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CLB Agenda 01/20/2016 Co e-r County COLLIER COUNTY CONTRACTORS' LICENSING BOARD AGENDA JANUARY 20, 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. I. ROLL CALL: II. ADDITIONS OR DELETIONS: III. APPROVAL OF AGENDA: IV. APPROVAL OF MINUTES: A. December 16, 2015 V. PUBLIC COMMENTS: VI. DISCUSSION: A. Olde Naples Tile & Marble, LLC-C25598-Request for Re-Hearing of Case#2015-09 VII. REPORTS: A. Florida Statute 489.503 (14) VIII. NEW BUSINESS: A. Orders Of The Board B. Michael Belyea- Mike's Irrigation- Review of Credit C. Luis Sanchez-Al Services and More, Inc.- Review of Credit/Experience IX. OLD BUSINESS: A. Mikel G. Diehl- Florida Hardscapes & Pavers Maintenance, Inc.-6 mos. Review of Credit B. Luis Escobar- Florida IB & S, LLC- 9 mos. Review of Credit C. Brian Kirwan-Kirwan Painting Inc.- 3 mos. Review of Credit/Waiver of Exams D. Marina Reyes- Reyes Tile Service-Waiver of Exams/Review of Credit E. Garon Skender-Marco Pool Service-Review of Credit X. PUBLIC HEARINGS: XI. NEXT MEETING DATE: WEDNESDAY, FEBRUARY 17, 2016 COLLIER COUNTY GOVERNMENT CENTER ADMINISTRATIVE BUILDING THIRD FLOOR IN COMMISSIONER'S CHAMBERS 3299 E. TAMIAMI TRAIL NAPLES, FL 34112 December 16,2015 MINUTES OF THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD MEETING December 16, 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 Ellie Hunt Richard Joslin Terry Jerulle Kyle Lantz Gary McNally Robert Meister ALSO PRESENT: Michael Ossorio — Supervisor, Contractors' Licensing Office Kevin Noell, Esq. —Assistant County Attorney James F. Morey, Esq. — Attorney for the Contractors' Licensing Board Karen Clements — Collier County Licensing Compliance Officer Reggie Smith— Collier County Licensing Compliance Officer 1 December 16, 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; nine (9) voting members were present. Chairman White welcomed Ellie Hunt as the newest, and first female, member of the Contractors' Licensing Board. II. AGENDA—ADDITIONS OR DELETIONS: Changes: • Item VI (A),under"New Business," was moved to Item V, under "Public Comments." III. APPROVAL OF AGENDA: Richard Joslin moved to approve the Agenda as amended. Gary McNally offered a Second in support of the motion. Carried unanimously, 9—0. IV. APPROVAL OF MINUTES—NOVEMBER 18,2015: Correction: • Page 4— 1St Paragraph: Extraneous "t"was removed from the end of the third sentence. • Page 4—4th Paragraph (comment b Neftali Triana): The word"he"was changed to "the." • Page 11 —3rd Paragraph (motion by Chairman White): The word "nine" was changed to "ninety" in the second sentence. Richard Joslin moved to approve the November 18, 2015 minutes.as amended. Michael Boyd offered a Second in support of the motion. Carried unanimously, 9—0. V. PUBLIC COMMENTS: A. Election of Chairman and Vice-Chairman -2016 Michael Ossorio noted, historically, the Vice Chair assumes the role of Chairman for the new term. 2 December 16, 2015 Vice chairman Lykos stated he would assume the duties as Chairman unless another member wished to serve in that capacity. There was no response from the members. The Floor was opened to nominations. Chairman White nominated Thomas Lykos to serve as Chairman and Richard Joslin to serve as Vice-Chair of the Contractors'Licensing Board for the 2016 Term. Motion carried, 7— "Yes"/2— "Abstention." Mr. Lykos and Mr. Joslin abstained from voting. The Floor was closed. Chairman White thanked the Board members and Staff for the support and trust extended to him during the past two years as he served as Chairman for the Board. Vice Chairman Lykos thanked the Chairman for his service. VI. NEW BUSINESS: A. (Moved to "Public Comments" per Amended Agenda) B. Orders of the Board Vice Chairman Thomas Lykos moved to approve authorizing the Chairman to sign the Orders of the Board. Gary McNally offered a Second in support of the motion. Carried unanimously, 9—0. (Note: With reference to the cases heard under Section VI, the individuals who testified were first sworn in by the Attorney for the Board.) C. Tom Frechette— Contesting Citation #09602 Citation: #09602 ("Unlicensed Electrical Contracting") Date Issued: September 21, 2015 Fine: $1,000.00 Description of Violation: Engage in the business or act in the capacity of a Contractor, or advertise self or business organization as available to engage in the business of or act in the capacity of a Contractor, without being duly registered or certified. Tom Frechette • Requested dismissal of the Citation • Stated there were two versions of the proposal he had submitted: Job #973 — Version#1 (included in the packet) and the original version for Job #973. • He had been told there was existing wiring. When he inspected the site and spoke with the builder, he was informed some of the wiring had been damaged during demolition. 3 December 16,2015 • His position: Repairs to existing wiring were exempt; he cited Florida Statutes 489, Section 503. • An additional reason for requesting dismissal of the Citation was because his company was had become qualified and licensed to perform electrical work as a Certified General Contractor. • His intent was never to do the wiring—said he was "more of a parts and smarts guy" and his license allowed him to install parts and do programming. • His license as a Certified General Contractor allowed him to sub-out the electrical portion of a job. Chairman White stated the Board's goal was to bring Contractors into compliance. He reviewed the documentation presented to the Board and requested clarification regarding "Dennis Paul"who was listed as the license holder. A. He is the Qualifier. Q. If he is the Qualifier, how are you licensed? A. He is the Qualifier of Collier Audio Video, LLC, the company that was cited. Q. Is your argument that the entity you represent is now properly licensed to perform the work that was cited because you have a CGC as the Qualifier? A. Correct. Michael Ossorio: • Met with Mr. Frechette on September 21, 2015 and advised him that the proposal required a licensed Electrical Contractor to perform the work. • Mr. Frechette stated he understood he could not do the work and would sub it out. • Mr. Frechette was issued a Citation("Unlicensed Electrical Contracting) for putting a bid out as a "proposal." (The bid was submitted to D. Brown Construction) • Mark Simmons (Simmons Security and Sound, PLLC)pulled the Building Permit for that particular Scope of Work. • He further stated there was "an impact." Chairman White noted the Citation was issued for contracting without a license and not for performing work without obtaining a permit. Michael Ossorio clarified the work was not done. The Citation was issued on the basis of the proposal. Chairman White restated the issue before the Board, i.e., Mr. Frechette had advertised or contracted to do work without being properly licensed. Kyle Lantz directed his question to Tom Frechette: Q. What, in your mind, defines a"repair" or"replacement?" I'am an Electrical Contractor. To me, a "repair" is splicing in a piece of wire. Replacing a wire is not a"repair"—it is doing electrical work. A. In my mind, I would have to consider if work was done at one time and permitted under that and if I am following the exact same pathway and doing the exact same Scope of Work to repair—if the wire needed to be six inches or twelve feet, that 4 December 16,2015 would fall under a"repair." When I spoke to the builder, he asked if a permit was necessary and I told him I thought it fell under "repair" and a permit was not required. Ellie Hunt directed a question to Tom Frechette: Q. As a Contractor, how would you differentiate "newer" versus a"repair"work in a quote? A. If there was new construction ... new work, you would need to pull a permit to put the wires in. But if there was existing work— existing wiring that was damaged in some demo—that would be a"repair." Q. On your quote, you don't differentiate it ... you leave it up to the interpretation of yourself and your client to understand that as the current state? I'm trying to ... A. I wasn't asked to differentiate—it just specifies it on my proposal after "relocate a cable outlet and replace some speaker wires." Terry Jerulle directed a question to Tom Frechette: Q. What type of a structure or building is this? A. This was a condo unit remodel. They had removed some walls and changed some framing. The speakers and wiring were already there—they were already intact— they were just damaged during the demolition. Q. Who was the Contractor? A. D. Brown. Q. Did D. Brown pull a building permit to do the remodel work? A. I'm not sure. Q. This was a remodel and you gave a proposal? A. Correct. In my original proposal when I was told the wiring existed and everything was good—my original proposal (#973) was for just equipment which I am fully capable of doing under my old license. It wasn't until we went out to the jobsite and met D. Brown—the builder—and we looked at the job and we both decided that it was a"repair"—we both were in agreement. So I went back and I added the additional materials and costs that it would take to do that work(#973-Revision#1). A. I agree with Mr. Lantz. If I am a homeowner and my speakers aren't working due to a damaged wire, I can call you to come and fix the wire under a repair. But if I am a Contractor and I am remodeling a condominium, I would think I needed a peiiuit and the correct license to do the work. You have over 500 lineal feet of wire that you provided a bid for. Five hundred feet isn't a repair ... Chairman White stated he was not sure how the documentation provided by Mr. Frechette tied into Chapter 489 of Florida Statutes and read the following: "Any person engaging in electrical contracting must obtain a license from the Electrical Contracting Licensing Board." He noted Chapter 489, Section 503 provided limited exemptions for licensure for Electrical and Alarm System Contractors, similar to those in 489.103 for Construction Contractors. It provided a summary of the exemptions in Sections 503 and 103. 5 December 16, 2015 Chairman White referenced 489.103(3): "The installation, repair, alteration, addition, or design of electrical wiring, fixtures, appliances, thermostats, apparatus, raceways, and conduit, for the purpose of transmitting data voice communications or demands as part of a Cable TV computer telecommunication or community antenna TV or radio distribution system ..." He referenced the permit ("E-16") which described the work as "... an AV system including Cable TV, data wiring, and speaker system." He stated the Scope of Work relates to Cable TV computer telecommunication, etc. He asked if the work pertained to the installation, repair, or alteration of electrical wiring, fixtures, apparatus, and/or conduit. Mr. Frechette's response was, "Yes, sir." Chairman White concluded that, if the documentation was part of the Florida Statutes, there may be an exemption provided for Mr. Frechette's type of work as a licensed Electrical and Alarm Contractor. He stated he would like to see the specific cite in Chapter 489 and asked James F. Morey, the Board's attorney, for assistance. Mr. Frechette stated it was excerpted from The Florida Contractor's Manual. Kyle Lantz noted many things contained in The Florida Contractor's Manual that were out of date and no longer applicable. He described the book as the reference manual you buy when you want to study for the exam. Chairman White noted a copy of the license obtained by Mr. Frechette's father to qualify the business entity was included in the packet provided to the Board. He asked the members if it was enough to satisfy the requirement to abate and allow the Board to dismiss the Citation. He added the other options were to uphold the Citation or to increase the amount of the fine. It was noted Mark Simmons was present and prepared to testify concerning the proposal and the impact of pulling the building permit. Vice Chairman Lykos asked why a permit would be relevant since the Citation was issued for unlicensed advertising and contracting—whether or not a permit was required was not relevant because Mr. Frechette did not do the work. Chairman White explained one of Mr. Frechette's arguments for dismissal is the documentation which he provided which indicates a separate license was not necessary to do the work he proposed to do. Attorney Morey noted in Chapter 489, Section 503 (14), the language tracks the excerpt provided by Mr. Frechette. He stated it would be an exemption to the requirement for obtaining an Electrical Contractor's license. He confirmed it was from the 2015 Legislative version of the Florida Statutes. 6 December 16,2015 Chairman White stated there were two basis to consider dismissing the Citation. Richard Joslin requested to hear testimony from Mr. Simmons. Mark Simmons: • He is a licensed Electrical Contractor—EF Category (low voltage) • His company submitted a proposal for the same project. The proposal had nothing to do with "repair." The rooms—the volume of work was never considered to be a"repair." The stuff that was torn out was torn out on purpose because it wasn't going to be used again. The locations were different. There were significant changes to the walls and structure. Everything commissioned in these proposals —both his and mine—were for new, in-wall products as was pointed out. There were hundreds of feet of plenum wiring to be run through the walls. An licensed Electrical Contractor was required to do the work. • Having a General Contractor licensing the business now is whatever it is—it's new. • When this was going on, Collier Audio Video needed a licensed holder for that company to serve as its Qualifier. Before I submitted this complaint, I looked up the information—they had a Collier County Tax Collector's receipt to install equipment—but specifically not running wires through walls. That's what they were qualified to do at the time. Chairman White clarified the Business Tax Receipt was previously known as an "Occupational License." He stated a Business Tax Receipt is not a substitute for, nor does it satisfy the requirements for a Contracting license. • It's commonly mistaken by people who have this "license"that they can do this kind of work—they hold out an"Occupational License" so they can advertise on their business cards and stationary that they have a"license." • The general public doesn't look into what the category-what that "Occupational License" is—nobody takes the time. They just see a license number and "Oh, he's licensed," and that's—it's a huge mistake made by a lot of people—they're assuming a guy is licensed to do this particular kind of work, as my colleague on your Board knows. There are many different categories and, at that time, this company had no license to do this work. • What has happened since then? Obviously, he is trying to back-track and cover what the issues are. • If you don't want to handle this issue and discipline this fellow, I will take it to the State to see if the State will enforce it. This has to stop. • I just want to testify that the job was in no way a repair. Chairman White: Would you say that it was an installation, an addition, or design? A. Yes, it was an installation of an audio-video system. Q. Was it an alteration to the extent that it had to be .... A. Nothing remained ... nothing existing was used when we did this job. Everything was new. 7 December 16, 2015 Q. So it was an installation? A. It was a complete installation, yes. Richard Joslin questioned Mark Simmons: Q. Was that due to the tear down of the walls? A. Yes. They demo-ed enough of this condo that all the stuff needed to be put in new. There were some speakers in the previous structure but all were removed and relocated. It was all new. Wires were run through walls and at the time, his company did not have a license to do the work. I don't want any confusion about that—now that they have a GC. The guy's Dad has been a GC—he should have coached his son enough to know that he needed an electrical license to do this work—not a GC license. There's always the excuse, "Oh, we would have hired that out." Chairman White: The question before the Board is whether his argument of an exemption is one that applies or, by getting a license after-the-fact and having the company qualified, did they cure the defect—fixed the problem? If either one of is true, the Board can dismiss the Citation. We may not, but we can. Mark Simmons: I have been a licensed Contractor for 30 years. Getting a General Contractor's license is still not the license you need to do this work. It's not the license needed to do the work. You need an Electrical License. Vice Chairman Lykos: Part of the Board's responsibilities is disciplinary action when it is appropriate. One of the other responsibilities is to try to bring people into compliance when there is a violation. One of the processes that we have—the tools that we have—is when someone is issued a Citation, there are opportunities for them to either reduce the Citation or have the Citation dismissed because they have come into compliance. The Board does not always use just disciplinary action as the only tool. We try to use the other tools as well because if someone takes the steps to come into compliance, we know that they are a lot less likely to violate the Ordinance in the future. We prefer that someone comes into compliance. We know if they continue on the same path, they will not appear before the Board again. It may be frustrating as a 30-year veteran of your industry to compete against people who don't understand the laws or purposely `nibble' around the edges of what is or is not legal. But part of our responsibility is to bring people into compliance. We have tools for that and that's what Mr. Joslin was referring to and I agree—it might be good to have on the record what the abatement process is because, again, part of our responsibility is to bring people into compliance—it isn't just disciplinary action. Richard Joslin: Just because he has obtained a license, doesn't necessarily mean that we have to do that. This is just the process that the Board has set up in the past Vice Chairman Lykos: It is not a GC versus an Electrical License ... Mark Simmons: Again, it is not the correct license needed to do the work. Vice Chairman Lykos: But as a GC, he can sub-out that part of the work to somebody else and still be in compliance. 8 December 16,2015 Mark Simmons: He didn't represent that he was going to sub-out the work. Yes, I agree that you want to coach fellows into doing the right thing but that's why you are there and I'm here. But in this case, he needs to work for an Electrical Contractor for at least three years, learn about the laws and the work, and then he can submit and get his license. Terry Jerulle questioned Mark Simmons: Q. Did you bid against Collier on this project? A. Yes. Q. So D. Brown solicited more than one or two subcontractors to do this work? A. My understanding was D. Brown,the G.C., did not request a proposal from Collier Audio. My understanding is the proposal came through the owner of the property—either the owner or the decorator of the project brought Collier Audio in. If D. Brown knew Collier couldn't pull a permit, D. Brown wouldn't use Collier—but I can't speak for D. Brown. Q. Did D. Brown solicit a proposal from you? A. They solicited a proposal from us based on—we reviewed the project and then we had input from the decorator but what we got was that Collier Audio had a discussion with either the owner or the decorator and they came up with this proposal. And we countered with ours. Chairman White: If the proposal had been made with the current license in place, with the CGC as the Qualifier of the company, is it your opinion—not that they could do the work or do the work without a permit—could they write the contract and make the proposal because they could then get a subcontractor—like you—to do the work. Would it be lawful for them to make that contract and submit the proposal? Mark Simmons: My understanding was if they were licensed at the time, they would have put their license on the proposal. There is no license number on it. They did not have one at the time. What you might encourage him to do now that he's gone out and gotten a G.C. license—again, I point out—it is still not the license you need to do this work. Chairman White: We are not disputing that. I don't think anyone here is saying that. Richard Joslin: To do the work—No. But to contract out the work—Yes. Chairman White: And that's the difference. That's why we are less concerned about the permitting aspects. You have helped us to identify the issues and to bring some light onto the process. I hope it helps us and you, as well. Vice Chairman Lykos summarized: It sounds as if we have two issues: whether or not the work falls under the description in F.S. 489.503 —that's one issue. The second is whether or not the Respondent's option of having a General Contractor qualify the business give the Board reason to dismiss the violation. Concerning the first issue, if I understand Mr. Simmons testimony correctly, the Scope of Work was not a repair or an addition. It may have been a design but if it's a design of an entirely new system, then I think it does not qualify as a"repair" or even an addition to an existing system. 9 December 16,2015 Chairman White: He did say it was an installation and that's one of the categories of exemption as well. Vice Chairman Lykos: Well, everything is an "installation." But that's why we are here—to go through the grey areas and decide what the intent of this is. Tom Frechette: What I had quoted to do was not replacing all of the speakers—it was a direct repair of what was there. I don't know what he ended up doing as his Scope of Work, but that was not what I proposed—what I proposed was a repair. Mark Simmons: I would like to call out the items on the proposal because these items are new—they are not replacing things that were there. I'm sorry, but I disagree with his statement. Richard Joslin: We have a list of about $20,000 worth of material that was put into this job. And most of it, in my opinion, looks like it was new equipment. Mark Simmons: On the last page ("E-11"), Materials - $14,513; Labor- $4,350; Programming, $1,140. That's not a repair. Vice Chairman Lykos: • Bedroom#1: we have a TV, an adapter and a wall mount for the TV. I don't have an issue with that—it is equipment. • Bedroom#2: there's a TV, a wall bracket, an adapter, and now it looks like we have some wire— 50 feet of plenum wire. Chairman White commented that electrical wiring was within the Scope of the installation. • Master Bedroom: we have a TV, an adapter, a wall mount, a sound bar which is typically mounted outside of the wall—it is not behind the drywall—and we have another 50 feet of plenum wire. • Family Room: we have a TV, don't know what the second item is, a bracket, a wall mount, volume control, in-ceiling speakers (actually mounted into the ceiling). They are new, recessed speakers. We also have a remote control and 75 feet of plenum wire, another 150 feet of Cat-5, and an amp. The audio- video equipment is not an issue. We are looking at the wiring and the in-wall items such as the recessed speakers and the volume controls. • Grand Salon: A TV, a wall mount, a speaker bar, a bracket, two surround speakers ... Vice Chairman Lykos asked Tom Frechette if the speakers were surface-mount or recessed. A. They were recessed and speaker rings were already cut in. My first quote reflected what the designer told me—they wanted to keep the speakers, then they said they wanted to install new speakers which were cleaner and whiter. But the rings already existed so it was a straight-up replacement. Q. There was a volume control. Was this a replacement of an existing or was that new? A. It was a replacement of an existing. Yes, sir. 10 December 16, 2015 Q. And then there was 225 feet of speaker wire and 150 feet of Cat-5 wire ... Mark Simmons interjected: I'm sorry, he's wrong. The Grand Salon had nothing in it. The Family Room did have a few speakers. The Grand Salon had nothing. Vice Chairman Lykos: So now we have conflicting testimony, Mr. Chairman. Chairman White: We don't have a floor plan - #1. I am assuming they are different rooms. We don't know if they were reconfigured spaces and ... Mark Simmons: Yes, they were. Chairman White: .... designated by new names ... Tom Frechette: I was only on the jobsite once during my original walk-through so I'm not positive. • Lanai: we have surface-mount speakers, a volume control and 100 feet of plenum wire. Vice Chairman Lykos asked if"Equipment Location"meant a room or area where all the electrical equipment was kept. Tom Frechette: Correct. The wiring for the Family Room and the house audio speakers already was in a closet—so this was going back into that closet. Q. Did you run new wires to this equipment location or did you ... A. I didn't do ... Q. Okay. Did your proposal include running new wires to the equipment location .. A. It was to replace what was there—replace existing. All these rooms already had speakers in them. Q. I am going to use some very specific language. Would you answer my question based on my specific language? A. Yes, sir. Q. Is it your testimony that any existing equipment was in this existing location? A. That is correct. Q. And you installed new equipment in the same location? A. I proposed to. Q. Does the proposal that the Board has in its packet include running new wires to the same location or were you connecting the equipment to existing wiring? A. The proposal included running new wiring to replace the existing wiring that was damaged during the demo. Q. You have network, modem, router—all wireless. And then we have your summary at the end. Chairman White asked Mark Simmons if he had anything further for the Board. Mark Simmons: I will reiterate that this was a new installation. New wires were put in. Calling it a"repair" instead of a new installation is up to you—because it was not. There is no repair when you are running new wires. Yes, there was existing wiring and it was damaged during the demo. But at no time was there a proposal to say that it was going to be repaired. You wouldn't even waste your time thinking about trying 11 December 16,2015 • to repair damaged wires like that. It was a new installation to new locations and to new speakers. Chairman White: Did it require some degree of design? A. Yes, of course. I wonder about the Statute—he dug up something about where you don't need a license to install, repair, or design. I'll just turn my license in and won't worry about—and just keep going. Vice Chairman Lykos: It actually is in our Ordinance. We have an Ordinance and that is verbatim from the Ordinance. Mark Simmons: Well, I guess I don't need an Electrical License and I don't need to pull permits anymore. Richard Joslin: Q. Regarding the demolition—what was the extent of demolition to this condo? A. The back bedroom and the two guest bedrooms were spared that I am aware of. Walls that had speakers and speaker controls on them were re-vamped and moved and demo-ed. The "Grand Salon" is new—I think that was a dining room before. Q. Was a permit pulled for this? A. I had to pull a permit to do this work and that's my point. My point was you have to be a licensed electrical contractor to do this work and you have to pull a peimit to do it. His proposal for repairs was over $20,000. If you want to look at the repair issue—repairs are good for up to $2,500 or maybe $5,000 now. But this volume of work needs a permit and a licensed Contractor to do it. Terry Jerulle: Q. Mr. Ossorio, did you not testify in the beginning that the County looked at this work and decided that it did need a permit? A. We took this proposal to Chief Richard Long and he verified that this particular work did require a building permit and a licensed contractor. Q. So Mr. Long who know all the Codes that we have, still decided that it needed a permit and a licensed Contractor? A. Correct. Q. The bid that I see here does not have a license number on it. And I have yet to see any letterhead or documentation that they that license. Chairman White: We are talking about a set of facts where the County said he went ahead and contracted without obtaining a license. Now if he goes out the next time and does exactly the same time with the licensed Qualified that they have, and then the work is done without a permit or without a subcontractor who is properly licensed, then he is going to be back here again. That's different. Terry Jerulle: But we have the option and I know what my option is. Chairman White: But the difference is—just so we are clear-whether it has been abated or not, that is the only issue I consider to be key in determining whether this is something that can be dismissed or not. If he could have written the contract the way that it is, we have to assume that everything else would have complied with the law downstream in a hypothetical because it never happened. 12 December 16, 2015 Terry Jerulle: "Abatement" to me is a Contractor getting the proper license and proper permit which he cannot do with his current license. Chairman White: Agreed and understood. But that's not the set of facts that led to this Citation. Vice Chairman Lykos asked Attorney Morey to read the requirements to contest a Citation. Attorney Morey cited from the Ordinance: "If a person who was issued a Citation or his/her designated representative, shows the Citation was invalid or that the violation had been corrected prior to appearing before the enforcement or Licensing Board,the enforcement or Licensing Board may dismiss the Citation unless the violation is irreparable or irreversible." Kyle Lantz questioned Tom Frechette: Q. I want to ask you some questions about before your company was qualified and after you qualified your company. There will be two different scenarios. I don't know if your business practices have changed or not but I am curious. Q. In the past, before you were qualified, if you wrote a contract for a job similar to this—how did that work? The people who did the work—were they your employees or did you subcontract the work out to an electrical contractor? A. No, what I was doing was basically two proposals—I've got an electrician who I work with who provides a proposal for the wiring and I provide a proposal for the other portion. The client needed to know he would write two separate checks for the work. Q. And for this job in particular, you didn't go that route? A. I was under the impression, number one, that it was a repair because it was existing—what was there and even meeting with the builder—he agreed. Q. Your intent on this job was to have an electrician do the wiring or have your staff do the wiring? A. It was my understanding on this job that I could do the wiring. Q. Okay. In the future, now that your company has been qualified as a licensed General Contractor, if you were to sell this exact same job-would you do the wiring yourself or ...? A. Absolutely not. I'm not qualified. Q. Okay. But you thought you were qualified before and now that you're qualified you realize that ... A. The exemption for this particular work—I understood that I did not need a license and I was qualified to do the work. Q. So—I'm confused. You just told me that you were qualified to do this exact job— you felt you were qualified to do it under the exemption and you would do it yourself. A. Yes, sir. Q. Now that you're licensed, if you got the same job—now you feel you're not qualified to do it and you have to sub it out? 13 December 16,2015 A. I'm saying the new construction that's not a repair, so if I went in and provided a new quote ... Q. I'm only talking about this particular job that you bid. A. In this one, I still see no reason why I cannot do it as a repair with my own men. Chairman White: That's fine. You can choose to have that discussion with the County in the future as to whether you need a permit and get clarification on it. That's something you are certainly free to do. We are here to talk about this specific Citation only. Chairman White continued: Mr. Lantz, if Mr. Frechette qualified for the exemption under the Statutes, then the question is: Does the County's Code should parallel the Florida Statutes today. It may be that the County is more strict than the State—the State has an exemption. Is the County allowed to be more strict than the State? If it is, then you are at a point where it doesn't matter what this (the documentation) says, okay, because that's the State's law. He continued: Mr. Frechette's intent on a future job is relevant to you and you're giving weight to that in determining whether you would vote on a motion to dismiss. Tom Frechette: What is clear after this much debate is that my answer in the future would be "no"—I'll just let the electricians do it. According to what I read, I was under the impression that I could do it. Would I do it again? I think there's so much debate out there—it's not worth it. I'll have the electricians do it. Kyle Lantz: Can you tell me who you use as an electrician? A. Starlight Electric. Q. And do they charge you by the hour or give you a flat rate? A. By the hour. Q. And do you pay them directly or does the homeowner pay them? A. Now I can pay them directly because I am a G.C. Prior to this, they were writing their own separate quote. Vice Chairman Lykos: As a residential Contractor who does work similar to D. Brown, if this was my project, there is no way I would recommend to a client to repair their existing wiring. It would be to rip out the old system. The wiring is the cheap part of the job—it's the equipment. If you put brand new high-definition equipment with old wiring, you are doing a dis-service to the client and to the equipment. For me, it is a"no-brainer"—you rip everything out and start from scratch —especially with a$20,000 audio-video package. My other thought is in reference to a comment that Mr. Jerulle made, we actually "tweaked" the Ordinance approximately two years ago when we changed the Citation structure. Our intent was for anyone who was in violation to become compliant and the intent was, in my opinion, for someone who was doing electrical work to go and get a G.C. license because they would still not be qualified to do electrical work. It was not for a plumber to get a GC license so he could hire plumbers, it was for someone who was in violation of the plumbing code to go and get a plumber's license. Those are the issues that have become critical to me over the course of this discussion. Does someone with a GC license technically qualify your business? It was not the intent of how we re-wrote the Ordinance. The reason why we created the tiered penalties in 14 December 16,2015 the Citation portion of the Ordinance was to bring people into compliance for the trade that they were cited for. So if you were cited for carpentry or doing construction without a license, then you would go and get a carpentry license. Our intent was not for a guy who was doing plumbing illegally to go and get a GC license and then hire a plumber. It doesn't mean that you can't do that—but that's not what the intent of the re-written Citations section was for. Attorney Morey clarified: If someone is issued a Citation and they do not contest it, they have 45 days to make a full application for the proper licensing. If they do that, the fine would be reduced from $1,000 down to $300. The other category is if someone contests the Citation. And if the person who was issued showed that the Citation was invalid or that the violation had been corrected prior to appearing, then the Board may dismiss the Citation if the violation was not irreparable or irreversible. Chairman White: I am comfortable that we are satisfying the intent—and you being in compliance so that, in the future, if your write one of these contracts with the licensure your now have as a Contractor, that you will be able to lawfully do that. If you took the next step and the County required a permit and an Electrical Contractor to do the work and you didn't hire one, I suspect you would be back here again. Richard Joslin stated he was not in favor of dismissing the Citation. He felt that due to the amount of demolition involved, the project should have been treated as new construction and not just a repair. Chairman White: What the Respondent has said—based on what he has learned— in the future,he would get a sub and that, to me, means we have done our jobs. There is nothing inappropriate about dismissing the Citation. Richard Joslin moved to approve upholding Citation #09602 which was issued to Thomas Frechette. Terry Jerulle offered a Second in support of the motion. Michael Boyd: I have been an Electrical Contractor for 30+years and agree with Mr. Simmons. This job obviously required a permit and the work should have been done by an Electrical Contractor. As much as I agree with that he didn't do any work. He just provided a proposal. He was cited for unlicensed contracting. He went and got a G.C. license. Whether or not, in the future, he will use an Electrical Contractor—he either will or he won't. He has met the criteria we set—he got a license and abated the violation. He didn't do any work. I don't know whether it was going to be a repair or what it was going to be, but he didn't do any of the work. As much as I would like to agree with keeping the fine, to some degree it is not right. Chairman White: If we go ahead and don't dismiss the Citation after this guy has gone ahead and done all the steps we asked someone to do to be in a position of compliance, what is the next guy or gal going to do? Terry Jerulle: Mr. Boyd, how would you feel if you were bidding a project and the proposal being entertained was from an unlicensed contractor. Michael Boyd: It happens to me all the time. Terry Jerulle: We are trying to stop it or bring them into compliance. 15 December 16, 2015 Michael Boyd: We are trying to stop it—and this gentleman went and got a G.C. license. With a G.C. license he cannot go ahead and do electrical work but he didn't do anything wrong ... other than bidding the work. Chairman White: I think the question is if he had the G.C. license and did the same exact thing, would he get a Citation? I think the answer is he would not. Now if he went to the next step and did the work and did not get a pelinit and didn't hire a sub, then we would have a whole new kettle of fish. Chairman White called for a vote on the motion. Motion carried, 5— "Yes,"4— "No." Chairman White suggested to Mr. Frechette that he pay the fine as soon as possible. D. Troy McNabb —Review of Credit (d/b/a"APEX Site and Demolition Corp." Troy McNabb stated the Licensing Board office did not like my credit score. Chairman White explained the minimum credit score allowed is 660 and if his score was lower, the Licensing Board Supervisor made an evaluation:based on that score to not issue a license administratively. He asked Mr. McNabb to explain what was on his credit history and what he has done about them and what he intends to do. Troy McNabb: • Lost two houses due to the economic down-turn—he has two ex-wives • One foreclosure is over 100 points on a credit score • Has been working diligently to bring his score back up-he has only small credit card and continues to pay them every month Chairman White noted there were two civil judgments: one for $9,300 (Dan Morris) and$9,800+ (Mitchell International). A. I am attempting to dispute them—I don't believe either one of them is valid. Q. The judgments have been issued—your time to dispute and make arguments has passed. You have lost. What are you doing about the judgments? A. I will pay them eventually. Q. What have you done to pay them? A. Honestly, nothing. Q. There were paid Federal tax liens of$11,000 and a small one for just over $100. Chairman White noted there were several items that had been placed for collection and some of them you have disputed. A. Correct and some of them have been paid as well but they are not on here and I don't understand why. Q. Which ones have you paid? A. First Premiere Bank - $478 was paid about eight months ago. Everything else is closed or disputed. Q. What about Comcast Cable? 16 December 16, 2015 A. It is not my debt—it belongs to my ex-wife. Q. If your marital settlement agreement did not assign it to her, it is yours and it is on your credit report. There is a General Insurance for $212 and a medical for $1,166. Those are on there for collection along with Progressive Insurance for $271. They have not been disputed and are out for collection. What have you done about any of those? A. I haven't done anything about the ones that are not disputed. I have made payment arrangements with some that are still on here. It's a process and you can't cure your credit overnight. Some of these things have been sold by the original creditors. Kyle Lantz: Q. Can you tell us which ones have payment plans in place? A. Matco Tools is paid every week via credit card. It's an account that I have had for 15 years. My dealer who gets the payment every week wasn't applying the correct amount to the corporate account—he put more on the truck side—and, over a period of time, it became delinquent. I handled that personally with him. Q. Any other payment plans? A. I should have re-run this credit report because one has been disputed and closed and should not be on the report. Chairman White explained the codes that he considers to be "red flags"—something that hasn't been addressed, is still open and negatively affects the credit history. Richard Joslin noted there was a General Insurance item among others and asked how he was going to pay for them—if he had a plan. Mr. McNabb indicated any item with a small balance would not be on his credit report and estimated it would take 24 months. Vice Chairman Lykos noted the Board members were not there to serve as credit counselors. He stated he did not mind listening to someone who had a written plan to overcome credit challenges and could provide the Board with details. He strongly recommended to Mr. McNabb that he prepare a written plan to address his credit issues. Vice Chairman Lykos moved to deny approving the license application. Richard Joslin offered a Second in support of the motion. Troy McNabb stated: • He has lived in the area for 28 years and has raised his children here • He had two other businesses which did not require licenses through the County • His partner who has an 800 credit score is not the license holder or the applicant • He understood the Board's position that he might not pay his subs or his suppliers but he is a demolition contractor --he does not have any subs and brought his supplier with him to the Hearing 17 December 16,2015 • The Board is placing too much emphasis on his personal credit and not on his business ethics and the recommendations that are part of his application. • He further stated denying a license will put him out of business. • He stated Collier County contacted him to knock down a building but he cannot proceed because of his personal credit situation. Ellie Hunt noted the Applicant had been advised of the meeting and could have come in with a documented plan but instead gave vague responses. While the Board could appreciate the hardship situation, the County wants to see his attempt to rectify it before moving forward. She asked why he had not prepared for the meeting. Troy McNabb replied he had been told to simply write a hardship letter. He made 17 copies as requested; he bought the Workers' Comp insurance and the General Liability insurance as required. "I've jumped through all the County's hoops. I've been doing business in Collier County my entire life." He further stated he should have been advised that a credit repair plan was necessary. Chairman White suggested that before a vote was taken on the motion, Mr. McNabb consider withdrawing his application. He could return before the Board at another time after he had prepared a written plan that detailed who he had contacted and what arrangements have been made, as well as what bills had been paid. He advised the Applicant to also include documentation, i.e., copies of cancelled checks as proof of payment. He noted the next Board meeting was scheduled for January 20, 2016. Troy McNabb requested to withdraw his application. Chairman White asked the motion maker and the second to agree to withdraw the motion to allow the Board to consider Mr. McNabb's request. Richard Joslin moved to approve Mr. McNabb's request to withdraw his application for a license. Gary McNally offered a second in support of the motion. Carried unanimously, 9—0. Chairman White noted if Mr. McNabb had additional information to add to the packet, the sooner he gave it to the Licensing Board Office, the sooner it would trigger considering him for placement on the next agenda. Vice Chairman Lykos advised Mr. McNabb to become proactive concerning what he wanted to accomplish and to adjust his attitude—blaming the Board or other people for his situation was not the way the approach the Board. It was suggested that he hire a company to help him prepare his paperwork and documentation for the next hearing. (Note: A comment was made from the gallery. Chairman White advised the individual he could not address the Board since he was not an applicant or a witness but he make a statement as part of the "Public Comments"portion of the meeting at the end of the Agenda.) BREAK: 10:36 AM RECONVENED: 10:45 AM 18 December 16,2015 E. Bradford Trubet—Waiver of Exams (d/b/a"MAC Irrigation") Bradford Trubet: • He had been licensed in Collier County as of 2010 • The renewal notice was sent to the Corporate office and"fell through the cracks" due to the non-action of a disgruntled employee who had been the Qualifier for the company • He has applied to renew his license • When the company attempted to active his license, he became aware of the problem with his license • He is actively licensed in Martin County, St. Lucie County, Palm Beach County, Broward County, Hillsborough County, and Lee County • He became a Certified HDPE Installer in 2015 —he is qualified to the 12-inch diameter pipe Terry Jerulle asked Mr. Trubet why he did not want to take the exam. A. I took it 20 years ago and have kept my licenses in other jurisdictions. I was self- employed but have not been since about 1994 or 1995. I have worked for corporations. My HDPE class was a three-day class and I did well on the test. I am a Regional Manager for my company and manage the Treasure Coast Region. I direct 25 men on a daily basis. If I were required to take the test again, I would probably study and take the State exam. Michael Ossorio stated the County would have no problem if the Board decided to grant a waiver. Vice Chairman Lykos asked the Applicant if he remained active in his industry since his license expired in Collier County. A. I have been working in the industry since my license expired in Collier County. Richard Joslin clarified that if the application was approved, Mr. Trubey would become his company's Qualifier. Kyle Lantz moved to approve granting Bradford Trubey's Request for a Waiver of Examination and approving his application for a license. Chairman White offered a Second in support of the motion. Carried unanimously, 9 0. F. David W. Smith—Waiver of Exams (Journeyman Electrician) David Smith requested a waiver for the Journeyman Electrical Licensing Exam. Michael Ossorio noted Mr. Smith's request for a Waiver was the first presented to the County. Mr. Smith took the Master Exam and wished to use that to obtain a Journeyman's Card. He stated the County had no objection. 19 December 16,2015 David Smith: • Wants to make himself more employable • Due to his age, he does not want to be an Electrical Contractor • When applying for a position, having a Journeyman Card is very helpful • He exceeded the requirements to obtain a Journeyman Card Michael Ossorio confirmed that David Smith has taken the necessary exams and has the required credentials to be a Journeyman and obtain his card. Kyle Lantz noted when he took the State's exam, there was a trade/technical portion and the Business/Law portion. He stated Mr. Smith has passed the Business/Law portion and asked if he took the trade/technical portion. A. Yes, I did. I did not pass it but I didn't prep for it either. After reviewing it, I decided it was more than I wanted to get into—as far as becoming a Contractor and starting a business and having employees—I don't want that. Mr. Lantz noted the Business/Law portion did not take into consideration wire size, conduits, wire types, etc, which is what a Journeyman is. He stated the business portion doesn't necessarily apply as much as the technical portion. It is not the same test. "To hear that he had difficulty with the technical portion makes me think that he needs to take the test." He further stated he went the State route directly to his Master's and has met only four Journeymen—it is not a common thing in the area to go the Journeyman route. David Smith: Not in this part of the country. Kyle Lantz: Not in this part of the State at least—it is more prevalent on the east coast. He continued he heard that the Journeyman's Trade test is more difficult than the State's test. Chairman White asked Mr. Smith if he recalled his score and the response was, "I think it was a 68." It was noted that 70 was the minimum passing grade. David Smith pointed out that he had achieved Journeyman status—he went through a four-year apprentice program (1988 through 1992) sponsored by the Department of Labor. It was a full-time apprenticeship working in the trades on a daily basis. After completion of the program, he obtained his Journeyman's card from the Department of Labor. The type of work he wants to do is industrial work—he will not perfoini residential or commercial work. He stated he studied automation; ac/dc theory; Circuits I, Circuits II, industrial controls, etc, and none of which is on either the Journeyman's or the Electrical Contractor's test. Kyle Lantz stated his personal reservation was because the Journeyman's Card states the holder has expertise and experience in the entire trade but Mr. Smith developed an expertise in a very specific area of the trade. And there have been many changes to the Code since 1992. David Smith explained the apprenticeship program addressed facilities work as well which included building construction within the plant where he was working and he continued working through 2008. He moved to Florida in 2009 and worked for a local company for 4-1/2 years and his employment ended one year ago. 20 December 16, 2015 Kyle Lantz stated while Mr. Smith was qualified to be a Journeyman, he still wanted to see him pass the test. David Smith stated he understood the Journeyman's test to be a tier below the Master's exam. Gary McNally: Q. In the past three years, have your worked in any part of the electrical trade. A. I worked for VIOX Services, Inc. from 2010 to December, 2014 and I was their "electrical guy." I took care of the "5/3" Bank buildings in Collier, Lee and Charlotte Counties. Q. Have you done any of the educational updates—the CEUs recently? A. Not since 2008. I haven't held a license in Florida so there was no reason to do any updates. The only thing I have done in the trade since I moved to Florida has been to work. Michael Boyd stated he had the same reservations as Mr. Lantz. The Applicant had taken courses although it was 15 years ago. He further stated he did not doubt that the Applicant was knowledgeable and well qualified, especially if he was the electrician for VIOX Services, Inc. He asked the Applicant if he was able to verify his score from the Master's exam. A. I do not have anything with me and I am not sure if I have it at home. I just want to work for somebody and I was trying to enhance my employability with the experience and training that I've already got. Vice Chairman Lykos moved to deny the Applicant's request for a Waiver of Examination and his application for a Journeyman Card. Kyle Lantz offered a Second in support of the motion. Motion carried, 7— "Yes"/2— "No." Robert Meister and Chairman White were opposed. G. Michael Belyea—Review of Credit (d/b/a"Mike's Irrigation') Michael Belyea: • In 2008, I was licensed as an Irrigation Contractor in Collier County • Worked for 12 years in Lee County, Port Charlotte, Sarasota County • I installed big irrigation systems for communities • When the economy tanked, I was not liquid enough and many of the developers who owed me money just walked away. I did not have the funds to keep the Florida liens active. • I defaulted on much of the equipment that I owed money for. • I did not file for bankruptcy protection which was a bad decision on my part. • I reviewed my credit report and found where my debts were sold and have contacted my creditors by phone and by mail. I have had one response to date. • My five-year goal is to get this credit under control and pay things off. 21 December 16,2015 Chairman White stated the best the Board could do would be to place him on probation for two years. He asked the Applicant to explain who he had contacted at BB&T and American Express regarding the civil judgments. A. American Express is now NCC Business. I contacted them and submitted a payment plan to them ($200/month) and am waiting to hear back from them. I have not contacted BB&T yet. I contacted GMAC Financial which was bought out by CCB Credit Service and sent them a request for a payment plan. Golden Gate Well Drilling is a local company and Bob, the owner, is willing to allow me to pay them back with a payment program. I originally owed $13,742. The debts that I owe are a large hurdle to overcome but I am being realistic about it. I could not pay them off in two years. Chairman White stated from the Board's perspective it's the preparation, the action taken, and the effort over time that matters most. Gary McNally asked the Applicant if he was doing anything concerning the civil judgments. Chairman White noted they were for Springleaf Financial in the amount of$725 and Naser Mahoud Nakler in the amount of$5,000. A. I have not contacted them yet, but they are on my list. Yes, sir. Richard Joslin asked about the responses the Applicant has received from the creditors. A. They are happy that I actually called them. Of course, they want me to pay more money but I am the single breadwinner in my family and I have two kids so I have to be realistic with them. Three or four have been fine with my payments. But I haven't gotten everything back so I have to go by my financial plan of five years if they approve what I have sent them. They may not approve it. Q. You may fall into the same category as another gentleman who previously appeared with the amount of debt that is owed and the plan that you have. You don't have anything to show us how you are going to do this. I would ask you to do that and come back before us in another month—pup some kind of plan together so when you talk to these people you can come up with an arrangement for how much you can pay and when you can pay it. Chairman White noted the current Applicant had a more pro-active attitude, better preparation, and provided actual information in response to the questions asked concerning what actions had been taken. It is possible to consider a period of probation to see what progress he can make. Chairman White questioned the Applicant about his business credit. A. My business credit? There were a number of individuals that I purchased materials from, i.e, John Deere Landscaping, FIS Outdoors—I have a good working relationship with those guys and I am paying the money back. I pay everything via a debit card now—no credit. Kyle Lantz: Q. Are you in business now? A. Yes, sir. 22 December 16, 2015 Q. Are you licensed somewhere else? A. No, I am not. I have liability insurance and Workers' Comp insurance but I am not doing anything at this point. I was in business and received a violation because I was actually qualifying a company with my business and that was Green Spire and Associates. Those guys were paying for the license at that point and I didn't realize that they had stopped paying for it. It was absolutely may fault. Q. I like that you are taking ownership of your debts and issues. I see you have some type of report or plan in your hand, and when I examine the dates on your credit report—nothing is current. There is one debt incurred in 2013. It gives me the impression that the last few years have been better for you-you have been paying off the older debts and not digging your hole deeper. Vice Chairman Lykos stated he had an issue with the dollar amounts and the quantity of accounts. Even though they date back to 2009 and 2010, it also indicated that they have not been resolved. The debts may be old but he has had three to five years to resolve some of the small ones but they have not been resolved. If the Applicant came back in thirty days, he would have an opportunity to put together a written plan and maybe pay off some of the smaller debts. The fact that he is further along in the process the than previous Applicant does not me that he has crossed the threshold and I am willing to grant a probationary license. There is a lot of old debt, some high dollar amounts, and to have those high dollar amounts and not have them addressed already ... Chairman White noted the response of previous Applicants had been that they needed the income in order to pay the higher dollar amounts. He further stated given that there have not been any issues or concerns about his business credit, he was comfortable with considering a three-month probation to see what progress could be made. Terry Jerulle expressed concern that this Applicant should be treated in the same manner as the previous Applicant and stated he agreed that the Board should request a written plan in order to grant probation. Vice Chairman Lykos was concerned that the Board was continually lowering the thresholds—the first was the Applicant's credit score of 481when the State's threshold was 660; the next was requiring him to put a written plan together while still granting him three months to see how he might perform based on the plan he presented. Chairman White explained that Mr. Belyea would take the plan that he articulate under oath and adding to it—the "bones" were there. He stated the Board has asked other people who were less prepared to develop a written plan. Vice Chairman Lykos countered that only one of the civil judgments had been contacted—he believed the "plan"began only when the Applicant received a Citation for not having a license. Richard Joslin suggested the Applicant should withdraw his application and return in thirty days to show the Board exactly what he had been able to accomplish. There were several small debts ($90, $233, $350) which had not been addressed. Chairman White stated he was not lowering the threshold but identifying how to fairly and consistently allow individuals to gain licensure and be in compliance. The Applicant has made some contacts. How can he tell creditors he wants to work out a 23 December 16, 2015 payment plan with them unless he has the ability to earn the income necessary to make the payments. Vice Chairman Lykos noted there were other ways to operate a business—he could have someone else serve as the Qualifier which would allow him to work and earn a larger income to pay his debts. The Board is not stopping the Applicant from working or owning a company or operating a company. Vice Chairman Lykos moved to deny Michael Belyea's application to obtain an irrigation license. Chairman White offered a Second in support of the motion. Michael Belyea addressed the Board: • I understand your looking at what my past has been and what I had done recently; • You are correct—I had not done anything until I had a problem with my license • I am struggling with how to pay everyone back with a regular labor job or another job working at night • It would take me a long time to find somebody to qualify my business • I do have contracts in place which will depend upon if I am licensed in Collier County • To let you know, I will do what I say and I will stand up for the debts • I understand it is not a right to have a license in Collier County—it is a privilege • I beg the Board to allow me a probationary period—I will not let you down, When asked why it took him so long to begin, Mr. Belyea stated the amount of debt was overwhelming, he did not have the financial means to begin to pay it, and he was struggling to feed his family. Chairman White asked Mr. Belyea if he would prefer to withdraw his request and potentially return in January with a more formalized written plan and evidence of payment of some of the minor debt. Michael Belyea agreed to withdraw his application. Vice Chairman Lykos withdrew his motion. Chairman White moved to allow the Applicant to withdraw his application. Terry Jerulle offered a Second in support of the motion. Carried unanimously, 9— 0. VII. OLD BUSINESS: (None) VIII. PUBLIC HEARINGS: (Note: With reference to the cases heard under Section VIII, the individuals who testified were first sworn in by the Attorney for the Board.) 24 December 16,2015 A. Case #2015-08: Board of County Commissioners vs. Luis G. Patino, d/b/a "Oasis Pools of SW Florida" (C 35630) Chairman White stated he would briefly outline the order of the proceedings for the Administrative Complaint with a Public Hearing. The order of the proceedings: • Open the Public Hearing; • The Witnesses are sworn in and accept any evidence from the parties; • The County presents its "Opening Statement"; • The Respondent presents his/her"Opening Statement"; • The County presents its "Case in Chief'—the details; • Followed by the Respondent's defense; • The County may offer any rebuttal. • The Public Hearing process is then closed; • The Board will receive instruction from its Attorney which is similar to a "charge"to a Jury and will set out the parameters upon which the members will base their decision; • The Board will deliberate and may ask for additional information or clarification from both parties; • The Board will then decide two different issues: first, whether the Respondent is guilty of the offense as charged in the Complaint vote and a vote will be taken. If found guilty, the Board will decide if Sanctions are to be imposed. • The Board's attorney will again advise the Board concerning what Sanctions may be imposed and the factors to be weighed when considering evidence. • The Board will discuss the Sanctions and then vote. • The Chairman will orally report the decision of the Board which will subsequently be rendered in writing to become the official Order of the Board. Vice Chairman Lykos moved to open the Public Hearing. Richard Joslin offered a Second in support of the motion. Motion carried, 9—0. Reggie Smith, Licensing Compliance Officer, requested to enter the County's information packet in Case #2015-08 into evidence. Chairman White moved to approve accepting the information packet for Case #201 5-08: Board of Collier County Commissioners vs. Luis G. Patino, d/b/a "Oasis Pools of SW Florida"(C 35630) into evidence as County's Exhibit #1. Gary McNally offered a Second in support of the motion. Carried unanimously, 9— 0. Reggie Smith presented the County's "Opening Statement:" • Received a complaint on August 28, 2015 and began an investigation of Louis G. Patino, d/b/a Oasis Pools of South West Florida, Inc., • The complaint was submitted by the Florida Department of Health. 25 December 16, 2015 • Count I: "Contracting to do any work outside of the Scope of Competency as listed on his/her competency card and as defined in this Article or as restricted by the Contractors' Licensing Board." • Count II: "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." • On October 6, 2015, Mr. Patino was personally served with a Notice of Hearing for December 16, 2015 for violation of Collier County Ordinance #90-105, as amended, Sections 22-201(2) and (18). • The County will show that Luis Patino entered into a written contract for a commercial pool renovation without obtaining the required permitting. Luis Patino presented his "Opening Statement:" • He admitted he was guilty of committing a violation. Reggie Smith presented the County's "Case in Chief" • Read his two-page Case Summary into the record. • A copy of the document is included in the information packet admitted into evidence as County's Exhibit"#1." • Highlights of the Summary: o August 28th—received complaint and began investigation o August 31st—conducted a site visit and met with Tim Kragh, General Manager, Forest Glen Country Club. Obtained copies of the detailed estimate submitted by Oasis Pools, dated May 13, 2015, and of Checks #28542 and#29017, totaling $22,600 in payment for work performed. Photographed the completed pool renovation work. o Research revealed Mr. Patino did not hold the proper license to allow him to contract for or perform the work. Met with Michael Ossorio, Licensing Supervisor, who review the case information. o September 1st—met with Luis Patino to review the case and serve a Notice of Hearing o September 5, 2015 —Mr. Patino's case was rescheduled to December 16, 2015 due to scheduling conflicts o October 6th—prepared a new Notice of Hearing for the rescheduled date o October 14th—Mr. Patino signed for and accepted the new Notice of Hearing for the December 16th date. Mr. Smith called two witnesses to testify on behalf of the County: • Jamie Cook, Interim Pool Supervisor- Department of Health in Collier County • Susan Klavinger, Environmental Specialist - Department of Health in Collier County Reggie Smith asked Ms. Klavinger if she was the investigator at the property in question, Forest Glen Country Club, and her response was, "Yes." 26 December 16,2015 He asked Ms. Klavinger to provide a brief summary of her site visit. Susan Klavinger stated she is employed as a Field Inspector by the Department of Health in Collier County and inspects public commercial pools and spas. She conducted a site visit to Forest Glen Country Club pool on August 20, 2015. • She observed the pool has been recently refinished • There were concerns regarding the work that had been performed since it did not meet Code requirements for a public pool o There was a very large logo on the bottom of the pool o To install this type of logo, it was necessary to obtain either prior approval or a variance from the State Department of Health • She was informed that Oasis Pools had performed the work • Oasis Pools is not a licensed Contractor and is not allowed to perform refinishing work on commercial or public pools Reggie Smith asked Jamie Cook if she is the Departmental Supervisor and if Ms. Klavinger reports to her, and the response was "Yes." He asked her if she had filed a complaint with the Contractors' Licensing Board Office and her response was, "Yes." Jamie Cook: • When Susan returned to the office, she showed pictures of the pool and the work to my supervisor and myself • Discussions were held with the Department's Administrator, Rachel Van Blaire, and a decision was made to file a complaint to the Contractors' Licensing Board office Chairman White questioned Susan Klavinger: Q. The proposal indicated the Department of Health's Environmental Engineering Department was to have been notified in May of the commencement of work on the pool. Did that take place? A. No, it did not. Q. I assume there were no other inspections—other than your general field inspection? A. That's correct. Richard Joslin: Q. Isn't it normal now—if there is a commercial pool that is to be renovated or modified—that a permit is obtained through Collier County Building Department? A. Yes. Susan Klavinger clarified that she and Ms. Cook are employed by the State of Florida Department of Health and are assigned to Collier County. Kyle Lantz: Q. Can you explain what the problem was with the logo? 27 December 16,2015 A. (Susan) The reason behind having to obtain prior approval for something in the bottom of the pool is for safety. Is it an inappropriate color or inappropriate size to restrict vision in darkness or in dusk, i.e., preventing you from seeing a body on the bottom of a pool. If someone were in distress the large logo could impede vision of a body that may need to be rescued. The current Code prohibits anything larger than 8" by 8" in the bottom of the pool without obtaining prior approval or a variance. Q. And the Department of Health would approve the request? A. Yes, it goes through the Department of Health. There is a Variance Board. All requests are assessed and evaluated and a decision is made. There is a process. Jamie Cook: • When Susan brought the photos to the office, we contacted the State's Administrator, Bob Minson, in Tallahassee and requested his opinion as concerning whether the logo could receive a variance. His answer was, "Absolutely not." Terry Jerulle asked if Forest Glen was required to change the pool's logo and the answer was, "Yes." He noted there was an additional financial impact. Richard Joslin: Q. Is the pool still closed? A. (Susan) I stopped by there yesterday. The logo has been removed and the pool has been refinished to meet Code. There are some concerns about opening in the walls that need the proper devices that are still not in place for whatever reason. We did not receive a phone call upon completion of the new refinish. We knew the pool was being refinished again by a Contractor and we requested to be notified upon completion prior to opening. That did not occur. Our options when we inspect or re-inspect are "satisfactory," "unsatisfactory," "incomplete," or "close." It was given an"unsatisfactory" rating due to the lack of safety devices in the walls of the pool. Forest Glen was given one month to complete the installation and will be inspected again to confirm that it has been completed. Q. Was the second refinish pellniitted? A. I do not know that. A. (Jamie) The Contractor did apply to the Building Department for the second refinish. The work was done by Colonial Pools. Ellie Hunt: Q. Other than the logo, were there other issues that gave you concern regarding the work that had been done? A. (Susan) One other unusual item: there were some tiles featuring turtles, sea horses and other figures which were located on the steps as you walk up and out of the pool. It was unusual to see something like that on the steps but we received a letter from the manufacturer confirming the tiles met the required slip-resistance so the tiles were allowed to remain in place. The steps were fully compliant at the initial refinish. The big concern was the huge logo and not being notified of the process. 28 December 16, 2015 Richard Joslin asked if a full inspection has been conducted of the pool after the second refinish and if every component was up to Code. Susan Klavinger replied that everything was compliant except for the openings in the walls. Reggie Smith referenced Exhibit E-23, i.e., the estimate which was dated May 13, 2015 and also reflects the letterhead for the company, Oasis Pools of Southwest Florida, Inc. He also referenced Exhibit E-25 which was a payment made to Oasis Pools in the amount of$12,600 by Forest Glen Golf& Country Club Master Association on May 28, 2015. He stated he has not found any license for Oasis Pools or qualification of Luis Patina that would have allowed the type of work done on the Forest Glen pool. It was noted the Respondent already admitted his guilt. Kyle Lantz asked who paid to have the Forest Glen pool refinished for the second time. Luis Patina: Oasis paid for it. Luis Patina presented his defense: • He admitted he was not a Contractor who could refinish pools. • Oasis Pools was in the process of merging with Florida Pool Professionals to take over the company. He stated he did not want to assume their debts. • He decided to form two corporations—one for the finishing work and the other for cleaning. • He admitted the estimate was written on the wrong letterhead—it should have been written under the other corporation. • He accepted full responsibility for the entire situation. • He started a website for Oasis Pool Builders which was incorporated and Premiere Pool and Spa Finishes for the finishing guys. • We all had a vested interest but there was a problem with the website and we were red-flagged. • They were also required to appear before the Board in Fort Lauderdale. • Mr. Patina stated he was being pressured to purchase Florida Pool Professionals directly but was unable to obtain information concerning that company's liabilities. There were nine liens against the company as well as over $100,000 in debts. • He decided not to go forward with purchasing the company but was left with the commitment that has been made to refinish the pool at Forest Glen. • He stated he wished to rectify the situation, own up to his mistake and hoped to go forward. The County's Case in Chief was concluded. Chairman White asked Mr. Patina to explain what he was doing differently. A. Two years ago, my intention was to obtain a Contractor's license to refinish pools and building pools. There were some serious health issues in my family. I had to 29 December 16,2015 financially support my parents. He decided to avoid resurfacing and just do pool repair work and service. We made a family decision to avoid anything to do with the construction of pools or resurfacing of pools. Chairman White asked Mr. Patina if he intended to obtain a different class of license and his answer was, "Yes." Richard Joslin stated he was shocked to learn that someone with a pool cleaning license attempted to renovate a pool. He asked Mr. Patina who resurfaced the pool in the first instance. A. There was a team who worked for Classic Pools. The leader was Jose Perez. Q. Is he a licensed Contractor? A. He is the individual who was carried on Classic Pools and then when we decided on—he decided that he needed help to transfer his crew and that's when we got in line with the Ryans who committed to doing all sorts of things. At the end of the day, that fell through because of the numbers. I told Jose who contacted Colonial Pools who rectified the situation with the Forest Glen pool and now Colonial Pools pretty much owns the crew through Elite Pool and Spa Finishes. And I decided to step away from the whole thing. Terry Jerulle stated it appear that Mr. Patina was trying to do the right thing but did it the wrong way. Richard Joslin noted the proposal was prepared correctly—all the right steps were there—but he was doing it without the proper credentials and then hiring people who were not licensed or under someone's supervision who was not licensed. Kyle Lantz asked what the cost was to fix the pool, i.e., resurface it for the second time. A. Approximately another$12,000 which came from my pocket. Q. So the contract that you had originally for was $22,600 ... A. We were paid $20,000 or $22,000 and we had to collect an extra$4,000 which we forfeited. In the end, I paid $12,000 to rectify the pool situation. It was a bad situation all around. Vice Chairman Lykos: Q. Your total contract was for how much money? A. The initial total contract was $22,648. There were additional charges of approximately $4,000—the repairs were made but the money was not collected. Plus an additional $12,000 ... Q. So the original contract was for$22,648 plus a change order in the amount of $4,000 for repairs to the beam which brought the total amount to $26,648. Of that amount, how much did you collect? A. We collected the $22,648 but forfeited the remaining balance of$4,000. Q. So the original contract was fulfilled. You did not collect the additional $4,000 for the beam. A. Correct. On top of that, one of the guys hit a light post and I ended up paying for that, too. Q. Why did you not receive the $4,000 for the repairs to the beam? 30 December 16, 2015 A. I put everything on hold—no license. I didn't want to carry on more trouble by collecting more money. I just wanted to make the pool right and get away from some of those people. We did the work and we took the hit. Q. So your out-of-pocket included the $12,000 to resurface the pool for the second time and you had a $4,000 write-off. A. Yes, sir. Terry Jerulle moved to close the Public Hearing. Gary McNally offered a second in support of the motion. Carried unanimously, 9— 0. Chairman White declared the Public Hearing was closed. Chairman White noted there were two Counts in the Administrative Complaint. Vice Chairman Lykos moved to approve finding the Respondent guilty on Count I and Count II of the Administrative Complaint. Richard Joslin offered a Second in support of the motion. Carried unanimously, 9— 0. Attorney Morey referenced Section 22-203 of the Code of Ordinances and noted the Respondent is the holder of a Collier County Certificate of Competency. The Contractors' Licensing Board found that there was misconduct on the part of the Respondent. The Board may, but is not required to, impose any of the following Sanctions, either alone or in combination: 1) Revocation of a Collier County(or City) Certificate of Competency, 2) Suspension of a Collier County (or City) Certificate of Competency, 3) Denial of the issuance or renewal of a Collier County (or City) Certificate of Competency, 4) Imposition of a period of probation, not to exceed two years in length, during which time the Contractor's contracting activity shall be under the supervision of the Collier County Contractors' Licensing Board, and may be revoked for cause; 5) Restitution; 6) Imposition of a fine not to exceed $5,000, 7) Issuance of a public reprimand, 8) Requirement for re-examination or participation in a duly-accredited program of continuing education directly related to the Contractor's contracting activity, 9) Denial of the issuance of Collier County or City building peunits or requiring the issuance of such peunits with specific conditions, and 10)Recovery of reasonable investigative costs incurred by the County for the prosecution of the violation. Attorney Morey further advised the Board that, when imposing any of the possible Disciplinary Sanctions on a Contractor, the Contractors' Licensing Board may consider all the evidence presented during the Public Hearing as well as: 1) The gravity of the violation; 2) The impact of the violation on Public Health/Safety or Welfare; 3) Any actions taken by the violator to correct the violation(s); 31 December 16, 2015 4) Any previous violations committed by the violator, and 5) Any other evidence presented at the Hearing by the parties relevant to the Sanction which is appropriate for the case, given the nature of the violation(s) or the violator. Michael Ossorio noted there were previous violations: • 2013 —Unlicensed Electrical Contracting—Citation paid - $300 • 2013 —No building permit—Citation paid - $300 (two different occasions) • 2013 —Unlicensed pool contracting—$500 fine was voided • 2013 —Unlicensed residential pool contracting - $500 fine was paid • 2013 —Kirkland—Unlicensed residential pool contracting - $500 fine paid • 2013 —No building permit—Citation paid - $500 fine • 2015 —Unlicensed Internet advertising—Citation issued - $2,000 fine paid Mr. Ossorio explained the 2013 Citations were issued over a two-day period. Luis Patino: • In 2013, I decided to open up a retail store and hired a Manager to work under my license. He was hired because he had a number of accounts on Marco and I thought he could help me grow my business but he did things without my knowledge. I had to let him go because he caused the violations. Then I closed the retail store. The money that I put into the retail store was lost because it didn't pass a fire inspection—didn't have enough alley in back. Michael Ossorio noted the County incurred $1,050 in investigation costs. The Board members discussed various options regarding sanctions: • Include the County's costs - $1,050 • Fine of$5,000 per Count • Probation for two years for the current license and any future licenses There was debate about the amount of the fines. It was noted the Respondent had taken a$16,000 "hit." It was noted the Respondent did admit his guilt and had made restitution to Forest Glen. Terry Jerulle moved to impose the following Sanctions: • A two-year probation; • Fines of$2,000 per Count to be paid within ninety days; • Restitution to the County for investigation costs incurred in the amount of $1,050 to be paid within thirty days; • Passing grade on the County's test to obtain his pool servicing license within the next six months. Vice Chairman Lykos offered a Second in support of the motion. Carried unanimously, 9—0. 32 December 16,2015 BREAK: 12:40 PM RECONVENED: 1:00 PM (Note:With reference to the cases heard under Section VIII, the individuals who testified were first sworn in by the Attorney for the Board.) B. Case #2015-09: Board of County Commissioners vs. Karin R. Sacacian, d/b/a "Olde Naples Tile & Marble, LLC" (C 25598) Chairman White asked if he needed to repeat the order of proceedings which were the same as the previously concluded case. Vice Chairman Lykos moved to open the Public Hearing. Gary McNally offered a Second in support of the motion. Motion carried, 9— 0. Karen Clements, Licensing Compliance Officer, requested to enter the County's information packet in Case #2015-09 into evidence. Richard Joslin moved to approve accepting the information packet for Case #2015-09: Board of Collier County Commissioners vs. Karin R. Sacacin, d/b/a "Olde Naples Tile & Marble, Inc." (C 25598) into evidence as County's Exhibit#1. Vice Chairman Thomas Lykos offered a Second in support of the motion. Carried unanimously, 9— 0. Karen Clements presented the County's "Opening Statement:" • The County will show that in April, 2015, Tom Arico entered into a contract with Olde Naples Tile & Marble, LLC, to install tile flooring in his condo located at 4010 Ice Castle Way - #5, Naples, Florida. • The work was completed and at the time of the installation, clearly there was faulty work and failure to correct work. • Count I: Violation of Collier County Ordinance #90-105, as amended, Section 22-201(10) as follows: "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 specification 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." 33 December 16, 2015 Karen Clements presented the County's "Case in Chief:" • Read her four-page Case Summary into the record. • A copy of the document is included in the information packet admitted into evidence as County's Exhibit"#1." • Highlights of the Summary: o August 10, 2015 —received a complaint regarding faulty work and began investigation o Conducted a site visit and met with the homeowner, Tom Arico. o Excessive lippage of the corner of the time was clearly visible. o August 24, 2015 —called Mario Sacacian of Olde Naples Tile & Marble concerning the tile issue. Mr. Sacacian stated more tiles were on order and the problem would be corrected within thirty days. o The deadline was not met. The homeowner complained of injury to his feet and expressed concern for his safety. o October 2, 2015 —Mario Sacacian was still replacing tiles. o October 5, 2015 —met with Mario, Mr. Arico, Michael Ossorio and myself to inspect the work. It was not completed. Michael Ossorio gave Mr. Sacacian until October 16th to complete the job and resolve the issues for the homeowner. o October 12, 2015 —Michael Ossorio called Mario and left two messages. When asked about the status of the floor and the deadline, Mario Sacacian became upset, claimed he was finished, gathered his tools and walked off the job. He did not return. o October 13, 2015 —met with Michael Ossorio and Tom Arico. Mr. Arico was advised to obtain bids to correct and complete the job from various tile contractors. Mr. Ossorio stated Olde Naples Tile and Marble would be brought before the Contractors' Licensing Board for a hearing. o Michael Ossorio contacted Mario Sacacian to inform him that he would be brought before the Contractors' Licensing Board. He claimed the job was not his. o October 14, 2015 —a Notice of Hearing was drafted and emailed to Karin Sacacian, the Qualifier for Olde Naples Tile and Marble. I delivered the Notice of Hearing to the Sacacian home at 280 29th Street NW,Naples, FL. Mr. Sacacian was in the yard with two dogs so I taped it to the front gate where it was clearly visible. o November 13, 2015 —hand delivered a copy of the Notice of Hearing to Naples Home Design. Karin Sacacian is a representative of this company. o Bids: • 41 East Flooring: total cost - $6,725 • Floors N More Direct: total cost - $7,850.30 Tom Arico was called to testify and was questioned by Karen Clements: Q. Please state your name and address for the record. A. Tom Arico. 4010 Ice Castle Way - #5,Naples, Florida 34112 Q. On Page E-16 is a copy of a business card. You received it from whom? 34 December 16,2015 A. Mario at Old Naples Tile & Marble. Q. On Page E-17 is a copy of the contract that he gave you? A. Yes, it is. Q. It does not state a company name anywhere. A. No, it doesn't. Q. Only his name and phone number? A. Yes, the company's phone number. It lists 18 x 18 tiles but that was changed? A. That's correct. I went to Naples Home Design to pick out the tile. I spoke with Yanelis who showed me a 6 x 36 tile. I spoke with Mario who said he could install it for the same price. Mario picked up the tiles and delivered them to my condo. He knew what the material was and I had his "okay"to buy the tile. Q. Mario told you to go to Naples Home Design. A. Yes, he did. He said he does business with them and they have very good tile. Q. Did you know that his wife was an owner of the company? A. I didn't know anything about it. I was told the owners were out of Miami. Q. Karen Sacacian is also the Qualifier for Olde Naples Tile and Marble. Michael Ossorio asked Mr. Arico if the card on Page E-16 was given to him by Mario Sacacian and his response was, "Yes, it was." Mr. Ossorio referenced Pages E-18 and 19. He asked Mr. Arco why the checks pictured on those pages were made out to Mario Sacacian. Mr. Arico stated Mr. Sacacian told him to make the checks payable to him since he owned the company. He noted the check was marked "Paid in Full" for the tile installation. He further stated he bought the tile from Naples Home Design and paid for it himself. • Exhibit E-19 is a copy of a check to Mario Sacacian in the amount of$500 as a partial payment—confinied by Thomas Arico. • Exhibit E-15, the Florida Division of Corporations lists Marius Sacacian as a Managing Member of the Company—confirmed by Thomas Arico. Michael Ossorio questioned the witness: Q. Did you have an occasion to talk with Mr. Sacacian at your home concerning the faulty workmanship? Did he say anything? A. Many times. Q. What did he say about the work that was done? A. First he said it wasn't that bad—it didn't look that bad to him. I told him I couldn't move the furniture on the floor (because the tiles curled up at the edges). Q. Did he say to you he knew it was faulty work and he wanted to fix it? A. Not originally. Q. After you filed the complaint, did he .... A. Yes. I received two emails saying that he was going to fix the tiles. But he never did. Ellie Hunt noted Mr. Sacacian has been referred to as "Mario" and"Marius." She asked Michael Ossorio if the County verified that Mario and Marius were one 35 December 16,2015 in the same person and how the verification was done. Chairman White confirmed the Administrative Complaint listed him as "Mario" while the Division of Corporations listed him as "Marius." Michael Ossorio replied to the best of his knowledge, Mario and Marius were the same person. Rick Ehlers, 41 East Flooring, was called to testify and questioned as follows: Q. Please state your name for the record. A. Rick Ehlers of 41 East Flooring. Q. Do you have any licenses or qualifications? A. I am a State-certified building contractor. I have been a Contractor for about 13 years. Q. Did you inspect Mr. Arico's condo and provide him with an estimate? A. I did. Q. Please describe what you saw. A. Excessive lippage—it was very badly done (installed). They followed the floor line but didn't flatten the subfloor. I told him that approximately half of his living room tiles would need to be ripped out and replaced. The bedrooms had several tiles that were to be chipped out and replaced to minimize the lippage. The other guy estimated for underlayment but I wasn't going to put that because the condo is on the first floor. Q. Has this been done yet? A. It's not done. Q. Was the underlayment on the other ... A. I would doubt it because the condo was on the first floor—usually it's for sound-proofing. Michael Ossorio noted Mr. Ehlers' work has not been completed. Mr. Arico wanted to come before the Licensing Board first. Q. Have you worked with this particular flooring before? A. Yes, we have. Q. Can you explain what the standard is and how planks are to be installed? A. They are supposed to be laid 1/3, 1/3, 1/3. Because of the length of the tile, there's an excess of warpage. They give you a 32nd of an inch for lippage and a 32nd of an inch for warpage. He is far over one/16th with what he has now. Q. In your professional opinion—you have been doing this for 13 years —would you say this was the generally accepted standard of laying down this particular kind of tile flooring? A. Absolutely not. Q. What are the dimensions of this tile? A. 6x36 Q. Would you use a mud-set installation or a modified thin-set because of the size of the tile? A. Not necessarily but, in this case, you probably should because of the condition of the subflooring. Q. Would you install the tile using a mud-set or the leveling clips? What has your experience been? 36 December 16, 2015 A. The leveling clips are great but when they pull the clips back up they can pull the tile out of the thin-set and you will have a hollow spot unless you put a lot of thin-set down and really push the tile in it. It could be faulty also. Q. Would you do a mud-set tile for $2.25 a square foot? A. No, sir. Q. Would you do an installation with the clip system for ... A. Yes, we can do that. Q. You can do it with the clips for $2.25? A. Sure. You can get the one you can re-use. Tom Arico commented when his family visited him, his grandchildren were playing on the floor—the tile went through my granddaughter's clothes and cut her. Q. In the completed job or the completed portions of the job, what was the percentage of flooring that was bad? A. 65 to 70% of it was bad. In the bedrooms, there was a possibility of chipping out some of the tiles and trying to re-set them. It was beyond that in the living room—there was too much. Q. There was about 495 square feet that had to come up because it did not meet your standards in the living room—correct? A. Yes. Mr. Ehlers was asked how he would correct the problem with the subflooring? A. We would probably use a thin-set with perlite in it so we can build up the subfloor. In one spot, the floor falls off about a half inch. We have to level it off first. Q. What are you going to do at the baseboard? Are you going to butt up to it? A. That's what they did originally. There is nothing much that I can do because half the floor is done. Chairman White stated the absence of the Respondent—there was proper notice given—the expert testimony and the testimony—it falls within the scope of faulty workmanship. I don't think there will be an issue on finding a violation. He asked if the County incurred any costs for investigation. Michael Ossorio: $550. Richard Joslin moved to close the Public Hearing portion of the proceedings. Chairman White offered a Second in support of the motion. Carried unanimously, 9—0. Chairman White declared the Public Hearing to be closed. Richard Joslin moved to approve finding the Respondent,Karin Sacacin,guilty of Count I of the Administrative Complaint. Gary McNally offered a Second in support of the motion. Carried unanimously, 9—0. 37 December 16,2015 Chairman White asked the Board if they needed Attorney Morey to repeat his instruction concerning Sanctions. Terry Jerulle stated he was more interested in making sure that Mr. Arico was made whole rather than filling the County's coffers. Michael Ossorio noted: • It is $3.50 per square foot x 500 feet= $1750 • Plus $700 to remove the tile = $2,450 • Plus the cost for the materials Ellie Hunt noted there was a quote for $6,725.25 which should include the materials since it said "new tile and tax." (See: Exhibit E-32) Rick Ehlers confirmed his bid included labor, new tile, and tax. Vice Chairman Lykos noted the cost for labor was approximately $9.00 per square foot and there is approximately 500 square feet of tile to be removed and replaced. Mr. Ehlers stated the new tile would have to match the existing tile in the Great Room and in the bedrooms. Vice Chairman Lykos expressed his concerns: • Will the dye lots match? • If you take the appropriate steps to compensate for the bad subflooring and install the new tile, how do you know that the finished height of the new tile will match the existing tile? Rick Ehlers explained in the portions of the flooring that had been completed, the subflooring was in pretty good shape. He referenced Exhibit E-28 and said about half-way down, the subflooring began to dive down to the right. Ellie Hunt asked if the concern was that once the job was begun, the installer might realize it was a larger job and if the Board does not take the possibility into account, the consumer would not receive full restitution. Vice Chairman Lykos agreed. Gary McNally asked what could be done if the dye lot was not the same. Rick Ehlers agreed the entire flooring would need to be replaced since the tiles would not match. Ellie Hunt asked if there was any logic to doubling the bid in order to ensure that the entire flooring could be replaced if necessary. Rick Ehlers explained there were also issues in the bedrooms that he was addressing on a tile by tile basis. He agreed it would be fair to double his estimate because if the dye lots do not match, the only option would be to remove the entire flooring in the Great Room. Chairman White suggested setting a maximum figure for restitution. 38 December 16,2015 Richard Joslin asked if the dye lots could be "that far off'? Rick Ehlers stated he did not have any experience with the particular flooring originally chosen by Mr. Arico. He further stated some manufacturers maintain a pretty level dye lot. He thought the tile was probably a Chinese import. Vice Chairman Lykos stated if the Board anticipated a worst-case scenario,there will be 900 square feet of tile to replace at a cost of$9.00 per square foot for labor; 900 square feet at $5.00 per square foot for materials which would put you at $12,600. Rick Ehlers countered a worst-case scenario would also include the master bedroom which would increase the cost. It was noted the quote from NHD (Naples Home Design) was for 932 square feet of tile. Rich Ehlers agreed the 932 would be a safe number. He also stated the baseboard should be replaced. Vice Chairman Lykos noted the homeowner contracted to have the job done correctly and the Contractor knew which tile was to be installed. If he needed to alter the installation process, and if that involved changing the installation cost, the Contractor had every opportunity to have that conversation with the home owner—or not install. Tom Arico stated when he returned to NHD to purchase additional tiles, he was informed the price had increased although the salesperson wasn't sure of the exact amount. He said he called several times and left message but no one returned his call with the new price. Vice Chairman Lykos suggested factoring in a 10% increase in the price of the tile ($4,678) plus the cost of labor($8,388) = $13,066. He asked Mr. Arico if he thought that number was sufficient. Vice Chairman Lykos suggested revoking the license immediately since the Respondent was not present at the hearing. The Board discussed several options including suspending the Contractor's license until restitution is made to Mr. Arico and the County is paid for its investigative costs. Other suggestions were to suspend his permit pulling privileges for a minimum of thirty days. If the Respondent did not make timely payments, the license would be permanently revoked. Regarding setting a cap on the amount of restitution, it was suggested if the dye lots match and the work can be done satisfactorily then the original quote would be appropriate. It was suggested to include a fine with the proviso that if restitution was made within a certain period of time, the amount of the fine would be minimal but if not, the full amount would be levied against the Respondent. Michael Boyd asked if tile and marble contractors noinially pull permits. Michael Ossorio responded that they don't need permits. Michael Boyd suggested immediately revoking the Respondent's license until the terms of the Order were satisfied. 39 December 16, 2015 Michael Boyd moved to impose the following Sanctions on the Respondent: • He is to reimburse the County in the amount of$550 for investigative costs incurred. Payment to the County is to be made within thirty days. • He is to reimburse the Homeowner, Tom Arico, in the amount of$13,000 and will have sixty days to make said payment. • The Respondent's license will be suspended until such time as the terms of the Board's Order have been satisfied. • The Respondent will be fined in the amount of$2,000 but if restitution to both the homeowner and the County has been completed within thirty days, the amount of the fine will be reduced to $ • Of the payments are not made in a timely fashion, the Respondent's license will be immediately revoke and the fine will be increased to $5,000. Debate continued among the members concerning the amounts of money. Vice Chairman Lykos moved to approve imposing the following Sanctions on the Respondent,Karin R. Sacacian: • Immediate suspension the Respondent's license 025598) until restitution in the amount of$6,860.55 including sales tax is made to the Homeowner plus reimbursement to the County in the amount of$550 for investigative costs incurred. These amounts are to be paid within thirty days. • Assessment of a fine in the amount of$2,000 to be paid within thirty days. • Immediate revocation of the Respondent's license if the payments are not timely made. • If the payments are not made as ordered and the Respondent's license is revoked, an additional fine of$3,000 will be assessed. Richard Joslin offered a Second in support of the motion. Carried unanimously, 9— 0. IX. REPORTS: (None) X. NEXT MEETING DATE: Wednesday, January 20, 2016 BCC Chambers, 3rd Floor—Administrative Building"F," Government Complex, 3301 E. Tamiami Trail,Naples, FL "Happy Holidays" 40 • December 16, 2015 There being no further business for the good of the County, the meeting was adjourned by the order of the Chairman at 2:20 PM. COLLIER COUNTY CONTRACTORS' LICENSING BOARD PATRICK WHITE, Chairman The Minutes were approved by the Committee Chair/Vice Chair on , 2016, "as submitted" { 1 OR "as amended" 1 1. 41 Thomas Lykos Vice Chair of Board of County Commissioners 3299 Tamiami Trail East, Suit 303 Naples, FL 34112 (239) 252-8097 Karin Sacacian Olde Naples Tile & Marble, LLC 280 29th St. NW Naples, FL 34120 Case # 2015-09 License # 25598 Dear Mr. Lykos, I am writing to make a formal complaint against the Collier County Board of Commissioners. On December 21, 2015 I received a package from the Collier County Licensing Board that informed me that my license is suspended for 30 day and that my company, Olde Naples Tile & Marble, is required to pay Mr. Arico the amount of$ 6,860.57. I reviewed the information that the board send me and I found an unacceptable discrepancy and false claims in this case that I would like to address. In August of 2015, Mike Ossorio, the licensing inspector, contacted Olde Naples Tile & Marble to see if we are interested in reviewing one of his customers jobs that was cone by an unlicensed installer and needs some repairs done. After inspecting the job, we found that approximately 200 sq.ft. of wood looking tile needed replacement. After discussing it with the customer, my supervisor, Marius Sacacian and the customer agreed to have the repairs done by Olde Naples Tile & Marble for the total amount of$1,620.91 that included purchasing the tile,' materials .,n.4 installation.n., A#.,,.completing nil i'�/� repairs,Ml. .4 Il 111aLCl ials and installat1U11. tA1LC1 c.U111pleting all 6110 1 Glair s, VV C made several attempts to collect the amount due to the company without success. On October 12th, Mr. Ossario contacted Olde Naples Tile & "" Marble to see if we can replace a couple more tiles. We informed Mr. Ossario and Mr. Arico that Olde Naples Tile & Marble would not fix any e,, t`, more tiles until we receive payment for the materials and the repairs that were done. Please see attached invoices. Olde Naples Tile & Marble is taking legal action against Mr. Arico for unpaid bill and will file a lien against his property until we receive payment for services rendered. Also, Olde Naples Tile & Marble will file a defamation lawsuit against Mr. Arico for slander and false statements to the collier County Licensing Board against my company. We are doing business in Naples for the past 18 years and have a great reputation and good relations with our customer and Mr. Arico is damaging our reputation with his false statements against the company. it is my license and by reputation at stake and would tike to have this taken care of as soon as possible. I would like to request a meeting with the licensing board to make my case and also to find out by what means and proof that my license was suspended. Please send me all the paperwork that was submitted by Mr. Arico and Mike Ossorio so I can review their documentation. Like I mentioned before, I appreciate your• ulllc •ill r cviewwlilg lily case aim r c LJIV ill 1111) problem as JUVil as possible as I would like to continue with the business and serve the Collier County residents as we did for so many years. Please feel free to contact me at (239) 231-4054, or you can easily reach me at my work email Oldenaplestile @yahoo.com Sincerely, Karin Sacacian Managing Agent Olde Naples Tile & Marble, LLC 280 29TH St. NW Naples, FL 34420 Mr*N. Olde Naples Tile & Marble, LLC 1 ! ; 280 29th, St, NW Invoice Naples, FL 34120 i Number 2975 Tel: (239)293-7061 Date: September 16, 2015 Bill To: Ship To: 'lacm Ariac :Tcm Arice 4010 lc@ Caat_.1@ Way # 5 4010 Icia Caatla Way apies, FL 34112 847-544-8027 Naples, FL 34112 847-544-8027 . : PO Number . Terms , ' Customer# ' Service Rep. Project , . — ---- - ---- ------------ Description Quantity/Hours, Price/Rate Tax Amount Purchase materials to fix floor ' 1.00: 859.66 859.66 'Remve tile (pri:2e p@f aq ft) 203.00 , 1,00 203.00 : in.ltAll4tiri ..ile Trice :ier ec 203. 6 2.75 558.25 ft) , . ! . 1 ! E . . , . . , : ! ! ■ : . , , ! . , . . 1 , Sub-Total $1,620.91 State Tax 6.00% on 0.00 0.00 Total $1,620.91 ' ■ , ; 0 -30 days 31 -60 days 61 -90 days . > 90 days Total *Iy4110,91 Jfl_. . Naples Home Designs 13180 Livingston Rd. Nap 1601 34109 Phone 0: (23 ) 4514133 August/26/2015 *Company Name : Cid Napes Tile and Marble *Customers:Thorn Arico *Customers Phones 232 223.7061 Materials Amandcla Mir 10 bx 210 sift $099130 Grout 2 Tinset 5 Sub Tots, $111,0 Tax 0166 Total $859.66 M,t1941,11 p±,i01 by elliliNerlee. T11,1 A4115/1(11 S li 7(-14r 104 I I / i / I i 81 4fl&If( A '•,,, ,.1.4=, -4 ''4/4,;"4:7-144,44,.._, 1 k \ ,\. 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/bla 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 12/18/2016 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. Page2of8 422851.1 12/18/2015 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 12/18t2015 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 422851.112/V54015 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. Page 5 of 8 422851.1 12/1 812015 • 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 422851.1 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 1 r, 2015. ; I g. 4 v N*, . ,...,k, ,,,,,„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 ala • s • ber, 2015. Sec - . ontractors' Licensing Board Page 8 of 8 422851.1 12118/2015 (14) The sale of, installation of, repair of, alteration of, addition to, or design of electrical wiring, fixtures, appliances, thermostats, apparatus, raceways, computers, customer premises equipment, customer premises wiring, and conduit, or any part thereof, by an employee, contractor, subcontractor, or affiliate of a company operating under a certificate issued under chapter 364 or chapter 610, or under a local franchise or right-of-way agreement, if those items are for the purpose of transmitting data, voice, video, or other communications, or commands as part of a cable television, community antenna television, radio distribution, communications, or telecommunications system. An employee, subcontractor, contractor, or affiliate of a company that operates under a certificate issued under chapter 364 or chapter 610, or under a local franchise or right-of-way agreement, is not subject to any local ordinance that requires a permit for work related to low-voltage electrical work, including related technical codes, regulations, and licensure. The scope of this exemption is limited to electrical circuits and equipment governed by the applicable provisions of Articles 725 (Classes 2 and 3 circuits only), 770, 800, 810, and 820 of the National Electrical Code, current edition, or 47 C.F.R. part 68, and employees, contractors, and subcontractors of companies, and affiliates thereof, operating under a certificate issued under chapter 364 or chapter 610 or under a local franchise or right-of-way agreement. This subsection does not relieve any person from licensure as an alarm system contractor GIVE) Operations & Regulatory Management Licensing Section 2800 North Horseshoe Drive Qp2 oD97 Naples, FL 34104 APPLICATION FOR COLLIER COUNTY/CITY OF NAPLES/CITY OF MARCO FIRM 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: in1 K E S rR -G/g 0 14 Fiction Name/DBA: TY).Z 14 ES --T R.i647o•,r Qualifier Name: miC-1 U i E.L'ER Physical Address: 3-0 3(, jf 0R ID FLo,2J ,1 3,02e (Number& Street) (City) (State) (Zip Code) Mailing Address: a o 3 to NI R j)P,IVe Nips 34//.20 (Number& Street) (City) (State) (Zip Code) Telephone: ,239-77 '7" I2- E-mail: ) ELy -6, ( Q6/YI 2.,,C041 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 pecialty $205.00 Specialty Trade: J._tY left10' -fe5 g C GE OF STATU : 2.0i 3 ( Reinstatement (From One Business to Another ( )Dormant License to Active L d- 11-i..- t-5 6 Page lof4 n'Se1Le 1 "S Lait-bets 7 WeAv L t ?aS it. ✓1 Y /!r• r l 1. The names, titles, home address and phone numbers of all Officers/Managing Members of the Firm. raicApri L k �i.i F,0 0LI1pIcQ -.3 5` 777 - 44 sj . p0 3 e Puj-R. 0 uE., N L 7c FL0Q.TDPr 3411-0 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. B)Rib i m t-si-s Of S : 4 &REFS s Ptlzf ` Prs TEs ( /4F ) 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. - J° I-i'l DeSa. . ECOriOm1 AFFIDAVIT Under the penalties of perjury I declare that I have read the foregoing application and that the facts stated in it are true. /toldile--z...------ Authorized Officer of the Firm The foregoing instrument as acknowledged before me this 0 C 231 2o 1 _ n (Date) by Oil t c,k0 4 U(4,2,- of 0 t 11'S \1ir\r \ c\ (51 (Name of Officer, Title/Agent) (Name of Corporation) a c ,r af2,_ Corporation on behalf of the corporation. (State or Place of Corporation) He/She has produced 1.4-vqyvAtt Y\A.Q- identification and did not take an oath. (Type of identification) NOTARY'S SEAL C )`.4 _1% JONARCOLE (SIGNATURE OF NOTARY) _6� s NOTARY PUBLIC \....) -j,,? .. STATE OF FLORIDA Page 2 of 4 i4:,4` Cam*FF085316 • ''1 ' Expires 1122!2018 QUALIFIER INFORMATION: Name: t)1 C. /41.L 11 EL E A Address: vZO 3 R ATvE /l4PLES FL©R DI9 c?'//IC) (Number&Street) (City) (State) (Zip Code) Telephone: 23y'171- 1 12- Date of Birth: ` SS,-:: - - E-mail: BLI-VEI. (oI€641AZL., Con.) Driver's License #: � 1. Type of Certificate of Competency for which application is made. L 6-1,<J AI S Pjlyr (LE-25 2. The names and telephone numbers of two persons who will know your whereabouts. DEr4-.S 1L64 E '`1 EL 4-1%4 767 3. Have you ever been convicted of a crime related to Contacting? A/C) (If yes,attach extra sheet with explanation.) 4. Have you or any firms you have been associated with ever filed bankruptcy? /k) 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. -p , 5Qp j i ;2 Caerymi. Trit .).S u& IOEAS .�1-toNi Dust €P �ft-� R ` p. ` 1 FL-pa:LISA D 6A-%.i. / 6. List your business or work experience during the last ten years. 134-00 SLES kiesoi 7 ' l+ ie, & a- Syre-n5 A VfD jP57-1.a04. 7. Statement of any formal training you have had in the area for which the application is made. P.04- .404-3--6 £Dc1Le4' ie.4 tuAriba, Z R 3-/.14) - sAin. e► 1),imps ar c-,-T-r _Z i r-c t)L, iv n PS 6.46) VV.-043 L f Fk&Qu ic1 D 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. / ��1►�EL /?LL Applicant (please print) uf,s Z a &,1-+7. Name of Comp y Signature of Applicant State of Florida County of CL The foregoing instrument as acknowledged before me this 0 CA-0\C06-1 2-3 1-10 k S (Date) by M 1 Ckc . cam- who has produced \ (name of person acknowledging) (type of identification) as identification and did not take an oath. NOTARY'S SEAL (SIGNATURE OF NOTARY) JONA R COLE Co_ Ili_ NOTARY PUBLIC 4 of 4 STATE OF FLORIDA ,....,. . Comm#FF085316 Expires 1/22/2018 1. 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 of Competency. Signature of Applicant Business Name Date BEFORE ME this day personally appeared LQ 4il, 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 C( 11- 'Z The foregoing instrument as acknowledged before me thisCL (Date) by (Y)1 C cLa who has produced V.-1 k t VVL.Q_ (name of person ackno ledging) (type of identification) as identification and did not take an oath. NOTARY'S SEAL JONA R COLE (SIGNATURE OF NOTARY) NOTARY PUBLIC `-:'10447.1, -STATE OF FLORIDA �: Con FF085316 • w• Expires 1/22/2018 VERIFICATION OF CONSTRUCTION EXPERIENCE' GMD Operations & Regulatory Management Department Licensing Section 2800 N.Horseshoe Drive Naples,FL 34104 Applicant's Name: M7�1+) tE,L jab, ��. Certificate Category Requested: ;.t,/NI S P P:-Tn11(_4-ffth 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 i forma n:_ Name: • Title: Ott)-^1��' . } License Number(if applicable): 4' �' Name of Business: bps- L e L i4 CAtL Business Address: Business Phone: 139- 35.E _$ / k, The applicant's years of experience from / Ito The applicant's scope of work(specific duties) included: (x , eu, 'f5it—,5 Additional comments: t✓ ,f A-j 2-t P 4:i.a_ Falsifying any information provided herein may subject your license to revocation. Under the penalties of perjury I declare that I have read the fore.s'ng applic io 4 and that the facts stated M it are true. Signa M, e_p-p Lt Print Name State of Florida County of Cot s' ,r n The foregoing instrument as acknowledged before me this ObtUzr- o�8 DV 5 (Date) by l,C4 who has produced (name of person acknowledging) (type of identification) as identification and did not take an oath. NOTARY'S SEAL ,�i ti_AdAL4 ,.i:��P.,,,, (SIGNATURE OF NOTARY) .��►p � GILLIAN E.RIMER '. Notary Public-State of Florida ■ 4 iii :. My Comm.Expires Jul 6.2018 ■ ��`,�:�' Commission N FF 132605 VERIFICATION OF CONSTRUCTION EXPERIENCE GMD Operations &Regulatory Management Department Licensing Section 2800 N.Horseshoe Drive Naples,FL 34104 Applicant's Name: -1-G/—i/4 L ?-114 EA Certificate Category Requested: L 44,44 5QGZZ,4 gcAAA, - 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: ED Ai4P I . Title: 0-4-";"4��J' .. License Number(if applicable) C 31 a 5 5 Name of Business: i•14i E1 S t'a5-ii i_4 m Business Address: �+ Business Phone: 23/ a.S-G-3�Ihe applicant's years of experience from l`q7 to r OjS-" The ap licant's scope of work(specific duties) included: .f-"tS",4Li :112,V4.4 4-4:44 }ic it 64-71La.�.+ Additional comments: V t 24i S 1 C-i(F,b 47- iS( Sfkrin,46 Falsifying any information provided herein may subject your license to revocation. Under the penalties of perjury I declare that I have read the foregoin ap lication and that the facts stated in it are true. Signature- Print Name State of Florida n� ,``� County of W 1 The foregoing instrument as acknowledged before me this O A oW ao 1 (Date) by E CI k� x pie who has produced RL. 6 I (name of person acknowledging) (type of identification) as identification and did not take an oath. NOTARY'S SEAL , ( id 4 1 � (SIGNATURE OF NOTARY) O►p'°U9G4�� GILLIAN E.FISHER 4 •�•° Notary Public-State of Florida I 4 'J My Comm.Expires Jul 6,2018 ,'"%::',� �� � •,,,,,,,,,�,�.• Commission I FF 132605 VERIFICATION OF CONSTRUCTION ELPERIENCE GMD Operations&Regulatory Managem.fit Department Licensing Se4nan 2300 N.Horseshoe Drive Naples,FL 34104 Applicant's Name: , 04/4-)`L 8£LYE 4 Certificate Category Requested: LRw•-1 CpRTAK 4_6.2S The applicant is seeking a Collier County Certificate of Competency in the lade indicated above. As part of the application for this certificate,the applicant must verify their experience within this trade. Yt:u 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: .a -4 ifi6 St't.. License Number(if applicable): ') t,,!�( ,�r P Name of Business: $ ?Td()JUST fr k&ri M4411 im;,Lh' Business Address: ( S7-C. lI-O ARZV Business Phone: ?.39-.$7 7� SI The applicant's years of experience from f9 to 2. ) The applicant's scope of work(specific duties) included: s,/y^,g// 4-n/6 I7-j�4..r v77*Ted pimps ,4s+1b#�-7/1Za.ey9--770,t/ Additional comments: _. /-tO Sr' Art .s/4.D u S UP 4.0,4E4 He ,su s Falsifying any inlr:Tmation provided herein may subject ycur 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. i�n�tore Print Name State of T'lorija II� _` County of CO/II.C�JCJ The foregoing instrument as acknowledged before me this / 0 e 12/a9-49/5-- by /�/Gt/2-f� i'V it/I f a 5 who has produced ?`11 s lJ 4��4 (j (name of person acknowledging) (type of identifiaon) as identification and did not take an oath. 4A/,E1 r NOTARY'S SEAL /1 t�•: •�'� MYCAAtM1SSlOM•fF915024 ( OF NOTARY) co �, f OREn'�tember25,2019 r . Bm 7 c r_.--- AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF fl tD - COUNTY OF 62 i [TM I, (ck Q+J C`c. , having been first duly sworn, state and affirm: I am a resident of ( /(TER- County, RD RaZ4 (State) and have resided here for more than five (5) years. During the last five years I have known c M -L (LL . - (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 f CGlr�a i c ame ( Za 2-.7 Tt sp. Su) Address 7 ) 5-2.2-7 0 3 `ET-- Telephone The foregoing instrument as acknowledged before me this � o 602. c:QS (Date) at by �,��� � , Cd� who has produced }�yi-O�.c�vc._ � �'t- (name of person acknowledging) (type of identification) as identification and did not take an oath. NOTARY'S SEAL 1 JONA R COLE (SIGNATURE OF NOTARY) i NOTARY PUBLIC i^, STATE OF FLORIDA •t;`'-' Comnalt FF085316 Expires 1/22/2018 AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF nor:Q'`i- COUNTY OF C l I t ?-i'' I, GU re.rie14 rt-- , having been first duly sworn, state and affirm: I am a resident of es9 i 1 f: '- County, p,r t t o, (State) and have resided here for more than five (5) years. During the last five years I have known 1k 1 I f'r (applicant). I have had the opportunity to observe his or her busi^ess and personal dealings and find him or her to be a person of honesty, integrity and good char. er. 1 -..,a/ Nr _.admit‘lrillik --- - Name 6002 ' de-m_ 2c Li4we ,(f`/tez , c- qi, 4 Address CZ 7) 77f9-Co 76. 7 Telephone before me this U� 'c7' 15 ••o 15 The foregoing instrument as acknowledged s (Date) by 3trIfi'l L; a6. \t-lY)CL•rivho has produced L b i_-- (name of person acknowledging) (type of identification) as identification and did not take an oath. NOTARY'S SEAL U'it'Clin/14frtt-) (SIGNATURE OF NOTARY) `� . ' " °�e;.s GILLIAN E.FISHER P. •°? Notary Publk-Slate of Florida ? 5 � :_;Th %.' My Comm.Expires Jul 6.2018 Commission# FF 132605 A. RESOLUTION OF AUTHORIZATION WHEREAS !`7"KES G,4-7,4 0"/proposes to engage (Name of Business Entity) in contracting as Sc/L f1"2e1?77,7-a/t in (Type of legal entity: corp.,partnership, etc.) Collier County,Florida, according to Collier County Ordinance 2006-46,as amended: and WHEREAS MI ICES gr-e k7 N proposes to qualify (Name of Business Entity) for a Certificate of Competency with figcti4EL ISEL `1£4 (Name of Individual) NOW,THEREFORE,BE IT HEREBY RESOLVED THAT: We the undersigned •i:Cfri&'£L 1.5£L yam- of (Officers,Owners,Partners) AGES, ,4 hereby resolve and represent to the Collier County (Name of Business Entity) y}� Contractor's Licensing Board that the qualifying agent, f��N�•-NiffL BUy is active (Name of Individual) in all matters connected with the contracting business of /1.Zt€S 4.22,6/94 d (Name of Business Entity) We further resolve and represent that /k..Z//4fL St2-q -- is (Name of Individual) Legally empowered to act for JIGS ••-23:6A-77P • all matters connecte ith its (Name of Business Entity) contracting business,and has the authority to supervise construction undertaken by /1)/ &14i1 (Name of Business Entity) �,{, DULY PASSED AND ADOPTED THIS 2 7 ' DAY OF be' • , a o S (Officers,Partners,Owners-with designation underneath) _I. . .JJ.AA •el 4A tress " II,C.n FiShty / Witness .%{,Nl tI' Witness Corporate Seal(if applicable)or Notary Public Certificate Sworn to and subscribed before me this 1 )day of OGT ' , x.015 by The foregoing instrument as acknowledged before me this OC*O%xx a'1 2.01 5 (Date) by rncncC/ k�� who has produced Ft U L (name of person acknowledging) (type of identification) as identification-and did not take an oath. NOTARY'S SEAL • MAJAACIM J�•,pN'nv9`�,, GILLIAN E.FISHER (SIGNATURE OF NOTARY) -- Notary Public Slate FI of Florida My Comm. Expires Jul 6,2018 32605 GMD 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 1-19, Florida Statutes. IRS DEPARTMENT OF THE TREASURY - "INTERNAL REVENUE SERVICE CINCINNATI OH 45999-0023 Date of this notice: 0! Employer Identification 005512.332367.0014.001 1 SP 0.480 530 46-2838650 Form: SS-4 Number of this notice: Ctt_ 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 tc 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 ant 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 nc 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 pro' 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, plea 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 y( for your cooperation. $tven ty THE SE" ENITY CLUB OF SOUTHWEST FLORIDA, INC. •O' :\ 12435 Collier Boulevard, Suite 107 'A`--- * Naples, Florida 34116 '2' Y'"" . (239)455-4240 A'esF1 ra www.serenityclubswfLorg 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 8th street south east Naples Fl 34120» 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] [INFILE] [DATE] [TIME] (I) Z NP6284423 MERIT CREDIT 16 NP 6/85 11/02/15 09:14CT [SUBJECT] ISSN] [BIRTH DATE] BELYEA, MICHAEL RICHARD [CURRENT ADDRESS] [DATE RPTD] 430 SE. 8TH ST. , NAPLES FL. 34117 7/06 [FORMER ADDRESS] 1640 TOBIAS ST. , NAPLES FL. 34117 6/06 11180 IMMOKALEE RD. , NAPLES FL. 34120 [CURRENT EMPLOYER AND ADDRESS] [VERF] [RPTD] IRRIGATION MASTERS OF SW FLORI 1/08 1/08 [FORMER EMPLOYER AND ADDRESS] IRRIGATION MASTERS OF S FL INC 8/04 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 O 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=0 INQ=1 HIGH CRED CRED LIM BALANCE PAST DUE MNTHLY PAY AVAILABLE REVOLVING: $3200 $6000 $0 $0 100A 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 7'5064186 8/11R $52.0K I CI 910299CA eIVILJUDGMENT AMERICAN EXPRESS BANK C O L L E C T I O 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 09B 8562385706 10/15A $652 PLACED FOR COLLECTIO MIDLAND FUND Y 36ET009 I 12/10 $5539 CITIBANK USA N A 09B 8538073335 10/15A $7960 PLACED FOR COLLECTIO ASSET ACCEPT Y 1FJ3001 S 2/10 $8299 01 GEMB HUSQVARNA 09B 41191226 10/15A $13.3K PLACED FOR COLLECTIO CAVALRY PORT Y lYNA008 I 2/10 $3925 08 WELLS FARGO BAN 093 13875476 10/15A $6322 PLACED FOR COLLECTIO CAVALRY PORT Y lYNA008 I 11/09 $10.1K_ 08 BANK OF AMERICA 09B 13698604 10/15A ,'$1.8.0K .PLACED FOR COLLECTIO CAVALRY PORT Y lYNA008 I 11/09 $10.5K 08 BANK OF AMERICA 09B 13698636 10/15A $19.5K PLACED FOR COLLECTIO CAPITAL ACCT Y 28Z3001 C 9/13 $233 MEDICAL 09B 1276356 10/15A $233 PLACED FOR COLLECTIO ARS Y 2BQ4002 I 7/12 $872 MEDICAL 09B 70795322 5/15A $872 PLACED FOR COLLECTIO CAB COLL Y 179R003 I 10/11 $350 MEDICAL 09B 62739264 5/15A $350 PLACED FOR COLLECTIO CREDIT COLL Y 1GZD005 I 3/09 8/09F $90 06 PROGRESSIVE EXP 09P 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 $14.0K S AUTOMOBILE 12/09F $14.0K UNPAID BLNC CHRGD OFF SUNTRUST BK B 423A063 5/06 $10.2K 48M 109 21500002155609924 4/15A $3334 S AUTOMOBILE 4/09F $3334 UNPAID BLNC CHRGD OFF SUNTRUST BK B 423A063 6/06 $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 209 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 29P 15030106 2/14A $0 I AUTOMOBILE 2/14F $0 PAID COLLECTION CHASE B 617C042 4/07 $65.9K C9P 41482001 11/12A $66.0K $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 $65.0K 05 555555555555 C CONVENTIONAL REAL $395K FORECLOSURE INITIATED 48 0/ 0/47 CAPITAL ONE B 1DTV001 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 0/ 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/ 0/ 0 GMAC Q 2592669 3/05 $45.6K 60M761 111111111111 I01 24907916677 4/06A C AUTOMOBILE 12 0/ 0/ 0 GMAC Q 2592669 3/05 $28.9K 60M482 1111111111 I01 24905766897 3/06A $0 C AUTOMOBILE 3/06C $0 CLOSED 10 0/ 0/ 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 REPAY DEBT ON CREDIT REPORT 2016 1-Midland fund (CITIBANK)#844-236-1959 Contact info Kelly ext-#54554 6months $30.00 MONTHLY Original Debt $652 New debt $180 2-Asset Accept (GEMB HUSCAVARNA) #866-643-1412 ext -#67331 Contact Info Jeff Ross MONTHLY STARTING JAN 31ST first payment $15 each month after $30 Original Debt $13k ***PAY MORE AS OTHER DEBT IS PAYED OFF 3-Calvery Port (WELLS FARGO) # 800-501-0909 Contact Info Ken Frane ext-16489 $50. MONTHLY STARTING 31ST DECEMBER Original Debt $35,322.00 New Debt $35.000.00 PAY MORE AS OTHER DEBT IS PAYED OFF 4-Capital Account (MEDICAL)#866-854-5359 Contact Info Susan ext# 12243 $30 MONTHLY STARTING JANUARY 31ST Origi- nal Debt $233 New Debt $203 5-Ars (MEDICAL)#954-321-5957 Contact Info James Hayes ext#68233 $30 MONTHLY STARTING JANUARY 31ST Original Debt $872 New Debt $800 6-Cab Collect (MEDICAL)#843-764-1968 Contact Info John K ext-39900 $30 MONTHLY STARTING JANUARY 31ST Original Debt $350 New Debt $300 7-GMAC #1-800-200-2622 Offered $50 per Month and as other debt is paid down send more Original Amount 45.6k they cannot find debt *****WAITING FOR RESPONSE CIVIL JUDGMENTS 1-SPRINGLEAF FINANCIAL 866-220-9432 Contact Info Jessie Anderson ext#23167 $30 MONTHLY STARTING DECEMBER 31ST Original Debt $725 New Debt $695 Pay more as other debt is payed down 2-Naser Mahmoud Nakleh Contact info same Original amount $5000k Trying to locate '�_Drnnnh Q•m - I,;,- c t'n+ i 1 A 4 Oflfl 'D nn ..Ff...... 4 &Cr% 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 BY : TRANSUNION 800-888-4213 2 BALDWIN PLACE P.O. BOX 1000,CHESTER, PA. 19022 Consumer disclosures can be obtained online through TransUnion at: http://www.transunion.com CREDITOR CONTACT INFORMATION 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 YC1FJ3001 (800) 614-4730 POB 1630 WARREN MI. 48090 CAVALRY PORT YCIYNA008 (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 YC179R003 (843) 764-1968 P.O. BOX 62889 NORTH CHARLEST SC. 29406 CREDIT COLL YC1GZD005 (603) 570-4784 PO BOX 9134 NEEDHAM MA. 02494 GMAC QZ2592672 (800) 200-4622 P.O. BOX 380901 BLOOMINGTON MN. 55438 SUNTRUST BK BY423A063 (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 FF1BR6001 (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 FZ950Y002 (248) 353-2700 PO BOX 5070 SOUTHFIELD MI. 48086 CHASE BZ617C042 (800) 848-9136 PO BOX 24696 COLUMBUS OH. 43224 CHASE BM1127001 (800) 848-9136 P.O. BOX 24696 COLUMBUS OH. 43224 CAPITAL ONE BC1DTV001 (800) 955-7070 POB 30281 SALT LAKE CITY UT. 84130 CREDITONEBNK BC54MR013 (877) 825-3242 PO BOX 98872 LAS VEGAS NV. 89193 HSBC/MS FM235197C PO BOX 9068 BRANDON FL. 33509 SPLASH CARD BC21GJ064 (800) 231-5089 CSCL DISPUTE TEAM DES MOINES IA. 50306 GMAC QZ2592669 (800) 200-4622 P.O. BOX 380901 BLOOMINGTON MN. 55438 END OF TRANSUNION REPORT MERIT CREDIT HAS RETRIEVED THE ABOVE PERSONAL CREDIT REPORT FOR LICENSING PURPOSES AS REQUESTED BY THE BUSINESS OWNER/PROPRIETOR. PUBLIC RECORDS FOR THIS REPORT HAVE BEEN CHECKED AND VERIFIED AT THE COUNTY, STATE AND FEDERAL LEVELS. PUBLIC RECORDS HAVE ALSO BEEN VERIFIED FOR PINELLAS COUNTY. PUBLIC RECORDS LEARNED 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 • Is Subcode:664760 Ordered: 11/02/2015 09:03:59 CST ; EXEt'�ct"I" Transaction Number:C047521725 • Search Inquiry:MICHAEL BELYEA/NAPLES/FL Model Description: Intelliscore Plus V2 Business Name Business Identification Number MICHAEL BELYEA 950829389 Doing Business As: MIKES IRRIGATION Primary Address: 430 8TH ST SE NAPLES,FL 34117-9351 TOP 0 Risk Dashboard "`fi � k+Scores n ,s ss>i �o Intelliscore Plus Financial Stability Risk Company DBT Original Filings High Risk Alerts 2 8 MEDIUM MEDIUM TO DBT O RISK HIGH RISK Unavailable o _ Score range:1 -100 percentile Credit Limit Recommendation:$1,000 TOP 0 Business Facts Years on File: 4(FILE ESTABLISHED 07/2011) TOP Commercial Fraud Shield Evaluation for: MICHAEL BELYEA,430 8TH ST SE, NAPLES, FL34117-9351 ctive Business Indicator: Experian shows this business as inactive BUSINESS ADDRESS IDENTIFIED AS RESIDENTIAL •ossible OFAC Match: •` No OFAC match found c usiness Victim Statement: , •'j No victim statement on file TOP Credit Risk Score and Credit Limit Recommendation CrediElcis Current Intelliscore Plus Score: 28 Risk Class: 3 28 ' f €aIUPu1 WSK High = Low The risk class groups scores by risk into ranges of similar Risk 4 Risk performance.Range 5 is the highest risk,range 1 is the „ 0 10 25 50 75 100 lowest risk. This score predicts the likelihood of serious credit delinquencies for this business within the next 12 months.Payment history and public record along with other variables are used to predict future risk.Higher scores indicate lower risk. Premier Profile-MICHAEL BELYEA 1/3 Factors lowering the score Industry Risk Comparison s NBR OF ACTIVE COMMERCIAL ACCTS WITHIN THE LAST 12 MOS 27%of businesses indicate a higher likelihood of severe delinquency. I. NUMBER OF COMMERCIAL ACCOUNTS WITH NET 1-30 DAYS TERM s NUMBER OF RECENTLY ACTIVE COMMERCIAL ACCOUNTS s NUMBER OF COMMERCIAL ACCOUNTS INCLUDING COMMERCIAL LEASES z. Quarterl Score Trends Quarterly Score Trends 100" , 90.1.: - 80 y__ 70 The Quarterly Score Trends provide a view of the 60' likelihood of delinquency over the past 12 months for this 50 business.The trends will indicate if the score improved, 1 remained stable,fluctuated or declined over the last 12 months. 30 •'I 20 10 ' 51 .�...��.T ..z. ..�. 00 101 #t'aP:R tP � P . ' fi (4 gamve, y�S r r ; "�, : t k`„u- ,. . 3T.., ...., , � y ; (i�dt t ill SGOre }iancraltabiCty Risk " . � !1t-wi # 3 • , - ' ,, 4^ t s i ss u . v.,.&..zxs. l-:.>' da3;�_-. I.Y,Z:_ :§.=.... ,N.:mac: .; i ,..a r {S._ ax .. . _ r _) ..e -4 ,! . Current Financial Stability Risk Score: 7 Risk Class: 4 7 MEDIUM=HIGH RISK 1 High - i I-. The risk class groups scores by risk into ranges of similar P.isk .5 3 ., Risk performance.Range 5 is the highest risk,range 1 is the 0 3 10 30 65 160 lowest risk. This score predicts the likelihood of financial stability risk within the next 12 months. The score uses tradeline and collections information,public filings as well as other variables to predict future risk.Higher scores indicate lower risk. Factors lowering the score Industry Risk Comparison NUMBER OF ACTIVE COMMERCIAL ACCOUNTS 6%of businesses indicate a higher likelihood of financial stability risk. s NUMBER OF COMMERCIAL ACCOUNTS s RISK ASSOCIATED WITH THE COMPANY'S INDUSTRY SECTOR s RISK ASSOCIATED WITH THE BUSINESS TYPE fi .t ;e.�-,sue '�� 7 �'� aTA z` aW , „5.x 1 .i272'� r," r �M 5 R�"Fa- 'TW".x-„ d, .. Ijedit Lirntt.i�eiiotnmenela'rt g„ -161. ,. ,s `, „ � :% �, ' - , : a - �" 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 0 Payment and Legal Filings Summary _ eIt @gEat: a�1Ca T a a . z& . --k 4-wl fit" '' ->r, l__ .;,���:e.�.aw .�s�n:���+�s4,.3�._. .�_.,, 1..�_. ,CLs.-`,,�.�s';-i_.....,- �..,,�.‘__.._,�z._... x,_�°�r: 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 Comparson .. __.. Industry DBT Range Comparison The current DBT of this business is Not Available. DBT for this business: Not Available % of businesses 5O%. 11% 9% DBT Range 0-5 6-15 16+ TOP Uniform Commercial Code(UCC) Filings zMX,,". Ards. .�. a �. .,f,34� yF k i °` . "� f s Lfr^C fslhng=` mmarf 3 i e Era xd $ ec g r_,...s,-,z, g'i, , ''°0- z,,-4. '3e>x_e- '` _<.-- Cautionary Total Released/ Amended/ Date Range Year UCCs Filed Termination Continuous Assigned JUL-PRESENT 2015 JAN-JUN 2015 JUL-DEC 2014 ,____-^�—a- -___- JAN-JUN 2014 JUL-DEC 2013 .___. PRIOR TO JUL 2013 1 Total 0 1 0 0 0 **Cautionary UCC Filings include one or more of the following collateral: Accounts,Accounts Receivables,Contract Rights,Hereafter Acquired Property,Inventory,Leases,Notes Receivable or Proceeds. ite Defall$ .� .s:s ry'v. .�.+r'�' (,a f Fd 5 a t✓ c . UCC FILED Date:06/27/2011 Filing Number:201104849788 Jurisdiction:SEC OF STATE FL Secured Party:CRAWFORD LANDSCAPING GROUP,LLC FL NAPLES 34120 2360 CATAWBA TOP CS 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 4 ' mum TIT Merit Credit t� -:z 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 Page 1 of 1 pFLORIDA E 3`S 1{.1 iYi E LV 1 OF STATE Di4`isiON OF CoRPol AInoN Home Contact Us E-Filing Services Document Searches Forms Help Previous on List Next on List Return to List Fictitious Name Search No Filing History Submit Fictitious Name Detail Fictitious Name 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 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 Fictitious Name Search No Filing History Submit I Home I Contact us I Document Searches I E-Filing Services I Forms I Help I Copyright i;and Privacy Policies State of Florida,Department of State http://www.sunbiz.org/scripts/ficidet.exe?action=DETREG&docnum=G 13000080902&r... 11/23/2015 0 DATE(WM/MY) 'ACCORD 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 CT Brian Thompson The Thompson Agency (A/C.ONE Ext.): 239-689-8570 (uc,Nol:239-278-1074 2132 McGregor Blvd E-MAIL DD ss; Brian @thompsoninsuranceflcom Fort Myers,FL 33919 PRODUCER CUSTSMER ID ft: INSURER(S)AFFORDING COVERAGE I NAIC S INSURED INSURER A:Service First Ins agent for Cypress P&C Ins. 10953 Michael Belyea INSURER B: 430 8th St.SE INSURER C: I Naples,FL 34117 INSURER D INSURER E: ■ INSURER F: , COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. MERE ..' -.IAD-OLISUBR- POLICY EFF I POLICY EXP I LIMITS ,_._..M_....r,_.�..._._. LTR• TYPE OF INSURANCE .INSR I WVO 1 POLICY NUMBER I(MMIDD/YYWI I(MMIDDIYYYY)i A I GENERAL LIABILITY I I EACH OCCURRENCE $ 1,000,000 I COMMERCIAL GENERAL LIABILITY IGFL 1031809 01 81 3/07/2015 13/7/2016 DAMAGE PREMISES EaEoccurrence).�1$_.,-__-__ 100,000 I �1 CLAIMS-MADE I'XI OCCUR j MED EXP(My one person) I$ 5,000 i PERSONAL&ADV INJURY 1$ 1,000,000 I—I 1 I I GENERAL AGGREGATE 1$ 2,000+000 GEN'L AGGREGATE LIMIT APPLIES PER: i I PRODUCTS-COMP/OP AGG $ 2,000,000 X I POLICY n ZS' I ;LDC AUTOMOBILE LIABILITY I I I COMBINED SINGLE LIMIT I$ I(Ea accident) 1 ANY AUTO j BODILY INJURY(Per person) I$ ALL OWNED AUTOS I I BODILY INJURY(Per accident)r$ _ SCHEDULED AUTOS I I PROPERTY DAMAGE I$ .. HIRED AUTOS I I(Per accident) NON-OWNED AUTOS 1 j 1$ • $ 1 UMBRELLA LIAB I I OCCUR I I EACH OCCURRENCE $ L. 7 EXCESS LIAB I !CLAIMS-MADE I i AGGREGATE ($ � I I DEDUCTIBLE ��$ 1 I I RETENTION f WC STATU- I OTH- WORKERS COMPENSATION 1 ' - 1 ! WC LIMITS I I ER 1 1 AND EMPLOYERS'LIABILITY Y IN I I I! I ANY PROPRIETOR/PARTNER/EXECUTIVE I I I N/A 1 i E.L.EACH ACCIDENT $ 1 OFFICER/MEMBER EXCLUDED? I � I(Mandatory in NH) I I I i E.L.DISEASE-EA EMPLOYEEI$ I If yes,describe under I I I I i DESCRIPTION OF OPERATIONS below__ _ 1 E.L.DISEASE-POLICY LIMIT I$ V I I !• I j i j 1 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION Collier County Licensing SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOT' WILL B DELIVERED IN 2800 North Horseshoe Dr. ACCORDANCE WITH THE POLICY PROVISI'7 Naples,FL 34104 AUTHORIZED REPRESENTATIVE I • 0 lig 7 ©1988-2009 ACORD CORPO•ATION. All rig s reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD ,4��Rl�° CERTIFICATE OF LIABILITY INSURANCE /0/262015 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. PHON: 150 SAWGRASS DRIVE (NC NO.EXT): 877-266-6850 FAX No): 585-389-7426 ROCHESTER,NY 14620 E-MAIL Certs @paychex.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# ISSRED INSURER A: NorGUARD Insurance Company 31470 MICHAEL RICHARD BELYEA INSURER B: 430 8TH ST SE NAPLES,FL 34117 INSURER C: 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 ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS R INSR WVD (MM/DD/YYYY) (MM/DDIYYYY) GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES(Ea occurrence) $ I-(CLAIMS-MADE(-(OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE L_IMIT APPLIES PER: - PRODUCTS-COMP/OP AGG $ POLICY PROJECTI7 LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) BODILY INJURY I ALL OWNED SCHEDULED (Per person) $ AUTOS AUTOS HIRED AUTOS AUTOSWNED BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) I UMBRELLA UAB OCCUR EACH OCCURRENCE $ I EXCESS UAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION AND X WC STATU- 0Th- EMPLOYERS'LIABILITY MIWC690594 06/19/2015 06/19/2016 - TORY I IMITS FR _ E.L.EACH ACCIDENT $ 100,000.00 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 100,000.00 (Mandatory In NH) I N/A E.L.DISEASE-POLICY LIMIT $ 500,000.00 If yes,describe under OFSCRIPTION OF OPFRATIONS below, ESCRIPTION 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 Y 0 07IfUQ3F-X A16� E YO E i 1 RESTRICTIONS: ENDORSEMENTS: . CLASS:E-Any non-commercial vehicle with a GVWR less than 26,001 lbs.or any RV REPLACEMENT LICENSE REQUIRED WITHIN 10 DAYS OF ADDRESS OR NAME CHANGE. The State of Florida retains all property rights herein. (� — Ereeutive Director{ — -- i, 1 n 1 1 i5 / •∎,,i 4.14. ■ : 1,' I Julie Jones V �1 `, '� i� {p 9i FW:V,s ,_ 'i ti ;.. CNYton Boyd Wald.*6 Odd—_ l 1l qr le 1 d yk1,��1 }ii r�I Director of Motari tServ,ees ' r�� ., iF IY 3 y, { W�' N721302220079 {' I ',I. �' 5 , ,7 . Rev Dote 0941.12 www.flhsmv.gov 1 1111111 11111 1 11111111 0, a;,4o_----------------------- COLLIER COUNTY BUSINESS TAX RECEIPT oF , F•APPLICATION = ���` 1< -j w_ e.`Se �� 2800 N.Horseshoe Drive,Naples,FL 34104 .to.s- L c- .: 01 C" Make Check Payable to: Collier County Tax Collector ‘';ti.. Phone:239-252-2477 Fax: 239-643-4788 Website:www.colliertax.com °OD wEi CHECKLIST Copy of Articles of Incorporation and/or Fictitious letter Yellow Fire Compliance(list of fire district phone number from the State stating that your business name is on file. enclosed) (850-245-6052 or 6058) www.sunbiz.org Copy of Marco Zoning Certificate.(239-389-5000) Copy of State license from Department of Business and // Professional(850-487-1395)or Department of Health. Completed Zoning application with appropriate fee made payable (850-488-0595) �to: �n@rs.(239-252-5603) Copy of City Business Tax Receipt.(239-213-1800) Completed Business Tax Receipt application with appropriate fee �' made payable to:Collier County Tax Collector.(239-252-24 ) l 2l'U' Copy of Motor Vehicle Repair Registration Certificate / (,(/ from Department of Agriculture.(800-435-7352) J Other: ( y j,,z,.(4 j({,5 514 it- (� 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: I . Original Application Classification /1 / ) 41•h 6 ' k p1J 11 k-(-'1;� Transfer of License# Code Number )a-1 - 6 5--._. - 6 ) C"7 (1.-v iRenewal of License# License Amount 1) CORPORATE NAME - la) DBA NAME - lb) BUSINESS OWNER OR QUALIFIER'S NAME- 2) PHYSICAL ADDRESS - (No P.O.Box allowed) 2a) IS RESIDENCE USED AS AN OFFICE - Yes No 3) BUSINESS MAILING ADDRESS- Street City Zip 4) OWNER OR QUALIFIER'S RESIDENTIAL ADDRESS- 5) TELEPHONE-Business: Home: 6) LEGAL FORM OF BUSINESS: Sole Proprietorship Partnership Corporation LLC LLP 7) OPENING DATE OF BUSINESS OR DATE ASSUMED - 8) OFFICE WITHIN CITY LIMITS OF NAPLES - Yes_No If Yes,City License No. j 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: 1 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 P UNDER PENALTIES OF PERJURY,I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT ' -AND 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**** $9unty If? COLLIER COUNTY GOVERNMENT 2800 NORTH HORSESHOE DRIVE GROWTH MANAGEMENT DIVISION/ NAPLES, FLORIDA 34104 PLANNING AND REGULATION 239)252-2400 FAX (239) 252-6358 www.collierciov.net LAND USE AN ZONIN ERTIFICATE HO HS 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 License1 or Florida Identification Card and/or copy of valid lease agreement is required. UWOrrtCi address APPLICATION DATE ZONING CERTIFICATE# APPLICANT'S PHONE Business Tax Lic# APPLICANT'S NAME APPLICANT'S HOME ADDRESS TYPE OF BUSINESS TO BE CONDUCTED BUSINESS NAME(IF ANY) I, the undersigned, hereby affirm that I am the legal owner of the property at the above address or that I have the legal right to conduct the business described above at this address by virtue of my leasehold interest in this property, and that I have read, understood, d agree to abide by the provisions of LDC Section 5.02.00 "Home Occupations"(see back of application). APPLICANT SIGNATURE DATE CODE NO: 11 ROMZ FEE: $50.00 CHECKS PAYABLE TO: "COLLIER COUNTY TAX COLLECTOR" TO BE COMPLETED BY COUNTY STAFF ZONING: PROPERTY ID# DATE REVIEWED BY APPROVED HOLD DENIED COMMENTS/RESTRICTIONS: Must comply with Section 5.02.00 of the LDC(see back of application). Tax Collector Staff:Clerks Initials Horseshoe 0 Greentree I I Please forward a copy of issued certificate and receipt to the Collier County Zoning Services. 5-24-2011 014%4 ) 1-1 N P r c o city' (c ,� • GMD Operations & Regulatory Management Licensing Section 2800 North Horseshoe Drive Naples, FL 34104 ✓ =DO X =DO NOT DO CHECKLIST 5/APPLICATION (complete and notarized) [VVERIFICATION 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) o Copy of letter from testing facility, or St/ o 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) o Individual (License Holder) /COMPANY o Firm (If more than one year old) NAME (Sunbiz.org) o Articles & Certificate of Corporation/Incorporation �/ o Fictitious Name LN' 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). VCERTIFICATE OF WORKER'S COMPENSATION INSURANCE o Collier County Licensing Department must be listed as a Certificate Holder with the above mailing address. o NOTE: Qualifier(s)"License Holder"Are Required To Be Listed On The Policy As *INCLUDED* Or*EXCLUDED*. o 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 GISTRATION The foil ing trades must register with the State Dept. of usiness 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 /34eEDERAL TAX NUIIBER 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. VVERLFICATION OF EXPERIENCE o THREE (3)Affidavits for Verification of Construction Experience (Must be signed and notarized by 3 different people) o 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 • P ES o T b' E (3)Notarized Original tters on their company letterhead stating years of expe •-nce in that trade, types of rk done, the persons knowledge of the trade and Int,• •ty& Good Character. Lei' BUSINESS TAX RECEIPT/OCCUPATIONAL LICENSE o Collier County Business Tax Receipt(if located in Collier County) OR o Business Tax Receipt from where office or business is located. NOTE: Contact Business Tax for fee amounts at(239)252-2477. ZONING/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 kOPY 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. (877) 616-5556 creditcheckin.com Licenses,Etc. (239) 777-8321 licensesetc.com USA Credit Bureau (888)474-2270 usacreditbureau.com Credit Bureau Services, Inc. (866) 561-1400 elicensereport.com NOTE: You can use any bureau that is nationally recognized& reports a full 7 year history. Rev. 05/2014 Luis Adrian Sanchez 1460 13th ST SW Naples, FL 34117 239-289-7792 December 28th,2015 GMD Operations& Regulatory Management Licensing Section 2800 North Horseshoe Dr. Naples, FL 34104 To Whom it May Concern, This letter is to explain why there are issues with my credit score and negative marks on my personal credit report and company. For a long period my family and I went through a time of financial hardship and circumstances that led us to become delinquent in some accounts. I was the only provider after my wife had to stay home when our daughters were born.The economy at the time was not very favorable since the country was under recession and jobs and business was very slow.Although we managed to be able to hardly pay our mortgage and utilities,we struggled to pay the rest of the bills we owed. We have all the intentions to pay them and have been and are currently working on them. In fact two items that still shows under collection have already been paid recently, and it will take 20-30 days to show on the credit reports. As far as the business credit report, I wanted to explain that I became aware of an "unpaid" balance when I got a copy of my credit report on October 2015.A letter to request an investigation on this pending payment of$3500.00 appearing on my credit report has been sent to the credit bureaus.That account/amount was settled back in September of 2014, so again, I have requested that this mark will be erased from my business credit reports. I know that paying these accounts was and is my responsibility and I am not attempting to justify this breach of my user agreements. I am, however hoping you might understand the circumstances under which these non-payments occurred and consider in giving me an opportunity for me to obtain this contractor license. our kind consideration in this matter is greatly appreciated. Be- egards, Luis • Sanchez GMD Operations & Regulatory Management Licensing Section 2800 North Horseshoe Drive (j °„0 r�S — j l (p k Naples,FL 34104 /: j P�gp ` APPLICATION FOR COLLIER COUNTY/CITY OF NAPLES/CITY OF MARCO FIRM 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: 41 ,Se r U 1 C es 6C !'Y)O 1'c° Fiction Name/DBA: Qualifier Name: L.U t S /Id Y!Gr I? &:710 CI 2_ Physical Address: /4't (� /3 5T SJ JJ /UCH pie. �L 3e-ti/ (Number&Street) (City) (State) (Zip Code) Mailing Address: I Dd 6,>, i r � C(2s /Uop1e P.- 34// 04' (Number&Street) (City) (State) p (Zip Code) Telephone: 239-22 1— '� 9-98 E-mail: Iv rO (xi SeruteeSQrJolorb• eOk 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: Giiirlafa...I CHANGE OF STATUS: ( )Reinstatement ( ) From One Business to Another ( ) Dormant License to Active Page 1 of 4 , 1. The names,titles,home address and phone numbers of all Officers/Managing Members of the/Firm. POT 2V1,c 4/rlaJA ,eaochee �'�/(!/V ,3" Sr cu) /Jp/ i; ri -3zii/ ? v .e O d yo a. (7o,rc i a )V420 /31-1-' Sr SU) A)y�/ei, FG 3 511/.9 oF,4ee( LUIS A-i f(A.& Per tandeg- / 1b1) / '`' ST ,Std 10aia 4 le- 3d///-3 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. 1 ) cuitae)f 6e/7e/A-, g),177-ac,7;,,..i f1 d 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. TILL Se 6; are as_g 1 ei-c Se J 0 vi ,, , . Fe ale __ne.e_ a e_reJi 1 rerJ l,. -Me cA&v e d v e 7 �via. eL ,bard n , iJ r i n f e C 2S S/O 1,7 , Q� d c o/✓e>77( u> rJd'r�J Yt a"` ,At j'1/ Q i,i c 076.tAi l AFFIDAVIT / / r� //afeag-d--. Under the penalties of perjury I declare that I ha ; r .d the foregoing application and that the facts stated in it are true. ill b,t..,\+ 1,`' r ized Officer of the Firm The foregoing instrument as acknowledged before me this /0"! T`( d (Date) by 1I 1 AI// of nAL 64417110e-. 74\ (Nam o Officer,T ale/Agent) (Name of Corporation) �_1„ \ a ��(�L�V Corporation on behalf of the corporation. (State or Place of Corporation) He/She has produced identification and did not take an oath. ( ype of identificatio NOTARY'S SEAL 4q , i / � �/ (SIG∎t•TUR OF NOTARY) MARAY TRUJILLO �' - Notary Public,State of Florida Page 2 of 4 Commission#FF118683 "�'' My comm. expires May 1, 2018 QUALIFIER INFORMATION: Name: ( S T ,drlQ vi &J1 C I Address: / I&O /3 STCW !k (0, �� 3q// ? (Number&Street) (City) P (State) (Zip Code) Telephone: 2 30,- 2 gq- 7 9172 Date of Birth: SS#: E-mail: in FOZaY SC )c e S' vrr Ore.�c7, Driver's License#: - 1. Type of Certificate of Competency for which application is made. e er4_( v.7i� or 2. The names and telephone numbers of two persons who will know your whereabouts. Darryla Garcia 23' - 4169- (e6s"/' 3. Have you ever been convicted of a crime related to Contracting? )7,0 (If yes,attach extra sheet with explanation.) 4. Have you or any firms you have been associated with ever filed bankruptcy? 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. e a ie. e /7_,Cu e 47- 71-61- '70 eiti 0 y 6. List your business or work experience during the last ten years. Service-4 cloccwoic .. .ic . 7. Statement of any formal training you have had in the area for which the application is made. ca-efrdd //-) '11,c o TiCt cr;.t (3-9A-4 0,"ki l - is aOvtstru /c'ertice 7c/ 3 of 4 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 - fective Workmen's Compensation Insurance it will result in the possible revocation of my s ificate f competency. Signat It Applicant Si3,11(cf. AND M , f N C, Business Name t OCT VA 15 Date BEFORE ME this day personally appeared JLL&S 1/L;J'Ce3 4/'12L/cLTho 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 r �p County of eK-- The foregoing instrument as acknowledged before me this /O`N--15. (Date) bye CYCJ'�' 6Y; kip who has produced # (name of person cknowledging) (type of identification) as identification and did not take an oath. NO ARY'S ' MARRY TRWILLO /,if 437- Notary Public,State of Florida Commlaslont FF118683 (S fr ATURE OF NOTARY) My oomm, "ON kW1.YA18 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. 1.kAt ADRIA-NI /1V1\01 Applicant(please print) y �C 5 MO i4 1 1 f\∎--- N�\ of Co A �1 � mpany Signal%f Applicant State of Florida /'+� County of e I! The foregoing instrument as acknowledged before me this (Date) as identification and did not take an oath. NOTARY'S SEAL /,4 (SIGN,:!URE OF NOTARY) MARRY TRUJILLO Notary Public,State of Florida Commisslon8 FF118883 4 of 4 My oomm. expira May 1, 2018 GITS, LLC Examination Operations Division Providing the services and products to assist Government Agencies to make informed educated decisions. Official Examination Score Report September 24, 2015 Official Score Report: Candidate Information: Name—Luis A. Sanchez Giraldo Candidate#: 217214515 Testing Site: Boca Raton,FL Final Score Result: General Unlimited Contractor Score: 84% These results represent the grade that has been achieved on the General Unlimited Contractor Examination(s) administered by Gainesville Independent Testing Service for Collier County, • Florida on September 24,2015. If you have any further questions,please do not hesitate to contact us. Sincerely, . dent PO Box 831127 Ocala,Florida 34483-1127 Voice(352)369-GITS —Fax(352)387-2443 800 997 2129 GITS, LLC Examination Operations Division Providing the services and products to assist Government Agencies to make informed educated decisions. Official Examination Score Report September 30, 2015 Official Score Report: Candidate Information: Name—Luis A. Sanchez Gitaldo Candidate#: 21721451S Testing Site: Boca Raton, FL Final Score Result: Business Procedures Score: 76% These results represent the grade that has been achieved on the Business Procedures Examination(s) administered by Gainesville Independent. Testing Service for Collier County, Florida on September 29,2015. If you have any further questions,please do not hesitate to contact us. Sincerely, .., catifgargi - ident PQ Sox 831127 Ocala,Florida 34483-1127—Voice(352)369-GITS –Fax(352)387-2443 800 997 2129 Prepared By: Merit Credit (239) 277-3202 (800) 371-3348 TRANSUNION CREDIT REPORT [FOR] [SUB NAME] [MKT SUB] [INFILE] [DATE] [TIME] (I) Z NP6284423 MERIT CREDIT 16 NP 3/03 10/09/15 13:16CT [SUBJECT] [SSN] [BIRTH DATE] SANCHEZ, LUIS ADRIAN [CURRENT ADDRESS] [DATE RPTD] 1460 SW. 13TH ST. , NAPLES FL. 34117 10/09 [FORMER ADDRESS] 111965 PO BOX 111965, NAPLES FL. 34108 7/08 9152 FRANK RD. , FORT MYERS FL. 33967 [CURRENT EMPLOYER AND ADDRESS] [VERF] [RPTD] Al SERVICE 5/15 5/15 [FORMER EMPLOYER AND ADDRESS] RITZ CARLTON 12/06 M O D E L P R O F I L E * * * ALERT * * * ***FICO CLASSIC 04 ALERT: SCORE +610 . 038, 010, 020, 018 *** IN ADDITION ***TO THE FACTORS LISTED ABOVE, THE NUMBER OF INQUIRIES ON THE CONSUMER'S ***CREDIT FILE HAS ADVERSELY AFFECTED THE CREDIT SCORE. C R E D I T SUMMARY * * * T O T A L F I L E H I S T O R Y PR=0 COL=5 NEG=6 HSTNEG=3-13 TRD=15 RVL=8 INST=5 MTG=1 OPN=1 INQ=2 HIGH CRED CRED LIM BALANCE PAST DUE MNTHLY PAY AVAILABLE REVOLVING: $3556 $3800 $1956 $0 $125 49% CLOSED W/BAL: $2111 $2111 $530 TOTALS: $3556 $3800 $4067 $2111 $655 C O L L E C T I O N S SUBNAME SUBCODE ECOA OPENED CLOSED $PLACED CREDITOR MOP ACCOUNT# VERIFIED BALANCE REMARKS MIDLAND FUND Y 36ET009 I 6/11 $2961 CHASE BANK USA N A O9B 8540628640 9/15A $3766 PLACED FOR COLLECTIO MIDLAND FUND Y 36ET009 I 11/10 $275 GE MONEY BANK O9B 8537339039 9/15A $478 PLACED FOR COLLECTIO MIDLAND FUND Y 36ET009 I 5/12 $4481 GE MONEY BANK O9B 8550641382 9/15A $6377 PLACED FOR COLLECTIO MIDLAND FUND Y 36ET009 I 2/10 $787 CITIBANK O9B 8533681996 9/15A $1142 PLACED FOR COLLECTIO ERC Y 26MT002 I 4/15 $579 11 SPRINT O9B 123253256 5/15A $579 PLACED FOR COLLECTIO T R A D E S SUBNAME SUBCODE OPENED HIGHCRED TERMS MAXDELQ PAYPAT 1-12 MOP ACCOUNT# VERFIED CREDLIM PASTDUE AMT-MOP PAYPAT 13-24 ECOA COLLATRL/LOANTYPE CLSD/PD BALANCE REMARKS MO 30/60/90 SANTANDER F 1R18003 12/06 $30.9K 75M530 I09 30000106129611000 9/15A $2111 I AUTOMOBILE 11/09F $2111 UNPAID BLNC CHRGD OFF CHASE B 26QK004 8/04 $2960 R09 514922886004 7/11A $2200 $0 I CREDIT CARD 12/09F $0 PURCH BY OTHER LENDER SYNCB/SAMS D 2350465 8/04 $115 R09 771410026701 12/10A $100 $0 I CHARGE ACCOUNT 9/09F $0 PURCH BY OTHER LENDER CITIFINANCIA F 7212001 12/06 $3363 R09 607209144611 5/10A $2800 $0 I CHARGE ACCOUNT 8/09F $0 PURCH BY OTHER LENDER SUNCOAST CU Q 298Q001 3/05 $0 O9P 42287 1/15A $0 I DEPOSIT ACCT OVRD 6/09F $0 PAID/WAS A CHARGE OFF ALLY FINCL F 259237L 12/06 $20.3K 72M379 11/12 211211221212 I03 29910924130 11/12A $0 $758 03 111111111111 I AUTOMOBILE 11/12C $0 CLOSED 48 9/ 0/ 0 SYNCB/FLEXPL F 9992749 7/05 $0 111111111111 RO1 602052180007 9/15A $100 $0 111111111111 I CHARGE ACCOUNT 7/06C $0 ACCT CLSD BY CONSUMER 48 0/ 0/ 0 SYNCB/WLMRTD B 235060N 2/15 $2330 MIN94 111111 RO1 523914110538 9/15A $2300 $0 A CREDIT CARD $1853 6 0/ 0/ 0 KOHLS/CAPONE D 12EN005 12/13 $324 MIN31 111111111111 RO1 639305073916 9/15A $700 $0 11111111 A CHARGE ACCOUNT $103 20 0/ 0/ 0 BK OF AMER B 1597029 8/08 $358 7/10 321111111111 RO1 5638 8/10A $300 $0 $96 03 11111111111 I SECURED CREDIT CA 7/10C $0 CLOSD BY CRDT GRANTOR 24 1/ 1/ 0 SOVEREIGN BK B 468S036 12/06 $30.9K 75M530 21211 I01 6174067957073732 5/09A $0 I AUTOMOBILE 5/09C $0 CLOSED DUE TO TRNSFR 5 2/ 0/ 0 FRD MOTOR CR F 3796761 9/03 $18.8K 62M411 I01 35316421 1/08A $0 C AUTOMOBILE 1/08C $0 CLOSED WORLD OMNI F F 2729006 10/05 $31.4K 72M615 111111111111 I01 110000000933704 7/07A $0 111111111 C AUTOMOBILE 7/07C $0 CLOSED 21 0/ 0/ 0 BK OF AMER B 6331059 11/03 $902 XXXXXXXXXXXX RO1 9949 9/06V $800 $0 XXXXXXXXX111 I CREDIT CARD $0 34 0/ 0/ 0 OCWEN/GMAC F 2672002 5/05 $52.0K 360M562 11111111 MO1 359171563 8/06A $0 I BALLOON 06012020 8/06C $0 BALLOON PAYMENT 10 0/ 0/ 0 I N Q U I R I E S DATE SUBCODE SUBNAME TYPE AMOUNT 10/09/15 ZNP6284423 (FLA) MERIT CREDIT 5/25/15 FPC1246538 (NTL) COAF C R E D I T R E P O R T S E R V I C E D BY : TRANSUNION 800-888-4213 2 BALDWIN PLACE P.O. BOX 1000,CHESTER, PA. 19022 Consumer disclosures can be obtained online through TransUnion at: http://www.transunion.com CREDITOR CONTACT INFORMATION MIDLAND FUND YC36ET009 (844) 236-1959 2365 NORTHSIDE DRI SAN DIEGO CA. 92108 ERC YC26MT002 (800) 496-8941 PO BOX 57547 JACKSONVILLE FL. 32241 SANTANDER FA1R18003 (866) 923-9282 PO BOX 961245 FORT WORTH TX. 76161 CHASE BC26QK004 (800) 432-3117 P.O. BOX 15298 WILMINGTON DE. 19850 SYNCB/SAMS DV235046S (800) 964-1917 PO BOX 965005 ORLANDO FL. 32896 CITIFINANCIA FZ7212001 (800) 922-6235 605 MUNN ROAD FORT MILL SC. 29715 SUNCOAST CU QU298Q001 (813) 621-7511 PO BOX 11904 TAMPA FL. 33680 ALLY FINCL FA259237L (888) 925-2559 P.O. BOX 380901 BLOOMINGTON MN. 55438 SYNCB/FLEXPL FZ9992749 (866) 396-8254 C/O PO BOX 965036 ORLANDO FL. 32896 SYNCB/WLMRTD BC235060N (866) 611-1148 PO BOX 965024 ORLANDO FL. 32896 KOHLS/CAPONE DC12EN005 (800) 564-5740 PO BOX 3115 MILWAUKEE WI. 53201 BK OF AMER BC1597029 PO BOX 982235 EL PASO TX. 79998 SOVEREIGN BK BZ468S036 (847) 619-5535 C/O DOVENMUEHLE MO SCHAUMBURG IL. 60173 FRD MOTOR CR FA3796761 (800) 727-7000 POB 542000 OMAHA NE. 68154 WORLD OMNI F FZ2729006 (800) 686-3526 1769 PARAGON DRIVE MEMPHIS TN. 38132 BK OF AMER BC6331059 (800) 421-2110 PO BOX 982238 EL PASO TX. 79998 OCWEN/GMAC FM2672002 (800) 766-4622 3451 HAMMOND AVE WATERLOO IA. 50704 COAF F 1246538 (888) 396-2623 3905 N. DALLAS PAR PLANO TX. 75093 END OF TRANSUNION REPORT MERIT CREDIT HAS RETRIEVED THE ABOVE PERSONAL CREDIT REPORT FOR LICENSING PURPOSES AS REQUESTED BY THE BUSINESS OWNER/PROPRIETOR. PUBLIC RECORDS FOR THIS REPORT HAVE BEEN CHECKED AND VERIFIED AT THE COUNTY, STATE AND FEDERAL LEVELS. PUBLIC RECORDS HAVE ALSO BEEN VERIFIED FOR PINELLAS COUNTY. PUBLIC RECORDS LEARNED _0 SOURCES OF INFORMATION: TRANS UNION LLC IRS LIEN SECTION COUNTY COURTHOUSE RECORDS IF YOU HAVE ANY QUESTIONS REGARDING THIS REPORT, PLEASE CONTACT MERIT CREDIT AT: 1-800-371-3348 OR (239) 277-3202. YELLOW BOOK, INC. fka Yellow Book IN THE COUNTY COURT IN AND FOR Sales and Distribution Company, Inc. COLLIER COUNTY, FLORIDA Plaintiff, CASE NO: 11 CC3254 vs. Al-CLEANING SERVICES & MORE, INC. and DAYMA GARCIA,jointly and severally Defendant(s) SATISFACTION OF JUDGMENT KNOW ALL MEN BY THESE PRESENTS: that, YELLOW BOOK, INC. fka Yellow Book Sales _ and Distribution Company, Inc. the Plaintiff(s) in the above styled cause wherein a judgment ____ was rendered on January 14, 2013, in the above named court for$7,419.28 against the defendant(s)therein, said judgment being duly recorded in the minutes of said Court and a copy thereof having been recorded in Book number 4876, Page 2894 of the Public Records of Collier County, Florida, do hereby acknowledge full payment and satisfaction thereof and hereby consent that the same shall be satisfied of record. WITNESS our hand and seal(s) this Q.4/ day of October, 2014. Signed, Sealed and Delivered in Presence of: SW*j TO AND SUBSCRIBED be ••_ ••e .'s %a O•obey,2014. 'obert • - • , • / Esq. I� A - SPRE(HMAN &FISHER, P.A. na re of `ary Public-State of Florida Attorneys for Plaintiff 2775 Sunny Isles Blvd. #100 Print,Type or stamp name of Notary Public Miami, FL 33160 Personally known to me,or 305-931-0100 X140 800-440-6289 0 Produced identification: type of identification MGR APPROVAL: THIS INSTRUMENT PREPARED BY: SPRECHMAN&FISHER,P.A. 2775 Sunny Isles Blvd.,Suite 100 Miami,Florida 33160-4007 (305)931-0100 0 117229:DTP:P176:$.00 `"" °1�" OVT L. YA Notary Public ANIA•State BEN of RO Florida N4 Comm.Expires Sep 10,2017 0 Commission#FF052766 �+'#+ Bonded Through National Notary Assn. Premier Profile-Al SERVICES&MORE,INC . .. s. Subcode:970135 Ordered: 10/09/2015 13:18:16 CST 'M ;;Experian" Transaction Number:0501037103 .N;•! Search Inquiry:Al SERVICES/1460 13TH ST SW/NAPLES/FL/34117/US/N/A/888757254 A world of insight Model Description: Intelliscore Plus V2 Business Name e V. I Business Identification Number Al SERVICES & MORE, INC. ' - 4' 888757254 Zeg,s Primary Address: 1460 13TH ST SW Website: alcarpetcleaningmd.com NAPLES, FL 34117-5203 Tax ID: 02-0685026 • This business is the ultimate parent. See the corporate hierarchy by clicking here TOP 0 Risk Dashboard `a .7 41;--!". de .77474 s.c'�f.'.`���e• �,�ya-;,a.,°z�.c 4�_,r3r' i r'3 4 _..._E.. Intelliscore Plus Financial Stability Risk Company DBT Original Filings High Risk Alerts rill MEDIUM TO MEDIUM TO HIGH RISK HIGH RISK Score range:1 -100 percentile Credit Limit Recommendation:$2,000 TOP 0 Business Facts Years on File: 12(FILE ESTABLISHED 01/2003) SIC Code: CARPET&UPHOLSTERY CLEANING-7217 State of Incorporation: FL NAICS Code: Carpet and Upholstery Cleaning Services-561740 Date of Incorporation: 01/21/2003 Number of Employees: 1 Business Type: Profit Sales: $71,000 Contacts: DAYMA GARCIA-PRESIDENT LUIS A SANCHEZ-PRESIDENT ADALBERTO C VILA-OFFICER TOP 0 Commercial Fraud Shield Evaluation for: Al SERVICES& MORE, INC, 1460 13TH ST SW, NAPLES, FL34117-5203 - u a r a s aa Active Business Indicator: Experian shows this business as active BUSINESS ADDRESS IDENTIFIED AS RESIDENTIAL 7777 Possible OFAC Match: { • No OFAC match found Business Victim Statement: al No victim statement on file TOP 0 Credit Risk Score and Credit Limit Recommendation O ^* ;" - - .' ' cred#t Risk S or :I tellis t�� Current Intelliscore Plus Score: 15 Risk Class: 4 MEDIUM HIGH RISK J Pramiar Prnfila-Al SFR\/IC P R.Mf1RF IN(: 11,1 The risk class groups scores by risk into ranges of similar 15 performance. Range 5 is the highest risk,range 1 is the High Low lowest risk. Risk Risk 0 10 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 indicate lower risk. Factors lowering the score Industry Risk Comparison r NUMBER OF ACTIVE COMMERCIAL ACCOUNTS 14%of businesses indicate a higher likelihood of severe delinquency. > BALANCE OF ALL COMMERCIAL ACCOUNTS r BALANCE OF COMMERCIAL ACCOUNTS AT WORST DELINQUENCY > PERCENT OF DELINQUENT COMMERCIAL ACCOUNTS Qluarteily.Score Trends a r°y g f } Quarterly Score Trends 100 90 80 70 The Quarterly Score Trends provide a view of the 80 likelihood of delinquency over the past 12 months for this 50 - business.The trends will indicate if the score improved, 40 4 remained stable,fluctuated or declined over the last 12 months. 30 20 10 0 4 �-� G )0-t pig ° she J� ,- 'fir ". -k 'r �' }++, �' i r e"' .orv*7' Current Financial Stability Risk Score: 5 Risk Class: 4 MEDIUM-HIGH RISK High w 1 Low The risk class groups scores by risk into ranges of similar Risk �' °s' Risk �- - performance. Range 5 is the highest risk,range 1 is the 0 3 10 30 65 100 lowest risk. This score predicts the likelihood of financial stability risk within the next 12 months. The score uses tradeline and collections information,public filings as well as other variables to predict future risk.Higher scores indicate lower risk. Factors lowering the score Industry Risk Comparison > PERCENT OF TOTAL COMMERCIAL BALANCE SERIOUSLY DELINQUENT 4%of businesses indicate a higher likelihood of financial stability risk. k PAST COMMERCIAL DEROGATORY BALANCE > NUMBER OF ACTIVE COMMERCIAL ACCOUNTS r RISK ASSOCIATED WITH THE COMPANY'S INDUSTRY SECTOR Credlt ,nit Recorrlmendatlon d x 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 $2,000 Plus.The recommendation is a guide.The final decision must be made based on your company's business policies. TOP Payment and Legal Filings Summary Dr r D,-,.j1,, Al C=OVI(`CQ P.!ACID= ilia r,, Payment Performance Trade and Collection Balance Legal FOings • , Current DBT: 0 Total trade and collection(2): $3,500 Bankruptcy: No Predicted DBT: N/A All trades(2): $3,500 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(1): $0 UCC filings: 0 Highest DBT Previous 5 Quarters: 0 6 month average: N/A Cautionary UCC filings: No Payment Trend Indication: Highest credit amount extended: N/A Payment trend indicator not available Most frequent industry purchasing terms: Industry purchasing terms not available Indust C ariso v i 1,x 1`i k Industry DBT Range Comparison The current DBT of this business is 0.80%of businesses have a DBT range of 0-5. DBT for this business: 0 7 of businesses 80%, 11% 9% DBT Range 0-5 6-15 16+ TOP 0 Trade Payment Summary Trade Line Type Lines Reported DBT Recent High Balance Current 01-30 31-60 61-90 91+ Credit Continuous 1 $0 New 0 $0 Combined Trade 1 $0 Additional 1 $3,500 $3,500 100% Total Trade 2 $3,500 $3,500 100% TOP 0 Trade Payment-New and Continuously Reported Trade Details � ✓ ' �` 4`3,.x , fi'�' '�� �' Business Date Last Payment Recent High Balance Cur 1-30 31-60 61-90 91+ Comments Cate•o Reported Sale Terms Credit DISTRIBUTR 10/2015 03/2015 NET 30 $0 TOP 0 Trade Payment-Additional Trade Details si �` "�" ., emu .. n'�' g t ' t ` � s;w»-':" � � � Business Date Last Payment Recent High Balance Cur 1-30 31-60 61-90 91+ Comments Cate•ory Reported Sale Terms Credit PRNTG&PUBL 03/2014 VARIED $3,500 $3,500 100% TOP 0 Additional Business Facts Corporate Regr�' f# t x w £ra { 5 s THE FOLLOWING INFORMATION WAS PROVIDED BY THE STATE OF FLORIDA.THE DATA IS CURRENT AS OF 10/09/2015. State of Origin: FL Date of Incorporation: 01/21/2003 Current Status: Active Business Type: Profit Charter Number: P030000078 Promi,r Drnfilo_41 CFP\/I(`FC R '31 A IAgent: GARCIA DAYMA Agent Address: 1460 13TH ST SW NAPLES, FL TOP 0 Corporate Linkage 0Bf >� � r! �Ys Y ��?K �P} � .r �,� �� � a7�, dip? '�� a� f � �"�`�"3 3f y '�` �' The inquired upon business,Al SERVICES&MORE,INC,is the Ultimate Parent Al SERVICES&MORE, INC 1460 13TH ST SW-NAPLES,FL 888757254 Branches of the inquired upon business: Al SERVICES&MORE, INC 3250 CYPRESS GLEN WAY APT 411 -NAPLES,FL 846476358 TOP 0 Inquiries p. ,�,�, .ts , , °"ate z�tS N ITti ro-^, ''�r Summa .. 5 : #a- f 2 y -. .�., k.N ... .1��_ _.. t..�.,,,P,L r.; ._tv, _-t.,v. ..� ,._ �. �,..<.,S. r s,a,.�.a..,_...�_.._.P .;x»�,A,„.._g.�r; w,_<3_," .�..� ,��a,� - 'f�����, .,.,.� lik2kin Business Category OCT15 SEP15 AUG15 JUL15 JUN15 MAY15 APR15 MAR15 FEB15 FLOOR COVR 1 Totals 1 TOP 0 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. Pramiar Prnfila-Al RFPVICES R MArlPF INC! Al A • Merit Credit ] Fast,Accurate &Secure. MERIT CREDIT HAS RETRIEVED THE ABOVE BUSINESS REPORT FOR LICENSING PURPOSES AS REQUESTED BY THE BUSINESS OWNER/PROPRIETOR. PUBLIC RECORDS FOR THIS REPORT HAVE BEEN CHECKED AND VERIFIED AT THE COUNTY (INCLUDING PINELLAS), STATE AND FEDERAL LEVELS. PUBLIC RECORDS LEARNED: 0 SOURCES OF INFORMATION: EXPERIAN BUSINESS INFORMATION SERVICES IRS LIEN SECTION COUNTY COURTHOUSE RECORDS IF YOU HAVE ANY QUESTIONS REGARDING THIS REPORT, PLEASE CONTACT MERIT CREDIT AT: 1- 800-371-3348 OR 239-277-3202. COMPANY NAME:Al SERVICES & MORE, INC FEDERAL ID:02-0685026 CURRENT STATUS:ACTIVE PRINCIPAL(S): LUIS ADRIAN SANCHEZ TITLE: PRESIDENT DAYMA GARCIA TITLE:VICE PRESIDENT LUIS MIGUEL HERNANDEZ TITLE: OFFICER DATE INCORPORATED:JANUARY 21. 2003 Detail,by Entity Name Page 1 of 2 FLORIDA DEPARTMENT OF STATE DiViSION OF CORPOR U ION Detail by Entity Name Florida Profit Corporation Al SERVICES & MORE, INC. Filing Information Document Number P03000007873 FEI/EIN Number 02-0685026 Date Filed 01/21/2003 State FL Status ACTIVE Last Event NAME CHANGE AMENDMENT Event Date Filed 01/13/2014 Event Effective Date NONE Principal Address 1460 13TH ST S W NAPLES, FL 34117 Changed: 06/24/2010 Mailing Address P O BOX 111965 NAPLES, FL 34108 Changed: 06/24/2010 Registered Agent Name &Address GARCIA, DAYMA 1460 13TH ST SW NAPLES, FL 34117 Name Changed: 02/27/2008 Address Changed: 10/07/2010 Officer/Director Detail Name &Address Title PDT Sanchez, Luis Adrian 1460 13TH ST S W NAPLES, FL 34117 http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entit... 10/16/2015 Detail by Entity Name Page 2 of 2 • Title Vp Garcia, Dayma 1460 13TH ST S W NAPLES, FL 34117 Title Officer Hernandez, Luis Miguel 1460 13TH ST S W NAPLES, FL 34117 Annual Reports Report Year Filed Date 2013 04/03/2013 2014 02/17/2014 2015 04/21/2015 Document Images 04/21/2015 --ANNUAL REPORT View image in PDF format 02/17/2014--ANNUAL REPORT View image in PDF format 01/13/2014 -- Name Change View image in PDF format 04/03/2013 --ANNUAL REPORT View image in PDF format 02/21/2012 --ANNUAL REPORT View image in PDF format 04/20/2011 --ANNUAL REPORT View image in PDF format 10/07/2010 -- REINSTATEMENT View image in PDF format 06/24/2010 --Amendment and Name Change View image in PDF format 06/18/2009 --ANNUAL REPORT View image in PDF format 02/27/2008--ANNUAL REPORT View image in PDF format 05/02/2007 --ANNUAL REPORT View image in PDF format 02/20/2006 --ANNUAL REPORT View image in PDF format 04/15/2005 --ANNUAL REPORT View image in PDF format 04/12/2004 --ANNUAL REPORT View image in PDF format 01/23/2003 -- Domestic Profit View image in PDF format Copyright©and Privacy Policies State of Florida,Department of State http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDeta.il?inquirytype=Entit... 10/16/2015 • . > • '"" AWRD CERTIFICATE OF LIABILITY INSURANCE DATE Dl15 1.......--- 10114f2015 I 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; MONICA ARBELAEZ GALT INSURANCE GROUP OF BONITA SPRINGS PHONE 1 FAX 10911 BONITA BEACH RD SUITE 1032 E-MAIL Q E�t1-239-.495-.820.9_._____ 1(A{c,,rro1 239-498-2489___ A RPRE4s:_monlca@galtlnsurancebonita con1....,_.-.,__.....__,.�_____...____._.__.__._.__._.-._..___..._ BONITA SPRINGS,FL 34135 PRODUCER .&U S.TQM ERJD.:__ - ---- --.--_-.. INSURER(S-j AFFORDING COVERAGE NAIC# INSURED INSURER A L SIS INSURANCE SERVICES Al SERVICES&MOORE INC INSURER B P.O.BOX 111965 INSURERC _...._._.�_,___-__._.__..___.____...__.__..—.._.____.._____ NAPLES,FL 34108 __._._.. INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN5R ___ �.-' IADDL SUBR! ...-_ I I _.___,._.... --- - POLICY EFF T POLICY EXP I LTR TYPE OF INSURANCE I INSR 1 WVD 1 POLICY NUMBER 1(MM/DDIYYYY)J(MM/DD^YYYYIJ LIMITS GENERAL LIABILITY 1 10/05/2015 1 10/05/2016!_EACHOCCURRENCE 5 A -_, 1 1 835347 1.0.00.00a.. • x COMMERCIAL GENERAL LIABILITY + i DAMAGE TO RENTED��� ---) X [PREMISE¢ Ea occurrence (_. )_ -_. 1_000,000- -- CLAIMS-MADE ! X OCCUR ' -- ; i MED EXP(Any one person) L$ ,5,000 PERSONAL&ADV INJURY 1 S 1.Q00,QQ0._ GF .-.. GENERAL AGGREGATE S 2.000.000 N'1 AGGREGATE LIMIT APPLIES PER. '"--" --- --_ OD _ ,. I PRODUCTS-COMP OP AGG _2,00-0_. PRO- POt-IC1 ; JECT 1 LOC ! ( ' I AUTOMOBILE LIABILITY � COMBINED SINGLE LIMIT 1 (Ea accident) ANY AUTO I I --1,ALL OWNED AUTOS I BODILY INJURY(Pe person) _..I I U BODILY INJURY 1Per acc;dent) !SCHEDULED AUTOS 1 PROPERTY DAMAGE HIRED AUTOS ! (Per accident) i NON-OWNED AUTOS ! $ ' 1 OCCUR + ' S I UMBRELLA LIAB 'EACH OCCURRENCE $ 'EXCESS UAB 1 CLAIRIS-MADE;! I AGGREGATE 1$ _I DEDUCTIBLE. '- 1 -� I RETENTION $ ,$ WORKERS COMPENSATION i t WC STATU AND EMPLOYERS LIABILITY Y/N, r_�TQRY UMITS. _i.ER 77 PROPRIETORIPARTNFR'E.XECUTIVF ' I OFI'CERrMEMEER EXCLUDED? 'N/A E.L.EACH ACCIDENT c (Mandatory in NH) I E.L DISEASE-EA EMPLOYEE S If yes.descr.be under ..._ ___._ , SPFCIAl PROVISIONS hrone: 1 E.L.DISEASE-POLICY LIMIT $ • i DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) GENERAL CONTRACTOR CERTIFICATE HOLDER CANCELLATION COLLIER COUNTY CONTRACTOR LICENSING BOARD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE 2800 N.HORSESHOE DRIVE POLICY PROVISIONS. NAPLES,FL 34104 AUTHORIZED REPRESENTATIVE • ©1988-2009 AI+ORD CO-PORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD s r1 I' 1100% a • PLEASE CUT OUT CARD BELOW AND RETAIN FOR FUTURE REFERENCE IMPORTANT STATE OF FLORIDA '` Pursuant to Chapter 440.05(14),F.S.,an officer of a corporation DEPARTMENT OF FINANCIAL SERVICES ".� M0ois em Ws chapter byillrg a certificate of election section DIVISION OF WORKERS'COMPENSATION F rompers mpter. ecoler benefits or «,1rder this chapter. Pursuant to Chapter 440.05(12),F.S.,Certificates of election to NON CONSTRUCTION INDUSTRY EXEMPTION O beel enpt..applycnlyWthin the scope of the business«trade L listed on the notice of election to be armlet CER1RCAIE OF ELECTION 10 BE EXEVDTFROM FLORIDA WORKERS.CONPENSAMON LAW D Pursuant to Chapter 440.05(13),F.S,Notices of election to be eeJipt and Certificates of election to be elerrpf shall be EFFECSVE DALE: 4/27/2015 EXPIRAAON DATE: 4/26/2017 SI.1 tto reWCahon if,at 3lytirlle a6af t11a filing dlhe notice 1F¢+ H a tie issuance Dfthe certific3e.6e prison vaned on the PERSON: SANCHEZ LUIS A E notice or certificate no huger heels the requirements of this section for FEIN: 020685026 R a certificate at�yb'me�beae of�d nn named E certificate to meet the regairemerds of this section. ed an the BUSINESS NAME AND/ADDRESS: Al SERVICES&MORE INC 1460 13TH ST SW NAPLES FL 34117 SCOPES OF BUSINESS OR 1RA RESIDENTIAL CLEANING JANITORIAL SERVICES BY SERVICES CONTRAC DFS-F2 DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS?(850)413-1609 apt pFY NOTICE OF ELECTION TO BE EXEMPT • If this application contains incomplete or inaccurate information, it may cause a delay in the issuance of your exemption. An officer frlecting an exemption under Chapter 440, Florida Statutes, is not entitled to benefits under this chapter. Section 1: APPLICANT INFORMATION First & Last Name: LUIS A SANCHEZ Sr State Driver's License Number: State ID Number: State: FL Date of Birth: Social Security Number(last four digits): Email Address: patrymarint?a hotmail.com Section 2: CONSTRUCTION INDUSTRY APPLICANT($50 FEE REQUIRED) Officer of a Corporation (Construction) Corporate Title: CHIEF EXECUTIVE OFFICER Section 3: This section should be completed with information specific to your corporation or to the limited liability company in which you are a member. The name of the corporation or limited liability company listed on this application MUST match the name of the corporation or limited liability company as registered with the Florida Division of Corporations. Name of Corporation or LLC: Al SERVICES & MORE INC FEIN: 02-0685026 IF YOU NEED TO APPLY FOR A FEIN,CLICK HERE Business Name (DBA): Phone: (239)289-7792 Applicant's Address of Record: 1460 13TH ST SW City NAPLES State: FL Zip 34117 County: Collier Click on the arrow(s) next to the text box(s) to view a list of available Scope classifications/trades for the form type chosen in Section 2. Click on the appropriate scope to select. If you are unsure as to which classification/trade to choose, please contact your workers'compensation insurance carrier. If you do not have a workers'compensation insurance policy, contact the National Council on Compensation Insurance (NCCI) at 1-800-622-4123 option 5 to obtain a classification code. Scope 1: 05478 Floor Covering Scope 2: 05437 Carpentry— Scope 3: 05437 Carpentry— Scope 4: 05437 Carpentry— Installation-Resilient Installation of Installation of Cabinet Installation of Cabinet Flo Cabinet Work o Work o Work o Section 4: The corporation of which you are an officer or limited liability company of which you are a member must be registered and in ACTIVE status with the Florida Division of Corporations. Applicants applying as an officer of a corporation must be listed as an officer of the Corporation with the Florida Division of Corporations. List the document number on file with the Florida Division of Corporations. P03000007873 Section 5: Pursuant to Chapter 489, F.S. (contractor licensing law), list certified or registered licenses related to the scope of business or trade listed in Section 3 held by the applicant,or the certified or registered license numbers held by the qualifier for the corporation or limited liability company listed on this application. The business name listed on the license MUST match the name of the corporation or limited liability company as registered with the Florida Division of Corporations and on this Notice of Election to be Exempt. No DBPR License Listed This section is not applicable to my business Section 6: If you have submitted an electronic payment for this application, the transaction confirmation number is listed in the following space: Confirmation Number: 193975022 Application Number: E00211528 Section 7: N/A Are you affiliated with any corporation or limited liability company other than the corporation or limited liability company to which this application applies? Name: FEIN Name: FEIN Name: FEIN Section 8: CONSTRUCTION INDUSTRY AND NON-CONSTRUCTION INDUSTRY LLC MEMBERS ONLY To be eligible for a construction industry exemption or a non-construction limited liability company exemption, an applicant must have the required ownership of the corporation or limited liability company. I am a shareholder owning at least ten percent(10%)of stock of the corporation,listed on this application., Section 9: I certify that any employees of the corporation or members of the limited liability company listed in Section 3 are covered by workers'compensation insurance. Please identify the workers' compensation insurance carrier that covers any non-exempt employees. Carrier Name: My business does not have any non-exempt employees Section 10: FRAUD NOTICE A. Any person who knowingly and with intent to injure, defraud, or deceive the department or any employer or employee, insurance company or any,other person, files a Notice of Election to be Exempt containing any false or misleading information is guilty of a felony of the third degree: B. Attestation of applicant— By providing my name below, I attest that I have read, understand and acknowledge the foregoing notice. C. Acknowledge that this Notice of Election to be Exempt does not exceed limits for corporate officers, including any affiliated corporations as provided in Section 440.02, Florida Statutes. First Name: LUIS Last Name: SANCHEZ Note:The Division has 30 days to review your application to determine if it meets the eligibility requirements for the issuance of an exemption.The Division will either issue a Certificate of Election to be Exempt or notify you that your application is incomplete. The Division reviews and processes exemption applications in the order they are received. Exemption information is reflected on the Proof of Coverage database the day following the issuance of the exemption. Visit the Division's website at http://www.myfloridacfo.com/wc to print your certificate. • VERIFICATION OF CONSTRUCTION EXPERIENCE GivID Operations & Regulatory Management Department Licensing Section 2800 N.Horseshoe Drive Naples,FL 34104 ^ • Applicant's Name: Z 1 l ,d r 1 a n Sai c 4 e Certificate Category Requested: Gen e y.( (Q)1_�y z ct o ✓ 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 v-. - - _- • - .' ,', . ..- You are being requested to provide information that will aid the applir•at in meeting this requirement. You should ven ',•e of active experience working as an apprentice or a s.. led worker(e.g.as a worker commanding the wage of •echanic or better in the trade). Time served solely in -. _ ••• • Y, .; - • - .• • a- .--_ 'eel,but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience must provide the followine information: Name: ( Aar i ✓e✓'OS Title: �(l,yt a" er (ow n e, License Number(if applicable):C GC //Y/ d 4 SO . Name of Business: ,� eCV rQ e y l�n e Y1 e v&( OD✓i I-va c:4a , L1.C Business Address: /5 /'/5 S()1 iy h't tt Pt c21,- Co plei, P 2q1/4 Business Phone: ,2 34 -3 9E-2136The i applicant'syears of experience fr om 2011 to 2 tY15 The applicant's scope of work(specific duties)included: 6 e n e Y C) o D ri s P o Clt 0►t O t e nJ 1 'C A . - / � t /n etf . Additional comments: e is U e r cl Q p e n d a. e Q✓id Falsifying any information provided herein may subject your license to revocation. Under the penalties of perjury I declare that I have read the foregr'n• appl'cation and that the facts stated in it are true. 4� Si• e Print Name State of Florid County of The foregoing instrument as acknowledged before me this � ' 2 " �! /2-1-/f- ate) --------- ---------_. by kG Qf' 19.0(Jj4)S who has produced (name of person acknowledging) (type of identification) as identification and did not take an oath. NOTARY'S SEAL � t :::..4 MICHAEL RODRIGUEZ (SIGNATj `�F NOTARY) MY COMMISSION 4 FF 926359 * EXPIRES:October 11,2019 �4 0, • Bonded Thru Budget Notary Services • AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF F to`2-( ,C COUNTY OF CO ei4k- e.___ I, , having been first duly sworn, state and affirm: I n Do; am a resident of �� County, [0_t c-04 (State) and have resided here for more than five (5) years. During the last five years I have known W n c�Slut-1 C (applicant). I g Y '� 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 ch. . - . 0 Si -t _. - CD:e._ I • 1G be \I s--r .sc. i„.„( ' Address (z ) 4-5S— C(c)sq Telephone The foregoing instrument as acknowledged before me this COC- ' I D-0 IC (Date) by �Q '- ?ii — � who has produced . 1�Rv�- L c-e-t-9--a-e (name of person acknowledging) (type of identification) as identification and did not take an oath. NOTARY'S SEAL -,IA C ct)./ (SIGNATU OF NOTARY) . •N141IIy�,ti LYDA SANCHEZ .. �iR� �xi: :._ deg .r:_ MY COMMISSION#FF 225407 t 1-;� EXPIRES:July 18,2019 ', :6 Bonded Thru Notary Public Underwriters j i STATE OF -FL COUNTY OF 0Yrk Q0 21,E having been first duly sworn, state and affirm: I am a resident of 1--e" County, *(-(39-244.' (State) and have resided here for more than five(5)years. A t v■kcc Attsb c. During the last five years I have known Q- A+ licant). 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. -4■111'k I Tab attttta Signature Ldt S T' 124)0G0/4- Name 20652 (-OCAS L-13 0131 1-/bz c Address 1321 3 z G? Telephone The foregoing instrument as acknowledged before me this 1 U ---/ 9 -1s ( at ) by 6,1 f y k V who has produced (name of person acknowledging) (type of identification) as identification and did not take an oath. IP / NOTARY'S SEAL 011111.461 ( l'GNATU RE OF OTARY) LAURIN PARRISH Notary PI Mc,Sts,of Roddy Comnisdo a FF 212715 14 am.wires Juno 22,2019 0 m c� Z `-• o v r O p v N - W3: "-- M in N Z-I 2S L J V Z a , mw m0 w W � w XN a0 m C 2 111 p>- O Z tL ce Z W 0 °W . .Z0 vZ Z oS h 00 m N Z W . (8 :71' z m J, -if.-0 r. UQ .r- II- 0 J -. LL CnEtD N X. cQX „, JUO Up i_ ::, W,U0J a m w DO � < 0 ‹co Zm ° �W ¢ C7az _- _ X > U W } co a a) E5- win- ,- . w. au - CO W° uJ '. LLUU _=QW G c SZ �w � 0'3 yvW �. _ u a) 03_=_ X XH mw � } a3 °oa -JO M"-ZD npO - Qa a a0v Cr w q, 3ONHU Lu0 U-!:u) W JU y�W— � OW JW ►- N '!? Nt O _Ji O ...I .c L',..u2 U O m E iZ W z Z 7 ;?s ■ d9-0 00 ca) 43 a U 0 W > cC 2. 0 (0 O W W Z t N,-�: .--J - tD W f- fa- (a: O z U o Z"... 76 0 0 > co o >-,- o''-" U U , W H N c a) W Z W _ M o co V a 0 _ c r W LLI aJ U t„ .. (0 z z , ZZ m,,.. 0. CO O0 CO w0_0 NEE Q Q m d a) Z N 0 0 -0 E 0, LL LLI- 7 C.y QW Z m v° aNi U. Z U o..a” 00D � gS=Ny ,�. '.,_ , ,,,, ,,, ..j;',,-._,„,,--:,,'.4H-:::1.,..- i'l--„--,':-,,:,.,.„,„-t,..,-,,H;,1'.?,-,:.:;:'1:---.:''::::::_L----T.,:::„.. azGan ut a:.ssveiwcd.:=. W" rnv ». COLLIER COUNTY BUSINESS TAX RECEIPT OF-THE 3 APPLICATION ic., 2800 N.Horseshoe Drive,Naples,FL 34104 a r t.s. Make Check Payable to: Collier County Tax Collector Phone:239-252-2477 Fax:239-643-4788 Website:www.colliertax.com CHECKLIST Copy of Articles of Incorporation and/or Fictitious letter Yellow Fire Compliance(list of fire district phone number from the State stating that your business name is on file. enclosed) (850-245-6052 or 6058) www.sunbiz.org Copy of Marco Zoning Certificate.(239-389-5000) Copy of State license from Department of Business and Professional(850-487-1395)or Department of Health. Completed Zoning application with appropriate fee made payable (850-488-0595) to:Board of County Commissioners.(239-252-5603) Copy of City Business Tax Receipt.(239-213-1800) Completed Business Tax Receipt application with appropriate fee made payable to:Collier County Tax Collector.(239-252-2477) Copy of Motor Vehicle Repair Registration Certificate from Department of Agriculture.(800-435-7352) Other: Copy of Health inspection from Department of Hotels and Please contact the Property Appraiser's office at 239-252-8145 Restaurants(850-487-1395)or Department of Agriculture. regarding tangible tax. (800-435-7352) CHECK ONE: Date: Original Application Classification r Transfer of License# Code Number - - Renewal of License# License Amount 1) CORPORATE NAME - /?.1 S c°rt'i�es7 -g m ore ..2y)c -- la) DBA NAME- lb) BUSINESS OWNER OR QUALIFIER'S NAME - ZUi s /d r1 a vi (20 eg. 2) PHYSICAL ADDRESS- /1-Th 0 /3 4(-0 /l1 arks, Ft 31-0/ ? (No P.O.Box allowed) 2a) IS RESIDENCE USED AS AN OFFIC Yes No 3) BUSINESS MAILING ADDRESS- 0. o K /l 1 el 05- /)' ■/o(ed / c 3 (e/Og Street City Zip 4) OWNER OR QUALIFIER'S RESIDENTIAL ADDRESS- /,`t/ 0 /3 14t 6T-S'Cc AA;P2 5) TELEPHONE -Business: a 3 Home: g-3 9- /O Ll-40 6) LEGAL FORM OF BUSINESS: Sole Proprietorship Partnership Corpor Lion LLC LLP —7) OPENING DATE OF BUSINESS OR DATE ASSUMED- g( 02 4 6 3 8) OFFICE WITHIN CITY LIMITS OF NAPLES- Yes_No If Yes,City License No. 9) SOCIAL SECURITY NO. or FEDERAL EMP�LOYER IDENTIFICATION NO. — —_ 0 OC - 06 O/tco *see back of application for explanation h 9a) TYPE OF BUSINESS CONDUCTED: Q n- fl r /`2.i 10) NUMBER OF EMPLOYEES -Including number of owners: n 0 17 2 11) FILL IN THE APPROPRIATE AREAS- a)Rental units(motel/hotel/apts.)Number of units: b)Seating Capacity(rest./cafes,etc)Number of seats: c)Number of coin-operated-Tchines owned by business or individual: 12) STATE LICENSE OR CERTIFICATION NUMBER- Must have photo c's i y of state license if state licensed and certified UNDER PENALTIES OF PERJURY,I LARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN I \ ' TRU TO THE BEST OF MY KNOWL i E. xxxAPPLICANT'S SIGNATURE: DATE:rr 1-- ire (Owner and/or representative of business)TIT* ****THIS LICENSE IS NON-' UNDABLE FOR BUSINESS STATED ABOVE**** Findings of Fact, Conclusions of Law and Decision of the Board Collier County Contractors' Licensing Board For Applications Submitted to the Board for Review Type of Application: X Credit Report Review Waiver of Testing Requirements Reinstatement of License Request to Qualify Second Entity Other (specify) THIS CAUSE came on for public hearing before the Contractors' Licensing Board (hereafter Board) on July 15, 2015, for consideration of the application submitted to the Board for review. The type of application is set out above. The Board having heard testimony under oath, received evidence, and heard arguments relative to all appropriate matters, thereupon issues its Findings of Fact, Conclusions of Law and Order of the Board as follows: FINDINGS OF FACT 1. That Mikel G. Diehl dba Florida Hardscapes & Paver Maintenance, Inc. (the "Applicant") had previously an application to the Collier County Contractor Licensing Supervisor or his designee for a Certificate of Competency as a specialty contractor (Paving Blocks) and based on the credit reports supplied by the Applicant the Licensing Supervisor determined a review of the credit by the Board was necessary. As a result of the April 16, 2014 hearing on the matter the Board approved a one year probationary license with a credit review at the expiration of twelve (12) months. The Applicant on April 15, 2015 was placed on a three month probationary period with a review scheduled for public hearing on July 15, 2015. 1 390185.1 8/4/2015 2. That pursuant to Section 22-184(b) of the Code of Laws and Ordinances of Collier County, as amended, applications which do not appear on their face to be sufficient require referral to the Board for a decision regarding approval or denial of said application. 3. That the Board has jurisdiction over this matter and that Mikel G. Diehl was present at the public hearing on July 15, 2015, and was represented by counsel. 4. All notices required by the Code of Laws and Ordinances of Collier County, as amended, have been properly issued. 5. The facts in this case are found to be: a. Applicant has demonstrated through testimony that his credit is not sufficient so as to be issued a license without continuing a probationary period. CONCLUSIONS OF LAW 1. Based upon the foregoing facts, the Board concludes that the applicant has not met the standard set out in Code of Laws and Ordinances of Collier County, as amended. ORDER OF THE BOARD 1. Based upon the foregoing Findings of Fact and Conclusions of Law, and pursuant to the authority granted in Chapter 489, Florida Statutes, and Code of Laws and Ordinances of Collier County, as amended, by a vote of 6 in favor and 0 opposed, a unanimous vote of the Board present, the Applicant's credit report is not approved and he shall continue on a probationary license for a period of six (6) months at which time 2 390185.1 8/4/2015 he shall appear before the Board with updated information including a then current business and personal credit report. ORDERED by the Contractors Licensing Board effective the 15th day of July, 2015. CONTRACTOR'S LICENSING BOARD COLLIER COUNTY, FLORIDA c)--"N4.6-`--\\ ci,„‘Oi\c&4 By: Patrick White, Chairman I HEREBY CERTIFY that a true and correct copy of the above and foregoing Findings of Fact, Conclusions of Law, and Order of the Board has been furnished the Applicant, and Michael Ossorio, Licensing Compliance Supervisor, 2800 North Horseshoe Drive, Naples, FL 34103 on this 15th day of July, 2015. Sec : . -+Contractor's Licensing Board 1 3 590185.1 8/4/2015 Findings of Fact, Conclusions of Law and Decision of the Board Collier County Contractors' Licensing Board For Applications Submitted to the Board for Review Type of Application: X Credit Report Review Waiver of Testing Requirements Reinstatement of License Request to Qualify Second Entity Other (specify) THIS CAUSE came on for public hearing before the Contractors' Licensing Board (hereafter Board) on April 15, 2015, for consideration of the application submitted to the Board for review. The type of application is set out above. The Board having heard testimony under oath, received evidence, and heard arguments relative to all appropriate matters, thereupon issues its Findings of Fact, Conclusions of Law and Order of the Board as follows: FINDINGS OF FACT 1. That Mikel G. Diehl dba Florida Hardscapes & Paver Maintenance, Inc. (the "Applicant") had previously an application to the Collier County Contractor Licensing Supervisor or his designee for a Certificate of Competency as a specialty contractor (Paving Blocks) and based on the credit reports supplied by the Applicant the Licensing Supervisor determined a review of the credit by the Board was necessary. As a result of the April 16, 2014 hearing on the matter the Board approved a one year probationary license with a credit review at the expiration of twelve (12) months. This is the twelve (12) month review. 2. That pursuant to Section 22-184(b) of the Code of Laws and Ordinances of Collier County, as amended, applications which do not appear on their face to be 1 370108.1 5/5/2015 sufficient require referral to the Board for a decision regarding approval or denial of said application. 3. That the Board has jurisdiction over this matter and that Mikel G. Diehl was present at the public hearing on April 15, 2015, and was not represented by counsel. 4. All notices required by the Code of Laws and Ordinances of Collier County, as amended, have been properly issued. 5. The facts in this case are found to be: a. Applicant has demonstrated through testimony that his credit is not sufficient so as to be issued a license without continuing a probationary period. CONCLUSIONS OF LAW 1. Based upon the foregoing facts, the Board concludes that the applicant has not met the standard set out in Code of Laws and Ordinances of Collier County, as amended. ORDER OF THE BOARD 1. Based upon the foregoing Findings of Fact and Conclusions of Law, and pursuant to the authority granted in Chapter 489, Florida Statutes, and Code of Laws and Ordinances of Collier County, as amended, by a vote of 8 in favor and 0 opposed, a unanimous vote of the Board present, the Applicant's credit report is not approved and he shall continue on a probationary license for a period of three (3) months at which time he shall appear before the Board with updated information and some evidence that the tax lien identified in the credit report is not attributable to the Applicant's business. 2 370109,1 5/5/2915 ORDERED by the Contractors Licensing Board effective the 15th day of April, 2015. CONTRACTOR'S LICENSING BOARD mi LIER COUNTY, FLORIDA 1 4 r�i I4.Vq`ii% By: Patrick White, Chairman ( HEREBY CERTIFY that a true and correct copy of the above and foregoing Findings of Fact, Conclusions of Law, and Order of the Board has been furnished the . Applicant, and Michael Ossorio, Licensing Compliance Supervisor, 2800 North Horseshoe Drive, Naples, FL 34103 on this 15th day of April, 2015. Secret: •ntractor's Licensing Hoard 3 370109.1 5/5!2015 Findings of Fact, Conclusions of Law and Decision of the Board Collier County Contractors' Licensing Board For Applications Submitted to the Board for Review Type of Application: Credit Report Review X Waiver of Testing Requirements Reinstatement of License Request to Qualify Second Entity Other (specify) THIS CAUSE came on for public hearing before the Contractors' Licensing Board (hereafter Board) on April 16, 2014, for consideration of the application submitted to the Board for review. The type of application is set out above. The Board having heard testimony under oath, received evidence, and heard arguments relative to all appropriate matters, thereupon issues its Findings of Fact, Conclusions of Law and Order of the Board as follows: FINDINGS OF FACT 1. That Mikel G. Diehl d/b/a Florida Hardscapes & Paver Maintenance, Inc. has submitted an application to the Collier County Contractor Licensing Supervisor or his designee for waiver of testing requirements for reinstatement of a Certificate of Competency as a Specialty Contractor — Paving Blocks. 2. That pursuant to Section 22-184(b) of the Code of Laws and Ordinances of Collier County, Florida, applications which do not appear on their face to be sufficient require referral to the Board for a decision regarding approval or denial of said application. 3. That the Board has jurisdiction over this matter and that Mikel G. Diehl was present at the public hearing on April 16, 2014, and was not represented by counsel. 1 4. All notices required by the Code of Laws and Ordinances of Collier County, Florida, have been properly issued. 5, The facts in this case are found to be: a. Applicant has demonstrated through testimony and evidence presented at this hearing that he has been active in the trade in another jurisdiction and has adequate knowledge of the contracting specialty to make re-testing in the trade superfluous. b. His knowledge of the contracting business is adequate, when combined with a full application to protect the public health and safety of the citizens of Collier County under certain restrictions. CONCLUSIONS OF LAW Based upon the foregoing facts, the Board concludes that the applicant has met the standard set out in the Code of Laws and Ordinances of Collier County, Florida, and that the testing requirement may be waived under certain restrictions. ORDER OF THE BOARD ' Based upon the foregoing Findings of Fact and Conclusions of Law, and pursuant to the authority granted in Chapter 489, Florida Statutes, and Collier County Ordinance No. 90-105, as amended, by a vote of 7 in favor and 0 opposed, a unanimous vote of the Board, the applicant's request to waive testing in the trade for reinstatement of his license is granted, subject to his payment of all back fees due and owing as set out in Code of Laws and Ordinances of Collier County, Florida and further subject to the following: A. The Applicant shall be subject to a one (1) year probationary period; 2 B. Applicant shall appear before the Board and shall provide personal and business credit reports in one (1) year for further review of the Board. ORDERED by the Contractors Licensing Board effective the 16th day of April, 2014. CONTRACTOR'S LICENSING BOARD CO COUNTY, FLORIDA' \ ,, , k By: Patrick White, Chairman I HEREBY CERTIFY that a true and correct copy of the above and foregoing Findings of Fact, Conclusions of Law, and Order of the Board has been furnished the Applicant, and Michael Ossorio, Licensing Compliance Supervisor, 2800 North Horseshoe Drive, Naples, FL 34103 on this/3 th day of .,6.ea, , 2014. Secretary/Contractor's Licensing Board 3 BridwellJason From: OssorioMichael Sent: Monday, November 30, 2015 8:46 AM To: BridwellJason Subject: FW: Florida Hardscapes & Paver Maintenance, Inc. v Collier County Contractor Licensing Board; From: Bill @chtlegal.com [mailto:Bill @chtlegal.com] Sent:Tuesday, November 24, 2015 9:16 AM To: OssorioMichael <michaelossorio @colliergov.net> Cc: KHazzard @chtlegal.com Subject: Registered: Florida Hardscapes & Paver Maintenance, Inc. v Collier County Contractor Licensing Board; REGISTERED EMAIL ®Mail CERTIFIED DELIVERY, CONTENT&TIME This is a Registered Email® message from Bill Hazzard. Good morning Michael, Please be advised that our firm is no longer representing Florida Hardscapes. We do not plan to attend further hearings on behalf of this client. Thank you, Bill William J. Hazzard, Esq. Coleman, Hazzard, & Taylor, P.A. 2640 Golden Gate Parkway, Suite 304 Naples, FL 34105 (239) 298-5200 (239) 298-5207 direct Toll free (877) 464-4072 or (877) 464-4074 (239) 298-5236 (fax) www.chtleqal.com ** Please note -To speak to me directly without going through our automated system, dial the direct number listed above. CONFIDENTIALITY NOTE: This e-mail has been sent from a law firm. It may contain privileged and confidential information intended for the use of the person(s) named above. If you are not an intended recipient, you are hereby notified that any dissemination or duplication of the e-mail is prohibited and that there shall be no waiver of any privilege or confidence by your receipt of this transmission. If you have received this e-mail in error, please notify us by collect telephone call and immediately delete this e-mail. Thank you. Replies Filtered. Any incoming reply to this e-mail communication or other e-mail communication to us will be electronically filtered for "spam" and/or"viruses." The filtering process may result in such reply or other e-mail 1 • . communications to us being quarantined (i.e., potentially not received at our site at all) and/or delayed in reaching us. For that reason, we cannot guarantee that we will receive your reply or other e-mail communications to us and/or that we will receive the same in a timely manner. Accordingly, you should consider sending communications to us which are particularly important or time sensitive by means other than e-mail. Click here to send a Registered Email® message to anyone. Under Florida Law,e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request,do not send electronic mail to this entity.Instead,contact this office by telephone or in writing. 2 MEMORANDUM TO: COLLIER COUNTY CONTRACTOR LICENSING BOARD FROM: WILLIAM J. HAZZARD, ESQ. SUBJECT: FLORIDA HARDSCAPES & PAVER MAINTENANCE, INC. AND MIKEL G. DIEHL THREE-MONTH CREDIT REVIEW DATE: JULY 13, 2015 MEETING: WEDNESDAY, JULY 15, 2015 AT 9:00 A.M. Coleman, Hazzard & Taylor, P.A. is pleased to represent Florida Hardscapes & Paver Maintenance, Inc. and its principal, Mikel G. Diehl. On Wednesday, July 15, the Board will consider a credit report which purports to reflect the financial condition of Florida Hardscapes & Paver Maintenance, Inc. A copy of the credit report can be found at Tab 1 of the enclosed binder. The credit report contains numerous inaccuracies, as detailed below. Most importantly, the credit report contains several negative items which in fact pertain to M & C Florida Pavers, Inc. (an inactive Naples, Florida corporation once led by Mr. Diehl's father), and which have nothing to do with Florida Hardscapes & Paver Maintenance, Inc. Understandably, confusion results from the name similarity between Mikel G. Diehl, who goes by his middle name Garrett, and his father, Mike Diehl. The credit report also contains items which pertain to entirely unrelated companies from other parts of the state. General History M & C Florida Pavers, Inc. was a Florida corporation with "Mike Diehl," the father, of 6300 Janes Lane, as its president. See Tab 2. Mikel G. Diehl, the son, was at one time the Vice President of M & C Florida Pavers, Inc. See Tab 3. However, he had left the M & C Florida Pavers, Inc. by the time of its final annual report. See Tab 4. M & C Florida Pavers, Inc. dissolved in 2011. Mikel G. Diehl of 4530 15th Ave SW is the current President and Registered Agent for Florida Hardscapes & Paver Maintenance, Inc. See Tab 5. At one time, he listed his address as 6300 Janes Lane, which is his father's address and is the same address that had been listed for M & C Florida Pavers, Inc. See Tab 6. However, that was corrected in a subsequent annual report. See Tab 7. Tax Liens The credit report, at page 4, lists three tax liens that purportedly exist against Florida Hardscapes & Paver Maintenance, Inc. A review of the public record reveals that all three tax liens are against the father's inactive company, M & C Florida Pavers, Inc., and have nothing to do with Florida Hardscapes & Paver Maintenance, Inc. See Tax Lien 4973192 at Tab 8, Tax Lien 4792762 at Tab 9, and Tax Lien 4615441 at Tab 10. Judgment The judgment listed at the bottom of page 4 of the credit report, in favor of Tricircle Pavers, Inc., is against M & C Florida Pavers, Inc., not Florida Hardscapes & Paver Maintenance, Inc. See Tab 11. The "Michael Diehl" referred to in the judgment is Mikel G. ("Garrett") Deihl's father. Branch Addresses Page 5 of the credit report lists four branch addresses for Florida Hardscapes & Paver Maintenance, Inc. Only the first-4530 15th Ave SW, Naples, FL—is correct. 6261 W. Atlantic Blvd., Ste. 207, Margate, FL was once the address of an unrelated entity named Florida Pavers, Inc., which dissolved in 1997. See Tab 12. That address is now the site of a medical office plaza. See Tab 13. As discussed in the "General History" section above, 6300 Janes Lane was the address of the father's company, M & C Florida Pavers, Inc., and was previously listed as the address of Florida Hardscapes & Paver Maintenance, Inc. See Tab 2, Tab 6, and Tab 7. 6300 Janes Lane is not a current branch location of Florida Hardscapes & Paver Maintenance, Inc. 6421 Egret Terrace, Coconut Creek, FL is a single-family home owned by Jose Carlos Dos Santos. See Tab 14. This address was evidently included because Mr. Dos Santos is an officer of an unrelated entity called M & C Pavers, Inc., which bears a similar name to Mr. Diehl's father's inactive corporation, M & C Florida Pavers, Inc. See Tab 15. There is no business affiliation between M & C Pavers, Inc. and Florida Hardscapes &Paver Maintenance, Inc. Conclusion The negative information contained in the credit report does not pertain to Florida Hardscapes & Paver Maintenance, Inc. In light of the above information, I respectfully request that the Board disregard the credit report and approve Mikel G. Diehl and his company as a licensed contractor in Collier County, Florida. m:\florida hardscapes\word file\correspoodence\memorandum to boarddocx Premier Profile-FL HARDSCAPES&PAVER MAINTENANCE,INC •a e Subcode:970135 Ordered:03/30/2015 15:04:45 CST :Li;Experian Transaction Number, C500793253 Search Inquiry:FLORIDA HARDSCAPES&PAVER MAINTENANCE,INC/4530 15th ave '" `""i'"i r:iv fie sw/NAPLES/FL/341 16/271939392 Model Description:Intelliscore Plus V2 , -.0). Business Name o E..saTess '?:f c.� r1i3e FLORID I,liARDSCAPES & PAVER 739533422 INTENANCE,,MNC. .- L.011‘ Doing Business As: FLORIDA PAVERS Phone: (239)254-8600 I Primary Address: 4530 15TH AVE SW Tax ID: 27-1939392 NAPLES,FL 34116-5140 This business isr the ultimate parent. See the corporate hierarchy by clicking here 7gyp0 Risk Scores and Credit Limit Recommendation Days Beyond Terms Derogatory Legal Fraud Alerts Intelliscore Plus Financial Stability Risk I Company DBT Original Filings High Risk Alerts HIGH RISK ,< a HIGH RISK 4 2 Score range:1 -100 percentile Credit Limit Recommendation:N/A r�r rBusinless Facts Years on File: 14(FILE ESTABLISHED 11/2001) SIC Code: CONCRETE WORK CONTRACTORS-1771 State of Incorporation: FL HIGHWAY&STREET CONST,EXC ELEV HWYS-1611 Date of Incorporation: 02/16/2010 CONSTRUCTION MACHINERY&EQUIPMENT-3531 Business Type: Profit NAICS Code: Contacts: MIKEL DIEHL-PRESIDENT Poured Concrete Foundation and Structure Contractors-238110 Highway,Street,and Bridge Construction-237310 Construction Machinery Manufacturing-333120 Number of Employees: 6 Sales: $1,806,000 I Commercial Fraud Shield Evaluation for: FL HARDSCAPES&PAVER.MA(NTENANCE,INC,4530 15TH AVE SW, NAPLES,FL34116-5140 Business Alerts Verification Trigs Active Business Indicator: 1 Experian shows this business as active PRESENCE OF TRADES IN THE CURRENT MONTH WITH DBT>THAN 92 DAYS Possible OFAC Match: No OFAC match found BUSINESS ADDRESS IDENTIFIED AS RESIDENTIAL � Business Victim Statement:itgl No victim statement on file — Cradit_Risk Score ancLCredit:Limit Recanunenctat on Credit Risk Score:luteillscore Plus _ Current Intelliscore Plus Score: 2 Risk Class: 5 Premier Profile-FL HARDSCAPES&PAVER MAINTENANCE.INC 1/5 !r 2 , � High „ 3 Low The nsk class groups scores by risk into ranges of similar R ist. _ +a « _ Pis( # performance.Range 5 is the highest risk,range 1 is the lowest risk. 0 10 C5 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 indicate lower risk. Factors lowering the score Industry Risk Comparison > AVERAGE BALANCE OF RECENTLY DELINQUENT COMMERCIAL ACCOUNTS 1%of businesses indicate a higher likelihood of severe delinquency. > NUMBER OF COMMERCIAL ACCOUNTS WITH NET 1-30 DAYS TERM > NUMBER OF COMMERCIAL ACCOUNTS WITH HIGH UTILIZATION > BALANCE OF COMMERCIAL ACCOUNTS AT WORST DELINQUENCY Quarterly Scots Trends Quarterly Score Trends 100 - go - s0 70 The Quarterly Score Trends provide a view of the 80 likelihood of delinquency over the past 12 months for this 50 business.The trends will indicate if the score improved, 40 • remained stable,fluctuated or declined over the last 12 months. 30 - 20 - 10 0 P4Rt o4tt 3p��Pg Credit Risk Score:Financial Stabilit►Risk Current Financial Stability Risk Score: 3 Risk Class: 5 Ett s Hugh n. Low The risk class groups scores by risk into ranges of similar Rich iRI5{ performance.Range 5 is the highest risk,range 1 is the 0 3 10 30 55 100 lowest risk. This score predicts the likelihood of financial stability risk within the next 12 months. The score uses tradeline and collections information,public filings as well as other variables to predict future risk.Higher scores indicate lower risk. Factors lowering the score Industry Risk Comparison > PERCENT OF TOTAL COMMERCIAL BALANCE SERIOUSLY DELINQUENT 2%of businesses indicate a higher likelihood of financial stability risk. > PAST COMMERCIAL DEROGATORY BALANCE > NUMBER OF COMMERCIAL DEROGATORY PUBLIC RECORDS > RECENT COMMERCIAL ACCOUNT DELINQUENCY Crsdlt Limit Recommendation Credit Limit Recommendation This recommendation compares this business against similar businesses in the Expenan business Not available-A credit limit credit database.It is based on trade information,industry,age of business and the Intelliscore recommendation is not available for a Plus.The recommendation is a guide.The final decision must be made based on your company's business with a current DBT>60. business policies. ,cp Q Premier Profile-FL HARDSCAPES&PAVER MAINTENANCE,INC 2/5 Payment Performance ' Trade inntto Batton Balance' ' Legalftlings Current DBT: 105 Total trade and collection(6): $16,700 Bankruptcy: No Predicted DBT: N/A All trades(6): $16,700 Ta x Lien filings: 3 Judgment filings: 1 Monthly Average DBT: 105 All collections(0): $0 Sum of legal filings: $9,282 Highest DBT Previous 6 Months: 105 Continuous trade(4): $16,700 UCC filings: 0 Highest DBT Previous 5 Quarters: 105 6 month average: N/A Cautionary UCC filings: No Payment Trend Indication: Highest credit amount extended: $9,200 Payment trend indicator not available Most frequent industry purchasing terms: Industry purchasing terms not available industry Comparison _ I Industry DBT Range Comparison The current DBT of this business is 105.9%of businesses have a DBT range of 16+. DBT for this business: 105 r-----,—. . btrsirresses I '- - __....,........ DBT Range 0-5 6-15 16+ 7'-'9 0 killiirelt• TY2,11P54"-: - - . ' 08T Trends Monthly DBT Trends Quarterly DBT Trends 105 105 105 105 105 105 105 105 105 105 105 105 100 100 - 75 , „PiVi-Iff'-j--40.1 ri,"". .,,,,,-...., ,,,, -i,it-„,,v,..1;t:,--R1*-qt;`,-,,,,, =.-t, r*1-, : .v.4,i. .44.7•As . ti,v, , - -7,1,,Airt74.--,i, 1 , „, ,„,,,,, ,,I. .-4"1,,,, ,t,4,--,„,ii.,‘-1,,':t„, ,*.fdy tT.. , ,5,,„,., 'rr'LL',-;■-,T,f4'''''1,11=6,,; :1',.:,';. APtirli; 50 ':,` :•'.'" '.1T : i '' :fft,,, ,1,,,,,.-itp: 50 -f -.,o, 25 25 - 0 - 0 - NA ° OS\PI Co.N4 !kl" s,9.‘ italit Ack.0 4,0AA •10 sck0 Ace,A IA g*. * C■ 1 - - 'Monthly Payment Trends Payment Trends Analysis Account Status ■ CONCRETE WORK CONTRACTORS-1771 Days Beyond Terms Business Date Reported Cur Industry Balance Cur 1-30 31-60 61-90 91+ DBT DBT i CURRENT 90% 7 105 $16,700 100% 1 FEB15 90% 7 105 $16,700 100% i - - JAN15 89% 7 105 $16,700 100% ' - - i DEC14 88% 7 105 $16,700 100% NOV14 89% 6 105 $16,700 100% I - —-— -- OCT14 90% 6 105 $16,700 100% ■ -- - _ SEP14 89% 6 105 $16,700 100% _ —— Quarterly Payment Trends I Premier Profile-FL HARDSCAPES&PAVER MAINTENANCE,INC 3/5 Payment History-Quarterly Averages Account Status Days Beyond Terms Quarter Months DBT Balance Cur 1-30 31-60 51.90 91+ 04 •4 OCT-DEC 105 $16 700 100% 03 14 JUL-.SP 105 $1b.700 100% 0L- 14 APR-.1'JN '0: $16,700 100% 01 - 14 JAN-MAR 105 $16.700 100,b 04 - 13 OCT-DEC _05 $413.700 100% Trade Payment Sugar Trade Line Type Lines Reported DBT Recent High Balance Current 01-30 31-60 61-90 91+ , Credit __ Continuous 4 105 $17,500 $16,700 100% New 0 $0 Combined Trade 4 105 $17,500 $16,700 100% Additional 2 $0 Total Trade 6 $17,500 $16,700 100% s 0 Trade Payment New and CQntinu°11SIY T,tade D Payment Experiences Account Status (Trade Lines with an(q after the date are newly reported) Days Beyond Terms _ Business Date Last Payment Recent High Balance Cur 1-30 31-60 61-90 91+ Comments #Category Reported Sale Terms Credit BLDG MATRL 02/2015 02/2011 CREDIT $9,200 $9,200 100% FINCL SVCS 01/2015 12/2009 CONTRCT $800 $0 OFFC SUPPL 03/2015 02/2011 CREDIT $900 $900 100% CHARGE OFF ■ ■ PRNTG&PUBL 03/2015 VARIED $6,600 $6,600 100% T00 0 Trade Payment-Anl di kordd Trade Details , Payment Experiences AccountStatui (Tra de Liras with an(')after the date are newly reported) Dais 8W/end Terms Business Date Last Payment Recent High Balance Cur 1-30 31-60 61-90 91+ Comments Category Reported Sale Terms Credit m CRED CARD 03/2015 01/2010 REVOLVE $0 CHARGE OFF OFFC SUPPL 02/2014 08/2005 CREDIT $0 ACCTCLOSED ,9F 0 Lega1,FiltnSS._ - ; fr ,. Tax Lie File Date Filing Type Status Amount Filing Num-er J sdiction 04/24/2014 State Tax Lien Filed $1,201 4973192 COLLIER COUNTY CIRCUIT COURT ( Filed by:STATE OF FLORIDA 01/30/2013 State Tax Lien Filed $1,037 4792762 OLLIER COUNTY CIRCUIT COURT Filed by:STATE OF FLORIDA 10/12/2011 State Tax Lien Filed $300 4615441 COLLIER COUNTY CIRCUIT COURT Filed by:STATE OF FLORIDA Judgments File Date Plaintiff Status A u Filing Number Jurisdiction 05/31/2012 TRICIRCLE PAVERS INC Filed $6,744 2CC001727 LEE COUNTY CIRCUIT COURT Premier Profile-FL HARDSCAPES&PAVER MAINTENANCE,INC 4/5 Additional,Busimass Eacfs, corniest*Registration THE FOLLOWING INFORMATION WAS PROVIDED BY THE STATE OF FLORIDA.THE DATA IS CURRENT AS OF 03/30/2015 State of Origin: FL Date of Incorporation: 02/16/2010 Current Status: Active Business Type: Profit Charter Number: P100000141 Agent: DIEHL MIKEL G Agent Address: 4530 15TH AVE SW NAPLES,FL • c� Corporate Linkage Business Name Locate BIN The inquired upon business,FL HARDSCAPES&PAVER MAINTENANCE,INC,is the Ultimate Parent FL HARDSCAPES&PAVER MAINTENANCE, INC 4530 15TH AVE SW-NAPLES,FL 739533422 Branches of the inquired upon business: FLORIDA HARDSCAPES&PAVER MAINTENANCE, INC 6261 W ATLANTIC BLVD STE 107-MARGATE,FL 740138389 FLORIDA HARDSCAPES&PAVER MAINTENANCE,INC 6300 JANES LN STE 4-NAPLES,FL 988606526 FLORIDA HARDSCAPES&PAVER MAINTENANCE, INC 6421 EGRET TER-COCONUT CREEK,FL 993088625 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 Expenan Information Solutions,Inc.,nor their sources or distributors warrant such information nor shall they be liable for your use or reliance upon it ©Expenan 2015.All rights reserved.Privacy policy Experian and the Expenan marks herein are service marks or registered trademarks of Expenan. Premier Profile-FL HARDSCAPES&PAVER MAINTENANCE,INC 5/5 Merit Credit 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: 4 SOURCES OF INFORMATION: EXPERIAN BUSINESS INFORMATION SERVICES IRS LIEN SECTION -- - URTHOUSE RECORDS IF Y.OU"HAVE ANY QUESTIONS REGARDIN THIS REPORT, PLEASE CONTACT MERIT CREDIT AT: 1- ' 800-371-3348 OR 239-277-3202. COMPANY NAME:FLORIDA HARDSCAPES&PAVER MAINTENANCE, INC FEDERAL ID:27-1939392 CURRENT STATUS: ACTIVE PRINCIPAL(S): MIKEL G. DIEHL TITLE: PRESIDENT DATE INCORPORATED:02/16/2010 Detail by Entity Name http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?... FLORIDA DEPARTMENT OF STATE Home Contact Us E-Filing Services Document Searches Forms Help I al 11111 rfr Detail by Entity Name Florida Profit Corporation M & C FLORIDA PAVERS, INC. Filing Information Document Number P01000089694 FEI/EIN Number 651135621 Date Filed 09/10/2001 State FL Status INACTIVE Last Event ADMIN DISSO TION FOR ANNUAL REPORT Event Date Filed 09/23/2011 Event Effective Date NONE Principal Address 6300 JANES LANE #4 NAPLES, FL 34109 Changed: 04/01/2009 Mailing Address 6300 JANES LANE #4 NAPLES, FL 34109 Changed: 04/01/2009 Registered Agent Name &Address DIEHL, MIKE 6300 JANES LANE #4 NAPLES, FL 34109 Address Changed: 04/01/2009 Officer/Director Detail Name &Address Coovright© and Privacy Policiec State of Florida,Department of State of 3 7/10/2015 8:37 AM Detail by Entity Name http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetai1?... DIEHL, MIKE 6300 JANES LANE#4 NAPLES, FL 34109 Annual Reports Report Year Filed Date 2008 04/02/2008 2009 04/01/2009 2010 02/12/2010 Document Images 02/12/2010 --ANNUAL REPORT View image in PDF format 12/08/2009 -- Off/Dir Resignation View image in PDF format 12/08/2009 -- Off/Dir Resignation View image in PDF format 11/16/2009 -- Off/Dir Resignation View image in PDF format 04/01/2009 --ANNUAL REPORT View image in PDF format 04/02/2008 --ANNUAL REPORT View image in PDF format 04/16/2007 --ANNUAL REPORT View image in PDF format 04/11/2006 -- ANNUAL REPORT View image in PDF format 07/19/2005 --ANNUAL REPORT View image in PDF format 01/29/2004 --ANNUAL REPORT View image in PDF format 04/03/2003 --ANNUAL REPORT', View image in PDF format 09/24/2002 --Amendment View image in PDF format 05/12/2002 --ANNUAL REPORT View image in PDF format 09/10/2001 -- Domestic Profit View image in PDF format of 3 7/10/2015 8:37 AM • 2009 FOR PROFIT CORPORATION ANNUAL REPORT FILED Apr 01, 2009 DOCUMENT# P01000089694 Secretary of State Entity Name: M&C FLORIDA PAVERS, INC. Current Principal Place of Business: New Principal Place of Business: 2068 JVC BLVD 6300 JANES LANE NAPLES, FL 34109 #4 NAPLES, FL 34109 Current Mailing Address: New Mailing Address: 2068 JVC BLVD 6300 JANES LANE NAPLES, FL 34109 #4 NAPLES, FL 34109 FEI Number:65-1135621 FEI Number Applied For( ) FEI Number Not Applicable( ) Certificate of Status Desired( ) Name and Address of Current Registered Agent: Name and Address of New Registered Agent: DIEHL, MIKE DIEHL, MIKE 2076 J&C BLVD 6300 JANES LANE NAPLES, FL 34109 US #4 NAPLES, FL 34109 US The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida. SIGNATURE: 04/01/2009 Electronic Signature of Registered Agent Date Election Campaign Financing Trust Fund Contribution( ). OFFICERS AND DIRECTORS: ADDITIONSICHANGES TO OFFICERS AND DIRECTORS: Title: PD ( )Delete Title: PD (X)Change ( )Addition Name: DIEHL,MIKE Name: DIEHL,MIKE Address: 2076 J&C BLVD Address: 6300 JANES LANE #4 City-St-Zip: NAPLES,FL 34109 City-St-Zip: NAPLES,FL 34109 Title: VP ( )Delete Title: VP (X)Change ( )Addition Name: DIEHL,MIKEL G Name: DIEHL,MIKEL G Address: 2068 J&C BLVD Address: 6300 JANES LANE#4 City-St-Zip: NAPLES,FL 34109 City-St-Zip: NAPLES,FL 34109 Title: T ( )Delete Title: T (X)Change ( )Addition Name: DIEHL,JULIE R Name: DIEHL,JULIE R Address: 2068 J&C BLVD Address: 6300 JANES LANE#4 City-St-Zip: NAPLES,FL 34109 City-St-Zip: NAPLES,FL 34109 Title: S ( )Delete Title: S (X)Change ( )Addition Name: DIEHL,KIMBERLY D Name: DIEHL,KIMBERLY D Address: 2068 J&C BLVD Address: 6300 JANES LANE#4 City-St-Zip: NAPLES,FL 34109 City-St-Zip: NAPLES,FL 34109 I hereby certify that the information supplied with this filing does not qualify for the exemption stated in Chapter 119, Florida Statutes. I further certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath;that I am an officer or director of the corporation or the receiver or trustee empowered to execute this report as required by Chapter 607, Florida Statutes; and that my name appears above,or on an attachment with an address,with all other like empowered. SIGNATURE: MIKE DIEHL PD 04/01/2009 Electronic Signature of Signing Officer or Director Date 2010 FOR PROFIT CORPORATION ANNUAL REPORT FILED Feb 12, 2010 DOCUMENT# P01000089694 Secretary of State Entity Name: M&C FLORIDA PAVERS, INC. Current Principal Place of Business: New Principal Place of Business: 6300 JANES LANE #4 NAPLES, FL 34109 Current Mailing Address: New Mailing Address: 6300 JANES LANE #4 NAPLES, FL 34109 FEI Number:65-1135621 FEI Number Applied For( ) FEI Number Not Applicable( ) Certificate of Status Desired( ) Name and Address of Current Registered Agent: Name and Address of New Registered Agent: DIEHL, MIKE 6300 JANES LANE #4 NAPLES, FL 34109 US The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida. SIGNATURE: Electronic Signature of Registered Agent Date Election Campaign Financing Trust Fund Contribution( ). OFFICERS AND DIRECTORS: Title: PD Name: DIEHL,MIKE Address: 6300 JANES LANE #4 City-St-Zip: NAPLES,FL 34109 I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath;that I am an officer or director of the corporation or the receiver or trustee empowered to execute this report as required by Chapter 607, Florida Statutes; and that my name appears above, or on an attachment with all other like empowered. SIGNATURE: MIKE DIEHL PD 02/12/2010 Electronic Signature of Signing Officer or Director Date Detail by Entity Name http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?... FLORIDA DEPARTMENT OF STATE 4_ Home Contact Us &Filing Services Document Searches Forms Help Detail by Entity Name Florida Profit Corporation FLORIDA HARDSCAPES & PAVER MAINTENANCE, INC. Filing Information Document Number P10000014180 FEI/EIN Number 271939392 Date Filed 02/16/2010 Effective Date 03/01/2010 State FL Status ACTIVE Principal Address ' 4530 15TH AVE. SW. NAPLES, FL 34116 Changed: 02/04/2013 Mailing Address PO BOX 990398 NAPLES, FL 34116 Changed: 02/04/2013 Registered Agent Name &Address DIEHL, MIKEL G 4530 15TH AVE. SW. NAPLES, FL 34116 Address Changed: 02/04/2013 Officer/Director Detail Name & Address Title P DIEHL, MIKEL G 4530 15TH AVE. SW. NAPLES, FL 34116 Coovrght©and Privacy Policies State of Florida,Department of State of 3 7/10/2015 8:38 AM Detail by Entity Name http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?... Annual Reports Report Year Filed Date 2013 02/04/2013 2014 01/26/2014 2015 01/19/2015 Document Images 01/19/2015 --ANNUAL REPORT View image in PDF format 01/26/2014 --ANNUAL REPORT View image in PDF format 02/04/2013 --ANNUAL REPORT View image in PDF format 01/08/2012 --ANNUAL REPORT View image in PDF format 04/28/2011 --ANNUAL REPORT View image in PDF format 02/16/2010 -- Domestic Profit View image in PDF format of 7/10/2015 8:38 AM 2012 FOR PROFIT CORPORATION ANNUAL REPORT fan FILED DOCUMENT# P10000014180 Secretary of State Entity Name: FLORIDA HARDSCAPES& PAVER MAINTENANCE, INC. Current Principal Place of Business: New Principal Place of Business: 6300 JANES LANE #4 NAPLES, FL 34109 Current Mailing Address: New Mailing Address: 6300 JANES LANE #4 NAPLES, FL 34109 FEI Number:27-1939392 FEI Number Applied For( ) FEI Number Not Applicable( ) Certificate of Status Desired Name and Address of Current Registered Agent: Name and Address of New Registered Agent: DIEHL, MIKEL G 6300 JANES LANE #4 NAPLES, FL 34109 US The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida. SIGNATURE: Electronic Signature of Registered Agent Date OFFICERS AND DIRECTORS: Title: P Name: DIEHL,MIKEL G Address: 6300 JANES LANE#4 City-St-Zip: NAPLES, FL 34109 I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath;that I am an officer or director of the corporation or the receiver or trustee empowered to execute this report as required by Chapter 607, Florida Statutes; and that my name appears above, or on an attachment with all other like empowered. SIGNATURE: MIKEL G DIEHL P 01/08/2012 Electronic Signature of Signing Officer or Director Date 2013 FLORIDA PROFIT CORPORATION ANNUAL REPORT FILED DOCUMENT# P10000014180 Feb 04, 2013 Entity Name: FLORIDA HARDSCAPES & PAVER MAINTENANCE, INC. Secretary of State CC2453791138 Current Principal Place of Business: 4530 15TH AVE.SW. NAPLES, FL 34116 Current Mailing Address: PO BOX 990398 NAPLES, FL 34116 US FEI Number: 27-1939392 Certificate of Status Desired: No Name and Address of Current Registered Agent: DIEHL,MIKEL G 4530 15TH AVE.SW. NAPLES,FL 34116 US The above named entity submits this statement for the purpose of changing its registered office or registered agent,or both,in the State of Florida. SIGNATURE: Electronic Signature of Registered Agent Date Officer/Director Detail : Title P Name DIEHL,MIKEL G Address 4530 15TH AVE.SW. City-State-Zip: NAPLES FL 34116 I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath;that lam an officer or director of the corporation or the receiver or trustee empowered to execute this report as required by Chapter 607,Flodda Statutes;and that my name appears above,or on an attachment with all other like empowered. SIGNATURE:MIKEL G DIEHL P 02/04/2013 Electronic Signature of Signing Officer/Director Detail Date *** INSTR 4973192 OR 5030 PG 331 RECORDED 4/24/2014 1:34 PM PAGES 1 *** DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT, COLLIER COUNTY FLORIDA . REC 510.00 01700 00/S7 Florida Department of Revenue ZT61 Reemployment Tax* F'""'°A NOTICE OF TAX LIEN ,! DEPARTMENT OF REVENUE ATTN RECORDING DEPARTMENT COLLIER COUNTY CLERK OF COURT PO BOX 413044 NAPLES FL 34101-3044 RT Account# :2338532 Business Partner# : 1121880 Contract Object# : 14739018 Lien# 1000000616302 RE: M AND C FLORIDA PAVERS INC cti ,,- . R- C0( Y NAPLES NFL 34109-6270 (_j �� Pursuant to the provisions of Section 443.141(3)(- and g)R •a 4-tut• , .otice is -reby giv.n tha the above named employer is liable for the payment of reemployment tax to the Florida Department o Rev,'n - `:i fo - •t. . ---,,I', :and ,which after demand for payment thereof remain unpaid,constitute a lien In favor of STATE OF FL D RID' D-•A-t •E •F - Lt e to nd interest,whether legal or equitable,in any real or personal property of said employer.Interest on u pai• ill c.nti ue o a c . !t p r anrum until paid in full. (.l i' i^' TAX/ASS , NT INTEREST 1 REPORTING PERIOD DU `� AS OF PE . • TY ,U FEES TOTAL DUE .I" 03/15/2014 - o 03/31/2013 146 01 10.48 :0 0 40.29 250.77 06/30/2013 10. or h 7.46 44 20.29 227.75 09/30/2012 100.'' 4. • '� •.00 20.29 236.71 09/30/2013 100.00 1 44 -- C 40.00 20.24 224.68 12/31/2012 100.00 125.00 22.83 261.24 `Formerly Unemployment Tax TOTAL AMOUNT OF TAX LIEN 1201.15 Witness my hand and official seal In this City of NAPLES , COLLIER County,Florida, this 19 day of April 2014 Marshall Stranburg,Executive Director Please record this tax lien which has been Department of Revenue prepared by a public officer other than a notary dF State of Florida public. Send your invoice and docketing Off; information to: ., This instrument prepared by: t•.- ,�. RT COLLECTIONS , r,, ,. ..� _ .� FLORIDA DEPARTMENT OF REVENUE "M. T '- 5050 W TENNESSEE ST - 4. :.,cc' thorized Agent TALLAHASSEE FL 32399-0112 co e't� RT 18LC R.01/13 *** INSTR 4792762 OR 4880 PG 2313 RECORDED 1/30/2013 2:46 PM PAGES 1 *** DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT, COLLIER COUNTY FLORIDA REC $10.00 17i 3 t,.19 Florida Department of Revenue ZT61 Reemployment Tax FLORIDA NOTICE OF TAX LIEN �l \-t DE PARTMFNT Or REVENUE ATTN RECORDING DEPARTMENT COLLIER COUNTY CLERK OF COURT PO BOX 413044 NAPLES FL 34101-3044 RT Account It : 2338532 Business Partner ft : 1121880 Contract Object# : 14739018 Lien if : 1000000463017 p RE: M AND C FLORIDA PAVERS INC 7ti�ivR Cp l 6300 JANES LN STE 4 NAPLES FL 34109-6270 nt to the provisions of Section 443.141(3)( g)Florida S ut'-, •tice is -reby giv tha the above named employer is liable for the payment Pursuant p of reemployment tax to the Florida Department o Rev- •- ••:f• •,^ • - '14ra I ,y, nd s,which after demand for payment thereof remain unpaid,constitute a lien in favor of the STATE 0 FLO' I• DE'•' E IF R•1 th title to and interest,whether legal or equitable,in any real or personal property of said employer.Interest o unp• • - will o tin e t.C c•l.. at 1.1• • en per annum until paid in full. TAX/ASS NT INTEREST REPORTING PERIOD DU `,j 01/03/20013 PETY U ^I FEES TOTAL DUE 02/12Fed.Int.ASSess 3 `Q6 1.92 20.00 20.00 53.08 03/31/2011 0.=•�2, •2.89 203.34 571.23 03/31/2012 100.0Cill * F j�OP.00 0.00 233.15 06/30/2012 100.00 i V ,11- 75.00 0.00 180.13 TOTAL AMOUNT OF TAX LIEN 1037.59 Witness my hand and official seal in this City of NAPLES COLLIER County,Florida, this 23 day of January 2013 . Marshall Stranburg,Interim Executive Director Please record this tax lien which has been ot Department of Revenue prepared by a public officer other than a notary 1 __ public. Send your invoice and docketing "F State of Florida p y - o,4 information to F =•_, •.e This instrument prepared by: F,,;•,9_ .. -4 RT COLLECTIONS s l s.,�. _ A1. a: FLORIDA DEPARTMENT OF REVENUE %'..1,1111 T:••• • '=' ? 5050 W TENNESSEE ST '• TALLAHASSEE FL 32399 0112 !/:1'; t horized Agent RT 18LC R.07/12 *** INSTR 4615441 OR 4727 PG 93 RECORDED 10/12/2011 11:04 AM PAGES 1 *** DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT, COLLIER COUNTY FLORIDA . REC 510.00 ZT61 ' ,"""' Florida Department of Revenue ��� / Unemployment Tax DEPARTMENT NOTICE OF TAX LIEN OF REVENUE October 05,2011 UT Account# :2338532 Business Partner# :1121880 ATTN RECORDING DEPARTMENT Contract Object# :14739018 COLLIER COUNTY CLERK OF COURT Lien# :1000000236106 PO BOX 413044 NAPLES FL 34101-3044 RE: M AND C FLORIDA PAVERS INC 6300 JANES LN STE 4 NAPLES FL 34109.6270 Pursuant to the provisions of Section 443.141(3)(a)and(gy. '�Lurn c�® �' a he above named employer is liable for the payment of Pu p .�-'- unemployment tax to the Florida Department of Rever4/I/ ollowing tax,interest,penalties, •nd fe ,which after demand for payment thereof remain unpaid,constitute a lien in favor of STATE OF FLOR A ENT e : U- pon the - e to d interest,whether legal or equitable,in any real property,chattels,real,or personal property of said e ploy nterest on pa'0 will con:nue to ace eat 2 percent per annum until paid in full. 1 REPORTING gi F ST 1i PERIOD TAX DUE i r a "� A UE TOTAL DUE l /2011 mot• 03/31/2011 100.00 1 3 150:t 6 45.51 300.64 \IE CIRL 300.64 TOTAL AMOUNT OF TAX LIEN Witness my hand and official seal in this City of Naples , Collier County. Florida. this 5th day of October , 2011 . Lisa Vickers,Executive Director Please record this tax lien which has been --"'.W.$ Department of Revenue prepared by a public officer other than a notary a t+ public. Send your invoice and docketing ir":' -�4• _' ;_ :l'' -•. State of Florida P Y 4' '..'%.•, This Instrument Prepared by: information to: i! d21F • UTCOLLECTIONS FLORIDA, i.....174- ri.....—....P. - ;1 „ DEPARTMENT OF REVENUE � • .= b' Authorized Agent 5050 W TENNESSEE ST,BLDG.L yam owa it` 5f• , TALLAHASSEE FL 32399-0112 GDi,%„'-= '9 UCT-18LC OD R.10/10 INSTR # 2012000121918, Doc Type JUD, Pages 1 , Recorded 06/01/2012 at 02:51 PM, Charlie Green, Lee County Clerk of Circuit Court, Deputy Clerk ERECORD 6/1/2012 11 :18 AM Filed Lee County Clerk Court IN THE COUNTY COURT OF THE TWENTIETH JUDICIAL CIRCUIT IN AND FOR LEE COUNTY, FLORIDA CIVIL ACTION TRICIRCLE PAVERS, INC. , a Florida corporation, Plaintiff, v. CASE NO. : 12-CC-001727 M & C FLORIDA PAVERS, INC. , a Florida corporation, and MICHAEL DIEHL, Defendants. SUMMARY FINAL JUDGMENT THIS CAUSE, having come before the Court upon the Plaintiff' s Motion for Summary Final Judgment and the Court having reviewed the Court file, heard argument of counsel finds that the Plaintiff reasonably expended 11. 65 hours at the reasonable rate of $300.00 per hour for a total reasonable fee of $3, 495. 00, and being otherwise fully advised in the premises, it is hereupon: ORDERED AND ADJUDGED that there is now due and owing from the Defendants, M & C FLORIDA PAVERS, INC. , a Florida corporation, EIN Number 651135621, and MICHAEL DIEHL, Social Security Number: unknown, jointly and severally, to the Plaintiff, TRICIRCLE PAVERS, INC. , a Florida corporation, the principal amount of $6,744 .49, plus court costs of $420. 00, interest at the contract rate of 18.00 percent per annum from November 1, 2011, through May 31, 2012, in the amount of $708.49 and reasonable attorney' s fees of $3, 495.00, for a total sum now due and owing of $11, 367. 98 which Total Sum shall bear interest at the legal rate of 4 .75 percent per annum, according to Florida Statute 55. 03, for all of which sum let execution issue forthwith and immediately. Additionally, it is hereby ordered that the Defendants shall complete a copy of the attached Fact Information Sheet and return it along with the documents requested therein to Andrew S. Epstein, P.A. , 2120 McGregor Blvd, Ft. Myers, FL 33901, within thirty (30) days of the date of the Court' s sendin• • a co ormed copy of this Judgment.)) DONE AND ORDERED in Chambe ■ County, Florida, this 3/ day of May 2012. 1 ' ..R� 1Hi -'�ONZALEZ CIRCUIT C• ' -T r - IGE COPIES FURNISHED TO: Andrew S. Epstein, P.A. , Civil Box #67 M & C FLORIDA PAVERS, INC. , 4530 15th Avenue SW, Naples, Florida 34116 MICHAEL DIEHL, 4530 15th Avenue SW, Naples, Florida 34116 This 31 day of 'rrla�.��. 2012, Judicial Assistant The Plaintiff' s address is: TRICIRC PAVERS, INC. , 2620 Jeffcott Street, P.O. Box 51030, Fort Myers, Florida 33994 For Satisfaction or Payoff Information Call (239)791-5297 Detail by Entity Name http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?... FLORIDA DEPARTMENT OF STATE Home Contact Us E-Filing Services Document Searches Forms Help Detail by Entity Name Florida Profit Corporation FLORIDA PAVERS, INC. Filing Information Document Number P96000048698 FEI/EIN Number NONE Date Filed 06/07/1996 State FL Status INACTIVE Last Event ADMIN DISSOLUTION FOR ANNUAL REPORT Event Date Filed 09/26/1997 Event Effective Date NONE Principal Address 6261 W. ATLANTIC BLVD. SUITE 107 MARGATE, FL 33063 Mailing Address 6261 W. ATLANTIC BLVD. SUITE 107 MARGATE, FL 33063 Registered Agent Name & Address RICETTI, TARCICIO G 6261 W. ATLANTIC BLVD. SUITE 107 MARGATE, FL 33053 Officer/Director Detail Name &Address Title PVTD RICETTI, TARCICIO G 6261 W. ATLANTIC BLVD. #107 MARGATE, FL 33063 f noyright©and Privacy Palicies State of Florida,Department of State of 3 7/10/2015 8:59 AM Detail by Entity Name http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?... No Annual Reports Filed Document Images 06/07/1996 -- DOCUMENTS PRIOR TO 1997 View image in PDF format 7/10/2015 8:59 AM '.of 3 6261 W Atlantic Blvd,Margate,FL,33063 -Medical Office Property fo... http://www.loopnet.com/Listing/18698512/6261-W-Atlantic-Blvd-Marga... Become c`Tee member Lag in &� LoopNet Connecting Commercial Real Estate" For Sale For Lease Find a Broker Add Listing My LoopNet 6261 W Atlantic Blvd, Margate, FL, 33063 -Available for Lease Office For Lease 3 r l 'fix"+TR 3 r+✓ k'`., & n-J # e . v 'this active lease listing or start a search to find more prope es.for ',se: „.• For Lase ' M I ,ems Margate,FL Search ,r;.:1.?` t- Browse More Listings in Office For Lease,Margate,FL or Florida Senior Medical Associates $14 /SF/Year Presented by Jaffer Realty LLC. 6261 W Atlantic Blvd,Margate,FL 33063 8,000 SF I Office r- ,.., ,- ;1'+ Contact Listing Broker ! ` Fauzia Jaffer S,`{4'NF © PREMIUM -i �ty g a r r ay. 3 Ii . Ell '1�. i -. ' .. .wre :.t. r �.r' i Pr . % ,, MOT i_ Ph one --. ext t s. r A3.0SIA( _:nwr. i; I I 0? � Please send me additional information r._1 -,_'i uainvaf, ' 1 ' v i. 4 � about this property. Contact Listing Broker - - - By clicking"Contact Listing Broker",you are - : '. - indicating that you have read,understood,and - -- ,- _ agree to LoopNet's Terms and Conditions. *Ir \. -,if ,-; - — We will not share your email address.View our Privacy Policy. Office Property For Lease Total Space Available: 8,000 SF Building Class: A Rental Rate: $14/SF/Year Lot Size: 1 AC Property Type: Office Listing ID 18698512 Property Sub-type: Medical Office Last Updated 9 days ago Building Size: 8,000 SF Find Out More... 1 Space Available Display Rental Rate as Entered of3 7/10/2015 9:01 AM 6261 W Atlantic Blvd,Margate,FL,33063 -Medical Office Property fo... http://www.loopnet.com/Listing/18698512/6261-W-Atlantic-Blvd-Marga... Space 1 Space"vellobie. 8,30G SF Rental Rate: $14/SF/Year 1.`.ccCe 'Vpe. iv Iecic:i Office ., Lecse Type: NNN r'......::. . Lease Term: 36 Months =yam No.Parking Spaces: 50 Advertise Here - Fully built out medical space. Local Branding Ads Tarter..potential Cus one-s'r.yCIJr Description mar''<et. 2 story bldg.on Atlantic blvd.completely build out.Ground floor for Medical and 2nd.floor for Click to learn more office.4 huge bathrooms.and plenty of parking.also available for sale Atlantic Blvd 2 blocks West of 441 (State Road 7) Map of 6261 W Atlantic Blvd,Margate, FL 33063 (Broward County) Hide Map -,LL ,^.Tar•?!C - ✓¢t Center NW 9111C: Nw 10th Dr B d `' (vW iltn St fp 0 NW letlt ,4415 Vsnso - NW 9th C7 P3'I` Nvv 9th St .� �i LoopNet- NL'J Bth C! c. Z ? NW 5th St L.,),O,de Dr NW 8th St _c m - Z NW 7th C- , a NW 7th St D _ NW 6th Ct -- Z - - - 51-171 - W Atlantic Blvd :" - ..$ ..._.. W.Atlantic Eh, NW ah st a C t NW 3rd St¢' _ NW 3rd St r+ i — E t 7 NW 2nd St NU n O 2nd St y NW 1st Ct B • B . 1 Z NW 1st Sr - NW St 44411, NW 1st 5t L - p „ n ,W 1st Sr SW 1st St 6i665c10°. r` SW 1st CL SW 2nd St ' ►J bing Southgate Blvd c _pdw Research for 6261 W Atlantic Blvd,Margate,FL 33063(Broward County) Demographics-Population,income&other demographics near 6261 W Atlantic Blvd Research Price-Recent sales of similar properties Property Record Data-Historical listings,current tax,mortgage,owners&tenant info for this building Contact Listing Broker to find out more details. More from: Fauzia Jaffer r... ALA st`= of3 7/10/2015 9:01 AM 6261 W Atlantic Blvd,Margate,FL,33063 -Medical Office Property fo... http://www.loopnet.com/Listing/18698512/6261-W-Atlantic-Blvd-Marga... p PREMIUMp .. View Profile Margate Weston Senior Medical Hillsboro Health Margate, FL e ifr Fcc cic s Deerfield Beach, $1,670,000 Weston,FL Pompano Beach, FL 7,592 SF 15,000 SF FL N/A $24/SF/Year 6,000 SF $20/SF/Year $18/SF/Year Asking Price Index Trends for Margate, FL Office For Lease Asking Rent Office for Lease Margate,FL(s/SF/Year) 522 vs 3 ma Jun 15 6r-tr. Y-O-Y State $17 +1.1%+3.8% 520- -Metro $21 +1.0%+6.6% County $18 1-2.0% 1.6.1% S18- M City $17 3.6%+8.4% 516 $14 Jul 12 Jan 11 Jul'13 Jan 1= Jul 14 Jan 16 — State —Metro —County ---City •:,1 LooPNet View Margate Market Trends for other property types for sale or lease.Learn more about the chart info. The information°cave has been obtained from sources believed•eiicbie.While we do not doubt its accuracy we have not verified it and make no cuarontee,warranty or representation about it.It is your orseli rdee r .'- r itp accuracy d completeness.Any l_ct ors,opinions,assumcoicr or est!rrctes e.:are rcr coon pie cry inc do not represent, e current or v:ur ,_e cr-crc_CT th cr_per'. be,,clue of this transaction to you cep_ as on ter cn ::r.1-er factors Nrcb sha_id be sicluated./;cur tax,`inoncic,and'egcl xc/i=_ars.You arc your c_.isort should conduct c careful,independent :hues iaation of the proper.?to determine to vaur satisfaction the suitability of the proper/for your needs.?E-,MC im Contact Us - of 3 7/10/2015 9:01 AM 5421 EGRET TERRACE http://www.bcpa.net/RecInfo.asp?URL_Folio=484206290050 2 , fi I 8�O A� '` PROPERTY APPRAISER Site Address 6421 EGRET TERRACE, COCONUT CREEK ID# 4842 06 29 0050 Property Owner DOS SANTOS,JOSE CARLOS A&G C Mil lage 3212 Mailing Address 16421 EGRET TER COCONUT CREEK FL 33073 Use 1 01 Abbreviated REGENCY LAKES AT COCONUT CREEK 157-23 B POR PAR A DESC AS COMM E MOST Legal SE COR OF SAID PLAT,W 862.88 TO POB W 152.45,N 13.19,NE 197.16,SLY&ELY AN Description ARC DIST 24.38,SW 26.54,S 110 TO POB AKA: LOT 5-POD I FAIRMONT AT REGENCY LAKES The just values displayed below were set in compliance with Sec. 193.011, Fla. Stat., and include a reduction for costs of sale and other adjustments required by Sec. 193.011(8). Property Assessment Values Click here to see 2014 Exemptions and Taxable Values as reflected on the Nov. 1, 2014 tax bill. Just/Market Assessed/ Tax Year Land Building Value SOH Value 2015 $42,520 $334,380 $376,900 $253,480 2014 $42,520 $244,070 $286,590 $251,470 $4,956.82 1 2013 1 $42,520 1 $228,250 $270,770 I $247,760 1 $4,923.61 20'! , Exemptions and Taxable Values by Taxing Authority I1 County School Board Municipal 1 Independent Just Value $376,900 $376,900 $376,900 $376,900 Portability 0 0 0 0 Assessed/SOH 05 $253,480 $253,480 $253,480 1 $253,480 Homestead 100% $25,000 $25,000 $25,000 $25,000 Add.Homestead $25,000 0 $25,000 $25,000 WidiVet/Dis 0 0 0 0 'Senior 0 1 0 0 0 Exempt Type 0 0 0 0 Taxable $203,4801 $228,480 $203,480 $203,480 Sales History Land Calculations Date 1 Type Price Book/Page or CIN Price Factor Type 8/18/2003 WD $315,000 35945/1158 _ $7.00 5,499 SF 11/24/1999 WD $192,700 30089/1232 $0.51 7,892 SF 7/7/1999 WD* $1,169,300 29651 /300 1 Adj. Bldg.S.F.(Card, Sketch) 3104 Units 1 *Denotes Multi-Parcel Sale(See Deed) Special Assessments Fire Garb Light Drain Impr Safe Storm Clean Misc 32 Z CM R I 1 CM 1 of 1 7/10/2015 9:06 AM 2015 FLORIDA PROFIT CORPORATION ANNUAL REPORT FILED DOCUMENT# P02000020086 Jan 08, 2015 Entity Name: M & C PAVERS, INC. Secretary of State CC4017613121 Current Principal Place of Business: 11 SW 5TH COURT POMPANO BEACH, FL 33060 Current Mailing Address: 11 SW 5TH COURT POMPANO BEACH, FL 33060 FEI Number: 30-0045693 Certificate of Status Desired: No Name and Address of Current Registered Agent: OGC ASSOCIATES P.A. 244 S MILITARY TRAIL DEERFIELD BEACH,FL 33442 US The above named entity submits this statement for the purpose of changing its registered office or registered agent,or both,in the State of Florida. _ SIGNATURE: ODIJAS CAMINHA 01/08/2015 Electronic Signature of Registered Agent Date Officer/Director Detail : Title PD Title VPD Name SILVA RIBEIRO,CARLOS ALBERTO Name DOS SANTOS,JOSE CARLOS Address AV.GENERAL ATALIBA LEONEL Address 11 SW 5TH COURT 1753 City-State-Zip: POMPANO BEACH FL 33060 City-State-Zip: CARANDIRU SAO PAULO 02033-010 Title TREASURER Title DTS Name ETNA'S INDUSTRIA COMERCIO E Name DOS SANTOS,GIOVANNA LOCACAO DE EQUIPAMENTOS PARA Address 11 SW 5TH COURT CONSTRUCAO LTDA Address RUA UPAROBA -GUAIAUNA City-State-Zip: POMPANO BEACH FL 33060 29 City-State-Zip: TATUAPE SAO PAULO 03630-050 hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath;that i am an officer or director of the corporation or the receiver or trustee empowered to execute this report as required by Chapter 607,Florida Statutes;and that my name appears above,or on an attachment with all other like empowered. SIGNATURE:CARLOS ALBERTO SILVA RIBEIRO PD 01/08/2015 Electronic Signature of Signing Officer/Director Detail Date Findings of Fact, Conclusions of Law and Decision of the Board Collier County Contractors' Licensing Board For Applications Submitted to the Board for Review Type of Application: X Credit Report Review Waiver of Testing Requirements Reinstatement of License Request to Qualify Second Entity Other (specify) THIS CAUSE came on for public hearing before the Contractors' Licensing Board (hereafter Board) on February 18, 2015, for a review of the Applicants progress relating to his credit. The type of application is set out above. The Board having heard testimony under oath, received evidence, and heard arguments relative to all appropriate matters, thereupon issues its Findings of Fact, Conclusions of Law and Order of the Board as follows: FINDINGS OF FACT 1. That Luis Escobar dba Florida IB&S, LLC (the "Applicant") previously submitted an application to the Collier County Contractor Licensing Supervisor or his designee for a Certificate of Competency as a drywall contractor and based on the application supplied by the Applicant the Licensing Supervisor determined a review by the Board was necessary. The Board determined previously that further review of the credit was warranted. 2. That pursuant to Section 22-184(b) of the Code of Laws and Ordinances of Collier County, Florida applications which do not appear on their face to be sufficient require referral to the Board for a decision regarding approval or denial of said application. 1 360233.1 3/11/2015 3. That the Board has jurisdiction over this matter and that Luis Escobar was present at the public hearing on February 18, 2015, and was not represented by counsel. 4. All notices required by of the Code of Laws and Ordinances of Collier County, Florida, as amended, have been properly issued. 5. The facts in this case are found to be: a. Applicant's credit history is such that continued probation and follow up with the Board is necessary. CONCLUSIONS OF LAW 1. Based upon the foregoing facts, the Board concluded that the applicant has not met the standard set out in of the Code of Laws and Ordinances of Collier County, Florida, as amended, for approval of the application without probationary terms. ORDER OF THE BOARD 1. Based upon the foregoing Findings of Fact and Conclusions of Law, and pursuant to the authority granted in Chapter 489, Florida Statutes, and of the Code of Laws and Ordinances of Collier County, Florida, as amended, by a vote of 8 in favor and 1 opposed, the Applicant's application was granted with the following conditions: a. The Applicant shall be granted a further nine (9) probationary license and shall appear before the Board for review in nine (9) months with an updated personal credit report. 2 360233.1 3/11/2015 1 • ORDERED by the Contractors Licensing Board effective the 18th day of February, 2015. CONTRACTOR'S LICENSING BOARD $LLIER COUNTY, FLORIDA 60, By: Patric White, Chairman I HEREBY CERTIFY that a true and correct copy of the above and foregoing Findings of Fact, Conclusions of Law, and Order of the Board has been furnished the Applicant, and Michael Ossorio, Licensing Compliance Supervisor, 2800 North Horseshoe Drive, Naples, FL 34103 on this 18th day of February, 2015. Secretary/Contractor's Licensing Board 3 360233.1 3/11/2015 CREDIT CHECK CONFIDENTIAL J T - - Individual Credit Report ame. . . . : ESCOBAR, LUIS FERNANDO Ordered By: 1374 Customer : 9999 .ddress 1015 SILVERSTRAND DRIVE M, T Received . 12/28/15 NAPLES , FL 34110 Completed : 12/28/15 .oc_al # : Applicant :MlliIllF1988 CREDIT RECORD Credit history has been checked for a period of seven years or from open date. ) Creditor Dace Date High Unpaid Past Pay HiscorLc Stat Current Kos Account Number Reported Opened Cred:t 8:317ncc Due Terms 30 60 90 Status Fay ECQA ALLY FINCL COLLECTION 24912858800 10/15 04/08 21709 5276 5276 302 -- -- -- I9-* 09 S DLA=01/13 LMEX COLLECTION 3499907278438173 06/15 11/06 6664 6664 6664 0 -- -- -- 09-* 10 A DLA=06/15 3$&T AS AGREED 387122467161001 10/08 07/07 56916 CLOSED 0 0 0000 00 II 15 S DLA=10/08 3K OF AMER FORECLOSURE 133459108 03/12 05/06 313200 0 0 0 0403 10 M5-* 48 A DLA=03/12 3MW FIN SVC AS AGREED 1000621073 10/08 02/08 16886 CLOSED 0 0 0000 00 I1 07 A DLA=10/08 :ACH LLC COLLECTION 120017950299 11/15 06/12 51056 5105651056 COLL -- -- -- 09-* 04 S )RIGINAL CREDITOR: WELLS FARGO BANK N A ;APITAL ONE AS AGREED 411507702780 09/15 02/05 2925 0 0 REV 0000 00 RI 12 A DLA=06/15 :APITAL ONE CUR WAS 60 517805728056 12/15 12/08 1315 620 0 25 02 01 00 R1--* 29 A DLA=12/15 APITAL ONE AS AGREED 529107228819 10/11 02/03 2675 PAID 0 REV 00 00 00 R1 48 T DLA=10/11 )rdered by: APPLICANT - SEE NAME ABOVE teporting Agency: Credit Check, Inc. -3017 Exchange Court, Suite H, West Palm Beach, FL 33409 _ (561) 616-5556 CREDIT CHECKM CONFIDENTIAL Lame - ESCOBAR, LUIS FERNANDO Customer ; 9999 Page : 2 CREDIT RECORD Credit history has been checked for a period of seven years or from open date . ) Creditor Cate Date High Unpaid Paat [Pay H�3toiir Star Current Moo Account Number Reported Opened Credit Balance Cue Terms 30 50 40 Status Rev ECOA :APITAL ONE AS AGREED 540801003612 01/10 05/04 2690 PAID 0 REV 0000 00 R1 48 A DLA=01/10 .RASE COLLECTION 540168303985 10/13 09/03 8127 8127 8127 243 -- -- -- R9-* 12 A DLA=08/11 )ITECH FORECLOSURE 89798423 06/11 09/07 399750 0 0 0 01 00 00 242-* 05 A DLA=04/11 )YCK ONEAL COLLECTION 28949243 11/15 01/15 31372 3137231372 COLL - -- -- 09-* 01 A )RIGINAL CREDITOR: COUNTRYWIDE HOME LOANS INC TCO NO STATUS 3566405 10/10 06/10 1915 1715 0 LOLL -- -- -- 09-* 00 A \CCOUNT INFORMATION DISPUTED BY CONSUMER-ORIGINAL CREDITOR: THE MADISON 4.T SPRING OAK JATL FITNESS PD COLLECT 2170860000200458 09/14 09/11 164 PAID 0 0 -- -- -- 09-* 03 A )RIGINAL CREDITOR: AMERICAN FAM FITNSS WEST END )CWEN/LITTON PD WAS 120 19515972 01/11 09/07 399750 0 0 0 02 05 01 M5-* 38 A DLA=11/10 ?ORTFOLIO RC PD COLLECT 4121747041838592 11/15 12/14 466 0 0 0 -- -- -- 09-* 01 A ORIGINAL CREDITOR: CAPITAL ONE BANK USA SEARS/CBNA AS AGREED 504994108439 12/15 03/07 9032 CLOSED 0 REV 0000 00 Rl 48 A DLA=02/08 ;EARS/CBNA AS AGREED 504994105097 11/15 06/07 4571 CLOSED 0 REV 0000 00 R1 48 A DLA=10/08 3T FARM BK PD WAS 30 853248016100001 06/11 10/08 29833 CLOSED 0 0 0600 00 11-* 31 C DLA=06/11 ]rdered by: APPLICANT - SEE NAME ABOVE Reporting Agency: Credit Check, Inc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409 . (561) 616-5556 SM CREDIT CHECK CONFIDENTIAL lame ESCOBAR, LUIS FERNANDO Customer : 9999 Page ; 3 CREDIT RECORD Credit history has been checked for a period of seven years or from open date . ) oaLe High Unpaid Past Pay Hi�toric Stat Current Mo7 Data p Account Number Reported Opened Credit da1anoc, ❑ue TermS 30 60 90 Status Rev ECOA >T FARM BK PD WAS 90 853237974600001 06/11 10/08 49192 CLOSED 0 0 0502 01 II-* 32 C DLA=06/11 >UNTRUST MTG PD WAS 120 9420146716477 09/11 09/07 79950 0 0 0 0503 02 M5_* 46 A DLA=04/11 =TRUST MTG AS AGREED 9420206424426 05/08 09/07 399750 CLOSED 0 0 0000 00 M1 04 A DLA=04/08 :ILESTORE AS AGREED 577442125009 09/09 06/07 3000 PAID 0 REV 0000 00 R1 27 A DLA=02/08 Total trade lines on this re.ort: 24 TURING RECORDS: TRANSUNION PUBLIC RECORD --- ;OURCE DATE LIAB ECOA DOCKET# TYPE COURT LOC PLAINTIFF/ATTORNEY 04887406 12/16/11 $209 I 02/10/15 V1102752700 ?AID CIVIL JUDGMENT HENRICO COUNTY CT (VA) POUNCEY TRACT VET HOSP 04887406 05/18/12 $4 , 212 I V1200775300 IVIL JUDGMENT HENRICO COUNTY CT (VA) FORD MOTOR CREDIT 3OURCE (S) : EQUIFAX TRANSUNION NQUIRIES: L2/28/15 by CREDIT CHECK (TU) #00630273 ;OMMENTS: ?BAUD RECORDS HAVE BEEN SYSTEMATICALLY CHECKED BY THE ABOVE ACCESSED BUREAUS . 3AFESCAN/EQUIFAX, HAWK ALERT/TRANSUNION CHECKED FOR FRAUD. ZEPORT WORKED BY RENEE :REDIT SCORE: 0PPLICANT FICO SCORE: 577 ( scores range from 300 to 850 ) )rderedby: APPLICANT - SEE NAME ABOVE Zeporting Agency: Credit Check, Inc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409 . (561) 616-5556 CREDIT CHECK CONFIDENTIAL lame • ESCOBAR, LUIS FERNANDO Customer : 9999 Page : 4 *** END OF REPORT *** This information Is conndendal and Is not to be dfyuiged except se required by the Fair Cra lit Reputing Act. Thia personal report is fumishad simply 15 an aid In determining the credit desirability of the appllrsni(e). It Is based upon Information obtained In good faith by this agricy from sotrcee deemed reliable. The accuracy of same,however,Is in no way 9uererlteed, 9y your acceptance and use of this sport,you spedfically agree to Mid Credit Check,Inc_hamllese from any Ilabiilty whotaoevw ordered by: APPLICANT - SEE NAME ABOVE 7..r...rii.,w A ,......• r-`rn.lii r1ti,,n L. 1.... '71197 CvwF.w LI W..n♦ O..Iw. O. win CI 7^ AAPl /GGl' GAG CC GC T1-11-(lJ n rsC CREDIT CONFIDENTIAL CHECK individual Credit Report Ordered By: Name. . . . : ESCOBAR, LUIS FERNANDO Customer : 9999 Address : 1015 SILVERSTRAND DRIVE Received : 01/21/15 NAPLES, FL 34110 Completed : 01/21/15 Bill Amt : $60.00 Social #: Applicant: _ CREDIT RECORD Credit histor has been checked for a •eriod of seven ears or from o•en date. Date Date High Unpaid Past Pay Historic Stat Current Mos Cr Acedicoutnt Nor umber Reported Opened Credit Balance Due Terms 30 60 90 Status Rev ECOA Reported COLLECTION A20204898 E 255 255 COLL -- -- -- 09-* 02 A 20204898 06/14 04/12 255 ORIGINAL CREDITOR: CITY OF RICHMOND UTILITY COLLECTION ALLY FINCL _ __ __ Ig...* 08 S 24912858800 01/15 04/08 21709 5276 5276 302 - DLA=01/13 COLLECTION AMEX _ __ __ 09-* 09 A 3499907278438173 05/14 11/06 6664 6664 6664 0 DLA=05/14 AS AGREED BB&T 10/08 07/07 56916 CLOSED 0 0 0000 00 11 15 S 387122467161041 DLA=10/08 FORECLOSURE BK OF 108 03/12 05/06 313200 0 0 0 0403 10 M5-* 48 A 4 133A 59108 DL093/12 AS AGREED BMW FIN SVC 10/08 02/08 16886 CLOSED 0 0 0000 00 I1 07 A 1000621 DLA=10/08 073 COLLECTION CACH LLC - -`� `�- 09-* 0 3 S 120017950299 12/14 06/12 51056 5105651066 COLL — ORIGINAL CREDITOR: WELLS FARGO BANK N A COLLECTION CAP ONE _ __ __ Rg-* 11 A 411507702780 01/15 02/05 2925 2982 2982 89 - DLA=08/11 AS AGREED CAP ONE 2675 PAID 0 REV 00 � � grAr T 529107228819 10/11 02/03 ? i DLA=10/11 JAN 2 3 2015 tli Ordered by: APPLICANT - SEE NAME ABOVE R e ra�£�5556 Reporting Agency: Credit Check, Inc. - 3017 Exchange Court, Suite H,West Palm Beach, FL 33 ; ...(5B1) p 9 40V sm J�EDIT C uE cK CONFIDENTIAL Name • ESCOBAR, LUIS FERNANDO Customer: 9999 Page : 2 CREDIT RECORD (Credit history has been checked for a period of seven years or from open date. ) Creditor Date Date High Unpaid Past Pay Historic Stet Current Mos Account Number Reported Opened Credit Balance Due Terms 30 60 90 Status Rev SCOA t V q1 CAP ONE AS AGREED 540801003612 01/10 05/04 2690 PAID 0 REV 0000 00 R1 48 A DLA=01/10 CBE GROUP COLLECTION 124290112 11/14 05/13 769 230 230 COLL -- -- -- 09-* 01 A ORIGINAL CREDITOR: DOMINION ELECTRIC WAREHOUSE CHASE COLLECTION 540168303985 10/13 09/03 8127 8127 8127 243 -- -- -- R9-* 12 A DLA=08/11 CITIFINANCIA AS AGREED 6074639334135889 07/05 07/04 4165 CLOSED 0 0 0000 00 I1 12 A DLA=07/05 DEBT REC SOL COLLECTION XXXX845122932 04/14 01/14 4444 4444 4444 COLL -- -- -- 09-* 00 A ORIGINAL CREDITOR: VERIZON VIRGINIA INC FCO NO STATUS 3566405 10/10 06/10 1915 1715 0 COLL -- -- -- 09-* 00 A ACCOUNT INFORMATION DISPUTED BY CONSUMER-ORIGINAL CREDITOR: THE MADISON AT SPRING OAK GREEN TREE FORECLOSURE 89798423 08/11 09/07 399750 0 0 0 0200 00 M2-* 07 A DLA=04/11 LITTON LOAN PD WAS 120 19515972 01/11 09/07 399750 0 0 0 0205 01 M5-* 38 A DLA=11/10 NATL FITNESS PD COLLECT 2170860000200458 09/14 09/11 164 0 0 0 -- --- -- 09-* 03 A ORIGINAL CREDITOR: AMERICAN FAM FITNSS WEST END SEARS/CBNA AS AGREED 504994105097 12/14 06/07 4571 CLOSED 0 REV 0000 00 R1 48 A DLA=10/08 SEARS/CBNA AS AGREED 504994108439 12/14 03/07 9032 CLOSED 0 REV 0000 00 R1 48 A DLA=02/08 Ordered by: APPLICANT - SEE NAME ABOVE Reporting Agency: Credit Check, Inc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409 . (561) 616-5556 � CONFIDENTIAL CREDIT CHECK ame • ESCOBAR, LUIS FERNANDO Customer: 9999 Page: 3 CREDIT RECORD Credit histor has been checked for a •eriod of seven ears or from o•en date. h Unpaid Past Pay Historic Stet Current Hoe Date Date Hi 9 Cr Due Terms 30 60' 90 Status Rev ECOA BK eior ened Credit Balance Reported OP Accdoutnt 3�umber PD WAS 90 ;T FARM 74 06/11 10/08 49192 CLOSED 0 0 0502 01 I1-* 32 C 853237974 DLA=06/11 600001 PD WAS 30 3T FARM 16 06/11 10/08 29833 CLOSED 0 0 0600 00 I1* 31 C 853248016100001 DLA=06/11 PD WAS 120 MTG 0 0 p 05 03 02- MD=*- 46 0—A - SUNTRUST 164 09/11 09/07 79950 9420146716477 DLA=04/11 AS AGREED SUNTRUST MTG 05/08 09/07 399750 CLOSED 0 0 0000 00 M1 04 A 9420206424426 DLA 04/08 AS AGREED T 09/09 06/07 3000 PAID 0 REV 00 00 00 R1 27 A 577442127744212 5009 DLA=02/08 Total trade lines on this resort: 25 PUBLIC RECORDS: PUBLIC RECORDS HAVE BEEN CHECKED AT THE EE COUNTY,BELOW,STATE AND FEDERAL LEVELS WITH THE FOLLOWING RESULTS AS OF 01/21/15 TRANSUNION PUBLIC RECORD --- DOCKET# SOURCE DATE LIAB ECOA PLAINTIFF/ATTORNEY Z COURT LOC V1102752700 TYPE CIVIL 04887406 12/16/11 $209 HENRICO COUNTY CT (VA) POUNCEY TRACT VET HOSP CIVIL JUDGMENT V1200775300 Z 04887406 5/18/12 $4, 212 HENRICO COUNTY CT (VA) FORD MOTOR CREDIT CIVVIL LJUD JUDGME0NT SOURCE(S) : EQUIFAX TRANSUNION INQUIRIES: 01/21/15 by CREDIT CHECK (TU) #00630273 COMMENTS: FRAUD RECORDS HAVE BEEN SYSTEMATICALLY CHECKED BY THE ABOVE ACCESSED BUREAUS. Ordered by: APPLICANT - SEE NAME ABOVE ortin Agency: Credit Check, Inc.-3017 Exchange Court, Suite H,West Palm Beach, FL 33409 . (561) 616-555 Rep g 9 S • CONFIDENTIAL I CREDIT CI-IECK COBAR LUIS FERNANDO Customer: 9999 Page: 4 amp • ES r ;OMMENTS: FOR FRAUD. ;AFESCAN/EQUIFAX, HAWK ALERT/TRANSUN�T ON CHECKED tEPORT WORKED BY RENEE CREDIT SCORE: APPLICANT FICO SCORE: 571 (scores range from 300 to 850) *** END OF REPORT *** This information Is cordderrtial and is not to be&aged except as Fured Iv the l=air Credt f eportrg Ad front sources deemed repati e. as an aid In determining tie c edt desirability of the appflcant(s).it Is you a upon Information obt In good Check, it l this agency��GaMlrc s dee oe d r. Th s persona/Th c report I s same,hd rovef, guaranteed. By your acceptance and use of bds repel,y The accuracy of same,haxever,Is in no way Ordered by: APPLICANT — SEE NAME ABOVE Reporting Agency: Credit Check, Inc. - 3017 Exchange Court, Suite H,West Palm Beach, FL 33409 . (561) 616-5556 GMD Operations & Regulatory Managem t_ �j k Licensing Section OAR 4 2 p 2800 North Horseshoe Drive L Naples, FL 34104 � . . . 4 — 776 APPLICATION FOR. COLLIER COUNTY/CITY OF NAPLES/CITY OF MARCO FIRM INSTRUCTIONS: This application must be typewritten or legibly printed. The application fee must accompany this application. The fee is not refundable after the application has been accepted and entered on the records. All checks should be made payable to the Board of Collier County Commissioners. For further information, consult Collier County Ordinance No. 00-IU6, as amended, NAME OF COMPANY; / / i Exact Corporate/Business Name: 2 C7_C� _L_ �.[ .-t; r Fiction Name/DBA: n Qualifier Name; L�,tfS LtX_1� .1( 0 Physical Address; 30 8,1 r (/t// a )(p TL /09 (Number & Street) CO (Ci d) (State) (Zip Code) Mailing Address:33 5 g24� t O a� 1� at, � � 3L�/47 9 . (Number & Str et Ci (State) (Zip L ( ) (� ( f.Y) / ( n ) ( P ode) ) t Telephone: ` g ° 1 E-Mail: L2-Se-okct` i in(6 ij r�x/Ltt-) dc4 TYPE OF LICENSE: Li General $230.00 ❑ Electrician $230.00 ❑ Building $230.00 ® Plumber $230.00 ❑ Residential $230.00 ❑ Air Cond. $230.00 prierhwical $• 3n M ❑ Swiiiiiiiiiig Puui $230.00 ❑ Roofing $230.00 ! If Specialty $205.00 Specialty trade: D C 1,l t,L u ■ L(j i lt if'id—l is CHANGE OF STATUS: ( ) Reinstatement ( ) From One Business to Another ( ) Dormant License�to Active 1 Page 1 of 4 � I� C)tEttIvl i ° a V t4a°�-0�I + 1. The names, titles, home address and phone numbers of all Officers/Managing Members of the Firm. 61a cCel cre- ip r<( . 3q --- ei70 - 7 -1 3,5 S A:21r(_‘ 1,() _( n6q3b,, -/-C 3,00 2. List all businesses, firms, entities or contracting businesses you have been associated with during the last ten years (ex. Held a license for or been a partner). Attach extra pages if needed. �n c-:(�S .e,: atut_, ��.��, (._/ ' 4 E ',/--7'Uzz , 3. List all debts you or any company(s)associated with you refused to pay and the reasons for the refusal to pay, Attach extra pages if needed. AFFIDAVIT 1, (j,�� Al / t /"certify that the foregoing is true and c• set to the best of my knowledge. - • horized Officer of the Firm STATE OF FLORID• ,, i COUNTI'OF , ,p The foregoing instrument as acknowledged before me this e -/ S a 4 2 / Mk(Date) By fL J of f'( �. La`s 6W S J1 Ci� (Name of officer, title/agent) (Name of Corporatiol ) a -C-°' p Corporation on behalf of the corporation. (State or Place of Corporation) He/She has produced -e-r,.�A- i identification and did not take an oath. (Type of idcr) ification) 1 f-,,�r-•"','., ANAMtLE Fr_Ri3 GUT MY COMMISSION#FF071969 NOTARY'S SEAL. ;'a„��,'` EXPIRES November 20.2017 ��"'._. av i curt u+5� r+trr+;UlNCy1rySON ce.co rt . . ._, e ° ( • ► T-i -OTARY) • Page 2 of 4 , QUALIFIER INFORMATION: � Name: ( ,(, U j(�/ < �l� -0_/(n -- 6 ' Address: S° — S -A-ct• Lt-el) 0Q� - 'o.3 -FL 3 �/O 9 ' (Numbetr�&Street) (City) (State)- (Zip Code) S.S. #: 000-00 E-Mail: 1�Cf�.4ecret ��C. 1.CdLit llc. ,- Driver's License: 1. Type of Certificate ompetencyppfoorwhich application is made, 2. The •-mes and telephone numbers of two persons who will know your whereabouts. . I I Ciiinpc-v_eA-10-e___ 30 -- 980 - 5//7D- . 3. Have you ever been convicted of a crime related to Contracting? 10 _ (If yes attach extra sheet with explanation) 7. Have yQu or any firms you have heen associated with ever filod bankruptcy? n 0 8. List all debts you or any company(s) associated with you refused or failed to pay and reasons why. ( D 9. List your business or work experience during the past ten years. ,c-7 , ,f- f U GJ 10, Statement of any formal training you have had in the area for which the application is made. m Page 3of4 AFFIDAVIT The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County Ordinance No. 2006-46, as amended, and vouches for the truth and accuracy of all statements and answers herein contained. The undersigned hereby certifies that he is legally qualified to act on behalf of the business organization sought to be licensed in all matters connected with its contracting business and that he has full authority to supervise construction undertaken by himself or such business or organization and that he will continue during this registration to be able to so bind said business organization. The qualified license holder understands that in all contracting matters, he will be held strictly accountable for any and all activities involving his license. Any willful falsification of any information contained herein is grounds for disqualification. APPLeANT(PLEASE PRINT) NAME OF PANY S! U`NA( 111 APPI ICAN�� STATE OF FLORIDA COUNTY OF The foregoing instrument as acknowledged before me this c2—/ 1 , /9?ak-P /t/ Date By 4c6(1.2 who has produced (Nme of person acknowledging) (Type of identifion) as identification and did not take an oath. ANAMILE FERRAGUT — e 1 MY COMMISSION#FF071969 EXPIRES November 20,21)17 NOTARY'S SEAL .(407)39 0153 Florida NolaryServica.com Ulla (A • C( fi NATU _E t- NU • • • • • Page 4 of 4 • AFFIDAVIT [T IS understood and acknowledged by the Collier County Contractors' Licensing Board and myself that if fail to acquire, or maintain at all times effective Workmen's Compensation Insurance it will result in the )ossible revocation of my Certificate of Competency. /ir1 -' rr • SIGN'k, 'E OF APPLICANT aD/, n �1 � zze__ BUSINESS NAME CO . 21 c/ L DA'Z'E YORE ME this day personally appeared U1-(2.--/ Cry, who affirms and says that he s less than one employee and does not req • Workmen's Compensation understands that at any 2 e he employees one or more persons he must obtain said Workmen's Compensation Insurance. ATE OF FLORIDA UNTY OF • +�l t for going instrument was acknowledged before me this �/ s/ �E�f�1 // (Date) ' O who has produced P./-a o (n e of person acknowledging) / (Type of identific ton) dentification and who did not take an oath. ANAMILE FERRAGUT �„•. 1.1 MY COMMISSION#FF071989 SI A f 'EOF . �_ of EXPIRES November 20,2017 (i97)398-ot53 FloridakotarySeMce,com f�P J �� l ty) " 4-trez G / NOTARY'S SEAL .$RINT NAME OF NOTARY PT BLIC) NOTARY PUBLIC • • • 1VERIFICATION OF CONSTRUCTION EXPERIENCE1f° G1AZD Operations & Regulatory Management Department Licensing Section 2800 N.Horseshoe Drive Naples, FL 34104 ,pplicant's Name: (-,6e_ , /�`// . r c '6 4 '` 'ertificate Category Requested: be Applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the pplieation for this certificate the Applicant must verify their experience within this trade. You are being requested to rovide information that will aid the Applicant in meeting this requirement. You should verify time of active experience •orking as an apprentice or a skilled worker(e.g. as a worker commanding the wage of mechanic or better in the trade). line served solely in a supervisory or administrative role should be described, but may or may not be considered efficient to demonstrate required trade experience. The person verifying trade experience must provide the following formation: ame,Title and license number of the person signing below and verifying Applicants relevantexperience: ante: 0a(t'i r) ae :t Li zi iiar1 •ole(rl-e tie: ipLC ves, '7-) / License Number(if applicable): D (0257 - .- ,me of Business: d 6'04,5/7,16,4,r 1 :sincss Address: ,-9fLQ I (Cat 1-1 - `,/It': � 1x/ ;1I, VA Isiness Phone: VO4- q.. >>117 The Applicant's years of experience from >�a-3 to '// :e applit tint's scope of work specific duties)included: CV �,-� t.(� I C 1 t — n01` I r\-C% f fditional Comments: n Isifying any information provided herein may subject your license to revoc�at'ion. , LAA Signature ') 1 Print Name: Gn(i fi'L�^, Q1 G7.0� -�,i}..�1- (,/a te of Florida only of Collier fe e Ling instrument was acknowledged hnfnre rme tithic �l day of I, i _ � _'� �c,_C r (1 (i, ( �0,1 X1-1•ct cLt who is;p`r-sonally tcn�i ,to me or p o'duced dentification and who did not tale an oath. 4 .. u ' Sipnatu e •f•otas, __ r` � i`s+,: NA t r�,: - �c�t ANAMILE F-RRAGUT -in i MYCOMrAisslo �lFFO71989■ ''''� P` EXPIRES November 20.2017 ;or n (407)398-0153 FloridallotoryService.com • VERIFICATION OF CONSTRUCTION EXPERIENCE? GMD Operations & Regulatory Management Department Licensing Section 2800 N. Horseshoe Drive Naples,FL 34104 `- ____(,e j__ L_jil,_, —4_,a--A-4 6 el__Z gl._,--- .pplicant's Name: ertificate Category Requested: he Applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the pplication for this certificate the Applicant must verify their experience within this trade. You are being requested to rovide information that will aid the Applicant in meeting this requirement. You should verify time of active experience orking as an apprentice or a skilled worker(e.g. as a worker commanding the wage of mechanic or better in the trade). ime served solely in a supervisory or administrative role should be described, but may or may not be considered efficient to demonstrate required trade experience, The person verifying trade experience must provide the following formation: ame,Title and license number of the person signing below and verifying Applicants relevantexperience: ame: L.ac-r ‘,3 R Ar\rAV'esw5 _ tle: P r e.5 j_A e r k ... License Number(if applicable): RACY-)5 s as f ame of Business: �-1-t \ c c cm CD r k3 i L)CA \ \ i 1 c.c.. . JsinessAddress: tee c3.C)U hir1P LA �A r,?r.-I-- '- ao I i"-,1(IT 1p i \ 1— `-V-1Uq esine ss Phone: a30t- , - 11or) The Applicant's years of experience from aCXYB to r&Cl lur .te applicant's scope of work (specific duties)included: fil -1-a 1 -Pr-n,cv, n 9 ca nr\ rA c;,3u�cA \ ` Iditional Comments: lsifying any information provided herein may subject your license for voeation.� �C6.A.,t C C Signature { Print Name: vr12.(�.`� ' t�'i`) DKL w5 ue of Florida unty of Collier 5.-c- t.. ruts-ving lint,uim.lit li'U3 uukuuw iudgud(Jell:its isle oil (Ilk k day of t t G r4 14 L.(:c <- c.,_ 0.. R ) 01? ,,.)_s who is ersanally kiiu lu me or produced identification and who did not take an oath. 0_ v S9- c.,Srntn ,,` Signature of Notary I Al'3/4. . DZUJSE GSOSM y " J. �� oy PUNic-State of flnrt0 i i,�, Gam:Wires ?4,21717 ' •_d * .;my comm.Expires Mar 24,201, !i 146n 0 it 675620 :t. fir 4F; c .,�F Cormillssion if EE 875629 s ._ ,1 ,--ftztieaai Wary Alin,;- ' °f„"' l gE ►� p ,a,,3 � s -'�-' 3r -F ii,et.'_SV'-zi, .--: 3 _-?_.,w ''- '•iiY WL':=7i4.=4+-e,'4P'. (VERIFICATION OF CONSTRUCTION EXPERIENCE '.„1 sr <.--` _:_'"'v ..c•zYr,;mk i.,, y,ts _y.. .sx:iiY"`r ,,v,!h,;-,kr-., ,;s, x '?t:- GMD Operations & Regulatory Management Department Licensing Section 2 -00 N.Horseshoe Drive 'Naples, FL 34104 ` ` t • , -� , pplicant's Name: 1 ertificate Category Requeste'• _- he Applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the 3plication for this certificate the Applicant must verify their experience within this trade. You are being requested to rovide information that will aid the Applicant in meeting this requirement. You should verify time of active experience orking as an apprentice or a skilled worker(e.g. as a worker commanding the wage of mechanic or better in the trade). ime served solely in a supervisory or administrative role should be described, but may or may not be considered efficient to demonstrate required trade experience. The person verifying trade experience must provide the following form a tion: ame,Title and license number of the person signing below and verifying Applicants relevantexperience: ime: uiS 4/ejoh)e2 A( ar- tle: ethO G License Number(if applicable): wile of Business: 7/(iij 'iMuI " O./4 ZU Isiness Address: ,==2V4� w/(Q"` C-C-' / t'/71 gal l0Qc% !(� v4 isiness Phone; 1a/ -- 2 / -n The Applicant's years of experience from 760 3 to 2c21/. is applicant's scope of work (specific duties) included: '1 tre f, "- !dm, lx 6-/ molar 2 i; - Levi 19 fric✓ta 6° "/0 e- ark Sc AA .,.^ 64-4 10 1' l'- , 6t,,v`lor•,iIT5 Z�r ftlY/c. Iditional Comments: Isifying any information provided herein may subject your license to revocation. Signature U J / .r /c)r, Print Nam-. _ C � .te of Florida linty of Collier 7)i--5/1 0 �rI, • --)A /r 7 _ f tcgU'l y iu.ti uu�,il ,}�i.)au} 5u„'l�dbed Lbfu,e loo un this,_4i duy uf._..,f i �- ( Pik.e1-- , , f� ,1 who is}Z rsoually know_, o me or pro aced dentification a ., who did not take an oath. . A- ,LL f iLl . , . .._ .., . Signature IMM -- 4:".;:`-`-`"c>.. ANAMILE FEREEAGUT f e 1,= • i„ MY COMMISSION#FF0.71969 . A*7 orM1ae EXPiRES November 20,2017 (4071 398-0153 Flbr'MallolarySergice.coni. . .. _ . • AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER o I, 0/4---ca-A- -"--1 0 am a resident of• C ;ounty, 1�?l u�l (State) and have resided here for more than five {5) years. applicant). I have had During the last five years I have known L(�/J1 �2�-� �`�" he opportunity to observe his or her business and .ersonal dealings and find him or her to be a person of onesty, integrity and good character. (Signature) (Name) e a ' _. (Address) /99 A-40 a'0,9 tol Telephone) 305 - STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this�/s r Q� 9j •y �-CLE' `-` ( ate) a _` /� who has produced 0n,L�L- me of n ack lined i:g) (Type of identification) .(name p as identification and who did not take an oath. 41 / 1 ` { / — ST0,7'.1URE'OF NO 1' • _ NOTARY'S SEAL (P INT NAME OF NOTARY) / NOTARY PUBLIC • • ANAM'LE FERRAGLUT MY COMMISSION tlr=FO71P69 • EXP' ;ES Jove'r,ber 20,2017 (407):a n))153 flood;Nal.r7Scrv)ce.com . 1 AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER , t -e-/1 6441/6har--4ain a resident of _._ ..___As -.A i < County, /kJ) e0 (State) and have resided here for more than five (5) years. )wring the last five years I have known CCU (Applicant). I have had 'ae opportunity to observe his or her business and personal dealings and find him or her to be a person of onesty, integrity and good character. IP 1 (Signature) �, • (Name) 0Z r,4 (Address) 9q--(0 U7 car- -,i ,q/ 72-IL c.,l-)r-i,_o--rLcf y4(932e: c/ Telephone) .( vci —q'I sD —577. - - STATE OF FLORIDA COUNTY OF The foregoing inatrumcnt was acknowledged before me this 0")6/ A b` (Dat•) 0._am-Qn n-• who has produced Ary (namo of poroon aolt owlcdging) (Type of iden i cation) as ident-hfcation and who did not take an oath, SIGN 4 URE • "—le—• • • ti 4b r :. NOTARY'S SEAL RINT NAME OF NOTARY)/ NOTARY PUBLIC • . �I C Ct l /�'1 ,:, ..",,•„� p,11�:MIL5 1 E RAGUT • MY COMMISSION#FFO71969 ci , ci '^."-°''r•°` EXPIRES November 20,2017 0fln aof4 o,s3 Ftoridallolary5erVICe-Wn' gilI • • RESOLUTION OF AUTHORIZATON WHEREAS 1—(--(9/2-1 C (h - zze__ • proposes to (Name of Business ntity) engage in contracting as_ (Type of legal entity:corp.,partnership,etc. Collier County, Florida,according to Collier County Ordinance 2006-46,as amended;and WHEREAS -�'Lo c,�-f GL S z_L._ci, proposes to (Name of usiness Entity qualify for a Certificate of Competency with (12.0i , +� h l•�'' (Name of Individual) NOW,THEREFORE,BE IT HEREBY RESOLVED THAT: We the undersigned JL1 lC1/ cnle-sc of A ` \ ,� � L�� (Officers,Owners,Partners) a d� hereby resolve and represent to the Collier County (Name ofBusiness Entity) jj �` Contractors'Licensing Board that the qualifying agent, 11((�,' `,00,rZ , is active �.� (Name of Ti ivi•uat;)` ci in all matters connected with the contracting business of r._. _ ,and Oame ofBus:ness En 'ty) We further resolve and represent that C).o is `` (Names of Individual) legally empowered to act for CiL, i - ✓ in all matters connected with its (Name of Business Entity) it actin bush ss and has the a,uthority to supervise construction undertaken by (Name of Business Entity)' ) S1 DULY PASSED AND ADOPTED THIS I day of rnCl\(1•) �y( f - I (Officers,Partners,Owners-with . n ("0.0\i)-{ Designation underneath) � Nil1Y LCDXQk \ Witness Witness Witness Corporate Seal(if Applicable) Or Notary Public Certificate Sworn to and subscribed before me this '/ day of. .�r� '�.Q 1 4-by fi,V�. 11��� • 0,Akk, , ac(6.12-qo- It 2 1_ NiStary Public Name Printed( Nota. Pu ir.Sipt)atnr .- Cutiuitl:;ylun Number 74-07/ 1(4 9 My Commission expifes: I L, :). aO/ 17 • _�; ANAMILE FERRAGUT )' MY COMMISSION#FF071969 EXPIRES November 20,2017 • f.-1(17)3s43.0153 Ft ortdallotaryService.com � F 1 1 3s' j i • FS I x. pax? kv y7"� 3 3• , . y � t� s. ■ f . `.;.".91? :; Y rt:ni x� Y. : ri..r F. i" 1 t i i • .) i i' The information contained in this document is confidential and is to be read by authorized parties only.Please refer to the confidentiality agreement for further details. CONFIDENTIALITY AGREEMENT The undersigned acknowledges that the information provided in this business plan is confidential; therefore,the reader agrees not to disclose,copy,reproduce,or distribute it without the express prior written permission of Florida 13&S,LLC.Upon request,this document is to be immediately returned. ' This is a business plan.It does not imply an offering of securities, , I. EXECUTIVE SUMMARY Florida zda IB&S,LLC, (hereinafter Business") is formed as a Florida Limited Liability Company, located at 3395 Sandpiper Way, Naples, Florida 34109, poised for rapid growth in the Construction industry. The Business seeks funding to take advantage of a window of opportunity for introducing a new Drywall Contractor service, which has the potential to dominate the market. Mission Statement. Florida IB&S, LLC is committed to building relationships for the future through honor, integrity and trust that achieve our clients goals while having a positive influence on our employees, subcontractors, community and industry. Business Description. The Business is to be organized as a Limited Liability Company formed and authorized under the laws of the state of Florida, and will be led by Luis.F. Escobar, who will serve as the Business' Partner. Luis is a skilled leader with an intense passion and focus on exceeding client expectations. With more than 13 years of experience in the construction industry, Luis combines his deep knowledge, extensive experience, and client first approach to manage the success and price value of Florida IB&S projects. In addition to providing projects including job progress, schedule adherence, quality control, and financial reviews. Ili 3 II II. BUSINESS SUMMARY The business is a start up business, providing clients with Drywall Contractor. Florida 13&S will produce excellent services with the highest levels of quality. We will use all available resources including our relationships, talents, technology, and leadership to excel in our processes and final products. Not only should our final products be of the highest quality but the process that gets us there should also be one that people can enjoy. True quality and excellence is achieved when our clients can say that it was a great experience and they would hire us again. Industry Overview, Excellence and Quality Florida IB&S will produce excellent services with the highest levels of quality. We will use all available resources including our relationships, talents, technology, and leadership to excel in our processes and final products, Not only should our final products be of the highest quality but the process that gets us there should also be one that people can enjoy. True quality and excellence is achieved when our clients can say that it was a great experience and they would hire us again. Leadership Everything rises and falls on Leadership and everyone at Florida IB&S is a leader. Leadership is, influence not position. We will develop effective leaders that are influential to the success of the corporation while adhering to our core values and principles. Healthy Environment and Culture Our employees are our most significant asset. The environment and culture of our work'lace will motivate e._ . . • . • ,, , e,,• - people and their talents. We want our people to feel this is the greatest work experience they can have. We recognize that career and family life should be in balance. In this spirit and in accordance to our values and principles our culture will . develop and encourage healthy families. Integrity Everyone at Florida IB&S, should be honest, fair and reliable, having the courage to do what is right in all situations. It is our responsibility to achieve our clients, goals with the highest levels of integrity, The Business intends to provide exceptional, personalized service, which will be the pleasure to Build Our Company Motto is "The pleasure to Build." It is an Honor to be involved in a worthy profession for which we have a love and passion. We consider it an Honor that our clients entrust us to accomplish a great task on their behalf. We are therefore, committed to achieving their goals while making their experience enjoyable and successful. Florida IB&S,LLC, works diligently every moment to expand our reputation as a leader in the construction industry. Our firm fully understands that quality and service must be a top priority and strongly promote an we stron gyp ofe that fact in all aspects of our company. We have an uncompromising commitment to total quality management from pre-construction through warranty administration. Our list of references represents a sample of satisfied customers What they have in common is that, like you, they need more than a builder. They need someone with integrity they can trust who believes in taking the process to a higher standard, and takes seriously the pleasure to build. • . ---- -------. 8'g g)--7-1 if,18 ----,:q-0,,F1r,,,,Tp] . ,L-uri ..... (1 i .m 5 :,-.1. 1 I 1<tcil ,:i .....,.. 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'. . :.:. .: 9.f i• i _o :1`l!N1q .O, q•Nt�' •m ��/T 1 1, IUf A:N11[jt 6; ,A .� ON.QI' •Gd l 1 I oM ^ ,Q • Ti !cal ° V ig• IOOHI i1� i mf 1_cam- s,:41.z i-,i I N 1,,z 'il� 4 t:i fc7 •o�I its; =3 YL,uo t.S N 1 m m�� ; t �2 �¢ u:I; Lf:/ �r`Dj i`l°'+ri ry n m° m I n`di g o l 119 ����j` 1 rn1� �l O O 0 O 0 a M N iF{! 0 0, 0 0 0 0 0 .. .. t a 0 1 pp N 1I t M N f O N1 (j; ft1 g ( MJ M N mI iry�j, _ �j...1 I .1 - i Irj1I1 / 1111; i11 l� f ij f r f���f 1�1L.ulli,41,31igfi,111;11:: d Cg °p • I1{LIL6!iLJ t••• t- h-.1-l • . .' � � L/ Total safes per productline 3 years 500.000 I 43O.0O8 400.000 3��0OU 300.000 26U�0V 2OOUUn mPm/ectUnu1 1���O0 100,000 �=N,'«,�_'-_-,-__' �' �. V�_ ___,_____ ������ 2014 2015 2016 Total sales summary 3 years 50O.00O 400.000 ---------'---'---_------- ----' 38K00O �-----------__ -' - ' ' ` �� ' V Total net sales . 300�O0 �' ' .� ^' ,Tota uutofgoods ` ToaJ gross profit 100.000 . ��{ '� ` �'— 20I4 2015 2016 Total sales 3 years 500.000 ,------ ----�-'---__------__--'------------'-- � ::: �--------------'-_---_--___----------' --- � I / _ ___ ��g$�m~ � %w�omm 300.000 250.000 r 200.000 --- ------ cts- 1,;.,0-/q --.---,-,----klj-11,--.--------. I5o.V0O '� - ' --' ____ 100000 — --- S0oU8 |- - -'' ' ---' / ,�1vc ' �^ry �� z'' ' � '�— 0 +_ _ ,. ' Z+e_ ^ I, e4/�_-,_ '0QO;,, f�)` - '` 2014 2015 2016 II List of Companies and Projects we are working now EnviroStruct, Inc Contact: Ron Cernohous. Project manager Phone:239-494-5700 Project: HERTZ Bonita Spring ALPHA OMEGA Construction of Naples, Inc Contact: Michael J.Wagner Jr V. President Phone:239-825-6820 Project: La Playa Ballroom Renovation AA Stucco & Drywall, Inc Contact:Jack Armentrout V.P. Field Operations Phone:239-598-1100 Project: Botanical Garden Advance Interior & Stucco, Inc Contact: Richard Leggett Supervisor Phone:239-438-5189 Project: California Pizza Kitchen i List of Companies and Projects we are working now Wan Systems, Inc Contact Scott R. Morris Project Manager Phone:239-643-1921 Project:Marine of Naples Upright Drywall Contact: Keb Kyler Project Manager Phone:239-591-3090 Project: Contessa Apartments/ Golf side. Spectrum Contra Inc. Contact: Vito De Pinto Divisions Manager Phone:239-287-9239 • IArttt 1'plt .rl �� 5lIlU('Tltah',1l,y�.�r,l:r t it Re.Florida I&&S 11c. 3395 Sandpiper Way Naples, Fl. 34109 To whom it may concern, Our first project with Florida IB&S has so far been a mutual success. They have proven to be well organized and time efficient. They have been able to adjust to all changes directed to them as well as providing competitive pricing. They have Kept their materials neatly organized and their debris promptly disposed of correctly. The foreman has been very conscientious and continually checks to make sure we are satisfied. Sincerely, Ron Cernohous Estimator/Project Manager • • 616jSTUCCO 84 DRYWALL, INC. DRYWALL•METAL STUD FRAMING•STUCCO / .C/ August 15, 2014 To whom it may concern, • Florida IB&S, LLC is a dtywall subcontractor of AA Stucco &Drywall, Inc. They have completed two jobs for AA Stucco & Dzywall, Inc., both jobs were completed on time and with great workman ship, Inquiries concerning his employment-should be directed to the accounting office, phone number: (239) 598-1100. Sincerely yours, Earl LaFollette Controller . . 1. 3 :WILLS; Date: Aug 18'h, 2014 To: Whom it may concern Regarding Customer: FLORIDA IB&S, LLC 3395 SANDPIPER WAY Naples, FL 34109 To Whom It May Concern; This letter Is verification that the customer named above has an account with Wells Fargo. This account number ending in -4247, was opened 01122/2014 and has a current balance of $xxxx.xx. If you need deposit information, refer to the customer named above. The account holder can provide deposit Information from their monthly statements. If you have any questions please call us at 1-800-TO-WELLS(1-800-869-3557). Phone Bankers are available to assist you 24 hours a day, 7 clays a week. Sincerely, C ' Eric Johnson Business Banker (239)435-3313 • 0 2010 Wells Fargo Bank,N,A,Ail rights reserved,Member FDIC. 0SG4236(7-10 129071) List of Suppliers. Marjam Supply Company Contact:Marco Wong LT Phone:239-938-4162 Kobrin Builders Supply Contac:Jeff Schoonover Phone:239-431-2572 Sunbelt Rentals Contact:Matt Roscio Phone:239-774-7117 Note: All materials purchased for each project have been paid in full. We have no line of credit with our providers. .f ="-. R 6 � t Page : I PC#:226 SUNBELT"RENTALS, INc _,_._ _ . .. 2600 DAVIS BLVD Salesman: 22600 NAPLES/DAViS NOtJ - NAPLES FL 34104-4333 Typed ByROSCIO _. _ 239-774-7177 T. � G Job Site; �%t'�F L . FERRAGUT, ANAMILE R SE1 17A 1 ION 9181 GOUFSHORE BLVD N �1 LA PLAYA HOTEL 1111111111111111111111111111 111111 NAPLES, FL 34104 C#: 239-860-1150 Ji/: 239-860-1150 Contract #.. 47211208 Contract dt. 8/02/14 Date out,.,. 8/04/14 9:00 AM Customer; FL P623000849580 FERRAGUT, ANAMILE Est return., 8/18/14 9;00 AM FERRAGUT, WAY Job Loc FERRAGUT, ANAMILE;9181 GOUFSHOR FLORIDA IB&S Job No, LA PLAYA NAPLES, FL 341 Q9 • P.O. #...... LA PLAYA Ordered ByFERRAGUT, ANAMILE NET DUE UPON RECEIPT Created at PC# 226 for PC# 226 QTY EQUIPMENT # Min Dap Week 4 Week Amount: 4.00 5' SCAFFOLD END FRAME 0 4.00 7' SCAFFOLD BRACE 5.00 5.00 5.00 77. 0 40.00 4.Q0 8° SCAFFOLD CASTER 2.00 2 00 Luis 94x-855-1013 4,00 2'00 7.00 16.00 4.00 4.00 14,00 32,00 '-_LES I TEfviS: Qt:V f:am zur bar L�P1fSRCI:G �Ili f__ Price DA 16.150 TRANSPORTATION SURCHARGE 1 ENVIRONNENTAI', 16.15 ic ENVIRONMENTAL 1 RENTAL PROTECTION PLAN EA N13 13.20 DELIVERY CHARGE • PTCKUP CHARGE 85, 00 VT HISTORY 85.00 ATE TYPE 14 AMEX PAXMEN T F # .RUTH # TRANS— N TYPE .AMOUNT 2260 70 4 CFfiARC�rb APPLIED - 253.G0 CONTINUED tr E£££fii#ti.Ci t r t k£££i f 441*S Run k£ff£►£t£i4Yit*6££££411.)!**.****t4. ltR f f£E£Z k££110.4*#ft lt14f 4 i.f,f/i Rate your rental experience www,sunbeltrentals Q�lP s; :. .con/survey fiHE. MEt teittiubr WAfia- ;rrtn rte a' - le�iic t, tSNIFfSOR.-. .. ....: .i� : Y:wU'(IFY:THGDFfitCt:-'ATcO C�`� �:i� :c: _ i•n•..3:i�r„r.':GU 70fJtE �$' chars N ;.'OVE/ITI E- .' f E D •i GES A ND R AI S?=c'^: o are en esdmat°based on the astfnetad rental,e •'.,..v, ', •R�17ES:PdAY:{IP,PLY:::: ., :' REK!lEGINGc:DA&4AGES?ANI]EefFAtBS':Y r assumes dl risks Period Provided 6Y Customer. ” asoCeted with the Equipment during o Rental Ported,Includin Injury r is raspona,'bte,for and ehaJJ only otsr 9 ).n arid pOb ad(to or!amens,e h apt/leo a end rho f afeoho),t iP•*tCnt dose not o �yPormlt proyro�,ty uatnod,euthoNtod NJfvtqueb,Who ero nol imparted(undo(the tn[th�teMttea aF drugs or a'cohet),to uao rho Equipment. seep not use the Eqa p went and ehaB contocl Sunboh immet et y�dcd uso'does not have Operating and safety Instructions or Customer has any s reverting 'the Equipment or using damaged Or O ttlurtctktn(n Y questkms ragardf tg use of the Equipment. 'has received,rood,understands and g Equipment may rotult hi serious bodily injury or death. agroes to the eetfrnntad charges heroin and ett tiro terms and conditions of rhb Contract,including the Release turd Indomtttfiwtion provision in Seaton 7. nvhronmontal For,in Sootlon 14,whSch can also be found at www.eunbottrentets.cow/rontalconttaot.'DelveryfPickup Surcharge tee explanation la evnueble at reel trentels.comfs u rchar ge tomatt contxl Sunbelt to request pickup of Equipment•retain tho Pick Up Mettler given by Sunboli and will beresportrrhfo for L'qutpment until actually retriorod by Suxtbalt. then eCalifornia: u arnenre ettthe PEEP,guttreinn and focal PottutionrCtxttroh Distrlc irutn.i 1..,u...n...nd(CM 7}Portsbto Equipment Raotshnr3 vt P, rem , to the ro �s Ottlon cortiticato,including onertttinrta....t:.-----' - . . . .. . L/ Page: 2 PISNTAL.S 1 Pc#:z2s SUNBELT RENTALS, INC. Saiesrrlarif-22600-NAPLES/DAViS HOU 2600 DAVIS BLVD Typed By: MROSCIO • NAPLES, FL 34104-4333 239-774-7117 Job Site: RESERVATION FERRAGUT, ANAMILE {(f j ( [j( I !( J j!} j(i 9181 GOUFSHORE BLVD N lit l��l��Itll��lll�l� ��I�l full LA PLAYA HOTEL NAPLES, FL 34104 Contract#.. 47211208 C#: 239-860-1150 J#: 239-860-1150 Contract dt. 8/02/14 Date out.... 8/04/14 9:00 AM Customer: FL F623000849580 Est return.. 8/18/14 9:00 AM FERRAGUT,FL F623000849580 Job Loc FERRAGUT, ANAMILE;9181 GOUFSHORE 3395 SANDPIPER WAY Job No LA PLAYA FLORIDA 16&S P.O, # LA PLAYA NAPLES, FL 34109 Ordered By.. FERRAGUT, ANAMILE NET DUE UPON RECEIPT _ .... Created at PC# 226 for PC# 226 QTY EQUIPMENT # Min pay Week 4 Week. Amount • Sub-total: 207.35 Tax: 6.25 Total: 293.60 Deposit: 293.60 No refund given. Remaining deposit is 293.60 i f 2(i i f f i i a i(t t t 44444*#♦a a*a a a a a*a a t a t i A i i t a t t t i t i l i a■,i C a a t a t a t a 1 a a i%a t t t 2 t t l ■2 o 2 a t c t Rate your rental experience www,sunbeltrentais.com/survey ; �:£���U�PM T. OES�''+ • •�P�Ul.31p�:SNIFT$�OR'•.• t:iCl3ST�Pt7ER.1S:R SRONSIBL'E�;F R:':.. : .`I�`�� R 1 EN1� � - ��:,� �. .( :, _: :Z - E AI S iA E GR P . . - '8A� G SSA :,P.FiO.P�H>Y,:�+tQ7 1FY>3'FJE:'fJ�Ft4E�ATXJ21lCG -. ... ��0VERTIPA�RAT�S�h9i�YaA{?B�,Y'�`%i':"-� ..�:HEEUE .. .R rho total charges ere on estimate based on the estimated rental period provided by Customer. m' :uatorner assumes eN'tike?mega eted with the Equipment dvrtag the Rental Period.Including infary and damage to persons.property end the Egrpment. 'ustomer Is ranponstbfo for and arid!only permit proqpdy trebled,euthorked Individuals.who ero not Impaired(under(lie influence of rimes or alcohol),to use the Equipment. I the Egvtpment dons Oct opotato property,Is not autfebfa for Custorner"a intended use,does not have operating and safety Instructions or Customer has any questions regarding use of the Equlpntenf, 'ustorner shaft not use the Equipment end shall contest Sunbelt immediately. Meuse of the Equipment or using damaged or malfunctioning Equipment may result In scrlous bodily Injury or death. ustorner hiss received,read,understands end agrees to mho eadmatod charges herein and all the teary rmd cnnditlont of thin Contract,hesuding the Release end indemnifkarion provision In Section 7. Id the Environmental Pee in Section 14,which can elsn he found at www.nunbuluentala.com/rento)cantroct,'t oRvery/Pickup Surchergo loo explanation Is evarhoblo at w w.sunbo(trentals.coni/eurtdtargo Jatomer must contact Sunbelt to request pickup of Equipment,retain the Pick Up Number given by Sunbelt end will be responsible for C4uipt,heit until actually nitriavod by Sunbelt. n operations In California:Customer Is renting equipment registered under the Cellfontte Air Resources Beard(CARE)Portable Equipment Registration Program(PERPI-The operator of the Egulpmaol :ubiecl to the requirements of the PER!,regulation end local Air Pollution Control District ndes. Under the PERP Regulation.the Cus torn or Is required to k n copy of the teeiathem:a'tent end 1RE fagistratfon certificate.Including operating conditions and notification roqutrernents,with the Egagernant et all times. Custom at miter du.,�....er..-c- • "' ' - - -_ / � S.+! t�� A C / �- >: . �. � }.�;_ DO NOT PICK of Florida LLC pI �' www.marjarn.com T ' ,- UPC VENDOR ACKDATE I ORDERt7O. 000000 07/28/14 22034297-0, P.O,Nb. I PAGE(4 CUST-a: 1041065 LUIS 1 SHPTO: Residential DW Install 2910 CARGO STREET FT MYERS, FL 33916 CORRESPONDENCETO: MARJAM -- FT.ZSYERS 16911 TOR P.D FORT MYERS, FL 33912 BILL TO: CASE liARJAN PT MYERS 16911 GATOR ROAD FT MYERS, FL 33912 tNSTRUCTiON$ TER$ COD -'-'.--. -.. StpP POItR'":. . . 'SHIP VIA ".. SH�PEO DtARJAM - FT.I+IYERS PICK UP 07/28/14 Ir 4U0. •j P 16 nNO, . ••_ . • - AND DESCRIP1oi :. . ORDERED.. -' g- .- .. :SH PPED U!M PRICE - 1,1 :. -. (t1 1 USGJC 1 1 PCE 13.15 PCE 13,15 USG COMPOUND GREEN LID ALL PURPOSE JOINT 2 D45EZU 2 2 BAG 8.25 BAG 16.50 USG EZ SAND 45 COMPOUND 3 PX 1 1 PCE 2.13 PCE 2.13 PAPER DRYWALL TAPE 250FT 20/ROLL CTN 4 IT2 1 1 PCE 4.05 PCE 4.9G IMPEPS4.1.: TAPE 2" 300' roll i i Invoice Total 3E c= ■ . • . • a , r$ x OVV� EDGEi 11 s 5 .• ; I-` 17 a digiiiitatiV SUPPLY COAIPAIY DO NOT PICK of Florida LLC wcvw.marjam.com IWO VENDOR ACK DATE ORDER h@ 000000 07/28/14 2203426: P.O.NO. PAG cusT.0 104J 065 Jp/(.,. FLORIDA IB&SILC 11 SHIP To. Residential DI$ install • 3181 N, BAY VILLAGE CT LOIS JR 941-855-1013 CORRESPONDEWCETO: 14ARJA14 - FT.1 YERS BONITA SPRThGS, Fi, 34135 16911 GATOR RD FORT MYERS, FL 33912 8411 TO: CASH 2dARJAM FT ZUYERS 16911 GATOR ROAD FT 1,12t4RS, FL 33922 - TRUC IIONS - DROP IN GARAGE COD TERMS• St(<PPOIh?T . . SH�1!FA .. SHNPED I MARJAM - FT.rSYERS DELIVERY 07/28/3•LinE . ' ' 'PRObUCT '- Q(lAN71Ty ' '• QUAti-gy : . .QTY. . .Qty. ••UNIT. PR1C(NG AMOUNT.5 Nil ' ..• AND DESCRIPI]ON - • _ -•- ORDEREb - :.13.o. . • $NIPPED •. .':UltA. - PRICE Ultd (N . -1 358T20 10 10 DDT, 0.3810C,FT 381.00 3-5/8 x 10' TRACK 2OEQ 10 PCE BDL 2 35031020 28 28.60 EDL 0.3880CGFT 1109.68 3-5/8 x 10' STUD 20EQ 10 PCE B 0.10 EIRE 0.00 5 S. C.. C'C- 1 Ft..T l S CRC MR.6 2G•C`L' Taxes 9$.2S Invoice Total 1773.85 • i • • 1 g 1 aX: "Vi In a n, ,;; . I% � ` ACKNOWLEDGEItIE a` A IM W.S.- i SUPFLYCOMFANY DO NOT PICK of Florida LLC www.marjam.com IUPC VENDOR ACK DATE ORDER N0. 000000 07/28/14 I 22034297 PA.NO. j PAGED COSTA /041065 LUIS 1 SHIP TO: Residential DW Install 2910 CARGO STREET FT HY RS, ET. 33916 CORRESPO?nENCETO: MARJA11 FT.14YERS 16911 GATOR RD FORT TITERS, FL 33912 eiu.TO: CASIr NARTA FT MYERS 16911 GATOR ROAD FT NIYERS, El. 33912 • • - UtSTRUC7iONS TERMS COD ' SHP PO(T SH P V A SitPPfD MARJAk — FT.MYERS I BECK UP 07/28/14 UUE PRODUOT . 'QUANTITY ' QUANTITY ' . aTY. QTY. * UNIT PRICING AMOUNT NO. AND DESCRIPTION . OR86RI:1) • 0.0. . SMPPEO WM PRICE . VA1 (NET) 1 USGJC 1 1 PCE 13.15 PCE 13.15 USG COMPOUND GREEN LID ALL PURPOSE JOINT 2 D45EZU 2 2 BAG 8.25 BAG 16.50 USG EZ SAND 45 COMPOUND 3 PT 1 1 PCE 2.13 POE 2.13 PAPER DRYWALL TAPE 250E'V 20/ROLL CTN 4 IT2 1 1 PCE 4.95 PCE 4.95 I I151_EFIFL TAPE 2" ?00' -cll. • I - . .7 • . - .<_ Cr_ E'_• _ �r.' -_ cCi.:. _c" 1711.,C2Ice. ?G-cal 2E .C.- f • f f 'r! / R t., Y ,. 4—r • • o • 2/6 . , _ . (7 (A ORCER NO. _..._ _ . , . . . • • 9c1,- . . . 4 1. INVO10E 018CP.EPANCIES. AI I aw•-c&cmcrei),,0,:,. 4101n1/0g i\Qj ' .15 01,C€1,1:,SUEJEC.7 If I+-1•F f EH/A'::NO C C.10.)1,101?.'_ pato Jclustrnern,pfoctiFsalp fotts Eno rghor arid c:is ma NI rIEHEO,' WHICH INC(tfflt V.IP•HP,/,Hrl• 0/SCIAIMCR. L caspu10(1 witliV) Hi dayfi 01 invofra. REMECOES ANL,NorIcE Off H E•OUIHE MEN;1J1•1C.•,151011S — — - — ----- •— — ---------------------- ' II L IpiLi 'V I - _ r----- •.'• .- ACCOUNT NO, CUSTOMER -. 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I . . . • • - " ' - " Univ./2 tg.i.;F:if.W;441:•■Atcf•ntett• .., wit.V;377ertio dlev,i,07•Zr„k4Vs,r.?...N.R1, - •-- • 1,04.;Altfilekit&119.Y.,7C41NO,VidiCi I .1,, 41.411-,24tl:le*.aqn-ixAt orsay.,5:Agoi,.4.vti73...,, , i t , 4..7_,...,.....,„v,r,...v.14:/-szt....•:'".-§%.(144^V I ! . i I Li40-7.4raties,;444-4,:fitaf...otag.:•::: 4.-kif:1*-:AltifeZ1 1-10.4. 411;4 F.-2;go"). 1.RKS: i Tg;LICS 1__ DUE.LEO-B171---- ----1 • _ • . _________ -LOADED BY ....._ ....._____ f TIA.1E ARRIVED AT ST'. .._ CHECKED av — 1 T/1-v:E LE-F•":"I-)it_ _______.___--_—________ boUBLV CHECKED BY kl..K DELIVERY, WALlf.•11i tit/AOREFMENT ONLY_ rni Ir. encial SIDEWALWCURE NT CUSTOMERS OWN P:sk ---:000:-.POI.'Cl- ','1 I,1 q NI:-••:: :1 i1:,1 ..gctr.-• t-1,R--: :mu it: •ro,•-.1-,-,,.•:,..,,,,„•• - — - r:,•III...ob.-N:1, 4-.: ...N.t• .-. ,.. -• ••-•-- sue:; • 2 i K _:. 4:1 '_, , � � 4. _;� . ACKNOWL" EDGEI E ''- ' `� SOPPLYCUMPAUY DO NOT PICK of Florida LLC WWWtnarfar.com I UPC VENDOR ACKDATE J ORDER NO. 000000 07/28/24 22034263- P.O.NO. PAGE cusT.rE. 1041065 FLORIDA IB&SLLC 1 SHIPTO Residential DW Install 3181 N. BAY VILLAGE CT LUIS 3R 941-855-1013 CORRESPONDENCE TO: MARJ?M - FT.P4YERS BONITA SPRINGS, FL 34135 16911 GATOR RD FORT MYERS, FL 33912 ant TO' CASH 2 ARJAM FT 2IYERS 16911 GATOR ROAD FT MYERS, FL 33912 . tusTRucnotNs TERMS DROP IN GARAGE ,COD . SHIP POINT SHPVIA 'SHIPPED MAR JAM - FT.MYERS 1 DELIVERY 07/28/1 LINE PRODUCT QUANTITY QUANTITY QTY. CV. UNIT PRICING AMOUNT NO, AND DESCRJPT1ON ORDERED B.O. SHIPPED URd .PRICE: URN (NET} 1 358T20 10 10 BDL 0.38100:.FT 381.00 3-5/8 x 10' TRACK 20EQ 10 PCS BDL 2 35851020 28.60 28.60 BDL 0.38800aFT 1109.68 3-5/8 x 10' STUD 20EQ 10 PCE BDL 286 PCS ONLY 3 2410SP 34 34 PCE 0.48200:.FT 163.88 2x4x10' PREMIUM SPE• 4 P ZGGF 0.10 0.10 FIRS 0.00 ERR 0.00 P CL _.=.CE FC i= L::I ...L 1' :r_ j 1 }L'i:L �1:!:(CHr.0 2C 00 Taxes 55.29 Invoice Total 17?3.85 i l - • •:[ . . t'.. ///)-, INVOICE `3 •— BUILDERS SUPPLY nn F814 con,pl nY NRSTtn Service+at:STnl Valuo 6190 Shirley St PH:(239)431-2472 :;:iS': ;'.• It�V.¢)CE3Vl1[•°i51:i2 '::=.•?;-.:i1 eINUOICE 0111E Naples FL 34109 FX:(239)513-1390 57103285-00 . :CUSTOn4ERBOlI!,_ ;;=+`AaaEasY LA PLAYA VANDERBILT LUIS Net 30 Da s 257 :...... .• �c�as�:��r,nrn�:l:pAY64t:r�rseroi " ::::; ; KOBRIN BUILDERS SUPPLY 1924 WEST PRINCETON ST ORLANDO 3'I 32804-4706 BILL TO: SHIP TO: CASH CUST - NPL SPECIAL TERM CASH CUST NAPLES Level 3 Pricing Naples, FL �S� Vii. ':i`: :'i� C��"=•E: ���...ORdERDIiTE: 08/12/14 Lo•ez, Tiffan Cust Pick-u. OB/12/14 :.r: e• •t1 TdT1TY: 7 :��. A. •�lt1AA1 l7Y:' SEI:Lt: ^'17Ei1911Ufi18ER .•i ei :PRICE•UNIT::::�i `=' UNIY :;��i?RiCE�'��'r",ld(s7�°'��;';• .1,{ , . Ep:=;ESN P...E N17 .-.. 7 a4. ES R.r7lOh1„>?::.,. . ,.. ..... . .. ;�t:�:•f= sQUATJ717Y:�:�: .FiICc.°--c•`'' . I -r.- .. .. . . .. .. -.. . ...�UOM:.?•=_:11fiS0U147:DUE•'. 6 6 BAG QS45L 6.000 9.00 BAG 54.00 QUICK SET LITE 45 MIN 18 LB BAG 313245 (104) 4 4 BAG QS2OL 4.000 9.00 BAG 36.00 QUICK SET LITE 20 MIN 18 LB BAG 3T3220 (104) 2 2 PL APN5 2.000 13.70 PL 27.40 5 GAL NGC PROFORM A-P 61.7LB PAIL 310070 KOBRJN BUILDERS SUPPLY 6190 SHIRLEY STREET I� F1.E h rr`; ;p.`4;,;. CREDIT CARD VISA SALE BARD 9 INVOICE XXXXXXXXMOBSS SEQ h: 0005 Batd) ; 0005 Koval Code: a0003s Entry rlea>I : 286113 Mode: Maul ABota)!: . Alm vs Code: $0.00 4[E AMOUNT err 124,44 CUSTOMER COPY amber with your payment. Sub-Total 117.40 FL Sales Tax 7.04 Invoice Total $124.44 ance charge of 1-1/2%per month(18%per year) will be charged on all past due accounts. :fauns and returned goods MUST be accomaenied by annrnnrtara 2I3 INVOICE MUM SUPPLY Taxco,.p by FIRS-Tin Servke+BEST in Value 6190 ShirleySI PH:(239)431-2472 :'z:: '•`tNVOICENWII8ER `:-`' I = INVQIC£DATE': Naples FL 341[79 FX:(239)513-1390 57103119-00 •-'.CItSTOir1h R>�O,Y:': _3::;�:=i._ =:::;,•tROER£D,BV•.'.• LA PLAYA i11111 Net 30 Da s (:PLEAS t REMIT ALL PAYAIMITS70: KOBR3N BUILDERS SUPPLY 1924 WEST PRINCETON ST ORLANDO FS, 32804-4706 BILL TO: SHIP TO: CASH CUST • NPL • SPECIAL TERM LA PLAYA 9891 GULFSHORE DRIVE LUIS #804-624-7159 Naples, FL *** DUPLICATE *** ._• -. A .. .. ...-.. RpEF:?tAK�NBY>rc:..;.<... .•.,: .. .:SHIP..VIA:a=ri. ':SHIP_C►ATE ��:. ';::a>:a:.�J08. :•.: ., ,..:.,.:iii?; s:;.= 1dUbrBER""/:NAE,3».:c�`:••:::.:;�''•= 081' 1 Default Salesre• Our Truck QURN :Q 3.I vQUlCtd7irVt �S£L•C -:sJ t:h1�J+flJ 9t3 `':c= _ ��;'• •:'=.'- - i R ER•si"c�i - .:RRICE�t1N_iT;:"..` `�:UAIi•':� =p iC... 7� r� SSi Y :O' E�ED'�'$ R R NI .,' PPr: :; UN -.-- .. ...... i.r. .. Y P.Y ..,. - :li .. ..t r.•rr:•• ..:r=:.i':.,•f:'ii 'T Q .. . . , .. ..QCIAtJ IrY'::'�= iP.RICE::;'e;iit, t�.i �AF.JOUtUtT•DUe!i;c 24 24 SHT DF510 0.960 270.00 NSF 259.20 OW 10 5/8 FC 24 24 SHT DRL110L 0.960 250.00 NSF 240.00 LAFARGE 10 1/2 LIFTLITE 011 / kO3RIP1 BUIEDERS SUPPLY 6190 SHIRLEY STREET ,;.�J � tlp,F11.'L f7 1:IOS ( t. ` ills 'v:-ll CREDIT CARD AMEX SALE XXXXXXXXXXX2260 0001 0001 000037 a : 273008 ad: Swiped CUSTOMER COPY Use reference the invoice number with your payment. Sub-Total 499.20 Il Drywall NSF on this order; 1.920 FL esg'a5 15,00 FL Sales 'Fax 29.95 ante charge of 1-1/2%per month (18% per year) will be charged on all past due accounts. Invoice Total $544.15 :la;ms and returned goods MUST be accompanied by appropriate paperwork. ........ ........... .............. .... SitgligiNAREMY 1 INVOICE SUMO=SUPPLY anesuo.w..y FIRST In Service+BEST In value 6190 Shirley St PH:(239)431-2472 j ' .:' : ?INN1VOICENUMEER=: ; ;:�: INVOICEDATE-: Naples FL 34109 FX:(239)513-1390 ,I;1. I+ 57103101-00 :::/= °.` usro ER R01F = = :coRo ERE0HY eilt" K HERTZ LUIS ..: i,.`TERMV,"::a•: '•;' =DUE DATE :::i',.. CUSTOMER :::i Net 30 Da s millormill Tp1P :::::::::= :'PLEASERE111TALL�PAYffENTS 30:;.;::": i:X3 KOBIUN BUILDERS SUPPLY 1924 VEST PRINCETON ST ORLANDO FL 32804-4706 BILL To: SHIP TQ CASH COST - NPL - SPECIAL TERN HERTZ 3181 N. BAY VILLAGE LUIS x#804.624.7159 BONITA SPRINGS, FL *** DUPLICATE *AA . ER-Tk KENBY - .... ... .. .,°::SHI RNA: .. . =i:SHIP.Df7E:';::; •,•' :.: , :JCi3JdU 6SBEPrAfC:: 08' 4 Default Salesre. Our Truck IIIIIIIIIII :_QUANTJ TY:;:QU A 19TJTYs;=•TSELL' _1TEMY UM P ER _ ' - . -�i: I •:: -sr.P E ED..- 5 H!F PED N aTEn o .r' r .. . ... _ . ..1auauTlTx::� ;°::;.R10E-:: : .voRI ::::A1:1oul�r:ou= 1 1 .1 1.000 ---- 1ST FLOOR ** SPREAD BOARD THROUGHOUT ** ** SEE LUIS FOR STOCKING ** 101 101 SHT DFL512 4.848 270.00 NSF 1308.96 LAFARGE 12 5/8 FC OW 12 12 SHT DRL112L 0.576 250.00 NSF 144.00 LAFARGE 12 1/2 LIFTLIGHTDW ase reference the invoice.number with your payment. Sub-Total 1.452.96 al Drywall MSF on this order: 5.424 Trans Chg 15 5.10 1 FL L S s Sales Tax 8 87.18 I lance charge of 1-1/2%per month(10%per year) wfil be charged on all past due accounts. Invoice Total $1,555.14 clal,ms and returned goods MUST be accompanied by appropriate paperwork. BWiD£RSbVPPLY G'A�N 9/5- INVOICE ..eau..:vP.,,y F!RSTn Service+9EST In Value 6190 ShirleySI PH:(239)431-2472 l7 i , /,� ;,,;;>; t s' `leples FL 34109 FX:(239)513-1390 ;(i (/ �[/`/ 1tJ101C1:JdUPfgER: `t:'1tJV.0lCEDATE.=. 0 57102885-00 o {p t� i " ,=i : :t' CUSTOW,ER;RO ;::'•:-:r�OIWERED:BY :i ij .-L �� Oe;' 1A PLAYA LUIS f '`,; : 7ERtelS.=:'•`: •::::pUE:DATE CUS.7.01r1g IQ: h°-- 6 Net 30 Oa s 257 1 ..." ;:PLEASE'REAiIT:ALL'PAYMENTSTe:�=='i:�':`-�."-(1 i pKOBRI77 BUILDERS SUPPLY 1924 WRST PRINCETON ST 1 • ORLANDO PI, 32904-4706 B!LL TO: - SHIP TO: CASH COST - NPL - SPECIAL TERM CPU BY LUIS Naples, FL 1 y::,•.;O-DERDATEi• l.. ..y,:- °:::ii .i.:.:.::.:;:i".3-,:;:: ._. ;?f j .,.��ARDER=7AKEN`BY;:. . ......`�....,. .. ..�... �'? ._.... .. ., u,=�r.'G F:. ``:.:: ': :^r :: ::'.;'•SHIP.:UTA.?=: ;`: SHIP.�ATG;. •'t::• :•JO$'J�9�ii6� •h. �2:;:;:•;." '' ' X1/14 Lanse, Dan Cust Pick-us 08/01/14 Q ITY= UANTI. =.: ;:<•:d :;: ;:.: ,:Q., rY=� $EL'L': ,.IT.Et�2 UU►i7BER:+ �� , ii- •EIC - b. R E�t4J - RELY-=: _ ��S•1 , H PPE . :i', .. . . ...... ..�:i.`�'..,. QUAEJTI TY•`.:'c�i��:_'•:.!?R(C�'cs's_; i110A#'.��1i6t0UNr:DUE•.r 20 20 PC ST358250WS8' 0.160 320.00 MLF 51.20 25EQ 3 5/8" Oil STUD 8FT 2 2 PC WIRES 2.000 1.99600PC 3.99 9 GA 12' WIRE / 50 LB BOL (APX 70PCS/BDL) • KOBRIN BUILDERS SUPPLY 6190 S,IIIiE1'ST REET 1 '0;' 1113,-1965 110 il,15ti>:, CRED11 CARD ! AMEX SALE );1 XXXXXXXXXXX2260 )ICE 0007 #: 0005 1#; 000032 • )Val Cade: 511001 Method; Sniped . :AMOUNT $58,50 • CUS10 R COPY U. • rercierne the Invoice number with your payment. Sub-'Fetal 55.I9� FL Sales Tax 3.31 Downpayment 58.50 lance charge of 1-1/2%per month(18% per year)will be charged on all past due accounts. Invoice Total $0.00 claims and returned goods MUST be accompanied by appropriate paperwork. rroce le ff..,......r.___,-__._ ._ ...... _ _ . M ®BAN ///// 0 INVOICE �lllwe SUPPLY An FIX Comp ry FIRST in Service+BEST In Value 6190 Sh+rfey St PH:(239)431-2472 :E: '•t `:'INVOfCE7VUtt1BER >; ;`'`i':•IPIUCICRbATL� Napier FL 34109 FX:(239)513-1390 57102924-00 v. :_:: T?: CUSTOMERPOt� 'c:•': ;'.;: � .ORDERED.BY;';:i LA PLAYA `�-�'�7ERCiS�:��';•::•;::-'<DUE,nATE`;=�':� :CUSTOIIiER#.: Net 30 0a s �;it;_i :i �;Pa:�ASE9iEtrl ltACRP.AYf�11a�lYSTO;�:=:: '�:=�._' KOBRIN BUILDERS SUPPLY 1924 WEST PRINCETON ST °RI2NDO EL 32804-4706 BILL TO SHIP TO: /1• CASH CUST - NPL - SPECIAL TERM CPU BY LUIS . . /( '`‘-• .r -7— �11r`�-L� Naples. FL .�. R T _ . 'OR R`•TA EN�BY'i . . ... .. .. .. ...:?$HIP.VIAc;:,.: 5tf.t'.'DAT>G;: •' ::;f0871UNBER7+KAfs1,.::� /04/14 Default Salesre. Cust Picts-u' 08/04/14 i t tid. _ S, N3! 's! :ft: R �QM3AtJ31TY= .S ,0°= If9td� V• E '. `i' - `�A Cc'.t}Nii:i`..:i::: �tltdlT•=�=:`"..PRiCf;a� .NEi; R� �EO�. ,:;1 - 4 i 133: >3 I T.EF R ..;;JiIF<PED.• tV d'OE P• ., .. ..IL! ..... a ....... .. .. .fa%.. .... . ... ......... ....... .... ...a:QUAA71i:K=:ai;";=siPRiCE�:... =UGPsi:�>Ak�QUhfibUEs.. 1 1 TB FCLK-10 1.000 11.50 TB 11.50 FIRE CAULKING TUBE 10 OZ • 10.000 13.70 PL 137.00 IL NGC PROFOR14 A-P 61.710 PAIL JT0070 iL 10,000 9.00 BAG 90.00 KOBRINBUILDERSSUPPLY :K SET LITE 45 MIN 18 LB BAG JT3245 (104) 3.000 3.75 EA 11.25 6190 SHIRLEY STREET 4 X 8' WOOD STUD NAIiES,ft34109 :50N 5.000 2.00 RL 10.00 ';201:1 12:05:00 OW TAPE NATIONAL (20/CTN) JT2342 4000000037719965 11D.05740690 C€;EIIi (ftRD ridtSii- 4t Lv r4+ = 0007 Cr- /I; 000033 lal Code; 7182 8md: • S<<1[:rd OfRt AMOUNT P75,34 CUSTOMER COPY • reference the invoice number with your payment. Sub-Total 259.75 FL Sales Tax 15.59 Dowipayment 275.34 nce charge of 1-1/2%per month (18%per year)will be charged on all past due accounts. Invoice Total $0.00 aims and returned goods MUST be accompanied by appropriate paperwork. cess fs the contractor's responsibility, including Ingress and earess. NREORINA INVOICE 1/11pLRS SUPPLY M FSM Company FIRST In Savke•BEST in Value 61'9 Shirley St PH:(239)431 4472 Nap s FL 34109 FX:{239)513-1390 :': -iNVa10EuuttizaRi: :... ?lNV.OJCE`DATI:;, 57102923-00 .,'=.;.':!::::'sCUSTOMER'!Ok ::1 S:EIi :;:ORDEREDBY LA PLAYA LUIS r:.-iTERMS : = _OV;r,o e.ra:: :;',: CU$TOMMMERM.:: • Net 30 Da s1111®111111111 =`::•:::`; PI.54SEIMIIIIT.AI L`FAYfi9ENTSZO _.i XORRflt BUILDBRS SUPPLY 1924 WEST PRINCETON ST ()m 1130 FZ 32804-4706 BILL TO: CASH COST NPL SPECIAL TERM SHIP TO: LA PLAYA `_0/2 Z,--et, Naples, FL `.10RDERVAITE :ti s .e13P.X0f3Di"R TAKE - t•��BY�' .. ��';... .rSNlP.VlA°` =� ....�z$FLIP.•D - ::� '��:�� AEi •'•�•• '�!;::: `aJOBtdUhiBERY: I '04/14 Lane,•Dan . NA��� ;::.;� -.s:�::i Cust Pick-u� 08/04/14 1?. raTTY 4u tffff 'SELL ITEM:NUMBER::;:: :,;Y :e� r_.;=.:::: : •:---: -:;%!";::•:,;:: . :-� �:spRl E 17N 1T :: :�� ;a Rr=: =PtIC_ ;;:::�; tiET•':: :�::�x3 43 p�13ED :�9 HII?PED: URIT` ._.* TE?UE G RIRf1oN:.,.: ••. ..::~.___. . .. ;- ..; •. =:y �`. i;?i;aQUA1TITY.: ,�:_�pI C'.; . UQF7 ��AfriQU i uV '1 Q 10 PC ST15$250bS8' 3 3 SHT 25EQ81 5/8" OW STUD 8F7 0.080 225.00 MLF 18.00 LAFARGE 8 5/8 FC OW 0.096 270.00 MSF 25.92 KOBRIN BUILDERS SUPPLY 6190 SHIRLEY STREET NAPLES,Fl 34109 :201-i 11:1•1.: 001.0)0.+0;7 il'' ill. w.-.i!:1,:='4 GDii :j. AMEX SALE 1# XXXXXXXXXXX2260 ICE 0006 1: 0006 #: 000033 'vol Code: 876004 Method: Srlgoed Odle 1 t • 1I$ i . CUSTOMER COPY • se reference the invoice number with your payment. Sub-Total 43,92 1 Drywall M5F on this order: 0.096 FL Sales Tax 2.64 ince charge of 1-1/2%per month (18% year}will be charged on all past due accounts. Rownpayment 46.56 aims and returned goods MUST be accompanied by appropriate paperwork. Invoice Total $0.00 :C0Ss is t'ha rnnt-rn.•F.,-'c• r,,,-,...__:-"--.. • •• . T �� .fir -; :.®7f 2 INVOICE• warowsupeu An rang co.p.,,y F7RSTfa Servico•arsr In Value 0190 ShIrley SI PH:(239)431-2472 i UdYOrCE.NUR7BER;':`; =,4: `;INVOICE OATS:; Naples FL 34109 FX:(239)513-1390 57102945-00 IIIIIIIIIIIIII . . . t 'tCU$70119ER'P.OIi� :� .:r>i `. : 'QRGEREDBY:;t_ LA PLAYA 1E111111111 QUEImrE ER#::: Net 30 Da s i?;=:i:i'::: pCEASEREt!fIYALf.PAYfdI:NTS50:;c.'.`:: :': AOBIUN BtJXID2.RS St7QPT,Y 1924 WEST PRINCETON S9 ORLANDO )?L 32804-4706 • BILL TO: SHIP TO: / %�/. . . .. CPU BY LUIS CASH CUST - NPL - SPECIAL TERM • Maples, FL it ... . .. R ER%TAKEN;BY�: ...:'�•.. .. . ..._...,SHIp.•t!A' :... ..;SY.IP.DA7Er:::•.:�%;`- [:�:�10B1JURIS..Rf:NAt1)"= >a '04/14 Lange Dan 4 1 } Gust Pack-u. asia4�_4 iQ• TI?Y:QUAN7I.TY`'?:SEL'•I., l7Ena.,V!lr BER _ ... ... e lNiT�� b� e r.{ 8 p E b% �v Ntr� � �Tgr ' .'. .. E c:=": .rT•'°;, C: •,.0 '•t)Ua 5 5 SHT DRL18L 0.160 250.00 MSF 40.00 LAFARGE 8 1/2 LIFILIGHTDW ((Mai dUlWERS SUPPLY 6190 SHIRLEY STREET NAPLES;FL 34109 08i0-1:`201 i •'_6:49:1' '11U:{il?tl!.E.Q;';lyox CREW' !j11i S?1t ArkkiONXX 2260 "7ICE 0013 Q Il: 0009 ich N: 000033 )(oval Cock: 165034 ry Method: S;vtind • k: Onl ,E I CUSTOMER Copy Ise reference the invoice number with your payment. Sub-Total 40.00 • FL Sales Tax 2.40 1 Drywall MST= on this order: 0.160 Downpayment 42.40 ance charge of 1-1/2%per month(18%per year)will be charged on all past due accounts. Invoice Total $0.00 :lairns and returned goods .1UST be accompanied by appropriate paperwork. .cress is the contractor's rasnnn<Ihilitu , M r O BRA/ii 2_/q INVOICE 131. nSSUPPLY M 1741 Camp.AY FIRST rI S ervi®+BEST In Value 6190 Shirley St PH:(239).431-2472 c•. aWUOICEtJUtaiBERi: ::c- ::;.! FL 34109 PX:(239)513-1390 lMUQICEDATE' 57102976-00 :,`•:c, .CUS70fAER:ROB' ;e:: ::';";:ORDER�OBY7 1' LA PLAYA buEDATE'•: : :1:.:cuSTORIER Net 30 Da s 1111111111111111311111111111 :PLEASE REMI7ALL'PAYtniNTS 'C: I(OBRTN EUII.DBR$ SUPPLY 1924 WEST PRINCETON ST ORLANDO ET, 32804-4706 BILL TO: SHIP T0: CASH CUST - (WI - SPECIAL T€Rt4 CPU BY LUIS Naples, FL :a.,�.�Si •,:i �I; F1BY:'. :;?. ... ... .'iS IP- . . SHI.RATE: sJO�NUfi1B . . .: 081; A Lame, Dan Cust Pick-u•u 08/0 5 ==QUA`N717Y�= � fTY;; 'r"IrEF •.., _ _ i /14 :.. ,;QUA T -'•:SELL:.'. 4NUlr76ER'.:.�; :';::'' :'.:- ••.:•. :,� . .. . . . ... H(P.P.>D,_•. UMIT:;:,,.,�ITEtdi: Tali.:;.::; PR(CE.'�::'-:aJEi.i::'ri �;:... .. •``=: •_.. ._........:. QUkN.71.T 3 3 SHT DRL18L 0.096 250.00 MSF 24.00 LAFARGE 8 1/2 LIFTLIGfTDW K08R1I BUILDERS SUPPLY 6190 StatFY STREET c' L14PtES,a 34109 AS 7.01-? t rifDi i t grit: ',EX SALE xxxxxxxxxxx 160 / )10E 0002 (1 0002 V / A: 000034 wai Code' 556005 Q Me iod; S}y ' • On be {!l� //lj CUSTOMER COPY ?se reference the invoice number wit your payment. Sub-Total 24.00 17 Drywall NSF on this order: 0,096 FL Sales Tax 1.44 ance charge of 1-1/2%per month (18%per year)will be charged on all past due accounts. Invoice Total $25.44 claims and returned goods MUST be accompanied by appropriate paperwork. access Is the contractor's responsibility, including ingress and egress. pAcK1NG SLIP 5° . r....-.....:..::Ii4A6 ' Pi PO.4: .4 .,. .....--,-CUSTOME-: 1 1 . ' M, BAC?" auxuassuPPLY AY IEW .........:-...,-,7 .......:.i.-..:•:,ARD-a ".::' LA pLAYA • 8-.-Ye-f..-0-Amg--..-,:::..,- _ 7103410-09.---,...:.......y.,:.:;.:::::.::::.......:,.::,.............:JoB An"Company val. 72 HA ST In S'-'4`.8*BEA:(239)431-23490 6190 Shirley SI Fx:(239)513-1 . :0001180:1/:51-44111:::443...:.:1...,.....:,..::...-......:'0.......:sco.EiRp:pyg.i.4y........,...-::...:-0.Fiti f3.TD,AaknEN.OY. FL 34109 NaPI8s CUSt PlCk*.0 „......._.....44v .. CLIST#: Default Sales _ -.-:f.!............ 257 LA PLAYA - BAYVIEW . 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ALL claulniclisbni;Illgreress and •- ...-- on all P"t a espou livered by • ...-cf.tEQ10.Q.I1 s.. wing and Ide before stocking- FicKED a?--'-'• — Olikll% -1/2%per"I appropriate paperwork. F..0.13 enrbs Title passes c or 1 led by aPP , T ,cuarg ipan A prnafic be escOn ds MUST warehouse 000 passes p.o.a Title pas 9re '. rn tamers? 172.50000 Page ' nia—5 delivered.ceitter when de uer accounts.ob int vi Ind use on pick-ups '''18%per year)k:1133oVh_baecccehsasrfsesdh the contras-20dr spreading vr CREDIT DI T cHE sm C lAI. Individual Credit Report Name . • ESCOBAR, LUIS FERNANDO Ordered By: RUSH Address : 3395 SANDPIPER WAY Customer : 9999 Received : 03/24/14 NAPLES, FL 34109 Completed : 03/24/14 Social. # : Applicar AIM Bill Amt : 875 . 00 CREDIT RECORD (('-edit history has been checked for a period of seven years or from open date. ) Creditor Data Date High Unpaid Past. Pay Hish6ric stet Current Moe Account NUmbor Reported Opened Credit Balance Due Terme 3D 60 90 Status Rev DUDA ALLY FINCL COLLECTION 24912858800 02/13 04/08 0 4811 4811 0 -- - - 19-* 05 C DLA=O1/13 AMEX COLLECTION 3499907278438173 • 04/12 11/06 8773 6664 6664 0 -- --- -- 09•-* 06 A DLA=04/12 8B&T AS AGREED 387122467161001 10/08 07/07 56916 CLOSED 0 0 00 00 00 I1 15 S DLA=10/08 OF AMER FORECLOSURE 11,3459108 03/12 05/06 313200 0 0 0 04 03 10 M5--* 48 A DLA=03/12 3MW FIN SVC AS AGREED 1000621073 10/08 02/08 16886 CLOSED 0 0 00 00 00 I1 07 A DLA=10/08 ACH LLC COLLECTION 120017950299 03/14 06/12 51056 5105651056 COLL --- -- -- 09-* 02 S RIGINAL CREDITOR: WELLS FARGO BANK N A AP ONE COLLECTION a I 24 . ! - 4 I - S - • - - . ! - • _f • -- _ - [ •... • a a JLA=08/11 kP ONE COLLECTION .12174704183 03/14 01/03 510 465 465 13 -- -- --- R9-* 13 A )LA=08./11 .P ONE AS AGREED 29107228819 10/11 02/03 2675 PAID 0 REV 0000 00 R1 48 T )LA=10/11 :lerecf by APPLICANT - SEE NAME ABOVE porting Agency: Credit Check, Inc. - 3017 Exchange Court, Suite H,West Palm Beach, FL 33409 . (561)616-5556 ' ` SM CONFIDENTIAL 3 Name • ESCOBAR, LUIS FERNANDO Customer: 9999 Page: 2 CREDIT RECORD (Credit history has been checked for a period of seven years or from open date. ) Creditor Date Date Nigh Unpaid Past Pay Historic Stat Current �Sos ` Account Number Reported Opened Credit Balance Due Terms 30 60 90 Status Rev RCOA CBE GROUP COLLECTION 124290112 06/13 05/13 769 769 769 COLL -- - -- 09-* 00 A ORIGINAL CREDITOR: DOMINION ELECTRIC II CHASE COLLECTION .' 0168303985 10/13 09/03 8127 8127 8127 243 -- -- -- R9-* 12 A i.uA=08/11 CITIFINANCIA AS AGREED 6074639334135889 07/05 07/04 4165 CLOSED 0 0 0000 00 I1 12 A DLA=07/05 DSNB MACYS CUR WAS 30 418330594 03/14 09/07 1750 0 0 REV 02 00 00 R1.-* 35 A DLA=02/14 O'CO NO STATUS 3566405 10/10 06/10 1915 1715 0 COLL -- - - 09-* 00 A ORIGINAL CREDITOR: THE MADISON AT SPRING OAK - CONSUMER DISPUTES GREEN TREE FORECLOSURE 8Q798423 08/11 09/07 399750 372484 11180 2795 0200 00 M2-* 07 A . A=04/11 :SBC BANK AS AGREED 540801003612 01/10 05/04 2690 PAID 0 REV 0000 00 R1 48 A DLA=01/10 ITTON LOAN PD WAS 120 L9515972 01/11 09/07 399750 0 0 0 0205 01 M5-* 38 A DLA=11/10 1TL FITNESS COLLECTION '170860000200458 12/13 09/11 564 564 564 COLL -- -- 09-* 02 A .IGINAL CREDITOR: AMERICAN FAM FITNSS WEST ENT) ARS/CBNA AS ,AGREED 04994108439 03/14 03/07 9032 CLOSED 0 REV 0000 00 R1 48 A LA=02/08 ARS/CBNA AS AGREED 34994105097 02/14 06/07 4571 CLOSED 0 REV 0000 00 R1 48 A LA=10/08 Bred by; APPLICANT - SEE NAME ABOVE orting Agency: Credit Check, Inc. -3017 Exchange Court, Suite H, West Palm Beach, FL 33409 . (561) 616-5556 . � cHECK9M CONFIDENT(AL3 'Name - ESCOBAR, LUIS FERNANDO Customer: 9999 Page: 3 CREDIT RECORD (Credit history has been checked for a period of seven years or from open date. ) Creditor Date Date High Unpaid Past Pay Historic Stet Current Mos Account Number Reported Opened Credit Halence Due Terms 30 60 90 Status Rev SCOA ST FARM BK PD WAS 30 853248016100001 06/11 10/08 29833 CLOSED 0 0 06. 00 00 I1-* 31 C DLA=0 6/11 ST FARM BK PD WAS 90 3237974600001 06/11 10/08 49192 CLOSED 0 0 0502 01 I1-* 32 C L,A=06/11 SUNTRUST MTG PASTDUE120 9420146716477 09/11 09/07 79950 72385 4077 680 0503 02 Z45--* 46 A DLA=0 4/11 --- SUNTRUST MTG AS AGREED 9420206424426 05/08 09/07 399750 CLOSED 0 0 0000 00 141 06 A DLA=04/08 rILESTORE AS AGREED 577442125009- 09/09 OG/07 3000 PAID 0 REV 00 00 00 R1 27 A DLA=02/08 Total trade lines on n -this report : 25 't,dLlC RECORDS: UBLIC RECORDS HAVE BEEN CHECKED AT THE COUNTY, STATE AND FEDERAL LEVELS WITH HE FOLLOWING RESULTS AS OF 03/24/14 : SEE BELOW. TRANSUNION PUBLIC RECORD --- DURCE DATE LIAB ECOA DOCKET# YPE COURT LOC PLAINTIFF/ATTORNEY 04887406 12/16/11 $209 . 00 I V1102752700 EVIL JUDGMENT HENRICO COUNTY COURT POUNCEY TRACT VET HOSP 04887406 05/18/12 $4,212 I V1200775300 :VIL JUDGMENT HENRICO COUNTY COURT FORD MOTOR CREDIT ,URCE (S) : EQUIFAX TRANSUNION U1RIES: /24/14 by CREDIT CHECK (TU) #00630273 itliMENTS: 5AUD RECORDS HAVE BEEN SYSTEMATICALLY CHECKED BY THE ABOVE ACCESSED BUREAUS. ?ESCAN/EQUIFAX, HAWK ALERT/TRANSUNION CHECKED FOR FRAUD. red by: APPLICANT - SEE NAME ABOVE citing Agency: Credit Check, Inc. -3017 Exchange Court, Suite H, West Palm Beach, FL 33409 . (561) 616-5556 Credit Record • ALLY FINC-- - Negotiating monthly payment for 12 months for 200.00. Beginning Sep 1st -2014. Agent: Melissa Carmen Phone: 1877-846-3731 ext1405 AMEX----- Negotiating Monthly Payments. WELLS FARGO- Negotiating Monthly Payments. CAP ONE----Disputed ( on the Capital One System we don't have any balance) CBE GROUP-- 2 Payments of$269.32 1st paid on Aug 18-2014 and next payment on Aug 30-2014 CHASSE-------Negotiating Monthly Payments. FCO- ------ Disputed GREEN TREE-- Disputed ( when we sold the house....) NATL FITNESS—Paid on Aug 19 totally Cod Number 773058 SUNTRUT BANK- Disputed ( the account is in $0.00) PUBLIC RECORDS; Poncey Tract Vet Hosp : balance $0.00 (account was closed) Ford Motor Credit: balance $0.00 it 4 n lo Henrico General District Court l V / Civil Case Details Case Information ase GV 1 2007753-01 filed 07/19/2012 umber: ate : Case ebt Garnishment Ype: _ - ype : Plaintiff Information anie DBAITA Address Judgment Attorney I ORD MOTOR FORD MOTOR REFIT CREDIT GARN/RANDOLPH&BOYD OMPANY LLC COMPANY _ 1 Defendant Information I ame DBA/TA Address Judgment Attorney i COBAR,LUIS F RICHMOND VA 23233 Hearing Information I►ate Time Result Hearing Type Courtroom 59/21/2012 08:30 AM Released Civil Hearing 5 ervice/Process _.-.__,-.. Reports _- udgment Information udgment: hosts : $0.00 Attorney Fees : Principal Amount: $0.00 Other Amount: $0.00 Interest Award : Writ Issued Homestead Possession bate : _ Exemption Waived : Date s Judgment •Satisfied : Satisfaction Other Awarded : Filed : urther Case i formation : .iiii iiiiei a lou ... - Garnishee : WELLS FARGO BANK Address : RICHMOND VA 23219 — Garnishee Answer umber of Checks 0 nswer : Date : eceived Appeal Information _ • ppeal Appealed date . BY — — — SUN TRUST MORTGAGE Equifax TransUnion Experian Account Type: Installment Mortgage Mortgage Account Number: 942020642XXXX 942020642= 942020642XXXX Payment Individual Individual Individual Responsibility: Date Opened: 09/2007 09/2007 09/2007 Balance Date: 07/2014 05/2008 05/2008 Balance Amount: $0 $0 $0 Monthly Payment: $0 High/Limit: $399,750 $399,750 $399,750 Account Status: As Agreed As Agreed As Agreed Past Due Amount: $0. $0 $0 CURRENT CONSUMER ACCOUNT DISPUTES THIS ACCOUNT ACCOUNT ACCT INFO TRANSFERED TO AN Comments: INFORMATION DISPUTED MEETS OTHER OFFICE ACCOUNT FCRA ACCOUNT TRANSFERRED OR INFORMATION SOLD DISPUTED BY CONSUMER LAST PAID: 04/2008 SUN TRUST MORTGAGE • PO Box 85526 RICHMOND, VA-23285 (800) 963-4792 24-Month Payment History Equifax No 24=Month Payment Data available for display, • • TransUnion * * * * * NRNR NR N N NR NR NR NR N NR NR NRNR NR N N NR R R R R R Ap Ma Fe Ja De No Oc Se Au Ju Ma Ap Ma Fe De No Oc Se Au Ju Ma r • r b n c v t p g Jul n y r r b Jano v t p g Jul n y 08 08 08 08 07 07 07 07 07 07 07 07 07 07 07 07 06 06 06 06 06 06 06 06 Experian • Attention: Collier County Licensing Board I, Brian M. Kirwan, per Brian Kirwan Painting, Inc., Need to request a Thirty (30) Day extension due to a serious Family illness. Sincerely, '41101 Brian M. Kirw.r Findings of Fact, Conclusions of Law and Decision of the Board Collier County Contractors' Licensing Board For Applications Submitted to the Board for Review Type of Application: Credit Report Review X Waiver of Testing Requirements Reinstatement of License Request to Qualify Second Entity Other (specify) THIS CAUSE came on for public hearing before the Contractors' Licensing Board (hereafter Board) on October 21, 2015, for consideration of the application submitted to the Board for review. The type of application is set out above. The Board having heard testimony under oath, received evidence, and heard arguments relative to all appropriate matters, thereupon issues its Findings of Fact, Conclusions of Law and Order of the Board as follows: FINDINGS OF FACT 1. That Marina Reyes dba Reyes Tile Service Co. has submitted an application to the Collier County Contractor Licensing Supervisor or his designee for waiver of testing requirements for reinstatement of a Certificate of Competency as specialty contractor — Tile & Marble. 2. That pursuant to Section 22-184(b) of the Code of Laws and Ordinances of Collier County, Florida, applications which do not appear on their face to be sufficient require referral to the Board for a decision regarding approval or denial of said application. 3. That the Board has jurisdiction over this matter and that Marina Reyes was present at the public hearing on October 21, 2015, and was not represented by counsel. 1 4. All notices required by the Code of Laws and Ordinances of Collier County, Florida, have been properly issued. 5. The facts in this case are found to be: a. Applicant has demonstrated through testimony and evidence presented at this hearing that she has been active in the trade and has knowledge of the contracting specialty. b. Her knowledge of the contracting business is adequate, when combined with a full application to protect the public health and safety of the citizens of Collier County, provided that a probationary license is granted for a period of time. CONCLUSIONS OF LAW Based upon the foregoing facts, the Board concludes that the applicant has met the standard set out in the Code of Laws and Ordinances of Collier County, Florida, and that the testing requirement may be waived. 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 Section 22-184(b) of the Code of Laws and Ordinances of Collier County, Florida, by a vote of 5 in favor and 0 opposed, a unanimous vote of the Board present, the applicant's request to waive testing is granted subject to a three (3) month probationary period during which she shall take the the Business and Law Examination and demonstrate a passing score and demonstrate that she has contacted her creditors and started payment plans on the delinquent 2 . , accounts. Applicant shall have a review of credit, including providing an updated credit report, in three (3) months. ORDERED by the Contractors Licensing Board effective the 21st day of October, 2015. CONTRACTOR'S LICENSING BOARD 0.LIE" OUNTY, FLORIDA *Li , By: Patrick White, Chairman I HEREBY CERTIFY that a true and correct copy of the above and foregoing Findings of Fact, Conclusions of Law, and Order of the Board has been furnished the Applicant, and Michael Ossorio, Licensing Compliance Supervisor, 2800 North Horseshoe Drive, Naples, FL 34103 on this 21st da • II.4c 0 ber, 2015. ......001 Secretary/Contractor's Licensing Board 3 September 30th, 2015 Collier County GMD Operations & Regulatory Management Licensing Section 2800 North Horshoe Drive Naples, Fla. 34104 Re:C 21466 Sirs; I was licensed in Collier since 2000,unfortunately when the economy crashed,I was unable to pay my yearly corporate fee and my Corporation became inactive in Tallahassee.The fee to become active was $1000 and I could not afford it. It was a requirement that the Corporation be active for Collier County to renew my contractor license,therefore I was not able to renew it. I have maintained active in Lee County, Port Charlotte and Cape Coral although due to the lack of work I relocated back to Miami-Dade for two years.As the economy became better I came back to Lee County and have been working here steadily and I see the opportunity to work in Collier County so I decided to reapply for the license and I am requesting that you give me the opportunity to do so.I am also a licensed real estate sales person since 1979. My credit is currently poor,but I have no foreclosures or car repossessions, I still have a mortgage and I am paying for two vehicles. In this process I uncovered that I have a lien for documentary stamps from the State of Florida.This came about because I subdivided a lot in Hialeah and in 1994 the City had through Ordinance issued half of the adjacent alley to the owners of the property.When I closed on the house,the title company did not pick up on this and the alley was not transferred to me.Therefore my attorney located the previous owners and had them sign a Quit Claim Deed for this alley to me and he recorded the same.The Revenue Department decided to charge me Doc Stamps although the alley was not encumbered by the mortgage nor was there any consideration paid. I have entered into a payment plan for these taxes due so that it is taken care of for the purpose of this application,and I have also requested a review to see if this can be exempt. Reyes Tile is also showing a collection in the amount of $654 from Receivable Management Services, I have contacted them and they cannot find us in the system. 9/30/2015 Collier County Licensing Board Page 2 I hereby humbly request that you consider my license reinstatement taking into account my years of experience in the field,my record with other Counties and give me the opportunity to benefit from the economic comeback which in turn will allow me to take care of any pending financial matters. Respectfully, Marina Reyes 890 E 23 St. Hialeah, Fl. 33013 Cell:239-560-8243 • - MAAP Oke Cry oN 16 hilic goxivi4. co CU- l'°' reV5 NilittiTgO gt*INM3-34, t/M4-‘ rb)(4,4 . '44-0/07,1A1 VA ,WyWq r ,o .e C—ou1 sty ' n' ) ,r4 b Ope .ti j. & I gulatory Management if eens• ig Section .!.: \ �' G p 280 Y1 ort Horseshoe Drive rc,,� :'''ANY.- �, ,. . N les, FL 34104 l_- r)/1//541() `{'} Y',," }' ,g •PPLICATION FOR OLLIE'/ •UN Y/CITY OF NAPLES/CITY OF MARCO . >, FIRM 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: 7`i e ye S ///e C r v ic e ° ' Fiction Name/DBA: Qualifier Name: /2'2.9 f>L)/ /`� '7e s Physical Address: .3 it lit,/ /-2.-7 i3cd..Iiv,--) ozi_),,,) Lx_D fi" /et i9 Ai•W!`�y.e e_.5 ,--?7' (Number&Street) (City) (State) (Zip Code) 3 3 9 ° Mailing Address: 7J ° ' too "A /-5-1 -2D 7 G°.19- --- ''"-Y..-)-4 :-'• ,33 9/..5- (Number&Street) (City) (State) (Zip Code) Telephone: 3 9--,5-6 0-g g a-413 E-mail: /d>/�r/n/4/t7 Reyes 67 4 flr r-r. .1.Go-"r 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 ti Specialty $205.00 Specialty Trade: Mt I Y lot it io l`e- CI NGE OF STATUS: 4 t Reinstatement ( ) From One Business to Another ( ) Dormant License to Active Page 1 of 4 99n6PZOis Reinstatement of Delinquent License Fee--$205.00 ltene%%al I.icense Fee=125.00 3 Back year tees=$535.00 'l•otal=5885.00 Dues not included penalty fees after 9/30/205 • I. The names, titles, home address and phone numbers of all Officers/Managing Members of the Firm. 03y //2:9-7c "9-75, 9-{ 33 c)/j oo.5- - 76 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. Rey-e5 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. 4.46,E , /...S v 71) 77}-P ,� ur ✓ -v-% 7 /�ji C , e--1/4-/3�1.�i J /3- /)'r`-4)S A i fA)/i /� Chi �'S_e () � �� 7—z, �9,� GVYe Ni!-e-'2WU P i -/•-e /9- L-7 '_ or r cf. /9-0 F?r¢SS AFFIDAVIT Under the penalties of perjury I declare that I have read the foregoing application and that the facts stated in it are true. --►-c-r 241—) Authorized Officer of the Firm The foregoing instrument as acknowledged before me this 9 (Date) by /)--)..)-,Q-14--)& /� e `�'-�_f � P( of y.-e 5 i%"% - (Name of Officer, Title/Agent) (Name of Corporation) a Corporation on behalf of the corporation. (State or Place of Corporation) He/She has produced Dr u us / G identification and did not take an oath. (Type of identification) NOTARY'S SEAL t• /2, (SIGNATURE OF NOTARY) ,,,, ALEUT IA PAORO Page 2 of 4 Notary Public-State 01 Rorie •: • My Comm.Expires Mar 15,2015 1.04 � A" ^ommisston#FE 17 0723 !Through Nallonel Notary Ann. QUALIFIER INFORMATION: Name: /J) , ,,L)? /13e-c -� 5 Address: �' G a?-2._ Si /�75:� /�,g/�, _ /.)' (Number&Street) (City) (State) (Zip Code) Telephone: . 3 9 -- a - .244 Date of Birth: SSff: E-mail: ir�ft+��:u,q O R e y- 114%fci�y� ,y Driver's License#: -- 1. Type of Certificate of Competency for which application is made. /. /•e Ne /Le.09-V-1/-& 2. The names and telephone numbers of two persons who will know your whereabouts. /9/fed /et) iA i'g v �� 7�� - 3.�� -3 788 e.-R 7-1-1-7 /Q� y-e_5 os- 3, -- ( 2- r !� 3. Have you ever been convicted of a crime related to Contracting? /Li 0 (If yes,attach extra sheet with explanation.) 4. Have you or any firms you have been associated with ever tiled bankruptcy'? ✓t.9 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. r CGU S ��� 7-2) /d7)-1.7. ��`�, � ` ,S• cJ fib)", i U d�,C-9 c tie•`_ c- u U A-:S , Lc)/i 1'c1‘--_c• / fk-,/'G y ✓"7�. /�'c ZJ ,.�-,UJJY_L'sS , 6. List your business or work experience during the last ten years. /fa 6-5 ?/o e)(-s o,c_se_ et>i: G e a G a . , G!>'?y"✓e lei%'S --10 v r1%t�ry, L) 51y ✓42-✓ �ffoc t-' -/ $ 9 0 �� a-e , /J/emu/d C.o.ca.57.3' �7�u 7. Statement of any formal training you have had in the area for which the application is made. r-, S is-e /o / ,'/-c Sv.d°C 3 of AFFIDAVIT The undersigned hereby makes application for Certificate of Competency wider 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. /77,9/.L i'ft-JA. 7'Pcce cr-e S Applicant (please print) 'Qe c—e s / /e Se,-v i'c, e o Name of Company Signature of Applicant State of Florida County of G The foregoing instrument as acknowledged before me this 5 rd- 8 `/s- (Date) by /727-21-1--/iv A- / /- S who has produced ii=/ 0, 've_; e--/'c . (name of person acknowledging) (type of identification) as identification and did not take an oath. NOTARY'S SEAL -_,t1 / (SI NATURE OF NOTARY) ••t,,,,mr,. ALEJITA PADRO rA Notary Public••State of Florida . 4 of4 I• ,": My Comm.Expires Mar 15,2016 'nr��o±1, A.• Bolo,—Commission# FE 179725 'Nary Assn. _ ,..,,. . -- � f 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. t7d Signature of Applicant � v--e S / , /`C �c te-4-7 1 c_ Business Name - d- —AS-- Date BEFORE ME this day personally appeared /1)i /'/Ui / c/' s 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 The foregoing instrument as acknowledged before me this 9 ° e)• (Date) by /J)r i'J/ /d-e c._/--.e S who has produced kin- •D�/c>,QaS �� C . (name of person acknowledging) (type of identification) as identification and did not take an oath. NOTARY'S SEAT, //// (� ,1d41/ Cam' o�rR •,� ALEJITA PAM (SIGNATURE OF NOTARY) +.11. : Notary Public-State of Florida s • ' • •=My Comm.Expires Mar 15,2018 % +X0,4 Commission#EE 179725 •���' Bonded Through National Haley Assn. • GMD 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 1-19, 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. -q r-"y <?ti on lath• J< _5�i<i i $ W��.. • _ - a t ti <�s i rte,i ys it- �<-,i i U Uw. w .. � iQ -1E y «i<�UNvvo �avp�C CX' 1 �?,t�)Ec>(�l4-?�i'ca��lrr(��r��?4<>.��i ika. (•�-s•�ti2i►tint�.t7��lse 1 ti%llv�bsr�lY�lrr�tlr t��i��es�.�.��!tom•,,„(c.,415 _,.(k Jt tC t3f 110 r 4. :.6 At ab. +a _ _f , -;.; _ 4110; 7 y2,• y^q N C.b y, �T OO - i igi k Department of 'tate -� 0 J= of the Articles of Incorporation of i s • 1 certify the attached is a true and correct copy 4 REYES TILE SERVICE CO., a corporation organized under the laws of the State 0) =C of Florida, filed on July 3, 2000, as shown by the records of this office. Y f 4 y� The document number of this corporation is P00000064354. _� • w II R 0 7,44 •* �19� Qt *)j Q 4 a jo« AP Given under my hand and the :© Great Seal of the State of Florida +1• • at Tallahassee, the Capitol, this the « Twentieth day of October, 2000 9 -ily� .cy o�c Ljf a Ok ti =(0)- 7®Q! 5F ,tom `4J I F I� ' t• ? 1(1 p,I; l ,;5:. � Zilflll'!Iltt' Lt1,1C1'Ik5 111* cktyr D Zvi? � ~CCE"Cftl3"tl Uf. f2ItF' (�c/1'- Eull00);? (((nVV��y;;;;r ta: e•'� "rte y7`f 1i1 - i . v,• Ft 'NM 1 i A, A itr -G I krkt,k. ti -- !� c�" (�i� VVen" f� r ++ v� -,,C,X��� �O°'9,, j �Yf,i f7.!./q" + :� � .- ._ . 07/03/2000 15:50 305-264-3770 er c." ci GEORGE GONSAt.F7_ . . PAGE 04,_. CERTIFICATE OF DESIGNATION OF REGISTERED AGEN /I EGISTERED OFFICE PURSUANT TO THE PROVISIONS OF SECTION 617.0501,FLORIDA STATUTES,THE UNDERSIGNED CORPORATION,ORGANIZED UNDER THE LAWS OF TIM STATE OF FLORIDA,SUBMITS TIE FOLLOWING STATEMENT IN DESIGNATING THE REGISTERED OFFICE/REGISTERED AGENT,IN THE STATE OF FLORIDA. 1.The name of the corporation is: REYES TILE SERVICE CO. .. _ • 774 c 2.The name and address of the registered agent and office is: y p t c 'r MARINA REYES 552 E. 10 ST IA.LEAU,FL.33010' cnrrt • Having been named as registered agent and to accept service of process for the:above stated corporation at the place designated in this certificate,I hereby accept the appointment as registered agent and agree to act in this capacity, X further agree to comply with the provisions of all statutes relating to the proper and complete performance of my duties, and I am familiar with and accept the obligations of my position as registered agent. • • (SIGNATURE) •_ (DATE) ' c • 7-1,14n r7r,367 r r ' 07/03/2000 1:50 305-264-3770 GEORGE GONSALEZ PAGE 03 1-7 r"C"C./ vv r� ;df .ARTICLE V INCORPORATOR(S) The nante(s)and street address(es)of the incorporator(s)to these Articles of Incorporation is(are): MARINA REYES DIRECTOR tt PRESIDENT 552E. 10ST .- HIALEAH,FL.33010 WILMER REYES VICE PRESIDENT 552 E. 10 ST HIA.LEAH,PL.33010 The undersigned incorporator(s)has(have)executed these Articles of Incorporation this _,3_day 20aq ... ...— Signature Signature • Signature NOTE:Affixing an officer title after a signature of an incorporator does not constitute the designation of officers. 41,90e oco.9570:3 07/03/2000 15:50 305-264-3770 GEORGE GONSALQ PACE 02 • ARTICLES OF INCORPORATION The undersigned incorporator(s),for the purpose of forming a corporation under the Florida Business Act,hereby adopt(s)the following Articles of Incorporation. ARTICLE! NAME The name of the corporation shall be: REYES TILE SERVICE CO, ARTICLE IX PRINCIPAL Okl'ICE The principal place of business and mailing address of this corporation shall be: _ . . - 552 B. lO ST HIALEAH,FL.33010 ARTICLE HI SHARES The number of shares of stock that this corporation is authorized to have outstanding at any one time is:One Thousand(1,000)shares of One Dollar($1.00)par value common stock,which shall be designated COMMON SIIARES_x ARTICLE IV INITIAL REGISTERED AGENT AND STREET ADDRESS The name and address of the initial registered.agent is: MARINA REYES 552 E. IO ST .a IIIALEAfI,FL.33010 --- -rt spared by:MARINA REYES w 3"" 552 B.IO ST a -� HIALIIATI,FL.33010 305 8876350 _- - ) w dram 1lernnoe r,36-7R� .. 07/03/2000 15:50 305-264-3770 GEORGE GONSALEZ PAGE 01 Division P• I • O rations Page l of Z Florida Department of State ' Division of Corporations • Public.Access System Katherine Harris,Secretary of State Electronic Filina_Cover Sheet Note:Please print this page and use it as a cover skeet.Type the fax audit number(shown below)on the top and bottom of all pages of the document. (((H00000035183 3))) Note:DO NOT hit the REFRESH/RELOAD button On your browser from this _ _ page.Doing so will generate another cover sheet. • _• �_. .,.r . te,. . -- .. .. -I Ta: Division of Corporations tom-- -n Fax Number : (850)922--4001 From: �t'i —0 Ill Account Name : BUSINESS WORLD TRANSACTIONS. INC. '"'10 Account Number : 104512000707 - -t_n Phone : (305)867-8448 r Fax Number _ - : (305)264-0232 r'rf r_ .- �..-_: .-._..._-..� .=_..- _-_........__--1"--....:"2=-% _ .. .._...._. ; _ -.- - FLORIDA PROFIT CORPORATION OR P.A. REYES TILE SERVICE CO. Certificate of Status I 0 Certified Copy 1. 0 - Page Count I OS J [Estimated Charge _ II $79.00 �1. N.Culligan iui .. https://cefssl.dos.statell.us/scripts/eflicovr.exe 7/3/00 2015 ,FLORIDA PROFIT CORPORATION ANNUAL REPORT FLED DOCUMENT#P00000064354 May 02, 2015 Entity Name: REYES TILE SERVICE CO. Secretary Of State CC9431557848 Current Principal Place of Business: 3444 MARINATOWN LANE 10A NORTH FORT MYERS, FL 33903 Current Mailing Address: P.O. BOX 151701 CAPE CORAL, FL 33915 FEI Number:65-1020720 Certificate of Status Desired: No Name and Address of Current Registered Agent: REYES,ANGEL 1485W5LANE HIALEAH,FL 33010 US The above named entity submits this statement for the purpose of changing its registered office or registered agent,or both,In the State of Florida. SIGNATURE: Electronic Signature of Registered Agent Date Officer/Director Detail : Title OP Title EXECUTIVE SECRETARY Name REYES,MARINA Name REYES,ANGEL Address 890 E 23 ST Address 1485 W 5 LN City-State-Zip: HIALEAH FL 33013 City-State-Zip: HIALEAH FL 33010 1 hereby certify that the Information indicated on this report or supplementah report is true and accurate and that my eledro,Wo signature shat have the same legal effect as it made under oath;that lam an officer or director of the corporation or the recener or trustee empowered to execute this report as required by Chapter 607,Florida Statutes;and that my name appears above,or on an attacihment eith all other Me empoimod. SIGNATURE:MARINA REYES PRES. 05/0212015 Electronic Signature of Signing Officer/Director Detail Date Reyes,Marina-Personal Report.pdf . . 886 110"Ave.N Suite k 6,14aples,/I. 14108 r t .•;::. 7.',";',..'7'"•,";'.•:. :f....;'I..'''. 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S II L.,`.•15 t 108 $/,'(. 101 4/.IA 1250 4.12•: ChJED1t :P.43 9/090 7426 I:21AI1. BLIIC 411020 JL'F I'0L:U1'.IalEllllO: I .'i11Il0 Li 12:0/ S'11 5 111)') • 111/.IA j100 ';LI1TI1 '1)1,2 70 0132 11!091' °.1) 1_H?AIC LILUIL' 211PG1) OFF :1'11131/:11117::11 II 5572730 7/01 131 409 Page 2 0l 3 . Ile Reyes,Marina-Personal Report.pd1 . . . . ,u• of, .to.) . i ,f.11 it? ,.tiLt 1 E,111 EP 11,11,1 1./111: o o .-.1,11 .1M, . . 11-II 1.1o. ..111 1' 1.31113 1-P 11.11, 11.',..11:, ko o°, ,■t11 toolo I 4 tot o ,...." r."..31.1 ■ ..,II fr .;0,f. 1.11, 1 13? o'1-11■' CV:MT-op i '61.11/i I i I Al t- 4.-'5•01 In.WI ;.‘1...I.: '..•!1.:I I 1 if,,, 11.. 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L_t.1,111111:3 Gr.: •-.,,,:415 111.:et,..,!,I WI 1 I ''Al .1010 Ill!' IF 23101'1 Page 3 of 3 09/24/2015 TBU 11102 PAX kilo 01/009 it X3.4 STATE OF FLORIDA ,� DEPARTMENT OF REVENUE �`" Y' ' TALLAHASSEE, FLORIDA 32399-0100 "' '`'' Stipulation Agreement DX-68(R.s/07) it if.rL 4, t ` \ z 7 ,r t,4' t1If Fi{.t m'J't'tmlIki liii (nfl .t.litt•\ii ji 1.ti - r�>•. I, lill I:im 3 ky iiilt,)1' t �it pG iv {t 14r i j` `e t .u i.: 4 1.The Florida Department of Revenue,MARINA P.REYES the taxpayer,Tax Identification No, and(the guarantor) hereby agree that$1,599,82 (hereinafter referred to as the"liability)is owed by the taxpayer to the State of Florida for Documentary Stamp Tax for the perlod(e):-11/09. . The amount due is comprised of: Tax: $1,301.40 Penalty: $0.00 Interest: $139.36 Fees: $158.80 Total; $1,699.82 2. The parties agree that upon the exeoutinn of this document, the amount due will be paid according to the amortization schedule attached. The parties further agree that the taxpayer shall meet each payment term which is detailed on the Stipulation payment coupon provided by the Department of Revenue. MIAMI SERVICE CENTER 8175 NW 12TH ST STE 119 DORAL FL 33126-1828 3. The parties agree that the t xpayer shall accuratei complete and timely file all required returns for the next 12 months beginning with the period _ through /QJ/la and timely remit all tax collections due for the next 12 months. 4.The parties agree that the taxpayer shall comply with ail other provisions within Chapter 212,Florida Statutes. 5. The taxpayer is in compliance with all of the terms of this agreement the Department agrees not to commence any additional collection activities for the liability. THE PARTIES FURTHER AGREE THAT: A. They have executed this agreement freely and voluntarily,and for the consideration set forth herein. B. They have had the opportunity to consult with counsel of their choice prior to executing this agreement. C. There are no promises or conditions other than those set forth In writing in this document, and there shall be no modification of the terms of this agreement other than In writing and signed by both parties. D. The.amount of the liability Is subject to Increase if the Department discovers, through audit or otherwise, that suoh liability has been understated. However, If any additional liability is discovered, the taxpayer will have the benefit of the Department's normal protest procedures to protest the additional liability. E. The waiver by the Department of any breach of this agreement by the taxpayer or the guarantor shall not constitute a waiver of any other breaoh. F. If the taxpayer fails to timely perform any of the obligations under agreement, including the timely filing of returns and timely payment of all taxes, penalties and interest as they become due,all amounts of the interest and penalty settled under this agreement and any unpaid balance shall be Immediately due and payable and collectible by all legal means without further notice including to s, 212.18,FiStl and the garnishment of bank accounts pursuant p tots�23 67,F.S rent of revocation procedures pure Page t of 3 09/24/2019 THU 11:03 8A( 16002/009 G. Pursuant to this agreement, the taxpayer and the guarantor agree to waive any and all rights, or purported rights, to institute any judicial or administrative proceeding to recover,compromise, defer, restructure, avoid, challenge or reduce any tax,penalty or interest paid or payable pursuant to this agreement. H. The guarantor Is signing this agreement in his/her individual capacity,whether or not also doing so on behalf of another person,and whether or not affixing to his/her signature an Indioatlon of corporate office,for the following limited purpose. The guarantor hereby personalty guarantees that all subsequent returns for the twelve months immediately following the data of this agreement are aeourate and timely and that all tax shown due, or otherwise collected, Is timely remitted to the Department. The guarantor further states that he/she is jointly and severally liable for tax, Interest and penalty finally determined due and unpaid for this period and will pay same within 10 days of the Department's demand for payment. If the guarantor falls to pay the debt owed within 10 days of demand, the Department may take any and ail collection actions against the guarantor that it could take against a delinquent taxpayer including but not limited to the filing of a lien pursuant to e.213.89,F.S.and the garnishment of bank accounts pursuant to s.213.67,F,8. I. The taxpayer and the guarantor fully understand and accept the terms of this agreement. r1. If recover, in n to the guarantenal y, interest�andcosts owed, all costs of collection ti cursed in this mattebr,eIncludi g a recover, In add(titlon to aN tax, p ty, reasonable attorney's fee. Page 2 of 3 ®003/009 09%24/2014 THU 11203 FAX I. a a, I. ,t. Nu of Fermat:4 Infaramt Rats:LOW % peymant Saha�ILt4et1:4�OOAD p�Payment iO,Q�e Next Payment Oat*:1010412,0115 Wed paymant Amount.511,4Z {D y Final Payment Amount: p.Op aft ra❑balloon Punt et D new payment>inhaidute Piymint raiment I°aytn+sn I'ayntunt Pi`s Fa* lMho*• tta h mount Applied Appll 4 M I Into* lifilliMrilorrrimorrgumanricormriarrimurrtiormrirwrii irormilltirTMErnirrilluiwrillormeloureimmulumrimi wormrgarrrelmormamervmorrimi w �I � I� idle t ii n r . �•f. r ft t a This agreement la hetaW 5aanptid for and alt the behalf of the laxpeyer on MI6 day of! letflitittLlit v' ninth ) d ) si 814na'" wpayar or vd c{ td"" ' , ` y the Guarantor (d ) I understand that by e1gntt1d Ude eiteetment I ern pi eunalty liable for text beeelty and Intsreet the4 Will become dee {p the data el Me execution of this aE Wmem. forthet�+relSraAtonilx following TM1B AMU, ENT IS t:RRBY AOORP1 DFOR r AND ON Th BEHALF! OP THE FLORIDA DgPARTAilENT OF REVENUE;:h Uli40R • ' •UNDER e,21121(4), _t..t• ;,_ f^1 r t,, - f 4 �)y,. DM ?/2,1/pod. I Pagel>aE a September 25, 2015 FLORIDA DEPARTENT OF REVENUE Attn.Jack Scott Via fax:850-922-9252 Re: Business Partner No. 3352570 Documentary Stamp Warrant Sir; When l purchased my home is 2002 the sale was for the actual Lot 14 and 15 as stipulated in the deed Transferred form the Velazquez to me. It turns out that the City of Hialeah had issued an ordinance Transferring ownership of'A the alley to each of the adjacent owners. Since I was in the process of subdividing my lot, it was noticed by the City that ownership of the Alley Had not been included in the original deed,thus we were required to locate the previous owners and Have them deed the portion of the alley to me. My attorney did the deed, it was signed and recorded. The alley was not encumbered by the original mortgage and there was no consideration paid for the Transfer. I am hereby requesting a further review of my documentary stamp assessment. Respectfully, ' /) Marina Reyes 890 E 23 St., Hialeah, Fl.33013 Tel. 239-560-8243 • Clerk' lle No 2 '&851968.Group:I Back • VFlfciai KeCoTd bearccn pp.• (Page i datde •111111111111111111111111111111111 111111111l i 11 CFN 2009R065 1968 T14De.raaatPreen/k••a afennalst OR Bk 27097 Ps 15671 (ins? fl P.a. RECORDED 11/30/2009 12:15:29 S. 5 DEED DOC TAX 0.60 MANX, SURTAX 0.45 HARVEY RUVIN, CLERK OF COURT I1IAIII-DARE COUNTY, FLORIDA LAST PAGE rrwdslNe bo.O4-3108-002-3340 Quitclaim Deed Tab 41 rtDsd, Wilde oft Dill' ch'et November .2009 )4x, Bahama NELSON VELAWSE and PATRICIA R. Vim, hie wife d es Oemr et 4ieni-Dad , is of PlOrida ,Brsntor, eel mAINXIO. P. i[RISA, a single comma sew Maw is 190 E. 23rd Street, nialsab, FL 39013 .t as alum.1 a i.asi-Dads , seu,a<Florida ,3rllaitie. MUNN& 6444 MANTON.Ikea haouiaesiies we►et 1914/ DCILTAII ml os.r-ad MaWtk n.disMs MAIM it lad laid MI amnia as waft wMwc N-sokar,40 Ito la.aM,l agAe.i.4a,ratiebeeeaMaeaammluweiss6 snWV Inww.r.da.plisse,..i,tk+aya.alielbM.tlowl, Qyrlkrsstssoowb•t Siami-rind. UMW P'larida lova The Nosth 1/2 of that portion of the 12 Foot Ailey lying Beath and •djaaant to tot, 14 mad 15, Sleek 105•E, of TES AMU= VIAT OP R'21 Amman PLAT Of TER TEIRTSENTS SOMME TO ri'ALEAS, a000rdinq to the Plat thermal, as r.00rdrd in Plat Rook 34, Page tai of the Public Rsoords of Itiaai-Dads County, Florida oloeed per Ordinance No 94-07, passed and adoyt.d on January 25,1984 .1!: To gm and ea Ho{/ as ems eviler .fs et: .M avert eo yl'eu..ewo drtse le .1elleal4 + 'b ravUe wwl-A,i s, sad W 1. wry dri, Me, WSlta, l r, eci4 ad dies w4.mnwr et plea, .!!tie Is Mw of ales,, N is we.Iowa al pelt et dr NW swift flew,. In Than e W arad,a.POW IN 11.0se4 aw lee/sed mad M % • rat[ha/t1►a�/wdlea BY+IaA HEW dal da hummt b sir wawa I V • 1 • i tad Xmas: etrallir/Air) T37r•', MAWS! lip1111111 - •a n� ✓ . Prim- . 11a_a4o: 'L.t t r► `A In0 o PATRIOIA R. VSLESQVRB • Witness rA A1Sww MI$W Nlr,tlwd,tt.33 STATE OF Florida COUNTY Of![iat.i-tl.de 1U 4004 l.wwrot"es.cta eiMaM Wee u.10 `7 ley et Po?suber ,2009 ►r NELSON V3RUEQVU and PATRICIA A. VALAEQGRE, his wife sass w poem*beewit n.et via ern salmie.tr11orida daivaras 11 WAD 1/di33-4 f2- 4414'O �V VAL 4F4. %6 fSc-O Prtnte e i'W rT .o-b hi Notary Pnblia • • CFN:20110401061 BOOK 27726 PAGE 4438 DATE:0612012011 11.06:01 AM 4 8 HARVEY RUVIN,CLERK OF COURT,MIA-DADE CTY c.E ,t toy Florida Department of Revenue WARRANT Y DEPARIMENt OF REVENUE MARINA REYES Tax :Documentary Stamp Tax 890 E 23RD ST Business Partner R :3352570 HIALEAH,FL 33013-4227 Contract Object if . FEIN - Warrant# :1000000220653 Re:Warrant issued under Chapter 201 ,Florida Statutes THE STATE OF FLORIDA TO ALL AND SINGULAR,THE CLERKS OF THE CIRCUIT COURTS AND ALL AND SINGULAR,THE SHERIFFS OF THE STATE OF FLORIDA WARRANT FOR COLLECTION OF DELINQUENT. Documentary Stamp Tax TAX(ES). The taxpayer named above In the County of Miami-lade _,is indebted to the Department of Revenue,State of Florida,in the following amounts: TAX $ 1301.40 PENALTY $ 0.00 INTEREST $ 139.36 TOTAL $ 1440.76 FEE(S) $ 20.00 GRAND TOTAL $__ 1460.76 -_ For returns due on or before December 31,1999,interest is due at the rate of 12%per annum. For returns due on or atter January 1.2000,a floating rate of Interest applies in accordance with section 213.235,Florida Statutes. WITNESS my hand and official seal in this City of Miami _ 17th _ Miami-dade County,Florida,this 17 — day da of June 2011 -- I.,33 U.chij wf.F:,cr'Ii1;VC?i:'irr,t•tf'. Department of Revenue,State of Florida ifilIE....iti;:.''. -:r:.14-:--r'....'..1.?..'''... Thi instrument prepared by 74WeeaV"° . ,ra a �' Authorized Agent `" y Please bill to: *lcT,O�1..,1;,',: L;. ' Stale of Florida,Department of Revenue �YC %r`...,t.. MIAMI NORTH SERVICE CENTER b Wt3 8175 NW 12TH ST STE 119 DR-78 Miami,FL 33126-1828 R.08109 Having issues viewing this image?(GetBin.aspx? 886 110th Ave. N. Suite#6, Naples,FL 34108 Phchne:239.777.1028 s �r Fax: 877.275.3593 t�7sswPy} 4.4 rf k ' www.Lice11SCSEtc.com BUSINESS CREDIT REPORT as of: 09/23/15 08:54 ET Reyes Tile Service Co. Fed Tax ID# 65-1020720 Address: 3444 Marinatown Ln Ste 10a Key Personnel: Reyes Angel N FT Myers, FL 33903-7010 Reyes Marina United States SIC Code: 1743-Terrazzo, Tile, Marble&Mosaic Experian DIN: 744961150 Work Agent: Reyes Angel NAICS Code: 238340-Tile And Terrazzo Contractors Agent 1485 W S Lane Address: Hialeah, FL Business Type: Corporation Experian File May 2002 Family Linkage: Established: Ultimate Reyes Tile Service Co Experian Years on File: 13 Years Parent 3444 Marinatown Ln Ste l0a Years in Business: More than 13 Years N FT Myers, FL Total Employees: 5 Branches/ Reyes Tile Service Co Alternative 151 Fairway Dr Apt 2308 Locations Miami Springs, FL United States Sales: $351,000 Reyes Tile Service Co Filing Data Provided Florida 1501 Ortiz Ave by: Fort Myers, FL United States Date of Incorporation: 07/03/2000 Reyes Tile Service Co Page 1 of 2 151 Fairway Dr Apt 2306 Miami Springs, FL United States zf z �r x/S -a. .�. .c'- fi,-s sF.. z Public ecol ds.. : i , a r£ r N_ F . . 7 • -14 PUBLIC RECORDS HAVE BEEN SEARCHED AT THE COUNTY, STATE AND FEDERAL LEVELS. ✓Bankruptcies: 0 ✓ Liens: 0 ✓Judgments Filed: 0 K Collections: 1 Y• L, t ollection illy gs _} r $`Date` h, Agency gency Phort Status Closed Aunt Amt Comments Date Diputed Collected ... _,_.. . Receivable Open 09/11 Management 484-242-4000 $654 $0 Account Services sr{ i t 7 �t �� .t r e s -r t e'. -a'' ? ° �r_ Ts- se' s yi r rr t Collections•Surltttei : a_ Status } `t :z �Ntinibei'of Items_ `Amt-'Disputed S ` r3 Amt collected,{ Open Account 1 $654 0 END OF REPORT Page 2 of 2 Cilent#:1448888 132REYESTIL ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(M1.ODlYYYY) 9/2412015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the pollcy(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). CppTACT Pam Glllmore PRODUCER NAME: -_ BB&T-Oswald Trippe and Company P, R , ,);239 4334197 806 802-8680 L fA1C.No)_ 13515 Bell Tower Drive E-MAIL ., bbandt.com ADDRESS: pg @ o —. —.— -. Fort Myers,FL 33907 INSURERls)AFFORDIHGcovERAGE NAICS .._ 239 433.4535 INSURER A:Old Dominion Insurance Company 40231 INSURED INSURER D:Reyes Tile Service Company INSURER C: Y_ Marina Reyes INSURER D: 890 E.23rd Street INSURER E: - Hialeah,FL 33013 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR INSR WVD ADDLSUBR, POLICY EFF POLICY EXP LIMITS A TYPE OF INSURANCE _ POLICY NUMBER (MMIODMMO (MMWDIYYYY)_ L GENERAL LIABILITY MPG8531 F 07/15/2015 07/1512016,EACH OCCURRENCE $1,000,000 A X COMMERCIAL GENERAL LIABILITY t /g iS?EaoEA,,ke) $500,000 }CLAIMS-MADE XI OCCUR MED EXP(Anyone person) W$10,000 PERSONAL a ADV INJURY 51,000,000 ____, GENERAL AGGREGATE 52,000,000 GENT.AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGO $2,000,000 XI POLICY _ PRO LOC A AUTOMOBILE LIABILITY MPG8531 F 07/15/2015 07/15/201 Cp)'(BINED SINGLE LIMIT �(Ea,r3INE tl s'1,000,000 BODILY INJURY(Per person) $ ANY AUTO AUTOS OWNED - SCHEDULED BODILY INJURY(Per accident) $ PROPERTY DAMAGE $ NUTOS ED !Per accident) X HIRED AUTOS X AUTOS $ H UMBRELLA LIAB , EACH OCCURRENCE $ ____ OCCUR EXCESS U(AB CLAIMS-MADE AGGREGATE $ DEO I "RETENTION S - _ -- - $ WORKERS COMPENSATION ITORYLITU• I IER AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNEIUEXECUTIVE YJ N E-L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? I N/A E.L DISEASE-EA EMPLOYEE $ (Mandatory In NH) •E.L If yes,describe under E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS be(aN _-� _� —_ DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(Attach ACORD 101,AddItlonal Remarks Schedule,II more space Is required) tile Installation CERTIFICATE HOLDER -CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Collier County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN GMD Operations&Regulatory Mgmt. ACCORDANCE WITH THE POLICY PROVISIONS. . Licensing Section 2800 N Horseshoe Drive AUTHORIZED REPRESENTATIVE Naples,FL 34104 I b' _ ©1988.2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05)« 1��of 1 The ACORD name and logo are registered marks of ACORD cent 1.101.11• DATE(MfA/DD/YYYY) ACO CERTIFICATE OF LIABILITY INSURANCE J 9/23/2015 �� 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 poiicy(les) must be endorsed. if SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT NAME; Yenitza Guzman an-_—_.-- —----- — PRODUCER PHONE FAX 239-931-5604 Lykes Insurance, Inc. u N ,239-931-3024 — (AIC,NoU._ —_.— P.O. Box 60043 E-MAIL uzman I kessura_nce.com Fort Myers FL 33906-6043 ADDa558;_ "— @ Y— m — INSURERASLAFFORDIRG COVERAGE NAIL a INSURERA:Technology Insurance ComIany 42376 _� INSURED -- -- - REYES-2 - INSURER B - - - -"--� - ——_..—, _ Reyes Tile Service Company INSURER C: —_ — — P.O. Box 151701 INSURER D: — —` Cape Cora!FL 33915 INSURER E: — --'INSURER F: COVERAGES CERTIFICATE NUMBER:1686721919 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. LIMITS AD-6L SLUR POLICY EFF POLICY EXP IL R TYPE OF INSURANCE INSO WO POLICY NUMBER (fAM/DDWYYYY) (MM tID YYYY) 5 COMMERCIAL GENERAL LIABILnY -DA.MAGE TO—R—ENT EACH OCCURRENCE ETT I CLAIM MADE L I OCCUR PREMISES(Ea occurrence) _,5-- — MEDEXP(Any one person).-5---_ -_ — — PERSONAL&Any INJURY I- . GENERAL AGGREGATE 5_,^ GEHL AGGREGATE LIMIT AP(PtJESPER: GENERALA-GREGAT AGG 5 — _ PODGY I_1 TCT I 1 L� S OTHER: COt.181NEDSINGLEUµIi .S AUTOMOBILE LIABILITY aaccide� ANY AUTO --- BODILY INJURY(Per person) 5 AU OWNED SCHEDULED BODILY INJURY(Per accident) S -- NON-OKNED OPERTYY DAMAGE — $ — _..---. .-- (_—... HIRED AUTOS AUTOS S EACH OCCURRENCE $ . .-__.. UMBRELLA MB OCCUR —" .----..—_ -.— EXCESS UAB L CLAIMS-MADE AGGREGATE 5. _ T11 S DED 1 1 RETENT1oNS 8!3112015 8/31/2016 I oTH A WORKERS COMPENSATION N TWC3481674 I STATUTE 1 I ER AND EMPLOYERS'LIABIUTY Y/N EL_EACHACCIDENT S5lx),600 ANYPROPRIETOR/PARTHER/EXECUTIVE t I N/A (Mandatory EXCLUDED? ! EL.DISEASE-EA EMPLOYEE 5500,000 (Mandatory In If yes describe under _EL.DISEASE-POLICY LN.tIT $560,060 DESC under OF OPERATIONS helarr DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached H more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Collier County GMD Operations&Regulatory ACCORDANCE WITH THE POLICY PROVISIONS. Management Licensing Section 2800 N Horseshoe Drive AUTHORIZED REPRESENTATIVE Naples FL 34104 12Vl/ w -1 I ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD 200117 R10325 Dale of this notice: MA 7, 2001 r ' Department of the Treasury 65-1020720 Taxpayer identifying Number Ta Period. internal Revenue Service Form: / ATLANTA GA 39901 For istance you may _-- call_us at: ----- - I-800-829-1040 --- 11rr1lr llullrlllulrrll,llrrrtrlrlir,il II I Or you may write to us at the address shown at the left.II you write,be sure to attach the bottom — REYES TILE SERVICE CO partofthisnotice. 552 E IOTH ST HIALEAH FL 33010-3634520 NOTICE OF ACCEPTANCE AS AN S-CORPORATION ACCOUNTING PERIOD OF YOUR ISEACCEPTED.BETHEEELECTIONAISSEFFECTIVEIBEGINNINGNJAN. 1, 2001, SUBJECT TO DECEMBER VERIFICATION IF WE EXAMINE YOUR RETURN. IF ONS. FFECTIVE IT TWO TEAS WHEN PERIOD. EFORE, YOUR MADELFORFTHETNEXTATAXEYEAR QUESTED AND NA TH R LEAS A EKEEP EP THISRNOTICEOIN YYOUR PERMANENT RECORDS AS VERIFICATION OF YOUR ACCEPTANCE IF YOU HAVE ANY QUESTIONS ABOUT THIS NOTICE OR THE ACTIONS WE HAVE TAKEN, PLEASE WRITE TO YOURN LOCAL EDIRECTORY.PRANEEMPLOYEEA THERE L R MAY BE ABLE TO HELP YOU HOWEVER, THE OFFICE AT THE ADDRESS SHOWN ON THIS NOTICE IS MOST FAMILIAR WITH YOUR CASE. IF YOU WRITE TO US, PLEASE PROVIDE YOUR TELEPHONE NUMBER AND THE MOST CONVENIENT TIME OF THIS CAN CONTACT IDENTaFYEYOURECASER INQUIRY. PLEASE RETURN THE BoT THANK YOU FOR YOUR COOPERATION. To make sure that IRS employees give courteous responses and correct information to taxpayers,a second IRS employee somettiimjee i i 5 e Form 8489(flev.El 9 S) telephone calls. Keep this part for your records — ------------- -----•---.._._..__--- ------.—_._.._.-- Return this part to us with your check or inquiry `` 'lour telephone number Best time to call INI 1� l 200117 07953-503-01577-1 ,.:1 INTERNAL ATLANTA GAVEN3990ZRVICE REYES TILE SERVICE CO 552 E 10TH ST HIALEAH FL 33010-3634520 651020720 WH 00 000000 1 1 AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF }"'lor ,IS COUNTY OF • SE I, 1414,ctsv re 115 1 , having been first duly sworn,state and affirm: I am a resident of ,�g C County, 4—h/2 ' (State) and have resided here for more than five(5) years. During the last five years I have known A,,e„yei Red (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. I • S ignat.re Name d � • Address Telephone The foregoing instrument as acknowledged before me this (Date) b y ///Y' ��. who who has produced • 4l/ (-AA)(name of person acknowledging) (type of identification) as identification and did not take an oath. NOTARY'S SEAL �> �a 4/ (SIGN LiRE OF NOTARY) f-� a 'per • ..0kY'PI','tt,, AtTA R • i f=94 Notary Public EJI Slate oO f Florida •. . .E My Comm.Expires Mar 15,2016 ''';‘,Z0 1:�'E Commission M EE 179125 4 Bonded Through National Nolary Assn. AFFIDAVIT OF INTEGRITY AND GOOD Ctt.kRAC"I'FR STATE OF 1 /UN- ‘.1,--- COUNTY OF ) g,6- I , having been first duly sworn, state and affirm: I am a resident of 1 E-e- County, -F1062- (State)and have resided here for more than five (5) years. During the last five years I have known /all 14 ifV A iZ y (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. �.-7 Signature Chr) ;ne CeAbrem_ Name 8/g 1=7 2,/-6-0/0 7A,y r ,dope. Cora / ,t/ 3390/ Address d39- 4/ 7/ -• 73c)-7 Telephone The foregoing instrument as acknowledged before me this_ 2 (Date) by C h }.15 a -12- e ab-.�1- G-- who has produced - / (name of person acknowledging) (type of identification) as identification and did not take an oath. NOTARY'S SEAL � (SIGNATURE OF NOTARY) , Ypue.,.,• ALEXIA PAORO ..or �= Notary Public•Stale of Florida 'I. My Comm.Expires Mar 15,2016 ..:4, -',,,peg Commission Jr EE 179725 F,Z ni:1,O Bonded through NiliIna+ki^._ •- • VERIFICATION OF CONSTRUCTION EXPERIENCES'; GM Operations &Regulatory Management Department Licensing Section 2800 N.Horseshoe Drive (2. Naples,FL 34104 A licant's Name: , -1 S �ft �'�PP �i t� Certificate Category Requested: The applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate,the applicant must verify their experience within this trade. You are being requested to provide information that will aid the applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker(e.g.as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described,but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience must provide the fo loving information;' Name: the -,e ,-7 ae,-!'L t.�- '.l� Title: %!2 Z%p '/ jc'1O ' "icense Number(if applicable): ,,4-C—.2,1'Y'0003�y� �. . dji.,.... /.n,'1 "-• 1 PetJn Ct>,14tid/.r Name of Business: Business Address: //W,,,6-, Atefio A41.,-.y A..1 it.iyc,.r IGr- 335%'4. Business Phone:('-'3%) 3.27-ar. The applicant's years of experience from 2-000 to .� The applicant's scope of work(specific duties)included: 7 c- c: f t,O/;;j)-Lc:/-/-1 /) i Additional comments: Falsifying any information provided herein may subject your license to revocation. Under the penalties of perjury I declare that I have read the fo' 9 application and that he..facts stated r .--4---) in it are true. (./_, � , r`c S tyre .----- _ , ?et_ c'-)1._ /_ _e+L t.....:_47._1,...4.) Print Name State of Florida County of ,/_<,.- The foregoing instrument as acknowledged before me this / �f 5��� ^�t�� 'z�/s (Date) who has produced .474 c•s--,.,//, /-1,,,,., (name of person acknowledging) (type of identification) as identification and did not take an oath. NOTARY'S SEAL NICHOLAS GABRIELSENrc jY.'. .�o STATE PUBLIC (SIGNATURF NOTARY) y"• -+STATE OF FLORIDA at'Comm#EE203633 'i fee. a sr 'e 1 Expires 5/3/2016 TILE CONCEPTS OF LEE COUNTY, INC, • 720 NE 25th Aye, Ste 1, Cape Coral, FL 33909 (239)673.9728 September 28, 2015 To Whom It May Concern„ We have been doing business with Reyes Tile Service Co. for over 10 years. They are a very competent from layout to punch out. Their installations have been very good and timely. Reyes Tile Service Co. Is an easy company to work with if you have any questions, please do not hesitate to call. Sinc 4 le Frank Rowan, President State of►lorida County of Lee � ' dayot , =`1' Sworn to and Subscribed before me this c — ' --"' DALE C.NOLft 1\4^\ ,� r Alt MY COMMISSION t EE 8sn13 1�t ' 1 * EXPIRESOcto6erf920in Notary Public - FOVrro�oe BwiedTtruBudeAWitysex Personally known or produced identification Identification produced: Designers Showcase of Cape Coral, Inc. 940 Country Club Boulevard Cape Coral, Florida 33990 Phone 239-574-3602 Fax 239-574-3884 September 24,2015 To Whom It May Concern: This letter is to verify that Marina Reyes of the Reyes Tile Service Co.has worked for us as a tile installation subcontractor since July of 2005. The company has provided us with quality workmanship for the past 10 years. It is our recommendation that you grant her a Collier County license. Sincerely, Julie Pescatrice,Sec. 416 4' WRIT HERNANDEZ A. otary Publ c,Stale of Florida Commission#EE 843408 My comm.expires Oct 14,2016 l T .a ,, aIA '10 l • ,3e0°/.06. Lee County Tax Collector Co' )ax ' : tor 2480 Thompson Street .1 Fort Myers, Florida 33901 of� dfa�e o,a0 www.leetc.com Tel: 239.533.6000 Local Business Tax Account: 0100601 Dear Business Owner: Your 2015-2016 Lee County Local Business Tax Receipt is attached below. The receipt is non- regulatory and is issued using the Information currently on file with our office. It does not signify compliance with zoning, health or other regulatory requirements nor is it an endorsement of work quality. Annual account renewal notices are mailed in August to the address of record at that time; to ensure delivery of your annual notice, mailing addresses may be updated online at www.leetc.com. If there is a change in the business name, ownership, physical location or if the business is being closed, please follow the instructions on the back of this letter to transfer or to close the account. I hope you have a successful year. CA-2°.cHj.- Lee County Tax Collector Detach and display bottom portion and keep upper portion for your records veCot% LEE COUNTY LOCAL BUSINESS TAX RECEIPT - ,,,, 2015 2016 Tax Co .Pt tor ACCOUNT NUMBER: 0100601 ACCOUNT EXPIRES SEPTEMBER 30, 2016 'I,� 0 s,_''/e of Ftoc\a May engage in the business of: MARBLE I TILE!TERRAZZO CONTRACTOR Location 3444 MARINATOWN LN 10A N FT MYERS FL 33903 THIS LOCAL BUSINESS TAX RECEIPT IS NON REGULATORY REYES TILE SERVICE COMPANY THIS IS NOT A BILL-DO NOT PAY REYES MARINA P PO BOX 151701 PAID 392518-13-1 09124115 01:16:30 CAPE CORAL FL 33915 MBM1 $50.00 4 Lee County LIC20�0-�Q437 Sac�t6lve�'( ��nriG�U marinaprevesOhotmail.com License Holder MARINA REYES Name: Firm Name: REYES TILE SERVICE COMPANY Address: P 0 BOX 151701 CAPE CORAL FL 33915 • ' Thank you for assisting Lee County Contractor Licensing in their effort to"Go Green". Please om this office.keep this d to keep your Y additional copies your in a safe place as you will not be receiving any email address current with us at all times. Below to please find your Lee corpo Certificate of Competency.Ren wal willtbe Certificate n the middle need f August of each calendar year. wish to perform work in Unincorporated Lee County. If you choose to place your license on inactive status please notify this office our soon as to assible. Please keep yourself up to date with our departments information by periodically www.lee-county.com/dcd/contractorlicensing.htm general liability insurance In addition to this Certificate, it is your responsiblity to maintain your worker's compensation,Were ra Unincorporated Lee and obtain a yearly busine ace certificates of insurance to Cot Tax actoorLicensing while Our phone number is County. You may email your 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 cy0our email l a drel ss along with your case number LIC2004-00437 to ContractorLicensing@Leegov. Cull-lore . ... . . ... .. ...... Conditions of Cedificale LEE COUNTY Condili eras gf Certif+ca e CERT1Fl(239 OF C 895 ET£NCY Shall maintain required insurances on active certificates. Renewal due for active and inactive certificate each year in September. D1MA'RAY S TL E SERVICE COMPANY Shall inform the Contractor Licensing Office of COMP.NO.shall appear on all LICENSED FOR: Tile and Marble any Address or telephone#change. advertisements including vehicles reflecting a business name. Shall only contract in D/B/A name as It COMP.NO.: TM00-00437 appears on certificate.Board of Approval NOT VALID AFTER:0913012016 required on business name changes. igna ure o icense•o 6 er fcnlrlocfen2.ipt CITY OF 9A 44 0 <ORIOP °"• °' City of Cape Coral • =P Certificate of Competency 10314 Date Issued: 09/29/2014 TILE/TERAZZO/MARBLE REYES MARINA P REYES TILE SERVICE CO Expiration Date: 09/30/2016 Detach and post bottom portion CITY OF CAPE CORAL CERTIFICATE OF COMPETENCY City of Cape Coral -- 1015 Cultural Park Blvd -- Cape Coral Florida 33990--(239) 574-0430 This Certificate expires September 30, 2016 Visit Our Website at www.capecoral.net Certificate #: 10314 Location: P 0 BOX 151701 CITY OF Classification: Business Phone: (239)458-7883 SPECIALTY State License: � Q [IL1J/'i ERAZ ZO/MARBLE .p d ".<OR10P REYES MARINA P REYES TILE SERVICE CO Date Issued: 09129/2014 P 0 130X 151701 Amount: $ 150.00 CAPE CORAL. FL 33915 j 2015/ 2016 CHARLOTTE COUNTY LOCAL BUSINESS TAX RECEIPT ACCOUNT 8803 • MUSS BE DISPLAYED IN A CONSPICUOUS PLACE EXPIRES SEPTEMBER 30 2016 TYPE OF . TILE,MARBLE,TERRAZZO,AND MOSAIC RENEWAL BUSINESS BUSINESS VARIOUS LOCATIONS ADDRESS CHARLOTTE,FL 00000 'i 00 BUSINESS REYES TILE SERVICE CO AMOUNT 3PENALTY 0 00 NAME OWNER MARINA P REYES TOTAL 35 00 MAILING PO BOX 151701 Is. '',)11 ADDRESS CAPE CORAL,FL 33915 I.. Iri:ii. c , ;iii) 1.1 i, , ,s; , i 1115 FORM BECOMES A RFC[IPT ONLY t,HEN VALIDATED , Paid 09/25/2015 Receipt it 777-00005171 35.00 . .. 2015 1 2016 CHARLOTTE COUNTY ACCOUNT 8803 LOCAL BUSINESS TAX RECEIPT EXPIRES SEPTEMBER 30.2016 MUST BE DISPLAYED IN A CONSPICUOUS PLACE TYPE OF 2126 TILE,MARBLE,TERRAZZO,AND MOSAIC RENEWAL BUSINESS BUSINESS VARIOUS LOCATIONS ADDRESS CHARLOTTE,FL 00000 BUSINESS REYES TILE SERVICE CO AMOUNT 35.00 NAME PENALTY 0 00 OWNER MARINA P REYES TOTAL 35 00 MAILING PO BOX 151701 ADDRESS CAPE CORAL,FL 33915 : ,r I,',t.ir: ( t:ii/10, I•''• ' Ti'''lt•IE THIS FORM BECOMES ARECE1P I ONLY WHEN VALIDATED • I r- - - Paid 09/25/2015 Receipt # 777-00005171 35.00 • I 1 Dear Business Owner: Your 2015• 2016 Charlotte County Local Business Tax Receipt is attached above.Please detach the receipt and display it in a place that is visible to the public and available for inspection The Charlotte County Local Business Tax Receipt is in addition to any other license or certificate that may be required by law and does not signify compliance with zoning.health,or regulatory requirements.The Charlotte County Local Business Tax Receipt is non-regulatory and is not an endorsement of work quality. Your 2015 - 2016 Local Business Tax Receipt is valid from September 01, 2015 through September 30,2016 Annual account notices Nw mailed in June to the address of record at that time.Any Changes to your Local Business Tax Account due to change of Business Name.Ownership,Physical Address or you are Closing your Business please contact our office at 941-743-1350 . VICKIE L.POTTS Charlotte County Tax Collector CHARLOTTE COUNTY LICENSING a CERTIFICATE OF COMPETENCY NOT VALID AFTER 09/30/2017 T)re- L CERAMIC TILE ---. 1)13A REYES TILE SERVICE CO tic Mr. AAA0010801 {_ MAR[NA REYES 890E23RDSTREET HIALEAH FL 33013 ) w E ° + \ \ 3 € § \ % { ] b o o c ; $ ® 0 / — o / / . � X \ i ¥ \ E / -- < ~ ° 2 $ Co } . ( / \ V ~ tA co . , / \ O ' / ; \ Z / ® D d ~ .0 \j \ \ •\ F.. 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I • 0 0 -,- ,, - ,.. . ••,,t.11.) ,...-!; ,,,-.. --0-1 1 (1) '''',-.Y.•:.-., ''',17: .kil l' 'i-..,:7' '_;,.',4" rn i — . 0 i 0 m —1 , Xi . .. c cr) i m U)(/' • CD m • CI ' m n xi i ■-t- C q , , = 1 — , 0 , PO I Cl- i 0 • t n c . , 3 CD 10 Li (J , 1 = Z: c —n—•t.:.,., : 1 : 1 pi —v-) '3 O —.t-f) :D D 0-60, rn ., ... • i . ! ' I I-. . , ., . ... . • • • . .. - - • 70(77, 4 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION g. a DIVISION OF REAL ESTATE 850-487-1395 _ k,,tr 1940 N. MONROE ST. TALLAHASSEE FL 32399-0783 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants,and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myfloridalicense.com.There you can find more information about our divisions and the regulations that impact you,subscribe to department newsletters and learn more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly.We constantly strive to serve you better so that you can serve your customers.Thank you for doing business in Florida, and congratulations on your new license! STATE OF FLORIDA DEPARTMENT BusinesvC, OF BUSINESS AND PROFESSIONAL Professibnai REGULATION Regulation SL607553 ISSUED:09/27/2015 SALES ASSOCIATE REYES,MARINA PADRO Signature / PROVISIONS OF CHAPTER 475,FLORIDA STATUTES EXPIRATION DATE: SEPTEMBER 30,2017 . :a- DRIVER REYES x` 890 E 23 ST HIALEN1 PA.33013-O0QO `1'`` ' s #. -2sta rsar lid T'iiT� � -L€ Om ar..�of a rtnCw r to sal to WY Sa6HY kst r drld By um. • Findings of Fact, Conclusions of Law and Decision of the Board Collier County Contractors' Licensing Board For Applications Submitted to the Board for Review Type of Application: X Credit Report Review Waiver of Testing Requirements Reinstatement of License Request to Qualify Second Entity Other (specify) THIS CAUSE came on for public hearing before the Contractors' Licensing Board (hereafter Board) on October 21, 2015, for consideration of the application submitted to the Board for review. The type of application is set out above. The Board having heard testimony under oath, received evidence, and heard arguments relative to all appropriate matters, thereupon issues its Findings of Fact, Conclusions of Law and Order of the Board as follows: FINDINGS OF FACT 1. That Garon A. Skender dba Marco Pool Service has submitted an application to the Collier County Contractor Licensing Supervisor or his designee for a Certificate of Competency as specialty contractor— Pool Cleaning Only. 2. That pursuant to Section 22-184(b) of the Code of Laws and Ordinances of Collier County, Florida, applications which do not appear on their face to be sufficient require referral to the Board for a decision regarding approval or denial of said application. 3. That the Board has jurisdiction over this matter and that Garon A. Skender was present at the public hearing on October 21, 2015, and was not represented by counsel. 1 4. All notices required by the Code of Laws and Ordinances of Collier County, Florida, have been properly issued. 5. The facts in this case are found to be: a. The Applicant's knowledge of the contracting business is adequate. b. The Applicant's credit is such that a probationary license is warranted for a period of time. CONCLUSIONS OF LAW Based upon the foregoing facts, the Board concludes that the applicant has met the standard set out in the Code of Laws and Ordinances of Collier County, Florida, and a license may granted subject ranted subject to a probationary period and further credit review. 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 Section 22-184(b) of the Code of Laws and Ordinances of Collier County, Florida, by a vote of 3 in favor and 2 opposed, a majority vote of the Board present, the applicant's license is granted subject to a three (3) month probationary period during which he shall prepare a pro-forma budget, business plan, and obtain an updated credit report for the Board's review in three (3) months. During the three month time period the Applicant shall pay the following four items revealed on the Credit Report: Merchants Collection (Medical) $125 Merchants Collection (Medical) $125 Midland Fund (Chase Bank) $127 Credit ACPT $6552. 2 ORDERED by the Contractors Licensing Board effective the 21st day of October, 2015. •NTRACTOR'S LICENSING BOARD COk.LIE CO NTY, FLORIDA By: Patrick White, Chairman 1 I I HEREBY CERTIFY that a true and correct copy of the above and foregoing Findings of Fact, Conclusions of Law, and Order of the Board has been furnished the Applicant, and Michael Ossorio, Licensing Compliance Supervisor, 2800 North Horseshoe Drive, Naples, FL 34103 on this 21st day of October, 2015. Secre ary/Contractor's Licensing Board i 3 I MARCO POOL SERVICE Business ',--)ran for scai Year P*\ GARON SKENDER. OWNER/OPERATOR Marco Foci Service P.O. Box 537 Maroc Island, FL 34143 Direct: 239.55.6405 Emaii: infoqZ■marcopccis.corr-, Mission Marco Pool Service-Garon Skender "o keep each of my customer's pool clean and clear while providing professional,honest,&reliable service. Potential Customers Target local residential single family home owners in Marco Island and surrounding communities. Business Opportunity/Plan Offer services appropriately priced for our target market. Each customer will receive a weekly service as provided in our customer agreement. At the time of service a"ticket"will be left with the scope of service completed along with date and time. in aaaiuon to the aoove.1 win rouow un wrtn weeKiv communication via,uont 111V aaaress any questions or concerns.Communication is Key in Knowing your customers ana gro=. relationships. i serve as the soie technician for my customers and completely knowledgeable of each of their pools.I will be able to detect any change out of the ordinary each week. Committed to building long term relationships with every customer for reheated business and customers referrals. Increase profitability through impeccable service and customer relationships. Marketing Well advertised in local print publications. Involvement in local community business networking groups and opportunities. Social Media. Marco Pool Service-Garon Skender y < -n V) 171 m ▪ 01 m 'a p O 131 -1 cr N co co to A Q�1 D y1 r0 cei 00 O a p r-) a i° K ro a V* > N n i/1 n ▪ -U1- o - .000 0 0 0 .000 J 00 CO 0 1" N 0 0 0 0 0 0 0 O i/)- -VT > r r1 n OO loll A ham-' tU1 0 001 O CO p N O O O N Co N O 0 N O 0 0 0 0 O O O u, in, i/). VI- i/► D ' ih in. iA I-+ I--, W n o 000 00 0 _vfi w NJ 000 0 ^' J o 0 0 0 0 0 0 0 '* 0 0 0 0 0 c o o '^ N 111 i/. 1-' ham-+ N > 1" 0 U1 0 01 1" U' O ($1 p 0 0 0 0 0 O o 0 j o o O o o O o o in. i/N 1/). i/? 1/N I" A F-' ,VT N lI lA O O 10 V N V A 01 0 LP D N V N W 0 V7 O O 00 0 0 cn W NJ CO 0 r 1 b O bb o 0 o O b o N' rect Dispute I Credit Karma Page 1 of 3 - _ 0' Per,oroo-,eorloqns - OreOIT C.-rip _ngrc (Tar'6avrnn_c Dept Sodurmmns 'w.evtnest '.JmmUDCv orn e:es T;r.s -.a2ns 1 y.�, ,,,� , In partnership with euii Des rs .___comer Cailo.r: M Mcrteace Comoieted :0 9lrecr Dispute Submiscicn Pencinr, Submitted'0 Transcnicc Under Irvestiga',cn Completed La leonors Jan 02,2016 Jan 26,2016 -a.�:e,�cinc ;117 '� Completion Dale •., t_i.'_J :Imold'sI Tr ansUnion re_J•"ed four request on Jan 04,2016 and completed their investigation on.ian 06.2016.Please review the „esult 0=_!=: -Tre.,s.,n on has deleted the account or record from your TransUnicn credit reoort, It you are not sausfied with the results or your dispute tamest in r;a.= •an complete and submit a= im,esti con on directly to Trans'- _r,oe address below,along with any supporting docui - t'•n.You may also request that Tra - on add an explanatory statement of 100 words or less to your credit report. ccount Name Account Type Open Date Status Balance SUFITRUST iv1 0 Mortgage Mar 07,2007 Open-120-149 SO Days Late 15 Misond Payments vle cur..=test Tr a noL'nlon Credit Recor jJ> _I_° r:-nsOnl ar D If you have sped ric Questions regarding your dispute request or need to submit additional information or an updated address,please contact TransUnion using the address shown below.When contacting TransUnion,provide your current file number 331136941. Mai: Phone_ TransUnion Consumer Relations 800-916-0000 P 0 Box 2000 Monde.y-Friday Chester,PA 19022-2000 Hours:B am-11 pm EST Closed on major U S.holidays DisDUro 4_ascn Type Description Additional Information Ownership i am no longer liable for this account. NIA MERCHANTSC0L Collection Completed hap s://www.creditkarma.comimvfinances/dispute/surnmary 1/612(ji Gmail- Copy of your Western Union® Money Transfer receipt to Credit Acceptance Page 1 of 5 F Garon Skender<garon1000@gmail.com> Copy of your Western Union® Money Transfer receipt to Credit Acceptance 1 message vvea. Jan 0. noreply @westernunionspeedpay.com <noreply @westernunionspeedpay.cor= 9:52 AM To: Garon1000@gmail.com nis is a copy or your western unions money I ransrer receipt ana connrms Your autnonzaaon tor a one- time electronic bill payment to Credit Acceptance on 1/6/2016. The Total amount will be debited from, or charged to, Your Bank Account or Card listed below. Confirmation Number: 26801092 Sender Name: GARON SKENDER Sender Address: 470 Elk Cir. Marco Island. FL 34145 Account Number with Receiver: ****4421 Your Bank Account or Card#:***"**'5581 Receiver: ureait Acceptance C/O Customer Service 2460 Paseo Verde Parkway, Suite 110 rienaerson, NV tsyui4 .— , 8A16 ic 4j to Date Available for;P mggM-/612016 �� �°� �C , �( Ot I . L CJWN . Payment Amounk $1.000. / p Money Transfer F # 6;6° Additional Fees: $0.00 Transfer Taxes: $0.00 Total: $1,003.00 Please contact Credit Acceptance directly at the address listed above or by callina toll-free to 1-888-85 - 7377 if you have questions about the posting of this Payment to Your Credit Acceptance account ending with 4421. Western Union Financial Services, Inc. P.O. Box 6036, Englewood, CO 80112 Please note: This email message was sent from a notification-only address that cannot accept incoming email. Please do not reply to this message. crms ana uonamons E-Sign Disclosure And Consent Notice THE RETAIL MONEY TRANSFER SERVICE ("SERVICE") IS PROVIUtU UY VVtJ I tRN UNIUIv FINANCIAL SERVICES, INC. ("WESTERN UNION" OR"US")AND IS SUBJECT TO THESE TERMS AND CONDITIONS AND APPLICABLE LAW.Additional information regarding the Services may be obtained at www.westernunion.com. Each bill payment conducted through the Service is a money transfer performed by Western Union ("Payment")on behalf of you, the sender,of that money transfer("You" or"Your"). r voicaiiv. the receiver of Your Payment("Receiver")will post Your Payment to Your account within two (2) business days after it has been processed by Us. The amount charged to Your credit card or withdrawn from Your account(listed above as"Total Payment Amount") includes the amount of Your Payment to the https://mail.google.com/maiUu/0/?ui=2&ik 6bf8a91c25&view=pt&search=inbox&th=1521... 1/6/2016 Free Credit Scores & Credit Report Monitoring I Credit Karma Page 1 of 4 aeskende roe eccrnmenr`esc ao Cards !oana Car avIre s `✓e _Sour c Overview Collections Data provided by I- ------__ Credit Factors Manacement Credit Reports Center Recommendations TransUnion Reported Open Equifax Reported Open Collections Balance Collections Balance $20,861 $19,796 Collections accounts can often have a negative effect on your credit score.We've created this Collections Management Track Sending• Center to help you find important information about your collectors,track your payment progress and work to Credit Score Simulator ultimately resolve these potentially harmful debts.View di frequently asked questions about accounts in collections_ Updated Jan 2,2016 Advertiser Disclosure Open Closed Balance Removed Collections Collections History Collections These are the collections accounts that have recently been removed from your credit report. Agency 0 Report Original Amount Bureau Date Creditor Owed 0 0 Removed 0 0 MIDL Sep 25,VERIZON $127 -- AND 2015VIRGINIA FUND INC 1,*tree•//�inxnx�nrarB;t1carma c•.nm/my-finances/collections 1/5/2016 Free Credit Scores & Credit Report Monitoring I Credit Karma Page 2 of 4 VET-7,2 25 Jan 02,MED1 02 $1 -- IIEMOJEG \i 2016 NAPLES SCOL URGENT CARE PL MERC Nov 07,MED1 02 gct40\O HANT 2015 NAPLES SCOL URGENT CARE PL Sep 25,VERIZON $127 AND 2015VIRGINIA U INC PAPA Mar 14,MED1 02 $417 MT 2015 ER REC PHYSICIAN PHYSICIANS REG ASSE Sep 10, 01 $5,126 T 2013 CAPITAL ACCE ONE PT BANK NA CACH Jul 22,08 BANK $5,158 LLC 2013 OF AMERICA NA PARA Jun 24,MED1 02 $115 GON 2013PHYSICIANS REV REGIONALCOLLIER httns://www.creditkarma.com/myfmances/collections 1/5/2016 Full Credit Report I Credit Karma Page 1 of 16 otAL 'eccrted as of Jan 02,2015 -31-311 S Keinoei s CreaT. Report Pro.ocsc cv Transllnion.-- C\reriew Your Credit Score Account Mix I 11 1 597 3 300 Poor 850 =t-e, _arc. 2 Total Accounts Pe.■=ral Information Names;eocred Se.-?jcmenirg GARCN ANDREN SKENDER Find out low to :. .- • AoO,r ,;ses Reported Employer Reccred Date Reported 387 EDGEWATER CT MARCO ISLAND,FL COWER COUNTY Nov 23,2015 34145 GERMAIN TOYOTA Aug 24,2010 470 ELK Cl NAPLES FL MARCO ISLAND,FL 34145 2123 PAR DR NAPLES,FL 34120 Accounts Account Name Account Type Open Date Status Balance hitnsq/www_creditkarrna.com/mvfmances/creditreport/transunion/view/print 1/5/2016 Full Credit Report Credit Karma Page 2 of 16 Credit Card Sep 27,2000 Closed $8,315 L get Recor eo Dec 11,2015 No payment listory nas been reported by this creditor. Creel dcr Name USAA SVG BK -,egit'_.�i._aticn^ 'C39�'.t Account T rpe Credit Card Account Status Closed-Derogatory C,-editor Contact Details Opened Date Sep 27,2000 USAA SAVINGS BANK Closed Data May 11,2010 10750 MC DERMOTT FY Limit $8,000 SAN ANTONIO,TX 78288 Term — Monthly Payment $0 Direct Dispute Responsibility Individual Balance $8,315 Since you currently have an open dispute request,you cant dispute any other errors through Credit Karma at this time.If Highest Balance $8,315 you found new errors to dispute with TransUnion,please wait Payment Status Collection/Charge-Off for your prior dispute request to be processed or contact TransUnion directly.Check the status of your dispute inquest. Worst Payment Status Unknown Date of Last Payment Dec 28,2009 Amount Pest Due $6,910 Times 30/60/90 Days Late 0/0/0 Pemarhs Charged off as bad debt Profit and loss write- off WE EFS 7.0' Student Mar 24,2008 Closed $67,533 Account Details Payment History Last Reported Nov 30,2015 No payment history has been reported by this creditor. Creditor Name WE EFS Creditor Contact Details • Account Type Student WELLS FARGO EDUCATION Fl Account Status Closed-Derogatory PO BOX 84712 Opened Date Mar 24,2008 SIOUX FALLS,SD 57117 Closed Date Feb 28,2011 (800)658-3567 Limit Term 300 Months Direct Dispute Monthly Payment $65,195 Since you currently have an open dispute request,you can't Responsibility Individual dispute any other errors through Credit Karma at this time.If Balance $67,533 you found new errors to dispute with TransUnion,please wait for your prior dispute request to be processed or contact Highest Balance $62,000 TransUnion directly.Check the status of your dispute request. Payment Status Collection/Charge-Off Worst Payment Status Unknown Date of Last Payment Feb 20,2011 Amount Past Due $2,338 Times 30/50/90 Days Late 0/0/0 Remarks Charged off as bad debt Profit and loss write- off httnc7//www-creditkarma.com/mvfinances/creditreport/transunion/view/print 1/5/2016 Full Credit Report I Credit Karma Page 3 of 16 c= Credit Card Feb 25,2003 Closed SO Lest Pepsi-tad Mar 19,2012 No payment`inter'-.as seen repereo on this creditor. Creditor Name CHASE „r„ci; C.00 Account Type Credit Card Account Status Closed-Derogatory Creditor Contact Details Opened Date Feb 25,2003 CHASE BANK USA NA Closed Date Aug 19,2010 PO BOX 15298 Limit $2,100 WILMINGTON,DE 19850 Term (800)432-3117 Monthly Payment $0 Responsibility Individual Direct Dispute Balance $0 Since you currently have an open dispute request,you can't Highest Balance $2,065 dispute any other errors through Credit Karma at this time.If Payment Status Collection/Charge-Off you found new errors to dispute with TransUnion,please wait for your prior dispute request to be processed or contact Worst Payment Status Unknown TransUnion directly.Check the status.r your aispute tensest. Date of Last Payment Dec 13,2009 Amount Past Due $0 Times 30/c0/90 Days Lute 0/0/0 RemaC,s Charged off as bad debt Purchased by another lender CREDITACPT Auto Feb 18,2013 Closed $5,750 Account Details Payment History Last Reported Dec 14,2015 No payment(history has been reported by this creditor. Creditor Name CREDITACPT Creditor Contact Details Account Type Automobile CREDIT ACCEPTANCE CORPOR Account Status Closed-Derogatory PO BOX 5070 Opened Date Feb 18,2013 SOUTHFIELD,MI 48086 Closed Dare Feb 14,2015 (248)353-2700 Limit • Term 36 Months Direct Dispute Monthly Payment $357 Since you currently have an open dispute request,you cant Responsibility Individual dispute any other errors through Credit Karma at this time.If Balance you found new errors to dispute with TransUnion,please wait once for your prior dispute request to be processed or contact Highest Balance $8.991 TransUnion directly.Check the status of your dispute request. Payment Status Collection/Charge-Off Worst Payment Status Unknown Date of Lest Payment Oct 27,2015 Xf/000 Amount Pest Due $4,324 Times 30/50/90 Days Late 0/0/0 Remarks Collection Account Placed for collection L.i-Fr�c+•/Issrssrssr •rat t1ratmn rnm/mvfinances/creditreoort/transunion/view/print 1/5/2016 Full Credit Report I Credit Karma Page 4 of 16 Student Jan 22,2008 Closed SO Payment Last Izecoczed Mar 39,2010 No payment,.istcr'-._s:seen reported by this creditor. C'editor Name ACS/WELLS ;;ed;ter:ontact Ce its Account Type Student ACS/WELLS Account Status Closed-Derogatory 0 ACS EDUCATION SERV 501 BLEECKER STREE Opened Date Jan 22,2008 UTICA,NY 13501 Closed Date Mar 09,2010 (80O)835-4611 Limit Term 300 Months Direct Dispute Monthly Payment $510 Since you currently have an open dispute request,you cant Responsibility Individual dispute any other errors through Credit Karma at this time.If Balance $0 you found new errors to dispute with TransUnion,please wait for your prior dispute request to be processed or contact Highest Balance $66,175 TransUnion directly.Check the status of your dispute request. Payment Status Collection/Charge-Off Worst Payment Status Unknown Date of Last Payment Oct 06,2009 `.mount Past Due So Times 30/50/90 Days lute 0/0/0 Remarks Collection Account Placed for collection SUNTRUST MTG I% Mortgage Mar 07,2007 Open-120-149 Days $0 oes ■scuie Late 15 Missed Payments Account Details Payment History Jun 07,2010 tom es So so o -s Last Reported 2009 00 ..K .o 50 .o a .o m SO SO -.o Creditor Name SUNTRUST MTG 200A OK OK ox OK OK OK CK oK oK oK oK of. Account Type Conventional Real 2007 OK OK 00 OK OK sO OK OK OK Estate Mortgage 1 F U A U J I A S o N D Account Status Open-Derogatory ,o 120-149 Days Late Opened Date Mar 07,2007 6a 30-59 Days Late 60-89 Days Late Closed Date — so 90-119 Days Late Limit Creditor Contact Details Term 360 Months Monthly Payment 51,500 SUNTRUST MORTGAGE PO BOX 85526 Responsibility Joint RICHMOND,VA Balance $0 23285 (877)596-5407 Highest Balance $300,000 Payment Status 120-149 Days Late Direct Dispute Worst Payment Status 120-149 Days Late Apr of Last Payment A r 09,2009 You recently filed a dispute for this account. See the de tails here. Amount Past Due $0 Times 30/60/90 Days Late 1/2/12 Remarks Foreclosure initiated 11++„0•//S:nxrSar rrtwd tkarn,a com/mvfinances/creditreoordtransunion/view/print 1/5/2016 Full Credit Report I Credit Karma Page 5 of 16 *9 Auto May 24,2006 Closed SO 7 Missed Payments • Last Reported Cec_12,2012 2011 o 0 .. �R Creditor Name SST/JPMC 2010 A A -a _F e.< .s .o .a A .K-R Account Type Automobile 2005 ex .. _< , _,K .K:F _K:0 0 2008 OK Account Status Closed ,i C IA A M J J A S O N O Opened Date May 24,2006 -� 30-59 Days Late Closed Date Dec 12,2012 60-89 Days Late Limit — 0 Unknown Term 72 Months Creditor Contact Details Monthly Payment $418 SST/JPMC Responsibility Individual 4315 PICKETT RD Balance $0 SAINT JOSEPH,MO 64503 Highest Balance $23,133 (800)789-8001 Payment Status 90-119 Days Late Worst Payment Status 90-119 Days Late Direct Dispute Date of Last Payment Dec 12,2012 Since you currently have an open dispute request,you can't Amount Past Due $0 dispute any other errors through Credit Karma at this time.If Times 3Or6O/90 Days Late 12/5/0 you found new errors to dispute with TransUnicn,please isait for your prior dispute request to be processed or contact Remarks Closed TransUnion directly.Check the 7321-3 r?oar Jisc❑te ter___-. SYNCB/OHS'/PC •G Credit Card Sep 24,2004 Closed $0 No Missed Payments Account Details Payment History Last Reported Dec 27,2015 2015 oK OK OS 0K OF OK OF 05 CX 00 2014 ox ox _K_K oK OK OK C,CS_,<.,K o Creditor Name SYNCB/CHEVRO 2015 OH oK OX 00 Cr OS CS OS CS CA C0 00 Account Type Charge Account 2012 00 ex 00 OK Co CS-K -K OK 00 00 00 2011 °K Account Status Closed J F M A M J J A S O N D Opened Date i Sep 24,2004 Closed Date Mar 16,2012 Credit Utilization* 0.00% Limit $124 Term Creditor Contact Details Monthly Payment $0 SYNCB/CHEVRON PLCC Responsibility Individual p0 BOX 965015 Balance $0 ORLANDO,FL 32896 Highest Balance $0 (800)243-8766 Payment Status Current Worst Payment Status Current Direct Dispute Date of Lass Payment - — Since you currently have an open dispute request,you can't Amount Past Due $0 dispute arty other errors through Credit Karma at this time.If Times 30/60/90 Days Late 0/0/0 you found new errors to dispute with TransUnion,please wait for your prior dispute request to be processed or contact Remarks Closed TransUnion directly.Check the status of your dispute request. littnc-//www erecii tkarma_com/mvfinances/creditreport/transunion/view/print 1/5/2016 Full Credit Report I Credit Karma Page 6 of 16 Credit Card Dec 10,2015 Open-Current $254 No"•A;sled Payments 85`'s CA Credit L mit" -.,.:r,.em Last Reported Dec 21,2015 No payment history ras been reported by this creditor. Crecitcr'Jame CAPITALCNE CreditUtilizericn' 84.STY Account Type Flexible Spending Credit Card Creditor Contact Details Account Status Open Opened Date Dec 10,2015 CAPITAL ONE PO BOX 30253 Closed Date SALT LAKE CITY,UT Limit $300 84130 (800)947-1000 Term — Monthly Payment $25 Direct Dispute Responsibility Individual Balance $254 Since you currently have an open dispute request,you can't dispute any other errors through Credit Karma at this time.If Highest Balance $254 you found new errors to dispute with TransUnion,please wait Payment Status Current for your prior dispute request to be processed or contact TransUnion directly.Check the states;f ycur Worst Payment Status Unknown Date or Last Payment — Amount Past Due $0 Times D0/60/90 Days Lute 0/0/0 Remarks -- CREDITONEBNK Credit Card Sep 11,2015 Open-Current $0 No Missed Payments 00 of Credit Limit' Account Details Payment History Last Reported Dec 18,2015 tots off'H d r v a Si J J a a u rt a Creditor Name CREDITONEBNK Account Type Credit Card Credit Utilization' 0.00% Account Status Open Opened Date Sep 11,2015 Creditor Contact Details Closed Date — $600 CREDIT ONE BANK Limit PO BOX 98872 Term — LAS VEGAS,NV $O 89193 Monthly Payment (877)825-3242 Responsibility Individual Balance $0 Direct Dispute Highest Balance $77 Since you currently have an open dispute request,you can't Payment Status Current dispute any other errors through Credit Karma at this time.If Worst Payment Status Current you found new errors to dispute with TransUnion,please wait for your prier dispute request to be processed or contact Date of Last Payment Dec 14,2015 TransUnion directly_Check the,.atus cr,r.., =iepur_-ecuas:. Amount Past Due $0 Times 30/50/00 Days Late 0/0/0 Remarks — h,+t,� //www Brea;tkarma.com/mvfinances/creditreport/transunion/view/print 1/5/2016 Full Credit Report I Credit Karma Page 7 of 16 A L ` ` Credit Card Jun 14,2015 Open-Current $231 No Misses Payments 3%of Creslt Lmu' Last Reromd Dec 12,2015 1045 ,. -r_, Creeitcr Name CAPITAL CNE Account Type Credit Card editUtiiization' -.70"6 Account Status Open Opened Date Jun 14,2015 Creditor Contact Details Closed Date — $3,000 CAPITAL ONE BANK USA NA Limit $3,000 BOX 30281 Term — SALT LAKE CITY,UT $25 84130 Monthly Payment (800)955-7070 Responsibility Individual Balance $231 Direct Dispute Highest Balance $357 Since you currently have an open dispute request,you cant Payment Status Current dispute any other errors through Credit Karma at this time.If Worst Payment Status Current you found new errors to dispute with TransUnion,please wait for your prior dispute request to be processed or contact Date of Last Payment Dec 07,2015 TransUnion directly.Check the cra___us cr'cur dispute pute,tecuest. Amount Past Due $0 Times 3C;60;90 Days Late 0/0/0 Remarks -- CAPITAL ONE P Credit Card May 09,2015 Open-Current 5122 No Missed Payments 5%of Credit Limit* Account Details Payment History Las[Reported Dec 08,2015 5t15 off on 05 p1 00°N S F M A M S S A S O N D Creditor Name CAPITAL ONE Account Type Credit Card Credit Utilization" 5.30 Account Status Open Opened Date May 09,2015 Creditor Contact Details Closed Date — $2,300 CAPITAL ONE BANK USA NA Limit PC BOX 30281 Term — SALT LAKE CITY,UT $25 84130 Monthly Payment (800)955-7070 Responsibility Individual Balance $122 Direct Dispute Highest Balance $322 Since you currently have an open dispute request,you can't Payment Status Current dispute any other errors through Credit Karma at this time.If Worst Payment Status Current you found new errors to dispute with TransUnion,please wait for your prior dispute request to be processed or contact Date of Last Payment Dec 07,2015 TransUnion directly.Check the s of your dispute rAtuest. Amount Past Cue $0 Times 30/60/90 Days Late 0/0/0 Remarks — t,+r„ /Www ereditkarma.com/mvfinances/creditrepordtransunion/view/print 1/5/2016 Full Credit Report I Credit Karma Page 8 of 16 - Other Sep 15,2010 Closed $0 No Misses Payments Last Reported Sep 19,2013 2013 00 OK '° 00 =v, , .,a 2012 �. �,. �.< ... �� S� Creditcr •ame SNAP CN CRDT 2011 ok_K o�_�.,F�R_A. _K ,R Account Type Secured Loan 2010 ,r -' J F A A U , J A S O F I D Account Status Closed Opened Date Sep 15,2010 Unknown Closed Date Sep 19,2013 Creditor Contact Details Limit — SNAP ON CREDIT LLC Term 36 Months 950 TECHNOLOGY WY 301 Monthly Payment $176 LIBERTYVILLE,IL 60048 Responsibility Individual (877)777-8455 Balance $0 Highest Balance $4,887 Direct Dispute Payment Status Current Since you currently have an open dispute request,you can't '.Norst Payment Status Current dispute any other errors through Credit Karma at this time.If Last you found new errors to dispute with TransUnion,please wait Date of Lst Payment Sep 19,2013 '" for your prior dispute request to be processed or contact Amount Past Cue $0 TransUnion directly.Check the status cr_-c..r di.:cate Times 30/60/90 Days'Late 0/0/0 Remarks Closed RA CS Credit Card Dec 29,2004 Closed $o ,. No Missed Payments Account Details Payment History Last Reported Feb 19,2010 2010 ° 2009 0 u 0 u , 3 0 0 0 0 U 0 Creditor Name HA 2005 , Account Type Credit Card 2007 u , u o.< , 0 , 0,0 u , 200t OK OK OK 00 00 0 0 0 0 Account Status Closed-Paid I F S A L M A S O N D Opened Date Dec 29,2004 1 Unknown Closed Date Mar 25,2009 Limit $3,400 Credit Utilization* 0.00% Term — telonthly Payment $0 Creditcr Contact Details Responsibility Individual RA CARD SERVICES Balance $0 PO BOX 982238 EL PASO,TX Highest Balance $1,872 79998 Payment Status Current (800)421-2110 Worst Payment Status Current Cate of Last Payment May 13,2006 Direct Dispute Amount Past Due SO Since you currently have an open dispute request,you can't Times 30/50/90 Days Late 0/0/0 dispute any other errors through Credit Karma at this time.If you found new errors to dispute with TransUnion,please wait Remarks Account closed by for your prior dispute request to be processed or contact consumer TrensUnion directly.Check the status of your dispute request. L.._ ./y......,"....A;1-1r.A,m nnm/mw nanipe/%rM i rennrt/transunion/view/Print 1/5/2016 Full Credit Report I Credit Karma Page 9 of 16 Credit Card Dec 02,2003 Closed $0 750 Mssec°avments Porto. a're. .,r Last Reocred Dec 03,2008 2009 -. F - tam .. . :< "< .K Creci,gr)lame UNVL`CITI 2006 =K_K .K 0K OK_K .K .K -K jK _,<OK Account Type Credit Card 005 _X_K C,_. _< Y _F_K 2004 OK Account Status Closed-Paid „ F M A M J J A s o N 0 Opened Date Dec 02,2003 Closed Date Oct 30,2008 Credit Utilization' 0.00% Limit $5,800 Term Creditor Contact Details Monthly Payment $0 UNIVERSAL CD CBNA Responsibility Individual FO BOX 6241 Balance $0 SIOUX FALLS,SD 57017 Highest Balance SO Payment Status Current Direct Dispute Worst Payment Status Current Date of Last'Payment Apr 18,2007 Since you currently have an open dispute request,you can't dispute any other errors through Credit Karma at this time.If Amount Post Due $0 you found new errors to dispute with TransUnion,please wait Times 3C/60/S0 Days Late 0/0/0 for your prier dispute request to be processed or contact TransUnion directly.Check the r:.; r.... ,.,: :i:tou:::.-=eta_:. Remarks Account closed by consumer CAPITAL ONE n Credit Card Nov 24,2003 Closed $0 No Missed Payments • Account Details Payment History Last Reported Oct 31,2008 2006 aK OS ox ,K OK OK SK 0, CA 2607 OK on OK OK OK 50 cK OK OK OK OK Creditor Name CAPITAL ONE 2006 ON_K„K OK OK OK OK 0K OK OK OK OK Account Type Credit Card 2005 so so ON OK Go CO 0K OK ,K„K OK 00 2004 OK OK OK Account Status Closed-Paid J F M A M J J A S O N D Opened Date Nov 24,2003 Closed Date Oct 31,2008 Credit Utilization* 0.00% Limit $900 Term Creditor Contact Details Monthly Payment $0 CAPITAL ONE Responsibility Individual PO BOX 30253 Balance $0 SALT LAKE CITY,UT 84130 Highest Balance $799 (800)477-6000 Payment Status Current Worst Payment Status Current Direct Dispute Date of Last Payment Jan 25,2008 Since you currently have an open dispute request,you can't Amount Past Due $0 dispute any other errors through Credit Karma at this time.If Times 30/60190 Days Late 0/0/0 you found new errors to dispute with TransUnion,please wait for your prior dispute request to be processed or contact Remarks Closed TransUnion directly.Check the status of your dispute request. L,f*r.o•J/i:nxrnxr rrPtl;tkarma onm/mvfinances/creditrenort/transunion/view/print 1/5/2016 Full Credit Report I Credit Karma Page 10 of 16 A. 3K Credit Card Sep 27,2000 Closed SO No Missea Payments Last Resorted Sep 09,2008 2008 , 2007 ..:. -reditor Name USAA SVG BK 2008 _R , .K_R .R 3K , .,rt Account Type Credit Card 2005 --__ ,< _<o.._k .K_, _K <,H Account Status Closed-Paid 2004 J P t o A kl a J A S O m o Opened Date Sep 27,2000 Closed Date Feb 18,2007 Credit Utilization* 0.00% Limit $6,500 Term Creditor Contact Details Monthly Payment $0 USAA SAVINGS BANK Responsibility Individual 10750 MC DERMOTT FY Balance $0 SAN ANTONIO,TX 78288 Highest Balance $2,039 Payment Status Current Direct Dispute Worst Payment Status Current Date of Last Payment Jan 30,2007 Since you currently have an open dispute request,you can't dispute any other errors through Credit Karma at this time.If Amount Past Due SD you found new errors to dispute with TransUnion,please wait Times 30/60/90 Days Late 0/0/0 for your prior dispute request to be processed or contact TransUnion directly.Check the::::;__ if221 .-. Remarks Canceled by credit grantor SST;FRFT2005 ® Other Feb 14,2001 Closed $0 No Missed Payments Account Details Payment History Last Reported Aug 29,2006 200e ,Z OR 33 33 -� 2005 Creditor Name SST/FRFT2005 JFMAMJ d A s o n o Account Type Recreational Li Unknown Merchandise Account Status Closed Creditor Contact Derails Opened Date Feb 14,2001 SST/FRFT2005-1 TRUST Closed Date Aug 29,2006 4315 PICKETT RD SAINT JOSEPH,MO Limit 64503 Term 20 Months (800)789-8001 Monthly Payment $190 Responsibility Individual Direct Dispute Balance $0 Since you currently have an open dispute request,you can't Highest Balance $9,058 dispute any other errors through Credit Karma at this time.If you found new errors to dispute with TransUnion,please wait Payment Status Current for your prior dispute request to be processed or contact Worst Payment Status Current TransUnion directly.Check the status of your disputz m ou ser. Date of Last Payment Aug 29,2006 Amount Past Due $0 Times 30/60/90 Days Late 0/0/0 Remarks Closed h,--r c•Ikun rur orpriilicarms enm/mvfinances/creditrenordtransunion/view/print 1/5/2016 Full Credit Report I Credit Karma Page 11 of 16 .i„ , Student Dec 27,2002 Closed SO tlo Nt,ssea Payments Lust<ecorted Jun 02,2006 :006 " ,`"ss 2005 ,_<_ .,_. _, , , _res:torName SALLIE MAE 2034 �K , K .� ,O.. _,.. Account Type Student 2003 _k _K 00 00 0, 00 _K ,K .,.,K F IA A M J , 4 n O N D Account Status Closed Opened Date Dec 27,2002 a Unknown Closed Cate Jun 02,2006 Creditor Contact Details Limit SALLIE MAE Term -- PO BOX 9500 Monthly Payment $90 WILKES BARRE,PA 18773 Responsibility Individual Balance $0 Direct Dispute Highest Balance $3,770 Payment Status Current Since you currently have an open dispute request,you can't dispute any other errors through Credit Karma at this time If Worst Payment Status Current you found new errors to dispute with TransUnion,please wait May 02,2006 for your prior dispute request to be processed or contact Date or-Last Payment y TransUnion directly.Check the clgtus your dispute Tecuest. Amount Past Due so Times 3G/o0.;30 Days Late 0/0/0 Remarks Closed E LO A_D,SOT ii-s9 Auto Oct 21,2003 Closed $0 No Missed Payments Account Details Payment History Last Reported May 01,2006 2006 OK OH OK 2005 0<0< 00 00.00 as oK.rc OK aK u Creditor Name E LOAN/SST 2004 ux OK u 00 0 OK 0 0K u oK OK 00 Account Type Automobile 2003 OK J F M A M J J A S O N u Account Status Closed Opened Date Oct 21,2003 v Unknown Closed Date May 01,2006 Creditor Contact Details Limit E LOAN/SST Term 60 Months 4315 PICKL I I RD Monthly Payment $218 SAINT JOSEPH,MO 64503 Responsibility Individual (800)789-8001 Balance $0 Highest Balance $10,827 Direct;Dispute Payment Status Current Since you currently have an open dispute request,you can't Worst Payment Status Current dispute any other errors through Credit Karma at this time.If Cate of Last Payment May 01,2006 you found new errors to dispute with TransUnion,please wait for your prior dispute request to be processed or contact Amount Past Due $0 TransUnion directly.Check the 2talas:r your:055W:e^_nest. Times 30/60/90 Days Late 0/0/0 Remarks Closed l,ttrw•/RATCxnxT rrPCi;tkarma crim/mvfinances/creditr enort/transunion/view/print 1/5/2016 Full Credit Report I Credit Karma Page 12 of 16 Auto Oct 15,2005 Open-Current SO No Missed Payments _`ci.. e*.aP.,3 = - 'I;tcr, Lent Repertes. May 01,2006 1oC6 e, ., _R -0 Creditor Name FRO MOTOR CR � � F '.! A I.1 a 3 .. 1 d Account Type Automobile Account Status Open Creditor Contact Details Opened Date Oct 15,2005 FORD MOTOR CREDIT Closed Data — PO BOX 542000 OMAHA,NE Limit 68154 Term 72 Months (800)727-7000 Monthly Payment $269 Responsi'odity Individual Direct Dispute Balance $0 Since you currently have an open dispute request,you can't Highest Balance $14,503 dispute any other errors through Credit Karma at this time.If you found new errors to dispute with TransUnion,please wait Payment Status Current for your prior dispute request to be processed or contact Worst Payment Status Current TransUnion directly.Check the tretur,Bf;cur dispute rscuast. Date of Last Payment Apr 21,2006 Amount Pest Due SO Times 3C/6C/90 Days Late 0/0/0 Remarks *Calculated using reported balance and credit limit on account. Credit Inquiries Creditor Name Inquiry Date Removed By* Type CREDIT CHECK Aug 25,2015 Sep 2017 Misc. Creditor Contact Details See something wrong? CD L LI ER C C U N T/C R E D IT C H EC K WEST PALM BEAC,FL 33409 Find out how to dispute a mad Inquiry. (877)616-5556 CAP ONE Jun 14,2015 Jul 2017 Bank Creditor Contact Details See something wrong? CAPITAL ONE BANK USA NA SALT LAKE CITY,UT 84130 Find out how to dispute a Hard scurry. (B00)955-7070 httns J/www_creditkarma.com/mvfinances/creditreport/transunion/view/print 1/5/2016 Full Credit Report I Credit Karma Page 13 of 16 May 9,2015 Jun 2017 Bank Pee remethich vronrt^ CAPITAL ONE SANK USA NA SALT LAKE CITY,DT 84130 Find out how to cuoure s marl oquir,. (600)955-7070 *Estimated based on the date of your inquiry and an assumed 2 year expiration period. • Collections Agency Original Creditor Open Date Status Balance .H PORT DEBT 12 CITIBANK N A May 29,2014 Open $8,783 Account Derails 0;editor Contact Details Last Reported Dec 12,2015 JH PORTFOLIO DEBT EQUITI 5757 PHANTOM DR 225 Collection Agency JH PORT DEBT HAZELWCCD,MC Original Creditor 12 CITIBANK N A 63042 (366)417-5730 Status Open Opened Date May 29,2014 Direct Dispute Closed Date — Responsibility Individual Since you currently have an open dispute request,you cant dispute any other errors through Credit Karma at this time.If Balance $8,783 you found new errors to dispute with TransUnion,please wait High Balance $8,783 for your prior dispute request to be processed or contact TransUnion directly.Check the status of your dispute request. Remarks Placed for collection MIDLAND FUNDING LUG CHASE BANK USA N Feb 28,2012 Open $2,339 A Account Derails Creditor Contact Details Last Reported Dec 11,2015 MIDLAND FUNDING LLC 2365 NORTHSIDE DRI 300 Collection Agency MIDLAND FUNDING SAN DIEGO,CA LLC 92108 Original Creditor CHASE BANK USA N A (844)236-1959 Status Open Opened Date Feb 28,2012 Direct Dispute Closed Date — Since you currently have an open dispute request,you can't dispute any other errors through Credit Karma at this time.If Responsibility Individual you found new errors to dispute with TransUnion,please wait Balance $2,339 for your prior dispute request to be processed or contact TransUnion directly.Check the cut us ct you cis„ure request. High Balance $2,065 Remarks Placed for collection httns://www.creditkarma.com/mvfmances/creditreport/transunion/view/print 1/5/2016 Full Credit Report I Credit Karma Page 14 of 16 Ibilv�.-r`aG7'.l'IDING'L_:, CAPITAL ONE BANK Sep 04,2013 Open 35,315 USA N A Last Reperteu Dec 11,2015 MIDLAND FUNDING LLC 2065 NCRTHSIDE DPI 300 Colection Agency MIDLAND FUNDING SAN DIEGO,CA LLC 92108 Original Creditor CAPITAL ONE BANK (844)236-1959 USA N A Status Open Direct Dispute Opened Date Sep 04,2013 you can't Since you currently have an open dispute request,y Closed Date — dispute any other errors through Credit Karma at this time.If you found new errors to dispute with TransUnion,please wait Responsibility Individual fcr your prier dispute request to be processed or contact Balance $5,315 TransUnion directly.Check the status of your dispute request. High Science $5,315 Remarks Placed for collection HUN-E= ;4ARFIELDINC O9 CAMDEN Aug O4,2O1O Open $2,615 ASHBURN FARMS 519 Last Reported Nov 04,2015 HUNTER WARFIELD INC 4620 WOODLAND CORP Collection Agency HUNTER WARFIELD TAMPA,FL INC 33614 Original Creditor 09 CAMDEN (866)494-9902 ASHBURN FARMS 518 Status Open Direct Dispute Opened Date Aug 04,2010 Since you currently have an open dispute request,you can't Closed Date — dispute any other errors through Credit Karma at this time.If you found new errors to dispute with TransUnion,please wait Responsibility Individual for your prior dispute request to be processed or contact Balance $2,615 TransUnion directly.Check the status of your dispute request. High Balance $1,770 Remarks Placed for collection httns://www.creditkarma.com/myfmances/creditrepordtransunion/view/print 1/5/2016 Full Credit Report I Credit Karma Page 15 of 16 MED1 02 NCH May 26,2015 Open $1,809 DOWNTOWN NAPLES HOSPITAL Account Details _,__,tor Contact etails Last=.e^^rted Jul 21,2015 CONVERGENT HEALTHCARE IN 121 NE JEFFERSON S 100 Collection Agency CNVRGT HTHCR PEORIA,IL Original Creditor MED1 02 NCH 61602 DOWNTOWN NAPLES (866)867-0179 HOSPITAL Status Open Direct Dispute Opened Date May 26,2015 Since you currently have an open dispute request,you can't Closed Date — dispute any other errors through Credit Karma at this time.If you found new errors to dispute with TransUnion,please wait Responsibility Individual for your prior dispute request to be processed or contact Balance $1,809 TransUnion directly.Check the status of your dispute request. High Balance $1,809 Remarks Placed for collection Gl!hi',r ecor s 0 As of Jan 02,2016,you had no public records on your credit report. How to Read Your Credit Report Your full credit report is divided into five important sections: Personal and Employment Information This section contains names,addresses and employers included on your credit report.This sort of information is added to your report after it's been used on credit applications.Review this section for any information you don't recognize. Accounts This section contains details on each credit account on your credit report,including both open and closed accounts.Details include payment history,current status and reported balances.Review this section to ensure that your lenders have been properly reporting your activity,and to look for any accounts that you didnt open_ Credit Inquiries httns://www.creditkarma.com/myfmances/creditreportJtransunion/view/print 1/5/2016 Full Credit Report I Credit Karma Page 16 of 16 .,is Seca.;,. tars Celaus eac e I t ceir e -_'cdi, r card e_.reS are plcaHl,_ode .o 20cr r-eccf: v u jou apely for v r.es of credit Review this CeCtiC,tC Verfy that_scr noun, and sut;^ r_-_.;Loy JCL.and'o rind our appro;.imaticn of wnen each incurry will be removed from you report. Collections This section contains information about any accounts reported as in collections.If yeube fallen behind on payments and have outstanding debts,a lender could send your account to collections.Review this section to check the accuracy of information about each collections account and to find contact information for your collections agencies. Public Records This section contains details on any public record information included In your credit report.Public records include bankruptcies,civil judgments and tax liens.Review this section to ensure that each item is reported accurately.If there Is incorrect information,you could file a dispute directly with the credit bureaus If you anticipate changes to your report overtime,you can get an update to your credit report once a week through Credit Karma to check if new information has been added and old information has been updated.Because lenders typically only report information to the bureau once a month,it may take time for these updates to appear.View your report online to and highlights of information that could be important to your credit health. httns.//www.creditkarma.com/mvfinances/creditreport/transunion/view/print 1/5/2016 ov ,'1 c(iq ic'bA h1- 1 ` 0116 A AJ l�� � • e ` �� 1�l \ • ''�s,. GMi7 Operations & Regulatory���a�iagemer �, Licensing SectiA I' �� .�,° 800 North Horseshoe<�rive `� d-ao -- Naples, FL 34104 4� ao,[5 l 4-01 „, fi 1 4,), f APPLICATION FOR COLLIER COUNTY/CITY OF NAPLES/CITY OF MARCO INDIVIDUAL INSTRUCTIONS: This application must be typewritten or legibly printed. The application fee must accompany this application. The fee is not refundable after the application has been accepted and entered on the records. All checks should be made payable to the Board of Collier County Commissioners. For further information, consult Collier County Ordinance No. 90-105, as amended. QUALIFIEER INFORMATION; Name: L/'1i(”N A- S/(CNDt/2. 1 Address: 70 c s e ca- /co o ! ei 3 V •Jr (Number&Street) (City) (State) (Zip Code) Telephone: .431 515 ‘7 OJ Date of Birth: S.S.#: 00o-00- _ _ - E-Mail: oil k0^)11°0 D 9 6,0 4 r L. . C o pt Driver's License: FICTITIOUS NAME (IF APPLICABLE): /0ife d) ri;d' /v c Address: / O 66A 537 A444 C U .Is-LINO FL- 3V/1 (Number&Street) (City) (State) (Zip Code) Telephone: ) 2 , 575 6.316 5 E-Mail: 6/e/t 1A' /e°6 e 6441/. fci1., TYPE OF LICENSE ❑ General $230.00 ❑ Electrician $230.00 Li Building $230.00 L! Plumber $230.00 ❑ Residential $230.00 ❑ Air Cond. $230.00 ❑ Mechanical $230.00 ❑ wimming Pool $230.00 ❑ Roofin g $230.00 lx:Jl Specialty $205.00 . Specialty trade: PM1 C gem n9 O 19 1 IF PARTNE'SHIP: Name: Address: (Number& eet) (City) (State) (Zip Code) Telephone: 1. List all businesses, firms, entities or contracting businesses you have been associated (ex: held a license or was a partner) with during the past ten (10) years. Attach extra pages if needed. //G/%'E:- 2. License No. of ANY CURRENT OR PREVIOUS CERTIFICATE OF COMPETENCY held by Applica.nG. Licens o. License No. F License No. _ License No. 3. Name apd telephone numb rs of two persons who always know the whereabouts of the contractor. n4NA N/a2-tAla� Z3 7 I3 64 t 81)61(144A./ £39 ?/i 1.034' 4. Statement of business or work experience during past ten (10) years. 41"Ss p, • re-A/0Ct A)A6 6g4�/" QC 6. CO - 5. Statement of any formal training of the qualifying agent in area for which application is being made. 6. List all debts you or any company(s) associated with you refused or fail to pay and reasons for its refusal to pay. Nan'E 7. Have you ever been convicted of a crime related to Contracting? ❑ Yes (If yes attach explanation). Z' No 8. Have you or any firms you have been associated with ever filed bankruptcy? ❑ Yes -li" No 2 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 Certific of Competency. Signature of Applicant /ARfG /aoL 5 V.cc6- Business Name /b /6 Date BEFORE I this day personally appeared /7�/�6 N 76:4V 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 CD l-.1. l E The foregoing instrument as acknowledged before me this Se-FTE `C3E.R' 3 ZO (Date) by AecJ 56 - who has produced CkViaeras tIceNw.- (name of person acknowledging) (type of identification) as identification and did not take an oath. NOTARY'S SEAL /r 4 Ji. )1(• `� (SIGNATURE OF NOTARY) FPO Notary Public Stale of Florida Brenda M Hartman ,pt My Commission EE 830358 _._dam Fv�wn flA126/2016 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. 62. 44 oN 5 CAIO R- Applicant(please print) AiilffGv r601 S64 r.cL Name of Company Signature of Applicant State of Florida County of 'Lot 1 J ER The foregoing instrument as acknowledged before me this s6. - 3 Zo LS (Date) by ,R12.044 S E t who has roduced dZA I kco se. e of identification) of person acknowledging) (type ) as identification and did not take an oath. NOTARY'S SEAL /x , Ly` (SIGNATURE OF NOTARY) 910U9Z/90to9dxg 00 0 998099 as upccgwtu Art }� 4 of 4 uewIJ8H IN exam :as ' eiwoti 10 owls OIIQnd A oN 1 GITS, LLC Examination Operations Division Providing the services and products to assist Government Agencies to make informed educated decisions. Official Examination Score Report August 3,2015 ,..• - s'r 1 ? , Official Rep,. t: _ Candidate Information: _ _ - - _ j .� Name-Garon`Skendei: _ '.i ` Candidate:#8,18Q1,87QS _ . Testing-Site: -Ft.M y ers FL' i — _ , ,. r a - OCEAN' i.t, Y Final Score Result �:r-- . 1 r 5 - _ Business Procedures' ' Score 84%- ii1�.n-'- i r> ,I These results represent �hhe 1 g_rade that has been achieved_ on the Busme,s ?roceciures J R I F ,I.:.?I .5 S -i I_e 'ex�m'tnatlon(s).administered by Gainesville Independent Te$hng Service for Collier County, Florida Oil August 3,2015: - 3 If you have any further questions,please:do not hesitate to contact us. = - Sincerely;`.i(_ 4 -_.-- ,ii Jay owermeister . iii. ._.. „ _ -.- _ - President -_ H i , I „ PO Box 831127 Ocala,Florida 34483-1127—Voice(352)369-GITS –Fax(352)387-2443 800 997 2129 REGISTRATION# G15000081539 Fictitious Name to be Registered: MARCO POOL SERVICE MalIing Address of Business: PMOR O SLAND,FL 34146 Florida County of Principal Place of Business: COLLIER gFILED FEI Number: Secreiary'of 06015 te Owners)of Fictitious Name: SKENDER,GARON A PO BOX 637 MARCO ISLAND, FL 34146 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 60,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. GARON SKENDER 08/06/2015 Electronic Signature(s) Date Certificate of Status Requested(X) Certified Copy Requested( ) ,a o CERTIFICATE OF LIABILITY INSURANCE [�a o1'S°°"""' 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. It 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: PHONE Erl). (AJC 239-793-8500 1 FAX 4.39-793-8524 ANEW INSURANCE/ALLSTATE INSURANCE LAJC."4 R EMAIL 3940 Radio Rd Suite 108 ADDRESS: PRODUCER Naples,FL 34104 CUSTOMER ID*, INS UR ER(5)AFFORDING COVERAGE HAIC f RTSUREO - INSURER A: Cypress Insurance Company 10953 GARON SKENDER INSURER B: MARCO POOL SERVICE INSURER C: 470 ELK CIRLCLE INSURER D: MARCO ISLAND FL 34145 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POUCIES 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.UMITS SHOQ"MAY HAVE BEEN REDUCED BY PAID CLAIMS. VIER ........_... AD rsueTi POLICY EFF POLICY EXP _..._ ..._. LTR TYPE OF INSURANCE )NSIyry I O POLICY NUMBER IMMO D/YYYY MWOOIYYYY) LIMITS GENERAL LIABIur FGL 5003006 00 09,'032015 09/03/2016 EACHOCCURRENCE $100,000 DAMAGE TO RENTED X COMMERCLAL GENERAL LABILITY PREMISES Ea crcvrence) $100,000 CLAIMS-MADE Fl OCCUR MED E XP(Anyone person) 55,000 PERSONAL a ADV INJURY s 100,000 A GENERAL AGGREGATE 5100,000 � Geri AGGREGATE LIMIT APPLIES PER: PRODUCTS-CCIM 'OP AGG S InOuded r l POLICY II JPERP 7 LOC AUTOMOBILELTABIUTY COMBINED SINGLE LIMIT (Ea accident) ANY AUTO BODILY INJURY(Per person) S ALL OWNED AUTOS - -- _ BODILY INJURY(Per accident) S SCHEDULED AUTOS PROPERTY DAMAGE HRED AUTOS (Peraoodert) S �. NCH-OWNED AUTOS 5 UMBRELLA LIAB OCCUR EACH OCCURRENCE. . .. S .._ EXCESS LJAB CLAIMS-MADE AGGREGATE _$ DEDUCTIBLE S _ RETENTION - S WORKERS COMPENSATION V,CSTATU- IIOTH- AND EMPLOYERS LLASLRY YIN TORY LIMITS _.1f$- .--_ ANY PROPRIETOR/PARTNER/EXECUTIVE N!A EL EACH ACCIDENT JM S OFFICEREUBER EXCLUDED? (Mendalory In RH) EL DISEASE-EA EMPLOYEE S Ir}}Es Oosci-Ao unclee DESLIRIPTION Of OPERATIMIS MN/ _ EL DISEASE-POLICY UMrr $ I _ DESCRIPTION OF OPERATIONS/LOCATIONS)VEHICLES(Attach AC ORO 101,Additional Remarks Schedule,II more space Is reNutted) CERTIFICATE HOLDER CANCELLATION COLLIER COUNTY LICENSING DEPAR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 2800 NORTH HORSESHOE DRIVE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. NAPLES FL 34104 AUTHORIZED REPRESENTATIVE Denise Thoman ©1988.2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD sM CREDIT CHECK CONFIDENTIAL Individual Credit Report Name • SKENDER, GARON ANDREW Ordered By: 1186 Customer : 9999 Address : 387 EDGEWATER COURT Received : 08/25/15 MARCO ISLAND, FL 34145 Completed : 08/25/15 Social #: Applicant .__9 Bill Amt : $60.00 CREDIT RECORD (Credit history has been checked for a period of seven years or from open date. ) Creditor Date Date High Unpaid Past Pay Historic Etat Current Has Account Number Reported Opened Credit Balance Due Terms 30 60 90 Status Rev ECOA ACS/WELLS PD COLLECT 3720430191 03/10 01/08 66175 CLOSED 0 0 -- -- -- I9-* 02 A DLA=10/09 BK OF AMER PD COLLECT 5956 08/12 07/06 12548 PAID 0 REV -- -- -- R9-* 07 A DLA=11/09 CAPITAL ONE PD COLLECT 430572213601 10/12 01/02 5126 PAID 0 REV -- -- -- R9-* 12 A DLA=12/09 CAPITAL ONE AS AGREED 517805829995 08/15 06/15 333 333 0 25 00 00 00 R1 01 A DLA=08/15 CAPITAL ONE AS AGREED 517805928744 08/15 05/15 60 20 0 20 00 00 00 R1 02 A DLA=08/15 CAPITAL ONE AS AGREED 540801002021 10/08 11/03 799 PAID 0 REV 0000 00 R1 48 A DLA=01/08 CHASE PD COLLECT 517945841000 03/12 02/03 2065 PAID 0 REV -- --. -- R9-* 10 A DLA=12/09 CNVRGT HTHCR COLLECTION 30145257 07/15 05/15 1809 1809 1809 COLL -- -- -- 09-* 00 A ORIGINAL CREDITOR: MEDICAL CREDITACPT COLLECTION 75414421 08/15 02/13 8991 6552 6552 357 -- -- -- I1 03 A DLA=06/15 Ordered by: APPLICANT - SEE NAME ABOVE Reporting Agency: Credit Check, Inc. -3017 Exchange Court,Suite H, West Palm Beach, FL 33409 . (561) 616-5556 SM CREDIT CHECK CONFIDENTIAL • Name • SKENDER, GABON ANDREW Customer : 9999 Page : 2 CREDIT RECORD (Credit history has been checked for a period of seven years or from open date. ) Creditor Date Date High Unpaid Past Pay Historic Stat Current. Hon Account dumber Reported Opened Credit, Balance Due Terms 30 G0 90 Status Rev ECOA OWI *ft E LOAN/SST AS AGREED 12228565 05/06 10/03 10827 CLOSED 0 0 0000 00 I1 29 A DLA=05/06 FIA CS AS AGREED 7737 02/10 12/04 1872 PAID 0 REV 0000 00 R1 48 A DLA=05/06 FRD MOTOR CR AS AGREED 39759244 05/06 10/05 14503 CLOSED 0 0 0000 00 I1 07 A DLA=04/06 HWARFIELD COLLECTION 5843521 06/15 08/10 1770 2615 2615 COLL -- -- -- 09-* 05 A ORIGINAL CREDITOR: CAMDEN ASHBURN FARMS MERCHANTSCOL COLLECTION 14434758 01/15 02/14 125 125 125 COLL -- - -- 09-* 01 A ORIGINAL CREDITOR: MEDICAL MERCHANTSCOL COLLECTION 14434720 01/15 02/14 125 125 125 COLL -- -- -- 09-* 01 A ORIGINAL CREDITOR: MEDICAL MIDLAND FUND COLLECTION 8560328167 08/15 09/13 5315 5315 5315 COLL -- - -- 09-* 02 A ORIGINAL CREDITOR: CAPITAL ONE BANK USA N A MIDLAND FUND COLLECTION 8553538838 08/15 10/12 127 127 127 COLL -- -- -- 09-* 03 A ORIGINAL CREDITOR: VERIZON VIRGINIA INC MIDLAND FUND COLLECTION 8547025395 08/15 02/12 2065 2339 2339 COLL -- -- -- 09-* 04 A ORIGINAL CREDITOR: CHASE BANK USA N A SALLIE MAE AS AGREED 978409578010001 06/06 12/02 3770 CLOSED 0 0 0000 00 I1 40 A DLA=05/06 SNAP ON CRDT AS AGREED 117504928 09/13 09/10 4887 CLOSED 0 0 0000 00 I1 35 A DLA=09/13 Ordered by: APPLICANT — SEE NAME ABOVE Reporting Agency: Credit Check, Inc. -3017 Exchange Court,Suite H,West Palm Beach, FL 33409 . (561) 616-5556 sm CREDIT C CONFIDENTIAL • Name • SKENDER, GARON ANDREW Customer : 9999 Page : 3 CREDIT RECORD (Credit history has been checked for a period of seven years or from open date. ) Creditor Date Date High Unpaid Past Pay HisLoric'Stat Current Nos Account. Cumber Reported Opened Credit Balance Due Terms 30 GO 90 Status Rev ECOA SST/FRFT2005 AS AGREED 15056278 08/06 02/01 9058 CLOSED 0 0 0000 00 I1 13 A DLA=08/06 SST/JPMC PD WAS 90 17059791 12/12 05/06 23133 0 0 0 1205 00 14-* 48 A DLA=12/12 SUNTRUST MTG FORECLOSURE 9420039439567 06/10 03/07 300000 0 0 0 0102 12 M5-* 38 C DLA=04/09 SYNCB/CHEVRO AS AGREED 706159101644 07/15 09/04 0 CLOSED 0 REV 0000 00 R1 48 A DLA=07/15 UNVL/CITI AS AGREED 539860700127 12/08 12/03 0 PAID 0 REV 0000 00 R1 48 A DLA=04/07 USAA SVG BK COLLECTION 549123725747 08/15 09/00 8315 8315 8315 249 -- -- --- R9-* 17 A DLA=12/09 USAA SVG BK AS AGREED 545883908300 09/08 09/00 2039 PAID 0 REV 0000 00 R1 48 A DLA=01/07 WE EFS COLLECTION 70027688 07/15 03/08 62000 675336753365195 -- -- -- I9-* 08 A DLA=02/11 Total trade lines on this report: 28 PUBLIC RECORDS: PUBLIC RECORDS HAVE BEEN CHECKED AT THE COUNTY, STATE AND FEDERAL LEVELS WITH THE FOLLOWING RESULTS : CLEAR AS OF 08/25/15. SOURCE(S) : EQUIFAX TRANSUNION INQUIRIES: 08/25/15 by CREDIT CHECK (TU) #00630273 06/14/15 by CAP ONE (TU) #02699824 Ordered by: APPLICANT - SEE NAME ABOVE Reporting Agency: Credit Check, Inc. -3017 Exchange Court,Suite H,West Palm Beach, FL 33409 . (561) 616-5556 sM CREDIT CHECK CONFIDENTIAL Name • SKENDER, GARON ANDREW Customer: 9999 Page: 4 INQUIRIES: COMMENTS: FRAUD RECORDS HAVE BEEN SYSTEMATICALLY CHECKED BY THE ABOVE ACCESSED BUREAUS. SAFESCAN/EQUIFAX, HAWK ALERT/TRANSUNION CHECKED FOR FRAUD. REPORT WORKED BY RENEE CREDIT SCORE: APPLICANT FICO SCORE: 579 (scores range from 300 to 850) *** END OF REPORT *** This information is confidential and Is not to be dwtgsd except as regiied by the FaO Cited RepAn9 Act Ths personal report is furnished s'mpy io an a+d in detamsunngg t ro aecti desvab3itt d the applczed(s). ii is based upon in!orrnaaM obtaned in gqopoodd bath b/v aye by ham saoaa deemed ramble. The acnracy of same,hoverer,is H no way gua 04eed By your acceprbnoe and use of ttis report,ynu spec rcay agree b had Gedi Chno Inc.harmless tram arty 6abity nhalsoa+er. Ordered by: APPLICANT - SEE NAME ABOVE Reporting Agency: Credit Check, Inc. -3017 Exchange Court, Suite H, West Palm Beach, FL 33409 . (561) 616-5556 VERIFICATION OF CONSTRUCTION EXPERIENCEi GRID Operations &Regulatory Management Department Licensing Section 2800 N.Horseshoe Drive Naples,,FL 34104 Applicant's Name: (7oA1ory 5 �e/I I r w i ro rvt 1/t9J (op\ Cl et i, o ti t y Certificate Category Requested: S f�` The applicant is seeking a Collier County Certificate o Competency in the trade indicted 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 Name: the fo/Mattinform51b I( e/ Title: (')ant r License Number(if applicable): 1 '-\7 73 Name of Business: (altAja. 1200i Se '1 t c e Business Address: PO gc."7e So`-( M°'(c 6 -7-J/c `G'f FL 7 Lf (, (L/ Business Phone: d 71-,8-aS_070(or The applicant's years of experience from 5-11 to 6/ 1S- The applicant's scope of work(specific duties) included: 1P...eS'atA R ckt S w1 m m i ) A2c-va Ct-,A SPc, clecnl1 Additional comments: Falsifying any information provided herein may subject your license to revocation. Under the penalties of perjury I declare that I have read the foregoiing�application • that the facts stated in it are true. /�%?'"�" .,, Signature Mck-t-t- 5-6)1 cr Print Name State of Florida County of �(j/ i /1 Ic The foregoing instrument as acknowledged before me this 2 I ' (1Q of.S L62R 2015 • (Date) by MA- i S+011ER who has produced cipAve.as Lice.ilsc •di oR.144 (name of person acknowledging) (type of identification) as identification and did not take an oath. NOTARY'S SEAL 14,404.k. �i v �,�n w Notary Public Slate of Florida ((SIGNATURE OF NOTARY) Brenda M Hartman ` . 4 MY Commission Ea 830358 ' ,0,0.0' Expires 08/28/2016 AFFIDAVIT OF INTEGRITY AND GOOD CBARACTER STATE OF t----Z 0g LM COUNTY OF 6'U L 1-3-4-A. I, 'Jc-`fYx_. `A- l l-faun , having been first duly sworn, state and affirm: I 1 am a resident of (')I.t 1 P,1� C_Ctlillki County, Vi 8 t'i(30, (State) and have resided here for more than five (5) years. /, During the last five years I have known (?ARO N 564, (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 �, k `` Signature --bealK A-\a,i/Viya,n Name . .-3V. P HT co CA' -Aa_/r CA \Ka.nil 1 ft- ,.- -v-r-) Address z2c1 -�R9-4-/\—NCH LI Telephone The foregoing instrument as acknowledged before me this C)I 131 15 (Date) by 1IOJC \40,14- ca_c+I(\ who has produced Oft V‹.(/5 t c-e 1(1. e._ (name of person acknowledging) (type of identification) as identification and did not take an oath, NOTARY'S SEAL t (SIGNATURE OF N'TARY) ROBIN G. ROZANKOWSKI —,,,;:g".":;?„.... 4803 _`. _ Commission A FF AMiy Commission Expires -"� `,V April 03, 2017 3n, ,10`° AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF --t- v,(-t)-cam COUNTY OF Col<-e I, ( 'i € ,1 c _a C Cold , having been first duly sworn, state and affirm: I am a resident of Cf.,)‘\\J( County, GL (State) and have resided here for more than five(5)years. ,,�� nn - --During the last five years I have known anion f endQ.r -- (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 / ��.4121/1.4 ignature 0(16 Sao`. Cc c Y Name 5C)c1 E-CXa Cjr Marco a->11Y - -L M145 Address 9 - 5-1a - OLgp) Telephone The foregoing instrument as acknowledged before me this. 96 t16"-- (Date) by c �15e a CU 4� who has produced c f∎.0-ev's 1.1 c en 5C'- (name of person acknowledging) (type of identification) as identification and did not take an oath. NOTARY'S SEAL \\24' " (SIGNATURE OF N TARP) a*':"4N ROBIN G. ROZANKOWSKI Ns•� i� ^ Commission 4 FF 4803 .,etf le. My Commission Expires COLLIER COUNTY BUSINESS TAX RECEIPT APPLICATION ( ' � - -_ t<tt ",Er3,Z Xf cf_ ' 2800 N.Horseshoe Drive,Naples,FL 34104 iL.a i ' ::.;,-`+. -A—.ter:: . Make Check Payable to Collier County Tax Collector s; Phone: 239-252-2477 Fax:239-643-4788 Website: www.colliertax.com � 1EZa CHECKLIST Cow py of Articles of Incorporation and/or Fictitious letter Yellow Fire Compliance(list of fire district phone number from the State stating that your business name is on file, enclosed) (850-245-6052 or 6058) www.sunbiz.org Copy of Marco Zoning Certificate.(239.389-5000) Copy of State license from Department of B usiness and Professional(850-487-1395)or Department of Health. Completed Zoning application with appropriate fee made payable (850-488-0595) to:Board of County Commissioners.(239-252-5603) Copy of City Business Tax Receipt.(239-213-1800) Completed Business Tax Receipt application with appropriate fee made payable to:Collier County Tax Collector.(239-252-24;A �� Copy of Motor Vehicle Repair Regis `AA Registration Certificate // 0• from Department ofAgriculture.(800-435-7352) Other__o n--/-rt t —#—a r- /-r c- S i ✓i 07i/ Copy of Health inspection from Department of Hotels and Please contact the Property Appraiser's office at 239-258145 Restaurants(850-487-1395)or Department ofAgriculture. regarding tangible tax. (800-435-7352) CHECK ONE: Date: J//-� X Original Application Classification p o I -C)ei✓t rr\'s _ Transfer of License# Code Number Oat/ - /62/ Renewal of License# License Amount 1) CORPORATE NMMI - la) DBA NAME- MARC D foal-L v x c lb) BUSINESS OWNER OR QUALIFIER'S NAME- 6111104/ Sn'i JOtg, 2) PHYSICAL ADDRESS- :.--- -- ^- - .; ' D S 'N, awy 5 (No P.O.Box allowed) v70 CLK 4 .41-e 2a) IS RESIDENCE USED AS AN OFFICE t- X Yes No 1 O 3) BUSINESS MAILING ADDRESS- t 7 tilARC6 .51.A.,b Fi. V% Street City ea( CU. Zip 4) OWNER OR QUALIFIER'S RESIDENTIAL ADDRESS- 4ARCO FL 3 Y 5) TELEPHONE Business: 2.3 9 515 rr 165 Home:, 2:31 V75 6V65 6) LEGAL FORM OF BUSINESS: >C Sole Proprietorship Partnetshi Corporation LLC LLP 7) OPENING DATE OF BUSINESS OR DATE ASSUMED- (6 jl 8) OFFICE WITHIN CITY LIMITS OF NAPLES- Yes X No IfYes,City License No. 9) SOCIAL SECURITY NO. or FEDERAL EMPLOYER IDENTIFICATION NO. W6/7Z *see back of application for explanation 9a) TYPE OF BUSINESS CONDUCTED: rOOL CLEAN zN6 10) NUMBER OF EMPLOYEES-Including number of owners: l 11) FILL IN THE APPROPRIATE AREAS- a)Rental units(motel/hotel/apts.)Number of units: b)Seating Capacity(rest./cafes,etc)Number of seats: c)Number of coin-operated machines owned by business or individual: 12) STATE LICENSE OR CERTIFICATION NUMBER- Must have photo copy of state license if state licensed and certified UNDER PENALTIES OF PERJURY,I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE UE TO THE BEST OF MY KNOWLEDGpE. L .vvAPPT.TCANT'6 QTtrNATTTPT+.• DATE! i ai/6. City of Marco Island 50 Bald Eagle Drive q. J Marco Island, FL FL 34145 'i Home Occupation Fax (239)393-0266 Letter of Zoning Compliance Mailing Address: GARON SKENDER 470 Elk Cir Marco Island, FL 34145 Certificate Number HOC-15-003734 Issue Date 08/25/2015 Expiration Date 08/24/2016 Applicant GARON SKENDER Phone 2395956405 Business Name Type of Business Mailing Address 470 Elk Cir Marco Island, FL 34145 Property Address 470 Elk Cir Marco Island, FL 34145 Approval: 8/26/2015 Da - artinez Date Notes / Restrictions Applicant must comply with City of Marco Island Ordinance Article III, Section 30-405. lr Cos er Clounty COLLIER COUNTY GOVERNMENT 2800 NORTH HORSESHOE DRIVE GROWTH MANAGEMENT DIVISION NAPLES, FLORIDA 34104 www.colliergov.net (239) 252-2400 FAX (239) 252-6358 LAND USE AND ZONING CERTIFICATE: HOME OCCUPATION LDC section 5.02.00 &subsection 10.02.06 B.1.f Chapter 4 K. of the Administrative Code Please take the time to fill out this form as completely as possible. Only someone actually living at the address given below may engage in the home occupation described. Customers or employees not living at this address are prohibited from traveling to and from the residence if visits are related to this home occupation. The applicant is the person in whose name the Business Tax Receipt will be issued, and the applicant's signature must appear on this form. Verification as property owner or lessee in the form of a Valid Florida's Driver License or Florida Identification Card and/or copy of valid lease agreement is required. APPLICANT CONTACT INFORMATION /�, n Name of Applicant(s): (MOW SKENL ER- r/ /r Telephone: 2:31 ' 515 -01{05- Cell: Fax: E-Mail Address: (M^/ /COO S(MA 1L • Cam BUSINESS& USE INFORMATION pp/��QRGO If14� Sal;C Phone Number: Z37 ` 5�� -- Y" Business Name(If any): 1'I -�� 1A C) .1-.^^,, Address: 6 6A 537 City: PI/V 1!AAA State: L ZIP: 3111 `/ - SNGi SE2v 5,4 ll.��N c�NG Description of the type of business or use: P 00 ANl?L S ()PIE o-FF c, Collier County Land Development Code Section 5.02.00-Home Occupations 5.02.01-Applicability Home occupations shall be allowed in any zoning district which permits residential dwellings as a permitted use. 5.02.02-Allowable Home Occupation Uses There shall be no retail sale of materials,goods,or products from the premises. 5.02.03-Standards The home occupation shall be clearly incidental to the use of the dwelling for dwelling purposes. The existence of the home occupation shall not change the character of the dwelling. A. An allowable home occupation shall be conducted by an occupant of the dwelling. B. There shall be no on-site or off-site advertising signs. C. The use shall not generate more traffic than would be associated with the allowable residential use. To that end, traveling to and from as well as meeting or parking at the residence by either employees of the business operated there from who are not residing at the subject address or by customers or clients of the home occupations is prohibited. Page lof2 1/14/2014 R 7 � Y FJ� 4 r� V1 •a m' . tr ti - i f 3 W C' r r a