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CLB Agenda 12/16/2015Coer County COLLIER COUNTY CONTRACTORS' LICENSING BOARD AGENDA DECEMBER 16, 2016 9:00 A.M. COLLIER COUNTY GOVERNMENT CENTER ADMINISTRATIVE BUILDING BOARD OF COUNTY COMMISSIONERS CHAMBERS ANY PERSON WHO DECIDES TO APPEAL A DECISION OF THIS BOARD WILL NEED A RECORD OF THE PROCEEDINGS PERTAINING THERETO, AND THEREFORE MAY NEED TO ENSURE THAT A VERBATIM RECORD OF THE PROCEEDINGS IS MADE, WHICH RECORD INCLUDES THAT TESTIMONY AND EVIDENCE UPON WHICH THE APPEAL IS TO BE BASED. ROLL CALL ADDITIONS OR DELETIONS: III. APPROVAL OF AGENDA: IV. APPROVAL OF MINUTES: DATE: November 18, 2015 V. PUBLIC COMMENTS: VI. NEW BUSINESS: (A) Elect Chairman and Vice Chairman for 2016. (B) Orders Of The Board (C) Tom Frechette — Contesting Citation 09602 (D) Troy McNabb — APEX Site And Demolition Corp — Review Of Credit (E) Bradford Trubey— MAC Irrigation- Waiver of Exams (F) David W. Smith- Waiver of Examination (G) Michael Belyea- Mike's Irrigation- Review of Credit VII. OLD BUSINESS: VIII. PUBLIC HEARINGS: (A) 2015 -08 — Luis G. Patino — Oasis Pools Of SW Florida — C35630 (B) 2015 -09 - Karin R. Sacacian — Olde Naples Tile & Marble, LLC. — C25598 IX. REPORTS: X. NEXT MEETING DATE: WEDNESDAY, JANUARY 20, 2016 COLLIER COUNTY GOVERNMENT CENTER ADMINISTRATIVE BUILDING THIRD FLOOR IN COMMISSIONER'S CHAMBERS 3299 E. TAMIAMI TRAIL NAPLES, FL 34112 October 21, 2015 MINUTES OF THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD MEETING October 21, 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 Vice Chair: Thomas Lykos Members: Michael Boyd Richard Joslin Terry Jerulle Excused: Kyle Lantz Gary McNally Ms. Hunt Absent: Robert Meister ALSO PRESENT: Michael Ossorio — Supervisor, Contractors' Licensing Office Kevin Noell, Esq. — Assistant County Attorney James F. Morey, Esq. — Attorney for the Contractors' Licensing Board Reggie Smith — Collier County Licensing Compliance Officer October 21, 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 9:05 AM and read the procedures to be followed to appeal a decision of the Board. Roll call was taken and a quorum was established; five (5) voting members were present. Michael Ossorio noted that Kyle Lantz and Gary McNally had been excused, but Robert Meister was absent. He also noted the Board of County Commissioners had approved the application of Ms. Hunt as the new member of the Board but she was excused from the meeting. II. AGENDA — ADDITIONS OR DELETIONS: Changes: Under Item VI — "New Business," o (C) Tom Frechette — Contesting Citation #09602 has been withdrawn and re- scheduled to December. III. APPROVAL OF AGENDA: Richard Joslin moved to approve the Agenda as amended. lice Chairman Thomas Lykos offered a Second in support of the motion. Carried unanimously, S — 0. IV. APPROVAL OF MINUTES — SEPTEMBER 16,2015: Correction: • Page 17 — 3rd Paragraph (2nd comment by Chairman White): The word "play" was changed to "plan" in the last sentence. Richard Joslin moved to approve the September 16, 2015 minutes as amended. Chairman Patrick White offered a Second in support of the motion. Carried unanimously, S — 0. V. DISCUSSION: (NONE) 2 October 21, 2015 VL NEW BUSINESS: A. Orders of the Board Vice Chairman Thomas Lykos moved to approve authorizing the Chairman to sign the Orders of the Board. Michael Boyd offered a Second in support of the motion. Carried unanimously, S — 0. (Note: With reference to the cases heard under Section VI, the individuals who testified were first sworn in by the Attorney for the Board.) B. Neftali Triana — Contesting Citation #09936 Citation: #09936 ( "Unlicensed Carpentry ") Date Issued: July 24, 2015 Fine: $2,000.00 (2nd offense) Description of Violation: Engage in the business or act in the capacity of a Contractor, or advertise self or business organization as available to engage in the business of, or act in the capacity of a Contractor, without being duly registered or certified. Joel Messenger was sworn in as a witness for Neftali Triana. Mr. Messenger stated he is a licensed CAM and Mr. Triana was working for him when the Citation was issued. Neftali Triana stated he was replacing some damaged boards in the floor which he considered to be a "handyman" job since it was only a small repair. When asked how many boards were replaced, his response was "30 or 40." Joel Messenger noted the boards were pre -cut when delivered to the property. He stated he did not consider the replacement of damaged boards as "carpentry." Michael Ossorio referenced Collier County's Code of Ordinances, Section 22- 162(6), entitled "Definitions and Contractor Qualifications" as follows: Carpentry Contractor requires 36 months experience with a passing grade on an approved test and a passing grade on a business and law test and means those who have the knowledge and skill to install any wood and metal products including, but not limited to, rough framing, wood structural, wood and metal non - structural trusses, sheathing, paneling, trim, metal framing and cabinetry. Chairman White noted the County's position was the removal and replacement of lumber — even pre -cut material — on a structural component of the bridge deck constituted carpentry which, in this case, was unlicensed carpentry. October 21, 2015 Michael Ossorio explained there was a "Maintenance and Repair" License which permitted anything that did not require a license under Section 22 -184 and included repairing screens, incidental work, pressure washing of decks. An applicant who t wishes to do maintenance work is required to sign an Affidavit that he /she will not perform carpentry work, electrical, framing, plumbing, etc. Under a "Maintenance and Repair" License, you are allowed to put furniture together, screen repair, pressure washing, boat cleaning, etc. Joel Messenger stated the `bridge' in question was not a real bridge but a decorative component which connected two condominiums to the pool — it was not a structure that could hold a vehicle. He explained it was a pedestrian walkway that was defined as a `bridge.' Reggie Smith, Collier County Licensing Compliance Officer, clarified there were two separate walkways which were under repair. He stated in addition to the boards being replaced on top, there were also a few boards underneath, i.e., cross - members below the planking. Joel Messenger asked if the replacement of random boards was considered to be carpentry. Vice Chairman Lykos responded affirmatively and added "especially when you consider the boards underneath." He explained the number of boards did not matter. The issue was the license Mr. Triana signed for specifically stated carpentry was excluded. He stated if Mr. Triana had any questions concerning what he was allowed to do under his license, he should have contacted the County or reviewed his paperwork. He further stated Mr. Triana had been issued a previous Citation for the same offense. Joel Messenger explained the initial Citation was issued for changing a fan — not installing a new fan or running electric, and it was not upheld. Vice Chairman Lykos responded whether the first Citation was upheld or dismissed did not matter — the point was a second Citation had been issued against Mr. Triana's license. He stated it was Mr. Triana's responsibility, as a license holder, to understand what work he was allowed to do — or not do — under his license. Joel Messenger stated there was a grey area between what was considered to be carpentry and what was not. Chairman White disagreed noting it was the second time Mr. Triana had been issued a Citation for work he was not allowed to perform because he held only a "handyman's" license. He noted the Staff of the Contractors' Licensing Office was readily accessible to answer questions. He stated Mr. Triana should have clarified what he was permitted to do, and to be issued a second Citation for unlicensed work was a "red flag for the Board." Neftali Triana stated he did not know he was not allowed to replace he boards. Chairman White noted if Mr. Triana had applied for a Carpentry License prior to the Hearing, the Board could have considered dismissing the Citation. E October 21, 2015 Terry Jerulle asked Reggie Smith if he had also issued a Citation for unpermitted work and the response was, "No." Reggie Smith clarified if the number of supports being replaced had been greater, a permit would have been required. While the replacement of the boards was considered to be a repair, it was determined a Carpentry License was required. He further stated Mr. Triana was advised of an additional possible violation due to unlicensed advertising on his vehicle, i.e., "painting." Mr. Triana was given an opportunity to remove the wording from his truck. Neftali Triana confirmed the advertising was removed the same day. Vice Chairman Lykos moved to uphold Citation #09936 as issued Terry Jerulle offered a Second in support of the motion. Carried unanimously, S — 0. Michael Ossorio referenced the State's website, "myfloridalicense.com," and noted the Department of Business and Professional Regulation outlined which services require a State of Florida license. C. [Re- scheduled per Amended AQendal D. Antonio Galindez — Review of Application (d /b /a "High Wind Aluminum Corp. ") Antonio Galindez stated he was appearing before the Board to obtain approval of his application for a Glass and Glazing license. Michael Ossorio provided a brief synopsis of Mr. Galindez's previous appearance before the Board which had resulted in the suspension of his ability to pull new permits. Mr. Ossorio noted all penalties had been paid and Mr. Galindez was in compliance with the terms of his probation. He also noted the probationary period will be in effect for two years. Richard Joslin asked Michael Ossorio if the probationary period would continue if the Board approved the Glass and Glazing License application and his response was, "Yes." Terry Jerulle asked Mr. Galindez if he had any employees and if he had obtained Workers' Compensation coverage and his response was, "Yes" to both questions. Antonio Galindez noted he included a copy of the Certificate of Liability Insurance with his application. Richard Joslin moved to approve the application of Antonio Galindez for a Glass and Glazing Contractor's License with the understanding that the previously imposed probationary period will continue for two years. Vice Chairman Lykos offered a Second in support of the motion. Carried unanimously, S — 0. Vice Chairman Lykos commended Mr. Galindez on his effort. 5 October 21, 2015 E. Marina Reyes — Waiver of Exams/Review of Credit (d/b /a "Reyes Tile Service ") Marina Reyes stated she was initially licensed in 2000 and was active in Collier County until 2011 when her corporation became inactive due to lack of work. She was able to find work in Lee County and in Port Charlotte. When the economy slowed down, she returned to Miami. She is in the process of re- establishing her credit. When she was notified a "doc stamp" lien had been filed against her, Ms. Reyes contacted the State and has entered into a payment agreement. She noted the State is currently investigating the matter because she had protested the lien, claiming it had been filed erroneously. Michael Ossorio stated his only issue was with the quality of the copy of her personal credit report which was very difficult to read. Ms. Reyes replied she has begun actively working in Lee County and will begin paying her debts as soon as funds are available. Chairman White noted there were twelve items placed in collection. Ms. Reyes stated "some of them I have taken care of," and indicated they would be removed from her credit report. She noted she had never been in foreclosure, had a property repossessed, or filed for bankruptcy. She further stated there was one issue noted on her business credit report. She contacted the company but was told they had no record of it. Chairman White noted the amount in question was $654 and asked if she knew the name of the vendor. Marina Reyes replied she contacted the collection agency and was told there was no record of the original vendor. The collection agency had no record of her or her company in their files. Chairman White suggested she contact her attorney to have the matter removed from her credit report. He expressed concern regarding the number of items in collection on her personal credit report. Regarding the debt for $570, Ms. Reyes replied she entered into a payment plan with the credit card company and has been issued a new card. She acknowledged the debt for $530 from 2012 and explained it was a medical bill — she has Medicare as her primary medical insurance but could not afford the premiums to obtain a supplemental insurance policy. She requested to be placed on probation for a period of six months to allow her to address the issues. Additional credit items: • The Gulfport debt ($299) has been paid. • A debt in the amount of $2,140 was due to her hospitalization. • The Sprint bill ($640) has not yet been addressed. • She entered into a payment plan with Century Link. • Re: Direct TV, the company withdrew money from her checking account without her permission — her bank reversed the transaction. Ci October 21, 2015 Ms. Reyes stated there was more work in Collier County and she would like the opportunity to work here again — she could catch up on her bills and pay them in full. Chairman White stated he would not oppose granting a probationary period and noted she held active licenses in Lee and other counties. He asked her to describe the work she had performed in other areas. Ms. Reyes replied she had been employed by Classic Floors in Lee County. She supervised a crew of seven to install floors in new homes. She recently obtained a license in Punta Gorda and has maintained her license in Port Charlotte. She also holds a real estate license but it is currently inactive so she can concentrate on the construction business. Vice Chairman Lykos noted since she was working in other counties and had generated income. He asked Ms. Reyes why she hadn't made more of an effort to pay more creditors prior to appearing before the Board — especially since there were so many small amounts ($200, $300). He expressed disappointment that she had not contacted all of her creditors before appearing before the Board. Chairman White concurred, noting she had contacted only four of the twelve creditors. He stated if the Board approved her application and placed her on probation, she would be expected to contact all of her creditors and establish a payment plan for the items that were not in dispute prior to returning at the end of the probationary period. She would also be required to provide proof of all payments made. Chairman White continued, stating that establishing payment plans would demonstrate how she would run her business. He noted there was only one issue on her business credit report and she had contacted the State. He was willing to give her six months to resolve the issues on her personal credit report before returning to the Board. He stated Ms. Reyes' FICO score was low (640) and one reason may be due to the length of time some items have remained on her credit report. Marina Reyes explained she has been licensed for the past eleven years and never had problems — she had never been reprimanded, does not owe money to any contractors, was never cited for unlicensed activity anywhere. Vice Chairman Lykos noted some of the items on her credit report had been ignored since 2010. He agreed the current economy is improving — but questioned if Ms. Reyes can't clear the small bills in a better economy, what will happen if there is another recession. He stated some of her debt was fairly recent and asked why she couldn't pay those bills in a better economy. Marina Reyes replied she "retired" to Hialeah for a while during the economic downturn. She returned to the west coast less than a year ago to re- establish her business since she had active licenses in Lee County and other areas. She stated if she was given the opportunity, she would return in six months with an improved personal credit report. Terry Jerulle asked Ms. Rees why it was important to obtain her license at this time. 7 October 21, 2015 Ms. Reyes replied if she was licensed, she could work with Office Furniture and Design which had a number of commercial assignments in Naples. She stated the company paid well. She needed to begin work as soon as possible. Terry Jerulle asked if she could pay more of her outstanding debts first. Ms. Reyes stated, if her application was approved, she was willing to return to the Board at its next meeting. Richard Joslin asked about the availability of work in Punta Gorda. Ms. Reyes explained she was working with a Spanish company which had just started building in the area. They were averaging two homes a month with a goal of one hundred more to be completed. She noted Classic Homes averages five to six houses a month. She reiterated her commitment to re- establishing her business and her credit as quickly as possible. Richard Joslin moved to approve the application of Marina Reyes to obtain a Tile and Marble Contractor's License. She will be placed on probation for a period of three months and will be required to appear before the Board to present an updated, improved credit report at the end of the probationary period Chairman White stated Ms. Reyes will be required to provide proof of payments made which includes copies of cancelled checks, letters from her creditors and /or copies of the payment plan. Chairman White offered a Second in support of Mr. Joslin's motion. Michael Boyd noted a great deal has changed concerning the content of the Business and Law test in the past 14 years and suggested Ms. Rees should be required to take the test again. Richard Joslin agreed to amend his motion to require that Ms. Reyes pass the Business and Law test during the probationary period. Chairman White offered a Second in support of the amended motion. Carried unanimously, S — 0. F. Garon Skender — Review of Credit (d/b /a "Marco Pool Service ") Garon Skender: • Has applied for a Pool Cleaning License. • His credit report was "pretty ugly" — his income took a significant hit • The foreclosure noted on the credit report was actually a short sale. • He lived off his credit cards for a period of time. • He currently works full -time as a firefighter and wants to clean pools on a part-time basis to supplement his income and "dig himself out of the hole." • He stated if he is granted a license and placed on probation for six months, he would be able to pay the Credit Acceptance debt of $6,552 as well as the two medical bills for $125 each, and the Verizon Virginia bill for $127. • He stated the credit report did not reflect he has obtained a new credit card as a result of improvement in his credit score. October 21, 2015 • He stated he had excellent credit at one time and he was determined to re- establish his good credit again. Michael Ossorio stated Mr. Skender had been advised to create a business plan to present to the Board. He was also advised to provide documentation to the Board of any payment plans entered into with his creditors. Mr. Skender stated he had three years of experience cleaning pools. He acknowledged the license he applied for restricted him to cleaning pools. Vice Chairman Lykos asked Garon Skender to explain when he could clean pools since he worked full time as a firefighter. Garon Skender responded he worked 24 hours on with 48 hours off and could clean pools during his days off. Q. How much income do you expect to generate on your days off? A. I don't have any clientele to start off but I do have a number of friends who are in real estate on Marco. I have a lot of connections on Marco and believe I could get things going pretty quickly. Vice Chairman Lykos noted Mr. Skender could not answer the question with a specific dollar amount which is why he had been advised to create a business plan. He stated Mr. Skender did not know when he would begin to generate any income and could not project any estimated earnings. Garon Skender responded he needed a license in order to generate clientele and estimated he could clean between 15 to 20 pools per day. (3 to 4 days per week) Q. How much will you charge to clean a pool? A. $90.00 a month (market rate). Garon Skender stated his target market would be new and recently purchased homes as well as rental properties. When asked how he would obtain his clients, he replied through advertising and word of mouth. He stated he would utilize the "free stuff' such as Facebook first as part of his advertising and estimated his costs would not be significant. He noted business cards were not expensive. Vice Chairman Lykos pointed out to Garon Skender that he didn't know how many pools he could clean per week, how much income he could generate, or the costs to advertise his business, and had convinced himself he would be able to obtain work but had nothing lined up currently. Mr. Lykos stated all Mr. Skender had was a dream. He did not have a specific goal, nor did he have a plan to achieve his goal. Terry Jerulle asked Mr. Skender how he could maintain a pool cleaning business since his schedule as a firefighter was not the same from week to week. Garon Skender explained the rotating schedule repeated itself every two weeks. Terry Jerulle noted Mr. Skender's full -time job would limit the number of pools he could clean in a week. Mr. Jerulle also advised the applicant to develop a business plan, think things through — "put your dreams on paper and make them goals — prove to the Board they are achievable." October 21, 2015 Chairman White stated having a general concept of how to proceed was not the same as creating a written business plan with estimates of costs and projected income. The Board needs a written plan to review — it cannot x -ray an applicant's brain. Richard Joslin suggested granting a restricted license to Garon Skender. Michael Boyd concurred but suggested limiting the probationary period to three months to see if he could pay the creditors as he claimed. Chairman White reiterated the amounts: $6,552, $125 for two medical bills and $127. He further suggested Mr. Skender should also provide copies of written payment plans entered into with his creditors. Garon Skender again stated he "will make this happen" — he has been on Marco for 25 years and knows a lot of people — he stated as soon as he is licensed, he will "get things rolling." Richard Joslin moved to approve Garon Skender's application for a Pool Cleaning License and to place him on probation for a period of ninety days. He is required to return at the end of the probationary period to present a revised credit report and proof of payment of, or a payment plan for, the following amounts: $6,552 for Credit Acpt., $125 for two medical bills, and $12 7 for Verizon Virginia. Chairman White suggested including a budget would be helpful along with a written plan. Chairman White offered a Second in support of the motion. Motion carried, 3 — "Yes "12 — "No. " Mr. Lykos and Mr. Jerulle were opposed. G. Brian Kirwan - Waiver of Exams/Review of Credit (d/b /a "Kirwan Painting, Inc. ") Brian Kirwan stated he had applied to reinstate his license as a Painting Contractor. • Has worked for the past 30 years without interruption • Never had any issues during his career • In 2010 his license lapsed due to health issues and rehabilitation • His wife passed away in 2008 and he depleted his cash reserves to pay her medical bills • He was not able to retain his real estate holdings (20 parcels) and was advised to file for bankruptcy • He did not have any debt associated with his business — his debt was strictly personal • After undergoing surgery, he has resumed working — his client base extends back to 1977 • The one lien of $914 noted on his credit report was recently satisfied with the State of Florida — he provided documentation to the Board 10 October 21, 2015 • He stated the lien was incurred because of a late filing fee which was not paid on time due to his hospitalization for surgery (January, 2010) • He intends to apply for reinstatement in Sarasota and Lee Counties Michael Ossorio: • When Mr. Kirwan was initially licensed, the Business and Law exam was not required. • He did take the painting exam. Brian Kirwan noted he was the first person to have taken the painting exam (1981). Michael Ossorio stated the County recommended the applicant take /pass the Business and Law exam as a condition for reinstatement of his license. Chairman White moved to approve Brian Kirwan's application to reinstate his license. He will be placed on probation for nine days during which time he is to take and pass the Business and Law exam. At the end of the probationary period, he is to appear before the Board and provide a revised credit report. Terry Jerulle offered a Second in support of the motion. Carried unanimously, S — 0. BREAK: 10:30 AM RECONVENED: 10:38 AM VII. OLD BUSINESS: (Note: With reference to the cases heard under Section VII, the individuals who testified were first sworn in by the Attorney for the Board.) A. Matthew R. Rambo — 6 -Month Credit Review (d /b /a "Neapolitan Tree Service, Inc. ") Matthew R. Rambo: • His revised credit report score had gone down four points which he did not understand since there have not been any new inquiries Chairman White asked Mr. Rambo to explain what he had done concerning his debts. Matthew R. Rambo: • Capital One — balance was $545; currently owes $149 — will be paid by the end of the month • CitiFinancial — balance was $3,457; currently owes $3,062 — pays $65.91 per month • His ex -wife charged $275 on her Victoria Secret credit card — he will pay the amount since she will not — it will be paid by the end of the month • Medical bills — $950 charged to credit card — he will pay each bill one at a time 11 October 21, 2015 Verizon - $279 to purchase cell phone for his daughter — will be paid by the end of November There is a bill for $118 which will also be paid by the end of November He has not contacted ARS Chairman White noted progress had been made even though Mr. Rambo's FICO score remained relatively unchanged. Terry Jerulle asked if the Discover Bank has been paid. He replied it was current — the card was opened by his mother — he does not use it. Mr. Rambo confirmed he is making more than the minimum payment on each card. Vice Chairman Lykos outlined the Board's options: • to continue the probation; • to end the probation; • to terminate his license. Matthew Rambo stated business is improving. He is employed by his father's landscaping maintenance during the week. On Saturdays, he performs small tree - trimming jobs to make extra money. He is trying to save money to purchase equipment and advertise. He recently moved in with parents to reduce his expenses. Vice Chairman Lykos asked if Mr. Rambo had written a budget and determined how much excess income he has, if any. He stated Mr. Rambo needs to formulate a written plan to pay his debts and grow his business. He further stated if the Board decides to extend the probation, Mr. Rambo should provide copies of document when he returns. Vice Chairman Lykos moved to approve extending Matthew Rambo's probation for an additional six months. He will return at the end of the period to provide the Board with an updated credit report and a plan detailing how he will pay his debts and grow his business. Chairman White offered a Second in support of the motion with the understanding that Mr. Rambo will provide proof of payments made in the amounts of $118, $276, and $279. Carried unanimously, S — 0. B. Teodor Danilov, — Reinstatement/Review of Credit (d /b /a "Custom Flooring Design, Inc. ") Michael Ossorio: • Mr. Danilov was scheduled to appear before the Board last month but he did not attend the Hearing. • His license has been suspended. Teodor Danilov: • His credit score improved from 509 (December) to 545 (January). 12 October 21, 2015 • He contacted Lexington Law to help him remove items from his credit report. • He was advised by Lexington Law to not contact his creditors directly. • He provided a copy of a letter from Lexington Law dated July 31 st concerning the disputed Best Buy charge (2007). He claimed his payments were not credited to his account. • He became a U.S. citizen last month. Michael Ossorio: • In January, 2015, Mr. Danilov's credit score was 543. • In December, 2014, it was 509. • In July, 2015, it was 539. • In September, 2015, it was 507. Chairman White asked Mr. Danilov to obtain an updated report from Lexington Law outlining what progress has been made to remove disputed items from his credit report, how they will proceed in the future, an d heir estimate concerning the length of time required. Teodor Danilov stated he pays Lexington Law every month — "it is a very expensive company" — but agreed he needed to resolve his credit issues. He further stated he trusted Lexington Law. He noted friends who have also used Lexington Law reported significant improvement in their credit reports after one year. He hired Lexington Law in January. Chairman White noted the Board had the option to reinstate his license and extend his probation or take no action and his license would remain suspended. Michael Boyd stated the Merit Credit Report reflected only one item in July which was a past due amount of $559. He further stated Mr. Danilov may not have good credit because he always paid his bills in cash. Michael Boyd moved to approve reinstating Teodor Danilov's license and extending his probation for an additional six months. He will be required to provide the Board with an updated credit report showing improvement or a letter from Lexington Law detailing how and when the open item will be resolved. Chairman White offered a Second in support of the motion. Carried unanimously, S — 0. VIII. PUBLIC HEARINGS: (Note: With reference to the cases heard under Section VIII, the individuals who testified were first sworn in by the Attorney for the Board.) A. Case #2015 -07: Board of County Commissioners vs. Tiffany Fronimakis, d /b /a "Statewide Florida Glass, LLC" (LCC 20130001831) 13 October 21, 2015 Michael Ossorio stated the County was requesting to withdraw Case 42015 -07 from the Agenda to be heard in January. Vice Chairman Lykos moved to approve the County's request. Richard Joslin offered a Second in support of the motion. Carried unanimously, 5 — 0. IX. REPORTS: (None) X. NEXT MEETING DATE: Wednesday, December 16, 2015 BCC Chambers, 3rd Floor — Administrative Building "F," Government Complex, 3301 E. Tamiami Trail, Naples, FL There being no further business for the good of the County, the meeting was adjourned by the order of the Chairman at 11:40 AM. COLLIER COUNTY CONTRACTORS' LICENSING BOARD PATRICK WHITE, Chairman The Minutes were approved by the Committee ChairNice Chair on , 2015, ''as submitted' " OR "as amended" L_J 14 Thomas Aaron Frechette Contest of Citation 09602 Table of Contents E -1- Request for Hearing by Mr. Frechette E -2- Copy of Citation 09602 E -3- E -5 — Copy of Case CEUL20150018711 E -6- Copy of definition of Contracting E -7- Copy of definition of Electrical Contractor E -8- Copy of complaint made against Collier Audio Video E -9- E -11 Copy of proposal / bid made by Collier Audio Video E -12- Copy of Division of Corporations for Collier Audio Video E -13- Copy of Collier County Business Tax Receipt for Collier Audio Video E -14- Copy of Collier County Business Tax Receipt for Collier Audio Video E- 15 -E18 — Copy of Permit PREL2015093055301 applied for by a Licensed Contractor KeeganThomas From: KeeganThomas Sent: Wednesday, September 30, 2015 2:27 PM To: 'Tom Frechette'; BridwelUason Cc: OssorioMichael; KeeganThomas Subject: RE: Collier Audio Video LLC / Contest citation 09602 Jason, Mr. Frechette would like to contest citation 09602 / Case # Ceui20150018711. I have copied Mr. Frechette in this email. Thomas Keegan Growth Management Division Planning & Regulation Contractor Licensing 2800 N. Horseshoe Dr Naples, FL 34104 Office- 239 - 252 -2468 Cell - 239- 438 -5195 Fax- 239 -252 -3943 From: Tom Frechette [mailto:frechetteta @gmail.com] Sent: Wednesday, September 30, 2015 1:33 PM To: KeeganThomas <Thomas Keegan @colIiergov.net> Subject: Collier Audio Video LLC Hi, Thomas I want to let you know that I do want to contest Citation #20150018711. Please let me know if there is any more information you need to start the process. Thank you, Tom Tom Frechette COLLIER on 5770 Shirley St Naples, F134109 Cell 239 - 405 -1801 Email: TomF.CollierAV(&,gmail.com, r- f t- COLLIER COUNTY 0 916 0 2 GROWTH MANAGEMENT DIVISION CITATION Pursuant to section 489.127. MW_ Florida Statutes, the undersigned bete y certifies that upon personal investigation, he/she has reasonable and probable grounds to believe that the person whose name appears below as issued to, did violate subsection 489.127.(1), Florida Statutes, and the Collier County Contractor's Licensing Ordinance No. 2006 -46 (as may be amended) by conarrurnng the violation stated below. Address t < t v City � State IF k Zip Telephone No. I.D. Date of Birth Race Sex Height Vehicle MakefIype (if applicable) Year Color Tag No. Location of Violation , \ _+(L(66. OPTIONS I have been informed of the violation for which I have been charged and elect the following option (Check one) 1) ❑ I choose to pay the penalty of $ 2) ❑ I choose not to pay the penalty, an will request in writing by certified mail or hand delivery an Administrative Hearing before the Contractor's Licensing Board. Description of Violation Da�,gl Observed —/ a) ❑ Falsely hold self o us Aa�_at�ft�fo`uf�as a`Tfcensee, certificate holder or registrant; b) ❑ Falsely impersonate a certificate holder or registrant; c) ❑ Present as his/her own the certificate or registration of another; d) ❑ Knowingly give false or forged evidence to the Board or a member thereof; e) ❑ Use or attempt to use a certificate or registration which has been suspended or revoked; f) Engage in the business or act in the capacity of a contractor or advertise self or business organization as available to engage in the business or act in the capacity of a contractor without being duly registered or certified; g) ❑ Operate a business organization engaged in contracting after (60) days; h) ❑ Commence or perform work for which a building permit is required pursuant to an adopted state minimum building code or without such permit being in effect; i) ❑ Willfully or deliberately disregard or violate any Collier County ordinance relating to uncertified or unregistered contractors. A person or business organization operating on an inactive or suspended certificate, or registration, or operating beyond the scope of work or geographical scope of the registration, is not duly certified or registered. l GNATURE (RECIPIENT) SIGNATURE r OR) Id A PRINT (RECIPIENTS NAME) PRINT' �S(T /I�G�OR'S ANTE) Pursuant to 489.127, Florida Statutes, willful re�� Ia1td hccept this citation constitutes a misdemeanor of the second degree, punishable as provided in section 775.082 or 775.083 Florida Statutes. (SEE REVERSE FOR INSTRUCTIONS) 0 �,'jeo, COLLER 0CjUM7Y CON7RAC70R%S L]C CAergov. et Repot Title: Code Case Details Date: 10/23/2015 8:20:19 AM Case Disposition: Unpaid Case Number: CEUL20150018711 Case Plumber: CEUL20150018711 Case Type: Unlicensed Priority: Normal Inspector: ThomasKeegan Status: Contested Date & Time Entered: 9/17/2015 3:14:54 PM Entered By: ThomasKeegan Case Disposition: Unpaid Jurisdiction: Contractor's Licensing Origin: Complaint Detail Description. unlicensed electrical contracting / bid submitted /Collier Audio Video / Frechette, Thomas / citation 09602/ $1,000 Location Comments: 1295 Grand way #406 P- ocerty 46622000484 Complainant Simmons, Mark Violator Frechette, Thomas Business Management & Budget Office 1 Code Case Details Execution Date 10/23/2015 8:20:19 AM Desc Assigned Required Completed Outcome Comments Preliminary Investigation ThomasKeega 9/17/2015 9/17/2015 Citation 9 /16/15 - received complaint from MGO who n Required received complaint from Mark Simmons in regards to Collier Audio Video / Thomas Frechette submitting a proposal to D. Brown Construction for services that require electric / low voltage speciality license - I went over proposal with Rich Long who advised that proposal of work does require licensing (electrical / low voltage) - Collier Audio Video has a Collier County Business Tax Receipt for Misc Install Sery / No Contracting Area. Called Collier Audio Video and spoke to Dennis Frechette and advised of complaint - Mr. Frechette was out of town- he stated he did not agree with the violation as his sons company / Collier Audio Video was not going to do the install that they have a licensed company (electrical) that does it... I advised the problem was with the bid / proposal and that the company is not qualified to do what the proposal / bid calls for. I stated there will be a citation issued and we can discuss how to correct the problem so that it does not hapen again.. Will meet on Monday the 21st at 900 am. Issue Citation (Licensing) ThomasKeega 9/2112015 9/2112015 Complete 9/21/15- met with Dennis and Thomas n Frechette at office- explained licensing violation - they did not agree and just wanted a warning- I explained in deatail that the violation is for the offering of services / bid for electrical services and that the company Collier Audio Video is not qualified - both asked to speak to my supervisor - MGO stated to them that there is a violation / citation will be issued and they have the oppurtunity to contest the violation isf they get a letter in within 10 days requesting so. We also advised about the abatement process_ Dennis and Thomas requested that I check the property for code violations - Spoke to Mark (complaintant) stated the job is demo'd and Erik Brown is waiting on bids and is aware that a permit is needed for the work that was proposed... Citation 09602 issued. Citation Paid /Contested clements_k 1015/2015 1015/2015 Payment Not Received Generate Follow Up Letter clements k 10/5/2015 10/5/2015 Complete Schedule for CLB Meeting/Send jasonbridwell 10/13/2015 Pending Letter CE Staff Review ThomasKeega 10/13/2015 10/13/2015 Complete 9/30/15- received email from Thomas n Frechette stating that he would like to contest citation 09602 - forwarded email to jason Bridwell and MGO- case will go in December at the request from Mr. Frechette. Business Management & Budget Office ,5 ^q Code Case Details Execution Date 10/23/2015 8:20:19 AM Desc Assigned Required Completed Outcome Comments Citation Paid clements_k 1115/2015 Pending Violation Description Status Entered Corrected Amount Comments Unlicensed Electrical Open 9/17/2015 $1,000 Title Reason Result Compliance Fine /Day Condition Business Management & Budget Office 3 ARTICLE V. BUILDING TRADES* Page 1 of 36 ARTICLE V. BUILDING TRADES* *Cross references: Businesses, ch. 26. State law references: Authority to adopt business regulations, F.S. § 125.01(1)(h); contractors generally, F.S. ch. 489; preservation of certain powers of counties, F.S. §§ 489.131, 489.537. DIVISION 1. GENERALLY Sec. 22 -161. Title and citation. This article shall be entitled and may be cited as the "Collier County Contractors' Licensing Board Ordinance." (Ord. No. 90 -105, § 6.1) Sec. 22 -162. Definitions and contractor qualifications. The following words, terms and phrases, when used in this article, shall have the meanings ascribed to them in this section, except where the context clearly indicates a different meaning: Business organization means any partnership, corporation, business trust, joint venture, or other legal entity which engages or offers to engage in the business of contracting or acts as a contractor as defined in this section. 4-'- k Contracting means, except as exempted in this part, engaging in business as a contractor and includes, but is not limited to, performance of any of the acts as set forth in subsection (3) which define types of contractors. The attempted sale of contracting services and the negotiation or bid for a contract on these services also constitutes contracting. If the services offered require licensure or agent qualification, the offering, negotiation for a bid, or attempted sale of these services requires the corresponding licensure. However, the term "contracting" shall not extend to an individual, partnership, corporation, trust, or other legal entity that offers to sell or sells completed residences on property on which the individual or business entity has any legal or equitable interest, if the services of a qualified contractor certified or registered pursuant to the requirements of this chapter have been or will be retained for the purpose of constructing such residences. Contractor means the person who is qualified for and responsible for the entire project contracted for and, except for those herein exempted, the person who, for compensation, undertakes to, or submits a bid to, or does himself or by others, any or all of the following construct, repair, alter, remodel, add to, demolish, subtract from, or improve any building or structure, including related improvements to real estate, for others, or for resale to others, as hereinafter defined in this section. (1) General contractor requires 48 months experience with a passing grade on an approved test and a business and law test and means a contractor whose services are unlimited as to the type of work which he may do, except as provided in this article or in the Florida Statutes. (See also the definition of subcontractors.) (2) Building contractor requires 48 months experience with a passing grade on an i- 6 L,4+_. /ll:l.___.1 _,.._: a.. - _.-_Ll I,X% -_IT*- 11 /111 -I AIM •i -, ?%/%A/ ./, - ARTICLE V. BUILDING TRADES* Page 13 of 36 install, maintain, repair, alter, extend, or when not prohibited by law, design plumbing. A plumbing contractor may install, maintain, repair, alter, extend, or, when not prohibited by law, design the following without obtaining any additional local regulatory license, certificate, or registration: sanitary drainage or storm drainage facilities; venting systems; public or private water supply systems; septic tanks; drainage and supply wells; swimming pool piping; irrigation systems; or solar heating water systems and all appurtenances, apparatus, or equipment used in connection therewith, including boilers and pressure process piping and including the installation of water, natural gas and storm and sanitary sewer lines; and water and sewer plants and substations. The scope of work of the plumbing contractor also includes the design, when not prohibited by law, and installation, maintenance, repair, alteration, or extensions of air - piping, vacuum line piping, oxygen line piping, nitrous oxide piping, and all related medical gas systems; fire line standpipes and fire sprinklers to the extent authorized by applicable law; ink and chemical lines; fuel oil and gasoline piping, except bulk storage plants; and pneumatic control piping systems, all in such a manner as to comply with all plans, specifications, codes, laws, and regulations applicable. The scope of work of the plumbing contractor shall apply to private property and public property, shall include any excavation work incidental thereto, and shall include the work of the specialty plumbing contractor. Such contractor shall subcontract, with a qualified contractor in the field concerned, all other work incidental to the work but which is specified herein as being the work of a trade other than that of a plumbing contractor. Placement of fire safing and fire stopping materials shall be permitted on wall, ceiling and floor penetrations created within the scope of the work allowed by this section. (13) Joumeyman electrician requires four years as an apprentice, a passing grade on an approved test, and means those persons qualified to perform work in the electrical trades while employed or supervised by an electrical contractor. This provision does not apply to any individual who then holds a valid, active journeyman's license in the electrical trade and that license was issued by any Florida County or Florida Municipality when that licensee complied with all reciprocity criteria of F.S. § 489.5335. (14) Electrical contractor requires 24 months experience as a licensed journeyman or equivalent with a passing grade on an approved test and a passing grade on a business and law test and means a person who conducts business in the electrical trade field and who has the experience, knowledge, and skill to install, repair, alter, add to, or design, in compliance with law, electrical wiring, fixtures, appliances, apparatus, raceways, (including alarm system raceways if the contractor is then registered with the state), conduit, or any part thereof, which generates, transmits, transforms, or utilizes electrical energy in any form, including the electrical installations and systems within plants and substations, all in compliance with applicable plans, specifications, codes, laws, and regulations. The term means any person who engages in the business of electrical contracting under an express or implied contract; or that undertakes, offers to undertake, purports to have the capacity to undertake, or submits a bid to engage in the business of electrical contracting; or that does itself or by or through others engage in the business of electrical contracting. The term electrical contractor does not qualify any person for the installation of fire alarms which requires a separate state license. (Ord. No. 90 -105, § 1.6; Ord. No. 92 -61, § 1; Ord. No. 94 -34, § 1; Ord. No. 97 -68, § 1, 10- 28 -97; Ord. No. 99 -45, § 1.6 -- 1.6.11, 6 -8 -99; Ord. No. 02 -21, § 1(6.1), 5- 14 -02) State law references: State definitions of and classifications for contractors, F.S. §§ 489.105, 489.505, 489.551. L,--- -7 Sec. 22 -163. Scope of county responsibility. (a) The county will provide active field supervision within the city of licensed and unlicensed Co le-r County'% GroW.h Management Depart-mert Operations & Regulatory Management Division PRELIMPiARY COMPLAINT FORM Complair_anrs Name: &,W'k 51rtt.+� Date: Address: P6 $fix lWq City: 31 , State: � Zip: 3 M Home Phone: Z - ZCi l _ j Business Phone: COMPLAINT INFORIVLATION: Company Name: (�*II1'4L ' Ay!�*� - 11 je-a License Number: Contractor or Persarr ir, Char2e: (It known) P �zr-Q (- try E? Nt, Address: '57-16 '3tq) r4ie� <3t- Phone: r — M of Contract: a `t 0 - i s COMPLAINT DETAILS: (Attach additional sheets as necessary) q k -eft-, e- JAA ) 1% C Include copies of all appropriate documents: Contracts, checks, liens, permits, etc... Signature: Cpe-atazs & RegMay Mar ageme 5mi n - 2500 Not Haw—toe Drive - Maples, Flora 34104 - 230.252 =2400 - wnu.cojwWvna r 5774 Shirley St OLLIER Naples, FL 34103 � w ■ w � 233 -0� -1$0'1 Date: 9 -10 -15 Job Number. 973rev1 TO: Roman Residence 295 Grand Way #406 Naples, FI 34110 Job Description., Bed 1 QUANTITY DESCRIPTION UNIT PRICE TOTAL 1.00 Sony KDL48W600B 4T' LED 625-00 625.00 1.00 Comcast DTA adapter 1.00 Comcast DTA adapter 1.00 Comcaast DTA ada er OFF 1.0G Sanus Wall mount 99.)0 90.09 90.00 OM Equipment Equipment total. 715.00 Bed 2 QUANTITY DESCRIPTION QUALITY DESCRIPTION 1.00 Samsun UN32EH50M 32" LED 1,00 Sanus VMF408BI Articulating bracket TOTAL UNIT PRICE 317.00 175.00 TOTAL 317.00 175.00 1.00 Comcast DTA adapter 1.00 Comcaast DTA ada er OFE 50.00 RG& Isnurn 99.)0 0.82 50.00 RG6 plenum OM Equipment total. 452.00 L - -1 lYrd.iiiff LC.V QUANTITY DESCRIPTION UNIT PRIGS TOTAL 1.00 Son KDL50W8006 50" LED 799.00 799.00 1.00 Comcaast DTA ada er OFE 1.00 Sanus Wall mount 99.)0 89.00 50.00 RG6 plenum OM 41.00 1.00 Yamaha YAS1056L Sound bar 2$1.41 251.41 Equipment total. 1,200.41 1 of 3 Equipmem roar. i '4, v� r- .�...r car.... QUANTITY DESCRIPTION #QUANTITY DESCRIPTION UNIT PRICE TOTAL 1.00 Sony KDL55WSOOC 55- LED 1.199.00 1,199.00 1.00 Leon HzUT-LR 1,413.33 1,413 "33 1.00 Leon HZUMS Bracket 190.00 190.00 1.00 Sanus Wall mount 90.00 90.00 1.00 Episode EVC- 100R -WHLA Volume control 40.00 40.00 2.00 KJipsch R1650C In ceiling speakers 40.00 80.00 1.00 Sha" ht Wire 1M Toslink 35.00 35.00 1.00 URC MX 980 Remote 431.43 431.43 1.00 URC MRF 350 RF kit 195.71 195.71 1.00 Binary KIT - 500- TX-RX- 230 -IR HOMI balun 285.64 285.64 75.00 1614 Plenum speakervAre 0-721 54,00 150.00 Cats Shield pienum 0.521 78.00 1.00 KIT -EA -MINI 2D -IRT13 Amp 1 243-061 243.08 Equipmem roar. i '4, v� r- .�...r car.... equipmenr WWI-! '4,001 .A+V Lanai QUANTITY DESCRIPTION QUANTITY DESCRIPTION UNIT PRICE TOTAL 1.00 Sony KDL65W85C 65" LED 1.499,00 1,499.00 1.00 Sanus Wall mount 90.00 90.00 1.00 Leon HZUT LCR Speaker bar 1.425.71 1,425.71 2.00 Leon HZUMB Bracket 130.00 380.00 2.00 Klipsch R1650 C Surroundspeaker 40.00 KOO 1.00 URC MX-980 Remote 431.43 431.43 1.00 URC MRF -350 RF kit 195.71 195.71 1.00 Binary KIT- 500- TX-RX- 230-IR HDMI balun 285.64 285.64 1.00 Episode EVC- 100R -WHLA Volume control 40.00 40.00 225.00 1614 Plenum speaker wire 0-721 162.00 150.00 Cat5 Shield plenum O.521 78.00 equipmenr WWI-! '4,001 .A+V Lanai QUANTITY DESCRIPTION UNIT PRICE TOTAL 1.00 KJipsch AW65OW Surface mount speakers 315.00 315.00 1.. Episode EVC- 100R -WHLA Volume control 40.00 40.00 100.00 1614 Plenum speaker wire 0.72 72.00 Equipment total. 427.00 2 of 3 E- to Equipment Location QUANTITY DESCRIPTION UNIT PRICE TOTAL 1.00 Strong SR- SKEL- 21U- 20 -RPKG Rack 441.42 441.42 1.00 Middle Atlantic PD915RM Surge 101.00 101.00 1.00 Yamaha RX -A750B 582.84 58184 1.00 Comcast X1 Box 260.00 OFE 3.00 Perfect PaM ND -700 -4 4 ' HDMI 40.00 120.00 1.00 E is a EA-AMP-213-150A Amp 1 357.13 35713 Equipment total. 1,602.39 Network Equipment total. 1 1,074.00 Summary DESCRIPTION QUANTITY DESCRIPTION UNIT PRICE TOTAL 1.00 Motorola SB6141 Modern 99.00 99.00 1.00 Cisco RV320 Router 260.00 260.00 1.00 Cisco SG300 -10 260.00 260.00 1.00 Ruckus 8300 Wireless ,access point 395.00 395.00 1.00 Ruckus ZAN- 902 -1062 POE injector 1 60-001 60.00 Equipment total. 1 1,074.00 Summary Service total: 1 20,874.29 3of3 DESCRIPTION TOTAL 1.00 Materials 14, 513.48 U,51148 58.00 tabor 75.00 4,350.00 12.00 Programming 95.00 1,140.00 0.06 Tax 14, 513.48 870.81 Service total: 1 20,874.29 3of3 Detail by Entity Name Detail by Entity Name Florida Limited Liability Company COLLIER AUDIO VIDEO, LLC Filing Information Document Number L14000157487 FEI /EIN Number 47- 2049046 Date Filed 10/08/2014 Effective Date 10/08/2014 State FL Status ACTIVE Principal Address 5770 SHIRLEY STREET NAPLES, FL 34109 Mailing Address 5770 SHIRLEY STREET NAPLES, FL 34109 Registered Agent Name & Address FRECHETTE, DENNIS P 5770 SHIRLEY STREET NAPLES, FL 34109 Authorized Person(s) Detail Name & Address Title Manager FRECHETTE, Thomas A 5770 SHIRLEY STREET NAPLES, FL 34109 Annual Reports Report Year Filed Date 2015 03/11/2015 Document Images 03/11/2015 — ANNUAL REPORT View image in PDF format Page 1 of 2 http:// search. sunbiz. org/ lnquiry/ CorporationSeareh/ SearehResultDetail ?inquirytype= Entit... 10/1-31/2015 r- l-)� Details Tax Year Info: 2015 Prey Record License Na, DBF Locatior Collier County Tax Collector 2800 Y. Horseshoe Drive -Naples, FL 34104 Collier County Business Tax Receipt BUSINESS INFORMATION 141527 OLLIER AUDIO VIDEO LLC Mail 1: Mail 2: City State 70 SHIRLEY ST DUSTRIAL 70 SHIRLEY ST Zip'11NAPLES , FL 34109 Phone: 250 -0250 Code: 03703406 Description: PUBIC SER`/ CES +1 =5C i'i5 ALL -IF State Lic: : SE P",', Class \�C CONTRACTi IN GI Page 1 of 1 Next Record Prey Rernril New Search Back To List 6-1"5 Open Date: 01 -05 -15 Changed Date: 00 -00 -00 Paid Date: 05 -28 -15 —� Closed Date: 10 -00 -CC Amount Due: 0.00 ** License is: Paid ** ** License is: Open ** 2014 Tax Information Next Rerord http : / /www.colliertax.com/search/ols _ details.php ?ID= 64213770 &page =2 10/13/2015 OWNER ONLY - County Lic: Category: NO EMPLOYEES Page 1 of 1 Next Record Prey Rernril New Search Back To List 6-1"5 Open Date: 01 -05 -15 Changed Date: 00 -00 -00 Paid Date: 05 -28 -15 —� Closed Date: 10 -00 -CC Amount Due: 0.00 ** License is: Paid ** ** License is: Open ** 2014 Tax Information Next Rerord http : / /www.colliertax.com/search/ols _ details.php ?ID= 64213770 &page =2 10/13/2015 Details Collier County Tax Collector 2800 N. Horseshoe Drive Naples, FL 34104 Collier County Business Tax Receipt Tax Year Info: 2015 Prev Record BUSINESS INFORMATION License 1141526 Name: COLLIER AUDIO VIDEO LLC DBA: Location: 5770 SHIRLEY ST Zoned: NDUSTRIAL Mail 1: 15770 SHIRLEY ST Mail 2: City, State, rJAPLFS , FL 34109 Zio: Page 1 of 1 Next Regard j i Phone:11250 -0250 I I Open Date: 01 -05 -15 —� Code: J Date: BUSINESS Changed OC -00 -00 I �OL`J^`^ Paid Date: OS -25 -15 State Lic: Class: BiJSI?IESS Closed Date: 00 -c0 -00 � County Lic: Category: 0 City Lic: = Preq: Q j Amount Due: 0.00 ** License is: Paid ** ** License is: Open ** Prey Rem rd � New Search Back To List 2014 Tax Information Next Record http : / /www.colliert ax.com/search/ols _ details.php ?ID= 64213769 &page =l &yeas =2015 10/13/2015 Code: 04700001 O D BUSINESS ** License is: Paid ** ** License is: Open ** Prey Rem rd � New Search Back To List 2014 Tax Information Next Record http : / /www.colliert ax.com/search/ols _ details.php ?ID= 64213769 &page =l &yeas =2015 10/13/2015 COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS PERMIT #: PREL2015093055301 PERMIT TYPE: EL ISSUED: BY: APPLIED DATE: 09 -24 -15 MASTER #: COA: JOB ADDRESS: 295 Grande WAY, Unit:406 JOB DESCRIPTION: AUDIO/VIDEO SYSTEM INCLUDING CABLE TV, JOB PHONE: DATA WIRING, & SPEAKER SYSTEM RELATED TO PRBD20150513475 CEU20150018711 295 GRANDE WAY I UNIT 406 SUBDIVISION #: FLOOD MAP: FOLIO #: 46622000484 OWNER INFORMATION: ROMAN PROPERTIES I LLC 4 SLATE RIVER WAY WENTZVILLE , MO 63385- FCC CODE: CONSTRUCTION CODE: 0218 JOB VALUE: $18,000.00 SETBACKS FRONT: SEWER: CONTACT NAME: CONTACT PHONE: BLOCK: ZONE: ELEVATION: SECTION-TOWNSHIP-RANGE: 20 -48 -25 APPROVAL DATE: 09 -24 -15 CONTRACTOR INFORMATION: SIMMONS SECURITY AND SOUND, PLLC' P.O. BOX 9197 NAPLES, FL 34101 -- CERTIFICATE #:: cinig TOTAL RES SOFT: 0.00 REAR: LEFT: WATER: PHONE: LOT: TOTAL COMM SQFT: 0.00 RIGHT: 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 COMMENCEMENT. 6- t< COLLIER COUNTY BUILDING PERMIT APPLICATION Growth Management Division 12800 N. Horseshoe Drive, Naples, Florida 34104 TEL 239-252-2400 Plgase fold glans with the Rlain side out Ensure documents are staRled inside each set of plans. oe- ->ff"entLal I or Units (Single t�mqy/Vupl!!z)�RmWentia]13 ormareUahs(Multi-famfly)E]CommerdaI Pprmit Nn- .50J1 -3 05 5 S ­0 J Master Permit No_ I. J "VI iucnucar Nov. 1, Z014-P)UlR Date: VJ --Days Review. # Set of Plans: ,e7-l& TC"=c'W D"�v Pr-,fnd—" 00"Ir t' Sob Address: Z.4 6CAA�' Li D( IF z C License# State CeWRcg.- Prefix. ��#: c*-tW'K5'1 Owncr`5PhmcNo.: CompanyNamc: A Owners 's - ? T W~qr LQ Qualifier /Professional Naar: Lot, Unit: Block: Z Contact Name: AA'!�k C Subdivision: Cara r% x� tjm t'e-' x Address: C Township: ?I Range: ;Z�Section: U city. State: /C21 Zip: FENIA. BFE-. Flood Zone: < F s Phone ax. Z39-4f-5172, SDP PL: U E-mail Address: Code Caw. COA. f =Alteration =Mechanical =Clean Agent System =LP Gas =Convenience Book =Mobile Home W =Fire Alarm =Pre - Engineered Fire Dow =New Construction =Fire .alarm Monitoring =Suppression 6. F-113oor/Window OPlumbing, (=Fire Pumps =Standpipes 2 09- FTemlearicilow Voltage -MElevric from House oPool =Re -roof Fire Sprinkler System 19Fossil Fuel Stop-RC System Spray Booths Bents Fence Screen Enclosure RShutter =Hoods =Underground Fire Lines F6 Gas f--Isian Flagpole OTHER =Solar Private Provider Q Plumbing z CD.No"prinlded =Sprinkled Roofing = Electrical M Septic Low Voltage IL JA EJIB 0IIA (=JIB =IA swum Mechanical >. C3HL4 CIHIB [­JIV.4 F--J fvB Permit by Affidavit z F-JVA OVB Occupancy Classification(s): Description of Work: Aelzn It rZ-,6 e- L6��' 1 lZttM- J z oOt H < Declared Value S.- f NEW comsTRucTioN/AppmoN AREA ALTERATION WORK AREA - EQ, FT . 2 7 If applicably. # Stories/Floors: # Units:_ #Tons: W # Bedroorns.—#Baths: RESIDENTIAL. 2 C RESIDENTIAL. Living Non- living. Total sq. ft--_ Living ;— Non-living:_ TOTAL SQ. Fr- COMMERCIAL- COMMERCIAL- Interior: - - Exterior.— #Fcaures- Interior. Exterior. Total: TOTAL SQ. Fr.: SEWAGE: W E3 Septic ED Ave Maria =City of'Naples 0 Collier County E] Golden Gate City Intmokalce Tree other WATER SUPPLY: _]Orange Well ED Ave Maria =City of Naples 0 Collier County 0 Golden Gate City C3 lmnokajec C1 Orange Tree =Other Application/Plans Discrepancies— Customer Acknowledgement of ponible rejection for the following misseti information: I - Square footage discrepancies 2. Occupancy Classification/Construction type not provided 3. Required documents not certified 4. Incomplete Plan Sets or Dmwino, 4 C-- I. J "VI iucnucar Nov. 1, Z014-P)UlR Date: VJ --Days Review. # Set of Plans: ,e7-l& QUALIFIERS PAGE ACKNOWLEDGEMENT OF COLLIER COUNTY REGULATIONS Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installaticm hac commierced prior to the issuance of a permit and that aN work will be performed to meet the standards of al forms regulailfng construcbm in this jurisdiction. The permit or application fee may have additional fees imposed for failing to obtain permits prior to Commencement of construction. The approved permit and/or permit application expires if not Commenced within 1110 days from the date of msumm. The pemsftee further understands that only licensed contractors may be employed and that the structure wf7i riot be used or occupied until a cerfikate of occupancy is issued. By signing this permit application, I agree that I have been retained by the owneripermittee to provide contracting services for the trade for wtaich 1 am Gated. Furthermore, A is my responsibility to notify the Budding Review and Permitting De parlment should I no longer be the contractor responsible for providing said contracting services. I further agree that 1 understand that the review and issuing of this permit does not exempt me from complying with aG County Codes and Ordinances. It is further understood that the property ownerlpernittee is the owner of the permit. Note: If change of contractor, please provide the following: Permit Number. E -mail Address: COMPANY NAME: Tel: ATE LICENSE NO:_'0P504/f% QUALIFIER'S NAME (PRINT) QUALIFIER'S SIGNATL E. STATE OF: 'r COL'NTY OF: L2 SWORN TO (OR AFFIRMED) AND SUBSCRIBED BEFORE ME THIS � � � 2v�� WHO IS PERSONA Y KtiO1Yi: OR ASP ODi CED ID. .v. , i? I ;� � * CQNii mtFF215136 TYPE OF ID: EffM'Medl3Q,2M9 y��wn� �11ntA�rllM�ytirrrlts NOTARY PUBLIC SIGNATURE: AL} NOTICE IN ADDITION TO THE REQUIREMENTS OF ONAL RESTRICTIONS APPLICABLE TO THIS PROPERTY THAT MAY BE FOUND N THE PUBLIC RE MAY BE ADDITIONAL PERMI15 RELZUIRED FROM OTHER GOVERNMENTAL ENTTIIES SUCH AS W , STATE AGENCIES, OR FEDERAL AGENCIES. WARNING OF POSSIBLE DEED RUMUCTIONS THE LAND SUBJECT TO THIS PERMIT M AV BE SUBJECT TO DEED, AND OTHER RESTRICTIONS THAT M AY LIMIT OR NMPAIR THE LANDOW NEMS RIGHTS. COWER COUNTY IS NOT RESPONSIBLE FOR THE ENFORCEMENT OF THESE RESTI=10NS, NOR ARE COLLIER COUNTY EMPLOYEES AUTHORIZED TO PROVDE LEGAL OR BUSINESS ADVICE TO THE PUBLIC RELAJNE TO THESE RESTRICTIONS. THE LANDOWNER OR ANY APPLICANT ACTING ON BEHALF OF THE LANDOWNER IS CALMONED TO SEE K PROFESSIONAL ADVICF. WARNING ON WORK IN COUNTY RIGHT -OF -WAYS THIS PERMIT DOES NOT MTHORQE CONSTRUCTION OR INSTALL AinON OF ANY STRUCTURE OR UTILITY, ABOVE OR BELOW GROUND, WITHIN ANY RIGHT- OF-W AY OR EAGEMENT RESERVED FOR ACCESS, DRAINAGE OR UTILITY PURPOSES. THIS RESTRICTION SPECIFICALLY PROH073 FENCING, SPRINKLER SYSTEMS, L MDSCAPNG OTHER TH AN SOD, SIGNS, W AIER SEINER, CABLE AND DRAINAGE W ORK THEREIN. IF SUCH IMPROVEMENTS ARE NECESSARY, A SEPARATE PERMIT FOR THAT PURPOSE MUST BE OBTAINED FROM TRANSPORTAtT;MROW PERMITS AND INSPECTIONS 9239) 2524192. NARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE C COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FO IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAI FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNE BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. rer i- tontfa f13.135 a Notice of Commencement (NIX)is required for constructional improvements t LAV more then 52.500, pith certain exceptions. For AiC Repairs or Replacements a notice of commencement is requred for improvements more than $7,500. The applicant shag file with the issuing authority prior to the frost inspection erthera certified copy of the recorded NOC or a notarized statemani that the NOC has been bled for recording, along with a copy thereof. in orderto comptyw M the state requirement, permits wig be placed in inspection hold until proof of the MCC is filed with the building permitting and inspection department. The issuing authority shag not perform or approve subsequent inspections until the applicant files by mad, facsimile, hard delivery, email or any other means such cwtif ed copy with the issuing authority. E- ( 7 INSPECTION JOB CARD — COLLIER COUNTY, FLORIDA FOR INSPECTIONS PHONE 252 -3726 PERMIT NUMBER: PREL2015093055301 APPLICATION NUMBER: I PREL20150930553 ISSUED: JOB DESCRIPTION: AUDIO/VIDEO SYSTEM INCLUDING CABLE TV, DATA WIRING, & SPEAKER SYSTEM RELATED TO PRBD20150513475 CEU20150018711 295 GRANDE WAY I UNIT 406 JOB LOCATION: 295 Grande WAY, Unit:406 LEGAL DESCRIPTION: GRANDE DOMINICA AT THE GRANDE PRESERVE A CONDO UNIT 406 FOLIO #: 46622000484 SECTION- TOWNSHIP - RANGE: 20.00-48.00-25.00 OWNER NAME: ROMAN PROPERTIES I LLC CONTRACTOR: SIMMONS SECURITY AND SOUND, PLLC SETBACKS: FRONT: REAR: LEFT: RIGHT: SPECIAL: FLOOD ZONE: FZAE DESCRIPTION OUTCOME COMMENTS 512 - Audio/Video Rough 513 - Audio/Video Final OPEN CONDITIONS > Notice of Commencement NOTE: If you are unable to schedule your inspection, please contact the inspection desk at 252 -2406. NOISE ORDINANCE: Collier County Codes of Laws and Ordinances 54 -92(f) Construction Sound. NOISE LIMITATIONS are in effect at all times. Work permitted, RESIDENTIAL Areas - 6:30 AM to 7:00 PM Monday thru Saturday: NON - RESIDENTIAL Areas ( more than 500 feet from Residential Area) 6:OOAM to 8:OOPM Monday thru Saturday. No Work on Sundays or Holidays. RADIOS, LOUDSPEAKERS, ETC. - Must not disturb peace, quiet and comfort of neighboring inhabitants. FREE CABLE LOCATIONS - Call 48 Hours prior to digging /FPL 434- 1222/UTS 1- 800 - 542 - 0088 /PalmerCATV 783 -0638 and all other applicable utilities. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FS § 713.135 It APEX Site and Demolition Corp. 2240 Corporation Blvd. Naples Fl. 34109 239 - 253 -0591 Cell 239 - 643 -9795 Office To: Collier County CLB Re: Credit Hardship Letter My Name is Troy McNabb, I am writing this letter for your consideration for my contractor license as to the reasoning for my poor credit report. I like many others in the housing crash lost two houses due to the lack of business and income in Florida. That alone is devastating to your credit report. As well as having a couple personal matters where people ran up my credit to where I could not pay it on time. I have since been working to repair my credit and will continue to so with new credit cards and credit with some of my vendors and suppliers. I would also like to add that I have been a resident of Collier County for over 25 years and have raised my children here. There are not too many places I go or conduct business that I do not see or interact with some one that I know. I would like to thank you in advance for your time and consideration in this matter and I look forward to conducting business in Collier County for many more years to come. Thank You Troy McNabb APEX Site and Demolition Corp 239 - 253 -0591 Col r C -kmy GMD Operations & Regulatory Management Licensing Section 2800 North Horseshoe Drive �2015- a Qgq Naples, FL 34104 APPLICATION FOR COLLIER COUNTY /CITY OF NAPLES /CITY OF MARCO INSTRUTIONS: This application must be typewritten or legibly printed. The application fee must be paid upon approval and is not refundable. All checks should be made payable to: Collier County Board of County Commissioners. For further information, consult Collier County Ordinance No. 90 -105, as amended. NAME OF COMPANY: ,�77►► Exact Corporate/Business Name: ��'}' GwiL� �� l tr✓l LoP�10 Fiction Name/ DBA: Qualifier Name: j -i2� ►M'-+�jU�c Physical Address: 7-7-0 � ( u�L �`'� j d �% ( 1 (Number & Street ) (City) (State) (Zip Code) Mailing Address: 27-11 v O WvEraA's✓► ,rd &)alp (-5 F( 3410q (Number & Street) (City) (State) (Zip Code) Z�1-1 253``�Sr"► 1 E -mail: as -i-Y- �✓ria 144n 62 halNia_J •Cirm' Telephone: —���1� / TYPE OF LICENSE: General $230.00 Electrician $230.00 Building $230.00 Plumber $230.00 Residential $230.00 Air Conditioner $230.00 Mechanical $230.00 Swimming Pool $230.00 Roofing $230.00 Specialty $205.00 Specialty Trade: CHANGE OF STATUS: ( ) Reinstatement ( ) From One Business to Another ( ) Dormant License to Active Page 1 of 303119 b OCT ` $ 201 The names, titles, home address and phone numbers of all Officers/Managing Members of the Firm. �n nmas St p� s k X500 -1 &1\ S1-. 23g - 'Q,�l$- 7D55 )�� pl eS (0 5 �i28 i�z r1 a� - Sfo� �0 I W W. ZT List all businesses, firms, entities or contracting businesses you have been associated with during the last ten years (i.e. held a license for or been a partner). Attach extra pages if needed. Qm-a 3. List all debts you or any company(s) associated with you that you refused to pay and the reasons for the refusal to pay. Attach extra pages if needed. pv1 f— AFFIDAVIT Under the penalties of perjury I declare that I have read the foregoing application and that the facts stated in it are true. ^� Au orized Officer of the Firm The foregoing instrument as acknowledged before me this /V r %' js (Date) by .� Yh �) a b5 10-r,-�V4 of J��?,!/,l` t t I �P�► -►� a s'�'� (Name of Officer, Title/ Agent) (Name of Corporation) a V7 1 b C ),o( e- Corporation on behalf of the corporation. - - -. _( State -or -P- lace -o -f- Corporation)- - - -- _ —_ - - - -- -- He /She has produced Eip( - , L L (Type of identification) NOTARY'S SEAL USA a FlorWa F 28470 My OAQIII. Est #Ap'jS.2019 Page 2 of 4 0 1, -0 QUALIFIER LNFOR1lIATION: Name: 11-le 11 Q05 Address: S(o3O Oay2jj;ZGl !e4 10 Oe, 0115 3N (Number & Street) (City) (State) (Zip Code) Telephone: 2--Y5 - 253- OS"i ! Date of Birth: SS #: J� E -mail: 4,Ltir, &Mp(i h0l" 1- Driver's License #: 1. Type of Certificate of Competency for which application is made. blelvyxO"1k, � , Co, 4- -z,IV� 2. The names and telephone numbers of two persons who will know your whereabouts. �� t7►�v►�,S S.c,o� S iu 23�r - 3 � � - �d 5 S Cr 239 2-qg - S( r 3. Have you ever been convicted of a crime related to Contracting? (If yes, attach extra sheet with explanation.) A) O t 4. Have you or any firms you have been associated with ever filed bankruptcy? 0 0 5. List all debts you or any company(s) associated with you that you refused to pay and the reasons for the refusal to pay and reasons why. 0 6. List your business or work experience during the last ten years. L L - - - C 461 ahb lu L e� 7. Statement of any formal training you have had in the area for which the application is made. itt)b 4 (v_t /1 t, 3 of 4 McNabb, Troy Name: Sponsor: ID #: Score: # Unanswered Questions Score Report Troy McNabb Collier County 78 0 ►✓ Test: Business and Law - (FL081 00) Date: 09/08/2015 Test ID: 328904544 Result; Pass Module Subject Area Status LOW FLBO Business Organization ------ P ----- -- - - --- ---- F---------------------- 6 ------ ------ Licensing P - --- ----------------------- FLLIEN ------------------------ Lien laws F --------- �LTL -- -aw- ------------------------------ a x Ls P FLS4R -T Reporting Regulations ------- ------- ------- -- - -F --- --- - --I----- ---- -Sa!�ty ---------- FLLL Labor Laws P ---- - FLCM Contract Management ------------------ ---- P --- ----- FLPM Project Management ------- ----- -------------- F - - - - - FLE&B Estimating&Bidding -------------------- - F ---- --- - FLFM - Financial Management_ - - ---- FLiM :-- ---`--`- 41 sk ManagemenI F Cut Score HIGH McNabb, Troy Name: Sponsor: ID #: Score: # Unanswered Questions: Score Report Troy McNabb Collier County 84 0 Prov- Test: Demolition/Wrecking - (FL00308) Date: 09/29/2015 Test ID: 698282006 Result: Pass Module Subject Area Status LOW FLPRI Plan Reading 8, Interpretation -- P - - - FLSCON -... - ---•- --•- ------- Structural Concrete - - - -F--- FLSMASONSUuduralMasonry •----- ---- -P_--- -___ FLSFRAM _- ---- ------ SUuctural Framing - - -- -- FLSS - - ---- --- --- -- ---- Structural Steel _ _ _ _ - ------ _ _ - _ _ _ _P _ - _ ---- •- -- ---- -- FLBLAST- ----- ---- - --- Blasting - ----- ------- - - - --P• - FLRIG Rigging and Cranes _ _ _ _ _ - - - _ _ • _ _ _ _P FLSAFE Safety P Cut Score HIGH AFFIDAVIT The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County No. 2006 -46, as amended, and under penalties of perjury. I declare that I have read the foregoing qualifier information and that the facts stated in it are true. 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 /she 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) /r t/ dr? Name of Company Si ature & Applicant State of Florida County of Florida -e The foregoing instrument as acknowledged before me this 16)7)15- b '7 1 5— ate) by ✓l a. G� who has produced ,�Ldt- j ��` (name of person cknowledging) (type of identification) as identification and did not take an oath. NOTARY'S SEAL L VJ o NOW FF 23470 - .. E s Au0 23.2019 r, My Can.. x 23 4of4 SIGNATURE O�NO ) AFFIDAVIT It is understood and acknowledged by the Collier County Contractor's Licensing Board and myself that if I fail to acquire, or maintain at all times effective Workmen's Compensation Insurance it will result in the possible revocation of my Certificate of Competency. Signature of Applicant Business Name 9-66)-15 Date 1 a personally eared ' (b C. ho BEFORE ME this day p y a pp affirms and says that he /she has less than one employee and does not require Workmen's Compensation and understands that at any time he /she employs one or more persons he /she must obtain said Workmen's Compensation Insurance. State of Florida 1 ` �� County of The foregoing instrument as acknowledged before me this D "7 f at ) b rJ L� C G J who has produced y/ 5 r� L y (type -o -f- identification) - -- (name of- person - acknowledging _ _ __ —_ _ - -- - as identification and did not take an oath. NOTARY'S SEAL My- USA OWN= Nd" PAN ado • �► ff 234 . y a� E Aug 2a. 2019 BondeditO* NotayA,sn VEBIFICATION OF CONSTRUCTION EXPERIENCFA GMD Operations & Regulatory Management Department Licensing Section 2800 N. Horseshoe Drive Naples, FL 34104 Applicant's Name:1?.v-�1 i�t `✓L'� Certificate Category Requested: /.LG -*ID /et,!;n 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 thkollowing information: Name: Q( ac co r t �q t �Zt� License Number (if applicable): ral 3q (,o Title: D'itS,- d C, +- Name of Business: Business Address: cl Ll o 11 }'t` s 4 s• Business Phone: �8�3��o'Z$3 -1 a�o1 The applicant's years of experience from b101 to G— The applicant's scope of work (specific duties) included: 'S" r..c,% (%Y �Irty" Additional comments: T Mote A" :? AI VI A -eXft n fAee Falsifying any information provided herein may subject your license to revocation. Under the penalties of perjury I declare that I have read the foregoing application and that the facts stated in it are true. S' tore Print Name State of Florida County of 0- I f v � The foregoing instrument as acknowledged before me this I 4Dal - - - - - - -- - - b y p 1.() who has produced (name of person ackn ledging) (type of identification) as identification and did not take an oath. NOTARY'S SE Ile�My ��of FWW& • FF 234768 8pI� 1Ald1�M011� x0 �njptA18ug 2 OTARY My 6 1 Not?' OF Applicant's Name: TION OF CONSTRUCTION GMD Operations & Regulatory Management Department Licensing Section 2800 N. Horseshoe Drive Naples, FL 34104 Certificate Category Requested: A,� A6 © G /'/-/ Uri/ 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: v Name: 1-4 R R Y 60 W,6 RV Title: License Number (if applicable �tl Name of Business: Business Address: Business Phone: „23g, 010,i $.- j9000 The applicant's years of experience from AM to 02 0% The applicant's scope of work (specific duties) included: tC: GL ra �f= �!�lUti /1/� cCdlti� Additional comments: 0.,A A,4 /41 /�,. 4- 4izPd e %J Falsifying any information provided herein may subject your license to revocation. Under the penalties of perjury I declare that I have read the foregoing application an that the facts stated in it are true. Signatur Print Name State of Florida f County of — _ 6 1 The foregoing instrum t as acknowledged before me this 16 1-7 J I by 1 -who has produced Li jr,; d c. � (name of erson ac owledging) (type of identification) as identification and did not take an oath. NOTARY'S SE LaAarmom d Notld� WWI Vda � # FF 234TH _ � 23.2019 Na1siY Assn BM W##" Applicant's Name: VERIFICATION OF CONSTRUCTION EXPERIENCE GMD Operations & Regulatory Management Department Licensing Section 2800,N. Horseshoe Drive Naples, FL 34104 1,e? A, Certificate Category Requested: 1,q- .]1s/-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: —7—brx�q", Az, Title: b&W Z ,lJ/��/ � License Number (if /applicable): Z ?Z� Name of Business: Business Address: 3 (an O u r Business Phone: 114-450-263-7 The applicant's years of experience from � to eY<ir' -OP4 The a�Jpplicant's / scope of work (specific duties) included: f'lG., 4 gpO 2,/-e `"ob 51" Additional comments: An eg Falsifying any information provided herein may subject your license to revocation. Under the penalties of perjury I declare that I have read the foregoing application and that the facts stated in it are true. Signature Print Name State of Florida l County of 0 I/ i Cf, The foregoing instrument as acknowledged before me this JCS - - - - - - - —7 -(D by G P who has produced�dl -, name of person acknowledging) (type of identification) as identification and did not take an oath. T Y' SAL NM n hMe. «wa RW* 61WAMW I FF MM Mfr . EyMft Avg 28, 2019 %WwRrAdsdmwvma11Yf0011NOt�ryAscr (SIGNATURE NOTAR t �S CC � AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OFty COUNTY OF C'—, I, ' hd-"-4 s ,� sl Q. , having been first duly sworn, state and affirm: I am a resident of ��l''�F (n., < ` County, (State) and have resided here for more than five (5) years. During the last five years I have known (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. S ignature Name 'A t d� i ST R�-Vc st") N CL. Address 34111 Q31 • Telephone The foregoing instrument a owledged before me this by drnG S C-c tSC< who has produced %d�'���� (name of person acknowledging) (type of identification) as identification and did not take an oath. NOTARY'S ��1•tMM41 I ;f �� ♦ 1E:141r! 1 6 OF NOT RY) )11"56' S AFFIDAVIT OF INTEGRITY AND GOOD CgARACTER STATE OF f7le/-1de COUNTY OF X111 I, A-54 0,1, , having been first duly sworn, state and affirm: I am a resident of C l /,'cam Cvk •- County, (State) and have resided here for more than five (5) years. During the last five years I have known i't�v VVLt y\ "b (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 329& 315 fq"IF,. S CJ Address 2-3i- ZYo - 103.7 Telephone The foregoing instrument as acknowledged before me this - - -- - - -- - (Date- - -- by who has produced ��o (name of person acknowledgin) (type of identification) as identification and did not take an oath. NOTARY' N01�! oo so 01 FwMa FF 234788 1102 23.201' My eamm. E Notary A`' (SIGNATURE OF N TAR') L i 5� S ��5 x" RESOLUTION OF AUTHORIZATION WHEREAS ��c S, YGo l ill- .TNL proposes to engage (Name of Business Entity) in contracting as Chi d6i 6Jt -r 1 in (Type of legal entity: corp., partnership, etc.) Collier County, Florida, according to Collier County Ordinance 2006 -46, as amended: and WHEREAS APe4 Sc Ve 3 f�jL,,..a i � -�'e+1 proposes to qualify (Name of Business Entity) for a Certificate of Competency with `Tkt..1 1'K(-r 1Gfo6 (Name of Individual) NOW, THEREFORE, BE IT HEREBY RESOLVED THAT: We the undersigned Ty�?,�na S Se ..,,V=. —TV," t u- U-,6b of (Officers, Owners, Partners) ���ycjC e ��P.rwd 1 =�rryr hereby resolve and represent to the Collier County (Name of Business Entity) Contractor's Licensing Board that the qualifying agent, —'j` 1Q,1ti YN•Ly'1, -j, L,_, is active (Name of Individual) in all matters connected with the contracting business of &a -e- ,C S. k2 i o k, V-gnad (Name of Business Entity) We further resolve and represent that T�j at'tle—ra -b is C, (Name of Individual) Legally empowered to act for Jape K Sc 1-e 5 1 yin all matters connected with its (Name of Business Entity) contracting business, and has the authority to supervise construction undertaken by htpleK Si ie �• �Jt.r'c �t`Sy� . (Name of Business Entity) DULY PASSED AND ADOPTED THIS DAY OF la Zo j pp (Officers, Partners, O - wit ath Corporate Seal (if applicable) or Notary Public Certificate Sworn to and subscribed before me this _day of 0elp btf by i k,j,,�� 5 p•�, 5 �;. The foregoing instrument as acknowledged before me this g E �- v O c 2 01 (Date) by �z e , Imo, who has produced L 1� L (name of person acknowledging) (type of identification) as identification and did not take,n,, .. _. NOTARY'S SEAL .a +nu a� OAMUE T BECKERS -NAGY ;•�' Notary► Pvate - °shta w RWK • •= MY Cajun. Expire Oct 19 2016 Cananftsion il!.EE 837567 Bonded NationN Notary Assn. . ' . s • toile Iasi GMD Operations & Regulatory Management Licensing Section 2800 North Horseshoe Drive Naples, FL 34104 U�TI NUTIQ I : ►11111►TI M Date: February 17, 2015 To: Applicant's for Certificate of Competency From: Michael Ossorio, Contracting Licensing Supervisor Subject: Collection of social security numbers. Pursuant to Chapter I -19, Florida Statutes and Collier County Contractor Licensing Ordinance 2006 -46 Section 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 I -19, Florida Statutes, 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 I -19, Florida Statutes. Oct 07 15 03:31 p Prepared By: Merit Credit (239) 277 -3202 (800) 371 -3348 TRANSUNION CREDIT REPORT [FOR] [SUB NAME] (I) Z NP6284423 MERIT CREDIT 2392770167 p.2 WT SUB] [INFILEI [DATE] [TIPS] 16 NP 1/96 10/07/15 14:01CT [SUBJECT) MCNABB, TROY A. [ALSO KNOWN AS] NABB,TROY,MC [CURRENT ADDRESS] 5630 COPPER LEAF LN., NAPLES FL. 34116 [FORMER ADDRESS] 687 PINE CONE LN., NAPLES FL. 34104 4239 SW. 19TH, NAPLES YL. 34116 [CURRENT EMPLOYER AND ADDRESS] AMERICAN AUTOMOTIVE [FORMER EMPLOYER AND ADDRESS] MCNABB MOTORSPORTS INC [SSN] [BIRTH DATE] [POSITION] [VERF] [RPTD] MANAGER 4/15 4/15 MGR 9/06 [DATE RPTD] 9/09 12/03 M O D E L P R O F I L E * * * A L 3 R T * ** * * *FICO CLASSIC 04 ALERT: SCORE +488 : 038, 013, 010, 020 f ** IN ADDITION * * *TO THE FACTORS LISTED ABOVE, THE NUMBER OF INQUIRIES ON THE CONSUMER'S ** *CREDIT FILE ETAS 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 P-R =4 COL =7 NEG =7 HSTNEG =2 -9 TRD =14 RVL =4 INST =9 MTG =O OPN =1 INQ =4 HIGH CRED CRED LIM BALANCE PAST DUE MNTHLY PAY AVAILABLE REVOLVING: $E93 $500 $693 $243 $73 0 °s INSTALLMENT: $66347 $ $3146 $245 $185 CLOSED W /BAL: $620 $620 $ TOTALS: $7040 ---------------------------------------------------------------------- $500 $4459 $1108 $258 P U B L I C R E C O R D S - - - - -- SOURCE DATE LIAB ECOA COURT ASSETS PAID DOCKET# TYPE PLAINTIFF /ATTORNEY Z 5064186 5 /10R $9300 I CI 91822CC CIVIL JUDGMENT DANIEL A MORRIS Z 5064186 6/09R $9872 I CI CIVIL JUDGMENT Z 5064166 4/098 S10.9K C RD PAID FEDERAL TAX LIEN 2009589CC 14ITCHELL INTERNATIONAL 8/12 4283380 B4443P3692 Z 5064186 4/09R $114 I RD 8/11 4283381 PAID FEDERAL TAX LIEN B4443P3691 C O L L E C T I O N S SUBNANIE SUBCODE ECOA OPENED CLOSED $PLACED CREDITOR MOF Oct 0715 03:31 p 2392770167 p.3 ACCOUNT# Vr,RIFIED BAIA.NCE REMARKS CAVALRY PORT Y lYNA008 I 1/12 $575 08 HSBC BANK NEVAD 09B 17221817 9/15A ,$.618 ACCT INFO DSP BY CSM 1ST CRD SRVC Y 2CRS001 I 6/15 $94 CRUNCH FITNESS NAP 09B 8852884 9/15A $94 ACCT INFO DSP BY CSM ERC Y 26ATT002 I 6115 $489 11 A^ T 09B 126056309 7/15A $489 PLACED FOR COLLECTIO ERC Y 26MT002 I 4/15 $1057 11 COMCAST CA3LE C 09B 123744607 6/15A $417 PLACED FOR COLLECTIO CREDIT COLL Y 1GZD005 I 4115 $212 06 THE GENERAL INS 09B 56813476 6/15A $212 PLACED FOR COLLECTIO ARS Y 2BQ4002 I 3/13 $1166 MEDICAL 09B 71716032 5/15A $1166 PLACED FOR COLLECTIO CREDIT COLL Y 1GZD005 I 7/14 $271 06 PROGRESSIVE INS 09B 53706959 12/14A $271 PLACED FOR COLLECTIO T R A D E S SUBNAME SUBCODE OPENED HIGHCRED TERMS 14AXDELQ PAYPAT 1 -12 MOP ACCOUNT# VERFIED CREDLIM PASTDUE AMT -MOP PAYPAT 13 -24 ECOA COLLATRL /LOANTYPE CLSD /PD BALANCE REMARKS MC 30,/60/90 SUNCOAST CU Q 298Q001 3/08 $142 009 1000004388049 9/15A $142 C DEPOSIT ACCT OVRD 10 /11F $142 UNPAID BLNC CHRGD OFF FST PREMIER B 41PF045 4/09 $403 R09 517800795719 4/15A $250 $0 I SLDTO JEFFERSON C 9/11F $0 PURCH BY OTHER LENDER HSBC BANK B 2EF9001 2/,'.1 $547 R09 466309003104 1/12A $300 $0 I CREDIT CARD 12/11F $0 PURCH BY OTHER LENDER FST PREMIER B 41PF043 9/09 $478 R09 517800790902 1 /12A $300 $478 I CREDIT CARD 9 /11F $478 UNPAID BLNC CHRGD OFF ARRONRNTS H 2BP1002 12/14 $1735 1M 19P C08581578GR 7/15A $0 I LEASE 7/15F $0 PAID /WAS A CHARGE OFF MART /CON -FIN F 2AQE003 3/15 $693 MIN73 9/15 32111 R04 516648700006 9/15A $500 $243 $243 04 I CREDIT CARD $693 5 1/ 1/ 0 MATCO TOOLS W 25BB002 1/13 $6347 48M -85 8/15 232212221111 I03 N010202449E336 10/15A $245 03 111111111111 I SECURED $3146 33 61 1/ C ARRONRNTS F 2EP1001 8/13 $307 _OM30 101 C085814741R 7/14A $0 I LEASE 7/14C $0 CLOSED Oct 0715 03:31 p 2392770167 p.4 ARRONRNTS H 2BP1001 7/12 $402 12M35 101 C085811881 8/13A $C I LEASE 8/13C $0 CLOSED ARRONRNTS H 2BP1001 8/11 $3120 24M135 101 C06589343 8/13A $0 I LEASE 8 /13C $0 CLOSED MATCO TOOLS W 25BB002 3/09 $7984 48M233 111111111111 I01 N010202449E217 8/12A $0 111111111111 I SECURED 8/12C $0 CLOSED 41 0/ 0/ 0 ARRONRNTS H 2BP1001 8/11 $965 12M80 I01 C08589344 7/12A $0 I LEASE 7/12C $0 CLOSED MATCO TOOLS W 25BB002 2/09 $4057 42M130 1 I01 N010202449E214 4/09A $0 I SECURED 4/09C $0 CLOSED DUE TO REFIN 1 0/ C/ C FRD MOTOR CR F 3796761 3/02 $36.4K 70M606 XXXXXXXII 101 30516142 10 /06V $0 C AUTOMOBILE 10/06C $0 CLOSED 9 oil 0/ 0 ---------------------------------------------------------------------------- I N Q U I R I E S DATE SUBCODE SUBNAME TYPE AMOUNT 10/07/15 ZNP6284423(FLA) MERIT CREDIT 4/21/15 ZH00285278(SCT) CBCINNCVIS 2/27/15 FNJ4553464(EAS) MABT /CONTFIN 3/14/14 BMA3325248(EAS) CCB /BML ---------------------------------------------------------------------------- C R E D I T R E P O R T S E R V I C E D B Y TRANSUNION 800- 888 -4213 2 BALDWIN PLACE P.O. BOX 1000,CHESTER, PA. 19022 Consumer disclosures can be obtained online through TransUnion at: http: / /ivww.transunion.com CREDITOR CONTACT INFORMATION COLLIER CIR ZP5064186 (941) 774 -8800 3301 TAMIAMI TRL E NAPLES FL. 34101 CAVALRY PORT YCIYNA008 (800) 501 -0909 500 SUIVIT LAKE DR VALHALLA NY. 10595 1ST CRD SRVC YC2CRS001 (800) 580 -3912 371 HOES LANE PISCATAWAY NJ. 08854 ERC YC26MT002 (800) 496 -8941 PO BOX 57547 JACKSONVILLE FL. 32241 CREDIT COLL YClGZD005 (603) 570 -4784 PO BOX 9134 NEEDHAM MA. 02494 ARS YC2BQ4002 (954) 321 -5957 1601 NW 66TH AVE FORT LAUDERDAL FL. 33313 SUNCOAST CU QU298Q001 (813) 621 -7511 PO BOX 11904 TAMPA FL. 33680 FST PREMIER BZ41PF045 3820 N LOU =SE AVE SIOUX FALLS SD. 57107 Oct 0715 03:31 p 2392770167 p.5 HSBC BANK PO BOX 9 BUFFALO ARRONRNTS 309 E PACES FERRY ATLANTA MABT /CONTFIN POB 8099 NEWARK MATCO TOOLS 4403 ALLEN RD STOW ARRONRNTS 309 E PACES FERRY ATLANTA FRD MOTOR CR POB 542000 OMAHA BC2EF9001 NY. 1424.0 'M2BP1002 GA. 30303 FF2AQE003 DE. 19714 WM25BB002 OH. 44224 HR2BP1001 GP-. 30303 FA3796761 NE. 68154 CBCINNOVIS Z 0285278 PO BOX 1667 P= TTSBURGH PA. 15230 MABT /CONTFIN F 4553464 121 CONTINENTAL DR NEWARK DE. 19713 CCB /BNII, B 3325248 PO BOX 5138 TIMONIUM MD. 21094 END OF TRANSUNION REPORT (888) 365 -8916 (770) 426 -3948 (866) 449 -4514 (330) 929 -4949 (770) 426 -3948 (800) 727 -7000 (S77) 237 -3317 (866) 449 -4514 (866) 528 -3733 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 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 Entity Name Detail by Entity Name Florida Profit Corporation APEX SITE AND DEMOLITION CORP Filing Information Document Number FEI/EIN Number Date Filed Effective Date State Status Principal Address 2240 CORPORATION BLVD. NAPLES, FL 34109 Mailing Address 2240 CORPORATION BLVD. NAPLES, FL 34109 P15000056558 NONE 06/30/2015 06/30/2015 FL ACTIVE Registered Agent Name & Address SEPANSKI, THOMAS G 2240 CORPORATION BLVD NAPLES, FL 64109 Officer /Director Detail Name & Address Title PRES SEPANSKI, THOMAS G 2240 CORPORATION BLVD NAPLES, FL 34109 Annual Reports No Annual Reports Filed Document Images 06/30/2015 -- Domestic Profit View image in PDF format Page 1 of 2 httn: / /search.sunbiz. ore / Inquiry/ CorporationSearch/ SearchResultDetail ?inquirytype= Entity... 10/8/2015 Electronic Articles of Incorporation For APEX SITE AND DEMOLITION CORP. P15000056558 FILED June 30 2015 Sec. Of Mate msolomon The undersigned incorporator, for the purpose of forming a Florida profit corporation, hereby adopts the following Articles of Incorporation: Article I The name of the corporation is: APEX SITE AND DEMOLITION CORP. Article II The principal place of business address: 2240 CORPORATION BLVD. NAPLES, FL. US 34109 The mailing address of the corporation is: 2240 CORPORATION BLVD. NAPLES, FL. US 34109 Article III The purpose for which this corporation is organized is: ANY AND ALL LAWFUL BUSINESS. Article IV The number of shares the corporation is authorized to issue is: 500 Article V The name and Florida street address of the registered agent is: THOMAS G SEPANSKI 2240 CORPORATION BLVD NAPLES, FL. 64109 I certify that I am familiar with and accept the responsibilities of registered agent. Registered Agent Signature: THOMAS G SEPANSKI P15000056558 FILED Article VI June 30 2015 Sec. Of hate The name and address of the incorporator is: msolomon THOMAS G SEPANSKI 2240 CORPORATION BLVD NAPLES,FL 34109 Electronic Signature of Incorporator: THOMAS G SEPANSKI I am the incorporator submitting these Articles of Incorporation and affirm that the facts stated herein are true. I am aware that false information submitted in a document to the Department of State constitutes a third degree felony as provided for in s.817.155, F.S. I understand the requirement to file an annual report between January 1 st and May I st in the calendar year following formation of this corporation and every year thereafter to maintain "active" status. Article VII The initial officer(s) and/or director(s) of the corporation is /are: Title: PRES THOMAS G SEPANSKI 2240 CORPORATION BLVD NAPLES, FL. 34109 US Article VIII The effective date for this corporation shall be: 06/30/2015 10 j� IR DEPARTMENT OF THE TREASURY INTERNAL REVENUE SERVICE CINCINNATI OH 45999 -0023 001549.575858.5226.22505 1 MB 0.439 850 -- III II'i1lilll. 1111 -116- 111111-11 tilll11-111.1-ilii.ill-tll11l1 G� APEX SITE AND DEMOLITION CORP 2240 CORPORATION BLVD NAPLES FL 34109 001549 Date of this notice: 07 -06 -2( Employer Identification Number 47-4399116 Form: SS -4 Number of this notice: CP 57E For assistance you may call us 1 -800- 829 -4933 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 assignee you EIN 47- 4399116. 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 you account, or even cause you to be assigned more than one EIN. If the information is not correct as shown above, please make the correction using the attached tear -off stub and return it to us. Based on the information received from you or your representative, you must file the following form(s) by the date(s) shown. Form 941 Form 1120 Form 940 10/31/2015 03/15/2016 01/31/2016 Your Form 2290 becomes due the month after your vehicle is put into use. If you have questions about the form(s) or the due dates(s) shown, you can call us at the phone number or write to us at the address shown at the top of this notice. If you need help in determining your annual accounting period (tax year), see Publicatiun 538, Accounting Periods and Methods. We assigned you a tax classification based on information obtained from you or your representative. It is not a legal determination of your tax classification and is not binding on the IRS. If you want a legal determination of your tax classification, you may request a private letter ruling from the IRS under the guidelines in Revenue Procedure 2004 -1, 2004 -1 I.R.B. 1 (or superseding Revenue Procedure for the year at issue). Note: Certain tax classification elections can be requested by filing Form 8832, Entity Classification Election. See Form 8832 and its instructions for additional information. 0 . COLLIER COUNTY BUSINESS TAX RECEIPT APPLICATION 2800 N. Horseshoe Drive, Naples, FL 34104 Make Check Payable to: Collier County Tax Collector Phone: 239 - 252 -2477 Fax: 239 - 6434788 '%Vebsite: www.coRiertax.com CHECKLIST Copy ofArticlts of Incorporetica an(./or F;,;t.tious let er 1 eT)w Hire —on-ph-rice (1,t of fire district phone number from the State stating that your business name is on f i e-,Co ed) (850 - 245 -6052 or 6058) www.sunbiz.org Copy of Marco 7oning Certificate. (239- 389 -5000) Copy of State license from Department of Business and Professional (850 -487 -1395) or Department of Hea>~.h. (850 -488 -0595) Copy of City Business Tax Receipt. (239- 213 -1800) Copy of Motor Vehicle Repair Registration Certificate from Department of Agriculture. (800 -435 -7352) Copy of Health inspection from Departm.rc of Hotel � and Restaurants (850 -487 -1395) or Department of Aliiculh re. (800435 -7352) CHECK ONE: — Original Application Transfer of License # Completed Zoning application with appropriate fee made payable to. ,;uara of Cowity Commissioners. (239- 252 -5603) Completed Business Tax Receipt application with appropriate fee road povabl- te7 Collier County Tax Collector. (239- 252 -2477) C th'r. ?lease zntac 1- Property Appraiser's office at 239 - 252 -8145 reear3in€ tangible tax. Date: C?a ssific: ttiorl Code Number Renewal of License # License Amount 1) CORPORATE NAME - �r ;l, �r� = A' -C21 Cow, 1 a) DBA NAME - lb) BUSINESS OWNER OR QUALIFIER'S NAME -_ l(M' -fir 2) PHYSICAL ADDRESS - __►`•��r ). (No P.O. Box allowed) 2a) IS RESIDENCE USED AS ._'1 -N O.F ICE - _ N% _ - _ No 3) BUSINESS MAILING ADDRESS - of wA_ d'/. ,3 q/ o`) Street City r Zip 4) OWNER OR QUALIFIER'S RES11DENTIAL. ADDRESS - P ya,�,, O- -of ` 940V 5) TELEPHONE - Bu.- ,iness: �' %1 5 – __ -_ -- r �:nE : S 6) LEGAL FORM OF BUSINESS: Sole Proprietorship Partnership Corporation LLC LLP 7) OPENING DAVE OF B SIP _ SS Ok DixTE ASS1UNii.D - "L /S 8) OFFICE 'WITIIIN CITY L11,417 S OF NAPLES - Yes —_y No If'Yes, City License No. 9) SOCIAL SECURITY NO. or FEDERAL, EMPLOYER IDENTIFICATION NO. r, � -- - _ � S y _ Ll *see back of application for explanation 9a) TYPE OF BUSINESS CON IDl1CTED: �� 1J I t .>" `�� D � �e �v� lt•� 10) NUMBER OF EMPLOYEFS -'ln ,pacing number of �: =mers: _ 2- 11) FILL IN THE APPR0PRL% 1`'F .V-'ti:AS - a) Rental units (motel/hotel/apts.) Number a units: _— b) Seating Capacity ( -(-s'. /cafe; c) Number of coin - operated machines owned 1)y business :,r ;t, iii iut.al: 12) STATE .L:IC'ENSE OR CFR i 'ii iC ;A i ION 1 �_ UN?BER - _Must _have _ahoto copy_ of state license if state licensed and certified UNDER PENALTIES OF PZRJL ;R'1 . t DF(` LAIZE 1 111, T i HAW, T; REA.!j THE FOREGOING DOCUMENT AND THAT THE FACTS ` I'ATE�3 0, f i A to is i'RI1E t 0 THE ;_11-ST 01- _qY KNOWLEDGE. xxxAPPLICANT'S SIGNATURE: _---- __----- _ - -_ - -- - --- ___. -- - -- DATE: (Owner and/or representative cf bc;sincss) TITLE: __ ****THIS I,ICFNCE a5 `�'Cll`?- R.EFiTNi'.�I3i 1, 1 fDI2 BUSI j ; >> STATED ABOVE * * ** .015 1):30:95 AM PST (GMT -0) FROM: 100005 -TO: 12394315342 Page: 2 of 2 AC"R"� CERTIFICATE OF LIABILITY INSURANCE DATE (M0119/2015 M/DOMlYY) 1 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. % 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 SUNZ Insurance Solutions, LLC. ID: (TLR} C/o TLR of Bonita, Inc 700 Central Ave, Suite 500 St. Petersburg, FL 33701 ME: T NAME: Aimee Gray PHONE 727 - 520 -7676 x222 FZ No: 727- 525 -3862 E-MAIL ADDRESS: INSURER( AFFORDING COVERAGE _ NAIC0 NSURERA: SUNZ Insurance Company 34762 INSURED TLR of Bonita, Inc EnterpriseHR INSURER a : AS en Re - London - Best Rating "A" N suRelzc : Catlin Syndicate Lloyds Best Rating "A" $ INSURER o Brit Syndicate - Lloyds - Best Rating "A" 700 Central Avenue Suite 500 NSURERE: AGGREGATE LIMIT APPLIES PER POLICY I l �� n LOC OTHER St. Petersburg FL 33701 $ INSURER F : $ $ COVERAGES CERTIFICATE NUMBER: 26969494 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED AIJUVt 1-k)K I HE F'ULICY PERKS( INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITII 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. ILTR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM10U POLICY EXP MMM IYYYV LMITS COMMERCIAL GENERAL LIABILrTY CLAIMS MADE OCCUR . EACH OCCURRENCE $ DAMAGE T07TRTFI7-- $ MED EXP (Any one person) $ CENT PERSONAL 8 ADV INJURY $ AGGREGATE LIMIT APPLIES PER POLICY I l �� n LOC OTHER GENFRALAGGREGATE $ PRODUCTS - COMP /OPAGG $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNFD SCHFOULED AUTOS NON -OWNED HIRED AUTOS AUTOS roMBINED SINGLE LIMIT accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Peraccident $ UMBRELLA LIAR EXCESS LIA8 d OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE _ $ DFD I RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNFR /EXECUTIVE Y 1 N OFFICER /MEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPFRATIONS bebw N / A WCPEO000000111 6/1/2015 6/1/2016 ✓ STATUTE ERTH -- - - - --- - -- E.L. EACH ACCIDENT _--- - - -- - $ 1,000,001 F.L. DISEASE - FA EMPLOYEE $ 1,000,001 - - -. -_. -_.._--_ EL. DISEASE - POLICY LIMIT __- $ 1,000,001 B C D Workers Compensation Excess Coverage This is for Informational purposes and nothing shall create any right under such reinsurance. DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more apace IN required) Coverage Provided for all leased employees but not subcontractors of Apex Site and Demolition Corp. Client Effective: 9/30/2015 8849 Collier County CLB /Growth Management Department 2800 Horseshoe Dr. Naples FL 34104 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WALL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Glen J Distefano J ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD 2,9551194 Master Path Leen WiLkes 10/19/2015 1'26:26 PM (ECT) Page L Of L CERTIFICATE OF LIABILITY INSURANCE DATE (MM1DD/YYYY) 10 „9,2015 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 CONTACT NAME: Epperson Insurance Group, Inc PAHlc °N o ,dl: (239) 331 -7141 ac No): (866) 504 -7135 E -MAIL natalie @eppersoninsurance.com ADRESS 1924 Santa Barbara Blvd #3 INSURER(S) AFFORDING COVERAGE NAIC # Naples, FL 34116 _ INSURERA: Maxum Indemnity Phone (239) 331 - 7_1.4.1 Fax (866) 504 -7135 INSURED _ INSURER B: s 1,000,000.00 INSURER C, CLAIMS -MADE Imo.; OCCUR ..__ Apex Site and Demolition Corp INSURER D: 2240 Corporation Blvd DAMAGE TO RENTED PREMISES Ea occurrence INSURER E: MED EXP (Any one person) Naples, FL 34109 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL IN SR UBR I WVD POLICY NUMBER POLICY EFF MM /DDIYYYY POLICY EXP MM /DD/YYYY LIMITS F% ' COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE s 1,000,000.00 CLAIMS -MADE Imo.; OCCUR ..__ DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000.00 MED EXP (Any one person) $ 1,000.00 A N BDG301134701 08/28/2015 08/28/2016 PERSONAL & ADV INJURY $ 1,000,000.00 GEN'L AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000.00 L _! POLICY I PRO- JECT ._.' LOC PRODUCTS - COMP /OP AGG $ 2,000,000.00 I OTHER $ ! AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) $ ANY AUTO _ - - -, ALL OWNED n SCHEDULED ''..�.. AUTOS 1 - - -. AUTOS BODILY INJURY (Per accident) $ II NON -OWNED HIRED AUTOS LJ AUTOS PROPERTY DAMAGE Per accident $ '. UMBRELLA LIAB � OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED LJ RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN LJ STATUTE_ EORH E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER /EXECUTIV OFFICER /MEMBER EXCLUDED? N ! A E.L. DISEASE -EA EMPLOYE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below - - -- E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Collier County CLB /Growth Management Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 2800 N Horseshoe Dr Naples, FL 34104 AUTHORIZED REPRESENTATIVE Attn::Licensing Fax: 239 - 252 -2469 Natalie Epperson @ 1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) CIF The ACORD name and logo are registered marks of ACORD i t �Ca� Lie-r Gou� -z�y GRID Operations & Regulatory Management Licensing Section 2800 North Horseshoe Drive Naples, FL 34104 APPLICATION FOR COLLIER COUNTY /CITY OF NAPLES /CITY OF MARCO FIP-M INSTRUTIONS: This application must be typewritten or legibly printed. The application fee must be paid upon approval and is not refundable. All checks should be made payable to: Collier County Board of County Commissioners. For further information, consult Collier County Ordinance No. 90 -105, as amended. NAME OF COMPANY: Exact Corporate/Business Name: Fiction Name/ DBA: Qualifier Name: Physical Address: (Number & Street) Mailing Address: 157 (Number & Street) Telephone: 6(o l q q �9 114-6- TYPE OF LICENSE: c-e 1— . L__ -, City) (State) (Zip Code) (City) (State) (Zip Code) E- mail:` io•�1 i�SNKC�UwLV�a �f,.e�p: • %Xxi_ 1 Specialty Trade: � ( MM6AA-OVk) CHANGE OF STATUS: X) Reinstatement ( ) From One Business to Another ( ) Dormant License to Active Paae 1 of 4 General $230.00 Building $230.00 Residential $230.00 Mechanical $230.00 Roofing $230.00 Electrician $230.00 Plumber $230.00 Air Conditioner $230.00 Swimming Pool $230.00 Specialty $205.00 —~ Specialty Trade: � ( MM6AA-OVk) CHANGE OF STATUS: X) Reinstatement ( ) From One Business to Another ( ) Dormant License to Active Paae 1 of 4 i. �1 ile names. LLi'es. ;,cnie ac r s �1L' �i,Cne Ii1 rIl�ers �t mil Ji C rs/ lana ii_y !�l.l�lbernci t: e :iM. 9�' IGV�O�L1 7►�4- �dGo.K- a�r��•il- 1�3343L �� S`•'G,w. 1— o.sLt. 0O�(A� fL�ayc,:So uVe.`t>CA �I&A,YL:5 "41 List all businesses, firms, entities or contracting businesses you have been associated with during the last ten years (i.e. held a license for or been a partner). Attach extra pages if needed. (�} %`'1 �' O i/LSt1�►� 1nH it U W GY \_ &"Sc,(A!0 6 kC 3. List all debts you or any company(s) associated with you that you refused to pay and the reasons for the refusal to pay. Attach extra pages if needed. A FFT n A VTT Under the penalties of perjury I declare that I have read the fore i g app i ati n and that the facts stated in it are true. Authorized Officer of the Firm The foregoing instrument as acknowledged before me this `& k� / (Date;) by 1d;t-ul �Sd of _UAAD►J6�`AUD6449, iot, £ rn+4,,11)T INe. (Name of Officer, itle/ Agent) (Name of Corporation)'D a/,A fILAU60%IdA) F &0P.1-i Z) A Corporation on behalf of the corporation. (State or Place of Corporation) He /She has produced TC, (Type of identification) NOTARY'S SEAL Page _' ofl identification and did not take an oath. W. (SIGNATURE NOTARY"/, dy ..F Name: Address: (Number & Street) Telephone: ') 77_ 7,2U116O1Z SS #: Driver's License 4: City) (State) Date of Birth: (Zip Code) E- mail�,�.�"� St�.w�r\ ouac+� \G�6cb. �. r•c- i- 1. Type of Certificate of Competency for which application is made. The names and telephone numbers of two persons who will know your whereabouts. V Have you ever been convicted of a crime related to Contracting? o (If yes, attach extra sheet with explanation.) a. Have you or any firms you have been associated with ever filed bankruptcy? (J 5. List all debts you or any company(s) associated with you that you refused to pay and the reasons for the refusal to pay and reasons why. 6 List your business or work experience during the last ten years. oea Gwp�jGG t, l vv�SGi�f ov ay.a.Sc.+ -j Uf-C- va'k-V4v4S AC.aGrcc,f Statement of any formal training you have had in the area for which the application is made. ,V- of 4 _-`OFF IDAVI T It is understood and acknowledged by the Collier County Contractor's Licensing Board and myself that if I fail to acquire, or maintain at all times effective en's Compensation Insurance it will result in the possible revocation of my CertiRcate off ompetency. SignaturN Appli nt A _ "SIkM��WLT``�i�.d �SG- hA�1'1a5 GK� �(,'we' .ilkfi 01 AC �YYPCt�•a Lt0 vt Business Name k� -u) -15 Date BEFORE ME this day personally appeared ?i9p"Polu) :5 Ll g who affirms and says that he /she has less than one employee and does not require Workmen's Compensation and understands that at any time he /she employs one or more persons he /she must obtain said Workmen's Compensation Insurance. State of Flo a County of The foregoing instrument as acknowledged before me this / �� b (Date) by (}/L� C who has produced P�SDA)A �( 1C�Dw� (name of person acknowl dging) (type of identification) as identification and did not take an oath. NOTARY'S SEAL ,/I"— yy1 (SIGNATURE OF OTARY) AYFID Ati IT The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County No. 2006 -16, as amended, and under penalties of perjury. I declare that I have read the foregoing qualifier information and that the facts stated in it are true. 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 /she 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) Nar;a6of Con)pany SiehaRire of State of Florid fA1 -rn-� County of The foregoing instrument as acknowledged before me this (Date) by 5, who has produced (name of person acknowledging) (type of identification) as identification and did not take an oath. NOTARY'S SEAL 4 ofd Y�(SIGNATUSREQKNOTARY VERIFICATION OF CONSTRUCTION EXPERIENCE Collier County Contractor Licensing Cho Community Development & Environmental Services Division 2800 N. Horseshoe Drive Naples, FL 34104 Telephone: (239) 403 -2431, (239) 403 -2432 or (239) 213 -2909 Applicant's Name: Certificate Category Requested: �v+►� 4�r�o �,.. eo�.k+�� -c �-a 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 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: AC%00— J b ty+ti Title: License Number (if applicable): IJ�G 15 d b'? 3 c-i Name of Business: Business Address: 520-1 Ub boy-e. Business Phone --7 The Applicant's years of experience from %�h1 to S ?� The applicant's scope of work (specific duties) included: 6 w.5 6 Vi J %. t V r-yedv ? u-4, vxl 44 a.e'..i Additional Comments: Falsifying any information provided herein may subject your license to revocation. Signature Printed Name: State of Florida County of Collier The reg�ing instrum nt was acknowledged before me oath_is day of l/ "') f� e2��L`� by t-�r %� 1� "( ty who is known to or produced identification and who did not take an oath. Signature of Notar r fVl Y C ONIMIS S1QN # F)D,361i9t1 February 16, 21313 (?07) 3J© -0163 rloridalVOtaiySewir3.corn � DOUG SMITH Commissioner, District 1 SUSAN L. VALLIERE Commissioner, District 2 PATRICK HAYES Commissioner, District 3 SARAH HEARD Commissioner, District 4 EDWARD CIAMPI Commissioner, District 5 TARYN KRYZDA Acting County Administrator STEPHEN FRY County Attorney TELEPHONE 772 - 288 -5400 WEB ADDRESS httn / /www marlin Fl ns MARTIN COUNTY BOARD OF COUNTY COMMISSIONERS BUILDING DEPARTMENT 900 S.E. RUHNKE STREET • STUART, FL 34994 Telephone Fax: Email: November 3, 2009 Collier County Contractor's Licensing 772-288 -5482 772-419-6935 smccrear@martin.fl.us RE: BRADFORD S TRU13EY SUNFLOWER LANDSCAPING AND MAINTENANCE INC. This is to certify that the above named applicant successfully passed the NAI ^Block & Associates /Experior /Thompson Prometric Assessment or its predecessors, Gainesville Independent Testing Inc. (GITS) prepared, proctored and graded examination sponsored by Martin County, Florida as indicated below. Block & Associates exams administered prior to February, 1993 included Business & Law, except Master & Journeyman Electricians and Master & Journeyman Plumbers. IRRIGATION MAY 1, 1993 76.0% BUSINESS & LAW AY 1, 1993 82.8% ,l The applicant was required to veri 3 ye s of experience in his trade prior to taking the examination. COMMENTS: None Sincerely, C ICU ctlK Sharyl H. McCreary Contractors Licensing Division Martin County Building Department 5207 SW Moore St Palm City, F134990 12/17/2009 Collier County Contractor Licensing c/o Community Development & Environmental Services Division 2800 N. Horseshoe Drive Naples, FL 34104 To Whom It May Concern: Residential • Commercial Install - Service - Maintenance Low Voltage Landscape Lighting I have personally known Bradford S Trubey for at least 20 years. He qualified originally under my license in 1990. He is experienced in irrigation contracting with at least 20 years of field experience. I am licensed contractor in the county of Martin, FL. My license number is MCIS00734 Thank you, t Mark J. Henn Bradford S Trubev Office 772 -288 -1883 Fax 772 -$88 -1894 southernirrigati @bellsouth.net AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER ad , am a resident of ��` q-t &-e t County, a,) r1 k (State) and have resided here for more than five (5) years. During the last five years I have known r G d�rL V i'v (Applicant). I have had the opportunity to observe his or her business and personal dealings and fin him or her to be a person of honesty, integrity and good character. (Signature) (Name) l ol�g /W&d (Address) CA rr ld l �,Gu Aa ZU1161 -1 (Telephone) Z' l ' `Iy� - 2' 1 v �' STATE OF FL RIDA COUNTY OF �4t to ROV4 The foregoing instrument was acknowledged before me this 7�C/ by j n (Date) C� -�� who has produced � • ��� I/ �s �-� C.,�(J�E (name of acknowl dging) (Type of identification) as identification and who did not take an oath. 4 =t = . 4IGNATURE OF OTAR `"c MY cOMMISSION # DD861799 =± EXPIRES February 16, 2013 (407) 398 -0153 Florida N01arySe1vice.c0m (PRINT NAME OF NOTARY) NOTARY PUBLIC NOTARY'S SEAL AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER I, �� ���L � 4"" , am a resident of AC r a- I , County, i �Y� ��-- (State) and have resided here for more than five (5) years. During the last five years I have know nt�� �� a +^•�t -� (Applicant). I have had the opportunity to observe his or her business and personal dealings and find zim or her to be a person of honesty, integrity and good character. (Signature) (Name) HA ,,/,L a f JEjo (Address) 6(;b-7 Oti Hoc e1 (Telephone) STATE OF FLIDA COUNTY OF - e+-U `Yi P) C 1�G1 The foregoing instrument was acknowledged before me this .__ by _ (?ate) 10"PK� ` —� 1 R) �� who has produced `` �, 1� 1 C f ��C (name of person acknowledging) (Type of identification) as identification and. who did not take an oath. ij,107) �A'v G0fv;[vj;S1s!01,I 4 D0861789 - f bfUaYy 16 20 "13 363- U I53 1 It.nJa Not uy�erwc nom _..__e� NOTARY'S SEAL I� SIGNATURE OF N TARY L -," . f il.� (PRINT NAME OF NOTARY) NOTARY PUBLIC f RESOLUTION OF AUTHORIZATON StwM ,OWtr ..G7«ISer -VNS ►..Z 0-%&i ,Z:d%e , WHEREAS '0115A- ,A,( 4c— proposes to (Name of Business Entity} engage in contracting as C.oy%o in (Type of legal entity: Corp., partnership, etc. Collier County, Florida, according to Collier County Ordinance 2006 -46, as amended; and 'SN..�bw :� �- .aµ25a� ++-S ar.a. rtt4�►.- +*,�„"Ga. Z »� WHEREASZjRr.4 r4 t4.c.v:f, tew proposes to (Name of Business Entity) qualify for a Certificate of Competency with (Name of Individual) NOW, THEREFORE, BE IT HEREBY RESOLVED THAT: We the undersigned _ o of Si.w��ewerl.�un$S�Y =� &wl Vµ,jj„j...T,,,0fficers, Owners, Partners) hereby resolve and represent to the Collier County (Name of Business Entity) Contractors' Licensing Board that the qualifying agent."t;r -,4.y1 S.J is active Name 1.of d di vi duf al !rs r-. in all matters connected with the contracting business 0 - . -- - . and (Name of Business Entity) We further resolve and represent that va . l .w.e is S%..WC -lowwr t.ew►a5e +uS C.V4 ftrUDIn ividual) legally empowered to act forIDSL4 g ►A g,z,k,p,;,,�„ in all matters connected with its (Name of Business Entity) contracting business, and has the authority to supervise construction undertaken by 5+r•+„Q1e4wr L.GwaS� f c wa. �1ara4 -�Na, 1'7 %4 1Ati rLG �vv+Scr4+u t.._ (Name of Business 'nti ) DULY PASSED AND ADOPTED THIS -'5 day of Di�7 - , 170C9 (Officers, Partners, Owners - with Designation un erneath) KP Witness Witness Witness Corporate Seal (if Applicable) Or Notary Public Certificate Sworn to and subscribed before me this day of 1—k— �2069 b a16 uh — &S�, A- 6-,)-!q Notary Public Name Printed p Commission Number 7)D i (b / 7 [ l My Commission expires: = MY COMMISSION 9 DD861799 �F EXPIRES February 16, 2013 (407) 398 -0153 FloridaillotaryService.com �••� SUNFL -2 OP ID: SJ ACORO CERTIFICATE OF LIABILITY INSURANCE DATE (M3120 11103/20 5 �.�. 15 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 PRODUCER NAME: Sandy Jones Johnston Fiss Insurance PHONE 913 - 396 - 0812 I A/c, No 913- 396 -0835 5225 West 75th Street, #200 LAIC, No, Ext): 1_ ) Shawnee Mission, KS 66208 E -MAIL sand 'ones 'ohnstonfiss.com Robert B. Fiss ADDRESS: Yj �1 __ - _ _ I INSURERS) AFFORDING COVERAGE _ NAIC # INSURER A: Cincinnati Insurance Co. 10677 INSURED Sunflower Landscaping & INSURER B: Maintenance, Inc.; MAC Irrigation INSURER C: Attn: Brant Mackey INSURER D_: 15200 State Road 7 Delray Beach, FL 33446 INSURER E: rnvcoAncc rGOTIGICeTI= w Iulrtl =R• RFVISION NUMRFR: 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.__. __... _..- _ -_- _._--- - ADDLWURrt' _- -___ - __._. POLICY EFF ' POLICY EXP._r _ - _..... LTR TYPE OF INSURANCE INSD WVD, POLICY NUMBER MM/DD 1YYYY) (MMIDDIYYYYI 1 LIMITS A X jt COMMERCIAL GENERAL LIABILITY I EACH OCCURRENCE $ 1,000,00 X 1 'iCLAIMS -MADE OCCUR " CPP1094978 11/01/2015 DAMAGES(RENTED f 11/01!2016 PREMISES (Ea occurrence) 300,00 ) X Contr Broadening 2800 North Horseshoe Dr _ li MED EXP (Any one person) �. $ 10,00 Naples, FL 34104 .PERSONAL & ADV INJURY i $ 1,000,00 I �Ij GEN'L AGGREGATE LIMIT APPLIES PER . � j ! GENERAL AGGREGATE $ 2,000,00 PRO- POLICY I� X I EO I LOC PRODUCTS - COMP /OP AGO $ - - 2,000,00 _.' - _ I Emp Ben. $ 2,000,00 AUTOMOBILE LIABILITY i COMBINED SINGLE LIMIT (Ea accident) I $ 1,000,00 A X ANY AUTO CPA1094978 11/0112015 11/01/2016 BODILY INJURY (Per person) $ ALL OWNED ,I SCHEDULED BODILY INJURY (Per accident) { $ ' - ED X Ali X PROPERTY DAMAGE $ H REOD AUTOS _, AUTOS (Per accide_ nt)... ICPP1094978 X B X. OCCUR EACH OCCURRENCE I $ 10,000,00 I �I /I, EXCESS AB CLAIMS- MADEII 11/01/2015 11/01/2016 AGGREGATE $ 10,000,00 - DIED II X RETENTION $ - _- - - 0 $_ ,WORKERS COMPENSATION PER 0TH - :STATUTE i ER AND EMPLOYERS' LIABILITY Y / N _ _ ,ANY PROPRIETOR /PARTNER /EXECUTIVE EL EACH ACCIDENT $ - - 'OFFICER /MEMBER EXCLUDED? NIA (Mandatory in NH) ❑ '�. E . DISEASE - EA EMPLOYEE $ li If yes, describe under i j DESCRIPTION OF OPERATIONS below E L DISEASE - POLICY LIMIT $ I I I DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) cr,r,r,�wTC u�r nco CAAICFI I ATIr)Kl COLLI -2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Collier County Licensing Department 2800 North Horseshoe Dr AUTHORIZED REPRESENTATIVE Naples, FL 34104 (> 19UU -1014 AUUKU L:UKNUKA I HUN. All rlgnss reserve0. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD SUNFLAN -01 MJAMES a�"J?O CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYVY) 1113/2015 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). CONTACT PRODUCER NAME: Heacock Insurance Group, Inc. PHONE g63 683 -2228 FAX 863 683 -3309 100 E. Main St (Arc, No, Ext): ( ) (Arc, No): ( ) Lakeland, FL 33801 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Florida United Business INSURED INSURER B: Sunflower Landscaping & INSURER C: Maintenance, Inc.dba MAC Irrigation INSURER D: 15200 State Road 7 Delray Beach, FL 33446 INSURER E: INSURER F: r�oT1rirATr kit uuccD- RFVISInN NIIMRFR- v 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. ADDL SUBR POLICY EFF POLICY EXP I�TR LIMITS TYPE OF INSURANCE INSD Vivo POLICY NUMBER (MMIDDIYYYY) (MMIDDIYYYY) , _ COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS -MADE OCCUR PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL 8 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO LOC JECT PRODUCTS - COMP/OP AGO $ 'AUTOMOBILE CO aBclNdeDt) INGLE LIMIT $ LIABILITY E BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS NON -OWNED - PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) _ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTION $ _ _ $ - -- _ _ —WORKERS COMPENSATION X PER 0TH= STATUTE ER AND EMPLOYERS' LIABILITY A ANY PROPRIETORIPARTNER/EXECUTIVE Y N, 10648627 12/2612014 12/26/2015 EL EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED) Y N I A 1,000,000 (Mandatory in NH) - -- E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS_ below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Qualifier: Bradford Trubey GERTIFIGA It HULUtK Collier County Licensing Department 2800 N. Horseshoe Drive Naples, FL 34104 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE V 1966 -ZU14 AUUKU l UKi'UKA I IUN. All rlgm:5 reServeu. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD I/ ARTICLES OF INCORPORATION OF JS ' �'.• / eF �� 6 SUNFLOWER LANDSCAPING AND MAINTENANCE, INC. C�ijU.� a The undersigned hereby makes and subscribes to these Articles of Incorporation intending to form a corporation for profit under the provisions of Chapter 607 of the Florida Statutes. The name of this corporation is SUNFLOWER LANDSCAPING AND MAINTENANCE, INC. ARTICLE II The corporation may engage in any activity or business permitted under the laws of the United States and of the State of Florida. While engaging in such activity or business, it may exercise all of the powers and privileges conferred by the Florida Business Corporation Act as presently in effect and as it may be amended from time to time in the future. ARTICLE III The aggregate number of shares which the corporation shall have the 'authority to issue shall be 10,000, $1.00 par value common shares. All of said stock shall be payable in cash, patents, stock, notes, accounts, claims, real estate or other property at a just valuation to be fixed by the Board of Directors at a meeting called for that purpose. Property, but not labor or services, may be purchased or paid for with the capital stock at a just valuation to be fixed by the Board of Directors at a meeting called for that purpose. ARTICLE IV The street address of the corporation shall be 15200 State Road 7, Delray Beach, Florida 33446. The name of the corporation's initial registered agent is WILLIAM J. FASH. ARTICLE V The number of directors constituting the initial Board of Directors of this corporation is two (2). The names and street addresses of the initial directors of this corporation are: WILLIAM J. FASH 15200 State Road 7 Delray Beach, Florida 33446 DOUGLAS FASH 15200 State Road 7 Delray Beach, Florida 33446 The initial directors may serve from time to time and may, by resolution, fix the number constituting the Board of Directors and may also name the persons to fill vacancies on the Board of Directors created by an increase in the number of directors which occurs between annual meetings. ARTICLE VI The name and address of the incorporator is WILLIAM J. FASH, 15200 State Road 7, Delray Beach, Florida 33446. ARTICLE VII It is the intention of the corporation to indemnify its officers, directors, employees and agents to the extent permitted by Section 607.0850, Florida Statutes. ARTICLE VIII Anything to the contrary contained in these `Articles of Incorporation notwithstanding, if the shareholders of the Corporation shall so elect, they may exercise all powers and conduct the business and affairs of this Corporation in lieu of the Board of Directors. ARTICLE IX Members of the Board of Directors may participate in special meetings of the Board of Directors by means of a conference telephone as provided by law, but regular meetings of the Board of Directors must be attended in fact in person by each Director. ARTICLE X The corporation, its shareholders, or any combination of the corporation and its shareholders, may enter into agreements limiting or restricting free transfers of shares of its capital stock. Any such agreements will be valid and enforceable among the -2- parties to such agreements and, when the existence of such agreement is noted on the face or on the back of the certificates representing any such shares, such agreements will be binding and enforceable upon any transferee or successor of any party to such agreement. Dated this 21st day of October, 1996. WILLIAM J. FASH, Incorporator STATE OF FLORIDA j ) ss. COUNTY OF PALM BEACH ) I HEREBY CERTIFY that on this day, before me, a Notary Public duly authorized to take acknowledgments, personally appeared WILLIAM J. FASH, known to me to be the person described in and who executed the foregoing Articles of Incorporation of SUNFLOWER LANDSCAPING AND MAINTENANCE, INC., and he acknowledged before me that he subscribed to these Articles of Incorporation. . WITNESS my hand and official seal in the County and State named above, this 21st day of October, 1996. KEUYJ OUTTVEO +A of Expires Sep. 06, 2000 �rf OF f �` -3- State of Florida Department of State I certify that the attached is a true and correct copy of the Application For Registration of the Fictitious Name MAC IRRIGATION, registered with the Department of State on April 12, 2012, as shown by the records of this office. The Registration Number of this Fictitious Name is G 1200003 5177. Given under my hand and the Great Seal of Florida, at Tallahassee, the Capital, this the Thirteenth day of April, 2012 Secretary of stare APPLICATION FOR REGISTRATION OF FICTITIOUS NAME REGISTRATION# 612000035177 Fictitious Name to be Registered: MAC IRRIGATION Mailing Address of Business: 15200 STATE ROAD 7 DELRAY BEACH, FL 33446 Florida County of Principal Place of Business: PALM BEACH FEI Number: 65- 0703584 Owner(s) of Fictitious Name: SUNFLOWER LANDSCAPING AND MAINTENANCE, INC. 15200 STATE ROAD 7 DELRAY BEACH, FL 33446 US Florida Document Number: P96000087142 FEI Number: 65- 0703584 FILED Apr 12, 2012 Secretary of State I the undersigned, being an owner in the above fictitious name, certify that the information indicated on this form is true and accurate. I further certify that the fictitious name to be registered has been advertised at least once in a newspaper as defined in Chapter 50, Florida Statutes, in the county where the principal place of business is located. I understand that the electronic signature below shall have the same legal effect as if made under oath and I am aware that false information submitted in a document to the Department of State constitutes a third degree felony as provided for in s. 817.155, Florida Statutes. WILLIAM FASH Electronic Signature(s) 04/12/2012 Date Certificate of Status Requested ( ) Certified Copy Requested (X) Form Will (Rev. August 2013) Department of the Treasury Internal Revenue Service Name (as shown on your income tax SLLA Li)WriO, i a� N N 0 ttl a Z 0 � N CL Q U `o 2 c r a` CL c n Request for Taxpayer Give Form to the Identification Number and Certification requester. Do not send to the IRS. Business name /disregarded entity name, if different from 9 Check appropriate box for federal tax classification: ❑ Individual /sole proprietor ❑ C Corporation f S Corporation ❑ Partnership ❑ Trust/estate ❑ Limited liability company. Enter the tax classification (C=C corporation, S- S corporation, P= partnership) ► Other (see instructions) ► ass (number, street, and apt. or suite no.) >2 to Ci state, r and ZIP code x 42 I ist account m—hv ail R, L name Exemptions (see instructions): Exempt payee code (if any) Exemption from FATCA reporting code (if any) Enter your TIN in the appropriate box. The TIN provided must match the name given on the "Name" line I social security number _ to avoid backup withholding. For individuals, this is your social security number (SSN). Iloweve,, 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 Now to get a TIN on page 3. [E] Note. If the account is in more than one name, see the chart on page 4 for guidelines on whose Employer identification nurnber number to enter. L L 70 58 Certfficatton Under penalties of perjury, I certify that: - -- 1. The number shown on this form is my correct taxpayer identification number (or I ant waiting for a number to be issued to me), and 2. 1 am not subject to backup withholding because: (a) 1 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), and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. 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, cancejIaticiTobf debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, y n qwr to sign the certification, but you must provide your correct TIN. Seethe - a• instructions on page 3. "-1' " I Signature of Here U.S. person ► (General Section references are to the Internal Revenue Code unless otherwise noted. Future developments. The IRS has created a page on IRS.gov for information about Form W -9, at www.irs.gov 1w9. Information about any future developments affecting Form W -9 (such as legislation enacted after we release it) will be posted on that page. Purpose of Form A person who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) to report, for example, income paid to you, payments made to you in settlement of payment card and third party network transactions, real estate transactions, mortgage interest you paid, acquisition or rbandonrment of secured property, cancellation of debt, or contributions you made to an IRA 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 requester) and, ashen 3ppfcable, to: L Certify that the TIN you are gmng is correct for you are waiting for a numher to be ss -ied), 2. Certify that you are not ;ublect to backup withholding, or 3. Claim exemption from backup wlthholdinq If you are a U.S. exempt payee. If .;p placable, you are also certifying that as a U.S. person, your allocable share of any partnership income from a U.S. trade or business Is not subject to the Date ► 1 withholding tax on foreign partn4rs' share of effectively connected income, and 4. Certify that FATCA code(s) entered on this form (if any) indicating that you are exempt from the FATCA reporting, is correct. Note. If you are a U.S. person and 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 to this Form W -9. Definition of a U.S. person. For federal tax purposes, you are considered a U.S. person if you are: An individual who is a U.S. citizen or U.S. resident alien, • A partnership, corporation, company, or association created or organized in the United States or under the laws of the t rnited States, • An estate (other than a foreign estate), or A dormestic trust (as defined in Regulations section 301.7701 -7). Special rules for partnerships. partnerships that conduct a trade or business in the United States are generally required to pay a withholding tax under section 1446 on any foreign partners' share of effectively connected taxable income from such business. Further, in certain cases where a Fonn W -9 has not been received, the rules under section 1,146 require a partnership to presume that a partner rs a foreign person, and pay the section 1446 withholding tax. i herefoie, if you are a U S. person that is a partner In a partnership conducting a trade or business in the Untied States, provide Form W -9 to file partnership to establish your U S status and avoid section 1446 withholding on your share of partnership Income. Cat. No 1w:31X Form W -9 (Rev d- 2() 13) L ee County Seutfuesf %loria�A License Holder BRADFORD S TRUBEY Name: Firm Name: MAC IRRIGATION Address: 15200 STE ROAD 7 DEL RAY BEACH FL 33446 LIC2010 -00003 bradt(cDsunflowerlandscapinq.net renewa Thank you for assisting Lee County Contractor Licensing in their effort to "Go Green ". Please keep this document/file in a safe place as you will not be receiving any additional copies of your license from this office. Be sure to keep your email address current with us at all times. Below please find your Lee County Certificate of Competency. This Certificate will need to be renewed yearly if you wish to perform work in Unincorporated Lee County. Renewal will begin in the middle of August of each calendar year. If you choose to place your license on inactive status please notify this office as soon as possible. Please keep yourself up to date with our departments information by periodically reviewing our website at www.lee-county.com/dcd/contractorlicensing.htm In addition to this Certificate, it is your responsiblity to maintain your worker's compensation, general liability insurance and obtain a yearly business tax receipt from the Lee County Tax Collector while performing work in Unincorporated Lee County. You may email your certificates of insurance to ContractorLicensing @Leegov.com. Our phone number is 239 - 533 -8895. Please send e-mail address and /or telephone changes to ContractorLicensing @Leegov.com IMPORTANT CHANGE PLEASE READ: In an effort to reduce costs and "go green" we will no longer be mailing renewal reminders. If you wish to receive a renewal reminder via email please provide us with your email address along with your case number LIC2010 -00003 to ContractorLicensing @Leegov.com. Re: "renewal by email'. Conditions of Certificate Renewal due for active and inactive certificate each year in September. COMP. NO. shall appear on all advertisements including vehicles reflecting a business name. Shall only contract in D /B /A name as it appears on certificate. Board of Approval required on business name changes. Cut Here LEE COUNTY CERTIFICATE OF COMPETENCY (239) 533 -8895 NAME: BRADFORD S TRUBEY D /B /A MAC IRRIGATION LICENSED FOR: Irrigation Sprinkler Cntr COMP. NO.: LS10 -00003 NOT VALID AFTER: 0913012016 Conditions of Certificate Shall maintain required insurances on active certificates. Shall inform the Contractor Licensing Office of any Address or telephone # change. Signature of License Holder fcntrlocren2 rot IRRIGATION SPECIALTY CONTRACTOR 10 -CLS- 16466 -R TRUBEY, BRADFORD S. - QUALIFYING Sunflower Landscape & Maint. Inc.dba MAC IRRIGATION 19746 BLACK OLIVE LANE BOCA RATON FL 33492 EXPIRES 08/31/2017 Bp n p D CERTIFICATE OF COMPETENCY R Y YAR Detach and SIGN f he. reverse side of this card IMMEDIATELY upon receipt! You should carry this card with you at all times. Contractor must obtain a photo I.D. Certificate of Competency Card every two years. TRUBEY, BRADFORD S. 287 SE FLAMINGO AVE STUART FL 34996 BROWARD COUNTY, FLORIDA CERTIFICATE OF COMPETENCY IRRIGATION SPECIALTY CONTRACTOR CC# 10 -CLS- 16466 -R TRUBEY, BRADFORD S. - QUALIFYING Sunflower Landscape & Maint. Inc.dba MAC IRRIGATION 19746 BLACK OLIVE LANE BOCA RATON FL 33492 EXPIRES 08/31/2017 503.207 (Rev. 1/12) PC201247908 ��r -rt2e C�nu -n� County Certification Number: 26129 Planning & Development Services Building & Code Regulation Division 2300 Virginia Ave Ft Pierce, FL 34982 Phone: (772) 462-1672 Fax: (772) 462-1148 http: / /www.stiucieco.org /planning /contract_licen.htm Trubey, Bradford S Sunflower Landscaping & Maintenance Inc Dba Mac Irrigation 15200 St Rd 7 Delray Beach, FL 33446 Class Code: IRRIGATION SPRINKLER License Type: COUNTY CERTIFICATION This Competency Card, issued by the St. Lucie County Contractor Certification Division, authorizes work for the Class Code stated, for the unincorporated areas of St. Lucie County. It does not authorize work for the City of Ft. Pierce, St. Lucie Village or the City of Port St. Lucie. It is the Contractor's responsibility to maintain this card in a current status by providing a Certificate of Insurance, current address and telephone information, and renewing this card annually as required. Wallet Contractor ID Card Cut to fit, then fold in half IDENTIFICATION CARD County Certification Number 26129 Class Code: IRRIGATION SPRINKLER This is to certify that TRUBEY, BRADFORD S, SUNFLOWER LANDSCAPING & MAINTENANCE INC DBA MAC IRRIGATION has been issued a County Certificate in St. Lucie County, beginning on 1/22/2010 and ending on 9/30/2016, unless license is revoked. I Danielle Williams - - - -- Authorized Licensing Official - - - -- �------------------------- Expiration Date: 9/30/2016 Danielle Williams ��uGZP G�nuyuw� '� Y Contractor Licensing: Contractor Fax Line: Automated Inspection Line: Inspection Line: (772) 462 -1673 (772) 462 -1148 1. (866) 284 -1280 (772) 462 -2172 •--- -- ---------- - - - - -' Martin County Building Department 900 SE Ruhnke Street Stuart, FI 34994 (772) 288 -5482 Fax (772) 419 -6935 TRUBEY, BRADFORD S SUNFLOWER LANDSCAPING AND MAINTENAN, 15200 STATE ROAD 7 DELRAY BEACH, FL 33446 NOTICE TO ALL CONTRACTORS PLEASE BE ADVISED THAT MARTIN COUNTY, FLORIDA SECTION 43.42 REQUIRES COMPLIANCE WITH THE FOLLOWING EXERPT FROM THE GENERAL ORDINANCES OF THE MARTIN COUNTY CODE: PROHIBITED ACTIVITIES: 43.42 R Advertising contracting work in any advertisement to the public in a newspaper or telephone directory without including in the advertisement the number of the contractor license issued to the person or business being advertised. 43.42S Operating any commercial vehicle in the course of conducting the practice of contracting that fails to display the contractor license number of the contractor. If you have any questions relating to the information in this letter, please contact the Martin County Contractor's Licensing Division of the Martin County Building Department. MARTIN COUNTY, FLORIDA Contractor's Licensing Certificate of Competency IRRIGATION SPRINKLERS - MC License #: MCIS02007 Expires: 09/30/2017 TRUBEY, BRADFORD S SUNFLOWER LANDSCAPING AND MAINTENAN, 15200 STATE ROAD 7 DELRAY BEACH, FL 33446 hWlsborough County Flo6da BUILDING SERVICES DIVISION CERTIFICATE OF COMPETENCY SP14180 Certificate Number Issued to: TRUBEY BRADFORD SCOTT DBA: SUNFLOWER LANDSCAPING & MAINT INC Workers' Comp: 12/26/2015 y 01/31/2017 License Expiration Date Issuing Officer CUT ALONG OUTER DOTTED LINES,FOLD ALONG THE MIDDLE DOTTED LINE, PLACE IN WALLET �-------- ------- - - - - -- -SIGN YOUR CARD----------- -- IThis card is 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 isl lost or stolen, notify the Hillsborough Co. Contractor Licensing Team immediately at (813) 535- 7308/7309. Your card must be renewed prior to the expiration date shown on the front. I S= gnature - not valid unless signed ----------------------------- -------------------------- CERTIFICATE OF COMPETENCY HILLSBOROUGH COUNTY, FLORIDA Type:IRRIGATION CONTRACTOR - REINSTATEMENT NO PERMIT UNTIL STATE REGISTERED, IF APPLICABLE SP14180 01/31/2017 Certificate No. Expiration Date Issued To: TRUBEY BRADFORD SCOTT DBA:SUNFLOWER LANDSCAPING S MAINT INC Workers'Comp: 12/26/2015 Issuing Officer --------------------------------------------------- IMPORTANT! THIS IS YOUR CERTIFICATE OF COMPETENCY PALM BEACH COUNTY, FLORIDA 1) PLEASE CHECK ALL INFORMATION TO 2) CERTIFICATE MUST BE SIGNED 3) FOLD THE CARD WHERE INDICATED ENSURE THAT IT IS CORRECT FOR EASE IN CARRYING PALM BEACH COUNTY CONTRACTORS E CERTIFICATE OF COMPETENCY CERTIFIED CONTRACTOR o N CERTIFICATE #� EXPIRATION IRRIGATION SPRINKLER U -21493 � 09130/2017 Rontp' � 2 O 4 NAME: BRADFORD S TRUBEY FEE: 250.00 FIRM SUNFLOWER LANDSCAPING & MAINTENANCE 0 a INC ISSUED BY : JGRIFFITH ON: 09118/2015 ca DBA MAC IRRIGATION ID #0502079 3 3 � N 15200 STATE ROAD 7 0 DELRAY BEACH, FL 33446 Signature: 3 Contractor Signature Required 1) PLEASE CHECK ALL INFORMATION TO 2) CERTIFICATE MUST BE SIGNED 3) FOLD THE CARD WHERE INDICATED ENSURE THAT IT IS CORRECT FOR EASE IN CARRYING Operator Qualification Card Brad Trubey Has so t illy mffggded: McELROY 00207 - Medium Diameter Operator Quaffiicabon and demonstrated an understanding and profKkwy of \�k fusion standards set forth it ATSM F2620 JAM am— y Issued Apr-16 -2015 Ou Wiotion status m valid foY Z years from the iged date I�D>�. �,f %k5 Syg s PAW BEACH COUNT, -'ONTRACTOFIS GETIE CERTIFICATE OF CMAPEIFE-NCY RWD CONTRACTOR 19 +1 UI!', _. ......._ _ --___- _.., -r.rf !"rt t'ti rin .I {l _. X`l. `. , / NAM , i E SIGNATURE: FIRPA A-ff EST: CONSTRUCTIO 6 INDUSTRY LICENSING BOARD OF PALM BEACH COUNTY PALM BEACH COUNTY CONTRACTORS CERTIFICATE OF COMPETENCY CERTIFIED CONTRACTOR s{), 20 RTIFICAT W E i"N11ty R l')ITROT NUN11 NAME SIGNATUR8, FIRM A17EST: CONSTRUCTION INPbSTRY LICENSING 130ARD OF PALM BEACH COUNTY MARTIN COUNTY, FLORIDA Construction Industry Lic Bd Certificate of Competency License: SP02007 Expires September 30, 2003 TRUBEY, BRADFORD S ROOD LANDSCAPE CO INC BOX 3768 TEQUESTA, FL 33469-0768 IRRIGATION SPRINKLERS MARTIN COUNTY CONTRACTORS CERTUICATE OP COMPETENCY BRADFORD S TRUBEY ROOD LANDSCAPE CO INC 4546 County Line Rd Jupiter FL 33469 O I owilml. S P 0 2 0 0 7 rt TransUnion. 110 k �'R' "W - * a ?w `" k t SSN: XXX -XX -7691 Your SSN has been masked for your protection. Names Reported: BRADFORD S. TRUBEY Addresses Reported: Address 287 SE FLAMINGO AVE, STUART, FL 34996 -4706 1114 NW SPRUCE RIDGE DR, STUART, FL 34994 -9516 1188 NW 13TH ST, STUART, FL 34994 -9663 Telephone Numbers Reported: (772) 220 -1692 (561) 220 -1692 Employment Data Reported: Employer Name Location SUN FLOWER LANDSCAPING DELRAY BEACH, FL PALM COAST MAINTACE PALM CITY, FL -Begin Credit Report- You have been on our files since 05/01/1987 Date of Birth: 01/31/1959 Date Reported 01/01/2001 10/0111997 Position Date Verified LANDSCAPING 01/31/2009 02/01/2000 Report Created On: 11/02/2015 File Number: 358316754 Typically, creditors report any changes made to your account information monthly. This means that some accounts listed below may not reflect the most recent activity until the creditor's next reporting. This information may include things such as balances, payments, dates, remarks, ratings, etc. The key(s) below are provided to help you understand some of the account information that could be reported. Rating Key Some creditors report the timeliness of your payments each month in relation to your agreement with them. The ratings in the key below describe the payments that may be reported by your creditors. Please note: Some but not all of these ratings may be present in your credit report. N/R X 03 Not Reported Unknown Current 90 120 COl 1111E VS RP( MJUA FC 30 days 60 days 90 days 120+ days Voluntary Repo - late late late late Collection Surrender ssession Charge Off Foreclosure Remarks Kev Additionally, some creditors may notate your account with comments each month. We refer to these creditor comments as 'Remarks'. The key below gives the descriptions of the abbreviated remarks contained in your credit file. Any remark containing brackets > < indicates that this remark is considered adverse. BAL BALLOON PAYMENT CLR CL REDUCED - COLLAT DEPRECIATN The following accounts are reported with no adverse information. For your protection, your account numbers have been partially masked, and in some cases scrambled. Please note: Accounts are reported as "Current; Paid or paying as agreed" if paid within 30 days of the due date. Accounts reported as Current may still incur late fees or interest charges if not paid on or before the due date. ABN AMRO MORTGAGE #330062714 * *** P O BOX 9438 GAITHERSBURG, MD 20898 Phone number not available Date Opened: 09/25/2002 Balance: $0 Pay Status: Current; Paid or Paying as Responsibility: Joint Account Date Updated: 10/05/2007 Agreed Terms: $610 per month, paid Account Type: Mortgage Account Payment Received: $0 Monthly for 360 months Loan Type: CONVENTIONAL Last Payment Made: 08/31/2007 Date Closed: 10/05/2007 REAL ESTATE High Balance: $99,000 MTG Page 1 of 19 S TransUnian- Mortgage Info: Freddie Mac Acct #720953283 Remarks: TRANSFERRED TO ANOTHER LENDER; TRANSFERRED TO ANOTHER OFFICE T1 /200 10 @bOd ` -- 09l211bQ OBl2D60 Q7l1OU y i i 06/2bQ0� r 05/00 4 t bM2008F 02006 s 101: #442710301757 "' r�Q;. O R . .�.. SN': ,.3.. .�....._ , ems, + " uSR ,, '€, r:�"•;: X P`3 p r' •` A i Pic �i da� n f� O�b a J 0�l2Dd1 r 07l'IOQ�� b 04/2adi b ?fi , R1 6�r 4 01107/2003 Balance: Responsibility: Joint Account Date Updated: 03/08/2007 Agreed Account Type: Revolving Account Payment Received: $2 Date Paid: 02/13/2007 Loan Type: CREDIT CARD T1 /200 10 @bOd ` -- 09l211bQ OBl2D60 Q7l1OU y i i 06/2bQ0� r 05/00 4 t bM2008F 02006 s 101: I Rating I OK I OK I OK I OK I X I OK I OK I X I X I OK a tl u' k f�5l2b4 0413004M I)3/2b0a 02/20044; r 011YOQ� 9 '. 12120 43 i y x111200 10/2003 09 /2QOS:r r OYQ03 J _. v.. Rating I OK I OK I OK I OK I OK BANK OF AMERICA #442710301757 "' r�Q;. O R . .�.. ! a2�... ,.3.. .�....._ , ems, + OB/2 W200 ux r� 0.4* 100 EL PASO, TX 79998 I Rating I OK I OK I OK I OK I X I OK I OK I X I X I OK a tl u' k f�5l2b4 0413004M I)3/2b0a 02/20044; r 011YOQ� 9 '. 12120 43 i y x111200 10/2003 09 /2QOS:r r OYQ03 J _. v.. Rating I OK I OK I OK I OK I OK BANK OF AMERICA #442710301757 "' r i Q i a 3a 73 �,r s r }''� � ^�".'' �. i i 3 '� 0/ r s %� Y � � s '. s' +sr {IwC ".zFSt •°�'' f3 b ) rr � ,�, a Q�Zb� k r i> � �" d Q r1O' i T r� PO BOXZ 982238 . �+ r EL PASO, TX 79998 (800) 421 -2110 Date Opened: 01107/2003 Balance: $0 Pay Status: Current; Paid or Paying as Responsibility: Joint Account Date Updated: 03/08/2007 Agreed Account Type: Revolving Account Payment Received: $2 Date Paid: 02/13/2007 Loan Type: CREDIT CARD Last Payment Made: 02/13/2007 High Balance: $3,544 Credit Limit: $5,000 Remarks: ACCOUNT CLOSED BY CONSUMER 7-10722 � Q6'�Z- TY�tt"°0W0 ..S # s f { r i Q i a 3a 73 �,r s r }''� � ^�".'' �. i i 3 '� 0/ r s %� Y � � s '. s' +sr {IwC ".zFSt •°�'' f3 b ) rr � ,�, a Q�Zb� k r i> � �" d Q r1O' i T r� �3?• 0 pQs . �+ r 0412�.d0 i Q416f 3J2Q08e fiaQ #12bOt T 121�1OQ5' N1/2604 1t�40 Ofif005t` X0s3 8 /'ds" b012 • t' �d '- .�` d- P .g� e Js a a s 4 Q z 021800' T. d� 1J �+ r e i Fr`,, y'7" -i °,:. t W " ,e a. 'T° p °� u , 7 i•s - P ai i 'd ofi'- H 5.t a3 �,a; *' rFy „� dBMl�iif ofld� g612 b�/2tC1 bM2�t04p�" D312Uff 021b0ti s; "?�� ( ?gts ° &� .w .�. t;.d. sa s. ? _ s;%.... v �..,..rY,�s.. 'r--''z — :I _� S_.:a�, R� ..x.,." ,su. u3'.r a^fu -t�. a.... '� Z"' " "5 r3: - ....,2. La Page 2 of 19 u Transunion. Pay Status: Current; Paid or Paying as Agreed Terms: $986 per month, paid Monthly for 60 months i rs Rating .: OK "OK OK BMW FINANCIAL SERVICES #100127** ** P O BOX 3608 Balance $19,222 DUBLIN, OH 43016 $20,156 $21,095 (800) 578 -5000 $22,953 $33,050 Date Opened: 06/23/2011 Date Updated: 10/15/2015 Responsibility: Joint Account Payment Received: $986 Account Type: Installment Account Last Payment Made: 09/04/2015 Loan Type: AUTOMOBILE $18,282 High Balance: High balance of $54,955 from 05/2013 to 06/2014; $54,955 from 08/2014 to 10/2015 Pay Status: Current; Paid or Paying as Agreed Terms: $986 per month, paid Monthly for 60 months T 7 9 4� i rs f s si .: ,� �t. Y. Balance Balance $19,222 $29,412 $20,156 $21,095 $22,027 $22,953 $33,050 $23,886 Balance $9,720 $10,681 $11,636 $12,595 $13,547 $14,497 $15,447 $16,397 $17,341 $18,282 Scheduled $986 $986 $986 $986 $986 $986 $986 $986 $986 $986 Payment Amount Paid Amount Paid $986 $986 $986 $986 $986 Amount Paid $986 $986 $986 $986 $986 $986 $1,972 $986 $986 $986 Past Due $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Rating OK OK OK OK OK OK OK OK OK OK T 7 9 4� i rs f s si .: ,� �t. Y. Balance Balance $19,222 $29,412 $20,156 $21,095 $22,027 $22,953 $33,050 $23,886 $25,734 $25,734 $26,657 Scheduled $986 $986 $986 $986 $986 $986 $986 $986 $986 $986 $986 Payment Amount Paid Amount Paid $986 $986 $986 $986 $986 $986 $986 $986 $986 $986 $986 Past Due $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Rating OK OK OK OK OK OK OK OK OK OK OK T 7 9 4� i rs f s si .: ,� �t. Y. Balance $27,582 $28,493 $29,412 $30,326 $31,233 $32,145 $33,050 $33,952 $34,856 $35,748 Scheduled $986 $986 $986 $986 $986 $986 $986 $986 $986 $986 Payment Amount Paid $986 $986 $986 $986 $986 $986 $986 $986 $986 $986 Past Due $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Rating OK OK OK OK OK OK OK OK OK OK T 7 9 4� i rs f s si .: ,� �t. Y. �. 3 .r£ V211 1 eenx.�tY .6"4^5.,... .�eyE. 3- $vNUY��y4'�?`� t ��"?•�.�ie�h" .M+;Fi� yf'�V?53�, aac �a s'*1 ,`:!. Page 3 of 19 u TransUnivn. �x�r - Balance � i ,` $57,352 Rating— OK X �. i '... $58,780 BMW FINANCIAL SERVICES #100187 * * ** �: i c'. $59,477 P O BOX 3608 i � i. DUBLIN, OH 43016 ` :.,w ',.. (800) 578 -5000 $60,904 Date Opened: 05/10/2014 Date Updated: 10/15/2015 Pay Status: Current; Paid or Paying as Responsibility: Joint Account Payment Received: $0 Agreed Account Type: Installment Account Last Payment Made: 08/24/2015 Terms: $869 per month, paid Loan Type: AUTOMOBILE Monthly for 60 months High Balance: High balance of $67,795 from 08/2014 to 10/2015 $869 Special Payment: Balloon payment of $23,135 due on 05/24/2019 $869 �x�r - Balance � i ,` $57,352 i.. a :.: $58,064 �. i '... $58,780 i � $59,477 �: i c'. $59,477 �:. i .,.. i � i. � w•.:'. ` :.,w ',.. +. ' l.. $60,904 $61,623 $62,318 $62,318 $63,724 Scheduled Payment $869 $869 $869 $869 $869 $869 $869 $869 $869 $869 Amount Paid $0 $0 $869 $0 $1,738 $0 $869 $0 $869 $869 Past Due $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Remarks BAL BAL BAL BAL BAL BAL BAL BAL BAL BAL Rating OK OK OK OK OK OK OK OK OK OK � � 1 V 1 f 9+ ib7 I,�. 3 �'+1 i if .. `r d`Y{ as2oi a, fw C'P `� 0261 PJt fi 5� DG/ .�, (800) 578 -5000 Date Opened: 01/31/2009 Balance: $0 Responsibility: Primary Borrower on Date Updated: 06/30/2011 Account Payment Received: $29,828 Account Type: Installment Account Last Payment Made: 06/30/2011 Loan Type: AUTOMOBILE High Balance: $52,277 BMW FINANCIAL SERVICES #100079 * * ** P O BOX 3608 - DUBLIN, OH 43016 (800) 578 -5000 Date Opened: 01/31/2009 Balance: $0 Responsibility: Primary Borrower on Date Updated: 06/30/2011 Account Payment Received: $29,828 Account Type: Installment Account Last Payment Made: 06/30/2011 Loan Type: AUTOMOBILE High Balance: $52,277 Remarks: CLOSED Pay Status: Current; Paid or Paying as Agreed Terms: $938 per month, paid Monthly for 60 months Date Closed: 06/30/2011 Page 4 of 19 - on ° ai.A.. Page 4 of 19 u TransUnion. BMW FINANCIAL SERVICES #100011** ** �. Date Updated: DUBLIN, OH 43016 Payment Received: (800)578 -5000 Last Payment Made: Date Opened: 07/16/2002 Responsibility: :- Date Updated: Account Account Type: Installment Account BMW FINANCIAL SERVICES #100011** ** P O BOX 3608 Date Updated: DUBLIN, OH 43016 Payment Received: (800)578 -5000 Last Payment Made: Date Opened: 07/16/2002 Responsibility: Co- Signor on Date Updated: Account Account Type: Installment Account Loan Type: AUTOMOBILE Remarks: CLOSED ;'�2��ffc3x.$t Balance: $0 Date Updated: 07/31/2007 Payment Received: $948 Last Payment Made: 07/30/2007 High Balance: $48,510 Pay Status: Current; Paid or Paying as Agreed Terms: $939 per month, paid Monthly for 60 months Date Closed: 07/31/2007 to �hr 7 0�2�t 051P10 "; ft4E20� 5 r� 0 2Wh.. sx a2(2�p c OY72' 13/20A 7/40 1�Oiir1t a a._t as ° � 9TR ,,.:t <. 0 ��i $t„k. ?' ^'�. € i !...,y' f {►1 x Dti 7'- J trek'- 3sx k'L .dr: _i i3 M y ; t' 'Ft'� T3 F� t?'+t cf 05/20 I DAdI${� 03/200 �'YVti. �aT 3�d A'rA `� 0212W 01 �ltG i r Date Opened: 08/26/2007 Balance: 5 €"i woo G$12U0, s OT1 �i0� ,; 0 111 a OS121�f OM 00 r 03/ Od } g 0�/2d0' ; , y 0Ir r' tw, 121Z�07 r a . 1112D04 10/2004 , .: lq)j,. ?.,Px. A� t`N' zY. i.•fx%wx� e..+�..h .s.6T *'� Fes... L .a�..,. �a ter" ,s�.s.b7, '+ 0$ bD �xd '0(Jibk` -: .e Kx._Cl�%Lr l-- - _,, r ;.l < " +Fa ., 07T2 O 05/2b0l� ^l%if+.ry_...NS .fcl °,wn`.a � ,s, _._ti _�. .. �ei4k €'f ::€` fiFtrf 9 v Od/2t10e i �N1i. .Y."W ... H.:::., ,1 €� , 031200' �1Yi,e., -r lfi�,'n9l �X'�i (800) 336 -6675 Date Opened: 08/26/2007 " 3 o HM V os/2a do3h rroz S F ott�l " 712gf 1 o CX > atls D a 'p, a: oe e 12 CHASE AUTO FINANCE #1072351421 * * ** PO BOX 901003 FORT WORTH, TX 76101 -2003 (800) 336 -6675 Date Opened: 08/26/2007 Balance: Responsibility: Joint Account Date Updated: Account Type: Installment Account Payment Received: Loan Type: AUTOMOBILE Last Payment Made: High Balance: Remarks: CLOSED $0 03111/2009 $31 03/11/2009 $57,515 Page 5 of 19 Pay Status: Current; Paid or Paying as Agreed Terms: $1,080 per month, paid Monthly for 63 months Date Closed: 03/11/2009 TransUniQn_ `�.y ° -�:.T ', f gy .�t ^P.jT f CC,�..,N- y'"xA '%� ^•a•,.: ( P' ✓ifs';k. �:rr.:4A -. 7� FFF ;_�A' ?/c�'91..T$�y"nu 4��3k �^�''*%rF 7 "j�a'��`yt'pfij�'Y J.:x+ar =1' 8�'�,;FP1 T��.�'C�J�3�?`: lo-i`�ir,+k`n �F {Si�j,. �Y r x. Au .3.byn ,y•. I qq 1 yN�. 'Fi' i r.{�,y� i �I x;;41. !n*t ta`tJ ..� /R;iSI+� }I d �y��aa°q � �Y�a�9S� a. (l� �{b"S`My 11 45^�o�F*FTi Responsibility: Joint Account Date Updated: Account Type: �`$�' I Y4 "�` 't/� � � � y r:� ""�, � �'t'�'� "ib �` f fiyt7�y ,tt' X 4 iq��j�� � 1 'I G4n£!'"^�i :�!,"[': 3 "" �A�AX ' } "6' -• /� F /•�/�.�i, � p5'/ .$. �y5{ Monthly for 360 months Q����K �✓'t+yP#O .�. t..�R��.a: o�} M y,fk d �y��aa°q � �Y�a�9S� a. (l� �{b"S`My 11 45^�o�F*FTi Responsibility: Joint Account Date Updated: Account Type: Mortgage Account Payment Received: Loan Type: CITIMORTGAGE INC #62714 * * ** 06/30/2009 PO BOX 6243 $89,653 Terms: $609 per month, paid SIOUX FALLS, SD 57117 -6243 Monthly for 360 months (800) 283 -7918 Date Closed: 06/30/2009 (216) 515 -6000 Date Opened: 09/25/2002 Balance: Responsibility: Joint Account Date Updated: Account Type: Mortgage Account Payment Received: Loan Type: CONVENTIONAL Last Payment Made: REAL ESTATE High Balance: MTG Mortgage Info: Freddie Mac Acct #000720953283000000 Remarks: CLOSED $0 Pay Status: Current; Paid or Paying as 06/30/2009 Agreed $89,653 Terms: $609 per month, paid 2009 05/28/0 05/28/ Monthly for 360 months COLUMBUS, OH 43235 -5617 Date Closed: 06/30/2009 Rating I OK I OK I OK I OK I OK I OK I OK I OK I OK I OK I A 'bqx >€3 Jlh �r o .. d 05120040, a .: oaz4 k 64 41", �2r o€ d 8 HUNTINGTON NTL BK LEASNG #1500052 * *** F• ar Pay Status: Current; Paid or Paying as Rating OK Agreed HUNTINGTON NTL BK LEASNG #1500052 * *** 7450 HUNTINGTON PARK DR for 49 months Date Closed: 07/31/2007 COLUMBUS, OH 43235 -5617 UM� (216) 515 -6000 �.,. Date Opened: 07/24/2003 Balance: Responsibility: Joint Account Date Updated: Account Type: Installment Account Payment Received: Loan Type: AUTO LEASE Last Payment Made: �H S ., I I High Balance: Remarks: FULL TERM INATION /OBLIG SATIS, CLOSED $0 Pay Status: Current; Paid or Paying as 07/31/2007 Agreed $0 Terms: $0 per month, paid Monthly 5I2007 10I2 5/2 for 49 months Date Closed: 07/31/2007 $28,822 UM� �'� i '40 � n� �r4 Rli �i� .assY�.s ,..£.....$3 -�.,'i .,ffi¢��t$ Em �_ r �ru �.,s„y l 7:,: s :. �M .f is ht.�.'eL.. UM� Page 6 of 19 '40 � n� �r4 Rli �i� .assY�.s ,..£.....$3 -�.,'i .,ffi¢��t$ 1e. K.�PUli�r`^ �'[` n 5: �aKr S yY�(G � UM� �.,. Page 6 of 19 1e. K.�PUli�r`^ �'[` n 5: �aKr S yY�(G � UM� �.,. ._33E - � ^`i_�a 1.. � �F ..� 5'6�YftdM1 25 Sir„ 1±Yw. Z W [ W ,J�.' .i. .lr�. a -1�'S' �. &.lY a 3.�.u'A1Cn �H S ., I I Page 6 of 19 TransUnion. u � 8 Y` A 7F °Zy i� ✓�i7 1 � z Jd,x . ,�T y 3� 1� .,,i"y yt 6"; nF� `�Fi �. 7 1 { �F., 1 � Y , 09I)F�a� 081 0 �'" ;,« d ,r.i ks .Y.. -a,r . .« .�,,! ... S :. ,lo.J, t .: F. 6F} L��' � ". , - ,. �d�'°''�L�'� �. ,h i95�i�'Z � D4fi y / b� A ;.-'., ,. Y W. t r,�•.: A� �.• .: >s�,4 ,�E94. esry{ S^�Ri �M 4+..;" ,i 04/ 4 � f : _. .. 5.....�r „I �`t't � .OyF ^,� o. s�: �A.�c^. Date Opened: 06/09/2010 Date Updated: 10113/2015 Pay Status: Current; Paid or Paying as Responsibility: Individual Account Payment Received: $173 Agreed Account Type: Revolving Account Last Payment Made: 10/02/2015 Terms: Paid Monthly NORDSTROWDBANKUSA #830623 * * ** y�'Af �rr T� 4 .Xa )„ PO BOX 13589 SCOTTSDALE, AZ 85267 Yom- 4�^_.sd�:.. (800) 964 -1800 ^,� o. s�: �A.�c^. Date Opened: 06/09/2010 Date Updated: 10113/2015 Pay Status: Current; Paid or Paying as Responsibility: Individual Account Payment Received: $173 Agreed Account Type: Revolving Account Last Payment Made: 10/02/2015 Terms: Paid Monthly Loan Type: CHARGE Date Paid: 10/02/2015 ACCOUNT ® High Balance: High balance of $202 from 05/2013 to 09/2013; $273 from 10/2013 to 1012013; $300 from 1112013 to 06/2015; $399 from 07/2015 to 10/2015 ® Credit Limit: Credit limit of $1,500 from 0512013 to 1012015 ® Page 7 of 19 y�'Af �rr T� 4 .Xa )„ idr2pts�' {a.la;� oarzi;r�, ¢- �t Yom- 4�^_.sd�:.. b�y�. _k ^,� o. s�: �A.�c^. Qa/2Qts�t t. a+l,...x. o3yi'' k �.. Ode P� 91 Y.;, 5; -" ® ® ® ® ® ® ® ® ® I1M20tb� ®® ® ® ® ® ® ® ® ® ® ®® Page 7 of 19 08/2914..,. 67�2+�1�r, `�.. �_� ^...,_n.� 5u, , ��244�..._`` `. i3 /20'C� a101701d 09/2�1� ��M _' �, ,QB/���"�;',;A "f, �012Q$ „� I1M20tb� �Q�tt�•, Page 7 of 19 D TransUnlon- *.4,� 4801 FREDERICA ST y nf s� s.�'z� '� � � " .k ^'�, + , ' ^ed L`">��1xri: (800) 365 -7772 y � r : ? r.�y;z .�t,�. �i", �*Ta 115@41 Account Type: Mortgage Account Last Payment Made: � � u d � d � h� �� � sdjG � '.,� t $115,078 Scheduled $648 . .� ,.s-h >E . :S:. ,�'ktr���.�a� . w4 t 4 vfi�'�„• s+av�2 a , ; �� z'%- n �': .' ,:Y�k + 6;�� '.S. x yes �x , .A tkf �,s,�yy�e , ) ' S .�.'' ,",F - Payment $649 to /20 > o9isatoY ,; { 09/21 o7/2b1A 08/441 US BANK HOME MORTGAGE #515685016' 4801 FREDERICA ST OWENSBORO, KY 42304 (800) 365 -7772 Date Opened: 06/2912009 Date Updated: Responsibility: Joint Account Payment Received: Account Type: Mortgage Account Last Payment Made: Loan Type: CONVENTIONAL $113,978 REAL ESTATE $114,420 MTG Mortgage Info: Freddie Mac ID #100105600026998269 Acct #586803807 10/05/2015 Pay Status: Current; Paid or Paying as $650 Agreed 09/3012015 Terms: $648 per month, paid Monthly for 360 months Page 8 of 19 Balance $113,307 $113,755 $113,978 $114,199 $114,420 $114,641 $116,797 $115,078 $115,296 Scheduled $648 Scheduled $648 $649 $649 $649 $649 $649 $649 $649 Payment $649 $649 Payment Amount Paid $650 $650 $650 $650 $650 $650 $650 $650 $650 Past Due $0 $0 $0 $0 $0 $0 $0 $0 $0 High Balance $128,000 $0 $128,000 $128,000 $128,000 $128,000 $128,000 $128,000 $128,000 $128,000 Rating OK N/R OK OK OK OK OK N/R OK OK Page 8 of 19 Balance $115,729 $115,944 $116,158 $116,585 $116,797 $117,008 $117,218 $117,428 Scheduled $649 $649 $649 $649 $649 $649 $649 $649 Payment Amount Paid $650 $650 $650 $650 $650 $650 $650 $650 Past Due $0 $0 $0 $0 $0 $0 $0 $0 High Balance $128,000 $128,000 $128,000 $128,000 $128,000 $128,000 $128,000 $128,000 Rating N/R OK OK OK N/R OK OK OK OK OK Page 8 of 19 DU TransUnion, I aG `b1r' 7J, B :7, 3 .`t.J�ai rr o3r�41 Qa21� ° ¢172(it31 �� 11rzai lbrzoi ogl3�i oar2a12 F 'gpv jq RM a Z Ye - 3 „ Ott t ^ Y , '� 4Q# SfC Y :4: A 4 5 .' , o4r U o3/2Q1 o ° jQ $118,465 $118,670 $118,874 $119,077 $119,280 $119,482 Balance $117,637 $117,845 $118,052 $118,259 Scheduled Payment $649 $649 $649 $649 $649 $649 $649 $649 $649 $649 Amount Paid $650 $650 $650 $650 $650 $650 $650 $650 $650 $650 Past Due $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 High Balance $128,000 $128,000 $128,000 $128,000 $128,000 $128,000 $128,000 $128,000 $128,000 $128,000 Rating OK OK OK OK OK OK OK OK OK OK I aG `b1r' 7J, B :7, 3 .`t.J�ai rr o3r�41 Qa21� ° ¢172(it31 �� 11rzai lbrzoi ogl3�i oar2a12 F 'gpv jq RM a Z Ye - 3 „ Ott t ^ Y , '� 4Q# SfC Y :4: A 4 5 .' , o4r U o3/2Q1 o ° jQ 11io11 " y`E d$i 07/201 �6120tF ,y K y 02201051201 01/20101C j 121200 i 1jf2i,.A. ' Sti 10 /201a r y .0�17Q1t� t f Q81D14P/ 3; Q7/20it7' OB(201� 5 OSf2g10 �t412Q1Qh J 03/2011h' 02/x010' Q3�2rdjA „• se• r er•,. Rating OK OK OK USAA SAVINGS BANK #552313012577-- 10750 MCDERMOTT SAN ANTONIO, TX 78288 (800) 922 -9092 Date Opened: 01/15/2013 Date Updated: 10/2612015 Pay Status: Current; Paid or Paying as Responsibility: Joint Account Payment Received: $3,000 Agreed Account Type: Revolving Account Last Payment Made: 10/09/2015 Terms: $66 per month, paid Monthly Loan Type: FLEXIBLE SPENDING CREDIT CARD Credit Limit: Credit limit of $7,000 from 05/2013 to 02/2014; $8,400 from 03/2014 to 04/2015; $10,100 from 05/2015 to 10/2015 Page 9 of 19 $5,201 $2,144 $7,821 $3,061 $1,916 $4,279 $3,393 $1,801 $2,290 Balance $3,076 Scheduled $66 $84 $21 $78 $54 $19 $70 $34 $18 $40 Payment Amount Paid $3,000 $0 $7,821 $3,061 $0 $4,279 $2,500 $1,801 $2,290 $0 Past Due $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 High Balance $10,883 $10,883 $10,883 $10,883 $6,892 $6,892 $6,892 $6,892 $6,892 $6,892 Rating OK OK OK OK OK OK OK OK OK OK Page 9 of 19 Da TransUnion. Y 11A "Al 111�1111jljl ! t 1 1 1 1 6 1 1=$1,836$6,445 Rating OK OK $1,599 $318 Balance $1,588 $1,766 $1,774 Balance $86 $3,635 $4,320 Scheduled Payment $15 $16 $1,940 $134 $15 $15 $5,934 $1,170 $2,671 $3,038 Amount Paid Scheduled $15 $60 $55 $86 $4,478 $2,599 $19 $15 $406 Past Due $59 Payment $0 $0 $0 $0 $0 $0 $0 $0 High Balance $4,363 $4,363 Amount Paid $2,671 $2,500 $0 $3,088 $100 $4,330 $134 $1,836 $7,445 $1,000 $1,080 Past Due $0 $0 $0 $0 $0 OK $0 $0 $0 $0 $0 High Balance $6,892 $6,892 $6,892 $6,892 $6,892 $6,892 $6,892 $6,892 $6,445 $5,934 Rating OK OK OK OK OK OK OK OK OK OK Y 11A "Al 111�1111jljl ! t 1 1 $1,080 `N, ,p: �{fa � /:Yy�ry�by e, n� 0 A j -�F�,-�(�5rt, r '3��L } a ( 81 c VFIf. #Y+ V i/i�y \S9�Z "' I aY^S..':..i,.xr�,.- /�ta'Ya.. _..5�.s.::: . rl.u_nr aiaL .al•,�i"'i� .€ p f N'W � ` f. i'L3+. ax 1" .> K 3i f y�lr�..",_,.< Rating OK OK $1,599 $318 Balance $1,588 $1,766 $1,774 $1,345 $86 $3,635 $4,320 Scheduled Payment $15 $16 $18 $18 $15 $15 $67 $69 $16 $15 Amount Paid $1,588 $1,766 $1,774 $3,136 $86 $4,478 $2,599 $0 $318 $406 Past Due $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 High Balance $4,363 $4,363 $4,363 $4,363 $4,363 $4,363 $4,330 $4,330 $4,330 $4,330 Rating OK OK OK OK OK OK OK OK OK OK Y 11A "Al 111�1111jljl ! t 1 1 i t 11 `N, ,p: �{fa � /:Yy�ry�by e, n� 0 A j -�F�,-�(�5rt, r '3��L } a ( 81 c VFIf. #Y+ V i/i�y \S9�Z "' I aY^S..':..i,.xr�,.- /�ta'Ya.. _..5�.s.::: . rl.u_nr aiaL .al•,�i"'i� .€ p f N'W � ` f. i'L3+. ax 1" .> K 3i f y�lr�..",_,.< Rating OK OK OK OK 9'n. P . + »,vs: ,jv'�.d.��'��'��X we f 'iT' • i USAA SAVING BANK #374355001472 **'* 10750 MCDERMOTT SAN ANTONIO, TX 78288 (800) 922 -9092 Date Opened: 03123/2010 Balance: $0 Pay Status: Current; Paid or Paying as Responsibility: Joint Account Date Updated: 12/1812013 Terms: Agreed Paid Monthly Account Type: Revolving Account Payment Received: $0 Date Closed: 007/2013 Loan Type: CREDIT CARD Last Payment Made: Y 02/07/2013 Date Paid: 022//07/2013 High Balance: $5,351 Credit Limit: $5,000 Remarks: ACCOUNT CLOSED BY CONSUMER; CLOSED YY.. .i. �Pry'y :Y•'yit�?}''r �' ,i fiqqrii"u��,,�:Q L.S2`aifbr�+ssi.FL k2a £ iy- �� -yys ` ry9 �h�y y I�t �{' -n y `,.jry' .+ '[[1'Y fi i/LV4 !'Fh '1'III.� i AY/ `5 �l IF Y�I w 3. �::..�+2 s.��.3:z t.a`Ea 1Y:r'µ ✓.i' - Ai`�I_�'"�.a31sa `N, ,p: �{fa � /:Yy�ry�by e, n� 0 A j -�F�,-�(�5rt, r '3��L } a ( 81 c VFIf. #Y+ V i/i�y \S9�Z "' I aY^S..':..i,.xr�,.- /�ta'Ya.. _..5�.s.::: . rl.u_nr aiaL .al•,�i"'i� .€ p f N'W � ` f. i'L3+. ax 1" .> K 3i f y�lr�..",_,.< j+i"�A'st* > ' "-.t T RUN'. 9'n. P . + »,vs: ,jv'�.d.��'��'��X we f 'iT' • i ,. 3 YY.. .i. �Pry'y :Y•'yit�?}''r �' ,i fiqqrii"u��,,�:Q L.S2`aifbr�+ssi.FL k2a £ iy- �� -yys ` ry9 �h�y y I�t �{' -n y `,.jry' .+ '[[1'Y fi i/LV4 !'Fh '1'III.� i AY/ `5 �l IF Y�I w 3. �::..�+2 s.��.3:z t.a`Ea 1Y:r'µ ✓.i' - Ai`�I_�'"�.a31sa `N, ,p: �{fa � /:Yy�ry�by e, n� 0 A j -�F�,-�(�5rt, r '3��L } a ( 81 c VFIf. #Y+ V i/i�y \S9�Z "' I aY^S..':..i,.xr�,.- /�ta'Ya.. _..5�.s.::: . rl.u_nr aiaL .al•,�i"'i� .€ p f N'W � ` f. i'L3+. ��.�a},,_ Page 10 of 19 T k 7 t. ]'n '4,� A..'.�^ ��.�a},,_ x°s�!j m1d.�o'� ,. 3 Page 10 of 19 u TransUnion. Current; Paid or Paying as Agreed $81 per month, paid Monthly Balance $8,111 Rating OK OK OK OK $2,929 $5,163 $4,493 USAA SAVINGS BANK #549123734015** ** $8,931 10750 MCDERMOTT FWY Scheduled Payment FWY $17 SAN ANTONIO, TX 78288 -1600 $108 (800) 922 -9092 $52 Date Opened: 01/15/2013 Date Updated: 10/11/2015 Pay Status: Responsibility: Joint Account Payment Received: $4,701 Terms: Account Type: Revolving Account Last Payment Made: 10/09/2015 Loan Type: CREDIT CARD $4,929 Credit Limit: Credit limit of $7,000 from 05/2013 to 11/2013; $13,000 from 12/2013 to 02/2015; $16,300 from 03/2015 to 10/2015 Current; Paid or Paying as Agreed $81 per month, paid Monthly Balance $8,111 $1,701 $6,945 $6,669 $2,929 $5,163 $4,493 $5,317 $8,931 $10,682 Scheduled Payment $81 $17 $128 $108 $46 $52 $95 $150 $182 $172 Amount Paid $4,701 $9,658 $4,929 $2,000 $5,000 $4,500 $5,000 $3,000 $4,700 $5,000 Past Due $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 High Balance $14,059 $14,059 $14,059 $14,059 $14,059 $14,059 $14,059 $14,059 $14,059 $14,059 Rating OK OK I OK I OK OK OK OK OK OK OK Balance $6,648 $9,832 $5,708 $6,512 $3,943 $8,089 $3,986 $8151 $1,492 $7,409 Scheduled Payment $66 $174 $107 $104 $39 $81 $40 $15 $15 $118 Amount Paid $12,000 $1,000 $6,000 $2,000 $9,000 $8,815 $815 $6,492 $9,230 $0 Past Due $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 High Balance $10,647 $10,0121 $10,0121 $10,012 $10,012 $8,769 $8,769 $8,769 $8,769 $7,527 Rating OK OK OK OK OK OK OK OK OK OK i 1 *t,. Page 11 of 19 $1,378 T $677 $1,032 $3,861 $815 Balance $2,595 $5,865 $4,403 $6,524 $2,103 Scheduled Payment $26 $37 $44 $106 $21 $15 $15 $15 $39 $15 Amount Paid $5,695 $0 $8,800 $0 $3,728 $3,564 $2,764 $0 $2,000 $2,271 Past Due $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 High Balance $7,527 $7,527 $7,527 $6,524 $5,699 $5,699 $5,699 $5,699 $4,002 $4,002 Rating OK OK OK OK OK OK OK OK OK OK i 1 *t,. Page 11 of 19 TransUnion, USAA SAVINGS BANK #8497 * *** 10750 MCDERMOTT FWY SAN ANTONIO, TX 78244 (800) 531 -2265 x68034 Date Opened: 06/04/2007 Date Updated: 09/30/2015 Responsibility: Joint Account Payment Received: $500 Account Type: Line of Credit Last Payment Made: 08/28/2015 Account Loan Type: HOME EQUITY LOAN High Balance: High balance of $89,746 from 05/2013 to 11/2013; $89,746 from 01/2014 to 09/2015 Credit Limit: Credit limit of $81,200 from 05/2013 to 11/2013; $81,200 from 01/2014 to 09/2015 Pay Status: Current; Paid or Paying as Agreed Terms: $125 per month, paid Monthly Balance $63,990 $64,369 $64,570 $65,068 $65,573 $66,270 $66,474 $66,562 Balance $66,675 $66,545 Scheduled Payment $125 $126 $123 $128 $125 $129 $117 $129 $129 $125 Amount Paid $500 $326 $623 $628 $825 $329 $217 $229 $0 $255 Past Due $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Remarks CLR CLR CLR CLR CLR CLR CLR CLR CLR CLR Rating OK OK OK OK OK OK OK OK OK OK Page 12 of 19 ; -. ,�yt y * #� -'g t�'�' NOW r 7tngt �. �orsd�� i E� 9Mfi r&. .a aZv�° tr,�, " Balance $66,671 $66,676 $67,172 $67,177 $67,678 $67,676 $68,683 $69,679 $69,686 $70,548 Scheduled Payment $130 $126 $131 $132 $129 $135 $131 $137 $126 $139 Amount Paid $130 $626 $131 $632 $129 $1,135 $1,131 $137 $1,000 $1,150 Past Due $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Remarks CLR CLR CLR CLR CLR CLR CLR CLR CLR CLR Rating OK OK OK OK OK OK OK OK OK OK Page 12 of 19 ; -. ,�yt y * #� -'g t�'�' NOW r 7tngt �. �orsd�� i E� 9Mfi r&. .a aZv�° tr,�, " Page 12 of 19 D' TransUnian. Rating I OK I OK I OK I OK I OK I OK I OK I OK I OK I OK ':T �}" }t y.6a_.x „yxisrat, arts... t'Y * '. 5� .: t: ... ;a ,_, h� ....,k � T _ •�. ..>t -II f '�1{t� ✓ +2'• 1 �._ ��r�.a,`�:. �u'�' t *�f ., ,....t ..� <.._a t'- U �jl S .., t 1 4.� Ej ryxRF ., _.., 1, ..... ..._>t' dy.s�,- p �.4{ .aE�".as,w _.1„ la ►2bii io�2q� ; .._a „a 1gI:1L, Rating OK OK OK �'�. �N �.�°,,><.3r.,5 MAN w ,�..,.. 8��,� 5.ee 4u ✓.. � �''� �iA�«. �,�. USAA SAVINGS BANK #549123731888*" ** Rating I OK I OK I OK I OK I OK I OK I OK I OK I OK I OK ':T �}" }t y.6a_.x „yxisrat, arts... t'Y * '. 5� .: t: ... ;a ,_, h� ....,k � T _ •�. ..>t -II f '�1{t� ✓ +2'• 1 �._ ��r�.a,`�:. �u'�' t *�f ., ,....t ..� <.._a t'- U �jl S .., t 1 4.� Ej ryxRF ., _.., 1, ..... ..._>t' dy.s�,- p �.4{ .aE�".as,w _.1„ ' #53 , ., Rating I OK I OK I OK I OK I OK I OK I OK I OK I OK I OK 3 �S ��, ."*rv�G` n rya ' #53 , ., ; .._a „a 1gI:1L, Rating OK OK OK USAA SAVINGS BANK #549123731888*" ** 10750 MCDERMOTT FWY FWY SAN ANTONIO, TX 78288 -1600 (800) 922 -9092 Date Opened: 1110911988 Balance: $0 Pay Status: Current; Paid or Paying as Responsibility: Joint Account Date Updated: 11/10/2013 Terms: Agreed Paid Monthly Account Type: Revolving Account Payment Received: $0 Date Closed: 02/27/2013 Loan Type: CREDIT CARD Last Payment Made: 02/15/2013 Date Paid: 02I15I2013 High Balance: $17,922 Credit Limit: $15,000 Remarks: ACCOUNT CLOSED BY CONSUMER; CLOSED t2 s� c f r r f �_1 i0iiy OII7Ai3r G 08I2013�K 01704 r,3 .:,. x -. �r'a' ?;.$� it �S ��, ."*rv�G` n rya ' #53 , ., ; .._a „a 1gI:1L, �,• .' *� y,s tfR"r—a>r �. x5vr �a ilw 0?Jaf2� `a i'12o� 11i20�'a 10� :3 ¢t21ii 1 Otll�gii,' ai4� *'s aa� . d_?` z.,...zd- ?a31._:. ..,- s.�"va.: v;?m 'f m ,. ¢ ag "+.y�i ��� � �.. � lev,s A ,�q��^�y�q .��,{ y+•' .'�-c �i��'p t.yY/���'�” +a u x�-- qp�,y�+��" 'ro'�.,xa3j?' -�s L, "Oil, �' 4 q' 'i' ti a .a.51� §a 8E3 dA ,+• ¢xi /. 9 ''��[ V tl �4'+i �}}!! 7(+!'Y� f� it .: �"}`: . 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USAA SAVINGS BANK #549123712157** ** 10750 MCDERMOTT FWY SAN ANTONIO, TX 78288 -1600 FWY SAN ANTONIO, TX 78288 -1600 (800) 922 -9092 Date Opened: 11/09/1988 Date Opened: 11/09/1988 Balance: Responsibility: Joint Account Date Updated: Account Type: Revolving Account Payment Received: Loan Type: CREDIT CARD Last Payment Made: Loan Type: CREDIT CARD High Balance: 04/01/2008 Credit Limit: Remarks: CLOSED BY CREDIT GRANTOR; CLOSED $0 06/10/2012 $0 04/10/2009 $17,825 $15,000 Pay Status: Current; Paid or Paying as Agreed Date Closed: 04/0612009 Date Paid: 04/10/2009 0579fbt'YrXr1� .4 SR— 34Z71M17-1 02r2b121 st 1 OiiIai y12/2�f + �1I1311 101Li1 ki j # 091�0���t F:P t-T3" w : ttf d "ha. V O�r20i�e " ,031201 6W a c ,' _ , �,.. 12af asr �� SAN ANTONIO, TX 78288 -1600 j.. �. 0t12ai Q6/2b11 €r 0512011 - OM2011" 03i101ih y 02!201;1 01/201 " ^, 12I2Q1 1 +112yQ10 w ig7 1 ..1 "� /`.ryar $a2c i r r, I r,p'�+KhQ amb it Y ,.' ' 0 sr _� 7i ^Sxa.: f !r'� 0 J�..s.,, , _. . 4.+� F:P t-T3" w : ttf d "ha. V O�r20i�e " ,031201 6W a c ,' _ , �,.. 12af asr �� 10%2 ` bJ/200 } 0$ /2ti0V �0T/200 , 061200 051200 v b4/20b: _ �.�.. n.. .d .. .., . USAA SAVINGS BANK #549123700911** ** 10750 MCDERMOTT FWY FWY SAN ANTONIO, TX 78288 -1600 (800) 922 -9092 Date Opened: 11/09/1988 Balance: $0 Responsibility: Joint Account Date Updated: 12/09/2009 Account Type: Revolving Account Payment Received: $0 Loan Type: CREDIT CARD Last Payment Made: 04/01/2008 High Balance: $17,825 Credit Limit: $15,000 Remarks: CLOSED BY CREDIT GRANTOR; CLOSED Page 14 of 19 Pay Status: Current; Paid or Paying as Agreed Date Closed: 04/06/2008 Date Paid: 04/01/2008 u TransUnion. `�k4 .u. k k5 rl yy� k , ,+ � f,' #"' fi. s f l;.�i�i'3' ]� f J t9 } a2iz4(i Y' .. '.:t axl _ f}n k} fv ,. , } 01/200 , Bv� � X ., x%� _..,i,:�., f 4Zj "� 12r�oo .; .. , :�_ 'k �, 11i2oa� 1 4 _ .., a s ?SJ ,���,1, __ rilPva�Sl�, :,,,._. ijlzd0 1dl0a;; -.;4 agl20Q �.; Off /2D'Ir+ � . ba,r�,::: nE c�. ><>t �- .r.,��,, �u..a.W.... a.�.c. rp.W _��il. �,�a , >.>t.. _.W,.. xt.� .x . _...3� w,n?, s:�..,,_��,...xfa,�.2�s. �'� } '�'_ � + aer2aax . .a _ .:.., Mt .,5 i..al.rxK.f�!i�'�..� .k...` i, .� ,!•: �xF. ,4f.. `�k4 .u. k T 1R 2i• 1 }.t k .t ir'A ' �/2dbu 1 k �- r:.3'':..�.dr ..., .'. .'! � t f l;.�i�i'3' ]� f J t9 } a2iz4(i Y' .. '.:t axl _ f}n k} fv ,. , } 01/200 , Bv� � X ., x%� _..,i,:�., f 4Zj "� 12r�oo .; .. , :�_ 'k �, 11i2oa� 1 4 _ .., a s ?SJ .'fr ; i t H 100a/2oa ;< : >. ,..�' ha.s7II 2A# f f.?I Hj �. ..5. -. 5 .:, �'� } '�'_ � + aer2aax . .a _ .:.., I f � : alxoax k_` �:4 �,� astg SSr ., ....�✓'. .c5d.... Rating I OK I OK I OK I OK I OK I OK I OK I OK I OK I OK � ' I oz /zt�o �m od�zao 3 d�/za¢� J oazoo a3$�u� j ozl2oaef u�/zno ' -, 121ztla I ' 11r?aa r a .. hl1M LP E. L y 09x200 08/2006 071200 06/20a 05%zag6 .! t 041 00 -- 0312W r 0212005 01/2005,; 12120s * Rating I OK I OK I OK I OK I OK I OK I OK I OK I OK I OK Rating OK OK OK OK OK OK OK OK OK OK J }}}} n + Rating OK OK The companies listed below received your name, address and other limited information about you so they could make a firm offer of credit or insurance. They did not receive your full credit report. These inquiries are not seen by anyone but you and do not affect your score. USAA FED SVG BK - SAN AN PO BOX 47504 SAN ANTONIO, TX 78265 -7504 (800) 531 -2265 Requested On: 1012012015 The listing of a company's inquiry in this section means that they obtained information from your credit file in connection with an account review or other business transaction with you. These inquiries are not seen by anyone but you and will not be used in scoring your credit file (except insurance companies may have access to other insurance company inquiries, certain collection companies may have access to other collection company inquiries, and users of a report for employment purposes may have access to other employment inquiries, where permitted by law). Page 15 of 19 u TransUnion. USAA FED SVG BK - SAN AN PO BOX 47504 SAN ANTONIO, TX 78265 -7504 (800) 531 -2265 Requested On: 10/14/2015 USAA via CREDCO PO BOX 509124 SAN DIEGO, CA 92150 (800) 523 -0233 Requested On: 02/25/2015, 09/06/2014, 03/06/2014 Permissible Purpose: ACCOUNT REVIEW Should you wish to contact TransUnion, you may do so, Online: To report an inaccuracy, please visit: dis ute transunion com For answers to general questions, please visit: www.transunion,com BMW FINANCIAL SERVICES P O BOX 3608 DUBLIN, OH 43016 (800) 578 -5000 Requested On: 07101/2015 -End of Credit Report- By Mail: TransUnion Consumer Relations P.O. Box 2000 Chester, PA 19022 -2000 By Phone: (800) 916 -8800 You may contact us between the hours of 8:00 a.m. and 11:00 p.m. Eastern Time, Monday through Friday, except major holidays. For all correspondence, please have your TransUnion file number available (located at the top of this report). ari 3i ' aG , -"�e .��.�. Para informacion en espanol, visite rvww.consrunerjinunc e. go wlearnmore o escribe a la Consumer Financial Protection Bureau, 1700 G Street N. W., Washington, DC 20552. A Summary of Your Rights Under the Fair Credit Reporting Act The federal Fair Credit Reporting Act (FCRA) promotes the accuracy, fairness, and privacy of information in the files of consumer reporting agencies. There are many types of consumer reporting agencies, including credit bureaus and specialty agencies (such as agencies that sell information about check writing histories, medical records, and rental history records). Here is a summary of your major rights under the FCRA. For more information, including information about additional rights, go to Vsww consumertinance.gov /learnmore or write to: Consumer Financial Protection Bureau, 1700 G Street N.W., Washington, DC 20552. You must be told if information in your file has been used against you. Anyone who uses a credit report or another type of consumer report to deny your application for credit, insurance, or employment -- or to take another adverse action against you -- must tell you, and must give you the name, address, and phone number of the agency that provided the information. You have the right to know what is in your file. You may request and obtain all the information about you in the files of a consumer reporting agency (your "file disclosure "). You will be Page 16 of 19 S TransUnion. required to provide proper identification, which may include your Social Security Number. In many cases, the disclosure will be free. You are entitled to a free file disclosure if: • a person has taken adverse action against you because of information in your credit report; • you are the victim of identity theft and place a fraud alert in your file; • your file contains inaccurate information as a result of fraud; • you are on public assistance; • you are unemployed but expect to apply for employment within 60 days. In addition, all consumers are entitled to one free disclosure every 12 months upon request from each nationwide credit bureau and from nationwide specialty consumer reporting agencies. See ww w.consumerfinance.aovilearnmore for additional information. You have the right to ask for a credit score. Credit scores are numerical summaries of your credit - worthiness based on information from credit bureaus. You may request a credit score from consumer reporting agencies that create scores or distribute scores used in residential real property loans, but you will have to pay for it. In some mortgage transactions, you will receive credit score information for free from the mortgage lender. You have the right to dispute incomplete or inaccurate information. If you identify information in your file that is incomplete or inaccurate, and report it to the consumer reporting agency, the agency must investigate unless your dispute is frivolous. See www.consumerfinance.poV 'Icarnmore for an explanation of dispute procedures. Consumer reporting agencies must correct or delete inaccurate, incomplete, or unverifiable information. Inaccurate, incomplete, or unverifiable information must be removed or corrected, usually within 30 days. However, a consumer reporting agency may continue to report information it has verified as accurate. Consumer reporting agencies may not report outdated negative information. In most cases, a consumer reporting agency may not report negative information that is more than seven years old, or bankruptcies that are more than 10 years old. Access to your file is limited. A consumer reporting agency may provide information about you only to people with a valid need - usually to consider an application with a creditor, insurer, employer, landlord, or other business. The FCRA specifies those with a valid need for access. You must give your consent for reports to be provided to employers. A consumer reporting agency may not give out information about you to your employer, or a potential employer, without your written consent given to the employer. Written consent generally is not required in the trucking industry. For more information, go to w ww -cons umertinance.govI learn more You may limit "prescreened" offers of credit and insurance you get based on information in your credit report. Unsolicited "prescreened" offers for credit and insurance must include a toll -free phone number you can call if you choose to remove your name and address from the lists these offers are based on. You may opt -out with the nationwide credit bureaus at 1- 888 - 567 -8688 (888- 5OPTOUT). You may seek damages from violators. If a consumer reporting agency, or, in some cases, a user of consumer reports or a furnisher of information to a consumer reporting agency violates the FCRA, you may be able to sue in state or federal court. Identity theft victims and active duty military personnel have additional rights. For more information, visit www.consumerlinance.gm learnnwre States may enforce the FCRA, and many states have their own consumer reporting laws. In some cases, you may have more rights under state law. For more information, contact your state or local consumer protection agency or your state Attorney General. For information about your federal rights, contact: PE OF BUSINESS: CONTACT: 1.a. Banks, savings associations, and credit unions with total assets of Bureau of Consumer Financial Protection over $10 billion and their affiliates. 1700 G Street, N.W. Washington, DC 20552 b. Such affiliates that are not banks, savings associations, or credit Federal Trade Commission unions also should list, in addition to the CFPB: Consumer Response Center - FCRA ashington, DC 20580 Page 17 of 19 u TransUnion. Information Regarding State Laws Florida Residents As of July 1, 2006 you have a right to place a "security freeze" on your consumer report, which will prohibit a consumer reporting agency from releasing any information in your consumer report without your express authorization. A security freeze must be requested in writing by certified mail to a consumer reporting agency. The security freeze is designed to prevent credit, loans, and services from being approved in your name without your consent. You should be aware that using a security freeze to control access to the personal and financial information in your consumer report may delay, interfere with, or prohibit the timely approval of any subsequent request or application you make regarding a new loan, credit, mortgage, insurance, government services or payments, rental housing, employment, investment, license, cellular telephone, utilities, digital signature, Internet credit card transaction or other services, including an extension of credit at point of sale. When you place a security freeze on your consumer report, you will be provided a personal identification number or password to use if you choose to remove the freeze on your consumer report or authorize the release of your consumer report for a designated period of time after the security freeze is in place. To provide that authorization, you must contact the consumer reporting agency and provide all of the following: 1. The personal identification number or password. 2. Proper identification to verify your identity Page 18 of 19 1- 877 - 382 -4357 2. To the extent not included in item 1 above: Office of the Comptroller of the Currency a. National banks, federal savings associations, and federal branches Customer Assistance Group 1301 McKinney Street, Suite 3450 agencies of foreign banks and federal a 9 9 Houston, TX 77010 -9050 b. State member banks, branches and agencies of foreign banks Federal Reserve Consumer Help (FRCH) (other than federal branches, federal agencies, and insured state PO Box 1200 branches of foreign banks), commercial lending companies owned or Minneapolis, MN 55480 controlled by foreign banks, and organizations operating under section 5 or 25A of the Federal Reserve Act c. Nonmember Insured Banks, Insured State Branches of Foreign FDIC Consumer Response Center Banks, and Insured state savings associations 1100 Walnut Street, Box #11 Kansas City, MO 64106 d. Federal credit unions National Credit Union Administration Office of Consumer Protection (OCP) Division of Consumer Compliance and Outreach (DCCO) 1775 Duke Street Alexandria, VA 22314 3. Air carriers Asst. General Counsel for Aviation Enforcement & Proceedings Aviation Consumer Protection Division Department of Transportation 1200 New Jersey Avenue, S.E. ashington, DC 20590 1- 202 -366 -1306 4. Creditors Subject to Surface Transportation Board Office of Proceedings, Surface Transportation Board Department of Transportation 395 E Street, S.W. Washington, DC 20423 5. Creditors subject to Packers and Stockyards Act, 1921 Nearest Packers and Stockyards Administration area supervisor Small Business Investment Companies Associate Deputy Administrator for Capital Access United States Small Business Administration 09 Third Street, SW, 8th Floor Washington, DC 20416 7. Brokers and Dealers Securities and Exchange Commission 100 F Street, N. E. Washington, DC 20549 8. Federal Land Banks, Federal Land Bank Associations, Federal Farm Credit Administration Intermediate Credit Banks, and Production Credit Associations 1501 Farm Credit Drive McLean, VA 22102 -5090 9. Retailers, Finance Companies, and All Other Creditors Not Listed Above FTC Regional Office for region in which the creditor operates or Federal Trade Commission: Consumer Response Center -FCRA Washington, DC 20580 1- 877 -382 -4357 Information Regarding State Laws Florida Residents As of July 1, 2006 you have a right to place a "security freeze" on your consumer report, which will prohibit a consumer reporting agency from releasing any information in your consumer report without your express authorization. A security freeze must be requested in writing by certified mail to a consumer reporting agency. The security freeze is designed to prevent credit, loans, and services from being approved in your name without your consent. You should be aware that using a security freeze to control access to the personal and financial information in your consumer report may delay, interfere with, or prohibit the timely approval of any subsequent request or application you make regarding a new loan, credit, mortgage, insurance, government services or payments, rental housing, employment, investment, license, cellular telephone, utilities, digital signature, Internet credit card transaction or other services, including an extension of credit at point of sale. When you place a security freeze on your consumer report, you will be provided a personal identification number or password to use if you choose to remove the freeze on your consumer report or authorize the release of your consumer report for a designated period of time after the security freeze is in place. To provide that authorization, you must contact the consumer reporting agency and provide all of the following: 1. The personal identification number or password. 2. Proper identification to verify your identity Page 18 of 19 DU TransUnivn. 3. Information specifying the period of time for which the report shall be made available. 4. Payment of a fee authorized by this section of the Florida Statutes. A consumer reporting agency must authorize the release of your consumer report no later than 3 business days after receiving the above information. A security freeze does not apply to a person or entity, or its affiliates, or collection agencies acting on behalf of the person or entity, with which you have an existing account, that requests information in your consumer report for the purposes of reviewing or collecting the account. Reviewing the account includes activities related to account maintenance, monitoring, credit line increases, and account upgrades and enhancements. You have the right to bring a civil action against anyone, including a consumer reporting agency, who fails to comply with the provisions of Sec. 501.005, Florida Statutes, which governs the placing of a consumer report security freeze on your consumer report. FLORIDA BILL OF RIGHTS for PROTECTED CONSUMERS If you are the parent or legal guardian of a minor younger than 16 years of age or a guardian or advocate of an incapacitated, disabled, or protected person under chapter 39, chapter 393, chapter 744, or chapter 914, Florida Statutes, you have the right to place a security freeze on the consumer report of the person you are legally authorized to care for. If no consumer report exists, you have the right to request that a record be created and a security freeze be placed on the record. A record with a security freeze is intended to prevent the opening of credit accounts until the security freeze is removed. YOU SHOULD BE AWARE THAT USING A SECURITY FREEZE TO CONTROL ACCESS TO THE PERSONAL AND FINANCIAL INFORMATION IN A CONSUMER REPORT OR RECORD MAY DELAY, INTERFERE WITH, OR PROHIBIT THE TIMELY APPROVAL OF ANY SUBSEQUENT REQUEST OR APPLICATION REGARDING A NEW LOAN, CREDIT, MORTGAGE, INSURANCE, GOVERNMENT SERVICES OR PAYMENTS, RENTAL HOUSING, EMPLOYMENT, INVESTMENT, LICENSE, CELLULAR PHONE, UTILITIES, DIGITAL SIGNATURE, INTERNET CREDIT CARD TRANSACTION, OR OTHER SERVICES, INCLUDING AN EXTENSION OF CREDIT AT POINT OF SALE. To remove the security freeze on the protected consumer's record or report, you must contact the consumer reporting agency and provide all of the following: 1. Proof of identification as required by the consumer reporting agency. 2. Proof of authority over the protected consumer as required by the consumer reporting agency. 3. The unique personal identifier provided by the consumer reporting agency. 4. Payment of a fee. A consumer reporting agency must, within 30 days after receiving the above information, authorize the removal of the security freeze. A security freeze does not apply to a person or entity, or its affiliates, or a collection agency acting on behalf of the person or entity, with which the protected consumer has an existing account, which requests information in the protected consumer's consumer report or record for the purposes of reviewing or collecting the account. Reviewing the account includes activities related to account maintenance, monitoring, credit line increases, and account upgrades and enhancements. You have the right to bring a civil action as authorized by section 501.0051, Florida Statutes, which governs the security of protected consumer information. Page 19 of 19 txperian - Report Summary https: / /annualcreditreport. experian .com /AnnualCreditRepor.. What if I want to dispute an item in my report? Review each section of your credit report. Visit experian.com/disputes to start or check the status of your dispute. Report Summary: • There are 0 potentially negative items in your report. • You have 20 accounts in good standing in your report. Experian credit report prepared for BRADFORD S TRUBEY Report date: November 02, 2015 Your report number is 1480- 0407 -42 Your Credit Report: • Accounts in good standing • Requests for your credit history • Personal information • Important message from Experian • Contact us • Know your rights Experian collects and organizes information about you and your credit history from public records, your creditors and other reliable sources. By law, we cannot disclose certain medical information (relating to physical, mental, or behavioral health or condition). Although we do not generally collect such information, it could appear in the name of a data furnisher (i.e., "Cancer Center ") that reports your payment history to us. If so, those names display in your report, but in reports to others they display only as "Medical Information Provider." Consumer statements included on your report at your request that contain medical information are disclosed to others. 1 of 23 11/2/2015 1:05 PM cxperian - KeporT summary nTTps:// annuaicreditreporT. experian .com /Annuaicreditkepor.. Contact us Need to view your report online again? You can view this report online at experian.com /view See incorrect information on your report? If you have reviewed your credit report and you believe there are inaccuracies, the fastest way to resolve the errors is to dispute online. Dispute this report online at experian.com /dispute report Already requested a dispute? See the status of your dispute at experian.com /checkstatus You may also contact us by mail at: NCAC P.O. Box 9701 Allen, TX 75013 For more information about disputing by mail, visit experian.com /dispute by mail Or, by phone at: 1 800 493 1058 Monday through Friday, 9 am to 5 pm in your time zone. You may also submit additional relevant information or supporting documentation for your disputes electronically at experian.com /upload Be advised that written information or documents you provide with respect to your disputes may be shared with any and all creditors with which you are disputing. Accounts in Good Standin These items may stay on your credit report for as long as they are open. Once an account is closed or paid off it may continue to appear on your report for up to ten years. Payment history legend OK Current/Terms of agreement met 30 Account 30 days past due 60 Account 60 days past due 90 Account 90 days past due 120 Account 120 days past due 150 Account 150 days past due 180 Account 180 days past due CRD Creditor received deed FS Foreclosure proceedings started F Foreclosed ABN AMRO MORTGAGE GROUP 2600 W BIG BEAVER RD 330062714.... TROY, MI 48084 (800) 283 -7918 VS Voluntarily surrendered R Repossession PBC Paid by creditor IC Insurance claim G Claim filed with government D Defaulted on contract C Collection CO Charge off CLS Closed ND No data for this time period 2 of 23 11/2/2015 1:05 PM txperian - Report 5ummory 0273203899 720953283 Transferred, closed /Never late. 09/2002 Mortgage 03/2003 30 Years 10/2007 $0 10/2007 Joint with LAUREN TRUBEY Account transferred to another lender. https://annualcreditreport.experian.com/AnnualCreditRepor.. This account is scheduled to continue on record until Oct 2017. $99,000 NA NA NA 2007 OK OK OK OK OK OK OK OK OK 2006 OK OK OK OK OK OK OK OCT SEP AUG JUL JUN MAY APR MAR FEB JAN DEC NOV OCT SEP AUG JUL JUN MAY CLS OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK 2005 2003 2004 FEB APR MAR FEB JAN DEC NOV OCT SEP AUG JUL JUN MAY APR MAR FEB JAN DEC NOV OK OK OK ND ND ND OK OK OK OK OK OK OK OK OK OK OK OK 2003 OCT SEP AUG JUL JUN MAY APR MAR FEB JAN DEC NOV OCT SEP AUG JUL JUN MAY OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK APR MAR OK OK BANK OF AMERICA PO BOX 982235 442710301757.... EL PASO, TX 79998 (800) 421 -2110 0273203899 Closed /Never late. This account is scheduled to continue on record until Mar 2017. 01/2003 Credit card $5,000 02/2003 NA $3,544 03/2007 $2 $0 /paid as of 03/2007 03/2007 Joint with LAUREN TRUBEY $2 Account closed at consumer's request 2007 2006 2005 MAR FEB JAN DEC NOV OCT SEP AUG JUL JUN MAY APR MAR FEB JAN DEC NOV OCT CLS OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK 2004 SEP AUG JUL JUN MAY APR MAR FEB JAN DEC NOV OCT SEP AUG JUL JUN MAY APR OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK 2003 MAR FEB JAN DEC NOV OCT SEP AUG JUL JUN MAY APR MAR FEB 3 of 23 11/2/2015 1:05 PM Experian - Report Summary https: / /annualcreditreport. experian .com /AnnualCreditRepor... 'OK• OK OK OK OK OK OK OK OK OK OK OK OK OK BLOOMINGDALES /DSNB PO BOX 8218 331796.... MASON, OH 45040 (800) 243 -6552 0273203899 Closed /Never late. This account is scheduled to continue on record until Sep 2021. 06/2000 Charge Card NA 10/2004 NA NA 09/2011 $0 $0 /paid as of 09/2011 09/2011 Individual $0 Account closed at consumer's request. 2011 2010 SEP AUG JUL JUN MAY APR MAR FEB JAN DEC NOV OCT SEP AUG JUL JUN MAY APR CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS BLOOMINGDALES/DSNB PO BOX 8218 331796.... MASON, OH 45040 (800) 243 -6552 0273203899 Closed /Never late. 06/2000 Charge Card 10/2004 NA 09/2011 $0 09/2011 Individual This account is scheduled to continue on record until Sep 2021. NA NA $0 /paid as of 09/2011 $0 4 of 23 11/2/2015 1:05 PN 2009 2008 MAR FEB JAN DEC NOV OCT SEP AUG JUL JUN MAY APR MAR FEB JAN DEC NOV OCT CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS 2007 SEP AUG JUL JUN MAY APR MAR FEB JAN DEC NOV OCT SEP AUG JUL JUN MAY APR CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS 2006 2005 MAR FEB JAN DEC NOV OCT SEP AUG JUL JUN MAY APR MAR FEB JAN DEC NOV OCT CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS 2004 SEP AUG JUL JUN MAY APR MAR FEB JAN DEC NOV OCT CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS BLOOMINGDALES/DSNB PO BOX 8218 331796.... MASON, OH 45040 (800) 243 -6552 0273203899 Closed /Never late. 06/2000 Charge Card 10/2004 NA 09/2011 $0 09/2011 Individual This account is scheduled to continue on record until Sep 2021. NA NA $0 /paid as of 09/2011 $0 4 of 23 11/2/2015 1:05 PN Experian - Report Summary Account closed at consumer's request. 2011 SEP AUG JUL JUN MAY CLS CLS CLS CLS CLS 2009 MAR FEB JAN DEC NOV CLS CLS CLS CLS CLS SEP AUG JUL JUN MAY CLS CLS CLS CLS CLS 2006 MAR FEB JAN DEC NOV CLS CLS CLS CLS CLS SEP AUG JUL JUN MAY CLS CLS CLS CLS CLS https : / /annualcreditreport. experian.com /AnnualCreditPepor. 2010 APR MAR FEB JAN DEC NOV OCT SEP AUG JUL JUN MAY APR CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS 2008 OCT SEP AUG JUL JUN MAY APR MAR FEB JAN DEC NOV OCT CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS 2007 APR MAR FEB JAN DEC NOV OCT SEP AUG JUL JUN MAY APR CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS 2005 OCT SEP AUG JUL JUN MAY APR MAR FEB JAN DEC NOV OCT CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS 2004 APR MAR FEB JAN DEC NOV OCT CLS CLS CLS CLS CLS CLS CLS BMW FINANCIAL SERVICES /CREDIT PO BOX 3608 100011.... DUBLIN, OH 43016 (800) 578 -5000 0273203899 Paid, Closed /Never late. 07/2002 07/2002 08/2007 08/2007 This account is scheduled to continue on record until Aug 2017. Auto Loan $48,510 60 Months NA $0 NA Co- signer with LAUREN TRUBEY NA 2007 2006 AUG JUL JUN MAY APR MAR FEB JAN DEC NOV OCT SEP AUG JUL JUN MAY APR MAR CLS OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK 2005 2004 FEB JAN DEC NOV OCT SEP AUG JUL JUN MAY APR MAR FEB JAN DEC NOV OCT SEP OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK 2003 AUG JUL JUN MAY APR MAR FEB JAN DEC NOV OCT SEP AUG JUL JUN MAY APR MAR OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK 2002 FEB JAN DEC NOV OCT SEP AUG JUL OK OK OK OK OK OK OK OK BMW FINANCIAL SERVICES /CREDIT PO BOX 3608 100079.... DUBLIN, OH 43016 (800) 578 -5000 0273203899 5 of 23 11/2/2015 1:05 PM L- Apteriun - eeepor•T summary Paid, Closed /Never late. httpS: / /annualcreditreport. experian .com /AnnualCreditRepor., This account is scheduled to continue on record until Jul 2021. 01/2009 Auto Loan $52,277 02/2009 60 Months NA SEP 07/2011 JUL $0 MAY APR MAR NA JAN DEC NOV 07/2011 SEP Signer vsth LAUREN TRUBEY NA MAY APR OK 2011 OK OK OK OK 2010 OK OK OK OK JUL JUN MAY APR MAR FEB JAN DEC NOV OCT SEP AUG JUL JUN MAY APR MAR FEB CLS OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK 2009 2012 MAR FEB JAN DEC NOV JAN DEC NOV OCT SEP AUG JUL JUN MAY APR MAR FEB OK OK OK OK OK OK OK OK OK OK OK OK BMW FINANCIAL SERVICES /CREDIT PO BOX 3608 100127.... DUBLIN, OH 43016 (800) 578 -5000 0273203899 Open /Never late. I 06/2011 06/2011 09/2015 09/2015 Auto Loan 60 Months $986 Joint with LAUREN S TRUBEY $54,955 NA $9,720 as of 09/2015 $986 2015 2014 SEP AUG JUL JUN MAY APR MAR FEB JAN DEC NOV OCT SEP AUG JUL JUN MAY APR OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK 2013 2012 MAR FEB JAN DEC NOV OCT SEP AUG JUL JUN MAY APR MAR FEB JAN DEC NOV OCT OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK 2011 SEP AUG JUL JUN MAY APR MAR FEB JAN DEC NOV OCT SEP AUG OK OK OK OK OK OK OK OK OK OK OK OK OK OK The following data will appear in the following format: account balance / date payment received / scheduled payment amount / actual amount paid Aug 2015: $10,681 / August 5, 2015 / $986 / $986 Jul 2015: $11,636 / July 3, 2015 / $986 / $986 Jun 2015: $12,595 / June 5, 2015 / $986 / $986 May 2015: $13,547 / May 5, 2015 / $986 / $986 Apr 2015: $14,497 / April 3, 2015 / $986 / $986 Mar 2015: $15,447 / March 5, 2015 / $986 / $1,972 Feb 2015: $16,397 / February 5, 2015 / $986 / $986 Jan 2015: $17,341 / January 5, 2015 / $986 / $986 Dec 2014: $18,282 / December 5, 2014 / $986 / $986 Nov 2014: $19,222 / November 5, 2014 / $986 / $986 Oct 2014: $20,156 / October 3, 2014 / $986 / $986 Sep 2014: $21,095 / September 5, 2014 / $986 / $986 Aug 2014: $22,027 / August 5, 2014 / $986 / $986 Jul 2014: $22,953 / July 3, 2014 / $986 / $986 Jun 2014: $23,886 / June 5, 2014 / $986 / $986 6 of 23 11/2/2015 1:05 PM txperian - Report 5ummary 'May-2014: $25,734 / April 4, 2014 / $986 / $986 Apr 2014: $25,734 / April 4, 2014 / $986 / $986 Mar 2014: $26,657 / March 5, 2014 / $986 / $986 Feb 2014: $27,582 ! February 5, 2014 / $986 / $986 Jan 2014: $28,493 / January 3, 2014 / $986 / $986 Dec 2013: $29,412 / December 5, 2013 / $986 / $986 Nov 2013: $30,326 / November 5, 2013 / $986 / $986 The original amount of this account was $54,955 BMW FINANCIAL SERVICES /CREDIT PO BOX 3608 100187.... DUBLIN, OH 43016 (800) 578 -5000 0273203899 Open /Never late. Balloon payment of $23,135 due May 2019. 05/2014 Auto Loan 05/2014 60 Months 09/2015 $869 09/2015 Joint with LAUREN S TRUBEY https://annuaIcreditreport.experian.com/AnnuolCreditPepor.. $67,795 NA $57,352 as of 09/2015 $0 2015 2014 SEP AUG JUL JUN MAY APR MAR FEB JAN DEC NOV OCT SEP AUG JUL JUN OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK The following data will appear in the following format: account balance / date payment received / scheduled payment amount / actual amount paid Aug 2015: $58,064 / July 24, 2015 / $869 / no data Jul 2015: $58,780 / June 24, 2015 / $869 / $869 Jun 2015: $59,477 / May 22, 2015 / $869 / no data May 2015: $59,477 / May 22, 2015 / $869 / $1,738 Apr 2015: $60,904 / March 24, 2015 / $869 / no data Mar 2015: $61,623 / February 24, 2015 / $869 / $869 Feb 2015: $62,318 / January 23, 2015 / $869 / no data Jan 2015: $62,3181 January 23, 2015 / $869 / $869 Dec 2014: $63,724 / November 24, 20141$869 / $869 Nov 2014: $64,419 / November 24, 2014 / $869 / no data Oct 2014: $65,118 / September 24, 2014 / $869 / $869 Sep 2014: $65,798 / September 24, 2014 / $869 / no data Aug 2014. $65,798 / August 22, 2014 / $869 / $869 Jul 2014: $67,192 / June 24, 2014 / $869 / $869 Jun 2014: $67,192 / June 24, 2014 / $869 / $869 The original amount of this account was $67,795 CHASE AUTO PO BOX 901003 1072351421.... FT WORTH, TX 76101 (800) 336 -6675 0273203899 Paid, Closed /Never late. 2019. This account is scheduled to continue on record until Mar 7 of 23 11/2/2015 1:05 PM txperian - Keport Summary https://annualcreditreport.experian.com/AnnualCreditRepor.. 08/2007 Auto Loan $57,515 63 Months NA 09/2007 $0 NA 03/2009 Joint with LAUREN NA 03/2009 TRUBEY 2009 2008 2007 MAR FEB JAN DEC NOV OCT SEP AUG JUL JUN MAY APR MAR FEB JAN DEC NOV OCT CLS OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK SEP OK CITIMORTGAGE INC PO BOX 10002 HAGERSTOWN, 62714.... MD 21747 (800) 283 -7918 0273203899 Paid, Closed /Never late. This account is scheduled to continue on record until Jun 2019. 09/2002 Mortgage $99,000 30 Years NA 09/2007 $0 NA 06/2009 - Joint with LAUREN NA 06/2009 TRUBEY 2009 2008 JUN MAY APR MAR FEB JAN DEC NOV OCT SEP AUG JUL JUN MAY APR MAR FEB JAN CLS OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK 2007 DEC NOV OCT SEP OK OK OK OK THE HUNTINGTON NATIONAL BANK PO BOX 1558 1500052.... COLUMBUS, OH 43216 (800) 480 -2265 0273203899 Paid, Closed /Never late. This account is scheduled to continue on record until Oct 2017. 07/2003 Auto Lease $28,822 07/2003 49 Months NA 8 of 23 11/2/2015 1:05 PM cxperian - KeporT Summary https: / /annualcreditreport. experian .com /AnnualCreditRepor.. 10/2007 $0 13531 E CALEY AVE 830623.... ENGLEWOOD, CO 80111 NA No phone number available 2014 0273203899 Open /Never late. 10/2007 06/2010 Joint with LAURIE TRUBEY NA $399 10/2015 $38 $0 /paid as of 10/2015 10/2015 Individual $173 OCT SEP AUG Full termination /obligation satisfied. JUN MAY OK OK OK OK OK OK OK OK 2007 OK OK OK OK OK OK OK OK 2006 2013 OCT SEP AUG JUL JUN MAY APR MAR FEB JAN DEC NOV OCT SEP AUG JUL JUN MAY CLS OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK 2005 OK OK OK OK OK OK OK OK OK 2004 APR MAR FEB JAN DEC NOV OCT SEP AUG JUL JUN MAY APR MAR FEB JAN DEC NOV OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK 2003 OK OK OK OK OK OK OCT SEP AUG JUL JUN MAY APR MAR FEB JAN DEC NOV OCT SEP AUG JUL OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK NORDSTROMITD 13531 E CALEY AVE 830623.... ENGLEWOOD, CO 80111 No phone number available 2014 0273203899 Open /Never late. 06/2010 Charge Card $1,500 06/2010 NA $399 10/2015 $38 $0 /paid as of 10/2015 10/2015 Individual $173 2015 2014 OCT SEP AUG JUL JUN MAY APR MAR FEB JAN DEC NOV OCT SEP AUG JUL JUN MAY OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK 2013 2012 APR MAR FEB JAN DEC NOV OCT SEP AUG JUL JUN MAY APR MAR FEB JAN DEC NOV OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK 2011 OCT SEP AUG JUL JUN MAY APR MAR FEB JAN DEC NOV OCT SEP AUG JUL JUN MAY OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK 2010 APR MAR FEB JAN DEC NOV OCT SEP AUG JUL JUN OK OK OK OK OK OK OK OK OK OK OK The following data will appear in the following format: account balance / date payment received / scheduled payment amount / actual amount paid Sep 2015: $173 / July 29, 2015 / $38 / no data Aug 2015: $0 / July 29, 2015 / $38 / $399 Jul 2015: $399 / September 8, 2014 / $38 / no data Jun 2015: $0 / September 8, 2014 / $35 / no data May 2015: $0 / September 8, 2014 / $35 / no data Apr 2015: $0 / September 8, 2014 / $35 / no data Mar 2015: $0 / September 8, 2014 / $35 / no data Feb 2015: $0 / September 8, 2014 / $35 / no data Jan 2015: $0 / September 8, 2014 / $35 / no data Dec 2014: $0 / September 8, 2014 / $35 / no data Nov 2014: $0 / September 8, 2014 / $35 / no data Oct 2014: $0 / September 8, 2014 / $35 / no data Sep 2014: $0 / September 8, 2014 / $35 / $35 Aug 2014: $35 / July 31, 2014 / $35 / $100 9 of 23 11/2/2015 1:05 PM txpertan - Report Summary Jul.2014: $131 / November 27, 2013 / $35 / no data Jun 2014: $105 / November 27, 2013 / $35 / no data May 2014: $0 / November 27, 2013 / $35 / no data Apr 2014: $0 / November 27, 2013 / $35 / no data Mar 2014: $0 / November 27, 2013 / $35 ! no data Feb 2014: $0 / November 27, 2013 / $35 / no data Jan 2014: $0 / November 27, 2013 / $35 / no data Dec 2013: $0 / November 27, 2013 / $35 / $300 Nov 2013: $300 / September 9, 2011 / $35 / no data https: / /annualcreditreport. experian .com /AnnualCreditPepor.. Between Nov 2013 and Sep 2015, your credit limit/high balance was $1,500 US BANK HOME MORTGAGE PO BOX 2005 515685016.... OWENSBORO, KY 42302 (877) 334 -0452 0273203899 100105600026998269 586803807 - Open /Never late. 06/2009 Mortgage $128,000 10/2009 30 Years NA 10/2015 $648 $113,307 as of 10/2015 10/2015 Joint with LAUREN TRUBEY $650 2015 2014 OCT SEP AUG JUL JUN MAY APR MAR FEB JAN DEC NOV OCT SEP AUG JUL JUN MAY OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK 2013 2012 APR MAR FEB JAN DEC NOV OCT SEP AUG JUL JUN MAY APR MAR FEB JAN DEC NOV OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK 2011 OCT SEP AUG JUL JUN MAY APR MAR FEB JAN DEC NOV OCT SEP AUG JUL JUN MAY OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK 2010 2009 APR MAR FEB JAN DEC NOV OCT SEP AUG JUL JUN MAY APR MAR FEB JAN DEC NOV OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OCT OK The following data will appear in the following format: account balance / date payment received / scheduled payment amount / actual amount paid Sep 2015: $113,532 / August 31, 2015 / $648 / $650 Aug 2015: $113,755 / July 31, 2015 / $648 / $650 Jul 2015: $113,978 / June 30, 2015 / $649 / $650 Jun 2015: $114,199 / May 29, 2015 / $649 / $650 May 2015: $114,420 / April 30, 2015 / $649 / $650 Apr 2015: $114,641 / March 31, 2015 / $649 / $650 Mar 2015: $114,860 / February 27, 2015 / $649 / $650 Feb 2015: $115,078 / January 30, 2015 / $649 / $650 Jan 2015: $115,296 / December 31, 2014 / $649 / $650 Dec 2014: $115,513 / November 28, 2014 / $649 / $650 Nov 2014: $115,729 / October 31, 2014 / $649 / $650 Oct 2014: $115,944 / September 30, 2014 / $649 / $650 Sep 2014: $116,158 / August 29, 2014 / $649 / $650 10 of 23 11/2/2015 1:05 PM Experian - Report Summary "Aug 2014: $116,372 / July 31, 2014 / $649 / $650 Jul 2014: $116,585 / June 30, 2014 / $649 / $650 Jun 2014: $116,7971 May 30, 20141 $649 / $650 May 2014: $117,008 / April 30, 2014 / $649 / $650 Apr 2014: $117,218 / March 31, 2014 / $649 / $650 Mar 2014: $117,428 / February 28, 2014 / $649 / $650 Feb 2014: $117,637 ! January 31, 2014 / $649 / $650 Jan 2014: $117,845 / December 31, 2013 / $649 / $650 Dec 2013: $118,052 / November 29, 2013 / $649 / $650 Nov 2013: $118,259 / October 31, 2013 / $649 / $650 The original amount of this account was $128,000 USAA FEDERAL SAVINGS BK PO BOX 33009 SAN ANTONIO, TX 78265 No phone number available 0273203899 Open /Never late. 8497.... https: / /annualcreditreport. experian .com /AnnualCreditPepor.. 06/2007 Home Equity $81,200 06/2007 NA $89,746 09/2015 $125 $63,990 as of 09/2015 09/2015 Joint with LAUREN TRUBEY $500 Credit Line reduced due to collateral depreciation 2015 2014 SEP AUG JUL JUN MAY APR MAR FEB JAN DEC NOV OCT SEP AUG JUL JUN MAY APR OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK 2013 2012 MAR FEB JAN DEC NOV OCT SEP AUG JUL JUN MAY APR MAR FEB JAN DEC NOV OCT OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK 2011 SEP AUG JUL JUN MAY APR MAR FEB JAN DEC NOV OCT SEP AUG JUL JUN MAY APR OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK 2010 2009 MAR FEB JAN DEC NOV OCT SEP AUG JUL JUN MAY APR MAR FEB JAN DEC NOV OCT OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK 2008 SEP AUG JUL JUN MAY APR MAR FEB JAN DEC NOV OCT OK OK OK OK OK OK OK OK OK OK OK OK The following data will appear in the following format: account balance / date payment received / scheduled payment amount / actual amount paid Aug 2015: $64,369 / July 13, 2015 / $126 / $326 Jul 2015: $64,570 / July 13, 2015 / $123 / $623 Jun 2015: $65,068 / June 12, 2015 / $128 / $628 May 2015: $65,573 / May 13, 2015 / $125 / $825 Apr 2015: $66,270 / April 13, 2015 / $129 / $329 Mar 2015: $66,474 / March 13, 2015 / $117 / $217 Feb 2015: $66,562 / February 13, 2015 / $129 / $229 Jan 2015: $66,675 / December 31, 2014 / $129 / no data Dec 2014: $66,545 / November 13, 2014 / $125 / $255 Nov 2014: $66,671 / November 13, 2014 / $130 / $130 Oct 2014: $66,676 / October 10, 2014 / $126 / $626 Sep 2014: $67,172 / September 12, 2014 / $131 / $131 Aug 2014: $67,177 / August 13, 2014 / $132 / $632 Jul 2014: $67,678 / July 16, 2014 / $129 / $129 11 of 23 11/2/2015 1:05 PM txperian - Report summary •Jur,.2014: $67,676 / June 13, 2014 / $135 / $1,135 May 2014: $68,683 May 13, 2014 / $131 / $1,131 Apr 2014: $69,679 / April 11, 2014 / $137 / $137 Mar 2014: $69,686 / February 21, 2014 / $126 / $1,000 Feb 2014: $70,548 / October 18, 2013 / $139 / $1,150 Jan 2014: $71,573 / October 18, 2013 / $140 / $150 Dec 2013: $71,583 ! October 18, 2013 / $134 / $650 Nov 2013: $72,0931 October 18, 2013 / $140 / $440 https: / /annuaIcreditreport. experian.com /AnnuoICreditRepor. Between Nov 2013 and Aug 2015, your credit limit/high balance vvas $81,200 USAA SAVINGS BANK PO BOX 33009 374355001472.... SAN ANTONIO, TX 78265 (800) 531 -8722 0273203899 Paid, Closed /Never late. This account is scheduled to continue on record until Mar 2023- 03/2010 Credit card $5,000 04/2010 NA $5,351 03/2013 $0 NA 03/2013 Joint with LAUREN TRUBEY NA Account closed at consumer's request. 2013 2012 2011 MAR FEB JAN DEC NOV OCT SEP AUG JUL JUN MAY APR MAR FEB JAN DEC NOV OCT CLS OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK 2010 SEP AUG JUL JUN MAY APR MAR FEB JAN DEC NOV OCT SEP AUG JUL JUN MAY APR OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK USAA SAVINGS BANK PO BOX 33009 549123700911.... SAN ANTONIO, TX 78265 (800) 531 -8722 0273203899 Paid, Closed /Never late. 11/1988 Credit card 11/1999 NA 04/2008 $0 04/2008 Joint with LAUREN TRUBEY Account closed at credit grantor's request. This account is scheduled to continue on record until Apr 2018. $15,000 $17,825 NA NA 12 of 23 11/2/2015 1:05 PM Experian - Report Summary https: / /annualcreditreport. experian .com /AnnualCreditP,epor.. 2008 2007 2006 APR MAR FEB JAN DEC NOV OCT SEP AUG JUL JUN MAY APR MAR FEB JAN DEC NOV CLS OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK 2005 OCT SEP AUG JUL JUN MAY APR MAR FEB JAN DEC NOV OCT SEP AUG JUL JUN MAY OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK 2004 2003 APR MAR FEB JAN DEC NOV OCT SEP AUG JUL JUN MAY APR MAR FEB JAN DEC NOV OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK 2002 OCT SEP AUG JUL JUN MAY APR MAR FEB JAN DEC NOV OCT SEP AUG JUL JUN MAY OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK 2001 APR MAR FEB JAN DEC NOV OCT SEP AUG JUL JUN MAY OK OK OK OK OK OK OK OK OK OK OK OK USAA SAVINGS BANK PO BOX 33009 549123712157.... SAN ANTONIO, TX 78265 (800) 531 -8722 0273203899 Paid, Closed /Never late. This account is scheduled to continue on record until Apr 2019. 11/1988 Credit card $15,000 04/2009 NA $17,825 04/2009 $0 NA 04/2009 Joint with LAUREN TRUBEY NA Account closed at credit grantor's request. 2009 APR CLS USAA SAVINGS BANK PO BOX 33009 549123731888.... SAN ANTONIO, TX 78265 (800) 531 -8722 0273203899 Paid, Closed /Never late. 11/1988 Credit card 05/2006 NA 03/2013 $0 This account is scheduled to continue on record until Mar 2023. $15,000 $17,922 NA 13 of 23 11/2/2015 1:05 Ph Experian - Report Summary 03/2013 Joint with LAUREN TRUBEY NA Account closed at consumer's request. https: / /annualcreditreport. experian.com /AnnualCreditP,epor. 2013 2012 2014 2011 SEP AUG MAR FEB JAN DEC NOV OCT SEP AUG JUL JUN MAY APR MAR FEB JAN DEC NOV OCT CLS OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK APR MAR FEB 2010 DEC NOV OCT SEP AUG JUL JUN MAY SEP AUG JUL JUN MAY APR MAR FEB JAN DEC NOV OCT SEP AUG JUL JUN MAY APR OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK 2009 2008 MAR FEB JAN DEC NOV OCT SEP AUG JUL JUN MAY APR MAR FEB JAN DEC NOV OCT OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK 2007 SEP AUG JUL JUN MAY APR MAR FEB JAN DEC NOV OCT SEP AUG JUL JUN MAY APR OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK 2006 MAR FEB JAN DEC NOV OCT SEP AUG JUL JUN MAY OK OK OK OK OK OK OK OK OK OK OK USAA SAVINGS BANK PO BOX 33009 549123734015.... SAN ANTONIO, TX 78265 (800) 531 -8722 0273203899 Open /Never late. 01/2013 Credit card $16,300 02/2013 NA $14,059 10/2015 $81 $8,111 as of 10/2015 10/2015 Joint with LAUREN TRUBEY $4,701 2015 2014 OCT SEP AUG JUL JUN MAY APR MAR FEB JAN DEC NOV OCT SEP AUG JUL JUN MAY OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK 2013 APR MAR FEB JAN DEC NOV OCT SEP AUG JUL JUN MAY APR MAR FEB OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK The following data will appear in the following format: account balance / date payment received / scheduled payment amount / actual amount paid Sep 2015: $1,701 / September 6, 2015 / $17 / $9,658 Aug 2015: $6,945 / July 31, 2015 / $128 / $4,929 Jul 2015: $6,669 / June 12, 2015 / $108 / $2,000 Jun 2015: $2,929 / June 5, 2015 / $46 / $5,000 May 2015: $5,163 / May 5, 2015 / $52 / $4,500 Apr 2015: $4,493 / April 3, 2015 / $95 / $5,000 Mar 2015: $5,317 / March 20, 2015 / $150 / $3,000 Feb 2015: $8,931 / February 6, 2015 / $182 / $4,700 Jan 2015: $10,682 / January 11, 2015 / $172 / $5,000 Dec 2014: $6,648 / December 11, 2014 / $66 / $12,000 Nov 2014: $9,832 / November 5, 2014 / $174 / $1,000 Oct 2014: $5,708 / October 3, 2014 / $107 / $6,000 Sep 2014: $6,512 / September 12, 2014 / $104 / $2,000 Aug 2014: $3,943 / August 5, 2014 / $39 / $9,000 14 of 23 11/2/2015 1:05 PN Experian - Report Summary ••Jul.2014: $8,089/ June 27, 2014/ $81 / $8,815 Jun 2014: $3,986 / May 23, 2014 / $40 / $815 May 2014: $815 / May 6, 2014 / $15 / $6,492 Apr 2014: $1,492 / March 31, 2014 / $15 / $9,230 Mar 2014: $7,409 / February 5, 2014 / $118 / no data Feb 2014: $2,595 / February 5, 2014 / $26 / $5,695 Jan 2014: $5,865 / December 27, 2013 / $37 / no data Dec 2013: $4,403 / December 11, 2013 / $44 / $8,800 Nov 2013: $6,524 / October 11, 2013 / $106 / no data https: / /annualcreditreport. experian .com /AnnualCreditPepor.. Between Mar 2015 and Sep 2015, your credit limitthigh balance was $16,300 Between Dec 2013 and Feb 2015, your credit limit/high balance was $13,000 Between Nov 2013 and Nov 2013, your credit limit/high balance was $7,000 USAA SAVINGS BANK PO BOX 33009 552313012577.... SAN ANTONIO, TX 78265 (800) 531 -8722 0273203899 Open /Never late. 01/2013 Credit Card $10,100 01/2013 NA $10,883 10/2015 $66 $3,076 as of 10/2015 10/2015 Joint with LAUREN TRUBEY $3,000 2015 2014 OCT SEP AUG JUL JUN MAY APR MAR FEB JAN DEC NOV OCT SEP AUG JUL JUN MAY OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK 2013 APR MAR FEB JAN DEC NOV OCT SEP AUG JUL JUN MAY APR MAR FEB JAN OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK The following data will appear in the following format: account balance / date payment received / scheduled payment amount / actual amount paid Sep 2015: $5,201 / August 20, 2015 / $84 / no data Aug 2015: $2,144 / August 20, 2015 / $21 / $7,821 Jul 2015: $7,821 / July 24, 2015 / $78 / $3,061 Jun 2015: $3,061 / May 20, 2015 / $54 / no data May 2015: $1,916 / May 20, 2015 / $19 / $4,279 Apr 2015: $4,279 / April 20, 2015 / $70 / $2,500 Mar 2015: $3,393 / March 20, 2015 / $34 / $1,801 Feb 2015: $1,801 / February 20, 2015 / $18 / $2,290 Jan 2015: $2,290 / December 26, 2014 / $40 / no data Dec 2014: $1,170 / December 26, 2014 / $15 / $2,671 Nov 2014: $2,671 / November 20, 2014 / $60 / $2,500 Oct 2014: $3,038 / September 19, 2014 / $55 / no data Sep 2014: $2,472 / September 19, 2014 ! $25 / $3,088 Aug 2014: $3,088 / August 22, 2014 / $52 / $100 Jul 2014: $1,940 / July 20, 2014 / $19 / $134 Jun 2014: $134 / June 22, 2014 / $15 / $1,836 May 2014: $1,836 / May 20, 2014 / $18 / $7,445 Apr 2014: $6,445 ! March 28, 2014 / $116 / $1,000 Mar 2014: $5,934 / March 19, 2014 / $59 / $1,080 Feb 2014: $1,080 / February 20, 2014 / $15 / $1,588 Jan 2014: $1,588 / January 21, 2014 / $16 / $1,766 Dec 2013: $1,766 / December 20, 2013 / $18 / $1,774 Nov 2013: $1,774 / November 22, 2013 / $18 / $3,136 15 of 23 11/2/2015 1:05 PM txperian - Report Summary https: / /annualcreditreport. experian .com /AnnualCreditPepor.. "Betyveen May 2015 and Sep 2015, your credit limit/high balance was $10,100 Between Mar 2014 and Apr 2015, your credit limit/high balance was $8,400 Between Nov 2013 and Feb 2014, your credit limit/high balance was $7,000 Record of Reauests for Your Credit Histo Inquiries Shared With Others We make your credit history available to your current and prospective creditors and employers as allowed by law Experian may list these inquiries for up to two years. The section below lists all of the companies that have requested your credit history as a result of action you took, such as applying for credit or financing or as a result of a collection. The inquiries in this section are shared with companies that receive your credit history. BMW FINANCIAL SERVICES /CREDIT PO BOX 3608 05/10/2014 DUBLIN OH 43016 (800) 578 -5000 0273203899 Unspecified. This inquiry is scheduled to continue on record until Jun 2016 Inquiries Shared Only With You You may not have initiated the following inquiries, so you may not recognize each source. We report these requests to you only as a record of activities, and we do not include any of these requests on credit reports to others. We offer credit information about you to those with a permissible purpose, for example to: • other creditors who want to offer you preapproved credit; • an employer who wishes to extend an offer of employment; • a potential investor in assessing the risk of a current obligation; • Experian Consumer Assistance to process a report for you; • your current creditors to monitor your accounts (date listed may reflect only the most recent request); • an end user to complete your mortgage loan application. These inquiries do not affect your credit score. AMERICAN EXPRESS 16 of 23 11/2/2015 1:05 PM Experian - Report Summary https://annualcreditreport.experian.com/AnnualCreditPepor. PO BOX 981537 10/21/2015, 09/21/2015, 08/20/2015, 07/22/2015, 07/13/2015, 06/17/2015, 06/12/2015, 05/20/2015, EL 04/28/2015, 03/18/2015, 02/18/2015, 01/29/2015, 12/1212014, 11/25/2014, 11/05/2014, 10/02/2014, PASO TX 79998 09/25/2014, 08/25/2014, 08/22/2014, 07/28/2014, 06/19/2014, 05/22/2014, 04/25/2014, 12/13/2013 (602) 537 -8500 LEXISN EXIS /INS /P &C 1000 ALDERMAN DR 09/08/2015, 03/24/2015 ALPHARETTA GA 30005 (866) 323 -0932 On behalf of USAA for Insurance underwriting USAA FEDERAL SAVINGS BANK PO BOX 33009 09/08/2015 SAN ANTONIO TX 78265 (210) 531 -8722 USAA FEDERAL SAVINGS BK PO BOX 33009 09/08/2015 SAN ANTONIO TX 78265 No phone number available CREDCO/USAA 10750 MCDERMOTT FWY 09/04/2015 SAN ANTONIO TX 78288 No phone number available DISCOVER FINANCIAL SERVI PO BOX 15157 08/14/2015, 06/01/2015, 03/13/2015, 02/06/2015, 11/21/2014, 08/01/2014, 05/22/2014, WI LMI NGTON DE 1985004/11/2014, 12/06/2013 (800) 347 -2683 NORDSTROM 17 of 23 11/2/2015 1:05 PN Experian - Report Summary 13531 E CALEY AVE ENGLEWOOD CO 80111 (800) 964 -1800 BMW FINANCIAL SERVICES PO BOX 3608 DUBLIN OH 43016 (800) 578 -5000 DISCOVER FINANCIAL SVCS https: / /annualcreditreport. experian .com /AnnualCreditRepor. 08/06/2015 06/03/2015 PO BOX 15157 12/12/2014, 08/2212014, 04/18/2014, 04/04 /2014, 03/14/2014, 02/14/2014, 01/27/2014, WILMINGTON DE 1985012/20/2013, 12/06/2013, 11/01/2013 (800) 347 -2683 FNB OMAHA o 1620 DODGE ST OMAHA NE 68197 (402) 342 -2265 BMW BANK OF NORTH AMERIC 2735 E PARLEYS WAY STE 301 SALT LAKE CITY UT 84109 (801) 461 -6532 PNC BANK 1900 E 9TH ST CLEVELAND OH 44114 (216) 696 -1748 PNC BANK No phone number available 10/03/2014 03/27/2014, 11/08/2013 01/29/2014, 12/03/2013, 10/30/2013 10/30/2013 18 of 23 11/2/2015 1:05 Ph txperian - Keport Summary CITI CARDS PO BOX 6000 SIOUX FALLS SD 57117 (888) 866 -2484 EXPERIAN PO BOX 9600 ALLEN TX 75013 (800) 311 -4769 Personal Information https://annualcreditreport.experion.com/AnnuaICreditPepor. 10/11/2013 12/21/2009 The following information is reported to us by you, your creditors and other sources. Each source may report your personal info differently, which may result in variations of your name, address, Social Security number, etc. As part of our fraud prevention efforts, a notice with additional information may appear. As a security precaution, we did not list the Social Security number that you provided when you contacted us. If any Social Security number variations were reported to us, only the last four digits of each are displayed. Numbers that appear here vary from the number you used to generate this report. Actual differences in these numbers may be part of the displayed portion or part of the hidden portion. The names are listed in no particular order and may include variations of your legal name. The Name identification number is how our system identifies the names associated with respective accounts on your credit report. These addresses are listed in no particular order and may include previous addresses where you received mail. The Address identification number is how our system identifies the address. The Geographical Code shown with each address identifies the state, county, census tract, block group and Metropolitan Statistical Area associated with each address. 287 SE FLAMINGO AVE BRADFORD S TRUBEY STUART,, FL 34996 -4706 15429 0273203899 Single family BRADFORD TRUBEY 0- 90010 -85 -2710 25450 1114 NW SPRUCE RIDGE DR BRAD S TRUBEY STUART, FL 34994 -9516 9858 0082610447 Single family BRADFORD SCOTT TRUBEY 0- 30010 -85 -2710 20249 430 SE PARKWAY DR STUART,, FL 34996 -3202 BRAD TRUBEY 0082618309 13665 Single family 0- 90040 -85 -2710 19 of 23 11/2/2015 1:05 PM txperian - Deport Summary 1959 LAUREN SUNFLOWER SUNFLOWER LANDSCAPING FLORIDA POWER LIGHT (772) 220 -0166 Residential (772) 220 -1692 Residential (772) 692 -1315 Residential https: / /annualcreditreport. experian .com /AnnualCreditP,epor.. This address has pertained to a business: 287 SE FLAMINGO AVE STUART FL 34996 . WHOLESALE TRADE BUSINESS: 287 SE FLAMINGO AVE, STUART,, FL, 34996. Get Your FICO® Score beck to top Your free annual credit report does not include your credit score. A credit score is an additional offer that can be purchased. Along with knowing your FICOO score you will learn what factors positively or negatively impact your credit risk and more. Visit ww_w_ _experian,.com/score to get your FICO' score. Important Message From Experian By law, we cannot disclose certain medical information (relating to physical, mental, or behavioral health or condition). Although we do not generally collect such information, it could appear in the name of a data furnisher (i.e., "Cancer Center ") that reports your payment history to us. If so, those names display in your report, but in reports to others they display only as MEDICAL PAYMENT DATA. Consumer statements included on your report at your request that contain medical information are disclosed to others. Know your rights Para informacion en espanol, visite www .consumerfinance.gov /learnmore o escribe a la Consumer Financial Protection Bureau, 1700 G Street N.W., Washington, D.C. 20552. A Summary of Your Rights under the Fair Credit Reporting Act The federal Fair Credit Reporting Act (FCRA) promotes the accuracy, fairness, and privacy of information in the files of consumer reporting agencies. There are many types of consumer reporting agencies, including credit bureaus and specialty agencies (such as agencies that sell information about check writing histories, medical records, and rental history records). Here is a summary of your major rights under the 20 of 23 11/2/2015 1:05 PN txperion - Report Summary 21 of 23 https:// annualcreditreport .experion.com/ Annual(;reditkepor... fCRA. For more information, including information about additional rights, go to www.consumerfinance.gov /learnmore or write to: Consumer Financial Protection Bureau, 1700 G Street N.W., Washington, D.C. 20552. You must be told if information in your file has been used against you. Anyone who uses a credit report or another type of consumer report to deny your application for credit, insurance, or employment — or to take another adverse action against you — must tell you, and must give you the name, address, and phone number of the agency that provided the information. You have the right to know what is in your file. You may request and obtain all the information about you in the files of a consumer reporting agency (your "file disclosure "). You will be required to provide proper identification, which may include your Social Security number. In many cases, the disclosure will be free. You are entitled to a free file disclosure if: • a person has taken adverse action against you because of information in your credit report; • you are the victim of identify theft and place a fraud alert in your file; • your file contains inaccurate information as a result of fraud; • you are on public assistance; • you are unemployed but expect to apply for employment within 60 days. All consumers are entitled to one free disclosure every 12 months upon request from each nationwide credit bureau and from nationwide specialty consumer reporting agencies. See www.consu_merfinance,go_v- /learnmore for additional information. • You have the right to ask for a credit score. Credit scores are numerical summaries of your credit - worthiness based on information from credit bureaus. You may request a credit score from consumer reporting agencies that create scores or distribute scores used in residential real property loans, but you will have to pay for it. In some mortgage transactions, you will receive credit score information for free from the mortgage lender. • You have the right to dispute incomplete or inaccurate information. If you identify information in your file that is incomplete or inaccurate, and report it to the consumer reporting agency, the agency must investigate unless your dispute is frivolous. See www, cons umerfinance. gov /learnmore for an explanation of dispute procedures. • Consumer reporting agencies must correct or delete inaccurate, incomplete, or unverifiable information. Inaccurate, incomplete or unverifiable information must be removed or corrected, usually within 30 days. However, a consumer reporting agency may continue to report information it has verified as accurate. • Consumer reporting agencies may not report outdated negative information. In most cases, a consumer reporting agency may not report negative information that is more than seven years old, or bankruptcies that are more than 10 years old. • Access to your file is limited. A consumer reporting agency may provide information about you only to people with a valid need -- usually to consider an application with a creditor, insurer, employer, landlord, or other business. The FCRA specifies those with a valid need for access. • You must give your consent for reports to be provided to employers. A consumer reporting agency may not give out information about you to your employer, or a potential employer, without your written consent given to the employer. Written consent generally is not required in the trucking industry. For more information, go to www.consumerfinance gov /lear-n-more. • You may limit "prescreened" offers of credit and insurance you get based on information in your credit report. Unsolicited "prescreened" offers for credit and insurance must include a toll -free phone number you can call if you choose to remove your name and address from the lists these offers are based on. You may opt -out with the nationwide credit bureaus at 1 888 50PTOUT (1 888 567 8688). • You may seek damages from violators. If a consumer reporting agency, or, in some cases, a user of consumer reports or a furnisher of information to a consumer reporting agency violates the FORA, you may be able to sue in state or federal court. • Identity theft victims and active duty military personnel have additional rights. For more information, visit www consumerfinance gov /learnmore. States may enforce the FCRA, and many states have their own consumer reporting laws. In some cases, you may have more rights under state law. For more information, contact your state or local consumer protection agency or your state Attorney General. For more information about your federal rights, contact: Type of Business: Contact: 11/2/2015 1:05 PN txperian - Report Summary 22 of 23 https://annualcreditreport.experian.com/AnnuaICreditRepor 1.5. Banks, savings associations, and credit unions with total assets a. Bureau of Consumer Financial of over $10 billion and their affiliates. Protection 1700 G Street NW b. Such affiliates that are not banks, savings associations, or credit Washington, DC 20552 unions also should list in addition to the Bureau: b. Federal Trade Commission: Consumer Response Center - FCRA Washington, DC 20580 (877) 382 -4357 2. To the extent not included in item 1 above: a. Office of the Comptroller of the Currency a. National banks, federal savings associations, and federal branches Customer Assistance Group and federal agencies of foreign banks 1301 McKinney Street, Suite 3450 Houston, TX 77010 -9050 b. State member banks, branches and agencies of foreign banks (other than federal branches, federal agencies, and insured state b. Federal Reserve Consumer Help branches of foreign banks), commercial lending companies owned or Center controlled by foreign banks, and organizations operating under PO Box 1200 section 25 or 25A of the Federal Reserve Act Minneapolis, MN 55480 c. Nonmember Insured banks, Insured State Branches of Foreign c. FDIC Consumer Response Banks, and insured state savings associations Center 1100 Walnut Street, Box #11 d. Federal Credit Unions Kansas City, MO 64106 d. National Credit Union Administration Office of Consumer Protection (OCP) Division of Consumer Compliance and Outreach (DCCO) 1775 Duke Street Alexandria, VA 22314 3. Air carriers Asst. General Counsel for Aviation Enforcement & Proceedings Aviation Consumer Protection Division Department of Transportation 1200 New Jersey Avenue SE Washington, DC 20590 4. Creditors Subject to Surface Transportation Board Office of Proceedings, Surface Transportation Board Department of Transportation 395 E Street, SW Washington, DC 20423 5. Creditors Subject to Packers and Stockyards Act Nearest Packers and Stockyards Administration area supervisor 6. Small Business Investment Companies Associate Deputy Administrator for Capital Access United States Small Business Administration 409 Third Street, SW, 8th Floor Washington, DC 20416 7. Brokers and Dealers Securities and Exchange Commission 100 F St NE Washington, DC 20549 8. Federal Land Banks, Federal Land Bank Associations, Federal Farm Credit Administration Intermediate Credit Banks, and Production Credit Associations 1501 Farm Credit Drive McLean, VA 22102 -5090 11/2/2015 1:05 PAS Experian - Report Summary https://annualcreditreport.experian.com/AnnualCreditP,epor.. 9 *Retailers, Finance Companies, and All Other Creditors Not Listed FTC Regional Office for region in Above which the creditor operates or Federal Trade Commission: Consumer Response Center - FCRA Washington, DC 20580 (877) 382 -4357 Notification of rights_for Alabama_ consumers Notification of rights for Alaska consumers Notification of rights for Arkansas consumers Notification of_rights for California consumers California notice of your _ryhts to request and obtain your credit score Notification of rights for Colorado consumers Notification of rights for Connecticut consumers Notification of rig -hts for Delaware consumers Notification of rights for District of Columbia consumers Notification_ of rightsfor Florida consumers Notification of rights for Georgia consumers Notification of rights for Indiana consumers -- Notification of rights for Maryland consumers Notification of_rghts_ for Massachusetts_ consumers Notification of rights for Missouri consumers Notification of rights for Montana consumers Notification of rights for Nevad c a onsumers Notification of rights for New Hampshire consumers Notification of rights for New Jersey consumers Notification_ of rights for New Mexico _consumers Notification of rights for New York consumers Notification of rights_for North Carolina consumers Notification of _rights for North Dakota consumers Notification of rhts for Ohio consumers Notification of rights for Oklahoma consumers Notification of rig -hts for Rhode_ Island consumers Notification of rights for Tennessee consumers Notification of rights for Texas consumers Notification of rights for Vermont consumers Notification of rights for Virgmia_consumers Notification of rights for_Washi9_gton consumers Notification of rights for West Virginia consume_ rs Notification of rights for - Wisconsin consumers 23 of 23 11/2/2015 1:05 PN Nov 06 15 11 06a , M 0 2392770167 p.1 T� 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 recipients). 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. Nov 06 15 11:06a 2392770167 Premier Profile - SUNFLOWER LANDSCAPING & MAINTENANCE, INC Subcode: 970135 Ordered: 11Y0412015 0922:14 CST Transaction Number: C501071295 Search Inquiry: SUNFLOWER LANDSCAPING /15200 US HIGHWAY 4411DELRAY BEAC H,`F Ll3 3446/U S/561 -498- 7145/736881177 Model Description: Intelliscore Plus V2 Doing Business MAC IRRIGATION As: Primary Address: 15200 US HIGHWAY 441 DELRAY BEACH, FL 33446 -4108 Risk Scores and Credit Limit Recommendation Intelliscore Plus F nancial Stability Risk 67 LOW TO :"14-0 LOW RISK MEDIUM RISK Score range: 1 - 100 percentile Credit Limit Recommendation: $157,400 Webstte: sunfloweriandcraoina nAr Phone: (561) 498 -7145 Tax ID: 65- 0703584 p.2 Experian- .., This business is the ultimate parent. Seethe coroorate hierarchv by clicking here TOP O Days Beyond Terms Derogatory Legal Fraud Alerts r Company DBT Original Filings High Risk Alerts r !i' Industry DBT: 4 TOP o Sunflower Landscaping and Maintenance Inc. was founded in 1988, and is located in Delray Beach, FL. It is a landscaping company. The company specializes in landscape, renovation, annual installation, and residential landscape maintenance services. Its project areas include office buildings, homeowner associations, and shopping centers. Years on File: 26 (FILE ESTABLISHED 11/1989; SIC Code: BUILDING CLEANING & MAINTNCE SVCS, NEC - 7349 State of Incorporation: FL Date of Incorporation: 10/22!1998 LAWN & GARDEN SERVICES - 0782 Business Type: LANDSCAPE COUNSELING & PLANNING - 0781 Contacts: Profit NAICS Code: Other Services to Buildings and Dwellings - 561790 DOUGLAS K FASH - DIRECTOR Landscaping Services - 561730 WILLIAM FASH - DIRECTOR Number of Employees: Landscape Architectural Services - 541320 LISA AVEDISIAN Sales: 120 $8,484,000 r TOP a Business Alerts Active Business Indicator: Experian shows this business as active Possible OFAC Match: I � No OFAC match found Business Victim Statement: l No victim statement on file Premier Profile - SUNFLOWER LANDSCAPING & b1AN7ENANCE, INC Verification Triggers The primary Business Name, Address. and Phone Number on Experian File were reviewed for High Risk indicators, no High Risk indicators were found. TOP 1/6 Nov 06 15 11:06a Crean KISK Score: Intellfscore Plus Current Intelliscore Plus Score: 67 67 High MpjgRmmmW Risk 3 Low - -. Risk 25 50 75 100 This score predicts the likelihood of serious credit delinquencies for this business within the next 12 months. Payment history and public record along with other variables are used to predict future risk. Higher scores ndicate lower risk. 2392770167 p.3 Risk Class: 2 The risk class groups scores by risk into ranges of similar Performance. Range 5 is the highest risk. range 1 is the lowest risk. Factors lowering the score Industry Risk Comparison > NUMBER OF GOOD COMMERCIAL ACCOUNTS 66% of businesses indicate a higher likelihood of severe > AVERAGE BALANCE OF RECENTLY DELINQUENT COMMERCIAL ACCOUNTS delinquency. > NUMBER OF COMMERCIAL ACCOUNTS WITH HIGH UTILIZATION > RATIO OF BALANCE TO HIGH CREDIT FOR COMMERCIAL ACCOUNTS Quarterly Score Trends Quarterly Score Trends 100 -- - — so - 72 70 69 .. ... 68 . 65 50 40i. 30, r 20 10- apJ,lP� Egg -P,P¢ �P�.luL PUG -DCt credit Risk Score: Financial Stability Risk Current Financial Stability Risk Score: 96 96 High Low Risk ° Risk 0 3 10 30 55 100 This score predicts the likelihood of financial stability risk within the next 12 months The score uses tradeline and collections information, public filings as well as other variables to predict future risk. Higher scores indicate lower risk. Factors lowering the score > RISK ASSOCIATED WITH THE COMPANY'S INDUSTRY SECTOR > RISK ASSOCIATED WITH THE BUSINESS TYPE > BALANCE TO HIGH CREDIT RATIO FOR COMMERCIAL ACCOUNTS > NUMBER OF ACTIVE COMMERCIAL ACCOUNTS Credit Limit Recommendation The Quarterly Score Trends provide a view of the likelihood of delinquency over the past 12 months for this business. The trends will indicate if the score improved, remained stable, fluctuated or declined over the last 12 months. Risk Class: 1 The risk class groups scores by risk into ranges of similar performance. Range 5 is the highest risk, range 1 is the lowest risk. Industry Risk Comparison 95% of businesses indicate a higher likelihood of financial stability risk. Credit Limit Recommendation This recommendation compares this business against similar businesses in the Experian business credit database- It is based on trade information, industry, age of business and the Intelliscore $157,400 Plus. The recommendation is a guide. The final decision must be made based on your company's If business policies. Premier Profile - SUNFLOWER LgNDSCAP NG & b1A'NTENANCE, iNC 2/6 Nov 06 15 11:06a . r . Payment Performance Current DST: Predicted OBT as 12/3012015: Monthly Average DBT: Highest DBT Previous 6 Months: Highest DBT Previous 5 Quarters: Payment Trend Indication: Payments are stable 2392770167 p.4 TOP O Trade and Collection Balance Legal Filings - 1 Total trade and collection (18): $146.600 Bankruptcy: N P Y� 1 All trades (18): $146,600 Tax Lien filings: 0 All collections 0 : { $0 Judgment filings: 2 Continuous trade (9): $146,400 Sum of legal filings: $ UCC filings: 1 6 month average: $87,600 - $150,300 Cautionary UCC filings: Ye Highest credit amount extended: $200,000 Most frequent industry purchasing terms: Days Beyond Terms NET 30,REVOLVE,CREDIT idustry Comparison idustry DBT Range Comparison DI37 Norms he current DBT of this business is 1. 80% of businesses have a DBT range of 0 -5. All industry: 5 IBT for this business: 1 Same industry: 4 Industry Payment Comparison Has paid sooner than 50% of similar businesses DBT Range 0 -5 6 -15 16+ DBT Trends Monthly DBT Trends 10 - -------------------------- P- B_ ! - b- 5- 4 3- 2 - ... 11 wfo 4,5 L,b P ,��15 2 �Jw'y5 15 Se? Lu Quarterly DBT Trends TOP 4 Monthly Payment Trends Payment Trends Analysis BUILDING CLEANING 8 MAINTNCE SVCS, NEC - 7349 Account Status Days Beyond Terms Date Reported Industry Business Cur DBT DBT Balance Cur 1 -30 31 -60 61 -90 91+ CURRENT N!A NIA 1 $146,400 961/c 4% 93% 4 2 $87,800 92% - - - 7% AUG15 93% 4 1 _ $140000 - - o - 95l° - ° 5% J L15 93% 4 1 $131,700 95% - 4% 1% $124,400 99/° AY15 94% 4 0 $13D,000 98% 2% Premier profile - SUNFLOWER LANDSCAPING 6 MAINTENANCE, :NC 316 Nov UU1b11�00a 2392770187 p.5 Trade Line Type Lines Reported DST Recent High Credit Balance Current 01-30 31-60 61-90 91+ Continuous 9 Quarterly Payment Trends an (-) atter the date are nevAy reported) Business Date New 0 Business Payment History - Quarterly Averages Recent High Sale Terms Account Status Days Beyond Terms Quarter Months Reported Combined Trade 9 1 11--s Beyond Terms $146,400 96% 4% DBT Balance Cur 1 �3a 31-60 61-90 91+ --'�– 100m --------___ ---------� — roto/Trade 18 DISTRIBUTR 10,12015 10f2015 NET30 $900 $0 CRIED CARD 11/2013 CONTIRCT .$2,300 $1,900 so ACCTCLOSED JAN - MAR PACKAGING 08/2013 NET3 0 PRNTG&PUBL HARDWARE 0912 015 CREDIT - 0 Trade Line Type Lines Reported DST Recent High Credit Balance Current 01-30 31-60 61-90 91+ Continuous 9 (Trade-Lines with an (-) atter the date are nevAy reported) Business Date New 0 Business Date Last Payment Recent High Sale Terms Credit Days Beyond Terms 91+ Comments Category Reported Combined Trade 9 1 $259,700 $146,400 96% 4% Additional o '�-- ------- $29,500 �--- Souu --'�– 100m --------___ ---------� — roto/Trade 18 DISTRIBUTR 10,12015 10f2015 NET30 TOP 0 TOP Payment Experiences (Trade Lineswith an j*) after the date am newly reported)' (Trade-Lines with an (-) atter the date are nevAy reported) Business Date Account Status Recent High Business Date Last Payment Recent High Sale Terms Credit Days Beyond Terms 91+ Comments Category Reported Sale Terms Credit Balance Cur 1-30 31-60 61-90 91+ Comments CONTRCT -VARIED $3,700 so CCNST MACH 1012015 -'$1-8,700- DISTRIBUTR 10,12015 10f2015 NET30 $900 $0 CRIED CARD 11/2013 CONTIRCT .$2,300 $1,900 so ACCTCLOSED PACKAGING 08/2013 NET3 0 PRNTG&PUBL HARDWARE 0912 015 CREDIT - 0 10f2015 10/2915 CREDIT S2,300 $600 100% RENTALS C8/2015 NETIO $3300 $3,S00 i00% TRNS EQUIP 09/2015 MET15 $337100 so TOP premir-rpf0file SUNFLOWER LANDSCAPING u MAINTENANCE, /wc 416 Payment Experiences (Trade Lineswith an j*) after the date am newly reported)' Account Status Business Date Last Payment Recent High Days.Beyond Terms Category Reported Sale Terms Credit Balance Cur 1-30 31-60 61-go 91+ Comments AGRICULTIR 09/2013 04/2013 VARIED 600 $0 95/20 - 15 CONTRCT -VARIED $3,700 so CCNST MACH 1012015 -'$1-8,700- CRIED CARE) 10(2015 0312009 REVOLVE $0 CRIED CARD 11/2013 CONTIRCT .$2,300 $1,900 so ACCTCLOSED PACKAGING 08/2013 NET3 0 PRNTG&PUBL 0-1/2015 NET 20 premir-rpf0file SUNFLOWER LANDSCAPING u MAINTENANCE, /wc 416 Nov Ub 1b 1 1 :U (a r a UCC Filing Summary 2392770167 P.6 TOP 40 Date Range Year Cautionary Total Released 1 - Amended JUL- PRESENT 2015 Continuous / UCCs " Filed Termination Assigned JAN-JUN JUL - DEC - - -- 2014 JAN-JUN 2014 JUL -DEC 2013 -- PRIOR TO JUL 2013 Total a Cautionary UCC Filings include one or more c' the following collateral: Accounts: Accounts Receivables, Contract Rights, Hereafter Acquired Property, Irventory•, Leases, Notes Receivab'e or Proceeds. UCC Details _ UCC FILED Date: 1111212013 Filing Number: 2 01 3 0 0201 973 Jurisdiction: SEC OF STATE FL Secured Party: BANKUNITED, N.A. FL MIAMI LAKES 33016 7765 NW 148TH STREET Collateral: UNDEFINED, ACCTS REC, EQUIP, FURN & FIX, INVENTORY, HEREAFTER AQUIRED PROP Corporate Registration THE FOLLOWING INFORMATION WAS PROVIDED SY THE STATE OF FLORfDA. THE DATA IS CURRENT AS OF 1110412015. State of Origin: FL Date of Incorporation: 10!22/1996 Current Status: Active Business Type: Profit Charter Number: P960000871 Agent: FASH WILLIAM J Agent Address: 15200 STATE ROAD 7 DELRAY BEACH, FL TOP O TOP a Business Name location - BIN The inquired upon business, SUNFLOWER LANDSCAPING & MAINTENANCE, INC, is the Ultimate Parent SUNFLOWER LANDSCAPING &MAINTENANCE, INC 15200 US HIGHWAY 441 - DELRAY BEACH,FL 736881177 Branches of the inquired upon business: SUNFLOWER LANDSCAPING AND MAINTENANCE, INC 18851 ORANGE AVE -FORT PIERCE,FL -- -- -- - - -.._.. - 403885497 SUNFLOWER LANDSCAPING AND MAINTENANCE, INC 15200 US HIGHWAY 441 - DELRAY BEACH.FL 717111 1 1 4 TOP a Summary of Inquiries Business Category NOV15 OCT15 SEP15 AUG15 JUL15 JUN15 MAY15 APR15 MAR15 GENERAL INSURANCE - - __ - -- -- -- -._ - -- Totals - 1 1 TOP O Premier Prcfile - SUNFLOWER LANDSCAPING & MAINTENANCE. INC 5/6 iNov uo I o I I .0 /a 2392770167 p.7 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 E credit decisions. Give credit where credit is due. Call 1- 800 -520 -1221, option 44 for more information. End of report 1 of 1 report The information atio odor, hems, is furnished in confidence for your exclusive use for (egih'mate business purposes and shall not be reproduced. Neither Exoerian (rnormation Solutions, inc., nor [heir sources or distributors warrant such rn,rormation nor sha0 they be ;fable for your use or reliance upon it. J Experian 2015. All rghts reserved. allagv oohcv. EXDenan and the Experian marks herein are service marks or registered trademarks of Exoenar+ Premier Prcfile • SUNFLOWER LANDSCAPING & MAINTENANCE INC 616 Nov QU 1 b 1 1:07a a- 2392770167 p 8 Off 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: 1 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: SUNFLOWER LANDSCAPING AND MAINTENANCE, INC DBA MAC IRRIGATION FEDERAL ID: 65- 0703584 CURRENT STATUS: ACTIVE PRINCIPAL(S): WILLIAM J FASH TITLE: DIRECTOR DOUGLAS FASH TITLE: DIRECTOR DATE INCORPORATED. OCTOBER 22. 1996 1. BUILDING REVI W AND PERMITTING County I CONTRACTOR ICENSING SECTION COLLIER COUNTY /CITY OF NAPLES /CITY OF MARCO APPLICATION FOR OURNEYMAN Contractors' Licensing Board TAP ON ALL SIDES OFTHE Community Development & Environmental PICTURE A RECENT PHOTOGRAPH Services Division OF THE QUALIFIER. 2800 N. Horseshoe Drive Naples, FL 34104 Telephone: PHOTO MUST BE FULL -FACED (239) 252 -2431 VIEW APPROXIMATELY 2" X 2" Fax: (239) 252 -2469 A CLEAR 8, RECOGNIZABLE LIKENESS. Instructions: This application must a typewritten or legible 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 County Commissioners ". Fo further information, consult Collier County Ordinance No. 2006 -46, as amended. �l JAI (Last Name (First) (Middl ) 2. t10 Z �y 4er Lv, Lv, IvIvIe5 ),11_ :? mil /7 (Home Addres 3) 3. Home Phone + An 4. S.S.# (Last 4 #'s o 5. Driver's License 6. 7 T Name of City County Code:-- "t) N C, Mobile Phone ): 000 -00- T Date of Birth:. (Present) Business Zip Code + Area Code Business Address City County S1 ate Zip Code License No. of any CURRENT OR PREVIOUS Certificate of Competency held by Applicant: License # License # 9. INDICATE NATU�E OF REQUEST — (A) To Qualify as a: ( Journeyman Electrician $80.00 ( ) Journeyrna �i Plumber $80.00 ( ) Journeyman AIC $80.00 ( ) Active License to Dormant ( ) Dormant License to Active ( ) Address Change ( ) Reinstatement Page 1 of 3 License License # 12. 2� IM 13 rj14. C Tt Oi an Ar S1 CC kMA -�fGe c4r' �J�'�"'"`s"l /►'1U1 oxJ /! � ✓C�.'� n ��- �roc.� Yu-S . i Statement of Applicant's business or work experience during the past ten (10) years. r AID9 9,e-6 Provide the names and telephone numbers of two (2) persons who always know your whereabouts. A.&ement of any formal training in the trade for which application is being made. / 7/� V i ✓ `+ a J 42 lu P17" t 41 AFFIDAVIT 2 e undersigned hereby makes application for registration under the provisions of Collier County dinance No. 2006 -46, as amended and vouches for the truth and accuracy of all Ctatements and savers herein contained. y willful falsification of any information contained herein is grounds for disqualifica ion. Applicant (Please Print) Signature of Applicant ATE OF FLORIDA % )UNTY OF The foregoing instrument was acknowledged before me this `� 1% �l/i►f a �.�( 1,�, ` (ate BY vi U W/�% - � � who has produced - W, (Name of person acknowledging) (Type of id Britification) as identification and who did not take an oath. � xum A. o'BrIen �tl,`' Ezpiree: Jen.12,2018 � N� WwW.AARONNoTAALoom NOTARY'S SEAL Page 2 of 3 (SIGNATURE OF NO1, ARY) NOTARY P wie. i i Mow -L— Nr-u, C c�vNT/ e.S 5 w / / Q AFFIDAVIT OF INTEGRITY AND GOOD CHARA F-h f A O�, e- I, � � am a resident of (�, z county, ✓� 9 (State) and have resided here for mo. During the last five years I have known b*t-, /i> ;he opportunity to observe his or her business and personal dealings and fi: ionesty, integrity and good character. (Signature) (Name) (Address) Telephone) STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this �Cc �✓��, "J who has produced (name of person acknowledging) (Type of as identification and who did not take an oath. ��:."""� Ruth A. O'Brien r Commi�iou # FF072�36 i±xpirea: Jaa.12,2018 �,i,.a� WWW.AARONNOTARY.00m NOTARY'S SEAL than five (5) years. �41 applicant). I have had 1 him or her to be a person of lobed Naoles L 3�/lv� 23c� 2�3 -3321 7` 3� (Date) t ' ,n ' cation) /JI n i,n SIGNATURE IOF (PRINT IS NOTARY OF NOTARY) a a-� 1 X d� �1 ~ � •f i H •~ A O �Q 0 QLI0 N 0 c� N ~V d o o H a x zN W pq a � d � o d i 1� 0 b r N �-1 N N .Q N a CU A 0 d ' (l 4 YOO MUST ! -,T; 4 a i, ANI) RUP THE PEAR',ON VUE LOGO WITH FINGER. Fl rida Department of Business and Professiona DAVID SMITH 3025 30TH AVE S.E. NAPLES ID: #94##A� Date of Birth: Pearson VUE ID: FLE#### Exam Date: 8/9/2011 Exam Result: PASS Examination Name: Florida E. h Examinai Congratulations! Y u have successfully passed this portion of the Electrical C you apply for lice sure you must also pass the Electrical Technical / Safi requirement has not yet been met, you may schedule your examination 1- 888 - 204 -6230 or online at: http: / /www.pearsonvue. co m. Passing examination scores are valid for two (2) years from the date of the exa pass both parts oft the examination and apply for licensure within two (2) years of the examination. If you have passed pll examination sections, and met all other requirements pl( application to the Department of Business and Professional Regulation. Once 1 received, processed, and approved, a license will be issued and mailed to you A licensure application may be obtained via the http : / /www.myflorid license.com /dbpr /pro /elboard /forms.htmI or by contacting Questions relating o other aspects of licensure also may be directed to ti Professional Regulation's Customer Contact Center at 850 - 487 -1395. 4W)11 (91 )48Vn WOH3 AIN -1A >3 QNV A11V(1tiVH�-O �80100 HO 1VH1 ONnow FROM ORANGE TO YELLOW Regulation FL 34117 x#1575��� n4�� W ectrical Contractors' Business ion ontractor's examination. Before Pty examination. If this other by contacting Pearson VUE at �mination. Therefore, you must pf the date you pass the first part 7 f A ., M ---4 Z to 2 r tq n t yp� tn k 4--4 trk z� 2 1 44 ^, t -4 Z to 2 r tq n t yp� tn k 4--4 trk z� cep tU cm E cn 0 H cz r) 0 CY) 0 (D U) _U Q _0 c cz cz 4-- O C: 0 ip CTJ L- 0 CL L- 0 C) U) L- 0 -f—j 0 2: cz C- (1) An 3 co GIVER Operations & Regulatory Management Licensing Section !� n 2800 North Horseshoe Drive p� 0 Naples, FL 34104 APPLICATION FOR COLLIER COUNTY /CITY OF NAPLES /CITY OF MARCO INSTRUTIONS: This application must be typewritten or legibly printed. The application fee must be paid upon approval and is not refundable. All checks should be made payable to: Collier County Board of County Commissioners. For further information, consult Collier County Ordinance No. 90 -105, as amended. NAME OF COMPANY: Exact Corporate/Business Name: f1 KE5xR&z&)9 ._ � 0,_j Fiction Name/ DBA: M21f ES -- TAC6h71__0 -4 Qualifier Name: A c-4 4E L Physical Address: )_0 31:R e itR Q N, +Pas &Asdf 3y/-2c> (Number & Street) (City) (State) (Zip Code) Mailing Address: 1 0 3 (o P/}R -0 pave AV*f,S &0azD# 341110 Air Conditioner (Number & Street) (City) (State) (Zip Code) Telephone: X39-2_7.3- 12- 946-12— E -mail: _ Fu4 6 t 4P 61nArL,Cvo, 1 OF LICENSE: General $230.00 Electrician $230.00 Building $230.00 Plumber $230.00 Residential $230.00 Air Conditioner $230.00 Mechanical $230.00 Swimming Pool $230.00 Roofing $230.00 pecialty $205.00 Specialty Trade: CHANGE OF STATU : (�J Reinstatement ( From One Business to Another Page 1 of ;.chi. '3 -1 Lf i Dormant License to Active t 24 -- i..S i a- +ac*_ H� 'L J n New I . The names, titles, home address and phone numbers of all Officers/Managing Members of the Firm. ;1,0 3 P&LZ. b EVE, N kpLr -vS FLO Qz Do 3 i 13- e 2. List all businesses, firms, entities or contracting businesses you have been associated with during the last ten years (i.e. held a license for or been a partner). Attach extra pages if needed. List all debts you or any company(s) associated with you that you refused to pay and the reasons for the refusal to pay. Attach extra pages if needed. 30 H-4 D Ml FCo:4OM � AFFIDAVIT Under the penalties of perjury I declare that I have read the foregoing application and that the facts stated in it are true. Authorized Officer of the Firm The foregoing instrument as acknowledged before me this 0 l�uk-�, �� 2-a (Date) by � �— of �V-Y-'\ r,� 0-V4, (Name of Officer, Title/ gent) (Name of Corporatio ) a DY4 8-01 Corporation on behalf of the corporation. (State or Place of Corporation) He /She has produced V vvwr- APD (Type of identification) NOTARY'S SEAL JONA R COLE NOTARY PUBLIC STATE OF FLORIDA Page 2 of 4 . Corrw* FF085316 Expires 1/22/2018 identification and did not take an oath. (SIGNATURE OF NOTARY) QUALIFIER LNFORYLATIOiN: Name: Mfc d �'- i� FL q F_ A Address: o{O A (Number & Telephone: 21 � - 7 7.7 - q � I Z- SS,. : A4PLES F&RIDg ?x/20 (City) (State) (Zip Code) Date of Birth: E -mail: Sa_ jEa &1 e6i &a, fir, Driver's License #:� 1. Type of Certificate of Competency for which application is made. L.rg -c vmf S lar tcL25 2. The names and telephone numbers of two persons who will know your whereabouts. OEr4 Z5;F- .9EL164 )-39-q6,5_-77&2 3. Have you ever been convicted of a crime related to Contracting? A16 (If yes, attach extra sheet with explanation.) 4. Have you or any firms you have been associated with ever filed bankruptcy? 0 5. List all debts you or any company(s) associated with you that you refused to pay and the reasons for the refusal to pay and reasons why. j &�Q 5�AZni 1„J /- 4/Z6,r F"az-b a :LrLrn6r7i�✓ SAM -E- 6. List your business or work experience during the last ten years. �'�y3� SF ooi -TwuS— % VFP IMP 51g­ 7. Statement of any formal training you have had in the area for which the application is made. C "-I 40 EJ-4-6 :F b&6# %t�,v XAI U4j-br - ZR�- 1-6 a,a - 5-OPm c�� ' i �,.�, �ic,�L ��, s A,16 M1417 L f i) 2l OES, 3 of 4 AFFIDAVIT The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County No. 2006 -46, as amended, and under penalties of perjury. I declare that I have read the foregoing qualifier information and that the facts stated in it are true. 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 /she 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) bLl%S Name of Comp y Signature of Applicant State of Florida County of CM I oe)z The foregoing instrument as acknowledged before me this (D c/6\Gk-N-? 23 �2c� (Date) by 1rl1C.4 U�Y—a- (name of person acknowledging) as identification and did not take an oath. NOTARY'S SEAL JONA R COLE NOTARY PUBLIC STATE OF FLORIDA . CaNYW FFOW16 Expires 1/2212018 who has produced V-AXZ\A3v, ` O Vkrt_ (type of identification) 4 of 4 C e&-Q-,- (SIGNATURE OF NOTARY) AFFIDAVIT It is understood and acknowledged by the Collier County Contractor's 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 Certifica)q of Competency. Signature of Applicant Business Name Date BEFORE ME this day personally appeared IGC{�,Q,�, EL y �, who affirms and says that he /she has less than one employee and does not require Workmen's Compensation and understands that at any time he /she employs one or more persons he /she must obtain said Workmen's Compensation Insurance. State of Florida County of PM The foregoing instrument as acknowledged before me this 0i k-11 . {� (Date) by \ I 1 I C who has produced 1LAXZWk- t-b VVL P -- (name of person ackno ledging) (type of identification) as identification and did not take an oath. NOTARY'S SEAL JONA R COLE NOTARY PUBLIC STATE OF FLORIDA Comm# FFOW16 Expires 1/2212018 (SIGNATURE OF NOTARY) [VERIFICATION OF CONSTRUCTION EXPERIENCES GivID Operations & Regulatory Management Department Licensin; Section 2300 N. Horseshoe Drive Naples, FL 34104 Applicant's Name: �i_wl tj r�L e. in �cs- Certificate Category Requested: LpiuiN sPpa ce-eaA 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 r formation: Name: 3 . IC-F DPrLi~.." t Title: Name of Business: DA• L G Business Address: License Number (if applicable): CAWS Business Phone: 139- 5553 _F41&_ The applicant's years of experience from to The applicant's scope of work (specific duties) included: ( tL_r -,4 , -r 1ARa.f,a� S VS 71, 5 Additional comments: I. E4W 4 T A. r P.4XCL- Falsifying any information provided herein may subject your license to revocation. Under the penalties of perjury I declare that I have read the fore ng applicio and that the facts stated in it are true. > Signa- Print Name Lam` State of Florida County of C,W%_t,r The foregoing instrument as acknowledged before me this OeAok�.r 23 0 5 (Date) \ V L_ by �� UCI, who has produced p- L (name of person ackn wledging) (type of identification) as identification and did not take an oath. NOTARY'S SEAL •��1�pr PV�/��" GILLIAN E. f*KR Notary Public • Sisk of Florida My Comm. Expires Jul 6, 2018 Commission 8 FF 132605 �G. (SIGNATURE OF NOTARY) `VERIFICATION OF CONSTRUCTION EXPERIENCE GNID Operations & Regulatory Management Department Licensing Section 2800 N. Horseshoe Drive Naples, FL 34104 Applicant's Name: &)--G }'-F–L Z f i.- Certificate Category Requested: 1,4uA4 5 ?�Ueq#<LSrfL2> 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: ['r.j �, ,PL License Number (if applicable): � Name of Business: NO sk- S f aj:"4xaf2.l Business Address: Business Phone: ,2 0 – 3 The applicant's years of experience from l to The alicant's scope of work (specific duties) included: Additional comments: Ut P--1► S 1 <a-lt ab 4-1 T;�44 c s�� 6 Falsifying any information provided herein may subject your license to revocation. Under the penalties of perjury I declare that I have read the foregoign4 ap lication and that the facts stated in it are true. ` Signatur fJ A//��la Print Name State of Florida (A County of W t The foregoing instrument as acknowledged before me this Q AU a1) $ ac% ( S (Date) by �J d K)a who has produced P-L L (name of person acknowledging) . (type of identification) as identification and did not take an oath. NOTARY'S SEAL .o GILLIAN E. FISHER 04 ►p v9 Notary Public State of Florida . •: " My Comm. Expires Jul 6, 2018 %' �•' commission N FF .132605 (SIGNATURE OF NOTARY) N'ERIFICATION OF CONSTRUCT30N EpiRIE�ICE GMD Operations & Regulator;- iviana2erriY,m Depa.nment Lansing Se man 2300 N. i:orseshoc Drive Napics, FL 34104 Applicant's Narne: _ / / 1'C_ j-4/-j E L Certificate Category Requested: 4o"-r .,t C;a2; -,IK ` S The applicant is seekine a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate, the applicant roust verify their expenence within this trade. Y,-_.0 art' being requested to provide information that will aid the applicant in meeting this requirement. You' sltouid vent" time o; 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, bur may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience roust provide the following information: Name: .K ._...._. _ Title: _Z20 ',�.t f(�* —,� License Number (if applicable): C&n � L Name of Business. tc)f P:aakt.7y Zm=zry' Business Address: ('r)v 7- . it,& b -SQ � Business Phone: 239-'t 7 .7- 9 2 Sg The applicant's years of experience from to 2aC4 The applicant's scope of work (specific duties) included: 42�S-,-A // AIM6 M&„t„VT6, —T sz�h PS Additional comments: _ 0.•A .s— �'}.ry� St' s yn 4 c � ralsiying anv inffi:�rmation provided herein may subject ;cur litre- e to revocation. Under the penalties of perjury I declare that I have read the foregoing application and that the facts stated in it are true. 3i parure .AWk— w- Print Name State of T'loriS�a County of Cb /t.E�U The foregoing instrument as acknowledged before me this 0 X�2'2/c= " by /1244- !'V iel(!42 YLt 5 � ate) �D� who has produced �it (fZ�,J� (name of person acknowledging) (type of identifi ton} as Identification and did not take an oath. NOTARY'S SEAL I =G0=W=_JM#FFS M4 OF NOTAR �, 2tts ' SEIQ44V d e Ii AFFIDAVIT OF INTEGRITY AND GOOD CILARACTFR STATE OF F 2� COUNTY OF LF. JI, UJ�a/ C� `� , having been first duly sworn, state and affirm: 1 am a resident of 6y County, FZo RZDf} (State) and have resided here for more than five (5) years. During the last five years I have known AC-OEL &LL` e4-- (applicant). I have had the opportunity to observe his or her business and personal dealings and find him or her to be a person of honesty, integrity and good character. Signature C C� r� - "0— ame (7 o Zcr -Z 5.,. SC-i P/l C-05- Address 23 y 3 S-.Z 03`6 r Telephone I-) The foregoing instrument as acknowledged before me this �'�© �`� j 0�0- (Date) who has produced to K51>(� (type of identification) by R1 C ko-rrd Cd% (name of person acknowledging) as identification and did not take an oath. NOTARY'S SEAL JONA R COLE NOTARY PUBLIC STATE OF FLORIDA • Cann* FFOMIS Expires U2Y/2m18 _c6t&0au- i (SIGNATURE OF NOTARY) AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF f orc 4)A. - COUNTY OF CD t I having been first duly sworn, state and affirm: 1 am a resident of (1 f County, Ef o(- 4c'`- (State) and have resided here for more than five (5) years. During the last five years I have known / "1 � zle- e101 (applicant). I have had the opportunity to observe his or her to be a person of honesty, integrity and good and personal dealings and find him or her Name 6&Z.s- dc�61a -.e-C LA,0 Address (z�7) `77& -767 Telephone The foregoing instrument as acknowledged before me this A30vtrn by c�C,r t� �. i r' ^ (Date) � E w �Nho has produced � L.. (name of person acknowledging) (type of identification) as identification and did not take an oath. NOTARY'S SEAL GILLIAN E. FISHER Notary Public - State of Florida My Comm. Expires Jul 6.2018 Commission N FF 132605 b. i (SIGNATURE OF NOTARY) `y RESOLUTION OF AUTHORIZATION WHEREAS ,m 'f $ zRja16-,+ proposes to engage (Name of Business Entity) in contracting as Sc « -,TC22 in (Type of legal entity: corp., partnership, etc.) Collier County, Florida, according to Collier County Ordinance 2006 -46, as amended: and WHEREAS /"j i <E-5 7R_AX6- '7Z a•N proposes to qualify (Name of Business Entity) for. a Certificate of Competency with /y9 CH 4F-1- kTE4 14 A (Name of Individual) NOW, THEREFORE, BE IT HEREBY RESOLVED THAT: We the undersigned M,;Z_q, -£L I3£LVr. of (Officers, Owners, Partners) hereby resolve and represent to the Collier County (Name of Business Entity) Contractor's Licensing Board that the qualifying agent, AEI jlf L I&LW4s active (Name of Individual) in all matters connected with the contracting business of M y/G£S TAZZ64 d (Name of Business Entity) We further resolve and represent that ��� is (Name of Individual) Legally empowered to act for / H-l< &S kr m all matters connecte ith its (Name of Business Entity) contracting business, and has the authority to supervise construction undertaken by (Name of Business Entity) �,{ I DULY PASSED AND ADOPTED THIS 2 7 DAY OF bC,+ . , (Officers, Partners, Owners- with designation underneath) tress II,Ci n Fiery Witness 1.x,.,1 `t t Cr Witness Corporate Seal (if applicable) or Notary Public Certificate Sworn to and subscribed before me this 9.-� day of yG ' , x,015 by The foregoing instrument as acknowledged before me this OC�'FU 1A�2.1' a� I \\ (Date) by M'jCk&A &MOCA who has produced FL U L (name of person acknowledging) (type of identification) as identification-and did not take an oath. NOTARY'S SEAL GILUAN E. FISHER :.: Notary Public - State of Florida My Comm. Expires Jul 6, 2018 r cin i # FF 132605 C;02fte r C�mt-ktty GNID Operations & Regulatory Management Licensing Section 2800 North Horseshoe Drive Naples, FL 34104 MEMORANDUM Date: February 17, 2015 To: Applicant's for Certificate of Competency From: Michael Ossorio, Contracting Licensing Supervisor Subject: Collection of social security numbers. Pursuant to Chapter I -19, Florida Statutes and Collier County Contractor Licensing Ordinance 2006 -46 Section 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 I -19, Florida Statutes, 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 I -19, Florida Statutes. IRS DEPARTMENT OF THE TREASURY INTERNAL REVENUE SERVICE CINCINNATI OH 45999 -0023 005512.332367.0014.001 1 5P 0.480 530 Date of this notice: 0! Employer Identification 46- 2838650 Form: SS -4 Number of this notice: Y :• ;a MICHAEL RICHARD BELYEA For assistance you may c 430 8TH STEET SOUTH EAST 1- 800 - 829 -4933 NAPLES FL 34117 005512 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 a: you EIN 46- 2838650. This EIN will identify you, your business accounts, tax re 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 ver important that you use your EIN and complete name and address exactly as shown Any variation may cause a delay in processing, result in incorrect information account, or even cause you to be assigned more than one EIN. If the informatic is not correct as shown above, please make the correction using the attached to stub and return it to us. A limited liability company (LLC) may file Form 8832, Entity Classificatic Election, and elect to be classified as an association taxable as a corporatior the LLC is eligible to be treated as a corporation that meets certain tests anc will be electing S corporation status, it must timely file Form 2553, Election 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 88: To obtain tax forms and publications, including those referenced in this r visit our Web site at www.irs.gov. If you do not have access to the Internet, 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 only one time and IRS will not be able to generate a duplicate copy for You may give a copy of this document to anyone asking for proof of your • Use this EIN and your name exactly as they appear at the top of this ne on all your federal 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 BELY. You will need to pros 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 write to us at the address shown at the top of this notice. If you write, ple: tear off the stub at the bottom of this notice and send it along with your let - If you do not need to write us, do not complete and return this stub. Thank yc for your cooperation. c�Yenity THE SERENITY CLUB OF SOUTHWEST FLORIDA INC 12435 Collier Boulevard, Suite 107 Naples, Florida 34116 - : �� (239) 4554240 Alm Fiat www.serenityclubswfl.org RECOVERY October 22, 2015 TO WHOM IT MAY CONCERN Subject: Letter of Reference for Mike Belyea Dear Sir or Madam, I have personally known the above named individual for over twenty years. Throughout this entire period, Mr. Belyea has exhibited only the finest qualities of responsible citizenship and he has always demonstrated nothing less than the highest degrees of probity. Mr. Belyea is always the first to volunteer for any challenging assignment and his execution is exceptionally meticulous and complete. He is a kind and gentle person who is quick to extend his hand to help someone in need of assistance. His impact around The Serenity Club has been both profound and deeply appreciated. His conduct is consistently laudable as he leads by example for the members of our Fellowship. According to a common phrase here, he "walks his talk." Accepting several very challenging projects, such as serving as chairperson of our Repair and Utilities Committee for the Board of Directors and also as "Serenity Keeper" for several annual Serenity By The Sea conferences, he always exceeds our expectations. Mr. Belyea has demonstrated the finest characteristics of honesty, integrity, professionalism, and dedication. These things combine to reflect great credit upon himself, The Serenity Club, and the Fellowship of Alcoholics Anonymous. If you have any questions in this regard, please do not hesitate to contact me on my personal cellular telephone at 239 - 776 -6767. Respectfully submitted, Jerry D. Eddleman Founder and Director Emeritus The Serenity Club of Southwest Florida, Inc. The Serenity Club of Southwest Florida, Inc. is a Florida Nonprofit Corporation and an IRS 501(c)(3) tax exempt organization. Mikes Irrigation 430 8d' street south east Naples F134120» 11/12/15 Dear «Licensing board of Collier County», My Name is Michael Belyea and I am writing this letter to request some leniency in regards to my credit report. I held an irrigation license in Collier County for many years in good standing. Back in 2008 I had an irrigation company named Irrigation Masters Of South Florida my Companies main source of work was installing big Community irrigation systems, when the economy went south my company was not liquid enough to withstand the economic break down subsequently developers that I was doing business with filed bankruptcy and I could not afford to pay my debtors. I made to grave errors 1- was allowing the company to become Vulnerable 2- was to not file bankruptcy my hope was to pay all debtors back thinking the economy would bounce back quickly. My family suffered from my poor decisions and I will not make those mistakes again. I ask that you take into consideration that I am honest and I do what I say I am going to do and that I was born in Naples and have lived here all my life. Please give me a chance to Support my Family and pay the debts I owe. Sincerely, «Michael Belyea» «Mikes Irrigation» Prepared By: Merit Credit (239) 277 -3202 (800) 371 -3348 TRANSUNION CREDIT REPORT [FOR] [SUB NAME] [MKT SUB] (I) Z NP6284423 MERIT CREDIT 16 NP [SUBJECT] BELYEA, MICHAEL RICHARD [CURRENT ADDRESS] 430 SE. 8TH ST., NAPLES FL. 34117 [FORMER ADDRESS] 1640 TOBIAS ST., NAPLES FL. 34117 11180 IMMOKALEE RD., NAPLES FL. 34120 [CURRENT EMPLOYER AND ADDRESS] IRRIGATION MASTERS OF SW FLORI [FORMER EMPLOYER AND ADDRESS] IRRIGATION MASTERS OF S FL INC [INFILE] [DATE] [TIME] 6/85 11/02/15 09:14CT fSSN] ATE] j"v [DATE RPTD] 7/06 [VERF] [RPTD] 1/08 1/08 8/04 6/06 S P E C I A L M E S S A G E S ** *ADDRESS ALERT: CURRENT INPUT ADDRESS DOES NOT MATCH FILE ADDRESS(ES) * ** -------------------------------------------------------------------------- M 0 D E L P R O F I L E * * *FICO CLASSIC 04 SCORE +481 038, 013, 018, 020 * ** 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 =4 COL =10 NEG =12 HSTNEG =1 -47 TRD =20 RVL =9 INST =9 MTG =2 OPN =O INQ =1 HIGH CRED CRED LIM BALANCE PAST DUE MNTHLY PAY AVAILABLE REVOLVING: $3200 $6000 $0 $0 100% INSTALLMENT: $45.6K $ $ $ MORTGAGE: $408K $ $395K $65.OK $3737 CLOSED W /BAL: $25.4K $25.4K $774 TOTALS: $456K $6000 $420K $90.4K $4511 ---------------------------------------------------------------------------- P U B L I C R E C O R D S SOURCE DATE LIAB ECOA COURT ASSETS DOCKET# TYPE PLAINTIFF /ATTORNEY Z 5064207 4/12R $725 I CI 11SC003540 CIVIL JUDGMENT SPRINGLEAF FINANCIAL S Z 5064186 12 /11R $5000 I CI 11653SC CIVIL JUDGMENT NASER MAHMOUD NAKLEH Z 5064207 12 /11R $97.6K C CI 9CA5492 CIVIL JUDGMENT BRANCH BANKING AND TRU Z 5064186 8 /11R $52.OK I CI 910299CA CIVIL JUDGMENT AMERICAN EXPRESS BANK ---------------------------------------------------------------------------- C 0 L L E C T I 0 N S SUBNAME SUBCODE ECOA OPENED CLOSED $PLACED CREDITOR MOP ACCOUNT# VERIFIED BALANCE REMARKS MIDLAND FUND Y 36ET009 I 11/13 $652 CITIBANK SOUTH DAK O9B 8562385706 10 /15A $652 PLACED FOR COLLECTIO MIDLAND FUND Y 36ET009 I 12/10 $5539 CITIBANK USA N A O9B 8538073335 10 /15A $7960 PLACED FOR COLLECTIO ASSET ACCEPT Y 1FJ3001 S 2/10 $8299 01 GEMB HUSQVARNA O9B 41191226 10/15A $13.3K PLACED FOR COLLECTIO CAVALRY PORT Y lYNA008 I 2/10 $3925 08 WELLS FARGO BAN O9B 13875476 10 /15A $6322 PLACED FOR COLLECTIO CAVALRY PORT Y lYNA008 I 11/09 $10.1K 08 BANK OF AMERICA O9B 13698604 10 /15A $18.OK PLACED FOR COLLECTIO CAVALRY PORT Y lYNA008 I 11/09 $10.5K 08 BANK OF AMERICA O9B 13698636 10 /15A $19.5K PLACED FOR COLLECTIO CAPITAL ACCT Y 28Z3001 C 9/13 $233 MEDICAL O9B 1276356 10 /15A $233 PLACED FOR COLLECTIO ARS Y 2BQ4002 I 7/12 $872 MEDICAL O9B 70795322 5/15A $872 PLACED FOR COLLECTIO CAB COLL Y 179R003 I 10 /11 $350 MEDICAL O9B 62739264 5/15A $350 PLACED FOR COLLECTIO CREDIT COLL Y 1GZD005 I 3/09 8/09F $90 06 PROGRESSIVE EXP O9P 33894044 2/14A $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 GMAC Q 2592672 11/07 $55.7K 72M774 I09 29912088421 9/15A $14.OK S AUTOMOBILE 12/09F $14.OK UNPAID BLNC CHRGD OFF SUNTRUST BK B 423A063 5/06 $10.2K 48M 209 21500002155609924 4/15A $3334 S AUTOMOBILE 4/09F $3334 UNPAID BLNC CHRGD OFF SUNTRUST BK B 423A063 6106 $18.4K 60M I09 21500002155645654 4/15A $7278 S AUTOMOBILE 4/09F $7278 UNPAID BLNC CHRGD OFF SPRINGLF FIN F 654NBQ1 1/08 $850 C09 108213300610 6/13A $0 I CREDIT LINE SECUR 5 /11F $0 PURCH BY OTHER LENDER SYNCB /BOMBRD F 235059U 8/04 $6499 60M I09 1100010000042826 12 /11A $0 I SLDTO CHARGEDOFF 12 /11F $0 PURCH BY OTHER LENDER WELLSFARGO F 1BR6001 5/07 $3500 R09 10512073063 5 /11A $3500 $0 I CHARGE ACCOUNT 12/09F $0 PURCH BY OTHER LENDER SPRINGLF FIN F 654NDX6 1/08 $850 R09 108244604223 4 /11A $2500 $850 I CHARGE ACCOUNT 12/09F $850 UNPAID BLNC CHRGD OFF CHASE B 26QK001 11/98 $4473 R09 446561799511 2 /10A $3227 $0 A CREDIT CARD 7/09F $0 PURCH BY OTHER LENDER WFF CARDS B 2129002 4/08 $3924 R09 407110002074 2 /10A $3000 $0 I CREDIT CARD 4/09F $0 PURCH BY OTHER LENDER CREDITACPT F 950Y002 8/09 $12.8K 48M 19P 15030106 2/14A $0 I AUTOMOBILE 2/14F $0 PAID COLLECTION CHASE B 617C042 4/07 $65.9K C9P 41482001 11 /12A $66.OK $0 C HOME EQUITY LOAN 11 /12F $0 SETTLED [ FULL BLNC CHASE B 1127001 6/06 $408K 360M3737 5/09 55X555555555 M05 4651742349107 10 /15A $65.OK 05 555555555555 C CONVENTIONAL REAL $395K FORECLOSURE INITIATED 48 0/ 0/47 CAPITAL ONE B lDTV001 10 /00 $875 111111111111 RO1 529107225436 11 /07A $800 $0 111111111111 C CREDIT CARD 11/07C $0 ACCT CLSD BY CONSUMER 48 0/ 0/ 0 CREDITONEBNK B 54MR013 5/04 $426 111111111111 RO1 444796111233 9/07A $950 $0 111111111111 I CREDIT CARD 5/07C $0 ACCT CLSD BY CONSUMER 40 0/ 0/ 0 HSBC /MS F 235197C 1/03 $145K 360M1393 111111111111 MO1 6963599 5/06A $0 111111111111 I CONVENTIONAL REAL 5/06C $0 CLOSED 36 O/ 0/ 0 SPLASH CARD B 21GJ064 3/03 $3200 111111111111 RO1 766500 4/06A $6000 $0 111111111111 P CHARGE ACCOUNT 3/06P $0 25 0/ O/ 0 GMAC Q 2592669 3/05 $45.6K 60M761 111111111111 I01 24907916677 4/06A . C AUTOMOBILE 12 O/ 0/ 0 GMAC Q 2592669 3/05 $28.9K 60M482 1111111111 I01 24905766897 3/06A $0 C AUTOMOBILE 3/06C $0 CLOSED 10 0/ O/ 0 GMAC Q 2592669 3/05 $32.6K 60M543 1111111111 I01 24905965315 3/06A $0 C AUTOMOBILE 3/06C $0 CLOSED 10 0/ 0/ 0 GMAC Q 2592672 12/03 $49.2K 60M1114 111111111111 I01 29904263864 3/06A $0 111111111111 C AUTOMOBILE ---------------------------------------------------------------------- 3/06C $0 CLOSED 25 0/ 0/ - - 0 - - -- I N Q U I R I E S DATE SUBCODE SUBNAME TYPE AMOUNT 11/02/15 ZNP6284423(FLA) MERIT CREDIT ---------------------------------------------------------------------------- C R E D I T R E P O R T S E R V I C E D B Y TRANSUNION 800 - 888 -4213 2 BALDWIN PLACE P.O. BOX 1000,CHESTER, PA. 19022 Consumer disclosures can be obtained online through TransUnion at: http: / /www.transunion.com ---------------------------------------------------------------------------- CREDITOR CONTACT INFORMATION LEE CIRCUIT ZP5064207 (239) 533 -5000 1700 MONROE ST FORT MYERS FL. 33901 COLLIER CIR ZP5064186 (941) 774 -8800 3301 TAMIAMI TRL E NAPLES FL. 34101 MIDLAND FUND YC36ET009 (844) 236 -1959 2365 NORTHSIDE DRI SAN DIEGO CA. 92108 ASSET ACCEPT YClFJ3001 (800) 614 -4730 POB 1630 WARREN MI. 48090 CAVALRY PORT YClYNA008 (800) 501 -0909 500 SUMMIT LAKE DR VALHALLA NY. 10595 CAPITAL ACCT YC28Z3001 (866) 854 -5359 PO BOX 140065 NASHVILLE TN. 37214 ARS YC2BQ4002 (954) 321 -5957 1801 NW 66TH AVE FORT LAUDERDAL FL. 33313 CAB COLL YC179RO03 (843) 764 -1968 P.O. BOX 62889 NORTH CHARLEST SC. 29406 CREDIT COLL YClGZD005 (603) 570 -4784 PO BOX 9134 NEEDHAM MA. 02494 GMAC QZ2592672 (800) 200 -4622 P.O. BOX 380901 BLOOMINGTON MN. 55438 SUNTRUST BK BY423AO63 (877) 596 -5407 PO BOX 85526 RICHMOND VA. 23285 SPRINGLF FIN FF654NBQ1 600 N. ROYAL AVENU EVANSVILLE IN. 47731 SYNCB /BOMBRD FZ235059U (866) 220 -9432 C/O PO BOX 6153 RAPID CITY SD. 57709 WELLSFARGO FFlBR6001 (877) 401 -5414 SUPREME RE SERVING URBANDALE IA. 50323 SPRINGLF FIN FS654NDX6 P 0 BOX 59 EVANSVILLE IN. 47701 CHASE BC26QK001 (800) 432 -3117 P.O. BOX 15298 WILMINGTON DE. 19850 WFF CARDS BC2129002 (800) 231 -5089 CSCL DISPUTE TEAM DES MOINES IA. 50306 CREDITACPT FZ950YO02 (248) 353 -2700 PO BOX 5070 SOUTHFIELD MI. 48086 CHASE BZ617CO42 (800) 848 -9136 PO BOX 24696 COLUMBUS OH. 43224 CHASE BM1127001 (800) 848 -9136 P.O. BOX 24696 COLUMBUS OH. 43224 CAPITAL ONE BClDTV001 (800) 955 -7070 POB 30281 SALT LAKE CITY UT. 84130 CREDITONEBNK BC54MR013 (877) 825 -3242 PO BOX 98872 LAS VEGAS NV. 89193 HSBC /MS PO BOX 9068 SPLASH CARD CSCL DISPUTE TEAM GMAC P.O. BOX 380901 FM235197C BRANDON FL. 33509 BC21GJ064 DES MOINES IA. 50306 QZ2592669 BLOOMINGTON MN. 55438 END OF TRANSUNION REPORT (800) 231 -5089 (800) 200 -4622 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 _4_ SOURCES OF INFORMATION: TRANS UNION LLC IRS LIEN SECTION COUNTY COURTHOUSE RECORDS IF YOU HAVE ANY QUESTIONS REGARDING THIS REPORT, PLEASE CONTACT MERIT CREDIT AT: 1- 800 - 371 -3348 OR (239) 277 -3202. Premier Profile - MICHAEL BELYEA Subcode: 664760 Transaction Number: C047521725 Search Inquiry: MICHAEL BELYEA/NAPLES /FL Model Description: Intelliscore Plus V2 Doing Business As: MIKES IRRIGATION Primary Address: 430 8TH ST SE NAPLES, FL 34117 -9351 Ordered: 11/02/2015 09:03:59 CST .. Experian TOP 0 Years on File: 1 4 (FILE ESTABLISHED 07/2011 TOP 0 TOP 0 Active Business Indicator: Experian shows this business as inactive Possible OFAC Match: II • No OFAC match found Business Victim Statement: i 0 1 No victim statement on file Current Intelliscore Plus Score: 28 BUSINESS ADDRESS IDENTIFIED AS RESIDENTIAL TOP Risk Class: 3 The risk class groups scores by risk into ranges of similar performance. Range 5 is the highest risk, range 1 is the lowest risk. Premier Profile - MICHAEL BELYEA 1/3 Factors lowering the score Industry Risk Comparison > NBR OF ACTIVE COMMERCIAL ACCTS WITHIN THE LAST 12 MOS 27% of businesses indicate a higher likelihood of severe > NUMBER OF COMMERCIAL ACCOUNTS WITH NET 1 -30 DAYS TERM delinquency. > NUMBER OF RECENTLY ACTIVE COMMERCIAL ACCOUNTS r NUMBER OF COMMERCIAL ACCOUNTS INCLUDING COMMERCIAL LEASES 100 " 90 so 70 e0 50 40 . 30 - 20 10 i Quarterly Scare Trends Current Financial Stability Risk Score: 7 7 High Low' Risk Risk 0 3 10 30 65 100 This score predicts the likelihood of financial stability risk within the next 12 months. The score uses tradeline and collections information, public filings as well as other variables to predict future risk. Higher scores indicate lower risk. Factors lowering the score > NUMBER OF ACTIVE COMMERCIAL ACCOUNTS } NUMBER OF COMMERCIAL ACCOUNTS ► RISK ASSOCIATED WITH THE COMPANY'S INDUSTRY SECTOR > RISK ASSOCIATED WfTH THE BUSINESS TYPE The Quarterly Score Trends provide a view of the likelihood of delinquency over the past 12 months for this business. The trends will indicate if the score improved, remained stable, fluctuated or declined over the last 12 months. Risk Class: 4 The risk class groups scores by risk into ranges of similar performance. Range 5 is the highest risk, range 1 is the lowest risk. Industry Risk Comparison 6% of businesses indicate a higher likelihood of financial stability risk. Credit Limit Recommendation This recommendation compares this business against similar businesses in the Experian business credit database. It is based on trade information, industry, age of business and the Intelliscore $1,000 Plus. The recommendation is a guide. The final decision must be made based on your company's business policies. TOP Payment • Legal Current DBT: Not Available Total trade and collection (0): $0 Bankruptcy: No Predicted DBT: N/A All trades (0): $0 Tax Lien filings: 0 Judgment filings: 0 Monthly Average DBT: 0 All collections (0): $0 Sum of legal filings: $0 Highest DBT Previous 6 Months: 0 Continuous trade (0): $0 UCC filings: 1 Highest DBT Previous 5 Quarters: 0 6 month average: N/A Cautionary UCC filings: No Payment Trend Indication: Highest credit amount extended: N/A Payment trend indicator not available Most frequent industry purchasing terms: Premier Profile - MICHAEL BELYEA 2/3 Industry purchasing terms not available Industry DBT Range Comparison The current DBT of this business is Not Available. DBT for this business: Not Available 11% DBT Range 0 -5 6 -15 16+ TOP 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 1 of 1 report The information herein is furnished in confidence for your exclusive use for legitimate business purposes and shall not be reproduced. Neither Experian Information Solutions, Inc., nor their sources or distributors warrant such information nor shall they be liable for your use or reliance upon it. © Experian 2015. All rights reserved. Privacy policy. Experian and the Experian marks herein are service marks or registered trademarks of Experian. Premier Profile - MICHAEL BELYEA 3/3 Tff Merit CreditlNC 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: 1 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: MICHAEL BELYEA DBA MIKES IRRIGATION FEDERAL ID: 46- 2838650 CURRENT STATUS: ACTIVE PRINCIPAL(S): MICHAEL BELYEA TITLE: OWNER DATE INCORPORATED: AUGUST 14.2013 www.sunbiz.org - Department of State Home Contact Us E- Filing Services Previous on List Next on List Return to List No Filing History Fictitious Name Detail Fictitious Name MIKES IRRIGATION Filing Information Registration Number G13000080902 Status ACTIVE Filed Date 08/14/2013 Expiration Date 12/31/2018 Current Owners 1 County COLLIER Total Pages 1 Events Filed NONE FEI /EIN Number NONE Mailing Address 430 8TH STREET SOUTH EAST NAPLES, FL 34117 Owner Information Page 1 of 1 Document Searches Forms Help Fictitious Name Search Submit BELYEA, MICHAEL 430 8TH STREET SOUTH EAST NAPLES, FL 34117 FEI /EIN Number: NONE Document Number: NONE Document Images 08/14/2013 — Fictitious Name Filing View image in PDF format Previous on List Next on List Return to List lFictitious Name Search No Filing History Submit I Home I Contact us I Document Searches I E- Filing Services I Forms I Help I Copyright iii and Privacy Policies State of Florida, Department of State httD: / /www.sunbiz.orR /scripts /ficidet.exe ?action= DETREG &docnum =G 13000080902 &r... 11/23/2015 ,acoRf> CERTIFICATE OF LIABILITY INSURANCE DATE 10/26/2015 (MMIDDfYYYY) 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 The Thompson Agency 2132 McGregor Blvd FortMyers, FL 33919 CONTACT NAMME CT Brian Thompson ac" ; 239- 689 -8570 ac No,: 239-278-1074 AE-MAIL Brian @thompsoninsurancefl.com _...-- .- _.- ________.____ _._.____.�.._.._� .- __._ .__ ._.._. ---------------- --- PRODUCER CUS T9 ER ID #: _ INSURER(S) AFFORDING COVERAGE NAIC # Is 100,000 INSURED INSURER A: Service First Ins agent for Cypress P&C Ins. 10953 Michael Belyea INSURER B: 430 8'^ St. SE Naples, FL 34117 INSURERC: I INSURER D: �.p__..._..__.._....__._ INSURER E INSURER F GENERAL AGGREGATE 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. DI .-A09 A09i-� POLICY EFF I POLICY EXP T� -- — . LTR TYPE OF INSURANCE I I ' W_.. ........_..�...�_...— _...___. —I POLICY NUMBER I MMIDD/VYri MMIDD/YYYY LIMITS A l GENERAL LIABILITY I I j I EACH OCCURRENCE is 1,000,000 X GENERAL LIABILITY 1GFL 1031809 01 81 3/07/2015 - 3/7/2016 DA AGE ETO RENTED currence, Is 100,000 .COMMERCIAL CLAIMS -MADE OCCUR = I i MED EXP (Any one person) I $ 5,000 PERSONAL & ADV INJURY Is 1,000,000 GENERAL AGGREGATE �$ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: ,PRODUCTS - COMP /0P AGG $ 2.000 000 I POLICY PRO ' I LOC I I I $ AUTOMOBILE — LIABILITY I I I I i i COMBINED SINGLE LIMIT (Ea accident) I$ BODILY INJURY (Per person) I $ ANY AUTO ALL OWNED AUTOS � 1 i }-- .- ._W_�_..._.__..______ 1 I I BODILY INJURY (Per accident) $ _ SCHEDULED AUTOS HIREDAUTOS I I PROPERTY DAMAGE (Per accident) i $ I NON -OWNED AUTOS + - $ UMBRELLA LIAR OCCUR I j EACH OCCURRENCE Is j EXCESS LIAR I !CLAIMS -MADE I _ AGGREGATE $ 1 DEDUCTIBLE i I $ I --- I I RETENTION I I { f I f $ WORKERS COMPENSATION j j T RY TA ITS I IO R I AND EMPLOYERS' LIABILITY YIN I I ! E.L EACH ACCIDENT OFFICER)MEIM ER EXCLUDED ECUTIVE F-1 N / A i I i I (Mandatory in NH) j I E.L. DISEASE - EA EMPLOYEE$ iif yes, describe under I D_ ESCRIPTION OF OPERATIONS below I I E.L. DISEASE - POLICY LIMIT I $ I � I DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more space is required) Collier County Licensing 2800 North Horseshoe Dr. Naples, FL 34104 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOW WILL 8 DELIVERED IN ACCORDANCE WITH THE POLICY PROVISI AUTHORIZED REPRESENTATIVE ©1988 -2009 ACORD CORPORATION. All rig-Ifs reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD ACC3Rd "' CERTIFICATE OF LIABILITY INSURANCE 110/26/2015°'"' 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). RODUCER CONTACT Paychex Insurance Agency Inc PAYCHEX INSURANCE AGENCY, INC. 150 SAWGRASS DRIVE PHONE , 877 -266 -6850 FAX 585- 389 -7426 ROCHESTER, NY 14620 E-MAIL Certs @paychex.com ESSh INSURER(S) AFFORDING COVERAGE NAIC # iSURED INSURERA: NorGUARD Insurance Company 31470 MICHAEL RICHARD BELYEA 430 8TH ST SE INSURER B: INSURER C: NAPLES, FL 34117 INSURER D: INSURER E: INSURER F: :OVERAGES 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. SR TYPE OF INSURANCE R ADOL NSR BR D POLICY NUMBER POLICY EFF (MMIDD/YYYY) POLICY EXP (MMIDD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS- MADEL=OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ EN'L AGGREGATE LIMIT APPLIES PER: POLICY =PROJECT= LDC PRODUCTS - COMP /OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS nu °DOSED COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA U AB OCCUR EACH OCCURRENCE $ EXCESS LL48 CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ EMPLOYSCOMPENSATION BILITY AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE MIWC690594 06/19/2015 06/19/2016 X WC STATU- OTH- BY LWITS E.L. EACH ACCIDENT $ 100,000.00 E.L. DISEASE - EA EMPLOYEE $ 100,000.00 OFFICERIMEMBER EXCLUDED? YIN E.L. DISEASE - POLICY LIMIT $ 500,000.00 (Mandatory in NH) I N N/A If yes, describe under '- SCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) :ERTIFICATE HOLDER CANCELLATION Collier County Licensing Department SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 2800 Noth Horse Drive DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY Naples, FL 34104 PROVISIONS, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE CORD 25 (2010/05) @1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD RESTRICTIONS: ENDORSEMENTS: CLASS: E - Any non - commercial vehicle with a GVWR less than 26,001 Ibs. or any RV REPLACEMENT LICENSE REQUIRED WITHIN 10 DAYS OF ADDRESS OR NAME CHANGE. _ The State of Florida retains all property rights herein. - C,. -five Directory _- Julie Jones i/i C19y1on Boyd Nhlden M.I. I Directorof Motonst Services N721302220079 1 , 'bill, t .I Rev Dak 04-0142 www.flhsmv.gov i I — COLLIER COUNTY BUSINESS TAX RECEIPT APPLICATION 2800 N. Horseshoe Drive, Naples, FL 34104 Make Check Payable to: Collier County Tax Collector Phone: 239 - 252 -2477 Fax: 239 - 643 -4788 Website: www.colUertax.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 State license from Department of Business and Professional (850 -487 -1395) or Department of Health. (850- 488 -0595) Copy of City Business Tax Receipt. (239- 213 -1800) Copy of Motor Vehicle Repair Registration Certificate from Department of Agriculture. (800 -435 -7352) of �E 5 fry COD WES Copy of Marco Zoning Certificate. (239- 389 -5000) Completed Zoning application with appropriate fee made payable �to: r . (239- 252 -5603) Completed Business Tax Receipt application with appropriate fee X, /made payable to: Collier County Tax Collector. (239- 252 -24 ) f n �lj � (1� � 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 - (S - 6) C Renewal of License # License Amount 1) CORPORATE NAME - 1 a) DBA NAME - 1b) 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: 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 �1ND THAT THE FACTS STATE 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 *r County COLLIER COUNTY GOVERNMENT 2800 NORTH HORSESHOE DRIVE GROWTH MANAGEMENT DIVISION/ NAPLES, FLORIDA 34104 PLANNING AND REGULATION 239) 262 -2400 FAX (239) 262 -6368 www.colliergov.net 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 aareement is reauired. W /(brr,* izo E APPLICATION DATE APPLICANT'S PHONE APPLICANT'S NAME APPLICANT'S HOME ADDRESS TYPE OF BUSINESS TO BE CONDUCTED BUSINESS NAME (IF ANY) ZONING CERT- IFIGATE# Business Tax Lic # 1, the undersigned, hereby affirm that i am the legal owner of the property at the above address or that l have the legal right to conduct the business described above at this address by virtue of my leasehold interest in this property, and that / have read, understood, and agree to abide by the provisions of LDC Section 5.02.00 "Home Occupations" (see back of application). \ l APPLICANT SIGNATURE DATE CODE NO: 11 ROMZ FEE: $60.00 CHECKS PAYABLE TO: "COLLIER COUNTY TAX COLLECTOR" TO BE COMPLETED BY COUNTY STAFF ZONING: PROPERTY ID # DATE REVIEWED BY APPROVED HOLD DENIED COMMENTS /RESTRICTIONS: Must comply with Section 5.02.00 of the LDC (see back of application). Tax Collector Staff: Clerks Initials Horseshoe F-1 Greentree Please forward a copy of issued certificate and receipt to the Collier County Zoning Services. 5 -24 -2011 0 /th ;6 4 1 -1 , GMD Operations & Regulatory Management Licensing Section 2800 North Horseshoe Drive Naples, FL 34104 ✓ = DO X =DO NOT DO CHECKLIST LVAPPLICATION (complete and notarized) N VERIFICATION OF 75% PASSING SCORE (must be approved and recognized throughout the State of Florida, as provided in Section 2.7 of the Contractor's Licensing Board Ordinance) • Copy of letter from testing facility, or • Letter of Reciprocity from the county of sponsorship is required CREDIT REPORT (Must come from enclosed list of credit bureaus and CANNOT be over 60 days old) • Individual (License Holder) VCOMPANY o Firm (If more than one year old) NAME (Sunbiz.org) o Articles & Certificate of Corporation/Incorporation o Fictitious Name CERTIFICATE OF GENERAL LIABILITY INSURANCE 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 $25,000 minimum (NOTE: If registered with the state, must carry the amounts required by DBPR). CERTIFICATE OF WORKER'S COMPENSATION INSURANCE • Collier County Licensing Department must be listed as a Certificate Holder with the above mailing address. • NOTE: Qualifier(s) "License Holder" Are Required To Be Listed On The Policy As *INCLUDED* Or *EXCLUDED *. • State Worker's Compensation Construction Exemption(s): Are Filed On Line At: WWW.Myfloridacfo.com. NOTE: If you are a "sole proprietor" (an individual or with a fictitious name), you are not eligible for an exemption and MUST carry Worker's Compensation insurance. ❑ STATE �I� STRATION The foil trades must register with the State Dept. of usmess and Professional Regulation before the competency card is onsidered active for business (DO NOT mail t application until license is approved). General C tractor Maste lumber Building Co actor Roofm Residential Co tractor H.A.R. Class A & B Swimming Pool lass- A,B,C Master El trician Mechanical Con ctor Burglar / Fire Alarm NOTE: If you already registered with the DBPR, please submit a copy to Collier County Contractors' Licensing. 1 -2 Y FEDERAL TAX NUIMER o IRS Form SS -4 (File online at IRS.GOV) o Incorporated or have more than 1 managing member of the LLC. If you are the ONLY managing member of an LLC, use your SSN. VERIFICATION OF EXPERIENCE • THREE (3) Affidavits for Verification of Construction Experience (Must be signed and notarized by 3 different people) • TWO (2) Affidavits for Integrity & Good Character (Can be signed by any 2 of the 3 people you have chosen for Verification of Construction Experience) NOTE: The affidavits must state the type of work done, the persons knowledge of the trade, length of time in the trade, etc. ❑ MAJOR T ES o T E (3) Notarized Original tters on their company letterhead stating years of expe ' V in that trade, types of rk done, the persons knowledge of the trade and Inty & Good Character. G BUSINESS TAX RECEIPT/ OCCUPATIONAL LICENSE • Collier County Business Tax Receipt (if located in Collier County) OR • Business Tax Receipt from where office or business is located. NOTE: Contact Business Tax for fee amounts at (239) 252 -2477. Lid' ZONIN_ G/PLANNING CERTIFICATE o Zoning approval for home occupation or business location is in Collier County. NOTE: Please contact Zoning Department for fee amounts at (239) 252 -5250. VCOPY OF DRIVER'S LICENSE X70PY OF CITATION o If submitting application to abate a citation issued within 45 days of the date of the issuance of the citation. If you have any questions, please feel free to contact us at: GMD Operations and Regulatory Management Licensing Section 2800 North Horseshoe Drive Naples, FL 34104 Main: (239) 252 -2431 Fax: (239) 252 -2469 1 -3 PROOF OF EXPERIENCE 1.8.1 When determining if the applicant possesses the required experience, the Contractor's Licensing Board Supervisor or his/her designee shall accept the following as proof of experience: A. Affidavits /notarized letters from former employees with specifics as to the number of years of experience, work performed and any other relevant information. B. Copies of other certificates of competency, if any, held in other counties, cities. C. Affidavits from any building director in locations where the applicant has worked. D. Affidavits from any union organization of which the applicant has been a member, relative to the trade for which the applicant has made application. E. Affidavits from any other reasonable source as approved by the Contractor Licensing Supervisor within the trade applied for. 1.8.2 Education at an accredited school may be utilized to satisfy a portion of the experience requirements of this section. Specifically, each full year of school level work in the field for which the application is made shall be credited to the applicant as .75 years experience, but such credit shall be for no more than one -half of the total experience required. CREDIT BUREAUS FROM THE YELLOW PAGES OF THE NAPLES PHONE BOOK Merit Credit, Inc. (239) 277 -3202 meritcreditservices.com Credit Check, Inc. Licenses, Etc. USA Credit Bureau Credit Bureau Services, Inc. (877) 616 -5556 creditcheckin.com (239) 777 -8321 licensesetc.com (888)474 -2270 usacreditbureau.com (866) 561 -1400 elicensereport.com NOTE: You can use any bureau that is nationally recognized & reports a full 7 year history. Rev. 05/2014 BEFORE THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD BOARD OF COUNTY COMMISSIONERS, COLLIER COUNTY, FLORIDA, CONTRACTORS' LICENSING BOARD Petitioner, In Luis G. Patino D /B /A — Oasis Pools of South West Florida, Inc. Respondent. Case Number: 2015 -08 License Number: 35630 ADMINISTRATIVE COMPLAINT Collier County (County) files the Administrative Complaint against Luis G. Patino ( Respondent), a Collier County licensed Swimming Pool Cleaning Only Contractor ( license # 35630), and states the following facts and allegations in support of the cited violations below: 1. The Respondent is currently licensed by Collier County as a Swimming Pool Cleaning Only Contractor with License number 35630. 2. Under the provisions of Collier County Ordinance 90 -105, as amended, Section 22 -201, the following actions by a holder of a Collier County / city Certificate of Competency shall constitute misconduct and grounds for discipline pursuant to Section 22 -202. a. 22- 201(2). Contracting to do any work outside of the scope of his /her competency as listed on his /her competency card and as defined in this Ordinance or as restricted by the Contractors' Licensing Board. Mr. Patino, a Collier County Swimming Pool Cleaning Only Contractor, contracted and performed commercial pool renovation, not included within the scope of the Swimming Pool Cleaning Only Contractor, pursuant to Ordinance 2006 -46, Section 1.6.2.9.1. The minimum licensing requirement for all of the described work contracted for and performed by Mr. Patino is a Commercial Pool /Spa Contractor license. b. 22 -201 (18). Proceeding on any job without obtaining applicable permits or inspections from the City building and zoning division or the county building review and permitting department. Mr. Patino, contracted for and performed a commercial pool renovation without a required Collier County permit. c. 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. 3. Collier County brings the following charge in this formal complaint against the Respondent. COUNT 4. Collier County Ordinance 90 -105, as amended, Section 22- 201(2) -"Contracting to do any work outside of the scope of his competency as listed on his competency card and as defined in this article or as restricted by the contractors' licensing board ". COUNT 2 5. Collier County Ordinance 90 -105, as amended, Section 22 -201 (18). "Proceeding on any job without obtaining applicable permits or inspections from the City building and zoning division or the county building review and permitting department." WHEREFORE, the Petitioner asserts the above facts and charges are grounds for disciplinary action under Section 22 -201 of Collier County Ordinance 90 -105, as amended, and WHEREFORE, in consideration of the foregoing, the Petitioner respectfully requests the Collier County Contractors' Licensing Board to find the Respondent guilty of the violations charged. Dated: 18 November, 2015_ Signed: Collier County Contractors' Licensing Supervisor or Designee Contractors' Licensing Board Case # 2015 -08 Luis G. Patino — D /B /A Oasis Pools of South West Florida, Inc. Table of Contents E1 through E3 - Formal Complaint E4 through E5 — Notice of Hearings, dated 01 September, 2015 and 06 October, 2015 E6 through E9 — Code Case Detail Report — CEMIS20150017217 E10 through E12— Certificate 35630 Detail Report, City View E13 — Collier County Business Tax Receipt, Luis G. Patino E14 through E15 — Division of Corporations, Oasis Pools of South West Florida, Inc. E16 through E22 — Preliminary Complaint by Collier County Department of Health, includes 2 photos and 2 emails E23 through E27 — Written estimate provided to Forest Glen Country Club, includes check copies E28 through E34 — Officer Smith's investigation photographs of commercial pool renovation, 7 photos E35 — Ordinance definitions and references: Ordinance 2006 -46, as amended, Section 1.6.2.9.1. Swimming Pool Cleaning Only Contractor definition, and Ordinance 90 -105, as amended, Section 22- 201(2). Contracting to do any work outside of the scope of his /her competency Contractors' Licensing Board 2800 North Horseshoe Dr. Naples, FL 34104 Complaint Number- 2015 -08 Complainant: Any person who believes that a Contractor holding a State Certification or Certificate of competency has violated Collier County Ordinance 90 -105, as amended, may submit a sworn complaint to the Contractor Licensing supervisor, or his / her designee. The complaint shall be in substantially the form prescribed by the Contractor Licensing Supervisor. The complainant shall pay a fee of $50.00 to defray the costs of administering the complaint, at the time of filing the complaint. The complaining party shall state with particularity which section(s) of this Ordinance he or she believes has been violated by the contractor and the essential facts in support thereof. Complaint: Please print or type and return signed copies of the complaint. Date: August 25, 2015 Against: Contractor's Name: Luis G. Patino Phone: 239 -287 -1515 Business Name: Oasis Pools of South West Florida, Inc. License Number if known: 35630 Collier County Competency number: 35630, Swimming Pool Cleaning Only Contractor's Business Address: 6017 Pine Ridge Rd, Naples, FL 34119 Filed By: Name: Collier County Contractors' Licensing/ Reggie Smith Address: 2800 N. Horseshoe Dr., Naples, FL 34104 Business Phone: 239 - 252 -2432 Address where work was performed: Forest Glen Country Club, 3855 Forest Glen Blvd, Naples, FL 34114 City: Naples County: Collier E' 1 Date of contract: May 13, 2015 Date job started: Approximately two weeks after date of contract. Date job completed: August 2015 +/- Were there plans and specifications? Yes, Swimming pool material specifications, as stated on the estimate dated May 13, 2015. Is there a written contract? Yes. If yes, amount of Contract: $ 22,648.05 Has Contractor been paid in full at the time of completion? No. If not, what amount? $2,200.00 remained to be paid. Was a Building Permit obtained? No. Was a Building Permit required? Yes. Building Permit number if known: None applied for, although was it was billed for. Have you communicated by letter with the licensee? Yes, Notice of Hearing Date: October 6, 2015, Hand Delivery. Do you have a reply? Yes, a signed Notice of Hearing. 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): 1. Collier County Ordinance 90 -105, as amended, Section 22- 201(2) -"Contracting to do any work outside of the scope of his competency as listed on his competency card and as defined in this article or as restricted by the contractors' licensing board ". Collier County Ordinance 90 -105, as amended, Section 22 -201 (18). "Proceeding on any job without obtaining applicable permits or inspections from the City building and zoning division or the county building review and permitting department." Please state the facts which you believe substantiate your charge of misconduct against the subject contractor. List facts separately for each subsection number above: a. 22- 201(2). Contracting to do any work outside of the scope of his /her competency as listed on his /her competency card and as defined in this Ordinance or as restricted by the Contractors' Licensing Board. Mr. Patino, a Collier County Swimming Pool Cleaning Only Contractor, contracted and performed commercial pool renovation to include the installation of tile mosaics, not included within the scope of the Swimming Pool Cleaning Only Contractor, pursuant to Ordinance 2006 -46, Section 1.6.2.9.1. The minimum licensing Cz requirement for all of the described work contracted for and performed by Mr. Patino is a Commercial Pool /Spa Contractor license. b. 22 -201 (18). Proceeding on any job without obtaining applicable permits or inspections from the City building and zoning division or the county building review and permitting department. Mr. Patino, contracted for and performed a commercial pool renovation to include the installation of tile mosaics, without a required valid Collier County permit. Reggie Smith Collier County Contractors' Licensing State of: Florida County of: Collier Sworn to (or affirmed) and subscribed before me this _18_ day of _November 2015, by /Zr,,,,- A,a . (signature of person making statement). (signature of Notary Public) °BOA JOANNGREENBERG * MY COMMISSION # FF 212324 Print, e or stamp com sinned name of Notary Public: ;, EXPIRES:Apri18,2019 yp p ry Ro-- Bondedlhcu BMW Notary Seniies Personally known or produced identification F3 Co�[L�ier County Growth Management Division Planning & Regulation Operations Department Licensing Section Hand Delivery Date: Luis G. Patino 01 September, 2015 Oasis Pools of South West Florida, Inc. 4220 Pine Ridge Rd #277 Naples, FL 34119 RE: Complaint filed against you by The Florida Department of Health in Collier County Dear Luis G. Patino, A complaint has been filed against you by the above referenced individual/office. A hearing of this complaint will be held by the Contractors' Licensing Board on 20 October, 2015, at 9:00 AM in the Board of County Commissioner's Room, Third Floor, Administration Building (W. Harmon Tumer 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 provided to 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 Ordinance # 90 -105, Section number(s) 22.201 (6) Contracting to do any work outside the scope of competency, and/or 22.201 (18) Proceeding on any job without obtaining_ applicable permits, the range of disciplinary sanctions which may be imposed are from an oral reprimand to a suspension or revocation of your Collier County Certificate # 35630, and/or fines and administrative fees. Sincerely, Reggie Smith Licensing Compliance Officer (239) 252 -2432 cot/ Growth Management Division *Planning & Regulation *2800 North Horseshoe Drive *Naples, Florida 34104* 239 - 252- 2400 *www.colliergov.net CA -'-r Coi4 vity Growth Management Division Planning & Regulation Operations Department Licensing Section Hand Delivery /� a Date: Luis G. Patino 06 October, 2015 Oasis Pools of South West Florida, Inc. 4220 Pine Ridge Rd #277 Naples, FL 34119 RE: Complaint filed against you by The Florida Department of Health in Collier County Dear Luis G. Patino, A complaint has been filed against you by the above referenced individual/office. A hearing of this complaint will be held by the Contractors' Licensing Board on 16 December, 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 provided to 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 Ordinance # 90 -105, Section number(s) 22.201 (6) Contracting to do any work outside the scope of competency, and/or 22.201 (18) Proceeding on any job without obtaining applicable permits, the range of disciplinary sanctions which may be imposed are from an oral reprimand to a suspension or revocation of your Collier County Certificate # 35630 and/or fines and administrative fees. Sincerely, Reggie Smith Licensing Compliance Officer (239) 252 -2432 EJr Growth Management Division* Planning & Regulation 2800 North Horseshoe Drive *Naples, Florida 34104* 239 - 252 - 2400 *www.colliergov.net Contractors' Licensing Board Case # 2015 -08 Luis G. Patino — D /B /A — Oasis Pools of South West Florida, Inc. Case Summary On 28 August, 2015, I, Reggie Smith, Collier County Contractors' Licensing Investigator, did receive a Preliminary Complaint against Oasis Pools of South West Florida, Inc., license number 35630, which detailed the contractor working outside the scope of his license and performing work without a required permit. I generated licensing case CEMIS20150017217 and began my investigation. The complaint included a two page form style complaint, emails from The Florida Department of Health, and also photographs of the commercial pool renovation work. Research of the property in question, Forest Glen Country Club, clubhouse commercial pool, did not reveal any applied for or obtained permitting for pool renovation work. As advised by the Department of Health, a posted Stop Work Order was issued. On 31 August, 2015, 1 site visited the property and met with Tim Kragh, Forest Glen Country Club, General Manager. Mr. Kragh confirmed the contractor who provided the estimate for and performed the swimming pool renovation was Luis G. Patino, Qualifier and Owner of Oasis Pools of South West Florida, Inc. Mr. Kragh provided copies of the detailed estimate by Oasis Pools of South West Florida, Inc., dated 13 May, 2015 and also supplied copies of payment to Oasis Pools of South West Florida, Inc:; in the form of company checks, numbered 28542 and 29017; totaling $22,600.00. When asked, Mr. Kragh stated he knew of no other pool contractor companies involved in the pool renovation project. I photographed the completed pool renovation work. Research revealed Mr. Patino's Collier County license does not allow him to contract for or perform the work described in his 13 May, 2015 estimate. Such contract violates Collier County Ordinance 90 -105, as amended, Section 22- 201(2). 1 reviewed the case with Licensing Supervisor, Michael Ossorio, who advised to meet with Mr. Patino and issue a Contractors' Licensing Board (CLB), Notice of Hearing. On 01 September, 2015, 1 met with Mr. Patino to review the case and to serve a Notice of Hearing for the initial charges of working outside the scope of his license and failing to obtain required permitting. Mr. Patino signed the Notice of Hearing for the CLB hearing scheduled for 21 October, 2015 and stated he understood the possible CLB hearing charges which may be ordered against him and his current license. Mr. Patino attempted to explain he believed he was contracting for the work under his developing partnership company with other licensed qualifier(s); however the partnership failed. I advised there was no licensure in place for him to provide his estimate dated 13 May, 2015 or perform the work at a later date. Mr. Patino received a copy of the signed Notice of Hearing. On 05 September, 2015, a decision was made to reschedule this case to be heard at the 16 December, 2015 CLB hearing, due to scheduling conflicts. On 06 October, 2015, 1 prepared a new Notice of Hearing for the 16 December 2015 CLB hearing, to be served. I contacted Luis G. Patino and advised the rescheduled CLB hearing and scheduled to serve a new Notice of Hearing scheduled for 16 December, 2015. On 14 September, 2015 Mr. Patino met with Contractors' Licensing Customer Service to sign the new Notice of Hearing and accept his copy. I began CLB hearing packet preparation. Review In review, Mr. Patino's violations of "working outside the scope" and "no permit" were initially found and reported by The State of Florida, Department of Health. Mr. Patino contracted and performed the work under his Pool Cleaning Only license, qualifying Oasis Pools of South West Florida, Inc. Compensation evidence shows Oasis Pools of South West Florida, Inc. is the only contractor involved in the pool renovation at Forest Glen Country Club. Additional violations have surfaced which are dated after Mr. Patino's issuance of his first Notice of Hearing for contracting outside the scope of his license. The minimum licensing requirement for all of the described work contracted for and performed by Mr. Patino is a Commercial Pool /Spa Contractor license. 11/17/2015 Code Case Details - Report Manager Home > GMD > Cityview > Code Enforcement > Code Case Details Home I My Subscriptions I Help Enter Code Case to be found CEMIS20150017217 View Report of 1 G V� Find I Next ' C &ergov.net Report Title: Code Case Details Date: 11/17/2015 10:54:29 AM Case Number: CEMIS20150017217 Case Number: CEMIS20150017217 Required Status: Preliminary Review Case Type: Misconduct ReggieSmith Date & Time Entered: 8/2812015 3:39:11 PM Priority: Normal Entered By: ReggieSmith Inspector: ReggieSmith RESEARCH AND SITE VISIT. INITIAL Case Disposition: Case Pending Jurisdiction: Contractor's Licensing Origin: Health Department Detail Description: OASIS POOLS OF SOUTH WEST FLORIDA, INC., SWIMMING POOL CLEANING ONLY CONTRACTOR, 35630, CONTRACTED TO RENOVATE POOL AT FOREST GLEN. POOL RENOVATION WAS COMPLETED WITHOUT REQUIRED PERMITTING. Location Comments: FOREST GLEN CC - MAIN COMMUNITY POOL FOLIO: 32720000044 Property 32720000044 c_,. - Desc Assigned Required Completed Outcome Comments Preliminary Investigation ReggieSmith 8/28/2015 9/1/2015 Needs 08 -28 -15 RECEIVED CASE; REQUIRES Investigation RESEARCH AND SITE VISIT. INITIAL REVIEW OF COMPLAINT FILED BY THE DEPARTMENT OF HEALTH OF COLLIER COUNTY (DOH), TO INCLUDE PHOTOS OF NON -CODE CONFORMING TILE MOSAICS AND LOGOS BENEATH THE WATER LEVEL. DOH ALSO ADVISED SPEAKING WITH LUIS PATINO, OASIS POOLS, SWIMMING POOL CLEANING ONLY LICENSE QUALIFIER, 35630. NO PERMITS FOUND TO BE APPLIED FOR AS REQUIRED ACCORDING TO THE DOH. DOH ADVISED FOREST GLEN OF A VERBAL STOP WORK ORDER, PERMIT 1 REQUIREMENT, AND CODE CORRECTIONS TO BE MADE BY A LICENSED CONTRACTOR. RS Cont. Investigation ReggieSmith 8/31/2015 9/1/2015 Complete 08 -31 -15 MEETING WITH TIM KRAGH, GENERAL MANAGER OF FOREST GLEN. MR. KRAGH ADVISED HE HIRED OASIS POOLS TO RENOVATE THE POOL AND INSTALL THE TILE MOSAICS. HE J 11/17/2015 Code Case Details - Report Manager 1 SUPPLIED COPIES OF THE TWO PAGE ESTIMATE AND TO CHECK PAYMENTS IN THE TOTAL AMOUNT OF $22,600.00. HE STATED A BALANCE DUE AMOUNT OF $2,200.00 REMAINS TO BE PAID. I ADVISED A LICENSED POOL CONTRACTOR IS REQUIRED TO OBTAIN THE PERMIT AND PERFORM THE CORRECTIONS AND PASS INSPECTIONS. MR. KRAGH ADVISED HE UNDERSTOOD. I PHOTOGRAPHED THE POOL AREA, PHOTO X 7. LATER, I REVIEWED THE CASE WITH M. OSSORIO, WHO ADVISED TO SCHEDULE TO MEET WITH MR. PATINO TO SERVE A NOTICE OF HEARING. 1 CALLED AND SPOKE TO MR. PATINO AND ARRANGED TO MEET ON 09- 01-15. RS Cont. Investigation ReggieSmith 9/1/2015 9/2/2015 Complete 09 -01 -15 MET WITH MR. PATINO AND PERSONALLY SERVED THE NOTICE OF HEARING FOR 20 OCTOBER, 2015. MR. PATINO BRIEFY EXPLAINED THE ESTIMATE WAS NOT PROVIDED AS OASIS POOLS OF SOUTH WEST FLORIDA, INC., INSTEAD HIS OTHER COMPANY OASIS POOL BUILDERS, LLC, WHEN ASKED IF OASIS POOL BUILDERS, LLC. WAS A LICENSED /QUALIFIED COMPANY TO PERFORM THE FOREST GLEN WORK; HE REPLIED TO SAY "NO" BECAUSE HIS LAST ISSUED CITATION ON 06 -30-15 CREATED ADDITIONAL CONCERN ON BEHALF OF THE DEPARTMENT OF BUSINESS PROFESSIONAL REGULATION (DBPR). I POINTED OUT TO MR. PATINO; HIS EXPLANATION CONCERNING MERGING COMPANYS AND LICENSING ATTEMPTS, ALL POST -DATE HIS POOL RENOVATION ESTIMATE PROVIDED TO FOREST GLEN, DATED 05- 13 -15. 1 ALSO STATED, OASIS POOL BUILDERS, LLC HAS NEVER BEEN AND REMAINS TO DATE, UNQUALIFIED BY ANY LICENSE WHICH WOULD STILL MAKE THE FOREST GLEN ESTIMATE, UNLICENSED CONTRACTING. I OFFERED MR. PATINO TO SPEAK TO M. OSSORIO TO REVIEW THE CASE; HE DECLINED. I ADVISED THE OCTOBER CLB HEARING PROCESS AND MY CASE FINDINGS TO BE PRESENTED. MR. PATINO RECEIVED A COPY OF THE NOH. RS Cont. Investigation ReggieSmith 9/2/2015 9/2/2015 Complete 09 -02 -15 MEETING HELD WITH JAMES E. RYAN, CPC056760, OWNER OF (DBA) AQUATIC ARCHITECHS OF SW FLORIDA, ARTISAN BUILDING & DEVELOPMENT, INC. AND ALSO OASIS POOL BUILDERS, LLC, CREATED AND FILED ON 06- 23 -15. UPON REVIEW OF CEMIS20150017217, IN WHICH LUIS PATINO HAS NAMED OASIS POOL BUILDERS, LLC AS THE COMPENSATED COMPANY FOR PERFORMING THE POOL RENOVATION AT FOREST GLEN CC; JAMES RYAN DENIED ANY INVOLVEMENT FOR THAT JOB. HE DID HOWEVER, ADVISE A FAILED COMPANY MERGER AND ATTEMPTED LICENSE QUALIFICATION INVOLVING HIM AND MR. PATINO. JAMES RYAN WAS SHOWN AND MADE AWARE OF THE FOREST GLEN ESTIMATE DATED 05- 13 -15. JAMES RYAN CONCURRED HIS PROFESSIONAL INVOLVEMENT WITH MR. 1 11/17/2015 Code Case Details - Report Manager 0 PATINO TRANSACTED AFTER THE DATE OF THE FOREST GLEN ESTIMATE PROVIDED BY MR. PATINO AND AGAIN STATED HE PLAYED NO PART IN THAT JOB PERFORMANCE AND WAS NOT AWARE OF THE JOBS EXISTANCE. I REQUESTED JAMES RYAN PROVIDE SOME WRITTEN CORRESPONDENCE WITH LIKE STATEMENTS FOR MY CASE AND TO HELP CLEAR HIS AND HIS COMPANY NAME OF ANY FURTHER INVOLVEMENT WITH MY CASE INVESTIGATION; HE AGREED. I ADVISED I WILL ALSO BE SPEAKING TO AND REQUESTING LIKE INFORMATION FROM JAMES RYAN'S BROTHER, JERALD L. RYAN, CPC042901, FLORIDA POOL PROFESSIONALS, INC., ALSO NAMED IN MR. PATINO'S EXPLANATION OF BUSINESS MERGING AND /OR LICENSING QUALIFICATION ATTEMPTS. HE STATED HE UNDERSTOOD AND WILL GIVE HIM A CALL AND ADVISE HIM TO CALL ME. RS Cont. Investigation ReggieSmith 10/5/2015 10/5/2015 Complete 10 -05-15 UPDATES TO CASE TO INCLUDE: WRITTEN STATEMENTS PROVIDED BY JAMES E. RYAN, CPC056760, ARTISAN BUILDING & DEVELOPMENT, INC. (DBA) AQUATIC ARCHITECHS OF SW FLORIDA, AND JERRY RYAN, CPC042901, FLORIDA POOL PROFESSIONALS, INC, BOTH WHO CLAIM THE POOL CONTRACTING WORK WHICH TOOK PLACE AT FOREST GLEN DID NOT INCLUDE THEIR INVOLVEMENT. HOWEVER, JERRY RYAN DID ADVISE THE POSSIBILITY OF SOME OF HIS EMPLOYEES WORKING ON THE SITE WITHOUT HIS KNOWLEDGE AND NOT ON HIS PAYROLL. BOTH MEN ALSO ADVISED THEIR DESCRIPTION OF "MERGER" TALK BETWEEN THE CONTRACTORS; HOWEVER THE TIMELINE PLACES THEIR NEGOCIATING AFTER THE FOREST GLEN ESTIMATE #1094, BY OASIS POOLS OF SOUTHWEST FLORIDA, INC., DATED 05- 13 -15. JERRY RYAN ALSO MADE MENTION OF A MAN NAMED JOSE PEREZ; ADVISING HE APPEARED TO BE IN BUSINESS WITH LEO PATINO AND MAY HAVE SUPPLIED LABOR THROUGH CLASSIC POOLS OF NAPLES, INC., SWIMMING POOL RESIDENTIAL, REGISTERED, 23243, QUALIFIER, JEFF MUSTARI, . I CONTACTED MR. MUSTARI AND INQUIRED HIS KNOWLEDGE OF THE FOREST GLEN POOL RENOVATION WORK. MR. MUSTARI ADVISED NO INVOLVEMENT AND ALSO SENT WRITTEN CORRESPONDENCE DISMISSING ANY r CONTRACTING WITH OASIS POOLS WORKING IN THE FOREST GLEN COMMUNITY. I RECEIVED A COPY OF A FOREST GLEN GOLF & COUNTRY CLUB CHECK PAYMENT TO OASIS POOLS OF SOUTHWEST FLORIDA, IN THE DEPOSIT AMOUNT OF $12,600.00, DATED 02 JUNE, 2015. CONTRACTORS' LICENSING BOARD HEARING FOR THE MONTH OF OCTOBER IS TOTALLY BOOKED FOR ADDITIONAL CASES TO BE HEARD. SUPERVISOR MICHAEL OSSORIO STATED THIS CASE WILL BE HEARD AT THE DECEMBER 16TH HEARING AND A NEW NOTICE OF HEARING WILL BE REQUIRED TO BE 0 11/1712015 Code Case Details - Report Manager Violation Description Status i Entered I Corrected I Amount I Comments Title Reason Result Compliance Fine /Day Condition Business Management & Budget Office V� SERVED TO L. PATINO. I CALLED AND SPOKE TO MR. PATINO TO ADVISE THE SAME AND WILL SCHEDULE TO MEET TO SERVE THE NEW NOH, HE STATED HE UNDERSTOOD. CLB AGENDA PUBLIC HEARING CASE NUMBER 2015 -08 HAS BEEN ASSIGNED FOR LUIS PATINO. ALL EMAILS AND DEPOSIT CHECK HAVE BEEN SCANNED INTO THE CASE. RS Cont. Investigation ReggieSmith 1011412015 10/14/2015 Complete 10 -14 -15 ADDITIONAL CONTRACTING OUTSIDE THE SCOPE VIOLATION BY OASIS POOLS OF SOUTHWEST FLORIDA, INC HAS BEEN REVEALED. LICENSING INVESTIGATOR, IAN JACKSON, RECEIVED AND CONFIRMED THE INFORMATION IN THE FORM OF A FORWARED EMAIL AND POOL EQUIPMENT REPAIR INVOICE; PROVIDED BY HOMEOWER, STEVEN EDER, 539 RUDDER RD., NAPLES, FL. SCANNED THE DOCUMENTS INTO THE CASE. SUPERVISOR OSSORIO ADVISED TO ADD TO THE CASE FOR CLB REVIEW. RS Cont. Investigation ReggieSmith 10/14/2015 10/1412015 Complete 10 -14-15 SCHEDULED TO HAVE L. PATINO VISIT THE OFFICE TO SIGN FOR AND ACCEPT A COPY OF THE NEW NOTICE OF HEARING. CUSTOMER SERVICE REPRESENTATIVE, ANGELA SU, RECEIVED THE SIGNED "HAND DELIVERY" NOH. NOH HAS BEEN SCANNED INTO THE CASE. RS Cont. Investigation ReggieSmith 11/17/2015 11/1712015 Complete 11 -17 -15 PREPARED CASE FOR DECEMBER CLB. RS Schedule for CLB jasonbridwell 11/18/2015 Pending Investigation ReggieSmith 12/17/2015 Pending OASIS POOLS Violation Description Status i Entered I Corrected I Amount I Comments Title Reason Result Compliance Fine /Day Condition Business Management & Budget Office V� icensee Information I Classifications/Issuances I Reviews I Gross Revenue / Sales I Fees I Deposits and Bonds (Licensing) I Documents and Images I Correspondence I Hearings I Comments Licensee Information " New Licensee (current project) New Licensee (no project) Licensee Number C35630 --- - -- ... Status Active - - Name / Description OASIS POOLS OF SOUTH WEST FLORIDA INC Start Date Type , Contractor - - - -- - -- — — - -Q End Date Inspector Submitted On Jurisdiction 'Col III er County Department Operations Activity Description All Certificates from CDPlus: 35630 i Suggest Mailing Address I Add this Mailing Address as a Loc!tl Mailing Address 6017 PINE RIDGE RD # 277 Address Une 2 Address Une 3 City/State /Zip NAPLES FL - 34119 Country United States Email Preferred Contact Method Exclude from Auto - Suggest? L Add Contact Number Type contact Number Ext. Primary _ ! (239) 287 -1515 Show More Flelds7 I Hide or Clear Fields Contractor Attributes " Contractor Type , Business n DOB I Drivers License Nu Sponsorship Appll - Workers Compens - Business Tax Rece; yes n 00 icensee Information I Classifications/Issuances I Reviews I Gross Revenue / Sales I Fees I Deposits and Bonds (Licensing) I Documents and Images Correspondence I Hearings I Comments i Location " Add Related Parcels and Addresses Add a Location To link a location to this Licensee, enter location information below. CltyView will suggest possible matches as you type: Contacts F Add new person or business to Address Book FGo to Alerts Add a Contact To link a contact to this Ucensee, enter contact Information below. CltyVlew will suggest possible matches as you type: LUIS G. PATINO, Address:7950 PRESERVE CIR. #825, Phone:(239) 287 -1515 j ,—'Quallfler I LUIS G. PATINO, Address:7950 PRESERVE CIR. =825, Phon I = _ (Applicant OASIS POOLS OF SOUTH WEST FLORIDA INC, Address:601 I Portal User? Status Tracking Show More Fields Hlde or Clear Fields 1 11 .icensee Information Classifications/Issuances I Reviews Gross Revenue / Sales I Fees' Deposits and Bonds (Licensing) I Documents and Images I Correspondence I Hearings I Comments Licensee Information " I• licensee Number 035630 Desaiption Type ProperlyAlert I I Name OASIS POOLS OF SOUTH WEST FLOR Type Contractor I' _ ❑ Status Active View Master Proiect View All Activities for thls Licensee Add a new person or business to Address Book Classifications Generate Defaults Add a Classlflcation To add a classification to this Licensee, enter text below. CltyVlew will suggest possible matches as you type: SWIMMING POOL CLEANING ONLY Link I Type 1 uare trnereo I aerus aiarus uavi SWIMMING POOL CLEANING ONLY 06/03/2011 (Active Show More Flelds7l Hide or Gear Fields Unique Identifler 159370 Contractor Licensing " Renewable? � License Category I Local - Specialty n License Issuances " Attach Driver License Photo I Add Issuance Link Type Status Date Issued Issuance Number Expiration Dale SWIMMING POOL CLEANING ONLY 'Active 09/01/2010 35630 09/30/2016 X12 11/17/2015 Tax Year Info: 2015 Prev Record Details Collier County Tax Collector 2800 N. Horseshoe Drive Naples, FL 34104 Collier County Business Tax Receipt u1100577 Name: OASIS POOLS OF SW FL INC DBA: Location: 4220 14TH AVE NE Zoned: HOME OCCUPATION Mail is 6017 PINE RIDGE RD #277 City, state, NAPLES , FL 34119 Zip: Phone: 287 -1515 Code: 02110101 Description: CONTRACTOR 2012 Tax 2013 Tax 2014 Tax Information Information POOL State Class: CLEANING /CHEMICAL BAL. CONTRACTOR County Lic: 35630 Category: 1 -10 EMPLOYEES City Lic: Preq' COLLIER CTY COMP CARD Next Record Name is PATINO, LUIS G Name 2: Address 1: 2995 10TH AVE SE Address 2: FCity' state, Zip: NAPLES FL 34117 EPhone: Open Date. r 69 -01 -10 Changed Date: 09 -30 -14 Paid Date: 09 -17 -15 Closed Date: 00 -00 -00 Amount Due: 0.00 ** License is: Paid ** ** License is: Open ** Prev Record New Search Next Record Back To List 2010 Tax 2011 Tax 2012 Tax 2013 Tax 2014 Tax Information Information Information Information Information 11/17/2015 Detail by Entity Name Florida Profit Corporation Detail by Entity Name OASIS POOLS OF SOUTH WEST FLORIDA, INC Filing Information Document Number FEI /EIN Number Date Filed State Status Principal Address 6017 PINE RIDGE RD. STE. 277 NAPLES, FL 34119 Changed: 06/27/2011 Mailing Address 6017 PINE RIDGE RD. STE. 277 NAPLES, FL 34119 P10000018399 27- 2092718 03/01/2010 FL ACTIVE Changed: 06/27/2011 Registered Agent Name & Address SPIEGEL & UTRERA, P.A. 1840 SW 22ND ST. 4TH FLOOR MIAMI, FL 33145 Officer /Director Detail Name & Address Title PSD PATINO, LUIS G 6017 PINE RIDGE RD. STE. 277 NAPLES, FL 34119 Title T PATINO, LUIS G 14 11/17/2015 ` 6017 PINE RIDGE RD. STE. 277 NAPLES, FL 34119 Annual Reports Report Year 2013 2014 2015 Document Images Filed Date 03/04/2013 04/23/2014 04/28/2015 04/28/2015 -- ANNUAL REPORT 04/23/2014 -- ANNUAL REPORT 03/04/2013 -- ANNUAL REPORT 02/29/2012 -- ANNUAL REPORT 06/27/2011 --ANNUAL REPORT 03/01/2010 -- Domestic Profit Detail by Entity Name 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 zind fvac , PoGoe, Stye o` Flom G2carcn °_n[ of S:te ci!� cro 7eY county Growth Management Department Operations & Regulatory Management Division PRELIMfNARY COMPLAINT FORM Complainant's Name: DO H - C O L L 1 EIQ ( ENV _ HE A LnN Date: 0 $125115 Address:333q TWIhMI TR E City: NAPLES State: FL Zip: 54A2 Home Phone: Business Phone: 23q • 252. 551 3 COMPLAINT INFORMATION: Company Name: UM IS POOLS License Number: N A Contractor or Person in Charge: (If known) X90 PAT 1WQ Address: t4911 Phone: 2801- 287- 1546 Date of Contract: COMPLAINT DETAILS: (Attach additional sheets as necessary) i�F p�OL AT (`bUNT�ty Ctue o1= Fo�EsT GLEN (3x55 FoaEST GLEN 91- \1DL�41.1t4�101P�S RE URFAQ DURINQ T14E SUMME.12 OF 2Q15, THE R-MURFE V11AC DOi�LE �N11�i0UT tJOTIFtC�tT1 DN TD J AP ?ROY 1� L CG,1 po0 A ADDITION ALL,), THE fU1 Lfl 1NG DEPT, WAS NOT NOT TI'D N JNS FEURON %U COMQLET1ED IN AUC UST 1015 ANV '1701IND TILE MOS la U ON STEMS AND A TILE I\AoSAIC of A QlOLF 'Tal CgI2EEN ON POOL FLOOR ( NOT 311P• RESISTINT), Include copies of all appropriate documents: Contracts, checks, liens, permits, etc... - CpN TIN UEU 04 N"T PPGiE Signature: operdons & Regulatory Managenert [3nhsion • 2800 North Horseshoe Drive • Naples, Fonda 34104.233252 -2400 - whw.cn0iergov.net 1kq KIT"" OF WHICH ARE p ?""ED 'By F.1�.C. 454 NOV, U4E'q, FA-C. ApD1T10N�+LL`!, MR. P aT1N0 GAVE SEdML STORIES AND EVADED MOST QUL.STIONS AS TD WHO COMPLY THE WOK Mg. PRTINO DOES NOT ViKVE & COW-NNtgV '� L_1CLN�C- `Vi4 NAS N "POOH. CLaNING ON0" LICMU FROM COLLIER COUNTS). MR. PATINO TOLD T-HE INSKC1-0911 SUSAN CVN CNCM NE \W PAl2TN"E -D W1TN FLORtO A "0" IN 1 h'q, b4AT TKO! 9 & ?,M W NU. BE RLSO l4kA RLCET,M\l RUNUZ0 WITH COLONIAL PDOL.S (LV-I. COUNT`(), BUT ICE WOULD NOT STATE \NHO WUALL`( RZSURFKCD THIS POOL. �TTACI-Io) A>ZE ?ItTURa OF TNti r- ogCS�T GL>rN COUN`M`I CLUB POOL ON N 120 J15• PLIEK Ii. NOTIV I OUR OFFICE If IOU NEED ANY ADDITIONAL INFO',MATION.. SUSNN c\ -LNEN a CAN BE Rau o AT 23Q.252. 552'. JAIME COOK, WFERItM POOL. WMVISOR M - 251.55Az e\l 14, sX -w4pF4 t ft A &MMA 0 ZZ 41 ak F ice, } }y7`. /}•�,• .` ..' -•V. •'�.J! �l Vii. X4 +J - §�'.. raSi 1� •.VC �i�ii 1y. FrG.1�T�' Sys 1 � g_ .{ 41•y {- . 1 '. 'F- r_. • l ( /4 t l jg ` r F'�'1,..•.;�w. -cam;. -`11 i. .:�` ,•M1.� stir _ t •,day.'.✓' i ` • . r- -•-•y� � �� n � - 1' + i '1 v i � r 1 � • it r l� 'F G t � ^ � r •� . + t� i•,dIL -�.lY a j`w `� 1�+ y •F • •. • • . W ''� Cook, Jaime E From: Clevenger, Susan H Sent: Thursday, August 20, 2015 1:59 PM To: jonathonWaish @Colliergov.net'; Noonanpick Cc: VanBlaricom, Rachel M; Cook, Jaime E Subject: Forest Glen Attachments: Forest Glen logojpg; Forest Glen steps jpg Good afternoon. I went to do a routine inspection at Forest Glen Golf and Country Club, 3855 Forest Glen Blvd., Naples FL, 34114, and was informed the pool was closed for refinishing. I went to the pool deck and saw a new finish on the pool. I also saw small tiles on the stairs at the pool entry and a logo on the pool floor at approx. 4 % feet depth and which is about 6 feet by 2 feet per the specs I saw. I was unable to verify if they were smooth or slip resistant tiles. Regardless, there was no prior approval by either agency. I contacted the pool company that performed the refinish (Oasis Pools) and questioned if they had contacted the Building Department— he was not sure. (He said one of his (prior) partners may have but he would check into it.) I received a partial copy of the bid and the bid included contacting the Department of Health prior to commencement. We did not receive any word from them. I then questioned about a Pool Contractor's license — Oasis Pools has a County Pool Cleaning/ Chemical balancing license and is not licensed to build or renovate pools. He said he had had a brief merging with Florida Pools but that they had recently dissolved any relationship with them. Consequently, it now appears that Oasis Pools has done a refinish without the proper credentials. Management indicated to me they were planning to open the pool on Saturday— I told them I would be in touch once I communicated with both offices. There are.multiple areas of concern in this situation and I would like guidance as to how this should be handled. Thanks very much, Susan Susan M. Ceevvenger The Tforida oepartment of7feafth — Co&r County Office (239) 252 -5529 wobile (239) 293 -3034 TxC(239)643 -6870 Email Susan.C&wyger@TL7fea(tfi.gmu ,4ddress.3339 East Tamiami Tram Suite 145, Napres, TL 34112 Waiftng address. • T. 0. Box 429, Napes, TL 34106 -0429 Mission: To protect, promote, & Improve the health of all people In Florida through integrated state, county, & community efforts. Vision: To be the Healthiest State in the Nation Values: I nnovatlon: We search for creative solutions & manage resources wisely. C ollaboration: We use teamwork to achieve common goals & solve problems. A ccountability: We perform with integrity & respect. R esponsiveness: We achieve our mission by serving our customers & engaging our partners. E xcellence: We promote quality outcomes through leaming & continuous performance Improvement. Please note: Florida has a very broad publk records law. Most written communkirtion to or from state off vials regarding state business are public records available to the public and media upon request Your a -moil communications may therefor° be subject to public disclosure. do ti SmithRewie From: OssorioMichael Sent: Friday, August 28, 2015 12:38 PM To: SmithReggie Subject: Fwd: Forest Glen Country Club Swimming Pool - Complaint Regarding Unlicensed Contractor Attachments: Forest Glen Pool.pdf; ATT00001.htm Follow Up Flag: Follow up Flag Status: Flagged Sent from my iPhone Begin forwarded message: From: "Cook, Jaime E" <Jaime.Cook flhealth.gov> Date: August 28, 2015 at 11:52:34 AM EDT To: OssorioMichael < michaelossorio (cDcolliergov.net> Cc: "Clevenger, Susan H" <Susan.Clevenger @flhealth.gov> Subject: Forest Glen Country Club Swimming Pool - Complaint Regarding Unlicensed Contractor Good morning Mike, Thank you for meeting with me the other day. Attached is the complaint form regarding the unlicensed pool contractor Oasis Pools, who potentially did the work at Forest Glen Country Club. In the attachment, I've included the complaint form, pictures of the pool as of 8/20/15 and an email from Susan Clevenger, the DOH inspector, for the pool. Susan has already met with the managers /maintenance staff at Forest Glen and they are willing to remove the unapproved mosaics /tiles. Our only issue at this point is who did the actual work. Susan asked Leo (Oasis Pools) several times who did the work and he gave several stories about how he was partnered with a contractor, but the parted ways and he's recently merged with another contractor. However, he wouldn't give any specific information about who actually resurfaced this pool. If you have any questions, please feel free to contact me at the numbers below or Susan at 239.252.5529 or Susan.Clevenger(@FLHeaIth.gov. Thank you, Jaime gain e Cooky W Environmental Specialist II Environmental Health and Engineering The Florida Department of Health in Collier County Phone: 239.252.5513 Cell: 239.776.2630 Fax: 239.64 3.6870 Email: laiune.Cook@nHealth.gov Mission: To protect, promote and improve the health of all people in Florida through integrated state, county and community efforts. Vision: To be the Healthiest State in the Nation. Values: I nnovation: We search for creative solutions & manage resources wisely. C ollaboration: We use teamwork to achieve common goals & solve problems. Accountability: We perform with integrity & respect. R esponsiveness: We achieve our mission by serving our customers & engaging our partners. E xcellence: We promote quality outcomes through learning & continuous performance improvement. Please note: Florida has a very broad public records law. Most written communication to orfrom state officials regarding state business are public records available to the public and media upon request. Your e -mail communication may therefore be subject to public disclosure. 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. �titi oasis Pools Of Southwest Florida, Inc. 6017 Pine Ridge Road, Suite-277 Naples, FL 34119 (239)287 -1.515 Leo@OasL-pci.com ESTIMATE ADDRESS Forest Glen Clubhouse P.O. NUMBER Renovation Project OASfs POQLS' a 239- 287 -1515 ESTIMATE # 1094 r DATE 05/13/2015 T;Y t - Renovation 1 0d 14 Lf Pool renovation. Scope of Work: 1. Notify the Collier County Health and Environmental Engineering Dept of commencement. Coordinate any required inspections. 2.' Drain the pool and protect the hydrostatic pressure. 3. Prepare the pool surface by removing all hollow spots/delaminations and undercutting all fixtures to insure a final surface that is level. 4. 5. Apply "Bond KoW 2 Part epoxy material to insure proper adhesion of the new surface material. 6. Apply exposed aggregate material to an approximate thickness of 51W in a material approved by the health Dept 7. Refill the pool using customer's water and bring all required chemicals to their nominal values. A letter will be given for the water Dept giving the amount of water used so that the sewerage portion of the bill. may be abated_ S. All worts performed to meet the requirements of FAC64E -9 Terms: 50% upon acceptance of the proposal Remaining Balance of 50% due upon completion. Warranty- Ten (10) Years against chipping, peeling and delamination 1 9,850.00 9,850.00 �ti3 Ff ' USpa Surface `Option 1- StoneScapes Regular Pebble- Caribbean Blue COPING Tile Option 1- Stabil 9" Bullnose- Cream CAP TILE NPT - Cocoa 125 A -420 NON SKID CAP TILE NPT- Coca (special order) Wall Tile Option 1- NPT, Joles- 9912 Mocha 1x1 Wall Tile Option 2- NPT, Geosheen- Geosan, sand 6x6 & sand deco Mosaics Option 1- Forest Glen Logo- Approx 6'x 2' center of pool Mosaics Option 2- Artistry in Mosaics - Top step, 2 -5" StarFish, Brown; Middle step, 4 -6" Seahorse, Brown; Bottom step, 6 -6" Turtles, Brown. Grout SGM -103 Light Sand (included in price) QTY 1 1 1 1 1 1 1 1 1 RATE 5,701.09 1,236.82 1,235.00 459.20 1,859.00 235.32 1,495.00 576.62 1 1I 5,701.09- 1,236.82 1,235.00 459.20 t, r 1,859.00 235.32 . 1,495.00 576.62 D 61 Please note price may vary depending on which options are chosen. TOTAL $22,648.05 2 ;WO Accepted By Accepted Date 6 2A zr)nrtbUAHV.. L MO USA SFSL3 CK7SO8113L FOREST GLEN GOLF & COUNTRY CLU MASTER AS%WMW0N,(Jh is Pools of Southwest F1orJun 2/15 028542 OPER�OUNT- 28542 Invoice No Inv.Date PO Number Reference Audit No Gross Amt Adjustment Net Amt 001094 May 28/15 N/A PU3712 12,600.00 0.00 12,600.00 -- ---- --- - -- ---- - -- --- - ---- --- - --- 12,600.00 0.00 12,600.00 SFIS00SL9 -1SC TO REORDER, CALL YOUR LOCAL SAFEGUARD DISTRIBUTOR AT70S -327 -9550 J9MR7YV0010000 809SF007782 Tax ID Number (if applicable): Expense to: Amount: Total $ / 2A G 00 Explanation of Expense: Approved by: �Z6 I341TUUAKU_ LrHo USA SFSL1 CK7SO3113L FOREST GLEN GOLF & COUNTRY CLUB MASTER jQW0C iMgWj9 Pools of Southwest F1orAug 25/15 029017 29017 OPERATING ACCOUNT Invoice No Inv.Date PO Number Reference Audit No Gross Amt Adjustment Net Amt DRAW A g N/A Pn798 10,000.00 0.00 10,000.00 -- -- -------- ---- - --- -- - ----- ------ 10,000.00 0.00 10,000.00 SF160011-7-1SC TO REORDER, CALL YOUR LOCAL SAFEGUARD DISTRIBUTOR AT706 -M -9550 Tax ID Number (if applicable): Expense to: Total Explanation of Expense: 't U/' Approved by: Amount: JBMHM0010000 BOSSFW7162 �b Check Image Report ABA Number 268270413 i Account Number 20000415804 Check Number 28542 Amount $12,600.00 Paid Date 06/23/2015 Front of check FOREST GLEN GOLF & COUNTRY CLUB 28542 MASTER ASSOCIATION, INC. IBEpJABANt NAPLES, FLORIDA OPERATING ACCOUNT 3866 FOREST GLEN BLVD, 84- 704112652 NAPLES, Fi.. 34114 i PAY Juts 2/15 028542 $12,600.00 8 DATE AMOUNT TWELVE THOUSAND SIX HUMPED DOLLARS & 00 CENTS TO THE ORDER OF Oasis Pools of Southwest Florida 6017 Pine Ridge Road Suite 227 Naples, FL 31449f «. Back of check >067016325< 20150622 FIRST FLORIDA INTEGRITY BANK 1005 5 J �W 2¢c ODo _ : _ � �r w�I'- �npap0 ao I n ;z o a �ti� b x; J � T ME X�� t At ET i � � f 5 t k _Il� li nif t rind. fl - •X...yJJj}, r R':Q�t �'ll I t. s' ^►f 1 M. Yj 1 e iF ��, .-�'�,. ' •u"S,� .t`��d�.� `4 f 1 ��p `tasty.* , r f r fief �. +. ��YG 1 •.r, e.. '1i 71� 1 (y fit. 45 f jils� f .7V1 ' ,sr, A sr ���' :a - ,n 2 f a �" Ifs . T'r 3S' •�� .rZ�` _ I +TSB i'µ' I� YJ . � � .; I .•...� � i• . f Ls 0•�'(r �i �� F f4 s: .7 - } i end \ • _ � � ti c Y .S'Fp�+63` � ae� 534• F t lit illy �- A } F �a V �� wrtz r s - � +� ' r to .x Sr P, r li " f M ­�'Z� M m WE" 4.41. Al rAr 71 ' Tk', �✓ ry -.'era r ,•.r r ,�,. - — - - '.�s. T. ��,� �' f .� iF r -floe � ���_ tx i, tw, rp ., WR It- t i r�` s _ 7 � n _ ..CCp�" 'A'r/h r �;.� . -+ice- �' �. •u„'� y� YT �'N.. ' k� 4. k 1k'j��j�y1([j'y �`"� � ".. L�3 � � �d �•�'n s: .... ., r, . . _ _ �. Via. .'i -"�i .. ,L:', .�.. X•.,r.:ir �. i AYE "i� �. 'S2�i�C .m � . �x. � - _ 1 � 1 ,.,rr _ L r f � 7 - +� �W 5 �c q,Ac.G ^f��Y e.+}• �':Y.,+r�'. ✓��4' -.d _. i ' 7 ,< c„ '�� j- �'sY�r �.�v.� ,�,w " _SgM`i 'r ""�" fhly .nr.Y l..- � .�.., .. _..- _ �_:r _.� .....�.,_,�._,.w .., .., -._.._ .. _-. '±:s__''?w; %iws A ;,%. _:�F!•?a -> WW ^�c�b -tfi'w �+�'+;�• i. �. , mss.', s +mss. -.>✓, � � � . x ;��� � 3 r �- , AS 'f�'ssc., s`` *r. `ii`' 3' ' 07 MM cv �- ice ...U"}F VP � r a - - ��� 1 �; 4 Ak A4rx �' v J t / q S t � k Collier County Ordinance 2006 -46, as amended 1.6.2.9.1. Swimming Pool /Spa Servicing Contractor requires twenty -four (24) months experience with a passing grade on a business and law test and means any person whose scope of work includes servicing or water treatment of any public or private swimming pool, hot tub or spa, and, subject to Section 487.0437, Florida Statutes, may include direct infusion of chlorine gas. These contractors may disassemble equipment permanently attached to or associated with the respective pool or spa for the purpose of water treatment or cleaning the pool or spa. Collier County Ordinance 90 -105, as amended Division 3. Standards of Conduct and Discipline Section 22 -201. Misconduct — Collier County /city certificate of competency. (2) Contracting to do any work outside of the scope of his competency as listed on his competency card and as defined in this article or as restricted by the contractors' licensing board. Collier County Ordinance 90 -1 -5, as amended Division 3. Standards of Conduct and Discipline Section 22 -201. Misconduct— Collier County /city certificate of competency. (18) Proceeding on any job without obtaining applicable permits or inspections from the City building and zoning division or the county building review and permitting department. �3�' E BEFORE THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD BOARD OF COUNTY COMMISSIONERS, COLLIER COUNTY, FLORIDA, CONTRACTORS' LICENSING BOARD Petitioner, V. Case Number: 2015 -09 Karin R. Sacacian License Number: 25598 D /B /A — Olde Naples Tile & Marble, LLC. Respondent. ADMINISTRATIVE COMPLAINT Collier County (County) files the Administrative Complaint against Karin R. Sacacian( Respondent), a Collier County licensed Tile & Marble Contractor ( license # 25598), and states the following facts and allegations in support of the cited violations below: 1. The Respondent is currently licensed by Collier County as a Tile & Marble Contractor under License number #25598. 2. Under the provisions of Collier County Ordinance 90 -105, as amended, Section 22 -201, the following actions by a holder of a Collier County Tile & Marble Certificate of Competency shall constitute misconduct and grounds for discipline pursuant to Section 22 -202. a.) Tom Arico the owner of the condo located at 4010 Ice Castle Way #5 Naples Fl., contracted with the respondent, Olde Naples Tile & Marble LLC, and was given invoice #640471 for approximately $1,950.00 for the installation of the which was paid in full. b.) On August 10`h, 2015 a complaint involving possible faulty work for Tile installation at the jobsite located at 4010 Ice Castle Way, #5, Naples, FL. 34112, was investigated by the Collier County Contractors' Licensing Office. c.) On October 5th, 2015 the homeowner Tom Arico, Mike Ossorio and I met on job site with Mario Sacacian, Mario agreed that it was faulty work, Olde Naples Tile & Marble LLC., will correct the faulty work, and replace the tiles that need to be replaced. Mike Ossorio let Mario know that he had until October 16th, 2015 to correct the faulty work. d.) On October 12th, 2015 Mike Ossorio called Mario Sacacian to see if the faulty work was being corrected, Mario Sacacian stated that he was finished and was not going to repair or correct the faulty work, and walked off the job. e.) On October 13th, 2015, homeowner Tom Arico, Mike Ossorio and I, met in Mike's office and determined that Karin Sacacian of Olde Naples Tile & Marble LLC, would go before the Contractor Licensing Board on December 16th, 2015 for failing to correct faulty work by the agreed upon time of October 16tH 3. Collier County brings the following charge in this formal complaint against the Respondent, Karin R. Sacacian of Olde Naple Tile & Marble, LLC. COUNT 4. Collier County Ordinance 90 -105, as amended, Section 22 -201. (10) states "Failing to promptly correct faulty workmanship or promptly replace faulty materials installed contrary to the provisions of the construction contract. Faulty workmanship means work that is not commenced, not continued, or not completed in accordance with all specifications of the applicable written agreement. Faulty workmanship includes any material flaw(s) in the quality and /or quantity of the unfinished or finished work product, including any item that does not function properly as a part of the entire project. If there is no written agreement provision regarding the specific faulty workmanship issue, faulty workmanship exists if the work, process, product or part thereof does not meet generally accepted standards in Collier County in relation to the entire project. Faulty workmanship does not include matters of esthetics unless the esthetically related item clearly violates a written contract specification directly related thereto ". WHEREFORE, the Petitioner asserts the above facts and charges are grounds for disciplinary action under Section 22 -201 of Collier County Ordinance 90 -105, as amended, and WHEREFORE, in consideration of the foregoing, the Petitioner respectfully requests the Collier County Contractors' Licensing Board to find the Respondent guilty of the violations charged. Dated: ' _ ' - Signed: / , /�- L } Collier County Contractors' Licensing Supervisor or Designee Summary On August 10th, 2015, the Collier County Contractors' Licensing Office received a complaint, investigated by myself regarding possible Faulty work, for tile installation performed by Olde Naples Tile & Marble LLC., Collier County License #25598, for tile installation at 4010 Ice Castle Way, #5, Naples, FL. 34112. Site visit was made to jobsite of tile installation, where I met with homeowner Tom Arico, who showed me the tile work, clearly I could see the excessive lippage of the corners of the tile. Mr. Arico explained that he was hitting his toes and feet on the up lifted corners of tile which caused injury to his feet and concern for his safety. Mr. Arico stated that he is having trouble cleaning under his furniture, when he moves furniture it gets stuck of the uplifted corners of tile. On August 24th, 2015, 1 called Mario Sacacian of Olde Naples Tile & Marble, LLC., to ask about Mr. Arico's tile. Mario told me that he was ordering more tiles to fix the problem. He was given 30 days to correct this problem. On August 26th, Mario assured me again that he would be done in 30 days allotted, maybe even sooner by September 4th. I assured Mario that a recheck of the tile would be done when he was finished. The deadline was not met. October 2"d, Mario Sacacian was still replacing tiles to try to correct the faulty work, a meeting was set for October 5th @ 10:00 A.M. with Mario, Mr. Arico, Mr. Ossorio and I, to see the work Mario had completed. It was determined that Mario still had not completed the faulty work. Mike Ossosio gave Mario until October 16th, to correct the work and resolve the problem for the Mr. Arico. Mr. Ossorio let Mario know that he wanted a professional look and tile must be level for Mr. Arico's safety. Mario agreed and stated it would be finished and that he understood. The tiles that need replacing have been marked. Mario stated he could get the tiles corrected by October 141H Mr. Aricos' family came for a visit; he requested that no work be performed during this time. Mario agreed to hold off for a week. October 5th, Mr. Ossorio asked me to stop and see how the work was going at Mr. Arico's, the floor was not close to completion. October 12th, Mr. Ossorio called Mario, left two messages at approximately 3:10, Mario called back while he was at Mr. Arico's home, when Mr. Ossorio asked Mario about the floor being done by Friday, Mario started screaming that he was finished, and walked off the job, took his tools, and did not return. October 13th, at 10:30 A.M. Mr. Arico, Mr. Ossorio and I met in the office, it was determined that we would take Olde Naples Tile and Marble before the Contractor Licensing Board for faulty work. Mr. Ossorio told Mr. Arico to get bids from Tile Contractors to get the floor corrected. Mr. Arico received a bid from: 41 East Flooring, $4,470.00 to remove & replace tile 2,255.25 new tile & tax $6,725.25 Total Cost Floors N More Direct, $1,455.00 to remove tile 2,420.15 materials 970.00 proflex underlayment 2,905.15 labor $7,850.30 Mr. Ossorio called Mario to let him know that we had no choice and we would be bringing Olde Naples Tile & Marble before the Licensing Board, at which Mario stated that this was not his job. October 14th, Notice of Hearing was drafted and e- mailed to Karin Sacacian, I also delivered it to their home where Mario was in the driveway but he would not acknowledge me, so I taped the notice of the hearing on this gate. On November 3rd, I hand delivered a copy of the Notice of hearing to Naples Home Design (NHD) and gave directly to Yanelis, the reason a copy was delivered to NHD is that Karin Sacacian is a Representative of this Company (see copy of Business tax). C. L. B. Case #2015 -09 Karin R. Sacacian D /B /A- Olde Naples Tile & Marble, LLC. Table of Contents E -1/E -3 — Formal Complaint E -4/E -9 -Code Case Details E -10- Collier County Certificate of Competency E- 11/E -12 — Collier County License Information E -13 — Collier County Business Tax Receipt E- 14/E -15 — Florida Department of State Division of Corporations E -16 - Business Card Olde Naples Tile and Marble E -17 — Contract for tile installation from Olde Naples Tile and Marble E- 18/E -19- Checks E -20 /E -22 — Photos of uneven tile E- 23/E25 — Photo of raised corner of tile E- 26/E -28 — Photos showing marked tiles and lippage E -29 — E -31 Photos showing raised corners close up E -32- Quote from 41 East Flooring (Rick Ehlers) to remove & replace tile, cannot be repaired. E -33- Quote from Floors N More Direct to remove & replace tile. E -34 — U.S.P.S. Return Receipt received upon delivery. E -35- Notice of Hearing E- 36 /E -38 — Collier County Misconduct Section #22.201(10) (faulty work). E- 39/E -40 — U.S.P.S. Tracking Information on Notice of Hearing E -41- Returned Certified Mail, Notice of Hearing E -42 -Photo of Posted Notice of Hearing at 280 29th Street N.W.FL E -43 -E -mail to Karin Sacacian about Notice of Hearing E- 44/E -47- Notice of Hearing & Collier County Misconduct Section #22.201(10)(Faulty Work). E -48- Picture of Cabinets & Flooring by NHD (Naples Home Design) store front. E -49 Collier County Business Tax Receipt for Naples Home Designs, LLC. E -50- Receipt for $4,253.03 from Naples Home Designs, for materials. Contractors' Licensing Board 2800 North Horseshoe Dr. Naples, Fl. 34104 Complaint Number- 2015 -09 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 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: August 10, 2015 Against: Contractor's Name: Karin R. Sacacian Phone: 239 - 293 -7061 Business Name: Olde Naples Tile & Marble, LLC, License Number if known: #25598 Collier County Competency number: #25598 Contractor's Business Address: 280 29th Street N.W., Naples, FL. 34120 Filed By: r_ Name: Collier County Contractors' Licensing Office Address: 2800 N. Horseshoe Drive, Naples, FL. 34104 Business Phone: 239 - 252 -2450 Address where work done: 4010 Ice Castle Wav, Unit 5, Naples, FL. 34112 City: Naples County: Collier Date of contract: March 25, 2015 Date job started: April 2, 2015 Date job completed or new home occupied: Completed 4/7/2015 Were there plans and specifications? Not Applicable Is there a written contract? Yes . If yes, amount of Contract: $1,950.00 Has Contractor been paid in full? Yes. If not, what amount? $1,950.00 Was a Building Permit obtained? Not Applicable Building Permit number if known: None. Have you communicated by letter with the licensee? Yes. Date: October 14, 2015. Do you have a reply? No. 1. 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(10) states "Failing to promptly correct faulty workmanship or promptly replace faulty materials installed contrary to the provisions of the construction contract. Faulty workmanship means work that is not commenced, not continued, or not completed in accordance with all specifications of the applicable written agreement. Faulty workmanship includes any material flaw(s) in the quality and /or quantity of the unfinished or finished work product, including any item that does not function properly as a part of the entire project. If there is no written agreement provision regarding the specific faulty workmanship issue, faulty workmanship exists if the work, process, product or part thereof does not meet generally accepted standards in Collier County in relation to the entire project. Faulty workmanship does not include matters of esthetics unless the esthetically related item clearly violates a written contract specification directly related thereto. -Z Please state the facts which you believe substantiate your charge of misconduct against the subject contractor. List facts separately for each subsection number above: On March 25, 2015 Contract was written for Installation of tile at 4010 Ice Castle Way, Unit 5, Naples FL, 34112, the iob started on April 2, 2015, work was completed on 4/7/2015, and the tile work was considered faulty with severe lippage. Olde Naples Tile & Marble, LLC, agreed the work was faulty and they would correct the work. Attempts were made to correct and ended with Olde Naples Tile & Marble LLC, walking off the iob and not returning. (Co mpt's signature) State of: Florida County of: Collier Sworn to (or affirmed) and subscribed before me this iZ9 day of 1`�acrv�lort' , 2015, by Koyyn cxp_,v,,.4n (signature of person making statement). (signature of Notary Public) "' "%P* MY JOANN COMMISSION REEABF212324 EXPIRES: April 8, 2019 Print, tor stamp commissioned name of Notary Public: oFF�� B�dedrnrueudyetNo�ry Sennces Personally known or produced identification J: •9 CAtergov.net Report Title: Code Case Details Date: 12/3/2015 12:13:11 PM Case Number: cemis20150016277 Case Number: CEMIS20150016277 Case Type: Misconduct Priority: Normal Inspector: clements_k Status: Investigation Gate: & Time Entered: 8114/2015 10:07:55 AM Entered By: clements_k Case Disposition: Case Pending Jurisdiction: Contractor's Licensing Origin: Complaint Detail Description: Received complaint from MGO on 8/12/15, Tile work in livingroom and diningroom is sticking up at the corners, homeowner hurting his feet on the corners and can not move furniture to clean underneath because it hits the up lifted tile. Location Comments: 14010 Ice Castle Way #5. Complainant ARICO, THOMAS R Contractor OLDE NAPLES TILE & MARBLE, LLC Business Management & Budget Office 1 jr N , Code, Case Details Execution Date 12/3/2015 9:36:16 AM Desc Assigned Required Completed Outcome Comments Preliminary Investigation clements_k 8/14/2015 8/14/2015 Needs 8/12/15- Received complaint from MGO Investigatio regarding Mr. Thomas Arico condo at 4010 n Ice Castle Way #5, Olde Naples Tile and Marble, did work in his unit. No Permits. Tile was purchased from NHD (Naples Home Designs) for $4,253.03, 1 amandola marfirm 13.13 sqft/p /box total 932.23 sqft., Thinset 18, Grout 4. Two bedrooms were tiled with no problems. Another installer did the livingroom and diningroom, which is where the problem is. Tile laid and has corners sticking up throughout the room, homeowner is tripping and hitting his feet on the uplifted tile corners, he can no move his furniture to clean without the tile hitting the legs of the furniture and stopping the furniture from being moved. Homeowner is dissatisfied with the job. Also two ceiling fans installed one in kitchen which required to have old lighting removed and ceiling replastered and fan and light installed by Al Valentino, someone Mario from Olde Naples Tile & Marble suggested, no permits. During the installation on the ceiling in the kitchen some tin came down and scuffed Mr. Arico's cabinets that were relaminated. Waiting on letter from two contractors who install tile, Mr. Arico will get us the letters from the contractors. Cont. Investigation clements_k 8/24/2015 8/24/2015 Complete 8/24/15- Mario from Olde Naples Tile & Marble is ordering more tile to fix the problem, I will recheck in 30 days. Cont. Investigation clements_k 8/26/2015 8/26/2015 Complete 8/26/15- 1 talked to Mario of Olde Naples Tile & Marble, he assures me that he will be done within 30 days and probably he will be done by end of next week (9/4). 1 told him that we will be doing a recheck when he is finished. Cont. Investigation clements_k 10/2/2015 10/2/2015 Complete 10/2/15- Mario from Olde Naples Tile & Marble has been replacing pieces of tile to correct faulty work. Mike Ossorio, myself and Mario will meet 10/5/15 @ 10:00 a.m. at the with the homeowner Tom, at his residence to check the work out. Business Management & Budget Office 2 F S Code Case Details Execution Date 12/312015 9:36:16 AM Desc Assigned Required Completed Outcome Comments Cont. Investigation clements_k 10/5/2015 10/5/2015 Complete 10/5/15 - MGO, myself, Tom Arico the homeowner and Mario of Olde Naples Tile & Marble, met at Tom's house, the tile is still not complete, by that I mean that there are still high and low spots in the tile, Mario has been out several time to try to fix the situation, but this requires that he remove a tile and add more to the floor under the the to set the tile evenly. MGO gave Mario until 10/16/15 to get the problem resolved and make the floor even for the homeowner so that he dosent hit his toes and feet off of the higher tile, not to mention that he can not move his furniture without it getting stuck on the high pieces of tile. The tiles have been marked that need to be replaced, MGO was stern with Mario about getting the work done in the time frame that was aloted, Mario thought he would be able to get this work done by Wednesday 10/14/15. The homeowner has his family there now and does not want work going on whicle there are her, we understand and told Mario to hold off until next week, but at the end of the week on the October 16th, 2015 the repairs must be complete and tile must look professional and be level for the homeowner safety, to avoid tripping and falling, Mario agreed and said it will be finished and that he understood. Cont. Investigation clements_k 10/5/2015 10/5/2015 Complete 10/5/15- MGO asked me to stop out there on October 14th, Wednesday to see how the work is coming along. Cont. Investigation clements_k 10/13/2015 10/13/2015 Complete 10/12/15- Mike called Mario today and left two messages, at approx. 3:10 Mario called back and was at Tom Aricos home and when Mike asked him about being done with the floor by Friday, Mario started screaming into the phone at Mike that he was finished, that he was filing Bankruptcy, and was going to Las Vagas for two weeks. Tom called me and let me know that Mario had walked out on the job and had been screaming into his phone when at Toms job, about how he was finished, and leaving for Las Vagas for two weeks, and he was going Bankrupt. Mike has asked me to contact Tom Arico and ask him to come into the office to talk about how we will proceed with this case. Tom will be in 10/13/15 at 10:30 A.M. Cont. Investigation clements_k 10/13/2015 10/13/2015 Complete on Thursday October 9th, Tom's grand dauhter was playing on the floor and cut her bottom on one of the tiles, this caused bleeding and it was painful. Tom wants the floor installed properly. Business Management & Budget Office 3 F G Code,Case Details Execution Date 12/3/2015 9:36:16 AM Desc Assigned Required Completed Outcome Comments Cont. Investigation clements_k 10/14/2015 10/14/2015 Complete 10/13/15 -Had meeting in MGO office with MGO, Tom Arico and myself, it was determined that we will be taking Olde Naples Tile & Marble before the Board in December, the 16th, 2015, for failing to correct faulty work. MGO Called Mario Sacacian and spoke with him regarding the work and what had happened the day before at Tom Arico's home, when Mario stated that he was going bankrupt and leaving for two weeks in Las Vegas, and walked out of Mr. Arico's home, having not corrected the tile that was laid incorrectly. MGO warned Mario that he left him no choice but to bring the qualifier Karin Sacacian of Olde Naples Tile & Marble before the Licensing Board for failing to correct faulty work. Tom Arico will get bids to see what the cost will be to correct the work from other Tile companies. Mario stated that this was not his job, after meeting MGO and myself at Mr. Arico's several times to see the progress. Notice will be sent out to Karin Sacacian of Olde Naples Tile & Marble to appear before the December 16th, 2015 Contractor Licensing Board Meeting. Cont. Investigation clements_k 10/14/2015 10/14/2015 Complete 10/14/15 -Made out Notice of Hearing and e- mailed Karin Sacacine @ Karin .Sacacian @seniorhomecare.net. Then printed out the Notice of Hearing and drove out to Karin's residence which is 280 29th Street N.W. Naples, FL. 34120, and saw Mario in driveway with another person, the other person went in house right away, Mario was standing on the driveway and would not acknowledge me at all, the gates were closed and the dogs were out. So I posted the Notice of Hearing on his gate across the driveway with painters tape, took picture of it and left. Then went down to the government center and mailed the certified mail with the Notice of Hearing to the residence of the Sacacine's above. The property address is listed to Coastland Cabinets LLC at 1691 Triangle Palm Ter., in the property appraisers records. Cont. Investigation clements_k 10/14/2015 10/14/2015 Complete 10/14/15- Notice of Hearing is for December 16th, 2015 in fron of the Contractor Licensing Board. Cont. Investigation clements_k 11/2/2015 11/2/2015 Complete 11/2/15- Met with Tom Arico, MGO and myself in Mike's office, Mr. Arico had two quotes from Tile contractors to rip up floor and replace the tile. One quote was for $6,725.25 the other quote is for $7,850.30. Business Management & Budget Office Code. Case Details Execution Date 12/3/2015 9:36:16 AM Desc Assigned Required Completed Outcome Comments Cont. Investigation clements_k 11/3/2015 11/3/2015 Complete 11/3/15- Took copy of Notice of Hearing and Section of Misconduct in envelope and dropped it off at NHD (Naples Home Designs) hand delivered and gave to Yanelis who was sitting at the desk in showroom. She handed me a business card with her name written on it, I asked that she would please give the letter to Karin Sacacian, she said she would give it to her. Cont. Investigation clements_k 11/4/2015 11/4/2015 Complete 11/4/15- To clarify the reason for dropping off the letter yesterday at Naples Home Design is because on the Buisness Tax Receipt Karin Sacacian is a Representative of the company. Cont. Investigation clements_k 11/6/2015 11/6/2015 Complete 11/6/15- Received call from Mario Sacacian this afternoon, asking me why I was on his job site yesterday over on Palm Drive. I was at (480) Teryl just past Albi Road, and saw two pick up trucks working in a condo unit. The older man said he was only cleaning up, not helping, Alberto Diaz was on site, Talked to homeowners who said they had heard of Olde Naples Tile and Marble from other condo owners, they did not buy the tile from Mario it was cheaper to purchase elsewhere. I asked if they were paying the installer directly or Olde Naples Tile & Marble and they said Olde Naples Tile & Marble directly they said that Mario said not to pay anyone else only Olde Naples Tile & Marble. They wanted to know why I was asking questions and 1 told them that we have another case against Mario, and that I wanted to be sure they had hired Olde Naples Tile & Marble directly and that they were not paying the installer directly. They asked other questions and I told them that tile had been improperly installed and that the homeowner and his grand daughter had been hurt because of it. Mario told me not to tell people about his jobs, and that he works in the Port Royal and does beautiful work. I asked Mario why he did not correct the work at Mr. Arico's condo and he said he replaced 30 or 40 tiles, I reminded him that he walked out on Mr. Arico's job and he said he was finished, and going bankrupt. He kept talking over me. He asked me again why I talked to the homeowners about him badly, I asked him why he didn't come down and talk to me when I was standing in his driveway and posted the Notice to appear before the Board, he told me he was angry. He told me he's a good person and does good work, I asked him again why he didn't correct his work for Mr. Arico, and he hung up. Cont. Investigation clements_k 11/9/2015 11/9/2015 Complete 1119/15- Working on case to take Olde Naples Tile & Marble before Contractor Licensing Board for December. Investigation clements_k 12/17/2015 Pending 14 Business Management & Budget Office . Code.Case Details Execution Date 12/3/2015 9 :36:16 AM Violation Description Status Entered Corrected Amount Comments 4.1 Misconduct- County/City Certificate of Competency Open 8/14/2015 $0 Title Reason Result Compliance Fine /Day Condition Business Management & Budget Office 6 F9 COLLIER COUNTY CERTIFICATE OF COMPETENCY CERTIFICATION INFORMATION C25598 Certification Information Collier County Board of County Commissioners Date: September 21, 2015 DBA: OLDE NAPLES TILE & MARBLE, LLC ADDRESS: 280 29TH STREET NW NAPLES, FL 34120 PHONE: 2392937061 CELL: 2395946878 FAX: 2395946878 LICENSEE NBR: C25598 INSURANCE: General Liability August 31, 2016 Worker's Compensation January 01, 2016 QUALIFIER: KARIN R. SACACIAN TYPE: TILE & MARBLE CONTR. CLASS CODE: 4420 ISSUANCE NBR: 25598 ORIG ISSD: January 06, 2004 EXPIRATION: September 30, 2016 NOTE: It is the Qualifier's responsibility to keep all business, licensing and requirements current and to provide up to date copies for Collier county files. This includes all insurance certificates and any change of address information. Collier County * City of Marco * City of Naples Contractor Licensing TILE & MARBLE CONTR. Cert Nbr: Exp: Status: C25598 09/30/2016 Active OLDE NAPLES TILE & MARBLE, LLC KARIN R. SACACIAN 280 29TH STREET NW NAPLES, FL 34120 Signed: F•11) View Master Proiect Vievi All Activities for this Licensee Add ne'v• person or business to Address Boo Licensee Information 1 0 Licensee Number I C25598 L New Licensee (current project) I New Licensee (no project)_ Status Active Name Description 13LDE NAPLES TILE & MARBLE, LLC Start Date Type Contractor End Date Inspector Submitted on Jurisdiction Collier County Department I Operations Activity Description ' All Certificates from CDPlus: 25598 - Business Tax Numb: 1 010374 Suggest Mailing Address Add this Mailing Address as a Location . . .... .. .. Mailing Address 2-80 29TH STREET NW Address Line 2 Address Line 3 City/State/Zip NAPLES FL 34120 Country Email Preferred Contact Method Business Tax Expiration 59513/2016 Date Contractor Attributes Exclude from Auto-Suggest? Add Contact Number Primary :(239) 293-7061 ............... ... ..... ....... . ..................... . .............. Cell : (239) 594-6878 ..................... - .......... ................ ............... ........................ Fax (239) 594-6878 ................... I ................ I ........... Show More fi=�-Ids I Hide or Clear Field! Home Based Business V1 Contractor Type Business DOB Drivers License Number Sponsorship Appliction Date Workers Compensation Business Tax Receipt? Yes Expiration Date I I I I I'll n- Location Add Related Parcels and Address( I I Add a Location To link a location to this Licensee, enter location information below. CityViewwill suggest possible matches as you type: I Contacts Add new person or business to Address Book Go to Alerts r Add a Contact To link a contact to this Licensee, enter contact information below. CityView will suggest possible matches as you type: KARIN R. SAACACIAN, Address:280 29TH STREET NVV, Phone:(239) 353-6754 Go Link Type Description I Contact Alert I EM Date I Primwy? I Djapl#fe Qualifier KARIN R. SACACIA N, Address ,: 280 29TH STREETNW, Phan L1 D .............. ................ ............. ..... . ................. ..... ................ .................... .......... ................... ............... Applicant OLDE NAPLES TILE & MARBLE, LLC, Address: 280 29TH STR; NO- F, I I Licensee information View Master Proiec Vie-oi.All Activities for this Licensee Add a new person or business to Address Book Classifications Generate Defaults Classification To add a classification to this Licensee, enter text below. CityView will suggest possible matches as you type: ITILE & MARBLE CONTR. ink Typ!e to Entered Status ]=status Date :TILE & MARBLE CONTR. 06/03/2011 :Active ........... - .......... ................ ................... Unique identifier 158436 Contractor Licensing Renewable? 1Z License Issuances Show More Fields Hide or Clear Fields License Category Local - Specialty Attach Driver License Photo Add Issuance Link Type Status Date Issued Issuance Number Expiration Date ..... ;TILE & MARBLE CONTR. active 01106/2004 25598 09/30/2016 ............ .................. ............ - ................. ... ...... ... ................................................ ............ I ................ ............... .................... A A A 0 r 11, Licensee Number 025593 O_escriptiors Type Pro perty AJert Name OLDE NAPLES TILE & MARBLE, LLC, Type Contractor Status Active View Master Proiec Vie-oi.All Activities for this Licensee Add a new person or business to Address Book Classifications Generate Defaults Classification To add a classification to this Licensee, enter text below. CityView will suggest possible matches as you type: ITILE & MARBLE CONTR. ink Typ!e to Entered Status ]=status Date :TILE & MARBLE CONTR. 06/03/2011 :Active ........... - .......... ................ ................... Unique identifier 158436 Contractor Licensing Renewable? 1Z License Issuances Show More Fields Hide or Clear Fields License Category Local - Specialty Attach Driver License Photo Add Issuance Link Type Status Date Issued Issuance Number Expiration Date ..... ;TILE & MARBLE CONTR. active 01106/2004 25598 09/30/2016 ............ .................. ............ - ................. ... ...... ... ................................................ ............ I ................ ............... .................... A A A 0 r 11, Details Collier County Tax Collector 2800 N. Horseshoe Drive Naples, FL 34104 Collier County Business Tax Receipt Tax Year Info: 2015 Prev Record BUSINESS INFORMATION License # 010374 Name: OLDE NAPLES TILE & MARBLE, LLC DBA: Location: 280 29TH ST NW Zoned: HOME OCCUPATION Mail 1.11280 29TH ST NW Mail 2: City, Sta Zge, NAPLES , FL 34120 Page 1 of 1 [text Rect�rd Phone I Open Date: 00 -00 -01 Code: 02101901 JCONTRACTOR I Chan ed Date 09 -21 -15 State Lic: Class: TILE & MARBLE CONTRACTOR 9 Paid Date: 09 -21 -15 —� _ 1.1 Closed Date: 00 -00 -00 —� County Lic: 25598 Category: 1 -10 EMPLOYEES Amount Due: 0.00 ��� COLLIER RD City Lic: Preq: COMP CARD ** ** License is: Paid ** License is: Open ** Prev Record _New Search 11 Back To List 2005 lax 006 Tax 2007 Tax ax 2008 lax Information Information. Inforination Information 201.0 "Tax 2011 Tax 20:12 Tax 201 3 Tax Information Information Information Information Next Record t.l1J.OrnlatJ.CJIJ 2014 Tax Information A http: / /www.colliertax.com /search/ols _ details.php ?ID = 64192528 &page= &year =2015 10/13/2015 Detail by Entity Name Detail by Entity Name Florida Limited Liability Company OLDE NAPLES TILE & MARBLE LLC Filing Information Document Number FEI /EIN Number Date Filed Effective Date State Status Last Event Event Date Filed Event Effective Date Principal Address 280 29th. St NW NAPLES, FL 34120 Changed: 04/06/2015 Mailing Address 280 29th. St NW NAPLES, FL 34120 Changed: 0410612015 L04000000942 04- 3782186 01/05/2004 01/01/2004 FL ACTIVE CANCEL ADM DISS /REV 01/04/2006 NONE Registered Agent Name & Address SACACIAN, KARIN R 1691 TRIANGLE PALM TERRACE NAPLES, FL 34119 Address Changed: 01/04/2006 Authorized Person(s) Detail Name & Address Title MGRM SACACIAN, KARIN R 1691 TRIANGLE PALM TERRACE NAPLES, FL 34119 http:/ /search. sunbiz. org/ Inquiry/ CorporationSearch ISearchResultDetail ?inquirytype= Entit. Page 1 of 2 1 11/13/2015 gr.-, Detail by Entity Name Title MGRM SACACIAN, MARIUS 1691 TRIANGLE PALM TERRACE NAPLES, FL 34119 Annual Reports Report Year Filed Date 2013 01/14/2013 2014 02/13/2014 2015 04/06/2015 Document Images Page 2 of 2 04/06/2015 ANNUAL REPORT View image in PDF 02/13/2014 ANNUAL REPORT view image in PDF format 01/14/2013 ANNUAL REPORT View image in PDF format 01/04/2012 ANNUAL REPORT View image in PDF format 01/04/2011 ANNUAL REPORT View image in PDF format 01/04/2010 --ANNUAL REPORT View image in PDF format 04/14/2009 ANNUAL REPORT View image in PDF format 01/16/2008 ANNUAL REPORT View image in PDF format 12/04/2007 ANNUAL REPORT View image in PDF format 01/05/2007 ANNUAL REPORT View image in PDF format 01/04/2006 REINSTATEMENT View image in PDF format 01/06/2004 Florida Limited Liability View image in PDF format ,.ogvri �hL �,� and Plf,v, St U � -Me Of F 10rj 0, 1, DepaftWleOt Gf S'EA(% 4 http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entit... 11/13/2015 f-N o id E CD y o � C1 F? -Cl Az CD C3. 8 w • O CD a a �N if h U U, CD E 1ki I 1 SHIP TO ADDRESS i 0 � e . '�C ADDRESS 1 f 1 d o . j Drrrc��`1ae�i!r�xal�: C1TY, STATE, ZIP � C� � C _ J - -- — DATE DATE REQUIRED I 1 SHIP TO ADDRESS i 0 � e . '�C ADDRESS 1 f 1 d o CITE, STATE-, Z1P - //'' ,`77 LK. z- C1TY, STATE, ZIP � C� � C _ J - -- — DATE DATE REQUIRED TERMS HOW SKIPPED REO. NO.OR DEPT. � FOR Guam ' j ilROERESi t I T 2 aoarmn RECEIVED PLEASE SUPPLY LISTED ITEMS BELOW PRICE UNIT 4�I �61 6 7 9 10 11 '2 i I 13 14 I 16 17 0 18 19 20 21 I , 122 I 23 24 IMPORTANT Please sand copies of your INVOICE with O1�IGIN%X BILL OF LADING. Purchase Order Number must appear on all invoices - packaging, etc. Please notify us immediately if you are unable to complete the order by date specified. PURCHMINGAGEW IM8131 T- 46140148147 �I111RI" E -A, Chase Private Client- Check Details Chase Private Client CPC CHECKING (...0531) Page 1 of 1 Check Number: 708 Post Date: 04/07/2015 Amount of Check: $1,450.00 708 V THOMAS R. ARICO w-so 4010 ICE CASTLE WAY. AM 5 NAPLES, FL 34112 -SM ' OPDF4Of ( �J CHASE ! 1 V Need help printing or saving this check? tI Need help printing or saving this check? m 2015 JPMorgan Chase & Co. Chase Private Client - Check Details Page 1 of 1 1 A Cha -e Private Client CPC CHECKING (...0531) Check Number: 704 Post Date: 04/02/2015 Amount of Check: $500.00 THOMAS A. ARICO W -70 ..704� E CASTLE WAY, APT' $ NAPLE S, PL 34112-50133 M'*P-'0C Z _ O CHASE_ C� Need help printing or saving this check? t Need help printing or saving this check? ® 2015 JPMorgan Chase & Co. f -n ,0Z•3 4'. • R \111#,r I 4tr I ov �� -3 n2 "i 50; 9 4.05 6p I a I L • -b+ l �� b �&. g - ------------ - Print Subject: RE: fife repair from: tom (tomarico2002@yahoo_com) To: 41egsfflQofing@oomcast.net Date: Thursday, October 15, 201511:28 AM Thanks Rick for your quick response. Sent from my Verizon wireless 4G LTE smartphone Page 1 of 1 <br><br >-- --- - -- Original message -------- <br >From: 41eastffloon ng,�cDz eonricast..net <br >Date: 10/15/2015 10:37 AM (GNfF- 05:00) <br >To: <br> Subject: the repair <br><br> Tom, upon inspection of the tile, the the in the living room and dining room needs to be completely removed and replaced as this can not be repaired. There are some tiles in the bedrooms that can be replaced. However, due to the fact that we did not due the original installation, the repair would not be guaranteed. The tota labor cost to remove existing file, install new tile, and repair tiles in bedrooms would be $4470.00. Thank you, Rick Ehlers Tom, upon inspection of the tile, the file in the living room and dining room needs to be completely removed and replaced as this can not be repaired. There are some tiles in the bedrooms that can be replaced However, due to the fact that we did not due the . original installation, the repair would not be guaranteed. The tots labor cost to remove existing tile, install new tile, and repair tiles in bedrooms would. be $4470.00. Thank you, Rick Ehlers i- ?01 /c 7 -T- ELt� - jote Number 10;-59AM — Material: 3,390.15 Extension 3,00 1,455r00 5"99 5.199 2.905.15 100.00 100.00 U43.00 2.00 97.0-00 .99 99 21420.15 E-93 10;-59AM — Material: 3,390.15 Service: 4,460.15 Misc.Charps; 0.00 Sales Tax: 0.00 Misc. Tax, 0.00 QUOTE TOTAL: $7j850.30 E-93 CO m ur) ro a a 0 ° ° ° �o ru U.S. Postal Service TM CERTIFIED MAILTM RECEIPT (Domestic Mail only; No Insurance Coverage Provided) Sent To A/11 5 Kcari n R SItCaCiQI� ° 1 t Q�d� .tt1 �es7�l�- /y >r�c�t� _ Lc c .._. ° S`treef, A�i�No.; / ►� 1 ---- ---- - - --- [t or PO Box No. QO CJ_c_!_�t_! !- °........ - -- - - - Box -. X12 111 ITJ tJ City, State, ZlP +4 - .-- -. - - -- 'eS Collier County Growth Management Division/ Planning and Regulation Operations Department/ Licensing Section CERTIFIED MAIL #7007 2560 0001 1485 5384 RETURN RECEIPT REQUESTED Date: October 14th, 2015 Mrs. Karin R. Sacacian C/O Olde Naples Tile & Marble, LLC. 280 29t1' Street N.W. Naples, FL. 34120 RE: Complaint filed against you by Mr. Thomas R. Arico Dear Mrs. Sacacian: A complaint has been filed against you by the above referenced individuals. A hearing of this complaint will be held by the Contractors' Licensing Board on December 161h 2015, at 9:00 AM, in the Board of County Commissioner's Room, Third Floor, Administration Building at (W. Harmon Turner Building) 3299 Tamiami Trail East, Naples, Florida, 34112. 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, December 9th, 2015, one week prior to the hearing. In your packet, you may give a summary of events. At this meeting, you may present evidence and be represented by an attorney of your choice. In the event the Contractors' Licensing Board finds you in violation of Section number(s) 22- 201.(10) of Code of Laws and Ordinances of Collier County, Florida, the range of disciplinary sanctions which may be imposed are from an oral reprimand to a suspension or revocation of your Collier County Certificate #25598. Sincerel , i Karen Clements Licensing Compliance Officer Phone #239 - 252 -2450 E 35 Sec. 22 -184. - Standards for the issuance or denial of a certificate of competency. I Cod... Page 73 of 142 FOOTNOTE(S): -- (7) - -- State Lattir reference— Discipline of contractors, F.S. §§ 4801.129, 489.533. Sec. 22 -201. - Misconduct— Collier County /city certificate of competency. The following actions by a holder of a Collier County /City Certificate of Competency shall constitute misconduct and grounds for discipline pursuant to section 22 -202: (1) Knowingly combining or conspiring with an unlicensed contractor by allowing one's Certificate of Competency to be used by an unlicensed contractor with intent to evade the provisions of this Ordinance. When a licensed contractor acts as the qualifying agent for any firm without first making application under this Ordinance to represent said firm, such act shall constitute prima facie evidence of intent to evade the provisions of this Ordinance. When a certificate holder allows his certificate to be used by one or more companies without having any active participation in the operations, management, and control of such companies, such act constitutes prima facie evidence of an intent to evade the provisions of this Ordinance. Active participation requires job site supervision, knowledge of and participation in the business operations of the company(s), including all contractual matters. a. If any individual qualifying any business organization ceases to be affiliated with such business organization, he shall so inform the Board. In addition if such individual is the only certified individual affiliated with the business organization, the business organization shall notify the Board of the individual's termination and shall have no more than sixty (60) days from the date of termination of the individual's affiliation with the business organization in which to affiliate with another person certified under the provisions of this article. In any event, the business organization shall not enter into any new contracts and may not engage in any new contracting until such time as a qualifying agent is employed. (2) Contracting to do any work outside of the scope of his /her competency as listed on his /her competency card and as defined in this Ordinance or as restricted by the Contractors' Licensing Board. (3) Abandoning a construction project in which he /she is engaged or under contract as a contractor.,A project may be presumed abandoned if the contractor terminates the project without just cause, or fails to notify the owner in writing of termination of the contract and basis for same, or fails to perform work for ninety (90) consecutive days without just cause and no said notice to the owner. (4) Diverting funds or property received for the execution of a specific contract project or operation or diverting funds earma5r e° To°r a °sppecified purpose to any other use whatsoever. (5) c ^6 Sec. 22 -184. - Standards for the issuance or denial of a certificate of competency. I Cod... Page 74 of 142 Departing from or disregarding in any material respect the plans or specifications of a construction job without the consent of the owner or his duly authorized representative. (6) Disregards or violates, in the performance of his contracting business in Collier County, any of the building, safety, health, insurance or Workers' Compensation laws of the State of Florida or ordinances of this County. (7) Falsifying or misrepresenting any material fact in his application and supporting papers for the purpose of obtaining a Certificate of Competency under this Ordinance. (8) Committing mismanagement or misconduct in the practice of contracting that causes financial harm to a customer. Financial mismanagement or misconduct includes, but is not limited to, any of the following: a. The contractor fails to fulfill his /her contractual obligations to a customer because of inability, refusal or neglect to pay all creditors for material furnished or work or services performed in the operation of the business for which he /she is licensed, under any of the following circumstances: 1. Valid liens have been recorded against the property of a contractor's customer for supplies or services ordered by the contractor for the customer's job; the contractor has received funds from the customer to pay for the supplies or services; and the contractor has not had the liens removed from the property, by payment or by bond, within 30 days after the date of such liens; 2. The contractor has abandoned a customer's job and the percentage of completion is less than the percentage of the total contract price paid to the contractor as of the time of abandonment, unless the contractor is entitled to retain such funds under the terms of the contract or refunds the excess funds within 30 days after the date the job is abandoned; 3. The contractor's job has been completed, and it is shown that the customer has had to pay more for the contracted job than the original contract price, as adjusted for subsequent change orders, unless such increase in cost was the result of circumstances beyond the control of the contractor, was the result of circumstances caused by the customer, or was otherwise permitted by the terms of the contract between the contractor and the customer.. b. The contractor's job been completed, and it is shown that the customer has incurred financial harm by having to seek a variance or other administrative remedy because of actions by the contractor. (9) Performing any act which assists a person or entity in engaging in the prohibited unlicensed practice of contracting, if the licensed contractor knows or should have that the person or entity was unlicensed. ,known Failing to promptly correct faulty workmanship or promptly replace faulty materials installed contrary to the prdM bh-s Wthe construction contract. Faulty workmanship means work that is not commenced, not continued, or not completed in accordance with all specifications of the applicable written agreement. Faulty https: / /www.municode.com/library/ 2/17/2015 a Sec. 22 -184. - Standards for the issuance or denial of a certificate of competency. J Cod... Page 75 of 142 workmanship includes any material flaw(s) in the quality and /or quantity of the unfinished or finished work product, including any item that does not function properly as a part of the entire project. If there is no written agreement provision regarding the specific faulty workmanship issue, faulty workmanship exists if the work, process, product or part thereof does not meet generally accepted standards in Collier County in relation to the entire project. Faulty workmanship does not include matters of esthetics unless the esthetically related item clearly violates a written contract specification directly related thereto. (11) Failure to maintain at all times, with an insurance company authorized to do business in the State of Florida, the limits of liability and other categories of insurance as required by this Ordinance. (12) Failing to claim or refusing to accept certified mail directed to the contractor by the Contractors' Licensing Board, or its designee. (13) Failing to maintain a current mailing address. (14) Failing to appear in person or through a duly authorized representative at any scheduled hearing on a complaint filed against the contractor. (15) Being convicted or found guilty, regardless of adjudication, of a crime in Collier County which directly relates to the practice of contracting or the ability to practice contracting, (16) Allowing another to take a qualifying examination on the applicant's behalf. (17) Engaging in contracting business in Collier County or the City when prohibited from doing so by the Contractors' Licensing Board of Collier County. (18) Proceeding on anyjob without obtaining applicable permits or inspections from the City building and zoning division or the county building review and permitting department. (19) Failing in any material respect to comply with the provisions of this Ordinance as a contractor or as a qualifying agent for a business entity engaging in contracting. (20) Signing a statement with respect to a project or contract falsely indicating that the work is bonded; falsely indicating that payment has been made for subcontracted work, labor, or materials which results in a financial loss to the owner, purchaser, or contractor; or falsely indicating that Workers' Compensation and public liability insurance are provided. (21) Failure of a qualifying agent for a firm /legal business entity to comply with the requirements set forth in F.S. H 489.119 and 489.1195. (22) Falsifying or misrepresenting any material fact to another person with the intent or for the purpose of engaging in the contracting business, providing materials or services, or soliciting business for an employer, as a contractor, or as an employee, regardless of any financial consideration. (23) Failing or refusing to provide proof of public liability and property damage insurance coverage and workers cornnencatinn insurance . coverage. r- ..___._.. (24) Misconduct in the practice of contrac*gl(on 22- 201.1, below). (Ord. No. 90 -105, § 4.1; Ord. No. 92 -61, § 4; Ord. No. 94 -34, § 4; Ord. No. 97 -68, § 1, 10- 28 -97; Ord. No. 99 -45, § 4.1- 4.1.24, 6 -8 -99; Ord. No. 2002 -21, §§ 1(4.1- 4.1.24); Ord, No. 2006 -46, §§ 4.1- 4.1.24, 10- 10 -06) https : / /www.municode.com/library/ 2/17/2015 F,�,� USPS.come - USPS Tracking® English Customer Service USPS Mobile uspscom, Page 1 of 2 Register I Sign In R USPSTracking° Customer Service ) Have questions? We're here to help. Get Easy Tracking Updates ................... . . .................... Sign up for My USPS. Tracking Number: 70072560000114855384 Updated Delivery Day: Friday, October 16, 2015 Product & Tracking Information Available Actions Postal Product: Features: Certified Mail'" Text Updates DATE & TIME STATUS OF ITEM LOCATION Email Updates October 16, 2015 , 11:34 Notice Left (No Authorized NAPLES, FL 34120 am Recipient Available) €ver yo . m at '11:34 a. on - Oc€uiber 16. 201E ..; NAPLES, „ "•le attempted to dei . {! F:... 34120 a d a notice. was ieff b£'C2U. ° +Ei an authorized recto enl vJaS not avai€abin.. You ::iay ar5ang ; redeiEVery by using the Schedule a redelivery feature on th;s page or calling 800-ASK may pick up the itr9 ?':; al the? Post Of ico ind!ca€ed (n he node(,. if this Bern is 1 mcla ne'd by Novem.Lei" 15.. 20'7 5 th n It v:`i I %e retumed IU sende!'. 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All Rights Reserved, Page 2 of 2 LEGAL INFORMATION Privacy Policy Terms of Use FOIA No FEAR Act EEO Data Search or Enter a Tracking Number https: // tools. usps. com /go /TrackConfirmAction .action ?tRef = fullpage &tLc =1 &text28777 =... 11/20/2015E"q( Y_ r. ; rt to W 7c - i a D M X — � r, — L VS f.s O ( 4'1 tt! L'I 4= c, C 0 r.� zoo 0 us °- =s o Ui r iI1: 'J3 M CD vCDCo -•,�� Z tv n '� m H Cf7 rt o 3 > n ru �— MSU vV i ul co CD O cn `St1 u) N :V cn 'D CL Da "rJ �:Y- CD .J � Ln m z . C Y_ r. ; rt to W 7c - i a D M X — � r, — L VS f.s O ( 4'1 tt! L'I 4= c, C 0 r.� zoo 0 us °- =s o Ui r iI1: 'J3 M CD vCDCo -•,�� Z tv n '� m H Cf7 rt o 3 > n ru �— MSU vV i ul — 7 w,rt`G AU m m CL a rD Q m 3002, D Ca D 0- r CL N () N �I 0 o C: (33 Ln w aaN COD m WCD0 Ln y> w �- ko V rD m 0- 3 o ou,w> u, O. �03 Z,-z ID z Ho=mo o @ o � �n n Y_ r. ; rt to W 7c - i a D M X — � r, — L VS f.s O ( 4'1 tt! L'I 4= c, C 0 r.� zoo 0 us °- =s o Ui r iI1: 'J3 M CD vCDCo -•,�� Z tv n '� cn 0 W co -n CD 0- C w N g a 0 3 CD m C CD 0 CD N 0 co U Z 3 °• H � O -.1 a M RJ U-1 a- m ED O O E-' E-' Ln Ln W m O N o 3 > 0 D0 -0 :3 o ru �— MSU vV i ul — 7 w,rt`G AU m m CL a m ? :E C m Q m 3002, D Ca D 0- r CL N () N m m 0 o C: (33 Ln w aaN COD m WCD0 Ln y> w �- V n n w x w Zj cn 0 W co -n CD 0- C w N g a 0 3 CD m C CD 0 CD N 0 co U Z 3 °• H � O -.1 a M RJ U-1 a- m ED O O E-' E-' Ln Ln W A n n 0 m N w C (C3 m CL @ a m m a _ m ❑❑❑ 0m Q C O :I y m N CD o m x A N o 3 > 0 D0 -0 :3 o MSU vV i m D — 7 w,rt`G AU m m CL a m ? :E C m Q m 3002, Ca D 0- r CL N () N m m 0 o C: m 0 w aaN COD m WCD0 G1 y> aroma'o. (D m V n n w x w Zj m 0- 3 o ou,w> u, O. C�>r m - ID z Ho=mo o @ o � m 3 w_cma3 n �n m J ID m o U) m M A n n 0 m N w C (C3 m CL @ a m m a _ m ❑❑❑ 0m Q C O :I y m N CD o m x A N CD CL (m D C M CD m 4 ❑ m m CL 3 a Q Ca D m m a m 0 4 CL a to a m 7-7 N N m 0- 3 m - ID z N � N n 4 � i g cL E.ql ❑ ❑ ❑ m 4 ❑ i:.� cNn N 0 =r a to a m 7-7 ID z N A m ID m t jr . 4 � i g cL E.ql 1 .4 5 '3- lbrnentsKaren From: ClementsKaren Sent: Wednesday, October 14, 2015 10:10 AM To: ' Karin .Sacacian @seniorhomecare.net' Cc: OssorioMichael Subject: Notice of Hearing for 4010 Ice Castle Way #5, Thomas Arico Attachments: 201510141003.pdf; 201510141009.pdf Good Morning Karin, My name is Karen Clements, I work with Mike Ossorio at Collier County, and I am a Contractor Licensing Officer, I am writing to you today to let you know that you will be receiving a Notice of Hearing to appear before the Contractor Licensing Board on December 16th, 2015 at 9:00 A.M. Olde Naples Tile & Marble, LLC., failed to correct faulty work at the above address. Mike and I met Mario at the above address several times and the work was not corrected. Today I will be leaving a Notice of hearing at your current residence that we have on file on 29th St. N.W., you will also receive a copy of this by mail. If you have any questions you may contact either Mike at (252 -5706) or myself at (252 -2450) or (821- 4847). Respectfully, Karen Clements Contractor License Compliance Officer Operations Department /Licensing Section Growth Management Division 239 - 252 -2450 office 239 - 252 -2469 fax a ti' Collier County Growth Management Division/ Planning and Regulation Operations Department/ Licensing Section Date: October 14th, 2015 Mrs. Karin R. Sacacian . C/O Olde Naples Tile & Marble, LLC. 280 29'h Street N.W. Naples, FL. 34120 RE: Complaint filed against you by Mr. Thomas R. Arico Dear Mrs. Sacacian: A complaint has been filed against you by the above referenced individuals. A hearing of this complaint will be held by the Contractors' Licensing Board on December 16th, 2015, at 9:00 AM, in the Board of County Commissioner's Room, Third Floor, Administration Building at (W. Harmon Turner Building) 3299 Tamianni Trail East, Naples, Florida, 34112. 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 coniunction with composite exhibit "A ", you must make fifteen copies and have them in our office by 8:00 AM on Wednesday, December 9'h; 2015, one week prior to the hearing. In your packet, you may give a summary of events. At this meeting, you may present evidence and be represented by an attorney of your choice. In the event the Contractors' Licensing Board finds you in violation of Section number(s) 22- 201.(] 01 of Code of Laws and Ordinances of Collier County, Florida, the range of disciplinary sanctions which may be imposed are from an oral reprimand to a suspension or revocation of your Collier County Certificate #25598. Sincere f Karen Clements Licensing Compliance Officer Phone #239 - 252 -2450 ON Sec. 22 -184, - Standards for the issuance or denial of a certificate of competency, I Cod... Page 73 of 142 4 1 . 4 FOOTNOTE(S): (7) - -- State Law reference— Discipline of contractors, F.S. §§ 489.129, 489.533, Sec. 22 -201. - Misconduct -- Collier County /city certificate of competency. % sv B The following actions by a holder of a Collier County/City Certificate of Competency shall constitute misconduct and grounds for discipline pursuant to section 22 -202: (1) Knowingly combining or conspiring with an unlicensed contractor by allowing one's Certificate of Competency to be used by an unlicensed contractor with intent to evade the provisions of this Ordinance. When a licensed contractor acts as the qualifying agent for any firm without first making application under this Ordinance to represent said firm, such act shall constitute prima facie evidence of intent to evade the provisions of this Ordinance. When a certificate holder allows his certificate to be used by one or more companies without having any active participation in the operations, management, and control of such companies, such act constitutes prima facie evidence of an intent to evade the provisions of this Ordinance. Active participation requires job site supervision, knowledge of and participation in the business operations of the company(s), including all contractual matters. a. if any individual qualifying any business organization ceases to be affiliated with such business organization, he shall so inform the Board. In addition if such individual is the only certified individual affiliated with the business organization, the business organization shall notify the Board of the individual's termination and shall have no more than sixty (60) days from the date of termination of the individual's affiliation with the business organization in which to affiliate with another person certified under the provisions of this article. In any event, the business organization shall not enter into any new contracts and may not engage in any new contracting until such time as a qualifying agent is employed. (2) Contracting to do any work outside of the scope of his /her competency as listed on his /her competency card and as defined in this Ordinance or as restricted by the Contractors' Licensing Board. (3) Abandoning a construction project in which he /she is engaged or under contract as a contractor:.A project may be presumed abandoned if the contractor terminates the project withoutjust cause, or fails to notify the owner in writing of termination of the contract and basis for same, or fails to perform work for ninety (90) consecutive days without just cause and no said notice to the owner. (4) Diverting funds or property received fort hhe execution of a specific contract project or operation or diverting funds earma e r a specified purpose to any other use whatsoever. (5) https: / /-" ,.municode.com/librai),/ �15 2/17/2015 Sec. 22 -184. - Standards for the issuance or denial of a certificate of competency. I Cod... Page 74 of 142 r .1 Departing from or disregarding in any material respect the plans or specifications of.a construction job without the.consent.of.the .owner ar his duly authorized representative. (6) Disregards or violates, in the performance of his contracting business in Collier County, any of the building, safety, health, insurance or Workers' Compensation laws of the State of Florida or ordinances of this County. (7) Falsifying or misrepresenting any material fact in his application and supporting papers for the purpose of obtaining a Certificate of Competency under this Ordinance. (S) Committing mismanagement or misconduct in the practice of contracting that causes financial harm to a customer. Financial mismanagement or misconduct includes, but is not limited to, any of the following: a. The contractor fails to fulfill his /her contractual obligations to a customer because of inability, refusal or neglect to pay all creditors for material furnished or work or services performed in the operation of the business for which he /she is licensed, under any of the following circumstances: 1. Valid liens have been recorded against the property of a contractor's customer for supplies or services ordered by the contractor for the customer's job; the contractor has received funds from the customer to pay for the supplies or services; and the contractor has not had the liens removed from the property, by payment or by bond, within 30 days after the date of such liens; 2. The contractor has abandoned a customer's job and the percentage of completion is less than the percentage of the total contract price paid to the contractor as of the time of abandonment, unless the contractor is entitled to retain such funds under the terms of the contract or refunds the excess funds within 30 days after the date the job is abandoned; 3. The contractor's job has been completed, and it is shown that the customer has had to pay more for the contracted job than the original contract price, as adjusted for subsequent change orders, unless such increase in cost was the result of circumstances beyond the control of the contractor, was the result of circumstances caused by the customer, or was otherwise permitted by the terms of the contract between the contractor and the customer. b. The contractor's job been completed, and it is shown that the customer has incurred financial harm by having to seek a variance or other administrative remedy because of actions by the contractor. (9) Performing any act which assists a person or entity in engaging in the prohibited unlicensed practice of contracting, if the licensed contractor knows or should have known that the person or entity was unlicensed. --�, ((10) 1 Failing to promptly correct faulty workmanship or promptly replace faulty ' materials installed contrary to the prdMMhs or�11e construction contract. Faulty workmanship means work that is not commenced, not continued, or not completed in accordance with all specifications of the applicable written agreement. Faulty https://iA,cN,w.municode.com/iibrm3�/ 2/17/20,15 Aw Sec. 22 -184. - Standards for the issuance or denial of a certificate of competency. I Cod.... Page 75 of 142 workmanship includes any material flaw(s) in the quality and /or quantity of the _ unfinished or finished work product, including any item that does not function properly as a part of the entire project. If there is no written agreement provision regarding the specific faulty workmanship issue, faulty workmanship exists if the work, process, product or part thereof does not meet generally accepted standards in Collier County in relation to the entire project. Faulty workmanship does not include matters of esthetics unless the esthetically related item clearly violates a written contract specification directly related thereto. (11) Failure to maintain at all times, with an insurance company authorized to do business in the State of Florida, the limits of liability and other categories of insurance as required by this Ordinance. (12) Failing to claim or refusing to accept certified mail directed to the contractor by the Contractors' Licensing Board, or its designee. (13) Failing to maintain a current mailing address. (14) Failing to appear in person or through a duly authorized representative at any scheduled hearing on a complaint filed against the contractor. (15) Being convicted or found guilty, regardless of adjudication, of a crime in Collier County which directly relates to the practice of contracting or the ability to practice contracting. (16) Allowing another to take a qualifying examination on the applicant's behalf. (17) Engaging in contracting business in Collier County or the City when prohibited from doing so by the Contractors' Licensing Board of Collier County. (18) Proceeding on any job without obtaining applicable permits or inspections from the City building and zoning division or the county building review and permitting department. (19) Failing in any material respect to comply with the provisions of this Ordinance as a contractor or as a qualifying agent for a business entity engaging in contracting. (20) Signing a statement with respect to a project or contract falsely indicating that the work is bonded; falsely indicating that payment has been made for subcontracted work, labor, or materials which results in a financial loss to the owner, purchaser, or contractor; or falsely indicating that Workers' Compensation and public liability insurance are provided. (21) Failure of a qualifying agent for a firm /legal business entity to comply with the requirements set forth in F.S. §§ 489.119 and 489.1195. (22) Falsifying or misrepresenting any material fact to another person with the intent or for the purpose of engaging in the contracting business, providing materials or services, or soliciting business for an employer, as a contractor, or as an employee, regardless of any financial consideration. (23) Failing or refusing to provide proof of public liability and property damage insurance coverage and workers compensation insurance coverage. (24) Misconduct in the practice of contraqt�ftgl(on 22- 201.1, below). (Ord. No. 90 -105, § 4.1; Ord. No. 92 -61, § 4; Ord. No. 94 -34, § 4; Ord. No. 97 -68, § 1, 10- 28 -97; Ord. No. 99 -45, § 4.1- 4.1.24, 6 -8 -99; Ord. No. 2002 -21, §§ 1(4.1 - 4.1.24); Ord. No. 2006 -46, §§ 4.1- 4.1.24, 10- 10 -06) https://',A-A,,A,.muriicode.com/library/ MYNA 2/17/2015 k4 Details 7 w .0 r Collier County Tax Collector 2800 N. Horseshoe Drive Naples, FL 34104 Collier County Business Tax Receipt Tax Year Info: 2015 Prev Record BUSINESS INFORMATION License #II141120 Name: NAPLES HOME DESIGNS, LLC �— DBA: Location: 13180 LIVINGSTON RD #105 C Zoned JPUD Mail 1 113180 LIVINGSTON RD #105 Mail 2: City, State, NAPLES 7,FL 34109 Zip: Phone: 239- 451 -6133 Code: 03900001 Description: RETAIL � SALES State Lic: =E:��]RETAIL SALES County Lic: F ------ 7 Category: F STORE City Lic: Preq: FRONT ONLY Prey Record Page 1 of 1 Next Record O NER INFORMATION N e 1: SACACIAN, KARIN ame 2: idress 1: 13180 LIVINGSTON RD #105 ddress 2: City, State, zip: NAPLES FL 341 9 Phone: 239 - 451 -6133 6ate:I110 -31 -14 Changed Date: 00 -00 -00 Paid Date: 09 -23 -15 Closed Date: 00 -00 -00 Amount Due: 0.00 ** License is: Paid ** ** License is: Open ** New Search Back To List 2014 Tax Information Next Record n a°` t; http: / /www.colliertax.comisearchlols _ details.php ?ID= 64400186 &page =8 &year =2015 10/19/2015 i 'LES HOME DESIGNS Ll. ,; Ak1Ni,, \)STON RD i65 NAPLES FL34ih HD 03/26/2015 1151:45 CREDIT CARD VISA SAL.L CARD # XY7XgxXXX7(X6279 0001 I D Naples Home Designs INVOICE SEQ #; 0001 Batch #' 000017 Approval Code: 04372C EnSy Method: Manual Mode Online Card Code; M SALE AMOUNT $4253,03 CU jTAR COPY N( iples FI Phone # mation: I 6S . 93180 Livingston Rd. Naples,fl 34109 Phone # :.(239) 451 -6133 Fax #(239) 451 -6146. '4Materiais' 1. amandola marfirm 13.13 sgft p /box 932.23 sqft Thinset 18 Grout 4 $ 4,253.03 with txs V'�O QD�rVVtAA 0)�, 03/25/2015 s:/ldocs.google. corn/ documentld /1kjmnYSJ921C2H22Ig28kbiebouuVW lxQZenl- vuFogk/edit Page I of .04 4i 3/266/20; CONTRACTORS LICENSING BOARD COLLIER COUNTY, FLORIDA ) BOARD OF COUNTY COMMISSIONERS ) COLLIER COUNTY, FLORIDA ) Petitioner, ) ) Case No: 2015-09 vs. ) License No. 25598 Karin R. Sacacian ) D/b/a Olde Naples Tile & Marble, LLC, ) Respondent(s) ) ORDER THIS CAUSE came on for public hearing before the Contractors' Licensing Board (hereafter Board) on December 16, 2015, for consideration of the Administrative Complaint filed against Karin R, Sacacian dba Olde Naples Tile & Marble, LLC, the "Respondent". Service of the Complaint was made in accordance with Section 22-202 of the Code of Laws and Ordinances of Collier County, Florida. The Board made a finding of fact that the service conformed with the requirements of the Code of Laws and Ordinances of Collier County, Florida. The Board having at said hearing heard testimony under oath, received evidence, and heard arguments respective to all appropriate matters, thereupon issues its Findings of Fact, Conclusions of Law, and Order of the Board as follows: Page 1 of 8 422851.1 12/1812015 FINDINGS OF FACT 1. That Karin R. Sacacian is the holder of record of Collier County License Number 25598, as a Tile and Marble Contractor. 2. That the Board of County Commissioners of Collier County, Florida, is the complainant in this matter. 3. That the Board has jurisdiction of the person of the Respondent and that Karin R. Sacacian was not present at the public hearing and was not represented by counsel at the hearing on December 16, 2015. 4. All notices required by the Code of Laws and Ordinances of Collier County, Florida, have been properly issued, hand delivered and sent by certified mail in accordance with Section 22-202 of the Code of Laws and Ordinances of Collier County, Florida. 5. The evidence presented and testimony given established that the Respondent acted in a manner that is in violation of the Code of Laws and Ordinances of Collier County, Florida, as follows: failing to promptly correct faulty workmanship or promptly replacing faulty materials installed contrary to the provisions of the Construction Contract. Faulty workmanship exists if the work, process, product or part thereof does not meet generally accepted standards in Collier County in relation to the entire project. (Code of Laws and Ordinances of Collier County, Florida, Section 22-210(10)), and is the one who committed the acts. Page 2 of 8 422851.1 12/1812015 6. That the Contractors' Licensing Supervisor and Staff presented sworn testimony, and the administrative complaint and exhibits thereto were admitted into evidence. The Respondent was afforded an opportunity to present sworn testimony, exhibits, and to cross examine the Contractors' Licensing Supervisor and witness but chose not to appear at the hearing. The Board was afforded an opportunity to ask questions of the witnesses. The Board determined that the allegations of fact as set forth in the Administrative Complaint are true and therefore such facts are hereby found to be supported by the evidence presented at the hearing. CONCLUSIONS OF LAW 1. The Conclusions of Law alleged and set forth in the Administrative Complaint as to Counts 1 were supported by the clear and convincing evidence presented at the hearing on December 16, 2015, and said conclusions of law are hereby approved, adopted, and incorporated herein, to wit, the Respondent violated Code of Laws and Ordinances of Collier County, Florida, Section 22-201(10) in the performance of her contracting business in Collier County by acting in violation of the section set out above with particularity. 2. Collier County has jurisdiction over this contractor. ORDER OF THE BOARD Based upon the foregoing Findings of Fact and Conclusions of Law, and pursuant to the authority granted in Chapter 489, Florida Statutes, and the Code of Laws and Ordinances of Collier County, Florida, by a vote of 9 in favor and 0 opposed, Page 3 of 8 422851.1 42/1812015 a unanimous vote of the Board members present, the Respondent has been found in violation as set out above. Further, it is hereby ORDERED, by a vote of 9 in favor and 0 opposed, a unanimous vote of the Board members present, that the following disciplinary sanction(s) and related order are hereby imposed upon the Respondent as holder of Contractor's License Numbers 25598: 1. The Respondent's License shall be suspended for a period of up to thirty (30) days until all amounts required to be paid pursuant to this order have been paid. 2. Respondent is ordered to pay six thousand eight hundred sixty and 57/100 dollars ($6,860.57) as restitution to the homeowner within thirty (30) days. 3. Respondent is ordered to pay a fine in the amount of two thousand dollars ($2,000.00) to be paid within thirty (30) days. 4. Respondent is ordered to pay $550.00 in administrative and investigative costs to the County within thirty (30) days. 5. If all amounts required hereunder are not paid within thirty (30) days, the Respondent's Contractor's License shall be revoked and an additional fine of three thousand dollars ($3,000.00) shall also be assessed to the Respondent. The Respondent, any other party, the chairman of the Contractors' Licensing Board, the Contractors' Licensing Board as a body, or the assistant county attorney who tried the case may request a rehearing of any decision of the Contractors' Licensing Page 4 of 8 422851.1 12/18/2015 Board. A request for rehearing shall be in writing and shall be filed with staff and a copy thereof should be delivered to all other parties within twenty (20) days from the date of mailing or other method of delivery to the Respondent(s) of the Board's written decision. A request for rehearing must be based only on the ground that the decision was contrary to the evidence or that the hearing involved an error on a ruling of law that was fundamental to the decision of the Board. The written request for rehearing must specify the precise reasons therefore. The decision of the Board that is the subject of the rehearing request will remain in effect throughout the rehearing procedure unless the Board orders otherwise. The Board will make a determination as to whether or not to rehear the matter and its decision shall be made at a public meeting, which will be reduced to writing and mailed to the interested parties within 21 days after the determination is made. If the Contractors' Licensing Board determines it will grant a rehearing, it may: a. Schedule a hearing where the parties will be given the opportunity of presenting evidence or argument limited by the Board to the specific reasons for which the rehearing was granted; or b. Modify or reverse its prior decision, without receiving further evidence, providing that the change is based on a finding that the prior decision of the Board resulted from a ruling on a question of law that the Board had been Informed by its counsel was an erroneous ruling and which ruling could affect the substantive decision. Page5of8 422851.1 1211812015 The parties are further notified that upon the timely filing of a Notice of Appeal within thirty (30) days you may have the decision of the Board reviewed pursuant to the procedure set out herein. The Respondent may appeal a decision of the Board to the Collier County Circuit Court, Such an appeal shall not be a hearing de novo but shall be limited to appellate review of the record created before the Board. Any appeal shall be filed with the Circuit Court and served on the parties within thirty (30) days of the mailing of the decision of the Board under the Code of Laws and Ordinances of Collier County, Florida, Section 22-202(g)(9). If there has been a re-hearing request granted, the appeal shall be filed with the Circuit Court and served on the parties within thirty (30) days of the mailing of the re-hearing decision under Code of Laws and Ordinances of Collier County, Florida, Section 22-205. In the event that the Respondent elects to appeal, a verbatim record and transcript of the proceedings will be necessary. It shall be the sole responsibility of said party to ensure that a record is made from which a transcript may be prepared which includes the testimony upon which an appeal may be taken. Neither Collier County nor the Board has any responsibility to provide a verbatim record transcript of the proceedings. In accordance with Section 489.131(7) (c) and (d), Florida Statutes, the disciplined contractor, the complainant, or the Department of Business and Professional Regulation may challenge the Board's recommended penalty to the State Construction Industry Licensing Board. Such challenge must be filed within sixty (60) days of the issuance of the recommended penalty to the State Construction Industry Licensing Page 6 of 8 422951.1 12/18/2015 Board in Tallahassee, Florida. If challenged, there is a presumptive finding of probable cause and the case may proceed before the State Board without the need for a probable cause hearing. Failure of the disciplined contractor, the complainant, or the Department of Business and Professional Regulation to challenge the Board's recommended penalty within the time period set forth herein will constitute a waiver of the right to a hearing before the State Construction Industry Licensing Board and be deemed as an admission of the violation such that the penalty recommended will become a final order according to the procedures developed by State Board rule without further State Board action. Pursuant to Section 120.59, Florida Statutes, the parties are hereby notified that they may thereafter appeal the Final Order of the State Board by filing one copy of a Notice of Appeal with the Clerk of the Department of Business and Professional Regulation, Northwood Centre, 1940 Monroe Street, Tallahassee, Florida 32399-0792, and by filing the filing fee and one copy of the Notice of Appeal with the appropriate District Court of Appeal within thirty (30) days of the effective date of said State Board Order. ORDERED by the Contractors' Licensing Board effective the 16th day of —D-cem` r, 2015. ' i '0-4 s 1 .1 S Patrick White, Chairman Contractors' Licensing Board Page 7 of 8 422851.1 12/18/2015 I HEREBY CERTIFY that a true and correct copy of the above and foregoing Findings of Fact, Conclusions of Law, and Order of the Board has been furnished to the Respondent; and Mr. Michael Ossorio, Licensing Compliance Supervisor, 2800 North Horseshoe Drive, Naples, FL 34103, on this/ da •_ ' -• ber, 2015. �► Sec - . ontractors' Licensing Board Page 8 of 8 422851.1 12118/2015