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CLB Agenda 09/17/2014 CONTRACTORS LICENSING BOARD Agenda September 17 , 2014 r co t-re-r County COLLIER COUNTY CONTRACTORS' LICENSING BOARD AGENDA SEPTEMBER 17, 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: August 20, 2014 V. DISCUSSION: VI. NEW BUSINESS: (A) Orders of the Board (B) Barry Helff- Brothers of SW FL, LLC (DBA) Statewide Painting-Second entity application (C) Todd Fabry, Florida Custom Carpentry, LLC-Waiver of examination(s) (D) Marius Pughiuc, Advanced Flooring of SWFL, Inc.- Review of credit report(s) (E) Derek Jenks- Contesting Citation(s) (F) George Pickhardt—Contesting Citation(s) VII. OLD BUSINESS: (A) Osvaldo E. Gonzalez Gutierrez, Calimete Premium Quality, Inc.-Review of Business Plan VIII. PUBLIC HEARINGS: IX. REPORTS: X. NEXT MEETING DATE: WEDNESDAY, OCTOBER 15, 2014 COLLIER COUNTY GOVERNMENT CENTER ADMINISTRATIVE BUILDING THIRD FLOOR IN COMMISSIONER'S CHAMBERS 3299 E. TAMIAMI TRAIL NAPLES, FL 34112 August 20,2014 MINUTES OF THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD MEETING August 20, 2014 Naples, Florida LET IT BE REMEMBERED, that the Collier County Contractors' Licensing Board, having conducted business herein, met on this date at 9:00 AM in REGULAR SESSION in Administrative Building "F," 3rd Floor, Collier County Government Complex, Naples, Florida, with the following Members present: Chairman: Patrick White Vice Chair: Thomas Lykos Members: Michael Boyd Ronald Donino Terry Jerulle Richard Joslin Kyle Lantz Gary McNally Robert Meister ALSO PRESENT: Michael Ossorio — Supervisor, Contractors' Licensing Office Kevin Noell, Esq. —Assistant County Attorney James F. Morey, Esq. —Attorney for the Contractors' Licensing Board Ian Jackson — Licensing Compliance Officer Rob Ganguli — Licensing Compliance Officer 1 August 20,2014 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 9:01 AM and read the procedures to be followed to appeal a decision of the Board. Roll call was taken and a quorum was established; nine members were present. II. AGENDA—ADDITIONS, DELETIONS, OR CHANGES: (None) III. APPROVAL OF AGENDA: Changes: A. Under Item VIII, "Public Hearings," • Case#2014 -09: BCC vs. John Andrew Hill, d/b/d "JAH Construction Management Corp." will be heard following Item V, "Discussion." Richard Joslin moved to approve the Agenda as amended. Gary McNally offered a Second in support of the motion. Carried unanimously, 9—0. IV. APPROVAL OF MINUTES—JULY 16,2014: Richard Joslin moved to approve the Minutes of the July 16, 2014 meeting as submitted. Gary McNally offered a Second in support of the motion. Carried unanimously, 9—0. V. DISCUSSION: (None) VIII. PUBLIC HEARINGS: (Note: With reference to the cases heard under Section VIII, the individuals who testified were first sworn in by the Attorney for the Board.) A. Case#2014 -09: Board of Collier County Commissioners vs. John Andrew Hill, d/b/d "JAH Construction Management Corp." Robert Meister excused himself from participating in the proceedings stating he has been acquainted with the Respondent for several years. Chairman White clarified: Mr. Meister wished to avoid the appearance of a Conflict of Interest based upon his personal relationship with the Respondent. Attorney Robert Morey,Attorney for the Board, explained Mr. Meister is required to complete and submit Form 8-B ("Conflict of Interest") which will be read into the minutes of the September 2014 meeting. 2 August 20,2014 Vice Chairman Thomas Lykos also recused himself from participating due to his previous interaction with the Respondent in a similar case, approximately four years earlier. It could be inferred that he may have a bias against the Respondent. Chairman White stated while it was unlikely that Mr. Lykos could profit or be harmed in any way from any business dealings based on his current relationship with the Respondent, it was the appearance of a Conflict of Interest (including bias or prejudice) that was to be avoided. It was noted Mr. Lykos will also complete and submit Form 8-B which will be read into the minutes of the September 2014 meeting. Chairman White briefly outlined the order of the proceedings to be followed: • Open the Public Hearing, swear in witnesses, and accept any evidence from the parties. • The County will present its "Opening Statement." • The Respondent will present his/her"Opening Statement." • The County will present its "Case in Chief' followed by the Respondent's defense. • The County may offer any "Rebuttal. " • Each party is permitted to present a "Closing Statement." • That will conclude the Public Hearing. • The Board will close the Public Hearing and receive instructions from the Board's Attorney which is similar to the Charge given to a Jury, setting out the parameters on which the decision will be based. • During deliberations, the Board can request additional information and clarification from the parties. • The Board will decide two different issues: o Whether the Respondent is guilty of the offense as charged in the Administrative Complaint. A vote will be taken on the matter. o If the Respondent is found guilty, the Board must decide the Sanctions to be imposed. • The Board's Attorney will advise the Board concerning the Sanctions that may be imposed and the factors to be considered. • The Board will discuss the Sanctions and vote. • The Chair will orally report the decision of the Board. Gary McNally moved to open the Public Hearing. Richard Joslin offered a Second in support of the motion. Carried unanimously, 7—0. Ian Jackson, Licensing Compliance Officer, requested to enter the County's case packet into evidence. Chairman White, noting there were no objections from the Board, approved entering the case packet in Case #2014-09: Board of Collier County Commissioners vs. John Andrew Hill, d/b/d "JAH Construction Management Corp." into evidence as County's Exhibit "A." 3 August 20,2014 Ian Jackson presented the County's "Opening Statement:" • The County was prepared to show through documented facts and sworn testimony that by beginning construction of the project at 1041 Oriole Circle prior to making application to the Collier County Building Official to obtain the required permit and continuing construction through a Collier County "Stop Work" Order, the Respondent violated Collier County Ordinance #90-105, as amended, Section 4.2.2, i.e., "Willfully violating the applicable Building Codes of laws of the State, city, or Collier County." Mr. Jackson stated the Respondent and his representative were not contesting the charge contained in the Administrative Complaint. Chairman White requested verification of the Section number for the Code of Laws. A. Section 22-201.1. Chairman White noted the section of the 2010 Florida Building Code that had been violated was Section 105.1, i.e., working without a permit. The Respondent was represented by his attorney, Alex Fugueras. Attorney Fugeras stated the Respondent would not challenge the allegations and asked the record to reflect that the entire situation was due to a misunderstanding and was not "willful." Chairman White inquired if there had been a discussion concerning the possible Sanctions to be imposed. A. There have been discussions with the County's Attorney and Mr. Ossorio. We agreed that they are in light of the circumstances. Chairman White stated it effectively appeared there was an admission of guilt by the Respondent. Kevin Noell, Assistant County Attorney, stated since the Respondent had essentially admitted the Violation, the County was prepared to present its recommendations to the Board after the Public Hearing was closed. He noted the Board received the packet that was admitted into evidence and it was not contested by the Respondent. The Respondent's attorney stated they had nothing further to present to the Board. Chairman White called for a motion for a Finding of Violation based upon the Respondent's admission of guilt. Kyle Lantz moved to approve closing the Public Hearing. Richard Joslin offered a Second in support of the motion. Motion carried, 7— "Yes"/2— "Abstained." Vice Chairman Thomas Lykos and Robert Meister abstained from voting. 4 August 20,2014 Kyle Lantz moved to approve a Finding of Violation as charged in the Administrative Complaint and admitted by the Respondent. Gary McNally offered a Second in support of the motion. Motion carried, 7— "Yes"/2— "Abstained." Vice Chairman Thomas Lykos and Robert Meister abstained from voting. Attorney James Morey noted the Respondent held a Collier County Certificate of Competency and was also a State Certified General Contractor. He stated there was a slight distinction concerning the penalties that could be levied against the Respondent by the Board. Michael Ossorio, Supervisor—Contractors' Licensing Office, stated: • The Respondent is a Certified General Contractor, license number CGC- 1508634 • Collier County Certificate of Competency, number 27014 Chairman White noted the clarification; the Board would proceed under the State's license concerning any limitations of Sanctions. Attorney Morey noted the Contractors' Licensing Board may impose any of the following Disciplinary Sanctions, either alone or in combination: 1) To deny the issuance of Collier County building permits or require the issuance of permits under certain conditions; 2) To write a letter of reprimand; and 3) To refer the Complaint and the Board's recommendation(s)to the State's Construction Industry Licensing Board ("CILB") for further action. Attorney Morey advised the Board that, when imposing any of the possible Disciplinary Sanctions on a Contractor, the Contractors' Licensing Board may consider the evidence presented during the Public Hearing as well as: 1) The gravity of the violation; 2) The impact of the violation on Public Health/Safety or Welfare; 3) Any actions taken by the violator to correct the violation(s); 4) Any previous violations committed by the violator, and 5) Any other evidence presented at the Hearing by the parties relevant to the Sanction which is appropriate for the case, given the nature of the violation(s). Terry Jerulle asked if the Board could impose any fines and the response was, "No." Chairman White requested the County present its recommendations concerning appropriate Sanctions. Michael Ossorio stated: • Suspend the Respondent's ability to obtain new building permits for a period of six months; 5 August 20,2014 • Voluntary reimbursement to the County for investigative costs incurred prosecution of the matter in the sum of$1,000; • No recommendation to the State's Construction Industry Licensing Board ("CILB") at this time. Chairman White asked Mr. Ossorio to explain the time frame to make the voluntary payment and any consequences if the investigative costs were not reimbursed to the County in a timely manner. A. The costs are to be paid within fifteen days or we will send a recommendation to the State of Florida for a full investigation and reimbursement of the investigative costs. When asked about other violations, Mr. Ossorio stated a Notice of Noncompliance had been issued in November, 2010. It was noted the matter did not come before the Board. A fine was not issued, but the City of Naples' permitting fees were doubled per the City's policy. The Respondent's attorney confirmed the recommendations were in line with the discussions previously held between the parties. He stated they were in agreed with the proposed Sanctions. He further stated this was the first violation to come before the Board. Terry Jerulle asked Michael Ossorio if the Respondent had any existing permits. A. He might have two or three. The County's recommendation was concerning the issuance of any new Building permits. Q. So he'll be allowed to work on any new permits and just not pull any new permits for six months? A. Correct. Q. I'm trying to get my mind around what type of"penalty" that is. He can still continue to work—he just can't pull a new permit for six months while he finishes his other work. A. I was told by the Qualifier that he has only one building permit out there—maybe two. We have not received a complaint on that permit and he wants to finish the job. We have to be fair to that homeowner. If he's not pulling building permits, what kind of work is he going to do? Chairman White concurred stating that completing the work was in the homeowner's best interests. The adequate Sanction is the length of time and inability to pull new permits. Terry Jerulle asked if a permit was pulled for the home that was being remodeled. Michael Ossorio confirmed a permit has been applied for—it has been red-tagged and is somewhere in"Review" status. Ian Jackson explained the permit has not been issued. Correction letter have been provided to the Contractor. There are issues between the homeowner and the Contractor that could possibly prohibit the issuance of a permit at this time. 6 August 20,2014 Terry Jerulle asked Ian Jackson if JAH Construction Management Corp. was the Contractor of record on that permit. A. Yes, but I am working with the homeowner to provide direction regarding how to proceed after this Hearing—possibly with a new Contractor. Q. If we suspend his permit pulling privileges and he has an application in for this home, will he be able to pull the permit for this home? A. (Michael Ossorio) If the homeowner decided to continue the services this Contractor, the permit will be issued. Chairman White: I do not see how that would be possible without some modification of what you have recommended to us and has been agreed to by the Respondent. I believe Mr. Jerulle is correct. There should be no new permits pulled. You are making a distinction that there an existing permit application pending. I want that clarified. Michael Ossorio asked the Building Official to clarify what he considers to be an issued building permit—the recommendation was for"new"building permits. John Walsh, Chief Building Official, Collier County, stated: • The Respondent made an application for a permit. The recommendation could be worded to state "no new applications." • The permit has not been issued for the property. It is in process. A third "correction letter"has been issued. • The permit was applied for on December 6, 2013. • We were brought into the case on December 11th or 18th • He inspected the job site several months later. • The project is approximately 90% completed. • There were questions when the application was through Permit Review and it was rejected. Work continued. • On a subsequent submission to address the correction comments, it came in as a"Permit by Affidavit"because the County's Inspectors could no longer perform inspections. Mr. Walsh explained since the walls had been sealed, the Contractor was required to employ the services of an Engineer for a"Permit by Affidavit"which is allowed by Code. The Engineer of Record signed off on everything. However, when Mr. Walsh inspected the job site, he knew `everything' wasn't done. The County "commented" again—which is the third correction letter. The County is waiting for the corrections to be submitted. Mr. Walsh detailed the additional work that will be performed by the subcontractors working for JAH. When asked if he considered the additional work as "minor"to obtain the permit issued, the response was "Yes." He clarified there was a distinction between an application for a permit and an issued permit. Because an application is accepted does not mean a permit is issued. A permit number is assigned when an application is submitted to the County. Kyle Lantz asked if a recommendation will be sent to the State's CILB. 7 August 20,2014 Michael Ossorio stated if the Board imposes Sanctions on a State-certified Contractor, a letter is sent to the Executive Director of the CILB notifying him that we would like the State to intervene to perform their own independent investigation or that we chose to handle the matter locally and further action by the CILB is not necessary. Kyle Lantz stated the "penalty" did not appear to be sufficient. The investigative cost was not a fine. Not being allowed to pull a permit for six months is not a"penalty." And a"no recommendation"to the State is not a penalty. He further stated from his reading of the submitted materials,the Contractor merits punishment. He did things wrong and lied about it. He continued"in my opinion, this is a guy who should be punished ... not the guy who bounced a check five years ago." Chairman White concurred that there was a "willful" violation in, at least, two of the steps—first as to the permit; second as to the "Stop Work" Order, and third, continuing to work even though there were corrections to be made. Kyle Lantz noted obtaining an early work permit was an option. Chairman White stated not enough information was known to determine whether not being able to pull permits for six months will substantially impact the operation of the Respondent's business operations. Kyle Lantz clarified the Sanctions were not preventing the Respondent from working ... he was only prevented from pulling permits. He could have another licensed Contractor pull the permits for him(which is allowed) while he continues to work the job. Richard Joslin pointed out the Respondent was a State-certified Contractor and the Board is only allowed to impose certain Sanctions upon him. Kyle Lantz countered instead of requesting that the State investigate, the Board will send a letter that says "no recommendation"which means don't do anything. Chairman White noted the letter would be sent only if the County was not reimbursed within fifteen days. The County would be limited to requesting that the State intervene to obtain reimbursement of its investigative costs. Kyle Lantz stated the job of the Contractors' Board is to prevent Contractors who are doing things that aren't right from doing them again. In his opinion, by not asking the State to impose Sanctions, the Board is saying (in effect) "he is good." Chairman White asked Mr. Ossorio what might happen if the Board recommends to the State to investigate the matter. Michael Ossorio cited a similar case heard by the Board approximately one year earlier. In that case, the State mandated continuing education and levied a fine of $2,000. He further noted in the Florida Building Code if a Contractor is found to have violated the permit requirements, when he is allowed to pull permits again, he will be charged twice the normal fee. Kyle Lantz stated the Respondent was guilty of(1) not obtaining a permit, (2) continuing to work through a"Stop Work" Order, and (3) falsifying his permit application, which are all willful Code violations. He further stated being charged a double permit fee was a Sanction for the first violation but what Sanctions would be 8 • August 20,2014 applied to the other two violations. He stated the second and third violations were worse than the first ... yet they were being ignored. Chairman White clarified County's Plan Review requirements were not met by the Contractor, but there was no mention of falsifying the application. The application was rejected for that reason and correction letters were sent. Kyle Lantz referred to the portion of the application which stated the value of the job was $5,000 yet the homeowner had a contract for $33,000. "Change-out of cabinets and countertops—no relocation"was a lie. Chairman White agreed it was willful. His problem: nothing indicted there was an intent to falsify the record or lie. Richard Joslin pointed out the contract was signed in October but the permit was not applied for until December. He agreed a recommendation should be made to the State to investigate. Kyle Lantz stated the recommendation should also request imposition of a fine as a penalty. Attorney Fugeras stated this was the first time that his client, who has been in business since 2004, has been before the Board. It was his understand there have been no violations in any other County. He stressed this was a first violation and the goal was to help the consumer and not leave the homeowner hanging in the middle. That was the logic in attempting to complete the project. He continued there is value in working under your own name.Not being able to pull a permit in your own name for six months can be a substantial hardship. It is not insignificant. Chairman White proposed a modification to the Sanctions: the Respondent agrees voluntarily to not obtain any building permits through any other means in Collier County during the six month period. He asked if the County would accept the modification and the recommendation to be made to the CILB to conduct its own investigation. Michael Ossorio stated he will write a letter to the CILB with or without a recommendation at the pleasure of the Board. Gary McNally moved to approve accepting the County's recommendations to suspend the Respondent's ability to obtain new building permits for a period of six months; voluntary reimbursement by the Respondent to the County for investigative costs incurred prosecution of the matter in the sum of$1,000 within fifteen (15) days; with the addition of a request to the CILB to conduct a full investigation. Ronald Donino offered a Second in support of the motion. Kyle Lantz suggested amending the motion to include a letter from the Board recommending to the State to impose the maximum penalty possible. Gary McNally and Ronald Donino agreed to the modification of the motion. Motion carried, 7— "Yes"/2— "Abstentions." Vice Chairman Thomas Lykos and Robert Meister abstained from voting. 9 August 20,2014 Chairman White stated he would orally report the decision of the Board regarding Case #2014-09: Board of Collier County Commissioners vs. John Andrew Hill, d/b/d "JAH Construction Management Corp." (License number: CGC-1508634) as follows: • Under "Count I:" There is a Finding of Fact with respect to the matters set forth in the Administrative Complaint as being approved and relied upon by the Board in reaching its ultimate determination by majority vote (7—"Yes"/ 2 - Abstentions). There was a violation of the County's Code of Laws, Section 22-201.1, also known as Ordinance #90-105, as amended, Section 4.2.2, , i.e., "Willfully violating the applicable Building Codes of laws of the State, city, or Collier County." • As to the Conclusions of Law, the evidence submitted in the pack entered into evidence as well as the admission by the Respondent, through his Counsel, that the finding of guilt was supported by the evidence. • As to the Sanctions imposed that the Board has approved by majority vote (7 —"Yes"/2 - Abstentions): payment of$1,000 for the investigative costs incurred by the County within fifteen days; a six-month suspension of the Respondent's building permit pulling privileges; and allowing for the issuance of a building permit for the pending item in this case. While there will be no public reprimand, a recommendation for a full investigation will be made to the State's CILB (Construction Industry Licensing Board) as well as a recommendation for the imposition of maximum penalties will be made by the Contractors' Licensing Office Supervisor within fifteen days. Chairman White stated the Hearing was concluded. VI. NEW BUSINESS: A. Orders of the Board Vice Chairman Thomas Lykos moved to approve authorizing the Chairman to sign the Orders of the Board. Richard Joslin offered a Second in support of the motion. Carried unanimously, 9—0. (Note: With reference to the cases heard under Section VI, the individuals who testified were first sworn in by the Attorney for the Board.) B. Neils S. Mierendorff—Contesting Citation(s) (d/b/a "Basic Tile & Marble, Inc.") Citation: #08855 ("False Certificate/Registration of License") Date Issued: June 24, 2014 Fine: $1,000.00 Description of Violation: Presenting as his/her own the Certificate or Registration of another. It was noted the Respondent and his Counsel, Stephen Bracci,were present. 10 August 20,2014 Chairman White identified Attorney Morey, Attorney Noell, and Michael Ossorio as requested by the Respondent's Counsel. Attorney Bracci stated the Respondent's position: • There was a misunderstanding by Mr. Mierendorff concerning how to properly word a business card. He further stated: • Mr. Mierendorff should have been issued a Notice of Noncompliance as allowed by Florida Statues and the County's Ordinance. • His client should have been given an opportunity to correct the issue. • He was not operating without a license. • There was a"switch over" in how Mr. Mierendorff handled his business in the months preceding the situation. • A Notice of Noncompliance should have been issued prior to the issuance of a Citation. Chairman White stated the Citation was issued because Mr. Mierendorff presented as his own the Certificate or Registration of another. Attorney Bracci stated, concerning the issue of"Due Process," it was their position the case did not fit with the noticed Violation because no certificate or registration was presented by Mr. Mierendorff to anyone. The Notice was insufficient resulting in an issue of Procedural Due Process. Chairman White explained it was not a"Public Hearing" but a different type of proceeding the scope of which was for the Board to consider what information and evidence Mr. Mierendorff may have which would support the position that his contesting of the Citation should be upheld -- and that the Board should take some action to either void the Citation; enhance the penalty, or leave it as it is. Those were the Board's only options. He further stated it would be rare for the Board to conclude that a Citation had been inappropriately issued. On occasion, the Board had enhanced the penalty to the maximum but in most instances, it is upheld as is. Attorney Bracci stated the Respondent objected to the proceeding and was presumed to be essentially guilty without any evidence presented by the Petitioner, he would proceed to show his client's innocence. He stated the Petitioner has not produced any evidence in the case. He reiterated his standing objection to the proceeding going forward. Chairman White asked if he objected to the form of the packet provided to the Board for review. Mr. Bracci stated no packet had been submitted unless it was done "on the record." Chairman White showed the information that had been provided to the Board as well as to Mr. Mierendorff. 11 August 20,2014 Mr. Bracci stated he had only received a copy, at his request, from the Licensing Officer prior to the start of the proceeding. He stated his client had not received any packet prior to the proceeding. Chairman White asked Mr. Bosci if he would like to request a Continuance to allow for an opportunity to review the packet and determine whether the evidence that had been submitted was considered to be sufficient for his purposes. Mr. Bracci briefly conferred with his client and stated they would proceed. Mr. Bracci referenced the Citation ("E-1:). • There was a question concerning the authority of the Investigator to issue the Citation because it referenced Florida Statutes, Section 489.127(3)(a) as giving him reasonable and probable grounds to proceed. • He stated Section 489.127(3)(a) says "nothing of the sort"and he did not know by what authority the Investigator brought the Citation because the Section of the Statutes was erroneous. • The Citation fails to sufficiently identify to Mr. Mierendorff what it was that he was being charged. The checked box stated he "presented as his or her own the certificate or registration of another." Mr. Mierendorff presented no such certificate or registration to anyone. • The evidence packet does not show any certificate or registration. • The packet does not indicate to whom the certificate or registration was presented. • The definition of a"certificate" is set forth in Florida Statutes, Section 49.105(7) and the definition of a"registration" is set forth in Section 49.105(9). Chairman White asked Mr. Bracci to explain the relevance on the business card ("E-4") of the words "State License #CGC-1512513." A. I would presume that it is a State license number but it is neither a certificate nor a registration that is being presented to anyone. It is not Subsection C that was checked on the face of the Citation. Q. And would your position be the same with respect to County license number C31097. A. I don't believe that it constitutes the presentation of either a registration or a certificate. Q. If I understand your argument, it would be only if he were to take the actual piece of paper that is a license for either the State or Collier County purposes and show that to someone, then there would be a rightful issuance of a Citation because that would be a violation? A. That would appear to be what the logical language of the Citation which tracks Section 489.127(1)(c) of the Florida Statutes. Yes. There are other things which might come into play but I believe on the face of what has been noticed procedurally for the Hearing, that is not what the evidence shows in this case. Q. So your objection under Procedural Due Process is the grounds as to the form and sufficiency of the Citation itself as to the cited Statute that is relied upon for 12 August 20,2014 authority and that the checked box which describes the violation. You maintain that your client did not present a certificate or registration of someone else. A. That is correct. Attorney Bracci: • Secondly, the charge—again, my client does not understand the charge because of how this thing is procedurally laid out ... Chairman White: He does not understand that he should not have business cards with a State license number on it that, as I understand it, is not his? Attorney Bracci referenced the business card where it stated a "Sterlingworth Development, LLC partner." He further referenced "E-8" of the evidence packet which was a printout from the Florida Department of State, Division of Corporations, for Sterlingworth Development, LLC. "E-9" indicated the Manager was Neils Mierendorff. He further referenced "E-10" which was the State's printout which indicated the license type was "Certified General Contractor" and the license number was CGC 1512513 for Sterlingworth Development, LLC. Chairman White: Is it your position that the business card is not inaccurate and, therefore, unlawful because it states the words, "a Sterlingworth Development, LLC partner"? A. That is correct. Attorney Bracci referenced "E-12." He stated on June 23, 2014 there was a reference to a delinquency in the licensing. It appeared that the license of Basic Tile & Marble, Inc. may have been delinquent. The second box indicated that the County met with Mr. Mierendorff who stated he was working under the license of Sterlingworth Development, LLC. There was a discussion and it was determined that Basic Tile & Marble, Inc. should not be on the business card. "Abatements" were discussed including Basic Tile & Marble, Inc. as a fictitious d/b/a. He continued the case was about a Contractor having switched from one company to another in terms of how he was operating and should have switched his name to Basic Tile & Marble as a d/b/a for Sterlingworth. The Sterlingworth license number is on the business card. This is excusable—it has not created an economic or physical harm to the public. It has not risen to the level where there was a public health/safety or welfare issue. This should have been the subject of a Notice of Noncompliance. • Florida Statutes, Section 489.113 and Collier County's Ordinance 2006-46 both state that a Notice of Noncompliance should be issued. Attorney James Morey noted the Ordinance had been amended. Attorney Bracci stated the Citation referenced Section 489.127(3)(a) as the authority and also referenced the Collier County Contractors' Licensing Ordinance No. 2006-46. If the Ordinance has been amended, the Citation should state that. 13 August 20,2014 Chairman White noted the document stated "as amended" which is considered to be record notice of a duty to inquire. Mr. Bracci stated the County has an obligation to update its Citation form if the Ordinance has been amended and should be on the face of the Citation so the public has access to the validated Ordinance. Chairman White stated the Board uses the Code of Laws sections. Vice Chairman Thomas Lykos: On Page "E-12"you referenced the abatement options stated in the spreadsheet. Has the Respondent acted on any of the abatement options? A. Immediately upon receiving the Citation, he took action and has continued to take actions to clarify the situation. Vice Chairman Lykos: Did the Respondent pursue any of the abatement options and, if so, which option was chosen and what is the status of that option? Attorney Bracci: • Mr. Mierendorff has changed his letterhead and his business card. Michael Ossorio asked what Basic Tile & Marble was ... an installation company or a supplier? Mr. Mierendorff replied it was for sales. Vice Chairman Lykos asked Mr. Mierendorff if he had chosen to register Basic Tile & Marble as a d/b/a of Sterlingworth. A. Yes, we are currently working on that option. Q. Does your letterhead or your card list Basic Tile as a d/b/a of Sterlingworth? A. Not at this particular point because we have not had the chance to register it in the State of Florida. Right now, we are Sterlingworth Development, LLC and I am an owner and officer of the company. That's it. There is no Basic Tile, Inc. We do basic tile and marble but there is no Basic Tile, Inc., there is no representation of any sort having somebody believe that they are doing business with Basic Tile which was the confusion that we had earlier. It was just a misunderstanding on how I represented myself. I have been in business in Naples since 1984. I switched over to Sterlingworth Development because, in my mind, it was still a Florida corporation and I thought it was okay to keep that. When it was brought to my attention that I should change that to a d/b/a— I have changed my website and the logos on my vehicles—I don't want any misunderstanding with anyone. Chairman White asked Mr. Mierendorff when he enters into a contract with consumer, what was the name of the entity? A. It's Sterlingworth Development on all of my contracts. It states on the bottom that all work and installation is done by Sterlingworth Development. 14 August 20,2014 Kyle Lantz: Q. If I had hired you in 1984, would I have written a check to Naples Tile, Inc.? A. That is correct, yes. Q. At some point, you changed from Naples Tile to Basic Tile, Inc. to Sterlingworth Development. A. That is correct. Q. When was that? A. In 1996—approximately '94, '96. Then we added the "Marble" because we started doing more marble installation in 2004. Q. In 1986, I would have written a check to "Naples Tile?" A. In 1984 you would have written a check to Naples Tile. Q. And in 1996? A. In '96, it was Basic Tile and in 2006, we added the Marble—it was Basic Tile & Marble, Inc. Q. If I wrote a check to you today, would I write it to Basic Tile & Marble? A. You would write it to Sterlingworth Development, LLC. Q. When did that change occur? A. After I was notified that the way I represented myself was confusing and it could be a conflict which I needed to correct. Q. So the day the Citation was issued, a check would be written to Basic Tile & Marble and not to Sterlingworth? A. That is correct. That was my mistake. It was something that I didn't do intentionally until it was brought to my attention that I couldn't operate like that. It needed to be clear that it was Sterlingworth Development. Basic Tile should be a fictitious name or d/b/a and that I needed to receive payment as Sterlingworth Development. Chairman White stated it should not be referred to as a fictitious name because it is a formed, viable entity that is recognized by the State of Florida. The correct reference was as a d/b/a. Attorney Bracci asked Mr. Mierendorff to explain the history of his licensing up to September 2013 and the recent change over. A. This has been a family-owned and operated business. My father passed away two years ago. With Sterlingworth and Basic Tile, I operate on a very small scale—approximately one job, on average, per month. I work by myself Sometimes Richard Dodd helps. We are the only two people involved in this business. I never wanted to have a lapse in my license. I joined Sterlingworth which gave me an opportunity to do some of the things that I wouldn't have been licensed to do ... like installing a shower door or resetting a toilet that a tile contractor is not licensed to do. I thought it was a good way to handle my situation. Basic Tile is the name I have been known in locally here. But it was brought to my attention that I can no longer do it like that and I took the course of action to change this. Richard Joslin questioned Mr. Mierendorff: Q. If you could review Page "E-5." It lists a reinstatement of that company in June,2014. 15 August 20, 2014 A. Yes. Q. On Page "E-7"there is a n expiration of your license as a Tile Contractor on September, 2013. A. That is correct because the Certificate holder who was my father had passed away. Q. Who is Richard Dodd? A. The reason why I switched over is because Richard Dodd is a friend of mine and we joined together in his business. He does cabinet work and I do tile. This happened because my Dad passed away and everything is still in the probate stage. This is a business that I continue to pay my taxes on and keep active until I have a chance to obtain my own tile and marble license. I made the changes to my business card once I was told it was confusing and misleading. I don't want to confuse or mislead anybody. I have been in town for a long time. I just want to have the opportunity to set it right. Mr. Mierendorff stated when he was called to come to the County because there was an issue with his business card, it was mentioned that the license number that is on the card was for Basic Tile which was inactive or expired. He stated he told the Investigator that the license number displayed on the card was for Sterlingworth Development. The Investigator left the room and when he came back a few minutes later, he apologized for having made a mistake. He said the license number was correct but way the name was displayed on the card was the issue. Mr. Bracci asked his client if he ever presented a certificate or registration to anyone and the response was, "No." Mr. Mierendorff stated he did not have a problem with removing Basic Tile completely from his business card and operating under Sterlingworth Development. His partner is the Qualifier and he is an owner and officer as well. Chairman White suggested taking a brief recess. Break: 10:48 AM Reconvened: 11:00 AM Attorney Bracci stated Mr. Mierendorff is in compliance with any issues relating to the Citation. He requested that the Board consider dismissal the Citation. Chairman White stated when the Ordinance was amended, the term "minor violation" was deleted and the text was changed to allow discretion on the part of the Contractors' Licensing Office Supervisor in how the matters are addressed. Michael Ossorio stated Mr. Mierendorff is in compliance. There was further discussion concerning the content of the letterhead and business card. Mr. Mierendorff clarified that his letterhead, business cards, envelopes, and contracts were changed after he received the Citation in June. Everything is in the name of Sterlingworth Development, LLC. 16 August 20,2014 Chairman White stated he was leaning toward dismissal of the Citation as being in the best interests of all parties. It was noted that the website has not yet been changed—it was still under the name of Basic Tile &Marble, Inc. Mr. Mierendorff stated he was under contract with a company to develop a new website for Sterlingworth Development, LLC. The developer, RGB, has informed him that the old website will no longer be operational. Vice Chairman Lykos noted the "new" letterhead and business card still reference Basic Tile & Marble, Inc. and its logo. He asked if the references to Basic Tile & Marble and its logo could be eliminated, as well as the website. He asked for a commitment on the record by Mr. Mierendorff to do that. A. We certainly can make all of those changes. Chairman White moved to approve dismissing the Citation. Michael Boyd offered a Second in support of the motion. Motion carried, 8— "Yes"/1 — "No." Richard Joslin was opposed. C. Dariusz Klentak—Contesting Citations(s) (Handyman) Citation: #08749 ("Unlicensed Advertising/Flyer") Date Issued: April 23, 2014 Fine: $1,000.00 Description of Violation: Engage in the business or act in the capacity of a Contractor, or advertise self or business organization as available to engage in the business of or act in the capacity of a Contractor, without being duly registered or certified. Dariusz Klentak stated he had very little to add beyond what was contained in his letter. • He never represented himself as a General Contractor. • He offers services as a handyman and works less than part time. Rob Ganguli, Licensing Compliance Officer, referenced item "E-2." He asked for clarification concerning whether he should respond to Mr.Klentak's statement, "I have never offer anybody services as a General Contractor," or his request for a reduction of the fine. Mr. Klentak requested a dismissal of the charge stating it was a very touch penalty for"something like this." Chairman White asked if he had changed the way that he has been advertising. A. I have not because I was out of the country. I am doing physical therapy right now and cannot work. This was in my spare time from the business I am doing. 17 August 20,2014 Rob Ganguli requested that the Citation be upheld as issued. He stated the first meeting with Mr. Klentak concluded before the business was concluded and he enlisted the assistance of the Collier County Sheriff's Office to arrange a second meeting. He stated when he and Cpl. Capizzi arrived at the address listed for Mr. Klentak as his business address, they were informed that he only collects mail there. They subsequently met at the Golden Gate Substation; they tried to explain the due process of the Citation. He further stated while the Citation was signed, there was a disclaimer on the Citation—Mr. Klentak claimed he could not read the Citation correctly because he did not have his eyeglasses. Mr. Klentak stated he was not able to read the Citation until after he signed it. He further stated the Citation claimed he was acting as a General Contractor which he was not. His flyer is full errors and spelling mistakes. He claimed he did not understand that"mechanical"meant air-conditioning. He stated he could never do any a/c work. He thought "mechanical"meant fixing someone's door lock. He reiterated that he was not a General Contractor and never claimed to be a General Contractor. Chairman White referenced the flyer and stated it was advertising because it was distributed to the general public. He asked Mr. Klentak if he knew he needed a special license to perform mechanical work. He advised Mr. Klentak that all of the "services" listed on his flyer required a specialty contractor's license from Collier County. Mr. Klentak admitted he did not hold any licenses. He claimed he only acted as a handyman when he had the spare time to do it. He stated "handyman"work was helping someone around their house. He cited an example of fixing someone's broken chair. He claimed he has always stated he will not do anything which is beyond the handyman Scope of Work. "Very little ... touch up painting ... but only handyman scope of work." It is not a General Contractor for which he was cited. He stated his next flyer will only state "Handyman"work with no details provided. Mr. Klentak reiterated he was not a General Contractor and would never perform General Contractor work. He further stated that his flyer had been done by others. Rob Ganguli noted the first sentence in Mr. Kltentak's letter was "Recently I received a Citation from Collier County regarding a leaflet that I have distributed around Collier County." Chairman White noted "E-4"was a copy of the advertising flyer. Mr. Klentak stated it was done months ago and asked why they were talking about it during the hearing. Chairman White asked him why he hadn't changed it since he had months to do so. He stated no evidence had been provided to confirm that Mr. Klentak came into compliance prior to the Hearing and he testified that he has done nothing to change his current advertising. 18 August 20,2014 He asked Mr. Klentak what was different today from when he received the Citation. Mr. Klentak stated the flyer had been printed by mistake by Staples—they had not even corrected his spelling errors. He further stated he destroyed the copies. When questioned about a website, he stated it was not his website ... it was one that advertised handyman services. When asked if he was a European engineer, Mr. Klentak stated he was but he was not certified in the United States. He stated he studied engineering in Europe. Kyle Lantz moved to approve upholding the Citation as issued. Richard Joslin offered a Second in support of the motion. Carried unanimously, 9—0. Chairman White explained the Citation that was issued and the penalty that was part of it stands. When asked if he could appeal, Chairman White advised Mr. Klentak to consult an attorney. D. Tomas San Juan—Application to Qualify Second Entity (d/b/a "TGS Masonry,Inc.") Michael Ossorio stated the matter had previously been before the Board. • Mr. San Juan provided information to the Contractors' Licensing Office. • After reviewing the documentation and having his questions answered, Mr. Ossorio stated he had no objection to issuing a Second Entity. Vice Chairman Lykos questioned Mr. San Juan about Workers' Compensation coverage payments. Mr. San Juan replied his accountant handled the insurance and noted that the premiums were paid each month. Mr. Lykos stated the checks issued to the employees did not appear to deduct taxes or Workers' Comp and he was concerned about how the items were paid. Mr. San Juan referred to his statements which showed deductions for Workers Comp insurance. Chairman White referred to several checks in the additional information, i.e., Check#6292, and asked if the checks reflected gross pay or net pay. Tomas San Jan replied "it was gross pay." Chairman White suggested Mr. San Juan ask for another Continuance which would allow him time for the Accountant to address their issued and to appear at the nest Contractors' Licensing meeting. What concerned the Board was the fact that Mr. San Juan did know how the corporate entity was being managed. Vice Chairman Lykos asked the Applicant if his accounting firm calculates the payroll for his employees, pays the taxes and Workers' Comp insurance, and they write the checks to the employees for the net amounts. 19 August 20,2014 The response was "Yes." Vice Chairman Lykos moved to deny approving the Applicant's request to qualify a Second Entity. Richard Joslin offered a Second in support of the motion. Motion carried S— "Yes"/4— "Opposed." Chairman White,Ronald Donino, Michael Boyd and Robert Meister were opposed. Chairman White suggested that he speak with Michael Ossorio concerning his options. He was encouraged to try again. VI. OLD BUSINESS: A. Osvaldo E. Gonzalez Guiterrez—Review of Credit Report(s) (d/b/a "Calimete Premium Quality, Inc.) The Applicant had previously appeared before the Board on May 21, 2014. Osvaldo Gonzalez was present and assisted by an interpreter, Geraldo ("Gerry") Chavez. Chairman White stated the Applicant had been requested to provide a written business plan and an updated personal credit report. • The credit report was supplied. • The business plan was not submitted. Mr. Gonzalez stated (through his interpreter) that he did not understand he was to have provided a business plan, he thought he only had to provide the updated credit report. Chairman White noted that Mr. Gonzalez had not provided a list of creditors that he had contacted, the creditors that he had paid, and the amount that was paid to each. He stated the credit report did not show very much improvement from the previous report reviewed in May. Mr. Gonzalez stated he did have receipts of payments that had been made. The information was not include in the packet provided to the Board. Kyle Lantz explained the Board wanted to know how Mr. Gonzalez intended to run his business and pay off his debts. He acknowledged that Mr. Gonzalez had paid approximately $350 since the previous Hearing. Mr. Gonzalez stated he paid on four accounts. Attorney Morey stated the information was in the packets. Chairman White referenced the previous Order of the Board which stated the Applicant was granted a three-month probationary license and shall appear before the Board for a review in three months with a written business plan and an updated personal credit report. He continued the Applicant had been granted a probationary license to allow him to work. IIe asked how the Applicant intended to pay the remaining creditors. 20 August 20,2014 Mr. Gonzalez replied he had paid as much as he could. Vice Chairman Lykos asked Michael Ossorio if he could work with Mr. Gonzalez to help him understand the Board wanted an organized plan concerning his payment of the remainder of the bills as well as a written business plan. Chairman White asked Mr. Gonzalez if he could provide any information concerning his credit report and business plan. The response: he understood that he was to make payments to his credits and that was what he had done. Chairman White stated the concern was the remaining debts and how they were to be paid. Mr. Gonzalez stated he paid as many as he could. He is paying $120 per month to one creditor. His plan is to pay them all but he needs a license to operate to make the money he needs. He will talk to a company to work out a payment plan but he has to know that he will be able to work to make the money necessary. Chairman White asked Michael Ossorio if the County had a recommendation. Michael Ossorio stated the County had no recommendation but acknowledged there have not been any complaints filed against him. Richard Joslin stated the Applicant had made an effort to pay off his creditors. He suggested extending the probationary period for an additional three months. Terry Jerulle: Who is the creditor who has not been paid? A. HSBC for$16,000. Q. Have you contacted that bank in the last three months? A. No. Mr. Gonzalez explained he had five negative accounts on his credit report. He has paid off four of them. He did not contact HSBC because he didn't have the money to pay the debt. He stated after he pays off the smaller accounts, he will contact the Bank. Chairman White stated the best Mr. Gonzalez may be granted another probationary license. He stated the only way he will obtain a full license is if he fully complies with the Board's order. The Board had requested that he provide a written business plan and an updated credit report. He was to have contacted the creditors and devise a payment plan. It was suggested that the interpreter should read the Order of the Board to Mr. Gonzalez again. Richard Joslin moved to approve extending the probationary period for an additional thirty (30) days. The Applicant is to provide a written business plan to be Board as well as proof that he contacted his creditor(s) to work out a payment plan of his indebtedness. If the Applicant has not complied with the Board's 21 August 20,2014 previous Order, his license will be revoked. Vice Chairman Lykos offered a Second in support of the motion. Motion carried, 8— "Yes"/1 — "No." Kyle Lantz was opposed. B. Luis Escobar—Review of Business Plan (d/b/a "Florida IB&S,LLC.") Michael Ossorio stated Mr. Escobar would provide copies of the Business Plan during the Hearing. Chairman White noted his displeasure at receiving a last-minute document for review. (The Board reviewed the Business Plan for Florida IB&S, LLC.) Chairman White asked Mr. Escobar to provide an overview of the document that the Board had reviewed. • the Business Plan was divided into an Executive Summary and a Business Summary. • The goal was to improve business by approximately 5% per month during the next year, Chairman White asked how the Business Plan would improve his credit. He was also to have provided a summary of the jobs and a value of the jobs. He was to have contacted his creditors and to work out a Payment Plan. Mr. Escobar referenced Page 9 of the report and stated the current jobs ranged from $2,000 to $8,000. He proceeded to explain his goals and how the plan was structured. He has contacted several creditors to establish a payment plan. He explained his problems dealing with Capital One. The Wells Fargo account has a zero balance. He stated he is still investigating the short sale. He referred to Board to Page 35 of the report concerning his payment plan for the accounts not yet paid. Chairman White noted he had been released from the garnishment. He stated he was pleased that Mr. Escobar had done what was asked of him. Chairman White stated the Board decided by consensus that the plan satisfied its requirements. Probation is extended for an additional six months, at which time, Mr. Esobar is to appear before the Board and provide an updated credit report for the Board's review. Chairman White asked that the credit report be provided to the Board at least one week prior to the scheduled meeting. C. Jimmy M. Dean—Review of Credit Report(s) (d/b/a "J.D. Design Construction, Inc.") Mr. Dean stated he had documentation concerning the two judgments to distribute. 22 August 20,2014 He further stated the SLM account had been transferred to RKL Financial. The letters provided confirmation of the payment plans that each creditor had agreed to accept, i.e., RKL Financial - $3,300 and Suncoast Schools Federal - $500 per month commencing August 25, 2014. Mr. Dean confirmed he has been on probation for one year. Chairman White requested additional information concerning the Capital One account in the amount of$9,947. A. It was settled for approximately $4,400. Chairman White asked how the account was settled and noted there was another Capital One account in the amount of$973. A. The $973 was a credit card and it was paid. Vice Chairman Lykos asked Mr. Dean if it was his testimony that the account had been settled and the response was, "Yes." Chairman White stated Mr. Dean had satisfied the requirements of the previous Order. Vice Chairman Lykos moved to approve terminating the probation from James M. Dean's license. Richard Joslin offered a Second in support of the motion. Carried unanimously, 9—0. IX. REPORTS: (None) X. NEXT MEETING DATE: Wednesday, September 17, 2014 BCC Chambers, 3rd Floor—Administrative Building"F," Government Complex, 3301 E. Tamiami Trail, Naples, FL There being no further business for the good of the County, the meeting was adjourned by the order of the Chairman at 1:30 PM. COLLIER COUNTY CONTRACTORS LICENSING BOARD PATRICK WHITE, Chairman The Minutes were approved by the Board/Committee Chair on , 2014, "as submitted" I ] OR "as amended" [ ]. 23 Barry Helff AUG 0 7 2014 ui 3265 34th ave se Naples,fl 34117 Monday,July 28, 2014 BY: ............ ° ie44t �` To whom it may concern This letter confirms that Barry Helff presently qualifies Statewide Painting& Pressure Cleaning, Inc And is requesting to qualify Brothers of SW FL. LLC in addition to Statewide Painting& Pressure Cleaning, Inc Sincerely, /(( friPh Barry Helff FLORIDA SHORT-FORM INDIVIDUAL ACKNOWLEDGMENT F.S.695.25 SS S�S�a•!aS S�A�%.a��S .•�C�S�S SAS,.3!saS�S�.• .• .•�.• i�t%:�S�S�S�a'.��_S���S�S�S�S�S�.'�a�S�S X27. State of Florida County of _ LL/C---- The foregoing instrument was acknowledged before me this day Date of , ,26/1 , i nth Year by , Na of Person Acknowledging who is personally known to me or who has produced Type of Identification as identification. #.01"4,.... JOSUE SOUS _ 11.11% Notary Public-State of Florida 1 "'• - • 'o ary - •11� � My Comm.Expires Jan 23,2018 1 'h,',l;�o���� r` Commission# FF 85542 1 . dimmompierlipagirwwwNploplipmipri i QSJ2 \'‘S Name-of Notary Typed, Printed or Stamped Place Notary Seal Stamp Above Notary Public—State of Florida OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Documen�. / Title or Type of Docume • —1 �/_ _ , _ ���1�!: r+�/ �-- ,�,►_ �� lir Document Date: F .� ,2�/� Number of Pages: Signer(s) Other Than Named Above: ©2013 National Notary Association •www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5181 7. AUG072014 0 4 4 44 _ . - rr• !PM =®* •• BY:......,. ILLD.ING REVIEW AND PERMITTING CONTRACTOR 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. 2800 North Horseshoe Drive PHOTO MUST BE FULL-FACED, Naples, Florida 34104 VIEW APPROX.2"x 2",A CLEAR Telephone: (941)403-2431 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 APPLICAN'T'S NAME AND ADRESS. PLEASE ALLOW 2 -3 WEEKS FOR PROCESSING. FEES \(J .` NQ.LU CrC —01451) 1. Applicant's Name (Licensee) I '1 / het--2-04-c- 7 M LICENSE# C,157 7 S 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 IV-D CHILD SUPPORT AGENCY TO ASSURE COMPLIANCE WITH CHILD SUPPORT OBLIGATIONS. SOCIAL SECURITY NUMBERS MUST ALSO BE RECORDED ON ALL PROFESSIONAL AND OCCUPATIONAL LICENSE APPLICATIONS AND WILL BE USED FOR LICENSE IDENTIFICATION PURSUANT TO THE PERSONAL RESPONSIBILITY AND WORK OPPORTUNITY RECONCILIATION ACT OF 1996(WELFARE REFORM ACT), 104 PUB.L. 193, SEC. 317. i I t,% -- - /- -/ , --/- -/-- , Place of Birth: (City} `l/er.✓ Q� (State} /t// (Nation) Social Security Number Date of Birth ■ SEX: ✓ Male Female ; RACE: ✓(L)White ;(2)African-American; (3)Hispanic ;(4)Asian (5)Indian;(6)Other ■ 2. Name of Business To Be Qualified: /�614(S Bc- S'A) fL GLG 4L ST;-p ', e 4.; G Mailing Address: 3 2-6.1 J Y s 5& %%.c '° iVill Street or P.O.Box ,�,/ JCiity State Zip Street Address: '3 7,--6{ 3 i /7 /e- 5 /L/ bi ,L'' 3,i/7 Street 2 City -7 �SState /� Zip Business Phone Number:�i ) 95. - 31�% Federal ID Number: ,)/- 7 y� °�7 b C O = yo -0356 • APPLICATION TO QUALIFY SECOND ENTITY 3. Applicant's (Licensee) Name: 401/ "1 Last First Middle Applicant's (Licensee) Official Mailing Address of Record: 3 7i 6( 3/4 bi -Cc< /4 .�.f co//.°e., Watve.,.._ 3 //7 Street City County State Zip Street Address (if Post Office Box is listed above): Sam Street City County State Zip Home Phone ( 3V0 - Z 314, Office Phone ( X97- 3 7 f9 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 P.ROPERTY 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. // 2/--/� 9/e/ cC,Cf —/ A' •. ICANT'S SIGNA E PRINT OR TYPE NAME DATE p� psi ":11:11*- � , w C -1*7 1- ;':d o �. `? x°17 Fa ® �J f�+i 6' �"� ¢ € (L �`!i 1�g 9 �C�. �?�$T.e R �'F Fd `$�} �g"'�f* s x 'f I c eF �� 1 vf 4y ni Iti iipeinvF Mois t, z �, g; y gs �,a. p '' n�a"*'T O : P CE®��s f Cklq 6egM oket-AL-.v�� U 4 :.�... ".P..,VS � Y �A.;.3'~ nFm-.,—. --ar•,z:.t..�. x�.;n f � - .l A.. k+y -m.- -, av "`�,>ix.... TO FILE A NOTICE OF ELECTION TO BE EXEMPT from the provisions of the FLORIDA WORKERS' COMPENSATION LAW, contact your nearest Florida Department of Labor and Employment Security, Bureau of Workers' Compensation Compliance office to obtain form # BCM-250-T. 3 APPLICATION TO QUALIFY SECOND ENTITY 5. QUESTIONNAIRE-QUALIFYING A SECOND ENTITY THIS FORM MUST BE COMPLETED BY THE APPLICANT REQUESTING TO QUALIFY A SECOND ENTITY OR REQUESTING A CHANGE TO AN EXISTING SECOND ENTITY QUALIFICATION. THE APPLICANT AND PRESIDENTS (OR PARTNERS/OWNERS) OF ALL COMPANIES INVOLVED MUST SIGN WHERE INDICATED. PLEASE USE THIS SHEET. ONLY USE ADDITIONAL SHEETS IF NECESSARY. A. Explain why you wish to maintain your present license(s) while qualifying this additional business. 1!!/-E/d Tj S� ?" ive ' b io5iesi 773. &vT ve(4 O ev, eA-1, B. Has the proposed entity been previously qualified? If so, explain why the previous qualifier is no longer willing to continue to qualify this entity. C. If the proposed entity has been qualified within the last 12 months, list the last three jobs completed by the proposed entity. Include dates of completion, address, description of work, name of previous qualifier and name of owner. /1//9 D. List the last three jobs completed by you under your existing license. Include date of completion, address, description of work, name of previous qualifier and name of owner. "41-5 G't�c na„,, 07f Tom..•• �/ °%� �.�:s/� ` D Cb//'. rrtr•E'R-4-'�' ST�c i 2 .6Vetg4'i c.'T - ���° / / €+-Teri v i-- ril/� 14,9E 3 347 GC' M v^/'r4 4A 7) J✓e, 64, 6 Cdl r-' r- wA4 if twecii/A'S 3qt. f}tlo,94IF er N ,je.. /zj//art,we /� /%' j E. Do the business(s) you presently qualify and/or wish to qualify have any outstanding liens against them or against the property of con 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. .3"he‘ekt, Z.-u'f G. List principal suppliers for the past six months for the business you are applying to qualify. `1//9 4 APPLICATION TO QUALIFY SECOND ENTITY H. List persons authorized (currently and in the past 6 weeks) to pull permits on your license(s). 64:6e/ ble-G 1. How are you being paid by the business(s) you presently qualify (examples: salary, % of profits, etc.)? J. How will you be paid by the business you are applying to qualify? S,9-LA-721 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? /Pe) 1 L. Do you (applicant) have check writing authority for the present and proposed entity? YES i/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. 54-02 727 /NtstrAg eel-- N. List officers (or partners, owners) of business you presently qualify and give title/position held. O. Do the business(s) you presently qualifyAnd 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 NO +/ A. Undertaken construction contracts or work that a third party, such as a bonding or surety company, completed or made financial settlements? /B. Had claims or lawsuits filed or unpaid or past due accounts by your creditors as a result of construction operations? /C. Undertaken construction contracts or work which resulted in liens, suits or judgments being filed? ✓ D. Had a lien filed against you by the U. S. Internal Revenue Service or Florida Corporate Tax Division? If "yes", you must attach a copy of the Notice of Lien, and any payment agreement, satisfaction, / Release of Lien or other proof of payment. 1/ E. Made an assignment of assets in settlement of construction obligations for less than the debts ` outstanding? w/ 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 Confir ming Plan, or if a Corporate Chapter 7 case, a copy of the Notice of Commencement. /H. Been convicted or found guilty of, or entered a plea of nolo contendere to, regardless of adjudication, a crime in any jurisdiction within the past 10 years? NOTE: IF YOU, THE APPLICANT/LICENSEE, HAVE HAD A FELONY CONVICTION, PROOF THAT YOUR CIVIL RIGHTS HAVE BEEN RESTORED WILL BE REQUIRED PRIOR TO LICENSURE. NOTE: The Board requires any applicant/licensee who answers "yes" to any question contained in the Financial Responsibility Section of the Application to supply a complete explanation of the response, and include a statement detailing the steps taken by the licensee to prevent a recurrence of the circumstances leading to the conviction, discipline,judgment, bankruptcy, or other event leading to the response. You must include any proof of payment, satisfaction of liens,judgments and bankruptcy discharge papers in your submittal, if applicable. Applicants may be required to appear before the Application Review Committee to answer questions regarding such responses. 7. CREDIT REPORT (Reports that do not include the following information will not be acceptable) Reports for the present and proposed entities must be submitted (not more than six months old) from a nationally recognized credit- reporting agency and must be submitted before an additional license can be issued. If you are applying to qualify as an individual, the credit report must be on you. If you are applying to qualify a business organization,the credit report must be on the business organization. If your business is newly established,you will ALSO need to submit credit reports on the following: the newly formed business and the majority owners holding 25%or more interest PLUS letters from three construction related suppliers indicating that an account either exists or has been opened for the entity you are applying to qualify. A credit report is also required for the entity that you are presently qualifying. 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 of the contractor's work has been done over the last three years. (If public records reflect unsatisfied obligations, attach written explanation and legal documentation.) The credit report must reflect officers, partners, and proprietors and FEIN and Social Security numbers. Attach a credit report(s) from a nationally recognized credit-reporting agency to this application. If you are unable to receive the credit report, you may have a credit agency send the credit report directly to: Florida Construction Industry Licensing Board, 7960 Arlington Expressway, Suite 300,Jacksonville,Florida 32211-7467,and complete this statement: I have requested a credit report(s)on Date (PROPOSED ENTITY AND PRESENT ENTITY) to be sent directly from (NAME OF CREDIT REPORTING AGENCY) 8. CORPORATIONS — ATTACH A COPY of the current Annual Report Form filed with the Florida Secretary of State or, if your corporation is newly established, attach a copy of the Florida Certificate of Incorporation for the proposed and present entities, if applicable. All foreign (out of state) corporations must register with the Florida Secretary of State (850) 488-9000. 9. FICTITIOUS NAME — ATTACH A COPY of the recorded Fictitious Name Registration from the Division of Corporations; also submit a copy of the filed application or newspaper article for the proposed and present entities, if applicable. (This does not apply to corporations using their registered name.) 10. ORGANIZATIONAL RELATIONSHIPS — Do you qualify any business other than the business you are applying to qualify? YES t/' NO (If "yes", what percentage of the business do you own (if any)? /0 0 %). Contact Board office for guidelines to qualify more than one business. Company Name: 5-1 ieti, -te t- e1 /-ad Company Address: 3) f 5� /4✓€ ,-Ce 3 /// Your License Number: C 177F 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, 4150, Z.C. certify that the foregoing is true and correct to the best of my knowledge. AU RIZED OFFICER Fe • T:: FIRM STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this 7 30- /V � (DATE) by !94 /4160C-C. `T/AG 43--/*"1-7(;f ST'47cw/D& A.-4-7;,-; e-415ti -C' ,- (NAMWOF OFFICER, TITLE/AGENT) (NAME OF CORPS• ,TION) a c/o,e/0 corporation, on behalf of the corporation. He/She has (STATE OR PLACE OF CORPORATION) produced rL DL- as identification and did not take an oath. (TYPE OF IDENTIFICATION) 440 SIGNA ►. 0 - f. .1_,-/cSial .__ ('RINT ' WYTARY) NOTARY PUBLIC JOSUE SOUS ! .:. - i iI, Notary RJOS •Stith M Florida / I ,`?, _I My Comm,Expires Jan 23.2D1S 1 -�, Commission 0 FF$5542 dimemilMsmpsewomplopoweepeomurgrm 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. AP ICANASE PRINT) M ✓ e o-� Seel C G C• E OF COMPANY _OP „fz" MATURE OF APPLIC STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this 7.,30- / by (DATE) A / 'G- who has produced LPL (NAME OF'VER.SON ACKNOWLEDGING) (TYPE OF IDENTIFICATION) as identification and who did not take an oath. /Oa J ;7 .p ,, S JOSUE SOUS SIGNATU' '•F NO ARY „1 1 Notary Public-State of Florida ■ 4 ,, /My Comm.Expires Jan 23.2018 F, :AP Commission N FF 85542 ( `" 1 e (PRINT NAME OF NOTARY) NOTARY PUBLIC 9 RESOLUTION OF AUTHORIZATON WHEREAS - / 6"'s 4e--- 471- p`-421;Ceroposcsto 4 N . (Name of Business Entity) engage in contracting as eoQe in (Type of legal entity: corp.,partnership,etc. Collier County,Florida, according to Collier County Ordinance 99-45;and WHEREAS ,5 � 1� o Ste' proposes to (Name of Business }tity) _ qualify for a Certificate of Competency with N t cC d'� . (Name of NOW,THEREFORE,BE IT HEREBY RESOLVED THAT: We the undersigned .61.1-#---/21 /z' of (Officers,Owners,Partners) hereby resolve and represent to the Collier County (Name of Business Entity) �, , Contractors'Licensing Board that the qualifying agent, i x-" f ,is active Na f I vidur (: in all matters connected with the contracting business of �/`�'� 17 6J U(1iid nme of Business Enti ) We further resolve and represent that < /� is �1 LNamndividual) i legally empowered to act for 0/ en- O Su) ti “Lin all matters connected with its (Name of Business Entity) • epntraI% us ,an)has the authority to supervise construction undertaken by j�® / �f ctf ,L LZ` (Name of Business Entity) � f DULY PASSED AND ADOPTED THIS 5D day of u(.6 , .20/4. (Officers,Partners,Owners—with I .gn. 'on underneath Witness Witness Witness Corporate Seal(if Applicable) Or Notary Public Certificate 1I- Sworn to and subscribed before me this 3C)day of( . ,20(/ by _ I ,.40__ . \05 fae r/ (1)i i-s .0.--4 Notary Public Name Printed 11 • . dor Commission Number V'(- & S• 2 My Commission expires: .I.e. 232--0[i? 1 •IN JOSUE SOUS ( Notary Public•State of Florida I it, , My Comm.bairn Jan 23.2018 1140;7;041.lCommission N FE 85542 COLLIER COUNTY GOVERNMENT COMMUNITY DEVELOPMENT AND ENVIRONMENTAL SERVICES DIVISION 2800 N.horseshoe Dr. • Naples.Florida 34104 • 239-403-2400 • FAX 239-403-2334 IN MEMORANDUM DATE: November 29, 2007 TO: Applicant's FROM: Michael Ossorio, Contractor Licensing Supervisor. CC: Robert Dunn, Collier County Building Director. Alamar Finnegan, Collier County Permitting Supervisor. Robert Zachary, County Attorneys Office. All Contractor Licensing personnel. SUBJECT: Collection of social security numbers. Pursuant to Chapter 119, Florida Statues and Collier County Contractor Licensing Ordinance 2006-46 Sec. 2.1.1, all applicants are required to submit their social security number (SSN) for the following purposes: a) Assess applicant's ability to satisfy creditors by reviewing their credit history. b) Verification of applicant's test scores and information. Our office will only use your SSN noted above for those reasons pursuant to Chapter 119, Florida Statues and as may otherwise be authorized by law. We are fully committed to safe-guarding and protecting your SSN and once collected, will be maintained as confidential and exempt under Chapter 119, Florida Statues. COLLIER COUNTY CERTIFICATE OF COMPETENCY CERTIFICATION INFORMATION C25778 Certification Information Collier County Board of County Commissioners Date: August 07, 2014 DBA: Statewide Painting & Pressure Cleaning, Inc ADDRESS: 3265 34TH AVE SE NAPLES, FL 34117 PHONE: 2395973799 CELL: 2393402356 FAX: 2395973497 LICENSEE NBR: C25778 QUALIFIER: BARRY M. HELFF TYPE: PAINTING CONTR. CLASS CODE: 4270 ISSUANCE NBR: 25778 INSURANCE: ORIG ISSD: EXPIRATION: Worker's Compensation July 14, 2011 September 30, 2014 December 24, 2014 General Liability September 30, 2014 NOTE: It is the Qualifier's responsibility to keep all business, licensing and requirements current and to provide up to date copies for Collier county files. This includes all insurance certificates and any change of address information. Collier County * City of Marco * City of Naples Contractor Licensing PAINTING CONTR. Cert Nbr: Exp: Status: C25778 09/30/2014 Active Statewide Painting & Pressure Cleaning, Inc BARRY M. HELFF 3265 34TH AVE SE NAPLES, FL 34117 Signed: JU1 GU 1Y Vo.oON LOV'' r I-V 101 2392770167 p.1 mar PT 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 Jaws including the Electronic Communications Privacy Act. If you are not the intended recipient, please contact the sender and destroy all copies of the communication. 4NI�� 'V 11..1,1,71.) LOU-41 for 2392770167 p2 Prepared By: Merit Cred_t (239) 277-3202 (800) 371-3348 T_RANSJNION CREDIT REPORT [FOR] (SUB NAME] [MKT SUB] [INFILE] (I) Z NP6284423 MERIT CREDIT 16 NP 1/80 07/28/14 14I 0CT [SUBJECT] LSSNl HELFF, BARRY M. (BIRTH DATE) [CURRENT ADDRESS] 3265 S2. 34TH AV., NAPLES FL. 34117 [DATE RPTD: [FORMER ADDRESS] 9/11 212 MONTEREY DR. , NAPLES FL. 34119 78 ROCKWELL CI., MARLBORO NJ. 07746 6/06 RL [CURRENT EMPLOYER AND ADDRESS] [POSITION] j STATEWIDE PAINTING INC [1ERF] [RPTD] [FORMER EMPLOYER AND ADDRESS] 6/10 5/10 STATEWIDE PAINTING & PRESSURE CLEAN OWNER 4/05 MODEL P R O F I L E * * * ALERT * ***FTC° CLASSIC 04 ALERT: SCORE +572 : 038, 010, 013, 018 *** IN ADDITION ***TO THE FACTORS LISTED ABOVE, THE NUMBER OF INQUIRIES ON THE CONSUMER'S *, *CREDIT F=LE 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=9 HSTNEG=2-24 TRD=33 RVL=17 INST=L3 MTG=2 OPN=1 INQ=3 HIGH CRED CRED LIM BALANCE PAST DUE MNTHLY PAY AVAILABLE REVOLVING: $1822 $10.1K $1030 $0 $41 INSTALLMENT: $61.21 $ 90� $10.X{ $0 $550 CLOSED W/BAL: $108K $90.4K TOTALS: $63.CK $10.1K $124K $90.4K S591 C O L L E C T I O N S SUBNAME SCBCCDE ECOA OPENED CLOSED $PLACED CREDITOR ACCOUNT# VERIFIED BALANCE REMARKS MOP CREDIT COLL Y 1GZD005 I 4/10 $242 06 PROGRESSIVE EXP 095 4/14A $242 PLACED FOR COLLECTIO T R A D E S SUBNAME SUBCODE OPENED EIGHCRED TERMS MAXDELQ PAYPAT 1-12 MOP ACCCUNT# VERFIED CREDLIM PASTDUE ANT-MOP PAYPAT 13-24 ECOA COLLATRL/LOANTYPE CLSD/PD BALANCE REMARKS MO 30/60/90 AMEX B 21WBOOL 12/01 $28.5K 7!14A $28.5K 009 I CREDIT CARD 12/11F $28.5K CLOSD BY CRDT GRANTOR TARGET/TD D 1ZX5002 2/09 $8673 7/14A $3900 R09 I CREDIT CARD $4523 3/12F $4523 CLOSD BY CRDT GRANTOR DISCOVER FIN B 9616003 4/96 $14.OK R09 1%.1 2392770167 2392770167 p.3 6/14A $12.1K $8532 I CREDIT CARD 8/12F $14.31( UNPAID BLNC CHRGD OFF CHASE B 26QK004 9/00 $15.1K 10/13A $10.41( $11,31 R09 I CREDIT CARD 10/12F $11.31( CLOSD BY CRDT GRANTOR BK OF AMER B 1597029 5/06 $5144 2735 8/13A $846 R09 I FLEXIBLE SPENDING 12/11F $4807 UNPAID BLNC CHRGD OFF BK OF AMER B 633.204 4/05 $64.4K 1M 4/13A 109 I RECREATIONAL MERC 6/10F U . K T $35.01( UNPAID BLNC CHRGD OF?' BK OF AMER B 1597029 12/97 $18.OK 2/13A $6200 $962 R09 I CREDIT CARD 12/11F $5730 UNPAID BLNC CHRGD OFF BK OF AMER B 1597029 4/06 $6403 991 8/12A $4100 $601 R09 I CREDIT CARD 12/11F $3888 UNPAID BLNC CHRGD OFF BK OF AMER B 427S032 6/07 $500K 360M 9120 555555555555 M05 4/12A $0 $19.6 05 555555543321 I CONVENTIONAL REAL 4/12C $0 SETTLED ( FULL BLNC 48 1/ 2/20 NISSAN MOTOR Q 507T073 5/iC $21.9K 6QM373 7/14A 111111111211 I31 I AUTOMOBILE $3722 SO 111111111:11 3/48 1/ 3/ 0 SYNCB/ 7/14A $124 S0 111111111111 RO1 C CHARGE ACCOUNT 2/12C $0 CLOSED 48 1114811,0/11 0/ 0/ 0 KOHLS/CAPONE D 12EN005 6/00 $213 7/14A $500 $0 111111111111 ROl 11Z1 C CEARGE ACCOUNT 4/14P $0 1111Z11 48 0/ 0/ 0 CAP ONE B 1DTV001 3/14 $1014 MIN25 CARD $1014 3 0/ C/ 0 CRECITONEBNK B 54FR013 5/13 $595 MIN16 7/14A $600 S0 11'_111111111 RC1 1 CREDIT CARD $16 13 0/ C/ 0 CHASE E 2854034 8/08 $12.4K 219M69 7/14A 1_1111111111 I01 STUDENT LOAN $0 11111111 $9866 44 0/ 0/ 0 SALLIE MAE B 6372038 9/05 $10.71( 123M108 6/19A 111111111111 101 $0 1111111111 I STUDENT LOAN $ 11 .2217 48 0/ 0/ 0 CHASE AUTO B 4020038 4/10 $24. 6K 60M410 12/13A 111111121111 101 $0 1111111111.2 . . , c., u ru nor p.4 I AUTCMOBILE 12/13C $0 CLOSED 44 0/ 0/ 0 VISA DSNB B 2A5TCO2 9/07 $0 11111111111' RO1 5/13A $1000 SO 111111111 I CREDIT CARD 11/10C $0 CLOSE/ BY CRDT GRANTOR 21 0/ 0/ 0 TARGET N.B. D 1ZX5001 8/07 $476 111111111111 RO1 10/11A $200 $0 111111111111 I CRED:T CARD 1/09C $0 INACTIVE ACCOUNT 48 0/ 0/ 0 FIA CS B 1597185 1/97 $0 XXXXXXXILKXXX RO1 28 10/1IA $4500 $0 XXXXXXXXXXX1 I LINE OF CREDIT 10/09C $0 ACCT CLSD BY CONSUMER 48 0/ 0/ 0 MAZDA AMER F 3796014 7/08 $9781 36M271 11111:111111 I01 7/11A $0 111111111111 C AUTOMOBILE 7/11C $0 CLOSED 36 0/ 0/ 0 GMAC Q 259237M 6/07 $19.7K 39M506 111111111111 I01 7/10A $0 11111"111111 C AUTO LEASE 7/10C $0 CLOSED 35 0/ 0/ 0 NISSAN MOTOR Q 507T073 3/06 $25.6K 6014473 _11111111111 101 5/10A $0 111111111111 I AUTOMOBILE 5/10C SO CLOSED 48 0/ 0/ 0 NISSAN MOTOR Q 507T073 4/06 $40.6K 66014800 1111111_1111 I01 8/09A $0 111111XXX111 S AUTOMOBILE 8/09C $0 CLOSED 39 0/ 0/ 0 FRD MOTOR CR F 3796761 5/04 $13.3K 60M270 111111111111 I01 7/08A $0 111111111111 I AUTOMOBILE 7/08C $0 CLOSED 48 0/ 0/ 0 CAF ONE B 1DTVOC1 4/04 $6598 111111111111 RO1 7/08A $17.0K $0 111111111111 C CREDIT CARD 6/08C $0 ACCT CLSD BY CONSUMER 48 0/ 0/ 0 COLONIAL BK B 7398013 4/05 $111K 11111111111: CO1 7/07A $120K $0 1111_1111111 I HOME EQUITY LOAN 7/07C $0 26 0/ 0/ 0 BK OF AMER B 4275002 10/03 $320K 360 143105 1111111:1111 MO1 6/07A SO 11111111111: C CONVENTIONAL REAL 6/07C $0 CLOSED 42 0/ 0/ 0 SUNTRUST BK B 423A022 10/03 $33.2K 60M640 111111111111 I01 6/07A $0 111111111111 S BUSINESS 6/07C $0 CLOSED 43 0/ 0/ 0 WF/WB B 362N400 10/03 540.0K 111111211111 CO1 12/06A $40.0K $0 111111111111 C HOME EQUI^_Y LOAN 4/05C SO ACCT CLSD BY CONSUMER 37 0/ 0/ 0 CB/DTYF.CM D 1W4SC01 9/05 $0 1 R01 9/05A $7000 $0 = CHARGE ACCOUNT $0 1 0/ 0/ 0 ITV V 2392770167 p.5 FRD MOTOR CR F 3796761 5/04 $16.OK 60M266 36982719 7/05A 111111111111 IOi C AUTOMOBILE 11 14 0/ 0/ 0 1ST NATBK FL B 1Y4F031 10/02 $25.0K 60M484 78287301 9/04A 111111:11111 I01 C AUTOMOBILE 9/04C 111111111 9/04C $0 CLOSED 22 0/ 0/ 0 I N Q U I R I E S DATE SUBCODE SUBN_Z1ME 7/28/14 ZNP6284423(FLA) MERIT CREDIT TYPE AMOUNT 3/30/14 BPC2699824 (NTL) CAP ONE 9/11/12 FNY3767022(ERS) CIENA C R E D I T R E P O R T S E R V I C E D BY : TRANSUNION 2 BALDWIN PLACE P.O. BOX 1000,CHESTER, PA. 19022 800-888'4213 Consumer disclosures can be obtained online through TransUnion at: http://www.transunion.com CREDITOR CONTACT INFORMATION CREDIT COLL YC1GZJ005 PO BOX 9134 NEEDHAM MA. 02494 (603) 570-4784 AMEX BC21WBOO1 P.O. BOX 981537 EL PASO TX. 79998 (800) 874-2717 TARGET/TD DZ1ZX5002 PO BOX 673 MINNEAPOLIS MN. 55440 DISCOVER FIN BC9616003 POB 15316 WILMINGTON DE. 19850 (803) 347-2683 CHASE TC26QKO04 P.O. BOX 15298 WILMINGTON DE. 19850 (800) 955-9900 BK OF AMER BC1597029 PO BOX 982235 EL PASO TX. 79998 BK OF AMER B86331204 4161 PIEDMONT PKWY GREENSBORO NC. 27410 (866) 468-3402 BK OF AMER BM427S002 4161 PIEDMONT PKWY GREENSBORO NC. 27410 (800) 451-6362 NISSAN MOTOR QZ507T073 POB 660366 DALLAS TX. 75266 (800) 777-6116 SYNCB/JCP DC235058D PC BOX 965007 ORLANDO FL. 32896 (866) 227-5213 KOHLS/CAPONS DC12EN005 PO BOX 3115 MILWAUKEE WI. 53201 (262) 703-7000 • CAP ONE BCIDTVGOi POB 30281 SALT LAKE CITY UT. 84130 (800) 955-7070 CREDITONEBNK BC54MR013 PO BOX 98872 LAS VEGAS NV. 89193 (877) 825-3242 CHASE EL285 4034 PO BOX 7013 INDIANAPOLIS IN. 46207 (800) 489-5305 SALLIE MAE BS6372038 PO BOX 9500 WILKES BARRE PA. 18773 CHASE AUTO BA4O2D038 PO BOX 901003 FORT WORTH TX. 76101 (800) 336-6675 VISA DSNB BC2A5T032 PO BOX 17759 CLEARWATER FL. 33762 �� T��•��N -�„-••�v, 2392770167 p.6 TARGET N.B. DZ=2X5001 PO BOX 673 MINNEAPOLIS MN. 55440 FIA CS BC1597185 PO BOX 982238 EL PASO TX. 79998 (800) 421-2110 MAZDA AMER FA3796014 POB 542000 OMAHA NE. 68154 (800) 945-6000 GMAC QZ259237M F.O. BOX 380901 BLOOMINGTON MN. 55438 (800) 925-2559 FRD MOTOR CR FA3796761 P03 542000 OMAHA NE. 68154 (800) 727-7000 COLONIAL BK BI7398013 ATTN CREDIT DISPUT WILSON NC. 27893 (800) 222-0661 SUNTRUST BK BY423A022 PO BOX 85526 RICHMOND VA. 23285 (877) 596-5407 WF%WP BC362N400 PO BOX 3117 WINSTON SALEM NC. 27102 (336) 747-9325 CB/DTYF.CM DV1W45001 PO BOX 182789 COLUMBUS OH. 43218 1ST NATBK FL BZIY4FOO1 1150 CLEVELAND STR CLEARWATER FL. 33755 CAP ONE B 2699824 PO 30X 30281 SALT LAKE CITY UT. 64130 (800) 955-7070 CIEAIA F 3767022 INDEPENDENCE CORPO GREENVILLE SC. 29615 (864) 751-4429 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. PUBIC RECORDS HAVE ALSO BEEN VERIFIED FOR PINELLAS COUNTY. PUBLIC RECORDS LEARNED 0 SOURCES OF INFORMATION. TRANS UNION LLC IRS LIEN SECTION COUNTY COURTHOUSE RECORDS IF YOU HAVE ANY QUESTIONS REGARDING THIS REPORT, PLEASE CONTACT MERIT CREDIT AT: 1-800-371-3348 OR ;239) 277-3202. Jww t4V3:oup L.S`J-L//-V16/ 2392770167 p.7 TIT Merit Credit INC Fast,Accurate&Secure. 12734 Kenwood Lane#85 Fort Myers, FL 33907 (Mailing address only) DATE RECEIVED REPORT TYPE O CONTRACTORS/BUSINESS LICENSING Jul 28,2014 BUSINESS R REPOSITORIES: PREPARED BY: EXPERIAN ANP APPLICANT ADDRESS NAME: BROTHERS OF SW FL LLC LL 6345 NAPLES BLVD#AS DBA STATEWIDE PAINTING NAPLES,FL 34109 SSN/FEIN: N r PUBLIC RECORD CERTIFICATION THE REPORTING BUREAU CERTIFIES THAT: PUBLIC RECORDS HAVE BEEN CHECKED ON ALL COUNTY,STATE AND FEDERAL LEVEL, INCLUDING PINELLAS COUNTY FOR JUDGEMENTS, FORECLOSURES, GARNISHMENTS, BANKRUPTCIES, TAX LIENS, AND OTHER LEGAL ACTIONS INVOLVING THE SUBJECT(S) WERE OBTAINED DIRECTLY THROUGH THE REPOSITORIES USED, OR BY DIRECT SEARCHES,OR A PUBLIC RECORDS SEARCH FIRM OTHER THAN THE REPOSITORY,OR BY ALL METHODS WITH THE FOLLOWING RESULTS: PUBLIC RECORDS LEARNED: —0— BUSINESS HISTORY PRINCIPAL: BARRY HELFF TITLE:MANAGER DATE FILED: 01/05/2011 STATUS: ACTIVE BUSINESS NO INFORMATION WAS FOUND AFTER CHECKING THE FOLLOWING DATABASES: TRADE PAYMENT DATA UCC FINANCIAL STATEMENTS PUBLIC RECORDS COMPANY BACKGROUND BANKING INFORMATION CORPORATE RECORDS SOURCE OF INFORMATION: EXPERIAN BUSINESS INFORMATION SERVICES IRS LIEN SECTION COUNTY COURTHOUSE RECORDS FLORIDA DEPARTMENT OF STATE/DIVISION OF CORPORATIONS MERIT CREDIT: Telephone 239-277-3202 or 1-800-371-3348 To2I Free FAX 1-239-277-0167 This information is furnished in response to an inquiry for the purpose of licensing orevalusung credit risks.The information finnisbed must be held in strict cadence and complies with the provisions of Public Law 91-508,the Fair Credit Reporting Act. .•a.1 L,.• I I V 1 2392770167 p.8 Premier Profile-STATEWIDE PAINTING 8.PRESSURE ,.- •- • IMO. Subcode:970135 Ordered;07/2812014 14:43:32 CST 11 1';Experiari- ,Sim. Transaction Number.C500507415 : • , Search Inquiry:STATEWIDE PAINTING&PRESSURE CLEANING INC/3265 34TH AVE A world of insight SE/NAPLES/FU522379490 Model Description:Intelliscore Plus V2 -------- --- --- usress Na'-n ----- -------------- ---------- Be Eusr.-rus I::eitficon lArrte- :.-7--__,--::,•'..)- ,). ,t1 - ',.,..'‘-lc,.:-. k,:• r.Z.--P;;;T,;,, ' ',,,Sf.... .•-• ... ---.,.. - . ,- • ;•.,,_,•••.,!•-'3'.10- • . . ,. . . ,, , •,.....,- .• .' -,:.,-,•-:-....,•7.....,.,.•...--..,..-..7.,----,-4.,-...:.,2-...1-A-;.....-t.—:---:,=-•.,:.*-n._.------•;•:-•.:-....:.,•:..•,5%.,-?•:.--`,.',-ft;•;-...:.:;f1.'...•:,.,...:-:,,, ;.-k--,..;---;:s' '-4:-•:!--:• ,-,'i.---;.,-.--,.=,--, ,-,'.•-.:•-•::"4/. -'' -....:,::.,,,:-2t........:::_-•::::„L.:;,;,.....:-..“1.--:-..-Z..-,-:....:-........,...:,..,,,..,..,..,:_.,:,:-.....::-..:-...:.•—•....--::-.....a-:,--,.--..:-,..-",-....—:•-e--::-,1.-----,—..-,........,......,,,,:..-,:_..,.:---..._,,,,.....-.........,......-_-__ Doing Business As: STATEWIDE PAINTING Website:StaletakkaNntingan Primary Address: 1495 RAIL HEAD BLVD STE 5 Phone: (239)597-3799 NAPLES.FL 34110-8461 Tax ID: 52-2379490 This business is the ultimate parent. 1 dill fieolliammeme.hificarchylysjirekinglara TOP ...:Fi16ic.SOirviii*iatriiiNfilii --:—' .-: -.:13411.00140,0161*-:::1::::-: ,-PemietiO114.1K Intelliscore Plus Financial Stability Risk Company 081 Original Filings High Risk Alerts ..---.-,.. .„..............--„, I it I---.A 4 I HIGH RISK - . = MEDIUM-HIGH I 1 .• RISK .i•If- '..- , ::-. I .1 W — • t Score range:1 -100 percentile Industry DBT:13 Credit Limit Recommendation:N/A top 1) .z2'''•"----.1--*-- .!., 7: ..: 1, -•',•:-—•'-.,---,--,:-------,'".-,•:-.---""7!. '•--"-.--''''•'---:"-----".:1::'-....- "-: ::-: ' 1:-!-...7'."-•-1•:,;s--:';-e::-•',"':.,,:-::4;;;;..1.-::::,,.."-•-,-,-,-.I.,-.va..:■.-_- Years on File: 30(FILE ESTABLISHED 10/1984) SIC Code: PAINTING&PAPER HANGING CONTRACTORS-1721 State of Incorporation: FL SPECIAL TRADE CONTRACTORS,NEC-1799 Date of Incorporation: 09/30/2002 NAICS Code: Painting and Wall Covering Contractor-238320 Business Type: Institutions-Profit Other Foundation.Structure,and Building Exterior Contractors- Contacts: BARRY HELFF-OWNER 23819CI Other Building Equipment Contractors-238290 Number of Employees: 35 Sales: $3,639,000 toi•iii4 — --------- Commercial Fraud Shield ,..*•-, :.‘;...'ra ,-■.:'1.- D(,131,....- 'iA-u..--g.1 o'.... r:„....o ill cti.,-.1-.:7 I7".-,:t.z,7.77174" ..4-...:•.t.,-...!. t 1......fP',7 „.W: „..A,,,?_,,..4"•:.t,... -,.. -, ‘..,...,,.:, ,,..-..:1 *,- :..,- '!-:::: ...:; .-...:11; --:.-.: --?"r'-- '- 4 :1,-,:-.4---.,z.1:::,.:,--- r.-.-•:--4:;':";-:','"* -::- .21-Z!-- S.:', ....- '--4."w‘--'s :,•: '.:,..r.. A.:::.-e'r, • Active Business Indicator: (II?) Experian shows this business as active PRESENCE OF TRADES IN THE CURRENT .---0 MONTH WITH DBT>THAN 92 DAYS Possible OFAC Match: 1E1 No OFAC match found --"?-7-- Business Victim Statement: No victim statement on fde • -.::.• -•. --. 01.2e.-••-.•-„1.1.,:. .ei..L.s.-..•s.tn- Ogi ,. . . ..-,. . ., . . ... ,. .. . .. . . , ,',. ••-••,-,...,,..,----;:-.:---," :••••-=4,------z=z=•"' - ' •"'-'`z--• -','•• •'.--.1.''':•,:..'7:-••••:" 7.-.._',-.--..::--_;:-,,ei:....--4 s- - .;_-.7 :' -...',';---,-,—.. -.. ..- -,,--.,_ :.;-_-_,.._-_,-_,.!-....- •,..,...__.- • __rf.:.:,:-.....,...;+--.:-.:-....-.7.--:-------,.;:-:.,:,,:--:.1:-1.-.- ----,':-.•-q-i'-‘,-."--1,),;;:,.--:-_--,:-.-.. . ,,-,-:......---:- ::::_-„.:-;-.,Ls-.f...,:;:,...i1:.:-:4.-:::„.::.-F .:-:,,-.:....,..._, ...v:--;.:4-':::::q1s -7--,..'ii:'.'.'f-%,-':::=A-4,.-?..-- -...,..?-.::,';.'. Current Intelliscore Plus Score:4 Risk Class:5 fr-”,,,,-f-77,472rAPTinv laililitlfidmialaimi The risk class groups scores by risk into ranges of similar Premier Profile-STATEWIDE PAINTING&PRESSURE 115 2392770167 p.9 —G.I I 1 4./ performance.Range 5 is the highest risk,range 1 is the . 4 • • • - • • • lowest risk.•High'• • - . Low Risk • •• • • Risk 0 10 - 7.5 100 6 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 AVERAGE BALANCE OF RECENTLY DELINQUENT COMMERCIAL ACCOUNTS 3%of businesses indicate a higher likelihood of severe delinquency. ).NUMBER OF COMMERCIAL ACCOUNTS WITH NET 1-30 DAYS TERM NUMBER OF RECENTLY ACTIVE COMMERCIAL ACCOUNTS BALANCE OF COMMERCIAL ACCOUNTS AT WORST DELINQUENCY •••••••••1.-L -- Quarterly Score Trends 100 T.. 904 , .• • BO-r • 70-;• • The Quarterty Score Trends provide a view of the 00 larelihood of delinquency over the pas:12 months for this 50 business.The trends will indicate if the score improved, 40 V remained stable,fluctuated or declined over the last 12 months. • • -- ••• ------- • - " - •-• •------ • ----- - 30 . 541 siso l'At 0.A114 OS/ If‘t4 P.54-1 CtdltFRj Current Financial Stability Risk Score:5 Risk Class:4 High • -Low The risk class groups scores by risk into ranges of similar Risk . TV. . Risk performance.Range 5 is the highest risk,range 1 is the 1 00 lowest risk. 0 3 10 30 65 This score predicts the likelihood of financial stability risk within the next 12 months. The score uses tradeline and collections information,public filings as well as other variables to predict future risk.Higher scores indicate lower risk. Factors lowering the score Industry Risk Comparison PERCENT OF TOTAL COMMERCIAL BALANCE SERIOUSLY DELINQUENT 4%of businesses indicate a higher likelihood of financial stability risk. PAST COMMERCIAL DEROGATORY BALANCE NUMBER OF ACTIVE COMMERCIAL ACCOUNTS ).RECENT COMMERCIAL ACCOUNT DELINQUENCY •• '•• - - - • -'•• Credit Limit Recommendation This recommendation compares this business against similar businesses in the Experian business Not available-A credit limit credit database.It is based on trade information,industry,age of business and the Intelhscore Irecommendation is not available for a Plus.The recommendation is a guide.The final decision must be made based on your company's business with a current DST 60. business policies. TOP 4iiest Premie.Profile-STATEWIDE PAINTING&PRESSURE 2r 5 2392770167 p.10 • Fi3iiiii .....:.,...;..Z.:.:. .---.........'....-„,..,..:::--21,-,--c-1.-....72.-,-::::..,f.i.::.....:...-....t-' .i*...s.....K..."--- -'"-...■.. --a .. •' . ;''-'., '.'''.' -..-'.---"-•,•="' -,,,C.."--.-.....," ....,...:e.ii:_,::.?..LZ.2'.-:_---i...%Z...*--_.:-..:f r- .4 Current DST: 104 Total trade and collection(7): i17,5-00 Bankruptcy: -14O Predicted DBT as 09124/2014: 95 .All trades(7): s.17,500 Tax Lien filings: 0 $0 Judgment filings: 0 Monthly Average DBT: 104 All collections(0): u Sum of legal filings: $0 Highest DBT Previous 6 Months: 105 Continuous trade(4): $17.500 UCC filings: 1 Highest DBT Previous 5 Quarters: 105 6 month average: $17,300-$17,500 Cautionary UCC filings: No Payment Trend Indication: Highest credit amount extended: $17,300 Payments are stable Most frequent industry purchasing terms: CREDIT.REVOLVE,NET 30 ..-.6.:1044111-ii#0i..***;'''''•':"-----:.--!.-.!•‘:":‘-:-......‘s.- --1:-?-,---1-, --..---:-.1.-i-....:-.:-,-,-,i.*:-:-: :•-•-••, ;-.--: -'4--- -.---..r.--.‘.•..:::,-.',---:-.*•;;:.-.f-----,;.'.•-,::•:,:-.-,-:,--...,-.-.±.?!.:.;'.":.c.--.,,•-:;-:-• ,_.. ., ,.....-....•.--.:2•.,..-.,.......,..........---.:,;:_:'.-:.17-__:••-,:;,---_:-...*•--,--_:::-:::2:::_:..::,...--i:::-.;•:i....,:ki.::i....::-..:..,•:. ._ :..:....::.-.:::::::.1::.-..-.i.::;..1-....::...7:1.,,,,,,-.-_,-.:17,-"..,-'.-„'.'•:;.:.::::-.>.:.-:.....--.:_i-:::-.,-_,:i1:...F.-:.`:.-,..L..:;.:::. Industry D13T Range Comparison DEIT Norms The current DBT of this business is 104.9%of businesses have a DBT range of 16+. All industry: 7 DEST for this business: 104 Same industry: 13 f.7"."""7"•••7!"'"'""*""7"7"7"'"7 "'""7"."'”-77,"777."r"r""".."".• Industry Payment Comparison - . • • . .. • i - .-• • -. • Has paid slower than 70%of similar businesses . •- I. . i -wer-cf-b-trstni -rs----------,-IT.00,111:111e i • .. . . , • ' •• DST Range. 0-5 6-15 16+ 7,7,P to --'-,.•-: ..•....:::::-...,..,.?:-. ..,-, "- ..,-......:::....:i.,t.:•x:•°:.f-0:-,- .',.-.: '<.•,,.r, . .•-••-'2...1.;.::.;-% : ..e,t .,.<:4..:_.1.(:-:::•,..:-,,,A..t..........;,,,:;7,,,...:.!, tofilistoi..:-..;••••:-:,:-..;: -,:s:. -.., „,:.-.-1-.1--fr- --.7:,. ::..z .. -- --;.-:.;: -:-.-.-'- - -_;.;.:-.---::::,---.=:..-,.--,.-:-&-,-:.*:•_--::.:-?.:?5,7--:.'-'1::-1-.-,' ?':--:_-;_:-:-:-<!;:;---:-ir-tl-f_i',*--i -:"-.:-,c;-.--•-":-.?. ; • • - .,.,...-•- -. • - ---:.;_.•,,-•--•-i :,-• ,---• -.-.- -.:---"--,,-.-.--;-::',..,-:.:__-..:_::,E.-.-::-.,..1-.::......:-::•'-:-.-•••.'..-: .ts.... ..*:...:-:.::. ;"L."...7•A',,.::-...a.":kfi:::1..V..-1.......::::"..:F.-*:4 r:,..i.:.•;.:::f.1-,1::::-:•-•.::..-r.i..... IlenthlyDBT Trends Quarterly DBT Trends . : 104 104 104 104 104 105 104 i 1-'; 105 105 104 104 104 : -• 1004' 100 . ; • • • . . . : .- • i 75 1 • . • . . • • . . ---: I . . . • : • . . . . ; -. • • .., 50 4 .- - .• - - . •• • -- . 50-: -••- - : . 2 • •-.-:..-, • . ! i , ...- --••:---•-• •-,-1.-••!-:'...:-*--'..i :-..:-- '"--':.- . :•.:: .. : ; - • --":..rf.---:!.:::•i•-. 1/4:- .''..,-....:••-.•-•, ...-:,•-•: -• ' 25 , ::•,••-•.--;:-•'•;:.----:-:••-•‘',:*---:,:4....--,-,_:.--:- :1:--•••: .:.: -;:•-....,..-,:::-,-;,-.,yr.-:,:,•••.:,:.,,:-.,;:.-•-•.:-ri.-s•-:•::::...:. --.'.:".--;....--;;;=.; : -; -.• -•?'-.--`7-•::-•`'41; 4.1.-".;-7.:-:::-:;:.,-,;--,:i...:,..,.:%-.'1..-..f • ..7.- "Z*:..7e.g.;_s.f i .:f.'..-:!---t.r.i•'.'.:'..••rt. :-;.4.--;:..-; . %-e:-7,!..:.k;f-4::r''.::?.....;'*;'''.-i : 25-: :, ..!-- If:?,;2:?Jr:e•,,,,C-•-,zJZ'' ' ' 3,-1.::"-**,-:i';•.',4 . • sr,:•:-....9,z.-1,..W.:..". -f-,,,::):Ir '1, 1ifie;•.4--'-;'-;',:• q;•--:'';:l't.i=4.,,s,',. • -::.:s.ti'" '''Y' .'''''''..V.7 - .. . .' .*. .3'. -.;i4.:•.:,.i - ?.*:.1. ..-.. :;.-4.::.•-k '....,7:."...,.'''''.: - . .,,,: ,' .$"... .4-4'/',/,--V.-,-.1;',l,-%,',',..?„,,--"';h ^7 r. '. • .`4:f -''-7'' :- ' • ', - / ' ;' ' - ''',.!--"--; ,Ip..,0Arcs.sAA10..„..vhp.spiotto.set&3004soliot. 2,ok5 sofa *W./ .ssetp` .2.04 -.,:•:.-:-.--,-,•••'-':•.'"'"--"-----'-'-7'-,...7.-f----.`;':7.3 .:::-. :::%:: -"_i;----;.:::::::7-:...-`117':Z';."'.---;.:,-.‘.;',:::::7::-:.:;?!--': !-.." ::„.:,,..':..:f...:---=;=--2.5.•(',_-:','::-,.--.`,-..-- :::.,.-.-;-i c:F.7...-,,.-,-..fc.,.-.i.::.:::::-.,;.:::'-':..v.:-.;;;;;:-:‘:/-■'--'''''d-i.-.-,..:;s:(4.-- -:';''-::-*---',!..,;:::::‘? Payment Trends Analysis Account Status PAINTING&PAPER HANGING CONTRACTORS-1721 Days Beyond Terms Cate Reported Indus"T Business 091 Balance Cur 1-30 31-60 61-90 91+ Cur OB CURRENT 82% 13 104 $17,500 1% 99% - jUN14 82% 13 105 $17,300 100% ...... --__.___ tylAY14 83% 13 104 $17,500 1% __ . 99% APR14 83% 13 104 517,500 1% 99% MAR14 82% 14 04 $17,500 1% 99% - _ _ FEB14 82% 14 104 $17,500 1% 99%_ JAN14 82% 14 104 $17,500 1% 99% •,... ...-,...,-. ':•''i'I,. . .7.-""-':'-__ _'':-.::.-1.•":723',..;,-.,:,:.::-.:'''-'.'•'T''.-",:::.-:'7.57,.::::"...'";;;T:t...:-F77:7,:..'--.-7-,.:-.-.:-,:.-7,':::.:--:----::::::::-.7-:!--:-.:"-:--,:.;.-.1-..---::::;;;:---?2.:77N-7:7:—.,-,-,-:.,...,:-_,;T:;;;.-:-..;,::::,---7;::-,7-7-",-;•:,). ..:QuOtAilwinient,Toodi. ;"--- •-::-.-.--._?.-i-e::-.-.-...:----_::-.‘ ...........FS'•'.'...'--2-1--.." 7":--r:"."-.•-7:1-, -:•:. ••;.%:•._•'•.:> --4.,--:,:-,'"?.;:.?...'cr::=-',-1---,-'''.-::::'`....'"e.'...•:,.,,;•L.?-:'.:,..'fl ".....,•',•...,,,..-.,.... -r.:•.-..::•‘",•:-..,•'.1:':5-...."-'.7r-,::-:-E-•••1.-.:.*---;:a.'..-:.•.---e-7:,...:,--..:-!."..-1.:.:.r..,"'..-::':•.=._1:-i:.:::,.:....:-,.,:„:.:...,,,:.......e.''.....':'..."...4....:-',:...ir-:::::•...•."--f.:.,;;;.-.-.::::-.,:,•::::::::::;1:=.•.,....-",.,•7;.--;..Z.,..:%::...1.‘, Prern.er Profile-STATEWIDE PAINTING&PPF.q.CURE 315 ...~~ .�~-.~"p 4,70.'41 1'1.1101 2392770167 p.11 . . . Payment w��ny'Qua�omvAv=�g=s Account Status /m^amw' Months DBT Balance Cur mm���wrwm�T�mnw q2'*x_________ APR_JUN __ 10* Sur�oo 1-30 31-60 61-90 91+ �i '�� ��m��m» ----------'--------'---_--_--_--____---'-_'_�_______- 99% .____-__-'____------'___ 104 $17,500 1% --'-----'-- o4'�o OCT DEC .________________________--_'_'---'____ __ 99% _--'-- ' 104 $17,400 ----'---------'------ -- --'-----'--------'-- 1% 99% ��'�o JUL msP ---------'------'------------- ' 105 �17onu ---'-----'---'---------- F���-----'--------'---------- ' 100% 105 '--------- - -------------'-'------- $17,400 —'---- 100% TOP Trade Line Type Lines Reported DEIT Recent High Credit Balance Current 01-30 31-60 61-90 91+ Continuous 4 104 318,800 S17,500 1% 99% New 0 30 Addftional 3 $96.200 $0 TOP�� -----�----____-_-_ � ai;iiiiess- ' - bate. ' Last Payment Recent High Balance Cur 1-30 31-60 61-90 91+ Comments Category Reported Sale Terrns Cretlit COMMUNICTN 03/2014 VARIED__________________________---� --_- ...~ $200 100% �mo�ex«:a 07/2014 03/2008 VARIED -----'-------'----------------------- $900 � ____-___- oppmEquo" 07m014 01m012 REVOLVE ----'—�—' --- -------'--------- --�--'--------- — -��---'----''---'--_-'--_---_________ $0 - -----� PRNTG&PUBL unz$ * VARIED -'---- -- -----' -------- -----'------'--- . $17.300 317.300 100% TOP Bus i nes s -Date -Last l‘yment Recent High Balance Cur 1-30 31-60 61-90 91+ Comments Category Reported Sale Terms Credit BANK 06/2013 0612013 CONTRCT $75,000 SO -CHARGE OFF CRED CARD 07/2014 REVOLVE $0 FINCL SVCS 08/2011 07/2011 VARIED $21200 $0 ACCTCLOSED ' TOP Cautionary Total Released/ Amended l Date Range Year Continuous UCCs" Filed Termination Assigned JUL-PRESENT 2014 JAN-JUN 2014 JUL-DEC 2013 JAN-JUN 2013 JUL-DEC 2012 PRIOR TO JUL 2012 1 1 1 "Cautionary UCC Fnirgs include one or more of the following collateral: Accounts,Accounts Roceivabies,Contract Rights,Hereafter Acquired Property,Inventory,Leases,Notes Receivable or Proceeds. Premier Profile-STATEWIDE PAINTING 4 PRESSURE wa 2392770167 p.12 ollt GU I't 1/4P-P.V.4.7 zou-Z l 1-0 10 1 , . - -4-#41-01111:-lilt,7.f-;.::::.1-.!7.-;--.:,":-‘:',.'.-f:a--,-..";-:-.-- -,:. -:..:•----::::-..:•:;--::',--.1-'';•.-7-",::-:' '..•-=:;...f.::-.,..':::.;.:',.:,-.: :.::il•. -!-!*-27;77::..:',Z.t.:-.::.;'::;.:....:";;-71;;:*-,'1.--1.:,-;:.-ni.:.;f:::.-f.-y--:::::•,,::::-Z.:;-3-1.:,',1 ( UCC CONTINUED Date: 11/132/2009 Filing Number 200901456908 Filing Original Filing Date:03/25/2005 Original Filing Number:2005092777 N Jurisdiction:SEC OF STATE FL UCC TERMINATED Date:10/17/2009 Fing Number 200809369182 Original Filing Date:03/25/2005 Original Filing umber:2005092777 Original Filing State:FL Original Filing State:FL Jurisdiction:SEC OF STATE FL . Secured Party:COLONIAL BANK,N.A.AL MONTGOMERY 36104 Secured Party:COLONIAL BANK.N.A.AL MONTGOMERY 36104 32 COMMERCE STREET L 32 COMMERCE STREET L UCC FILED Date:03/25/2005 Filing Number:200509277746 Jurisdiction:SEC OF STATE FL Secured Party: • . TOP 0 :19-•- -----,------t-iiiiiiiiii-a4.:-<F.:-.i:::::r:-.::,--;:e..-._:::::,-..;::,,i..--,:<5..::;:,..v.. .„4:-..;',41,1:-.1.--.v.„y,?..i,:t-t-.2:--..:;:f•:.:.„-:-.:A;t„,-„.*:.:f.., . .;.i'...- , ... ,. ,.-4-2..r i.:.:?:-F,:3:3--....i-t,.....;-.:;-% .900010 Clir..,::,-;-.-...:.::-.1,-'.."--f-':--.•..:.-----:-.'-:*:',--,-.-.7-‘':,--.-.,:-,,r.:.--:----1-:::-.: :'-':',-f-r:'...."-*:-'6:,.*.fe--,-■?-...:..1,.-,,,=-.,,o.'1,---;:.'-,-3.::.ki.:.--e-<:::-.--••:':-.:...--....„■.,-;:.-,-.zr.1.;.i.-;..---!,•.--:-...- --,-...-.-:4:-..,-"V•.--:.--Ii....::,..42.,-1,_:-A-.'271.vf.'...i.-,<-4._:.?..1.--1-1‘...:7`,.:-f.E-;:s.:- :.*.....T.',.::::::,-.:7-e..:.-2....::...-:.*.L.,...:-..-..-.s:I.:,t.,....:...--f.' -.-,,:,.-:,...- .p.::.- "ia- -- -: -e-•z--- -....!...,.... THE FOLLOWING INFORMATION WAS PROVIDED BY THE STATE OF FLORIDA. State of Origin: FL Date of Incorporation:09/30/2002 Current Status: Active Business Type: institutions-Profit • Charter Number P020001062 1 Agent: SOUTHWEST PROFESSIONAL SERVICES OF SO.F Agent Address: 13571 MCGREGOR BLVD STE 22 FT MYERS,FL TOP to ,--.:riiiiaii*-441.4*.'-)v---,'------' ...-:'•‘-..'.=- •7;".:•---f-'-'-'-ff:-:"-:ci:IrAiiihrilit:--m.P--'-';'••'''";-..--•;•-:',';'-'•,- ''---•;:,-.:-:&•,:"..:,,x:::-1:.;A„...---"'•-r!,1-1r.:-.,:.,!:...;•,aRte::::z..-.-,•• ••••-•::-•;‘, .•,..„..:,..,..,:,.....,,..::::::::::::::::::::._;....s.,--:.L.•-::ti.,::-.1:.,.;-.:.:;;;;!_:.:-:.7•-•7:::-.--:..,-:-:,...0_,..:::,:.-::--:::11."...,,Z::_.--.---"...::::,..:7;-:...!.,:-,:-;:t:.,11---1:-z.".::Lzt...1,-;.:44:::.e. 1.::.--1611-1-:::,::i;.:Al.‘ni::-_:-.f.,..1. 7b:-..-:-..%,..: The inquired upon business,STATEWIDE PAINTING&PRESSURE,is the Ultimate Parent STATEWIDE PAINTING&PRESSURE 1495 RM.HEAD BLVD STE 5-NAPLES.FL 737553490 Branches of the inquired upon business: STATEWIDE PAINTING&PRESSURE 27141 MORGAN RD-BONITA SPRINGS,FL 7441407904 STATEWIDE PAINTING&PRESSURE 3265 34TH AVE SE-NAPLES 959009814 . _ . .. TOP 0 „.•.•- • ,..„•••"--_„--••:„.,„.••,....;,?,,,•-::•;:„::::,,,:...••••,:•.••:•-....,.:.:,:•••••...-::,..-..-..:•-...,.,../..•••••...-.....-_.:..-:.„;••-.:,•• -_:•-•,.. ,•,•.,-,•:-.-,:••Niry,:,•i.:•,,,,.,..t-::::-....,1,-./.•:,••.„::-•,:t..,:p....?::,,..,.,,,.- Sumrnayofin Business JUL14 JUN14 MAY14 APR14 MAR14 FES14 JAN14 DEC13 NOV13 Category GLASS 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 not be reproduced.Neither Expeller? Information Sorutions,inc.,northeir sources or distnbutors warrant such information nor shall they be liable for your use or reliance upon it. 0 Experian 2014.All rights reserved..etiltaGY001Ze. Exoerian and the Experian marks herein are service marks or registered trademarks of Experian. Premier Profile-STATEWIDE PAINTING a PRESSURE 5.,S 2392770167 p.13 Merit Credit _ Fast,Accurate&Secure. MERIT CREDIT HAS RETRIEVED THE ABOVE BUSINESS REPORT FOR LICENSING PURPOSES AS REQUESTID 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: 1 SOURCES OF INFORMATION: EBPERIAN 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:STATEWIDE PAINTING&PRESSURE CLEANING INC FEDERAL ID: 52-2379490 CURRENT STATUS: ACTIVE BUSINESS PRINCIPAL{S1: BARRY HELFF TITLE:PRESIDENT DATE INCORPORATED:09/30/2002 t r re ail by Entity Name Page 1 of 2 FLORIDA DEPARTMENT OF STATE ° DIVISION OF CORPORATIONS Detail by Entity Name Florida Profit Corporation i ,c rk STATEWIDE PAINTING & PRESSURE CLEANING, INC. v ' i� Filing Information Document Number P02000106221 FEI/EIN Number 522379490 Date Filed 09/30/2002 State FL Status ACTIVE Last Event AMENDMENT Event Date Filed 09/07/2010 Event Effective Date NONE Principal Address 3265 34TH AVE SE NAPLES, FL 34117 Changed: 04/27/2012 Mailing Address 3265 34TH AVE SE NAPLES, FL 34117 Changed: 04/27/2012 Registered Agent Name &Address SOUTHWEST PROFESSIONAL SERVICES OF SO. FL 13571 MCGREGOR BLVD., STE. #22 FT. MYERS, FL 33919 Officer/Director Detail Name &Address Title P HELFF, BARRY 3265 34TH AVE SE NAPLES, FL 34117 Annual Reports Report Year Filed Date http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail/EntityName/domp-... 7/30/2014 t<<:Silverlake Browser.Interface �;, s rod.., ki• ate N t2l+si#p Beek `Horne PRINT FORM PRINT iEFE FORM ( RETRIEVE MES.stt MESSAGE •�;to � � , � •;rr j,�,� rI£-r"sry-s � a�y G w',��.'•• y 4e� �,g YR �' c ♦3S �q.' t ' ['§r + S.. s ��� x PREVIOUS PREVIOUS < SUBMIT r EXIT K A 3 y. CUSTOMER INFORMATION " . PAGE. FUNCTIONS This screen displays a oneef 3265 34th nye SE Tax ID number 52-2379490 information far eachcustonaer u is tied to this account t?Y Naples FL 34117 Branch number 071 ereans ofeifl�era"farrsroarynr Home phone (239) 352-9900 secondary refatiatahi€r.While entythree names may be Business phone (239) 340-2356 includedentheadditinalsame Birth date isles at account level,art • enfimitezlnumberotcosioniers =: may be ttekect to the acceuet by use td CIF secondary DISPLAY retationstaipcodes. L] Information listed*each C1F relationship it c udee . The CIF number,shod name Number Short Name ' Tax ID Relationship Mail_ De easel# and Tax ID of thecustoraies HAG0862 HELFF RANDI 133-56-9872 A Auth Sign N HAG0863 HELFF BARRY 086-50-0730 A Auth Sign N HAG0864 HELFF MICHAEL 086-50-0751 A Auth Sign N SAL1499 STATEWIDE PAINTING& 52-2379490 P Primary Y • • L Bare more Previous PREVIOUS SUBMIT > EXIT � � _ �'A 'r a _; dlst E+ atati Itl a ..t7. ' •., 5. '#t. [ N m za Detail by Entity Name Page 1 of 2 FLORIDA DEPARTMENT OF STATE ! F tr! Detail by Entity Name Florida Limited Liability Company IJ BROTHERS OF SW FL LLC. Filing Information Document Number L11000000122 FEI/EIN Number 274429946 Date Filed 01/03/2011 State FL Status ACTIVE Principal Address 3265 34TH AVE SE NAPLES, FL 34117 Changed: 03/06/2012 Mailing Address 3265 34TH AVE SE NAPLES, FL 34117 Changed: 03/06/2012 Registered Agent Name &Address SOUTHWEST PROFESSIONAL SERVICES OF S FL IN 13571 MCGREGOR BLVD#22 FORT MYERS, FL 33919 Authorized Person(s) Detail Name &Address Title MGR HELFF, BARRY 3265 34TH AVE SE NAPLES, FL 34117 Annual Reports Report Year Filed Date 2012 03/06/2012 2013 04/30/2013 2014 04/15/2014 http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail/EntityName/flat-11... 7/30/2014 www.sunbiz.org - Department of State Page 1 of 1 LO IDA DEPARTMENT OF STATE DIVISION OF CORPORATIONS 07P-77, Home Contact Us E-Filing Services Document Searches Forms Help Previous on List Next on List Return to List _ . .. Fictitious Name Search No Filing History [ Submit 1 Fictitious Name Detail Fictitious Name STATEWIDE PAINTING Filing Information Registration Number G11000003461 Status ACTIVE Filed Date 01/05/2011 Expiration Date 12/31/2016 Current Owners 1 County MULTIPLE Total Pages 1 Events Filed NONE FEI/EIN Number NONE Mailing Address 6345 NAPLES BLVD#A5 NAPLES, FL 34109 Owner Information BROTHERS OF SW FL, LLC. 6345 NAPLES BLVD#A5 NAPLES, FL 34105 FEI/EIN Number: 27-4429946 Document Number: L11000000122 Document Images 01/05/201 1 --Fictitious Name Filing I View image in PDF format Previous on List Next on List Return to List Fictitious Name Search No Filing History Submit 1 Home I Contact us I Document Searches I E-Filing Services I Forms I rich) Cop-yrioht©and Privacy Policies State of Florida, Department of State http://www.sunbiz.org/scripts/ficidet.exe?action=DETREG&docnum=G 11000003461&rd... 7/30/2014 �.i+,.s�, ,.. ,A„/, ,:•.�.: r, ..: ` 'erlake Brower rnterrce fib �� ,.. om a, e 4 `o d .-4,,,,ffi �' ° .k, ^`�`? ., �: � ti 3 . ,..iv c 4 a ta 7,r ',n 'iz„ .,�a;�, 'fi - , . ,z«. w ,> I; � :a '«,w$✓% " '^ PRINT E ES FORM l RETRIEVE ESE[P!ItT FO i 14 '''' -":2.1k , '''',''p,,,,,i,",,n„, ,.5,1,..,,,,.-,,.,,,t,,,,,,,,,ivia,,,ffl,„i,,,,,I.,'...,,,„:3,.;--,,,z-,:-,,*t,liv'ag*t-,;-;r,,,,, .‘,„,,,,',4,--';?,"?'0'",,,...!-',"',.,,;,-,.,,,,,,,-,,,,-,,,,,--,,,,4-,,,,k,i,,,,fte- ,,,,,,,,,,,p,I,..,:,,,,,,,1;;*:i,,,,o,,.,. ,,,,,,„_,,,,,,,,.,,,,.,,,,f„,,,,,.,„,,,,,, , s �`' CUSTOMER INFORMATION PAGE FUN T I + 4 ; That scrs n§ttapta}re a caf DBA STATEWIDE PAINTING Tax ID number 27-4429946 p:rrt# mztiireac�CCUStnrtec. 3265 34TH AVE SE Branch number 071trs €mssof'eitiver r tnr NAPLES FL 34117 Home phone (239) 352-9900 st �a+yretattenst p ` only three names:may# Business phone (239) 340-2356 ra riled rs a ti t+tarne .114#A'at F rt ,_an Birth date ualiawted somber iif cis omens:.. I may be talked to tee. ount:... tsy see ui: secbn DISPLAY [� rel n s ti tedforeadi - C1F rst rarcship fides, Number Sham Name Tax IQ RelabbClshi t Mail Deceased Te tb thecusi'om& HAG0863 HELFF BARRY 086-50-0730 A Auth Sign N SAU0951 STATEWIDE PAINTING 27-4429946 ❑ DBA N BAU0902 BROTHERS OF SWFL LLG 274429946 P Primary Y • • 1 eazrf'rio • • Previous = PREVIOUS < ; SUBMIT > . EXIT r.,,1 i CAP I ■ A L BAN Account Number 560021084406 P.O.Box 1120 Statement Start Date May 27,2014 Greeneville.TN 37744-1120 Statement End Date June 01,2014 Days in Statement Period 6 Ending Balance 25,000.00 Enclosures 0 Page 1 of 1 43842 1 AT 0.403 ***AUTO**SCH 3-DIGIT 339 IlhIIh(IIllIlllhIlhIIIIIIIIIhIIIIIIIuIIIIII��IIIIhIhIIlllllrlihII BROTHERS OF SWFL LLG. DBA STATEWIDE PAINTING 043842 3265 34TH AVE SE 43842 NAPLES FL 34117-7805 156 Checking Account SUMMARY OF ACTIVITY Better Business Checking Enclosures: 0 Account Number 560021084406 Statement Dates 5/27/14 thru 6/01/14 Beginning Balance .00 Days in the Statement Period 6 1 Deposits/Credits 25,000.00 Average Balance 25,000.00 Checks/Debits .00 Account Service Charge .00 Interest Paid .00 Ending Balance 25,000.00 Date Description Debits Credits 5/27 Deposit 25,000.00 Date Balance 5/27 25,000.00 Member Thank you for being our customer! Telephone Banking: 888.711.4171 Customer Service Call Center. 800.639.5111 www.capitalbank-us.com eom xamae Corporate Office • 121 Alhambra Plaza,Ste 1601 • Coral Gables,FL 33134 LENDER SEE REVERSE SIDE FOR IMPORTANT INFORMATION • CAPITAL BANK Account Number 560021084406 P.O.Box 1120 Statement Start Date June 02,2014 Greeneville,TN 37744-1120 Statement End Date June 30,2014 Days in Statement Period 29 Ending Balance 25,000.00 Enclosures 0 Page 1 of 1 41239 1 AT 0.403 ***AUTO**SCH 3-DIGIT 339 1111111111111111111111111111111111111111111111111111111.1411111 BROTHERS OF SWFL LLC. DBA STATEWIDE PAINTING 041239 3265 34TH AVE SE 41239 NAPLES FL 34117-7805 139 Checking Account SUMMARY OF ACTIVITY Better Business Checking Enclosures: 0 Account Number 560021084406 Statement Dates 6/02/14 thru 6/30/14 Beginning Balance 25,000.00 Days in the Statement Period 29 Deposits/Credits .00 Average Balance 25,000.00 Checks/Debits .00 Account Service Charge .00 Interest Paid .00 Ending Balance 25,000.00 Date Balance 6/02 25,000.00 Thank you for being our customer! A Member Telephone Banking: 888.711.4171 FDIC Customer Service Call Center. 800.639.5111 www.capitalbank-us.com EQUAL HOLISM LEN Corporate Office • 121 Alhambra Plaza,Ste 1601 • Coral Gables,FL 33134 LENDER SEE REVERSE SIDE FOR IMPORTANT INFORMATION 'Sdverlake Browser Ioterrase ' a,_, ✓ k °£' ,LRRYhn ,;fix 'A � 5n '^£ d e!0, ` x '";,,` P9iNT FD PRINT,IE E FD y T EVE E xACE ,'.. Kam^& ;f# [ - r vR 11::;�� f �� ,ps as f ,,, 8 LL »'a 4 m- ,� , A/M S 4 3, . raz..,� �..��, � .µ...ms � .� ;5i� a .,rxa.. . r' 3� a4, l PREVIOUS < SUBMIT > EXIT LT-A-1.1 i a ieff, a ' SPECIAL MESSAGES.> �" PAGE E UN C'110'45; ,PassPort Al MM9/Dr Card I Dia Nslor1 semen is 41$0yed en the'0 AHist Vie ,-` • REDISPLAY Last statement balance i date 25,000.00 ! Monday, June 30 2014 : Pararneterrs set to' 7 BALANCE INQUIRY Current balance 25,000.00 Statement cycle 31 Learn mare›, • SCAN FORWARD . VIEW IMAGE ® PRINT IMAGE 4t t • SCAN BACKWARDS S S TRANSACTION SET 0 I • PRIOR BALANCE Posted A Descrlptton " Check Nbr A Amount,:_ : A Balancer e , ' , > EFT a 5/27/14 Deposit 25.E-00 ) TOP • BOTTOM > EDI IRAN CODE ) CHECKS P revous 1 PREVIOUS < 3 SUBMIT > ' EXIT t:1 S : t x K $� i ce o fi, \ " t x ,',f 0 CAP TA BAN Account Number Statement Start Date April 01,2014 Statement End Date April 30,2014 Days in Statement Period 30 Ending Balance 121,201.37 Enclosures 150 Page 6 of 19 � # Statewide Painting & Pressure Cleaning Better Business Checking (Continued) a - � { lrA °dam"' D'�, + � °>;"' az „ ;' ! ' F! � E� ,.,�;'�'� k3.; '.. ., `c,rx�'«a4,...,��°; r � zg�—y�i �.� .�. f s„$„ �. - � e - ,. .v .,. ... �� Date Balance Date Balance Date Balance 4/04 83,931 .59 4/15 58,410.21 4/24 69,536.86 4/07 75,125.34 4/16 58,026.04 4/25 89,101 .42 4/09 74,713.85 4/17 68,921 .33 4/28 89,253.92 4/10 89,685.17 4/18 61 ,921 .35 4/29 121 ,218.87 4/11 88,333.85 4/21 51 ,400.13 4/30 121 ,201 .37 4/14 82,780.32 4/22 72,773.48 (0) CAPITAL BANK Account Number 7100001,2016 Statement Start Date April 01,2014 Statement End Date April 30,2014 Days in Statement Period 30 Ending Balance 121,201.37 Enclosures 150 Page 4 of 19 lill Statewide Painting & Pressure Cleaning Better Business Checking (Continued) Date Check No Amount Date Check No Amount 4/15 2066 22,147.45 4/21 2102 168.00 4/14 2067 200.00 4/28 2103 200.00 4/14 2068 420.00 4/28 2104 420.00 4/15 2069 100.00 4/28 2105 104.00 4/14 2070 145.00 4/28 2106 714.00 4/22 2071 216.00 4/28 2107 162.00 4/14 2072 ---_. -08.00 4./28 2t08 540.00 __ 4/14 2073 87.50 4/28 2109 236.00 4/14 2074 87.50 4/28 2110 150.00 4/15 2075 84.00 4/28 2111 150.00 4/11 2076 108.00 4/29 2112 440.00 4/14 2077 500.00 4/25 2113 108.00 4/14 2078 600.00 4/28 2114 612.00 4/14 2079 84.00 4/28 2115 100.00 4/14 2080 73.88 4/28 2116 87.50 4/14 2081 173.82 4/25 2117 132.00 4/17 2082 104.41 4/28 2118 115.50 4/21 2084* 435.00 4/28 2119 100.00 4/21 2085 104.00 4/28 2120 500.00 4/21 2086 112.00 4/28 2121 22.00 4/21 2087 108.00 4/25 2122 80.00 4/21 2088 236.00 4/25 2124* 516.00 4/21 2089 88.00 4/25 2125 612.00 4/18 2090 121 .50 4/28 2126 425.00 4/21 2091 600.00 4/28 2127 408.00 4/21 2092 600.00 4/01 9057* 808.21 4/21 2093 576.00 4/04 9058 30.00 4/22 2094 57.75 4/04 9059 209.93 4/21 2095 80.00 4/07 9060 4/21 2096 480.00 4/07 9061 201 .00 4/22 2097 88.00 4/03 9062 20.00 4/18 2098 400.00 4/01 22478* 459.66 4/21 2099 171 .00 4/01 22480* 507.79 4/21 2100 192.00 4/02 22481 4/21 2101 192.00 4/07 22484* 384.91 * Denotes missing check numbers CB CAPITAL BANK Account Number Statement Start Date April 01,2014 Statement End Date April 30,2014 Days in Statement Period 30 Ending Balance 121,201.37 Enclosures 150 Page 2 of 19 •j14K Statewide Painting & Pressure Cleaning Better Business Checking (Continued) y L cif 5+ A. k .i rT' 'l m' yf'�g £ ]y1�' a, r 4 4 '$ Ay Wi Date Description Amount 4/02 Misc Debit 5,000.00- 4/03 PAYROLL PAI SERVICES LLC 707.72- CCD 8017 8017 4/03 PAYROLL PAI SERVICES LLC 1 ,782.29- CCD 8017 8017 4/10 Deposit 19,208.46 4/10 PAYROLL PAI SERVICES LLC - 757:60- CCD 8017 8017 4/10 PAYROLL PAI SERVICES LLC 2,907.22- CCD 8017 8017 4/17 Deposit 14,136.71 4/17 PAYROLL PAI SERVICES LLC 458.38- CCD 8017 8017 4/17 PAYROLL PAI SERVICES LLC 2,678.63- CCD 8017 8017 4/18 ACH PMT AMEX EPayment 6,000.00- \WEB 4/21 BILL PAYMT CREDITONE BANK, 595.96- PPD 4/22 Deposit 22,141 .44 4/24 PAYROLL PAI SERVICES LLC 458.38- CCD 8017 8017 4/24 PAYROLL PAI SERVICES LLC 2,778.24- CCD 8017 8017 4/25 PAYROLL STATEWIDE PAINTI 19.82 CCD 38198017Q2-14 4/25 Deposit 22,220.59 4/28 Deposit 10,536.28 4/29 Deposit 39,563.39 4/29 BILL PAYMT FLORIDA POWER & 11 .66- PPD 4/29 BILL PAYMT CAPITAL ONE BANK 45.01- PPD 4/29 BILL PAYMT NORTHWESTERN MUT 100.00- PPD . CAPITAL BANK Account Number Statement Start Date April 01,2014 P.O.Box 1120 Statement End Date April 30,2014 Greeneville,TN 37744-1120 Days in Statement Period 30 Ending Balance 121,201.37 Enclosures 150 Page 1 of 19 644 3 MB 0.692 P:644 / T:9 / S1:0 / S2:0 sill 1111111,111111IIIIIIIIIIiiIIIIIiIIIIIIIEIIIIIIIddIIII111„111 vv. 3265 PAINTING & PRESSURE CLEANING I .r,{ NAPLES FL 34117-7805 ES Checking Account Better Business Checking Enclosures: 150 Account Number Statement Dates 4/01/14 thru 4/30/14 Beginning Balance 75,713.45 Days in the Statement Period 30 8 Deposits/Credits 151 ,406.94 Average Balance 79,945.60 183 Checks/Debits 105,901 .52 Account Service Charge 17.50 Interest Paid .00 Ending Balance 121 ,201 .37 Date Dat Description Debits Credits 4/01 BILL PAYMT FLORIDA POWER & 11 .33- PPD 4/01 BILL PAYMT KOHLS 45.43- PPD 4/01 BILL PAYMT CENTURYLINK 105.44- PPD 4/01 BILL PAYMT SALLIE MAE STUDE 108.34- PPD 4/01 BILL PAYMT FLORIDA POWER & 137.41- PPD 4/01 BILL PAYMT CENTURYLINK 150.54- PPD 4/01 BILL PAYMT AT&T MOBILITY 227.13- PPD 4/01 BILL PAYMT PNC LOAN SVCS 355.00- PPD 4/01 BILL PAYMT NISSAN MOTOR ACC 373.76- PPD 4/01 BILL PAYMT FLORIDA BLUE 493.58- PPD 4/01 BILL PAYMT BB&T CONSUMER LO 1 ,000.00- PPD 4/02 Deposit 23,580.25 Thank you for being our customer! A Member Telephone Banking 888.711.4171 IC Customer Service Call Center: 800.639.5111 www.cappitalbank•us.com EQUAL HOUSING Corporate Office • 121 AlhambraPlaza,Ste 1601 • Coral Gables,FL 33134 LENDER SEE REVERSE SIDE FOR IMPORTANT INFORMATION CBCAPITAL Account Number 710001833306 Statement Start Date May 01,2014 Statement End Date June 01,2014 Days in Statement Period 32 Ending Balance 108,777.25 Enclosures 174 Page 6 of 21 m Statewide Painting & Pressure Cleaning Business Advantage Checking (Continued) _ a -1-4i 9 ,x 3'_. c ��� f 4y. t � A � a d 1 n.,•F'r�- ..c .�'r�f.l, ter, s` ...' . ,... ..cam . Date Balance Date Balance Date Balance 5/06 111 ,607.91 5/15 106,061 .32 5/23 98,706.59 5/07 110,605.51 5/16 106,046.91 5/27 112,463.51 5/08 82,866.66 5/19 89,944.14 5/28 101 ,816.00 5/09 79,968.70 5/20 88,185.37 5/29 110,634.80 5/12 68,385.79 5/21 107,135.68 5/30 108,777.25 --`. 5/14 112,521 .76 5/22 100,091 .49 CD CAPITAL BANK StAccount Numr atement S artDate 2014 2014 Statement End Date June 01,2014 Days in Statement Period 32 Ending Balance 108,777.25 Enclosures 174 Page 4 of 21 NIP Statewide Painting & Pressure Cleaning Business Advantage Checking (Continued) Date Check No Amount Date Check No Amount 5/05 22550* 480.22 5/12 22585 426.72 5/05 22551 397.89 5/12 22586 446.46 5/05 22552 491 .32 5/09 22587 399.99 5/05 22553 459.66 5/12 22588 480.22 5/05 22554 409.28 5/12 22589 396.18 5/05 22555 426.72 5/12 22590 389.46 5/05 . _ 22556 446.46 5/12 22591 364.11 5/05 22557 409.28 5/09 22592 351 .48 5/06 22558 480.22 5/09 22593 407.79 5/05 22559 406.34 5/12 22594 253.41 5/05 22560 317.00 5/12 22595 519.94 5/05 22561 295.52 5/12 22596 405.28 5/05 22562 351 .48 5/12 22597 401 .38 5/05 22563 507.79 5/12 22598 247.27 5/05 22564 519.94 5/12 22599 533.14 5/05 22565 446.46 5/12 22600 437.79 5/05 22566 401 .38 5/12 22601 441 .91 5/05 22567 247.27 5/12 22602 432.89 5/05 22568 533.14 5/12 22603 387.87 5/05 22569 369.40 5/12 22604 336.01 5/05 22570 360.84 5/19 22605 446.85 5/05 22571 387.87 5/09 22606 478.48 5/05 22572 336.01 5/12 22607 443.28 5/06 22573 491 .32 5/12 22608 420.68 5/02 22574 478.48 5/12 22609 378.34 5/05 22575 443.28 5/12 22610 413.36 5/05 22576 343.34 5/12 22611 409.28 5/05 22577 236.92 5/19 22612 480.22 5/05 22578 413.36 5/16 22613 397.89 .32 5/05 22579 409.28 5/19 22615* 491 .32 5/09 22580 480.22 5/19 22616 409.28 5/12 22581 397.89 5/20 22617 426.72 5/12 22582 491 .32 5/19 22618 446.46 5/12 22583 459.66 5/19 22619 5/12 22584 409.28 5/20 22620 400.01 * Denotes missing check numbers CAPITAL BANK Account Number (<0.) Statement Start Date May 01,2014 Statement End Date June 01,2014 Days in Statement Period 32 Ending Balance 108,777.25 Enclosures 174 Page 2 of 21 . . : Statewide Painting & Pressure Cleaning Business Advantage Checking (Continued) ear ;* °w k .._,g u.�, s.i a, . „Zx.., 0 Date Description Amount 5/22 PAYROLL PAI SERVICES LLC 869.91 - CCD 8017 8017 5 374.28- 5/22 PAYROLL PAI SERVICES LLG CCD 8017 8017 1 .40 5/27 RVSL - Account Svc Chg Fees 0 5/27 RVSL - Account Svc Chg Fees 17.50 5/27 PAYROLL STATEWIDE PAINT] CCD 38198O1702-14 50,925.44 5/27 Deposit 25,000.00- 5/27 Transfer Withdrawal 0.00- 5/28 BILL PAYMT CREDITONE BANK, PPD 11 .66- 5/28 BILL PAYMT FLORIDA POWER & PPD 100.00- 5/28 BILL PAYMT NORTHWESTERN MUT PPD 105.50- 5/28 BILL PAYMT CENTURYLINK PPD 108.34- 5/28 BILL PAYMT SALLIE MAE STUDE PPD 136.86- 5J28 BILL PAYMT CAPITAL ONE BANK PPD 150.64- 5/28 BILL PAYMT CENTURYLINK PPD 208.72- 5/28 ELEC PYMT FPL DIRECT DEBIT \WEB 224.32- 5/28 BILL PAYMT AT&T MOBILITY PPD 355.00- 5/28 BILL PAYMT PNC LOAN SVCS PPD 373.76- 5/28 BILL PAYMT NISSAN MOTOR ACC PPD 987.16- 5/28 BILL PAYMT FLORIDA BLUE PPD 1 235.98- 5/28 BILL- PAYMT NORTHWESTERN MUT , PPD a B CAPITAL BANK Account Number Statement Start Date May 01,2014 P.O.Box 1 120 Statement End Date June 01,2014 Greeneville,TN 37744-1120 Days in Statement Period 32 — Ending Balance 108,777.25 Enclosures 174 Page 1 of 21 693 3 MB 0.692 P:693 / T:9 / S1:0 / S2:0 IIIIIIIIIInIIIIIIIIIIIIIIIIIIIIIIIIIIIIInIIIIIIII1111111ulllll '? STATEWIDE IDE PAINTING & PRESSURE CLEANING I 3265 1F: NAPLES FL 34117-7805r Checking Account - ',,sc "', ' A" .r t % -- -3 S c: - .s .. ... _ , .. .ie -. -4 z, 4 '�' .`•s` , 1r'-: .�,rz`._r - ,',,-,%'% Business Advantage Checking Enclosures: 174 Account Number Statement Dates 5/01/14 thru 6/01/14 Beginning Balance 121 ,201 .37 Days in the Statement Period 32 10 Deposits/Credits 182,402.01 Average Balance 94,638.80 201 Checks/Debits 194,826.13 Account Service Charge .00 Interest Paid .00 Ending Balance 108,777.25 VA Firria"AlnK";, W u s [ T��NL - t...J taiiir Date Description Debits Credits 5/01 PAYROLL PAL SERVICES LLC 458.38- CCD 8017 8017 4 965.74- 5/01 PAYROLL PAI SERVICES LLC , CCD 8017 8017 5/01 Misc Debit 2,000.00 5/06 Deposit 47,772.29 5/08 Deposit 3,441 .00 5/08 PAYROLL PAI SERVICES LLC 458.38- CCD 8017 8017 5/08 PAYROLL PAI SERVICES LLC 5,368.24- CCD 8017 8017 44,283.70 5/14 Deposit 850.15 5/15 PAYROLL PAI SERVICES LLC CCD 8017 8017 5/15 PAYROLL PAI SERVICES LLC 5,610.29- - CCD 8017 8017 1 ,580.00 5/16 Deposit 5 951 .71- 5/19 ACH PMT AMEX EPayment , \WEB 136.8fi- 5/20 ONLINE PMT CAPITAL ONE CCD 413939919022923 19,197.58 5/21 Deposit Thank you for being our customer! A FDIC Telephone Banking: 888.711.4171 Customer Service Call Center: 800.639.5111 Euwu„ „• www.capitalbank-us.com LENDER Corporate Office • 121 Alhambra Plaza,Ste 1601 • Coral Gables,FL 33134 SEE REVERSE SIDE FOR IMPORTANT INFORMATION (tik,/ CAPITAL BANK Account Number Statement Start Date June 02,2014 Statement End Date June 30,2014 Days in Statement Period 29 Ending Balance 153 742.84 Enclosures 171 Page 4 of 20 Statewide Painting & Pressure Cleaning Business Advantage Checking (Continued) Date Check No Amount Date Check No 6/17 22777 409.28 6/24 22806 Amount 6/16 22778 303.19 6/23 22807 336.0 53 6/23 22779 480.22 6/23 22808 336.01 6/23 22780 413.36 6/23 22809 409.28 6/23 22781 491 .32 6/30 22810 409.28 480.22 6/30 22782 443.19. 6/30 22811 6/26 22783 413.3 446.46 6%30 _.___.. .22812 . __ 491 .32 2 6/24 22784 409.28 6/30 22813 6/23 22785 369.40 6/30 22816* 443.91 6/24 22786 480.22 6/30 22818* 369.41 6/20 22787 406.34 6/30 22821* 434.32 6/24 22788 441 .91 6/30 22824* 434.32 6/24 22789 420.68 6/30 22825 536.29 6/23 22790 524.26 6/27 22827* 386.50 6/23 22791 536.29 6/30 22828 44384.19 .50 6/27 22792 401 .38 6/30 22830* 4 6/23 22793 386.50 6/30 22831 406.14 9 6/24 22794 458.38 6/30 22832 393.78 6/25 22795 424.75 6/30 22833 393.78 6/23 22796 441 .91 6/27 22834 478.48 6/23 22797 443.19 6/30 22835 123.40 6/23 22798 406.34 6/30 22836 426.12 6/23 22799 393.78 6/30 22837 461 .75 36 6/23 22800 491 .32 6/30 22838 3.72 378 6/23 22801 468.05 6/30 22839 .34 336.0 6/23 22802 416.84 6/30 22841* 4 6/30 22803 461 .75 6/30 22842 516.61 6/23 22804 420.68 6/30 22843 409.28 40 6/23 22805 378.34 9.28 * Denotes missing check numbers ym `r_ a ye is 1 '��ms� ? , s Date Balance Date Balance Date Balance 6/02 97,757.83 6/03 114,413.04 6/04 113,489.65 . (CO CAPITAL BANK Account Number P.O.Box 1120 Statement Start Date June 02,2014 Greeneville,TN 37744-1120 Statement End Date June 30,2014 Days in Statement Period 29 Ending Balance 153,742.84 Enclosures 171 Page 1 of 20 J 623 3 MB 0.692 P:623 / T:8 / S1:0 / S2:0 11111111.11111/111111/IIIIIIIIII IIIIIInIIIIIIu1InIIIIIIIIIIin x STATEWIDE PAINTING & PRESSURE CLEANING I lik; 3265 34TH AVE SE NAPLES FL 34117-7805 �����+gg:; tS Checking Account �S m3i , w, '. F =ors',f ?<--t-git,,,h•v � "'4,;1'„,'7 Business Advantage Checking Enclosures: Account Number Statement Dates 6/02/14 thru 6/30/14 Beginning Balance 108,777.25 Days in the Statement Period 5 Deposits/Credits 214,986.55 Average Balance 48 181 Checks/Debits 170,020.96 g 116,200.48 Account Service Charge .00 Interest Paid .00 Ending Balance 153 742.84 Date Description Debits 6/03 Deposit Credits 6/03 Misc Debit 22,233.30 6/05 PAYROLL PAI SERVICES LLC 3,990.8 CCD 8017 8017 990.855- • - 6/05 PAYROLL PAI SERVICES LLC 5,219.02- CCD 8017 8Q17 6/06 ATM W/D 1121 06/06/14 00008952 100.00 6435 NAPLES BLVD NAPLES FL Card# 8077 6/10 Deposit 74,027.21 6/10 Misc Debit 3,000.00 6/12 PAYROLL PAI SERVICES LLC 1 ,069.91- CCD 8017 8017 6/12 PAYROLL PAI SERVICES LLC 5,018.25- CCD 8017 8017 6/13 ACH PMT AMEX EPayment 7,945.42- \WEB 6/18 Deposit 18,476.30 6/18 Misc Debit 3,000.00- 6/19 PAYROLL PAI SERVICES LLC 790.87- CCD 8017 8017 Member Thank you for being our customer! FDIC Telephone Banking: 888.711.4171 A Customer Service Cali Center. 800.639.5111 www.capitalbank-us.com EQUAL i1dUAUA Corporate Office • 121 Alhambra Plaza,Ste 1601 • Coral Gables,FL 33134 LENDER SEE REVERSE SIDE FOR IMPORTANT INFORMATION :a.-.. ..-„, c.,' .° , t t 41. t P `' erInfr1ace Z” ..x r. 83 s' :1�2A�: ::,' SdverlakeBrowe a " � a •,.�„,,3.�... ?,. .a , .. .r .� «. ,t .. .. . .. + ..� �t k : ,;, ,au ;' PTI RFD ( ;.' 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Posted A Description :`, .._' Check Nbr A Amount = A Balance A i ) EFT ® 7/09/14 Check 22823 420.68- 163,316.52', 5 TOP ® 7109/14 Check 22856 420.68- 162,895.84 E 7/09/14 Check 22848 426.72- 162,469 12 )) BOTTOM El 7/10/14 Deposit 40,578.26 203,047.38' EDI 7/10/14 ACH Debit 428.00- 202,619.38 7/10/14 ACH Debit 5,550.25- 197,069.13 rj 7/10/14 Check 22849 441.91- 196,627 22 Ii 7/10/14 Check 2174 68,925,90- 127,701 32 0 7/11/14 Check 9081 20.00- 127,681.32 > TRAN CODE n 7/11/14 Check 2173 144.00- 127,537.32 13 7/11/14 Check 22899 366.95- 127,170.37 • CHECKS 0 7/11/14 Check 22901 436.00- 126,734 37 7/14/14 ACH Debit 9,172.61- 117,561.76 rat 7/14/14 Check 9082 265.56- 117,296.20 Previous Mnre '* ; PREVIOUS < I SUBMIT > ' EXIT r l j ` >'rXx d , S k -z . wit$€ x� 437 '1 . .a �� �$ ,Z�. �'1 , 4`' t , �,YSp ',, " `.,, s ,, ...�;aa..„, , .,, 4�v � ,.. _,.. � mA., w.,saw, ..\. fit: SlSV4YIdIC4'SYRIY5CY IRfYFRX' : '•- ' „i».�.Y l ��+!��6� 6y �y,�,�. - k�}A i s * S �s ➢r is to .9 s'4 . �. l estc t'�ani 4 >, `mss% < 9 , 4 a ., t r ., � i1d 11.411 ;i: PRINT I I PRINT'SEINES FORM I RETRIEVE MESSAGE 11 �� �., rt' i�. � �'�'nSt6@rt�'� t'lidf� 4 1 s�� W , s g ' ��,� fir,' .i ..... ,RZ. �, ,.,,„. ''"� 7100©18 5 ,,, € PREVIOUS < SUBMIT > EXIT F'1 710001833306 1 , a •:‘!,si",' :Ai,i ' t .z SPECIAL MESSAGES.> PUNCTt �>1�2 PAGE. � ��-, Memo posted Passport ATM/Dr Card a The Ecist�,tscreen ii displayed�, )ielle€€th 0DAHi6t View+; •_, > REDISPLAY Last statement balance/date 153,742.84 / Monday, June 30 2014 I pafiaatpeteY cs set ` > BALANCE INQUIRY Current balance 182,678.08 Statement cycle 31 I ........... .... _._._.. .........._. ...... • Y I Learn mm4? > SCAN FORWARD VIEW IMAGE ® PRINT IMAGE Ei : I > SCAN BACKWARDS TRANSACTION SET la > PRIOR BALANCE ' Posted A Description . Check Nbr A Amount A, Balance A > EFT [I 7/14/14 Check 22917 336.01 116,960.19 > TOP El 7/14/14 Check 22919 353.60- 116,606_59 El 7/14/14 Check 22915 378.34- 116,228 25 1 > BOTTOM 13 7/14/14 Cheek 22907 393.78- 115,834.47 > EDI 13 7/14/14 Cheek 22906 406.34- 115,428.13 B 7/14/14 Check 22912 406.34- 115,021.79 13 fi 7/14/14 Check 22908 411.41- 114,610 38 13 7/14/14 Check 22883 413.36- 114,197 02 (J 7/14/14 Check 22916 413.36- 113,783.66 > IRAN CODE 13 7/14/14 Check 22896 420.68- 113,362.98 I L 7/14/14 Check 22903 424.75- 112,938.23 • CHECKS L 7/14/14 Check 22874 426.72- 112,511 51 ri 7/14/14 Check 22913 426.72- 112,084.79 }sw, 13 7/14/14 Check 22894 441.91 - 111,842.88 Previous More .• PREVIOUS < SUBMIT > : .EXIT P:t1 , Y,... ..,..�-,z.�..r . r ., ,,,....._.. ' .. t w.. a a ka'' it 1 tp ... ... f r f a t� Y c k � . t e c i x£,. • , i, r ` s " yt i; Sdverlake Brower IatrFw e w, > .'� �' z Vii.. .',. ffsa,p -a 4r� �,3`�`.'`"R�.v*`� ;, „"� =�t.Ffk1l ,_ ' � T F� 1 PRINT i E E FORM C RETRIEVE E E '�., c s �f i Zt z lug :,a4 ,.4 Ogir '-.4 1":'' ''''- ''''''' Wt e � �,� Ur� 1111 tF9 y Q c PREVIOUS SUBMIT > EXIT 4 SPECIAL a=•. MESSAGES.> PA G l FUN CTi 0 .S ,Memo posted PassPort ATPxMIDr Card .hisfwt sere is d,splayed i e+enthe,' flA€�stoyVaew REDISPLAY Last statement balance/date 153,742.84 f Monday, June 30 2014 paecmete€is set ta' BALANCE INQUIRY Current balance 182,678.08 Statement cycle 31 7 SCAN FORWARD I.esr rooms VIEW IMAGE ® PRINT IMAGE ? SCAN BACKWARDS TRANSACTION SET ®, ; PRIOR BALANCE Pasted •A Description. Check 14.121:'A Amount A Balance ,,,, EFT ® 7/14114 Cheek 22911 443.28 111,199.60 TOP U 7/14/14 Check 22909 478.48- 110,721.12 U 7/14/14 Check 22882 480.22 110,240 90 ) BOTTOM U 7/14/14 Check 22884 491.32 109,749.58 EDI U 7/14/14 Check 22918 516.67- 149,232.91 L 7114/14 Check 22897 524.26 108,7°8-65 U 7(14/14 Check 22902 533.14- 108,175.51 { 7/15/14 Deposit 20,418.92 128,594.43 7/15/14 Check 22914 313.69 128,280.74 > Tt34N CODE la 7/15/14 Check 22891 384.18- 127,896.56 7(15(14 Check 22892 406.34 127,490.22 CHECKS U 7/15/14 Check 22889 409.28 127,080.94 Ii 7/15/14 Check 22887 426.72 126,654.22 7(15x`14 Check 22893 434.32 126,219.91)', Previous l 'Vlore T , PREVIOUS :Jr SUBMIT > • EXIT /,±I , i'',:,112:-A,... �r:f 6�3.:.._ n 6', h�. . . H*�""-. n `� '�. g_-�"o .� V � .. - M., .� ,���A l.� „-�F, i;,"S�fi+rertake Browser Interface e '`gat - � jj3:',f :{,,df a 3 ra `,,; t� �*, ! � °i�' ': y '. �;l t T� '$s$ Ifsme < , i; m . •!,, ��.� �' �� �`,u��.., Vin, ?' ,. '-y 't,"�_�e.���'ix°��''�,_�...��`�.. � .� ,;�v�.� ��o� �..�"�°`'. �..A. Pte., i_PI 1NT FB 9 P HHI ISE ES FORM I RET EVE MESSAGE, 40':' "7",-,„,,,e' .11,AN, NiOairtf''''111*,,F9IFy›.:(ill010%,40::'6:'ttfifil,%,f,',207:,r-,,ii,14ti';',:;',,,,:':'":k:?,:iki,4*d%;;ivg?rrrilttotij':fi;",,;ri`;‘,5..,,,,::""i,--141i4ii:46.7',,f,,p', Rt., Et£ # � yz a1 W ....3_ .,s . E w- : . Y r .,� ) PREVIOUS < SUBMIT ? EXIT a A . SPECIAL MESSAGES.> PA E. •PUNCTIDNS memo posted PassPort ATM/Dr Card ho er+screenis'rhe y I when t1ie,"O History;View' REDISPLAY last statement balance/date 153,742.84 / Monday, June 30 21114 r tents to 2 BALANCE INQUIRY Current balance 182,678.08 Statement cycle 31 SCAN FORWARD ........... tsars mere> VIEW IMAGE Li : PRINT IMAGE •a . -_:. ; > SCAN BACKWARDS , ..' TRANSACTION SET ®, PRIOR BALANCE Posted;,� Descripiion. Check Nbr n Amount: w�, Batanca. . . . ' EFT 7/15/1 d Cheek 22904 441.91 125,777.99 , TOP II 7/15/14 Cheek 22905 443.19- 125,334.80 13 7/15/14 Check 22898 536.29- 124,798 51 BOTTOM ® 7116114 Mise Debit 7,300.00- 117,498 51 EDI ® 7/16/14 Check 22910 332.46- 117,166_05 7/16/14 Cheek 22888 441.91 - 116,724.14 7/17/14 ACH Debit 428.00- 116,296 14 1 7/17/14 ACH Debit 6,191.79- 110,104.35 [l 7/18/14 Cheek 2176 81.00- 110,023.35 IRAN CODE II 7/18/14 Cheek 22937 366.95 109,656.40 In 7/18/14 Cheek 22954 413.36- 109,243.04 > CHECKS ® 7/18/14 Check 22930 441.91- 108,801 13 ri 7/18114 Check 22947 478.48- 108,322.65 „, 7/21/14 Deposit 12,946.78 121,269.43', Previous 4!... ” FAQIR r , PREVIOUS < l SUBMIT > EXIT K4 �04 � "Sdverlake B•owser Interface ', •„ ' °'�' 3 .. �.< � 3 A 7 z' _`' 7 �..s { � e ,.4,, B S,I”t 15t F,$ :_Pr$ x A BQ Mg ifiqii)t1IN , PRINT FO j1 PRINT igERIES FORM P < RETRIEVE MESSAGE °' • � Vi ` k '4 y' ` 6 s t° - ffi ! f Y Ol L 'e i s ; ,,@ O � 5T ,�. k. . u� •` xv, *-i ua ' T ' A6 ' . , ., .y . PREVIOUS SUBMIT EXIT �4 -. . SPECIAL MESSAGES_> PAS E. G FUNCTIONS Memo posted Passport ATM/Dr Card +eInsGsi t�a�zisckspBY ; vdrehffi 0OAHisteetryViery > REDISPLAY Last statement balance/date 153,742.84 / Monday, June 30 2014 ter rs set ta' > BALANCE INQUIRY Current balance 182,678.08 Statement cycle 31 > SCAN FORWARD i l.aam roots,"> VIEW IMAGE ® PRINT IMAGE > SCAN BACKWARDS TRANSACTION SET ®: > PRIOR BALANCE I Poster Dlption Check Nbr'A Amount; .r+ #3atar�ctr n.:: EFT )� 7/21/14 Check 22955 336.01 120, 933 42 ' > TOP E 7/21/14 Check 22890 369.40- 120,564_02 I CU 7/21/14 Check 22928 369.40- 120,194.62 > BOTTOM 1, 7/21/14 Check 22953 378.34- 119,816_28 i EDI 1' 7/21/14 Check 22939 386.50- 119,429.78 U 7/21/14 Check 22945 393.78- 119,036 00 f 1/21/14 Check 22944 406.34- 118,629.66 3 f 7/21/14 Check 22950 406.34- 118,223.32 il 7/21/14 Check 22927 409.28- 117,814.04 > TRAN CODE f 7/21/14 Check 22957 409.28- 117,404.76 ▪ 7/21/14 Check 22941 424.75- 116,980.01 CHECKS ® 7/21/14 Check 22949 443.28- 116,536.73. 7/21/14 Check 22924 446.46- 116,090.27 ® 7/21/14 Check 22920 480.22- 115,610.05 Previous i ` More T ; PREVIOUS < SUBMIT > EXIT 0:4 • Z 9+SK y +f* i fay - 4,,,.4 ma R e ` . :,. 'tom* ra.Ekgkil, ,K.... -- '-,z �, et''-f'' 4 x ' `X• IS '1S �;:7sdverlake 8rawser Interra�e , °� a• r 8 %�: a aka �„t ».�k. }d. € 2' {3K31fl PRINT FO I PRINT 1-.ERIE FO ( .,, RETRIEVE MESSAGE 5A ` �,e t, r �,`I.s `.- P 4-s•-f,,',:',;>''',-.1,W--'-'---'-'' ate' '-� � t ti 7.'j'. „,...,,,,,,,i,,,,,, ,,,,,) . PREVIOUS < SUBMIT EXIT !..4...,,,, PECIAL MESSAGES a ` PAGE FUNSTION taA: Imo posted PassPort ATf1tDr Card I The � cree l ds�st; ,,,,,,-.,Iii:f.,1,.if...',.”, ,L, +arhiatte VAtrIstery e,rr , > REDISPLAY Last statement balance 1 date 153,742.84 ! Monday, June 30 2014 � setia > BALANCE INQUIRY Current balance 182,678.88 Statement cycle 31 SCAN FORWARD LfBTIi jn[i4R VIEANSACTION W I MAGE [S T PRINT IMAGE 13 > SCAN BACKWARDS _TRE ® _ > PRIOR BALANCE Posted .A Descnpfion : =. Check Nair 'n Amount ,� Balance n EFT ® 7/21114 Check 22922 491.32 115,118.73 > TOP ® 7/21/14 Check 22956 516.67- 114,602_06 a 7!21114 Check 22935 524.26 114,077 80 > BOTTOM ( ' 7121114 Check 22940 533.14 113,544.66' 1,„_ > EDI 11 7/21/14 Check. 22936 536.29- 113,008.37 7/22/14 Depost 89,291.37 202,299.74 7!22/14 ACH Debit 16.64- 202,283 10 7/22/14 ACH Debit 23.31 202,259.79 7/22/14 ACH Debit 108.34 202,151.45 > TRAM CODE 7/22/14 ACH Debit 150.91 - 202,000 54 7122/14 ACH Debit 193.69- 201,806.85 > CHECKS 7/22/14 ACH Debit 249.68- 201,557.17 7122114 ACH Debit 355.00 201,202.17 7/22/14 ACH Debit 373.76 200,828A1 F4enous More ; I PREVIOUS <_". SUBMIT > EXIT �il ; ., ,t%,,s"..� ��.,i,m:'s, .., F �, s,.� ,+•w.>spa ,�'�' '_._a_. . A186 _ .�` Y �".,�.,.,.,,,tg>�.. �., "; .'"".'.7F. �i'Sdverbke Browser Iotertaee yam... -t 'F z« t k4 a � t! t` � `i 8 5g �,4;E7@ 1'ldai re' .. - �_ = _ w, . r .- 1 f .a y''''' '.., .� wigs_�,�.,. � ? 'PRINT F FRIH � E E FORM } RETRIEVE E GE y 1�A1f}t _irk PREVIOUS SUBMIT > EXtT E�� , ',,,,,‘,,ic,',_,,) , � ' ' ' '''‘''';'-'''' SPECIAL MESSAGES.> '� � PAGE. FUNCT`t S Memo pasted PassPort ATM/Dr Card T tNSta±ysete ni sills d Er when the"oM Nistaty'View" REDISPLAY Last statement balance/date 153,742.84 J Monday, June 30 2014 Fit 4s set to` BALANCE INQUIRY • Current balance 182,678.88 Statement cycle 31 7 SCAN FORWARD VIEW IMAGE I i PRINT IMAGE SCAN BACKWARDS 7RANSACT1ON SET PRIOR BALANCE Posted: A Description- - Chat c,t>!br.n A unt A B nc a i EFT 7122/14 ACH Debit 493.58 - 200,334-83 i TOP 7/22/14 ACH Debit 522.87- 199,811.96 7/22/14 ACH Debit 5,000.00- 194,811.98 BOTTOM U 7/22/14 Check 22885 329.95 194,482.01 EL1! ® 7/22/14 Check 22948 332A6 194,149.55 ) U 7/22/14 Check 22923 371.14- 193,778 41 Q 7/22114 Check 22934 389.46- 193,388.95 U 7L22I14 Cheek 22921 413.36 192,975.59 0 7/22/14 Check 22931 434-32- 192,541.27 TRAN CODE ® 7/22/14 Check 22932 441.91 191,214.26 192,099.36 la 7/22/14 Check 22942 441.91 - 191,657-45 CHECKS ® 7122114 Check 22943 443.19- !, ' ® 7/22/14 Check 22929 480.22- 190,734.04 7/23/14 Misc Debit 8,450.00- 182,284.04 Previous : More r : j PREVIOUS < SUBMIT > EXIT K.11 s yx:c .-,. i.as4,*� ,� ui't 4n ',i ,--i7,,,,,,'--;--4;,,,„,-',--',"§ 'At, ''a • s%c"Sdti!erlakeBrowserInterFace ,. :L - , , - z r`' .., s;x k''' k � @ a ,,: r tft d 3 ,-M} t',, z& e tlfl e,sk ,.`1lOirie f" ' � y � �E? f r'�r�"��� � "x`�g ��.s , `��4�r�z: A ,s4, .,''.. 3#�"�lI��"�44'.0)i , I:PRINT FORM I PRINT'SEINES FORM E i',:.< RETRIEVE MESSAGE .•, ij 41 t tri t .011, . ? , ',� C3g . . PREVIOUS < , - e SUBMIT > EXIT F,I i � . ......., F ma .. SPECIAL MESSAGES. „„,, PAGE FUNCTIONS ',Memo posted PassPort ATM/Dr Card The timely screen le epiayee€-'_ I:when the;1XDA"€ietpryVras+t” > REDISPLAY Last statement balance/date 153,742.84 / Monday, June 30 2814 perarrateras.set tO 7. > BALANCE INQUIRY Current balance 182,678.08 Statement cycle 31 > SCAN FORWARD I eesn mrug VIEW IMAGE ® PRINT IMAGE EN - > SCAN BACKWARDS TRANSACTION SET ®I : .. > PRIOR BALANCE IPasted A Description Check Nbr A Amount .a- Balances e > EFT Ito 7/23/14 Check 22861 401.38-" 181,882.66 > TOP 13 7/23114 Check 22952 420.68- 181,461.98 ITS 7/23/14 Check 22886 446.46- 181,015.52 BOTTOM ® 7/23/14 Check 9085 1,000.00- 180,015.52 > EDI 7/24/14 ACH Debit 817.46- 179,198.06 7/24/14 ACH Debit 6,827.11 - 172,370.95' IM 7/24/14 Check 22926 441.91- 171,929 04 II 7/25/14 Deposit 10,674.76 182,603.80 13 7/25/14 Check 9083 4.24- 182,599.56 • TRAM CODE ii 7/25/14 Check 9084 35.00- , . , , 182,564.56 f 7/25114 Check 22985 452.07- 182,112.49', > CHECKS fl 7/25/14 Check 22988 478.48- 181,634.01 ti 7/25/14 Check 22946 491.32- 181,142.69 \,;. - ri 7/25/14 Check 22974 524.26- 180,618.43 Previous : More PREVIOUS < SUBMIT > EXIT II:I r .. a s., s7- e , " SdveWaka Browser interface '`' ts�^°.,.._./..__ �„..:.� ��' was;. a�° - ' .:_` II!I !IIf2P!!iiIIIIIIIR! &' PI 1F1T FO ._I PI 111T i E E FORM 1 7 ;` ,RETRIEVE E A E <--"r 4 g A ds R ypo-s f t n:� , sf�, 'mss ,,. "`s � ' �� �' � '..,�"� ACR �+�r � ri �- � � [ y � � a �) F a ( a .,�� '4'41''''''''''''''''''': ':46-''''I'''''''''''6 ,.,,,.�",,,..;:'. _ .__.>.. 1 PREVIOUS SUBMIT EXIT F t SPECIAL MESSAGES. r '''''p-,e,',,,3,E FUN Ci 10a N E 'Menlo posted PassPort ATM/Dr Card ' Tire Milt screen is cisp1Bryt I Ownthe"DAHist n/Vi ',j > REDISPLAY Last statement balance/date 153,742.84 / Monday, June 30 2014 p, ter 3s set txr'2 %;-; BALANCE INQUIRY Current balance 182,678.08 Statement cycle 31 SCAN FORWARD Ieama�gra VIEW IMAGE ® PRINT IMAGE > SCAN BACKWARDS TRANSACTION SET ® : PRIOR BALANCE , Posted a Description. Check tdbr n Amount b Balance e- 54 EFT 7/28/14 ACH Debit 1,422.89 179,195 , TOP f 7128/14 Check 22996 336.O1 - 178,859_53 1:1 7/28/14 Check 22977 366.95- 178,492 58 > BOTTOM U 7/28/14 Check 22994 375.34- 178,114.24 > EDI ® 7/28/14 Check 22979 386.50- 177,727.74 ( 7/28/14 Check 22986 393]8- , . ®, 7/28/14 d Check 22973 406.34- 176177,927.62 33396 ® 7/25114 Check 22984 406.34- 176,521.28 a 7/28/14 Check 22991 406.34 , . > TRAN CODE �' 7/28/14 Check 22998 40928 175176,705114.6694', El 7/28/1 d Check 22959 413.36 175,292_30 > CHECKS S 7/28/14 Check 22995 413.36- 174,878 9d! i 7/28/14 Check 22895 420.68- 174,45826 a, 7/28/14 Check 22933 420.68 174,037_58 'I', ' Previous �rt ore 1. ' i PREVIOUS < ; SUBMIT > : EXIT wy, tr�Sdveriake8rowscr:IDte�laee ,-::<°.,,,.. . 'a _ r.,:..,`s t.`.,�`SF ' ?r: - a'P,- ' t =�2`l-oIN1 �s .�4. saw 4 .:*-•- '+"A t .• te. _� � � ,�� ,i,�� i ;, LP: IIIT FO 1 PRIIHT MERIES FD E -<; RETRIEVE MESSAGE ,,, � ^ b � r � �� ��x . < a , � �„�.. � mM� .a E _ � . ,G �� ., � . [ PREVIOUS < SUBMIT > EXIT �'� a s . SPECIAL MESSAGES.> ,-!. • PAG E F UN CT I ON S Memo posted PassPort ATM/Dr Card `Thy tu`ston�icraeriisdisptayzd:? met the:[ t1iisteuy Vrey .., ? REDISPLAY Last statement balance/date 153,742.84 1 Monday, June 30 2014 "•txa�ters sit Lit Z i • BALANCE INQUIRY Current balance 182,670.08 Statement cycle 31 SCAN FORWARD m VIEW IMAGE ® , ERINT IMAGE 7 SCAN BACKWARDS ,,._ TRANSACTION SET ®.....'... ? PRIOR BALANCE _._ ... . . Posted A Description'. Cheek I4br• A Amount .`A Balance A i > EFT 11 7/28/14 Check 22968 441.91 173,595.67 • TOP El 7/28/14 Check 22969 441.91 - 973,153.76 " 11 7/28/14 Check 22990 443.28- 172,710.48 • BOTTOM ® 7/28/14 Check 22958 480.22- 172,230.26 7 EDI a 7/28/14 Check 22960 491.32- 171,738_94 11 7/28/14 Check 122997 516.67- 171,222.27 , fl 7/28/14 Check 22980 533.14- 170,689.13 7/28/14 Check 22975 536.29— 970,152 84 O 7/29/14 Check 22925 426.72- 169,726.12 > IRAN CODE fl 7/29/14 Check 22963 426.72- 169,299.40 C • 7/29/14 Check 22964 441.91 - 168,857.49 • CHECKS ® 7/29/14 Check 22967 480.22- 168,377.27 ° 7/30/14 Memo Credit 20,350.81 188,728.08. 7130/14 Memo Debit 6,050.00- 182,678.08 Previous 4, I PREVIOUS < = SUBMIT > : EXIT Ii„1 j `` - ,�,1`¢ 44, .at, ? -, t.W h 1[ ACCORD CERTIFICATE OF LIABILITY INSURANCE 8;6;a 4YYY) 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 Esther Meddux NAME: Alan Williams & Assoc Ins Agency Inc PWHcONNn ENT. (239)418-1100 I(a Nok(239)418-1164 13720-2 Ben C. Pratt/ ppRESS:esther @awainsurance.com Six Mile Cypress Pkwy INSURERS)AFFORDING COVERAGE NAIC t Ft.Myers FL 33912 INSURER AOhio Casualty Insurance 24074 INSURED INSURER a:Ohio Security Insurance Co. 24082 Brothers of SW FL, LLC dba Statewide Painting INsuRERc:Retail First Insurance Company 10700 3265 34th Avenue SE INSURERD: INSURER E: Naples FL 34117 INSURERF: COVERAGES CERTIFICATE NUMBER:Brothers dba Statewide 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 AWL SUER POLICY EFF POLICY EXP LTR INSR WVD POUCY NUMBER (MM/DD/YYYY) IMM/DD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE _ $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PRMMGE TO RENTED PREMISES(Ea occurrence) $ 300,000 A I CLAIMS-MADE I X I OCCUR B&053534135 9/30/2013 9/30/2014 MED EXP(Any one person) $ 15,000 — PERSONAL 8 ADV INJURY $ 1,000,000 _ GENERAL AGGREGATE $ 2,000,000 GEM.AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG_ $ 2,000,000 GE X I POLICY 17 PRQ 1-1 LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT _ (Ea accident) $ 1,000,000 zit B X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BAS53534135 9/30/2013 9/30/2014 BODILY INJURY(Per accident) $ AUTOS _ AUTOS NON-OWNED PROPERTY DAMAGE 1 HIRED AUTOS AUTOS (Per accident) $ Medical payments $ 2,000 UMBRELLA LIAB _ OCCUR EACH OCCURRENCE _ $ _ EXCESS UAB CLAIMS-MADE AGGREGATE _ $ DED I I RETENTION$ $ C WORKERS COMPENSATION x I TWC i AMT3 I IOFR AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? u E.L.N/A (Mandatory In NH) 0520-46275 12/24/2013 12/24/2014 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,it more space is required) CERTIFICATE HOLDER CANCELLATION (239)252-2469 contractorlicensing @collie SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Collier County Contractor Licensing Board ACCORDANCE WITH THE POLICY PROVISIONS. 2800 North Horseshoe Dr Naples, FL 34104 AUTHORIZED REPRESENTATIVE Jeff Williams/LOURDE -/` ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INCl9.Ri(7n1niw n1 Tho A1?ARII ammo and loon aro roniatororl martrc of Ar`ARfl • { �s ... t, i 3d t • • • COLLIER COUNTY BUSINESS TAX RECEIPT oFTKE sue% APPLICATION e a 2800 N.Horseshoe Drive,Naples,FL 34104 �� .1co Make Check Payable to: Collier County Tax Collector 07v%=' '• . Phone: 239-252-2477 Fax: 239-643-4788 Website:www.colliertax.com "c ` �") CHECKLIST Copy ofArticles of Incorporation and/or Fictitious letter Yellow Fire Compliance(list of fire district phone number from the State stating that your business name is on file. enclosed) (850-245-6052 or 6058) www.sunbiz.org Copy of Marco Zoning Certificate.(239-389-5000) Copy of State license from Department of Business and Professional(850-487-1395)or Department of Health. Completed Zoning application with appropriate fee made payable (850-488-0595) to:Board of County Commissioners.(239-252-5603) Copy of City Business Tax Receipt.(239-213-1800) Completed Business Tax Receipt application with appropriate fee made payable to:Collier County Tax Collector.(239-252-2477) Copy of Motor Vehicle Repair Registration Certificate from Department of Agriculture.(800-435-7352) Other: Copy of Health inspection from Department of Hotels and Please contact the Property Appraiser's office at 239-252-8145 Restaurants(850-487-1395)or Department of Agriculture. regarding tangible tax. (800-435-7352) CHECK ONE: Date: Original Application Classification Transfer of License# Code Number - - Renewal of License # License Amount 40 CORPORATE NAME- Aj/ ( (9 Se4) c' , 4i, .. la) DBA NAME - 3-7-71,-.),76 �-i r lb) BUSINESS OWNER OR QUALIFIER'S NAME- ZfrAey /7/6-7-4-7-'7 c 2) PHYSICAL ADDRESS- Zkr 0 ti 77' /17/e' S&-- 7V,f///i C/ 3V//7 (No P.O.Box allowed) 2a) IS RESIDENCE USED AS AN OFFICE- ✓ Yes No 3) BUSINESS MAILING ADDRESS- 32- f 3'14 ,e 1 4r fz 3 y�ii 7 Street City ' Zip 4) OWNER OR QUALIFIER'S RESIDENTIAL ADDRESS- 3 1 311' l9ue (re * 7c73 .9.7 5) TELEPHONE -Business: �3°r--3.'a- i 799 Home: 2-3 f-3 c'°- 23S?" 6) LEGAL FORM OF BUSINESS: Sole Proprietorship Partnership Corporation VLLC LLP 7) OPENING DATE OF BUSINESS OR DATE ASSUMED- l// 8) OFFICE WITHIN CITY LIMITS OF NAPLES -—Yes ,/No If Yes,City License No. 9) SOCIAL SECURITY NO. or FEDERAL EMPLOYE R IDENTIFICATION NO. - - 9 7 - LA) 9 gI/f/� *see back of application for explanation 9a) TYPE OF BUSINESS CONDUCTED: -Pal r�i j Q �� J t- 11121 NUMBER OF EMPLOYEES - Including number of owners: 5 11) FILL IN THE APPROPRIATE AREAS- a)Rental units(motel/hotel/apts.)Number of units: b)Seating Capacity(rest./cafes,etc)Number of seats: c)Number of coin-operated machines owned by business or individual: 12) STATE LICENSE OR CERTIFICATION NUMBER- Must have photo copy of state license if state licensed and certified UNDER PENALTIES OF PERJURY,I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE TO THE BEST OF MY KNOWLEDGE. xxxAPPLICANT'S SIGNATURE: DATE: (Owner and/or representative of business)TITLE: ****THIS LICENSE IS NON-REFUNDABLE FOR BUSINESS STATED ABOVE**** SECTION A, B,AND C FOR OFFICE USE ONLY THIS SECTION TO BE FILLED OUT BY CONTRACTORS/BCC LICENSING BOARD SECTION A Classification of Contractor: County Certification Number: Department Supervisor Date: THIS SECTION TO BE COMPLETED BY PLANNING SERVICES SECTION B Business is an in-home occupation and the applicant has agreed to adhere to the requirements as set forth in the Collier County Zoning Ordinance. PROPERTY Business DOES COMPLY with the Collier County Zoning Ordinance. ZONED Signed: Title: Date: Comments: THIS SECTION TO BE COMPLETED BY THE HEALTH DEPARTMENT SECTION C Business DOES COMPLY with the local and/or State requirements. Signed: Title: Date: * In accordance with Florida Statute 205.0535(5),we require you to provide us with either a Federal Employer Identification Number(FEIN) or a Social Security number. August 9, 2014 Dear Collier County Licensing Board Members: In July of 2006, we sold our finish carpentry business, Fabry Finish Carpentry Inc. The sale of the business was due to two contributing factors. First,we had a buyer for the company. He wanted a stable,well-established business with active accounts and employees in place. Secondly, we needed to relocate back to Wisconsin to look after a family member. During our time in Wisconsin,we let the finish carpentry license lapse. We did not think with the family obligations, we would be able to move back to Florida prior to our retirement. The family obligations were taken care of after a few years, and we put our house in North Central Wisconsin on the market. This past spring our home fmally sold. We lived in a town of 670 people and needless to say,with the poor real estate market and small town, it took the right person to purchase the home. Then with the sale of the home and my family obligations met, we decided to move back home to Florida. While we lived in Wisconsin, I was active and self-employed in the construction industry. With the construction industry picking back up in SW Florida it only made sense for us to move back where we belong. We are respectfully requesting the re- issuance of our license, so that we can properly service the Collier County community. Thank you for our consideration, Todd Fabry Florida Custom Carpentry LLC Lee County license: FC14-02998 Coi eko, Y c• 1LLYIty GMD Operations & Regulatory Management Licensing Section I` r,� _, 2800 North Horseshoe Drive �) Naples, FL 34104 APPLICATION FOR COLLIER COUNTY/CITY OF NAPLES/CITY OF MARCO U ' iG1NAL 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: ,�- Drlr� ash h7 n k° �'. J C Fiction Name/DBA: Qualifier Name Physical Address: ' () Al. �t i # i i_i f / -Vert -y Fi..- 3 3Q„� (Number & Street) (City) (5tate)) (Zip Code) /� Mailing Address: (Number & Street) (City) (State) (Zip Code) Telephone: (AM) ` I.3 9 E-Mail: a- 6J r a \j O I00.C0 y� TYPE OF LICENSE: 1 J ❑ General $230.00 ❑ Electrician $230.00 ❑ Building $230.00 ❑ Plumber $230.00 ❑ Residential $230.00 ❑ Air Cond. $230.00 ❑ Mechanical $230.00 ❑ Swimming Pool $230.00 ❑ Roofing $230.00 ++ A Specialty $205.00 Specialty trade: .- i ririi S`1 CPI h7Y CI ANGE OF STATUS. Pr c,,,, ., ;,i.'1 1..2', `a ,.4-4.,4, ( ) Reinstatement from One Business to Another 7/25/2014 Reinstatement Fee=$205.00 ,..-.1 2014-15 New, license fee=$205.00 Page 1 of 4 3 Back year Fees=$555.00 `Different fees may armly* Total=$965.00 1. The names, titles, home address and phone numbers of all Officers/Managing Members of the Firm. CWt1jren q - 17)1 eir • ■� I is .i� • t \Vi i ` 1� \o& C.OVlJO DT- ) RA 9c& 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. A9-t,i -i r11 4 I l a l _ _li.. ) Abc1©° Gl)(o ) A_ 1 II.0 fr 1 ' •11,0 • •'A _ fir to . 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. 't' AFFIDAVIT I. certify that the foregoing is true and correct to the best of my knowledge. 2edth Officer of the Firm STATE OF FLORIDA COUNTY OF CV i tie'— The foregoing instrument as acknowledged before me this 0 7/ I ?f 2o i`" (Date) By �1 � 4 4 e./ of f-1?5r? i"i AA,V1 C osr p an 1-r-f e (Name of officer, title/agent) (Name of Corporation) a F t aridta, Corporation on behalf of the corporation. (State or Place of Corporation) He/She has produced identification and did not take an oath. (Type of identification) d10 Y'S E L �a.`o.nu., MILLER // Iii,--- f'4711. y 1 (SIGNATURE OF NOTARY) 4 Page 2 of 4 QUALIFIER INFORMATION: Name: C a Address: \t13 t +61i(leui C YiA0 --Dlr. —4;4 1,4kie t-, (Number& Strdet) (City) (State) (Zip Code) Telephone:(a)) k2() 13b ! Date of Birth: S.S. #: 000-00- E-Mail: -- $ �j ( yQ •u,yY., t J 1. Type of Certificate of Competency for which application is made. dt wt5 c1/�r y 0.6 ( h1 1 nh/ r 2. The names and telephone numbers of two persons who will know your whereabouts. fXe-14)( 3 441 ,ri --h eirs+ (qAD) - 3&5 3. Have you ever been convicted of a crime related to Contracting? /40 (If yes attach extra sheet with explanation) 7. Have you or any firms you have been associated with ever filed bankruptcy? 140 8. List all debts you or any company(s)associated with you refused or failed to pay and reasons why. Cit) 9. List your business or work experience during the past ten years. 4141 OPH 0,1&011-4)1( 06i3 1-B rSeill- 10. Statement of any formal training you have had in the area for which the application is made. V.Itkrk' z>c 't-C11 ce1 Page 3 of 4 AFFIDAVIT The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County Ordinance No. 2006-46, as amended, and vouches for the truth and accuracy of all statements and answers herein contained. The undersigned hereby certifies that he is legally qualified to act on behalf of the business organization sought to be licensed in all matters connected with its contracting business and that he has full authority to supervise construction undertaken by himself or such business or organization and that he will continue during this registration to be able to so bind said business organization. The qualified license holder understands that in all contracting matters, he will be held strictly accountable for any and all activities involving his license. Any willful falsification of any information contained herein is grounds for disqualification. APPLICANT(PLEASE FIRINT) irr�c�t AS- krt (civerki LLC NAME OFC• = Y SIC AT •F APPLICANT STATE OF FLORIDA COUNTY OF Co The foregoing instrument as acknowledged before me this 0 V 1 /19- (Date) By 1 or) who has produced " (Name of person acknowledging) (Type of identification) as identification and did not take an oath. NOTARY'S SEAL 1/51) 4/0 (SIGNATURE OF NOTARY) a�1,, `\¢� Notary Stall dFloes My Comm.Expku Avg 2017 ;�;.fr Commissiao#FF 0 Page 4 of 4 AFF`IDAVI'T IT IS understood and acknowledged by the Collier County Contractors' Licensing Board and myself that if I fail to acquire, or maintain at all times effective Workmen's Compensation Insurance it will result in the possible revocation of my Certificate of Competency. S GN• ° . E OF APPLICANT BUSINESS NAME I C.°11'x/11-- DATE BEFORE ME this day personally appeared who affirms and says that he has less than one employee and does not require Workmen`s Compensation understands that at any time he employees one or more persons he must obtain said Workmen's Compensation Insurance. STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged bofore me this 07/1/1? t`f- �C1 ribs--r, ( (name of person acknowledging) (Type of identification) 38 identification and who did not take an oath. b„, SIGNATURE OF NOTARY C.rtc/i /lee\ NOT ' , M��� (PRINT NAME OF NOTARY PUBLIC) _„p gF1orW NOTARY PUBLIC comm.Er own 4 •-; STATEMENT OF OWNERSHIP This certifies that I, am a member or • NAA - Managing member of t L (LIMITED LIABILITY COMPANY NAME) I own eff) % 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 AME) • 11140, AWP:PLICA Nrs SIGNATURE) (DATE) • I I • I I $ - ; $ RESOLUTION OF AUIHORJZATON W HE EAS C,,,i66111 Carri4A1 L(, ro (I�Tame f l3usin s En: -proposes to • engage in contracting as rn cI eLt94301r1 Utir 1 I LC in (Type of legal entity:corp.,p:, It ers 'p,etc. Collier.County,Florida, according to Collier County Ordinance 2006-46,as amended;and WHEREAS a• . Li ' to-.r ,t i ,,, proposes to (Name ofBus nti qualify for a Certificate of Competency with l o ` tio (Name of Tndi dual) NOW,THEREFORE,BE IT HEREBY RESOLVED THAT: • We the undersigned 1 odA dreyQ „ `t (Officers,Owners,Partners) of �ltiA C ►►!1 Y hereby resolve and represent to the Collier Co (Name of Business Entity 3' Contractors'Licensing Board that the qualifying agent, (Q . is active in all matters connected with the contracting business of •me In yid �ro LLC and (N e of usiness En: ) We further resolve and represent that t1 t 4 —Ff v rs n 1 (Names ofTn dual legally empowered to act for•tN (k t US 1 Yn ! r .1 �...m all matters (Name ofBusiness E connected with its C...: 4.g . mess,an. .. the : .on tY to supervise construction undertaken by • (Name ofBusiness Entity) DULY PASSED AND ADOPTED TarS I day of (Officers, • -"Owners—with Witness • Witness • Witness - Corporate Seal(ifApplicable) • Or NotaryPublic Certificate Swart to and subscribed before me this t r day of J Y(-t , '10.* by '),.1,• .'�f� Notary Public Name Prirnte9Cl °I'tJ Commission Number 0`A Notary Public Signature My Commission expires:M( - 1 ° ��Yh B MILLER 3. ' Notuy Public—SW M ANN *Cow Eta Amen.Si v . Commission a FF Micro, LEECOU\TV LIG2014-02998 'tbfabryi yahoo.com' License Holder TODD FABRY Name: Firm Name: FLORIDA CUSTOM CARPENTRY LLC Address: 13180 N CLEVELAND AVE UNIT 11 NORTH FORT MYERS FL 33903 Thank you for assisting Lee County Contractor Licensing in their effort to"Go Green". Please keep this document/file in a safe place as you will not be receiving any additional copies of your license from this office. Be sure to keep your email address current with us at all times. Below please find your Lee County Certificate of Competency. This Certificate will need to be renewed yearly if you wish to perform work in Unincorporated Lee County. Renewal will begin in the middle of August of each calendar year. If you choose to place your license on inactive status please notify this office as soon as possible. Please keep yourself up to date with our departments information by periodically reviewing our website at www.lee-county.com/dcd/contractorlicensing.htm In addition to this Certificate, it is your responsiblity to maintain your worker's compensation,general liability insurance and obtain a yearly business tax receipt from the Lee County Tax Collector while performing work in Unincorporated Lee County. You may email your certificates of insurance to ContractorLicensing @Leegov.com. Our phone number is 239-533-8895. Please send e-mail address and/or telephone changes to ContractorLicensing @Leegov.com IMPORTANT CHANGE PLEASE READ: In an effort to reduce costs and "go green" we will no longer be mailing renewal reminders. If you wish to receive a renewal reminder via email please provide us with your email address along with your case number LIC2014-02998 to ContractorLicensing @Leegov.com. Re: "renewal by email". Cut Here Conditions of Certificate LEE COUNTY Conditions of Certificate CERTIFICATE OF COMPETENCY (239)533-8895 Shall maintain required insurances on active Renewal due for active and inactive certificates. certificate each year in September. NAME:TODD FABRY DB/A FLORIDA CUSTOM CARPENTRY LLC COMP.NO shall appear on all LICENSED FOR: Finish Carpentry Cntr Shall inform the Contractor Licensing Office of advertisements including vehicles reflecting any Address or telephone#change. a business name. Shall only contract in D/B/A name as it appears on certificate.Board of Approval COMP.NO.: FC14-02988 required on business name changes. NOT V FTER:09/30/2014 Sis,< v nse Holder fcntriocren2.rpt • • 1 1 . R . 1 I ' 1V . t:-. OD I $ U3o a (t S 3 _ ► s 1 o5 �, Icil um b� L LLI t. ! - .rx. z J QJ 1 I I "2 �y • 1 LU Z T I163 0 O a I- E4 CO I N r 1 ..1 II CU C C Ll 1 Q (., Ls- • CC Z CO l' - � Z 3 • I a i C3 C I C3 u CO ano 1: 2: 46.c vi t ta[ to = � • t i The following pages are to show Todd has been actively working in construction for the past 15 plus years. He has been continually updating and certifying his skills in the finish carpentry trade. Hugh M Adams A&D Properties LLC 2015 SE 28th Terrace Cape Coral, Fl 352-502-3654 CRC057367 June 3, 2014 To Whom it Concerns: Let it be known that Todd Fabry is a competent business man and carpenter. He was the main trim subcontractor for Marvin 1990s and early 2000s. I was a su ringnt Development Corporation in the Manager for Marvin Devel those y e and later the Construction °Pment during those years. Please feel free to contact me if you have any questions regarding Mr. Fabry. Sincerely, Hugh H Adams VERIFICATION OF CONSTRUCTION EXPERIENCE Lee County Contractor Licensing P.O.Box 398,Fort Myers,Florida 33902 (239)533-8895 ContractorlicensingtMleedov.com Applicant's Name: 1111116'1 of - Certificate/Trade Category Requested: cs L _a ,. L r The Applicant is seeking a Lee County Certificate of Competency in the trade indcated above. As part of the application for this certificate the Applicant must verify their expenence within this trade. Your are being requested to provide information that will aid the Applicant in meeting this requirement. You should verify time of active experience working for you 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 following information must be provided by the person verifying trade ex. Nance for the above-named applicant: Name: ,♦ ii. - r- ;- Warne o person s+gning below and oentY.ag the APPbcan's relevant expenence) Title: 0WnWf License Number: IC 9245—$ (e.g.,Owner,Supervisor,Etc.) �-. Name of Company or Business: 'reeCe • [c,∎s -f. 4 At� y'SI 1-1 0,7 rt Company or Business Address: • ‘Lrer, Gt ., t,f t cc ci Street or P.O.Box City State Zip E-Mail Address: C �C c -er..le�`C-‘3wSers ,sc Business or Office Phone:(L.t$$I ' y,(.- Applicant's Title(s) „die ,J�:— fge The Applicant was employed by me from 97/ /3 / to i4/30//4? / The Applicants scope of work(identify se•cific duties)while employed by me included: 17v/pc 4 Ceti--e,-I 1Il List five(5)construction task/projects completed by applicant while employe by you/y/o company,including but not limited to task/p oject title,location and dated corn•feted: lie 4 rfej sa(1 a $v y .l _ t Vit l'' . s . - % .. . f 4 In.=, y S Indicate the type of contracting under taken you/your rganization and the total number of years of experience you have within that type of contracting- 44 Cart. t8!`ert �(V yr5. Page 8 of 9 S%PEWrt Cooex -KV•■••■■.gir a Ws Wods.44 faidi/Camosnie...riklieiwaAppatmen for IsCuea.CamrarafC.wpw.ende. 1/2W:01211.10-1x1AM 4 I , r List the amount of time the applicant has worked for you/your organization as a skilled worker 7 to os List the amount of time the applicant has worked for you/your organization as a supervisor/administrator: O Wt*S Additional Comments: NOTE TO LICENSED CONTRACTORS: Falsifying an information provided herein may subject your license to revocation. (Signature of arson aov d g statement Under penalties of perjury,I declare at I eve read the forgoing Application and that the facts stated in it are true. Applicant's Signature Date]v1 ?L I Page 9 of 9 /-. VERIFICATION OF CONSTRUCTION EXPERIENCE Lee County Contractor Licensing P.O.Box 398,Fort Myers,Florida 33902 (239)533-8895 Contractorlicensincn tleeoov.com tt J J d �i [i - Applicant's Name:' 1r OP /— Al I li 1 l `— Ti p' ( tI i 'f#L..- IAA/ , ./ i41S %, 1 L- r. i R.7 Certificate/Trade Category Requested: C#i"F-�`E.-a a-L/ The Applicant is seeking a Lee County Certificate of Competency in the trade imitated above. As part of the application for this certificate the Applicant must verify their experience within this trade. Your are being requested to provide information that will aid the Applicant in meeting this requirement. You should verify time of active experience working for you 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 following information must be provided by the person verifying tree experience fort above-named applicant: Name: illtitilit i _ d}1t/'2 (Name of the person signing below any verifying the Appbcant's relevant experience) Title: P139s1tl.ett- �G 1G `16 ( bt::: 2 license Number: (e.g..Owner,Supervisor,Etc.) Name of Company or Business: fi PIMP Nu 9'0914 r1 ,?l ei1 ! Company or Business Address: ' 4? Lt,. i'le61 tf 2..4 '/i 1-4tr.t t ) 4-''5 J Street or P.O.Box City State Zip '. E-Mail Address: ' +1..`T" 43 ht + (J 4,1)}t &i- Business or Office Phone: (4 t a) t4 1 g G kY Applicant's Title(s) C.:- l9e-11l-( 4 =S_C il7 0-6111 ige a The Applicant was employed by me from .; I lit) / .\ to , C ) j 1 The Applicant's scope of work(identify specific duties)while employed by me included: e • eit +t r:•,it .l'C- f111y-14.' . Itlf s ' i) iE'' `-F 117-1 List five(5)construction task/projects completed by applicant while employed by you/your company,includi bu}W t not limited to task/project title,location an_d dated completed: ./9,L'i i C-i et=ti;H ' r,trr2 17 h l r ,7 1 `�'r^'''gi=7'i7 it� �ifli.,��: t)l,`/1�=%'�+�"f��-' r:�`�#��*,, +'".'� �r- `h r f2i h C- e 1LI c i4., ,rd- ' w, toe '.j t041 + °1-4C)ill at I. L. e(2_. t.,--l-,1.;-(1.4. ii:, .-is' . 4- Ji--i'`-t ill Indicate the type of contracting under taken by you/your organization and the total number of years of experience you have within that type of contracting: c LI '%i ir�� 4. 4-14-; t't C' 1 �-}1.494:d, 1 i t e f/'g;e Page 8 of 9 S'\rcRmn-corms ultra. ,,inece,sr Waiting rwek.-cro..onin,to fitiabloAkorttApplieueo r Leo co,.nyc�r u,reomw y&Ica 1/20/2012$:40:00 AM List the amount of time the applicant has worked for you/your organization as a skilled worker. s? ,o u List the amount of time the applicant has worked for you/your organization as a supervisor/administrator. kt j 6 V o Et rV ui-e.11; . i Additional Comments: et C I . 4) :� q-i A " D.i ' ' - z'°-. ,, .i A. �� %f . 1i)Q � " NOTE TO LICENSED CONTRACTORS: Falsifying an information provided herein may subject your license to revocation. (Si., -ure of Person . . ... .,.--1-1.1r1 r' C.— Under penalties of perjury,I declare t I have read the forgoing Application and that the facts stated in it are true.(le Applicant's Signature Date Col 11 i4 Page 9 of 9 VERIFICATION OF CONSTRUCTION EXPERIENCE Lee County Contractor Licensing P.O.Box 398,Fort Myers,Florida 33902 (239)533-8895 C.:4...rv.s-:. _ i)eiiecli-si:en`.�.e-;,ate .;);4 Applicant's Named -T- Certificate/Trade Category Requested: r li:1 _.) 4 l (16. 4 _Lida it The Applicant is seeking a Lee County Certificate of Competency in the trade indbated above. As part of the application for this certificate the Applicant must verify their experience within this trade. Your are being requested to provide information that will aid the Applicant in meeting this requirement. You should verify time of active experience working for you 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 following information must be provided by the person verifying trade experience for the above-named applicant: Name: David Soman (Name of the person signing below and verifying the Applicant's relevant experience) Title: Project Manager License Number: 1165433 (e.g.,Owner,Supervisor,Etc.) Name of Company or Business: Crown Carpentry, LLC Company or Business Address: 802 N 109th Street, Milwaukee WI 53226 Street or P.O.Box City State Zip E-Mail Address: crowncarpentryllc@yahoo.coin Business or Office Phone: ( ) 608-778-3512 Applicant's Title(s) Proj ect Manager The Applicant was employed by me from 06 /2010 to 12/2010 The Applicant's scope of work(identify specific duties)while employed by me included: The scope was to rehab a 200 unit apartment building. This included new kitchen, doors & hardware, bath accessories, etc. List five (5)construction task/projects completed by applicant while employed by you/your company, including but not limited to task/project title, location and dated completed: Remove & reinstall kitchen cabinets, cut & fit counter tops, install closet shelving, install knock down frames/doors/hardware, install bathroom grab bars/towel bars/toilet paper holders. Indicate the type of contracting under taken by you/your organization and the total number of years of experience you have within that type of contracting: We have been in multi-family & commercial construction since 2009 . Page 8 of 9 S:\PERMn CODES UCTermu,ang+Cora'sWorkingFolder-ConwungtofillablelhraAppliononforLaeCount yCmifcatoofCompaencydoer 1/20/2012 8:40:00 AM List the amount of time the applicant has worked for you/your organization as a skilled worker: Todd worked with us for 6 months as a subcontractor. List the amount of time the applicant has worked for you/your organization as a supervisor/administrator: Todd worked on his own, but was given tasks by our foreman. Additional Comments: NOTE TO LICENSED CONTRACTORS: Falsifying an information provided herein may subject your license to revocation. /Li (Signature of rson providing the statement) Under penalties of perjury, I declare that I have read the forgoing Application and that the facts stated in it are true. 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Code Enforcement Department, RECORDED IN RESOLUTION Attention: Contractor Licensing 800K XVII, PAGE 190 P.O. Box 836, LaBelle,Florida 33975 Phone/Fax (863) 675-5245/(563)675-5319 _ Applicant's Name: 1 Q ---#�.n . Certificate/Trade Category Requested: a _ to. re The Applicant is seeking a Hendry 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_ Your are bet • provide information that will aid the Applicant in meeting this requirement You shdultf being�' to working for you as an apprentice or a skilled worker( , as a worker commandngthe wage ofinechanr 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 following information must be provided by the person verifying trade efperience for the above-named appiicant: Name: i - - - • '` Aare person sign oelowand verifying the Applicant's relevant experience) • Title: r N '° _ .7 . e.g..Owner,5 • W. - License Number:-- umber.- i ° c—.77 -Name of Company or Business: an ,1,z( , • Company or Business Address: . ' c.. �. r, ( -._..`• _ ' __ _ .. . Saes w r.... i Business or Office Phone:t � 7 }re _ —,• The Applicant was employed 1 f, r , i by me from , ; -The Applicant's scope of work (specific duties)while employed' b to • rt J %- -- +.� -. by me included: - • - - . • Additional Comments: r • Licensee!Contractors Falsifying any information p r.-d herein may subject i K Y l your license to revocation.Firs,r ('�`{` (Sign , .='of P- • providing the sta{ernent) - • State of ,a . - ' Coon of i {The state and onus, or by r ' 1 ` County execution must be rated in the Rota Public Under oath, before me this day of '� F - 5 ' t Zgt) , l A!4!w.1 o,-- /"771e... 'who is ersonali known to (Name Person pn,vtdln statement) . -----Q____. _t9__00,or who has produced as identification,stated the fo -..- a s , . - • MARCO E.JUAREZ P4 . pre,� ''s NotariJ Mato State of i:loritlo c._ � . -_. :. '. MaVla Notary ubfic Commission Mir -- " - f x F��.4, DD31I387 3 Print e, �" L:�E�C4 ';. .°t't folded By Notional Notary Aral.'t ' f > ! penence.wpd - Verification of Construction Experience City of Sanibel 800 Dunlop Road, Sanibel FL 33957 i' , n Applicants Name: �'t/ --¢1 t i S 1 t dir -Lin 1-- Certificate/Trade Category Requested: I- 0Aer 7 t.AiN isle s ...1-Ins-1-0_11 The Applicant is seeking a City of Sanibel 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 for you 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 following information must be provided by the person verifying trade experience for the above-named applicant. Y ,, I- .t Name: j(CTOi7_ 1Li; e t..,t-t J~/ (N f the persons Wing below and verifying the Applicants relevant experience) ¢ Title: _ 1 License Number: ° 7,( f` :7 (I.e.,Owner,Supfvisor,Etc.) _ t` F t, r / ft ) '.a° Name of Company or Business: i . , �.:: : �? , � „�� - Com an or Business Address: �1 ti 7 `'•° e F8� Ft 'J f� Street or PO ah o., City State Zip Business Office Phone: (,,,rr i f) it ' i s r The Applicant was employed by me from / to / The Applicant's scope of work(specific duties while employed by me included: 14J OU,( I-70.-UP-A. 5 Va- e P..d a irt3p2a 7-,D ia,---_-:..., , tibt06- U1,3a-rd, Poiz, j,12.6' ,, Additional Comments: f Th I 11 Licensed Contractors:Falsifying any information provided herein n s y c o lice to levo"a on y . �F 3 ii/. tj ,1 f (Sig> ture4f'Pe e ) roviding e` ` tement) State of f..r,:,a i P (The State and County of execution must be filled in by the Notary Public) County of L f..,,. Under oath,before me this (°) day of t; Fit; , 200 , t/- �o� t. i 1. 01 MA —" (name of Person providing the statement) who is pgrsanallylakilyaLto me, or who has produced ,---''`� ;!%as identification, stated the fore oixl f =re true. +,.-- t,�,Commission lxi2amso � 2 .,� iv •Voc, ,lancer 11,2001 tary Public - Stamp or Seal Application for Certificate of Competency 6 ember ' - ''' lit,_ r ', 4 4 - _ � t Y "?! £ }- • - i i 1 t I / \ This is to certify that FABRY FINISH CARPENTRY, INC. is hereby accepted as a member of the nztcll(IDis 1 ia\: \(-\,(3-acn_zit--(-il-)Ir- 1 —2_,,,, . - j)\1_1 1ti, 11111tr ,ftI iij4 11. 0 of the United States and is pledged to observe the high ethical standards of business practice set forth by this association. OCTOBER 2004 Join Date IMP \ Itli_ A dier.--,t0 lb otti Contract Sales Janzes R.Rayburn Gerald. .Howard 2004 President NI:fie-sfi%• EreartiveVire President&CEO MIIIIIIIMINIIIIIII -•' RIFICATION OF CONSTRUCTION EXPERIENCE • Collier County Contractor Licensing C/O Community Development&Environmental Services Division 2800 N. Horseshoe Drive Naples, FL 34104 Telephone: (941) 403-2431 or(941) 403-2432 Applicant's Name: i 6,1A �r t( f Certificate Category Requested: [Y« C,Arrh4Y.� ee�r�try 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 in the trade requested.Time in a supervisory or administrative role should also 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: Narne:, Y i1 Title-:.---- _ 't- License Number(if applicable): R&OQ 2 6 Name of:Business: w• vl , L Businc ks Address: ypO S• S d...A. a�.zi 'T ( t —{-ar- Yk vs FL Business Phone: q41—I _ 1140 The Applicant's work experience from nerg to The applicant's scope of work (specific duties) included: All •a- iM r4,rr,VTl. Additional Comments. . c- y t+' tICL' \ , Falsifying any information provided herein may subject your lie•nse • r• .' ion. ripr Signature Printed Name:- st_ State of Florida ' County of Collier 'fhe foregoing instrument was acknowledged before me on this r, I clay of 11 - -J„., , 200.c by . MC:n t)p ff\54 po r) who is personally know lto me or produced ,.. . _.i 1 ' . L,�` as identification and who did not take an oath. Ogn• ure of Not. ••■VM• ■v/II_ i • r_: ati ;.z MY COMMlSS10N i CC 931655 1 %a'-. :_- �'IRES:4cl27,234 I. .;><n, ?btu Mort Public thee. , • 4 Collier County Contractor Licensing C/O Community Development&Environmental Services Division 2800 N. Horseshoe Drive Naples, FL 34104 Telephone: (941) 40_3t-2431 or(941) 403-2432 f� c-P\q,� ? Applicant's Name: I {} 0 � • Certificate Category Requested: The Applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate the Applicant must verify their experience within this trade. You are being requested to provide information that will aid the Applicant in meeting this requirement. You should verify time of active experience in the trade'requested.Time in a supervisory or administrative role should also 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: _ b G G > 1— -cs•--5 Title:N''�C.-`3 ' °C-r e License Number(if applicable C d b� Name of Business: 1 t cs-..1 c_ —c-cx..Cr) 2 i S�.$ l.k (N L. t i 4 4 Wt-tC-, S Business Address: ` I CO l4 ( t..4 AAA I-cs'i`U Gcz1'15 Business Phone: 9 LI i - cld ( ` 3"( The Applicant's work experience from ? 2Aeo u 2 n �- ; The applicant's scope of work (specific duties)included: A Z R��- r'LZtt, ' t �1 (:."J Cc -2)"S (L C 7" turJ Additional Comments: C\-{- C? 4 s. . 4. 'Z (Si) c j —J i , r� Li,r,L ' r-4 v (Lk 0 I Lt Falsifying any information provided herein may subject you ice se Rio ' o ion. Signature Printed Name: 9 3j c. `A C--:An—„,,�1 State of Florida County tif-FrrIfr I e.e. The oregoing instrument was acknowledged before me on this/2 7 day of fe - , 200 by 7.)C,Lipars i Q 1-n,, who is personally known to me or roduced = . as identification and w o did not take an oath. I r,c. ignat a of Notary 1.1 f LYNDA BUSH fi: ia, .1 MY COMMISSION N CC 8343 �t. LYRES:May 7,2003 r B o w e d Thru Pubic loduw s . M t -. VERIFICATION OF CONSTRUCTION EXPERIENCE . Contractor Licensing %Development Services Division Post Office Box 398 Fort Myers, Florida 33902 - - 'J` Telephone: 941-335-2205 Applicants Name 1 O d j r-, i Certificate Category Requested F„ i c L E'er,-.y e,K'ri::;...v The Applicant is seeking a Lee 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. The following information must be provided by the person verifying trade experience: Name,Title and License number of the person verifying experience: /7 a y 4 . c-X-a r dr Name �r � � � ��..:fi and . Title to OwnerfSupenrtsor etc,) license Number Name of business _ Pict-ii...-t. la,,A F-‹cr- F'r,' x.i...� I h c__ Business Address 2.0 Z 0 Oa-C X e, `- / Lt/a., f.' Cr,-j<. 14.7 53,S .0, Business Phone _ /11 -304—03 2 0 The Applicant was employed by me from to / to E4 The Applicant's scope of wont whiff ed by Ire included: fmr .„; a . /- f 51. T • Additional Comments: =1 _ Signature State of Fieride� W scon.rrft Printed Name: Fare Cc a.r...ei_ County of Eee. pl f L ufavice e _Rh The foregoing Verification of Construction Experience was acknowledged before this /sTclay of produced by ' S fi a( ♦ who is pe►_. ally known to me or who has J, _' ! as id 1 /06,04.' f /�, - , Notary Public f�� Printed Name: Irol T /, j?-0,414 • Experience 7-96 MAIL ACCRESS ANDIOR I 4 EE LPN 1roTY TELEPHONE#CHANGE TO: CERTIFICATE OF COMPETENCY Conditions of Canine= LEE COUNTY (239)344-5895 DEVELOPMENT SERVICES Renewal due for active and vlactFve certificate each year in September, P.O.BOX 398 NAME:TODD R FABRY FORT MYERS,FLORIDA 33902 D/B/A FABRY FINISH CARPENTRY INC ATTENTION:CONTRACTOR LICENSING �"P strait appear an all advertisements including vehicles reflecting a LICENSED FOR: Finish Carpentry business name. reentry Cntr Stan only comraa In DMA name as it appears on cenifitate.Board of APProval required on business name changes. COMP.NO.: FC00-00226 Shall maedain required insurances on active certificates. NOT VALID :09/30/2006 Shall inform the Contractor Licensing Office of any Address or telephone a � cnanga. Sign i License Holder • Cut Here Certificate of Comuetene Conditions of Certificate NAME: Todd Fabry �, .t Renewal due for active-84 inactive certificate each �, �` D/B/A: Fabry Finish Carpentry,Inc. a ti O 13750 Ox Bow Road Year in September. .� '�O Fort Myers,FL 33905 COMP.NO shall appear V) Okr S including vehicles reecting a business name. LICENSED FOR: Trim Carpentry Contractor Shall only contract in D/B/A name as it appears on COMP.NO.: 53-121 l6 certificate. Board Approval required on business P name changes. "`°"°'•'r° NOT VALID AFTER- I' I/06 1974 Shall maintain required insurance's on active certificate. �►� Shall inform the Contractor Licensing Office of any gnature of License Holder Address or Telephone II change. • -w.,�,- g—,Cr COUNTY ytlFOF PLOp1�� OCCUPATIONAL LICENSE YEAR: LICENSE LICENSE NUMBER: 2005'2006 Location 004534 13750 OX BOW RD FT MYERS FL 33905 FABRY FINISH CARPENTRY INC. FABRY TODD EXPIRES: 13750 OX BOW RD E5: SFPTLe�yeFR 30, FT MYERS FL 33905 Is hereby licensed at above 200& CARPENTRY RY occupation address to engage in the business, CONTRACTOR THIS IS NOT A SILL-DO NOT PAY PAID 192158-4_1 JYD1 09/07/2005 01:35:45 $30.00 y, "1111W16“1 . a,r-1 TAX COLLECTOR :2 - C;1 I Y UI- CAPE CORAL . CITY OF COMPETENCY LICENSE :': L �EN?: IS;► s= FABRY, TODD 4 LOCATION ADDRESS: ADDRESS OUTSIDE CCC LIMIT °°°' CONTROL NUMBER ISSUE DATE EXPIRATION DATE LICENSE NUMBER 31251 9/19/05 9/30/06 06 00007559 CLASS: CONTRACTOR FINISH CARPENTRY License Fee: 75.00 Penalty: .00 FABRY,TODD Interest: .00 FABRY FINISH CARPENTRY, INC Paid: 75.00 13750 OX BOW ROAD FT MYERS FL 33905-1814 THIS IS NOT A BILL. Please detach this portion and retain for your records Collier County / City of Marco/ City of •,Naples :.. ?Contractor-,14.03F4'-ing CABINET INSIPALF._CONT*. Cert Nbr:23442 Exp:9/30/2-0(1b:.6tatus:ACTIVE State Nbr: Exp: FABRY FINISH CARPENTRY.TNC' TODD FABRY 13750 OX BOW RD ' FORT MYERS FL Signed: CHARLOTTE CHARLOTTE COUNTY LICENSING CERTIFICATE OF COMPETENCY NOT VALID AFTER 913012007 Lic. Type: CABINET/TRIM CARPENTR) DBA: FABRY FINISH CARPENTRY INC Lic. Nbr: AAA0010449 . TODD FABRY 13750 OX BOW ROAD FORT MYERS FL 33905- HENDRY COUNTY CONTRACTOR'S LICENSE(ALL CLASSES) NAME,ADDRESSOR STATUS NAME: CHANGE MUST BE SENT TO DBA: Farby, Todd THIS OFFICE WITHIN 2L; Fabry Finish Carpen Inc. DAYS--MAIL TO: LICENSED FOR: Speciatiy Carpentry LICENSE NO: HC1003.SP HENDRY COUNTY 3L1-1;?,DEPT NOT VALID AFTER: Septe ber 30, 2006 v PO BOX dab LABELLE,FL 33975 VALIDATED BY: AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER I, • //> a7t,cx. am a resident of L ,� County, -�`—GOK r0i'9 (State) and have resided here for more than five (5) years. During the last five years I have known /' ,4c .-fCt.hvNi (Applicant). I have had the opportunity to observe his or her business and personal d alings and find him or •-r to be a person of honesty, integrity and good character. ilif z' - lif,e-...„0,7 (Signature) e / (Name) efe./ (Address) 2 Z GB 114ficr . 6.6.4 "e,a r•re ":57E (Telephone 4c ) jecoe:9— ZZlocr STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this 3 18 ) C by ► ilk,C C�C� a� `,C ` I who has produced F1 45C-1 rick by i Li&s �r.ea n;S- - (name if person acknowledging) (Type of identification) as identification and who did not take an oath. G TUBE O? •TARY :— • _to i t(t .e. (PRINT NAME OF NO 'ARY) NOTARY PUBLIC NOTARY'S SEAL F-------- keLAUF iA4IOIN a rcl E Y C 8 16 55� OMMS p122W4 lInut4d.y pubRe undenovers _ 10 Prepared By: Merit Credit (239) 277-3202 (800) 371-3348 TRANSUNION CREDIT REPORT [FOR] [SUB NAME] [MKT SUB] [INFILE] [DATE] [TIME] (I) Z NP6284423 MERIT CREDIT 16 NP 5/89 06/11/14 08:43CT [SUBJECT] [GGN1 [BIRTH DATE] FABRY, TODD R. [ALSO KNOWN AS] FABRY,TED,R [CURRENT ADDRESS] [DATE RPTD] 11751 HOLIDAY CONDO DR. , #125. FORT MYERS FL. 33908 6/14 [FORMER ADDRESS] 9029 RIVERVIEW LN., FREMONT WI. 54940 7/06 3723 LIBERTY SQ., FORT MYERS FL. 33908 [POSITION] [CURRENT EMPLOYER AND ADDRESS] [VERF] [RPTD] [HIRE] FABRY FINISH CARPENT TRIM CARPENTER 3/14 3/14 [FORMER EMPLOYER AND ADDRESS] BIG DOG TRANSPORT PRESIDENT 8/12 8/12 M O D E L P R O F I L E * * * A L E R T * * * ***FICO CLASSIC 04 ALERT: SCORE +793 : 030, 003, 008, 005 *** IN ADDITION ***TO THE FACTORS LISTED ABOVE, THE NUMBER OF INQUIRIES ON THE CONSUMER'S ***CREDIT FILE HAS ADVERSELY AFFECTED THE CREDIT SCORE. C R E D I T S U M M A R Y * * * T O T A L F I L E H I S T O R Y PR=0 COL=0 NEG=0 HSTNEG=0 TRD=20 RVL=6 INST=8 MTG=5 OPN=1 INQ=13 HIGH CRED CRED LIM BALANCE PAST DUE MNTHLY PAY AVAILABLE REVOLVING: $45.1K $50.1K $1104 $0 $257 98% INSTALLMENT: $94.2K $ $41.OK $0 $827 MORTGAGE: $215K $ $204K $0 $1846 TOTALS: $355K $50.1K $246K $0 $2930 T R A D E S SUBNAME SUBCODE OPENED HIGHCRED TERMS MAXDELQ PAYPAT 1-12 MOP ACCOUNT# VERFIED CREDLIM PASTDUE AMT-MOP PAYPAT 13-24 ECOA COLLATRL/LOANTYPE CLSD/PD BALANCE REMARKS MO 30/60/90 SHORELINE CU Q 7221002 8/12 $25.1K 60M443 111111111111 I01 38168000010 5/14A $0 111111111 C AUTOMOBILE $17.0K 21 0/ 0/ 0 FOX COMM CU Q 612D001 3/14 $24.5K 72M384 11 I01 5/14A $0 I SECURED $23.9K 2 0/ 0/ 0 CAP ONE B 1DTV001 1/01 $13.2K MIN54 111111111111 ROl 5/14A $15.OK $0 111111111111 C CREDIT CARD $54 48 0/ 0/ 0 CHASE B 26QK001 6/06 $14.1K MIN34 111111111111 ROl 5/14A $17.0K $0 111111111111 A FLEXIBLE SPENDING $881 48 0/ 0/ 0 WI ELECTRIC U 60EN003 6/06 $0 111XXXX11111 001 5/14A $0 11111111111 C UTILITY COMPANY 5/14C $0 23 0/ 0/ 0 DISCOVER FIN B 9616003 4/95 $17.7K MIN169 111111111111 ROl 5/14A $18.1K $0 111111111111 C CREDIT CARD $169 48 0/ 0/ 0 CHASE B 1127001 1/11 $215K 360M1846 111111111111 MOl 4/14A $0 111111111111 C FRD652502342 $204K 34 0/ 0/ 0 5TH 3RD BK B 9302020 10/13 $14.6K 60M 11111 I01 3/14A $0 C AUTOMOBILE 3/14C $0 CLOSED 5 0/ 0/ 0 FOX COMM CU Q 612D001 8/08 $10.0K 60M189 111111111111 I01 8/12A $0 111111111111 C SECURED 8/12C $0 CLOSED 48 0/ 0/ 0 NISSAN MOTOR Q 507T073 9/09 $19.1K 60M319 111111111111 I01 10/11A $0 111111111111 M AUTOMOBILE 10/1.1C $0 CLOSED 25 0/ 0/ 0 CHASE B 1127001 6/06 $223K 360M2020 111111111111 MO1 1/11A $0 111111111111 C FRD359699316 1/11C $0 CLOSED 48 0/ 0/ 0 FOX COMM CU Q 612D001 6/08 $6101 60M119 111111111111 I01 5/10A $0 1111111111 C SECURED 5/10C $0 CLOSED 22 0/ 0/ 0 CAPITAL 1 FA F 1W2K001 4/06 $20.0K 60M397 111111111111 I01 9/09A $0 111111111111 C AUTOMOBILE 9/09C $0 CLOSED 41 0/ 0/ 0 CHASE B 617C042 3/05 $66.8K 111111111111 001 4/07A $82.5K $0 111111111111 C HOME EQUITY LOAN 4/07C $0 CLOSED 25 0/ 0/ 0 WF/WB B 362N400 11/03 $63.8K 111111111111 001 4/07A $0 111111111 C HOME EQUITY LOAN 4/05C $0 ACCT CLSD BY CONSUMER 21 0/ 0/ 0 CHASE MORT B 722T001 3/05 $300K 360M 111111111111 MO1 3/07A $0 11111111111 C CONVENTIONAL REAL 3/07C $0 CLOSED 23 0/ 0/ 0 FIRSTHORIZON F 418E003 7/05 $322K 360M1858 11111X1 MOl 6/06A $0 C CONVENTIONAL REAL 6/06C $0 CLOSED 7 0/ 0/ 0 SOUTHTRU IL B 446A001 10/03 $63.8K 111111111111 001 4/05A $75.0K $0 111111 I HOME EQUITY LOAN 4/05C $0 ACCT CLSD BY CONSUMER 18 0/ 0/ 0 BK OF AMER B 427S002 3/03 $280K 360M2382 111111111111 MOl 3/05A $0 1111111111 C CONVENTIONAL REAL 3/05C $0 CLOSED 22 0/ 0/ 0 BMW FIN SVC A 82WT002 6/03 $44.5K 36M617 111111111111 I01 8/04A 1 S AUTO LEASE 13 0/ 0/ 0 I N Q U I R I E S DATE SUBCODE SUBNAME TYPE AMOUNT 6/11/14 ZNP6284423(FLA) MERIT CREDIT 6/11/14 ZNP6284423 (FLA) MERIT CREDIT 3/14/14 FMK4594536(WIS) FIN INST LEN 3/12/14 FGB0005202 (WIS) MARINE CR UN 3/12/14 FLA2211138 (CAL) GATEWAY ONE 3/12/14 FMK4594536 (WIS) FIN INST LEN 10/12/13 ALA9573118 (CAL) PROGRAMKARS. 10/12/13 BCH0000274 (CHI) BMO HARRIS B 10/12/13 BCI1780815 (DAY) FIFTH THIRD 8/28/12 FMK4594536 (WIS) FIN INST LEN 8/28/12 ACH0213067 (CHI) DAHL AUTOMOT 8/24/12 FPC1246539(NTL) COAF 7/16/12 QGB2647817 (WIS) FOX COMM CR 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 SHORELINE CU QZ7221002 (920) 793-4541 3131 MISHICOT RD TWO RIVERS WI. 54241 FOX COMM CU QU612DOO1 (920) 749-3660 3401 E. CLAUMET ST APPLETON WI. 54915 CAP ONE BC1DTV001 (800) 955-7070 POB 30281 SALT LAKE CITY UT. 84130 CHASE BC26QK001 (800) 955-9900 P.O. BOX 15298 WILMINGTON DE. 19850 WI ELECTRIC UE60EN003 (800) 242-9137 333 W EVERETT MILWAUKEE WI. 53201 DISCOVER FIN BC9616003 (800) 347-2683 POB 15316 WILMINGTON DE. 19850 CHASE BM1127001 (800) 848-9136 PO BOX 24696 COLUMBUS OH. 43224 5TH 3RD BK BI9302020 (800) 972-3030 5050 KINGSLEY DR CINCINATTI OH. 45263 NISSAN MOTOR QZ507T073 (800) 777-6116 POB 660366 DALLAS TX. 75266 CAPITAL 1 FA FA1W2K001 (800) 946-0332 CREDIT BUREAU DISP PLANO TX. 75025 CHASE BZ617C042 (800) 848-9136 PO BOX 24696 COLUMBUS OH. 43224 WF/WB BC362N400 (336) 747-8325 PO BOX 3117 WINSTON SALEM NC. 27102 CHASE MORT BM722T001 (614) 422-7001 3415 VISION DR COLUMBUS OH. 43219 FIRSTHORIZON FM418E003 PO BOX 15003 KNOXVILLE TN. 37901 SOUTHTRU IL BZ446A001 PO BOX 3117 WINSTON SALEM NC. 27102 BK OF AMER BM427S002 (800) 451-6362 4161 PIEDMONT PKWY GREENSBORO NC. 27410 BMW FIN SVC AZ82WT002 (800) 578-5000 PO BOX 3608 DUBLIN OH. 43016 FIN INST LEN F 4594536 (414) 647-1500 550 BAY VIEW RD MUKWONAGO WI. 53149 MARINE CR UN F 0005202 (920) 923-7280 661 W. PIONEER RD. FOND DU LAC WI. 54935 GATEWAY ONE F 2211138 (888) 810-8740 160 N RIVERVIEW DR ANAHEIM CA. 92808 PROGRAMKARS. A 9573118 (608) 326-6050 525 S MARQUETTE RD PRAIRIE DU CHI WI. 53821 BMO HARRIS B B 0000274 (000) 000-0000 3800 GOLF RD ROLLING MEADOW IL. 60008 FIFTH THIRD B 1780815 (513) 579-5353 38 FOUNTAIN SQUARE CINCINNATI OH. 45263 DAHL AUTOMOT A 0213067 (608) 779-2886 561 THEATRE RD ONALASKA WI. 54650 COAF F 1246539 (888) 396-2623 3905 N. DALLAS PAR PLANO TX. 75093 FOX COMM CR Q 2647817 (920) 993-9000 3401 E CALUMET APPLETON WI. 54915 END OF TRANSUNION REPORT MERIT CREDIT HAS RETRIEVED THE ABOVE PERSONAL CREDIT REPORT FOR LICENSING PURPOSES AS REQUESTED BY THE BUSINESS OWNER/PROPRIETOR. PUBLIC RECORDS FOR THIS REPORT HAVE BEEN CHECKED AND VERIFIED AT THE COUNTY, STATE AND FEDERAL LEVELS. PUBLIC RECORDS HAVE ALSO BEEN VERIFIED FOR PINELLAS COUNTY. PUBLIC RECORDS LEARNED 0 SOURCES OF INFORMATION: TRANS UNION LLC IRS LIEN SECTION COUNTY COURTHOUSE RECORDS IF YOU HAVE ANY QUESTIONS REGARDING THIS REPORT, PLEASE CONTACT MERIT CREDIT AT: 1-800-371-3348 OR (239) 277-3202. TOT AN 3 k ien r J p To Whom It May Concern, Todd Fabry requested a business report for Lee County Contracting for Creative Contracting Solution LLC. When researching the company on the Wisconsin State Website, it was found that the business has been dissolved since 12/03/2012 (state doc attached). Upon searching in Experian (picture below), the result came back no records found. Since the company has been dissolved for almost two years,there is a chance that Experian got rid of the file. Merit Credit cannot provide a typed report since this is not a new business and we have no way of knowing if there were any public records. I did search on the Wisconsin state website for UCC filings under Fabry and the city of Fremont where company is located and no filings were found(picture below). Please let us know if you need anything else! Thank you Ashley Paulus °114)1/- -- ® l his docuvuntation was ernai l-ed to MOLY L, 9 e @, Lee_ cow on La 123 I I H g 12 . 02-,pm C OO.1 ∎- Sou 'ncA.v e larmi cLus ti ons 23ci -2,11 - 32cY2 • Gs•WWW.ThrOo,l'ir-ri • • P.1„ i:- •. CM, Wisconsin Department of Financial Institutions Sti enothenino-Wisconsin's Financial Future UCC Filing Search No filings returned when all filings were searched for the individual T4895 from the city FREFIOIh . Results from this search reflect filings through 6/19/2014,except for UCC Instantflie filings which are effective upon submission. Help: or(608)266-13915 Search for: CREATTVE CONTRACTING SOLUTIONS LLC Search Records Corporate Records Result of lookup for C077629(at 6/23/2014 10:36 AM) CREATIVE CONTRACTING SOLUTIONS LLC Vital Statistics Entity ID C077629 Registered 08/27/2010 Effective Date Period of Existence PER Status Dissolved Status Date 12/03/2012 Entity Type Domestic United Liability Company Annual Report Limited Liabfity Companies are required to file an Annual Report under s. 183.0120,WI Statutes. Requirements Addresses Registered Agent BRENDA MARIE FABRY Office 9029 RNERVEVV LANE FREMONT,WI 54940 Principal Office 9029 RNERVEW LANE FREMONT,WI 54940 UNITED STATES OF A NERICA Historical Information Annual Reports Year Reel Image Filed By Stored On I 2011 000 0000 1 online I database 1------;- - _ lim cl - GULF COAST NA . (fis, STAPLE, INC . i7dti62-1 ALICf-f.2 C;EiS,TER ROAD 17-CyRT 7r2 '',`:' 172 :;r:13 A 7.71f4r-t7 (23.•?,'p do:17 -17,,3,2C) (239) :439-2556 FAX June 20, 2014 To Whom It May Concern, FLORIDA CUSTOM CARPENTRY, LLC has an open line of credit with Gulf Coast Nail & Staple Inc. Sincerely, 7 < i"----......_. ...... // / ,,----- ,,..........---- Yannick Devic Vice President Gulf Coast Nail& Staple Inc. Certificate of Status I certify from the records of this office that FLORIDA CUSTOM CARPENTRY LLC, is a limited liability company organized under the laws of the State of Florida, filed electronically on June 17, 2014, effective July 01, 2014. The document number of this company is L14000096623. I further certify that said company has paid all fees due this office through December 31, 2014, and its status is active. I further certify that this is an electronically transmitted certificate authorized by section 15.16, Florida Statutes, and authenticated by the code noted below. Authentication Code: 140617085828-400261281384#1 Given under my hand and the Great Seal of the State of Florida at Tallahassee,the Capital, this the Seventeenth day of June,2014 tAiii. .:;. .L.__-_90„ _ _ _ . •. _ .,„... 3.. • ,,ec---' t coo iii V2At 04* /.erg laet rer bexretarp of Oita , `tali uy Eu"`y name Page 1 of 2 5tjc� a' »49F a .z as< y � c ,, r r� x a#2tx. `� s' :°•f � .�`ra*a4 3k. t` � '.' Derail by Entity Name Florida Limited Liability Company FLORIDA CUSTOM CARPENTRY LLC Filing Information Document Number L14000096623 FEI/EIN Number NONE Date Filed 06/1712014 State FL Status ACTIVE Effective Date 07/01/2014 Principal Address 11751 HOLIDAY CONDO DR. FORT MYERS, FL 33908 Mailing Address 11751 HOLIDAY CONDO DR. FORT MYERS, FL 33908 Registered Agent Name &Address FABRY, TODD 11751 HOLIDAY CONDO DR FORT MYERS, FL 33908 Authorized Person(s) Detail Name&Address Title OWNR FABRY,TODD 11751 HOLIDAY CONDO DR. FORT MYERS, FL 33908 Title OWNR FABRY, BRENDA 11751 HOLIDAY CONDO DR. FORT MYERS, FL 33908 Annual Reports No Annual Reports Filed http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail/EntityName/flal-11... 6/18/2014 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 07/28/14 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 poiicy(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 NAME: Premier lesisance Carporaticn,Inc PHONE F„h.(239)542-7101 lark.Nor.(239)542.0693 1326 Cape Coral Pkwy E Ste 1 ADDRESS: Irnt@premierinsurancecorp.com Cape Coral FL 33904 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: d Dominion Insurance COri any 40231 INSURED INSURER B Florida Custom Cary,U C INSURER C: 13180 N,Cleveland Ave,#111 INSURER D: R Mors FL 33903 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. ILLTTRR TYPE OF INSURANCE IIND D INVD POLICY NUMBER IMM/D YD/YYYY1 IMMIpp/YYYYYYI LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 _ A CLAIMS-MADE _X OCCUR DAMAGE F S(Faoccurrence) $5001000 07/21/2)14 07/21/2015 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GE '1.AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY - PRO- JECT I LOC -PRODUCTS-COMP/OP AGG $2,0009000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Fs ambient) ANY AUTO BODILY INJURY(Per person) $ ALL AUTOS OWNED SCHEDULED BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS (Per aratident) _ $ UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE DED I I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y 1 N I ST TI ITF ERA ANY PROPRIETOR/PARTNER/EXECUTIVE❑ N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yyes describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION CauER COUNTY UCENSINGr AFGIVENr SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE �� THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 2800 NCRTtf HORSHCE EVE NAPLES,FL 34104 AUTHORIZED REPRESENTA / ' /r Qri I Fax(239)252-2469 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Report Viewer Page 1 of 1 1 11 100% 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: 7/16/2014 EXPIRATION DATE: 7/17/2016 PERSON: FABRY TODD FEIN: 471123052 BUSINESS NAME AND ADDRESS: FLORIDA CUSTOM CARPENTRY LLC 11751 HOLIDAY CONDO DR. FORT MYERS FL 33908 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 electron 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 tune after the fiing of the notice or the issuance of the certificate,the person named on the notice or certificate no longer meets the requirements of thls section for issuance of a certificate The department shall revoke a certificate at any time for forum of the ryi, 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 https://apps8.fldfs.com/crreportviewer/reportViewer.aspx?data.=kdvpginc9D7Q3 gH6TER6... 7/18/2014 IRS DEPARTMENT OF THE TREASURY INTERNAL REVENUE SERVICE CINCINNATI OH 45999-0023 Date of this notice: 06-17-2014 Employer Identification Number: 47-1123052 Form: SS-4 Number of this notice: CP 575 G FLORIDA CUSTOM CARPENTRY LLC TODD FABRY SOLE MBR 11751 HOLIDAY CONDO DR For assistance you may call us at: FORT MYERS, FL 33908 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 47-1123052. This EIN will identify you, your business accounts, tax returns, and documents, even if you have no employees. Please keep this notice in your permanent records. When filing tax documents, payments, and related correspondence, it is very important that you use your EIN and complete name and address exactly as shown above. Any variation may cause a delay in processing, result in incorrect information in your account, or even cause you to be assigned more than one EIN. If the information is not correct as shown above, please make the correction using the attached tear off stub and return it to us. A limited liability company (LLC) may file Form 8832, Entity Classification Election, and elect to be classified as an association taxable as a corporation. If the LLC is eligible to be treated as a corporation that meets certain tests and it will be electing S corporation status, it must timely file Form 2553, Election by a Small Business Corporation. The LLC will be treated as a corporation as of the effective date of the S corporation election and does not need to file Form 8832. To obtain tax forms and publications, including those referenced in this notice, visit our Web site at www.irs.gov. If you do not have access to the Internet, call 1-800-829-3676 (TTY/TDD 1-800-829-4059) or visit your local IRS office. IMPORTANT REMINDERS: * Keep a copy of this notice in your permanent records. This notice is issued only one time and the IRS will not be able to generate a duplicate copy for you. You may give a copy of this document to anyone asking for proof of your EIN. * Use this EIN and your name exactly as they appear at the top of this notice on all your federal tax forms. * Refer to this EIN on your tax-related correspondence and documents. If you have questions about your EIN, you can call us at the phone number or write to us at the address shown at the top of this notice. If you write, please tear off the stub at the bottom of this notice and send it along with your letter. If you do not need to write us, do not complete and return the stub. Your name control associated with this EIN is FLOR. You will need to provide this information, along with your EIN, if you file your returns electronically. Thank you for your cooperation. GMD Operations & Regulatory Management Department Licensing Section 2800 N.Horseshoe Drive Naples,FL 34104 Applicant's Name: / Lr de rct to(-17 Certificate Category Requested: / f "7 : S 11 /,tr^ � , 'f'y 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: � y ,p Name: /7",..."—e-/- `1 L,=( , 6 J Title: S v .c;"-'Li : .L s',— License Number(if applicable): �.s�C�/5 J ,fi'? Name of Business:f! „Qa .S (. ' c;,..� f/ r Business Address: 7 ` l.z y`'..��,� /tJ` (r_ S ) I Business Phone: A 3Y t.�L,--3)C"'The Applliicant's years of experience from ,Ai'?... to !P =s - : z �T' The applicant's scope of work(specific duties)included: / . . ``7 e._,= Ff « t� l /2 . ' S f .� c s S Cr�..f c '/ (=-1 —L.--k / Additional Comments: -r- 11�-v-,.,;_-, tom..-t ;; 2-...,rL ) A-, 7'4 c�- /i $ f" i ''��' I J S e ct•--j • / e. 2 1.-- ....S- ,, ,.l- i L YL 4 FtIsifying �1 any information provided herein may subject your license to revocation. ,---,:---,_ ,..1, Signature t� Print Name: / % 1, /7 a ezr .; State of Florida County of Collier The foregoing instrumcnt was acknowledged before me on this Pr day of (�tu- by k f.4 i0 t' & who is personally known to me or produced as identition tc and who did not take an oath. ,_.4:r fILCOL)A1E (1 .`r---'% .-: (it'Sian of;\lotarvii _ _-�._ _ on' BARBARA LYKOS • r' MotuY Public-Slate of Florida •g My Comm.Expires May 30.2017 ;'�oF ra Commission#F EE 872425 i '•i,,,,.ti•' Bonded Through National Notary Assn dir 'Er ♦-In, ���� I - — 8 VERIFICATION OF CONSTRUCTION EXPERIENCE ' GMD Operations & Regulatory Management Department Licensing Section 2800 N.Horseshoe Drive Naples,FL 34104 Applicant's Name: Glr( it j Certificate Category Requested: /--,. 7- s ti •'•- d.,--,'_J_ The Applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As p art 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: // /E.4-A..-- 1 �e.F-li-v/ Title: ‘47'6%)....7Z./"-- License Number(if applicable): G%'E7C.' ,1 y G_:.?_ Name of Business: / i " .'';,-✓ 22.er1 �:�� Business Address: / 71 ,f,(.1 t:57,7',/-74,7..fr %S7 c:,j _2e y,-2 ,•�i1yZ,f , . 7,7 7,'7 / Business Phone;,.231-/ —///,2.-- The Applicant's years of experience from 7/2 00 47,' to S",2oro The applicant's scope of work (specific duties)included: i/i,-‘.//_s 4 6:-;:1-,-7.72.....64-7 J Additional Comments: Falsifying any information provided herein may subject your license to ,� Signature Print Name: ,mot State of Florida County of Collier The pgoing instrument was acknavledged before me on this ell day of ,u4c2c7 2-PC4 by /C r,-(44'�t6 .P &-1,_.15 who is personally known to me or produced as identification and who did not take an oath. , / i■1E__=�� Sig .ture of Notary r,'-s -; JOSE' MU \i• No a■Y -_ " -State of Florida �l+u :s` -f My oily x;. 27,2018 :N"'° JOSEPH BAVITT .%:,for, c .o. Co-ssior a - •"� . Notar P 7 °F°` Y ubiic•State of 77°2r13166 My Comm.Expires Dec 27,2016 -4;;;;;:00'' Commission#EE 861132 1I • N i ! 1 •' i i 0►'i • •• GMD Operations & Regulatory Management Department Licensing Section 2800 N.Horseshoe Drive Naples,FL 34104 Applicant's Name: `DO t"'H-10,r1,/ Certificate Category Requested: l 'i Al' In. COU' p e,K-fer 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 xerif}'ing Applicants relevant experience: Name: 3-6CC (1VM►ikq Title: 7a tt'c J License Number(if applicable): G '0 +4 3Z l Name of Business: P..1 Le C-cc?AArRe4irtlL Business Address: 9R(o( Qua(. L) 7)01,,,,' ,4 Sir,vt.cs L 34t3&- Business Phone: Z 341-9'4 7 42s The Applicant's years of experience from 1 to to Z4( mot' The a licant's scope of work(specific duties)included: �� L(. � (� { - ►sln e Ant) Qa(otne (4 Additional Comments: 1 0044 ketch it To )) ^cnr 5 4- Y</ecu-5/ (A2 e e5 Wart< . Falsifying any information provided herein may subject your license to revocation. �\ Signature � Print Name: (GC C tjit n ja State of Florida County of Collier The foregoing instrument was acknowledged before me on this ifeff! day of ( 2 014 by, who is personally knows to me or prod ced as identification and who did not take an oath. 78-- I( 1 i Signature of Notary V°�fly_' Notary Public State of Florida a,'!�`_/'� Rita L weaver it My Commission FF 008238 a Expires 08/04/2017 8 AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER I, 4 .'-j 1 Rd , am a resident of �° e c County, 1 „fr.-7k:-f^j eyes-- (State) and have resided here for more than five (5) years. During the last five years I have known ,,%..� c p Gt !"`mot-h .."-4 (Applicant). I have had the opportunity to observe his or her business and personal dealings anyfind him or her to be a person of honesty, integrity and good character. (Signature) ���� • (Name) �Ysr 6 Ai /22rirt r} (Address) ...21-1i/5 ._g, . l y-i.) :77,-re. 3 33 7 Telephone) ?S).— Si'.{.° 3 G.S y STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this t . 1 , ac�4 by - - i- �'4\I 1 • 141'15 who has produced .. ) , (na person acknowledging) a of identification) dentification) as identification and who did not take an oath. '. ,a, Tt+ S - - RE Or'NUT Y NOTARY'S SEAL (PTITNT NAME OF N B ' Y) NOTARY PUBLIC :'"•a BARBARA LYKOS ' 1t& Notary Public-State of Florida My Comm.Expires May 30.2017 ..-'=,--- F1:= Commission M EE 872425 "d`� Bonded Through National Notary Assn. 10 AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER I, .` `' f-'.( i �6cf-/ am a resident of /r Z_ County, ,,--"T/e -; e - (State) and have resided here for more than five (5) years. During the last five years I have known / G /r.f .(.1.j,---Lt I have had the opportunity to observe his or her business and personal dealings ad find him or her to be a person of honesty, integrity and good character. ,---, / (Signature) -' (Name) i3.e/ix.. -/f ).<<-/. j (Address)/?C, fib fL,- ,1->'j//7,,;:?,27��/ .:2c7 it4 1-t- - 3..//eJ Telephone) -.9f! -y. 3.-///./Z STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this C8 -4--- °.°Cc{ by �' / (Date) `vC4&o 4 DUQ-u'lc who has produced 5G 1...4--- tsf Kid 5c---)fL) (name of person acknowledging) (Type of identification) as identification and who did not take an oath. Ir. / -441111 Mr' Of SIGNATURE OF NOTARY NOTARY'S SEAL (PRINT NAME OF NOTARY) NOTARY PUBLIC V.�irllri_+A I / a o JOSEPH GAVRT "%t,75:;-,77'+ - NOWY Public-Stet of Florida " a i My Comm.Expkes Dec 27,2018 , Commission 0 EE 861132 9 AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER I, i P C'Zv0AnA)y , am a resident of LEE County, Res; A- (State) and have resided here for more than five (5)years. During the last five years I have known 'TON) Fotaor/ (Applicant). I have had the opportunity to observe his or her business and personal dealings and find him or her to be a person of honesty, integrity and good character. (Signature) c_aS (Name) vN1JW1)( (Address) t63oo P% 41,,e 4) Lrr X(0 Vii-. Ayers Ft. 339v3 Telephone) 7,59 - ?7 D•Z4 aJff STATE OF FLORIDA COUNTY OF M--^ ! instrument was acknowledged before me this fl.,- -i.:',1'i'_ < ;1 - , by f._. The foregoing iy ti t - ,:_;>,-,,,,,,,,. i (Date) °,> i ¢ '� • {1' F i k.-=^ who has produced (name of person acknowledging) ,(Type..of identification) as identification and who did not take an oath. t r -. ,,,,,.);,/,f ) �, .,fix .c.. ,.. ,, gragguRE Ur'NOTARY t , . EAL (PRINT NAME OF NOTARY) ` Rita ,, NOTARY PUBLIC of ExAuas 8/04/n FF 008238 ��n011 • 10 Lee County Tax Collector Tax Co . for 2480 Thompson Street Fort Myers, Florida 33901 sloteoffl ‘a'' www.leetc.com Tel: 239.533.6000 Local Business Tax Account: 1404177 Dear Business Owner: Your 2014-2015 Lee County Local Business Tax Receipt is attached below. The receipt is non- regulatory and is issued using the information currently on file with our office. It does not signify compliance with zoning, health or other regulatory requirements nor is it an endorsement of work quality. Annual account renewal notices are mailed in August to the address of record at that time; to ensure delivery of your annual notice, mailing addresses may be updated online at www.leetc.com. If there is a change in the business name, ownership, physical location or if the business is being closed, please follow the instructions on the back of this letter to transfer or to close the account. I hope you have a successful year. 4rD. Lee County Tax Collector Detach and display bottom portion and keep upper portion for your records CoN, LEE COUNTY LOCAL BUSINESS TAX RECEIPT 2014 - 2015 Tax Co ;, tor _ --- - - -- __ -- ------- tit ACCOUNT NUMBER: 1404177 ACCOUNT EXPIRES SEPTEMBER 30, 2015 state Rat\bitt May engage in the business of. FINISHED CARPENTRY Location 13180 N CLEVELAND AVE STE 111 N FT MYERS FL 33903 THIS LOCAL BUSINESS TAX RECEIPT IS NON REGULATORY FLORIDA CUSTOM CARPENTRY LLC FABRY TODD R THIS IS NOT A BILL-DO NOT PAY 11751 HOLIDAY CONDO DR FT MYERS FL 33908 PAID 359379-3-1 07/25/14 09:23:54 JXK1 $50.00 Lee County Tax Collector Tax Cola:, for 2480 Thompson Street Fort Myers, Florida 33901 4 °f °�a� www.leetc.com Tel: 239.533.6000 °le Local Business Tax Account: 1404177 Dear Business Owner: Your 2013-2014 Lee County Local Business Tax Receipt is attached below. The receipt is non- regulatory and is issued using the information currently on file with our office. It does not signify compliance with zoning, health or other regulatory requirements nor is it an endorsement of work quality. Annual account renewal notices are mailed in August to the address of record at that time; to ensure delivery of your annual notice, mailing addresses may be updated online at www.leetc.com. If there is a change in the business name, ownership, physical location or if the business is being closed, please follow the instructions on the back of this letter to transfer or to close the account. I hope you have a successful year. Lee County Tax Collector Detach and display bottom portion and keep upper portion for your records vesC44/46. LEE COUNTY LOCAL BUSINESS TAX RECEIPT 2013 - 2014 Tax Co Ator ACCOUNT NUMBER: 1404177 ACCOUNT EXPIRES SEPTEMBER 30, 2014 4.41e of Oeie May engage in the business of: FINISHED CARPENTRY Location 13180 N CLEVELAND AVE STE 111 N FT MYERS FL 33903 THIS LOCAL BUSINESS TAX RECEIPT IS NON REGULATORY FLORIDA CUSTOM CARPENTRY LLC FABRY TODD R THIS IS NOT A BILL-DO NOT PAY 11751 HOLIDAY CONDO DR FT MYERS FL 33908 PAID 359379-3-1 07/25/14 09:23:54 JXK1 $12.50 ;E COUNTY LEE COUNTY WEST FLORIDA Lee County, Florida SOUTHWEST FLORIDA Division of Development Services Certificate of Use 07/23/2014 PERMIT NUMBER: USE2014-00529 :ant Name: BRENDA FABRY ess Location: 13180 N CLEVELAND AVE 111 NORTH FORT MYERS 33903 Bess Name: FLORIDA CUSTOM CARPENTRY LLC •iption: Carpentry Contractor 11-44-24-00-00017.4A7A ig: iformity with section 106.1 Standard Building Code, authorization to ►y is granted as noted herein. BUILDING OFFICIAL 3 CERTIFICATE MUST BE POSTED IN YOUR OFFICE ALONG WITH YOUR BUSINESS TAX :EIPT • fprmtcocc.rpt . . . , 141 nri d .., ri" , OR • LtC.a-Z-:- *34,.SSE At. 1-VI NOWAY CONDO OR LOT t 'FORT , 1 ' r . MORSE SAFE ERNES Akel;Azat:YCLE ALSO .. , 3 , MCM Tile and Marble Inc July 31, 2014 Board of County Commissioners Collier County License Office 3299 Tamiami Trail E Naples, FL 34112 To whom it may concern: I would like to transfer my license from my previous company,MCM Tile&Marble Inc, to my current business,Advanced Flooring of SW FL Inc. I have closed down the company MCM Tile&Marble Inc due to a worker's compensation audit that was filed erroneously and we are currently in the process of appeal,which has caused the outstanding debt to go into collections. I am currently working with the worker's comp insurance office to correct the audit, and adjust the balance due. Sincerely, Marius Pughiuc President 15579 Marcello Circle, Naples, FL 34110 Telephone: (239) 645-1606 Page 1 li)C C .‘>(3-3 17 ,...fo_......00....,_ ____.... ___11*-r ....014:74.t.yr 111%5Sv. 3 . nal ES Operations & Regulatory Management f14 Licensing Section i t < ` 2800 No& h Horseshoe Drive " 0...,'7-3 ,,J4 w Naples, FL 34104 03- 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 • /_r, Vii /`/(.`t L f (( (,:/L-1 i i')C3 ill `_)s-)(1-, e / ti c Fiction Name/DBA: / ` Qualifier Name: t t .1_ > �J, k r•ii i f ,s--1 Physical Address: .) _--' / ! N C. e _ (- -/t , fc,;Gt,(,_ -, -.'z --_,/f.,'f c-,,- ' (Number 85 Street) (City) (State) (Zip Code) Mailing Address: __:+. k_ Q_ (Number 8s Street) (City) (State) (Zip Code) Telephone .�` i — t s k� (L> E-Mail: .t(4 ULl a. ( , ‘4..,.-f C�.t;A-�� t., ' e_ �1 TYPE OF LICENSE: ❑ General $230.00 ❑ Electrician $230.00 ❑ Building $230.00 ❑ Plumber $230.00 ❑ Residential $230.00 ❑ Air Cond. $230.00 ❑ Mechanical $230.00 ❑ wimming Pool $230.00 ❑ Roofing $230.00 -1-- Specialty $205.00 Specialty trade: I r , ,/t i`;_ c i--7f_ - CHANGE OF STATUS: ,'�vr": µ,. „ l '^, r i){' _J' ( ) Reinstatement (i) From One Business to Another ( ) Dormant License to Active Page 1 of 4 ( H4-P r S rim / v / rke foc-f-1 fri7 el"- �' .//G& v. do rz e itif e a urd i a S c)0 Q ,J,kiiier __ 7,79-J-.//1 - iol ....f . , . STATE OF FLORIDA COUNTY OF CO t1' CO ] �_`' The foregoing trument was,,cknowied ed before me this __ day c1 of • 1 ,by _c).(‘u_5 fir,■V,4' (name of Parson ng'• s r )' 0. '� A°`'�::; SAMANTHA LYNN ROE j (Sig re v ...■Y Public-State of Florida) * - , * MY COMMISSION f EE 875239 ^ u EXPIRES:February 1 i,2017 ('�MCl� � �. }�, aFa�,. Bonded Thru Budget Nagy S=.rvices (Print,Type,or Stamp Commissioned Name of Notary P ) Personally Known OR P � 1 Type of identification Produced � Ilk NaggV3111 1 JUL 2 2 2014 BY ...... ................ QUALIFIER INFORMATION: ;j Name: 1/#1-/�_U ` -L.4Q 'I hy6 sQc/ e. 1-94Pici Ctereki C Address: AN .r - . C .1""' . t (. 3 0 3 / (Number& Street) (City) (State) (Zip Code) Telephone:, JYt g -- (14( Date of Birth: 0. '/?,/ S.S. #: 000-00- '` _ E-Mail: 61,4 ,\ t V cL 00,4kcasi. (ye • Driver's License:? 1. Type of Certificate of C ompetency for which application is made. ate 2. The names and telephone numbers of two persons who will know your whereabouts. _r• C ep c €' � - (-4 9 7 0 7— Cc D 5 i/opE- L - as? fc/lc,..2 3. Have you ever been convicted of a crime related to Contracting? 00V/4 "* (If yes attach extra sheet with explanation) 7. Have you or any firms you have been associated with ever filed bankruptcy? .t ' /)/( 8. List all debts you or any company(s)associated with you refused or failed to pay and reasons why. S. List your business or work experience during the past ten years. 11e. ♦ s /2,,'r P P `- ' Ccc1i • T( / /)7 ?/Qt? r 10. Statement of any formal training you have had in the area for which the application is made. Page 3 of 4 1. The names, titles, home address and phone numbers of all Officers/Managing Members of the Firm. f"v1 -R ((A, S Rvit) C t)- `) - 61(5-1 6 15 57 o /j C 1\14p6 es —fz- Lf (fC: 2. List all businesses, firms, entities or contracting businesses you have been associated with during the last ten years (ex. Held a license for or been a partner). Attach extra pages if needed. (i'o,1 TO(-.71 /uC 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. c3-u rte a au P_ a c, 74)Pee_tacci r e 0- 01\ tt vor-c e Lvock AFFIDAVIT l T1-►2-r U S ?Urn {(U`-certify that the foregoing is true and corn_ o the best of my knowledge. t i.rized Officer of the Firm STATE OF FLORIDA COUNTY OFC'�C/ c,• The foregoing instrument as acknowledged before me this (Date) By e 5 (�� r7 ; L of 4,>1/4•,./ :7._oo.�i lC v (Name of officer, title/agent) (Name of Corporation) a . Corporation on behalf of the corporation. (State or Place of Corporation) He/She has produced identification and did not take an oath. (Type of identification) 011111111/„4 NOTARY'S SEAL \��� 0 ...O. I/ �� ice;•• \SSIOryF �4' ice • O �perl8 A�: tom_ •N• *_ (SIGNATURE OF NOTARY) _* ; 00.•41/0 • #FF 030924 ;o i > �1IC ST A "0*` i!'d1tll}i!!o•44".. • , AFFIDAVIT The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County Ordinance No. 2006-46, as amended, and vouches for the truth and accuracy of all statements and answers herein contained The undersigned hereby certifies that he is legally qualified to act on behalf of the business organization sought to be licensed in all matters connected with its contracting business and that he has full authority to supervise construction undertaken by himself or such business or organization and that he will continue during this registration to be able to so bind said business organization. The qualified license holder understands that in all contracting matters, he will be held strictly accountable for any and all activities involving his license. Any willful falsification of any information contained herein is grounds for disqualification. APPLICANT(PLEASE PRINT) NAME OF COMP' "Y / i ` SIGNA' U' ',OF APPLICANT STATE OF FLORIDA COUNTY OF L/r----C-.1 ' The foregoing instrument as acknowledged before me this % • .�', (Date) By � �'� a .i ' who has produced =z_,, (Name of person acknowledging) (Type of identification) 1111111N as identification and did not /k#,,�� .$) Aer 16,_2 A•N•% ,. • sip Z It • Q j .-K — m NOTARY'S SEALS • u) dw•4. •�= I; . tO X924 0" l),Q le 0'•N 8ondeo�` 0•'<c�t �" l' :ttyPutvc,' ••(:;‹�� (SIGNATURE OF NOTARY) Page 4 of 4 AFFIDAVIT IT IS understood and acknowledged by the Collier County Contractors' Licensing Board and myself that if I fail to acquire, or maintain at all times effective Workmen's Compensation Insurance it will result in the possible revocation of my Certificate of Competency. 7 SIGN.V1 •E OF APPLICANT c ar,S irlC . BUSINESS NAME .7 /,,,) //// DATE BEFORE ME this day personally appeaxed ,a-,►=.� �G'�,.�1� who affirms and says that he has less than one employee and does not requii-e Workmen's Compensation understands that at any time he employees one or more persons he must obtain said Workmen's Compensation Insurance. STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged bofore me this -4.77/1 (Date) by try^ -- �= c- who has produced ,> (name of person acknowledging) (Type of identification) 3s identifientinn nnri who did not take an oath. 00111110/0/// r`''y//''� SIGNATURE OF NOTARY � O -oer is Aip y za. ova _t- `n * 1=�' —'(C NOTARY'S SEMI* : • #FF 030924 '�= (PRINT NAME OF NOTARY PUBLIC) •�'' NOTARY PUBLIC '3.te aondeO c"` ,,Q� ,,, UC,SS Nf10 ////lll tl!!11{111�1� 4 AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER I, tUhtlE , am a resident of County, NA+Les 'J:91c! A (State) and have resided here for more than five (5)years. During the last five years I have known AittiJUS POG—titV • applic- I have had the opportunity to observe his or her business and personal dealings and find him or her .e a p• .on of honesty, integrity and good character. (Signature) �t►�1��+�,►� (Name) " E L_•J> Y ( -. (Address) 1,401 . N )( l LPG- 12-IS 14-hz5 1 fit. • 314409 Telephone) `44- ' (g `3 STATE OF FLORIDA COUNTY OF _(( The foregoing instrument was acknowledged before me this`-'U V-( 7-4)1 by OLIAILi G% L J &t IL who has produced Date) U ii (name of person acknowledging) (Type of ide J c ation) as identification and who did not take an oath. '� l OtipRY PV� Notary Public State of Fiona i/ j // ` Olga J Zapparolli oQ My Commission EE062427 Fir.' ,f i • Or 2 . 'Y r"oi r�or Expires 04/12/2015 ✓ {yf NOTARY'S SEAL (PRINT NAME OF NOTARY) NOTARY PUBLIC 9 let v*0" "110•Ait eV.). gikVot 0*V" orikike" 0 Br II sr r ♦ b VA ! � 1t ♦ * ► t4 + y � vo 4,Q:1#ib I .4► >• i � ► a ► t OA A PfAtk : 40 A-+- 0 `+� 40 # blo .0 ,„ )17,yo -4 iOAS < 0 o �A �1 .- EI4 R . ; tl ' o 4, cn ': 0 'VJ ."4 0 "1. Tri (18 -..clor2 -04 b■y o a4 rg‘ #A.7,4 str ,._ , a 0 CA i 02 ,,c,.) ri . I! II, -4E.5 1) 1-e)c/I N j D 0 ,E, • t -c 0 t to st . „, cg tkv Pe "4 0I 1I�t�lf6 .4 7 s cd '2 #A.4r4: fl ' fir'i 1. 0 ,sz, u 3 2.4 uvi.stIr iitir-4_ *°: ,_s 4- 4 Cil w 00114Pi(k ,141 ( .4 . T7:J 0 sc+,-)t -4 t4: very,'14 0 4 >at 0 a) °g A '' N r^ y ) ltvi It Is .4 0 ci);..4 / t - on u O a a) U t •0 Oil S t .,. cn g -4-) ..- g /4 V 0 414 0.1 "IIIIE tr-44 T'd 7' X) ..+5, ,,, OkilkW: 11.474 .,N ' y 0 ♦♦sit Al 4Z b,VPY 6 .,, w +.„ . _.0 „...., 14 yo ;we -4.1.... t _2_ -.°:., `8, 4 .; 3 .T iq-c 5 •41111(4111• 0 ,g .N. Pe A bk • . :a4 '4 .'-' cn .g A 471" s, /-1.IF 0 blo '4 `. .[► ..0b 0► 1 ♦ r► __,, Vr. 414 .4 tArikolt al {014J %Wi`ii,► rtrA•y Ito`�i0y {• ; ►.rAto b COLLIER COUNTY GOVERNMENT COMMUNITY DEVELOPMENT AND ENVIRONMENTAL SERVICES DIVISION 2800 N.Horseshoe Dr. • Naples.Florida 34104 • 239-403-2400 • FAX 239-403-2334 1.ZIA MEMORANDUM DATE: November 29,2007 TO: Applicant's FROM: Michael Ossorio,Contractor Licensing Supervisor. CC: Robert Dunn, Collier County Building Director. Alamar Finnegan, Collier County Permitting Supervisor. Robert Zachary, County Attorneys Office. All Contractor Licensing personnel. SUBJECT: Collection of social security numbers. Pursuant to Chapter 119, Florida Statues and Collier County Contractor Licensing Ordinance 2006-46 Sec. 2.1.1, all applicants are required to submit their social security number(SSN)for the following purposes: a) Assess applicant's ability to satisfy creditors by reviewing their credit history. b) Verification of applicant's test scores and information. Our office will only use your SSN noted above for those reasons pursuant to Chapter 119,Florida Statues and as may otherwise be authorized by law. We are fully committed to safe-guarding and protecting your SSN and once collected,will be maintained as 9 confidential and exempt under Chapter 119, 886 110th Ave. N.Suite#6,Naples,FL 34108 Phone:239.777.1028 Fax: 877.275.3593 www.LicensesEtc.com PERSONAL CREDIT REPORT(Compiled From National Records) <FOR> <SUB NAME> <MKT SUB> <INFILE> <DATE> <TIME> (I) P NP7771028 LICENSES ETC 16 NP 1/04 07/21/14 14: 54CT <SUBJECT> <SSN> <BIRTH DATE> PUGHIUC, MARIUS - <CURRENT ADDRESS> <DATE RPTD> 15579 MARCELLO CI . , NAPLES FL. 34110 10/13 <FORMER ADDRESS> 17373 FUCHSIA RD. , FORT MYERS FL. 33967 2/05 7905 OAK ST. , TAYLOR MI . 48180 <POSITION> <CURRENT EMPLOYER AND ADDRESS> <VERF> <RPTD> MCM TILE & MARBLE 5/08 4/08 <FORMER EMPLOYER AND ADDRESS> TILE & MARBLE SUPERVISOR 9/07 9/07 M O D E L P R O F I L E ***FICO CLASSIC 08 SCORE +630 : SERIOUS DELINQUENCY; TOO FEW ACCOUNTS ***CURRENTLY PAID AS AGREED; PROPORTION OF LOAN BALANCES TO LOAN AMOUNTS IS ***TOO HIGH; NUMBER OF ACCOUNTS WITH DELINQUENCY *** 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 PUBLIC RECORDS HAVE BEEN SEARCHED AT THE COUNTY,STATE AND FEDERAL LEVELS PR=0 COL=0 NEG=4 HSTNEG=4-93 TRD=21 RVL=12 INST=3 MTG=6 OPN=0 INQ=2 HIGH CRED CRED LIM BALANCE PAST DUE MNTHLY PAY AVAILABLE REVOLVING: $1099 $1150 $319 $0 $60 72% CLOSED W/BAL: $39.4K $39.4K $ TOTALS: $1099 $1150 $39.8K $39.4K $60 T R A D E S SUBNAME SUBCODE OPENED HIGHCRED TERMS MAXDELQ PAYPAT 1-12 MOP ACCOUNT# VERFIED CREDLIM PASTDUE AMT-MOP PAYPAT 13-24 ECOA COLLATRL/LOANTYPE CLSD/PD BALANCE REMARKS MO 30/60/90 BK OF AMER B 7/07 $27.2K 12M M09 6/14A $39.4K I CONVENTIONAL REAL 4/11F $39.4K UNPAID BLNC CHRGD OFF CITI B 64DB002 8/05 $10.8K R9P 1/14A $9880 $0 I FLEXIBLE SPENDING 6/12F $0 SETTLED < FULL BLNC BK OF AMER B 427S002 3/07 $236K 360M 5/09 555555555555 M05 10/13A $0 $5832 05 555555555555 I FRD423747843 1001 10/13C $0 FORECLOSURE,CLTRL SLD 48 0/ 0/48 Page 1 of 3 BK OF AMER B 4275002 7/07 $218K 360M 5/09 555555555555 M05 4/11A $0 $4820 05 555555555554 I CONVENTIONAL REAL 4/11C $0 FORECLOSURE,CLTRL SLD 44 1/ 1/24 CREDITONEBNK B 54MR013 6/13 $531 MIN25 111111111111 RO1 7/14A $650 $0 I CREDIT CARD $37 12 0/ 0/ 0 5/3 BANK CC B 21AV061 4/13 $568 MIN35 111111111111 RO1 6/14A $500 $0 11 I CREDIT CARD $282 14 0/ 0/ 0 TOYOTA MTR Q 4176318 4/08 $44 .5K 72M752 112121111111 I01 3/14A $0 112111111111 I AUTOMOBILE 3/14C $0 CLOSED 48 3/ 0/ 0 5/3 BANK CC B 21AV061 10/07 $0 111111111111 RO1 11/13A $7000 $0 111111111111 I CREDIT CARD 12/07C $0 ACCT CLSD BY CONSUMER 48 0/ 0/ 0 CHASE B 26QK001 12/03 $2997 111111111111 RO1 11/13A $3000 $0 111111111111 I CREDIT CARD 11/06C $0 ACCT CLSD BY CONSUMER 48 0/ 0/ 0 BK OF AMER B 6331059 3/05 $2937 XXXXXXXXX1XX RO1 7/11A $500 $0 XXXXXXXX1111 I CREDIT CARD 3/11C $0 CLOSD BY CRDT GRANTOR 48 0/ 0/ 0 BK OF AMER B 4275002 3/07 $29. 6K 300M243 5/09 555555555555 MO1 6/10A $0 $974 05 543211111111 I CONVENTIONAL REAL 6/10C $0 TRNSFRD: OTHER LENDER 37 1/ 1/14 SUNTRUST BK B 423A027 1/06 $12.8K 48M315 111111111111 I01 1/10A $0 111111111111 S BUSINESS 1/1OC $0 CLOSED 48 0/ 0/ 0 BK OF AMER B 6331059 5/06 $90 11 ROl 5/09A $7500 $0 I CREDIT CARD 1/09C $0 ACCT CLSD BY CONSUMER 35 0/ 0/ 0 TD AUTO FIN F 624C139 7/04 $13. 5K 60M XX1111111111 I01 2/09A $0 111111111111 I AUTOMOBILE 2/09C $0 CLOSED 48 0/ 0/ 0 BK OF AMER B 6331213 11/05 $60.3K 111111111111 CO1 4/07A $75.0K $0 1111 I HOME EQUITY LOAN 3/07C $0 ACCT CLSD BY CONSUMER 16 0/ 0/ 0 SPS F 1SRM001 1/05 $187K 360M1744 111111111111 MO1 4/07A $0 XXXXX1111 I CONVENTIONAL REAL 4/07C $0 CLOSED 21 0/ 0/ 0 CHASE B 701N134 7/05 $0 111111111111 RO1 12/06A $1000 $0 1111 I CREDIT CARD 11/06C $0 ACCT CLSD BY CONSUMER 16 0/ 0/ 0 CHASE B 701N134 6/04 $844 111111111111 ROl Page 2 of 3 11/06A $1800 $0 111111111111 • I CREDIT CARD 11/06C $0 ACCT CLSD BY CONSUMER 28 0/ 0/ 0 FST PREMIER B 41PF016 8/04 $251 111111111111 RO1 2/06A $300 $0 111111 I CREDIT CARD 10/05C $0 ACCT CLSD BY CONSUMER 18 0/ 0/ 0 CHASE B 26QK004 10/04 $394 111111111111 RO1 11/05A $400 $0 I CREDIT CARD 8/05C $0 ACCT CLSD BY CONSUMER 12 0/ 0/ 0 MASTER FIN F 1TTR001 1/05 $187K 360M1351 1 MO1 5/05A $0 I CONVENTIONAL REAL 5/05C $0 TRNSFRD: OTHER LENDER 1 0/ 0/ 0 I N Q U I R I E S DATE SUBCODE SUBNAME TYPE AMOUNT 7/21/14 PNP7771028 (FLA) LICENSES ETC 4/08/13 ACH0210186 (CHI) LEXUS OF NAP END OF REPORT Page 3 of 3 886 110th Ave.N.Suite#6,Naples,FL 34108 Phone:239.777.1028 Fax: 877.275.3593 www.LicensesEtc.com BUSINESS CREDIT REPORT as of: 07/22/14 13:03 ET MCM TILE & MARBLE, INC. Fed Tax ID#20-4107612 Address: 15579 Marcello Cir Business Type: Corporation Naples, FL 34110-2836 Experian File United States January 2006 Established: Phone: 239-6454606 Experian Years on File: 8 Years Years in Business: More than 8 Years Experian BIN: 987937896 Also is (or has been) operating as: MCM Tile & Marble, Inc Heritage Flooring Of SW Florida MCM Tile &Marble, Inc Family Linkage: Ultimate MCM Tile & Marble Inc Parent 15579 Marcello Cir Naples, FL Branches/ MCM Tile & Marble Inc Alternative 17373 Fuchsia Rd Locations Fort Myers, FL United States Page 1 of 2 Public Records PUBLIC RECORDS HAVE BEEN SEARCHED AT THE COUNTY, STATE AND FEDERAL LEVELS. ✓Bankruptcies: 0 ✓Liens: 0 ✓Judgments Filed: 0 V Collections: 1 Collection Filings ea_cks4S 4e Date I Agency ',Agency Phone Status Closed Amt Amt Comments Date Disputed Collected 03/14 Revenue Open 800-467-4064 $6,825 $0 Systems Inc Account Collections Summary Ba4k t4 t4R Status Number of Items Amt Disputed Amt Collected Open Account 1 $6,825 $0 END OF REPORT Page 2 of 2 Electronic Articles of Incorporation p.111180049084 For June 04,_2014 Sec. Of State mdickey ADVANCED FLOORING OF SW FL, 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: ADVANCED FLOORING OF SW FL, INC. Article II • The principal place of business address: 15579 MARCELLO CIRCLE NAPLES, FL. 34110 The mailing address of the corporation is: 15579 MARCELLO CIRCLE NAPLES, FL. 34110 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: MARIUS PUGHIUC 15579 MARCELLO CIRCLE NAPLES, FL. 34110 I certify that I am familiar with and accept the responsibilities of registered agent. Registered Agent Signature: MARIUS PUGHIUC FILE 0049084 June 04,_2014 Article VI Sec. Of Mate mdickey The name and address of the incorporator is: MARIUS PUGHIUC 15579 MARCELLO CIRCLE NAPLES, FL 34110 Electronic Signature of Incorporator: MARIUS PUGHIUC I am the incorporator submitting these Articles of Incorporation and affirm that the foc acts stated herein are true. I am aware that false information submitted in a document to the Department third degree felony as provided for in s.817.155, F.S. fo� �formation of m this e t to file an annndua report between January 1st and May 1st in the calendar year year thereafter to maintain"active" status. Article VII The initial officer(s) and/or director(s) of the corporation is/are: Title: P MARIUS PUGHIUC 15579 MARCELLO CIRCLE NAPLES, FL. 34110 Article VIII The effective date for this corporation shall be: 06/04/2014 Detail by Entity Name Page 1 oft 1� 1 Detail by Entity Name Florida Profit Corporation ADVANCED FLOORING OF SW FL, INC. • Filing Information . Document Number P14000049084 FEI/EIN Number NONE Date Filed 06/04/2014 State FL Status ACTIVE Effective Date 06/04/2014 Principal Address 15579 MARCELLO CIRCLE NAPLES, FL 34110 Mailing Address 15579 MARCELLO CIRCLE NAPLES, FL 34110 Registered Agent Name &Address PUGHIUC, MARIUS 15579 MARCELLO CIRCLE NAPLES, FL 34110 • Officer/Director Detail Name&Address Title P PUGHIUC, MARIUS 15579 MARCELLO CIRCLE NAPLES, FL 34110 Annual Reports No Annual Reports Filed Document Images 06/04/2014-- Domestic Profit View image in PDF format http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail/EntityName/domp-... 6/10/2014 pr OCR DEPARTMENT OF THE TREASURY ,.+ 1 INTERNAL REVENUE SERVICE CINCINNATI OH 45999-0023 Date of this notice: 06-04-2014 Employer Identification Number: 47-1017979 Form: SS-4 Number of this notice: CP 575 A ADVANCE FLOORING OF SW FL INC % LUANN THOMAS For assistance you may call us at: 21 70 KEARNEY AVE 1-800-829-4933 NAPLES, FL 34117 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 47-1017979. 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 Above you please make EIN. If the attached t ear off stub and return titsto shown us. above, pleas Based on the information received from you or your representative, you must file the following form(s) by the date(s) shown. Form 1120 03/15/2015 If you have questions about the form(s) or the due date(s) shown, you can call us at need phone in or write your the address (tax yeeaar) , seesPublicationf538, need help in determining y Accounting Periods and Methods. We assigned you a tax classification based on information or nlobtainedtfrom you or your representative. It is not a legal determination of your tax classification,classification, you may binding on the IRS. If you want a legal determination of your request a private letter ruling from the IRS under the guidelines in Revenue Procedure 2004-1, 2004-1 I.R.B. 1 (or superseding Revenue Procedure for the year at issue) . Note: Certain tax classification elections can be requested by filing Form 8832, Entity Classification Election. See Form 8832 and its instructions for additional information. IMPORTANT INFORMATION FOR S CORPORATION ELECTION: If you intend to elect to file your return as a small business corporation, an election to file a Form 1120-S must be made within certain timeframes and the corporation must meet certain tests. All of this information is included in the instructions for Form 2553, Election by a Small Business Corporation. (IRS USE ONLY) 575A 06-04-2014 ADVA 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.gov for a list of companies that offer IRS e-file for business products and services. The list provides addresses, telephone numbers, and links to their Web sites. To obtain tax forms and publications, including those referenced in this notice, visit our Web site at www.irs.gov. If you do not have access to the Internet, call 1-800-829-3676 (TTY/TDD 1-800-829-4059) or visit your local IRS office. IMPORTANT REMINDERS: * Keep a copy of this notice in your permanent records. This notice is issued only one time and the IRS will not be able to generate a duplicate copy for you. You may give a copy of this document to anyone asking for proof of your EIN. * Use this EIN and your name exactly as they appear at the top of this notice on all your federal tax forms. * Refer to this EIN on your tax-related correspondence and documents. If you have questions about your EIN, you can call us at the phone number or write tc 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 ADVA. You will need to provide this information, along with your EIN, if you file your returns electronically. Thank you for your cooperation. • (IRS USE ONLY) 575A 06-04-2014 ADVA B 9999999999 SS-4 • • Keep this part for your records. CP 575 A (Rev. 7-2007) Return this part with any correspondence so we may identify your account. Please CP 575 A correct any errors in your name or address. 9999999999 Your Telephone Number Best Time to Call DATE OF THIS NOTICE: 06-04-2014 ( ) - EMPLOYER IDENTIFICATION NUMBER: 47-1017979 FORM: SS-4 NOBOD INTERNAL REVENUE SERVICE ADVANCE FLOORING OF SW FL INC CINCINNATI OH 45999-0023 % LUANN THOMAS nnl 2170 KEARNEY AVE NAPLES, FL 34117 • s DATE(MM/DD/VYYY) ACORL7 CERTIFICATE OF LIABILITY INSURANCE `.../. 07/18/2014 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 CUSTOMER SERVICE INTEGRAL UNDERWRITERS CORP (A/C.No.Eat): 2393043200 !FAX No): 8777455560_ PO BOX 990337 E-MAIL ADDRESS: - 1-ir" Fr 1 -! . 1s ii NAPLES FL 34116 INSURER(S)AFFORDING COVERAGE _ NAIC# __- INSURER A: GRANADA INSURANCE COMPANY __ INSURED INSURER B: FRANK WINSTON CRUM INSURANCE CO —_ ADVANCED FLOORING OF SW FL,INC j 1 15579 MARCELLO CIR INSURER C: -- —_ NAPLES,FL 34110 INSURER D: — -- -- — INSURER E INSURER F: l 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. _ TN-SR ADDLISUBRI, ! POLICY EFF I POLICY EXP LIMITS LTR I TYPE OF INSURANCE (Ng WVD' POLICY NUMBER I(MM/DDIYYYY)t(MM/DD/YYYY),I GENERAL LIABILITY ? it ! i EACH OCCURRENCE j$ 1,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY . l' PREMISES(Ea occurrence) j$ 100,000 _..- r 1 !�i - 'CLAIMS-MADE (X OCCUR �MED EXP(Any one person) j$5,000 A X DEDUCTIBLE$500 0185FL00061047 'I,07/17/2014 07/17/2015 PERSONAL&ADV INJURY s 1,000,000 J I 1 GENERAL AGGREGATE I s 2,000,000 I`EN'L AGGREGATE LIMIT APPLIES PER' .�i I PRODUCTS-COMP/OP AGG I$2,000,000 X !POLICY j I PR0. ! +,LOC 1 I COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY 1�� I(Ea accident) I$ I , ANY AUTO !BODILY INJURY(Per person) I$ -,ALL OWNED SCHEDULED BODILY INJURY(Per accident)I$ 1 AUTOS , AUTOS ! _{NON-OWNED PROPERTY DAMAGE ' (Per accident) $ —� HIRED AUTOS AUTOS i$ 1 PIP 10.000 ,i , I-- UMBRELLA LIAR ;:OCCUR I[i!�I �EACH OCCURRENCE $ !EXCESS UAB CLAIMS-MADE �'' 'AGGREGATE !$ `— ' _. I !COVERAGE $ DED ! j RETENTION$ � WC STATU- ! iOTH-� WORKERS COMPENSATION I X 1 TORY LIMITS 1 X 1 ER I AND EMPLOYERS'LIABILITY 1 B ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N N 1 A I[ ! FAFL141450 i 07/17/2014�i 07/17/2015 G E.L.EACH ACCIDENT `$ 1,000,000 OFFICE/MEMBER EXCLUDED? (Mandatory in NH) ii E.L.DISEASE-EA EMPLOYED$ 1,000,000 If yes,describe under I DESCRIPTION OF OPERATIONS below , 1 !E.L.DISEASE-POLICY LIMIT I$ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) TILE FLOOR INSTALLATION CONTRACTOR CERTIFICATE HOLDER CANCELLATION COLLIER COUNTY CONTRACTOR LICENSING SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 2800 N HORSESHOE DR#400 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN NAPLES FL 34104 ACCORDANCE WITH THE POLICY PROVISIONS. FAX: 2392522469 AUTHORIZED REPRESENTATIVE JULIO HERNANDEZ ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD dam. :: 44' n ,uyv , COLLIER COUNTY BUSINESS TAX RECEIPT 0* APPLICATION if- 2800 N.Horseshoe Drive,Naples,FL 34104 1°;, �i Make Check Payable to Collier County Tax Collector ' '==. Phone: 239-252-2477 Fax:239-643-4788 Website:www.colliertax.com 006 CHECKLIST Copy of Articles of Incorporation and/or Fictitious letter Yellow Fire Compliance(list of fire district phone number from the State stating that your business name is on file. enclosed) (850-245-6052 or 6058) www.sunbiz.org Copy of Marco Zoning Certificate.(239-389-5000) Copy of State license from Department of Business and Professional(850-487-1395)or Department of Health. Completed Zoning application with appropriate fee made payable (850-488-0595) to:Board of County Commissioners.(239-252-5603) Copy of City Business Tax Receipt.(239-213-1800) Completed Business Tax Receipt application with appropriate fee made payable to:Collier County Tax Collector.(239-252-2477) Copy of Motor Vehicle Repair Registration Certificate from Department of Agriculture.(800-435-7352) Other: Copy of Health inspection from Department of Hotels and Please contact the Property Appraiser's office at 239-252-8145 Restaurants(850-487-1395)or Department of Agriculture. regarding tangible tax. (800-435-7352) CHECK ONE: Date: Original Application Classification Transfer of License# Code Number - - Renewal of License# License Amount 1 CORPORATE NAME- 01- 4,c a N ,-• \XI C DBA NAME - A lb) BUSINESS OWNER OR QUALIFIER'S NAME - 1 A l CCS I C 2) PHYSICAL ADDRESS - i 41 11 C). • /1/4,64-7Z..c, T(--3 4(f c (No P.O.Box allowed) 2a) IS RESIDENCE USED AS AN OFFICE - Yes No J. 3) BUSINESS MAILING ADDRESS-), f}(��1.LO e� Q M S 3`7 l i 0 Street City Zip 4) OWNER OR QUALIFIER'S RESIDENTIAL . TIAL ADDRESS- 5) TELEPHONE-Business: I C'Y 5 SO1v Home: 6) LEGAL FORM OF BUSINESS: Sole Proprietorship Partnership Corporatio LLC LLP 7) OPENING DATE OF BUSINESS OR DATE ASSUMED- 03–'0 i 8) OFFICE WITHIN CITY LIMITS OF NAPLES-—Yes—No If Yes,City License No. 9) SOCIAL SECURITY NO. or FEDERAL EMPLOYER IDENTIFICATION NO. — — ( 7 - O c) 'see back of appt' ion fir explanation 9a) TYPE OF BUSINESS CONDUCTED: 71 L-f- t n * 0)1 0) NUMBER OF EMPLOYEES-Including number of owners: 3 11) FILL IN THE APPROPRIATE AREAS- a)Rental units(motel/hotel/apts.)Number of units: b)Seating Capacity(rest./cafes,etc)Number of seats: c)Number of coin-operated machines owned by business or individual: 12) STATE LICENSE OR CERTIFICATION NUMBER- Must have photo copy of state license if state licensed and certified UNDER PENALTIES OF PERJURY,I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE TO THE BEST OF MY KNOWLEDGE. xxxAPPLICANT'S SIGNATURE: DATE: (Owner and/or representative of business)TITLE: ****THIS LICENSE IS NON-REFUNDABLE FOR BUSINESS STATED ABOVE**** SECTION A, B,AND C FOR OFFICE USE ONLY THIS SECTION TO BE FILLED OUT BY CONTRACTORS/BCC LICENSING BOARD SECTION A Classification of Contractor: County Certification Number: Department Supervisor Date: THIS SECTION TO BE COMPLETED BY PLANNING SERVICES SECTION B Business is an in-home occupation and the applicant has agreed to adhere to the requirements as set forth in the Collier County Zoning Ordinance. PROPERTY Business DOES COMPLY with the Collier County Zoning Ordinance. ZONED Signed: Title: Date: Comments: THIS SECTION TO BE COMPLETED BY THE HEALTH DEPARTMENT SECTION C Business DOES COMPLY with the local and/or State requirements. Signed: Title: Date: * In accordance with Florida Statute 205.0535(5),we require you to provide us with either a Federal Employer Identification Number(FEIN) or a Social Security number. . s s Cot[ -ier County L:=i ii ID 9 S E 64N r# Pig #k. C, E s "'.t+ Please take the time to fill out this form as completely as possible. Remember that only someone actually living at the address given below may engage in the home occupation described. Customers or employees not living at this address are prohibited from traveling to and from the residence if visits are related to this home occupation. The applica t is the person in whose name the Business Tax Receipt will be issued, and the applicant's signature mu appear on this form. Verification as property owner or lessee in the form of a Valid Florida's Driver License' or lorida Identification Card and/or copy of valid lease agreement is required. / /� q� c._�;[^f—'C%� /"t Cam!!'e�- APPLICATION DATE 7/ a_// s ZONING CERTIFICATE# APPLICANT'S PHONE C If 5— / 6 0 , , Business Tax Lic# APPLICANT'S NAME Keg-Pi(J S �(�6fT/(,[c_ APPLICANT'S HOME ADDRESS ' 55-79 1 /9-er ��, 0 C /4 . • ,4 S v--3 Lf i i 0 TYPE OF BUSINESS TO BE CONDUCTED Iii v: 1.Q 4JQc fl n BUSINESS NAME (IF ANY) ALIfA-NC& T.00 1-1 G of S Oil W._ I C_ I, the undersigned, hereby affirm that I am the legal owner of the property at the above address or that I have the legal right to conduct the business described abov at this address by virtue of my leasehold interest in this property, and that I have read, understood, and agree to abid: 'y the provisions of LDC Section 5.02.00 "Home Occupations"(see back of application). I APPLICANT SIGNATURE AL rr� DATE 7/9— —'/I ..+Wr ,'DE NO: 11 ROMZ FEE: $50.00 CHECKS PAYABLE TO: "COLLIER COUNTY TAX COLLECTOR" TO BE COMPLETED BY COUNTY STAFF ZONING: PROPERTY ID# DATE REVIEWED BY APPROVED HOLD DENIED COMMENTS/RESTRICTIONS: Must comply with Section 5.02.00 of the LDC(see back of application). Tax Collector Staff: Clerks Initials Horseshoe Greentree Please forward a copy of issued certificate and receipt to the Collier County Zoning Services. 5-24-2011 s 5.02.00 HOME OCCUPATIONS 5.02.01 Applicability Home occupations shall be allowed in any zoning district which permits residential dwellings as a permitted use. 5.02.02 Allowable Home Occupation Uses There shall be no retail sale of materials, goods, or products from the premises. 5.02.03 Standards The home occupation shall be clearly incidental to the use of the dwelling for dwelling purposes. The existence of the home occupation shall not change the character of the dwelling. A. An allowable home occupation shall be conducted by an occupant of the dwelling. B. There shall be no on-site or off-site advertising signs. C. The use shall not generate more traffic than would be associated with the allowable residential use. D. There shall be no receiving of goods or materials other than normal delivery by the U.S. Postal Service or similar carrier. E. Parking or storage of commercial vehicles or equipment shall be allowable only in compliance with the requirements for commercial vehicles in the County Code. F. The on-site use of any equipment or materials shall not create or produce excessive noise, obnoxious fumes, dust, or smoke. G. The on-site use of any equipment or tools shall not create any amount of vibration or electrical disturbance. H. No on-site use or storage of any hazardous material shall be kept in such an amount as to be potentially dangerous to persons or property outside the confines of the home occupation. I. There shall be no outside storage of goods or products, except plants. Where plants are stored, no more than fifty (50) percent of the total square footage of the lot may be used for plant storage. J. A home occupation shall be subject to all applicable County occupational licenses and other business taxes. Contested Citations #08920 & #08921 George Pickhardt — D/B/A — Arrow Environmental Services L.L.C. Table of Contents El — Letter received requesting an Administrative Hearing to contest citations #08920 and #08921. E2 — Letter sent to respondent advising of scheduled C.L.B. hearing. E3/E4 — Copies of citations issued to respondent. E5 — Copy of locally distributed advertising of landscape and irrigation services for Arrow Environmental Services L.L.C. E6/E7 — Copy of internet advertising of landscape and irrigation services inclusive of Collier County by Arrow Environmental services L.L.C. E8/E9 — Florida Division of Corporations registration for Arrow Environmental Services L.L.C. E10 — Sarasota County business tax receipt for Arrow Environmental Services L.L.C. E11/E12 — Code Case Detail Report outlining investigation resulting in issuance of citation #08920. E13/E14 — Code Case Detail report outlining investigation resulting in issuance of citation #08921. % )rrow ENVIRONMENTAL SERVICES r,4"A August 8,2014 )11111.. Dear Mr.Ganguli, We are in receipt of Collier County Citations#08921 and#08920 issued by you,to George Pickhardt on August 5,2014.We understand that you have met with our Branch manager,Tony Long earlier this week to discuss the reasons behind the citations.While we appreciate that you took time out of your schedule to do so,we remain deeply concerned about the matter,and wish to outline our position on the matter. At Arrow Environmental Services,LLC,we pride ourselves on conducting our business with the highest regards for both the laws of the State as well as for the communities which we serve.It is not our intent to contravene or violate any County Ordinances in the process of conducting our day to day business practice. With respect to the citation for"Unlicensed Landscape Advertising",the customer door bags do have this listed as one of our services,however the bags are several years outdated and do not accurately reflect the services we currently offer our clientele.Promotional and marketing items are in the process of being revamped to better reflect what we nuw offer.We do not,in any way,offer Landscape Design Services. Landscape design leads and requests are referred out to one of our preferred contractors,such as Avantc- Yarde Inc. Of particular note, the Collier County Florida Contractor Examination Book for 2014 does not even list Landscape Design licensing exams as an offering to anyone wishing to obtain such a license;this is misleading to those wishing to pursue working and advertising in that field within your County. With regards to the"Unlicensed Irrigation Advertising",we were not performing this work when cited;the matter itself is again related to the customer door bags,which we have explained above. As a matter of record,Mr.Pickhardt is a Rcgistcfccl and LiLeused litigation Contractor In Sarasota County, with all required Business Licenses to operate in this capacity.We ask for reciprocity between the Counties,and would appreciate leniency in light of the fact that we were not performing this work to begin with. It is our position that we wish to contest both citations issued,and hereby request an Administrative Hearing before the Collier County Contractor's Licensing Board.A certified copy of this letter,citations, and related documentation shall follow by certified mail as per instructions provided. Thank o , Nuhfer Director,Administrative Services Arrow Environmental Services,LLC 6225 TOWER LANE*SARASOTA, FL. *34240 *941-377-0888 *FAX 941 it-f,+c a f 7sTi AUG 4 �-1 cCo er Growth Management Division Planning & Regulation Operations Department Licensing Section August 11, 2014 George Pickhardt 6225 Tower LN Sarasota, FL 34240 RE: Contesting Citations 08920 and 08921 Mr. Pickhardt, You have been added to the agenda for the Contractor Licensing Board meeting on Wednesday, September 17, 2014. The meeting will be 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 us at (239) 252-2431. Sincerely, Jennifer Blanco Customer 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 COLLIER COUNTY 08920 GROWTH.MANAGEMENT DIVISION,.,., . S Sal-. Covt`-ltr' CITATION3a0c{tf,0(36 3 • Pursuant to section 489.127:(3)(a).Florida Statutes;'•the undersigned'hireby cc'i6es`th'at.upon personal.investigation,he/she has reasonable and probable grounds to believe:that thc:person whose name appears below as issued to,did violate subsection 489.127.(1),Florida:Statutcsnd the comm Collier County Contractor's Licensing Ordinance No,2006-46(as may be amended) sa be by'committing the •violation stated belovi. • • Month �rl�, DaY S IYdar� 1Tinic�. Issued To &E,ORG t=- Pt e_K(- (Lt i Address a5. 5 lt..1F R• c-- v E City S r24t36 State • Fr:—. Zip . v I W L1 o Telephone e No. I I.D. I Date of Birth Race Sex Height �a .� _d$$ f Vehicle Make/Iype(if a'p licable) I Year 1(.:olor +1'ag No. Location'of Violation. /tJ 6 • C O�`t C{-.t' t�YC 'sz r.t. .. OPTIONS Ihave been informed of the violation which I have been charged and.elect the following option(Check one) 1) ❑ I choose to pay the penalty of$ /000 a t • 2) ❑ I choose not to pay the penalty,and will request in.wrOng•by certified rttail prhand delivery an Administrative Hearing before the Contractor's Licensing Board. . • Description of Violation ' Date Violation Observed g j((19 . a).❑ Falsely.huld self or business organization out as a licensee,certificate ho der or • registrant; b) 0 Falsely impersonate a certificate holder or registrant; • c) ❑ 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; c).0 •Use or attempt to use,a,certifitatte or registratiuu whch has been suspended or revoked; .:. . . . . f) l '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 dulyregistered or certified; g).❑ Operate a business organization engaged in contractingafter(60)days; h) ❑ 'Commence or perform work for which a building•permft'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 ortified or registe U!J l l Lstikp.! Se_b°t-f L • k- Sa N t • SIGNATU (RECIPIENT) .• SIGN URE V • ATOR) /C) W .3\) (3-QtA PRINT NTAME) • PRINT(INVESTIGATOR'S NAME) Pursuant to 489.127,hlorida 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 LICENSE —3 • ut......24,tt-( ad t SP-4S COLLIER COUNTY 0 8 9 21 GROWTH MANAGEMENT DIVISION 1 S ek-f-AsocIA C35%.0--wit 4 CITATION 3,7 o y t6460?-<q 3 Prrrsuant to section 489.127.(3)(a):Florida Statutes,'the widetsighed hereby certifies that upon personal investigation,he/she has reasonable and probable grounds to believe:lhat the.person whose nano,appears below as issued to,did violate subsection 489.127.(1)Fionda•$tatutes,and the Colthr County Contractors Ltcenting Ordinance No.2006-46(as may be amended)by'commitiing tine violation stated below. • At5«4 rAaY .. IY ITlne�� M Month Issued To /C tur . c)t. -t<t-kk�T Address r6,g-ZS. 6r`.5 --e. C-xf City 57. ,4k5 State r-.- , ....Zip 3 4.7-y Q Tel one No. 1.D. Date of Birth Race Sex Height (44t1' 3' ,088 . Vehicle MakeiTy feigi iihle) I Year Color Tag No lioc,gtion of Violation p . . ' .OPTIONS .. I have been informed of the violation for which I have been charged and eloot the' following option(Check one) Q©O`�� 1) ❑ I choose to pay the penalty of$ ( . 2) ❑ I choose not to pay the penalty,and will requestir>w,rigng by ccrtificd,n4ail of hand i . delivery an Administrative Hearing before the Contractor's Licensmg•Bbard. Deseriptinn of Violation Date Violation Observed �l Viii i a) ❑ Falsely hold self or business organization out as a licensee,certrfica a holder or registrant; • b) ❑ Falsely inipei'sonate a certificate holder or registrant; c) ❑ Present as hislher own the certificate or registration of another d).0 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; , . I) is Engage in the business or act in the capacity of a contractor or adyertise self > or business orgtutitcation as available to engage in the l dsincss or act in the capacity of a contractor without being duly registered or c6hlfled;, .. 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,..rtified or re istered. fig:-," GNAT RE, 'IENT) SIGNA "el = IGATOR) • Lo , i v 4 PRINT( C((I�,,PIT�IT$IAbIE) 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 LICENSE , • ; . '1958531.01■ , . , .,, -f, - -,,,. f. : : , I • 1 --polluality service„:. ' r ..: :. 1 ENVIRONMENTAL SERVICES Call today for free quotes on these quality services: . • Pest Control • Termite Control i . • Lawn Management • Landscape Maintenance • Landscape Design and Installation • Irrigation System Installation /Repair/ Maintenance SARASOTA BRADENTON (941)377-0888 (941) 748-7751 ENGLEWOOD FT. MYERS (941)474-1166 (239) 334-4414 NAPLES • VENICE (239)403-4414 (941)485-4212 PORT CHARLOTTE ST. PETERSBURG (941) 743-2659 (727) 522-3139 Toll free 800-226-3139 • www.arrowservices.com 6225 Tower Lane,Sarasota,FL 34240 Florida's Leader in Sustainable Solutions since 1958 Sustainable ---— 5 Florida Pest&Lawn I Tampa Bay, Sarasota,Fort Myers I Arrow Page 1 of 2 cir �a ,, . , ,. , 888-379-6905 `k ,, , .�n .. Call Today R9WaTi-t (.01 tF ., t 4 a t it �t , t,t l,} ,� flETA FREE QUOTE - 4,@p,',1. ' meM'..f}.Y+�towma�r war. y '..� i,_a-,Pix;S`k'.�' 0,,,40:4:1,1:11. m( Novick; ;.., z ei ., e _ . 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Arrow offers residential pest control and commercial pest control for termites,roaches,bed p;Termites cause more fiscal damage than bugs,ants,rodents,as well as many other pests.We also offer lawn services,including tree and all natural disasters combined.Drywood shrub care,Irrigation services,TAP insulation,and our very own TLC Solution-Total Landscape Termites are found throughout the stare Care Solution. of Florida,especially near coastlines. Our company has set a standard for service,innovation and customer satisfaction,and we look Rgnd,Moro ie`: i forward to doing the same for you.Our Peace of Mind Pledge promises that we will re-treat any l' problem until you are completely satisfied with the results,or we'll refund the cost of your ii • treatment. pl.,.i i. ■ Click to get a free quote from Arrow or call us at Save $35.00 888-379-69051 On Your First Service with a New Annual Service Agreement . Click Here to redeem coupon. • r 4. ,..:.0u- — " .... "r To learn more about our services,click your area of .. . I ;. ffi interest below: A Wiz• arc: G „v. r �, ra....r..«....r http://www.arrowservices.com/ 7/31/2014 Contact Us I Sarasota& Tampa Pest Control I Arrow Environmental Services Page 1 of 2 888-379-6905 x \r ' 16 t ^ gs Call Today t, t � i r- l fig ,...Ali w.,,. t t��i: N { 5 ... t4 t of aw Ki t8 gI ÷4'''' ;,'r k4',.,.,-:1M::,"..,';,:!' r GET A FREE QUOTE /� •! tta•! 31f L4 .+llnhu't+ atatd?rt-4-w Y ,,.,a I,-,M,.�. . 3 s.._ l, - �i ?11.-;Ur ifil oyrdin ..,.�-,�,;=i;a._Kan...,,.w,:,....,. -.w Ysustaineblr:dofutlo. & ..:.•...•.I,.q.:.,.,x=.".,-,.,-;.-.:,..�:..u_._,_:..,. tl �? %^ prorossional scrvlce in your neighborhood since 1356 Serving Florida I Call 888-379-6905th+today. • soarcll NEW SERVICE REQUEST CONTACT FORM 6R.F.l.MYArr:?:%•K5.4 Personal attention is what we are about at Arrow.We want to hear from you. So,please call us Need Pest or Lawn help? at 888-379-6905Q4,email us(see below)or complete the contact form—we'll be in touch the same business day. Call Arrow Services today to get a free quote at 88S-379-6905 7 CONTACT FORM _•. - CONTACT US `... _. . U .: i • Hernando - • Pasco +e rrow is one of the fastest growing • Pinellas "- `pest control companies in the nation! • • Hillsborough • Poll( Click hare to learn more about our acquisitions. • Manatee I • Sarasota / I L • Charlotte . a. • Lee d . • Collier 1r` r Q:How much damage do Drywood • Hardee d ' (: _ Termites really do? • DeSolo _ • Citrus k Termites cause more fiscal damage than • • Hendry all natural disasters combined.Drywood • Highlands Termites are found throughout the state • Monroe of Florida,especially near coastlines. *-:cf.aprl:,ilte r nice o 003. t.'h u) 1: County(•) -Select a Counyy Rgad More-a�,4 First Name('I V .• Last Name VI Company Address Save $35.00 Address 2 { S( t I 0 W- R 5,tj On Your First Service with a New city Annual Service Agreement State Click Here to redeem coupon. Zip("I Phone r•) .. Email(•) Does your lawn have a drinking problem? Avoid I WOUtP LIKE'MORE El est Control?Lawn Care t'.'.Irrigation ETermite Treatment&pwrontionl:;TAP overwaterbsg your lawn.Most of the year,Florida INFORMATION ON Insulatlonrwilldllte Excursions'.'Other lawns need only about one inch of water per week. Overwatering can damage your lawn by promoting shallow root systems,dollerweed,chinch bugs or excessive thatch. r.nmmene I Is lire hot or cold?(") http://www.arrowservices.com/contact-us 7/31/2014 Detail by Entity Name Page 1 of 2 S ! b 'FLORIDA DEPARTMENT OF STA rl~ • Sri DIVISION OP CORPORATION � ;4/ (0.; Detail by Entity Name Florida Limited Liability Company ARROW ENVIRONMENTAL SERVICES, LLC Filing Information Document Number L10000069677 FEI/EIN Number 273055927 Date Filed 06/30/2010 State FL Status ACTIVE Last Event LC NAME CHANGE Event Date Filed 08/16/2010 Event Effective Date NONE Principal Address 6225 TOWER LANE SARASOTA, FL 34240 Changed: 04/06/2011 Mailing Address 6225 TOWER LANE SARASOTA, FL 34240 Changed: 04/06/2011 Registered Agent Name&Address YADLEY, GREGORY C 101 E. KENNEDY BLVD. SUITE 2800 TAMPA, FL 33602 Authorized Person(s) Detail Name&Address Title MGR HOOTEN, KENNETH D 50 E. WASHINGTON STREET, SUITE 400 CHICAGO, IL 60602 Title MGR http://search.sunbiz.org/Inquiry/Corporati onSearch/SearchResultDetail/EntityName/flat-11... 7/31/2014 !�_ g Detail by Entity Name Page 2 of 2 SAYERS, NICK 6225 TOWER LANE SARASOTA, FL 34240 Title MGR PICKHARDT, GEORGE D 6225 TOWER LANE SARASOTA, FL 34240 Title MGR • FINNEY, JOSEPH • 50 E.WASHINGTON STREET SUITE 400 CHICAGO, IL 60602 Title MGR SCHWARTZ, ROBERT 50 E. WASHINGTON STREET SUITE 400 i.. CHICAGO, IL 60602 Title PRES i ... HURD, WILLIAM 7709 MOONSTONE DRIVE SARASOTA, FL 342410 Annual Reports Report Year Filed Date 2012 04/10/2012 t: 2013 03/22/2013 2014 04/18/2014 Document Images 04/18/2014--ANNUAL REPORT View image in PDF format 03/22/2013--ANNUAL REPORT View image In PDF format 04/10/2012--ANNUAL REPORT View Image In PDF format 04/06/2011 --ANNUAL REPORT View image in PDF format 08/16/2010-- LC Name Change View image in PDF format #' 06/30/2010-- Florida Limited Liability View image in PDF format Lapvri0Itt fw aro aI.Y.O.Y_PMLc!.0 State of Florida,Department of State http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail/EntityName/flal-11... 7/31/2014 Sarasota County Tax Collector Page 1 of 1 .�.f T�: „, ffi${ `a., v, .f' 1, ' i:. gyp: 5A 't' 4� n l 0 :, `° f- , ' ,, ,._t-,'t Site Provided A b f! � u�J 4 '` ,:, � � governmax.com —' Business Name Business Tax E -) t—J i' j 1, 1 1 of 1 Details Last Update:7/31/2014 3:28:46 PM EDT Tax Payment Business Tax Searches Account Number New Business Date Tax Year Account Number 3904160002593 1/1/1958 2015 Business Type Business Address Mailing Address Business Name ARROW ENVIRONMENTAL PICKHARDT GEORGE Owner Name SERVICES LLC 6225 TOWER LN 6225 TOWER LN SARASOTA, FL 34240 Site Functions SARASOTA uni fC. FL 34240 Property Taxes Business Tax Units 39 Status **ACTIVE** Contact Us Home Business Type Property Appraiser SERVICE - LICENSED Tax Track Login Welcome ITax Amount ' $98.43 I ■ If Paid By Amount Due 9/30/2014 $98.43 ..Pay Now By paying this tax I certify that this business/profession is currently in compliance with all licensing and regulatory requirements of Florida,Sarasota County and any 1, applicable city. «First <Previous Next> Last>> Legal Disclaimer/Privacy Statement i Po.eld by MANATR . N. http://sarasotataxcollector.governmax.com/collectmax/tab_collect_mvplicV7.asp?wait=do... 7/31/2014 E -- t C) CdiTiergamnet Report Title: Code Case Details Date: 9/10/2014 6:32:31 AM Case Number: ceu120140015290 � ,{�-�a� sue.. �ji�n3" 52J � � � °.,' " n 1:: q � �Y } g • 3 � 1 � �..fH$ �a �Y '1. ;,�r _.,�;;,�. ..�. :ate .�a;,� „ ...'�v, _ ..._'� .., y % Case Number: CEUL20140015290 Status: Citation Case Type: Unlicensed Date&Time Entered: 8/5/2014 7:51:11 AM Priority: Normal Entered By: RobinGanguli inspector: robinganguli Case Disposition: Unpaid Jurisdiction: Contractor's Licensing Origin: Complaint Detail Description: Pickhardt, George. $1000 citation#08920 issued for unlicensed landscape advertising. Location Comments: Advertising(internet and local distribution)Arrow Environmental Services L.L.C./Sarasota County business tax receipt#3904160002593 aF r yY .roz r �` a%m�„ t ass i•,i , 1er F• �l � .., , i.a. 3,', ", s'�C`xa i� y>>s'�.. v 3r$e.. 3';°a'�r ` r'� - i r"t4 srn _.. Smmm,z5`r?tEmiSZ .n�vvae .u`�tu.4Att ,G Sn�A • u , _ q q r e sn n a :s e v e z zs v •. m++ i x" u.. 1 r sty m'Ja.�» 1 :. .,..E,-,a, x�.��,..s�..,a: ._. :' ski ...,...7.�: �... . .,:; c<<w w; �..�':,s > :• �,d,,.., ..,. .�.. '�,r � ��a" 7%' 1 ViolatorlPickhardt, George • Business Management& Budget Office 1 Code Case Details Execution Date 9/10/2014 6:32:31 AM '..a �j " a�i�"'�a. t 3 yam, d r a r Desc Assigned Required Completed Outcome'. Comments Preliminary Investigation robinganguli 8/1/2014 8/1/2014 Citation 9/1/14.Complaint received regarding Required advertising of landscaping and irrigation services in Collier County by Arrow Environmental Services L.L.C./Sarasota County business tax#3904160002593. Complaint incuded an example of a door hanger bag advertising these services in several locations including Naples. Investigation revealed internet advertising of these services in Collier County.Database research reveals no local licening information. Contacted Sarasota office who placed me in contact with local representative,Tony Long. Advised him of County licensing requirements for both landscape and irrigation trades and subsequent violatiions. Meeting scheduled with him for Tuesday 8/5/14. Issue Citation(Licensing) robinganguli 8/5/2014 8/5/2014 Complete 8/5/14. Meeting with Mr. Long and violation as well as abatement process explained. Licensing information provided.$1000 citation #08920 issued to business owner,George Pickhardt,for unlicensed advertising of landscape contracting services and signed tor by Mr. Long as his on-site agent. Schedule for CLB Meeting/Send JenniferBlanc 8/11/2014 8/11/2014 Complete Letter o Citation Paid/Contested elements k 8/19/2014 8/11/2014 Contested Generate CLB Notice of Hearing michaelossori 9/17/2014 Pending 0 Violation Description Status Entered Corrected Amount Comments Unlicensed Landscaping Open 8/5/2014 $1,000 W s�,t a v - .,s 3 `S .� .,....a.. .."�: .,......t.Qx^ », �—fi,.,s�s2 pS�1 e£' �4' a=;�.,o 3 �3 4 ..: � , »�x. .A ��� 3 � �..�An 1 Title I Reason I Result I Compliance Fine/Day Condition Business Management& Budget Office 2 CAPiergov.net Report Title: Code Case Details Date: 9/10/2014 6:39:28 AM Case Number: ceu120140015295 Case Number: CEUL20140015295 Status: Citation Case Type: Unlicensed Date&Time Entered: 8/5/2014 8:23:34 AM Priority: Normal Entered By: RobinGanguli Inspector: robinganguli Case Disposition: Unpaid Jurisdiction: Contractor's Licensing Origin: Complaint Detail Description: Pickhardt, George. $1000 citation#08921 issued for unlicensed irrigation advertising. Location Comments: Adsvertising (internet and local distribution)Arrow Environmental Services L.L.C./Sarasota County business tax#3904160002593 Y'w,..v., . &NJiwaan.eil. F.tv:..3.sak,. 12 .?..,,,p0 »"* 1'u M._ ..a z,c 6.. 5 3 D 3 Violator Pickhardt, George Business Management& Budget Office 1 Code Case Details Execution Date 9/10/2014 6:39:28 AM ••;33 - g a `t ry ✓ €t }° � 4 �,�"'�.,m.;S.;4»«'�wk,�x- m,,:,,.4.la��s . � .�'„s,�,; »��-''�,��r•�;.x.t � .r.�,,,. � �...» 4:.:...,.�, Desc Assigned Required Completed Outcome Comments Preliminary Investigation robinganguli 8/1/2014 8/1/2014 Citation 9/1/14.Complaint received regarding Required advertising of landscaping and irrigation services in Collier County by Arrow Environmental Services L.L.C./Sarasota County business tax#3904160002593. Complaint included an example of a door hanger bag advertising these services in several locations including Naples. Investigation revealed internet advertising of these services in Collier County.Database research reveals no local licening information. Contacted Sarasota office who placed me in contact with local representative,Tony Long. Advised him of County licensing requirements for both landscape and irrigation trades and subsequent violatiions. Meeting scheduled with him for Tuesday 8/5/14. Issue Citation(Licensing) robinganguli 8/5/2014 8/5/2014 Complete 8/5/14. Meeting with Mr. Long and violation as well as abatement process explained. Liicensing information provided.$1000 citation#08921 issued to business owner, George Pickhardt,for unlicensed advertising of Irrigation contracting services and signed for by Mr. Long as his on-site agent. Schedule for CLB Meeting/Send JenniferBlanc 8/11/2014 8/11/2014 Complete Letter o Citation Paid/Contested clements_k 8/19/2014 8/11/2014 Contested Generate CLB Notice of Hearing michaelossori 9/17/2014 Pending 0 ..'.`:- .,»x';._s.-�.f��-.-.......,u�..a $Llr . . »...__k, - ...;.»< �..,a `�� .,. �. ......m, .'.,�'��k'�••3 __. ..;�_.__e :a�.,.._,'', . .u.K�:�=r'a „—A�. _,.. _ ._ $ y Violation Description Status Entered Corrected Amount Comments Unlicensed Irrigation Open 8/5/2014 $1,000 , RIB ,, ^*y IC k M`s »S .�5:`.+ 4 Ii d :49577, 4 1v 4, r z cif a,.� ra° Ya i 5`,G+� 1 I, z - 3 fi °' � tr "' 4at z4 .1 i "'2 mr. 16 . .s "�a.�,'� ,� Ko --.a - 1 €}� V..as�,�J��`. �� Title' , Reason 1 Result Compliance Fine/Day I Condition I Business Management& Budget Office 2 E - 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 August 20, 2014, for review of credit report and business plan. 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 337708.1 8/25/2014 3. That the Board has jurisdiction over this matter and that Osvaldo E. Gonzalez Gutierrez was present at the public hearing on August 20, 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 thirty (30) probationary license and shall appear before the Board for review in thirty (30) days with a written business plan. 2 337708.1 8/25/2014 ORDERED by the Contractors Licensing Board effective the 20th day of August, 2014. CONTRACTOR'S LICENSING BOARD OLLIER COUNTY, FLORIDA r<. By: Patri k 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 24, th day of i , 2014. C�, Secretary/Contractor's Licensing Board r 3 337708.1 8/25/2014 BUSINESS PLAN Osvaldo E. Gonzalez 2014- 2015 I.EXECUTIVE SUMMARY Calimete Premium Quality Inc.(hereinafter "business") is formed as a Florida corporation located at 15246 Cortona Way Naples FL 34120, poised for rapid growth in the construction industry. The business seeks funding to take advantage of a window of opportunity for introducing a new installation cabinet contractor service, which has the potential to dominate the market. Mission Statement Calimete Premium Quality Inc. is committed to building relationship for the future through honor, integrity and trust that achieve our client's goals while having a positive influence on community and industry Business Description The business is to be organized as an corporation. formed and authorized under the laws of the State of Florida, and will be led by Osvaldo E. Gonzalez Gutierrez. Osvaldo is a skilled leader with an intense passion and focus on exceeding client expectations. With more than 10 year of experience and client first approach to manage the success and price value of Calimete Premium Quality projects. In addition he conducts quality reviews of critical aspects of projects including job progress, schedule adherence, quality control, and financial reviews. II. BUSINESS SUMMARY The business is a startup business, providing clients with installation cabinet. Calimete Premium Quality will produce excellent services with the highest levels of quality. We will use all available resources including our relationships, talents, technology, and leadership to excel in our processes and final products. Not only should our final products be of the highest quality but the process that gets us there should also be one that peoples can enjoy. True quality and excellence is achieved when our clients can say that it was a great experience and they would hire us again. Excellence and Quality Calimete Premium Quality will produce excellent services with the highest levels of quality. We will use all available resources including our relations, talents, technology, and leadership to excel in our processes and final products. . Not only should our final products be of the highest quality but the process that gets us there should also be one that peoples can enjoy. True quality and excellence is achieved when our clients can say that it was a great experience and they would hire us again. Leadership Everything rises and falls on leadership and everyone at Calimete Premium Quality is a leader. Leadership is influence not position. We will develop effective leaders that are influential to the success of the corporation while adhering to our core values and principles. Healthy environment and culture our employees are our significant asset. The environment and culture of our workplace will motivate, encourage and promote our people and their talents. We want our people to feel this greatest work experience they can have. We recognize that career and family life should be in balance. In this spirit and in accordance to our values and principles our culture will develop and healthy families. Integrity everyone at Calimete Premium Quality, should be honest, fair and reliable, having the courage to do what is right in all situations. It is our responsibility to achieve our clients, goal with the highest levels of integrity. It is an honor to be involved in a worthy profession for which we have a love and passion. We consider it an honor that our clients entrust us to accomplish a great task on their behalf. We are therefore, committed to achieving their goals while making their experience enjoyable and successful. Calimete Premium Quality, work diligently every moment to expand our reputation as a leader in the construction industry. Our firm fully understands that quality and service must be a top priority and we strongly promote that fact in all aspects of our company. We have an uncompromising commitment to total quality management from pre- construction through warranty administration. Our list of references represents a sample of satisfied customers what they have in common is that, like you, they need more than a builder. They need someone with integrity they can trust who believes in taking the process to a higher standard. LIST OF COMPANIES AND PROJECTS WE ARE WORKING P.F.I. BUILDERS Contact: Pete Torres (President) Phone 239-384-0126 Project: Naples Park •* -i 31 a w -i -I H O v+ N Gl n n z a z v v 3 N N Vl X ° ° 0 0 00 ° ° m m m m 0 0 0 ro 3 P o 3 C p D m m w o m en w - o o to n o co rD -, d F-A r r'0 m o .» 0 0 0 0 < (J) tn v O Ni Cu X O O m 5. X .Y a O- F N 1-. 73 T M 0 L W N W W W N N W W N W T NJ O N 03 CO NJ NI oo o tn O O O U7 O N O p,0 0 0 0 g0 0 8 °� ° 0 0 0 z K _ - O U, N V Li1 UI N 0 V UI U1 C Z 0 O O O 0 0 O O O O O ° 0 O 0 0 0 b I- A A A A A A 1-` A A I- A 4 CO LL, W O O O ° 00 O O - O N O 0 N o O 0 b 0 ° 0 0 0 00 0 A A A A A A OD A A A D UU, U1 0 twit tU11 UU, ,'' 0 UWn Cori C 0 0 O O P O o b O O 00 O b° 0 O O 0 O O — Z 0 to N 0 UI 0 NJ O 0 M D 0 0 b O O N ° O O -o O b° O 0 ° 0 O m V) D N CO W NJ CO O W N N 0 O O 0 O O .., 0 0 O _ O O° 0 0 °0 O UI A A Vt A CO A N f+ UI Z 0 0 0 O O o co O O O b ° O O ° O O A A A A A 00 A A A 0 0 tto 0 O to _ UI O O (D 0 UI O O to e\ • O O n O b ° O O O O O W W W W W O W W W –I A tto Po W CO tto V W A 0 O V O O V oho •CO Cr, Cl 01 8 8 0 0 ° 0 8 rs.) v.) a a a a a a a a a a a a 0 a 0 a a • • - ;• -• •- - -•- ••••• : 3 0.) - .• .• • •. CD 3 o •. _ N) ..1%•z =b era • r • - • - - tr, rr) -cs • -C) r- (f) 0 • a_ ro 0 0 0 0 0 0 0 0 D 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 o r- 1 I Z 0 z 73 Ul • C Z r 0 rn m a O n 0 0 C7 N N Cn fD CD CD (V73) fD CD CO N F • MERIABANK 5247 GolFdLen3Gate 7a6r69 ay Naples,www.iberiabank.corn August 22nd 2014 To Whom it may concern: Ref: Calimete Premium Quality Inc. 15246 Cortona Way Naples, FL 34109 To Whom It May Concern: This letter is verification that the customer named above has business accounts with IberiaBank. Account number ending in 73241 was opened 09/12/2013 with a current balance of$xxxx, account number ending in 73268 was opened 09/17/2013 with a current balance of$xxxx. If you need deposit information, refer to the customer named above.The account holder can provide deposit information from their monthly statements. If you have any questions, please contact us at IberiaBank 1-800-682-3231. 7/14A'e--41—k'tk—CL, Sincerely, Sylvia Iturburu Sr. Relationship Banker 239-403-2550 P.F.I. BUILDERS STATE GENERAL CONTRACTORS RE: CALIMETE PREMIUM QUALITY INC. 15246 CORTONA WAY NAPLES FL 34120 To Whom It May Concern: Our first project with Calimete Premium Quality Inc. has so far been a mutual success. They have proven to be well organized and time efficient. They have been able to adjust to all changes directed to them as well as providing competitive pricing. Osvaldo has been very conscientious and continually checks to make sure we are satisfied. Sincerely �4 j Pete Torres President JUI LJ l4 IL lop LJy-L!1-U 101 LJyLf 1V i61 P. MOM Merit Credit Cast, 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. 2392770167 p.2 Ju123 14 12 1 5p 239-277-0167 Prepared 3y: Merit Credi-: 239) 277-3202 i8C0) 37..-3348 TRANSUNION CRED1r:' REPORT [FOR: [SUB NAME) [MK' SUB: [INFILE] 'DATE] :TIME] (I) 2 NP45284423 MERIT CREDIT 16 NP 0,/99 07/23R4 11:19CT ..S7EJEcT) :SSN: !BIRTH DATE) SONZALEZ, OSVALDO E. SR. [CURRENT ADDRESS; :DATE R?: ) ..5246 CORTONA WY. , NAPLES F:- 34120 1/D9 iFORMER ADDRESS] 27680 ROSLIN DR. , BONITA SPRINGS FL. 34:35 3/06 16323 ARPOR VIEW BV. , 4130. NAPLES FL. 34116 (P0SITION? (CURRENT EMPLOYER AND ADDRESS} fliRF: .RIJI'Di SELF FLOYED 2/12 2/:2 :FORMER EMPLOYER AND ADDRESS) MUD SLINGI7R 2ARZENTERS 10/08 12/08 M ODEL 2 :RO : LE ***E1C0 CLASSIC 04 ALERT: SCORE +554 : 328, 010, 018, 020 7c** IN ADDITION *** PO THE FACTORS LISTED ABOVE, THE NUMBER OF INQUIR.TES ON THE CONSUMER'S "'CREDIT FL R LAS ADVYRSELY AFFECTED THE CRED SCORE. RELIT SO74MAR Y * * * 70TAL FILE HISTORY PR=0 COL=6 NEG=6 HSTNEG---C TRD=12 RVL-8 INST=4 MTG=C OPN--C 114Q,-2 HIGH CP...F,D CRED LIP BALANCE ?AST DUE MNTHLY PAY AVAILABLE REVOLVING: $202 $300 $2:'.: $0 $25 32, INSTALLMENT: $2000 $ $2000 $D $57 CLOSED Cl/PAL: $2213 S2213 S TCTAI,S; $2202 $300 $4238 $2213 $82 COLLECTIONS SUBNAME STJSCODE ECOA OPF,NED cLCSED SPLACED CREDITOR MO:: ACOOUNT# VERIFIED PALACE REMARKS CAVALRY PORT Y lYNA008 7 2/11 $599 CE 3SBC RANK NEVAD 09B 7/14A S'',15 PARIAL PMT ASREEVEN PORTFOLIO RC 1 1K3E003 : 3/11 $16. K 3.S3C CCNSUMER LEND 095 7/14A $16.5K PLACED FOR CCILECTIO PIN CRED STIR Y 1,7M3001 I : 0/I3 $141 :2 VERIfi.ON WIPELES C9B 0J1C2426 5/14A $141 PLACED FOR COLLECTLO ARE Y 2BQ4CO2 I 8/12 $513 MEDICAL D9B 22/12A $513 PIAC3 FOR COLLECTIC LVNV FUNDING Y 2 .79032 7 12/ 9 5/14F $1:111 =2 CREDIT ONE HANK 0 ? ' 3/14A $0 ,7;ETTLE L KIL:, :,IC:-: A1123 14 12 1 6p 239-277-0167 2392770167 p.3 CAVALRY POR: Y 1YNA008 : 1/10 7/11F $737 08 HSBC BANK NEVAE 09I, 3842870 7/14A $0 SETTLED : FULL BLNC TRADF; S SUBNAM2 SUBCCDF OPENED E1GHCR:ED TERMS '24AXDZI:LQ PAYPAT 1-12 MOP ACCOUNT# VERFIED CRECLIM PASTCUE AMT—MO? PAYPAT 13-24 ECOA COLLATRWLOANTYPE CISC/PD BALANCE REMARKS MO 30/60/90 CAP ONE 2 1DTV001 4/07 S127)1 R09 7/14A $E0C $1870 I CREDIT CARD 12/09F $1870 CI.,DSC BY CROT GRANTOR FS: PREMIER 3 41PF045 12/06 $343 RC9 2/13A $250 $33 CREDIT CARD 7/09F $343 UNPAID ELK: CHRDD CF'F HSBC BANK B 22F9001 3/0; $595 R09 2/11A $0 SC I CRECI'l' CARD 8/09E $0 1.--7..:RCH 3Y OTHER LENDFR SYNCB/JCP C 2350580 3/08 $494 R09 : 0110A $200 $0 CHARGE A:COUNT 7/C9F $0 PURCE BY OTHER LENF)ER US3C BANK B 2EF9001 4/07 $786 P..0; 2/10A $0 $0 I CREDI7 CARD 9/09F SO P-JRCH BY OTHER LENDER CREDITONERNY B 54MR013 2/06 51119 T.:.09 12/09A 5650 $0 _ SLCTO SOT,D TO ANO 8/092 Se UNPAID 3LYC CI-IRCD OF-.' _ I22.RiABANK 3 130G0:)5 67: 4 $2000 56M57 101 7/I4A $0 I SECURED $2000 MA27/CONTFIN F 2AQE003 4/13 $202 MIN25 1111:1111111 R01 '7.1:-:34;=.5. 6/14A $30.7 Sc I C:tED:T CARD $25 13 0/ 0/ MABT/CONTPIN 7.' 2A4?ECO3 4/13 $272 111111 ROI :2/13? S350 $0 __ CREDIT CARD 11/130 $0 PJRCH BY OTEER LENDER 7 C/ 0/ 0 WFDS/WlYS F 839N077 9/0 5 $17.0K 72M344 111111111111 :J: 12/1A $ 111111111 AUTDVOEIL 12/13C $C CLOSED 45 0/ 0! C SANTANDER . F 1818502 2/ 12 $15. 9K 72M364 :11111111111 :01 5/13A $0 ill AUTOMO3TLE .':/:3C $0 CL.OSED 15 0/ 0/ 0 _ .'ELLS FARGO S 9:8N714 5/08 517.0:4 727,244 11111111111 101 AUTOVOliILE 2/I2C $0 CLOSED DUE ' C, 'I'RNS1,-;. 4] C/ C; 2 — —- I N (: U I R : 2 S. DA:';', ST:BrOD2 cUBNAME TYRE AMOUNT Jul 23 14 121 5p 230-277-0167 2392770167 PA 7/23/34 ZNP6284423(FLA) MERIT CREDIT 3/24/14 ZNP6284423 (FLA1 MERIT CREDIT 4/18/13 FNU4553464 (EAS; CONTINENTAL CREDIT REPOR - SERVICED 3Y : TRANSUNION 800-888-4213 2 BALDWIN PLACE P.O. SOX 10CO3CHESTER, DA. 19222 Consumer disclos..Jres can be obtained online thrcugh TransUnior. at: -.ttp://www. t.rans.inicn.com CREDITOR CONTACT INFORMATION CAVALRY PORT YC1YNA708 (800) 501-0909 500 SU1,!MIT LAKE DR VALHALLA NY. 10E95 PORTFOLIO RC YCAKSEC03 (8C0 772-14/3 287 INDEPENDENCE VIRGINIA BEACH VA. 23462 DIN CRED SER YO1KM30C1 (952) 939-8: 00 PC1 =617 HOPKINS MN. 55343 ARS YC2BQ4CC2 (954) 321-5951 1801 NW 66TH AVE FOR: LAUDERDAL FL. 3.931 3 LVNV FENDING YO21T9002 (866) 464-1183 C/C RESURGENT CAR! GREENVILLE SC. 286C3 CA? ONE BC1ETV001 (800( 9-...-5- !C10 PCB 3C281 SALT LAKE CITY TT. 94I3C EST PREMIER 9Z412F045 3820 N LOjISE AVE SIOUX FALLS SE. 57107 ESSC RANK 302EF90C1 888) 385-8916 PO BOX 9 3;:FFALO NY. 14240 SYNCB/JOI, EC235C58D 966 2 - 2S3 FO 30X 365001 ORLANDO FL. 32896 OREDITCNEBNY 3C54MR0: 3 (877) 825-3242 FO PDX 99272 LAS VEGAS NV. 89193 IBERIABANK 851300005 :3571 365-2361 P03 12440 NH "fBEFIA LA. 70562 MAST/CONTP=N FF2AQE003 PC PDX 11143 WILMINGTON DE. 19850 ;IPDS/WIDS FS839N017 P.C. BOX 1697 wINTERV=LLF NC. 23595 SANTANDER FA1R18003 086:21 923-9282 80 BOX 961245 FORT WORTA TX. 76161 VEILS FARGO BA9CRN714 MAC 4C32-080 PHOENIX A2 . 85031: CONTINENTAL F 4553464 (866) 449-4514 121 CONTINENTAL DR NEWARK DE. 19713 END CP 7RANSUNEON REPCRT YERIT CREDIT HAS RETRIEVED TFE ABOVE PERSONAL CREDIT REPORT EOR LICENSING PURPCSPS AC RE,WESTED BY TEE BUSINESS OWNER/PROPRIETOR. PUBL.:C. RECORDS FOR THIS REPORT HAVE BEEN CHECKED AND VERIFIED AT THE COUNTY, STATE AND FEDERAL LEVELS. PUBLIC RECORES HAVE ALSO SEEN VERIFIED FOR PINELLAS COUNTY. PUBLIC RECORDS LEARNED 0 OSVALDO E GONZALEZ 15246 CORTONA WAY NAPLES FL 34120 PH. 239-200-8049 E-MAIL calimete05 @yahoo.com BUSINESS PLAN TO PERFORM WORK EFFICIENTLY AND PROFESSIONALLY FOR CONSUMERS. TO PAY CREDITORS. CREDITOR PLAN/PAYMENTS/MONTH HSBC (31320020208042) $16.5K $809.00 FOR 20 MONTH HSBC (13842870) $ 615.00 PAID FULL HSBC BANK NEVADA BEST BUY (14543301 ) $716.00 $100.19 CREDIT ONE BANK (4447961129351181) $2052.00 PAID FULL FST PREMIER BANK(517800765104) $343.00 $ 86.00 VERIZON WIRELESS $141.00 PAID FULL ❑ , ❑ µ ;.:t Payment Address:P.O.Box 390846 Northland Group Inc, Minneapolis,MN 55439 ❑.• �' Mail Code S08100 866-699-2652 For Hours of Operation,please visit us at: www.payments2northland.com Northland Account#:F98039387 May 28,2014 Current Account Owner: LVNV Funding LLC Original Creditor:Credit One Bank, N.A. Original Account#:*****"******1181 IIII IIIIIIIIIIIIIIIII IIIAIII11011IIIII111111111111111I1111I1111111I 111I1111111111 Osvaldo Gonzalez (F98039387-05/28x205) 15246 Cortona Way Naples, FL 34120-0672 tlliIlltritllrlliuillllll iliI,IuuluiIILiIitrllIIIitlllllul„ 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 ❑ A❑ r" I I� ;t'i�' Payment Address:P.O.Box 390846 Northland Group Inc. ❑ Minneapolis,MN 55439 0 .• a, Mail Code CVR29 866-699-2652 For Hours of Operation,please visit us at: www.payments2northland.com Northland Account#:F23286873 May 28,2014 Current Creditor Cavalry SPV I,LLC Previous Creditor. HSBC Bank Nevada, N.A.1 Best Buy Original Account#:'5101 IliuM 11111 11111 llIiIIIIiI1flff iill lI181Qll1H11111111111111111111111111111111. lillillhlfil OsvaldoEGonzalezSr (F23286873-05/28x205) 15246 Cortona Way Naples, FL 34120-0672 'IIIII'IIIIIIIIIIIIIrrrlI1"1"I WI IIIIIIIIIIII'III'IiIIi'III'II 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. 114205-205 P219/0528_2 PO Box 520 Valhalla,NY 10595 12 14 00004117 425062 Phone: (866)4342995 • FAX: (914)347-1973 www.cavalryaortfolioservices.com July 14, 2014 RE: Original Institution: HSBC Bank Nevada,NA lOdhard Bank Original Account No.: 5120255011541376 Cavalry Account No.: 14543301 Outstanding Balance: $515.29 li iidlIIirii'IIIIIhIiiIlIlIiJIJ�, IIII IPIIPIhhIIialhlu yj; Osvaldo E Gonzalez Sr .,11 .} 15246 Cortona Way }j�y�+ Naples, FL 34120-0672 iyl�kEt u.. Dear-Osvaldo E Gonzalez - 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 PO Box 520 (Iava1r Valhalla, NY 10595 1111 00003378 414512 Phone: (866)434-2995 • FAX: (914)347-1973 www.cavalryoortfolioservices.com June 12, 2014 RE: Original Institution: HSBC Bank Nevada,NA\Orthard Bank Original Account No.: 5120255011541376 Cavalry Account No.: 14543301 Outstanding Balance: $615.47 h hnI'li'll iI'Iihllii�sl plt'IIiiihiIIIIaiI11'I'11'11'll'IId < ij Osvaldo E Gonzalez Sr _15246 Cortona Way a -e{ " ` 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, __ RosarioNevarez_- -- — 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 PO Box 520 a Valhalla, NY 10595 39 77 00011611 435142 Phone: (866)434-2995 • FAX: (914)347-1973 www.cavalryportfolioservices.com August 12, 2014 RE: Original Institution: HSBC Bak Nevada,NA\Or hard Bank Original Account No.: 5120255011541376 Cavalry Account No.: 14543301 Outstanding Balance: $415.10 IIP, ,uIII'i'tIihh,1,IIIIIIIIihih,i,I1111dihIIihIIIIi1I''i4ht .. { �f1."Osvaldo E Gonzalez Sr fjsiy' 15246 Cortona Way 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: August 21, 2014 Check Number: 9003 Drawn On: August 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, Kevin Hanlin 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