bankruptcies Credit Inquires Credit Cards & Loans Credit Score ........ _.__. ...... VERONICA A COMPEAN Report As Of: 2/1812014 Expertarr Report Summary Here you will find a summary of all your open and closed accounts, including any delinquencies. Open accounts contain current balances at the time the report was pulled. Account totals, including total debt, are found at the end of this section. Installments Count 3 Current Account(s) Balance ? .: "�. Experian- Real Estate Count 5 Current Account(s) Balance $237,320.00 Current 4 Other Delinquent 0 r< Other 4+ 1 Revolving Count 14 Current Account(s) Balance $621.00 Current +' 14 Collections Delinquent S 0 Other 0 Installments Count 3 Current Account(s) Balance ? $35,471.00 Current " 3 Delinquent 0 Other ' 0 Other Count 0 r< Balance $0.00 Current '! 0 Delinquent 0 Other '' 0 Collections Count ,, 0 Balance $0.00 Current ': 0 Delinquent 1 0 Other 0 Equifax Trafas pion What's missing from this picture? See your Experiano, Equifax® and Log In Nowt TransUnion ®Credit Reports and Scores www.FreeCreditReport.com at a special "Members Only" price. .:..i` Ex E rlan- Equifax TrafssUifl t€a -- -^ What's missing from this picture? All Accounts Count 22 Current Account(s) Balance $273,412.00 See your Experiano, Equifax® and Log in Now! Current 21 www.FreeCreditReport.com Delinquent 0 TransUnion® Credit Reports and Scores Other 1 at a special "Members Only" price. Personal Information Report Summary Page 7 of ! Bankruptcies Credit Inquires Credit Cards & Loans Credit Score VERONICA A COMPEAN Report As Of: 2118/2014 1: Experian- M,_ --M Bankruptcy & Court Judgmentsµ Here you will find any court- related information, including bankruptcies, state and county court records, tax liens, monetary judgments, and in some states, overdue child support payments. Remember, bankruptcies remain on your report for 7 -10 years. Public Records = .;:, Experlan,. ................................. . . ............. . . . . . . . . ........... . . . . ........................ . ................. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . There are no Public Records on your credit No History j report at this time. Equifax Trr sr€ What's missing from this picture? See your Experian ®, Equifax ®and Leg In Now! www. F reeC red it Re port. com TransUniono Credit Reports and Scores at a special "Members Only" price. Personal Information Report Summary Bankruptcies Page 1 of 1 Credit Inquires Credit Cards & Loans `, Credit Score VERONICA A COMPEAN Report As Of: 2/18/2014 •'s"s: Experiarn- Credit Inquiries Here you will find the names of those who have obtained a copy of your credit report, including lenders, landlords and employers. Remember, inquiries remain on your report for up to 2 years. R&R/TAMIAMI FORD ',.e'•Experian - Business Name R&R/TAMIAMI FORD Inquiry Date 10/29/2013 Business Type Automobile Dealers, Used 239- 643 -3673 1471 AIRPORT RD N NAPLES, FL 34104 Equifax TransUnion What's missing from this picture? See your Experian8, Equifax® and I Log In New.'. TransUnion ®Credit Reports and Scores www.FreeCred!tReport.com at a special "Members Only" price. Personal Information Report Summary Bankruptcies Credit Inquires Page 1 of 1 Credit Cards 8 Loans Credit Score VERONICA A COMPEAN ;;.: Experian- Report As Of: 2/18/2014 Credit Cards, Loans & Other Debt Here you will find specific information on each account you opened, including current status and any past due information. Positive credit information remains on your report indefinitely. Creditor contact information has been provided in order to make it easier for you to resolve any issues. LITTON LOAN SERVICING .... .;_ Experian- Equifax Account Name LITTON LOAN SERVICING Unknown Account# 155OXXXX — Account Type Conventional Real Estate Loan, Including Purchase Money First 713- 960 -9676 Balance What's missing from this picture? Past Due 4828 LOOP CENTRAL DR Date Opened 9/1/2005 HOUSTON, TX 77081 Account Status Closed ® ® Log in New/ See your Experian , Equifax and Mo. Payment TransUniono Credit Reports and Scores www'FreeCreditReport.com Payment Status Account transferred to another at a special "Members Only" price. office High Balance Limit Terms ! 372 Months Comments Account in dispute- reported by subscriber 24/Mo Payment History 2009 2010 2011 Month OCT NOV DEC JAN FEB MAR APR MAY JUN JUL AUG SEP r OCT NOV' JAN FEB MAR APR MAY JUN JUL AUG SEP: _ Ex ",. w Brian OK p OK OK . OK OK OK OK OK OK OK OK OK GK OK OK OK 30 30 20 30 OK OK OK £3K ALLY FINANCIAL 4 4 Experian- ..... Equifax TraimUn tail -°- Account Name ALLY FINANCIAL Current Account# 02991811XXXX Account Type Auto Loan 800- 200 -4622 Balance $1s,379.00 What's missing from this picture? Past Due 200 RENAISSANCE CTR Date Opened 7/1/2011 ® t See your Experian ® Equifax and Log s n Now DETROIT, MI 48243 Account Status Open , www.FreeCreditReport.com TransUnione Credit Reports and Scores Mo. Payment $406.00 Payment Status Current at a special "Members Only" price. High Ba lance Limit Terms 72 Months Comments 24 /Mo Payment History 2012 2013 2014 Month MAR APR MAY JUN JUL AUG SEP OCT NOW DEC JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB r Ex erian OK OK OK P _ OK OK OK OK � OK OK OK OK OK OK OK O" K OK. OK OK OK- OK OK OK OK OK Personal Information Report Summary Bankruptcies Credit Inquires ",,Credit Cards & Loans Page 1 of 11 Credit Score .' _ . ........... _...... VERONICA A COMPEAN Report As Of: 2/18/2014 Experian- Credit Cards, Loans & Other Debt Here you will find specific information on each account you opened, including current status and any past due information. Positive credit information remains on your report indefinitely. Creditor contact information has been provided in order to make it easier for you to resolve any issues. CHASE Current 800- 336 -6675 PO BOX 901076 FT WORTH, TX 76101 Y ii i ` .c: Experian.. Account Name CHASE Account# 1133041851XXXX Account Type ! Auto Loan Balance $20,092.00 Past Due COMENITY BANK/DRESSBRN Date Opened 1011/2013 Account Status Open Mo. Payment $472.00 Payment Status Current High Balance No Phone Provided Limit $0.00 Terns !, 48 Months Comments 24 /Mo Payment History 2012 2013 ... Month FEB :MAR APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEI Experian Equifax raps n o What's missing from this picture? See your Experian®, Equifax') and Lang in Nowl www.FreeCreditReport.com TransUnion ®Credit Reports and Scores at a special "Members Only" price. 2014 COMENITY BANK/DRESSBRN • Experian- Equifax t r�slir�i rt �” TransUnion® Credit Reports and Scores „g� Payment Status Current, was past due 90 days Account Name COMENITY BANK/DRESSBRN Current Account# ! 5856371OXXXX Limit Account Type Charge Account No Phone Provided Balance $0.00 What's missing from this picture? Comments Past Due 24 /Ma Payment History PO BOX 182789 Date Opened 10/1/2007 ® ® See Experian Equifax and Lora In No xw € COLUMBUS, OH 43218 Account Status Open your , +- www.FreeCreditReport.com Personal Information Report Summary Bankruptcies Credit Inquires OK Credit Cards & Loans Page 2 of 11 \';• Credit Score Mo. Payment $10.00 TransUnion® Credit Reports and Scores Payment Status Current, was past due 90 days at a special "Members Only" price. High Balance $220.00 Limit $150.00!, Terms Revolving Comments 24 /Ma Payment History _ 2009 2010 2011 Month OCT NOV DEC JAN FEB MAR APR, MAY: JUN JUL AUG SEP OCT NOV DEC JAN ,FEB MAR APR MAY JUN JUL Experian OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK ; OK OK 30 6d1 90 OK Personal Information Report Summary Bankruptcies Credit Inquires OK Credit Cards & Loans Page 2 of 11 \';• Credit Score VERONICA A COMPEAN Report As Of: 2/18/2014 M : Experian- �m Credit Cards, Loans & Other Debt Here you will find specific information on each account you opened, including current status and any past due information. Positive credit information remains on your report indefinitely. Creditor contact information has been provided in order to make it easier for you to resolve any issues. Equifax Trans €anion What's missing from this picture? See your ExperianO, Equifax® and Log In ow! www.FreeCreditReport.com TransUnion® Credit Reports and Scores at a special "Members Only" price. KOHLS /CAPONE ': " =y Experian" �Exper an- Account Name Account Name KOHLS /CAPONE Current Account# 639305063307XXXX Account Type Account Type Charge Account 800- 564 -5740 Balance $621.00 Balance Past Due N56 W 17000 RIDGEWOOD DR Date Opened 12/1/2011 MENOMONEE FALLS, WI 53051 Account Status '', Open Account Status Mo. Payment $25.00 Mo. Payment Payment Status Current, was past due 30 day! Payment Status High Balance $1,006.00 High Balance Limit $1,000.00 Limit _Terms Revolving Terms Comments 24/Mo Payment History _ 2012 2013 Month MAR APR MAY JUN JUL AUG SEP OCT NOV DEC JAN :I Experian OK OK OK OK OK OK OK OK OK OK OK Equifax Trans €anion What's missing from this picture? See your ExperianO, Equifax® and Log In ow! www.FreeCreditReport.com TransUnion® Credit Reports and Scores at a special "Members Only" price. 2014 Equifax 'Itanstiftion What's missing from this picture? See your Experian0 Equifax ®and Log In Now! www. FreeCreditReport.com TransUniono Credit Reports and Scores at a special "Members Only" price. 24/Mo Payment History 2012 2013 Month JAN FEE MAR APR MAY JUN JUL. AUG SEP OCT:NOV DEC JAN FEB Experian OK OK OK OK OK OK CK CK OK 10 OK OK OK OK AUG.SEP OCT.NOV DEC' ........... Personal Information Report Summary Bankruptcies Credit Inquires Credit Cards & Loans Page 3 of 11 Credit Score OCWEN LOAN SERVICING L ': " =y Experian" Account Name OCWEN LOAN SERVICING L Current Account# 709267XXXX Account Type Conventional Real Estate Loan, Including Purchase Money First 800 - 746 -2936 Balance $237,320.00 Past Due 12650 INGENUITY DR Date Opened 9/1/2005 ORLANDO, FL 32826 Account Status Open Mo. Payment $1,378.00 Payment Status Current, was past due 30 days High Balance Limit Terms 372 Months Comments 2014 Equifax 'Itanstiftion What's missing from this picture? See your Experian0 Equifax ®and Log In Now! www. FreeCreditReport.com TransUniono Credit Reports and Scores at a special "Members Only" price. 24/Mo Payment History 2012 2013 Month JAN FEE MAR APR MAY JUN JUL. AUG SEP OCT:NOV DEC JAN FEB Experian OK OK OK OK OK OK CK CK OK 10 OK OK OK OK AUG.SEP OCT.NOV DEC' ........... Personal Information Report Summary Bankruptcies Credit Inquires Credit Cards & Loans Page 3 of 11 Credit Score VERONICA A COMPEAN Report As Of: 2/18/2014 Experian- y - -� Credit Cards, Loans & Other Debt Here you will find specific information on each account you opened, including current status and any past due information. Positive credit information remains on your report indefinitely. Creditor contact information has been provided in order to make it easier for you to resolve any issues. WFFNATBANK « «, = Experian" Equifaxts�i3�ian --mm- :; « «; Experian° Account Name, WFFNATBANK AMEX Current Closed Current Account# 78880OXXXX Account Type !!! 800- 874 -2717 Account Type Charge Account Past Due 800- 635 -5585 Balance $0.00 What's missing from this picture? FORT LAUDERDALE, FL 33329 Past Due Closed Mo. Payment PO BOX 94498 Date Opened 12/1/2003 ® ® See your Experian Equifax and Ltag In Ptovt 3 LAS VEGAS, NV 89193 Account Status Open , 8 TransUnion Credit Reports and Scores www.FreeCredltReportxom Mo. Payment Revolving Comments Credit line closed - grantor request- Payment Status Current at a special "Members Only" price. High Balance $2,036.00 Limit $2,500.00 Terms Revolving Comments 24/Mn Payment History 2004 2005 2006 Month JUN 'JUL AUG .11 SEP OCT NOV DEC JAN FEB MAR APR MAY JUN JUL AUG!SEP OCT NOV DEC JAN . , ... - FEB MAR APR MAY �. Experian OK OK OK v- OK OK OK OK • OK OK OK OK OK OK OK ND ND ND OK OK OK ; ND OK OK OK Equifax Trznsitt iao What's missing from this picture? See your Experian ®, Equifax ®and Log In Now! www.FreeCreditReport.com TransUnionO Credit Reports and Scores at a special "Members Only" price. 24fMo Payment History 2007 2008 Month SEP OCT NOV DEC: JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV Experian Personal Information Report Summary Bankruptcies ..... _....._.._..__.......__...._._. Credit Inquires JAN ;FEB MAR APR, MAY JUN Credit Cards & Loans Page 4 of 11 Credit Score AMEX :; « «; Experian° Account Name AMEX Current Closed Account# 349991025523XXXX Account Type Credit Card 800- 874 -2717 Balance Past Due PO BOX 297871 Date Opened 4/1/2003 FORT LAUDERDALE, FL 33329 Account Status Closed Mo. Payment Payment Status Paid satisfactorily High Balance $1,020.00 Limit $900.00 Terms Revolving Comments Credit line closed - grantor request- reported by subscriber Equifax Trznsitt iao What's missing from this picture? See your Experian ®, Equifax ®and Log In Now! www.FreeCreditReport.com TransUnionO Credit Reports and Scores at a special "Members Only" price. 24fMo Payment History 2007 2008 Month SEP OCT NOV DEC: JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV Experian Personal Information Report Summary Bankruptcies ..... _....._.._..__.......__...._._. Credit Inquires JAN ;FEB MAR APR, MAY JUN Credit Cards & Loans Page 4 of 11 Credit Score VERONICA A COMPEAN Report As Of: 2118/2014 M� Experiatr Credit Cards, Loans & Other Debt Here you will find specific information on each account you opened, including current status and any past due information. Positive credit information remains on your report indefinitely. Creditor contact information has been provided in order to make it easier for you to resolve any issues. BANK OF AMERICA ��'� Experian- Current Closed Account Name BANK OF AMERICA Account# 3XXX Account Type Credit Card No Phone Provided Balance $0.00 Past Due PO BOX 982235 Date Opened 10/1/1998 Equifax Transi7tlion What's missing from this picture? See your Experian0 Equifax0 and Lo In Now! www.FreeCreditReport.com TransUniono Credit Reports and Scores at a special "Members Only" price. 2009 _ .................. AUG SEP OCT NOV DEC JAN ;_FEB MAR, APR MAY OK OK ; OK OK OK _. OK OK, OKW CK,. O Equifax TrarisUiii n What's missing from this picture? EL PASO, TX 79998 Account Status Closed See your ExperianO, Equifax® and Log In Now! Mo. Payment $1.00 TransUnion® Credit Reports and Scores www.FreeCreditReport.com Payment Status Current, was past due 90 days at a special "Members Only" price. High Balance $14,263.00 Limit $500.00 Terms Revolving Comments Credit line closed - grantor request - reported by subscriber 24 /Mo Payment History 2011 2012 Month. APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR M Experian CK OK 30 OK OK OK OK OK OK 30 60 OK OK Personal Information Report Summary Bankruptcies 2013 Credit Inquires Credit Cards & Loans Page 5 of 11 Credit Score 9 }6 # BANK OF AMERICA '..c: Experan° Account Name BANK OF AMERICA Current Closed Account # 4XXX Account Type Credit Card 4 No Phone Provided Balance $0.00 { Past Due PO BOX 982235 Date Opened 7/1/2000 EL PASO, TX 79998 Account Status Closed 1 Mo. Payment $266.00 Payment Status Current High Balance $8,657.00 Limit $8,000.00 Terms Revolving Comments Credit line closed- consumer request -! reported by subscriber 24 t1 Payment History 2007 2008 Month JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN J1 Ex erian OK OK OK P £?K OK O K C3K OK OK..'' OK OK I OK t: BANK OF AMERICA ��'� Experian- Current Closed Account Name BANK OF AMERICA Account# 3XXX Account Type Credit Card No Phone Provided Balance $0.00 Past Due PO BOX 982235 Date Opened 10/1/1998 Equifax Transi7tlion What's missing from this picture? See your Experian0 Equifax0 and Lo In Now! www.FreeCreditReport.com TransUniono Credit Reports and Scores at a special "Members Only" price. 2009 _ .................. AUG SEP OCT NOV DEC JAN ;_FEB MAR, APR MAY OK OK ; OK OK OK _. OK OK, OKW CK,. O Equifax TrarisUiii n What's missing from this picture? EL PASO, TX 79998 Account Status Closed See your ExperianO, Equifax® and Log In Now! Mo. Payment $1.00 TransUnion® Credit Reports and Scores www.FreeCreditReport.com Payment Status Current, was past due 90 days at a special "Members Only" price. High Balance $14,263.00 Limit $500.00 Terms Revolving Comments Credit line closed - grantor request - reported by subscriber 24 /Mo Payment History 2011 2012 Month. APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR M Experian CK OK 30 OK OK OK OK OK OK 30 60 OK OK Personal Information Report Summary Bankruptcies 2013 Credit Inquires Credit Cards & Loans Page 5 of 11 Credit Score VERONICA A COMPEAN ,Experian - Report As Of: 2118/2014 Credit Cards, Loans & Other Debt Here you will find specific information on each account you opened, including current status and any past due information. Positive credit information remains on your report indefinitely. Creditor contact information has been provided in order to make it easier for you to resolve any issues. Equifax Tr nsftion What's missing from this picture? See your Experian®, Equifax® and I Log In Now! TransUnion ®Credit Reports and Scores www.FreeCreditReport.com at a special "Members Only" price. 24l110o Payment Histury 2003 2004 2005 Month NOV DEC JAN FEB MAR APR MAY JUN, JUL AUG' SEP OCT NOV DEC JAN FEB MAR APR Experian OK OK OK CK NO OK OK iOK OK GK t as 8ANKUNITED Experian- Current Closed Account Name BANKUNITED Current Closed Account # 516335XXXX Account Type Conventional Real Estate Loan, 800- 955 -9900 Balance !, Including Purchase Money First 305 - 231 -6400 Balance PO BOX 15298 Past Due 1/1/2004 7815 NW 148TH ST Date Opened 04 MIAMI LAKES, FL 33016 Account Status Close Closed Mo. Payment Paid satisfactorily Payment Status Paid satisfactorily High Balance $250.00 Limit Revolving Terms ! 360 Months Comments reported by subscriber Equifax Tr nsftion What's missing from this picture? See your Experian®, Equifax® and I Log In Now! TransUnion ®Credit Reports and Scores www.FreeCreditReport.com at a special "Members Only" price. 24l110o Payment Histury 2003 2004 2005 Month NOV DEC JAN FEB MAR APR MAY JUN, JUL AUG' SEP OCT NOV DEC JAN FEB MAR APR Experian OK OK OK CK NO OK OK iOK OK GK • Equifax Trarisftion What's missing from this picture? See your Experian®, Equifax® and Log In No! www.FreeCreditReport.com TransUnion ®Credit Reports and Scores at a special "Members Only” price. 24 /Mo Paymlent its #ary _ _ _ _ _ __ __ . .. __ .__._. 2004 2005 Month JAN FEB MAR APR MAY JUN JUL, AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC; Experian OK OK OK OK OK OK, OK OK OK ; OK OK OK 'OK, OK OK OK OK - OK . OK OK OK OK OK Personal Information Report Summary Bankruptcies Credit Inquires Credit Cards & Loans Page 6 of 11 Credit Score . .a . CHASE ; „g� Experian- Current Closed Account Name CHASE °s�fl Account# - 41858716XXXX Account Type Credit Card 800- 955 -9900 Balance !, Past Due PO BOX 15298 Date Opened 1/1/2004 WILMINGTON, DE 19850 Account Status Closed Mo. Payment Payment Status Paid satisfactorily High Balance $3,871.00 Limit $250.00 Terms Revolving Comments Credit line closed - consumer request -' reported by subscriber • Equifax Trarisftion What's missing from this picture? See your Experian®, Equifax® and Log In No! www.FreeCreditReport.com TransUnion ®Credit Reports and Scores at a special "Members Only” price. 24 /Mo Paymlent its #ary _ _ _ _ _ __ __ . .. __ .__._. 2004 2005 Month JAN FEB MAR APR MAY JUN JUL, AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC; Experian OK OK OK OK OK OK, OK OK OK ; OK OK OK 'OK, OK OK OK OK - OK . OK OK OK OK OK Personal Information Report Summary Bankruptcies Credit Inquires Credit Cards & Loans Page 6 of 11 Credit Score VERONICA A COMPEAN Report As Of: 2/18/2014 Everian- Credit Cards, Loans & Other Debt Here you will find specific information on each account you opened, including current status and any past due information. Positive credit information remains on your report indefinitely. Creditor contact information has been provided in order to make it easier for you to resolve any issues. CHASE /CC Current Closed 800- 955 -9900 PO BOX 15298 WILMINGTON, DE 19850 subscriber Equifax TransUniOn What's missing from this picture? See your ExperianO, Equifax® and I Log In Now! TransUnion ®Credit Reports and Scores www.F reeCreditReport. com at a special "Members Only" price. repo e y 24 /Mo Payment history 2005 2006 Month JAN FEB MAR APR MAY JUN _ JUL AUG SEP OCT NOV , DEC JAN FEE Experian OK OK OK OK OK : OK OK OK OK CK OK OK OK OK FIRST NATIONAL BANK OF `� *�� Experian- Account Name FIRST NATIONAL BANK OF E AM Current Closed Account# 8007XXXX Account Type Conventional Real Estate Loan, i Including Purchase Money First 941- 542 -5100 Balance Past Due 652 DEL PRADO BLVD N Date Opened 1/1/2003 CAPE CORAL, FL 33909 Account Status Closed Mo. Payment Payment Status Paid satisfactorily High Balance Limit Terms 12 Months Comments OK I OK OK OK OK ,v OK z OK OK Equifax Tran &Union What's missing from this picture? See your ExperianO, Equifax® and Log In Now! www. FreeCreditReport. com TransUnion ®Credit Reports and Scores at a special "Members Only" price. 24 /Mo Payment history 2004 2002 2003 . MAY: JUN Month JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN, JUL,,, AUG SEP OCT NOV DEC', JAN FEB MAR APR Experian OK OK !. OK OK OK ND OK OK ND ND OK OK OK ND ND ` OK Personal Information Report Summary Bankruptcies _....__ -- Credit Inquires Credit Cards & Loans Page 7 of 11 Credit Score 3 iA t Experian- I Account Name C CHASEICC Account# 1 17272041XXXX Account Type ! C Credit Card Balance $ $0.00 Past Due Date Opened 1 1/1/2000 Account Status C Closed Mo. Payment Payment Status C Current High Balance $ $841.00 Limit $ $1,750.00 Terms R Revolving Comments C Credit line closed - grantor request- ' d b s Equifax TransUniOn What's missing from this picture? See your ExperianO, Equifax® and I Log In Now! TransUnion ®Credit Reports and Scores www.F reeCreditReport. com at a special "Members Only" price. repo e y 24 /Mo Payment history 2005 2006 Month JAN FEB MAR APR MAY JUN _ JUL AUG SEP OCT NOV , DEC JAN FEE Experian OK OK OK OK OK : OK OK OK OK CK OK OK OK OK FIRST NATIONAL BANK OF `� *�� Experian- Account Name FIRST NATIONAL BANK OF E AM Current Closed Account# 8007XXXX Account Type Conventional Real Estate Loan, i Including Purchase Money First 941- 542 -5100 Balance Past Due 652 DEL PRADO BLVD N Date Opened 1/1/2003 CAPE CORAL, FL 33909 Account Status Closed Mo. Payment Payment Status Paid satisfactorily High Balance Limit Terms 12 Months Comments OK I OK OK OK OK ,v OK z OK OK Equifax Tran &Union What's missing from this picture? See your ExperianO, Equifax® and Log In Now! www. FreeCreditReport. com TransUnion ®Credit Reports and Scores at a special "Members Only" price. 24 /Mo Payment history 2004 2002 2003 . MAY: JUN Month JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN, JUL,,, AUG SEP OCT NOV DEC', JAN FEB MAR APR Experian OK OK !. OK OK OK ND OK OK ND ND OK OK OK ND ND ` OK Personal Information Report Summary Bankruptcies _....__ -- Credit Inquires Credit Cards & Loans Page 7 of 11 Credit Score OK I OK OK OK OK ,v OK z OK OK Equifax Tran &Union What's missing from this picture? See your ExperianO, Equifax® and Log In Now! www. FreeCreditReport. com TransUnion ®Credit Reports and Scores at a special "Members Only" price. 24 /Mo Payment history 2004 2002 2003 . MAY: JUN Month JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN, JUL,,, AUG SEP OCT NOV DEC', JAN FEB MAR APR Experian OK OK !. OK OK OK ND OK OK ND ND OK OK OK ND ND ` OK Personal Information Report Summary Bankruptcies _....__ -- Credit Inquires Credit Cards & Loans Page 7 of 11 Credit Score VERONICA A COMPEAN Report As Of: 2118/2014 Experiarr Credit Cards, Loans & Other Debt Here you will find specific information on each account you opened, including current status and any past due information. Positive credit information remains on your report indefinitely. Creditor contact information has been provided in order to make it easier for you to resolve any issues. 4 ik l GECRB /CARE CREDIT ;;,,;,Experian Account Name GECRB /CARE CREDIT yE Current Closed Account# 60191803XXXX Account Type Charge Account 866- 396 -8254 Balance What's missing from this picture? Past Due PO BOX 981439 Date Opened 4/1/2007 EL PASO, TX 79998 Account Status Closed See your Experian ®, Equifax and Mo. Payment TransUnionID Credit Reports and Scores Payment Status Paid satisfactorily at a special "Members Only price. High Balance $1,085.00 Limit $4,500.00 Terms Revolving Comments Credit line closed - grantor request- reported by subscriber :. 24 /Mo Payment History 2007 2008 1. _ .... _ m . _. .. _ ..: 11 Month MAY JUN JUL AUG SEP OCT 1 NOV DEC JAN FEB MAR APR MAY JUN JUL AU6 Experian OK OK OK OK OK OK OK OK OK OK, OK OK OK OK OK OK Equifax _ _ Trar,&Uni ii Log In Now! www.FreeCred!tReport.com 2009 OK OK OK OK 'OK OK OK GECRB /HOME CLIMATE , ;Experian "" Equifax trafrs -Inrr Account Name GECRBIHOME CLIMATE Current Closed ai Account # 60346222XXXX Account Type Charge Account 866 - 396 -8254 Balance What's missing from this picture? Past Due PO BOX 981439 EL PASO, TX 79998 Date Opened Account Status 7/1/2007 Closed See your Experian®, Equifax® and Log In Ncwil Mo. Payment TransUnion0 Credit Reports and Scores www.FreeCred!tReport.com Payment Status Paid satisfactorily at a special "Members Only" price. High Balance ! $3,754.00 Limit $4,200.00 Terms Revolving Comments Credit line closed - grantor request- reported by subscriber I! 24 /Mo Payment History 2007 2008 Month MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR - MAY JUN JUL 91 1 SEP OCT NOV DEC 2009 JAN FEB MAR Experian OK , OK OK OK OK OK OK OK OK OK OK C3K OK OK OK : OK OK OK OK . OK OK Personal Information Report Summary Bankruptcies Credit Inquires Credit Cards & Loans Page 8 of 11 Credit Score VERONICA A COMPEAN Report As Of: 2/18/2014 Experiarr +'Mli Credit Cards, Loans & Other Debt Here you will find specific information on each account you opened, including current status and any past due information. Positive credit information remains on your -eport indefinitely. Creditor contact information has been provided in order to make it easier for you to resolve any issues. GECRB /JCP �., Current Closed 800 -542 -0800 PO BOX 984100 EL PASO, TX 79998 24 /Mo Payment History 2005 2006 Month OCT NOV DEC JAN!FEB MAR APIR MAY JUN JUL AUG SEP OC1 Experian OK .OK OKI OK OK CK OK OK OK OK OK OK OK Equifax ° ransi3ninn What's missing from this picture? See your Experian ®, Equifax® and Log Its Now! www.FreeCred itRe port, com TransUnion® Credit Reports and Scores at a special "Members Only" price. 2007 OK OK OK OK OK . OK OK OK , OK GECRB /KIRKLANDS ...cr Experian- Equifax i rans -Union Current Closed Account Name GECRB /KIRKLANDS l Account# 60441210XXXX Account Type Charge Account 866 - 230 -9175 Balance Past Due PO BOX 965005 Date Opened ORLANDO, FL 32896 Account Status Mo. Payment P.-M Stahis What's missing from this picture? 4/1/2010 ® ® Low In Now! Closed I See your Experian , Equifax and w ww. F reeCreditReport. com TransUnion® Credit Reports and Scores Pniri satisfactorily ', '; at a special "Members Only" price. 2012 JUL AUG SEP O . ...... _ .. OK'OK OK OK CK OK OK Personal Information Report Summary Bankruptcies Credit Inquires Credit Cards &Loans Page 9 of 11 Credit Score Account Name GECRBIJCP Account# 60088921XXXX Account Type Charge Account Balance Past Due Date Opened 10/1/1993 Account Status Closed Mo. Payment Payment Status Paid satisfactorily High Balance ! $309.00 Limit Terms Revolving Comments ! Credit line closed- consumer request- reported by subscriber 24 /Mo Payment History 2005 2006 Month OCT NOV DEC JAN!FEB MAR APIR MAY JUN JUL AUG SEP OC1 Experian OK .OK OKI OK OK CK OK OK OK OK OK OK OK Equifax ° ransi3ninn What's missing from this picture? See your Experian ®, Equifax® and Log Its Now! www.FreeCred itRe port, com TransUnion® Credit Reports and Scores at a special "Members Only" price. 2007 OK OK OK OK OK . OK OK OK , OK GECRB /KIRKLANDS ...cr Experian- Equifax i rans -Union Current Closed Account Name GECRB /KIRKLANDS l Account# 60441210XXXX Account Type Charge Account 866 - 230 -9175 Balance Past Due PO BOX 965005 Date Opened ORLANDO, FL 32896 Account Status Mo. Payment P.-M Stahis What's missing from this picture? 4/1/2010 ® ® Low In Now! Closed I See your Experian , Equifax and w ww. F reeCreditReport. com TransUnion® Credit Reports and Scores Pniri satisfactorily ', '; at a special "Members Only" price. 2012 JUL AUG SEP O . ...... _ .. OK'OK OK OK CK OK OK Personal Information Report Summary Bankruptcies Credit Inquires Credit Cards &Loans Page 9 of 11 Credit Score VERONICA A COMPEAN Report As Of: 2/18/2014 J_:: Experian- Credit Cards, Loans & Other Debt Here you will find specific information on each account you opened, including current status and any past due information. Positive credit information remains on your report indefinitely. Creditor contact information has been provided in order to make it easier for you to resolve any issues. HSBC /RHODE ea ..,;= Experian.. Equifax Trans Onion Current Closed Account Name HSBCIRHODE i ! Account# 13XXXX Account Type Charge Account No Phone Provided Balance What's missing from this picture? Past Due PO BOX 15524 Date Opened 1211/2003 WILMINGTON, DE 19850 Account Status Closed See your Experian , Equifax and ® Mo. Payment TransUnion Credit Reports and Scores Payment Status Paid satisfactorily at a special "Members Only" price. High Balance ! $501.00 Limit $0.00 Terms ! Revolving Comments 24 /Mo Payment History 2004 Log In Now! www. FreeCred itReport. com UNVL /CITI as ue Date Opened . .� '::'Experian � Equifax rant i3rti rt SIOUX FALLS, SD 57117 Account Name UNVUCITI ' See your Experian ®, Equifax® and i Current Closed Account # 54911301XXXX € Account Type Credit Card at a special "Members Only" price. No Phone Provided Balance P tD $17,422.00 What's missing from this picture? PO BOX 6241 as ue Date Opened 411/1999 SIOUX FALLS, SD 57117 Account Status Closed ' See your Experian ®, Equifax® and Mo. Payment ! TransUnionO Credit Reports and Scores Payment Status Paid satisfactorily at a special "Members Only" price. High Balance $17,422.00 Limit $500.00 Terms Revolving Comments Credit line closed - grantor request- reported by subscriber 24 /Mo Payment History 2003 2004 2005 Month AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN JUL AUG_SEP OCT NOVDEC JAN FEB MAR Experian OK OK OK OK OK OK OK ; OK OK OK CK OK OK .. OK OK Ott , OK GK OK _OK. Log In Now! www.F:reeCreditReport.com MAY JUN JUL; Personal Information Report Summary Bankruptcies Credit Inquires Credit Cards 8 Loans Page 10 of 11 Credit Score __ VERONICA A COMPEAN 1—l" Experiarr Report As Of: 2/18/2014 � Credit Cards, Loans & Other Debt Here you will find specific information on each account you opened, including current status and any past due information. Positive credit information remains on your report indefinitely. Creditor contact information has been provided in order to make it easier for you to resolve any issues. 24 /Ma Payment History 2009 2010 Month MAR :APR MAY JUN JUL AUG SEP,OCT NOV DEC JAN FEB MAR Experian OK OK OK' OK'OK.OK OK OK OK OK OK OK OK WELLS FARGO BANK NV NA Experian° Account Name WELLS FARGO BANK NV NA .:......... i Current Closed Account# j 6546541560751XXXX Account Type Home Equity 800 - 245 -8936 Balance Including Purchase Money First 800 -288 -3212 Past Due PO BOX 31557 Date Opened 3/1/2002 BILLINGS, MT 59107 Account Status Closed FREDERICK, MD 21701 Mo. Payment Closed Payment Status Paid satisfactorily High Balance Paid, was past due 30 days Limit Terns 180 Months Comments 180 Months 24 /Ma Payment History 2009 2010 Month MAR :APR MAY JUN JUL AUG SEP,OCT NOV DEC JAN FEB MAR Experian OK OK OK' OK'OK.OK OK OK OK OK OK OK OK 24 /Ma Payment History Equifax Trans bfi What's missing from this picture? See your Experian®, Equifax® and Log In Now! www.FreeCreditReport.com TransUnion ®Credit Reports and Scores at a special "Members Only" price. 2011 FEB OK Equifax T f aesUiliwi What's missing from this picture? See your Experian ®, Equifax ®and Log In Now! www.FreeCreditReport.com TransUnionO Credit Reports and Scores at a special "Members Only" price. 2009 2010 Month SEP OCT NOV DEC JAN FEB MAR:; APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN JUL AUG Experian OK OK OK OK I I OK OK OK OK OK I OK OK OK OK OK OK OK I OK OK OK OK OK OK OK OK Personal Information Report Summary Bankruptcies Credit Inquires Credit Cards &Loans Page 11 of 11 '> Credit Score WELLS FARGO HM MORTGAG !; ;� Experian- Account Name WELLS FARGO HM MORTGAG Current Closed Account# 59159OXXXX Account Type ', Conventional Real Estate Loan, Including Purchase Money First 800 -288 -3212 Balance Past Due 8480 STAGECOACH CIR Date Opened 2/1 /2001 FREDERICK, MD 21701 Account Status Closed Mo. Payment Payment Status Paid, was past due 30 days High Balance Limit ! Terms 180 Months Comments 24 /Ma Payment History Equifax Trans bfi What's missing from this picture? See your Experian®, Equifax® and Log In Now! www.FreeCreditReport.com TransUnion ®Credit Reports and Scores at a special "Members Only" price. 2011 FEB OK Equifax T f aesUiliwi What's missing from this picture? See your Experian ®, Equifax ®and Log In Now! www.FreeCreditReport.com TransUnionO Credit Reports and Scores at a special "Members Only" price. 2009 2010 Month SEP OCT NOV DEC JAN FEB MAR:; APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN JUL AUG Experian OK OK OK OK I I OK OK OK OK OK I OK OK OK OK OK OK OK I OK OK OK OK OK OK OK OK Personal Information Report Summary Bankruptcies Credit Inquires Credit Cards &Loans Page 11 of 11 '> Credit Score VERONICA A COMPEAN Report As Of: 2118/2014 Z. Experian% Credit Cards, Loans & Other Debt - -" Here you will find specific information on each account you opened, including current status and any past due information. Positive credit information remains on your report indefinitely. Creditor contact information has been provided in order to make it easier for you to resolve any issues. Payment History Legend Current 30 30 Days Late KD Key Derogatory— No Data* 60 '' 60 Days Late RF ' Repossession or Foreclosure 90 90 Days Late PP Payment Plan 120 120 Days Late `Sometimes the credit bureaus do not have information from a particular month on file. 'r For additional information on Key Derogatory, please see your Credit Report Guide. Account Status Legend Current i Current Closed ro Unknown Potentially Negative _ Potentially Negative Closed Personal Information Report Summary Bankruptcies Credit Inquires : Credit Cards & Loans Page Legend `; Credit Score "ERONICA A COMPEAN Report As Of: 2/18/2014 : -*' Experian- Credit Score Your Credit Score is a numerical representation of your credit worthiness that is used by most lenders and credit card issuers. Remember, Experian, Equifax and TransUnion has its own set of data in your credit file. That's why Credit Scores may vary between bureaus. About ouur PLUS Score: Your PLUS Score is formulated using the information in your credit file. Your PLUS Score can range between 330 and 830, with a higher score indicating a lower risk. There are many scoring models used in the marketplace. The type of score used, and its associated risk levels, may vary from lender to lender. But regardless of what scoring model is used, they all have one purpose: to summarize your creditworthiness. Keep in mind that your score is just one factor used in the application process. Other factors, such as your annual salary and length of employment, may also be considered by lenders when you apply for a loan. What this means to you: Credit scoring can help you understand your overall credit rating and help companies better understand how to serve you. Overall benefits of credit scoring have included faster credit approvals, reduction in human error and bias, consistency, and better terms and rates for American consumers through reduced costs and losses for lenders. While lenders may use different scoring models to determine how you score, and each major credit bureau has its own method for calculating credit scores, the scoring models have been fairly well standardized so that a score at one bureau is roughly equivalent to the same score at another. DISCLAMER F_ PLUS Scores"", developed by Experian. is not an endorsement or guarantee of your credit worthiness as seen by lenders. The different risk levels presented here are for dueational use only. Your PLUS Score can help you understand what factors impact your credit score. ase be aware that there are many scoring models used in the marketplace, and each lender's scoring model has its own set of factors. How each lender weighs their chosen act:,rs may vary, but the exact formula used to calculate your score is proprietary. In general, the higher your score, the better your chances are of obtaining favorable rates and our PLUS Score was calculated using your actual data from your credit file on the day that you requested your report, making it comparable to most scoring models in the industry. ea alary, are often taken into consideration by lenders when making decisions about you. in mind however that other factors, such as length of employment and annual s iu ote that each bureau has its own set of data, resulting in a separate PLUS Score for each of your credit files. VERONICA A COMPEAN s �:- YCExperian- Report As Of: 2/1812014 Credit Score Your Credit Score is a numerical representation of your credit worthiness that is used by most lenders and credit card issuers. Remember, Experian, Equifax and TransUnion has its own set of data in your credit file. That's why Credit Scores may vary between bureaus. : " „� Experian 659 Equifax Tr ns What's missing from this picture? ® ® I Lo In Now! See your Experian , Equifax and g www.FreeCreditReport.com TransUnion® Credit Reports and Scores at a special "Members Only” price. Credit cards are considered "maxed -out" when you have spent 90% or more of the credit limit. Lenders view you as someone who uses their credit responsibly and spends only what they can afford. Lenders recognize that obtaining and maintaining a mortgage requires more skill and discipline than other account types. This makes them more confident in your ability to take on new accounts and still meet your financial obligations. • You do not have any Public Records (i.e. bankruptcies, tax liens, and court judgments) on your credit report. Lenders see these issues as major barriers to extending additional credit. Lenders use credit reports and credit scores to predict whether or not you will meet future financial obligations. Having a longer credit history gives them more information to base those predictions on, and increases their confidence in you overall. Personal Information Report Summary Bankruptcies What factors LOWER you PLUS Score: • Missing payments is the most damaging thing you can do to your credit. The purpose of a credit score is to help lenders predict whether or not you will miss payments in the future, so even a single missed payment can significantly lower your score. • Without any open credit cards, it is difficult for lenders to predict whether or not you know how to use credit responsibly (i.e. paying your bills on time and keeping your balances low). You have spent more than half of the credit that has been extended to you, and lenders see this as a sign of irresponsible credit behavior. Ideally, you would pay off your balances every month or at least keep your credit -to -debt ratio under 15 %. Credit Inquires Credit Cards & Loans Credit Score Page 1 of 1 sbc:r.Experian.com - 739250915 - Compean Maintenance, Inc http: / /sbcr. experian .com /report.aspx ?pnum = 1015 &fn = 739250915 &... Expedan.com - Personal � Business Small Business : About Expedan Credit Education « «irk .:».p. Experian- Report 2'. Your street address does not match. For help reading this report, please review our sample report. Search inquiry: Compean Maintenance Inc / Naples / FL / (My company) CreditScoresm Report Compean Maintenance, Inc Home I My reports I My account I Products I Help I Logout as of: 02/18/14 13:13 ET Address: 2675 Barrett Ave Key Personnel: Officer: Alfonso Compean Naples, FL 34112 -6305 Officer: Veronica A Compean United States SIC Code: 7349- Building Cleaning & Maintnce Svcs, Nee Experian BIN: 739250915 7389- Business Services, Nee 1542 - Nonresidenfial Construction, Nee Agent: Compean Veronica NAICS Code: 56179G-Other Services To Buildings And Agent Address: 2675 Barrett Ave Dwellings Naples, FL 541990 -AII Other Professional, Scientific, And Technical Services Also is (or has been) operating as: 236220 - Commercial And Institutional Compean Maintenance Inc Building Construction Business Type: Corporation Experian File Established: July 2001 Experian Years on File: 13 Years Years in Business: More than 13 Years Filing Data Provided by: Florida Date of Incorporation: 04 /01/2009 UCC Filings: 0 This location does not yet have an estimated Days Beyond Terms X Businesses Scoring Worse: 27% (03'T), or a Payment Trend Indicator. This is often the result of _ too few Payment 'Trad< ices. Bankruptcies: 0 ✓ Liens: 0 ,/Judgments Filed: 0 Collections: 0 Credit Summary Sack to top Key Score Factors Lack of active trades. Risk associated with the business type. Employee size of business. Risk associated with the company's industry sector. Risk associated with the company's industry. Company's business type. Recommended Action: Medium Risk The information herein is furnished in confidence for your exclusive use for legitimate business purposes and shall not be reproduced. Neither Exper €an nor its sources or distributors warrant such information nor shall they be liable for your use or reliance upon it. 02/18/14 1:13 PM sbcr.Experian.com - 739250915 - Compean Maintenance, Inc http: / /sbcr .experian.com /report.aspx ?pnum= 1015 &fn = 739250915 &... © 2014 Experian Information Solutions Inc. Back to top ® 2014 Experian Information Solutions, Inc. All rights reserved. Contact us Legal terms - Privacy Experian and the Experian marks herein are service marks or registered trademarks of Experian. 02/18/14 1:13 PTV sbcr.Experian.com - 739250915 - Compean Maintenance, Inc http: / /sbcr. experian .com /report.aspx ?pnum = 1015 &fn = 739250915 &... Expenan.com . Personal _ Business Small Business About Experian Credit Education Y YY Y :L". EExperiaii- Report Home I My reports I My account I Products I Help I Logout 2: Your street address does not match. For help reading this report, please review our sample report. Search inquiry: Compean Maintenance Inc / Naples / FL / (My company) CrOditScoreSM Report as of 02/18/1413:13 ET Compean Maintenance, Inc Address: 2675 Barrett Ave Key Personnel: Officer: Alfonso Compean Officer: Veronica A Compean Naples, FL 34112 -6305 United States SIC Code: 734 9-Building Cleaning & Maintnce Svcs, Nee Experian BIN: 739250915 7389- Business Services, Nee 1542- Nonresidential Construction, Nee Agent: Compean Veronica NAICS Code: 561790 -Other Services To Buildings And Agent Address: 2675 Barrett Ave Dwellings 541990 -All Other Professional, Scientific, Naples, FL And Technical Services 236220- Commercial And Institutional Also is (or has been) operating as: Building Construction Compean Maintenance Inc Business Type: Corporation Experian File Established: July 2001 Experian Years on File: 13 Years Years in Business: More than 13 Years Filing Data Provided by: Florida Date of Incorporation: 04/01/2009 UCC Filings: 0 This location does not yet have an estimated Days Beyond Terms X Businesses Scoring Worse: 27% (L`,B'r), or a Payment Trend Indicator. This is often the result of too few Payment T c.denres. V Bankruptcies: 0 v Liens: 0 f Judgments Filed: 0 ✓ Collections: 0 Back to top Credit Summary g fir @dl'It Ranking $COIr @: 27 The objective of the Credit Ranking Score is to predict payment behavior. High Risk means that there is a significant probability of delinquent payment. Low Risk means that there is a good probability of on -time High { Low Risk payment. Risk Key Score Factors: Lack of active trades. Risk associated with the business type. Employee size of business. • Risk associated with the company's industry sector. Risk associated with the company's industry. Company's business type. Recommended Action: Medium Risk " The information herein is furnished in confidence for your exclusive use for legitimate business purposes and shall not be reproduced. Neither Experian nor its sources or distributors warrant such information nor shall they be liable for your use or reliance upon it. 02/18/14 1:15 PM 1 oft sbcr.Experian.com - 739250915 - Compean Maintenance, Inc http: / /sbcr .experian.com /report.aspx ?pnum= 1015 &fn = 739250915 &... © 2014 Experian Information Solutions Inc. Back to top ®2014 Experian Information Solutions, Inc. All rights reserved. Contact us Legal terms Privacy Experian and the Experian marks herein are service marks or registered trademarks of Expenan. 02/18/14 1:15 PM ot2 2014 FLORIDA PROFIT CORPORATION ANNUAL REPORT DOCUMENT# P09000029213 Entity Name: COMPEAN MAINTENANCE, INC. Current Principal Place of Business: 2725 BARRETT AVE NAPLES, FL 34112 Current Mailing Address: 2725 BARRETT AVE NAPLES, FL 34112 US FEI Number: 26- 4582730 Name and Address of Current Registered Agent: COMPEAN, VERONICA 2725 BARRETT AVE NAPLES, FL 34112 US FILED Feb 07, 2014 Secretary of State CC9317308960 Certificate of Status Desired: Yes 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: i Electronic Signature of Registered Agent Date Officer /Director Detail Title P, S Name COMPEAN, ALFONSO Address 2725 BARRETT AVE City - State -Zip: NAPLES FL 34112 Title VP, T Name COMPEAN, VERONICA Address 2725 BARRETT AVE City - State -Zip: NAPLES FL 34112 I hereby cerdly that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shah 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: VERONICA A. COMPEAN VP 02107/2014 Electronic Signature of Signing Officer /Director Detail Date State of Florida Department of State I certify from the records of this office that COMPEAN MAINTENANCE, INC. is a corporation organized under the laws of the State of Florida, filed on March 31, 2009, effective April 1, 2009. The document number of this corporation is P09000029213. I further certify that said corporation has paid all fees due this office through December 31, 2014, that its most recent annual report/uniform business report was filed on February 7, 2014, and its status is active. I further certify that said corporation has not filed Articles of Dissolution. Given under n y hand and the Great Seal of the State of Florida at Tallahassee, the Capit44 this the Seventh day of February, 2014 Secretag of State Authentication ID: CC9317309960 To authenticate this certificatevisit the following site,enter this ID, and then follow the instructions displayed. https:/ /efilesunbiz.orgleertauttvver.htmi 0 IRS DNTERN�TR OEVENUE SERVICE CINCINNATI OH 45999 -0023 COMPEAN MAINTENANCE INC 2675 BARRETT AVE NAPLES, FL 34112 Date of this notice: 04 -01 -2009 Employer Identification Number: 26- 4582730 Form: SS -4 Number of this notice: CP 575 A For assistance you may call us at: 1- 800 - 829 -4933 IF YOU WRITE, ATTACH THE STUB AT THE END OF THIS NOTICE. WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER Thank you for applying for an Employer Identification Number (EIN). We assigned you EIN 26- 4582730. This EIN will identify you, your business accounts, tax returns, and documents, even if you have no employees. Please keep this notice in your permanent records. When filing tax documents, payments, and related correspondence, it is very important that you use your EIN and complete name and address exactly as shown above. Any variation may cause a delay in processing, result in incorrect information in your account, or even cause you to be assigned more than one EIN. If the information is not correct as shown above, please make the correction using the attached tear off stub and return it to us. Based on the information received from you or your representative, you must file the following form(s) by the date(s) shown. Form 940 01/31/2010 Form 944 01/31/2010 Form 1120 03/15/2010 If you have questions about the form(s) or the due date(s) shown, you can call us at the phone number or write to us at the address shown at the top of this notice. If you need help in determining your annual accounting period (tax year), see Publication 538, Accounting Periods and Methods. We assigned you a tax classification based on information obtained from you or your representative. It is not a legal determination of your tax classification,. and is not binding on the IRS. If you want a legal determination of your tax classification, you may request a private letter ruling from the IRS under the guidelines in Revenue Procedure 2004 -1, 2004 -1 I.R.B. 1 (or superseding Revenue Procedure for the year at issue). Note: Certain tax classification elections can be requested by filing Form 8832, Entity Classification Election. See Form 8832 and its instructions for additional information. n4poRTANT INFORMATION FOR S CORPORATION ELECTION: If you intend to elect to file your return as a small business corporation, an election to file a Form 1120 -5 must be made within certain timeframes and the corporation must meet certain tests. All of this information is included in the instructions for Form 2553, Election by a Small Business Corporation. Details Collier County Tax Collector 2800 N. Horseshoe Drive Naples, FL 34104 Collier County Business Tax Receipt Tax Year Info: 2013 Prow Pprnrri I Page 1 of 1 Next Record Prev Renard New Search text Record Back To List 2008 Tax Information 2009 Tax Information g _ Y http: / /colliertax.com/search/ols _ details.php ?ID= 45314664& p a e —& ear =2013 2/24/2014 • FLORIDA GREEN INDUSTRIES certificat, AwudedtO VERONICA A. COMPEAN Certifying The Completion of 6 Training Hours on the Topic of Green Industries Best Management Practices on July 6th 2007 �p � Terril A. Nell, Chair, Environmental Horticulture UNIVERSITY OF FLORIDA IFAS EXTENSION Laurie E. Trenholm, Urban Turfgrass Specialist for the PROTECTION OF WATER RESOURCES in FLORIDA i c� r� ro INCORPORATED UNDER THE LAWS OF THE STATE OF FLORIDA ,i, )i.;�%�., rll'.,�,:.v; +2S.?t�..u�;ti..M 4��l+rt3'. b. +1- ,AlY'tr:r i ..... -y..: : •... �..... ,. ,. :...._ ...... :.. .. ... _.....,. .... 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'$,�,r3,� ,aY.- ,�.; ".y.e r�l;,K. +. ;�ja. s ; •i: y y s�... .,�j,. 4 ;N:i .,�`` r i'a a a '�_.•^` . .:.•.^'.: -„ ,��:.riar xa.cr.�. .A F. - :..�37Fir�Ysv.+_, Yi51.t..tt.;:�Cv...rd:�il.,bu. ;ic. Y:.�..w ..�ir��'1��'^.�.'�Z. 1:r7i .�,i,. !fifi:, ��",'�. & .r.���%k�`tS�itR'�q a, x2 ' . �^ � psi. :>; a. �. ..... ,_ n ,�Scr.*` • A7UaNM9iAMPR KR(NOW72lSd27$ 7 ® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 2/24/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. if SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER AL DELEON AND ASSOCIATES, INC. 2814 LEE BLVD . , UNIT 19 LEHIGH ACRES, FL 33971 CONTACT NAME: ALEXIS PLU14—MR PH A ,tm ONE (239)368 -5775 FC No:(239)36H -3720 AoDRESS:AI EXIS @ALDELEONIN3. COM INSURER(S) AFFORDING COVERAGE NAIC # INSURER A:CYPRESS PROPERTY fi CASUALTY 10953 INSURED COMPEAN MAINTENANCE INC 2675 BARRETT AVE NAPLES, FL 34112 INSURER B VICTORIA PERSONAL & ADV INJURY INSURER cBRIDGEFIELD EMPLOYERS INS CO GENERAL AGGREGATE INSURER D: INSURER E: INSURER F: GUVt:KAt Lb r= Iwol­x.­--- ---- -- -- - THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR A TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR A POLICY NUMBER FL1005628 -05 81 POLICY EFF MMIDD /14/2013 POLICY IXP MMIDD IYYYYI /14/2014 LIMITS EACH OCCURRENCE s 1,000,000 A PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE S 1,000,000 ♦nilnn rAOOA�ATIAAI All rin i.4c rncnrvnrl PRODUCTS - COMP/0 P AGG $ INCLUDED GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO- LOC AUTOMOBILE LIABILITY Ea (Ea accident) LIMIT s s 100,000 BODILY INJURY (Per person) $ B ANY AUTO ALL OWNED X SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS H AUTOS 324393 /14/2013 /14/2014 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident) $ PIP -Basic $ 10 000 UMBRELLA L1AB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE s C DED I I RETENTION $ WORKERS COMPENSATION WC STATU- 0TH_ -TORY Li E.L. EACH ACCIDENT $ 100,000 AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NJj1j 30 -41195 /16/2013 /16/2014 E.L DISEASE - EA EMPLOYEE S 100,000 E.L DISEASE - POLICY LIMIT S 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) GEKT IHUA 111- MULUtt( verocompean@comcast.net SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. COLLIER COUNTY ATTN: CONTRACTOR LICENSING AUTHORIZED REPRESENTATIVE 2800 N HORSESHOE DRIVE NAPLES, FL 34104 ATXXIS PLUNNER ♦nilnn rAOOA�ATIAAI All rin i.4c rncnrvnrl ACORD25(2010 /05) "' °° ". ^-1— " "' -- _..._.. INS025(7mnn.mnt The Arr10r) n- =nri Innn arc rn ieiornrt mnrlre of ar -nizr1 "f .1-i CST[a tX ,,: . : . `het . COWMAN NfCA AVILA =. { r : NAPLES, 3�411x Bd04 3 $ "6,' .,:iii.,..; ;�k' b.' • Q 'SAF£ifW J' �b 1 4.x. ,,�, . Operation of a mornr:--lu M e.R-.0.a...,.,,. _ `°"ttltuq+COMMIT t.ary....VW r.gyyb M JAW • • • • • v / RAZ Construction LLC PO BOX 2186, FORT MYERS FL 33902 / PH: 239 - 337 -0003 — FX: 239 - 334 -1374 EMAIL: razconstrucitonl @aol.com February 24, 2014 Contractors Licensing Board Community Development & Environmental Services 2800 North Horseshoe Drive Naples, FL 34104 Board Members, I request that I be allowed to qualify a second entity in Collier County. I wish to maintain my present license (11923 A -Z Masonry Inc) to complete the work already contracted by that company. I feel over the years I may have missed out on work based on the name of my current company and it being assumed that I do only masonry work. If my application is approved, I will contract all new work under my new company, RAZ Construction LLC. Once A - Z Masonry Inc. has fulfilled all its contractual obligations I will most likely request that company be made dormant while I consider my options and decide how I should proceed. Thank you for your consideration, Robert A. Zielinski Owner /Manager M A - Z MASONRY, INC. PO BOX 1109, FORT MYERS FL 33902 PH: 239 - 337 -5000 / FX: 239 -334 -1374 EMAIL: AZMAS 1601 @AOL.COM February 24, 2014 I, Robert A. Zielinski, Qualifier and Authorized Agent for A - Z Masonry, Inc. do hereby attest to the fact that I am aware that I, Robert A. Zielinski, Authorized Agent for RAZ Construction LLC has applied to also Qualify RAZ Construction LLC in Collier County. Signature: Robert . Zielinski State of Florida County of Lee Sworn to and s bscr-i7be before me this 4 ,1 -d X a U (A 20 �� � i (1��; who is rson n to me or who has provided as identification. '319DA L'B� / /yr�i Q,••gM1SSJpN•.;F,9��y (?fi er 21 Flo • cn . y :;A #EE21i653 i 9l ; 2�0%A'�ed thN oe�': ���lJl lull! t L� Notary Public, State of Florida r, RAZ Construction LLC PO BOX 2186, FORT MYERS FL 33902 / PH: 239 - 337 -0003 EMAIL: RAZConstructionl @aol.com February 24, 2014 I, Robert A. Zielinski, Authorized Agent for RAZ Construction LLC has applied to Qualify RAZ Construction LLC in Collier County and do hereby attest to the fact that I am aware that I, Robert A. Zielinski, Authorized Agent for A - Z Masonry Inc. also Qualifies A - Z Masonry Inc. in Collier County. ignature: Rob A. Zielinski State of Florida County of Lee Jl` � Sworn to and subscribed before me this L�[� da lJ( 20I by l c�U,�� -} , 2-i��� nS ,1 who is rsonally known to me oY who has provided a entification. zsi� /`� • 2' �cCV'• j i * • °' CP ` . u' • • �.� • *S •� #EE 211653 : Q lic U" 9 ©a e0nded thN �s�� Q Notary Public, State of Florida t r , .a CONTRACTOR LICENSING SECTION ORIGINAL BUILDING REVIEW AND PERMITTING COLLIER COUNTY / CITY OF NAPLES / CITY OF MARCO ISLAND Contractors Licensing Board Community Development & Environmental Services Division 2800 North Horseshoe Drive Naples, Florida 341.04 Telephone: (941) 403 -2431 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 COMPLETED IF YOU WISH TTO 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. FEE $ I o�). OC) x �" 1. Applicant's Name (Licensee)7L e,4 ;Z.121�1 n, h LICENSE # U 14 UNDER THE FEDERAL PRIVACY ACT, DISCLOSURE OF SOCIAL SECURITY NUMBERS IS VOLUNTARY UNLESS SPECIFICALLY REQUIRED BY FEDERAL STATUTE. IN THIS INSTANCE, SOCIAL SECURITY NUMBERS ARE MANDATORY PURSUANT TO TITLE 42 UNITED STATES CODE, SECTIONS 653 AND 654; AND SECTIONS 455.203(9), 409.2577, AND 409.2598, FLORIDA STATUTES. SOCIAL SECURITY NUMBERS ARE USED TO ALLOW EFFICIENT SCREENING OF APPLICANTS AND LICENSEES BY A TITLE N -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 OPPORTUNI.TY RECONCILIATION ACT OF 1996 (WELFARE REFORM ACT), 104 PUB.L. 193, SEC. 317. Place of Birth: (City) �1b (State) (Nation) U� Social Security Number Date of Birth SEX: Male _ Female RACE: o White _; (2) African- American ; _ (3) Hispanic _; (4) Asian (5) Indian; (6) Other i 2. Name of Business To Be Qualified: Mailing Address: Street Address: L Street or P.O. Boa Street IFL_ State Zip T) 33qa City State Zip Business Phone Number: ( ) 33`1 —00 d 3 Federal ID Number: `V10" 2(09919 O9 APPLICATION TO QUALIFY SECOND ENTITY 3. Applicant's (Licensee) Name: ZA 0 n5)i\t ',©loeeti('-� Rn Last First Midd Applicant's (Licensee) Official Mailing Address of Record: Street M Citv Street Address (if Post Office Box is listed above): 753q County State Zip 1 Z 21 0 Rvr�, Lu- FL 33q)-0 Street City County State Zip Home Phone ( ) �jq �! - `� !D Office Phone (2N) 33 1- �S QQO 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 filed with and approved by the Bureau of Workers' Compensation compliance), for the safety and welfare of the public. I further affirm that l have met all continuing education requirements. I understand that it is my responsibility to maintain all documentation supporting this affirmation of eligibility. 1 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 license. 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 4 BCM- 250 -T. t3 A LICANT'S SlCdMTURE 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 4 BCM- 250 -T. t3 APPLICATION , QUALIEFY ,; 5. QUESTIONNAIRE - QUALIFYING A SECOND ENTITY THIS FORM MUST BE COMPLETED 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. T- \-J 1 sly 4-D Mci r -� I Y�� -P (��t - Ucz,'K5 e. --�0 aM � 4a— Lo arK C-�-Kf yen 1 Lc°n c� c. -�ec� 4�-k- CA-- AAA --s . Z� f\"2vo toe. U-n d er �1�v.J b t�sLr VG ---} O `ML j B. Has the proposed entity been previously qualified? If so, explain why the previous qualifier is no longer trilling to continue to qualify this entity._ VAO 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. -r- c�yva-L Ccr1ecA.� tn� � 2 Cc" -f � ;ra. is n c fret/ t () i) mc- r6i(Af-y La r t e-1 1 -ts t 3 �j SE i C t^ j�l)e7 C c.�� Co ca �1 r1o1 o LK, �/LGtm Cem p t j d M" . coot (4 2q'� 3T12Z CA" l k d ate," Z-OI L4 �� ���its �� 23o4Nw3��uQ,('a�Cora� ;Stat�,b�cut,b,ekrr, ���i�d �e� 2tily D. List the last three jobs completed by you under your existing license. Include date of completion. address, description of work, name of previous qualifier and name of owner. ►1 te=e- �X�k`�} -50 �3 Sc�adl�,��ooK �s�,��.� tNcp�e.s 2i2a�►�.} �m��ral� �irres f Q_V1c.'n PfexrLx Lc �E;�oy3�S Sly vvcxyr R, s ally �ty W Lz GLMmu -rt �,�t�S 3) M ��� L-�'c Gam, 132i�1 �Se�aln �-�C✓ l�,"� �•.�rJ.�+ -rn,1 e!s Z-1 t�-1 � 1 �:) (�, t2. -�c� © p�`ev�ers l� F;e.,� �c�r►e per ,rrntd KGs Slob, l��o��d,l�e ,, J(:Cr rktw Cons -�Uc:k o*) E. Do the business(s) ou presentl qualify and/or wish to qualify have any outstanding hens against them or against the property of consumers as a result of construction work or a contract they had with your firm? YES NO K If yes, identify business and provide explanation. F. List principal suppliers for the past six mouths for the business you presently qualify. 0.�12 ?e�-9 MK ', �t�. � 21q , ES-i -y-o 73 29 cJ SLA-Wy , 3135 'IF+ m'Ar5 35011(.0 TDr�e-SS at � , 7byn5 e"Ie Blvd, �Lu� Cc�c-a 3 YISc) G. List principal suppliers for the past six months for the business you are applying to qualify. �Eon le Mn k l T_o . tax lk9, Cs-�ro 339201 Gb-r& 33gSb 4 APPLICATION TO QUALIFY SECOND ENTITY H. List persons authorized (currently and in the past 6 weeks) to pull permits on your license(s). How are you being paid by the business(s) you presently qualify (examples: salary, % of profits, etc.)? s Cz -ay-1 J. How will you be paid by the business you are applying to qualify? Sok� r 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? 10 C) % L. Do you (applicant) have check writing authority for the present and proposed entity? YES X NO If yes, provide a letter from the bank. Gm s v�sr C c vt s� G U -Cik� �r 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. te r} k �( s. O. Do the business(s) you presently qualify and wish to qualify have any other licenses presently qualifying those businesses? YES X NO If yes, list licensee's name, license number and address. P. Submit notarized statements signed by an authorized gent of the entity(s) you p esently 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. S Ckff) � G j_x, i 2 -e , APPLICATION TO QUALIFY SECOND ENTITY 6. FINANCIAL RESPONSIBILITY. All 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 EXPLAIN IF ANY OF THE BELOW WOULD PERTAIN TO THEM. This would include the president, vice president, secretary, and/or partners or owner of the proprietorship. HAVE YOU, the business organization, or any of the above mentioned individuals in any capacity ever: YES NO k 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? Zn 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? 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 nolo 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 THAT YOUR CIVIL RIGHTS HAVE BEEN RESTORED WILL BE REQUIRED PRIOR TO LICENSURE. NOTE: The Board requires any applicant /licensee who answers "yes" to any question contained in the Financial Responsibility Section of the 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 qualifying. APPLICATION TO QUALIFY SECOND ENTITY Make sure you give written authorization to the credit agency so they can accurately check your credit references. Federal, State, County (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 25% or more of the contractor's work 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 FEIN and Social Security numbers. Attach a credit report(s) from a nationally recognized credit- reporting 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, 7960 Arlington Expressway, Suite 300, Jacksonville, Florida 3221.1 -7467, and complete this statement: I have requested a credit report(s) on (PROPOSED ENTITY AND PRESENT ENTITY) . to be sent directly from (NAME OF CREDIT REPORTING AGENCY) 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 applying to qualify? YES -4 NO (If "yes ", what percentage of the business do you own (if any)? 1 CD © %). Contact Board office for guidelines to qualify more than one business. Company Name: [--\\- L Y v M \4 _�_f Y c d. 1 ko9 � (-o ( 5CcY Scn S 202, Company Address: " F+, �Fl, 339oC L 1=-1- NV2YS� 'FL 336)61 Your License Number: 01' -1 13 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 AFFIDA VIT I "Rp�u� K 2- J'\nsY. certify that the foregoing is true and correct to the best of my knowledge. 't� - 449-1 o� -� AUTHORIZED OFFICPKTOR THE FIRM STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this 2-I Z d 1 4 (DATE) byG��� l2 tl�S of�� ���15 ur 1-_ (NAME OF OFFICER, TITLE /AGENT) (NAME OF CORPORATION) a �(Y (� a corporation, on behalf of the corporation. He /She has (STATE OR. PLACE OF CORIPORATI:ON) produced 1 as identification and did not take an oath. (TYPE OF IDENTIFICATION) 3 AI A L. S,! ° ° ° °� w : �MMISSIpiy ••; �,p �i � •�v sober 2l . . �Qo pj9 * : a' C" : = SIGNATUR.E OF NOTARY o : #EE 211653 i, � •• �blic Under;•' O S /� ° %���► +;� �� 0�,��� (PRINT NAME OF NOTARY) NOTARY PUBLIC AFFIDA VIT 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 contracting 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 will be held strictly accountable for any and all activities involving his license. Any willful falsification of any information contained herein is grounds for disqualification. 0� Y'C •C'� � � 1 e., � 'n�l� -i APPLICANT (PLEASE PRINT) NAME OF COMPANY SIGNATURE OF AP.PffCANT STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this 2— -2CI I 1 by 1 (DATE) �i who has produced (NAME OF PERSON ACKNOWLEDGING) (TYPE OF IDENTI ICATION) as identification and who did not take an oath. ,121, � Oro . * SIGNATURE OF NOTARY 2 : #EE 211653 ; aQZ r0� .•tir Bonded ch�� ,fie � OQ�> -' ���V. -� t - � le �Y %/ /�'p A°; pUbliC Una;• � c�',�: 6 (PRINT NAME OF NOTARY) "Nt'14110ki"1` NOTARY PUBLIC r RESOLUTION OF AUTHORIZATON WHEREAS �i Z "YIA�V CJ (Q U -C— proposes to (Name of Business Entity) engage in contracting as oIr J2 arC^ -) GO in (Type of legal entity: corp., partnership, etc. Collier County, Florida, according to Collier County Ordinance 99 -45; and WHEREAS j?) \c 4Y UL-6 ()0 proposes to (Name of Business Entity) '7 qualify for a Certificate of Competency with R cAoK T� L / iQ �� Ir154j_ . (Name of Individual) NOW, THEREFORE, BE IT HEREBY RESOLVED THAT: We the undersigned C1 n uV of fn� n (Officers, Owners, Partners) viz tNIs�UC1(l(� hereby resolve and represent to the Collier County (Name of Business Entity) I _ �� , Contractors' Licensing Board that the qualifying agent, R �aour ,Z`►2 �� (is ! , is active (N me o Individual) in all matters connected with the contracting business 0AAZ i (1n 1. E ( "Name f Bus ess ntity)/ We further resolve and represent that �U 12a fl �1 r: (` `� (Names of Individual) legally empowered to act forR \ t� u (�T10� `..0 in all matters connected witl (Name of Business Entity) contract' g business, and has the authority to supervise construction undertaken by PAZ ��L c -1 LC.-- . (Name of Business Entity) DULY PASSED AND ADOPTED THIS ?-V' day of k��1, 2o H. J�4tu,A,J Witness Witness Witness Swom to and subscribed before me this2 &day of d 201 �4 l oyC� � c l� tary Public Name Printed Commission Number FC: � 11655 My Commission expires: )c) -21. I V�;obet 21, j o° y : #EE 211553 :,71 ��%, • 0/ Bonded t0 0.- e -z' ° �� i1,i1! 4t 0- °Atia, and its (Officers, Partners, Owners - with Designa 'r underneath) -! Corporate Seal (if Applicable) Or Notary Public Certificate COLLIER COUNTY GOVERNMENT CONvLMUTIITY DEVELOPMENT ;�ND ENVIRONMENTAL SERVICES DIVISION 2900 N_ Horseshoe Dr. • Naples. Florida 34104 s 239 -403 -2400 • FAX 239 -403 -2334 DATE: November 29, 2007 TO: Applicant's FROM: Michael Ossorio, Contractor Licensing Supervisor. CC: Robert Dunn, Collier County Building Director. Alamar Finnegan, Collier County Permitting Supervisor, Robert Zachary, County Attorneys Office. All Contractor Licensing personnel. SUBJECT: Collection of social security numbers. Pursuant to Chapter 119, Florida Statues and Collier County Contractor Licensing Ordinance 2006 -46 Sec. 2.1.1, all. applicants are required to submit their social security number (SSN) for the following purposes: a) Assess applicant's ability to satisfy creditors by reviewing their credit history. b) Verification of applicant's test scores and information. Our office will only use your SSN noted above for those reasons pursuant to Chapter 119. Florida Statues and as may otherwise be authorized by la,,N,r. We are fully committed to safe- guarding and protecting your SSN and once collected, will. be maintained as confidential and exempt under Chapter 119, Florida Statues. Prepared By: ` Merit Credit (239) 277 -3202 (800) 371 -3348 TRANSUNION CREDIT REPORT [FOR] [SUB NAME] [MKT SUB] [INFILE] [DATE] [TIME] (I) Z NP6284423 MERIT CREDIT 16 NP 12/01 02/24/14 11:03CT [SUBJECT] [SSN] [BIRTH DATE] ZIELINSKI, ROBERT A. -6605 11/58 [CURRENT ADDRESS] [DATE RPTD] 1109 PO BOX 1109, FORT MYERS FL. 33902 [FORMER ADDRESS] 18210 RIVER CHASE CT., ALVA FL. 33920 12/01 1141 OCEAN DR., SUMMERLAND KEY FL. 33042 ---------------------------------------------------------------------------- M O D E L P R O F I L E * * *FICO CLASSIC 04 SCORE +812 011, 014 * ** ---------------------------------------------------------------------------- C R E D I T S U M M A R Y * ** T 0 T A L F I L E H I S T O R Y PR =O COL =O NEG =O HSTNEG =O TRD =10 RVL =4 INST =O MTG =6 OPN =O INQ =1 HIGH CRED CRED LIM BALANCE PAST DUE MNTHLY PAY AVAILABLE REVOLVING: $32.3K $46.9K $5332 $0 $ 89% MORTGAGE: $1.OM $ $649K $0 $3544 TOTALS: $1.OM $46.9K $654K $0 $3544 ---------------------------------------------------------------------------- T R A D E S SUBNAME SUBCODE OPENED HIGHCRED TERMS MAXDELQ PAYPAT 1 -12 MOP ACCOUNT# VERFIED CREDLIM PASTDUE AMT -MOP PAYPAT 13 -24 ECOA COLLATRL /LOANTYPE CLSD /PD BALANCE REMARKS MO 30/60/90 CHASE B 26QK001 5/83 $6999 111111111111 ROl 411816028267 2/14A $14.8K $0 111111111111 I CREDIT CARD 2/14P $0 48 0/ 0/ 0 AMEX B 21WB001 3499908333823123 I CREDIT CARD BK OF AMER B 4275002 871932303 I CONVENTIONAL REAL 12/96 $25.3K 2/14A $32.1K $0 $5332 4/04 $665K 360M2912 2/14A $0 $529K BK OF AMER B 4275002 8/05 $171K 360M632 870832687 2/14A $0 I CONVENTIONAL REAL $119K GECRB /JCP D 235058D 600889530459 I CHARGE ACCOUNT BK OF AMER B 4275002 870974696 I CONVENTIONAL REAL 4/06 $140 1 /14A $2000 7/07C $0 7/03 $499K 11 /11A 11 /11C $0 111111111111 RO1 111111111111 48 0/ 0/ 0 111111111111 MOl 111111111111 48 0/ 0/ 0 111111111111 MO1 111111111111 48 0/ 0/ 0 111111111111 RO1 $0 111111111111 ACCT CLSD BY CONSUMER 48 O/ 0/ 0 180M 111111111111 MOl $0 111111111111 CLOSED 48 0/ 0/ 0 BK OF AMER B 6331059 5/00 $322 Rol 1875 5/09A $4000 $0 I CREDIT CARD 3/08C $0 ACCT CLSD BY CONSUMER 48 0/ 0/ 0 BK OF AMER B 6331062 10/03 $105K 30OM740 111111111111 MOl 1736050829206 12/08A $0 111111111111 I CONVENTIONAL REAL 12/08C $0 CLOSED 48 0/ 0/ 0 BK OF AMER B 6331062 6/03 $225K 180M2149 11111111111 M01 1736970876022 8/04A P CONVENTIONAL REAL 11 0/ 0/ 0 BK OF AMER B 6331062 7/01 $275K 360M2880 111111111111 MOl 1336580361357 5/04A $0 111X11111111 I FRD999684256 5/04C $0 CLOSED 30 0/ 0/ 0 ---------------------------------------------------------------------------- I N Q U I R I E S DATE SUBCODE SUBNAME TYPE AMOUNT 2/24/14 ZNP62844.23(FLA) MERIT CREDIT ---------------------------------------------------------------------------- C R E D I T R E P O R T S E R V I C E D B Y TRANSUNION 800 - 888 -4213 2 BALDWIN PLACE P.O. BOX 1000,CHESTER, PA. 19022 Consumer disclosures can be obtained online through TransUnion at: http: / /www.transunion.com ---------------------------------------------------------------------------- CREDITOR CONTACT INFORMATION CHASE BC26QK001 (800) 955 -9900 P.O. BOX 15298 WILMINGTON DE. 19850 AMEX BC21WB001 (800) 874 -2717 P.O. BOX 981537 EL PASO TX. 79998 BK OF AMER BM427SO02 (800) 451 -6362 4161 PIEDMONT PKWY GREENSBORO NC. 27410 GECRB /JCP DC235058D (866) 227 -5213 PO BOX 965007 ORLANDO FL. 32896 BK OF AMER BC6331059 PO BOX 982235 EL PASO TX. 79998 BK OF AMER BM6331062 (800) 669 -6607 4161 PIEDMONT PKWY GREENSBORO NC. 27410 END OF TRANSUNION REPORT MERIT CREDIT HAS RETRIEVED THE ABOVE PERSONAL CREDIT REPORT FOR LICENSING PURPOSES AS REQUESTED BY THE BUSINESS OWNER /PROPRIETOR. PUBLIC RECORDS FOR THIS REPORT HAVE BEEN CHECKED AND VERIFIED AT THE COUNTY, STATE AND FEDERAL LEVELS. PUBLIC RECORDS HAVE ALSO BEEN VERIFIED FOR PINELLAS COUNTY. PUBLIC RECORDS LEARNED 0 SOURCES OF INFORMATION: TRANS UNION LLC IRS LIEN SECTION COUNTY COURTHOUSE RECORDS IF YOU HAVE ANY QUESTIONS REGARDING THIS REPORT, PLEASE CONTACT MERIT CREDIT AT: 1- 800 -371 -3348 OR (239) 277 -3202. Premier Profile - A TO Z MASONRY, INC Subcode: 970135 Ordered: 02/241'2014 11:06:11 CST Experian- a ■s. Transactions Number: C500308078 • Search Inquiry: A -Z MASONRY INC/1601 JACKSON STREET SUITE 2021FORT A. ,:erlc .r irisihi MYERS/Fl-1/339011165024956 5 Model Description: inteiliscore Plus V2 Primary Address: 1601 JACKSON ST STE 202 FORT MYERS, FL 33901 -2968 Website: wnnv atozmasonry com Phone: (239) 337 -5000 Tax ID: 65- 0249565 Risk Scores and Credit Limit Recommendation Days Beyond Terms ' Inteiiiscore Plus Financial Stability Risk Company DBT �LOW RISK .� LOW RISK D"- Score range: 3 - 100 percentile Industry DBT: 11 Credit Limit Recommendation: $18,100 Top Derogatory Legal Fraud Alerts Original Filings High Risk Alerts ff ILF W Founded in 2002, A to Z Masonry, Inc. is headquartered in Mt. Olive, FL. It is a masonry company specializing in residential and commercial projects. The company offers services such as full -mason fireplaces, saw cuts, stone works. straight lines, and arches. Years on File: 20 (FILE ESTABLISHED 03/1994') SIC Code: CONCRETE WORK CONTRACTORS - 1771 State of Incorporation: FL SPORT ING & RECREATIONAL GOODS, SUPPLIES - 5091 Date of Incorporation: 02/01/1991 NAICS Code: Business Type: Institutions - Profit Poured Concrete Foundation and Structure Contractors - 238110 Contacts: TONY ZILINSKI - PRESIDENT Sporting and Recreational Goods and Supplies Merchant Wholesalers j ROBERT ANTHONY ZIELINSKI -423910 Number of Employees: 35 Sales: $2,800,000 Business Alerts Active Business Indicator: Experian shows this business as active Possible OFAC Match:') No OFAC match found Business Victim Statement No victim statement on file ;�:r W irification Triggers INACTIVE DOMESTIC CORPORATE FILING FOUND Premier Profile - A TO Z MASONRY, INC 1/5 98 + y „gh Lo IN Risk i p 10 25 SO S 160 a 1-1_ - - _ This score predicts the likelihood of serious credit delinquencies for this business within the next 12 months. Payment history and public record along with other variables are used to predict future risk. Higher scores indicate lower risk. The risk class groups scores by risk into ranges of similar performance. Range 5 is the highest risk, range 1 is the lowest risk. Factors lowering the score Industry Risk Comparison > NUMBER OF RECENTLY ACTIVE COMMERCIAL ACCOUNTS 98% of businesses indicate a higher likelihood of severe > RATIO OF TOTAL SAL TO TOTAL HIGH SAL ACROSS ALL COMM ACCTS delinquency. x LENGTH OF TIME ON EXPERIAN'S FILE Quarterly Score Trends Quarterly Sere Trends 100- 20 83 80 _0 i 68 60 60- 50 - 40 - 30 - 20 - 10- ¢$' Q Credit Risk Score: Financial Stability Risk The Quarterly Score Trends provide a view of the likelihood of delinquency over the past 12 months for this business. The trends will indicate if the score improved, remained stable, fluctuated or declined over the last 12 months. Current Financial Stability Risk Score: 92 Risk Class: 1 92 enm F' High sw.= LL �,t s The risk class groups scores by risk into ranges of similar cJsi. - performance. Range 5 is the highest risk, range 1 is the 0 - lg Jib 55 no lowest risk. This score predicts the likelihood of financial stability risk within the next 12 months. The score uses tradellne and collections information, public'dings as well as other variables to predict future risk. Higher scores indicate lower risk. Factors lowering the score industry Risk Comparison > NUMBER OF ACTIVE COMMERCIAL ACCOUNTS 91% of businesses indicate a higher likelihood of financial stability risk. > RISK ASSOCIATED l °VITH THE COMPANY'S INDUSTRY SECTOR > RISK ASSOCIATED WITH THE BUSINESS TYPE > BALANCE TO HIGH CREDIT RATIO FOR OTHER COMMERCIAL ACCOUNTS Credit Limit Recommendation Credit Limit Recommendation 518.100 Payment Performance This recommendation compares this business against similar businesses in the Experian business credit database. It is based on trade information, industry, age of business and the Intelliscore Plus. The recommendation is a guide. The final decision must be made based on your company's business policies. Trade and Collection Balance Legal Filings TOP Premier Profile - A TO 2 'MASONRY, INC 21-0 Current DDT: Predicted DST as 04/23/2014 Monthly Average DBT: Highest DBT Previous 5 Months: Highest DST Previous 5 Quarters: Payment Trend Indication: Payments are stable Industry Comparison 0 Total trade and collection (5): $6,700 1 Ail trades (5): $6,700 0 All collections (0): $0 0 Continuous trade (3): $900 0 6 month average: $500 - $3,500 Highest credit amount extended: $4,600 Most frequent industry purchasing terms: Balance NET 30,REVOLVE,CREDIT Bankruptcy: No Tax Lien filings: 0 Judgment filings: 0 Sum of legal filings: $0 UCC filings: 0 Cautionary UCC filings: No Industry DBT Range Comparison DST Norms The current DBT of this business is 0. 80% of businesses have a DST range of 0-5. Ail industry: 9 DBT for this business: 0 Same industry: 11 Industry Payment Comparison Has paid sooner than 50% of similar businesses DBT Range 0 5 6 -15 1`+ 1 DST Trends Monthly DBT Trends 8- 13 4- 2- 0 -01i all 4- 3- 2- Q° Quarterly DBT Trends TOP a Monthly Payment Trends Payment Trends Analysis Account Status CONCRETE WORK CONTRACTORS - 1771 Days Beyond Terms Date Reported Industry Business DBT Balance Cur 1-30 31-60 61-90 91+ Cur DST CURRENT 84% 11 0 $900 100% JAN14 84% ll 0 $1,900 100% DEC13 84% 11 0 $500 100% NOVI 3 85% 11 0 $3,000 100% OCTI 3 84% 12 0 $1,400 '100% SEP13 84% 11 0 $800 100% AUG113 85% 111 0 81,200 10006 Quarterly Payment Trends Account Status Payment History - Quarterly Averages Days Beyond Terms Premier Profile -A TO Z MASONRY, INC 3/5 Quarter Months DBT Balance Cur 1 -30 31 -60 61 -90 91+ I Q4 - 13 OCT - DEC 0 51,800 100% ? 63 - 13 JUL - SEP 0 _ $1.100 100% _ j Q2 - 13 APR - JUN _ 0 53.900 100% Q1 13 JAN - MAR 0 5900 100% Q4 - 12 OCT - DEC 0 51,500 1000% $1,100 $100 100% WAREHOUSE Top Trade Line Type Lines Reported DST Recent High Credit Balance Current 01-30 31 -60 61 -90 91+ Continuous 3 $6,800 $900 100% New 0 Recent High $0 Cur 1 -30 31 -60 61 -90 91+ Comments Combined Trade 3 $6,800 $900 100% Additional 2 $11,100 $,800 100% Total Trade 5 $17,900 $6,700 100% T!OPP Payment Experiences (Trade Lines with an ( *) after the date are newly reported) Da Business Date Last Payment Recent High Balance Cur 1 -30 Category Reporters Sale Terms Credit ACCT SVCS 02/2012 VARIED $0 CRED CARD 02/2014 01/2014 REVOLVE $11,100 $5,800 100% Corporate Registration THE FOLLOWING INFORMATION WAS PROVIDED BY THE STATE OF FLORIDA. State of Origin: FL Date of Incorporation: 02 /01,1991 Current Status: Inactive Business Type: Institutions - Profit Charter Number: S29035 Agent: ZIELINSKI ROBERT A Agent Address: 1601 JACKSONST STE 202 FT MYERS, FL Summary of Inquiries Business FEB-14 JAN14 DEC13 NOV13 OCT13 SEP13 Category FINANCE 1 INSURANCE 1 Top :count Status Beyond Terms 31 -60 61 -90 91+ Comments TOP Top AUG13 JUL13 JUN13 Premier Profile - A TO Z IdIASONRY, INC 4/5 Payment Experiences Account Status (Trade Lines with an ( *) after the date are newly reported) Days Beyond Terns Business Date Last Payment Recent High Balance Cur 1 -30 31 -60 61 -90 91+ Comments Category Reported Sale Terms Credit BLDG MATRL 01/2014 01/2014 CREDIT $4,600 $400 100% OFFC SUPPL 0212014 01/2014 CREDIT $1,100 $100 100% WAREHOUSE 02/2014 01/2014 CREDIT $1,100 $400 100% Payment Experiences (Trade Lines with an ( *) after the date are newly reported) Da Business Date Last Payment Recent High Balance Cur 1 -30 Category Reporters Sale Terms Credit ACCT SVCS 02/2012 VARIED $0 CRED CARD 02/2014 01/2014 REVOLVE $11,100 $5,800 100% Corporate Registration THE FOLLOWING INFORMATION WAS PROVIDED BY THE STATE OF FLORIDA. State of Origin: FL Date of Incorporation: 02 /01,1991 Current Status: Inactive Business Type: Institutions - Profit Charter Number: S29035 Agent: ZIELINSKI ROBERT A Agent Address: 1601 JACKSONST STE 202 FT MYERS, FL Summary of Inquiries Business FEB-14 JAN14 DEC13 NOV13 OCT13 SEP13 Category FINANCE 1 INSURANCE 1 Top :count Status Beyond Terms 31 -60 61 -90 91+ Comments TOP Top AUG13 JUL13 JUN13 Premier Profile - A TO Z IdIASONRY, INC 4/5 TEXTILES Totals Experian prides itself on the depth and accuracy of the data maintained on our databases. Reporting your customers payment behavior to Experian will further strengthen and enhance the power of the information available for snaking sound credit decisions. Give credit where credit is due. gall 3 -800 -520 -3229, option #4 for more information. End of report 1 of 1 report The information herein is furnished in confidence for your exclusive use for legitimate business purposes and shall not be reproduced. nleither Experian Information Solutions, Inc., nor their sources or distributors warrant such information nor shall they be liable for your use or reliance upon it. © Experian 2014. All rights reserved. Privacypolicv. Experian and the Experian marks herein are service marks or registered trademarks of Experian. Premier Profile - A TO Z MASONRY. INC 515 Merit Credit Fast, Accurate & Secure. 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: A - Z MASONRY INC FEDERALID: 65- 0249565 CURRENT STATUS: ACTIVE BUSINESS PRINCIPAL(S): ROBERTZIELINSKI TITLE: DIRECTOR DATE INCORPORATED: 06/02/1997 Feb 25 14 02:16p 239 - 277 -0167 2392770167 Premier Profile - RAZ CONSTRUCTION, LLC Subcode: 970135 Ordered: 02/2412014 13:13:19 CST Transaction Number: C50031OZ24 Search Inquiry: RAZ CONSTRUCTION: LLC,16.01 JACKSON ST STE 202 ?FORT LAYERS /FL/33901 /US."NjAi971129906 Model Description: Irttelliscore Plus V2 Primary Address: 1601 JACKSON ST STE 202 FORT IMYERS, FL 3390' -2968 Risk Scores and Credit Limit Recommendation ln.ellisrore Plus Financial Stabii:ty Risk Score unavailable. Score u iavaiiabie. information on fiie not Information on file not proven ?o predict serious pr:ven to pred'e' financa! future risk. stability risk. Credit Limit Recommendation: N/A P.1 :..' T Experian- - s A WW IC ar insight rcv Days Beyond Terms Derogatory Legal Fraud Alerts Company CBT Original Filinc. High Risk Alert, DBT IUnava,lablu Years on File: 1 (FILE ESTABLISHED 05/2013) State of Incorporation: FL Date of Incorporation: 04123,12013 Business Type: Pro:it Contacts: ROBERT ANTHONY ZIELINSKI - MANAGER Business Al erts Active Business Indicator: Expenan shows this business as active Possible QFAC Match: No OFAC mate :'ound Business Victim Statement: Vo victim statement on file MP 4) Verification Triggers The primary Business Name: Address, and Phone Number on Exuerian File were revic red for High Risk indicators, no Hich Risk indica'crs %were found. Credit Risk Score: Intelliscore Plus Current !ntellisccre Plus Score: Score and Risk Class Unavailable (999) This score predicts the likelihood of serious credit delihcuencies for this business within the next 12 mcntt-s. i iaif L =' This report does not ir-dude data elements stztis:ically + -l• �^_ __,__ Y _ .- .___.- R i proven to predict serious future delinquency. Therefore an Intelliscore Plus score cannot be calculated and [,he risk ill 63 i ilp class is unavailable. Credit Risk Sere: Financial Stability Risk 1 Premier Profi:e - RAZ CONSTRUCTION, LLC 1.'3 Feb 2514 02:16p 239 - 277 -0167 2392770167 p.2 Current Financial Stability Risk Score: Score and Risk Class Unavailable (999) This score predicts the likelihood of financial stability risk within the next 12 months. Information on file is not ` prover, to predict financial stabi,ib, risk. There' re a Ir 1. Financial Stability Risk score cannot be created- Credit Limit �ecommendation Credit Limit Recommendation No: available - Th s report does rot include the data elements needed to create the credit limit recommendation. This recommendation compares this business against similar ausinesses in the Experian b.isiress credit database. It is based on trade rformaticn, industry, age of business and the In elliscore P us_ The recommendation s a guide. The final decision must be made bases on your company's business policies. T 0 Legal. Payment Performance Trade and Collection Balance Legal Flings Current DST: Not Available Total trade and coffection (0): $0 Bankruptcy: No Predicted DST: N;A All trades (0): $0 Tax Lien filings: Cl Monthly Average DST: 0 All collections (G): Judgment fiiinos: 0 $0 Sum of legal filings: SO Highest DST Previous 6 Months. 0 Continuous trade (0). a0 UCC filings: C Highest DST Previous 5 Quarters: 0 6 month average: NiA Cautionary UCC fillings: Nc Payment Trend Indication: Highest credit amount extended: NiA Payment trend indicator not availat-le Most frequent industry purchasing terms: Industry purchasing terr ,s rot available Industry Comparison Industry DBT Range Comparison The current DB'- of this business is Not Available. DBT for this business: Not Available D Fa3:SC�e Corporate Registration T FIE FOLLOWING INFOPIMATION XMAS PROVIDED BY THE STATE OF FLORIDA. State of Origin: Fl- Date of Incorporation: 04;23;2013 Current Status: Active Business Type: Profit Charter Number: _130000594 Agent: KNOTT GEORGE HF-SQ Agent Address: KNOTT EBELINI HART FOR — MYERS. FL TL -' TC.P Experian prides itself on the depth and accuracy of the data ,-maintained on our databases. Reporting your customer's payment behavior to Experian wilt 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 -1229, option #4 for more information. End of report 1 of 1 report 77,,e jr, rorn. afion herein is fur, rshad in confidence for your axrhish0 I'se for legitirri a business purposes ano snail not be roproducod. N&her Experian Information Solutions, Inc.. nor their sources or drstr;bu. ors warrant suc!, information nor snail they be hablo ror your use or refiaccc upon ii. Experian 2014. All rights reserved. Pnvc, aslicy. Premier Proa,a - RnZ CONSTRUCTION, LLC 2 3 Feb 2514 02:16p 239 - 277 -0167 2392770167 p.3 ExperiEn and tie ExDerian marks he-ein are ser4ice marks or registered tademarks of = xperian. Pre -mar Profile • RAZ CONSTRUCTION. LLC 31 'Feb 25 14 02:16p 239 - 277 -0167 2392770167 p.4 Merit Credit Fast, Accurate R Secure. 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: EXPERT-AN BUSINESS INFORMATION SERVICES IRS LIEN SECTION COUNTY COCRTHCUSE RECORDS IF YOU HAVE ANY QUESTIONS REGARDING THIS REPORT, PLEASE CONTACT MERIT CREDIT AT: 1- 800- 371 -3348 OR 239 - 277 -3242. COMPANY NAME: RAZ CONSTRUCTION LLC FEDERALID: 462699889 CURRENT STATUS: ACTIVE BUSINESS PRINCIPAL(S): ROBERTZIELINSKI TITLE: MANAGER DATE INCORPORATED: 04 /23/2013 Bank of erica' P.O. Box 15284 Wilmington, DE 19850 11111111111-ill'. 111111 llli1Iltlhil Jill 1111111it AP 0 075 257 423 001732 *002 AT 0.406 A - Z MASONRY INC Po BOX 1109 FORT MYERS, FL 33902 -1109 Your Full Analysis Business Checking for January 1, 2014 to January 31, 2014 A - Z MASONRY INC ccoulk`lt Summary Beginning balance on January 1, 2014 $236,301.95 Deposits and other credits 409,774.09 Withdrawals and other debits - 17,912.01 Checks - 368,502.21 Service fees 1 -26.84 Ending balance on January 31, 2014 $259,634.98 Business Banking Customer service information >) Customer service: 1.888.8515000 bankofamerica.com Bank of America, N.A. P.O. Box 25118 Tampa, FL 33622 -5118 Account number: 0030 6202 5172 # of deposits /credits: 7 # of withdrawals /debits: 112 # of days in cycle: 31 Average ledger balance: $278,711.00 A - Z MASONRY INC I Account # 0030 6202 5172 1 January], 2014 to January 31, 2014 U."01PORTANT IN FORMATI ON: BANK DEPOSIT CIOU T 5 Change of address - Please call us at the telephone number listed on the front of this statement to tell us about a change of address. Deposit agreement - When you opened your account, you received a deposit agreement and fee schedule and agreed that your account would be governed by the terms of these documents, as we may amend them from time to time. These documents are part of the contract for your deposit account and govern all transactions relating to your account, including all deposits and withdrawals. Copies of both the deposit agreement and fee schedule which contain the current version of the terms and conditions of your account relationship may be obtained at our banking centers. Electronic transfers: In case of errors or questions about your electronic transfers- If you think your statement or receipt is wrong or you need more information about an electronic transfer (e.g., ATM transactions, direct deposits or withdrawals, point -of -sale transactions) on the statement or receipt, telephone or write us at the address and number listed on the front of this statement as soon as you can. We must hear from you no later than 60 days after we sent you the FIRST statement on which the error or problem appeared. — Tell us your name and account number. — Describe the error or transfer you are unsure about, and explain as clearly as you can why you believe there is an error or why you need more information. — Tell us the dollar amount of the suspected error. For consumer accounts used primarily for personal, family or household purposes, we will investigate your complaint and will correct any error promptly. If we take more than 10 business days (10 calendar days if you are a Massachusetts customer) (20 business days if you are a new customer, for electronic transfers occurring during the first 30 days after the first deposit is made to your account) to do this, we will credit your account for the amount you think is in error, so that you will have use of the money during the time it will take to complete our investigation. For other accounts, we investigate, and if we find we have made an error, we credit your account at the conclusion of our investigation. Reporting other problems - You must examine your statement carefully and promptly. You are in the best position to discover errors and unauthorized transactions on your account If you fail to notify us in writing of suspected problems or an unauthorized transaction within the time period specified in the deposit agreement (which periods are no more than 60 days after we make the statement available to you and in some cases are 30 days or less), we are not liable to you for, and you agree to not make a claim against us for the problems or unauthorized transactions. Direct deposits - If you have arranged to have direct deposits made to your account at least once every 60 days from the same person or company, you may call us at the telephone number listed on the front of this statement to find out if the deposit was made as scheduled. © 2013 Bank of America Corporation Bank of America, N.A. Member FDIC and 112t Equal Housing Lender ' Your ,-- � Bank o erica ' A - Z MASONRY INC I Account # 0030 6202 5172 1 January 1, 2014 to January 31, 2014 Deposits and other credits Date Transaction description Customer reference Bank reference Amount 01/03/14 Deposit 813104642145248 98,134.45 01/09/14 PAYCOR INC. DES:tax fund 902308006355077 22.32 ID:275382307185316 INDN:A-Z MASONRY CO ID:1311299990 CCD 01/10/14 DRHorton PMD DES:PAYMENT ID-83697 902309010744403 112,910.66 INDN:AZMasonrylnc.Receivabl CO ID :7010532275 CCD 01/10/14 DRHorton PMD DES:PAYMENT ID:83990 902309010744401 7,917.00 INDN :AZMasonryinc.ReceivabI CO ID:7010532275 CCD 01/16/14 Deposit 813104542551637 875.00 01/24/14 DRHorton PMD DES :PAYMENT ID:85408 902323012825191 179,379.66 INDNAZMasonryinc.Receivabl CO ID:7010532275 CCD 01/31/14 DRHorton PMD DES:PAYMENT ID:86251 902330010077780 10,535.00 INDNAZMasonrylnc.Receivabl CO ID:7010532275 CCD Total deposits and other credits $409,774.09 Withdrawals and other debits Date Transaction description Customer reference Bank reference Amount 01/02/14 PAYCOR INC. DES:tax fund 902365009792075 - 845.02 ID385697127604090 INDN:A -Z MASONRY CO ID:1311299990 CCD 01/02/14 OFFICE DEPOT DES--ONLINE PMT 902302005801983 - 226.87 ID:561265373052343 INDN:A Z MASONRY INC CO ID:CITICCSWEB WEB 01/02/14 CenturyLink DES:SPEEDPAY 1D:XXX0000CXX 902302005181541 -65.47 INDN:56370383 CO ID:2721432917 TEL continued on the next page A - Z MASONRY INC I Account # 0030 6202 5172 1 January 1, 2014 to January 31, 2014 Y'l.m.ve3dasul9szil's as�� 'a�ver earia..`'? continued Date Transaction description Customer reference Bank reference Amount 01/02/14 PAYCOR INC. DES:SVC- PAYCOR 902365012213740 -35.85 ID:1 82981 7379881 0S INDNA -Z MASONRY CO ID:4311299990 CCD 01/02/14 PAYCOR WC DES :Pay fund 902365009792073 -10.00 ID:177656624120383 INDN :A -Z MASONRY CO ID:6311299990 CCD 01/06/14 AMERICAN EXPRESS DES:ACH Pmt ID:V7036 902306013175248 - 7,696.07 INDN :ROBERT ZIELINSKI CO IDA 133133497 PPD 01/06/14 AMERICAN EXPRESS DESACH Pmt ID :V5482 902306013175271 - 827.60 INDN:ROBERT ZIELINSKI CO IDA 133133497 PPD 01/07/14 PAYCOR INC DES:SVC - PAYCOR 902306013793313 - 201.00 ID:18680628308450 INDN:A -Z MASONRY CO ID :4311299990 CCD 01/09/14 PAYCOR INC. DES:tax fund 902308004101600 - 848.73 ID:109403598258010 INDNA -Z MASONRY CO ID :1311299990 CCD 01/09/14 PAYCOR INC DES :SVC- PAYCOR 902308004937911 -46.8S ID:10697508597834 INDN:A -Z MASONRY CO ID:4311299990 CCD 01/09/14 PAYCOR INC. DES :Pay fund 902308004101S98 -10.00 ID :102312883077032 INDN.A -Z MASONRY CO ID:6311299990 CCD 01/13/14 LIBERTY MUTUAL DES:EFT PAYMMI 902310003960675 - 1,708.89 ID:128848907101 INDN :A -Z MASONRY CO ID:9910260180 CCD 01/16/14 PAYCOR INC. DES:tax fund 902315011095309 - 930.62 ID :21 91 860094401 28 INDNA -Z MASONRY CO ID :1311299990 CCD 01/16/14 PAYCOR INC DES:SVC- PAYCOR 902315011873765 -35.85 ID :122749712553559 INDNA -Z MASONRY CO ID :4311299990 CCD 01/16/14 PAYCOR INC. DES:Pay fund 902315011095307 -10.00 ID:115493670082943 INDN:A -Z MASONRY CO ID:6311299990 CCD 01/22/14 HPS BINDER DES:BC BILL ID:5508401 902321012492941 -98Q48 1NDN:2- 000014284032 CO ID :2592015694 WEB 01/22/14 HPS BINDER DES:BC BILL ID :5508360 902321012492931 - 454.77 INDN:2- 000014283591 COID2592015694 WEB 0123/14 PAYCOR INC. DES :tax fund 902322006355837 - 1,020.17 ID:1 434367491 701 00 INDN :A -Z MASONRY CO ID :1311299990 CCD 01/23/14 PAYCOR INC. DES:SVC- PAYCOR 902322006355853 -35.85 ID ;258087007607492 INDN:A -Z MASONRY CO ID- 4311299990 CCD continued on the next page continued on the next page Your checking acco _ Bankof America A - Z MASONRY INC I Account # 0030 6202 5172 ► January 1, 2014 to January 31, 2014 bi ds seals and other debits - continued Date Transaction description Customer reference Bank reference Amount 01/23/14 PAYCOR INC. DES:Pay fund 902322006355835 -10.00 ID:244290149552814 INDN:A -Z MASONRY CO ID :6311299990 CCD 01/24/14 CenturyLlnk DES:SPEEDPAY ID:XX)OO(XXXX 902324004378282 -133.81 INDN :57444264 CO ID2721432917 TEL 01/29/14 AMERICAN EXPRESS DESACH Pmt ID:V3210 902329013532858 - 620.36 INDN:ROBERT ZIELINSKI CO ID:1133133497 PPD 01/30/14 PAYCOR INC. DES--tax fund 902329011059459 - 1,111.90 ID:388986214179800 INDN:A -Z MASONRY CO ID:1311299990 CCD 01/30/14 PAYCOR INC. DES :SVC- PAYCOR 902329012635689 -35.85 ID:50359684287611 INDN :A -Z MASONRY CO ID:4311299990 CCD 01/30/14 PAYCOR INC. DES:Pay fund 902329011059457 -10.00 ID:176694671327925 INDN:A -Z MASONRY CO ID:6311299990 CCD -$17,912.01 Total withdrawals and other debits Checks Date Check # Bank reference Amount Date Check # Bank reference Amount 01106 24193 813109892808026 - 305.44 01/24 24212 813103242647085 - 757.26 01/03 24194 813103642592495 - 45180 01/24 24213 813108042588135 - 490.12 01/03 24195 813103642592506 - 44171 0123 24214 813109792863684 - 435.60 01/03 24196 813109592035299 - 435.60 01/27 24215 813108292213916 - 505.93 01/06 24197 813109792462356 - 505.93 01/27 24216 813108292201999 - 595.34 01/27 24198 813108292201998 - 595.34 01/31 24218* 813104542599251 - 761.82 01113 24199 813109492757460 - 324.00 01/31 24219 813106342212344 - 687.36 01 /10 24200 813103142861818 - 502.52 01/30 24220 813109292418724 - 435.60 01 /10 24201 813106642320933 - 452.42 01/06 27767* 813108292459881 - 1,576.31 01110 24202 813109192302205 - 435.60 01/06 27774* 813108192234620 -8636 01/13 24203 813109392579049 - 505.93 01/02 27776* 813100792047116 - 4,929.16 01/13 24204 813109392579015 - 59534 01/06 27777 813108192036112 - 957.96 01/21 24205 813109092303431 - 402.41 01/06 27780* 813108092271140 - 117.94 01/17 24206 813103942183111 - 593.03 01/06 27781 813103692633380 - 964.15 01/17 24207 813104642949962 - 526.39 01 /08 27782 813100892955024 -251.73 01/16 24208 813108592522826 - 435.60 01/07 27783 813108492619000 -91654 01/21 24209 813108892631021 - 505.93 01/07 27785* 813108392372354 - 203.65 01/21 24210 813106892630231 -595.34 01106 27787* 813108292468677 - 243.91 01/27 24211 813108392246644 - 424.24 01/03 27788 813109692580931 -31.06 continued on the next page A - Z MASONRY INC I Account # 0030 6202 5172 1 January 1, 2014 to January 31, 2014 e ` •r There is a gap in sequential check numbers Service fees Date Transaction description 01 /15/14 12/13 ACCT ANALYSIS FEE Total service fees Note your Ending Balance already reflects the subtraction of Service Fees. ZD Date Balance {$) Date 01/01 236,301.95 01/03 01/02 230,189.58 01/06 Balance(S) Date 321,823.49 01/07 295,997.34 01108 Date Check # Bank reference Amount Date Check # Bank reference Amount 01 /08 27789 813104392763421 - 134.62 01/23 27815 813109792411528 - 2,340.00 01/07 27790 813106092737901 - 417.64 01/23 27816 813109892173412 - 8,214.80 01/07 27791 813108492373056 - 259.76 01/17 27817 813105892058916 - 8,359.80 01/03 27792 813109592722047 - 197.16 01/17 27818 813108792202376 - 15,431.07 01/03 27793 813109692084664 - 4,939.21 01/21 27819 813109192406945 - 12,871.48 01107 27794 813108592449595 - 4,402.00 01/23 27820 813109692411098 - 24259.21 01/13 27795 813109592778943 - 2330.00 0122 27821 813104392434579 - 38,729.70 01/08 27796 813104392572984 - 29,12435 0122 27822 813100292667407 - 64,263.03 01 /06 27797 813105892003487 - 12,544.48 01/17 27823 813105742002266 - 14,865.50 01/08 27799` 813100792443715 - 38,118.13 01/21 27824 813109192821122 -93.51 01/10 27800 813104692931117 -26.99 01/24 27828* 813106042063254 - 12,438.20 01113 27801 813109392579014 - 10,000.00 01/31 27831' 813100892715375 -65.54 0121 27802 813109192072409 - 612.11 0128 27834' 813105292405798 -98.74 01/21 27803 813104092470361 - 5,273.36 01/30 27835 813109292230211 - 211.87 01/16 27804 813100892954759 - 143.86 01/30 27836 813100292038338 - 380.97 01/21 27805 813103892254075 -2334 01130 27837 813100292002055 - 5,425.14 01/21 27806 813109192430703 - 305.79 0128 27838 813108792113739 - 998.49 0122 27807 813100392154873 - 764.88 01/28 27839 813108792644265 -45.28 01/16 27808 813100992181475 -79.33 01/31 27840 813109392112645 - 255.40 01/21 27810* 813100892522613 - 125.68 01/30 27841 813109192420899 - 1,430.00 01/16 27811 813108492691792 - 922.84 0129 27842 813108992135801 - 6,490.27 01/15 27812 813108292503477 - 188.15 01/28 27843 813105292787600 - 158.47 01/21 27813 813106092234895 -24.37 01/29 27844 813105492474545 - 2,881.67 01/17 27814 813108792782000 - 2,762.75 01/31 27847* 813106342177491 - 10,490.90 Total checks - $368,502.21 Total # of checks 86 There is a gap in sequential check numbers Service fees Date Transaction description 01 /15/14 12/13 ACCT ANALYSIS FEE Total service fees Note your Ending Balance already reflects the subtraction of Service Fees. ZD Date Balance {$) Date 01/01 236,301.95 01/03 01/02 230,189.58 01/06 Balance(S) Date 321,823.49 01/07 295,997.34 01108 Amount -26.84 - $26.84 Balance ($) 289,596.75 221,967.92 continued on the next page Your checking account Bankof America A - Z MASONRY INC I Account # 0030 6202 5172 1 January 1, 2014 to January 31, 2014 Daily ledger ballances - continued Date Balance ($) Date Balance($) Date 01/09 221,084.66 01/17 280,598.00 01 /27 01/10 340,494.79 0121 259,764.68 01/28 01/13 325,034.63 01/22 154,571.82 01/29 01/15 324,819.64 01/23 118,256.19 01/30 01/16 323,136.54 01/24 283,816.46 01 /31 Balance ($) 281,695.61 280,394.63 270,40233 261,361.00 259,634.98 To help you BALANCE YOUR CHECKING ACCOUNT, print a copy of the "How to Balance Your Bank of America Merrill Lynch Account" page by visiting CashProO University at cashproonline _bankofamerica.com. A - ZMASONRYINC I Account# 00306202 5172 1 January 1, 2014 to January 31, 2014 ! s an of A erica "W P.O. Box 13284 Wilmington, DE 19830 i�ltl��llllrulhlilll�lllulll�lhiilll�ll���i�l�N (�lulll���l AF 0 075 188 092 008689 #002 AT 0.384 A - Z MASONRY INC PO BOX 1109 FORT MYERS, FL 33902 -1109 Your Full Analysis Business Checking for December 1, 2013 to December 31, 2013 A - Z MASONRY INC --Account summary 3eginning balance on December 1, 2013 Deposits and other credits Withdrawals and other debits Checks Business Banking Customer service information ?. °'1 Customer service: 1.888.852.5000 4 bankofamerica.com Bank of America, N.A. P.O. Box 25118 Tampa, FL 33622 -5118 Account number_ 0030 6202 5172 $421,743.77 # of deposits/credits: 6 367,287.60 # of withdrawals /debits: 123 - 13,394.66 # of days in cycle: 31 - 539,301.11 Average ledger balance: $291,120.53 Service fees -33.65 Ending balance can December 31, 2013 $2361,301.95 Beginning January 1, 2014, we will assess a new daily overdraft fee for each calendar day your account's end -of -day balance is negative, regardless of the type of debit item that created the overdraft. We will no longer charge the per -item fee for each item that overdraws your account; however, a per -item fee will continue to be assessed for each non- sufficient funds item that is returned without payment. DI it I • C rvrl P• AF CDFr• h Ml IVFDV• D TVDF- IMA!_C- I Rr' 1AY. D7rfG '1 n+ '1 W _ t i .sir { A - Z MASONRY INC I Account # 0030 6202 5172 I December 1, 2013 to December 31, 2013 MPO ffi T INFORMATION: BANK DEPOSIT ACCOUNTS Change of address - Please call us at the telephone number listed on the front of this statement to tell us about a change of address. Deposit agreement - When you opened your account, you received a deposit agreement and fee schedule and agreed that your account would be governed by the terms of these documents, as we may amend them from time to time. These documents are part of the contract for your deposit account and govern all transactions relating to your account, including all deposits and withdrawals. Copies of both the deposit agreement and fee schedule which contain the current version of the terms and conditions of your account relationship may be obtained at our banking centers. Electronic transfers: In case of era ors or questions about your electronic transfers- If you think your statement or receipt is wrong or you need more information about an electronic transfer (e.g., ATM transactions, direct deposits or withdrawals, point -of -sale transactions) on the statement or receipt, telephone or write us at the address and number listed on the front of this statement as soon as you can. We must hear from you no later than 60 days after we sent you the FIRST statement on which the error or problem appeared. — Tell us your name and account number. — Describe the error or transfer you are unsure about, and explain as dearly as you can why you believe there is an error or why you need more information. — Tell us the dollar amount of the suspected error. For consumer accounts used primarily for personal, family or household purposes, we will investigate your complaint and will correct any error promptly. If we take more than 10 business days (10 calendar days if you are a Massachusetts customer) (20 business days if you are a new customer, for electronic transfers occurring during the first 30 days after the first deposit is made to your account) to do this, we will credit your account for the amount you think is in error, so that you will have use of th money during the time it will take to complete our investigation. For other accounts, we investigate, and if we find we have made an error, we credit your account at the conclusion of our investigation. Reporting other problems - You must examine your statement carefully and promptly. You are in the best position to discover errors and unauthorized transactions on your account If you fail to notify us in writing of suspected problems or an unauthorized transaction within the time period specified in the deposit agreement (which periods are no more than 60 days after we make the statement available to you and in some cases are 30 days or less), we are not liable to you for, and you agree to not make a claim against us for the problems or unauthorized transactions. Direct deposits - If you have arranged to have direct deposits made to your account at least once every 60 days from the same person or company, you may call us at the telephone number listed on the front of this statement to find out if the deposit was made as scheduled. 0 2013 Bank of America Corporation Bank of America, N.A. Member FDIC and 112t Equal Housing Lender 12/06/13 AMERICAN EXPRESS DES:ACH Pmt ID:V31S8 INDN:ROBERT ZIELINSKI CO ID:1133133497 PPD + 9 12/06/13 AMERICAN EXPRESS DES:ACH Pmt ID-V6372 INDN:ROBERT ZIELINSKI CO IDA 133133497 PPD 902340010667981 - 4,554.04 902340010667999 - 223.39 continued on the next page Deposit checks electronically, right from your desktop, with Remote Deposit Service Online. Simply scan your checks using a bank- provided scanner to transmit the images and data to us online. Potential benefits may include faster access to cash with fewer trips to the bank. ONbankofamerica _com /remotedepositserviceh Pncsc q of 1 R Your check'mg account Bank of America �.A - Z MASONRY INC I Account # 0030 6202 5172 1 December 1, 2013 to December 31, 2013 Deposits and other credits Date Transaction description Customer reference Bank reference Amount 12106/13 Deposit 813103342317616 85,512.10 12/13/13 DRHorton PMD DES:PAYMENT ID:80317 902346014211011 67,157.50 INDN :AZMasonryinc-Receivabl COID:7010532275 CCD 12/17/13 Deposit 813103142692363 36,040.00 12/18/13 Deposit 813104442764752 12,930.00 12/20/13 Deposit 813104742074856 70,561.00 12/27/13 DRHorton PMD DES :PAYMENT ID :81972 902360013310743 95,087.00 INDN:AZMasonrylnc.Receivabi COID:7010532275 CCD Totai deposits and ether credits $367,287.60 ith&a als and other debits Date Transaction description. Customer reference Bank reference Amount 12/05/13 PAYCOR INC. DES:tax fund 902338007428040 - 766.66 IDAS9428272897960 INDN:A -Z MASONRY CO ID:1311299990 CCD_ 12/05/13 PAYCOR INC. DES:SVC- PAYCOR 902338009311832 -37.14 ID:1 31 26461 926521 7 INDN:A -Z MASONRY CO ID :4311299990 CCD 12/05/13 PAYCOR INC DES:Pay fund 902338007428038 -10.00 ID:262674959851345 INDN:A -Z MASONRY CO ID:6311299990 CCD 12/06/13 AMERICAN EXPRESS DES:ACH Pmt ID:V31S8 INDN:ROBERT ZIELINSKI CO ID:1133133497 PPD + 9 12/06/13 AMERICAN EXPRESS DES:ACH Pmt ID-V6372 INDN:ROBERT ZIELINSKI CO IDA 133133497 PPD 902340010667981 - 4,554.04 902340010667999 - 223.39 continued on the next page Deposit checks electronically, right from your desktop, with Remote Deposit Service Online. Simply scan your checks using a bank- provided scanner to transmit the images and data to us online. Potential benefits may include faster access to cash with fewer trips to the bank. ONbankofamerica _com /remotedepositserviceh Pncsc q of 1 R A - Z MASONRY INC I Account 4 0030 6202 5172 1 December 1, 2013 to December 31, 2013 h m &f-1t d ' d its - co'g ue Date Transaction description Customer reference Bank reference Amount 12/09/13 LIBERTY MUTUAL DES:EFT PAYMMI 4- a'7r( )-3 902343002256263 - 2,087.84 ID :128848907101 INDNA -Z MASONRY, INC_ CO ID:9910260180 CCD 12/11/13 PROG AMERICAN DES:INS PREM ID :POLE 7� 3, 902344012701261 - 1,127.47 #44318511 INDNA Z MASONRY INC CO ID:9409348120 TEL 12/12/13 PAYCOR INC. DES :tax fund 902345005150616 - 834.54 ID :903284659708810 INDNA -Z MASONRY CO ID:1311299990 CCD 12/12/13 PAYCOR INC DES :SVC - PAYCOR 902345005150627 -36.50 ID:279066251912482 INDNA -Z MASONRY CO ID :4311299990 CCD 12/12/13 PAYCOR INC. DES:Pay fund 902345005150614 -10.00 ID :569122710329600 INDNA -Z MASONRY CO ID :6311299990 CCD 12/19/13 PAYCOR INC. D'ES:tax fund 902352003271778 - 763.72 ID:854330071665800 INDNA -Z MASONRY CO ID:1311299990 CCD 12/19/13 PAYCOR INC DES:SVC- PAYCOR 902352004504128 -36.50 ID:75900146607100 INDNA -Z MASONRY CO ID:4311299990 CCD 12/19/13 PAYCOR INC. DES:Pay fund 902352003271776 -10.00 ID:253712272278921 INDN :A -Z MASONRY CO ID :6311299990 CCD 12/26/13 PAYCOR INC. DES :tax fund 902358005883324 - 813.56 ID:500492677100430 INDNA -Z MASONRY CO ID :1311299990 CCD 12/26/13 PAYCOR INC DES :SVC - PAYCOR 902358007376527 -35.85 ID:238936430059379 INDNA -Z MASONRY CO ID:4311299990 CCD 12/26/13 PAYCOR INC DES :Pay fund 902358005883322 -10.00 ID :450240477588220 INDNA -Z MASONRY CO 113:6311299990 CCD 12/31/13 UNITED HEA.LTHCAR DES:EDI PAYMTS + ai �tnz 902364016950904 - 2,037.45 ID :CF0002098509 INDNA -Z MASONRY INC Qrn+ CO 113.1362739571 CTX ADDITIONAL INFORMATION IS AVAILABLE FOR THIS PMT. CONTACT A TREASURY SALES OFFICER FOR ASSISTANCE. Total withdrawals and other debits - $13,394.66 Checks Date Check 9 Bank reference Amount Date Check # Bank reference Amount 12/09 9 813100792512640 - 88,821.91 12/06 24167 813105392684817 112, - 308.51 12/03 24164 813108892948195 - 164.84 12/06 24168 813106042922392 - 308.59 ` 12/09 24165 813108292681958 - 208.48 12/05 24169 813109592292509 - 435.21 12/06 24166 813103342912787 -31428 12/09 24170 813109892724103 - 505.21 continued on the next page Your checking, account Bank of America Checks - cniit anue Date Check # Bank reference Amount Date Check # Bank reference Amount 12/09 24171 813109892725959 //� - 593.99 12/09 27709 813109892748625 - 243.91 12/10 24172 813108492400197 - 116.36 12/06 27710 813109692909095 - 254.99 12/17 24173 813108192746500 - 320.00 12/09 27711 813108192512937 - 100.06 12/13 24174 813105342718079 �d -47439 12/09 27712 813100892922430 -65.47 12/13 24175 813104492613459 - 227.91 12/04 27713 813109392298968 - 1,105.00 12/13 24176 813105342582123 - 416.69 12/06 27714 813109692256842 - 131.44 12/16 24177 813109692004028 -43521 12105 27715 813109492435503 - 684.59 12/16 24178 813109492793517 -50521 12/06 27716 813109892269957 -3231 12116 24179 813109492793699 - 593.99 12/06 27717 813109692241398 - 20.384.04 12/24 24180 813109692167169 - 237.57 12/10 27718 813108692453651 - 495.00 12/20 24181 813104742595678 - 467.43 12/09 27719 813108192418803 - 150.00 1220 24182 813105692554269 - 174.18 12/10 27721* 813100392334822 -5838 12/20 24183 813105642263395 - 293.16 12/10 27722 813108492078132 - 203.79 12/19 24184 813108792407817 - 435.21 12/12 27724 813104292561432 -2165 12/23 24185 813109192070213 - 505.21 12/09 27725 813109892725960 - 5,000.00 --- 12/23 24186 813109192048260 - 593.99 12106 27726 813109792267264 - 4,823.10 12130 24187 813104992300859 -.- - 378.17 ___12/06 27727 813104742160021 _ - 11,698.70 12/27 24188 813104242680748 - 557.93 12/06 27728 813101882473033 - 7,928.40 12127 24189 813104242728400 -37035 12/10 27729 813108592490596 - 1,530.00 12/26 24190 813108092733807 -43521 12/12 27730 813104392253600 -36.75 12/30 24191 813108492213346 -50521 12/10 27732* 813103742231256 - 9,200.00 12/31 24192 813108892537706 - 593.99 12/18 27733 813100292666881 - 764.88 12/02 27692* 813108592066923 - 6,308.17 12/18 27734 813108492755257 - 2,325.00 12/02 27693 813104492869135 - 10,152.94 12/13 27736* 813109292673295 -5830 12/04 27694 813109192604641 - 1,840.00 12/18 27737 813105292315788 -56.80 12/04 27695 813109192414125 - 14,310.18 12/20 27738 813108992535257 - 3,240.00 12/04 27696 813109292738387 - 957.96 12/26 27739 813100792998177 - 153.65 12/04 27697 813100292349074 - 6,500.00 12/26 27740 813100792998176 - 1,549.90 12/10 27698 813108692453650 - 4,584.00 12/23 27741 813109392220578 -6.34 12/06 27700* 813105292855542 - 66,040.15 12/18 27742 813108492234964 -59.85 12/05 27701 813109592255803 - 1,297.44 1220 27743 813108892941572 - 611.11 12/06 27702 813109792184945 - 131.11 12/16 27744 813106542853871 - 8,227.70 12/06 27703 813102792811914 - 150.00 12/13 27745 813107382122537 - 5,826.90 12/09 27704 813100892923648 - 255.83 12116 27746 813104792683894 - 143.10 12109 27705 813103092896011 -23.40 12/17 27747 813108192947005 -21.90 12/09 27706 813100892333386 - 2,714.17 12/18 27748 813100392994406 - 120.76 12/09 27707 813106992534797 - 103.00 12/18 27749 813100492225044 -7692 12/06 27708 813109692700927 - 922.84 12/20 27750 813108892922077 - 12,432.34 continued on the next pane A - Z MASONRY INC 1 Account # 0030 6202 5172 1 December 1, 2013 to December 31, 2013 Balance($) Date Balance ($) 12101 421,743.77 12/11 C 3 c —s s1 e 12102 405,282.66 12/12 225,350.14 12/23 Date Check # Bank reference Amount Date Check # Bank reference Amount 12/20 27751 813145692906779 - 578.97 12,26 27762 813100792998175 - 140.25 12117 27752 813108192842144 - 7,478.56 12/31 27763 813108992032617 - 21,259.86 12/19 27753 813108692098643 - 8,421.31 1227 27764 813104592582509 - 4,295.60 12/18 27754 813105292394687 - 13,444.88 1226 27765 813109892784698 - 10,416.05 12/19 27755 813105492479647 - 26,606.75 12130 27766 813107492620686 -94.00 12/23 27756 813100792352564 - 53,441.76 12/30 27768* 813108492862310 - 266.14 12/23 27757 813109192069143 - 38,979.40 12/30 27769 813108492243490 -62.42 12/19 27758 813108692901013 - 106.05 12/30 27770 813108592125995 - 3,000.00 12123 27759 813109192048259 - 5,000.00 1227 27771 813101782069834 - 10,141.40 12/26 27760 813108042954979 - 6,567.70 12/30 27772 813106042162122 - 7,899.90 1220 27761 813101882273779 - 4,685.50 Total checks - $539,3£11.13 Total # of checks 1X35 * There is a gap in sequential check numbers Seise fees Date Transaction description Amount 12/16/13 11/13 ACCT ANALYSIS FEE -33.65 Total service fees $33.65 Note your Ending Balance already reflects the subtraction of Service Fees. Daily ledger balance Date Balance ($) Date Balance($) Date Balance ($) 12101 421,743.77 12/11 226,291.58 12/20 311,563.81 12102 405,282.66 12/12 225,350.14 12/23 213,037.11 12/03 405,117.82 12/13 285,503 45 12/24 212,799.54 12/04 380,404.68 12/16 275,56459 12126 192,677.37 12/05 377,173.64 12/17 303,784.13 12/27 272,399.09 12/06 344,479.85 12/18 299,865.04 12/30 260,193.25 12/09 243,606.58 12/19 263,485.50 12/31 236,301.95 12/10 227,419.05 " To help you BALANCE YOUR CHECKING ACCOUNT, print a copy of the "How to Balance Your Bank of America Merrill Lynch Account" page by visiting CashProl& University at cash proonline .bankofamerica.com_ Bank of America' ' 0. Box 15284 Wilmington, DE 19850 �l�hlilll�llhnl�luill�l�lu�I Ihuulr�hllilrinlhl�lhll pg 0 075 040 066 009304 4002 AT 0.384 A - Z MASONRY INC PO BOX 1109 FORT MYERS, FL 33902 -1109 Your Full Analysis Business Checking for November 1, 2013 to November 30, 2013 Account summary Beginning balance on November 1, 2013 $121,745.05 eposits. and other_ credits - — - _- -- 939,446.04 Withdrawals and other debits - 9,908.99 Checks - 629,488.52 Service fees -49.81 Ending balance on November 30, 2013 $421,743.77 Business Banking Customer service information t) Customer service: 1.888.852.5000 bankofamerica.com Bank of America, N.A. P.O. Box 25118 Tampa, FL 33622 -5118 Account number: 0030 6202 5172 # of deposits /credits: 9 # of withdrawals /debits: 130 # of days in cycle: 30 Average ledger balance: $365,109.80 A printable statement reconciliation page is available. You can print a copy of the "How to Balance Your Bank of America Merrill Lynch Account" page by visiting CashPro@ University at cashproonline .bankofamerica.com. To have a copy mailed to you, call the client services number listed at the top of your statement. of u i . r rvrn r. aF RGPb 0 nFLiVERY: P TYPE: IMAGE I SC: JAX A Z MASONRY INC I Account # 0030 6202 5172 1 November 1, 2013 to November 30, 2013 ' IMPOR , ANT 31-PAIFORMATION., BANI< LDIE-POSIT ACCOUNTS Change of address - Please call us at the telephone number listed on the front of this statement to tell us about a change of address. Deposit agreement - When you opened your account, you received a deposit agreement and fee schedule and agreed that your account would be governed by the terms of these documents, as we may amend them from time to time. These documents are part of the contract for your deposit account and govern all transactions relating to your account, including all deposits and withdrawals. Copies of both the deposit agreement and fee schedule which contain the current version of the terms and conditions of your account relationship may be obtained at our banking centers. Electronic transfers: In case of errors or questions about your electronic transfers - If you think your statement or receipt is wrong or you need more information about an electronic transfer (e.g., ATM transactions, direct deposits or withdrawals, pant -of -sale transactions) on the statement or receipt, telephone or write us at the address and number listed on the front of this statement as soon as you can. We must hear from you no later than 60 days after we sent you the FIRST statement on which the error or problem appeared. - Tell us your name and account number. - Describe the error or transfer you are unsure about, and explain as clearly as you can why you believe there is an error or why you need more information. - Tell us the dollar amount of the suspected error. For consumer accounts used primarily for personal, family or household purposes, we will investigate your complaint and will correct any error promptly. If we take more than 10 business days (10 calendar days if you are a Massachusetts customer) (20 business days if you are a new customer, for electronic transfers occurring during the first 30 days after the first deposit is made to your account) to do this, we will credit your account for the amount you think is in error, so that you will have use of thr—, money during the time it will take to complete our investigation. For other accounts, we investigate, and if we find we have made an error, we credit your account at the conclusion of our investigation. Reporting other problems - You must examine your statement carefully and promptly. You are in the best position to discover errors and unauthorized transactions on your account If you fail to notify us in writing of suspected problems or an unauthorized transaction within the time period specified in the deposit agreement (which periods are no more than 60 days after, we make the statement available to you and in some cases are 30 days .or less), we are not liable. to you far, .and you agree to not make a claim against us for the problems or unauthorized transactions. Direct deposits - If you have arranged to have direct deposits made to your account at least once every 60 days from the same person or company, you may call us at the telephone number listed on the front of this statement to find out if the deposit was made as scheduled. 0 2013 Bank of America Corporation Bank of America, N.A. Member FDIC and 2 Equal•. Housing Lender Paaa') of 1 R ' Your checking account Bank of America ®' � - Z MASONRY INC I Account # 0030 6202 5172 1 November 1, 2013 to November 30, 2013 Deposits an"A other cre 'its Date Transaction description Customer reference Bank reference Amount 11/01/13 DRHorton PMD DES:PAYMENT ID:75307 902304004899291 156,501.50 INDN:AZMasonrylnc.Receivabl COID:7010532275 CCD 813103242929636 114,829.43 11/01/13 Deposit 813103942718347 74,550.00 11/06/13 Deposit 813104742138438 145,731.15 11/08/13 Deposit 11/13/13 Deposit 813105042668594 8.040.00 11/15/13 DRHorton PMD DES:PAYMENT ID-77081 902318011380110 153,033.46 INDN:AZMasonryinc_Receivabi COID:7010532275 CCD 11/19/13 Deposit 813104042548090 62,625.00 11/26/13 Deposit 813103542238378 120,317.50 11/29/13 DRHorton PMD DES:PAYMENT IDJ8590 902331013158121 103,818.00 INDN:AZMasonrylnc.Receivabl CO ID :7010532275 CCD $939,446.04 Total deposits and other credits Withdrammals and other debits Date Transaction description Customer reference Bank reference Amount 11/01/13 AMERICAN EXPRESS DES:ACH Pmt ID-V3710 9% 3 T 902305010416543 -1.177.99 INDN:ROBERT ZIELINSKI CO IDA 133133497 PPD 11/01/13 AMERICAN EXPRESS DES:ACH Pmt ID:V7618 ?6396 902305010568821 - 365.17 INDN:ROBERT ZIELINSKI CO IDA 133133497 PPD 11/07/13 PAYCOR INC DES:tax fund 902310011220648 - 1,07336 ID:1 971 03601 396936 INDN:A -Z MASONRY CO ID :1311299990 CCD - continued on the net page Deposit checks electronically, right from your desktop, with Remote Deposit Service Online. Simply scan your checks using a bank-provided scanner to transmit the images and data to us online. Potential benefits may include faster access to cash with fewer trips to the bank. bankofamerica .com /remotedepositservice Page 3 of 18 A - Z MASONRY INC 1 Account # 0030 6202 5172 1 November 1, 2013 to November 30, 2013 `�� ith 'raalivaaI5 and other° debit: - continued e Date Transaction description Customer reference Bank reference Amount 11107113 PAYCOR INC. DE5:Pay fund 902310011220646 -10.00 ID:276016194789671 INDN:A -Z MASONRY CO ID:6311299990 CCD 11/08/13 PAYCOR INC DES:SVC-PAYCOR 902311005456086 -37.14 ID219268884098504 INDN:A -Z MASONRY CO ID:4311299990 CCD 11/14/13 PAYCOR INC. DES:taxfund 902317003513043 - 1,156.10 ID:247872760776034 INDN:A -Z MASONRY CO ID :1311299990 CCD 11/14113 PAYCOR INC. DES:SVC- PAYCOR 902317004688672 -37.14 ID :100250223182218 INDN:A -Z MASONRY CO ID :4311299990 CCD 11/14/13 PAYCOR INC DES:Pay fund 902317003513041 -10.00 ID:1 87391 5651 68973 INDN :A -Z MASONRY CO ID:6311299990 CCD 11/19/13 ALLSTATE P &C INS DES :IN5 PYMT 902322013803555 - 611.61 ID :000000961805661 INDN:RHONDABOLER CO ID:1363341779 PPD 11/20/13 FIRST INSURANCE DES :WUSPCUSTDR ID:1736188 ;M67 902324009978373 - 779.88 INDN:A - Z MASONRY INC CO ID:1363437365 WEB 11121/13 PAYCOR INC. DES:tax fund 902324013816642 - 1,050.41 ID:714213792116070 INDN :A -Z MASONRY CO ID:1311299990 CCD 11/21/13 PAYCOR INC. DES:Pay fund 902324013816640 -10.00 ID--556366613911800 iNDN:A -Z MASONRY CO ID:6311299990 CCD 11/22/13 PAYCOR INC. DES:SVC- PAYCOR 902325007867306 -37.14 iDJ1 3737751 1 9908 INDN:A -Z MASONRY CO ID:4311299990 CCD 11/26/13 PAYCOR INC. DES :tax fund 902329010929650 - 889.47 ID:44818980424S220 INDN :A -Z MASONRY CO ID- 1311299990 CCD 11/26/13 PROG EXPRE55 DES:INS PREM ID:POL 902329010597723 - 578.99 nn �7 #02109665 INDN:A Z Masonry Inc CO ID :9409348138 WEB 11/26/13 PAYCOR INC. DES :Pay fund 902329010929648 -10.00 ID:273181587643039 INDN:A -Z MASONRY CO ID- 6311299990 CCD 11/27/13 PAYCOR INC. DES:SVC- PAYCOR 902330005443707 -37.14 ID:75805918512322 INDNA -Z MASONRY CO ID :4311299990 CCD 11/29/13 UNITED HEALTHCAR DES:EDI PAYMTS 902333006306190 - 2,037.45 ID:CF0002073382 INDN :A -Z MASONRY INC CO ID :1362739571 CTX ADDITIONAL INFORMATION IS AVAILABLE FOR THIS PMT_ CONTACT A TREASURY SALES OFFICER FOR ASSISTANCE. Total withdrawals and Other debits PaEle 4 of 18 �� r he y account Bank of America - A - Z MASONRY INC I Account # 0030 6202 5172 1 November 1, 2013 to November 30, 2013 Check Date Check # Bank reference Amount Date Check # Hank reference Amount 11 /01 24125 813105142511480 - 449.69 11/29 24163 813108192259243 593:99 11 /01 24126 893103342202978 - 560.17 11/01 27607' 813100792789459 -67.18 11101 24127 813103242361155 - 498.63 11104 27608 813100392775837 -76.45 11/01 24128 813103242361154 �� - 556.12 11/04 27609 813102892197437 -23.34 11/01 24129 813108392232211 �b - 435.21 11/01 27610 813106892764193 -96.50 11/04 24130 813108592883923 - 505.21 11/01 27612' 813100792196434 - 212.06 11/04 24131 813108592885564 - 593.99 11/04 27617* 813108692184826 - 31,875.04 11/01 24132 813103242361091 - 409.26 11/01 27619' 813100792267706 -6.700.44 11/12 24133 813108692369857 - 378.17 11 /01 27620 813108492919674 - 957.96 11/08 24134 813103042399709 (�� - 38832 11 /01 27621 813106092564976 - 11235.50 11/08 24135 813104242356330. v -452.62 11/05 27622 813109192696065 - 133.21 11/08 24136 813104242356331 - 556.12 11/04 27623 813100492137935 - 267.18 11107 24137 813109892188064 - 435.21 11/05 27624 813109292476124 - 6,409.98 11/12 24138 813108292674276 -50521 11/06 27625 813109392941866 - 440.00 11/12 24139 813108692032981 - 593.99 11104 27626 813108992190008 - 107.47 11108 24140 913104242356333 - 422.23 11/05 27627 813104692098695 - 65140 11/18 24141 -- ^" 813109792692879 - "- - 387:87 11/04 27628 813108792679000 - 92184 11/15 24142 913105342452393 471.85 11/08 27629 813103042390472 - 5,484.00 11/15 24143 8:13104292650051 - 555.49 71/01 27630 813101782965198 - 7,760.10 11/15 24144 813106342003541 1 - 582.22 11/05 27631 813108992937315 - 200.25 11 /15 24145 813109392734019 - 43521 11/04 27632' 813101782998319 - 2,220.00 11 118 24146 813109592802982 - 505.21 11/04 27633" 813108892697345 740.25 11/19 24147 813108192496753 - 593.99 11/07 27636* 813109692227770 - 247.44 11/19 24148 81.3108292218373 - 415.74 11/05 27637 813108992937314 - 1,840.93 11/25 24149 813109192343286 - 358.78 11/05 27638 813109392148546 - 255.10 1 122 24150 8131 03142427894 - 530.08 11/08 27639 81 3109892635621 - 2,708.75 11/22 24151 813105392600110 - 478.52 11/05 27640 813109192632889 - 16,050.52 11/22 24152 813106642907808 - 483.61 11/05 27641 813109292055846 - 2,150.00 11/21 24153 813108792666483 - 435.21 11105 27642 813104792087616 - 53,571.39 11/25 24154 813109192149289 - 505.21 11/12 27643 813100792495699 - 68,562.92 11/25 24155 813109192152166 - 59199 11/12 27644 813108292865623 - 23,565.50 11/25 24156 813100692209867 - 368.18 11/13 27645 813105892363825 - 2,154.11 1129 24157 813108292229401 - 344.24 11/08 27646 813105292564393 - 13,746.70 11/27 24158 813105042900506 - 509.79 11/13 27647 813100492298790 -9534 11/26 24159 813105892613858 T 1b - 332.40 11/13 27648 813108792868943 - 1,250.00 11/26 24160 813103542481871 {ten -33330 11/1.3 27649 813100292058752 - 843.52 -^ 11/27 24161 813109892473241 -43521 11/12 27650 813103242786400 - 6,048.00 11/29 24162 813108192277567 - 505.21 11/08 27651 813106042000026 - 10,951.00 V continued on the next page PAr3B5of18 A - 2 MASONRY INC I Account # 0030 6202 5172 1 November 1, 2013 to November 30, 2013 •� Checks m continueud Balance ($) Date Balance($) Date Balance (5) Date Check # Bank reference Amount Date Check # Bank reference Amount 11/14 27652 813106092666208 -23.75 11/19 27674 813104892170450 - 7,854.06 11 /12 27653 813105692910776 - 210.57 11/20 27675 813104992670715 - 47,737.70 11/13 27654 813108992121130 - 103.15 11119 27676 813100592266995 -5.00 11/13 27655 813102592454090 -23.37 11/21 27677 813108692764308 - 101.20 11/12 27656 813100992391721 - 105.67 11/21 27678 813100292333758 - 73,015.99 11/12 27657 813108692032982 - 12,000.00 1125 27679 813109192152167 - 5,000.00 11/15 27659' 813109392525626 - 400.00 1122 27680 813107842586591 - 24,373.60 11/22 27660 813103142427895 - 100.00 11/25 27681 813105692854134 -64350 11/15 27661 813104292650065 - 17,749.80 11125 27682 813101782002028 - 2,767.20 11/15 27662 813101882942216 - 9,487.70 11/25 27683 813109392323700 - 1,14735 11/19 27663 813108292229276 - 15,042.41 1126 27684 813105892109066 - 1,042.52 11120 27664 813108492640099 - 2,030.00 1127 27685 813109892424220 - 2,760.00 11/22 27665 813109092180170 - 5,751.25 1122 27686 813105492011969 - 28,883.43 11/20 27668" 813108392767688 - 520.00 1126 27687 813109592882918 - 24,040.89 11/20 27669 813105092736154 - 300.00 1127 27688 813109792597116 30,511.70 11/21 27670 813108692709582 - 108.35 1127 27689 813108042673499 - 10,029.00 1122 27671 813100792173585 -13331 1127 27690 813107382691794 - 6,271.90 i 122 27673' 813105392424231 -94.93 Total checks - $629,48$.52 Total 4 of checks o i l k There is a gap in sequential check numbers Service fees Date Transaction description Amount 11/15/13 10/13 ACCT ANALYSIS FEE -49.81 Total Service fees - $45.81 Note your Ending Balance already reflects the subtraction of Service Fees. Daily ledear balances Date Balance ($) Date Balance($) Date Balance (5) 11/01 361,594.00 11/13 317,926.19 11/21 351,120.95 11/04 324,262.23 11/14 316,699.20 11/22 290,255.08 11/05 242,997.45 11/15 440,000.58 11125 278,870.87 11/06 317,107.45 11/18 439,107.50 11/26 371,960.80 —11/07 315,341.44 11/19 477,209.69 11/27 321,406.66 IT/08 426,325.71 11120 425,842.11 11/29 421,743.77 11/12 314,355.68 PROP. 6 of 18 Primary account number: 6343907777 i November 1, 2013 - November 30, 2013 ■ Page 2 of 8 Platinum Business Services Package Activity summary Beginning balance on 11/1 $50,537.65 Deposits /Credits 35,125.45 Withdrawals /Debits - 53,249.40 Ending balance on 11130 $32,413.70 Average ledger balance this period $37,120.81 Overdraft Protection Your account is linked to the following for Overdraft Protection: a Credit Card - XXXX- XXXX -XXXX -0056 Interest summary Check Interest paid this statement $0.45 Average collected balance $35,954.14 Annual percentage yield earned 0.02% Interest earned this statement period $0.45 Interest paid this year $0.90 Transaction history Account number: 6343907777 RAZ CONSTRUCTION LLC Florida account terms and conditions apply For Direct Deposit and Automatic Payments use Routing Number (RTN): 063107513 For Wire Transfers use Routing Number (RTN): 121000248 0 00 Check Deposits/ Ithdrawals! Ending daily Date Number Description Credits Debits balance 11/1 10208 Cashed Check 278.59 11/1 10209 Check 743.05 11/1 10211 Check 662.89 11 /1 10219 Check 507.68 11 /1 10212 Check 417.39 47,878.05 11/4 10218 Cashed Check 393.05 11/4 10220 Check s60.7s 11/4 10215 Check 440.90 11 /a 10225 Check - .___ 433.41 __ 4 i1 /" __„ _ -- ____ -- - "` 02 174 Check - 425.39 11/4 10221 Check 373.67 11/4 10217 Check 36738 11/4 10213 Check 348.06 11/4 10223 Check 348.05 11/4 10222 Check 333.38 11/4 10216 Check 312.55 297.22 43,244.24 1114 10224 Check 1115 Deposit 10,000.00 11/5 l �a�a(o First Insurance Wuspcustdr 1311041800142 Wells Fargo Bank, 790.36 N.A. 473.30 11/5 10189 Check 180.00 11/5 10227 Check 73.88 11/5 10210 Check 25.00 51,701.70 11/5 WF Bus Credit Auto Pay 131105 90225231560056 Zielinski,Robert 13,148.72 38,552.98 11lfi 10205 Check 1,652.86 36,900.12 11/7 10206 Check 0 00 Wells Fargo Combined Statement of Accounts Primary account number: 6343907777 ® November 1, 2013 - November 30, 2013 ® Page 1 of 8 000770 1 AV 0.360 1256584 RAZ CONSTRUCTION LLC 1601 JACKSON ST STE 202 FORT MYERS FL 33901 -2968 Your Business and Wells Fargo Applying for financing can seem like a numbers game of credit scores and financial statements. Find out what lenders are really looking for at wellsfargobusinessinsights.com /lenders. Summary of accounts CheckinglPrepaid and Savings Questions? Available by phone 24 hours a day, 7 days a week: 1- 800- CALL-WELLS (1- 800 - 225 -5935) TTY: 1- 800 - 877 -4833 En espanok 1- 877 - 337 -7454 Online: wellsfargo.com /biz Write: Wells Fargo Bank, N.A. (287) P.O. Box 6995 Portland, OR 97228 -6995 Account options A check mark in the box indicates you have these convenient services with your account Gotowelisfargo.com/bizorca// the numberabove if you have questions or ifyou would like to add new services. Business Online Banking ❑✓ Online Statements Q✓ Business Bill Pay Business Spending Report Overdraft Protection 0✓ 0 n 0 r C z 0 0 v 0 z z z z z z z z z z z z z z z z 0 0 0 0 CD N O 0 w S Ending balance Ending balance - Account Page Accountnumber laststatement this statement Platinum Business Services Package 2 6343907777 50,53765 32,41170 Business Market Rate Savings 6 6344038994 119.01 144.02 Total deposit accounts $50,656.66 $32,557.72 Primaty account number_ 6343907777 ■ November 1, 2013 - November 30, 2013 ■ Page 4 of 8 Transaction history (continued) Date Amount Deposits/ Withdrawals/ Ending daily Check Credits Debits balance Date Number Description 370.95 473.30 11/27 10292 Check 346.66 598.60 11/27 10291 Check 345.39 345.40 11/27 10279 Check 333.95 13,148.72 11/27 10286 Check 328.99 289.60 11/27 10287 Check 326.22 793.06 11/27 10283 Check 323.54 1,652.86 11/27 10294 Check 311.68 35,375.49 11/27 10293 Check 11129 tv al , Florida Citrus B Payment 131126 41681624 Raz Construction LLC 2,113.00 662.89 11/29 10285 Check 45552 393.72 27859 11129 10282 Check 0.45 11/8 3 .70 11/29 Interest Payment 11/25 392.18 10209 1111 32,,413413.70 Ending balance on 11/30 11 /8 449.75 $35,125.45 $53,249.40 265.97 Totals 1115 73.88 The-Ending Daily Balance does not reflect any pending withdrawals or holds on deposited funds that may have been outstanding on your account when your transactions posted. If you had insufficient available funds when a transaction posted, fees may have been assessed. 596.91 10267 Summary of checks written (checks listed are also displayed in the preceding Transaction history) Number Date Amount Number Date Amount Number Date Amount 10189 11/5 473.30 10234 11/12 598.60 10262 11/22 345.40 10205 * 11/6 13,148.72 10235 11/12 289.60 10263 11/22 793.06 10206 11/7 1,652.86 10236 11112 393.70 10264 11/25 662.89 10208 * 1111 27859 10237 11/8 419.15 10265 11/25 392.18 10209 1111 793.05 10238 11 /8 449.75 10266 11/25 265.97 10210 1115 73.88 10239 11/12 596.91 10267 11/25 396.18 10211 11/1 662.89 10240 11/12 437.85 10268 11/25 426.28 10212 11/1 417.39 10241 11/12 335.81 10269 11/25 312.55 10213 11/4 348.06 10242 11/12 372.98 10270 11/25 324.62 10214 11/4 425.39 10243 11/12 349.72 10271 11/25 368.17 10215 11/4 440.90 10244 11/12 310.30 10272 11/22 419.12 10216 1114 312.55 10245 11/15 249.35 10273 11/25 522.23 10217 11/4 367.38 10246 11/15 793.06 10274 11/25 301.65 10218 11/4 393.05 10247 11/15 662.88 10275 11/25 347.55 10219 11/1 507.68 10248 11/15 461.91 10276 11125 30733 10220 11/4 560.75 10249 11/18 388.56 10277 11/25 288.99 10221 11,4 373.67 10250 - 1-1/18 469.90 10278 _ 11/25 358.78 10222 11/4 333.38 10251 11/18 401.58 10279 11127 345.39 10223 1114 348.05 10252 11/18 355.34 10281 * 11/26 662.89 10224 11/4 297.22 10253 11/18 410.15 10282 11129 393.72 10225 11/4 433.41 10254 11/21 333.39 10283 11/27 326.22 10227* 11/5 180.00 10255 11/15 449J5 10284 11127 380.95 10228 11/8 345.39 10256 11 /18 637.11 10285 11/29 455.52 10229 11/8 793.06 10257 11118 400.69 10286 11/27 333.95 10230 1118 662.89 10258 11/18 393.34 10287 11/27 328.99 10231 11/8 444.86 10259 11/18 388.56 10288 11126 355.63 10232 11/12 372.98 10260 11/18 369.96 10289 11/26 403.80 10233 11/12 452.88 10261 11/18 383.87 10291 * 11127 346.66 w N Primary account number: 6343907777 ■ November 1, 2013 - November 30, 2013 s Page 3 of 8 Transaction history (continued) Check Deposits/ Withdrawals/ Endingdaily Date Number Description Credits Debits balance 11/8 10228 Cashed Check 345.39 11/8 10237 Cashed Check 419.15 11/8 10229 Check 793.06 11/8 10230 Check 662.89 11/8 10238 Check 449.75 11/8 10231 Check 444.86 33,785.02 11/12 10234 Check 598.60 11/12 10239 Check 596.91 11/12 10233 Check 452.88 11/12 10240 Check 437.85 11/12 10236 Check 393.70 11/12 10232 Check 372.98 11/12 10242 Check 372.98 11/12 16243 Check 349.72 11/12 10241 Check 335.81 11/12 10244 Check - - - _ _ _. __.___ - 310.30 11/12 10235 Check 289.6.0 29,273.69 0 11/13 Deposit 10,000.00 39,273.69 o 11/15 Recurring Transfer to Raz Construction LLC Business Market Rate 150.00 y Savings Ref #Ope2Kvn6Wx xxxxxx8994 c 11/15 10245 Cashed Check 249.35 11/15 10246 Check 793.06 0 11/15 10247 Check 662.88 °v 11/15 10248 Check 461.91 0 11/15 10255 Check 449.75 36,506.74 z z 11/18 Recurring Transfer From Raz Construction LI Business Market 125.00 z Rate Savings Ref #Ope5Gxxmc2 xxxxxx8994 z z 11/18 10256 Check 637.11 z 11/18 10250 Check 469.90 z 11/18 10253 Check 410.15 z z 11/18 10251 Check 401.58 z 11/18 10257 Check 400.69 z 11/18 10258 Check 393.34 z z 11 /18 10249 Check 38856 0 11/18 10259 Check 388.56 0 11/18 10261 Check 383.87 11 /18 10260 Check 369.96 ro 11/18 10252 Check 355.34 m 32,032.68 11/20 Deposit 5,000.00 37,032.68 11/21 10254 Check 333.39 36,699.29 0 11/22 10262 Cashed Check 345.40 1 11/22 10263 Check 793.06 0 11/22 10272 Check 419.12 35,141.71 11125 10264 Check 662.89 cAn 11/25 10273 -C eck - - - _, __ - �. ___ _ _ - - - 522.23 11/25 10268 Check 426.28 11/25 10267 Check 396.18 11/25 10265 Check 392.18 11/25 10271 Check 368.17 11/25 10278 Check 358.78 11/25 10275 Check 347.55 11/25 10270 Check 324.62 11/25 10269 Check 312.55 11/25 10276 Check 307.53 11/25 10274 Check 301.65 11/25 10277 Check 288.99 11/25 10266 Check 265,97 29,866.14 11/26 Deposit 10,000.00 11/26 10288 Cashed Check 355.63 11/26 10281 Check 662.89 11/26 10289 Check 403.80 38,443.82 11/27 10264 Check 380.35 Primaty account number: 6343907777 ■ November 1, 2013 - November 30, 2013 ■ Page 6 of 8 Business Market Rate Savings Activity summary Beginning balance on 11/1 $119.01 Deposits /Credits 150.01 Withdrawals /Debits - 125.00 Ending balance on 11/30 $144.02 Average ledger balance this period $144.84 Account number: 6344038994 RAZ CONSTRUCTION LLC Florida accountterms and conditions apply For Direct Deposit and Automatic Payments use Routing Number (RTN): 063107513 For Wire Transfers use Routing Number (RTN): 121000248 Interest summary Interest paid this statement $0.01 Average collected balance $144.84 Annual percentage yield earned 0.08% Interest earned this statement period $0.01 Interest paid this year $0.02 Transaction history Deposits! Withdrawals/ Ending daily Date Description Credits Debits balance 11/15 Recurring Transfer From Raz Construction LI Business Checking Ref 150.00 269.01 #Ope2Kvn6Wx xxxxxx7777 11/18 Recurring Transfer to Raz Construction LLC Business Checking Ref 125.00 144.01 #Ope5Gxxmc2 xxxxxx7777 11/29 Interest Payment 0.01 144.02 144.02 Ending balance on 11130 $150.01 $125.00 Totals The Ending Daily Balance does not reflect any pending withdrawals orholds on deposited funds that may have been outstanding on your account when your transactions posted. Ifyou had insufficient available funds when a transaction posted, fees may have been assessed. Indicates transactions that count toward Federal Reserve Board Regulation D limits. Please refer to yourAccountAgreement for complete details ofthe federally - mandated transaction limits for savings accounts. - - i4ionthiy service fee summary For a complete list of fees and detailed account information, please seethe Wells Fargo Fee and Information Schedule and Account Agreement applicable to your account or talk to a banker. Go to wellsfargo.com /feefaq to find answers to common questions about the monthly service fee on your account. Fee Deriod 11/01/2013 - 11/30/2013 How to avoid the monthly service fee Have any ONE of the following account requirements Average collected balance Automatic transfer from an eligible Wells Fargo business checking account YCNC Standard monthly service fee $6.00 You paid $0.00 Minimum required $500.00 $100.00 This fee period $145.00 ❑ $150.00 0 0 W 0 A I W19. Primary account number: 8343907777 / November 1, 2013 - November 30, 2013 ■ Page 5 of 8 Summary of checks written (continued) Number Date Amount Number Date Amount 10292 11/27 370.95 10293 11/27 311.68 * Gap in check sequence. Number Date 10294 11127 Monthly service fee summary For a complete list of fees and detailed account information, please seethe Wells Fargo Fee and Information Schedule and Account Agreement applicable to your account or talk to a banker. Go to wellsfargo.com /feefaq to find answers to common questions about the monthly service fee on your account. Fee period 11 /01/2013 - 11/30/2013 Standard monthly service fee $30.00 You paid $0.00 How to avoid the monthly service fee (complete 1 AND 2) Minimum required This fee period 1) Have any ONE of the following account requirements Average ledger balance $25,000.00 $37,121.00 Q Combined balances in linked accounts, which may include $40,000.00 ❑ Average ledger balances in business checking, savings, and time accounts - - — - - - Most recent statement balances of_ business credit card, Wells Fargo Express o Equity® and BusinessLine° lines of credit, Wells Fargo BusinessLoan® term loan Average daily balances from previous month in business Primel-ines line of credit and Business PrimeLoan "account, Wells Fargo Express Equity®, SBA, and c:+ Equipment Express' loans --4 2) Complete the package requirements o Have qualifying linked accounts or services in separate categories* 3 Q ° v *Includes Wells Fargo business accounts and services such as debit card, savings accounts, active Online Banking, credit card, loans and lines of credit. z WKlWK z z z Account transaction fees summary z Units Excess Service charge per z Total service z Service charge description Units used included units excess units charge ($) z Transactions 98 400 0 0.50 0.00 z Total service charges 0 $0.00 S, 0 O A N J O O O W 0 J Did you know that you can review your safe deposit box information through Wells Fargo Business Online Banking? Sign on business onlinebankirig at vvellsfargo.com /biz and-go-to your account summary page to review details. - A Primary account number: 5343907777 ■ November 1, 2013 - November 30, 2013 ■ Page 8 of 8 General statement policies for Wells Fargo Bank ■ Notice: Wells Fargo Bank, N.A. may furnish information about accounts belonging to individuals, including sole proprietorships, to consumer reporting agencies. If this applies to you, you have the right to dispute the accuracy of information that we have reported by writing to us at: Overdraft Collections and Recovery, P.O. Box 5058, Portland, OR 97208 -5058. Account Balance Calculation Worksheet 1. Use the following worksheet to calculate your overall account balance. 2. Go through your register and mark each check, withdrawal, ATM transaction, payment, deposit or other credit listed on your statement. Be sure thatyour register shows any interest paid into your account and any service charges, automatic payments or ATM transactions withdrawn from your account during this statement period. 3. Use the chart to the right to list any deposits, transfers to your account, outstanding checks; ATM withdrawals, ATM payments or any other withdrawals (including any from previous months) which are listed in your register but not shown on your statement. ENTER A. The ending balance shown on your statement ....................... $ ADD B. Any deposits listed in your $ register or transfers into $ your account which are not $ shown on your statement. + $ ........... .I ............................. TOTAL $ CALCULATE THE SUBTOTAL (Add Parts A and B) .... TOTAL $ SUBTRACT C. The total outstanding checks and withdrawals from the chart above ............. - $ CALCULATE THE ENDING BALANCE (Part A + Part B - Part Q This amount should be the same as the current balance shown in your check register ............................. $ 302010 Wells Fargo Bank, N.A. All rights reserved. Member FDIC NMLSR ID 399801 You must describe the specific information that is inaccurate or in dispute and the basis for any dispute with supporting documentation. In the case of information that relates to an identity theft, you will need to provide us with an identity theft report. Number Items Outstanding Amount I i I i i I I i I I i I I i Total amount $ 0 W rn a Primary account number: 6343907777 ® November 1, 2013 - November 30, 2013 ■ Page 7 of 8 D IMPORTANT ACCOUNT INFORMATION Online and Telephone Transfers from a Savings Account May Be Declined Beginning December 11, 2013, transfers from this savings account through online banking (including mobile and text) or by telephone may be declined for the remainder of the monthly statement period if the federal limit of six (6) transfers is reached. We are taking this step to help customers stay within the federal limit. As stated in your Account Agreement, most transfers from savings accounts are limited by Regulation D to six (6) per month including transfers for overdraft protection coverage, online banking, or by telephone (automated and banker assisted). If the limit is exceeded, an excess activity fee applies and the account may be converted to a checking account. There are no limits on transfers or withdrawals made in person at ATMs or Wells Fargo banking locations or on any types of deposits If you have questions, please contact your local banker or call the phone number on the top of your statement. 0 v W Ut W A We" lls Fargo Combined Statement of Accounts Primary account number: 6343907777 ■ December 1, 2013 - December 31, 2 028599 1 AV 0.360 1399682 �Ill�llr( I�III�II�IIIn11rL�nn�11� (11f�(1�l(illn(�IIIII�II�II I 'A RAZ CONSTRUCTION LLC s 1601 JACKSON ST STE 202 FORT MYERS FL 33901-2968 Your Business and Wells Fargo Getting ready for tax season can be a challenge! Creating a checklist, and preparing in advance will set you up for a successful meeting with your tax preparer. Remember to bring your deposit routing and account number when preparing your taxes and you may be able to take advantage of using direct deposit for your tax refund into one of your Wells Fargo checking or savings accounts. Questions? Available by phone 24 hours a day, 7 days a week. 1- 800 - CALL -WELLS (1 -800- 225 -5935) TTY: 1- 800 - 877 -4833 En espanok 1 -877- 337 -7454 Online: wellsfargo.com /biz Write: Wells Fargo Bank, N.A. (287) P.O. Box 6995 Portland, OR 97228 -6995 Account options A check mark in the box indicates you have these convenient services with your account. Go to welisfargo.com /biz or call the number above ifyou have questions orifyou would like to add new services. Business Online Banking 0 Online Statements Business Bill Pay Business Spending Report z Overdraft Protection 0 Your statement includes a "Monthly service fee summary" section that gives you the ability to proactively manage the monthly service fee on your account. This section provides you with the view of your checking or savings account monthly service fee, the requirements to waive the monthly service fee, if applicable, and the current status for each requirement. You may view this information on your statement or in your secure online banking session by clicking "View Monthly Service Fee" on the left -hand navigation bar. If you'd like to schedule an account review or to learn about other accounts or services we offer, please contact Wells Fargo at 1 -800- 225 -5935 or visit your local Wells Fargo store. Summary of accounts Checking /Prepaid and Savings Ending balance Ending balance Page Accountnumber laststatement thisstatement 24,939.09 Account 2 6343907777 32,413.70 169.02 Platinum Business Services Package 6344038994 144.02 Business Market Rate Savings 5 $32,557.72 $25,108.11 Total deposit accounts 0 0 0 r C 0 N m f� z z z z z z z z z z z z z z z z 0 0 0 0 A N 0. 0 0 a Primary account number: 6343907777 ® December 1, 2013 - December 31, 2013 ■ Page 2 of 7 Platinum Business Services Package Activity summary Beginning balance on 12/1 $32,413.70 Deposits /Credits 21,125.12 Withdrawals /Debits - 28,599.73 Ending balance on 12131 $24,939.09 Average ledger balance this period $28,175.29 Overdraft Protection Your account is linked to the following for Overdraft Protection: ■ Credit Card - XXXX- XXXX -XXXX -0056 Interest summary Account number: 6343907777 PAZ CONSTRUCTION LLC Florida account terms and conditions apply For Direct Deposit and Automatic Payments use Routing Number (RTN): 063107513 For Wire Transfers use Routing Number (RTN): 121000248 Interest paid this statement $0.12 Average collected balance $27,175.29 Annual percentage yield earned 0.01% Interest earned this statement period $0.12 Interest paid this year $1.02 Transaction history Check Depositsl Withdrawalsl Ending daily Date Number Description Credits Debits balance 12/2 10290 Check 525.60 12/2 10295 Check _ _. ...., _._ . _ _ . _- .__ _ 344.23 31,54-3.97 12/6 Deposit 5,000 00 co 12/6 10298 Cashed Check _ 278.59 _ _ _ - _. _ 12%6 - 10280 Check 793.05 -- -.. ___..._ 12/6 - 1030Q Check _.- 662.89__ _ � _ 1216.. _ 10310 Check _. , -_.._ _ .. ,.. _. _ . ._ _. _._ 180 09 34,629.25 1219 Florida Citrus 8 Payment 131205 43196028 Raz Construction LLC 2,004 00 12/9 First Insurance Wuspcustdr 131206 1800142 Raz Construction 790.36 LLC 1219 10309 Check 395.03__ 12/9 10301 Check 322.54 _ 12/9 10304- Check 282.59 12/9 10308 Check 248.20 12/9 10305 Check- 244.27 _ 12/9 10303 Check ... 226.02 1219 10314 Check _ _ _ 208.49 12/9 10311 Check _ _ 203.17 1219 10307 Check 193 93 12/4 10312 Check 187 01 1219 10313 Check 176.70 12/9 16306 Check _ .. - .__ . _.. .- .. ._ - - 175.47 12%9 'I 0302 Check _ _ _ _. _ _,.. _ 166.23 12/9 WF -Bus Credit Auto Pay 131266 90225231560056 1528 28,789.96 Zielinski,Robert 12/12 , 10299 Check 793.06 27,996.90 12/13 10316 Cashed Check 278.59 Primary account number: 6343907777 ■ December 1, 2013 - December 31, 2013 ■ Page 3 of 7 Transaction history (continued) The Ending Daily Balance does not reflect any pending withdrawals or holds on deposited funds that may have been outstanding on your account when your transactions posted_ Ifyou had insufficient available funds when a transaction posted fees may have been assessed. Check Deposlts! withdrawals/ Ending daily Date Number Description Credits Debits balance 12/13 10317 Check 793.06 10318 Check 662.88 72!73 10326 Check -- -- - 12/i3 10319 -Check 335,23 25,549.20 72116 Recurring Transfer to Raz Construction LLC Business Market Rate 150.00 Savings Ref #Ope2L5Hb4M xxxxxx8994 12/16 ION Check 475.36 12116 _ 10322 Check 411.66 12/16 10321 Check 335.24 72/16 10328 Check 330.23 12116 10323 Check - 315,63 12/i 6 _ k _ _ _ 10324 Chec 298.29 - - -- 12/16 10330 if hck -._ 288.49 12/16 10320 Check 27A,29 12/16 10329 Check 274.28 22,394.23 - . Recurring Transfer From Raz .. Construction LI Business Market 125.00 22 519,23 . Rate Savings Ref #Opexnmj2Vv xxxxxx8994 12/18 Deposit - 10,000.00 - v 12/18 _ . 10331 Check 319.99 32,199.24 12/26 1Q332 Cashed Check 323,46 12/20 10333 Check 793.06 CO 12120 10334 Check 662.89 m 72/20 10342 Check 37317 12!20 10335 337,77 - 29.708.89 - - 10 12l23 _Check 10341 Cashed Check 225.45 Z 12/23 10325 Cashed Check 316.00 z 12f23 10343 Check _. 438,56 z 12123 _. _ . 10338 Check _ 4 8'88 z 12!23 10347 Check _ - - 315,15 _ ___ z 12%23 _.. _ 10337 Check _ 312.37 - - - z - 12/23 _ - 10344 Check 309.37 z 12/23 10339 Check 276.38 - z 12/23 _ 10340 Check 274.17 _ ._ _ z °o� 12/23 10346 Check 263.99 12/23 10336 Check 255.58 0 12123 10345 Check - 255.58 26,057.41 12/M6 I03��I Insurance Wuspcustdr 1312241800142 Raz Construction 790,36 Z5,267,D5 OD LLC 12%27 10348 Cashed Check 263,97 12/27 10349 Check - _. 793,05 - - 12127 _- __ _ -.. - _..._ _ . _ ._ _ _ . _ 10350 _ . _- Check _ 662 69 12/27 10358 Check _ _ _ 40.21 4_. 377 94 22 728.99 m 12/27 10351 Check _ a 72/30 _ Deposit - 6,000,00 . -- -. 12/30 10359 Check 600.93 - a 12/30 -. - 10354 Check - 462.84 12/30_.... - 10355 Check 399.67 - 12/30 - 1Q353 Check - 380.94 12/30 _. - 10363 Check 37617 -- - 12134 10360 Check 370.94 12/30 - 10356 Check 328.99 12/30 1Q3b1 Check _ 311.68 _ 12/30 10352 Check _ _ _ 311.67 24619 24 99 12134 10362 Check 0.12 939 2 , 0 12!31 Interest Payment 24,939.09 Ending balance on 12131 $21,125.12 $28,599.73 Totals The Ending Daily Balance does not reflect any pending withdrawals or holds on deposited funds that may have been outstanding on your account when your transactions posted_ Ifyou had insufficient available funds when a transaction posted fees may have been assessed. Primary account number: 6343907777 ® December 1, 2013 - December 31, 2013 ■ Page 4 of 7 It s- 7 Summary of checks written (checks listed are also displayed in the preceding Transaction history) Number Date Amount Number Date Amount Number Date Amount 10280 12/6 793.05 10319 12/13 335.23 10341 12/23 225.45 10290 * 12/2 525.60 10320 12/16 274.29 10342 12/20 373.17 10295 * 1212 344.23 10321 12/16 335.24 10343 12/23 438.56 10298 * 12/6 278.59 10322 12/16 411.66 10344 12/23 309.37 10299 12112 793.06 10323 12/16 316.63 10345 12/23 255.58 10300 12/6 662.89 10324 12116 298.29 10346 12/23 263.99 10301 12/9 322.54 10325 12/23 316.00 10347 12123 315.15 10302 12/9 166.23 10326 12/13 377.94 10348 12/27 263.97 10303 12/9 226.02 10327 12/16 475.36 10349 12/27 793.05 10304 12/9 282.59 10328 12116 330.23 10350 12/27 662.89 10305 12/9 244.27 10329 12/16 274.28 10351 12/27 377.94 10306 12/9 175.47 10330 12/16 288.99 10352 12130 311.67 10307 12/9 193.93 10331 12/18 319.99- 10353 12/30 380.94 10308 12/9 248.20 10332 12/20 323.46 10354 12/30 462.84 10309 12/9 395.03 10333 12/20 79106 10355 12/30 399.67 10310 12/6 180.09 10334 12120 662.89 10356 12/30 328.99 10311 12/9 203.17 10335 12/20 337.77 10358 * 12/27 440.21 10312 12/9 187.01 10336 12/23 255.58 10359 12/30 600.93 10313 12/9 176.70 10337 12123 312.37 10360 12/30 370.94 10314 12/9 208.49 10338 12/23 408.88 10361 12/30 311.68 10316 * 12/13 278.59 10339 12/23 276.38 10362 12/30 246.19 10317 12113 793.06 10340 i 2/23 274.17 10363 12/30 376.17 10318 12/13 662.88 * Gap in check sequence. Monthly service fee summary For a complete list of fees and detailed account information, please see the Wells Fargo Fee and Information Schedule and Account Agreement applicable to your account or talk to a banker. Go to welisfargo com /feefaq to find answers to common questions about the monthly service fee on your account. Fee period 12101/2013 - 12/31/2013 Standard monthly service fee $30.00 You paid $0.00 How to avoid the monthly service fee (complete 1 AND 2) Minimum required This fee period 1) Have any ONE of the following account requirements Average ledger balance $25,000.00 $28,175.00 [✓ • Combined balances in linked accounts, which may include $40,000.00 - Average ledger balances in business checking, savings, and time accounts - Most recent statement balances of. business credit card, Wells Fargo Express Equity® and BusinessLine° lines of credit, Wells Fargo BusinessLoan' term loan - Average daily balances from previous month in business Primeline® line of credit and Business PrimeLoan "°account, Wells Fargo Express Equity, SBA, and Equipment Express' loans 2) Complete the package requirements • Have qualifying linked accounts or services in separate categories* 3 R1 "Includes Wells Fargo business accounts and services such as debit card, savings accounts, active Online Banking, credit card, loans and lines of credit wivwx w 0 a 0 r� K Prirhary account number: 6343907777 ■ December 1, 2013 - December 31, 2013 ■ Page 5 of 7 Account transaction fees summary Units Excess Service charge per Total service Service charge description Units used included units excess units ($) charge ($) Transactions 77 400 0 0.50 0.00 Total service charges $0.00 Did you know that you can review your safe deposit box information through Wells Fargo Business Online Banking? Sign on to business online banking at wellsfargo.com /biz and go to your account summary page to review details. Business Market Rate Savings Activity summary Beginning balance on 12/1 $144.02 Deposits/Credits 150.00 Withdrawals/Debits - 125.00 Ending balance on 12/31 $169.02 Average ledger balance this period $160.95 Interest summary Interest paid this statement $0.00 Average collected balance $160.95 Annual percentage yield earned 0.00% Interest earned this statement period $0.00 Interest paid this year $0.02 Account number: 6344038994 RAZ CONSTRUCTION LLC Florida account terms and conditions apply For Direct Deposit and Automatic Payments use Routing Number (RTN). 063107513 For Wire Transfers use Routing Number (RTN): 121000248 a ca a j i= —.e 0 CD to z z z z z z z z z z z z z z z z 0 0 w 0 N m co A 0 rn A W A Primary account number: +6343907777 ® December 1, 2013 - December 31, 2013 ■ Page 6 of 7 Transaction history The Ending Daily Balance does not reflect any pending withdrawals or holds on deposited funds that may have been outstanding on your account when your transactions posted. Ifyou had insufficient available funds when a transaction posted, fees may have been assessed. Indicates transactions that count toward Federal Reserve Board Regulation D limits. Please refer to yourAccountAgreement for complete details ofthe federally- mandated transaction limits for savings accounts. Monthly service fee summary For a complete list of fees and detailed account information, please see the Wells Fargo Fee and Information Schedule and Account Agreement applicable to your account or talk to a banker. Go to welisfargo.com /feefaq to find answers to common questions about the monthly service fee on your account. Fee period 12/01/2013 - 12/31/2013 Standard monthly service fee $6.00 You paid $0.00 How to avoid the monthly service fee Minimum required This fee period Have any ONE of the following account requirements Average collected balance $500.00 $161.00 ❑ Automatic transfer from an eligible Wells Fargo business checking account $100.00 $150.00 [Jf rvrc IMPORTANT ACCOUNT INFORMATION 0 Q Online and Telephone Transfers from a Savings Account May Be Declined Beginning December 11, 2013, transfers from this savings account through online banking (including mobile and text) or by telephone may be declined forthe remainder of the monthly statement period if the federal limit of six (6) transfers is reached. We are taking this step to help customers stay within the federal limit. As stated in your Account Agreement, most transfers from savings accounts are limited by Regulation D to six (6) per month including transfers for overdraft protection coverage, online banking, or by telephone (automated and banker assisted). If the limit is exceeded, an excess activity fee applies and the account may be converted to a checking account. There are no limits on transfers or withdrawals made in person at ATMs or Wells Fargo banking locations or on any types of deposits. If you have questions, please contact your local banker or call the phone number on the top of your statement. We want to let you know of the following fee change effective April 1, 2014: Mi - Collections - Domestic: Auto Draft - $25 per item If you have questions about these changes, or would like a complimentary financial review to ensure that you have the right accounts to meet your financial goals, please contact your local banker or call the phone number listed at the top of your statement. Deposits! Withdrawals/ Ending daily Date Description Credits Debits balance 12/16 Recurring Transfer From Raz Construction Ll Business Checking Ref 150.00 294.02 #Ope2L5Hb4M xxxxxx7777 12/17 1` Recurring Transfer to Raz Construction LLC Business Checking Ref 125.00 169.02 #Opexnmj2Vv xxxxxx7777 Ending balance on 12/31 169.02 Totals $150.00 $125.00 The Ending Daily Balance does not reflect any pending withdrawals or holds on deposited funds that may have been outstanding on your account when your transactions posted. Ifyou had insufficient available funds when a transaction posted, fees may have been assessed. Indicates transactions that count toward Federal Reserve Board Regulation D limits. Please refer to yourAccountAgreement for complete details ofthe federally- mandated transaction limits for savings accounts. Monthly service fee summary For a complete list of fees and detailed account information, please see the Wells Fargo Fee and Information Schedule and Account Agreement applicable to your account or talk to a banker. Go to welisfargo.com /feefaq to find answers to common questions about the monthly service fee on your account. Fee period 12/01/2013 - 12/31/2013 Standard monthly service fee $6.00 You paid $0.00 How to avoid the monthly service fee Minimum required This fee period Have any ONE of the following account requirements Average collected balance $500.00 $161.00 ❑ Automatic transfer from an eligible Wells Fargo business checking account $100.00 $150.00 [Jf rvrc IMPORTANT ACCOUNT INFORMATION 0 Q Online and Telephone Transfers from a Savings Account May Be Declined Beginning December 11, 2013, transfers from this savings account through online banking (including mobile and text) or by telephone may be declined forthe remainder of the monthly statement period if the federal limit of six (6) transfers is reached. We are taking this step to help customers stay within the federal limit. As stated in your Account Agreement, most transfers from savings accounts are limited by Regulation D to six (6) per month including transfers for overdraft protection coverage, online banking, or by telephone (automated and banker assisted). If the limit is exceeded, an excess activity fee applies and the account may be converted to a checking account. There are no limits on transfers or withdrawals made in person at ATMs or Wells Fargo banking locations or on any types of deposits. If you have questions, please contact your local banker or call the phone number on the top of your statement. We want to let you know of the following fee change effective April 1, 2014: Mi - Collections - Domestic: Auto Draft - $25 per item If you have questions about these changes, or would like a complimentary financial review to ensure that you have the right accounts to meet your financial goals, please contact your local banker or call the phone number listed at the top of your statement. Prim�ify account number: 6343907777 ® December 1, 2013 - December 31, 2013 0 Page 7 of 7 General statement policies for Wells Fargo Bank ■ Notice: Wells Fargo Bank, N.A. may furnish information about accounts belonging to individuals, including sole proprietorships, to consumer reporting agencies. If this applies to you, you have the right to dispute the accuracy of information that we have reported by writing to us at: Overdraft Collections and Recovery, P.O. Box 5058, Portland, OR 97208 -5058. Account Balance Calculation Worksheet i. Use the following worksheet to calculate your overall account balance. 2. Go through your register and mark each check, withdrawal, ATM transaction, payment, deposit or other credit listed on your statement. Be sure that your register shows any interest paid into your account and any service charges, automatic payments or ATM transactions withdrawn from your account during this statement period. 3. Use the chart to the right to list any deposits, transfers to your account, _outstanding checks, ATM-withdrawals, ATM, payments or any other .___ . withdrawals (including any from previous months) which are listed in your register but not shown on your statement. ENTER A. The ending balance shown on your statement. I ..................... $ ADD B. Any deposits listed in your $ register or transfers into $ your account which are not $ shown on your statement. + $ ... ............................... TOTAL $ CALCULATE THE SUBTOTAL (Add Parts A and B) ...................... TOTAL $ SUBTRACT C. The total outstanding checks and withdrawals from the chart above ............. - $ CALCULATE THE ENDING BALANCE (Part A + Part B- Part t) - - - -t - Thi--amount should be the same as the current balance shown in your check register ............................. $ 92010 Weli5 Fargo Bank, N.A. All rights reserved. Member FDIC NMLSR ID 399801 You must describe the specific information that 13 inaccurate or in dispute and the basis for any dispute with supporting documentation. In the case of information that relates to an identity theft, you will need to provide us with an identity theft report. nr....,h— Items outstanding Amount Wells Fargo Combined Statement of Accounts Primary account number: 6343907777 E January 1, 2014 - January 31, 2014 ■ Page 1 of 8 035332 1 AV 0.381 1613530 llli1lllllililllllllllll ,1111lllJill I I1ll,lllllllll I'll II III II III s 1 ti RAZ CONSTRU I N LL 1601 JACKSON ST STE 202 FORT MYERS FL 33901 -2968 Your Business and Wells Fargo Getting ready for tax season can be a challenge! Creating a checklist, and preparing in advance will set you up for a successful meeting with your tax preparer. Remember to bring your deposit routing and account number when preparing your taxes and you may be able to take advantage of using direct deposit for your tax refund into one of your Wells Fargo checking or savings accounts. Summary of accounts Checking /Prepaid and Savings Questions? Available by phone 24 hours a day, 7 days a week: 1- 800- CALL -WELLS (1- 800 -225 -5935) TTY., 1- 800 -877 -4833 En espanol: 1- 877 - 337 -7454 Onfine: wellsfargo.com /biz Write: Wells Fargo Bank, N.A. (287) P.O. Box 6995 Portland, OR 97228 -6995 Account options A check mark in the boxindicates you have these convenient services with your account. Go to wellsfargo.com /biz or call the number above if you have questions orifyou would like to add new services. Business Online Banking ❑✓ Online Statements z Business Bill Pay ❑ Business Spending Report ❑✓ Overdraft Protection Q a 0 r C W z z z z z z z z z z z z z z z z 0 o_ 0 0 A N W N V T A Ending balance Ending balance Account Page Accountnumber last statement A thisstatement a` Piatinum Business Services Package - 2 634390777-7 — -- - - -- `24,939:09 - — — - 36,07635 Business Market Rate Savings 6 6344038994 169.02 194.03 Total deposit accounts $25,108.11 $36,270.38 Primary account number: 6343907777 ■ January 1, 2014 - January 31, 2014 ■ Page 2 of 8 Platinum Business Services Package Activity summary Check Beginning balance on 1/1 $24,939.09 Deposits /Credits 80,125.72 Withdrawals /Debits -68,988.46 Ending balance on 1/31 $36,076.35 Average ledger balance this period $41,792.33 Overdraft Protection Your account is linked to the following for Overdraft Protection: i Credit Card - XXXX- XXXX -XXXX -0056 Interest summary Check Interest paid this statement $0.72 Average collected balance $40,824.59 Annual percentage yield earned 0.02% Interest earned this statement period $0.72 Interest paid this year $0.72 Total interest paid in 2013 $1.02 Transaction history Account number: 6343907777 RAZ CONSTRUCTION LLC Florida account terms and conditions apply For Direct Deposit and Automatic Payments use Routing Number (RTN): 063107513 For Wire Transfers use Routing Number (RTN): 121000248 N Check Deposits/ Withdrawals/ Ending daily Date Number Description Credits Debits balance 1!3 10368 Cashed Check 263.96 N 1/3- _.._169 Check.. _..._ ...... ... ....... ._ _.._ .... _ ._. .........._ 03 794.06 m 113 10370 Check..,. 1/3 10371 Check 1�....:... _,._ ,10378 Check-.. 363.63 22,430.35 U6" ..... - .,_....._ -.. 10377 Cashed Check 346.93 V6 10357 Cashed Check- _ - _ - _._ _ _ ..,, ...._, _ _ _ _ 63 1%6 .._ 10379 Check., . _ _ ....:..... .. ..... .... _ _ __.._W _,_ ,. _.. _355 528.94 1!6 10374 Check __ _. _ ._. - „_.. _ 44912 1/6 10373 Check 370.79 1/6 " 10380 Check 361.79 T/6 10376 Check 337.77 1 /6 ....:. 10375 Check .: 325.79 1/6 10381 Check 320.00 1/6 10382 Check , ,. .... .,309.08 116 10372 Check"- _:_ _ . .. ....... . ..... _ .249.34 1/6 10383 Check 213.33 f =: 1/6 WF Bus Credit Auto Pay 140106 90225231560056 25.00' 18,236.74 t Zielinski, Robert ' 1 /7 Deposit '16,000.00 28 236.74 1/10 i 10384 Cashed Check. _..,._... .__ 263.98 1/10 _.. 10385 Check 794.05 1/10 Check __... _.,. _ __..664.88 1/10 _10386 10394 Check ___ _.... 430.66 26,083.17 1/13 10393 Cashed Check 364.32 Primary account number: 6343907777 ■ January 1, 2014 -January 31, 2014 ■ Page 3 of 8 Transaction history (continued) Deposits/ Withdrawals/ Ending daily Check Credits Debits balance Date Number Description 497.38 1/13 10389 Check . ..... - 489J9 ................. vi� Imi Check . ........ . 488.76 4/i Vi 1 10390 Check .. ... ....... ----------- - 436.47 1/13 the, kl_ Check 1/13 10346 Check 361.00 1/13 10391 Check __­ 1, -1. .1. 1 - -1.." 1. 1. 320.00 1 h�.I.-­1 10388 Check 319.98 -1/13 46397 Ch . .. ..... . . .... ... ............. ... . . ........... 293.60 ----------- V13 10398 Check 1 67.47 4.92 1/13 10399 heck ­ ­C. . , , . . . 150.00 . ..2.... 115 Re cu rr i ng Tr a n sfe r to R a z C o n s t ru c t i o n L L C Business Market Rate Savings Ref xx8994 - -#Opek3Nds4F -­ Florda ctrusd Payment 1401 1 3 49631878 Raz Construction . ..... ... . . ..... . ..... 20 O8b 92 Deposit 50,000.00 10, 0_00 0,086.92 8- IA6­­DePOsit _ - --- - I I .1 . . Ra z Construction Ll Business M arke t Recur rin g Trans fe r From 1 2 5 .0 0 Rate Savings Ref #Opeg6Mp } /17 ,?q3?�994 10401 Cashed Check ........ .... 345.39 . ....... - 794.06 16403 Check 664.89 1111 10404 Check _561.03 77,906.55 1/17 . ......... . 70412 Check . ... .. Cashed Check 465.05 - - -------- - 1/21 10411 __ "t 682 32 - 14 . ....... ...... 537.96 16466 Check 7/21 10407 Check 517 24 1 /21 k 1 Q405 Check �e, 510.23 ­ � � 10910 Check 45 _47 1 10406 Check ....... .......... - ------ 45135 1/21 ­1040 Check 442.20 ...... 1/21 "i 425.76 -- . .. . ....... m Check 41 &62 id4i§ blec Check ...... ... ... - - ------ 19742 .... . .......... . ...... - -- --- i/21 i_i)4i j the. ................. Check --'-i 187.00 187.00 72,01625 04-02- Check ............ 70,198.84 1/22 1 Check 1 . 21,�938.20 48,260.64 0 38,� Check 166.23 1/24 10419 Cashed Check Check 1/24 lwl* Check 794.06 . . ......... 604.90''..- 10423 Check 523.48 431.60 45,74037 1/24 10420 Check f) ­,_, - Deposit 00.00 Ibio' ..... ..... 1127 __jd4�4 Cashed Check 448.87 i � ­16ij�� 6e_-ck,-'­"'-'­ .......... 664.89 164M Check 634.16 1127 10425 Check 531.49 485.17 475 85 . 104 Check 470-47 10427 Check _164 ---- ------ 4&.49 Check 431.60 ­ 379-22 1/27 ----- 10434 Check ... ... ... . - . ..... . ..... - -1.1 ----- ---- -------------- - 1/27 _16436 check 314.32 298.5.5 50,171.29 1127 10433 Check . ...... ............ ........... .......... . 13.12 50,158.17 V28 ------- 10,545.98 39,612.19 1/29 10442 Check 637.50 1%30 10439 Check ...... ..... .......... 27 0 ­ . - 0 0 . . 38,704.69 V30 10440 Check _ 1/31 Check 1,124A8 -- - ------- - 10445 .1 Check 794.06 cn z z z z z z z z z z z z z z z z Primary account number: 6343907777 ■ January 1, 2014 - January 31, 2014 ■ Page 4 of 8 Transaction history (continued) Check Date Number Description Deposits/ Withdrawals/ Credits Debits Ending daily balance 1/31 10460 Check 456.01 Number Date 131 10446 Check 25451 Date 1/31 Interest Payment 0.72 36,076.35 Ending balance on 1131 36,076.35 Totals $80,125.72 $68,988.46 The Ending Daily Balance does not reflect any pending withdrawals or holds on deposited funds that may have been outstanding on your account when your transactions posted. Ifyou had insufficient available funds when a transaction posted, fees may have been assessed. Summary of checks written (checks listed are also displayed in the preceding Transaction history) Number Date Amount Number Date Amount Number Date Amount 10357 1/6 - 355.63 10391 1113 361.00 10418 1/21 197.42 10365* 1122 1,817.41 10392 1/13 436.47 10419 - -` 1424 - 16623 - 10366 1/23 21,938.20 10393 1/13 364.32 10420 1/24 431.60 10368 * 1/3 263.96 10394 1/10 430.66 10421 1/24 794.06 10369 1/3 794.06 10395 1/13 488.76 10422 1/27 664.89 10370 1/3 664.89 10396 1/13 377.43 10423 1/24 523.48 10371 1/3 422.20 10397 1/13 319.98 10424 1/27 434.49 10372 1/6 249.34 10398 1/13 293.60 10425 1/27 531.49 10373 1/6 370.79 10399 1/13 167.47 10426 1/27 634.16 10374 1/6 449.22 10401 * 1/17 345.39 10427 1/27 470.47 10375 1/6 325.79 10402 1/21 187.00 10428 1/27 485.17 10376 1/6 337.77 10403 1/17 794.06 10429 1/27 448.87 10377 1/6 346.93 10404 1/17 664.89 10430 1/24 604.90 10378 1/3 363.63 10405 1/21 510.23 10431 1/27 431.60 10379 1/6 528.94 10406 1/21 451.35 10433* 1/27 298.55 10380 1/6 361.79 10407 1121 517.24 10434 1/27 379.22 10381 1/6 320.00 10408 1/21 537.96 10435 1/27 475.85 10382 1/6 309.08 10409 1/21 442.20 10436 1/27 314.32 V A 10383 1/6 213.33 10410 1/21 474.51 10438* 1/31 1,124.48 10384 1/10 263.98 10411 1121 465.05 10439 1/30 637.50 10385 1/10 794.05 10412 1/17 501.03 10440 1/30 270.00 10386 1/10 664.88 10413 1/21 187.00 10441 1/28, 1.3.12 1C387 1/13 489.39 10414 1121 682.32 10442 1/29 10,545.98 10388 V13 320.00 10415 1121 425.76 10445 * 1/31 794.06 10389 1/13 497.38 10416 1/21 416.62 10446 1/31 254.51 10390 1/13 478.45 10417 1/21 395.64 10460* 1/31 456.01 * Gap in check sequence. Monthly service fee summary For a complete list of fees and detailed account information, please see the Wells Fargo Fee and Information Schedule and Account Agreement applicable to K`iti your account or talk to a banker. Go to welisfargo.com /feefaq to find answers to common questions about the monthly service fee on your account. ri Fee period 01/01/2014 - 01/31/2014 Standard monthly service fee $30.00 You paid $0.00 How to avoid the monthly service fee (complete 1 AND2) Minimum required This fee period 1) Have any ONE of the following account requirements Average ledger balance $25,000.00 $41,792.00 Q Primary account number: 6343907777 ■ January 1, 2014 - January 31, 2014 ■ Page 5 of 8 Monthly service fee summary (continued) How to avoid the monthly service fee (complete 1 AND 2) Minimum required This fee period Combined balances in linked accounts, which may include $40,000.00 Q Average ledger balances in business checking, savings, and time accounts Most recent statement balances of: business credit card, Wells Fargo Express Equity' and BusinessLine' lines of credit, Wells Fargo BusinessLoan'term loan Average daily balances from previous month in business Primel-ine' line of credit and Business PrimeLoans "account, Wells Fargo Express Equity', SBA, and Equipment Express` loans 21 Complete the package requirements 3 Q • Have qualifying linked accounts or services in separate categories' *Includes Wells Fargo business accounts and services such as debit card, savings accounts, active Online Banking, credit card, loans and lines of credit. WK&VK Account transaction fees summary - Units- Excess Service charge per Total service Service charge description Units used included units excess units ($} charge ( ) Transactions 88 400 0 0.50 0.00 $0.00 Total service charges Did you know that you can review your safe deposit box information through Wells Fargo Business Online Banking? Sign on to business online banking at wellsfargo.com /biz and go to your account summary page to review details. D IMPORTANT ACCOUNT INFORMATION We want to let you know of important upcoming changes to your Platinum Business Services Package. 0 a c c c a w w W N z z z z z z z z z z z z z z z z 0 W w CD rQ0 A co V U1 A W Effective April 7, 2014, the monthly service fee for your account will increase to $40. This fee will be waived if you meet the package co — requirementsand have anyone or the following: - $25,000 average ledger balance A - $40,000 combined balance If you do not meet one of the balance requirements noted above, the monthly service fee will appear on your April monthly statement dated on or after April 7, 2014. Monthly service fee details can be found in the "Monthly service fee summary" section of your statement. Also, effective April 7, 2014, we are pleased to inform you thatthe following new and enhanced product features will be included each month on your account: - Up to 500 transactions per month at no charge, an increase of 100 transactions per month. The fee for transactions over 500 per month will remain unchanged at $0.50 each. - Up to $20,000 of cash deposited per month at no charge, an increase of $5,000 cash deposited per month. The fee for cash deposited over $20,000 per month will remain unchanged at $0.30 per $1.00 deposited. - No fee for stop payments - No fee for cashier's checks Primary account number: 6343907777 ■ January 1, 2014- January 31, 2014 ■ Page 6 of 8 - No fee for money orders - Waived ATM access fee for two domestic (U.S.) non -Wells Fargo ATM cash withdrawals' - No fee for two incoming dornestidinternal wires Fee change effective April 1, 2014: - Collections - Domestic: Auto Draft - $25 per item Wells Fargo ATM access fee waived for two non -Wells Fargo ATM cash withdrawals from your primary checking account within the Platinum Package per statement cycle. ATM access fee for each additional non -Wells Fargo ATM cash withdrawal transaction will be assessed. Surcharges imposed by non -Wells Fargo ATM owners or operators may apply. If you have questions about these changes, or would like a complimentary financial review to ensure that you have the right accounts to meet your financial goals, please contact your local banker or call the phone number listed at the top of your statement. Business Market Rate Savings Activity summary Beginning balance on 1/1 $169.02 Deposits /Credits 150.01 Withdrawals/Debits - 125.00 Ending balance on 1/31 $194.03 Average ledger balance this period $190.79 Interest summary Interest paid this statement $0.01 Average collected balance $190.79 Annual percentage yield earned 0.06% Interest eamed this statement period $0.01 Interest paid this year $0.01 Total interest paid in 2013 $0.02 Transact�on_history_ __ Account number. 6344038994 RAZ CONSTRUCTION LLC Florida account terms and conditions apply For Direct Deposit and Automatic Payments use Routing Number (RTN): 063107513 For Wire Transfers use Routing Number (RTN): 121000248 Deposits! Withdrawals/ Ending daily Date Description Credits Debits balance 1/15 Recurring Transfer From Raz Construction Ll Business Checking Ref 150.00 319.02 #Opek3Nds4F xxxxxx7777 .__ - _- ........ ... _ ._....... 1/17 x Recurring Transfer to Raz Construction LLC Business Checking Ref 125.00 194.02 #Opeg6Mp2D3 xxxxxx7777 1131 Interest Payment .0.01 _ _... 194.03 _.. _- _ _. .__..... _.___ . . ........ _ _._ _.... __._.._ _ _ . __.. Ending balance on 1/31 194.03 Totals $150.01 $125.00 The Ending Daily Balance does not reflect any pending withdrawals or holds on deposited funds that may have been outstanding on your account when your transactions posted lfyou had insufficient available funds when a transaction posted, fees may have been assessed. Indicates transactions that count toward Federal Reserve Board Regulation D limits. Please refer to yourAccountAgreement for complete details of the federally- mandated transaction limits for savings accounts. N v A W N Primary account number: 6343907777 ■ January 1, 2014 - January 31, 2014 ■ Page 7 of 8 Monthly service fee summary For a complete list of fees and detailed account information, please see the Wells Fargo Fee and Information Schedule and Account Agreement applicable to your account or talk to a banker. Go to welisfargo.com /feefaq to find answers to common questions about the monthly service fee on your account. Fee period 01/01/2014 - 01/31/2014 Standard monthly service fee $6.00 You paid $0.00 How to avoid the monthly service fee Minimum required This fee period Have any ONE of the following account requirements • Average collected balance $500.00 $191.00 ❑ • Automatic transfer from an eligible Wells Fargo business checking account $100.00 $150.00 Q YUYc IMPORTANT ACCOUNT INFORMATION We want to let you know of the following fee change effective April 1, 2014: -Collections - Domestic: Auto Draft - $25 per item If you have questions about these changes, or would like a complimentary financial review to ensure that you have the right accounts to meet your financial goals, please contact your local banker or call the phone number listed at the top of your statement. O n 0 c C c N Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z 0 0 O 0 A N W V V A O V —W v rn 0 A Primary account number: 6343907777 ■ January 1, 2014 - January 31, 2014 ■ Page 8 of 8 General statement policies for Wells Fargo Bank ■ Notice: Wells Fargo Bank, N.A. may furnish information about accounts belonging to individuals, including sole proprietorships, to consumer reporting agencies. If this applies to you, you have the right to dispute the accuracy of information that we have reported by writing to us at: Overdraft Collections and Recovery, P.O. Box 5058, Portland, OR 97208 -5058. Account Balance Calculation Worksheet t. Use the following worksheet to calculate your overall account balance. 2. Go through your register and mark each check, withdrawal, ATM transaction, payment, deposit or other credit listed on your statement. Be sure that your register shows any interest paid into your account and any service charges, automatic payments or ATM transactions withdrawn from your account during this statement period. 3. Use the chart to the right to list any deposits, transfers to your account, outstanding checks, ATM withdrawals; ATM payments or any other withdrawals (including any from previous months) which are listed in your register but not shown on your statement. ENTER A. The ending balance shown on your statement ....................... $ ADD B. Any deposits listed in your $ register or transfers into $ your account which are not $ shown on your statement. + $ ........... ............................... TOTAL $ CALCULATE THE SUBTOTAL (Add Parts A and B) ........... ............................... TOTAL $ SUBTRACT C. The total outstanding checks and withdrawals from the chart above ............. - $ CALCULATE THE ENDING BALANCE (Part A + Part B - Part C) This amount should be the same - as the current balance shown in your check register ............................. $ X2010 Wells Fargo Sank, NA, All rights reserved. Member FDIC NMLSR ID 399801 You must describe the specific information that is inaccurate or in dispute and the basis for any dispute with supporting documentation. In the case of information that relates to an identity theft, you will need to provide us with an identity theft report. Number Items Outstanding Amount i I I i 4� I i Total amount $ V A Nt� f �E 4060 Licensee Information Licensee Number Q -11317 E?<:scri" 'o TY Frc pert j Alert Name ROBERT A. Z.IELINSKI Type Contra_ctcr �v _ Status Open View Master Proiect View All Activities for this Licensee Add a new person ar business to Address Book Examination Results �� Exam Resent Liter Exarrjest T^ - Date nit Ecarrjest Cit' €e r ironed ExarrdTest r€sult FETE€iI H��FC r11�����g�`� �LEE �I�� !C�txCkT� .w.... ......... _ .. _._ h._...._. w w...... _..... _ _ _'._ . _ a M-org FieG s, €ids ar;Clear Fretd Charge Exam Fee Exam Code Sponsoring County Sponsorship App Date Sponsorship Expiration Date F Testing Facility COLLIER COUNTY CERTIFICATE OF COMPETENCY CERTIFICATION INFORMATION C11923 Certification Information Collier County Board of County Commissioners DBA: A -Z MASONRY, INC. ADDRESS: P. O. BOX 1109 FT. MYERS, FL 33902 PHONE: 2393375000 CELL: 2398519131 FAX: 2393341374 LICENSEE NBR: C11923 INSURANCE: General Liability March 19, 2014 Worker's Compensation March 19, 2014 QUALIFIER: ROBERT A. ZIELINSKI TYPE: MASONRY CONTR. CLASS CODE: 4250 ISSUANCE NBR: 11923 ORIG ISSD: October 15, 1990 Date: October 08, 2013 EXPIRATION: September 30, 2014 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 MASONRY CONTR. Cert Nbr: Exp: Status: C11923 09/30/2014 Active A -Z MASONRY, INC. ROBERT A. ZIELINSKI P. 0. BOX 1109 FT. MYERS, FL 33902 Signed: Licensee Information Licensee Number Q11923 Name RCEEFtT r. ZIELINSKI Type Contractor Status Open vie-vv piaster Proiect Examination Results Charge Exam Fee .f, Sponsoring County Sponsorship Expiration Date Vie-,,j All Activities forthis Licensee Description I I Property rt Add a near+ ep rson or business to address Book Add d Exam Result Shux�r r, ore Fields [ Hide or Clear Fields Exam Code] Sponsorship App Date Testing Facility A 2414 FLORIDA PROFIT CORPORATION ANNUAL REPORT DOCUMENT# P97000049464 Entity Name: A -Z MASONRY, INC. Current Principal Place of Business: 1601 JACKSON ST SUITE #202 FT MYERS, FL 33901 Current Mailing Address: P.O. BOX 1109 FT MYERS, FL 33902 FEI Number: 65- 0249565 Name and Address of Current Registered Agent: ZIELINSKI, ROBERT A 1601 JACKSON ST SUITE #202 FT MYERS, FL 33901 US FILED Jan 15, 2014 Secretary of State CC2751595009 Certificate of Status Desired: Yes 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 Date Officer /Director Detail Title D Name ZIELINSKI, ROBERT A Address 1601 JACKSON ST, SUITE 202 City- State -Zip: FT MYERS FL 33901 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 1 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: ROBERT A ZIELINSKI DIRECTOR 01/15/2014 Electronic Signature of Signing Officer /Director Detail Date Detail by Entity Name Detail by Entity Name Florida Profit Corporation A -Z MASONRY, INC_ Filing Information Document Number FEI /EIN Number Date Filed State Status Principal Address 1601 JACKSON ST SUITE #202 FT MYERS, FL 33901 Mailing Address P.O. BOX 1109 FT MYERS, FL 33902 Changed: 01118/2008 P97000049464 650249565 06/02/1997 FL ACTIVE Reaistered Aaent Name & Address ZIELINSKI, ROBERT A 1601 JACKSON ST SUITE #202 FT MYERS, FL 33901 Officer /Director Detail Name & Address Title D ZIELINSKI, ROBERT A 1601 JACKSON ST, SUITE 202 FT MYERS, FL 33901 Annual Reports Report Year Filed Date 2012 03/22/2012 2013 03/0412013 2014 01/15/2014 Page 1 of 2 2014 FLORIDA LIMITED LIABILITY COMPANYANNUAL REPORT DOCUMENT# L13000059471 Entity Name: RAZ CONSTRUCTION, LLC Current Principal Place of Business: 1601 JACKSON STREET, SUITE 202 FORT MYERS, FL 33901 Current Mailing Address: PO BOX 2186 FORT MYERS, FL 33902 US FEI Number: 46- 2699889 Name and Address of Current Registered Agent: KNOTT, GEORGE H ESQ KNOTT EBELINI HART 1625 HENDRY STREET, SUITE 301 FORT MYERS, FL 33901 US FILED Jan 25, 2014 Secretary of State CC6953661702 Certificate of Status Desired: Yes 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 Date Authorized Person(s) Detail Title MGR Name ZIELINSKI, ROBERT A Address 1601 JACKSON STREET, SUITE 202 City- State -Zip: FORT MYERS FL 33901 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 a managing member or manager of the limited liability company or the receiver or trustee empowered to execute this report as required by Chapter 605, Florida Statutes; and that my name appears above, or on an attachment with all other like empowered. SIGNATURE: ROBERT A ZIELINSKI MGR 01/25/2014 Electronic Signature of Signing Authorized Person(s) Detail Date Detail by Entity Name Page 1 of 2 Detail by Entity Name Florida Limited Liability Company RAZ CONSTRUCTION, LLC Filina Information Document Number L13000059471 FEI /EIN Number 462699889 Date Filed 04/23/2013 State FL Status ACTIVE Principal Address 1601 JACKSON STREET, SUITE 202 FORT MYERS, FL 33901 Mailing Address PO BOX 2186 FORT MYERS, FL 33902 Changed: 01125/2014 Reaistered Aaent Name & Address KNOTT, GEORGE H, ESQ KNOTT EBELINI HART 1625 HENDRY STREET, SUITE 301 FORT MYERS, FL 33901 Authorized Person(s) Detail Name & Address Title MGR ZIELINSKI, ROBERT A 1601 JACKSON STREET, SUITE 202 FORT MYERS, FL 33901 Annual Reports Report Year Filed Date 2014 01/25/2014 Document Images h+tr�• / /cvornh mir�l+i� nr�r/ Tnm�irc�/(' nrnnrot innQaorn} �/ Ccorrhl? PC�iltTla +�il/7- +ntitcrT�Toma /flal_ll � /�n /�n�a �- COUNTY LSE License Holder ROBERT A ZIELINSKI Name_ Firm Name_ A TO Z MASONRY INC Address: PO BOX 1109 FORT MYERS FL 33902 LIC2007 -01976 azmasl60l @aol.com renews Thank you for assisting Lee County Contractor Licensing in their effort to "Go Green ". Please keep this documentlfile in a safe place as you will not be receiving any additional copies of your license from this office- Be sure to keep your - email address current with us at all times. Below please find your Lee County Certificate of Competency. This Certificate will need to be renewed yearly if you wish to perform work in Unincoproraied Lee County. Renewal will begin in the middle of August of each calendar year. If you choose to place your license on inactive status please notify this office as soon as possible- Please keep yourself up to date with our departments information by periodically reviewing our website at www.lee- county. com /dcd /contractorlicensing.htm In addition to this Certificate, it is your responsiblity to maintain your worker`s compensation, general liability insurance and obtain a yearly business tax receipt from the Lee County Tax Collector while performing work in Unincorporated Lee County. You may email your certificates of insurance to ContractorLicensing @Leegov.com. Our phone number is 239 - 533 -8895. Please send e-mail address and/or telephone changes to ContractorLicensing @Leegov.com IMPORTANT CHANGE PLEASE READ: In an effort to reduce costs and "go green" we will no longer be mailing renewal reminders. If you wish to receive a renewal reminder via email please provide us with your email address along with your case number LIC2007 -01976 to ContractorLicensing @Leegov.com. Re: "renewal by email". Conditions of Certificate Renewal due for active and inactive certificate each year in September- COMP. NO. shalt appearon all adverilsements including vehicles reflecting a business name. LEE COUNTY CERTIFOATE OF COMPETENCY (239) 533 -am NAME: ROBERTA ZIELINSKI D /B/A A TO Z MASONRY INC LICENSED FOR: Concrete Forming & Placing Shall only contract in D /B/A name as it COMP- NO: CW 000062 appears on certificate- Board of Approval required on business name changes. NOT VALID AFTER: 09/3012014 Signature of License Holder ------------ — . .. Conciftns of Certifxate Shalt maintain required insurenees on active certificates- Shall inform the Contractor Licensing Office of any Address or telephone # change. fcnbk)cren2.rpt i - LE CO UNTY License Holder ROBERT A ZIELINSKI Name: Firm Name: A TO Z MASONRY INC Address: PO BOX 1109 FORT MYERS FL 33902 LIC2007 -01977 azmas1601(a�aoi.com renews Thank you for assisting Lee County Contractor Licensing in their effort to "Go Green ". Please keep this documentffile in a safe place as you will not be receiving any additional copies of your license from this office. Be sure to keep your email address current with us at all times. Below please find your Lee County Certificate of Competency. This Certificate will need to be renewed yearly if you wish to perform work in Unincoprorated Lee County. Renewal will begin in the middle of August of each calendar year. If you choose to place your license on inactive status please notify this office as soon as possible. Please keep yourself up to date with our departments information by periodically reviewing our website at www-lee-county.com/dcdlcontractorticensing.htm In addition to this Certificate, it is your responsiblity to maintain your worker's compensation, general liability insurance and obtain a yearly business tax receipt from the Lee County Tax Collector while performing work in Unincorporated Lee County. You may email your certificates of insurance to ContractorLicensing @Leegov.com. Our phone number is 239- 533 -8895. Please send e-mail address and /or telephone changes to ContractorLicensing @Leegov.com IMPORTANT CHANGE PLEASE READ: In an effort to reduce costs and "go green" we will no longer be mailing renewal reminders. If you wish to receive a renewal reminder via email please provide us with your email address along with your case number LIC2007 -01977 to ContractorLicensing @Leegov.com. Re: "renewal by email ". - -. Cut Here - -..... - - -- -- ..- ---- ---- - --- -- -- -------- - ---- -- - --- - --- ... ..... Conditions of Certificate Renewal due for active and inactive certificate each year in September. COMP. NO. shall appear on all advertisements including vehicles reflecting a business name. Shall only contract in DBIA name as it appears on certificate. Board of Approval required on business name changes. LEE COUNTY CERTIFICATE OF COMPETENCY (239)5338895 NAME. ROBERT A ZIELINSKI D /B /A A TO Z MASONRY INC LICENSED FOR: Masonry COMP. NO.: MA 000038 NOT VALID AFTER: 09130/2014 Conditions of Certfcate Shall maintain required insurances on active certificates. Shall inform the Contractor Licensing Office of any Address or telephone # change. Signature of License Holder frntrlocren2 -rpt i 1 I 1 CHARLOTTE COUNTY LICENSING CERTIFICATE OF COMPETENCY NOT VALID AFTER 09/30/2015 Lic. Type: L CONC MASONRY 1 DBA A Z MASONRY INC Lic. Nbr: AAA008760 i ROBERT ZIELINSKI PO BOX 1109 s FORT MYERS FL 33902- . i i f i �i 1 t a A_r L COUNTI? L E 11 '1 - License Holder ROBERT A ZIELINSKI Name: Firm Name: RAZ CONSTRUCTION LLC Address: PO BOX 2186 FORT MYERS FL 33902 LIC2013 -00621 azmas1601 (c_Daol.com Thank you for assisting Lee County Contractor Licensing in their effortto "Go Green ". Please keep this document/file in a safe place as you will not be receiving any additional copies of your license from this office. Be sure to keep your email address current with us at all times. Below please find your Lee County Certificate of Competency. This Certificate will need to be renewed yearly if you wish to perform work in Unincoprorated Lee County. Renewal will begin in the middle of August of each calendar year. If you choose to place your license on inactive status please notify this office as soon as possible. Please keep yourself up to date with our departments information by periodically reviewing our website at www.lee-county-com/dcdlcontractorlicensing.htm In addition to this Certificate, it is your responsibl'tfy to maintain your worker's compensation, general liability insurance and obtain a yearly business tax receipt from the Lee County Tax Collector while performing work in Unincorporated Lee County. You may email your certificates of insurance to ContractorLicensing @Leegov.com. Our phone number is 239 - 533 -8895. Please send e-mail address and/or telephone changes to ContractorLicensing @Leegov.com IMPORTANT CHANGE PLEASE READ: In an effort to reduce costs and "go green" we will no longer be mailing renewal reminders. If you wish to receive a renewal reminder via email please provide us with your email address along with your case number LIC2013 -00621 to ContractorLicensing @Leegov.com. Re_ "renewal by emair'. — ---- -- ---- -- --- ----- ----- -- ---- ------------------------------------ cutuere-- ----- -- - - - --- -------------------------- ---------------------------- - -1-- ------ - ------------------ - - - - -- — -- - - - --- -------------------------------------- - -- --- ------ --- --------- -- - --- - --- ----- - - - - -- --- -- Conditions of Certificate Renewal due for active and inactive certificate each year in September- COMP. NO. shall appear on all advertisements including vehicles reflecting a business name. Shall only contract in DIBIA name as it appears on certificate. Board of Approval required on business name changes- LEE COUNTY CERTIFICATE OF COMPETENCY (239) 533 -8895 NAME: ROBERT A ZIELINSKI D/B /A RAZ CONSTRUCTION LLC LICENSED FOR Concrete Forming & Placing COMP- NO -: CVQ01MC621 NOT VALID AFTER: 09/3012014 Conditions of Certificate Shall maintain required insurances on active certificates. Shall inform the Contractor Licensing Office of any Address or telephone # change- Signature of license Holder frntrlocmn2.rpt -% '. r iLEE C01,INT!r License Holder ROBERT A ZIELINSKI Name: Firm Name: RAZ CONSTRUCTION LLC Address: [P BPX 2186 FORT MYERS FL 33902 LIC2013 -00622 azmas16010_aol.com Thank you for assisting Lee County Contractor Licensing in their effort to "Go Green ". Please keep this documentifile in a safe place as you will not be receiving any additional copies of your license from this office. Be sure to keep your email address current with us at all times. Below please find your Lee County Certificate of Competency. This Certificate will need to be renewed yearly if you wish to perform work in Unincoprorated Lee County. Renewal will begin in the middle of August of each calendar year. If you choose to place your license on inactive status please notify this office as soon as possible. Please keep yourself up to date with our departments information by periodically reviewing our website at www.fee-munty.com/dcd/contractorlicensing.ht,n In addition to this Certificate, it is your responsiblity to maintain your worker's compensation, general liability insurance and obtain a yearly business tax receipt from the Lee County Tax Collector while performing work in Unincorporated Lee County. You may email your certificates of insurance to ContractorLicensing @Leegov.com- Our phone number is 239 - 533 -8895. Please send e-mail address and/or telephone changes to Contractort:icensing@,Leegov.com IMPORTANT CHANGE PLEASE READ: In an effort to reduce costs and "go green" we will no longer be mailing renewal reminders. if you wish to receive a renewal reminder via email please provide us with your email address along with your case number LIC2013 -00622 to ContractorLicensing @Leegov.com. Re: "renewal by email". ---- - - -- — - - - - - -- Cuttlem---- - ----- - ------- -- - - - - -- --- ---- ------ ----- ----- ---- .- .._--- --- - - - -- — - - - ---- ----------------------- --- --- - - -------- ---------- -- - - - - -- Conditions of Certificate Renewal due for active and inactive certificate each year in September. COMP. NO_ shall appear on all advertisements including vehicles reflecting a business name_ Shall only contract in D/B/A name as it appears on certificate_ Board of Approval required on business name changes. LEE COUNTY CERTIFICATE OF COMPETENCY (239) 533 -8695 NAME: ROBERTAZIELINSKI D /B/A RAZ CONSTRUCTION LLC LICENSED FOR: Masonry 2nd co COMP- NO.: MA13 -00622 NOT VALID AFTER: 09130/2014 Conditions of Certificate Shalt maintain required insurances on active certificates. Shall inform the Contractor Licensing Office of any Address or telephone # change. signature of License Holder I f- %10- -n2rpt • Licensee information Licensee Number C11923 Description I Type j PropeqAert I I Name A-Z MASONRY, INC. Type Contractor Status Active View Master Proiect View All Activities for this Licensee Add a new person or business to Address bOOK Insurance Add Insurance Producer TyDe Polio j Number.. Effective Date EARtration Date Limit -ink :ALAN WILLIAMS &ASSOC I General Liability �:IG0110 0172900 03/19/2013 . ...................... 03/19/2014 2000000 .......... . . ........ .......... ................. FIVE . . 1. C .1 0 - U .1 N .. TY I . NSURANCE .......... ................ I .............. - ....... . . .... ............ :4hlorkeijsCompensatio'6FP,13UB-2856C33-1 ............. ....... .......................... . .. __ ................ .. 03/19/2013 . ............... - ................... 03/19/2014 ................. ........................... . I..., . ...... Address Address line 2 City/State/zip Expiration Processed show More Fields Hide or clear Fields Producer Phone Number 2394181100 A A ,a� " CERTIFICATE OF LIABILITY INSURANCE 2/13/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Plan Williams & Assoc Ins Agency Inc 13720 -2 Ben C. Pratt/ SIX Mlle Cypress Pkwy Ft.Myers FL 33912 CONTACT JO Ce Delisle NAME: Y PHONE (239) 418 -1100 � No,: (239)418 -1164 Exti. E -MAIL ADDRESS: o y i ce @awansurance.com INSURE S) AFFORDING COVERAGE NAIC # INSURERA :International Ins Co of s2267 INSURED RA2i Construction, LLC P.O. BOX 2186 Fort Myers FL 33902 INSURER B - URA 0018 INSURER C: EACH OCCURRENCE INSURERD: DAMA E TO RENTED PREMISES Eaocwrrence INSURER E MED EXP (Any one person) INSURER F: PERSONAL 8ADVINJURY COVERAGES CERTIFICATE NUMBER:13 /14 New REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LSR I TYPE OF INSURANCE A U R POLICY NUMBER POLICY EFF MWD POLICY EXP MM/DD LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1_X_1 OCCUR 6011002008 -00 /1/2013 /1/2014 EACH OCCURRENCE S 1,000,000 DAMA E TO RENTED PREMISES Eaocwrrence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL 8ADVINJURY $ 1.000,000 GENERAL AGGREGATE S 2,000,000 GEN.L AGGREGATE LIMIT APPLIES PER. X POLICY PRO LOC PRODUCTS -COMPIOPAGG $ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NOWOMED HIRED AUTOS AUTOS COMBINED SINGLE LIMIT Eaacadent S BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ S UMBRELLA LIAB EXCESS LU1B OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE S DED RETENTION$ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, descibe under DESCRIPTION OF OPERATIONS below NIA 06 -52559 /1/2013 /1/2014 WC STATU- OTH- ER E.L. EACH ACCIDENT $ 11000,000 E.L. DISEASE - EA EMPLOYE S 1 '000,000 E.L. DISEASE - POLICY LIMIT $ 1,000-,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) GCK I Ir'II1A 1 C rIULtJtK tLAPIGtLL.A I IUN (239) 252 -2469 Collier County Contractor Licensing Board 2800 North Horseshoe Dr Naples, FL 34104 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE W1111ams /CL10 ACORD 25 (2010/05) ©1988 -2010 ACORD CORPORATION. All rights reserved. INS025 r7mnnas m Thn Ar`r1Rrl nano �nri Inn^ nra raniatarari marlre of Ai'()Pn •. Lee County Tax Collector's Office Page 1 of 3 x•1,3 4 -,-e CAccount Hello, Guest t •J,. r •�l1 Home • FAQ • En Espanol • Contact Us • Printable Version- Search...' intormlation Property Taxes ve'licles t verse €s Driver License bunting & Fishinq Local Business Taxes Pay Online ITV Additional Options: Payments Made Change Mailing Address Oupyllyiit v Luny. Lea i uunty Tax Luiieutul'a v((lue. All i lyl ab lesai ved. - view OiLL view raylneiit ruliuies Sign In Access your Lee County Tax Collector account Need an Account? Create a Lee County Tax Collector account Why would I need an account? Taxpayer Portfolio Reprint Receipt View Cart Instructions Mass Tax I ayments Search Real & Tangible Reprint Receipt Merchant Report Accounting Report View Cart Lee County Property Appraiser Local Business Tax Search httn•//manznzr laatr rnm /caarA (1Ptnil acre? arrrn7 nt= R9(1ln?09TQearrhT -,ma =nr (T W 7 /?r% /7() l A N�� Business Tax Account Information Search Business A TO Z MASONRY INC 1601 JACKSON ST STE 202 FT MYERS FL 33901 (239)337-5000 A= ,i.VUIIt 8903020 Pnscription CONCRETE FORMING AND PLACING CONTRACTOR AA ilinrg Address PO BOX 1109 F 1 MYERS FL 33902 Year Amoun Account is paid current. Outstanding Balance Due as of 2/26/2014 Additional Options: Payments Made Change Mailing Address Oupyllyiit v Luny. Lea i uunty Tax Luiieutul'a v((lue. All i lyl ab lesai ved. - view OiLL view raylneiit ruliuies Sign In Access your Lee County Tax Collector account Need an Account? Create a Lee County Tax Collector account Why would I need an account? Taxpayer Portfolio Reprint Receipt View Cart Instructions Mass Tax I ayments Search Real & Tangible Reprint Receipt Merchant Report Accounting Report View Cart Lee County Property Appraiser Local Business Tax Search httn•//manznzr laatr rnm /caarA (1Ptnil acre? arrrn7 nt= R9(1ln?09TQearrhT -,ma =nr (T W 7 /?r% /7() l A A •, Lee County Tax Collector's Office Hello. Guest ",,Iy Lu,; TC ccoint Page 1 of 2 f'rr 'J 'W. GO �ari!e Home-FAQ • En Esparioi • Contact Us • Printable Version- Search... information Proper"," 'faxes Vehicles a Vessels Driver License Hunting & Fishing Local Business Taxes Pay Online Business Tax Account Information I Se arch Business RAZ CONSTRUCTION LLC 1601 JACKSON ST STE 202 FT MYERS FL 33901 2139 337 -5000 AL4U-L 140040 [lr?c'jpi inn CONCRETE FORMING AND PL.AC_.ING_, CONTRACTOR - Mn Ni no Acidras� PO BOX 2186 F I MYERS I-L 33YU2 Year Amount Account is paid current. OutstandIng Balance Due as of 2/26/2014 $0.00 Additional Options: Payments Made Change Mailing Address Cupyilyht v 2009, Lce Cuw ity T6A Cullcului'a vrnve. All ilgldb icacived. - viGvv 8na rui—u b - vizw i'ayiiiaui ruuue5 Sign In Access your Lee County Tax Collector account Need an Account? Create a Lee County Tax Collector account Why would I need an account? Taxpayer Portfolio Reprint Receipt View Cart Instructions fv1833 Tax Poymcnt3 Search Real & Tangible Reprint Receipt Merchant Report Accounting Report View Cart Lee County Property Appraiser Local Business Tax Search httn / /unanx; 1PPtc, rnm /cParrh rlPtail acn ?nrnrrnrnt =l 4On4R7.�,QearchTvne =n( CT.Tf 7 /?Ii /701A Feb 2� 1401:30p r '1: A -Z Masonry, Inc. i 239 - 334 -1374 DRIVER LICENSE CLA 1 R08ERT ANTHONY ZIELINSKI t82 iQ R11/ CHASE CT: ALVA, FL.3- W21D -31 SB ^ s ' DOB- �A X. I� usihirA9 CUn- rOtseit to aX b t v l,r. gf S m e County GMD Operations & Regulatory Management Licensing Section 2800 North Horseshoe Drive Naples, FL 34104 APPLICATION FOR COLLIER COUNTY /CITY OF NAPLES /CITY OF MARCO FIRM INSTRUCTIONS: This application must be typewritten or legibly printed. The application fee must accompany this application. The fee is not refundable after the application has been accepted and entered on the records. All checks should be made payable to the Board of Collier County Commissioners. For further information, consult Collier County Ordinance No. 90 -105, as amended. NAME OF COMPANY: Exact Corporate/ Business Name: ✓Cd l s, Fiction Name /DB Se,rviC,vv . Z- L e- (qualifier Name: Physical Address: S l C�r� JV t/C�, ��� f (I G 3 # - (Number & Street) la-44 (City (St te) (Zip Code) Mailing Address: y 0e & / /�O/ axco l f 7�- 31#4 -A/0/ (Number & Street) (City) (State) (Zip Code) ` � � �ND�t T Specialty trade: CHANGE OF STATUS: ( ) Reinstatement ( ) From One Business to Another ( ) Dormant License to Active Page 1 of 4 / names, titles, home address and phone numbers of all Officers /Managing Members of the Firm. a3 ll b si g� 4-'3 Y (,a 2. Li anesses, firms, entities or contracting businesses you have been associated with during the last ten years (ex. Held a license for or een a partner). Attach extra pages if needed. 4j&r-e,0 61aj /d SS /6v12Y c°G.+�1 it e , 4 List all debts you or any company(s) associated with you refused to pay and the reasons for the refusal to pay. Attach extra pages if needed. AFFIDAVIT I, 616q i `)e-7% l `f certify that the foregoing is true and correct the best of my knowledge. Authorized Officer of the Firm STATE OF FLORI A COUNTY OF Pig The foregoing instrument as acknowledged before me this O Z. / `1" I ZO ► �-�- t- (Date) By 1� lay J 1' F 1��� Lc of cHAs-E ?>A N 1` (Name of officer, title /agent) (Name of Corporation) a % A' f,CO 1SLAN D , Corporation on behalf of the corporation. (State or Place of Corporation) He /She has produced C" L 'DP- YEr-Is LZC� identification and did not take an oath. (Type of identification) NOTARY'S SEAL o� ' AFFNEI► C. LEE �' Noary F'ueNe - iYh of Florida My Comm. Expkes Nov 20.201' ;ha, Corm*" I FF OM196 Page 2 of 4 Cje-e OF NOTARY) QUALIFIER INFORMATION: Name: 1 0c 9 4 k6#1e- f Address: ��,/y• (to � /tom" �1�/ ��C�� f �'C a'� �-�'! (�gl� N. umberG& Street) (City) (State) (Zip Code) Telephone. � 3 ! 70 �4— ` 13 Date of Birth: S.S. #:.000 -00- , _ � r% E -Mail: M 9 -1-COso vsj sr �rtZC%i ( c0 N-t Driver's License: �% Y Lc� — / 7171-1-3-- 3 3 � —D 1. Type of Certificate of Competency for which application is made. r-% (`1 r1 I/ n n N , t I c--% r-� 2 names and telephone numbers of two L/ e � - X I`�s / t A 1/ . 1_0 C lz�- who will know your whereabouts. 3 � ) 71rZ/ - 4 ?J__09 3. Have you ever been convicted of a crime related to Contracting? (If yes attach extra sheet with explanation) 7. Have you or any firms you have been associated with ever filed bankruptcy? / d 1 l g 0 �c' 8. List all debts you or any company(s) associated with you refused or failed to pay and reasons why. l)C2t2P- 9. List your business or 3 la-4 ce during the past ten years. /V7 10. Statement of any formal training you have had in the area for which the application is made. /�`vti1,92, Page 3 of 4 Ar PROMETRIC ;•• EXAMINATION RESULTS NOTIFICATION February 6, 2014 Douglas Nettles 58 N Collier Blvd Unit 2002 Marco Island, FL 34145 Dear Candidate: XXX -XX -2147 We are pleased to inform you that you achieved a passing score on your recent Collier County examination. Your score(s) are as follows: 02101/2014 Bonita Springs, FL Business and Law Collier County requires a passing percentage of 75 %. 78 Pass Please note that passage of the exam is no guarantee a certificate of qualification will be issued by the Licensing Board. To help you gain the recognition you deserve, Prometric has prepared a Certificate of Achievement, beautifully designed and very suitable for framing (8 -1/2 x 11) for only $30.00 per category. Please fill out the order form below, cut along the dotted line, then send the completed form to Prometric . Payment options: check, money order, Visa or MasterCard. Credit card orders may be faxed to (800)813 -6670. All others send to Prometric , 7941 Corporate Dr, Nottingham MD 21236. Allow 2 -3 weeks for delivery. Certificate of Achievement Request Douglas Nettles 58 N Collier Blvd Unit 2002 Marco Island, FL 34145 Quantity Collier County - Business and Law - 02/01/2014 x $30.00 = For credit card payment, complete the following. Card Type: Visa Card No. Exp. Date Signature XXX -XX -2147 Mastercard F159 - fl -bonsp - C PROMETRIC * 7941 Corporate Dr * Nottingham, MD 21236 Toll Free: 800.280.3926 * Fax: 800.813.6670 * www.prometdc.com AFFIDAVIT The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County Ordinance No. 2006 -46, as amended, and vouches for the truth and accuracy of all statements and answers herein contained. The undersigned hereby certifies that he is legally qualified to act on behalf of the business organization sought to be licensed in all matters connected witty its contracting business and that he has full authority to supervise construction undertaken by himself or such business or organization and that he will continue during this registration to be able to so bind said business organization. The qualified license holder understands that in all contracting matters, he will be held strictly accountable for any and all activities involving his license. Any willful falsification of any information contained herein is grounds for disqualification. APPLICANT (PLEASE PRINT) 41�rw 44114�1 4-we NAME OF COMPANY SIGNATURE OF APPLICANT STATE OF FLORIDA COUNTY OF COL0-61�, The foregoing instrument as acknowledged before me this OZ ! I T l 7-01 L " (Date) By you 0 1� E -TT LeS (Name of person acknowledging) as identification and did not take an oath. NOTARY'S SEAL AFFKV C. lEE =? • Nmy Mk • no of Roft my comet. ll Nov so. 2017 Com:ssW 0 FF onm who has produced �—j- Dg-vv ;F "-s LZceNs-E (Type of identification) Page 4 of 4 AFFIDAVIT IT IS understood and acknowledged by the Collier County Contractors' Licensing Board and myself that if I fail to acquire, or maintain at all times effective Workmen's Compensation Insurance it will result in the possible revocation of my Certificate of Competency. i�-- SIGNATURE OF AP LICANT sa�,�ej- BU'�INE- SS NAME DATE' 3EFORE ME this day personally appeared D000 /4C -1T%Es who affirms and says that he ias less than one employee and does not require Workmen's Compensation understands that at any ime he employees one or more persons he must obtain said Workmen's Compensation Insurance. STATE OF FLORIDA BOUNTY OF he foregoing instrument was acknowledgod before me this OZ y DO U(4 0�� ll a s who has produred �L DgiZv& s LGr--Nsr- (name of person acknowledging) (Type of identification) identification and who dial not take an oath. A�FNIEYC. LEE ?o • . Notery Pubk - 8tete of jftft M1► Comm. Exokes Noy 2Commission * FF 072 OVO NOTARY'S SEAL .- -�,c C. SI E NOTARY J C- -FFrEY C. (PRINT NAME OF NOTARY PUBLIC) NOTARY PUBLIC AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER I, -rLe-s am a resident of 6eel-k-Ler County, �Q,� �" (State) and have resided h7��7;7 re than five (5) years. During the last five years I have known applican t). the opportunity to observe his or her business and personal dealings and find him or hero be� honesty, integrity and good character. (Signature) (A I have had person of R"X r--- Telephone) ':z7-oV-0 STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this �Z' Z0� by J,�c,Kz� I��T1�s L (D�te) who has produced � 1�RZv�K S LZC�I.S� (name of person acknowledging) (Type of identification) as identification and who did not take an oath. i - .IERIIEY C. LEE Nowt' • SMd MW Mfr co". E*" Ibit n. 201 Commom # R 07211 NOTARY'S SEAL C ,4:: S A E 01NOTARY ji5F:PR C. Lc--E- (PRINT NAME OF NOTARY) NOTARY PUBLIC AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER I � 9 /o' , am a resident of l • /her County, P/0 04i CL0. (State) and have resided here for more than five (5) years. During the last five years I have known 30 �ri l" tve'm0's _ _ (Applicant). I have had the opportunity to observe his or her business and personal dealings and find him or her to be a person of honesty, integrity and good character. (Signature) d1z 'Ift, (Name) Jud ; 4-A M K ey c J- (Address) l00' S. Whe'rQlyd MArte 100-n-41 FL Telephone) .2 3 V- i *I- - a 76 S STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this Off' ) 13 /Z0 ( -I by 3- C.� ZV ate who has produced � L � � S (name of person acknowledging) (Type of identification) as identification and who did not take an oath. JIFFM C. LU N"Vp".�eNFWW W CoaNn. EWM Nov 20.2011 CofforAaWn • FF 0721" NOTARY'S SEAL Ord PiLLC' I 0 J e ?w'- &-i C'. Ltd (PRINT NAME OF NOTARY) NOTARY PUBLIC Applicant's Name: Certificate Category RIFICATION OF CONSTRUCTION EXPERIEN GMD Operations & Regulatory Management Department Licensing Section 2800 N. Horseshoe Drive Naples, FL 34104 The Applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate the Applicant must verify their experience within this trade. You are being requested to provide information that will aid the Applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker (e.g. as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience must provide the following information: Name, Title and license number of the person signing below and verifying Applicants relevantexperience: Name Title: !�Iame of Business: License Number (if applicable): Business Address: `1 E�c7�C ��� ii.%�i�i T�, &nC'� L ��- L! S Business Phone:.81 l -��Ql -dal U71 The Applicant's years of experience from to The applicant's scope of work (specific duties) included: y ZQ— 0A Additional Comments: Falsifying any information provided herein may subject your license to revocatio . Signature )) � 1�4� Print Name: Lon t State of Florida County of Collier The foregoing instrumen was acknowledged before me on this o O day of �Q by LO n' YI _ who is personally known to me or produced 2D as identification and who did not take an oath. dEFMY C. LEE Sign NotuyPWk- UN MPAM, My Comm. E*" Nov 20.2017 E04) Commission I :f 072/96 VVLLICR 4VUF41 T DUOINCOO IAA DUa711VC00 IAA NUMDCK: U140LU COLLIER COUNTY TAX COLLECTOR - 2800 N. HORSESHOE DRIVE - NAPLES FLORIDA 34104 - (239) 252 -2477 VISIT OUR WEBSITE AT: www.colliertax.com THIS RECEIPT EXPIRES SEPTEMBER 30, 2009 DISPLAY AT PLACE OF BUSINESS FOR PUBLIC INSPECTION LOCATION: 120 MOONBAY STREET FAILURE TO DO SO IS CONTRARY TO LOCAL LAWS. ZONED: HOME OCCUPATION LEG x f RM"" , - THIS TAXIS NON - REFUNDABLE - BUSINESS PHONE: 239 - 784 -4396 Tlt CO ISLAND PROFESSIONAL CLEANING, INC ES, DOUGLAS 120 "OONBAY STREET 3 NAPLES FL 34114 NUMBER OF EMPLOYEES: OWNER ONLY -NO EMPLOYEES,' I DATE 07/07/2008 CLASSIFICATIONMAINT. SERVICE/ NO CONTRACTOR UV(�I� � AMOUNT 10.00 CLASSIFICATION CODE: 03703306`'; RECEIPT 605.42 This document is a business tax only. This is not certification that l�"�ee- i �g It does not permit the licensee to violate any existing regulatory zonic ng i ��Pe+aY"cities nor does it exempt the licensee from any other taxes or permits that may be requited by tdw. 9 CHILLIER COUNTY BUSINESS TAX COLLIER COUNTY TAX COLLECTOR - 2800 N. HORSESHOE DRIVE - NAPLES FLORIDA 34104 (239) 252 -2477 -_ -- VISIT OUR WEBSITE AT: www.colliertax.com THIS RECEIPT EXPIRES SEPTEMBER 30, 2012 _£* DISPLAY AT PLACE OF BUSINESS FOR PUBLIC INSPECTION LOCATION- 592 NASSAU RD FAILURE TO DO SO IS CONTRARY TO LOCAL LAWS _ _ ZONED. MARCO HOME OCCUPATION �' Q� "LEGAL FORM * s THIS TAXIS NON- REFUNDABLE - t CORPORATION % BUSINESS PHONE: 389 -6472 MARCO ISLAND PROFESSIONAL CLEANING, INC NETTLES, DOUGLAS t PO BOX 1672 MARCO ISLAND FL 34146 -0000 NUMBER OF EMPLOYEES: 1 -5 EMPLOYEES CLASSIFICATION: MAINT. SERVICE/ NO CONTRACTOR WORK � � DATE 02110/2012 r =T �..' .�:• �• CLASSIFICATION CODE: 03703301 AMOUNT 3.00 RECEIPT 7736.42 This document is a business tax only. This is not certification that licensee is qualified. It does not permit the licensee to violate any existing regulatory zoning laws of the state, county or cities _ < nor-does-it exempt the licensee from any other taxes or permits that may be required by law. `` e a COLLIER COUNTY BUSINESS TAX BUSINESS TAX NUMBER: 073529 COLLIER COUNTY TAX' COLLECTOR - 2800 N. HORSESHOE DRIVE - NAPLES FLORIDA 34104 - (239) 252 -2477 1 VISIT OUR WEBSITE AT www.00lliiertax.com 3 THIS RECEIPT EXPIRES SEPTEMBER 30, 2013 DISPLAY AT PLACE OF BUSINESS FOR PUBLIC INSPECTION I LOCATION: 592 NASSAU RD _ FAILURE TO DO SO IS CONTRARY TO;LOCAL LAWS. l +EGAL FO"RMx� THIS TAXIS NON- REFUNDABLE - ZONED: MARCO HOME OCCUPATION CORPORATION' 14 BUSINESS PHONE: 389 -6472 t4 't MARCO ISLAND PROFESSIONAL CLEANING, INC t 1 NETTLES,-DOUGLAS PO BOX 1672 t s _ MARCO ISLAND FL 34145 -MO I F � NUMBER OF EMPLOYEES: 1 -5 EMPLOYEES "' °► — i CLASSIFICATION: MAINT. SERVICE/ NO CONTRACTOR WORK.. DATE 0784/2012 CLASSIFICATION CODE: 03703301 NO FERTILIZING -- �� 2200 RECEIPT 2294.42 This document is a business tax only. This is not certification that licensee is qualified. f! It does not,permit the licensee to violate any existing regulatory zoning laws of the state, county or cities nor does it exerppt the icensee from any other taxes or permits that maybe required by law.' COLLIER COUNTY BUSINESS TAX RECEIPT NUMBER: 073529 COLLIER COUNTY TAX COLLECTOR - 2800 N. HORSESHOE DRIVE - NAPLES FLORIDA 34104 - (239) 403 -2477 VISIT OUR WEBSITE AT: www.colliertax.com THIS RECEIPT.EXPIRES SEPTEMBER 30, 2008 DISPLAY AT PLACE OF BUSINESS FOR PUBLIC INSPECTION FAILURE TO DO SO IS CONTRARY TO LOCAL LAWS. LOCATION: 120 MOONBAY STREET ZONED: HOME OCCUPATION LE - THIS TAX IS NON - REFUNDABLE - BUSINESS PHONE: 239 - 784 -4396 TI rr —As -g ISLAND PROFESSIONAL CLEANING, INC NUMBER OF EMPLOYEES: OWNER ONLY -NO EM OYEES, , - _ e CLASSIFICATIONI\IIAINT. SERVICE/ NO CONTRACTOR OwX N. CLASSIFICATION CODE: 03703306 ;' This document is a business tax only. This is not certification that lice rt ee It does not permit the licensee to violate any existing regulatory zoning Ta epto� cities nor does it exempt the licensee from any other taxes or permits; that may be requited °tf} / "fiaw. DOUGLAS STREET FL 34114 DATE 05/28/2008 AMOUNT 5.00 RECEIPT 7584.40 COLLIER COUNTY BUSINESS TAX BUSINESS TAX NUMBER: 073529 COLLIER COUNTY TAX COLLECTOR - 2800 N. HORSESHOE DRIVE - NAPLES FLORIDA 34104 - (239) 252 -2477 VISIT OUR WEBSITE AT. www.colliertax.com THIS RECEIPT EXPIRES SEPTEMBER 30, 2010 DISPLAY AT PLACE OF BUSINESS FOR PUBLIC INSPECTION FAILURE TO DO SO IS CONTRARY TO LOCAL LAWS LOCATION: 120 MOONBAY STREET ZONED: HOME OCCUPATION LFGALFORM"'"" w—.... - THIS TAXIS NON - REFUNDABLE - BUSINESS PHONE: 239 - 784 -4396 NUMBER OF EMPLOYEES: 1 -5 EMPLOYEES r CLASSIFICATIONMAINT. SERVICE/ NO CONTRACTOR VOQRJA CLASSIFICATION CODE: 03703301 ;• '" a' This document is a business tax only. This is not certification that li ee It does not permit the licensee to violate any existing regulatory zoning` I'a a cties nor does it exempt the licensee from any other taxes or permits that may be reg w ISLAND PROFESSIONAL CLEANING, INC DOUGLAS Y STREET FL 34114 DATE 07/09/2009 AMOUNT 22.00 RECEIPT 524.41 COLLIER COUNTY BUSINESS TAX BUSINESS TAX NUMBER: 073529 COLLIER COUNTY TAX COLLECTOR - 2800 N. HORSESHOE DRIVE - NAPLES FLORIDA 34104 - (239) 252 -2477 VISIT OUR WEBSITE AT: www.colliertax.com THIS RECEIPT EXPIRES SEPTEMBER 30, 2011 DISPLAY AT PLACE OF BUSINESS FOR PUBLIC INSPECTION -LOCATION: 120 MOONBAY STREET I FAILURE TO DO SO IS CONTRARY TO LOCAL LAWS. ZONED: HOME OCCUPATION LEGAL FORM" THIS TAX IS NON- REFUNDABLE - BUSINESS PHONE: 239 - 784 -4396 CQ VMTl(, MAR CO ISLAND PROFESSIONAL CLEANING, INC ETTLES, DOUGLAS { 20 MOONBAY STREET NAPLES FL 34114-0000 COLLIER COUNTY GOVERNMENT COMMUNITY DEVELOPMENT AND ENVIRONMENTAL SERVICES DIVISION 2800 N. Horseshoe Dr. • Naples, Florida 34104 • 239 - 403 -2400 FAX 239 -403 -2334 MEMORANDUM DATE: November 29, 2007 TO: Applicant's FROM: Michael Ossorio, Contractor Licensing Supervisor. CC: Robert .Dunn, Collier County Building Director. Alamar Finnegan, Collier County Permitting Supervisor. Robert Zachary, County Attorneys Office. All Contractor Licensing personnel. SUBJECT: Collection of social security numbers. Pursuant to Chapter 119, Florida Statues and Collier (bounty Contractor Licensing Ordinance 2006 -46 Sec. 2.1.1, all applicants are required to submit their social security number (SSN) for the following purposes: a) Assess applicant's ability to satisfy creditors by reviewing their credit history. b) Verification of applicant's test scores and information. Our office will only use your SSN noted above for those reasons pursuant to Chapter 119, Florida Statues and as may otherwise be authorized by law. We are fully committed to safe- guarding and protecting your SSN and once collected, will be maintained as confidential and exempt under Chapter 119, Florida Statues. Feb 10 14 03:34p 239 - 277 -0167 2392770167 p.2 Prepared BY: Merit Credit (239) 277 -3202 (800) 371 -3348 TRANSUNION CREDIT REPORT [FOR) [SUB NAME3 (I) Z NP6284423 MERIT CREDIT FEB 10 1014 BY....... ................. [MKT SUB] [INFILE3 16 NP 5/78 [SUBJECT] NETTLES, DOUGLAS PERRY SR. [CURRENT ADDR—QSS] 58 N. COLLIER BV., #2002. MARCO ISLAND FL. 34145 [FORMER ADDRESS] I 120 MOON BAY ST., NAPLES FL. 34114 1031 PO BOX 1031, COLEMAN FL. 3 521 [CURRENT EMPLOYER AND ADDRESS] USFG INS fCCNI [DATE] [TIME] 02/10/14 14:31CT [BIRTH DATE) -2147 9/55 [DATE RPTD3 9/08 1 /O1 [POSITION] [VERF" [RPTDI �Nak-% vcpsmez 4/89 Q-e vo('-Jr, W!N . [FORMER EMPLOYER AND ADDRESS] RIDGECREST BAPT CHURCH CUSTODIAN BLANCHARD OK. 4/86V 2/87 -------- - - - --- - -------------------------------------------------- M O D E L P R O F I L E * * * A I, E R T * ** -- * * *FICO CLASSIC 04 ALERT: SCORE ;+653 010, 008, 001, 028 * ** IN ADDITION * * *TO THE FACTORS LISTED ABOVE, THE NUMBER OF INQUIRIES ON THE CONSUMER'S ** *CREDIT FILE HAS ADVERSELY AFFECTED THE CREDIT SCORE. ---------------------- ---- -- - - -I - ---- - - - - -- - C R E D I T S U M M A R Y * ** T 0 T A L F I L -E H I S T O R Y PR =O COL =O NFsG =O HSTNEG =O ` TRD =3 RVL =1 INST =1 MTG =O OPN =1 INQ =4 FIGH CRED CRED L M BALANCE PAST DUE MNTHLY PAY AVAILABLE REVOLVING: $1440 $1500 $1440 SO $25 496 INSTALLMENT. $17.78 $ $17.6K $0 $343 OPEN: $20.3K $ $ $ 100$ TOTALS: $39.5K $1500 $19.OK $0 $368 - - - - -- ------------------------------------------ T R A D E S SUBNAME SUBCODE OPENED H »GHCRED TERMS MAXD.ELQ PAYPAT 1 -12 MOP ACCOUNT# VERFIED CREDLIM PASTDUE AMT -MOP PAYPAT 13 -24 ECOA COLLATZL /LOANTYPE CLSD /PD BiT,ANCE REMARKS MO 30/60/90 CAF F 45WK001 12%13 $17.7K 66M343 1 101 16662075 1/14A I $0 C AUTOMOBILE S17.6K 1 0/ 0/ 0 I CAP ONE B 1DVIO01 4/13 $.440 MIN25 11111111 ROl 517805882653 1 /14A $1500 $0 I CREDIT CARD $1440 8 0/ Of 0 CHASE B 26QK004 8/74 $20.3K 17.11113.11111 001 540168301330 9/09A f 111111111111 A CREDIT CARD 36 O/ 0/ 0 ?------------------------------------------ I N Q U I R I E S DATE SUBCODE SUBNAME TYPE AMOUNT 2/10/14 ZNP6284423(FLA) MERIT CREDIT Feb 10 14 03:34p 239 - 277 -0167 2392770167 p.3 2/10/14 LNP2620155(FLA) SUNSH *NE HDW 4/27/13 BPC2699824(NTL) CAP ONE 4/03/13 BUS0006675 (NTL) CHASE11 ------------------------------I------ --------------------------------------- C R E D I T R E P O R T S E R V I C E D B Y TRANSUNION' 800 -8$8 -4213 2 BALDWIN PLACE P.O. BOX 1000,CRESTER, PA. 19022 Consumer disclosures can be obtained online through TransUnion at: httP: / /www.transunion.comII i ------------------------------ -!--------------------------------------------- CREDITOR CONTACT INFORMATION I CAF FZ45WK001 (804) 342 -6400 2040 THALBRO sT RICHMOND ! VA. 23230 CAP ONE BCIDTV001 (800) 955 -7070 POE 30281 SALT LAKE CITY UT. 84130 CHASE BC26QK004 (800) 955 -9900 P.O. BOX 15298 WILMINGTON' DE. 19850 SUNSHINE HDW 2620155 (239) 262 -2940 141 NINTH STREET N NAPLES FL. 34162 CAP ONE 2699824 (800) 955 -7070 PO BOX 30281 SALT LAKE CITY UT, 84130 C_ -1ASE 8 0006675 (000) 000 -0000 PO BOX 15298 WILMINGTON! 1! DE. 19850 END''OF TRANSUNION REPORT MERIT CREDIT HAS RETRIEVED THE ABOVE PERSONAL CREDIT REPORT FOR LICENSING PURPOSES AS REQUESTED BY THE BUSINESS OWNER /PROPRIETOR. PUB =,IC RECORDS FOR THIS REPORT HAVE BE3N CHECKED AND VERIFIED AT THE COUNTY, STATE AND FEDERAL LEVELS. PUBLIC RECORDS HAVE ALSO BEEN VoRSFIED FOR PINELLAS COUNTY. f' PUBLIC RECORDS LEARNED SOURCES OF INFORMATION: TRANS UNION LLC IRS LIEN SECTION COUNTY CO THOUSE RECORDS E IF YOU HAVE ANY QUESTIONS REGARDING THIS REPORT, PLEASE CONTACT MERIT CREDIT AT: 1- 800 -311 -3348 OR (239) 277 -3202. Feb 10 14 03:34p 239 - 277 -0167 2392770167 p.1 I I I i I Merlit Credit Fast, Accurate & secure. Phone: 1- 239 - 277 -3202 or 1 -800 -371 -3348 Fax Cover Sheet: Requested Credit Report Attached! Please call if you have any questions. CONFIDENTIALITY NOTICE: This communication with its contents may contain confidential and /or legally privileged information. Itis solely for the use of the intended recipient(s). Unauthorized interception, review, use or disclosure is prohibited and may violate applicable taws including the Electronic Communications Privacy Act. If you are not the intended recipient, please contact the sender and destroy alt copies of the communication. STATEMENT OF OWNERSHIP This certifies that I, am a member or (APPLI T'S NAME) / n ,/ Managing member I own l6b Company listed above. Ive J e✓ r/ic S LIABILITY COMPANY NAME) % of the units issued by the Limited Liability Affidavit of Applicant: I certify that the information contained is a true and correct statement to the best of my knowledge. N 67IeV (PRINT NAME) (APPLICANT'S SIGNATIIRE) C�, �f0�[Cf (DATE) Detail by Document Number it by Document Number ISLAND HOME SERVICES, LLC ocument Number EI /EIN Number ate Filed U-1 N. COLLIER BLVD. O ISLAND, FL 34145 L14000013321 NONE 01/24/2014 FL ACTIVE BOX 1401 ZCO ISLAND, FL 34146 -1401 iistered Aaent Name & Addr ETTLES, DOUG 8 N. COLLIER BLVD. O ISLAND, FL 34145 ONE No Annual Reports Filed 01/24/2014 -- Florida Limited Liability View image in PDF format Page 1 of 2 http: / /search. sunbiz. org/ lnquiry/ CorporationSearch/ SearchResultDetail lDocumentNumberl... 2/14/2014 Detail by Document Number State of Florida, Department of State Page 2 of 2 Home Contact Us E- Filing Services Document Searches Forms Help http: / /search. sunbiz.org/ Inquiry/ CorporationSearch/ SearchResultDetail lDocumentNumber /... 2/14/2014 Certificate of Status I certify from the records of this office that MARCO ISLAND HOME SERVICES, LLC, is a limited liability company organized under the laws of the State of Florida, filed electronically on January 24, 2014. The document number of this company is L14000013321. I further certify that said company has paid all fees due this office through December 31, 2014, and its status is active. I further certify that this is an electronically transmitted certificate authorized by section 15.16, Florida Statutes, and authenticated by the code noted below. Authentication Code: 140124143650- 200255959092 #1 Given under my hand and the Great Seal of the State of Florida at Tallahassee, the Capital, this the Twenty Fourth day of January, 2014 Vik Am e x tretap .a ta�ae Certified Copy I certify the attached is a true and correct copy of the Articles of Organization of MARCO ISLAND HOME SERVICES, LLC, a limited liability company organized under the laws of the state of Florida, filed electronically on January 24, 2014, as shown by the records of this office I further certify that this is an electronically transmitted certificate authorized by section 15.16, Florida Statutes, and authenticated by the code noted below. The document number of this limited liability company is L14000013321. Authentication Code: 140124143650- 200255959092 #1 Given under my hand and the Great Seal of the State of Florida at Tallahassee, the Capital, this the Twenty Fourth day of January, 2014 V044. en Met r cxet�rrp jo *tea Electronic Articles of Organization FILED 813 21 For January 24 2014 Florida Limited Liability Company sec. Of Stale jdharris Article I The name of the Limited Liability Company is: MARCO ISLAND HOME SERVICES, LLC Article II The street address of the principal office of the Limited Liability Company is: 58 N. COLLIER BLVD. #2002 MARCO ISLAND, FL. US 34145 The mailing address of the Limited Liability Company is: PO BOX 1401 MARCO ISLAND, FL. US 341461401 Article III The name and Florida street address of the registered agent is: DOUG NETTLES 58 N. COLLIER BLVD. #2002 MARCO ISLAND, FL. 34145 Having been named as registered agent and to accept service of process for the above stated limited liability company at the place designated in this certificate, I hereby acciami lia r with t the appointment as registered agent and agree to act m this capacity. I further agree to comply with t provisions of all statutes relating to the proper and complete performance of my duties, and I am and accept the obligations of my position as registered agent. Registered Agent Signature: DOUG NETTLES Signature of member or an authorized representative Electronic Signature: DOUG NETTLES I am the member or authorized representative submitting these Articles of Organization and affirm that the facts stated herein are true. I am aware that false information submitted in a document to the Department of State constitutes a third degree felony as provided for in s.817.155, F.S. I understand the requirement to file an annual report between January 1 st and May 1 st in the calendar year following formation of the LLC and every year thereafter to maintain "active" status. IRSy�' DEPARTMENT OF THE TREASURY I INTERNAL REVENUE SERVICE CINCINNATI OH 45999 -0023 MARCO ISLAND HOME SERVICES DOUGLAS NETTLES SOLE MBR PO BOX 1401 MARCO ISLAND, FL 34146 Date of this notice: 01 -27 -2014 Employer Identification Number: 46- 4623723 Form: SS -4 Number of this notice: CP 575 A For assistance you may call us at: 1- 800 - 829 -4933 IF YOU WRITE, ATTACH THE STUB AT THE END OF THIS NOTICE. WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER Thank you for applying for an Employer Identification Number (EIN). We assigned you EIN 46- 4623723. This EIN will identify you, your business accounts, tax returns, and documents, even if you have no employees. Please keep this notice in your permanent records. When filing tax documents, payments, and related correspondence, it is very important that you use your EIN and complete name and address exactly as shown above. Any variation may cause a delay in processing, result in incorrect information in your account, or even cause you to be assigned more than one EIN. If the information is not correct as shown above, please make the correction using the attached tear off stub and return it to us. Based on the information received from you or your representative, you must file the following form(s) by the date(s) shown. Form 941 Form 940 04/30/2014 01/31/2015 If you have questions about the form(s) or the due date(s) shown, you can call us at the phone number or write to us at the address shown at the top of this notice. If you need help in determining your annual accounting period (tax year), see Publication 538, Accounting Periods and Methods. We assigned you a tax classification based on information obtained from you or your representative. It is not a legal determination of your tax classification, and is not binding on the IRS. If you want a legal determination of your tax classification, you may request a private letter ruling from the IRS under the guidelines in Revenue Procedure 2004 -1, 2004 -1 I.R.B. 1 (or superseding Revenue Procedure for the year at issue). Note: Certain tax classification elections can be requested by filing Form 8832, Entity Classification Election. See Form 8832 and its instructions for additional information. If you are required to deposit for employment taxes (Forms 941, 943, 940, 944, 945, CT -1, or 1042), excise taxes (Form 720), or income taxes (Form 1120), you will receive a Welcome Package shortly, which includes instructions for making your deposits electronically through the Electronic Federal Tax Payment System (EFTPS). A Personal Identification Number (PIN) for EFTPS will also be sent to you under separate cover. Please activate the PIN once you receive it, even if you have requested the services of a tax professional or representative. For more information about EFTPS, refer to Publication 966, Electronic Choices to Pay All Your Federal Taxes. If you need to make a deposit immediately, you will need to make arrangements with your Financial Institution to complete a wire transfer. (IRS USE ONLY) 575A 01 -27 -2014 MARC B 9999999999 SS -4 The IRS is committed to helping all taxpayers comply with their tax filing obligations. If you need help completing your returns or meeting your tax obligations, Authorized a -file Providers, such as Reporting Agents (payroll service providers) are available to assist you. Visit the IRS Web site at www.irs.gov for a list of companies that offer IRS e -file for business products and services. The list provides addresses, telephone numbers, and links to their Web sites. To obtain tax forms and publications, including those referenced in this notice, visit our Web site at www.irs.gov. If you do not have access to the Internet, call 1 -800- 829 -3676 (TTY /TDD 1- 800 - 829 -4059) or visit your local IRS office. IMPORTANT REMINDERS: * Keep a copy of this notice in your permanent records. This notice is issued only one time and the IRS will not be able to generate a duplicate copy for you. You may give a copy of this document to anyone asking for proof of your EIN. * Use this EIN and your name exactly as they appear at the top of this notice on all your federal tax forms. * Refer to this EIN on your tax- related correspondence and documents. If you have questions about your EIN, you can call us at the phone number or write to us at the address shown at the top of this notice. If you write, please tear off the stub at the bottom of this notice and send it along with your letter. If you do not need to write us, do not complete and return the stub. Your name control associated with this EIN is MARC. You will need to provide this information, along with your EIN, if you file your returns electronically. Thank you for your cooperation. Keep this part for your records. CP 575 A (Rev. 7 -2007) Return this part with any correspondence so we may identify your account. Please correct any errors in your name or address. CP 575 A 9999999999 Your Telephone Number Best Time to Call DATE OF THIS NOTICE: 01 -27 -2014 ( ) _ EMPLOYER IDENTIFICATION NUMBER: 46- 4623723 FORM: SS -4 NOBOD INTERNAL REVENUE SERVICE CINCINNATI OH 45999 -0023 MARCO ISLAND HOME SERVICES DOUGLAS NETTLES SOLE MBR PO BOX 1401 MARCO ISLAND, FL 34146 City of Marco Island 50 Bald Eagle Drive Marco Island, FL 34145 New (239)389 -5000 Home Occupation Fax (239)393 -0266 Letter of Zoning Compliance Mailing Address: Douglas Nettles Marco Island Home Services, LLC Po Box 1401 Marco Island, FL 34146 Certificate Number HOC -14- 000456 Applicant Douglas Nettles Phone 239- 394 -9404 Issue Date 02/12/2014 Expiration Date 02/12/2015 Business Name Marco Island Home Services, LLC Type of Business Roof Cleaning Mailing Address Po Box 1401 Marco Island, FL 34146 Property Address 58 N Collier Blvd No. 2002 Marco Island, FL 34145 Approval: a e hitson 2/12/2014 Date Notes / Restrictions Applicant must comply with City of Marco Island Ordinance Article III, Section 30 -405. City of Marco Island 50 Bald Eagle Drive Marco Island, FL 34145 (239)389 -5000 Home Occupation Fax (239)393 -0266 Letter of Zoning Compliance Mailing Address: Douglas Nettles Marco Island Home Services, LLC PO Box 1401 Marco Island, FL 34146 Certificate Number Applicant Phone Business Name Tvoe of Business Mailing Address Property Address Approval: HOC -14- 000262 Douglas Nettles 239 - 394 -9404 Issue Date Expiration Date 01/27/2015 Marco Island Home Services, LLC Homewatch / Handyman PO Box 1401 Marco Island, FL 34146 - 1401 58 N Collier Blvd No. 2002 Marco Island, FL 34145 Christopher Sparacino, CFM Planner / Floodplain Coordinator Community Affairs Department City of Marco Island 1/27/2014 Date Notes / Restrictions Applicant must comply with City of Marco Island Ordinance Article III, Section 30 -405. Workers Compensation - Workman Comp Service Center Page 2 of 4 (t) 5188 Automatic Sprinkler Installation and Drivers (u) 5190 Electrical Wiring Within Buildings and Drivers (v) 5213 Concrete Construction NOC (w) 5215 Concrete Work incidental to the Construction of Private Residence (x) 5221 Concrete or Cement Work— Floors, Driveways, Yards or Sidewalks and Drivers (WA MA) (y) 5222 Concrete Construction in Connection with Bridges or Culverts (z) 5223 Swimming Pool Construction, Installation, or Repair -Not Iron or Steel & Drivers (aa) 5348 Ceramic Tile, Indoor Stone, Marble, or Mosaic Work (bb) 5402 Hothouse Erection All Operations ( -) 5403 Carpentry — NOC (dd) 5437 Carpentry — Installation of Cabinet Work or Interior Trim (ce) 5443 Lathing and Drivers (ff) 5445 Wallboard Installation Within Buildings and Drivers (gg) 5462 Glazier Away From Shop and Drivers (hh) 5472 Asbestos Removal Operations: Contractor — Pipe and Boiler Work Exclusively & Drivers (0) 5473 Asbestos Removal Operations: Contractor — NOC and Drivers (ti) 5474 Painting NOC & Shop Operations, Drivers (kk) 5478 FloorCoverni ng Installation — Resilient Floor ng — Carpet and Laminate Flooring 01) 5479 Insulation Work NOC and Drivers (mm) 5480 Plastering NOC and Drivers (nn) 5491 Paperhanging and Drivers (oo) 5506 Street or Road Construction: Paving or Repaving and Drivers (pp) 5507 Street or Road Construction: Subsurface Work and Drivers (4N 5568 Street or Road Construction: Rock Excavation and Drivers (rr) 5509 Street or Road Maintenance or Beautification & Drivers (ss) 5535 Sheet Metal Work — Installation & Drivers (tt) 5537 Heating, Ventilation, Air-conditioning and Refrigeration Systems Installation, nice a Yard & Drivers (uu) 5551 _All IGnds and Drivers -- t.•r b ConVactor— Project Manager, ConsVUCtion 6cecutive, Construction Manager or Construction Superintendent (ww) 5610 Cleaner — Debris Removal — Construction Contractor (xx) 5613 Cleaner — Debris Removal — Temporary Labor Service (yy) 5645 Carpentry — Detached One or Two Family Dwellings (zz) 5651 Carpentry — Dwellings —Three Stories or Less (aaa) 5703 Building Raising or Moving (bbb) 5705 Salvage Operation — No Wrecking or Any Structural Operations (ccc) 6004 Land Pile Driving http : / /Www.workerscompensation.coml regulations/ stateitem .php ?ID- 3450&state= florida... 2/23 /2014 ® "(�tap E R INC. P.O. Box 17069 13577 Feathersound Drive. Suite 120 Clearwater, FL 33762 (Local) 727 - 572 -5354 (Toll -Free) 800 - 418 -2726 (FAX) 727 - 572 -7909 (Claims FAX) 336 - 538 -0094 Friday, February 28, 2014 To: Alexandra Ellis From: Shelley Fotheringham Extension 3624 sfotheringham @gotapco.com Applicant: Marco Island Home Services LLC 930647 Lutgert Smith Lesher Insurance 740 N Collier Blvd Ste 103 Marco Island, FL 34145 Quote ID: JKKLE We are pleased to offer the following quote through: Scottsdale Insurance Company General Liability: $ 600,000 General Aggregate $ 300,000 Products /Completed Operations Aggregate $ 300,000 Personal Injury/Advertising Injury $ 300,000 Each Occurrence Limit $ 100,000 Damage to Premises Rented to You $ 5,000 Medical Payments $ * *1000 BI /PD /P&AI Deductible Per Claimant 95625 - Handyperson 91523 - Cleaning outside surfaces of buildings Number of owners 1 (16,700 payroll) Payroll 10,000 * Excludes Professional, Nuclear Energy, War, Punitive, Exemplary, Asbestos, Silica, Lead, Toxic Substances, Total Pollution, Radon Gas, Mold, Spores, Fungus, EIFS (Exterior Insulation Finish Systems) or Synthetic Stucco, Biological or Chemical Materials, Known Injury or Damage, Exclusion — Losses, Claims and Litigation Preceding Inception of Policy, Property Damage Claims in Progress, Participants, Assault & Battery, Abuse or Molestation, Liquor, Communicable Disease, Employment Related Practices, Leased Workers, Voluntary Labor, New Entities, Subsidence / Earth Movement, Oral Contracts, Roofing, Radioactive Contamination, Electromagnetic Fields, Hired & Non Owned Auto, Injury To Contractors / Independent Contractors / Subcontractors, Residential Construction In CA, All Construction Operations in NY, Designated operations covered by a consolidated (wrap -up) insurance program, Year 2000 Computer Related and Other Electronic Problems, Violations of Statutes That Govern E -Mails / Fax / Phone Calls. Classification & Contractual Liability Limitations Apply and Minimum and Deposit Premium Endorsement Applies. Terrorism is excluded unless coverage is purchased per the requirements of the Terrorism Risk Insurance Program Reauthorization Act of 2007. This list is for informational purposes only and does not intend to represent the entire list of forms and /or endorsements that may be attached to any policy issued as a result of this quotation. GLS -341s Hydraulic Fracturing Exclusion Amendment of Nonpayment Cancellation Condition Applies (Form UTS -365s) GLS -341s Hydraulic Fracturing Exclusion Amendment of Nonpayment Cancellation Condition Applies (Form UTS -365s) Form GLS -310s Applies - Exclusion - Chinese Drywall. This Premium is 25% Earned The Term quoted is: Twelve Months Base Premium: $3,445.00 Policy Fee: $125.00 Tax $232.05 Total: $3,802.05 Your Commission: $344.50 Prime Rate Financing: Down Payment: $1,045.00 8Installments. @: $371.10 ATTENTION: The FHCF (Florida Hurricane Catastrophe Fund Emergency Assessment) of 1.3% is included in the above shown tax amount For any quotes with effective dates after 04/01/14, the FSLSO service fee will decrease from .2% to. 175%. Please call our office to bind coverage. Coverage can be bound only when a TAPCO Binder Number has been assigned by a Company Underwriter at TAPCO. TAPCO accepts Visa, MasterCard, Discover, and electronic (ACH) checks. For your convenience, a Prime Rate Premium Finance agreement has been attached. Please contact Prime Rate (800- 777 -7458) or see the web site address located in the upper left hand corner of the agreement if you have any questions. Please review the quotation carefully as terms and conditions of coverage quoted may differ from those requested. All applications to be completed have been attached to this account. Please note should any additional information/application be needed, it will be requested at the time of binding or issuance. Any binder subsequent to this quote will be strictly per the coverages, limits, and conditions outlined above. Any revisions or updates to these terms can only be effected by a REPLACEMENT quote, prior to binding, from TAPCO. Discussions with any TAPCO underwriting staff, verbal or written, WILL NOT revise or update the terms of this quote unless a TAPCO replacement quote is received by your office. Quote valid for 30 days. Collier County 02/28/2014 Growth Management Division Planning & Regulation Operations & Regulatory management Subj: Petition to address the Contractor Licensing Board 1. Upon advice of Michael Ossorio, Licensing Compliance Supervisor, I request to be allowed to address the CLB. My reason for the request is that I am unable to provide the Licensing Section of the Coll ier County GMD "Verification of Construction Experience" required for a license in Roof Coat /Roof Paint /Roof Clean only. 2. My intention for applying for a license is to expand my pressure washing capacity from maintenance license ability (below the roof only) to a full home washing capability (to include washing roofs). a. The last Roofing Contractor I worked for was Dally Roofing (Bruce Dally). In 2007 1 was laid off because the company went out of business. I did try to reach Dally Roofing just this month, but the phone numbers on the internet have been disconnected, and the BBB website shows them as "out of business ". b. I have had a maintenance license for 6 years as Marco Island Professional Cleaning and have been pressure washing for those 6 years, but didn't feel that I could verify my own experience. I will bring a copy of my maintenance license since 2008 for your review. c. I have worked for over 2 years with My Marco Properties which also holds a maintenance license, and have pressure washing experience with them. That Verification of Experience is attached to my application. d. My brother David Nettles is working with my company. David has over 35 years roofing experience is currently working for a local Roofing Contractor. David will be in charge of all of our Roof Cleaning jobs. 3. It is my hope that once you realize mine and my brother's qualifications, and have reviewed the rest of my license application, you will approve our company for this Roof Cleaning license. Thank You, Doug Nettles Marco Island Home Services PO Box 1401, Marco Island, FL 34146 -1401 (239)394 -9404, mihomesery @gmail.com COLLIER COUNTY BUSINESS TAX RECEIPT OF (t1E APPLICATION F - 2800 N. Horseshoe Drive, Naples, FL 34104, ,o Make Check Payable to: Collier County Tax Collector Phone: 239 - 252 -2477 Fax: 239 - 643 -4788 Website: www.colliertax.com CHECKLIST Copy of Articles of Incorporation and/or Fictitious letter Yellow Fire Compliance (list of fire district phone number from the State stating that your business name is on file. enclosed) (850- 245 -6052 or 6058) www.sunbiz.org * C. Coco Zoning Certificate. (239- 389 15000) 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 -1800) Copy of Motor Vehicle Repair Registration Certificate from Department of Agriculture. (800 -435 -7352) Copy of Health inspection from Department of Hotels and Restaurants (850 -487 -1395) or Department of Agriculture. (800 -435 -7352) CHXCK ONE: Original Application _ Transfer of License # Renewal of License # Completed Zoning application with appropriate fee made payable to: Board of County Commissioners. (239- 252 -5603) Completed Business Tax Receipt application with appropriate fee made payable to: Collier Countv Tax Collector. (239- 252 -2477) /�� �ther: C-0 /\ t/'�G -gyp /(' L c L �! ✓ 0 7T Please contact the Property Appraiser's office at 239 - 252 -8145 regarding tangible tax. Date: .211 V11 t% Classification R�o4-' Pa,n ; n q ?vA4— Code Number QR_ [ - OYO- License Amount 1 CORPORATE NAME - QN'CO f10-ni �Me 1 a) DBA NAME - lb) BUSINESS OWNER OR QUALIFIER'S NAME - v 2) PHYSICALADDRESS - l r 3� GDS (No P.O. Box allowed) 2a) IS RESIDENCE USED AS AN OFFIC� - Yes No 3) BUSINESS MAILING ADDRESS - / , -, a je, 40 A4f zo 4 a- 0 rz_ 3 M/ _/ 0 Street cityZi 4) OWNER OR QUALIFIER'S RESIDENTIAL ADDRESS CJ�p ��r'F f7�d'��% d a s` «S 5) TELEPHONE - Business(--73S � a y5�—�4�05� � 239 )9,� <139' T' 6) LEGAL FORM OF BUSINESS: Sole Proprietorship Partnership Corporation 2_'� LLC LLP 7) OPENING DATE OF BUSINESS OR DATE ASSUMED - 11,q D 8) OFFICE WITHIN CITY LIMITS OF NAPLES - _Yes V No If Yes, City License No. 9) SOCIAL SECURITY NO. or FEDERAL EMPLOYER IDENTIFICATION NO. o- V6 a 3 %� J ..back of application for explanation 9a) TYPE OF BUSINESS CONDUCTED: 0 ` NUMBER OF EMPLOYEES - Including number of owners: 11) FILL IN THE APPROPRIATE AREAS - / tv&jner I'm e-*Io Pr a) Rental units (motel/hotel/apts.) Number of units: b) Seating Capacity (rest. /cafes, etc) Number of seats: c) Number of coin- operated machines owned by business or individual: 12) STATE LICENSE OR CERTIFICATION NUMBER - Must have photo copy of state license if state licensed and certified UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT + TRUE TO THE BEST OF MY KNOWLEDGE. xxxAPPLICANT'S SIGNATURE: DATE: o? 10114- (Owner and/or representative of business) TITLE: J o l e 1V1 0412e_l * ** *THIS LICENSE IS NON - REFUNDABLE FOR BUSINESS STATED ABOVE * * ** SECTION A, B, AND C FOR OFFICE USE ONLY THIS SECTION TO BE FILLED OUT BY CONTRACTORS/BCC LICENSING BOARD SECTION A Classification of Contractor: County Certification Number: Department Supervisor Date: THIS SECTION TO BE COMPLETED BY PLANNING SERVICES SECTION B Business is an in -home occupation and the applicant has agreed to adhere to the requirements as set forth in the Collier County Zoning Ordinance. Business DOES COMPLY with the Collier County Zoning Ordinance. Signed: Comments: Title: PROPERTY ZONED Date: THIS SECTION TO BE COMPLETED BY THE HEALTH DEPARTMENT SECTION C Business DOES COMPLY with the local and/or State requirements. Signed: Title: Date: * In accordance with Florida Statute 205.0535(5), we require you to provide us with either a Federal Employer Identification Number (FEIN) or a Social Security number. City of Marco Island 50 Bald Eagle Drive Marco Island, FL 34145 _sue New Occupation (239)389 -5000 Home Qccu p Fax (239)393 -0266 'Letter of Zoning Compliance Mailing Address: Douglas Nettles Marco Island Home Services, LLC Po Box 1401 Marco Island, FL 34146 Certificate Number HOC -14- 000456 Applicant Douglas Nettles Phone 239- 394 -9404 Issue Date 02/12/2014 Expiration Date 02/12/2015 Business Name Marco Island Home Services, LLC Type of Business Roof Cleaning Mailing Address Po Box 1401 Marco Island, FL 34146 Property Address 58 N Collier Blvd No. 2002 Marco Island, FL 34145 Approval: 11011 I M0 BE 1", r N111 2/12/2014 Date Notes / Restrictions Applicant must comply with City of Marco Island Ordinance Article III, Section 30 -405. _ . • - • •••.' " - .• • ....Lt..** „.. ,. ! '.!.:,!...,!.:•••t„ • • • I I. • co eY co- �-n.ty Gro th \ianagement Division Planning & regulation Operations Department Isis ensing Section February 24, 2014 Hollander Construction Company, Inc. Seth B. Hollander 1239 Nottingham Drive, Naples, FL 34104 RE: Motion for Rehearing of Case 2014 -02 Dear Mr. Hollander, You have been added to the agenda for the Contractor Licensing Board meeting on Wednesday, March 19, 2014. The meeting is held at 9:00am at the W. Harmon Turner Building (Bldg. F, Admin. Bldg.), 3299 Tamiami Trl. E., Naples, FL in the Commissioner's Meeting Room on the 3`d floor. If you have any questions or concerns, please call (239) 252 -2431 Sincer r Consuela Thomas Administrative Supervisor Licensing /Operations Growth Nana cement Nvision *Planning & Regulation'2800 North Horseshoe Dsive'Naphs, Florida 341.04* 239 - 252 - 2400 *www.coIkergov.net Municode Page 1 of 2 Each respondent found to be in violation of this article, any other party, the chairman of the CLB, the CLB as a body, or the assistant county attorney who tried the case may request a rehearing of any decision of the CLB. A request for rehearing shall be in writing and shall be filed with staff and a copy thereof should be delivered to all other parties within 20 days from the date of mailing or other method of delivery to the respondent(s) of the board's written decision under this article. A request for rehearing shall be based only on the ground that fundamental error occurred which resulted in a failure of due process, the decision was contrary to the evidence, or that the hearing involved an error on a ruling of law and /or fact which was fundamental to the decision of the CLB. The written request for rehearing shall specify the precise issue(s) on which the request for rehearing is based. The decision of the CLB which is the subject of the rehearing request shall remain in effect throughout the rehearing procedure unless the county's licensing supervisor or the CLB orders otherwise. If any person with standing claims that fundamental error has occurred and such error is capable of being corrected, a request for a rehearing by the CLB must be filed with county staff. The CLB must issue its final order on rehearing before any request for any type of appellate review can be filed with any court. (1) If the contractors' licensing board determines it will grant a rehearing, it shall: a. Conduct a hearing where the parties will be given the opportunity of presenting evidence and /or argument which may be limited by the board to the specific issues for which the rehearing was granted. b. Affirm, modify or reverse its prior decision, with or without receiving further evidence, providing that the change(s) is /are based on a finding that the prior decision of the board resulted from fundamental error or a ruling on a question of law or of fact which the board has been informed by its counsel was fundamental error or an erroneous ruling and that further board action is required to correct such error(s). (Ord, No, 98 -195. § 5. '1; Grp'. No. 99 -45, § 5.1- 5.1.2, 6 -8 -99) Sec. 2 -205. Appellate -type review. (a) Each disciplinary action of the CLB is quasi - judicial. Each person or entity found to be in violation of this Ordinance may appeal a decision of the Contractors' Licensing Board to the Collier County Circuit Court as authorized by subsection F.S. § 489.127(5)(k), in conformity with Florida Rules of Appellate Procedure, and subject to mandatory prerequisite rehearing under section 5.1, above, if the error is correctable. Such an appeal shall not be a hearing de novo but shall be limited to appellate review of the record created before the CLB in accord with Florida Rules of Appellate Procedure. Any appeal shall be filed with the Circuit Court and be served on the parties within thirty (30) days of the rendition of the effective Final Order of the Board. If there has been a re- hearing request, the appeal shall be filed with the Circuit Court and be served on the parties within thirty (30) days of the rendition of the Board's decision on re- hearing. (b) In the event the person or entity found to be in violation of this article should elect to appeal, a verbatim record and transcript relevant to the case shall be as required by Florida Rules of Appellate Procedure. It shall be the sole responsibility of the person or entity seeking such review to ensure that a record is made from which a transcript may be prepared which http: // library. municode.com /print.aspx ?h= &clientID= 10578 &HTMRequest= http %3a %2f... 2/24/2014 Municode Page 2 of 2 includes the testimony upon which an appeal may be taken. Neither Collier County, nor the CLB shall have any responsibility to provide a verbatim record transcript of the proceedings. (c) Subpoenas. Any party or the attorney for a party to a proceeding before the CLB may acquire from staff free subpoenas for witnesses and /or for production of tangible evidence, but not for any deposition. Rule 1.410 of Florida Rules of Civil Procedure apply thereto. As used in Rule 1.410, "court" shall mean "the CLB" and "clerk" shall mean "county staff'. Each subpoena must be issued by the party or by an attorney for that party. (Ord. tea. 90 -105, § 5.2; Ord. No. 94 -34, § 5; Ord. No. 99 -45, § 5.2 --- 5.2.3, 6-8-99; Ord. No. 02 -21. § 1(5.2.2.), 5 -14- 02) Secs. 2- 206 -22 -225. Reserved. http: / /library.municode. com/ print. aspx? h= &clientID= 10578 &HTMRequest= http %3 a %2f... 2/24/2014 CONTRACTORS LICENSING BOARD COLLIER COUNTY, FLORIDA BOARD OF COUNTY COMMISSIONERS COLLIER COUNTY, FLORIDA Petitioner, vs. Seth B. Hollander d /b /a Hollander Construction Company, Inc., Respondent(s) ORDER Case No: 2014 -02 License No. 201300000579 THIS CAUSE came on for public hearing before the Contractors' Licensing Board (hereafter Board) on January 15, 2014, for consideration of the Administrative Complaint filed against Seth B. Hollander dba Hollander Construction Company, Inc, the "Respondent ". Service of the Complaint was made in accordance with Section 22- 202 of the Code of Laws and Ordinances of Collier County, Florida. The Board made a finding of fact that the service conformed with the requirements of the Code of Laws and Ordinances of Collier County, Florida. The Board having at said hearing heard testimony under oath, received evidence, and heard arguments respective to all appropriate matters, thereupon issues its Findings of Fact, Conclusions of Law, and Order of the Board as follows: Page 1 of 7 319774.1 1/30/2014 FINDINGS OF FACT 1. That Seth B. Hollander is the holder of record of Collier County License Number 201300000579. 2. That the Board of County Commissioners of Collier County, Florida, is the complainant in this matter. 3. That the Board has jurisdiction of the person of the Respondent and that Seth B. Hollander was present at the public hearing and was not represented by counsel at the hearing on January 15, 2014. 4. All notices required by the Code of Laws and Ordinances of Collier County, Florida, have been properly issued, hand delivered and delivered by certified mail in accordance with Section 22 -202 of the Code of Laws and Ordinances of Collier County, Florida. 5. The evidence presented and testimony given established that the Respondent acted in a manner that is in violation of the Code of Laws and Ordinances of Collier County, Florida, as follows: failed to provide worker's compensation insurance (Code of Laws and Ordinances of Collier County, Florida, Section 22- 201(6)), and is the one who committed the act. 6. That the Contractors' Licensing Supervisor and Staff presented sworn testimony, and the administrative complaint and exhibits thereto were admitted into evidence. The Respondent was afforded an opportunity to present sworn testimony, exhibits, and to cross examine the Contractors' Licensing Supervisor and witness. The Board was Page 2 of 7 319774.1 1/30/2014 afforded an opportunity to ask questions of the Respondent and witness. The Board determined that the allegations of fact as set forth in the Administrative Complaint, as to the violation of Code of Laws and Ordinances of Collier County, Florida, Section 22- 201(6) are true and therefore such facts are hereby found to be supported by the evidence presented at the hearing. CONCLUSIONS OF LAW 1. The Conclusions of Law alleged and set forth in the Administrative Complaint as were supported by the clear and convincing evidence presented at the hearing on January 15, 2014, and said conclusions of law are hereby approved, adopted, and incorporated herein, to wit, the Respondent violated Code of Laws and Ordinances of Collier County, Florida, Section 22- 201(6) in the performance of his contracting business in Collier County by acting in violation of the section set out above with particularity. 2. Collier County has jurisdiction over this contractor. ORDER OF THE BOARD Based upon the foregoing Findings of Fact and Conclusions of Law, and pursuant to the authority granted in Chapter 489, Florida Statutes, and the Code of Laws and Ordinances of Collier County, Florida, by a vote of 7 in favor and 0 opposed, a unamimous vote of the Board members present, the Respondent has been found in violation as set out above. Page 3 of 7 319774.1 1/30/2014 Further, it is hereby ORDERED, by a vote of 7 in favor and 0 opposed, a unamimous vote of the Board members present, that the following disciplinary sanction(s) and related order are hereby imposed upon the Respondent as holder of Contractor's License Number 201300000579: 1. The Respondents license is suspended for a period of twenty -one (21) months to run concurrent with the previously imposed probationary period. 2. Respondent is ordered to pay a fine in the amount of five thousand dollars ($5,000.00) on or before December 31, 2014. 3. Respondent is ordered to pay $525.00 in administrative and investigative costs to the County within 90 days. 4. Respondent is to receive a public reprimand. The Respondent, any other party, the chairman of the Contractors' Licensing Board, the Contractors' Licensing Board as a body, or the assistant county attorney who tried the case may request a rehearing of any decision of the Contractors' Licensing Board. A request for rehearing shall be in writing and shall be filed with staff and a copy thereof should be delivered to all other parties within twenty (20) days from the date of mailing or other method of delivery to the Respondent(s) of the Board's written decision. A request for rehearing must be based only on the ground that the decision was contrary to the evidence or that the hearing involved an error on a ruling of law that was fundamental to the decision of the Board. The written request for rehearing must specify the precise reasons therefore. The decision of the Board that is the subject of the Page 4 of 7 319774.1 1/30/2014 rehearing request will remain in effect throughout the rehearing procedure unless the Board orders otherwise. The Board will make a determination as to whether or not to rehear the matter and its decision shall be made at a public meeting, which will be reduced to writing and mailed to the interested parties within 21 days after the determination is made. If the Contractors' Licensing Board determines it will grant a rehearing, it may: a. Schedule a hearing where the parties will be given the opportunity of presenting evidence or argument limited by the Board to the specific reasons for which the rehearing was granted; or b. Modify or reverse its prior decision, without receiving further evidence, providing that the change is based on a finding that the prior decision of the Board resulted from a ruling on a question of law that the Board had been informed by its counsel was an erroneous ruling and which ruling could affect the substantive decision. The parties are further notified that upon the timely filing of a Notice of Appeal within thirty (30) days you may have the decision of the Board reviewed pursuant to the procedure set out herein. The Respondent may appeal a decision of the Board to the Collier County Circuit Court. Such an appeal shall not be a hearing de novo but shall be limited to appellate review of the record created before the Board. Any appeal shall be filed with the Circuit Court and served on the parties within thirty (30) days of the mailing of the decision of the Board under the Code of Laws and Ordinances of Collier County, Florida, Section 22- 202(g)(9). If there has been a re- hearing request granted, the appeal shall be filed with the Circuit Court and served on the parties within thirty (30) Page 5 of 7 319774.1 1/30/2014 days of the mailing of the re- hearing decision under Code of Laws and Ordinances of Collier County, Florida, Section 22 -205. In the event that the Respondent elects to appeal, a verbatim record and transcript of the proceedings will be necessary. It shall be the sole responsibility of said party to ensure that a record is made from which a transcript may be prepared which includes the testimony upon which an appeal may be taken. Neither Collier County nor the Board has any responsibility to provide a verbatim record transcript of the proceedings. In accordance with Section 489.131(7) (c) and (d), Florida Statutes, the disciplined contractor, the complainant, or the Department of Business and Professional Regulation may challenge the Board's recommended penalty to the State Construction Industry Licensing Board. Such challenge must be filed within sixty (60) days of the issuance of the recommended penalty to the State Construction Industry Licensing Board in Tallahassee, Florida. If challenged, there is a presumptive finding of probable cause and the case may proceed before the State Board without the need for a probable cause hearing. Failure of the disciplined contractor, the complainant, or the Department of Business and Professional Regulation to challenge the Board's recommended penalty within the time period set forth herein will constitute a waiver of the right to a hearing before the State Construction Industry Licensing Board and be deemed as an admission of the violation such that the penalty recommended will become a final order Page 6 of 7 319774.1 1/30/2014 according to the procedures developed by State Board rule without further State Board action. Pursuant to Section 120.59, Florida Statutes, the parties are hereby notified that they may thereafter appeal the Final Order of the State Board by filing one copy of a Notice of Appeal with the Clerk of the Department of Business and Professional Regulation, Northwood Centre, 1940 Monroe Street, Tallahassee, Florida 32399 -0792, and by filing the filing fee and one copy of the Notice of Appeal with the appropriate District Court of Appeal within thirty (30) days of the effective date of said State Board Order. ORDERED by the Contractors' Licensing Board effective the 15th day of nuary, 2014. Patrick White, Chairman Contractors' Licensing Board I HEREBY CERTIFY that a true and correct copy of the above and foregoing Findings of Fact, Conclusions of Law, and Order of the Board has been furnished to the Respondent; and Mr. Michael Ossorio, Licensing Compliance Supervisor, 2800 North Horseshoe Drive, Naples, FL 34103, on this ( da ry, 2014. Secretary/Contractors' Licensing Board Page 7 of 7 319774.1 1/3012014 I CONTRACTORS LICENSING BOARD COLLIER COUNTY, FLORIDA BOARD OF COUNTY COMMISSIONERS COLLIER COUNTY, FLORIDA Petitioner, Vs. Seth B. Hollander d/b /a Hollander Construction Company, Inc. Respondent. Case No. 2014 -02 MOTION FOR REHEARING Respondent, Seth B. Hollander d/b /a Hollander Construction Company, Inc., by and through its undersigned attorneys, pursuant to Collier County Municipal Code §22- 204, hereby moves for Rehearing of that certain Contractors' Licensing Board hearing which took place on January 15, 2014 and which is the subject matter of that certain Order dated January 31, 2014 attached hereto as Exhibit "1" and incorporated herein by reference, and relative thereto states the following: 1. Respondent contends that the decision of the Contractors Licensing Board (`Board ") is contrary to the evidence to the extent that the punishment assessed against Respondent is excessive. 2. Respondent was cited for an alleged violation of Collier County Ordinance 90 -105, as amended, Section 22- 201(6): "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." S 1 3. Respondent does not contest that he violated Collier County Ordinance 90 -105, as amended, Section 22- 201(6). 4. However, Respondent's Workers' Compensation policy was only cancelled from October 5, 2013 through December 23, 2013; a period of seventy -nine (79) days. 5. Respondent met with an auditor and his insurance agent, Susan M. Weems, on December 11, 2013, which was the earliest available appointment time that the auditor had due to his travel schedule throughout the State of Florida (See Affidavit of Susan Weems, attached hereto as Exhibit "2" and incorporated herein by reference). 6. Due to certain industry standards, a new Workers' Compensation policy cannot be issued until an audit is completed. Respondent was doing everything in his power to reinstate Workers' Compensation coverage for his employees from the time he learned his existing policy was cancelled through when the new policy was actually issued. 7. Vice Chairman Lykos concluded that "[b]y allowing the Workers' Compensation policy to lapse, Mr. Hollander put his employees and the property owner at risk. (See page 35 of Minutes of the Meeting of the Collier County Contractors' Licensing Board dated January 15, 2014, attached hereto as Exhibit "3" and incorporated herein by reference.). 8. In actuality, Respondent's employees were covered by the general contractor, Construction Managers, Inc.'s, Workers' Compensation policy, a copy of which is attached hereto as Exhibit "4" and incorporated herein by reference, in the event that any actual injury occurred on site. Therefore, neither Respondent's employees nor the property owner were placed in any undue risk as a consequence of the brief lapse in Respondent's policy. 9. Respondent has complied and is complying with the prior Order of the Board issued on October 16, 2013 in that he is continuing to make installment payments to fulfill the fine assessed. See page 34 of Minutes of the Meeting of the Collier County Contractors' Licensing Board dated January 15, 2014, attached hereto as Exhibit "3" and incorporated herein by reference). 10. Respondent contends that Mr. Lykos' position regarding employee and property owner risk impacted Mr. Lykos', and ultimately the Board's, recommended disciplinary sanctions, which the Board adopted by a vote of 6 -1, in that the penalties were increased and excessive in light of the brief policy lapse and no finding of actual injury or damage. 11. Respondent has a valid Workers' Compensation insurance policy in effect and same is in good standing. (See Affidavit of Susan Weems, attached hereto as Exhibit "2" and incorporated herein by reference). WHEREFORE, Respondent, Seth B. Hollander d /b /a Hollander Construction Company, Inc., respectfully requests that the Construction Industry Licensing Board grant a rehearing of that certain January 15, 2014 proceeding to reconsider the penalty assessed in that certain Order dated January 31, 2014 and specifically reduce or eliminate the suspension of Respondent's license (possibly extending the probationary period in lieu of the suspension) and grant such other and further relief the Board deems just, fair, reasonable and equitable. CERTIFICATE OF SERVICE I HEREBY CERTIFY that at true and correct copy of the foregoing has been furnished via regular U.S. mail to: Board of County Commissioners, 3299 Tamiami Trail East, Suite 303, Naples, FL 34112 -5746 and James F. Morey, Esq., 4001 Ta iami Trail North, Suite 250, Naples, FL 34103 -3555, 'tmorgy a bsk.eom on this day of February, 2014. HENRY JOHNSON & ASSOCIATES, P.A. 6640 Willow Park Drive, Suite A Naples, Florida 34109 Telephone: (239) 591 -0133 Facsimile: (239) 591 Primary e -mail: embar mail.com Secondary e- law mail.com H 7LHNSON, ESQ. F da Bari 372242 FFREY D. SAM, ESQ. Florida Bar No. 42113 ' t CONTRACTORS LICENSING BOARD COLLIER COUNTY, FLORIDA BOARD OF COUNTY COMMISSIONERS COLLIER COUNTY, FLORIDA Petitioner, vs. Seth B. Hollander d /b /a Hollander Construction Company, Inc., Rcspondent(s) ORDER a Case No: 2014 -02 License No. 201300000579 THIS CAUSE came on for public hearing before the Contractors' Licensing Board (hereafter Board) on January 15, 2014, for consideration of the Administrative Complaint filed against Seth B. Hollander dba Hollander Construction Company, Inc, the "Respondent ". Service of the Complaint was made in acdordance with Section 22- 202 of the Code of Laws and Ordinances of Collier County, Florida. The Board made a finding of fact that the service conformed with the requirements of the Code of Laws and Ordinances of Collier County, Florida. The Board having at said hearing heard testimony under oath, received evidence, and hewd arguments respective to all appropriate matters, thereupon issues its Findings of Fact, Conclusions of Law, and Order of the Board as follows: Page 1 of 7 EXHIBIT "I" 319774.1 1/3012014 FINDINGS OF FACT 1. That Seth B. Hollander is the holder of record of Collier County License Number 201300000579. 2. That the Board of County Commissioners of Collier County, Florida, is the complainant in this matter. 3. That the Board has jurisdiction of the person of the Respondent and that Seth B. Hollander was present at the public hearing and was not represented by counsel at the hearing on January 15, 2014. 4. All notices required by the Code of Laws and Ordinances of Collier County, Florida, have been properly issued, hand delivered and delivered by certified mail in accordance with Section 22 -202 of the Code of Laws and Ordinances of Collier County, Florida. 5. The evidence presented and testimony given established that the Respondent acted in a manner that is in violation of the Code of Laws and Ordinances of Collier County, Florida, as follows: failed to provide worker's compensation insurance (Code of Laws and Ordinances of Collier County, Florida, Section 22- 201(6)), and its the one who committed the act. 6. That the Contractors' Licensing Supervisor and Staff presented sworn testimony, and the administrative complaint and exhibits thereto were admitted into evidence. The Respondent was afforded an opportunity to present sworn testimony, exhibits, and to cross examine the Contractors' Licensing Supervisor and witness. The Board was Page 2of7 318774.1 WW2014 afforded an opportunity to ask questions of the Respondent and witness, The Board determined that the allegations of fact as set forth in the Administrative Complaint, as to the violation of Code of Laws and Ordinances of Collier County, Florida, Section 22- 201(6) are true and therefore such facts are hereby found to be supported by the evidence presented at the hearing. CONCLUSIONS OF LAW 1. The Conclusions of Law alleged and set forth in the Administrative Complaint as were supported by the clear and convincing evidence presented at the hearing on January 15, 2014, and said conclusions of law are hereby approved, adopted, and incorporated herein, to wit, the Respondent violated Code of Laws and Ordinances of Collier County, Florida, Section 22- 201(6) in the performance of his contracting business in Collier County by acting in violation of the section set out above with particularity. 2. Collier County has jurisdiction over this contractor. ORDER OF THE BOARD Based upon the foregoing Findings of Fact and Conclusions of Law, and pursuant to the authority granted in Chapter 489, Florida Statutes, and the Code of Laws and Ordinances of Collier County, Florida, by a vote of 7 in favor and 0 opposed, a unamimous vote of the Board members present, the Respondent has been found in violation as set out above. Page 3 of 7 318774.1 1/30/2014 Further, it is hereby ORDERED, by a vote of 7 in favor and 0 opposed, a unamimous vote of the Board members present, that the following disciplinary sanction(s) and related order are hereby imposed upon the Respondent as holder of Contractor's license Number 201300000579: 1, The Respondents license is suspended for a period of twenty -one (21) months to run concurrent with the previously imposed probationary period. 2. Respondent is ordered to pay a fine in the amount of five thousand dollars ($5,000.00) on or before December 31, 2014. 3. Respondent is ordered to pay $525.00 in administrative and investigative costs to the County within 90 days. 4. Respondent is to receive a public reprimand. The Respondent, any other parly, the chairman of the Contractors' Licensing Board, the Contractors' Licensing Board as a body, or the assistant county attorney who tried the case may request a rehearing of any decision of the Contractors' Licensing Board. A request for rehearing shall be in writing and shall be filed with staff and a copy thereof should be delivered to all other parties within twenty (20) days from the date of mailing or other method of delivery to the Respondent(s) of the Board's written decision. A request for rehearing must be based only on the ground that the decision was contrary to the evidence or that the hearing involved an error on a ruling of law that was fundamental to the decision of the Board. The written request for rehearing must specify the precise reasons therefore. The decision of the Board that is the subject of the Page 4 of 7 318774.1 1/30/2014 I t rehearing request will remain in effect throughout the rehearing procedure unless the Board orders otherwise. The Board will make a determination as to whether or not to rehear the matter and its decision shall be made at a public meeting, which will be reduced to writing and mailed to the interested parties within 21 days after the determination is made. If the Contractors' Licensing Board determines it will grant a rehearing, it may: a. Schedule a hearing where the parties will be given the opportunity of presenting evidence or argument limited by the Board to the specific reasons for which the rehearing was granted; or b. Modify or reverse its prior decision, without receiving further evidence, providing that the change is based on a finding that the prior decision of the Board resulted from a ruling on a question of law that the Board had been informed by its counsel was an erroneous ruling and which ruling could affect the substantive decision. The parties are further notified that upon the timely filing of a Notice of Appeal within thirty (30) days you may have the decision of the Board reviewed pursuant to the procedure set out herein. The Respondent may appeal a decision of the Board to the Collier County Circuit Court. Such an appeal shall not be a hearing de novo but shall be limited to appcllato review of the record created before the Board. Any appeal shall be filed with the Circuit Court and served on the parties within thirty (30) days of the mailing of the decision of the Board under the Code of Laws and Ordinances of Collier County, Florida, Section 22- 202(g)(9). If there has been a re- hearing request granted, the appeal shall be filed with the Circuit Court and served on the parties within thirty (30) Page 5 of 7 310774.1 1/30/2014 ! f days of the mailing of the re- hearing decision under Code of Laws and Ordinances of Collier County, Florida, Section 22 -205. In the event that the Respondent elects to appeal, a verbatim record and transcript of the proceedings will be necessary. It shall be the sole responsibility of said party to ensure that a record is made from which a transcript may be prepared which includes the testimony upon which an appeal may be taken. Neither Collier County nor the Board has any responsibility to provide a verbatim record transcript of the proceedings. In accordance with Section 489.131(7) (c) and (d), Florida Statutes, the disciplined contractor, the complainant, or the Department of Business and Professional Regulation may challenge the Board's recommended penalty to the State Construction Industry Licensing Board. Such challenge must be filed within sixty (60) days of the issuance of the recommended penalty to the State Construction Industry Licensing Board in Tallahassee, Florida. If challenged, there is a presumptive finding of probable cause and the case may proceed before the State Board without the need for a probable cause hearing. Failure of the disciplined contractor, the complainant, or the Department of Business and Professional Regulation to challenge the Board's recommended penalty within the time period set forth herein will cons #itute a waiver of the right to a hearing before the State Construction Industry Licensing Board and be deemed as an admission of the violaLiun such Lllat [lie penalty recommended will become a finial order Page 6 of 7 319774.1 1/30/2014 1 ! according to the procedures developed by State Board rule without further State Board action. Pursuant to Section 120.59, Florida Statutes, the parties are hereby notified that they may thereafter appeal the Final Order of the State Board by filing one copy of a Notice of Appeal with the Clerk of the Department of Business and Professional Regulation, Northwood Centre, 1940 Monroe Street, Tallahassee, Florida 32399 -0792, and by filing the filing fee and one copy of the Notice of Appeal with the appropriate District Court of Appeal within thirty (30) days of the effective date of said State Board Order. ORDERED by the Contractors' Licensing Board effective the 95th day of ' A rAAA Patrick White, Chairman Contractors' Licensing Board I HEREBY CERTIFY that a true and correct copy of the above and foregoing Findings of Fact, Conclusions of Law, and Order of the Board has been furnished to the Respondent; and Mr. Michael Ossorio, Licensing Compliance Supervisor, 2800 North Horseshoe Drive, Naples, FL 34103, on this' ( da ry, 2014. Secretary/Contractors' Licensing Board Page 7 of 7 399774.1 113012014 EXHIBIT "2" January 15, 2014 MINUTES OF THE MEETING OF THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD January 15, 2014 Naples, Florida LET IT BE REMEMBERED, that the Collier County Contractors' Licensing Board, having conducted business herein, met on this date at 9:00 AM in REGULAR SESSION in Administrative Building "F," 3rd Floor, Collier County Government Complex, Naples, Florida, with the following Members present: Chairman: Richard Joslin Vice Chair: Patrick White Members: Michael Boyd Ronald Aonino Terry Jerulle Kyle Lantz Thomas Lykos Gary McNally Robert Meister ALSO PRESENT: Michael Ossorio — Supervisor, Contractors' Licensing Office Kevin Noell, Esq. — Assistant County Attorney James F. Morey, Esq. — Attorney for the Contractors' Licensing Board Reggie Smith — Licensing Compliance Officer Thomas Keegan — Licensing Compliance Officer EXHIBIT "3" January 15, 2014 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. L. ROLL CALL: Chairman Richard Joslin called the meeting to order at 9:06 AM and read the procedures to be followed to appeal a decision. Roll call was taken and a quorum was established. Nine voting members were present. II. AGENDA — ADDITIONS DELETIONS, OR CHANGES: Addition: o Under Item VI, "New Business" o A. Election of Chair and Vice Chair -- 2014 Term III. APPROVAL OF AGENDA: Corrections: Vice Chairman White noted the order of "New Business" and "Old Business" had been reversed on the Agenda. The correct date of the next meeting is February 19, 2014 Vice Chairman Patrick White moved to approve the Agenda as amended Terry Jerulle offered a Second in support of the motion. Carried unanimously, 9 -- 0. TV. APPROVAL OF MINUTES -- NOVEMBER 20, 2013: Gary McNally moved to approve the Minutes of the November 20, 2013 meeting as submitted. Thomas Lykos offered a Second in support of the motion. Carried unanimously, 9 — A V. DISCUSSION (None) V1. NEW BUSINESS: A. Election of Chair and Vice Chair — 2014 Term The Floor was opened to nominations for the Office of Chairman. Terry Jerulle nominated Patrick White to serve as Chairman. Robert Meister offered a Second in support of the nomination. There were no other nominations. Patrick White accepted the nomination. Motion carried, 8 — "Yes " /1— "Abstention." Mr. White abstained from voting. 2 January 15, 2014 Chairman White thanked Mr. Joslin for his many years of service to the Board. Chairman White opened the Floor to nominations for the Office of Vice Chair. • Terry Jerulle nominated Thomas Lykos to serve as Vice Chair. • Thomas Lykos nominated Terry Jerulle to serve as Vice Chair. Kyle Lantz offered a second in support of the nominations. There were no other nominations. Vote to elect Thomas Lykos: 6 — "Yes "12 — "Opposed" / X — "Abstention. " Mr. Lykos abstained from voting. The Floor was closed. VII. OLD BUSINESS A. Orders of the Board Thomas Lykos moved to approve authorizing the Chairman to sign the Orders of the Board, Gary McNally offered a Second in support of the motion. Carried unanimously, 9 -- 0. (Note: With reference to the cases heard under Section VII, the individuals who testified were first sworn in by the Attorney for the Board.) B. Victor Treissa --- Six -Month Credit Review (d/b /a .Kitchen Installations of SWFL, LLC) Victor Triessa stated: • He was able to stop the Bankruptcy proceedings and sold his home. • He confirmed the closing date was January 6, 2014. • Sale of home will increase his Credit Report score by approximately 40 points. • Although the Current Credit Report did not reflect sale of property, his score was still higher than the past Credit Report reviewed by the Board. Michael Ossorio stated: • Mr. Triessa has appeared before the Board on two occasions • Have not received any complaints • The Business Credit Report is in order • Business has been open for 12 months • Recommendation: terminate probation — Business Credit Report meets the MuniCode criteria Terry Jerulle asked Mr. Triessa how he would handle the remaining debt. Victor Triessa replied the medical bills would be paid in a lump sum since the hospital would not accept installments. January 15, 2014 Richard Joslin moved to approve accepting the Credit Report and terminating the probation. Ronald Donino offered a Second in support of the motion. Carried unanimously, 9 -- 0. C. Nathan_ Hinz — Six-Month Credit Review (d/b /a Nathan Contracting Services, LLC) It was noted Mr. Hinz was not present. Michael Ossorio stated Mr. Hinz had been notified of the Hearing. He further stated Mr. Hinz was on probation. He no longer conducts business in Collier County. Mr. Hinz is in. violation of the Board's Order to submit a current Credit Report. Recommendation: Suspend the license. Vice Chairman Thomas Lykos moved to approve suspending the license of Nathan Hinz. Second by Terry Jerulle. Carried unanimously, 9 — 0. D. Mica Ugrica, Jr. — Review of Verification of Construction Experience (d/b /a Zen Group, LLC) Mico "Mike" Ugrica and his wife, Alexandra, were sworn in. Michael Ossorio stated Mr. Ugrica took and passed the Building Contractor exam and the Business Procedures test, but there were questions concerning his experience. He further stated Mr. Ugrica applied for a Building Contractors license which requires 48 months' experience. James F. Morey, Esq., Counsel to the Contractors' Licensing Board, cited from Section 22 -184, "Standards for the Issuance or Denial of a Certificate of Competency," as follows: (b) "Referral of application to Contractor's Licensing Board for decision. If it does not appear on the face of the application that the applicant has complied with the requirements of this Article so as to be eligible for a Certificate of Competency, then the Contractors' Licensing Supervisor shall refer the application to the Contractors' Licensing Board for a decision regarding approval or denial of the application." Mr. Morey listed the criteria necessary to assess the experience of an Applicant: • Affidavits from former employers indicating the years of service; • Copies of Certificates of Competency from other jurisdictions; • Affidavits of Building Supervisors from other jurisdictions; • Affidavits from a Union organization; • Affidavits from any other source within a particular Trade. January 15, 2014 The purpose is to gather information to substantiate the relevant experience. He further cited from Section 22 -162, "Definitions and Contractor Qualifications," as follows: "Building Contractor requires 48 months experience with a passing grade on an approved test and a Business and Law test and means a contractor whose services are limited to construction of commercial buildings and single - dwelling or multiple - dwelling residential buildings, which commercial or residential buildings do not exceed three stories in height, and accessory use structures in connection therewith or a contractor whose services are limited to remodeling, repair, or improvement of any size building if the services do not affect the structural members of the building." Michael Ossorio stated a Commercial Building Contractor must show that he /she has done commercial work up to three stories but there are no height restrictions if working on a condominium doing non- structural work. Kyle Lantz noted the Applicant was required to provide four years of experience and asked if all four years was limited to commercial work. Michael Ossorio stated he would review a resume to determine if the Applicant had supervisory (foreman) experience of at least one year's duration. He further stated residential experience is also reviewed but a Commercial Building Contractor must prove that he /she has worked on commercial jobsites. Chairman White asked the Applicant if he could add anything further since Staff has determined the materials submitted did not adequately substantiate the required type of experience. Mica Ugrica stated: • He and his family moved to Collier County from Canada last year; • He has been a Contractor for the past 15 years • He contacted a few former clients in Canada who sent letters and photographs of the work that he had performed on three and four -story buildings • He stated multi - family buildings are considered to be "commercial" construction in Canada (Note: The original documents were provided to the Board to review by the Applicant during the course of the Hearing.) Michael Ossorio cited from Section 22 -184, "Standards for the .Issuance or Denial of a Certificate of Competency," as follows: (c) "When an application is referred to the Contractors' Licensing Board, the Board shall take testimony from the Applicant and shall consider January 15, 2014 other relevant evidence regarding whether the application meets the requirements of this division. Upon the evidence presented by the applicant and the contractor licensing supervisor, the Contractors' Licensing Board shall determine whether the applicant is qualified or unqualified for the trade in which application has been made. Findings of Fact and Conclusions of Law regarding the approval or denial of the application shall be made by the Contractors' Licensing Board, The Board may consider the applicant's relevant recent experience in the specific trade and, based upon such experience, may waive testing requirements if convinced that the applicant is - qualified by experience whereby such competency testing would be superfluous (1) If the Contractors' Licensing Board determines that an applicant is qualified for a particular type of Certificate of Competency, a competency card shall be issued by the Contractor Licensing Supervisor or his/her designee." Mr. Ossorio contacted the Toronto, Canada, and spoke with the Licensing Manager. In Toronto, if an applicant wishes to do work, he /she sits with the Building Marshall who asks a series of questions. If the applicant meets the criteria, he /she will be issued a license. Mr. Ossorio was informed that Mr. Ugrica had been licensed in Toronto for a period of one year. The Building Official in Toronto confirmed that a either a homeowner or a Contractor could pull an Owner /Builder Permit. Chairman White asked Mr. Ugrica to explain what else he had done in the past nine years in addition to the one year in Toronto. Mr. Ugrica responded that the majority of homes he worked on were "flipped." He pulled permits as an "owner" because it was his property. He stated the jobs from his clients varied from small renovations (adding an addition) to complete rebuilds where the original structure was demolished and rebuilt. He further stated he also did restorations of historic properties. He explained when he worked for a client, the homeowner or designer or architect would pull the permit and present him with approved plans for which he would provide a quote. If the quote was accepted, the job would proceed. Chairman White asked the Applicant to describe his experience from 2003 to 2013. Mr. Ugrica stated: 2003 — he built a detached garage for a bungalow as an owner /builder • 2004 — he worked on a complete rebuild of a single - family home • There were water problems which necessitated waterproofing the exterior of the basement • Replaced rotten bench footers o Remodeled the kitchen and bathrooms 0 January 15, 2014 • 2005 - A complete addition (foundation to third floor) was built onto a Victorian -style home in Toronto and dormer work was also completed • 2006/2007 -- began working on several four -story commercials buildings in downtown Toronto It was noted the documentation submitted covered the period from 2010 to 2012. Alexandra Ugrica stated the family emigrated from Canada in 2012 and the process took over a year. She explained her husband was not allowed to work while applying for a Visa. Chairman White requested information for the period from 2008 through 2012. Kyle Lantz stated that, after reviewing the documentation presented, while he was convinced the Applicant was qualified as a Residential Contractor, he did not see enough "commercial" experience. Mrs. Ugrica explained one of the clients was a Convention Center which was commercial. Terry Jerulle asked if "time was of the essence" concerning the Visa Application. Mrs. Ugrica replied that her husband was subject to stringent guidelines and, as a Contractor, he is required to employ U.S. citizens. They are required to file taxes but have no income to report. Mr. Jerulle suggested they return with copies of building permits, a resume, a timeline, and letters from an architect and/or structural engineer to satisfy the requirements. It was noted the Appl'icant's documentation included a letter from an engineering inspector confirming that the work done by Mr. Ugrica had passed inspection. Mieo Ugrica stated it was very difficult to obtain copies of building permits due to the strict privacy laws in Canada. It took 60 days to obtain a copy of one permit where he was the owner/builder. Richard Joslin stated the permit was pulled by Mr. Ugrica as an owner /builder but not as the Building Contractor; it did not prove that he did the renovations himself. Alexandra Ugrica explained the process: • Anyone may pull a permit -- it is not limited to an owner /architect/Contractor; o with a letter of authorization, she could pull a permit for her neighbor • Work is approved by an inspector once it has been completed • An Inspector does not verify who completed the work -- only that it had been done correctly and. has met Code • Her husband preferred that either his clients or their architects or designers pulled the building permit • Even if permits for the commercial work could be obtain, Mr. Ugrica's name would not be listed on the document 7 January 15, 2014 • Canadian law changed in 2011 and required a licensed architect submit drawings for approval. The Architect's license would be noted on the permit. Thomas Lykos explained that Collier County requires a licensed Contractor to pull a permit for a commercial job, unlike a residential construction where an owner - builder is allowed to obtain a permit. To obtain a Building Contractor's license, the Applicant must be familiar with the process because he will be responsible to pull the permits for his projects. The Contractor's name and his license number will appear on a permit. Chairman White explained the issue was to demonstrate relevant commercial construction experience. He stated there was more than adequate proof of Mr. Ugrica's residential construction experience. He asked for an explanation of any commercial -type construction projects that were completed during the required. 48 -month period of time. Mica Ugrica outlined additional commercial experience: • From 2010 to 2011 •- the Convention Center project took 18 months • Address: 858 Davenport —10 units —took 2 years —structural underpinning repairs — the property backed onto a ravine and was over 100 years old • 2006: 333 Harvard — built three 820 -foot units — three - stories high which took 7 to 8- months to complete — the new units were additions to an existing building — each unit contained 3- bedrooms and 2- bathrooms (high end) Description of work completed: • Excavated from below the frost line and poured the foundation • Reinforced everything • 12 -inch concrete block to above grade • First floor unit had a radiant hot -water flooring system • Because the building was located in a residential area, the new construction was required to mirror the historic style of construction (double - brick) and comply with Code • Building had a flat roof with metal coping Mica Ugrica stated as the General Contractor for the job, his responsibilities including: • hiring sub - contractors ( "sub - Trades "), i.e., excavators, masons, Master electricians • supervising foundation pours and pushed wheelbarrows when necessary; • supervising installation of all windows /doors /balconies; • supervising installation of HVAC system for each unit (natural gas); • supervising installation of plumbing and electrical; • he did the accounting (client paid him and he paid the subs); • maintained contact with the client; • dealt with the Building Inspector when needed; January 15, 2014 adhered to stringent Fire Code requirements — scheduled when wiring would be roughed -in, speaker systems throughout the units, pole stations, etc. (Fire Department's policy is to deal directly with building owners at inspection) scheduled installation of insulation — spray and "pink" — dry walled, taped, plastered — scheduled installation of finishes and trims, i.e., hardwood flooring (3/4 -inch maple), marble in baths (countertops /floors) He stated he owned a small company and he was always on -site because he handled only one job at a time. His list of clients is small but they were all repeat customers. Gary McNally asked the Applicant to explain his formal training and educational background. Mico Ugrica stated his fattier was a builder and he grew up on construction sites; he began helping his father when he was seven years old. He further stated, "I don't know anything else." He did not have any "formal" education; his training was hands -on. Additional discussion. ensued. Kyle Lantz stated he was more confident that the Applicant was qualified. Michael Ossorio stated he would not offer a recommendation. Terry Jerulle suggested that he, if it he was not required to obtain a Building Contractor's license for immigration purposes, Mr. Ugrica could apply for a Residential Contractor's License which could be issued immediately. Michael Ossorio confirmed if the Applicant could provide a list of residential construction job, the Board could issue a license. Mr. Ugrica could later re-apply for a Building Contractor's License when his documentation was complete. Chairman White explained if the Board issued a Building Contractor's license, it would be restricted to "residential only" until the Applicant was able to amend the original application and provide the additional documentation, i.e., sworn Affidavits demonstrating the degree of commercial experience, etc. Mr. Ossorio explained it would be simpler to issue a Residential Contractor's license which could be registered with the State. if he chose to upgrade it, he would re -apply to the Board, provide the documentation, and a Building Contractor's license could be issued which would also be registered with the State. He further explained there is a distinction between the two licenses and Mr. Ugrica should register accordingly to avoid confusion concerning his qualifications. Vice Chairman Lykos noted the Applicant used the correct terminology and based on the Appl'icant's vocabulary and description of the work performed, it sounded as if he had the proper experience. He stated he had enough confidence in the Applicant to approve issuing a license. Chairman White and Robert Meister agreed. Kyle Lantz moved to approve Mica Ugrica's application for a license as a Building Contractor. January 15, 2014 Discussion: Terry Jerulle stated part of the responsibilities of an Applicant is to provide documentation and data. The application was not complete because the correct data was not provided to prove that he had the commercial experience. He further stated he would only approve issuing a license as a Residential Contractor. Chairman White noted the standard allows the Board to hear testimony, under oath, as well as written documentation. He asked Mr. Ossorio if the Board could issue a license with a probationary period of six months. Michael Ossorio stated the Board has never issued a new license with probation. He was not sure how the State would react — it could delay the registration by weeks. Chairman White called for a vote on the motion made by Mr. Lantz to approve Mica Ugrica's application for a Building Contractor's license. Motion carried, 8 — "Yes" /1— "Opposed." Mr. Jerulle was opposed. E. Paul Boleavage — Review of Credit Report (d/b /a Starfish Electric & Home Services, LLC) Paul Boleavage stated his debts were personal caused by the downturn in the economy. Michael Ossorio stated because his business credit was less than 12 months, the personal credit must be considered. He further stated Mr. Boleavage met the criteria as an Electrical Contractor. Kyle Lantz asked what score was required. Michael Ossorio stated he has been in contact with the Department of Business- Professional Relations. His target score is 660. The applicant has been licensed in Miami -Dade. He has been licensed for years in Pennsylvania. The Applicant's score is 626. Vice Chairman Lykos moved to approve Paul Bolcavage's application for a license as an Electrical Contractor. Kyle Lantz offered a Second in support of the motion. Carried unanimously, 9 —1. BREAK: 10:20 AM RECONVENED: 10:31 AM VIII. PUBLIC HEARING: (Note: Regarding case heard under Section VIII, the individuals who testified were first sworn in by the Attorney for the Board.) 10 January 15, 2014 A. Case #2014 -01: BCC vs. Mario Rodriguez, d/b /a "K.C. Tiles & Marble, Inc." Chairman White briefly outlined the order of the proceedings to be followed: • Open the Public Hearing; • Swear the witnesses; • Accept any evidence from the parties; • The County will present its "Opening Statement;" • The Respondent will present his/her "Opening Statement;" • The County will present its "Case in Chief;" • The Respondent will present his/her defense; • The County may offer any rebuttal; • Each Party may present a "Closing Statement," • The Public Hearing will conclude. • The Board will close the Public Hearing and begin deliberations. • The Board's Attorney will give a "Charge" to the Board, similar to the Charge given to a Jury, setting out the parameters on which the decision will be based. • During deliberations, the Board can request additional information and clarification from the parties. • The Board will decide two different issues: o First, whether the Respondent is guilty of the offense as charged in the Administrative Complaint. o A vote will be taken on the issue. o Second, if the Respondent is found guilty, the Board will decide the sanctions to be imposed. • The Board's Attorney will advise the Board concerning the sanctions which may be imposed and the factors to be considered. • The Board will discuss the sanctions and vote. • The Chair will orally report the decision of the Board. • The Final Order will include the complete details as required under State laws and procedures. Reggie Smith, Licensing Compliance Officer, requested to enter into evidence the packet of information previously provided to the Board Members. Richard Joslin moved to open the Public hearing in Case No. 2014 -01: The Board of County Commissioners vs. Mario Rodriguez, d/b /a "K. C. Tiles & Marble, Inc.," License No., 19105 (Tile and Marble Contractor) and License No. 21273 (Masonry Contractor), and to enter the information packet into evidence as County's Exhibit "1." Vice Chairman Thomas Lykos offered a Second in support of the motion. Carried unanimously, 9 — 0. 11 January 15, 2014 It was noted the Respondent, Mario Rodriguez, did not offer any documents to be admitted into evidence. Reggie Smith presented the County's "Opening Statement:" • The County is prepared to show that Mario Rodriguez violated Ordinance #90 -105, as amended, Section 22- 201(2) as follows: "Contracting to do any work outside the scope of hislher competency as listed on his /her competency card and as defined in the Ordinance or as restricted by the Contractors' Licensing Board." Address: 1365 47th Avenue NE, Naples, Florida • The County is also prepared to'show that Mario Rodriguez violated Ordinance #90 -105, as amended, Section 22- 201(6) as follows: "Disregards or violates, in the performance of hislher contracting business in the County, any of the building, safety, health insurance, or Workers' Compensation laws of the State or Ordinances of the County" by failing to secure and maintain Workers' Compensation insurance for his employees working at 1365 47th Avenue NE, Naples, Florida. Respondent, Mario Rodriguez, presented his "Opening Statement:" • There was an on -going legal case. • The Corporation and Mr. Trujillo, President, are fighting the charge of a of Workers' Compensation violation in Court. • It is our position that Robert Wiley was not our employee and it was not our jobsite. • We disagree with the findings of the Workers' Compensation Board investigation. • He was not sure whether the case would be heard in Court or during an Administrative Hearing. Chairman White asked the Respondent if he had anything to add concerning the Scope of Work issue. The Respondent stated he was not aware that pouring and forming concrete was out of the scope of work of his license. He has a Masonry Contractor's license and thought pouring concrete was allowed under his license. He further stated he was not contesting the violation concerning Scope of Work. County's "Case in Chief•" • On June 27, 2013, Reggie Smith received a phone call concerning an accidental death of a worker at a construction site at 1365 47t1, Avenue NE in Naples. The new home construction was being built by Ash -Ann Homes, Inc., qualified by Ariel Gonzalez, Certified General Contractor, License Number #GCG- 1510731. • A lightning strike occurred at the jobsite approximately 1:00 PM on .Tune 26, 2013. 12 January 15, 2014 During the site visit, he obtained information from Ariel Gonzalez, Mario Rodriguez, and Workers' Compensation Investigator Jack Gumph for the State of Florida. O The deceased and an injured employee appeared to be working for K. C. Tiles & Marble, Inc., which was qualified by Mario Rodriguez. K. C. Tiles & Marble, Inc. had been hired to perform concrete forming and placing. 0 K. C. Tiles & Marble, Inc. held a Masonry Contractor license and a Tile and Marble Contractor license through Collier County. • At the jobsite, he observed and photographed equipment in place for concrete forming and placing. o Mr. Smith informed Investigator Gumph that the case would be reviewed by the Contractors' Licensing Office Supervisor, Michael Ossorio, for two violations, i.e, working outside the scope of a license and Workers' Compensation insurance violation. Ariel Gonzalez was called as a Witness for the County. Reggie Smith questioned Mr. Gonzalez: Q. Are you a State - certified General Contractor and holder of License Number #GCG- 1510731, licensed since 2006? A. Yes. Q. Are you the Qualifier for Ash -Ann Homes, Inc.? A. Yes. Q. Are you familiar with the newly constructed home located at 1365 47h Avenue NE in Naples, Florida, built by Ash -Ann Homes, Inc.? A. Yes. Q. (Reference: Exhibit E -32) Is this the home construction site located at 1365 47th Avenue, NE? A. Yes. Q. Did you hire K. C. Tiles & Marble, Inc. to perform concrete forming and placing at this jobsite? A. Yes? Q. Whom did you contract with to arrange the concrete work? What person did you actually make a contract with to perform the concrete work? A. Filmon Cendejas. Q. Were you aware that K. C. Tiles & Marble, Inc. did not have the required licensing to perform this work? A. No. Q. If you had known that K. C. Tiles & Marble, Inc. was not licensed to perform the concrete work, would you have hired them? A. No. Thank you very much. 13 January 15, 2014 Chairman White asked the Respondent if he had any questions for the witness and the response was, "No." Jack Gumph, Senior Compliance Investigator — Division of Workers' Compensation for the State of Florida was called as a Witness for the County. Reggie Smith questioned Mr. Gumph: Q. How many years have you held this title? A. Four years. Q. Did you or do you have an active Workers' Compensation investigation concerning the address of 1365 47'h Avenue NE, Naples, Florida? A. Yes, I do. As the Board does have the information in its packet, as Mr. Rodriguez. has stated, there are two forthcoming cases with the State. The first is the Division of Workers' Compensation civil action and there is a subsequent criminal action in the Twentieth Judicial District. Chairman White: "Those are both circuit court proceedings? A. (Gumph) The first is a civil action with the State of Florida Division of Worker's Compensation in Tallahassee. Chairman White: "That's an agency action, then? Administrative ?" A. (Gumph) Yes, sir. The second is ... Chairman White: "A criminal which, of course, is ..." Reggie Smith resumed questioning Mr. Gumph: Q. Who does your investigation concern? A. The investigation concerns K. C. Tiles and Marble, Inc. Q. (Reference: Exhibits E -39 through E -69) Is this the State's Workers' Compensation Investigation Report 913- 172 -D7 that you and your co- worker, Investigator Aysia Snodgrass, compiled and submitted for review? A. It is. Q. Can you please advise the Board of your investigation and findings? A. I am aware the Board has a copy of the State's investigative file and narrative. It is quite exhaustive. The information contained was that, on June 27, 2013, I was contacted by my office to go to the address in Golden Gate Estates to assist Investigator Snodgrass with the investigation. I did go to the location. During the course of the investigation, I spoke to certain individuals at the job site which is in your narrative. Based on information provided at interviews, this case was provided to the Legal Division of the State of Florida Division of Workers' Compensation in Tallahassee which subsequently recommended the issuance of a "Stop Work" Order to K. C. Tiles and Marble, Inc. for the violation of failure to obtain Workers' Compensation insurance. Chairman White informed Mr. Rodriguez that he would have an opportunity to cross - examine the Witness. 14 January 15, 2014 Reggie Smith resumed questioning Mr. Gumph: Q. While you were on site on June 27th, I met you and you had interviewed specific persons. Can you tell me who you interviewed? A. The interviews on site were conducted with Mario Rodriguez, Filemon Cendejas who was the Project Manager /Supervisor for K. C. Tiles, Jose Cruz who was an employee of K. C. Tiles & Marble who was on site, Arturo Vallejo who was an employee of K. C. Tiles & Marble who was on site, Ariel Gonzalez who was the General Contractor for Ash -Ann Homes who was on site. Q. In reference to your interview with Filemon Cendejas, can you tell the Board what questions you asked Filemon Cendej as and his answers pertaining to the employment of Jose Cruz and Robert Wiley? A. Specifically, to the question of Jose Cruz, that Jose Cruz had submitted an application at one point to K. C. Tiles and was turned down. He was provided a second application, filled it out, and provided it to Filemon Cendejas who inadvertently failed to take it to the office. Then the incident happened with the lightning strike, at which time he [Filemon Cendejas] subsequently submitted it to the office. As to Mr. Wiley, Filemon Cendejas stated to me that Mr. Wiley showed up on the jobsite on the previous Monday. He was told to go to the office of K. C. Tiles & Marble to fill out an application. Cendejas left the jobsite and went to another jobsite. When he came back, Mr. Wiley was working and he assumed Mr. Wiley had gone to the office, filled out the application, and was given the "okay" to come back. Mr. Wiley worked for the rest of that Monday, Tuesday, and Wednesday until the lightning strike caused his death. Q. At any point in time, were you made aware of any filings for Workers' Compensation insurance made for either Mr. Wiley or Mr. Cruz? A. Yes, I subsequently gained. knowledge that, on the date of the lightning strike, Filemon Cendejas went to the office of K. C. Tiles & Marble and provide the completed application. Subsequently on that date, the application was . submitted to the PEO /Leasing Company for Mr. Cruz, Q. Just to be clear — that was after the accident occurred? A. That was after the accident — correct. Q. Can you explain what is known as a "time stamp ?" A. When an application is provided to a PEO /Leasing Company, it is usually done either by email or by fax. I require them to provide the time - stamps as to when this occurs. Q. And was there time stamp information with this application? A. There was a time stamp with this application. It was somewhere around 5:00 or 5:30 that afternoon which was the day after the incident with the lightning strike. Thank you, Mr. Gumph. 15 January 15, 2014 Chairman White asked the Respondent if he had any questions to ask Mr. Gumph. The Respondent had none. Vice Chairman Lykos: "Mr. Gumph, to the best of your recollection, was there an existing umbrella -type Workers' Comp policy or were all the employees of K. C. Tiles and Marble insured through a PEO? A. All were insured through a PEO. The County's "Case in Chief" was concluded. Chairman White asked Mr. Rodriguez to present his defense. Mario Rodriguez stated: As I stated, Robert Wiley was not our employee at the time and that was not our jobsite. • Mr. Cendejas brought Mr. Wiley there without our knowledge. • He was very aware of our ... how we use staff leasing ... that everybody is supposed to apply and be approved by the staff leasing before they are put to work. I think ... he didn't follow procedures because maybe he had other intentions and we're trying to prove that in Court now. Chairman White questioned the Respondent: Q. You are trying to prove that in the civil action and in the criminal case? A. I believe so, yes. Q. When you say `court,' I believe the only thing I understand that is technically in court is the criminal matter. A. I'm sorry, yes. Q. And there's the civil action with the State agency. A. Yes, in both. Yes. Q. Is there anything else that you have relative to the defense of the Workers' Comp action? A. We did have Workers' Comp coverage through the staff leasing company at the time. We were trying to do the right thing. But it was never submitted ... the application was never submitted ... Mr. Wiley never came in to fill out an application. We didn't even know about Mr. Wiley until after the accident. Q. It's your standard and practice to require employees to fill out an application that is then submitted to staff leasing. Is there also a requirement that the form, once it is completed, is then brought back and turned in to the foreman/supervisor / project manager? Is that your custom and practice? A. It could be ... or directly to the office. Either way, it needs to be submitted to the staff leasing and approved by them. 16 January 15, 2014 Richard Joslin questioned the Respondent: Q. What kind of document verification do you have when you hire an employee that you are going to send to staff leasing that the man, if he shows up at a job, and you want him to go and fill out the paperwork? Who handles making sure that this happens? Is that your supervisor who is supposed to do that? Or do you put that responsibility upon the person who wants to work? A. Both, actually. Mr. Wiley was supposed to come in and fill out the application and it was supposed to be approved before starting to work. Chairman White questioned the Respondent: Q. You have indicated that you do not believe that Mr. Wiley was an employee. What about with respect to Mr. Cruz? A. Well, with Mr. Cruz — it was ongoing because he submitted the application once and it was declined — was something wrong with the date on it. And then he filled it [out] a second time ... where Mr. Cendejas said that he had the application and he was going to bring it back to the office but he never, did or, I mean, ... or he did after the incident. O. So you had the completed application from Mr. Cruz — Mr. Cendejas did — but had not turned it in to staff leasing prior to that? A. Yes, he said he forgot it in his truck. Terry Jerulle questioned the Respondent: Q. Just so I understand. Mr. Wiley and Mr. Cruz were on the job site that day ... A. Yes. Q. ... pouring the concrete beams? A. Forming them, yes. Q. Forming the concrete beams for K. C. Tiles & Marble? A. Well, we weren't even aware of that jobsite at that time. Until after the accident, we weren't aware of that jobsite. Q. I thought you admitted earlier that ... A. I admitted that we did form and pour concrete at Ash -Ann Homes' other job site at 18"' Street. And we did pay a fine for that. Because I wasn't aware that it was not covered under my Masonry license. Q. So you are contending that you had workers on a job site that you were not aware of? A. Exactly, yes. Q And those workers were performing work — forming a tie -beam outside your license? A. Yes. Q. And you are the Qualifier of the company? A. I am. Vice Chairman Lykos questioned the Respondent: Can you tell me, to the best of your recollection, how many days Mr. Wiley and Mr. Cruz were actually working on that jobsite before the accident? N 17 January 15, 2014 A. I think it was — in the statement, it was three days that there were there — since Monday. Monday through Wednesday of that week. Q. The accident occurred on a Wednesday? A. On a Wednesday, yes. Q. Do you acknowledge that Filemon Cendejas was your employee? A. Yes. Q. And it is your testimony today that Mr. Cendejas was responsible for hiring employees for your company? A. Not completely, not without full authorization and not without getting — going through the application process and being approved by the staff leasing company. He was aware of that procedure. Q. So your testimony is that Mr. Cendejas was your employee ... A. Yes. Q. ... and that he had some level of involvement in hiring new employees ... A. Yes. Q. ... but that process extended beyond his job description? A. Correct, yes. Chairman White noted the distinction was important because of the narrative on Exhibit E -42 provided by Mr. Gumph of the Workers' Compensation agency. It stated that Mr. Rodriguez said Filemon Candejas ran the masonry jobs and had the authority to hire and fire employees on behalf of K. C. Tiles and Marble, Inc. Mr. Rodriguez made the distinction that Mr. Candejas had the authority as long as he complied with their policy and procedures to ensure that an application was filed, approved, and Workers' Compensation insurance existed for that person as an employee. Q. Is that correct? A. Yes, it is, sir. Kyle Lantz questioned the Respondent: Q. You are saying you didn't know you had a job at this address? A. Right. Q. Including the block work or just the tiling? A. None of it. We didn't know about that jobsite. Chairman White: "His statement in regards to ... Will his admission for the Scope of Work count on a house at 18th Street ... where the Workers' Compensation issues are on a house that's on 47th Avenue." Kyle Lantz resumed questioning the Respondent: Q. You have admitted that you have done block work and tiling work? A. Yes. 18 January 15, 2014 Q. How do you bill? Do you get money upfront? Do you get draws after the block before you begin the tiling? Do you just wait until the job is complete? How do you do that? A. It could change. Usually, an estimate upfront and payment when the job is complete. Q. An estimate? So you give them an estimate upfront and you don't get a dime until the job is complete? A. Yes.... or ... or sometimes, partially. I'm not completely sure. Q. Okay. So the other job that you did ... that you admitted doing ... how did you bill for that? Did you get a block draw and then a tiling draw or an upfront draw or you got a final payment? A. I can't recall those details. I don't remember. Q. And for this particular job, you never received any payment? A. No. Chairman White: "The one on 476 Avenue ?" Respondent: "Right." Vice Chairman Lykos questioned the Respondent: Q. Did your company sign a contract with Ash -Ann Homes? Did your company have a written contract with Ash -Ann Homes for that project? For the project in question where the accident occurred. (47th Avenue) A. No, we don't. Q. You didn't have a contract for that project? A. No. Terry Jerulle questioned the Respondent: Q. Was Mr. Cruz paid that week by K. C. Tiles and Marble, Inc.? A. I'm not sure. I can't recall. I'd have to find out. Q. How about Mr. Cendejas — was he paid? A. That week? I'm not sure of the details, either. Q. You are the Qualifier of the company? A. Yes, I am. Q. And you're responsible for those aspects of the company? A. Not on a daily basis. But I keep track of, you know, I stay informed. Q. But you don't know if those two people have been paid by K. C. Tiles and Marble for those dates — Monday, Tuesday, and Wednesday? A. Well, no, because we didn't know about that jobsite. We weren't aware of it. Q. I didn't ask if K. C. Tiles & Marble was paid — I asked if K. C. Tiles & Marble paid its employees that week. Chairman White asked if the two men were paid; did their pay include work for the house on 47th Avenue or if it was only for work that may have been performed on 18t' Street for that week. A. I don't have those details. 19 January 15, 2014 Kyle Lantz: "This job now has —I will assume —it's not stalled and the tie -beam has been poured and people have moved on? Am I correct ?" Michael Ossorio: "The homeowner flew in from California and fired Ash -Ann Homes, Inc. He obtained an owneribuilder permit and proceeded with the job." Kyle Lantz questioned the Respondent: Q. The blocks that were installed on the site and the rebar that was installed on the site — who paid for that? A. I don't know. Q. Can you say if it was K. C. Tiles & Marble? A. No, I know it wasn't. Q. So you did not pay for the block? You didn't pay for the rebar? A. No. Q. Typically when you do those jobs, do you supply materials or just the labor? A. It could be either way. The Masonry division that we were doing with Mr. Cendejas was fairly new. It had only been two or three months, I believe. So we didn't have a long, established procedure yet. We were starting to do some work but .... you know .... Q. So the other job you did — did you pay for the materials or just labor? A. I don't recall. I don't recall exactly on that. Q. Do you know much about your business? A. I do ... but ... Richard loslin questioned the Respondent: Q. Was there a contract for the job on 18th Street? Did you have a contract for that job to do that work? A. There was an estimate accepted ... an estimate on that one, yes. Q. And it included the same basic things that you were performing at I Sth ... and you don't know what was performed at 47th ... they were doing the same work? A. Yes. Q. But you had a contract for that job? A. Yes. Chairman White asked Mr. Rodriguez if he had any concluding comments on his defense and the response was,. "No." Reggie Smith questioned the Respondent: Q. How long as Filemon Cendejas been working for K. C. Tiles and Marble? A. A few months, I can't recall exactly the ... it's only been a few months. I don't remember the date exactly ... Q. Maybe about the timeframe of April, 2013? A. It could be. 20 January 15, 2014 Q. The incident took place in late June. Mr. Cendejas' payroll ... Is he paid on a weekly basis as a field supervisor or is he paid by piece work as per job? A. No, he's paid a salary. It's been according to the work flow. I don't believe it's been regular pay. We are trying to get the Masonry division going. We didn't have a steady work flow to be doing regular, weekly pay. Q. Would you estimate that he is working on a weekly basis and getting paid on a weekly or bi- weekly basis for his supervisory application? A. I'm not sure of the details. I just want to clarify something — I don't know some of these details because I haven't been there every day. My father is getting elderly and his health has gone down. For the past year, I have been working on the east coast, taking care of my parents and trying to help him with his business. So I have left those daily details to Mr. Trujillo. That's why I haven't been here every day, so I don't know all the little details. Another thing I want to mention is we're going to be moving, actually some time in the summer — because of the family health situation — to the east coast. It was my intention anyway to cancel these two licenses this year since I'm not directly involved with what's going on every day. That's the reason why I don't know all the details. Kyle Lantz questioned the Respondent: Q. Your project manager — Filemon Candejas — he started working in April and this incident happened in June. And you're saying you don't know how you got the job or if he was doing it as a side job or what the deal was? You just don't know about it? A. Right. Q. Is he — is he still employed by you? A. No. Q. When was his termination? A. Right after the incident. Richard Joslin questioned the Respondent: Q. Who actually hired him? A. Mr, Trujillo. Q. The owner of K. C. Tiles & Marble, Inc.? A. Yes. Michael Ossorio: "We have no more questions for Mr. Rodriguez." The Respondent's Defense was concluded Aprl Gonzalez, Witness for the County, was recalled to testify. He was reminded that he was still under oath. 9 January 15, 2014 Kyle Lantz questioned the Witness: Q. You hired K. C. Tiles & Marble, Inc. to do block work and tie -beam at a previous job. Correct? A. Yes. Q. How did you pay them? A. I paid — full pay. Just one pay at the end of the job. Q. At the end of the job? A. Yes. Q. Did they supply the materials and labor or just the labor? A. Just the labor. Q. And that was the same deal on this particular job — you were hiring them just for the labor? A. Yes, Chairman White: "So on both 18th Street and 47th Avenue — it was the same Arrangement — they provided the labor and you provided the materials, and they were paid at the end? A. Yes, correct. Kyle Lantz resumed questioning the Witness: Q. Who was it that you dealt with at K. C. Tiles & Marble, Inc.? A. Filemon Cendejas. Q. For everything? So for the first job, you handled the contract ... A. Okay. The clients — both are families — the 18th and the 47th.. The family is a friend of mine. And when I talked to Filemon the first time, before I started the first job, I asked him about his company. I have known Filemon for about two or three years. He said he worked for K. C. Tiles & Marble. I talked to the office for K. C. Tiles & Marble before the first job and then we agreed about the prices — just for square feet — for the labor only. Vice Chairman Lykos questioned the Witness: Q. Do you have a written, executed contract with K. C. Tiles & Marble for the home at 1365 47th Avenue? A. No. I just do a verbal agreement. Q. So you don't have any written agreements on that house or ... what about the house on 18th Street? A. In writing? Q. Right. A. No, no, I don't have in writing. Chairman White: "What about the house on 18th Street? Do you have a written contract for the house on 18th Street ?" A. Yes. Did you say — writing? Q. Yes. A. No, no, we don't have nothing in writing. Not on the first and not on the second one. Both are verbal. 22 January 15, 2014 Terry Jerulle questioned. the Witness: Q. On the house on 18'h Street — was that started and completed first? A. Yes. Q. Can you just help me understand -- you had foundation footings? A. Yes. Foundation, blocks, and footings. Q. And K. C. Tiles and Marble did all of that? A. All of that. Q. When they poured the foundation, did you pay them for it? A. No. Q. When they poured the slab, did you play them for the slab? A. No. Q. And they did the block work? A. Yes. Q. Did you pay them for the block work? A. No. Q. They did the tie - beams? A. Yes. Q. And did you pay them? A. All together. Q. You paid all of it at once? A. All together at once. Q. So, the house on 47th Avenue. A. Can I tell you something? Q. Yes, sir. A. When we finished the house on 1 Sth Street, they sent to me invoices and on the invoices it said, "Any questions or anything in regard to the job, just contact our office to Filemon Cendejas." That's why I talked to Filemon Cendejas. Q. Okay. So when the house on 47th Avenue came available and you wanted to hire a subcontractor to do the work, you contacted Filemon? A. Yes. I said is it was the same price we talked about the first time, he said yes, and we started again. Q. They formed and poured. the foundation? A. Yes. Q. They poured the slab? A. Yes. Q. They installed the block? A. Yes. Q. And they were forming the tie -beams when the accident happened? A. Yes. Q. And you were going to pay .... A. When they finished pouring the concrete, they sent me an invoice. Q. And you were going to pay K. C. Tiles and Marble? You were not going to pay Filemon Cendejas? A. I didn't pay to anybody. Q. Because he doesn't have a license? 23 January 15, 2014 A. (nodded affirmatively) Vice Chairman Lykos questioned the Witness: Q. In your dealings, in your contractual relationship with K. C. Tiles & Marble, at any point did you ask K. C. Tiles & Marble for verification of their licenses? A. Yes. But, true, I never received the paperwork. Q. So you asked for license documentation but never received it? A. No. Q. Did you ask for copies of their Workers' Comp .... A. Yes, for everything. I asked for everything. Q. Did you receive copies of their Workers' Comp policy? A. No. No. I didn't have the papers on me. That's why Workers' Comp audited my company. And I paid. Q. Did your company have a Workers' Compensation insurance policy? A. No. Q. Are the owners exempt? A. I am the owner and exempt. I don't contract any workers. Q. How long as your company been in business? A. 2006. Q. And do you have an annual audit from Workers' Comp? A. No. Q. Because you don't have Workers' Comp? A. Because I don't have any workers. Terry Jerulle questioned the Witness: Q. You did not have a written contract with K. C. Tiles & Marble on the house on 18ffi Street, but you had an oral — or implied — contract? A verbal contract? A. A verbal contract, yes. Q. And it was your understand that you still had the same verbal contract — or implied contract — for the house on 47th Avenue? A. Yes. Kyle Lantz: "It's very late on this ... but after all this discussion, but I have had a relationship with Filemon Cendejas and K. C. Tiles & Marble. It was probably four years ago. I just wanted to disclose it. I didn't "put 2 + 2 together" because it was one little, tiny job that I did." Chairman White: "They are not the Respondent. But, thank you. for the disclosure. You don't have, today, any fiduciary interest in the outcome ?" Kyle Lantz: "None at all. But I had hired Filemon Candejas through K. C. Tiles & Marble — three or four years ago. I didn't recognize the name until I looked it up on my cell phone —but I just wanted to disclose it. I never met any of these people before." Chairman White asked James Morey, Counsel to the Board, to outline the criteria concerning "conflict of interest." Attorney. Morey explained: 24 January 15, 2014 • "Form 8 -13" is required by the County to be completed • It is to be used by anyone serving on a municipal board who must abstain from voting on a measure which inures to (i.e., benefits) his/her special, private gain (or loss) ... if you had a financial interest or an ongoing relationship. For example, if someone were to lose his/her license, it could impact your business. • In Mr. Lantz's situation, the contact was in the distant past and it was relatively minor. Mr. Morey concluding by stating it would not be necessary for Mr. Lantz to file a "Form 8 -B." Vice Chairman Lykos questioned the Witness: Q Is it your understanding that Filemon Cendejas was a representative of K. C. Tiles & Marble, Inc.? A. Yes. Q. Is it also your understanding that you were to negotiate and work directly with Mr. Cendejas in your relationship with K. C. Tiles & Marble, Inc.? A. Yes. Q. Is it also true that you received paperwork from the office of K. C. Tiles & Marble referring you to Mr. Cendejas with regard to your relationship with K.-C. Tiles & Marble? A. Correct. Q. Is it also your testimony, sir, that in your relationship with K. C. Tiles & Marble, that you would negotiate with Mr. Cendejas, that you would have a verbal agreement with Mr. Cendejas which contracted you and K. C. Tiles & Marble. and at the end of the work, you would then pay for the work that was completed? A. Yes. Chairman White verifying there were no additional questions or witnesses to be heard.. Michael Boyd asked if K. C. Tiles & Marble, Inc. had renewed its licenses with the County. Michael Ossorio responded that K. C. Tiles & Marble and the Qualifier, Mario Rodriguez, were in suspended status because the license had not been renewed. But Mr. Rodriguez could renew his license if he so chose. Vice Chairman Lykos verified the license would be considered "suspended" until the end of 2014. Mr. Rodriguez could renew his license at any point during the next 11 months. Mario Rodriguez stated he did not intend to renew either license because he will be moving. He did not cancel his licenses due to the current legal proceedings. Richard Toslin moved to approve closing the Public Hearing. Vice Chairman Lykos offered a Second in support of the motion. Carried unanimously, 9 — 0. 25 January 15, 2014 Chairman White asked the Board's Attorney to present the Charge. Attorney Morey outlined the Charge to the Board: • The Board shall ascertain in its deliberations that fundamental fairness and due process were accorded to the Respondent. • That, pursuant to Section 22- 203(g) (5) of the Codified Ordinance, the formal Rules of Evidence set out in Florida Statutes shall not apply. • The Board shall consider solely the evidence presented at the Hearing in its deliberation of the matter. • The Board shall exclude from its deliberations irrelevant, immaterial, and cumulative testimony. • The Board shall admit and consider all other evidence of a type commonly relied upon by reasonably prudent persons in the conduct of their affairs, whether or not such evidence would be admissible in a Court of Law. • Hearsay evidence may be used to explain or supplement any other evidence but hearsay, by itself, is not be sufficient to support a Finding unless such hearsay would be admissible over objection in a civil action in Court. • The Standard of Proof in actions where a Respondent may lose his/her privileges to practice his/her profession is that the evidence presented by the Complainant must prove the Complainant's case in a clear and convincing manner. • The Burden of Proof on the Complainant is a larger burden than the "Preponderance of Evidence" standard set in civil cases. • The Standard of Evidence is to be weighed solely as to the charges set out in the Complaint. • The only charges the Board may decide upon are the ones to which the Respondent has had an opportunity to prepare a defense. • The damages awarded by the Board must be directly related to the charges. s The decisions made by the Board shall be stated orally at the Hearing and are effective upon being read, unless the Board orders otherwise. • The Respondent, if found guilty, has certain appeal rights to the Contractors' Licensing Board, the Courts, and the State's Construction Industry Licensing Board ( "CILB "), if applicable. • The Board shall vote upon the evidence presented in all areas and if the Respondent is found in violation, shall adopt the Administrative Complaint. • The Board shall also make Findings of Fact and Conclusions of Law in support of the charges set out in the Complaint. Chairman White opened the floor to discussion. 26 January 15, 2014 Chairman White stated: • Regarding Count I of the Administrative Complaint pertaining to contracting outside the Scope of Work, it seemed clear based both on the evidence and the admission of the Respondent, that a finding of guilty would be appropriate. • Regarding Count II, disregarding or violating the laws of the State pertaining to Workers' Compensation insurance. The Respondent stated as his defense that there was no contract, there were no employees. The County's case and the witness indicated that the pattern and practice of how business was conducted for K. C. Tiles and Marble allowed oral or verbal arrangements, payments were subsequently made at the completion of jobs. Barring the tragic accident, that is what would have happened for the residence at 47t' Avenue. Richard Joslin agreed there was a verbal, implied contract for both jobs. There was no written contract but the men were on the jobsite. Someone knew those men were on the job and hired them. Mr. Gonzalez stated he paid K. C. Tiles & Marble for the first job (18th Street). Discussion ensued concerning whether or not the Board had jurisdiction to enter a judgment in lieu of the pending action in Criminal. Court and the Administrative proceeding with the State's Worker's Compensation division. Attorney Morey confirmed the Board could make a determination based on the evidence presented and the testimony heard by the members. Vice Chairman Lykos moved to approve finding the Respondent guilty as to Count I of the County's Administrative Complaint. Richard Joslin offered a Second in support of the motion. Carried unanimously, 9 -0. Vice Chairman Lykos moved to approve finding the Respondent guilty as to Count H of the County's Administrative Complaint Kyle Lantz offered a Second in support of the motion. Carried unanimously, 9 -0. Attorney Morey noted the Board found the Respondent to be guilty and the Respondent is a Collier County licensed Contractor. He holds two licenses: Tile and Marble Contractor (License #19105) and Masonry Contractor (License 921273.) He stated if the Respondent is the holder of Collier County Certificate of Competency and has been found to be guilty, the Contractors' Licensing Board may, but is not required to, impose any of the following Sanctions, either alone or in combination: (1) Revocation of a Collier County (or City) Certificate of Competency, (2) Suspension of a Collier County (or City) Certificate of Competency, 27 January 15, 2014 (3) Denial of the issuance or renewal of a Collier County (or City) Certificate of Competency, (4) Imposition of a period of probation, not to exceed two years in length, during which time the Contractor's contracting activity shall be under the supervision of the Collier County Contractors' Licensing Board, (5) Imposition of a fine not to exceed $5,000, (6) Issuance of a public reprimand, (7) Requirement for re- examination or participation in a duly - accredited program of continuing education directly related to the Contractor's contracting activity, (8) Recovery of reasonable investigative costs incurred by the County for the prosecution of the violation, and (9) Denial of the issuance of Collier County or City building permits or requiring the issuance of such permits with specific conditions. Attorney Morey further advised the Board that, when imposing any of the possible Disciplinary Sanctions on a Contractor, the Contractors' Licensing Board may consider all the evidence presented during the Public Hearing as well as: (1) The gravity of the violation; (2) The impact of the violation on Public Health/Safety or Welfare; (3) Any actions taken by the violator to correct the violation(s); (4) Any previous violations committed by the violator, and (5) Any other evidence presented at the Hearing by the parties relevant to the Sanction which is appropriate for the case, given the nature of the violation(s) or the violator. Michael Ossorio stated the County had spent several weeks on the case and incurred administrative costs of $1,000. per Count for a total of $2,000. Recommendations: Revocation of Mr. Rodriguez' Certificates of Competency (Tile and Marble; Masonry) ® A fine of $5,000 per Count Public Reprimand Richard Joslin moved to approve imposing the following Sanctions with regard to Mario Rodriguez, d1h1a K. C. Tiles and Marble, Inc.: o Payment of a fine in the amount of $10,000; ® Payment of the Administrative Costs incurred by the County in the amount of $2,000; Revocation of Mr. Rodriguez Is Tile/Marble Contractor's License #19105 and his Masonry Contractor's License #21273; and Issuance of a Public Reprimand Vice Chairman Lykos offered a Second in support of the motion. Carried unanimously, 9 — 0. WN January 15, 2014 Chairman White outlined the Findings of Fact: • The Respondent, Mario Rodriguez, is the holder of record of two Collier County Certificates of Competency: #19105 (Tile /Marble Contractor) and #21273 (Masonry Contractor) • The Board of County Commissioners, Collier County, Florida, Contractors' Licensing Board is the Petitioner (Complainant) in this matter. • The Board has jurisdiction of the person of the Respondent. • Respondent, Mario Rodriguez, was present at the Public Hearing and was not represented by Counsel at the Hearing held on January 15, 2014. • All notices required by Collier County Ordinance 90 -105, as amended, had been properly issued and were personally delivered. • Based on the evidence presented, the Respondent acted in a manner that is in violation of Collier County Ordinances and is the one who committed the act. • The allegations of fact as set forth in Administrative Complaint as to: • Count I, under Section 22- 201(2) of Ordinance 490 -1.05, as amended: "Contracting to do any work outside the scope of his /her competency as listed on his /her Competency Card and as defaned in this Article or restricted by the Contractors' Licensing Board" and • Count II, under Section 22- 201(6) of Ordinance #90 -105, as amended: "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, " were found to be supported by the evidence presented at the Hearing. Conclusions of Law: • The Conclusions of Law alleged and set forth in the Administrative Complaint as to Count I and Count II were approved, adopted and incorporated herein, to wit: The Respondent violated Section 22- 201(2) of Collier County Ordinance 90 -105, as amended, regarding Scope of Work, and Section 22- 201(6) regarding the Workers' Compensation violation. Order of the Board. • Based upon the foregoing Findings of Fact and Conclusions of Law, and pursuant to the authority granted in Chapter 489, Florida Statutes, and in Collier County Ordinance 90 -105, as amended, by a vote of nine (9) in favor and none (0) in opposition, a majority vote of the Board members present, the Respondent has been found in violations as set out above. • Further, it is hereby ordered by a vote of nine (9) in favor, and none (0) in opposition, a majority vote of the Board members present, that the following disciplinary Sanctions are hereby imposed upon Mario Rodriguez, the holder 29 January 15, 2014 of Collier County Certificates of Competency 419105 (Tile /Marble Contractor) and #21273 (Masonry Contractor), to wit: • Payment of a fine in the total amount of $10,000; • Reimbursement of the Administrative Costs incurred by the County in the total amount of $2,000; • Revocation of Mr. Rodriguez's Tile /Marble Contractor's License #19105 and his Masonry Contractor's License #21273; and • Issuance of a Public Reprimand. Chairman White noted the case was closed. Chairman White advised the Respondent if he chose to appeal the Board's decision, he must obtain a verbatim record of the proceedings, (Terry Jerulle and Ronald 1Donino left @ 11:44 AM. (Quorum was maintained — 7 voting members) BREAK: 11:45 AM RECONVENED: 11:55 AM B. Case #2014 -02: BCC vs. Seth B. Hollander, dib /a "Hollander Construction Company, Inc." Chairman White noted Mr. Hollander had been present during the previous Hearing and heard the recitation of how the proceeding was to be conducted. He asked the County to place its information packet into evidence. Richard Joslin moved to open the Public Hearing in Case No. 2014 -02: The Board of County Commissioners vs. Seth B. Hollander, d/b /a "Hollander Construction Company, Inc.," License #201300000579, and to enter the information packet into evidence as County's Exhibit "1." Vice Chairman Thomas Lykos offered a Second in support of the motion. Carried unanimously, 7 -- 0. Thomas Keegan, Licensing Compliance Officer, presented the County's "Opening Statement:'' e The Respondent is Seth B. Hollander, d/b /a " Hollender Construction Company, Inc.," a suspended Excavation Contractor, Suspended License 4210300000579. O Mr. Hollander was cited for violating Collier, County Ordinance 90- 105, as amended, Section 22- 201(6): "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, " 9 January 15, 2014 • On Friday, December 20, 2013, a complaint was received fxom Palermo Pavers, Inc., regarding the installation of pavers at 12823 Valewood by Hollender Construction Company. • A site inspection was conducted and the excavation of a driveway was observed. • Two individuals identified themselves as Wayne Boswell and Hugh Campbell and stated they were employed by Hollender Construction Company, Inc. They began working for the company on Monday, December 16, 2013. • When asked, the men stated they had not completed any employment applications for the company. • Research conducted indicated the Workers' Compensation insurance policy for Hollender Construction had been cancelled on October 5, 2013. o Seth Hollander was contacted.; he stated the two men were employed by Hollender Construction and that he had insurance coverage for them. He was advised that the Workers' Compensation policy had been cancelled, and was requested to come to the jobsite. • The homeowner was contacted; he verified that he hired The Construction Managers, Certified General Contractors. John Varsames was the Qualifer. • Mr. Varsames was contacted; he stated he subcontracted the excavation portion of the project to Hollender Construction. Mr. Varsames was advised that the subcontractor did not have Workers' Compensation coverage for his employees. • Jack Gumph, Senior Compliance Investigator — Division of Workers' Compensation, came to the jobsite and confirmed that Policy #10652685 had been cancelled for non - payment of the insurance premium. • Mr. Hollender arrived at the jobsite. He was advised he could no longer continue to work on the project due to the lack of Workers' Compensation coverage for his two employees. He was requested to meet Investigator Keegan at the Contractors' Licensing Office at a later time. • John Varsames and the homeowner were advised of the situation. ® Mr. Hollender admitted that he knew the Workers Compensation policy had been cancelled and was served a Notice of Hearing to appear before the Contractors' Licensing Board on January 15, 2014 for violating the probation ordered by the Board on October 16, 2013. • Mr. Hollander's license as an Excavation Contractor was suspended by Michael Ossorio, Contractors' Licensing Office Supervisor. Seth Hollender presented his "Opening Statement:" • He admitted the County's complaint for failure to obtain Workers' Compensation coverage was true. 31 January 15, 2014 He claimed it was an administrative oversight on his part and as soon as he was aware of the cancellation in late November, he began the process to reinstate the policy. • He was audited by the State and it took approximately 21/2 to obtain the results before the policy could be reinstated. The Workers' Compensation policy was reinstated through Florida Citrus, Business and Industries Fund on Monday, December 23ra Thomas Deegan added Mr. Hollander was issued a "Stop Work" Order by the State of Florida on December 20, 2013 for failure to obtain Workers' Compensation coverage. The "Stop Work" Order remained active and had not been cleared. Chairman White clarified that prior to being notified of the alleged violation, the Respondent had begun the process correct the situation and reinstate the Workers' Compensation policy. Seth Hollender: "Yes, sir." He confirmed the State - issued "Stop Work" Order was still active based on the insurance audit. Vice Chairman Lykos questioned the Respondent: Q. You claim that ... When did you become aware that your policy had been cancelled? A. The end of November. Q. How were you notified? A. My insurance agent. Q. That appears to be more than thirty days after the policy was actually cancelled. The policy was cancelled on October 5, 2013 due to non - payment of premium. A. That's correct. Q. Were you aware that you hadn't paid the premium? A. It was an' oversight on my part. Q. So, you didn't pay the premium - -- you didn't know you hadn't paid the premium. So you didn't know that you policy had terminated on October 5th because you didn't know you hadn't paid the premium? A. That is correct. Q. And then you were finally notified at the end of November by your insurance agent that your policy was cancelled. A. That it may not have been cancelled but I needed to contact them immediately in order to either continue the policy or pay them what was still owed on the back payments to keep the policy active or to then go through the proceedings to re- instate the policy. Q. Let me restate my question. When did you become aware that your policy had been cancelled? 32 January 15, 2014 A. It was the end of November — early December. Within the first few days of December. Q. According to the testimony provided to Mr. Keegan on site, the two employees — Mr. Boswell and Mr. Campbell — were both hired and started working for you on or about December 16`h? A. That's correct. Q. You hired two new employees and put them on a job site, knowing that your policy had been cancelled? A. That was in the process of being reinstated. Q. It's a "yes" or "no" question, sir. A. Yes, six. Q. Thank you. Richard Joslin questioned the Respondent: Q. Do you have an idea, sir, why Mr. Lykos asked his questions? Why, if you knew your policy was cancelled in November, did you put two new employees on the job in December? You just stated in your testimony that you knew your policy was cancelled. A. I did. Q. You began the process of putting it back together again but ... A. That's correct. Q. ... knowing that it wasn't, you still chose to put two men on the job. A. I did. Q. Okay. A. I don't have any excuses. Q. No excuse ... no answer. A. There isn't an excuse. Chairman White asked if the County had incurred any Administrative costs. Michael Ossorio replied the total amount was $525.00. It was noted if there was a finding of a violation and a decision to impose Sanctions, reimbursement of the costs would be included in-the Board's Order. Vice Chairman Lykos moved to close the Public Hearing.. Michael Boyd offered a Second in support of the motion. Carried unanimously, 7 — 0. Chairman White called for discussion on a finding of a violation. (No discussion.) Vice Chairman Lykos moved to approve finding the Respondent guilty as to Count I of the County's Administrative Complaint. Gary McNally offered a Second in support of the motion. Carried unanimously, 7 — 0. Attorney Morey reminded the Board of the existing Order which had been issued in October, 2013 which placed Mr. Hollender on probation. 33 January 15, 2014 Attorney Morey noted the Board found the Respondent, Seth Hollander, to be guilty and he is a Collier County licensed Excavation Contractor, License #20130000057. He stated the Board may revisit the terms and conditions of the existing Order as well as impose any of the following Sanctions, either alone or in combination: (1) Revocation of a Collier County (or City) Certificate of Competency, (2) Suspension of a Collier County (or City) Certificate of Competency, (3) Denial of the issuance or renewal of a Collier County (or City) Certificate of Competency, (4) Imposition of a period of probation, not to exceed two years in length, during which time, the Contractor's contracting activity shall be under the supervision of the Collier County Contractors' Licensing Board, (5) Imposition of a fine not to exceed $5,000, (6) Issuance of a public reprimand, (7) Requirement for re- examination or participation in a duly- accredited program of continuing education directly related to the Contractor's contracting activity, (8) Denial of the issuance of Collier County or City building permits or requiring the issuance of such permits with specific conditions, and (9) Recovery of reasonable investigative costs incurred by the County for the prosecution of the violation. Attorney Morey further advised that, when imposing any of the possible Disciplinary Sanctions on a Contractor, the Contractors' Licensing Board may consider all the evidence presented during the Public Hearing as well as: e The gravity of the violation; The impact of the violation on Public Health/Safety or Welfare; 0 Any actions taken by the violator to correct the violation; o Any previous violations committed by the violator, and e Any other evidence presented at the Hearing by the parties relevant to the Sanction(s) which is appropriate for the case, given the nature of the violation or the violator. Michael Ossorio noted Seth Hollender's license was suspended pursuant to the previous Order of the Board, issued on October 16, 2013. Mr. Hollender was ordered to pay a fine in the amount of $500 /per month for the previous violation (total fine: $2,500). He has continued to make the installment payments and fulfill 34 January 15, 2014 his obligations. Mr. Ossorio further stated the Stated Construction Industry Licensing Board { "CILB ") will be notified of the proceedings and the Board's decision. He stressed notification to the State was important to prevent any Respondent from applying to become a State - Certified Contractor even though his/her license had been suspended locally. Recommendations: {1} Suspension/revocation of Mr. Hollender's Certificate of Competency for a period of one year; and (2) Mr. Hollender must continue to pay the previously imposed fine in the amount of $500 per month as well as any other fees and fines; It was noted the State's Workers' Compensation Division may assess a penalty because Mr. Hollender allowed his employees to work while the insurance coverage had lapsed. Mr. Hollender will be required to pay an additional premium for the reinstated policy. Vice Chairman Lykos: • By allowing the Workers' Compensation policy to lapse, Mr. Hollender put his employees and the property owner at risk; • It is the Contractor's responsibility to ensure that his/her employees are protected at all times; Suggested 'imposing a second fine in the full amount of $5,000; • Agreed the revocation period should be one year. Chairman White asked the Board's Counsel if a revocation could be imposed with a time limit. He asked if it would be possible for the Board to state it would not entertain an application from Mr. Hollender for at least one year. Attorney Morey stated the Board had the authority to impose a reasonable condition on any Sanction. "If it's revoked, it's revoked. The Board can certainly send a clear message concerning its expectations." Vice Chairman Lykos noted if the Board "suspended" Mr. Hollender's license, it would have the intended effect, i.e., he would have to re -apply to the Board at a future date and the suspension would be noted "on the record" for one year. But if the license was "revoked," it would be gone and Mr. Hollender could go to another jurisdiction and apply for a new license. Michael Ossorio confirmed after a period of one year, Mr. Hollender could choose 35 January 15, 2014 to petition the Board for reinstatement of his license. If he did not, the license would become null and void. He further stated if the license is suspended for one year, Mr. Hollender must pay all imposed fines and penalties before he could submit a full application to the Board for a Hearing on the suspension. Chairman White noted: Mr. Hollender is currently under a 24 -month probation; • His permit - pulling privileges have been suspended; • He must continue to make the payments of the fines imposed under the prior Order of the Board; He is to take and pass the Business Procedures Exam within six months of the issuance of the prior Order; and • If he violates any of the terms of the prior Order, he must appear before the Board at a Hearing. Michael Ossorio clarified Mr. Hollender does not have an active license and cannot work. He explained even if the State rescinded the "Stop Work" Order because the Workers' Compensation coverage was reinstated, Mr. Hollender still could not accept any jobs. He further stated if the Board chose to -suspend his license, the suspension could run concurrently with the previous Order, i,e., two years from October 16, 2013. Robert Meister asked what would. happen if Mr. Hollender were "caught" working during the next year with a suspended license. Michael Ossorio stated he would be fined $1,000 for a first offense; $2,000 for a second offense, and if there were a third offense, the County Attorney' s. Office could . pursue criminal charges. Attorney Morey stated Mr. Hollender could not work as a Contractor or subcontractor but he could work as an employee of a licensed, qualified company. Seth Hollender asked if he would be prevents from having someone else qualify his business. Michael Ossorio replied he could own a business but could not serve as the Qualifier of that business. The Qualifier would submit an application and appear before the Board for a full review. Chairman White stated, prior to making a decision, he tests whether the violation was inadvertent or intentional. In the prior case, the intention may have been inadvertent. In the current case before the Board, he is considering a severe fine. Vice Chairman Lykos moved to approve imposing the following disciplinary Sanctions: Imposing a fane of $5,000 to be paid in full by December 31, 2014, 36 January 15, 2014 Suspending his license for a period of 21 months, ending on October 16, 2015; .Requiring reimbursement to the County for Administrative costs incurred in the amount of $525; Continuation of the previous Order requiring payments to be made for three more months. Chairman White restated the Mr. Lykos' motion: • To suspend the Respondent's license until the end of the probationary period under the prior Order, i.e., October 16, 2015; Imposing a fine of $5,000 to be paid by December 31, 2014; Payment of the Administrative Costs incurred by the County in the amount of $525 within 90 days of the issuance of the Board's Order. If reimbursement to the County is not made within the 90 -day period, the Respondent must appear before the Board at a Hearing; Issuance of a public reprimand Michael Ossorio clarified if the Respondent complies with the terms of both Orders and all fees /fines are paid in full by January 1, 2015, Mr. Hollender may petition the Board for a Hearing on his suspension any time after October 16, 2015. Vice Chairman Lykos suggested that if Mr. Hollender chooses to petition the Board, that he present a complete plan detailing how he intends to manage his business in compliance with the Collier County's Ordinances. Chairman White asked the Respondent if he understood the Board's discussions and decision. Seth Hollender replied he fully understood. Chairman White offered a Second in support of the motion and called for a vote. Motion carried, 6 — "Yes "/I — "No." Richard Joslin was opposed. Chairman White outlined the Board's Order: • This Cause came on for Public Hearing before the Contractors' Licensing Board on January 15, 2014 for consideration of the Administrative Complaint in Case #2014 -02 filed against the Respondent, Seth B. Hollander, d/b /a "Hollander Construction Company, Inc." the holder of record of Collier County Certificate of Competency Number 201300000579. • Service of the Complaint was consistent with the requirements of Collier County's Code of Laws and Ordinances. • The Board heard testimony under oath, received evidence, and heard arguments respective to all appropriate matters, and issued the following Findings of Pacts and Conclusions of Law. 37 January 15, 2014 Findings of Fact: • The Respondent, Seth B. Hollender, is the holder of record of Collier County Certificate of Competency: #201300000579 (Excavation Contractor). • The Board of County Commissioners, Collier County, Florida, Contractors' Licensing Board is the Petitioner (Complainant) in this matter. • The Board has jurisdiction of the person of the Respondent. • Respondent, Seth B. Hollender, was present at the Public Hearing and was not represented by Counsel at the Hearing held on January 15, 2014. « All Notices required by Collier County Ordinance 90 -105, as amended, had been properly issued and were personally delivered. • Based on the evidence presented, the Respondent acted in a manner that is in violation of Collier County Ordinances and is the one who committed the act. • The allegations of fact as set forth in Administrative Complaint as to: o Count 1, under Section 22- 201(6) of Ordinance #90 -105, as amended: "Disregards or violates, in the performance of his /her contracting business in the County, any of the building, safety, health, insurance, or Workers' Compensation laves of the State or Ordinances of this County, " was found to be supported by the evidence presented at the Hearing in a clear and convincing manner. Conclusions of Law: • The Conclusions of Law alleged and set forth in the Administrative Complaint as to Count I were approved, adopted and incorporated herein, to wit: The Respondent violated the aforementioned Section of the County Code in the performance of his contracting business by action in violation of that Section, as set forth in the Complaint. Order of the Board: • Based upon the foregoing Findings of Fact and Conclusions of Law, and pursuant to the authority granted in Chapter 489, Florida Statutes, and in Collier County Ordinance 90 -105, as amended, by a vote of seven (7) in favor and none (0) in opposition, a majority vote of the Board members present, the Respondent has been found in violation as set out above. Further, it is hereby ordered by a vote of six (6) in favor, and one (1) in opposition, a majority vote of the Board members present, that the following disciplinary Sanctions are hereby imposed upon the Respondent, Seth B. Hollender, to wit: o Suspension of the Respondent's license until the end of the Probationary period in the prior Order, i.e., October 16, 2015; o Imposition of a fine of $5,000 to be paid the end of Calendar Year 2014; IT January 15, 2014 o Payment of the Administrative Costs incurred by the County in the amount of $525 within 90 days of the issuance of the Board's Order. o If reimbursement to the County is not made within the 90 -day period, the Respondent must appear before the Board at a Hearing; o Issuance of a public reprimand. Chairman White noted the case was closed. IX. REPORTS. • Michael Ossorio noted a new Citation process, effective January 1, 2014, will impose the following fines: • First Offense: $1,000 • Second Offense: $2,000 • Referred to the State's Attorney's Office • Several Citations have been written (IS` Offense) • One Citation (2nd Offense) was issued and the $2,000 fine was paid • Feedback from Investigators in the field has been positive • If an application for a license is made within 45 days of the Citation, the fee will be reduced to $300 X. MEMBER COM ANTS: (None) XI. NEXT MEETING DATE: Wednesday, February 19, 2014 BCC Chambers, 3rd Floor — Administrative Building "F," Government Complex, 3301 E. Tamiami Trail, Naples, FL There being no further business for the good of the County, the meeting was adjourned by the order of the Chairman at 12:50 PM. COLLIER COUNTY CONTRACTORS LICENSING BOARD 39 Patrick White, Chairman The Minutes were approved by the Chairman on "as submitted" [ J OR "as amended" [_]. 1111 January 15, 2014 2014, A� O CERTIFICATE OF LIABILITY INSURANCE DATE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE: A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed, if SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certiNcate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Alliance Insurance Solutions, LLC. ID:(DirectHR) C/o ICIA 1855 West State Road 434 Longwood, FL 32750 CONTACT NAME: PHONE 42 .13 IAIC No): ]1$ 8-7933.... E -MAIL AQ RESS: ve.gonzig L27(>�IOaUI Qm INSURE S AFFORDING COVERAGE NAiC q INSURER A: $QQ=aW INSURED Direct HR Services, Inc. PO Box 1367 Holmes Beach FL 34218 INSURER B: Aspen Re .1_ondon ..,; jest Rating "A" INSURERC: Catin Syndicate - IQyds - Best Rating INSURER D: Brit Syndioty - Uo - -dS - Be$ In " INSURER E S INSURERF: rr nwoc�. $ COVERAGES THIS INDICATED, CERTIFICATE EXCLUSIONS INSR LTR IS TO CERTIFY THAT THE POLICIES NOTWITHSTANDING ANY REQUIREMENT, MAY BE ISSUED OR MAY PERTAIN, AND CONDITIONS OF SUCH POLICIES. TYPE OF INSURANCE GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY OF INSURANCE ADDL THE S B 385a I au r r r v LISTED BELOW HAVE BEEN TERM OR CONDITION OF ANY INSURANCE AFFORDED BY LIMITS SHOWN MAY HAVE BEEN REDUCED POLICY NUMBER ISSUED TO CONTRACT THE POLICIES BY POLICY EFF MM1DD/YYYY THE INSURED OR OTHER DOCUMENT DESCRIBED PAID CLAIMS, POLICY EXP MMIDQIYI'YY —- NAMED ABOVE FOR THE POLICY PERIOD WITH RESPECT TO WHICH THIS HEREIN IS SUBJECT TO ALL THE TERMS, LIMITS EACH OCCURRENCE DAMA Tp ��ENTEO PRIMES Ea occurrence $-� CLAIMS-MADE M OCCUR MED EXP (Any one parson) S PERSONAL &ADV INJURY $ GENERAL AGGREGATE $ PROIIUCTS • COMPlpP AGG $ GEN'L AGGREGATE LIMIT APPLIES PER; POLICY PRO- LO AUTOMOBILE LIABILITY ANY AUTO ALL OWNED F7 SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS ti AUTOS NE acel ld p SINGLE LIMIT $ $ --- BODILY INJURY (Per person) $ BDDILY INJURY (Per accident) $ PROPERTY AMAGE per accident $ $ $ VMBRELLA IA OCCUR EACH OCCURRENCE $ AGGREGATE $ �� EXCESS LIAR CLAIMS -MADE DED RETENTION$ $ A B C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNEWEXECUTIVE OFFICERIMEMSER EXCLUDED? a (Mandatory In NH) N yes, describe under DESCRIPTION OF OPERATIONS below Workers Compensation Excess Coverage N J A WCPE0000010903 WCPEODDOO109 02 2!1/2014 2/1/2013 2/1/2015 2/112014 WC STATU• 0 - 3 TORYLIMiTS E.L. EACH ACCIDENT S 1,000,000 E.L DISEASE - EA EMPLOYEE $ 1.000.00 £.L. DISEASE - POLICY LIMIT $ 1,000,000 This is for informational purposes and nothing shaft create any right under such reinsurance. DESCRIPTION OF OPERATIONS 1 LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Coverage provided for all leased employees but not subcontractors of: The Construction Managers, Inc. Location Effective: 7/30/2013 ohn theconstructionmana ers.com HPJIaw embar mail.com CANCELLATION CERTIFICATE HOLDER 927 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE arder Construction THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Holt Seth Holstrder ACCORDANCE WITH THE POLICY PROVISIONS. HoN 2681 Airport Road S. #103 AUTHORIZED REPRESENTATIVE Naples FL 34112 Glen J Distefano ._ enoo_onen ArrnRn r-nRt3nRATIhN All rirrhts rpsprvad. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD CERT 100.: 19277775 Laurie McCormick -�- EXHIBIT "4" i , February 28, 2014 Collier County Contractor Licensing Board 2800 North Horseshoe Drive Naples, FL. 34104 Dear Board Members, Due to the slowdown in the local construction industry and a mutual split from my partners, I closed down my prior company, Marco Island Construction Corp. I partnered with my wife in Real Estate sales here in Collier County with the plan to go back into business as a General Contractor when things improved. I continued with keeping my state registration valid but mistakenly did not do so with my Collier County license. I had postponed reactivating my license until now because I wanted to wait until I was in a position financially to exclusively operate my company. S1 e ly�pu r�, Christopher L. Adams C ' OCT* Al A. CDES Operations & Regulatory Management Licensing Section- 2800 North Horseshoe Drive Naples, FL 34104 APPLICATION FOR COLLIER COUNTY /CITY OF NAPLES /CITY OF MARCO FIRM INSTZJCTIONS: This application must be typewritten or legibly printed. The application fee must accompany, this application. The fee 'is not refundable after the application has. been accepted and entered on the records. All checks should be made payable to the Board of Collier County Commissioners. For further information, consult Collier County Ordinance No. 90 -105, as amended. NAME OF COMPANY. Exact Corporate /Business Name: C-� _ B (--S- -C H CO 5 k 0 � �-�p (,1t--s LC._C . Fiction Name /DBA: Qualifier Name: CFt 2 k Si Physical Address: -7 -7 V I ok7 4\) O b 0- , �� S T-,:: C (Number 8v Street) (City) (State) (Zip Code) Mailing Address: 1 a- `7 :D, A v r C, r2 ^; PS c-E� i =L , 3 `I 10 (Number & Street) (City) (State) (Zip Code) Telephone: ci - `j C)- ` E -Mail: C--k r"k S 0-so-m S 5 13 CC TYPE OF LICENSE: General $230.00 ❑ Electrician $230.00 Building $230.00. ❑ Residential $230.00 ❑ Mechanical $230.00 ❑ Roofing $230.00 Specialty trade: CHANGE OF STATUS: (>C) Reinstatement (jU From One Business to Another Page 1 of 4 ❑ Plumber ❑ Air Cond. ❑ Swimming Pool ❑ Specialty $230.00 $230.00. $230.00 $ 205.00 REINSTATEMENT FEE $230.00,' 3 BACK YEARS $435.00 LATE FEES $180.00- - NEW LICENSE FEE $230.00: TOTAL = $1075.00 n C� The names, titles, home address and phone numbers of all Officers /Managing Members of the Firm. 0_ t-k-t s-ro t� v+t=--) _ L R--,:>r-tm s I �- '7_q AAj t A-N o v� 2 . t=1 3HI0 S_ — Z3`1 - `iay -5136 2. List all businesses, firms, entities or contracting businesses you have been associated with during the last ten years (ex. Held a license for or been a partner). Attach extra pages if needed. M �-2G c� t� •U co r� s-rQ �� c-r� c ate, Co F? _ 3. List all debts you or any company(s) - associated with you refused to pay and the reasons for the refusal to pay. Attach extra pages if needed. I\j0NE AFFIDAVIT I, ��✓�� C certify that the foregoing is nd correct to the best of wledge. A orized Officer of the Firm STATE OF FLORIDA COUNTY OF' q-J The foregoin Instrument as acknowledged before me this By �3 4 d a of i (Name of officer, title/agent) / (uate) T �3 e - 7 1-r-- i-1 &1) S i o (Name of Corporation) a � D GC-1 D� Corporation on behalf of the corporation. (State or Place of Corporation) He /She has- produced eGG%hR ]4 identfication and-did not take an oath. (Type of dentification) NOTARY'S SEAL JAN K HARRISON NOTARY PUBLIC �STATE OF FLORIDA � :z! STATE DD988942 ��'��E 19�� Expires 5/5/2014 rage L of 4 'ti C QUALIFIER INFORMATION: Name: t-1-(Z 1 SZ� ►-���_ Address: C �__7 I oc,,� (Number & Street) Telephone: 2 3 9- `-i t-' (-( S 13 0 S.S. #: 000-00 - Driver's License: L XbP7rn- S -C> 2 . f-C- . O (City) (State) (Zip Code) Date of Birth: 02-- O S - 1 g (o -J E -Mail: r i S C-&am S `3 i .3 b %- yS - D `/c —ln -C-0r") 1. Type of Certificate of Competency for which application is made. G E- Q e-y2-P�- L 2 2. The names and telephone numbers of two persons who will know your whereabouts. A- ^S Z3 - 9 C % y - q -7 (o � Pn' S 2-3 Ci - .Z L -7 - ( D 7 C;� 3. Have you ever been convicted of a crime related to Contracting? (If yes attach extra sheet with explanation) ND 7. Have. you or any firms you have been associated with ever filed bankruptcy? "O 8. List all debts you or any company(s) associated with you refused or failed to pay and reasons why. two t-)� 9. List your business or work experience during the past ten years. C) �� r� �(L_ / p (L i� �-a.)" + 1�1 C O c 5 Prn� CO -J CO t i I t—E -t t 10. Statement of any formal training you have had in the area for which the application is made. q - y - S Lim o OLc fL- /C_4N_�_�> Z_ C'�S�ZuLTICti s����ZirvTEND��V1 — y C� S tz�"� t s" i�-2 �'1� G�� �-,rL tt__� Ca �: -, ,2 � •7--� f - AFFIDAVIT The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County Ordinance No.. 2006 -46, as amended, and vouches for the truth and accuracy of all statements and answers herein contained. The undersigned hereby certifies that he is legally qualified to act on behalf of the business organization sought to be licensed in all matters connected with its contracting business and that he has full authority to supervise construction undertaken by himself or such business or organization and that he will continue during this registration to be able to so bind said business organization. The qualified license holder understands that in all contracting matters, he will be held strictly accountable for any and all activities involving his license. Any willful falsification of any information contained herein is grounds for disqualification. APPLICANT (PLEASE PRINT) NAME OF COMPANY NATURE 6F APPLICANT STATE OF FLORIDA COUNTY OF The foregoing instrument as acknowledged before me this ate) B ChY ��� who has roduced (Name of person acknowledging) (Ty0b of identification as identification and did not take an oath. STATE FL-ORIDA O NOTARY'S S Com -gip- `= t= `' '=8942 ires 515!2014 Page 4 of 4 n NATURE OF NOTARY) �0ME-_? AFFIDAV /T It is understood and acknowledged by the Collier County Contractors' Licensing Board and myself that if I fail to acquire, or maintain at-all tunes effective Workmen's Compensation Insurance it will result in the possible revocation of my Certificate of Competency. SIGNATURE 6F APPLICANT co sTa BUSINESS NAME �% DATE BEFORE ME this day personally.appearedLIX STa Pff7_X � who affirms and says that he has less than one.empioyee and does not require Workmen's Compensation and understands that at any time he employs one or more persons he must obtain said Workmen's Compensation Insurance. STATE OF FLORIDA COUNTY OF_ The foregoing instrument was acknowledged. before me this -by : h r Ad C4 who has.produced an P l (name of person acknowledging) (Tjrpe of Id tlfloatlon) as identification and who did not take.a'n oath.: Jll NOTARY SEAL - ! HARRISON SIG A RE F NOTARY PUBLIC STATE,-)F FLORIDA NO Y PUBLIC Coma *;)098.3942 , � ,wires 5/5/2014 ICI UR / DA AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER am a resident of County, (State) and have resided here for more than five (5) years. During the last five years I have known 4dezt -�s (Applicant). I have had the opportunity to observe his or her business and personal dealings and find him or her to be a person of honesty, integrity, and good character. (Signature)A17� (Name) (Address) ��20 Co -Zz�ec�le- "2t. h' l eo Island, FL 3PW Telephone) STATE OF FLORIDA 6)6 -3 -f�-6 f COUNTY OF b The fore oing instrument was acknowledged before me this u /y (Date) iii ��� who has produced G(- f _ (name of person acknowledging) � (Type o identification) as identification and who did not take an oath. < JAN M. HARRISON YL / / (J L' L/ vb f 'OTA4Y PUBLIC SIG AT RE OF NOTARY STATE OF FLORIDA r Comm# DD988942j� sVm IV. Eypires 5/5/2014 NOTARY'S SEAL (PRINT NAME OF NOTARY) NOTARY PUBLIC STATEMENT OF OWNERSHIP This certifies that I, l_ ( -� STO`� t � 4ft-(K S am a member or (APPLICANT'S NAME) Managing member of I own t o o Company listed above. c (-Dv (LIMITED LIABILITY COMPANY NAME) Co s b M 4 (AE S LLC , % of the units issued by the Limited Liability Affidavit of Applicant: I certify that the information contained is a true and correct statement to the best of my knowledge. (PRINT NAMR) 42L APPLICANT'S SIGNATIME) (DATE) COLLIER COUNTY GOVERNMENT COMMUNITY DEVELOPMENT AND ENVIRONMENTAL SERVICES DMSION 2500 N. Horseshoe Dr. • Naples. Florida 34104 • 239 -403 -2400 • FA3C 239- 403 -2334 lull I A ------- 1 DATE: November 29, 2007 TO: Applicant's FROM: Michael Ossorio, Contractor Licensing Supervisor. CC: Robert Dunn, Collier County Building Director. Alamar Finnegan, Collier County Permitting Supervisor. Robert Zachary, County Attorneys Office. All Contractor Licensing personnel. SUBJECT: Collection of social security numbers. Pursuant to Chapter 119, Florida Statues and Collier Country Contractor Licensing Ordinance 200646 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 may otherwise be authorized by law. We are fully committed to safe - guarding and protecting your SSN and office collected, will be maintained as confidential and exempt under Chapter 119, Florida Statues. Feb 27 1410:56a 239 - 277 -0167 2392770167 Premier Profile - MARCO ISLAND CONSTRUCTION CORP Subcode: 970135 Ordered: 0212772014 09:49:03 CST Transaction Number: C500313475 Search 1nWry: MARCO ISLAND CONSTRUCTION CORPIPO BOX 12511MARC0 I SiANE),'FL134146/US1239 -3E 9- 84001746078809 Model Description: Intelliscore Plus V2 Primary Address. P. 0. BOX 1251 MARCO ISLAND, FL 34146 -1251 Phone: (239) 389 -8400 Tax ID: 59- 3654,57 .. Experian- •sae A world of insight TOP O __.. Gredli tirttltRecpitunepdaltor► : eeypnz#'T'snns _ _ 00 09t ..... Fattdferxs fntellisoare Plus Financial Stabifity Risk Company DBT I Original Filings High Risk Alerts 46 1 MRSKM 1 2 MED SIKM 1 Score range: 1 -1D0 percentle Credit Limit Recommendation: $3,400 TOP' Business Facts Years on File: 14 (FILE ESTABLISHED 0712000) SIC Code: CONSTRUCTION, SINGLE - FAMILY HOUSES 1521 State of Incorporation: FL HEAVY CONSTRUCTION, NEC - -1629 Date of Incorporation: 06/19/2000 NAICS Code: Residential Building Construction - 236110 Business Type: Instit,ations - Profit Other Heavy and Civil Ergineerng Construction - 237990 TOP a a Credllitisk p LrtelllscorePtus Current Intelliscore Plus Score: 46 46 High Riskn.,� :� Law Risk 0 10 25 50 ;S 10 This score predicts the likelihood of serious credit delinquencies for this business within the next 12 monlns. Payment history and public record along with other variables are used to predict ffiiure risk. Higher scores indicate lower risk. Factors towering the score Industry Risk Comparison Premier Profile -MARCO ISLAND CONSTRUCTION CORP V4 Feb 271410:57a 239 - 277 -0167 2392770167 p.7 > BALANCE OF AGED COMMERCIAL ACCOUNTS THAT ARE CURRENT 45% of businesses indicate a higher likelihood of severe > RISK ASSOCIATED WITH THE COMPANY'S INDUSTRY delinquency. > LOW NBR OF COMMERCIAL ACCTS RP T D WITHIN THE LAST 12 NOS Quarterly Score Trends 100 -'i' - -- 8o got_... _. 50Y _... 41 30 20 T - 10 M 0l' The Quarterly Score Trends provide a view of the likelihood of delinquency over the past 12 months for this business. The trends will indicate if the score improved• remained stable, fluctuated or declined over the last 12 months. Crad care:, 108ae(d -8,4b ft Risk Current Financial Stability Risk Score. 12 12' High Low Risk 3 sue„ =:.,� Risk 0 3 10 30 65 100 This score predicts the likelihood of financial stability dsk within the next 12 months The score uses tradetine and collections information, public filings as well as other variables to predict future risk Higher scores indicate lower risk. Factors lowering the score NUMBER OF ACTIVE COMMERCIAL ACCOUNTS > RISK ASSOCIATED WITH THE COMPANY'S INDUSTRY SECTOR } RISK ASSOCIATED WITH THE BUSINESS TYPE Risk Class: 3 MEnitiM RiSX The risk class groups scores by risk into ranges of similar performance. Range 5 is the highest risk, range 1 is the lowest risk. Industry Risk Comparison 11% of businesses indicate a higher likelihood of financial stability risk. > EMPLOYEE SIZE OF BUSINESS Crac�rt Lrmrl lnnnsntlatson - :'1 Credit Limit Recommendation This recommendation compares this business against similar businesses in the Expenan business credit database. It is based on trade imormation. industry. age of business and the Inteniscore $3,400 Plus. The recommendation is a guide. The final decision must be made based on your company's business policies. TOP 0 i'ayrgent. .:chance � Trad�artdCalledlvtiBatance '� ;. ._ _ Current DST: 0 Total trade and collection (2 ): $0 Bankruptcy: - No Predlcted DST: NIA All trades (2 ); $0 Tax Lien filings: 0 Monthly Average DST: 0 All collections (0 ): so Judgment filings: q Highest DST Previous 6 Months: 0 Continuous trade (1): $0 Sum of legal filings: UCC filings: so 0 Highest DST Previous 5 Quarters: 0 6 month average: WA Cautionary UCC filings: No Payment Trend Indication: Highest credit amount extended: WA Payment Vend indicator not available Most frequent Industry purchasing terms: Industry purchasing terms not available Premier Pralte - MARCO ISLAND CONS - RUCTION CARP 214 Feb 271410:57a 239- 277 -0167 2392770167 p•8 Trade Payment Summary State of Origin: FL Date of Incorporation: 06i19f2000 Current Status: TOP Trade i.ine Type Lines Reported DBT Recent High Credit Balance Current 01 -30 31.60 61 -90 91+ Continuous 1 Agent Address: WOODWARD PIRES LOMBARDO P A MARCO ISLAND, FL $0 New0 - — - - -- -- - -- - -- $0 _ -- - -- - -- - - ._ _ __ -- _ - -- Combined Trade 1 $0 Additional i SO Total Trade 0 $0 TOP Trade Payment - New and Continuously Reported Trade Details : S iS1Y1S n r pCed iAt:coUtft tads tihesxr$Ir ark alfel thS3 pate are rawly rsp � Business Date Last Payment Recent Nigh Category Reported Sale Terms Credit Balance Cur 1 -30 31 -60 61 A0 91+ Comments FINCL SifCS 022014 NET 30 $0 ACCTCLOSED TOP c !s PayinenEerlrtctta ntS�a�hts _ tads tines an aftarhs datte bre ttewllr repOrtedj A - - ` paw Beygad Fritts; Business Date Last Payment Recent High Category Reported Sale Terms Credit Balance Cur 1-30 31 -60 61 -90 91+ Comments PRNTG &PURL 1012012 VARIED $0 TOP O Corpirr`afe _ � E FOLLOWING INFORMATION WAS PROVIDED BY THE STATE OF FLORIDA State of Origin: FL Date of Incorporation: 06i19f2000 Current Status: Inactive Business Type: Institutions - Profit Charter Number: 101000000591 Agent: WOODWARD CRAIG R Agent Address: WOODWARD PIRES LOMBARDO P A MARCO ISLAND, FL TOP Experian prides itself on the depth and accuracy of the data maintained on our databases. Reporting your customer's payment behavior to Experlan will further strengthen and enhance the power of the information available for staking sound credit decisions. Give credit where credit is due. Call 1 -800- 520 -1221, option #4 for more information. End of report 1 of 1 report The information herein is furnished in confidence for your eyciusrve use for legitimate business purposes and shail not be reproduced. Neither Eapeffan lrrformation Safutfolm Inc., northeirscumes or distributors warrant such :niormation nor shaft they be tiaNe for your use or reliance upon .R. Premier Profile - VARGO ISLAND CONSTRUCTION CORP 314 Feb 271410:58a 239 - 277 -0167 6 Experian 2014. All rights reserved. Privacy no'icv. Experian andthe Experian marks herein are serrice marks or reoislered trademarks of Experian. 2392770167 P.9 Premier Profile - MARCO ISLAND CONSTRUCTION CORP 4; 4 Feb ?71410:58a 239 - 277 -0167 2392770167 �r Merit Credit.--- Fast. Accurate & Secure. 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 AM 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 P.10 IF YOU HAVE ANY QUESTIONS REGARDING THIS REPORT, PLEASE CONTACT MERIT CREDIT AT: 1- 800- 371 -3348 OR 239 - 277 -3202. COMPANY NAME: MARCO ISLAND CONSTRUCTION CORP FEDERAL ID: 59- 3654457 CURRENT STATUS: INACTIVE PRINCIPAL(S): GERALD S. ROSENBLUM CHRIS ADAMS MICHAEL BUDDEMEYER DATE INCORPORATED: 06 /19/2000 TITLE: DIRECTOR TITLE: DIRECTOR TITLE: DIRECTOR Feb 27 14 10:55a 239 - 277 -0167 Prepared Bp•: Merit Credit (239) 277 -3202 (800) 371 -3348 TRANSUNION CREDIT REPORT [FOR] [SUB NAME] (I) Z NP6284423 MERIT CREDIT (MKT SUB] 16 NP [SUBJECT] ADAMS, CHRISTOPHER LAWRENCE [ALSO KNOWN AS] ADAMS,CHRISTOPHE (CURRENT ADDRESS] 12772 AVIANO DR., NAPLES FL. 34105 [FORMER ADDRESS] 4940 RUSTIC OAKS CI., NAPLES FL. 34105 12828 BRYN%OOD WY., NAPLES FL. 34105 [CURRENT EMPLOYER AND ADDRESS] PP -04IRR SOTHERBYS [FORMER EMPLOYER AND ADDRESS] IRONWORKERS LOCAL UK 2392770167 p•2 [INFILE] [DATE] [TIME] 4/84 02/27/14 09:48CT [SSN] [BIRTH DATE] 2/67 [DATE RPTD] 9111 11/10 [POSITION] [V-RF] [RPTD](HIRE] AGENT 5113 5/13 5/03 ----------------------------------------------- 5/93 M O D E L P R O F I L E ** * A L E R T * ** * * *FICO CLASSIC 04 ALERT: SCORE +796 030, 003, 010, 008 * ** IN ADDITION * * *TO TEE FACTORS LISTED ABOVE, THE NUMBER OF INQUIRIES ON Ti-1 -E CONSUMER'S ** *CREDIT FILE KkS ADVEP_SELY AFFECTED THE CREDIT SCORE. C R:E D I T S U M M A R Y --------------------------------------------- * ** - O T A L F I L E H I S T O R Y PR =O COL =O NEG =O HSTVEG =O TRD =19 R'v7L =11 INST =4 MTG =4 OPN =O INQ =7 HIGH CRED CRED `,IM BALANCE PAST DUE 14NTHLY PAY AVAILABLE REVOLVING: $103K $124K $10.5K $0 $105 91 °s INSTALLMENT: $22.7K $ $20.1K $0 $393 MORTGAGE: $351K $ $263K $0 $1691 TOTALS: $977K ------------------------------------------------------------------ $124K $293K $0 $2189 T R A D E S SUBNAME SUBCODE OPENED HIGHCRED TERI -IS MAXDELQ PAYPAT 1 -12 MOP ACCOUNT# VERFIED CREDL_IM PASTDUE AMT -MOP PAYPAT 13 -24 ECOA COLLATRL /LOANTYPE CLSD /PD BALANCE REMARKS MO 30/60/90 BBY, /CBNA H 292FO14 9/13 $4080 lull R01 603535020325 2/14A $4000 $0 I CHARGE ACCOUNT 1/14P $0 5 0/ 0/ 0 GECRE /JCP D 235058D 12/96 $0 111111111111 RO1 600889124760 2/14A $124 $0 111111111111 C CHARGE ACCOUNT 3/12C $0 CLOSED 48 0/ 0/ 0 WFH14, B 82TE004 8/11 $279K 360M1691 111111111111 moo 9360318648496 2/14A $0 11111111121 C CONVENTIONAL, REP.L $263K 26 0/ 0/ 0 CHASE B 25QK004 8/08 $24.6K 111111111111 RO1 Feb 271410:55a 239 - 277 -0167 426684130164 2/14A $25.OK A CREDIT CARD 5/13P $0 GECRB /RMSTGO H 9992545 101109 $3043 601919120424 2/14A $6000 I CHARGE ACCOUNT 3 /11P $0 WFDS /WDS F 839NO77 5 ,/13 $22.7K 517655238302 1 /14A C AUTOMOBILE $20.1K CAP ONE B 1DTV001 10/11 $32.8K 414709995612 1 /14A $35.OK A FLEXIBLE SPENDING $10.5K CITI E 64DB002 1/02 $30.9K 546616020269 1/14A $33.9K A FLEXIBLE SPENDING 8 /11P $0 CAP ONE B lDTV001 5/12 $7730 414709811424 5/13A $20.OK I FLEXIBLE SPENDING 10/12P $0 ST FARM BK B IXQH001 11/08 $15.DK 853258829900001 10 /10A C AUTOMOBI12 iC /lOC $0 AMEX B 21WB0OI 6/99 $45 3499914487740263 9/10A $26.9K T CREDIT CARD 8 /10C $0 HSBC /MITSU B 2DQ1129 9/03 $3265 54160110922 7/09A $7500 _T CHARGE ACCOUNT 2/08C $0 CHASE B 1127001 6106 $899K 4651760512888 7/09A C , CONVENTIONAL REAL 7/09C $0 AMEX B 21kB001 9/99 $0 3499909594573443 7/09A $15.OK I CREDIT CARD 6, 090 $0 GMAC Q 2592672 11/04 $34.9K 29906348520 12/06A C AUTOMOBILE 12/060 $0 CHASE B 41BKOO1 10/05 $850K 5890014351100 8/06A C CONVENTIONAL REAL 8 /06C $0 SUPTTRUST MTG B 3122001 4/04 5572K 9420029996121 10 /05A C CONVENTIONAL REM, 2392770167 p.3 $0 111111111111 48 0/ 0/ 0 111111111111 ROl $0 111111111111 48 0/ 0/ 0 60M393 1111111 101 $0 7 0/ 0/ 0 MIN105 111111111111 ROl $0 111111111111 26 0/ D/ 0 11111'_111111 ROl $0 111111111111 48 0/ 0/ 0 11111111111 RO1 $0 11 0/ 0/ 0 48M348 111111111111 101 $0 11111111111 CLOSED 23 0/ 0/ 0 111111111111 ROl $0 111111111111 ACCT CLSD BY CONSUMER 37 0/ 0/ 0 111112112111 ROl $0 111111111111 CLOSED 48 0/ 0/ 0 360M6014 $0 CLOSED $0 INP_CTIVE ACCOUNT 36M970 $0 CLOSED 360M4825 $0 CLOSED 360M2950 111111111111 MO1 111111111111 35 0/ 0/ 0 111111111111 RO1 111111111111 48 0/ 0/ 0 111111111111 I01 111111111111 24 Of 0/ 0 111xXx111 MO1 9 0/ 0/ 0 111111x11111 MO1 lxlxl 17 0/ 0/ 0 CHASE B 26QK001 6/98 $24.OK 111 RO1 4366:16302368 8/05A $24.OK $0 Feb 271410:55a 239 - 277 -0167 2392770167 p.4 C CREDIT CARD 6/05C $0 CLOSD BY CRDT GRANTOR 3 0/ 0/ 0 TOYOTA MTR Q 4176318 4/04 $46.9K 60M931 1111 I01 70403660356770001 8/04A $0 S AUTOMOBILE 8/04C $0 CLOSED 4 0/ 0/ 0 ------------------------------------------ I N Q U I R I E S DATE SU13CODE SUBNAME TYPE AMOUNT 2/27/14 ZNP6284423(FLA) MERIT CREDIT 2126/14 13NC6199555(FLA) BK OF AMER 6/06/13 ZNP2083942(FLA) MERIT CREDIT 5/25/13 FDT4113756(MCH) TD AUTO FINA 5/25/13 13CH0000274(CHI) BMO HARRIS B 5/25/13 ZC08256078(CAL) CREDCO IMS 5/19/12 BPC2699824(NTL) CAP ONE - -------------------------------------- C R E D I T R E P O R T S E R V I C E D B Y TRAVSUNION 800 - 888 -4213 2 BALDWIN PLACE P.O. BOX 1000,CHESTE3, PA. 19022 Consumer disclosures can be obtained online through TransUnion at: http:l /www.transunion.com - ----------------------------------- CREDITOR CONTACT INFORMATION BBY /CBNA HE292FO14 PO BOX 6497 SIOUX FALLS SD. 57117 GECRB/,CP DC235058D (866) 227 -5213 PO BOX 965007 ORLANDO FL. 32896 WFHM EM82TE004 (800) 288 -3212 7255 BAYMEADOWS WA DES MOINES IA. 50306 CHASE BC26QK004 (800) 955 -9900 P.O. BOX 15298 WILMINGTON DE. 19850 GECRB /RMSTGO HF9992545 (866) 396 -8254 C/O PO BOX 965036 ORLANDO FL. 32896 WFDS11fDS FS839N077 P.O. BOX 1697 WINTERVILLE NC. 28590 CAP ONE BClDTV001 (800) 955 -7070 POB 30281 SALT LAKE CITY UT. 84130 CITI BC64DB002 POB 6241 SIOUX FALLS SD. 57117 ST FARM BF. BZIXQH001 (877) 734 -2265 3 STATE FARM PLAZA BLOOMINGTON IL. 61791 AMEX BC2111B001 (800) 874 -2717 P.O. BOX 981537 EL PASO TX. 79998 HSBC /MITSU BZ2DQ1129 (800) 695 -6950 PO BOX 30253 SALT LAKE CITY UT. 84130 CHASE BM1127001 (800) 848 -9136 PO BOX 24696 COLUMBUS OH. 43224 GMAC QZ2592672 (800) 200 -4622 P.O. BOX 380901 BLOOMINGTON MN. 55438 CHASE BM41BK001 (600) 848 -9136 PO BOX 24696 COLUMBUS OH. 43224 S- JNTRUST MTG BM3122001 (877) 596 -5407 PO BOX 85526 RICHMOND VA. 23285 CHASE BC26QKOOI (800) 955 -9900 P.O. BOX 15298 WILMINGTON DR. 19850 TOYOTA MTR QZ4176318 (800) 882 -5611 12735 MORRIS ROAD ALPHARETTA GA. 30004 Feb 27 14 10:56a 239 - 277 -0167 BK OF AMER B 6199555 PO BOX 982238 EL PASO TX. 79998 MERIT CREDIT Z 2083942 12734 KENWOOD LANE FORT MYERS FL. 33907 TD AUTO FLNA F 4113756 27777 INKSTER RD FARMINGTON HIL MI. 48334 BMO I- 'ARRIS B B 0000274 3800 GOLF RD ROLLING MEADOW IL. 60008 CREDCO IMS Z 8256078 PO BOX 509124 SAN DIEGO CA. 92150 CAP ONE B 2699824 PO BOX 30261 SALT LAKE CITY" UT. 84130 END OF TRANSUNION REPORT 2392770167 p.5 (800) 421 -2110 (239) 277 -3202 (800) 556 -8172 (000) 000 -0000 (800) 523 -0233 (800) 955 -7070 MERIT CREDIT HAS RETRIEVED THE ABOVE PERSONAL CREDIT REPORT FOR LICENSING PURPOSES AS REQUESTED BY THE BUSINESS OWNER /PROPRIETOR. PUBLIC RECORDS FOR THIS REPORT HAVE BEEN CHECFM AND VERIFIED AT THE COUNTY, STATE AND FEDERAL LEVELS. PUBLIC RECORDS NAVE ALSO BEEN VERIFIED FOR PINELLAS COUNTY. PUBLIC RECORDS LEP.RNED 0 SOURCES OF INFORMATION: TRANS UNION LLC IRS LIEN SECTION COUNTY COURTHOUSE RECORDS IF YOU HAVE ANY QUESTIONS REGARDING THIS REPORT, PLEASE CONTACT MERIT CREDIT AT: 1 -800- 371 -3348 OR (239) 277 -3202. 2/,25/2014 f y j 1r FI C0 Christopher L Adams I February 25, 2014 1 Equifax Printable Report FICOO Score Summary myFICO provides your FICOO score and credit report as generated and reported by one of the Your FICO® Score: three major credit bureaus. Below are factors in your credit report that are hurting or helping your 811 score: — FIC00 score Ingredients How you rate On February 25, 2014 Payment history L J Your history of paying bills on time. Great ^� i Your FICO® Score is great aM � ONEAT M T Y... Your score is well above the average score of U.S. consumers and clearly demonstrates to lenders that you are an exceptional borrower. • FICO® Scores range between 300 and 850 • Higher scores are better scores • The higher your score, the more favorably lenders look upon you as a credit risk - - - - - -- - ------ -- -- - - -- ---- - - - - -- ---------------------------------------- Amount of debt Your total amount of outstanding debt. ;Very Good ---------------------------------------------------------------- Length of credit history -' How long you've had credit. ;Great —� ------ --- -- - - -- -------------------L------- +;, Amount of new credit Amount of credit you've recently obtained or `Good applied for. https: / /www.myfico.com/ report /printable report. aspx? note mplate= Y& rptid= f738b3b4- 766d- 467f- 8bdf- 1944e9848308 1/14 L � yoovo !76 fl? (Requestofs Name) (Address) (Address) (City /Stategjp(Phone #) PICK -UP ❑ WAIT EI MAIL (Business Entity Name) (Document Number) Certified Copies Certificates of Status Special Instructions to Filing Officer: Office Use Only .14 01/23/14 -- 01003- -017 * *125.00 T Sumh JAN 3121M r- m ;` r L, 71 Ln rvl -< MC:3 -0 r-(j) o� came rn 3> T Sumh JAN 3121M COVER LETTER TO: Registration Section Division of Corporations CRESCENT BEACH CUSTOM HOMES, LLC SUBJECT: Name ol' I.imiwd Liability Company The enclosed Articles of Organization and fee(s) are submitted for tiling. Please return all correspondence concerning this matter to the hollowing: CHRISTOPHER ADAMS Name of Person Firm/Company 12772 AVIANO DRIVE Address NAPLES, FL 34105 City /State and Zip Code CHRISADAMS5130@YAHOO.COM E-mail address: (to be used for future annual report notification) For further information concerning this matter. please call: CHRIS ADAMS at ( 239 ) 404 -5130 Name of Person Area Code llaytime "Telephone Number Enclosed is a check for the following amount: S125.00 Filing Fee F1 $130.00 Filing I'ec & $155.00 Filing Fee & ❑$160.00 riling Fcc. Certificate of Status Certified Copy Certificate of Status & (additional copy is enclosed) Certified Copy (additional copy is enclosed) Mailine Address Street /Courier Address Registration Section Registration Section Division of Corporations Division of Corporations P.O. Box 6327 Clitlon Building Tallahassee, Fl, 32314 2661 Executive Center Circle Tallahassec, FL 32301 AgnClYSOF ORGANI7ATION FOR FLORIDA LIMITED LIABILITYCOMPANY ARTICLE 1- Name: The name of the Limited Liability Company is: CRESCENT BEACH CUSTOM HOMES. LLC (Must end with the words "Limited liability Company. " L.L.C. :' or -11C.") ARTICLE If - Address: The mailing address and street address of the principal office of the Limited Liability Company is: Principal Office Address: 12772 WAND DRIVE NAPLES. FL 34105 Mailing Address: ARTICLE III - Registered Agent, Registered Office, & Registered Agent's Signature: (The Limited Liability Company cannot serve as its o-.%n Registered Agent. You must designate an individual or another business entity with an active Florida registration.) The name and the Florida street address of the registered agent are: LAURA ADAMS Name 12772 WAND DRIVE Florida street address (l'.O. Box NOT acceptable) MAPLES F1.34105 City Zip D to rM r c-, z� >y m < G r cn o> 0 4t a t_ N W W ON Having been named av registered agent and to accept service of process for the abote stated limited liability company at the place designated in this certificate. / hereby accept the appointment as registered agent and agree 10 act in this capacity. / farther agree to comply with the provisions of all statutes relating to the prayer and complete performance of my ditties. and 1 am familiar wit nd accept the obligations of my position ac registered agent as provided for in Chapter 605, F.S.. Registered Agent's Signature (REQUIRED) (CONTINUED) Page 1 oft ARTICLE IV- The name and address of each person authorized to manage and control the Limited Liability Company: Title: Name and Address: "AMBR" = Authorized Member "MGR" = Manager MGR CHRISTOPHER ADAMS 12772 WAND OR. NAPLES. FL 34105 r- t'Tt r )>M Yom' -n =M Z, -n G] (Use attachment if necessary) ARTICLE V: effective date, if other than the date of filing: FEBRUARY 1. 2014 (OP'T'IONAL) (If an effective date is listed, the date must be specific and cannot be more than five business days prior to or 90 days after the date of filing.) ARTICLE Vi: Other provisions, Warty. REQUIRED S1GNA Signature orf member or an authorized representative of a member. (In accordance with section 605.0203 (1) (b), Florida Statutes, the execution of this document constitutes an affirmation under the penalties of perjury that the facts stated herein are true. i am aware that any false inl'ormation submitted in a document to the Department ol'State constitutes a third degree felony as provided for in s.817.155. F.S.) CHRISTOPHER ADAMS .l'yped or printed name ol'signee Filing Fees: $125.00 Filing Fee for Articles of Organization and Designation of Registered Agent $ 30.00 Certified Copy (Optional) $ 5.00 Certificate of Status (Optional) Page 2 of 2 State of Florida Department of State I certify from the records of this office that CRESCENT BEACH CUSTOM HOMES, LLC, is a limited liability company organized under the laws of the State of Florida, filed on January 23, 2014, effective February 1, 2014. The document number of this company is L14000017698. I further certify that said limited liability company has paid all fees due this office through December 31, 2014, and its status is active. Given under my hand and the Great Seal of the State of Florida at Tallahassee, the Capital, this the Twenty -sixth day of February, 2014 V^. 0Z � Secretary of State Authentication ID: CU1672829860 To authenticate this certificate,visit the following site,enter this ID, and then follow the instructions displayed. https:Hefile.sunbiz.org/certauthver.htmi 2/26/2014 Detail by Document Number Florida Limited Liability Company CRESCENT BEACH CUSTOM HOMES, LLC Filing Information Document Number FEI/EIN Number Date Filed State Status Effective Date Principal Address 12772 AVIANO DRIVE NAPLES, FL 34105 Mailing Address 12772 AVIANO DRIVE NAPLES, FL 34105 L14000017698 NONE 01/23/2014 FL ACTIVE 02/01/2014 Registered Agent Name & Address ADAMS, LAURA 12772 AVIANO DRIVE NAPLES, FL 34105 Authorized Person(s) Detail Name & Address Title MGR ADAMS, CHRISTOPHER 12772 AVIANO DRIVE NAPLES, FL 34105 Annual Reports No Annual Reports Filed Document Images Detail by Document Number 01/23/2014 -- Florida Limited Liability I View image in PDF format http: // search. sunbiz. org / Inquiry/ CorporafionSearch/ SearchResultDetail /DocumentNumber /flat- 114000017698- 79a6b496- 599a -418d- 8252 -240] 4af9d559/LI400001... 1/2 DEPARTMENT OF THE TREASURY 91 t RJ RJ INTERNAL RS'V= SERVICE CINCINNATII OH 45999 -0023 Date of this notice: 02 -04 -2014 Employer Identification Number: 46- 4712837 Form: SS -4 Number of this notice: CP 575 G CRESCENT $EACH CUSTOM HOMES LLc CERISTOPHER ADAMS SOLE MBR 12772 AVIANO DRIVE For assistance you may call us at: NAPLES, FL 34105 1- 800 -829 -4933 IF YOU WHITE, ATTACH THE STvE AT dE END OF THIS NOTICE. WE ASSIG'N..D YOU AN EMPLOYER IDENTIFICATION NUMBER Thank you for applying for an Employer Identification Number (EIN). We assigned you EIN 46-4712837. This EIN will identify you, your business accounts, tax returns, and documents, even if you have no employees- Please keep this notice in your permanent records. When filing tax documents, payments, and related correspondence, it is very important that you use your EIN and complete name and address exactly as shown above. Any variation may cause a delay in processing, result in incorrect information in your account, or even cause you to be assigned more than one EIN. If the information is not correct as shown above, please make the correction using the attached tear off stub and return it to us. A limited liability company (LLC) may file Form 6832, Entity Classification Election, and elect to be classified as an association taxable as a corporation. If the LLC is eligible to be treated as a corporation that meets certain tests and it will be electing S corporation status, it must timely file Form 2553, Election by a Small Business Corporation, The LLC will be treated as a corporation as of the effective date of the S corporation election and does not need to file ?arm 8832. To obtain tax forms and publications, including those referenced in this notice, visit our Web site at www.irs.gov. If you do not have access to the Internet, call 1- 800 - 829 -3676 fTl'Y /?DD 1 -800- 629 -4059) or visit your local IRS office. IMPORTANT RSR[INDERS: * Keen a Copy of this notice in your permanent records. This notice is issued only one time and the IRS will not be able to generate a duplicate copy for you. You may give a copy of this document to anyone asking for proof of your EIN. * Use this EIN and your name exactly as they appear at the top of this notice on all your federal tax forms. * Refer to this EIN on your tax- related correspondence and documents. If you have questions about your EI.N, you can call us at the phone number or write to us at the address shown at the top of this notice. It you write, please tear off the stub at the bottom of this notice and send it along with your letter. If you do not need to write us, do not complete and return the stub. Your name control associated with this EIN is CRES. You will need to provide this information, along with your EIN, if you file your returns electronically. Thank you for your cooperation. From: Chris Adams chrisadams5130(�b yahoo con If Subject: certificate of liability Date: February 27, 2014 at 6:47 PM To: chrisadams51306� yahoo. com __14 CRESE -1 OP ID: AC '` _ _- CERTIFICATE OF LIABILITY INSURANCE �0 =7MI;Y' l THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT! h the eerttntate holder Is an ADDITIONAL INSURED, the poliey(les) muut Oe endots+d. It SUBROGATION IS WAIVED, sut"ct to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such sndorsement e . PRODLCFR [010 AC Brett A. Ackerman Ackerman Insurance Services P"04F 239 597 -1D96 PAX 23g 597 -95b0 AG eel 1575 Pine Ridge Rd. Ste. 17 Wt. W. tsD. N"s FL 34109 t -MAIL AOpRE9 F anefC aeketmart Insurence_com Brent A. Ackerman N6URFA':t1 AFFDFIDIAA CDVFRAGE NAK: J '{MN7KAYYYY . DQYYYY _� —_ RlsuRen A : LLOYDS INSURANCE COMPANY wsuPFO Cresent Beach Custom HOnIes.LLC MUM" a Christopher Adams 12772 Avlano Or MUM%c Naples, FL 34105 IRSUIrcn G RISUIIen t \rVTLYtIt\iGJ r v r...rr..rr.... 'HI T;I 1 FR -rY ThAT -HE %KIL uIFS ;:F NF LISTE0 6F -1JJ%V HA- FIFF4 1`• -.1 +.: F. Tt, -HE Nf�,IREp NAMED ABOVE Fi,r-+ THE POLIO' CFA +77 -HtP- iND,- -ATFD NOP1,17Ht1ANDIN J AN'•` RF(Y:JIRFk1F%JT -ERii ;:H : ONC)IT1i14 Orr AN ' - oR OTHFR F}11 1..6tFRT MTh RESPECT TO .1'Hr.H CER'lHCATE MAY 6E ISS'1E1 OR F.1/4 PER -AN THE INSURANCE A= I`QRCLC = -Y ThE PDLIGES L'E5CREEC HEREI•I S 512JECT TO ALL 7HL Eh lU ICAJ'_ AN CA S1 'H POLI IES �. 4.4 T5 SWD4rlN MAY _. 8EL•1 REDUCE V E!1' PAID CLAIMS NSR AGDL A09A POLICY err MLIL 1 EXP L1MI'S�T "fre Of INSVnANC[ POLCY MJYaCR '{MN7KAYYYY . DQYYYY _� —_ ._ .�...__..._..�__ GENERAL L IAe10TY : +t7FGtt -.E .. 1,000. _,4 yr s 0Z27/701d 07127!7015 100. A X . ♦.L +fu :•. ErP.� 1 r apt r, JKHWE -N �WLI Exclud 1,000. ,srF 0.41 ,41. - ., •.rE g 2.000. 1.000. AUTM nft F L1A001 1T- 9-151'- r -r1.v -. +• 4 fair.+ /. +t'.•, 1 :•L -air , i • 11.4'.44 f. Mt:. i .Rr0ARtA L.+Ae 01"14 UAa , P,WS wl,cf r. u:Fp• :.rc c S UCv _ WORNAMS CONFeMAT10N AM a LVVZR LLAMUTY ­N t1_ FA 11.4. Fk1'IYiy::i•ry1.r V•.11'A1111L 11 ^_ri. _1 i'r4; N'A IL 1:. Mt`Vt t'.1 I.:_, - _11 1" 1 [,': f -n' -K .r. E.WFI.�?'rEE 7 IMrrWla,r nlR'll _14 f?G OPFRAT/nNb � L�ATk)!vR! YEM4LE5 tAnlrr• At.ORtS IA•, 4.16+ImM RJtrwLs r,rnM.J•. 1 nn.� tp1 <w Is rputW� DFAf.R4T1pM SHOULD ANY Of r"t A"Ovf OESCMUO POLKIES sE CAWt.UtO of:FORE THE EXPIRATION DATE THEREOF, NOTICE Will, sE OELIVFRED IN ACCORDANCE WITH THE POLICY PROVISIONS. Collier County Licensing Dept 2800 N Horseshoe Dr WWRIM aEPaEe4N -anvE Naples. FL 34104 Brett A. Ackerman tai I9 -LV I V P1LVraY ­ __ "—". __ ....r "- . - -- NOTICE OF ELECTION TO BE EXEMPT If this application contains incomplete or inaccurate information, it may cause a delay in the issuance of your exemption. An officer electing an exemption under Chapter 440, Florida Statutes, is not entitled to benefits under this chapter. Section 1: APPLICANT INFORMATION First & Last Name: State Driver's License Number: 4352112670450 Date of Birth: Christopher State ID Number: 2/5/1967 Social Security Number (last four digits): 2482 Email Address: chrisadams51309yahoo.com Section 2: INDUSTRY APPLICANT ($50 FEE REQUIRED) ber of a Limited Liability Company LLC struction) orate Title: Member Section 3: Adams State: FL This section should be completed with information specific to your corporation or to the limited liability company in which you are a member. The name of the corporation or limited liability company listed on this application MUST match the name of the corporation or limited liability company as registered with the Florida Division of Corporations. Name of Corporation or LLC: Crescent Beach Custom Homes LLC IF YOU NEED TO APPLY FOR A FEIN, CLICK HERE Business Name (DBA): Crescent Beach Custom Homes LLC Applicant's Address of Record: 12772 Aviano Dr. Naples State: FL Zip 34105 FEIN: 46- 4712837 Phone: (239)404 -5130 County: Collier Click on the arrow(s) next to the text box(s) to view a list of available Scope classifications /trades for the form type chosen in Section 2. Click on the appropriate scope to select. If you are unsure as to which classification /trade to choose, please contact your workers' compensation insurance carrier. If you do not have a workers' compensation insurance policy, contact the National Council on Compensation Insurance (NCCI) at 1- 800 - 622 -4123 option 5 to obtain a classification code. Scope 1: 00001 LICENSED Scope 2: Scope 3: Scope 4: GENERAL CONTRACTOR Section 4: The corporation of which you are an officer or limited liability company of which you are a member must be registered and in ACTIVE status with the Florida Division of Corporations. Applicants applying as an officer of a corporation must be listed as an officer of the Corporation with the Florida Division of Corporations. List the document number on file with the Florida Division of Corporations. L14000017698 Section 5: Pursuant to Chapter 489, F.S. (contractor licensing law), list certified or registered licenses related to the scope of business or trade listed in Section 3 held by the applicant, or the certified or registered license numbers held by the qualifier for the corporation or limited liability company listed on this application. The business name listed on the license MUST match the name of the corporation or limited liability company as registered with the Florida Division of Corporations and on this Notice of Election to be Exempt. RGO066840 Section 6: If you have submitted an electronic payment for this application, the transaction confirmation number is listed in the following space: Confirmation Number: 185795064 Application Number: E00189490 Section 7: N/A Are you affiliated with any corporation or limited liability company other than the corporation or limited liability company to which this application applies? Name: FEIN Name: FEIN Name: FEIN Section 8: CONSTRUCTION INDUSTRY AND NON - CONSTRUCTION INDUSTRY LLC MEMBERS ONLY To be eligible for a construction industry exemption or a non - construction limited liability company exemption, an applicant must have the required ownership of the corporation or limited liability company. I am a member who owns at least ten percent(10 %) of the limited liability company listed on this application. Section 9: 1 certify that any employees of the corporation or members of the limited liability company listed in Section 3 are covered by workers' compensation insurance. Please identify the workers' compensation insurance carrier that covers any non - exempt employees. Carrier Name: My business does not have any non - exempt employees Section 10: FRAUD NOTICE A. Any person who, knowingly and with intent to injure, defraud, or deceive the department or any employer or employee, insurance company or any other person, files a Notice of Election to be Exempt containing any false or misleading information is guilty of a felony of the third degree. B. Attestation of applicant — By providing my name below, I attest that I have read, understand and acknowledge the foregoing notice. C. Acknowledge that this Notice of Election to be Exempt does not exceed limits for corporate officers, including any affiliated corporations as provided in Section 440.02, Florida Statutes. First Name: Christopher Last Name: Adams Note: The Division has 30 days to review your application to determine if it meets the eligibility requirements for the issuance of an exemption. The Division will either issue a Certificate of Election to be Exempt or notify you that your application is incomplete. The Division reviews and processes exemption applications in the order they are received. Exemption information is reflected on the Proof of Coverage database the day following the issuance of the exemption. Visit the Division's website at http: / /www.myfloridacfo.com /wc to print your certificate. 2/26/2014 r Licensing Portal - License Search 12:15:26 PM 212612014 Data Contained In Search Results Is Current As Of 02/26/2014 12:14 PM. Search Results Please see our glossary of terms for an explanation of the license status shown in these search results. For additional information, including any complaints or discipline, click on the name. Name License License Type Name Type Number/ Status /Expires Rank Registered RGO066840 ADAMS, CHRISTOPHER Current, Inactive General LAWRENCE Primary Reg 08/31/2015 Contractor General License Location Address *: 12772 AVIANO DRIVE NAPLES, FL 34105 Main Address *: 12772 AVIANO DRIVE NAPLES, FL 34105 WPM * denotes Main Address - This address is the Primary Address on file. Mailing Address - This is the address where the mail associated with a particular license will be sent (if different from the Main or License Location addresses). License Location Address - This is the address where the place of business is physically located. 1940 North Monroe Street, Tallahassee FL 32399 :: Email: Customer Contact Center :: Customer Contact Center: 850.487.1395 The State of Florida is an AA /EEO employer. Copyright 2007 -2010 State of Florida. Privacy Statement Under Florida law, email addresses are public records. If you do not want your email address released in response to a public - records request, do not send electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395. *Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if they have one. The emails provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public. Please see our Chapter 455 page to determine if you are affected by this change. https://www.myfloridalicense.corWwll l .asp ?mode =2 &search =Lic Nbr &SID= &brd = &typ= 1/1 Fl ri 47 oRtVERucN RISTOPkER PENCE 2772 AviANO DR 14.-34105 cfir0919-2011 . or.A,14 004000 • SAFE DRIVER Operation of a tooter vehatiet constitutes CtletiOrd any SObt*Oty test requtreat by taw. 1. February 25, 2014 Novelte Construction and Design, LLC Roger Drouin 2720 Coach House Lane Naples, FL 34105 RE: Review of Suspension Dear Mr. Drouin, You have been added to the agenda for the Contractor Licensing Board meeting on Wednesday, March 19, 2014. The meeting is held at 9:OOam at the W. Harmon Turner Building (Bldg. F, Admin. Bldg.), 3299 Tamiami Trl. E., Naples, FL in the Commissioner's Meeting Room on the 3rd floor. If you have any questions or concerns, please call (239) 252 -2431 Sincerely, Co ela Thomas Administrative Supervisor Licensing /Operations Licensee Information Licensee Number C35953 I Name NOVELTE CONSTRUCTION AND DE] Type Contractor J Status Referred to CLB esc �4 ;"- "i v lc_ ' or this ce c r b, ul s, I n d r s E Classifications Comments 2/20/2013 Approved by CLB. 2/20113: 1 C.L.B. Hearing- One Year Of Probation To Complete All Three Exams. Business & Law., Concrete! & Masonary. 2/2-1/1" Suspended until further notice. Referred to CLB for non-compliance of Board Order. Show More Fields Hide or Clear Fields License Category Local - Specialty Reneoable? Linique Identifier ; LCC2832 A A Generate Defaults 1 Add a Classification To add a classification to this Licensee, enter text below. CityView will suggest possible matches as you type: GENERAL CONTR.--CERTIFIED Urk Date Ertered Status Status Date GENERAL CONTR.--CERTIFIEC, 06/03/2011 Inactive CONCRETE FORMING AND PLACING ... 02/20/2013 Inactive '114 02/25/20 ...... ...................................................................... ..................................... ... MASONRY CONTR. .. . ... . ............ ... ................. ................ .............. . ... . .. .............. ..... ... . .. ........... ............ ........................................ . .......... ............... ............................. 02!20/2013 Inactive . . . ..... ........... ................ ..... ................... ............ ............................. 02/25/2014 Show More Fields 1 Hide or Clear Fields Unique Identifier 158952 Contractor Licensing Reneo.able7 License Category License Issuances Attach Driver License Photo j i Add Issuance Lirkli I yp1_1 Staws Date IssLed 1 Issuarce Number Expiration Date GENERAL CONTR.-CERTIFIED Expired 11/08/2010 35953 08!3112012 ....... .... CONCRETE FORMLNG AND PLACING suspended 02',­20/201 3 20130000033 09/30/2014 .MASONRY CONTR. Suspended 02/20/2013 201300000334 091/30/2014 Comments 2/20/2013 Approved by CLB. 2/20113: 1 C.L.B. Hearing- One Year Of Probation To Complete All Three Exams. Business & Law., Concrete! & Masonary. 2/2-1/1" Suspended until further notice. Referred to CLB for non-compliance of Board Order. Show More Fields Hide or Clear Fields License Category Local - Specialty Reneoable? Linique Identifier ; LCC2832 A A Findings of Fact, Conclusions of Law and Decision of the Board -. Collier County Contractors' Licensing Board For Applications Submitted to the Board for Review Type of Application: Credit Report Review X Waiver of Testing Requirements Reinstatement of License Request to Qualify Second Entity Other (specify) THIS CAUSE came on for public hearing before the Contractors' Licensing Board (hereafter Board) on February 20, 2013, for consideration of the application submitted to the Board for review. The type of application is set out above. The Board having heard testimony under oath, received evidence, and heard arguments relative to all appropriate matters, thereupon issues its Findings of Fact, Conclusions of Law and Order of the Board as follows: FINDINGS OF FACT 1. That Roger Drouin d /b /a Novelte Construction & Design, LLC has submitted an application to the Collier County Contractor Licensing Supervisor or his designee for waiver of testing requirements for reinstatement of a Certificate of Competency as a Concrete & Masonry Contractor. 2. That pursuant to Section 22- 184(b) of the Collier County Contractors' Licensing Ordinance (Ordinance 90 -105, as amended) applications which do not appear on their face to be sufficient require referral to the Board for a decision regarding approval or denial of said application. 1 3. That the Board has jurisdiction over this matter and that Roger Drouin was present at the public hearing on February 20, 2013, and was not represented by counsel. 4. All notices required by Collier County Ordinance No. 90 -105, as amended, have been properly issued. 5. The facts in this case are found to be: a. Applicant has demonstrated through testimony and evidence presented at this hearing that he has been active in the trade and has adequate knowledge of the contracting specialty to make re- testing in the trade superfluous. b. His knowledge of the painting contracting business is adequate, when combined with a full application to protect the public health and safety of the citizens of Collier County. C. Applicant would benefit from the preparation for and taking of the relevant examinations. CONCLUSIONS OF LA Based upon the foregoing facts, the Board concludes that the applicant shall be granted a license subject to a 12 month probationary period during which he shall take and pass the examinations. ORDER OF THE BOARD Based upon the foregoing Findings of Fact and Conclusions of Law, and pursuant to the authority granted in Chapter 489, Florida Statutes, and Collier County Ordinance No. 90 -105, as amended, by a vote of 6 in favor and 0 opposed, the applicant's request to 2 U waive testing in the trade for reinstatement of his license is granted, subject to his payment of all back fees due and owing as set out in Collier County Ordinances, and subject to a period of 12 months probation during which he shall take and pass the required examinations. ORDERED by the Contractors Licensing Board effective the 20th day of February, 2013. CONTRACTOR'S LICENSING BOARD COLLIER COUNTY, FLORIDA 'i�d - (' �& By: G . W' 1 Ti) ;� Vlco- C I HEREBY CERTIFY that a true and correct copy of the above and foregoing Findings of Fact, Conclusions of Law, and Order of the Board has been furnished the Applicant, and Michael Ossorio, Licens' g mpliance Supervisor, 2800 North Horseshoe Drive, Naples, FL 34103 on this th day of February, 2013. Secretary/Contractor's Licensing Board 3 Roger Drouin0.1 g Collier County Contractor Licensing Board 02/1/13 2800 N.Horseshoe Dr, Naples, Fl. 34104 To Whom it may concern My name is Roger Drouin and I am writing this letter to explain my background in concrete and masonry and why I want to get my licences reinstated so I can qualify my own company. I started Drouin Concrete and Masonry in 1996 and ran a very successful operation till 2008 with 20 -50 employees throughout those years , I was divorced in 2005 and unfortunately that was a very brutal and tiring ordeal that still continues to this day. After giving up millions of dollars in the divorce and then with the crash of the economy, I lost another million or so in real estate and bad investments. I could no longer afford to operate my company so I went to work for Commercial Concrete till 2010 when I decided to start another company Novelte Construction Design, I have owned and operated the company from the start and currently still do. I had a qualifier that has recently stopped qualifying my company so at this time I am asking the Board to consider reinstating my previous licenses .( Concrete- form and place and Masonry ) so that I may qualify my own company. I am a single parent who has 2 teenage children that live with me a majority of the time, and this is my only source of primary income Novelte Construction Design has been a very successful Concrete and Masonry contractor since the start and has 12 full time employees and gross 1 -2 million in sales annually. We have no debt at all and pay all our suppliers and subs on time are current with all our bills. I also am 50% owner of Dock Masters in Naples, Fl. My partner and I bought the business in 2011 from its previous owner from the brink of bankruptcy and have now grown the company more then 200% with more than 6 employees full time. We continue to grow by investing all the monies, including our salarys to the expansion and growth of the company. I run the estimating, scheduling of jobs and employees and also the office for this company as well as for Novelte Construction Design. Her is a list of my suppliers and some of my Contractors that I do business with on a daily basis.. Drake Ready Mix 239 -590 -9199 Southern Supply 239 -597 -2176 Coastal build. Supply 239 -340 -6868 Ready Build.Prod. 239214 -5310 Fortress Block 941 -505 -7070 Thank You for you time in the matter VanBmmirik Homes 239 - 280 -6730 Gary Lau Builders 239 - 218 -5691 Sullivain Construction 239 - 450 -4670 D,Roth Construction 239 -289 -2891 J.Christopher Hornes 239- 877 -8467 tea► e-» Covtvtty GMD Operations & Regulatory Management 61;e Licensing Section 2800 North Horseshoe Drive Naples, FL 34104 APPLICATION FOR COLLIER COUNTY /CITY OF NAPLES /CITY OF MARCO FIRM INSTRUCTIONS: This application must be typewritten or legibly printed. The application fee must accompany this application. The fee is not refundable after the application has been accepted and entered on the records. All checks should be made payable to the Board of Collier County Convnissioners. For further information, consult Collier County Ordinance No. 90 -105, as amended. NAME OF COMPANY: Exact Corporate/ Business Name: Fiction Name /DBA: Qualifier Name: Physical Address: Mailing Address: 2.. T) C6(/ I jj (Number & Street) t P'6. (?>w (� � (Number fig Street) Telephone: % ZI (oq ' 0 ® k TYPE OF LICENSE: ❑ General $230.00 ❑ Building $230.00 ❑ Residential $230.00 ❑ Mechanical $230.00 ❑ Roofing $230.00 Specialty trade: & CW-f " f' L dos (State) (Zip Code) FL 3L l ©( (State) (Zip Code) E -Mail: _ iVt t C ° ' � a UC:i6 tai . om ❑ Electrician $230.00 ❑ Plumber $230.00 ❑ Air Cond. $230.00 ❑ Swimming Pool $230.00 ❑ Specialty $205.00 CHANGE OF STATUS: ( ) Reinstatement ( ) From One Business to Another Page 1 of 4 ( ) Dormant License to Active 1. The names, titles, home address and phone numbers of all Officers /Managing Members of the Firm. (4 UL Q iZ7 Coax. 46\��-e Loose- 2. List all businesses, firms, entities or contracting businesses you have been associated with during the last ten years (ex. Held a license for or been a partner). Attach extra pages if needed. i LU, 3. List all debts you or any company(s) associated with you refused to pay and the reasons for the refusal to pay. Attach extra pages if needed. AFFIDAVIT I, _certify that the foregoing is true and correct to the best of my knowledge. Authorized Officer of the Firm STATE OF FLORID} j COUNTY OF lryr .t" The foregoing instrument as acknowledged before me this ! 1 i T (Date) By tCiG V t) + V � A of -n uy, [-F- U (Name of officer, title /agent) (Name of Corporation) (State or Place of Corporation) (H� /She has produced (Type of identification) NOTARY'S SEAL K. LECUYER NOTARY PUBLIC STATE OF FLORIDA 4-P. Comm# E9631464 Expires 11/17/2016 Corporation on behalf of the corporation. Page 2 of 4 identification and did not take an oath. f (SIGVTURL OF NOTARY) QUALIFIER INFORMATION: Name: f f .l � `lo o� Address: C�� 7_0 (Number & Street) Telephone: z'3C{° z. ON S.S. #: 000 -00- Law P5 �q[05 (City) (State (Zip Code) Date of Birth: / E -Mail: t yI PO 1 � l f € (�J5 • (f Driver's License: 2�) (25-0 - `j 2> (0, �>q • M . ( 1. Type of Certificate of Competency for which application is made. /V�a�& qVI \f 2. The names and telephone numbers of two persons who will know your whereabouts. 2.39 • Z- 739- 7VA - S L6 6 3. Have you ever been convicted of a crime related to Contracting? (if yes attach extra sheet with explanation) 7. Have you or any firms you have been associated with ever filed bankruptcy ?_ 8. List all debts you or any company(s) associated with you refused or failed to pay and reasons why, 9. List your business or work experience during the past ten years. 10. Statement of any formal training you have had in the area for which the application is made. Page 3 of 4 AFFIDAVIT The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County Ordinance No, 2006 -46, as amended, and vouches for the truth and accuracy of all statements and answers herein contained. The undersigned hereby certifies that he is legally qualified to act on behalf of the business organization sought to be licensed in all matters connected with its contracting business and that he has full authority to supervise construction undertaken by himself or such business or organization and that he will continue during this registration to be able to so bind said business organization. The qualified license holder understands that in all contracting matters, he will be held strictly accountable for any and all activities involving his license. Any willful falsification of any information contained herein is grounds for disqualification. APPLICA T (PLEASE PRINT) NAME OF COMPANY SIGNATURE OF APPLICANT STATE OF FLORI COUNTY OF � _ sue., _ The foregoing instrument as acknowledged before me this a I 111-1, (� (Date) By RF,Cx,Ut 1 fflz ) (A who has produced �j�v� �, Lj k��� (Na e of person acknowledging) (Type of identification) as identification and did not take an oath. NOTA LECUYER OTARY PUBLIC STATE OF FLORIDA r �' Comm#EE831 Expires 11/17/2016 (SIG TURE OF NOTARY) Page 4 of 4 AFFIDAVIT IT IS understood and acknowledged by the Collier County Contractors' Licensing Board and myself that if I fail to acquire, or maintain at all times effective Workmen's Compensation Insurance it will result in the possible revocation of my Certificate of Competency. SIGNATURE OF APPLICANT BUSINESS NAME DATE BEFORE ME this day personally appeared �'� «O n who affirms and says that he has less than one employee and does not requi e Workmen's Compensation understands that at any time he employees one or more persons he must obtain said Workmen's Compensation Insurance. STATE OF FLORIDA COUNTY of The foregoing instrument was acknowledged before me this L i (Date) L��U, by ' ' �V rl who has produced .a .— ' ,� o ( me of person acknowledging) . (Type of identifica as identification and who did not take an oath. K. LECUYER NOTARY PURLIC STATE OF FLORIL)A . C❑mm# EE931484 Expires 11/17/201 d NOTARY'S SEAL SIGNATURM OF NOTARY 1� . I. (PRINT A E OF NOTARY PUBLIC) NOTARY PUBLIC STALL- OF OWNERSHIP This certifies that 1, — am a member or (APPLICAA7-S NAME} Managing member (LIMITED LIABILrTY COMPANY NAME) •o Devi a),,) own .0/o. of the units issued by the Limited Liability Company listed above.` Affidavit of ApplicantJ certify that the information. contained is a true and Correct Sta-te,m- ent to th' b6st'of my knowledge. e (PRINT NAME . CAPPLICANrS SIGNATU-R�H-J COLLIER COMITY GOVERNMENT COMMLWTY DEVELOPMENT AND ENVIRONMENTAL SERVICE S DIVISION 2800 N. I Iorscshoe Dr. e Naples, Florida 34104 • 239 -403 -2400 FAX 239 -403 -2334 MEMORANDUM l.TE: November 29, 2007 b: Applicant's OM: Michael Ossorio, Contractor Licensing Supervisor.. Robert Dunri, Collier County BuiIdina Director. A.laxnar Finnegan, Collier County Permitting Supervisor. !-Zobert Zachary; County Attorneys Office. All Contractor Licensing personnel. UECT: Collection of social security numbers. muant to Chapter 119, Fldrida Statues aYid' Collier C- 01MtyC.antractor'Licensing Ordinwiev 2Q06 -46 sm all appliconts are required to submit their social security number (SSN) foi the following purposes: Assess applicant's ability to satisfy creditors by reviewing their credit history. Vorification of applicant's test scores and information. office will only use your SSN tioWd above for those reasons pui suwit to Chapter 119, Florida Statues s may otbemrise be authorized by law. re fully committed to safe - guarding raid protecting your 5SN Mid once collected, will be malt~r wined as dential lid exempt under Chapter 119, Florida Statues. www.sunbiz.org - Department of State Home Contact Us E-Filing Services No Name History Detail by Entity Name Florida Limited Liability Company NOVELTE CONSTRUCTION AND DESIGN LLC Document Searches Forms Help Entity Name Search i Submit I This detail screen does not contain information about the 2013 Annual Report. Cli, k_here to.defe_rrn ne- if..a, 20'i3,Annfaa(_Rc port has bge.r. },.f..i.led, Filing Information Document Number L10000029583 FEIIEIN Number 272242859 Date Filed 03/17/2010 State FL Status ACTIVE Last Event LC AMENDMENT Event Date Filed 1010412012 Event Effective Date NONE Principal Address 8089 TAYLOR RD. NAPLES FL 34109 US Changed 10!2512012 Malling Address P 0 BOX 8357 NAPLES FL 34101 US Changed 10!2512012 Registered Agent Namo & Ad_d_ress RICE, ROGER 8 ESO 9010 STRADA STELL CT. p 207 NAPLES FL 34109 US Name Changed: 10/2512012 Address Changed: 10/25/2012 Manager /Member Detail Name & Address Title MGRM DROWN, ROGER 6089 TAYi OR RD NAPLES FL 34109 US Annual Reports Report Year Filed Date 2012 02/21/2012 2012 08/27/2012 2012 1012512012 Document Images vtii nl I E t-iT i View image m PDF formal ,; i I C s. _1, View iuiaga b1 PDFformal -- .. .NNa_ I. L!! „�!,,i: View image inPDIFf0flat ..- ' I Of;,i: i View image m PDF,tormetI _- ;; ht�Nllr R P(; Ri View image In PDFformat ...: I i' -- View image inPDFformat. .- l Note; This is not official record. See documents if question or conflict. No Name History Entity Name Search Submit Page 1 of 1 http: / /www.sunbiz.org/ scripts /cordet,exe ?action.= DETFIL &inq_doe numbel=L1000002958... 2/1/2013 EXPERIAN BUSINESS REPORT PAGE RPT DATE TIME PORT TYPE 1 02/01/2013 11:12:02 -AN3 REPORT 404 ----------------------------------------------------------------------------- NOVELTE CONSTRUCTION AND DESIGN LLC BIN: 965250039 6089 TAYLOR RD STE B DATE INCORPORATED: OCT. 2012 NAPLES FL 34109 -1834 --------------------------------------------------- -------------- ------ - - - - -- COMPANY BACKGROUND INFORMATION ------------------------ - - - - -- THE FOLLOWING WAS PROVIDED BY THE STATE OF FLORIDA. CURRENT STATUS ACTIVE BUSINESS. AGENT IS RICE ROGER BESQ LOCATED AT 9010 STRADA STELL CT, NAPLES, FL. FEDERAL ID 272242869 PRINCIPALS) ROGER DROUIN TITLE: MANAGER THE INFORMATION HEREIN IS FURNISHED IN CONFIDENCE FOR YOUR EXCLUSIVE USE FOR LEGITIMATE BUSINESS PURPOSES AND SHALL NOT BE REPRODUCED. NEITHER EXPERIAN INFORMATION SOLUTIONS, INC., NOR ITS SOURCES OR DISTRIBUTORS WARRANT SUCH INFORMATION NOR SHALL THEY BE LIABLE FOR YOUR USE OR RELIANCE UPON IT. COPYRIGHT 2013 EXPERIAN INFORMATION SOLUTIONS, INC. ALL RIGHTS RESERVED. * *END REPORT ** 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. Prepared By: Merit Credit (239) 277 -3202 (800) 371 -3348 TRANSUNION CREDIT REPORT [FOR) [SUB NAME) (I) Z NP6284423 MERIT CREDIT (SUBJECT) DROWN, ROGER R. [CURRENT ADDRESS] 3910 DOMESTIC AV., #C. NAPLES FL. [FORMER ADDRESS) 740 NW. 3RD ST., NAPLES FL. 34120 830 3RD ST., NAPLES FL. 34109 [CURRENT EMPLOYER AND ADDRESS) Kl [FORMER EMPLOYER AND ADDRESS] DROVIN CONC [MKT SUB) [INFILE) [DATE] [TIME] 16 NP 10/91 02/01/13 13:27CT [SSN] [BIRTH DATE) dlWWNWQ131 1/70 [DATE RPTD) 34104 11/05 [RPTD) 5/05 5/05 12/05 S P E C I A L M E S S A G E S ** *ADDRESS ALERT: CURRENT INPUT ADDRESS DOES NOT MATCH FILE ADDRESSES) * ** ---------------------------------------------------------------------------- M 0 D F T, P R O F I L E * * *FICO CLASSIC 04 :.NOT SCORED: INSUFFICIENT CREDIT * ** ---------------------------------------------------------------------------- C R E D I T S U M M A R Y * ** T O T A L F I L E H I S T O R Y PR =3 COL =1 NEG =4 HSTNEG =1 -4 TRD =20 RVL =6 INST =7 MTG =6 OPN =1 INQ =1 HIGH CRED CRED LIM BALANCE PAST DUE MNTHLY PAY AVAILABLE REVOLVING: $211K $210K $ $ 10D% CLOSED W /BAL: $17.9K $17.3K $589 TOTALS: $211K $210K $17.9K $17.3K $589 ---------------------------------------------------------------------------- P U B L I C R E C O R D S SOURCE DATE LIAB ECOA COURT ASSETS DOCKET# TYPE PLAINTIFF /ATTORNEY Z 5064186 11 /09R $29.9K I CI 98007CA CIVIL JUDGMENT ASSET ACCEPTANCE LLC Z 5064168 5/08R $47.6K I CI 79877 CIVIL JUDGMENT RINKER MATERIALS CORPO Z 5064186 4/088 $39.3K 1 Cl 74044CA CIVIL JUDGMENT FIFTH TI•lIRD BANK ----------------------------------------------------------------------------- C O L L E C T I O N S SUBNAME SUBCODE ECOA OPENED CLOSED $PLACED CREDITOR MOP ACCOUNT# VERIFIED BALANCE REMARKS AR RESOURCES Y 27GG001 I 11/07 $275 MEDICAL 09B 1666541 1/13A $275 PLACED FOR COLLECTIO ----------------------------------------------------------------------- - - - - -- T R A D E S SUBNAME SUBCODE OPENED HIGHCRED TERMS MAXDELQ PAYPAT 1 -12 MOP ACCOUNT# VERFIED CREDLIM PASTDUE AMT -MOP PAYPAT 13 -24 ECOA COLLATRL /LOANTYPE CLSD /PD BALANCE REMARKS MO 30/60/90 SANTANDER F 1R18003 5/05 $55.7K 1SOM589 I09 30000176155621000 4/12A $17.3K I RECREATIONAL MERC 4/12F $17.9K UNPAID BLNC CHRGD OFF UNIT COMM B 25E3018 11/06 $9596 42M254 109 50042194271106 1 /10A $0 C SECURED 1110F $0 TRNSFRD OTHER OFFICE GECRB /FUNANC F 235060T 5/05 $55.7K 180M 109 1400020141863870 8/07A $0 I SLDTO CHARGEDOFF 8/07F $0 PURCH BY OTHER LENDER CENTURY BANK B 4248008 3/05 $1.5M 360M1343? 2/07 54321111.1111 M05 520072650305 3/07A $0 $65.5 05 111111111111 I BALLOON DUE 04012 3/07C $0 BALLOON PAYMENT 24 1/ 1/ 2 CBT DIV SCBT B 2D14001 3/05 $29.3K 24M2.60 11111111.1111 MOl 8531289040305 6/11A $0 111111 C CONVENTIONAL REAL 6 /11C $0 24 0/ 0/ 0 UNIT COMM B 25E3018 3/02 $32.3K 60M28219 111111111111 201 50042042510302 11 /06A $0 111111111111 C BALLOON DUE 03152 11/06C $0 BALLOON PAYMENT 46 0/ 0/ 0 REGIONS BANK B 634A0ll 10/01. $39.3K 5M317 111111111111 MOl 15200018889 7/06A $0 111111111111 C SECURED 7/06C $0 CLOSED 48 0/ 0/ 0 UNIT COMM B 25E301.8 3/02 $32.3K 60M28219 111111111111 101 50042042580302 7/06A $0 111111111111 C BALLOON DUE 03152 7/06C $0 BALLOON PAYMENT 46 O/ 0/ 0 AMEX B 21.WB001 1/99 $6275 1XX11X111111. 001 048117591012326602 7/06A $0 111111111111 I CREDIT CARD 1/06C $0 CLOSD BY CRDT GRANTOR 48 0/ 0/ 0 CHASE B 26QK001 4/97 $41.2K 1111.11 ROl 441712852912 1/06A $40.OK T CREDIT CARD 6 0/ O/ 0 BEALLS /GNB D 2894002 9/99 $250 1111111111.11 ROl 225 12/05A $300 $0 111111111111 I SLDTO WFNNB 11 /05C $0 PURCH BY OTHER LENDER 48 0/ 0/ 0 UNIT COMM B 251;3018 7/02 $3H.'l.K 3'�M:V- /6 I01 50042077370'102 7/05A $0 C BALLOON DUE 06182 7/05C $0 RALLOON PAYMENT AMER HONDA Q 3946010 9/04 $7875 60M163 I01 62423386 4/05A $0 I AUTOMOBILE 4/05C $0 CLOSED 6 0/ 0/ 0 EMIGRANT BK B 525T003 4/04 $700K 360M 1111111111. M01. 4762800 3/05A $0 1 CONVENTIONAL REAL 3/05C $0 CLOSED 10 0/ 0/ 0 5TH 3RD BK B 9302020 5/04 $0 1 COl 85655 3/05A $150K $0 I HOME EQUITY LOAN 3/05C $0 ACCT CLSD BY CONSUMER 1 0/ 0/ 0 IST NATBK FL B 1Y4F001 5/04 $149K llllll Rol 7915 1 /05A $150K I HOME EQUITY LOAN 6 D/ 0/ 0 IST NATBK FL B 1Y4F001 12102 $147K 111111111111 R01 7908 7/04A $150K $0 111111 C HOME EQUITY LOAN 6/04C $0 CLOSED 18 0/ 0/ 0 BK OF AMER B 6331059 6/98 $20.6K 111111111111 ROl 0491 6/04A $20.OK 1.11111111111 T CREDIT CARD ACCT CLSD BY CONSUMER 48 0/ 0/ 0 CHASE B IULY006 12/02 $80.OK 18OM1030 11111111117.1. MOl 9080605753623 6/04A $0 111 P FRD693059257 6/04C $0 CLOSED 15 0/ 0/ 0 FIRSTHORIZON F 418EO03 12/02 $360K 18OM3796 XXXXXXXX1111 M01 4810040533465 5/04M $0 1111 C' P CONVENTIONAL REAL 5/04C $0 CLOSED f, 16 0/ 0/ 0 I N Q U I R I E S -------------------------------- - - - - -- p DATE SUBCODE SUBNAME TYPE AMOUNT 2/01/13 ZNP6284423(FLA) MERIT CREDIT C R E D I T R E P O R T S E --------------------------------------- R V I C E D B Y: TRANSUNION 800 - 888 -9213 2 BALDWIN PLACE P.O. BOX 1000,CHESTER, PA. 1.9022 Consumer disclosures can be obtained online through TransUni.on at: http! / /Www.tr.ansunion.com -------------------------------------------------------------------- CREDITOR CONTACT INFORMATION COLLIER CIR ZP5064186 (941) 774 -8BOO 3301. TAMTAMT TRL E NAPLES FL. 341.01 HILLSBOROUGH ZP5064168 (813) 276 -8100 419 PIERCE ST $114 TAMPA FL. 33602 AR RESOURCES YC27GGU0'1 POB 1056 BLUE BELL PA. 19422 SANTANDER FAlRIB003 (866) 923 -9282 PO BOX 961245 FORT WORTH TX. 76161 UNilr COMM BZ25E3018 (706) 864 -8223 POB 1060 DAHLONEGA GA. 30533 GECRB /Ft1NANC FZ235060T (866) 220 -9432 C/0 PO BOX 6153 RAPID CITY SD. 57709 CENTURY BANK BB424RO08 (941) 366 -1050 1680 FRUITVILLE RD SARASOTA FL. 34230 CBT DIV SCBT BY2D14001 (803) 531 -0567 400 NORTH MAIN CORNELIA GA. 30531 REGIONS BANK B0634A011 (770) 503 -2000 P 0 DRAWER 937 GAINESVILLE GA. 30503 AMEX BC21WBOOl (800) 874 -2717 P.O. BOX 981537 EL PASO TX. 79998 CHASE BC26QK001 (800) 945 -2006 P.O. BOX 15298 WILMINGTON DE. 19850 BEALLS /GNB DZ2894002 (813) 747 -2355 P 0 BOX 25207 BRADENTON FL. 34206 AMER HONDA QA3946010 (404) 475 -2121 1030 CAMBRIDGE SQU ALPHARETTA GA. 30201 EMIGRANT BK BS525TO03 5 E 42ND ST NEW YORK NY. 10017 5TH 3RD BK BT.9302020 (800) 972 -3030 5050 KINGSLEY DR CINCINATTI OH. 45263 1ST NATBK FL BZ1Y4F001 1150 CLEVELAND STR CLEARWATER FL. 33755 BK OF AMER BC6331059 PO BOX 982235 EL PASO TX. 79998 CHASE BMIULY006 (800) 848 -9136 PO BOX 24696 COLUMBUS OH. 43224 FIRSTHORIZON FM41.8E003 (866) 2B5 -2171 1555 LYNNFIELD BLD MEMPHIS TN. 38119 END OF TRANSUNION REPORT MERIT CREDIT HAS RETRIEVED THE ABOVE PERSONAL CREDIT REPORT FOR LICENSING PURPOSES AS REQUESTED BY THE BUSINESS OWNER /PROPRIETOR. PUBLIC RECORDS FOR THIS REPORT HAVE BEEN CHECKED AND VERIFIED AT THE COUNTY, STATE AND FEDERAL LEVELS, P(1RLTC RECORDS HAVE ALSO BEEN VERIFIED FOR PINELLAS COUNTY. PUBLIC RECORDS LEARNED 3 SOURCES OF INFORMATION: TRANS UNION LLC IRS LIEN SECTION COUNTY COURTHOUSE RECORDS IF YOU HAVE ANY QUESTIONS REGARDING THIS REPORT, PLEASE CONTACT MERIT CREDIT AT: 1 -800- 371 -3348 OR (239) 277 - 3202. CERTIFICATE OF LIABILITY INSURANCE Date z/1/zois Producer: Lion Insurance Company This Certificate is Issued as a matter of information only and confers no rights 2739 U.S. Highway 19 N. Holiday, FL 34691 upon the Certificate Holder. This Certificate does not amend, extend or alter the coverage afforded by the policies below. Insurers Affording Coverage NAIC # (727) 938 -5562 Insured: South East Personnel Leasing, Inc. & Subsidiaries 2739 U.S. Highway 19 N. Holiday, FL 34691 Insurer A: Lion Insurance Company 11075 Insurer B: Insurer C: Insurer D: Insurer E: Coverages Tfie policies of insurance listed below have been issued to the insured rarned above for the policy perio indicated. oW inganyrequreme tensor conditionotanycorgract oro r docmerawithrespect to this certificate maybe issued or may pertain, the insuance afforded by the policies described herein is subject to all the terms, e=iusiorls, and wrcfitlons of such policies. Aggregate limits shown may have been reduced by paid claims. - INSR LTR ADDL INSRD Type of insurance yP Policy sir Policy Effective Date Policy Expiration Date Limits (MM /DD/YY) (MM /DD/YY) GENERAL LIABILITY Each Oocirrence Commercial General Liability Claims Made 0 Occur Damage to rented premises (EA occurencej Mod Em eneral aggregate limit applies per: Personal Adv Injury General Aggregate Policy 0 Project ❑ LOC Products - Comp/Op Agg AUTOMOBILE LIABILITY Combined Single Limit Any Auto (EA Accident) All Owned Autos Bodily rYvy Scheduled Autos (Per Person) Bodily Ir iury Hired Autos Non -Owned Autos (Per Accidarx) Property Damage (Per Acciderrg EXCESS /UMBRELLA LIABILITY EachOccurerce Occur ❑ claims Made Aggregate .- Deductible A Workers Compensation and WC 71849 01/01/2013 01/01/2014 x I WC statu- OTH- Employers' Liability to Limits ER F L Farah Ar•.drfent sipnn,non Any propritAnripartner /executive officer /member excluded? NO E.L. Disease - Ea Employee S1,000,000 If Yes, describe under special provisions below. E.L. Disease - Policy Limits $1,000,000 Other Lion Insurance Company is A.M. Best Company rated A- (Excellent). AMB # 12616 Descriptions of 0pe ration slLocatlonslVehicies /Exclusions added by Endorsement/Speciai Provisions: Client ID: 80-65 -357 Coverage only applies to active employee(s) of South East Employee Leasing Services, Inc. that are leased to the following "Client Company ": Novelte Construction and Design, LLC Coverage only applies to injuries incurred by South East Personnel Leering, Inc. & Subsiiliat ies do live erupluyee(s) , while wotking in Florida. Coverage does not apply to statutory employee(s) or independent contractor(s) of the Client Company or any other entity, A list of the active employee(s) leased to the Client Company can be obtained by faxing a request to (727) 937-2138 or by callinq (727) 938 -$562. Project Name: ISSUE 02 -01 -13 (JG) Begin Date; 10/3112011 CERTIFICATE HOLDER CANCELLATION COLLIER COUNTY LICENSING BOARD should any of the above described policies be cancelled before the expiration date thereof, the issuing insworvill endeavorto mail30 days written notice to ft certificate holder named to the left, but failure to do so shall impose no obligallon or fiabilityof any kind won the insurer. Its agents or representatives. 2800 N HORSESHOE DR NAPLES, FL 34104 ��» :<:.. .:: ; :..; - .. :.::..;.: �� .:::...:. >�- :.:.:.: ..:� .5: :.� .:..:::. �:; -.: :�. -:.:.. :r i'.: ,:.. _:: ':: '� ` R:,•. " . ............ ... ri:i:.';i,�if:i'. ::::`:.:� ::`': DATE (MM /DD/YY) ii- : ACCRD� :CRTt � LIA ' 02 01 13 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION WEEMS INSURANCE OF NAPLES INC 2661 STH AIRPORT ROAD, B105 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, COMPANIES AFFORDING COVERAGE NAPLES FL 34112- COMPANv (239) 775 -8705 ( ) - A REPUBLIC- VANGUARD INSURANCE CO_ - INSURED COMPANY - — NOVELTE CONSTRUCTION & DESIGN LLC B _ _ COMPANY -- PO BOX 8357 C NAPLES FL 34101- COMPANY (2 39) 1692 -0701 D GOVJrRAGES...: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY — HAVE BEEN REDUCED BY PAID CLAIMS. - - -- — --- -- -------- -- — CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM /DDlYI') POLICY IXPIRATION DATE (MM/DD/YY) LIMITS A GENERAL LIABILITY GENERAL AGGREGATE 1'_2 , O O O, 000 X I COMMERCIAL GENERAL LIABILITY PGL S 0 012 61 -12 04/08/12 0 4/ 0 8/ 13 PRODUCTS - COMP /OP AGG $ 2, 000 000 CLAIMS MADE X OCCUR PERSONAL & ADV INJURY S 1,0 0 0 000 OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000, 0 0 0 FIRE DAMAGE (Any one tire) 100, 000 MED EXP (Any one person) _S $ 5, 00C AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ _ BODILY INJURY (Per person) S h. ALL OWNED AUTOS SCHEDULEDAUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE S GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S — ANY AUTO / / / OTHER THAN AUTO ONLY EACH ACCIDENT S AGGREGATE S EXCESS LIABILITY EACH OCCURRENCE S UMBRELLA FORM / / / / AGGREGATE _ S $ OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND WC STATU- O R TORY LIMITS ER EMPLOYERS' LIABILITY `EL EACH ACCIDENT S THE PROPRIETOR/ INCL EL DISEASE - POLICY LIMIT $ PARTNERS /EXECUTIVE — -- . ...... - - - - -- OFFICERS ARE: E.XCi. EL DISEASE - EA EMPLOYEE I S OTHER I DESCRIPTION Or OPC RATION0 /LOCATIONONCIIICLC3 /3PECIAL ITEMS COLLIER COUNTY CONTRACTORS LICENSING B 2800 N HORSESHOE BLVD NAPLES FL 34104 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT ��ILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF Y KIND UPON THEII, ¢OMPANY, ITS AGENTS OR REPRESENTATIVES. moo ED REPRESENT E oast __ /� FICATION OF CONSTRUCTION GMD Operations & Regulatory Management Department Licensing Section 2800 N. Horseshoe Drive Naples, FL 34104 Applicant's Name: Certificate Category Requested: ( -0 �U$ +e v V&+ P10 1 �d The Applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate the Applicant must verify their experience within this trade. You are being requested to provide information that will aid the Applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker (e.g. as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience must provide the following information: Name, Title and license number of the person signing below and verifying Applicants relevantexperience: Name: _S� ,aV CAJ,.'t-�Ir Title: Naive of Business: Business Address: Lrg License Number (if applicable): 4 G,,— / coo Z oo&o72„T 'r Business Phone: d.t1--661Y The Applicant's years of experience from The applicant's scope of work (specific duties) included: 1201e, 1-4:.q he --,�, K< Additional Comments: Falsifying any information provided herein may subject your license to revocation. Signata Print N State of Florida County of Collier The f regoing i strument was acknowledged efore me on this day of by rY� 3 t`1c' who is personally known to m Jor produced as identification and who did not take an oath. K. LECUYER NOTARY PUBLIC STATE OF FLOR1t)A Signature of Nd y • Comm# EE831464 Expires 11/17/2016 ►' �r' A" t.? S CATION OF CONSTRUCTION EXPE: GMD Operations & Regulatory Management Department Licensing Section 2800 N. Horseshoe Drive Naples, FL 34104 Applicant's Name: Certificate Category Requested: The Applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate the Applicant must verify their experience within this trade. You are being requested to provide information that will aid the Applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker (e.g. as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience must provide the following information: Name, Title and Ii+cense number of the person signing below and verifying Applicants relevant experience: Name: lVt,fi�i I r J(,1c/i Title: _l.OAN License Number (if applicable): GLOU(A Name of Business: Li +� �U �LiilCtt/l C��tS f�l� CiAll uc Business Address: t`q(A bl;IA IC��/n!Q rlVlxDlK. ��r'�� Business Phone: t` 40A The Applicant's years of experience from to The applicant's scope of work (specific duties) included: L4e� �AS �Ot�P iMQ n A Additional Comments: Ann Nzdlewt LQ06-V, on y *A iv\ un WeA —To jenTS Ke GJjti� Falsifying any information provided herein many subjeoi your license to revocation. ' Signature Print Name: "wep State of Florida County of Collier The foregoing instr�u'me�n�t was acknavledged . efore me on this_ day -of � k� by— �j ul S 11 . who is personally known to me�r produced as identific ion and who did not take an oath. 41",d K, LECUYER -A-�,4 NOTARY PUBLIC Signature of Notar STATE OF FLORIDA . Comm# EE831484 Expires 11/17/2018 Applicant's Name: Certificate Category Requested: CATION OF CONSTRUCTION EXPERIENCE GMD Operations & Regulatory Management Department Licensing Section 2800 N. Horseshoe Drive Naples, FL 34104 ._. M1,1`Yl The Applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate the Applicant must verify their experience within this trade. You are being requested to provide information that will aid the Applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker (e.g. as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience must provide the following information: Name, Title and license number of the person signing below and Verifying Applicants relevant experience: Name: Uzkr �.� ^.@_t_- Title: y< ,l 41 a". ".i- License Number (if applicable): C. � L Name of Business: - -- +!wG <t t/ () k Business Address: Business Phone: 1 1 U9 �7-A( The Applicant's years of experience from 6e'10 to c6, f The applicant's scope of work (specific duties) included: F Additional Comments: t��'WV 1� ,� [' �� �t C' S t' C'z' PJ i [� Cr Ci €2 tl •t °ti 4� ��' C . S v t - -4 Falsifying any information provided herein may subject your license to Print State of Florida County of Collier The f oregoing in trument was acknowledged before me on this l day, of F-k� by �} who is personally known to i or produced as identifi ion and who did not take an oath. K LECUYER NOTARY PUBLIC STATE OF FLORIDA . Comm# EF-831454 Explres 11/17/2016 k, A 4 4,L-A J P-A Signature of Notafy AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER am a resident of County, (State) and have resided here for more than five (5) years. During the last five years I have known Pn!),2F �)! �, QV t\d\ applicant). I have had the opportunity to observe his or her business and pei.' onal dealings and find him or her to be a person of honesty, integrity and good character. (Signature) (Name) � -epG- tr SQ (C J6n (Address) -b� �a �� 12-4 �DL 31r� . Telephone) Ca3�i } g3-0 - �4�:�7c STATE OF FLORIDA COUNTY OF (; , I , The foregoing instrument was acknowledged before me this -i)l '/ / r), by i ( e) who has produced'} >> .. (name of person acknowledging) 1 (Type of identifi ation) as identification and who did not take an oath. K. LECUYER NOTARY PUBLIC STATE OF FLORIDA Comm# EE831484 Expires 11/17/2018 NOTARY'S SEAT. SIGNATUR H r F NOTARY K , _ (PRINT NAkE OF NOTARY) NOTARY PUBLIC AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER am a resident of d_' - County, ya (State) and have resided here for more than five (5) years. ((� UGC" ���ltiE�l During the last five years I have known (Applicant). I have had the opportunity to observe his or her business and ersonal dealings and find him or her, to be a person of honesty, integrity and good character. j (Signature) (Name) (Address) Telephone) STATE OF FLORIDA COUNTY OFC�,,:� The foregoing instrument was acknowledged before me this by -r Date) //// (lily who has produced 11 } �-, t�MVgN; (nam o£ person acknowledging) (Type of ide tification) as identification and who did not take an oath. K. LECUYER NOTARY PUBLIC STATE OF FLORMA Contm# EE831464 Expires 11/17/2016 NOTARY'S SEAL SIGNATUR F NOTARY k. 6 a (PRINT NAME OF NOTARY) NOTARY PUBLIC 10 • • • • as •/aa )3 Att./ M c8 • '. • �l'�l'•'M' 1 • BEFORE THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD BOARD OF COUNTY COMMISSIONERS, COLLIER COUNTY, FLORIDA, CONTRACTORS' LICENSING BOARD Petitioner, V. Richard J. Ranck D /B /A — RV Lanai of SW Florida, Inc. Respondent. Case Number: 2014 -04 License Number: 34532 ADMINISTRATIVE COMPLAINT Collier County (County) files the Administrative Complaint against Richard J. Ranck ( Respondent), a Collier County licensed Aluminum Contractor ( license # 34532), and states the following facts and allegations in support of the cited violations below: 1. The Respondent is currently licensed by Collier County as an aluminum contractor with license number 34532. 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 or about July 30, 2013, RV Lanai of SW Florida, Inc., with corporate officers being Mary and Richard Ranck and qualifying agent being Richard Ranck, contracted with Lake San Marino RV Resort for the installation two aluminum roof systems over two horseshoe pit areas. Building Permit # PRBD20130923915 was applied for on September 24, 2013 for described installation. A site visit was made on October 28, 2013, where it was found that the installation had commenced prior to the contractor obtaining the applicable permit, violating Collier County Ordinance 90 -105, as amended, Section 4.1.18. b. On February 3, 2014, in reviewing the construction proposal /contract, it was found that the Respondent contracted for "concrete footers into which the posts will be secured ". The inclusion of the pouring, placing or finishing of the concrete on the contract, being out of the scope of the aluminum certificate held by the Respondent, violates Collier County Ordinance 90- 105, as amended, Section 4.1.2. c. Thereafter, pursuant to Collier County Ordinance 90 -105, as amended, Section 22 -202 (b) and Section 22 -202 (c), the case was investigated 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 4.1.18. "Proceeding on any job without obtaining applicable permits or inspections from the City building and zoning division or the county building review and permitting department ". Count II 5. Collier County Ordinance 90 -105, as amended, Section 4.1.2. "Contracting to do any work outside of the scope of his competency as listed on his competency card and as defined in this article or as restricted by the contractors' licensing board ". 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 Respondegqguilty of the violations charged. Dated: Signed: Collier County Contractors' Licensing Supervisor or Designee C.L.B Case # 2014 -04 Richard J. Ranck — D /B /A RV Lanai of SW Florida, Inc. Table of Contents E1 through E3 — Formal Complaint E4 through E6 —Case Detail Report E7 — Collier County Certificate Report E8 & E9 — Division of Corporations Detail by Entity Name E10 — Notice of Hearing E11— Certified Mail Receipt E12 — Certified Mail Returned Receipt E13 — Hand Delivered Courtesy Copy of Notice of Hearing E14 — Contract / Proposal E15 — Proof of Payment / Deposit E16 through E18 — Permit Application E19 & E20 — Permit Rejection Letters E21— Misconduct Charge / Collier County Ordinance 90 -105, as amended, Section 4.1.18 E22 — Misconduct Charge / Collier County Ordinance 90 -105, amended, Section 4.1.2 E23 - Collier County Ordinance 90 -105, as amended, Section 1.6.3.3, Aluminum Contractor Definition. Collier County Ordinance 90 -105, as amended, Section 1.6.3.2, Aluminum Contractor Including Concrete Definition. E24 through E27 —Site Photos E28 & E29 — Certificate / Contractor Historical Comment Listing Report Contractors' Licensing Board 2800 North Horseshoe Drive Naples, Fl. 34014 Complaint Number: 2014 -04 Complainant: Any person that 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 copied of the complaint. Date: March 3, 2014 Against: Contractor's name: Richard J. Ranck Phone: 239 - 272 -3100 Business name: RV Lanai of SW Florida, Inc. License number if known: 34532 Collier County Competency number: 34532 Contractor's business address: 6017 Pine Ridge Rd #195 Naples, Fl. 34119 Filed By: Name: Collier County License Compliance Officer, Ian Jackson Address: 2800 North Horseshoe Dr Naples, FI 34104 Business phone: 239 - 252 -2451 Address where work done: 1000 Wiggins Pass Rd City: Naples County: Collier Date of contract: 7/30/13 E� � Date job started: Stop Work Order issued 10/28/13 Date job completed or new home occupied: Not Applicable Were there plans and specifications? Yes Is there a written contract? Yes If yes, amount of Contract? $5972.00 Has Contractor been paid in full? No If Contractor has NOT been paid in full, what amount is paid? $3165.16 Was a Building Permit obtained? No Building Permit number if known: PRBD20130923915 (applied for and rejected) Have you communicated by letter with the licensee? Yes Date: February 6, 2014 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): 4.1.18 and 4.1.2 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 or about July 30, 2013, RV Lanai of SW Florida, Inc., with corporate officers being Mary and Richard Ranck and qualifying agent being Richard Ranck, contracted with Lake San Marino RV Resort for the installation two aluminum roof systems over two horseshoe pit areas. Building Permit # PRBD20130923915 was applied for on September 24, 2013 for described installation. A site visit was made on October 28, 2013, where it was found that the installation had commenced prior to the contractor obtaining the applicable permit, violating Collier County Ordinance 90 -105, as amended, Section 4.1.18. On February 3, 2014, in reviewing the construction proposal /contract, it was found that the Respondent contracted for "concrete footers into which the posts will be secured ". The inclusion of the pouring, placing or finishing of the concrete on the contract, being out of the E V scope of the aluminum certificate held by the Respondent, violates Collier County Ordinance 90- 105, as amended, Section 4.1.2. Signature: Collier County Licen§k Compliance Officer Date: 3 ',: P&b�� SAMANTHA LYNN ROE * * MY COMMISSION # EE 875239 t EXPIRES: February 17, 2017 �°rfoFFt�`° Bonded Thru Budget Notary Services :S TATE OF FLOE IUA ✓ COUNTY OF — L/ II c rd 3 he foreQang ins�ent was fore his 3 deir by {naime:ot person acknowledging%• (Si re of Notary Pubi c - . e of ) �QM G..,t1� c, Print, Type, or Stam m p Comissean�ed� Name of Notary P Personally Known OR Produced Identification_ Type of Identification Produced 65 C*Iergov.net Report Title: Code Case Details Date: 3/3/2014 8:13:47 AM Case Number: cemis20130015542 �- ' � 3Ea ibava' 'nom' y E." Case Number: CEMIS20130015542 Case Type: Misconduct Priority: Normal Inspector: la nJ ackso n Jurisdiction: Contractor's Licensing Origin: Building Department Status: Preliminary Review Date & Time Entered: 10/28/2013 10:32:28 AM Entered By: IanJackson Case Disposition: Case Pending Detail Description: Case referral from County Building Dept., unpermitted aluminum structure at 1000 Wiggins IPass Rd Location Comments: I1000 Wiggins Pass Rd / folio 152200004 c� Business Management & Budget Office 1 Code Case Details Execution Date 3/3/2014 8:13:47 AM Desc ` Assigned - Required Completed Outcome Comments Preliminary Investigation IanJackson 10/28/2013 10/28/2013 Needs 10/25/13. Case referral from County Investigatio Inspector, John Serenko, concerning n unpermitted aluminum structure at 1000 Wiggins Pass Rd. At location found two aluminum structures under constrruction. Found Permit PRBD20130923915, under review. Advised contractor, RV Lanai / Molly Ranck 272 -3100, of violation and County's position pertaining to willful code violations and possible Board action for future violations. ATF attached to property. Will close case when permit issued. Cont. Investigation IanJackson 11/6/2013 11/5/2013 Complete 11/5/13. Permit rejected. Cont. Investigation IanJackson 12/3/2013 12/3/2013 Complete 12/3/13. Corrections submitted. Cont. Investigation IanJackson 12/11/2013 12/11/2013 Complete 12/11/13. Permit under review. Cont. Investigation IanJackson 12/31/2013 12/31/2013 Complete 12/31/13. Permit remains rejected. Second rejection letter sent. Cont. Investigation IanJackson 1/13/2014 1/13/2014 Complete 1/13/14. Appears that no corrections for second rejection letter have been provided. Cont. Investigation IanJackson 1/30/2014 1/30/2014 Complete 1/30/14. Have been unable to make contact w/ contractor. Sent email on 1/29/14, asking that Ms. Ranck contact me. Cont. Investigation IanJackson 213/2014 2/3/2014 Complete 2/3/14. Unable to reach contractor. No activity on permit application. Sent Notice of Hearing for March 19, 2014 CLB, charging w/ 4.1.18. 2/3/14. Met with Lake San Marino RV Resort Manager, Susan Jackson 597 -4202, who provided contract and payment records. Found contract price to be $5972.00 with a deposit of $3165.16, leaving unpaid balance of $2806.84. Ms. Jackson indicated that she has had no contact from RV Lanai representative, Molly Ranck. Ms. Jackson stated she plans on hiring a new contractor to take over the permitting and construction. Ms. Jackson was advised that if the new contract exceeds the balance on the original contract, that may be addressed by a seperate misconduct charge. Ms. Jackson indicated that she believes the new contract will be less than remaining balance. In reviewing the original contract, found that RV Lanai had contracted for concrete, " there will be concrete footers into which the posts will be secured ", adding a second charge of uunbacling uuL of the scope of the aluminum certificate qualifying the company. Ile CJ� Business Management & Budget Office 2 Code Case Details Execution Date 3/3/2014 8:13:47 AM Desc Assigned Required Completed Outcome Comments Cont. Investigation IanJackson 216/2014 2/6/2014 Complete 2/6/14. New Notice of Hearing, mailed Result Compliance Fine /Day Condition certified mail return receipt, charging with 4.1.18, "Proceeding on any job without obtaining applicable permits or inspections fromthe City building and zoning division or the county building review and permitting department" and 4.1.2, " contracting to do any work outside of the scope of his /her competency as listed on his /her competency card and as defined in this Ordinance or as restricted by the Contractors' Licensing Board ". Board hearing scheduled for 3/19/14. Cont. Investigation IanJackson 2/18/2014 2/18/2014 Complete 2/18/14. Return receipt has been returned, delivered 2/11/14. Cont. Investigation IanJackson 2/26/2014 2/26/2014 Complete 2/26/14. Will be prepping case for 3/19/14 CLB. Cont. Investigation IanJackson 2/28/2014 2/28/2014 Complete 2/28/14. Found that Richard and Mary Ranck have property at 5551 Luckett Rd B -87 / 10001 Willowood Dr. Ft Myers. Made visit to location. Met w/ Mary Ranck. Advised of hearing and provided courtesy copy of Notice of Hearing. Explained charges and hearing procedure. Cont. Investigation IanJackson 3/3/2014 3/3/2014 1 Complete 3/3/14. Case prepared for 3/19/14 CLB. Investigation IanJarkson 3 /17/2014 Pending �'�..� ?'�.....': `-�.bt.�,.,s �, :w'.:f`.�..� au,.,..... .:,G`��a. _. .�:r:: ct ..,,w.. M•. .,....�,�°"s. � ..... _., �,� -�.:. �.�'�.��*�..,�.��,�ca,�.�.. ., 3 _...........;��_,.:. ... a Violation Description Status Entered Corrected Amount Comments 4.1 Misconduct- County /City Certificate of Competency Open 1012812013 $0 Reason i R3 s 'aU 031 T� �;. 5di. �"cw^S�X�d 0 %�,• ...,. .. �...�. n:S1`�RM, .i��pf`(„�uha vn o..r .., i.�:we.,..e .�. ' Yfsnnt xo«Y',.,J`,p. E?, 3. `,`i�f . ,. Title Reason Result Compliance Fine /Day Condition ZPAP Business Management & Budget Office Business License Application Status - CityView Portal Page 1 of 2 GMD License Application Status — License Application Summary Application Number: C34532 Business Name: RV Lanai of SW Florida, Inc License Type: Contractor Application Status: Hold Description of Business: All Certificates from CDPlus: 34532 1/29/14 Hold per Michael O. Refer to scanned documents and images. NSF. Mailing Address: 6017 Pine Ridge Rd # 195Naples FL 34119- United States Locations: — Issuances .............................. . ....._.__- ......... ...... ........ _ _ - - _........_....._..._.... _-...._...._...._.... ......_................._...... Type Date Issued Date Expires Status Number I £ ALUMINUM 10/12/2012 09/30/2014 Active 1 34532 ._......._._..._..........___.._ ...... _.._.._ .... .._ ...... _ ........ ._ ....... __.._.._..... ...... _---.____.__... ...... .......... » .... .... ___. — Reviews There are no reviews for this license application. — Insurance FProducer Type Policy Effective Date Expiry Date r- AUTO BUYERS AMTE028330 < 05/22/2013 05/22/2014 i $200,( INSURANCE AGENCY Expiration Processed: No Producer Phone Number: 239 -793 -0555 ._ _._._ .................._...__..___...._..._._.._.._. .........___ RICHARD RANCK {.______..___._._._ ...._ _. —.._ ( __.___.__..__..____._.__.. 09/19/2011 __ _ ------ _ ..... — .__.__....___ 09/18/2015 i (QUALIFIER) j __..._.. .. _ .............. i.._.... _._._._. E Expiration Processed: No AUTO BUYERS ( 10653187 08/05/20129/26/2014 1 INSURANCE AGENCY I) 1 Expiration Processed: No Producer Phone Number: 239 - 793 -0555 Ranck, Mary _ __ ......... _ . ............... ......... _ ...... __.__... __. ...... .... .__._........... 09/19/2013 09/19/2015 — ? Expiration Processed: No ce /�tatnc�licencPTrl= 1017QR /� /� Detail by Entity Name etail by Entity Name ida Profit Co LANAI OF SW FLORIDA INC. n,rk locument Number EI /EIN Number ate Filed tate tatus rinci P09000076595 300452858 09/14/2009 FL ACTIVE 5017 PINE RIDGE ROAD #195 NAPLES, FL 34119 17 PINE RIDGE ROAD #195 �PLES, FL 34119 ;PIEGEL & UTRERA, P.A. 840 SW 22ND ST. TH FLOOR IIAMI, FL 33145 irector ame & Address itle PD RANCK, MARY E 6017 PINE RIDGE ROAD #195 NAPLES, FL 34119 itle VST ;ANCK, RICHARD J 017 PINE RIDGE ROAD #195 IAPLES, FL 34119 Page 1 of 2 Detail by Entity Name Report Year Filed Date 2A1 1 04/20/20 1 ome Contact Us - Filing Services Document Searches 2012 02/12/2012 2013 04/14/2013 ocum 04/14/2013 -- ANNUAL REPORT View image in PDF format 02/12/2012 -- ANNUAL REPORT View image in PDF format 04/20/2011 --ANNUAL REPORT View image in PDF format 01/31/2010 -- ANNUAL REPORT View image in PDF format 09/14/2009 -- Domestic Profit F— View image in PDF format l C oay...rwht :c? and .Priv..d.c.acdicI State of Florida, Department of State Page 2 of 2 Forms C% Collier County Growth Management Division / Planning and Regulation Operations Department / Licensing Section CERTIFIED MAIL RETURN RECEIPT REQUESTED # 7007 2560 0001 1485 5674 Date: February 6, 2014 Richard J. Ranck DB /A RV Lanai of SW Florida, Inc. 6017 Pine Ridge Rd # 195 Naples, F134119 RE: Complaint filed against you by Collier County Contractors' Licensing regarding a violation of Collier County Ordinance 90 -105, as amended, Section 4.1.18 and 4.1.2 on October 28, 2013. Dear: Mr. Ranck, • 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 March 19, 2014 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 seventeen 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) 4.1.18 and 4.1.2 of Ordinance # 90 -105, as amended, the range of disciplinary sanctions which may be imposed are from an oral reprimand to a suspension or revocation of your Collier County Certificate # 34532 and/or suspension or revocation of your permit privileges against your state license # Not Applicable . AJkson y, la g Compliance Officer p239 - 252 -2451 /m � 10 EII MAIL,,., RECEIPT r 'CERTIFIED (Domestic ..o u-I For delivery information visit -our . Ln `I I E -- Postage 6 ,q FEB certified Fee M Q(Endorsement Return Receipt Fee Required) Pork Here Rastrkted Delivery Fee p (Endorsement Required) ..0 ru fU Total Postage & Fees r` -&-51-15 Q RV Lanai Of SW Florida Inc o b`veet,Apr. No.; -' ATT Richard J. Ranck ` - - -- -- or PO Box No. 6017Pine Ridge Road # 195 �: State, LP+4 ----------------- Naples, FL 34119 Instructions PS Form 3800, August 2006 See Reverse for EII I" 6 iz Collier County Growth Management Division / Planning and Regulation Operations Department / Licensing Section CERTIFIED MAIL RETURN RECEIPT REQUESTED # 7007 2560 0001 1485 5674 Date: February 6, 2014��� �' l Richard J. Ranck DB /A RV Lanai of SW Florida, Inc. 6017 Pine Ridge Rd # 195 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 4.1.18 and 4.1.2 on October 28, 2013. Dear: Mr. Ranck, • complaint has been filed against you by the above referenced Collier County Department Section. • hearing of this complaint will be by the Contractors' Licensing Board on March 19, 2014 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 seventeen 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) 4.1.18 and 4.1.2 of Ordinance # 90 -105, as amended, the range of disciplinary sanctions which may be imposed are from an oral reprimand to a suspension or revocation of your Collier County Certificate # 34532 and/or sps�epsion or revocation of your permit privileges against your state license # Not Applicable . L—iAn�.i)t Compliance Officer phone - 39- 252 -2451 /m ��3 RV LANAI OF SW FLORIDA, INC. JOB DESCRIPTION: PROAL • Provide and install two roof systems one over each set of horseshoe pits. • Each roof system will measure approximately 32' in length standing area at the pitching area at each pit, and 7' in depth to cover the Each roof system will be supported by 3" x 3" which will be connected to a 2 x 6 beam for lusts located no greater than 9' apart, n „ • The posts & beams will be located approximately 8" from the front and rear es of roof. the roof panels. I; • The roof will be slanted towards the rear edge of each roof system to allow for the run_ off of rain water into the gutter provided along the rear edge of the roof. There will be two downspouts provided at each end of the gutters. • There will be concrete footers into which the posts will be secured. e The aluminum will be white in color. • Pricing includes all materials, labor, engineering d l; permitting costs PRICING: $5,972.00 TERMS: 25% With Proposal Acceptance 50% With Job Start 25% Final Payment with Job Completion THANK YOU VERY MUCH FOR THIS OPPORTUNITY! WE LOOK FORWARD TO PROVIDING YOU WITH A QUALITY JOB INSTALLED IN A TIMELY AND PROFESSIONAL MANNER! PROPOSAL ACCEPTANCE: SUSAN JACKSON, RESORT MANAGER DATE P, H V 16 r rot � X 0 �x CD Dew K Q w CDac 0 (n N- N W w C � < m 0 0 m Qa.. O (D - J fi J Ln w fD n a E- m o y n r o 0 ON J � N N w v rn o J y� ~ z rn \ x N 0 m r w w � X O p ID O C N " 0 t~n O =! w O 70 o M cn 0 O `C \ C N ['r O (D Ui 3 0 m w m M 0 n rt o (D H 0 O o H o m o N �- m O N w D 3 0 c Ul .... . ... ... 0 kll. DI A Mease gen 28""i INL site Out-QSure f y -t- I-- qed ins a k0c —18C I cw .Units 111-�csidental 3 m-mcmial OW�Ilk Tbrout"'I i-- /ICC flow A lob Add o p em y crNz�jle may; venc 14", is FFMA: zo"rc: ELI ri 0,� 1 I V v M41 1 : i LJ i D I Qj A 1 L�]IU A jQW 0 > �A own= BMk 11 WPM A [DIV q CjV A rnv 13 ph-m& by piku of 'Nor n x-ur,, 4 U. i Cc o zr logo 7MISM Tat CCA., COA� 1 SWAM WATER S-e je Ave &ILria (AM Or Coup', L',J (saw Chy Won chm Coy 17 umx kaal� .......... . .. ELD QIr, r C]Cy-her M i 1 am LI, By CO., S,D PUR DMV: J I Per t-%xida 713"3E A'Nt­:;e ,;f n' i NOC) is reps c., for ccn' uuw_,,cn W i ni ' pnveEnents !rrnn wlth ce"Z3'pli ',"C Redz_1_,r­ie­ I's a rff Cn7T1M,_'t3cements reqviled fo.- Imp rvw_­aw� than S7,503. ins r I'M - ^­ If C�'�l ��? ' _te:m . a 1, 1P ra,­Or',J��d N10C Of 2 r, [4,7 rl :% tha V r�su:ng P6 N0 5 taeri f7;ej f,-,r —,- C 0 It": P'g. 11 oil g e of with V'so s e teq, rem.­',', pe wil: be pi ad In in--pe'Non d fof 1he fl. ;s -�,Iei w a d3 porrnil5og r,d othar rnVvn% y vv th 11h, s no attft Ni ty, YOUIR NOTME CIF Cfk"4"f-,TiMENCEP.AEI,�j"�l'. The app roved rcia;. it, , and "Or fief -,PPI3Ca-;""0n WiMs .f Pot coinwinon 1vj,Uhin six M,) rn_acn a, ,s fro mn 'he date 'hoz it En ra, "`ire l Cr 'M.'11 -be `0� �f 1he a rnout It at the v2 L�'e' Vl is stm'4�d w"_ zpp�e_­F,�J er "I"t S i""1y "0 e'i L"'ejz""j fh tilg st"nicture vtifinztbe I untJ a ":"e: tificate -.3f oacupancv is issue 4, By niku th's perint, appi c,?3ion, I eg-eo 0,,al I have boen retained by 1he, r'vvnf-rrperm.ie.tla io Dn:% :de C:Jntmclmo services 1ha Irn6� f_r 4 hick I am ii$"ed. F dffi"'-More' if is tny "e pw:stI`fy to notify the &uk!diqq Revie"'i arie DeDailrnent zhoutd I no Jxig_­ be V,;e cwten'wr responsibie for providif-,g said ion of the - I I se7vi S. 1 cOrthcr agree 1 understind that the review and of !hk_ per�nit 'does not e)C31'ot me from CDMPNyii 7" -dirL -r,�,n - �5 th omne of Vrle permit, Mth ali c'-u-7-ity Codes wnd Of inczs 1� is fultherlinderstood that the prope:lv c n2r,'Pennittee a r M"kRNING OF POSSIS' E DEED RESTRICT 10NS TH 2 LAND SU aj ECT TO T# US PE PI,7, IT N'�AY SE SU BJ EC T TO D EEC), AN iD OTHER RES TRI CTIONS THAT MAY UMNT OR a 1, C)M ONSIPME POR THE ENFO is -rHESE PA!R `ii U0400VINER'S RIMFF:�% Ck JER COUNrf IS NOT FZESP� --Y EA TO PROVIOT-- LEGAL OR DUSIN'ESS ADVICE TO IONS, NOR ARE COLU E CC` L, N, -�PLOYEES AUTHORIZED T`tE PUBi IC RELA11VE TO THU�F_ TriE LANDOWNFR OR ANY APP11CANT TOTING CCN BEHALF OF Thi.� tS 1-AUTM'QN1Er3 To SIEE P.`_,0'i-;ESM0NAL ADVICE. "Y IVA 17 VVARN!N'C*; ONVIORKIN C,0LN'T'Y RIGHT-OF-V Tjji,s pormit doas not, avthoriza sonsiruc-fJon or Installation of any strucf'V` or r1rtiF,,',1.,l zbc.] va or halaw ground, w0in vriv rT�jgt_ oj'_rt;S y or asemcnt raservi d for accoms, drairiage or ut'lity purposes, T his restriction spec-Ifically prohibits tench{ "s, sprhilder tzyswats, landscaping other thai sod, signs, aster, :;cnwar, f bit- and drainage work therein. If sLch ;'"Pravoa '40ats anz, cmczssary' a 5epamfo pimnit for that Purpose murt be frorn Trsrzsport,-VWRVN Pc-rnl is -and Inspections (239) 26-2-5787. !�Q'LLC& In z-AdItion to the raquirarnents of this permit there may be addIticnnai restrictions applicablo to ;ails p oper,,y tK,.� vl jna4y be found in thn public records of Uh, s couatyr, and thsra imay be additional permft m required from otfu-,r government"'I entitics such as wator hear .2c�nionll district, state agencles, or fadera! A cowvenie,e... k.. k c be purrharc- i.,rair we'erheotws' or rcsidc;, ,;rrzge doos isiza for size), Thty may Prat b,, win'r Ork t­V:rqj a yawe of ov"r $� O° "3. Cy ae - not valid fen .%,ork In he ol Way. A erarz'e ROW pe—n-11 Le are allowad for cwivcni,. n�r. The p,,ffnt must be con, ., :t4' filie-j out by you pficpr to Ca.m lee v.N'.0 Me 1'-Jrk' And y posivj at thl, tieclr. is your resP0qs!bI1j1.v t'a 45fnsure frie documents are posted r*rm_!!y and securely. L1,xv'U"a'ns Tnjl;t b'e aaVaj for wifliIn Z4 i. ouas J rork ccaipletion A pear ', is not requirad for a water heMer und"-r S2 gAflons for a s inqe dctac led house rzcsidrncsi Garzge dooms need NOA or Moric!,. P. t AloptavaL Approval numbers inu!A be %vrilten on Vitj save=ra�s w€ pc *rrnit ApprrwO must Ha on the Jct' site with the Copy or the v _,-mJt, Convonionce permits can Ine- deilverod or fa),cid to 1h,3 a" , I f -), "2191 - 252-3s'.1c% Company N"wrie: Qumliflel's'Nlame v fate of C4 State - , "e Qualifier's Signa- awarn to or affimned) and sub­zcribeed before rne TJs wl-M-' is psrsonai�y 'Known, 0R Ploduced D ype of D Notaty PuO�_ SignatUre A K°t 10WLEDGEMENT OF COLLIER COUNTY REGULATIONS Per Fkxida Sititutes713.135 a 1496ce of CornM00c#rnar4 (NOC) is requked for amsbucrurn of imlXovemerrs Eoixdutg more than $2.500, with cariain exwptions. For Ate Reptacerow is a rrotics of z7"ro vemerrt Is requited for lmlx orients more tnan $7:300. The rppwc wd anadt has with the beiani; aunt ft ptior to the rrfropection eather a o affeed copy of the reomw NOC or a nafarized ilaftmant that iha NOC has been rifted for recanting, aionp vrkh a wpy mere=& - irt or iorto c:om* with the state m q **roam, pernft -19 be, placed in inspoe ion, hold wd prod of the NOC is flied wkh the try per ftN and inthpacNon departmeK The issuing asiftxtly sit not perform or approve subsequent inspections uxdia the uppfcant itbpa by mat, facsimile, hand dariivery, emata or any otRw means mach cartirsed copy ** the iasheirp ar away. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING' ' CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. The approved permit andfor permit app#eation expires It not commenced within SIX (6) ntoriths from the date of issuarm. The pemA or application fee will be four times the amount of the permit fee, if wo* is started without an approved permit The permittee Anther undo starxIs Mat only Ncnnsed contractors may be employed and that the sfrvetue wol not be used orot cq*d unit; a certificate of ocapancy is issued. By Signing this permit application, I agree that I heve been retained by fire ownertpemtitfee to provide contras ; atrrvicrtt for the trade for which t am fisted, Furlhamnoir, 4 fs my responsibility to notify the Customer Service section of the Widfng Review and Permittirly Department should f no longer be the contractor responsible for providing said contracting services. I Axthnr agree that I under stand that the review and issuing of this permit doers not exempt nie from comp%,*V with as county Cases and OW#memt*s. it Is further understood that the property ownerlpermittee is the owner of the permit WARNING OF POSSIBLE DEED RESTRICTIONS THE LAND SUBJECT TO THIS PERMIT MAY BE SUBJECT TO DEED, AND OTHER RESTRICTIONS THAT MAY LIMIT OR IMPAIR THE LANDOWNER'S RIGHTS. COLLIER COUNTY IS NOT RESPONSIBLE FOR THE ENFORCEMENT OF THESE RESTRICTIONS, NOR ARE COLLIER COUNTY EMPLOYEES AUTHORIZED TO PROVIDE LEGAL OR BUSINESS ADVICE TO THE PUBLIC RELAnvE TO THESE RESTRICTIONS. THE LANDOWNER OR ANY APPLICANT ACTING ON BEHALF OF THE LANDOWNER IS CAUTIONED T€7 SEE PROFESSIONAL ADVICE. WARNING ON WORK IN COUNTY RIGHT-OF -WAYS This permit doer not au torizis construction or Instaliatki'rf of any structure or utility, above or below.ground, within any right- ofgvway or easement reserved for alccass, dsWriago or utility purposes. This restriction specifically prohibits fvnchtg, sprinkler sy*ftmac landscaping other than mad, rigns, avatar, atwar, cable and drainage, work thorolm If such improvements we neep"ary, a saparsht permit for that purpose must be obtained from TrisnatportatloWRt7W Permits and Inspections (230) 252 -4767. NOTICE. ill addition to the requirements of this permit, there may to additional restrictions applicable to this property that may be found in the public records of this county, and there may be addMonal permits required from other govemmental entitles such as water m;arnagernerrt district, airier agencies, or federal agencies. CONVENIENCE BOOKS A oonvsnbnos stook can be purchased for air coaditlonlog, waw heaisra, or ruidiindal parage doors (skcs for sis+r). Tree- may not be tried for wom having a "Jug Of Over Wn. They art not weed lox work in the Rt{tht of Way. A separate HOW permit mutt be obiatnsd. Rea;ppilcatfons acs allowed for to vo"Isemm paimittt. The 136ra* intist be compietsly f8led out by 'yoo 1: Hoe to come coring the work, and the job -cfte trop- posted at the ei*'- r Mahar. it b yotu responsibility to ensure the documents are posted oornittty and s*ctarety: inspections must be caatd for wrtftfn 24 heifers of work t ompledon. A permit to not required for a water boater under 52 gallons for a aingts family dtlachsd houte only. Residential garage doors oved NOA or Florida Product Appcovat. Approval numbers mustbo wrttian on than convartlencs peraanlL Approval must be on tits Iob sfM wnh the corny of the permit. Convenlencar teat" is care be delivered or faxed to the office at ( 239) — 263 -3990. / Company Marne: G�' 1 t tr-�State License#: 4 - 3 Qualifier's blarne [G - Qualifier's Signature State cif County of �fiimma subscribed before me this �l ! Who is pe=rsonally known OR Produced 10 Notary Pubiie tbfafne {SEAL} Notary Public Sign i 6/6/2011 E PATF" L PHdIIASi{!i ._ My a0MW$" r Er: ittrM �� � Exlsif�s�.ktty�t.zots gyp, ttanttrd f't>ts heeded Psi>!ic tlndtrmrrlhta 6/6/2011 E COLLIER COUNTY GOVERNMENT GROWTH MANAGEMENT DIVISION / PLANNING AND REGULATION 2800 N. Horseshoe Drive, Naples FL 34104 * Phone (239) 252 -2400 Outstanding Corrections Date: October 29, 2013 PERMIT NO: PRBD2013092391501 Contact Name: RV Lanai of SW Florida, Inc APPLICATION NO: PRBD20130923915 Address: 6017 Pine Ridge Rd # 195 JOB SITE ADDRESS: 1000 WIGGINS PASS RD City, State Zip: Naples, FL 34119- - Fax: (239) 693 -7186 Email:rvianai @aol.com 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: INSTALLATION OF PAN ROOF OVER HORSE SHOE PITS. CONCRETE FOOTERS 1000 WIGGINS PASS RD 2001 -AR 1194 Rejected Review: Planning Review Reviewed By: Chris Scott Phone: 239-252-2460 Email:chrisscott @colliergov.net Correction Comment 1: Proposed structure is located within the required 8' rear yard setback Rejected Review: Engineering Review Reviewed By: Daryl Hughes Phone:239- 252 -2391 Email:darylhughes @colIiergov.net Correction Comment 1: On south roof cover, will need to add gutters to direct water flow away from neighbor to the south. Submit 5 sets of revised sheets along with 5 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. Fiq COLLIER COUNTY GOVERNMENT GROWTH MANAGEMENT DIVISION / PLANNING AND REGULATION 2800 N. Horseshoe Drive, Naples FL 34104 * Phone (239) 252 -2400 Outstanding Corrections Date: December 11, 2013 PERMIT NO: PRBD2013092391501 Contact Name: RV Lanai of SW Florida, Inc APPLICATION NO: PRBD20130923915 Address: 6017 Pine Ridge Rd # 195 JOB SITE ADDRESS: 1000 WIGGINS PASS RD City, State Zip: Naples, FL 34119- - Fax: (239) 693 -7186 Email:rvlanai @aol.com 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: INSTALLATION OF PAN ROOF OVER HORSE SHOE PITS. CONCRETE FOOTERS 1000 WIGGINS PASS RD 2001 -AR 1194 Rejected Review: Planning Review Reviewed By: Chris Scott Phone:239- 252 -2460 Email:chrisscott @colliergov.net Correction Comment 1: Proposed structure is located within the required 8' rear yard setback 12/4/2013: Revised site plan shows the "aluminum framing under construction" located between 6.5 and 6.9' from the property line. The dimensions on the site plan match the post footprint on the engineered plans, which implies that the posts will be 6.5 feet from the property line. Roof overhang is permitted in the setback, but the engineered plans show less than 1' roof overhang from the posts. Submit 5 sets of revised sheets along with 5 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. 4.1.13. Failing to maintain a current mailing address. 4.1.14. Failing to appear in person or through a duly authorized representative at any scheduled hearing on a complaint filed against the contractor. 4.1.15. Being convicted or found guilty, regardless of adjudication, of a crime in Collier County which directly relates to the practice of contracting or the ability to practice contracting. 4.1.16. Allowing another to take a qualifying examination on the applicant's behalf. 4.1.17. Engaging in contracting business in Collier County or the City when prohibited from doing so by the Contractors' Licensing Board of Collier County. 4.1.18. Proceeding on any job without obtaining applicable permits or inspections from the City building and zoning division or the county building review and permitting department. 4.1.19. Failing in any material respect to comply with the provisions of this Ordinance as a contractor or as a qualifying agent for a business entity engaging in contracting. 4.1.20. Signing a statement with respect to a project or contract falsely indicating that the work is bonded; falsely indicating that payment has been made for subcontracted work, labor, or materials which results in a financial loss to the owner, purchaser, or contractor; or falsely indicating that Workers' Compensation and public liability insurance are provided. 4.1.21. Failure of a qualifying agent for a firm/legal business entity to comply with the requirements set forth in Sections 489.119 and 489.1195, Florida Statutes. 4.1.22. Falsifying or misrepresenting any material fact to another person with the intent or for the purpose of engaging in the contracting business, providing wal.rrials or services, or soliciting business for an employer, as a contractor, or as an employee, regardless of any financial consideration. 4.1.23. Failing or refusing to provide proof of public liability and property damage insurance coverage and workers compensation insurance coverage. 4.1.24. Misconduct in the practice of contracting (,See section 4.2, below). 4.2. Misconduct - State Certified Contractors The following actions by State Certified Contractors shall constitute misconduct and grounds for discipline pursuant to Section 4.3 of this Ordinance. 4.2.1. Failing or refusing to provide proof of public liability and property damage insurance coverage and workers compensation insurance coverage as required by Florida Statutes. 4.2.2. Willfully violating the applicable building codes or laws of the state, City or Collier County. 4.2.3. If the CLB finds through its public hearing process that the contractor was found by another county or municipality within the past twelve (12) months, to have committed fraud or a willful building code violation and the CLB finds that such fraud or other willful violation 37 Words sfrasl reug are deleted; words underlined are added. / 11 constitutes prima facie evidence of an intent to evade the provisions of this Ordinance. Active Participation requires job site supervision, knowledge of and participation in the business operations of the company(s), including all contractual matters. 4.1.1.1. If any individual qualifying any business organization ceases to be affiliated with such business organization, he shall so inform the Board. In addition if such individual is the only certified individual affiliated with the business organization, the business organization shall notify the Board of the individual's termination and shall have no more than sixty (60) days from the date of termination of the individual's affiliation with the business organization in which to affiliate with another person certified under the provisions of this article. In any event, the business organization shall not enter into any new contracts and may not engage in any new contracting until such time as a qualifying agent is employed. 4.1.2. Contracting to do any work outside of the scope of his /her competency as listed on his/her competency card and as defined in this Ordinance or as restricted by the Contractors' Licensing Board. 4.1.3. Abandoning a construction project in which he/she 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 ninety (90) consecutive days without just cause and no said notice to the owner. 4.1.4. Diverting funds or property received for the execution of a xpreific contract project or operation or diverting funds earmarked for a specified purpose to any other use whatsoever. 4.1.5. 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. 4.1.6. Disregards or violates, in the Performance of his contracting business in Collier County, any of the building; safety, health, insurance or Workers' Compensation laws of the State Of Florida or ordinances of this County. 4.1.7. Falsifying or misrepresentin g any material fact in his application and supporting Papers for the purpose of obtaining a Certificate of Competency under this Ordinance. 4.1.8. 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: 4.1.8.1. The contractor fails to fulfill his /her 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 /she. is licensed, under any of the following circumstances: 35 Words 9406k4lllygp are deleted; words underlined are added. Z implied contract; or that undertakes, offers to undertake, purports to have the capacity to undertake, or submits a bid to engage in the business of electrical contracting; or that does itself or by or through others engage in the business of electrical contracting. The term electrical contractor does not qualify any person, firm or corporation for the installation of fire alarms which requires a separate state license. Placement of fire safing and fire stopping materials shall be permitted on wall, ceiling and floor penetrations created within the scope of the work allowed by this section. 1.6.3. Specialty Contractor means any person who assumes responsible charge and direction in the performance of construction work requiring special skills, and whose principle contracting business involves the use of specialized building trades and crafts usually a minor part of a complete structure. Available categories of Specialty Contractors and their requirements are: 1.6.3.1. Acoustical Contractor requires twenty -four (24) months experience with a passing grade on a twe (2) hou business and law test and means any person who is qualified to install, maintain, repair, and alter acoustical materials. The scope of work permitted under this classification shall include, but not be limited to, the installation of grid work used to support acoustical panels, including luminous ceiling panels. 1.6.3.2. Aluminum Contractor Including Concrete requires twenty -four (24) months experience with a passing grade on yes (3 ) lieu an approved test and a passing grade on a tWe (2) hour business and law test and means those who are qualified to fabricate, install, maintain, repair, alter, or extend accessories such as metal and vinyl siding, awnings, security shutters, gutters, soffits and prefabricated rooms and portable metal or vinyl partitions. These contractors may form, place on grade reinforcing steel and miscellaneous steel, and pour, place, and finish non - structural concrete on grade only, incidental to an aluminum accessory structure and or screen enclosures. 1.6.3.3. Aluminum Contractor requires twenty -four (24) months experience with a passing grade on d4hr� an approved test and a assin grade on a P g �' business and law test and means those who are qualified to fabricate, install, maintain, repair, alter, or extend accessories such as metal and vinyl siding, awnings, security shutters, gutters, soffits and prefabricated rooms, screen enclosures, and portable metal or vinyl partitions. 1.6.3.4. Alarm System Contractor requires twenty -four (24) months experience with a passing grade on &4hfee-(3} -hettr an approved test and a passing grade on a i,• %. 2) ho ,r business and law test and means a person whose business includes the execution of contracts requiring the ability, experience, science, knowledge, and skill to lay out, fabricate, install, maintain, alter, repair, monitor, inspect, replace, or service alarm systems for compensation. 14 Words Hugh are deleted; words underlined are added. 6Z / J AIR I } on-1 I Bin C too `$ if WIT s VAN s rFl�aI \ - kNE _ q � �y. °iv�1c�. -, ae` • , \ 3 u� �I��.If �� {I, re � � � � r lot; 11 a witk, a t \ •• sum � F as � $ b A ti i , rt s t° Y, WK a � 4d ��� ` l , f �_ QW , n v -• .;k a 4 �> L i.,s.a � '� ,� x� � 9 - a .. 4-0,0011 In ...i "no ky d.S. .l ,,.�' WAS n a �� we 4 Pq A.:•t, i 't' R W­ ..:.. 3�,e�3 \. �1 }. N ' •:� o �° R2• { d', � } ,. "±a 4 4: ' n a �� we � wAs ,��RL w,•.t 9 to • ,.�� P ' �,tE All 'ytla¢ei ta.„,�,. 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"� t Comment Listing Report :DPR1007 - Comment Listing Report REF TYPE REF KEY STATUS ORIGINAL USER ORIGINAL DATE /TIM CT 20081 INFO JENNIFERBLANCO 3/9/2006 LAST UPDATE USE LAST UPDATE DATE COMMENT WRIGHT_M 3/9/2006 03/09/2006 CITATION# 2859 ISSUED TO RICHARD J. RANCK IN THE AMOUNT OF $500.00 FOR INSTALLING WINDOWS WITH NO GLASS AND GLAZING LICENSE. CITATION# 2859 PAID ON 03/09/2006 REF TYPE REF KEY STATUS ORIGINAL USER ORIGINAL DATE /TIM CT 20081 INFO WRIGHT —M 3/30/2006 LAST UPDATE USE LAST UPDATE DATE COMMENT WRIGHT_M 10/4/2007 01/23/2006/ Citation #2836 issued for $300.00 by Allen K.( #68) for starting work without a bldg. permit. REF TYPE REF KEY STATUS ORIGINAL USER ORIGINAL DATE /TIM CT 20081 INFO WRIGHT —M 4/6/2006 LAST UPDATE USE LAST UPDATE DATE COMMENT WRIGHT_M 4/6/2006 NOTE: A $300.00 CITATION PAYMENT WAS POSTED ON 3 -31 -06 TO THIS CERT.# BY MISTAKE. THE CITATION WAS FOR A DIFFERENT PERSON AND SHOULD HAVE BEEN POSTED TO THE MISC. ACCOUNT FOR RICHARD REZNICK OF SCREENS FAST,INC.(CITATION # 3099) REF TYPE REF KEY STATUS ORIGINAL USER ORIGINAL DATE /TIM CT 20081 INFO DOWDELL D 9/17/2008 LAST UPDATE USE LAST UPDATE DATE COMMENT DAY _N 9/18/2008 NEED TO PAY OUTSTANIDNG FEES ON PERMIT #2007070464 PER BOB DUNN /DMD REF TYPE REF KEY STATUS ORIGINAL USER ORIGINAL DATE /TIM CT 20081 INFO ANGELTARPLEYCL 1/16/2009 LAST UPDATE USE LAST UPDATE DATE COMMENT ANGELTARPLEYCL 1/20/2009 1/16/09 -NEEDS TO PAY $225 IN UUTSTANDDNG FEES -NO NEW PERMITS UNTIL FEES HAVE BEEN PAID -AMT 1/20/09 -paid outstanding fees REF TYPE REF KEY STATUS ORIGINAL USER ORIGINAL DATE /TIM _- T 20081 INFO DOWDELL D 2/2/2009 LAST UPDATE USE LAST UPDATE DATE COMMENT DOWDELL_D 2/2/2009 2/2/09 NEED TO PAY OUTSTANDING FEES ON PERMIT #2008052057 PER BOB DUNN BEFORE FURTHER INSPECTIONS /PERMITS CAN BE DONE /DMD 2EF TYPE REF KEY STATUS ORIGINAL USER ORIGINAL DATE /TIM �T 20081 INFO DOWDELL D 3/2/2009 LAST UPDATE USE LAST UPDATE DATE COMMENT FRAZIERSHARONCL 4/7/2009 3/2/09 NEED TO PAY OUTSTANDING FEES ON PERMIT #2007121004 PER BOB DUNN BEFORE FURTHER PERMITS /INSPECTIONS CAN BE DONE /DMD / FEES PAID PERMIT CO'D V Z Zt ZEF TYPE REF KEY STATUS ORIGINAL USER ORIGINAL DATE /TIM 31lier County Printed on 11:00:45AM 3/3/2014 --DPR1007 - Comment Listing Report CT 20081 WARN WRIGHT_M 10/6/2009 LAST UPDATE USE LAST UPDATE DATE COMMENT WRIGHT M 10/6/2009 09 -29 -2009/ CANCELLED. NO LONGER QUALIFIES THIS COMPANY. SEE CERT #34532. G Dllier County Printed on 11:00:45AM 3/3/2014 RV lANAt OF St FLORIDA.-MC- 6D19 PINE RIDGE Rf)M 9195 NAPLES, FL 34119 March 10, 2013 Mr. tan Jackson Licensing Compliance Officer Collier County Contractor Licensing 2900 Horseshoe Drive Naples, FL 34104 RE, C.L.B. Case #2014 -04 Dear Mr_ Jackson. to response to the above referenced case, t would offer the following mfornmation: • A proposal for the Morse Shoe Pit Roof systems was submitted to Lake San Marino RV Resort on June 3, 2013 for approvaL • The Management of Lake San Marino approved the proposal for the project in Jule and a deposit check of $3,165.16 was issued, dated 7/30113. • Permit # pRB020130923915 was appal for and submitted for review. • On October 29, 2013, a correction letter was issued regarding the installation of gutters on the south side to direct water flow away from the neighbor to the south. A letter was submitted to comply with this correction. • On December 11, 2013, a second correction letter was sent regarding the structure being within the W rear yard setback. The posts needed to be moved about 1.5' to 1.75' from the rear setback. tf this was to be done, the roof area over where the players stand would not be covered sufficiently. • The manager was pushing to get the project completed as soon as possible since their season was starting right away. In order to satisfy the chent, the project was started without the permit being issued. • An inspection was done by the County, and the project was halted. Approximately mid- December, Richard Ranck, qualifier for the company, became gravely M, after a long period of illness over the past 4-5 years. This serious illness caused the operation of RV Lanai of SW Fla to suffer greatly, and it was decided that the cony would stop all operations effective early 2014. Unfortunately 3-4 jobs were left uncompleted. It is our understanding that these customers have hired other contractors to complete the work. It was not possible to continue work as had been done in the past and it certainly was not the intention of the company to leave anyone hanging with jobs not completed. Mary !tank was required to rernain at home to care for husband Richard Ranck due to the seriousness of his health. All employees were laid off at that time. During the 15 years that RV Lanai of Sit Florida, Inc. has been in business and doing work in Collier County, we have had very few issues with our work or our compliance with the permitting process outlined by the County. We appreciate and thank you in advance for your consideration in this matter. Sincerely yours, r Mary , President th !. Rank, Qu if r RJR /m BEFORE THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD BOARD OF COUNTY COMMISSIONERS, COLLIER COUNTY, FLORIDA, CONTRACTORS' LICENSING BOARD Petitioner, V. William B. Neuzil D /B /A — Naples Construction Group LLC Respondent. Case Number: 2014 -05 License Number: CGC1508081 ADMINISTRATIVE COMPLAINT Collier County (County) files the Administrative Complaint against William B. Neuzil (Respondent), a State of Florida Certified General Contractor ( license # CGC1508081 / Collier County Certificate 201200000637), 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 General Contractor with License number CGC1508081. 2. Under the provisions of Florida Statute 489.113(4)(b)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 the holder of a Certified General Contractor License shall constitute misconduct and grounds for discipline pursuant to Section 22 -202 of Collier County Ordinance 90 -105, as amended. a. (E8 & E9) On April 10, 2012 the Respondent was issued an uncontested citation for engaging in the business or acting in the capacity of a contractor or advertising self or business organization as available to engage in the business or act in the capacity of a contractor without being duly registered or certified ( case CEUL20120005464). b. (E10 & E11) On April 10, 2012 the respondent was issued an uncontested citation for commencing or performing work for which a building permit is required pursuant to an adopted state minimum building code or without such permit being in effect, violating the 2010 Florida Building Code Section 105.1 (case CEUL201200065468). c. (E12 through E18 On May 10, 2012 "Code Violation Case" CECV20120007278 was opened addressing the unpermitted roof repair and installation of AC racks at 1155 Sandpiper Rd units G4, E4, 1 and B2, violating The 2010 Florida Building Code Section 105.1. Said "Code Violation Case" was settled by the Respondent abating the violations by obtaining "after the fact" permits and receiving certificates of completion for all unpermitted installations at location. Case was closed August 12, 2013. d.(E19 & E20) On September 24, 2013 "Misconduct Case" CEMIS20130013482 was opened addressing the unpermitted demolition of a structure at 603 Broad Ct. S., violating the 2010 Florida Building Code Section 105.1. Said "Misconduct Case" was settled by the issuance of a Collier County Notice of Noncompliance, referencing the 2010 Florida Building Code Section 105.1(E24) and by the Respondent abating the violation by obtaining an "after the fact" permit through The City of Naples. Case was closed on November 13, 2013. e.(E25 through E27) On February 7, 2014 "Misconduct Case" CEMIS20140002631 was opened addressing the. unpermitted reconstruction of the stnirture at 603 Broad Ct S., violating the 2010 Florida Building Code Section 105.1. f. Thereafter, pursuant to Collier County Ordinance 90 -105, as amended, Section 22- 202(b) and Section 22- 202(c), the case 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 -201.1 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: March 3, 2014 Signed: Collier County Contractors' Licensing Supervisor or Designee C.L.B. Case # 2014 -05 William B. Neuzil — D /B /A Naples Construction Group LLC Case Summary 2/6/14. Received case referral from City of Naples Building Dept., Tom Szempruch, concerning Bill Neuzil / Naples Construction Group, 825 -1866, beginning construction on home (block, tie beam) with no permit. Found only a demo permit issued with no inspections. Received call from Neuzil, stating Szempruch had contacted him and advised of the violation. 2/7/14. Made contact with Neuzil, who indicated that City of Naples had contacted him concerning beginning prior to permit application. Neuzil stated he was being pressured by the homeowner to begin construction. Neuzil stated he decided to begin, advising the homeowner that he, being the homeowner, would pay any fines associated with the violation. 2/7/14. Met Neuzil at site. Issued Stop Work Order. Photos in case. City has been advised that 2x fees may be applied to permit. Will review case with Ossorio to establish action to be taken by County Licensing. 2/10/14. Reviewed case with Ossorio and City of Naples Building Official, Paul Bollenback. Determination is made that a misconduct charge of Ordinance 2006 -46,as amended, Section 4.2.2 " Willfully violating the applicable building codes or laws of the state, City or Collier County" wiil be filed against Neuzil. Will begin CLB process. 2/11/14. Received phone call from City of Naples Building Dept., Paul Bollenback and Tom Szempruch, stating on 2/11/14 at approximately 2:20 pm, Stop Work Order was violated. City of Naples found that the posted SWO was removed and additional block was being installed onto structure. Photos provided by City of Naples and in case. City of Naples instructed workers to cease construction and another Stop Work Order posted on site. 2111111. Spoke with builder, Bill Neuzil, who stated he removed the original Stop Work Order to include in his permitting information to the City of Naples. Spoke with Neuzil's masonry subcontractor, Tim Hayes / L. J. Hayes Construction, who stated he may not have advised his sub - subcontractor not to proceed with masonry as scheduled. 2/11/14. Advised Naples Construction Group / Bill Neuzil that Licensing Board Hearing will be scheduled for the initial violation (2/7/14 Stop Work Order). 2/18/14. Met w/ Neuzil. Served Notice of Hearing, hand delivery, for 3/19/14 CLB. 2/26/14. Will be prepping case for 3/19/14 CLB C.L.B Case #2014 -05 William B. Neuzil — D /B /A Naples Construction Group LLC Table of Contents E1 through E3 — Formal Complaint E4 — Florida Department of Business and Professional Regulation Licensee Details E5 & E6 — Florida Dept. of State / Division of Corporations Detail by Entity Name E7 — Notice of Hearing E8 & E9 — 2012 Case, CEUL20120005464 E10 & E11— 2012 Case, CEUL20120005468 E12 through E18 — 2012 Case, CECV20120007278 E19 & E20 — 2013 Case, CEMIS20130013482 E21 through E23 — Photos from 2013 Case, CEMIS20130013482 E24— Notice of Noncompliance, settling 2013 Case, CEMIS20130013482 E25 through E27 — Current Case, CEMIS20140002631 E28 through E32 — Site Photos from 2/7/14, First Stop Work Order E33 through E37 — Site Photos from 2/11/14, Second Stop Work Order E38 -2010 Florida Building Code, Section 105.1 Required E39 through E41— Email Correspondence from City of Naples Building Official, advising of his opinion that a willful violation has occurred (Friday, February 28, 2014 10:20 AM) E42 — Florida Department of Business and Professional Regulation Licensee Details. Bollenback, Paul Michael, Building Code Administrator BU1433 E43 — Collier County Ordinance 90 -105, as amended, Section 22- 201.1(2). "Willfully violating the applicable building codes or laws of the state, city or Collier County". Contractors' Licensing Board 2800 North Horseshoe Drive Naples, Fl. 34014 Complaint Number: 2014 -05 Complainant: Any person that 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 copied of the complaint. Date March 3, 2014 Against: Contractor's name: William B. Neuzil Phone: 239 - 825 -1866 Business name: Naples Construction Group LLC License number if known: CGC1508081 Collier County Competency number: 201200000637 Contractor's business address: 270 37th Ave NW Naples, FI 34120 Filed By: Name: Collier County License Compliance Officer, Ian Jackson Address: 2800 N Horseshoe Dr Naples, Fl 34104 Business phone: 239- 252 -2451 Address where wurk dune: 603 Brudd CL Suulh City: Naples County: Collier Date of contract: Not Applicable k1 Date job started: Not Applicable Date job completed or new home occupied: Not Applicable Were there plans and specifications? Yes Is there a written contract? Not Applicable If yes, amount of Contract? Not Applicable Has Contractor been paid in full? Not Applicable If Contractor has NOT been paid in full, what amount is paid? Not Applicable Was a Building Permit obtained? No Building Permit number if known: No Have you communicated by letter with the licensee? Yes Date: February 18, 2014 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): 22- 201.1(2) — Willfully violating the applicable building codes or laws of the state, city or Collier 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 April 10, 2012 the Respondent was issued an uncontested citation for engaging in the business or acting in the capacity of a contractor or advertising self or business organization as available, to engage in the business or act in the capacity of a contractor without being duly registered or certified ( case CEUL20120005464). On April 10, 2012 the respondent was issued an uncontested citation for commencing or performing work for which a building permit is required pursuant to an adopted state minimum building code or without such permit being in effect, violating the 2010 Florida Building Code Section 105.1 (case CEUL201200065468). On May 10, 2012 "Code Violation Case" CECV20120007278 was opened addressing the unpermitted roof repair and installation of AC racks at 1155 Sandpiper Rd units G4, E4, 1 and B2, violating The 2010 Florida Building Code Section 105.1. Said "Code Violation Case" was settled by the Respondent abating the violations by obtaining "after the fact" permits and receiving certificates of completion for all unpermitted installations at location. Case was closed August 12, 2013. On September 24, 2013 "Misconduct Case" CEMIS20130013482 was opened addressing the unpermitted demolition of a structure at 603 Broad Ct. S., violating the 2010 Florida Building Code Section 105.1. Said "Misconduct Case" was settled by the issuance of a Collier County Notice of Noncompliance, referencing the 2010 Florida Building Code Section 105.1 and by the Respondent abating the violation by obtaining an "after the fact" permit through The City of Naples. Case was closed on November 13, 2013. On February 7, 2014 "Misconduct Case" CEMIS20140002631 was opened addressing the unpermitted reconstruction of the structure at 603 Broad Ct S., violating the 2010 Florida Building Code Section 105.1. Signature: Date: I /, � S TE OF i Li,4' 6 jjA COUNTY OF ---- -_ ►�� f he for inq instrument was nowledged Before me this 3 E of µms, aC —`- . by �da y ;aergon acknowtedging� (nam 2 °� aar pue�� SAMANTHq LYNN ROE (Sign(�� of Notary Public - State of Flprida j * * MY COMMISSION 0 EE 875239 EXPIRES: F .ebmary 17, 2017 rir, =.. Type, or Stamp Commissjoned N�9rEOF FL o Bonded ThN Budget NWary Servkes Name of Notary P'ubiio) PQrcoiially Known OR Produced Identification_____ TYPO ON Identification Produced I✓ 3 DBPR - NEUZIL, BILL BRIAN; Doing Business As: NAPLES CONSTRUCTION GRO... Page 1 of 1 12.55:43 PM 313, Licensee Details Licensee Information Name: NEUZIL, BILL BRIAN (Primary Name) NAPLES CONSTRUCTION GROUP LLC (DBA Name) Main Address: 270 37TH AVE NW NAPLES Florida 34120 County: COLLIER License Mailing: License Location: License Information License Type: Rank: License Number: Status: Licensure Date: Expires: Certified General Contractor Cert General CGC1508081 Cu rrent,Active 11/16/2004 08/31/2014 Special Qualifications Qualification Effective Construction Business 11/16/2004 View Related License Information View License Complaint 1940 North Monroe Street Tallahassee FL 32399 :: Email: Customer Contact Center :: Customer Contact Center: 850.487.: The State of Florida is an AA /EEO employer. Copyright 2007 -2010 State of Florida. Privacy Statement Under Florida law, email addresses are public records. if you do not want your email address released in response to a public - records request, do not send electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395. `Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, liranepa, liranced under Chapter 455, F S must provide the Department with an email address. if they have one. The cmails provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public. Please see our Chapter 455 page to determine if you are affected by this change. L 1 Detail by Entity Name etail by Entity Name LES CONSTRUCTION GROUP LLC ocument Number EI /EIN Number ate Filed tatus ffective Date ast Event vent Date Filed vent Effective Date 70 37TH AVENUE NW (APLES, FL 34120 :hanged: 05/01/2006 lailing Address 70 37TH AVENUE NW APLES, FL 34120 hanged: 05/01/2006 egistered Agent Name & Ac EUZIL, BILL B, PRES 70 37TH AVE N.W. APLES, FL 34120 ame Changed: 04/28/2009 ddress Changed: 08/05/2005 uthorized Person(s) Detail L04000043978 201231395 06/11/2004 FL ACTIVE 06/11/2004 REINSTATEMENT 04/16/2013 NONE Page 1 of 2 E�, Detail by Entity Name ame & Address itle MGR IEUZIL, BILL B, MGR M)iUTH AV kW IAPLES, FL 34120 MGR Page 2 of 2 E- Filing Services Document Searches Forms H NEUZIL, KRISTINE A, MGR 270 37TH AVE NW NAPLES, FL 34120 Annual Reports Report Year Filed Date 2010 10/04/2010 2011 04/15/2011 2014 01/13/2014 Document Images 01/13/2014 -- ANNUAL REPORT View image in PDF format 04/16/2013 -- REINSTATEMENT View image in PDF format 05/05/2011 -- LC Name Change I View image in PDF format 04115/2011 --ANNUAL REPORT View image in PDF format 10/04/2010 -- REINSTATEMENT View image in PDF format 04/28/2009 -- ANNUAL REPORT View image in PDF format 04/30/2008 -- ANNUAL REPORT View image in PDF format 04/29/2007 -- ANNUAL REPORT View image in PDF format 05/01/2006 -- ANNUAL REPORT View image in PDF format 08/05/2005 -- Reg. Agent Resignation View image in PDF format 08/05/2005 -- Reg. Agent Change F View image in PDF format 03/11/2005 -- ANNUAL REPORT View image in PDF format 06/11/2004 -- Florida Limited Liability I View image in PDF format 96/11/2004 -- Off /Dir Resignation View image in PDF format Copyright `_? and Privacy Policies State of Florida, Department of State 0/ httn: // search. sunbiz. org/Ina uiry /CorporationS earch/S earchResul tDetai 1 /F.nti tvNa m e/fl a I -I 04 Hand Delivery February 18, 2014 Collier County Growth Management Division / Planning and Regulation Operations Department / Licensing Section Date Z- 13- 2©ly William B. Neuzil — DB /A Naples Construction Group LLC 27037 1h Ave NW Naples, Fl 34120 RE: Complaint filed against you by Collier County Contractors' Licensing regarding a violation of Collier County Ordinance 90 -105, as amended, Section 22.201.1(2) on February 7, 2014. Dear: Mr. Neuzil, • 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 March 19, 2014 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 seventeen copies and have them in our office by 8:00 AM on Wednesday, one week prior to the hearing. In your packet, you may give a summary of events. At this meeting, you may present evidence and be represented by an attorney of your choice. In the event the Contractors' Licensing Board finds you in violation of Section number(s) 22- 201.1(2) of Ordinance # 90 -105, as amended, the range of disciplinary sanctions which may be imposed are from an oral reprimand to a suspension or revocation of your Collier County Certificate # 201200000637 and /or suspension or revocation of your permit privileges against your state license # CGC 1508081 . X mpliance Officer phone# 239.252.2451 /m 9-1 d(Flergay.net Report Title: Code Case Details Date: 2/28/2014 7:57:57 AM Case Number: ceu120120005464 Case Number: ICEUL20120005464 Case Type: Unlicensed Priority: Normal Inspector: Ian,lackson Jurisdiction: Contractor's Licensing Status:lClosed Date & Time Entered: 14 /10/2012 8:12:53 AM Entered By: IIan,lackson I Case Disposition: I Unpaid Origin: Field Observation Detail Description: Citation 6901 to William B. Neuzil. Naples Construction Group. Unlic. roof by CGC. Location Comments: 11155 Sandpiper / folio 387360007 Property 387360007 & a" _ .� r•� ��cc b: z�z"' !,"` "u� �` 5 w rr nra `". �, a, "a �a Contractor WILLIAM B. NEUZIL L� Business Management & Budget Office 1 Code Case Details Execution Date 2/28/2014 7:57:57 AM Desc '' Assigned Required Completed Outcome ` Comments Preliminary Investigation IanJackson 4/10/2012 4/10/2012 Citation 4/9/12. CGC, William Brian Neuzil / Naples Required Construction Group, contracted for and was performing roof repair consisting installation of roofing system at 1155 Sandpiper (County). CGC required to subcontract roofing. Neuzil was installing himself. Issued SWO w/ instructions to make site safe and secure to prevent damage to property in event of weather. Photos in case. Issue Citation (Licensing) IanJackson 4/10/2012 4/10/2012 Complete 4/9/12. Citation issued. Citation Paid /Contested clements_k 4/24/2012 4/23/2012 Payment Received Violation Description Status Entered Corrected Amount Comments Unlicensed Roofing Contractor Open 4/10/2012 $0 ml (� r 3 &r<�€ Y 3� ��a »� �^ �R -- ^%4. � � G � � � a � x �� '+• £� � h k � 9i� l X Title Reason Result Compliance Fine /Day Condition E9 Business Management & Budget Office 2 Cdftg�rgovxet Report Title: Code Case Details Date: 2/28/2014 7:58:59 AM Case Number: ceu120120005468 7�. Case Number: CEUL20120005468 Case Type: Unlicensed Priority: Normal Inspector: IanJackson Jurisdiction: Contractor's Licensing Origin: Field Observation Status: Closed Date & Time Entered: 4/10/2012 8:30:26 AM Entered By: Ian,lackson Case Disposition: Unpaid Detail Description: I Citation 6902 to CGC, William B. Neuzil. Roof w/ no pemrit. Location Comments: 11155 Sandpiper / folio 387360007 �IO Business Management & Budget Office 1 Code Case Details Execution Date 2/28/2014 7:58:59 AM Desc Assigned ' Required Completed Outcome Comments Preliminary Investigation IanJackson 4/10/2012 4/10/2012 Citation 4/9/12. CGC, William B. Neuzil / Naples Required Construction Group, performing roofing (licensing case CEUL20120005464) w/ no permit. Issue Citation (Licensing) IanJackson 4/10/2012 4/10/2012 Complete 4/9/12. Citation issued. Citation Paid /Contested clements_k 4/24/2012 4/23/2012 Payment Received Violation Description , Status Entered Corrected Amount Comments' Commencing Work Without A Permit Open 4/10/2012 $0 Title Reason Result Compliance Fine /Day Condition' C(I Business Management & Budget Office 2 d�, orgov e Report Title: Code Case Details Date: 2/28/2014 8:00:07 AM Case Number: cecv20120007278 Case Number: CECV20120007278 Case Type: Code Violation Priority: Normal Inspector: IanJackson Status: Closed Date & Time Entered: 5/10/2012 9:26:18 AM Entered By: IanJackson Case Disposition: Abated by Contractor Jurisdiction: Contractor's Licensing Origin: Complaint Detail Description: Complainant -Jay Gayda 724 - 651 -1610 Contractor- Bill Neuzil / Naples Construction Group 825 -1866 Location Comments: I Harbor Lakes G4, E4, B1 and B2 `� ,. ,.... Cl2, Business Management & Budget Office 1 Code Case Details Execution Date 2/28/2014 8:00:07 AM Desc" Assigned Required Completed Outcome Comments Preliminary Investigation IanJackson 5/10/2012 5/10/2012 Needs 5/10/12. Complaint from Jay Gayda against Investigatio Bill Neuzil / Naples Construction Group n concerning unpermitted roof repair and installation of AC racks at 1155 Sandpiper units G4, E4, B1 & B2. Contracts provided and scanned into case. left message for qualifier, Bill Neuzil. 5/10/12. Bill Neuzil provided permit # PR20120407608 for reroof on building G4. Neuzil stated he will provide permit # for B1 & B2. Neuzil stated he provided proposal for E4 but King Roofing did work. 5/11/12. Spoke w/ complainant. Asked that he provide photos of AC racks that were installed and proof of payment for unit E4. Spoke w/ complainant. will send pictures of AC racks. Spoke w. Neuzil. Advised Neuzil that on E4 invoice, it shows that he was paid deposit. Neuzil stated he will obtain records from his office. Cont. Investigation IanJackson 5/14/2012 5/14/2012 Complete 5/14/12. Waiting for photos from complainant. 5115/12. Spoke w/ Bill neuzil. Advised of permit requirement for AC racks. Cont. Investigation IanJackson 5/29/2012 5/29/2012 Complete 5/29/12. Spoke w/ contractor. Stated has a design professional preparing affidavits. Will email permit numbers to me when he has them. Cont. Investigation IanJackson 6/12/2012 6/12/2012 Complete 6/12/12. Left message for contractor. Will arrange meeting for issuance of notice of noncompliance and permit information. Cont. Investigation IanJackson 6/15/2012 6/15/2012 Complete 6/15/12. From 6/12/12 through 6/15/12 left several messages for Neuzil. No return call. Trying to arrange meeting for update on progress and issuance of Notice of Noncompliance. Spoke with complainant. Complainant stated Association Board needs action to be taken to remedy faulty work. Explained that County has to allow time for permitting. Complainant stated association / board may hire new contractor to remedy problems Fxpalained that they may do that but if Bill Neuzil is fired and another contractor hired, the County cannot enforce the building code violations with Neuzil. Cont. Investigation IanJackson 611912012 611912012 1 Complete 16/19/12. From 6/12/12 to 6/19/12 no return call from contractor. E13 Business Management & Budget Office 2 Code Case Details Execution Date 2/28/2014 8:00:07 AM Desc `` Assigned Required Completed Outcome Comments Cont. Investigation IanJackson 6/22/2012 6/22/2012 Complete Week of 6/18/12 to 6/22/12. Have left phone messages for Neuzil daily. Mike Ossorio's business card left at home / business location by License Compliance Officer, Reggie Smith. No return communication. 6/22/12. Notice of Hearing mailed certified mail / return receipt. Advised complainant of mailing of notice. Cont. Investigation IanJackson 7/13/2012 7/13/2012 Complete 7/13/13. Made contact with Neuzil. Arranged meeting for 7/17/12, where Neuzil will provide update on permitting and issuance of Notice of Hearing. Cont. Investigation IanJackson 7/17/2012 7/17/2012 Complete 7/17/12. Met w/ Contractor, Bill Neuzil. Neuzil provided engineering for roofs and AC supports. Engineering was reviewed by Plan reviewer, Bob Garee. Neuzil was advised of code requirements of AC supports. Neuzil was issued NOH for August 15 CLB. Neuzil may be ready to submit by 7/20/12. Cont. Investigation IanJackson 7/27/2012 7/27/2012 Complete 7/26/12. Spoke w/ Neuzil. Stated he will be submitting 7/27/12. Spoke w/ complainant, Jay Gajda. Complainant stated Condo Association will be firing Neuzil, not allowing him to continue working on property. I asked complainant, who is not a member of Cuiido Association, to have Condo Association provide me a statement of their position relating to firing of Neuzil. Cont. Investigation IanJackson 8/3/2012 8/3/2012 Complete 8/3/12. Neuzil indicating that he has all permitting ready for submittal, waiting for liability certificate. Spoke w/ complainant, Jay Gajda. Gajda indicating that Condo Association will be firing Neuzil. Waiting for statement from Association indicating same. Cont. Investigation IanJackson 8/7/2012 8/7/2012 Complete 8/7/12. Neuzil prepared to submit. Plans / permit(s) by affidavit had and address of 1155 Harbor Lakes. Plan Review requires the address of 1155 Sandpiper. Statement form Board of Directors provided indicating that they will not allow Neuzil to make repairs on the roofs to bring them up to code. Advised Neuzil of Board's position in prohibiting access to follow through with Code compliance. Left message for complainant and sent email to complainant and to Secretary to Board of Directors stating County will be closing case due to the firing of their contractor. DRPR complaint form attached in email. 8/7/12. Complainant rescinding statement prohibiting access to Contractor. Contractor required to proceed w/ permitting. Advised Contractor to proceed 8/7/12 (afternoon). Asked complainant to provide statement allowing Neuzil to proceed. Neuzil submitting 8/8/12. 6H Business Management & Budget Office 3 Code Case Details Execution Date 2/28/2014 8:00:07 AM Desc Assigned Required Completed Outcome'' Comments Cont. Investigation IanJackson 8/8/2012 8/8/2012 Complete 8/8/12. Email received, rescinding statement prohibitng Neuzil from accessing property to proceed w/ permitting. Neuzil advised to proceed. Cont. Investigation IanJackson 8/15/2012 8/15/2012 Complete 8/15/12. Permit PRBD20120816674 applied for. Reroof and new AC rack. Building E 3 & 4. Left message for complainant, returning his call. Cont. Investigation IanJackson 8/22/2012 8/22/2012 Complete 8/22/12. Per complainant, Board hired another AC Contractor for installation of AC unit and rack for building G. Neuzil not required to obtain permit for this AC rack. Permit is applied for on building E 3 &4 for reroof and AC rack. Neuzil indicating that he will have reroof / AC rack permit for building B1 & B2 this week. Cont. Investigation IanJackson 8/31/2012 8/31/2012 Complete 8/31/12. Permit PRBD20120817745 applied for on 8/24/12 for reroof / ac rack on building B1 &B2. Permit PRBD20120816674 ready for issuance for reroof / ac rack on building E3 & E4. Permit PR20120407608 issued for reroof on building G3 & G4. Board / Association hired another contractor for installation of AC system and AC rack for building G3 & G4. Unable to require Bill Neuzil to permit AC rack that was replaced. New Contractor permitted ac change out but not ac rack. New contractor responsible for permitting ac rack. On 8/22/12 advised complainant, Jay Gajda, that new rack not permitted. Cont. Investigation IanJackson 9/12/2012 9/12/2012 Complete 9/12/12. All required permits are either in review or ready for issuance. Will recheck for CO in three weeks. Cont. Investigation IanJackson 9/25/2012 9/25/2012 Complete 9/25/12. Per complainants request, emailed Case Detail report. Left message for complainant advising of ernailing. Cont. Investigation IanJackson 10/3/2012 10/3/2012 Complete 10/3/12. Permit PRBD20120817745, last permit to be issued, under review. Appears that could be ready 10/9/12. At time of issuance, Contractor indicating that all inspoctionG will be performed. Cont. Investigation IanJackson 10/15/2012 10/15/2012 Complete 10/15/12. PRBD20120817745 ready for issuance. PRBD20120816674 issued. PR2012.0407608 expired. Advised Neuzil that this permit needs extending for inspection. Cont. Investigation IanJackson 10/22/2012 10/22/2012 Complete 10/22/12. Left voice message for contractor for update. Cont. Investigation IanJackson 10/26/2012 10/26/2012 Complete 10/26/12. Contractor reactivating PR20120407608 and will have other two active permits inspected by next week. Business Management & Budget Office 4 Code Case Details Execution Date 2/28/2014 8:00:07 AM Desc Assigned Required Completed Outcome Comments Cont. Investigation IanJackson 11/212012 11/2/2012 Complete 11/2/12. PR20120407608 being assigned to another subcontractor of GC, Bill Neuzil, for reactivation and inspections. PRBD20120817745 & PRBD20120816674 issued and ready for inspections. Cont. Investigation IanJackson 11/9/2012 11/9/2012 Complete 11/9/12. Neuzil hiring new roofing sub to reactivate permit for G3 & G4. Cont. Investigation IanJackson 11116/2012 11/16/2012 Complete 11/16/12. No activity on arranging for inspections on issued permits or reactivating expired permit. left two messages for Neuzil 11/16/12. Have been in communication w/ complainant. Cont. Investigation IanJackson 11/26/2012 11/26/2012 Complete 11/26/12. No change from 11/16/12 CityView entry. Cont. Investigation IanJackson 11/30/2012 11/30/2012 Complete 11/30/12. Spoke w/ Neuzil. Advised that issued permits may be finalized. Neuzil stated he is working on having another roofing contractor take over PR20120407608 ( roof at G3 & (34). Cont. Investigation IanJackson 12/7/2012 12/7/2012 Complete 12/7/12. No change from 11/30/12 entry. Left message for Neuzil. Will review case w/ Ossorio. Cont. Investigation IanJackson 12/17/2012 12/17/2012 Complete 12/17/12. PR20120407608 being assigned to another subcontractor of GC, Bill Neuzil, for reactivation and inspections. PRBD20120817745 & PRBD20120816674 issued and ready for inspections. Spoke with Neuzil and advised that CLB may be scheduled for January if PR20120407608 not reactivated. Spoke w/ complainant at 595 -1946, advised that hearing may take place in January. Cont. Investigation IanJackson 12/21/2012 12/21/2012 Complete 12/21/12. Issuing Notice of Hearing for willful Code violation, addressing only the expired permit. Will issue via hand delivery or by Certified mail on 12/26/12. Cont. Investigation IanJackson 12/26/2012 12/26/2012 Complete 12/26/12. Expired permit, PR20120407608, glven a 90 day extension. Now active. Cont. Investigation IanJackson 1/4/2013 1/4/2013 Complete 1/4/13. All permits are current. Inspections pending. Left message for contractor to provide update as to scheduling inspections. Cont. Investigation IanJackson 1/11/2013 1/11/2013 Complete 1/11/13. Inspections being scheduled. Cont. Investigation lanJackson 1/18/2013 1/18/2013 Complete 1/18/13. Inspections scheduled for week of 1/21/13. Cont. Investigation IanJackson 1/28/2013 1/28/2013 Complete 1/25/13. Final roofs passed. Cont. Investigation IanJackson 2/4/2013 2/4/2013 Complete 2/4/13. Finals required. Permits are active Cont. Investigation IanJackson 2/8/2013 2/8/2013 Complete 2/8/13. PRBD20120817745 & PRBD20120816674 both passed final building. payment of fees required for CO. PR20120407608 needs final. Permit is active. I� Business Management & Budget Office 5 Code Case Details Execution Date 2/28/2014 8:00:07 AM Desc Assigned Required Completed Outcome ` Comments' Cont. Investigation IanJackson 2/25/2013 2/25/2013 Complete 2/25/13. PRBD20120817745 & PRBD20120816674 need payment of reinspection fee. PR20120407608 needs affidavit from design professional. Neuzil is aware of above. All permits are current / active. Cont. Investigation IanJackson 3/4/2013 3/4/2013 Complete 3/4/13. No change. Have been in communication w/ Neuzil, who is getting design professional affidavit for last permit / inspection. Cont. Investigation IanJackson 3/12/2013 3/12/2013 Complete 3/12/13. Permit PR20120407608 will expire 3/22/13. Left message for Neuzil for update on progress. Cont. Investigation IanJackson 3/25/2013 3/25/2013 Complete 3/25/13. Inspections completed on PRBD20120817745. Affidavits required for PRBD20120816674 and PR20120407608. Cont. Investigation IanJackson 4/1/2013 4/1/2013 Complete 3/28/13. Met w/ Herminio Ortega, new engineer hired by Neuzil. Provided permit numbers and what is required for CO on permits. Cont. Investigation IanJackson 4/9/2013 4/9/2013 Complete 4/9/13. PRBD20120817745 finaled 4/8/13 and PRBD20120816674 finaled 4/8/13. Cont. Investigation IanJackson 4/18/2013 4/18/2013 Complete 4/18/13. PRBD20120817745 and PRBD20120816674 have been finaled. Roof permit for G3 / G4 building is again expired and needs to be finaled. Will issue Notice of Hearing for June 19, 2013 CLB to Neuzil. Cont. Investigation IanJackson 4/19/2013 4/19/2013 Complete 4/18/13. Notice of Hearing for June 19, 2013 CLB issued to Neuzil, hand delivery. Cont. Investigation IanJackson 5/17/2013 5/17/2013 Complete 5/17/13. Spoke w/ Herminio Ortega, Design Professional, who received documentation from contractor for permit by affidavit. June 19 CLB case pending. Cont. Investigation IanJackson 5/24/2013 5/24/2013 Complete 5/24/13. Design professional arranging for affidavits. Notice of hearing is served to Neuzil for 6/19/13 CLB. Cont. Investigation IanJackson 6/3/2013 6/3/2013 Complete 6/3/13. Permit expired. Design professional has been retained to finalize pemrit. NOH has been issued for 6/19/13 CLB. If compliance not met, will begin prepping case for hearing. Cont. Investigation IanJackson 6/10/2013 6/10/2013 Complete 6/10/13. Contractor states Design Professional, Herminio Ortega, has filo for lost rernaining permit. Cuuld be ready for CO by 6/12/13. MGO left message for Ortega to confirm. Cont. Investigation IanJackson 6/17/2013 6/17/2013 Complete 6/17/13. Have had contact from Herminio Ortega, deisgn professional working with contractor, who states should be finished by 6/19/13. Cont. Investigation IanJackson 6/19/2013 6/19/2013 Complete 6/19/13. New permit applied for. Advised complainant, Jay Gajda. Business Management & Budget Office 6 Code Case Details Execution Date 2/28/2014 8:00:07 AM Desc Assigned Required Completed Outcome'' Comments Cont. Investigation IanJackson 7/12/2013 7/12/2013 Complete 7/12/13. New permit, PRBD20130615039, ._... , _ _ .. ... ...�u�3. -�, ..� ....:� ... _ Title issued. Roof in progress and final inspections Reason Result Compliance Fine /Day Condition pending. Advised Contractor that these inspections need to be finished for certificate of completion on permit. Cont. Investigation IanJackson 7/25/2013 7/25/2013 Complete 7/25/13. Neuzil was attempting to schedule insections on previously issued, now expired, permit. Advised Neuzil that new permit ( PRBD20130615039) has to be inspected. Neuzil indicated that he will schedule ASAP. Cont. Investigation IanJackson 8/9/2013 8/9/2013 Complete 8/9/13. NOC required for finals to be scheduled. Enter Settlement Details IanJackson 8/13/2013 8/13/2013 Complete Generate Closure Documentation IanJackson 8/13/2013 8/13/2013 Complete Investigation IanJackson 8/23/2013 8/13/2013 Settled 8/12/13. Last permit, PRBD20130615039, finaled on 8/12/13. Case closed. Violation Description Status Entered Corrected Amount Comments ._ W_:. �_ ate.:.,.._.,. _��.,.,.,.,...� • '�._.w_...�: s �' KNEW r.... «. r, ._... , _ _ .. ... ...�u�3. -�, ..� ....:� ... _ Title Reason Result Compliance Fine /Day Condition I� Business Management & Budget Office 7 Cd*erg,0v-Uet Report Title: Code Case Details Date: 2/28/2014 7:56:52 AM Case Number: CEMIS20130013482 Case Number: CEMIS20130013482 Case Type: Misconduct Priority: Normal Inspector: IanJackson Jurisdiction: City of Naples Status: Closed Date & Time Entered: 9/24/2013 8:05:58 AM Entered By: IanJackson Case Disposition: Abated by Contractor Origin: Detail Description: Case referral from City of Naples Building Dept., Bob Worrell. Unpermitted single family alteration at 603 Broad Ct. S Location Comments: 1 603 Broad Ct S /folio 17912200004 Property 17912200004 Contractor WILLIAM B. NEUZIL Ell Business Management & Budget Office Code Case Details r Execution Date 2/28/2014 7:56:52 AM Desc Assigned Required Completed Outcome Comments Preliminary Investigation IanJackson 9/24/2013 9/25/2013 Needs 9/24/13. case referral from City of Naples Investigatio Building Dept., unpermitted construction at n 603 Broad Ct S. At location, found CGC, Bill Neuzil / Naples Consruction Group / 825 -1866, on site. Neuzil showed interior of home which had been substantially demo'd. Photos attached. SWO issued. Notice of Noncompliance in case. Will close case when demo or construction permit issued. City advised of SWO. Cont. Investigation IanJackson 10/14/2013 10/14/2013 Complete 10/14/13. Interior demo permit has been rejected. Cont. Investigation IanJackson 10/29/2013 10/29/2013 Complete 10/29/13. Corrections have been provided. Will close case when demo permit issued. Cont. Investigation IanJackson 11/8/2013 11/8/2013 Complete /8/13. Permit approved. Not issued. Will close case when issued Enter Settlement Details IanJackson 11/13/2013 11/13/2013 Complete Generate Closure Documentation IanJackson 11/13/2013 11/13/2013 Complete Investigation IanJackson 11/29/2013 11/13/2013 Settled 11/13/13. Permit issued Violation Description Status Entered Corrected Amount Comments 4.2 Misconduct State Certified Contractors Open 9/25/2013 $0 Title Reason Result Compliance Fine /Day" Condition LLU Business Management & Budget Office Notice of Noncompliance BE IT KNOWN THAT 1, the person whose signature appears below, do hereby formally acknowledge, agree and consent as follows: THAT a certain case, case # CEMIS20130013482, involving Naples Construction Group / Bill Neuzil, has recently been investigated by the Collier County Contractor Licensing Department. THAT the said Department had made it known to me that, in the Department's view, I violated State (2010 Florida Building Code section 105.1) and County (Ordinance 2006 -46, Sections 4.1.6 & 4.1.18) licensing laws in said case by commencing work without first obtaining a Building Permit. Type of Work: Unpermitted interior demo Location of work: 603 Broad Ct. S. Date of work: 9/23/13 THAT the said Department has explained to me that all contracting work, including BUT NOT LIMITED TO, home or business improvement, remodeling, renovation, addition, repair, plumbing, electrical, roofing, pool building, air conditioning, sheet metal, aluminum and alarm contractor work all require the issuance of a Building Permit prior to commencement. THEREFORE, BEING FULLY ADVISED, I DO AGREE that I will obtain all Building Permits required by Statutes and fully understand that if I commence work without obtaining necessary Building Permits in the future the Contractor Licensing Department will consider hat a willful node vinlation, where penalties and restrictions to Building Permit privileges) low. Witness my signature (Contractor)�1� State of County of The foregoing instrument was acknowledged before me this who has produced identification and who did not take an oath. Signature of Notary Ian Jackson Licensing Investigator, in lieu of Notary. Date9/24/13_ (date) by as (--�Z I C . I rglavxet Report Title: Code Case Details Date: 2/28/2014 7:51:41 AM Case Number: cemis20140002631 Case Number: CEMIS20140002631 Case Type: Misconduct Priority: Normal Inspector: IanJackson Jurisdiction: City of Naples Origin: Building Department Status: Preliminary Review Date & Time Entered: 2/7/2014 9:16:26 AM Entered By: IanJackson Case Disposition: Case Pending Detail Description: Case referral from City of Naples Building Dept., Bill Neuzil / Naples Construction Group 825- began construction at 603 Broad Ct S prior to permit issuance. Location Comments: 1603 Broad Ct S /folio 17912200004 Property 17912200004 Contractor WILLIAM B. NEUZIL L �5 Business Management & Budget Office 1 Code Case Details Execution Date 2/28/2014 7:51:41 AM z fir° "!'- s-� . ;':; -' e '." ��g� z �i amt- a t -T '"' _ . - a...K zR.n.,,....eE,tw'° m .aavu' ,as< Desc Assigned Required Completed Outcome Comments Preliminary Investigation IanJackson 2/7 /2014 2/7/2014 Needs 2/6/14. Received case referral from City of Investigatio Naples Building Dept., Tom Szempruch, n concerning Bill Neuzil / Naples Construction Group, 825 -1866, beginning construction on home ( block, tie beam) with no permit. Found only a demo permit issued with no inspections. received call from Neuzil, stating Szempruch had contacted him and advised of the violation. 2/7/14. Made contact with Neuzil, who indicated that City of Naples had contacted him concerning beginning prior to permit application. Neuzil stated he was being pressured by the homeowner to begin construction. Neuzil stated he decided to begin, advising the homeowner that he, being the homeowner, would pay any fines associated with the violation. 2/7/14. Met Neuzil at site. Issued Stop Work Order. Photos in case. City has been advised that 2x fees may be applied to permit. Will review case with Ossorio to establish action to be taken by County Licensing. Cont. Investigation IanJackson 2/11/2014 2/11/2014 Complete 2/10/14. Reviewed case with Ossorio and City of Naples Building Official, Paul Bollenback. Determination is made that a misconduct charge of Ordinance 2006 -46,as amended, Section 4.2.2 " Willfully violating the applicable building codes or laws of the state, City or Collier County" wiil be filed against Neuzil. Will begin CLB process. Cont. Investigation IanJackson 2/12/2014 2/12/2014 Complete 2/11/14. Received phone call from City of Naples Building Dept., Paul Bollenback and Tom Szempruch, stating on 2/11/14 at approximately 2:20 pm, Stop Work Order was violated. City of Naples found that the posted SWO was removed and additional block was being installed onto structure. Photos provided by City of Naples and in case. City of Naples instructed workers to cease construciton and another Stop Work Order posted on site. 2/11/14. Spuke with builder, Bill Neuzil, who stated he removed the original Stop Work Order to include in his permitting information to the City of Naples. Spoke with Neuzil's masonry subcontractor, Tim Hayes / L. J. Hayes Construction, who stated he may not have advised his sub - subcontractor to not proceed with masonry as scheduled. 2/11/14. Advised Naples Construction Group / Bill Neuzil that Licensing Board Hearing will be scheduled for the initial violation (2/7/14 Stop Work Order). E' 4 Business Management & Budget Office Code Case Details Execution Date 2/28/2014 7:51:41 AM Desc Assigned Required Completed Outcome'' Comments Cont. Investigation IanJackson 2/18/2014 2/18/2014 Complete 2/18/14. Met w/ Neuzil. Served Notice of Hearing, hand delivery, for 3/19/14 CLB. Cont. Investigation IanJackson 2/26/2014 2/26/2014 Complete 2/26/14. Will be prepping case for 3/19/14 CLB Investigation IanJackson 3/4/2014 Pending Violation Description Status Entered Corrected Amount Comments 4.2 Misconduct State Certified Contractors Open 2/7/2014 $0 Title Reason Result Compliance fine /Day Condition U1 Business Management & Budget Office 3 W4 --n m SCOPE AND ADMINISTRATION shall be as specified in this code or by other recognized test standards. In the absence of recognized and accepted test methods, the building official shall approve the testing pro- cedures. Tests shall be performed by an approved agency. Reports of such tests shall be retained by the building offi- cial for the period required for retention of public records. 104.11.3 Accessibility. Alternative designs and technolo- gies for providing access to and usability of a facility for persons with disabilities shall be in accordance with provi- sions of the Florida Building Code, Accessibility. SECTION 105 PERMITS 105.1 Required. Any owner or authorized agent who intends to construct, enlarge, alter, repair, move, demolish, or change the occupancy of a building or structure, or to erect, install, enlarge, alter, repair, remove, convert or replace any impact resistant coverings, 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 sys- tem(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/reloca- tions. 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, at, applicable. The permit application shall contain a general description of the parameters of work intended to be per- formed during the year. 105.1.2 Annual permit records. The person to whom an annual permit is issued shall keep a detailed record of alter- ations 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 Stat- utes, 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 authori- zation for any work to be done in any manner in violation of the provisions of this code. Permits shall not be required for the fol- lowing: 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. 3. Portable cooling unit. 4. Steam, hot or chilled water piping within any heating or cooling equipment regulated by this code. 5. Replacement of any part that does not alter its approval or make it unsafe. 6. Portable evaporative cooler. 7. Self- contained refrigeration system containing 10 pounds (5 kg) or less of refrigerant and actuated by motors of 1 horsepower (746 W) or less. 8. The installation, replacement, removal or metering of any load management control device. Plumbing: The stopping of leaks in drains, water, soil, waste or vent pipe, provided, however, that if any concealed trap, drain pipe, water, soil, waste or vent pipe becomes defective and it becomes necessary to remove and replace the same with new material, such work shall be considered as new work and a permit shall be obtained and inspection made as provided in this code. `,. 2. The clearing of stoppages or the repairing of leaks in pipes, valves or fixtures and the removal and reinstal- lation of water closets, provided such repairs do not involve or require the replacement or rearrangement of valves, pipes or fixtures. 105.2.1 Emergency repairs. Where equipment replace- ments and repairs must be performed in an emergency situa- tion, the permit application shall be submitted within the next working business day to the building official. 105.2.2 Minor Repairs. Ordinary minor repairs may be made with the approval of the building official without a permit, provided the repairs do not include the cutting away of any wall, partition or portion thereof, the removal or cut- ting of any structural beam or load - bearing support, or the removal or change of any required means of egress, or rear- rangement of parts of a structure affecting the egress requirements; additionally, ordinary minor repairs shall not include addition to, alteration of, replacement or relocation of any standpipe, water supply, sewer, drainage, drain leader, gas, soil, waste, vent or similar piping, electric wir- ing systems or mechanical equipment or other work, affect- ing public health or general safety, and such repairs shall not violate any of the provisions of the technical codes. 105.2.3 Public service agencies. Reserved. 105.3 Application for permit. To obtain a perInit, the appli- cant shall first file an application ther ng on a form furnished by the building departmen th ose. Permit application forms shall be in the fo r ri ed by a local administrative board, if applicable, and must comply with the requirements of Section 713.135(5) and (6), Florida Statutes. 1.4 2010 FLORIDA BUILDING CODE — BUILDING Jacksonian From: Paul Bollenback [pbollenback @naplesgov.com] Sent: Monday, March 03, 2014 1:43 PM To: Jacksonian Subject: RE: 603 Broad Ct. South Correct. Paul Bollenback Building Official City of Naples - - - -- Original Message---- - From: JacksonIan [ mailto :IanJackson(@collierRov.net] Sent: Monday, March 03, 2014 1:07 PM To: Paul Bollenback Subject: RE: 603 Broad Ct. South Paul, Will you confirm that your Building Code Administrator License number is BU1433? Thank you. Ian Jackson License Compliance Officer Contractors' Licensing / Growth Management Division 2800 North Horseshoe Dr Naples, F1 34104 Phone: 239 - 252 -2451 Fax: 239 - 252 -2469 ianlackson(@colliergov.net - - - -- Original Message---- - From: Paul Bollenback [ mailto :pbollenbackonaplesgov.com] Sent: Friday, February 28, 2014 10:20 AM To: JacksonIan Cc: Tom Szempruch Subject: RE: 603 Broad Ct. South Yes I do believe that a willful violation has occurred in both cases. The 2010 FBC Section 105.1 requires the owner or authorized agent "shall first make application to the building official and obtain the required permit ". In case CEMIS20140002631 work occurred before the permit was obtained. In case CEMIS20130013482 work began before a permit was applied for. Please let me know if I can be of any assistance in these cases. Paul Bollenback Building Official City of Naples - - - -- Original Message---- - From: JacksonIan [ mailto :Ian7ackson @colliergov.net] Sent: Friday, February 28, 2014 8:08 AM 1 To: Paul Bollenback Subject: RE: 603 Broad Ct. South Paul, I've attached the two cases, 2013 Stop Work Order for unpermitted demo and 2014 Stop work Order for unpermitted construction, with Naples Construction Group / Bill Neuzil. Both at the 603 Broad Ct South property. Please review and advise whether you, as City of Naples Building Official, have the opinion that a willful building code violation has occurred. Thank you. Ian Jackson License Compliance Officer Contractors' Licensing / Growth Management Division 2800 North Horseshoe Dr Naples, Fl 34104 Phone: 239 - 252 -2451 Fax: 239 - 252 -2469 ianjackson(@collierRov.net - - - -- Original Message---- - From: Paul Bollenback [ mailto :pbollenback(@naplesgov.com] Sent: Thursday, February 27, 2014 11:07 AM To: JacksonIan Cc: Tom Szempruch; Ed Ford; Robert Worrell Subject: RE: 603 Broad Ct. South Understood. Acting Deputy Building Official Tom Szempruch is very familiar with this project and has also visited the site. He will be attending the board meeting as the City representative. Paul Bollenback Building Official City of Naples - - - -- Original Message---- - From: JacksonIan [ mailto :Ianlackson(colliergov.net] Sent: Thursday, February 27, 2014 9:34 AM To: Paul Bollenback Cc: Tom Szempruch; Ed Ford; Robert Worrell Subject: RE: 603 Broad Ct. South Paul, As we discussed, there will be a Contractors' Licensing Board Hearing to address this violation on 3/19/14 at 9a.m. in the Board of County Commissioner's chambers. BOCC chambers are located at the main County government complex at Airport Rd, Administration building, 3rd floor. I wanted to confirm that a representative the City of Naples Building Dept. will be available for the Hearing. Thank you. Ian Jackson License Compliance Officer Contractors' Licensing / Growth Management Division 2800 North Horseshoe Dr Naples, F1 34104 Phone: 239 - 252 -2451 Fax: 239 - 252 -2469 2 L�� ianiackson(@colliergov.net - - - -- Original Message---- - From: Paul Bollenback [ mailto :pbollenback(lnaplesgov.com] Sent: Tuesday, February 11, 2014 3:15 PM To: 7acksonIan Cc: Tom Szempruch; Ed Ford; Robert Worrell Subject: FW: 603 Broad Ct. South Notice the workers. These photos were taken by Tom Szempruch at approximately 2:20 PM 2/11/14. He directed our staff to re -post a Stop Work Order (none found) and instructed the workers to leave the site. Paul Bollenback Building Official City of Naples - - - -- Original Message---- - From: Tom Szempruch Sent: Tuesday, February 11, 2014 2:55 PM To: Paul Bollenback; Robert Worrell; Ed Ford Subject: FW: 603 Broad Ct. South Pics of work without permit. - - - -- Original Message---- - From: Tom Szempruch [mailto:tszem(@aol.com] Sent: Tuesday, February 11, 2014 2:37 PM To: Tom Szempruch Subject: Under Florida Law, e-mail addresses are public records. If you do not want your e -mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by telephone or in writing. Under Florida Law, e-mail addresses are public records. If you do not want your e -mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by telephone or in writing. Under Florida Law, e -mail addresses are public records. If you do not want your e -mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by telephone or in writing. E`i� 3 DBPR - BOLLENBACK, PAUL MICHAEL, Building Code Administrator Licensee Details Licensee Information Name: Main Address: BOLLENBACK, PAUL MICHAEL (Primary Name) (DBA Name) *Private Address* *Private Address* *Private Address* *Private Address* *Private Address* License Mailing: *Private Address* *Private Address* *Private Address* *Private Address* *Private Address* Lice nseLocation: License Information License Type: Rank: License Number: Status: Licensure Date: Expires: Special Qualifications Modular 1 &2 Building Code Administrator Building Code A BU1433 Current,Active 08/03/2005 11/30/2015 Qualification Effective 08/03/2005 View Related License Information View License Complaint Page 1 of 1 1:04:39 PM 313, 1940 North Monroe Street Tallahassee FL 32399 :: Email: Customer Contact Center :: Customer Contact Center: 850.487.: The State. of Florida is an AA/F.EO employer. Copyright 2007 -2010 State of Florida. Privacy Statement Under Florida law, email addresses are public records. If you do not want your email address released in response to a public - records request, do not send electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395. `Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if they have one. The emails provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public. Please see our Chapter 455 page to determine if you are affected by this change. CN- ARTICLE V. BUILDING TRADES* Page 30 of 36 Sec. 22 -201.1 Misconduct - -State certified contractors. The following actions by state certified contractors shall constitute misconduct and grounds for discipline pursuant to section 22 -202 of this article. (1) Failing or refusing to provide proof of public liability and property damage insurance coverage and workers compensation insurance coverage as required by Florida Statutes. (2) Willfully violating the applicable building codes or laws of the state, city or Collier County. (3) If the CLB finds through its public hearing process that the contractor was found by another county or municipality within the past 12 months, to have committed fraud or a willful building code violation and the CLB finds that such fraud or other willful violation would have been fraud or a willful violation if committed in Collier County or within the respective city. (4) Fraud. (Ord. No. 94 -34, § 4; Ord. No. 99-45, § 4.2 -- 4.2.3, 6 -8 -99; Ord. No. 06 -46, § 1(4.1.8.2)) Sec. 22 -202. Disciplinary proceedings, including minor violations. (a) There are three categories of violations: (i) violations of subsection 489.127(1), F.S.; (ii) violations of subsection 489.132(1), F.S.; and (iii) other violations within the jurisdiction of the contractor's licensing board. (1) Subsection 489.127(1), F.S., is incorporated herein. (Lack of required license, certificate, or registration). The following are designated to enforce subsection 487.127 (1), F.S.: Collier County Building Official, all license compliance officers, the chief building inspector, chief electrical inspector, chief plumbing /mechanical inspector, and /or other inspectors authorized from time -to -time by the building official. Procedures specified in this section shall apply except to the extent, if any, that Section 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 violation and $500.00 for each subsequent uncontested violation by the same individual or entity. Penalties for contested violations of subsection 489.127(1), F.S., are as now or hereafter specified in Section 489.127, F.S. Penalties for contested violations of subsection 489.132(1), F.S., are as now or hereafter specified in Section 489.132, F.S. The citation form attached 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 violatlons: 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 provision that was violated or it can be assumed that it was not clear to the violator how to 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 identify the specific provision that was violated, should provide information on how to comply with that provision and should specify a reasonably time for full compliance. The notice of noncompliance shall not be accompanied with any immediate threat of any monetary fine or any other disciplinary penalty, but may specify that failure of the violator to correct the violation within the time specified in the notice for compliance may result in disciplinary proceedings. Each http:// Iibrary2. municode. com /default/DocView /10578/l/36/41 ?hilite =2006 46; 1/16/2009 • RV LANAI OF SW FLORIDA.INC. 6019 PINE RIDGE ROAD,#195 NAPLES,FL 34119 239- ��=�Yv7 March 10,2013 Mr. tan Jackson Licensing Compliance Officer Collier County Contractor Licensing 28M Horseshoe Drive Naples,FL 34104 RE: C.I.B.Case#2014-04 Dear Mr.Jackson: In response to the above referenced case,t would offer the following information: • A proposal for the Horse Shoe Pit Roof Systems was submitted to Lake San Marino RV Resort on June 3,2013 for approval • The Management of Lake San Marino approved the proposal for the project in July and a deposit check of$3,165.16 was issued,dated 7/30/13. • Permit#PR8D20130923915 was applied for and submitted for review. • On October 29, 2013,a correction letter was issued regarding the installation of gutters on the south side to direct water flow away from the neighbor to the south. A letter was submitted to comply with this correction. • On December 11,2013,a second correction letter was sent regarding the structure being within the 8' rear yard setback. The posts needed to be moved about 1.5'to 1.75' from the rear setback. if this was to be done,the roof area over where the players stand would not be covered sufficiently. • The manager was pushing to get the project completed as soon as possible since their season was starting right away. in order to satisfy the client,the project was started without the permit being issued. • An inspection was done by the County,and the project was halted. Approximately mid-December, Richard Ranck,qualifier for the company,became gravely l t, after a long period of illness over the past 4-5 years. This serious illness caused the operation of RV Lanai of SW Florida to suffer greatly,and it was decided that the company would stop all operations effective early 2014. Unfortunately 3-4 jobs were left uncompleted. It is our understanding that these customers have hired other contractors to complete the work. ft was not possible to continue work as had been done in the past and it certainly was not the intention of the company to leave anyone hanging with jobs not completed. Mary Ranck was required to remain at home to care for husband Richard Ranck due to the seriousness of his health. All employees were laid off at that time. During the 15+years that RV Lanai of SW Florida,Inc.has been in business and doing work in Collier County,we have had very few issues with our work or our compliance with the permitting process outlined by the County. We appreciate and thank you in advance for your consideration in this matter. Sincerely yours, ice■ d ___ Mary . ' . , President _ z 1Z-- _,_i ) h !_Ranck, Om. -r RJR/m