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CLB Agenda 08/20/2014
CONTRACTORS LICENSING BOARD Agenda August 20 , 2014 CAT eT Co .nty COLLIER COUNTY CONTRACTORS' LICENSING BOARD AGENDA AUGUST 20, 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: July 16, 2014 V. DISCUSSION: VI. NEW BUSINESS: (A) Orders of the Board (B) Niels S. Mierendorff-Contesting Citation(s) (C) Dariusz Klentak-Contesting Citation(s) (D) Tomas San Juan,TGS Masonry, Inc.-Second Entity Application VII. OLD BUSINESS: (A) Osvaldo E. Gonzalez Gutierrez,Calimete Premium Quality, Inc.-Review of Credit Report(s) (B) Luis F. Escobar, Florida IB&S, LLC-Review of Business Plan (C) Jimmy M. Dean, J.D. Design Construction, Inc.-Review of Credit Report(s) VIII. PUBLIC HEARINGS: (A) Case 2014-09 John Andrew Hill D/B/A JAH Construction Management Corp. IX. REPORTS: X. NEXT MEETING DATE: WEDNESDAY, SEPTEMBER 17, 2014 COLLIER COUNTY GOVERNMENT CENTER ADMINISTRATIVE BUILDING THIRD FLOOR IN COMMISSI ONER'S CHAMBERS 3299 E. TAMIAMI TRAIL NAPLES, FL 34112 July 16,2014 MINUTES OF THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD MEETING July 16, 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 Members: Michael Boyd Kyle Lantz Gary McNally Robert Meister Excused: Thomas Lykos, Vice Chair Ronald Donino Teny Jerulle Richard Joslin ALSO PRESENT: Michael Ossorio — Supervisor, Contractors' Licensing Office Kevin Noell, Esq. —Assistant County Attorney James F. Morey, Esq. — Attorney for the Contractors' Licensing Board Ian Jackson — Licensing Compliance Officer July 16, 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. I. ROLL CALL: Chairman Patrick White called the meeting to order at 9:12 AM and read the procedures to be followed to appeal a decision of the Board. Roll call was taken and a quorum was established; five members were present. II. AGENDA—ADDITIONS, DELETIONS, OR CHANGES: Changes: • Under Item VI.—"New Business:" o G. Darinsz Klentak, Contesting Citation (#08749) was "Continued"; the Case will be heard at the August meeting. III. APPROVAL OF AGENDA: Gary McNally moved to approve the Agenda as amended. Kyle Lantz offered a Second in support of the motion. Carried unanimously, 5—0. IV. APPROVAL OF MINUTES—MAY 21, 2014: Corrections: • Page 6 (top of page), at first Question: o "at"was changed to "has" • Page 10 (Chairman White asked the Applicant ...) o the word, "his," was deleted • Page 28 (first line of the Motion by Kyle Lantz) o The word"find"was changed to "finding" Michael Boyd moved to approve the Minutes of the May 21, 2014 meeting as amended. Gary McNally offered a Second in support of the motion. Carried unanimously, 5—0. V. DISCUSSION: (None) VI. NEW BUSINESS: A. Orders of the Board Michael Boyd 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, 5—0. 2 July 16,2014 (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. Romilio A. Ventura, Jr. —Waiver of Exam(s) for Reinstatement (d/b/a "It's About Time Paining& Services, Inc.") Romilio Ventura: • His Collier County license as a Painting Contractor expired in 1997 • He is licensed in Broward, Miami-Dade, and Monroe Counties • He has remained active in his trade for 20+ years Chairman White asked if the Scope of the license was solely for painting and the response was, "Yes." Chairman White questioned the documentation provided from Miami-Dade County stated the name included "Jr." Mr. Ventura verified he was the "Junior." Michael Ossorio asked the Applicant if he had been required to attend Continuing Education courses to keep his licenses active in other counties. A. On the 22nd of last month (June, 2014), I took a course for Dade County. And I also have to renew in Broward County next year. I have been doing Continuing Education for the last 20 years. Mr. Ventura stated he was also certified in Lead Abatement procedures. Mr. Ossorio stated the County had no objections to granting the application to reinstate Mr. Ventura's license without requiring retesting. Lyle Lantz moved to approve reinstating the Applicant's license as a Painting Contractor and granting his Request for a Waiver of the testing requirements. Gary McNally offered a Second in support of the motion. Carried unanimously, S— 0. C. Gregory L. Saunders —Contesting Citations(s) (Handyman) Citation: #08865 ("Unlicensed Tree Trimming and Removal") Date Issued: June 17, 2014 Fine: $2,000.00 (2nd Offense) Description of Violation: Engage in the business or act in the capacity of a Contractor, or advertise self or business organization as available to engage in the business of or act in the capacity of a Contractor, without being duly registered or certified. Chairman White noted Mr. Saunders was not present. 3 July 16,2014 Michael Ossorio suggested tabling the item until later in the Hearing. Chairman White moved to approve tabling the matter until the end of"New Business." Gary McNally offered a Second in support of the motion. Carried unanimously, 5— 0. D. Vance H. Stone—Waiver of Exam(s) for Reinstatement (d/b/a "Southwest Custom Coatings, Inc.") Vance Stone: • He applied to reinstate his Painting Contractor's license and requested a Waiver of Examination Chairman White stated he reviewed the application and accompanying documents; he had no questions or problems with the application. Kyle Lantz asked the Applicant if he had been working as a Painting Contractor. A. I have held a license in Utah for the past fifteen years. I had been licensed in Collier County for two years but it expired in 2007. He continued that he has been working for The Aerial Companies, Inc. for the past seven years as a water-proofer. The works consists of(construction) painting and the application of industrial grade coatings to homes and businesses. He stated he is a supervisor in charge of the shop. Kyle Lantz asked if he had kept current with trade practices. A. I also have the 10-hour OSHA class for certification. It was noted Claudia A Brooks, Vice President of The Aerial Companies, Inc., certified that Mr. Stone has worked in the following areas: mechanical, painting, waterproofing, carpentry, demolition, remediation, and as a driver. Michael Ossorio verified the County had no objection to waiving the examination requirements since the Applicant had been working for a General Contractor in the trade. Gary McNally moved to approve reinstating the Applicant's license as a Painting Contractor and granting his Request for a Waiver of the testing requirements. Robert Meister offered a Second in support of the motion. Carried unanimously, 5— 0. E. Tomas SanJuan—Application for Second Entity (d/b/a "TGS Masonry, Inc.') Tomas SanJuan stated he currently holds a Masonry Contractor's license and is the Qualifier for DJ Ventura Masonry, Inc. He has applied to qualify a Second 4 July 16,2014 Entity, "TGS Masonry, Inc."for which he is the sole owner. He owns 50% of DJ Ventura Masonry, Inc. Gary McNally questioned the Applicant: Q. Could you explain why you want to qualify a second company? A. The new company will target more commercial work. The other will be more residential. Mr. McNally asked the San Juan to explain why several of his accounts (balance reviews) with the bank have been overdrawn. Mr. SanJuan stated sometimes, when his company is paid by check, the check does not clear before the bills come in. He stated his bills are always paid. Kyle Lantz: Q. Currently you are doing residential block work? A. Yes. Q. You are not supplying materials? Just labor? A. Just labor. Q. Is the new business going to do the exact same thing, except just commercial? A. I hope to contract directly with a builder and do bigger things. Q. So you want to supply materials as well as labor? A. That's the idea that I have. Q. I'm curious as to why you need a Second Entity—what are you gaining by having a separate entity ... one for commercial and one for residential? A. To me, it's the way that I want to work, you know, organize my stuff. I'm going to run both companies as the Qualifier -- my cousin and I will work together. But I want the companies to be separate. Commercial requires more time ... more calls to follow-up. Q. One of the things we're trying to determine and one of the reasons why some Board members have a hard time with someone trying to qualify a Second Entity, is that it's very easy for somebody to get a bid from one company and a bid from another company --- but the two competing bids are from the same people. It's also easy for one company to have all the expenses and the other to bring in all the revenue. The company with all the expenses declares Bankruptcy or doesn't pay its bills because it doesn't have any money while the other company is rich. That's one of the things that we want to make sure doesn't happen. A. No, that's not going to happen. I'm the person responsible for both companies. I'm from Collier County—I'm not going anywhere ... I'm going to be here ... I'm going to follow all the rules. I'm going to do the best I know how. Q. But the main reason why you're doing it is just to make it easier to separate the commercial and not have your cousin as the owner of the commercial ...? A. Yes. Chairman White noted there should be separate pools of customers that shouldn't overlap. It lessens the degree of concern. The remaining issue is that there is no way to "condition" the license for either company in a way to restrict the Scope of 5 July 16,2014 Work that they provide. He stated it is the Applicant's testimony concerning the way he is organizing the respective companies that is the "safeguard." Chairman White asked the Applicant if he understood the Board's concerns. He stated even though Mr. SanJuan would have both companies under his control, not everyone is honest and ethical. The Board has heard many cases where individuals have not followed the rules. He further stated he was "comfortable" with the Applicant's proposal as well as Staff's ability to enforce regulations to protect the public. Michael Ossorio outlined his concerns: • The Applicant is a licensed Contractor who is only providing labor which means he is operating a"shell" company. • The Applicant has two accounts in the same name in the same bank. o There have been a number of same-day deposits through Richard Rice; and then there are deposits into the company ... who is making the deposits and why are they always made on the same day? o Why are there so many transfers into three or four different accounts every month? • What is the relationship between the Notary Public (Jessenia Reyes) and the Applicant's company? Mr. SanJuan responded there was no relationship between Ms. Reyes and his company. She does accounting for DJ Ventura. Q. Is she part of your company? A. No. Q. Do you pay her on a monthly basis? A. Yes. She is paid for the work she does. She issues Certificates and does the payroll. Michael Ossorio stated the County recommends that the Board not issue a license. If Mr. SanJuan wishes to petition the Board again, he may do so after three months and must provide full information about both accounts and why he has so many, and an explanation of the deposits made by Richard and Rice. • On April 18, 2014 (Account#8191), there was a deposit of$6,822 and on the same day, there was a deposit of$15,255. It seems to be recurring every month. (Page 3 of 8 of the Bank of America April statement) Mr. SanJuan stated he saw the notation but didn't understand. Chairman White pointed out that, in each instance, the deposits were made seven days apart. He stated they were substantial sums indicating a pattern and a frequency of deposits from Richard and Rice. He asked the Applicant to explain. Mr. SanJuan stated they were payroll checks from Richard and Rice. He explained that Richard and Rice were builders' agents. 6 July l6, 2014 Mr. Ossorio stated he had no issue with the Richard and Rice deposits. He requested information concerning the 2nd deposit made on the same day as the Richard and Rice deposits (i.e., $6,822). The Applicant replied the checks were from GL Homes. Kyle Lantz asked: Q. So you are stating that you have, basically, two different main customers— Richard and Rice, and GL Homes? A. Yes. That's one of the reasons why I want one company to do the commercial work and one for residential. It's too confusing. Chairman White stated the Applicant gave a rational explanation for the deposits. He asked about the sequence of transfers out of the accounts. Michael Ossorio stated his recommendation was for the Board to "Continue" the Hearing to allow the Applicant to return to the Contractor's Licensing Office with his payroll records which will be reviewed. Q. Is "First Comp Express" for Workers' Compensation"? A. Yes. Q. How many employees do you have? A. Between 30 to 40, including ourselves. Q. I noticed in one week, you wrote checks to approximately 20 people. If you are to continue with in-house accounting, I want to know how many employees you have on a monthly basis and how many online banking transfers you make. A. There is another account with Bank of America under DJ Ventura. We did it to make sure we would have money in an account to buy tools. Q. If we sat down and reviewed these statements, would you be able to tell me where each check went? A. Yes. Q. Will you ask for a"Continuance" so you can provide this information to us? A. I wanted to mention we opened another account with JP Morgan/Chase Bank for the new business and we are making some transfers now. I have to keep one for Workers' Comp and the liability-type thing. When I bring all of the statements, I will explain what and why. Michael Ossorio stated his concern was that the Board has approved many Second Entities for construction work but this application is for a company that only provides labor. If this is to become a new practice for the Board, the accounts should be examined closely—and for him to answer why he needs two companies if he is only providing labor. I want to know who his employees are for one company and who are his employees for the other company. When questioned about a previous history of violations, the Applicant responded his cousin opened the company first. Afterward, he obtained his license and joined him in the business. Chairman White asked the Applicant if he was willing to "Continue"the matter to provide the information requested by the Contractors' Licensing Office. He 7 July 16, 2014 explained the Applicant must the request that the Board grant a "Continuance" for his application to be heard at the next month's meeting. Mr. SanJuan agreed and stated, "I would like to continue my hearing to next month." Gary McNally moved to approve granting a Continuance to Tomas SanJuan and allowing his application to be heard at the next Contractors'Licensing Board meeting. Chairman White offered a Second in support of the motion. Chairman White suggested modifying the motion to include that Mr. SanJuan is to provide the Contractors'Licensing Office with the documentation requested by Michael Ossorio, Supervisor, and to make an appointment with him to review the documentation. Gary McNally accepted and agreed to the modification. Carried unanimously, S—0. F. William J. Shaner, Jr. —Waiver of Exam(s) d/b/a "Doctor Suds Cleaning, LLC." William Shaner, Jr.: • Applied for a Contractor's License for roof coating/cleaning license in Collier County • His company, "Doctor Suds Cleaning, LLC," is a pressure-cleaning entity • Also requested the Board accept his examination score of 74.2% • Collier County's passing threshold is 75% Michael Ossorio: • Mr. Shaner is a Certified Building Contractor (CBC1259421); his license was issued by the State of Florida on April 17, 2013 • He is more than qualified to pressure coat and clean roofs under his own d/b/a • He has a degree in Engineering from Penn State University • He was required to take a Trades test and a Business Procedures test by the State of Florida to obtain his CBC license; the State's passing threshold is 70% • Collier County's Ordinance sets the threshold for passing at 75% • The examination is approved by the State of Florida • Recommendation: Accept the score—it would be superfluous for the Applicant to retake the examination considering his experience in the trade Kyle Lantz questioned the Applicant: Q. If you currently hold a Certified Building Contractor's license, why do you need a roof coating/cleaning license? A. I am qualifying a Second Entity, "Dr. Suds Cleaning, LLC." 8 July 16, 2014 Michael Ossorio clarified Mr. Shaner was applying for the coating/cleaning license which will run concurrently with this Building Contractor's license. He is not qualifying a Second Entity. It was noted the Applicant is permitted to clean/coat roofs under his Certified Building Contractor's license but not as "Dr. Suds" until he took and passed the required exams. Kyle Lantz moved to approve accepting the Applicant's examination score and to waive further testing requirements. Gary McNally offered a Second in support of the motion. Carried unanimously, S—0. G. (Continued to August Agenda—per amended Agenda) Recalled: C. Gregory L. Saunders—Contesting Citations(s) (Handyman) Citation: #08865 ("Unlicensed Tree Trimming and Removal") Date Issued: June 17, 2014 Fine: $2,000.00 (2nd Offense) Description of Violation: Engage in the business or act in the capacity of a Contractor, or advertise self or business organization as available to engage in the business of or act in the capacity of a Contractor, without being duly registered or certified. It was noted that Mr. Saunders was not present. Chairman White stated the matter would be considered by the Board since Gregory Saunders had requested the hearing and had been duly noticed of the date, time, and location of the Hearing. Michael Ossorio stated the Contractors' Licensing Office would send a letter to Mr. Saunders notifying him that he is in violation of the County's Ordinance. He received due process. Mr. Ossorio noted Ian Jackson was available to provide an overview for the Board. Ian Jackson, Contractors' Licensing Compliance Officer: • Received a phone call on June 16, 2014 regarding tree removal by an unlicensed contractor • Citation#08864 was issued on June 16, 2014 for the office (thought to be an initial offense) • After further review, it was determined the violation was a Second Offense. • Mr. Jackson met with Mr. Saunders on June 17, 2014: the initial Citation was voided and a new Citation (#08865) was issued for a Second Office with a higher fine of$2,000. 9 July 16,2014 • During the meeting, Mr. Saunders submitted a Request for an Administrative Hearing to contest the Citation, and was subsequently provided with a letter confirming the date, location, and time of the new hearing at the meeting. Gary McNally asked if Mr. Saunders had been licensed to remove trees and the response from Ian Jackson was, "No." Ian Jackson noted Mr. Saunders had been previously cited for unlicensed roof cleaning. Kyle Lantz moved to deny the request to contest the Citation and to uphold Citation #08865 as issued. Gary McNally offered a Second in support of the motion. Carried unanimously, 5—0. VII. OLD BUSINESS: (None) VIII. PUBLIC HEARINGS: (None) IX. REPORTS: • License renewal applications will be sent next month. Approximately 10,000 licenses will be renewed during July, August and September X. NEXT MEETING DATE: Wednesday, August 20, 2014 BCC Chambers, 3` Floor—Administrative Building "F," Government Complex, 3301 E. Tamiami Trail,Naples, FL There being no further business for the good of the County, the meeting was adjourned by the order of the Chairman at 10:30 AM. COLLIER COUNTY CONTRACTORS LICENSING BOARD PATRICK WHITE, Chairman The Minutes were approved by the Board/Committee Chair on , 2014, "as submitted" [ ] OR "as amended" [ ]. 10 Contested Citation #08855 Niels Stephan Mierendorff Table of Contents El — Copy of citation #08855 issued to respondent for presenting the certificate of another as his own. E2 — Letter submitted by respondent requesting an administrative hearing. E3 — Letter sent to respondent notifying of scheduled C.L.B. hearing. E4 — Copy of Basic Tile & Marble Inc. business card depicting licensure #CGC1512513 belonging to Richard Dodd/Sterlingworth Development L.L.C. E5/E6 — Florida Division of Corporations registration for Basic Tile & Marble Inc. E7 — Delinquent Collier County licensure status of Basic Tile & Marble Inc. E8/E9 — Florida Division of Corporations registration for Sterlingworth Development L.L.C. E10 — D.B.P.R. licensure #CGC1512513 qualifying Sterlingworth Development L.L.C. Ell/E12 — Code Case Detail report outlining conduct of investigation. t 66 COLLIER COUNTY 0 8 8 5 5 GROWTH MANAGEMENT DIVISION CITATION Pursuant to section 489.127.(3)(a).Florida Statutes,the undersigned hereby certifies that upon personal investigation,he/she has reasonable and probable grounds to believe that the person whose name appears below as issued to,did violate subsection 489.127.(1),Florida Statutes,and the Collier County Contractor's Licensing Ordinance No.2006-46(as,may be amended)by committing the violation stated below. ` �� rt~ I 4-o) Month Day Ytu .ITiffie �a to Issued To "1'+V- i F l-S t F Y PAN Al k1 ei Doe_F J Address 8O Akre- r " City I . c -e-c State 1 t.:-, Zip 'i Li(0 Telephone No. c,J Kik (a Ok Vehicle Make(if applicable) Year I Color Tag No Loc4kon of Vi ation rNs 5S r--- OPTIONS I have been informed of the violation for which I have been charged and elect the following option(Check one) 1) ❑ I choose to pay the penalty of$I O • 0 2) ❑ I choose not to pay the penalty,and will request in writing by certified mail or hand delivery an Administrative Hearing before the Contractors Licensing Board Description of Violation Date Violation Observed &/.2-3 a) ❑ Falsely hold self or business organization out as a licensee,cetttftt,ate hol er-or registrant; b) LJ Falsely uupeisunate a certificate holder or registrant; c) Q Present as his/her own the certificate or registration of another; d) ❑ Knowingly give false or forged evidence to the Board or a member thereof; e) ❑ Use or attempt to use a certificate or registration which has been suspended or revoked; 1) ❑ Engage'in the business or act in the,capacity of a contractor or advertise self or business organization as available to engage in the business or act in the capacity of a contractor without being duly registered or certified; g) ❑ Operate a business organization engaged in contracting after(60)days; h) ❑ Commence or perform work for which a building permit is required pursuant to an adopted state minimum building code or without such permit being in effect; i) ❑ Willfully or deliberately disregard or violate any Collier County ordinance relating to uncertified or unregistered contractors. A person or business organization operating on an inactive or suspended certificate, or registration,or operating beyond the scope of work or geographical scope of the registration,is not duly certified or registe . UCri c- SIGNATURE(RECIPIENT) SIG ATURE IGATOR) JIe1S M le re i o(0l-Ff r s. L-k PRINT(RECIPIENTS NAME) PRINT(INVESTIGATOR'S NAME) Pursuant to 489.127, Florida Statutes, willful refusal to sign and accept this citation constitutes a misdemeanor of the second degree, punishable as provided in section 775.082 or 775.083 Florida Statutes. (SEE REVERSE FOR INSTRUCTIONS) COLLIER COUNTY CONTRACTORS UCENSE t'ss gg�� To: Collier County Contractors Licensing Board Jbne30'".2014,,,_,r.._..z From: Basic Tile & Marble Inc. Niels Mierendorff 580 93rd Ave Naples Florida, 34108 To whom it may concern. My name is Niels Mierendorff and I am the owner of Basic Tile and Marble Inc. I would like to request an administrative hearing with the Collier County contractors licensing board. This is concerning the citation I received on June 23, 2014 citation number 08855. The preferred date for the hearing would be the Last week of July or first week in August of 2014. Thank yo Niels Mie ndorff 239-594-5471 o e-- 4c3- 4-nty Growth Management Division Planning & Regulation Operations Department Licensing Section July 2, 2014 Niels S Mierendorff 580 93rd Ave N Naples, FL 34108 RE: Contest citations 08855 Mr. Mierendorff, You have been added to the agenda for the Contractor Licensing Board meeting on Wednesday, August 20, 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 3rd floor. If y i have any questions or concerns, please call (239) 252-2431. S nce ely, amantha RA' oe Customer Service Specialist Licensing/Operations 2800 North Horseshoe Drive Naples, FL 34104 Growth Management Division*Planning 4&Regulation*2800 North Horseshoe Drive*Naples,Florida 34104*239-252-2400*www.colliergov.net — 3 � l • Shower 'eplacemen &Repa ••'.flub io 5howenCoh"versipns - Ntels?Mierendorff •Curbless/Handicap Showers Dependable,Honest&Clean" •Shower Pan Leak Detection Tile Marble ltjstallations " yew fateh4tP5c73 <x;BestforfA 580 93rd Ave.Naples,FL 34108 • www.basictile.com Office:239-594-5471 • Mobile:239-595-2393 • Nielssm@aol.eom • _ 4' Shower Pan Leak Repairs • Curbless Showers&Grab Bars • Tub Surround Replacement • Ceramic Tile&Marble Installations • I iving Rooms • Bedrooms • Fireplace • Kitchens/Backsplash • Bathrooms • Lanais&Patios • Balconies Walkways • Pool Decks Detail by Entity Name Page 1 of 2 FLORIDA DEPARTMENT OF STATE DIVISION OP CORPORATION'S Address/Phone List Detail byEgfltUty Name Florida Profit Corporation BASIC TILE & MARBLE, INC. Filing Information Document Number P06000075970 FEI/EIN Number 421707278 Date Filed 06/01/2006 State FL Status ACTIVE Effective Date 06/01/2006 Last Event REINSTATEMENT Event Date Filed 06/09/2014 Event Effective Date NONE Principal Address 580 93RD AVENUE NORTH NAPLES, FL 34108 Mailing Address 580 93RD AVENUE NORTH NAPLES, FL 34108 Registered Agent Name & Address MIERENDORFF, NIELS S 580 93RD AVENUE NORTH NAPLES, FL 34108 Officer/Director Detail Name &Address Title P MIERENDORFF, NIELS S 580 93RD AVENUE NORTH NAPLES, FL 34108 Title T MIERENDORFF, KAY 342 GERMAIN AVENUE NAPLES, FL 34108 http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail/EntityName/domp-p... 8/4/2014 Detail by Entity Name Page 2 of 2 Annual Reports Report Year Filed Date 2010 04/02/2010 2011 04/27/2011 2012 04/27/2012 Document Images 04/27/2012 --ANNUAL REPORT View image in PDF format 04/27/2011 --ANNUAL REPORT View image in PDF format 09/29/2010 -- Off/Dir Resignation View image in PDF format 04/02/2010-- ANNUAL REPORT View image in PDF format 03/09/2009--ANNUAL REPORT View image in PDF format 01/14/2008 --ANNUAL REPORT View image in PDF format 05/01/2007 --ANNUAL REPORT View image in PDF format 06/29/2006 --Amendment View image in PDF format 06/01/2006 -- Domestic Profit View image in PDF format copyright and Privacy Policies State of Florida,Department of State http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail/EntityName/domp-p... 8/4/2014 Business License Application Status - CityView Portal Page 1 of 2 GMD Public Portal License Application Status - License Application Summary Application Number: C30337 Business Name: BASIC TILE&MARBLE,INC. License Type: Contractor Application Status: Inactive Description of Business: All Certificates from CDPius: 30337 Mailing Address: 580 93RD AVE.N NAPLES FL 34108- Locations: - Issuances Type Date Issued Date Expires Status Number TILE&MARBLE CONTR. 11/13/2006 09/30/2013 Delinquent 30337 - Reviews There are no reviews for this license application. - Insurance Producer Type Policy Effective Date Expiry Date Limit TROPICAL.INS Genei al Liability LINAL0569.5 09/23/2008 09/23/2013 4;1,000,000.00 •BONITA Expiration Processed: Yes Producer Phone Number: 2399474004 Worker's Comp 12/03/2012 12/03/2014 '.-Exemption Expiration Processed: No http://cvportal.colliergov.net/City ViewWeb/License/Status?licenseld=101561 6/24/2014 Detail by Entity Name Page 1 of 2 FLORIDA LIEPARTMENT OF bTATE �v � 3 DIVISION OF CORPORATIONS .P'7101biZ Detail by Entity Name Florida Limited Liability Company STERLINGWORTH DEVELOPMENT, LLC Filing Information Document Number L06000098099 FEI/EIN Number 010875508 Date Filed 10/06/2006 State FL Status ACTIVE Effective Date 10/06/2006 Last Event REINSTATEMENT Event Date Filed 09/09/2013 Event Effective Date NONE Principal Address 580 93RD AVE N. NAPLES, FL 34108 Changed: 09/09/2013 Mailing Address 580 93RD AVE N. NAPLES, FL 34108 Changed: 09/09/2013 Registered Agent Name &Address DODD, RICHARD J 580 93RD AVE N. NAPLES, FL 34108 Address Changed: 09/09/2013 Authorized Person(s) Detail Name &Address Title MGR DODD, RICHARD J 580 93RD AVE N. NAPLES, FL 34108 http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail/EntityName/flal-10... 6/24/2014 Detail by Entity Name Page 2 of 2 Title MGR MIERENDORFF, NIELS S 580 93RD AVE N. NAPLES, FL 34108 Annual Reports Report Year Filed Date 2011 10/19/2011 2012 09/09/2013 2013 09/09/2013 Document Images 09/09/2013 -- REINSTATEMENT View image in PDF format 10/19/2011 -- REINSTATEMENT View image in PDF format 08/17/2009-- ANNUAL REPORT View image in PDF format 08/30/2008 --ANNUAL REPORT View image in PDF tormat 05/02/2007 --ANNUAL REPORT View image in PDF format 10/06/2006-- Florida Limited Liability View image in PDF format Copyright rci and Privacy Policies. State of Florida, Department of State http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail/EntityName/flat-10... 6/24/2014 DBPR - DODD, RICHARD JAMES; Doing Business As: STERLINGWORTH DEVEL... Page 1 of 1 2:52:42 PM 6/24/2014 Licensee Details Licensee Information Name: DODD, RICHARD JAMES (Primary Name) STERLINGWORTH DEVELOPMENT LLC (DBA Name) Main Address: 580 93RD AVE. NORTH NAPLES Florida 34108 County: COLLIER License Mailing: License Location: License Information License Type: Certified General Contractor Rank: Cert General License Number: CGC1512513 Status: Current,Active Licensure Date: 12/08/2006 Expires: 08/31/2014 Special Qualifications Qualification Effective Construction Business 12/08/2006 View Related License. Information View License Complaint 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 he 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.com/LicenseDetail.asp?SID=&id=BF8003 C98EB3B75D63... 6/24/2014 C I x r-ov.n t Report Title: Code Case Details Date: 8/4/2014 7:40:29 AM Case Number: ceu120140012638 Case Number: CEUL20140012638 Status: Citation Case Type: Unlicensed Date &Time Entered: 6/24/2014 2:56:21 PM Priority: Normal Entered By: RobinGanguli Inspector: robinganguli Case Disposition: Unpaid Jurisdiction: Contractor's Licensing Origin: Complaint Detail Description: Mierendorff, Niels Stephan. $1000 citation#08855 issued for presenting as his own the certificate/registration of another. 7/1/14-CONTESTING CITATION SCHEDULED FOR AUGUST 20TH, 2014. Location Comments: Business card. ViolatorlMierendorff, Niels Stephan Business Management& Budget Office 1 Code Case Details Execution Date 8/4/2014 7:40:29 AM Desc Assigned Required Completed Outcome Comments Preliminary Investigation robinganguli 6/23/2014 6/23/2014 Citation 6/13/14.Complaint received regarding Basic Required Tile&Marble Inc./Collier County certificate #30337/tile-marble/DELINQUENT, utilizing the licensure of another contractor on its business card advertisements.Card provided depicts licensure of Sterlingworth Development L.L.C./CGC1512513 as well as the company's County registration#31097. Contacted business owner Niels Mierendorff and meeting scheduled for 6/14/14. - Issue Citation(Licensing) robinganguli 6/24/2014 6/24/2014 Complete 6/24/14. Meeting with Mr. Mierendorff who advised that his deceased Father was the former qualifier of certificate#30337 for Basic Tile&Marble Inc. Mr. Mierendorff further advised that he was a corporate officer of Sterlingworth Development L.L.C.which was his reasoning for depicting their licensure on Basic Tile&Marble Inc. Informed Mr. Mierendorff that the company was no longer a qualified business and the#CGC1512513 licensure was applicable to Sterlingworth Development L.L.C.only despite his corporate partnership.Abatement options discussed including using Basic Tile&Marble as a fictitious D/B/A name for Sterlingworth Development L.L.C. $1000 citation#08855 issued to Mr. Mierendorff for presenting as his own the certifieale/reyistralion of another. Citation Paid/Contested clements_k 7/9/2014 7/9/2014 Payment Not Received Not Applicable clements_k //9/2014 7/9/2014 Not Required Not Applicable clements_k 8/9/2014 7/9/2014 Not Required Citation Paid/Contested clements_k 8/20/2014 Pending Violation Description Status Entered Corrected Amount Comments Presented False Certificate or Open 6/24/2014 $1,000 Registration Title I Reason Result Compliance Fine/Day I Condition Business Management& Budget Office 2 Contested Citation #08749 Darinsz Klentak Table of Contents El — Copy of citation #08749 issued to respondent for advertising as a General Contractor. E2 — Letter submitted by respondent requesting an administrative hearing. E3 — Letter sent to respondent notifying of scheduled C.L.B. hearing. E4 — Copy of advertising flyer of respondent depicting contractor licensed trades. E5/E7 — Internet advertisement of respondent depicting contractor licensed trades. E8/E10 — Code Case Detail report outlining conduct of investigation. it-, ' ' k, C---•-, Z ,saw:S "" '"'ii+` ' .x�„t,i s'. GROWTH MANAGEMENTh S1ON fi CITATION :c , l Pu Suant td sscsian-4B9127-(3)(a�oiedn tntutes $ nderslgn kl is iy�i�iisk 4 uk : we persoaa1 ulv ganon he/she_s sea. able°anted proba'blelgrounds to believe lhatzhe pe tson whose* ; � name ap`pealsbelo as assuedVto didvrolate subsechpp 49 127(1)�Flonda$tatutes d the eet il. County contactors�LicensinglOrdinance No 2006-46 as maybe amended)b, committtn the g ,, °'3rs ft- �t' �.�s ' ' V r c' ray, r ,x . nolanortstateel below � � y¢Y'�. Vi l 1YlOntll''� .h.J..+s r �+' �eimf _ 1 y,�,,T Yoz. „ �^�� `,f• Lg 'Y Tic Issnexl To W ��'� * � Address F-� z ,a, 5. _ a9 @k 1' City �-;;fate � r���s�3 �,•., p .. ec _ ,_ z Ii o atl 1 k y „F,FY uuS._ ey'.4" • 6 2?• I have t een uli'c3ri d}of the iiola')ion#or wlii h�i lia'e tfithargetl and fleet the ). following tloli<S tede tt�) a,�ar 1-m, m, R ',., - t 1) cho � d penalty o $ I 2) I choose d&-opay-fie penalty;anii t` , 1 F P £a it,i inas1 Qr i._ .delivery. tiative$eanng'�ie ,4he, P I�r� I i� ��' �, f..•-• Ik�cripilbh�Yyfl�(f)�tttf�i[�.�..3`�£�z:ys Fs�i.'- ��d��1,li�c � .g,� waxy '� �. j `/ ❑` a1s�lyh ldSelf-or business�nli/ Un '1u � iikde u I,..-i, .X143.egi Y�.,..�.P.: d€ fi, .i ,v. „E:w l,.L .?y" S ffi r • )•} - registrar,,-•'*4-4-•,'.w....y. v..'- -, # Ta' i3 b) 7�Fa�1s'el II onh1eacefttficafeliolde or'",.'-1.,''',! .,1 ' "�` c)tD Present'iS I Ici ow44'the al;eltificat&or a'2,11,7.V0,-, e '�' ,,- d) m winll3 a rg evi to melnber.Iieii eof.? i Pro use o o ed deuce r e)�.1,�s��Iaaiteinpt�4 �c�tdficateio� �' fias� us�e�.de��r�• ; t revoked *� 1, ' i ! � , ✓*-�' fig, 1 iI b tesS or '1�1 ' a'1e. I m�w t, a .iSSe t a orbs P re !°o iiiv e :.Wt1 re�Ir PI"c .. , I P 7`sr°,� ' . }e •er ellb a II mu # „� a .'... em-iu^ ,�_,*� ,� r y r� fate$� �m 1 i o �� Y 1 s,., t- '.(l� mr�C'".:ytaXr�I�g}s�mh,. I `,11 0.*7i1O Lark or:jin t m eil me a t s m F nauant"°,"" [6 'anat�`J State-minimiimbu din •mm eep n18.iit 1 s f eu i t `I ..• t 1) 0 �?li,,,,,,1y o deiiber Iy dlsregattip.f of cad. n `vnianaxce k.. j }C.1atiIIg.O iut-oI g a e •m I a m t --Apetson or btIsmess organlzatlonLApep tting on,?an,m tsve�lrsuspe lq`et' lve or registration,or`tperating be d the scope fwor)rroi-geog hical'scopc of ie k. a Stta o I t5 1!:! o a Or ffigiS, - S ATURE ,� t,,,,,-7 4s + X";SIG i�, is . a C)l $ .,rte •+�f.,% it & ' t%,..,,,.,,,,,--,.,,._;,t.z,:,1,',..g r PRI rr— dIP: nAIs4E) PRINT 4 GArnR' NAME) Pursuant:2to 489127 flonda Statutes willful efusal to sign d accept thus citation', constitutes a misdemeanor of the second degree punishable as-provided in section ,, a. 775.082 or773 083 Florida Statutes. (SEE REVERSE FOR INSTRUCTIONS) t iplENT�tOPY — 1 Naples, FL 28 04 2014 To; Contractor's License Supervisor Collier County Contractor's Licensing Board 2800 North Horseshoe Drive Naples, FL 34104 REQUEST FOR HEARING Dear Sirs, Recently I received a Citation from Collier County regarding a leaflet that I have distributed around Collier County. I would like to explain the circumstances of the alleged offense. I have never offer anybody services as a General Contractor. I never had such intention. On the contrary, I offer services as a handyman, only to the extent permitted by law. Minor repairs, cleaning, etc. I have moved to Florida not long ago and I did not know the laws in the Collier County. My financial situation it is not very good at this time. I consider a very high punishment for something that I have not even staved. I do not have $1,000.00 in my pocket wright now. ,Iam stressed;because<i have to hake aMiving and atthis•time i cannot do that. I was hoping that the Commissioner would reconsider a lesser penalty. I will comply with the laws and regulations of Collier County if you would consider giving me another chance. I had no intentions of braking the laws. My sincer. . ology if I did. Sincerely, /� - ._-___ / Dariusz Klentak 9128 Strada Place, Ste 10115 Naples, FL 34108 MAY 0 6 204 BY: Growth Management Division Planning & Regulation Operations Department Licensing Section July 1, 2014 Darinsz Klentak 630 16 Ave NW Naples, FL 34120 RE: Contest citation(s) 08749 Mr. Klentak, You have been added to the agenda for the Contractor Licensing Board meeting on Wednesday, July 16, 2014. The meeting is held at 9:00am at the W. Harmon Turner Building (Bldg. F, Admin. Bldg.), 3299 Tamiami Trl. E., Naples, FL in the Commissioner's Meeting Room on the 3rd floor. If you have any questions or concerns, please call (239) 252-2431. Sinc r4ly, II ' , .r 9 • a antha Roe C stomer Service Specialist Licensing/Operations 2800 North Horseshoe Drive Naples, FL 34104 Growth Management Division''Planning&Regulation*2800 North Horseshoe Drive*Naples,Florida 34104*239-252-2400*www.colliergov.net 01,F ' k'l y,.,. 1 i•, 7 / ... F •,'7 ems. .".' 3 a - . "4 ' . - - eX ". . DY !VIAN I'V-: .1 A I V _m.�w...`s•�,�R�.t�":al;a,.3.ay;;.:',;:':54-..A.:::r "„r,.: „ a a4 ,3, ,?�C x.'.'# i.rH - G ES E %111 �$ . sC S T..,:'gym--E- rW a:k5'} ALL - _ =: - ` �`S�} ` Y� r.* F - - ��.. te a, i'%+ y k - { i6it r 5O ..-” F'�'W �u A PRO3r.Jar - ', n E \V HOME. OR•;-,;.•,',-:.--;:,, R N • '� t ", x"11 cf-0 r!° Imo. 5,,. 3- .,P r. . z i F, 4--A-;s ,�+ h;`k ���FFF �yy....• .� 0 :4 OB TO • • .4 •• ". ' DA R Elc;.....,,,,,. 39 fcri -.0.A 7 - . .,. -: ,, : -,......- -_ . .L.,„; 2 ,,...„ ,..- , ._ . 4 , . . . . Jt'•^yr . „ . .. . , . . . .._ , . ..... .. .. . - ,. _,- -,:„.-4.,. ., . , .,.,,,,,. " _ .. . . . _. , ., _ ,,,_. .. Refe re ces v 1U s °tom - - 'i$ • � ,.. - � ," ..- .'. ice.,.,.wo,H� _. .r.-;... ..�--- -- u.. ......._''•,.:�a�,w---- .., r..m ....aaava:_,_- -. :.. evr�i�r ...._ 4ik_ kikI.Z HANDYMAN Experienced European Engineer - Handyman -Naples, FL - MeetAHandy... Page 1 of 4 Sign hi • oMettAI{andvman.corn • areGuidc • ®}Eder Care o ka$itier 0 El Pet Sitters Housekeepers . }louse Sitters • 13 Gardeners O El I{andvmen ▪ ElLandscapers Accountants • EIElectricians o El Painters • EIPlumbers o EIRooferc 0 El"Truck Drivers ®Tutors MeetaHc1fld3/I'Tlat"l.c om M hX�1 eu Y "" "C7 tigers X'�a nae�y mt o „ ' ''.qr t "`�` e e ,y qS�� `r`� gi °%""'"xt s z ..,`5,,,,,,„1„,,�aa� 7 7 �'� +.` 'bmc` w z � eat a aes i a ',. �,� � . zz � q IiIIi !1ILt a ''* e N • �. s� s x Derek KlentakHANDYMAN Experienced European Engineer. , '?% . e ;%y" °`^" .., ?,i4,„,,,,,, „, � , ";ta ... ";” ....`..3: Close C HANDYMAN Experienced European Engineer - Handyman -Naples, FL - MeetAHandy... Page 2 of 4 View Larger llarek Klentak HANDYMAN Experienced European Engineer Handyman Looking within 50 miles of Naples,FL. . Send Message Call on Phone Handyman in Naples • WHITE GLOVES SERVICE-Carpentry-Mechanical-Assembly-Light Electrical-Light Plumbing Painting-Odd Jobs-Home Cinema NO JOB TO SMALL Handyman Details Email Address ,•, r corn C.onfirmed Phone Number 239-250-9_.Cunflimed Type of Provider Individual Gender Male Services Appliance Maintenance and Repair Basement Renovation Bathroom Renovation Cabinet Refacing ""s Carpentry Ceiling Repair Ceramic Tile Repair Cleaning Concrete Work Countertops Curtain Hanging Deck Building Door Installation and Repair Draining Cleaning Driveway Sealing Drywall Installation and Repair Electrical Fencing Fireplace Cleaning Floor Installation and Repair Foundations Framing Furniture Refinishing Garage Doors General Maintenance Gutter Cleaning and Repair Home Inspections Hot Tubs and Spas Insulation.Installation Kitchen Installation Lockset Adjustment Moulding Installation Moving Painting and Paint Removal Patio Stone Installation Plumbing Porches Roofing Safety Modifications Seuiw Living Modifications Shelving Skylight Installation Solar Panels Soundproofing Sprinkler Systems Stain Removal r v HANDYMAN Experienced European Engineer -Handyman -Naples, FL -MeetAHandy.-. Page 3 of 4 Storage Area Construction and Repair Swimming Pool Maintenance Tiling Wall Building Waste and Junk Removal Water Purification Water Softening Window Cleaning Window Installation Repair Experience Residential Other Insured 24 Hour Emergency Service More la Naples,Florida • Sitters in Naples • Housekeepers in Naples • Pet Sitters in Naples • Elder Care in Niles • House Sitters in Niles Need a Handyman? Post a Job Need a Job? Post your Profile Handymennear Naples,FL Lou Lope handyman.1 time lawn or Jo:cuts.pressure washing.30 i pears experience Rock-N-Repair yolu Helpin%Hhnd Handyman Scnice! Rapi Ko▪ ndakciu Therm no iob too big or too small! , Mick Nouuera Hire a Husband,Handyman service&Property maintenance And rew Heisler .SWFL Premier Handyman&Home Watch More near Naples Handyman Pickwick Service pickwickservicesllc.com Home Repair,Electrical,Roofing,odd jobs, Painting,Home Inspection Join us on Facebook&Twitter We share a mix of useful X'silly links,photos,and videos,from arnnnd the web Follow d;MectAHandvman • i_1._.rr t n Ciffiergov.net Report Title: Code Case Details Date: 5/6/2014 8:29:02 AM Case Number: ceu120140008037 _._ e F,�. „,,,, 5 -s _.„'vFZ-.s..^aa- �. «` `4A"4Aa..f r r�,,-+' i A n`n" < sr a u_' r?. ` S T J ^'arr,:g I F„�,a-„14M e,:.' £_...: ,.m, ,d x�'r.'g "` vm�rc g,< )e w `s l :Z: a i �a�c .a �''g,--F- -'-ts c,... _,,, `_ »5 . _. w+n�� -a,�tir .��.wnr�dR+ . �L'nau'�iwv,L.-,,,._,xva '..�__�.�xv,�s__�u .�.�?�� T�'_������. *� � �� Case Number: CEUL20140008037 Status: Citation Case Type: Unlicensed Date &Time Entered: 4/23/2014 2:35:55 PM Priority: Normal Entered By: RobinGanguli Inspector: robinganguli Case Disposition: Unpaid Jurisdiction: Contractor's Licensing Origin: Complaint Detail Description: Klentak, Darinsz.$1000 citation#08749 issued for unlicensed advertising as a general contractor Location Comments: Flyer distribution and internet advertising for contractor licensed trades ipitr a,.i l ei— I. NN s, "fir E to ,. ; 1 S-7�-`� 'w� Z 4q ,,�(xt 4:. ,.j _ s,:'" ,. ti .,.u.. m", -�'�e4"t.^`a*.-`. �,.....m;:»,,:.�.."', c�_'c.,:.a .' d;.�" a m i ��xr: M-._ k„' -,� .kdtzT' � ke afrAots. �, � :. a A5 ''� �i � t�4^fi�'rg..^'�e3c � fi' jF.. �A�°� S �-�� 44� J SJ�.. i ,� s " - .. tom` ' .,.... �. ..>M��� a: __...,...'�r,. o. �.,,,„ .5a5,.,.ia. .,,i>, =- : n+m 31,0*T y w 55 aY ,aa � 4 Sw '0.k � .x� a a A,F gg S..a� ?r+ MN�.,, .,e,ax.k.,.-;-�� �_�_�M.ux�2a... C lZ}r4 � -p'f 3 F V� lC Po'fi � '.. u +w a .,,,..0 Violator KLENTAK, DARINSZ MAGDALENA BYKOWSKA Business Management&Budget Office 1 Code Case Details Execution Date 5/6/2014 8:29:02 AM sz e . ,' ??#4' v *. e u V V'TZVAiiL,EattapAy fttt Desc> :Assigned 'Required 'Completed :Comments Preliminary Investigation robinganguli 4/16/2014 4/16/2014 Needs 4/16/14.Complaint received regarding flyers Investigatio advertising general contracting trades being n distributed on mailboxes by Darinsz Klentak. Flyers depict"handyman"services. Unable to establish any contractors'licensure or Collier County business tax receipt for maintenance service.Investigation revealed internet advertising by Mr. Klentak also inclusive of multiple contractor licensed trades. Meeting held with Mr.Klentak where contractor licensure information provided as well as limitations of"handyman"services.Violation and subsequent citation issuance and abatement option explained to Mr. Klentak at which time he became agitated.Mr. Klerilak then confiscated a copy of the advertising flyer presented as evidence of his violation arid ended the meeting prior to It's conclusion. He insisted that he was not in violation of anything,questioned"liberty in America"and refused to accept the citation before leaving the building. Cont.Investigation RobinGanguli 4/21/2014 4/21/2014 Complete 4/21/14.Phone call made to Mr.Klentak and message left requesting that he contact me so that we may conclude our meeting at the Contractors'Licensing level and without any involvement of the Collier County Sheriffs Office.No response from him.Site visit made to address of record for Mr.Klentak which was a vacant lot with no dwelling.Consulted C.C.S.O.Corporal Rob Capizzi to discuss options for citation service.Site visit made with him to respondent's business address of record where we were informed of respondents mail delivery address only.Cpl. Capizzi made phone contact with respondent and,after multiple explanations of the pending violation,a meeting was arranged with him on 4/23/14. Investigation robinganguli 4/23/2014 4/23/2014 Citation 4/23/14.Second meeting held with Mr. Required Klentak at C.C.S.O.Golden Gate City substation with Cpl.Capizzi present to explain the due process of citation issuance to him. Options to contest the citation or process to abate the violation with licensure application also explained.Mr.Klentak claimed he had forgotten to bring his eyeglasses and could not read the terms of the citation.Cpl.Capizzi verbally read the terms of the citation to the respondent at this time.After several repeated explanations of all options available,and claims by the respondent that we were getting "commission"from the fines,Mr.Klentak agreed to accept the citation issuance. Throughout the meeting, Mr.Klcntok continued to question us regarding"liberty in America." Business Management&Budget Office 2 Code Case Details Execution Date 5/6/2014 8:29:02 AM Dose, Assigned Required Completed Outcome Comments Issue Citation(Licensing) robinganguli 4/23/2014 4/23/2014 Complete 4/23/14.$1000 citation#08749 issued to Mr. Klentak for unlicensed advertising as a general contractor. Citation Paid/Contested clements_k 5/7/2014 Pending ' '°•'" a --+ •' ,s .�^- �: .-�^ fez r �-§.-�`2_` A I 4 - - 4 -- max- e2 - '5- �. ""'" z r_ "' :_x. *v.A.-a `txitt».. ,-.....,,<....»,- n�.,-. ».-..,.,,.._.__, ...-,» .r. .°.. ..-.0 .g:v... :>,.,'e.._.K.;- .:,i..4u'f�-`mss-r ...: U .w�„ -z:.�' s ran s. ��., _�.,r Violation-Description;- ; Status Entered • Corrected % Amount Comments Unlicensed Advertisement Open 4/23/2014 $1,000 multiple general contracting trades advertised through flyer distribution and internet advertisement. Title Reason Result f Compliance Fine/Day =Condition • Business Management&Budget Office 3 PC6 TGS MASONRY, INC. ... . . . . . ... 4129 19TH CT SW NAPLES, FL 34116 (239)285-1349 June 26, 2014 Ref: Second Entity Qualification To Whom It May Concern: I, Tomas San Juan,president of TGS Masonry Inc.,presently qualify D.J. Ventura Masonry Inc. as Collier County Masonry Contractor, I'm requesting to qualify as a second entity TGS Masonry Inc., I'm aware on both qualification and I'll be look over both companies as well. If you have any questions or may need any further information please contact me at(239)285- 1349 Sincerely, Tomas San Juan President State of Florida Lee County The foregoing instrument was acknowledged before me this 26th day of June,2014, by Tomas San Juan who has produced a FL Driver License as identification. ,va,P4,1 Notary Public State et Florida / r° 4. Jesserlia $ Ree (g95Q0 Otary Public Seal MFY Cmfixs81a2C15 p,t,o xpir ti f-1), Alt D.J. VENTURA MASONRY, INC. 4129 19TH CT SW NAPLES, FL 34116 • (239)285-1349 June 26, 2014 Ref: Tomas San Juan To Whom It May Concern: I,Daniel Jose Ventura,president of D.J. Ventura Masonry Inc.,presently qualify by Tomas San Juan as Collier County Masonry Contractor, am aware that Mr. San Juan is requesting to qualify TGS Masonry Inc. If you have any questions or may need any further information please contact me at(239)325- 7786. Sincerely, Ditit(1 441 Daniel Jose Ventura President State of Florida Lee County The foregoing instrument was acknowledged before me this 26th day of June,2014, by Daniel Jose Ventura who has produced a Mexico Consular ID Card as identification. NOtary Public State of Florida Gtary Public / Seal ,lesfafarir. �t @yes ;a My COfnfnittwn EEOe96Oo No,OF EOM OC�ibl1OtS • �r „. , (_tr:eL t_-O - L.(' :),0 Vt-fin)1 3 10) ) , ��; , / ,� ,l� ( wrff�t 03 i' mi "`'`: `•I, '" '"" BUILDING REVIEW AND PERMITTING OewWYg 4. . CON'T'RACTOR LICENSING SECTION COLLIER COUNTY/CITY OF NAPLES/CITY OF MARCO ISLAND • Contractors Licensing Board ATTACH(TAPE ON ALL SIDES)A Community Development&Environmental Services Division RECENT PHOTO OF QUALIFIER. 2$00 North Horseshoe Drive PHOTO MUST BE FULL-FACED, Naples,Florida 34104 VIEW APPROX.2"x 2",A CLEAR Telephone: (94I)403-2431 ORIGNAL AND RECOGNIZABLE LIKENESS. Facsimile: (941)403-2345 APPLICATION TO QUALIFY SECOND ENTITY THIS FORM MUST BE COMPLETED IF YOU WISH TIO INITIATE OR CHANGE THE STATUS OF AN EXISTING LICENSE. READ ALL INSTRUCTIONS AND MAKE SURE YOU HAVE SIGNED WHERE INDICATED. TYPE OR PRINT IN INK. MAKE CHECKS PAYABLE TO THE COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS. ALL CHECKS MUST CLEARLY STATE APPLICANT'S NAME AND ADRESS. PLEASE ALLOW 2-3 WEEKS FOR PROCESSING. FEE$ 10J .c3 1. Applicant's Name(Licensee)1/iI4 S c,.C" i� " it. LICENSE# OL3oOo333 5, 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 1V-I) CHILD SUPPORT AGENCY TO ASSURE COMPLIANCE WITH CHILD SUPPORT OBLIGATIONS. SOCIAL SECURITY NUMBERS MUST ALSO BE RECORDED ON ALL PROFESSIONAL AND OCCUPATIONAL LICENSE APPLICATIONS AND WILL BE USED FOR LICENSE IDENTIFICATION PURSUANT TO THE PERSONAL RESPONSIBILITY AND WORK OPPORTUNITY RECONCILIATION ACT OP 1996(WELFARE REFORM ACT), 104 PUB.L. 193,SEC.317. Place of Birth: (City) LAxrA-d� I ) Ilisick,,) ,� (State) �17,�>¢tr�{idation Social Security Number Date of Birth ; SEX: !' Male,Female ;� / RACE: (1)White ;(2)African-American; IA)Hispanic ;(4)Asian (5)Indian;(6)Other 2. Name of Business To Be Qualified: � C. . -S S. PAS if, a y Mailing Address: Y/02 f /?1.4. t aced itkz 1.. ' c r /L. 3 //4, Street or P.Q.Box City State Zip Street Address: f' 4 s i--1. Street j /� City State Zip Business Phone Number: (WS"- /3 T / Federal ID Number: 77 c7 7tG'tr71'c " • APPLICATION TO QUALIFY SECOND ENTITY 3. Applicant's (Licensee)Name: i7_--- PL..) Last First Middle • Applicant's(Licensee) Official Mailing Address of Record: it/,7q /94 CT,c iUcyf /-k.-s (r/.r .,� -�. 3/e//,6 Street City J County State Zip Street Address(if Post Office Box is listed above): Street City County State Zip Horne Phone / ) c /' ' A3y Ofce Phone {Z37 ) 3j55 — 23" 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 I have met all continuing education requirements. I understand that it is my responsibility to maintain all documentation supporting this affirmation of eligibility. I affirm that these statements are true and correct and I recognize that providing false information may result in a FINE,SUSPENSION or REVOCATION of my contractor's license. ti ry �� 'mice' ,_ i Le k) 6 ' -oz �° / A .NLICAN I"S SIGNATURE PRINT OR TYPE N DATE b�txj6ar ;.. � ECf\ f E�h.f)EtItiE� i'- C ��! (( s0 1 IT 1 �1l E, fi �y,SG ff 1 _� S �.. :E_ ! 6tt1) ccv ��! �Ft! ��. t''tl1 tit c ��t >tiviya �'� F° �r !� a 5� ) i} FTet t V:1;h-�k;�5 SF r \ r r ti �"'S i C s i( 4 r c .ry! tf i .{✓.�1lA t �1 W�P i f∎r` ..;_r !ti t k. �r�L t tr l�f�k, t tkg [htf `u V;-6 \ G �tf r r t l r� �,.,_ .K.._ ,,. � . .k.,. �r ,..�,A..,., �°? �._..,.,� i E w� t i Eltii�s�[t E<f � LP(�� ztl>FaWe WJ, G �U.�,F: TO FILE A NOTICE OF ELECTION TO BE EXEMPT from the provisions of the FLORIDA WORKERS' COMPENSATION LAW, contact your nearest Florida Department of Labor and Employment Security, Bureau of Workers'Compensation Compliance office to obtain form#BCM-250-T, 3 q. APPLICATION TO QUALIFY SECOND ENTITY S. 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 licenses while qualifying this additional business.- ./4.44 1-7t.-eir-e er-A-t.: eA Ct.) 4, 0,, n� een previously qualified.Has the proposed entity I s•, exp ai w t e previous qualifier is no longer willing to continue to qualify this entity. Mo 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. tudoe _ � D. List the last three jobs completed by you under your existing license. Include date of completion, address, description of work,name of previous qualifie and e of owner. ( uag e y Ma f /I3s.--nay Q aS 0 L a �` �� (a -e / & c / /o )e rnof<r.-kt_ E. Do the business(s) you presently qualify and/or wish to qualify have any outstanding Iiens against them or against the property of co umers as a result of construction work or a contract they had with your firm? YES NO V If yes, identify business and provide explanation. F. List principal suppliers for the past six months for the business you presently qualify. / )14 UST ego Vt f - d , . G. List principal suppliers for the past six months for the business you are applying to qualify. MQ �- Poi l .s 4 • APPLICATION TO QUALIFY SECOND ENTITY H. List persons authorized (currently and in the past 6 weeks)to pull permits on your license(s). Sao dAt-a- I. How are you being paid by the business(s)you presently qualify(examples: salary,%of profits,etc.)? 1VV- ; z-4-4/0--/e ry,74-; 1- s /6.--d- a is J. How will you be paid by the business you are applying to qualify? h e - C+' prb t / r270 7," 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? / 0 d `/ L. Do you (applicant)have check writing authority for the present and proposed entity? YES /NO If yes,provide a letter from the bank. M. List officers(or partners,owners)of business you are applying to qualify and give title/position held. rL /PO LS* ct, 1 t ,r /66 Y‘:' � r N. List officers (or partners,owners)of business you presently qualify and give title/ osition held. a2.6C-Z Pic` • /1s 0. Do the business(s)you presently quali and wish to qualify have any other licenses presently qualifying those businesses? YES NO . If yes, list licensee's name,license number and address. P. Submit notarized statements signed by an authorized agent of the entity(s) you presently qualify and from an authorized agent of the proposed entity attesting to the fact that each is aware of what entity you presently qualify, and what entity you are requesting to qualify. 5 APPLICATION TO QUALIFY SECOND ENTITY 6. FINANCIAL RESPONSIBILITY. 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 NC, -1/ 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? IC. Undertaken construction contracts or work which resulted in liens,suits or judgments being filed? V ____ 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? V____ 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: t/ 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 vonviction, 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. CREH7'1'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. 6 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 or 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 f( S i � � J 1,w7C -1 MICA,, .!9 �( (PROPOSED EN TY A , PRESENT ENTITY). /141,t ( { to be sent directly from �t ,�.� t/. • (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 RELATIQNSI IPS–Do you qualify any business other than the business you are applying to qualify? YES V NO (If "yes", what percentage of the business do you own (if any)? ,5-0 %). Contact Board office for guidelines to qualify more than one business. Company Name: 1) 57 Company Address: 9/ç,7 6, / /L /5-i ) Nom. (es- FL ,,j ,H,4, j,4, Your License Number: 1—C C o/3 On 33 3 V 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 AFFIDAVIT I, O an certify that the foregoing is true and correct to the best of my knowledge. rave-- �-- UTHORIZED OFFICER FOR THE FIRM • STATE OF FLO� COUNTY OF The foregoing instrument was acknowledged before me this c =/r/ � `' (DATE) by ff&t S t of s (NAME OF OFFICER,TIT (NAME OF CORPORATION) a T((le! corporation,on behalf of the corporation. He/She has (STATE OR PLACE OF CORPORATION) produced . L 4 as identification and-did not take an oath. (TYPE OF IDENTIFICATION) roar n� Notary Public State of Florida Jess4nia Reyes �,� My Commission EE089500 .S�c�.r....:__. ott� Expires 08/18(2015 NATUIRF OF NOTARY (PRINT NAME OF NOTARY) NOTARY PUBLIC • 8 , AFFIDAVIT 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. fi4e1.--1' A.rekrti&-' APPLICANT(PLEASE PRINT) 7 ? s' / a< NAME OF COMPANY ------0_-_--.) --__) ,___-1:---------1' NATURE OF APPLICANT STATE OF FLO A COUNTY OF " The foregoing instrument was acknowledged before me this C 6-- $L/7 by (DATE) /nal $a01 d iv who has produced Pt I 1 (NAME OF PERSON ACKNO DGING) (TYPE OF IDENTIFICATION) as identification and who did not take an oath. . /5:270,....e.,,–..-- 2,ey........— 40 Notary Public State of Florida g Jessenia Reyes SIG ATURE OF NOTARY < My Commigfion EE089500 of fs Expires 06!18/2015 (PRINT NAME OF NOTARY) NOTARY PUBLIC 9 , .. .,.„.„ . eil et V st t't te OA .01k V 01 It"," sr4 V-01k 04+1 ilAiltr - . IF IL lir—• Air6 4, rk,Pr 4 40, til 0 A414.a 0.113 ,itif 44, UV# 44,.. 1341# 4 . 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A. • RESOLUTION OF AUTHORIZATON WHEREAS l LP S)P 1/2 proposes to ~�—/, �(Na of Business Entity engage in contracting as !- +.S ,4&1)1 ay �L.� in (Type of legal entity:corp.,partnership,etc. Collier County,Florida,according to Collier County Ordinance 99-45;and WHEREAS r 6"--5 I(4On,gi J proposes to (Name of Business Entity) qualify for a Certificate of Competency with 7 41 fl. tel effe - (Name of IndividuJ NOW,THEREFORE,BE IT HEREBY RESOLVED THAT: We the undersigned A241S �GLeL: ^ of ,i� (Officers,Owners,P era�h s) hereby resolve and represent to the Collier County (Name of Business i, ) Contractors'Licensing Board that the qualifying agent,,.70-41 .f SC y�/&,is active ame a Indi ua1) in all matters connected with the contracting business of 7 S .4001 ,and (Name of f,siness t,w) We further resolve and represent that /l'I4S 2'Gt f4-= is (Names of Indivi legally empowered to act for f 5 44a-911- in all ma s connected with its (Name of Business ntity) contracting business,and has the authority to supervise construction undertaken by (Name of Business Entity DULY PASSED AND ADOPTED THIS t 6 day of-971/-1—t--e-, c7/121./r".- (Officers,Partners,Owners—with Designs 'on undern<. �� < Witness Witness Witness Corporate Seal(if Applicable) Or Notary Public Certificate Sworn to and subscribe before me thitr.tl� day of by 7 7Q-f `�i`t - I -- otary Public Name Printe .otary Public Signatur- Commission Number E© S cp • My Commission expires: C—/ —/.Sr '% Notary Public State of Florida Jessenia Reyes ti My Commission EE089500 '40iµ,d Expires 05/18/2015 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 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 • a • nd 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. • Detail by Entity Name Page 1 of 2 FLORIDA DEPARTMENT OF STAT} '' DIVISION OF CORPORATIONS Detail by Entity Name Florida Profit Corporation TGS MASONRY INC. Filing Information Document Number P14000046706 FEI/EIN Number NONE Date Filed 05/27/2014 State FL Status ACTIVE Effective Date 05/27/2014 Principal Address 4129 19TH CT SW NAPLES, FL 34116 Mailing Address 4316 LEE BLVD UNIT#6 LEHIGH ACRES, FL 33971 Registered Agent Name & Address JEMA APT 4316 LEE BLVD UNIT#6 LEHIGH ACRES, FL 33971 Officer/Director Detail Name &Address Title P SANJUAN, TOMAS 4129 19TH CT SW NAPLES, FL 34110 Annual Reports No Annual Reports Filed Document Images 05/27/2014 -- Domestic Profit View image in PDF format Detail by Entity Name Page 2 of 2 Cooyright,c,and Privacy Policies State of Florida,Department of State Detail by Entity Name Page 2 of 2 4129 19TH CT SW NAPLES, FL 34116 Annual Reports Report Year Filed Date 2014 03/28/2014 • Document Images 03/28/2014--ANNUAL REPORT View image in PDF format 09/13/2013 --Amendment View image in PDF format 01/02/2013-- Domestic Profit View image in PDF format Copyright c and Privacy Policies State of Florida,Department of State -Th i,, TD( DEPARTMENT OF THE TREASURY •' "-'- 'INTERNAL REVENUE SERVICE CINCINNATI OH 45999-0023 Date of this notice: 05-30-2014 Employer Identification Number: 47-0980022 Form: SS-4 Number of this notice: . CP 575 A TGS MASONRY INC 4129 19TH CT SW NAPLES, FL 34116 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 47-0980022. 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 tiling 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 07/31/2014 Form 940 01/31/201S Form 1120 03/15/2015 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. IMPORTANT INFORMATION FOR S CORPORATION ELECTION: If you intend to elect to file your return as a small business corporation, an election to file a Form 1120-S must be made within certain timeframes and the corporation must meet certain tests. All of this information is included in the instructions for Form 2553, Election by a Small Business Corporation. Electronic Articles of Incorporation - rilL4e80046706 For May 27 2014 Sec. Ol State adunlap TGS MASONRY INC. • The undersigned incorporator, for the purpose of forming a Florida profit corporation,hereby adopts the following Articles of Incorporation: Article I The name of the corporation is: TGS MASONRY INC. Article II The principal place of business address: 4129 19TH CT SW NAPLES, FL. US 34116 The mailing address of the corporation is: 4316 LEE BLVD UNIT#6 LEHIGH ACRES, FL. US 33971 Article III The purpose for which this corporation is organized is: ANY AND ALL LAWFUL BUSINESS. Article IV The number of shares the corporation is authorized to issue is: 100 Article V The name and Florida street address of the registered agent is: JEMA APT 4316 LEE BLVD UNIT#6 LEHIGH ACRES, FL. 33971 I certify that I am familiar with and accept the responsibilities of registered agent. Registered Agent Signature: JESSENIA REYES - P14000046706 FILED Article VI Sec O&St0alte The name and address of the incorporator is: adunlap TOMAS SANJUAN 4129 19TH CT SW NAPLES, FL 34116-0000 Electronic Signature of Incorporator: TOMAS SANJUAN I am the incorporator submitting these Articles of Incorporation 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 1st and May 1st in the calendar year following formation of this corporation and every year thereafter to maintain"active" status. Article VII The initial officer(s) and/or director(s) of the corporation is/are: Title: P TOMAS SANJUAN 4129 19TH CT SW NAPLES, FL. 34116 US Article VIII The effective date for this corporation shall be: 05/27/2014 Detail by Entity Name Page 1 of 2 FLORIDA: DEPARTMENT OF STAtE _ °_ ..ta, Detail by Entity Name Florida Profit Corporation D.J. VENTURA MASONRY, INC Filing Information Document Number P13000000492 FEI/EIN Number 46-1674315 Date Filed 01/02/2013 State FL Status ACTIVE Last Event AMENDMENT Event Date Filed 09/13/2013 Event Effective Date NONE Principal Address 3101 165 TH ST W LEHIGH ACRES, FL 33971 Mailing Address 4316 LEE BLVD. SUITE 6 LEHIGH ACRES, FL 33971 Registered Agent Name &Address JEMA APT 4316 LEE BLVD. SUITE 6 LEHIGH ACRES, FL 33971 Name Changed: 03/28/2014 Officer/Director Detail Name &Address Title P VENTURA, DANIEL J 3101 16TH ST W LEHIGH ACRES, FL 33971 Title VP SANJUAN, TOMAS http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail/EntityName/domp-... 6/26/2014 COLLIER COUNTY CERTIFICATE OF COMPETENCY CERTIFICATION INFORMATION LCC20130003334 Certification Information Collier County Board of County Commissioners Date: June 26, 2014 • DBA: D.J. VENTURA MASONRY, INC ADDRESS: 4129 19TH CT SW NAPLES, FL 34116 PHONE: 2393535627 CELL: 2392851349 FAX: LICENSEE NBR: QUALIFIER: Sanjuan, Tomas LCC20130003334 TYPE: MASONRY CONTR. CLASS CODE: 4250 ISSUANCE NBR: 201300001654 INSURANCE: ORIG ISSD: EXPIRATION: General Liability October 03, 2013 September 30, 2014 January 29, 2015 Worker's Compensation September 24, 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: LCC20130003334 09/30/2014 Active D.J. VENTURA MASONRY, INC Sanjuan, Tomas 4129 19TH CT SW NAPLES, FL 34116 Signed: _��_ ���^ _ _ �M~ COLLIER COUNTY BUSINESS TAX +BUSINESS TAX NUMBER: 130800 COLLIER COUNTY TAX COLLECTOR-2800 N.HORSESHOE DRIVE-NAPLES FLORIDA 34104-(239)252-2477 VISIT OUR WEBStTE AT:www.colliertax.com THIS RECEIPT EXPIRES SEPTEMBER 30, 2014 DISPLAY AT PLACE OF BUSINESS FOR PUBLIC INSPECTION LOCATION:412919TH CT SW FAILURE TO DO SO 1S CONTRARY TO LOCAL LAWS. ZONED: HOME OCCUPATION #E'i;AL FORM` s - THIS TAX IS NON-REFUNDABLE - GORPORATtON' `.. BUSINESS PHONE: 285-1349 E D.J.VENTURA MASONRY,INC COUNTY LIC:2013-3334 SANJUAN,TOMAS 4129 19TH CT SW { NAPLES FL 34116-0000 1 i 1 NUMBER OF EMPLOYEES: 21-30 EMPLOYEES CLASSIFICATION:MASONRY CONTRACTOR DATE 10/03/2013 CLASSIFICATION CODE: 02101003 AMOUNT 54.00 RECEIPT 6378.42 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. z r k , � • E"h fa R�y F F fi "r�x 'xqy ,,,,y '7 ' • Jun.191410:10a 239-277-0167 2392770167 p.1 Merit 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. It is solely for the use of the intended recipient(s). Unauthorized interception,review,use or disclosure is prohibited and may violate applicable laws including the Electronic Communications Privacy Act. If you are not the intended recipient, please contact the sender and destroy all copies of the communication. )aces' �i1CJU �h� C €v pops Jun,1!14 10:10a 239-277-0167 2392770167 p.2 Prepared By: Merit Credit (239) 277-32C2 (800) 371-3348 TRANSUNION CREDIT REPORT [FOR] [SUB NAME] [MKT SUB] [INFILE] [DATE) [=TIME] (I) Z NP6224423 MERIT CREDIT 16 NP 5/99 06/19/14 09:05CT (SUBJECT) ISSNI [BIRTH DATE] SANCUAN, TOMAS SAN (- [ALSO KNOWN AS] JUAN,TOMAS,SAN SANJUAN,THOMAS [CURRENT ADDRESS) [DATE RPTD] 4129 SW. 19TH CT., NAPLES FL. 34116 7/06 :FORMER ADDRESS] 721723 GILBERT AV., LEHIGH ACRES FL. 33971 12/06 2800 CEARLES DR., CHALMETTE LA. 70043 fPOSIT_ON) (CURRENT EMPLOYER AND ADDRESS] [RPTD] GULFCOAST SOLID TOPS INSTALLER INSTALLATION COUNTER 12/04 S P E C I A L M E S S A G E S ***ALERT: #HK1IFCRA-1 NITIAL FRAUD ALERT: ACTION MAY BE REQUIRED UNDER FCRA BEFORE OPENING OR MODIFYING AN ACCOUNT. CONTACT CONSUMER AT (239) 825-5905**° M O D E L P R O F I L E * * * ALERT * ***FICO CLASSIC 04 ALERT: SCORE +672 : 038, 010, 013, 008 *x* IN ADDITION ***10 THE FACTORS LISTED ABOVE, THE NUMBER OF INQUIRIES ON THE CONSUMER'S ***CREDIT FILE HAS ADVERSELY AFFECTED THE CREDIT SCORE. C R E D I T S U M M A R Y * * * T O T A L F I L E H I S T O R Y PR=0 COL=1 NEG=5 HSTNEG=5-59 TRD=40 RVL=21 INST=7 MTG=12 OPN=0 INQ=6 HIGH CRED CRED LIM BALANCE PAST DUE MNTHLY PAY AVAILABLE REVOLVING: $12.4K $11.6K $6915 $0 $221 40% INSTALLMENT: $40.3K $ $36.4K $0 $878 MORTGAGE: $429K $ $257K $0 $808 TOTALS: $482K $11.6K $301K $0 $1907 C O L L E C T I O N S SUBNAME SUBCODE ECOA OPENED CLOSED $PLACED CREDITOR MOP ACCOUNT# VERIFIED BALANCE REMARKS CAVALRY PORT F 1YNA0C8 C 11/09 $3334 08 BANK OF AMERICA 09B 13701432 6/14A $5031 PLACED FOR COLLECTIO T R A D E S SUBNAME SUBCODE OPENED HIGHCRED TERMS MAXDELQ PAYPAT 1-12 MOP ACCOUNT4 VERFIED CREDLIM PASTDUE AMT-MOP PAYPAT 13-24 ECOA COLLATRL/LOANTYPE CLSD/PD BALANCE REMARKS MO 30/60/90 CHASE B 1127001 9/06 $207K 360M1576 M09 3/10A $0 I CONVENTIONAL REAL 3/10F $0 UNPAID BLNC C-RGD OFF Jun 19 1410:10a 239-277-0167 2392770167 p.3 BK OF AMER B 6331059 4/04 $3834 R09 11/09A $4000 $0 C CREDIT CARD 7/09F $0 PURCH BY OTHER LENDER BK OF AMER B 6331059 12/05 $4226 RC9 11/09A $3700 $0 A CREDIT CARD 7/09F $0 PURCH BY OTHER LENDER CHASE B 1ULY001 11/05 $258K 360M897 7/08 5555555555XX M05 8/09A $0 $3588 05 543211111111 I CONVENTIONAL REAL 8/09C $0 FORECLOSURE,CLTRL SLD 43 1/ 1/12 CHASE B 1127001 9/06 $51. 9K 360M55C 11/07 XXX555543 M05 6/08A $0 05 I SECOND MORTGAGE 6/08C $0 CLOSED 9 0/ 1/ 5 SYNCH/SAN_S D 235046S 6/04 $464 111111111111 RO1 6/14A $100 $0 111111111111 I CHARGE ACCOUNT 4/11C $0 CLOSED 48 0/ 0/ 0 IBERIABANK B 130G005 2/14 $10.OK 72M185 111 101 6/14A $0 I HOME IMPROVEMENT $9690 3 0/ 0/ 0 GATEWAY 1 F 2C5K001 2/13 $11.2K 48M330 111111111111 101 6/14A $0 11_ I AUTOMOBILE $8434 15 0/ 01 0 CHASE AUTO B 4020038 2/14 $19.OK 60M363 111 I01 5/14A $0 I AUTOMOBILE $18.3K 3 0/ 0/ 0 NATIONSTAR F 1QC3005 8/05 $205K 540M705 111111111111 MC1 5/14A $0 11/11111 C CONVENTIONAL REAL S195K 21 0/ 0/ 0 SYNCH/SAM3 D 235046S 9/12 $1182 MIN31 111111111111 ROl 5/14A $2200 $0 11111111 I CHARGE ACCOUNT $1025 20 0/ C/ 0 DISCOVER FIN B 9616003 10/05 $2680 MIN15 1_1111111111 RO1 5/14A $500 $0 111111111111 A CREDIT CARD $381 48 0/ 0/ 0 SYNCB/LOW L 235041J 10/06 $2431 N_IN59 1111_1111111 ROl 5/14A $2700 $0 111111111111 I CHARGE ACCOUNT $2116 48 0/ 0/ 0 SYNCB/JCP D 235058D 12/02 $216 111111111111 R.01 5/14A $100 $0 111111111111 I CHARGE ACCOUNT 12/11P $0 48 0/ 0/ 0 SYNC3/RMSTGO H 9992543 10/13 $1559 MIN57 1111111 RO1 5/14A $3200 $0 I CHARGE ACCOUNT $1116 7 0/ 0/ 0 Jun 19 14 10:10a 239-277-0167 2392770167 p.4 BBY/CBNA H 292F021 11/06 $1835 1111111 RO1 5/14A $305 $C A CHARGE ACCOUNT 8/13P $0 7 0/ 0/ 0 CAP ONE B 1DTV001 11/04 $2498 MIN59 5/14A $2500 $0 111111111111 RO1 11148:110/11 I CREDIT CARD $2277 48 0/ 0/ 0 BK OF AMER B 427S002 5/06 $61.5K 540M103 7/08 :11111111111 MO1 5/14A $0 05 111111111111 C BALLOON 0701205/ $62.3K LOAN MOD/FED GOVT PLN 48 0/ 0/16 SYNCB/SAMSDC B 2350610 12/07 $566 111111111111 RO1 5/14A $200 $0 111111111111 I CREDIT CARD 10/0BC $0 ACCT CLSD BY CONSUMER 48 0/ 0/ 0 CAP ONE 3 1DTV200 3/07 $1536 11111'_111111 RO1 CREDIT CARD 11/08C $0 PURCH BY OTHER LENDER 48 0/ 0/ 0 CAP1/BSTBY D 1DTV057 11/06 $1835 9/13A $305 $0 11111111111 RO1 111111111111 A CHARGE ACCOUNT 9/13C $0 PORCH BY OTHER LENDER 40 0/ 0/ 0 FRDM/CBNA J 9026004 11/07 $263 CHARGE ACCOUNT 8/09C SO '_11 CLOSD BY CHDT GRANTOR 48 111 48 0/0/ 0/ 0 PHD/C3NA B 26H3005 10/04 $1335 1/13A $2400 Y0 111111111111 RO1 A CHARGE ACCOUNT 4/09C $0 CLOSD BY CRDT GRANTOR 13711_0/10/ 0 BK OF AMER B 427S002 8/05 $205K 5C4M615 7/08 11=111i11 m M01 7/12A $0 $4862 05 /11155555543 C CONVENTIONAL REAL 7/12C $0 TRNSFRD: OTHER LENDER 48 4/ 2/15 CHASE B 26QK004 12/04 $287 1/11A $300 $0 111111111_11 RO1 111111111111 I CREDIT CARD 10/10C $0 CLOSD BY CRD7 GRANTOR 48 0/ 0/ 0 WORLD OMNI F F 2729006 10/05 $28.7K 66M567 110000000938605 1/09A $0 111111111111 122111111111 IOl I AUTOMOBILE 482/11/090 $0 CLOSED 48 2/ 0/ 0 HFC — USA F 235166G 9/04 $8218 CREDIT 11/060 $0 111111111111 $0 CLOSD BY CRDT GRANTOR 27 0/ 0/ 0 LITTON LOAN F 982300. 9/06 $207K 360M1525 1 12/06A N_Oi I CONVENTIONAL REAL 12/06C $0 TRNSFRD OTHER OFFICE 1 0/ 0/ 0 iITTON LOAN F 9823004 9/06 $51.9K 360M549 1 12/06A 1901 I CONVENTIONAL REAL 12/06C $0 TRNSFRD OTHER OFFICE 1 0/ 0/ 0 BK OF AMER B 427S002 8/05 $60.OK 111111 901 . .... . ...... ... ........._.._. Jun 19 14 10:11 a 239-277-0167 2392770167 p.5 = 5/06A $60.OK SO C HOME EQUITY LOAN 5/06C $0 CLOSED 8 0/ 0/ 0 NOVASTAR MTG B 1STD001 7/04 $162K 360M1218 1:X1X1111111 MO1 10/05A I CONVENTIONAL REAL 12 0/ 0/ 0 TD AUTO FIN F 624C139 5/04 $13.8K 66M 101 AUTOMOBILE 8/05C $0 CLOSED 14 0/ 0/ 0 REGIONS BANK B 3604047 1/04 $23.7K 72M 111111111111 I01 8/05A $0 111111 I AUTOMOBILE 8/050 $0 CLOSED 18 0/ 0/ 0 BK OF AMER S 4275002 7/04 $39.9K 360M442 1111111_ MO1 8/05A $0 I CONVENTIONAL REAL 8/05C $0 CLOSED 11 0! 0/ 0 BK OF AMER B 4275002 7/04 $159K 360M1165 11111111 MO1 8/05A $0 I CONVENTIONAL REAL 8/05C $0 CLOSED DUE TO REFIN 11 0/ 0/ 0 CAP ONE NA B 1DTV003 4/02 $560 111111111"11 R01 7/05A SO 111111111:11 I CREDIT CARD 7/05C $0 ACCT CLSD BY CONSUMER 39 0/ 0/ 0 RSHK/CPNA H 12650C4 5/04 $309 1111111 RO1 ACCOUNT 1C/04C $0 ACCT CLSD BY CONSUMER 7 0/ 0/ 0 CAP ONE B 1DTV001 8/03 $290 1111111:1111 RO1 11/04A $0 111 I CREDIT CARD 11/04C $0 ACCT CLSD BY CONSUMER 15 0/ 0/ 0 FRD MOTOR CR F 3796761 9/00 $9687 48M321 1111:1111111 I01 04C $0 CLOSED 48 Of 0/ 0 WFHM B 82TE004 3/03 $142K 360M1172 111111111111 MO1 8/04A SO 1 I FHA REAL ESTATE M 8/04C $0 CLOSED 13 0/ 0/ 0 I N Q U I R I E S DATE SUBCODE SUBNAME TYPE AMCUNT 6/19/14 ZNP6284423(FLA) MERIT CREDIT 2/01/14 BTA1387538 (FLA) BANKUNITED 2/01/14 ALA1123356(CAL) AUTOSTYLE NH 9/27/13 ACH0210183(C3I) GERMA:N TOYO 9/26/13 ZNP6284423 (FLA) MERIT CREDIT 9/22/12 NNY4215612(EAS) SYNCB/SAMS C R E D I T R E P O R T S E R V I C E D BY : ^_RANSUNION 800-888-4213 2 BALDWIN PLACE P.O. BOX 1000,CHESTER, PA. 19022 Consumer disclosures can be obtained online through Tran.sUnion at: http://www.trarsunion.com Jun 19 14 10:11a 239-277-0167 2392770167 p.6 CREDITOR CONTACT INFORMATION CAVALRY PORT YCIYNA008 (800) 501-0909 500 SUMMIT LAKE DR VALHALLA NY. 10595 CEASE 8141127001 (800) 848-9136 PO BOX 24696 COLUMBUS OH. 43224 BK OF AMER BC6331059 . (800) 421-2110 PO BOX 982238 EL PASO TX. 79998 CHASE EM1ULY001 (800) 848-9136 PO 30X 24696 COLUMBUS OH. 43224 SYNCB/SAMS DV235C46S (800) 964-1917 PO BOX 965005 ORLANDO FL. 32896 IBERIrBANK BS130c005 (337) 365-2361 POB 12440 NEW IBERIA LA. 70562 GATEWAY 1 FZ2C5K001 3818 E CORONADO ANAHEIM CA. 92807 CHASE AUTO BA402D038 (800) 336-6675 PO BOX 901003 FORT WORTH TX. 76101 NATIONSTAR FM1QC3005 350 HIGHLAND HOUSTON TX. 77067 DISCOVER FIN BC9616003 (800) 347-26x3 POB 15316 WILM:NGTON DE. 19850 SYNCB/LOW LH235041J (600) 444-1408 PO SOX 956005 ORLANDO FL. 32896 SYNCB/JCP DC235058D (866) 227-5213 PO BOX 965007 ORLANDO FL. 32396 SYNCB/RMSTGO HF9992545 (866) 396-8254 C/0 PO BOX 965036 ORLANDO FL. 32396 3BY/CENA EE292F021 PO BOX 6497 SIOUX FALLS SD. 57117 CAP ONE BC1DTV001 (800) 955-7070 P03 30281 SALT LAKE CITY UT. 84130 BK OF AMER BM427S002 (800) 451-6362 4161 PIEDMONT PKWY GREENSBORO NC. 27410 SYNCB/SAMSDC BC235061D (800) 964-1917 PO BOX 965005 ORLANDO FL. 32896 CAP ONE BC1DTV200 (800) 477-6000 PO BOX 30253 SALT LAKE CITY 07. 84130 CAP1/BSTBY DC1DTV057 (800) 695-6950 PO BOX 30253 SALT LAKE CITY UT. 84130 FRDM/CBNA JA9026304 PC BOX 6497 SIOUX FALLS SD. 57117 THJ/CBNA BZ26H3305 PO BOX 6497 SIOUX FALLS SD. 57113 CHASE BC260K004 (800) 955-9900 P.O. BOX _5298 WILMINGTON DE. 19850 WORLD OMNI F FZ2729006 (800) 686-3526 1769 PARAGON DRIVE MEMPHIS TN. 33:32 HFC - USA FZ235156G PO BOX 9068 BRANDON FL. 33509 LITTON LOAN FM9823004 (800) 888-9646 4828 LOOP CENTRAL HOUSTON TX. 77081 NOVASTAR MTG BM1STDOO: 1900 WEST 47TH PLA SHAWNEE MISSIO KS. 66205 TO AUTO FIN FA624C139 (800) 222-1701 27777 INKSTER RD FARMINGTON HIL MI. 48334 Jun 19 1410;11 a 239-277-0167 2392770167 p.7 REGIONS BANK 823604047 720 NORTH 39TH STR BIRMINGHAM AL. 35222 CAP ONE NA PC1D_V003 POB 30281 SALT LAKE CITY UT. 84130 RSHK/CBNA HE1265004 PO BOX 6497 SIOUX FALLS SD. 57117 FRD MOTOR CR FA3796761 (800) 727-7000 POB 542000 OMAHA NE. 68154 WF3M BM62TF004 C800) 288-3212 7255 BAYMEADOWS WA DES MOINES IA. 50306 BANKUNITED B 1387538 (305) 569-0327 445 BROADHOLLCW RD MELVILLE NY. 11747 AUTOSTYLE WH A 1123356 (954) 455-3636 3801 SOUTH STATE R MIRAMAR FL. 33023 GERMAIN TOY() A 0210183 (941) 592-5550 13315 TAMIAMI TRAI NAPLES FL. 34110 SYNCB/SAMS N 4215612 (800) 964-1917 PO BOX 965005 ORLANDO FL. 32396 END OF TRANSUNION REPORT MERIT CREDIT HAS RETRIEVED THE ABOVE PERSONAL CREDIT REPORT FOR LICENSING PURPOSES AS REQUESTED BY THE BUSINESS OWNER/PROPRIETOR. PUBLIC RECORES FOR THIS REPORT HAVE BEEN CHECKED AND VERIFIED AT THE COUNTY, STATE AND FEDERAL LEVELS. PUBLIC RECORDS HAVE ALSO BEEN VERIFIED FOR PINE.LLAS COUNTY. PUBLIC RECORDS LEARNED C 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. Jun 19 14 10:12a 239-277-0167 2392770167 p.8 Premier Profile-TGS MASONRY INC Subcode:970135 Ordered:06/1912014 09:06:31 CST Experiarr Transaction Number:C500460503 6•1111 Search Inquiry:TGS MASONRY INC/4129 19TH CT SW/NAPLES/FL134116/USN/A/985233174 A world of insight Model Description:Intelliscore Plus V2 Eus'ness Name Business Ick,ntification Number TGS MASONRY INC 985233174 Primary Address: 4129 19TH CT SW NAPLES,FL 34116-6003 TOP 011. Risk Dashboard Dert‘glktOilftitlik--` inteviscore Plus Financial Stability Risk Company DBT Original Filincs High Risk Alerts 28 MEDIUM RISK 7 ,MEDIUM-HIGH , RISK DBT Unavailable - -- Score range:I -100 percentile Credit Limit Recommendation:$1,000 TOP 0 Business Pacts Years on File: 0(FILE ESTABLISHED 06/2014) State of Incorporation: FL Date of Incorporation: 05/27/2014 Business Type: Profit TOP 0 Commercial Fraud Shield Evaluation for:TGS MASONRY INC,4129 19TH CT SW, NAPLES,F134116-6003 n-7 Active Business Indicator: Experian shows this business as active NEW CORPORATE FILING FOUND Possible OFAC Match: 1611 No OFAC match found Business Victim Statement: la No victim statement on file Credit Risk Score and Credit Limit Recommendation • • Current Intetliscore Plus Score: 28 Risk Class:3 28• MEDIUM RISK High Low The risk class groups scores by risk into ranges of similar Risk , , ; Fisk perfOrmance.Range 5 is the highest risk,range 1 is the 10 25 50 7'S lowest risk. 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. Factors lowering the score Industry Risk Comparison RISK ASSOCIATED WITH THE COMPANY'S INDUSTRY 27%of businesses indicate a higher likelihood of severe Premier Profile-TGS MASONRY INC 1/3 Jun 19 1410:12a 239-277-0167 2392770167 p.9 COMPANY'S BUSINESS TYPE delinquency. • The Quarterly Score Trends provide a view of the likelihood of delinquency over the past 12 months for this No data to display business.The trends will irdicate if the score improved, remained stable,fluctuated or declined over the last 12 months. Current Financial Stability Risk Score: 7 Risk Class: 4 ,,,,,....iitrzymmemismrprzsoimmests 7 It High 441.41121p#002000..., Low The t Risk risk class groups scores by risk into ranges of similar performance.Range 5 is the highest risk,range I is the . . . . R15.k ■ lowest risk. O 3 10 3.0 65 160 This score predicts the likelihood of financial stability risk within the next 12 months. The score uses tradeline and col'ections information,public filings as well as other variables to predict future risk.Higher scores indicate lower risk. Factors lowering the score industry Risk Comparison 1. LACK OF ACTIVE TRADES 6%of businesses indicate a higher likelihood of financial stability risk. EMPLOYEE SIZE OF BUSINESS RISK ASSOCIATED WITH THE COMPANY'S INDUSTRY SECTOR C raCift tifittOter**4111:401k: 1: ----- Credit Limit Recommendation This recommendation compares this business against similar businesses in the Experian business credit database. It is based on trade irformation,industry,age of business and the Intelliscore $1,000 Plus.The recommendation is a guide.The final decision must be made based on your company's business policies. TOP 0 Payment and Legal Filings Summary _and. C011econ Balance Current DST: Not Available Total trade and collection(0): $0 Bankruptcy: No Predicted DOT N/A All trades(0): $.0 Tax Lien filings: 0 Judgment filings: 0 Monthly Average DBT: 0 All collections(0): SO Sum of legal filings: SO Highest DBT Previous 6 Months: 0 Continuous trade(0): SO IJCC filings: 0 Highest DST Previous 5 Quarters: 0 6 month average: NIA Cautionary UCC filings: No Payment Trend Indication: Highest credit amount extended: N/A Payment trend indicator not available Most frequent industry purchasing terms: Industry purchasing terms not available - :. •• ! Industry OBI Range Comparison The current DBT of this business is Not Available. Premier Profile-TGS MASONRY INC 2/3 Jun 19 14 10:13a 239-277-0167 2392770167 p.10 • DBT for this business: Not Available .vo'ofbusinesses 480'°0 11% ' ; , DST Range+ 0-5 6-15 1E.+ j +• J TOP 0 Additional Business Facts s�ttiil! THE FOLLOWING INFORMATION WAS PROVIDED BY THE STATE OF FLORIDA. State of Origin: FL Date of Incorporation: 05,27?2014 Current Status: Active Business Type: Profit Charter Number: P140000467 Agent: JEMA APT Agent Address: 4316 LEE BLVD LEHIGH ACRES,FL TOP 0 Inquiries #fin rfet# Business JUN14 MAY14 APR14 MAR14 FEB14 JAN14 DEC13 NOV13 OCT13 Category INSURANCE 1 Totals - 1 . - Experian prides itself on the depth and accuracy of the data maintained on our databases.Reporting your customer's payment behavior to Experian will further strengthen and enhance the power of the information available for making sound credit decisions. Give credit where credit is due. Call 1-800-520-1221,option#4 for more information. End of report 1 of 1 report The information herein is furnished in confidence for your exclusive use for legitimate business purposes and shall nct be reproduced.Neither Experian Information Solutions,Inc.:nor their sources or dislebutors warrant such information nor shall they be liable for your use or reliance upon it 9 Experian 2014.All rights reserved.Privacy policy. Experian and the Experian marks herein are service marks or registered trademarks of Experian. Premier Frolic-TGS MASONRY INC 3/3 Jun 19 14 10:13a 239-277-0167 2392770167 p.11 Tip 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:TGS MASONRY INC FEDERAL ID: 47-0980022 CURRENT STATUS:ACTIVE BUSINESS PRINCIPALS): TOMAS SANJUAN TITLE: PRESIDENT DATE INCORPORATED:05/27/2014 Jun 19 14 10:14a 239-277-0167 2392770167 p.12 Premier Profile-DJ.VENTURA MASONRY,INC Subcocie:970135 Ordered: 09/26/2013 14:11:52 CST Experian. Transaction Number:C500120891 .• Search Inquiry: D.J.VENTURA MASONRY,INC/4129 19TH CT SW/NAPLES/FL/34116/461674315 A world of insight Model Description:Intelliscore Plus V2 Business Name Bus:ness Identification Number D.J. VENTURA MASONRY, INC 967047401 Primary Address:4316 LEE BLVD UNIT 6 • • LEHIGH ACRES,FL 33971-1735 IC?et Risk Dashboard ao -.:-1-",=:.'-710,001'93:lnid:-Pi01;101tatec.O*01004atrAii--;11`?:4::M4i.r.040010401W-i,-fl Intelliscore Plus Financial Stability Risk Company DBT Original Filings High Risk Alerts Score unavailable. Spore unavailable. Information on file not Information on file not DOT proven to predict serious proven to predict financial Unavailable 711111... 111 future risk. stability risk. Ctedit Limit Recommendation:N/A TOP C Years on File: 0(FILE ESTABLISHED 01/2013) Contacts: DANIEL J VENTURA-PRESIDENT TOP 4g, Commercial Fraud Shield Evaluation for: D.J.VENTURA MASONRY, INC,4316 LEE BLVD UNIT 6, LEHIGH ACRES, FL33971-1735 The primary Business Name,Address,and Active Business Indicator Experian shows this business as active Phone Number on Experian File were reviewed for High Risk indicators,no High Risk indicatcrs were found. Possible OFAC Match: 1617 No OFAC match found Business Victim Statement: No No victim statement on file Credit Risk Score and Credit Limit Recommendation , . • Current Intelliscore Plus Score: Score and Risk Class Unavailable (999) . . This score predicts die likelihood of serious credit • delinquencies for this business within the next 12 months. Hg i h . Risk This report does not include data elements statistically I Risk , • proven to predict serious future delinquency.Therefore an Intelliscore Plus score cannot be calculated and the risk 0 1.0 25 50 75 log class is unavailable. : • 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 Premier Profile-D.J.VENTURA MASONRY,INC 112 Jun 19 14 10:14a 239-277-0167 2392770167 p.13 proven to predict financial stability risk.Therefore a Financial Stability Risk score cannot be created. FT"7:7T"":"7""T"77"""7"-7------7-77-T--7Hio h ,�y� LotH r Risk '-' �. .. _ -- - -- Risk•0 $ 10 3b 6'5 la -Creel tl mit;Rtecominenid poll . '.`.:` __ - - ..... . .. .. . Credit Limit Recommendation This recommendation compares this business against similar businesses in the Experian business Not available-This report does not credit database.It is based on trade information,industry,age of business and the Intelliscore include the data elements needed to PUJs.The recommendation is a guide.The final decision must be made based on your company's create the credit limit recommendation. business policies. TOP 0 Payment and Legal Filings Summary . Payment Pr _�?edt��a�rif.Ciil�tl �t �a �� _.._ ...._ ;`-_f.-• ` f�;" •�_,:r'z � ,_=,Y`- t�% Current DBT: Nol Available T otal trade and collection(0): SO Bankruptcy: No Predicted DBT: NtA All trades(0): SO Tax Lien filings: 0 Monthly Average DBT: 0 All collections(0): Judgment filings: 0 Sum of legal filings: $0 Highest DBT Previous 6 Months: 0 Continuous trade(0): $0 UCC filings: 0 Highest DBT Previous 5 Quarters: 0 6 month average: N/A Cautionary UCC filings: No Payment Trend Indication: Highest credit amount extended: N/A Payment trend indicator not available Most frequent industry purchasing terms: Industry purchasing terms not available IJfdust Conipariiaarr::: ;:`.' - Industry DBT Range Comparison _...._.. _ �. _ ... The current DBT of this business is Not Available. DST for this business: Not Available i i '%°ofbositres5-es - —gpo, DBT Range 0-5 6-15 16+ 1OP 0 Experian prides itself on time depth and accuracy of the data maintained on our databases. Reporting your customer's payment behavior to Experian will further strengthen and enhance the power of the information available for making sound credit decisions. Give credit where credit is due.Call 1-800-520-1221,option#4 for more information. End of report 1 of 1 report The information herein is furnished in confidence for your exclusive use for legitimate business purposes and shell not be reproduced.fdeitherExperfan Information Solutions,Inc.,nor their sources or distributors warrant such information nor shall they be Liable for our use or reliance upon it. 0 Experian 2013.All rights reserved.Privacy policy_ Experian and tha Experian marks herein are service-narks or registered trademarks of Experian. Premier Profile-D.J.VENTURA MASONRY,INC 212 Jun 19 14 10:15a 239-277-0167 2392770167 p.14 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 S.EARNED_ 0 SOURCES OF INFORMATION: EXPERIAN BUSINESS INFORMATION SERVICES IRS LIEN SEECTION 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:DJ VENTURA MASONRY INC FEDERAL ID: 46-1674315 CURRENT STATUS:ACTIVE BUSINESS PRINCIPALS): DANIEL VENTURA TITLE: PRESIDENT TOMAS SANJUAN TITLE:VP DATE INCORPORATED: 01/02/2013 CHASE 0 Deposit Account Balance Summary 06/26/2014 Requestor information: TGS MASONRY INC. 4129 19TH CT SW • NAPLES, FL 34116-6003 Sum 1 .,:. .e: _. count Account Number Account Ty.- Open Date rrent Balance Avg Balance(12 mos) Chase Total Busine-s h 06/09/2014 $6,428.11 $0.00 Cormatton TGS MASONRY INC. Sole Owner TOMAS SANJUAN Signer NOELIA I OPEZ Signer Deposit Account Balance Summary request completed by: SERGIO D JIMENEZ (239) 263-1236 Airport Pulling and Pine Ridge PLEASE NOTE THAT THE INFORMATION PROVIDED IN THIS LETTER WILL BE THE ONLY INFORMATION RELEASED BY JPMorgan Chase, N.A. This letter is written as a matter of business courtesy,without prejudice,and is intended for the confidential use of the addressee only. No consideration has been paid or received for the issuance of this letter. The sources and contents of this letter are not to be divulged and no responsibility is to attach to this bank or any of its officers,employees or agents by the issuance or contents of the letter which is provided in good faith and in reliance upon the assurances of confidentiality provided to this bank.Information and expressions of opinion of any type contained herein are obtained from the records of this bank or other sources deemed reliable,without independent investigation,but such information and expressions are eubject to change without notice and no representation or warranty as to the accuracy of such information or the reliability of the sources is made or implied or vouched in any way. This letter is not to be reproduced,used In any advertisement or In any way whatsoever except as represented to this bank. This bank does not undertake to notify of any changes in the information contained in this letter.Any reliance Is at the sole risk of the addressee. Page 1 of 1 Transaction History Customer:TGS MASONRY INC. Account: MI/FL/GA Checking # *required field Current Balance lti Present Balance ti Available Less Overdraft li Available Balance ti Calendar $6,428.11 $6,293.71 $493.71 $493.71 `.11 *denotes end of day balance Date Posted Tran Type Description $ Debits(-) $ Credits(+)$ Balance Pending Memo POS DEBIT SMILE -134.40 06/24/2014 Deposit ATM CHECK DEPOSIT 06/24 6,000.00 6,428.11 * 5350 I D 06/17/2014 Misc. Debit CHECK OR SUPPLY ORDER -69.50 428.11 # 06/16/2014 Deposit ATM CHECK DEPOSIT 06/15 600.00 497.61 *1 1 5939 P l 06/13/2014 Fee, INSUFFICIENT FUNDS FEE FOR -34.00 -102.39 * A$ 1 06/13/2014 ACH Debit AUTO-OWNERS INS. PREM OT -368.39 V -68.39 06/09/2014 Deposit ATM CASH DEPOSIT 06/09 300.00 300.00 * 5350 IM }life'//[a-hc ll-»haCP4 inm,4 ncc>r ct/oa/r lamanrifartne;t Ti-nrIo.a..t;..«,II;n4n,v,D«;..+-L'.. ..,]1.. f1.. ti/'1L/nil 1 A Ba n k of Amenca i)i;t9850 Customer service information 1.888.BUSINESS(1.888.287.4637) AI 0 075 994 647 001872 #002 AV 0.381 bankofamerica.com Bank of America, N.A. P.O. Box 25118 D.J.VENTURA MASONRY, INC Tampa, FL 33622 5118 3101 16TH ST W LEHIGH ACRES, FL 33971-5322 Your Business Advantage Checking for May 1, 2014 to May 31, 2014 Account number: D.J. VENTURA MASONRY, INC Beginning balance on May 1, 2014 -51,610.03 # of deposits/credits: 13 Deposits and other credits 147,177.55 #of withdrawals/debits:219 Withdrawals and other debits -77,315,63 #of items-previous cycle':143 Checks -91.231.22 #of days in cycle:31 Service fees -134.95 Average ledger balance:$13,360.84 Ending balance on May 31, 2014 $26,885.72 'Includes checks poid.deposited items&other debits I t free great reasons o manage your business finances 0., ti } with Account Management's c-,,nna ce Online features s 'L„W+4.9 k 0 Enjoy greater flexibility with a single view of all users who access your accounts , 0 Add to your financial control—a new feature allows you to delegate account xki� responsibilities, including bill paying,to your accountant andior a trusted employee T ,... $ { 0 Simplify your operations with QuickBooks integration Learn more a:t bankofeimer ica,c m/y 3ur"accc wit or call 1.866.700.1931 uio;it!dyfit,lot mint is •1 II 0:- ,10 HrotIllthe 1.wiihBiisiiie.<.SI Ivdtta vrhv�_kn Sea!,&ones,;i;tun,lkinkuigat Mdlid Iteltttoolrr•Wm" Ir.:,-m.:+ .md Ii UI let ivice prav k f,F,rn., .41 I1V.c$ih LfiraF.;i„,; e,i.bred ha,lemart:nr broil In:.. isv!under li(Ei1SP :IR'.+IYXQ I A0 12-I D.J.VENTURA MASONRY,INC I Account# I May 1,2014 to May 31,2014 IMPORTANT INFORMATION: ' ' .6.4N K. DEPOSIT z"YCC 0U�y.:i-T-S of =ddres - Please call us at the telephone number listed on the front of this statement to tell us about a change of address. ;+t ;= r?cropf -When you opened your account,you re:eived a deposit agreement and fee schedule and agreed that your account would be governed by the terms of these documenns, 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. (Jr.. rt - - If you think your statement or receipt is wrong or you need more information about an electronic try. ;sfer(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 Massachi.isetts 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. ;-;,";r.-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. - 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 fisted on the front of this statement to find out if the deposit was made as scheduled. You may also review your activity online or visit a banking center for information. © 2013 Bank of America Corporation Bank of America,N.A. Member FDIC and in Equal Housing Lender Page 2 of 10 mss, # ;s s e... . '� � • Your check i • B America D.J.VENTURA MASONRY,INC I Account# i May 1,2014 to May 31,2014 Date Description Amount 05,'01/14 Counter Credit 2,000.00 05/02/14 Deposit 11,540.80 05/02/14 Richard And Rice Des:Payments Id:1148 6,476.85 05/07/14 Counter Credit 2,000.00 05/09/14 Counter Credit 22,413.40 05/09/14 Richard And Rice Des:Payments Id1148 14,123.55 05/16/14 Richard And Rice Des:Payments Id:1148 14,346.55 05/16. i 4 Deposit 10,552.50 05/21/14 Richard And Rice Des:Payments Ida 148 1,727.40 05/23/14 Richard And Rice Des:Payments Id:1148 13,067.10 05/23/14 Deposit 10,051.10 05/30/14 Richard And Rice Des:Payments Id:1148 24,535.80 , 05/30/14 Deposit 14,342.50 iota/ deposits and other credits $147,17735 Date Description Amount 05/05/14 DUVALPREMIUMBUDG DES:PURCHASE ID: -392.56 05/05/14 DUVALPREMIUMCONF DES:PURCHASE ID: 05/12/14 Online Banking transfer to CHK 2165 Confirmation# 1672894304 -2,000.00 05/12/14 FirstComp/Xpress DES:8669772271 ID:17126088 -6,551.15 05/15/14 Online Banking transfer to CHK 2165 Confirmation# 1814809305 -6,000.00 05/21/14 Online Banking transfer to CHK 2165 Confirmation#2669372141 -1,500.00 continued on the next page • Dj.VENTURA MASONRY,INC | Account | May 1,2014 to May 31,2014 . . Withdrawals and otherdeb`ts - continued Pate _-Jo_a_acdPtion__-___- __. ___-__.----_------- - �- -- -' �num� � XX�X���X�X%X438O - -- - Amount 05/05/14 CHECKCARD 0505 VZVVRL55~NRVE800-9 2{204NJ2469I1(1412500047595400I[K[D4814 '17035 _- -- 80 X)00(XXXX)00(X 4380 ____- 05/13/14 CHECKCARD 0512 UNITED RENTALS NAPLES FL 24445004133000259516099 C [D7394 -1,331.09 --_-____ 4380 05/14/14 CHECKCARD 0512bquiedo&mahnP�� ft|audendaleFL2444746413 98DO[l�/ �84 . [({ � -- - ---_ - 8111 XXXX "=�v»v � ' ' w-» '��oo�o 05/14/14 CHECKCARD O5l3 STATE FARM INSURANCE O0O�Y16-63l0U-24610434133004053458407---- - --' - � �0]77 __ _ �m���]0O ]80 05/19/14 CHECKCARD 0S77 CELLULAR SALES CF-NP NAPLES----24210734138400027000105----------- - - '� [K[D 763l9 -�� —_' �999 XXXXXXXX4380 05/19D4 CHECKCARD 0518 ESH*TECHPROTECT PREM 855-309-8345 GA 2469 �}54l380OO44 2 . �3� - ' -5.32 cKcDsg50 - - �~~ ' _ — — —'— .~~. ___ 05/19/14 CHECKCARD 0518 CELLULAR SALES CF-NP NAPLES FL242l0734l39400029oO[052 �nco 5999 �^�u '52.99 XX_..',~.`'... )000(4380 05/20/14 CHECKCARD 05l9E3H~TE[HPROTE[TPREK4855-X]9-8B456A2469Zl04139n008��9s�8D -2.27 _____� D - - -- Subtotal for card account #XXXX XXXX------------'--------- -'-- ------ - - -�- - --� ' - XXXX 4380 '$3 82�98 L:rd �,���vn� rX�:�XyXXXvIk474B ' ' 05/01/14 7-ELEVEN 05/01 FORT MYERS FL '25.35 05/02/14 CHECKCARD O43O HESS O9330 FT.WYERS FL244Z73]4l2l7l0OU43l7760[K[,554 - ----- -' '10066 XXXX 0S/05/ 4 SHELL SHELL / Service 0S/05 �����78l PURCHASE �or�ceS FORT MYERS FL ---- --_-_ -81.51- 05/06/14 CHECKCARD 0505 ALL STAR EQUIPMENT RENT FORT MYERS FLZ443l864l269eo0|�S334zs--- ' '22185 -__CK(D7394 XXXXXXXXXXXXu748 -- O5/O6/ 4 SHELL l46 PURCHASE SH[1- LEHIGH ACRES FL -'- ----�-���-=���-������-----------_-_ Service -41.34 05/07/14 CHECKCARD 0505 FIRSTPOINT 800-678-4580 NC 24842184126700038461420 CKCD 5999 ---- ____ _ _ )000( -89.00 -- 05/08/14 SHELL Service 05/08w000S40l24 PURCHASE SHELL Semiue� FORTK4YERS FL - -- -6I00 0S/OO/l4 SHELL OS/U8#000388S�OPURCHA�ESHELL�en�oe� FORT/WYEQS FL '6S ------ __ _� ____ '-' 09 05x79/14 CHECKCARD 0507 ADVANCE AUTO PARTS #923 FORT MYERS FL 24326884128666000582451 -39.50 C���5533 KXXXX4748 --- -� � 05/12/14 CHECKCARD O509 MARATHON PETR0l7]94880N|TA5PR|NGFL24]9yl04lZ90O062334O73l � '8067 CKCD 5542 48XXXXXXX�XXXX4748 �-- - 05/12/14 39s 05/10*oo09208O8PUR[HASETRA[T0RS2�95SO FT.MEYERS FL '�So�O� _ O5/1l/lo 6HELL5emi 05/11 SHELL Service -,4D2 ces LEHIGH FL --'-- - --' - -__--'' 05/12/14 7-ELEVEN OS/l2wC00O4O46lPUR[H4SE7'ELEVEN FORTK4YER� FL ___ -67.38 05/13/14 CHECKCARD 0512 HD SUPPLY WHITE CAP#22 FORT MYERS FL 24792624132206351100089 '9l795 -'-' _. -CKC�5V39 )00(X 4748 � 05/14y14 HESS 09460 05/14#000193701 PURCHASE HESS 09460 BONITA FL 05/16/14 7-ELEVEN 05/16 -'—' -- -- -- ---- ------------- �' ----' -_ _ �T%�T�YER3 -38.36_ -_- '386 05/19/14 CHECKCARD 0516 VAN ROEKEL&ASSOC DVMP ALVA FL 24210734136207377000060 --- -65.00 CKCD 0742 748XXXXXXXXXXXX4748 05/19/14 RACEWAY6864 OS/l8#0O0859ZSZ PURCHASE RA[EVVAY---- FTKXYERS ---L ---- -------- ---- --- "�y� � '40.00 05/19/14 7-ELEVEN 05/19 #000831629 PURCHASE 7-ELEVEN FORT MYERS FL � '100.00 05/21/14 CHECKCARD 0519 VERIZON WRLS P2443-01 FT. MYERS FL 24498044140630141881443 '5Z99 CKCD 4812 748 X00XX0(XXXXX4748 05/21/14 7-ELEVEN OS/Zl #O0O736I0SPUR[HASE7ELEVEN FORT FL _ �--__' -80.83 continued on the rim,agr Page 4 of 10 ` .^ . �y��� �b=�k~�� at cor� rii . .. ��������of America DJ.VENTURA MASONRY, | �cownt# | May�/._au1*m�May s1,zov* _ _ _ __ _ __ / V Q/ ����l� �-g � �-rs f' ��• ,.. �. ,�� _ i :i',':i,,P;::Ari _ Amount Date Description — — - - — - ' ���l2 05/23,14 SHELL Service 05/23 PURCHASE FORT MYERS FL __--- --- -'-- -93.66 7 PURCHASE 8ON�A SPRING FL � 0�/I7/l4 7-ELEVEN 05/27 wuoo�/�u�� 05/29/14 CHECKCARD 0528 ALL STAR EQUIPMENT RENT FORT MYERS FL 24755424148261488300963 '2]]6.95 CKCD 7394 XXXXXXXXXXXX4748 XXXXX%KXX%XX4748 _ Subtotal for card account # XXXX XXXX XXXX4748 -$4,719.30 05/05/14 WURPHYS786ATYVA O5/D3 �OoV�)9�92puuC*ASEx� LEH|GH ACRES FL -50.00 O5/ 2/l4 CHECKCARD 0510 HESS 09210 TICE FL 24427334131710004875617 CKCD 5542 -55.60 XXXX XXXX XXXX 8893 - _ ___- - - _- -- - ---- ^ 05/14/14 CHECKCARD 0513 ORCC SERVICE FEE 800-4383321 24906414133007725382009 CKCD -5.50 4900 XXXXXXXXXXXX8893 XXXXxX0(XxXx889] 051 4114 rKFrK[ARD 0513ORC~L[E[ OR[[Z]9'656230O NJ 24906414133007720705257 [K[D '155.77 4900 XXXXXXXXXXXX8893 XXXXXX)0XXXXX88gu 0516/14 KURPHy692OATwA D 5!!5 #O00428490 PURCHASE KURPHYO9Z0ATVAL FOR T M YER S FL------ --- -24D0 05/19/14 CHECKCARD 0515 DISH NETWORK-ONE TIME 800-894-9131 CO 24610434136004041056377 '129.70 CKCD XXXX XXXX X - - -- --- -' ' ----- - - ----- -- lS66�0 05/19/14 TIRE KINGDOM# 05�g TIRE KINGDOM #219 L[H|GHA[RES FL -1,556.50 05/27/14 CHECKCARD 0522 HESS 09241 LEHIGH ACRES FL 24427334143710004663639 CKCD 5542 -51l0 XXXX XXXX XXXX 8893 --'------- -- --------' - 05/27/14 CHECKCARD 0523 ORCC SERVICE FEE 800-4383321 kV 24906414143007925248453 CKCD -5.50 49OO 3X}00�XXXXXXXX889] --- ---� 05/27/14 CHECKCARD 0523 DR[^LLE[' 0R[C239-6562300 NU 24906414143007926537235 CKCD -104.53 4900 8893XXXxXXXXXXXX8893 �__________- -_ - -- 05{27/14 k4URPHY6706ATvVA 0B24�0VO797578PUR[HASEkHURPHY57O0ATVVAL LEHIGH ACRES FL -62.01 05/27/14 T|GER DIRECT Fo5�7#noV 64}3g 4F }R[HAS E TIGER DIRECT pTm FORT xYER5 FL-__- -- --_- -_ __--__' 'e357 \ 0 ^~ '4 7-ELEVEN 05 #{0OZh9l9l ELEVEN LEHIGH FL -57.01 _-_$2.32o.69 Subtota\ forcaod account # __'--- -- -� - - -- - - �� --'- - - -��� ���/6� Total wT�d�ma|yand m�e debits -$27, !, �, `� ����.7 Date Chock Check# Amount Amount Date Chec ^ Amount — 05/02/14 1138 -559.30 oS/Os/ 4 6279 -456..22 n ' _ 5 05/05/14 6280 -442.75 05/27/14 1140* _ -� � o � ---__-_-_____--_--�-- - - -- 05/05/ 4 6281 -70.65 ' 05/23/14 1141 -235.65 o�/u�'- --_- O5/O5/ 4 6282 ��00 05/29/14 1142 -380.00 ---- '-' ---- -440.00 05/06/14 6267* _ _750.0 05/05/14 6283 -680.00 0 l4I76 05/05/14 6284 -624.00 05/05/14 6273* _ � 5 05/05/14 6274 -4OlJ 05/0 / 4 6285 -384.00 -401.75 ._- 05/05/14 6286 'l69O 05/05/14 6275 -627�8 0 �4 - -169.00 .; 05/O5/ 4 5276 -475.16 6 05/05/14 6287 05/05/ 4 6277 '50016 05/05/14 6288 -660.00 5Z�� -560.00 05/05/14 6278 -*6820 6';10;714 _ _ - ---- - - m"*"~» o,°"v�, � on oJVsmTunxMusomn, INC | Account#z2so« | May 1,zo14 to May sl.zo14 ., . .. 1ht. � � ` S - continued ` Date Check# Amount Date Chock Amount 05/0S/ 4 6290 ----'-- - - - ' . '5OO�0 05/ 9O4 6373^ -- _______�___ . -339V0 05/O5/ 4 029l ---- ---' - - - - . '000D0 05/12/14 0374 -629.00 � 0�B4 6292 ------- - ---- - �� __� .- '_ -__ _ _ ~*sa0o 05/19/14 6370^ -7 ��c ° 05/05/14 6293 ---' ---�------- ---- - �84�0 06/ �q4 6377 _____ ___._ . ���DO 05/05/14 6294 -440.00 05/19/14'--B- 0---- ----� --- -235.49 .;- O�/0S/ 4 6295 -- -� - - -- . -7ZO�O 0�/Z8/�� 6379 -140.38 n5/U5/ 4 6296 --------------- - - ---'- - - ___�__� __ ___-_ ��v�y 05/21/14 6380 40l75 05/05/14 6297 ----------- - - -- - __ ____ ___-__'___ -60�0v 05/19/14 6382~ '30�O0 05/05/14 6298 --- - - - - - _- -'. �� ____ _______ 'S80�0 05/19/14 6383 ~448�O 05/05/14 6299 ----------- -------- ' -- - __ . _ ___ ____ ___' _�� ���4 6384 � 058�;�4 6300 ----- -� ----'- ---------- --- ___ �� 05/19/14 6385 ��� DS/D5/ 4 0301 ----------� ------ --'---- ^ _ _�_ 4l00 05/12/14 6386 �� 05/05/14 0302 �----------'---- - ------- - ���!m 85/ 2�4 6387 ^ �D0 OS/OS/ 4 6303 -- -- ------- - - - _-_- ----�-_________________� �76�0 03/12/14 6388 '5l7DO 05/05/14 6304 ------ - --- ---- - .---____ -84O6S 05/14K14 6389 'n% n5/05/ 4 6305 'l95�0 05/19/14 6390 ------'-------- -------- "'"" �y�6�O ' 05/12/94 6310r -401.75 05/19/14 n,�- - 539l ---- - - -451l0 05/12/14 03l2^ � ---------- ---------- - _�� _ ________�________ �G9�7 OS/�K�1 6392 -462D8 05/12/14 tBZl° �----------- - --'-------' _�- __ �6l� 05/19/14 6393 �74� 05/12/14 6324~ -S2IOl -----------�---- - ---- --- -'- � _ 05/19/14 6394 �5810 05/12/14 6328° �-'---- -'' - ------- ---- -56426 05/19/14 6395 -705.00 05/09/14 6334* ��----- '- - -- - ' '44I75 05/19q4 6396 fDSOO � 0S/ �q4 6336/ - � ------'-- - -- -- ' � �67�8 05/19/14 6397 -76ZDO �14 6338^ -1,360.49 �5/19 14 -5 -738.00— 05/ ----- - - - - - -------'----'------------------' '738N 05/14/14 6339 -745�0 05/19/14 ------------'-- ---- ---- ---- - ---------'-------�' --- � ���' ��8�0 05/12/14 6340 _- -_-__--5 76._-_0 0 0 5/1 9q4 6401° _ -- -'-�--� -�2 -627.00-- ----- --- - -O5/ 2q4 6341 -792D0 05/19/14 640 '7]8OO 05/12/14 5342 -182.00 O�/ 9q4 6403 -- "`"� ��066 O5/ �q4 6343 -658.00 05/ 6q � 6404 -- - ' ° n�u� -44275 05/12/14 6344 �99�O 05/19/14 e4 _ _ _____ o,vr ��0�0O 05/12/14_ _6]45 -7O5.00 05/19/14 6406 � '-- - -697.00 05/12/14 6345 -576.00 05/05/19/14 V 5407 -- 774l 05/12/14 6347 -846.00 0�/ 9q * 64O --- - - ______ _ � _���� -496.00 • 05/12/14 6359° -5l7DO O5/ �q4 6409 ----- '- -- --� - - ----'---�----- ------ -- - - _ !�� -666S0 05/12/14 6360 ----- '- - - -- —� -� -- - �� ���� �0 -598.00 05/12/14 636l �99�0 05/19/14-----| - --' ' ------------ _ 6411 -S98lN , 05/ IO4 b3O3~ -696.00 05/ 9q4 641I � -221.00 05/12/14 6364 -690�0 O�/ 9q4 6413 -516.00_ . �_ �� -516.00 05/19/14 6365 -468�O O5/ �q4 6414 - -- - -- ---- ------- - -------- - �!�!---.__ * -533.00 � 05/12/14 6356 -528.00 0S/ 9q4 64l! - - - - - - ---'----�-- --- '--- --- -- -- �___ ���_ -33800 05/12/14 6368° -517.00 O5/ 934 6416 --- ' - ---' ------'----- ��_- 'S98DO continued 011 the next*me Pae 6 of 10 , '6'1'et,e., Bank of America D.J.VENTURA MASONRY,INC I Account# May 1,20 i 4 to May 31,2014 Date Check# Amount Date Check# Amount 05/19/14 6417 -468.00 05/27/14 6450 -798.25 05/19/14 6418 -559.00 05/27/14 6451 -772.50 05/27/14 6421* -265.00 05/27/14 6452 -927.00 05/23/14 6422 -401.75 05/27/14 6453 -875.50 05/27/14 6423 -512.09 05/27/14 6454 -978.50 05/27/14 6424 -530.09 05/27/14 6455 -442.75 05/23/14 6425 -443.98 05/23/14 6456 -63941 05/23/14 6426 -451.00 05/27/14 6458* -310.52 05/23P.4 6427 -492.00 05/30/14 6459 -486.84 05/23/14 6428 -492.00 05/27/14 6460 -495.58 05/23/14 6429 -574.00 05/30/14 6461 -145.00 05/23/14 6430 -264.00 05/27/14 6462 -150.00 05/23/14 6432* -738.00 05/30/14 6480" -2,246.03 05/27/14 6433 -702.00 05/30/14 6481 -210.00 05/23/14 6434 -656.04:: 05/30/14 6482 -392.49 05/23/14 6435 -61500 05/30/14 6483 -406.34 . 05/23/14 6436 -574.00 05/30/14 6485* -517.16 05/23/14 6437 -615.00 05/30/14 6486 -664.92 05/27/14 6438 -779.00 05/30/14 6487 -452.52 05/23/14 6439 -738.00 05/30/14 6488 -664.92 05/23/14 6440 -574.00 05/30/14 6489 -614.13 05/27/14 6441 -669.50 05/30/14 6490 -554.10 05/27/14 6442 -546.00 05/30/14 6491 -517.16 05/28/14 6443 -669.50 05/30/14 6493* -554.10 05/23/14 6444 -221.00 05/30/14 6494 -461.75 05/27/14 6445 -721.00 05/30/14 6495 -443.28 05/23/14 6446 -504.00 05/30/14 6497" -443.28 05/23/14 6447 -656.50 05/30/14 6498 -406.34 05/27/14 6448 -669.50 05/30/14 6499 -1,755.24 05/27/14 6449 -669.50 05/30/14 6500 -110.00 Total checks -$91,231.22 Total # of checks 164 * There is a gap in sequential check numbers n.,,,„ -7 ....0 4 e-N oJxEmrun«MAsnmnv /mc | Account# I May 1,2014 to May 31,2014 • fees _____ _ __-___ Your Overdraft and NSF: Returned Item fees for this statement period and year to date are shown below. iotalf or this period Tnu|yeor-/o'dau, We refunded to you a total of $\4IO0in fees for Overdraft / — $."'"" S35000 and/or NSF: Returned Items }Total NSF Returned Item fees ! 50.00 | � � -----'-------'-- --� this year. | �3�U0__ _ Help to avoid Overdraft& NSF. Set up Alerts through Online Banking and receive messages by email or text to inform you when your balance is low. Set up Overdraft . Protection to automatically transfer available funds to your account from a linked savings credit card or second checking account to help cover items that would vven1mwyour aonunt.You can set up both senhcesvia On|i`eBanking`tbanknfame,icacomby visiting a banking center,urbycaUing the toU'�eenumber un your statement for detaUs.Changes 'pnem1�ta~eeffect a�er2 -usin' odaysbut ( can take uptol0 business days,depending nn the type of account you've chosen tn link ',for Overdraft-Pmte��ionsem~e_business days, '- '-- ------------- ------ ----------------- Based on the activity on your busines accounts for the statement period ending 14'a Mont ly Fee w s charged for your Business Advantage checking account(Primary). You can avoid the fee in the futur by meeting.neo[the requirements below: You are an active user of one of the following services OR At least one of the following occurred during the previous month C) Bank of America Merchant Services �-\ 52.500+ in net new purchases on a linked Business credit card /-1 Payroll Service by Intuit ' n S15'800~ average monthly balance in primary checking account /—> Small Business Remote Deposit Online Service /-1 g35.008+ combined average monthly balance in linked business accounts A check mark indicates that you have qualified for a monthly fee waiver on the account based on your usage of these products or services. For information on how to open a new product or to link an existing service to your account please call 1-888-BUSINESS or visit bankofamericazom/smaUhudnesz Date Transaction description " Amount 05/01/14 Monthly Fee for BudnessAdvantage '-__-' -29.95 05/05/14 OVERDRAFT ITEM FEE FOR ACTIVITY OFC8-05 '35.00 05/05/14 OVERDRAFT ITEM FEE FORACTVITYOFO5-O5 -35.00 05/06/14 OVERDRAFT ITEM FEE FOR ACTIVITY OF 05-06 '35D0 Total service fees -$l34.95 Note your Ending Balance already reflects the subtraction of Service Fees. Daily ledger balances nate_ Balance($) Date Balance(S) Date Balance($t 05/01 334.67 05/ 2 14,82727 05/21 _ 2,808.98 u5x/2 l7fAZ36 05/13 10,724.35 05/23 16,017.77 0505 _ 13121 05/14 67758I 05/I7 3,436.87 05^06 -l66.98 05/15 775.82 05/28 2,626.99 05/07 1'44D2 05/16 25,169.76 05/29 53.02 05/08 1,618.93 05/19 3]19.42 05/30 26,88572 05/09 37,673.63 05/20 3,11715 Page 8 of 10 �&���� �����~�� ��co-r Bank � �����«��� ��������� 0.).VENTURA MASONRY,INC I Account# | May 1'2»«^u,May s1.u»r+_ � o help you BALANCE YOUR CHECKING ACCOUNT,visit bankofamerica.comistatementbalance or the Statements and Documents tab in Online Banking for a printable version of the How to Balance Your Account Worksheet. D.).VENTURA MASONRY,INC 1 Account# 1 May 1,2014 to May 31,2014 Pafle 10 of 10 �v a. v p:. 'Vb ?"u?:. checking ::c4 a n e:. yC o D.j.VENTURA MASONRY,INC ( Account# ► May 1, 2014 to May 31,2014 To help you BALANCE YOUR CHECKING ACCOUNT,visit bankofamerica.com/statementbalance or the Statements and Documents tab in Online Banking for a printable version of the How to Balance Your Account Worksheet. • D.).VENTURA MASONRY,INC I Account# I May 1,2014 to May 31,2014 Pap;e 10 of 10 a o - i Box 152ti-1 Customer service information Wilmington,;,DE 19850 1.888.BUSINESS (1.888.287.4637) in1111►11111111111 111111111►11y11u►111►1imln11i1y1i1►►1►II bankafamerica.com Al 0 075 994 647 001759 #001 AV 0.381 Bank of America, N.A. P.O. Box 25118 Tampa, FL 33622-5118 D.J.VENTURA MASONRY, INC 310116THSTW LEHIGH ACRES,FL 33971-5322 Your Business Advantage Checking Account number: for May 1, 2014 to May 31, 2014 D.J. VENTURA MASONRY, INC Beginning balance on May 1, 2014 $93.71 #of deposits/credits:4 Deposits and other credits 12,360.00 #of withdrawals/debits:25 Withdrawals and other debits -4,548.68 #of items-previous cycle':0 Checks -6,450.00 #of days in cycle:31 -0.00 Average ledger balance:$719.8 7 Service fees ._._ _._. _.___-- Ending balance on May 31, 2014 51,455.03 'Includes checks paid,deposited items&other debits Go paperless. Tired of shredding • Your secure paperless statements look just like your paper copies •Get email reminders that link right to your statements for easy access statements like •View, download and print your business statements anytime this one? switch 1 To itch in just a few clicks, log in to Small Business Banking � at �� o� meri<ca.com/ allbusines Ei:ui it N A Mc-inb . i..I:201.1 Bank• A -,rriratopor,tinn lRFI1:9Rt I AD 02 1 0318A • Q.J.VENTURA MASONRY,INC f Account May 1,2014 to May 31,2014 th4PORTANT 1NFORMATION: - Please call us at the telephone number listed on the front of this statement to tell us about a change of address. -When you opened your account,you re,•eived a deposit agreement and fee schedule and agreed that your account would be governed by the terms of these documen 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. - 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 busine5. : days(10 calendar days if you are a Massachusetts customer) (20 business days if you are a new customer, for electronic trans ers 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. 1.yther A. -. ns-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 unauthor zed transactions. - 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. You may also review your activity online or visit a banking center for information. © 2013 Bank of America Corporation Bank of America,N.A. Member FDIC and in Equal Housing Lender Paacc 7 cr 4 .r (xL " r e kira '"<. R' : Bank of Amenea {t' DJ.VENTURA MASONRY,INC 1 Account# May 1,2014 to May 31,2014 Date Description Amount 05/12/14 Online Banking Transfer From Chk 8191 Confirmation# 1672894304 2,000.00 05/15/14 Online Banking Transfer From Chk 8191 Confirmation# 1814809305 6,000.00 ;Q 05/21/14 Online Banking Transfer From Chk 8191 Confirmation#2669372141 1,50000 05/27/14 Bkofamerica Atm 05/26#000007163 Deposit Brooks Village- Naples Fl 2,860.00 Total deposits and other credits $12,360.00 ; ., it Date Description Amount 05/16/14 Nationstar DES:Nationstar 1D:0597215391 -71531 05/01/14 CHECKCARD 0429 7-ELEVEN 33004 NAPLES FL 25415754120000993013377 CKCD 5541 -70.00 XXXXXXXXX00(X5932 XXXX XXXX XXXX 5932 05/12/14 CHECKCARD 0510 HESS 09592 ESTERO FL 05140484131710005748860 CKCD 5541 -80.00 XXXXXXXXXXXX5932 XXXX XXXX XXXX 5932 05/12/14 CHECKCARD 0511 LOWES #02362* ESTERO FL 55432864131000405139844 CKCD 5200 -166.33 XXXXXXXXXXXX5932 XXXX XXXX XXXX 5932 05/13/14 CHECKCARD 0511 RACETRAC 202 000 FORT MYERS FL 05410194132974776371321 CKCD -85.10 5542 XXXXXXXXXXXX5932 XXXX XXXX XXXX 5932 05/13/14 CHECKCARD 0512 UNITED RENTALS 813-269-6100 FL 05436844133000096071281 CKCD -158.19 7394 XXXXXXXXXXXX5932 XXXX XXXX XXXX 5932 05/13/14 CHECKCARD 0512 7-ELEVEN 34325 NAPLES FL 25415754132000418124987 CKCD 5542 -90.41 XXXXXXXXXXXX5932 XXXX XXXX XXXX 5932 05/14/14 CHECKCARD 0512 SHELL OIL 5754578 MIAMI FL 55308764133547033012398 CKCD 5542 -62.15 XXXXXXXXXXXX5932 XXXX XXXX XXXX 5932 05/19/14 CHECKCARD 0515 SUNOCO 0470112400 NAPLES FL 55432864136000603521608 CKCD -36.98 5542 XXXXXXXXXXXX5932 XXXX XXXX XXXX 5932 05/19/14 CHECKCARD 0517 EXXONMOBIL 975 NAPLES FL 05486804138378008572911 CKCD -99.93 5542 XXXXXXXXXXXX5932 XXXX XXXX XXXX 5932 05,'19/14 CHECKCARD 0518 SAMSCLUB 6364 GAS NAPLES FL 05416014138141007374320 CKCD -78.51 ' 5542 XXXXXXXXXXXX5932 XXXX XXXX XXXX 5932 continued on the next page Get your exclusive Inc. guide: "Build, Buy or Ally: Growth Strategies for Business" , k Simply visit the Bank of America Small Business Community to download your free copy and learn how you can accelerate the growth of your business. While you're there,access financial tools,exchange ideas with other small business owners and much more. vetu:: d om icoaad Go to bankefMmerica Cram/sbc today. a a %:• 83i141011M45417,.x5 vsr r.. 7• 1th. 1', I(:.,I t v.,(1 tto i_.cal.i,l v-:it UC101(<tn nei uI.fully Iha,'t 3tR1 Bali,.? AJncttc(_011.'?I•_3Cion has wiann i_o Iii'S)JI 111[/1'; ,,,;•.;c ht pW;lr 11 Rol..d An c',o N A t i rik't FDIC :•-:2014 Fai Il.of in•e1 er n Cot; ,ratwn ARTXG61 f AD CO 1-!.0-1 16 a D.J.VENTURA MASONRY,INC Account# I May 1,2014 to May 31,2014 withdrawals and other debits - cont'n. !ed � Date __ �------------------- -'--- ---'------- --- — � --- - _ Amount 05/20/14 CHECKCARD 0518 ADVANCE AUTO PART NAPLES FL 55453704139666000576871 CKCD -- 'Z5 � 55]] XXXXXXXX5932 05/20/14 CHECKCARD 0518 ADVANCE AUTO PART NAPLES FL 55453704139666000958087 CKCD -1704 5533 XXXXXXXX59]2 05/22/14 CHECKCARD 0521 SUNSHINE ACE -GOL GOLDEN GATE FL 55500804142207388600284 CKC .' ------ ' -136.46 _ 5251 - - _�����'����� ��� 05/2I/14 CHECKCARD 052] SUNSHINE ACE-GOL GOLDEN GATE FL 55500804142207388600300 CKCD -35.00 5251 XXXX5932 � 05/22/14 CHECKCARD 0521 GULF COAST NAILA FORT MYERS FLO545u9]4l4l9O003l732430CxC] 'll4/�� _ 5251 5932 CKCD ` ~ __ _.- ____-__-__-- 05/22/14 CHECKCARD 0521 TRACTOR SUPPLY#1 NAPLES FLO5436844l42000lOO7l98]] L�CD ---- mu -81.56 - - 5599 x00x0(xXXxxXxX5e32 05/27/14 CHECKCARD 0523 7-ELEVEN 34325 NAPLES FLZS4ls754l44noOasz957587 [K[D554Z -7172 XXXX 5932 05/27/14 CHECKCARD 0525 LOWES#02362* ESTERO FL.55432864145000454975027 CKCD 5200 -67.78 -- -_---__ 5932 XXXX XXXX XXXX 5932 05/27/14 CHECKCARD 0525 HESS 09592 ESTERO FL 05140484146710004799727 CKCD 5542 -92Sl _-' 5932 05/28/14 CHECKCARD 0527 UNITED RENTALS NAPLES FL 05436844148000079075799 CKCD 7394 -1,067.36 XXX)0000000(X5932)000()000(XXXX US/29/ 4 CHECKCARD 0528 GOLDEN GATE 8P NAPLES FL 55316584148740148910052 CKCD 5541 -68.98 >���=������= 05/30/14 CHECKCARD 0528 RA[ETRA[6O2 000 NAPLES FL[D410194l499748ZZ8ll495 [K[D 9� � / 5542 --- SutWataflorcanclaccmm � ���JL - ------------------- --- -'- - - --- -- xwmmm�~~__--_-_ _ -.S3,832;77 • Total withdrawals and other debits -$4'548.68 Checks `-^,��C",5 oate_ _ _ [�m# _____ Am�n Date Check Amount � 05/15/14 1005 -6,000.00 05/27/14 1006 �� Total checks -$6/450J00 Total # of checks 2 Dailv ledger balances -- Date Balance(5) Date Balance($) Date Balance(5) 05/01 3371 05/19 45020 05/27 2.690.37 05/12 1,777.38 05/20 407]3 85/28 1.623D1 05/13_____ 1,443.68 05/21 1,907.33 05/29 1�4.03 05/14 1,381.53 05/22 506.38 05/30 �____ 1,455.03 05/16 665.62 ----'-- ----'------ ^ Tnhe�you BALANCE YOUR CHECKING ACCOUNT,vis�bankotxmshcacom/ tatementb�annsn,the S�atementsand Documents tab in Online Banking for a printable version of the How to Balance Your Account Wor sheet. s 4 Bank r Sy:; P,O.Box i.5284 Customer service information witmington,I}i msso s 1.888.BUSINESS (1.888.287.4637) 11191ilutiNilliiliulI`Ilfiil'11'l'll'II,IO'h"1141teilIl11 AI 0 075 730 593 014147 #001 AT 0.406 4 bankofamerica.com Bank of America, N.A. P.O. Box 25118 Tampa, FL 33622-5118 D.J.VENTURA MASONRY, INC 3101 16TH ST W LEHIGH ACRES,FL 33971-5322 Your Business Advantage Checking for April 1, 2014 to April 30, 2014 Account number: D.J. VENTURA MASONRY, INC 4 t i '`.a,..e r�.,a s t y Beginning balance on April 1,2014 $8.809.12 #of deposits/credits:10 Deposits and other credits 80,601.04 #of withdrawals/debits: 172 Withdrawals and other debits -13,206.66 #of items-previous cycle': 146 Checks -77,71358 #of days in cycle:30 Service fees -99.95 Average ledger balance:$12,427.70 Ending balance on April 30, 2014 -$1,610.03 'Includes checks paid,deposited items&other debits � Y Small business payroll made simple Intuit" Payroll Services available through Bank of America • Spend more time growing your business and less time on payroll. • Get quick and secure access to your checking and payroll accounts all in one place. T J Payp ?' Call our team of payroll specialists at 1,866.700.2142 to learn more. Bank of AnnetIca and the Bank of Am:.11i i.,t oare registered 1 adernarks ni the Bank of America Corporation.Intuit and the Intuit logo are registered trademarks of lotuit, Ior:r1:;,41 under iu:ense.Bank of Amen;i r.N A Member FD;C 6 x2011 Bank or America::;:,poration. AR79k'IMRU 1 AD-01-14-8721.A Page 1 of 8 DI ! c cYC1= 45 SPEC'0 DELIVV ERY:P TYPE IMAGE'.A 5C:FL -.• • r+ n.-+NIHJVIVY y, usn.. i Account# I April 1,2014 to April 30,2014 ="=-s- Please call us at the telephone number listed on the front of this statement to tell us about a change of address. -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. wrong or you need more information about an electronic transfer(e.g.,ATM transactions, direct deposits orewithdrawa�t is 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. ' - 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. • - 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. You may also review your activity online or visit a banking center for information. 2013 Bank of America Corporation Bank of America,N.A. Member FDIC and e Equal Housing Lender Page 2 of k••4:. checking accca.;7: 41.2. nk of America D.J.VENTURA MASONRY,INC I Account# I April 1,2014 to April 30,2014 Date Description Amount 04/04/14 Richard And Rice Des:Payments Id:1148 15,121.75 , 04/10/14 Counter Credit 2,502.50 04/11/14 Richard And Rice Des:Payments Id:1148 15,191.90 04/14/14 Deposit 8,562.00 04/18/14 Deposit 15,255.60 04/18/14 Richard And Rice Des:Payments Id:1148 6,822.50 04/25/14 Deposit 9,935.10 04/25/14 Richard And Rice Des:Payments Id:1148 6,183.80 04/25/14 Checkcard 0423 The Home Depot#8444 Ft Myers Fl 7461043411401018701 97.52 04/29/14 Checkcard 0427 The Home Depot#8444 Ft Myers Fl 7461043411801018879 928.37 Total deposits and other credits $80,601.04 Date Description Amount 04/03/14 DUVALPREMIUMBUDG DES:PURCHASE ID: -392.56 04/03/14 DUVALPREMIUMCONF DES:PURCHASE ID: -2.95 • 04/14/14 FirstComp/Xpress DES:8669772271 ID:17013073 -6,492.22 04/15/14 Online Banking transfer to CHK 2165 Confirmation# 1856068355 -2,000.00 04/14/14 CHECKCARD 0412 STATE FARM INSURANCE 800-956-6310 IL 24610434102004034142671 -500.53 CKCD 6300 XXXXXXX>0000(4380 XXXX XXXX XXXX 4380 04/25/14 CHECKCARD 0423 THE HOME DEPOT#6373 BONITA SPRINGFL 24610434114010184565567 -1,157.10 CKCD 5200 XXXXXXXXXXXX438O)000(XXXX XXXX 4380 04129/14 CHECKCARD 0427 THE HOME DEPOT#8444 FT MYERS FL 24610434118010188794862 -747.11 CKCD 5200)00000000000(4380 X)00(X)00(XXXX 4380 Subtotal for card account 11 XXXX XXXX XXXX 4380 -$2,404.74 continued on the next page si • - ',:2414,1'%?'''?':".-1' • ').ca : . gotydati-0115(3/:'ta back Yltielrg.ffkriaeVe:`,4 ''':f2=A-11".,2=;:1;:te'r'-;;;-=` • ,,,9;`,,,,'-'101F,..VMA=WP:'''''=1 •r:,',- •••,?r:V, With BankAmeriDeals you get cash back deals added to your Bank of America debit card by o clicking the "Cash Back Deals" tab in Online or Mobile Banking. 4641* r -11 • Just choose your deals,pay with your debit card and as much as 15%cash back is put into your account a BankAmeriDeals Is free for Online arid Mobile Banking customers -40 0 ;; . • No coupons to clip,print or remember To bankotarnerica.ram/deals. OH You must be enrolled in Online or Mobile Banking and have an eligible Bank of Americao debit or credit card.Earned cash back will 7,111,11vy-'.:,i; tn be credited.into designated account the month following redemption.Bank of America,N.A. Member FDIC.©2013 Bank of America Corporation. ARNTC5UK SSM-07-13-0747 Page 3 of 8 Dj.VENTURA MASONRY,INC } Account# | April 1.zm^m April 30,zu1« • . � . &W/ ';;:) , r a VWa i.,-; a n«i {D1:h4�r 0 e^ i t 5 - 00 il t^ri:1 I,t,,,,.! ' Date Description__-- - - -- -- -- - - Amount 04/02/14 SHELL Service 04/02 #000667952 PURCHASE SHELL Service S FORT Iv1YER5 FL '88.03 -04/02/ 4 TIRE KINGDOM PURCHASE LEHIGH '6675 04/07/14 CHECKCARD 0404F|RSTPO|NT800-678-4580N[I48421840967 � �46� l7D[KCD59 � x� ,""^ . '92D0 XXXXXXXXXXXX4748 XXXXXXXXXXXX474O 04/07/14 THE H0�EDEP0T04/0S#0OU59l7OlPUR0fA5ETHE HOME ,�DEPOT FT � R5 FL - — --' ` _--__---_ ,_. #8 / m,c -62.42 04/07/14. SHELL 04n00#000446375 PURCHASE LEHIGH ACRES FL - - ' � `" °`"c= '76oO 04/09/14 o4/n9*0OnZ]lO58PUR[HASET9A[TOKS Z39� ,OpTx4�Y�RS =_ /^" FT.MEYERS FL -204.85 04/10/14 CHECKCARD 0408 HESS 0946O80NITASPRIN6FLZ44273]4O9977JUD4ZuS' CKCD 5542 -10512 . .. XXXXX4748 XXXXXXXX XXXX 4748 04/10/14, SHEL L Service 04/10#000157421 PURCHASE SHELL Service S LEHIGH ACRES r----- - -74.81 04/14/14 EXX0NM08|LPDS 04/12#000452156 14367 COLLIER BLV NAP 'E� � -----'----' - � ---------- -- ��= FL �0�0 04/14/14 7-ELEVEN 04/12 PUR[HA3E7'ELEVEN LEHIGH ACRES FL - °�"�� '� f85.53 04/15/14 7-ELEVEN 04/l5#O0058923ZPUR[HASE7'ELEVEN FORT FL --- . -3741 04/16/14 SHELL 04/16 ESHELL Sem| S FORT MYERS--- ' ---� . � r������ �e� ���! �x FL --___ __-_- -- --'------ ------ 8`-i76 04/18/14 SHELL�s�ce04/l8 #000l3�52�URCHASE SHELL Semi��� FORT MYERS FL -11'41 04/18/14 SHELL Service 04/R9#000974i19 PURCHASE SHELL Ser�ueS �R�MYE S FL :0 -o4/2l/l4 So�L��er�� D4�lm�[m���96pVR{HAS[SMELL�emioa5 FORT MYERS FL `'"^° � 04/23/14 s*ELLSem|FeO4/Z� #0O0S])0lsPuRCnAsEsHEusemiceSp0RTMYBvs FL 04/25/14 ADVANCE STOREI 04/�S#000 C�0370PU R[HA�EA DV�N�ES T0R�5[0 |pn|mn*�RES FL -66.49 04/28/14 CHECKCARD O4ZS HESS O94508ON|TASPR|NGFL34427]34ll57lO00S357c |lCn( D 55 -76.00 XXXXXXXXXXXX4748 XXXX XXXX XXXX 4748 04/29/14 7-ELEVEN 04/29 #000254842 PURCHASE NAPLES FL -100.00 Subtotal for card account #XXXX XXXX XXXX �4748 -=== -`- --- - ' ' ~ '~~ -51/470.67 [..~d ^ ny:� .! XX�����XX%Xy68 ,,,' 04/08/14 HESS 09241 04/08#000632910 PURCHASE HESS 09241 LEHIGH ACRES FL -50.00 04/08/14 THE H0k4EDEPOT 04/08#000442101 PUR[HA6ETHE HOk�EDEPOT�8 FTWYER� FL - '- -235.50 �m�4 MURPHY5706ATWA ��B /��R[�EMURP� LEHIGH L __--_- -__----__-_-_ __ - ACRES -56.00 04/28/14 CHECKCARD 0425 HESS 09241 LEmsn ACRES pLZ44I7]34ll57l0[048I790h[KCD 5542 --- ,o�z '50.00 -� -- 04/28/14 WUR PHY 5706ATVA O4/28 ��-_-__-_---_--__~EkURP----fy S7,`~. ,°^--L H�GH ACRES FL L - -- sZoZ Subtotal for card account-11 X ,0893 -$443.52 ' Total withdrawals and other debits -513.286.66 Date Check# Amount Date Check* Amount . 04/04/14 1125 -5,000.00 ��D� O 04/14/14 1133 ' �----- ------- - - - ------- _ O4/25q4 ll26 -175.00 04/14/14 ll]4 - -- - - - --- --'--------' �L_-_-_ -]8635 ' 04/04/14 1127 -559.30 04/ 0l4 1135 --- -- ---- --- --- ! -1,000D0 , 04/15/14 llZG '300D0 04/22/14 1136 -- -- --�'--' -- -'--'-- --__- ---' ] -200.00 04/3O/ 4 1129 'l0/�N�0 O4/2S/ 4 1137 • -1,000.00-1,000.00 ______ -�_- � 'l000 04/14/14 1130 -284.28 04/O4/ 4 5446* -- - __ __ _____ � -160.00 ` 04/14/14 1131 'lOO�l 04/01/14 6730~ - - - - - �72IN , 04/14/14 1132 -141.88 04/01/14 6143* --- ' - �- '-�------ - ~40175 continued on the next�Ige Page Li of 8 EMI ` . ` ���... ,,, Your checking acco����t ��` ~ ' ��� `8��~� ��������� �� • o1.VENTURA MASONRY INC I Account# April l.ZO14tu April 3O,2014 __ __ ' b.:.,.., . , ���f"inn;;'-?1,,C:I=..':6 Date Check# �mvvn. Date Check w Amount ^ - - _ ��ODO 04/ l/l4 6l87 � 04/07/14 6145 -442.75 __/��_______ _'-_______ __ _ ' . . --- -- ----�- --� ��9/�) O4/ �q4 6188 04/04/14 6l49" -z/4�r" __��_ ______ � - - - ----- - -440.00 -' -- O4/ l�4 6189 04/07O4 6150 �01J5 /o '�'� - '-� -95Z/�} �0404 �90 04/07/14 6151 -453.31 ______ - -� ----------�--- '5Z0DO - -- O4/ �O4 6l9l -44Z7S � --' 04/O7/ 4 6152 _ ������__ ' ------- -------�' ---- �77�U ~ 04/14/14 6192 04/04/14 6153 'l88AO -� .�� � -' '-- - -- --- ���iOO 04/17/14 6193'439�8 / - �� � 04/09/14 6154 �� _ __�_ _______ _ _ _ __ ---- --- -� ----- ��lOU o�/ ��* o|e� 04/07/14 5156- -co�r . - � -------- - w 04/07/14�/l4 6157- ------ -' -- --- �3UD O 0404/11/14 04/11/14 4_ 61 9 5 �_�_�-560.00 0 " O4K}4/ 4 6158 -364.00 04/14/14 6196 '4l4DO - - -648.00 04/07/14 5159 �3R0O 04/14/14_ 6197 ____ _ / -- - - -- -�l7IN 04/ �q4 6198 04/07/14 6160 -35l00 _�//�// -__ �� - ---� --�- ----'--- � -72��� - - 04/ �94 Gl99 O4�4/ 4 6161 �53D0 '�__ ---- I'� ., � 04/04/14 6162 -253.00 04/14/14 6200 -6OO�� o - - '--�--- -- - -- �K�\00 O4/ l/l4 6ZOl 04K)4/ 4 6163 -338.00 o�x// ��� ' --- ----- ---� 04/07/14 6164 � 278 04/14/14 620I -S22l0 � 04/14/14 6203 �^��ov ~ 04/07/14 6165 -3b4D0 04/14/14 '----- ----� ,;`, 04/07/14 6166 -629.00 04/14/14 6204 -378.00-378.00 -'---- '---- --- 04/07/14 6167 �36�v 04/14/14 6206^ -Z-276.00-������ -----------� -- '---' / 4q4 6ZO7 -%SJ8O 04/07/14 6168 -504.00 04x!�, 0 �_ -------� -67O7 -684.00 04/14/14 6208 6169 --- 04/07/14 6170 -442.00 04/14/14 6209 �-390.00/ � ' - -� - - 04/07/14 6171 -468.00 D 04/ 4q4 6210 -110.50 - - - ~�0lS -442.00 04/21/14 6211 6172 -- -'- '3lO�� �9O�0 04/Zl�4 6212 04/04/14 6173 ____ ___ ____ _______ --- "^ 04/07/14 6174 _ -493.00 04/21/14 6I13 -45a�y ' - - - - --- O4/O7/l4 6175 -594.50 04/21/14 6214 `Il6lO 0 ��., -- - O4/ZlO4 6215 -348.16 04/07/14 6176 -78.00 -___- .���_ ' ��4IJ5 � 04/07/14 6177 -440.00 04/Zl/n� 62V� � _ _ � --- �--� 04/ 8q4 6I17 �49�9 .04/O9�4 6178 ___ _ __ - u�ouo� �_____ ________ _ '-_________�-� ' ---- - - � '5l0{�) ' 04/21/14 62l8 04/07/14 6179 _ _ _ __ �8�OO ___________-_ -�����~ -- - ---� ~40l7S 04/21/14 6219 4Q8�0 O4/ ��4 6180 _ ____�________ ____-_-_____�___�____� ___ _ _ _ -------- 6220 -4l8D0 04/14/14 6181 __ _ _�__ ___�D9�Z 04/25/14 _______________ ____ ______ - - O4/ l/l4 6I21 �30{0 04/14/14 6182 . �O7]z u�u//_ _______________-_� _ _- - _____ ^ -- ' --- -- 04/21/14 6ZZZ �h8{0 04/14/14 6183 -442.75 , . -368/�) 04/ 62Z� 04/ �l4 6184 -456.69 ��q4 _ _ 04/14/14 6186 -400.00 04/21/14__ 6224 _ -136.50 04/ 4O4 6186 ��0�0 04/18/14 6ZZ5___ ________ ___._ _ _�ll8-228.00 -- - --� continued on the next page ,1 D.J.VENTURA MASONRY, INC I Account# April 1,2014 to April 30,2014 Date Check# Amount Date Check Amount 04/18/14 6226 -34100 04/25/14 6249 -1,061.94 04/24/14 6227 627.00 04/28/14 6250 -340.00 04/21/14 6228 406.00 04/28/14 6251 -451.00 04/21/14 6229 / 221.00 04/28/14 6252 -799.00 04/21/14 6230 - - -- - 345.00 04/28/14 6253 _ -800.00 04/21114 6231 __ 348.00 04/28/14 6254 _. _ -800.00 4!21/14 6232 1. 4 684.00 04/28/14 6255 -494.00 04/21/14 6233 -270.00 04/28/14 6256 -504.00 04/18/14 6234 391.00 04/28/14 6257 -374.00 04/18/14 6235 435.00 04/28/14 6258 04121/14 X736 -627.00 4_ 1 551.00 -700.00 04/28/14 6259 04/21/14 6237 - - _ _ . -551.00 04/25/14 6260 850.00 0421/14 6238 _ / 6 288.00 04/28/14 6261 -750.00 04/21/74 6239 ._ -319.00 04/28/14 6262 672.00 04/21/14 6240 _ _-.-- ___ 710.05 04/28/1 4 6263 -1,008.00 04/21/14 6241 245.00 04/28/14 6264 -528.00 04/25/14 6242 -401.75 04/28/14 6265 -756.00 04/28/14 6243 -- - 4 -639.58 04/28/14 6266 -850.00 ' 04/Z8114 6244 _/_ 04/28/14 6268* -681.50 04/25/14 6245 /2 -523.02 04/28/14 6269 -652.50 04/28/14 6246 -576.27 04/28/14 6270 -299.00 04/30/14 6247 0- 442.75 04/28/14 6271 -616.00 04/28/14 6248 --- _ 483.07 _. 04/25/14 6272 -195.00 , Total checks -$77,713.58 Total u of checks 138 * There is a gap in sequential check numbers Sep` t? ;s fe_P Your Overdraft and NSF: Returned Item fees for this statement period and year to date are shown below. Total for this period Total year-to-date We refunded to you a total of $140.00 in fees for Overdraft Total Overdraft fees $70.00 $245.00 and/or NSF: Returned Items Total NSF:Returned Item fees $0.00 this year. $35.00 Help to avoid Overdraft& NSF. Set up Alerts through Online Banking and receive messages by email or text to inform you when your balance is low.Set up Overdraft Protection to automatically transfer available funds to your account from a linked savings,credit card,or second checking account to help cover items that would overdraw your account.You can set up both services via Online Banking at bankofamerica.com,by visiting a banking center,or by calling the toll-free number on your statement for details. Changes generally take effect after 2 business days, but ■ can take up to 10 business days,depending on the type of account you've chosen to link for Overdraft Protection service. contfnucd on the nor page Page 6 o i 8 mini 'your checking! accouri D.J.VENTURA MASONRY,INC I Account# I April 1,2014 to April 30,2014 Based on the activity on your business accounts for the statement period ending 03/31/14,a Monthly Fee was charged for your Business Advantage checking account(Primary). You can avoid the fee in the future by meeting one of the requirements below: You are an active user of one of the following services OR At least one of the following occurred during the previous month ' Bank of America Merchant Services ) $2,500+ in net new purchases on a linked Business credit card Payroll Service by Intuit'" 0 515,000+ average monthly balance in primary checking account Small Business Remote Deposit Online Service 0 $35,000+ combined average monthly balance in linked business accounts A check mark indicates that you have qualified for a monthly fee waiver o:?the account based on your usage of these products or services. For information on how to open a new product or to link an existing scrvi!_e to your account please call 1-888--BUSINESS or visit barrkofarneri ca.com/smallbusi ness. Date Transaction description Amount 04/01/14 Monthly Fee for Business Advantage -29.95 04/30/14 OVERDRAFT ITEM FEE FOR ACTIVITY OF 04-30 -35.00 04/30/14 OVERDRAFT ITEM FEE FUR ACTIVITY OF 04 30 -35.00 Total Starjicep! fees -$°99.95 Note your Ending Balance already reflects the subtraction of Service Fees. EMaY E ..a. Date Balance(S) Date Balance(S) Date Balance{5) 04/01 7,805.42 04/11 17,678.27 04/22 14,279.02 04/02 7.650.64 04/14 7,413.30 04/23 14,209.95 04/03 7,255.13 04/15 5,019.89 04/24 13,582.95 04/04 13,854.20 04/16 5,011.13 04/25 23,951.07 04/07 4,838.72 04/17 4,451.13 04/28 8,821.46 04/08 4,553.22 04/18 23,335.73 04/29 8,902.72 04/09 3,693.49 04/21 14,479D2 04/30 -1,610.03 04/10 6,016.06 P• To help you BALANCE YOUR CHECKING ACCOUNT,visit bankofamerica.com/statementbalance or the Statements and Documents tab in Online Banking for a printable version of the How to Balance Your Account Worksheet. Page 7 of 8 D.J.VENTURA MASONRY, INC 1 Account# I April 1,2014 to April 30,2014 PaPJ.I 8 01 8 fie;e� Bank i i.O.Box 1521-4 14`iLm ugtan,DE 19A50 Customer service information llull�°11II°lll°I1�1 1111'I1'1�"hiII�I�Illll�ill�ll°1tllll�lu�l " 1.888.BUSINESS (1.888.287.4637) AI 0 075 488 636 026934 #0O1 AV 0.381 bankofamerica.cam Oki Bank of America, N.A. P.O. Box 25118 . J.J.VENTURA MASONRY, INC Tampa, FL 33622-5118 310116THSTW LEHIGH ACRES,FL 33971-5322 Your Business Advantage Checking for April 1, 2014 to April 30, 2014 Account number: D.J. VENTURA MASONRY, INC Beginning balance on April 1,2014 $716.26 #of deposits/credits: 1 Deposits and other credits 2,000.00 #of withdrawals/debits; 11 Withdrawals and other debits -1,502.55 #of items-previous cycle':0 Checks -1,120.00 #of days in cycle:30 Service fees -0.00 Average ledger balance:$377.22 Ending balance on April 30, 2014 $93.71 'Includes checks paid,deposited items&other debits ewir ay connected Our e-newsletter,Small Business Connections,gives you access to articles and other resources from small business experts on marketing, r- financing,cash flow management,human resources and more Visit bankofamerlca,comismallEaiznews and enter your email address to start receiving our free e-newsletter. l Bank of America,NA.Member FDIC 1;)2014 Bank of America Corporation. ARTW7LBE I AD-01-14-0723.A Hwy �n -r rvn e at Corr.n nn nieov o rvnc ienrr n ar.n � - -- - n,.,.., D.J.VENTURA MASONRY,INC I Account# I April 1,2014 to April 30,2014 t ress- Please call us at the telephone number listed on the front of this statement to tell us about a change of address. 'S> -When you opened your account,you ri•_eived 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. ('nninr Of hn+l++L.,, .�!.......-:a. ... t L.,.-. __.L_.a..l_ which IhdraVYals. Copies o both the uet,usit aEseet+!eti and lee a,d edul:. which contain the current version of the terms and conditions of your account relationship may be obtained at our banking centers_ Lr Se If you think your statement or receipt is wrong or you need more information about an electronic tra,=sfer(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 c household purposes,we will investigate your complaint and will correct any error promptly. If we take more than 10 busine days(10 calendar days if you are a Massachusetts customer) (20 business days if you are a new customer, for electronic transfei ur.r.urring 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 r ade an error. we credit your account at the conclusion of our investigation. -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. - 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. You may also review your activity online or visit a banking center for information. 2013 Bank of America Corporation Bank of America,N.A. Member FDIC and IN Equal Housing Lender • Page 2 of 4 t • Your checking account auk of America 41 :1-.'4" DJ.VENTURA MASONRY,INC I Account# I April 1,2014 to April 30,2014 ;)=7, :ther Date Description Amount 04/15/14 Online Banking Transfer From Chk 8191 Confirmation# 1856068355 2,000.00 Total deposits and other credits $2,000.00 t S :,.;;ebits Date Description Amount 04/16/14 Nationstar DES:Nationstar ID:0597215391 -715.91 04/01/14 CHECKCARD 0331 UNITED RENTALS 813-269-6100 FL 05436844091000106853785 CKCD -66.75 7394 XXXXXXXXXXXX5932 XXXX XXXX XXXX 5932 04/02/14 CHFCKCARD 0331 THE HOME DEPOT 63 NAPLES FL 55541864091010183293123 CKCD 94.31 5200 XXXXXXXXXXXXS932 XXXX XXXX XXXX 5932 04/03/14 CHECKCARD 0401 HESS 09460 BONITA SPRINGFL 05140484092710004756051 CKCD 5541 -70.00 XXXXXXXXXXXX5932 XXXX XXXX)000(5932 04/07/14 CHECKCARD 0405 7-ELEVEN 32291 LEHIGH ACRES FL 25415754096000192869603 CKCD -70.00 5541 XXXXXXXXXXXX5932 XXXX XXXX XXXX 5932 04/14/14 CHECKCARD 0410 RACETRAC602 000 NAPLES FL 05410194101974822811012 CKCD -80.00 5541 XXXXXXXXXXXX5932 XXXX XXXX X)00(5932 04/14/14 CHECKCARD 0412 THE HOME DEPOT#8 FT MYERS FL 55541864103010192109571 CKCD -165.58 5200 XXXXXXXXXXXX5932)000()000(XXXX 5932 04/16/14 CHECKCARD 0414 RACETRAC602 000 NAPLES FL 054101 941 05974822811059 CKCD -80.00 5541 XXXXXXXXXXXX5932 XXXX XXXX XXXX 5932 04/21/14 CHECKCARD 0419 RACETRAC602 000 NAPLES FL 05410194110974822811102 CKCD -80.00 5541 XXXXXXXXXXXX5932 XXXX XXXX XXXX 5932 04/30/14 CHECKCARD 0428 7-ELEVEN 33004 NAPLES FL 25415754119000963064866 CKCD 5541 -80.00 XXXXXXXXXXXX5932 XXXX)000(XXXX 5932 Subtotal for card account # XXXX XXXX XXXX 5932 -$786.64 Total withdrawals and other debits -$1,502.55 BankArneriDeals'--Choose your deals and get cash back in your account • Aghlak'' It's free, and now available on your Small Business card. AWNS, • Visit the Cash Back Deals tab in your Online or Mobile Banking • Choose the cash back deals you want and pay with your Small Business debit or credit card • Get cash back credited to an account of your choice Visit barikofamerica.com/deals to learn more. Page 3 nf 4 D.J.VENTURA MASONRY,INC I Account# 1 April 1,2014 to April 30,2014 Date Check# Amount 04/16/14 1004 -1,120.00 Total checks ;120.00 Total # of checks 1 Ask 1 f -ET` 8._r bPakf nc.@;;;; 't Date Balance($) Date Balance(S) Date Balance(S) 04/01 649.51 04/07 415.20 04/16 253.71 04/02 555.20 04/14 169.62 04/21 173.71 04/03 485.20 04/15 2,169.62 04/30 93.71 1 To help you BALANCE YOUR CHECKING ACCOUNT,visit bankofamerica.com/statementbalance or the Statements and Documents tab in Online Banking for a printable version of the How to Balance Your Account Worksheet. Page 4 of 4 Siend a 14140 1,1ErVIP` P.O.Box 15284 Wilmington,DE 19850 Customer service information cp 1.888.BUSINESS(1.888.287.4637) OR bankofamerica.corn II II Bank of America,N.A. P.O. Box 25118 D.J.VENTURA MASONRY,INC Tampa,FL 33622-5118 3101 16TH ST W LEHIGH ACRES,FL 33971-5322 Your Business Advantage Checking for March 1, 2014 to March 31, 2014 Account number: D.J. VENTURA MASONRY, INC Account summary Beginning balance on March 1,2014 $15,943.71 #of deposits/credits:8 Deposits and other credits 90,410.70 #of withdrawals/debits: 185 Withdrawals and other debits -13,365.72 #of items-previous cycle':133 Checks -84,149.62 #of days in cycle:31 Service fees -29.95 Average ledger balance:$14,935.28 Ending balance on March 31, 2014 $8,809.12 'Includes checks poid,deposited items&other debits Ting rigagarevicf maim Atur!ph, *;;ti With AIM:het 11-'4 b er 0 , _.. ,.. �p j� y,�� le lkt�d47 :vs etj. '`' 4 F �-`I Ij`� ��,�u�5h'�f 4 l br 39 .. .. L. .vR ,-.,q +1} {ttg##9� /�±rw►`aM�ur s. e61t' .:ti Mw•_. !Y3," `, k`q ._ ii,st3e.:,'nth PULL:E CYCLE:45 SPEC:0 DELIVERY:P TYPE: IMAGE:A BC;FL Page 1 of 8 D.J.VENTURA MASONRY,INC I Account# March 1,2014 to March 31,2014 IMPORTANT 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 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 (Ilan 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 el Equal Housing Lender Page 2 of 8 • DJ.VENTURA MASONRY,INC I Account# I March 1,2014 to March 31,2014 Withdrawals and other debits - continued Date Description Amount 03/25/14 CHECKCARD 0323 SUNSHINE ACE HARDWARE NAPLES FL 24388944083670393605028 -34.97 CKCD 5251 XXXXXXXXXXXX4380 XXXX XXXX XXXX 4380 Subtotal for card account #XXXX XXXX XXXX 4380 -$1,866.70 Card account it XXXX XXXX XXXX 4748 03/03/14 CHECKCARD 0228 ADVANCE AUTO PARTS#922 FORT MYERS FL 24326884060666000610344 -31.75 CKCD 5533 XXXXXXXXXXXX4748 XXXX XXXX XXXX 4748 03/03/14 CHECKCARD 0301 BOOST MOBILE FORTMAIR FL 24431064061200994200050 CKCD 5999 -129.28 XXXXXXXXXXXX4748 XXXX XXXX XXXX 4748 03/03/14 UNIVERSITY BP 03/01 #000113574 PURCHASE UNIVERSITY BP ESTERO FL -82.01 03/03/14 SHELL Service 03/03#000166590 PURCHASE SHELL Service S FORT MYERS FL -90.00 03/05/14 SHELL Service 03/05#000799943 PURCHASE SHELL Service S FORT MYERS FL -83.01 03/10/14 THE HOME DEPOT 03/09#000415401 PURCHASE THE HOME DEPOT#8 FT MYERS FL -216.74 03/10/14 7-ELEVEN 03/10#000026126 PURCHASE 7-ELEVEN FORT MYERS FL -100.00 03/13/14 CHECKCARD 0312 LOWES#02362`ESTERO FL 24692164071000412321755 CKCD 5200 -52.96 XXXXXXXXXXXX4748 XXXX XXXX XXXX 4748 03/13/14 SHELL Service 03/13#000473637 PURCHASE SHELL Service S LEHIGH ACRES FL -90.00 03/14/14 CHECKCARD 0313 B2P*COLLIER CTY NON TAX CLEARWATER FL 24445004073000323759743 -7.50 CKCD 9399 XXXXXXXXXXXX4748 XXXX XXXX XXXX 4748 03/14/14 CHECKCARD 0313 UNITED RENTALS 239-643-5000 FL 24445004073600197414570 CKCD -556.97 7394 XXXXXXXXXXXX4748 XXXX XXXX XXXX 4748 03/14/14 CHECKCARD 0313 ALL STAR EQUIPMENT RENT FORT MYERS FL 24431864072980018533442 -220.56 CKCD 7394 XXXXXXXXXXXX4748 XXXX XXXX XXXX 4748 03/14/14 SHELL Service 03/14#000204971 PURCHASE SHELL Service S FORT MYERS FL -90.00 03/17/14 7-ELEVEN 03/15#000931251 PURCHASE 7-ELEVEN FORT MYERS FL -71.02 03/17/14 CHECKCARD 0315 SEARS ROEBUCK 1495 FT MYERS FL 24246514075708000047201 CKCD -45.01 5311 XXXXXXXXXXXX4748 XXXX XXXX XXXX 4748 03/17/14 CHECKCARD 0315 LEALS TIRES&WHEELS 239-491-2214 FL 24210734075206807400067 -280.90 CKCD 5532 XXXXXXXXXXXX4748 XXXX XXXX XXXX 4748 03/17/14 TRACTOR S 2395 03/16#000818757 PURCHASE TRACTOR S 2395 SO FT.MEYERS FL -69.83 03/19/14 7-ELEVEN 03/19#000211536 PURCHASE 7-ELEVEN BONITA SPRING FL -37.86 03/20/14 CHECKCARD 0318 HESS 09592 ESTERO FL 24427334078710004918693 CKCD 5542 -90.18 XXXXXXXXXXXX4748 XXXX XXXX XXXX 4748 03/20/14 7-ELEVEN 03/20#000869319 PURCHASE 7-ELEVEN FORT MYERS FL -98.06 03/24/14 CHECKCARD 0321 TROPIC TRAILER FORT MYERS FL 24755424080270803606863 CKCD 5561 -186.40 XXXXXXXXXXXX4748 XXXX XXXX XXXX 4748 03/24/14 RACETRAC 202 03/22#000381237 PURCHASE RACETRAC 202 FORT MYERS FL -65.66 03/25/14 7-ELEVEN 03/25#000363960 PURCHASE 7-ELEVEN LEHIGH ACRES FL -100.00 03/31/14 CHECKCARD 0328 HESS 09592 ESTERO FL 24427334088710005674566 CKCD 5542 -101.59 XXXXXXXXXXXX4748 XXXX XXXX XXXX 4748 Subtotal for card account# XXXX XXXX XXXX 4748 -$2,897.29 Card account#XXXX XXXX XXXX 8893 03/04/14 MURPHY5706ATWA 03/04#000087174 PURCHASE MURPHY5706ATWAL LEHIGH ACRES FL -50.00 03/13/14 CHECKCARD 0311 HESS 09473 LEHIGH ACRES FL 24427334071710004752966 CKCD 5542 -50.01 XXXXXXXXXXXX8893 XXXX XXXX XXXX 8893 03/14/14 LOWE'S#2221 8 03/14#000723676 PURCHASE LOWE'S#2221 8040 FORT MYERS FL -190.71 03/21/14 7-ELEVEN 03/21 #000390114 PURCHASE 7-ELEVEN FORT MYERS FL -50.09 03/24/14 CHECKCARD 0321 AN TOYOTA SCION FORT M FT.MYERS FL 24692164081000328856629 -73.16 CKCD 5511 XXXXXXXXXXXX8893 XXXX XXXX XXXX 8893 continued on the next page Page 4 of 8 • r Your checking account D.J.VENTURA MASONRY,INC I Account# i March 1,2014 to March 31,2014 Deposits and other credits Date Description Amount 03/07/14 Richard And Rice Des:Payments Id:1148 22,837.55 03/10/14 Bkofamerica Atm 03/08#000001529 Deposit Lehigh Acres Lehigh Acers Fl 8,772.90 03/14/14 Richard And Rice Des:Payments Id:1148 12,246.45 03/14/14 Deposit 4,152.20 03/21/14 Richard And Rice Des:Payments Id:1148 14,071.60 03/21/14 Deposit 6,556.70 03/28/14 Richard And Rice Des:Payments Id:1148 15,216.60 03/28/14 Deposit 6,556.70 Total deposits and other credits $90,410.70 Withdrawals and other debits Date Description 03/04/14 DUVALPREMIUMBUDG DCS:PURCHASE ID: 118. -Amount -118.04 03/04/14 DUVALPREMIUMCONF DES:PURCHASE ID: -2.95 03/10/14 Online Banking transfer to CHK 2165 Confirmation# 1742031496 -1,500.00 03/17/14 FirstComp/Xpress DES:8669772271 10:16899738 -5,689.97 03/31/14 Online Banking transfer to CHK 2165 Confirmation#3930213214 -600.00 Card account#XXXX XXXX XXXX 4380 03/03/14 CHECKCARD 0302 VZWRLSS*IVR VE 800-922-0204 NJ 24692164061000188398138 CKCD 4814 -175.41 XXXXXXXXXXXX4380 XXXX XXXX XXXX 4380 03/13/14 CHECKCARD 0312 STATE FARM INSURANCE 800-956-6310 IL 24610434071004030120983 -502.18 CKCD 6300 XXXXXXXXXXXX4380 XXXX XXXX XXXX 4380 03/14/14 CHECKCARD 0313 B2P*COLLIER CTY NON TAX CLEARWATER FL 24445004073000323819802 -593.90 CKCD 9399 XXXXXXXXXXXX4380 XXXX XXXX XXXX 4380 03/17/14 CHECKCARD 0316 BEST BUY MHT 00005249 NAPLES FL 24399004075295740164766 -174.88 CKCD 5732 XXXXXXXXXXXX4380 XXXX XXXX XXXX 4380 03/19/14 CHECKCARD 0318 VZWRLSS*IVR VE 800-922-0204 NJ 24692164077000909209830 CKCD 4814 -385.36 XXXXXXXXXXXX4380 XXXX XXXX XXXX 4380 continued on the next page I pin. and you qd 4,-300i, air tight Einiartykohdt sg' i ji 1,° ck l},. i 7s7 18d,.-v. dirk. Tit enrol tall 41.8662n. °3ro N .O Ii y p.. s r**�" . ' b fr s w�4 i e"s e .� -11%4,12,,`.rrn4'+y s LEr mat i Page 3 of 8 - Your checking account . '4,11‘D.J.VENTURA MASONRY,INC I Account# I March 1,2014 to March 31,2014 Withdrawals and other debits - continued Date Description Amount 03/24/14 SAMSCLUB#8130 03/24#000270879 PURCHASE SAMSCLUB#8130 FORT MYERS FL -220.80 03/31/14 MURPHY5706ATWA 03/29#000393323 PURCHASE MURPHY5706ATWAL LEHIGH ACRES FL -56.00 Subtotal for card account# XXXX XXXX XXXX_8893 -$690.77 Total withdrawals and other debits -$13,365.72 Checks Date Check# Amount Date Check# Amount 03/04/14 1113* -559.30 03/10/14 6032* -401.75 03/04/14 1114 -125.08 03/10/14 6033 -380.19 03/07/14 1115 -284.00 03/18/14 6034 -421.37 03/03/14 1116 -1,500.00 03/11/14 6035 -442.75 03/12/14 1117 -58.06 03/10/14 6036 -356.40 03/12/14 1118 -968.08 03/10/14 6037 -363.00 03/11/14 1119 -57.40 03/10/14 6038 -507.00 03/14/14 1120 -210.09 03/10/14 6039 -629.00 03/13/14 1121 -1,000.00 03/10/14 6040 -561.00 03/1//14 1122 -386.35 03/10/14 6041 -104.00 03/17/14 1123 -189.97 03/10/14 6042 -630.00 03/21/14 1124 -10,000.00 03/10/14 6043 -697.00 03/04/14 5488* -336.00 03/10/14 6044 -574.00 03/03/14 6001* -401.75 03/10/14 6045 -402.50 03/06/14 6002 -411.28 ' 03/10/14 6046 -612.00 03/03/14 6003 -442.75 03/10/14 6047 -561.00 03/04/14 6005* -230.11 03/10/14 6048 -561.00 03/03/14 6007* -594.00 03/10/14 6049 -561.00 03/03/14 6012* -680.00 03/10/14 6050 -738.00 03/03/14 6016* -429.00 03/10/14 6051 -561.00 03/05/14 6017 -429.00 03/10/14 6052 -675.00 03/03/14 6018 -396.00 03/10/14 6053 -377.00 03/05/14 6020* -50.00 03/10/14 6054 -493.00 03/04/14 6021 -629.00 03/10/14 6055 -144.00 03/04/14 6022' -612.00 03/10/14 6056 -367.50 03/04/14 6023 -511.50 03/11/14 6057 -363.00 03/04/14 6024 -478.50 03/10/14 6058 -429.00 03/04/14 6025 -493.00 03/10/14 6059 -363.00 03/03/14 6026* -391.00 03/07/14 6060 -240.00 03/03/14 6027 -357.00 03/07/14 6061 -587.10 03/03/14 6028 -300.00 03/17/14 6062 -401.75 continued on the next page Page 5 of 8 D.J.VENTURA MASONRY,INC I Account# I March 1,2014 to March 31,2014 , Checks - continued Date Check# Amount Date Check# Amount 03/18/14 6063 -312.46 03/24/14 6102 -572.00 03/18/14 6064 -442.75 03/24/14 6103 -312.00 03/14/14 6065 -331.69 03/21/14 6105* -368.50 03/24/14 6066 -514.25 03/21/14 6106 -484.00 03/17/14 6067 -810.00 03/21/14 6107 -484.00 03/14/14 6068 -765.00 03/24/14 6108 -925.00 03/17/14 6069 -561.00 03/24/14 6109 -825.00 03/14/14 6070 -782.00 03/24/14 6110 -900.00 03/17/14 6071 -765.00 03/24/14 6111 -725.00 03/17/14 6072 -630.00 03/24/14 6112 -600.00 03/14/14 6073 -570.00 03/24/14 6113 -575.00 03/17/14 6074 -630.00 03/24/14 6114 -525.00 03/17/14 6075 -494.00 03/24/14 6115 -725.00 03/17/14 6076 -546.00 03/24/14 6116 -221.00 03/17/14 6077 -506.00 03/24/14 6117 -546.00 03/14/14 6078 -330.00 03/24/14 6118 -190.00 03/14/14 6079 -319.00 03/24/14 6119 -621.37 03/14/14 6080 -495.00 03/31/14 6120 -828.00 03/17/14 6081 -869.50 03/28/14 6121 -833.00 03/24/14 6082 -846.00 03/31/14 6122 -867.00 03/24/14 6083 -775.50 03/31/14 6123 -833.00 03/24/14 6084 -681.50 03/31/14 6124 -686.00 03/18/14 6085 -667.00 03/31/14 6125 -686.00 03/17/14 6086 -575.00 03/28/14 6126 -735.00 03/17/14 6087 -525.00 03/31/14 6127 -572.00 03/14/14 6088 -205.00 03/31/14 6128 -209.00 03/14/14 6089 -594.46 03/28/14 6129 -396.00 03/17/14 6090 -336.00 03/28/14 6130 -440.00 03/21/14 6091 -401.75 03/31/14 6131 -721.50 03/24/14 6092 -544.28 03/28/14 6132 -627.00 03/31/14 6093 -442.75 03/28/14 6133 -630.00 03/21/14 6094 -574.98 03/28/14 6134 -638.00 03/24/14 6095 -630.00 03/28/14 6135 -638.00 03/21/14 6096 -714.00 03/31/14 6137* -528.00 03/21/14 6097 -816.00 03/31/14 6138 -484.00 03/24/14 6098 -714.00 03/31/14 6139 -637.00 03/21/14 6099 -588.00 03/28/14 6140 -312.00 03/21/14 6100 -660.00 03/28/14 6141 -448.00 03/21/14 6101 -602.00 03/28/14 6144* -517.87 continued on the next page Page 6 of 8 Your checking account : D.J.VENTURA MASONRY,INC I Account March 1,2014 to March 31,2014 Checks - continued Date Check# Amount Date Check# Amount 03/31/14 6147* -517.98 03/31/14 6148 -185.00 Total checks -$84,149.62 Total #of checks 142 * There is a gap in sequential check numbers Service fees Your Overdraft and NSF: Returned Item fees for this statement period and year to date are shown below. Total for this period Total year-to-date We refunded to you a total of Total Overdraft fees $140.00 in fees for Overdraft 50.00 $1/5.00 and/or NSF:Returned Items Total NSF:Returned Item fees $0.00 $35.00 this year. Help to avoid Overdraft&NSF. Set up Alerts through Online Banking and receive messages by email or text to inform you when your balance is low.Set up Overdraft Protection to automatically transfer available funds to your account from a linked savings,credit card,or second checking account to help cover items that would overdraw your account.You cal i set up both services via Online Banking at bankofamerica.com,by visiting a banking center,or by calling the toll-free number on your statement for details.Changes generally take effect after 2 business days,but can take up to 10 business days,depending on the type of account you've chosen to link for Overdraft Protection service. Based on the activity on your business accounts for the statement period ending 02/28/14,a Monthly Fee was charged for your Business Advantage checking account(Primary). You can avoid the fee in the future by meeting one of the requirements below: You are an active user of one of the following services OR At least one of the following occurred during the previous month 0 Bank of America Merchant Services 0 $2,500+ in net new purchases on a linked Business credit card 0 Payroll Service by Intuit® 0 $15,000+ average monthly balance in primary checking account 0 Small Business Remote Deposit Online Service 0 $35,000+ combined average monthly balance in linked business accounts A check mark indicates that you have qualified for a monthly fee waiver on the account based on your usage of these products or services. For information on how to open a new product or to link an existing service to your account please call 1-888-BUSINESS or visit bankofamerica.com/smailbusiness. Date Transaction description Amount 03/03/14 Monthly Fee for Business Advantage -29.95 Total service fees -529.95 Note your Ending Balance already reflects the subtraction of Service Fees. Page 7 of 8 D.J.VENTURA MASONRY,INC I Account# I March 1,2014 to March 31,2014 Daily ledger balances Date Balance($) Date Balance(5) Date Balance(5) 03/01 15,943.71 03/11 20,566.16 03/20 10,969.42 03/03 9,913.81 03/12 19,540.02 03/21 15,854.40 03/04 5,768.33 03/13 17,844.87 03/24 2,340.48 03/05 5,206.32 03/14 27,981.64 03/25 2,205.51 03/06 4,795.04 03/17 13,424.46 03/28 17,763.94 03/07 26,521.49 03/18 11,580.88 03/31 8,809.12 03/10 21,429.31 03/19 11,157.66 ar To help you BALANCE YOUR CHECKING ACCOUNT,visit bankofamerica.com/statementbalance or the Statements and Documents tab in Online Banking for a printable version of the How to Balance Your Account Worksheet. Page 8 of 8 Tank - P.O.Box 15254 Wilmington,DE 19850 Customer service information EP 1.888.BUSINESS(1.888.287.4637) bankofamerica.com ill Bank of America,N.A. P.O.Box 25118 D.).VENTURA MASONRY, INC Tampa,FL 33622-5118 310116THSTW LEHIGH ACRES,FL 33971-5322 Your Business Advantage Checking for March 1,2014 to March 31, 2014 Account number: D.J.VENTURA MASONRY, INC Account summary Beginning balance on March 1,2014 $467.90 #of deposits/credits:2 Deposits and other credits 2,100.00 #of withdrawals/debits:15 Withdrawals and other debits -1,851.64 it of items-previous cycle':0 Checks 4100 #of days in cycle:31 Service fees 0.00 Average ledger balance:$628.43 Ending balance on March 31,2014 $716.26 'Includes checks paid,deposited items&other debits PULL:E CYCLE:45 SPEC:0 DELIVERY:P TYPE: IMAGE:A BC:FL Page 1 of 4 • D.J.VENTURA MASONRY,INC I Account# I March 1,2014 to March 31,2014 IMPORTANT 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 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 Equal Housing Lender Page 2 of 4 Your checking account f. . DJ.VENTURA MASONRY,INC I Account I March 1,2014 to March 31,2014 Deposits and other credits Date Description Amount 03/10/14 Online Banking Transfer From Chk 8191 Confirmation#1742031496 ' 1,500.00 03/31/14 Online Banking Transfer From Chk 8191 Confirmation#3930213214 600.00 Total deposits and other credits $2,100.00 • Withdrawals and other debits Date Description Amount 03/14/14 Nationstar DES:Nationstar ID:0597215391 -715.91 Card account#XXXX XXXX XXXX 5932 03/04/14 CHECKCARD 0303 7-ELEVEN 34325 NAPLES FL 25415754062000091653439 CKCD 5541 -60.00 XXXXXXXXXXXX5932 XXXX XXXX XXXX 5932 03/06/14 CHECKCARD 0305 7-ELEVEN 34325 NAPLES FL 25415754064000166640111 CKCD 5541 -80.00 XXXXXXXXXXXX5932 XXXX XXXX XXXX 5932 03/10/14 CHECKCARD 0307 7-ELEVEN 32794 NAPLES FL 25415754067000275945143 CKCD 5541 -70.00 XXXXXXXXXXXX5932 XXXX XXXX XXXX 5932 03/11/14 CHECKCARD 0309 THE HOME DEPOT 28 NAPLES FL 55541864069010174675468 CKCD -240.49 5200 XXXXXXXXXXXX5932 XXXX XXXX XXXX 5932 03/13/14 CHECKCARD 0311 SHELL OIL 5754248 NAPLES FL 55308764071547746009289 CKCD -70.00 5541 XXXX0000000(5932 XXXX XXXX XXXX 5932 03/18/14 CHECKCARD 0316 RACETRAC 199 000 LEHIGH ACRES FL 05410194076974012160767 CKCD -90.00 5541 XXXXXXXXXXXX5932 XXXX XXXX XXXX 5932 03/20/14 CHECKCARD 0319 7-ELEVEN 34325 NAPLES FL 25415754078000646808829 CKCD 5541 -70.00 XXXXXXXXXXXX5932 XXXX XXXX XXXX 5932 03/24/14 CHECKCARD 0322 HESS 09592 ESTERO FL 05140484082710005255907 CKCD 5541 -90.00 XXXXXXXXXXXX5932 XXXX XXXX XXXX 5932 03/25/14 CHECKCARD 0323 SUNSHINE ACE HARD NAPLES FL 55420364083670393605031 CKCD -75.24 5251 XXXXXXXXXXXX5932 XXXX XXXX XXXX 5932 03/25/14 CHECKCARD 0323 GOLDEN GATE FOOD NAPLES FL 25415754083000820127023 CKCD -30.00 5541 XXXXXXXXXXXX5932 XXXX XXXX XXXX 5932 03/27/14 CHECKCARD 0325 SHELL OIL 5754251 NAPLES FL 55308764085547721057950 CKCD -60.00 5541 XXXXXXXXXXXX5932 XXXX XXXX XXXX 5932 03/31/14 CHECKCARD 0327 HESS 09592 ESTERO FL 05140484087710005328865 CKCD 5541 -60.00 XXXXXXXXXXXX5932 XXXX XXXX XXXX 5932 continued on the next page in Keep up with Pry $r tur a,f`,: ;a dla, r iAI•A.. !oar k ~:i4r, ,tPw aks.x `l —II token rely-an die go. tist Argi to 2.26=to get the ram Exclaim .1,,,,enkgi a . . j �@ Page 3 of 4 D.J.VENTURA MASONRY,INC I Account# I March 1,2014 to March 31,2014 Withdrawals and other debits - continued Date Description Amount 03/31/14 CHECKCARD 0328 EXXONMOBIL 974 FORT MYERS FL 05486804088837007260232 CKCD -70.00 5541 XXXXXXXXXXXX5932 XXXX XXXX XXXX 5932 03/31/14 CHECKCARD 0329 7-ELEVEN 34325 NAPLES FL 25415754088000989955516 CKCD 5541 -70.00 XXXXXXXXXXXX5932 XXXX XXXX XXXX 5932 Subtotal for card account#XXXX XXXX XXXX 5932 -$1,135.73 Total withdrawals and other debits -$1,851.64 Daily ledger balances Date Balance($) Date Balance($) Date Balance(5) 03/01 467.90 03/13 1,447.41 03/24 481.50 03/04 407.90 03/14 731.50 03/25 376.26 03/06 327.90 03/18 641.50 03/27 316.26 03/10 1,757.90 03/20 571.50 03/31 716.26 03/11 1,517.41 aff I o help you BALANCE YOUR CHECKING ACCOUNT,visit bankofamerica.com/statementbalance or the Statements and Documents tab in Online Banking for a printable version of the How to Balance Your Account Worksheet. • Page 4 of 4 TGSMA-1 OP ID: AO A R° CERTIFICATE OF LIABILITY INSURANCE DATE 06/26/2014 06/26/2014 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 CONTACT Kristina Harper Shapiro Insurance Group PHONE FAX DBA Barton Insurance (a/c,No,Eat}:239 542 5300 (A/C,No); 239-542-0681 447 Cape Coral Parkway E-MAIL Cape Coral, FL 33904 _ADDRESS: Kristina Harper INSURER(S)AFFORDING COVERAGE NAIC t INSURER A:Markel Insurance Company 38970 INSURED TGS Masonry, Inc. INSURER B:Auto-owners Insurance 18988 4128 19th Ct.SW Naples, FL 34116 INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 TYPE OF INSURANCE ANSD SUB'D POLICY NUMBER POLICY EFF POLICY EXP LIMfr3 (MM/DDIYYYY) (MM/DD/YYYY) B X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE I X I OCCUR 20899756 06/10/2014 06/10/2015 PREMISES)a occurrrrence) $ 100,0001 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY _ $ 1,000,006 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X JECT LOC PRODUCTS-COMPIOP AGO $ 2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS _ AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE AUTOS (Per accident) _ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE _ $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION v PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER YIN A ANY PROPRIETOR/PARTNER/EXECUTIVE MWC0065515-01 06/10/2014 06/10/2015 E L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED. N N f A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 It yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Masonry — NOC Owner Included in Workers Comp CERTIFICATE HOLDER CANCELLATION COLLI-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Collier County ACCORDANCE WITH THE POLICY PROVISIONS. GMD Operations&Regulatory Management Licensing Section AUTHORIZED REPRESENTATIVE 2800 N. Horseshoe Drive tf, (Naples, FL 34104 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD {F{ • f 1 ADDITIONAL DOCUMENTATION ' If+I'll f' Y.O.Box 15284 Customer service information Wilmington,DE 19850 C' 1.888.BUSINESS(1.888.287.4637) , IQ bankofamerica.com in Bank of America,N.A. P.O.Box 25118 D.J.VENTURA MASONRY, INC Tampa, FL 33622-5118 3101 16TH ST W LEHIGH ACRES,FL 33971-5322 Your Business Advantage Checking for May 1,2014 to May 31, 2014 Account numbe D.J.VENTURA MASONRY, INC Account summary Beginning balance on May 1,2014 -$1,610.03 #of deposits/credits: 13 Deposits and other credits 147,177.55 #of withdrawals/debits:219 Withdrawals and other debits -27,315.63 #of items-previous cycle':143 Checks -91,231.22 #of days in cycle:31 Service fees -134.95 Average ledger balance:$13,360.84 Ending balance on May 31, 2014 $26,885.72 'Includes checks paid,deposited items&other debits 4. t4 4 0 —011 i jI >::: e q#;a°:'dig:- E i, }" <S v:"yYs it,:n^ tF+l.i„ I6,(wk .' L,4 a s ,.ri.....yr1 ,i, 0 ,-'�t rr∎ , f A 2,.� ,L al°Ea �e k IP,L,,aall r,`� • PULL:E CYCLE:45 SPEC:0 DELIVERY:P TYPE: IMAGE:A BC:FL Page 1 of 10 , D.J.VENTURA MASONRY,INC I Accoun I May 1,2014 to May 31,2014 IMPORTANT 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 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. You may also review your activity online or visit a banking center for information. ©2013 Bank of America Corporation Bank of America,N.A.Member FDIC and A Equal Housing Lender Page 2 of 10 Your checking account D.J.VENTURA MASONRY,INC I Accoun I May 1,2014 to May 31,2014 Deposits and other credits Date Description Amount 05/01/14 Counter Credit 2,000.00 05/02/14 Deposit 11,540.80 05/02/14 Richard And Rice Des:Payments Id:1148 6,476,85 05/07/14 Counter Credit 2,000.00 05/09/14 Counter Credit 22,413.40 05/09/14 Richard And Rice Des:Payments Id:1148 14,123.55 05/16/14 Richard And Rice Des:Payments Id:1148 14,346.55 05/16/14 Deposit 10,552.50 05/21/14 Richard And Rice Des:Payments Id:1148 1,727.40 05/23/14 Richard And Rice Des:Payments Id:1148 t `# 13,067.10 05/23/14 Deposit 10,051.10 05/30/14 Richard And Rice Des:Payments Id:1 148 24,535.80 05/30/14 Deposit 14,342.50 Total deposits and other credits $147,177.55 Withdrawals and other debits Date Description Amount 05/05/14 DUVALPREMIUMBUDG DES:PURCHASE ID: -392.56 05/05/14 DUVALPREMIUMCONF DES:PURCHASE ID: -2.95 05/12/14 Online Banking transfer to CHK 2165 Confirmation#1672894304 -2,000.00 05/12/14 FirstComp/Xpress DES:8669772271 ID:17126088 '-- 66,551.15� 05/15/14 Online Banking transfer to CHK 2165 Confirmation#1814809305 -6,000.00 05/21/14 Online Banking transfer to CHK 2165 Confirmation#2669372141 -1,500.00 continued on the next poge 1/1:t'17_5 f Page 3 of 10 D.J.VENTURA MASONRY,INC I Accoungaill - I May 1,2014 to May 31,2014 Withdrawals and other debits - continued Date Description t Amount 05/05/14 CHECKCARD 0505 VZWRLSS*IVR VE 800-922-0204 NJ 24692164125000476954802 CKCD 4814 -170.35 XXXXXXXXXXXX4380 XXXX XXXX XXXX 4380 05/13/14 CHECKCARD 0512 UNITED RENTALS NAPLES FL 24445004133000259516099 CKCD 7394 -1,331.09 XXXXXXXXXXXX4380 XXXX XXXX XXXX 4380 05/14/14 CHECKCARD 0512 izquierdo&marin P.A.ft lauderdaleFL 24447464133980001377847 CKCD -1,000.00 8111 XXXXXXXXXXXX4380 XXXX XXXX XXXX 4380 05/14/14 CHECKCARD 0513 STATE FARM INSURANCE 800-956-6310 IL 24610434133004053458407 -503.77 CKCD 6300 XXXXXXXXXXXX4380 XXXX XXXX XXXX 4380 05/19/14 CHECKCARD 0517 CELLULAR SALES CF-NP NAPLES FL 24210734138400027000105 CKCD -763.19 5999 XXXXXXXXXXXX4380 XXXX XXXX XXXX 4380 05/19/14 CHECKCARD 0518 ESH*TECHPROTECT PREM 855-309-8345 GA 24692164138000443270527 -5.32 CKCD 5960 XXXXXXXXXXXX4380 XXXX XXXX XXXX 4380 05/19/14 CHECKCARD 0518 CELLULAR SALES CF-NP NAPLES FL 24210734139400029000052 CKCD -52.99 5999 XXXXXXXXXXXX4380 XXXX XXXX XXXX 4380 05/20/14 CHECKCARD 0519 ESH*TECHPROTECT PREM 855-309-8345 GA 24692164139000856995288 -2.27 CKCD 5960 XXXXXXXXXXXX4380 XXXX XXXX XXXX 4380 Subtotal for card account #XXXX XXX -$3,828.98 05/01/14 7-ELEVEN 05/01 #000245022 PURCHASE 7-ELEVEN FORT MYERS FL -25.35 05/02/14 CHECKCARD 0430 HESS 09330 FT.MYERS FL 24427334121710004317760 CKCD 5542 -100.66 XXXXXXXXXXXX4748 XXXX XXXX XXXX 4748 05/05/14 SHELL Service 05/05#000551781 PURCHASE SHELL Service S FORT MYERS FL -81.51 05/06/14 CHECKCARD 0505 ALL STAR EQUIPMENT RENT FORT MYERS FL 24431864125980018533423 -221.85 CKCD 7394 XXXXXXXXXXXX4748 XXXX XXXX XXXX 4748 05/06/14 SHELL Service 05/06#000796146 PURCHASE SHELL Service S LEHIGH ACRES FL -41.34 05/07/14 CHECKCARD 0505 FIRSTPOINT 800-678-4580 NC 24842184126700038461420 CKCD 5999 -89.00 XXXXXXXXXXXX4748 XXXX XXXX XXXX 4748 05/08/14 SHELL Service 05/08#000540124 PURCHASE SHELL Service S FORT MYERS FL -60.00 05/08/14 SHELL Service 05/08#000388550 PURCHASE SHELL Service S FORT MYERS FL -65.09 05/09/14 CHECKCARD 0507 ADVANCE AUTO PARTS#923 FORT MYERS FL 24326884128666000582451 -39.50 CKCD 5533 XXXXXXXXXXXX4748 XXXX XXXX XXXX 4748 05/12/14 CHECKCARD 0509 MARATHON PETR0173948 BONITA SPRINGFL 24299104129000622340731 -80.67 CKCD 5542 XXXXXXXXXXXX4748 XXXX XXXX XXXX 4748 05/12/14 TRACTOR S 2395 05/10#000920808 PURCHASE TRACTOR 5 2395 SO FT.MEYERS FL -150.06 05/12/14 SHELL Service 05/11 #000050148 PURCHASE SHELL Service S LEHIGH ACRES FL -74.02 05/12/14 7-ELEVEN 05/12#000040461 PURCHASE 7-ELEVEN FORT MYERS FL -67.38 05/13/14 CHECKCARD 0512 HD SUPPLY WHITE CAP#22 FORT MYERS FL 24792624132206351100089 -917.95 CKCD 5039 XXXXXXXXXXXX4748 XXXX XXXX XXXX 4748 05/14/14 HESS 09460 05/14#000193701 PURCHASE HESS 09460 BONITA SPRIN FL -73.00 05/16/14 7-ELEVEN 05/16#000517414 PURCHASE 7-ELEVEN FORT MYERS FL -38.36 05/19/14 CHECKCARD 0516 VAN ROEKEL&ASSOC DVMP ALVA FL 24210734136207377000060 -65.00 CKCD 0742 XXXXXXXXXXXX4748 XXXX XXXX XXXX 4748 05/19/14 RACEWAY6864 05/18#000859252 PURCHASE RACEWAY6864 FT MYERS FL -40.00 05/19/14 7-ELEVEN 05/19#000831629 PURCHASE 7-ELEVEN FORT MYERS FL -100.00 05/21/14 CHECKCARD 0519 VERIZON WRLS P2443-01 FT.MYERS FL 24498044140630141881443 -52.99 CKCD 4812 XXXXXXXXXXXX4748 XXXX XXXX XXXX 4748 05/21/14 7-ELEVEN 05/21 #000736205 PURCHASE 7-ELEVEN FORT MYERS FL -80.83 continued on the next page Page 4 of 10 D.J.VENTURA MASONRY,INC I,_INEN-l May 1,2014 to May 31,2014 Service fees Your Overdraft and NSF: Returned Item fees for this statement period and year to date are shown below. Total for this period Total year-to-date We refunded to you a total of $140.00 in fees for Overdraft Total Overdraft fees $105.00 $350.00 and/or NSF:Returned Items this year. Total NSF:Returned Item fees $0.00 $35.00 Help to avoid Overdraft&NSF. Set up Alerts through Online Banking and receive messages by email or text to inform you when your balance is low.Set up Overdraft Protection to automatically transfer available funds to your account from a linked savings,credit card,or second checking account to help cover items that would overdraw your account.You can set up both services via Online Banking at bankofamerica.com,by visiting a banking center,or by calling the toll-free number on your statement for details.Changes generally take effect after 2 business days,but can take up to 10 business days,depending on the type of account you've chosen to link for Overdraft Protection service. Based on the activity on your business accounts for the statement period ending 04/30/14,a Monthly Fee was charged for your Business Advantage checking account(Primary). You can avoid the fee in the future by meeting one of the requirements below: You are an active user of one of the following services OR At least one of the following occurred during the previous month 0 Bank of America Merchant Services 0 $2,500+ in net new purchases on a linked Business credit card Payroll Service by Intuit' 0 $15,000+ average monthly balance in primary checking account 0 Small Business Remote Deposit Online Service 0 $35,000+ combined average monthly balance in linked business accounts A check mark indicates that you have qualified for a monthly fee waiver on the account based on your usage of these products or services. For information on how to open a new product or to link an existing service to your account please call 1-888-BUSINESS or visit bankofamerica.com/smallbusiness. Date Transaction description Amount 05/01/14 Monthly Fee for Business Advantage -29.95 05/05/14 OVERDRAFT ITEM FEE FOR ACTIVITY OF 05-05 -35.00 05/05/14 OVERDRAFT ITEM FEE FOR ACTIVITY OF 05-05 -35.00 05/06/14 OVERDRAFT ITEM FEE FOR ACTIVITY OF 05-06 -35.00 Total service fees -$134.95 Note your Ending Balance already reflects the subtraction of Service Fees. Daily ledger balances Date Balance($) Date Balance($) Date Balance(5) 05/01 334.67 05/12 14,827.27 05/21 2,808.98 05/02 17,692.36 05/13 10,724.35 05/23 16,017.77 05/05 131.21 05/14 6,775.82 05/27 3,436.87 05/06 -166.98 05/15 775.82 05/28 2,626.99 05/07 1,744.02 05/16 25,169.76 05/29 53.02 05/08 1,618.93 05/19 3,119.42 05/30 26,885.72 05/09 37,673.63 05/20 3,117.15 Page 8 of 10 Your checking account D.J.VENTURA MASONRY,INC I I May 1,2014 to May 31,2014 To help you BALANCE YOUR CHECKING ACCOUNT,visit bankofamerica.com/statementbalance or the Statements and Documents tab in Online Banking for a printable version of the How to Balance Your Account Worksheet. • Page 9 of 10 Your checking account .1 °G MA :e5 , D.J.VENTURA MASONRY,INC I ■ I May 1,2014 to May 31,2014 Withdrawals and other debits - continued Date Description Amount 05/23/14 SHELL Service 05/23#000413031 PURCHASE SHELL Service S FORT MYERS FL -24.12 05/27/14 7-ELEVEN 05/27 #000276659 PURCHASE 7-ELEVEN BONITA SPRING FL -93.66 05/29/14 CHECKCARD 0528 ALL STAR EQUIPMENT RENT FORT MYERS FL 24755424148261488300963 -2,136.96 CKCD 7394 XXXXXXXXXXXX4748 XXXX XXXX XXXX 4748 Subtotal for card account# XXX -$4,719.30 Card account# 05/05/14 MURPHY5706ATWA 05/03#000609392 PURCHASE MURPHY5706ATWAL LEHIGH ACRES FL -50.00 05/12/14 CHECKCARD 0510 HESS 09210 TICE FL 24427334131710004875617 CKCD 5542 -55.60 XXXXXXXXXXXX8893 XXXX XXXX XXXX 8893 05/14/14 CHECKCARD 0513 ORCC SERVICE FEE 800-4383321 NJ 24906414133007725382009 CKCD -5.50 4900 XXXXXXXXXXXX8893 XXXX XXXX XXXX 8893 05/14/14 CHECKCARD 0513 ORC*LCEC-ORCC 239-6562300 NJ 24906414133007726705257 CKCD -155.77 4900 XXXXXXXXXXXX8893 XXXX XXXX XXXX 8893 05/16/14 MURPHY6920ATWA 05/16#000428490 PURCHASE MURPHY6920ATWAL FORT MYERS FL -24.00 05/19/14 CHECKCARD 0515 DISH NETWORK-ONE TIME 800-894-9131 CO 24610434136004041056377 -129.70 CKCD 4899 XXXXXXXXXXXX8893 XXXX XXXX XXXX 8893 05/19/14 TIRE KINGDOM# 05/19#000266325 PURCHASE TIRE KINGDOM#219 LEHIGH ACRES FL -1,556.50 05/27/14 CHECKCARD 0522 HESS 09241 LEHIGH ACRES FL 24427334143710004663639 CKCD 5542 -51.00 XXXXXXXXXXXX8893 XXXX XXXX XXXX 8893 05/27/14 CHECKCARD 0523 ORCC SERVICE FEE 800-4383321 NJ 24906414143007925248453 CKCD -5.50 4900 XXXXXXXXXXXX8893 XXXX XXXX XXXX 8893 05/27/14 CHECKCARD 0523 ORC*LCEC-ORCC 239-6562300 NJ 24906414143007926537235 CKCD -104.53 4900 XXXXXXXXXXXX8893 XXXX XXXX XXXX 8893 05/27/14 MURPHY5706ATWA 05/24#000797678 PURCHASE MURPHY5706ATWAL LEHIGH ACRES FL -62.01 05/27/14 TIGER DIRECT F 05/27#000641394 PURCHASE TIGER DIRECT FT M FORT MYERS FL -63.57 05/29/14 7-ELEVEN 05/29#000269191 PURCHASE 7-ELEVEN LEHIGH ACRES FL -57.01 Subtotal for card account #XXJ -52,320.69 Total withdrawals and other debits -$27,315.63 Checks op- Date Check# Amount Date Check# Amount 05/02/14 1138 -559.30 05/05/14 6279 -456.22 05/27/14 1140* -386.35 05/05/14 6280 -442.75 05/23/14 1141 -235.65 05/05/14 6281 -70.65 05/29/14 1142 -380.00 05/05/14 6282 -440.00 05/05/14 6267* -750.00 05/05/14 6283 -680.00 05/05/14 6273* -143.76 05/05/14 6284 -624.00 05/05/14 6274 -401.75 05/05/14 6285 -384.00 05/05/14 6275 -627.98 05/05/14 6286 -169.00 05/05/14 6276 -475.16 05/05/14 6287 -440.00 05/05/14 6277 -500.16 05/05/14 6288 -660.00 05/05/14 6278 -468.20 05/05/14 6289 -560.00 continued on the next page Page 5 of 10 D.J.VENTURA MASONRY,INC I May 1,2014 to May 31,2014 1 This page intentionally left blank Page 10 of 10 Page 1 of 1 D.J.VENTURA MASONRY,INC 1138 3101 16TH ST W LEHIGH ACRES FL 33971.6322 63.27x631 FL ii i,z/�!WJ ig 1165 DATE CI! �1 '/ R n SO TPO THE �o k Call ct Ar apoi4 I $ �. 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(A i� 9 Batch; 888649 !„ =''a �JA R Date:05/23/14 j;> fi 'S9'S£Z4 "'"- }una�?y - - :. _ d€£OOUQ�I169S517f0 30 — o.,.IUl�sr Rc7,,.,1 _ ?i , _.7lhi,�-it1??1 biBZififs�7.__..GRit38'f�'�619�flIx.8Ldri8..._:__:-..,_--.___..:.__:.---==------::::...... _------- 4 i, — . .-EL:Lenlnrt Acre nl rL415;5 - .. _ . ---- t - .,. .:..._. ._ ... ....... ._. ._i.. ...-.... . .. 4 C) t: . .... https://channelsolutions-issp.bankofamerica.com:26189/touchpoint/account/DepositAccou... 7/16/2014 Page 1 of 1 ,1 D.J.VENTURA MASONRY,INC 1142 31011STSTW ��lig 1165 6727531 Fl i LEHIGH ACRES F FL 33871.5322 DATE ,/ T PAY i{O1 4 ! 41la nc vie �'1 1 $ soee, � TO THE F ORDER F 00 ��1 /i ,h O DOLLARS 8 Bankofilmerica '3,17/457Yii/5G/M.013 -......Zr, 05129/14 14:18 ,. -�in,N ACHMOWImTT7 FOR 'q i i . oc iiiF• tI n ( xy G.1 1 G https://channelsolutions-issp.bankofamerica.com:26189/touchpoint/account/DepositAccou... 7/16/2014 Amount: $143.76 Sequence Number:..IIIMIIIIMa Account: Capture Date: 05/05/2014 Bank Number: Check Number: 6273 6273 Bank of America. ,� �i D.J.VENTURA MASONRY,INC. ACN Wf 0®++ 77 3101 16TH ST.W 6327.631 LEHIGH ACRES, 1.33971 4/26/2014 t PAY TO TH ORDER OF E JEMA APT $ '"'143.76 One Hundred Forty-Three and 761 100"""'"""""""""""''�"""'�'"...d""a"."""�"" �,.. ��RS JEMAA.P.T. ini 4316 Lee Blvd Unit i� Lehigh Acres, FL 33971 .w1tf�,, MEMO ••IZED SIGNA1UFE 46-1674315,9999999 _._, x u -am -a :L D Seq. 1 ;` ° 0 8.• r De p: 001692 =- T — a Date: 05/03/14 . ;,m --I°- n 6 rX O - ,IM 1:ril C ? • 't < z� g r O - --sE t:t ci ri-4-trE . t z, I 4 4. # iftt ;Cf.?' ii -- — r I .. 3 • T h+ y O` C. -' J -' mss— o,_ D X • r , • - O rn Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/05/20141111111Mn Loc/BOFD BANK OF AMERICA, NA Y Page 1 of 1 6267 1 BankofAmerica. D.J.VENTURA MASONRY,INC. ACHR70N1002n 3101 16TH ST.W 63.27.631 LEHIGH ACRES,fl 33971 4/2512014 • PAY TO THE 1 a ORDER OF DavidLSanchez $ 1'750.00 seven Hundred_Eifty and 00/1)0"twtt11tt1ttxtt*ktYitttitt}ktttitNltttifMtttx*tiYYftYlittiittitaxttxlttt+111,+x1111#EtH DOLLAR$ David Sanchez 4627 Ban Street + 8 Fort Myers,FL 33905 /j/��'/ MEMO �' AVTHauz€OSIGNATURE — 4/14/2014-4/20/2014 5OHRS @$15 mo ccv • tl https://channelsolutions-issp.bankofamerica.com:26189/touchpoint/account/DepositAccou... 7/16/2014 Amount: $401-� Sequence Number: i111111M Account: Capture Date: 05/05/2014 Bank Number: Check Number: 6274 _-.-.=_..T,--- �._ ..,T- _4_444 - ---_____._..: _..-----._.. 6274 Bank of America. D.J.VENTURA wro MASONRY,INC. ,w63mo¢n . i 3101 16TH ST.W 63-27.631 LEHIGH ACRES,FL 33971 ' 5/2/2014 1 A PAY TO THE ORDER OF Daniel J Ventura $ °''401.75 Four Hundred One and 75/100"*""*".""--"". .««*1.444.«..,444,.4.4*.....«......,,,.«.*.*..****,,,«*......... DOLLARS ' Daniel J Ventura 8 3101 16th St W ` Lehigh Acres,FL 33971 f., Age/ it ‘,.../.....C. MEMO MEMO AUTHORIZED SIGNATURE Pay Period:04/21/2014-04127/2014 A o 1 m L r T t 0 T ,1 „.1 m, • - Y1. -\,,.. Y� .) t,\., C., RI 1 r.1 Electronic Endorsements Date Sequence Bank s Type Bank Name Trunc Return Reason 05/05/2014 1.1111111111100, oc/BOFD BANK OF AMERICA, NA Y P Amount: Sequence Number: — Account: Capture Date: 05/G5/2014 Bank Number: Check Number: 6275 6275 BankofAneica. D.J.VENTURA MASONRY,INC. Kai RR 0e3+o01n 4°*.' 3101 16TH ST.W 63.27.631 LEHIGH ACRES,FL 33971 1919n 14 8 PAY TO THE ORDER OF ❑i gn Ortiz $**627.98 E Si r Hundred Twenty Seyen and 9R110fl*****************************..,t**ii** *** ******************* ****************** naLARS 1 Diego Ortiz. 3983 wheaton of Fort Myers, FL 33905 daLtid MEMO A SIGNOMME Pa Period:04121/2014-04/27/2014 40 1' s 'fir. 4 35333 0356 0 0 Rr ~1• 1 • ti. A ri Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/05/201 1012822 Pay Bank BANK OF AMERICA, NA N 05/05/2014 2105278 Rtn Loc/BOFD WELLS FARGO BANK, NA i Y 1 Amount: $475.16 ! Sequence Number: Account: Capture Date: 05/05 201 } Bank Number: Check Number: 6276 6276 Bank of America.' i� D.J.VENTURA MASONRY, INC. AcHwraaz,coxr, 3101 161-1-1 ST.W 63.27.631 LEHIGH ACRES,FL 33971 5/2/2014 5 0 4 s PAY TO THE 3 ORDER OF Juan C Mendoza $ *'475.16 i Four Hundred Seventy-Five and 16/100* DOLLARS 1* J Juan C Mendoza 1310 Lake Trafford Rd 8 I mmokalee, FL 34142 —� MEMO AUTHORIZED Sic Pay Period: 04/21/2014-04/27/2014 gallitliffillaagalfflaglikal ,I r z 1' Fr; o o ' • ra O _ a C > r_• ,' ' �•' - LI 1.~ 7. m r • 't ' ' Z r- m o ,'' 'r;• Tm m x ,' _ i rn 1.i1 TO ' 1 c`' I. : >067 192< _ T 4 • }n s Enco Baannk #003 `� -a a' 90031ii817 , -< _Tn ft n , --I z C _; ' V X a • i 7 F+ P n' r ; z m i . Electronic Endorsements Date Se ank # Endrs Type Bank Name Trunc Return Reason 05/05/2014 4901244 Pay Bank N +� 05/05/2014 I1� 016192 Rtn Loc/BOFD ENCORE BANK, NA Y Amount: $500.16 Sequence Number: Account: 4 Capture Date: Bank Number: Check Number: 6277 i 6277 BankofAmerica��, ' • D.J.VENTURA MASONRY,INC. • Aa+a rofta,00rn . 3101 16TH ST.W 63.27-631 • LEHIGH ACRES,A.33911 5/2/2014 PAY TO THE 1 ORDER OF Marvin Garcia. $"500.16 Five Hundred and 161 100'"" "" " •• "«:"'*'t••"«""":"`"'*" """ _ppw►RS Marvin Garcia.' . .„}. - ' - -4762 Palm de Nova Lm • . . . - - • . .. ' . ' • " 8 ,..tort Myers,FL 33905 • .1. .. . • - - ' • ' .94///,.//I MEMO • - ; AUTHORIZED S+coMTUm Pay Period:04/21/2014.0412712014 . ' 111111111111.111111111111111111111111111111111111111.1111111110 '211 ft y " 3:Y . a m r - o • . v, m ` erg. .., m ',1' . 1 s c ,. k) C i c • Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/05/2014 to Loc/BOFD BANK OF AMERICA, NA Y 1 Amount: $468.20 A Sequence Number: Capture Date: 1 Bank Numbe Check Number: 6278 - . .. ... .. 6 2 7 8-up Bank of America. D.J.VENTURA MASONRY,INC. ACH R?OgitOfg77 3101 16TH ST.W 63-27-631 LEHIGH ACRES,FL 33971 5/2/2014 1 0 PAY TO THE M ORDER OF Rolando PPra7 GndinPS **458.20 2 F tir Fhindrari Sixty-Fight and 70/1 Mr**. eir****************t******.ri********6********************r* DOLLARS I J Rolando Perez Godines 4274 Greenwood Ave. , Apt ort Myers, `I /Fort Myers,FL 33905 J a yr MEMO AUTHORIZED SIGNATURE _ Pay Period:04/21/2014-04/27/2014 I i• IIID 0 -n 1 0 c All Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/05/201 111012822 Pay Bank BANK OF AMERICA, NA N p 05/06/2 061000146 Undetermined FEDERAL RES BANK OF N 05/05/2 226077082 Rtn Loc/BOFD ACTORS FCU Y Amount: Sequence Number: — Account: Capture Date: O5/05/2014 Bank Number: Check Number: 6279 r -- 6279 r Bank ofAmerica i- D.J.VENTURA MASONRY,INC. CH RR 0471002I7 3101 16TH ST.W 63-27-631 LEHIGH ACRES,FL 33971 5/2/2014 1 1 8 PAY TO THE I ORDER OF Sergio Gallegos $"456.22 1 Four Hundred Fifty-Six and 22!100 DOLLARS • Sergio Gallegos # ,�_ P.O.Box 1540 � � 8 fmmokalee,FL 34142 - -. . i, MEMO I Pay Period:04/2112013-04/27/2014 1 f ua R, t j K C 41 I S - r . . . : m Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 11000138 Rtn Loc/BOFD BANK OF AMERICA, NA Y r. Amount: 4 2.75 It Sequence Number Account: . Capture Date: 05/05/2014 Bank Number Check Number: 6280 j - • 6280 BankafArnet3ca, D.J.VENTURA.MASONRY,INC. , rvrow,00 310116TH ST.W 63.27.631 qq LEHIGH ACRES,FL 33971 6/2/2014 1 , I ORDER F Tomas SanJuan $ "*442.75 i .. 4FiDEF OF I Four Hundred Forty-Two and 76/100*****************************************************************!r**************►****it* - DOLLARS 8 Tomas SanJuan 8 412919th Ct SW Naples, FL 34116 MEMO • TURE Pay Period:04/21/2014-04/27/2014 t . 9 C-41 N Electronic Endorsements Date Sequence _ Bank # Endrs Type Bank Name Trunc Re rn Reason 1111111111. 011000138 Rtn Loc/BOFD BANK OF AMERICA, NA Y it Amount: $70.65 Sequence Number:IIIIIINIIW Account: Capture Date: 628/5/2014 Bank Number: Check Number: 6281 6281 Bank ofAmerica. D.J.VENTURA MASONRY,INC. ncH Rif 063100zn 3101 16TH ST,W 63.27-631 LEHIGH ACRES,FL 33971 5/2/2014 PAY TO THE Victor M Soto $ ** ORDER OF 70.65 Seventy and 651100***+,*****************.x****************** .*******, * ********k*********.***,. ..iqt*,..In..:******yet*� DOLLARS Victor M Soto 10863 Bonita Drive 8 Bonita Springs, FL 34135 /xi ORRE�� • MEMO D SIGNATURE Pay Period:04/21/2014-04/27/2014 i►- For Deposit Only A&E La numare 'r. Inc Electronic Endorsements Date ank # Endrs Type Bank Name Trunc Return Reason 05/02/2014 091000019 Rtn Loc/BOFD WELLS FARGO BANK, NA Y ; 05/05/2014 �� i12822 Pay Bank BANK OF AMERICA, NA N Amount: $440.00 A Sequence Number• Account: _-1111 Capture Date: / 5/2014 i Bank Number Check Number: 6282 6282 Bank of America. i300, D.J.VENTURA MASONRY,INC. ncHwrog+,ovzn 3101 16TH ST.W 63.27.631 LEHIGH ACRES,FL 33971 5/2/2014 ,2 5 0 9 PAY TO THE t 0 ORDER OF Lucio Grande $ **440.00 $ a 8 Four Hundred Forty and 001100************************** ********* ***** DOLLARS Lucio Grandde 608 HOPE CIR 8 Immokalee, F134142 } vim° `� MEMO AUnO zEOSIG WE 4/27/2014 40 HRS @$11.00 r p r, =i _, o m• - _ _ , =2 z C ° 1 r t 6 R t _ , V r iz r' `t i _ a ✓ s i r' . l]} S xis Y r « a mi n * .r Rl m ■ I m'i ■ r � x en A , n o <I'- ' •- >0670161 Tn ml' rc — Encore #003 =; -a r ` i " _ t t v DI r, s , __ OI'' -4 ; 2, , '2 r a93112503 Dii 1, _cn ✓ -r r I IT ' j - - -.2 ■ 01• . ,, 7 t I! . , • C ;"0) ' < - - ' Ti Fit' -, ir' 3 1 c Z m- ri f r O Z C _z 9 C' a I rx r1 k n 1 z' Electronic Endorsements Date Sequence Bank # , Endrs Type Bank Name Trunc Return Reason 05/05/2014 2 Rtn Loc/BOFD ENCORE BANK, NA Y 05/05/201 Pay Bank N 4 Amount: $680.00 ._ Sequence Number: illMIIIIIIIIIIIIIImt Account: Capture Date: 05/05/2014 Bank Number: Check Number: 6283 4 .{ 6283 Bank of America. � D.J.VENTURA MASONRY,INC. ACHR7087,Op27f I1 3101 16TH ST.W 63-27-631 LEHIGH ACRES,FL 33971 512/2014 S A_ PAY TO THE 8 ORDER OF Francisco Tulul $ **680.00 i Six Hundred Eighty and 00/100***"* *****************************Rif******************************k****"f********** DOLLARS i' Francisco TA' 4375 Glenwood Avenue - 8 Fort Myers,FL 33905 l7 — /lvr�—.� (. MEMO AUTHORIZED CIGNA WE 4/27/2014 40 HRS @$17,00 s 0 TI 7 -, Y 1 i-I I' - 1 7 7 .-I rc 0> r�. :< m r ...33 m' „ •. n { N� !, �L` • 'TT . Z 'T lT � !, i1 • • • -� ry #003 `- - • _•Q ,r �; .a o i .-2, - ,. ,, - J _n l� -� mtI : , - - --1 rm a , , z i,;i .r l c „ trx 9, I C'9 .• - ' ■ °Itl-- --- T I m Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/05/20 4901244 Pay Bank N 05/05/201 016192 Rtn Loc/BOFD ENCORE BANK, NA Y I Amount: 624.00 Sequence Number Account: Capture Date: 05/05/2014 Bank Number: Check Number: 6284 , - E 6284 I BankofAmerica. D.J.VENTURA MASONRY,INC. ACH Fig 063100277 T I 3101 16TH ST.W 63-27-631 LEHIGH ACRES,FL 33971 5/212014 i a C O PAY TO B ORDER OF E Claudio Sigero Colorado $ "824.00 s lSix Hundred Twenty-Four and 00/400 DOLLARS IClaudio Sigero Colorado -_ 751 Veronica Shoemaker Blvd x.: 8 i Fort Myers FL 33916 i qiim4:1, Paild //dt7 i MEMO .<'..= .a`% ABHORREDSIG114TURE ! WE 4/27/2014 39HRS @$16.00 _ _ _ 111111111111.1111111111111111111111111111111111111, i 0 n C � A m n- o 0' n m Ot g o50 m ` tact o ' M K p C X N CO1 O Q n (D -0. Sv p\ n O\ Q. r=r C 7 1 o Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/05/2014 111012822 Pay Bank BANK OF AMERICA, NA N I. 05/06/2014 061000146 Undetermined FEDERAL RES BANK OF N 05/05/2014 226077082 Rtn Loc/BOFD ACTORS FCU Y Amount: 00 Sequence Numbeaillai Account: Capture Date: 05/05/2014 Bank Number_______________ Check Number: 6285 • 6285 Bank ofAmerica. D.J..VENTURA MASONRY,INC. AOH RIT063100277 3101 16TH ST,w 63.27-63i LEHf0H ACRES,FL 33971 5/2/2014 PAY TO ORDER OFE Benjamin Aguilar $ **384.00 a Three Hundred Eighty-Four and 00/1 , DOLLARS o Benjamin Aguilar 4518 Timinole St. >� Fart Myers Fl 33905 Aad / f MEMO AUTHORIZED SIamATUAE WE 4/27/2014 24HRS @$16,00 -n 71 90 0 nn • a r-, . M f � Electronic Endorsements Date Bank # Endrs Type Bank Name Trunc Return Reason 05/05/201 11012822 Pay Bank BANK OF AMERICA, NA N 05/05/201 100019 Rtn Loc/BOFD WELLS FARGO BANK, NA Y Amount: Sequence Numbe ir Account: Capture Date: Bank Number Check Number: 6286 3 _ _ . . . -- - ._ --.. . . . _ .. ... .. . -- - - .. _. W,, t 6286 Bank of America. 0 D.J.VENTURA MASONRY,INC. AcHwros+torror 40" 3101 16TH ST W 63.27.631 LEHIGH ACRES,FL 33971 5/2/2014 0 .Q PAY TO P ORD R OFE Alfonso Nunez $ **169 00 s_ one Hundred Sixty-Nine and 00/100************************************************************!******** ******#****f***** DOLLARS Alfonso Nunez 8 115 Dixie Ave Immokalee FL 34142 •--'� '–. — MEMO AUIHZEDSG T E WE 4127/2014 13HRS @$13,00 minimimmeimpor � �o rt 7 O Li fD w a rt rt o O J �'K n N Electronic Endorsements Date S-•. - ---k # Endrs Type Bank Name Trunc ReturniReason 05/03/201, - 000022 Rtn Loc/BOFD U.S. BANK NATIONAL A Y 05/05/2014 111012822 Pay Bank BANK OF AMERICA, NA N •# 05/05/2014 091000022 Undetermined U.S. BANK NATIONAL A N 05/05/2014 • 091000022 Undetermined U.S. BANK NATIONAL A N Amount: $440.00 Sequence Numbe - Account: Capture Date: 05/05/2014 Bank Number: Check Number: 6287 6287 BankofArrerica. D.J.VENTURA MASONRY,INC. ACH Rif 063100277 3101 16TH ST.W 63-27-631 LEHIGH ACRES,FL 33971 5/2/2014 B PAYE THE Concepcion Velazquez ° ORDER OF $ **44Q,Q0 Four Hundred Forty and 001 100******ir*+r*ft*R***U***a**tiff..*tx kYYrn**"*.***********************1t**t4***********k***********, DOLLARS Concepcion Velazquez 8 lod MEMO r AUTHOR SIGNATURE WE 4/27/2014 40HRS @$11.00 • 1111111111111111111111111111111111111111111111011 , -4 -4( • . Deposit Only P& a flume ro -.tio Electronic Endorsements Date Se # Endrs Type Bank Name Trunc Return Reason 05/02/201 0019 Rtn Loc/BOFD WELLS FARGO BANK, NA Y 05/05/2014 Pay Bank BANK OF AMERICA, NA N i 4 Amount: $660.00 " Sequence Number: 9392470345 Account: 229046958191 Capture Date: 05/05/2014 Bank Number: 06310027 Check Number: 6288 re 6288 BankolArnerica. ' i� D.J.VENTURA MASONRY,INC. ,,cHwrae,foazn 310116TH ST.W 63-27.631 LEHIGH ACRES,FL 33971 5,'212014 ' B 5 PAY TO 0 c, ORDER OF Domingo Garcia $ "660.00 c,ii 0 3 Six Hundred Sixty and 001100*************k*ski***n*tt ttkl4***frftt•tttnnYt4/M*k*ff*****fit*************f****t**********t*** DOLLARS E j Domingo Garcia 307 E.Delaware Avenue --_____ 8 Immokalee FL 34142 l MEMO AUiHORiZED S1GNATUR WE 4/27/2014 4CHRS@$16,90 o O r. 1' i ' "Z Z7 tm V m m %x Cam) Vi C7 •.f1 rzo ;;;I, 1 , ril j N ., �.= 003 'b ,v _i �i iro �, 201 — o °i , 9093111616 -tn c,� f ,, i L. _- o., _ 3 _rn m - .- -- ` ;i 7r- z _ - '� J C ' r 1 N 1 ^ - ■ , f r 2 F • z ' , . i a i ?: . 0 , , r n Z• ' Electronic Endorsements Date Sec Bank # Endrs Type Bank Name Trunc Return Reason 05/05/20114016192 Pay Bank N 05/05/2 016192 Rtn Loc/BOFD ENCORE BANK, NA Y Amount: 56 Sequence Number: Account: Capture Date: 05/05 4 Bank Number Check Number: 6289 Amman. Bank of America. 6 2$9 D.J.VENTURA MASONRY,INC. ACH Rif 063100277 4°*** 3101 16TH ST.W 63-27-631 LEHIGH ACRES,FL 33971 5/2/2014 PAY TO THE ORDER of Refugio Sanchez $ **560.00 Five Hundred Sixty and 001 100"******aY***t**********eR*;t**rt***Yt***Rt.k.****.*!!**Yr********************************)!**(r*1t noLwRS Refugio Sanchez 4627 lausanne Ave 8 Fort Myers, Fl 33905 MEMO A IMOS1GNATURE WE 4/27/2014 40HRS@$14.00 C LA 0 -- --- -r- — - - - - - ae az=� - _ h C For Deposit Only A&E La numero :11c Electronic Endorsements Date S k # Endrs Type Bank Name Trunc Return Reason 05/05/201 12822 Pay Bank BANK OF AMERICA, NA N 05/02/2014 00019 Rtn Loc/BOFD WELLS FARGO BANK, NA Y { ' D.J.VENTURA MASONRY,INC I AccourillIMIN I May 1,2014 to May 31,2014 Checks - continued Date Check# Amount Date Check# Amount 05/05/14 6290 i-" -680.00 05/19/14 6373* / -339.00 05/05/14 6291 1 -600.00 05/12/14 6374 '.!7 -629.00 05/05/14 6292 V -456.00 05/19/14 6376* ✓ -799.00 05/05/14 6293 V/, -684.00 05/13/14 6377 . -528.00 05/05/14 6294 ', / -440.00 05/19/14 6378 L -235.49 05/05/14 6295 V -720.00 05/28/14 6379 -140.38 05/05/14 6296 .7 -680.00 05/21/14 6380 d*" -401.75 05/05/14 6297 'f -600.00 05/19/14 6382* I/ -363.00 05/05/14 6298 / -580.00 05/19/14 6383 ter'. -448.00 05/05/14 6299 .7" -565.50 05/19/14 6384 1' -396.00 05/05/14 6300 -325.00 05/19/14 6385 ,,:.- -624.00 05/05/14 6301 v" / -418.00 05/12/14 6386 ,/ -564.00 05/05/14 6302 I/ -440.00 05/12/14 6387 -462.00 05/05/14 6303 +�^ -276.00 05/12/14 6388 ✓ -517.00 05/05/14 6304 -840.65 05/14/14 6389 r -705.00 05/05/14 6305 ri -195.00 05/19/14 6390 ,,J -396.00 05/12/14 6310* V/ -401.75 05/19/14 6391 V" -451.00 05/12/14 6312*r/ -659.87 05/19/14 6392 '# -462.00 05/12/14 6321* I/ -561.59 05/19/14 6393 /`' -574.00 05/12/14 6324*_7 -523.01 05/19/14 6394•/ -658.00 05/12/14 6328* V -564.26 05/19/14 6395 ,o' -705.00 05/09/14 6334*v i -442.75 05/19/14 6396 �%' -615.00 05/13/14 6336*k••�, -667.88 05/19/14 6397 ;,. -752.00 05/14/14 6338*1{ 7 -1,360.49 05/19/14 6398 y, -738.00 05/14/14 6339 ° -145.00 05/19/14 6399 1 -738.00 05/12/14 6340 -576.00 05/19/14 6401* / , -627.00 05/12/14 6341 °1 -792.00 05/19/14 6402 V, -738.00 05/12/14 6342 L/ -182.00 05/19/14 6403 ` ' -540.65 05/13/14 6343 / -658.00 05/16/14 6404 / -442.75 05/12/14 6344 /' -799.00 05/19/14 6405 ✓` -608.00 05/12/14 6345/ -705.00 05/19/14 6406 _., -697.00 05/12/14 6346 "' -576.00 05/19/14 6407 V;° -774.00 05/12/14 6347 t° -846.00 05/19/14 6408e. -496.00 05/12/14 6359* -517.00 05/19/14 6409 Y%. „, -666.50 05/12/14 6360 -756.00 05/19/14 6410 %, -598.00 05/12/14 6361 -799.00 05/19/14 6411 Vt. i -598.00 05/12/14 6363* -696.00 05/19/14 6412 1r.r' -221.00 05/12/14 6364 !`F -696.00 05/19/14 6413 -516.00 05/19/14 6365 '-' -468.00 05/19/14 6414 / -533.00 05/12/14 6366 c/ -528.00 05/19/14 6415 -338.00 05/12/14 6368* Lso/ -517.00 05/19/14 6416 / -598.00 continued on the next page Page 6 of 10 Amount: Sequence%umbe Account: Capture Date: 5 2014 Bank Numbe Check Number: 6290 6290 Bank of America. D.J.VENTURA MASONRY,INC. ACH wr 0E3100271 3101 16TH ST,W 63.27-631 LEHIGH ACRES,FL 33971 512/2014 PAY TO THE ORDER OF Oscar Sosa $ **680 00 Six Hundred Eighty and 00/1004.*....,,.******..***i*wRRw!*wYYwt*ww*R1tfA'1t*tfiwt*k*yL**i!****************k***********#****t*** noes Oscar Sosa N 4230 Riverview Rd 8 Fort Myers, FL 33905 1 MEMO Aid UTh0 EO=NAI E WE 4/27/2014 40HRS @$ 17.00 t.. or Deposit Only A&E La numero 1, ;no Electronic Endorsements Date Sequence a c # Endrs Type Bank Name Trunc Return Reason 05/05/2014 " Pay Bank BANK OF AMERICA, NA N 05/02/2014 Loc/BOFD WELLS FARGO BANK, NA Y Amount: $600.00 Sequence Number: Account: Capture Date: 05/05/2014 •i Bank Number: Check Number: 6291 — - - — -. _ -._ ..•--- ----- — nr 6291 BankofAmerica. D.J.VENTURA MASONRY,INC. AOH R7r06:S100277 3101 16TH ST,-W 63.27.631 LEHVGH ACRES,FL 33971 5/2/2014 a c 0 PAY THE Vicente Jose $ **600.00 ORDER OF Six Hundred and 00/1 00**************,*,*******,*****************,.,,,*r,****,**,******..:►f.r *i****************.*****i** * DOLLARS Vicente Jose 8 Afdis MEMO AUTHORRED S)GNA1URE WE 4127120'(4 40HRS @ 15.00 ._____.--__—__-_.-_- �-•.___-.�_._.--.-_- --- ._--- -4 z - --•- _ _- -- - ----4440H - 00 — ,F • - - . —. _ __ - _ _ wYMw.s.r.Fl.■-M-w..07 •1•4101r.►•h..„ .a:me..• _ - - —main, 11‘, N4h, itl `\ For Deposit i!y Mt La nu ner -. ,oc Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/05/2014 - Bank BANK OF AMERICA, NA N , 05/05/2014 c/BOFD WELLS FARGO BANK, NA Y Amount: $456.00 Sequence NumberallIllia Account: Capture Date: 05/05/2014 Bank Number Check Number: 6292 t . . ____ 6292 .' . •• BankofAmerica. �i� • D.J.VENTURA MASONRY,INC. ' • ACH Rn DEmoa T! •.' , • 31O IGH T ST.W • 63-27-631 •. L E H ACRES16H,FL 33971 5/2/2014 OPAY RDER TO THE OF Felipe Sanjuan Gonzalez $ *"456.00 • • Four Hundred Fifty-Six and 001100 nOLiARS 4' • Felipe SanjUan Gonzalez 5220 16th place SW Apt#3 • . • Naples, Florida 34116 MEMO '• o � � ; AUTHORIZED SIGNA1 WE 4/27/2014 38HRS @$ 12.00 : . : , • . ,k ' . : t: Kr 701 S e q: 10 3 ;� o rp o m Dep; 000263 r* �' .tEs Date: 05/05/14 a • 'I 2• .:s-,—,rz7-4 ..1._— ......., _. ....... .-..a,..,..,,-.....w.. .rc-.►e+rr r-n+xr-ar;. . ..v+,re 3-4:1V11.901.11 i'erMPPr e►+ , .. I ' » fi ' s i` . S Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 00138 Rtn Loc/BOFD BANK OF AMERICA, NA Y o r Amount: $684.00 Sequence Number: MariMM Account: Capture Date: 05/05/2014 '' Bank Number Check Number: 6293 , 6293 BankofAmerica. i� D.J.VENTURA MASONRY,INC. Acr+l�,TOS3,oazrr 3101 16TH ST.W 63-27-631 LEHIGH ACRES,FL 33971 5/2/2014 e 0 ' PAY TO THE 3 ORDER of Oscar Ramirez $ "684.00 @ 2 I Six Hundred Eighty-Four and 00/100,....r................*****************.......•.-* t*t*»r**t s+*******tt*:x********wr►,****** DOLLARS N Oscar Ramirez 807 Brizewood Dr, (c Immokalee El 34142 71------ /„_____i ` f MEMO AUTHORIZED SIGNATURE WE 4/27/2014 381-IRS @$18.00 11111111111111111/11111111110Mikiall .. I I -fi 0 ml 1 " I rz �. Z 11 fry „ ' r1 m D .; ,, i n r,'1 x� K m ✓ ic ni �� '� m C-4 Mli in c 1 �' 1,in m mj, -, r. _ I' r1T C) - 7-N xl mi nc; =D .1 71,,.. ., 11 ,- II ..,.,,,..,..:F„ 1 1 r V • A 2.7• - - - ' I •• f 2 tiu `vD� • 1 n aaea1�25sa 0 —^ ..� r1,, ' , - - ; i Fr 1 xAz ao 1 1 <I 7 ' I - a x , ,-, l ,,In I o -c • yl . . n, Z i i .'S I, N m O , n a11 J_ n l *i I Z Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/05/2014 6192 Rtn Loc/BOFD ENCORE BANK, NA Y 05/05/2014 44 Pay Bank N 4 Amount: 440.0 Sequence Number: Account: Capture Date: 05/05/2 Bank Number Check Number: 6294 6294 BankofAmerica. D.J.VENTURA MASONRY,INC. ACH R?oss,oazrr 4e- 3101 16TH ST.W 63.27.631 LEHIGH ACRES,FL 33971 5/2/2014 A PRY E THE Ancelmo Ventura ORDER OF $ �*440.00 2 tt********.***********************•,*****************************}*****}******�F**************i Four Hundred Forty end 401100 DOLLARS f s Ancelmo Ventura 8 i) 11JJdJ MEMO AUTHORIZEDSIGNATUAE WE 4/27/2014 40HRS©a $11.00 I r For Deposit Only ME La numero °, :nc Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/02/201 019 Rtn Loc/BOFD WELLS FARGO BANK, NA Y 05/05/2014 1012822 Pay Bank BANK OF AMERICA, NA N ±! % w Amount: Sequence Number:ammor 1 Account: Capture Date: 05/05/2014 a Bank Number: Check Number: 6295 — -- 6295 BankofAmerica. D.J.VENTURA.MASONRY,INC. +NCH Fla Da oo n I 3101 16TH ST,W 63.27.631 LEHIGH ACRES,FL 33971 51212014 PAY TO ORDER OF THE Jose Agustin Lugo $ "720.00 OR seven Hundred Twenty and 001100 ***** **"*"**'*****"**** __DOLLARS Jose Agustin Lugo 722 Harry Avenue S 8 Lehigh Acres,FL 33973 pktilij • MEMO baEDS�TUF WE 4/27/2014 401-IRS©$18.00 IIIIIIIIIIIIIIIIIIIIIIIIIMIIIIIIIIIIIIIIIIII — - _ -) 7 14i V T * :-a ' m ` m '.1 "k- r' •-{ 0 S' r C :1 C, ...... Electronic Endorsements Date Bank # Endrs Type Bank Name Trunc Return Reason 05/05/2014 011000138 Rtn Loc/BOFD BANK OF AMERICA, NA Y Amount: $680.00 Sequence Number: Account: Capture Date: 05/05/2014 Bank Number: Check Number: 6296 &296 BankofAmerica. D.T.VENTURA MASONRY,INC. ACH Fig 0,931CO2TP 3101 16711 ST.W 65-27-631 LEHIGH ACRES,FL 33971 5/2/2014 PAY TO THE ORDER OF Juan Carlos Rojo Martinez $ "680.00 a a a********k**.******.*****r t**********************************k******t*********************ik Six Hundred Eighty and OQ/1 QO DOLLARS Juan Carlos Rojo Martinez 407 Miramar Rd 8 Fort Myers, FL 33905 pawl //( MEMO AUTHORIZED SIGNATURE WE 4/27/2014 40HRS @$17.00 C -- _ --°---_-_ --- -- ----- _ 0 �: -�-� =tea-n-� a•. For Deposit Only A&E La nunerie `; Inc Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/05/201 111012822 Pay Bank BANK OF RGERIAN, NA N 05/02/2014 X019 Rtn Loc/BOFD WELLS FARGO BANK, NA Y Amount: S Sequence Number: Account: Capture Date: 5/05/2014 , 0 Bank Number Check Number: 6297 ? 6297 Bankof America. D.J.VENTURA.MASONRY,INC. ASHA798310027I I 3101 16TH ST,W 63-27-631 LEHIGH ACRES,FL 33971 5/2/2014 C I ORDER THE David Sanchez $ **600.00 Six Hundred and 001 100*********.xw*x***x***Y***k***MNM***************************,T*:I********#M******it***********,k*****1t DOLLARS David Sanchez 8 4627 Bari Street 4 Fart Myers, FL 33905 MEMO AUTHORIZED SIGNATURE WE 4(27/2094 40H RS @$15.00 • c "a to 4 iC Electronic Endorsements Date Se Bank # Endrs Type Bank Name Trunc Return Reason 4 05/05/201 22105278 Rtn Loc/BOFD WELLS FARGO BANK, NA Y 05/05/2014 111012822 Pay Bank BANK OF AMERICA, NA N Amount: $580.00 Sequence Numbe Account: Capture Date: /05/2014 Bank Numbe Check Number: 6298 i 6298 Bank of America. D.J.VENTURA MASONRY, INC. ACH RR OQi,07277 3103 16111 ST.W 63-27-631 LEHIGH ACRES,FL 33971 5/2/2014 0 r PAY TO DER OFE Victor Castillo $ "'580.00 g Five Hundred Eighty and 00!100— ""'""" DOLLARS J Victor Castillo 1410Apples Street - 8 imrnakalee FL 34142 .70.,....•.-,....,'_._....7 j.—.,—-__1,——) MEMO AUTHORIZED SIGNATURE WE 4/27/2014 40HRS @$ 14.50 } --I 1 17 O r r, - o m' r m m _ — '-. , .D \O q 7 I c'—{ 7) r '.7 . �m tn in 1_I, r.i 0 _m \... 1 m▪ ; ?t 3 a Eel,• 1 „ � �. ?v r1� xn L + 77 ' �a031i25e4 z o u„ , - rte J1 TI'f n,_ ■ n -4 L,4 t, 'fir C I`rL) ' oll�• ' c+ c o I - . f m t1 ■ '1 ^4Y ■ ■ T p J +iut r t , - - - 9 in J J all . '-f i c) 4 t,z 0 rA }N I T , , - { I r \n I m oL -� Electronic Endorsements Date Bank # Endrs Type Bank Name Trunc Return Reason 05/05 �. 01244 Pay Bank N 05/05/20 6192 Rtn Loc/BOFD ENCORE BANK, NA Y i Amount: $565.50 Sequence Number:alliganali Account: Capture Date: 05/05/2014 Bank Number: ° Check Number: 6299 z,, 4s' 6299 BankofAmerica. - D.J. VENTURA MASONRY,INC. ACH R7106710UIT7 3101 16TH ST.W 63.27.631 LEHIGH ACRES,FL 33971 512/2014 2 c qD S O PAY TO THE RDER OF Edgar Yovany Linarez $ "565.50 g i Five Hundred Sixty-Five and 50/100'""°"""x....":.Y,,. !.f#..l*!•*►r COLLARS I Edgar Yovany Linarez 8 609 Breezewood Dr, -ci Immakalee,FL 34142 -- / `v' MEMO AUTHORIZED SJGNuru WE 4/27/2014 39HRS @$ 14.50 IIIIIIIIIIIIIIIIIIIIIIIIIIMIIIIIIIIIIIIIIIPIIIP t r 13 ; m = - .-O .i o -: rm ,....1 �i _ I- v n 1 1 ..--< r n ✓ > ..- 0 m r.I, r „r.: % -rl . m a N - . . Q 'C m 1, WI , • r„ Enco--e r 03 o,• '5 • - • 89$3112568 3 z _v rI „ ',' , Tyr" cn c, == o � , i • I J , -r - 0 C -� 9 - - - N - ' 1 I Z 9 ,r 1 - I .m 0l I 1 - -- ' 1 H - I `�,j j m Electronic Endorsements Date e Bank # Endrs Type Bank Name Trunc Return Reason 05/05/2014 to Loc/BOFD ENCORE BANK, NA Y id 05/05/2014 244 Pay Bank N Amount: $325.00 4 Sequence Number: Account: Capture Date: 05/05/2014 Bank Numbe Check Number: 6300 i 6300 BankofAmerica. 0 VENTURA MASONRY,INC. acr+RUtaetroozn le" 3101 16TH ST.W 63.27.631 LEHIGH ACRES,FL 33971 5/212014 i b PAY TO THE 1 ORDER OF Sergio Lopez $ "325.00 2 m Three Hundred Twenty-Five and 001100"' .`"`*""`"'**"` DOLLARS i Sergio Lopez V) 1372 Ironwood Ln,Apt#103 8 Immokalee, Fl 34145 !' G..--C MEMO AUTHORRED SIGNAT&A WE 4/27/2014 25HRS @$ 13.00 4 *'f—,, it 1 a 0 - ',m - D z z ID ; I I o a It N. v o , r� m r = , - s c_ i.m II 7 'n r- / m v,y t.c I jMX -m w m m._. ) c. I ",t CT r CV n m, , I D rm of ; 88x31 i25nt ?>iI- 1_N . i O -r t �v:7 °Ir - ' ' - ∎ 'i I �—I o. _ - - 7 s wr Ism c'� z -' u,a -r C -. • t `` i _I • c u, J r u-1 M , n z 1 n 7 I *N. n in I o r I r Cl r Z r),_._____ _ _ — - , I m Electronic Endorsements Date # Endrs Type Bank Name Trunc Retn Reason 05/05/2014 44 Pay Bank N 05/05/2014 Rtn Loc/BOFD ENCORE BANK, NA Y Amount: $418.00 ‘ Sequence Number: Account: Capture Date: 05/0542014 Bank Numbe - Check Number: 6301 'All, t • Bank of America. di D.J.VENTURA MASONRY,INC. ACH wr 0E3100277 . ' C 3101 16TH ST.W 63-27.631 LEHIGH ACRES,FL 33971. 5/2120140 •?AV TO THE Felipe SanJuan Ventura ` " '' *"418.00 ORDER OF Four Hundred Eighteen and 001100' " """`""rte`""*""*"`"11`"*"""�""i""k""* lre** "'"*"*"""*Or"'~`frk***** *'-""*""• DOLLARS Felipe SanJuan Ventura 5220 16th Place SW Apt#3, : .: Naples Florida 34116 ti ,---'""— •MEMO Aur1$RIZE IGNATUI --' WE 4/27/2014 38HRS @$11.00 .1 ' • t: A., E. er m N Seq. 102 6 ° o Dep: 000263 ro' 7 .. Date: 05/05/14 '..,. . { C n nn} Z15 - .., �.__�. ---`: � Z=4'::4,+{..t�i�7 -4+�1�--P`F4NI.h'F+�..�:�H,7t i'17:'—AA-.i!�4 i—» 44,'"i�l 4.+i*11dtF�1f¢rE leit'>C.S+W f t ti�!tii+f a'!cF'lii +— i U .. ' D6:I , : r Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/05/2014 ININIIIjgtn Loc/BOFD BANK OF AMERICA, NA Y 1 , Amount: $4 Sequence Number: r Account: Capture Date: 05/05/2014 Bank Numbe Check Number: 6302 6302 8a>rtkofAmerica. 0 D.J.VENTURA MASONRY,INC, „G,F 063,0027, 3101 15TH 57,W 63-27-631 LEHIGH ACRES,FL 33971 5/2/2014 - PAY THE Tomas Alvarez ORDER T R OF $ "440.00 a f******/{f******X**1rtMt****tk****.*kit*Mt**4kt*i***k-k*.**,k*1'**Y*�Y*********.*.***.****iii*#.kit Four Hundred Forty and 00/100 _nouARS Tomas Alvarez 467 Carloina Ave B Fort Myers Fl 33905 Amid ,'MEMO AUTH0RIZEDSIGNATURE WE 4/27/2014 40HRS @$11,00 ror Deposit Orly ELanumerc flC Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/02/2014 Rtn Loc/BOFD WELLS FARGO BANK, NA Y 05/05/201 Pay Bank BANK OF AMERICA, NA N Amount: $276.00 i Sequence Number: Account: Capture Date: 05/05 2 14 Bank Number: Check Number: 6303 • s a a a Bank of America l D.J.VENTURA MASONRY,INC. • FACH Rif C03100277 3161 16TH ST.W 63-27-631 . LEHIGH ACRES,FL 33971 i' 5/212014 TO THE Serferino Lugo Moreno $ *'276-00' ' I Two Hundred Seventy-Six and 001 140*************,»„$U**** *****""***.,***W "'.." ."*********"*"`**`****** *11*** w+,as . Serferino Lugo Moreno . �— ) /1 MEMO AUTHORIZED SIGNATURE ,. . WE 4/27/2014 23@$12.00 . . * �. ;parr a ' Seq. 200 o `" • , . Dep: 000263 - v r x _ Date: 05/05/14 �', • -..fte Fir rrur.t a"--4,._s+.„Utr,-,. r+ .gaR4ON'.tr 4 ...r... .. a -- .. -. .. .- . _ .. -1.17.M ed;ir•s'ie d4' ,t to k'704-e0.0101-40.-1N+'*Legit In 3..' r� (! o - - - '.K ,,2 7:' • i t L + y ' ' r. _. _.... , m Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/05/2.1,00MariaiMaki Rtn Loc/BOFD BANK OF AMERICA, NA Y 1 Amount: $840.65 ilk Sequence Number: Account: I Capture Date: 05/05/2014 Bank Number: Check Number: 6304 tt Bank of America• ......... D.J.VENTURA MASONRY,INC. 'CH RADV31002rf 3101 16114 ST.w 63-27-631 LEHIGH ACRES,FL.33971 , . 5/212014 s , . " . PAY TO THE ' , ORDEROF JEMA APT $ **840.65 Eight Hundred Forty and 65(100 *********intirtint*efarim*********************************************************irk************ DOLLARS 1 JEMA A.P.T. 8 • 4316 Lee Blvd Unit 6 I , Lehigh Acres,FL 33971 -- 1 ,JAVO, -•MEMO AL/THO.ze)sIGNATuaE 46-1674315,9999999 - i 0 riii/Mi'NA ra ii I Ea rffsiiii 111 ramp r Seq: 1 >0 , , 0 , g 0 • ;4- > Dep: 001689 =. ,: • n 1 7' Date: 05/03/14 r • • :, .: 1 _:r ,._,;, C ii, ; , ..... - 1"...• a z 5 V 0 : 77:°-1.-.SrZtrf,7r.r.eir4-Dz.---PrOCTMVrAG-:-tctes:-r. tis-Erm4eo-----:-77--.---:-:-- —--7e------- -0 - 1,..m >. „,, •'': c....' 1 • I, ' ; :0 .0:c.....4.2• ::= r,:-- x Ill v-, *;; 20 . !-- n : • - - : z in 0 X Electronic Endorsements Date S.actiece Bank # Endrs Type Bank Name Trunc Return Reason . Rtn Loc/BOFD BANK OF AMERICA, NA Y sr Amount: $195.00 i Sequence Number.11111111110110111111 Account: Capture Date: 05/05/2014 Bank Numbei Check Number: 6305 - ) / PA, . ---_ ---------.-......... ----.-------------- ---.-_ . . . - ,.. _. . . .. . - • • . . . " . • ' 6305 . • ... . .. • . •. • . Bank of America. . .. • • .• " • . .,---4-• • • . . 4,00'.. D.J.VENTURA MASONRY,INC. • • ACH Hri 06311:10177 ' . •. . 3101 16TH ST.W 63-27-631 . LEHIGH ACRES.FL 33971 • • 5!2!2014 1 • , . ' . • . . • S • ' PAY TO TH . E . . ' . • ORDER OF JEMA APT . . •• . : $ 7195.00 • ,. . .. . • One Hundred Ninety-Five and 00/100'*******""**************'"*"*"'"*"'"*"************"********** DOLLARS .• . JEMA A.P.T. . . . ' •.. . . . % . 12i • 4316 Lee Blvd Unit 6 ' . . • . . . . . Lehigh Acres, FL 33971 . ' . . - ..„----------. 411011_,ArAk 4 . 00100/0' . • . .• . • .. . • ti • . MEMO . .• . • . . • ' • . . •.. • / mommosmuausE . • invoice 13-1952 •• . • . .• . . . • . . :. '''. * ' * . 1 • • • . • • , .., 0 c_._ m m m fO: o , .. . . , • • r3 K K '" ,-.- • , . • Se q: 1 7.■::' Dep:••001696. . . . . Date: c2- n n /14. ate: 05/03/14 :-., 21 .. . . ,. 4,.. •• • T. •. .. - • :(:: . t2Z1=W z H --1 -"- Z . d'r- Fla'"*SX"' "'""'""'"'"°'"*"*""."'"'""- - - : ''''''''''' . 7;777--sii Ertrrt:SMPT.TrE'r AP"retrAT.217"Mii=59VOSbilti.e.rq. ' - ---- - ,--- ' c.‘:,-, F ., -.1 ...: '''. •'..... : '■. . '''' c, -: --. . . - : i•.: , . . - :,: i•... , . : . .... ,' . • ' ' • la --r .1.— r- ■ —I '—I '.1,_. • ' a v.- ' • 71.rrl ' . 20 20 4-. • • • r-- • . . .. O _ . ._ .. z - ' • 00 . ... . . • x x m-17-1 Electronic Endorsements Date Se # Endrs Type Bank Name Trunc Return Reason 05/05 100138 Rtn Loc/BOFD BANK OF AMERICA, NA Y I Amount: $401.75 Sequence Number: 1111 Account: Capture Date: 05/12/2014 Bank Number: Check Number: 6310 • BankofAmerica. 6310 D.J.VENTURA MASONRY,INC. ASH 0./1 O11311O0277 4;;VIP 3101 167H ST.W 63-27-631 LEHIGH ACRES,FL 33971 5!9/2014 1 E ORDER OFF Daniel J Ventura • 401,75 Four Hundred One and 75/100'**""" '.**`**** **************** . t D OLLARS Daniel J Ventura 3101 16th St W 8 Lehigh Acres, FL 33971 i L2'K `/ MEMO ;, ,.. '-�/ ' Avi,. Z D SIc1un.E Pay Period:04/28/2014-05/04/2014 • .. ., ::- , . _ - i N o i m iii `, ) Electronic Endorsements Da �Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05 1 10 0138 Rtn Loc/BOFD BANK OF AMERICA, NA Y 6 Amount: $659.87. Sequence Number . Account: Capture Date: 05/12/2014 Bank Numbe Check Number: 6312 __.__. o__ — — — _� .. — _. _...—- - .. --.��. —_ ._ __.—�... _nr 6312 BankofAnerica. D.J.VENTURA MASONRY,INC. ; ACH RR 06111002T7 3101 16TH ST.W LEHIGH ACRES,FL 33971 i 663-27-631 5/9/2014 s PAY TO THE Dle OOrkiZ. $$ "659.87 ORDER OF 9 �$ Six Hundred Fifty-Nine and 871 100,,..,*t* i******"`."'**11***************t"`*"************Mht* '""'""' '*'''******* DowaRs Diego Ortiz. 612 Marsh Ave ' Fort Myers,FL 33916 MEMO AUTHORIZED SIGNATURE Pay Period:04/2812014-05/04/2014 111011111111111.11/111111111111111111111111111111111W i ,3 • I IQ t C •x TO' a tQ r-_L Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason O5/1 278 Rtn Loc/BOFD WELLS FARGO BANK, NA Y 0 1��� 822 Pay Bank BANK OF AMERICA, NA N Amount: • • Sequence Numbe Account: Capture Date: 05/12/2014 Bank Numb Check Number: 6321 e 6321 BaekofAmerica. D.J. VENTURA MASONRY, INC. ACH RIT 069100277 4 40"." 310I 16TH ST.W 63.27-631 LEHIGH ACRES,FL 33971 519/2014 Y a E a PAY TO THE Juan C Mendoza I d $ **561 ORDER OF .59 11 �� 1 Five Hundred Sixty-One and 59/100.........*#******k*!*******k*k*k*************fl**H*****f*!*t*******R****i** DOLLARS Juan C Mendoza 1310 Lake Trafford Rd ____.----- 8 Immokalee, FL 34142 rz---(,.d.) ,- ).\____j ___...--) MEMO AUTHORIZED SIGNATURE Pay Period:04/28/2014-05/04/2014 Walliglariaralrillanifilifillaria 1' rr-- -_-. 0 >� � --Ti p T 1 .h , }m m L _1 T' J z v - • ; O C O M Ti. N PIZ �1 . - m 791Ii t.1 I t -4 71 TM r) m m n - ' z 'TI 0 ., e • • : I ncore B- , #003 T o;, ; , n i 0833490018 y LL, 1 _i - 1 �I x z 'ti i r J <. , - p m' r - C t X. , - - 4 1 0 _I t 1 1 f `71 •�l_ – '' '.II 1 r n'— -------- --�-'J , m Electronic Endorsements Date Sen -. - a-.. # Endrs Type Bank Name Trunc Return Reason 05/12/21 Rtn Loc/BOFD ENCORE BANK, NA Y 05/12/2014 ', Pay Bank N - • Amount: $523.01 } Sequence Numbe Account: Capture Date: 05/12/ Bank Numbe Check Number: 6324 - M1 6324 BankofAmerica�`� D.J.VENTURA.MASONRY,INC. ,�„, , „�„ 3101 16TH ST.Vt 63.27-631 .. I LEH6H.ACRES,FL 33971 5/9/2014 $ i PAYTOTHE ORDER OF Marvin Garcia. $ •"523.01 Five Hundred Twenty Three and 01/100 *!4}*�}#k*}##k#}k#}*y,}4 k##kkk*4}!#}k4}k4kk#**4*44*k#**##k*##k}}***t#*}4k4ki} M'1 Abc Marvin Garcia, DOLLARS 4762 Palrn de Nova Lm 8 Fort Myers,FL 33905 MEMO j ANNoArzED SIGAW7mRE Pay Period:04/28/2014-05104/2014 m c 0 • S V 1. • Ii Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 8 Rtn Loc/BOFD BANK OF AMERICA, NA Y f Amount: $56 Sequence Number: r Account: Capture Date: 05/12/2014 Bank Number: Check Number: 6328 4 6328 BankofAmerica. D.J.VENTURA MASONRY,INC. AC El IVT OI3I00277 3101 16TH ST.W 63.27.631 LEHIGH ACRES,FL 33971 5!912074 o PAY TO THE 2 ORDER DF Rolando Perez Godines $ "564.25 a A Five Hundred Sixty-Four and 261100**""""***********"*""**"****"**********F*""**"************""*•****"""""""***"*******"" DOLLARS Rolando Perez Godines 8 4274 Greenwood Ave. Apt#73 Fort Myers, FL 33905 MEMO AUrHDRIZED SIGNATURE Pay Period:04/28/2014-05/0412014 • I tii �IQ 2 0) jv I �O � O ro V-I V Oc) A N A A Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/12/2014 0051 111012822 Pay Bank BANK OF AMERICA, NA N 05/13/2014 0146 Undetermined FEDERAL RES BANK OF N 05/12/201 n Loc/BOFD ACTORS FCU y * Amount: $442 Sequence NumberaillIMMIF Account: Capture Date: 05/09/2014 Bank Number. Check Number: 6334 -4 D.J.VENTURA MASONRY,INC. r 3101 16TH ST.W 27.631 LEHIGH ACRES,FL 33971 BankofAmerica. .; ACH Ft/1003103277 .I-.64"••■.. 63. 6334 519/2014 i3- 2 g PAY TO THE I ORDER OF Tomas SanJuan $ *1'442.75 i Four Hundred Forty-Two and 75it 00.*****..*....**...**•.*********."......*********.*****.***********......**,,,,,,,,,,,. - DOLLARS Tomas SanJuan 4129 19th Ct SW Naples,FL 34116 ..77----e---,--2) c MEMO AUTHORIZED S7IGNA Pay Period:04/28/2014-05/04/2014 - - -,. ni \ .6, ;? 0. f, . (.1 Thl --- Electronic Endorsements Date Sequence Bank # e Bank Name Trunc Return Reason 0 BOFD BANK OF AMERICA, NA Y ; I Amount: . Sequence Numb Account: Capture Date: 05/13/2014 ' Bank Number: Check Number: 6336 6336 • BankofAmeri D.J.VENTURA MASONRY,INC. AcH RlTOas1oozn 3101 16TH ST.W 63-27-631 LEHIGH ACRES,R.33971 5/9/2014 .2 ( R R O 3 PAY TO THE Victor M Soto • ORDER OF. "667.88 six Hundred Sixty-Seven and 881 100*********kktRRY..-..tlt k4'kl**,..**........*.*ff."...tkYRtl;RN1FF..***fxYFl.*** **!I#k**f DOLLARS Victor M Soto 10863 Bonita Drive /� ' Bonita Springs, FL 34135 /1 : Paziji MEMO AUTHORIZED 3134ATURE _ ,_Pay Period; 04/28/2014-05!0412014._. -_ __ _i_ __ ^^T_T- --___-_.w_- For Deposit Only A&E La numero 1. !ne Electronic Endorsements Date Se. e _- # Endrs Type Bank Name Trunc Return Reason 05/13/201k 05278 Rtn Loc/BOFD WELLS FARGO BANK, NA Y 05/13/201, "- - - :22 Pay Bank BANK OF AMERICA, NA N ; Amount: Sequence Number: 111/8/i. -■, Account: Capture Date: 05/14/2014 Bank NumbelligiliiIIPI Check Number: 6338 Y,■. 5338 . • .., BankofAmerica. - " • ...---4-"- . • D.J.VENTURA MASONRY,INC. ,' *taiga 0133100277 40.1°." 3101 I6TH ST.W 63-27-631 LEHIGH ACRES,FL 33971 51912014 PAY TO TH ,E , " ORDER OF JEMA APT $ *1,360.49 lein1-6********Itirk****************Ir****4 Si- is -..1• r-- . Ier:A• i.% -n. 49/100 "******** DOLLARS I JEMA A.P.T. . ; 8 4316 Lee Blvd Unit 6 " , Lehigh Acres, FL 33971 41' : _ MEMO . . , 'HONZED SIGNATURE 46-1674315,9999999 ' .... . _. ... - ...4 . . •14 ,., !__AM 0 0 s:,Y rn t!..9„. Seq: 1 Dep: 001719 • • 7: Date: 05/14/14 - z-. T, "t' tIllror Z : !- .—I < ea --.■ " ' ' ■ `i, :-' :-..::J _< z 6' c-) . 37. it 0 -.7. .,,, , , , . , _ _ -_-:. , 0 0.3 ,.... ,_ L rri 4,0 .. I •:!.c) , > : r X rri SI n . . ... . „ 0 al 70 rn Electronic Endorsements Date Se ence Bank # Endrs Type Bank Name Trunc Return Reason - 11000138 Rtn Loc/BOFD BANK OF AMERICA, NA Y ; Amount: $145. '' Sequence Number: Account: Capture Date: 5014 :: Bank Numbe Check Number: 6339 --•. • 6339 . BankofAmerica • i� ' D.J.VENTURA MASONRY,INC. ACH WT OI3IWZFT . • 3101 36TH ST.W 63-27-631 .• • ' LEHIGH ACRES,FL 33971 5/9/2014 • 8 PAY TO ORDE R OF THE JEMA APT • • $ '"145.00 • ORDER r**rlarrr...r:.3....Inintak.as +a*+*+, *********In+vt++w.+:+tkihtfar.. *******.+rrr+ One Hundred Forty-Five and 001100 DOLLARS JEMA A.P.T. lg . • • • 4316 Lee Blvd Unit 6 .•••• Lehigh Acres,FL 33971 • MEMO . gUTHORIZEO SIGNATURE . WE 05/4/2014 I NV#131967 • • I • • _ - 0 m mvQ m ;• Seq. 1 y D D • Der 001724 ,_ • , : D D • Date: 05/14/14 • • n r' .,m 4 is N .. `1 ' x rn T-) ti - .-.+�rwrC. F V-r't F"I�t V4 ir'::.:7-.6tir`i:.w4 11� ti,�?�. 4�j•r�'.cF.lVvr 5r�G"'FE?'r' -----------'_.. � D-- I V+ e' :;f— .SCI I =" • DD i.,. x x • • 0 m m Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05 Loc/BOFD BANK OF AMERICA, NA Y Amount: $57 Sequence NumIIIIIIIIIP Account: Capture Date: 05/12/2014 Bank Number: - Check Number: 6340 s —.. __ r.—r.--......_._ .. .. a ..T—. - .eN. 6340 BankofAmerica. • D.J.VENTURA MASONRY,INC. ... ACH w as:man . 3101 16TH ST.W • 63-27-631 ,, LEHIGH ACRES,FL 33971 5/912014 • ' S PAY HE Serferino Lugo Moreno ORDER OF $ **576.00 . . ORDER • Five Hundred Seventy-Six and 001100*********""*"*** ****** `********- 'lr'""***************'kk+*******'M DOLLARS • Serferino Lugo Moreno - 8 MEMO 7 AUDO IZED I TURE WE:0510412014 48HRS @$12.00 :- •. .: : • Seq; 39 r:r; a 0- Dep: 000275 .. * �• •Date: 05/12/14 -` °' 0 - _ r. < e• • i - _6 T 3 n Be ii ii 21 O ,...__ __{.0.....4 s. ,.�;. ....I_j___ .11 ..._....._._._... .i,,,in"444444 44 k ern.*.. 4%."04.•.-1,r4..4 i 4.1 - vry 4..111.4,41.4., 14kmsH.'4•,i, VvV 1$1.V4. .40 .N4a4?e..�V t'1'' .1 wt.)ita F er VLiiFi kit i.�'trJa<M'1;to,:t.r Iv !' ,-" ) 0 1' .. . Electronic Endorsements ate s Type Bank Name Trunc Return Reason oc/BOFD BANK OF AMERICA, NA Y Amount: iiiiiiimmir ,4, Sequence Numbe ffar Account: - Capture Date: 05/1242014 Bank NumberfflaMalliff Check Number: 6341 6341 BankofAmerica. � D.J.VENTURA.MASONRY,INC. ,CH R/T DEC1100277 3101 16T1-I ST.W 63.27-631 LEHIGH ACRES,FL 33971 5/9/2014 3 6 , 9 PAY TO T i ORDER OF Domingo Garcia $ "792.00 ° 1 i m Seven Hundred Ninety-Two and 001100+.+t**`*►rta•**r.+rrt"`Hitt *t." rttik*w:.t++.:*rrt2t4 DOLLARS 4 Domingo Garcia _ . 307 E. Delaware Avenue \--...,, 8 Immokalee FL 34142 ; , 0 M C ; O o Tr ✓ 1 1 r `i =~L m R n r,n "r:1 H a; -,m m m • — 'r , s03 fu Co' - . — . : = . , I —17 o ` ^ _ $883490021 :D'-_ w c o• r- C it m ' m z- —. r'h 'r i z _ ✓ - � r_ 1 x m ' J ;; I *N e, r n r z 012________--__ 'I , m Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05 901244 Pay Bank N 16192 Rtn Loc/BOFD ENCORE BANK, NA Y Amount: $182.00 + Sequence NumbegIIIIIIII Account: Capture Date: 05/12/20 Bank Numbe Check Number: 6342 6342 BankofAmerica. D.J.VEN'1't1A MASONRY,INC. ACM wroas,00m 40P le,. 3101 16TH ST,W 63.27.631 LEHIGH ACRES.FL 33471 5/9/2014 5 PAY TO T HE ORDER HE Jorge Y Prepuac $ "152,00 ORDER One Hundred Eighty-Two and 001100""""""""*"""****•******************,..********`""""""' DOLLARS Jorge Y Prepuac 493 Coopers Ct Fort Myers;Florida 33905 4({ C/ MEMO AU1HOEUZED SIGNATURE WE:05104/201414 HRS @$13.00 2� a0 m rn• ■ i Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/12 225 Rtn Loc/BOFD EVERBANK Y 05/12/2 12822 Pay Bank BANK OF AMERICA, NA N 05/13/2 146 Undetermined FEDERAL RES BANK OF N Amount: Sequence Number: Account: Capture Date: 05/13/2014 Bank Number- Check Number: 6343 . 6343 BankofAmeric��60;o: D.J.VENTURA MASONRY,INC. ACN 11/1068100271 310116TH ST.W 6327-631 LEHIGH ACRES,FL 33971 5/9/2014 5 s PAYTOTHE ORDER OF Refugio Sanchez $ *•658.04 7 Six Hundred Fifty-Eight and 00/100****.**k*************,-k**********k*i****.i*************kk****r*************k*k£iF*******.* DOLLARS 4 Refugio Sanchez 4627iausanne Ave 8 Fort Myers, Fl 33905 MEMO AUTHORIMOSIGNATURE WE:05/04/14 47 HRS g$14.00 t9 Deposit OnIV • Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/13/201, -`- - -2 Pay Bank BANK OF AMERICA, NA N 05/13/201A -""—� Loc/BOFD WELLS FARGO BANK, NA Y Amount: $799.00 Sequence Number:111111111111W Account: � Capture Date: 05/12/2014 • Bank Number: Check Number: 6344 ..w4 6344 Bank ofAmerica. � D.J.VENTURA MASONRY,INC. ;' ACHR0068100277 � 310116TH ST,W 63-27-631 LEHIGH ACRES,F133977 ; ��: 5/9120/14 _ a 0 PAY TO THE ORDER OF Oscar Sosa $ **799.00 Seven Hundred Ninety-Nine and 001100*********kii-F*******.***.****kkk*************k***kkk*****k*****k*k#R***k*********** DOLLARS s I Oscar Sosa 4230 Riverview Rd Fort Myers, FL 33905 MEMO AUTHORZE SIGNA'NBE WE 06/04/2014 47HRS @$17.00/HR 111111111111111111.11111110111111111111111.1111M • • For Deposit Only A&E La numero 1, inc Electronic Endorsements Date c nk # Endrs Type Bank Name Trunc Return Reason 05/12/ 5278 Rtn Loc/BOFD WELLS FARGO BANK, NA Y 05/12/20 10 2822 Pay Bank BANK OF AMERICA, NA N Amount: $705 Sequence Numbe Account: Capture Date: 05/12/2014 Bank Number: Check Number: 6345 6345 BankofAmerica. • D.J. VENTUR MASONRY,INC. ACH Fig � A 3101 16TH ST.W 63.27-631 LEHIGH ACRES,FL 33971 5/9/2014 PAY TO THE S ORDER OF Vicente Jose $ "705.0Q as seven Hundred Five and 00/100****#******************************************k#*i******A***********************#*********d DOLLARS Vicente Jose 8 ,e/ MEMO AUTHORp6O SIGNATURE WE:0510412014 47 HRS @$15_00/HR_ I. :j °;°11410dilUe — 1W II oel Jp� Electronic Endorsements Date - - ank # Endrs Type Bank Name Trunc Return Reason 05/12/201 1012822 Pay Bank BANK OF AMERICA, NA N A 05/12/20 05278 Rtn Loc/BOFD WELLS FARGO BANK, NA Y Amount: $576.0 % Sequence Number:• Account: Capture Date: 05/12/2014 Bank Number: Check Number: 6346 1- "—�-� - 6346 BankofAmerica�., - i •D.J.VENTURA MASONRY,INC. . 'ACM wrort,aoen . 3101 16TH ST.W .. 63-27-631 . . L LEHIGH ACRES,FL 33971 •. 5/9/2094 •YTQTHE DER OF Felipe Sanjuan Gonzalez $ *"576,00 Five Hundred SeventySix and 001100`***`********•*'**"'***" """"**'*""***""`"nt""'***'*}**************'****•*** ORs Felipe Sanjuan Gonzalez 522016th Place SW Apt#3 Naples,Florida 34116 .. . . . .. . Sz----j--..--.--'. . ' MO AUTHORIZED sic WE:05/04/2014 48 HRS @$12.00/HR . • , s C � rrtp Seq: 169 ••, ° 0 ° Op) • I'. _ 7 • Dep: 000273 Date: 05/12/14 :11. o_ E who :. 9 1 r j; -ri • n I is ;z p _.._ ;. 6 +; �_.-- le_v,� i1�t++s�.:r-rn,atic�4411-"Tilt I k r3%MmirwM1+i* it e∎Filt rill fn1r.r.fs,e'J t 7 fftNey'?�- +` '"e•r ,4.,vli,+-74,a-+"r-tett-a-.k.'be'Ori te•rr•;• r-ra V Vir t,weavr rt?y7�t1I,`<�i*r Z. )! '• t'`.ra rn • - ! it ', �� i tom Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/12/20 IIIIIIIIIIIIIIIIIIIIIMIIIIIIIIIIIIpPBOFD BANK OF AMERICA, NA Y . Amount: $846.0 . Sequence Number Account: Capture Date: 05/12/2014 Bank Number: Check Number: 6347 __ _......—___..._..._... .. _. _... _ -.. ... _........... .. ... .._ .—_.....,._._.._. ,. _ IVa 6347 Bank ofAmerica �400,.. D.J.VENTURA MASONRY,INC. „CH , „ 310116TH ST.W 63-27-631 LEHIGH ACRES,FL 33971 5/9/2014 2 c B ORDER OFE Oscar Ramirez $ *`846.00 a Eight Hundred Forty-Six and 00/100****************************` ffi DOLLARS Oscar Ramirez ci 807 Brizewood Dr. 8 Immokalee Fl 34142 ... .,./.,-,--=,..)MEMO AUTHORIZED RE WE:05/04/201447 HRS @18.001HR unimummaiimumw 1. o m 1,- '1 - _z -, m m ,-,-1 , S` 0 r .I p i ,r— = mi I .r'_. 11 cm m'ti n ,. 23 r11 3J lo , a <I T m' r, ' —D WI .,, • e . . .13 =l �t\ of . : cr '_ , 00a3493a20 ,"O _0 N 0 , •• �,'0 1I Xr -- . T. I"1 , C';-. , ' d - —3 'j al i 1 _m m _� = rj a -` T _ T - _ t — 0 ■ I r n 4 II a n _ _ m Electronic Endorsements Date ence Bank # Endrs Type Bank Name Trunc Return Reason 05 1244 Pay Bank N 05/12/2014 Rtn Loc/BOFD ENCORE BANK, NA Y Amount: $517.00 Sequence Number: + Account: Capture Date: 05/12/2014 Bank Number: Check Number: 6359 ' l' 6359 Bank of America. D.J.VENTURA.MASONRY,INC. ACH RR'0031002r ii.T 3]01 16TH ST.W 63.27.631 --tvP A, LEHIGH ACRES,FL 33971 •;;y y , fst: 5/912014 7. PAY TO THE , o ORDER OF Ancelmo Ventura $ '4517.00 a 1 I Five Uundred Seventeen and 001100***************4**************f4.*********************************W***M***************f DOLLARS g co Ancelmo Ventura el eaPPti -1( gi MEMO AU HDRIZ®SIGNATUR@ VifE�Q5104/2Q1447HRS @$11AO/HR w.`---------- ^ _ _r_ __-.--.-.-- ______ For Deposit Only A&E La numero 1, tir Electronic Endorsements Date nk # Endrs Type Bank Name Trunc Return Reason 05/ 2822 Pay Bank BANK OF AMERICA, NA N 05/12/ to Loc/BOFD WELLS FARGO BANK, NA Y Amount: $7 Sequence Number: ` Account: Capture Date: 05/12/2014 Bank Number: Check Number: 6360 ' ._ .. .- .. . .. -- i .. - ...._.. _-..-. N• 6 3 6 Q - BankofAmerica. . .D.J.VENTURA MASONRY,INC. ' Aa+wras3,aoxn 40'96 . . 3101 16TH ST.W ' ' 63-27-631 LEHIGH ACRES,fL 33971 . .. -_.... _ . 8 PAY TO THE , I• ORDER OF Jose Agustin Lugo - - $ "756.00 . Seven Hundred Fifty-Sixand_00/100 oou)RS I • Jose Agustin Lugo .- - i : e 722 Harry Avenue S Lehigh Acres,FL 33973 •MEMO - AMORZED UWOMJFC . WE:05/04/2014 42 HRS $18.00/HR ' it' I . --1 ON r 1: fli T T F U TI n w C, n .1 Z. ri 'v • Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 00138 Rtn Loc/BOFD BANK OF AMERICA, NA Y _ i Amount: $799.00 Sequence Number: _11111 Account: � Capture Date: 05/12/2014 Bank Numbe Check Number: 6361 • 6361 BankafAmerica.�.�� D.J.VENTURA MASONRY,INC. ACH R/f 006100277 3101 1611H ST,W 63.27-631 LEMGH ACRES,FL 33971 5/9/2014 1 a PAY TO THE ORDER OF Juan Carlos Rpjo Martinez L_. $ **799.00 } a seven jj.undrethNine Nan ************a**«Iti******41*******0*44 DOLLARS Juan Carlos Rojo Martinez { N 407 Miramar Rd Fort Myers,FL 33905 apta I I �I MEMO AUTHORIZED SIGNATURE — -- WE 05/04/14 47 HRS 0$17.00/HR I : L c. • 0 __ r c N or Deposit Only ME La numero i. tnc Electronic Endorsements Date e ence Bank # Endrs Type Bank Name Trunc Retyrn Reason 05/12/2014 Loc/BOFD WELLS FARGO BANK, NA Y 05/12/2014 Bank BANK OF AMERICA, NA N Amount: Sequence Number:1111111111111111.111. Account: Capture Date: 05/12/2014 Bank Number: Check Number: 6363 6363 Bankof America. D.J.VENTURA MASONRY,INC. AcHa7asstoarn AO." 310116TH ST.w 63.27.631 ' LEHIGH ACRES,FL 33971 5/9/2014 .2 g P_ PAY TO THE i ORDER OF Victor Castillo $ **696.00 # 5 _Six Hundred Ninety-Six and 00/100*************************„ DOLLARS ,' i Victor Castillo 1410Apples Street 8 Immakalee FL 34142 .� r' /v MEMO AUTHORIZED ' WE:05/04/201448 HRS @$14.50/HR m - •' 7 Z Z r * - -o v a I «a o r r d 7 a D y, - i I Z -1 L-1 'i v' i ti > rn 0 ,m t tr t ` :J1?;� r ,n n I .14) o9i0 r' - 2. Tp 1T ' >067016192< 06 • * •n Encore Bank #003 ra O;_ - '_'' ' =1 ' 4'; .' 2019-05-12 ° 33. - I> J i 7 -• -13 l': 0003490031 O - CO ;CI _n ml i, - ,, t i: 1 rl , V i o,_ ' c , ' —1 - c n - m -, ,, 4 I ` � L L U -t '+ X rj G. _ — '7 ,t 1MN f� ' r n I Z or. -- -- --4 I m Electronic Endorsements Date Se ence Bank # Endrs Type Bank Name Trunc Return Reason 05/12/2014 - to Loc/BOFD ENCORE BANK, NA Y 05/ y Bank N a Amount: $696.00 +. Sequence Number: Account: Capture Date: /12/2014 Bank Number: Check Number: 6364 z 6364 Bank of America. . D.J.VENTURA MASONRY,INC. ACH WI 0631002T1 400" 3101 16TH ST.W 63-27-631 LEHIGH ACRES,FL 33971 5/9/2014 _ ‘2' 0 PAY TO THE o ORDER OF Edgar Yostany Linarez $ *4'696.00 ., 2 S • S. -* co_,_ •. .1• 11 11**********3*************************************H******fe....***************r****** OA DOLLARS Edgar Yovany Linarez 8...±. ---609 8 reezewood Dr, lmmakalee,FL 34142 ' MEMO AUTHORIZED SIGNATURE WE: 05/04/2014 48 HRS $14.50/HR al .7 i... . .. , O O II u -, I, r • ,' - i - - r r_ Mm' - „ { ( N 1 0 c-1 i 4' V/0 Q .T� 33 In l r • * . ncore 003 r r?, .. -Jr. , , nV !To z, i: ,_ A= a nl - , M3490(019 5-;z iry HI ; 7'- t I m Z r-', 7 T i z _. — - G 37 -- = — ' -I V — ; r S 211 i� • 3 " I i■� i *N Li 1 ? - r . ? ,o ' I Z mi� - �fi i -- i IS Electronic Endorsements Date Sequent Bank # Endrs Type ' Bank Name Trunc Return Reason 05/12/2014 16192 Rtn Loc/BOFD ENCORE BANK, NA Y f 05/12/2014 244 Pay Bank N e Amount: $4 Sequence Number: Account: Capture Date: 05/19 Bank Number: Check Number: 6365 4 6365 Bank of America�' D.J.VENTURA MASONRY,INC. ACH FUT 0631=77 3101 16TH ST.W 63-27-631 LEHIGH ACRES,FL 33971 5/9/2014 R a PAY TO THE ' ORDER OF Sergio Lopez - $ "466.00 g a Four Hundred Sir-Eight and'001104 DOLLARS t Sergio Lopez 1372 lronwood Ln,Apt#103 8 Immokalee, Fl 34145 MEMO - AurHORE TUBE WE:05/04/2014 36 HRS @$13.00/HR ` I o .� i, ■,, ri m c 1 n o rn n0 O m -I 0 D• - 14 ,1 t' m z; 1- 1 "; Amount: $528.00 t Sequence Number Account: Capture Date: 4 1 Bank Number: Check Number: 6366 • 6366 . BankofAmerica. .� � :. D.J.VENTURA MASONRY,INC. ` ACH PIT% T1 31007 'I� 310116TH ST.W 63-27.631 •LEHIGH ACRES,FL 33971 • .. 91q/2n14 PAY TO THE , . 0 ORDER OF • Felipe.SanJilan Ventura ` ' $ '528.00 I _Five Hundred TwentvmEight and D01 10b*"*'i*"l.."..t""""""''"""'""',444******'..""""114-** ******4.`,****"r*`*** DOLLARS i, Felipe SanJuan Ventura 8 5220 16th Place SW Apt#3, ' Naples Florida 34116 • MEMO AUTHORizEosis RE . WE 05/041201446 HRS® $11,001HR. ` 0Krr Ci Seq: 168 '• 0 1 o b t" _ A Dep: 000273. . :? , ; Date: 05/12/14 a t f I. .. .; n n :r; >Y , .' O . -. fi " C • . a Electronic Endorsements Date Sequence # Endrs Type Bank Name Trunc Return Reason 05 , 0138 Rtn Loc/BOFD BANK OF AMERICA, NA Y I. 1 .,w .r Amount: $5 y Sequence Number:latantar Account: Capture Date: 05/12/2014 Bank Numb Check Number: 6368 .. ___.__.. __ . . .. -. M 6368 Bank of America. D.J.VENTURA MASONRY, INC. AGiRROm100277 . °•W 3101 16TH ST.W 63-27.631 LEHIGH ACRES,FL 33971 5/912f114 1 PAY TO THE I ORDER OF Tomas Alvarez $ "517.00 Five Hundred Seventeen and MOO""`•••" **"""""""'*"`•"'•"'•"""""""""""•« DOLLARS I • Tomas Alvarez 8 467 Carloina Ave Fort Myers El 33905 MEMO 'ur"a"`zED$10Ma'RE WE:05/04/2014 47 HRS©$11.001HR _ _.__ _ _ _.___ _ .�. _. _ _ _ _ _.___ ____ --6- D o T °o V1 X z60 3Nq mA9-40V1 .{ i\I Electronic Endorsements Date Se.t Bank # Endrs Type Bank Name Trunc Return Reason 05/12/201, . 063000225 Rtn Loc/BOFD EVERBANK Y 05/13 _�__ 000146 Undetermined FEDERAL RES BANK OF N 05/12/20 11012822 Pay Bank BANK OF AMERICA, NA N Amount: $339.0.0 +. Sequence Numbe Account: Capture Date: 05 Bank Numb Check Number: 6373 ' -- ..... w. ........ 6373 Bank ofAmerica�' D.J.VENTURA MASONRY,INC. AcH Rrr osa1oosrr 3101'16TH ST.W 63-27-631 LEHIGH ACRES,FL 33971 5/9/2014 8 0 PAY TO THE i ORDER OF Alfonso Nunez. $ **339.00 1 -- ii . -• * Thi -Nine'and 00/100 *****************t* ****t********4********&*****************Yf******** ,O RS 1 g Alfonso Nunez r 115 Dixie Ave ' a Immokalee FL 34142 ,....7---_,:as, S aL>, MEMO AUTHORIZED SIGNATURE WE5/4/2014 1111111111111111111111ffillig~' . AIL. I ■ _ ' ,. ' o m m; _ L ,_Z Z m b -' G 11 I S P, _m .-- � `� = • 'e :an . -3 r. \n o'- - •, • -• - 9 = 9 a m I r_'3 - - - r O CO =Z m ' m a 4 ■ i r :� �) R If , J - _ _• ' I • I . - CI , J n, — _ I m Electronic Endorsements Date -•t -• - !•._. . Endrs Type Bank Name Trunc Return Reason 05/19/20 i,,2 Rtn Loc/BOFD ENCORE BANK, NA Y 05/19 Pay Bank N Amount: $6 Sequence Number Account: Capture Date: 05/1272014 Bank Number. Check Number: 6374 — - - 6374 1 BankofAmerica. D.J.VENTURA MASONRY,INC. ' ACH PIT 0/151013277 3101 16TH ST.w 63-27-631 LEHIGH ACRES,FL 33971 5/9/2014 1 __._ —. t _____ _. ....... 5 PAY TO THE ORDER OF Sergio Gallegos. "629.00 # I Six Hun• -• Twen -Nine and 001100 I• • i. Sergio Gallegos • 8 P.O.box 1540 Immokalee Fl 34142 Yjy� MEMO Saex WE514/2014 , y f e r w i V l -'1 N T• S T. Ls 17 /y 2 t } r _ I _ ': . - - - •■ i 'M . Ct . j 2 1 t ! • IL3 .- • Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/1 BOFD BANK OF AMERICA, NA Y Amount: $7 i Sequence Number: Account: Capture Date: 05/19/2014 Bank Number: Check Number: 6376 _ _ ------- 6 3 7 6 Bankof America. —� D.J.VENTURA MASONRY,INC. ACHRr063100277 310116TH ST.W 63.27.63] LEHIGH ACRES,FL 33971 5/9/2014 6 t 3 PAY TO THE Francisco Tulul $ •x'799.00 ORDER OF t Seven Hundred Ninety-Nine and 00/100 DOLLARS •€ Francisco Tulul q 4375 Glenwood Avenue 8 Fort Myers,FL 33905 - 2,-7----0 ---e---3 „L....3 _____,..tt MEMO AUIF4ORIZED SIDNATUR WE5/4/2014 I 0 T i l I 5 1 yz m z o = n0 p m - - ,( r { x ; rn _ -, 1 _y T'z a ' � II 2 r T ✓• : 2 1' U I I �) r Z m, , , is ti I Li; r1 m m m m - -, r,- I L; ,ii z : , 7/12 r;1■1 T U7 < I . iD m 1 .core =a, #003 :z o - 1 ••1"-- . ' ., , 014-05-1 =12 D ,-,T vin 1,') - - - nd ' c 1 ! r u: 8303816611 - c -G �. r -n 7F11 -11; , ` '?,1. -H ,-p"( xi 1<C) m - ' 1 :a '7 T ,, ,i L --o i c - { b ?,{ N ■ 1 i 1 la • 7 `; 1 zl m r, a , ,1 1*V: " ' = 1 C 2 C. _ 'I I , m Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/19/2014 44 Pay Bank N 05/19/2014 to Loc/BOFD ENCORE BANK, NA Y Amount: Sequence Number: IIIIOPIIPIIIIII Account: Capture Date: 05/13/2014 1 Bank Number: Check Number: 6377 J �.._ Bankof America. 6377 D.J.VENTURA.IJASONRY,INC-. ' AcanRO83,00 i 3101 16TH ST.W 0.27.631 LEHIGH ACRES;FL 33971 5/9/2014 I i { , t ORDER OF Lucio Grande • i 528.00 M**** ********t******.... ra****#****.**t�T*:f'k*k*k**trt#t ft tix***ffiri�kitit***tt{t.*Mif*** Five Hundred Twenty-Eight and.00/100 DOLLARS 1 a Ludo Grandde f .. . 608 HOPE CIR -4=, Immokalee;Fl 34142 =f- 1 .-:N 767—e-r.-- -5 y t t - r MEMO e AUTHORREO SIGs AFU WE5/412014 , • • I m m f > rnv zo �-< i DoomO . 3 mOoWm d OwZO i rZ. X77 •_ -< z MI -ri 0 z I 1 Electronic Endorsements Date ence Bank # Endrs Type Bank Name Trunc Return Reason 05/13/2014 122105278 Rtn Loc/BOFD WELLS FARGO BANK, NA Y 05/13/201 111012822 Pay Bank BANK OF AMERICA, NA N Amount: $235.49 Sequence Number: Account: Capture Date: 05/19/2014 Bank Number: Check Number: 6378 6378 Banko#America.� � D.J.VENTURA MASONRY, INC. Ach KT 053100277 310116TH ST,W 63-27-631 LEHIGH ACRES,FL 33971. 5/16/2019 il 3 8 a PAY TO THE Victor Soto **235.49 ORDER ER OF # s Two Hundred Thirty-Five and 491100********a******************s:****t*R**************f;***********************************f1 DOLLARS j Victor M Soto 10863 Bonita Drive 8 Bonita Springs,FL 34135 64 /ii.rw.MEMO AATURE Pay y Period: 05/05/2014-05111/2014 __-- ___ — 11111111/1111111111111111111 '' ,) r`--•'„r:.r— ___� .� - --_ __ ... ..,.1.4.,_.. - f-_; 'v.ij-=. _.+2" 'or deposit- Only ASE La numero 1, Inc Electronic Endorsements Date Sec e Bank # Endrs Type Bank Name Trunc Return Reason 05/19/2014 Pay Bank BANK OF AMERICA, NA N 1 05/16/2014 9 Rtn Loc/BOFD WELLS FARGO BANK, NA Y ti Amount: Sequence Number: .altdatill Account: Capture Date: 05/28/2014 Bank Number: 06310027 Check Number: 6379 6379 Bank of America. i� D.J.VENTURA MASONRY,INC. ACMMOp+OQA7 3101 16TH ST W 63.27.631 LEHIGH ACRES,FL 33971 5/1612014 S PAY TO THE I ORDER OF Jessica Fajardo $ "140.38 Qne Flundregiforty and 381100 """"'•"" DOLLARS Jessica Fajardo 1744 Cypress Dr 8 Fort Myers,FL 33907 ant el en t u ra MEMO Aul SIGNATURE Pay Period:05/05/2014-05/11/2014 . _ _ einimmimmimmiumit• ,. .. I • Seq: 120 r ,` •01/E0 ###############11.0013 Batch: 020637 8£'0173 r• pay0 ysr3. Date: 05/28/14 A bS 111/6 . ;; • . 505luno4 , n- 3 S • b00m in IO0033._1JN A4t4u3 ' '1 1 6 T OZ/E/SO 19100 uU .L ep: , . .. . . — --_._ BAT;$2x637 CC:0759081911 - _ . - ___----- _____ -__-- *T:eT.-1TF5:.Iacksonrille .---__-- --_—..-- ¢ _ _ BC:Six Yile Cypress BC F14-554 . O . i Electronic Endorsements Date Se e Bank # Endrs Type Bank Name Trunc Return Reason 05/28/2014 = 011000138 Rtn Loc/BOFD BANK OF AMERICA, NA Y Amount: $401.75 i Sequence Number: ligatial Account: 11111111il Capture Date: 05/21/2014 Bank Number: 06310027 Check Number: 6380 . .—..... , 6380 Bankof America. . ...".."- D.J.VENTURA MASONRY,INC. ACH Rif oesi own le . 3101 16TH ST.W 63-27-631 LEHIGH ACRES.FL 33971 5/16/2014 , . S PAY TO THE ORDER OF Daniel J Ventura $ "401.75 Four Hundred One and 751100 inletHrnt.***********OrinIntikiniri****OrtnIr****IrRentIntlml nOLLARS 1 • Daniel J Ventura . 8 •• 3101 16th St W ' Lehigh Acres, FL 33971 i0att1 L /4- MEMO MNDSIGNATURE .• Pay Period:05/05/2014:05/11/2014 . fillinallialIMMININNIMP I ....... d • 0.. . r- , .r. . . . . -,,.... c . - v.., '..i. r, ' c: V . r• _ _ . •. C.. — .... .. . • tr. Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/21/201 011000138 Rtn Loc/BOFD BANK OF AMERICA, NA Y Amount: iiiiima Sequence Number: ailliliatat Account: Capture Date: 05/19/2014 ;-, Bank Number: 06310027 Check Number: 6382 6382 BankofAmerica. - D.J.VENTURA MASONRY,INC. ncH IV(osa,00zn 3101 16TH ST.W 63.27.631 LEHIGH ACRES,FL 33971 5L15/2014 a i'5 PAY TO THE I ORDER OF Tomas Alvarez $ *`363.00 3 i s Three Hundred sixty-Three and 00/100*****************************************************t*,ti****k******************e*** DOLLARS 1 Po Tomas Alvarez 8 467 Carloina Ave Fort Myers Fl 33905 AlWii MEMO /j9 SIGNATURE _ ____ --_VILE_ ____ _ 33HRS.�$i1^.._T-•- __._-_____._—._-_ _-_- ________. _. __—_.-.. -• > -n -6-1\ IR° Q 0 ti r{7 0 LC v = a � C) t J Electronic Endorsements Date Segue_ -; -- Bank # Endrs Type Bank Name Trunc Return Reason 05/16/2014 - 191000019 Rtn Loc/BOFD WELLS FARGO BANK, NA Y 05/19/201, 111012822 Pay Bank BANK OF AMERICA, NA N Amount: $448.00 Sequence Number: Account: Capture Date: 05/19/201 Bank Number Check Number: 6383 , . - - sr -- - -- --- - - ------ -- --- 6383 Bank ofAtnerica. .- J D .'VENTURA MASONRY,INC. ACH R/f 063103277 ,*" 3101 16TH ST.W 63-27-631 LEHfGH ACRES,FL 33971 55/1612014 4 p PAY TO THE ORDER OF Jorge Y Prepuac $ **44$.00 m I ******...*.*r***..**.**.***.***,.try*...*.***.*********fir****************.**.. ** Four Hundred Forbr-lAight and 001100 nouARS w Jorge Y Prepuac .,---,:}..- 493 Coopers Ct -,r:: 2 Fort Myers,Florida 33905 '_ Aied (/q:: MEMO AUIHOR¢EDSIGNAIURE -- WE 5/11/2014 32HRS @$14 -- -- -- ------__— —-. --- -------- - ill - ----- `Ex.-ax ar eiive. --____- — For Deposit Only A&E La numero 1, Inc Electronic Endorsements Date Se. -. - Bank # Endrs Type Bank Name Trunc Return Reason 05/19/2014 r 111012822 Pay Bank BANK OF AMERICA, NA N 05/16/2014 '=-000019 Rtn Loc/BOFD WELLS FARGO BANK, NA Y' Amount: $39 Sequence Number: 8ip Account: Capture Date: 05/19/2014 Bank Number: Check Number: 6384 --. 6384 Banko#America. D.J.VENTURA.MASONRY,INC. , Ivroes,00zn 3101 16TH ST.W 63.27.631 LEHIGH ACRES,FL 33971 5116!2014 -- B 8 PAY TO THE ORDER OF Arturo Manuel Diego $ **395.00 Three Hundred Ninety-Six and 001 100***********************t******************** *****************t!*******Nt******h*irk* DOLLARS Arturo Manuel Diego 399 Molroa Ave Fort Myers Fl 33905 MEMO THORIZED SIGNATURE WE 5111(2014 331-IRS @$12 _.-_.._-•-----_ _ o0 0 C °:::te =v" _ 0 Electronic Endorsements Date Se ence Bank # Endrs Type Bank Name Trunc Return Reason 05/16/2014 0019 Rtn Loc/BOFD WELLS FARGO BANK, NA Y 05/19/2014 ank BANK OF AMERICA, NA N Amount: $624.00 , Sequence Number: 11 Account: Capture Date: 05/19/2014 Bank Number: Check Number: 6385 _. - .. 5385 .I BankofAmerica. + D.J. NTURA MASONRY,INC. AC►,wroes,00¢n 3101 16TH ST.W 53.27.631 LEHIGH ACRES,FL 33971 5/Q/2014 8 PAY TO THE ry I ORDER of Cl udio Sigero Colorado , $ '624.00 l? 1 Six Hundred -Four and OOL10d*`***********14***t'".ALL** ****.**. a&A *+*****.*1********IhN.**4** *****k*****.,��. nouARS I A Claudio Sigero Colorado � 5 8 751 Veronica Shoemaker Blvd Fort Myers FL 33916, 0414/1 MEMO 9(iNATURE WE: l04I201439HRS@$16.00 .. - 4 1 11'00638511' 006 3 100 21'71: 2 2 90 ,6958 19 &II' A i 41 f r\- • 1...1' -4 i 0` ttw� W J I 0 f7 T t., n o ‘4 i -A R O '' i .4 \ 1 Electronic Endorsements Date Se•u-- - Bank # Endrs Type Bank Name Trunc Return Reason 05/19/201, 012822 Pay Bank BANK OF AMERICA, NA N 05/19/201/' ` . 05278 Rtn Loc/BOFD WELLS FARGO BANK, NA Y 4 Amount: $564.0 , Sequence Number: moiow Account: Capture Date: Bank Number: F Check Number: 6386 6386 BankofAmerica. D.J.VENTURA MASONRY,INC. ACHa T O631cazn � — 3101 16TH ST.W 63-27-631 LEHIGH ACRES,FL 33971 5/9/2014 a `e 1 s PAY TO THE ORDER OF Arturo Manuel Diego • $ 564.00 i `f Five Hundred Sixty=Fourand 001 100••"m'***'`*••*:**.":**.t'***..* **.m.,************************•— DOLLARS 4' Arturo Manuel Diego I 399 Molroa Ave " . ' Fort Myers Fl 33905 1 MEMO AUTNORIZEDSIGNATURE WE:051041204447HRS @$42.00 - ---- -- _ —. _ —__—.-- i CD 0 c a m 0 0 w m O n -, CD ' 0 X N rt t 1 (D a C7 0_- 0 41 a3 c Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/13/2014 I( . 061000146 Undetermined FEDERAL RES BANK OF N 05/12/2014 226077082 Rtn Loc/BOFD ACTORS FCU Y 05/12/2014 ay Bank BANK OF AMERICA, NA N Amount: $46 ''" Sequence Number: Account: Capture Date: 05/12/2014 Bank Number: Check Number: 6387 , 6387 : Bank ofAmeri�1' D.J.VENTURA MASONRY,INC. ACH WI 069100277 3101 16TH ST.W 63-27-631 LEHIGH ACRES,FL33971 I 5/9/2094 n i o 2 PAY TO THE ° ORDER OF Concepcion Velazquez $ **462.00 li as i' Four Hundred Sid!•Two and 041104#R**aMk#**#*##**#k#*##tt*#*#*****i*3##R**#*#*#H1*R####*RR####t##*Ri###**#*t#i**#t#**#R* DOLLARS N Concepcion Velazquez 8 IMEMO AUTHORIZED SIGNATURE f WE:05/04/2014 42 FIRS @$11.00 . .. - _— _ _1 7.____ ry co• 0 c m 0 Q• S (0 0 g o m K0 m X N '� 5 (11 N m n 1 _a c m o' Electronic Endorsements Date Sequence ¢-r. # Endrs Type Bank Name Trunc Return Reason R 05/12/2014 012822 Pay Bank BANK OF AMERICA, NA N 05/12/2014 _ 177082 Rtn Loc/BOFD ACTORS FCU Y 05/13/2014 'Y' 46 Undetermined FEDERAL RES BANK OF N Amount: $517 ¢ Sequence Number: Account: Capture Date: 05/12/2014 Bank Number: Check Number: 6388 6388 Bank ofAme>r~ca� D.J.VENTURA MASONRY,INC. ACHRrros91oo2r» �� 3101 16TH ST.W 6127:631 ,t LEHIGH ACRES,R 33971 5/9/2014 a t a _ PAY TO I 3 ORDER THE Ronald FLores $ **517,00 ORDER OF 1 E S Five Hundred Seventeen and 001 100******************y*********tkMM**H#i**********-********************4***************0 DOLLARS $' 4 j . Ronald Flores i 1 el 4917 Jupiter Rd. Fort Myers FL.33905 j i AUki'P� MEMO AUTHORIZT SIGNA\TUi WE: 05/04/2014 47 FIR S @$11_00 -----.___ ------ iniumummilimmoiaw /1\0 . Vie. For Deposit Only A&E La numero 1. Inc L Electronic Endorsements Date Se•i -• - _ :. . .#._ Endrs Type Bank Name Trunc Return Reason 05/12/2014 Pay Bank BANK OF AMERICA, NA N ''' -, 05/12/2014 - Loc/BOFD WELLS FARGO BANK, NA Y Amount: $705.00 4 Sequence Number Account: Capture Date: 5/14/ 4 JI�I� Bank Number: Check Number: 6389 BankofAmerica���, 6 3 8 5 D.J.VENTURA MASONRY,INC. AcH FYI cesiooxn 3101 16TH ST<1A, 63-27-631 LEHIGH ACRES,FL 33971 t 5/9/2014 t l 1 s PAY TO THE David Sanchez "'70 a ORDER OF 5.00 `I` >s tHt*#*##**#**#k**t*tF*#*k*##�k***#"+#'t##F*1[#t**t#!#tTR*ir***#*M*k#i***k4*9rkH!#ir Seven Hundred Five and 00/100 *k###*f*tlie*ii*�yW/ o DOLLARS David Sanchez 4627 Ban Street Fort Myers, FL 33905 // `( MEMO . �AUTORIZEostRATURE ______ _.w_ __ _ WE:05/04/201447 HRS @ 1500 _._______-.____. _—__—�_.__, .._.__ __ �. __._ 011111.111111.....11.1111111111111111111111111 1. AI. f l S. I . r PO For Deposit Only A&E La numero 1, Inc N hllh■ .r . Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/14/2014 '4 -10019 Rtn Loc/BOFD WELLS FARGO BANK, NA Y 05/14/2014 • °1012822 Pay Bank BANK OF AMERICA, NA N Amount: $396. Sequence Number: imaiiiiiir Account: Capture Date: 05/19/2014 Bank Number: Check Number: 6390 6390 BankofAmerica. D.J.VENTURA MASONRY,INC. ACH Rlras310o277 310116TH ST.W 63.27-631 LEHIGH ACRES,FL 33971 6L1_6/201_4 il c 0 PAY TO THE ORDER OF Concepcion Velazquez $ **396.00 a Three Hi.ndted Ninety-S.ixand 00110D*********,*****3...** .**"•.*"i•*i..... ,•....****,,,„..*.*.**.*.*..*.,..., ...,, J OL ARS cN Concepcion Velazquez 8 Oer,fai(6.-1--- -.] MEMO AUTHORIZED SIGNATURE __ .---___._1_VE 5111/2014 .33HRS @_ 12 �_ --- - -- --__—_____— -_.. _ .,- S T--- - r) 0 g nil ':! �= ,.__� -- - =--- _ -:� ;.�sr .,_ :. .� :;t_ g o Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/16/201' Rtn Loc/BOFD WELLS FARGO BANK, NA Y 05/19/201, 122 Pay Bank BANK OF AMERICA, NA N Amount: $451.00 • Sequence NumberAIMMEIPI Account: Capture Date: 05/19/2014 Bank Number: NNW Check Number: 6391 AMMO 6391 Bank of America � D.J.VENTURA MASONRY,INC. „CH w,08310D277 i` 3101 161-H ST,W 63127-631 LEHIGH ACRES,FL 33971 5/16/2014 S PAY TO THE 2 ORDER OF Ancelmo Ventura $ *1451,00 Four Hundred atone and 00/1 ocr., .* ..-„wxw**rx*Yy .*}k*****:** . .. * *. * 4 , **: *****t* * * k+ax **.**. . _oOLLARS ' Ancelmo Ventura 8 /ft/ MEMO u(/j aiiEOSIGNATURE ___-_ WE 5/11/2014 41HRS @$11 _• --.----- __— 101101111111111111111011111111.111111111.111111111, •• , 4 1Q �npQSf t Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/19/2014 - • .2822 Pay Bank BANK OF AMERICA, NA N 05/16/201A s;�+3N ^ .stn Loc/BOFD WELLS FARGO BANK, NA Y Amount: $462.00 Sequence Number ittariggarib- Account: Capture Date: 05/19/2014 Bank Number:NNW Check Number: 6392 6392 Bank of America. ` � D.J.VENTURA MASONRY,INC. Ac l+wrosa,oazn 3101 16TH Si.W 63-27.631 LEHIGH ACRES,FL 33971 5/16/2014 1 A PAY TO THE g ORDER OF Rolando P.Godinez $ "452.00 3 Fourliundred Sixty-Two and 001 100*****.*"***.**.**.*"****.*.::.*...****.«.+1`.4`.`..,..,,°#..F,�....«. .«.+*f....ti.#. DOLLARS N 4274 Greenwood Avenue Apt#73 ' Fort Myers,FL 33945 n���id -MEMO 11/ AUni0 IGNATLRE WE 5/11/2014 33HRS @$14 IIIIIIIIIqllIll.IBM. 11111111111111111110 ^-a . o v . It,_.ND N V N O �Q! A O �a' O m V N O K VO n Ili 0 2 45?NC IML 0 • Electronic Endorsements Date -•, ,.._- tank # Endrs Type Bank Name Trunc Return Reason 05/20/20 -#• 000146 Undetermined FEDERAL RES BANK OF N a 05/19/2014 • 1012822 Pay Bank BANK OF AMERICA, NA N `' 05/19/201, -?182 Rtn Loc/BOFD ACTORS FCU Y Amount: $574.00 Sequence Number:gimigiiiiip Account: Capture Date: 05/19/2014 Bank Numbe Check Number: 6393 .. 6393 . . . . . Bank of America. _...L.. . • D.J.VENTURA MASONRY,INC. ACH RN 08310027T 49- -000" _ . • 3101 16TH ST.w 63-27-631 LEHIGH ACRES,FL 33971 ,, . • • ' . 5/15/2014 1 : . , , • . 1 6- . _. .. . _ . _ ,, • .. . , . . . . . . . . .., ... . PAY TO THE , . • - , ORDER OF Marvin Garcia - . , $ "574.00 1 , . . - . • .. . , .. .. . • •• . . lL • ler* r -It- I -10 • go&& DOLLARS • . . . . . I • - Marvin Garcia .. - . .- - •• • • . v • .%• •... •., • ••• ...4. .• • * • - 4762 PalmDeNova Lane J-, .., . ,- •- ---; , . ,, @ Fort Myers FL 33905 . . - : . A ' -. • •, . MEMO - - , AUTHORIZED SIGNATURE . ' WE 5/11/2014 41HRS(4)$14 ---- • „___ WIMIIIIIIIMIIINIIIMIRINIallgi ,4 .... rn z ■:.. 0 , ..„ 0 - 13 ..r. . ... Li% -. m . 7. , m :-.. fIL _ . . C .. - c - . ' •• C - . . - — L.) . . „ . 1 ✓ „: .,„ • _ c• . • . . i• i,. . _. . Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason .. .., _ 011000138 Rtn Loc/BOFD BANK OF AMERICA, NA Y Amount: $658 .1 Sequence Number . _ Account: Capture Date: 05/19/2014 Bank Number: Check Number: 6394 6394 Bank ofAmerica. 0 D.J.VENTURA MASONRY,INC. ACHRlI 088100277 400.4 3101 16TH ST.W 63-27-631 LEHIGH ACRES,FL 33971 5/16/201a a PAY TO THE P3 ORDER OF Refugio S_anchez $ *`658.00 i i Six Hundred Fifty-Eight and 0011 D0**********k**********M****R#**k****************}M**ii***i*****i!***M****************h***N# DOLLARS € i Refugio Sanchez 4627 Lausanne Ave is Fort Myers, F133905 dcr fit/ 7 A/1( MEMO- AUTHORIZED SIGNATURE ._____WE 5/11/2014 47HRS @$14 ___�_�� P c. For D 7s E La numb 97 Inc N Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/16/201,. ' Rtn Loc/BOFD WELLS FARGO BANK, NA Y 05/19/20 ' - - -. -- - ∎2822 Pay Bank BANK OF AMERICA, NA N Amount: $70_ , is Sequence Number: Account: Capture Date: 05/19/2014 Bank Number: Check Number: 6395 6395 BankafAmerica. D.J.VENTURA MASONRY,INC. Ack AI'Og31002T/ 3101 16TH ST.W 53-27-631 LEHIGH ACRES,FL 33971 5/16/2014 6 PAYTOTHE g ORDER OF David Sanchez $ **705.00 2 3 Seven Hundred Five and(IQl1Q0***'k**Y***k******4i*******#**M#*****}**********k***YeM*Y.rt*iFk***k********k*.k..*****1.*k. DOLAas David Sanchez 4627 Ban Street 8 Fort Myers,FL 33905 �J nom(///cii MEMO A THCRIZED SIGNATURE WE 5/11/2014 47HRS @,$15 �___.___ _._.__�___. T___..-,.__ A Oo Q g CI q. l�:'.r�r{�..� Ja=•� — _ _- ___ - iwiwli�` ` S'ifr��-r --� -- �Y��rr_ — / N. �° ' � CI N Electronic Endorsements Date .e* ence Bank # Endrs Type Bank Name Trunc Return Reason 05/19/2014 2822 Pay Bank BANK OF AMERICA, NA N 05/16/201A k' ` .19 Rtn Loc/BOFD WELLS FARGO BANK, NA Y Amount: $615.00 Sequence Number: Account: Capture Date: 05/19/2014 Bank Number: Check Number: 6396 6396 BankofAmerica. D.J. VENTURA MASONRY,INC. R/r063100277 I 3101 16TH ST.W 63.27.631 LEHIGH ACRES,FL 33971 5/16/2014 _ 2 PAY TO THE ORDER OF Vicente Jose $ *'615.00 Six Hundred Fifteen and 001100**************A*Yr*Y***}*.Hr**A*Irk*iar}****}A*Jr*IAA***********A********}*******fie********f***i*** IIOLLARS 1' A Vicente-Jose Alva( / /.4.7- MEMO AUTHORIZED SIGNATURE _.._._- WE 5/1.1/2014 41HRS @$15 r� For Deposit Only A&E La numero 1, Inc Electronic Endorsements Date •i -nce Bank # Endrs Type Bank Name Trunc Return Reason 05/16/2014 19 Rtn Loc/BOFD WELLS FARGO BANK, NA Y 05/19/201 rgsr` _yy Bank BANK OF AMERICA, NA N Amount: $752.00 Sequence Number: Account: Capture Date: /2014 " Bank Number Check Number: 6397 6397 BadcolAmerica. D.J.VENTURA MASONRY,INC. ,wr oes+ooxn irl 3101 16TH ST.W 63-27-631 LEHIGH ACRES,FL 33971 5/1612014 1 PAY TO THE I ORDER OF Claudio Sigero Colorado $ "752.00 ! Seven Hundred Fifty-Two and 001 140 1.ri!lN*Rf.tli#.i#tMMllifiti ****6f/#ti *****M*.****#.***Milo*t" *****.t* .m, r,o ,•x I Claudio Sigero Colorado 8 751 Veronica Shoemaker Blvd Fort Myers FL 33916 4, MEMO AUTHORIZED SIGNATURE WE 5/11!2014 47HRS @$16 IIIIIIIIIRIIEIVIIIIMMIMIIIIIIPIW �\ ;L ,. C;$ , J. n 4 ' i a a, 0 1 Electronic Endorsements Date equence %ank # Endrs Type Bank Name Trunc Ret cn Reason 05/19/2014 ,' . 122 Pay Bank BANK OF AMERICA, NA N ,___ 05/19/2014 '15278 Rtn Loc/BOFD WELLS FARGO BANK, NA Y Amount: $738.00 Sequence Number: Account: Capture Date: 05/19/2014 Bank Number: �' Check Number: 6398 .___-__--. -- — _- --- - _ ._ .. . . - -. - - - - - - *r `6398 BankofAmerica. D.J.VENTURA MASONRY, INC. ACHWT033100277 31D1 16TH ST.w 63-27-631 LEHIGH ACRES,FL 33971 .r f PAY TO THE ORDER OF Diego Ortiz $ *738.00 Seven Hundred Thirty-Eight and 00/100•`••`*******„*******••**:**********•**••' **•`**"'•""*•`*•***•**•*********••Ir•,r• DOLLARS Diego Ortiz 3983 wheaton et $ - Fort Myers, FL 33905 //4//:•"1 MEMO AUTHORIZED srG AJI. WE 5/11/2014 41 H R S $18 .1 t • IMININEIRP . o N . \i {J Electronic Endorsements Date ---•.-. -- Bank # Endrs Type Bank Name Trunc Return Reason 05/19/2014 _ • Rtn Loc/BOFD WELLS FARGO BANK, NA Y 05/19/2014 Pay Bank BANK OF AMERICA, NA N Amount: $738.00 Sequence Number: Account: Capture Date: 05/19/2014 alifeall. 2 Bank Number: Check Number: 6399 6399 BankofAmerica. � D.J.VENTURA MASONRY,INC. ACHR/r 00310J277 3101 16TH 37.W 63-27-631 LEHIGH ACRES,FL 33971 5/16/2014 • a PAY TO THE m ORDER OF Oscar Sosa $ *'"738.00 - -1 ■ .It. -, 7 - I I I I********a**** *************,*****************t***********r*******t**************** DOLLARS ` Oscar Sosa 4230 Riverview Rd Fort Myers,FL 33905 0 MEMO AUTHORIZED E0ATURE WE 5/11/2014 41FERS @$18 EMI ', aiaWnu /1u0 lisodaa Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/19/2014 1 05278 Rtn Loc/BOFD WELLS FARGO BANK, NA Y 05/19/201A 112822 Pay Bank BANK OF AMERICA, NA N Amount: $627 Sequence Number: Account: Capture Date: 05/19/2014 Bank Number Check Number: 6401 . 6401 BankofAmerica�.- D.J.VENTURA MASONRY,INC. ACHwTO631CO2n • 3lOT 16TH 3T.W 63-27-631 • LEHIGH ACRES;FL 33971 - 5/16/20j4 PAY TO THE ORDER OF Jose Agustin Lugo . . $ *"627,00 Si x Hundred Twenty-Seven and 001100"*i"**"************f**"****** *****"*"**************.******"************rr**",e**"*** DOLLARS Jose Agustin Lugo 8 722 Harry Avenue S . Lehigh Acres,FL 33973 ta / / /1 MEMO lJ AUTHORIZEDSIGMATURE —---- WE 5/11/2014 33 hrs @$19_.. . -____--___..._— —- — - • • • . Jo 0 • U C rn t?..0.1.. X PA rn ti 0 p C! .,? • Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/19/2014 +-- 000022 Undetermined U.S. BANK NATIONAL A N 05/17/2014 '••022 Rtn Loc/BOFD U.S. BANK NATIONAL A Y 05/17/2014 - .0022 Undetermined U.S. BANK NATIONAL A N 05/19/2014 ^`iii*."0+. 2 Undetermined U.S. BANK NATIONAL A N 05/19/2014 2 Pay Bank BANK OF AMERICA, NA N Amount: $738.00 " Sequence Number: Account: Capture Date: 9/2014 Bank Number: Check Number: 6402 6402 Bank of Ameri D.J.VENTURA MASONRY,INC. ACHR 063100277 3101 16TH ST.W 63-27-631 LEHIGH ACRES,FL 33971 5/16/2014 e 0 PAY TO THE OR ER OF Juan Carlos Rojo Martinez $ **738.00 l*******i***i**********fF*i ..**.******.******.******tFlfwa-k*****k**fK************ Seven Hundred Thi �i�l1t and 001100 COLLARS Juan Carlos Rojo Martinez 407 Miramar Rd 8 Fort Myers, FL 33905 h /I ra/4 MEMO A DRIZED SIGNAIURE WE 5/11/2014 4IHRS @$18 C, c %, For DePos## Only N� Inc Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/16/2014 oc/BOFD WELLS FARGO BANK, NA Y 05/19/2014 Bank BANK OF AMERICA, NA N Amount: $540.65 Sequence Number: Account: Capture Date: 05/19/2014 Bank Number Check Number: 6403 6403 -. Bank ofAmerical�—z MASONRY,INC. ^`"�08" 5!16!2014 earn VENTURA MAS 63-27-631 D.J. 3101 REST ST.W S LEH4GH ACRES.FL 33973 **540.65 ° PAY TOTNE Juan C Mendoza *«„*,«+««.«.«..+«+w«..*.. __DOLLARS ORDER OF— - +«««.+.«««..«�«««++«...«r««.«.««+*««.. Five hundred Forty and 55/1N.' 8 ' Juan C Mendoza i 1310 Lake Trafford Rd lrnmokalee, FL 34142 ,---, AU HON ZED SIGNATURE MEMO pay Period:05/0512014-05111120 _. -. - ._.__ Y u• ' n l c, z `� m rn r Li;=.1 z m"P ttt ca C,d ' 1 D n c x I r i n Sm �-U r ca ) � m or• , ,D , - I-. ip % ncore Ban 03 =a ` r,7 c ae63a15026 m z !V t. . � x < 1 z 'r, r m r co n _ Al -x Q -S \tiV s 2 m Electronic Endorsements Date Se. ence Bank # Endrs Type Bank Name Trunc Return Reason 05/19/2014 X901244 Pay Bank N 05/19/2014 - Rtn Loc/BOFD ENCORE BANK, NA Y Amount: $442.75 !! Sequence Number: 1001110/110 Account: Capture Date: 05/16%2014 Bank Number:laffri; Check Number: 6404 _ - • - 6404 BankofAmerica. • . D.J.VENTURA MASONRY,INC. ACM NT 09910007 4.011% 3101 16TH ST.W 63-27-631 . LEHIGH ACRES,FL 33971 • 5/16/2014 . . 8 PAY TO THE ORDER OF Tomas SanJuan $ **442.75 Four Hundred Forty-Two and 75/100*****"—****9*********************** *********Int..***********Irtyrit*****In.***** DOLLARS I , • Tomas SanJuan 4129 19th Ct SW . 8 Naples, FL 34116 . ....--- 4",--0-t1 C---3----...,E)— MEMO AUTHORIZED SJDNATUFIE Pay Period:05/05/2014-05/11/2014 IIIIIINIIIIIIIIIMIIIIIIIIIIIIINIIIIIIIIIIIIIIIIV I . i e . .i„„„.. ,D R •.. - • 0-.1 • _ . 1. . . . , 1 ' ., ;.. . '..> •:-.:. . L.,• ') . ' .....-_,. ..:.) :-.„.•.• ,.%•;, -,- r•_. :7% ,; ,• . ...,.-n .:- :• ' -- 7- - r, .':,:0 - -.. M . . . . . . . Electronic Endorsements Date equence Bank # Endrs Type Bank Name Trunc Return Reason 05/16/2014 Loc/BOFD BANK OF AMERICA, NA Y Amount: $608.00 Sequence Number: illfairMar Account: Capture Date: 05/19/2014 Bank Number: m Check Number: 6405 ----._.....------... ---------_.... _ ._ ._.._ ._..-.._---.......... .-.. . ------------_.....--.5- 6405 BankofAmerica. D.J.VENTURA.MASONRY,INC. ACHk'r O83100277 3I01 16TH ST.W 63-27-631 LEHIGH ACRES,R 3397] 5/16/2014 c 0 m 9 PAY THE Oscar Ramirez $ **608.00 ° ORDER ER OF f Six Hundred Eight and 001100.*******.******** **!#*h*ir*i*i*ii*i**:L***************•***************************•*********** nOLLARS 4' I Oscar Ramirez 807 Brizewood Dr. ,- 8 Immokalee Fl 34142 �/ ` _ ,:,,,,,,.....) :_____7 MEMO AUTITOHIZED SiGNATUPE WE 5111/14 111111111111111111111111111111111111111111111111111. ? 1 0 0 I _ _z z m' - O O rti _ , ,- a D , a0 r'..I r \ y rl - L 1 •71 _r If ` .57.-• 77 -m m rat m 0 m rQ to i AI nco. - •- .703 i 1 �1 r rJ oft 'r ' n ? 1 f ri; , 2 r` . ' I Z ..GS S n r. -< flip i i --•' M ac co fn . 1 —m X - - 3 r �O a 'r X. — PI - , u+ O ' ' ' r , �I�- - w - I m Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/19/2014 008392803163 114901244 Pay Bank N 05/19/2014 Loc/BOFD ENCORE BANK, NA Y Amount: aijIIIIIIIIIIW Sequence Number- Account: Capture Date: 5/19/2014 Bank Number..." Check Number: 6406 .s . . __ _.......__ 61+0 6 Bank of America. ...„...4.40.. D.J.'VENTURA MASONRY,INC. ACH Rfr 083100277 . 3101 16TH ST.W 63-27-631 LEHIGH ACRES,FL 33971 5/16/2014 4 5 N PAY TO THE ORDER OF Domingo Garcia $ '697.00 a 2 Six Hundred Ninety-seven and 00/1 00**************....*********.*****.********.******.**.*******.*****...*.************* DOLLARS • Domingo Garcia 307 E. Delaware Avenue ' 8 , -----1- Immokalee FL 34142 ----- , ) MEMO AVMs•-l'.SIGNATURE VVE 5/11/14 41 Hrs @$17 i . _.. I ' 0 , 1 0 I7 '4.1 tri in▪1 7, . , ■• ,Z Z _. O ". ' 7 r 0 tr r -I _- I .„ i ' n :1--1 a* V r' 2 .,' I --, --, -72 r- 221i - 1 r.?0 r-( m 1 : t1133 ir i■ I+'T, , _ : p<II i 1 • t , r, , , •,f'S III X ti, -,--1 4 e, ./ -7. rit'- u,1!3 . . .,,3 a!.. . - :- Cl - 1)- -,i ; -1 - - , :., ..r-.., , —J,. A Eo z,' r: , , -- ■ — - -- ,I,, .., , ,_, .1 rt 1 :z.1, cimw,__ a- — , .7'.C.: . 4 _I . -< '' "- ' -'' ■.- ''7 P , -1 V r: ,-, ' -2 4 . . _— 1-c a3 ....,,,, „- , r,:'• M i C ' ,-F, •l', c0 x - -_ ' , = 1 o - _ , ,-.7 I... ... • , , 0, ; .: j . 1 m, ;- *"... , /..) *—0 rn r: I 7 Pi , ,I r 0, ' t, . I - ' ' 2. _ _ ' I m Electronic Endorsements Date -.k .7 e __ Bank # Endrs Type Bank Name Trunc Return Reason 05/19/2014 n Loc/BOFD ENCORE BANK, NA Y • N Amount: M ir ISI Sequence Number: alignalanglang Account: . i Capture Date: 05/19/2014 Bank Number: Check Number: 6407 6407 gaekoEAmerica��� MASONRY,INC. AcHMOE3+U�6 5/161201A VENTURA MA6 63.27 631 D. .VENTURA 16TH ST.W a$ LfHIGH ptRES,FL 33971 S **774.00 1 PAYTDTHE Francisco TWO f+w ,p01f}1RS ORDER OF__1— .ix.l###....#+....}+.lTx +x#}**s##w't*+k*wiT}tkxT*•*tii**l++}twT*++#*tit}#fi JS Seven Hundred Seventy Four and 001100'"` 8 Francisco Tulul 4375 Glenwood Avenue Fort Myers,FL 33905 4j 6'f AUrHORLEU51ONATURE MEMO WE 5111114 43 Firs Gad$18 _ 1 *r rl"— m O 1 if G m r nl ., , 1 , N p1 = C = t!T� ?m m 9rl r _, 'fin - ' i. • r ❑ .- r_ ;_ c. o,�. :a. 5 ..-'• —,..- , ':0 P b „ f 7D o - Cr• . 9 r t _m , _r m O D - n t' X , n L_--•°--- I I _ W 1 r , m' Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/19/2014 Bank N • 05/19/2014 - to Loc/BOFD ENCORE BANK, NA Y Amount: $496.00 Sequence Number: f Account: Capture Date: /19/2014 Bank Number: Check Number: 6408 • Bank ofAmerica.' ! D.J.VENTURA MASONRY,INC. AcH aaow ooze 3101 16TH ST.W 63-27-631 5116!2014 LEHIGH ACRES,11 33971 . * a a PAY TO THE $ **496.00 S ORDER OF Victor Castillo •Four Hundred Ninety-Six and 001 100........**.**.w.........*._*......*......*..*.*..*txxx+i,rr******r*.*.r******.*.rt..*r.. DOLLARS CO Victor Castillo 1410Appies Street f 8 I mmakalee FL 34142 AUTHORIZED NATURE MEMO WE 5/11/14 32 Hrs @$15.50 ___. _. ... _____...-_... - ..... . . ______ . 11.1110/11/111111111/1MIXIMININ ',4 • ' 712 a ii, A� '?Z 1 f ,-o A3 iT ■ I 1r-+ 0 of Lmil' - ri y ,v -7p I <I- ti r, I co,1r rN ' T1 0l� .r L'1 ore - • .3 c p' , 2 ', o v '�9 DI. , J f'if ' f rJ \ \ )r: = y 7. ORS r.�' r d L L1 ' n 1 2- 01,________ -i I m Electronic Endorsements Date Se_:,-.• -- Bank # Endrs Type Bank Name Trunc Return,Reason 05/19/2014 16192 Rtn Loc/BOFD ENCORE BANK, NA Y 05/19/2014 4 14901244 Pay Bank N Amount: 666.50 Sequence Number: ONNiffiar Account: Capture Date: 05/19/2014 Bank Number: Check Number: 6409 _. ur 6(409 Bank of America. VENTURA MASONRY,INC w �� 5116/2014 Ac 83.27.631 310116TH ST.W S LEHIGH a ACRES,FL 3397] 2 8 $ *.666.50 PAY TO THE Edgar Yovany lia_nz DOLLARS i ORDER OF Six Hundred Sixty-Six and 501100""i***..itii**.*..iii****..**. *.iii. 8 Edgar Yovany Unarez 609 Breezewood Dr, Immakalee,FL 34142 ie-.-YF' .—"'�- AUTHOIIZED ,c ATURE MEMO WE 5111/1443Hrs @$15. --- - m i m i " 4 a s_ q m it � _ ,, r ,1 :s e 0 o 1 2 g m • i, ry , rO v _ "+ m� -0 I C , C S I, f, ;:," _ ,1 y' �7 i a o1l. v _ _ I #003 C — — 2 r ! —' ;� :of T. n; - _m ^ „ o n 1 N r 2 • m Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/19/201 6192 Rtn Loc/BOFD ENCORE BANK, NA y 05/19/20 ; _ 244 Pay Bank N Amount: $598.00 -t Sequence Number: r Account: 111111111k Capture Date: 05/19/2014 v. Bank Number: dillialirw. Check Number: 6410 ....--- . . ' . 6 410 Bank of America. .� D.J.VENTURA MASONRY,INC., : : AcH �+ .. ' • 3101 16TH ST.W 63-27-631 5/1612014 LEHIGH ACRES,FL 33971 6 e *"598,DO PAY TO THE Felipe San}uan Gonzalez ORDER OF . Five Hundred Ninety-Eight and 0011fl0*i**Y!R*YR *!i****M*�.�.* DOLLARS Felipe Sanjuan'Gonzalez . 8 5220 16th Place SW Apt#3 Naples,Florida!34116 ,.• -.-i HORR IGWMME MEMO WE 5111/14 46 Hrs @$13 emaimommmin v(?) f- ni .rl; Seq: 73 o N o .V .,, �i - i: Dep: 0085: a .- - 'e iv ,ti Q Date: 05/19/14 ss v .{�s • rv' ` pit ' '-' t_ , ' ,,"- 1 -'d r`e ani.'t t f 1.'4..# .+r-yiet:1;-N. \.r. 7 ,r1,.r e. ,ry.e r.d ;, ‘ :!'\,■.,° r. i *V • 0 ii1 . • .. -' r . ,„ Electronic Endorsements Date nk # Endrs Type Bank Name Trunc Return Reason 05/19/ - 1000138 Rtn Loc/BOFD BANK OF AMERICA, NA Y Amount: $59 Sequence Number: IIIIIIIIIPIIIIIIP Account: t Capture Date: 05/19/2014 Bank Number: Check Number: 6411 6411 BankofAmerica. �� 4 • • D.J.VENTURA MASONRY,INC. ACM PIT 0591=n • 3101 16TH ST.W 63-27-631 LEHIGH ACRES,FL 33971 5/16/2014 1 PAY TO� p THE Felipe SanJuan Ventura ' $ *'`598.00 ORDER OF Five Hundred Ninety-Eight and 00/100*******F'k*******4****M*Yr*****h********..*****#*HHr*****K******M#*i.***}***irk******** _DOLLARS Felipe SanJuan Ventura . 5220 16th Place SW Apt#3, Naples Florida 34116 MEMO ' ' AUTNORUEo SIGNATURE WE5/11/1446Hrs @$19 .11111111111111111111111111111111111.1111111111111111. . . : p CU 5 �: m� Seq: 178 . :o ° e k Dep: 000284 - r K• Date: 05/19/14 2 in > i4, r - e -r 3 b < n o, ' f� � �!!� ::,. .. 5".. . 1 Ps* iv.I .. f .kvcrVACY'l.,7-4bry.3 'x01∎10" 1 ..;4*'9 i1 1 Y"t.'k+ A-+! —„, :n P' J) Electronic Endorsements Date drs Type Bank Name Trunc Return Reason 05/19/2 to Loc/BOFD BANK OF AMERICA, NA Y Amount: $221.00 Sequence Number: Account: Capture Date: 05/19 Bank Number• - Check Number: 6412 6412 BankofAmerica. D.J.VENTURA MASONRY,INC. AC 11/1"083100277 3101 16TH ST.W 63.27.631 LEHIGH ACRES,FL 33971 5/16/2014 S c PAY TO 0 DER OFE Sergio Lopez $ * 221.00 9 Two Hundred Twenty-One and 001 100*************iii******************************************e*,**i**************rt**.**♦ a DOLLARS k 1 Sergio Lopez u) 1372 Ironwood Ln,Apt#103 B Immokalee,Fl 34145 c 7—. j � MEMO AUIHOFaZEDSIGNATIAE WE 5!11/14 17 Hrs @$13 ! IIIIIIIIIIIIIIIIIIIIIIIIIIIIMIMIMIIIIIIIIIIIII a 1- #, _ ) I a 0 O „ -i m in z:-. z 0 ■ ? 1 r0 (/(141' o �' 1 . Ij_ v*2 rn r I _ 2) m r -1 T m SI CA ; ,' I. 1 rl o - {���' m • 1 ;r , 73r X • m V 33: 7 i, 1 m11- r i - _ 'D re CO , . . .31 L?V - • - :cm ,03 ;; a'' ;,-- '"'br, 31 � 2014-05-19 ,,-, al r , I . lc 11 -0 O b �_ ,' _' 1 it, y r L r ;I - 1 LI r7 , 1— IL D knsiO' - a 2 I C I,_1 -1� ,2 z: m I , I`m n-1 r t▪ - - z 'i 5 if-, on CI 7 , ■ , r • 1- _.L W I o _ I . . z 01 _ — 1 m Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/19/2014 °- n- s-- - ._ _Rtn Loc/BOFD ENCORE BANK, NA Y 05/19/2014 k N Amount: $516.00 Number: Account: Capture Date: 0505/1 ! Bank Number: Check Number: 6413 6413 - --. . - Bank of America. MASONRY,INC. JOH"gpg;00� 5/16/2014 J�,J.VENTiJ 01 63-27-631 3101 16TH ST.W LLHIGH ACRES,FL 33971 P $ *}516.00 2 I PAY TD THE Lucio Grande »},######i*#51 DOLLARS t pRQER OF__-- N }z#t#*##Mtt##!!#"!#!i4}}!t#}}##*!"#i*}�Y�#i##fltti}}t.!}}ki}t!t##} Five Hundred Sixteen and 001100** 8 Lucio Grandde 608 HOPE C1R • fmmokaiee, A 34142 ..---.7-.--7.- (--3--L----- -----)-------------- . AlM4DRIZEDIUGKATURF MEMO WE 5111/14 43 Hrs @$12 m c ' 9 = I 1 Z , O• r _ tin i r .� ``. 1 ( • T z O r1 Mt- R = C9`L7 ^ J D' ` J '� ^-fin Tw I 35 Pr° �� -4 t.rf:. -.03 5: p - r 2 U , , 1 '= 9903815225 -c -N - ? c j_ 0 ,3 �.- S 0 n _' r w n , _x n.` ; R y . , r m Electronic Endorsements • Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/19/201 Rtn Loc/BOFD ENCORE BANK, NA Y 05/19/201 44 Pay Bank N Amount: iiiirmil Sequence Number: 1111111111111. Account: Capture Date: 05/19/2014 • Bank Number: Check Number: 6414 6414 BankofAmerica• . D.J.VENTURA MASONRY,INC. ACH RNM3100277 3101 16TH ST.W 63-27-631 LEIi#GH ACRES,FL 33971 5/16/2014 e 0 4 PAY TO THE ORDER OF Sergio Gallegos. $ **533.00 as Five Hundred Thirty-Three and 001100 DOLLARS ci Sergio Gallegos P.O. box 1540 8 Immokalee Fl 34142 /7/-„7—_-__J- - c____Sl_____7.; MEMO AUTHORIZED SIGNATURF WE 5/11/14 41 Hrs @$13 IIIIIIIIIIIIIIIIIIIIIIIIIIIMIIIIIIIIIIIIIIIPIPIIIP 4 i ▪ - o 0 m Z a = i r• r0 ; m O T Dp , t 1 r' ; Amount: $338.00 ) Sequence Number: gliraarDnia Account: Capture Date: 05/19/2014 Bank Number: Check Number: 6415 6415 Bankaf America. D.J.VENTURA.MASONRY,INC. ACM RR Okir103277 3101]6TH ST.W 63.27-631 LEHIGH ACRES,R 33971 5/16/2014 I S PAY TO TtiE Alfonso Nunez ORDEAOF "338.0a g Three Hundred Thirty-Eight and 00/100 _DOLLARS € Alfonso Nunez 115 Dixie Ave 8 Immokalee FL 34142 �--- S MEMO /e� �unHOw�s�r�un WE 5/11/14 26 Hrs @$13 4 . • - nr • T. ` r �T T • • _ hhV • • Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/19/2 to Loc/BOFD BANK OF AMERICA, NA Y i Amount: $598.00 Sequence Number:/ Account: Capture Date: 05/19/2014 Bank Number: Check Number: 6416 T 64161 BankofAmerica. .., l DJ.VENTURA MASONRY,INC. ACH wT083100277 . • i 3101 16TH ST.W 63.27-631 LEHIGH ACRES,FL 33971 - 5/16/2014• • S• • PAY TO THE i ORDER OF SEREFINO LUGO MORENO • $ ~598.00 Five Hundred Ninety-Eight and 00/100******************11.4*****11**********R***.*H****************************************• DOLLARS SEREFINO LUGO MORENO •1701 SUNSHINE BLVD.: • f9 NAPLES, FL 34116 • t' ` • • am MEMO ,•''i .. . AUTHORIZEDSIG`TURE .WE 5/11/14 46 Hrs @$13 • . . Seq: 12 , ° m o R ' Dep: 000284 ` 1 •* Date: 05/19/14 a Li"' . -,* < m no c 7 • r ,D .u‘'.a ig.rr,':t w b:e xaA JI:,a:.-::-_.,r.::::...:.,:»....Ir..:' Is. R'"1P!IS':�r} 'VI f ' r-. . A""rt ,tr;WrMIS l ' .� , :A+~.q d ,cti ,tfw N''r :.ti A {t .6 drt : C . 1k."A-0 v-kol ? .6* 2:.i"“i40i..Si'k;, � `1 ' , 1 . 11 l i 'C� . sl E.�U O• I h • _- c Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/ 138 Rtn Loc/BOFD BANK OF AMERICA, NA Y ± Your checking.account D.J.: itaarcrebit` VENTURA MASONRY,INC I 1111011 111 May 1,2014 to May 31,2014 Checks - continued Date Check# Amount Date Check# Amount 05/19/14 6417 -468.00 05/27/14 6450 -798.25 05/19/14 6418, -559.00 05/27/14 6451 -772.50 05/27/14 6421* -265.00 05/27/14 6452 -927.00 05/23/14 6422 -401.75 05/27/14 6453 -875.50 05/27/14 6423 -512.09 05/27/14 6454 -978.50 05/27/14 6424 -530.09 05/27/14 6455 -442.75 05/23/14 6425 -443.98 05/23/14 6456 -639.41 05/23/14 6426 -451.00 05/27/14 6458* -310.52 05/23/14 6427 -492.00 05/30/14 6459 -486.84 05/23/14 6428 -492.00 05/27/14 6460 -495.58 05/23/14 6429 -574.00 05/30/14 6461 -145.00 05/23/14 6430 -264.00 05/27/14 6462 i -150.00 05/23/14 6432* -738.00 05/30/14 6480* -2,246.03 05/27/14 6433 -702.00 05/30/14 6481 -210.00 05/23/14 6434 -656.00 05/30/14 6482 -392.49 05/23/14 6435 -615.00 05/30/14 6483 -406.34 05/23/14 6436 -574.00 05/30/14 6485* -517.16 05/23/14 6437 -615.00 05/30/14 6486 -664.92 05/27/14 6438 -779.00 05/30/14 6487 -452.52 05/23/14 6439 -738.00 05/30/14 6488 -664.92 05/23/14 6440 -574.00 05/30/14 6489 -614.13 05/27/14 6441 -669.50 05/30/14 6490 -554.10 05/27/14 6442 -546.00 05/30/14 6491 -517.16 05/28/14 6443 -669.50 05/30/14 6493* -554.10 05/23/14 6444 -221.00 05/30/14 6494 -461.75 05/27/14 6445 -721.00 05/30/14 6495 -443.28 05/23/14 6446 -504.00 05/30/14 6497* -443.28 05/23/14 6447 -656.50 05/30/14 6498 -406.34 05/27/14 6448 -669.50 05/30/14 6499 -1,755.24 05/27/14 6449 -669.50 05/30/14 6500 -110.00 3r!- Total checks -$91,231.22 Total # of checks --- W * There is a gap in sequentiol check numbers Page 7 of 10 Amount: $468.00 Sequence Number: - Account: Capture Date: 05/19/2014 Bank Number: Check Number: 6417 4, 6417 • . Bank of Amenca• . . . , .044- . . 4orle- . ' D.J.VENTURA MASONRY,INC. . ACH R/T OSS100277 • • • • 3101 16TH ST.W ' 63-27-631 ' ,. LEHIGH ACRES,FL 33971 5/16/2014 . - . . . .. , PAY DER TO THE • $ 468.00 • ** Bardomiano Lugo.. , . . • OR OF Four Hundred Sixty Eight and 00/1 00***********""4"*""* *************** **in.* noLLARs . . • . - , Bardomiano Lugo. 1701 Sunshine Blvd#C - . . 8• Naples, FL 34116 • , • ... i - ce..-=—J.--*— • . MEMO • - • • AUTHORIZE.)SI 07.TURE . WE 5111/14 36 Hrs CI$13 IIIIIIIIMIIIIIIINIIIIIIIIIIIIIIIIIIIIIIMIIIIIM 9 110 • • i . . ' • ' 3•-, , .:4 r- 1—•C4/ ' , C., ro K • — • , ..t. ' • Seq: 18 • . , . ,: Dep: 000285 ' r.; • F; ' K 1 ,,.. • . " Date 05/19/14 : .,- - i, ...; _._ _.. rr. 2 1 76, '- • -ri F X 1/4 s. , n 0,- • , )--_ -- ' - - -- -- N'tr.1:714-ri,7-71-e"*--:■ 4 i‘,.,ts.r.f-i :v1/4/17==rry-wel;t etik,t4tf t R td'0'Asnt\.4.' tti4 ;,,• • ,_ . 2 ' , ; V ' .. . - ..cp 2.- • . 7 4 ....tr, 7.r- ' - - , I.C . . , . . ... k, • , • ,1: ■•• ' _ . - 7' . -... • . • r . . ,. • i . 14 • Z • rri . Electronic Endorsements Date See ence Bank # Endrs Type Bank Name Trunc Return liteason 05/1* ,.. , , .„,, , " Rtn Loc/BOFD BANK OF AMERICA, NA Y Amount: $559 Sequence Numbe Account: Capture Date: 05/19/2014 Bank Number: Check Number: 6418 •BankofAmerica. , 6418 ..b D.J.VENTURA MASONRY,INC. frO„ „ 3101 16TH 51.W 63-27-631 LEHIGH ACRES.FL 33971 5/16/2014 fi • oROER of Sergio A Pacheco. ** I 559.00 Five Hundred Fifty-Nine and 00/100************""*""*•**"*"*"******************** **M*N*M*"*,"*****yr*********"M _nouAAS Sergio A Pacheco. !' 309 14th ST SE • k 8 Immokalee,FL 34142 MEMO 'I' — '� "'��D&CNANRE WE 5/11/14 43 Hrs @$13 ' r;; .. ;n I F r.: ..F r�,• , ;�' • 0 n N m z • t X0 MI' o , '} :0 • • ti, r c t t Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/19/ 1000138 Rtn Loc/BOFD BANK OF AMERICA, NA Y Amount: $265 Sequence Number: 11111111Wilirfir ' Account: Capture Date: 05/27/2014 'Is Bank Number Check Number: 6421 . . • • . • . , , • . • ' - - ' • • • ' ' .• 6421 ,' • • . . . . . . • . . , . .., . , . • • • . . .• . . • . . • . . • BankofAmerica. • • . • 4e0Z■ , .. . .‘ . • • . . . . . • • . • . .. . • - . • . D.J.VENTURA MASONRY,INC. ACH RA 083100277 • . • 3101 16TH ST.W ' 63.27.631 . . . . LEHIGH ACRES,FL 33971 • • 5116/2014 ' 1 • . . . 8 PAY TO THE • .. .. ORDER OF JEMA APT . . $ "265.00 .• .••••. . . . . . . Two Hundred Sixty-Five and 001100 irleinIni*****************tHr********rnt**************************Inhle***********************4 . DOLLARS •JEMA A.P.T. • •• 4316 Lee Blvd Unit 6 . . • . • , n I . Lehigh Acres,FL 33971 , • • .. . • . . . . -7--- ---.-e-,--) 57---"ar--/1 . . . . • . . MEMO • . • ALMA SICAATURE • inv#13-1991 fees services . • . • . • . . . • . _ ._ ____ __ __ -- -— 77--, —_--- _..... , i . . . IIIIIIIIIIIMIIIIIIIIIIIIIPIIIIIIIIMIPIIIII . . . ' . . . . . .... 4 C) (_ t—fil , -3.,, . • .. • . . . . al ri rn ,uo• . Seq: 1 ,c; ,S; » . Dep: 001770 • 7-i.IP, ,---t.. > D)1 -- . Date: 05/27/14 ..-..,-,, ,-, ' , It7",+, 0 f" I,.• -, ' t; ! • . 1. 1. ,, -f..., • ,M 7.:. 7 ' C LI a r"44 Z 1...ii 1 .. • --I< • • '' '; *"* * ,1, ri Z E; , • --77777SE-7- f.4 I; ,s--6,---,,i=,:-...e .i.J.. ,... ...7,1.,I ir,,,... C.,,E finr -,.A.f1 -:•:--=7-7 ----:'. - • -..''....-._ ..--.Grati___L-__- • . • .-- > > . '• C-2 ..2.''- .. .. .. '' • • . ' _I...0 0 •. . .;...,I:, ,c i— r-- . 7 1-- . . .' •-: m m 7 ,7i/J., 20 Qc• .) • • ., . , . . — . . _ .,. . . . ... M , . • * :,• 00 il I X X rrl in, Electronic Endorsements Date __ Endrs Type Bank Name Trunc Return Reason Loc/BOFD BANK OF AMERICA, NA Y Amount: $4 -.75 Sequence Number: Account: Capture Date: 05/23/2014 Bank Number: Check Number: 6422 6422 BankofAmerica• i� D.J.VENTURA MASONRY, INC. Aa�nnoes+oor� 3101 16TH ST,W 6127.631 LEHIGH ACRES.FL 33971 5/23/2014 5 PAY TO THE Danie ORDER OF____Daniel J Ventura tura $ "401.75 Four Hundred One and 751100••*"""'•"••••m" f•R0•RR11"R"RMRR1"1Rf11R Rif!•. DouArts Daniel J Ventura 310116thStW 8 Lehigh Acres,FL 33971 00ati iMEMO swum Pay Period:05/12/2014-05/18/2014 IOIIIIIMIIIIIIIIIIIIIIIIIIIIIIIIIIIMIPIIIIIIIIIIIP 4 ' m Seq: 27 °o T Batch: 888649 m• Date: 05/23/14 t,_-. m v 7,. .Z- . - _- - - - - - Ir = —BA $.89.541 irc$I5llia551- -- -- - - :- _ -- - - - - -- w7;9t Lrve-t..f,... ..,1 ttE iC:i.enieh Acres BC F14-55S • • • • -• O ' r Electronic Endorsements Date Sequence ank # Endrs Type Bank Name Trunc Return Reason 05 n Loc/BOFD BANK OF AMERICA, NA Y Amount: $512.09 Sequence Number: Account: Capture Date: 05/27/2014 j" Bank Number Check Number: 6423 6423 BankofAmerica. D.J.VENTURA MASONRY,INC. ACHA/roe3too277 4e 3101 16TH ST.W 63.27-631 LEHIGH ACRES,FL 33971 5123!2094 PAY TO THE Marvin Garcia. ORDER OF _ . $ **592.09 Five Hundred Twelve and 091 900*#R****R#*Ri*kirk***##RR*R#*****#R*****##0*****R**##R***#Rk##**R#*R**#*R#*******#*#i#ii#***# DOLLARS Marvin Garcia. . . . . 4762 Palm de Nova Lm . . . • Fort Myers, FL 33905 aud MEMO SZEDSGNATURE Pay Period:05/92/2494-05/98/2094 - • AMW f rti 0 • Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/27/2014 unimminammairs,B0,D BANK OF AMERICA, NA Y 4 Amount: $5 Sequence Number:®®a Account: Capture Date: 05/27/2014 Bank Number: Check Number: 6424. 6424 Bankof America. D.J.VENTURA MASONRY,INC. Acrl wroeaioo2n i 3101 16TH ST.W 63-27-631 LEHIGH ACRES,FL 33971 5123/2014 8 PAY TO ORDER OFD Rolando Perez Godines , $ **530.09 °a a Five Hundred Thirty and 091 100***'`'`*4*"`«.**•'.*`***.**'#*** +•****=******.*****....*..*.««.+**««.,**.******«************1 DOLLARS Rolando Perez Godines 8 4274 Greenwood Ave. Apt#73 Fort Myers,FL 33905 Vtaz!Ld MEMO AUTHORIZED SIGNATURE Pay Period:05112/2014-05/18/2014 _ ___ _ _ v A N N N �.n Ti 2 to V N '0 o _ w N C 0 A • Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/27/20 77082 Rtn Loc/BOFD ACTORS FCU Y 05/27/20 - 111012822 Pay Bank BANK OF AMERICA, NA N 05/28/2014 a ---,:,.g "'- a 0146 Undetermined FEDERAL RES BANK OF N Amount: $443.98 Sequence Number: Account: Capture Date: /23/2014 Bank Number: Check Number: 6425 6425 Bank of America. - D.J.'VENTURA MASONRY,INC. ACHRIr08310R277 f� 3101 16Th ST W 63.27.631 LEHIGH ACRES,FL 33971 5/23/2014 PAY TO THE Victor M Soto , $ "443.9$ ORDER OF 3 Four Hundred Fordr-Three and 981 100******`*k`************fr************AI************************************************* DOLLARS Victor M Soto 8 10863 Bonita Drive Bonita Springs, FL 34135 P Z/d- MEMO AWHCMOMSIGNARRE Pay Period:05/12/2014-05/18/2014 IIITIII C\X-1 v 1Y A.17:7-1 �A .., 7 1. 1127.81.0 4 1C u Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/23/2014 012822 Pay Bank BANK OF AMERICA, NA N 05/23/2014 000019 Rtn Loc/BOFD WELLS FARGO BANK, NA Y Amount: $451.00 Sequence Number: Account: Capture Date: 05/23/2014 Bank Number: Check Number: 6426 6426 Banko#Arrerica. „ D.J.VENTURA.MASONRY,INC. Ace Rrr0.3100277 3101 16TH ST;w 63.27.631 LEHIGH ACRES,FL 33971 5/23/2014 PAY TO THE Ancelmo Ventura ORDER OF 451,00 ` Four Hundred Fifty-One and 00/100*4i1**frill*!******k*[***t*tf*****************************!.*************R**k********k****** DoLLARS Ancelmo Ventura MEMO AUTHORIZED SIGNATURE WE 5/12/14-5/1B/14 41 hrs @$11. x..-71 s-- +-ar o•o ....-.., � ,-«. r«.. ., ♦.. s _7'17 - - -- AFgot7, 1,12:3. epos; Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/23/201 ' 9 Rtn Loc/BOFD WELLS FARGO BANK, NA Y 05/23/201' '2 Pay Bank BANK OF AMERICA, NA N Amount: '' .. Sequence Number Account: Capture Date: Bank Number Check Number: 6427 _____ __ _ _ .... .. -- - - -__.. . .. 6427 BankofAmerica. . : D.J.VENTURA MASONRY,INC. ACHA,TOB3100277 � 310116TH ST.W 63-27-631 LEHIGH ACRES,FL 33971 5/23/2014 1 a s ORDEROF Concepcion Velazquez $ **492.00 i a Four Hundred Ninety-Two and 00/100'.*.r*************x*+ear**a*********************** *****w***r*******w***********r******1 DOLLAR$ I N Concepcion Velazquez MEMO aimaoR¢®SGNA11J 5 WE 5112/14-5/18/14 41 hrs @$12, _ 0 s . _ — —_ _,.._______,i • For OeIng!-: ..):11y )r pk? + :,T J Electronic Endorsements Date - # Endrs Type Bank Name Trunc Return Reason 05/23/2014 - — — 9 Rtn Loc/BOFD WELLS FARGO BANK, NA Y -12, 05/23/2014 • - .22 Pay Bank BANK OF AMERICA, NA N Amount: $492.00 Sequence Numbefr Account: Capture Date: 05/23/2014 ,t Bank Number Check Number: 6428 '. __.._ ---.- ._. --—•_--- _. .__. _. _--• __--- -.•---- �' 6428 Bankof America. D.J.VENTURA MASONRY,INC. AOH Rrroesioonn 0"400., 31D1 16T14 ST.W 63-27.631 LEHIGH ACRES,FL 33971 5/23/2014 1 AEe d Le PAY TO THE 2 ORDER OF Arturo Manuel Diego $ *'`492.00 a Four Hundred Ninety Two and 001100 DOLLARS ci Arturo Manuel Diego 399 Molroa Ave B Fort Myers F133905 044//a MEMO AUTHORIZED 81CNATURe _ __ WE 5/'2/14-5198/14 41 hrs@$12, s • d A&E L ��u '� c) Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/23/2014 22 Pay Loc/BOFD WELLS FAA BANK, Y 05/23/2014 1.012822 Pay Bank BANK OF AMERICA;RICA;; NA N , Amount: $574.00_ � Sequence Number:, Account: Capture Date: 05/23/2014 Bank Number: Check Number: 6429 6429 BankofAmerica. D.J.VENTURA MASONRY,INC. ncNw r •0 TOes�oo� 3101.16TH ST,W 63.27.631 LEHIGH ACRES,FL 33971 5/23/2014 S O PAY TO THE $ OROEROF Jorge Y Prepuac **574.00 Five Hundred Seventy-Four and 001 100***********************************1t**********************************!F************1 DOLLARS Jorge Y Prepuac 8 493 Coopers Ct Fort Myers, Florida 33905 MEMO AITJ IORIZEO SIGNATURE WE 5/12/14-5/18114 41 hrs @$14. Electronic Endorsements Date Se.L-•. < # Endrs Type Bank Name Trunc Return Reason 05/23/2014 •800019 Rtn Loc/BOFD WELLS FARGO BANK, NA Y 05/23/2014 111012822 Pay Bank BANK OF AMERICA, NA N Amount: $264.00 " Sequence Number: Account: _ Capture Date: 05/23/2014 Bank Number: Check Number: 6430 6430 Bank of America. D.J.VENTURA MASONRY,INC. Rai wr 1oo277 3101167H ST.W 63-27-631 LEHIGH ACRES,FL 33971 5/23/2014 8 SR a PAY THE Tomas Alvarez Q "264.00 ORDER OF `+' I Two Hundred Sixty-Four and 00/100*********************************************************x**************t************** DOLLARS P. i N Tomas Alvarez 467 Carloina Ave 8 Fort Myers Fl 33905 /i ifite- MEMO AUTHORIZED SIGNATURE WE 5/12/14-5/18/14 24 his©$11. _______._. im..Nir--..--=.==r-----.,...„,i e V1 - p_ -=tom - ia' .'++ - -��,- - Fo. ;3eocc. . . '#y ME. La, nu erc .1G Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/23/2014 2 Pay Bank BANK OF AMERICA, NA N 05/23/2014 19 Rtn Loc/BOFD WELLS FARGO BANK, NA Y ='4 4 Amount: $738.60 Sequence Numbe .. i u Account: Capture Date: 05/23/2014 Bank Number. Check Number: 6432 6432 Bank of America. . D.J.VENTURA MASONRY,INC. ACH WT OB3100277 3101 16TFTST,W 63-27-631 LEHIGH ACRES,FL 33971 5/23/2014 • PAY THE Oscar Sosa $ "738.00 ORDER OF Seven Hundred Thirty-Eight and 00/100*****'•*****'`*"**"*****************"**"*************"*******`""**""**********"**** DOLLARS • w Oscar Sosa 4230 Riverview Rd L'J Fort Myers, Fl.33905 0:16114d" { 4mmmmuipalim MEMO -WE 5!12114-5118/14 41 hrs @$18, -- - - - --_— -- -- — -- - _ --- - - For ,,)6poc- A&E L :crfe c E is Electronic Endorsements Date Sequence Sank # Endrs Type Bank Name Trunc Return Reason 05/23/ 000019 Rtn Loc/BOFD WELLS FARGO BANK, NA Y 05/23/20 .012822 Pay Bank BANK OF AMERICA, NA N • Amount: $702.00• Sequence Number: Account: Capture Date: 05/27/2014 Bank Number: •_ Check Number: 6433 rr i i ��i33 Bank of America. ' D.J.VENTURA MASONRY,'INC. ACH RI 003100E77 •G j 16TH ST,W 63-27-631 ` 512312 01-0� LEHIGH IGH ACRES,R ES, 33971 ( o 6 PAY TO THE I ORDER OF Diego Ortiz ,' _ $ "702.00 1 Seven Hundred Two and 00!100****** ********************. **************.*****.*****************; ******gym Diego Ortiz 3983 wheaton ct a Fort Myers, FL 33905 : G(-6-7 - : MEMO - �iumrowZEo StATURE WE 5112/14-5118114 39 hrs($18. f 4 IIIIIIIIIIIIIIIIIIIMIIIIMIIIIIIIIIMIIIMIIW- 0 A s ._ _ - t 4 0 a *".'14' R IN' 4 I3 , Electronic Endorsements Date Sequence :ank # Endrs Type Bank Name Trunc Return Reason 05/27/201 1012822 Pay Bank BANK OF AMERICA, NA N '- 05/27/201 - 105278 Rtn Loc/BOFD WELLS FARGO BANK, NA Y i, Amount: $656.00 Sequence Number: , Account: - Capture Date: 05/23/2014 Bank Numbe - Check Number: 6434 BankafAmerica. D.J.VENTURA MASONRY,INC. ACH 11/1"063100277 40." 310116TH ST.W 63.27-631 LEHIGH ACRES.FL 33971 5/23/2014 PAY TO ORDER OFE Claudio Sigero Colorado $ **656.00 Six Hundred Fifty-six and 001100***fi**#**#**irkk**#****k*f****k##k****#kk**k*k#k*##***kk*k**F*###*****#**i*#Y*#*k##k*##k##** DOERS Claudio Sigero Colorado 751 Veronica Shoemaker Blvd Fort Myers FL 33916 atLe i MEMO AUT13or z oSIGNATURE — — WE 5112/14-5/18/14 41 hrs c@$16,_ A r0- "1 - - - _ _ _�S:• �i�,,3 +�+1_; •. —' �- FG," n� y • A : l if lii'Ff:s :?G Electronic Endorsements Date Sequence - . =- k # Endrs Type Bank Name Trunc Return Reason 05/23/2014 000019 Rtn Loc/BOFD WELLS FARGO BANK, NA Y 05/23/2014 - ,--:,7412822 Pay Bank BANK OF AMERICA, NA N Amount: $615.00 Sequence Number: arlailMair Account: Capture Date: 05/23/2014 Bank Number: Check Number: 6435 - - - - . - _ - - ur 6435 Bankof America. D.J,VENTURA.MASONRY,INC. ACH WT033100277 3101 16TH ST.W 63.27.63 f LEHIGH ACRES,FL 33971 5(23/2014 PAY TO THE ORDER OF Vicente Jose *4615.00 $a Six Hundred Fifteen-end 001100******************k******k**********k***k****rtk**************************+kk*t**k**#******** DOLLARS Vicente Jose Vu/a AgL MEMO AURioR72ED SIGNATURE WE 5112114-5(18/14 41 hrs @$75. ___ _ —_-_ — _.-__- .T ) :uos' `ty Ati numut>L _ �G Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/23/2014 + Pay Bank BANK OF AMERICA, NA N 05/23/2014 . --- Rtn Loc/BOFD WELLS FARGO BANK, NA Amount: $574.00 Sequence Number: Account: Capture Date: 05/23 t Bank Number: Check Number: 6436 6436 Bank o#America. DJ.VENTURA MASONRY,INC. �H��,� �40°.' 310I 16TH ST.W 63-27-631 LEHIGH ACRES,Fl.33971 5/23/2014 1 S PAY TO 2 ORDER 0 Refugia Sanchez $ **574.00 a Five Hundred Seventy-Four and 00/100**********►,F ****************.****************r*****************k**s**.*****... .... DOLLARS E Refugio Sanchez 4627 Lausanne Ave 8 Fort Myers, F133005 agd eU� MEMO ciez o SIGNATURE ' _WE 5112/14-5/18114 41 hrs @$14. _T_^ _ _ T___-_____�_ _ numumnip S c9 4 ••••„F_ .� -- "" -�rs ss �' x _. - _ fl n Z CI FO 1c rr.q. ly -t.' Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/23/21 -•' : 2 Pay Bank BANK OF AMERICA, NA N 05/23/20 ■ - 9 Rtn Loc/BOFD WELLS FARGO BANK, NA Y Amount: $615.00 Sequence Number: Account: Capture Date: 5/23/2014 _ Bank Number: Check Number: 6437 6437 BankofAmerica. D.J.VENTURA MASONRY,INC. AOHR/r083+00277 r� 3101 16TH ST.W 63-27-631 LEHIGH ACRES,F1.33971 5/23/2014 PAY TO THE ORDER OF David Sanchez $ "e moo *"*************************************************************************************�� Six Hundred Fifteen and 40!100 (MARS David Sanchez 4627 Ban Street- Fort Myers, FL 33905 . V P-(4E-- MEMO AUTHORIZED SKANATURE WE 6/12/14-5/18/14 41 hrs©$15. _M P --cz■CS: j Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name . Trunc Return Reason 05/23/2014 1 2822 Pay Bank BANK OF AMERICA, NA N 05/23/201 - /91000019 Rtn Loc/BOFD WELLS FARGO BANK, NA Y Amount: $779.00 Sequence Number-. glatiffailia Account: Capture Date: 05/27/2014 f Bank Number: Check Number: 6438 6438A Bank ofAmerica. D.J.VENTURA MASONRY,INC. AN RR.089100177 r 3101 16TH ST.w 63-27-631 LEHIGH ACRES.R 33971 i 5/23/2014 6 PAY TO THE ORDER OF Jose Agustin Lugo $ '*779.00 i.M...*.*A...� art.** M1..+.*.*4545*Ai*fNk.titM**i fiHR****It11R!*R!me****rfRltR11 Seven Hundred Seventy-Nine and 00/100" i. Jose Agustin Lugo ; 722 Harry Avenue S 8 • Lehigh Acres, FL 33973 - qq Pf itv MEMO 1P,� alniowzEG p(A,, WE 5/12/14.5/18/14 41 hrs @$19. AIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIPIIIIIIIIW •r - k. m Z O r _ _ m 111 rn m c Ci".... t C Electronic Endorsements Dat ec ence Bank # Endrs Type Bank Name Trunc Return Reason 0 38 Rtn Loc/BOFD BANK OF AMERICA, NA Y Amount: $738.00 Sequence Number: Account: Capture Date: 05/23/2014 Bank Number: Check Number: 6439 — —...... . _ ____ 64 39 Bank of America. D.J.VENTURA MASONRY,INC. ACHW063100277 '� 3101 16TH ST.W 63-27-631 LEHIGH ACRES,FL 33971 5/23/2014 t PAY TO ffi R E PHA F Juan Carlos Rojo Martinez $ **738.00 Seven Hundred Thirty-Eight and C0/100**********************ii***************************M**Y*****************!*****i***i* DOLLARS Juart Carlos Rojo Martinez 407 Miramar Rd Fort Myers, FL 33905 fiel-1/11 Uf-j- MEMO AUiHJRZEO SIGNATURE WE 5/12/14-5/18/14 41 hrs @$18, 9t n 4 - - - :.�.>.. �� ��=_mac:� �-- - rn j) AI CY 0' Fo. A& Lai ntaleri 11 Electronic Endorsements Date Se• ence Bank # Endrs Type Bank Name Trunc Return Reason 05/23/201 111012822 Pay Bank BANK OF AMERICA, NA N 05/23/201 >x = X000019 Rtn Loc/BOFD WELLS FARGO BANK, NA Y Amount: $574.00 Sequence Number Account: Capture Date: 05/23/2014 Bank Number: Check Number: 6440 6440 om • ' �i� ' D.J.VENTURA MASONRY,INC. • . AcHwroesi000n• . •' 3101 16TH ST.W • . ' • 63-27-631 • LEHIGH ACRES,FL 33971 5/23/2014 s PAY To THE ' Mario Lopez Martinez 574.00 ORDER OF �x*****.*e«tr******ta►..+ft.+r++++*****e.rr..:r•N...tr�.*rr:r******a:t..R*****...,w Five Hundred Seventy-Four and Q0/10Q __ nouaRS . Mario Lopez Martinez •' • • . 1372 TRONWOOD LN APT#103 . . . 8 lmmokalee,FL 34142 . . tom"^..... — MEMO . , AUTHORIZED E • . WE 5/12/14-5/18/14 41 hrs dLi$14 ••` " .. . 0 0 z r r Seq: 142 o aD - t co f, , 1 1 pep: 0 0 0295 o Date: 05/23/14 ' <TI Cl. ......1, "5 it, ., nO . . . n : :i ^, = ry = ;1.-.-.-•.. � _ 7 .— - -..-._--l....- ,_..-_ SE0:14:2 05123114 DE '': o529 AG:1 CU$$T 51979 USER:•40 ,l• .,rP • . . :' . : . , L • • J; T. I"' , .... .:... y,' i ?I Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/23/ 8 Rtn Loc/BOFD BANK OF AMERICA, NA Y Amount: •- Sequence Number Account: Capture Date: 05/27/2014 Bank Number- = = _ Check Number: 6441 - • 644 . BankafAmerica. D.J.VENTURA MASONRY,INC. ACM wroes,.oz» 3101 16TH ST,W 63-27-631 LEHIGH ACRES.FL 33971 512312014 8 PAY TO THE ORDER oF_ergio A Pacheco. $ "669.50 Six Hundred Si -Nine and 501100 DOLLARS Sergio A Pacheco. 308 14th ST SE Imrnokalee,FL 34142 - �— MEMO- • WE5112/14-5118114 51.50hrs©$13 • _ _ Z x S n • T• Electronic Endorsements Date Se ence Bank # Endrs Type Bank Name Trunc Return Reason 05/27/ f3$0138 Rtn Loc/BOFD BANK OF AMERICA, NA Y Amount: gillinipp i Sequence Number Account: Capture Date: 05/27/2014 Bank Number: 06310027 Check Number: 6442 .,--- ---- .. • 6442 . BankofAmerica.. ...." , . . . . . • • D.J.VENTURA MASONRY,INC- ' AC14 wr oercrarn . 4° - • .3 . • .W 3101 16TH ST , • 63-27-631 LEHIGH ACRES,FL 33971 , • . , 5123/2014 . , . . . . s . , . 1 ' . .• . .. . ... PAY TO THE :, . : - , . • ORDER OF j3ardOMiarK)_Lugo . $ $ "546.00 , 1 1 1 . . . • , . . , . Five Hundred Fa Six and ow orkeir******;frit******************************-11441**********4*****************************E-tr4 COLLARS 1 . , . Bardomiano Lugo. 8 1701 Sunshine Blvd#C . ' . - ;-'"".........—"*/ • . ''1 • Naples,F,34116 • , , . . . . • t: ,40-0--A-s–f c__57_— : _ _. MEMO • .:. ' AUTHORIZED SIGNMURE ‘: • ' . I , 1 : • wg§02/14-5/18/14 42hrs @$13 ".• . " . 4 • . • i •,t t ' r; . .;-• :: .' ' rD K E.:,A o . 0 . ■ . , .7. -0 t.1 = W 7 Seq: 281 , Dep: 0002.67 rt) K 7cES .',..1 ,!'. ' • ;)-: I . I•.-, lt: . , . .:4 1 , H - z ,:i. • r. -5 e , Date: 0 5/26/14 Lo . . 0-i . . I ... , JD .,r -,1 1 ; r• LI = :I 1.- ,',', : !I : , r, t•- -n = r.,q --- .. _ ... . .... . . 4,----•=-..................•.... tr.,".0:45.4.)444 40)&44 4 roe el.,nr.ekosek, 4.0) 4 *0.4#& & "Per tr._ v.) Pt-.. 4,,7 C 1.,. :7,.,:.,,,7_=7.-,-r-_,-.•5.-,.—__Tr..7-..:.X:-..'.. .1 • :. •:.,.....:::: .,..7 1 i.1.7.:...:011;04•4J;;1 I.usnd.w.I 61. 1,..0M.7" .1)41)..i.44‘11.. .4%)..2.I..1.4 i..4- )4J f■A.0'.44:1 I VIJ %di al,:pa S.:CV' 1 . • •It.' 1 %, 'Y.-.:1.,!'..?7... '''' '. ' I-1.9 ';1•: C •:. ,: +, .. CI -7', I 1 • • : 1 • ,,, :., ::7,•• ' :‘..,•::•„Z.: :• ••:: •■ 1' :::.‘.1 1"3 :-: :.• '....4 11 \ i r , . . . , . . , 11r, : !*,)-:' --■ s„: . • 1• . • ° . r r • ) , 1 I • ! a Electronic Endorsements Date -•' -' - ' - -• - . --....,_ Type Bank Name Trunc Return Reason :-.V-i7,4,--.w:----1 05/27/201 .- _ „„ ... _-..... .._ -- -- •c/BOFD BANK OF AMERICA, NA Y 4 Amount: ••• • Sequence Number: It Account: TF=_ ': Capture Date: 05/28/2014 Bank Number: ` " "'''- Check Number: 6443 6443 • BankofAmerica. �� ��� . 7* D.J.VENTURA MASONRY,INC. Agrwroer,own '! 310116TH ST.W 63.27.631 LEHIGH ACRES,FL 33973 5!2317014 . >s PAY TO THE r s, ORDER OF Seferino Lugo Moreno $ ""669.50 •• 1• -I I - In' . i 1 11'i" a,ekeea f1•tr *,►tsar***Ank *meta*:* Inle****►r++w*w►,M+r4* *M wr«**«++' I'LIARS • .Seferino Lugo Moreno .;1701 Sunshine Blvd ' - ' 8 Naples,FL 34116 : • • MEMO ¢m SIGNA WE 5112/14-5118/14 51.50hrs •G$13 ' 11111111111111111111011111.1111111111.111111111P,. -, i . • . . r- 1—fg -a Ai' 7 m ; Seq: 44 , %; ;� a - :), . D2p: 000300 •-. ' - ; Date: 05/28/14 ° t" 3 • ' N 0 _.�.--.-...-.C+rrt-1t4 "m-i!"tt5-i'#_7F-f'tiT'1MdNeviroar4n-Arrb= "-el T :r4!,n"y% ral6rrs.o�i�1f4"" .7 --.'• �._-Y_._....._..._. .._ Qvax..N"R Va.414.V3� •4 1.1=1" .VUV,.3VV P'kk.a.*'Chid 1 .ro:dr=1.7t71�rt.Q"a 1A'"' ` !I I N 'r• ,Z- 11 i,...t• ■ :i cr _ r , Electronic Endorsements Date Se e Bank # Endrs Type Bank Name Trunc Return Reason 0 00138 Rtn Loc/BOFD BANK OF AMERICA, NA Y M Amount: $221.00 Sequence Number: Account: Capture Date: 05/23/2014 Bank Number: Check Number: 6444 6444 BankofArneirica . D.J.VENTURA MASONRY,INC.. • . AcHwr ossionn . 3101 16TH ST.w 63.27.631. •LEHIGH ACRES,FL 33971 5/7312014 1 PAY TO THE ORDER OF Alfonso Nunez - $ "221.00 Two Hundred Twenty-One and 001100,....**********************`"*"'*"*'""""*"""*""..**"".„ *"""***. "' nfluaRS Alfonso Nunez 8 115 Dixie Ave Immokalee FL 34142 �'""—"' - MEMO : , : ALITI-IORIZED SIG RE WE 5/12/14-5118114 17hrs ., $13 • o E.0 l , L.1 W 34''7 r111 Seq: 135 t.C;° IA n o prip pep: 000295 is ro Date: 05/23/14 «p v. z:ci > , �A, A, is :T T 1..= L '- - : w.,Sl: .. `, -:t''......:;:-::.,,., ----.- aE+ :136 05/231/4 DEP CCO2 =AG-.1 CUST.6 WW9 OS.:. J84O .v. •. r ?s; k ,r + ,I n • c k. .. I ' fl Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/23/20 BOFD BANK OF AMERICA, NA Y Amount: $721.00 $ Sequence Number: Account: Capture Date: 05/27/2014 Bank Number: - Check Number: 6445 6445 Bankof America' i D.J.VENTURA MASONRY,INC. AcHwrce:+,o� 3101 16TH ST-W 63 27 631 LEHIGH ACRES,FL 33971 5/23/2014 x S o` s PAY TO THE A ORDER OF Sergio Gallegos. $ **721.00 m s Seven Hundre&Twenty-One and 001100'`""" MM. `V. """ """""'" DOLLARS Sergio Gallegos �_ 8 P.O.box 1540 lmmokalee FI 34142 ; ::i:ii; MEMO AD 2ED SIGNkitliF WE 5/12/14-5/18/14 51.50 tlrs @$14 i v Electronic Endorsements Date e Bank # Endrs Type Bank Name Trunc Return Reason 05/27/20 S 00022 Undetermined U.S. BANK NATIONAL A N 05/27/2014 111012822 Pay Bank BANK OF AMERICA, NA N 05/26/201 123000220 Rtn Loc/BOFD U.S. BANK NATIONAL A Y 05/27/2014 0 091000022 Undetermined U.S. BANK NATIONAL A N Amount: $504.01 i Sequence Number;Account: Capture Date: 05/23/2014 4 Bank Number: --,--e_ Check Number: 6446 • '. . 6 4 4 6 i ... • : '. ' BankofPlineffica.' ' .. ' ! D.J.VENTURA MASONRY,INC. - • POI Rfr 0031 00277 'C*fr4.04erl" ■ 3101 16TH ST.W • , 63.27.631 , • • LEHIGH ACRES,FL 33971 5123/2014 1 s PAYTOTHE ., ' ' 1 ORDER OF LudoGrande % 504.00 *******************164** *****************in****************************1****************i Five Hun dred Four and 00/100 ' ' . DOLLARS I . • Ludo Grandde ' 8 608 HOPE CIR : Immokalee, Fl 34142 i _ WE 5/12/14-5/18114 42 hrs $12_ : , : • • , • _ - . :.. .„.„,., , . . ± Seq: 69 Dep. 000296 , m it' ti a = • Date: 05/2 3/14 ---- 0'i..: • .... :i ' ,..,': .,..0. n .... ::•') IAWKII-Itj4)• &ni415±fitti74r 115T4frjekiV6Peig41131 - • • • -o''." '" V4:,:zi 1• - ... '.,.'6.....;.1 - + - ".6....io -.0.1-V ,i3.1,:a -t..s...H.4*■ -- '; ,V: ''' -2 .' .■ " ?'. .:-., •.-' . ' ' ,. ' : ,, f,0 Mx ' . ... r 0 . z. o ----_- Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/23/ 011000138 Rtn Loc/BOFD BANK OF AMERICA, NA Y Amount: $656.5 4, Sequence Number: draarNi Account: Capture Date: 05/23/2014 Bank Number: 6310027 Check Number: 6447 1 6447 BankofAmerica. . r . • D.J.VENTURA.MASONRY,INC. : • ACH RN 083102277 • • ��. ; ' 310116TH ST.W •63-27.631 ' , LEHIGH ACRES,FL 33971 `,. 5/2312014 f: ¢¢ PAY TO THE d ORDER OF Sergio Lopez $ **656.50 I! Six Hundred Fi fty- **rfwr, +....+•+r:e+.+..w+t++ ►ka.f•**rrei ****************************��s+nkue*► „`77 Six and 50!100 DOLLARS 4. ti Sergio Lopez. ' 8 1,372 Ironwood Ln,Apt#103 '. Immokalee, Fl 34145 ; MEMO . ' A ••RIzEO ' RE WE 5/12/14-5118114 50.50 hrs 0$13 • - Vii, r zEEpic, � m� b Q I. Seq: 85 ,,:'c LA o 0• Dep: 000295 f... iii .m K Date: 05/23/14 11' ' V+ N T �_. �.. _ :-., ' w 6 ;1 D . T , { • o "A :;--)r.,,. _- z: . :41-„':: *'Y_= i:_j...,_..- :._:-:- ' '-',C1.85 O 3114 DEP:001329S AG I CUST:58S79 USE 018-. ., .i ' - 0 y•I y p 4 Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/23/111111111111111111111111/W0138 Rtn Loc/BOFD BANK OF AMERICA, NA Y Amount: $669.50 Sequence Number: Account: Capture Date: 05/27/2014 Bank Numbe Check Number: 6448 6448 Bankof America. D.J.VENTURA MASONRY,INC. ICH yr 063103277 3101 16T1-I ST.W 63 27 631 LEHIGH ACRES,FL 33,371 5123!2014 PAY TO THE A ORDER OF Fetipe SanJuan Ventura $ **669.50 Six Hundred Sixty-Nine and 501 100**********************w***w** +ti '" DOLLARS Felipe SanJuan Ventura A 5220 16th Place SW Apt#3, Naples Florida 34116 MEMO A eZEDSIGNATU WE5/12/14-5118114 51.50hrs @$13 auimaamsmmi-tiauimmr 4 r 3 tc (y� Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/26/2014 57 123000220 Rtn Loc/BOFD U.S. BANK NATIONAL A Y 05/27/201 1012822 Pay Bank BANK OF AMERICA, NA N 05/27/2014 091000022 Undetermined U.S. BANK NATIONAL A N 05/27/2014 11000022 Undetermined U.S. BANK NATIONAL A N Amount: $669.50 Sequence Number Account: Capture Date: 5/27/2014 Bank Number Check Number: 6449 �. .- . -- -- 6449 Bank lofAmerica. D.J.VENTURA MASONRY,INC. AcH rvr 0e3100277 3101 16TH ST.W 63-27.631 LEHIGHACRES,fL33971 5123!2014 PAY TO THE d ORDER OF - • -• -I • 669.50 Six Hundred Sixty-Nine.and 54100 **** *f" ***********1" DOLLARS Felipe Sanjuan Gonzalez 8 5220 16th Place SW Apt#3 Naples, Florida 34116 MEMO Aunionaco SIC as �J WE 5l12I14-5!18!14 51.50 hrs @$13 - • �t A 0 6 Q q N �o Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/27/201' 000022 Undetermined U.S. BANK NATIONAL A N 05/27/20 • •,- • 000022 Undetermined U.S. BANK NATIONAL A N 05/27/201111 � f' 111012822 Pay Bank BANK OF AMERICA, NA N 05/26/201 123000220 Rtn Loc/BOFD U.S. BANK NATIONAL A Y Amount: $798.25 Sequence Number: 11111111111111P Account: Capture Date: 05/27/2014 Bank Number: Check Number: 6450 6450 Bank of America. D.J.VENTURA.MASONRY,INC. ACH R/T063+00271 4eb' 3101 16TH ST.W 63 27631 LEHIGH ACRES,FL 33971 5/23/2014 PAY TO THE 8 ORDER OF Edgar Yovany Linarez $ "798.25 Seven Hundred Ninety-Eight and 251100"—""""" "` DOLLARS • Edgar Yovany Linarez 8 609 Breezewood Dr, Immakalee,FL 34142 ( MEMO AUTHORIZEDSI • RE WE5/12114-5118/14 51.50 hrs @$15.50 *14 Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/27/ 2822 Pay Bank BANK OF AMERICA, NA N 05/26 000220 Rtn Loc/BOFD U.S. BANK NATIONAL A Y E 05/27/2014 S #91000022 Undetermined U.S. BANK NATIONAL A N 05/27/2014 '' 91000022 Undetermined U.S. BANK NATIONAL A N Amount: $772.50 Sequence Number Account: Capture Date: 05/27/2014 Bank Number Check Number: 6451 64551 BankofAmeri ca � ii D.J.VENTURA MASONRY,INC. ACH Fl/f 663,002T1 3]01 16TH ST.W 63-27-631 LEHIGH ACRES,FL 33971 5123/2414 a'� e 0 r PAY TO THE 8 ORDER OF Victor Castillo $ "772.50 1 8 Seven Hundred Seventy-Two anti 50/t00*i4i*****i*«***4 M4*4***4**i4**4k**A**N**i**«*4i***4*4.4* **•** ' DOLLARS € i Victor Castillo 8 1410Apples Street ___ Immakalee FL 34142 7-J MEMO AUTHORIZED SIGNATURE WE 5!12/14-5!18/14 51.50 hrs©$15 IIIIMIIIIIIIIIIIIIIIIIIIIIIIPIMIIIIIIIIIIIIIW , o I' • a \0 T ,_ ri r, ; T D `' #003 Dh' ' n ' j F h.+ I a il - 3903121054 _`�o ; i'=r I 'Y ca r" CI , o , rl 3 ,, i x r t *:%q■%\\. v _ M i . .' e' I W !� 1 oh-- — — -_.--_; , rn v Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/27/2014 • M ,,-•244 Pay Bank N 05/27/2014 °"7•*` F.'7O36192 Rtn Loc/BOFD ENCORE BANK, NA Y Amount: $927.00 Sequence Number: Account: Capture Date: 05/27/2014 Bank Number: Check Number: 6452 6452 Bank of America. D.J.VENTURA MASONRY,INC. ACH RrT avow/ 3101 16TH ST.W 63-27-631 LEHIGH ACRES,FL 33971 5/23/2014 PAY TO THE 2 ORDER OF Francisco Tulul $ "927.00 Nine Hundred Twenty-Seven and 00N 00+r"41tikttklkkktKa4ili+rifa-r •"**r''*• DOLLARS Francisco Tulul 8 4375 Glenwood Avenue - Fort Myers,FL 33905 MEMO • au11-IowzmSIGNA R WE5/12/14-5118114 51.50hrs @$18 • ii Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/27/201 091000022 Undetermined U.S. BANK NATIONAL A N 05/26/201A 123000220 Rtn Loc/BOFD U.S. BANK NATIONAL A Y 05/27/2014 '°'' - 091000022 Undetermined U.S. BANK NATIONAL A N 05/27/2014 11012822 Pay Bank BANK OF AMERICA, NA N Amount: $875.50 Sequence . Number Account: Capture Date: 05/27/2014 Bank Number: Check Number: 6453 ... . . _ _ _ _ _ . _ ...... .. _M' 6453 BankafAmerica.' D.J.VENTURA MASONRY,INC. ACR NT 0831002n 3101 16TH ST.W 63-27-631 • LEHIGH ACRES,FL 33971 5/23/2014 PAY TO THE ORDER OF Domingo Garcia $ "875.50 3 Eight Hundred Seventy Five and 501100 YOrkget ` DOLLARS 4 Domingo Garcia 307 E.Delaware Avenue immokalee FL 34142 4 MEMO AUTHORLZED SIGNATURE WE5112114-5118114 51.50hrs@$17 Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/27/201 991000022 Undetermined U.S. BANK NATIONAL A N 05/27/201 091000022 Undetermined 'U.S. BANK NATIONAL A 05/26/2014 123000220 Rtn Loc/BOFD U.S. BANK NATIONAL A Y 05/27/2014 111012822 Pay Bank BANK OF AMERICA, NA N Amount: $978.50 Sequence Number: ® aimk Account: Capture Date: 05/27/2014 Bank Number: Check Number: 6454 6454 BaekofAAmerica. i D.J.VENTURA MASONRY,INC. ACH riff 0531002T7 49° 3101 16TH ST.W 63-27-631 LEHIGH ACRES,FL 33971 5/23/2014 3 PAY TO THE ORDER OF Oscar Ramirez $ **978.50 Nine Hundred Seventy-Eight and 501100****************"*** ****' '""` noLLARS Oscar Ramirez 8 807 Brizewood Dr. immakalee Fl 34142 MEMO AUTHORIZED SIGNATURE WE 5/12114-5118114 51.50hrs @$19 �V l' n r� Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/26/20 123000220 Rtn Loc/BOFD U.S. BANK NATIONAL A Y 3 05/27/201 -- 11012822 Pay Bank BANK OF AMERICA, NA N 05/27/201' ; 191000022 Undetermined U.S. BANK NATIONAL A N 05/27/2014 - 091000022 Undetermined U.S. BANK NATIONAL A N Amount: $442.75 Sequence Number: Account: Capture Date: 05/27/2014 Bank Number: Check Number: 6455 f m 6455 • Bank afAmerica. D.J.VENTURA MASONRY,INC. ACH RA-083100M • 3101 16TH ST.w 63-27.631 LEHIGH ACRES,FL 33971 $12312014 5 PAY TO THE I ORDER OF Tomas SanJuan $ "442.75 Four Hundred Forty-Two and 751107,... "*`•*""'"*** ' ****"*********** f*TM•*I"'*"******* *** DOLLARS t Tomas SanJuan 8 412919th Gt SW r- Naples,FL 34116 • -7 MEMO ,IZEDSJCN,T Lift Pay Period:05/12/2014-05/18/2014 n m• V 'i ,n r .. `:T • • ` c Electronic Endorsements Date # Endrs Type Bank Name Trunc Return Reason 05/27/2011111111111111111110138 Rtn Loc/BOFD BANK OF AMERICA, NA Y Amount: $639.41 1 Sequence Number. . 111111111111MW Account: Capture Date: 05/23/2014 • , - Bank Number: Number: 6456 1 ' 6456 Bank°,America. D.J.VENTURA MASONRY,INC. , ACH R7083100277 , ' • 3101 16TH ST.W 63-27-631 ' .. LEHIGH ACRES,FL 33971 . ' . 512312014 1 S . . . . . PAY TO THE ' •. " . ft, "639A1 . 40 ORDER OF Juan C Mendoza ' Six Hundred Thirty-mine and 4V1 Da*k*kinb11**kirirsle***Inl.kfnkf******It4****4eVellnlntrlrdnle*4rMtr************7„.„.., DOLLARS I Juan C Mendoza . , .1310 Lake Trafford Rd . , • .,..._ Immokalee, FL 34142 . ,„„....2,....., ( . . MEMO : ' " . • AUTHORIZED SG e! Pay Period:05/12/2014-05118/2014., ' , . ..., • Seq: 82 , _. • ; , . 0 rD 0 0 Dep: 000295 „. -FIT 7 4 E , .. Date: 05/23/14 o •‘■-., ,- ; •: • ' .'5 W W 41) u = ,. .'". -.4. " 1 ' SEQ:SZ 05123'14 DEP:t00295:AG:1 CUST:58979 USER:918: :., 0 c,,.,:.1 ,, :;. ..i :r II ■7 La : I 2 . . . 1 , 0 ‘ . 4t1 1 r.i. .'.::::: : -,-,:;: • , .i . -r , ' \) :.:-1:;, S1 "- •-'',!:, ''':1 '1 , ..1 . ., '':.: . 4,. .: - '1;:',', . 4.;;, • ma *:,:, • :-.... .7, ......i r • "1: . ,„..„...,. , ,_•.,____,H1 • . z , . Electronic Endorsements Date S Endrs Type Bank Name Trunc Return Reason 05/23/2014 c/BOFD BANK OF AMERICA, NA Y Amount: $310.52 Sequence Number:4111.1111111kat Account: Capture Date: 05/27/2014 Bank Number: 1111111111,11111111 Check Number: 6458 .... ..____ . , . . 6458 . . BankofAmenca. .. ... • ,,,...... • D.J.'VENTURA MASONRY,INC. — • Agin?C63100277 " 101.1e ' . 3101 16TH SEW 63-27.631 LEHIGH ACRES,FL 33971 5/2312014 1 ' . 6 ' a . . PAY TO THE ORDER OF JEMA APT $ "310.52 . I Three Hundred Ten and 52/100************************&************************************drk*****************************4 nOLLARS i' JEMA A.P.T. • et 4316 Lee Blvd Unft 6 0 • Lehigh Acres, FL 33971 e.........„.-- • . . • 0„......-c-i MEMO . . ' ALM-IORIZED SIG RE . . • . 46-1674315,9999999 PR TAX SCRO TOMAS GRO a, rn • TS < E'. ,_" Seq: 1 vi 0 Clo ....i T.,- = > la De p: 0 0 1 7 7 2 • ,:-.1 (1) __I n pis Date 05/27/14 .3.1 : -- 1 • :`:q: . :'.',/, Z C.) • ''-'4'"..?7•Fttf117 1-*Tr -1 .77-11,77r,714...177=-=T-Z.S'4,.., - - . —co) – - • C .0....%,... a .........t.1 IM 77.1. 11: , . iw M 90 , rimi r— 0 , • --.. .1,.:.::. -: e •. —1 • .7: _ f . .. , ' X . .. .. VI • 2.) .'. r . ... , . c , . Q X Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason• 05/27/2 0 IIIIIIIIIIIIIIIIIIMMNMtaiSit6OOFD BANK OF AMERICA, NA Y . T Amount: $48 g Sequence Number• Account: �� Capture Date: 05/30/2014 `.,* Bank Number• Check Number: 6459 6459 Bankaf America.�I� D.J.VENTURA MASONRY,INC. ACFIwr00n00ZI7 3101 16TH ST.W 63.27-631 • LEHIGH ACRES,FL 33971 5123/2014 1 5 ORDER OFE JEMA APT $ "486.84 • . Four Hundred Eighty-Six and 84/100""' **`*""*******'t *"*""'""""'************ .*""******i ****** **"***** .*.**' ROLL/CS zg JEMA A.P.T. ga 4316 Lee Blvd Unit 6 Lehigh Acres, FL 33971 -ir%r • MEMO AUTHOR SIG •t%E 46-1674315,9999999 PR TAX SCROW DANIEL t i . ., iY 0 m gel - , Seq; 1 ° o_ D - -1 , Deg: 001789 ,---1 m. = n Date; 05/30/14 -1) s X o mi `_ r '„ c r: Y�i 0 -I"C ,n '< ;.' z� , fi K M Electronic Endorsements Date Sequence Ban_ k # Endrs Type Bank Name Trunc Return Reason 05/30/2 c/BOFD BANK OF AMERICA, NA Y , Amount: $495.58 ."1", Sequence Number: Account: Capture Date: 05/27/2014 Bank Number: Check Number: 6460 . -. _... -. .._._ ......_.._ . ._ _....s- - . . .l. .. ' . , . . 6460 BankoMmeirica. , D.J.VENTURA MASONRY,INC. ACH MOB3100277 3101 16TH ST.W 63-27-631 LEHIGH ACRES,Fl.33971 5116/2014 4 • • PAY TO THE • . • ORDER OF JEMA APT ., "495.58 Four Hundred Ninety-Five and 5B1100''*"''*"t*****"'""*""`*""`"'""""""" """"""""s""""""""""""'''*`""""" DOLLARS € JEMAA•P.T. • •. 8• 4316 Lee Blvd Unit 6 r . ' .•. • • Lehigh Acres, FL 33971 ••. . r�� • �s• s•4•MEMO •' AUTHORIZED SIGNATURE 46-1674315,9999999 PR TAX SCROW • • •• c -0 `—cy. •a S t. Seq: 1 r� � o D • Dep: 001773 "� = D 7 n .. Date: 05/27/14, Y X n �' a . I., •- .-1 g ' _.• . vH::a. C iitil:1lf# wr`i:C-.i•v t t[v'"'a* i19 i.iifvr Irai74..11,.Q.K.H4 ...... ---------- ----. —..._.--- --- n. a• • iCr' • -1 Sc ' x 'T m VI •T I."' r • 0 Electronic Endorsements Date Se ence Bank # Endrs Type Bank Name Trunc Return Reason 05/27/2011 Rtn Loc/BOFD BANK OF AMERICA, NA Y Amount: $145.00 9 Sequence Number:aliallifillit Account: Capture Date: 05/30/2014 Bank Number: Check Number: 6461 BankofAmerica. D.J.VENTURA MASONRY,INC. ACM Rif 003100277 3101 16TH ST.W 63-27-631 LEHIGH ACRES,FL 33971 5/2312014 , $ PAY TO THE $ "145.00 ORDER OE JEMA APT One Hundred Forty-Five and 001400'*'**"*"'*"*`*"'" """"""'""'""`"**Inle*******'*'*'* ""` "` DOLLARS 4' JEMA ART. 4316 Lee Blvd Unit 6 . Lehigh Acres,FL 33971 —.rw#,,,, MEMO • . AUTHORIZED SIGNATURE • inv#132004 fees services t m m6. a K m Seq: 1 '" o D D Dep:- 001779 ,i , � nn0 Date: 05/30/14 o o ei zZ � • Z Z r ';' O O r r '•:r r r ' ' . -i -i .;' > > . m m ' ' -- _.. Ri 70 70 m m Electronic Endorsements Date Se e Bank # Endrs Type Bank Name Trunc Return Reason 05/ 138 Rtn Loc/BOFD BANK OF AMERICA, NA Y , Amount: $150.00 Sequence Number: allitaaria Account: Capture Date: 05/27/2014 Bank Number:jiitiiirm Check Number: 6462 . • . 6462 BankofAmerica. „ : • : . , D.J.VENTURA MASONRY,INC. ACH Fig 083100277 ' 3101 16TH ST.W 63-27.631 LEHIGH ACRES,FL 33471 5/23/2014 1 . • . . PAY TO THE . ' . I a ORDER OF JEMA APT . . $ "150.00 i • • I one Hundred F, and 001100************k************k******Imhhfr*******,.***,,,,nhtm*,.....********,,,e,Th****„.....e... 1*LIARS I i JEMA A.P.T. , , 4316 Lee Blvd Unit 6 Lehigh Acres,FL 33971 - t , . - _a...a-.0. 4110/..461 —........se . • MEMO AUTHORIZED SIGNATU• • I NV#13-2003 fees Services Tom _____as • . . . . 111111111.1111111=111111111111111111111111111111111110 . . . , ,. • . . n , a:, rn MI`419 " 13 M . Seq: 1 . cn 0 1 • Dep: 001771 ,r- r, Date 05/27/14 ,-, C.,„(in n 4. ..; ... ..._. :,, .,...,4:; : - - _ ---, 0 :?,,, vg z z = , • 4 4 4. ;,. t, • ' M• Z z EP, . . ..-...:exit praw,--FT-7:-.1t-met4774-4-41,4,*---4=•--foeirte..—"Me?eftor-I-Prof"..ii",- -7/, •......--.. 4 iev-4.....4 t ....4..r.V..4 I 4 e ; "INA e ; %we';de.?4.4 V.4.4 *.d..?&-...11..Q.4•VA, ---.---...---). -, -a -a . •••• t Ck -< -< .- . . . ... ati,,, ...,,.. , . : •., • -: . , H ,---, 0 0 . . .--,,, • —. r— r- i— ,— ., a: :„. ..., . • ,... .., › › - CT- X X rn r1-1 ,.. . (MV n- . . *; 20 f20 ; : r . C , Z • 1 el 00 7U X Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/27/20111111111111111MalOgea Rtn Loc/BOFD BANK OF AMERICA, NA Y Amount: $2,246.03 Sequence Number: f W Account: Capture Date: 05/30/2014 Bank Numbe .. Check Number: 6480 6480 Bank of America. D.J.VENTURA MASONRY,INC. AcHwroai,00xn 3101 16TH ST.w 63-27-631 LEHGH ACRES,FL 33971 5/30/2014 1 PAY TO ORDER F� JEMA APT ' $ **2,246.03 : 7 Two Thousand Two Hundred Forty-Six and 031 140***"'""*****`***************************"'**`************************** DOLLARS t 1 JEMA A.P.T. �„�... 4316 Lee Blvd Unit 6 Lehigh Acres, FL 33971 ' . C MEMO AUTHORIZED$1DNA RIRE 46-1674315,9999999 or tax scrow IIIMIIMIIIIIIIIPIIIIIIIIPIIIIIIIIIMIIIIIIIIIIIIIIIIIP 1• . . 0 p m Seq: 1 a o D F ✓ . , , Dep: 001785 m • —4 n ' Date: 05/30/14 :',-=.5, °- so . z - 0 � -.R- z .i `:SEMI :-v: 4 .2;:.' iV ' . 4 %;i 4QE ".sf4 : :- - _ ` 4' D O a: .. G c' X ✓ ' c O Electronic Endorsements Date •• Endrs Type Bank Name Trunc Return Reason 05/30/ - - -. 38 Rtn Loc/BOFD BANK OF AMERICA, NA Y Amount: $210.00 Sequence Number: lommilaw Account: Capture Date: 05/30/2014 Bank Number: Check Number: 6481 —xr 6481 BankafAmerica. .�. . D.J.VENTURA MASONRY,INC' ecsarrosmown 3101 16TH Sr.W 63-27-631 ' LEHIGH ACRES.FL 33971 5/30/2014 1 6 PAY TO THE $ *'210.00 I ORDER OF JEMA APT 1 iteURfeiiMMHMMfaZNN******rM***** rfAeti3******t**"*l***** **********************Mrt! 1 _ Two Hundred Ten and 001100 DOLLARS JEMA A.P.T. �` 8 4316 Lee Blvd Unit 6 Lehigh Acres, FL 33971 - T MEMO AurHOte¢EOS iu� inv#13-2007 fees services ;, � Q m m ' K m Seq: 1 �-'; . > D . -, Dep: 001781 ° ` o D D Date: 05/30/14 �;'0 n n ... m c , T ...�r'1 L_ z z :.zzo x: • • Cl C1 :::.__-- �i. t vralwVt P=�2ri.:,r .%I 1.f C.y !iL7<i er o.7 t o t Lew V4S-Errli.94.)1J --'------ - ._. l '�. _ - ■' -< i• Xi 70 0 0 r- -1 -1 D D rr, vm, *ei . r• 0 0 ill 70 70 m m Electronic Endorsements Date Sequenc Bank # Endrs Type Bank Name Trunc Return Reason 05/30/201. .000138 Rtn Loc/BOFD BANK OF AMERICA, NA Y y Amount: $3' Sequence Number: �� Account: Capture Date: 0505/30/2014 , , Bank Number: Check Number: 6482 . . .-._.. - - , nrt 6482 BankofAmerica._... - i D.J.VENTURA MASONRY,INC. ACH RP'oeSioarn 3101 16TH ST.W 63.27-631 LEHIGH ACRES,FL 33971 5/30/2014 -8 C O s PAY TO T ORDER aF Victor M Soto $ "392.49 i i 1 • Three Hundred Ninety-Two and 491100*********lie********"*k4**k4***A*4#******i*k***************k4*#*ir**********"**"**M nOLLARS J Victor M Soto 10863 Bonita Drive c- 8 Bonita Springs,FL 34135 ./f` r MEMO /A , ORZEOSIGra0.TURE -, Pay Period: 05/26/2014-06/01/2014 — __ _�� _��^_ �__ __,___ T--.- -;t - - "` uT a te _ir --41- ) ' For Deposit Only A&E La numeco 1, tnc Electronic Endorsements Date -• - . k # Endrs Type Bank Name Trunc Return Reason 05/30/2014 1012822 Pay Bank BANK OF AMERICA, NA N 05/30/2014 019 Rtn Loc/BOFD WELLS FARGO BANK, NA Y Amount: I } Sequence Number: Account: A Capture Date: 05/30/2014 Bank Number Check Number: 6483 4 6483 BankofAmerica. D.J.VENTURA MASONRY,INC. AcH RR oes1ooen 310116TH 5T.W 63-27.631 LEHIGH ACRES,FL 33971 5/30/2094 S PAY TO THE ;4 ORDER OF Tomas Alm $ *`406.34 Four Hundred Six and 34/900****a*******0*********ie*******4******************4****************►**k*ir**tr** *********Mi****** n011ARS 3 Tomas Alvarez. 467 Carolina Ave Fort Myers,FL 33905 s12,7: _ _'!47/7/ MEMO AUTHOR2EO SIGRATURE Pay Period: 05/26/2014-_08/0112014____ _._—__ __--s - _ z_ __-- - _ _-- 0 t� v1 Pa /A 1..6! numnt`" _ :fin w Electronic Endorsements Date -•. -* e Bank_ # Endrs Type Bank Name Trunc Return Reason , 05/30/20 - • 1. 2 Pay Bank BANK OF AMERICA, NA N 05/30/2014 '-'".-.4---:`!' ''. -4-- 19 Rtn Loc/BOFD WELLS FARGO BANK, NA Y Amount: $517. Sequence Number: . Account: Capture Date: 05/30/2014 Bank Number: Check Number: 6485 4 6485 Bank of America. D.J.VENTURA MASONRY,INC. ncr1wr0e3100277 3101 16114 ST.W 63-27-631 LEHIGH ACRES,FL 33971 51300094 PAY TO THE o ORDER OF Refugia Sanchez Cruz $ "51716 Five N.undresl Seventee■and 16/100 4******44rt*********i+********* ****************f+**** *****r******************MWMF DOLLARS Refugio Sanchez Cruz 4627 Labont Ave. .� Fort Myers,FL 33905 1.jj MEMO P0110 ZEOSIGNATURE Pay Period:05/26/2014-06/01/2014 d - — ... ..r..1 - - - " A te _ 0 PAL= La C' Electronic Endorsements Date .e• ence Bank # Endrs Type Bank Name Trunc Return Reason 05/30/2014 s + Rtn Loc/BOFD WELLS FARGO BANK, NA Y 05/30/2014 1 2 Pay Bank BANK OF AMERICA, NA N Amount: $664.92 ! Sequence Number: Account: Capture Date: 05/30/2014 Bank Number: Check Number: 6486 ee 646 BankafAioerica. — ..`. D.J.VENTURA MASONRY,INC. AC4 R/r061,002T7 3101 16TH ST.W 63.27.631 LEHIGH ACRES;FL 33971 5/3Q/2014 PAY TO THE_ ORDER OF Oscar Sosa. $ **664.92 Six Hundred Sixty-Four and 921 1013********rt**-******************************************** *****************************1 DOLLARS Oscar Sosa. 8 4230 Riverview Rd Fort Myers, FL 33905 .J MEMO • A ORIZEDSIGNATURE Pay Period-05/26/2014.06/0112014__---------_ filmiNNINgionimmuir �— +F-__--- ---- - - --r`Syr •, .s e.... .....-''.- -- ^— iNl2G .r A&E La nurriv: ;lc Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/30/201 '" --- Rtn Loc/BOFD WELLS FARGO BANK, NA Y 05/30/20 ': Pay Bank BANK OF AMERICA, NA N t Amount: $45 Sequence Number: Account: Capture Date: 05/30/2014 A Bank Number: Check Number: 6487 _ _ _ _• 6487 BankofAmerica i" D.J.VENTURA MASONRY,INC. , wross,mrn 3101 167H ST.W 63.27.631 LEHIGH ACRES.FL 33971 513012014 6 PAY TO THE I ORDER oF_ Marvin Garcia. $ "452.52 Four Hundred Fifty-Two_and 52/100 nou..RS 1. Marvin Garcia. 8 4762 Palm de Nova im Fort Myers,FL 33905 r Is MEMO I °siwn * Pay Period.05/2612014-06/0112014 L 11111111111111111111111111111111111111111111111.1111111. ''''t 7 m Seq: 34 0 0 r - BIM - ;x1##8tittnt** *1. 3H3 Batch: 129825 , !: 1S'Nbf - 4Da43 45e3 Date: 05/30/14 . i m 1 6SObS Al/� m 60000 41 1E60000 33 13N }i}43 , 9EVf.1 a 10?/OE/SO 6D100 u'-11 • - - --- - ---- .. -. BAT:12982S CC:81Se889931 --- - -- --- - --- ----- -.--- - ..--.-,. .---.. . \ _...•-• -- — ° WI.11 LiPS:Jacksonrtlle — --- = BC Sir Mile Cypress BC FL4-554 C Electronic Endorsements Date Se ce Bank # Endrs Type Bank Name Trunc Return Reason 05/30/2014 to Loc/BOFD BANK OF AMERICA, NA Y ti,l Amount: $664.92 Sequence Number: Account: Capture Date: 05/30/2014 Bank Number Check Number: 6488 648$ BankafArnenca�' , D.J.VENTURA MASONRY, INC. AcH RYf 083100277 310116TH ST,W 63.27-631 LEHIGH ACRES,FL 33971 $/30/2414 C 0 9 PAY TO THE z ORDER OF Juan Carlos Rnjn $ "*664.92 s •. . t, •• ►.11- • .i, ,t**k******k************MM*Ir************fnk***:F*****Itirk* **************************4******1 DOLLARS t 1 Juan Carlos Rojo 407 Miramar Rd A 8 Fort Myers, FL 33905 'rze,ir MEMO A ORIzapSIGNA1URE Pay Period:05/26/2044-06/01/2014 0 -- ._ -° _ ---- - • _ ..._.„. .; _. _�_.. _ . ..�_ -1" Q SA NC C) r-:-,, _'R ,:',:. . ..iy Ag:: , 1:17,'= .-if Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/30/201 Rtn Loc/BOFD WELLS FARGO BANK, NA Y 05/30/201, • `: 2 Pay Bank BANK OF AMERICA, NA N Amount: $614.13 Sequence Number: Account: Capture Date: 05/30/2014 k, Bank :WNW Check Number: 6489 6489 BankafAmerica. .. D.J.VENTURA MASONRY,INC. AcnWlrc awo277 IF 3101 16TH ST.W 63.27-631 LEHIGH ACRES,FL 33971 5/30/2014 a 2 PAY TO THE **614.13 ORDER OR • - Y A •• Six Hundred Fourteen and 131100**************4****'a****+************C 14*•***********************************k*****A***4i* DOLLARS Jose Agustin Lugo Garcia 1 8 728 Harry Ave Lehigh Acres,FL 33973 .. �!►'si I MEMO Amnon2Ea S13NATURE Pay_Period:0512612414-06101/2014 aJ1 ' ' rb rrG�� .I V Electronic Endorsements Date Se k # Endrs Type Bank Name Trunc Return Reason 05/30/201 1000138 Rtn Loc/BOFD BANK OF AMERICA, NA Y Amount: $554.10 Sequence Number:_ Account: Capture Date: 05/30/2014 Bank Number: Check Number: 6490 A — — ---rnr 6490 BankafAmerica. D.J.VENTURA MASONRY,INC. ACHwrCoSSrocz77 I 310116TH ST.W 63.27-631 LEHIGH ACRES,FL 33971 5017014 2 5 PAY TO THE 2 ORDER OF Jose A Vicente $ **554.10 E m - ■ is -* •iA— • _ii S S I***************k*************i***k*******k****************k#****************r*********** DOLLARS k Jose A Vicente 4100 Edgewood Ave. 4.� e Apt.#G 118 /1 , Fort Myers, FL 33916 MEMO AUTHOR2EE SIGNATURE ,_ Pay____Period:05/26/2014-06101/2014---_.-.____.._-_— ----_ –_____________-___--.- -_-_.__,_- Willinainiffillallinglialiginlir .t I..%1 le' 1 -air1.}0S! ,''11/ A a=� fit ineic -. ,CC Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/30/2014 0019 Rtn Loc/BOFD WELLS FARGO BANK, NA Y 05/30/2014 2822 Pay Bank BANK OF AMERICA, NA N Amount: Sequence Number: Account: Capture Date: 05/30/2014 Bank Number Check Number: 6491 Bank ofAmerica�.` D.J.VENTURA MASONRY,INC. ACH RjI06330027i 3101 16TH ST.W 63.27.631 LEHLGH ACRES,FL 33971 5/30/2014 1• o 8 S PAYTOTHE s ORDER of Jorge Yat Perpuac $ **517.16 11 Five Hundred Seventeen and 161100******************************:Nt************R***4**********************t***}w********0 DOLLARS i i Jorge Yat Perpuac - 493 Coopers Ct 4 Fort Myers, FL 33905 - M-'�r," MEMO AUTHORIZED SIGNATURE Pay Period:05/26/2014-06/01/2014 i_y _---._-----___.- __-_-- -- --�_--_ X NI r . epos:I. only C' : 4E La numeco 1, Inc Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/30/2014 1000019 Rtn Loc/BOFD WELLS FARGO BANK, NA Y 05/30/2014 1012822 Pay Bank BANK OF AMERICA, NA N Amount: $554.10 Sequence Number: Account: _ Capture Date: 05/30/2014 Bank Number: Check Number: 6493 ti 6493 Bank of America. D.J.VENTURA NTURA MASONRY,INC. Acr+wrm„ooxr, �400,.. 3101 16TH ST.W 63-27-631 LEHIGH ACRES,FL 33971 5/30/20.14 B 5 m PAY TO THE M OFWER OF David Sanchez.. $ "554.10 P rs Five_Hundred Fifes Four and 101 100**************************o******************,t************r;ter***********A#*********r x DOLLARS g N David Sanchez.. 312 N.Bellair Rd , Fort Myers, FL 33905 �:;; ;, > MEMO AUTHORIZED SIGNATURE Pay Period,05/2fi12014-06!01/2094 W_ _ ___ _ __m --.__ ----.---- i M V F 15- '7- - --- - . • ♦r • .,rya. .-.. —_- - t's 1 - For Deposit Only A Ok &E La numero 1, +nc L Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/30/20191000019 Rtn Loc/BOFD WELLS FARGO BANK, NA Y 05/30/207 012822 Pay Bank BANK OF AMERICA, NA N ` Amount: $461.75 Sequence Number Account: Capture Date: 05/30/2014 Bank Number Check Number: 6494 ""' . .. _ . . _ _ ._ . • .,,. 6494 BankofAmerica.. D.J.VENTURA MASONRY,INC. /CAM oesziomn 400" 3101 16TH ST,W 63.27.631 LEHIGH ACRES,FL 33971 5/3012014 s PAY TO THE I ORDER OF Daniel J Ventura $ "461.75 Four Hundred -One and 751100 DOLL4RS Daniel J Ventura 8 3101 16th St W -sl II Lehigh Acres,FL 33971 ���AY MEMO / flt LtOsumouw Pay Period:05/26/2014-06/01/2014 IIIIIIIIIIIIIMIIIIIIIIIIIIIIIIIIIIIIIIIIIIIW .1 1 T Seq: 87 - - • • Batch: 114745 - A. Date: 05/30/14 , ,, r; I BAT:114745 CC:9159999931 - ---- - ---- - -- - -- .- - ..-_ .... _------___--- --Wi:91 L1PS:Jacksanv lilt -- —._.- - i BC:Six Mile Cypress BC ft4-554 - Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/30/20 ®000138 Rtn Loc/BOFD BANK OF AMERICA, NA Y , ta Amount: $443.28 Sequence Number: 1 Account: Capture Date: 05/30/2014 Bank Number: Check Number: 6495 i - - — — - - 6495 BanketAmerica. it D.J.VENTURA MASONRY,INC. Ace Rfr0E0100277 3101 16TH ST,W 63-27.631 LEHIGH ACRES,FL 33971 5/30/2014 0 PAY TO THE ORDER OF Concepcion Velazquez. $ *"443.28 a Four Hundred Forty-Three and 2@(100**.*tk******.**+I**************i ir*****,MI#f.k******4 iiik15****OfJWF}*****:**************** DOLLARS Concepcion Velazquez. - 6 477 Carolina Ave Fort Myers,FL 33905 .. ter. MEMO A HORIZeo SIGNATURE _. —______ Period:05/26/2014-0610112014 _ -------_____ ___ _ ___ __ ________ _ ______--_._.-.-- f kce• V FO; epos Depou 1y A& Electronic Endorsements Date Sequence # Endrs Type Bank Name Trunc Return Reason 05/30/201 111012822 Pay Bank BANK OF AMERICA, NA N 05/30/ 091000019 Rtn Loc/BOFD WELLS FARGO BANK, NA" Y Amount: $443.28 .S Sequence Number: Account: Capture Date: 05/30/2014 4 Bank Number: Check Number: 6497 -- - --------- ---—...--- -- - --------- •----- -• -'-_.._..__... .._.-------- --• --- ----- - -•-•--._. ----.__.._. ----- - fie 6497 BankofAnierica. D.J.VENTURA MASONRY,INC. /OH RI'Oe3tcorn 3101 16TH ST.W 63-27-631 LEHIGH ACRES,FL 33971 5/301201 1 S a PAY TO THE I ORDER OF Arturo M Diego $ *'443.28 f. _ Four Hundred Forty-Three and 281100***************************!*k!*******M**********t**i**file**t*****Mk***1**********i*** DOLLARS , X Arturo M Diego 8 399 Malroa Ave �1 Fort Myers, FL 33905 ■►lirxei APPW MEMO A 0RIZEDSIGNATURE . ________Pay Period;_05/26/2014-08101/2014__-_______..-- _. _. _.__ _____/.____________ ' IIIIIIIIIIIIIIIIIIIIIIIIIIII"MlIllIlgP -..1,1 _ _ _ "ma aw _ tab 7.+f....rw_ 0100,, ..... - _ �r y.-. A`. _ .. ,mow .-. - - {� tii ( 1! ` V For OepoS?A Only ME La numero 1, ins; Electronic Endorsements Date -quence Bank # Endrs Type Bank Name Trunc Return Reason 05/30/2014 _'_w-' ` _9 Rtn Loc/BOFD WELLS FARGO BANK, NA Y " 05/30/2014 - Y 12 Pay Bank BANK OF AMERICA, NA N I Amount: $406. Sequence Number:agraillifar Account: Capture Date: 05/30/2014 Bank Number: Check Number: 6498 6498 BankofAmerica. D.J.VENTURAMASONRY,INC. AcHwroes,Can 310116TH ST.W 63-27-631 LEHIGH ACRES,FL 33971 5/30/2014 - 8 PAY TO THE ORDEROF Ancelmo Ventura. $ "406.34 Four Hundred Six and 34/100***" ""****•""*r"*****"******«""'""+."..""f'."*"*4""****44.'.**""*****"***** DOLLARS Ancelmo Ventura. 8 rApyrj 'VP. frit A d MEMO A 4 i ZED SIGNATURE Pay Period:05/26/2014_06/01/2014 ter ? = n sit Only A& La name-r . TIC Electronic Endorsements Date Sequence Bank # Endrs Type Bank Name Trunc Return Reason 05/30/2 9 Rtn Loc/BOFD WELLS FARGO BANK, NA Y ? 05/30/2 22 Pay Bank BANK OF AMERICA, NA N Amount: 1,755.24 Sequence Number: Account: Capture Date: 05/30 4, Bank Number Check Number: 6499 6499 BankofAmerica. �i D.J.VENTURA MASONRY,INC. ACHRR083mozrr • 3101 16TH ST.w 63-27-631 LEHIGH ACRES,FL 33971 5/30/2014 PAY TO THE ORDER OF JEMA APT One Thousand Seven Hundred Fifty-Five and 241100*""""' """"*"" ""'"`°""*""""" `*"`"""""" notes JEMA A.P.T. \ 4316 Lee Blvd Unit 6 • Lehigh Acres,FL 33971 r • ia► AURW-A-SIGNATURE MEMO 46-1674315,9999999 PR TAX SCROW - - 0 m [`SA Seq: 1 �n o p 0•: Dep: 001784 R r r. — n .,Date: 05/30•/14 �,, °- w n w. R- ET X O m r c._! ` z r { m .a, V1 4. CI r Jr XI m Electronic Endorsements Date Bank # Endrs Type Bank Name Trunc Return Reason 05/30/201 - 100138 Rtn Loc/BOFD BANK OF AMERICA, NA Y Amount: $110 00 5 Sequence Number: Account: Capture Date: 05/30/2014 Bank Number: Check Number: 6500 - - nr . . 6500 :•'BankofAmeria��' D.J.vEN RA MASONRY,INC. pc+wroeaazn . • . ' 3101 16TH ST.W 63-27-631 LEHIGH ACRES,FL 33971 5!30/2014 1 • . 5• • PAY TOTHE ORDER OF JEMA APT $ *'110.00 one Hundred Ten and 001100********'*****''******.«********" '*******************************'**"**'***** DOLLARS JEMAA.P.T. ; fl 4316 Lee Blvd Unit 6 . •• . • , Lehigh Acres, FL 33971 -�"� f 9T,`r • 7.0„,,„. • MEMO #nHOa¢ i s+ow,zuaE ., inv#13-2010 fees services • • • 11: a o m m•f Seq: 1 o D D 0 ; Dep: 001777 _ D D er Date: 05/30/14 8 8 cr O O R•: 1_ Z Z 7 x, _ —1 .--I < f , - Z Z 0 x+ > �.'S.r.-4-�:-e-11.erP *-�"5"C 1Ir F^R'77-=-l jrh.-. Z Cr?t'te-r E'."Art'^t6 Q4�Ttr�-�R' V4n.,.�r�. <.T r 1 O O _' .. . f . X 'X ,• -J m m 7 • u Cil 20 0 1 ' ._ EZ E , fr, O O T T Electronic Endorsements Date Se ence Bank # Endrs Type Bank Name Trunc Return Reason 05/30 000138 Rtn Loc/BOFD BANK OF AMERICA, NA Y 9 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 Waiver of Testing Requirements Reinstatement of License Request to Qualify Second Entity X Other (specify) Application for Board Review THIS CAUSE came on for public hearing before the Contractors' Licensing Board (hereafter Board) on May 21, 2014, 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 Osvaldo E. Gonzalez Gutierrez d/b/a Calimete Premium Quality, Inc. (the "Applicant") has submitted an application to the Collier County Contractor Licensing Supervisor or his designee for a Certificate of Competency as a Cabinet Installation Contractor and based on the application supplied by the Applicant the Licensing Supervisor determined a review by the Board is necessary. 2. That pursuant to Section 22-184(b) of the Code of Laws and Ordinances of Collier County, Florida 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 330127.1 6/11/2014 3. That the Board has jurisdiction over this matter and that Osvaldo E. Gonzalez Gutierrez was present at the public hearing on May 21, 2014, and was not represented by counsel. 4. All notices required by of the Code of Laws and Ordinances of Collier County, Florida, as amended, have been properly issued. 5. The facts in this case are found to be: a. Applicant's credit history is such that probation and follow up with the Board is necessary. b. The Applicant has not prepared an adequate plan to address resolution of the credit issues. CONCLUSIONS OF LAW 1, Based upon the foregoing facts, the Board concluded that the applicant has not met the standard set out in of the Code of Laws and Ordinances of Collier County, Florida, as amended, for approval of the application without probationary terms. ORDER OF THE BOARD 1. Based upon the foregoing Findings of Fact and Conclusions of Law, and pursuant to the authority granted in Chapter 489, Florida Statutes, and of the Code of Laws and Ordinances of Collier County, Florida, as amended, the Applicant's application was granted with the following conditions: a. The Applicant shall be granted a three (3) month probationary license and shall appear before the Board for review in three (3) months with a written business plan and an updated personal credit report. 2 330127.1 6/11/2014 ORDERED by the Contractors Licensing Board effective the 21st day of May, 2014. CONTRACTOR'S LICENSING BOARD 75 LIER COUNTY, FLORIDA Q\ks 44 By: Patrick White, Chairman I HEREBY CERTIFY that a true and correct copy of the above and foregoing Findings of Fact, Conclusions of Law, and Order of the Board has been furnished the Applicant, and Michael Ossorio, Licensing Compliance Supervisor, 2800 North Horseshoe Drive, Naples, FL 34103 on this /& th day of -rcf .-- - , 2014. deft f Secretary/Contractor's Licensing Board 3 330127.1 6/11/2014 JUILJ I4 IL. lop LOi-L!l-U10! lV101 p. 1 ET Merit 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. It is solely for the use of the intended recipient(s). Unauthorized interception, review, use or disclosure is prohibited and may violate applicable laws including the Electronic Communications Privacy Act. if you are not the intended recipient, please contact the sender and destroy all copies of the communication. Ju1231412;15p 239-277-0167 2392770167 p.2 Prepared By: Merit Credit (239) 277-3202 (800) 371-3348 TRANSUNION CREDIT REPORT [FOR] [SUB NAME] [MET SUB] [INFILE] (I) Z NP6284423 MERIT CREDIT [DATE] [TIME] 16 NP 9/99 07/23/14 3/14 11:19CT [SUBJECT] GONZALEZ, OSVALDO E. SR. [SSN] [BIRTH DATE] [CURRENT ADDRESS] 9/70 :5246 CORTONA WY. , NAPLES FL. 34120 [DATE RPTD] [FORMER ADDRESS] 1/09 27680 ROSLIN DR. , BONITA SPRINGS FL. 39135 16020 ARBOR VIEW BV., #130. NAPLES FL. 34110 3/06 [POSITION] [CURRENT EMPLOYER AND ADDRESS] SELF EMPLOYED [VERF] 1RPTD] [FORMER EMPLOYER AND ADDRESS] 2/12 2/12 MUD SLINGER CARPENTERS 10/08 12/08 M O D E L P R O F I L E * * * ALERT * * ***FICO CLASSIC 04 ALERT: SCORE +554 : 038, 010, 018, 020 *** IN ADDITION ***TO THE FACTORS LISTED ABOVE, THE NUMBER OF INQUIRIES ON THE CONSUMER'S ***CREDIT FILE HAS ADVERSELY AFFECTED THE CREDIT SCORE. C R E D I T S U M M A R Y * * PR=0 COL=6 NEG=6 HSTNEG=0 TRD=12 RVL=9 TOTAL INST=4F MTG-0 OPN=O TIN R Y HIGH CRED CRED LIM BALANCE PAST DUE MNTHLY PAY AVAILABLE REVOLVING: $202 $300 $25 $0 1NSTALLMENT: $2000 $ $25 92% $2000 $0 $57 CLOSED W/BAL: $2213 $2213 $ TOTALS: $2202 $300 $4238 $2213 $82 C O L L E C T I O N S SURNAME SUBCODE ECOA OPENED CLOSED $PLACED CREDITOR ACCOUNT# MOP VERIFIED BALANCE REMARKS CAVALRY PORT Y lYNA_008 I 2/11 $599 08 ESBC RANK NEVAD 09B 7/14A $515 PARTIAL PMT AGREEMEN PORTFOLIO RC Y 1KSE003 I 3/11 $16.5K HS3C CONSUMER LEND 09B 7/14A $16.5K PLACED FOR COLLECTIO PIN CRED SER Y 1KM3001 I 10/13 $141 12 VERIZON WIRELES 095 5/14A $141 PLACED FOR COLLECTIO 12/12A $513 PLACED FOR COLLECTIO LVNV FUNDING Y 21T9002 I 12/09 5/14F $1119 12 CREDIT ONE BANE 09P 7/14A $0 SETTLED [ FULL BLNC Ju1231.41215p 239-277-0167 2392770167 p.3 CAVALRY PORT Y 1YNA008 I 1/10 7/14F $787 08 HSBC BANK NEVAD 09P 13842870 7/14A $0 SETTLED [ FULL BLNC T R A D E S SUBNAME SUBC0DE 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 CAP ONE B 1DTV001 4/07 $1201 R09 7/14A $500 $1870 CREDIT CARD 12/09F $1870 CLOSD BY CRDT GRANTOR 41PF045 12/06 $343 RC9 14001/11,111 2/13A $250 $343 I CREDIT CARD 7/09F $343 UNPAID BLNC CHRGD OFF HSBC BANK B 2EF9001 3/07 $598 R09 2/11A $0 $0 I CREDIT CARD 8/09F $0 PURCH BY OTHER LENDER S '"'JC, P D 235058D 3/08 $494 R09 10/10A $200 $0 I CHARGE ACCOUNT 7/09F $0 PURC}? BY OTHER LENDER HSBC BANK B 2EF9001 4/07 $786 RO9 11111111111110 2/10A $0 $0 I CREDIT CARD 9/09F $0 PURCH BY OTHER LENDER CREDITONEENK B 54MR013 2/06 $1119 R09 12/09A $650 $0 SLDTO SOLD TO ANO 8/09E $0 UNPAID BLNC CHRGD OFF IBERIABANK B 130G005 6/14 $2000 36M57 I01 7/14A $0 111111!!!!!!! $2000 MABT/CONT N 2AQE003 4/13 $202 MIN25 111111111111 RO1 6/14A $300 $0 1 CREDIT CARD $25 13 0/ 0/ C MABT AQE003 4/13 $272 1111111 RO1 12/13A $300 $0 CREDIT CARD 11/13C $0 PURCH BY OTHER LENDER 7 0/ 0/ 0 WFDS/WDS F 839N077 9/08 $17.0K 72M344 111111111111 ''01 12/13A $0 111111111 I AUTOMOBILE 12/130 $C CLOSED 45 0/ 0/ 0 SANTANDER F 1R18CO3 2/12 $15.9K 72M384 111111111111 I01 5/13A $0 111 C AUTOMOBILE 5/130 $0 CLOSED 15 0/ 0/ 0 WELLS FA : • : •^ : t 4 9/08 $17.0{ 72M344 111111111111 I01 $0 111111111111 AUTOMOBIIE 2/120 $0 CLOSED CUE '1'O '_'RNSFR 41 0/ C/ 0 I N Q U I R I E S DATE SUBCODE SURNAME TYPE AMOUNT Jul23141215p 239-277-0167 2392770167 p.4 7/23/14 ZNP6284423 (FLA) MERIT CREDIT 3/24/14 ZNP6284423 (FLA) MERIT CREDIT 4/18/13 FNJ4553464 (EAS) CONTINENTAL C R E D I T R E P O R T S E R V I C E D BY : TRANSUNION 800-888-4213 2 BALDWIN PLACE P.O. BOX 1000,CHESTER, PA. 19022 Consumer disclosures can be obtained online through TransUnion at: http://www.transunion.com CREDITOR CONTACT INFORMATION CAVALRY PORT YCIYNAC08 (800) 501-0909 500 SUMMIT LAKE DR VALHALLA NY. 10595 PORTFOLIO RC YCIKSE003 (800) 772-1413 287 INDEPENDENCE VIRGINIA BEACH VA_ 23462 PIN CRED SER YC1KM3001 (952) 939-8100 POB 5617 HOPKINS MN. 55343 ARS Y028Q4002 (954) 321-5957 1801 NW 66TH AVE FORT LAUDERDAL FL. 33313 LVNV FUNDING YC2/T9002 (866) 464-1183 C/O RESURGENT CAPI GREENVILLE SC. 29603 CAP ONE BCIDTV001 (800) 955-7070 POB 30281 SALT LAKE CITY UT. 84130 FST PREMIER BZ41PF045 3820 N LOUISE AVE SIOUX FALLS SD. 57107 ESBC BANK BC2EF9001 (888) 385-8916 PO BOX 9 BUFFALO NY. 14240 SYNCB/JCP DC235C58D (866) 227-5213 PO BOX 965007 ORLANDO FL. 32896 CREDITCNEBNK BC54MR013 (877) 825-3242 PO BCX 98872 LAS VEGAS NV. 89193 IBERIABANK BS130G005 (337) 365-236/ POB 12440 NEW IBERIA LA. 70562 MART/CUNTFIN FF2AQE003 PC BOX 11743 WILMINGTON DE. 19850 WFDS/WDE FS839N077 P.O. BOX 1697 WINTERV-ILLE NC. 28590 SANTANDER FA1R18003 (866) 923-9282 PO BOX 961245 FORT WORTH TX. 76161 WELLS FARGO- BA908N714 MAC 4031-080 PHOENIX AZ. 85038 CONTINENTAL F 4553464 (866) 449-4514 121 CONTINENTAL DR NEWARK DE. 19713 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 Jul 23 1,4 12:15p 239-277-0167 2392770167 p.5 SOURCES OF INFORMATION: TRANS UNION LLC IRS LIEN SECTION COUNTY COURTHOUSE RECORDS IF YOU HAVE ANY QUESTIONS REGARDING THIS REPCRT, PLEASE CONTACT MERIT CREDIT AT: I-800-372-3348 OR (239) 277-3202. ^1:1 1'±"°- Payment Address:P.O.Box 390646 laö ,-f -- ` y Minneapolis,MN 55439 J�ort�i[and Group Inc. Mail Code CVR29 866-699-2652 For Hours of Operation,please visit us at: www.payments2northland.com Northland Account May 28,2014 Current Creditor.Cava Ty. PV I, LLC Previous Creditor. HSBC Bank Nevada, N.A.1 Best Buy Original Account#:"*'`'WOW 1111111 VIII VIII IIIIIIIIIIIII 1 111111 I9II IIIlhIIIII IIIIIlI I111111III IIIIIIIlI VIII VIII VIII 111 11 OsvaldoEGonzalezSr (F23286873-05/28x205) 15246 Cortona Way Naples, FL 34120-0672 'I iirliliiiiII 1111irlll..hiii 99111111lllllrlll.l.11r0ll Dear Osvaldo E Gonzalez Sr, -"— _ ` As per your request,we wish to advise you that your account with the above referenced client has been resolved.On behalf of Cavalry SPV I, LLC and Northland Group Inc.,thank you for resolving your account. Please retain this copy for your permanent records. """The herein release is contingent on the clearance of any non-certified funds and no charge backs on any credit card payments made. If funds do not clear or there are charge backs,this release will be null and void.'' This communication is sent to you by Northland Group, Inc., a debt collector and a member of ACA International. M205-205 P219/0528_2 E IN Payment Address:P.O.Box 390846 •:+o Minneapolis,MN 55439 Northland�roup Inc. Mail Code SOS100 866-699-2652 For Hours of Operation,please visit us at: www.payments2northland.com Northland Account#. May 28,2014 Current Account Owner. LVNV Funding LLC Original Creditor.Credit One Bank, N.A. Original Account#:"****** 1,11111011111111110111110111 Osvaldo Gonzalez (F98039387-05/28x205) 15246 Cortona Way Naples, FL 34120-0672 +11,rIllll"IIt11I1I'11II111111 11111111 iiJi11'III'111II111"" Dear Osvaldo Gonzalez, As per your request,we wish to advise you that your account with the above referenced client has been - - resolved.On behalf of LVNV Funding LLC and Northland Group Inc.,thank you for resolving your account. Please retain this copy for your permanent records. "**The herein release is contingent on the clearance of any non-certified funds and no charge backs on any credit card payments made. If funds do not clear or there are charge backs,this release will be null and void.**" • This communication is sent to you by Northland Group,Inc.,a debt collector and a member of ACA International. M205-205 P138/0528 2 PO Box 520 a Valhalla, NY 10595 111100003378 414512 Phone: (866)434-2995 • FAX: (914)347-1973 Orr www.cavalryportfolioservices.com June 12, 2014 RE: Original Institution: HSBC Bank Nevada,NA\OIthard Bank Original Account No.: Cavalry Account No. Outstanding Balance: $615.47 1"1111111 IIIIIIIIP111'l"lIIldriII1I„1II'I'11'll'll'II'I Lr{ Osvaldo<E Gonzalez Sr �s'• .246 Cortona Way it y!�+"",u. Naples, FL 34120-0672 Dear Osvaldo E Gonzalez Sr: ----- - — _— -- - This letter is to remind you of a payment that you authorized by phone with respect to the above-referenced account. Details of the transaction are as follows: Payment Amount: $100.19 Check Date: June 21, 2014 Check Number: 9001 Drawn On:` June 21, 2014 As agreed, this check by phone will be deposited in accordance with the above terms. Please retain this letter for your records. If you have any questions, please feel free to contact us at (866) 873-5295 during regular business hours. Cavalry is committed to Improving your experience by providing you with excellent customer service and ensuring that you are treated fairly and respectfully. Please tell us about your experience with your Cavalry team member by e-mailing us at cavcares @cavps.com. Sincerely, _Rosario Nevarez_ __. .- The law limits how long you can be sued on a debt. Because of the age of your debt, we will not sue you for it. THIS IS AN ATTEMPT TO COLLECT A DEBT.ANY INFORMATION OBTAINED WILL BE USED FOR THAT PURPOSE.THIS COMMUNICATION IS FROM A DEBT COLLECTOR. w ,�,„ ,n SEE„R,;FVTERSE SIDE.FOR IMPORTANT INFORMATION CONCERNING YOUR.RIGHTS ,- :,-One Time Payment Page 1 of 1 ...-e-.--s\ ---:--__:_-------.- C N Mr Retrieval Masters Creditors Bureau American Medical Collection Agency P.O Box 160 Elmsford,NY 10523 Payment Information View Payment History OSVALDO GONZALES I AccountPay Number.5334068730 04 Pnnt Contact Us Payment Confirmation Your payment has been scheduled.If you provided an email address,a payment confirmation email has been sent to that address and you should receive it shortly. Please print this page for your records. - Remit Information Client Name: PINNACLE CREDIT SERVICES Client Code/Account Number: PL60J102426 Amount Due: 141.24 Personal Information Credit Card Type:Visa Name on Credit Card:OSVALDO GONZALES Credit Card Address 1: 15246 CORTONA WAY Credit Card Address 2: City: NAPLES State: FL Zip:34120 -Payment Information Created:Wed May 21 2014 15:55:59 Credit Card Number. Credit Card Expiration Date:09/2016 Payment Date:05121/2014 Amount:$141.24 Fee:$4.95 Total Amount:$146.19 Confirmation Number. 132841487 Email Address:callmete05@yahoo.com ail Contact Us 02014 Online Resources m_.._...ii-..n,.,.....,._,_...,,.,.v+,,,,o,..-m, nrvt-s in+„/el abmi+r,-Prii'fr arriPavmentVerification.do?id=55... 5/21/2014 \- l PO Box 520 av Valhalla, NY 10595 12 14 00004117 { 425062 Phone:(866)434-2995 • FAX:(914)347-1973 www.caval ryoortfol ioservi ces-com July 14, 2014 RE: Original Institution: HSBCBankNevada NA\Orchard Bank Original Account No.. Cavalry Account No. Outstanding Balance: $515.29 hilJl I911111111111ilhlplinl lhl1l+ll`IIi6IIhiIJ, ®---Osvaldo E Gonzalez Sr d ,} a.246 Cortona Way :, : ',aples, FL 34120-0672 Dear-Osvaldo E-Gotzzalez Sr:- ----- This letter is to remind you of a payment that you authorized by phone with respect to the above-referenced account. Details of the transaction are as follows: Payment Amount: $100.19 Check Date: July 21, 2014 Check Number: 9002 Drawn On: July 21, 2014 As agreed, this check by phone will be deposited in accordance with the above terms. Please retain this letter for your records. If you have any questions, please feel free to contact us at (866) 873-5295 during regular business hours. Cavalry is committed to improving your experience by providing you with excellent customer service and ensuring that you are treated fairly and respectfully. Please tell us about your experience with your Cavalry team member by e-mailing us at cavcares @cavps.com. Sincerely, Rosario Nevarez The law limits how long you can be sued on a debt. Because of the age of your debt,we will not sue you for it. THIS IS AN ATTEMPT TO COLLECT A DEBT. ANY INFORMATION OBTAINED WILL BE USED FOR THAT PURPOSE. THIS COMMUNICATION IS FROM A DEBT COLLECTOR. SEE REVERSE SIDE FOR IMPORTANT INFORMATION,CONCERNING YOUR RIGHTS a _w ----, f / il\IA 11 ) -------", 1 Ill d it ' (7‘-,kki-ly Y 1 (1 GMD Operations & Regulatory Man Licensing Section INAL \ - -/ 1)c.: 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: C Fiction Name/DBA: Qualifier Name: CI N, Y ) 2 l if-' C.' ("1 LO lit 2_, (115 (' ICiO ' Physical Address:"1' .ZLif 69 a.)-1 (017\c- Gjol tjojAp t. -1,5. (..„=„c 3 cii 2_ 0 (Number 86 Street) ( itY") (State) (Zip Code) Mailing Address: 152 (--'(-- .?,cl / 7 (Number & Street) I (Cith (3 tale) (Zip Code) Telephone: 7-3'r- E-M A 2 00— (30 L4 9 7 ) 06,0—0 g- ail: ri, r`To 1 3 g )Ccii ti_hoo , c oity, TYPE OF LICENSE: D General $230.00 0 Electrician $230.00 CI Building $230.00 Li Plumber $230.00 Li Reiiduntial 7,,n nn Li Al l Cult& ::,230.00 D Mochanical 930 00 0 '7.1VV imuthtg Pool $230-00 L:1 Roofing $230.00 14 Specialty $205.00 . i Specialty trade: r(11: , ,-`!-,) 1 tncT- 111 , /1 g13©EIEVIg CHANGE OF STATUS: MAR 2 7 2.L1L' ( ) Reinstatement ( ) From One Business to Another ( ) Dormant License to Ac ive Page 1 of 4 Riz 1. The names, titles, home address and phone numbers of all Officers/Managing Members of the Firm. GS w- • 6 GvlZc--- '-Z — t T2L1 c ' 0 e if ( 1 t 03.j ze al 0 ( x;0611 LOS.4.1 C U'e.✓c - 6 3.i%/e vu C`.v/g VU / k 2. List all businesses, firms, entities or contracting businesses you have been associated with during the last ten years (ex. Held a license for or been a partner). Attach extra pages if needed. 3. List all debts you or any company(s) associated with you refused to pay and the reasons for the refusal to pay. Attach extra pages if needed. AFFIDAVIT 1, VO 2 -certify that the foregoing is true and c rfect to the best of my knowledge. se tee tfiorized Officer of the Firm STATE OF FLORIDA COUNTY OF COf/r e/ I he foregoing instrument as acknowledged before me this o3/2 (Date) By t J0--L.0 3 6-0 vvZc,i 'Z- of 'o - e & A Pi r,'; trc-Lt` ' (Name of officer, title/agent)( � 9 ) (Name of Corporation) a j co b'L L Corporation on behalf of the corporation. (State or Place of Corporation) He/She has produced identification and did not take an oath. ( I ype of identification) NOTARY'S SEAL < M �wm PuLAc SL io of Horitia Jose M Rodriguez •. "'Y Commis on k5.oc0266 /' y >n' ' cd«a Expv35 06/15/2015 Page 2 of 4 I QUALIFIER INFORMATION: Name: OSVO LC ET- 00,262 (e `_ Address: /5-2,5( C k1 (n,/< (449(6,9 -�..—. 3`-7'7 2..() (Number& Street) (City) (State) (Zip Code) Telephone: (23) Z-60—FU Date of Birth: 0 S.S. #: 000-00 E-Mail:fief i l ` (r r c-- „. Driver's License: 1. Type of Certificate of Competency for which application is made. 2. The names and telephone numbers of two persons who will know your whereabouts. bi — CZ-77 e)) S.21— S Z_ f b j — z 2 "S---s z GAD 3. Have you ever been convicted of a crime related to Contracting? / A 4- (If yes attach extra sheet with oxplutiation) 7. Have you or any firms you have been associated with ever filed bankruptcy?_ ,/ C / 8. List all debts you or any company(s)assoetatpd with you refused or failed to pay and reasons why. A Aj0 tfi 9. List your business or work experience during the past ten years. 1 ( u""v (1-7.)--0 � nC" V f --- 2_0 t / f cz <. 10. Statement of any formal training you have had in the area for which the application is made. Page 3 of 4 { GITS, LLC Examination Operations Division Providing the services and products to assist Government Agencies to make informed educated decisions. Official Examination Score Report March 19, 2014 Official Score Report: Candidate Inlbr;nation: Name— Osvaldo E. Gonzalez Gutierrez Candidate#: 45703370G Testing Site: Ocala, FL Final Score Result: Business Procedures Score: 76% These results represent the grade that has been achieved on the Business Procedures examination(s) administered by Gainesville Independent Testing Service for Collier County, Florida on March 19, 2014. If you have any further questions,please do not hesitate to contact us. Sincerely, Jay E. Bowermeister President PO Box 831127 Ocala,Florida 34483-1127—Voice(352)369-GETS –Fax(352)387-2443 800 997 2129 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 mattorc, ho will bo hold otriotly occount8bl for 6 i i y anL1 all dutivltles It his license. Any willful falsification of any information contained herein is grounds for disqualification. 4` .lm` O CU's' 1 clV c JU A✓,N/ 4_ APPLICANT(PLEASE PRINT) (--0-((wt e-re to vt t v Qu x( r -i"\ NAME OF COMPANY / of :,_... SIGN' ORE OF APPI (CANT STATE OF FLORA COUNTY OF 0If/Jae The foregoing instrument as anknnwieriperi hPfnrP me this i ) 2_0/ Lf (Date) By OS cra—l. Ci , : 'zc-- who has produced . as identification and did not take an oath. NOTARY'S SEAL / �Q, w a47�n Nota y Puo�ic State of nonda 1 IA .",s.,"*"\e‘"%ekvWset,A0 /di 1n;rr r 1 t?rrar;riirr (SI t,NA U` &;, ► _,...., c ,. e My Commission EE080266 j ) �oi,,o4' Expires 0E;15!2015 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. SIGNAT Or'E OF APPLICANT CcAkk '6'1/4 e7re-- ai'e vskiv,i--\ P.,)0..k.("r .. ..,i,v c_. BUSINESS NAME / c°;7/2--. i/ DA'L'E EFORE ME this day personally appeared 65 v -(c6e: L- - :c 2t3-CeZ who affirms and says that he is 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 e foregoing instrument was acknowledgod before me this a , r` / ' ` s f` (name of person acknowledging) (Type of identification) !dentilcation and who did not take an oath. ti _.- FevN"."."."."""-"," vta:Y t't:hiir. ;a,!6 Of r�ipk. 47I�X�V N` U. di ,'A11,�Oft ose M xoarouez _Curnm,..su !'eauoUt j '6" 1/4— , fI ° i l �L:..._ pires OE/15/9015 ,,� t G l - NOTARY'S SEA`"°' �'` ' . ° .. .,? (PRINT NAME OF NOTARY PUB{ b) NOTARY PUBLIC AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER nic Ivi L/ (LOh I ( j c,, , am a resident of CF-�,,( fGe-7- County, C�-O C r. .1 (State) and have resided here for more than five (5) years. During the last five years I have known Lie-- t3 . 60 .:7_c-.Ca� applicant). I have had she opportunity to observe his or her business and personal dealings and find him or her o be a person of zonesty, integrity and good character. P ! / (Signature) -riiv*.,_4, (Name) 6 ■'/ .- 0 b 67j v^ (Address) 5 J 14-cr..Ari15c C;r 197 / CY 4A-51 c l( 3 V 1 I Telephone)(9--`3`i_.) 2C:' 0-- -Oy7 STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this t' 2 ( - 7.47/ ` by / D te) f Od k-7 go (e'', who hac produced - --(:}. (name of person acknoedging) (Type of identification) as identification and who did not take an oath. f.---\,. /f _ - SIGN'TVR'∎ r, •'�.6 ARY :• !`Z . 71,c, ci z_._- NOTARY' 'P& (PRINT NAME OF NOTARY)',-) ot,rr cue Notary p Rohe State of eiatiCa NOTARY PUBLIC Jos M Rowiguez r` , ,s My C remission EEOc&Ozce ' ,,et'?c;p'J' Fyr ck-(", iS+/2Ci • r-' AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER 1, ei Ife-►`14 ' -cvtcifca\ , am a resident of CorIt c-- County, 0,41( (State) and have resided here for more than five (5) years. During the last five years I have known OS U'o---��-� I • 6-1-)142-c2---(e' (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 ionesty, integrity and good character. r A (Signature) ri. 10 r--..--- -' (Name) O/I( 04-Ao `--- -0-vi,€ 4— (Address) (K3'7 cif `7.- —re-✓' CL-; kc). g-L 30 l Telephone) 0-3'1;2_5-- 76 59-' STATE OF FLORIDA COUNTY OF The foregoing instrument wan acknowledged before me this O "-'/'i, e ° ' by /(DatC?( t&---vii-17,_.) "FO-v.�,ci'-'7c� who has produced 11.475:,1-r\- e),--------- (name of person acknowledging) (Type 9f identification) as identification and who did not take an oath. C 7 il'"°4'e, NC!a:y F'ubLa.SIzto of Florida , #� : : ,lose WI Rodriguez SIG +A V, irri ' '+•T:4'Y sr, a it,r,,(3 EEJa02EE `�'az,.a Expr850Cli,S!xG?5 {j/�° NOTARY'S SEAL (PRINT NAME OF NOTARY) N()`I'AnY F7r LIC VERIFICATION OF CONSTRUCTION EXPERIENCE= GMD Operations & Regulatory Management Department Licensing Section 2800 N.Horseshoe Drive Naples,FL 34104 Applicant's Name: O3V \05\i1R6 e ci'f. Certificate Category Requested: .` \ 0(0At)re.S The Applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this' certificate the Applicant must verify their experience within this trade. You are being requested to provide information that will aid the Applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker(e.g. as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience must provide the following information: Name, Title and license number of the person signing below and verifying Applicants relevant experience: Name• L..l ) 2� O eiu 11 e 2 3 Title: '2 tNIA— License Number(if applicable): ''-.1\.t 121 Name of Business: 0•` 0 � Business Address: 5120 ( )C 4'I t(\ 1 I t f 43 t_..- (3\4 }t 9 Business Phone: 23-f\– 2116 .)�9Z 1 The Applicant's years of experience from 2-..O(L\ to 2.-00 co The applicant's scope of work (specific duties) included; 12.1 IL ..• 0.0.6 kik * a te. i(), At. • AI _Ia. kdditional Comments: f' (...(>I`ti`..) �1 ({!Wit � ), ('1J I C,�` \j ralsifying any information provided herein may subject your license to revocatio A°11.- 10011141rPAIVIIIII7 .t -f I�/ M Sign-.sr, ay Prini Name: C do o--ief tca tate of Florida 'utility ufevlliei he foregoing instrument was acknowledged before ne on this 0 da r _Q-1 LU��`� }, [Cj{}(' Oti who is personally known to, e or Prod c d s identification and who did not take oath. C � y `) _ Y Notary Public State of Florida Sig ature of N•I dry Malra Loris ,3F My Commission EE H380 or Or Expires 0310112017 5 COLLIER COITTY GOVERNIVF T 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 JO: Applicant's FROM: Michael Ossorio, Contractor Licensing Supervisor. 1-2C: Robert Dunn, Collier County Building Director. AIamar Finnegan, Collier County Permitting Supervisor. Robert Zachary, County Attorneys Office. All Contractor Licensing personnel. :UBJECT: Collection of social security numbers. 'ursuant to Chapter 119, Florida Statues and Collier County Contractor Licensing Ordinance 2006-46 Sec, .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 appliea.it's tcbt sw.wii,3 and information. )ur office will only use your SSN noted above for those reasons pursuant to Chapter 119, Florida Statues id as may otherwise be authorized by law. re are fully committed to safe-guarding and protecting your SSN and once collected, will be maintained as. )nfidential and exempt under Chapter 119, Florida Statues. Vii; oe SIEC A X THIS NUMBER S HEEf. f 1 F� .,STialttSH ED FOR ,! t SVAL11 .A'RE U�E Ij ) I GONZA1E I REZ ';( jr :; 4J r � NATURc' . �!�.. i This card belongs to the Social Security Administration and you must return it if we ask for it. If_you find a card that isn't yours.please return it to: Social Security Administration P.O.Box 33008,Baltimore.MD 21290-3008 For any other Social Security business/information,contact your local Social Security office.If you write to the above address for any business other than returning a found card you will not receive a response. Social Security Administration Form SSA-3000(10-2007) Mar 24 14 09:50a 239-277-0167 2392770167 p.2 i Prepared By: Merit Credit (239) 277-3202 (800) 371-3348 TRANSCINION CREDIT REPORT [FOR] [SUE NAR'fE]' [FOR] NP62$4423 MERIT CREDIT [MKT SUB] (INFILE] [DATE] [TIME] [SUBJECT] 16 NP 9/99 03/24/1= 08:52 CT GONZALEZ, OSVALDO E. A. [SSN] [BIRTH DATE] MOM/ [CURRENT ADDRESS] 9/70 15245 CORTONA WY. , NAPLES ,FL. 34120 [DATE RPTD] (FORM AnPDE2C] 1 1/03 27680 ROSLIN DR. , BONITA SPRINGS FL. 34135 16020 ARBOR VIEW BY. , #130. NAPLES FL. 34110 3/06 [CURRENT EMPLOYER AND ADDRESS] [POSITION) G / SELF EMPLOYED [VERF1 [RPTDJ �P - i (FORMER EMPLOYER AND .ADDR SS] 2/12 2/12 MUD SLINGER CARPENTERS L 10/08 12/08 M O D E L P R O F I L E ! ***FICO CLASSIC 04 � * * * A L E R T * * * ALERT: CORE +549,, : 038, 010, 020, 018 *** IN ADDITION ***TO THE FACTORS LISTED HOVE, THE NUMBER OF INQUIRIES ON THE CONSUMER'S ***CREDIT FILE RAS ADVERSELY AFFECTED THE CREDIT SCORE. i C R E D I T S U f4 M A R kI C R DO =6 NS U H TOTAL F I L E H I S T O R Y STNEG O TRD=11 RVL=B INST=3 MTG=0 HIGH CRED r OP2d=0 INQ-2 REVOLVING:G: H2O $RQ0�D LZM BALANCE PAST DUE MN`'HLY PAY AVAILABLE CLOSED Ti/BAL: X51 $0 $35 83% $2213 $2213 $ TOTALS: $202 $300 $2264 $2213 $35 . C O L L E C T I O N S 1 SURNAME SUBCODE ECOr. OPENED CLOSED $PLACED CREDITOR MOP VBRIPItiZ BALANCE REMARKS N CRED SER V 1 WNrI n n 1 I 10� L3 $141 12 VERIZON WCBPLSS 09lOJ102425 1 3/14A $141 PLACED FOR COLLECTIO (0 --- CAVALRY PORT Y 1YNA008 I '• 2/11 $593 08 HSBC BANK NEJAD 09B 3/14A $716 PLACED FOR COLLECTIO �- CAVALRY PORT Y 1YNA008 ;11.- 1/10 /741e/bpoo f i `� 3 $787 08 HSBC BANK LLECT 09B 0 f77 3/'14A O (�Y $020 P1,I�.L'4 YO LLECTIO t PORTFOLIO RC y 1"JJ HSBC CO (D 00.3 "'lc d'�1/ 1KSF003 1 3/11 313200:- Ortn4� $16.5K HSBC C0 7SUMFR 7,r..rm gip$ 3/14A $16.5 ( Pt -.L euR COLLECTIO w / T ,W77 FUNDIUO Y 21x30u4 1 12/'09 /PO/ QtJ $1119 12 CREDIT ONE BANK 09B !1 `/I4A f 0101/. $2052 PLACED FOR COLLECTIO "iara,I- ARS Y 2BQ4002 I $57 q MEDICAL i 8/12 ""� Fit 3q3 e9 yjj 12/12A $513 PLACED FOR COLLECTIO I I 1 Mar 24 14 09:50a 239-277-0167 2392770167 10.3 T R A D E S SUBr,ME SUBCODE OPENED HIGHCRED TERMS ACCOULTIXDELQ PAYPAT 1-12 MOP VERFIED CREDLIM PASTDUR AMT-MOP PAYPAT 13-24 ECOA COLLATRL/LOANTYPE C1;SD/PD BALANCE REMARKS CAP ONE 1DTV001 4/07 $1201 MO 30/60/90 3/14A $500 $1870 R09 I CREDIT CARD 12/09F $1870 CLOSD BY CRDT GRANTOR 1 FST PREMIER 41P-045 121/06 $343 2/13A $250 $343 809 CRrfIT CARD 709F $343 UNPAID BLNC CHRGD OFF BANK HSBC A EF9001 3/07 $598 4, 11A $O $O KU9 - .-- IT CARD .809F c 0 PCB BY OTHER LENDER GEr 5058D 3/08 $494 10/10A $200 $0 R09 CHARGE ACCOUNT 7/09F $0 PORCH BY OTHER LENDER HSBC BANK B 2EF9001 4/07 $786 2 2/10A $0 $0 R09 BARD 9/09F $C PORCH BY OTHER LENDER 1 CREDITONEBr1 54M 013 2/36 $1119 12/09A $650 $0 809 ST,T)T SOLD TO ANO 8 3 / 9F $0 LNPAID BLNC CfD2GD OFF MART/CONTFI a 2AQE003 4/13 $202 MIN35 2/14A $300 111111111 801 CREDIT CARD $0 $51 9 0/ 0/ 0 MAB / r 2AQE0D3 4/13 $272 1211111 R01 ]2/ 3A $300 $0 I CREDIT CARD 11/13C $0 p UPCH BY OTHER LENDER 7 0/ 0/ 0 WFDS/WDS - 39N077 9/q8 $17.0K 72M344 111111111111 101 12/13A $0 1111 AUTOMOBILE' '2/b3C OC cLCSEU 11 11 1 SANTANDER r 1R18003 2/12 $15.9K 72M384 1111.11111111 101 5/13k $0 111 C AUTOMOBILE 5/13C $0 CLOSED I 15 0/ 0/ 0 WELLS FARGO B 908N714 9%0 $17. CK 72M344 111111111111 101 • ,,. 2/12A $0 111111111111 UTOMOBIL 2/1tC $0 CLOSED DUE TO 1'txsYR 41 0/ 0/ 0 I N Q U I R I E S DATE rITTIrODF D I3F�t�iE TYPE AMOUNT 3/24/11 2NPG284423iFLA) l IT CREDIT 4/1,?/13 FNJ4553464 ,::xs; CONTINENTAL NTAL C R E D I T R E P O R T S E R V I C E D BY : TRANSUNIQN v � 000-888-44N 2 DALDWIN PLACE P.O. Pox 1000,CUESTER, A. 19022 . Mar 24 14 09:50a 239-277-0167 2392770167 p,4 1 Consumer disclosures can be obtained online through TransUnion at http://www.transunion.corm CREDITOR CONTACT INFORMAr:,ION PIN CRED SER I YC1S1d3001 POB 5617 (952) 939-8100 HOPKINS M. 55343 CAVALRY FORT I YC1YtoA008 500 SUPriiNIIT LAKE DR VALHALLA 10595 (800) 50I 0909 PORTFOLIO RC YC1KSE003 (800) 772-1413 287 INDEPENDENCE VIRGINIA PEACH VA. 23462 LVNV FUNDING ! YC21T9002 625 PILOT ROAD LAS VEGAS (866) 464-1183 ARS 69219 YC28Q4002 (954) 321-5957 1801 NW 66TH AVE FORT LAUDERDAI{ FL. 33313 CAP ONE BC1DTVOOI FOB 30281 SALT+LAKE CITY UT. 84130 (800) 955-7070 FST PREMIER I $Z41PF045 3820 N LOUISE AVE SIOL FALLS SD. 57107 HSBC BANK 1 BC2EF9001 PO BOX 9 BUFF4LO NY, 14240 (888) 385-8916 GECRB/JCP DC235058D PO BOX 965007 (866) 227-5213 CREO BOX 965 ORLANDO FL. 32895 BC51MR013 (877) 825-3242 . PO BOX 98872 MABT/CONTFIN LAS VEGAS NV. 89193 FF2AQE003 PO BOX 11743 WILMITGTON DE. 19850 WFDS/WDS FS839N077 P.O. BOX 1597 WINTERVILLE NC. 28590 SANTANDDER FA1I?18 0 0 3 PO BOX 961245 FORT WORTH TX. 76161 (856) 923 9282 WELLS FARGO BA908N714 MAC 4031-080 PHOEN!X AZ. 85038 CONTINENTAL F 455.1 464 121 CONTINENTAL DR NEWAR DE. (866) 638-8558 D� 19713 (1 END OF TRANSUNION REPORT MERIT r7PP IT HAD RDTRIEVE;U .tlE ABOVE PERSONAL, CREDIT REP FT FOR LICENSING PURF03E5 AS REQUITED BY THE BUSINESS OWNER/PROPRIETOR. PUBLIC.. RECORDS FOR THIS REPORT CHECKED AND VERIFIED AT THE OUN=Y, STATE AND FEDERAL LEVELS. PUBLIC RECORDS HAVE ALSO BEE, VERIFIED FOR PINELLAS COUNTY. 1 t PUBLIC RECORDS LEARNED 0` SOURCES OF INFORMATION: TRANS UNION LLC IRS LIEN SECTION COON 'Y COURTHOUSE RECORDS IF YOU HAVE Axgx QUE'STIO S REGARDING THIS REPORT, PLEASE CONTACT MERIT CREDIT AT: 1- 00-371-.3348 OR )239) 277-3202, I , - _,;: Q ,�®t e, �r i V sji tat'.'e� eve � vireo e it �► �r �r of♦o,r-.ro® `i�ti.��[r+ *,),I�, ►4 k.1►'.�iE '� t.��...II 1 t.,;1.1400,tc** * 0 11, 41fro AvikNo0b, 4* *- 0®ems•►• uto-�.• ar val A, o Q0 A 41;) - ' te st ®�>r - ��0 0 A 11:1g,...:11. " gi, U -- 7') ›, iff.A4yr ;:4 -L---`4 -.-5 .cf) 6L) V t (1) tkvo 4 ®1 i► � N o � o •t►� pf�� ; 0 It 4,11 IYA CD < :71 4:� ,��li,4T c4;) c9 ,c , ..; 5 !-,11 ±- V Silk � r tia O p cd c',1 o..... c...) v) V Ilk kti ti okq : fit > °t.c. ) t .<9 t o 04 i v �` 4' Oh III ' o Q 40 Tj /fit♦♦ a , cn 0 col 8 V e>! G 8 Alta 44; inow. U L) 72 a,,, :-,'z3 E -cs, .4404._ 40 / - , V Oe♦j. CC 4�1a: ®r 11 , �► 11► ® ` � • a P11 0 I 01* OAS #AA 0111 �► I& II ■ i t II t 1l /if f t 1 to 0 4g4 1/ ø '4J o 14 J/ Ito 4'4 40 p 1 -::), et 004posit eve f,4.0014 04.00) evl eve 0 00 4;4140+4* 1•3.4#0♦aW.rt. .ir► •rt.f.V•�[ ► %III- 0 0 10 t 4 . j 4 ` # t 1 AS * 0 & ' t y ' 40141,41p o 14 sy t V *0/o ®•0�� - - `rte►® %too* 9* co fie? - -- A'-.5) ',%') 5 taw cam, r O ®+•.csp�' o Ott o W &D � A Mr 4, , C:, t*'p ort .,,, k ,,, 1 0 A 4 .-4-+.., u 0 0 '00 ; 4 y+� w #A13.: ln--=''•.• `� O Y, W e /� illi �,, ,�`;, o < 1- `rte . et 10 t" cl) pt -?-4 ,- 0 (,:_,) 4) OA Il■ 4 14 lIP u r(48 A `t -d o **Ater o ON' r, - i -0 -tii ,,,'5,-) ci: .74:Lf, -a li 1 0 irk tO it o o `er;>Vr 404%y '� ..11► + oft ; Avg <;, -• ii3 E 44% a) i4 F •i O�1/=13,1fil 4 {t ii► H — ct a 2 l'') .', ri .N Pf 4 A : . r H „5. ,,, vii, AV ... v 0) ; Ay# tk IF 0 4 farlikaw.tk .13' 4 ... 13. 0 4 ft, trk 0 4 # ti, #041. 131/4 0.4 0.4611.k fritk: CI°4°6 Pi1711i4 44P*1;i473■44+411714144414 °wait! iT°1;17414.11 4+*. ;IAA 4 kW WI^kW 's,�®o0,r 01t�►�oo0 01.t4,®®a,� 'ta'ot0 �04r.00 �1 3/24/2014 Detail by Entity Name FLORIDA DEPARTMENT OF STATE !VISION OF CORPORATIONS -,,,efn 10, - •.L .0-- Detail by Entity Name Florida Profit Corporation CALIMETE PREMIUM QUALITY INC Filing Information Document Number P13000074045 FEI/EIN Number 46-3618166 Date Filed 09/06/2013 State FL Status ACTIVE Principal Address 15246 CORTONA WAY NAPLES, FL 34120 Mailing Address 15246 CORTONA WAY NAPLES, FL 34120 Registered Agent Name & Address GONZALEZ, OSVALDO E 15246 CORTONA WAY NAPLES, FL 34120 Officer/Director Detail Name & Address Title P GONZALEZ, OSVALDO E 15246 CORTONA WAY NAPLES, FL 34120 I itle I reasurer ROBLEJO RIVERO, GIORKY 5235 HEM1GVVAY CIR APT 1804 NAPLES, FL 34116 http://search.sunbiz.org/Lnqui ry/CorporationSearch/SearchResultDetail/Ent tyName/domp-p13000074045-afcee91b-ea5a-4034-b33d-c0c88aa7b0cf/CALIMETE/... 1/2 3/24/2014 Detail byEntityName Annual Reports Report Year Filed Date 2014 02/27/2014 2014 03/24/2014 Document Images 03/24/2014 --AMENDED ANNUAL REPORT View image in PDF format 02/27/2014 -- ANNUAL REPORT View image in PDF format 09/06/2013 -- Domestic Profit View image in PDF format Copyright©and Privacy Policies State of floricla2,Department ofSxate http://search.sunbiz.org/Inq ui ry/C orporati onSearch/SearchResultD etai I/EntityN ame/domp-p13000074045-afcee9l b-ea5a-4034-b33d-c0c88aa7b0cf/CALIM ETE/... 212 Electronic Articles of Incorporation P13000074045 FILED For September 06, 2013 Sec. Of State sgiibert CALIMETE PREMIUM QUALITY INC The undersigned incorporator, for the purpose of forming a Florida profit corporation, hereby adopts the following Articles of Incorporation: Article I The name of the corporation is: CALI v l h YKEMIUM QUALI I Y INC Article II The principal place of business address: 15246 CORTONA WAY NAPLES, FL. US 34120 The mailing address of the corporation is: 15246 CORTONA WAY NAPLES, FL. US 34120 Article III The purpose for which this corporation is organized is: ANY AND ALL LAWFUL BUSINESS. Article IV The number of shares the corporation is authorized to issue is: 1000 Article V The name and Florida street address of the registered agent is: OSVALDO E GONZALEZ 15246 CORTONA WAY NAPLES, FL. 34120 I certify that I am familiar with and accept the rooponoibilitioo of registered agent. Registered Agent Signature: OSVALDO E GONZALEZ P13000074045 FILED Article VI September 06, 2013 Sec. Of State The name and address of the incorporator is: sgilbert OSVALDO E. GONZALEZ 15246 CORTONA WAY NAPLES FL 34120 Electronic Signature of Incorporator: OSVALDO E. GONZALEZ I am the incorporator submitting these Articles of Incorporation 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 1st and May 1st in the calendar year following formation of this corporation and every year thereafter to maintain "active" status. Article VII The initial officer(s) and/or director(s) of the corporation is/are: Title: P OSVALDO E GONZALEZ 15246 CORTONA WAY NAPLES, FL. 34120 US ACS� � DATE(MM/DD/YYYY) �,.-- CERTIFICATE OF LIABILITY INSURANCE 03/21/14 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 certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: G&P Insurance,Inc. (IAHic°,No,Extl: (239)353-3500 FAX No): (888)353-9910 4930 Golden Gate Pkwy EMAIL attimuzzoni ro allstate.com Y ADDRESS: p g � Naples,FL 34116 INSURER(S)AFFORDING CO ERAGE NAIC a Phone (239)353-3500 Fax (888)353-9910 INSURER A: CYPRESS PROPERTY AND CASUALTY INS. INSURED INSURER B: CALIMETE PREMIUM QUALITY INC INSURER C: 15246 CORTONA WAY INSURER D: NAPLES FL 34120 INSURER E: INSURER F: r'r,WWPA,rr'FF CGRTIFIr'ATG NUMBER' I1EVIQION NUMDER: 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 OF INSURANCE ADDLSUBR POLICY EFF POLICY EXP LTR _MR WVD POLICY NUMBER JMM/DD/YYYY)_(MM/DD/YYYYJ_ LIMITS GENERAL UABILITY EACH OCCURRENCE s 500,000.00 !�' COMMERCIAL GENERAL LIABILITY PREMISES E TO( a RENTED o rr PREMISES(Ea occurrence) 5 100,000.00 i 7 CLAIMS-MADE Iv OCCUR 20P0009898-0 MED EXP(Any one person $ 5,000.00 A = 11/01/2013 11/01/2014 PERSONAL&ADVINJURY $ 500,000.00 I GENERAL AGGREGATE $ 1,000,000.00 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,000.00 Ii POLICY U JECS _J LOC j $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accdent) s T! ANY AUTO BODILY INJURY(Per person) S ALL OWNED — SCHEDULED BODILY INJURY(Per $AUTOS iJ AUTOS ( I NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) I $ `I UMBRELLA LIAB I OCCUR EACH OCCURRENCE $ if'—; EXCESS LIAR i i �—, [...J CLAIMS MADE AGGREGATE $ �' DED U RETENTION$ S WORKERS COMPENSATION L!W()Ca TUAATIN-B U W- AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYE S If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 5 DESCRPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIDED t'OLICIED DC CANCELLED BEFORE COLLLIER COUNTY LICENSING ?EPARTMENT THE EXPIRATION DATE THEREOF,NOTICE WILL PE paLIVERED IN 2800 NORTH HORSESHOE DRIVE ACCO(2bANCE WITH THE POLICY PROVISIONS. NAPLES,FL 34104 AUTHORIZED REPRESENTATIVE I IGRI HALL ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05)QF The ACORD name and logo are registered marks of ACORD 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: 4/1/2014 EXPIRATION DATE: 3/31/2016 PERSON: ROBLEJORIVERO GIORKY FEIN: 463618166 BUSINESS NAME AND ADDRESS: GAMETE PREMIUM QUALITI 5235 HEMINGWAY CIR APT 18 NAPLES FL 34116 SCOPES OF BUSINESS OR TRADE: CARPENTRY INSTALLATION OF CA Pursuant to Chapter 440.05(14),F,S.,an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter.Pursuant to Chapter 440.05(12),F.S„Certificates of election to be exempt...apply only within the scope of the business or trade listed on the notice of election to be exempt.Pursuant to Chapter 440.05(13),F.S.,Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if,at any time after the filing of the notice or the issuance of the certificate,the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate.The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 07-12 QUESTIONS?(850)413-1609 oF.-- A,,G n C E Ot>u 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: 4/1/2014 EXPIRATION DATE: 3/31/2016 PERSON: GONZALEZGUTIERREZ OSVALDO E FEIN: 463618166 BUSINESS NAME AND ADDRESS: CALIMETE PREMIUM QUALITh 15246 CORTONA WAY NAPLES FL 34120 SCOPES OF BUSINESS OR TRADE: CARPENTRY INSTALLATION OF CA Pursuant to Chapter 440.05(14),F.S.,an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter.Pursuant to Chapter 440.05(12),F.S.,Certificates of election to be exempt...apply only within the scope of the business or trade listed on the notice of election to be exempt.Pursuant to Chapter 440.05(13),F.S.,Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if,at any time after the fling of the notice or the issuance of the certificate,the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate.The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 07-12 QUESTIONS?(850)413-1609 .� /^ � ^- . .... .,fri:::pic i,:;0-°::.''''-'::::::. - : .=.:..,'=":"!,'"'...:::-",-. ,,,,,,,::,'-':', -,,:qt h':',J-r:;',. - -- -_ _ ______�_ ° � � ` � + . ` � ~ . • ,. li ' � ° ' ^ m ,, ( ...,-Ctlk-r* C.—;CP-Pti_ik-rty /..‘"/"V'' -4'-J---- / Growth Management Division 1 Planning & Regulation �,7 „._ Operations Department �/ Licensing Section April 9, 2014 Osvaldo E. Gonzalez Gutierrez Lalimete Premium Ltuality Inc 15246 Cortona Way Naples, FL 34120 RE: Review of Credit Report Dear Mr. Gonzalez Gutierrez, You have been added to the agenda for the Contractor Licensing Board meeting on Wednesday, May 21, 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 3rd floor. If you have any questions or concerns, please call (239) 252-2431. Sincerely. Jennifer Blanco Customer Service Specialist Licensing/Operations 2800 North Horseshoe Drive Naples, FL 34104 u-owih Manage rnent Div si,n"Fiatining&Regulation-2200 North Horses;oe Drip t r aples,Florida 3.104"239-252-2400'www.colliergov.net , . 1 .4. zr,--t- i i---, , cq z i --- 1-.7.: CV •=1- ,• 0(6 ILI Z 0 '..:',7.: .. li I: 0-•-- (J)< -,-J I- : 9< d 74 0 Z a ... " co 0 Lu — --J,. Z 63 —1 _i ``- > CE) co e I— c —1 0 < C .i O < 1 < ' 0>-' CCI3 ;-r- 0 1 La i z < Luc') D Z ,-- 0 0 T I0 ea(.0, .r- 0_ •-• }_. s', LL 0 cn (1 I-1 - E IL . x l ,„„ 03E .* uj,_, < 1.11 .< 0 .61 LLJ 0 0c ° C' C3 c'n <-2 - a.I-- -±-,_ 0 0 2 z 0 ,-.) z 0, }—u.a . i— ca ail LI. (,) 0 -..-,.- '6- 1 ti) 0 1:2; (1- 3 '-,,, -• . '''''"'' ; c • 1 2 us w vs , - a a>73 ii u I 4 z s•- • — ' ,, i ., ,,,,, „ F. .„ Da 0 w a ,— ‹r , o e ,, cK ' Z ,z5 D 1-:: ' u- ....{ ‘....„ 2 c° — 0 11 j 0 ill '' C-D I0 _ C‘I • *,- 1 o ' w ,„:„7. _:.J. 0 , .", -,,,. : •,, ', a> — c>,zs, . 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P-- b Ly ,T, u) u) -0 a) ii, 11 0 F) ":) D —1 1 t) 5 I 0 0 D 0 ..—I N co 0 zoo rz, . c -4-.._, ( 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 Waiver of Testing Requirements Reinstatement of License Request to Qualify Second Entity X Other (specify) Application for Board Review THIS CAUSE came on for public hearing before the Contractors' Licensing Board (hereafter Board) on May 21, 2014, 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 Luis F. Fscohar d/h/a Florida IB&S, LLC (the "Applicant") has submitted an application to the Collier County Contractor Licensing Supervisor or his designee for a Certificate of Competency as a Drywall Contractor and based on the application supplied by the Applicant the Licensing Supervisor determined a review by the Board is necessary. 2. That pursuant to Section 22-184(b) of the Code of Laws and Ordinances of Collier County, Florida 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 330124.1 6/11/2014 3. That the Board has jurisdiction over this matter and that Luis F. Escobar was present at the public hearing on May 21, 2014, and was not represented by counsel. 4. All notices required by of the Code of Laws and Ordinances of Collier County, Florida, as amended, have been properly issued. 5. The facts in this case are found to be: a. Applicant's credit history is such that probation and follow up with the Board is necessary. b. The Applicant has not prepared an adequate plan to address resolution of the credit issues. CONCLUSIONS OF LAW 1. Based upon the foregoing facts, the Board concluded that the applicant has not met the standard set out in of the Code of Laws and Ordinances of Collier County, Florida, as amended, for approval of the application without probationary terms. ORDER OF THE BOARD 1. Based upon the foregoing Findings of Fact and Conclusions of Law, and pursuant to the authority granted in Chapter 489, Florida Statutes, and of the Code of Laws and Ordinances of Collier County, Florida, as amended, the Applicant's application was granted with the following conditions: a. The Applicant shall be placed on probation for a period of three (3) months and shall appear before the Board in three (3) months with a written plan to address improvement of his credit including the following items: i. Listing of all jobs and value of the jobs; ii. Creditors contacted; 2 330124.1 6/11/2014 iii. Payments made to creditors; and iv. Suppliers paid. b. If the plan is not provided as required the license shall be revoked; c. If the plan is provided the Applicant shall continue on probation for an additional six (6) months with a credit review before the Board at the end of six (6) months. ORDERED by the Contractors Licensing Board effective the 21st day of May, 2014. CONTRACTOR'S LICENSING BOARD LIER COUNTY, FLORIDA . Q / it (4a, By: Patrick White, Chairman I HEREBY CERTIFY that a true and correct copy of the above and foregoing Findings of Fact, Conclusions of Law, and Order of the Board has been furnished the Applicant, and Michael Ossorio, Licensing Compliance Supervisor, 2800 North Horseshoe Drive, Naples, FL 34103 on this /c th day of Zr c.----e- , 2014. Secretary/Contractor's Licensing Board 3 330124.1 6/11/2014 a ty GMD Operations & Regulatory Managem 'it,„ Licensing Section lwrg" f 2800 North Horseshoe Drive �ai tJ 1 i V A L Naples, FL 34104 . . .............a. aw CS 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: l C c dC Fiction Name/DBA: Qualifier Name: L(,: ,' 7 (_:_; J 1 Physical Address: 3 /0/141P( ti '/C. f rc l� L 54/6x) (Number 86 Street) C (City) (State) (Zip Code) Mailing Address: 36i5 � Ct(Ot 1-'' (,�� CIS-�_ 7 F � 3e-,// 9 - Number 86 Sty het Ci (State) (Zip Code) Telephone: ;-239 d 6, SZ E-Merit: LeS�-c/ r l f cc) TYPE OF LICENSE: ❑ General $230.00 ❑ Electrician $230.00 ❑ Building $230.00 ❑ Plumber $230.00 U Residential $230.00 ❑ Air Cond. $230.00 1-1 MQrh?ni!'r?( 57311 fl(i ❑ �_vvi �iu Puul ;i230.00 ❑ Roofing $230.00 ❑ Specialty $205.00 • Specialty trade: - ` 4 +, l _ [ 1 1 v , , CHANGE OF STATUS: ( ) Reinstatement ( ) From One Business to Another ( ) Dormant License to Active l Page 1 of 4 � i l 3 .`ti' `v 4,k), i 1. The names, titles, home address and phone numbers of all Officers/Managing Members of the Firm. Oita il4G2} *era 6,1 a3� - ef&o _ /�� 3375" S dot u3 11)_atQ Ls 4 6 3(-1 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. 2 Tix Cam ,, 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 l AFFIDAVIT r I, 7, ic2.` d certify that the foregoing is true and c .ct to the best of my knowledge. i ihorized Offiier of the Firm STATE OF FLORID' COUNT1'OF t/ i�' 1 The foregoing instrument as acknowledged before me this ( Ci' G Date E ) By C1/ of _t' (Name of officer, title/agent) (Name of Corporation) a C ' J Corporation on behalf of the corporation. (State or Place of Corporation) He/She has produced , id entification and did not take an oath. (Typc of idc ficstion) rl:? `•• ANrWLE. i ' iJGIJT MY COMMISSION*FF071969 NOTARY'S SEAL. o, oP' EXPIRES November 20,2017 14u1i s ni i-ouuttNC tmrvt,ervice.corn ( ► ' __�"i -NOTRY) Page 2 of 4 QUALIFIER INFORMATION: --� ,� Name: `" (: (-i" 9 f '_.a ---- e---`'fir t-C! - . ___ILe-� Address: 9 5 __ try- -( ` -e-t-- CLt_ 6Cf- ,C.f'... L 3 9i/09 - (Number& Street) / ! (City) I (State) (Zip Code) Telephone: 23 9.- A:-/-O 1/ 6 Date of Birth: / S.S. ##: 000-00- ft E-Mail: f SC c e d e. t.s:C . Lcc;_ i/ Driver's r 1. Type of Certificate Competency f(or which application is made. 2. The mes and telephone numbers of two persons who will know your whereabouts. 1 f r 9g a C--e_ 3o — 980 -- Cl'7 - 3. Have you ever been convicted of a crime related to Contracting? r r° (If yes attach extra sheet with explanation) 7. Have you or any firms you have heen eq r ri ited with Aver filed bankruptcy? n. i 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. c-Fg2-4-177N-4-f\_ — SC-cfat,c-c.".,6,-et 12)Let—f — 1--r7L-,7-t-<_-f — Li-c-i6<-- --/C 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. --/1 C-v-4--/f-H—:-/1(-17://ufLLA-Ael &-,-; 44 APPANT(PLEASE PRINT) NAME OF PANY t _j SidNAT `E (IFAPPI (CANT" r" STATE OF FLORIDA f `' -` COUNTY OF �6 't'---/ Si The foregoing instrument as acknowledged before me this -1�-L= P � a1 C''"1 - /�/ . ate By l Ac/i.e'/'4= who has produced /X,/----Atil-glYiii (N°$me of person acknowledging) (Type of identifi ation) as identification and did not take an oath. =.`4 '"'�x. ANAMILE FERRAGUT MY COMMISSION#FF071969 ,A, 2,,i4 ,ry -'?`f off: EXPIRES November 20.2017 .1 --'�-�∎ (407)398.0153 F(ar(dallot Service.com 1 ik, 1 LUUI Lt ----.--- ) NOTARY'S SEAL a'Y Sif NATU 1 E.Qi- N I HK Y '° 141 � 1 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. ( , ,, 7,z,, SIGN'41JRE OF APPLICANT — /22.1 7 e6t..-) 1*- ,,, a- e_ • BUSINESS NAME 5 . /. -� / . DA'Z'E (? FORE ME this day personally appeared CU-d. ( .? -' .6-0,---" who affirms and says that he is less than one employee and does not req 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 )LINTY OF e for _oing instrument was acknowledged before me this ,7/ II =l r2-7 / J-e/° �/ (Date) ,, C C,(-."- e who has produced r-/.- ' , �( - (n.me of person acknowledging) (Type of identific "on) dentification and who did not take an oath. 1 t / 1 �°`''' "'� ANAMtLE FERRAGUT 4 4,/L.i_ — 'C ti-= . :, MY COMMISSION#FF071969 SI A E OF b. a _1.4 or rs.ce: EXPIRES November 20,2017 (407)398-0153 FloridallotaryService.com /Ict1,ricl_,i lipi i1iGrcC.6 NOTARY'S SEAL -(4RINT NAME OF NOTARY PLIC) NOTARY PUBLIC 3VERIFICATION OF CONSTRUCTION EXPERIENCE GMD Operations & Regulatory Management Department Licensing Section 2800 N.Horseshoe Drive / .. Naples,FL 34104 ,. /!/ -� .._, r Applicant's Name: -✓ �� 6`, LL') '7. 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 )rovide 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). 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: dame, Title and license number of the person signing below and verifying Applicants relevantexperience: 1 ff ame: C -10,tr lerr ( ' C?` I' !_'` ( istrt , ,�.1 r ;% itle: 7-'‘ L' r`tt-Z1' / License Number(if applicable): 2 05 (0 25 72 4 !I �- �f'� __,__ lame of Business: 'Ili"C ( /.,/%'f-/j/i t9(_ A't _ t / A usiness Address: ;- �` / C,,C 11? r�.i ma c'r° —f.t >' 1 usiness Phone: fit; r I,,(; v.) 1 t The Applicant's ears of experience from 63 to 6'71 he applicant's scope of work (specific duties)included.: ):_, �h.�:,-- i.t'!- f C till l i ` C:_ ' l ih Y� dditional Comments: rlsifying any information provided herein may subject your license to revocation. X 2 u 1. `'' ' ,Sig are C Print Name: '�1 I( '".kr- 4 1, I A`i\+ I}-,, t ire ate of Florida )unty of Collier �__. Q. e fol-egoin instrument wads arknowIefigerl hefnre m? nn_thic 1/ da„of_°II ( , l' --1"} ,_;�-ft ,� (' e c'p' j) ( i, (_t,/ rr �`.e,di who isle onally kn sto me or p o'duced identification and who did not tale an oath. Viz; 7(-7 Y �+.- Si_nattirej .. _- s r. rrlL` F```RRAGUT COMMISSION#FF071989 RES November 20.2017 loridallotaryService.com VERIFICATION OF CONSTRUCTION EXPERIENCE; GMD Operations & Regulatory Management Department Licensing Section 2800 N. Horseshoe Drive Naples,FL 34104 Applicant's Name: �iQi 6,,,Z6t.,-- 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 )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). Time 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: ame,Title and license number of the person signing below and verifying Applicants relevantexperience: ame: arr u P R. c-" €:: i S 'itle: l c' , ;e-\ P.c A -LLicense Number(if applicable): R X _';(-)S-3 -e lame of Business: f-4-d s r r c-, v`L3 ‘ 0 a \ ! . t cs.c . ;usiness Address: c t.� f_D ;T- \p ti -\--yep.-l- ,;1 ao t INN c t i t,_ -3'4-1 C 9 ;u.sines.s Phone: acA -S-ct , -- I 1 ors The Applicant's years of experience from 2,,C1CTY to a C;t1-* he applicant's scope of work (specific duties) included: CT\oo..-\-o I r'r-n nn n c Di nr\ A ni u�ct \ I dditional Comments: alsifying any information provided herein may subject your license tto r vocation. Signature f Print Name:f``1.tr°; .l�`i drP1 fe,, i}.i5 ate of Florida Runty of Collier it, 11I�gv,ii8 ill.i1,i.fill ill t■Ub(ILL IVtu'lcllgGJ befule!lie Ufl till; % day of 't 1 `ti n\LL.: 1/44 L cA r- : is ;J 0 2 S who is ersol�ally knowtrto me or produced identification and who did not take an oath. Signature of Notary eli"°"'!•► DENISE GROSMAN ' Public-SUM of H�i6a CARIiR: as Mar 24.2017 I' n-,4- _My Comm.Expires Mar 24,201, v.x- :,,r �n•EE 075620 %--..� " Commission•EE 075620 Um*National Notary Main. oft.n MOW ling.Mime NW Ala VERIFICATION OF CONSTRUCTION EXPERIENCES GMD Operations & Regulatory Management Department Licensing Section 2 0 N.Horseshoe Drive ,, ,�Naples,FL 34104 _ /kpplicant's Name: j J t • L r � - ,. :ertificate Category Requested.; fhe 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). Time 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: lame: tiiS 4/e"0)h)0 _Atd7O[ itle: °r 41)C License Number(if applicable): ame of Business: llq, ' !r u IJUtii Z (- usiness Address: dery t�l�a/I-t ( -a-r 2Q/ fZOckv-dCe. 4/4 usiness Phone: 9© I'�Z�' SC-?Z The Applicant's years of experience from 760 3 to 7(91L i he applicant's scope of work (specific duties) included: ''t Fe g4rra.A -(eC %11T er % {elks- f/� - L eo s h Flovic. 6 rec?I P war k S ' - ,,,f O1 ! J dditional Comments: ilsifying any information provided herein may subject your license to revocation. Signature Print Nam-. Olg / ZS6vf- ate of Florida >unry of Collier -- J fv,l-bvli it Will Ill 3 a∎,l y,v1w lid wl IJCfUI G llit urr thls I, tluy' Ur.___ ' e - �' 5 /,_,i ' 7 `c., r'b 'who is 3 sonally knownIo me or produced identification and who did not take an oath. ti 4 7.0___f__ , tk / -- --, Signature 101= ''`'"''`'' ANAMILE FERRAGUT =*I MY COMMISSION#FF071969 -''toF o? EXPIRES November 20,2017 (407)398-0153 FibridallotarySeniiee.G°". AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER I, Oa- U am a resident of Btr, 6c/g2-1d (State) and have resided here for more than five (5) years. During the last five years I have known applicant). I have had ;he opportunity to observe his or her business and -ersonal dealings and find him or her to be a person of ionesty, integrity and good character. (Signature) �41"t4 (Name) _fg'Lt V (Address) 1`M? , -OP Lo Telephone) 2 - l all 0 STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this / / 4--{'4 20/iy (Date) atikAA--(-4 Ara Aer4 z who has produced(name of pe on ackled g) / T of identation) as identification and who did not take an oath. �_ ./ i — SI ►:SURE OF NO r 1• . NOTARY'S SEAL (P INT NAME OF NOTARY) NOTARY PUBLIC , .NAM'LE 3=L GUT ;, r�'i MY CCMfvt,sslc:'1#r'-F011pep } > ' EXP' ,ES voverr,ber 20,2017 :153 Floc~:Ncw,rvS..rvice.corn AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER I, 6%---/Y)ocam a resident of D �L _, County, 4/(A NCO (State) and have resided here for more than five (5) years. (-4 During the last five years I have known (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. t / (Signature) (Name) � 2J --/--1 p z,0 (Address) 1 if B/DQ-G-, ,Q/ ,/),it_cA/7.4i-1.4 y4,9_30--, q Telephone) 0(?/ --q6C)6 —,5 /7D- STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this C;? s//` , k �} (Dat-) ( %� a\ who has produced ips-,(s, �.e Ir (namo of poroon acknowledging) i (Type of iden Ication) as identification and who did not take an oath, t / , /, t GC SIGN i URE • --- , • • (; NOTARY'S SEAL RINT NAME OF NOTARY) NOTARY PUBLIC i''A'•, .. As,:,t.ILE FE R'�GUT` MY COMMISSION#FF071969 �;� �P; EXPIRES November 20,2017 ��, s9Y n, 3 Ftoridallotary0e�ice.com RESOLUTION OF AUTHORIZATON . —r WHEREAS r?± 0, , j (-j J - proposes to (Name of Business ntity) engage in contracting as C in (Type of legal entity:,corp.,partnership, etc. Collier County, Florida,according to Collier County Ordinance 2006-46,as amended;and WHEREAS -1—L-061-i C G� S, q , proposes to (Name of Business ErititA qualify for a Certificate of Competency with t. 2 h o-1 `' (Name of Individual) NOW,THEREFORE,BE IT HEREBY RESOLVED THAT: We the undersigned `'--/-.i.LE,r:L' L Jl' .ri�`� --<— , of f (Officers,Owners,Partners)i (IQ 4� - . hereby resolve and represent to the Collier County (Name of Business Entity)! /i j'' Contractors' Licensing Board that the qualifying agent, / CALJ ` <)O.e' : , is active (Name of In ivi(ual)) t in all matters connected with the contracting business of C`(' is \,) . �_`V , ,and kName`of Business En 'ty) We further resolve and represent that ` JCL1. 0 ! 0€t( is .---"� t '.,--.0")), S (Names of Individual) legally empowered to act for - fir, �i C. ,1 . ( in all matters connected with its (Name of Business Entity) "ontractingbus0Ass,Nid has the•utborlty to supervise construction undertaken by (Name of Business Entity)' DULY PASSED AND AsOPI'I;ll'I`HIS ,-I"t day of /Y & CI') '.:)-(14 4 (Officers,Partners,Owners-with /' —7------ Designation underneath) AI, \.lE`I .\,`` ..' f°tu`2,t- Witness 1 Witness Witness Corporate Seal(if Applicable) Or Notary Public Certificate Sworn to and subscribed before me this `J-1 day of a t ',lc D '14 by U,-t:7 r 0_;`'' tit CI,lai,,,,L : 1C l-( �'k f- C L Notary Public Name Prince t ; __`' Commission Number 1-1-.1:' 7! ';Q ti iota Pu �r,Cfp.tan,TP -' My Commission expires: r I , ;;A:-, - }vt j - •'�sPa''P�e`. ANAMILE FERRAGUT t i• Hi MY COMMISSION#FFo71969 o,„,0,�; '� EXPIRES November 20,2017 ( 07)398-0,53 FloridallotaryService.corn COLLIER COUNTY GOVERNMENT • COivfMTJNITY DEVELOPMENT AND ENVIRONMENTAL SERVICES DIVISION 2800 N.Horseshoe Dr. e Naples. Florida 34104 e 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 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 wiIl 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. • April 1, 2014 Collier County Contractor Licensing Board RE: Review of Credit Reports To whom it may concern, I have been informed that according to county regulations, my credit does not meet the requirements needed for immediate license approval. Due to the decline in our economy in the past years, my credit score has been affected and damaged.Though payments have fallen behind, it is not my intention to file bankruptcy. My main goal is to eliminate my debt, improve my financial situation, and move forward. It is greatly appreciated that you are taking the time to review this case.The outcome of this meeting is going to determine if my company and I will succeed in this country. Thank you very much for your Time. E cohar Manager, Florida lB&S 3395 Sandpiper Way Naples, FL 34109 (239)860-1150 CREDIT cHEcKI CONFIDENTIAL Individual Credit Report Name • ESCOBAR, LUIS FERNANDO Ordered By: RUSH Address : 3395 SANDPIPER WAY Customer : 9999 Received : 03/24/14 NAPLES , FL 34109 Completed : 03/24/14 Social # : Applicar - Bill Amt : $75 . 00 CREDIT RECORD (Credit history has been checked for a period of seven years or from open date . ) Creditor Date Date High Unpaid Past Pay Historic Stet Current Nos Account Number Reported Opened Credit Balance Due Terms 30 60 90 Status Rev SODA ALLY FIk COLLECTION 02/13 04/08 0 4817. 4811 0 -- -- -- I9-* 05 C s A=01/13 AMEX COLLECTTON 04/12 11/06 8773 6664 6664 0 -- -- -- 09-* 06 A DLA=04/12 BB1, AS AGREED 10/08 07/07 55916 CLOSED 0 0 0000 00 I1 15 S DLA=10/08 BK OF AMER FORECLOSURE 11111101110 03/12 05/06 313200 0 0 U U403 1U MS-* 48 A DLA-03/12 BMW FIN SVC AS AGREED l n/nR n7/n8 1 tiPRF CLOSED n 0 0000 00 11 07 A DLA=10/08 lACH COLLECTION 03/14 06/12 51056 5105651056 COLL -- -- -- 09-* 02 S IRIGINAL CREDITOR: WELLS FARGO BANK N A lAP ONE COLLECTION 03/14 02/05 2925 2982 2982 89 - - -- -- R9-* 10 A DLA=08/11 :AP ONE COLLECTION :k � 03/14 01/03 510 465 465 13 -- -- -- R9-* 13 A ,AP ONE AS AGREED 10/11 02/03 2675 PAID 0 REV 0000 00 R1 48 T DLA=10/11 )rdered by: APPLICANT - SEE NAME ABOVE eporting Agency: Credit Check, Inc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409 . (561) 616-5556 CREDIT cHEI( CONFIDENTIAL Name ESCOBAR, LUIS FERNANDO Customer: 9999 Page: 2 CREDIT RECORD (Credit history has been checked for a period of seven years or from open date . ) Creditor Date Dare High Unpaid Past Pay Historic Stet Current Mos Account Number Reported Opened Credit Balance Due Te=ns 30 60 90 Status Rev ECOA CBE GROUP COLLECTION 124290112 06/13 05/13 769 769 769 COLL - - -- -- 09-* 00 A ORIGINAL CREDITOR: DOMINION ELECTRIC II 00111111111, - COLLECTION 10/13 09/03 8127 8127 8127 243 R9-* 12 A 08/11 CITIFINANCIA AS AGREED 07/05 07/04 4165 CLOSED 0 0 0000 00 I1 12 A DLA=07/05 DSNB MACYS CUR WAS 30 03/14 09/07 1750 0 0 REV 02 00 00 R1-* 35 A DLA=02 1 FC0 NO STATUS 10/10 06/10 1915 1715 0 COLL - - -- -- 09-* 00 A ORIGINAL CREDITOR: THE MADISON AT SPRING OAK - CONSUMER DISPUTES GREEN TREE FORECLOSURE 08/11 09/07 399750 37248411180 2795 02 00 00 M2-* 07 A DLA=04/11 HSBC BANK AS AGREED 01/10 05/04 2690 PAID 0 REV 00 00 00 R1 48 A DLA=01/10 LITTON LOAN PD WAS 120 01/11 09/07 399750 0 0 0 02 05 01 M5-* 38 A 11/10 VATL FITNESS COLLECTION 12/13 09/11 564 564 564 COLL -- - - -- 09-* 02 A 3RIGINAL CR : AMERICAN FAM FITNSS WEST END SEARS/CBN AS AGREED 03/14 03/07 9032 CLOSED 0 REV 00 00 00 R1 48 A DL =02/08 -SEAR- AS AGREED 02/14 06/07 4571 CLOSED 0 REV 00 00 00 RI 48 A A=10 08 3rdered by: APPLICANT - SEE NAME ABOVE Reporting Agency: Credit Check, Inc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409 . (561) 616-5556 CREDIT cHEcK CONFIDENTIAL Name • ESCOBAR, LUIS FERNANDO Customer: 9999 Page : 3 CREDIT RECORD (Credit history has been checked for a period of seven years or from open date . ) Creditor Date Data High Unpaid Past Pay Historic Stat Current Mos Account Number Reported Opened Credit Balance Due Terms 30 GO 90 Status Rev ECOA ST FARM BK PD WAS 30 06/11 10/08 29833 CLOSED 0 0 06 00 00 11-* 31 C DLA=06/11 ST FARM PD WAS 90 06/11 10/08 49192 CLOSED 0 0 05 02 01 I1-* 32 C LA=06/11 SUNTRUST MTG PASTDUE120 09/11 09/07 79950 72385 4077 680 05 03 02 M5-* 46 A 1,!!!!!!11°11, LA=04 11 SUNTRUST MTG AS AGREED 05/08 09/07 399750 CLOSED 0 0 0000 00 M1 06 A LA=04/08 TILESTO; AS AGREED 09/09 06/07 3000 PAID 0 REV 00 00 00 R1 27 A A=02/08 Total trade lines on this report : 25 PUBLIC RECORDS: SUBL1C RECORDS HAVE BEEN CHECKED AT THE COUNTY, STATE AND FEDERAL LEVELS WITH THE FOLLOWING RESULTS AS OF 03/24/14 : SEE BELOW. TIIANCUNION PUDLIC RECORD SOURCE DATE LIAB ECOA DOCKET# TYPE COURT LOC PLAINTIFF/ATTORNEY 1 04887406 12/16/11 $209 . 00 I V1102752700 2IVIL JUDGMENT HENRICO COUNTY COURT POUNCEY TRACT VET HOSP 5 04887406 05/18/12 $4 , 212 I V1200775300 2IVIL JUDGMENT HENRICO COUNTY COURT FORD MOTOR CREDIT SOURCE (S) : EQUIFAX TRANSUNION NQUIRIES: )3/24/14 by CREDIT CHECK (TU) #00630273 COMMENTS: FRAUD RECORDS HAVE BEEN SYSTEMATICALLY CHECKED BY THE ABOVE ACCESSED BUREAUS . ;AFFANT/F.fTTTFAX, T-TAWK ALFRT/TRAN,STTNTnN CHECKED FOR FRAUD. )rdered by: APPLICANT - SEE NAME ABOVE Reporting Agency: Credit Check, Inc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409 . (561) 616-5556 SM CREDIT CHECK CONFIDENTIAL Name ESCOBAR, LUIS FERNANDO Customer: 9999 Page : 4 COMMENTS: REPORT WORKED BY NICOLE. CREDIT SCORE: APPLICANT FICO SCORE: 542 (scores range from 300 to 850) *** END OF REPORT *** This information is confidential and is not to be divulged except as required by the Fair Credit Reporting Act. This personal report is furnished simply as an aid in determining the credit desirability of the appticant(s). It is based upon information obtained in good faith by this agency from sources deemed reliable.. The accuracy of same,however,is in no way guaranteed. By your acceptance and use of this report,you specifically agree io hold Credit Check,Inc.harmless from any liability whatsoever. Ordered by: APPLICANT - SEE NAME ABOVE Deporting Agency; Credit Check, Inc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409 . (561) 616-5556 Detail by Document Number Page 1 of 2 DRPARTMBNT OF STAT!; Detail by Document Number Florida Limited Liability Company FLORIDA IB&S, LLC Filing Information Document Number L14000007213 FEI/EIN Number NONE Date Filed 01/02/2014 State FL Status ACTIVE Effective Date 01/01/2014 Principal Address 3395 SANDPIPER WAY NAPLES, FL 34109 Mailing Address 3395 SANDPIPER WAY NAPLES, FL 34109 Registered Agent Name & Address ESCOBAR, LUIS F 3395 SANDPIPER WAY NAPLES, FL 34109 Author Led Pelson( ) Detail Name & Address Title AMBR FERRAGUT, ANAMILE 3395 SANDPIPER WAY NAPLES, FL 34109 Title MGR ESCOBAR, LUIS F ,iJdb bJNUI-'IF/Ek VVHY NAPLES, FL 34109 Annual "V'epor€s No Annual Reports Filed http:/,/search.sunbiz.org/inquiry/CorporationSearch/SearchResultDetail/DocumentNumber/... 3/31/2014 Detail by Document Number Page 2 of 2 Document Images 01/02/2014 — Florida Limited Liability View image in PDF format convrioht :3,1c, Privacy StatE Df OC httn://search.sunbiz.org/InauirviCorDorationSearchiSearchResultDetail/DocumentNumber/... 3/31/2014 - - _ State of Florida Department of State I certify from the records of this office that FLORIDA IS&S, LLC, is a limited liability company organized under the laws of the State of Florida, filed on January 2, 2014, effective January 1, 2014. The document number of this company is L14000007213. 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,Cirth day nf Fekrtag, 2014 4M-1,'I.:- ":•=,,e-,, ktiq 16vii. 0*. Secretary of State Authentication ID: CU8364591509 To authenticate this certificate,visit the following site,enter this ID,and then follow the instructions displayed. https://effle.sunbiz.orgicertauthver.html TT3C'�DEPARTMENT OF THE TREASURY i[ i1��7INTERNAL REVENUE SERVICE CINCINNATI OH 45999-0023 Date of this notice: 01-21-2014 Employer Identification Number: 46-4562848 Form: SS-4 Number of this notice: CP 575 G FLORIDA IBLS LLC IB ANAMILE FERRAGUT SOLE MBR For assistance you may call us at: 3395 SANDPIPER WAY 1-800-829-4933 NAPLES, FL 34109 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 46-4562848. 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 ueusc a. dolay in pLucesslny, result in incorrect information in your account, or even cause you to be assigned more than one EIN. If the information is not correct as shown above, please make the correction using the attached tear off stub and return it to us. A limited liability company (LLC) may file Form 8832, Entity Classification Election, and elect to be classitied as an association taxable as a corporation. If the TIC is eligible to be treated as a corporation that meets certain tests and it will be eleutiug S corporation status, it must timely file FaLm 2553, Election by a Small Business Corporation. The LTC will be treated as a corporation as of the effective date of the S corporation election and does not need to file Form 8832. To obtain tax forms and publications, including those referenced in this notice, visit our Web site at www.irs.gov. If you do not have access to the Internet, call 1-800-829-3676 (TTY/TDD 1-800-829-4059) or visit your local IRS office. IMPORTANT REMINDERS; * Keep a copy of this notice in_ your permanent records. This notice is issued only one time and the IRS will not be able to generate a duplicate copy for you. You may give a copy of this document to anyone asking for proof of your EIN. * Use this EIN and your name exactly as they appear at the top of this notice on all your federal tax forms. * Refer to this EIN on your tax-related correspondence and documents. If you havo cuooti;no about your EIN you non nnl l no of tb, pH,-.n,- lsnarl Rr or L,.., us at the address shown at the top of this notice. if you write, please tear ott 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 associates with this EIN is FLUR. .You will need to provide this information, along with your EIN, if you file your returns electronically. Thank you for your cooperation. Detail by Entity Name Page 1 of 2 FLORIDA�DRMRT VIEI+ T OF STRT f y..��-�.. _v2d�o-s4yt Detail by Entity Name Florida Limited Liability Company FLORIDA IB&S, LLC Filing Information Document Number L14000007213 FEE/EIN Number NONE Date Filed 01/02/2014 State FL Status ACTIVE Effective Date 01/01/2014 Principal Address 3395 SANDPIPER WAY NAPLES, FL 34109 Mailing Address 3395 SANDPIPER WAY NAPLES, FL 34109 Registered Agent Name & Address ESCOBAR, LUIS F 3395 SANDPIPER WAY NAPLES, FL 34109 Authorized Persongsl Detail Name & Address Title AMBR FERRAGUT, ANAMILE 3395 SANDPIPER WAY NAPLES, FL 34109 Title MGR ESCOBAR, LUIS F 3395 SANDPIPER WAY NAPLES, FL 34109 Annual Reports No Annual Reports Filed httn//cearch sunhi 7.orc/inouirv/CoroorationSearch/SearchResultDetail/EntitYName/flal-11... 5/23/2014 Detail by Entity Name Page 2 of 2 Document images 01/02/2014 -- Florida Limited Liability View image in PDF format ono rri:- ;v^oi!cc= State of Fiv,..',Depa;-tm rat v` i,ttn•//cParrdi c„nhi7 nro/Tnnriirv/CnrnnrntinnSe2rch/SearchResultnetail/PntitvName/flnl-11... 5/21/7014 ''' __" "V" • "V" • '- ""-'V,0%.V"..‘• "--'V'V.19-- V" * 'VI" * - * " ..\ " '-V'-'V"`P'24. " -V'V' '''V"V"---A.V-.' D •Ilv•' CD,...\„_,,....,<D- R-4:=)-(=>CD CD <=> CD CD-CD CD.. .-C> C>_,,,,,C7.?",,CD CD CD CD CDwC> C> CD__,,f,„„CD. ,, , or:,CI,.,,-- • ,,-,0 :At-1,, ,-,0.-A,,-, ,,,,,,,c1.- --,-,, ..,ci-t-1 ,.,..,, .......,,„ ., \--.--tx...., 4 n • ,:14 - `-'c 3,01 K. D C ibb D 308 *am il t (1- It Ci ristua -0 R 0 illl■ 3 OP: C ..;0 -V" --.-------- ti 9 - -- . ''Goo wE tpk)51 3 .3. D C BE`partmr.nt of tat .20/8 '. ID■-■'/- 3 0 k703 i'-V--= ID C l'3.3 -5\-1C-- I certify from the records of this office that FLORIDA IB&S, LLC, is a limited R0‘7, liability company organized under the laws of the State of Florida, filed on D- gO, January 2, 2014, effective January 1, 2014. A 4023 D . 3 0)3 3 078 The document number of this company is L14000007213. . .A1, 3 0 8 D,.,.•, I further certify that said company has paid all fees due this office through 3 -. ..t.; 3 0 8 December 31, 2014, and its status is active. D C •3 0 8 C D C 3 018 C 3 0;' D C DV 3 0 8 .3-10g VI/ 3 8 Yc - D-C D 308, D-• Given under my hand and the 3 08 Great Seal of the State of Florida U at Tallahassee, the Capital, this the ,..., „ Fourteenth day of January, 2014 D-C 0. ,... ...-, =V' --L.,;. 7-i 3 0 8 0 D • . _____ .. .,..,s , -0 1 Ilikit. P Az r* ?0. D C' 3 0 8 CR2E022 (1-11) ,Sti-rfaru af Sfafp r?0 D, c ..€11 3 0 D■■C D ' 4g),(4-')Iysvps.c7byovsy,(43 ,....,-c),...,no, ,-,n. -,.i 0.-dfi 0,-, A,-.•:, 0,-,c),, ,,,,, ,-, , -, ,-,-it\--.),-,- ,.....- ,,,--(1, n 6 a of, n eLy-, \--- STATEMENT OF OWNERSHIP This certifies that I, �v? �'% � am a member or (APPLICANT'S NAME) Managing member of " t 2I C (LIMITED LIABILITY COMPANY NAME) I own % 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) yi r ! 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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 Ott Insurance Agency, LLC CONTACT NAME: BrianSeneskl 10915 Bonita Beach Rd. Ste. 1141 JAfCON No.Ezt1;2399480001 I{A!C No):2399482004 E-MAIL Bonita Springs FL 34135 ADDRESS:bseneski©hotrnail.com INSURER(S)AFFORDING COVERAGE NAIC# IB&S A: Cypress Property and Casualty Insurance Co INSURED Florida IB&S LLC INSURER B: 3395 Sandpiper Way INSURER C: Naples FL 34109 INSURER DI I INSURER E: I INSURER F: I COVERAGES CERTIFICATE NUMBER: 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.! TYPE OF INSURANCE IADOLISUERI I POLICY EFF I POLICY EXP I UNITS LTR !NSF WVD POLICY NUMBER i(MIA/DD/YYYY).(MM/DD/YYYY) GENERAL LIABILITY I I IEACH OCCURRENCE i 5 1,000000 DAMAGE 70 RENTED X COMMERCIAL GENERAL LIABILITY PREMISES_Lp occurrence) I S 100,000 I I CLAIMS MADE 1 X !OCCUR ED EXP(Any une person) 1 S 5,000 A __1 n n 20P0040741 3/24/2014 3/24/2015'PERSONAL&ADV INJURY I S 1,000,000 i , _ _ ,, GENERAL AGGREGATE I S 2,000,000 i I GEN'L AGGREGATE LIMIT APPLIES PER. 'PRODUCTS-COMP/OP AGG I S 2,000,000 ^ - I X POLICY I! I PRO- 7 LOC I $ 'AUTOMOBILE LIABILITY j I COMBIarr:aPntl NED SINGLE LIMIT I EO I ANY AUTO I BODILY INJURY(Per person) S I— ALL OWNED ill SCHEDULED BODILY INJURY(Per accident)i S !AUTOS f AUTOS ' I i NON-OWNED I PROPERTY DAMAGE I5 HIRED AUTOS I AUTOS (Per accident) I j UMBRELLA LIAB I OCCUR I FACH ODD!IRRFNCF 1 EXCESS LIAB CLAIMStvtADE � AGGREGATE 5 I DED I RETENTION5 I I S WORKERS COMPENSATION I I j i I WC STATU- ' I OTH-I AND EMPLOYERS'LIABILITY I TORY LIMITS ER Y(N ' ANY PFPPRIFTQR/PARTNFRIFXFI?ITI\/F I C.L.0;011,'-.00IOCIJT 3 OFFICER/MEMBER EXCLUDED? N I A I (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S if yes,describe under i DESCRIPTION OF OPERATIONS below i E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) 91436 Ceiling or wall installation 92338 Drywall or wallboard installation 98305 Painting-Interior CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Collier County Contractors Licensing THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 2800 N Horseshoe Dr ACCORDANCE WITH THE POLICY PROVISIONS. Ndples,FL 34104 , AUTHORIZED REPRESENTATIVE 239 252 2469 s re e ., , °,* . I ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD `,'loria Client Setup Sheet For: Florida IB&S,LLC dba: Date: Mar24,2014SaIes Rep: Joey Agent: 1st Choice Payroll Soluticti Customer#: **For SPLI NCSU Department use only:** W/C Approval Date: Payroll Tech: Delivery Method: System: Payroll Information: Contact Name: Anamile Contact Phone#: (239) 860-1216 Fax#: (239) 596-6875 Cell Phone#: Contact Email: anamiie fb @yahoo.com Pay Period Begins: Mon, Mar 31 Ends: Sun , Apr 6 Day To Submit: Wed, Apr 9 Pay Day: Fri , Apr 11 Delivery Day: Thu l , Apr 10 These services will be available after you have been approved and paid for at least three payrolls. If interested please check below: Direct Deposit: ❑ Yes g No EFT/Debit: ❑ Yes d No (Payroll must be processed 2 days prior to check date) (Account will be debited on the payroll check date) Company Information: Owner Information: Company Name: Florida IB&S, LLC Name: Luis Escobar Co Address: 3395 Sandpiper Way Title: MGRM SS#: 697-03-7988 City: Naples State: FL zip:34109 Address: 3395 Sandpiper Way Phone#: (239) 860-1150 City: Naples State: FL Zip: 34109 Federal Tax#:464562848 Cell Phone#:804-382-9828 State Tax#: Email Address: anamite_tb @yahoo.com anamile @industrialbuildingllc.com NAJCS Code: County: Check Issuing Bank: g Wells ❑ SunTrust ❑ BOA Pay Frequency: IVf Weekly ❑ Bi-weekly ❑ Semi Monthly PTO Accrual: ❑ Yes g No (mark all that apply) Pay Types: d Hourly ❑ Salary ❑ Tips ❑ Commission/Piece Work(Must Track Hrs) (mark all that apply) Payroll Type: ❑Departmental ❑Job Costing ❑Certified ❑OCIP (mark all that apply) Deductions: ❑Emp.Loans ❑ Insurance ❑401K ❑ Tax Levy ❑Child Support (mark all that apply) 0 401K Rollover? ❑Is it a Safe Harbor? ❑Other: Submittal Method: ❑Online ❑Will Call ❑Will Fax ❑Email Report Delivery: ❑Email ❑Online ❑Fax Does the Company want information on our insurance? ❑ Yes d No WC Codes: 5474 Employee Setup Fees: $ too per employee Payroll Delivery Charges: S per pay period Comments/Delivery Instructions: 339ç- � /d. Florida Revised 10-24-13 SOUTH EAST PERSONNEL LEASING, INC. 4.. CLIENT LEASING AGREEMENT c , This Agreement(herein referred to as"Client Leasing Agreement,""Leasing Agreement,"or"Agreement")is entered into this 24 day of SOt TI#EAEST Mar 20 by and between South East Personnel Leasing Inc.,a Florida corporation and its subsidiaries(herein referred to V ! collectively as"SPLI"),and Florida IB&S,LLC (hereafter referred to as"Client'or'Client PERSONNEL LEASING. INC. Company"),whose respective addresses are set forth on the signature page of this Agreement I. PURPOSE subject to the terms and conditions of the plans offered by SPLI.SPLI and its applicable The Parties agree that SPLI is a company engaged in the business of providing carrier reserve the right to change or substitute benefit plans or to implement cost • employee leasing services to Client pursuant to this Agreement This Agreement defines . increases. SPLi shall endeavor to provide at least twenty(20)days prior notice of any the allocation of responsibilities between SPLI and Client. This Agreement defines when such change,substitution,or cost increase. No Leased Employee shall be covered by an individual is and is not considered a Leased Employee of SPLI. In consideration of any benefit plan until the Leased Employee has prepared the appropriate submission the mutual promises and covenants contained herein,and for other good and valuable form,submitted it to the carrier, been notified by the carrier of Leased Employee's consideration,SPLI and Client agree to enter into the Client Leasing Agreement,whose acceptance into the plan,and paid the premium for the first month; terms and conditions are set forth below. 4. Consistent with applicable law,the provision of workers'compensation insurance coverage during the Term for Leased Employees,for which upon request SPLi shall II.TERM provide Client a certificate of coverage, and management of workers' compensation This Agreement shall commence on the Effective Date and remain in full force and effect claims for Leased Employees; for a period of one(1)year thereafter("Initial Period"),unless terminated by either Party 3 Provide unemployment compensation insurance in accordance with applicable law. with thirty(30)days prior written notice or as provided in Paragraph XL After the Initial Where required or allowed by law or regulation,SPLI shall have the right to use Clients Period,this Agreement shall automatically renew for one(1)year periods until terminated state identification shalprovide numbers for unemployment tax reporting purposes. In such states, by either Party with thirty(30)days prior written notice or as provided for in Paragraph XI. Client shall prov de SPLI with its state lard at state number used for reporting state During the thirty(30)days from the date written cancellation is sent to the other Party,the unemployment insurance and shall forward all state unemployment information and Parties will continue to meet the obligations set forth in this Agreement,including without notices to SPLI within five(5)business days of receipt In the event applicable law limitation,the obligation of Client to pay all SPLI invoices. The period that this Agreement affords SPLI the option to re right under Clients state identification number,SPLI shall shall be in full force and effect is referred to as the"Term." have,at its sole discretion,the right to do so; 6. Notify in writing all Leased Employees of the inception,termination,and expiration of this Agreement III. SERVICES PROVIDED BY AND OBLIGATIONS OF 5PL! 7. Client and SPLI agree that should any Leased Employee raise an issue of A. Leased Employees covered by this Agreement only include those employees who discrimination,harassnteiil,retaliation,or any other employment related issue,it shall be have completed SPLI's employment process and have been accepted,approved,and Client's responsibility to handle, investigate and resolve such issue(s). Should any paid by SPLI(hereafter referred to as"Leased Employees"). Any individual who does not investigation of such issue(s)occur and should the Leased Employee and Client desire complete SPLI's employment process and is not accepted and approved by SPLI as a SPLI to be involved in such investigation of the issue(s),if SPLI,in its sole discretion, Leased Employee shall not be considered an employee of SPLI for any purpose agrees to be involved in the investigation,SPLI's role shall be strictly limited. SPLI shall ' including,but not limited to,workers'compensation,benefits or employment related laws. not be a decision-maker/joint employer and SPLI's role shall be limited to conducting Client is solely responsible for all matters,including without limitation,worker injuries and such investigation deemed appropriate by SPLI and attempting to facilitate a resolution of wages that occur while an employee is not acting in the capacity of a I eased Fmrinyne the Issue(s)whim is mutually agreeable to the Leased Employee and to Client The in addition,Client acknowledges and agrees that,to the fullest extent allowed by law,it responsibility to defend,resolve and/or end any such inappropriate conduct which may . has been allocated all responsibility to properly obtain and to maintain 1-9 forms in be occurring rests solely with Client conformity with the Immigration Reform and Control Act of 1986 for all current and future Leased Employees. Client represents and warrants that all of its current Leased C. SPLI reserves such right of direction and control over Leased Employees and retains Employees have properly completed 19 forms. cuoh right to hire,fire,reaaaign,dis ipliiie and wcupeirsate Leased Employees only as is B. The services to be provided by SPLf for Leased Employees include,but are not required by applicable law. limited to,the following: D. The Parties acknowledge that they are entering into a contractual relationship 1. Payment of wages to Leased Employees to the extent required by applicable law and concerning Leased Employees.Client further acknowledges that the Parties'relationship preparation, administration, compilation, and filing of all payroll information and may be influenced of by Internal Revenue Code §414(n) and that an employment di5uiuuuon cif payrdli d11eGK5 id Leased Employees from SPLI's own accounts following relationship i©boing oofabliohed tsttau Of'LI ei,J Leased Gnpluyees. invoicing and payment of Client of Service Fee. In the event Client does not pay SPLI E. No person shall become employed by SPLI, covered by SPLI's workers' the invoiced Service Fee,SPLI may,to the extent allowed by applicable law,pay Leased compensation insurance, eligible for any other benefit or term and condition of Employees at the minimum wage rate or minimum salary provided for in the Fair Labor employment,or issued a payroll check,unless and until the following have occurred: Standards Act and pursuant to state law.This provision in no way affects the obligation of Client to pay SPLI for all services rendered during the payroll period,and in no way 1. The applicant has provided all requested information in the Complete SPLI Employee affects the obligations of Client pursuant to local,state and federal law,including,but not Leasing Application and the applicant has signed and dated the Complete SPLI limited to,the requirement to timely pay the invoiced Service Fee which includes,inter Employee Leasing Application. The Complete SPLI Employee Leasing Application" alia,all Leased Employees'wages. Unless otherwise required by law,the term"wages" includes the SPLI Employee Leasing Application,the Applicant Acknowledgement,the does not include any obligation between Client and a Leased Employee for payments Safe Working Practices Acknowledgement, the Acknowledgment of the Post- beyond or in addition to the Leased Employee's salary,draw,or regular rate of pay,such Accident/Reasonable Suspicion Program,the Form 1-9,and the Form W-4; as bonuses, commissions, severance pay, deferred compensation, profit sharing or 2. The Complete SPLI Employee Leasing Application is delivered to the SPLI payroll vacation,sick or other paid time off pay,unless SPLI has expressly agreed to assume department `Delivered' means all parts of the Complete SPLI Employee Leasing liability for such payments in this Agreement; Application are mailed,faxed or hand-delivered to the SPLI payroll department and the 2. To the extent required by applicable law, SPLI assumes responsibility for the SPLI payroll department has date and time stamped all parts of the Complete SPLI withholding and remittance of federal and state employment taxes,including but not Employee Leasing Application as received; limited to, federal income tax, state and local income tax, Federal Insurance 3, SPLI must thereafter arrenf the a Brant a�a I oaood Fm r �^ reetinyti rrc Act ("FICA"), Fodaml tlnnmpiny�mcnl To-. AUL ("I"UTAj, mid eLife pr n^y..^fSPLI. unemployment tax("SUTA")for Leased Employees; 3.Administration of applicable benefit plans including remitting Leased Employee benefit A. SERVICE FEES payments from SPLI's accounts(as required by law)for benefit programs set forth in the A. In consideration for services rendered, Client agrees to pay SPLI service fees attached Exhibits,if applicable,beginning on the Effective Date.A Leased Employee's (Service Fee)in the amount set forth in the Exhibit(s),which is attached and made a part available coverage and Ar0 hi h to parti:ip3to in a givon plan shall be governed by err l of this Agreement The SQrvico Foe includoc but io not limited to funds sulfUieut to pay Page 1 of 7 Revision 02/28/2014 and administer all wages,payroll taxes,workers'compensation expenses and benefit day job duties of Leased Employees and over the job site at which, or from which, costs incurred by or payable to all Leased Employees.For existing SPLI clients who are Leased Employees perform their services. Client shall be solely responsible for the signing this new Agreement the Service Fee at the commencement of this Agreement quality, adequacy, and safety of the goods or services produced or sold in Client's shall be that which currently exist with the acknowledgment that the total Service Fee is business and Client and not SPLI shall be liable for the acts,errors,or omissions of defined as set forth in this agreement Client's Service Fee obligation shall continue Client and those of any Leased Employee. during normal periods of Leased Employee absence for vacation, sick leave, legal holidays and emergency situations. It is the intent of the Parties that the Service Fee C. At the end of each pay period,Client shall obtain,maintain,and provide to SPLI all invoiced to Client is one charge where Client accepts,and is satisfied with,the total bill records of actual time worked by each Leased Employee,the status of the Leased that is invoiced to Client,irrespective of what SPLI's actual liability for any component Employee as either exempt or nonexempt,and verify that this information is accurate and part (including, but not limited to administrative fees, payroll taxes, wages, workers' in compliance with the requirements of the Fair Labor Standards Act, other laws compensation expenses,benefits,and other associated costs)may be irrespective of administered by the U.S. Department of Labor's Wage and Hour Division, and any any refund,rebate,or credit which may be applicable.In addition,Client understands that applicable local or state law. Client shall be solely responsible for the verification of the cost of the illustrative component parts enumerated above may change from time to payroll information, including but not limited to verifying that wages, minimum wage, time by the applicable state or federal government,or benefit provider,the Service Fee overtime, prevailing wage rate, piece rate, commissions, and bonuses have been may be increased at any time by SPLI using reasonable business judgment following,or correctly calculated and exempt and non-exempt status has been correctly determined. in anticipation of,such increases. In addition, Client shall be solely responsible for any and all liability to any Leased Employee with regard to all aspects of Client's payroll,whether or not such payroll has B. Client shall pay the entire Service Fee upon delivery of the invoice to Client.Payment been paid through SPU,including but not limited to wages,minimum wage,overtime, shall be made by either cashier's check or bank wire transfer.If payment is refused by prevailing wage rate, piece rate, commissions, and bonus obligations to Leased Client's bank for any reason,Client agrees to pay any bank or other service charges Employees. Client shall review all payrolls and payroll information provided to Client by imposed upon SPLI by any third-party. To the extent allowed by law,if Client fails to SPLI to ensure that all data and paychecks are accurate and that no incorrect or make payment as provided herein,Client assumes full liability and responsibility for any fraudulent information has been supplied to SPU. Client acknowledges and agrees that wages,taxes,insurances and employment matters arising subsequent to the last pay any failure on its part to timely review the documentation and paychecks provided by period concerning which Client paid according to these terms. SPLI prior to the time that paychecks are disseminated to Leased Employees shall be an absolute bar to any claim for damages against SPLI.Unless otherwise provided to Client C. If payment is not made when due,Client shall pay SPLI, in addition to all other by SPLI in writing,within forty-eight(48)hours prior to the Client's payday,Client shall amounts due,a three percent(3%)charge on the delinquent amount In addition,Client provide to SPLI via facsimile transmission, email or via SPLi's intemet connection, a shall pay one and one-hall percent(1%%)of the delinquent amount(or such maximum report of the total hours worked by Leased Employees. Client warrants that the lesser interest amount if set by applicable law at a lower amount)for each thirty(30)day information reported to SPU is correct and accurate. Without regard to the fault or period that the unpaid balance remains outstanding,but in no event shall the amount negligence of any party, Client indemnifies,holds harmless, protects and defends all exceed the lawful rate of interest SPLI Indemnified Parties(as hereafter defined)from any claims and liabilities that may arise es a result of the improper reporting of suvim infuirualiun by Client to SPLI.Client D. SPLI retains the right to modify the payment terms as SPLI deems reasonable, shall be solely responsible for incorrect,improper or fraudulent records of hours worked, including the right to require, among other things, payment prior to the provision of for improper classification of Leased Employees,for all child labor violations,and for any services based on the invoice for the previous pay period.All payments will be applied to fraudulent,improper,or illegal activity engaged in by any Leased Employee.Client shall the most recent invoice issued to Client.SPLi retains the right to apply any overpayment be responsible for any checks that have been requested by Client and which have been to the subsequent invoice issued to Client issued by SPLI to any Leased Employee,including any checks that have been cashed by a holder in due course,whether or not a stop payment request has been filed. E. Client agrees to pay for any oomponnation corned but not paid to or for Leased Employees prior to, during, upon termination or expiration, and subsequent to their D. Client agrees it will be solely responsible for damages of any nature arising out of employment with SPLI,including,but not limited to,premiums or contributions payable Client's failure to report to SPU the payment to an employee of any remuneration for for Leased Employee benefit plans through the end of the month in which the Leased services rendered for Client In addition,SPU shall not be considered to bean employer Employee was terminated,unused paid time off,vacation and sick leave,and expense of any individual for whom required payroll information is not supplied during any payroll reimbursement. period(except as may be required by law). Cliont aooumoo full responsibility for workers' eorrpertsation claims,benefit claims(including but not limited to health insurance claims V. OBLIGATIONS AND DUTIES OF CLIENT and pension claims),tax obligations,employment discrimination claims,general liability A. To the extent allowed by applicable law,Client shall retain sufficient direction and claims,third-party claims,and any and all other obligations or claims pertaining in any control over the workplace and over Leased Employees as is necessary to supervise all way to any individual for whom payroll information is not supplied during any payroll day-to-day work activities of Leased Employees. In addition, Client shall retain such period(except as may be required by law),or who is paid in whole or in part by Client,as cufficiont direction and oontral over Leaned Employ coo and aver the'rivrkj l&e de is a non Leased 6mplo oo, aubeantraotar,volunteer, independent C:u t ....0, vi iii ally necessary to conduct Client's business and without which Client would be unable to other capacity.SPLI shall have no obligation to provide workers'compensation insurance conduct its business,discharge any fiduciary responsibility that it may have,or comply for subcontractors and for employees of subcontractors engaged or hired by Client with any applicable licensure,regulatory,or statutory requirement of Client or any Leased Client shall not, directly or indirectly, engage or hire any independent contractor or Employee. Such authority maintained by Client shall include the right to accept or cancel subcontractor that does not have workers' compensation insurance coverage with the assignment of any Leased Employee. Client will be responsible for verifying skills respect to itself and its employees, Client shall obtain a certificate evidencing workers' and qualifications for employment If a license or registration is necessary for the compensation insurance coverage with respect to any independent contractor, performance of Client's work,Client shall verify the existence,maintenance and validity subcontractor,and the employees of any such independent contractor or subcontractor of such license or registration for itself and all Leased Employees. engaged or hired by Client it is the intent of the parties that in no event will any independent contractor,subcontractor,volunteer,non-Leased Employee,or any of the B. To the extent allowed by applicable law,Client shall be responsible for directing, aforementioned individuals be covered by SPLI's workers'compensation policy or be supervising,training,and controlling the work of Leased Employees with respect to the considered a Leased Employee of SPLI. Client shall at all times maintain a workers' business activities of Client Client shall make any and all strategic,operational,and all compensation policy encompassing all of its employees who are not Leased Employees other business-related decisions regarding Client's business. Such decisions and related pursuant to this Agreement outcomes shall exclusively be the responsibility of Client and SPLi shall bear no responsibility or liability for any actions or inactions by Client or by any Leased Employee. E. At its own expense,Client shall provide a suitable place of employment for all Leased Additionally,Client shall have sole and exclusive control over the day-to-day job duties of Employees, which shall comply with all applicable local, bide and federal laws, all Leased Employees and SPLI shall have no responsibilities With reoard to I eased ordinances,and regulations related fp 4ccp0ational health and safety the e.nvimnmant Employees' performance of such clay-to-clay lob duties Furthermore, SPLi shall not equipment,machinery,and all other matters affecting Leased Employee:afoty. Client have control over the job site at which,or from which,Leased Employees perform their agrees to provide all facilities,supplies,equipment,training and all other necessary items services. Control over the day-to-day job duties of Leased Employees and over the job that may be required by Leased Employees to perform the Leased Employee services. site at which,or from which, Leased Employees perform their services is solely and Client represents that its working environment, equipment machinery, supplies and exclusively assigned to Client Client expressly absolves SPLI of control over the day-to- training for existing employees currently meet ell local,state,and federal occupational safety and health standards and that they will be maintained in compliance with such Page 2 of 7 Revision 02/2812014 standards during the duration of this Agreement Client is responsible for compliance with safe work practices and the use of protective equipment imposed by controlling L. Any tax imposed by any local or state taxing authority based upon Client's relationship federal, state and local government, as well as any required by SPLI's workers' with SPLI, such as a sales or use tax, or gross receipt tax, shall be the sole compensation carrier. Client shall comply with any and all safety requirements and responsibility of Client recommendations made by SPLI's workers'compensation carrier. M. Client shall appoint an authorized representative(s) who will be responsible for F. Client shall provide,at its own expense,reasonable access and accommodations as reporting any and all information to SPLI or receiving Leased Employee information from required by the Americans with Disabilities Act as amended("ADA"),and any regulations SPLI. Client agrees that the authorized representative has full and complete authority to related thereto.In addition,Client shall comply with the guidelines and provisions of the report information to SPLI and that SPLI may rely on this information.Without regard to ADA in its determinations of individuals it desires to hire,promote,place at certain Client the fault or negligence of any party,Client indemnifies,holds harmless,protect and work location(s),or fire. defends at SPLI Indemnified Parties as hereafter defined from any claims and liabilities and with regard to any action taken by SPU as a result of the information provided by or G. Upon any request by SPLI or its assigns, Client shall allow an on-site physical to the authorized representative. examination of such books,records,documents and other information sources deemed appropriate by SPLI and/or its assigns to aid SPLI and its assigns in the determination of N. Client agrees to report any complaint,claim,accident,or other employment related proper workers' compensation classifications of Leased Employees, to aid in the issue raised by a Leased Employee to SPU as soon as it becomes known to Client in determination of payroll amounts paid to such Leased Employees, to aid in the order for SPLI to evaluate whether it is encompassed by any SPU maintained insurance. determination and evaluation of workers'compensation issues,and to verify compliance Client further agrees to abide by all local, state,and federal employment laws and with safety requirements during the Term of this Agreement Client shall remain regulations. obligated to SPLI for any misclassification,delinquency and/or unpaid premium amount found in the examination. SPLI or its assigns shall have the right to audit the Clients 0. Client shall provide SPLI written statements of its polices regarding employee records and worksite for up to one year after the end of any policy period,even if this benefits.Such policies will comply with all federal,state and local governmental laws and Agreement has been terminated or has expired. Should Client fail to give access to SPLI regulations. Client will pay for any unpaid benefits due to Leased Employees upon or its assigns,the Client shall pay to SPLI liquidated damages in the amount of three commencement,termination,or expiration of this Agreement,including but not limited to times the most recent annual workers'compensation premium. unused vacation,severance pay,or continuing health and life insurance premiums until the end of the month during which this Agreement is terminated or expires or until the H. For employees hired prior to the Effective Data of this Agreement,Client warrants that end of the month in which the Leased Employee separates employment SPLI assumes all Leased Employees are United States citizens or have provided proof of employment no liability or responsibility in its receipt of such statements of policies from Client eligibility documents accepted by the USCIS or its predecessors at the time of said Leased Employee's hire. Any Leased Employee whose proof of employment eligibility P. All accidents or injuries involving Leased Employees shall be reported to SPLI documents(such as temporary work visas issued by USCIS,Bureau of Citizenship and immediately.Client agrees to cooperate with SPLI's workers'compensation canter in the Immigration Service or Immigration and Naturalization Service)expire while said Leased inspection of work locations and the investigation of workplace accident;and injuries. Employee is covered by this Agreement,must have their 1-9 form re-verified by Client Nothing in this Agreement shall relieve Client of any obligations imposed under safety- according to USCIS requirements.It is Clients sole responsibility to complete such re- related law. verification.Furthermore,Client warrants that all Leased Employees'names and social security numbers match and that all Leased Employees hired after the Effective Date of Q. Client maintains the right to request and purchase from SPLI,workers'compensation this Agreement are United States citizens or they have one of the documents currently loss experience data upon termination or expiration of this Agreement(if Client has no accepted by the USCIS as proof of employment eligibility, as shown on USCIS' invoice balance due SPU,to the extent allowed by applicable law). Notwithstanding instructions for Form 19.Client agrees to retain the original of the Loosed Employee I 0 anything to the contrary contained herein,ouch data shall be made available to Client in Forms and to deliver a copy to SPLI upon completion by the Leased Employee. Client accordance with applicable law. acknowledges and agrees that during the term of this Agreement, Client will be the sponsoring employer for purposes of petitioning or applying for immigration visas for the R. Client shall maintain workers'compensation insurance coverage for all employees of employment of an alien selected for hire as an employee and that Client shall have sole Client working for Client that are not covered by this Agreement Furthermore,in states and exclusive responsibility for compliance with the requirements of law regarding the respiring same, Client agrees to maintain separate workers'compensation insurance employment of individuals working pursuant to a visa. Client understands and agrees covering Leased Employees. that It Is Clients responsibility to obtain and maintain any necessary visas and to pay all associated costs. S, If any Leased Employee is required in the performance of their duties,to deal with confidential or proprietary information of Client Client agrees to institute any control I. Any obligation placed upon an employer by applicable law to verify the eligibility of an procedures or confidentiality agreements deemed necessary by Client to ensure against individual for employment through the Resin Employment verifiration Pilot Program as rlicrincnro nt cams \nrrth rt regarrr to fh f,.lit nr negligence of any party, Client jointly administered by the United States Department of Homeland Security and the indemnifies,holds harmless,protects and defends all SPLI Indemnified Parties from any Social Security Administration ("E-Verify") or any successor program, to the extent and all claims and liabilities which results from a disclosure of same whether during or allowed by law,is retained solely and exclusively by Client after the Term. J. If any Leased Employee is required to be licensed,registered or certified under any T. Client agrees that for any benefit plan maintained by Client prior to,during,or after the federal,state,or municipal law or regulation,or to act under the supervision of such a Term, Client is solely responsible for determining eligibility, participation, contribution licensed, registered or certified person or entity in performing the Leased Employee matters,administration of Section 125 Plan if applicable,and the proper administration of services,then any such Leased Employee shall be deemed to be an employee of Client COBRA,and that SPLI has no responsibility for such benefits.Without regard to the fault for such purposes but shall remain a Leased Employee of SPLI for unemployment or negligence of any party,Client indemnifies,holds harmless,protects and defends all purposes as allowed by law (SPLI may report Leased Employees under Clients SPLI indemnified Parties for any and all claims and liabilities or consequences arising out unemployment rate where allowed or mandated by law)and for workers'compensation of the maintenance of such benefits. purposes(where SPLI is supplying workers'compensation coverage). Client shall also be solely responsible for verifying such licensure, registration, or certification and/or VI. WORKERS'COMPENSATION AND SAFETY PRACTICES providing such required supervision. A.Client's workplace must continue to comply with all regulatory aspects of doing business which applied to Client prior to the Effective Date of this Agreement K. SPLI does not assume any responsibility for and makes no assurances,warranties, or guarantees as to the ability or competence of any Leased Employee. This Agreement B. In relation to the provision of workers'rnmpensetion henefitc by SPI t,rrert ohpll Ih no Way altars any raspOnslbllities at Client to peilonil any and all work history, reference checks and background checks on Leased Employees. Additionally,Client 1. Cooperate with SPLI in the maintenance of a drug-free workplace by requiring assumes full and complete responsibility for the consequences of performing or failing to mandatory,immediate post-accident drug testing; perform,initially and on an on-going basis,such work history, reference checks and background checks on Leased Employees,including,but not limited to,driving record and accideiit teuuid backyluund checks on Lessee tmpioyees. Page 3 of 7 Revision 02128/2014 2. Cooperate with SPLI in conducting pre-employment background investigations,as providing for not less than 30 days'prior written notice to SPLI of cancellation of or any permitted by law,for such job positions as may be determined by SPLI and its workers' changes to such coverage and identify SPLI as an additional insured. compensation carder to represent significant risk; 3. Cooperate in the investigation of any workplace complaint or injury with SPLI,or its C. If any Leased Employee performs any duties which requires the maintenance of a workers'compensation carder,and provide SPLI,or its workers'compensation carrier, professional license and corresponding professional liability insurance,Client agrees to the right to inspect and access,upon request,Clients premises,records,and employees keep in full force and effect during the Term professional liability insurance which shall in order to investigate the alleged violation of any handbook policy,safety concern,injury cover any acts,errors or omissions,including but not limited to the negligent acts of the or other workplace incident; professional Leased Employee with a minimum limit of One Million Dollars($1,000,000). 4. Timely comply, at its sole expense,with any specific directives from SPLI, or its Not later than five business days after its execution and delivery of this Agreement,Client workers'compensation carrier,regarding the safety of Leased Employees; shall cause its insurance carrier to issue a certificate of insurance to SPLI verifying such 5. Notify SPLI before assigning any Leased Employee to work outside the state(s) coverage and providing for not less than 30 days' prior written notice to SPLI of identified in Addendums to this Agreement; cancellation of or any changes to such coverage and identify SPLI as an additional 6. If any Leased Employee is injured,immediately report the accident or injury to SPLI: insured. 7. Comply with SPLI's, or its workers' compensation carriers, modified-duty requirements,including reinstatement of Leased Employees in a modified-duty capacity. D. With respect to any group health plan maintained by SPLI which provides coverage to If Client fails to accommodate any Leased Employee released for modified duty eligible Leased Employees, SPLI assumes responsibility for proper COBRA assignment,Client shall pay to SPLI all workers'compensation wages disbursed to such administration,subject to timely notification by Client of the occurrence of any'qualifying Leased Employee as should have been paid in the form of earned wages for performing event" For these purposes any group health plan shall be maintained by SPLI only if the modified-duty services. This provision shall survive the termination or expiration of this contract is between SPLI and the insurer. Client agrees to provide continuation of health Agreement insurance coverage required by COBRA to any and all eligible participants in Clients current plan or upon termination or expiration of this Agreement and indemnifies,holds C. SPLI retains the right to change the classification codes,where necessary,to comply harmless, protects and defends all SPLI Indemnified Parties from any claims and with the guidelines set forth by the National Council on Compensation Insurance or liabilities therefor. applicable state regulatory agency. Client agrees to provide prior written notice to SPLI before the addition of any workers'compensation classification. If Client understates or E. All insurance policies maintained by Client shall provide coverage which will be conceals payroll,or misrepresents or conceals information pertinent to the computation primary in the event of any claim. All insurance policies shall waive Client's subrogation and application of an experience rating modification factor, the Client shall pay, as rights in favor of SPLI. Clients obligation under this Section VII shall survive termination liquidated damages, 10 times the amount of the difference in premium paid and the or expiration of this Agreement amount the Client should have paid plus reasonable attorney's fees. This entire provision may be enforced in the courts of the State of Florida. F. Neither the Client nor employees of the Client are covered by any part of SPLI's Workers Compensation and Employers Liability Insurance Policy. Neither SPLI nor any D. Client undoretandc that SPLI exproccly prohibit any of its Leased Employees from of its insurance carriers have any duty to defend the Client or the employees of tho Client working outside the state(s)identified in Addendums to this Agreement If a Leased in any action whatsoever without exception. Employee is directed to work outside the state(s) identified in Addendums to this Agreement,that Leased Employee will be considered immediately terminated from SPLI. VIII, CLIENT REPRESENTATIONS Termination will be effective upon commencement of the trip outside of the state(s) A. Client is a sole proprietorship or a corporation,partnership,limited partnership or identified in Addendums to this Agreement. If the employee is injured while outside of limited liability company in good standing,and the undersigned officer or representative the state(s)identified in Addendums to this Agreement or on a trip outside the state(s) is duly authorized to enter into this Agreement identified in Addendums to thi3 Agreement he or she will be considered the employee of the Client and it will be the responsibility of the Client to provide workers'compensation B. Client has fully disclosed to SPLI, all investigations, lawsuits, claims, labor coverage and benefits to the injured worker. proceedings,employment related claims or other adversary proceedings involving Client. E. Client understands that SPLI will never be considered the employer of an individual, C. Client warrants that in regard to any individual employed by Client prior to the for any p•rrpnva, including wnrkarc' mmppnsr firm mvPraga, whan r..liant pays clit{ Effective Date,all wages and benefits for such individual are currant and have beet I paid, individual any compensation whatsoever that is not paid through SPLI,including but not and Moro is no liability for same,including any benefits for retirees. limited to tips, cash, barter, trade, side job(s) or bonuses, The Client or anomer entity/individual,other than SPLI,will be exclusively table and responsible for all workers' D. Client warrants that there are no claims or threatened claims or charges pending by compensation claims for any individual that is not considered an employee of SPLI. any employee claiming that Client engaged in any work practices which were in violation of any employment related law including,but not limited to,Title VII of the Civil Rights Act is If the r'liant pays any ampinyeP of the r:liant nr any ampinyaa of CPI I any rnnnay fnr of 1304,as ail andad,tha ADA,the ra iiilr and rA6-J;61 Leave Ad.("rrdtK),U,c N66uua1 services rendered during any period that this contract is in effect,the Client must have its Labor Relations Act("NtRA)and any federal or state discrimination laws. own workers'compensation coverage to cover any such employees as those employees will be considered the employees of the Client and not Leased Employees of SPLI. E. Client has disclosed all employment related agreements pertaining to Leased Employees in effect as of the Effective Date including, but not limited to, collective VII, INSURANCES bargaining agreements and any employment agreements. A, If any Leased Employee is required to drive a vehicle of any kind for Client,Client will provide liability insurance which will insure against public liability for bodily injury,death F. Client warrants that workers'compensation classification codes provided to SPLI are and property damage with a minimum combined single limit of One Million Dollars correct and that Client will utilize Leased Employees only in a manner consistent with ($1,000,000)and uninsured motorist insurance with a minimum combined single limit of those codes.Client will notify SPLI in writing if Leased Employees'job duties change. One Million Dollars($1,000,000).Not later than five business days after its execution and Failure to notify SPLI of Leased Employees' job duties may result in a workers' delivery of this Agreement,Client shall cause its insurance carrier to issue a certificate of compensation rate adjustment and/or termination of this Agreement Client will be insurance to SPLI verifying such coverage and providing for not less than 30 days'prior responsible for paying any adjustments. written notice to SPLI of cancellation of or any changes to such coverage and identify SPLI as an additional insured. G. Client warrants that it is not a federal, state or local government contractor or subcontractor and that none of the Leased Employees perform work on government B. Client agrees to keep in full force and effect at all times during the Term of this contracts,except as previously disclosed in writing to SPLI. Client agrees to provide Agreement a rnmrrPhansi ie general liability inch iranre rnrvy in the minimum limit of(Ina writtan nnfine to RP'I prior to antering intn any Qnvammant rnntrart Million Dollars($1,000,000)insuring Client against bodily injury and property damage caused by Client's premises-operations or completed operations. Not later than five H. Without regard to the fault or negligence of any party, Client expressly agrees to business days after the execution and delivery of this Agreement,Client shall cause its indemnify,hold harmless,protect and defend all SPLI Indemnified Parties from any and insurance carrier to issue a certificate of insurance to SPLI verifying such coverage and all claims and liabilities which may arise as a result of acts which occurred prior to the inception of this Agreement Page 4 of 7 Revision 02128/2014 B. All indemnifications are and shall be deemed to be contractual in nature and shall I. Client represents that it has met any and all prior premium and fee obligations with survive the termination or expiration of this Agreement regard to workers'compensation premiums and employee leasing/professional employer organization payments,to at prior employee leasing/professional employer organizations XI. TERMINATION and workers'compensation carriers,with which Client has previously had a contractual A. tf for any reason payment is not made when due,Client agrees that SPU will have reiabonship. the right to immediately and retroactively terminate this, its performance hereunder, withhold its employees'services,and/or bring suit seeking damages against the Client. IX. EMPLOYMENT PRACTICES Upon termination or expiration of this Agreement for any reason,or should Client fail to A. Client agrees it is responsible for compliance with all applicable federal,state and pay SPLI for its services when due,all Leased Employees shall be deemed to have been local employment-related laws including,but not limited to,all laws administered by the immediately laid off by SPU and immediate notification of this shall be provided by Client U.S.Equal Employment Opportunity Commission,Title VII of the Civil Rights Act of 1964, to Leased Employees who have been leased/assigned pursuant to this Agreement as amended,the Americans with Disabilities Act,as amended("ADA"),the Family and Client will immediately assume all federal,state and local obligations of an employer to Medical Leave Act (FMLA), the Equal Pay Act ("EPA'), the Uniformed Services the employees,which are not in conflict with state or federal law,and will immediately Employment and Reemployment Rights Act("USERRA"),the National Labor Relations assume full responsibility for providing workers' compensation coverage. SPLI will Act, as amended("NLRA"), the Fair Labor Standards Act("FLSA'),the Occupational immediately be released from such obligations as permitted by law. If for any reason Safety and Health Act ("OSHA'), all environmental protection laws, the Worker (whether or not required by applicable law) SPLI makes any payment to any of the Adjustment and Retraining Notification Act("WARN"),Health Care Reform(as hereafter employees after this Agreement has been terminated or after it has expired,SPLI will be defined)and all local,federal,and state discrimination laws,including,but not limited to, entitled to full reimbursement from Client for such expenditures. those related to child labor laws,discrimination based on race,sex,disability,color,age, genetic information, national origin, religion, and union status, as well as those laws B. SPLI may also immediately and retroactively terminate this Agreement if,at any time, governing harassment of any nature, sexual harassment, and/or discrimination. In SPLI in its sole discretion determines that a material adverse change has occurred in the addition,Client agrees to comply with applicable law in returning Leased Employees to financial condition of Client or that Client is unable to pay its debts as they become due work upon completion of any approved leave, including FMLA leave, and make in the ordinary course of business. SPLI may also immediately and retroactively reasonable accommodations under applicable disability laws. terminate this agreement in the event of any federal,state,or local legislation,regulatory action,or judicial decision which,in the sole discretion of SPLI,adversely affects its B. With respect to the premises accommodation provisions of the ADA,Client agrees interest under this Agreement In addition,this Agreement may be immediately and that such responsibilities are solely the responsibility of Client,and Client agrees,without retroactively terminated by SPLI where SPLI in its sole discretion determines the workers' regard to the fault or negligence of any party,to indemnify,hold harmless,protect and compensation risk is unacceptable.Any termination or expiration shall not relieve Client defend all SPLI indemnified Parties from any and all claims and liabilities as a result of of any obligations set forth herein,including but not limited to its payment obligations to Client's failure to abide by same. SPLI. C. SPLI and Client are each individually responsible for determining whether such Party C. Clients failure to report payroll to SPLI for one or more payroll periods shall result in is a"covered entity"pursuant to HIPAA. if SPLI or Client determines that it is a"covered retroactive termination of this Agreement and cancellation of workers' compensation entity°under HIPAA,such Party is responsible for complying with the HIPAA privacy coverage dating back to the last day that payroll was reported except as otherwise rules in respect of Leased Employee's protected health information. If SPLI is provided by law. Client must notify employees of the retroactive termination of this determined to be a`covered entity pursuant to HIPAA or is required to sign or obtain a contract immediately. business associate agreement with Client,Client agrees to cooperate in complying with same. XIT, HFAI TH CIA F RFFORM A. Any and all penalties and liabilities assessed or incurred by any SPLI Indemnified X INDEMNIFICATIONS Party as a result of a violation of the provisions of the Patient Protection and Affordable A. Without regard to the fault or negligence of any party,Client hereby unconditionally Care Act of 2010,the Health Care and Education Reconciliation Act of 2010,as well as indemnifies,holds harmless,protects and defends and unconditionally releases,acquits, any guidance and regulation issued thereunder(such laws,guidance and regulations are remises, waives and forever discharges, and to the fullest extent allowed by law collectively referred to as"Health Care Reform')with respect In the I e.aswi Fmpinyapc covenants not to sue SPLI,and all subsidiary,affiliate,related,and parent companies, are the sole responsibility of Client, except as is set forth in Section XIi, B. their current and former respective shareholders,attorneys,officers,directors,agents Notwithstanding arid ill addition to any other indemnification provision contained in this and representatives(all indemnified parties referred to as"SPU indemnified Parties') Agreement, without regard to the fault or negligence of any party, Client hereby from and against any and at claims,demands,damages(including liquidated,punitive unconditionally indemnifies,holds harmless,protects and defends all SPLI Indemnified and compensatory),injuries,deaths,actions and causes of actions,costs and expenses Parties and unconditionally releases,acquits,remises,waives and forever discharges (including attorney's fees and expenses at all levels of proceedings),iesses end liabilities (and to the fullest extent allowed by law rovenantc not to alp)all cPl i lnriemnifivd of whatever nature(including liability to third parties),and all other consequences of any Parties from and against any and all penalties and liabilities assessed against any SPLI sort,whether known or unknown,without limit and without regard to the cause or causes indemnified Party,incurred by any SPLI Indemnified Party,or due as a result of an actual thereof or the negligence(whether active or passive)of SPLI or any SPLi Indemnified or alleged Health Care Reform violation,including,but not limited to,any penalty and/or Party that may be asserted or brought against any SPLI Indemnified Party which is in any liability resulting from a violation of the nondiscrimination requirements and/or the way related to this Agreement,the products or services provided by Client or by SPLI, employer mandate requirements regarding the provision of affordable minimum essential the actions of any Leased Employee,the actions of any employee of Client,or of any coverage related to Client's Leased and non-Leased Employees and their dependents. other individual,any act by or against any individual who is acting outside the capacity of Furthermore,in the event that penalties are assessed or liabilities are incurred by any an employee or Leased Employee at the time the matter arises, including without SPLI Indemnified Party in any situation where:(i)any SPLI Indemnified Party acts(or limitation, any violation of any local, state and/or federal law, regulation, ordinance, does not act)with respect to Leased Employees in the absence of any written directions directive or rule whatsoever,and all employment-related matters which shall include but from Client;(ii)as a result of incorrect information provided to SPLI by Client;or(iii)the not be limited to all matters arising under local,state and/or federal right-to-know laws, failure of Client to provide required information, which in turn was included or not environmental laws, immigration laws (including 1-9 obligations), all laws within the included on reports or returns provided and/or generated by SPLI, including, but not jurisdiction of the NLRB,OSHA,U.S.Department of Labor,and EEOC,including Title VII limited to Form W-2,Client agrees to indemnify,hold harmless,protect and defend all of the Evil Rights Act of 1964,as amended,the ADA(including without imitation those SPLI Indemnified Parties. The provisions of this Paragraph shall not apply in the event aspects relating to employment,public access and public accommodation),the WARN that any penalty imposed by Health Care Reform is assessed against any SPLI Act,ERISA,all laws governing wages and hours(including without imitation:prevailing Indemnified Party as a direct result of SPLI's actions(or inactions)that are contrary to the wage rate;exempt and non-exempt status;child labor;family and medical leave;and lawful and timely written directions received by SPU from Client regarding Health Care minimum wug and t,ultcu),all lamb guveUiing id.e,t4.,itets;.:.itlelrt ui any Ru utiii. nature, sexual harassment, retaliation, religion, national origin, color, age, genetic information,veteran status,disability,union status,marital status,and all other types of B. In the event Client offers its own health benefits to Leased Employees,Client shall, discrimination prohibited by applicable law,all laws governing disclosed and undisclosed with or without the assistance of SPLI,be the sole plan sponsor and administrator of benefit plans,and all other labor laws. such plan(s). In any case, Client understands and agrees that Client is solely ieeeursIble rut e.,leblfsitiirg and monitoring: (i) use pian under Clients own tax Page 5 of 7 Revision 0212812014 identification number; (ii) employee notices, Form 5500, plan updates, plan testing, proceedings. The Parties agree that this provision shall survive the termination or HIPAA compliance, COBRA compliance, compliance with Health Care Reform and expiration of this Agreement ERISA responsibilities;and(iii)the correct identification and representation of the plan in any correspondence, communication, or statement issued by Client or by any J. With respect to any dispute concerning the meaning of this Agreement, this representative of Client Client may,in SPLI's sole discretion,be allowed by SPU to Agreement shall be interpreted as a whole with reference to its relevant provisions and in adopt SPLI's multiple employer Section 125 plan in order to allow the Leased Employees' accordance with its fair meaning,and no part of this Agreement shall be construed contributions,if any,to be deducted on a pre-tax basis,as allowed by applicable law. If against SPU on the basis that SPLI drafted it This Agreement shall be viewed as if Client requests assistance from SPLI with the administration of such plan(s),then SPLI, prepared jointly by SPLI and Client with written direction from Client, shall assist with plan administration, including bill reconciliation and claims processing. Client shall execute those additional agreements K. Client acknowledges and agrees that SPLI is not an insurance company or insurance necessary or required by SPLI to provide such assistance. In addition to the foregoing, carder,and is not offering to sell insurance.As a result,no insurable risk is transferred to Client is solely responsible for any premium payments due under its own health benefits SPU as a result of the Parties entering into this Agreement plan and any COBRA continuation coverage plan. L. Any and all inventions,discoveries,improvements,copyrightable works and creations XIII. GENERAL PROVISIONS (hereafter referred to as"intellectual Property")which Client has previously,solely or A. This Agreement shall be governed by the laws of Florida and both Parties agree that jointly,conceived or made or may conceive or make during the period of this Agreement, the exclusive venue for any disputes arising from or in any way related to this Agreement whether or not accomplished through the use of Leased Employees,shall be the sole shall be in the federal or state courts located in Hillsborough County,Florida and both and exclusive property of Client Client shall have sole and exclusive responsibility for Parties consent to personal jurisdiction over by such courts. protecting its rights to such Intellectual Property and to all of its other assets and SPLI shall have no responsibility with regard to same. B. Client cannot assign this Agreement without the written consent of SPLI. Its M. Client acknowledges and agrees that it has not been induced to enter into this expressly understood and agreed between the Parties that this Agreement may be Agreement by any representation or warranty not set forth in this Agreement including assigned by SPU at its sole discretion. but not limited to any statement made by any marketing agent of SPLI. Client C. Should any term,condition or provision of this Agreement be held to be invalid or acknowledges and agrees that SPLI has made no representation concerning whether unenforceable by a court of competent jurisdiction, the remaining tem>s, conditions, SPLI's services will improve the performance of Clients business. Client acknowledges and/or provisions of this Agreement shall remain in force and shall stand as if the and agrees that any decisions made relative to cancellation or termination of any unenforceable part did not exist. insurance policies in effect prior to the Effective Date of this Agreement are the sole responsibility of Client D. Whenever notices are required to be sent to either party,the notices shall be sent to N. Client acknowledges and agrees that SPLI shall not be liable for any Client loss of the following addresses: business,goodwill,profits,or other damages. South East Personnel Leasing,Inc. O. Client specifically authorizes SPLI to conduct a credit and background reference 2739 U.S.Hwy.19 North check on Client and such officers of Client as SPU deems appropriate in compliance with Holiday,FL 34,691 the requirements of law. Attn:Legal Department Client.Florida IB&S,LLC P. This Agreement constitutes the entire agreement between the parties with regard to this subject matter and no other agreement,statement,promise or practice between the E. The failure of any Party to enforce at any time the provisions of this Agreement shall parties relating to the subject matter shall be binding on the parties. This Agreement may be not be construed as a waiver of any provision or of the right of such party thereafter to changed only by a written amendment signed by both parties,with the exception of enforce each and every provision of this Agreement any change to this Agreement sent by SPLI to Client in writing,in a manner in which proof of delivery can be established and which shall be deemed to have amended this F. The headings of this Agreement are inserted solely for the convenience of reference. Agreement arid hove bear au rptal by Client if not objected CO in writing by Client They shall in no way define,limit,extend or aid in the construction,extent or intent of this Notice of such objection must he rere vtpl by SPLI within fourteen(14)days of Clients Agreement. receipt of SPLI's notification of change(proof of SPLI's receipt of objection must be supplied by Client upon request of SPLI). G. The Parties acknowledge and agree that this Agreement creates no rights for or in favor of any person or third party not a party to this Agreement,and that no such person Q. The failure by either party at any time to require strict performance by the other party I e Mace wry ilia,iLe f lei oil or to claim a breach of any f ivvisivu of 0 pis Ayr/xuart will nut be cunsu ued as a waiver of any subsequent breach nor affect the effectiveness of this Agreement,or any part H. Client acknowledges and agrees that it is solely responsible for obtaining thereof,or prejudice either party as regards to any subsequent action. independent legal advice regarding this Agreement,the relationship created hereby,as well as the related tax and employment law and other ramifications of transacting R Any false statement or omission with regard to any information supplied by Client to business with an employee leasing company. Client acknowledges and agrees that SPLI SPLI in anticipation of Client's contracting with SPLI or at any other time shall be deemed is not engaged in the practice of law or the provision of legal,financial,tax,or investment a material breath of this Agreement and SPLI, at its option, may terminate this advice or services,and that Client alone is completely and independently responsible for Agreement and seek appropriate relief. its own legal rights and obligations,regardless of any human resource advice which may S. Client represents that there is no existing employee who is subject to collective be supplied to Client Client at all times retains the right to seek appropriate advice from professionals of its own choosing,including,but not limited to attorneys and accountants bargaining or who is subject to any collective bargaining agreement at any Client and Client is advised and encouraged to supplement any consulting service provided by worksite. This Agreement shall have no effect on any collective bargaining agreement SPLI with advice of its own attorney. between Client and any union which arises during the term of this Agreement Any responsibility and/or liability with regard to any union contract, union representation I. If an employee or a government agency or entity files any type of claim,lawsuit or petition,union drive,unfair labor practice charge,and with regard to any employment charge against SPLI,Client or both,alleging a violation(s)of any law or failure to do contract between Client and any Leased Employee shall be the exclusive responsibility something which was otherwise required by law,Client and SPLI shall each cooperate and/or liability of Client SPLI shall not be a party to any such contract SPLI will have no with the cthere defence of such claim,lawsuit nr nhnrgc. OI'LI wiJ Dliud rill!iiivlo rpcPnnsh`fty nr fiahilily in rnnngrtnn with cr Willing out of any atreh nmplprm nt available to racy u0ra upon request any and all documents that either Party has in is contract,except to prepare checks and to pay arty such Leased Employee who is a party possession which relate to any such claim,lawsuit or charge.However,neither Party to such a contract,in conformity with information provided by Client and in conformity shall have the duty to cooperate with the other if the dispute is between the Parties with this Agreement With respect to any employment contract between Client and any themselves,nor strati this provision preclude the raising of cross claims,counter claims, Leased Employee,and with regard to any union contract Client shall be acting solely on or third party claims halwPPn nliipnt Pnrr aPI I, if the circumctancoc justify ouch its own volition and responsibility with regard to all ac ifs of any such contract, including but not limited to its negotiation, compliance, implementation, renewal, Page 6 of 7 Revision 02/28/2014 enforcement,and termination. The Parties agree that SPLI is not and will not become a paying entity or contributing employer within the meaning of the Multi-Employer Pension Plan Amendment Act and does not and will not have any withdrawal liability under this Act or any comparable law. Under the penalties of perjury,I declare I have read the foregoing document and the facts stated therein are true. I have the authority as a director,officer,and/or owner to bind the applicable party to this agreement. AGREED TO: AGREED TO: , SPLI CLIENT NAME! r;Gy;"&S,LLC Signature Date 3-p' 4/_) 1/ Signature Date Typed/Printed Name Luis Escobar Typed/Printed Name Tide of SPLI representative MGRM 2739 U.S.Highway 19 North,Holiday,FL 34691 Title 3395 Sandpiper Way Address 988 E216-526-71-025-0 Social Security Number Driver's License Number GUARANTY: Guarantor,whose signature appears below,acknowledges that Guarantor is a direct beneficiary of the above-signed Client Leasing Agreement between SPLI and Client and understands that SPLI is unwilling to enter into or continue the Leasing Agreement without this guaranty being signed. The Guarantor is desirous of ensuring the fulfillment of all obligations of Client. Accordingly: A. Guarantor agrees that in the event Client has not fully wniplied with all of its obligations under the Leasing Agreement,including indemnification,Guarantor will,upon demand by SPLI,pay to SPLI all payments not made by Client and will perform all unfulfilled obligations of Client. B. This Guaranty is an absolute and unconditional guarantee of payment and performance. it shall be enforceable against Guarantor without the necessity of:(a)any suit or proceeding on SPLI's part against Client,its successors or assigns;(b)any notice of amendment,modification,supplementation,performance or nonperformance of or under the Leasing Agreement or(c)any other notice or demand to which Guarantor might be entitled,all of which Guarantor hereby expressly waives. Guarantor expressly agrees that the validity of this Guaranty and Guarantor's obligations hereunder shall not be affected or diminished by any inaction of SPLI,under the Leasing Agreement,or by O the release or discharge of Client in any creditors' proceedings,receivership or bankrup ")the limitation or modification of the liability of Client,or any remedy for the enforcement of Client's liability under the Leasing Agreement ' resulting from the a •r of an .ovisicii of Tile 11,U.S.C., ui shy other statute or any court decision;(in)any modification of the Leasing Agreement or(iv)the rejection or disaffirmance of th= •Agr: • ' .•y proceedings. Guarantor. _ E.SCokoo.r PA& )1 x". 3-()t/-1 �f p 1r, ,f Typed/Printed Nome Title Uate Page 7 of 7 Revision 0212812014 SOUTH EAST PERSONNEL LEASING, INC. CLIENT LEASING AGREEMENT Alor STATE ADDENDUM SOUTHEAST FLORIDA PERSONNEL LEASING. ItlC. I. This State Addendum to the South East Personnel Leasing, Inc. t SPLI") Client coverage and the management of workers'compensation claims, claims filings, and Leasing Agreement is applicable to Florida Leased Employees ('Addendum") and related procedures. modifies the Client Leasing Agreement entered into between Florida IB&S,LLC Ili. SPLI shall provide written notice of the relationship between SPLI and Client to ("Client') and SPLI dated Mar 24,14 ("Agreement"). In the event of any conflict Leased Employees. between the Agreement and this Addendum, this Addendum shall control for Florida Leased Employees and all other terms of the Agreement still apply.If,at any time,state IV. Pursuant to Fla.Admin.Code R.61G7-12.001,Client shall permit SPLJ or its assigns law changes establishing requirements different from the terms contained in this to conduct an annual onsite physical examination of the Client to confirm proper workers' Addendum,Client and SPLI agree to apply the terms in affect according to state law. compensation classification of Leased Employees and to aid in the determination of IL In accordance with§468.525,Fla.Stat.,SPLI: payroll amounts paid to Leased Employees. A. Reserves a right of direction and control over Leased Employees. However,the Client retains such sufficient direction and control as is necessary to conduct the Client's V. Client shall be responsible for the day-to-day supervision and control of Leased business, discharge any fiduciary responsibilities, and/or comply with any applicable Employees with respect to products or services offered by Client and SPLI shall have no licensure,regulatory,or statutory requirements; responsibility with regard to Leased Employee's performance of day-to-day job duties. Client expressly absolves SPLI of control over the day-to-day job duties of Leased B. Assumes responsibility for the payment of Leased Employee wages without regard to Employees and over the job site at which,or from which,Leased Employees perform payment by Client 'Wages" does not include any obligation between Client and a their services,This Agreement in no way alters any responsibilities of Client which arise Leased Employee for payments beyond or in addition to the Leased Employee's salary, from§768.096,Fla.Stat,and Client assumes all responsibilities pursuant to§768.096, draw,or regular rate of pay,such as bonuses,commissions.severance pay,deferred Fla.Stet,including,without limitation,responsibility to perform any and all work history, compensation,profit sharing or vacation,sick or other paid time off pay,unless SPLI has reference checks and background checks in respect of the Leased Employees. Upon expressly agreed to assume liability for such payments in the Agreement. becoming known by Client Client shall immediately provide SPLI with written nonce of the assertion of any and all claims, complaints, charges, allegations or incidents of tedious misconduct or workplace safety violations. C. Assumes full responsibility for the payment of payroll taxes and collection of taxes from payroll on I eased Employees; VI. Client understands that,pursuant to Florida law,it may not enter into an employee leasing relationship with SPLI if Client owes a current or prior employee leasing company D. Retains the authority to hire,terminate,discipline and reassign Leased Employees. any money pursuant to any service agreement which existed between that current or Client retains the right to accept or cancel the assignment of any Leased Employees; prior employee leasing company and Client or if Client owes a current or prior insurer any premium for workers' compensation insurance, Client hereby represents and E. Retains a right of direction and control over the management of safety. risk and warrants to SPLI that it has met and paid any and all prior premium obligations in relation hazard control at the work site including responsibility for performing safety inspections of to workers'compensation premiums or other insurance carriers and all fee payments to Client equipment and premises.responsibility for the promulgation and administration of any employee leasing company. employment and safety policies,and responsibility for providing workers'compensation Under penalties of perjury,I declare that I have read the foregoing Addendum and that the facts stated in Section 6 therein are true. AGREED TO: 113&S, GLILNI 1 _ S'-79-/Y Signatu Date Luis bar Typed/Printed Name Itht 3 FtIV! The AGREED TO: SPLI Signature Date Typed/Printed Name The of SPLI representative Page 1 of 1 Revision 02/11/2014 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: LUIS F ESCOBAR Sr State Driver's License Number: State ID Number: State: FL Date of Birth: Social Security Number(last four digits): Email Address: anamile @industrialbuildingllc.com Section 2: CONSTRUCTION INDUSTRY APPLICANT($50 FEE REQUIRED) Officer of a Corporation (Construction) Corporate Title: OTHER Section 3: 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: Florida IB&S.LLC FFIN• 46-4562848 IF YOU NEED TO APPLY FOR A FEIN,CLICK HERE Business Name (DBA): Florida IB&S,LLC Phone: (239)860-1150 Applicant's Address of Record: 3395 SANDPIPER WAY City naples State: FL Zip 34109 County: Collier Click ui1 tilt arrow(s) 1-16)1/41. to II e tent bux(s) lu view d list uI dvdildble Scope ulasSl1Icatlonsitrades for the form type chosen to 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: 05445 Scope 2: Scope 3: Scope 4: Waflboard,Sheetrock,Dr ywall,Plasterboard, 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. Li 4000007213 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 llrrilted liability company listed on this application. i he 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. No DBPR License Listed This section is not applicable to my business Section 6: If you have submitted an electronic payment for this application,the transaction confirmation number is listed in the following space: Confirmation Number: 197077833 Application Number: E00219262 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 shareholder owning at least ten percent(10%)of stock of the corporation listed on this application. Section 9: I 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 Statrrtag First Name: LUIS Last Name: ESCOBAR Nut6. I ids 30 days to review your application to determine IT 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. N C N Z .. O O t V-- 1- C7 � ,. Uuj c` <9 . a� a 1' 4 1.t W v. cn h1 J i(N U.< ZI'd = N m 0 w W 0.:W S.�` Z a J J 0:1 CD< Q..w ;,y�k� 5e cO O < OF- >- 0 \` u.ce z tpq LL Q o \'' W C Z z J LL ��} O Z o U) 2 DU O vij - d = 0 m ct) Z us _j E. c") CO J U.O (n m E° LJL. U 0 E V 0�0 m Q �J $ o U H R. ap C1- g Z oco� FW H LL W co w— � .¢ce . y ><'8 >— °' I. 0 2 < - - Cl) W f- c.,) -,j d O % 1 m03, a te. r' _ I'•. row. ZZ�' �; 4,a' ALL 14.1;: .,a .1- $ $ (0 — .6. +F J J CO O J j '',�.,tiu,n may N U o m in ,:, li Cf v) ro o W Q L (-, - a H- 0 O < Z Z o —' o = 0 p 0 0 0 •S o f P o _1 ° w o o W Q N J " -a) N n-' Q- ,- (A Q O co y-c, Z 0 co h e- cc 0 N '8 _, Q O o 0 0 0 o r- CO W W ,1 t ..... in g Z o Z Z ro n °) O O c•1 O O co € E d U U- Q Q N X Z , J O p U o n m P d W F W <n o o U Z Z Z 2 . CO - O`,0 1 1 1 t,,,-...:* , 4 ;., ti ' Va 2 ICI Ga e-r County Growth Management Division Planning & Regulation February 24, 2014 Escobar, Luis fernando 3395 Sandpiper Way Naples, FL 34109 Re: Citation No. 8587 This notice is to inform you that you have been found in violation, and are required to pay fine within 10 days of receipt of this letter. Our records indicate that we have not received payment for the citation you were issued on 02/07/14, in the amount of$1,000.00. in the event a first uncontested violation is the result of the violator engaging in the business or acting in the capacity of a contractor of advertising himself or herself or a business organization as available to engage in the business or act in the capacity of cer lira r without being duly registered or certified, the penalty shall be abated from$1,000.00 $300.00 if t violator submits a completed application in accordance with Section 2.1 and 2.2 of th e within forty-five (45) days of the date of issuance of the Citation for the violation Failing to pay the fine with which you were cited may result in one or all of the following: Collection of amounts due under this citation are governed by Florida Statutes Section 489.127 and Collier County Ordinance 90-105, as amender( Failure to pay this citation granta the power to Collier County to take certain collection actions. These actions include, but are not limited to: • Reporting of the delinquency to credit reporting agencies. • Referral of the matter to a collection agency. • Additional fines imposed by the Contractor's Licensing Roard. • Filing a lien on all of your personal and real property with the Clerk of Courts, which lien shall remain in place until paid and satisfied. • Foreclosure of tho_lien_to-.take_possession and sale of the property subject to lien in order to __sattst e outstanding obligation. You can prevent these actions by mailing or delivering your check, cash, or money order within ten (10) days of the date of this letter to: County Contractor Licensing 2800 North Horseshoe Drive Naples, Florida 34104 MAKE ALL CHECKS PAYABLE TO BOCC_ CHECKS MADE PAYABLE TO OTHER AGENCIES CANNOT BE ACCT IE If you have already mailed your payment, you can_asfegard this reminder, though we strongly rccnmm9nrl you call to confirm thot your payment, j: ived. If you Itave airy t uestlons1eg rdlrtg your citation, please contact us at(239) ? 2, _ 1 T nk you, 1 Michael sow rio 777 Licensing Supervisor rn s COLLIER COUNTY GROWTH MANAGEMENT DIVISION CITATION Pursuant to section 489.127.(3)(a).Florida Statutes,the undersigned hereby certifies that upon personal investigation,he/she has reasonable and probable grounds to believe that the person whose name appears below as issued to,did violate subsection 489.127.(1),Florida Statutes,and the Collier County Contractor's Licensing Ordinance No.2006-46(as may be amended)by committing the violation stated below. l ' Month ^'� • Day Year( Time✓ AM/PM • Issued To lC : Address 401 ; llr, / ' City i'%-;`,1.);' State < Zip fi . • Tel phone No I.D. Date of Birth Race Sex Height %:.,. if 7'✓ Vehicle Make/Type(if applicable) Year Color 1 Tag No. Location of Violation /mil j .,. OPTIONS I have been informed of the violation for which I have been charged and elect the following option(Check one) I) ❑ I choose to pay the penalty of$ • . 2) ❑ I choose not to pay the penalty,and will request in writing by certifiFd rpail or hand delivery an Administrative Hearing before the Contractor's Licensing$oard. Description of Violation f'i;�;�� ;7( i Date Violation Observed i w 1''i a) ❑ Falsely hold self or busines's'organization out as a licensee,certificate holder or registrant; b) ❑ Falsely impersonate a certificate holder or registrant; c) ❑ Present as his/her own the certificate or registration of another; d) U Knowingly give false or forged evidence to the Board or a member thereof; e) ❑ Use or attempt to use a certificate or registration which has been suspended or tf),Urevoked; Engage in the business or act in the capacity of a contractor or advertise self or business organization as available to engage in the business or act in the capacity of a contractor without being duly registered or certified; g) U Operate a business organization engaged in contracting after(60)days; h) ❑ Commence or perform work for which a building permit is required pursuant to an adopted state minimum building code or without such permit being in effect; i) U Willfully or deliberately disregard or violate any Collier County ordinance relating to uncertified or unregistered contractors. A person or business organization operating on an inactive or suspended certificate, ut lcgisualiuit,ai operating beyond the scope of work or geographical scope 01 the. registratiot..,is not duly certified or registered. { SIGNATURE(RECIPIENT) SIGNATURE(INVESTIGATOR) • PRINT(RECIPIENTS NAME) PRINT(INVESTIGATOR'S NAME) Pursuant to 489.127, Florida Statutes, willful refusal to sign and accept this citation constitutes a misdemeanor of the second degree, punishable as provided in section 775.082 or 775.083 Florida Statutes. (SEE REVERSE FOR INSTRUCTIONS) View Master Project View All Activities on this Case Add new person or business to Address Book Case Information A , ; New Case (current project) ll New Case (no project) 1 ri Case Number ,CEUL20140002629 Status Closed ,.1 Case Type Unlicensed 1, Date &Time Entered I 02/07/2014 08:27 AM L—i I T-1 ,-----, I , Priority Nermal Entered By Ian Jackson i---i Inspector Ian Jackson ,'WI Department Contractors Licensing LI F-.7. Jurisdiction Contractor's Licensing ,, , . 7-- Property Valuation j_50.00 -i----, Origin Field Observation LI.J Detailed Citation 6587 to Luis Fernando Es.cebar, unlicensed drywall advertisement Description Location advertisement ., Comments I Show More Fields 11 Hide or Clear FieldS-1 Alleged Violation Date/Time 102/06/2014 12:001 AM - Complaint Date/Time !02/07/2014 08:27 AM i-- -P-1 Case Disposition Unpaid l'i SpecialistInyestigation Not Required i I . i____: Property Zone i Site Development l' Contractor Licensing Attributes A State Certified? _ State Registered? Issuance Number 1 Status Tracking I Entered By Notes Lyle, i Date Enterer , 1---,- ' New! ..■.o : 01'07.'2014 Ian Jackson t Preliminary Review , 02/07/2014 ,Ian Jackson citation - : 02/07/2014 Ian Jackson l Clo,,J : 03/31/2014 iJudini iSieeribei y 1 i Show More Fields i I Hide or Clear Fields-1 ti eir teirt4.-ivrty Growth Management Division Planning & Regulation Operations Department Licensing Section April 1, 2014 Luis Escobar Florida IB & S 3395 Sandpiper Way Naples, FL 34109 RE: Review of Credit Report Dear Mr. Escobar, You have been added to the agenda for the Contractor Licensing Board meeting on Wednesday, May 21, 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 3rd floor. If you have any questions or concerns, please call (239) 252-2431. Sincerely, Silvan tha Roe Lit'Orner Service Specialist Licensing/Operations 2800 North Horseshoe Drive Naples, FL 34104 Growth IV:agement Divihor Pler n.ne,a Reguiatton"2800 North Horseshoe Drive'Napies FlorIda 34104*239-252-2400'VVV/W coiliergov net Findings of Fact, Conclusions of Law and Decision of the Board Collier County Contractors' Licensing Board For Applications Submitted to the Board for Review Type of Application: X Credit Report Review Waiver of Testing Requirements Reinstatement of License Request to Qualify Second Entity Other (specify) THIS CAUSE came on for public hearing before the Contractors' Licensing Board (hereafter Board) on February 19, 2014, for a six month review of the Applicant's credit report as set forth in a previous Order of the Board. 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 Jimmy M. Dean d/b/a J.D. Design Construction, Inc. (the "Applicant") had submitted an application to the Collier County Contractor Licensing Supervisor or his designee for a Certificate of Competency as a Cabinet Installation Contractor and based on the credit reports supplied by the Applicant the Licensing Superviser determined a review of the credit by the Board was necessary. 2. That pursuant to Section 22-184(b) of the Code of Laws and Ordinances of Collier County, Florida, 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. Page 1 of 3 322558.1 3/7/2014 3. That the Board has jurisdiction over this matter and that Jimmy M. Dean was present at the public hearing on February 19, 2014, and was not represented by counsel. 4. All notices required by the Code of Laws and Ordinances of Collier County, Florida, have been properly issued. 5. The facts in this case are found to be: a. Applicant has adequately demonstrated through testimony and evidence presented at this hearing that his licensure will not result in risk of economic loss resulting from the Applicant's ability to pay lawful contractual obligations. b. Credit report has improved however it is appropriate for the Applicant to remain on probation for another six months. CONCLUSIONS OF LAW 1. Based upon the foregoing facts, the Board concludes that the applicant has met the standard set out in Section 22-184 of the Code of Laws and Ordinances of Collier County, Florida. ORDER OF THE BOARD 1. Based upon the foregoing Findings of Fact and Conclusions of Law, and pursuant to the authority granted in Chapter 489, Florida Statutes, and the Code of Laws and Ordinances of Collier County, Florida, by a vote of 6in favor and 0 opposed, a unanimous vote of the Board present, the Applicant shall remain on probation for a period of six (6) months and shall appear before the Board for a credit review in six (6) Page 2 of 3 322558.1 3/7/2014 months and in particular shall demonstrate improvement relative to the following accounts: • Capital One in the amount of 9,947 • Midland Funding in the amount of$2,481 • Midland Funding in the amount of $1,267 • Suncoast Judgment ORDERED by the Contractors Licensing Board effective the 19th day of February, 2014. e►TRACTOR'S LICENSING BOARD Co , R CO NTY, FLORIDA By: Patrick White, Chairman I HEREBY CERTIFY that a true and correct copy of the above and foregoing Findings of Fact, Conclusions of Law, and Order of the Board has been furnished the Applicant, and Mr. Michael Ossorio, Licensing Compliance Supervisor, 2800 North Horseshoe Drive, Naples, FL 34103 on this ` ? 4h day of br y 2014. /77) Secreta' "•ntractor's Licensing Board Page 3 of 3 322558.1 3!7/2014 J.D . DESIGN CONSTRUCTION INC. LIC. # LCC201300002248 Cell Phone:239-595-8769 Telephone:239-304-9466 Fax:239-304-9466 2036 503"Terrace S.W. Naples, FL. 34116 February 5,2014 To: Collier County Licensing Board This is to inform you that I have taken care of things that have not been removed from my credit report that I have provided. At this time I have taken care of the ones listed below. 1) Amerassist in the amount of$310.00 was paid. 2) Capital One in the amount of$973.00 was paid. 3) Design Rec. in the amount of$158.00 was paid, but not removed off of the report yet. 4) Enhancrcvrco in the amount of$981.00 was paid but not removed off of the report yet. 5) FFCC Cleveland in the amount of$160.00 was paid. 6) FST Premier in the amount of$375.00,this one I could not find they couldn't locate it in the system. Still looking it to this one. 7) FST Premier in the amount of$714.00 was paid but not removed off of the report yet. 8) Gulf CST Col in the amount of$150.00 was paid.__. 9) Jeffcapsys in the amount of$767.00 was paid but not removed off of the report yet. 10) Wed Bus Bur in the amount of$118.00 was paid but;not removed off of the report yet. 11) Midland Fund in the amount of$2,481:00-we-are-working on a settlement for this one. 12) Midland Fund in the amount of 51,267.00 we are working on a settlement for this one 13) Midland Fund in the amount of$1,043.00 was paid. The case of Capital One for the amount of$9,947.00 we are negotiating with them. The statues of the judgment for Suncoast Credit we are working out a payment plan.The statues of the judgment for SLM Financial we are working out a pay off amount. Ttw(only rNann they where not done sooner is that my new born eon was in and out of the hospital with breathing issues this set me back on the time line and financially for I'm a self pay. Thank You! .1 t7 pa_.5l1n C onstrtaction Inc. 2036 50th Terrace 5.1^1. Naples, Morida X4l lb Office: (239)353-4121 Fax: (239)353-9044 Cell: (239)595-8769 President: Jimmy.Dean Page 1 of 1 CREDIT CHECK CONFIDENTIAL Individual Credit Report Name DEAN, JIMMY M. Ordered By: Address : 2036 50TH TERRACE SW Customer : 9999 Received : 02/05/14 NAPLES, FL 34116 Completed : 02/05/14 Social # : Applicant: 1631 Bill Amt : $50. 00 CREDIT RECORD (Credit history has been checked for a period of seven years or from open date. ) Creditor. Date Date High Unpaid Past Pay Historic Stet Current :,cs Account Number Reported Opened Credit Balance Due Terms 30 60 90 Status Rev ECOA 5TH 3RD BK SETTLED 85648 07/09 01/04 27468 CLOSED 0 0 0605 02 I1-* 27 A DLA=07/09 BK OF AMER AS AGREED 71397983 06/06 05/05 218400 CLOSED 0 0 0000 00 M1 12 A DLA=06/06 CAPITAL 1 FA COLLECTION VIMMOMIONNOMMIL 12/13 08/05 34531 9947 9947 674 -- -- -- 19-* 10 A DLA=09/09 CITIRL PD WAS 120 03/09 05/06 340000 0 0 0 07 06 07 M5-* 23 C DLA=06/08 CREDITACPT AS AGREED NOMIMMOOMML 01/14 08/12 18067 14980 0 513 0000 00 I1 16 C DLA=12/13 DESGN REC COLLECTION IONIMMINIIMOMMI 01/14 06/12 157 158 158 COLL -- -- -- 09-* 01 A ORIGINAL CREDITOR: MEDICAL ENHANCRCVRCO L ULLE( TION n /1 1 n4/11 981 981 981 COLL 09 * 00 A ORICIi CREDITOR: SPRINT FREMONT INV AS AGREED 06/04 12/03 136000 CLOSED 0 0 0000 00 M1 06 P DLA=04/04 FST PREMIER COLLECTION 03/13 12/12 375 375 375 11 -- -- -- R9-* 00 A DLA=03/13 Ordered by: APPLICANT - SEE NAME ABOVE Reporting Agency: Credit Check, Inc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409 . (561) 616-5556 CREDIT CHECKTM CONFIDENTIAL Name - DEAN, JIMMY M. Customer: 9999 Page: 2 CREDIT RECORD (Credit history has been checked for a period of seven years or from open date . ) Creditor Date Date High. Unpaid Past Pay Historic Stet Current Mos Account Number Reported Opened Credit Balance Due Terms 30 60 90 Status Rev ECOA ' FST PREMIER COLLECTION 12/10 06/09 714 714 714 21 -- -- -- R9-* 01 A LA=07/09 GULF CST COL PD COLLECT 01/14 10/07 150 0 0 0 -- -- -- 09-* 07 A O IGIN L CREDITOR: MEDICAL HOMEWARDRES ' PD WAS 30 _ 03/13 05/06 540000 0 0 0 1802 06 42-* 39 C DLA=02/13 HSBC BANK AS AGREED 09/05 01/04 530 PAID 0 REV 0000 00 R1 20 A A-09/05 JEFFCAPSYS COLLECTION VONMINMOMMIO 01/14 06/11 767 767 767 COLL -- -- -- 09-* 03 A ORIGINAL CREDITOR: WACHOVIA BNK CHK ACCT LITTON LOAN AS AGREED 05/05 12/03 34000 CLOSED 0 0 0000 00 M1 09 P A=05 MED BUSI BUR COLLECTION 01/14 11/07 118 118 118 COLL -- -- -- 09-* 07 A ORIGINAL CREDITOR: MEDICAL MIDLAND FUND rnr,r.F,rmTnm VIIMMOMOINIIII 01/14 09/10 1267 1267 1267 COLL -- -- -- 09-* 04 A ORIGINAL CREDITOR: VERIZON WIRELESS MI FUND COLLECTION 12/13 10 /11 2481 2481 2181 MOLL -_ -- -_ 09-* 02 A ORI DITOR: T MOBILE OCWEN LOAN CUR WAS 30 gIIIMRIIIIIIIMMMr 12/13 05/06 340000 232994 0 1076 0400 00 M1-* 08 C DLA=12/13 ONYX ACCEP AS AGREED 10/05 08/05 34531 CLOSED 0 0 0000 00 I1 01 A DLA_=09/05 Ordered by: APPLICANT - SEE NAME ABOVE Reporting Agency: Credit Check, Inc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409 . (561) 616-5556 sM CREDIT CHECK CONFIDENTIAL Name - DEAN, JIMMY M. Customer: 9999 Page: 3 CREDIT RECORD (Credit history has been checked for a period of seven years or from open date . ) Creditor Date Date High Unpaid Past Pay Historic Stet Current 14os Account Number Reported Opened Credit Balance 0_,. Terms 00 60 90 Status Rev ECOA SEARS/CBNA PD COLLECT 02/08 04/06 8238 PAID 0 REV -- -- -- R9-* 02 A DLA=02/08 SLM FINC CO COLLECTION 01/14 04/03 19010 8290 8290 310 -- -- -- 19-* 12 A DLA=02/08 SUNCOAST CU AS AGREED IMINMIMIIIIINW 08/05 09/04 27756 CLOSED 0 0 0000 00 I1 11 A DLA=08/05 TOYOTA MTR AS AGREED •L io 01/07 02/06 28724 CLOSED 0 0 0000 00 I1 01 S TOYOTA MTR AS AGREED A= 03/06 07/05 24680 CLOSED 0 0 0000 00 I1 07 S 03 06 WILSHIRE CRD AS AGREED 05/05 12/03 136000 CLOSED 0 0 0000 00 M1 08 C A=05/05 Total trade lines on this report: 26 PUBLIC RECORDS: PUBLIC RECORDS HAVE BEEN CHECKED AT THE COUNTY, STATE AND FEDERAL LEVELS WITH THE r'ULLUWI!NC, KESUL's'S A ur 02/05/14 : SEE BELOW. --- TRANSUNION PUBLIC RECORD --- SOURCE DATE LIAB ECOA UOCKE'1'# TYPE COURT LOC PLAINTIFF/ATTORNEY 03064186 11/09/07 $1:5, 426 I 122L,ULA CIVIL JUDGMENT COLLIER COUNTY COURT SUNCOAST SCHOnT,S FEDIER Z 05064207 02/03/09 $8, 290 I 8CC006249 CIVIL JUDGMENT LEE COUNTY COURT SLM FINANCIAL CORPORATON SOURCE (S) : EQUIFAX TRANSUNION INQUIRIES: 02/05/14 by CREDIT CHECK (TU) #00630273 Ordered by: APPLICANT - SEE NAME ABOVE Reporting Agency: Credit Check, inc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409 . (561) 616-5556 SM CREDIT CHECK CONFIDENTIAL Name - DEAN, JIMMY M. Customer: 9999 Page: 4 INQUIRIES: 11/11/13 by EXETER FIN (TU) #03204338 COMMENTS: FRAUD RECORDS HAVE BEEN SYSTEMATICALLY CHECKED BY THE ABOVE ACCESSED BUREAUS. SAFESCAN/EQUIFAX, HAWK ALERT/TRANSUNION CHECKED FOR FRAUD. REPORT WORKED BY RENEE CREDIT SCORE: APPLICANT FICO SCORE : 541 (scores range from 300 to 850) *** END OF REPORT *** This information is confidential and is not to be divulged except as required by the Fair Credit Reporting Act This personal report is furnished simply as an aid in determining the credit desirability of the applicant(s). It is based upon information obtained in good faith by this agency from sources deemed reliable. The accuracy of same,however,is in no way guaranteed. By your acceptance and use of this report,you specifically agree to hold Credit Check,Inc.harmless from any liability whatsoever. Ordered by: APPLICANT - SEE NAME ABOVE Reporting Agency: Credit Check, Inc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409 . (561) 616-5556 ?!n__Ling . ,-.•�gi...i%._ o_. . Licensing Sec.`on January 28, 2014 Jimmy Dean J.D. Design Construction Inc. 2036 50th Ter SW Naples, FL 34116 RE: Review of Credit Report Dear Mr. Dean, You have been added to the agenda for the Contractor Licensing Board meeting on Wednesday, February 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 Sincerely, Consue a Thomas Administrative Supervisor Licensing/Operations .r--=fo'syth ✓a nab= 0 nt Division'Nanning&Regulation'2800 f Jrt`s H o�sethoe Lire'Naples,Florida 3410--239-252.2400*www.fofiiergov net Findings of Fact, Conclusions of Law and Decision of the Board Collier County Contractors' Licensing Board For Applications Submitted to the Board for Review Type of Application: X Credit Report Review Waiver of Testing Requirements Reinstatement of License Request to Qualify Second Entity Other (specify) THIS CAUSE came on for public hearing before the Contractors' Licensing Board (hereafter Board) on August 21, 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 Jimmy M. Dean d/b/a J.D. Design Construction, Inc. (the "Applicant") has submitted an application to the Collier County Contractor Licensing Supervisor or his rtAsignpP fry a Certificate of Cc.)rripetiincy as a Gonoral Contraotor and bascd on the credit reports supplied by the Applicant the Licensing Superviser determined a review of the credit by the Board is necessary. 2. That pursuant to Seutivn 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 314351.1 9/13/2013 3. That the Board has jurisdiction over this matter and that Jimmy M. Dean d/b/a J.D. Design Construction, Inc. and Jimmy M. Dean was present at the public hearing on August 21, 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 adequately demonstrated through testimony and evidence presented at this hearing that his licensure will not result in risk of economic loss resulting from the Applicant's ability to pay lawful contractual ohligatinns, subject to his satisfaction of the terms set out herein. b. Credit report does not meet the standards of Florida Rule 61G4-15.006 for Financial Responsibility. c. It is appropriate for the Applicant to be issued a probationary license and subject to further credit review. CONCLUSIONS OF LAW 1. Based upon the foregoing facts, the Board concludes that the applicant has met the standard set uut Ordiudriue 90-105, as amended, subject to the restrictions and stipulations set Glut I lel elf 1. ORDER OF THE BOARD 1. Based upon the foregoing Findings of Fact and Conclusions of Law, and pursuant to the authority granted in Chapter 489, Florida Statutes, and Collier County Ordinance No. 90-105, as amended, by a vote of 8 in favor and 0 opposed, a 2 314351.1 W13/2013 unanimous vote of the Board present, the Applicant's credit report is approved so that a license may be granted subject to the following conditions: a. Six (6) month probationary license shall be issued; b. Applicant is to provide updated business and personal credit reports to the Contractor Licensing Supervisor six (6) months from the date of the hearing held August 21, 2013 and shall appear before the Board for a review of the credit reports at the next regularly scheduled Board meeting after submitting the reports; c. Applicant is to demonstrate compliance with the application process with the State of Florida Contracting Licensing Board for a GpnAral Contractor's License including financial bonding requirements, if any; d. Applicant is to pay designated outstanding credit accounts reflected on the credit report submitted to the Board within six (6) months as follows: i. Amerassist in the amount of$310; ii. Capital One in the amount of$973; iii. Desgn Rec in the amount of$158; iv. Enhancrevrco in the amount of$981; v. FFCC Cleveland in the amount of$100; vi. Fel Premier in the amount of$375; vii. Fst Premier in the amount of$714; viii. Gulf Cst Col in the amount of$150; ix. Jeffcapsys in the amount of$767; x. Med Bus Bur in the amount of$118; 3 314351.1 9/13/2013 xi. Midland Fund in the amount of$2,481; xii. Midland Fund in the amount of$1,267; xiii. Midland Fund in the amount of$1,043; e. Improvement and reduction in the outstanding balance of the Capital One account in the amount of$9,947; and f. Status and explanatory statements with regard to Suncoast Credit Civil Judgment and SLM Financial Civil Judgment. ORDERED by the Contractors Licensing Board effective the 21st day of August, 2013. CONTRACTOR'S LICENSING BOARD COLLR COUNTY, FLORIDA . lam/(G By: Richard Joslin, Chairman 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, Licensin 9 Compliance p ,risor, 2800 North Horseshoe Drive, Naples, FL 34103 on this /6„ th day of , 2013. /I ---- SecrkaryLGofcactor's Licensing Board 4 314351.1 9/13/2013 • ,, ,_.am CREDIT CONFIDENTIAL . Individual Credit Report Name - DEAN, JIMMY MTC1-7.2.7-1-. Ordered By: Customer : 9999 Address : 2036 50TH TERRACE SW Received : 06/27/13 NAPLES, FL 34116 Coimpleted : 0 6/2 7/1 3 Social 4: Applicant: -1631 3111 Amt. : $60.00 CREDIT RECORD (Credit history has been checked for a Iperiod of seven years or from open date. ) Creditor Date Date Righ Dapaid Past Pay Siszoric Stet Current Yoe Accont N-,=-,en Reported Opened Credit Balance Due Terms 30 60 90 Status Pv CO? 5TH 3RD BK BRTTTED 111101101111111. 07/09 01/04 27468 CLOSED 0 0 0905 02 II-* 34 A DLA07/03 22,'MERASST57 COLLECTTON 110101111■11. 11/10 03/10 300 /.--3-1-15- 310 COLL -- -- -- 09_c 00 A 7 ORIGINAL CREDITOR: TRULY NOLEN 07 AMERICA/INC '■.----// BK OF AMER AS AGREED 06/06 05/05 218400 CLOSED 0 0 0000 00 MI 12 A 1111.111.111* CAP ONE PASTDUE 60 111111111111111111 06/13 01/11 973 9'7----F3 . 34 30 01 00 00 R3-* 28 A DLA--02/13 '`---- / CAPITAL 1F74_ 1 12 ---- COLLECTION IMIIIOIMIIIIIIMNMIIIIIII 05/13 00/05 34531 , 9947 9,147 674 ---- -- .7.9-4z 09 A DLA=09/09 CTTIRL PD WAS 120 111101101111011116 03/09 03/06 340000 0 0 0 1207 07 N5-* 33 C DL21-06/0e ---- --, nploiTA(IpT /, \ i AS ACRDnD IMINNINNIMMOMMIL 05/1_. 08/12 29268 14G72 )0 L'IJ 0uuu 00 11 DIA=U:c/ 13 ...: ----- -------. DESGN REC COLLE,UTiUN 1.1.10111111110111116 06/13 06/12 157 1!! ,158 COLL -- -- -- 09-* 01 A ORIGINAL CREDITOR: MEDICAL , wNHANCRCVRCO -177-77-- COLLECTION 111111111011111M 05/11 04111 981 981 9 1 COIL -- -- -- 0D-* 00 A ORIGINAL CREDITOR: SPRINT Ordered by: APPLICANT - SEE NAME ABOVE Repoitina Agency: Credit Check, inc. -3017 Exchange Court, Suite H, West Palm Basch, FL 33409 _ (561)616-5555 • CONFIDENMAL Name - DEAN, JTmmy MICR . Customer: 9999 Page: 2 CREDIT RECORD (Credit history has been checked for a period of seven years or from open date-) creditor Date Date High 0upaid Past Pay Historic Suet Cuzrent Hes Account Number Reported Opened Czedit Balene Due Tarts 30 50 90 Status Rev ECOR FFCC—CLVLP,-ND ,,, COLLECTION 1111111111111i 05/13 02/11 160 , 12 /160 COLL -- -- -- 09-* 02 A ORIGINAL CREDITOR: m7DTCP:1, FRD MOTOR CR AS AGREED 08/03 07/00 22466 CLOSED 0 0 00 00 00 11 01 A 111.112/110.31111 FREM^■TM T. AS AGREED 06/04 12/03 136000 CLOSED 0 0 0000 00 Mi 06 P DLA=04/04 PSI PREMIER /-------Th COLLECTION 03/13 12/12 375 ( 375 /375 11 -- -- -- R.. ..* 00 A -A=03/13 .-- --\. PET PREMIER • COLLECTION 12/10 06/09 714 714 /714 21 --- -- R9-* 01 A ' ......-7/ GULF CST COL _,---- , COLLECTION Vill1111111111111 06/13 10/07 150 .' 150 150 COLL -- -- -- 09-* 06 A ORIGINAL CREDITOR: MEDICAL H°111.1 PD WAS 30 _ 03/13 05/06 540000 0 0 0 18 02 06 1/2-* 39 C DLA=02/13 HSBC BANK ' AS AGREED 0111.111111Mak 09/05 01/04 330 PAID 0 REV 0000 00 1.11 20 A DLA=09/05 ..--- uLFc.k-Llemz-rj ,- ) COLLECTION n6/1 n6/11 767 // 77 _ 767 C017, -- -- -- 09-* 02 A ORIr7INRT. CP7DTT(71-P7 TAM.,(774m7TA 'RNW rlix AT '--- LITTON LOAN AS AGREED ,) 05/05 12/03 34000 CLOSED 0 0 00 80 00 111 09 P 111111-= 5/Clilijiiiii M7.D BUSI BUR 7 ,\ COLLECTION 1101001111100 06/13 11/07 118 i 118/1118 COLL -- -- -- 09-* 06 A ORTGTNXF. CREDITOR: MEDICAL 1----7 . _. Ordered by: APPLICANT — SEE NAME ABOVE Re,,.)ortng Agency: Credit criecK, inc_-3017 Exchange Court, 3ulte ft West Palm Beach, FL 33408 . (551)515-5550 P -' 3 r AA T CHECK ECv GONFIDENTIAL Name - DEAN, JTMW_EY MICHAEL ClaStOlner: 9999 Page: 3 CREDIT RECORD (Credit history has been checked for a period of seven years or from open date. ) Creditor Date Data Rig' Unpaid Past Pay 31,Istoric Stat Currant MO$ Account Number Reported opened Credit Ralance Due T>,ms 30 60 90 Status Re-7 ECOA MIDLAND FUND ___.------ --,,,, COLLECTION 05/13 10/11 2481 /i.181 ?A8,) COTL -- -- -- 09-* 01 2'' / --' ,... -IN_I, CREDITOR: T MOBILE ; ...- MIDLAND t 71 COLLECTION 05/13 09/10 1267 1267 1267 COLL -- -- -- 09-* 03 A • INAL CREDITOR: VERIZON WIRELESS 1D TDLA /--- N MCM IIIIIIIIIIIIIII 07/10 04/09 765 f 10_422043 COLL -- -- -- 000LLECTION ORIGINAL CREDITOR: HSBC BANT4 NEVADA ONYX1 AS AGREED CLOSED 0 0 0000 00 10/05 08/05 34531 CLO 11 01 A DLA=09/05 SEARS CBNA PD COLLECT 02/08 04/06 8238 PAID 0 REV -- -- -- R9-* 02 A DLA=02/08 SEARS/CBNA PD COLLECT 06/07 09/05 1283 PATD 0 REV -- -- -- R9-* 02 A lij""lilligl SLM FINC CO COLLECTION 06/13 04/03 19010 8290 8290 310 -- -- -- i9--* 12 A -LA:= 2/08 SLM INC T co AS AGREED 02/04 06/00 20105 CLOS;ln 0 0 00 00 00 Il 07 D---="1111.1.1"1111 UNCOA5T CU COLLECTION 111111.1111W Otif-Vi 01 /04 90000 15=12615426 47 -- -- -- DLA—UijO UNCORST CU AS AGREED 06/05 09/04 2775 CLOSED 0 0 0000 00 Ii 11 A DLA=08/05 TOYOTA MTR PD WAS 90 111111111111110111111111111116 01 /07 02/06 28724 CLOSED 0 0 02 01 01 il_* 10 S DLA-01/07 Ord&eci by: APPLICANT - SEE NAME ABOVE Fkeporting Agency: CredIt Checii, Inc.-Z01T .7.xclit-An9 Ggurt, 1./it,,T.H,West Rain 5eadi, FL 354Q9 . c5-51)516-5555 . _ r sm • , -4 - : . EDIT c HE cK CONFIDENTIAL Name - DEAN, JIMMY MICHAEL Custamet: 9999 Page: CREDIT RECORD Credit history has been checked for a Period of seven years or From open date.) dred,:tor nate nate Eig Unpaid Test Pay Historic Stet cz.....--7.e, ar. 55 Y,ccclint Nu,t0der Reported Opened credit Balance One Terns HO 60 90 Statts Rev =OA TOYOTA MTR AS AGREED 03/06 07/05 24680 CLOSED 0 0 00 00 00 Il 07 S WELLSFARGO PD COLLECT 11111111111111t 04/09 05/08 0 PAID 0 0 -- -- -- 09P* 01 C DLA=04/09 WILSHIRE C AS AGREED 05/05 12/03 136000 CLOSED 0 0 00 00 00 MA. 08 C A=09/03 Total trade lines on this report: 34 PUBLIC RECORDS: PUBLIC RECORDS HAVE BEEN CHECKED AT TEE COUNTY, STATE .AND FEDERAL LEVELS WITH THE FOLLOWING RESULTS AS OF 06/27/13: SEE BELOW. --- TRANSUNION PUBLIC RECORD --- SOURCE DATE LIAB ECOA DOCKET4 TYPE COURT LOC PLAINTIFF/ATTORNEY Z 05064186 11/09/07 $15,426 1 73250CA CIVIL JUDGMENT COLLIER COUNTY COURT SUNCOAST SCHOOLS FEDER Z 05064207 02/03/09 $8, 290 I 8CC006249 CIVIL JUDGMENT LEE COUNTY COURT SLM FINANCIAL CORPORATON SOURCE (S) : EQUIFAX TRANSUNION INQUIRIGS: U6/27/13 1..)y CREDIT can= (TO) 400630273 OS/0G/13 by CAD ONE (TO) ti-0269982/1 COMMENTS: FRAUD RECORDS HAVE .6:-:EN SYSTEMATICALLY co.:7;c= BY THE ABUVE AL(:f -J BURETS. gAiTTRC.AN/7.QUT,TAX, HANK ALERT/TRANSUNION CHECKED FOR FRAUD. REPORT WORKED BY RENEE CREDIT SCORE: APPINT TTCO SCORE; 494 (3005CC range from 300 to 850) Ordered by: APPLICANT — SEE NAME ABOVE Reporting Agency: Credit Check, Inc. -3017 Exchange Court, Suite H, West Palm Beach, FL 33409 . (561) 616-5556 . . • sm CREDITCHEcK CONFIDENTIAL Name - DEN r JIMMY MICHAEL Customer: 9999 Page: 5 *** END OF REPORT *** Tra a:—.--5-Ety of 2r , Ls in no vay g.---"a" By y^,---a=z;; wr.,t. e ,:. ---c,y,-.J.s.py...,....-- 0 rd SMCI by: aPPLTCANT - SEE NAME ABOVE Reporting Agency: Credit Check, inc.-3017 Exchange Court,Sue H,We Perm Beach, FL 33409 . (551) 5165555 Findings of Fact, Conclusions of Law and Decision of the Board Collier County Contractors' Licensing Board For Applications Submitted to the Board for Review Type of Application: X Credit Report Review Waiver of Testing Requirements Reinstatement of License Request to Qualify Second Entity Other (specify) THIS CAUSE came on for public hearing before the Contractors' Licensing Board (hereafter Board) on August 21, 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 Jimmy M. Dean d/b/a J.D. Design Construction, Inc. (the "Applicant") has submitted an application to the Collier County Contractor Licensing Supervisor or his designee for a Certificate of Competency as a General Contractor and based on the credit reports supplied by the Applicant the Licensing Superviser determined a review of the credit by the Board is necessary. 2. That pursuant to Section 22-184(b) of the Collier County Contractors' Licensing Ordinance (Ordinance 90-105, as amended) applications which do not appear on their face to be sufficient require referral to the Board for a decision regarding approval or denial of said application. 1 314351.1 9/13/2013 3. That the Board has jurisdiction over this matter and that Jimmy M. Dean d/b/a J.D. Design Construction, Inc. and Jimmy M. Dean was present at the public hearing on August 21, 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 adequately demonstrated through testimony and evidence presented at this hearing that his licensure will not result in risk of economic loss resulting from the Applicant's ability to pay lawful contractual obligations, subject to his satisfaction of the terms set out herein. b. Credit report does not meet the standards of Florida Rule 61G4-15.006 for Financial Responsibility. c. It is appropriate for the Applicant to be issued a probationary license and subject to further credit review. CONCLUSIONS OF LAW 1. Based upon the foregoing facts, the Board concludes that the applicant has met the standard set out in Ordinance 90-105, as amended, subject to the restrictions and stipulations set out herein. ORDER OF THE BOARD 1. Based upon the foregoing Findings of Fact and Conclusions of Law, and pursuant to the authority granted in Chapter 489, Florida Statutes, and Collier County Ordinance No. 90-105, as amended, by a vote of 8 in favor and 0 opposed, a 2 314351.1 3/13/2013 unanimous vote of the Board present, the Applicant's credit report is approved so that a license may be granted subject to the following conditions: a. Six (6) month probationary license shall be issued; b. Applicant is to provide updated business and personal credit reports to the Contractor Licensing Supervisor six (6) months from the date of the hearing held August 21, 2013 and shall appear before the Board for a review of the credit reports at the next regularly scheduled Board meeting after submitting the reports; c. Applicant is to demonstrate compliance with the application process with the State of Florida Contracting Licensing Board for a General Contractor's License including financial bonding requirements, if any; d. Applicant is to pay designated outstanding credit accounts reflected on the credit report submitted to the Board within six (6) months as follows: i. Amerassist in the amount of$310; ii. Capital One in the amount of$973; iii. Desgn Rec in the amount of$158; iv. Enhancrcvrco in the amount of $981; v. FFCC Cleveland in the amount of$160; vi. Fst Premier in the amount of$375; vii. Fst Premier in the amount of$714; viii. Gulf Cst Col in the amount of$150; ix. Jeffcapsys in the amount of$767; x. Med Bus Bur in the amount of$118; 3 314351.1 9/13/2013 xi. Midland Fund in the amount of $2,481; xii. Midland Fund in the amount of $1,267; xiii. Midland Fund in the amount of$1,043; e. Improvement and reduction in the outstanding balance of the Capital One account in the amount of$9,947; and f. Status and explanatory statements with regard to Suncoast Credit Civil Judgment and SLM Financial Civil Judgment. ORDERED by the Contractors Licensing Board effective the 21st day of August, 2013. CONTRACTOR'S LICENSING BOARD COLL R COUNTY, FLORIDA i4/4/(7 7----,X7/i/-,4' ---- By: Richard Josltn, Chairman I HEREBY CERTIFY that a true and correct copy of the above and foregoing Findings of Fact, Conclusions of Law, and Order of the Board has been furnished the Applicant, and Michael Ossorio, Licensin Compliance p isor 2800 North Horseshoe Drive, Naples, FL 34103 on this/2 th day of _ , 2013. Secr= a - • tractor's Licensing Board 4 314351.1 9/13/2013 jimmy M. Dean July 23, 2013 To: Whom ever it concerns This is a letter to let you know why my credit is at the stage it is at. The reason is when everything was going good I had a lot of toys and cars. When the economy went bad it was a choice between my house and my toys, I obviously picked my house for I have 8 kids and they need a roof over there heads. I'm working on cleaning it up, but as we all know it takes time. I really hope that this will not keep me from being able to provide a better life for my family and me. Thank you for you attention to this matter. Thank You, Jimmy M. Dean (IRS USE ONLY) 575A 06-26-2013 JUDE B 9999999999 SS-4 Keep this part for your records. CP 575 A (Rev. 7-2007) Return this part with any correspondence CP 575 A so we may identify your account. Please correct any errors in your name or address. 9999999999 Your Telephone Number Best Time to Call DATE OF THIS NOTICE: 06-26-2013 ( ) _ EMPLOYER IDENTIFICATION NUMBER: 46-3053939 FORM: Se-4 NORM INTERNAL REVENUE SERVICE JD DESIGN CONSTRUCTION INC CINCINNATI OH 45999-0023 % JIMMY DEAN 2036 50TH TERRACE SW fi�!»l,l,fi,ll ul�l,il�ln!!n,{l,e,i,l,ln!l,1,lu! NAPLES, FL 34116 (IRS 0SE ONLY) 575A 06-26-2013 JDDE B 9999999999 SS-4 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. The IRS is committed to helping all taxpayers comply with their tax filing obligations. If you need help completing your returns or meeting your tax obligations, Authorized e-file Providers, such as Reporting Agents (payroll service providers) are available to assist you. Visit the IRS Web site at www.irs.gav 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 JDDE. You will need to provide this information, along with your BIN, if you file your returns electronically. Thank you for your cooperation. $"-, I7�S DEPARTMENT OF THE TREASURY my. JCS INTERNAL REVENUE SERVICE CINCINNATI OH 45999-0023 Date of this notice: 06-26-2013 Employer Identification Number: 46-3053939 Form: SS-4 Number of this notice: CP 575 A JD DESIGN CONSTRUCTION INC JIMMY DEAN 2036 50TH TERRACE SW For assistance you may call us at NAPLES, FL 34116 1-800-829-4933 IF YOU WRITE, ATTACH THE STUB AT THE END OF THIS NOTICE. WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUM ER Thank you for applying for an Employer Identification Number (EIN) . We assigned you EIN 46-3053939. 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. Eased on the information received from you or your representative, you must file the following form(s) by the date(s) shown. Form 940 01/31/2015 Form 944 01/31/2015 Form 1120 03/15/2014 If you have questions about the form(s) or the due date(s) shown, you can call us at the phone number or write to us at the address shown at the top of this notice. If you need help in determining your annual accounting period (tax year) , see Publication 538, Accounting Periods and Methods. We assigned you a tax classification based on information obtained from you or your representative. It is not a legal determination of your tax classification, and is not binding on the IRS. If you want a legal determination of your tax classification, you may request a private letter ruling from the IRS under the guidelines in Revenue Procedure 2004-1, 2004-1 I.R.B. 1 (or superseding Revenue Procedure for the year at issue) . Note: Certain tax classification elections can be requested by filing Form 8832, Entity Classification Election. See Form 8832 and its instructions for additional information. IMPORTANT INFORMATION FOR S CORPORATION ELECTION: If you intend to elect to file your return as a small business corporation, an election to file a Form 1120-S must be made within certain timeframes and the corporation must. meet certain tests. All of this information is included in the instructions for Form 2553, Election by a Small Business Corporation. NOTICE OF ELECTION TO BE EXEMPT--Page 2 SECTION 9. 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 signing below,I attest that I have read,understand and acknowledge the foregoing notice. SIGNATURE of APPLICANT SECTION 10.You must identify the workers'compensation insurance carrier that covers any non-exempt employees of your business. Carrier Name: AFFIDAVIT OF APPLICANT:I hereby certify that the information contained herein is true and correct to the best of my knowledge and belief;that this election does not exceed exemption limits for corporate officers,including any affiliated corporations as provided in§440.02 Florida Statutes. Pi'SCANT'S SIGNATURE OATS SIGNED NOTARY STATE OF FLORIDA,COUNTY OF Gc I( z 6 ��11 Sworn to and subscribed b e f o r e me this / d a y of J✓ �/ ,by J F 0-y U-e _ Personally Known OR Produced Ide rr"fication t ype of Identification Produ ...;,. J r : s NOTARY SIGNATURE /p/" My Commission Expl ttat g,.,: Please mail or submit your completed application,application fee,and any required attachmer , Y ' ' ` Roma to The Division of Workers'Compensation at the district office nearest your place of busrn ti r#7$*fillit""'� rir Assn 2295 Victoria Avenue,Suite 163 921 North Davis Sheet 401 NW 2n,Avenue Expiration Date: Ft.Myers,FL 33901 Building 6,Suite#250 Suite 1321,South Tower Telephone(239)4614006 Jacksonville,FL 32209 Miami FL 33128 Telephone(904)798-5806 Telephone(305)538-0308 Control Number: 610 E.Burgess Road Pensacola,FL 32504-6320 400 West Robinson Strut TALLAHASSEE SUBMITTERS Telephone(850)453-7804 Room 4'512.North Tower Postmark Date: 3111 S.Dixie Highway,Suite#923 Orlando FL 32801 Walk-in submissions: Telephone(407)835-44066 or 2012 Capital Circle SE West Palm Beach FL 33405 (407)245-0896 Suite#102,Hartman Bldg. Payment Number. Telephone(561)8375716 Tallahassee FL 32399-2161 1313 N.Tampa Street Suite#503 499 Northwest 70i Ave.,Suite if 116 Telephone(850)413.1609 Tampa FL 33602 Plantation FL 33317 Received Date: Telephone(954)3212908 Mail in submissions: Telephone(813)221-6506 200 East Gaines Street Live Oak Business Center Tallahassee FL 32395-4228 1111 NE 251,Ave.,Suite#403 5969 Cattlemen Lane Telephone(650)413.1609 Ocala Ft. 34470 Sarasota FL 34232 Telephone(352)369-2806 Telephone(941)329-1120 The collection of the social security number on this form is specifically authorized by Section 440.05(3),Florida Statutes. The social security number will be used as a unique identifier in Division of Workers' Compensation database systems for individuals who have applied for and/or been issued a certificate of election to be exempt it will also be used to identify information and documents in those database systems regarding individuals who have applied for and/or been issued a certificate of election to be exempt for internal agency tracking purposes and for purposes of responding to both public records requests and subpoenas that require production of specified documents_ The social security number may also be used for any other purpose specifically required or authorized by state or federal law,' OWe 250,NOTICE OP ELECTION TO BS EXEMPT—REVISED taros;RULE 681-6.008,F.A.G. NOTICE OF ELECTION TO BE EXEMPT Please thoroughly read the instructions before completing this application. Print legibly in each data entry yield. If this application contains incomplete or inaccurate information or if the handwriting Is not legible,It may cause a delay in the issuance of your exemption. SECTION 1: - Applicant Name(please print): '� ""`�`' Y m' ��'` Applicant's social security number: _ / 1 /63 / Applicant's E-mail address(optional): SECTION 2: I am applying for exemption as a(You must check only one box in this section): CONSTRUCTION INDUSTRY($50 FEE REQUIRED)-The Division will accept a money older or a cashier's check made payable to the DNS WC ADMINISTRATION TRUST FUND. CWOfficer of a Corporation(Title): Pr eS - -OR- ❑ Member of a Limited Liability Company(LW) NON-CONSTRUCTION INDUSTRY(NO FEE REQUIRED) ❑ Officer of a Corporation(Title): ) An officer electing an exemption under Chapter 440,Florida Statutes is not entitled to benefits under this chapter. SECTION 3. The corporation of which you are an officer or the limited liability company of which you are a member must be registered and in an active status with the Florida Division of Corporations.Applicants applying as an officer of a corporation must be listed as an officer of the Corporation with the Florida Division of Corporations. List the document number(document number shown on your Annual Report)on file with the Florida Division of Corporations. f ( 3 000 v.S.3' 23 SECTION 4.- This exemption application applies only to the person signing the application,the Corporation/LLC that is listed below,and the scope of business or trade listed: Name of Corporation or LLC: 'J , 1 : De S( h C0.0110 C i`o'e— .sn C - FEIN: 1/6`3°5:313 •AS REGISTERED WITH THE FLORIDA DWISION OF CORPORATIONS Business Name: Phone: (033)5-57,S---4'76 IFAPPUCABIZ-UST FICvmouS NAM£:POING susnccss AS(b$A) ALSO ESOwN AS NAMs(AKA)— Applicant's Address of Record: 3 L ,S-O 1 .r - c N S �, r INCLUDE APARTMENT OR SUITE NUMBER City: rV`,f' S State: FL. Zip: 3`1 r l 4 County: 6O 14• -(" Scope of Business or Trade: I. ,/Of,` -' 2. 3. 4. SECTION 5. List all certified or registered licenses issued pursuant to Chapter 489,F.S.held by the applicant,or the certified or Vregistered license numbers held by the qualifier for the corporation or LLC listed on this application of which the applicant is a corporate officer. SECTION 6. If you have submitted an electronic payment for this application,write the transaction confirmation number in the following space: SECTION 7. Are you affiliated with any corporation(including LLC)other than the corporation(including LLC)to which this application applies? ❑Yes ONO IF YES,PLEASE LIST THE NAME(s)AND FEIN(s)OF THE AFFILIATED CORPORATION(s)OR LLC(s): NAME; FEIN: SECTION 8. If your corporation or LLC is engaged in the construction industry,you must provide the required proof of ownership in the corporation or LLC. A. To be eligible for a construction industry exemption as an officer of a corporation,the applicant must be a shareholder, owning at least 10%of the stock of the corporation. A COPY OF A STOCK CERTIFICATE EVIDENCING THE REQUIRED OWNERSHIP MUST BE ATTACHED. B. To be eligible for a construction industry exemption as a member of a limited liability company,the applicant must confirm ownership of at least I0%of the company. THE REQUIRED OWNERSHIP MAY BE ESTABLISHED BY PRODUCTION OF DOCUMENTATION REFLECTING THE REQUIRED OWNERSHIP,OR BY SUBMITTING A STATEMENT ATTESTING TO THE REQUIRED OWNERSHIP. THIS APPLICATION IS CONTINUED ON PAGE 2 LWYC 240,NOTICE OF ELECTION TO BE EXEMPT-REVISED 17/05;RULE S9L-6.009,F.A.C. 0 DATE(MM1i3DIYYYY) A D CERTIFICATE OF LIABILITY INSURANCE 06/28/2013 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 NAME: Raleigh Gibson Custom Contractors Insurance LLC PRONE Nfl):(888}2747438 (A/C,No,Fait): (888)652.4513 390 Concord Dr E•MAIL Sedona,AZ 86336 ADDRESS: Info{a7customc0ntractorsinsurance.com Phone:(888)652-4513 Fax:(888)274-7438 INSURER(S)AFFORDING COVEREGE NAM tr _ INSURER Preferred Contractors Insurance Co.RRG INSURED INSURER B: JD Design Construction Inc. INSURE R c: 2036 50th Terrace SW INSURER D: 1 L 34116- INSURER E: —_ Naples INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS tS 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. LtSSiR ADDL SUER POLICY EFF POLICY MCP MOTS TYPE OF INSURANCE ■z; ,ii. POUCY NUMBER mire. MMlD, A GENERAL LABILITY X PCIC5025-PCA500925 06/28/2013 06/28/2014 EACH OCCURRENCE $ 1,000,000 DAMAGE Yb NE I 0 $ 50,000 X COMMERCIAL GENERAL LIABILITY PREMISES(Es occurrence) CLAIMS-MADE X OCCUR MED EXP(Any one person) $ 5,000 --_— PERSONAL&ADV INJURY S 1,000,000 GENERAL AGGREGATE $ 2.000,000 GEN'LAGGREGATELIMITAPPLIESPER: PRODUCTS-COMP/OP AGG $ 2,000,000 PRO: — SIR s 1,000 X POLICY a= , LOG COMBINED SINGLE UMIT AUTOMOBILE LIABILITY -{E oeldentt $------------ BODILY INJURY(Per person) $ ANY AUTO ALL OWNED SCHEDULED BODILY INJURY(Per accident} $ ■ AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per acadenli _ $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS WAS CLAIMS-MADE AGGREGATE $ OED 1 I RETENTIONS - j (( $ WORKERS COMPENSATION I TORY[NITS 1 FR , AND EMPLOYERS'LIABILITY EL.EACH ACCIDENT $ PARTNER/EXECUTNE Y!N ANY PROPRIETOR/ N IA A OFFICER/MEMBER EXCLUDED? andatory in NH) E.L.E E. DISEASE-EA EMPLOYEE $ If yes,describe under E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) RE:ADDITIONAL INSURED LISTED AS HOLDER CERTIFICATE HOLDER CANCELLATION Collier County Licensing Department SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 2800 N Horseshoe Dr THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Naples,FL 34104 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE o.- I 0 1 988-201 0 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD / _—_ yzaL7, gt, 1 . , --. - .. ...... ._. . ..:4:3L '' le;T` .-."%ouvrt•-y- • Li ..,, 1 io futii CDES Operations.& Regulatory Management //II • Licensing Section .....,...110., 2800 North Horseshoe Drive #0:;: %,),..,,,--,ra,-.:::',9", Naples, FL 34104 :, ----' i -•- • - --= ••• . ,..., • _ _ _.... ,„ i?_:*•''' - APPLICATION FOR COLLIER COUNTY/CITY OF NAPTNRCITY OF MARCO FIRM . . _. --...-. I' INST_RUCTIONS: 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 check i 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/BUsiiiess Name: 3-;a oe.54,i-c.,A,16;,,ch..-.., . m c .. Fiction Name/DBA: i..7, /3, AfOgii" ....0..n.si-..-;.,cire.... , HIC... . - . - . Qualifier Name: 1.3;4-- p1—s-irs...7 A •■•.z......,- - . . • - . A' / - 6. Physical Address: .49.(6.- ,so' 1V r "ta/7-0,...c..r... ..5i.v-it - el-, - ,„7-,41f _ - • (Number-86 Street) (City) (State) (Zip Code) . - Mailing Address:_---2-0-3 a71944.- --: ires-e.- - 51.:IX '1710/3. , - -/ ...,, - .70/84, . (Number Es Street) ' . (City) . (State) (Zip Code) a35 Telephone: .575-- e7ep7 - E-mail: aitoc-50 ,-. .5eLc.,4i4eitex, G.,. . . . 16'4' ! OF LICENSE: .-IN General - $230.00 . CI.Electrician .$230.00 ' . • , . .. -0 Building . .$2301)0- - _ LI.Plumber . . -$23000 El Residential $230.00 U Air Cond. - $230.00. . • ,-5";--.--- '.. . • • .____....--;:::::,--- -:---- -;& ---1 -‘ \\ -,,;‘• - CI Mechanical -$230.00 LI Swimming Pool --.; .5::-,- -••_-_-_------ '..'2 ‘ • U *Roofing - ' $230 U.00 - . _. . . 1-1 Specialty . '. '' 015-5 l‘ - ‘ .00 - . .. ‘‘\ • . - - j 1 k Specialty trade: (::::vs::t, t__,_:,c'' , C,N.,_,37C:-..._,... . . ....--. - -. SOL . . ' , \ --• I\ , . ;,...; '1,............ • CHANGE OF STATUS.: \ . ( ) Reinstatement ( )From One Business to Another ( ) Dormant Ciw..n otive . . . . Page 1 oi4 ' . , • • - - . 1. The names,titles, home address and phone numbers of all OfficerslManaging Members of the Firm. & G:e.- 9 STS"-- 71.991e-c Pi—, 3 411 2. lUst 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. .01eson I/Ye. (Oru-Aer) fr,ic..1-;071 E ji;oh y, Cl Ti; IKCY C 015 te"CiPtU wt.; r 3. e, LiSt all crebts you or any company s)assootated with you refused to pay and the reasons for the refusal to pay. Attach extra pages if needed. • ot. e • AFFIDAVIT _ certify that the foregoing is true and correct to the best of my knowledge. Authorized Officer of the Firm TATE OF FLORIDA r _ :OUNTY OF-- - - - he foregoing Instrument as acknowledged before Me this t 72 c t 3 (Date) IOC.< 11 t) fie r• 5,11- c, Y. of - - (Name of officer,title/agent) (Name of Corporation) F(0 r 14. Cuipuiallon on behalf'ot the corporation. (State or Plade of Corporation) aiShe his-produced •c re identification and did not take an oath. (Type of identification) - No . DID L.TAIER Navy Publit- of Florida Gly EiOnes Oct 16,20 / /A' COMMISSION EE 211445 lorded lkostANIDOM1 Mori um. (SiGNATU E OF NOTARY) • Page 2 of 4 QUALIFIER INFORMATION: flA Name: \j'r ee. 7 17 - Address: , creZ5 f • (Number&Street) (City) (State) (Zip Code) Telephone: 239-4.05- -1:3.74,11 Date of Birth: ( S.S.#: 000-00- E-Mail: JDD 44 cc, Driver's License: . 1. Type of Certificate of Competency for which application is made. 2. The names and telephone numbers of two persons who will know your whereabouts. •1,4 /-t;,,_,`e.. id ear 2 — 325 - 3. Have you ever been convicted of a crime related to Contracting? :IV& (if yes attach extra sheet with explanatidn) 7_ Have,you or any flaps you have been associated with ever filed bankruptcy? ilf.)0 3. List all debts you or any company(s)associated with you refused or failed to pay and reasons why. • • • List your business or work experience during the past ten years. • osizuy. cds,b •/-„, • 0. Statement of any formal training you have had in the area for which the application is made. - • • -1 , r • 1 e,c .04km =4,..,e;„ .77 Al99-ail ,C?."1"`-511 454"e 444414,c•- 2 , 0-ie) r lq,••4• v 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 fordisqualification. (! m.n.� R O Cam. APPLICANT(I5LLASE PRINT) is.1. c3,.-��Si�- 7tit, NAME OF COMPANY' GNATURE OF APPLICANT STATE OF FLORIDA r/ OUNTY OF The foregoing Instrument as acknowledged before me this 7(1/2 u (3 n' (Date) 3y -_L,. 7 P who has produced jar`V- 't —z- (Namo of parson rzoknowicdginq) - (I ype of identification) • IS identification and did not take an oath. • • NOTARY1S SEAL 1Ug 'OF Notary POW- of Florida iMy Comm Earpiras Oct to.2018 (SE NOTARY) r Commission#E 211445 loadoi 1YouQit hike Notary sun Page4of4 • AFFIDAVIT It is understood and acknowledged by the Collier County Contractors' Licensing • • Board and myself that if I fail to acquire, or maintain atall fiches effective Workmen's Compensation Insurance it will result in the possible revocation of my Certificate of Competency. - RE OF APPLICANT D, c5a ,►, Cc, fir 1.14', .1 BUSINESS NAME . /// //_ DATE BEFORE ME this day personally appeared �'"�'" ( ` who • affirms and says that he has less than-one.employee and does not require Workmeh'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 co 0( COUNTY OF The foregoing instrument was acknawtedged before me this 7/ /2 v (Dptc) by , wt:,+. r a"- x who has produced r " �,<-;rs c l (name of person aolcnowledging) (Type of Identification) as identification and who did not take an oath_: - • . ra.1161 ■ — r DAVID L Taal y ,r 1,� r! •slue or Florida SIGNATU OF NOTARY • ' ►Ccea�.& ros Oct 16,2015'1 G NOTARY SEAL ' , -' Commlssiog#EE 211445 r agog Two goy Ann. - • NOTARY PUBLIC DSH Construction Company Inc. 25000 Tamiami Trail East Naples, Fl. 34145 239-821-4565 Scott@dshfl.com June 13, 2013 To Collier County Licensing Board, To whom it may concern, I have been a State Certified General Contractor since 1999 and a State Certified Plumbing Contractor for 5 years. Before that, I was a carpentry contractor in Collier County for about 7 years. I have known Jimmy for about 5 years and he has helped me out by drawing plans to code for submittal to the various building departments and also has helped me out on various construction projects with technical and manual support. Having the years of experience in all phases of construction I know that Jimmy Dean has more knowledge and experience in the construction business than most contractors I know. I find that he has integrity and good character and would make a good addition to the construction trade here in Collier County. D. Scott Hunt /7 a dt`�� SHARON L ROWE 57< MY COMMISSION#EE 42035 ry':ti EXPIRES:December 13,2014 °,fix*'s Homed Through National Notary Assn 41101111W _ _ , .. , ._..466...... - - - - ,_.,__,_ , _ __ ____ 1,___a (--N,,\r- 1 -- _,..1\ CUSTOM BUILDERS June 18,2013 Collier County Licensing Board To Whom It May Concern: I have been a State Certified General Contractor since 2005 and have known Jimmy for about 9 years and he has drafted architectural drawings for submittal to the various building departments and also has helped me out on various construction projects with technical and manual support.. Having the years of experience in all phases of construction, I know that Jimmy Dean has more knowledge and experience in the construction business than most contractors I know. I find that he has integrity and good character and would make a good addition to the construction trade here in Collier County. Please feel free to contact me with any questions. Thanks, f Kenn th ox f "" NfOCLE A.GALVANO "' ;t l Y COMMISSION#EE 14982? EXPIREScNorember30 2015 eadadThru Merl beams Vancy it 1` gip,L 1. : - L....;„— — C C ` R ` PMB #40 8595 Collier Blvd,Naples,FL 34114 +Phone: (239)261-1082 • Fax: (239)261-1084 Randall Packard Construction, Inc_ General Contractor 4027881 5150 Flouchin Street Naples,Fl.3410q o1ice:231-5c11-2663 Fax 239-591-0452 Mobile:259-284-8959 June 26,2013 Collier County Licensing Board To!^thom It May Concern: I `am a State Certified General Contractor and have known Jimmy for about 5 years and he has done many architectural drawings for submittal to the various building departments. He has helped me on various construction projects with technical and manual support. Having the years of experience in all phases of construction, I know that Jimmy Pearl has knowledge and experience in the construction business to be able to run a construction company. He has more knowledge than most contractors I know. I find that he has integrity and good character and would make a good addition to the construction trade here in Collier County. Please feel free to contact me with any questions_ Thanks, 0.4,Loic La_ ""P _ �t;%!till ..._.. Randall Packard 4 ds. _ Mot JANET P GRAY 4 `` Y rune-State of Florida My Comm.Expires Mar 14.2017 Comm' :;.�+- °` tiSSiOrr-#FP RSRRFIR .J;a�■<<;,;tr' Donded Ruuuph National rrnra rr Ann. \C 3/ (.01\ --rit\:\1/4-3 _. AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER • 6• 544 sr 171-0 0.1 , am a resident of C County, PLO I" II (State)and have resided here for more than five (5)years. ring the last five years I have h-flown /1 1(` 0 E 4-Pi (Applicant)_ I have had opportunity to observe his or her business and personal deali-ngs and find him or her to be a person of testy, integrity and good character. • (Signature) / (Name) 0. Sc a C f l (Address) Z 5-005 #i i' '•(, 7 17.E / p) $$ r,�t Telephone) Z3 g 2 l - p j STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this z LIke by cS 4 1 who has produced A/ (name of person acknowledging) (Type of identification) as identification and who did not take an oath. �:�•L�•,; SHARON L ROWE ' MY COMMISSION#EE 42035 z rj. rte? EXPIALS:December 73,2014 1 './ �.. -_1 ^-IiLIe.As 8.4ed Terbugn nabbnal r�trawy A.Tq. i r- �_� • V N ATUIZL • CT - NOTARY'S SEAL (Pit � • I OF NOTAR' NOTARY PUBLIC • • - i 10 AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER am a resident of County, • cloN ..o`CL (State) and have resided here for more than five (5) years. Luring the last five years I have known .J t rvN CO') (Applicant). I have had ae opportunity to observe his or her business and pe4onal dealings and find him or her to be a person of onesty, integrity and good character. (Signature) (Name) i (Address) Telephone) STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this G'/ 1 3 by (hate) who has produced ji/�'stN (name of person acknowledging) (Type of identification) as identification and who did not take an oath. ii NICOLE kQ tv o / !� MY COMh1ISS1ON#EE 149827 EXPIRES:November 30,2015 ' ` smcsa 1 Thu Fictorff Immo+m.Army l / ---_-�. s.� ONAi`UICE OF NOTARY NOTARY'S SEAL (PRINT NAME OF NOTARY) NOTARY.PUBT,IC 10 COLLIER COUNTY GOVERNMENT COMMUNITY DEVELOPMENT AND ENVIRONMENTAL SERVICES DIVISION • 2800 N.Horseshoe Dr. e Naples. Florida 34104 e 239-403-2400 e FAX 239-403-2334 MEMORANDUM DATE: November 29, 2007 TO: Applica.nt'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, FIdrida 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 o v r nt.iai anal exempt under Chapter 119, Florida Statues. • n - - CHECK CONFIDENTIAL Individual Credit Report Name - DEAN, JIMMY MICHAEL Ordered By: Customer : 9999 Address : 2036 50TH TERRACE SW Received : 06/27/13 NAPLES, FL 34116 Completed : 06/27/13 Social is Applicant: -1631 Bill Amt : $60.00 CREDIT RECORD (Credit history has been checked for a period of seven years or from open date. ) Account Date Date High Unpaid Past Pay Historic Stet Current Mos Acco:ant.�t xurober Reported Opened Credit Balance Due Terms 30 60 90 Status Rev BCOA 5TH 3RD BK SETTLED 11111111111111111L 07/09 01/04 27468 CLOSED 0 0 0905 02 II--* 34 A DLA=07/09 COLLECTION AMERASSIST - -- -- * IIIIIIIIIIIIIIIL 11/10 03/10 300 //I30 1310 COLL - Q9- 00 A ORIGINAL CREDITOR: TRULY NOLEN OF AMERICAr/INCA / AS AGREED BK OF AMER 11111111.1116 06/06 05/05 218400 CLOSED 0 0 0000 00 M2 12 A DLA=06/06 PASTDUE 60 CAP ONE 06/13 01/11 973 973 34 30 0100 00 R3-* 28 A DLA=02/13 ----`- �. s-- COLLECTION CAPITAL 1 - -- -- I9--* 09 A 05/13 08/05 34531 994. 47 674 - DL - 0 PD WAS 120 CIT 03/09 05/06 340000 0 0 0 1207 07 245-* 33 C DLA=o6/aS /-------,, . A3 AGE=ci?1LLtITA :NT 06/13 08/12 29268(DLA=0 24-672 0 513 000U 00 11 C 5 13 �-�-�" '---, COLLECTION DESGN REC _ __ __ pg-* 01 A VIONMENNIIIIIIMIg 06/13 06/12 157 158 158 COIL - ORIGINAL CREDITOR: MEDICAL COLLECTION ENiNCRCVRCO -- a9-* 00 A __ 05/11 04/11 981 981 9.1 COLL -- -- ORIGINAL CREDITOR: SPRINT Ordered by: APPLICANT - SEE NAME ABOVE Reporting Agency: Credit Check, inc. -3017 Exchange Court, Suite H, West Palm Beach, FL 33409 . (561)616-5556 . . _.' ; CREDIT CHECK CONFIDENTIAL dame - DEAN, JIMMY MICHAEL Customer: 9999 Page: 2 CREDIT RECORD 'Credit history has been checked for a period of seven years or from open date. ) Creditor Date Date Riga Unpaid Past Pay aistoric Stet Current Mos Account Number Reported Opened Credit Balance Due Texas 30 60 90 Status Rev ECOA rFCC-CLVLAND ,-- COLLECTION 05/13 02/11 160 :f 160 60 COLL -- -- -- 09-* 02 A )RIGINAL CREDITOR: MEDICAL 'RD OTOR CR AS AGREED 08/03 07/00 22466 CLOSED 0 0 00 00 00 Ii 01 A DLA=08/03 REMONT TNV AS AGREED 06/04 12/03 136000 CLOSED 0 0 0000 00 M1 06 P DLA=04/04 'ST PREMIER j'_,,1 COLLECTION 03/13 12/12 375 (=03/ 375�/ 75 11 -- -- -- R9-* 00 A 13 �- 'ST PREMIER COLLECTION VAIMMIIIIIIII 12/10 06/09 714 7141714 21 -- -- -- R9-* 01 A DLA=07/09 iULF CST COLLECTION 06/13 10/07 150 '15d 50 COLL -- -- -- 09-* 06 A VITIMITIFP'EDITOR: MEDICAL ( ;DRES PD WAS 30 03/13 05/06 540000 0 0 0 18 02 06 M2-* 39 C DLA=02/13 1111 BANK AS AGREED 09/05 01/04 530 PAID 0 REV 00 00 00 R1 20 A DLA=09/05 TEFFCAPSYS : , COLLECTION tl W 67 C CTT -- -- -- 09-* 02 A R RDOR: WCV I I A K 1C1 HK AC7_C6T `- LITTON LOAN AS AGREED 05/05 12/03 34000 CLOSED 0 0 00 00 00 M 09 P DLA l TED BUST BUR COLLECTION VIAWAINAINAIIONW 06/13 11/07 118 (C-3.-8-7 118 COLL -- -- -- 09-* 06 A )RIGINAL CREDITOR: MEDICAL 3rdered by: APPLICANT - SEE NAME ABOVE deporting Agency_ Credit Check, Inc.-3017 Exchange Court, Suite n,West Palm Beach, FL 33409 . (501)616-5556 . ., CONFIDENTIAL - . C CREDIT CHECK Iame - DEAN, JIMMY MICHAEL Customer: 9999 Page: 3 CREDIT RECORD (Credit history has been checked for a period of seven years or from open date. ) Past Pay Historic Stet Current Rev ECOA Creditor Date Date High Unpaid 90 Status Account Number Reported Opened Credit Balance Due Terms 30 60 COLLECTION KIDLAND FUND _ __ -- 09-* 01 A 05113 10/11 2481 �,�81 248'1 COLL - OR GINAL CREDITOR: T MOBILE l - � COLLECTION WOMIIIIWANW MIDLAND FUND -- -- -- O9-* 03 A 05/13 09/10 1267 7.267 267 COLL - ORIGINAL CREDITOR: VERIZON WIRELESS COLLECTION MID -- -- -- 09-* 01 A 07/10 04/09 765 ,f 1043 A3 COLL - O IGINAL CREDITOR: HSBC BANK NEVADA AS AGREED ONYX ACCEP 10/05 08/05 34531 CLOSED 0 0 0000 00 I1 01 A A=09/05 PD COLLECT SEARS/CBNA - -- -- R9 * 02 A 02/08 04/06 8238 PAID 0 REV - = 8 PD COLLECT �ARS/CBNA - -- -- R9-* 02 A 06/07 09/05 1283 PAID o Rev - DLA=04/07 COLLECTION SLM FINC CO - -- -- 19-* 12 A 06/13 04/03 19010 8290 8290 310 - DIA=02/08 AS AGREED SLM FINC CO 0 QQQO 00 I AS 07 A Mg1 02/04 06/03 20105 CLOSED 0 DLA=02 04 COLLECTION (3P7COAST t? -- -- -- x9-* 11 A 05/1 .1 01/04 20000 1x426 15426 475 OLA=u AS AGREED SUNCOAST CU 00/05 09/04 27756 CLOSED 0 4 0000 00 Il 11 D�8/05 PD WAS 90 TO 01/07 01/07 02/06 28724 CLOSED 0 0 0201 01 I1-* 10 S LA=01/07 Ordered by: APPLICANT - SEE NAME ABOVE ► sus-ssss Reporting Agency: Credit GhecKr Inc.-5017 Exclhan a Court, Suite H,West Palm Beach, FL 33409 . (es ? .. �M CONFIDENTIAL DIT CHECK ame • DEAN, JIMMY MICHAEL Customer: 9999 Page: 4 CREDIT RECORD Credit history has been checked for a period of seven years or from open date. ) Creditor Date Date High Unpaid Past Pay Historic Stat Current Mos Account Number Reported Opened Credit Balance Due Terms 30 60 90 Status Rev ECOA AS AGREED OYOTA MTt 03/06 07/05 24680 CLOSED 0 0 00 00 00 =l 07 S LA=03/06 PD COLLECT rELLSFARGO 09-* 01 C 04/09 05/08 0 PAID 0 0 - -- LA= 4' 09 AS AGREED JILSHIRE CRD 05/05 12/03 136000 CLOSED 0 0 0000 00 Ml 08 C DLA=05/05 Total trade lines on this report: 34 'UBLIC RECORDS: ?UBLIC RECORDS HAVE BEEN CHECKED AT THE COUNTY, STATE AND FEDERAL LEVELS WITH CHE FOLLOWING RESULTS AS OF 06/27/13: SEE BELOW. TRANSUNION PUBLIC RECORD --- KT SOURCE DATE LIAB ECOA DOCDOAKEETIFF/ATTORNEY CYPE COURT LOC 05064186 11/09/07 $15, 426 I 73250CA 7IVIL JUDGMENT COLLIER COUNTY COURT SUNCOAST SCHOOLS FEDER ?, 05064207 02/03/09 $8, 290 1 8CC006249 2IVIL JUDGMENT LEE COUNTY COURT SLM FINANCIAL CORPORATON 3OURCE (S) : EQUIFAX TRANSUNION INQUIRIES: 06/27/13 by CREDIT CHECK (TU) *00630273 05/06/13 by CAP ONE (TU) #02699824 COMMENTS: FRAUD RECORDS HAVE BEEN SYSTEMATICALLY CHECKED BY THE ABOVE ACCESSED BUREAUS. SAFFS(`.AN/EQUIFAX, HAWK ALERT/TRANSUNION CHECKED FOR FRAUD. REPORT WORKED BY RENEE CREDIT SCORE: A.22L. ANT FICO SCORE; 49i (scores range from 300 to 850) Ordered by: APPLICANT - SEE NAME ABOVE Reporting Agency: Credit Check, Inc.-3017 Exchange Court, Suite H, West Palm Beach, FL 33409 . (561)616-5556 . ` .• . REDIT CHECK CONFIDENTIAL ame - DEAN, JIMMY MICHAEL Customer: 9999 Page: 5 *** END OF REPORT *** i n o�,is confidentsi at is notto tieav gea except este neoby the F Fair Repurtirg Art m deemed � n,S rEcat furnished r,Iyasanaiain RngfreaecitaesiaiitYatrreaxitc (s).Itist sip h WT l i � IE5ascrayin r�erws whatsoever. The azeuraayof same,to csinro way gaateect By your " and• a�s report,y� Ordered by: APPLICANT — SEE NAME ABOVE 616-5556 Reporting Agency: Credit Check, Inc_-3017 Exchange Court, Suite H, West Palm Beach, FL 33408 (561) Electronic Articles of Incorporation P13004053923 FLED ��3 For June 24 2 Sec. Of Mate jshivers I.D. DESIGN CONSTRUCTION INC. The undersigned incorporator, for the purpose of forming a Florida profit corporation, hereby adopts the following Articles of Incorporation: Article I The name of the corporation is: J.D. DESIGN CONSTRUCTION INC. Article II The principal place of business address: 2036 50TH TERRACE SW NAPLES, FL. 34116 The mailing address of the corporation is: 2036 50TH TERRACE SW NAPLES, FL. 34116 Article III The purpose for which this corporation is organized is: ANY AND ALL LAWFUL BUSINESS. Article IV The number of shares the corporation is authorized to issue is: i Article V The name and Florida street address of the registered agent is: JIMMY M DEAN 2036 50TH TERRACE SW NAPLES, FL. 34116 I certify that I am familiar with and accept the responsibilities of registered agent Registered Agent Signature_ JIMMY M. DEAN FILED P13000053923 June 24 2013 Article VI Sec. Of state The name and address of the incorporator is: jshivers JIMMY M. DEAN 2036 50TH TERRACE SW NAPLES, FL. 34116 Electronic Signature of Incorporator: JIMMY M. DEAN I am the incorporator submitting these Articles of Incor?oration and affirm that the facts stated herein are true. I am aware that false information submitted in a c.ocument to the Department of State constitutes a third degree felony 1st t Pd May provided in the calendar year following formation of this corporation andue report between January I st an . y year thereafter to maintain"active" status. Article VII The initial officer(s) and/or director(s) of the corporation is/are: Title: PRE JIMMY M DEAN 2036 50TH TERRACE SW NAPLES, FL. 34116 Article VIII The effective date for this corporation shall be: 06/24/2013 :. C'?') ofr-V "V r - i 1� " "'Volk,� 0. a : ,tom :if ilk sr 111 Ar 111. 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' ` ) ':-.- C.) 4.) a) Q e A._114; S el 0 " s '> \\,k*is vel N k• Arm 4 It4gt, a) cd t cd N 7S 4 -4-- ,CD ,,-5, cn i\ Pip4,114i ).. 404 •,- ► wit `�'�* O 4 . 4 ,. g v� 'r� /� Ott 4d 1 ..._4cr*OA ♦ � _ - olio 01:4#\4f H rll H o 4 c Kr di /s- T O -41:11:(Atkit#71N-L-.11114,Pr7.410711144 TP1741701/47-Fir- --4T-01A. • vy 'Prl .7410,- ' '',77.-"alAlryci fitA'U.vi - %4,441%t°r(i-rt"jallr s>•--.�.4' ' . - ... i A�s_ lw _ rte NI .r a.:: d� his x 4 Wite440 0«4y- *e4y Ott .sir -*04744; 0047440 Detail by Document Number Page 1 of 2 FLORIDA DEPARTMENT of STATE \ALF '-'-'-: *-4ror iLV.t. , -,, DIVISION OF ORPORATIONS ...4. .6. ,.: . „, t Detail by Document Number Florida Profit Corporation J.D. DESIGN CONSTRUCTION INC. Filing Information Document Number P13000053923 FEI/EIN Number NONE Date Filed 06/24/2013 State FL Status ACTIVE Effective Date 06/24/2013 Principal Address 2036 50TH TERRACE SW NAPLES, FL 34116 Mailing Address 2036 50TH TERRACE SW NAPLES, FL 34116 Registered Agent Name & Address DEAN, JIMMY M 2036 50TH TERRACE SW NAPLES, FL 34116 Officer/Director Detail Name & Address Title PRE DEAN, JIMMY M 2036 50TI I TERM",CE €W NAPLES, FL 34118 Annual Reports No Annual Reports Filed Document Images 06/24/2013 -- Domestic Profit View image in PDF format http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail/DocumentNumber/d... 7/2/2013 �1i' .J DEPARTMENT OF THE TREASURY INTERNAL REVENUE SERVICE CINCIMNATI OH 45999-0023 Date of this notice: 06-26-2013 Employer Identification Number: 46-3053939 Form: SS-4 Number of this notice: CP 575 A JD DESIGN CONSTRUCTION INC JIMMY DEAN 2036 50TH TERRACE SW For assistance you may call us at NAPLES, FL 34116 1-800-829-4933 IF YOU WRITE, ATTACH THE STUB AT THE END OF THIS NOTICE. WE ASSIGNED YOU AN EMPLOYER IDRNTIFICATION NUMBER Thank you for applying for an Employer Identification Number (EIN) . We assigned you EIN 46-3053939. 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 01/31/2015 Form 944 01/31/2015 Form 1120 03/15/2014 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 :s not e Legal determination of yczur tax classification, and is not binding on the IRE. If you want lagal dietatrminaation of 1rn„r tax rlacGifir Hnn, areln may request a private letter ruling trom the IRS under the guidelines In Wevarn,P Prnr,P611rP 2004-1. 2004-1 I.R.B. 1 (or superseding Revenue Procedure for the y¢ar at issue) . Note: Certain tax classification elections can be requested by filing Form 8832, Entity Classification Election. See Form 8832 and its instructions for additional information. IMPORTANT INFORMATION FOR S CORPORATION ELECTION: If you intend to elect to file your return as a small business corporation, an election to file a FoLLU 1120-S must be made within certain timeframes and the corporation must meet certain torts. All of this $nformxtion is incl�dAd in i-he instructions for Form 2553, Election by a Small Business Corporation. (IRS USE ONLY) 575A 06-26-2013 MODE B 9999999999 SS-4 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 iva,iediately, you will used to make arrangements with your Financial Institution to complete a wire transfer_ The IRS is committed to helping all taxpayers comply with their tax filing obligations. If you need help completing your returns or meeting your tax obligations, Authorized e-file Providers, such as Reporting Agents (payroll service providers) are available to assist you. Visit the IRS Web site at www.irs.gov for a list of companies that offer IRS e-file for business products and services. The list provides addresses, telephone numbers, and links to their Web sites. To obtain tax forms and publications, including those referenced in this notice, visit our Web site at www.irs.gov. If you do not have access to the Internet, call 1-800-829-3676 (TTY/TDD 1-800-829-4059) or visit your local IRS office. IMPORTANT REMINDERS: * Keep a copy of this notice in your permanent records. This notice is issued only one time and the IRS will not be able to generate a duplicate copy for you. You may give a copy of this docnm¢nt to anyone asking for proof of your BIN. * 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 JDDE. You will need to provide this information, along with your BIN, if you file your returns electronically. Thank you for your cooperation. (IRS USE ONLY) 575A 06-26-2013 JDDE B 9999999999 SS-4 Keep this part for your records. CP 575 A (Rev. 7-2007) Rest Sl L ii.s part with any correspondence CP 575 A su wC racy IdeiiLiL y' your account. Floaoo cozr.eL airy eiiu s in your name or addrecc. 9999999999 Your Telephone Ntmber Best 7iRe to Ca!! U 1111 NOTICE: EMPLOYER IDENTIFICATION�NU ER: 46-3053939 FORM: 8S-4 NOBOD INTERNAL REVENUE SERVICE JD DESIGN CONSTRUCTION INC CINCINNATI OH 45999-0023 s JIMMY DEAN 2036 50TH TERRACE SW l�lr�li{ 1El�lasl}l�ililiillnillnunl�loill�l�lul NAPLES, FL 34116 DATE(MDDIYYYY) _° MI CERTIFICATE OF LIABILITY INSURANCE 06/28/2013 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 NAM CT Raleigh Gibson Custom Contractors Insurance LLC PRONE FAX (888)274-7438 390 Concord Dr E-MAIL o.Ext1: (888)652-4513 lover rto): Sedona,AZ 86336 ADDRESS: info@ custon1contract0rsinsurance.com Phone:(888)652-4513 Fax:(888)274-7438 INSURE2IS)AFFORDING COVERAGE I NAICIt INSURER A:Preferred Contractors Insurance Co_RRG I INSURED INSURER E: JD Design Construction Inc. INSURER C: 2036 50th Terrace SW INSURER D: Naples FL 34116- INSURER S: INSURER F: COVERAGES CERTIFICATE NUMBER: 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.UMFTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. MNSR I IADDI_SUSR. I POLICY EFF I POLICY EXP 1 LIMITS LTR TYPE OF INSURANCE I INSR W VD POLICY NUMBER IMMIDDIYYYYI (MMIDDIYYYY) A GENERAL LIABILITY X PCIC5025-PCA500925 06/28/2013 06/28/2014 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED S 50,000 X I COMMERCIAL GENERAL LIABILFY PREMISES(Ea occurrence) CLAIMS-MADE X OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY S 1,000,000 GENERAL AGGREGATE 5 2,000,000 GENt AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X I POLICY LOG C SIR S 1,000 AUTOMOBILE LIABILITY ANY AUTO I COMBINED SINGLE LIMIT I (Ea accident) S BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS PROPERTY DAMAGE NON-OWNED ,P PER ent1 s HIRED AUTOS AUTOS I S E UMBRELLA LIAR OCCUR ( I EACH OCCURRENCE I S III EXCESS LIAR CLAIMS-MADE I AGGREGATE 5 I I DED I I RETENTIONS i s WORKERS COMPENSATION WC LIMITS ER ITORYLIMITS ER AND EMPLOYERS'LIABILITY Y/N ANY PHOPRIETOR/PARTNERIEXECUTNE('° EL EACH ACCIDENT S OFFICER/MEMBER EXCWDED? N/A (Mandatory in NH) EL DISEASE-EA EMPLOYEE S If yes,describe under EL DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS below I DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedute,It more space LS required) FIE_ADDITIONAL INSURED L.13TED AD HOLDER CERTIFICATE HOLDER CANCELLATION Collier County Licensing Department SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEL I FT)BEFORE 2800 N Horcochoo Dr THE hX1'IKAIION DATE THEREOF, NOTICE WILL. BE DELIVERED IN Naples,FL 34104 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE .�� i I @ 9968-2090 AGGRO CORPORATION. All rightS reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 18E SZU S Get 18 of 24 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION 1940 North Monroe Street,Tallahassee,FL 32399-0783 CONSTRUCTION LICENSE BOND STATE OF Florida COUNTY OF Collier Bond#; 10003432 Bond Amount: $20,000.00 Effective Date: 0812312013 Type of Bond: Construction License Bond Obligee: Florida Construction Industry Licensing Board KNOW ALL PERSONS BY THESE PRESENTS,THAT (Applicant) JIMMY M.DEAN of(Company Name) J.D.DESIGN CONSTRUCTION INC. , a company fully authorized to do business in the State of Florida,as Principal,and (Bond Company) American Safety Casualty insurance C ,a company fully authorized to do business in the State of Florida, as Surety,are held and firmly bound unto the Florida Construction Industry Licensing Board,as Obligee,in Penal Sum of(amount in words) Twenty Thousand Dollars Dollars for the payment of fines and costs pursuant to Rule 61G4-15.006, Florida Administrative Code,well and to truly be made,we bind ourselves, our heirs,executors, administrators, successors and assigns,jointly and severally,firmly by these presents.The condition of this obligation is such that: WHEREAS, Principal has been granted a license to conduct business under Chapter 455, Florida Statutes and; NOW THEREFORE, if the(Company Name) J.D. DESIGN CONSTRUCTION INC. , shall well and truly and faithfully make the payments to the State Treasurer of the State of Florida in his capacity as Treasurer of the Department of Business and Professional Regulation as provided in and as required by any and all laws of the State of Florida Business and Professional Regulation,and shall faithfully and accurately keep its books and records and make reports as in any and all of said laws provided and required, and shall conduct its business in conformity with said laws and rules of the Florida Department of Business and Professional Regulation,and shall well and truly keep and perform each and every requirement in and by said laws and rules provided, then this obligation to be null and void,otherwise to remain in full force and effect. IT IS FURTHER AGREED AND UNDERSTOOD that the Obligee will retain an electronic record of this bond and power of attorney that will be utilized to make claims against this bond pursuant to Section 668.50, Florida Statutes. Collection of claims under this bond shall require a statement signed by a duly authorized official acting on behalf of the Florida Construction Industry Licensing Board, referencing the bond number and certifying that the amount of the draft is due and payable pursuant to a Final Order from the Construction Licensing Board;and a copy of this bond. The Principal shall retain the original bond. The Principal must maintain a license bond in effect until the Principal can demonstrate a credit score of 660 (FICO derived)or higher to the Florida Construction industry Licensing Board. The Surety reserves the right to cancel this bond by sending a notice of cancellation by certified mail 30 days in advance of cancellation to the Executive Director of the Florida Construction Industry Licensing Board, 1940 North Monroe Street,Tallahassee, Florida 32399. However,the Surety's liability shall continue for any indebtedness incurred or accrued during the period of this bond,including the 30-day notice period. SIGNED this 1 day of July 2013 _ PRINCIPAL: JIMMY M.DEAN ,PRESIDENT Print or Type Name of Applicant ✓��Applicant Signature JIMMY M.DEAN, PRESIDENT COMPANY. Authorized Company Officer Name,Title ignature Authorized Company Officer SURETY: American Safety Casualty Insurance Company BY MATTHEW T SMITH //////:- Print Name of Attorney-in-fact Signature Attomey In fac (Attach Power of Attorney) DBPR GIB 6-A Certified Contractor Qualifying Business(General) 2012 April Incorporated by Rule:61-35.010 POWER OF ATTORNEY Number 10003432 41,5/AMER)CAN SAFETY INSURANCE KNOW ALL MEN BY THESE PRESENTS, that Amer can Safely Casualty Insurance Company has made. constituted ard appointed and by these presents does make, constitute and appoints Matthew T. Smith, Fort Myers, FL its true and lawful attorney-in-fact, for it and is name atace.and stead to execute on cehaif of the said Company. as surety,bonds. undertaking and contracts of suretysh.p to be given to ALL OBLIGEES provided thatnrbond or undertaking or contract of suretyship executed under this atrthorrty shall exceed;n amount the sum of Twenty Thousand Dollars ($20,000.00) This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Company of 25th day of Aprt,20'2 RESOLVED that the President in conjunction with true Secretary or any Assistant Secretary may appoint attorneys-in-fact or agents with authority as defined or'mited in the instrument evidencing the appointment in each case. for ane on behalf cf the Company tc execute and det::er and affix the sea!of the Company to bands, undertakings, recognizances,and suretyship obligations of al:kinds,and said officers may remove any such attorney-in- fact or agent and revoke any pourer of attorney previously granted to sJch persons RESOLVED FURTHER, that any bead. undertaking. recognizance.. or suretyship cbkgation snail be valid and ,binding upon the Company: (i) when signed by the President or any V ce-Pres•dint and attested and seated(.f a seal is required)by any Secretary or Assistart Secretary or tii)when signed by the President or any Vice-President or Secretary or Assistant Secretary, and counter-signed and seated Id a sea: is required) by a dJiy authorized attorney.rn•fact or agent: or(ill}when duly executed and sealed(f a seas required)by one or more attorney-in-fact or agents pursuant to and vrthin the units of the authority evidenced by the power of attorney issued by the Company to such person 0 persons. RESOLVED FURTHER, that true signature of any autncrzed officer and the seal of the Company may be affixed by facsimile to any power of attorney or cert.ficaton thereof authorizing the execution and delivery of any bond, undertaking, recognizance,or other suretyship ontigations of the Company; and such s gnature and seal when so used shall have the same force and effects as though manr.aliy affixed. IN WITNESS WHEREOF,American Safety Casualty insurance Company has caused ge.official seal to be h.e is i affixed. and these presents to be signed by its President and attested by its Secretary this 25th day of April.20!2. ; iii Attest. ✓r° , \ N. .l [ ` 4 Amb:.t Jain M � oseph D S u•J ' STATE OF GEORGIA ) 4 .` COUNTY OF COBB ) On this 25th day of April 2012,before me oersonal4 came Joseph 0 Soo' • r to me nown who.being ey me duly sworn,d d depose and say that tore rri to,„le%gibed in and which executed the above instrument:that he he is tne Pries cnt of American Safety Casualty Insurance CcTtparir� v � ♦1 knows the seal of the sad corporation, that the sear affixed to the 4'+' ctt� t+ 1.:41 #,s :.:3 rate.sea: that is was so affixed by order of the Board cf Directors of said corporation and that he s:gred his rape thereto�4tisj; 51QMtryp c -m MAR. rip-..u)---- % * *E i 27. F 2010 a` �---- - �( F $ ,44t!"-: . Bens r Lee.Jeff( rN y ru r ggyN f,`//11rtriplillio0.�,t. t,the undersgned.Secretary o'AT:er:can Safety Casualty insurance Coin . an Oklahoma corporation DO HEREBY GERTit-Y.that the foregoing and attached Power of Attorney remains in fut.force and has not been revoked and furtnerriore tr..at the Resolution cf the Board of Directors.set forth in the sad Power cf Attorney,is now in force August Signer::and sparred ir.the City of A;,arrta, n the Stare of Georgia ''-,, `.- Dated this 23rD day of g _ 2013 �4y V �; A ribu)J , I --- Welcome to One Time Pay Page 1 of 2 Jeff Atwater, Chief Finaneta feer irkF7onda i epamnenrof}financial_Servke s Your one-time payment has been scheduled. Remit Information Exemption Fee: 50.00 S Cn 2 Convenience Fee: 1.00 Btlre � Business Name: JO Design Construction Inc � `+{jy�r, P O t n P. a �.` Applicant Name: Jimmy M Dean 'w. ers e Payment Confirmation-Please print for your records. Date&Time: Wed,Sep 25.2013 09 39.15 Name on Credit Card: Jimmy Dean Account Number: E00145755 Address Line 1; 2036 50th Terrace SW Address Line 2: City,State,Zip: naples,fl 34116 Credit Card Account Number: " Payment Date: 09/2512013 Payment Amount: $51.00 TOTAL PAYMENT: $51.00 Credit Card Auth: Transaction Confirmation: 6.print page Enter Email Address: send confirmation Continue rr V � \ sg 2 https://dimension2.princetonecom.com/otp/FundingCCVerifyConfirm-do 9/25/2013 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: Jimmy M Dean State Driver's License Number: State ID Number: State: FL Date of Birth: :Social Security Number(last four digits): Email Address: jddesignconsult @aol.com Section 2: CONSTRUCTION INDUSTRY APPLICANT($50 FEE REQUIRED) Officer of a Corporation (Construction) Corporate Title: PRESIDENT Section 3: 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: J.D. Design Construction Inc. FEIN: 46-3053939 IF YOU NEED TO APPLY FOR A FEIN,CLICK HERE Business Name (DBA): Phone: (239)595-8769 Applicant's Address of Record: 2036 50th Terrace Sw City Naples State: FL Zip 34116 County: N/A lick 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 /our 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 3ecitioll 4; the corporation of which you are an officer or limited liability company of which you are a merrbr I ust be registered and in °DT V:status with the Florida Division of Corporations.Applicants applying as an officer of a corporation mt t' Isted as an officeggQ4he i 7rpDration with he Florida Division of Corporations. List the document number on file with the Florida Divisior{ f I'rpor s.2 5 Lil )13000053923 Section 5: 'ursuant to Chapter 489, F.S. (contractor licensing law), list certified or registered licenses related to the scope of business or rade listed in Section 3 held by the applicant, or the certified or registered license numbers held by the qualifier for the ;orporation or limited liability company listed on this application.The business name listed on the license MUST match the name )f the corporation or limited liability company as registered with the Florida Division of Corporations and on this Notice of Election o be Exempt. 291103871 Section 6: If you have submitted an electronic payment for this application,the transaction confirmation number is listed in the following space: Confirmation Number: 167504429 Application Number: E00145755 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 shareholder owning at least ten percent(10%) of stock of the corporation listed on this application. Section 9: I 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: Jimmy Last Name: Dean 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. Exomption information io roflootod on tho Proof of Coverage databnoc the day followings th6 i33ual u( Vltill Ili- Division's web3ite at http://www.myfloridacfo.com/wc to print your cap G(ivate. NOTICE OF ELECTION TO BE EXEMPT . ..... ....... Picase thoroughly read the instructions before completing this application. Print legibly in each data entry field. If this application contains incomplete or inaccurate information or if the handwriting is net legible,it may cause a delay in the issuance of your exemption. SECTION 1: Applicant Name(please print): `-�' ''`f" Y n�• IO 4 Applicant's social security number: __ / / / Applicant's E-mail address(optional): SECTION 2: I am applying for exemption as a(You must check only one box in this section): CONSTRUCTION INDUSTRY(5500 FEE REQUIRED)-The Division will accept a money order or a cashier's check made payable to the DFS WC ADMINISTRATION TRUST FUND. [ ricer of a Corporation(Title): er eS . -OR- D Member of a Limited Liability Company(LLC) NON-CONSTRUCTION INDUSTRY(NO FEE REQUIRED) 0 Officer of a Corporation(Title): ) An officer electing an exemption under Chapter 440,Florida Statutes is not entitled to benefits under this chapter. SECTION 3. The corporation of which you are an officer or the limited liability company of which you are a member must be registered and in an 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(document number shown on your Annual Report3 on file with the Florida Division of Corporations. ' r 3000053c-1 z SECTION 4. This exemption application applies only to the person signing the application,the Corporation/LLC that is Iisted below,and the scope of business or trade listed: Name of Corporation or LLC: ' - :--I Ce'5 c�I v FEIN: 1/Z-3°5-3(73Y AS REGISTERED WITH THE FLORIDA DIVISION OF CORPORATIONS Business Name: Phone: (2Y ) S�6 9 IF APPLICASIE—LIST F1 ..1 LOB$Z1',IE DOG BUSINRSS'.3(DBA),ALSO OWN..S NANIE(AKA) Applicant's Address of Record: 2 h3 I.a r r c e S`v' INCLUDE APARTMENT OR SUITE NUMBER City: /1/1,-../ s State: FL- Zip: I I / G County; ° Ife Scope of Business or Trade: 1. c' 2. 3. 4. SECTION 5. List all certified or registered licenses issued pursuant to Chapter 489,F.S.held by the applicant,or the certified or Vregistered license numbers held by the qualifier for the corporation or LLC listed on this application of which the applicant is a corporate officer. SECTION 6. If you have submitted an electronic payment for this application,write the transaction confirmation number in the following space: SECTION 7. Are you affiliated with any corporation(including LLC)other than the corporation(including LLC)to which this application applies? Dyes l 3< IF YES,PLEASE LIST THE NAME(s)AND FELN(s)OF THE AFFILIATED CORPORATION(s)OR LL�C(s): NAME. FEIN: SECTION S. If your corporation or LLC is engaged in the construction iliduslly,you Must provide the required proof of ownership in the corporation or LLC. A. To be eligible for a cons LI uc;liull industry exemption as an officer of a corporation,the applicant must be a shareholder, owning at least 10%of the stock of the corporation. A COPY OF A STOCK CERTIFICATE EVIDENCING THE REQUIRED OWNERSHIP MUST BE ATTACHED. B. To be eligible for a construction industry exemption as a member of a limited liability company,the applicant must confirm ownership of at least 10%of the company. THE REQUIRED OWNERSHIP MAY BE ESTABLISHED BY PRODUCTION OF DOCUMENTATION REFLECTING THE REQUIRED OWNERSHIP,OR BY SUBMITTING A STATEMENT ATTESTING TO THE REQUIRED OWNERSHIP. THIS APPLICATION IS CONTINUED ON PAGE 2 owwG 250,NOTICE OF ELECTION TO BE EXE WFT—REVISED 12JDB;RULE 69L-5.009,P.A.G. NOTICE OF ELECTION TO BE EXEMPT—Page 2 SECTION 9_ 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 sign- ing below,I attest that I have read,understand and acknowledge the foregoing notice. SIGNATURE OF APPLicAyr SECTION 10.You must identify the workers' compensation insurance carrier that covers any non-exempt employees of your business. Carrier Name: AFFIDAVIT OF APPLICANT:I hereby certify that the infoiiilation contained herein is true and correct to the best of my knowledge and belief-that this election does not exceed exemption IL-nits for corporai--officers,including any affiliated corporations as provided in§440.02 Florida.StAr.Ttes. 77/ _ /APICLICANTS SIGNATURE DATE SIGNED NOTARY STATE OF FLORIDA,COT{OF ‘"" Sworn to and subscribed before me this day of `-/ ,by Si 0-e Personally Known OR Produced Idefication -' Type of Identification Produ--• = 2/f NOTARY SIGNATURE My Commission Exp DAVID_LTAil cr. Nctlff PEttfc state Please mail or submit your completed application,application fee,and any required attachrn-r .77 1,2 to The Division of Workers Compensation at the district office nearest your place of busini ' . mans 2295 Victoria Avenue,Suite 163 921 North Davis Street 401 NW 2" Avenue Expiration Date: Ft Myers,FL 33.001 allding 5,Sthte#250 Surte gazi,Son: Tower Telephone(235)451-4006 Jacksonviile„Fl.32249 ki-s-ni FL 33128 Telephone(904)798-5506 Telephone(305)836-0306 Conn-ol Number: 610 E..purgers Fi02{1 Perwzoie,FL 32504-6320 400 West Robinson Street TALLAHASSEE SLISMIITERS Telephone(850)453-7804 Room esiz North Tower Postrr2r1:Date: Orlando FL 32801 subrn,,Sons- 3111 S.Die litghway,Suite#123 2012 C-apti 65. Tephleone(407)835-44Ce or West Palm Bead"FL 33405 Suite#102,Flartnen Bldg. (407)24,5-ca95 Paytnent Number: Telephone(561)837-5716 -le-Saha:zee FL 32399-2161 1313 N T Street, ite 503 499 Northwt 70s Ave., 118 Telephone(860)113-180g . ampa Su -4; Fataton FL 33317 Received Date: Tampa FL 33602 Telephone(954)321-2906 Mad in subersions: Telephone(813)221-6.5 200 gast G3ines 19-.reet Li/a Oak Stairt&ss Center 1111 NC Ave-,0,jle 400 t Lane Te1.74.)10ii:v(8571413-160.3 r...)=113 FL 31470 SaraSGta Telephone(352)369-2506 T9liphoni(011)320 1120 The collection of the social security number on this form is specifically authorized by Section 440.05(3),Florida Staff rteke ThP vial security number will be uced ac o unique identifier in Division of WorKers' Compensation database systems for individuals who have applied for andlor been , issued a certificate of election to be exempt It will also be used to identify information and documents in those database systems regarding individuals who have applied for and/or been issued a certificate of election to be erer.ot for internal agency tray purposes and for purposes of respcndino to both public records recops.ts qrul subpoenas that r9quira production of epocifiod documents. The social security number may also be used for any other purpose spectcally required or authorized by state or federal law: DWC 250,NOTICE OF ELECTION TO BE EXIMPT—REVISED 12104;MILE ea.-S4Y4-2, DBPR-DEAN,JIMMY M;Doing Business As:J.D.DESIGN C... https://www.myfIoridaiicense.com/LicenseDetaiI.asp?STD---&id=F6... 236:37 PM 9/202013 Licensee Details Licensee Information Name: DEAN, JIMMY M (Primary Name) J.D. DESIGN CONSTRUCTION INC. (DBA Name) Main Address: 2036 50TH TER SW NAPLES Florida 34116 County: COLLIER License Mailing: LicenseLocation: License Information License Type: Registered General Contractor Rank: Reg General License Number: RG291103871 Status: Current,Active Licensure Date: 09/20/2013 Expires: 08/31/2015 Special Qualifications Qualification Effective Construction Business 09/20/2013 • View Related License Information View License Complaint 1940 North Monroe Sweet,Tallahassee FL 32399 ::Email:Customer Contact Center::Customer Contact Center:850.487.1395 The State of Florida is an AA/FFO PrrpinyPr rnisyririht 71)07-2019 state of Florida,Priveey Etatcrncm Under Florida law,email addresses are public records.If you do not want your email addu released in response to a public-records regflsst, do not wand electronic mail to this ontiiy.Incead,contact the office by phone ui by tiadlUunal nil.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.crust provide the Depaitiient with an email address if they have one.The emais 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 Chapter455 page to determine if you are affected by this change. I of 1 0i1n/in nx.r Jimmy M. Dean July 23, 2013 To: Whom ever it concerns This is a letter to let you know why my credit is at the stage it is at. The reason is when everything was going good I had a lot of toys and cars. When the economy went bad it was a choice between my house and my toys, I obviously picked my house for I have 8 kids and they need a roof over there heads. I'm working on cleaning it up, but as we all know it takes time. I really hope that this will not keep me from being able to provide a better life for my family and me. Thank you for you attention to this matter. Thank You, Jimmy M. Dean COLLIER COUNTY BUSINESS TAX BUSINESS TAX NUMBER: 130462 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, 2014 - DISPLAY AT PLACE OF BUSINESS FOR PUBLIC INSPECTION LOCATION: 2036 50TH TERR SW FAILURE TO DO SO IS CONTRARY TO LOCAL LAWS. ZONED: HOME OCCUPATION LEGAL FORM - THIS TAX IS NON-REFUNDABLE - 3USINESS PHONE: 595-8769 CORPORATION J.D.DESIGN CONSTRUCTION INC COUNTY UC: 2013-2248 DEAN,JIMMY M 2036 50TH TERR SW NAPLES FL 34116-0000 NUMBER OF EMPLOYEES: 1-10 EMPLOYEES CLASSIFICATION:GENERAL CONTRACTOR DATE 08/23/2013 CLASSIFICATION CODE: 02100101 AMOUNT 18.00 this document is a business tax only.This is not certification that licensee is qualified. RECEIPT 3768.42 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. l BEFORE THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD BOARD OF COUNTY COMMISSIONERS, COLLIER COUNTY, FLORIDA, CONTRACTORS' LICENSING BOARD Petitioner, V. Case Number: 2014-09 License Number: CGC1508634/27014 John Andrew Hill D/B/A—JAH Construction Management Corp. Respondent. ADMINISTRATIVE COMPLAINT Collier County (County) files the Administrative Complaint against John Andrew I lill (Respondent), a State of Florida Licensed General Contractor (license number CGC1508634/ Collier County Certificate 27014), and states the following facts and allegations in support of the cited violation(s) below: COUNT 1 Collier County Ordinance 90-105, as amended, Section 4.2.2—"Willfully violating the applicable building codes or laws of the state, city or Collier County". 1. The Respondent is currently licensed by The State of Florida as a Certified General Contractor with License number CGC1508634. 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 a holder of a Certified General Contractor license shall constitute misconduct and grounds for discipline pursuant to Section 22-202. a. In October, 2013 Vicky Pozas Megual (homeowner) contracted with the respondent for remodeling of the home at 1041 Oriole Circle, including kitchen, bathrooms, bedroom remodeling, including relocation of stairwell area to second story of home. Proposals/ Invoices show structural demolition, structural construction, concrete, wood framing, doors, windows, plumbing, HVAC, electrical, plumbing, exterior siding, insulation, drywall, and interior finishes (paint, trim, cabinets, etc.). A$13,000.00 deposit was paid on 10/17/13, deposited on 10/18/13. Construction began shortly thereafter. b. 11/15/13—Collier County Contractor Licensing Case, CECV20130017004, was opened, resulting in the issuance of a Stop Work Order for the unpermitted remodel of the home.This case was ultimately closed due to lack of information as to who the primary contractor was. c. Second payment was made to the respondent in the amount of$10,000.00 on 11/29/13, deposited 12/3/13. d. Invoicing and payment records show that construction continued through the Stop Work Order issued on 11/20/13. e. On 12/6/13, Permit PRBD20131230069 was applied for by the respondent, with a description of work as "remove & reinstall kitchen & bathroom no changes", with a job value of $5,000.00. Permit application was rejected on 12/12/13 due to the submitted plans not showing the entire scope of work that had taken place. f. Third payment of$10,000.00 was made to the respondent on 12/23/13, deposited on 12/24/13. g. Invoicing shows construction was maintained 12/1/13 through 1/23/14. h. 4/23/14—Corrections to rejected permit and private inspection affidavits were submitted and rejected. i. 5/21/14- Corrections submitted. 5/27/14—Corrections were rejected. 4. Collier County Building Official,Jonathan Walsh, found that a misconduct charge of willfully violating the applicable building codes or laws of the state, city or Collier County shall be charged, due to the construction beginning prior to applying for and obtaining the required building permit, violating the 2010 Florida Building Code Section 105.1 and the respondent continuing construction through the 11/20/13 Stop Work Order, further violating the applicable building code. 5. 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. 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 Respo dent guilty of the violation(s) charged. r Dated: .; 1 , � 2(9 Signed: Amoy Collier County Co tractors' Licensing Supervisor or Designee. C.L.B Case 2014-09 John Andrew Hill—D/B/A JAH Construction Management Corp. Table of Contents El through E5—Formal Complaint E6 through E9—Case Detail Report E10—Homeowner Complaint E11—Notice of Hearing E12—State Licensee Detail E13—Collier County Certificate Detail E14 through E26—Invoicing/Payments E27 through E29—Permit Application E30—12/12/13 Permit Application Correction Letter E31 & E32—5/2/14 Permit Application Correction Letter E33 & E34—5/29/14 Permit Application Correction Letter E35—Collier County Building Official Email Correspondence E36—2010 Florida Building Code Section 105.1 Required E37—Collier County Ordinance 90-105, as amended, Section 4.2.2 E38 through E41—Collier County Case CECV20130017004 E42 through E51—Photos from Case CECV20130017004(November, 2013) E52 through E58—Photos from Current Case Contractors' Licensing Board 2800 North Horseshoe Drive Naples, Fl. 34014 Complaint Number: 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: August 4, 2014 Against Contractor's name:John Andrew Hill Phone: 239-825-9530 Business name:JAH Construction Management Corp License number if known: CGC1508634 Collier County Competency number: 27014 Contractor's business address: 1500 Bald Eagle Dr Naples, Fl 34105 Filed By: Name: Collier County Contractor Licensing/Ian Jackson Address: 2800 North Horseshoe Dr Naples, Fl 34104 Business phone: 239-252-2451 Address where work done: 1041 Oriole Circle City: Naples County: Collier Date of contract: October, 2013 e% Date job started: October, 2013 (+/-) Date job completed or new home occupied:Job not completed/existing home occupied Were there plans and specifications?Yes Is there a written contract?Yes If yes, amount of Contract? Original proposal $26,673.00 Has Contractor been paid in full? No If Contractor has NOT been paid in full, what amount is paid? $33,000.00 Was a Building Permit obtained? No Building Permit number if known: PRBD20131230069 (rejected) Have you communicated by letter with the licensee?Yes Date:July 25, 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: In reviewing documentation provided,found that, in October, 2013, homeowner had contracted with JAH Construction Management Corp./CGC John Andrew Hill 825-9530 for remodel of home at 1041 Oriole Circle. Scope of work included, but is not limited to, kitchen, bathrooms, bedroom remodeling, including relocation of stairwell area to second story of home. Proposals/invoices show structural demo, concrete, wood framing, doors, windows, plumbing, HVAC, electrical, plumbing, exterior siding, insulation, drywall and interior finishes(paint, trim, cabinets, etc.). Rough timeline appears that: El- 1. Contract was entered into in October, 2013 with a $13,000.00 deposit given on 10/17/13, deposited 10/18/13. 2. Demo/construction began shortly thereafter, continuing until 11/15/13. 3. 11/20/13- Collier County Contractor Licensing Case, CECV20130017004,was opened, resulting in a Collier County Stop Work being issued for unpermitted remodel of home. Case was ultimately closed due to lack of information from homeowner as to who the primary contractor was. 4.Second payment was made in the amount of$10,000.00 on 11/29/13, deposited on 12/3/13. 5. Invoicing and payment records indicate that construction continued through the Stop Work Order issued on 11/20/13. 6. Building permit PRBD20131230069 was applied for by CGC1580634/John Andrew Hill/JAH Construction Management Corp., with a description of work as"remove & reinstall kitchen & bathroom no changes/job value$5,000.00" on 12/6/13. Permit was rejected, with a rejection letter dated 12/12/13 stating "work undertaken is not shown on drawing submitted on permit. Please resubmit permit drawings showing all work undertaken and planned.This includes electrical, mechanical and plumbing work.Structural work must be detailed for size of members, hold down straps, etc. NOTE: Previously completed work must be visible for inspection. Completed work not visible may require permitting as"Permitting by Affidavit". 7.Third payment was made to contractor on 12/23/13, in the amount of$10,000.00, deposited on 12/24/13. 8. Invoicing shows that construction was maintained from 12/1/13 through 1/23/14. 9. Unclear as to what had taken place from 1/23/14 to 4/24/14(time of complaint). 10. Found that on 4/23/14, corrections and private inspection affidavits had been submitted by contractor on permit applied for. 11.On 4/24/14 County Building Official,Jonathan Walsh, met with Ossorio, advised Walsh of potential permitting issues and arranged for a site visit to take place on 4/29/14, with Walsh, myself(Ian Jackson) and property owners agent, Bill Smith. 4/29/14. Met at site w/homeowner,Jonathan Walsh and homeowner's representative, Bill Smith. Walsh reviewed private inspection affidavits with what was constructed. Determined that corrections provided on 4/23/14 will be rejected. E3 5/21/14. Corrections submitted 5/29/14. Corrections rejected. Contractor has been working on corrections, but states is unable to coordinate w/homeowner to access home. Contractor is having inspections done privately, by affidavit, for finals and certificate of completion. 6/30/14. Contractor states he is unable to coordinate w/ homeowner to resolve permitting. Representative of homeowner, Bill Smith, has indicated that homeowner will terminate Hill as contractor on permit and take over as owner builder or hire new contractor to finalize permit. 7/14/14. Permit remains in a rejected status, with JAH Construction/John Andrew Hill as contractor. Will request that County Building Official,Jonathan Walsh, review case to determine whether a misconduct charge of willful code violation will be supported by County Building Official. 7/18/14. Case being reviewed by Jonathan Walsh. 7/18/14.Attached email from County Building Official,Jonathan Walsh, stating violation is considered willful, prompting a misconduct charge of willful building code violation. Sworn to (or affirmed) and subscribed before me this I 14'tA day of A ) 2014. By 4_1 . ; (signature of person making statement). _ _ � Ar Agdp (signature of Notary Public) Print,type or stamp name of Notary Public: Personally known or produced identification. ,�aY Pia JENNIFER BLANCO * ,�A * MY COMMISSION#FF 085144 mi EXPIRES:February 10,2018 'P'ATEOF F`,' Bonded Thru Budget Notary Services Cf5ITiergov.net Report Title: Code Case Details Date: 8/4/2014 10:15:04 AM Case Number: cemis20140008077 Case Number: CEMIS20140008077 Status: Preliminary Review Case Type: Misconduct Date & Time Entered: 4/24/2014 7:42:50 AM Priority: Normal Entered By: lanJackson Inspector: lanJackson Case Disposition: Case Pending Jurisdiction: Contractor's Licensing Origin: Complaint Detail Description: Complainant-Vicky Pozas Mengual 961-6924 Contractor John Andrew Hill/Jah Construction Management Corp. 825-9530 Unpermitted single family home remodel at 1041 Oriole Circle Location Comments: 1041 Oriole Circle/folio 60880920007 Propertyl60880920007 Complainant MENGUAL, VICTORIA POZAS VIALE ENRICO THOVEZ 57 Contractor JOHN ANDREW HILL Business Management& Budget Office 1 Code Case Details Execution Date 8/4/2014 10:15:04 AM Desc Assigned Required Completed Outcome Comments Preliminary Investigation lanJackson 4/24/2014 4/25/2014 Needs 4/21/14. Complaint received from homeowner Investigatio at 1041 Oriole Cir,Vicky Pozas Mengual(961 n -6924)and her agent Bill Smith,concerning a contract with John Andrew Hill concerning "Kitchen remodel-electric-plumbing- remove existing stairs and relocate to other end of room-structural framing done-no engineering, no plans, no permits electric- plumbing-ac-drywall framing no inspection". Complaint and documentation provided scanned into case. 4/24/14. In reviewing documentation provided, found that, in October, 2013, homeowner had contracted with JAH Construction Management Corp./CGC John Andrew Hill 825-9530 for remodel of home at 1041 Oriole Circle. Scope of work included, but is not limited to, kitchen, bathrooms, bedroom remodeling, including relocation of stairwell area to second story of home. Proposals/ invoices show structural demo,concrete, wood framing, doors,windows, plumbing, HVAC, electrical, plumbing,exterior siding, insulation,drywall and interior finishes(paint, trim,cabinets, etc.). Rough timeline appears that: 1. Contract was entered into in October,2013 with a$13,000.00 deposit given on 10/17/13, deposited 10/18/13. 2. Demo/contstruction began shortly thereafter,continuing until 11/15/13. 3. 11/20/13- Collier County Contractor Licensing Case, CECV20130017004,was opened, resulting in a Collier County Stop Work being issued for unpermitted remodel of home. Case was ultimately closed due to lack of information from homeowner as to who the primary contractor was. 4. Second payment was made in the amount of$10,000.00 on 11/29/13, deposited on 12/3/13. 5. Invoicing and payment records indicate that construction continued through the Stop Work Order issued on 11/20/13. 6. Building permit PRBD20131230069 was applied for by CGC1580634/John Andrew Hill/JAH Construction Management Corp., with a description of work as"remove& reinstall kitchen&bathroom no changes/job value$5,000.00"on 12/6/13. Permit was rejected,with a rejection letter dated 12/12/13 stating"work undertaken is not shown on drawing submitted on permit. Please resubmit permit drawings showing all Business Management& Budget Office eri 2 Code Case Details Execution Date 8/4/2014 10:15:04 AM Preliminary Investigation lanJackson 4/24/2014 4/25/2014 Needs work undertaken and planned.This includes lnvestigatio electrical, mechanical and plumbing work. n Structural work must be detailed for size of members, hold down straps, etc. NOTE: Previously completed work must be visible for inspection. Completed work not visible may require permitting as"Permitting by Affidavit". 7.Third payment was made to contractor on 12/23/13, in the amount of$10,000.00, deposited on 12/24/13. 8. Invoicing shows that construction was maintained from 12/1/13 through 1/23/14. 9. Unclear as to what had taken place from 1/23/14 to 4/24/14(time of complaint). 10. Found that on 4/23/14,corrections and private inspection affidavits had been submitted by contractor on permit applied for. 11. On 4/24/14 County Building Official, Jonathan Walsh, met with Ossorio, advised Walsh of potential permitting issues and arranged for a site visit to take place on 4/29/14,with Walsh, myself(Ian Jackson)and property owners agent, Bill Smith. Further investigation required. Cont. Investigation lanJackson 4/29/2014 4/29/2014 Complete 4/29/14. Met at site w/homeowner,Jonathan Walsh and homeowner's representative, Bill Smith.Walsh reviewed private inspection affidvaits with what was constructed. Determined that corrections provided on 4/2.3/14 will he rejected. Will review case w/MGO to establish course of action. Cont. Investigation lanJackson 5/5/2014 5/5/2014 Complete 5/5/14. Reviewed finding with Ossorio.Will have contractor finalize permit and determine course of action at that time. Cont. Investigation lanJackson 5/16/2014 5/16/2014 Complete 5/16/14.Correction letter scanned into case. Have left message for homeonwer (approximately 5/2/14)for update on how she will be proceeding. Have received no return call. Spoke w/Andrew Hill,who stated he has corrections nearly ready for submittal. Cont. Investigation lanJackson 5/28/2014 5/28/2014 Complete 5/28/14. Corrections submitted 5/21/14. 5/28/14. Spoke w/homeowner and advised of status of permit.Advised homeowner of County's legal authority with contractor, being in the enforcement of Florida Building Code. Advised homeowner of civil issues between she and her contractor. Cont. Investigation lanJackson 6/11/2014 6/11/2014 Complete 5/29/14. Corrections rejected. Contractor has been working on corrections, but states is unable to coordinate w/homeowner to access home. Contractor is having inspections done privately, by affidavit, for finals and certificate of completion. Business Management& Budget Office 3 Code Case Details Execution Date 8/4/2014 10:15:04 AM Desc Assigned Required Completed Outcome Comments Cont. Investigation lanJackson 6/30/2014 6/30/2014 Complete 6/30/14. Contractor states he is unable to coordinate w/homeowner to resolve permitting. Representative of homeowner, Bill Smith, has indicated that homeowner will terminate Hill as contractor on permit and take over as owner builder or hire new contractor to finalize permit. Cont. Investigation lanJackson 7/14/2014 7/14/2014 Complete 7/14/14. Permit remains in a rejected status, with JAM Construction/John Andrew Hill as contractor.Will request that County Building Official,Jonathan Walsh,review case to determine whether a misconduct charge of willful code violation will be supported by County Building Official. Cont. Investigation lanJackson 7/18/2014 7/18/2014 Complete 7/18/14. Case being reviewed by Jonathan Walsh. Cont. Investigation lanJackson 7/18/2014 7/25/2014 Complete 7/18/14.Attached email from County Building Official,Jonathan Walsh,stating violation is considered willful, prompting a misconduct charge of willful building code violation. Cont. Investigation lanJackson 7/25/2014 7/25/2014 Complete 7/25/14. Met w/Andrew Hill. Served Notice of Hearing for August 20,2014 CLB. Notice served via hand delivery.Will begin preparing case. Investigation lanJackson 8/4/2014 Pending Violation Description Status Entered Corrected Amount Comments 4.2 Misconduct State Certified Open 4/24/2014 $0 Contractors Title I Reason I Result I Compliance I Fine/Day I Condition Business Management & Budget Office 4 COLLIER COUNTY BUILDING REVIEW & • PERMITTING 1 CONTRACTOR'S LICENSING '16111116, 2800 N. Horseshoe Drive • Naples, Florida 34104 • (239) 252-2432 • Fax (239) 252-2469 PRELIMINARY COMPLAINT FORM Your Name: 11 tc: t•-,2A`• ME- 1-4 L,..:1o,L. Date: Address: ICA t C°:),67,,,z,„..,L-- 2_ City: IN\isi,,, :„:::<.: State:-k--- L. Zip:Sz-li 1 Home Phone: 2 3c-i -ci c_,:t („..s.ci 2._‘---A Business Phone: THIS COMPLAINT IS AGAINST: Company Name: : ,,, --,-- ,. Ii\-,,,,,, , License # Contractor or Person in Charge: (If Known) - ,:C=V.,..j .\\ . t. Address: (r. , i);_c_-.. 42f Phone: 2_3.ct - ck L; ci S 3 Date of Contract: c-:-c --2.:(1-,-‘'■ --: THE SPECIFIC COMPLAINT IS: (Attach additional sheets as necessary) -K/...x-c_i-t-c..-- IA V..c..5,---2-, :D e L - (.L.-..4.--cc-v-c-,<-.. ---17),_-_,- ,.,3 :,-.— tA-c crt__. k.--_-- t-k. c,,I: ca-,(2---,-' - S—1-67--1/4-1 C.:-Tss-1 rt.-4-/-1/4-, . V-451-C4 r`.°''-' ':.=•- -.')."1—,;.....!CZ . iN.-\`k.'. • I.---,I 11/4-1 ct ,..,E et".z.......-,A, \-A. A - .S. -v----, Cf,-.11--r-1. .---.S l'■\. C.... ---c..--,--k-c....., (.... - --?‘.......,,,. (3,- ,... v--.-1,—. ''''. r4-7.,__.1/4-- 4--.--■.— V-- A..42,-,, , -,t...„ _ L.., --t-tourt-t t Attach Copies Copies of All Appropriate Documents: Contracts, Checks, Liens, Permits, Etc. Contractor Licensing Officers: Michael Ossorio (Supervisor) - (239) 252-5706 Ian Jackson- (239) 252-2451 Allen Kennette- (239) 252-2468 Robin Ganguli- (239) 252-2914 Karen Clements- (239) 252-2450 6 titOkl,4 712V) Signature: b - c . t ,1 ..7 . .- c o 14 n t y EP Collier County Growth Management Division / Planning and Regulation Operations Department/ Licensing Section John Andrew Hill JAH Construction Management Corp. 1500 Bald Eagle Drive Naples, Fl 34105 Date: July 25, 2014 RE: Complaint filed against you by Vicky Pozas Mengual regarding a violation of Collier County Ordinance 90-105, as amended, Section 4.2.2 on July 18, 2014. Dear: Mr. Hill A complaint has been filed against you by the above referenced individual. A hearing of this complaint will be held by the Contractors' Licensing Board on August 20, 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 fifteen copies and have them in our office by 8:00 AM on Wednesday, one week prior to the hearing. In your packet,you may give a summary of events. At this meeting,you may present evidence and be represented by an attorney of your choice. In the event the Contractors' Licensing Board finds you in violation of Section number(s)4.2.2 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#27014 and/or suspension or revocation of your permit privileges against your state license# CGC 1580634 . Si , e Ily, la J.1 son Licen�lr g ' ompl a ce •fficer phone#2 9-252 2 51 Signatur:• - 2 Date: 0-7 2 ^ /m to DBPR- HILL, JOHN ANDREW; Doing Business As: JAH CONSTRUCTION MANAGEMENT CO... Page 1 of 1 10:07:31 AM 8/4/2014 Licensee Details Licensee Information Name: HILL, JOHN ANDREW (Primary Name) JAH CONSTRUCTION MANAGEMENT CORP (DBA Name) Main Address: 2210 VANDERBILT BEACH ROAD #1204 NAPLES Florida 34109 County: COLLIER License Mailing: LicenseLocation: License Information License Type: Certified General Contractor Rank: Cert General License Number: CGC1508634 Status: Current,Active Licensure Date: 02/28/2005 Expires: 08/31/2014 Special Qualifications Qualification Effective Construction Business 02/28/2005 View Related License Information View License Complaint 1940 North Monroe Street,Tallahassee FL 32399 :: Email: Customer Contact Center :: Customer Contact Center: 850.487.1395 The State of Florida is an AA/FIiE.O 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.com/LicenseDetail.asp?STD=&lid=39BDS03891 CA6A4870883F847BEA68... 8/4/2014 Business License Application Status - CityView Portal Page 1 of 2 GMD Public License Application Status - License Application Summary Application Number: C27014 Business Name: JAH CONSTRUCTION MANAGEMENT CORP. License Type: Contractor Application Status: Active Description of Business: All Certificates from CDPIus: 27014 Mailing Address: 1500 BALD EAGLE DR. NAPLES FL 34105- Locations: - Issuances Date Issued_ Date Expires __.Status Type p' Number GENERAL CONTR.-CERTIFIED 02/22/2013 08/31/2014 Active 27014 - Reviews There are no reviews for this license application. - Insurance Producer Type Policy Effective Date Expiry Date Limit THE ARNOLD General Liability 3C05764 04/02/2014 04/02/2015 $2,000,000.00 INSURANCE GROUP Expiration Processed: No Producer Phone Number: 2393318595 JOHN A HILL Worker's Comp ; COPY TO FILE 11/22/2013 11/22/2015 Exemption Expiration Processed: No Expiration Processed: No Producer Phone Number: cvs http://cvportal.colliergov.net/CityViewWeb/License/Status?licenseId=96680 8/4/2014 CCDN,JS RUB I )N INVOICE1 •,. ....,, Cx EJr. Ytt- i3,,.,j 51+t:.rn:.a dt. i . : { .. a xix� office #: 239.594.8444 JAH Construction Mgt. DATE: 2316 Pine Ridge rd #429 01.20.13 Naples, FL 34109 BILL TO: INVOICE # Victoria Pozas Mengual RE: Kitchen, Stairs & Bathroom 1041-01 ' 1041 Oriole Circle Remodel Naples, FL 34105 DIVISION DESCRIPTION COST Orignal Proposal Dated: 10.28.13 = $26,673 DIV 1 - General Requirements dumpsters & cleaning $ 950 DIV 2 - Demo Kitchen, Stairs, Bathroom & Bedrooms 1,650 DIV 3 - Concrete kids bathroom recess shower floor 250 DIV 6 - Wood Framing frame new stairs, adjust truss & drywall 8,750 framed openings for new windows 300 DIV 8 - Doors & Windows Add bathroom window 425 DIV 9 - Finishes Drywall, Rock shower, Tile & Vanity top 4,250 Carpet Carpet& pad in (2) bedrooms - Vanity Top Classic Stone-extra extra Pompaai 10.26.13 700 Paint Paint Allowance- prime paint strip wall paper 1,600 DIV 15 - Plumbing Plumb new Bathroom -vanity, shower& toilet 750 Shower fixtures Diverter, Shower Controls, handshower& head 420 Sink & Faucet Vessel Sink White w/ Ramus Faucet in Chrome 445 Home Depot 12.14 & 12.18 online orders HVAC raise duct work $250 allowance 250 DIV 16 - Electrical Kitchen, Bathroom & Stair Electrical work 1,450 subtotal $ 22,190 General Conditions Management Fee @ 15% 3,329 TOTAL COST $ 25,519 OWNER DEPOSIT Draw#1 (original 50% deposit) dated: 10.17.13 (13,000) PAYMENT Owner Draw#2 - dated: 11.29.13 check #1018 (10,000) TOTAL AMOUNT REQUESTED $ 2,519 Please submit payment upon receipt of this invoice. Thanks!! JAH Construction Management, Corp. exik 239.594.8444 office - 2316 Pine Ride rd #429, Naples, FL 34109 CG IN.I "TRLiCTtEN III V OiLG A Oe. 3 E3urtd rvt g rr,ent Car 1 y r ...aary -:St( fi rF '..ii �� - ti'S)c'1 n � office #: 239.594:8444' JAH Construction Mgt. DATE: 2316 Pine Ridge rd #429 01.20.13 Naples, FL 34109 BILL TO: INVOICE # Victoria Pozas Mengual RE: MAIN LIVING RM & 1041-02 1041 Oriole Circle CONCRETE FLOORS Naples, FL 34105 DIVISION DESCRIPTION COST Orignal Proposal Dated: 11.11.13 = $45,920 DIV 2 - Demo chip up tile, demo drywall & remove wood $ 1,600 DIV 3 - Concrete raise TV room floor& prep concrete 17,650 Concrete Floors owner credit paid Douglas direct (14,400) DIV 6 - Wood Framing rough framing &trim carpentry 3,480 DIV 8 - Doors & Windows no charge for Impact Doors &Windows - DIV 9 - Finishes Drywall, smooth ceiling, materials & such 4,350 Paint owner credit for glossy ceiling allowance (1,500) DIV 15 - Plumbing relocate Washer& Dryer into Utility room 400 DIV 15 - HVAC relcoate return air& adjust duct work above 1,150 DIV 16 - Electrical add outlets, 4"can lights, wire bedrooms 3,000 Electrical fixtures White change out electrical devices 395 Home Depot 12.20& 12.24(switches&outlets) - subtotal $ 16,125 General Conditions Management Fee @ 15% 2,419 $ 18,544 PAYMENT Owner Draw#3 -dated: 12.23.13 check#1027 (10,000) TOTAL AMOUNT REQUESTED $ 8,544 Please submit ment:u on receipt of this Invoice, JAH Construction Management, Corp. 239.594.8444 office - 2316 Pine Ride rd #429, Naples, FL 34109 INVOICE �.. !N`=;T R u -.,. ! t 4,2 N office #:- 239.594.8444 JAH Construction Mgt. DATE: 2316 Pine Ridge rd #429 01.20.13 Naples, FL 34109 BILL TO: INVOICE # Victoria Pozas Mengual RE: 2nd FLOOR MASTER BEDROOM 1041-03 1041 Oriole Circle REMODEL Naples, FL 34105 DESCRIPTION COST 1000 - General Conditions continual site clean up (1) man (2) days & $350 dumpster 750 2200 - DEMO remove Closets, Stairwell & Bathroom walls open up 2nd floor 800 Dec 5, 6 & 9- (2) men (2) day 3100 - FRAME frame new closet ceiling & open bathroom closet 960 frame walls for new Wardrobe & Bath area -frame down ceiling Dec 10 & 11 - (2) men (2) day 1200 - DRYWALL (35) sheets of 4x8 drywall boards, hand, tape, mud & finish 960 Dec 12 & 13- (2) men (2) day )950 - PAINT prime walls & ceiling - (1) coat finish paint on ceilings 480 prime bathroom & closet area Dec 17& 19- (1) men (2) day 1 5500 - HVAC add return air closet& bed room - relocate duct work behind bed 240 Dec 17- (1) men (1) day !6000 - ELEC rewire from wall removal - add misc switches & outlets 480 add can lighting in closet area Dec 10, 11 & 18- (1) men (16) hours /IATERIALS Home Depot-date & description 12/01/2013 2nd floor- joint compound, corner beads, fasteners 163 12/03/2013 Drywall sanding, resperators, sponges 111 12/06/2013 Trash bags for demo removal 18 12/09/2013 Frame 2nd Floor- plywood decking 120 12/10/2013 2nd floor drywall - (14) sheets &joint compound 168 12/11/2013 Home Depot-2x4x12' long 36 12/13/2013 20 minute drywall mud, sand paper& primer 145 12/17/2013 Home Depot- Primer 107 subtotal $ 5,538 General Conditions Management Fee @ 15%. 831 TOTAL AMOUNT REQUESTED $ 6,369 Please submit payment upon receipt of this invoice. Thanks!! SO 00 JAH Construction Management, Corp. 239.594.8444 office - 2316 Pine Ride rd #429, Naples, FL 34109 ev% INVOICE c- I iS'_�RUc rlEI)Ni office #: 239.594.8444 JAH Construction Mgt. DATE: 2316 Pine Ridge rd #429 01.20.13 Naples, FL 34109 BILL TO: INVOICE # Victoria Pozas Mengual RE: MISC EXTRAS 1041-04 1041 Oriole Circle & FLOOR PREP WORK Naples, FL 34105 DESCRIPTION COST 6000 - FRAMING recess & hang medicine cabinets above vanity (6) hours $ 180 build supports to mount vanity on wall 15000 - PLUMBING center vainty sink plumbing for pedistal sinks (6) hours 180 pipe for diverter& hand held shower wand 3000 - CONCRETE Floor Prep for Concrete Finish by ENVRMNT fill voids (rent large disk sander) 1st sand w/20 grit then 60 grit Dec 20, 21 & 23 - (1) man (2.5) days Home Depot 12.20.13 equipment rental - Floor Sander 129 Home Depot 12.20.13 Level Quick self-level underlayment 501bs bag 33 Home Depot 01.04.14 equipment rental - Floor Sander 146 Jan 3 - (4) hours run sander over floor 100 KIDS ROOM CEILING remove drywall texture - smooth out Ceilings 480 Dec 20, 21 & 23 - (16) hours Home Depot 12.18.13 - Drywall joint compound 42 KIDS ROOM WALLS remove drywall texture- smooth out Walls 600 Jan 20, 21, 22 & 23 - (20) hours subtotal $ 2,390 General Conditions Management Fee @ 15% 359 TOTAL AMOUNT REQUESTED $ 2,749 • Please submit payment upon receipt of this invoice. Thanks!! JAH Construction Management, Corp. E`1 239.594.8444 office - 2316 Pine Ride rd #429, Naples, FL 34109 10/16/2013 1041 Oriole Circle.xlsx 1041 ORIOLE CIRCLE I r --1 CCDNSTRUC.. I IE NI A E]esign l6uild YVSanmga ment Company pony magentestonamosmaca POZAS RESIDENCE Re: Kitchen, Stairs & Bathroom Remodel sheet: 1 of 2 COST DESC NOTES I BUDGET CODE I 950 DIV 1 -GENERAL REQUIREMENTS I 1330 Trash Clean Removal Icon(1) tiuous dumpster-off clean haul up of and debris 1650 site final construction clean DIV 2-SITE WORK 1,650 2200 DEMO KITCHEN-remove existing cabinets,top&appliances ceiling to come down&open kitchen to living rm remove wall STAIRS-take drywall down to expose framing around stairs BATHROOM-remove everything except vanity-chip up tile BEDROOMS-remove existing carpet, pad&tack strips DIV 3-CONCRETE I 3000 (CONCRETE I kids bathroom cut concrete for recessed shower floor(t.b.d.) $250 600 DIV 6-WOOD FRAMING 8,650 6100 FRAMING ALLOWANCE ITEM: New Stairs and modifying Stairwell area Bathroom frame opening in shower for new window&install window 6150 SIDING repair exterior siding where new window installed DIV 7-ROOF&INSULATION 250 I 7200 (INSULATION (Insulate ceiling above kitchen DIV 8-DOORS&WIN 425 ( I I 8100 (WINDOW (Bathroom-add 2'x5'double hung obscure glass window in shower DIV 9-FINISHES 4,250 9200 DRYWALL Kitchen-drywall ceiling and repair walls where cabinets removed Bathroom-dura/rock moisture board in shower&raise ceiling new board 9300 TILE Bathroom-Tile floor,shower walls&shower floor mud pack,water proof and pitch shower floor toward drain 1 225 9350 TILE MATERIAL ALLOWANCE ITEMS: floor 45sf, walls 105sf&shower floor 20sf @$7 9500 CARPET Carpet&pad installed in(2)bedrooms, closets&hallway between 1,050 9600 GRANITE 60"bath vanity top on existing vanity with itragral sink bowl 9950 PAINT Kitchen&Bathroom walls&ceiling tprime&paint) Bathroom strip wall paper to prep for paint Bedrooms(1)coat freshen up paint Touch up new exterior siding at Bathroom window DIV 15-PLUMBING 15000 PLUMBING Bathroom pipe new shower head&controls-hook up new fixtures hook up new vanity faucet&remove to reinstall toilet . plumb new shower drain 15200 PLUMB FIXTURES ALLOWANCE ITEMS: sink, faucet, shower head&controls 750 DIV 15-HVAC 1 15500 IHVAC (Kitchen-adjust and raise ductwork as needed (t.b.d.) $250 I JAH Construction Management, corp EA 239.594.8444-2316 Pine Ridge rd #429-Naples, FL 34109 10/16/2013 1041 Oriole Circle.xlsx 1041 ORIOLE CIRCLE Re: Kitchen,Stairs &Bathroom Remodel sheet: 2 of 2 DIV 16 - ELECTRICAL 1,450 16000 ELECTRICAL Kitchen-install (raise)existing can lights in new ceiling Stairs-safe/off electrical from wall&ceiling removal Bathroom install GFI (ground fault breaker)outlets in wet areas LIFE SAFETY add Smoke detectors&carbon/smoke combo detectors SUB-TOTAL $ 21,950 GENERAL CONDITIONS 2,195 CONSTRUCTION MANAGEMENT FEE 1,646 TOTAL JOB COST $ 25,791 ALLOWANCE ITEMS -Owner Selections TILE $ 1,225 Floor Tile Main bathroom floor 45sf @$7=315 Wall Tile shower walls 110sf @$7=770 Floor Tile shower floor 20sf @ $7= 140 CARPET $ 1,050 Carpet& Pad Bedrooms,closets& hallway = 525sf @$2 GRANITE $ 600 Granite Grainte counter top on existing vanity = 12sf @$50 PLUMBING $ 750 Sink & Faucet new sink&faucet in existing vanity shower controls&new shower head Stair scope of work (t.b.d.) to be deterimed STAIRS $ 8,750 LIVING ROOM Framing-modify stairwell walls leading to the 2nd floor 1,250 adjust floor trusses and support columns hold 2nd floor 1,250 build new Stair case 5,000 Drywall on walls&ceiling-wrap-or finish columns 1,250 this estimate does not include decorative paint or staining **Items below are not included in this budget or phase of construction TRIM KITCHEN NO-baseboard or trim work in budget DOORS &WINDOWS KITCHEN NO-doors or windows installed in kitchen Payments: 50% Deposit X 90% Substantial completion Sign in acceptance of contract with Deposit Date Final 10% owner sign off Client will hold JAH Construction Management,Corp.harmless to any legal action due to errors and omissions that are a result from any material related to this scope of work. In the event the client fails to pay any outstanding balance,interest shall accrue on the balance at the maximum rate allowable by Florida state laws. Client agrees to pay any necessary attorney's fees to enforce the terms of this service agreement. JAH Construction Management,corp 01/4 239.594.8444- 2316 Pine Ridge rd#429- Naples, FL 34109 ,- r • S3em 189 •• 1007 c �' VICTORIA POZAS MENGUAL i 4995 AIRPORT�PL�1 05 RD =JP_ N. 000 1 • NAPLES,_ - ‘: �` _ `*ra., `+-- $ f,]5 v.�lifr •f nrP tJ •,,,,..L'.. {..I � � -ate r r�,i F i■ �' Sabadell bank &Trust"' _ i j \06-0,0-0CLI.oet, j___.,Tracer: 1000004020 - $13,000.00 10/18/2013 di 1111111111111.1.11111: Willagatiligiall 1 0 0 ? \ Amt: $1 O rn I. z �� d II ill i 1 it ti 50). 1\ m� O N II T ; p1 r11 m m� �j�''i-11 U M' K - ,sue i'7J9 C"i m�pi0- �- 1vV/ g gSef,VP1 fl t 7:4 co -M, a °z° 1 O O 91 N`�p C 9 A ad�„°'c :» L ry ,,,,.ii r: 't 9 70 �:: Tracer: 100000 4020 - Amt: $13,000.00 - 10118/2013 e 1041 Oriole Proposals.xlsx 1041 ORIOLE CIRCLE I .....BA X1-1 CC MSTRUCTIC)N I A Casion/Maki Manacyamanc Company laaaafaniallaaatalaitagat POZAS RESIDENCE 10.28.13 DGET I Re: Kitchen, Stairs & Bathroom NOTES Remodel sheet: 1 of 2 1 COST DESC BU CODE i 950 DIV 1 -GENERAL REQUIREMENTS I1330 Trash Removal (1) dumpster-off haul of debris 1650 Clean Icontiuous site clean up and final construction clean 1,650 DIV 2-SITE WORK 2200 DEMO KITCHEN-remove existing cabinets,top&appliances ceiling to come down&open kitchen to living rm remove wall STAIRS-take drywall down to expose framing around stairs BATHROOM-remove everything except vanity-chip up tile BEDROOMS-remove existing carpet,pad&tack strips DIV 3-CONCRETE I 3000 (CONCRETE I kids bathroom cut concrete for recessed shower floor 600 DIV 6 -WOOD FRAMING 8 6100 FRAMING ALLOWANCE ITEM: New Stairs and modifying Stairwell area 8,750 Bathroom frame opening in shower for new window&install window 6150 SIDING repair exterior siding where new window installed DIV 7-ROOF&INSULATION 250 -- I I 7200 !INSULATION (Insulate ceiling above kitchen DIV 8-DOORS &WIN 425 I 8100 (WINDOW (Bathroom-add 2'x5'double hung obscure glass window in shower DIV 9-FINISHES 4,250 9200 DRYWALL Kitchen-drywall ceiling and repair walls where cabinets removed Bathroom-dura/rock moisture board in shower&raise ceiling new board 9300 TILE Bathroom-Tile floor, shower walls&shower floor mud pack,water proof and pitch shower floor toward drain 1 225 9350 TILE MATERIAL ALLOWANCE ITEMS: floor 45sf, walls 105sf&shower floor 20sf @$7 9500 CARPET Carpet&pad installed in(2)bedrooms, closets&hallway between 1,050 . 9600 GRANITE 60"bath vanity top on existing vanity with itragral sink bowl 600 - 9950 PAINT Kitchen&Bathroom walls&ceiling(prime&paint) $1,600 Bathroom strip wall paper to prep for paint Allowance Bedrooms(1) coat freshen up paint item_Touch up new exterior siding at Bathroom window 750 DIV 15-PLUMBING 15000 PLUMBING Bathroom pipe new shower head&controls-hook up new fixtures hook up new vanity faucet& remove to reinstall toilet plumb new shower drain () vessel sinks &faucet with exposed drain pipe _ 15200 PLUMB FIXTURES ALLOWANCE ITEMS: sink, faucet, shower head&controls 750 DIV 15-HVAC 1 L15500 I HVAC 'Kitchen-adjust and raise duct work as needed (t.b.d.) $250 I JAH Construction Management,corp 239.594.8444- 2316 Pine Ridge rd #429-Naples, FL 34109 et\ 1041 Oriole Proposals.xlsx 10.28.13 1041 ORIOLE CIRCLE Re: Kitchen, Stairs &Bathroom Remodel sheet: 2 of 2 1,450 DIV 16 -ELECTRICAL 16000 ELECTRICAL Kitchen-install (raise)existing can lights in new ceiling • Stairs-safe/off electrical from wall&ceiling removal Bathroom install GFI (ground fault breaker)outlets in wet areas LIFE SAFETY _add Smoke detectors&carbon/smoke combo detectors SUB-TOTAL $ 22,700 GENERAL CONDITIONS 2,270 CONSTRUCTION MANAGEMENT FEE 1,703 TOTAL JOB COST $ 26,673 ALLOWANCE ITEMS-Owner Selections 1,225 TILE Floor Tile Main bathroom floor 45sf @$7=315 Wall Tile shower walls 110sf @$7=770 Floor Tile shower floor 20sf @$7= 140 1,050 CARPET Carpet&Pad Bedrooms,closets&hallway = 525sf @$2 600 GRANITE Granite Grainte counter top on existing vanity = 12sf @$50 750 PLUMBING Sink&Faucet new sink&faucet in existing vanity shower controls&new shower head Stair scope of work (t.b.d.) to be deterimed STAIRS $ 8,750 LIVING ROOM Framing-modify stairwell walls leading to the 2nd floor 1,250 adjust floor trusses and support columns hold 2nd floor ,250 build new Stair case 5 5,000 Drywall on walls&ceiling-wrap or finish columns this estimate does not include decorative paint or staining **Items below are not included in this budget or phase of construction TRIM KITCHEN NO-baseboard or trim work in budget DOORS &WINDOWS KITCHEN NO-doors or windows installed in kitchen Payments: 50% Deposit 90% Substantial completion X Sign in acceptance of contract with Deposit Date Final 10% owner sign off Client will hold JAH Construction Management,Corp.harmless to any legal action due to errors and omissions that are a result from any material related to this scope of work. In the event the client fails to pay any outstanding balance,interest shall accrue on the balance at the maximum rate allowable by Florida state laws. Client agrees to pay any necessary attomey's fees to enforce the terms of this service agreement. JAH Construction Management,corp 401.110 239.594.8444- 2316 Pine Ridge rd #429- Naples, FL 34109 1041 Oriole Proposals.xlsx 1041 ORIOLE CIRCLE ,.. -4 NST[2UC 1 14N POZAS RESIDENCE A Design/Build Management Comps nY sheet: 1 of 2 Re: MAIN LIVING RM & CONCRETE FLOORS 11.11.13 COST DESC NOTES BUDGET CODE DIV 2-SITE WORK 1,600 2200 DEMO Chip up Tile-rent equipment hammer remove closet in Nina's room 1st Floor-remove Wood Flooring&all base boards DIV 3 -CONCRETE 17,650 3000 RAISE FLOOR Add 6"of concrete to level floor next to Entry 3500 CONCRETE FLOOR Douglas to place new Concrete Floors main Living&(2) Bedrooms 1,800 sf total @$8 per sf = $14,400 floor prep-grind floors with diamond bits concrete shower floor add texture for non slip surface - DIV 6-WOOD FRAMING 3,480 6100 ROUGH FRAME build walls for new Utility room, Closet&tv rm Niche Nina's room-move door&build new closet Exterior wall frame build (1)door&(2)window openings water proof opeings&trim exterior siding 6500 TRIM CARPENTRY base board-small trim piece where wall meets concrete floors new casing around interior doors Thresholds needed at Entry&Garage door to level with new floors Material for rough framing&trim carpentry cut down interior doors for new floor height DIV 8-DOORS &WINDOWS 8,300 8000 DOORS&WIN Exterior Impact Doors&Windows: (2)4x8 fixed windows-floor to ceiling 10'double doors with side lights&6'double doors Install(2)windows&(2)doors Interior doors-hang(2)doors Nina&Utility reuse existing 4'Closet bi-fold door for Utility Closet&Door for Nina's closet DIV 9-FINISHES 4,350 9200 DRYWALL patch drywall down low from base board removal Great room-smooth out entire ceiling to accept shinny finish reparis from door&window installation repair drywall from Electrical&HVAC work bedroom repairs from door removal&niche Material-drywall, screws, mud&etc. 9950 PAINT Great room to get a glossy finish(t.b.d.) $1,500 allowance in# DIV 15-PLUMBING 400 15000 PLUMBING Relocate Washer&Dryer inside of house moving plumbing washer box,electrical outlets&fix drywall JAH Construction Management,corp 239.594.M44- 2316 Pine Ridge rd#429- Naples, FL 34109 1041 Oriole Proposals.xlsx sheet: 2 of 2 Re: MAIN LIVING RM & CONCRETE FLOORS 11.11.13 DIV 15-HVAC 1,150 15500 HVAC relocate return air grill from utility wall relocate + Material add&adjust duct work in Great rm while ceilings are"open" DIV 16 -ELECTRICAL 3,000 16000 ELECTRICAL add outlets around perimeter walls 4"gimball can"art lights"around perimeter walls stair lighting-low voltage pin hole lights at each step Electrical in Bedrooms move plugs&switching SUB-TOTAL $ 39,930 GENERAL CONDITIONS&FEE @ 15% 5,990 TOTAL JOB COST $ 45,920 JAH Construction Management,corp E14 239.594.8444-2316 Pine Ridge rd #429- Naples, FL 34109 • t a 189 1Q28 t, i . r VICTORIA POZASiMENGUAL �� 1 4983 AIRPORT PULLING RD. 7 ∎, ,.` �, NAPLES, FL 34105 $.- _ i I eft?(Pd 1 ‘-K.00--gniLalr L..-.. $A 0.0 0 0 1 !11 IV\11)EiNSA,ND 1 f_o_u_____--1-:------1------:----_azza n R 111111111111P_.. _L io-, de116ank&Trust" i a l Saba U.A. ,� aAfwdlodUeMk 1 • +t� Tracer: 1000008257 - Amt: $10,000.00 12/3/2013 0 ,::,Z m m Fl t ? ti J✓ 11 m 5-n a rzil (.„.__ . 1 v, ,j I yrn.r I 0 m p a%a " I o rn z� � yro rn Z n A°i� i ?" 0l13 IE ERI A 63581 90 2G973 N 1 21E2 nig o m n ,Z$= ism } f,',1 o':“11-1 r a 0 O it i. ra o & i G u '"# • m= S N —L.f} - 4 t i cer: 1000008257 - Amt: $10,000.00 - 12/3/2013 Tra etii 1,021 •�1ag 04` ■ , - - - 4 voGli AIL 11404:43 7. 1 V1CY99RA RPORT pU3�4 05 0 ' ' . NAPLES.FS- " `+-- $ 0' .� Vii. - '. _�rcYj _ __•,..„,_ '4.. Q dale l It n �acr o� C Q. -fir r ,, rt. . . I -A, _i_a______ __,__, , ! g B &TN V ' \li 1 gabsdel y *mow. 1 1000005196 - Amt: $10,000.00 - 12/24/2013 11111111 -- Tracer.• • d' il 0 y ji V R' z d i m_ 33 Iri ri Zcgmm`";c t 2 0 O ! EV es c'v'a a �(� O '$0�aaa �'r .��,.* � R'lo 1 �w�. 3 �^;� oaw� n '� eSG it ro ' F`4 3i_..p., nA{{"7 7AT"1 Tl�i?�SRIV •�+ncnnncrt + m< 71 ek, z a ,'•'",7 ,r.iS' '-' 14...s3a d.,1.c RI ABANg 4,s,JCa€1,9, (� e 1 ,?p n" 00D...s' k z0 i� \ 2— 1 '14 i Si x, O n _ 1 Z i 00005196 - Amt: $10,000.00 - 12/24/2013 Tracer: 10 '`b BUILDING PERMIT APPLICATION CO*er CO t-tr-ity Growth Management Division,Planning and Regulation --------,----,---...-----, 2800 N. Horseshoe Drive,Naples Florida 34104* 239-252-2400 of lease fold plans with the plain side out Ensure documents are stapled inside each set of plans. Residential 1 or 2 Units fl Residential 3 or more Units ri Commercial ri Walk Through Permit No. scg....et 01_, \ Folio LOSS 0/2-.041O—7 State Cert No. L6.5'... ....- t5c,.;(:).b LI Job Address t(:)4 1 6 P-4 c Lt. 4—t oz. Company Name J A 1.--k 8 owner v t L 1:7‘' vo7A4. t-4 I.t46,...)I\L. g z Qualifier Name 4 INJ bt2 i--N-i 1-.1 r...., e Owners Phone No, .t.. E.-4 Contact Name A* -. < C./ g Address 7--3.t to pi t4t, (2% O Lot Block Unit 1:1 Subdivision t..-3 A li Li: 5 .1,- ..k-ri4 i -r-t-i,i to City ;4-4 I O State ft-- Zip 3'4 i C,C1 © Phone .2-31 e.,z, 5--- ei 5 Twnshp Li I Range Z 5 Section l c-.)14 SDP COA Fax FEMA BEE: Zone: E-Mail Address A ri 1 LL-ee.: J A 4 C,4-704.511,'vc--11c+-1 0 New Construction I:Doors/Windows 0 Marine 0 Re-Roof E:,...3 Ppate Provider 0 Non-Sprinkled 0 Addition D Electric/Low Voltage &tlectrical ED Sprinkled 0 Mechanical 0 Screen Enclosure 0 0 Low Voltage 0 0.I A FIT B E5 r.-1 tz4 4.1 0 Alteration []Fence E P.-.1 0 II A OH B 0 ,-..-, M.... b4ical w .4.., 1_,j Mobile Home 0 Shutter ;V, 5 lambing .g t 0 III A Olilt,,,,,- 0 0 Convenience Book ElFire z°' 0 Roofing P Dry f" g Ei Plumbing EiSiga/Flagpole 0 ".. , 0...., El Septic Z OVA irrq B 0 Demo 0 Gas • c4 ..-4 " El Shutters V Occupancy Classification Li Electric from House []Solar cn OPermit by Affidavit OPooI Description of Work: Description of Work: ?L-s^s-VCXV L:- 4- f-:,'Et isl>.p.ti, f-, u .4 t . yi-r,r-icE14 c4 f)AT4 gs=c4,41 g I\JO 4k-1 AI-4(43 0 Z 0 Z g 0 , 0.....-■ *Floors #Units #Fixtums 4 t 2 i 1 Stories 4 Units Cost of Job 5;COX) "'1"74 4 Tons Cost ofJob_ #Bedrooms # Baths #Tons (....) 18 Interior Sq Ft Exterior Sq Ft Total Area 4 0 Living Sq Ft Non-Living Sq Ft Total Area — .i'll g 2.ef,e3 tz 0 SDP. COA: s4 SDP. COA: Q Code(-4e. _ Code Case: SEWAGE WATER SUPPLY 0 Septic 0 Well 4 .-1/4 Name 0 Ave Maria El Ave Maria z oz cis 0 City of Naples 0 City of Naples to 0 Address_ t..., 0 Collier County 0 Collier County t •• City State Zip — *-( 0 Golden Gate City 0 Golden Gate City t--, Q 0 Immokalee Olmmokalee z c.r.. Phone o 4. — - fl Orange Tree ED Orange Tree r--4 0 Other fl Other July 1, 2011 (For Use By County Stall)PMR Date: 1 4).4 3 Days Review: c.— 4of S ets3 611.41 ACKNOWLEDGEMENT OF COLLIER COUNTY REGULATIONS Per Florida Statutes 713.135 a Notice of Commencement(NOC)Is required for construction of improvements totaling more than$2,500,with certain exceptions. For AIC Replacements a notice of commencement is required for improvements more than$7,500. The applicant shall file with the issuing authority prior to the first inspection either a certified copy of the recorded NOC or a notarized statement th at the NOC has been filed for recording,along with a copy thereof. In order to comply with the state requirement,permits will be placed in inspection hold until proof of the NOC Is filed with the building permitting and inspection department. The issuing authority shall not perform or approve subsequent inspections until the applicant files by mad,facsimile,hand delivery,email or any other means such certrfied copy with the issuing authority. 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 and/or permit application expires if not commenced within six(6)months from the date of issuance. The permit or application fee will be four times the amount of the permit fee, if work is started without an approved permit. The permittee further understands that only licensed contractors may be employed and that the structure will not be used or occupied until a certificate of occupancy is issued. By signing this permit application,I agree that I have been retained by the ownerlpermittee to provide contracting services for the trade for which I am listed. Furthermore,it is my responsibility to notify the Customer Service section of the Building Review and Permitting Department should I no longer be the contractor responsible for providing said contracting services. I further agree that I understand that the review and issuing of this permit does not exempt me from complying with all County Codes and Ordinances. It is further understood that the property owner/permittee 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 RELATIVE TO THESE RESTRICTIONS. THE LANDOWNER OR ANY APPLICANT ACTING ON BEHALF OF THE LANDOWNER IS CAUTIONED TO SEE PROFESSIONAL ADVICE. WARNING ON WORK IN COUNTY RIGHT-OF-WAYS This permit does not authorize construction or installation of any structure or utility,above or below ground,within any right-of-way or easement reserved for access,drainage or utility purposes. This restriction specifically prbitibits fencing, sprinkler systems, landscaping other than sod, signs, water, sewer, cable and drainage work therein. If such improvements are necessary,a separate permit for that purpose must he obtained from Transportation/ROW Permits and inspections(239)252-5767. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management district, state agencies, or federal agencies. CONVENIENCE BOOKS A convenience book can be purchased for air conditioning,water heaters,or residential garage doors(size for size). They may not be used for work having a value of over$5000. They are not valid for work in the Right of Way. A separate ROW permit must be obtained. Reapplications are allowed for convenience permits. The permit must be completely filled out by you prior to commencing the work,and the job-site copy posted at the electric meter. it is your responsibility to ensure the documents are posted correctly and securely. Inspections must be called for within 24 hours of work completion. A permit is not required for a water heater under 52 gallons for a single family detached house only Residential garage doors need NOA or Florida Product Approval. Approval numbers must be written on the convenience permit. Approval must be on the job site with the copy of the permit. Convenience permits can be delivered or faxed to the office at(239)—252-3990. Company Name: State License##: Qualifier's Name Qualifier's Signature State of ,County of Sworn to(or affirmed)and subscribed before me this ! / Who is personally known OR Produced ID Type of iD Notary Public Name (SEAL) Notary Public Signature 6/6/2011 Et% ACKNOWLEDGEMENT OF COLLIER COUNTY REGULATIONS Per Florida Statutes 713.135 a Notice of Commencement(NOC)is required for construction of;mprovements totaling more than$2,500 with certain exceptions. For NC Replacements a notice of commencement is required for improvements more than 57.500. The applicant shall file with the issuing authority prior to the first inspection either a certified copy of the recorded HOC or a notarized statement that the HOC has been fled for recording,along with a copy thereof In order to comply with the state requirement,permits will be placed in inspection hold until proof of the HOC is filed with the building permitting and inspection department. The issuing authority shall not perform or approve subsequent inspections until the applicant files by mail,facsimile,hand delivery,email or any other means such certified copy with the issuing authority. 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 and/or permit application expires if not commenced within six(5)months from the date of issuance. The permit or application fee will be four times the amount of the permit fee, if work is started without an approved permit. The permittee further understands that only licensed contractors may be employed and that the structure will not be used or occupied until a certificate of occupancy is issued. By signing this permit application,1 agree that I have been retained by the owner/permittee to provide contracting services for the trade for which I am listed. Furthermore,it is my responsibility to notify the Customer Service section of the Building Review and Permitting Department should I no longer be the contractor responsible for providing said contracting services. I further agree that I understand that the review and issuing of this permit does not exempt me from complying with all County Codes and Ordinances. It is further understood that the property owner/permittee 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 RELATIVE TO THESE RESTRICTIONS. THE LANDOWNER OR ANY APPLICANT ACTING ON BEHALF OF THE LANDOWNER IS CAUTIONED TO SEE PROFESSIONAL ADVICE. WARNING ON WORK IN COUNTY RIGHT-OF-WAYS This permit does not authorize construction or installation of any structure or utility,above or below ground,within any right-of-way or easement reserved for access,drainage or utility purposes. This restriction specifically prohibits fencing, sprinkler systems, landscaping other than sod, signs, water, sower, cable and drainage work therein. If such improvements are necessary,a separate permit for that purpose must be obtained from Transportation/ROW Permits and Inspections(239)252-5767. NOTICE_ In addition to the requirements of this permit,there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management district, state agencies, or federal agencies. CONVENIENCE BOOKS A convenience book can be purchased for air conditioning,water heaters,or residential garage doors=size for size). They may not be used for work having a value of over$soon. They are not valid for work in the Right of Way. A separate ROW permit must be obtained. Reapplications are allowed for convenience permits. The permit must be completely filled out by you prior to commencing the work,and the Job-site copy posted at the electric meter. it is your responsibility to ensure the documents are posted correctly and securely. Inspections must be called for within 24 hours of work completion. A permit is not required for a water heater under 62 gallons for a single family detached house only. Residential garage doors need NOA or Florida Product Approval. Approval numbers must be written on the convenience permit. Approval most be on the Job site with the copy of the permit. Convenience permits can be delivered or faxed to the office at(239)—2524990. Company Name: L' -"`t -)e-C-. State License#:.CE" t } 7 Qualifier's NaD e- ,r'�.'bgi:vi t L t Qualifier's Signature -- State of , Co y of ' ' f"- Sworn to(or affirmed) and bscribed before me this Who is personally know OR Produced ID Type of ID Notary Public Name (SEAL) Notary Public Signature .✓011b.. 6/6/2011 elvt‘ COLLIER COUNTY GOVERNMENT GROWTH MANAGEMENT DIVISION / PLANNING AND REGULATION 2800 N. Horseshoe Drive, Naples FL 34104 * Phone (239) 252-2400 Outstanding Corrections Date: December 12, 2013 PERMIT NO: PRBD2013123006901 Contact Name: JAH CONSTRUCTION MANAGEMENT APPLICATION NO: PRBD20131230069 CORP. Address: 1500 BALD EAGLE DR. JOB SITE ADDRESS: 1041 Oriole CIR City, State Zip: NAPLES, FL 34105-- Fax: (239) 594-8410 Email: ahill @jahconstruction 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: REMOVE& RE-INSTALL KITCHEN & BATHROOM NO CHANGES. 1041 ORIOLE CIR Rejected Review: Residential Review Reviewed By: Richard Traverse Phone:239-252-2968 Email:richardtraverse @colliergov.net Correction Comment 1: A STOP WORK ORDER was posted on this property on 11-20-13. Photographs taken verify work undertaken is not shown on drawing submitted for permit. Please resubmit permit drawings showing all work undertaken and planned. This includes, electrical, mechanical and plumbing work. Structural work must be detailed for size of members, hold down straps, etc. Note: Previously completed work must be visible for inspection. Completed work not visible may require permitting as "Permit by Affidavit". Correction Comment 2: This review shall be considered incomplete pending receipt of the information requested. Subsequent reviews may reveal additional deficiencies Submit 3 sets of revised sheets along with 3 letters of response addressing each item. PLEASE NOTE: Collier County Plan Review and Inspections routinely reviews all outstanding permit applications in order to determine their status. The review process includes appropriate responses from the permit applicant when the permit cannot be approved. When the applicant is advised of deficiencies and does not respond within six (6) months with corrected plans or an appeal to the Code Enforcement Board, the permit application will be canceled as per Collier County Ordinance 2002-01, Section, 104.5.1.1 to 104.5.1.4. IMPORTANT: The new Digital Flood Insurance Rate Map (DFIRM) will be effective on March 30, 2012. All development and building permit must be in compliance with the DFIRM flood zone and flood elevation requirements beginning on March 30, 2012. Please note that applications submitted prior to March 30, 2012, but issued after March 29, 2012, must be in compliance with the DFIRM requirements. COLLIER COUNTY GOVERNMENT GROWTH MANAGEMENT DIVISION / PLANNING AND REGULATION 2800 N. Horseshoe Drive, Naples FL 34104 * Phone (239) 252-2400 Outstanding Corrections Date: May 02, 2014-2nd letter PERMIT NO: PRBD2013123006901 Contact Name: JAH CONSTRUCTION MANAGEMENT APPLICATION NO: PRBD20131230069 CORP. Address: 1500 BALD EAGLE DR. JOB SITE ADDRESS: 1041 Oriole CIR City, State Zip: NAPLES, FL 34105-- Fax: (239) 594-8410 Email:ahill @jahconstruction 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. Submit 3 sets of revised sheets along with 3 letters of response addressing each item. All corrections must be clouded. Corrections must be submitted in person, the GMD office receiving corrections is open until 4:00 pm. (NOTE: SIRE permit corrections must be resubmitted through SIRE) ** Please Note: Effective January 1st, 2014 all Commercial Permit submissions require 2 additional plan sets for the Fire Code Official (FCO) office to address any permit review correction comments.** JOB DESCRIPTION: REMOVE& RE-INSTALL KITCHEN & BATHROOM NO CHANGES. 1041 ORIOLE CIR Rejected Review: Residential Review Reviewed By: Richard Traverse Phone:239-252-2968 Email:richardtraverse@colliergov.net Correction Comment 1: Per direction of the Building Official, the Engineer of Record shall visit the site to determine existing conditions and document existing conditions and work to be completed on plans. Per discussion by Building Official and owner draftsperson only was on site. Work must be verified by Engineer of Record. Correction Comment 2: A STOP WORK ORDER was posted on this property on 11-20-13. Photographs taken verify work undertaken is not shown on drawing submitted for permit. Please resubmit permit drawings showing all work undertaken and planned. This includes, electrical, mechanical and plumbing work. Structural work must be detailed for size of members, hold down straps, etc. Note: Previously completed work must be visible for inspection. Completed work not visible may require permitting as"Permit by Affidavit". 5/2/2014: Submittal incomplete. See additional comments as of 5/2/2014. Correction Comment 3: The property was inspected by the Collier County Building Official and the following was observed: The space under the stairway is used for storage and no drywall was noted on plans per FBCR R302.7. Please verify space meets code and note drywall on plans. Correction Comment 4: Exposed wiring was observed. Please complete and inspect work, verified by Engineer of Record to have been built per FBCR and NEC. Correction Comment 5: Stairway to 2nd floor has area labeled "open below". Please verify/revise plans to show construction below stairs. Correction Comment 6: Please verify stairs meet FBCR R311.7.7 Handrails. Correction Comment 7: Room labeled Office is a Bedroom. Please revise plans to indicate construction of room coincides with the plans and room use. fol, Correction Comment 8: Please provide details on plans for floor joist framing at the top of the stairs. Correction Comment 9: Please confirm spacing of electrical outlets per NEC code. Correction Comment 10: Verify (and note on plans) bathroom fan installed for bathroom with fixed windows. If fan is per this permit, the 300 and 301 inspections are required to be added to the Permit by Affidavit, signed & sealed by the Engineer of Record. Correction Comment 11: This review shall be considered incomplete pending receipt of the information requested. Subsequent reviews may reveal additional deficiencies. ATTENTION: 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 180 days 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. tippllop COLLIER COUNTY GOVERNMENT GROWTH MANAGEMENT DIVISION / PLANNING AND REGULATION 2800 N. Horseshoe Drive, Naples FL 34104 * Phone (239) 252-2400 Outstanding Corrections Date: May 29, 2014 PERMIT NO: PRBD2013123006901 Contact Name: JAH CONSTRUCTION MANAGEMENT APPLICATION NO: PRBD20131230069 CORP. Address: 1500 BALD EAGLE DR. JOB SITE ADDRESS: 1041 Oriole CIR City, State Zip: NAPLES, FL 34105-- Fax: (239) 594-8410 Email:ahill @jahconstruction.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. Submit 3 sets of revised sheets along with 3 letters of response addressing each item. All corrections must be clouded. Corrections must be submitted in person, the GMD office receiving corrections is open until 4:00 pm. (NOTE: SIRE permit corrections must be resubmitted through SIRE) ** Please Note: Effective January 1st, 2014 all Commercial Permit submissions require 2 additional plan sets for the Fire Code Official(FCO) office to address any permit review correction comments.** JOB DESCRIPTION: REMOVE& RE-INSTALL KITCHEN &BATHROOM NO CHANGES. 1041 ORIOLE CIR Rejected Review: Residential Review Reviewed By: Richard Traverse Phone:239-252-2968 Email:richardtraverse @colliergov.net Correction Comment 4: Exposed wiring was observed. Please complete and inspect work, verified by Engineer of Record to have been built per FBCR and NEC. 5/29/2014: Final inspection is to be completed by Engineer of Record.All wiring must be completed prior to approval. Correction Comment 10: Verify (and note on plans) bathroom fan installed for bathroom with fixed windows. If fan is per this permit, the 300 and 301 inspections are required to be added to the Permit by Affidavit, signed & sealed by the Engineer of Record. 5/29/2014: No reply to this comment, please reply. Correction Comment 11: This review shall be considered incomplete pending receipt of the information requested. Subsequent reviews may reveal additional deficiencies. ATTENTION: 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 180 days 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. el IA Jacksonian From: WalshJonathan Sent: Friday, July 18, 2014 11:00 AM To: Jacksonian Cc: OssorioMichael; LongRichard Subject: RE: 1041 Oriole Circle/ Permit PRBD20131230069 Ian & Mike, It is my opinion that the contractor worked on the residence without a permit willfully violating the requirements of the Florida Building Code and the charge of misconduct shall be applied. Jonathan Walsh, PE, CBO Chief Building Official Collier County From: Jacksonlan Sent: Thursday, July 17, 2014 8:25 AM To: WalshJonathan Cc: OssorioMichael Subject: 1041 Oriole Circle/ Permit PRBD20131230069 Jonathan, Would you review the attached case detail report to determine whether, in your opinion as County Building Official,the contractor has willfully violated the building code, resulting in a charge of misconduct? 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 ian Jackson pcolliergov.net 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. 1 sits, SCOPE AND ADMINISTRATION shall be as specified in this code or by other recognized test Mechanical: standards. In the absence of recognized and accepted test methods,the building official shall approve the testing pro 1. Portable heating appliance. pro- cedures. Tests shall be performed by an approved agency. 2. Portable ventilation equipment. Reports of such tests shall be retained by the building off 3. Portable cooling unit. cial for the period required for retention of public records. 104.11.3 Accessibility. Alternative designs and technolo 4. Steam,hot or chilled water piping within any heating gies for providing access to and usability of a facility for or cooling equipment regulated by this code. persons with disabilities shall be in accordance with provi- 5. Replacement of any part that does not alter its sions of the Florida Building Code,Accessibility. approval or make it unsafe. 6. Portable evaporative cooler. SECTION 105 7. Self-contained refrigeration system containing 10 PERMITS pounds (5 kg) or less of refrigerant and actuated by 105.1 Required.Any owner or authorized agent who intends motors of 1 horsepower(746 W)or less. to construct,enlarge, alter,repair,move, demolish, or change 8. The installation,replacement,removal or metering of the occupancy of a building or structure, or to erect, install, any load management control device. enlarge, alter, repair, remove, convert or replace any impact Plumbing: resistant coverings, electrical, gas, mechanical or plumbing system,the installation of which is regulated by this code,or to 1. The stopping of leaks in drains, water, soil, waste or cause any such work to be done,shall first make application to vent pipe, provided, however, that if any concealed the building official and obtain the required permit. trap, drain pipe, water, soil, waste or vent pipe 105.1.1 Annual facility permit. In lieu of an individual becomes defective and it becomes necessary to permit for each alteration to an existing electrical, gas, remove and replace the same with new material,such mechanical,plumbing or interior nonstructural office sys work shall be considered as new work and a permit tem(s),the building official is authorized to issue an annual shall be obtained and inspection made as provided in permit for any occupancy to facilitate routine or emergency this code. service, repair, refurbishing, minor renovations of service 2. The clearing of stoppages or the repairing of leaks in systems or manufacturing equipment installations/reluea- pipes,valves or fixtures and the removal and reinstal- tions. 44 The building official shall be notified of major lation of water closets,provided such repairs do not changes and shall retain the right to make inspections at the involve or require the replacement or rearrangement facility site as deemed necessary.An annual facility permit of valves,pipes or fixtures. shall be assessed with an annual fee and shall be valid for one year from date of issuance. A separate permit shall be 105.2.1 Emergency repairs. Where equipment replace obtained for each facility and for each construction trade,as means and repairs must be performed in an emergency situa applicable. The permit application shall contain a general tion, the permit application shall be submitted within the description of the parameters of work intended to be per next working business day to the building official. formed during the year. 105.2.2 Minor Repairs. Ordinary ary minor repairs may be 105.1.2 Annual permit records. The person to whom an made with the approval of the building official without a annual permit is issued shall keep a detailed record of alter- permit,provided the repairs do not include the cutting away ations made under such annual permit.The building official of any wall,partition or portion thereof,the removal or cut- shall have access to such records at all times or such records ting of any structural beam or load-bearing support, or the shall be filed with the building official as designated. removal or change of any required means of egress,or rear- rangement of parts of a structure affecting the egress 105.1.3 Food permit. As per Section 500.12,Florida Stat- requirements;additionally,ordinary minor repairs shall not utes,a food permit from the Department of Agriculture and include addition to,alteration of,replacement or relocation Consumer Services is required of any person who operates a of any standpipe, water supply, sewer, drainage, drain food establishment or retail store. leader,gas,soil,waste,vent or similar piping,electric wir- 105.2 Work exempt from permit. Exemptions from permit ing systems or mechanical equipment or other work affect- requirements of this code shall not be deemed to grant authori- ing public health or general safety,and such repairs shall not zation for any work to be done in any manner in violation of the violate any of the provisions of the technical codes. provisions of this code.Permits shall not be required for the fol- lowing: 105.2.3 Public service agencies.Reserved. • Gas: 105.3 Application for permit.To obtain a permit, the appli- cant shall first file an application therefor in writing on a form 1. Portable heating appliance. furnished by the building department for that pu e. Permit 2. Replacement of any minor part that does not alter application forms shall be in the format pre 'b a local approval of equipment or make such equipment administrative board, if applicable,and mus ith the unsafe. requirements of Section 713.135(5)and(6), Ida tatutes. t4 2010 FLORIDA BUILDING CODE—BUILDING 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 materials 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 Ell Words r reug#are deleted;words underlined are added. C tergov.net Report Title: Code Case Details Date: 4/21/2014 7:39:43 AM Case Number: cecv20130017004 Case Number: CECV20130017004 Status: Closed Case Type: Code Violation Date& Time Entered: 11/15/2013 7:11:24 PM Priority: Normal Entered By: webAnonymousUser Inspector: ReggieSmith Case Disposition: Referral Jurisdiction: Contractor's Licensing Origin: Public Portal Detail Description: Working on house without proper permits Location Comments: 1041 Oriole circle Naples fl Property 60880920007 SEilt Business Management & Budget Office 1 Code Case Details Execution Date 4/21/2014 7:39:43 AM Desc Assigned Required Completed Outcome Comments Enter Initial Case Information webAnonymo 11/15/2013 11/18/2013 Complete usUser Addressing Review webAnonymo 11/15/2013 11/18/2013 Complete usUser — Preliminary Investigation ReggieSmith 11/20/2013 11/20/2013 Needs 11-20-13 RECEIVED CASE AND SITE Investigatio VISITED. WHILE APPROACHING THE n FRONT DOOR, IN PLAIN VIEW, I WITNESSED AN INTERIOR REMODEL CONSISTING OF A DRYWALL GUTTED ROOM WITH NEW AND OLD ELECTRICAL HANGING DOWN FROM THE CEILING. THERE WAS NO ANSWER AT THE DOOR AFTER MULTIPLE DOORBELL AND KNOCKING. WITNESSED TWO CONSTRUCTION TYPE VEHICLES IN THE DRIVEWAY. POSTED A STOP WORK ORDER DUE TO NO EXISTING PERMITS FOR THIS PROPERTY. PHOTO X 2. RS Cont. Investigation ReggieSmith 11/21/2013 11/21/2013 Complete 11-21-13 RECEIVED CALL FROM OWNER, VICTORIA,239-961-6924,AND SPOKE TO HER. SHE ADVISED SHE RECEIVED INFOMATION FROM HER CONTRACTOR MAKING HER AWARE OF MY POSTED STOP WORK ORDER. SHE STATED SHE IS NEW TO THE COUNTRY AND ISN'T I-AMILIAR WI I H OUR BUILDING CODE REQUIREMENTS. I REQUESTED TO KNOW HER CONTRACTOR INFORMATION; SHE DID NOT HAVE ANY INFORMATION ON HAND AND REQUESTED TO CALL ME BACK WITH THE NAME AND PHONE INFORMATION FOR THE MAN AND HIS HELPER THAT WAS REFERRED TO HER BY A FRIEND. SHE STATED PORTIONS OF THE HOME NEEDED SOME MOLD REMEDIATION AND THAT SHE REQUESTED SOME ELECTRICAL BE MOVED TO SUPPLY LIGHTING. AWAITING HER RETURN CALL. ADDED PERMIT ALERT TO PROPERTY. RS Attach Picture(s) ReggieSmith 11/21/2013 11/21/2013 Complete ATTACHED PHOTO X 2. RS eit‘ Business Management& Budget Office 2 Code Case Details Execution Date 4/21/2014 7:39:43 AM Desc Assigned Required Completed Outcome Comments Cont. Investigation ReggieSmith 12/4/2013 12/5/2013 Complete 12-04-13 MET WITH PROPERTY OWNER, VICTORIA POZAS, ONSITE TO VIEW THE HOME INTERIOR ALTERATIONS/ UPGRADES AND TO RECEIVED ANY ADDITIONAL INFORMATION FOR THE HIRED CONTRACTORS WHO PERFORMED MULTIPLE TRADES WITHOUT REQUIRED PERMITS. UPON ARRIVAL WE WALKED THE ENTIRE HOME TO REVEAL A LARGE SCALE REMODEL IN MULTIPLE ROOMS. PHOTO X 7. AFTERWARDS WE DISCUSSED HOW SHE CAN MOVE FORWARD BY OBTAINING A PERMIT FOR THE WORK THAT HAS ALREADY BEEN PERFORMED. SHE WAS NOT ABLE TO PROVIDE ANY ADDITIONAL INFORMATION ABOUT THE INITIAL HIRED CONTRACTOR (ROB)OTHER THAN SHE RECEIVED HIS CONTACT INFORMATION FROM A SEPARATE PERSON ABOUT ONE YEAR AGO AND NO LONGER HAS CONTACT WITH THAT PERSON. SHE NEVER RECEIVED A PHONE NUMBER FROM ROB DUE TO A PRIVATE NUMBER LISTING. SHE STATED SHE DID NOT THINK MUCH OF NOT OBTAINING ANY CONTRACT IN WRITING,CHECKING FOR LICENSING, NOR THE PAYMENT IN CASH OF $10,000.00 PRIOR TO JOB COMPLETION. SHE STATED THIS IS COMMON WHERE SHE IS FROM IN ITALY. SHE COULD ONLY DESCRIBE ROB'S APPEARANCE AS 50'S, DIRTY BLONDE HAIR, BLUE EYES(KIND), MEDIUM BUILD,ABOUT 5' 10",AND DRIVING A GRAY OR SILVER PICK UP TRUCK. SHE STATED SHE ONLY MET WITH HIM ON THREE DIFFERENT OCCASIONS AND HE HAD A HELPER. I ADVISED I WILL WAIT TO HEAR FROM HER WITH ANY ADDITIONAL INFORMATION THAT MAY LEAD TO HIS CONTACT; HOWEVER WITH THE LIMITED INFORMATION NOW WILL LIMIT MY ABILITY TO CONTACT ROB FOR ANY CORRECTION OR MONETARY COMPENSATION/REFUND. I ADVISED HER RIGHT TO FILE A COMPLAINT WITH THE CCSO; HOWEVER SHE STATED SHE WOULD THINK ABOUT IT. RS Attach Picture(s) ReggieSmith 12/11/2013 12/11/2013 Complete ATTACHED PHOTO X 8. RS E Business Management& Budget Office 3 Code Case Details Execution Date 4/21/2014 7:39:43 AM Desc Assigned Required Completed Outcome Comments Investigation ReggieSmith 12/11/2013 12/12/2013 Settled 12-11-13 REVIEWED PHOTOS WITH BUILDING REVIEW STRUCTURAL REVIEWER FOR PERMIT PRBD20131230069,APPLIED FOR BY JAH CONSTRUCTION MANAGEMENT. PERMIT SUBMITTAL REQUIRES REVISION TO INCLUDE ALL STRUCTURAL AND ELECTRICAL ALTERATIONS MADE BY THE PREVIOUS CONTRACTOR. CALLED, 825- 9530,AND ADVISED QUALIFIER,JOHN HILL, OF SAME. CASE REVIEW WITH M.OSSORIO,WHO ADVISED CASE CLOSURE DUE TO NO ADDITIONAL INFORMATION LEADING TO THE UNLICENSED CONTRACTORS AND DUE TO THE HOMEOWNER HIRED A LICENSED ENGINEER AND CONTRACTOR TO SUBMIT FOR PERMIT TO CORRECT THE BUILDING CODE VIOLATION. CASE CLOSED. 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