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CLB Agenda 03/18/2015 Co► er County COLLIER COUNTY CONTRACTORS' LICENSING BOARD AGENDA MARCH 18, 2015 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 S IS MADE, WHICH RDECORD NCOLRUDES THAT TEST MONYAND EVIDENCE RECORD UPON WHICH OF THE PROCEEDINDIN G THE APPEAL IS TO BE BASED. I. ROLL CALL II. ADDITIONS OR DELETIONS: III. APPROVAL OF AGENDA: IV. APPROVAL OF MINUTES: DATE: February 18, 2015 V. DISCUSSION: VI. NEW BUSINESS: (A) Orders Of The Board. (B) Steven M. Hall, Stahlman-England, Inc. —Waiver of Examination(s) (C) Michael L. Catanzaro—SWFL Pool &Spa, LLC (DBA)ASP-America's Swimming Pool Co.— Review Of Experience. (D) Janet Ramirez, Castaway Flooring Service, Inc. —Review Of Credit (E) Jim E. Skelton, Skeltons Construction Inc—Waiver of Examination(s) VII. OLD BUSINESS: VIII. PUBLIC HEARINGS: (A) Case#2015-01 :Tracy Lee Cummings—(DBA) Catch'Em All Contracting Inc. (B) Veronica A. Compean (DBA) Compean Maintenance, Inc—Review Order Of The Board, One Year Probation IX. REPORTS: X. NEXT MEETING DATE: WEDNESDAY, APRIL 15, 2015 COLLIER COUNTY GOVERNMENT CENTER ADMINISTRATIVE BUILDING THIRD FLOOR IN COMMISSIONER'S CHAMBERS 3299 E. TAMIAMI TRAIL NAPLES, FL 34112 February 18, 2015 MINUTES OF THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD MEETING February 18, 2015 Naples, Florida LET IT BE REMEMBERED, that the Collier County Contractors' Licensing Board, having conducted business herein, met on this date at 9:00 AM in REGULAR SESSION in Administrative Building "F," 3rd Floor, Collier County Government Complex, Naples, Florida, with the following Members present: Chairman: Patrick White Members: Michael Boyd Ronald Donino Terry Jerulle Richard Joslin Kyle Lantz Gary McNally Robert Meister Excused: Thomas Lykos, Vice Chair 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— Collier County Licensing Compliance Officer 1 February 18,2015 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 said proceedings is made, which record includes the testimony and evidence upon which any Appeal is to be based. I. ROLL CALL: Chairman Patrick White called the meeting to order at 9:00 AM and read the procedures to be followed to appeal a decision of the Board. Roll call was taken and a quorum was established; seven (7) voting members were present. II. AGENDA—ADDITIONS, DELETIONS, OR CHANGES: (None) III. APPROVAL OF AGENDA: Vice Chairman Lykos moved to approve the Agenda as submitted. Kyle Lantz offered a Second in support of the motion. Carried unanimously, 7— 0. IV. APPROVAL OF MINUTES—JANUARY 21, 2015: Gary McNally moved to approve the Minutes of the January 21, 2015 meeting as submitted. Richard Joslin offered a Second in support of the Motion. (Terry Jerulle arrived @ 9:02 AM; eight voting members were present.) Chairman White asked Mr. Jerulle if he had any questions concerning the Minutes and his response was, "No." Carried unanimously, 8— 0. V. DISCUSSION: • Michael Ossorio has been in contact with the City of Naples and the Board of County Commissioners. Robert Meister has been re-appointed as the City's representative to the Contractors' Licensing Board and has been approved by the Board of County Commissioners. • Michael Ossorio and the Board's Attorney, James Morey, have been working together concerning the Application, i.e., the format of the Affidavit has been revised and a copy will be provided to the Board for their review. 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. Ronald Donino offered a Second in support of the motion. Carried unanimously, 8—0. 2 February 18, 2015 (Note: With reference to the cases heard under Section VI, "New Business,"the individuals who testified were first sworn in by the Attorney for the Board.) B. Paul E. Heaton —Waiver of Exam(s) (d/b/a "Kyle's Finish Carpentry, Inc.") Paul Heaton stated he was appearing before the Board to reinstate his finish carpentry installer's license. He noted he had taken the exam in Lee County in 2005. Michael Ossorio: • In Lee County, Mr. Heaton has a Certificate of Competency for "Finish Carpentry Contractor." • In Collier County, he had a"Cabinet Installing License" which includes his finish carpentry and requires taking the Business Procedures test. It is not a Carpentry License. It is a Cabinetry and Millwork License. • Mr. Heaton has petitioned the Board to waive the requirement to retake the test. • Mr. Heaton was asked to explain his work experience for the past five years. Paul Heaton: • Has been in the same trade for the past 30 years. • His line of work consists of finish carpentry; cabinet building; installation. • He stated he has the qualifications to do what he has asked to do. Chairman White asked Mr. Heaton if he had been able to keep up with the current practices in his trade since his license lapsed and the response was, "That's all I've done." (Robert Meister arrived; nine voting members were present.) Paul Heaton: • From Ohio and began working in his trade in the early `80s. • Moved to Naples in April, 2005 and obtained his license. • Returned to Ohio in 2006 due to the economic downturn and allowed his Collier County license to lapse in 2007. • Has worked continuously in his trade in Ohio and since his return to Naples in 2014. • There are no license requirements in Ohio. His company was incorporated in March, 1998 and he is still in the same business. A copy of the "Certificate of Good Standing" signed by the Ohio Secretary of State, dated September 15, 2014, is attached to the Application. • Has been working in Naples for the past ten months until he was injured in September, 2014. He had been employed by CTC Frame and Finish. • Will be his company's sole employee 3 February 18, 2015 Chairman White questioned the Applicant concerning one of his references, Christopher M. Parker. Mr. Heaton replied he has known Mr. Parker for the past 19 years and has worked for him in both Ohio and Florida. He stated Mr. Parker is a licensed contractor and owner of The Parkerbilt Co, LLC, and also owns Absolute Roofing in Naples. Kyle Lantz moved to approve the Application and grant the Applicant's request for a waiver of examination. Gary McNally offered a Second in Support of the motion. Carried unanimously, 9— 0. Michael Ossorio explained to the Applicant that, since the Board approved his application, his license would be reinstated upon payment of the required fees. C. Teodor Danilov—Review of Credit (d/b/a "Custom Flooring Design, Inc.") Mr. Danilov stated he had applied for Contractor's licenses for tile and marble, and floor covering but his credit score was low (509). • He worked with Lexington Law to improve his credit • January 30, 2015: his credit score had increased to 543. He anticipates another increase within the next two to four months. • There are no bankruptcies on his credit report; nothing is in collection; he does have some late payments showing on the credit report • He explained a problem with a laptop purchase (in 2006) from Best Buy and the issue is being resolved. Kyle Lantz noted the Applicant's problem with his credit is not that he had "bad" credit—he had not borrowed very much and preferred to pay in cash via his debit card. He also noted Mr. Danilov usually worked for Contractors who supplied the materials that he installed. He stated he would approve a motion without placing Mr. Danilov on probation. Terry Jerulle disagreed, noting the Applicant stated his intention was to improve his credit score. Mr. Jerulle would like to see evidence of settlement of the Best Buy account in the future. Richard Joslin moved to approve Teodor Danilov's Application for a License, subject to a six-month probationary period. At the end of the probationary period, Mr. Danilov will appear before the Contractors'Licensing Board to represent a new, improved credit report. If there has not been a significant improvement in the credit report, the Board may reverse its position regarding licensure. Gary McNally offered a Second in support of the motion. Motion carried, 9— 0. 4 February 18, 2015 D. Abel Arredondo—Waiver of Exam(s) (d/b/a: "Superior Woodworking, Inc.") Abel Arredondo stated he was appearing before the Board to request that his license as a Cabinet Installer/Millwork Contractor be reinstated and to request that he is allowed to waive taking the examination. • He had been licensed for several years but, due to the economic down-turn in 2007, he took a salaried position as a project manager for Palm Bay Kitchens and later their sole service person until the company closed in January 2012. • He was not aware he could have applied to have his license declared "inactive." • He previously attempted to reinstate his license but was informed he would need to sit for the Business Procedures exam. • From July 2012 through January 2015, he worked for Grand Woodworking as their sole installer/service man. • Grand Woodworking is currently being dismantled. • Several companies including Artisan & Guild, Alli-Kriste, and Rufino have contacted him to work as their cabinet installer. • He stated he did not feel it was necessary for him to retake the test since he has been continually working in his field since 2007. Chairman White noted that one of the owners of Grand Woodworking was a client of his law firm. Gary McNally asked Mr. Arrendondo what he was doing to improve his credit rating. Abel Arrendondo explained that his personal credit suffered most during the economic down-turn. He is twice-divorced and has spent "thousands of dollars" on attorneys' fees in order to fight for visitation/custody of his children. His priorities were to fight for his children and pay his rent. He acknowledged being behind on bills but he stated he has, the past two months, been in contact with two collection agencies who have agreed to "work with him." He produced a letter from one agency verifying he has paid the debt ("Proof of Pay-Off" Letter). He further stated that construction has begun to improve in Collier County and he felt certain that he will be able to make a"decent amount of money" to pay off his remaining debts within the next 6 to 12 months if the Board will reinstate his license. Mr. Arrendondo noted his goal is to avoid declaring bankruptcy, although he stated many people in his financial situation would have gone through a bankruptcy—he does not want that on his credit record. It was noted Mr. Arrendondo also submitted his old business credit report which was debt-free. Abel Arrendondo stated his business will consist of the installation of factory-made cabinets. He will not buy the materials because they will be provided by the Contractor. He indicated he will probably not hire any employees. He assured the Board that in the event he does hire employees, they will be covered by Workers' Compensation Insurance. To not have it is, in his opinion, "crazy." 5 February 18,2015 Gary McNally moved to approve granting Abel Arrendondo request for a Waiver of the Testing Requirement. Mr. Arrendondo will be granted a probationary license and will appear before the Board in six months for a review of his credit. Kyle Lantz offered a Second in support of the motion. Carried unanimously, 9— 0. E. Josue ("Joshua") Briceno—Review of Application (d/b/a: "Innovative Glass & Window, LLC".) Michael Ossorio provided background information: • On February 2, 2015, Mr. Briceno was issued Citation#09078 and was fined $1,000 for working without a license in the City of Naples. • He applied for a license within 45 days, per the Ordinance, on February 4, 2015. • He noted Mr. Briceno has taken all of the necessary exams and is licensed in Lee County. o Business & Law—02/02/2003 — 86.0% o Glass & Glazing Contractor— 01/05/2013 —76.0% • Staff reviewed his application and noted the Workers Comp System Certificate of Liability Insurance had an expiration date of 12/11/2015 and the Certificate for the General Liability insurance had an expiration date of 11/17/2015. • Staff then contacted the insurance carrier stated that the dates were not correct and the certificate had been either forged or altered. • It was determined that the Applicant had not had insurance coverage for at least several months. • The Applicant intends to abate the Citation and has appeared before the Board to explain the email sent by his wife who is the office manager. • The Applicant obtained General Liability insurance on February 5, 2015 and provided a copy of it with his application. Josue Briceno confirmed he had copies of the binders for both policies and he provided the copies to the Board's attorney, James Morey, to review. Vice Chairman Lykos asked Mr. Ossorio if the first set of insurance certification attached to the application were "forged" and the response was "Correct." Michael Ossorio noted the State of Florida's Department of Financial Services is conducting a preliminary investigation of the issue. Josue Briceno: "I am not here to make any excuses. I think what happened was wrong. I am not here to try to give you an excuse—it was wrong. We should have given the Board the right documents. On behalf of my wife and my company, I apologize." He explained he handles the instillation and field work and his wife handles the office. He stated he was on a job when the Citation was issued and he immediately went to the City of Naples to handle it. He reiterated that he had no excuse. 6 February 18,2015 Michael Ossorio: "Maybe the use of the word `forge' is too strong, but the documents appeared to have been altered." Chairman White stated while the Applicant did not represent himself as someone else, it [altering the documents] was a bad business practice. He suggested the investigation should be "left to others and any consequences from that." He stated the question was the degree to which the Applicant's actions may impact the Board's review of his application. Chairman White asked Attorney Morey to provide a brief summary of the documents provided to him by Josue Briceno that he had reviewed. Attorney James Morey stated there were two declaration pages — one was for the General Liability policy and the other was for the Workers' Comp policy. (The signed documents were reviewed by the Board members.) Gary McNally noted the Applicant's credit score was 505 and asked him what he was doing to correct/improve the score. A. We incorporated the company two years ago. When we first started, I had six partners including my wife and myself. Since I was the license holder, I signed for the many loans. After the first year, we found out that some of our partners had been stealing money—it was a big mess and we parted ways. The company had been called Innovative Glass and Railing. We changed the name to Innovative Glass and Window, LLC with only my wife and me as partners. Since I personally guaranteed all the loans, it affected my credit. I am working on my credit scores with a company that is helping to remove old items from my credit history. I am pretty sure that within six months, the scores should be back up again. Lyle Lantz directed a question to Michael Ossorio: Q. Since he has been in business for more than two years, it is my understanding that we only look at the business credit report—not the personal. Am I correct? A. That is true. However in some cases, we look at the totality of both credit reports. In this particular application, it appears that he would have been before the Board for the issue of co-mingling funds and personally guaranteeing his business. It was noted the Applicant has been licensed in Lee County for the past two years. Mr. Brieno stated when he applied for the Lee County license, his credit scores were higher. Michael Ossorio explained the Board was conducting a full review of the application and not just on the merits of the signed affidavits. He stated the credit scores had to be addressed. Chairman White stated many of the items on the credit report appeared to have been charged off or were relatively small amounts. 7 February 18, 2015 Terry Jerulle questioned the Applicant: Q. Can you please explain your business? What you do and who your work for? A. I've been doing installations since I was fifteen years old. I started by cutting glass and cut glass for at least eight years. I worked for a glass service company. I did glass replacements and window repairs, sliding glass door repairs. I started doing shower enclosures, mirror walls, and glass walls. I became very good at my trade. When I had partners, the company had the glass portion and the railing portion. They were glass rails. But now we are a glass service company. If you have a break in at your house, we will come out and cut the glass on site to repair it for you. I do have two employees who are included in the Workers' Comp policy. Q. Do you replace windows in sliding glass doors? A. We sell them but we usually don't install them at all. It's very rare. I do mostly sales because I'm a PGT Dealer. Q. Do you sell the PGT windows? A. Yes. Q. To whom? A. To homeowners, to contractors ... Q. And who installs them? A. Usually they have someone who will install it. Sometimes we do some installations, but very rare. Q. On those installations, you didn't pull any permits ... correct? A. No we have ... but it's usually with ... when I've done installations, it's with the Contractor—either we're doing a glass wall and they ask if we can install a window for them. They just pay us for the labor. Q. As a PGT dealer, do you have credit with PGT? A. Yes, I do. I have been a dealer for two years with them. You see, when we started the business, my credit was good. It's just all this baggage that was left over from all my ex-partners. I was part of that, too. I'm not running away from it. I'm trying my best to pay everybody off. I know it's going to take time, but I am paying them off little by little. Chairman White questioned the Applicant's name as it appeared on the Citation as well as on his driver's license and requested an explanation. A. I am from Central America. In Nicaragua, some families give second names. "Joshua" is my first name. "Vinerte" is my middle name. "Briceno" is my Dad's last name and "Urbina" is my Mom's last name. When we came to the United States ... when you enroll in school ... they only have your first name and then my Dad's last name. But my passport, my license, my immigration papers .. all have Josue Vinerte Briceno Urbina. Chairman White stated he was comfortable that the documents identified the same person using the convention applicable in the United States. He acknowledged the corporate entity would be named something else. It was noted the Articles of Organization for a Florida Limited Liability Company referred to the Applicant as "Josue V. Briceno." 8 February 18,2015 Vice Chairman Lykos questioned the Applicant: Q. Josh, is your license in Lee County is current right now? You are active in Lee County? A. Yes, sir. Q. So what you're trying to do is to get your license in Collier County to operate in both counties? A. To be honest, that was not my intent. My shop is in Lee County in Lehigh Acres —that's where I do most of my business. It just happened that with the Contractor the job was in Naples and I wasn't aware that I had to get a Collier County license. If I am accepted for my license in Collier, I wouldn't mind coming to Collier but most of my business will be in Lee County. Q. Part of why you are here is because you received a Citation and was fined $1,000. If you can get a license here, it will reduce the amount of the fine—correct? A. Part of it—yes. But for me to get a Collier license will be an upgrade for my company and for access ... I can add more advertisement ... it could be good for the business as well. Q. I understand you have been proactive in submitting your application and getting your insurance squared away, but I have issues with what led you to be here in the first place which I think need to be resolved before I am comfortable allowing you to have a license here: you operated without insurance and then you provided— what's the word we're using—"altered" documents when you were confronted about working without a license in Collier County. I don't think your credit is the issue. The issue for me is that you operated without insurance and the resolution of that is still pending. Then you submitted altered documents. I am not comfortable at all having a conversation about your having a license here until all the other issues have been resolved. You pay the fine for the Citation and then you have resolution with the State on operating without Workers' Comp. I am only one of nine but I couldn't care less about the credit right now. You have some other issues that are germane to operating as a licensed Contractor in Collier County and those are a lot more critical than what your credit score is. A. I understand. Chairman White: "As I said before, the thing that was pertinent was how the altered documents were explained and what their impact was on the operation of the business, in particular in Collier that led to the Citation and it being resolved." He continued: "Knowing that there is an ongoing State investigation to me ..... What are the potential outcomes—if you are aware of what they might be, Mr. Ossorio, as a result of that investigation? Would it be possible that they might look to revoke his license in Lee --- I'm just trying to get to the licensure piece of it. I am certain there could be fines and probation imposed, but I'm trying to get the license component and whether there is any jurisdictional authority that the State may have. The reason for that is we wouldn't want to give him a license and then have the State say he can't have a license." 9 February 18, 2015 Michael Ossorio: The State will not tell you that you cannot have a license but they will tell you that you cannot have a corporation any longer. We have an obligation to abate the Citation. I am not saying that the Application was in good faith but he did submit it, pursuant to the Ordinance. I believe we have a duty to go ahead and abate the Citation. But my recommendation is to not hear this case other than to deny the application for six months until he gets his Order from the State of Florida because this could impact Lee County as well." Chairman White: "Rather than waiting six months, if we deny his application, can we re-time it so that he does not submit another application before the determination is made? I don't want to set an artificial time longer than it may take the State." Michael Ossorio: "If the Board denies his application, we would abate the Citation in the first place. If the State imposes a punitive measure—or doesn't impose—and his credit score is about 580 or 590, you might not see the application or I might approve the application because he has a Letter of Reciprocity from Lee County. And he is in good standing with Lee County—his corporation papers are in order and there is no issue with the credit score for his corporation. Theoretically, you might not see the [resubmitted] application." Chairman White asked if there were any other questions for the Applicant. Richard Joslin moved to approve denying the application. Ronald Donino offered a Second in support of the motion. Carried unanimously, 9— 0. Chairman White noted the Citation would be abated and the amount of the fine would be reduced. VII. OLD BUSINESS: (Note: With reference to the case heard under Section VII, "Old Business,"the individual who testified was first sworn in by the Attorney for the Board.) A. Luis Escobar—Review of Probation Chairman White stated Mr. Escobar was appearing before the Board for a review of his probationary license and asked him if there was anything that he would like to tell the Board. Luis Escobar: • Regarding his credit report, he stated the large amounts from the previous credit report ($72,385 — SunTrust Mortgage) "were gone, really." • He explained each open item on the credit report (dated January 21, 2015) as follows: o AllianceOne—($255)—has been paid in full. Confirmation#1170146 o Ally Financial—($5,276)—has not contacted them yet o Amex—($6,664) —has not contacted them yet o Cach LLC —($51,056)—an attorney was hired to negotiate a settlement 10 February 18, 2015 o Capital One—($2,982) —have made two payments —the balance will be paid off in four months o CBE Group—($230)—has been paid in full o Chase— ($8,127) —has not been contacted yet o Debt Rec Solutions — ($4,444) —has not been contacted yet o FCO — ($1,715) —have paid 50% of the balance and the remainder will be paid next month o Civil Judgment—Vet Hospital ($209)—has been paid in full o Civil Judgment —Ford Motor Credit ($4,212)—amount has been reduced to $2,400; paying $200 @ month until December 2015 Mr. Escobar explained that, initially, he could not speak with all of his creditors because he knew he couldn't pay them all at once. He could only pay a few at a time, and negotiated settlements with the ones he could pay off first. He will contact the others within the next two months. Kyle Lantz explained his interpretation of Mr. Escobar's payment philosophy: He is starting with the smallest payments and working his way up to handling the largest amounts, i.e., whittling the list down to a more manageable size by paying off the ones he can first. Luis Escobar agreed and noted he still needed a cash flow to keep his business going in order to keep paying off his creditors. He was paying off the creditors he could as soon as he could. The ones that have not been previously contacted will be during the next two months. Kyle Lantz questioned Luis Escobar: Q. How is your business doing? Is it doing well and are you paying all your bills? Do you have any back payments due to any of your suppliers? A. No. The business credit report dated January 27, 2015 doesn't show any open accounts. Mr.Escobar noted his major supplier is Kobrin Builders Supply and he has a$5,000 line of credit with Kobrin. He also buys supplies from both Home Depot and Lowe's but pays in cash. He further stated: "I am doing the right things—I am paying the people. My customers—I am trying to make happy. My employees—I am trying to make happy, too, at the same time." "We are handling all of our money pretty good. You know, keeping the money we need to run the jobs and to pay the people on time —we are doing the right things." Vice Chairman Lykos: Q. Do you remember the business plan you gave us and the sales charts you gave us? Do you refer back to those? A. Yes. It was five percent per month—we are exceeding that a lot. Q. For example you had projected approximately $25,000 in sales for the last three months of 2014. What kind of sales volume did you do for those three months? 11 February 18,2015 A. We made about $75,000 for the last two months. We are providing services to AA Stucco & Drywall and that will be another $20,000. In and all by the end of December—about $150,000 for November and December. Chairman White observed: • Mr. Escobar has paid approximately $6,000 since his last appearance before the Board. • He still owes approximately $26,000 to various creditors that he has not contacted. • He still owes approximately $51,000 on the mortgage with Wells Fargo Bank. • Re: the Green Tree foreclosure, Mr. Escobar hired an attorney to have it removed from his credit report Chairman White asked Mr. Escobar how much he would need each month in order to pay off his other debts. He commended Mr. Escobar for providing a business plan, as the Board asked, and for the update he provided. He noted Mr. Escobar has managed to pay approximately $6,000 in back debt while incurring the cost of hiring an attorney (approximately $6,000). He was impressed that the company's sales had exceeded its goals, but he expressed concern at the amount of time it would take Mr. Escobar to completely pay off his debts. VIII. PUBLIC HEARINGS: (None) IX. REPORTS: • Michael Ossorio noted there was a posting on the website to hire a Licensing Compliance Officer on a temporary basis. He stated the position was for full-time work but without any benefits. X. NEXT MEETING DATE: Wednesday, March 18, 2015 BCC Chambers, 3`d 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 11:00 AM. 12 February 18, 2015 COLLIER COUNTY CONTRACTORS' LICENSING BOARD PATRICK WHITE, Chairman The Minutes were approved by the Committee Chair/Vice Chair on , 2015, "as submitted" ( 1 OR "as amended" ( 1. 13 STAHLMAN - ENGLAND, INC. Installation • Service• Commercial & Residential • Pumps Landscape Drainage• Landscape Lighting • Golf• Design • Audits January 8, 2015 Collier County Board of Commissioners Licensing Section 2800 North Horseshoe Drive Naples, FL 34104 Re: Steve M. Hall Reinstatement Contractor Licensing To Whom This May Concern, Please accept my Application for reinstatement of my Collier County Contractor License for Landscaping Restricted. I have completed all of the necessary forms required for this reinstatement. I appreciate your assistance. Sincerely, 7 I/ f■ ,y r Steve CORPORATE OFFICE: www.rain4u.com 2063 Trade Center Way STAHLMAN ENGLAND IRRIGATION is an FL 34109 les, ni Like us on Facebook Naples, Affirmative Action,Equal Opportunity Employer. Telephone-239.514.1200 Email: inforain4u.com Facsimile-239.514.1191 cam. `°€ r + ct .` .t CDES Operations & Regulatory Management Licensing Section 2800 North Horseshoe Drive e — Naples, FL 34104 ATION FOR COLLIER COUNTY/C ` `r r APLES/CITY OF MARCO FIR 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: "7N F(c t�' r�.� - z=:n �`,;, —(e cwt"r r:, J _t Fiction Name/DBA: Qualifier Name: C,` `, 1 `'} -1 n_ Physical Address: :(_.,�f�'k, ) ! it'Al sc � .t t s U lip A,k,A- L C:) /f (Number 86 Street) (pity) (State) (Zip Code) f f \ Mailing Address: ■�4 (Number& Street) (City) (State) (Zip Code) Z Telephon _ � E-Mail: { Lf .l � `f7C14 TYPE OF LICENSE: °(e"r ❑ General $230.00 ❑ Electrician $230.00 ❑ Building $230.00 ❑ Plumber $230.00 ❑ Residential $230.00 ❑ Air Cond. $230.00 U Mechanical $230.00 1' Swimming Pool $230.00 ❑ Roofing $230.00 El Specialty $205.00 f S ; Specialty trade: L. a`■f CIAANGE OF STATUS i + t' �; ; .J ;' ;� -4 I (v Reinstatement (/) From One Business to Another] ( ) Dormant License to Active Page 1 of 4 . 1. The names, titles, home address and phone numbers of all Officers/Managing Members of the Firm. 164 1-1 , (, -.)x 1 t t( I. I tct 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. T1 1_( F vA, \ Lin(', (6% 3. List all debts you or any company(s)associated with you refused to pay and the reasons for the refusal to pay. Attach extra pages if needed. AFFIDAVIT } 1, /Vt(V 17-11)14'oertify that the foregoing is true and correct to the best of my knowledge. /2/it C 't-'" /(.. Authorized Officer of the Firm STATE OF FLORIDIAL COUNTY OF rG-� �..--- - _ 5 The foregoing instrument as acknowledged before me this :IA, - � � ---- (Date) By `{ C�� of Jr �l � �b ��ti,r, (Name of officer, title/agent) (Name of Corporation.)) a f __- Corporation on behalf of the corporation. (State or Place of Corporation) He/She has produced -�r t-!rf �5 '" 1 --r< r J t identification and did not take an oath. �—' (Type of identification) NOTARY'S ' - MONICA ARANA Public -State of Florida Notary oe Comm.Expires Jan 21,2017 Ill •tee commission # EE 866544 (SIGNATURE OF NOTARY) h National Notary Assn. 8cnded Through Page 2 of 4 ,. * - - QUALIFIER INFORMATION: - � Name: `-J / /- L � //(t / // Address:" ' �) / �-V��'y~ = / 4~ /1�~t-' / � L / /� /.�/l/ // / f�� i . - '2��Z(/ _�� //� 7:-, & Street) (City) -)(State) /2 (Zip Code) ' ���'y ---- /�� ^-��r� I)u�oofBbtb� /�� / / /� ,� �� / / S.8. #: 000-00' / / - '--) - E-Mail: '�'� /~�` r��'^ / / �pJ-C y _ ~ - ' - /� Driver's License: /1 -_ _� ( ^ 1 -_ /a / _ ~� c i'/-\ 1. Type of Certificate of ComPetencY for which application is made --�-`_ ]/�.�\�'( /1 -- / 'v� ` \ L /l-�^ ' ' - C. . _ ~ `�'. ` 2. The names and telephone numbers of two persons who wil know your whereabouts. ' ^ ~ , ' � P1 / �,/� � /t'_., /l}4 / / � " Lc'---)-/ -- (e° -�) / �/ k / I' / ( _( - A/(�- 6_ _ / -,2 (' / � - N 3. Have you ever been conv�tedofaohn�e related toContracting? / � (--) (If yes attach extra sheet with explanation) /firms ^`� `--/-`� 7. Hav�youorany ,n�oyuuhavebeonaa000�todvv�hever�|edbankruptoy9 O. List all debts you or any company(s)associated with you refused or failed to pay and reasons why. ^] / \ 'L S. List your business or work experience during the past ten years. , - -[l _+- _/ ^- - /- U~t-/ �� 0 /-- ~� - (( *' � ' -) / ) / � ( � ) ^ � \�t( Lt� r f� / ' yor`_~-_ � L�� / 7 � / 10. Statement of any forma training you have had in the area for which the application is made. Page 3 of 4 . • AFFIDAVIT The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County Ordinance No. 2006-46, as amended, and vouches for the truth and accuracy of all statements and answers herein contained. The undersigned hereby certifies that he is legally qualified to act on behalf of the business organization sought to be licensed in all matters connected with its contracting business and that he has full authority to supervise construction undertaken by himself or such business or organization and that he will continue during this registration to be able to so bind said business organization. The qualified license holder understands that in all contracting matters, he will be held strictly accountable for any and all activities involving his license. Any willful falsification of any information contained herein is grounds for disqualification. J/(j I APPLICANT(PLEASE PRINT) ) Py/1 L. _1,-LA NAME OF COMPANY / JU4 SIGNAT OF APPLICANT STATE OF FLORIDA COUNTY OF C. I C_ The foregoing instrument as acknowledged before me this '-1.-/a } (Date) � . `,7 L 1� r d`�r 1 ■ 3 who has produced By ce ( L /" fv� t sfc' ;1 (Name of person acknowledging) (Type of identification) as identification and did not take an oath. ,■IO,TAFq,;S SEAL MONICA ARANA A Notary Pudic -State of Florida * x!v My Comm. Expires Jan 21,2017 ' Commission # EE 866544 (SIGNATURE OF NOTARY) '''5;4'`'-toss Bonded Through National Notary Assn. f Page 4 of 4 f 1 AFFIDAVIT It is understood and acknowledged by the Collier County Contractors' Licensing Board and myself that if I fail to acquire, or maintain at all times effective Workmen's Compensation Insurance it will result in the possible revocation of my Certificate of Competency. SIGNAT RE OF APPLICANT BUSINESS NAME L ( DA1 BEFORE ME this day personally appeared )71_:_v E f (��( I who affirms and says that he has less than one employee and does not require Workmen's Compensation and understands that at any time he employs one or more persons he must obtain said Workmen's Compensation Insurance. STATE OF FLORIDA COUNTY OF CC 1 �` The foregoing instrument was acknowledged before me this Ci./ ` i( (Date) by ,i 1, 6 ct who has produced L -41 l--r (name of person acknowledging) (Type of Identification) as identification and who did not take an oath. h,^v, nt,Av./44A SIGNATURE OF NOTARY 414 .Cotary Public - state of Florida My comm. EXG;re;Jan z1 2,x,7 NOTARY PUBLIC ,a Commission # EE 866544 Bonded Through National Nofarr Ass • RESOLUTION OF AUTHORIZATON WHEREAS " 'I I f h`4�y,ti .._ (' €�w proposes to (Name of Business Entity), _.. engage in contracting as )r A/j _L( �J '��l° �.�1 ! -C/'c.k;`in -..l (Type of legal entity: corp.,partnership,etc. ,1 Collier County,Florida, according to Collier County Ordinance 2006-46, as amended; and 1 ti WHEREAS !+1/U r'' L-1 i -j�c r > _1:' �- proposes to (Name of Business Entity) qualify fora Certificate of Competency with j�C=. F I (Name of Individual) NOW,THEREFORE,BE IT HEREBY RESOLVED THAT: We the undersigned I �G ' j <_� &/f Y ,i of (Officers,Owners,Partners) 17\1 !` _ -I�t'f � `` ))'-'4'hereby resolve and represent to the Collier County (Name of Business Entity) Contractors'Licensing Board that the qualifying agent, J V(7 1-let ! / ,is active (Name of Individual) in all matters connected with the contracting business of S i--A-j er Pin L /� I C<, -�.i and (Name of Business nt/ty) 1 We further resolve and represent that �� �'<° N J is (Names of Individual) legally empowered to act for -TAM all matters connected with its (Name of Business Entity) contracting business,and has the authority to supervise construction undertaken by (Name of Business Entityi DULY PASSED AND ADOPTED THIS j c. / day of JA , aDi (Officers,Partners,Owners—with Designation underneath) Witness / :Witness Witness Corporate Seal(if Applicable) Or Notary Public Certificate Sworn to and subscribed before me thist day of i-1 , '/ by Notary Public Name Printed Notary Public Signature Commission Number My Commission expires: % """ MONICA ARANA �`. °,. - Notary Public -State of Florida My Comm. Expires Jan 21,2017 ;;>+av-_tQ: Commission II EE 866544 Bonded Through National Notary Assn. • AFFIDAVIT OF INTEGRITY AND D GOOD CHARACTER I, F (�-t -t. I Mei am a resident of J L/County, (State) and have resided here for more than five (5) years. During the last five years I have known - pplicant). I have had the opportunity to observe his or her business and personal dealings and find him or her to be a person of honesty, integrity and good character. (Signature).:_, (Name) ,,1�'„ � /)) �J a. 11 rr1C / , �/ >t (Address) s � k"L � - : S /7-- jLI«i. Telephone) (-:3_) 7 It- STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this / / < / / ;i by (Date) \ who has produced f t g (name of person acknowledging) (Type of identification) as identification and who did not take an oath. i MON CA ARANA STGNATUR,E OF NOTARY 'rte+ 1 i Notary Public -State of Florida My Comm. Expires Jan 21,2017 Commission J7 EE 866544 if r;goi&EAlugh National Notary assn. (PRINT NAME OF NOTARY) NOTARY PUBLIC 9 STATEMENT OF OWNERSHIP This certifies that I, C. (-11- U C=- I\-`f = r,/`1 / 0 am a member or (APPLICANT'S NAME) f Managing member of - I A l /t_C /u _- -_i '`_I _ ..L .e , i 9( _z r ',) ,�_ (LIMITED LIABILITY COMPANY NAME) _J I own / (4; % of the units issued by the Limited Liability Company listed above. 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Internal Revenue Service Name(as shown on your income tax retort) STAHLMAN ENGLAND IRRIGATION INC Business name/disregarded entity name.if different from above G) or ca C Check appropriate box for federal tax classification: N o Individual/sole proprietor C Corporation S Corporation Partnersnip ❑Trust"estate no ' u ❑ Limited liability company.Enter the tax classification(C--C corporation.S-S corporation.P-partnership)► ❑Exempt payee ■ 2 C H ❑ Other(see instructions)► E.- Address(number,street.and apt.or suite no.) Requester's name and address(optional) S. 2063 TRADE CENTER WAY City.state,and ZIP code 0 NAPLES,FL 34109 List account number(s)here(optional) Part I Taxpayer Identification Number(TIN) Enter your TIN in the appropriate box.The TN provided must match the name given on the"Name"line social security number to avoid backup withholding.For individuals,this is your social security number(SSN).However,for a resident alien,sole proprietor,or disregarded entity,see the Part I instructions on page 3.For other - - entities,it is your employer identification number(EIN).If you do not have a number,see How to get a TIN on page 3. Note.If the account is in more than one name,see the chart on page 4 for guidelines on whose Employer identification number number to enter. 5 9 - 3 6 1 4 8 0 6 Part II Certification Under penalties of perjury,I certify that: 1. The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me),and 2. I am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal Revenue Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that I am no longer subject to backup withholding,and 3. I am a U.S.citizen or other U.S.person(defined below). Certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return.For real estate transactions,item 2 does not apply.For mortgage interest paid,acquisition or abandonment of secured property,cancellation of debt,contributions to an individual retirement arrangement(IRA),and generally,payments other than interest and dividends,you are not required to sign the certification,but you must provide your correct TIN.See the instructions on page 4. Sign Signature of Here U.S.person► Date► • General Instructions Note.if a requester gives you a form other than Form W-9 to request your TIN,you must use the requester's form if it is substantially similar Section references are to the Internal Revenue Code unless otherwise to this Form W-9. noted. Definition of a U.S.person.For federal tax purposes,you are Purpose of Form considered a U.S.person if you are: A person who is required to file an information return with the IRS must •An individual who is a U.S.citizen or U.S.resident alien, obtain your correct taxpayer identification number(TIN)to report,for •A partnership.corporation.company,or association created or example,income paid to you,real estate transactions,mortgage interest organized in the United States or under the laws of the United States, you paid,acquisition or abandonment of secured property.cancellation •An estate(other than a foreign estate),or of debt,or contributions you made to an IRA. •A domestic trust(as defined in Regulations section 301.7701-7). Use Form W-9 only if you are a U.S.person(including a resident alien),to provide your correct TIN to the person requesting it(the Special rules for partnerships.Partnerships that conduct a trade or requester)and,when applicable,to: business in the United States are generally required to pay a withholding tax on any foreign partners'share of income from such business. 1.Certify that the TIN you are giving is correct(or you are waiting for a Further.in certain cases where a Form W-9 has not been received,a number to be issued). partnership is required to presume that a partner is a foreign person, 2.Certify that you are not subject to backup withholding,or and pay the withholding tax.Therefore,if you are a U.S.person that is a 3.Claim exemption from backup withholding if you are a U.S.exempt partner in a partnership conducting a trade or business in the United payee.If applicable,you are also certifying that as a U.S.person,your States,provide Form W-9 to the partnership to establish your U.S. allocable share of any partnership income from a U.S.trade or business status and avoid withholding on your share of partnership income. is not subject to the withholding tax on foreign partners'share of effectively connected income. Cat.No.10231X Form W-9(Rev.12-2011) Detail by Entity Name Page 1 of 2 DEPARTMENT OF TAT D 1141 I s I \ O F O.., ':_t1 10 N r � "Mali° r.v n tV Nat« Florida Profit Corporation STAHLMAN-ENGLAND IRRIGATION, INC. Filing Information Document Number P99000110261 FEI/EIN Number 593614806 Date Filed 12/22/1999 State FL Status ACTIVE Principal Address 2063 TRADE CENTER WAY NAPLES, FL 34109-6244 Changed: 04/16/2001 Mailing Address 2063 TRADE CENTER WAY NAPLES, FL 34109-6244 Changed: 04/16/2001 Registered Agent Name & Address COSTELLO, T JOHN JR 12486 BRANTLEY COMMONS COURT FT MYERS, FL 33907 Name Changed: 09/02/2011 Address Changed: 01/21/2013 Officer/Director Detail Name &Address Title PTD ENGLAND, JAMES H 15687 VILLORESI WAY NAPLES, FL 34110 Title VPSD STAHLMAN, MARK http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail/EntityName/dom... 12/12/2014 Deeail by Entity Name Page 2 of 2 2212 RESIDENCE CIRCLE NAPLES, FL 34105 Title VP HALL, STEVEN M 2251 WEST END COURT LEHIGH ACRES, FL 33971 Annual Reports Report Year Filed Date 2012 01/09/2012 2013 01/21/2013 2014 01/14/2014 Document images View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format http://search.sunbiz.org/Inquiry/CorporatiOflSearCWSearChReSU1tta /Entity me/dom... 12/12/2014 4. ARTICLES OF INCORPORATION F I L.E D OF 99 DEC 22 PIS 2t 55 SECREI A!�Y OF I A(E Stahlman-England Irrigation, Inc i- ELCLAHASSEE, FLOP DA TRUMAN J. COSTELLO, acting as Incorporator of a corporation under the Florida General Corporation Act, adopts the following Articles of Incorporation for STAHLMAN-ENGLAND IRRIGATION, INC. . ARTICLE I (Name) • The name of the cor'por'ation shall be ; STAHLMAN-ENGLAND IRRIGATION, INC, ARTICLE II TDurat on The period of its duration ie perpetual , ARTICLE III (Nature of Suoineae) The purpose of this Corporation i $ to transact in any and all lawful activities and businesses permitted under the laws of the State of Florida, the United States of America or any other state, country, territory or nation. ARTICLE TV (Capital Structure) The aggregate number of shares which the Corporation shall • M have authority to issue is 1, 000 Shares of common stock having $1 .00 par value per share. ART__ IpL V (Princ pa o'�ioe) The principal place of business and mailing address of this corporation shall be 2063 Trade Center Way, Naples, Florida 34109-6244 . ARTICLE VI (Incorporator) The name and street address of the incorporator of this Corporation is , Name Address TRUMAN J. COSTELLO 12610 NeweBrittany9Blvd. #101 FL Fort, ARTICLE VII (Initial Registered Agent and Address) The name and address of the initial registered agent is: Name Address TRUMAN J. COSTELLO 12670 New Brittany Blvd. #101 Fort Myers,, FL 33907 ARTICLE IX (Pre-Emptive tights) Every shareholder, upon the Bale for cash of any new stock of this Corporation of the same kind, class or series as that which he already holds, shall have the right to purchase his pro-rata share (as nearly as may be done without issuance of fractional shares) at the price at which it is offered to others . IN WITNESS WHEREOF, TRUMAN J, COSTELLO, as Incorporator, has executed the foregoing Articles of Incorporation on this 20`h day of December, 1999 . TRUMAN J. COSTE'LLO Incorporator CERTIFICATE OF DES ZONATION OF MISTIMED AGENT AND REG:ST$RED OFFICE Pursuant to the provisions of Section 607 . 0501 , Florida Statutes, the undersigned corporation, organized under the laws of the State of Florida, submits the following statement in designating the registered office and registered agent, in the State of Florida. 1 . The name of the corporation is : STARLMAN-ENGLAND IRRIGATION, INC. 2 , The name and address of the registered agent and office is TRUMAN J . COSTSUC, 12670 New Brittany Blvd, 4101, Fort Myers , Florida, 3390'7 . Dated this 20th day of December, 1999 . COSTELLO, Incorporator a Having been named as registered agent and to accept service of process for the above stated corporation at the place designated in this certificate, I hereby accept the appointment as registered agent and agree to act in this capacity, I further agree to comply with the provisions of all statutes relating to the proper and complete performance of my duties, and I am familiar with and accept the obligations of my position as registered agent . Dated this 20th day of December, 1999 . '6 ,J. COSTS 0, egisters* Agent uo v r; N N 1! r�i'1C b -11"v' --;:.».1,..... ....y,f,j...... f:-....■■■•+:-...": vc::::-,Z.,•:-4.--;v:r:—....:4'.et...;.-:■:p.i•:.:.V..i.. ,:■■.---'".!. %la•i; #11r.i..4.0 vaill o.i:i•',KW•.ti.':vi•r.Wil%%IWO NAIN.ellio.',/irt-.,iits:if'•1^.4,•N-411aC-^ifif e;..,.."II Nil•;N4 GI e',....fir.':-.0,i4i6,-:e liK-4/1111%.:7;10:'4/4)C4'.."--4i--; '1.—",..`.---•;..'1: :0 err. ■— -.10.1.--,•6,4;4 V. 'AVM.0:-.•.. - 1:), '.:..'..... 141'- 6, 6 ... \to t... .., - -, ,7.1i 0 It: ..,. ... A 0]. ialltr's. ... .. . ( .m.... 9 41)1; AA:1 •■■■■ '• .. . ■ •N.■ ;4. .:'.1:1; 40. Al ..■ ' .1 ......,),,. . Ar.. ..a. p. 41`.: .41-■,01.0 .... •. ..(.1:rii 1.i.-' Orgartutinit of . ..: :;....11....- ...t. ,it,... ...; ... , AI: I certify from the records Of this office that STAHLMAN-ENGLAND IRRIGATION, INC, is a corporation organized under the laws of the State of Florida, flied on +11;%,..G■ A:r ,"■::(1)0 December 22, 1998, . ...,-....• - • ...-- The document number of this corporation is P9900011 O21, .....,,-;„ •;I:1'; ::(g i'. .- ...., %a 46 'i 0 I further certify that said corporation has paid all fees due this office through AN, Or December 31, 1999 and its status is active, i . . ...,, - -•i ,. .. I further certify that said corporatIOn has hot filed Articles of Dissolution. 41/•1 44 N•y -...:. :...: ....,. 1 V,. -..:-•.. 4b 411, , --*sr i..4•r,1.' . ,. ... , :.!.•1,..-- ,4),.. - -- ..,„ , . .. ..•. ,,,•1,1,. .1..i..- r w,• ...7,:1.; Given under my hand and the •larr: Okreat Seal of the State of Florida at Tallahassee, the Capitol, this the .:-• -.. :-.. -- Twenty.second day of icecember, 1999 At.-4V'.1 ''',.•;P-.1::,-.. .4-' ...., ,--1- ■ 4- t t ' ' • -.141f. ,.., .. . .. . .... .-x 4. „r . \ • x.,,,ili,..64„../g,„-n-0 .,,„,,JAG---10,. !arriffelirtg Mzirrti5 -•l'e .., . .,,G ,: Atrrztxrg crf„StAtP. 14,-,.. ,telt. OR2 022 (1.00) . . ., 44_is 74 ii ..., 11. ..0'. 160''''6A 4 6=,411,:o.likt-,:4 b,,,i•',e,,41.,-.1•r. r..1.•‘,4.1::.• ,....2.1.•t41_,,•11(:.9•frel.!•'-'2,1,•12,:l•ir?.‘,•if.,,,•!-,...1•'.!.'11,49!:c.I.PF.-L.:--;*1.-LAct-. ..!;!:',411,'='!!!!.-r-`1•;:.:^.1•.;QtkAi.,,—,,,..i..,,,--,.,- ,- --,,,. ,,.--,„. ;:-0 1(4 iiitl,,..;II rs i.747,41.4)i,•,0.i.i‘o."%y iir,,,,,o,,,,A ii),,L.,:•1.,di 10''N 41 INI7le v.444 i■tz7/11‘1".7.1114:-.1•V. ; VERIFICATION OF CONSTRUCTION EXPERIENCE GMD Operations & Regulatory Management Department Licensing Section 2800 N.Horseshoe Drive Naples,FL 34104 C__: t( Applicant's Name: �• C . / Certificate Category Requested: • *`'� - � tv t-1Jc :, _i`_/ (C i I`-I) 1 The Applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate the Applicant must verify their experience within this trade. You are being requested to provide information that will aid the Applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker(e.g.as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience must provide the following information: Name, Title and license number of the person signing below and verifying Applicants relevantexperience: Name: /� //k, _/ N-, ` --j)-7-- - / )k /I E- ' ri,. _ I J } • / } �1 Title: f'4 'f C (� ( 41 icense Number(if applicable): 7 `—//,`JJ1 t� g Name of Business: € r'\ -r 1 !` A - -"/ t C / Business Address: .--,: Y- .� I --/f /-✓ f---- / ,---/ ( , / l Business Phone_-';lei -' The Applicant's years-of experience from '� , ....`) to ' / `� The applicant's scope of work (specific duties)included: ijC_ --. , -',--- •, • -7;\---)c-T-6t If \ -f- )CI,/C__- C, 0---/".. Kil/ -t_L'Liq' &.; n ,f r V t s__ r a R.W f ,., T, A s l 'l i "\.,y,.,._ F _..._! iv f-_ f 10,1- . - . _ Y Vii¢ _ c-..,° Additional Comments: Falsifying any information provided herein may subject yuur license if revocation. /' //1, / el c° --4 -- / f Signature +' c' (7- _ Print Name: r f r _ k , i/_ } /I L j\--4/,,f_. State of Florida County of Collier The foregoing instrument was acknowledged before me on this day of X.-Z..1 !`LC`i Vl- , vI, / _ by '74rtf C I-4 (( who is personally known to me or produced as identification and who did not take an oath. Signature of Notary MONICA ARANA {9 , ,, Notary Public -State of Florida t: ` My Comm. Expires Jan 21.2017 6 t 9° .� Commission # EE 866544 ti `,'\"''` Bonded Through National Notary Assn. COLLIER COUNTY BUSINESS TAX BUSINESS TAX NUMBER: 87012( COLLIER COUNTY TAX COLLECTOR-2800 N.HORSESHOE DRIVE-NAPLES FLORIDA 34104-(239)252-2477 VISIT OUR WEBSITE AT:www.colliertax.com THIS RECEIPT EXPIRES SEPTEMBER 30, 2015 C ) DISPLAY AT PLACE OF BUSINESS FOR PUBLIC INSPECTION LOCATION: 2063 TRADE CENTER WAY \,�,,� , FAILURE TO PO SO IS CONTRARY TO LOCAL LAWS. FRM� "'., NON-REFUNDABLE - `'+' THIS TAXIS NON-REFUN ZONED: INDUSTRIAL 0 ,,• CORPORATION'S . BUSINESS PHONE: 514-1200 r 4," ! i, STAHLMAN-ENGLAND IRRIGATION INC. COUNTY LIC: 26603 # i STAHLMAN,MARK 10 ,,,,t- I 2063 TRADE CENTER WAY F+ - d NAPLES FL 34109-0000 b i NUMBER OF EMPLOYEES: 11-20 EMPLOYEES \ ,., w «^� �. CLASSIFICATION:LANDSCAPING UNLIMITED CONTRACTOR DATE 07/09/2014 CLASSIFICATION CODE: 02106902 NO FERTILIZING L " . AMOUNT 56.00 RECEIPT 672.42 This document is a business tax only.This is not certification that licensee is qualified. It does not permit the licensee to violate any existing regulatory zoning laws of the state,county or cities ' Z. nor does it exempt the licensee from any other taxes or permits that may be required by law, y COLLIER COUNTY CERTIFICATE OF COMPETENCY CERTIFICATION INFORMATION C32426 Certification Information Collier County Board of County Commissioners Date: September 02, 2014 DBA: Stahlman-England Irrigation, Inc ADDRESS: 2063 Trade Center Way Naples, FL 34109- PHONE: 2395141200 --CELL -239572Q0.60- ,-- _,,_ FAX: 2395141191 LICENSEE NBR: C32426 QUALIFIER: MARK S. STAHLMAN MICHAEL J DEHAY TYPE: LANDSCAPING UNLIMITED CONTR. CLASS CODE: 4230 ISSUANCE NBR: 26603 INSURANCE: ORIG ISSD: EXPIRATION: General Liability October 28, 2004 September 30, 2015 January 01, 2015 Worker's Compensation January 01, 2015 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 LANDSCAPING UNLIMITED CONTR. Curt Ndr:, Exp.: Status: C32426 09/30/2015 Active Stahlman-England Irrigation, Inc MARK S,`STAKIMAN' MICHAEL 3 DEHAY 2063 Trade Center Way Naples, FL 34109- Signed: — ,, a d opera9on a.moEor eomwtio'my w.. 1 ® DATE(MM/DD/YYYY) ACc RO CERTIFICATE OF LIABILITY INSURANCE 12/30/2014 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). CONTACT Ma ry Retz PRODUCER NAME: - -Lutgert Insurance-Ft Myers PHONE. N FYt) 239-418-2120 i FAX.Noe 12660 World Plaza Ln Bldg 73 E-MAIL mretz//��lut ertinsurance.com Fort Myers FL 33907 ADDRESS L% g INSURER(.)AFFORDING COVERAGE NAIC# INSURER A:FCCI Insurance Company 10178 INSURED STAHL-2 INSURER B:Nationwide Mutual Ins. Co. _ Stahlman-England Irrigation, Inc. INSURER C:National Trust Insurance 20141 2063 Trade Center Way SURER D Naples FL 34109 INSURER INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 1641849343 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 ADDUSUB i POLICY EFF POLICY EXP ' LTR TYPE OF INSURANCE INSD I WVD POLICY NUMBER I(MM/DD/YYYY) (MMIDD/YYYY) LIMITS B x COMMERCIAL GENERAL LIABILITY GL0016244 1/1/2015 11/1/2016 EACH OCCURRENCE $1000000 ~DAMAGE TO RENTED CLAIMS-MADE 1 X 1 OCCUR PREMISES(Ea occurrence) $300000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY i$1000000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2000000 X I PRO- POLICY POLICY I JECT LOC PRODUCTS-COMP/OPAGG $2000000 OTHER: $ A 1 AUTOMOBILE LIABILITY CA0025859 1/1/2015 1/1/2016 (Ea aBINED SINGLE LIMIT $1 000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED ,1 SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS X AUTOS ED ,JEprra cidentDAMAGE $ i AUTOS 1 $ C X UMBRELLA LIAB X I OCCUR UMB0018038 11/1/2015 1/1/2016 EACH OCCURRENCE $5,000,000 I i EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 1 8 I DED I X RETENTION$10,000 A WORKERS COMPENSATION '001WC15A71621 1/1/2015 1/1/2016 X STATUTE I I OTTH� [AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE N/A El.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) I E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under I DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 A 1 Leased/Rented Equipment CM0007935 1/1/2015 1/1/2016 Limit $250,000 Deductible $1,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Board of Collier County Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. Operations& Regulatory Mngmnt/Licensing Section 2800 N. Horseshoe Drive AUTHORIZED REPRESENTATIVE Naples FL 34109 /] I 774 '2":61i8r- ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Florida.:,_ �.4,tirteSt;ru , RIVER LICENSE C - - : -' -c' '. DRIVER STEVEN MICHAEL J NALL • . "r 2251 W END CT LEHIGH ACRES,FL 33$T3.0002 - POP'04.0141 sac:M -c - 044 6 Op.,ot on of a motor'Abide ogMqttNS eensont to any taMtNy LM rociimorrbi ■ ..,. ........................—----.,–...- .„. ,. .---- • ...-....-4-- . r r, ifl 1 . a 0 r . . ...situAlue.staJiLi , cif - r 1 # - -'r ''.."N" ' -'--.14).-..', I Q-79348,- -.. ,/'7,,..,,'' r.,',.., i loptAgi- ,_,-,,,,,,,..-,•,-,,,yi,,,,ott.,:t:',: , ..,,•,•. ,:.,.•„.• • ...1„.,,,lit,:„,„;.:....,,,:*4 ,. . ;.•— • ityl....'.:.: 4,,t,,- •• .•,•,,,intr,11,,,,.•.,-;0.••. -...5.-,,,;;;:, , 4'.. .,, :• • - 41, ,. ,, •,•,,,,....,',:,t,,..ex,,,,,;,,.,,, . t1,7,-.17. • , ,'-..,=-.. ,,,,,,, .-- -- ..*:•., , •.--::-..,....-;.,11::••.,.t• ,- _ . • -, .. .. . . . .,„.... • - • , . . -7,.. • ...4,4gerk. .r. • i. --, ::v.,.. , fteifit:..,•,,,.,Ar.:rt,. .,-;.;.„,..-....-. :-.',.-7.''':, ''-',,,,,; 2+1.2]:„.",.', -... ,.. ........, op.,,,on or....tor'' ' W.-• :4'-'t.., failing to NtY,t0b,1140804.9111abillPa , I,. . . . . . ... 1... \ENI A i 46-1-4.4j/\ A cf.,-v e_s /--(_____ . , . ,,_:_2_ ... 7:2,.. c.,...J , 27 .--3 2.7zon 77,, ,__D /_. „...,,.. ,,.) .,,/, ---, • • /................ ( , • ..„..: ...„. .., ''''''::, COLLIER COUNTY BUSINESS TAX RECEIPT Ai S h. APPLICATION ���— 2800 N.Horseshoe Drive,Naples,FL 34104 .;' . Make Check Payable to: Collier County Tax Collector Phone: 239-252-2477 Fax: 239-643-4788 Website:www.colliertax.com CHECKLIST Copy of Articles of Incorporation and/or Fictitious letter Yellow Fire Compliance(list of fire district phone number from the State stating that your business name is on file. enclosed) (850-245-6052 or 6058) www.sunbiz.org Copy of Marco Zoning Certificate.(239-389-5000) Copy of State license from Department of Business and Professional(850-487-1395)or Department of Health. Completed Zoning application with appropriate fee made payable (850-488-0595) to:Board of County Commissioners.(239-252-5603) Copy of City Business Tax Receipt.(239-213-1800) Completed Business Tax Receipt application with appropriate fee made payable to:Collier County Tax Collector.(239-252-2477) 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 - la) DBA NAME - lb) BUSINESS OWNER OR QUALIFIER'S NAME - 2) PHYSICAL ADDRESS - (No P.O. Box allowed) 2a) IS RESIDENCE USED AS AN OFFICE - Yes No 3) BUSINESS MAILING ADDRESS- Street City Zip 4) OWNER OR QUALIFIER'S RESIDENTIAL ADDRESS - 5) TELEPHONE - Business: Home: 6) LEGAL FORM OF BUSINESS: Sole Proprietorship Partnership Corporation LLC LLP 7) OPENING DATE OF BUSINESS OR DATE ASSUMED - 8) OFFICE WITHIN CITY LIMITS OF NAPLES - Yes No If Yes,City License No. 9) SOCIAL SECURITY NO. or FEDERAL EMPLOYER IDENTIFICATION NO. *see back of application for explanation 9a) TYPE OF BUSINESS CONDUCTED: 10) NUMBER OF EMPLOYEES - Including number of owners: 11) FILL IN THE APPROPRIATE AREAS - a)Rental units(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 1S NON-REFUNDABLE FOR BUSINESS STATED ABOVE**** . T 77t1 Hillsborough County Florida. BUILDING SERVICES DIVISION CERTIFICATE O COMPETENCY SPECIALTY CONTRACTOR IRRIGATION SP14263 04/30/2015 Certificate Number License Expiration Date Issued to: HALL STEVEN M DBA: STAHLMAN - ENGLAND IRRIGATION INC Workers' Comp: 01/01/2015 Issuing Officer 71-7 CI7TEP DOTTED LINTS,FOLD .LONG THE MIDDLE Dort. LINE, PLATE _\ WALLET DOTTED SIGN YOUR CARD This card _s non-transferable and is revocable for cause The contractor listed hereon will be held responsible for all permits issued under this card. If this card is lost or stolen, notify the Hillsborough Co. Contractor Licensing Team immediately at (813) 635-7308/7309, Your card must be renewed prior to the expiration date shown on the front. Signature - not valid unless signed CERTIFICATE OF COMPETENCY HILLSBOROUGH COUNTY, FLORIDA Type:SPECIALTY CONTRACTOR IRRIGATION NO PERMIT UNTIL STATE REGISTERED, IF APPLICABLE 1 SP14263 04/30/2015 Certificate No. Expiration Date Issued To: HALL STEVEN M DBA:STAHLMAN - ENGLAND IRRIGATION INC Workers'Comp: 01/01/2015 JUL./WU/ • vee Couny Lee County Tax Collector Tax A for 2480 Thompson Street Fort Myers, Florida 33901 state of�`ot\am www.leetc.com Tel: 239.533.6000 Local Business Tax Account: 1303778 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. Lee County Tax Collector Detach and display bottom portion and keep upper portion for your records vegCeUay, LEE COUNTY LOCAL BUSINESS TAX RECEIPT 2014 - 2015 Tax Co for ACCOUNT NUMBER: 1303778 ACCOUNT EXPIRES SEPTEMBER 30, 2015 a state of Flot`a May engage in the business of: PROFESSIONAL LANDSCAPING COMPANY Location 2063 TRADE CENTER WAY The business and qualifier on this Business Tax Receipt is NAPLES FL 34109 "REGISTERED"in compliance with ordinance 08-08. THIS LOCAL BUSINESS TAX RECEIPT IS NON REGULATORY STAHLMAN ENGLAND IRRIGATION INC HALL STEVEN M THIS IS NOT A BILL-DO NOT PAY 2063 TRADE CENTER WAY NAPLES FL 34109 PAID 019346-412-1 07/30/2014 09:25 DP500 $50.00 IfI4sL G C f HIGHLANDS COUNTY, FL CONTRACTOR REGISTRATION O 76, This contractor has complied with provisions of the 4 Highlands County Code of Ordinances and is entitled to awork in trade specified above in the unincorporated area of Highlands County. Datek165/IYSigned .Q/i AArl nod ®� Lrt Building Official 42:e; ,1Wa� i HALL STEVEN M IRRIGATION SPRINKLER STAHLMAN-ENGLAND IRRIGATION INC Highlands County Reg# HCO2424 Expiration Date.. 09/30/2015 M` '`yPq^ 's1 "* �'`'�'ie ;` 'Y'Y'pR fi r��4c�£t 1'• .�`. j'p • u i vn1.:11* LOUNTY *** BOARD DATA *** ,\ • 2 ITEMS OF 2 CONTRACTOR LICENSE RECEIPT LICENSE APPL ID: HCO2424 CONTRACTOR ID:. HCO2424 LICENSE TYPE: 0160 - IRRIGATION SPRINKLER 1l¢C i_ARI- fOl 't Y 1 ** �OAGD DATA.A. t** REMARKS: • APPLICANT INFORMATION R ECVD BY; L HACKEt 02900021231 COMPANY NAME: STAHLMAN-ENGLAND IRRIGATION IN CN'�v�R: STi�iiLMAN—ENGLR4 APPLICANT NAME: HALL STEVEN Mi��jit�}j�:� DATE; 10/07/14 ADDRESS: 2251 WEST END CT REGISTER -i�4 I',EGISTER. DA 10/07/14. TIME. 12;43 CITY,ST ZIPCODE: LEHIGH ACRES, FL 33973 CONTACT PHONE:- (239) 514-1200 - - DESCRIPTION ,,1 ' �U�1T SOC SEC NUM: 261-75-4645 DATE OF BIRTH: 04/01/1968 $5.00 CURR ICS CA 'E: 10/03/14 'XP_F DATE: 08/30/15 _ *********************************************************************** 0 '.L _ -,inn , ;'.i 1.iii 11�.:�:C.4�`! 2ECEIPT # 02000021231 PRINT DATE : 10/07/2014 TOTAL DUE; $55.00 PRINT TIME : 12:43:32 � . 2CEIPT DATE : 10/07/2014 OPERATOR cshackel COPY # .1. TENDERED; $55.00. ECEIVED BY : cshackel CASH DRAWER: 02 .�jj,0�J CHECK K EC'D. FROM STAHLMAN-ENGLAND REF a 00 ITES . 02000021231 PAYMENTS .-_ .vyv�:wv�nr�w^if'�^r"^''�`'y"^°' "+ � 2 ID FEE AMT PREY SAL THIS RECPT CURR SAL F 5.00 '-- ---- 5.00 5.00 0.00 2 50.00 50.00 50.00 0.00 THOD OF PAYMENT AMOUNT REFERENCE NUMBER 00K 55.00 17006 AL RECEIPT : 55.00 • COLLIER COUNTY CERTIFICATE OF COMPETENCY CERTIFICATION INFORMATION C32426 Certification Information Collier County Board of County Commissioners Date: September 02, 2014 DBA: Stahlman-England Irrigation, Inc ADDRESS: 2063 Trade Center Way Naples, FL 34109- PHONE: 2395141200 __- FAX: 2395141191 LICENSEE NBR: C32426 QUALIFIER: MARK S. STAHLMAN MICHAEL J DEHAY TYPE: LANDSCAPING UNLIMITED CONTR. CLASS CODE: 4230 ISSUANCE NBR: 26603 INSURANCE: ORIG ISSD: EXPIRATION: General Liability October 28, 2004 September 30, 2015 January 01, 2015 • Worker's Compensation January 01, 2015 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 L#NDSCAPING-UNLIMITED CONTR, Cert Nbr``i Ezp: Status: C32426 09/30/2015 Active Stahlman-England Irrigation, Inc. MARKS. STAHUMASCHAEL 7 DEHAY 2063 Trada'.Cente'g"Way Naples, 'Ft '3'4199 ' Signed: • . ~ ____--______'___- (-----'---------�— COLLIER COUNTY BUSINESS TAX BUSINESS TAX NUMBER: 870120 QOUUERCOUNTY TAX COLLECTOR'28OON.HORSESHOE DRN � � DRIVE' VISIT OUR WEBSITE AT:www.colliertax.com THIS RECEIPT EXPIRES SEPTEMBER 30 2015 �� C- � — AT PLACE OF BUSINESS FOR PUBLIC/nSrEC//w" LOCATION: 2063 TRADE CENTERVu�Y VRE TO DO SO IS cONTRARYTo LOCAL LWS. . ^ ct°L,""'°. r��- TM!GTAX\�w�NREpVNDABLE - ZONED: INDUSTRIAL ' ~�' CO |�N� ~ ` - ' ~+ '~��F' % , -' BUS|NEG8PHON�� 514'12OU C/ �x ~-'. -��� ~'^ , t \ GT«HLMAN'ENGLAND|RR|GAT|ON |NC. ! ��' ' ` ' i � COUNTY LIC: 28003 � ' GTAHLMAM MARK � I 2063 TRADE CENTER W A, 4, -, ^ ‘ �?�~1- -` i v ' NaPLEOFL&41OS�OOO \ • » | 4 �. � ` ,f � ~ _��/ • � r.)'‘ ~� �� ��' NUMBER OF EMPLOYEES: 11-20 EMPLOYEES ' - — , ' DATE 07/09/2014 CLASSIFICATION:LANDSCAPING ` � ` .L. �] L\_ ~ � AMOUNT 56.00 CLASSIFICATION 02106902 N��FERTILIZING.'-��°-�r�-- � � - - RECBPT 07u4z i This document iue business tax only.This is not certification that licensee isqualified. !� It does not permit the licensee to violate any existing regulatory zoning laws of the state,county or cities — ' ' ' �»~�7°/ , ' f nor does it exempt the licensee�nmany�her�xeonrpenmi�that may be�quiedbylaw. y 'sl. ' ' � Hillsborough County BUILDING SERVICES DIVISION CERTIFICATE OF COMPETENCY SPECIALTY CONTRACTOR IRRIGATION SP14263 04/30/2015 Certificate Number License Expiration Date Issued to: HALL STEVEN M Dba: STAHLMAN - ENGLAND IRRIGATION INC Workers' Comp. 01/01/2015 Issuing Officer LUi ALONG OUTER DOTTED LINES,FOLD ALONG THE MIDDLE DOTTED LINE, PLACE IN WALLET SIGN YOUR CARD This card is transferable and is revocable for cause be =tractor -:seed hereon will be held responsible for all permits :ss-ed under this card. If this card is lost or sto:en, notify the _,_.shorc<.:gb Co. Contractor L:ae=sino Team immediately at .8:3' 635-73c8/'73::9. 'fora:- card mast be renewed prior *_ I `°e expiratio_ date shown on the front. f j IMF? J . -� Signat - •0 va i. ..a es--1"red --,GERTSFICA'PR OF COMPETENCY j HILLSBOROUGH COUNTY, FLORIDA Type:IRRAGATION RECIPROCITY NO PERMIT UNTIL STATE REGISTERED, IF APPLICABLE APPLICANT .Jan 16 :5 02:37p 2392770167 p.1 m Merit Credit ._: Fast, Accurate & Secure. Phone: 1-239-277-3202 or 1-800-371-3348 Fax Cover Sheet: Requested Credit Report Attached! Please call if you have any questions. CONFIDENTIALITY NOTICE:This communication with its contents may contain confidential and/or legally privileged information. It is solely for the use of the intended recipient(s). Unauthorized interception, review, use or disclosure is prohibited and may violate applicable laws including the Electronic Communications Privacy Act. If you are not the intended recipient, please contact the sender and destroy all copies of the communication. Jan 16 1,502:46p 2392770167 p.2 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 5/86 01/16/15 13:54CT [SUBJECT] [ALSO KNOWN AS] HALL,STEVE,M [CURRENT ADDRESS) [DATE RPTD] 2251 W. END CT. , LEHIGH ACRES FL. 33973 11/01 [FORMER ADDRESS] 328 OKALOOSA DR. , WINTER HAVEN FL. 33884 4232 SWINDELL RD. , LAKELAND FL. 33610 [POSITION] [CURRENT EMPLOYER AND ADDRESS) [RPTD] STAHLMAN ENGLAND IPR PROFESSIONAL 5/03 [FORMER EMPLOYER AND ADDRESS] FL IRRIGATION SUPP 6/94 M O D E L P R O F I L E * * * A L E R T * * * ***PICO CLASSIC 04 ALERT: SCORE +765 : 030, 010, 003, 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=37 RVL=24 INST=6 MTG=6 OPN=1 INQ=5 HIGH CRED CRED LIM BALANCE PAST DUE MNTHLY PAY AVAILABLE REVOLVING: $92.2K $131K $51.3K $0 $484 61%. INSTALLMENT: $25.5K $ $24.81 $0 $610 OPEN: $583 $ $17 $0 $ 97W MORTGAGE: $226K $ $206K $0 $1756 TOTALS: $345K $131K $2821 $0 $2850 T R A D E S SUSNAME SCBCODE OPENED HIGHCRED TERMS MAXDELQ PAYPAT 1-12 MCP ACCOUNT# VERFIED CREDLIM PASTDUE AMT-MOP PAYPAT 13-24 ECOA COLLATRL/LOANTYPE CLSD/PD BALANCE REMARKS MO 30/60/90 AMEX 3 21W8001 9/06 $583 111111111111 001 1/15A $0 111111111111 I CREDIT CARD $17 48 0/ 0/ 0 CITI B 64DB002 8/11 $12.91 M1N89 111111111111 R01 1/15A $13.21 $0 111111111111 I CREDIT CARD $89 40 0/ 0/ 0 BBY/CBNA H 292F021 8/13 $1922 MIN42 111111111111 R01 1/15A $2200 $0 11 I CHARGE ACCOUNT $1606 14 0/ 0/ 0 Jan 16 15 02:46p 2392770167 p.3 SYNCB/LOW L 235041J 12/09 $755 MIN25 111111111111 RO1 1/15A $5000 $0 111111111111 I CHARGE ACCOUNT $124 48 0/ 0/ 0 EK. OF AMER B 1597029 1/13 $5993 MIN82 111111111111 RO1 1/15A $7000 $0 111111111111 I FLEXIBLE SPENDING $772 24 0/ 0/ 0 BK OF AMER B 6331213 10/07 $49.8K MIN113 111111111111 CO1 12/14A $50.0K $0 111111111111 I HOME EQUITY LOAN $44.5K CL SUSPN-COLLAT DEPRC 48 0/ 0/ 0 DISCOVER PL B 7990006 12/14 $21.3K 49M553 101 12/14A $0 I UNSECURED $21.3K THD/CBNA B 26H3005 5/01 $5995 MIN29 111111111111 R01 12/14A $2501 $0 111111111111 I CHARGE ACCOUNT $128 48 0/ 0/ 0 DSNB MACYE D 2A5T001 8/14 $153 MIN2 1111 R01 12/14A $1000 $0 I CHARGE ACCOUNT $2 4 0/ 0/ 0 DEPTEDNELNET E 2CNN001 2/13 $4266 120M57 111111111XXX I01 12/14A $0 1X1111111 I STUDENT LOAN $3521 21 0/ 0/ 0 DISCOVERBANK B 9616003 8/02 $11.2K MIN69 111111111111 RO1 12/14A $15. 0K $0 111111111111 I CREDIT CARD $3404 48 0/ 0/ 0 SYNCB/LOW L 235041.7 7/04 $448 111111111111 RO1 12/14A $4000 $0 111111111111 I CHARGE ACCOUNT 12/080 $0 CLOSED 48 0/ 0/ C MATTRESS FRM H 21GJ197 8/14 $835 MIN33 1111 RO1 12/14A $3800 $0 I CHARGE ACCOUNT $609 4 0/ 0/ 0 SYNCB/CARECR F 999206T 2/14 $2499 1111111111 RO1 12/24A $3500 $0 I CHARGE ACCOUNT 11/14P $0 10 0/ 0/ 0 OCWEN LO AY B 813P004 9/09 $226K 360M1756 111111111111 MO1 11/14A $0 111111111111 I CONVENTIONAL REAL $206K 29 0/ 0/ 0 CAP ONE B 1DTV001 11/03 $12.0K 111111111111 RO1 11/13A $16.1K $0 111111111111 I CREDIT CARE 11/13C $0 ACCT CLSD BY CONSUMER 48 0/ 0/ 0 CAP1/BSTBY D 1DTV057 8/13 $410 R01 9/13A $2200 $0 I CHARGE ACCOUNT 9/13C $0 PURCH BY OTHER LENDER MATTRESS FRM H 213,3197 8/12 $2575 11111111111 R01 .Jan 16 15 02:46p 2392770167 p.4 7/13A $5000 $0 I CHARGE ACCOUNT 3/13C SC ACCT CLSD BY CONSUMER 11 0/ 0/ 0 SEARS/CBNA B 6256458 2/90 52306 111111111111 RO1 2/13A $9500 $0 111111111111 I CREDIT CARD 8/09C SO ACCT CLSD BY CONSUMER 48 0/ 0/ 0 SEARS/CBNA D 6256453 4/06 $2090 111111111111 RO1 2/13A $6500 $0 111111111111 I CHARGE ACCOUNT 9/06C $0 ACCT CLSD BY CONSUMER 48 0/ 0/ 0 BK OF AMER B 4275002 9/09 $226K 360I✓1619 111111111111 M01 6/12A $0 111111111111 I CONVENTIONAL REAL 6/12C $0 TRNSFRD: OTHER LENDER 32 0/ 0/ 0 BK OF AMER B 1597029 8/09 $9975 XXXXX1111111 R01 6/11A $0 111111111 C FLEXIBLE SPENDING 6/11C $0 ACCT CLSD BY CONSUMER 22 0/ 0/ 0 KAY JEWELERS J 722062X 11/97 $3433 RO1 9/10A $3433 $0 I CHARGE ACCOUNT 7/05C $0 INACTIVE ACCOUNT 48 0/ 0/ 0 KAY JEWELERS J 722062X 11/07 $1392 XX1111111111 RO1 6/10A $1392 $0 111111111111 I CHARGE ACCOUNT 1/10C $0 ACC= CLSD BY CONSUMER 31 0/ 0/ 0 BK OF AMER B 6331205 12/09 $23 .1K 60M443 111 101 4/10A $0 I AUTOMOBILE 4/10C $0 CLOSED 3 0/ 0/ 0 AM HONDA FIN Q 3946007 1/07 $16.2K 36M450 X11111111111 101 1/10A $0 111111111111 I AUTO LEASE 1/10C $0 CLOSED 36 0/ 0/ 0 BK OF AMER. B 6331062 3/08 $239K 180M2336 111111111111 M01 10/09A $0 1111111 1 FRD506085739 10/09C $0 CLOSED 19 0/ 0/ 0 CHASE - CC H 247V018 7/08 $3094 111111111 RO1 4/09A $6000 $0 I CREDIT CARD 1/09C: $0 ACCT CLSD BY CONSUMER 9 0/ 0/ 0 CHASE B 26QK001 11/87 $17.0{ 111111111111 RO1 2/09A $25.0K $0 111111111111 I CREDIT CARD 12/080 $0 CLOSED 48 0/ 0/ 0 AMEX B 21W5001 6/06 $21.OK 111111111111 Rol 2/09A $32.8K $0 111111111111 I CREDIT CARD 10/080 $0 ACCT CLSD BY CONSUMER 30 0/ 0/ 0 BK OF AMER B 1597029 8/97 $0 R01 5/0BA $27.5K $0 I CREDIT CARD $0 ACCT CLSD BY CONSUMER 48 0/ 0/ 0 BK OF AMER B 6331062 3/06 $250K 240142279 111111111111 M01 3/08A $0 11111111 � �r r u ro r P.o Jan ;E� 1bU"z;4Fip .� I CONVENTIONAL REAL 3/O8C $0 CLOSED 20 0/ 0/ 0 CALIBER F 2CLH001 4/07 $1058 33M50 111111111 I01 1/08A $0 I SECURED 1/08C $0 CLOSED 9 0/ 0/ 0 AM HONDA FIN Q 3946007 5/03 $21.6K 48M450 111111111111 I01 1/07A $0 111111111111 AUTO LEASE 1/07C $0 CLOSED 44 0/ 0/ 0 BK OF AMER B 6331213 8/05 $33.7K 1111111 CO1 4/06A $100K $0 I HOME EQUITY LOAN 3/06C $0 ACCT CLSD BY CONSUMER 7 0/ 0/ 0 BK OF AMER B 6331062 1/03 $25.0K" 360M158 111111111111 MO1 4/06A $0 111111X11111 I SECOND MORTGAGE 4/06C $0 CLOSED 38 0/ 0/ 0 BK OF AMER 3 6331062 1/03 $203K 360M1616 111111111111 M01 4/06A $0 111111X11111 I CONVENTIONAL REAL 4/06C $0 CLOSED 38 0/ 0/ 0 I N Q U I R I E S DATE SUBCODE SUBNAME TYPE AMOUNT 1/16/15 ZNP6284423 (FLA) MERIT CREDIT 12/27/14 FCE3291258 (CHI) DISCOVER FIN 5/01/14 ZCS0001208 (CNM) FDC 2/20/14 NDY1263431 (DAY) SYNCH B/15/13 ZNO2025562 (SCT) EMS QUICKEN C R E D I T R E P O R T S E R V I C E D BY : 800-888-4213 TRANSUNION 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 AMEX BC21WBOO1 (BOO) 874-2717 P.O. BOX 581537 EL PASO TX. 79998 CITI BC64D13002 PCB 6241 SIOUX FALLS SD. 57117 BBY/CBNA HE292F021 PO BOX 6497 SIOUX FALLS SD. 57117 SYNCB/LrOW LH235041J (800) 444-1408 .PO BOX 956005 ORLANDO FL. 32896 BK OF AMER BC1597029 PO BOX 982235 EL PASO TX. 79998 (800) 451-6362 BK OF AVER BB6331213 1800 TAPO CANYON SIMI VALLEY CA. 93063 DISCOVER PL B1799U006 PO BOX 30954 SALT LAKE CITY UT. 84130 TfD/CBNA BZ26H3005 PO BOX 6497 SIOUX FALLS SD. 57117 DSNB MACYS DC2A5T001 PO BOX 8218 MASON OH. 45040 (888) 486 4722 DEPTEDNELNET EZ2CNN001 3015 PARKER RD AURORA CO. 80014 �3zr ry for u.o Jan ;61bUL:46p DISCCVERBANK 809616003 (800) 347-2683 POB 15316 WILMINGTON DE. 19850 MATTRESS FRM HZ21GJ197 (800) 231-5089 CSCL DISPUTE TEAM DES MOINES IA. 50306 (866) 395-8254 SYNCB/CARECR FZ999206T C/O PC BOX 965036 ORLANDO FL. 32896 (561) 682 8000 OCWE1 LOAN BM813P004 1661 WORTHINGTON R WEST PALM BEAC FL. 33409 (800) 955-7070 CAP ONE BC1DTV001 POB 30281 SALT LAKE CITY UT. 84130 (800) 695 6950 CAP1/BSTBY DC1DTV057 PO BOX 30253 SALT LAKE CITY UT. 84130 SEARS/CBNA BC6256458 PO BOX 6282 SIOUX FALLS SD. 57117 SEARS/CBNA DC6256453 PO BOX 6282 SIOUX FALLS SD. 57117 BK OF AMER BM427S002 (800) 451-6362 1800 TAPO CANYON SIMI VALLEY CA. 93063 KAY JEWELERS JA722D62X 375 GHENT RD AKRON OH. 44333 (800) 215-6195 BK OF AMER BI6331205 9000 SOUTHSIDE BLV JACKSONVILLE FL. 32256 (404) c75 2121 AN HONDA FIN QA3946007 1250 NORTFIIYIEADOW ROSWELL GA. 30076 (800) 669 6607 BK OF AMER BM6331062 1800 TAPO CANYON SIMI VALLEY CA. 93063 (800) 432 3117 CHASE - CC HE247V018 P.O. BOX 15298 WILMINGTON DE. 19850 (800) 432 3117 CHASE BC26QK001 P.O. BOX 15298 WI LMINGTON DE. 19850 CALIBER FZ2CLHOO1 715 S METROPOLITAN OKLAHOMA CITY OK. 73108 DISCOVER FIN F 3291258 (800) 347-2683 P 0 BOX 15316 WILMINGTON DE. 19850 (970) 663-5700 FDC Z 0001208 5200 HAHNS PEAK DR LOVELAND CO. 80538 SYNCB N 1263431 (866) 419-4096 C/O PO BOX 965037 ORLANDO FL. 32896 EMS QUICKEN Z 2025562 (800) 863-4332 815 EAST GATE DR MOUNT LAUREL NJ. 08054 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 .!an 16 1,502:46p 2392770167 P.7 IF YOU HAVE ANY ZUESTIONS REGARDING THIS REPORT, 'PLEASE CONTACT MERIT CREDIT AT: 1-800-371-3348 OR (239) 277-3202. ,Jan 16 15 02:46p 2392770167 p,1 A TT Merit Credit - - Fast, Accurate & Secure. Phone: 1-239-277-3202 or 1-800-371-3348 Fax Cover Sheet: Requested Credit Report Attached! Please call if you have any questions. CONFIDENTIALITY NOTICE:This communication with its contents may contain confidential and/or legally privileged information. It is solely for the use of the intended recipient(s). Unauthorized interception, review, use or disclosure is prohibited and may violate applicable laws including the Electronic Communications Privacy Act. if you are not the intended recipient, please contact the sender and destroy all copies of the communication. Jan 16 15 02:374 2392770167 p.2 Premier Profile-STAHLMAN-ENGLAND IRRIGATION,INC Subcode:970135 Ordered:01/1612315 13:40:40 CST sou ..Experia.n- Transactlon Number: C500705E55 ,�rr`Sa Search Inquiry:STAHLMAN ENGLAND IRRIGATION,INC/2063 TRADE CEN—ER A world ofinsight WAY/Naples/FL/34109/US/2'39-514-12001736046342 Model Description:Intelliseore Plus V2 3uslness Name o �~ Business Identification Number STAHLMAN-ENGLAND IRRIGATION, INC. 736046342 Doing Business STAHLMAN-ENGLAND IRRIGATION Website: www.stahlman-engiand,com As: INC Phone: (239)514-t200 Primary Address: . 2063 TRADE CENTER WAY Tax 1D: 59-3514806 NAPLES,FL 341 09-6244 TOP 0 Risk Dashboard `i R1s Scares altd Ctr d1 rnU Recommendation Rays Beyotit!Tettn t)erogatdry t9at r gaud �lei'E!t Intelliscore Plus Financial Stability Risk Company DBT Original Filings High Risk Alerts 45 MERD14°KM LOW RISK - •- :, r: Score range:1-100 percentile Industry DBT:4 Credit Limit Recommendaton:$508,000 To 0 • Business Facts Based in Naples,FL,Stahlman-Engianc is a multi-service company.The services offered by the company are underground utilities,golf course irrigation,irrigation installation,and landscape lighting.Its projects include private estates,condominiums, residential and commercial properties,golf courses.and athletic fields. Years on File: 27(FILE ESTABLISHED 12/1988) SIC Code: LAWN&GARDEN SERVICES-0762 State of Incorporation: FL MOTION PICTURE DISRIBUTION&SERVICES-7820 Date of Incorporation: 12/22/1959 ENGINEERING SERVICES-8711 Business Type: Profit NAICS Code: Laidscaping Services-561730 Contacts: JAMES H ENGLAND-CHIEF EXECUTIVE OFFICER Engineering Services-541330 Nursery,Garden Center,and Farm Supply Stores-444220 DELGADO WILLIAM-PRESIDENT Number of Employees: 100 STEVEN MICHAEL HALL-VICE PRESIDENT Sales: $7,000,000 TOP Commercial Fraud Shield Evaluation for:STAHLMAN-ENGLAND IRRIGATION,INC,2063 TRADE CENTER WAY,NAPLES, FL34109-6244 Busrn A eth 1/e7lTiaatia►c� The primary Business Name,Address,and Active Business Indicator: i � Experian shows this business as active Phone Number on Experiarr File were reviewed for High Risk indicators,nc High Risk indicators were found. Possible OFAC Match: ;kW No OFAC match found Business Victim Statement: ` ' ' < ! No victim statement on file TOP et Credit Risk Score and Credit Limit Recommendation ajletltle�t�Cescxi Plus Premier Profile-STAHLMAN-ENGLAND IRRIGATION,INC 1/6 Jan "I b 1 b UL:i rp �o �r /4..)i v r P,-,• • EaYrr}e pe otmance - T1 rie�ld,.0 o�eolon,palatnee l:egatFan l: Current DBT: 0 Total trade and collection(28): $478,000 Bankruptcy: Predicted DBT as 03111/2015: 1 All trades(28): $478,000 Tax Lien filings: 1 Judgment filings: 3 Monthly Average DBT: 0 All collections(0): SO Sum of legal filings: 52.217 Highest DBT Previous 6 Months: 1 Continuous trade(17): 5475,900 UCC fiiings: 2 Highest DBT Previous 5 Quarters: 23 6 month average: $338,100-$693,900 Cautionary UCC filings: No Payment Trend Indication: Highest credit amount extended: x750,000 Payments are stable Most frequent industry purchasing terms: REVOLVENET 30,CREDIT 1 s ._.. .,.- . ._ ,„ Sy i i 54 '; ' Industry DBT Range Comparison DBT Norms The current DBT of this business is O.80% cf businesses have a DBT range of 0-5. All industry: 6 DBT for this business: 0 Same industry: 4 Industry Payment Comparison Has paid sooner than 50%of similar businesses 'g'o'+of busintrssle's •:-:8a%o. 11% 9% DBT Range 0-5 6.15 16+ TOP 0 Payment Trending �f'{{ `•'w--,...,,,;(z,,,-,,-,:-.,S •, + i, a's kYA _ J f. F�' H V,-�:3 ' 'e 't J i• Monthly OBI Trends Quarterly DBT Trends • 30 30 -( 1 25 25 23 20 : 201 -: i 15 15 j 13 z ja It � ,zf ;n-,,� F�. - 10 ■ 1Q J f 41 AfZ r-': . ... y F . . .......... . ... .. p _ i�R ►_ '.iw.aI�IVP. !. . rlilr�ri�se-a ti1�lapub145�P1 yOr �p f A� Gi �,ytionti X13 .‘it),/‘A. ,01A 3a 1k Af 1A '.fro ( Pa3tmont-Trends Payment Trends Analysis Account Status LAWN&GARDEN SERVICES-0782 Days Beyond Terms Date Reported Cur industDBT Business Balance Cur 1-30 31-60 61.90 91+ DBT CURRENT 94% 4 0 $476,900 98% 2% DEC14 94% 4 0 $437,700 97% 3% NOV14 94% 4 0 S680,700 98% 2% ______ — — oo — —— — ..-- — .____ ----------_____ OCT14 4 0 5685,5D0 100% SEP14 94% 4 0 $662,700 100% AUG14 94% 4 1 $338,100 96% 4% JUL14 94% 5 0 $342,600 98% 2% Premier Profile-STAHLM.A\I-ENGLAND IRRIGATION,INC 3%6 .Jan 16 .5 02:38p 2392770167 p.4 CRED CARD 01/2015 07(2006 REVOLVE 50 ACCTCLOSED —_. DISTRIBUTR 0112014 NET30 $200 $0 LEASING 11/2014 CONTRCT S1,200 $200 100% LEASING 1112014 CONTRCT $5,200 $0 LEASING 12/2014 CONTRCT <$100 $0 COLLECTION PRNTG&PUBL 1112013 VARIED $0 SAFIY PROD 02/2)12 NET30 $0 CUST 4 YR TEMP HELP 11/2012 06/2012 NET 7 $5,800 $0 TOP 0 Legal Filings Tax.1J)i 5 Type Status Amount Date Filin g 7 mount Filing Number Jurisdiction 0410512013 State Tax Lien Filed $2,2'7 4821098 COLLIER COUNTY CIRCUIT COURT Filed by:STATE OF FLORIDA TOP I' Uniform Commercial Code(UCC) Filings UCC.Filti S mttdauy Date Range Year Cautionary Total Released I Amended I UCCs' Filed Termination Continuous Assigned JAN-PRESENT 2015 JUL-DEC 2014 _... JAN-JUN 2014 JUL-DEC 2013 JAI*!-JUN 2013 PRIOR TO JAN 2013 2 3 1 Total 0 2 0 3 1 "Cautionary UCC Filings inck.de one or more of the following collateral: Accounts,Accounts Receivables,Contract Rights,Hereafter Acquired Property.Inventory,Leases,Notes Receivable or Proceeds. UCC Del qs UCC CONTINUED Date:04(09/2012 UCC CONTINUED Date:07/27/2011 Filing Number:201206508661 Filing Number:201105030235 Original Filing Date: 07/19/2002 Original Filing Date:11/26/2001 Original Filing Number:2002017123 Original Filing Number:2001904168 Original Filing State:FL Original Filing State: FL Jurisdiction;SEC OF STATE FL Jurisdiction:SEC OF STATE FL Secured Party: Secured Party: I UCC AMENDED Date:07120)2011 UCC CONTINUED Date:03119/2007 Filing Number:201104986726 Filing Number:200705070377 Original Filing Dale: 11/26/2001 Original Filing Date:07;19/2002 Original Filing Number:2001904168 Original Filing Number:2002017123 Original Filing State:FL Original Filing State:FL Jurisdiction:SEC OF STATE FL Jurisdiction:SEC OF STATE FL Secured Party: Secured Party:WACHOVIA BANK,NATIONAL ASSOCIATION PA PHILADELPHIA 19109 12 UCC FILED Date:07/19/2002 UCC FILED Date: 11/26/2001 Filing Number:200201712332 Filing Number:200190416805 Jurisdiction:SEC OF STATE FL Jurisdiction:SEC OF STATE FL Secured Party: Secured Party:FIRST UNION NATIONAL BANK PA PHILADELPHIA 19109 123 SOUTH BR i TOP 0 Additional Business Facts THE FOLLOWING INFORMATION WAS PROVIDED BY THE STATE OF FLORIDA.THE DATA IS CURRENT AS OF 01(16/2015. Premier Profile-STAHLMAN-ENGLAND IRRIGATION, INC 516 „tan 16 5 02:39p 23y2((l�1 C�( Pb. maw TOT Merit Credit Fast,Accurate & Secure. MERIT CREDIT HAS RETRIEVED THE ABOVE BUSINESS REPORT FOR LICENSING PURPOSES AS REQUESTED BY THE BUSINESS OWNER/PROPRIETOR- PUBLIC RECORDS FOR THIS REPORT HAVE BEEN CHECKED AND VERIFIED AT THE COUNTY (INCLUDING PINELLAS) , STATE AND FEDERAL LEVELS. PUBLIC RECORDS LEARNED: 3 SOURCES OF INFORMATION: EXPERIAN BUSINESS INFORMATION SERVICES IRS LIEN SECTION COUNTY COURTHOUSE RECORDS IF YOU HAVE ANY QUESTIONS REGARDING THIS REPORT, PLEASE CONTACT MERIT CREDIT AT: 1- 800-371-3348 OR 239-277-3202. COMPANY NAME: STAHLMAN-ENGLAND IRRIGATION, INC. FEDERAL ID: 593614806 CURRENT STATUS:ACTIVE PRINCIPAL(S):JAMES H. ENGLAND TITLE: PRESIDENT MARK STAHLMAN TITLE: VICE PRESIDENT STEVEN M. HALL TITLE:VICE PRESIDENT DATE INCORPORATED: 12/22/1999 **,'' Ii$STR 4884464 OR 4960 PG 2334 RECORDED 8/29/2013 3:15 PM PAGES 1 *** . DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT, COLLIER COUNTY FLORIDA REC $10.00 ZT65 F LORI„^ Florida Department of Revenue ■ II Reemployment Tax DEPARTMENT SATISFACTION OF TAX LIEN OF REVENUE August 15, 2013 RT Account# :2250906 Business Partner# :551787 Contract Object# : 14469526 ATTN RECORDING DEPARTMENT COLLIER COUNTY CLERK OF COURT PO BOX 413044 NAPLES FL 34101-3044 RE: STAHLMAN-ENGLAND IRRIGATION INC STAHLMAN IRRIGATION 2063 TRADE CENTER WAY NAPLES FL 34109-6244 s The State of Florida Department of Revenue has .�vll0,1 0 t4 •'. '0 I,(S)OF TAX LIEN: LIEN NUMBER DATE FILED xv 100K NUMBER PA c BER INSTRUMENT NUMBER L 1000000485863 04/05/2013 / . - '904 171 4821098 (")...,C o , E-'+ a 7'I-1E ci Which has been duly recorded in the Public Records of Collier County,Florida against the above named employer. Know also that the State of Florida Department of Revenue has received and hereby acknowledges full payment of all amounts claimed by said liens and hereby directs that they be satisfied of record. Witness my hand and official seal in this City of Naples , Collier County, Florida, this 15th day of August , 2013 . _ q�, Marshall Strasburg,Executive Director Please record this cancellation of lien,Send = `! your invoice and docketing information to: •04. - �. Department of Revenue Y g :' I j4a• _ _ `+��•'•, State of Florida i✓ i . .ared by: RT COLLECTIONS s •r te,,:...,14.4',... :-.--_,=,,,,,' , ifOt -,1 ;`�IVA _ ''� FLORIDA DEPARTMENT OF REVENUE N. ' f.•, i.,t ; (.7,...--...44.0.."--_ •I 4��-��� ' 5050 W TENNESSEE ST,BLDG.L •.' ,;j'`�. : :` le ♦ TALLAHASSEE FL 32399-0112 '• ; rawer, ,,M"�;y* Authorized Agent ',rt;. RT-18SC IL 07/12 • AI; ..•* INSTR 4821098 OR 4904 PG 3071 RECORDED 4/5/2013 9:54 AM PAGES 1 *** DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT, COLLIER COUNTY FLORIDA REC $10.00 0076 00)34 Florida Department of Revenue ZT61 Reemployment Tax FLORIDA NOTICE OF TAX LIEN • _Y \: DEPARTMENT OF REVENUE • ATTN RECORDING DEPARTMENT COLLIER COUNTY CLERK OF COURT PO BOX 413044 NAPLES FL 34101-3044 RT Account# : 2250906 Business Partner# : 551787 Contract Object# : 14469526 Lien fr : 1000000485863 RE: STAHLMAN IRRIGATION O{ A g COu 2063 T ADENGL CENTER IRRIGATION INC � 2063 TRADE CENTER WAY 1., NAPLES FL 34109-6244 . Pursuant to the provisions of Section 443.141(3)(.)an. (g)F.nda tut otice is ereby gi •n th-t the above named employer is liable for the payment of reemployment tax to the Florida Department•f Re - f• •.•, • ••N;it: •--a�`-• and ees,which after demand for payment thereof remain unpaid,constitute a lien in favor of the STATE 0 FL* ID D •R O i �-r t e till to and interest,whether legal or equitable,in any real or personal property of said employer.Interest• un. id tax wi c• a .• : ( N• •!ce per: num until paid in full. TAX/ASS NT ST i REPORTING PERIOD AS OF P 4 .U: FEES TOTAL DUE 04/02/2013 Q 03/31/2012 21 43 64.52 _ 20.00 2217.95 09/30/2012 0 00 0.00 ��:t0 0.00 0.01 7 E I.IC TOTAL AMOUNT OF TAX LIEN 2217.96 Witness my hand and official seal in this City of Naples COLLIER County,Florida, this 02 day of April , 2013 • Marshall Strasburg,Interim Executive Director Please record this tax lien which has been TµE Department of Revenue prepared by a public officer other than a notary '�• State of Florida public. Send your invoice and docketing •r �j This instrument prepared by: information to: F.'.-+,_ _ ; -b RT COLLECTIONS t nlr s'K-- FLORIDA DEPARTMENT OF REVENUE '�'!t'• , .Q 5050 W TENNESSEE ST — , thorized Agent TALLAHASSEE FL 32399-0112 coo we . RT 18LC • R.07/12 MICHAEL CATANZARO 0 239.449.9020 2863 Carrington Circle Unit 101 Naples, FL 34105 mlcafanza ro@gma il.com Collier County Licensing Board 2800 N. Horseshoe Drive Naples, FL 34104 February 26, 2015 Members of the Board: I am writing this letter requesting an exception to the rule requiring new business owners of Swimming Pool Cleaning companies to have one year of prior experience. I have been coming to Naples and spending part of my winters here since 2007 having owned a condo in Lely Resort. My wife and I decided that we enjoyed the Naples lifestyle so much that we moved here permanently in November. My previous line of work was in hospitality and I spent the last 24 years working in country clubs in Fairfield County, CT. During that time as Clubhouse Manager and General Manager I was involved in all aspects of club operations. General management of country clubs requires a broad range of skills beyond administrative, including facilities management, renovation,golf course operations, pool operations,etc. Clubs are always improving their facilities and throughout my club career, I have been involved in many renovation projects from installing a small restroom on the golf course to a$16 million clubhouse renovation. I always enjoyed being around pools and decided that I wanted to open a pool service company before moving here. I was not naive about it; I have a lot of general knowledge but know that there is a lot I don't know about the business. I therefore decided to purchase a franchise from ASP-America's Swimming Pool Co,who require new owners to complete a comprehensive twelve day training course before commencing operations.The majority of new franchisees have no prior experience in the industry which confirmed my belief that partnering with ASP was the right choice and that the business would be successful. ASP has 150 franchise locations in 16 states,several of them in Florida including Palm Beach Gardens, Ocala, Tallahassee, Orlando,Jacksonville, Gainesville and Destin.As mentioned earlier,the majority of these franchise owners had no prior experience before opening their business and all have been successful. Coming from the private club industry where I am used to providing a high level of service, I would never offer anything less than that to my clients. I would also not think that I would be able to do that without the training and support from ASP. I would not have gotten into this,or any business without believing that I would be highly competent at it. Although I would never profess to be a pro at any construction trade, I have always been mechanically inclined and very handy around my own homes doing small plumbing and electrical repairs, painting,carpentry, (installing new millwork and moulding,windows,doors),etc. I have been a Certified Pool Operator before and I am scheduled to take the course again on March 3-4 in Fort Myers. I don't bring up the skills mentioned above to persuade the board to grant me any other exceptions to the rules; I just want to show that I am not someone who has sat behind a desk all my life and would be misplaced in this industry. I understand what the limitations are regarding this level of license. I know that I can only clean pools,and will abide by those rules. I hope that the board agrees that the training and support that ASP provides and my commitment to quality service, along with my skills will warrant an exception in this case. Sincerely, e(?'" Cat() Michael Catanzaro SWIMMING.POOLco. February 25,2015 Mr. Michael Ossorio GMD Operations& Regulatory Management Licensing Section 2800 North Horseshoe Drive Naples, FL 34104 Re: Business License for Mike Catanzaro Mr.Ossorio, I hope that this letter finds you well. My name is Tom Swift and I am the President and Chief Operating Officer for ASP Franchising, LLC ("ASP"), which is the parent company to the America's Swimming Pool Company family of franchises. I write to you on behalf of our company,our franchise system and Mr.Catanzaro,who is a recent graduate of our February Franchise Pool School program ("Pool School"). I ask that you please consider accepting Mr. Catanzaro's application for a Business License for his swimming pool company in Naples and Collier County. It is my understanding that Collier County requires one(1)year of swimming pool experience to award a business license to a new business owner applicant. It is also my understanding that the policy behind this requirement is to ensure the new business applicant is properly trained with regards to swimming pools in order to protect the end consumer. At ASP, we could not agree more with the policy behind protecting the consumer. We understand the challenges in the swimming pool industry and have been determined for the past fourteen (14) years in changing the consumer's view of the swimming pool industry, one market at a time. However, we respectively request that this one (1)year requirement be waived for Mr.Catanzaro the following reasons: First,Mr.Catanzaro has been properly trained in the following areas—water chemistry,stain treatments, chemical safety, OSHA rules and regulations, pool cleaning techniques, pool pump hydraulics, full equipment diagnostics, repair and replacements, and swimming pool renovations. Mr. Catanzaro completed our 10 hour online training course prior to Pool School,completed our 100 questions Pre-Pool School Exam (scored a 94%), and completed our 100 hour Pool School Training Program. Going forward, he will attend our quarterly regional training session throughout the year as well as our annual Owner's Meeting,which will keep him up to speed on industry items. Although Mr. Catanzaro will not complete any repair or renovation work until he is properly licensed by the State of Florida under the Certified Pool Contractors License("CPC"),he has been trained and has the proper knowledge. Mr.Catanzaro will focus his time on pool cleaning and building a pool cleaning customer base. www.ASPpoolco.com "Providing Swimming Pool Solutions to Over 100 Million Gallons of Water Each Week" . , __-__..........................____ ,,„_...„..,...__.........._...„...„........_____________.......,.. \ - i (...... ,-..,4 . , '", -*,, ,,.. t .....,.., ....,.e i.-..,,' ... i i , 1 ,, & tr l L '., , rt - . rD ----i ft":: r-...,), PCI) :.L . --- 1-, t eN, -...„; .i. c-i- , e...„, t--, , . ; < C's`,..) s7.,,,' "Z4r'l ,,......„ ,,,,...4 11.111i f ... ,,,... f....,..i.„ :. ...•.4 , C Plit it 3: ."...,....„y„ . i * •., ...., '''7 ''''r. I ',, , ., 1 0 ri>,,..a. r'_.„, ',....,:e '4'4. tall."( I . '",-x i C..."-) ''"';'I. k"':;f, h ./5-7 Q7"1,1 I..„, ,.,..... ......cr., H ... .....4 , ... .,.....„,k...... . r...., ..,., , . R, ,...,......,, 011::al ft--, AlliF ti I <.4 .f tri r,-„,..0. ,..-..1 Pm"' • r°4r. t..4. Cr m''agili brikAllb , CO') (70) trill hc.) mw r 0 , 0 n 0 , ....., r...i. P-4 ,.....* P .., ,„...%" .006,".4• r...1 4"4 z rt Pit t•••.4. ''''.* t\k::,), V "..... ..40, ........ T.... P P • L'i-iz'..1 L.,.4,,2) 1-7, n . 1 ._._.k . 1.......;,1, rc) N „....., .....t ,%-' P-.) 0 Nit•miL ,, lit .'",..,y,.. .... ......, ,....„ 0 , , -,-., -7, -t , , .,,,,, ..... , , , ....., ,. , ,... , t—•• • IMMO ri- 1 , . t•--4 .. •,..„ Y rD E till , ,. , Z 1"...3 . n 0 I Fimmi o No \, 1 ::, o 0 0 II 0 :, i ri .. 1 '', 0 Z . , . • A 11/4 .., s . , • sitty GMD Operations & Regulatory Management ORIGINAL. Licensing Section 2800 North Horseshoe Drive j, ) Naples, FL 34104 A:1;1- , I. 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: I L LC • ( ( Fiction Nam_e/DBA: /-11/CI /(Yi ) OZC,7////)///) - - Qualifier Name: H 1 . . f ( , , Physical Address: (' ) /11C1 1-6 r /( // / / 74.5 (Number 86 Strieet) (4itY) (State) (Zip Code) Mling Address: If (Number 86 Street) (City) (State) (Zip Code) Telephone: Z 3(7 6 7-76 z 7 E-Mail: /0/(70/2//Zil 66)//01(1(`111 TYPE OF LICENSE: D General $230.00 LI Electrician $230.00 LI Building $230.00 LI Plumber $230.00 LI Residential $230.00 U Air Cond. $230.00 LI Mechanical $230.00 0, Swimming Pool $230.00 CI Roofing $230.00 d Specialty $205.00 Specialty trade: , I , CHANGE OF STATUS: ( ) Reinstatement ( ) From One Business to Another ( ) Dormant License to Active Page 1 of 4 1. The names, tjtles, home address and phone numbers of all Officers/Managing Members of the Firm. / i j ! 7,/7(M �� ,ra//10 /1605 Lit /b/ 3(//05- z g 113- (76a 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. / /1/ii 7 3. List all debts you or any company(s) associated with you refused to pay and the reasons for the refusal to pay. Attach extra pages if needed. /� .AFFIDAVIT G / I, /�' (�?� ( r ?/ 0 1/ zczj L' certify that the foregoing is true and correct to the best of my knowledge. Authorized Officer of the Firm STATE OF FLORIDA COUNTY OF GvGG/E/- The foregoing instrument as acknowledged before me this U .J s.tu or" alt%'/S (Date) By 4/ CA 7/qN.Z /20 of .5 i FL / CC L `'/-2 (Name of officer, title/agent) (Name of Corporation) a 1:61-)/Z//J/' Corporation on behalf of the corporation. (State or Place of Corporation) He/She has produced FL 6/2/1/ L-/C.ENS C identification and did not take an oath. (Type of identification) NOTARY'S SEAL ' ��►"',,„ •y MARSEDA NURAJ ► (SIGNATURE OF NOT '? Notary Public•State of Florida I' ;L. Al My Comm.Expires Dec 29,2017 •toustr Commission#FF 079919 0 Page 2 of 4 QUALIFIER INFORMATION: Name: /'// ,/101(4 '1 Zas,, , Address: / 2 6 3 .C�i'I/tl fL'Ltt l l►" f . wS f�� j//G-5 (Number& Street) (C4ty) (State) (Zip Code) Telephone: / - Date of Birth: S.S. #: ‘.) E-Mail: 77///i( lc7i ai'e-v7'cq^ill ,/(1O)il Driver's License: _7"7='t / Fl -5-32 53 $2 1. Type of Certificate of Competency for which application is made. i ;7 -(I <//'+)11111 l U� / ( l`o at 6t S 2. The names and telephone numbers of two persons who will know your whereabouts. // c h 3 j- 7c5- (/6z7 csi)71 G e fc3- !C7- 7956 3. Have you ever been convicted of a crime related to Contracting? /` (If yes attach extra sheet with explanation) 7. Have you or any firms you have been associated with ever filed bankruptcy? 7 8. List all debts you or any company(s) associated with you refused or failed to pay and reasons why. /1 -t2P 9. List your business or work experience during the past ten years. ( "/ /VC (� G i ('co fry (//11 2i1caCtltE - !�C1i�f6,1 � �G.y �1tit( � 0��1'�,'c-t c r5 � r�/ ��,r, �s� �. � 10. Statement of any formal training you have had in the/yJ area fhich the application is m�de. /6",t/'f �e� 2 O /Jtz f�/`1 /C. I(a it iv'( 'iL ,1511 l Gr r f7c� � �i )' � DUI Ft-7)110.1V ��(c/.I � �,, 101 ' -0y1 �' -t I a2 /3 Page 3 of 4 • Score Report Page 1 of 1 Score Report Catanzaro,Michael Michael L Catanzaro --1 Business and Law-(FLO8100) Collier County Dale 01/05/2015 _r. 1) 129228222 88 :.. Pass 0 Module Subject Area Status LOW Cut Score HIGH FLBO Business Organization F FLLIC Licensing P , FLLIEN Lien laws P FLTL Tax Laws F FLSRR Safety Reporting Regulations P FLLL Labor Laws P - FLCM Contract Management P - FLPM Project Management F FLE&B Estimating&Bidding P FLFM Financial Management P - FLRM Risk Management F https://www.provexam.com/arkiv/tffcweb.dll?TenFoldFCSession=Arkiv*4bd5ecb1093dee4... 1/5/2015 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) ({) ()col 1 ) NAME OF COMP YY iA �/ C/ 7!(e-f--t,' SIGNATURE OF'APPLICANT STATE OF FLORIDA COUNTY OF r° O -/6%L The foregoing instrument as acknowledged betore me this ( 71 ofr .jr4 bh.rrl r ;$1;9,/,5—C;',/5_ (Date) \: By I r`_i R I ,Q 7/4 N 2, / C who has produced C-6-//•5G (Name of person acknowledging) (Type of identification) as identification and did not take an oath. NOTARY'S SEAL Z — — — — — ' (SIGNATURE OF NOTARY o:►".........,� MARSEDA NURAJ VVV Notary Public•State of Florida :�� .o� My Comm.Expires Dec 29,2017 '1,,,;:t :�`s Commission N FF 079919 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. //1171/ i SIGNATURE OF APPLICANT ) i%/-"Z /61(i/ 4 `3 BUSINESS NAME 1 JO o ( 70/5 DATE BEFORE ME this day personally appeared /4/Ci./,)e'[ t 7"/A/Z/V i` 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 1 I/ The foregoing instrument was acknowledged before me this c A/7,,i6/ y , (Date) '✓ by ,M//G./SAL L C/1 i,9A/2/9Aer who has produced /71, a,2/1/Z:/< //cc-/t/L7 (name of person acknowledging) (Type of identification) as identification and who did not take an oath. SIGNATURE OF NOTARY (� / ,9)2S6-4,41 .4/41,012A7 NOTARY'S SEAL (PRINT NAME OF NOTARY PUBLIC) NOTARY PUBLIC >"_v MARSEDA NURAJ 1 ??c' .` .: Notary Public•State of Florida My Comm.Expires Dec 29,2017 4 "'':',e:T�`.,•' Commission 0 FF 079919 ' 4 VERIFICATION OF CONSTRUCTION EXPERIENCE GMD Operations & Regulatory Management Department Licensing Section 2800 N.Horseshoe Drive Naples,FL 34104 , ! l C d.: C-A E A W Z,-4.g.0 Applicant's Name: �° Certificate Category Requested: v/ 211-1'11 tt /Co /{ �-�^�,r-v)r(i 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: Name: 6?1"16 t. cVe-y Title: 6 ENS'�A 4N*.c Via', License Number(if applicable): Name of Business: 1` c'c 1-3°<`J L-Gu,vT2'v CL‘,;, Business Address: mil` t° o KCB- t a:ar� t _A R(e C.f of-ea Business Phone:1°3 C-Cr d y 77 The Applicant's years of experience from q1J: 9 q 7 to 4ptti (99 The applicant's scope of work(specific duties)included:ICI''r � ` 6Ci'C .- 36-Afd (4v- N1 (5✓�- 7).0 tits 1)icl.0 B ■Tt- Lt.,/ a.-?M4u4■4e+ & ecSpai11f:7>o t SeASa„ag RepLc.k CL 4' eespoN,FBk - krc ,k/dTC.4r,idNf )fS-r4!, fut.ER 'ri ill`1 al /14.t i cC''>' 'dtNTc.Q14 uct.4_' +e_p44L Op_ X7a1Jr,lacid crJS{ cEc;cpdc1L. tW7-6emtcti,,,.,A ;t-c-a,114-aM� Additional Comments: t14 4.4-1ra r!✓ ( "P'-'4•01 CowTc, c Jig Ott:.ey,di Alt- T+a/CL kCITAvio tpT ikk,C.°‘ CL "//1-9 F4 it ph,t04 rttts opt z m z �t dv��Arf 4.pip( f°kJ"1a1, P,fit 014,41.ter CSCWAS A 4 EXCCG c":1- LQlPC N P C)C& '- Falsifying any information provided herein may subject your license to(revocation. Signature il✓P O V( Print Name: State of Florida- rti.vz c.' County of-Collier V'i i2-r/ The foregoing instrumep was acknowledged before me on this `J day of "�--)A743 by 7--, y fZ1c_V :s who impersonally known to me or produced as identification and who did not take an oath. Signature of∎lotary Robert Po Notary Publi h)c My Commission Expires January a1,2016 7 VERIFICATION OF CONSTRUCTION EXPERIENCE GMD Operations & Regulatory Management Department Licensing Section 2800 N.Horseshoe Drive Naples,FL 34104 Applicant's Name: 1i OMAAA Ca ri ls v�� • i � Gil Certificate Category Requested: -GL"C ti't"1l't/1 vl /C,G-i ( 22 The Applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate the Applicant must verify their experience within this trade. You are being requested to provide information that will aid the Applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker(e.g.as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience must provide the following information: Name. Title and license number of the person signing below-and verifying Applicants relevant experience: Name: f✓&\�\\t B CiC G k i'll U Title: GCn C16.. I it1a rtlq e� License Number(if applicable): Name of Business: A(Vi„ t{viL 1 6) ± 01 Lt ..) (( 6 C /l Business Address: in TO 1410 aye ki LUL. 01(1 6 1/Le 401 C"f, CT O t/3 7 Business Phone: 103- b3-/- lv!Q1) The Applicant's years of experience from /DO 0 to Zoo 5 The applicant's scope of work(specific duties)included: \a.��� �� Q�� �� �� �� � � 11'✓ &A et�Q;+r, I O �; a ��� b r . � 'to hug --etvV� - Wt' IC 4 lv clu4{ L 1� Kw( ' t ,uaLe i1 liv4sl'iVl 444„ Oa.11/y ) 4- o(xoaflaiS cu'4 rapt J-tI f A v�off►U.titt( -IT �i�e- I 1 1 1 c 1 l t 1,1- `l{u, 1VtUUS t►�C Lu t - nor �O�6 t 4dditional Comments: L �b 4 J ()IC eoUvcc ) d.tv vh -( Ikouvu,c C v ct- ivkaivt44-vt t c k i Idt`v Falsifying any information provided herein may subject your license to revocation. Signature Print Name: 1l 1111 t :i CC 1/1, State of Florida County of Collier The fore ping instrument was a knowledged before me on this day of (-k..=>c,�z---' by aYlvl.'� GjGC� �itO who is personally known to me or produced �6� c Al' as identification and who did not take an oath. Signature of Notary LINDA B. KANE NOTARY PUBLIC kW COMMISSION EXPIRES MAR,31,2018 • VERIFICATION OF CONSTRUCTION EXPERIENCE GMD Operations &Regulatory Management Department Licensing Section 2800 N.Horseshoe Drive Naples,FL 34104 Applicant's Name: 1 i (1\ii G ( '-i+fic✓1 ? 0s 1 u Certificate Category Requested: COJ? J+,� r 14'o,t The Applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate the Applicant must verify their experience within this trade. You are being requested to provide information that will aid the Applicant in meeting this requirement.You should verify time of active experience working as an apprentice or a skilled worker(e.g. as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade experience, The person verifying trade experience must provide the following information: Name,Title and license number of the person signing below and verifying Applicants relevant experience: Name: :6�ti✓v� t 1 (A)YV Title: u ( O11 LUG License Number(if applicable): Name of Business: J ( (6 ( s (+s Business Address: ) ' ` �+nr t l■ 2 Business Phone: i - ` s-1 1" The Applicant's years of experience from t 0 C to . t-)t3 A The applicant's scope of work(specific duties)included: `"t, L 'G t _ icy p e ,:,A ,S N N'v C -4- I;C r t ��el - �t 1 titer. It n Pr- ` tnn ! i U t i Additional Comments: r-/ v U J v f;ct i, G�t ci e( in1 J i iCc ci t14 7 L. 0,•r. w A, 4,, -J-e c4 6c._C..'iu� �i At/2�t 1 �1,� ✓(� U nR C�'Z ��' �.� lc ��c OJUo v v∎u lIC / l?V c: S'04 i� �.11y��Q4t Falsifying any information provided herein may subject your license to revocation. ((nut„/c4-.S - CC e._ re crl,' 41 (C C=:_i. () Lt., Signature 1 i / Print Name: `-)Li i' WC(' (t,, Stag;of Florida County of Collier The foregolp -nstru�ne rt w a n edged before me on this_ day of by (,t<'L- /'(is --who is personally known to me or produced as identification and who did not take an oath. `,`�►anuinii�� ,((/- /7// //{.4, �•`��� t� t �P C. PFJ Signere of Notary 10 i•, c MY C) COMMISSION to •• EXPIRES e �y>••11/30/2017•& 7 F• *.e Op iC013„t. AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER I ✓ �' /,g1 , am a resident of t 7c of r a 4 County, - (State) and have resided here for more than five (5) years. i j('ii/t/ �'' %rC4 �/ C During the last five years I have known / ' G applicant). I have had the opportunity to observe his or her business and personal dealings andd him or her to be a person of honesty, integrity and good character. / (Signature) l j ,, Ai AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER L( A 1-r° -t 6.E1 am a resident of � 0�/( (4. County,(( d '2 ( (State) and have resided here for more than five (5) years. During the last five years I have known 11( CIL-4 t`t (Applicant). I have had PP the opportunity to observe his or her business and personal dealings aid find him or her to be a person of honesty, integrity and good character. (Signature) / (l( r'�,. i (Name) � '‘ L t CU1 (Address)'- 7 .S 3c1 ((3 Telephone) `'� ( 3 STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this l`5 by (Date) \k✓r 4'roe( C-C- who has produced -Or Nevis Ica w5�c (name of person acknowledging) (Type of identification) as identification and who did not take an oath. S NA E OF NOTARY It/ J -' T NOTARYS SEAL (PRINT NAME OF NOTARY) NOTARY PUBLIC 011.1111111111111160%1 dhilli6d16181.111161161.11161111111101110", JAY P.ovum f ?M. = Notary Public•State of Florid d:l My Comm.Expires Mar 30,2016 a.A a' Commission/FF 01156$ STATEMENT OF OWNERSHIP / �. This certifies that I, (/(1((, (.Cat a /12?ii,& am a member or (APPLICANT'S NAME) Managing member of 5 (C / l z (LIMITED LIABILITY COMPANY NAME) I own /6 0 % 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. `r�lf/ ( / � Gj� C1�9 ,"?°tlilcxto (PRINT NAMF) / ///(/' Li /L (APPLICANT'S SIGNATIIRF) (DATE)/ RESOLUTION OF AUTHORIZATON WHEREAS ' / i- ',/1 c'G 4 ,:) -16J-- proposes to (Name of Business Entity) engage in contracting as L L ( in (Type of legal entity: corp.,partnership, etc. Collier County, Florida, according to Collier County Ordinance 2006-46, as amended;and WHEREAS )GZ'/ Z I"o() `r 3 Zv; proposes to (Name of Business ErititY) , qualify for a Certificate of Competency with ////> OClr I ;c't C1-I/Z 41 r6 . (Name of Individual) NOW,THEREFORE,BE IT HEREBY RESOLVED THAT: We the undersigned ,_ t '1 e r- of (Officers,Owners, Partners) �C `/—L CSC,/`Z �L L hereby resolve and represent to the Collier County (Name of Business ntity) ',. / '/ Contractors' Licensing Board that the qualifying agent, 7/t(11 i 4t`'( ‘li 1711'17a r t is active (Name of Individual) in all matters connected with the contracting business of S/ / / Pte. / `)//)(t- ,and /,,(Name prusiness Entity) We further resolve and represent that //P/1c;; / .&I t'?11 2(i TC' is _ (Names of Individual) legally empowered to act for, J�C`/—/ / &O ( 7�`�- -- in all matters connected with its (Name of Business Entity) contracting busiess and has the authority to supervise construction undertaken by -;Z(//-Z. /t'0./ IA_ . (Name of Business Entity) DULY PASSED AND ADOPTED THIS C day of .��t-Li ��/5 . (Officers,Partners,Owners—with Designatio,t)underneath) -/) -' //('.,/(6/-1,' al'' -({-e/,(,/e 1 Witness Witness Witness Corporate Seal(if Applicable) Or Notary Public Certificate Sworn to and subscribed before me this ,day of,3,-,1,i;;:-.4., 1)C/5 by A l/ / ?€ . (- ) (V Z/9/2 u / /3.lLC A/-' .4.'c//2/1.T ,,/ ?.'3Fx 0 P /:(_. Notary Public Name Printed _ Notary Public Signature j Commission Number ' t="1"- 0 7 Y 9/Y' vv My Commission expires: //2 91,/ 7 t 'p•it ?o:► oe�c�. MARSEDA NURAJ I r irk3 : Notary Public•State of Florida I 1 Th r�` a My Comm.Expires Dec 29,2017 0 ��•;fa�lds Commission I FF 079919 INIIPPTIPNIPTIPtmemerowlopmemorolk COLLIER COUNTY GOVERNMENT COMMUNITY DEVELOPMENT AND ENVIRONMENTAL SERVICES DIVISION 2800 N.Horseshoe Dr. • Naples. Florida 34104 • 239-403-2400 • FAX 239-403-2334 s 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. 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 7/85 01/06/15 13:25CT [SUBJECT] [SSN1 [BIRTH DATE] CATANZARO, MICHAEL L. - [CURRENT ADDRESS] [DATE RPTD] 12863 CARRINGTON CI. , #101. NAPLES FL. 34105 10/14 [FORMER ADDRESS] 138 MIMOSA CI. , RIDGEFIELD CT. 06877 7/00 19 SCODON DR. , PONCA NE. 68770 [POSITION] [CURRENT EMPLOYER AND ADDRESS] [VERF] [RPTD] ROLLING HILLS COUNTRY CLUB GENERAL MANAGER WILTON CT. 6/09 6/09 [FORMER EMPLOYER AND ADDRESS] INNIS ARDEN GOLF CLUB OLD GREENWICH CT. 12/03 M O D E L P R O F I L E ***FICO CLASSIC 04 SCORE +784 : 010, 011, 014, 003 *** 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=28 RVL=14 INST=7 MTG=7 OPN=0 INQ=5 HIGH CRED CRED LIM BALANCE PAST DUE MNTHLY PAY AVAILABLE REVOLVING: $25.4K $39.9K $7116 $0 $ 82% INSTALLMENT: $40.1K $ $13 .8K $0 $1062 TOTALS: $65.6K $39.9K $20.9K $0 $1062 T R A D E S SURNAME 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 FAIRFLDCTYBK B 7130004 7/11 $18.4K 48M457 111111111111 I01 12/14A $0 111111111111 C AUTOMOBILE $3111 41 0/ 0/ 0 SIMMONS FNB B 1067003 7/09 $5451 111111111111 RO1 12/14A $5000 $0 111111111111 I CREDIT CARD 11/14P $0 48 0/ 0/ 0 NISSN INF LT Q 507T085 7/13 $10.9K 36M305 111111111111 101 12/14A $0 11111 I AUTO LEASE $5494 17 0/ 0/ 0 AMEX DSNB B 2A5T006 10/10 $0 111111111111 ROl 12/14A $500 $0 111111111111 I CREDIT CARD 8/14C $0 INACTIVE ACCOUNT 40 0/ 0/ 0 DSNB MACYS D 2A5T001 10/10 $564 111111111111 ROl 12/14A $100 $0 111111111111 I CHARGE ACCOUNT 8/14C $0 INACTIVE ACCOUNT 48 0/ 0/ 0 SYNCB/CARECR F 999206T 3/10 $10. 0K 111111111111 RO1 12/14A $6000 $0 111111111111 I CHARGE ACCOUNT 10/11P $0 48 0/ 0/ 0 AMEX B 21WB001 11/12 $9382 111111111111 RO1 12/14A $24 .4K $0 111111111111 I CREDIT CARD $7116 24 0/ 0/ 0 SYNCB/RMSTGO H 9992545 8/07 $10.0K 111111111111 RO1 12/14A $6000 $0 111111111111 I CHARGE ACCOUNT 6/13C $0 CLOSD BY CRDT GRANTOR 48 0/ 0/ 0 SYNCB/BROOKS C 235055Q 5/12 $630 111111111111 RO1 12/14A $4500 $0 111111111111 I CHARGE ACCOUNT 12/12P $0 31 0/ 0/ 0 PROVIDNT FND F 1W9W002 7/12 $396K 360M 111111111111 MO1 11/14A $0 1111111X11 C FRD724116818 1000 11/14C $0 CLOSED 27 0/ 0/ 0 HYUNDAI FINC F 7678002 3/13 $10.7K 36M300 111111111111 I01 10/14A $0 111111 I AUTO LEASE $5202 18 0/ 0/ 0 ZALE/CBNA J 215G001 12/08 $381 111111111111 RO1 1/14A $3000 $0 111111111111 I CHARGE ACCOUNT 1/12C $0 CLOSD BY CRDT GRANTOR 48 0/ 0/ 0 BK OF AMER B 4275002 3/10 $220K 360M 111111111111 MOl 10/13A $0 111111111111 C CONVENTIONAL REAL 10/13C $0 CLOSED 43 0/ 0/ 0 AMER HONDA Q 3946019 2/10 $13 .2K 36M366 11111111111X I01 1/13A $0 111111111111 C AUTO LEASE 1/13C $0 CLOSED 34 0/ 0/ 0 PROVIDNT FND F 1W9W002 3/09 $417K 360M3138 1111111XXX11 MOl 7/12A $0 1XXX1111 C FRD549592504 1000 7/12C $0 ACCT CLSD BY CONSUMER 40 0/ 0/ 0 NISSN INF LT Q 507T085 11/08 $8821 39M226 111111111111 I01 1/12A 11X11111X111 C AUTO LEASE 1/12C EARLY TERM/BLNC OWING 37 0/ 0/ 0 SIMMONS FNB B 1067003 7/09 $5451 111111111111 RO1 5/11A $0 111111111 I CREDIT CARD 1/11.0 $0 CLOSED DUE TO TRNSFR 21 0/ 0/ 0 BK OF AMER B 4275002 10/07 $300K 360M2191 111111111111 MO1 3/10A $0 X11111111111 C CONVENTIONAL REAL 3/10C $0 CLOSED DUE TO REFIN 27 0/ 0/ 0 CAP ONE B 1DTV001 12/05 $11.2K 111111111111 RO1 10/09A $11.0K $0 111111111111 I CREDIT CARD 9/09C $0 ACCT CLSD BY CONSUMER 46 0/ 0/ 0 CITIMORTGAGE B 462S015 4/07 $336K 360M2855 1111111111 MOl 3/09A $0 C CONVENTIONAL REAL 3/09C $0 CLOSED 10 0/ 0/ 0 CHASE B 26QK001 10/99 $6383 111111111111 RO1 11/08A $9000 $0 111111111111 I CREDIT CARD 8/08C $0 ACCT CLSD BY CONSUMER 48 0/ 0/ 0 MORT SERV CT F 398R001 4/07 $336K 360M2862 1111111111 MOl 6/08A $0 C FRD437366170 1000 6/08C $0 TRNSFRD: OTHER LENDER 10 0/ 0/ 0 CITI B 64DB002 7/03 111111111111 RO1 9/07A $0 111111111111 I CREDIT CARD 8/06C $0 ACCT CLSD BY CONSUMER 48 0/ 0/ 0 PEOPLES UNTD B 7158009 1/88 $1000 111111111111 CO1 5/07A $0 111111111111 C LINE OF CREDIT 3/07C $0 CLOSED 48 0/ 0/ 0 WFHM B 82TE004 3/03 $360K 360M3047 111111111111 MO1 5/07A $0 111111111111 C CONVENTIONAL REAL 5/07C $0 CLOSED 48 0/ 0/ 0 BMW FIN SVC A 82WT002 12/03 $42 .1K 39M620 111111111111 I01 3/07A $0 111111111111 S AUTO LEASE 3/07C $0 CLOSED 39 0/ 0/ 0 VOLVO FINANC F 3796016 4/02 $35.2K 48M480 111111111111 I01 5/06A $0 111111111111 I AUTO LEASE 5/06C $0 CLOSED 47 0/ 0/ 0 CITI SHELL B 282E024 10/89 $544 111111111111 RO1 12/05A $1100 $0 111111111111 C CREDIT CARD 10/05C $0 ACCT CLSD BY CONSUMER 48 0/ 0/ 0 I N Q U I R I E S DATE SUBCODE SUBNAME TYPE AMOUNT 1/06/15 ZNP6284423 (FLA) MERIT CREDIT 7/13/13 QDF0005323 (SCT) NISSAN MOTOR AL 7/12/13 ALA4726820 (CAL) PAUL MILLER 3/04/13 FLA2816123 (CAL) HMF 3/04/13 ACH0208833 (CHI) DNBRY FAIR H 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 FAIRFLDCTYBK BB7130004 (203) 438-6518 150 DANBURY RD RIDGEFIELD CT. 06877 SIMMONS FNB BZ1067003 (501) 541-1000 P.O.B 6609 PINE BLUFF AR. 71611 NISSN INF LT QA507T085 (800) 777-6116 POB 660366 DALLAS TX. 75266 AMEX DSNB BC2A5T006 PO BOX 8218 MASON OH. 45040 DSNB MACYS DC2A5T001 PO BOX 8218 MASON OH. 45040 SYNCB/CARECR FZ999206T (866) 396-8254 C/O PO BOX 965036 ORLANDO FL. 32896 AMEX BC21WBOO1 (800) 874-2717 P.O. BOX 981537 EL PASO TX. 79998 SYNCB/RMSTGO HF9992545 (866) 396-8254 C/O PO BOX 965036 ORLANDO FL. 32896 SYNCB/BROOKS CZ235055Q (800) 248-3058 PO BOX 965005 ORLANDO FL. 32896 PROVIDNT FND FM1W9W002 (800) 696-8199 1235 N. DUTTON AVE SANTA ROSA CA. 95401 HYUNDAI FINC FA7678002 (800) 523-4030 10550 TALBERT AV FOUNTAIN VALLE CA. 92708 ZALE/CBNA JA215G001 PO BOX 6497 SIOUX FALLS SD. 57117 BK OF AMER BM427S002 (800) 451-6362 1800 TAPO CANYON SIMI VALLEY CA. 93063 AMER HONDA QA3946019 (413) 552-1400 470 GRANBY RD SOUTH HADLEY MA. 01075 CAP ONE BC1DTV001 (800) 955-7070 POB 30281 SALT LAKE CITY UT. 84130 CITIMORTGAGE BM462S015 (800) 283-7918 PO BOX 6243 SIOUX FALLS SD. 57117 CHASE BC26QK001 (800) 955-9900 P.O. BOX 15298 WILMINGTON DE. 19850 MORT SERV CT FM398R001 (800) 330-0423 2001 BISHOP GATE B MOUNT LAUREL NJ. 08054 CITI BC64DB002 POB 6241 SIOUX FALLS SD. 57117 PEOPLES UNTD BS7158009 850 MAIN ST. BRIDGEPORT CT. 06604 WFHM BM82TE004 (800) 288-3212 7255 BAYMEADOWS WA DES MOINES IA. 50306 BMW FIN SVC AZ82WT002 (800) 578-5000 PO BOX 3608 DUBLIN OH. 43016 VOLVO FINANC FA3796016 (800) 770-8234 POB 542000 OMAHA NE. 68154 CITI SHELL BC282E024 (800) 950-5114 PO BOX 6497 SIOUX FALLS SD. 57117 NISSAN MOTOR Q 0005323 (800) 456-6622 PO BOX 660360 DALLAS TX. 75266 PAUL MILLER A 4726820 (203) 335-3181 930 KINGS HWY FAIRFIELD CT. 06825 HMF F 2816123 (800) 523-4030 HYUNDAI MOTOR FINA FOUNTAIN VALLE CA. 92728 DNBRY FAIR H A 0208833 (203) 730-5737 100 FEDERAL RD DANBURY CT. 06810 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. 0: -.0■ V sl i 1j 0% Oi V 1 l O� /11. 04∎,10% At t' /i■ 0 til' of -w .-AS► i�►•-t►♦41►-t' �►• ►♦ ' ' }∎'-• 46 p--.j:t Ar t& 4 # t1 }1 ♦ : X110 � 1 ` # o " Q4..•• ••�.�< i. Ol Q ›, V 0A CD 4 cu� . 4 4i -2 0 -D • ...at* w L A Po . 2 0 a) a..,., r �c, 4 U 0 % 0 " Air ° r O>V lIj/ a) _ r, .v o ► r. O :_g o .� ` U , /A His ,�i`' r� ` o `'' x 'n '1.-- 1 .0 2 o `'fi r` �, q A 8 s o o •�R� JI - w � -.. a) c > �i 0 a U v 2 ■,7/1 ,t•- • S '''-- . +� E •tom 414 F N ct 47•L r X 0 O rr Cj c . cn +-> a) n -4 t A 40 o •--' o 4 1 em•P. OAV (...) f'-'. cn a) ° a) ° t .0 o .p__ . OA tik li, it 4 0,‘I up y ittk t4,4 H '- p '-E --44 t t•0%IP 6 e >®�►•�, t _ co L-'7,tills *ilm....W -4s....-.11W+.0.11.-41W+ 101■+44.■+ )0*-4101.Pw : 1■7■4 *4 oil s IV ■ w► IV . r1 i. . . l x www.sunbiz.org - Department of State Page 1 of 1 FLORIDA DEPARTMENT OF STATE K; . DIVISION O.F CORPORATIONS 5"b.z Home Contact Us E-Filing Services Document Searches Forms Help Pieevious on List Next on List Return to List Fictitious Name Search No Filing History Submit I Fictitious Name Detail Fictitious Name ASP-AMERICA'S SWIMMING POOL CO Filing Information ........... ..... Registration Number G15000004252 Status ACTIVE Filed Date 01/13/2015 Expiration Date 12/31/2020 Current Owners 1 County COLLIER Total Pages 1 Events Filed NONE FEI/EIN Number 47-2469485 Mailing Address 12863 CARRINGTON CIR UNIT 101 NAPLES, FL 34105 Owner Information SWFL POOL& SPA, LLC 12863 CARRINGTON CIR UNIT 101 NAPLES, FL 34105 FEI/EIN Number: 47-2469485 Document Number: L14000185517 Document Images O1/13/2015--REGISTRATION View image in PDF format Previous on List Next on List Return to List Fictitious Name Search No Filing History j Submit j tot' http://www.sunbiz.org/scripts/ficidet.exe?action=DETREG&docnum=G 15000004252&rd... 1/29/2015 Detail by Entity Name Page 1 of 2 FLORIDA DEPARTMENT OP STATE Detail by Entity Name Florida Limited Liability Company SWFL POOL & SPA, LLC Filing Information Document Number L14000185517 FEI/EIN Number NONE Date Filed 11/24/2014 State FL Status ACTIVE Effective Date 01/01/2015 Principal Address 12863 CARRINGTON CIRCLE #101 NAPLES, FL 34105 Mailing Address 12863 CARRINGTON CIRCLE #101 NAPLES, FL 34105 Registered Agent Name & Address CATANZARO, MICHAEL 12863 CARRINGTON CIRCLE #101 NAPLES, FL 34105 Authorized Person(s) Detail Name & Address Title AMBR CATANZARO, MICHAEL 12863 CARRINGTON CIRCLE #101 NAPLES, FL 34105 Annual Reports No Annual Reports Filed Document Images 11/24/2014 -- Florida Limited Liability View image in PDF format http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquitytype=Entity... 1/29/2015 FTC�• 3 A1'4 COD WE TR FLORIDA DEPARTMENT OF STATE Division of Corporations December 4, 2014 MICHAEL CATANZARO 12863 CARRINGTON CIRCLE #101 NAPLES, FL 34105 The Articles of Organization for SWFL POOL & SPA, LLC were filed on November 24, 2014, effective January 1, 2015, and assigned document number L14000185517. Please refer to this number whenever corresponding with this office. The certification you requested is enclosed. To maintain "active" status with the Division of Corporations, an annual report must be filed yearly between January 1st and May 1st beginning in the year following the file date or effective date indicated above. If the annual report is not filed by May 1st, a $400 late fee will be added. It is your responsibility to remember to file your annual report in a timely manner. A Federal Employer Identification Number (FEI/EIN) will be required when this report is filed. Apply today with the IRS online at: https://sa.www4.irs.gov/modiein/individual/index.jsp. Please be aware if the limited liability company address changes, it is the responsibility of the limited liability to notify this office. Should you have any questions regarding this matter, please contact this office at the address given below. Tim Burch Regulatory Specialist II Registration Section Division of Corporations Letter Number: 914A00025583 www.sunbiz.org Division of Corporations - P.O. BOX 6327 -Tallahassee, Florida 32314 ^/l J1^G VV8 n � ,c 908 V/" - 1 Ic D.0 DyjyC �"00o we iauS' ��C `... �Pitarttunt of ttatP 8 D-C DCRic I certify from the records of this office that SWFL POOL & SPA, LLC is a limited R38 liability company organized under the laws of the State of Florida, filed on AD Ric November 24, 2014, effective January 1, 2015. 3 8 The document number of this limited liability company is L14000185517. Dnc � c �3c D3c I further certify that said company has paid all fees due this office through December 31, 2015, and its status is active. 8 3 D-c $0 RO8 -C 8 r`r^J) G l DA l/O� 81018 1RU8 8 ✓`J C O ✓wC 1*2 �� Given under my hand and the Great Seal of the State of Florida D-C at Tallahassee, the Capital, this the DC RO8 ' .S Fourth day of December, 2014 E(08 D C i.c44... .!.- he.s oD C G f Pit - ;4 1 ; . zr- 1 nC I . ., _ •e7 \t flA 0%1LP4 r7A . %� U8 ', oD WE cR.-- R$xi kti8-•CR2E022 (1-11) rrrta �i£ fafr� ( k6-n � n : \ n 'nn nn ,,c ,G. n .,-in, nnnnG n � ,.„,- r-7n ARTICLES OFORGAN1ZATIONFORFLORIDA LIMITED LIABILITYCOMPANY ARTICLE I-Name: The name of the Limited Liability Company is: SWFL Pool&Spa, LLC (Must end with the words"Limited Liability Company,"L.L.C.,"or"LLC.") ARTICLE II-Address: The mailing address and street address of the principal office of the Limited Liability Company is: Principal Office Address: Mailing Address: 12863 Carrington Circle#101 Same Naples, FL 34105 ARTICLE III-Registered Agent,Registered Office,&Registered Agent's Signature: (The Limited Liability Company cannot serve as its own Registered Agent.You must designate an individual or another business entity with an active Florida registration.) The name and the Florida street address of the registered agent are: 0 Michael Catanzaro Name <;- rr _. .0 &iF,,.. 12863 Carrington Circle#101 ,; Florida street address P.O.Box NOT acceptabler-t f- ) �- Naples FL 34105 City Zip Having been named as registered agent and to accept service of process for the above stated limited liability company at the place designated in this certificate,I hereby accept the appointment as registered agent and agree to act in this capacity. I further agree to comply with the provisions of all statutes relating to the proper and complete performance of my duties,and I am familiar with and accept the obligations of my position as registered agent as provided for in Chapter 605,F.S.. f ‘RI 11/4fitea Registered Agent's'Signature(REQUIRED) (CONTINUED) Page 1 of2 ARTICLE IV- The name and address of each person authorized to manage and control the Limited Liability Company: Title: Name and Address: "AMBR"=Authorized Member "MGR"=Manager AMBR Michael Catanzaro 12863 Carrington Circle#101 Naples, FL 34105 r-- > "6- .• (Use attachment if necessary) ARTICLE V: Effective date,if other than the date of filing: January 1, 2015 .(OPTIONAL) (If an effective date is listed,the date must be specific and cannot be more than five business days prior to or 90 days after the date of filing.) ARTICLE VI:Other provisions,if any. REQUIRED SIGNATURE: //, , a . / 6 fraaae4 Signature of a member or an authorized representative of a member. (In accordance with section 605.0203(1)(b),Florida Statutes,the execution of this document constitutes an affirmation under the penalties of perjury that the facts stated herein are true. I am aware that any false information submitted in a document to the Department of State constitutes a third degree felony as provided for in s.817.155,F.S.) Michael Catanzaro Typed or printed name of signee Filing Fees: $125.00 Filing Fee for Articles of Organization and Designation of Registered Agent $ 30.00 Certified Copy(Optional) $ 5.00 Certificate of Status(Optional) Page 2 of 2 alli S7211471.--r '45 ,z4 cove.," FLORIDA DEPARTMENT OF STATE Division of Corporations January 14, 2015 ASP - AMERICA'S SWIMMING POOL CO 12863 CARRINGTON CIR UNIT 101 NAPLES, FL 34105 Subject: ASP - AMERICA'S SWIMMING POOL CO REGISTRATION NUMBER: G15000004252 This will acknowledge the filing of the above fictitious name registration which was registered on January 13, 2015. This registration gives no rights to ownership of the name. Each fictitious name registration must be renewed every five years between January 1 and December 31 of the expiration year to maintain registration. Three months prior to the expiration date a statement of renewal will be mailed. If the mailing address of this business changes, please notify this office in writing, or through the link provided on our website www.sunbiz.org for Address & FEI/EIN Changes. Please reference the original registration number. Enclosed is your certificate(s) as requested. Should you have any questions regarding this matter you may contact our office at (850) 245-6058. Suzanne Hawkes Reinstatement Section Division of Corporations Letter No. 615A00000752 www.sunbiz.org Division of Corporations - P.O. BOX 6327 -Tallahassee, Florida 32314 DC ,.---0 tos.../ t att - - � . G 3 .. �8 � D � � ` E‘A n� i Goo WE z,, rpartnt ozr ,R-70, � m 8,.. V� 7 DC DUC c 3� D3� 8 ^y'0.�`� I certify from the records of this office that ASP - AMERICA'S SWIMMING POOL �3� 8 CO is a Fictitious Name registered with the Department of State on D.0 January 13, 2015. "gE D-C gE ,n� The Registration Number of this Fictitious Name is G15000004252. c I further certify that said Fictitious Name Registration is active. -V n 8 0°C �C I further certify that this office began filing Fictitious Name Registrations on .?,^3 January 1, 1991, pursuant to Section 865.09, Florida Statutes. ()qg O V �V 7 Ea RV8 RV8 R; �/ DC DVC i�c DVC � 4:088 b C DC Given under my hand and the R 0 c *IR.k0t388 Great Seal of the State of Florida e0� at Tallahassee, the Capital, this the R f.,,,/-4............. Fourteenth day of January, 2015 0:,,, • -,9,-,:,,,, ,... ,..,,,,, 8 � ri\� '1 � l te :t j 8 D rI - . :` RVo Poi - -c. -- , $tT Pr - 8 y CR2E022 (1-11) � ' rBf�r of �fttf$ � n \ /J. ,, , , 7D 7D -A 9� ; T 0A OD OO OR p0 O� p0■\ .Vws I\9.I\OCR/7-f7-!79OI,0%� "CDUCDUCDUCD.CD-C?vCD D-CD.CD.CD D.. .CD.C� CJ D.CD.C?, i C V D.0 / D.vil=>.CD.CD.CD C www.sunbiz.org - Department of State Page 1 of 1 FLORIDA DEPARTMENT OP STATE f' DIVISION OF ORPORATION S 5/144:z.� 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 Fictitious Name Detail Fictitious Name ASP-AMERICA'S SWIMMING POOL CO Filing Information Registration Number G15000004252 Status ACTIVE Filed Date 01/13/2015 Expiration Date 12/31/2020 Current Owners 1 County COLLIER Total Pages 1 Events Filed NONE FEI/EIN Number 47-2469485 Mailing Address 12863 CARRINGTON CIR UNIT 101 NAPLES, FL 34105 Owner Information SWFL POOL& SPA, LLC 12863 CARRINGTON CIR UNIT 101 NAPLES, FL 34105 FEI/EIN Number:47-2469485 Document Number: L14000185517 Document Images 01113/2015--REGISTRATION ; View image in PDF format Previous pn ! i_t N yt nn i st Return to I:ict Fictitious Name Search No Filing History Submit http://www.sunbiz.org/scripts/ficidet.exe?action=DETREG&docnum=G 15000004252&rd... 1/27/2015 CERTIFICATE OF INSURANCE ISSUE DATE 1/29/2015 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 INSURER(S)AFFORDING COVERAGE BB&T Insurance Services, Inc ServiceNow INSURER A: Scottsdale Insurance Company PO Box 31128 Raleigh, NC 27622 INSURER B: N/A INSURER C: INSURED SWFL Pool &Spa, LLC dba ASP-,America's INSURER D: Swimming Pool Co 12863 Carrington Circle, Unit 101 Naples, FL 34105 INSURER E: N/A COVERAGES 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 POLICY POLICY POLICY LIMITS LTR INSURANCE NUMBER EFFECTIVE DATE EXPIRATION DATE A GENERAL LIABILITY CPS2143341 1/26/2015 1/26/2016 GENERAL AGGREGATE 2,000,000 PRODUCTS-COM/OP AGG. 1,000,000 PERSONAL&ADV.INJURY 1,000,000 EACH OCCURRENCE 1,000,000 DAMAGE PREM RENTED TO YOU 100,000 MED EXPENSE(Any one person) 5,000 B PERSONAL LIABILITY COMBINDED SINGLE LIMIT MEDICAL PAYMENTS TO OTHERS C EXCESS LIABILITY EACH OCCURRENCE AGGREGATE D E PROPERTY BUILDING CONTENTS BUSINESS INCOME THIS INSURANCE IS ISSUED PURSUANT TO THE FLORIDA SURPLUS LINES LAW.PERSONS INSURED BY SURPLUS LINES CARRIERS DO NOT HAVE THE PROTECTION OF THE FLORIDA GUARANTY ACT TO THE EXTENT OF ANY RIGHT OF RECOVERY FOR THE OBLIGATION OF AN INSOLVENT UNLICENSED INSURER. SURPLUS LINES INSURERS' POLICY RATES AND FORMS ARE NOT APPROVED BY ANY FLORIDA REGULATORY AGENCY. DESCRIPTION OF OPERATIONS/SPECIALTY ITEMS Swimming Pool Servicing SURPLUS LINES AGENT VIRGINIA CLANCY LICENSE#A206695 13577 FEATHERSOUND DRIVE PO BOX 17069 CLEARWATER,FLORIDA 33762 CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN GMD Operations and Regulatory Management Licensing Section ACCORDANCE WITH THE POLICY PROVISIONS. 2800 North Horseshoe Drive AUTHORIZED SIGNATURE Naples,FL 34104 !! sus JEFF ATWATER STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS'COMPENSATION **CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW** CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers'Compensation law. EFFECTIVE DATE: 1/22/2015 EXPIRATION DATE: 1/21/2017 PERSON: CATANZARO MICHAEL L FEIN: 472469485 BUSINESS NAME AND ADDRESS: SWFL POOL&SPA LLC ASP-AMERICA'S SWIMMING POOL CO 12863 CARRINGTON CIRCLE NAPLES FL 34105 SCOPES OF BUSINESS OR TRADE: LICENSED POOL CONTRACTOR Pursuant to Chapter 440.05(14),F.S.,an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter.Pursuant to Chapter 440.05(12),F.S.,Certificates of election to be exempt...apply only within the scope of the business or trade listed on the notice of election to be exempt.Pursuant to Chapter 440.05(13),F.S.,Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if,at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate.The department shall revoke a DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS?(850)413-1609 X gIRSDEPARTMENT OF THE TREASURY INTERNAL REVENUE SERVICE CINCINNATI OH 45999-0023 Date of this notice: 12-10-2014 Employer Identification Number: 001430.515209.310346.15172 1 I•iB 0.435 530 47-2469485 111 1111■111n 1'IIIILuIIrlllil'llinlllllil,illuiiilllill'°1111' Form: SS-4 Number of this notice: CP 575 H SWFL POOL & SPA LLC % MICHAEL CATANZARO SOLE MBR For assistance you may call us at: 12863 CARRINGTON CIR UNIT 101 1-800-829-4933 NAPLES FL 34105 001430 IF YOU WRITE, ATTACH THE STUB OF THIS NOTICE. WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER Thank you for applying for an Employer Identification Number (EIN) . We assigned you EIN 47-2469485. 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 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 r. all our fedaral tax forms. * Refer to this EIN on your tax-related correspondence and documents. * Provide future officers of your organization with a copy of this notice. Your name control associated with this EIN is SWFL. You will need to provide this information, along with your EIN, if you file your returns electronically. 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 this stub. Thank you for your cooperation. 'FLORIDA Certificate of Registration R.D10/14 €ssued Pursuant to Chapter 212, Florida Statutes DEPARTr,,E's1 OF KEA r«LE 21-8016595167-9 12/12/14 Certificate Number Registration Effectn'e Date AMERICA'S SWIMMING POOL COMPANY SWFL POOL& SPA LLC 12863 CARRINGTON CIR UNIT 101 NAPLES FL 34105-5003 has met the sacs and use tax registration reou cements for the rus'oress location stated above and is ai:hunted to coiico:and remit tax-as rect_ :ed b_.r Ficrida la This certificate is iton-transferabie POST THIS CERTIFICATE IN A CONSPICUOUS PLACE THIS IS YOUR SALES & USE TAX CERTIFICATE OF REGISTRATION (DETACH AND POST IN A CONSPICUOUS PLACE) THIS IS YOUR FLORIDA ANNUAL RESALE CERTIFICATE FOR SALES TAX Note: New dealers who register after mid-October are issued annual resale 17(*; certificates that expire on December 31 of the following year. These certificates are valid immediately. LORIOA I -- DR-13 2015 Florida Annual Resale Certificate for Sales Tax ! R. 10/14 THIS CERTIFICATE EXPIRES ON DECEMBER 31, 2015 Bus nessName and Location Ada!ess Certificate Number AMERICA'S SWIMMING POOL COMPANY 21-8016595167-9 SVVFL POOL&SPA LLC 12863 CARRINGTON CIR UNIT 101 NAPLES FL 34105-5003 By extendino th's certificate or the cert*ioaie number to a sei no dealer to make eligible pui:chases at taxable'roper;°,or semoes exempt frroo,Wu-s tax and discretionary sales surtax,the person or business named abo:-e certifies that the taxable pr potty or services purchased or rented rrdll he resold or re-rented for one or more of the follovrrina purposes: • Rea ,ns pe ,_tI plooer • RY-rertai as .o • lar:-zoo anon es a noia'eriai, ,icoedite;. �L !:.i yE.l,,t� "lal�,[ N"?.,,. • ins r.d;ior b:-u c,; I .._ ..a_f the rep:, - _• re_sl^c`s r i_.-s. rar,elb,e nersonal prepert 0'';a repair dealer nu.is _ ,p, .,. eU for sale k, clan a .. r,,t. • R gal 2_ _.si-ir„ Florida law provides for criminal and civil penalties for fraudulent use of a Florida Annual Resale Certificate. COLLIER COUNTY BUSINESS TAX RECEIPT oiEz APPLICATION ea,l 2800 N.Horseshoe Drive,Naples,FL 34104 � , o Make Check Payable to Collier County Tax Collector Phone: 239-252-2477 Fax: 239-643-4788 Website: www.colliertax.com CHECKLIST Copy of Articles of Incorporation and/or Fictitious letter Yellow Fire Compliance(list of fire district phone number from the State stating that your business name is on file. enclosed) (850-245-6052 or 6058) www.sunbiz.org 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. X 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 - 5 CU/12-- Peo/ 4 6 L L(1 la) DBA NAME -A c '-/7y/7 e4 (67 3 32-6,,)92/1P-1/25 --/Lt". G 1 �1C17-art) lb) BUSINESS OWNER OR QUALIFIER'S NAME - l;� /Q� 2) PHYSICAL ADDRESS - /2 663 /rime, 4 (1( di i/1/o/ /l/2/($ F./ 5y/03- (No P.O.Box allowed) 2a) IS RESIDENCE USED AS AN OFFICE- K Yes No 3) BUSINESS MAILING ADDRESS- r 4/0 �OA,S /'/ J7//05 Street City tp 4) OWNER OR QUALIFIER'S RESIDENTIAL ADDRESS-j2 156i.3 at`i/i flc1 7Gtii ( i r 1L/4 6/ 5 /Z. 5) TELEPHONE -Business: Home: /3 c/- 265- L/6 Z 7 6) LEGAL FORM OF BUSINESS: Sole Proprietorship Partnership Corporation G.-----LLC LLP 7) OPENING DATE OF BUSINESS OR DATE ASSUMED - Ja t( /t ZJi3 8) OFFICE WITHIN CITY LIMITS OF NAPLES - Yes No If Yes,City License No. 9) SOCIAL SECURITY NO. or FEDERAL EMPLOYER IDENTIFICATION NO. 4/7 - Z-"/ /'/J� *see back of application for explanation 9a) TYPE OF BUSINESS CONDUCTED: )GUS/)//ii/f1� / 3 / ( tta ti, tl� 10) NUMBER OF EMPLOYEES - Including number of owners: / 11) FILL IN THE APPROPRIATE AREAS- a)Rental units(motel/hotel/apts.)Number of units: b) Seating Capacity(rest./cafes,etc)Number of seats: c)Number of coin-operated machines owned by business or individual: 12) STATE LICENSE OR CERTIFICATION NUMBER- Must have photo copy of state license if state licensed and certified UNDER PENALTIES OF PERJURY,I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN 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**** • Cot ie County Please take the time to fill out this form as completely as possible. Remember that only someone actually living at the address given below may engage in the home occupation described. Customers or employees not living at this address are prohibited from traveling to and from the residence if visits are related to this home occupation. The applicant is the person in whose name the Business Tax Receipt will be issued, and the applicant's signature must appear on this form. Verification as property owner or lessee in the form of a Valid Florida's Driver License or Florida Identification Card and/or copy of valid lease agreement is required. A tt APPLICATION DATE / / G 7 ZC%_ ZONING CERTIFICATE# APPLICANT'S PHONE Z " % - L C.,)-- 1(,; 7 Business Tax Lic# � / !l /•APPLICANT'S NAME f�%A(i�7z`( 7 !/�iiZ4I'/ APPLICANT'S HOME ADDRESS /Z ,���� � ( CC 1���1 i 1�' 411 � i fC �� �',,//o/ Z- �1;�5 Z 3(//05 � TYPE OF BUSINESS TO BE CONDUCTED •5�h'liI1/'i1/i9) /'h h.'' l'-a Ili Gl ' ;)-6i,-i-l((': BUSINESS NAME (IF ANY) .1 &ti' L /.CC'/4/z ,1-:(_^ cal,it � ii Ytt'li'S , c'/io)1,1.14 /"G,1 i 0. 1 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 above at this address by virtue of my leasehold interest in this property, and that I have read, understood, and agree to abide by the provisions of LDC Section 5.02.00 "Home Occupations" (see back of application). lc( y /APPLICANT S!CNATURE , "Z� C-CC��C' DATE �,�/ fit'/5 CODE NO: 11ROMZ FEE: $50.00 CHECKS PAYABLE TO: "COLLIER COUNTY TAX COLLECTOR" TO BE COMPLETED B/Y�CCOrNN COUNTY STAFF ZONING �:) PROPERTY ID# a0Ct WOOD " `` DATE 1 i (-C1157 n REVIEWED BY • APPROVED HOLD DENIED C MENTS/RES(TCTIONS: Must comply with Section 5.02.00 of the LDC (see back of application). CrO 0,.- (91&\ ' .I__. -IK__--?0,5 C,\ad Tax Collector Staff: Clerks Initials Horseshoe Greentree Please forward a copy of issued certificate and receipt to the Collier County Zoning Services. 5-24-2.011 0 -` ups• "'4-.:, a e,, 12tiw...AR NOT N'4 CAR Jr - t. AN NAPLES.FL 34105-0000 ^> 00$.93-09-1955 sf? M .0'�4�$� -20+14 ° _p9 SAFE OR!Y Gode-r cou ity • GMD Operations & Regulatory Management Licensing Section 2800 North Horseshoe Drive Naples, FL 34104 ___ APPLICATION FOR COLLIER COUNTY/CITY OF NAPLES/CITY OF MARCO FIRM INSTRUCTIONS: This application must be typewritten or legibly printed. The application fee must accompany this application. The fee is not refundable after the application has been accepted and entered on the records. All checks should be made payable to the Board of Collier County Commissioners. For further information, consult Collier County Ordinance No. 90-105, as amended. NAME OF COMPANY: Exact Corporate/Business Name: t_ o j-j'4 ' 471:1')Y-11 ' ,`� : �-v Fiction Name/DBA: Qualifier Name: yd Physical Address: ,` C1 I y � 'Y +�; �l L 3`-1 (Number & Street) (City) (State) (Zip Code) Moiling Address: ±4-3)34 Y1-11 T1 t Y .r Cif' (Number & Street) (City) (State) (Zip Code) Telephone: (..r3 3L-0 ,'1(t-L E-Mail: ( r'" — TYPE OF LICENSE: a ('s CI General $230.00 ❑ Electrician $230.00 ❑ Building $230.00 ❑ Plumber $230.00 ❑ Residential $230.00 ❑ Air Cond. $230.00 ❑ Mechanical $230.00 ❑ Swimming Pool $230.00 ❑ Roofing $230.00 Specialty $205.00 Specialty trade: 1 i'ol)Q.Y'vr-C, 30351" CHANGE OF STATUS: ���� ( ) Reinstatement ( ) From One Business to Another ( ) Dormant License to A e FEB — ei Page 1 of 4 Y: ,, ..• 1. The names, titles, home address and phone numbers of all Officers/Managing Members of the Firm. CbrlC�-c� (c15*aril%do_ cifi QC(z-- 5(ai4, Jalts QIz 1 jh - P C J S 2. List all businesses, firms, entities or contracting businesses you have been associated with during the last ten years (ex. Held a license for or been a partner). Attach extra pages if needed. 3. List all debts you or any company(s) associated with you refused to pay and the reasons for the refusal to pay. Attach extra pages if needed. rijiaj_ S-i2L Atito6 .54,Hidovuo/0--- AFFIDAVIT I, )jp4t J 7 certify that the foregoing .s true and correct to the best of my knowledge. /41a/t/td. }CladVA /- Authorized Ott o the Firm 1 STATE OF FLO IDA COUNTY OF Ors I i LQ The foregoing instrument as acknowledged before me this ,/ / 5 ,� (Date) By Ja--h £ m, re--2.._ of Nitij t Ll-{ r 01,11.4 r ' NO( I11( (Name of officer, title/agent) (Name of Corporatytrn) a F—1(,)( I;i ;l Corporation on behalf of the corporation. (State or Place of Corporation) He/She has produced D 1- identification and did not take an oath. (Type of identification) / // NOTARY'S SEAL _ i,,,..""„"vwv"."."^f'' , XL'LL--- (:)---a- 47 of tiPR�Pus Notary public State of FlondE 4� Patricia Reed "''' (SIGNATURE OF NOTARY) � My Commission EECS.. N9r•OF F:/ Expires 04'221201 Page 2 of 4 QUALIFIER INFORMATION: Name:. 10 r T a z, Address: Y:15 ) 7 m TTYYQt�" Ste' T4-2 a�112 (Number& Street) (City) (State) (Zip Code) Telephone: 0;4 (i- f 3 9 S.S. #: E-Mail: (� 7 r` " Driver's License: g507 L/2( ?. 1. Type of Certificate of Competency for which application is made. FA C:67 y^ CCLQYI419 C0-4Ct( r 2. The names and telephone numbers of two persons who will know your whereabouts. rrlorvu (L I Z ' r) ;53-8 755 +rar1 rrj/-2 ( 3 ) '-lam - 27/ 3. Have you ever been convicted of a crime related to Contracting? n6 (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. (.0);iL ZiaCi C14 id ': -/C0 9. List your business or work experience during the past ten years. r2,62.(1AQ atkiftri t-P1171,2/ 10. Statement of any formal training you have had in the area for which the application is made. °?Oft (L cs . Page 3 of 4 Score Report Page 1 of 1 Score Report ' i ;. I Proi Ramirez,Janet Name. Janet Ramirez Test: Business and Law-(FLO8100) Sponsor. Collier County Date: 11/17/2014 ID#: Test ID: 903561788 Score: 78 Result: Pass #Unanswered Questions: 0 Module Subject Area Status LOW Cut Score HIGH FLBO Business Organization F FLLIC Licensing P - FLLIEN Lien laws F FLTL Tax Laws P FLSRR Safety Reporting Regulations F FLLL Labor Laws P FLCM Contract Management P • FLPM Project Management F FLE&B Estimating&Bidding P - FLFM Financial Management F FLRM Risk Management F „. -yam-0- %,•. •• ,,,,;, . . a-r ,/,' 't file:///C:/Users/TanaT/AppDatalLocal/"Temp/Arkiv/TFC5BBOF8.htm 11/17/2014 AFFIDAVIT The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County Ordinance No. 2006-46, as amended, and vouches for the truth and accuracy of all statements and answers herein contained. The undersigned hereby certifies that he is legally qualified to act on behalf of the business organization sought to be licensed in all matters connected with its contracting business and that he has full authority to supervise construction undertaken by himself or such business or organization and that he will continue during this registration to be able to so bind said business organization. The qualified license holder understands that in all contracting matters, he will be held strictly accountable for any and all activities involving his license. Any willful falsification of any information contained herein is grounds for disqualification. APPLICANT(PLEASE PRINT) 0 S(.:,)11 C((C. NAME OF COMPANY / SIGNATURE OF APPLICANT STATE OF FLORIDAt COUNTY OF The foregoing instrument as acknowledged betore me this (Date) By J RO-rri trre ZZ-- who has produced L (Name of person acknowledging) (Type of identification) as identification and did not take an oath. NOTARY'S SEAL ytrr QL ° 00" tg. Notary Public state e'�,c'o. (SIGNATURE OF NOTARY) ' wit ^ Patricia A Reed "7 My Commission CE062' ;: � For,, Expires 64/22/20'5 ''!r4 -. s`ei.�y�+.t 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. r 'fl ir i a, ` /SIGNATURE OF APPLICANT BUSINESS NAME j t , 3 DATE , BEFORE ME this day personally appeared;J0J^1 waLlCE_ 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 _ before me this ��, The foregoing instrume t was acknowledged (Date) by j 6.4-rif 7e 2_ who has produced D' �' (name of person acknowledging) (Type of identification) as identification and who did not take an oath. M1,, ,O,'°'J,. 8r;PU { J-..`!p , I I .Lt V im `' C 6 S GNATURE OF NOTARY 9l 1":�1 xo,res C`4"22 20! � `� / �., .» „//6th/'C i6. L k / f 1. NOTARY'S SEAL (PRINT NAME OF NOTARY PUBLIC) NOTARY PUBLIC 4 COLLIER COUNTY GOVERNMENT COMMUNITY DEVELOPMENT AND ENVIRONMENTAL SERVICES DIVISION 2800 N.Horseshoe Dr. • Naples.Florida 34104 • 2.39-403-2400 • FAX 239-403-2334 MEMORANDUM DATE: November 29, 2007 TO: Applicant's FROM: Michael Ossorio, Contractor Licensing Supervisor. CC: Robert Dunn, Collier County Building Director. Alamar Finnegan, Collier County Permitting Supervisor. Robert Zachary, County Attorneys Office. All Contractor Licensing personnel. SUBJECT: Collection of social security numbers. Pursuant.to Chapter 119, Florida Statues and Collier County Contractor Licensing Ordinance 2006-46 Sec. ,.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 'lid 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 :onfidential and exempt under Chapter 119, Florida Statues. VERIFICATION OF CONSTRUCTION EXPERIENCE GMD Operations & Regulatory Management Department Licensing Section 2800 N. Horseshoe Drive Naples, FL 34104 Applicant's Name. Qf 4144ur1Z Certificate Category Requested: Flar ozugVi The Applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate the Applicant must verify their experience within this trade. You are being requested to provide information that will aid the Applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker(e.g. as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience must provide the following information: Name.Title and license number of the person signing below and verifying Applicants relevantexperience: Name: � jMi eJ PsiOS Sl". Title:ig,Sfili lo. % S ',flail CL,t.1- License Number(if applicable): NSA Name of Business: tJo {it_ 14,);/e_ F/cob i- COVE(/43 Business Address: 73.5 / S urpl V "Thh iv e. Ft. M Jdtt e.Js F l. 33?l z Business Phone: .Z 3?-.Z 67-P G O Q The Applicant's years of experience from to The applicant's scope of work (specific duties) included: �!- Additional Comments: Falsifying any information provided herein may subject your license to evocation. Si nature (( •Pfint Name:, ap p-QYV v ' ,./....___ State of Florida County of Collier f The__ ,,r.) going instrume, t was acknowledged before me on this day of AC by C--(Lz.,-- rq,l_ .t (e:s who is personally known tp-mv or produced as identification and who did not take an oath. _.e._< co...3_, C ' t'''' CLIC) - .11:-JA./t1-- ignature of Notary .eoci'v Pvgr Notary Public State-`�'orida Patricia A Reed r. Corn-n o '' 'Y SS!pn n �,. Et,,;c 2 "oi .xpiras Q422!20'r GMD Operations & Regulatory Management Department Licensing Section 2800 N. Horseshoe Drive Naples,FL 34104 Applicant's Name:c± 4 nYL.(7_, Certificate Category Requested: F/~/.C1►' �O ✓(Y 1 06f1-h/0C-en( The Applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate the Applicant must verify their experience within this trade. You are being requested to provide information that will aid the Applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker(e.g. as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience must provide the following information: Name, Title and license number of the person signing below and verifying Applicants relevantexperience: Name: Fk2 f I K i(-(Oota ( t S2 K-'/ Title: License Number(if applicable): ,CC_9U(L-K160 32Q Name of Business: HT-2_ F16()( C( i/li' iii r, � Business Address: �0' ! -1 L 1)i C(,c 1 ' '"I 1"l'1 ti l .. Business Phone: (9,2 ) 25 - 9317 The Applicant's years of experience from f) to ,%.rt/5 The applicant's scope of work (specific duties) included: -, ,,.x. ,)71/:). +:1,/:),./.&-!;_r, ';r < ��U Z_ max''; :lu `✓ ,�)�'? ~" i �, ' o Additional Comments: Falsifying any information provided herein may subject your license to revo tion. Signature Print Name: �e x \ e. C e State of Florida County of Collier The 'd-going. in trument was acowledged before me on this day of �� d6/i- �y I �` /�Cii) 9'ere L— who is personally known for produced as identification and who did not take an oath. ■ 7 0 / � �� O�pR''°,e Notary Public State of Florida Signature of Notary Patricia A Reed N, p' My Commission EE062 '''''e-0"c-d' Expires 04.22/20'5 VERIFICATION OF CONSTRUCTION EXPERIENCE GMD Operations & Regulatory Management Department Licensing Section 2800 N. Horseshoe Drive Naples,FL 34104 (' JET Applicant's Name: • KOVJ L ' I 1 r, Certificate Category Requested: F Cod L(.,'u.kl i (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 relevantexperience: Name: `1[�i ;_1 . , CAN-VS - \Cn "1c1CS5 CkCC\ 0 C ei i'(NC .�;1L• Title: C'ceS1CA6'l\ License Number(if applicable): -C' Name of Business: bef\ CrVV\t X F\CS-':;C. Calk"i'%(\C C c• Business Address: 'ILLS 1 < &X:,.— L\. 14 C c C---L _ -h.t^ Business Phone:�=��1- .3 =5 The Applicant's years of experience from kC( to r'M;i.,_, The applicant's scope of work (specific duties) included: c . s ic c ( S.-,t_e-L∎ -\_ct a" f\Stc 1\ 0c C c,cp -, v1 rtyL , U'Do , I CKfr‘ ; \c. Additional Comments: Falsifying any information provided herein may subject your license to revocation. Signature ,� , Print Name: /7£ .4-c /c.J c7 oX,.y'( /I State of Florida County of Collier _ �UIV The regoing instrumerpt was acknowledged before me on this AS day of / �' by / Oyl&C) ,J-Chri C( who is personally known : : or produced as identification and who did not take an oath. . Notary P'u�!iG,tat of FIOnd3 �� �- _. L., QY��e Reed Signature of Notary Z' "i patfCia F, EE082`''2 c,�mmiss or s. • ` My 4;22!201..ewes qlF OF r`p �v_ _�wT�`J''� AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER I. /3 R Tf}A) EC e E . am a resident of Lee County, FC.- - (State) and have resided here for more than five (5) years. During the last five years I have known 3 All"e 4— K X1"»1=$.1 Z (Applicant). I have had the opportunity to observe his or her business and personal dealings and find him or her to be a person of honesty, integrity and good character. (Signature) (Name) l' 21 Y3-V ,()-e c -f/e (Address) / cCrI D 1 4r2/4 ie i D l-e nit_ `T- 1111- -c P( - Telephone) .3 5— ?VO -a ) ). STATE OF FLORIDA COUNTY OF �` foregoing strument was acknowledged before me this /'J f by l 10-41 CC er who (Date) o has produced (name of person acknowledging) (Type of identification) as identification and who did not take an oath. r i Lx - i " " . ■I NATURE OF NOT' e„v,P06 ,otary Pubc St::,e-r rfor l ") `` atriaa Recd :�. 1.�-mil �� L- i� Cron seen , !■NS (PRINT NAME OF NOTARY) NOTARY PUBLIC 0,.C^'P'4<, t tary Pubic State c'Florid; } : `. Patricia A Reed ' p� hf;y Comrnission EE062112 °"';r: Expires 64'22/2015 10 AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER I, CAMEL R OS R. , am a resident of LEE County, FL . (State) and have resided here for more than five (5) years. During the last five years I have known -Al\I aT P4I\M1 IE.z (Applicant). I have had the opportunity to observe his or her business and personal dealings and find him or her to be a person of honesty, integrity and good character. (Signature)/ .... (Name) !^!!../ IQ/s r. (Address)_37/4 - l5744. S-t-. S CO Le-A,�h A cF.e.s,R. Telephone).22 9 .3wD-224 9 STATE OF FLORIDA COUNTY OF / The foregoing instrument was acknowledged before me this ! ►�/ ✓ a.4 t �' � / vZ 0 1 V by • (Date) J e -fl who has produced D . L-- (name of person acknowledging) (Type of identification) as identification and who did not take an oath. ,----en j 4:- C j„," IGNATURE OF NOTARY :.' Y t , CL C 1Z-(-e d NOTARY'S SEAL (PRINT NAME OF NOTARY) NOTARY PUBLIC ,".. 2otiar,..,, "Nctary Pub State o'Piet!.^ < t . Patricia A Reed r ! My Comrnissior EE062' ''''or v� Expires 04 22/201 Z 886 110th Ave. N. Suite#6, Naples, FL 34108 I r" ` Phone: 239.777.1028 Fax: 877.275.3593 www.LicensesEtc.com BUSINESS CREDIT REPORT as of: 02/03/15 16:58 ET Castaway Flooring Service Inc. Fed Tax ID# 80-0828321 Address: 2951 47th Ter SW Apt 2 Key Personnel: Ramirez Janet Naples, FL 34116-7792 Castaneda Carlos United States Business Type: Corporation Experian BIN: 961428401 Experian File June 2012 Established: Agent: Ramirez Janet Experian Years on File: 3 Years Agent 2951 47TH Terrace SW Address: Naples, FL Years in Business: More than 3 Years Filing Data Provided by: Florida Date of Incorporation: 06/22/2012 Public Records PUBLIC RECORDS HAVE BEEN SEARCHED AT THE COUNTY, STATE AND FEDERAL LEVELS. v Bankruptcies: 0 " Liens: 0 v Judgments Filed: 0 1 Collections: 0 END OF REPORT Page 1 of 1 Statement of business or work experience during the past ten years. I Janet Ramirez for the past ten years plus have locally lived and worked in the city of Naples my entire life. I have worked in the hospitality business as a server,early childhood education as a teacher and currently flooring installation. I have experience with many different types of flooring materials, installation methods and also precisely measuring building layouts for project estimate cost. List of all debts you or any company(s) associated with you refused or fail to pay and reasons for its refusal to pay. The following is a list of all the debts my business or I have failed to pay AT&T, Sprint,T-mobile,Verizon, Capitol One, Comcast, Physicians Regional, Suncoast Credit Union, Century Link and Iberia Bank. The reason for the delay in payment on these debts, is due to insufficient income needed to pay them all. I know I am capable of settling these debts accordingly, once I can establish enough work to help pay them all. 886 110th Ave. N. Suite#6, Naples, FL 34108 1 i r''' lie.***,, . p ..: !"- 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 2/04 02/03/15 15: 56CT <SUBJECT> <SSN> <BIRTH DATE> RAMIREZ, JANET - <CURRENT ADDRESS> <DATE RPTD> 2951 SW. 47TH TE. , NAPLES FL. 34116 4/08 <FORMER ADDRESS> 11346 PO BOX 11346, NAPLES FL. 34101 6/08 241 NE. 10TH ST. , NAPLES FL. 34120 <POSITION> <CURRENT EMPLOYER AND ADDRESS> <VERF> <RPTD> ALDO SALES NAPLES FL. 4/08 4/08 M O D E L P R O F I L E * * * A L E R T * * * ***FICO CLASSIC 08 ALERT: SCORE +571 : SERIOUS DELINQUENCY, AND PUBLIC ***RECORD OR COLLECTION FILED; TOO FEW ACCOUNTS CURRENTLY PAID AS AGREED; ***PROPORTION OF BALANCES TO CREDIT LIMITS IS TOO HIGH ON BANK REVOLVING OR ***OTHER REVOLVING ACCOUNTS; LENGTH OF TIME SINCE DEROGATORY PUBLIC RECORD ***OR COLLECTION IS TOO SHORT *** 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 PUBLIC RECORDS HAVE BEEN SEARCHED AT THE COUNTY,STATE AND FEDERAL LEVELS PR-0 COL=11 NEG=7 HSTNEG=0 TRD=22 RVL=19 INST=2 MTG=0 OPN=1 INQ=4 HIGH CRED CRED LIM BALANCE PAST DUE MNTHLY PAY AVAILABLE REVOLVING: $1103 $1800 $0 $0 100° INSTALLMENT: $10. 8K $ $7863 $0 $337 CLOSED W/BAL: $11 . 9K $11 . 9K $ TOTALS: $11 . 9K $1800 $19. 7K $11 . 9K $337 C O L L E C T I O N S SUBNAME SUBCODE ECOA OPENED CLOSED $PLACED CREDITOR MOP ACCOUNT# VERIFIED BALANCE REMARKS ENHANCRCVRCO Y 26MT002 I 8/14 $285 11 SPRINT 09B 1/15A $285 PLACED FOR COLLECTIO CAVALRY PORT Y lYNA008 I 5/11 $321 08 BANK OF AMERICA 09B 1/15A $517 PLACED FOR COLLECTIO PORTFOLIO RC Y 1KSE003 I 11/09 $1655 HSBC BANK NEVADA N 09B 1/15A $1655 PLACED FOR COLLECTIO AFNI Y 96ER007 I 8/14 $1627 10 AT T MOBILITY 09B Page 1 of 4 10/14A $1627 PLACED FOR COLLECTIO CONVERGENT Y 57XU001 I 5/14 $376 COMCAST 09B 8/14A $376 PLACED FOR COLLECTIO CAPIO Y 2C6V001 I 5/14 $6812 MEDICAL 09B 7/14A $6812 PLACED FOR COLLECTIO CREDIT COLL Y 1GZD005 I 12/12 $1629 06 PROGRESSIVE INS 09B 4/14A $1629 PLACED FOR COLLECTIO AVANTE Y 2C43001 I 1/14 $1492 MEDICAL 09B 3/14A $1492 PLACED FOR COLLECTIO ARS Y 2BQ4002 I 11/12 $813 MEDICAL 09B 1/13A $813 PLACED FOR COLLECTIO ENHANCRCVRCO Y 26MT002 I 1/12 $83 08 SUNTRUST BANK 09B 2/12A $83 PLACED FOR COLLECTIO MIDLAND MCM Y 36ET002 I 11/10 3/IIF $426 TARGET NATIONAL BA 09P 8/IIA $0 PAID COLLECTION 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 CAP ONE B 1DTV001 4/07 $2715 R09 1/15A $1500 $4844 I CREDIT CARD 5/09F $4844 CLOSD BY CRDT GRANTOR AMEX B 21WB001 6/07 $739 009 2/14A $739 I CREDIT CARD 2/09F $739 CLOSD BY CRDT GRANTOR AMEX B 21WB001 5/07 $1138 R09 12/13A $1100 $1138 I CREDIT CARD 2/09F $1138 CLOSD BY CRDT GRANTOR BK OF AMER B 1597029 10/08 $321 R09 5/11A $500 $0 I CREDIT CARD 3/09F $0 PURCH BY OTHER LENDER SUNCST CU Q 298Q007 10/07 $5752 R09 4/IIA $5000 $5214 CREDIT CARD 1/09F $5214 TRANSFERD TO RECOVERY TARGET N. B. D 6476004 5/08 $426 R09 4/11A $200 $0 I CREDIT CARD 4/09F $0 PURCH BY OTHER LENDER HSBC BANK B 2EF9002 1/08 $1655 R09 8/09A $1000 $0 I CHARGE ACCOUNT 6/09F $0 PURCH BY OTHER LENDER CHASE AUTO B 8251008 6/13 $10 . 8K 48M337 111111111111 I01 12/14A $0 111111 I AUTOMOBILE $7863 18 0/ 0/ 0 Page 2 of 4 DSNB MACYS D 2A5T001 2/07 $94 111111111111 ROl 12/14A $200 $0 111111111111 I CHARGE ACCOUNT 9/07C $0 ACCT CLSD BY CONSUMER 48 0/ 0/ 0 VW CREDIT F 2943003 4/08 $25 . 1K 60M419 11/08 X11111111111 I01 5/13A $0 $837 03 111111111111 C AUTOMOBILE 5/13C $0 CLOSED 48 0/ 0/ 0 CHASE B 26QK001 11/06 $1197 111111111111 ROl 6/10A $1100 $0 111111111111 I CREDIT CARD 3/10C $0 CLOSD BY CRDT GRANTOR 42 0/ 0/ 0 CAP1/BSTBY D 1DTV057 5/07 $46 111111111111 RO1 9/09A $1800 $0 111111111111 I CHARGE ACCOUNT 9/07C $0 ACCT CLSD BY CONSUMER 27 0/ 0/ 0 CAP1/OFMAX D 1DTV093 11/05 $310 111111111111 ROl 9/09A $300 $0 111111111111 I CHARGE ACCOUNT 9/09C $0 CLOSED 45 0/ 0/ 0 CAP1/BSTBY D 1DTV057 1/05 $749 111111111111 RO1 7/09A $800 $0 111111111111 I CHARGE ACCOUNT 12/05C $0 ACCT CLSD BY CONSUMER 48 0/ 0/ 0 CHASE-PIER1 B 247V026 5/07 $0 111111 ROl 12/07A $300 $0 I CREDIT CARD 9/07C $0 ACCT CLSD BY CONSUMER 6 0/ 0/ 0 FIA CS B 1597185 12/04 $1103 111111111111 ROl 12/07A $1500 $0 11111 I CREDIT CARD 11/07P $0 ACCT CLSD BY CONSUMER 17 0/ 0/ 0 CB/EXPRESS C 8349001 2/04 $0 111111111111 ROl 9/07A $300 $0 111111111111 I CHARGE ACCOUNT 12/05P $0 ACCT CLSD BY CONSUMER 43 0/ 0/ 0 CAP ONE B 1DTV205 6/07 $59 RO1 7/07A $300 $0 I CREDIT CARD 7/07C $0 ACCT CLSD BY CONSUMER CHASE-PIER1 B 247V026 8/05 $199 111111111111 RO1 5/07A $1000 $0 111111111 I CREDIT CARD 12/05C $0 ACCT CLSD BY CONSUMER 21 0/ 0/ 0 CHASE B 26QK001 6/05 $0 111111111111 ROl 12/06A $2000 $0 11111 I CREDIT CARD 10/06C $0 CLOSD BY CRDT GRANTOR 17 0/ 0/ 0 CAP ONE B 1DTV205 1/05 $542 ROl 8/06A $500 $0 I CREDIT CARD 8/06C $0 ACCT CLSD BY CONSUMER CHASE B 26QK001 3/05 $259 111111 RO1 10/05A $3500 $0 A CREDIT CARD 6/05C $0 ACCT CLSD BY CONSUMER 6 0/ 0/ 0 I N Q U I R I E S Page 3 of 4 DATE SUBCODE SUBNAME TYPE AMOUNT 2/03/15 PNP7771028 (FLA) LICENSES ETC 11/14/14 FPC1246538 (NTL) COAF 6/06/14 BPC2699824 (NTL) CAP ONE 3/24/13 UWA3747126 (WAS) T-MOBILE END OF REPORT Page 4 of 4 Detail by Entity Name Page 1 of 2 FLORIDA DEPARTMENT OF 4-* DIVISION OF CORPORATIONS rnb. Detail by Entity Name Florida Profit Corporation CASTAWAY FLOORING SERVICE INC. Filing Information Document Number P12000056300 FEI/EIN Number 80-0828321 Date Filed 06/22/2012 State FL Status ACTIVE Effective Date 06/21/2012 Principal Address 2951 47TH TERRACE SW APT#2 NAPLES, FL 34116 Mailing Address 2951 47TH TERRACE SW APT#2 NAPLES, FL 34116 Registered Agent Name & Address RAMIREZ, JANET 2951 47TH TERRACE SW APT#2 NAPLES, FL 34116 Name Changed: 04/27/2013 Officer/Director Detail Name & Address Title President RAMIREZ, JANET 2951 47TH TERRACE SW APT#2 NAPLES, FL 34116 Title Director CASTANEDA, CARLOS 2951 47TH TERRACE SW APT#2 NAPLES, FL 34116 http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 2/4/2015 Detail by Entity Name Page 2 of 2 Annual Reports Report Year Filed Date 2013 04/27/2013 2014 04/28/2014 Document Images 04/28/2014 - ANNUAL REPORT View image in PDF format 04/2.7/2013 -- ANNUAL REPORT View image in PDF format 06/22/2.012-- Domestic Profit View image in PDF format http://search.sunbiz.org/lnquirv/CorporationSearch/SearchResultDetail?inquirytvpe=Entity... 2/4/2015 ACORD CERTIFICATE OF LIABILITY INSURANCE 1DATEDYY 07triV20'5 PRODUCER j THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY TROPICAL INSURANCE OF BONITA SPGS, INC AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS 11680 BONITA BEACH ROAD#401 CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE BONITA SPGS FL 34135 AFFORDED BY THE POLICIES BELOW. (239) 947-4004 INSURERS AFFORDING COVERAGE NAIC# — INSURED INSURER A AMERICAN RELIABLE INSURANCE COMPANY CASTAWAY FLOORING SERVICES INC ',NSURER R 2951 47TH TERR SW APT B NAPLES, FL 34116 INSURER C INSURER D (239) 860-1389 NSURI P L __ — -- — — ■ COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED _r NOTWITHSTANDING ANY REQUIREMENT TERM Of CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXVI USIONSANhCONDITIONS OF SUCH POI;CiES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUECED BY PAID C LAMS INSR ADD'L POLICY EFFECTIVE; POLICY EXPIRATION LTR NSRI TYPE OF INSURANCE POLICY NUMBER DATE(MM/DDM') DATE(MM/DDIYY) LIMITS A GENERAL LIABILITY EACH OCCURRENCE I$1,000,000 COMMERCIAL GENERAL i_:A61. 1Y IGL 014884-1 7/16/2014 7/16/2015 DAMAGE TO RENTED r $100 000 PREMISES La oceurre,co) + CLAIMS MAD I- Lx] OCCult MED EXP(Arty one Verson) $5 000 PERSONAL&ADV INJURY $1,000,000 — GENERAL.AGGREGATE. $2,000.000 GENT AGGREGATE I M ■L'1I IIS P1 P PRODUCES COMPrOP AGG $2 000000 X PI-I0- 1 POLICY JECT LOC .— AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) HODi1 Y INJURY ALL OWNED AUTOS $ ,Pe;rwson) SCHE`/U,E O AU T')S Il HIRED AUTOS 1 B0011 Y INJURY $ ( (✓er dent' NON�NTJED All?:1S (Per _____.4_. .��. I P RCIPI R'Y DAMAGE $ I I I •�„I 1— A NI.'Y L A A.:(:R 5 GARAGE LIADILITY i ! $_--�T----_.--1 I A N,ndr1O I O?III I t I'IAN I_ U $ S/IL ON;Y AC.G $ i ! EXCESS/UMBRELLA LIABILITY I t EACH OCCURRENCE a I occiJR I-'1 CI.AtMS MADE AGGREGATE $ � $ TIE li!.,.,9LL 'I '. $ KL 1/14111)N $ -__ $ „ _. WORKER'S COMPENSATION AND — WI.STATIC 7I`I EMPLOYER'S LIABILITY _ 'DRY i imli", It ANY 3UFRE'JRF 1R Y ?f x[C',1IVI - i (II) NI $ CA-LIrERMEMEERrX IIIDrD' f. f I JIOFAoC CA EMf'l OYE E" $ SP I-DIAL PROVISIONS■1 ,.., C I DISEASE-POLICY LIMIT $ OTHER ■ ! DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CLASS CODE(SI (1I 91341-Carpentry Interior (2j 99746-Tile Installation-Interior [3j 94559-Floor Covering Insteliatton Not Ceramic Tile or Stone LOCATIO SJ FLORIDA CERTIFICATE HOLDER CANCELLATION COLLIER COUNTY LICENSING BOARD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 2800 N HORSESHOE DR BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL NAPLES,FL 34104 ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR REPRESENTATIVES. 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APPLICATION - * efly �� ' ., Make Check Payable to: Collier County Tax Collector - ,..-04' Phone: 239-252-2477 Fax: 239-643-4788 Website: www.colliertax.com '...p,« t 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 Aericulture.(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 Aericulture. regarding tangible tax. (800-435-7352) Cj K ONE: Date: A Original Application Classification 1y,7--1 ( )-1- J.))4V Transfer of License # Code Number (— / - - Renewal of License # License Amount (Z CORPORATE NAME - 0,09cittirki y-iweir9 Qvvl (0.1 iVC - I a) DBA NAME - lb) BUSINESS OWNER OR QUALIFIER'S NAME - , ClilC7 - 1vt�Wt .Z 2) PHYSICAL ADDRESS - 5(J 5/` q).1-111 7.12 reoc.t. . k x..) -P 2 ,UI LD 5 , (,3(-1(1 ( (No P.O.Box allowed) 1 2a) IS RESIDENCE USED AS AN OFFICE - ✓ Yes No • 2 3) BUSINESS MAILING ADDRESS - , `��j L1 1 y v .5W �2P LC.4 c F f ` 9 Li ii ( Street City Zip 4) OWNER OR QUALIFIER'S RESIDENTIAL ADDRESS -961 5 / y )V1 To,/ON) SU ) 5) TELEPHONE - Business: 03 i) n to 6- 13 n 9 Home: 6) LEGAL FORM OF BUSINESS: Sole Proprietorship Partnership Corporation LLC LLP 7) OPENING DATE OF BUSINESS OR DATE ASSUMED -3 l L) / i 8) OFFICE WITHIN CITY LIMITS OF NAPLES - VYes No If Yes, City License No. 9) SOCIAL SECURITY NO. or FEDERAL EMPLOYER IDENTIFICATION NO. - - C.J - C/?2'3 2.,) *see back of application for explanation 9a) TYPE OF BUSINESS CONDUCTED: 10 )NUMBER OF EMPLOYEES - Including number of owners: 2 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**** Co er County COLLIER COUNTY GOVERNMENT 2800 NORTH HORSESHOE DRIVE GROWTH MANAGEMENT DIVISION NAPLES, FLORIDA 34104 www.colliergov.net (239) 252-2400 FAX (239) 252-6358 LAND USE AI ZONING C TIFICATE: HOME OCCUPATION CDC s 'on . 0 & subsection 10.02.06 B.1.f Chapter 4 K. of the Administrative Code Please take the time to fill out this form as completely as possible. Only someone actually living at the address given below may engage in the home occupation described. Customers or employees not living at this address are prohibited from traveling to and from the residence if visits are related to this home occupation. The applicant is the person in whose name the Business Tax Receipt will be issued, and the applicant's signature must appear on this form. Verification as property owner or lessee in the form of a Valid Florida's Driver License or Florida Identification Card and/or copy of valid lease agreement is required. APPLICANT CONTACT INFORMATION Name of Applicant(s): \( 1t- �1if' ``. . r Telephone.k ?A. ` - ' �/ "` )f ( Cell: (3 ,` ? ,:`� -)i1 I Fax: E-Mail Address: (AL ��.VY)(1 .t \ BUSINESS& USE INFORMATION Business Name(If any): ;, i a 4: j �°`'.,A J Phone Number 'i` {`;�i i; " �, c Address:r)---4, ( —1 t 1 ! :`:( l � k' City: ,. ABC 2 State: VT ZIP: -41 3 I .; Description of the type of business or use: F1 - -Nk r "`� ," "; '� . �? 1•_:.i !��i4'"l Collier County Land Development Code Section 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. To that end, traveling to and from as well as meeting or parking at the residence by either employees of the business operated there from who are not residing at the subject address or by customers or clients of the home occupations is prohibited. 1/14/2014 Page 1 of 2 Co er County COLLIER COUNTY GOVERNMENT 2800 NORTH HORSESHOE DRIVE GROWTH MANAGEMENT DIVISION NAPLES, FLORIDA 34104 .collier•ov.net (239) 252-2400 FAX (239) 252-6358 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 plan' stogy'age. J. A home occupation shall be subject to all applicable County occupational licensee. :ins 0t`-°:r business taxes. 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 above at this address by virtue of my leasehold interest in this property, and that I have read, understood, and agree to abide by the provisions of LDC Section 5.02.00 "Home Occupations". / 'u fL Applicant Signature / Da e 1, The following to be completed by County Staff: � Zoning: or- Property ID #: J ° / gb00/ �f Date: v/ �4-- [ pproved Hold E Denied Comments/ Restrictions: . //% - Staff Reviewer " Date Tax Collector Staff: Clerks Initials: I— Horseshoe Greentree``� Business Tax License#: 1/1 1014 Page 2 of 2 SKELTON'S CONSTRUCTION Dear Sir or Madame. I come before this CLB Board to ask for reinstatement of my business license. During the time of my lapse in license, I was going through several trying problems in my life. My family is first in my life and have had a difficult couple of years. I had to devote much time to helping with my mother-in-law who had Alzheimer's Disease. I also had shoulder surgery and developed a pulmonary embolism which left me hospitalized. My mother-in-law passed away in July of last year and I was then diagnosed with lung cancer. After going through chemotherapy and radiation treatments, I am now in remission. I am feeling well again, and I would like to get back on my feet and get my business affairs back in order. I respectfully seek your approval in the reinstatement of my license. Respectfully yours, E. Skelton 17950 Castle Harbor Dr. Fort Myers, FL 33967 I (239)689-0549 CO th4 e-r C+r�Knt CDES Operations & Regulatory Management Licensing Section 2800 North Horseshoe Drive Naples, FL 341049 REINSTATEMENT -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 infoiuiation, consult Collier County Ordinance No. 90-105, as amended. NAME OF COMPANY: Exact Corporate/Business Names f ` //uc' ,, /�;� II C. "� Fiction Name/DBA:- > (1„. ✓ Qualifier Name: / . `; ('.1 f': Physical Address: l i i ��. is -&r r', - (Number & Street) (City) / (State) (Zip Code) j, Mailing Address:/ I I -- U C i., 'c' (Number & Street) (City (State) (Zip Code) Telephone: .1 ; ( J a r �E l E-Mail: A nke SKe(}roi i Lc 6 TYPE OF LICENSE: C � ` (° ❑ General ❑ Electrician ❑ Building ❑ Plumber ❑ Residential ❑ Air Cond. ❑ Mechanical ❑ Swimming Pool ❑ Roofing fl Specialty Specialty trade: (. tz,rfe-n e� CHAT.GE OF STATUS: RENSTATEMENT FEE $205.00 ( X) Reinstatement RENEWAL FEES 2013/14 &2014/15 $250.0 ( ) From One Business to Another LATE FEES 2013/14 &2014/15 $120.00 ( ) Dormant License to Active TOTAL= $575.00 FEES MAY VARY IF RECEIVED AFTER 9.302015 1. The names, titles, home address and phone numbers of all Officers/Managing Members of the Firm. /rn �AC., / c ; ' jK i/`in < 3 ] ( 5 U J c! /7(i5a C_�s �� f 4'fz a,2. 4 i4-- F12_t %y? ‹ f-7 37 7 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. 1 T! -/ `J Oi' / ?!r ,✓ f/J� „//,/t_<F [; I is ' k/ :'n /LJ- c e l 61,/,-7L,/J J '! U J 3. List all debts you or any company(s) associated with you refused to pay and the reasons for the refusal to pay. Attach extra pages if needed. AFFIDAVIT I,J /rr /ce, (f r certify that the foregoing is true and correct to the best of my knowledge. Qualifier STATE OF FLORIDA COUNTY OF LE-C f The foregoing instrument as acknowledged before me this �,.(�'Q.{i/r-- 3, i.s (ate) By / 1. < �, l i� of l l� e 1 , �a J{ ,c 7, o:J —7--.�� (Name of officer, title/agent) (Name of Corporation) a rtak, )4. Corporation on behalf of the corporation. (State or Place of Corporation) He/She has produced ��A : re —rt L ,- identification and did not take an oath. (Type of identification) NOTARY'S SEAL J,. .11. GN• "' 1E OF NOTARY) ..NHO44 sip M. •c's C TAYLOR �� Notary Public-State of Florida ( %,y ei My Comm.Expires May 6,2018 11:4EO:nr' Commission I FF 120101 QUALIFIER INFORMATION: Name: ,., s' Address: cr t.,�;, , r„� ts.,/L. '_. '/i , s (Number& Street) (Cty) (State) (Zip Code) Telephone: Z ci ( t ` J 4 Date of Birth: /`” S.S. : 000- F. Vlaili�lo `i r Driver's License: . t� j t I — Cr- / j 1. Type of Certificate of Competency for which application is made. Lex.YVIA.E.o) 2. The names and telephone numbers of two persons who will know your whereabouts. 11f,, k - 3 j j ('.,i/ i 3. Have you ever been convicted of a crime related to Contracting? A/c (If yes attach extra sheet with explanation) 7. Have you or any firms you have been associated with ever filed bankruptcy? CI,- 8. List all debts you or any company(s) associated with you refused or failed to pay and reasons why. 9. List your business or work experience during the past ten years. jr � 10. Statement of any formal training you have had in the area for which the application is made. /If < t�L-na, t ��L'i�at�-* 4, !°� _ k' f`-� ('�� _ /�if - % �y- . I , +(rte -S f i �7 . f '7 _ �.� . „ . Grass Revenue.1 Sales ; Deposits and Bonds Documents and Images Correspondence 1 Vehicle Registration Insurance Background Check i licensee Information Licensee Number Q11189 De-scriptiOr Type 7 PhDperti Aler71 Name JIM E. SKELTON Type Contractor Status Open • ier Master Prolect L±! Lct,.-itries for ths uce. see Add :5 ner pars•Dn Cr business to address Eook Examination Results Add Exam Result Exam:Test Type Date of Exarr.Tst j ; Score received ExarrTest rezult, C-s-RPENTP..Y 12:07..1991 NAPLES 80,00 Fss Show More Fields Hide or Clear Fields Char:ie. Exam Fee Exam Code Sponsoring Count," Sponsorship App Date * Sponsorshlp Expiration Date ! Testing Facility Monday Feb C2 2015 0431 PM 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. • G7 l I� • /�� , ?NATURE OF APPLICANT C BUSINESS NAME - 4 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 before me this ` ),3 —%5 (Date) / by / -. 5 .� / /7,711, who has produced/tQ v c« �o c (name of person acknowledging) (Type of identification) as identification and who did not take an oath. SIGNA � OF NOTARY SCUM- 'ag - (PRINT NAME OF NOTAR] UBLIC) NOTARY PUBLIC NOTARY'S SEAL AFFIDAVIT The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County Ordinance No. 2006-46. as amended, and vouches for the truth and accuracy of all statements and answers herein contained. The undersigned hereby certifies that he is legally qualified to act on behalf of the business organization sought to be licensed in all matters connected with its contracting business and that he has full authority to supervise construction undertaken by himself or such business or organization and that he will continue during this registration to be able to so bind said business organization. The qualified license holder understands that in all contracting matters, he will be held strictly accountable for any and all activities involving his license. Any willful falsification of any information contained herein is grounds for disqualification. APPLICANT (PLEASE PRINT) NAME OF COMPANY SIGNATURE OF APPLICANT STATE OF FLORIDA COUNTY OF L (. The foregoing instrument as acknowledged before me this - (Date) By i � n /4o)1 who has produced ij j2 , tit h ' rte (Name of person acknowledging) (Type of identification) as identification and did not take an oath. NOTARY'S SEAL 0 ).-Na (SIGNADXJ F NOTARY) COLLIER COUNTY CERTIFICATE OF COMPETENCY CERTIFICATION INFORMATION C11189 Certification Information Collier County Board of County Commissioners Date: October 01, 2012 DBA: SKELTONS CONSTRUCTION, INC. ADDRESS: 17950 Castle Harbor Dr BONITA SPRINGS, FL 34135 PHONE: 2399953594 CELL: 2395649300 FAX: 2394958720 LICENSEE NBR: C11189 QUALIFIER: JIM E. SKELTON TYPE: CARPENTRY CONTR. CLASS CODE: 4050 ISSUANCE NBR: 11189 INSURANCE: ORIG ISSD EXPIRATION. General Liability December 28, 2011 September 30, 2013 September 06, 2013 Worker's Compensation December 31, 2012 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 CARPENTRY CONTR. Cert Nbr: Exp: Status: C11189 09/30/2013 Active SKELTONS CONSTRUCTION, INC. JIM E. SKELTON 17950 Castle Harbor Dr BONITA SPRINGS, FL 34135 Signed: AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER t41 J 9C(f-/c_ , am a resident of L County, //P / 7) (State) and have resided here for more than five (5) years. During the last five years I have known •713-i vi"l V-6)//2;i1 (Applicant). I have had the opportunity to observe his or her business and personal dealings and find him or her to be a person of honesty, integrity and good character. (Signature)/ (Name) �-�-- C%��'— (Address) 4 7&C) nP/ l) r(W_ 07.01 Telephone) ,) ?) /(Ye9 STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this J... 2 3 / by (Diate,) e_D 5 c'l who has produced Oz. u —.i e 1E. (name of person acknowledging) (Type of identification) as identification and who did not take an oath. SIGNA T R, h F NOTARY NY6-6/1/4rnify1Ye/ NOTARY'S SEAT, (PRINT NAME OF NOT NOTARY PUBLIC 9 �o a if RESOLUTION OF AUTHORIZATON � WHEREAS ,� zz� , is ` I �'� proposes to e- (Name of Business Entity) engage in contracting as 'i1 - in (Type of legal entity: corp., partnership. etc. Collier County, Florida, according to Collier County Ordinance 2006-46, as amended; and WHEREAS, r'r, ; �' ..; _. i, J,, proposes to (Name of Business Entity qualify for a Certificate of Competency with sJ /171 i (Name of Individual) NOW. THEREFORE, BE IT HEREBY RESOLVED THAT: We the undersigned ‘,/ i�- k ) /0.= �`1�f� of �-• (Officers, Owners,Partners) J cv! f,, `T�.- ,hereby resolve and represent to the Collier County (Name of Business Entity) ___ r• Contractors' Licensing Board that the qualifying agent, • '1 , is active (Name,of individual) in all matters connected with the contracting business v . and (Name of Business Entity) We further resolve and represent that _T. ,E is �� (Names of Individual) legally empowered to act for I 'f" L.) � � in all matters connected with its (Name of Business Entity) tracting busjness, and has the altp.ority to supervise construction undertaken by r :7 ;1',;, r. (Name of Business Entity) DULY PASSED AND ADOPTED THIS 2 3 day of — d (Officers, Partners, Owners—with J Designation underneath) Witness av4,1-/h— 5/ Q(101 Witness Witness Corporate Seal (if Applicable) Or Notary Public Certificate Sworn to and subscribed before me thisl/t✓day of (lb ,��-� by � /1A. Y l� L Notary Public Name Printed Nota Pub 'c ignature Commission Number My Commission expires: C TAYLOR 1 Notary Public•State of Florid& ( , s My Comm.Expires May 6.2011 ffei-O f�� Commission #FF 120101 ' tiNN� COLLIER COUNTY GOVERNMENT COivDv1lJNITY DEVELOPMENT AND ENVIRONMENTAL SERVICES DIVISION 2800 N.Horseshoe Dr. • Naples.Florida 34 104 • 239-403-2400 • FAX 239-403-2334 t z, • MEMORANDUM DATE: November 29,2007 TO: Applicant's FROM: Michael Ossorio, Contractor Licensing Supervisor. CC: Robert Dunn, Collier County Building Director. AIamar 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. Feb 25 15 02:58p 2392770167 p X111 Merit Credit Fast, Accurate & Secure. Phone: 1-239-277-3202 or 1-800-371-3348 Fax Cover Sheet: Requested Credit Report Attached! Please call if you have any questions. CONFIDENTIALITY NOTICE:This communication with its contents may contain confidential and/or legally privileged information. It is solely for the use of the intended recipient(s). Unauthorized interception, review, use or disclosure is prohibited and may violate applicable laws including the Electronic Communications Privacy Act. If you are not the intended recipient, please contact the sender and destroy all copies of the communication. Feb 26 15 02:58p 2392770167 p 2 Premier Profile-SKELTON'S CONSTRUCTION,INC 1A . s•a•. Subcode:970135 Ordered:C2125r2015 14:05.53 CST . +: Experian- Transaction Number:C50 0 7 3 041 4 *est. Search Inquiry:SKE_TCN'S CONS T RUCTIOI', !KC:17950 CASTLE HARBOR DR+FOR- A titiorld of-insight MYERSFLJ339671US1239-554-9300,74041 6 75 3 Model Description: Inte:liscore Plus V2 BL:sr^ess Name m Bus Hess Irier,tif_aton Number SKELTON'S CONSTRUCTION, INC. ,4b 740416753 r 1.6oa Primary Address: 17950 CASTLE HARBOR DR Phone: (239)564-9300 FORT PAYERS,FL 33967-5472 This business is the ultimate parent. �e_the corporate hierarchy by c1ic sirig_here Risk Dashboard Risk Scores and iCredit Limit Recommendation Dayst Beyond Terms Derogatory Legal Fraud Alerts i , I Intelliscore Plus Financial Statr'.ify Risk Company DBT Oiginal°ii'ngs High Risk Alerts �( M_EDiU 1 ^ 2 IviRISKNI I 1 RISK I Score range: 1-100 percentile Credit'unit RecoTmcrJa_:on $1.800 roP0 Business Facts Years on File: 20(FILE ESTABL SHED 04/1995) SIC Code: CARPENTRY WORK-175' State of Incorporation: FL NAICS Code: Framing Cont•acicrs-235130 Date of Incorporation: 0914,1 998 Business Type: Profit Contacts. JIM E SKELTON DIRECTOR Commercial Fraud Shield Evaluation lo': SKELTON'S CONSTRUCTION,INC,17950 CASTLE HARBOR DR, FORT MYERS,FL33967-5472 Business Alerts Verification Triggers Active Business Indicator: F 1 Experian shows This business as active BUSINESS ADDRESS IDENTIF ED AS RESIDENTIAL. i,` Possible OFAC Match: I No OF?.0 matcn fauna ,rail Business Victim Statement: ! he vic+m statement or fi e Tor 0 Credit Risk Score and Credit Limit Recommendation Credit Risk Score:intelliseore Plies ,- Current Intelliscore Plus Score: 46 Risk Class: 3 MEOMUM RiSK The risk class groups scores by risk into ranges of sim lar performance.Range 5 is.he honest risk.'ange 1 is the =rem.er Pruiile-SKE_TOr\'_CONSTRJCTION.INC t;4 Feb 25 15 02:58p 2392770157 p.3 lowest risk. 46 High L�,y; 0 _u 25 SO 75 ?CIO —hs score predicts the li elihood 0'ser cue cedit delinquencies for leis business within toe next 12 months.Payment history and p_:blic recoce along with other variables are used to predict future risk.Higher scores indicate fewer rise. Factors lowering the score industry Risk Comparison > EA_ANCE OF AGED COMMERC AL ACCOUNTS THAT ARE CURRENT 45%of businesses',edlcate a hiche:fcW-ihood of severe de'inorre-cy. > RISK ASSOCIATED WITH THE COMPANY'S 'NDUSTRY > LOW NBR OF COI1VERC,AL A.COTS RPTD WITHIN THE LAS f 12 MOS Quarterly Score Trends Quarterly Score Trends 0o 20- 80 - i 70 - The Quarerly Score Trends Provide a view of the B0 ikelihood of delinquency over the pas: t 2 mcn:hs for tits 50 • 4$- 4 business.The trends,wil indicate'f the score improved. remaineo startle,fluctuated or dec.red orer the last 12 0 "ro:1:7' m 4� on'.hs. F zo l 10- 4 E'-.- h,p.'t.-rVy P‘yG 00* �Ld jhN Credit Risk Score:Finandal Steblflty Risk . Current Financial Stability Risk Score: 12 Risk Class: 3 12 MEDIUM Ri".iiii H'91 1 ;t is The risK class groups scores by risk into ranges of s,milar R.I5K � —.— — — Fi{k k � perormance.Range 5 is the highes:ris-:,range ' is the L 0 .3 10 _<0 ,5 grt loslestrisk. J This score predicts the tike:ihccd of firancia stability risk within the next 12 months. The score uses tradeli rte and collections'iinfo•rraticn.public fil ngs as well as other variables:c predict future risk.Higher scores indicate lower risk. Factors lowering the score Industry Risk Comparison > NJMBER OF ACTIVE COMMERCIAL ACCOUNTS 11%of businesses indicate a higher likelihood o' tnaocial stability risk. > RISK ASSOCIATED WITH THE COMPANY'S INDUSTRY SECTOR x RISK ASSOCIATED Wr H THE BUSINESS TYPE • EMPLOYEE SIZE OF BUSINESS Credit Limit Recommendation Credit Limit Recommendation This recommendation compares this business aga nst similar businesses in the Expe•ian bus ness credit database. It is based on trade information,industry;age of business anc the tnteliiscore S",,801 Pus.The recorneneroation is a guide.The final decision must be made based on your company's business Policies. _ -- TOP 0 Payment and Legal Filings Summary i Payment Performance.;. ' • '' ',Trade and Collection Belem* Legal Filings - . P,errfer Profile-SKEi-TO'v'S CONSTRUCTION.INC 14 Feb 25 15 02.58p 2392770167 p,4 Current DBT: 0 Total trade and collection(1): 50 Bankruptcy, No I Predicted DBT: NA All trades(1): so Tax Lien filings: Judgment filings: Monthly Average DBT: 0 All collections(0): S0 Sum of legal flings: SC Highest DBT Previous 6 Months: 0 Continuous trade(1): SO UCC filings: G Highest DBT Previous 5 Quarters 3 6 month average: N(A Cautionary UCC filings: No Payment Trend Indication: Highest credit amount extended: N/A Payment trend indice:cr not avai,eble Most frequent industry purchasing terms: industry purchasing terms no avai able industry.Coorrparlson Industry DBT Range Comparison The current CST of this ojsiress is 0.90`4 of bLsinesses have a DBT range of 0-5 DBT for this business: 0 �?b el businesses gt)a;111114ft' DBT Range 0-5 5-15 15+ 1 'OP O Trade Payment Summary Trade Line Type Lines Reported DBT Recent High Balance Current 01-30 31-60 61-90 91+ Credit Cont!ruous 1 30 — — Flew 0 $0 Combined Trade 1 $0 A.0 tioral 50 Total Trade 0 $0 top Trade Payment•New and Continuously Reported Trade Details -PaymeitExperiences Account Status (Trade Lines with an r after the•tats are newly reported) Days Beyond Terms Business Date Last Payment Recent High Balance Cur 1-30 31-60 61-90 91+ Comments Category Reported Sale Terms Credit BLDG UATRL 02;2015 09;2006 CREDIT so ACCTCLOSED SOP Additional Business Facts Corporate Registration ' 7 iE 7O__LOPo'Itti'G IN=ORMK1O1%.WAS PROV DED BY THE STATE OF FLORIDA..THE DATA IS CURRENT AS OF 02!2512(7.15. State of Origin: FL Date of Incorporation: 09'14;1998 Current Status: Active Business Type: Prcfit Charter Number: P981)300792 Agent: SKELTON JIM E Agent Address: 17950 CASTLE HARBOLR DRIVE FORT flYERS FL TOP 0 Corporate Linkage Business Name • Location BIN: The inquired upon business.SKELTON'S CONSTRUCTION,INC,is the Ultimate Parent SKELTON'S CONSTRUCTION,INC 17950 CASTLE HARBOR DR-FORT MYERS,FL 74)1-16753 Prea4e--rnfle-SKELTOK S.1O VSTRUC7iON, INC 3l 4 Feb 392770167 p.5 eb 25 15 02:59p Branches of the inquired upon business: SKELTON`S CONSTRUCTION INC 10661 WOODCHUCK LN-BONf'A SPRINGS.FL 947000522 TOP+ 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 of 1 report rt:o infc.misticn here's a tur,nisned e,contidence fcr ye,ur exclusive use for tegittmare business purcoses and,!:atl not be reproduced.fve;t;e r er;ar inforriation Satutrcns.toe.,nor their sa_rces or distributors warrant such,nFor^oation nor shalt they be fable to-ycur use or reliance upori it xperian 2.015.Ali rights'eser.ec.Prvet:y ,oIcy. Fr^Bran arts he Expenan marks"arein are service marks or regtered trademarks o.Experian. Premier Protile-SKEL.TON'S CONSTRUCTION,INC 4:4 Feb 25 15 02:59p 2392770167 p.6 r! Merit Credit Fay:, A.,cura[e u Secu' MERIT CREDIT HAS RETRIEVED THE ABOVE BUSINESS REPORT FOR LICENSING PURPOSES AS REQUESTED BY THE BUSINESS OWNER/PROPRIETOR. PUBLIC RECORDS FOR THIS REPORT HAVE BEEN CHECKED AND VERIFIED AT TEE COUNTY (INCLUDING PINELLAS) , STATE AND FEDERAL LEVELS. PUBLIC RECORDS LEARNED: 6 SOURCES OF INFORMATION: EXPERIAN BUSINESS INFORMATION SERVICES IRS LIEN SECTION COUNTY COURTHOUSE RECORDS IF YOU HAVE ANY QUESTIONS REGARDING THIS REPORT, PLEASE CONTACT MERIT CREDIT AT: 1- 800-371-3348 OR 239-277-3202. COMPANY NAME:SKELTON'S CONSTRUCTION, INC FEDERAL ID:65-0866546 CURRENT STATUS: ACTIVE PRINCIPAL(S):JIM E.SKELTON TITLE: DIRECTOR DATE INCORPORATED: 09/14/1998 Feb 2715 12.42p 2392770167 p 1 TIT Merit Fast, Accurate & Secure. Phone: 1-239-277-3202 or 1-800-371-3348 Fax Cover Sheet: Requested Credit Report Attached! Please call if you have any questions. CONFIDENTIALITY NOTICE:This communication with its contents may contain confidential and/or legally privileged information. It is solely for the use of the intended recipient(s). Unauthorized interception,review, use or disclosure is prohibited and may violate applicable laws including the Electronic Communications Privacy Act. If you are not the intended recipient, please contact the sender and destroy all copies of the communication. Feb 27 15 12:42p 2392770167 p.2 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 2/88 02/27/15 10:58CT [SUBJECT] [SSN] [BIRTH DATE] SKELTON, JIM E. [ALSO KNOWN AS] JIM,SKELTON [CURRENT ADDRESS] [DATE RPTD] 17950 CASTLE HARBOR DR., FORT MYERS FL. 33967 1/11 [FORMER ADDRESS] 10661 WOODCHUCK LN., BONITA SPRINGS FL. 34135 9/00 11232 SAN SEBASTIAN LN., BONITA SPRINGS FL. 34135 [CURRENT EMPLOYER AND ADDRESS] [RPTD] SKELTONS CONSTRUCTION INC 5/07 [FORMER EMPLOYER AND ADDRESS] CAROL CONSTRUCT MOD E L PRO F I L E ***FICO CLASSIC 04 SCORE +520 : 038, 013, 010, 015 *** 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=O COL-8 NEG=1 HSTNEG=3-35 TRD=9 RVL=2 INST=5 MTG=2 OPN=O INQ=1 HIGH CRED CRED LIM BALANCE PAST DUE MNTHLY PAY AVAILABLE REVOLVING: $271 $100 $114 $8 $25 0% INSTALLMENT: $67.5K $ $ $ CLOSED W/BAL: $4852 $8 $385 TOTALS: $67.8K $100 $4966 $0 $418 C O L L E C T I O N S SUBNAME SUBCODE ECOA OPENED CLOSED $PLACED CREDITOR MOP ACCOUNT# VERIFIED BALANCE REMARKS FFCC-CLVLANC Y 626V004 I 3/12 $268 MEDICAL 09B 2/15A $268 PLACED FOR COLLECTIO FFCC-CLVLAND V 626V004 I 5/11 $35 MEDICAL 098 2/15A $35 PLACED FOR COLLECTIO FFCC-CLVLAND Y 626V004 I 2/12 $447 MEDICAL 09B 2/15A $447 PLACED FOR COLLECTIO FFCC-CLVLAND Y 626V004 I 6/12 $204 MEDICAL 096 2/15A $204 PLACED FOR COLLECTIO FFCC-CLVLAND Y 626V004 I 8/13 $76 MEDICAL 098 2/15A $76 PLACED FOR COLLECTIO FFCC-CLVLAND V 626V004 I 1/13 $267 MEDICAL 098 2/15A $267 PLACED FOR COLLECTIO ENHANCRCVRCO Y 26MT002 I 11/14 $274 11 AT T 09B 1/154 $274 PLACED FOR COLLECTIO Feb 27 15 12 42p 2392770167 p.3 ENHANCRCVRCO V 26MT002 I 9/14 $2016 11 TMOBILE 09B 109425240 11/14A $2016 PLACED FOR COLLECTIO TRADES 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 HARLEY DAVID F 41LD@ 02 10/06 $20.3K 84M385 109 20061109964395 2/13A $8 I AUTOMOBILE 11/11F $4852 UNPAID BLNC CHRGD OFF CB/LNBRYNT C 1N28175 12/91 $271 MIN25 12/13 211111121121 R01 2/15A $100 $0 03 132111111111 I CHARGE ACCOUNT $114 48 6/ 1/ 0 WFDS/WDS F 839N077 4/07 $28.9K 72M612 7/12 111112111111 I01 10/13A $0 $675 03 1132221 I AUTOMOBILE 10/13C $0 CLOSED 43 4/ 1/ 0 WELLS FARGO B 908N714 4/07 $28.9K 74M612 111111111111 101 2/12A $0 111111111111 I AUTOMOBILE 2/12C $0 CLOSED DUE TO TRNSFR 48 0/ Of 0 WFHM 10/10A $0 $8290 05 221221222221 C CONVENTIONAL REAL 10/100 $0 SETTLED [ FULL BLNC 48 12/ 2/ 9 CB/LNBRYNT C 131P @01 12/91 $521 111111111111 R01 9/08A $200 $0 111111111111 I CHARGE ACCOUNT 9/08C $0 PURCH BY OTHER LENDER 45 0/ 0/ 0 WFHM B 776W001 8/00 $125K 348M1418 11111111XX11 M01 9/06A $0 1111111 C CONVENTIONAL REAL 9/06C $0 CLOSED 19 0/ 0/ 0 FRD MOTOR CR F 3796761 4/01 $33.7K 68M732 1111 I01 7/05A C AUTOMOBILE 4 0/ 0/ 0 FRD MOTOR CR F 3796761 4/01 $33.7K 68M732 1111 I01 7/05A C AUTOMOBILE 4 0/ 0/ 0 I N Q U I R I E S DATE SUBCODE SUBNAME TYPE AMOUNT 2/27/15 ZNP6284423(FLA) MERIT CREDIT 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 FFCC-CLVLAND YC626V004 (800) 486-5500 24700 CHAGRIN BLVD CLEVELAND OH. 44122 ENHANCRCVRCO YC26MT002 (860) 496-8941 PO BOX 57547 JACKSONVILLE FL. 32241 HARLEY DAVID F241LD002 (702) 884-4466 Feb 27 15 1242p 2392770167 p4 3850 ARROWHEAD DRI CARSON CITY NV. 89706 CB/LNBRYNT CZ1NZ8175 PO BOX 182789 COLUMBUS OH. 43218 WFDS/WDS FS839N077 P.O. BOX 1697 WINTERVILLE NC. 28590 WELLS FARGO BA908N714 MAC 4031-080 PHOENIX AZ. 85038 WFHM BM82TE004 (800) 288-3212 7255 BAYMEADOWS WA DES MOINES IA. 50306 CB/LNBRYNT CS131P001 PO BOX 182789 COLUMBUS OH. 43218 WFHM BM776W001 (800) 288-3212 3480 STATEVIEW BLV DES MOINES IA. 50306 FRD MOTOR CR FA3796761 (800) 727-7000 POB 542000 OMAHA NE. 68154 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 II 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. Detail by Document Number Page 1 of 2 FLORIDA DEPARTMENT OF STATE 44-: ?IL': DIVISION OF CORPORATIONS :it/4[z , Detail by Document Number Florida Profit Corporation SKELTON'S CONSTRUCTION, INC. Filing Information Document Number P98000079266 FEI/EIN Number N/A ',0S- 66 S-4(17 Date Filed 09/14/1998 State FL Status ACTIVE Last Event REINSTATEMENT Event Date Filed 03/15/2011 Event Effective Date NONE Principal Address 17950 CASTLE HARBOUR DRIVE FORT MYERS, FL 33967 Changed: 03/15/2011 Mailing Address 17950 CASTLE HARBOUR DRIVE FORT MYERS, FL 33967 Changed: 03/15/2011 Registered Agent Name & Address SKELTON, JIM E 17950 CASTLE HARBOUR DRIVE FORT MYERS, FL 33967 Address Changed: 03/15/2011 Officer/Director Detail Name & Address Title D SKELTON, JIM E 17950 CASTLE HARBOUR DRIVE FORT MYERS, FL 33967 Annual Reports http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquiryType=Docu... 2/26/2015 Detail by Document Number Page 2 of 2 Report Year Filed Date 2012 04/30/2012 2013 02/18/2013 2014 04/28/2014 Document Images 04/28/2014 --ANNUAL REPORT View image in PDF format 02/18/2013 -- ANNUAL REPORT View image in PDF format 04/30/2012 --ANNUAL REPORT View image in PDF format 03/15/2011 -- REINSTATEMENT View image in PDF format 05/02/2009 -- ANNUAL REPORT View image in PDF format 04/29/2008 -- ANNUAL REPORT View image in PDF format 07/02/2007 -- ANNUAL REPORT View image in PDF format 04/29/2006 -- ANNUAL REPORT View image in PDF format 04/27/2005 -- ANNUAL REPORT View image in PDF format 04/29/2004 -- ANNUAL REPORT View image in PDF format 04/23/2003 -- ANNUAL REPORT View image in PDF format 05/14/2002 --ANNUAL REPORT View image in PDF format 04/16/2001 -- ANNUAL REPORT View image in PDF format 04/13/2000 -- ANNUAL REPORT View image in PDF format 07/22/1999 -- ANNUAL REPORT View image in PDF format 09/14/1998 -- Domestic Profit View image in PDF format http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquiryType=Docu... 2/26/2015 2014 FLORIDA PROFIT CORPORATION ANNUAL REPORT FILED DOCUMENT# P98000079266 Apr 28, 2014 Entity Name: SKELTON'S CONSTRUCTION, INC. Secretary of State CC8573736847 Current Principal Place of Business: 17950 CASTLE HARBOUR DRIVE FORT MYERS, FL 33967 • Current Mailing Address: 17950 CASTLE HARBOUR DRIVE FORT MYERS, FL 33967 FEI Number: NOT APPLICABLE Certificate of Status Desired: No Name and Address of Current Registered Agent: SKELTON,JIM E 17950 CASTLE HARBOUR DRIVE FORT MYERS,FL 33967 US The above named entity submits this statement for the purpose of changing its registered office or registered agent,or both,in the State of Florida. SIGNATURE: Electronic Signature of Registered Agent Date Officer/Director Detail : Title D Name SKELTON,JIM E Address 17950 CASTLE HARBOUR DRIVE City-State-Zip: FORT MYERS FL 33967 I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath;that lam an officer or director of the corporation or the receiver or trustee empowered to execute this report as required by Chapter 607,Florida Statutes;and that my name appears above,or on an attachment with all other like empowered. SIGNATURE:JIM E. SKELTON CHAIRMAN 04/28/2014 Electronic Signature of Signing Officer/Director Detail Date 171), Florida Department of Revenue DR �':: ��'?!� Documentary Stamp Tax Return N.0: `" For Nonregistered Taxpayers' Unrecorded Documents Mail return and check payable FLORIDA DEPARTMENT OF REVENUE 5050 W TENNESSEE STREET TALLAHASSEE FL 32399-0150 This return is for nonregistered taxpayers only. The return is due on the 1st and late after the 20th of the month following the collectio month. For Office Use Only Collection Month: I n I I MO YEAR Taxpayer Name: Skelton ' s Construction, Inc . Street Address 11232 San Sebastian Lane City Bonita Sprigs County Lee State FL Z P 34135 FEIN:I.6 5 10 8 6 16 1 5 4 16 1 or SSN (if no FEIN): I I I In n 1 II Notes,Written Obligations to Pay Money, Unrecorded Deeds,and Other Instruments Transferring Real Property Execution Date Amount Financed! Surtax*/Documentar Lender/Grantee Borrower/Grantor Consideration Stamp Tax Stocks and Bonds Issuer Purchaser Amount of Bonds or Shares Date Issued Documentary Stamp Ta Skct-kons ConstirGctto, Ttr e- 5kAo,ti a$ Snc. (lint E. Sl:.ettbn !G- l� 9g . 09 � 5 it; lq qSl 09 Amount of Surtax Due $ Amount of Documentary Stamp Tax Due $ Total Amount Due With Return $ - l S Tax Rates: Documentary stamp tax on notes,written obligations to pay money,stodcs and bonds is$.35 per$100 or fraction thereof. Documentary stamp tax on unrecorded deeds,etc.,is$.70 per$100 or fraction thereof except for Dade Comfy which is$.60 per$100 and a Surtax of$.45 per$100. f . /td,..... ��� /- y i s-351 / 1 i l F Signs. e• T- . Title Phone Number Date P'11.1— attach a copy of this return to each document listed above and retain for your records. Any person who tails to report,remit or pay the documentary stamp tax as required shall be subject to a penalty of ten percent(10%)per month of any unpaid tax,not to exceed fdty percent(50%). In no event shall the penalty be less than ten dollars($10)for failure to timely file a required tax return. Interest shall accrue from the date the tax is due until paid at the rate of one percent(1%)per month. *My transfer of real property in a county imposing a surtax shall be included on the Surtax line. NOTE: Any person with five(5)or more taxable transactions per month is required to register the location where taxable documents are kept with the Department and remit the taxes due directly to the Department for all documents which will not be recorded. To register use Form DR-1 DS, Application for Certificate of Registration. To request Form DR-1 DS,please write Florida Department of Revenue,5050 W Tennessee St., Tallahassee,FL 32399-0100 or call Taxpayer Services at 904-922-4826. Hearing or speech impaired persons should call our TDD at 904- 922-1115. Get dc..rnentary stamp tax forms quickly by FAX ON DEMAND" Ca]24 hours a day,seven days a week,at 904-922-3676 . usina voi.r fax mat,re!'c^^Sa*and fnllnu fh•in.4.....4:...._ p orgy*,/lk eVe CV/) CV.) eve C'# /) 0 fLik v 1 ♦ ♦ 0 ♦ ♦ y� ♦ ♦ y� X 11 0 ♦ 1 y� �0 .► �.�• •�.� sif 4L•A , A%) i '4 V II u .-° Ulf 0 i III ► 0 v, - U -- .— B. 04 ,_. wl A I. %A ° E 4 WO p o 01 ; = � E o ♦ $ :; ° ° ,_. 1 4 A . la ,l4 -u 4111 VII,. * c+-° ' , :: ‘ C.4-4 ,Z .':'' C) i 10 f......D„ 0 , ___ . +_, ,01 it" 1 CL) 1 ''7 't '':;-i t 15 •41111[. tk ,... ,, ,,. -,,, . , 0 .,-, ,0 i c, .,,,, 0 A • 0* V I L " I 444/� I 7 ° 140 4 i44 -0 4 ca a, a, o .- Aj "V tO ct u V III JR WI:11 V# 6-4 •,•-•1 ;:r7 Cip 17L-. -� 4111i►♦ yr��j A%) 1. "11:11-4. 0 4,* bk 0 4,* b. 0 4,* b. Iff i,* b. 0 4,* b, #41114:11 •♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ A i ,r 0 la/A wr 4t•A up u A wo ‘sAo•. #A . . 0A . . M . . A ye; . - t .7, 71, )to Awo tO Au, , 2/26/2015 10 : 57 AM FROM: 7276667637 TO: 2394370731 P. 2 • Date CERTIFICATE OF LIABILITY INSURANCE I 2/26/2015 Producer: Plymouth Insurance Agency This Certificate is issued as a matter of information only and confers no 2739 U.S. Highway 19 N. rights upon the Certificate Holder. This Certificate does not amend,extend Holiday, FL 34691 or alter the coverage afforded by the policies below. (727)938-5562 Insurers Affording Coverage NAIC# Insured: South East Personnel Leasing. Inc. &Subsidiaries Insurer A. a°'Insurance company 11075 2739 U.S. Highway 19 N. Insurer B. Holiday, FL 34691 nsurer C. Insurer D insurer E: Coverages 'The policies of insurance fisted below have been issued to the insured named above for the policy period indicated Notarths:anding any requirement.term Cr sand ton of any contract or other document with respect to which this certif ate may he issued or may pertain,the insurance afforded by the po,icies described nerem is subject to all the terms,erni miO,s.and conditions or such policies. Aggregate limits shown may hare been redaced by paid cia res. INSR 4001 Policy Effective Policy Expiration Limits Litz '..NSPL, Type of Insurance Policy Number Date Date (MMIDD!YY) (MM/DDIYY) GENERAL LIABILITY Each Occurrence S Commercial General Liability Darraye to rented premises(EA =Claims Made El Occur u;cirrenuci s ■ tae.Ea}: S ......` Persona'Adv Injury 5 General aggregate limit applies per: Genera!Aggregate S D Policy El Protect 0 LOC Prndur.ts Corny,Op.Agg S AUTOMOBILE LIABILITY Cant ned Single Lard iEA Accident) 5 - 4rri,Air Bert iy irrtsry A11 Caned A■itV (Per Person. 3 .Scheduler!Autos Boa s:I nic-'y Hired Antes MOM /Per Arecte°:l 5 Nor,Owned Autos Property Damage titer Acorn': S EXCESS/UMBRELLA LIABILITY Each Occurrence Coeur 0 Claims. lade Aggregate uecucabie , A Workers Compensation and WC 71949 01/01/2015 01/01/2016 XI WC Statu- I 1OTH- Employers'Liability tory Limits ER Ary proprietor;pertner;executive oftrcerlrrember E L ac Accident $t,Ono,c X ex;luded° NO EL.Disease-Ea Employee $1 Uri(L xx( If Yes,describe under special provisions below E.L Disease-Policy Limits st000•oce Other Lion Insurance Company is A.M.Best Company rated A-(Excellent). AMB#12616 Descriptions of Operations/Locations/Vehicles/Exclusions added by Endorsement/Special Provisions: Client ID: 84-60-029 Coverage only applies to active employee(s)of South Fast Personnel I easing,Inc.&Subsidiaries that are leased to the following"Client Company": Skelton's Construction,Inc. Coverage only applies to injuries incurred by South East Personnel Leasing,Inc.&Subsidiaries active employeel(s;,while working in:FL. Coverage does not apply to statutory empoyee(s)or independent contractors)of the Client Company or any other entity. A list of the active employees)leased to the Client Company can be obtained by faxing a request to(72 7)931-2138 or by calling(721 938-5562. Project Name: ISSUE 02-26-lb 1,Ef') Begin Date 1/4/2012 CERTIFICATE HOLDER CANCELLATION COLLIER COUNTY Should any of the above described policies he cancelled before the expiration date thereat,the issuing insurer will endeavor to ina 136 days written notice to the certificate holder named to the left,but failure to CONTRACTOR LICENSING do so shaf i tyose no ohliga*.ion or habil ty of any kind upon the insurer.Its agents or representatives. 1800 N.HORSESHOE DR. NAPLES, FL 34104 f'r de ,� - L i. L', r ' . L � Policy Number: Date Entered: 4/21/2003 0 ACO `, CERTIFICATE OF LIABILITY INSURANCE DATEimworgfYry) _2/27/2015 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 pollcy(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 Parlin Insurance Agency NAVE: PO Box 366697 Bonita Springs, FL 34136 � �FA.'(239)261-3141 ^�FAX No}:(239)263-.8696 • 24520 Production Cr. , #4 ADDRESS _ INSURER(S)AFFORDINO COVERAGE NAIL p Bonita Springs, FL 34135 LLOYD OF LONDON C/O AMELIA UNDERWRITERS INSURER A: _ INSURED SKELTON'S CONSTRUCTION, INC. INSURERS: —_ JIM S CLINT SKELTON INSURER c: _ 17950 CASTLEHARBOR DR. INSURER 0; _ FORT MYERS, FL 33967 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. MSR INSD SUER' WVD POLICY NUMBER ODO Fy} (mwootyryyl i LIMITS TYPE OF INSURANCE A COMMERCIAL GENERAL LIABILITY EACH ETOR RENTED $100,000 CLAIMS-MADE OCCUR CZB L0012150 2/26/2015 02/26/201¢ PRA MIISE3 IEao[a7iTence) $100,000 LTMT'TS AftF. AS MEDEXP(Any oneperaon) $5,000 - OF Zl1C>:QTTON PERSONAL&Any INJURY 0100,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $200,000 POLICY' T81- LOC PRODUCTS-COMP/OP AGO $200,000 OTHER: S COMBINED SINGLE $ AUTOMOBILE LIABILITY ,--- I - -- .... �--�� _CO a eD11_' LIMIT ANYALITO BODILY INJURY(Per parson) $ Auras Alm A�SCHEDULED BODILYIN;URYOnso sodden') $ —, HIRED NON-OWNED PROPERTY DAMAGE S AUTOS (Peraogderu) $ _ UMBRELLALIAO OCCUR EACH OCCURRENCE $ EXCESS DAB CLAIMS-MADE AGGREGATE s 0E13 RETENTION S .. S WORKERS COMPENSATION PER I OTH- AHD EMPLOYERS'LIABILITY YIN _STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? I N 1 A (Manda!aryln NH) :E.L.DISEASE-EAEMPLOYE S fryea deacnbe under DESCRIPTION OF OPERATIONS below Et.DISEASE.POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEIICLES(ACORD 101,Additional Remarks Schedule,may be attached If More space Is required) CARPENTRY -- RESIDENTIAL CERTIFICATE HOLDER CANCELLATION COLLIER COUNTY CONTRACTORS LICENSING. BOARD 8HOULb AN OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE DEVELOPMENT SERVICES CENTER THE EXPI'ATl0 DATE.-THEREOF NOTICE WILL BE DELIVERED IN ACCORDAN E WITH HE P�bLIQY PROM e S. 2800 N. HORSESHOE DRIVE `� NAPLES, FL 341.04 WAX (239) 252-2469 LRHOR¢EDHE•• SE`I �k 46 DEED' W1-Lt-T• ©19e:-t 114 AC*-I •--ORATION. All-rights reserved. ACORD 25(2014101) The ACORO name and logo are registered marks of ACORD Prod o-sd using Forms Boss Plus soIMVra wmy.ForrnaBoae.cnrn,IrrcreseNe Pub5aheig BOO-MB-1977 - :1-1:::i.,:i 'pl--::: JIM ELMO . peer i FL, u. r w`= ` , - -- r. r.„„,,,,,,,..,„4„,,,,,,,4~,k1f05 rm41CM•. Setbicx<xas:■aOMIN'ak t.,±a. 1-2 NOTE: Y DO X = NOT NEEDED y^ C,pytytty GMD Operations & Regulatory Management Licensing Section 2800 North Horseshoe Drive Naples, FL 34104 CHECKLIST APPLICATION (complete and notarized). © VERIFICATION OF 75% PASSING SCORE (must be approved and recognized throughout the State of Florida, as provided in Sec.2.7 of the Contractor Licensing Board Ordinance) o Copy of Letter from testing facility, or o Letter of reciprocity from the county who sponsored you is required © CREDIT REPORT (MUST come from enclosed list of credit bureaus&CANNOT be over 60 days old) d Individual (license holder) ✓ Firm (if more than 1 year old) COMPANY NAME (sunbiz.org) o Articles & Certificate of Corporation/Incorporation o Fictitious Name Q CERTIFICATE OF GENERAL LIABILITY INSURANCE 4- o Collier County Licensing Department must be listed as a Certificate Holder with the above mailing address o Bodily Injury per person $100,000 minimum, Property Damage S25,000 minimum (NOTE: If registered with the state, must carry the amounts required by DBPR.) © CERTIFICATE OF WORKERS COMPENSATION INSURANCE o Collier County Licensing Department must be listed as a Certificate Holder with the above mailing address or o State Workers Compensation Construction Exemption: DO NOT MAIL THIS FORM UNTIL APPLICATION FOR LICENSE IS APPROVED NOTE: Qualifier&Managing members of the corporation are Required to be • listed as INCLUDED (or) EXCLUDED On comp policy.A insurance roster can be submitted. NOTE: If you are a "sole proprietor" (an individual or with a fictitious name), you are not eligible for an exemption and MUST carry Workers Compensation insurance. 0.-C O Li k x t/\ iR t r e_Lih t. ,„, © FEDERAL TAX NUMBER o (IRS Form SS-4, you can file online-IRS.GOV) Incorporated or have more than 1 managing member of the LLC. If you are the • ONLY managing member of an LLC, use your S.S. AFFIDAVIT OF INTEGRITY & GOOD CHARACTER ✓ ONE (1) Affidavit's for Integrity & Good Character Q BUSINESS TAX RECEIPT/OCCUPATIONAL LICENSE0 o Collier County Business Tax Receipt or (If located in Collier County you will need a Zoning Certificate below) o From where office is located NOTE:Please contact Business Tax for fee amounts at (239) 252-2477 ZONING/PLANNING CERTIFICATE (Zoning Approval for Home Occupation or Business location if in Collier County) NOTE:Please contact Zoning Department for fee amounts at (239) 252-5250 II COPY OF DRIVER'S LICENSE El COPY OF CITATION o If submitting application to abate a citation issued within 45 days of the date of issuance. If you have any questions, please feel free to contact us at: GMD Operations & Regulatory Management Licensing Section 2800 North Horseshoe Drive Naples, FL 34104 Main (239) 252-2431 Fax (239) 252-2469 BEFORE THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD BOARD OF COUNTY COMMISSIONERS, COLLIER COUNTY, FLORIDA, CONTRACTORS' LICENSING BOARD Petitioner, V. Case #2015-01 License#CGC1522156/C.C.#201400001622 Tracy Lee Cummings D/B/A -Catch 'Em All Contracting Inc. Respondent. ADMINISTRATIVE COMPLAINT Collier County (County) files the Administrative Complaint against Tracy Lee Cummings ( Respondent), a State licensed Certified General Contractor ( license#CGC1522156), and states the following facts and allegations in support of the cited violations below: 1. The Respondent is currently licensed by the State of Florida as a Certified General Contractor with license number CGC1522156 . 2. Under the provisions of Collier County Ordinance 90-105, as amended, Section 22-201.1, the following actions by a holder of a Certified General Contractor's license shall constitute misconduct and grounds for discipline pursuant to Section 22-202. a. On August 12th, 2014, Permit#PRBD2014103081301 was issued to Serenity Pool &Spa Inc./CPC1457113 for the construction of a swimming pool at the new construction jobsite located at 7469 Lantana Circle Naples, FL. 34119. b. Work inclusive of structural concrete and equipotential plane bonding was subcontracted by Serenity Pool & Spa Inc. to Catch 'Em All Contracting inc./CGC1522156. c. On February 11th, 2015, an inspection (#514)was conducted by the Collier County Building Department. The Inspector advised that some of these bonding wires had been placed in the ground to provide the appearance of being secured, but were completely detached and came out of the ground when pulled resulting in a failed inspection. On February 12th, 2015, a re-inspection was conducted whereby the Inspector required the contractor to excavate the applicable areas to expose all connections of the bonding wires to the pool shell. This examination revealed that a bonding wire had been deliberately tied to a plumbing pipe instead of correctly secured to the pool shell in another attempt to visually simulate acceptable work. d. On February 24th, 2015, a review of photographs and information from the jobsite was conducted by the Collier County Chief Building Official,Jonathan Walsh, who made a determination that the substandard work resulting in the building code violation had been committed willfully. e. On February 26th, 2015, a meeting was held with the qualifier of Catch 'Em All Contracting Inc., Tracy Lee Cummings, who advised that the work in question had, in fact, been performed by payroll employees of her company with no further subcontracting to any other entity. f. Thereafter, pursuant to Collier County Ordinance 90-105, as amended, Section 22-202 (b) and Section 22-202 (c),the complaint was investigated and found sufficient cause to file formal charges. g. Collier County brings the following charge in this formal complaint against the Respondent. COUNT I h. Collier County Ordinance 90-105, as amended, Section 22-201.1(2)states : "Willfully violating the applicable building codes or laws of the State, City, or Collier County". WHEREFORE, the Petitioner asserts the above facts and charges are grounds for disciplinary action under Section 22-201.1 of Collier County Ordinance 90-105, as amended, and WHEREFORE, in consideration of the foregoing,the Petitioner respectfully requests the Collier County Contractors' Licensing Board to find the Respondent ;..Ity of le violations charged. Dated : February 27th 2015 Signed: 111. � A 1 Collier Co, my Contractors' Licensing Supervisor or Designee C.L.B. Case #2015 — 01 Tracy Lee Cummings D/B/A — Catch `Em All Contracting Inc. Table of Contents E1/E3 — Formal Complaint. E4 — D.B.P.R. State Licensing Information. E5 — Collier County Certificate Detail Report. E6 — Notice of Hearing. E7 — Serenity Pool & Spa Inc./CPC1457113 Permit #PRBD2014103081301 for pool construction jobsite located at 7469 Lantana Circle Naples, FL. 34119. E8/E15 — Subcontract for work to Catch `Em All Contracting Inc. E16 — Company payroll provided by Tracy Cummings with names of employees who performed substandard work on jobsite. E17/E18 — E-mail containing observations made on jobsite by Inspector, Greg Surniak, and determination of Chief Building Official, Jonathan Walsh, that the violation had been committed in a willful manner. E19 — 2008 National Electrical Code Handbook, Section 680.26 outlining Equipotential Bonding. Table of Contents (continued) E20/E23 — Photographs of jobsite. E24 — Photograph of bonding wire application taken by Inspector Surniak resulting in building code violation. E25/E27 — Code Case Detail Report. E28 — Synopsis of jobsite inspection conducted by Inspector Surniak Contractors' Licensing Board 2800 North Horseshoe Dr. Naples, Fl. 34104 Complaint#2015 -01 Complainant: Any person who believes that a Contractor holding a State Certification or Certificate of competency has violated Collier County Ordinance 90-105, as amended, may submit a sworn complaint to the Contractor Licensing supervisor, or his/ her designee. The complaint shall be in substantially the form prescribed by the Contractor Licensing Supervisor. The complainant shall pay a fee of$50.00 to defray the costs of administering the complaint, at the time of filing the complaint.The complaining party shall state with particularity which section(s) of this Ordinance he or she believes has been violated by the contractor and the essential facts in support thereof. Complaint : Please print or type and return signed copies of the complaint. Date : February 27th, 2015 Against : Contractor's Name : Tracy Lee Cummings Phone : (239)450-1482 Business Name : Catch 'Em All Contracting Inc. License Number if known : #CGC1522156 Collier County Competency Number: #201400001622 Contractor's Business Address : 591 Weber Blvd. N Naples, FL. 34120 Filed By: Name : Collier County Contractors' Licensing Office Address : 2800 N. Horseshoe Dr. Naples, FL. 34104 Business Phone : (239) 252-2914 Address where work done : 7469 Lantana Circle City : Naples, FL. County : Collier Date of contract :July 15t, 2014 Date job started : Unknown Date job completed or new home occupied : Incomplete Were there plans and specifications ? : Yes (permitted jobsite) Is there a written contract ? : Yes. If yes, amount of contract ? : Subcontractor Base Agreement w/ no monetary value declared. Has Contractor been paid in full ? : Unknown. If not, what amount ? : Unknown Was a Building Permit obtained ? :Yes Building Permit number if known : #PRBD2014103081301 Have you communicated by letter with the licensee ? : Yes Date : February 26th, 2015. Do you have a reply? : Yes Please attach to this form all copies of the purchase agreement, building contract, home improvement contract, copies of receipts and/or cancelled checks available and any additional evidence to substantiate your allegations. List any subsections of Section 4 of Collier County Ordinance number 90- 105, as amended, which, in your opinion, have been violated by the contractor which is the subject of this complaint, (list subsection number): Collier County Ordinance#90-105, as amended, Section 22-201.1(2) states : Willfully violating the applicable building codes or laws of the State, City, or Collier County. Please state the facts which you believe substantiate your charge of misconduct against the subject contractor. List facts separately for each subsection number above: Catch 'Em All Contracting Inc. was subcontracted for work on a residential swimming pool inclusive of Equipotential Plane Bonding. During an inspection of this work conducted by the Collier County Building Department, a building code violation was discovered after excavation of the applicable area, whereby the contractor deliberately attempted to visually simulate acceptable work by tying a bonding wire to a plumbing pipe instead of correctly securing it to the pool shell beneath the ground. After reviewing the information involving the violation, it was determined by the Collier County Chief Building Official, Jonathan Walsh, that the violation construed a health and safety issue, and the substandard work resulting in the violation had been committed willfully. ( Complainant's signature) State of: Florida County of: Collier Sworn to (or affirmed) and subscribed before me this 27th day of February, 2015, By Collier County License Compliance Officer, Rob Ganguli, (signature of person making statement). j . LISSANDRA C.CORS1LE \C._ (- L, (signature of Notary Public) ?\..../� MY COMMISSION iFF124867 * vt° EXPIRES:May 20,2018 Print, type or stamp commissioned name of Notary Public: °.147e OF fl�f Bonded Nu Budget Notary Services Personally known '4% or produced identification G-3 DBPR- CUMMINGS, TRACY LEE; Doing Business As: CATCH 'EM ALL CONTRA... Page 1 of 1 2:57:04 PM 2/25/2015 Licensee Details Licensee Information Name: CUMMINGS, TRACY LEE (Primary Name) CATCH 'EM ALL CONTRACTING, INC (DBA Name) Main Address: 591 WEBER BOULEVARD N NAPLES Florida 34120 County: COLLIER License Mailing: LicenseLocation: License Information License Type: Certified General Contractor Rank: Cert General License Number: CGC1522156 Status: Current,Active Licensure Date: 03/28/2014 Expires: 08/31/2016 Special Qualifications Qualification Effective Construction Business 03/28/2014 View Related License Information View License Complaint 1940 North Monroe Street,Tallahassee FL 32399 :: Email: Customer Contact Center :: Customer Contact Center: 850.487.1395 The Slate of Florida is an Ark/EEO employer.Copyright 2007-2010 State of Florida.Privacy Statement Under Florida law,email addresses are public records.If you do not want your email address released in response to a public-records request,do not send electronic mail to this entity.Instead,contact the office by phone or by traditional mail.If you have any questions,please contact S50.487.1395c ."Pursuant to Section 455.275(1), Florida Statutes,effective October 1,2012,licensees licensed under Chapter 455, F.S.must provide the Department with an email address if they have one.The emails provided may be used for official communication with the licensee. However email addresses are public record.If you do not wish to supply a personal address,please provide the Department with an email address which can be made available to the public.Please see our Chapter 455 page to determine if you are affected by this change. https://www.myfloridalicense.com/LicenseDetail.asp?SID=&id=DDA52A7D79A738C7A... 2/25/2015 License Application Status - CityView Portal Page 1 of 2 GMD Public Portal License Application Status - License Application Summary Application Number: LCC20140002980 Business Name: Catch'em All Contracting,Inc License Type: Contractor Application Status: Active Description of Business: Mailing Address: 591'Weber Blvd.Naples FL 34120 TCummings39(Photmail.corn Locations: - Issuances Type Date Issued Date Expires Status Number GENERAL CONTR.-CERTIFIED 09/09/2014 08/31/2016 Active 201400001622 - Reviews There are no reviews for this license application. - Insurance Producer Type Policy Effective Date Expiry Date Limit BELT-Oswald Trippe General Liability ' 5358022139 ;06/10/2014 06/10/2015 '. $2,000,000,00 and Company Expiration Processed: No Producer Phone Number: 239-433-4535(yry CompuPay Insurance Worker's 106-54890 05/28/2014 :05/28/2015 Services,Inc ;Compensation Expiration Processed: No Producer Phone Number: 800-807-0598 x306 http://cvportal.colliergov.net/CityViewWeb/License/Status?licenseId=139615 2/25/2015 Collier County Growth Management Division / Planning and Regulation Operations Department/ Licensing Section Hand De1iv:+s_4 "3jALL,a 2/2/o/i MIIV • Date: February 26th, 2015 Tracy Lee Cummings d/b/a—Catch `Em All Contracting Inc. /CGC 1522156 591 Weber Blvd. N. Naples, FL. 34120 RE: Complaint filed against you by The Collier County Contractors' Licensing Office. Dear : Tracy Lee Cummings A complaint has been filed against you by the above referenced individual. A hearing of this complaint will be held by the Contractors' Licensing Board on Wednesday March 18th, 2015 at 9:00 AM in the Board of County Commissioner's Room, Third Floor, Administration Building (W. Harmon Turner Bldg.), at 3301 East Tamiami Trail,Naples, Florida. Your presence before the Contractors' Licensing Board is required at this time. The packet you will receive marked composite exhibit"A" will be delivered to the members of the Contractors' Licensing Board one week prior to the hearing. If you wish to prepare a defense packet and have it delivered in conjunction with composite exhibit"A", you must make fifteen copies and have them in our office by 8:00 AM on Wednesday, one week prior to the hearing. In your packet,you may give a summary of events. At this meeting, you may present evidence and be represented by an attorney of your choice. In the event the Contractors' Licensing Board finds you in violation of Section#22-201.1(2) of Ordinance#90-105, as amended, the range of disciplinary sanctions which may be imposed are from an oral reprimand to a suspension or revocation of your Collier County Certificate issuance#201400001622, and/or suspension or revocation of your permit privileges against your state license#CGC1522156 . S rely, RAI Gan i Licensing mpliance Officer Collier County Contractors' Licensing (239)252-2914 COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS PERMIT PERMIT#: PRBD2014103081301 PERMIT TYPE: PL ISSUED: BY: APPLIED DATE: 10-30-14 APPROVAL DATE: 11-12-14 MASTER 4: PRP020120306783 COA: JOB ADDRESS: 7469 LANTANA CIR,Unit: JOB DESCRIPTION: MASTER POOL,SPA,PAVER DECK, SCREEN JOB PHONE: ALARMS,HEATER,NO LIGHT NICHE 7469 LANTANA CIR SUBDIVISION 4: BLOCK: LOT: FLOOD MAP: ZONE: ELEVATION: FOLIO 4: 54496000806 SECTION-TOWNSHIP-RANGE:21-48-26 OWNER INFORMATION: CONTRACTOR INFORMATION: VITA PIMA LLC SERENITY POOL& SPA LLC 2647 PROFESSIONAL CIR STE 1201 24551 PRODUCTION CIR STE 3 NAPLES ,FL 34119- BONITA SPRINGS,FL 34135- CERTIFICATE#::c28737 PHONE: FCC CODE: CONSTRUCTION CODE: 0207 JOB VALUE: $26,000.00 TOTAL RES SQFT: 0.00 TOTAL COMM SOFT: 0.00 SETBACKS FRONT: REAR: (preserve)/20DE accessory LEFT: 6 RIGHT: 6 SEWER: WATER: CONTACT NAME: CONTACT PHONE: Per Collier County Ordinance No.2002-01,as it may be amended,all work must comply with all applicable laws,codes,ordinances,and any additional stipulations or conditions of this permit.This permit expires if work authorized by the permit is not commenced within six(6)months from the date of issuance of the permit.Additional fees for failing to obtain permits prior to the commencement of construction may be imposed.Permittee(s)further understands that any contractor that may be employed must be a licensed contractor and that the structure must not be used or occupied until a Certificate of Occupancy is issued. NOTICE:PRIOR TO THE REMOVAL OF ASBESTOS PRODUCTS OR THE DEMOLITION OF A STRUCTURE,FEDERAL AND STATE LAWS REQUIRE THE PERMITTEE(EITHER THE OWNER OR CONTRACTOR)TO SUBMIT A NOTICE OF THE INTENDED WORK TO THE STATE DEPARTMENT OF ENVIRONMENTAL PROTECTION(DEP). FOR MORE INFORMATION,CONTACT DEP AT(239)344-5600. In addition to the conditions of this permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,and there may be additional permits required from other governmental entities such as water management districts,state agencies,or federal agencies. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF E-� • , �� Y Y3iy'L i! 9001 Daniels Porkway, Suite 300, Fort Myers, FL 33912 Subcontractor Base Aereement NAME OF SUBCONTRACTOR: Ore.,1 i.i�,{y) At I i1 r 6--'t Ltd e, `� f+� OWNERSHIP; li CORPORATION D PARTNERSHIP ❑ P ZOPRIETORSHIP L.INITED LABILITY Y NAME(S)OF PRINCIPAL OFFICERS,PARTNERS OF OWNERS: d'-E J r'eg1 � vyQ f �A IT ?L SUBCONTRACTOR'S EN OR SOCIAL SECURITY NOi i•– ,,� ��.�v �°r • BUSINESS ADDRESS: 4 4 '_w - ii dn3____ �. IP PHONE FAX— EMAIL A•at ill"all (3010.C.L.t z T111S AGREEMENT("Agreement")made and entered into this I i ' day of Liu u I' ! ,20 #d , by and between Serenity Pool&Spa,LLC,a Flo 'da limited iability ompany("Serenity")and = 7 • 1 �. . A �I i•11ri g• • .L ("Subcontractor"). I 1. As used herein the following terms shall have the meanings specified unless the context otherwise requires, (a)"Contract Documents"shall mean this Agreement,together with any Work Notification Forms,Pricing Addendums,and Plans• d Specifications issued or utilized in connection with Work performed by Subcontractor, (b)"Subcontractor"shall have the meaning specified in the beginning paragraph of this Agreement. (c)"PHA"shall mean the Federal Housing Admigistrati n. (d)"Plans and Specifications"shall mean approved foun43ation plans,frame plans,floor plans,elevation plans,blueprints,constructio sheet details,and other specifications,including FHA manuals. (e)"Pricing Addendum"shall have the meaning specific in Paragraph 4, (f)"Serenity"shall have the meaning specified in The be 'nning paragraph of this Agreement, (g)"VA"shalt mean the U.S.Department of Veterans A airs, (h)"Work"shall include,without limitation,any alnd all pfthe work specified in Paragraph 3 below,and any and all change order w..k, extra work,work included on all Work Notification Forrhs,unbudgeted work,and other work directed by Serenity to be performed b Subcontractor. ; (i)"Work Notification Form"shall mean a written orderlissued by Serenity to Subcontractor specifying certain Work to be performe.;the term Work Notification Form shall include forms dcsignred"Purchase Order","Job Start Order","Field Purchase Order",and other similar designations and containing certain information about commencing such Work and the payment for such Work. 2. The purpose of this Agreement is to fix the obligations o'Serenity and Subcontractor as to the performance by Subcontractor of cell: n described Work. Subcontractor acknowledges thai this Agreement is nonexclusive and that Serenity is free to contract with any othe person or entity for the performance of work which is the same or similar to that described in this Agreement, Subcontractor is also ee to enter into third party contracts with any other subcantra4or,laborer and/or material men for the provision of the Work to be provide.. hereunder. Subcontractor will ensure that such other work performed by third party subcontractors,laborers and material men does nit interfere with Subcontractor's performance under the Contract Documents and all such other contracts shall not be deemed a direct contract between Serenity and such third party subcontractors laborers,or material men. This Agreement shall not be construed as obligating Serenity to accept bids or issue Work Notification iFortrr to Subcontractor, 3, The Work to be performed by Subcontractor shall be more specifi :11y descr- din •ubsequendy issued Work Notifioatio Forms bu i generally described as; 0 It_ law ' ' i.,i' ... !1 **Ai' in,. '/. . . alai •. dire c�C 'E .tip ►_I * �► r � � �•. l I _ _ Cost Code No; fI Page 1 of 8 1 Serenity Initials Rev 09/2010 i Subcontractor Initiir/, • 4. Attached hereto as a part of this Agreement,Subcontracpr has Submitted a signed and dated Pricing Addendum,receipt of which is acknowledged thereon by Serenity,which specific Pricing Addendum is incorporated herein by reference. This Pricing Addendum ay be modified by Subcontractor only by a subsequent written and dated amendment to the Pricing Addendum,as approved by and receipt.f which shall be acknowledged thereon by Serenity;whtcl approval Serenity may withhold in its sole and absolute discretion, Upon acceptance and approval by Serenity,such atnended Pricing Addendum shall be attached hereto and incorporated herein by referent. The Pricing Addendum in effect at the rime of the issuance or any Work Notification Form shall be applicable to all Work to be perform- thereunder,without variation,unless otherwise ap moved in writing by Serenity. Subcontractor acknowledges that its compensation a fixed contractual rate,subject to modification under the treat clause of this contract for changes in the Work required, Compensation under the Contract Documents is not hourly compensation. Subcontractor agrees that payment shall be made to the entity named in the be nning paragraph of this Agreement,and not to any individual person which provides Work pursuant to this Agreement. S, In conjunction with this Agreement,Serenity may issue Work Notification Forms from time to time,covering the Work to be perfo ed and time for completion at each specific job location. Subcontractor shall have no authority to commence Work at any job location til it i has received a Work Notification Form for a specific job location, It shall be Subcontractor's responsibility to obtain a Work Notific• ion Form before beginning any Work at a specific job Iocati,n. In the event Subcontractor's proposal,estimate or similar document is a ached to or referenced in a Work Notification Form issued by/Serenity,only those terms which define or identify the work to be performed.y Subcontractor shall be incorporated as part of the Work Notification Form and/or this Agreement and any remaining portions of Subcontractor's proposal,estimate or similar docu'mcnt hall not be considered part of the Work Notification Form,this_Agreement, ''r any agreement between Serenity and Subcontractor. No sub titutions shall be allowed in the performance of the Work unless expressly provided in the Plans and Specifications or applicable ork Notification Form,and only then upon Subcontractor first receiving all approvals required from Serenity for substitutions; Subcontractor shall indemnify Serenity for all loss,damage and expense incurred t a result of such substitutions,whether or not Subcogtracto has obtained approval thereof, i 6. Notwithstanding anything in this Agreement to the contr ,Subcontractor's right to any payment under this Agreement is expressly contingent and conditioned upon:(I)Serenity's determination that all Work to be performed pursuant to a particular Work Notification Form has been completed satisfactorily;(2)If requested py Serenity,the Subcontractor delivering to Serenity a full and complete rele• e of all liens and claims of Subcontractor and any and all of i[s subcontractors and suppliers of materials,labor,equipment,work,tools,sa eices and other items furnished in connection with the Work,ulna(3)If requested by Serenity,the Subcontractor delivering to Serenity an affidavit(in a form satisfactory to Serenity)that provide that so far as Subcontractor is able to ascertain,no person or entity other th.' the persons or entities furnishing such waivers and releases,has a right to any such lien or claim for materials,labor,equipment,work,to its, services or other items furnished in connection with the `York, 1 i Notwithstanding anything in this Agreement to the contrary,if requested by Serenity,Subcontractor's failure to supply these lien wai ers and releases will negate any request for payment until suh time as the lien waivers and releases are provided, If any lien or claim re ains outstanding after all payments arc made,Subcontractor sctall refund to Serenity all monies that Serenity may be compelled to pay in discharging or resolving such lien or claim,including,without limitation,attorney's fees and costs. If Subcontractor fails to make an' such refund within fifteen(15)days of notice to Subcontractor from Serenity,Subcontractor shall be in breach of this Agreement,and Sc a icy may,in addition to any other right and remedy,withhold�fi-om any sums due dr to become due Subcontractor under this or any other Agreement such amount as may be required,in Serenity" sole discretion,to discharge or resolve any such lien or claim,and to reimb irsc Serenity for the applicable fees and costs incurred by Ser nity. Subcontractor shall defend,indemnify and hold harmless Serenity an. Serenity's purchaser from the operation and effect!of any?lien or encumbrance arising out of the performance of Subcontractor's wor.,and shall turn over the property subject to the Work,including any improvements thereon,to Serenity free and clear of all such liens and encumbrances. If any such lien or encumbrance isielaim;d by any person or entity performing any portion or Subcontractor's work, Subcontractor shall,immediately upon verbal notice from Serenity,discharge same by payment or posting a sufficient bond to transfc the lien or encumbrance from the real property to the bond. ff Subcontractor continues to receive payments from Serenity,Subcontractor will hold these payments and the rights to future payments fr9m Serenity in mist for the benefit of,and to be first applied to payment of those subcontractors,laborers,equipment suppliers and material suppliers who have performed any portion of Subcontractor's work,befor. using any portion of such payment for any other purpose In the event Serenity has reason to believe that labor,material,equipment.1 other obligations of Subcontractor incurred in the perfo ante of Subcontractor's work art not being promptly paid,Serenity may,u.on giving written notice to Subcontractor,take any steps deemed necessary to ensure that any payments from Serenity to Subcontractor. all be utilized to pay such obligations. Upon such written notice, Serenity may require Subcontractor to supply satisfactory evidence tha' Subcontractor's obligations have been paid or to post a payment and performance bond for the protection of Serenity,its purchaser, +:d those to whom Subcontractor has an obligation foripayment. The failure of Subcontractor to provide either of these means of securit shall entitle Serenity to retain out of any payment due or beco e due to Subcontractor a reasonable amount to protect Serenity from any an.all Page 2 of$ 1 Serenity nitials Rev 09/2010 i 1 Subcontractor Init a s /If 1 I loss,damage or expense including attorney's fees arising out of or relating to any such claim or lien from one to whom Subcontractor,has an obligation until the claim or lien has been satisfied bye Subcontractor. Acceptance of Work and payment therefore by Serenity under this paragraph shall not be construed as a waiver by Serenity for Work later found defective and shall not release the Subcontractor f om liability under any warranty for defective Work or for any obligation to perform warranty service Work, i 7, Subcontractor expressly agrees to read and familiarize itself completely with all Contract Documents,including but not limited to the Plans and Specifications applicable to this Agreement or any\crork Notification Form,to independently veri1.'all information furnished by Serenity or contained in the Plans and Specifications anc to inspect the job site before starting any Work under a Work Notification rm. Subcontractor shall be responsible for the receipt,delivery,unloading,storage,warehousing,protection,insurance and all other risks f loss relating to any materials or equipment Subcontractor is to furnish,install,provide,or have provided to it under this Agreement Subcontractor shall immediately report in writing to Serynity any discrepancy,deficiency,variance from or violation of any laws, ordinances,rules,regulations or orders of any public out ortties observed or known to Subcontractor in the Work,Plans and Specific Lions or at the job site, All Plans and Specifications fur ished Subcontractor by Serenity are the property of Serenity and shall not be duplicated or used for any purpose other than the performance of the Work and must be returned to Serenity at the completion of Subcontractor's Work, Subcontractor shall be softly responsible for all construction under this Agreement and any Work Notificatio Form,including the techniques,sequences,procedures and means,and for coordination of all Work_ Subcontractor shall supervise a d direct all Work to the best of its ability and give it She att6ntion necessary for such proper supervision and direction. Subcontractor shall perform all labor in a thorough and uvorkmanlike manner,according to the highest standards of the trade, Subcontractor warrants that all labor done and an rnate4als furnished by Subcontractor will meet or exceed FI-IA minimum property standards,VA requirements,any applicable building code requirements and all Serenity requirements, Should a dispute arise as to the proper interpretation of this Agreement,or any work or material performed or furnished hereunder,which concerns the parties hereto only, or which concerns Subcontractor and any other contract ir(s),subcontractor(s)or supplier(s),the dispute shall be decided by Serenity, whose decision thereon shall be final and conclusive, Injany event,and in spite of any dispute,claim,or controversy arising out of des Agreement,Subcontractor shell proceed diligentlyiwith the Work,pending final determination pursuant to any disputes clause or pursuant to any other action taken with respect to any dispute, claim,or controversy. Subcontractor has made en independent investigation of the site,and the soil conditions and has satisfied itselfias to all of these conditions such that the Pricing Addendums include payments for all Work which may be performed by Subcontractor to overcome any unanticipated,underground,or concealed conditions, Subcontractor waives any and all rights and claims for any changes to the Work Notification Form amount for any items or claims which Subcontractor could have become aware of prior to accepting the WorliNotification Form and/or commencing Work thereunder had its examinatiors of the project been conducted in a reasonable manner. 8, Subcontractor shall cooperate with all other contractors q❑gaged by Serenity to the effect that their work shall not be impeded and shall give such other contractors access to the job site necessary to perform their contracts. Subcontractor shall perform the Work in a prompt and diligent manner whenever such Work,or any part of it,becomes available,or at such other time or times as Serenity may direct s)as to promote the progress of the entire project, Subcotjtracto shall not delay Or otherwise interfere with or hinder the work of any other . contractor on the job. If the work or property of another is hindered,delayed,or damaged by Subcontractor,Subcontractor will pay fbr all costs and damages incurred by such other party and will cause all such damage to be corrected to the satisfaction of and without cost o Serenity, Any materials that are to be furnished b'Subcontractor hereunder shall be furnished in sufficient time to enable Subcontractor to perform and complete its Work with the time or times prpvided for herein or in any Work Notification Form. If,in the opinion of Serenity, in its sole discretion,Subcontractor falls behind in furnis ring the necessary labor and/or materials to meet the schedule established by Serenity,then Subcontractor shall take such steps and actions as are deemed necessary by Serenity to improve the rate of progress, including,but not limited to,increasing the labor One,lumber of shifts and/or work such overtime as may be required,at its own ex dense, to bring its part of the Work up to the schedule establish d by Serenity, Subcontractor agrees to reimburse or pay Serenity,or Serenity may withhold payment otherwise due under this Agreem L ent,for any and all damages that Serenity may sustain as a result of such delays by Subcontractor. Time is of the essence in this Agr4crnent} i 9, Subcontractor shall be responsible for inspecting any wok of another contractor that may affect itS own Work and shall report in writing to Serenity any defects in such work upon discovery f the(Idefect prior to commencing any portion of the Work,or it shall be deemed to have accepted such work as correct and fit to be accom�nodat,d into its own. If Subcontractor shall be delayed in the commencement, prosecution,or completion of the Work or shall be obstructed or hindered in the orderly progress of the Work by an act,failure to act omission,neglect or default of Serenity,any architect,another contractor or subcontractor,or any of their respective agents or employees, or by any cause beyond the control of Subcontractor,then the lime fixed for completion of the Work may be extended in the sole discretion Page 3 of S I Serenity itials Rev 09/2010 Subcontractor Ini ' I — k© I I of Serenity and only if Subcontractor notifies Serenity in writing within forty-eight(45)hours of the discovery of the cause of such delay. Subcontractor expressly agrees not to make,and hereby waives,any claim for damages on account of any delay,obstruction,or bind dance for any cause whatsoever,including but not limited to,the aforesaid causes,and agrees that Subcontractor's sole right and remedy in The case of any delay shall be an extension of the time fixed it-or completion of the Work, I 1 10. Subcontractor represents and warrants that it is fully qualified in all respects to perform the Work and shall at all times maintain stria' discipline among its employees, Subcontractor agrees ntlit to employ for work on the project any person unfit or without sufficient si4ll to perform the job for which Subcontractor was retained. Subcontractor agrees that Company will not provide any training for the Subcontractor or its employees,agents,or subcontractors. 11. Subcontractor shall,at Subcontractor's sole expene,holffi and maintain all required licenses,obtain all required permits and shall eo ply with all laws and ordinances and the rules,regulations,and orders of all public authorities relating to the performance of the Work. l the event of termination of this Agreement,Subcontractor sl all immediately transfer and assign to Serenity any and all applicable certify atcs, permits,contracts,subcontracts,and purchase orders relating to the Work. Subcontractor agrees that Company is not responsible for providing any tools or benefits for the Subcontractor or ifs employees,agents,or subcontractors. i 12, Subcontractor agrees to comply with the Safety&II-1=10 Standards attached hereto and incorporated herein by reference and the requirements of the Occupational Safety and Health Act bf 1970,as amended,and all other applicable federal,stare and local health, safety, environmental and hazardous work laws,including without limitation,the prompt submission of material safety data sheets when required, and Subcontractor hereby releases Serenity of andifrom tiny and all liability of whatsoever nature because of any injury or injuries to Subcontractor,its employees,agents or subeontrao'tors os any employees or agents of such subcontractors,or any other people doing work under an oral or written order or contract with Subcontractor. I 13, Subcontractor agrees to,and hereby does,assume'till responsibility for any and all acts,negligence or omissions of Subcontractor's employees,agents and subcontractors and any andiall employees and agents of Subcontractor's subcontractors,and any and all other persons doing work under an oral or written order br conlfract with Subcontractor. 14. To the fullest extent permitted by law,Subcontractor shall indemnify and hold harmless Serenity(including its affiliates,parent and subsidiaries)and all of their officers,members,paftners,directors,agents and employees(collectively the"Indemnified Parties")of,from and against any and all claims,liabilities,damages;costsland expenses,including,without limitation,contractual liabilities,damages, losses and expenses,including but not limited to,ijttorney's fees at trial and on appeal,arising out of resulting from or related to the performance of the Work,or the performance of any construction or services required by the Contract Documents or performed by any subcontractors,laborers,materialman or agents,of the cRnsttuction site,or the project,provided that any such claim,liability,damage loss or expense(1)is attributable to bodily injury,personal inluiy,sickness,disease or death,or to violations or alleged violations of the Occupational Safety and Health Act of 1970,as amended,or to regulations promulgated thereunder,or to violations or alleged violations of similar state laws and regulations,or to injury to oi•destniction of tangible property including the loss of use resulting therefrom,or to any defective work of Subcontractor,or to any breach by Subcontractor of this Agreement,and(2)caused in whole or in part by any act,failure to act,or omission of Subcontractor,any subcontractor of Subcontractor,anyone directly or indirectly employed by any of them or an yone for whose acts any of them may be liable,regardle§s of v<hether or not it is caused in part by a party indemnified hereunder and regaretess of whether or not it is caused in part by the negligence aria party indemnified hereunder,provided however,such party indemnified st;ail not be indemnified for the sole negligence or willful misconduct of such indemnified party. Such obligation shall not be construed to negate,abridge,or otherwise reduce any other right or obligation of indemnity which would otherwise exist as to any party or person described in this Paragraph. In any and all claims against any party indemnified hereunder by any employee of Subcontractor,any subcontractor,anyone directly or indirectly employed by]I any of them or anyone for whose acts any of them may be liable,the indemnification obligation under this Paragraph shill not'be limited in any way by any limitation on the amount or type of damages, compensation or benefits payable by or for Subcoritractoi.or any subcontractor under workers'or workmen's compensation acts,disc ility acts or other employee benefit acts, In addition,in no event shall Subcontractor's obligations hereunder be limited to the extent of an insurance available to or provided by Subcontractor, At its sole discretion,Serenity may withhold,from time to time,from any moni s otherwise due Subcontractor hereunder or under any othr;r contract or agreement,a sum of money which,in the sole judgment of Ser ity, shall be sufficient to secure the performance of Subcontractor's obligations under this Paragraph. Notwithstanding the foregoing,the indemnification obligations described herein shall pe limited to a maximum of 55,000,000.00,or the amount of the contract sum, whichever is greater. The parties agree and acknowledge that this limitation bears a reasonable commercial relationship to this Agree tut and the services being provided hereunder,and this indemnity clause is intended to comply with the Florida laws on indemnity and, specifically to comply with Florida Statutes,Section 72506 and is to be interpreted in such a way as to be fully enforceable. 1 Page 4 of S Serenity 1 'tials Rev 09/2010 i Subcontractor lnitia l 15. Subcontractor represents and warrants to Serenity'that all equipment and materials provided by Subcontractor and incorporated in the Work will be new,unless otherwise specified in the Plans and Specifications,and together with the Subcontractor's Work shall be of good quality,free of defects and in conformity with the Cantrdct Documents. It is understood between the parties hereto that all equipmen, materials and Work not so in conformity shall be defccti4ie. Subcontractor specifically agrees that it is responsible for the protection f the Work until final completion and that Subcontractor will Make good or replace,at no expense to Serenity,any damage to the Work w eh occurs prior to said final completion. Inspection bS'Serenity shall not relieve Subcontractor of its obligations herein. CONTRACT() FURTHER WARRANTS THAT ALL LABOR AND MATERIALS FURNISHED BY CONTRACTOR SHALL BE FREE OF DE I CTS FOR A PERIOD BEGINNING AT THE DATE THAT SSERENITY CONVEYS TITLE OF THE SUBJECT OF THE WORK,(HO E OR CONDOMINIUM UNIT)TO A PURCHASER OF THE HOUSE OR CONDOMINIUM UNIT,AND CONTINUING FROM S t CI-I DATE UNTIL THE LAST OF THE FOLLOW1N0 TO bCCUR:(1)ONE YEAR(2)FOR THE DURATION OF ANY LIMITED WRITTEN WARRANTY GIVEN BY SERENITY TO OUCH PURCHASER OR(3)THE DURATION OF ANY COMMON LAW OR STATE OR FEDERAL STATUTORY WARRANTIES F SUCH PURCHASER,OR SUBSEQUENT PURCHASER,OR ANY 0 HER PERSON OR ENTITY,IF ANY. CONTRACTOR AGREES TO MAKE,AT CONTRACTOR'S SOLE EXPENSE,ALL REPAIR'AND CORRECT SUCH DEFECTS IN ORDER TO MEET ANY OF CONTRACTOR'S WARRANTY OBLIGATIONS WITHIN E1GH t (8) HOURS OF NOTICE(ORAL OR WRITTEN)OF SUCH DEFECT IN AN EMERGENCY(DETERMINED BY SERENITY IN IT' SOLE DISCRETION)AND WITHIN POURTY-EIGHT(48)HOURS OF NOTICE ON A NON-EMERGENCY BASIS, In additio Subcontractor shall transfer any and all appllcablelmanucturcr's warranties,together with all service and operating manuals for mat-rims furnished by it under this Agreement,to Serenity When the Work is completed or this Agreement is terminated,whichever Occurs Ti t The warranty contained in this paragraph 15 is in addifieh to any other special warranties required by contract or law,and such warn: ty does not negate or abridge Serenity's right to asseit claims for latent or patent defects in accordance with applicable law. 16. Subcontractor agrees to keep the job site and adjoining p operty free of waste material and rubbish caused by its Work or that of its subcontractors and to remove all waste materials and rubbish on completion or termination of its Work together with all tools,equipn em, and machinery. Subcontractor agrees that upon terminating its Work at the site,Subcontractor shall conduct general clean-up operati ins, including,but not limited to,the cleaning of glass surfaces,paved streets and walks,steps and Interior floors and walls,where applicable. Any personal property left by Subcontractor on or:around job site for thirty(30)days following completion of the Work excluding: y Work performed pursuant to warranty service obligations,will become the property of Serenity. I j 17. Subcontractor shall not assign this Agreement or any payiments due or to become due hereunder without the prior written consent of Serenity,which consent may be withheld in the sole disccction of Serenity. Payments to Subcontractor will be made in accordance w lit Serenity's current published payment procedures,'as the$ame may be amended from time to time. Payment to Subcontractor of all o,any portion of any progress payment or the final payment sh>ll not constitute Or imply or be evidence of performance of the Work by Subcontractor or acceptance of any portion of Subi;ontradtor's Work by Serenity,or in any way waive or affect Serenity's claims or r ghts against Subcontractor, 18, Serenity reserves the right to make changes in the 1'Vork in the nature of additions,deletions,or modifications,without invalidating s Agreement and agrees to make corresponding adjtastmenks in the contract price and time for performance, All changes will be author zed by a new written Work Notification Form which Will include conforming changes in any Pricing Addendum,payment schedule rind/.• time for performance. I 19. Subcontractor shall procure and maintain insuran4 in form and amounts as Set forth on Exhibit"A",attached hereto and incorporates heroin by reference. Serenity shall be named as ati additional insured,loss payee and/or certificate holder on each of the policies as outlined on Exhibit"A". Prior to commencing an'world under this Agreement,Subcontractor shall submit to Serenity copies of poll,its or certificates that confirm insurance coverage. No policy mill permit cancellation without 15 days prior written notice of cancellation t. Serenity and the certificates of insurance shall reflect suG'h notice obligation, Failure of Subcontractor to maintain complete insurance may be deemed a material breach allowing Serenity to)erminate this Agreement,or to provide insurance at Subcontractor's sole expense, n neither case,however,shall Subcontractor's liability be essened.Subcontractor acknowledges they shall not subcontract any part of his Agreement without supplying Serenity proof that all sublagents insurance coverage complies with Exhibit A of this contract. 20. Immediately upon the performance of any part of the Wibrk,as between Subcontractor and Serenity,title thereto shall vest in Sereni to the extent permitted by law;provided,however,the vgsting'of such title shall not impose any obligations on Serenity or relieve Subcontr: for of any of its obligations hereunder. Upon completion ofjthe Work described in any Work Notification Form,Subcontractor shall req est the Serenity representative On the job site to confirm cor ipletion of the Work. Thereafter,provided that Subcontractor is not in brcac of this Agreement,and provided that Subcontractor is otherlwise entitled to payment under this Agreement,upon notification to Serenity, Serenity shall pay Subcontractor for the Work describeduin the Work Notification Form in accordance with the Work Notification Fo Page 5 of 8 Serenity Initials Rev 09/2010 Subcontractor Init.-1.k !�. k C71— and the Pricing Addendum within twenty(20)days fotlolving Serenity's receipt of a request for payment from Subcontractor. Subcontractor hereby agrees that if Subcontractor fails tq request from Serenity any sum,including,but not Limited to,wages or cony ct sums due under this Agreement or any Work Notification Form,within ninety(90)days from the date they became due,said snms to Subcontractor and Subcontractor shall have no claim thel-eto. 21. TO THE EXTENT NOT PROHIBITED BY LAW,CONTRACTOR HEREBY WAIVES AND RELINQUISHES ANY AND ALL STATUTORY OR CONTRACTUAL RIGHTS THAT I MAY HAVE TO OBTAIN STOP NOTICES OR LIENS,MECHANICS' IR OTHERWISE,AGAINST THE PROPERTY OR IMPROVEMENTS THAT ARE THE WORK AND AGREES NOT TO FILE AN SUCH NOTICE OR LIEN AGAINST SUCH PROPERTY OR IMPROVEMENTS FOR ANY LABOR,SERVICES,WORK, MATERIALS,EQUIPMENT,TOOLS OR OTHER ITEMS FURNISHED TO OR FOR SERENITY. TO THE EXTENT NOT PROHIBITED BY LAW,CONTRACTOR AGREES TO LOOK SOLELY TO ITS CONTRACTUAL RIGHTS FOR RECOVERY. { 22. Subcontractor shall pay all taxes required by taw in connection with the Work under this Agreement or any Work Notification Form, including sales,use and similar taxes. CONTRACTOR SHALL BE SOLELY RESPONSIBLE FOR WITHHOLDING TAXES,SOf IAL SECURITY TAXES AND STATE UNEMPLOYMENT TAXES FOR ALL EMPLOYEES OF CONTRACTOR. I 23, Should Serenity notify Subcontractor(orally or in Writing)that any part of the Work is incorrect and does not conform'to the terms o the • Contract Documents,Subcontractor shall immediately bing to correct such defective work and shalt complete such corrected work N ithin forty-eight(48)hours unless Serenity shall agree tO a longer period. If Subcontractor refuses to perform any corrective work, Subcontractor shall waive the above described forty-eight(48)hour period and such refusal or failure to perform the corrective work hall be deemed a default by Subcontractor hereunder_ Subcontractor shall bear the entire cost of such corrective work,including any cost incurred by the disturbance of work completed by other contractors. 24. CONTRACTOR SHALL BE IN BREACH OF THIS AGREEMENT IF: (a) Subcontractor's Work is defective and not remedied as provided herein;or (b) Subcontractor does not make prompt and proper payients to its employees,agents and/or subcontractors;or (c) Subcontractor does not make prompt and proper payments for labor,services,work,materials or equipment furnished by third p ies to it;or (d) Another contractor is damaged by an act for which Subcontractor is responsible;or (e) Subcontractor or any third party furnishing labor,services,work,materials,equipment,tools or other items for the Work files any claim or lien against the property where the Work bas been performed and such claim or lien has not been discharged or resolved wit in twenty-four(24)hours after notice thereof to Subcontractor,and Subcontractor has not posted a discharge bond within this twenty fot r(24) hour period;or; (f) Subcontractor fails to perform warranty service under this Agreement or any other prior or contemporaneous Subcontractor Agree cot with Serenity;or (g) Serenity is fined by any governmental agency bn acebunt of or arising out of Subcontractor's(or Subcontractor's subcontractors i r agents)violation of any law,ordinance,regulation;administrative ruling and/or court order;or (h) Subcontractor becomes insolvent or any petition for bankruptcy is filed with respect to Subcontractor;or (I)Subcontractor fails or neglects to prosecute the Work diligently and promptly,whether due to inadequate or incompetent supervisiin, insufficient skilled workers,lack of material or equipment,improper quantity or quality,or for any other reason not described herein; (j) Subcontractor fails to comply with any terms of this Agreement or any Work Notification Form issued under this Agreement. 25. IF CONTRACTOR IS IN BREACH OF THIS AGREEMENT,IN ADDITION TO ANY AND ALL OTHER REMEDIES AVAIL• t,LE UNDER APPLICABLE LAW,SERENITY,IN ITS SOLE DISCRETION,MAY DO ANY OR.ALL OF THE FOLLOWING: Page 6 of 8 ; Serenity nitials Rev 09/2010 Subcontractor In‘'. 1J (A) IMMEDIATELY TERMINATE THIS AGREEMENT,ANY WORK NOTIFICATION iFICAIION FORM OR OTHER VERBAL OR WRITTEN AGREEMENT WITH CONTRACTOR 0R44OTHER CONTRACTOR BASE AGREEMENT BETWEEN CONTRACTOR AND SERENITY AND DISMISS CONTRACTOR FROM THE JOB SITE BY PROVIDING CONTRACTOR WITH WRITTEN NOTICE OF SUCH TERMINATION; (B) ENGAGE.OR EMPLOY OTHER CONTRACTORS TO REMEDY CONTRACTOR'S DEFECTIVE WORK,TO COMPLETr ANY PORTION OF THE WORK NOT COMPLETED BY CONTRACTOR,PERFORM CONTRACTOR'S WARRANTY SERVICE OBLIGATIONS OR OTHERWISE CURE CONTRACT'OR'S BREACH AT SUBCONTRACTOR'S SOLE COST AND EXPENS ; (C) WITHHOLD FROM CONTRACTOR FOR UP TO ONE HUNDRED TWENTY(120)DAYS ANY SUMS WHICH MIGHT ;E DUE OR BECOME DUE TO CONTRACTOR,WHETHER UNDER THIS AGREEMENT,ANY WORK NOTIFICATION FOR OR ANY OTHER AGREEMENT,AND MAY CHARGE AGAINST ANY SUCH SUMS WITHHELD ALL SUMS EXPENDED OR t OSTS INCURRED BY SERENITY ARISING FROM THE ENGAGEMENT OF OTHER CONTRACTORS AS PROVIDED IN(B)AB l VE OR OTHERWISE RELATING TO CONTRACTOR'S BREACH,INCLUDING,BUT NOT LIMITED TO,SERENITY'S OVE• t•AD AND PROFIT;AND/OR i (0) WITHHOLD FROM CONTRACTOR FOR UP TO ONE(1)YEAR AN AMOUNT,WHICH AMOUNT SHALL NOT EXCE r 0 FIVE PERCENT(5%)OF THE CONTRACT PRICE FOR TIME WORK,TO INSURE SUBCONTRACTOR'S PERFORMANCE IF WARRANTY SERVICE OBLIGATIONS, SHOJJLD SUBCONTRACTOR FAIL TO PERFORM SUCH WARRANTY SERVIC OBLIGATIONS,SERENITY MAY CHARGE AGAINST SUCH AMOUNT WITHHELD ALL SUMS EXPENDED OR COSTS INCURRED BY SERENITY ARISING FROM SUBCONTRACTOR'S FAILURE TO PERFORM SUCH WARRANTY SERVIC; OBLIGATIONS. 26, This Agreement may also be terminated and Subcontractor dismissed from the job site by Serenity at any time in its sole discretion,t'ith or without cause,by providing Subcontractor with written tjotice of such termination,and such termination shall be effective as of the ti c and date stated in such written notice, In the evcni of tc,-inination of the Agreement pursuant to this section without cause;Serenity s all pay Subcontractor within fifteen(15)days after th cffcotive date of such termination,all sums due and owing Subcontractor for all i.bor incurred and all materials incorporated in the Work performed under this Agreement prior to the effective date and time of terminati. . Subcontractor acknowledges and agrees that if Subcontractor is terminated pursuant to this section with cause,Subcontractor shall h. e no claim against Serenity for any additional sums,including,without limitations any claims for material purchased but not used in the lel ork, or for lost profits or for any other claim or sums w'hatsoe'ver. The termination payment described herein,if applicable,is Subcontr: .r's sole remedy and in no event shall Subcontractor have any claim for consequential damages. 27. This Agreement,together with the Contract Docur rents,',constitutes the entire agreement between Subcontractor and Serenity and the c arc no other agreements,oral or written,by and between the(parties hereto,except as to Subcontractor's warranties under any prior or contemporaneous SobcontractOr Agreements withiSerenjty,which warranties are incorporated by reference herein for all purposes. 1 his Agreement,together with the Contract Documents,doesjnot create a partnership or other unincorporated association between the Subcontractor and Serenity. The relationship of Subcontractor is that of an independent contractor, 28. Subcontractor expressly agrees that all warranties'trade by it in this Agreement shall survive the termination or expiration of this Agreement for any reason prior to the expiration o the full warranty period, • 29. All notices required to be given to Serenity or Subbontrabtor shall be sent to the address shown on the front of this Agreement or ro sr ch other address as the parties may provide in writing, 30. If any provision of this Agreement is held to be illegal,invalid or unenforceable under present or future laws,such provision shall be • lly severable. This Agreement shall be construed enforced ds if such illegal,invalid or unenforceable provision had never comprised a p, of this Agreement,and the remaining provisions of this Agreement shall remain in full force and effect and Shall not be affected by the i legal, invalid or unenforceable provision or by its severahle frOin this Agreement. Furthermore,there shall be added automatically as if p. J of this Agreement a provision as similar in terms to such ill�gal,invalid or unenforceable provision as may be possible and may be legal valid and enforceable. 30, If a controversy or claim arises out of or related to this Agreement,including a claim relating to an action taken by Serenity pursuant t•'the self-help remedies of paragraph 24,and the parties'cannot resolve the matter between themselves within sixty(60)days after Serenity s first provided written notice of the claim or controversy by Subcontractor,the parties agree to try in good faith to settle the dispute by med 3 tion Page 7 of 8 Rev 09/2010 i Screnity initials Subcontractor Inr � under the Construction Industry Mediation Rules of the American Arbitration Association. If not settled by mediation,the dispute sh•tt be resolved by final and binding arbitration in accordance with the Construction Industry Arbitration Rules of the American Arbitration Association,and judgment upon the award rendered by thb arbitrator(s)may he entered in any court having jurisdiction thereof. Shou d a dispute arise between Serenity and a buyer of a residence regarding materials supplied or work performed by Subcontractor,Subcon :etor agrees to participate in,and be bound by,arbitration proceedings between Serenity and the buyer. 31. This Agreement shall be governed by and Construed under the laws of the State of Florida. Any action brought to enforce or interpret his Agreement shall be brought in the court of appropriate jurisdiction in the county in which the property is located, Should any provisio of this Agreement require judicial interpretation,the parries tereto agree and stipulate that the court interpreting or considering the same hall not apply the presumption that the terms hereof shall be more strictly construed against a party by reason of any legal conclusion that document should be construed more strictly againsti the party who itself or through its agents prepared the same,or being agreed that al parties hereto have participated in the preparation and negotiation of this Agreement and each party had Atli opportunity to consult leg.I counsel of its choice prior to the execution of this Agreement. 32. Except as expressly set forth herein,this Agreement may not be changed,modified or terminated,except by an instrument executed by the parties hereto- No waiver by either party of any failure orrefusal to comply with the obligation of any other party hereunder shall be deemed a waiver of any other or subsequent failure'or refusal to so comply. 33. The provisions of this Agreement shall inure to the benefit of,and shall bind,the heirs,executers,administrators,successors and assig's of the respective parties. No person shall be deemed to be a third party beneficiary Of this Agreement or any portion thereof. Subcontrac or may not assign this Agreement without Serenity's prior written consent,which consent Serenity may withhold in its sole and absolute • discretion. Serenity may assign this Agreement to any affiliate,subsidiary or other third party by providing Subcontractor five(5)day. written notice thereof. IN WITNESSW.I:IEREOF,the parties have executed this Agreement as of the day and year first above written, SERENITY: SUBCONTRACTOR: SERENITY Y POOL&SPA LLC,a i (, ,, (, rn 6�. C Qe1 � [n Florida limited f liability company i Subco actor Enti s Na .4 t " I 111 t By, . t 1I . PrintN:nlc; Print Nam• / rt Iit.i &I If Title: •jtr• 1 A Iil.A S N/ j Title: 1 !�" / ,ft, • Page 8 of 8 Seteni a Initials Rev 09/2010 Subcontractor' ' lets I f - Mit' 4 A FmR a PO Box 1303 4.1.- 6 ,,,,, b A Tallahassee, FL 32302 Quarterly i (888)262-4483 Self-Reporting(850)201-8726 Local Fax epo ting Form Workers' Comp (877)563-7250 Toll Free Fax fubaqsr@fubaworks.com Your Company Na e: . Policy Number: Reporting Period: __./_ -1 ii .4. 1 id 1 i 06- 4th Quarter (10/01/2014 — 12/31/2014) Officer Information Name(s) of Officers/Owners Title • Gross Payroll � � I� &rcem.7e-i• d Pn¢" ..5 S� CI mI n rer Employee Information Please attach the RT-6 form for the reporting period noted above. On the RT-6 form write the job duty or class code for each employee. Class codes are listed on your policy declaration pages which you should have on file. An example of the RT-b form with job duty documentation is provided on the back of this page. Subcontractor/Contract Labor Information In this section include anyone paid for labor that is not listed on the RT-6 form. In the E/C/N column mark E if the subcontractor/laborer provided an exemption from workers'comp, Cif they provided a certificate of insurance (COI) or N if they provided neither an exemption or COI. Attach a copy of all applicable exemptions and COls for labor listed below. Name of Subcontractor/Laborer FEIN/ •Dates) Work Type of Work Performed Total Amount Paid E/C/N SSN Performed (Labor Only) i 1)�'` i' et - ' C. 0 1 — 2 •III .. i 1,"tk, !` 5 '010 0 ` 0—A 0,..• -• 5'01701I . - .), a jht•ri . ' iiI N •' � 7 r i (Use additional paper if necessary) It is unlawful for any person to knowingly omit or conceal material information required by s.440.381,Florida Statutes,or to knowingly misrepresent or conceal payroll or classification of workers for the purpose of avoiding or diminishing the amount of payment of any workers'compensation premiums. I certify that the above Officer/Principal Isla :- ..'6 _ liriMPI. iI 1L I�,g information is accurate and (Please Print)complete to the best of my Officer/Principal Sig . re /� � k Alt - knowledge. I understand that mymt� _ _ Date premium may be adjusted based Offic r/Principal Title �t�tif��_ j upon these figures. 4g I_' if II 1.1.... • ' ilil1t CU V . elephone Email Address Return this completed form with your RT-6 and applicable exemptions and COI's for this reporting period by fax to(877) 563-7250,by email to fubagsr@fubaworks.com,or by mail to the address listed above. GanguliRobin From: WalshJonathan Sent: Tuesday, February 24, 2015 3:56 PM To: GanguliRobin Subject: RE: Serenity Pools Based upon the notations of the inspector regarding this inspection the first may have been overlooked but the second is a willful violation as the ground wire was wrapped to a plastic pipe?? This is a willful violation. Thank you Jon Original Message From: GanguliRobin Sent: Tuesday, February 24, 2015 3:33 PM To: WalshJonathan Subject: FW: Serenity Pools Good Afternoon Mr. Walsh. Would you please review this matter and advise if it is the opinion of the Building Official that this building code violation has been committed in a willful manner by the contractor. Thank you. Rob Ganguli License Compliance Officer Collier County Contractors' Licensing Growth Management Division 2800 N. Horseshoe Dr. Naples, FL. 34104 (239) 252-2914 Original Message From: LongRichard Sent:. Tuesday, February 24, 2015 12:06 PM To: GanguliRobin Subject: FW: Serenity Pools Original Message From: SurniakGregory Sent: Monday, February 16, 2015 2:51 PM To: WalshJonathan Cc: LongRichard Subject: FW: Serenity Pools I failed the 514 inspections on 2 pools just a few houses from each other for sticking a bare conductor a foot or so into the dirt to give the appearance it was connected to the shell. The following day I reinspected the first at 7493 Lantana Cir. It appeared Serenity found the original bond and hooked it up. On 7469 Lantana Cir. I dug down to check and found a second 1 -ice attempt to avoid the code and a serious safety issue. The bond wire was wrapped around a plumbing pipe. See attached photo. I failed it again and required the contractor to expose all the entry points where the bonds enter the pool shell. They did so, found the missing bond wire and connected it. I feel these attempts will contunue and need to be addressed on a higher level. From: gsurniakOverizon.net [gsurniak @verizon.net] Sent: Monday, February 16, 2015 6:20 AM To: SurniakGregory Subject: Under Florida Law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by telephone or in writing. Under Florida Law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by telephone or in writing. Under Florida Law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by telephone or in writing. Under Florida Law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by telephone or in writing. 2 Article 680 • Swimming Pools, Fountains, and Similar Installations 680.26 AWG conductor s oniyunchoii is eguipotential bonding to ehnunate the Qoltage gradient in the pool area and the bond ing conductor is not requtred to extencL or connect to any parts ot'egnipm• ent othez"than those_covered m 680 26W)(1) .: thiourhL�B�(�7 and to a poor waterbonding elementc(*ere d � in 680' 6 C) Z .. • < ' r 4.....•' Panelboard �� The reason for elect2ncatl connectin all of the metal � a in se arate .� -1, Y g :;� 4z�� ,� a-�, � ,,, P r � �-�,� .t k .nom s F F M =� u ,A. e r• ��,, structure parts descnfied in806 ) L through isto ensure that X F'.� they all are,at the1same eTectncal pofenhal Tlus bondmg �^ � �E �:: Insulated ;� • _5 � €R el,6 s? ., 0- E =educes ossrblexn unous oryd>sabhn sI ockhazards created _ $ xE equipment -a�� . p s J d g g grounding by stray currents i the ground orpipmg connected to the • ` • e @ conductor 1° s � 34 r swimmingpool Strad currents-an also,W- m' t..7 . allic '� ; -s- # run with k ^ x v,.. r - a ® circuit piping because�of"th low iesistivity of chlorinated water I = I® conductors See�xlublf 68010 K i L Z 4 \\ v�g Grounding • m Y '.'. °P, ,,, i. rL—=� electrode •v g,� �,_ 4;, conductor ss -1,-,..,,,&r,,Y r �- T- ice Equipment grounding � r ,� ,r- *w 1...-ti- .�r `" conductor run withsupply circuit from service'r or feeder_panelboard.V' �, .' Feeder from _ Z t :67-'- o service r, =V - �� Exhibit.680 9 Grounding requirements per 680 25(B)(2)for re ® � ' rte ®�, mote panelboarcJ and swlmming;pool equipmentIocated_in a i etructu_re remote from the service egwpment _ .4. J� �/.., ,, --:„.:_,:,..,:::-..-2-,,,,,,,,„,-,,,,,,,,,,..,„:„:::_„.„.„::.:_.::-:.:,rc.;-7--, -- ---,-.-, 4-':'0. -'-'' '''.-'e':43V-I'''' '' ` ��ir saa -( �_� a a 6 s,/ y 680.26 E ui otential Bonding s -, \ � . (A) Performance. The equipotential bonding required by - �r_ this section shall be installed to reduce voltage gradients in F. a xe. - the pool area. It is important`"to understand;the difference_'between the terms bonding.and grounding as they applyto.Anccle 680 a - ° , `: As defined mAncble L00,bondingis connected to estabhsh electrical continuity and conductivity ' As�descnbed in 680 26(A) the function of equipotentialbonding differs from ` Exh ibtt 68010 Bonding of conductive metal parts in a swimming the primary function of bonding to meet the requirements" Pool .-, h of Article 250=gym that providing a path for ground=fault eurrentis not the function,of th:e egmpotential;bonding grid and associated bonduigconductors= Creating an electncall�.safe-envu-onmentm andaround (B) Bonded Parts. The parts specified in 68026(B)(1) permanently installed s vmmmnig poolsiegpires the mstalta ' through (B)(7) shall be bonded together using solid copper Lion of a bondmg system with the sole funchonwof establish conductors, insulated covered, or bare, not smaller than 8 ing equal electricdT potential(voltage}in the vicinity of the-' AWG or with rigid metal conduit of brass or other identified swimnung pool` A person who is immersed:in a,pool or corrosion-resistant metal. Connections to bonded parts shall who is Tripping,wetLlTas alarge'amount'.of exposed skin and' be made in accordance with 250.8. An 8 AWG or larger is lying or walking on a concrete-deck or other conductive solid copper bonding conductor provided to reduce voltage perimeter surface ris extremely vulnerable to any differences 4 gradients in the pool area shall not be required to be extended in electrical potential that maybe present in the pool',area. or attached to remote panelboards, service equipment, or The:primary purpose of bondmg in and around swim- electrodes. ming pools is to ensure that voltage gradients rn the'pool (1) Conductive Pool Shells. 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' N`ak4r4--7 - '',"7„:".77." 4t-f" -- ' '.**''' - _'``,, - ' '-• 4*,7'!;4" - -:r."‘ . , .. ..,. ....:,. ,CV.4. * ....- , . C: rergov.net Report Title: Code Case Details Date: 3/9/2015 8:37:33 AM Case Number: cemis20150003774 Case Number: CEMIS20150003774 Status: Refer to CLB Case Type: Misconduct Date&Time Entered: 2/26/2015 10:47:51 AM Priority: Normal Entered By: RobinGanguli Inspector: robinganguli Case Disposition: Case Pending Jurisdiction: Contractor's Licensing Origin: Complaint Detail Description: Complaint regarding a willful building code violation discovered during an inspection conducted on the construction of a new residential swimming pool. Location Comments: 7469 Lantana Circle Naples, FL. 34119 Property 54496000806 Contractor Catch 'em All Contracting, Inc Contractor: Pool SERENITY POOL &SPA LLC Business Management & Budget Office 1 91--5 Code Case Details Execution Date 3/9/2015 8:37:33 AM Desc Assigned Required Completed Outcome Comments Preliminary Investigation robinganguli 2/24/2015 2/26/2015 Needs 2/24/15. Complaint forwarded from Electrical Investigatio Inspector, Greg Surniak, regarding a building n code violation which appears to have been deliberately committed in a willful manner.On Februatyn 11th,2015, a#514 inspection was conducted on new construction of a residential swimming pool located at 7493 Lanana Circle Naples, FL.34119.The Inspector advised he discovered bonding wires that had been buried in the ground to provide the appearance of being correctly secured, but were completely detached and came out of the ground when pulled, resulting in a failed inspection. On February 12th,2015, a re-inspection was conducted at this jobsite as well as at 7469 Lantana Circle Naples, FL. 34119 whereby the Inspector required the contractor to excavate the applcable areas to expose the connections of the bonding wires to the pool shell.This examination revealed that a bonding wire had been deliberately tied to a plumbing pipe instead of correctly secured to the pool shell in another attempt to visually simulate acceptable work. Photograph taken by Inspector Surniak of the the code violation.Consulted Collier County Building Official,Jonathan Walsh,who examined the information and declared the application of the bonding wire to be a building code violation that had been committed in a willful manner. Database research revealed permit #PRBD2014103081 in issuance to Serenity Pool&Spa L.L.C./CPC1457113. Contacted qualifier, Gary Martin,to advise of violation and requested information on any entity that had been subcontracted for the work in question at these jobsites. Cont. Investigation RobinGanguli 2/25/2015 2/26/2015 Complete 2/25/15. Contacted by Mr.Martin who acknowledged the violation and provided the Certificate of Insurance for his subcontractor for this jobsite, Catch'Em All Contracting Inc./CGC1522156. Copies of the hardcopy contract depicting the exact scope of work subcontracted to Catch'Em All Contracting Inc.also requested of Mr. Martin at this time. Supervisor Ossorio contacted qualifier of Catch'Em All, Tracy Cummings and meeting scheduled with her for 2/26/15. Investigation robinganguli 2/26/2015 2/27/2015 Refer to 2/27/15. Case referred to C.L.B. per M.G.O. CLB Business Management& Budget Office 2 Code Case Details Execution Date 3/9/2015 8:37:33 AM Desc Assigned Required Completed Outcome Comments Cont. Investigation RobinGanguli 2/26/2015 2/26/2015 Complete 2/26/15. Consulted Chief Electrical Inspector, Richard Long, regarding the#514 inspection defined as"Equipotential Plane Bonding." Chief Inspector Long advised that the application was an essential part of the life safety measures associated with pool construction which protected pool users from stray voltage gradients by eliminating shock hazards that exist in the ground. Mr. Long further advised that the bonding of all the components of the pool was performed to create the same reference for electrical grounding. Cont. Investigation RobinGanguli 2/26/2015 2/27/2015 Complete 2/26/15. Meeting held with qualifier for Catch 'Em All Contracting Inc.,Tracy Cummings, who acknowledged her responsibility for the work performed resulting in the willful building code violation. Ms. Cummings advised that it was her payroll employees who had performed the actual work with no further subcontracting to any other entity, and provided a copy of her company payroll with the names of her field supervisor and three(3) employees who worked on the jobsite. Explained to her the specifics of the unacceptable work and determination of the Building Official that the violation had been committed willfully. Notice of Hearing to appear in front of the Contractors' Licensing Board on March 18th, 2015 served to her for violating Collier County Ordinance 90-105, as amended, Section#22-201.1(2). Copy of subcontract with Catch 'Em All Contracting Inc. received from Serenity Pool& Spa L.L.C. as requested. Schedule for CLB greenbergj 2/27/2015 2/27/2015 Complete Generate CLB Notice of Hearing michaelossori 2/27/2015 2/27/2015 Complete 0 Enter Hearing Results 2/27/2015 Pending Violation Description Status Entered Corrected Amount Comments 4.2 Misconduct State Certified Open 2/26/2015 $0 Contractors Title Reason I Result Compliance Fine/Day Condition Business Management& Budget Office 3 Cotte-r County Growth Management Department Building Plan Review & Inspection Division February 16, 2015 Re: Inspection at 7469 Lantana Circle Dear Mr. Ganguli, Please review my observations regarding the inspections conducted at the above location: On February 11, 2015, I failed the 514 inspections on 2 pools just a few houses from each other for sticking a bare conductor a foot or so into the dirt to give the appearance it was connected to the shell. The following day, February 12, 2015, I re-inspected the first location at 7493 Lantana Circle, it appeared Serenity found the original bond and hooked it up. At 7469 Lantana Circle, I dug down to check and found a second attempt to avoid the code and a serious safety issue. The bond wire was wrapped around a plumbing pipe. See attached photo. I failed it again and required the contractor to expose all the entry points where the bonds enter the pool shell. They did so, found the missing bond wire and connected it. I feel these attempts will continue and need to be addressed on a higher level. Respectfully, A/4"7" Gregory Surniak Building Inspector Bulling Ran Review&Inspection Division•2800 North Horseshoe Drive•Naples,Flodda 34104.239 252-2400 •ww+nccolliergov.net E-OZ$ 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) Review of Application V/I CH- e THIS CAUSE came on for public hearing before the Contractors' Licensing Board (hereafter Board) on March 19, 2014, for consideration of the application submitted to the Board for review. The type of application is set out above. The Board having heard testimony under oath, received evidence, and heard arguments relative to all appropriate matters, thereupon issues its Findings of Fact, Conclusions of Law and Order of the Board as follows: FINDINGS OF FACT 1. That Veronica A. Compean has submitted an application to the Collier County Contractor Licensing Supervisor or his designee seeking to have Compean Maintenance, Inc. qualify for a license as a landscaping contractor. 2. Based on the question of whether the applicant had adequately demonstrated relevant required experience the application has been submitted to the Board for review. 3. That the Board has jurisdiction over this matter and that Veronica A. Compean was present at the hearing on March 19, 2014. Page 1 of 3 4. All notices required by 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 has demonstrated through testimony and evidence presented at this hearing that she has the requisite experience. b. His knowledge as a landscapting contractor is adequate, when combined with herknowledge of business procedures and a full application, to protect the public health and safety of the citizens of Collier County. CONCLUSIONS OF LAW 1 . Based upon the foregoing facts, the Board concludes that the applicant has met the standard set out in Section 22-184 of the Code of Laws and Ordinances of Collier County, Florida, and that the applicant's application for a certificate of competency as a landscaping contractor is approved. ORDER OF THE BOARD 1. Based upon the foregoing Findings of Fact and Conclusions of Law, and pursuant to the authority granted in Chapter 489, Florida Statutes, and the Code of Laws and Ordinances of Collier County, Florida, as amended, by a vote of 1 in favor and 1 opposed, a majority vote of the Board members present, the applicant's request for a license as a landscaping contractor is is granted with a one year period of probation. Page 2 of 3 ORDERED by the Contractors Licensing Board effective the 19th Day of March, 2014. CONT,'ACTOR'S LICENSING BOARD CS , ER COUNTY, FLORIDA lA L .y_ Thomas Lykos, ice Chairman I HEREBY CERTIFY that a true and correct copy of the above and foregoing Findings of Fact, Conclusions of Law, and Order of the Board has been furnished the Applicant, and Mr, Michael Ossorio, Licen i 'g Complia r e S servisor, 2800 North Horseshoe Drive, Naples, FL 34103 on this day • , 2014. Secretary actor's Licensing Board Page 3 of 3