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CLB Agenda 09/21/2016
At Co" bier County COLLIER COUNTY CONTRACTORS' LICENSING BOARD AGENDA September 21, 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. August 20, 2016 V. PUBLIC COMMENTS: A. VI. DISCUSSION: A. VII. REPORTS: A. VIII. NEW BUSINESS: A. Orders Of The Board B. David Linscott- Schoolhouse Plumbing, Inc.- Review of Credit C. Michael Paul Duke- Performance Turf LLC-Second Entity D. Juan C Docampo- Patron Home Services- Review of Credit E. Wallace Booth- Paradise Electrical Concepts &Solutions, Inc.- Review of Credit F. Ben Mading-Adria Group- Reinstatement IX. OLD BUSINESS: A. Natalina Capone- PMT of Naples, Inc.-Second Entity X. PUBLIC HEARINGS: A. 2016-04—Jimmy M. Dean- D/B/A J. D. Design Construction, Inc. XI. NEXT MEETING DATE: WEDNESDAY, OCTOBER 19, 2016 COLLIER COUNTY GOVERNMENT CENTER ADMINISTRATIVE BUILDING THIRD FLOOR IN COMMISSIONER'S CHAMBERS 3299 E. TAMIAMI TRAIL NAPLES, FL 34112 August 17,2016 MINUTES OF THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD MEETING August 17, 2016 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: Thomas Lykos Members: Michael Boyd Elle Hunt Terry Jerulle Kyle Lantz Gary McNally Robert Meister Patrick White Excused: Richard Joslin, Vice Chair ALSO PRESENT: Ian Jackson— Supervisor, Contractors' Licensing Office Kevin Noell, Esq. —Assistant County Attorney James F. Morey, Esq. —Attorney for the Contractors' Licensing Board 1 August 17,2016 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 Thomas Lykos opened the meeting at 9:04 AM and read the procedures to be followed to appeal a decision of the Board. Roll call was taken; a quorum was established; seven (7) voting members were present. II. AGENDA—ADDITIONS OR DELETIONS: (None) III. APPROVAL OF AGENDA: Terry Jerulle moved to approve the Agenda as presented. Kyle Lantz offered a Second in support of the motion. Carried unanimously, 7— 0. IV. APPROVAL OF MINUTES: A. May 18, 2016 (Ian Jackson noted the minutes were improperly identified as "May 18, 2016"—the correct date was July 20, 2016.) B. October 21, 2015 (Mr. Jackson noted there was an issue concerning the recording of the October, 2015 minutes which had been approved by the Board during the December, 2015 meeting and signed by Patrick White as Chairman. Mr. White agreed to re-sign the minutes.) Patrick White moved to approve the Minutes of the July 20, 2016 and October 21, 2105 meetings as submitted. Gary McNally offered a Second in support of the motion. Carried unanimously, 7— 0. V. PUBLIC COMMENT: (None) VI. DISCUSSION: (None) VII. REPORTS: (None) 2 August 17,2016 VIII. NEW BUSINESS: A. Orders of the Board Patrick White moved to approve authorizing.the Chairman to sign the Orders of the Board. Terry Jerulle offered a Second in support of the motion. Carried unanimously, 7—0. (Note: With reference to the following cases heard under Section VIII, the individuals who testified were first sworn in by the Attorney for the Board.) B. James A. Loubert—Request for Reinstatement/Waiver of Exams (d/b/a "James Loubert Carpentry, LLC") James Loubert stated he was appearing before the Board to request to re-activate his Carpentry Contractors' license. Ian Jackson provided background information: • 1994—took the Business/Law exam • 1995 —took the Trade exam and obtained his Contractor's license • Remained in business for the next eleven years • 2006—license was not renewed • 2007—license was administratively reinstated • License became delinquent from October 1, 2007 to December 31, 2007 • License was suspended for the entire year (2008) • January 1, 2009—license became null and void • He stated Mr. Loubert also requested to waive retesting of the Business/Law and Trade exams Chairman Lykos asked if the Carpentry license required taking the Business/Law exam as well as a Trade exam, and Ian Jackson answer, "Yes." Chairman Lykos directed his comments to the Applicant stating the Board is required to determine if he had been active in his trade and whether his carpentry experience was sufficient to render re-taking the exams as superfluous. (9:10 AM—Robert Meister arrived; quorum increased to eight[8]voting members) James Loubert noted his letters of reference supported his experience. Chairman Lykos stated he reviewed Mr. Loubert's application packet and it was apparent he had been active in his trade since his license became expired. Gary McNally questioned the Applicant: Q. Is your license still valid in Pinellas County? A. No, sir. It didn't transfer. When I moved here in 1992, it would not transfer so that's why I had to take the tests again. 3 August 17,2016 Q. When I reviewed your packet, I noticed there was no credit score at all? A. Yes—because I haven't had any activity. I haven't had any credit or bad credit— so it's a zero. Q. You have been working in the field since 2008 as a carpenter? A. Yes. I've been a form carpenter—I've done concrete, trimmed cabinets ... Q. Okay. Thank you. Chairman Lykos asked the County for a recommendation. Ian Jackson stated the recommendation was for approval with conditions, i.e., placing the Applicant on probation for a period of time to allow the Board to "monitor" him. Chairman Lykos requested additional information, i.e., if the Applicant was placed on probation, what should the Board look for. Ian Jackson: If there were any violations during the probationary period, there could be an order for an appearance before the Board. Patrick White: Were there any violations during the period of time when his license was active? Ian Jackson: I did not see any violations. James Loubert: I was quite an active carpentry contractor—I worked for Pulte Homes and for DeVosta. I mainly did DeVosta—I worked all the way up to Venice on projects—we usually did five houses a day. Terry Jerulle questioned the Applicant: Q. It looks as if you have quite a bit of experience up to 2006—I didn't see any letters after that time. The Codes have changed. A. I'm active. Today I am still working as a carpenter. Q. So why didn't you just take the tests and not even come here? A. I'm not good with tests—I actually went and took the G.C. or B.C. test. I did it without the books and did it in two hours and got a 60. So I went and bought all the books and went back and took the test. I got a 58 with the books and took all the time for the test. Tests make me a little nervous. I have superior knowledge in carpentry—I'm a strapping expert from top to bottom. Q. But that's only half the job—right? A. Oh— Q. That's less than half the job. A. I can show you conventional framed roofs that I'm doing right now. Q. My point is—knowing the information in the field is only half of what you need to know to have a license. You also need to know ... A. I was an employer of over 50 employees ... Chairman Lykos: Q. Let me explain to you. The people who sit on this Board are going to decide today whether or not you get a license. A. Yes, sir. Q. You need to let us ask our questions and at the appropriate time, you can answer the questions. 4 August 17,2016 A. Yes, sir. Q. Okay. Mr. Jerulle has stated that you've got a lot of backup with regard to your trade—nobody is questioning your ability in your trade. What Mr. Jerulle is stating, if I understand correctly, is that the trade experience is only half of your responsibility. There are also other responsibilities besides being able to know how to nail boards together. So if you will please let the Board members ask their questions and then answer when it is appropriate, then we can get through this as quickly as possible. Thank you. Terry Jerulle: Q. My point—just as Chairman Lykos was saying—is knowing your trade is only half of it. Knowing the business is the other half to get a license. Workers' Compensation, Business and Law—and I'm inclined to say that you should take the Business and Law exam. A. Okay. Like I was saying, I was not a small contractor—I had over 50 employees for over four years—everybody—I've always done staff leasing, I've always had • Workers' Comp on every employee I've ever had. I believe my references also reflect the business that I had—I'm not just a carpenter. Every one of them throughout the years will tell you that my billings were correct, my invoices were on time, I submitted releases when they were appropriate—I know all about the aspects of running a business, sir. Q. Well, you let you license expire three times. A. I was closing my business and laid off my office manager who was supposed to have done the renewal—it was only a few months later, I was closing my business in 2007. Q. I think you should have a license, but I think you should have a license by taking the test. A. Well, I would actually go for the B.C. ["Building Contractor's" license] rather than Carpentry again if I had to take the test. I was close to passing and did better without the books than with the books. Q. And that may be better for you in the long run anyway. A. But I'm actually missing opportunities on doing some contracting as a Carpenter. This town has started booming again and I see it as appropriate to re-start my business. I've had employers that I've had for fifteen years asking me to go back into business. So I know what all it takes—again, my reference letters ... even the current reference letters ... I believe reflect that. Q. Thank you. Michael Boyd: As someone who has to take Continuing Education courses every two years, fortunately or unfortunately,I learn something every time I take the damned tests to renew my license. It is fourteen hours. I would be inclined to say that I would require the tests to be taken. Chairman Lykos: In advance of issuing a license? Michael Boyd: Yes. Patrick White questioned the Applicant: Q. If you were going to be required to take the exam .... A. Yes, sir. 5 • August 17,2016 Q. ... how long do you think it would take you to apply for the test, to take it and pass? Could you do it in thirty days? A. It was ... it's just .... Q. I think it is a"yes" or"no" question. Do you think you could do it in thirty days? A. I'm not sure. Q. Could you do it in forty-five days? A. I could try ... yes, sir. Q. I'm asking you for your best estimate of how long you think it will take for you to be able to take the exam and pass it for Business and Law. A. Just for Business and Law? Q. That is what I believe has been discussed here. If that's not clear, let me confirm what we are talking about is the Business and Law exam—not the Trade test. A. Okay. Q. So—with that clarification—do you think thirty days would be long enough? A. Yes, sir. Q. Okay. Lyle Lantz moved to approve granting James Loubert's application to reinstate his Carpentry Contractor's License and waive requiring him to take the Trades test only. He will be issued a probationary license for a period of ninety days during which time he will be required to take and pass the Business/Law exam. If he cannot pass the exam within the time period, his probationary license will be suspended and will remain suspended until he passes the exam. Patrick White offered a Second in support of the motion and suggested reducing the time to sixty days. It was noted the Business/Law exam is given at Florida Gulf Coast University on a daily basis. Kyle Lantz accepted Mr. White's suggestions and amended his motion to reflect the change. Discussion: • Terry Jerulle suggested including the Trades test since the Applicant has not been licensed since 2008. There have been major changes to the Code during that time. • Kyle Lantz noted the Applicant has been working for Builders during that time. "If you are working in your Trade, you probably know the Codes." • Terry Jerulle stated he would be inclined to agree with Mr. Lantz if the license had expired within the last two years but it has been almost eight years since the Applicant was licensed. He stated: " I am not trying to be difficult— I think he should have a license and he should be a Carpentry subcontractor but I think he should go through it the proper way by taking both tests." • James Loubert reiterated if he is required to take the tests, he will take the exam for a Building Contractors' license. • Kyle Lantz stated since Mr. Loubert has been working in his Trade, he has been exposed to the new Codes but he hasn't technically been doing as much 6 August 17,2016 on the business side. He continued that contractors do not usually come before the Board for trade deficiencies—it's because of business deficiencies. That's why I am more particular about taking the Business test. Chairman Lykos summarized: There is a motion before the Board to grant a probationary license for sixty days. The Applicant is required to take and pass the Business and Law exam within sixty days. If that does not occur, the license will immediately be suspended until Mr. Loubert passes the exam. Chairman Lykos called for a vote on the motion. Motion carried, 7— "Yes"/I — "No." Terry Jerulle was opposed. C. Natalina Capone—Application to Qualify a Second Entity (Current Qualifier for: "Signature Surfaces, LLC. " Second Entity: "PMT of Naples, Inc."—installation of flooring: tile, marble, wood and carpet. Will also offer cleaning services to clients.) Natalina Capone stated she was appearing before the Board to request to qualify a Second Entity with her license—#C27432, Floor Covering Contractor. She is the current Qualifier for Signature Surfaces, LLC—a tile, marble, and floor covering company. Chairman Lykos asked the Applicant why she wanted to qualify a second flooring company. A. The owner of Signature Surfaces sold the business to someone else. Not sure how well I will get along with this person. I've also had some personal financial issues and need to make more of an income. I had an opportunity to qualify a previous employee and friend. I thought it would be the best of both worlds—to make more money and qualify his business. Terry Jerulle: I would like to disclose to the Board that I know Natalie. I worked with her years ago. I think it's been over twelve years or so since I've worked with her. I don't think it's anything that going to affect any decision or sway me. Chairman Lykos: Mr. Morey—are you happy with that? Attorney James Morey, Attorney for the Board: Yes, there's no current financial interest. Chairman Lykos: Okay, thank you. Thank you, Terry. Comments from the County? A recommendation? Ian Jackson: I am going to abstain from a recommendation on the Second Entity. Kyle Lantz questioned the Applicant: Q. Currently you work for Signature Surfaces? A. Yes. Q. What is your role there? A. I do a lot of things. I do the bookkeeping, estimating, purchasing. I work with scheduling. I oversee jobs now and then. 7 aimmimmw I • August 17, 2016 2 , Q. Is that a 40-hour a week job? A. Yes—fifty sometimes. Q. So at the new place that you want to qualify, what do you expect your role to be there? A. I'm going to be managing the payroll, the insurances, the employees. The owner of the business will actually be installing, the scheduling, and doing all that. Q. So, it's very similar to what you are doing at Signature. A. But it's a smaller scale, so it won't take as much time. Q. How much time do you anticipate? A. Probably—maybe an hour a day. Q. So, five hours a week? A. Yeah. Q. Maybe? A. Yeah—give or take, and visiting jobs once a week ... maybe a couple of three hours or so. Q. Over all,the new business—from your business plan—expects to have a couple of employees starting out? A. Yeah ... five—about two crews. Q. And you, as the Qualifier, will be able to oversee the business operations as well as the construction work in five or six hours a week? A. Yeah. There are only two or three jobs at a time. Q. Okay. Chairman Lykos questioned the Applicant: Q. You submitted this packet, correct? A. Yes. Q. Do you have a copy of the packet with you? A. Yes, I do. Q. I want to discuss the"Profit/Loss Projection"with you. In your summary, you said you were hoping to get the company up to about $250,000 a year in sales? A. Yes. Q. And you presented a"Profit/Loss Projection"to that dollar amount. A. Yes. Q. Under your "Payroll Expenses," you expect to spend about $62,000 for payroll. A. Yes. Q. You also stated earlier that you expect to have five employees. A. Yeah. Right now we have three and we're planning on hiring two more. Q. That means you will be paying each employee $12,000 a year. For full-time employment, that would be about $6.00 an hour. A. Yes, but some of them are seasonal though. Right now, it's really slow. Q. I want to confident that you have an understanding of your company's financials because you are going to be the person who will be financially responsible for this company. A. Right. Q. Right now, I have a little bit of a concern when I see that your business plan calls for five employees and you show a total of$62,000 for Payroll—that's one concern. Do you understand why I have that concern? It just doesn't sounds like enough money for Payroll for five employees. 8 August 17,2016 A. Yeah, I understand—I based it on what I was doing right now—for the year. Right now, two of the employees are part-time. Q. I understand, but this document is labeled as your "Profit/Loss Projection." So if you are anticipating doing $250,000 in sales, and you anticipate having two crews for tile installation and for cleaning—that means you are going to have five employees. I would expect your Payroll expenses to be higher than $62,000. And I have a concern about your ability to anticipate your expenses and to charge enough money to make sure your company stays in business. Okay—because you underestimated your labor expenses. The other thing is, where is the owner's compensation in this budget? A. Sorry, I left it out. Q. Based on this projection, you are going to have $53,000 left at the end of the year. We know you have understated the labor, and then—where is the owner getting paid? And how are you getting paid out of this? A. I'm getting paid with commission based on the sales. Q. And where does that show up in this projection? A. I included it in the $62,000. Q. So now we have anywhere from four to six people plus an owner being compensated out of$62,000 which we know is an understated dollar amount. A. Well, the owner would take the net income. Q. I understand. So, now we have an owner and yourself, and four to six employees being paid out of$110,000. A. Yes. Q. I have concerns about your understanding of the finances of the business if this is the projection that you put together. A. Okay. Q. Okay? A. Well, I was told at the last minute to put a Business Plan together—I had one day ... I'm sorry. Q. I don't want it to sound as if I'm coming down hard on you. I think the packet that you put together is very impressive—we rarely see anybody who puts this much thought into the Business Plan that they provide us and I want to commend you on that. A. Thank you. Q. But my concern—before we grant you the opportunity to qualify a second business—is to make sure that you understand not only the trade part of the business, but also the business part of the business. You just heard the gentleman before you. Our biggest concern was not that he understood his trade—it was his ability to run a business. A. Right. I understand, but I've been in this business a long time—there's very little ... most of them ... the costs are the labor, materials, and things of that nature. Q. I understand. But if you don't know how much the labor is going to cost you, you could end up digging yourself a financial hole and then what happens is your clients get stuck holding the bag because you don't know how to manage your company's finances—or your vendors get stuck. A. I understand. Q. And I don't want to set somebody up to do that. A. Oh, yeah, totally. I understand. 9 1 August 17,2016 Q. My second comment or question or request: There's a page in here entitled, "Financial Responsibility." A. Yes. Q. Question#7 requests documentation for a discharge in bankruptcy and you checked"Yes." I didn't see the paperwork for that. (It was noted the documentation was included at the end of the packet.) Q. Good—that answers the second part of my question. Okay. I'm done. Kyle Lantz questioned the Applicant: Q. You said you will be getting paid a percentage of the sales? A. Yes. Q. Would you mind telling me what that percentage is? A. Five percent. Q. So if you do $250,000—that would be $12,500 and that would come out of the $62,000. A. Right. Q. And then you have independent contractors ... A. No, we don't have any independent contractors. Q. Well, that's what you have on your"Profit/Loss Projection"—and I didn't know if that was part of your Payroll expenses. Are you subbing out? A. No. We won't be hiring any independent contractors. We will have just Payroll tile setters. Sorry. Q. That's a pretty big figure that you have—would that be payroll? A. I can't remember—well, we can put that toward the payroll ... yes. Sorry, I was copying something and I don't ... well, our plan is to have just payroll employees —no independent subcontractors. So I guess I would put that toward the payroll expense. I didn't look this over very well. Chairman Lykos: I expect you didn't think you would come here and have to answer questions about your Profit and Loss. A. No, I didn't. And I whipped this up really fast and copied from something else. Q. Well, it's a good idea if you want to start another business, to be serious about a Business Plan and not just throw it together for our sake. A. What I meant is—I had about an hour ... so I'm sorry. Elle Hunt questioned the Applicant: Q. My first question is for the County: Has Signature Services ever had any violations? Ian Jackson: Not that I'm aware of Q. Do you have a contract available for us to review on what your business relationship is going to be with PMT Naples? A. No, not yet. Q. Not even a draft copy? A. No. 10 • i • August 17,2016 Patrick White questioned the Applicant: Q. The substance of your discussions with the owner of the Second Entity turn on the compensation as a percentage of sales as well as on the scope of services that you are expected to provide in addition to what the law requires as a Qualifier. Can you give us any additional information about that? What those discussions have been? A. Yes. I will take care of any audits, make sure the insurances are up to date, that all of the employees are on the payroll correctly, or if he needs any help with an estimate or sales, making calls, whatever he needed me to do other than what my license qualifies me for. Q. Such as scheduling? A. Yes. Scheduling—I think that was more his responsibility than mine, but if need be, if I need to step in for something—if he's on vacation. Kyle Lantz questioned the Applicant: Q. So one of the concerns we have with somebody operating a second business is how can you represent two different parties at the same time? This is what concerns me. Will you have two different phone numbers—one for Signature and one for PMT? How does that work? If a client calls you and says he needs tile work, who gets the job? A. I am very good at being ethical about who comes from where and putting boundaries. Q. How will you know? If I pick up the phone today and call you— saying I'm interested in a tile job—how will you know if I'm calling Signature or PMT? A. I am not in the front with the sales that much—it's mainly the owners who deal with everything and I'm mainly doing all the office work and overseeing the jobs —explaining the job ... what tile goes where ... I do more of that than selling, plus at Signature Surfaces we have five or six builders who are extremely loyal to us. The jobs just come in. The owner of PMT will do 100% of the sales and has the relationships with the clients. I'm not the one getting those calls. Q. I know Signature is based out of Bonita. Are they licensed in Lee County as well? A. No. Q. They only do work in Collier County? A. Yes. Chairman Lykos: Q. PMT is a cleaning company now? A. It was licensed as a cleaning company and we're wanting to qualify it so it can be an installation company. Kyle Lantz: Q. I'm sorry—I was referring to PMT. Is PMT licensed in Lee County? A. No. Elle Hunt: 11 • August 17,2016 Q. So I guess my earlier question to the County was moot because we don't have any information from Lee County regarding any violations because they aren't licensed here? Correct? Ian Jackson: You asked about Signature Services which is qualified in Collier County. Q. They are qualified here because she just said, "No" when he mis-stated his question. Kyle Lantz clarified he asked if either of the companies were licensed in Lee County as well because the new company that she wants to qualify has a Bonita Springs address. I wanted to know if they are doing work in both places. Chairman Lykos: I have two issues that I am struggling with: (1) is your ability to understand and manage the company's finances, and I could come up with a solution that I could request the Board to consider which is to have you come back in three months with some financial statements and help prove to us that you understand the company's finances. That is something that we can use time and facts to prove. The other concern that I have is a little bit harder to pin down. You have this relationship with Signature—the new owner is there and you don't know how you will get along— and we don't know how that will end. You want to qualify two businesses that do the same work. There could be unanticipated conflicts between who is working for which company, which accounts are the materials being charged to. When people know that you are affiliated with two companies,that question is always going to come up ... "Which company is this for?" What happens when one company has a need and the other company has the resources that could help? I have a concern that by you qualifying two companies in the same type of business, there will be some unanticipated conflicts of interest that you are going to be faced with and have to deal with that other people—your vendors and your clients—may be forced to deal with and that you cannot anticipate at this point. Because the two businesses are doing the exact, same type of work. If you were to say, "within 90 days, I expect to terminate qualifying the first entity (Signature) and only focus on the second(PMT)," I would feel better about those conflicts as being less likely. A. Okay. The current owner of Signature Services—he bought the business—is from Uruguay and he has been a builder there for twenty years. He bought the business as an investment and to immigrate to this country. As soon as he can, as soon as he gets his Green Card, he will go for his G.C. (General Contractors') license and start building homes. That's his plan for the near future. And I'm trying to keep myself—I don't know what he's going to do with the business—if he's going to sell it again or anything like that. So I'm just trying to preserve myself as well. Q. How much income do your earn from Signature Services? A. $52,000. Q. That's a pretty serious commitment that you have with Signature. A. Yes. Q. Is that your primary source of income? A. Yes. I've had conversations with the owner and he's fully aware of the qualification. It's just that PMT, the new business that I want to qualify, has the possibility of working with Abbey Carpet and will keep them busy all year round. 12 . August 17,2016 So really, there's no conflict as far as clients go because Signature Services would be too expensive for Abbey Carpet to use. Q. I still have the same dilemma. Maybe one of the other Board members has a clearer thought about how to resolve some of these issues and can offer some guidance because I don't know how to overcome the second conflict that I have. Elle Hunt: Q. How are you going to protect the integrity of your license with PMT Naples? You are the one who will be held accountable if there is any type of violation. What are you going to be doing on a regular basis to ensure integrity there? A. I'm going to make sure that the people on the job are on payroll. That's my main concern—that there are no violations with Worker's Comp or liability. Q. I'm concerned about the quality of the work as well. A. Well, that, too. I'm going to go to the job sites to oversee it but also there is the owner who is an installer and will be there every day as well. I'll be there to see that everyone follows the plans—I'll look at the plans to make sure that everything is installed right with the right setting material. Terry Jerulle questioned Ian Jackson, Contractors' Licensing Office Supervisor: Q. If she pulled her licensed from Signature tomorrow and came to you the day after that, would you give her another license? A. If she no longer qualified Signature Surfaces ... Q. ... and came to you, asking to qualify PMT Naples the day after, she would not be required to come here? A. No, she could apply her license to PMT. Q. And she would not have to come here? It would be automatic? A. Yes. Q. What I think I'm hearing in my mind is: (1) you are concerned that Signature may not be around and you want to be ready in case it is not around. A. Yeah. Q. To answer that question, what I just asked is ... if they are not around tomorrow, the day after—you can see Ian Jackson and get your license with PMT. So that concern should go away. A. Yeah, but it's also a business that's growing. Q. Next, (2) is that you want an additional income. A. Right. Q. In order to get the additional income, I think you need to satisfy some of the Board members' concerns. I think there was a question about a contract with PMT and some of the other concerns that the Chairman had with the Profit/Loss statement, and how you handle who you are. Because in this business, as Contractors, we know a past client may call you because they know you. And the question is if that client needs to replace some tile that you installed five years ago, who is going to replace it? The question that we have is: will Signature replace it or will PMT? A. No, Signature would replace it if someone calls me from five years ago. If Signature did it—yes. Q. But ... A. Like I said, I'm very ethical ... 13 V • August 17,2016 Q. I know you and I know that—you don't have to convince me of that. What I'm saying is that I think you need to convince the Board members of that. So it may be that you need to come back with a little bit more documentation and a little bit more organization, especially on the Profit/Loss statement. A. Again, once we get going and the numbers start flowing, I'll have real numbers to work with as far as that goes. Chairman Lykos: Q. I think you are very sincere about why you are here. I think you are going to work hard and do what you need to be successful because you have "skin in the game." But I am not convinced that from the County's standpoint that this is the ideal situation in which we would issue a Second Entity. If it were two different trades, there would be no perceived conflict. The Chairman cited the example of a Painting Contractor who wanted to qualify a second painting company—one would specialize in residential and one would only handle commercial clients. The Boards' concerns then were how could he ensure the purchase of materials would remain separate; that employees would not be "loaned" back and forth—and the Contractor had no way to tell the Board how he could prevent it because the companies were in the exact same business. He continued: I have a problem qualifying a second entity with the same type of work—that's where the conflict comes in. And you can't anticipate the situations that might occur when you're going to be faced with difficult decisions and we don't necessarily know all of those difficult things that might arise—but we want to make sure that you have thought through all those things. A. Yes. Q. Because you are the one who will be responsible for both companies. A. Yes. Like I said,there are things that I can't foresee. If it comes to "do or die," I will make a decision, speak to both people, and come to an agreement on what to do in a certain situation. But those things may or may not happen. Elle Hunt: Q. My concern is that it still sounds a little premature—in the fact that you can't articulate all the terms and conditions you will have with the new entity. You are vague with some of them and unsure. And the numbers are also off. If I was going to start a business with somebody else, I wouldn't say things like, "once the numbers come in, I'll be able to figure it out." I would want to know this in advance. I would also want to know the terms and conditions I would have with them, i.e., what am I getting paid, what am I responsible for, if expenses were deducted—why type of expenses, and what will I be held liable for. You haven't articulated any of this, so it sounds to me as if you want to attach your license to PMT while you work full-time at Signature to let PMT get going and then have them as a back-up plan. That's the perception that I have and that's what concerns me. A. That's the reason why I want to qualify the other business—but I didn't think it that specific—I didn't get that specific because I know the person and I know we 14 August 17,2016 are friends. If I need to make an agreement within the next three months, I will do that—I'll have a lawyer draw it up. Terry Jerulle: Q. Would it be a big imposition for you to—and I'm making a suggestion—to withdraw your application and address the concerns of the Board members and come back at the next meeting? A. I'd prefer not to do that. I'd prefer not to do that, but what are my -- so you want a clearer Profit/Loss Projection, and a legal agreement outlining my specific requirements between me and PMT? Elle Hunt: Q. I would not require it a contract—just a more articulated set of terms and conditions. Ideally, a draft would be in the Applicant's best interest but ... A. I'm a little nervous ... Q. That's okay. Just when we ask you these questions, you would have answers to all of them and your perspective partner would also be in agreement. If you choose to move in a legal direction—that's a personal choice of course. Terry Jerulle: My suggestion is based upon—not getting denied— it may be a better approach to withdraw than to be denied. Get everyone's concerns, withdraw, and then come back. As I said—it's just a suggestion. Chairman Lykos: It's a good suggestion. Natalina Capone: Okay. Chairman Lykos: If you tell us that you want us to vote, we will. So far, at least three or four members are recommending that you withdraw and, having listened to the things that we've asked you, to be able to come back and answer those types of questions ... Natalina Capone: Okay. Alright, then. Chairman Lykos: Do you want to withdraw or do you want us to take a vote. Natalina Capone: Well, I don't want it to be negative so I'll withdraw. Chairman Lykos: It's your choice—the Board didn't ask you to come here... Natalina Capone: Right, I understand. Chairman Lykos: It's your decision to make. I just want to be clear about that. Natalina Capone: So, I have to re-do everything—all the papers—if I withdraw and re-submit? Chairman Lykos suggested that Ms. Capone make an appointment to meet with Ian Jackson to obtain a better understanding of the Board's expectations. He agreed with Elle Hunt that legal documents were not necessary but Ms. Capone should be able to answer the Board's questions concerning her agreement with her business partner at PMT, and what the numbers on the Profit/Loss statement represent. For example, a question about Payroll should indicate how many people will be employed and at what hourly salary. When Mr. Lantz asked about independent contractors and you stated the company would not hire any, then the question become why was it on the Profit/Loss statement. You must understand your numbers so the Board will be confident that you can run the business and be financial responsible. Another question, if the company loses money—how will you be paid? Will you be paid off 15 • August 17,2016 the front end or the back end? Will you be required to put money into the company? Being able to answer those questions will go a long way to give the Board confidence that you will be able to manage these different relationships and work through any issues with the two entities until you come to a place where you are comfortable with what is going on. Natalina Capone: Okay. Terry Jerulle: Mr. Jackson, if she withdraws—does she have to pay fees again? Ian Jackson: No. Patrick White suggested a motion to table the item until the next meeting would also be appropriate. Attorney James Morey, Attorney for the Board, stated a motion to table was perfectly acceptable. The Applicant would only need to update and supplement the original application—it was not necessary to submit a new application. Patrick White moved to approve tabling Natalina Capone's Application to obtain a Second Entity until the next Board meeting. Elle Hunt offered a Second in support of the motion. Carried unanimously, 8—0. IX. OLD BUSINESS: (None) X. PUBLIC HEARINGS: (None) NEXT MEETING DATE: Wednesday, September 21, 2016 BCC Chambers, 3`d Floor—Administrative Building"F," Government Complex, 3301 E. Tamiami Trail, Naples, FL There being no further business for the good of the County, the meeting was adjourned by the order of the Chairman at 1:15 PM. COLLIER COUNTY CONTRACTORS' LICENSING BOARD THOMAS LYKOS, Chairman The Minutes were approved by the Chairman on , 2016, "as submitted" 1 1 OR "as amended" [ 1. 16 Schoolhouse Plumbing, Inc. David Linscott 132 Marco Villas South,Marco Island,FL 34145 1603 969-5680 I schoolhouseplumbing@comcast.net July 15,2016 Ian Jackson Growth Management Department Collier County 2800 North Horseshoe Drive Contractor Licensing Supervisor Naples,FL 34104 Operations and Regulatory Management 239-252-2451 ianjackson@colliert'ov.net Dear Mr.Jackson: Per our discussion,I have provide a proposed business model to address any questions that you and the Board may have concerning my application. 1. Responsibility:The financial health of my company and the impact to my customers is MY responsibility.There are some extenuating circumstances related to identity theft which may have impacted my credit score but ultimately I take full responsibility. 2. Credit reporting:Monitoring my credit score had never been a priority.I have learned that score is a constantly changing number based upon many factors.I have taken the first step of joining Experian Credit Watch which gives me instant updates to changes in my credit score and attempts to open credit.I am currently requesting copies of my credit report from the 3 reporting agencies to get a clear picture of my credit history. 3. Cash Flow:All business suffer from cash flow concerns.My company has fallen behind on my financial responsibilities at times due to poor cash flow.In my case,this was not due to a lack of business but due to poor billing practices.In order to address this I now set specific time aside each day to send out invoices and to update my bookkeeping.Additionally,I require down payments from all customers. 4. Payment Options:In order to assist with cash flow,I currently allow payment by credit card through a service on my(Phone. 5. Asset reduction:Currently,I own two residential homes in the State of Maine.Due to several factors,one of these properties has been a financial drain.The property is currently on the market.Sale of the property will allow me to pay all current debts in full. 6. Limiting debt:in most cases,I am paying for materials"up front"from the down payments that I require.This reduces the need to carry significant debt forward on a monthly basis 7. Creditors: I am in the process of contacting all creditors.I will work with each of them to begin the process of bringing my accounts to a"current"status. I have already developed many professional relationships and a healthy potential customer base over the last several months in anticipation of receiving my license, My hope is to move forward in the short term with final authorization so that I may"Open for Business"in October. Please contact me with any questions or assistance to further this goal. Thank you, David Linscott Schoolhouse Plumbing,Inc. n 1 ie,- ,.i.- ty GMD Operations& Regulatory Management Licensing Section 2800 North Horseshoe Drive e,2O/ . 096 i}/5 .O '5"/ 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: f —,Exact Corporate/Business Name: SCJ,o Ol/I ou$e.V frI(o N i , .1_ N C. Fiction Name/DBA: Qualifier Name: ri-iv a c.. L ' (`') Cc' lis .1— Physical Address: 13Z ilicato v t f iAS 5. YhLoIci F(►4. 34 I 45 (Number&Street) r (City) (State) (Zip Code) Mailing Address: 13 2 )1"1(4-r° V,(( S S. t"le1a vco SS FkL 341'4 (Number&Street) (City) (State){i (Zip Code) Telephone: i9 v3 - ? r 5(0$0 E-mail: S CI-too!hoose pi vE-111;iC07t4,cas'� • ✓ ,At t� TYPE OF LICENSE: General $230.00 Electrician $230.00 Building $230.00 X. 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: 0/U 4% CHANGE OF STATUS: ( ) Reinstatement ( )From One Business to Another ( )Dormant License to Active Page 1 of 4 XONRY%0 JON — 72016 BY:_.. 1. The names,titles,home address and phone numbers of all Officers/Managing Members of the Firm. Dy11/1 D L IN S c n"'�' ' �.{'hC5;Cl(/CN- 13 Zrvrtvco V t ((a S Saud-h Ntav-c.0 is4c, 34 ! g 5 Goa 9 (9 q 56)80 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. . jele=iGJ e5 co dv 4rvc-horO :Tivc.1 Ki sok el- IQ C., Nrua wt5 a01.-tvc (crr i, Roiai ..So CalvAvve.iicievNG 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 C?rvC AFFIDAVIT Under the penalties of perjury I declare that I have read the fore:.'ng application and that the facts stated in it are true. O �X_ (4 Autho ized Officer of the Firm 5-4-a. so The foregoing instrument as acknowledged before me this 3 r (12,9 (Date) 4J A by v i A U.A s ctV o f ��-Lcs a \t,1/4 c. (Name of Officer,Title/Agent) (Name of Corporation) a MCC, Corporation on behalf of the corporation. (State or Place of Corporation) HetSird has produced (P415 'i 114‘Gd'' identification and did not take an oath. (Type of identification) NOTARY'S SEAL . 1 71 ("IGNATURE OF NOTARY) Lynn A.Keisker Page 2 of• Notary Public My Commissidn Expires 05-14-2017 QUALIFIER INFORMATION: Name: )iq UI l) t i1J CO f✓ Address: /32 f 4i Pc° V (cd 5h.14 Para) is/ ICL, <54/ (Number&Street) (City) (State) (Zip Code) Telephone: 4,o 3 ! t9 5 bO Date of Birth: / SS#: - E-mail: SLAW( L0uSCp(v4i;y ec rn..icc.�rf tiPi� Driver's License#: + _ .// 1. Type of Certificate of Competency for which application is made. �-i/fa/Z Ph/144Cv 2. The names and telephone numbers of two persons who will know your whereabouts. 'bait/Am ? 4 (�a,vv�viIz 239 —La - (0 3 a- id' N SisJ iki Z 3? (t 5 'PSI 3. Have you ever been convicted of a crime related to Contracting? NO (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. MA/C 6. List your business or work experience during the last ten years. 5ct av/hcvfC'_ /-K/A4‘/, / r,UG 7. Statement of any formal training youhave had in the area for which the application is made. 1p/e/ciffit‘.1 f S,f/ Gm t /ti ,e2Q/,v' / ti /f 3 of 4 PROMETRIC r 4 EXAMINATION RESULTS NOTIFICATION November 5,2015 David H Linscott XXX-XX- 132 Marco Villas South Marco Island, FL 34145 Dear Candidate: We are pleased to inform you that you achieved a passing score on your recent Collier County examination. Your score(s) are as follows: 10/31/2015 Naples,FL Business and Law 86 Pass Collier County requires a passing percentage of 75%. Please note that passage of the exam is no guarantee a certificate of qualification w ill be issued by the Licensing Board. To help you gain the recognition you deserve, Prometric has prepared a Certificate of Achievement, beautifully designed and very suitable for framing(8-1/2 x 11) for only$30.00 per category. Please fill out the order form below, cut along the dotted line, then send the completed form to Prometric . Payment options:check, money order,Visa or MasterCard. Credit card orders may be faxed to(800)813-6670.All others send to Prometric , 7941 Corporate Dr, Nottingham MD 21236. Allow 2-3 weeks for delivery. Certificate of Achievement Request XXX-XX-7791 David H Linscott 132 Marco Villas South Marco Island, FL 34145 • Quantity Collier County- Business and Law - 10/31/2015 x$30.00= For credit card payment, complete the following. Card Type: Visa Mastercard Card Na. Exp. Date __ _. _ - ..._ -- _.. Signature F159-fl-bonspl-C PROMETRIC *7941 Corporate Dr *Nottingham,MD 21236 Toil Free:800.280.3926 *Fax:800.813.6670*www.prormtric.Com e PROMETRIC ; o EXAMINATION RESULTS NOTIFICATION May 21, 2015 David Linscott 132 Marco Villas S Marco Island, FL 34145 Dear Candidate: We are pleased to inform you that you achieved a passing score on your recent Collier County examination. Your score(s) are as follows: 06/16/2016 Bonita Springs, FL Master Plumbing with Gas 85 Pass Collier County requires a passing percentage of 75%. Please note that passage of the exam is no guarantee a certificate of qualification will be issued by the Licensing Board. To help you gain the recognition you deserve, Prometric has prepared a Certificate of Achievement, beautifully designed and very suitable for framing (8-1/2 x 11) for only $30.00 per category. Please fill out the order form below, cut along the dotted line, then send the completed form to Prometric . Payment options: check, money order, Visa or MasterCard. Credit card orders may be faxed to(800)813-6670. Ail others send to Prometric , 7941 Corporate Dr, Nottingham MD 21236. Allow 2-3 weeks for delivery. Certificate of Achievement Request David Linscott 132 Marco Villas S Marco island. FL 34145 Quantity Collier County - Master Plumbing with Gas -05/16/2015 x $30.00 For credit card payment, complete the follow ing. Card Type: Visa Mastercard _._ Card No. ---- - - — — Exp. Date Signature __ . .. . F159-n-bonsp-C PROMEFR1C *7941 Corporate Dr *Nottingham.MD 21236 Toll Free:800.280.3926 'Fax:800.813.6670'ww w.prorr tric.com 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 infonnation 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 lie 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. 1MY1D Applicant(please print) SCLaa[ hUvse ?(v(1 LNC Name of Company Signature of Applicant Oka h•-)e...._ State N&.- State of Attritiu County of klo The foregoing instrument as acknowledged before me this 3 ie o ( 3m - (Date) by Do1/4.%),ALI•r.s(c.it who has produced (¢mss -51-(21 knc 1 (name of person acknowledging) (type of identification) as identification and did not take an oath. I NOTARY'S SEAL SIGNATURE OF NOTARY) Lynn A.Keisker 4 of 4 Notary Public My Commission&wires 0-14-2019 AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF 4/# COUNTY OF 5/"fe 'P/ D I, 322 ems 5 ��/24/ ,having been first duly sworn,state and affirm: I am a resident of Q l'yAi e County, i , - A,,/ ,,,v State) and have resided here for more than five(5)years. Ecile6‘//cxise"`' 4 During the last five years I have known Ape �/,7s'Ca�T (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. Si� e tt/ Te rnie 5 cfKife/c1 Name 9- 15 .6,frtlieP /4-/i/phiti11/// 0. �. Address 6'03 235 6C? Telephone The foregoing instrument as acknowledged before me this f'kOJ'eA /1, 201 (0 Date) by x. 02-y S . C©t)Will who has produced 9 14-citi Q t 5 ILC O(1 Q (name of person acknowledging) (type of identification) as identification and did not Ogiok},eath. NOTARY'S SEALQ`•• 0E O;(4•..9 � . 14( , *4!" 1 i/ t 0 g.¢; imatis : i (SIGNATURE OF NOTA s 'yam too �4.:Ca I +. HAM„,',\% AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF f J W ftApirA i e COUNTY OF Q c..0 k.i 431\OM I, t'k i k:N% €I 13il•eic. , having been first duly sworn,state and affirm: I am a resident of 1&e;c.Ki 41 I A t'- County, N o4 gboo L Iee (State)and have resided here for more than five(5) years. During the last five years I have known b41u i ci L A) (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. A k/2 Signature Pi rAA61 soak Name ;25' P .ksm6 ftvE* G0E61-4aA mi. Address (b3 -- s ri—9) 3cj Telephone --t , The foregoing instrument as acknowledged before me this '3 6,0,k{ 1\(1,'Fa\ 2G-Re) (Date) by EV"fk ��Y(L'k \ ALi\V',( who has produced`-' \ 6 j-i\JE r` \'t C_-e_w,,e (name of person acknowledging) (type of identification) as identification aOittWdt4l}ce an oath. 14 4 '--- i . \ NOTARY'S St 'g'�A47.C � �� ' I cow y `\ cti c-t A mks E (S N -E OF NOTARY) %y !yAM�pg�:.• \\,�,t State of Maine ., , DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION n,,' '. OFFICE OF PROFESSIONAL AND OCCUPATIONAL REGULATION f iI. PLUMBERS EXAMINING BOARD "ja License Number MS6004 Be it known that DAVID H. LINSCOTT has qualified as required by Title 32 MRSA Chapter 000049 and is licensed as: MASTER PLUMBER ISSUE DATE EXPIRATION DATE May 1,2014 Commissioner ApriI30,2016 X Detach STATE OF MAINE STATE OF MAINE DEPARTMENT OF PROFESSIONAL.AND FINANCIAL ZEGT TLON DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION 14° z PLUMBERS R PROFESSIONAL AND OCCUPATIONAL REGULATLON 35 State House Station n; w� PLUMBERS EXAMINING BOARD 4 Augusta,Maine 04333.0035 (207)0248603 License Number M$6004 DAVID H.LINSCOTT MASTER PLUMBER Ii ,,i _ ! . 41141L# Commissioner ISSUED 05/01/2014 EXPIRES 04/30/2016 State of Maine o. Department of the Secretary of State I, the Secretary of State of Maine, certify that according to the provisions of the Constitution and Laws of the State of Maine, the Department of the Secretary of State is the legal custodian of the Great Seal of the State of Maine which is hereunto affixed and of the reports of organization, amendment and dissolution of corporations and annual reports filed by the same. I further certify that SCHOOLHOUSE PLUMBING, INC. is a duly organized business corporation under the laws of the State of Maine and that the date of incorporation is September 20, 2007. I further certify that on: September 20,2007 ARTICLES OF INCORPORATION weref?led. No further amendments have been filed to date. I further certify that said business corporation has filed annual reports due to this Department, and that no action is now pending by or on behalf of the State of Maine to forfeit the charter and that according to the records in the Department of the Secretary of State,said corporation is a legally existing business corporation in good standing under the laws of the State of Maine at the present time. In testimony whereof, I have caused the Great Seal of the State of Maine to be hereunto affixed. Given under my hand at Augusta,Maine,this first ` '' v, day of March 2016. 5.-41, A.r fr ik . ffi'r,',13,-' . ' 0/ Vlid‘'I. '', Matthew Dunlap Secretary of State Authentication:4748-435 -1 - Tue Mar 01 2016 08:55:50 iiiL 11:111/311101= 1131_1111-13114 ra UTvIL 13 C.'La N Ean.ao..ntaln RoaO.14e3 fl n.v{o4.MG•.12079/ao a 2213 To: GMD Operations and Regulatory Management Licensing Section 2800 North Horseshoe Drive Naples,FL 34104 To Who it may concern, I have known David Linscott for over 50 years having grown up together in the same neighborhood.Additionally, I have worked regularly with him in the trades for some 25 years. As a general contractor, I regularly hire him as my plumbing and heating subcontractor.These jobs typically range from basic remodeling to new construction including plumbing, heating and gas piping. David has always been my first choice when it comes to recommending someone to my customers for troubleshooting and repairs. I would highly recommend David as he as always shown the ability to handle all aspects of the plumbing trade as well as providing a professional and trustworthy relationship with customers. Thank you, ���������/ •. . . Mark A.Adams Mark A.Adams Building and Remodeling f•: a' • ' (z..)4$ ack.-2v it (e 124 3: ;: S'//O/ ' ' Gy Doreen M.Dearborn =• ; -24( k if 4-c(a,i S. Notary Public,Maine Commission Expires March 22,2020 �az ee - Eka bow, NH Bus#342289 jesco Construction, LLC. Fully Insured To whom it may concern Dave Linscott of Schoolhouse Plumbing Inc. has done our plumbing, hetating and gas work for our company for almost 13 years in both small repair jobs to large commercial jobs and everything in between. He has been a great help for both the growth of our company and also to help our reputation for providing both friendly service at a fair price and also a timely response when service is needed. Dave's character and integrity has been an asset to our company. Over the years Dave has become a trusted business associate as well as a close personal friend. Je r4y S Coburn proprietor Jesco Construction LIC att6. Acuo . pis ` a OQil+/ o f at* r Che )00r901 11).41\rr2er7 -c &d ..ow 1e_cleco 62 Care. n- Mis too Os .., .f � 201 {o s,C' L rn c.ok Acs prOciuced M LCICrINAPJA671 aoACO% rtJ Ig 1 11-0 I 4 q'R'Y 1Q1—"wifitt �``��,. Office:7 Baron Road Jeff Coburn Mailing:PO Box 870 Hampton,NH 03842 603235.0669 Durham,NH 03824 jescoconstruction@gmail.com Bunker Electric LLC Generator Sales and Service 25 Portsmouth Ave Greenland, NH 03840 603-436-9156 March 1st 2016 To whom it may concern, My Name is Michael Bunker I am the owner of Bunker Electric LLC I have been in business as an Electrical Contractor for over 20 years and I have known David Linscott for over 20 years in the field of Plumbing/ heating, gas piping. When we are doing any jobs that are in need of any plumbing issues we always use David Linscott. He is well known for his work of the trade with great Integrity and good character knowledgeable in New and Repairs of his Trade. If you need any further information on this, please feel free to contact me. Thank You Mike Bunker 603-817-8139 Bunker Electric LLC Owner E` Cl \ Ct Wk ,_ cc, `�°V l.lc� J f^ � � 4F l q ;h S 4° �`` 1 ii'r ' •. r. ( 1 "tet !k (f� • Neike(obun�;eietecflI<:nh.col ) � 3 ,Z �> t7, W; Linda@bunkerelectricnh.com LI`eid<( t ' ).), fsj`G,\`.� GNID Operations & Regulatory Management Licensing Section 2800 North Horseshoe Drive Naples, FL 34104 MEMORANDUM Date: February 17,2015 To: Applicant's for Certificate of Competency From: Michael Ossorio, Contracting Licensing Supervisor Subject: Collection of social security numbers. Pursuant to Chapter 1-19, 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 1-19, Florida Statutes. 886110``Ave. N.Suite 116,Naples,FL 34108 � `4, r ��� Phone: 239.777.1028 , �, Fax: 877.275.3593 www.LicensesEtc.com BUSINESS CREDIT REPORT as of: 05/26/16 15:14 ET Schoolhouse Plumbing, Inc. Fed Tax ID#26-1218354 Address: 24 Manson Rd SIC Code: 1751-Carpentry Work Kittery, ME 03904-2513 United States 1711-Plumbing, Heating &A/C Contractors NAICS Code: 238130-Framing Experian BIN: 824765579 Contractors 238220-Plumbing, Heating, And Air- Conditioning Contractors Business Type: Corporation Experian Fite October 2006 Established: Experlan Years on File: 10 Years Years In Business: More than 10 Years Total Employees: 2 Sales: $158,000 Page 1 of 2 Public Records PUBLIC RECORDS HAVE BEEN SEARCHED AT THE COUNTY, STATE AND FEDERAL LEVELS, V Bankruptcies: 0 VLiens: 0 'Judgments Filed: 0 Collections: 0 END OF REPORT Page 2 of 2 886 110th Ave.N.Suite#6,Naples,FL 34108 Ok ''4::'''''41-1311:' - ''' F;44:1` ;.::,i ' '4'4-4 to Fi `, Phone:239.777.1028 4, 4,, .v fi, y% d- ki . Fax 877.275.3593 www,_Lice,nseeshtC,com PERSONAL CREDIT REPORT(Complied From National Records) <FOR> <SUB NAME> <MKT SUB> <INFILE> <DATE> <TIME> (I) P NP7771028 LICENSES ETC 14 MM 10/79 05/26/16 14:10CT <SUBJECT> <SSN> < <CURRENT ADDRESS> <DATE RPTD> 24 MANSON RD. , KITTERY ME. 03904 5/01 <FORMER ADDRESS> 78 HIGH ST. , #3. NORTH BERWICK ME. 03906 12/12 56 PINE ST. , PORTSMOUTH NH. 03801 2/99 <POSITION> <CURRENT EMPLOYER AND ADDRESS> <VERF> <RPTD> SCHOOLHOUSE PLUMBING INC OWNER 6/13 7/13 <FORMER EMPLOYER AND ADDRESS> ANDOVER COATED PRODUCTS ENGINEERING SERVICES M 12/04 MODEL PROFILE ***FICO SCORE$SCORE+528 SERIOUS DELINQUENCY, AND PUBLIC RECORD OR ***COLLECTION FILED; NUMBER OF ACCOUNTS WITH DELINQUENCY; TIME SINCE ***DELINQUENCY IS TOO RECENT OR UNKNOWN; PROPORTION OF BALANCES TO CREDIT ***LIMITS IS TOO HIGH ON BANK REVOLVING OR OTHER REVOLVING ACCOUNTS *** PUBLIC RECORDS HAVE BEEN SEARCHED AT THE COUNTY,STATE.AND FEDERAL LEVELS:NONE FOUND COLLECTIONS SUBNAME SUBCODE ECOA OPENED CLOSED $PLACED CREDITOR MOP ACCOUNT# VERIFIED BALANCE REMARKS CREDIT COLL Y 1GZD002 I 12/15 $1668 10 UNITIL ENERGY S 09B 2/16A $1668 PLACED FOR COLLECTIO TRADES SUBNAME SUBCODE OPENED HIGHCRED TERMS MAXDELQ PAYPAT 1-12 MOP ACCOUNT# VERFIED CREDLIM PASTDUE AMT-MOP PAYPAT 13-24 ECOA COLLATRL/LOANTYPE CLSD/PD BALANCE REMARKS MO 30/60/90 CAP ONE NA B 1DTV003 7/08 $2700 R09 5/16A $2600 $2369 I CREDIT CARD 4/16F $2369 CLOSD BY CRDT GRANTOR 1 0/ 0/ 0 SYNCS/WLMRTD B 235060N 7/08 $3826 R09 5/16A $4000 $1154 I CREDIT CARD 12/15F $5369 UNPAID BLNC CHRGD OFF 56 1/ 1/ 4 SYNCB/LOW L 235041J 7/12 $2559 R09 4/16A $5000 $859 I CHARGE ACCOUNT 11/15F $3246 UNPAID BLNC CHRGD OFF 45 1/ 1/ 4 Page 1 of 3 CAP ONE NA B 1DTV003 7/08 $2700 MIN68 1/16 543211112111 R05 2/16A $2600 $476 $409 05 111111111111 I CREDIT CARD $2325 82 3/ 2/ 2 BRCLYSBANKDE B 1ZZB001 12/13 $2441 M1N58 1 R02 5/16A $1100 $90 I FLEXIBLE SPENDING $1010 1 0/ 0/ 0 DITECH F 1190001 2/02 $95.OK 360M1103 12/15 213111111111 M02 3/16A $1942 $2207 03 111111111111 I CONVENTIONAL REAL $52. 7K 35 1/ 1/ 0 BBY/CBNA H 292F014 3/15 $946 111111111111 RO1 5/16A $1000 $0 1 I CHARGE ACCOUNT 6/15P $0 13 0/ 0/ 0 THD/CBNA B 26H3005 3/12 $4750 MIN122 111111111111 RO1 5/16A $4800 $0 111111111111 I CHARGE ACCOUNT $4368 49 0/ 0/ 0 SYNCB/WLMRTD B 235060N 7/08 $2543 111111111111 RO1 5/16A $1600 $0 111111111111 I CREDIT CARD 7/13C $0 CRDT CARD LOST/STOLEN 82 1/ 0/ 0 HNTINGTN NTL B 814D018 6/13 $26. 6K 60M506 11/15 121232111112 I01 4/16A $0 $1013 03 211211111111 I AUTOMOBILE $12. 5K 33 6/ 1/ 0 SYNCB/ULTRAD J 9992581 4/07 $254 111111111111 RO1 4/16A $500 $0 111111111111 I CHARGE ACCOUNT 9/08C $0 CLOSD BY CRDT GRANTOR 82 0/ 0/ 0 DSNB MACYS D 2A5T001 12/10 $302 5/11 1111XXX11111 RO1 4/16A $100 $0 $24 03 111111111111 I CHARGE ACCOUNT 5/11C $0 ACCT CLSD BY CONSUMER 64 1/ 1/ 0 AMEX B 21WBOO1 12/87 $2441 RO1 4/16A $1100 $0 I CREDIT CARD 3/16C $0 PURCH BY OTHER LENDER 27 0/ 0/ 0 ARRONRNTS H 2BP1001 11/13 $1080 24M45 I01 11/15A $0 I LEASE 11/15C $0 CLOSED ARRONRNTS H 2BP1001 11/13 $2280 24M95 101 11/15A $0 I LEASE 11/15C $0 CLOSED ARRONRNTS H 2BP1001 11/13 $2649 24M110 I01 11/15A $0 I LEASE 11/15C $0 CLOSED ARRONRNTS H 2BP1001 3/14 $665 12M55 I01 3/15A $0 I LEASE 3/15C $0 CLOSED OCWEN/GMAC F 2672002 2/02 $95.OK 360M1105 111111121111 M01 Page 2 of 3 2/13A $0 112111112111 I CONVENTIONAL REAL 2/13C $0 TRNSFRD: OTHER LENDER 82 5/ 0/ 0 RSHK/CBNA H 1265004 4/06 $0 111111111111 R01 1/13A $300 $0 111111111111 I CHARGE ACCOUNT 4/08C $0 CLOSD BY CRDT GRANTOR 81 0/ 0/ 0 TD BANK N.A. B 708P001 7/06 $17.7K 60M360 111111211111 101 12/10A $0 111111111111 I AUTOMOBILE 12/10C $0 CLOSED 53 1/ 0/ 0 OCWEN/GMAC B 2672029 4/02 $42 .9K 111111111111 CO1 9/07A $43.OK $0 111111111111 1 HOME EQUITY LOAN 9/07C $0 ACCT CLSD BY CONSUMER 59 0/ 0/ 0 INQUIRIES DATE SUBCODE SUBNAME TYPE AMOUNT 5/26/16 PNP7771028 (FLA) LICENSES ETC END OF REPORT Page 3 of 3 } -. State of Maine Department of Professional and Financial Regulation OFFICE OF PROFESSIONAL AND OCCUPATIONAL ?r' REGULATION Paul R.LePage PLUMBERS EXAMINING BOARD Anne L.Head GOVERNOR 35 STATE HOUSE STATION COMMISSIONER AUGUSTA, ME 04333-0035 March 01, 2016 Page 1 of 1 The PLUMBERS EXAMINING BOARD hereby certifies that a standard search of the available records of this office indicates the following: NAME: DAVID H. LINSCOTT 24 MANSON RD KITTERY, ME 03904-2513 LICENSE NUMBER: MS6004 TYPE OF LICENSE: MASTER PLUMBER LICENSED BY: EXAMINATION LICENSE STATUS: Active EXPIRATION DATE: 04/30/2016 HISTORY START DATE END DATE MASTER PLUMBER 04/19/2006 04/30/2016 ***NOT ACTIVE*** 03/01/1998 04/18/2006 PRIOR HISTORY UNAVAILABLE EXAMS DATE RESULT Master 03/30/2006 PASSED DISCIPLINARY ACTION: Has there been any disciplinary action(s) taken against this person? NO ❑ YES If yes, ai copy of the Consent Agreement or Decision and Order is attached. / , Office of Prgfs�st"onal an ccu ational Regulation DATE The Office of Professional and Occupational Regulation presents licensee information as a service to the public. Although the Office believes the information to be reliable,we do not certify the accuracy of the posted Information. In addition,there may be a delay in posting and updating information. The information may not show a complete license history. Licensing history prior to 01101/2000 is unavailable. An active license may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions. in order to expedite this certification,the above format is the standard format of information available through this Board. If you require further information,you may reach the Board at the address listed on this form or by going to our website at yuww.m aine,gov/prole ssionail icens ing. The Department of Professional and Financial Regulation is providing information about this licensee as a public service. Despite efforts to be accurate,this information may contain errors.We present this information to you with a good-faith representation that it is generally reliable. If you need further information,contact us directly. This report was generated by ALMS. Copyright 0 2006 Sauper Associates,Inc., All rights reserved. Detail by Entity Name Page 1 of 2 FLORIDA DEPARTMENT .` }3AF v3}{ ,�,Y f rot yc OF S'I'ATR � '��r DIVISION Qr`CORPORi IONS Detail by Entity Name Foreign Profit Corporation SCHOOLHOUSE PLUMBING, INC. Filing Information Document Number F16000002420 FEIIEIN Number 26-1218354 Date Filed 05/26/2016 State ME Status ACTIVE Principal Address 132 MARCO VILLAS SOUTH MARCO ISLAND, FL 34145 Mailing Address 132 MARCO VILLAS SOUTH MARCO ISLAND, FL 34145 Registered Agent Name& Address LINSCOTT, DAVID 132 MARCO VILLAS SOUTH MARCO ISLAND, FL 34145 Officer/Director Detail Name&Address Title P LINSCOTT, DAVID 132 MARCO VILLAS SOUTH MARCO ISLAND, FL 34145 Annual Reports No Annual Reports Flied Document Images 05/26/2016-- Foreign Profit I View image in PDF format httn•//cParch.RI mbiz.org/Inauirv/CorporationSeareh/SearchResultDetail?inquirytype=Entity... 6/3/2016 Detail by Entity Name Page 2 of 2 convrinht ,,t1 and Privaat Go!Ides I State of ftorida,Department of State http;//Search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 6/3/2016 850-6.17--6381 5/•L7/ZOlt3 1U: 1 : G`.3- Am PAut 1/uW:3 rax ctirvtfr • fm.DV•. . igyi 4Vr• • /©V.DX/� • r • C•,.cit7 ®D/� DVCDVC• • .(.1--„,y.' ;by •�.C. . •• •<• , hf h, 4, 1f h1 A ?nhr \1 h�.n colt ►J .X <T '..i.Ati,.t FnRlnhlnhnf AV. ,/ 0 \ ) ICCI f Tr - -- Asp 114 1. / D'C .. v`• h :7 ly V lba S _ M/r� •ri -Io� apt,. e ISPVitrtilttt t of tats- , , . 0. ); VC ,, C I certify from the records of this office that SCHOOLHOUSE PLUMBING, INC. , is a corporation organized under the laws of Maine, authorized to transact '' „A% business in the State of Florida, qualified on May 26, 2016. els / AlThe document number of this corporation is F16000002420. 'r�vt r t > . I further certify that said corporation has paid all fees due this office int ,,Qj through December 31, 2016, and its status is active. tib . Ac 'nc "V.. I further certify that said corporation has not filed a Certificate of a• ' Withdrawal. Ha tI further certify that this is an electronically transmitted certificate pl ✓ authorized by section 15. 16, Florida Statutes, and' authenticated by the �Ve code, 016A00011251-052716-F16O0O0O242O-1/1, noted below. • < e ti r.4) ..0 0 Authentication Code: 016A00011251-052716-F16000002420-1/1 V R 4n • � ''V nR tin'. Y r 4V t '00 S41 \ ✓ N C rON Nt g' ' !it)% c , • r Given under my hand and the D. Great Seal of the State of Florida, �� { • • at Tallahassee, the Capital, this the tiV ';< . '.'; ... ' Twenty-seventh day of May, 2016 1) 4.!- V.3".''A •9 ti i :--t`.r7w.r.„---sG 1 ! a. h � k`i . I . �� �:,0 % r fob ivy..... ern AVIIA% et� ;� *weary of &tate ti • / ). 0s fiti �. r 1\t 1 /4 t?. f 4 s r KL 74:4Was.kt i t+k k 4 r1J , h/ Rpm% f /AN it, A 1[,ti1 / 1 '` / ti File No 20080423 D Pages 2 DOMESTIC Fee Paid $ 145 BUSINESS CORPORATION DON 2Q72681400050 ARTI STATE OF MAINE Q9/20/2007 ARTICLES OF INCORPORATION —.--- - --._ -- _-- --- _ .._ -- C2(Mark bot only if appitcab1eh ❑ This is a professional corporation" formed eputy Secretary of State pursuant to 13 MRSA Chapter 22-A to provide the following professional services: A True Copy When Attested By Signature �.> tteputy Secretary o ate {tom of profess+«ul services) `_ Pursuant to t 1-C MRSA §2(t2,the undersigned executes and delivers the following Articles of Incorporation FIRST: The name of the corporation is SCHOOLHOUSE PLUMBING,INC. SECOND: me name of its initial Clerk, who must be a Maine resident,and the address of the untie registered office shall be Lynn A.Keisker tnamC) 74 State Road,Kittery,Maine 03904.0030 tpitysuai location,note 0 Box-street,city,state and alp code) Post Office Box 30,Kittery,Maine 039040030 imading address if different from above) THIRD: ("X"one box only) ® There shall be only one class of shares The number of authorized shares is 3 000 (Optional)Name of class Q There shall be two or more classes or series of shares The information required by 13-C MRSA §(I01 concerning each such class and series is set forth in Exhibit attached hereto and made a part hereof FOURTH: ("X"one box only) ® The cosporauon will have a board of directors ❑ There will be no directors;the business of the Corporation will be managed by shareholders (l3-C MRSA §743) FIFTH: (For corporations with directors,each of the following provisions is optional- "X"only if applicable) The number of directors is limited as follows not fewer than 1 nor more than 5 directors (13-C MRSA§803) To the fullest extent permitted by 13-C MRSA §202 2 1), a director shall have no liability to the Corporation or its shareholders for money damages for an action taken or a failure to take an action as a director. ® Except as otherwise specified by contract or in its bylaws, the Corporation shall in all cases provide indemnification (including advances of expenses) to its directors and officers to the fullest extent permitted by law (13 C MRSA §§202, 857 and 859) FORM NO MBCA-6(1 of 2) 6R'T �Cz DEPARTMENT OF THE TREASURY .�011`4-'INTERNAL REVENUE SERVICE ,-- CINCINNATI OH 45999-0023 — Date of this notice: 10-11-2007 Employer Identification Number: 26-1218354 Form: 88-4 Number of this notice: CP 575 A SCHOOLHOUSE PLUMBING INC 24 MANSON RD For assistance you may call us at: KITTERY, ME 03904 1-800-829-4933 IF YOU WRITE, ATTACH THE STUB AT THE END OF THIS NOTICE. WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER Thank you for applying for an Employer Identification Number (EIN) . We assigned you EIN 26-1218354. This SIN will identify your business account, tax returns, and documents, even if you have no employees. Please keep this notice in your permanent records. When filing tax documents, please use the label we provided. If this isn't possible, it is very important that you use your EIN and complete name and address exactly as shown above on all federal tax forms, payments, and related correspondence. Any variation may cause a delay in processing, result in incorrect information in your account, or even cause you to be assigned more than one ETN. If this information isn't correct as shown above, please correct it using the tear off stub from this notice and return it to us so we can correct your account. Based on the information from you or your representative, you must file the following form(s) by the date(s) shown. Form 941 01/31/2008 Form 940 01/31/2008 Form 1120 03/15/2008 If you have questions about the form(s) or the due date(a) shown, you can call or write to us at the phone number or address at the top of this notice. If you need help in determining what your tax year is, see Publication 538, Accounting Periods and Methods, available at your local IRS office or you can download this publication from our website at www.irs.gov. We assigned you a tax classification based on information obtained from you or your representative. it is not a legal determination of your tax classification, and is not binding on the IRS. If you want a legal determination on your tax classification, you may request a private letter ruling from the IRS under the guidelines in Revenue Procedure 2004-1,2004-1 I.R.S. 1 (or superseding Revenue Procedure for the year at issue.) SCHOPLU-01 MHUTCHINS A C-GOR E> CERTIFICATE OF LIABILITY INSURANCE DATE(MAWD/YYYY) 3/24/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACTNAME: Norton Insurance Agency PHONE (207 829-3450 FAX 207 629.6350 275 US Route 1 E.MAt7o,E«0: ) lac,No): ( ) Cumberland Foreside,ME 04110 A�DMDRLESS: INSURER(S)AFFORDING COVERAGE NA1C f INSURER A:Liberty Mutual Ins.Co. INSURED INSURER B: _ Schoolhouse Plumbing,Inc INSURER C: 24 Manson Rd INSURER 0: Kittery,ME 03904 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 REDUCEDpp �� BY PAID CLAIMS.Ly MR TYPE OF INSURANCE 1DDL SUBR USD WVD POLICY NUMBER (MMlDDJYVYY) AC/EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE r 1 OCCUR CBP8544328 11/01/2016 1110i/2016 PREMI E ToEaocaxrence)RENTED $ 100,000 PREb11SE8( , MED EXP(My one Person) $ 5,000 PERSONALS ADV INJURY $ 1,000,000 GE 'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 PRO- POLICY T LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea acedent) A ANY AUTO BA8620227 03/18/2015 03/18/2016 BODILY INJURY(Per person) $ ALL OWNED r 'SCHEDULED — BODILY INJURY(Per accident) $ AUTOS AUTOS X NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS $ S UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS MADE AGGREGATE $ DED RETENTIONS S _ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N STAATUTE ER ANY PROPRIETORIPARTNER/EXECUTIVE iN/A E.L EACH ACCIDENT $ OFFICERMEIJBER EXCLUDED? (Mandatory in NH) E.L DISEASE-EA EMPLOYEE $ If es,describe under beknv E.L DISEASE-POLICY LIMIT $ DESCRIPTION OF DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Addiitonal Remarks Schedule,may ba attached if more space Is required) Coverage valid In Florida CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Collier County Contractor Licensing Board ACCORDANCE WITH THE POLICY PROVISIONS. 2800 North Horseshoe Drive Naples,FL 34104 AUTHORIZED �REPRESENTATIVE L I ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD ..... ..........:... ..... City of Marco Island 50 Bald Eagle Drive Marco island, A. FL 34145 (239)389-5000 t , .l ., ::, 89- 00 x` ---': NEW Fax (239)393-0266 1 Home Occupation `' R ,$�r�' Compliance Letter of Zoning Mailing Address: David Linscott SCHOOLHOUSE PLUMING 132 Marco Marco Island, FL 34145 ,_— 0110712016 issue Date 0110512017 HOC-16-000034 Expiration Date Certificate Number Applicant David Linscott 6039695680 Phone Name SCHOOLHOUSE PLUMIN Business G1 Type of Business Mailing Address 132 as Marco 1 Islandarco , FL 34145 Address 132 Marcoills 34145 Property d Marco Island, Approval: ! 1201 Date Daisy Martinez 1113 ,, ' Notes I Restrictions Article Ill, Section 30-405. t must comply with City of Marco Island Ordinanc Appiican INVOICE .....,�..M�_.._..���..��.�.,�... .._.�.�,�....-.�.w,�.�.�.��.�.,�.._..�.,.,�. City of Marco Island Attn: Building Services Division 50 Bald Eagle Drive Marco Island FL 34145 (239)389-5000 TO: David Linscott 132 Marco Villas Marco Island, FL 34145 INVOICE NUMBER INVOICE DATE INVOICE STATUS INVOICE DESCRIPTION 16-0000048 01/06/2016 Paid In Full NONE REFERENCE NUMBER DESCRIPTION TOTAL HOC-16-000034 P&Z-Home Occupation New $60.00 SUB TOTAL $60.00 TOTAL $60.00 Page 1 of 1 January 07,2016 At i f .yf f I .', f� - �6�.' a St X^Y` i -,y -: o- f 7 j4 ' : w j ..,,,5ii,.... tf r b .. .z -,4 : Y t1- j , r•S' • ,°,4 ,,;;',.<,',,,I.-:,,,t,1:� A "t , 'I... ry t r N3i S f 4 A •�t,>1•f rte; aw G 1r r COLLIER COUNTY BUSINESS TAX RECEIPT fOF�Ny O� APPLICATION T _Y y� soJi i_4 likf 2800 N.Horseshoe Drive,Naples,FL 34104 # Make Check Payable to: Collier County Tax Collector Phone:239-252-2477 Fax:239-643-4788 Website:www.colliertas.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.(239-2I3-1800) 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 239-252-8I45 Restaurants(850-487-1395)or Department of Agriculture. regarding tangible tax. (800-435-7352) CH1 CK ONE: Date: v Original Application Classification Transfer of License# Code Number - - _ Renewal of License# !! License Amount 1) CORPORATE NAME- cc LUU(F.(, . `. P I v wt 6;1..03 , -TN C I a) DBA NAME- lb) BUSINESS OWNER OR QUALIFIER'S NAME- p 1) lr /tv5 to 4 f- n 2) PHYSICAL ADDRESS- I 3Z f'htt.-C-U Vii GS L, +tt /lance '�k J h—kr (No P.O.Box allowed) 2a) IS RESIDENCE USED AS AN OFFICE- ✓ Yes No V,t i",f,0 -fixla dj 3) BUSINESS MAILING ADDRESS- 13 2 N-tri rtd VII'it k s SGV4-V., • 1-- Street -Street City Zip 4) OWNER OR QUALIFIER'S RESIDENTIAL ADDRESS- 131 h'+u.vty V1 (las SVv l i MT r (v 5) TELEPHONE-Business: 6 03 — '1(A ' S(o 50 Home: (Q U 3 - '1 (0 5 —5(0 4 0 6) LEGAL FORM OF BUSINESS: Sole Proprietorship Partnership VCorporation LLC LLP 7) OPENING DATE OF BUSINESS OR DATE ASSUMED- 5 e-V4- 121 Lor7 8) OFFICE WITHIN CITY LIMITS OF NAPLES-_Yes i, No If Yes,City License No. 9) SOCIAL SECURITY NO. or FEDERAL EMPLOYER IDENTIFICATION NO. 2-. {0 — I7-19354 *see back of application for explanation 9a) TYPE OF BUSINESS CONDUCTED: 1)( u W1 h r 10) NUMBER OF EMPLOYEES-Including number of owner 3".. 11) FILL IN THE APPROPRIATE AREAS- a)Rental units(motel/hotel/apts.)Number of units: b)Seating Capacity(rest./cafes,etc)Number of seats: c)Number of coin-operated machines owned by business or individual: 12) STATE LICENSE OR CERTIFICATION NUMBER- Must have photo copy of state license if state licensed and certified UNDER PENALTIES OF PERJURY,I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRIJE 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"*" I :aha 4.11 alitiaLialf )711/4 itI" 1 bio I asEd an,� ft`85Hag r-+ IA [u iagpouy oa. ssaulsng au0 uloid ( ) �.uatualvisula� ( - 1 SVH asNaon'I SIH :salylS 3O LONVHD A. , / riyr i' II. - "' w # i— :apt.i 1to ieads 00'SOZ$ Alle!oads ,/" 00'0£Z$ Su!}ood 00'0£Z$ pod Su!ww!MMS 00'0£Z$ !eo!uegJaL 00'0£Z$ aauo!}!puo0 a!V 00'0£Z$ !e!}uap!sad OO'O£Z$ aagwn!d 00'0£Z$ Su!pi!n8 00'0£Z$ ue!o!JPa13 00'0£Z$ !eaauag : SNADYI IO Ad/ I, 4)7,„•,,,--ivf ,iz,,,,,.,0 ?__, r :ffew-g ..,.C9 -6)6?9—b —z. :auottclatai J) (apoD dry) ( }FIs) (KID) (pails ag 1aquxnJ i S a � n '�ia 11 �,, :ssa.zPpy sullleY�I /J '7i' S 11 -y c1g J p (ap0D d?Z) (° s) (13!x) 0..4s a8 iagwn,) �,h L -7_.j s?J�bp 3 c/g .A,-0( Lac1 °I ) j is...., :ssazppy jvols1C4d 0 4 b-,0o -v rev,r :auiPN.za'JtlenO :NTH('/OMEN uphold 'DW ) / c_.9." ‘,1,--435 .,v oLt, NO�!.-L) :aLu ssau!sng/aieiodLo0 louxg / :ANIV dWOD AO [IAIVNI • •papuaun su `SOI-06 'ON aouEutp.10 A1uno3 1aljjo3 usuoo `uot2l?uuoluj iaga.InJ Jod •siauoIssn_umoD iunoD Jo piuog kluno0 .zatit03 :off ajgeiCed apeul aq pjnogs qoago jly 'ajqupunJaJ fou Si puu lenoidde uodn pied aq lsnul aa3 uogeotlddr aqj •palulad iCjggal Jo uaUiJm3dF1 aq lsnuz uoiTEoTidde sjgi :SKOLLI111ISAII WULI ODIIVY\\ JO A.LIJ/SThIVM JO XII3/AINIIOD 2IIITIOO 'dOd NOI INDFIddy UNIOrli a -- _l,� t�Olb£ 'I3 sal 1 nl�IAWVIEFFF1 (-' a Apia aogsasaoH qpaol\I 0082 ,--- — - -- -- — — _---1 - - 1 uo„ tutsua!Z I 3uaulatuueyAT Caowintag a,y suoguladO QyAIO I I X.1_141-1.0 -.4-?,,,A11.0 91.0Z 1. i end N 8 LOZ'LZ"ldas saJldx3 uo!sslwwoO, f7J0 Z aRud 989L9L�d#uoissiwwo3 epuold to aims-oggnd tieloN (UNION dO 101 y )4 f1S N V1 ON`d 'IV3S S cAlIV.I.ON (uotluoguuapl jo odic') •uluo uu aNul lou pm puu uotluogguapt _ --� 1 A paonpozd suu aq aH (uotluzod_1o3 Jo could zo aluls) •uotluzodzoo all do.Ilulaq uo uotlu.odzoD NO 1.7\_ Cly4 u (uoiluzodaoD Jo curer (Tuaay,' ij `zaogjO jo atuul�l) '.--) ',I /5---,,--) ,,,,n _y-0.6 ,14_,N4Asoss\N.,...0.4...Nta Jo kl-vt...,-a Dc(-: (aluu) } —l 1,... 2 snl ata azooaq paSpalmouNou su luau nzlsui 2uio2azoj aqj turt,d all jo zao s A-zuoglny ,,,..�' lir •an.p are 11 III paluls slow all lull puu uoiluotlddu 2u1o2azo3 all puaz anal I lull amioap I iznfzad jo satlluuad all Japan 1IAV QI3AV bi/I{ " •papaau.I1 saud u.zlxa lolly •dud of Tusnjaz all zoJ suosuaz all puu dud of pasha.nog(lull not IIIM paluloossu (s)fueduzoo /(uu zo noX slgap TIu 1svT •£ kiA4 •papaau.Ii scald uzlxa golly •(zaulzud u uaaq zo zoj asuaoq u mat.'•a•i) sivaX ual lsuT all 2ulunp uqm palutoossu uaag anal noX sassautsnq 2utlouzluoa JO satlllua 'swig `sassaulsnq Tiu 1s11 Z Ss 0,)-(7 -Y)31-6' ochiI.-20Q c3.., ....,Sbco-C.Z 8 -,-tx—; SSCP?Vn li5 04-4r4=,-)0 a Qc (f 0 -wild all jo szaquzaT,12upSuuuJ,\yszaogJ0 IIu 3o szaquznu auogd puu ssazppu autol`so m`sawuu aq.L '1 tipo£ J a ?1-0) ) Li I Q(-)2 •apew si uogeoiidde alp uoium.ioj"CAM auk uT peq aneii not 2uTuiez. ieuzuoj fue Jo JuauzaMS 'L •szeaf 1sei aouapadxa xzom Jo ssautsnq inof Esq '9 V 1 y .frim suoseaa pue fed iesnjaz app.ioj suosea.z alp pue fed pasnpai not help not q Im paTeioosse (s)fuuduzoo Aum io not slgap ire lsiq 'S 9 n/ i,foldnniueg pajj Jana qTM io paieosse uaaq aneci not uij /cue Jo not anHej7 (•uogareidxa gpinn par.'s aixa goenE`saiCE) Q paleia.i°Lupo e Jo paloinuoo uaaq Jana not aneH •£ },S Z -/C' � �z Wvp uLria och-vi ag_ (..)-19/ p •s}nogeaJagm roof mom! 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S3NI13OV211 HION31 ss32Jaav Sf1OIA32Id H10N31 OZLb£id 'S31dVN '3 aA18 31Ve N3a100 L L££ Ss32Jaav 1N32121f1O S1N30N3d30 sfllYls 1H1IdVW Boa #03S 00S 8Oa 6699 #339 30S INVOIlddV-O3 ONI `S301/V:13S 31A1OH NO2Jl`dd INVOIlddd INV011ddy-03 INV011ddV SS321a0v Al2I3dOdd 179000-91.0Z #'332J 17011E id `S31dVN 3dAl NVO1 017'09$ 33I2Jd 2Ja 30HS3S21OH N 009Z A8,ad2ld S3121011SOd32J Zt 0 L # '1SflO a2:1V08 ONIS!N3011 91.0Z/L 1/9 a3213a2Jo 31ya 21010VH1NO0 AINflOO H311100 Ol aN3s AINflOO 2J311100 A8.aoa 91-0Z/L L/8 a3131d1NO3 31W] #`dWN3 96ZZL17 #3113 esnods D lueollddy o :Jo3 puno3 spJooad olignd I.17141.-L99-1796 :Xed •sllnsaJ asayl yl!M spJooaJ allgnd;o>loago bulwano6 00171.-1,99-1796 :euogd sluawaJlnbeJ lenloeJluoa aouelldwoo saipeo neaJne 6upodaa 'K£££id `>IHVd GNV1)IVO `AVMHOIH 3IXIa HI JON £09£ 121Od32I 1Ia32IO 3113NI *au! 4S33[Ai' main .. r FILE# 472296 FNMA# DATE COMPLETED 8/11/2016 RQD'BY COLLIER COUNTY SEND TO COLLIER COUNTY CONTRACTOR DATE ORDERED 8/11/2016 LICENSING BOARD CUST. #1042 REPOSITORIES PRPD'BY 2800 N HORSESHOE DR PRICE $50.40 LOAN TYPE NAPLES, FL 34104 REF.# 2016-00054 PROPERTY ADDRESS APPLICANT CO-APPLICANT APPLICANT PATRON HOME SERVICES, INC CO-APPLICANT SOC SEC# DOB SOC SEC# DOB MARITAL STATUS DEPENDENTS DISCLAIMER EXPERIAN TRANSUNION EQUIFAX PO BOX 2002 PO BOX 1000 PO BOX 740256 ALLEN,TX 75013 CHESTER, PA 19016 ATLANTA, GA 30374 888-397-3742 800-888-4213 800-685-1111 www.experian.com/reportaccess transunion.com/myoptions www.equifax.com/fcra ***END OF REPORT 8/11/2016 10:26:50 AM*** ECOA KEY: B=BORROWER; C=CO-BORROWER;J=JOINT; U=UNDESIGNATED;A=AUTHORIZED USER;P=PARTICIPANT; S=CO-SIGNER CREDIT BUREAU SERVICES, INC.:3503 NORTH DIXIE HIGHWAY,OAKLAND PARK,FL 33334(P)954-561-1400(F)954-567-1441 The information is furnished in response to an inquiry for the purpose of evaluating credit risks.It has been obtained from sources deemed reliable,the accuracy of which this organization does not guarantee.The inquirer has agreed to indemnify that reporting bureau for any damage arising from misuse of this information,and this report is furnished in reliance upon that indemnity.It must be held in strict confidence and complies with the provisions of Public Law 91-508,the Fair Credit Reporting Act.Reporting bureau certifies that all Residential Mortgage Credit Reports meet the standards prescribed by FNMA,FHMC,FHA,VA and the Farmers Home Administration. Pacer')/1 r ureau ices, Inc. INFILE CREDIT REPORT 3503 NORTH DIXIE HIGHWAY, OAKLAND PARK, FL 33334 Reporting Bureau certifies compliance contractual requirements Phone: 954-561-1400 governing check of public records with these results. Fax: 954-567-1441 Public Records Found For: ❑ Applicant ❑ Spouse FILE# 472297 FNMA# DATE COMPLETED 8/11/2016 RQD'BY COLLIER COUNTY SEND TO *COLLIER COUNTY CONTRACTOR DATE ORDERED 8/11/2016 LICENSING BOARD CUST. #1042 REPOSITORIES TU PRPD'BY 2800 N HORSESHOE DR PRICE $23.50 LOAN TYPE NAPLES, FL 34104 REF.# 2016-00054 PROPERTY ADDRESS APPLICANT CO-APPLICANT APPLICANT DO CAMPO, JUAN CARLOS CO-APPLICANT SOC SEC# - DOB SOC SEC# DOB MARITAL STATUS DEPENDENTS CURRENT ADDRESS 3475 8TH AVE NE, NAPLES, FL 34120 LENGTH PREVIOUS ADDRESS LENGTH SCORE MODELS TRANSUNION/FICO CLASSIC (04)-JUAN C DOCAMPO-266835676 SCORE: 594 038-SERIOUS DELINQUENCY, AND PUBLIC RECORD OR COLLECTION FILED 013-TIME SINCE DELINQUENCY IS TOO RECENT OR UNKNOWN 018- NUMBER OF ACCOUNTS WITH DELINQUENCY 010-PROPORTION OF BALANCES TO CREDIT LIMITS IS TOO HIGH ON BANK REVOLVING OR OTHER REVOLVING ACCOUNTS FA- INQUIRIES IMPACTED THE CREDIT SCORE Request New Tradeline TRADELINES E yy DATE HIGH CREDIT BALANCE STATUS OPENED OR LIMIT C DATE PAST MO O CREDITOR30 60 90+ 0 S REPORTED DUE REV A DLA ACCT TYPE TERMS SOURCE J B ALLY FINCL 06/16 01/16 $26216 $24225 $0 05 0 0 0 11 673921495062 06/16 AUTO 72$412 TU B B CAPITAL ONE 07/16 01/16 $2000 $1879 $0 06 0 0 0 R1 517805876581 07/16 REV MIN $25 TU B B MARINR FINC 06/16 04/11 $1722 $1782 $1782 - - - 19 811800726412 04/11 INST 18$120 TU PROFIT AND LOSS WRITEOFF; SECURED B B SUNBELT CRDT 11/11 04/11 $1723 $1723 $50 - - - 19 17036 04/11 INST 18$120 TU PROFIT AND LOSS WRITEOFF; SECURED B B CAPITAL ONE 07/16 01/16 $1300 $1154 $0 05 0 0 0 R1 517805851571 06/16 REV MIN $30 TU ECOA KEY: B=BORROWER; C=CO-BORROWER;J=JOINT; U=UNDESIGNATED;A=AUTHORIZED USER; P=PARTICIPANT; S=CO-SIGNER CREDIT BUREAU SERVICES, INC.:3503 NORTH DIXIE HIGHWAY,OAKLAND PARK,FL 33334(P)954-561-1400(F)954-567-1441 The information is furnished in response to an inquiry for the purpose of evaluating credit risks.It has been obtained from sources deemed reliable,the accuracy of which this organization does not guarantee.The inquirer has agreed to indemnify that reporting bureau for any damage arising from misuse of this information,and this report is furnished in reliance upon that indemnity.It must be held in strict confidence and complies with the provisions of Public Law 91-508,the Fair Credit Reporting Act.Reporting bureau certifies that all Residential Mortgage Credit Reports meet the standards prescribed by FNMA,FHMC,FHA,VA and the Farmers Home Administration. PaaA 1/d r * FILE# 472297 FNMA# DATE COMPLETED 8/11/2016 RQD'BY COLLIER COUNTY SEND TO COLLIER COUNTY CONTRACTOR DATE ORDERED 8/11/2016 LICENSING BOARD CUST.#1042 REPOSITORIES TU PRPD'BY 2800 N HORSESHOE DR PRICE $23.50 LOAN TYPE NAPLES, FL 34104 REF.# 2016-00054 PROPERTY ADDRESS APPLICANT CO-APPLICANT APPLICANT DO CAMPO, JUAN CARLOS CO-APPLICANT SOC SEC# illair5676 DOB SOC SEC# DOB MARITAL STATUS DEPENDENTS TRADELINES E wDATE HIGH CREDIT BALANCE STATUS H OPENED OR LIMIT C 0 CREDITOR DATE PAST MO 30 60 90+ B REPORTED DUE REV S A E DLA ACCT TYPE TERMS SOURCE B B NTL CRDT SYS 05/12 01/12 $800 $800 $800 - - - 09 3106694 --/-- COLL - TU PLACED FOR COLLECTION; ORIGINAL CREDITOR: MARION COUNTY FIRE RESCUE ' B B ERC 10/14 12/13 $452 $452 $452 - - - 09 84304681 --/-- COLL - TU PLACED FOR COLLECTION; ORIGINAL CREDITOR: 11 SPRINT B B FST PREMIER 07/16 05/16 $700 $442 $0 02 0 0 0 R1 517800659666 06/16 REV MIN $31 TU B B DISCOVERBANK 07/16 06/16 $500 $383 $0 01 0 0 0 R1 601100419871 06/16 REV MIN $20 TU B B CELTIC/CONT 07/16 04/16 $500 $324 $0 02 0 0 0 R1 534636020435 06/16 REV MIN $35 TU B B CREDITONEBNK 07/16 12/15 $600 $298 $0 06 0 0 0 R1 444796230131 06/16 REV MIN $25 TU B B I C SYSTEM 07/16 09/11 $239 $281 $281 - - - 09 39539860001 --/-- COLL - TU PLACED FOR COLLECTION; ORIGINAL CREDITOR: 01 BANFIELD PET HOSPITAL B B FIRST SVG CC 07/16 03/16 $500 $102 $0 03 0 0 0 R1 543360100061 06/16 REV MIN $30 TU B B FSBBLAZE 07/16 03/16 $500 $102 $0 03 0 0 0 R1 518213010137 06/16 REV MIN $30 TU A B CITI 07/16 05/10 $10500 $99 $0 23 0 0 0 R1 542418058403 02/16 REV MIN $25 TU AUTHORIZED USER ECOA KEY: B=BORROWER; C=CO-BORROWER;J=JOINT; U=UNDESIGNATED;A=AUTHORIZED USER; P=PARTICIPANT;S=CO-SIGNER CREDIT BUREAU SERVICES, INC.:3503 NORTH DIXIE HIGHWAY,OAKLAND PARK, FL 33334(P)954-561-1400(F)954-567-1441 The information is furnished in response to an inquiry for the purpose of evaluating credit risks.It has been obtained from sources deemed reliable,the accuracy of which this organization does not guarantee.The inquirer has agreed to indemnify that reporting bureau for any damage arising from misuse of this information,and this report is furnished in reliance upon that indemnity.It must be held in strict confidence and complies with the provisions of Public Law 91-508,the Fair Credit Reporting Act.Reporting bureau certifies that all Residential Mortgage Credit Reports meet the standards prescribed by FNMA,FHMC,FHA,VA and the Farmers Home Administration. PAOP'1/4 I FILE# 472297 FNMA# DATE COMPLETED 8/11/2016 ROD'BY COLLIER COUNTY SEND TO COLLIER COUNTY CONTRACTOR DATE ORDERED 8/11/2016 LICENSING BOARD CUST.#1042 REPOSITORIES TU PRPD'BY 2800 N HORSESHOE DR PRICE $23.50 LOAN TYPE NAPLES, FL 34104 REF.# 2016-00054 PROPERTY ADDRESS APPLICANT CO-APPLICANT APPLICANT DO CAMPO, JUAN CARLOS CO-APPLICANT SOC SEC# - DOB SOC SEC# DOB MARITAL STATUS DEPENDENTS TRADELINES E w DATE HIGH CREDIT BALANCE STATUS H OPENED OR LIMIT C 0 CREDITOR DATE PAST MO 30 60 90+ O REPORTED DUE REV A S DLA ACCT TYPE TERMS SOURCE E B B BANKAMERICA 08/13 07/07 $115000 $0 $0 45 1 1 40 M5 171210236 05/11 MTG 456$0TU Late Dates: 7/13-120, 6/13-120, 5/13-120,4/13-120, 3/13-120, 2/13-120, 1/13-120, 12/12-120, 11/12-120, 10/12-120, 9/12-120, 8/12- 120,7/12-120, 6/12-120,5/12-120,4/12-120, 3/12-120, 2/12-120, 1/12-120, 12/11-120, 11/11-120, 10/11-120, 9/11-120, 8/11-120, 7/11-90, 6/11-90, 2/11-120, 1/11-120, 12/10-120, 11/10-120, 10/10-120,9/10-120, 8/10-120,7/10-120, 6/10-120, 5/10-120,4/10-120, 3/10-120, 2/10-90, 1/10-90, 12/09-60, 11/09-30 FORECLOSURE, COLLATERAL SOLD; CONVENTIONAL REAL ESTATE MORTGAGE; COLLATERAL: FRD458306967 100015700082792397 B B CAPITAL BANK 06/16 07/15 $200 $0 $0 11 0 0 0 R1 462192101055 06/16 REV $0 TU P B CHASE 07/07 06/05 $86130 $0 $0 19 0 0 0 M1 21525696 07/07 MTG 360$0 TU CLOSED; CONVENTIONAL REAL ESTATE MORTGAGE B B CRDT CTRL CO 03/11 02/11 $157 $0 $0 - - - 09 2110333180 --/-- COLL $0 TU_ PAID COLLECTION; ORIGINAL CREDITOR: 10 COX COMMUNICATIONS CENTRAL FL B B FNCC 07/16 03/16 $500 $0 $0 03 0 0 0 R1 423980103931 05/16 REV $0 TU B B FST PREMIER 10/08 07/04 $250 $0 $0 48 0 0 0 R1 517800732636 04/08 REV $0 TU. ACCOUNT CLOSED BY CONSUMER P B FLCU MTG 05/11 01/10 $2640 - - 15 1 0 0 12 33366601 03/11 INST 36$83 TU Late Dates: 5/11-30 PUBLIC RECORDS *** NONE*** INQUIRIES (LAST 90 DAYS) *** NONE*** REMARKS 0-THE REPORTING BUREAU CERTIFIES THAT: PUBLIC RECORDS HAVE BEEN CHECKED IN FEDERAL, STATE AND COUNTY RECORDS FOR TAX LIENS, JUDGMENTS, GARNISHMENTS, BANKRUPTCIES,AND OTHER LEGAL INFORMATION. INFORMATION HAS BEEN OBTAINED THROUGH THE USE OF A QUALIFIED PUBLIC RECORDS REPORTING SERVICE WITH THE RESULTS INDICATED HEREIN: NONE ECOA KEY: B=BORROWER;C=CO-BORROWER;J=JOINT; U=UNDESIGNATED;A=AUTHORIZED USER; P=PARTICIPANT;S=CO-SIGNER CREDIT BUREAU SERVICES, INC.:3503 NORTH DIXIE HIGHWAY,OAKLAND PARK, FL 33334(P)954-561-1400(F)954-567-1441 The information is furnished in response to an inquiry for the purpose of evaluating credit risks.It has been obtained from sources deemed reliable,the accuracy of which this organization does not guarantee.The inquirer has agreed to indemnify that reporting bureau for any damage arising from misuse of this information,and this report is furnished in reliance upon that indemnity.It must be held in strict confidence and complies with the provisions of Public Law 91-508,the Fair Credit Reporting Act.Reporting bureau certifies that all Residential Mortgage Credit Reports meet the standards prescribed by FNMA,FHMC,FHA,VA and the Farmers Home Administration. PAOP'i/d FILE# 472297 FNMA# DATE COMPLETED 8/11/2016 RQD'BY COLLIER COUNTY SEND TO COLLIER COUNTY CONTRACTOR DATE ORDERED 8/11/2016 LICENSING BOARD CUST. # 1042 REPOSITORIES TU PRPD'BY 2800 N HORSESHOE DR PRICE $23.50 LOAN TYPE NAPLES, FL 34104 REF.# 2016-00054 PROPERTY ADDRESS APPLICANT CO-APPLICANT APPLICANT DO CAMPO, JUAN CARLOS CO-APPLICANT SOC SEC# - DOB SOC SEC# DOB MARITAL STATUS DEPENDENTS REMARKS RELATED REPORTS: PATRON HOME SERVICES, INC. MISCELLANEOUS INFORMATION - Instant View Password:A1-3058725C -To verify the authenticity of this credit report, please visit https://cbs.meridianlink.com and click on the Instant View link. Enter Identifier# 472297 and password A1-3058725C to view the report. For any inquiries regarding this report or services provided by CREDIT BUREAU SERVICES, INC. please contact us at 954-561-1400. DISCLAIMER An asterisk(*)following the payment amount indicates the repositories have no payment data and that the amount was automatically calculated as a percentage of the account balance. This is a report containing information supplied by the repositories listed above.The merge process is automated and the report may include some duplications and/or omissions. Inquiries regarding any disputed items should be directed to the creditor reporting the item, or to the appropriate repository service center(s)listed below. EXPERIAN TRANSUNION EQUIFAX PO BOX 2002 PO BOX 2000 PO BOX 740256 ALLEN,TX 75013 CHESTER, PA 19016 ATLANTA, GA 30374 888-397-3742 800-888-4213 800-685-1111 www.experian.com/reportaccess transunion.com/myoptions www.equifax.com/fcra ***END OF REPORT 8/11/2016 10:29:50 AM*** ECOA KEY: B=BORROWER;C=CO-BORROWER;J=JOINT; U=UNDESIGNATED;A=AUTHORIZED USER; P=PARTICIPANT;S=CO-SIGNER CREDIT BUREAU SERVICES, INC.:3503 NORTH DIXIE HIGHWAY,OAKLAND PARK, FL 33334(P)954-561-1400(F)954-567-1441 The information is furnished in response to an inquiry for the purpose of evaluating credit risks.It has been obtained from sources deemed reliable,the accuracy of which this organization does not guarantee.The inquirer has agreed to indemnify that reporting bureau for any damage arising from misuse of this information,and this report is furnished in reliance upon that indemnity.It must be held in strict confidence and complies with the provisions of Public Law 91-508,the Fair Credit Reporting Act.Reporting bureau certifies that all Residential Mortgage Credit Reports meet the standards prescribed by FNMA,FHMC,FHA,VA and the Farmers Home Administration. PP(JP did Detail by Entity Na me http://search.sunbiz.org/Inquir_y/CorporationSearch/SearchResultDetail... FLORIDA DEPARTMENT OF STATE ► ,,�_ 7-- T Home Contact Us E-Filing Services Document Searches Forms Help Adlliat&q- .A17' Detail by Entity Name Florida Profit Corporation PATRON HOME SERVICES, INC. Filing Information Document Number P11000049156 FEI/EIN Number 45-2398599 Date Filed 05/24/2011 Effective Date 05/23/2011 State FL Status ACTIVE Principal Address 3311 GOLDEN GATES BLVD E NAPLES, FL 34120 Changed: 03/01/2012 Mailing Address 3311 GOLDEN GATES BLVD E NAPLES, FL 34120 Changed: 03/01/2012 Registered Agent Name &Address DOCAMPO, ORLANDO JR. 3311 GOLDEN GATES BLVD E NAPLES, FL 34120 Address Changed: 03/01/2012 Officer/Director Detail Name & Address Title P DOCAMPO, ORLANDO JR. 3311 GOLDEN GATES BLVD E NAPLES, FL 34120 Copyright ©and Privacy Policies State of Florida, Department of State of 3 R/3/9016 R•57 PM Detail by Eftity Na p e http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail... DOCAMPO, JUAN C 3311 GOLDEN GATES BLVD E NAPLES, FL 34120 Title TRSY DOCAMPO, IRIS A 3311 GOLDEN GATES BLVD E NAPLES, FL 34120 Annual Reports Report Year Filed Date 2014 02/21/2014 2015 04/22/2015 2016 04/29/2016 Document Images 04/29/2016 -- ANNUAL REPORT View image in PDF format 04/22/2015 -- ANNUAL REPORT View image in PDF format 02/21/2014 -- ANNUAL REPORT View image in PDF format 04/22/2013 -- ANNUAL REPORT View image in PDF format 03/01/2012 --ANNUAL REPORT View image in PDF format 05/24/2011 -- Domestic Profit View image in PDF format l„f q 8/3/2016 8.57 PN ► r AWR D CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 8/11/2016 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: Brown&Brown Of Florida, Inc. PHONE 239-262-5143 FAX 239-261-8265 1421 Pine Ridge Road, Suite 200 (AIC, Ext): (IVC.No): Naples FL 34109 IL ADDRESS:certs©bbnaples.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:United States Liability Insura 25895 INSURED PATRO-1 INSURER B: Patron Home Services Inc INSURER C: 3311 GOLDEN GATES BLVD E Naples FL 34120 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 1259653247 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POUCY EFF POLICY EXP LIMITS LTRINSD WVD POUCY NUMBER (MM/DD/YYYY) (MMIDD/YYYY) A x COMMERCIAL GENERAL UABIUTY Y CL1767799 8/10/2016 8/10/2017 EACH OCCURRENCE $1,000,000 DAMAGE TO CLAIMS-MADE X OCCUR PREMISES(EaENTED occurrence) $100,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY PE-r LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULEDTBODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE _$ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached it more space is required) Painter-Interior-Building or Structures and millwork installation Automatic Additional Insured Status applies if required by written contract or agreement per Form L-723 02/09 Blanket Additional Insured Endorsement. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Collier County Contractors Licensing Board THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 2800 N Horseshoe Dr. ACCORDANCE WITH THE POLICY PROVISIONS. Naples FL 34104 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD IX w JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS'COMPENSATION **CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW** CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers'Compensation law. EFFECTIVE DATE: 8/5/2016 EXPIRATION DATE: 8/5/2018 PERSON: DOCAMPO JUAN C FEIN: 452398599 BUSINESS NAME AND ADDRESS: PATRON HOME SERVICES, INC. 3311 GOLDEN GATE BLVD E NAPLES FL 34120 SCOPES OF BUSINESS OR TRADE: CARPENTRY PAINTING NOC&SHOP INSTALLATION OF CA OPERATIONS Pursuant to Chapter 440.05(14),F.S.,an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter.Pursuant to Chapter 440.05(12),F.S.,Certificates of election to be exempt...apply only within the scope of the business or trade listed on the notice of election to be exempt.Pursuant to Chapter 440.05(13),F.S.,Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if,at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate.The department shall revoke a DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS?(850)413-1609 6loznorso saildX kte, Lbl9CZ�d uoissrur uoo AN umwe eJ0!N ep(old io alelS ow%d ketoN 1,.7e xu+`or (A2ivIot'.I dO as IDIS) fi11:' . 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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: Paradise Electrical Concepts &Solutions, Inc. Fiction Name/DBA: Qualifier Name: Wallace Booth Physical Address: 3910 Domestic Ave Naples FL 34104 (Number&Street) (City) (State) (Zip Code) Mailing Address: 3910 Domestic Ave Naples FL 34104 (Number&Street) (City) (State) (Zip Code) Telephone: (239) 825-1077 E-mail: Mike@FloridaFloors.net TYPE OF LICENSE: General $230.00 X Electrician $230.00 Building $230.00 Plumber $230.00 Residential $230.00 Air Conditioner $230.00 Mechanical $230.00 Swimming Pool $230.00 Roofing $230.00 Specialty $205.00 Specialty Trade: CHANGE OF STATUS: ( )Reinstatement (x ) From One Business to Another ( ) Dormant License to Active C33v:10: v. eo. Page 1 of4 1. The names,titles, home address and phone numbers of all Officers/Managing Members of the Firm. 3910 Domestic Ave Michael Pascale, P, (239) 825-1077 Naples, FL 34104 1835 Dogwood Drive Wallace Booth, VP (239) 248-4477 Marco Island, FL 34145 3910 Domestic Ave Gregory Pascale,VP (239)825-1077 Naples, FL 34104 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. Wallace Booth Electric LLC 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. N/A AFFIDAVIT Under the penalties of perjury I declare that I have read the foregoing application and that the facts stated in it are true. ' Authorize Officer of the Firm The foregoing instrument as acknowledged before me this % VA �j A�5j (Date) by °® ' 'e4-d GL(e_ � r of r3C_ `�l/tei4f Le 5.;)& 14.7 (Name of Officer, Title/Agent) (Name of Corporation) a Fid✓��/I Corporation on behalf of the corporation. (State or Place of Corporation) He/She has produced DM/NW 2— ?•P.,4 identification and did not take an oath. (Type of identification) �PaY ro .• % EAN-DI ' i-r NOTARY'S SEAL Y COMMISSION#E; - � _ ,� EXPI• • � :FAY PUQ, SEAN DINNEEN a.Y j C* MY COMMISSION#EE 856916 'F�° �s *, �.,Ts" EXPIRES;December 6,2016 (SIGH URE OF NOTARY) ',r e= Bonded'Nu Budget Notary Services 'F^`F` Page 2 of QUALIFIER INFORMATION: Name: Wallace Booth Address: 1835 Dogwood Drive Marco Island FL 34145 (Number&Street) (City) (State) (Zip Code) Telephone: (239) 248-4407 Date of Birth: 12/21/1963 SS#: 5-0282 E-mail: BoBoothaComcast.net Driver's License#: B -63- 1. Type of Certificate of Competency for which application is made. Transfer of Electrical Contractor 2. The names and telephone numbers of two persons who will know your whereabouts. Julie Booth (239) 248-1198 TJ Vollmar(239) 272-9656 3. Have you ever been convicted of a crime related to Contracting? No (If yes,attach extra sheet with explanation.) 4. Have you or any firms you have been associated with ever filed bankruptcy? No 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. N/A 6. List your business or work experience during the last ten years. Wallace Booth Electric-Owner, Qualifier 7. Statement of any formal training you have had in the area for which the application is made. Q pili Al- it- . 3 of4 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. Wallace Booth Applicant(please print) Paradise Eletrical Concepts&Solutions, Inc. Name of Company Signature of Applicant State of Florida County of CO II The foregoing instrument as acknowledged before me this Ob /�j ( ate) by V-G..(tt...c�C_ rvd'1-- who has produced t;Ive-i.S (name of person acknowledging) (type of identification) as identification and did not take an oath. NOTARY'S SEAL tea'P:°'� SEAN DINNEEN , r MY COMMISSION#EE 856916 (SIGNATURE 0 "•TARY) Nr !;!'.,' EXPIRES:December 6,2016 'rFOF K„e>° Bonded Thru Budget Notary Services 4 of 4 AFFII It is understood and acknowledged by the Collier County Contractor's Licensing Board and myself that if I fail to acquire, or maintain at all times effective Workmen's Compensation Insurance it will result in the possible revocation of my Certificate of Competency. Signature of Applicant Paradise Electrical Concepts&Solutions, Inc. Business Name .5o Date BEFORE ME this day personally appeared 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 Florid County of t 6/474 The foregoing instrument as acknowledged before me this / (Date) by Ur w �a c C v'�-}1L1who has produced -.D(\11-y (name of person acknowledging) (type of identification) as identification and did not take an oath. NOTARY'S SEAL F NOTARY) * MY COMMISSION 8DINNEE56916 EXPIRES:December 6 2016 �•3�0� RES M n�R Bonded Pau Budget Notary Services AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF /c2-0,g/0,51— COUNTY Go,r2/0,4COUNTY OF ex)£ &/E e I, -We)A/ /VA' , having been first duly sworn, state and affirm: I am a resident of /�j�g.-- County, jeLp/0,jp, — (State) and have resided here for more than five (5) years. During the last five years I have known Wallace Booth (applicant). I have had the opportunity to observe his or her business and personal dealings and find him or her to be a person of honesty, integrity and good character. Signature Name Al :/94„ No. 6. 3i//i. Address 23 ?-. s7l- ?7 Telephone The foregoing instrument as acknowledged before me this (.2.?4'41/4 al" .2®/ ' 11 (Da.te) by o� A)4 / i9 i/ who hasproduce.d .iS60F..4Sa.a! � t6�n.1 in (name of person acknowledging) • (type of iektification) as-ilientia.adam and did not take an oath. NOTARY'S SEAL ,..... _. ., �K;NATU ..�..�Y •�., ANN E.NOGG E OF N4Y) 4 • + � v .a.y Public-State o9 Florida s; Ion # FF 924601 oPs any p+res Dec 12,2019 4 ,,Vnifiae, B,;r"t rah iJ anal Notary Assn. AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF 1544:7,--(,0)9-- COUNTY L4 d,►4--COUNTY OF G,d LL/ _ I, A '&17/00-1-- , having been first duly sworn, state and affirm: I am a resident of 00 afes_ County, /,Cd/2./,GYc (State) and have resided here for more than five (5) years. During the last five years I have known Wallace Booth (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. Cl.. Signature /' Name to 2- LL: 6-4c Ce-• 6,04! A/ °L-&S, it 3x11/3 Address 023`) — e57a5'/077 Telephone The foregoing instrument as acknowledged before me this a` '® 4t. JEt 010/(p V(Date) ,c. by M cMls3�iL T7/ c d _ who leas-p��eekieed/S,s-�S /tea o m (name of person acknowledging) (type of ide tification) .as-dgnti ro l and did not take an oath. NOTARY'S SEAL � '{Cp. d,,,,� ANN E.NOGG 4-6-NATURE OF'1,% ARY) -vn •'•. ,1 � eaoaacy Public•State ol Florida Commlaalon FF 924001 MyComm.Expires Dec 12,2019 ••tom 0.cr� C lanzl wary Assn. ,,,n,na Goadedlh� RESOLUTION OF AUTHORIZATION WHEREAS Paradise Electrical Concepts&Solutions, Inc.proposes to engage (Name of Business Entity) in contracting as Corporation in (Type of legal entity: corp.,partnership,etc.) Collier County,Florida,according to Collier County Ordinance 2006-46,as amended:and WHEREASParadise Electrical Concepts&Solutions, Inc.proposes to qualify (Name of Business Entity) for a Certificate of Competency with Wallace Booth (Name of Individual) NOW,THEREFORE,BE IT HEREBY RESOLVED THAT: We the undersigned Owners of (Officers,Owners,Partners) Paradise Electrical Concepts&Solutions, Inc.hereby resolve and represent to the Collier County (Name of Business Entity) Contractor's Licensing Board that the qualifying agent, Wallace Booth ,is active (Name of Individual) Paradise Electrical Concepts in all matters connected with the contracting business of &Solutions. Inc. ,and (Name of Business Entity) We further resolve and represent that Wallace Booth is (Name of Individual) Paradise Electrical Concepts Legally empowered to act for &Solutions, Inc. in all matters connected with its (Name of Business Entity) contracting business,and has the authority to supervise construction undertaken by Paradise Electrical Concepts&Solutions, Inc. (Name of Business Entity) 3 1 t� �1(c DULY PASSED AND ADOPTED THIS (� DAY OF 1 , (2-------- (Officers,Partners,Owners-wit . ignation underneath) Witne s Witness Witness Corporate Seal(if applicable)or Notary Public Certificate Sworn to and subscribed before me thi P day of JUh e ,go( b by ® /x5c4 k . The foregoing instrument as acknowledged before me this t/3,4 ;� , (Datj�) `%�� As by � 4,,,v/e. who has produced fi61'litv f G ✓h e v`$.e-- (name of person acknowledging) (type of identification) as identification and did not take an oath. NOTARY'S SEAL #` � . SEAN DINNEEN (SIGNATURE OF NOTARY) = �? * MY COMMISSION#MOM ons.sEXPIRES:December 6,2016 s,4T-oF,rtt,o< Bonded Thu Budget Notary Services Electronic Articles of Incorporation P16000052838 FILED For June 16,_2016 Sec. Of State tchang PARADISE ELECTRICAL CONCEPTS & SOLUTIONS, INC. The undersigned incorporator, for the purpose of forming a Florida profit corporation, hereby adopts the following Articles of Incorporation: Article I The name of the corporation is: PARADISE ELECTRICAL CONCEPTS & SOLUTIONS, INC. Article II The principal place of business address: 3910 DOMESTIC AVE NAPLES, FL. US 34134 The mailing address of the corporation is: 3910 DOMESTIC AVE NAPLES, FL. US 34134 Article III The purpose for which this corporation is organized is: ANY AND ALL LAWFUL BUSINESS. Article IV The number of shares the corporation is authorized to issue is: 1000 Article V The name and Florida street address of the registered agent is: MICHAEL PASCALE 3910 DOMESTIC AVE NAPLES, FL. 34104 I certify that I am familiar with and accept the responsibilities of registered agent. Registered Agent Signature: MICHAEL PASCALE • P16000052838 POLED Article VI June 16 2016 Sec. Of Mate The name and address of the incorporator is: tchang SEAN DINNEEN 886 110TH AVE N SUITE 6 NAPLES, FL 34108 Electronic Signature of Incorporator: SEAN DINNEEN I am the incorporator submitting these Articles of Incorporation and affirm that the facts stated herein are true. I am aware that false information submitted in a document to the Department of State constitutes a third degree felony as provided for in s.817.155, F.S. I understand the requirement to file an annual report between January 1st and May 1st in the calendar year following formation of this corporation and every year thereafter to maintain "active" status. Article VII The initial officer(s) and/or director(s) of the corporation is/are: Title: P MICHAEL PASCALE 3910 DOMESTIC AVE NAPLES, FL. 34104 US Title: VP WALLACE BOOTH 3910 DOMESTIC AVE NAPLES, FL. 34104 US Title: VP GREGORY PASCALE 3910 DOMESTIC AVE NAPLES, FL. 34104 US OF I��DNTERNALL REVENUEESEERRVVIICERY CINCINNATI OH 45999-0023 Date of this notice: 06-22-2016 Employer Identification Number: 81-3013620 Form: SS-4 Number of this notice: CP 575 A PARADISE ELECTRICAL CONCEPTS & SOLUTIONS INC 3910 DOMESTIC AVE For assistance you may call us at: NAPLES, FL 34104 1-800-829-4933 IF YOU WRITE, ATTACH THE STUB AT THE END OF THIS NOTICE. WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER Thank you for applying for an Employer Identification Number (EIN) . We assigned you EIN 81-3013620. This EIN will identify you, your business accounts, tax returns, and documents, even if you have no employees. Please keep this notice in your permanent records. When filing tax documents, payments, and related correspondence, it is very important that you use your EIN and complete name and address exactly as shown above. Any variation may cause a delay in processing, result in incorrect information in your account, or even cause you to be assigned more than one EIN. If the information is not correct as shown above, please make the correction using the attached tear off stub and return it to us. Based on the information received from you or your representative, you must file the following form(s) by the date(s) shown. Form 1120 03/15/2017 If you have questions about the form(s) or the due date(s) shown, you can call us at the phone number or write to us at the address shown at the top of this notice. If you need help in determining your annual accounting period (tax year) , see Publication 538, Accounting Periods and Methods. We assigned you a tax classification based on information obtained from you or your representative. It is not a legal determination of your tax classification, and is not binding on the IRS. If you want a legal determination of your tax classification, you may request a private letter ruling from the IRS under the guidelines in Revenue Procedure 2004-1, 2004-1 I.R.B. 1 (or superseding Revenue Procedure for the year at issue) . Note: Certain tax classification elections can be requested by filing Form 8832, Entity Classification Election. See Form 8832 and its instructions for additional information. IMPORTANT INFORMATION FOR S CORPORATION ELECTION: If you intend to elect to file your return as a small business corporation, an election to file a Form 1120-S must be made within certain timeframes and the corporation must meet certain tests. All of this information is included in the instructions for Form 2553, Election by a Small Business Corporation. (IRS USE ONLY) 575A 06-22-2016 PARA B 9999999999 SS-4 If you are required to deposit for employment taxes (Forms 941, 943, 940, 944, 945, CT-1, or 1042) , excise taxes (Form 720) , or income taxes (Form 1120) , you will receive a Welcome Package shortly, which includes instructions for making your deposits electronically through the Electronic Federal Tax Payment System (EFTPS) . A Personal Identification Number (PIN) for EFTPS will also be sent to you under separate cover. Please activate the PIN once you receive it, even if you have requested the services of a tax professional or representative. For more information about EFTPS, refer to Publication 966, Electronic Choices to Pay All Your Federal Taxes. If you need to make a deposit immediately, you will need to make arrangements with your Financial Institution to complete a wire transfer. The IRS is committed to helping all taxpayers comply with their tax filing obligations. If you need help completing your returns or meeting your tax obligations, Authorized e-file Providers, such as Reporting Agents (payroll service providers) are available to assist you. Visit the IRS Web site at www.irs.gov for a list of companies that offer IRS e-file for business products and services. The list provides addresses, telephone numbers, and links to their Web sites. To obtain tax forms and publications, including those referenced in this notice, visit our Web site at www.irs.gov. If you do not have access to the Internet, call 1-800-829-3676 (TTY/TDD 1-800-829-4059) or visit your local IRS office. IMPORTANT REMINDERS: * Keep a copy of this notice in your permanent records. This notice is issued only one time and the IRS will not be able to generate a duplicate copy for you. You may give a copy of this document to anyone asking for proof of your EIN. * Use this EIN and your name exactly as they appear at the top of this notice on all your federal tax forms. * Refer to this EIN on your tax-related correspondence and documents. If you have questions about your EIN, you can call us at the phone number or write to us at the address shown at the top of this notice. If you write, please tear off the stub at the bottom of this notice and send it along with your letter. If you do not need to write us, do not complete and return the stub. Your name control associated with this EIN is PARA. You will need to provide this information, along with your EIN, if you file your returns electronically. Thank you for your cooperation. (IRS USE ONLY) 575A 06-22-2016 PARA B 9999999999 SS-4 Keep this part for your records. CP 575 A (Rev. 7-2007) Return this part with any correspondence so we may identify your account. Please CP 575 A correct any errors in your name or address. 9999999999 Your Telephone Number Best Time to Call DATE OF THIS NOTICE: 06-22-2016 ( ) - EMPLOYER IDENTIFICATION NUMBER: 81-3013620 FORM: SS-4 NOBOD INTERNAL REVENUE SERVICE PARADISE ELECTRICAL CONCEPTS & CINCINNATI OH 45999-0023 SOLUTIONS INC I1I1•III1hI ItlI11.11iillll..II,.,.. 3910 DOMESTIC AVE NAPLES, FL 34104 • 2392770167 p.2 Prepared By: Merit Credit -/ (239) 277-3202 e ', (800)(800) 371-3348 c TRANSUNION CREDIT REPORT • [FOR] [SUE NAME] [MKT SUB] (I) 2 NP6284423 MERIT CREDIT 16 NP a/24NFI066[I /_07 [TIME] ga /0;/3.6 09:17CT [SUBJECT] BOOTH, WALLACE R. fSSN7 [BIRTH DATE) [CURRENT ADDRESSI 1835 DOGWOOD DR., MARCO ISLAND FL. 34145 [DATE RPTD] [FORMER ADDRESS] 11/05 632 W. LA JOLLA ST., PLACENTIA CA. 92870 1261 SW. 9TH ST. , GOLDEN GATE FL. 34116 20/04 MODEL PROFILE • ***FICO SCORE 4 SCORE +709 : 040, 014, Q10 *** CREDIT SUMMARY * * TOTAL FILE HISTORY PR=1 COL=2 NEG=O HSTNEG=O TRD=2 RVL=2 INST=O MTG=O OPN=O INQ=1 HIGH CRED CRED LIM BALANCE PAST DUE MNTHLY PAY AVAILABLE REVOLVING: $343 $300 TOTALS: $343 $65 $0 $35 $_00 $65 $0 ''S& $35 PUB L I C RECORDS SOURCE DATE LIAB ECOA COURT ASSETS PAID DOCKET# TYPE __ Z 5064186 8/11R $8500 I RD PLAINTIFF/ATTORNEY 4/15 4594718 PAID FEDERAL TAX LIEN B4709P339 COLLECTIONS SUBNAME SQBCODE ECCA OPENED CLOSED $PLACED CREDITOR ACCOULPT# VERIFIED MOP AR RESOURCES Y 27GG001 I BALANCE REMARKS 2918947 1/10 $221 MEDICAL 5/16A $221 PLACED FOR COLLECTIO CMRE FINANCE Y 2746006 I 9/11 10V $139$339 MEDICAL 09B 11/11A $140 PLACED FOR COLLECTIO TRADES SUSNAME SCBCODE OPENED }IGHCRED TERMS ACCOIINT# M�DELQ PAYPAT 1-12 MOP TDUE ECOA COLLATRL/LOANTYPE CL D/D BALANCE RESTS AMT-MOP PAYPMO 13-24 5/3 BAN{ CC B 21AV061 1/14 $343 MO 30/60/90 5444 MIN35 111111111273 R01 5/16A $300 $0 111211=31111 I SECURED CREDIT CA $65 27 0/ 0/ 0 SYNCB/AMEX B 235064V 9/08 $0 2130353270 12/21A $2500 11111113.1111 R02 A CREDIT CARD 12/10C $0 CLOSED 1111111 19 0/ 0/ 0 INQUIRIES DATE SUB CODE SUBNAME 6/07/16 ZNP6284423 (FLA) MERIT CREDIT TYPE AMOUNT 2392770/67 p.3 C RED I-T REPORT- - --S-E-R-V-I-C-E-D- B Y , - - ----- TRANSDNION ----- - - - ---- - 2 BALDWIN PLACE P.O. BOX 1000,CHESTER, Ph. • Consumer disclosures can be 800-889-4_213 19022 obtained online through TransUnzon at: _----http'//�°.transun_ion.com ----------- '---------- --------- - - --`----- - "__ _ CREDITOR CONTACT INFORMATION COLLIER CIR 2P5064186 3301 TFiMIAM2 TEL E NAPLES - 34107 (941) 774-8800 AR RESOURCES POB lOS6 �=C27GG001 I's CMRE FINANCE BBELL PA. 19422 YC2746006 3075 E IMPERIAL HW BREA CA. 92821 (877) 572-7555 5/3 BANK CC EC21AV061 5050KINGSLEY DR SYNCAMEX CINCINATTI OH. 45263 (600) 972-3030 PO BOX 965005 182235064VORLANDO FL. 32896 END OP TRAiNSUNION REPORT MERIT CREDIT HAS RETRIEVED THE LICENSING PURPOSES AS REQUESTED BY�THEEBUSINE CREDIT REPORT FOR OWNER/PROPRIETOR. PUBLIC RECORDS FOR THIS CHECKED AND VERIFIED AT THE COUNTY, REPQEDESCHAVE BEENS STATE LEVEL PUBLIC RECORDS HAVE ALSO BEEN VERIFIED FOR p NE LOUNY . 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. r 7 ...1' _ F ...--)T-1(Ail DRintrFs?‘ LaFrAISE MASS E - teWOOGWOOL,—.:, ' sEv M '41.2040c,V I ' T-.201S * , ' L.,,... =A. —...,,,-------- ' Q; CO& • COLLIER COUNTY BUSINESS TAX RECEIPT • ' ` ° '` APPLICATION f r . 2800 N. Horseshoe Drive,Naples,FL 34104 Make Check Payable to:Collier County Tax Collector COL.Lec Phone: 239-252-2477 Website: www.colliertax.com '` ,,. CHECKLIST X Copy of Articles of Incorporation or Fictitious letter from -Yellow Fire Compliance(list of fire district phone number 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 for commercial OR to: Collier County Tax Collector for residential. 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 X Must contact Property Appraiser's Office at Restaurants(850-487-1395)or Department of Agriculture (239)252-8145 for tangible Personal Property forms. (800-435-7352) CHECK ONE: Date: 06/30/2016 X Original Application — Classification _ Transfer of License# — Code Number _Renewal of License# — License Amount 1) CORPORA 1'E NAME- Paradise Electrical Concepts&Solutions, Inc. la) DBA NAME- lb) BUSINESS OWNER OR QUALIFIER'S NAME - Michael Pascale-Owner 2) PHYSICAL ADDRESS - 3910 Domestic Ave, Naples, FL 34104 (No P.O. Box allowed) 2a) IS RESIDENCE USED AS AN OFFICE - Yes X No 3) BUSINESS MAILING ADDRESS - 3910 Domestic Ave Naples, FL 34104 Street City Zip 41 OWNER OR QUALIFIER'S RESIDENTIAL ADDRESS - 6426 Legacy Circle, Naples 34113 5) TELEPHONE - Business: 239-825-1077 Home: 239-825-1077 6) LEGAL FORM OF BUSINESS: Sole ProprietorshipPartnership X Corporation LLC _LLP 7) OPENING DATE OF BUSINESS OR DATE ASSUMED - 04/26/2016 8) OFFICE WITHIN CITY LIMITS OF NAPLES - _Yes X No If Yes, City License No. 9) SOCIAL SECURITY NO. or FEDERAL EMPLOYER IDENTIFICATION NO. 81 — 2451909 In accordance with Florida Statute 205.0535(5)we require you to provide us with either a Florida Employer Identification Number(FEIN)ora Social Security Number. 9a) TYPE OF BUSINESS CONDUCTED: Electrical Contractor 10)NUMBER OF EMPLOYEES -Including of number of owners: 11) FILL IN THE APPROPRIATE AREAS - a)Rental units(motel/hotel/apts.)Number of units: b)Seating Capacity(rest./cafes,etc.)Number of seats: c)Number of coin-operated machines owned by business or individual: 12) STATE LICENSE OR CERTIFICATION NUMBER - ER13014185(Pending Application Approval) 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 E TRU TO THE OF MY KNOWLEDGE. KNOWLEDGE. xxxAPPLICANT'S SIGNATURE: - DATE: �6II (Owner and/or representative of business)TITLE: ****THIS TAX IS NON-REFUNDABLE FOR BUSINESS STATED ABOVE**** SECTION A, B, AND C FOR OFFICE USE ONLY THIS SECTION TO BE FILLED OUT BY CONTRACTORS/BCC LICENSING BOARD SECTION A Classification of Contractor: County Certification Number: Department Supervisor: Date: THIS SECTION TO BE COMPLETED BY PLANNING SERVICES SECTION B Business is an in-home occupation and the applicant has agreed to adhere to the requirements as set forth in the Collier County Zoning Ordinance. PROPERTY Business DOES COMPLY with the Collier County Zoning Ordinance. ZONED Signed: Title: Date: Comments: THIS SECTION TO BE COMPLETED BY THE HEALTH DEPARTMENT, SECTION C Business DOES COMPLY with the local and/or State requirements. Signed: Title: Date: COLLIER COUNTY BUSINESS TAX RECEIPT INSTRUCTIONS PLEASE MAKE CHECK PAYABLE -- COLLIER COUNTY TAX COLLECTOR COLLIER COUNTY TAX COLLECTOR SUBMIT APPLICATION TO: BUSINESS TAX DEPARTMENT 2800 N.HORSESHOE DRIVE NAPLES FL 34104 (239)252-2477 FAX(239)643-4788 HOW TO PREPARE A BUSINESS TAX APPLICATION GENERAL INSTRUCTIONS: The Business Tax Application should be prepared whenever a new business is established to a new owner or location. ITEM EXPLANATION: 1) BUSINESS NAME - The name under which you will do business. Proof of business name registration is required. 2) ADDRESS OF BUSINESS LOCATION - Enter the address of the business physical location. 2a) RESIDENCE USED AS AN OFFICE - Check yes or no for in-home occupation. 3) BUSINESS MAILING ADDRESS - Enter the address you want you mail sent to. 4) BUSINESS OWNER OR QUALIFIER'S NAME - Enter the name of the individual who owns the business or the qualifying agent for the company. 5) OWNER OR QUALIFIER'S RESIDENTIAL ADDRESS - Enter the address of the person identified in item 4. 6) TELEPHONE - Self explanatory. 7) LEGAL FORM OF BUSINESS - Check appropriate box. 8) OPENING DATE OF BUSINESS OR DATE ASSUMED -Enter approximate date or year the business was or will be opened. 9 BUSINESS WITHIN CITY LIMITS OF NAPLES - Is business physical location inside the city limits. Check yes or no. 9a) FEDERAL IDENTIFICATION OR SOCIAL SECURITY NUMBER - APPLICATION WILL NOT BE PROCESSED UNLESS THIS INFORMATION IS OBTAINED. 10) TYPE OF BUSINESS CONDUCTED -Enter a description of the service(s) or product(s) that will be for sale at the place of business. 11) FILL IN APPROPRIATE AREAS -Answer only the questions which pertain to your business. 12) STATE LICENSE OR CERTIFICATE NUMBER-Application will not be processed for contractors, attorneys and regulated professionals, unless a copy of the state license or certification is received. rav EPARTMEN THE IRS INTERNAL TREOVENUE SERVICERY CINCINNATI OH 45999-0023 Date of this notice: 06-22-2016 Employer Identification Number: 81-3013620 Form: SS-4 Number of this notice: CP 575 A PARADISE ELECTRICAL CONCEPTS & SOLUTIONS INC 3910 DOMESTIC AVE For assistance you may call us at: NAPLES, FL 34104 1-800-829-4933 IF YOU WRITE, ATTACH THE STUB AT THE END OF THIS NOTICE. WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER Thank you for applying for an Employer Identification Number (EIN) . We assigned you EIN 81-3013620. This EIN will identify you, your business accounts, tax returns, and documents, even if you have no employees. Please keep this notice in your permanent records. When filing tax documents, payments, and related correspondence, it is very important that you use your EIN and complete name and address exactly as shown above. Any variation may cause a delay in processing, result in incorrect information in your account, or even cause you to be assigned more than one EIN. If the information is not correct as shown above, please make the correction using the attached tear off stub and return it to us. Based on the information received from you or your representative, you must file the following form(s) by the date(s) shown. Form 1120 03/15/2017 If you have questions about the form(s) or the due date(s) shown, you can call us at the phone number or write to us at the address shown at the top of this notice. If you need help in determining your annual accounting period (tax year) , see Publication 538, Accounting Periods and Methods. We assigned you a tax classification based on information obtained from you or your representative. It is not a legal determination of your tax classification, and is not binding on the IRS. If you want a legal determination of your tax classification, you may request a private letter ruling from the IRS under the guidelines in Revenue Procedure 2004-1, 2004-1 I.R.B. 1 (or superseding Revenue Procedure for the year at issue) . Note: Certain tax classification elections can be requested by filing Form 8832, Entity Classification Election. See Form 8832 and its instructions for additional information. IMPORTANT INFORMATION FOR S CORPORATION ELECTION: If you intend to elect to file your return as a small business corporation, an election to file a Form 1120-S must be made within certain timeframes and the corporation must meet certain tests. All of this information is included in the instructions for Form 2553, Election by a Small Business Corporation. (IRS USE ONLY) 575A 06-22-2016 PARA B 9999999999 SS-4 If you are required to deposit for employment taxes (Forms 941, 943, 940, 944, 945, CT-1, or 1042) , excise taxes (Form 720) , or income taxes (Form 1120) , you will receive a Welcome Package shortly, which includes instructions for making your deposits electronically through the Electronic Federal Tax Payment System (EFTPS) . A Personal Identification Number (PIN) for EFTPS will also be sent to you under separate cover. Please activate the PIN once you receive it, even if you have requested the services of a tax professional or representative. For more information about EFTPS, refer to Publication 966, Electronic Choices to Pay All Your Federal Taxes. If you need to make a deposit immediately, you will need to make arrangements with your Financial Institution to complete a wire transfer. The IRS is committed to helping all taxpayers comply with their tax filing obligations. If you need help completing your returns or meeting your tax obligations, Authorized e-file Providers, such as Reporting Agents (payroll service providers) are available to assist you. Visit the IRS Web site at www.irs.gov for a list of companies that offer IRS e-file for business products and services. The list provides addresses, telephone numbers, and links to their Web sites. To obtain tax forms and publications, including those referenced in this notice, visit our Web site at www.irs.gov. If you do not have access to the Internet, call 1-800-829-3676 (TTY/TDD 1-800-829-4059) or visit your local IRS office. IMPORTANT REMINDERS: * Keep a copy of this notice in your permanent records. This notice is issued only one time and the IRS will not be able to generate a duplicate copy for you. You may give a copy of this document to anyone asking for proof of your EIN. * Use this EIN and your name exactly as they appear at the top of this notice on all your federal tax forms. * Refer to this EIN on your tax-related correspondence and documents. If you have questions about your EIN, you can call us at the phone number or write to us at the address shown at the top of this notice. If you write, please tear off the stub at the bottom of this notice and send it along with your letter. If you do not need to write us, do not complete and return the stub. Your name control associated with this EIN is PARA. You will need to provide this information, along with your EIN, if you file your returns electronically. Thank you for your cooperation. , (IRS USE ONLY) 575A 06-22-2016 PARA B 9999999999 SS-4 • Keep this part for your records. CP 575 A (Rev. 7-2007) Return this part with any correspondence so we may identify your account. Please CP 575 A correct any errors in your name or address. 9999999999 Your Telephone Number Best Time to Call DATE OF THIS NOTICE: 06-22-2016 ( ) EMPLOYER IDENTIFICATION NUMBER: 81-3013620 FORM: SS-4 NOBOD INTERNAL REVENUE SERVICE PARADISE ELECTRICAL CONCEPTS & CINCINNATI OH 45999-0023 SOLUTIONS INC unl 3910 DOMESTIC AVE NAPLES, FL 34104 Electronic Articles of Incorporation P16000052838 FILED For June 16,_2016 Sec. Of 'tate tchang PARADISE ELECTRICAL CONCEPTS & SOLUTIONS, INC. The undersigned incorporator, for the purpose of forming a Florida profit corporation, hereby adopts the following Articles of Incorporation: Article I The name of the corporation is: PARADISE ELECTRICAL CONCEPTS & SOLUTIONS, INC. Article II The principal place of business address: 3910 DOMESTIC AVE NAPLES, FL. US 34134 The mailing address of the corporation is: 3910 DOMESTIC AVE NAPLES, FL. US 34134 Article III The purpose for which this corporation is organized is: ANY AND ALL LAWFUL BUSINESS. Article IV The number of shares the corporation is authorized to issue is: 1000 Article V The name and Florida street address of the registered agent is: MICHAEL PASCALE 3910 DOMESTIC AVE NAPLES, FL. 34104 I certify that I am familiar with and accept the responsibilities of registered agent. Registered Agent Signature: MICHAEL PASCALE • P16000052838 FILED Article VI Sec.e O f S t 6 The name and address of the incorporator is: tchang SEAN DINNEEN 886 110TH AVE N SUITE 6 NAPLES, FL 34108 Electronic Signature of Incorporator: SEAN DINNEEN I am the incorporator submitting these Articles of Incorporation and affirm that the facts stated herein are true. I am aware that false information submitted in a document to the Department of State constitutes a third degree felony as provided for in s.817.155, F.S. I understand the requirement to file an annual report between January 1st and May 1st in the calendar year following formation of this corporation and every year thereafter to maintain "active" status. Article VII The initial officer(s) and/or director(s) of the corporation is/are: Title: P MICHAEL PASCALE 3910 DOMESTIC AVE NAPLES, FL. 34104 US Title: VP WALLACE BOOTH 3910 DOMESTIC AVE NAPLES, FL. 34104 US Title: VP GREGORY PASCALE 3910 DOMESTIC AVE NAPLES, FL. 34104 US .,..IPIO Lft 14051 PAREL ACO/ADTM CERTIFICATE OF LIAI:I ...0TY INSURANCE 1 DATE(MM/DD/YYYY) • 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 Gulfshore Insurance-51111C=0_ CONTACT Maria ➢ebb 4100 Goodlette Road N PHONE (A/C,No,Ext):239 435-7120 Naples, FL 34103 E-MAIL bb !A FAX No): 239 213-7720 ADDRESS: e@guifshoreinsurance.corri 239 261-3646 INSURER(S)AFFORDING COVERAGE NAIc f. INSURED INSURER A:Cincinnati Specialty Underwrite Paradise Electrical Concepts & INSURER B:ECC31 Solutions, inc. INSURER C: --i -- -- 3910 Domestic Ave INSURER D: -- Naples, FL 34104 INSURER E: COVERAGES INSURER F CERTIFICATE NUMBER: N NBE : THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED N MEI®ABOVE UM POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITI-I RESPECT TO WHICI-I 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 SUE LTR TYPE OF INSURANCE INSRDDL WVDR POLICY NUMBER POLICY EFF POLICY EXP if A GENERAL LIABILITY MM/DD/YYYY MM/DDlYYYY LIMITS CS00087139 07/20/2016 07/20/201 EACH OCCURRENCE $1,000,000 COMMERCIAL GENERAL LIABILITY CLAIMS-MADE I XI OCCUR PREMISESO(Eaoccurr nce) $100,000 SUP® Ded: $1000 MED EXP(Any one person) $5,000 1111PERSONAL S ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GENt AGGREGATE LIMIT APPLIES PER: POLICY © PRO"JECT PRODUCTS-COMP/OP AGG $2,000,000 ■ LOC AUTOMOBILE LIABILITY $ COMBINED SINGLE LIMIT ANY AUTO Ea accident $ ALL OWNED SCHEDULED BODILY INJURY(Per person) S AUTOS AUTOS BODILY INJURY(Per accident) HIRED AUTOS NON-OWNED AUTOS PROPERTY DAMAGE __ Per accident A UMBRELLA LIAB $ —I OCCUR CS00087140 07/21/2016 07/21/201 EACH OCCURRENCE $2,000 000 X EXCESS LIAB © CLAIMS-MADE AGGREGATE $ DED RETENTION$ 2 000 000 B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY 10657962 x7/21120'0 6 07/21/201 WC STATU- OTH- n ANY PROPRIETOR/PARTNER/EXECUTIVEIY�NI TORY I IMITS ER (Mandatory in R EXCLUDED? E.L.EACH ACCIDENT $1,®�®00 OFFICE(Mandatory in NH) If yes,describe under E.L-DISEASE-EA EMPLOYEE $1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 51,000,00® DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION Collier County Contractors SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE LI Mier C� Board THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN II ACCORDANCE WITH THE POLICY PROVISIONS. 2800 Horseshoe Drive N Naples, FL 34104 AUTHORIZED REPRESENTATIVE ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION.All rights reserved. 1 of 1 The ACORD name and logo are registered marks of ACORD 1S1036264/11/11036242 IVIIJE COLLIER COU CERTIFICATE OF COM *, CERTIFICATION INFORMATION C33690 Certification Information Collier County Board of County Commissioners ;...� DBA: WALLACE BOOTH ELECTRIC LLC ADDRESS: 1835 DOGWOOD DRIVE MARCO ISLAND, FL 34145- PHONE: 2393940583 CELL: 2392484407 FAX: LICENSEE NBR: C33690 QUALIFIER: WALLACE R. BOOTH TYPE: ELECTRICAL CONTR.-REGISTERED CLASS CODE: 2000 STATE NBR: ER 13014185 ISSUANCE NBR: 33690 STATE EXPIRATION. INSURANCE: ORIG ISSD: COUNTY EXPIRATI August 31, 2016 General Liability June 14, 2016 September 30, 201 June 10, 2017 Worker's Comp Exemption June 13, 2018 NOTE: It is the Qualifier's responsibility to keep all business, licensing and requirements curs; and to provide up to date copies for Collier county files. This includes all insurance certific and any change of address information. ._ Collier County * City of Marco * City of Naples Contractor Licensing ELECTRICAL CONTR.-REGISTERED Cert Nbr: County Exp: Status: C33690 September 30, 2016 Active State Nbr: State Exp: ER 13014185 August 31, 2016 WALLACE BOOTH ELECTRIC LLC WALLACE R. BOOTH 1835 DOGWOOD DRIVE MARCO ISLAND, FL 34145- Signed: Credit � Merit Fast, Accurate & Secure. Phone: 1-239-277-3202 or 1-800-371-3348 Fax Cover Sheet: Requested Credit Report Attached! Please call if you have any questions. CONFIDENTIALITY NOTICE:This communication with its contents may contain confidential and/or legally privileged information. It is solely for the use of the intended recipient(s). Unauthorized interception, review, use or disclosure is prohibited and may violate applicable laws including the Electronic Communications Privacy Act. If you are not the intended recipient, please contact the sender and destroy all copies of the communication. Premier Profile-WALLACE BOOTH ELECTRIC,LLC 4,1 CI Subcode:664760 Ordered:0818/2016 15:11:18 CST °g°no Transaction Number:C06886035543m° LXpefafl Search Inquiry:wallace booth electric/1835 DOGWOOD DR/MARCO ISLAND/FU34145IUS/239-394-0583 • ° /899668125 Model Description:Intelliscore Plus V2 *x, FOR DEMONSTRATION PURPOSES ONLY-THIS REPORT NOT TO BE SOLD"" Business Name Business identification Number WALLACE BOOTH ELECTRIC, "LLC" r Cogs'a 899668125 Doing Business As: WALLACE- BOOTH ELECTRIC LLC Phone: (239)394-0583 Primary Address: 1835 DOGWOOD DR Tax ID: 27-1133248 MARCO ISLAND,FL 34145-6718 TOP Risk Dashboard Risk:Scores and Credit Unlit Recommendation . PaysS'eyondTerttts • t egal Rada!Alerts roe Intelliscore Plus Financial Stability Risk Company 08T Original Filings f High Risk Alerts HIGH RISK MEDIUM TO DBT STal— k:;":45!-:1 HIGH RISK Unavailable 2 Score range:1 -100 percentile Credit Limit Recommendation:$1,100 TOP Business Facts Years on File: 7(FILE ESTABLISHED 01/2009) SIC Code: ELECTRICAL CONTRACTORS- 1731 State of Incorporation: FL ELECTRIC SERVICES-4911 Date of Incorporation: 01/05/2009 NAICS Code: Business Type: Profit Electrical Contractors and Other Wiring Installation Contractors- Contacts: WALLACE R BOOTH-OWNER 238210 Electric Power Generation, Transmission and Distrioution-221100 Number of Employees: 1 Sales: $121,000 TOP Commercial Fraud Shield Evaluation for: WALLACE BOOTH ELECTRIC, LLC, 1835 DOGWOOD DR, MARCO ISLAND.FL34145-6718 Business Alerts lfenf[tati6t Triggers Active Business Indicator: Experian shows this business as active INACTIVE DOMESTIC CORPORATE FILING FOUND 1I Possible OFAC Match: 3No OFAC match found BUSINESS ADDRESS IDENTIFIED AS 1 RESIDENTIAL Business Victim Statement: till No victim statement on file TOP Credit Risk Score and Credit Limit Recommendation Credit Risk Scot*1n te1I score Pian Current inteliiscore Plus Score: 6 Risk Class: 5 Prerniar Prnrila.1NAI I Or R RnnTI-ci r • The risk class groups scores by risk into ranges of similar 6 • performance.Range 5 is the highest risk,range 1 is the highI Low lowest risk. Risk z.,.- . _ 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 > NUMBER OF RECENTLY ACTIVE COMMERCIAL ACCOUNTS S%of businesses indicate a higher likelihood of severe > NUMBER OF COMMERCIAL ACCOUNTS WITH NET 1-30 DAYS TERM delinquency. > NUMBER OF DEROGATORY COMMERCIAL LEGAL ITEMS > LENGTH OF TIME ON EXPERIAN'S FILE Intelliscore,Plus Quarterly Score Trends •• :. - Quarterly Score Trends r,ij The Intelliscore Plus Quarterly Score Trends provide a view of the likelihood of delinquency over the past 12 • months for this business.The trends will indicate if the 40 • score improved,remained stable,fluctuated or declined over the last 12 months. 7i1 . • • - 11110. . Credo Risk`Score Financial Stability Risk` • Current Financial Stability Risk Score:4 Risk Class: 4 % High "- LOW The risk class groups scores by risk into ranges of similar F'"i Risk. performance. Range 5 is the highest risk range 1 is the 0 3 1030 65 100 lowest risk. This score predicts the likelihood of financial stability risk within the next 12 months. The score uses:radeline and collections information,public filings as well as other variables to predict future risk. Highe-scores indicate lower risk. Factors lowering the score Industry Risk Comparison > NUMBER OF ACTIVE.COMMERCIAL ACCOUNTS 3%of businesses indicate a higher likelihood of financial NUMBER OF COMMERCIAL ACCOUNTS stability risk. > NUMBER OF COMMERCIAL DEROGATORY PUBLIC RECORDS > RISK ASSOCIATED WITH THE COMPANY'S INDUSTRY SECTOR Financial Stability Risk Eluarterly Scare Trends Pr.rnior Prnfilo-1N61 I Ar`C CnP.ru Ci c,'rn.. , Quarterly Score Trends lrin �_ - '_—..—.'-"'- '^ _____.- The Financial Stability Risk Quarterly Score Trends I provide a view of the likelihood of financial stability risk • an i over the past 12 months for this business.The trends will indicate if the score improved,remained stable, '.50- fluctuated fluctuated or declined over the last 12 months. 40 r_. I DC1 �,y;,,I- 1aa 4�"FC.?` Opti-"•' G'nedlt ilrn4 Ret otsarttegdration Credit Limit Recommendation This recommendation compares this business against similar businesses in the Experian business $1 100 credit database. It is based on trade information,industry,age of business and the tntelliscore 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 Payment'Performance Trade and ColIect)o n•Balance r _ LegaE�8@ngs Current DBT: Not Available Total trade and collection 0 : .;.._ ( D $0 t3ankruPtcy. No Predicted DBT: N/A All trades(0): SO Tax Lien filings; 2 Monthly Average DST: 0 All collections(0): $0 Judgment Flings: 0 Highest DBT Previous 6 Months: 0 Continuous trade 40): $p UCC Sum oflegal filings: $22.68? filings: 0 Highest DBT Previous 5 Quarters: C 6 month average: N/A Cautionary UCC filings: Ne Payment Trend Indication: Highest credit amount extended: N/A Payment trend indicator not available Most frequent Industry purchasing terms: Industry purchasing terms not available Industry DBT Range Comparison The current OBT of this business is Not Available. DOT for this business: Not Available • ato of businesses Bno qc r L Derr-Range TOP 6 Tax%Lierss File Date Filing Type Status Amount Feeing Number Jurisdiction 03/3112016 Federal Tax Lien Filed $20,015 5246155 COLLIER COUNTY CIRCUIT COURT Filed by: INTERNAL REVENUE SERVICE . 108/03,2015 Stale Tax Lien Filed by:STATE OF FLORIDAtied $2,646 5155342 COLLIER COUNTY CIRCUIT COURT TOP 0 Premier Profile-WALLACE BOOTH ELECTRIC.LLC 3!4 . Additional Business Facts Corporate RegtstraiIo i THE FOLLOWING INFORMATION WAS PROVIDED BY THE STATE OF FLORIDA.THE DATA IS CURRENT AS OF 08118'2016. State of Origin: FL Date of Incorporation: 01/05/2009 Current Status: Inactive Business Type: Profit Charter Number: L090000006 Agent: BOOTH WALLACE R Agent Address: 1835 DOGWOOD DR MARCO ISLAND.FL TOP Inquiries Summ of I uir.es .. Business Category AUG16 JUL16 JUN16 MAY16 APR16 MAR16 FEB16 JAN16 ...:- DEC15 BUREAU 1 Totals 10?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. Ca//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 exy'usive use for legitimate business purposes and shalt not be reproduced.Neither Experian information Solutions,inc.,nor their sources or distributors warrant such information nor sha//they be liable for your use orre/Tante upon it Experian 2016.All rigt is reserved.Privacy policy. Experian and the Experian marks herein are service marks or registered trademarks of Experian. wow Merit Credit MERIT CREDIT HAS RETRIEVED THE ABOVE BUSINESS REPORT FOR LICENSING :PURPOSES AS REQUESTED HY 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 LE. RNED• 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: a- 600-371-3349 OR 239-277-3202. COMPANY NAME: WALLACE BOOTH ELECTRIC, LLC FEDERAL ID:27-1133248 CURRENT STATUS:ACTIVE PRINCIPAL(S):WALLACE R. BOOTH TITLE:MANAGER DATE INCORPORATED:JANUARY 05. 2009 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 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 September 16, 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 Benjamin T. Mading dba Adria Group, 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. 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 Benjamin T. Mading was present at the public hearing on September 16, 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 he has been active in the trade in another jurisdiction and has knowledge of the contracting business. 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, such that a probationary license is warranted. 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 six (6) month probationary period after which he shall return for a review-of—credit within six (6) months from the date of-the—issuance of his State --- Contracting License. ORDERED by the Contractors Licensing Board effective the 16th day of September, 2015. 2 CONTRACTOR'S LICENSING BOARD C R CO , , TY, FLC41DA t } �, f vI- 1 ,�' ' F1' .1. ., 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 16th d. = --p em.- 2015. ANIIIIIIIIIIIIIIIIIr MINIIIW— Secre ary/Contractor's Licensing Board 3 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 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 May 18, 2016, 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 Benjamin T. Mading dba Adria Group, 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. On September 16, 2015 the Board ordered that Mr. Mading was to be on a 6 month probationary license and that he had to return with a credit report for review by the Board. 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 3. That the Board has jurisdiction over this matter and that Benjamin T. Mading was not present at the public hearing on May 18, 2016, and was not represented by counsel. 4. All notices required by the Code of Laws and Ordinances of Collier County, Florida, have been properly issued. 5. The facts in this case are found to be: a. Applicant had previously demonstrated through testimony and evidence presented at the September 16, 2015 hearing that he has been active in the trade in another jurisdiction and has knowledge of the contracting business. b. Applicant's 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, however, due to credit concerns a probationary license is warranted. c. The Applicant was ordered to provide a credit report and failed to do so for the May 18, 2016 hearing. 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; however, the Applicant's credit was of concern- and-he-has-failed-to--provide-an_-updated credit report as required by the - September 1-6, 2015 Order. ORDER OF THE BOARD 2 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 7 in favor and 0 opposed, a unanimous vote of the Board present, the applicant's license is hereby suspended until such time as he appears before the Board with an updated credit report for review and subject to further order of the Board. ORDERED by the Contractors Licensing Board effective the 18th day of May, 2016. CONTRACTOR'S LICENSING BOARD r_.. COLLIER COUNTY, FLORIDA Bh�( ;( ��)-�� ly^,��^��� E 1�, `�G t`�) Y� 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 Ian Jackson, Licensing Compliance Supervisor, 2800 North Horseshoe Drive, Naples, FL 34103 on this {7 day of )c,k,, , 2016. SAN Secretary/Contractor's Licensing Board 3 • Co �e-r Cou.vi.ty Growth Management Deparrtment Planning & Regulation Operations Division Licensing Section August 28, 2015 Benjamin T. Mading Adria Group Inc 2720 Pinetrail Ct. Bonita Springs, FL 34135 RE: Waiver of Exam(s) / Review of Credit Mr. Mading, You have been added to the agenda for the Contractor Licensing Board meeting on Wednesday, September 16, 2015. The meeting is held at 9:00am at the W. Harmon Turner Building (Bldg. F, Admin. Bldg.), 3299 Tamiami Trl. E., Naples, FL in the Commissioner's Meeting Room on the 3rd floor. If you have any questions or concerns, please call (239) 252-5572. Sincerely, ,% /rie,(.(n j • Samantha Roe Customer Service Specialist Licensing/Operations 2800 North Horseshoe Drive Naples, FL 34104 Growth Management Dlvision'Planning&Regulation;2800 North Horseshoe Drive'Naples,Florida 34104'239-252-2400`wnnv.colliergov.net Ben Mading Adria Group Inc. 4755 Mercantile Ave. Naples,Fl. 34104 August 1St 2016 To Whom It May Concern: First, I would like to apologize for missing my previously scheduled probation review! At the time of my first board review, I was battling my youngest daughter's cancer. Unfortunately, she lost her battle this year. She was in Pittsburg's Childrens Hospital and my attention had to be on her and making all the arrangements. I am requesting that you take that into consideration for excusing me of my absence. In our last meeting, I was working on cleaning up old debt.The debt consisted of mainly Credit cards,Target, Pier One ect..these wer items that I was unaware of due to me and my wife going thru a divorce. I also had lost another daughter to the same disease in December 2013. Between that and the separation I lost track of the credit reports and bills. To date from our last meeting I have paid off$9,136.71. Attached in this package is the "Satisfaction of Judgement" and cleared checks. Thank you for your consideration of reinstatement and suspension of my probation. Warm regards, Ben Mading %. Collier County Licensing Board fl R(J ,f{" T;' is 2800 N. Horseshoe Dr. AUG 0 2015 Naples, FL 34104 Li/ BY: To Whom It May Concern: Please see attached for my application for reinstatement of my Collier County Electrical License (017651). Assuming that the license is granted reinstatement, I would like to remove my license from Integrity Electrical Services, Inc. and qualify this license with Adria Group Inc. Please note that during this time that the license lapsed in 2010, I was going through a very difficult time in my life.There were several illnesses in my family, which resulted in a few deaths. In addition, I was going through a divorce, which caused some financial troubles and a hardship in my life.This is ultimately the reason why my license fell into a null and void status. However, please know that I have my life back on track. I have surrounded myself with friends and family and I am at a good place in my life. My greatest wish and hope now is to have my Collier County Electrical license reinstated, so I can continue working in the electrical field, as I am very passionate about this. If you have any further questions, I would be happy to answer them. Thank you for your consideration, Benjamin T. M•di g ER13013615 017651 ,. co\7pt 12W C11351 GO�-L J 0Y ..--OT4..7'ity GRID Operations & Regulatory Management Licensing Section AUG2 8 2015 2800 North Horseshoe Drive �� I r, 33Naples, 11L 34104 ,I APPLICATION FOR COLLIER COUNTY/CITY OF NAPLES/CITY OF MARCO FIRM INSTRUI'IONS: This application must be typewritten or legibly printed. The application fee must be paid upon approval and iComnrefundable. ss�dabse. AlFarlfurthersshould informaton, cone made e it Collier ayable to: Collier County Board of County County Ordinance No. 90-105, as amended. NAME OF COMPANY'; Adria Group inc.Exact Corporate/Business Name: Fiction Name/DBA: Qualifier Name: Benjamin T. Madin: Physical Address: 271.20 Pinetrail Ct., Bonita S•rin:s (State) (Zip Code) (Number&Street) (City) 27120 Pinetrail Ct., Bonita Springs, FL 34135 Mailing Address: (city) (State) (Zip Code) (dumber&Street) Telephone: (239) 200-6959 E-mail: Ben.Gemled@gmail.com TYPE QF LICENSE: .><-1Electrician �� General $230.00 Building $230.00 8/24/2015 Reinstatement Fee=$230.00 Residential $230,00 3 Back year fees=$615.00 Mechanical $230.00 New License Fee=$230.00 Roofing $230.00 • - Total=Slfl7S,fl0 •DI Recent rev,may'appi�.• Specialty Trade: CHANGE QF STATUS: Dormant License to Active (` )Reinstatement ( From One Business to Another ( ) v IOU`> CL'mesA-4'1 CD-t ` �J Jt Page 1 of 4 f. The names, titles. home address and phone numbers of all Of icersf lanaging Members of the Firm. Joti Projkovski, President 10928 Knine Drive Bonita ri Spngs FL 34135 (239)231-0316 ated 2. List all businesses,firms, entities forrobeen contracting partnere Attach estraes you ebeen pages if needed with during the last ten years(i.e. held a AFC Electric Inc.; Integrity Electrical Services, Inc.; Metro Electric Constructio. In 3. List all debts you or any company(s) with you that you refused to pay and the reasons for the refusal to pay. Attach extra pages Please see attached documentation for items reflected on m •ersonal credit -•• These items have either already been satisifed or are in the process of bein: .aid off. AFFIDAVIT Under the penalties of perjury I declare that I have read the foregoifig a.plication and that the facts stated in it are true. f„ .a/` A orized 9ffic• of the Firm The foregoing instrument as acknowledged before me this , 2(D,te) Joti Projkovski of Adria Group inc. by (Name of Officer, Title/ Agent) (Name of Corporation) " r nn Corporation on behalf of the corporation. a v` (State or Place of Corporation) He/She has produced ,T'Vr SG identification and did not take an oath. (Type of identification) NOTARY'S SEAL OtMY pV�, 1G 1:�s�� .•.., SEAN I"EEN �•, MYGOM1USSlpNtEE8569i6 ARY) EXPIRES:Deeember62018 Page t of 4 ''FOF„ce Bended Thy 8v5;0xoay&c,ic� QUALIFIER INFORMATION: Name. Benjamin T. Mading Address: 27120 Pinetrail Ct., Bonita Springs, FL 34135 -- ---- --- (Number& (Zip(City) (State) ( P Code) Telephone: (239)200-6959 Date of Birth: 'S3- l E-mail: Ben.Gemled@gmail.com Driver's License 4: 1. Type of Certificate of Competency for which application is made. Electrical 2. The names and telephone numbers of two persons who will know your whereabouts. r L3q) 23t43 n KAA L?_ 9 cis- b 33 3. Have you ever been convicted of a crime related to Contracting? No (If yes,attach extra sheet with explanation.) 4. Have you or any firms you have been associated with ever filed bankruptcy? N/A 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. Please see attached documentation and letter explaning these items. I was :oin: throu:h a divorce,which caused some financial issues. I am dedicated to satisfying all debts in their entirety. 6. List your business or work experience during the last ten years. Vice President of AFC Electric,Inc.from 12/1999-12/2012(became President in 2012),Qualified Employee at Integrity Electrical Services,Inc.from 9/2006—9/2010; Sales and Service Manager at Metro Electric Construction,Inc,10/2013-Present. 7. Statement of any tormal training you have had in the area for which the application is made. On the job training 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 anfl all activities involving his license. Any willful falsification of any information contained herein is grounds for disqualification. • Benjamin T. Mading Applicant (please print) Adria Group Name of Company Q,", -► Signature of Ap. ant State of Florida County of G o 74 C. The foregoing instrument as acknowledged before me this 6 7 Zd ate) Benjamin T. Marling who has produceda_151 G / / �'by (name of person acknowledging) (type of identification) as identification and did not take an oath. _ N �_ NOTARY'S SEAL r ro1�;; MY COMMISSION N 1 EE 856916 �7 . ' ) * +.,::' '.;I'' EXPIRES:December 6,2016 Jire.4- ..oro6c rted ttw S Notary Senior 4 of 4 AFFIDAVIT It is understood and acknowledged by the Collier County Contractor's Licensing Beard 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. Z. Signature of A licant Adria Group Inc. Business Name �5 ^� aa1S— Date BEFORE ME this day personally appeared Benjamin T. Mading 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 (01/6. The foregoing instrument as acknowledged before me this Date) who has produced //21�f by Benjamin T. Mading (type of identification)• of person acknowledging) as identification and did not take an oath, SPRY P SEAN DIfEN * CAM,EE 856918 '14 PARES:Nadir 6,2016 d//// 111111-111/////111/1"mullmil 140Fn, Mai Thu Bo*Noiarysenka (SIGNATURE •F 1.• • ' ) AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF Florida COUNTY OF Collier I, James Snyder , having been first duly sworn, state and affirm: I am a resident of Collier County, Florida (State)and have resided here for more than five (5) years. During the last five years I have known Benjamin T. Mading (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. 41, Signatur James Snyder Name 6084 Tower Center Cir. Naples, FL 34119 Address 239-227-4974 Telephone The foregoing instrument as acknowledged before me this 6 , 2 by Cv, ,�5 S y(21)94-- who has produced(name of person acknowledging) (type of identification) as identification and did not take an oath. NOTARY'S SEAL 411111111111-g 11111110•1-0/11.-. (SIGNATURE OF NOTA' mY COMIAISSION t EE 5506 * ' EXPIRES:December 8,2018 RESOLUTION OF AUTHORIZATION WHEREAS Adria Group Inc. proposes to engage (Name of Business Entity) Corporation _ In in contracting as — (Type of legal entity: corp.,partnership,etc.) Collier County,Florida,according to Collier County Ordinance 2006-46,as amended: and WHEREAS Adria Group Inc. proposes to qualify (Name of Business Entity) for a Certificate of Competency with Benjamin T. Mading (Name of Individual) NOW,THEREFORE,BE IT HEREBY RESOLVED THAT: We the undersigned_ Officers —of (Officers,Owners,Partners) Adria Group Inc. hereby resolve and represent to the Collier County (Name of Business Entity) Contractor's Licensing Board that the qualifying agent, Benjamin T. Mading is active (Name of Individual) in all matters connected with the contracting business of Adria Group inc. ,and (Name of Business Entity) We further resolve and represent that Benjamin T. Mading is (Name of Individual) Legally empowered to act for Adria Group Inc. in all matters connected with its • (Name of Business Entity) contracting business, and has the authority to supervise construction undertaken by Adria Group Inc. (Name of Business Entity) o g DULY PASSED AND ADOPTED THIS 2 g DAY OF fr / , (Officers, Partners,Os n-rs designation underneath)- 41. Wimes- 1/1 Witness Witness // 2y Zv/� by y/ od Corporate Seal(if applicable)or Notary Public Certificate 1 �+ Sworn to and subscribed before me this day of a The foregoing instrument as acknowledged before me this 211-7.r (Date) / by Benjamin T. Madingwho hasproduced c1() � ���s (name of person acknowledging) (type of identification) as identification and did not take an oath. NOTARY'S SEAL Gam` S'•ARY) SEAN DINIEEN * t_j * MY CO?,OIISSION f EE 866916 a�. EXPIRES:December 6,2018 -14cFM1e BQ'1kttTT/fi8.4et Way Salim 4. .o (7e- �s�-a�i.YLty GMD Operations & Regulatory Management Licensing Section 2800 North Horseshoe Drive Naples, FL 34104 MEMORANDUM Date: February 17, 2015 To: AppIicant's for Certificate of Competency From: Michael Ossorio, Contracting Licensing Supervisor Subject: Collection of social security numbers. Pursuant to Chapter I-19, Florida Statutes and Collier County Contractor Licensing Ordinance 2006-46 Section 2.1.1, all applicants are required to submit their social security number (SSN) for the following purposes: a) Assess applicant's ability to satisfy creditors by reviewing their credit history. b) Verification of applicant's test scores and information. Our office will only use your SSN noted above for those reasons pursuant to Chapter I-19, Florida Statutes, and as may otherwise be authorized by law. We are fully committed to safe-guarding and protecting your SSN and once collected, will be maintained as confidential and exempt under Chapter I-19, Florida Statutes. - .._ FLORIDA DEPARTMl' OF F STATE 3 • r • u D1v1SloN 01. C0RPORjt'LION� k, r x ;• __ f , Detail by Entity Name Florida Profit Corporation ADRIA GROUP INC Filing Information Document Number P15000053952 FEI/EIN Number NONE Date Filed 06/19/2015 Effective Date 06/19/2015 State FL Status ACTIVE Principal Address 10928 KNINE DRIVE BONITA SPRINGS, FL 34135 Mailing Address 10928 KNINE DRIVE BONITA SPRINGS, FL 34135 Registered Agent Name & Address PROJKOVSKI, JOT{ 10928 KNINE DRIVE BONITA SPRINGS, FL 34135 Officer/Director Detail Name &Address Title P PROJKOVSKI, JOTI 10928 KNINE DRIVE BONITA SPRINGS, FL 34135 Annual Reports No Annual Reports Filed Document Images 06/19/2015 -- Domestic Profit View image In PDF format Notice CP261 (1'0 Departmentv nfeSe Treasury Notice date July 27,2015 Internal Revenue Service Ogden UT 84201-0038 Employer ID number 474329430 IT)S To contact us Phone 1-800829.Ot15 t� Page 1 of 3 000985.580435.19967.33075 1 rdB 0.439 530 (l101(l0111,IIliIt0l10l41114411111I1i11`h1lIIlu ADRIA GROUP INC 10928 K NINE DR ::�;;• SONITA SPGS FL 34135-6861 000985 • We've accepted your S corporation election You will be treated as an S corporation starting June 19, 2015 We've accepted your S corporation election. As What you need to do a result,your tax year will end in December, You don't need to take any action. and you will be treated as an S corporation starting lune 19.2015. Review this notice to understand some of your obligations and responsibilities as an S corporation Continued on back... ADR,A Group me Notice CP261 80111A r11ASPCt x Notice date July 27,2015 BOrI'iA SPGS Fl 341356861 — Employer ID number 47-4329430 IIS If your address has changed,please call 1-800-829-0115 or visit www.irs.gov. n Please check here if you've included any correspondence. Write your Employer ID Contact information number(47-4329430)on any correspondence. ant D a.m. 0 pin. 5 Pm_ Primly Pfwne Set 5me to cors Secenda,y Phcoe Bei time to ca! INTERNAL REVENUE SERVICE OGDEN UT 84201-0038 lltilll,(,�tt,ulll,thlttl„I,l!{tllttliltltfll,h,,l{,lln,ltll 474329430 UI 00 2 000000 1 INSTR#2016000088245,Pages 1 - IN THE COUNTY COURT IN THE 20TH Doc Type SAT,Recorded 04/26/2016 at 04:04 PM, Linda Doggett,Lee County Clerk of Circuit Court JUDICIAL CIRCUIT IN AND FOR LEE COUNTY, FLORIDA Rec.Fee$10.00 Deputy Clerk ALUCKEY BARCLAYS BANK DELAWARE #1 Plaintiff, } vs. BENJAMIN MADING Defendant(s). CASE NUMBER: 2010-SC-004199 SATISFACTION OF JUDGMENT • FLORIDA BAR ID NUMBER 264547 KNOW ALL MEN THAT BY THESE PRESENTS,that BARCLAYS BANK DELAWARE the Plaintiff in the above styled cause,wherein a judgment was rendered on February 28, 2011 in the above-named Court for$3496.87 against BENJAMIN MADING , the Defendant herein,that said judgment having been duly recorded in the minutes of said Court and a copy thereof having been recorded in Official Records Book recording number INSTRUMENT# • 2011000051677 at page of the public records of LEE, Florida does hereby acknowledge that the Plaintiff has accepted a sum less than the full amount of the judgment and considers same to be fully paid and that the Clerk of the Court is hereby directed to reflect that same is hereby satisfied and is canceled and satisfied of record. By: STANLEY ;atbe Attorney for Plaintiff State of Florida County of Browarrl I HEREBY CERTIFY that on this day, before me,an officer duly authorized in the State of Florida to take acknowledgements, personally appeared STANLEY B. ERSKINE, Esquire, known to me to be the person described hereinabove and who executed the foregoing Satisfaction of Judgment and acknowledged and executed same before me. WITNESS my hand and official seal at Fort Lauderdale, Florida,this ie day of ifi / 20 J / —� •:";`"-"'• MERCEDES BELLO �: Notary NOTAR PUBLIC, State of Florid at�� _MyY P'uDlic-state of Florida nri ° Comm. Expires Oct 11 2016 My commis..sion expires: =���� �` ,,F�,,,,,�a, Commission#EE 842777 This document was prepared by: BonaeOThrouphNalionalMotaryAssn. STANLEY l3. ERSKINE, Esquire The Law Offices of Erskine& Fleisher Suite I00, 1351 Sawgrass Corporate Parkway Sunrise, Florida 33323 Telephone No. (954)384-1490 Telecopier No. (954)384-4088 Toll Free No. (800)397-9345 Email: Customerservice@.Eflaw.net cT�, 85360766.001 D375A/03%25/2016/ ©Iz�v tiTf z APR 291016 D 8/31/2016 Chase Online-Check Details Chase Online • TOTAL BUS CHK(...2177) Check Number: 505 Post Date: 08/01/2016 Amount of Check: $264.14 TIE FAZE OF THIS CHECK HAS A SECURITY VOID BACKGROUND PATTERN-DO NOT CASE IF THE VOID IS VISIELE. • BENJAMIN T MADING JPMORGAN CHASE BANK,NA 9167 ESTERO RIVER CIR 1 BISCAYNE TOWER.2 BISCAYNE B ESTERO,FL 33928 MIAMI,FL 33131 00000508 07127116 PrybEa Order et WD'°o0'ml°i MIDLAND CREDIT MANAGEMENT.INC. $264.14 8875 AERO DRIVE SAN DIEGO,CA 92123 THE SUM OF 264 DOLLARS AND 14/CENTS P.AaI C U.S.Fund, SIGNATURE NOT REQUIRED Vox Limos.ha 319u0S E D peynwtl toper. Mauro:8541840195 PrwoTAd Ie hsn4aoIa payment O udlVmeiml K IN TAM doc.moI Mal b dmmNApymrrh�EI�poAopdyEpoOno�.ov rMaemrndvEW WHN'lE THE EH LEEARNT. THE OHIOIRUL OOZUIIENi HAS A REFLECiNE WATERIMRK ON THE BACK HOLD AT AN ANGLE TO VIEW WHEN CN CIUNO 1111111111111.111110111111.11.11111111. IP00000 264 Lk/ Need help printing or saving this check? xi 8 N¢,y :2„14 53 072911 FIT 8 y F 111111 WIG 3140(70931 40 4200003 141 Need help printing or saving this check? ©2016 JPMorgan Chase&Co. https://resour ces.chase.com/comm onui/j avascri pts/nisi/ui/html/Pri nt.html 1/1 8/31/2016 Chase Online-Check Details Chase Online TOTAL BUS CHK(...2177) Check Number: 506 Post Date: 08/29/2016 Amount of Check: $264.13 THE FACE OF THIS CHECK HAS A SECURITY VOID BACKGROUND PATTERN-0O NOT CASH F THE VOID 15 VISIBLE. BENJAMIN T MADING JPMORGAN CHASE BANK,NA 9167 ESTERO RIVER CIR 1 BISCAYNE TOWER,2 BISCAYNE B ESTERO,FL 33928 MIAMI.FL 33131 00000506 08126/16 Pay K8fl Ordrd uomeau.cooern ST64.13 MIDLAND CREDIT MANAGEMENT,INC. 8875 AERO DRIVE SAN DIEGO,CA 92123 THE SUM OF 264 DOLLARS AND 13/CENTS Payable M U.S.Funds SIGNATURE NOT REQUIRED Your Gaps.Ka aW VCetl AN WNIMM IoPeKE Memo:8541840195 Pell to IIB Neu R.ndo•Ir payTPenl d E1G cowman. K IN TNF Doom.5.11 U.deyaAC DUCK KNIT d p•.we •e Mauve d uar,AnDV N 0Urane d by 1RIee%RC. THE ORIGINAL DOCUMENT HIS A REFLECTIVE WATERMARK ON THE BACK HOLD AT AN ANGLE TO VIEW WHEN CHECKING THE ENOONOEMENL .9ooaau 506 .000000 264 i 3/0 Need help printing or saving this check? S u 4 3 - u s Need help printing or saving this check? ©2016 JPMorgan Chase&Co. • https://resources.chase.com/comm onui/j avascri pts/nisi/ui/html/Pri nt.htm I 1/1 8/31/2016 Chase Online-Check Details Chase Online TOTAL BUS CHK(...2177) Check Number: 507 Post Date: 08/01/2016 Amount of Check: $1,910.33 THE FACE Of THIS CHECK HAS A SECURITY VOID BACKGROUND PATTERN.00 NOT CASH If THE VOID IS NSIEIE. BENJAMIN 7 MADING JPMORGAN CHASE BANK,NA 27313 GASPARILLA OR 1 BISCAYNE TOWER.2 BISCAYNE B BONITA SPRINGS.FL 34135 MIAMI,FL 33131 00000507 07127116 PIDLAND ed uEN,140.12 INC. MIDLAND CREDIT MANAGEMENT,INC. 51,910.33 8875 AERO DRIVE SAN DIEGO,CA 92123 THE SUM OF 1910 DOLLARS AND 33/CENTS Pale N U.S.FUME SIGNATURE NOT REQUIRED Tow DESIRES les RAW.MR payment to PW.A Memo:8539931658 P.Rw mldd pl R.eame lar dE ITUT d mb d.G,nml. K IN - Tle doR.nerd Anel K.d.Pmdm only NOWIT d OW. aid dGE,EEdRNarWHEN C QU..o.d MPATa.Y CSIl THE ORIGINAL 000LNERT NAB A REFLECTIVE WATERMARK ON THE BACK HOUR AT AN ANGLE TONE WHEN CHECKING THE KUOORSEMERT. x00000 50?IP "0000/9/0 33., Need help printing or saving this check? x 8 E E2 R T 1. z3i N z ZBI_ R 872216 FAT P 8IFH1 THIN 8516 iP731 40420003141r 1509 .3 Need help printing or saving this check? ©2016 JPMorgan Chase 8 Co. https://resources.chase.com/com m onui/j avasCri pts/nisi/ui/htm I/Print.htm I 1/1 8/31/2016 Chase Online-Check Details Chase Online TOTAL BUS CHK (...2177) Check Number: 508 Post Date: 08/29/2016 Amount of Check: $1,910.32 THE FACE Or THIS CHECK NAS A SECURITY VOID BACKGROUND PATTERN-DO NOT GNI V T1*VOID IS MDR. BENJAMIN T MADING • JPMORGAN CHASE BANK NA 27313 GASPARILLA DR 1 BISCAYNE TOWER,2 BISCAYNE B BONITA SPRINGS,FL 34135 MIAMI,FL 33131 00000508 08!25116 PWUNe Did ACA103.24{RI40 =7,970.32 MIDLAND CREDIT MANAGEMENT,INC. 8875 AERO DRIVE SAN DIEGO,CA 92123 THE SUM OF 1910 DOLLARS AND 3210ENTS P.gbb in U.S.Funds SIGNATURE NOT REQUIRED You DswPCRa has 0NKKhsd Due PAK..IN PAIRO. Memo:8539931658 Pews Ip Idd KPI MMwe Ira P.IORNO S w`OwwwsnL KIN TOE Scum.ETISI M deo ASmN IN...SIS Paes NW absence PI Ando-ward Is 91rWbad by payees balk THE ORIGINAL DOCUMENT WS A REFLECTIVE WATERMARK ON THE BACK. MOLD AT AN ANGLE TO VIEW WHEN CHECKING THE ENDORSEMENT. W00000 scup,. .00000191032.0 Need help printing or saving this check? S n 3 v u 3 O a Need help printing or saving this check? ©2016 JPMorgan Chase&Co. https://resources.chase.com/comm onui/j avascri pts/nisi/ui/html/Pri nt.htm I 1/1 8/31/2016 Chase Online-Check Details Chase Online TOTAL BUS CHK(...2177) Check Number: 509 Post Date: 08/01/2016 Amount of Check: $302.81 nit FACE OF MS CHECK KM A SECURITY VOID BACKGROUND PATTERN-DO NOT CASH IF THE VOID LS MIRE. BENJAMIN T MADING JPMCRGAN CHASE BANK NA 3309 USA LN APT 1 1 BISCAYNE TOWER,2 BISCAYNE B NAPLES,FL 34109 MIAMI.FL 33131 00000509 07/27116 Psi.?M Be Oderd MIDLAND CREDIT MANAGEMENT,INC. 3302.81 8875 AERO DRIVE SAN DIEGO,CA 92123 THE SUM OF 302 DOLLARS AND 81/CENTS Peymte.U.S.Funds SIGNATURE NOT REQUIRED YER DepWltr hes...teed ha own.rI o RES. Memo:8550117893 Royee m bold la Formes 1a pm^Nd d.b&come.. K IN This d¢umed aFi be deposited only e.edd d DEA' Rid bsmeedIEW HANd IppuCKINE1ey PSINAN FEW. THE ORMMAl.DOCUMENT ILLS A REFLECTIVE WATERMARK ON THE BACK. NOLO AT AN ANGLE TO VIEW WHEN CMECRIMS ONE ENDORSEMENT. Ee00000 509. .000000 50 28 le Need help printing or saving this check? x 3 L gSgF m�e a e 9 e r 87231'PFT 9 _ 1In11 THIRD MIA 675?) 40420003141P Need help printing or saving this check? ©2016 JPMorgan Chase&Co. https://resour ces.chase.com/comm onui/j av as cr i pts/nisi/ui/htm I/Pri nt.htm I 1/1 8/31/2016 Chase Online-Check Details Chase Online TOTAL BUS CHK(...2177) Check Number: 510 Post Date: 08/29/2016 Amount of Check: $302.80 TNS FACE Of THIS CHECK HAS A SECURITI ACID RACKOROUNO PATTERN-DO NOT CASH IE THE 100 IS MOLE BENJAMIN T MADING JPMORGAN CHASE BANK,NA 3309 USA LN APT 1 1 BISCAYNE TOWER,2 BISCAYNE B NAPLES,FL 34109 MIAMI,FL 33131 00000510 08126/16 PyCdeONrd MIDLAND CREDIT MANAGEMENT,INC.' 3302.80 8875 AERO DRIVE SAN DIEGO,CA 92123 THE SUM OF 302 DOLLARS AND 80/CENTS Pr** U.S.Funds SIGNATURE NOT REQUIRED Yaa[Rpm.has aeCIIU E h PA^Imt IC pales. Memo:8550117893 Pape D nad you Inmmlms for pawed d WA dOCeed. K IN TIN dpaam K anan be depended owl,to aedl d type Ind Ibsen.d e donerm i 6/010AHI d SY pryae'e INN, THE ORIGINAL DOCUMENT NASA REELECTWE WATERMARK ON THE SACK MOLD AT All ANGLE TO VIEW WHEN CHECKING THE ENDORSEMENT. .•000005 LGE' /00000 30 280/ Need help printing or saving this check? DOj y s 3 o m Need help printing or saving this check? ©2016 JPMorgan Chase&Co. https://resources.chase.Com/commonui/javascripts/nisi/ui/html/Print.html 1/1 • 8/31/2016 Chase Online-Check Details Chase Online TOTAL BUS CHK(...2177) Check Number: 511 Post Date: 08/01/2016 Amount of Check: $342.66 THE AKE OF THIS CHECK HAS A SECURITY VOID BACKGROUND PATTERN-00 NOT CASH IF THE VOID IS MIKE. BENJAMIN T MADING JPMORGAN CHASE BANK,NA 27313 GASPARILLA DR 1 BISCAYNE TOWER,2 BISCAYNE B BONITA SPRINGS,FL 34135 MIAMI,FL 33131 00000511 07/27/16 Pity IP the OHOHCUIm72r1110HTB MIDLAND CREDIT MANAGEMENT,INC. 0342.66 8875 AERO DRIVE SAN DIEGO,CA 92123 THE SUM OF 342 DOLLARS AND 66/CENTS POKE In U.S.Funds SVGNATURE ROI REWIRED YON DCWska has a4Mved We payment s Pape Memo:853'1007436 Pal..b MO ypu har1406/0 pMiRN HI Ne dsulSN. K IN This document Nal 13a deocaRed RMTI a.ddU payee td aEPmwd oq�WHEN aquraue.d Ey pSy,AO CHIT THE pIHIMAI DOCUMENT HAS A OEPUECTNE WATERMARK ON THE EACH. NOIR AT AN 01501E TO MEW WHEN CHECKING THE EN0005EMEM. .500000 5 1 11 x'00000 31.266: Need help printing or saving this check? > 1 8 3 R 1?: N o s 3 T n m S F8 E d N 6 3U N 0 s J W� 072916 PKTI HMI 11169 SIdE IPD/I 1042000314► Need help printing or saving this check? ©2016 JPMorgan Chase&Co. https://resources.chase.com/comm onui/j avascripts/nisi/ui/htm I/Pri nt.htm I 1/1 8/31/2016 Chase Online-Check Details Chase Online TOTAL BUS CHK (...2177) Check Number: 512 Post Date: 08/29/2016 Amount of Check: $342.65 THE FACE OF THIS CHECK HAS A SECURITY VOID BACKGROUND PATTERN-DO NOT CASH IF TIE VOID IS VBR9LE BENJAMIN T MADING JPMORGAN CHASE BANK,NA 27313 GASPARILLA DR 1 BISCAYNE TOWER,2 BISCAYNE B BONITA SPRINGS,FL 34135 MIAMI,FL 33131 60060512 08126116 PayPSYCHO 0100 Ci soxims MIDLAND CREDIT MANAGEMENT,INC. {342.65 8875 AERO DRIVE SAN DIEGO,CA 92123 THE SUM OF 342 DOLLARS AND 65ICENTS PEpte in U.S.FUM. SIGNATURE NOT REQUIRED Toe 0511®000 hes ae i:ireJ It 15Nna10 PTVK KN 8533222436 ��Beu my� L KIla,�4TWI b Ind ensEnm of et/damned mv>aai wLWelSbWI. TOE ORIGINAL DOCUMENT HAS A REFLECTIVE WATERMARK ON THE BACK HOLD AT AN ANGLE TO VIEW WHEN CHECKING THE ENDORSEMENT. 0000005 L20__ /000003420 Sr' Need help printing or saving this check? a 3 u- u o m Need help printing or saving this check? ©2016 JPMorgan Chase&Co. https://resources.chase.com/commonui/javascripts/nisi/ui/html/Print.html 1/1 • 886 110`h Ave. N.Suite#6, Naples,FL 34108 `,1: .. ,,,.:344 - r } e - 1% Phone:239.777.1028 5r { Fax: 877.275.3593 ... . www.LicensesEtc.com PERSONAL(EDIT REPORT(Compiled From National Records) <FOR> <SUB NAME> <MKT SUB> <INFILE> <DATE> <TIME> (I) P NP7771028 LICENSES ETC 16 NP 1/93 08/06/15 13: 47CT <SSN> <BIRTH DATE> <SUBJECT> - RPTD> <CURRENT ADDRESS> 2/06A 27120 PINETRAIL CT. , BONITA SPRINGS FL. 34135 <FORMER ADDRESS> 5/98 27608 PULLEN AV. , BONITA SPRINGS FL. 34135 26331 NOTTINGHAM LN. , BONITA SPRINGS FL. 34135 <RPTD> <CURRENT EMPLOYER AND ADDRESS> DIRECT BENEFITS 5/05 <FORMER EMPLOYER AND ADDRESS> AFC ELECTRIC INC 10/01 MODEL PROFILE ***FICO CLASSIC 08 SCORE +519 : SERIOUS DELINQUENCY, AND PUBLIC RECORD OR ***COLLECTION FILED; TOO FEW OONTSNUMBERCURRENTLY ACCODNTS WITHAGREED; DELINQUENCYRECENT *** ***NON-MORTGAGE BALANCE INFORMAT CREDIT SUMMARY * * * TOTAL FILE HISTORY PR=1 COL=7 NEG=9 HSTNEG=1-6 TRD=14 RVL=8 INST=2 MTG=3 OPN=1 INQ=2 HIGH CRED CRED LIM BALANCE PAST DUE MNTHLY PAY AVAILABLE CLOSED W/BAL: $5427 $5256 $ TOTALS: $ $ $5427 $5256 $ PUBLIC RECORDS PUBLIC RECORDS HAVE BEEN SEARCHED AT THE COUNTY,STATE AND FEDERAL LEVELS SOURCE DATE LIAB ECOA COURT ASSETS PLAINTIFF/ATTORNEY TYPE lOSC4199 Z 5064207 2/11R $3146 I CI BARCLAYS BANK DELAWARE CIVIL JUDGMENT COLLECTIONS MOP SUBNAME SUBCODE ECOA OPENED EDCLOSED SPLACED BALANCE REMARKS ACCOUNT# MIDLAND FUND Y 36ET009 I 17/15MONEY A $1371 PLACEDFOR A09BNK COLLECTIO MIDLAND FUND Y 36ET009 I 7/ BANK 9B 15A $1057 PLACED FOR COLLECTIO MIDLAND FUND Y 36ET009 I 7/ NATIONAL 9B 15A $7641 PLACED FOR COLLECTIO Pagelof3 E K N A FUND Y 36ET009 I 5/12 $1211 CHASED BANK USALECTIO 9B MIDLAND 7/15A $1211 49XV008 I 10/14 $267 10 CENTURYLINK CEN 098 EOS CCA Y 12/14A $267 PLACED FOR COLLECTIO CREDIT COLL Y 1GZD005 I 1/14 $261 06 PROGRESSIVE INS 098 4/14A $261 PLACED FOR COLLECTIO $65 MEDICAL 09B FORESTRECVY Y 2EC8001 I 13 12/13A $65 PLACED FOR COLLECTIO TRADESMAXDELQ PAYPAT 1-12 MOP SURNAME SUBCODE OPENED HIGHCRED TERMS ACCOUNT# VERFIED CREDLIM PASTDUE AMT-MOP PAYPAT 13-24/90 4 ECOA COLLATRL/LOANTYPE CLSD/PD BALANCE REMARKS MOR09 CAPITAL ONE B 1DTV001 5/05 $591 8/15A $500 $364 I CREDIT CARD 11/09F $364 CLOSD BY CRDT GRANTOR R09 FST PREMIER B 41PF045 11/01 $388 2/13A $250 $388 I CREDIT CARD 7/09F $388 UNPAID BLNC CHRGD OFF R09 CHASE-PIER1 B 247V026 5/04 $776 9/11A $650 $0 I CREDIT CARD 2/10F $0 PURCH BY OTHER LENDER R09 TARGET N.B. D 1ZX5001 5/03 $5221 7/11A $4400 $0 I CREDIT CARD 10/09F $0 PORCH BY OTHER LENDER R09 BRCLYSBANKDE B 1ZZB001 9/07 $3224 1/10A $2300 $3142 I CREDIT CARD 12/09F $3146 CLOSD BY CRDT GRANTOR R09 CHASE B 26QK001 4/04 $2091 10/09A $817 $0 I CREDIT CARD 10/09F $0 PURCH BY OTHER LENDER R09 FST PREMIER B 41PF018 4/05 $287 8/09A $250 $120 A CREDIT CARD 6/09F $287 UNPAID BLNC CHRGD OFF I09 FRD MOTOR CR F 3796761 5/04 $40.1K 65M 7M /09A C SLDTO CBV COLLECT 7/09F $0 PURCH BY OTHER LENDER 09B VERIZON U 1R2W002 3/12 $1242 $ 7/15A 1242 I TELECOMMUNICATION 4/14F $1242 PLACED FOR COLLECTION 12/09 111115543211 R01 KAY JEWELERS J 722D62X 11/03 $1969 185 05 211111111111 7/10A $1969 $0 $ I CHARGE ACCOUNT 5/09C $0 CLOSD BY CRDT GRANTOR 48 2/ 1/ 3 111111111111 M01 MORTGAGE LEN B 1RZM001 11/05 $496K 360M3271 pagM O of 3 ietlaKOININOMMIe _ 11 TRNSFRD; OTHER LENDER 14 3/07A $0 0/ 0/ 0 I ' CONVENTIONAL REAL 3/070 $0 NUVELL CREAT F 79PG006 1 111111111111 I01 21.7K 66M525 111111111111 1/006A 1 $ $0 98 0/ 0/ 0 1/06C $0 CLOSED I AUTOMOBILE M01 BK OF AMER B 4275002 4/05 $280K 360M 12/05A $0 7 0/ 0/ 0 I CONVENTIONAL REAL 12/05C $0 CLOSED 1111 MO1 HSBC/MS F 235197C 4/05 $78 .6K M741 12/05A $0 0/ 0/-0-- 12/05C $0 CLOSED _---_-_----4 I HOME EQUITY-LOAN--------------------------- -- 4 ---------- AMOUNT INQUIRIE SUBNAME TYPE DATE SUBCODE 8/06/15 PNP7771028 (FLA) LICENREDIETC --- --------- ---^---- 4/09/14 ZTN0620207 (SCT) _____________________________ --------------- --------- END OF REPORT Page 3 of 3 886 110th Ave. N. Suite I16, Naples, FL 34108 1,, Phone: 239.777.1028 ! 't � 1 . ;;; ___ , Fax: 877.275,3593 www.LicensesEtc.com BUSINESS CREDIT REPORT as of: 08/28/15 2:08 ET Integrity Electrical Services Inc. Fed Tax ID# 22-3936741 - -- - - - Address: 16880 Gator Rd Ste 108 Key Personnel: Victor 0 Tianga Nelly Tianga Fort Myers, FL 33912-5903 ChouTan Donald United States • SIC Code: 1731-Electrical Phone: 239-344-7925 Contractors Website: integrityelectricalservices.net 238210 Electrical NAICS Code: Contractors And Experian BIN: 832183142 Other Wiring Installation ' Agent: Spiegel& Utrera,P.A. Contractors Agent 1840 SW 22ND ST j Business Type: Corporation Address: Miami, FL Experian File Established: November 2006 1 Family Linkage: Experian Years on File: 9 Years Ultimate Integrity Electrical Services Inc Years in Business: 10 Years Parent 16880 Gator Rd Ste 108 10 Fort Myers, FL ' Total Employees: Branches/ Integrity Electrical Services Inc Sales: $1,880,000 Alternative 18233 Hawthorne Rd Florida Locations Fort Myers, FL United States Filing Data Provided by: Date of Incorporation: 06/30/2006 Page 1 of 2 Pu61rc,Records PUBLIC RECORDS HAVE BEEN SEARCHED AT THE COUNTY, STATE AND FEDERAL LEVELS. ✓Bankruptcies: 0 /Liens: 0 /Judgments Filed: 0 /Collections: 0 END OF REPORT Page 2 of 2 4rarlrr ...._. .... - OAtEIMMmP1YYYY) • 0812612015 �..1 ATE OF LIABILITY INSURANCE HTS UPON THE cERTIFICgYTHEPOLiC 1S ��QRt7 ACS A MA E OF t �'� EXTEND OR ALTER THE COVERAGfi AFFORDED S AUTHORIZED MATTER INFORMATION ONLY AND CONFERS NO REEK THE ISSUING INSURER(S),NEGATNELY AM TRACT BETW BEL W. THIS GTENOT T ISSUED F INSURANCE CE DOES NOT CONSTITUTE A CON subject, CERTIFICATE DOESAFFIRMATIVELY THE CERTIFICATE HOLDER. SUBROGATION IS WAIVED, rights to the BELOW. THIS CER OR PRODUCER,AND {(cER. must be endorsed. If SUER IMRP IMPORTANT: A the c OR PR A statement . this BRt G TI does not confer r19 certain policies may require an endorsement. to IMPORTANT: If certificate holder Is an AQDlT1oNAL INSURED.the CONTACT Margie Tann F� a: (239 433-1058 the terms and conditions of the policy, AME' 433 2325 certificate holder In{leu of such endorsement(s)• p ONE • 239) E-mAri margle(�>ehnerassocietes.wm PRODUCER _ •: 5268 S&A edin eS INSURER Sn AFFORDING COVERAGE Ste 502 Ohlo Security Insurance Co Fort Summerlin Commons WaYNSURERA Fort Myers,FL 33907 FaX (239 433-1058. Phone (239)433-2325 111111111111 INSURED INSURER D Adria Group Inc REVISION NUMBER: NAMED ABOVE FOR THE POLICY PERIOD NUMBER: COVERAGES POLICIES CERTIFICATEF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE 1NSUREO NAM PECT TO CONDITION OF ANY CONTRACT HEP L1C ES DESCRIBEDROTHER DOCUMHEREIN ENT SUBJECT WITHSA THE TERMS THIS IS TO CERTIFY THAT THE P REQUIREMENT TERM OR AFFORDED BY T MAY PERTAIN,THE INSURANCE BEEN BY PAID OLI-AlY CLAIMS. i,ppp•000.00 HIS INDICATED.O. NOTWITHSTANDING ANY REDUCEDDy EFF IACLAI URRENCE CERTIFICATE MAY 8E ISSUED OR POLICY t7UMBER EACH OCC EXCLUSIONS AND CONDITIONS OF SUCH POALICIES. LIMITS SHOWN MAY HAVE. UDD DAh{AGETo RENrEO $ 300,000.00 ' PREI.usEs aesor) $ 15,000.00 INSR TYPE OF INSURANCE MED EXP(Any one Pe OOQ.C4 C01,lMERCtALGENERAL UABILiTY peaso`7AL&ADV INJURY $ 1'000' CLAMS-MADE Q OCCUR 07!0912015 07108!2016 $ 2 000 000.00 Q 1BLS(16)56791970 2 p00,g00.00 PRODUCTS-COMPIOP AGG $ ❑- 1,000,000.00 GENL AGGREGATE LIMIT APPLIES CEQat•S accident SINGLE LIMIT ❑POLICY Q JEC BODILY INJURY(Per person) $ 0 OTHER BODILY INJURY leer accident AUTOMOBILE LIABILITY p7l15/2015 0111512016 PROPERTY anDA2:1AGE O ANY AUTO SCHEDULED 8AS(16)56791970 M.�_ a AtLLfTOOSwNEO Q N0 .1)WNEp • HIRED AUTOS O AUTOS EACH OCCURRENCE O UMBRELLA LIAR 0ii OCCUR ❑ ■PERU E . 0CLNI.IS•1lADE nIIIIIIIIIIIINI • EXCESS LIAR E.L.EACH ACCIDEK[ III DEO II RETFSKTION 5 E.L.DISEASE•EA EMPLOYE \YORKERS COMPENSATION YIN ICY LIMIT $ AND EMPLOYERS'UAB Er £CUT E.L.DISEASE-POL �10ER(ME BER EAXCTLUDED? ID IMIMAIIIIMITI (Mandatory In NH) 1(yes,descnbe under OEESCRIPT70N OF OPERATIONS heknv wired TIONS f LOCATIONS!VEHICLES(Attach ACORD 101,AddltIonal Remarks Schedule,N mole space Is requited) 11111111111111111111111 DESCRIPTION OF OPERA CANCELLATION CERTIFICATE HOLDER SHOULD TIOON THE 7EBHEREOF,NOTICE WILL POLICIES BE DELIVEREDEN CANCELLED BEFORE THE EX Department ACCORDANCE WITH THE POLICY PROVISIONS. Gllier County Licensing p 6-- 2800 North Horseshoe Dr AUTHOfUZEO REl'RESEN7A7NE Naples FL 34104 ©1988.2014 ACORD CORPORATION' All rights reserver The ACORD name and logo are registered marks of ACOR ACORD 25(2014101)QF DATE(MIAJDDIYYYY) • ,ACO CERTIFICATE OF LIABILITY INSURANCE 8/26/2015 THIS RCERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER SUNZ Insurance Solutions, LLC. ID: (BIOGA) NAME: Ginger Price c/a Business Insurers of P Georgia, PHO Inc. RONE X 886 4716 FAX,No): 110 Mansell Circle` ADDRESS:Im.Ex l: Ste.203 678 9ingerp@insourcees.com Roswell, GA 30075INSURER(S)AFFORDING COVERAGE I HAIL e INSURER A: SUNZ Insurance Company I 34762 INSURED INSURER B: Aspen Re-London-Best Rating'A' ,_ Business Insurers of Georgia, Inc, msuRERc: Catlin Syndicate Lloyds Best Rating'A' 1 i 0 Circle, Suite 203 INSURER 0: 'Brit Syndicate-Lloyds-Best Rating°A: Roswellell GA GA 30300775 I INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 26116660 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 ADOL SUBR POLICY EFF POLICY EXP LIMITS _LTR TYPE OF INSURANCE INSR WVO POLICY NUMBER (ME000IYYYYI (MM100IYYYYt COMMERCIAL GENERAL LIABILFEY EACH OCCURRENCE 5 OAAIAGE TO RENTED I CLAIMS-MADE I I OCCUR I PREMISES(EaRENTED occurrence) 5 MED EXP(My one person) S PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GENT_AGGREGATE LIMIR APPLIES PER: ' POLICY I I JET I I LOC PRODUCTS•COMP/OP AGG $ S OTHER: I I COMBINED SINGLE LIMIT S AUTOMOBILE LIABILITY (Ea acddenI) BODILY INJURY(Per person) 5 AUT SuTo BODILY INJURY(Per acddent) $ ALL OWNED SCHEDULED AU0AUTOS PROPERTY DAMAGE 15 �" ANED (Per accident) HIRED AUTOS __AUUTOSTOS I$ UMBRELLA LIAB OCCUR EACH OCCURRENCE I$ - EXCESS LIAR CAMS-MADE AGGREGATE $ DEO RETENTION 5 A WORKERS COMPENSATION WCPE0000010205 6/1/2015 16/1/2016 ,/ I STATUTE OTH- ER AND EMPLOYERS'LIABILITY Y 1 N I I E.L.EACH ACCIDENT $ 1,000,000 ANY PROPRIE70R/PARTNER/EXECUTWE i I H!A 1,000,000 I I OFFICERRNEMBER EXCLUDED? (Mandatory In NH) u E.L.DISEASE-EA EMPLOYE Pr S If yes,describe under E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OFm OPERATIONS bekr.v - This is for informallonal purposes C Excess Coverage Workers'Compensation I and nothing shall create any right C DI under such reinsurance. DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be allached II more space Is required) Coverage provided for all leased employees but not subcontractors of:Sunshine Workforce,LLC Client Effective Date:8/11/2014 Coverage provided for all leased employees to client Adria Group from Sunshine Workforce,but coverage does not extend to Adria Group employees. CERTIFICATE HOLDER CANCELLATION 2723743 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE . Collier County Licensing Baord THEOEXANCE WITH DATE E POLICY PROVISIONS. NOTICE WILL BE DELIVERED IN 2800 N. Horsehoe Drive Naples FL 34101 AUTHOR12E0 REPRES REPRESENTATIVE ...v./4 y��/J /f Glen J Distefano �N f ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD 26116660 1 Master Certificate 1 Karin freeness 18/26/2015 11:57:11 AH IADTI 1 Page 1 of 1 1:31:46 PM 8128/2015 • Licensee Details Licensee Information Name: MADING, BENJAMIN T (Primary Name) INTEGRITY ELECTRICAL SERVICES INC (DBA Name) Main Address: 10920 K NINE DRIVE BONITA SPRINGS Florida 34135 County: LEE License Mailing: LicenseLocation: 10920 K NINE DRIVE BONITA SPRINGS FL 34135 County: LEE License Information License Type: Registered Electrical Contractor Rank: Reg Electrical License Number: ER13013615 Status: Delinquent,Active Licensure Date: 10/18/2006 Expires: 08/31/2014 Special Qualifications Qualification Effective Collier 10/18/2006 • Alternate Names View Related License Information View License Complaint 1.940 North Monroe Street,Tallahassee FL 32399 :: Email: Customer Contact Center:: Customer Contact Center: 850,487,1395 The State of Florida is an AA/EEO employer.Copyright 2007-2010 State of Florida.Privacy Statement Under Florida law,email addresses are public records.If you do not want your email address released In response to a public-records request,do not send electronic mail to this entity.Instead,contactei office a ahyy tpphonee or by tray diton tional 2012f you nhave any c licensed tins, please contact 850.487,1395, Pursuant to Section 455,275(1), Chapter 455,F.S.must provide the Department with an email address if they have one.The emalls provided may be used for official communication with the licensee.However email addresses are public record.If you do not wish to supply a personal address,please provide the Department with an email address which can be made available to the public.Please see our Chapter 455 page to determine Metro Electric Construction Inc. 5269 30th Ave Sw. Naples, FL 34116 August 20, 2015 Name: Benjamin Travis Mading Company Name: Metro Electric Construction Inc. Title: Service Technician / Sales Business Address: 5269 30th Ave Sw Naples, Fl. 34116 Business Phone number: 239-280-9867 Time Frame of employment: February 2014 - Present Scope of work: Estimating and Service Technician Signature: 6K_ 4L4. Date Print Name: cDDPU C u 1 X 1 NOTARY SEAL and Signature g PERSONALLY KNOWN X d BEAT MA►D1NG `fi" MY COMMISSION 4 EE148284 •?;11'.." EXp VSNo'ember2 ,2015 -26849 ,4 tery3+�1� Oct 17, 2012 2012 FOR PROFIT CORPORATION AMENDED ANNUAL REPORT DOCUMENT# P97000100855 Secretary FILED f State Entity Name: AFC ELECTRIC,INC. New Principal Place of Business: Current Principal Place of Business: 10550 ABERNATHY ST. BONITA SPRINGS, FL 34135 New Mailing Address: Current Mailing Address: 10550 ABERNATHY ST. BONITA SPRINGS, FL 34135 FEI Number Not Applicable( ) Certificate of Status Desired(X) FEI Number:59-3481558 FEI Number Applied For( ) Agent: Name and Address of New Registered Agent: Name and Address of Current Registered SHEFFIELD,ROBERT J QUINN, MICHAEL DRIVE US 10550 ABERNATHY STREET 27645 ROSLIN SPRINGS, E 34135 BONITA SPRINGS, FL 34135 US submits this statement for the purpose of changing its registered office or registered agent, or both, intheState of Florida. lty 10117!2012 • SIGNATURE: ROBERT J SHEFFIELD Electronic Signature of Registered Agent Datel OFFICERS AND DIRECTORS: Title: CEO Name: SHEFFIELD,ROBERT J Address: 27645 ROSLIN DRIVE City-St-Zip: BONITA SPRINGS,FL 34135 Title: - it. Name: MADING,BEN Address: 27120 PINE TRAIL COURT City-St-ZIP: BONITA SPRINGS,FL 34135 Title: VP Name: FETZNER,TODD R Address: 620 NW 2ND TERRACE City-St-Zip: CAPE CORAL FL Title: VP Name: QUINN,MICHAEL Address: 27854 ROSLIN DRIVE City-St-Zip: BONITA SPRINGS,FL 34135 that the information indicated on this report or supplemental report is true and accurate and that my electronic certify ter that I 607, Florida Statutes;ando thatf the name appears rthebevei e s I hereby same legal effect as if made under Cha' I am an officer or director of corporation or receiver or trustee shail ee the or trustee empowered to execute this report as required by10(1712012 r Electronic Signature an attachment with all other like empowered. CEO Date SIGNATURE: ROBERT J SHEFFIELD gnature of Signing Officer or Director Collier County Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34108 To Whom It May Concern: Please see attached for the application for a Lee County local receipt copy of the Group Inc. Please note I am aware that this reinstatement application requests a company's Lee County local business tax receipt. n Lee County, However, please note that in order to apply for a local e local business taxusiness tareceipt'rece pt which is hey require that the license be issued before applying why this has not been applied for yet. We understand that Collier County does this differently; however, as our business is located in Lee County, we must abide by their regulations. Please see attached for a copy of the local business tax receipt that we will file after our license has been reinstated with Collier County. This should be everything that you will need in order to verify that a local business tax receipt will be in place with Lee County upon Issuance of the license in Collier County. Thank you for your assistance, Benjamin T. Mading • vez,cou,,y ‘,e0 CAU„Local Business Tax Account Application Tax Co for Lee County Tax Collector Co Tax tor. P.O.Box 1549 Snare of oo- Ft.Myers,FL 33902-1549 s'4,..1 .b 239.533.6000 (Return application,fees,and corresponding documents to the Lee County Tax Collector for processing.) 1. Type of Business: Construction- Electrical Adria Group Inc. Errl/ssN: 47-4329430 2. Business Name(DBA): NOTE:Indicate below why you are exempt from filing for a Fictitious Name Registration/DBA(Doing Business As) 0Business name indicates my full legal name Business name is a registered trademark O Business name is the corporate name 0 Business name is the limited liability partnership name O Business name is the general partnership name ❑ Attorney,Dept.of Health,Dept.of Business&Professional Re rgulation Marling Benjamin (First (diddle Initial) 3. Owner/Professional/QualifierNatne: (Last) 4. County/State license or certification number:(Professional, Contractor&Restaurants, etc. Enter license number and attach a copy of your cumin license or certification) License#: 10928 Knine Drive Strap#: S, Physical Address: i .Hing npprovn is require -see.e ow an •ac'o tris app icariotr. Bonita Springs State: FL Zip: 34135 City: Mailing Address n �f different): 10928 Knine Drive FL Zip: 34135 Cite: Bonita Springs State: 6. Business Phone Number:(239) 200-6959 Alternate Phone Number: ) 0 Residential 12ICommercial Property 7. Business located in: If 8. Is the physical address located within a city limit? 0 Yes: yes, attach a copy ofyour citylocal business lax receipt ® No:If no,see zoning requirements below&ott reverse side 9. Date business actually began at this location: 06/19/2015 IMPORTANT': TRANS tyB RUSIN RECEIPT TAX ERE li' (Current Lee County Tax Receipt mt be attached o his application)TRANSFER FEE:$3.00 E: physical Address ❑ Occupation 0 Business Name(DBA) CURRENT RECEIPT#: ❑ Owner Name ❑ Mailing Address ❑ Ownership(example:purchase of existing business,include a copy of the Bill of Sale Existin•recei.t t:. e ma re.uise one of the fol owin•:C. it State license or certificati.. .r'ne a..royal tioi Business Tax Fee ncl des a 520.00 Hazardous\ aste Surchar•e .er ResrolYear Fee(Slily4-Sept) Full.Year Fee ''s Year Fee(April June Business Tax Receipt Fee: $50.00 $25.00 $12.50 P 'meat tel aired at time o a. Iii anion.. To obtain fees for Flea Markets,Special Events,Transient Merchants or Going Out of BusinessrFire Sales call 239.533.6000. intures: Und-'penaltie.I. pq ju y I hereby declare the statements above are trite and correct to thet of my knot o??e. Date: Q— Owner/Qualifier: i 'i/ _c_2_92---1---c-2------$ / a_4) Date: O�cmer. 441/441 - R ZON.INGAPPROYAL IS REQUIRED FOR-BUSINESSES LOCATED IN UNINCORPORATED LLE COUNTY: • E E Lee County Zoning Department trust esmrlete this section prior to local.buslness tai receipt Q Q issuance,or attach.a copy of the LOCATION Certificate of Use or Certificate Of Qcctipancy. U • U • l " ( HOL-USE or COM#: R R Strap Number: E E Title: Date:_ D p Approved By: Form#151 REV 0612010 Make checks payable to:Lee County Tax Collector,P.O.Box 1549,Fort Myers,FL 33902.1549 Application Instructions Line 1 Nature(type)of Business: Please describe the type of business that will be conducted. Line 2 Business Name(DBA):The business name is the name that the business will be using when conducting business, advertising, and for identification purposes. If the business is operating under a name other than the owner's full legal name,a Fictitious Name Registration is required.The business is exempt from filing a fictitious name registration if it is one of the following:a corporate name;registered trademark; limited liability company;or general partnership,each of which should be registered with the State of Florida.If the business is in fact exempt from filing a fictitious name registration,place an°X"in the box that best Indicates the reason for exemption.EIN/SS#:Employer Identification Number(EIN)Is also known as a federal tax identification number. In accordance with Florida Statutes,social security numbers are collected only if the business is operating as an Individual,and are used for governmental purposes only. Line 3 Owner/Professional/Qualifier Name:The business owner(s)name would consist of one of the following:a person's name If owned by a sole proprietor;two or more persons'names if owned by a partnership;or a corporation name. Line 4 County/State License or Certification (Professionals,Contractors,Restaurants,etc.): Businesses or professions that are regulated by county or state agencies are required to provide a copy of the current license or certificate.Agencies and examples of the types of businesses/professions they are responsible for regulating are as follows: Agency Type of Business/Profession phone Lee County Contractor Licensing Contractors 239.533.5895 Florida Department of Health Nurses,Therapists,Day Care,etc. 850.488.0595 Department of Agriculture Auto Repair,Fitness Studio,etc. 800.435.7352 Bureau of Entomology and Pest Control Bug and Pest Control 850.921.4177 Department of Business and Professional Regulation CPA,Real Estate Agent,Hotel,etc. 850.487.1395 Important:The name on this application and on the county/state license or certificate must match exactly,including mlddfe initials,In order for the application to be processed. Line 5 Street Address of Business:The physical address is the actual location of the business as approved by either county or city zoning.A P.O.Box Is not acceptable as It Is not adequate for zoning purposes. Mailing Address:Include the mailing address if it is different from the physical address.This address can be a P.O.Box. Line 6 Business Phone Number:The business phone number would be the actual phone number customers would utilize. Alternate Phone Number:The alternate phone number would be one of the following:the sole proprietor;an owner in a partnership;or an officer of the corporation. Line 7 Place an"X"in the appropriate box to indicate whether the street address Is a residential or commercial property. Line 8 Place an"X°in the appropriate box to indicate whether the street address is located within the city limits. Line 9 Date business began or will begin accepting payment for services: • Businesses located in Lee County indicate the date the business started taking payment for services. • Businesses located outside of Lee County,please indicate the date the business started operating within Lee County. Businesses located within the city limits of Fort Myers.Cape Coral Sanibel or Fort Myers Beach z Z 0 Obtain a city local business tax receipt from the cities indicated above before submitting an application for a Lee 0_ County local business tax account.Fort Myers Beach provides a city local business tax receipt for a very limited amount of business types. Please contact their office for all zoning and business tax receipt requirements. Zoning for Businesses Located In Unincorporated Lee County: N County ordinance 07-02 requires all businesses to have zoning compliance.Applicants can call Community N-' Development at 239.533.8329 for zoning requirements and fees. G • Business Tax Fees(Includes a$20.00 Hazardous Waste Surcharge per Resolution 94.07-14) Full Year Fee Year Fee fAprit-June) '/,Year Fee(July-Septi Local Business Tax Fee $50.00 $25.00 $12.50 (Payment required at time of appplication) To obtain fees for Flea Markets,Special Events,Transient Merchants or Going Out of Business/Fire Sales contact the Lee County Tax Collector at 239.533.6000. Forint!151 REV 0612010 rJsuns urtc , E • • .$• •" , ,x.'" xR F r5Ffi 41 Ore } 0jr a., 713'2 - IOWANay ;; �� a +.nr:ao►.apig 4 Opera..d•volt' eC def ea+s•oe m m+/toi:�t/ PMT OF NAPLES PROFIT LOSS PROJECTION (REVISED) Income $ 250,000.00 Cost of Goods Sold Setting Materials $ 9,000.00 Supplies $ 4,000.00 Gross profit $ 237,000.00 Expenses Auto Maintenance $ 2,500.00 Fuel $ 4,800.00 Computer Maintennce & software $ 1,660.00 Dues&Subscriptions $ 400.00 Insurance Liability Insurance $ 948.00 Workmen's Comp $ 10,204.00 Auto $ 2,820.00 Office Supplies $ 600.00 Payroll Expenses $ 167,000.00 Payroll Taxes $ 12,775.50 Federal Unemployment $ 210.00 FL Unemployment $ 945.00 Storage Rental $ 1,800.00 Telephone/ Internet $ 2,400.00 Internet $ 720.00 Total expenses $ 209,782.50 Net Income $ 27,217.50 EMPLOYMENT AGREEMENT THIS MANAGEMENT AGREEMENT is made this day September, 2016 by and between PMT OF NAPLES, INC., a Florida corporation ("Corporation") or ("Employer"), and NATALINA CAPONE ("Employee"). RECITALS: WHEREAS, the Corporation is engaged in the business of floor covering and tiling marble; and WHEREAS, the Corporation desires to retain the services of the Employee in the upon the following terms of employment; and NOW,THEREFORE,for and in consideration of Ten Dollars($10.00)and other good and valuable consideration, the receipt and adequacy of which are hereby acknowledged, the parties agree as follows: WITNESSETH: 1. Employment. The Corporation agrees to employ the Employee and the Employee agrees to accept the employment described in this Agreement. 2. Duties of Employee. The Employee shall be at all times the qualifying license holder for the Employer performing such duties as are customarily associated with such position with full and complete authority to direct all daily functions of the Corporation's business including without limitation: a. Quality control, supervision,payroll, estimating support. b. The Employee shall report only to the President of Employer, SILVIU PORNEALA,who shall supervise the Employee consistent with the reasonable autonomy to be provided to Employee. c. The Employee shall be an ex-officio (non-voting) member of the Board and shall be entitled to attend meetings of the Board and the Committees thereof in such capacity. d. The Employee shall at all times faithfully and to the best of her ability perform her duties under this Agreement. The duties shall be rendered at the Corporation's office in Naples, Florida, or at such other place or places and at such times as the needs of the Corporation may from time-to-time dictate. The Employee may engage in other business activities provided that, in the reasonable judgment of the Corporation, such services do not interfere and are not inconsistent with the Employee's duties and obligations under this Agreement. Page 1 - Employment Agreement e. Employee shall not be required to sign any individual guarantees or in any way be personally responsible for the debts, contracts, or any other obligations of the Employer. If such individual guarantees are required, the Owners of the Corporation shall sign such documents. 3. Duties of Employer. The duties of Employer shall be performed by its President or his assign, SILVIU PORNEALA, and are as follows: a. Sales b. Product Installation c. Estimating d. Job Scheduling e. Job Management f. Employee Management 4. Term. The term of this Agreement shall begin on , 2016 ("Effective Date"), Employee at all relevant times shall be the qualifying license holder and shall have a five (5) year term renewed automatically at the conclusion of the five (5) year term, and is subject to termination only for cause as hereinafter provided. 5. Compensation a. Base Compensation. Ten (10%) percent of Gross Receipts payable on a bi-weekly basis. 6. Termination of Agreement a. Written Notice. Either party may terminate this Agreement at any time, upon providing ninety(90) days advanced written notice of termination to the other party. b. Upon Death. In the event of the Employee's death during the term of the this Agreement, the Corporation shall pay to the Employee's spouse, if living, or to her estate, if her does not have a spouse then living, the Employee's compensation earned through the date of death, and the Employee shall not be entitled to any compensation after the date of death. c. Sale of Business. Either the Corporation or the Employee may terminate this Agreement upon thirty days written notice upon the happening of any of the following events: i. The Corporation's sale of substantially all of its assets to a single purchaser or group of associated purchasers; Page 2 - Employment Agreement ii. The sale, exchange or other disposition to a single entity or group of entities under common control in one transaction or series of related transactions of greater than fifty percent of the outstanding shares of the Corporation's common stock; iii. A decision by the Corporation to terminate its business and liquidate its assets; or iv. The merger or consolidation of the Corporation in a transaction in which the shareholders of the Corporation receive, or continue to own, less than fifty percent of the outstanding voting shares of the new or continuing corporation. 7. Confidentiality a. Employer's Entrustment. Employee's position with Employer requires considerable responsibility and trust, and in reliance on such loyalty, Employer may entrust Employee with highly sensitive, confidential, restricted, and proprietary information involving Employer's Trade Secrets and Confidential Information. b. Nondisclosure of Trade Secrets. Employee shall not use or disclose any Trade Secrets of Employer during her employment, and so long afterwards as the pertinent information or data remain Trade Secrets, whether or not the Trade Secrets are in written or tangible form, except as may be required to perform duties for Employer. In the event of the loss or disclosure of any such Trade Secrets, Employee shall promptly notify Employer in writing of such loss or disclosure fully describing the Trade Secret and the specific facts relative to the loss or disclosure. c. Nondisclosure of Confidential Information. Employee shall not use or disclose any Confidential Information of Employer during her employment and for so long afterwards as the pertinent information or data remain Confidential Information, whether or not the Confidential Information is in written or tangible form, except as required to perform duties for Employer. In the event of the loss or disclosure of any such Confidential Information, Employee shall promptly notify Employer in writing of such loss or disclosure fully describing the Confidential Information and the specific facts relative to the loss or disclosure. d. Return of Employer Materials. Upon the termination of Employee's employment for any reason, Employee shall leave with Employer, originals and all copies of all materials containing any Trade Secrets or Confidential Information, including, but not limited to, documentation, memoranda, notes, records, drawings, manuals, computer programs, or other documents pertaining to Employer's business or the employment of Employee pursuant to this Employment Agreement. 8. No Interference. During employment with Employer, Employee shall not directly or indirectly engage in any act or course of conduct which interferes with or harms Employer's business,and, during her employment and for a period of two (2)years following termination of employment, Employee shall not knowingly solicit, recruit, entice, or persuade any other employees of Employer to leave the services of Employer for any reason whatsoever. Page 3 -Employment Agreement 9. Non-Compete Covenant. For a period of two (2) years after the Employee is no longer employed by the Employer. Employee will not directly or indirectly engage any customers of the Employer. This covenant shall apply to the geographical area that includes Collier County Florida. Directly or indirectly engaging in any competitive business, other than any interest currently owned by either party, includes, but is not limited to: (i) becoming an employee of any additional third party that is engaged in such business, (ii) becoming interested directly or indirectly in any such business, or (iii) soliciting any customer of Employer for the benefit of an additional third party that is engaged in such business. Employee agrees that this non-compete agreement will not adversely affect Employer's livelihood. a. During the term of her Employment the Employee and Employer expressly agree that they will not solicit each other's customers or business sources. The parties acknowledge that they are in a relatively comparable business and will use their best efforts to maintain separate customers. 10. Irreparable Harm And Right To Equitable Relief. The parties hereto acknowledge that irreparable harm to Employer shall be presumed if this Employment Agreement is materially breached in any way by Employee. Insofar as damages resulting from such breach will be difficult if not impossible to ascertain, Employer and Employee agree that a court of competent jurisdiction should immediately enjoin any breach or threatened breach by Employee of this Employment Agreement, upon Employer's request and without any prior notice to Employee or hearing before granting such relief. However, nothing herein shall be interpreted as preventing Employer from seeking and obtaining a judgment or other award of monetary damages relative to Employee's breach of this Employment Agreement or other claims involving monetary damages on the part of Employer or Employee. Furthermore, in the event that any restrictive time provisions set forth herein relative to non-disclosure of Trade Secrets, Confidential Information or business interference shall be declared by a court of competent jurisdiction to exceed the maximum time period such court deems reasonable and enforceable, said time period shall be deemed to become, and thereafter will be, the maximum time period which the court deems reasonable and enforceable. 11. Indemnification. The Employer shall indemnify, defend at its sole cost and expense, and hold and save harmless the Employee and her heirs, administrators and personal representative, from any and all actions and causes of action, claims, demand, liabilities, losses, damages or expenses, of whatsoever kind and nature, by a third party, including judgments, interest and attorney's fees and all other reasonable costs, expenses and charges which the Employee and her heirs, administrators or personal representative, or any of them, incur or may incur as a result of carrying out the terms and conditions of this Agreement. The Employee and her heirs, administrators, personal representative, or any one of them shall promptly notify the Employer of adverse claims or threatened or actual lawsuits and shall provide complete cooperation to the Employer, its attorneys and agents in such case to the extent possible. Page 4 -Employment Agreement 12. Notices. Any notice under this Agreement shall be in writing and shall be effective when actually delivered in person or three days after being deposited in the U.S. mail, registered or certified, postage prepaid and addressed to the party at the address stated in this Agreement or such other address as either party may designate by written notice to the other. 13. Waiver. The waiver by either party of the breach of any provision of this Agreement by the other party shall not operate or be construed as a waiver of any subsequent breach. 14. Assignment. Except as otherwise provided within this Agreement, neither party hereto may transfer or assign this Agreement without prior written consent of the other party. 15. Law Governing. This Agreement shall be governed by and construed in accordance with the laws of the State of Florida. 16. Arbitration. If at any time during the term of this Agreement any dispute, difference, or disagreement shall arise upon or in respect of the Agreement, and the meaning and construction hereof, every such dispute, difference, and disagreement shall be referred to a single arbiter agreed upon by the parties, or if no single arbiter can be agreed upon, an arbiter or arbiters shall be selected in accordance with the Florida Arbitration Code and such dispute, difference, or disagreement shall be settled by arbitration in accordance with the then prevailing Florida Arbitration Code. The judgment or award rendered in any such arbitration shall be final and binding among the parties, absent fraud or gross error, and may be entered in any court having jurisdiction. Unless required by law, no party to the arbitration may disclose the existence, contents or results of the arbitration proceeding without the prior written consent of all parties involved in the arbitration. 17. Attorney Fees. In the event an arbitration, suit or action is brought by any party under this Agreement to enforce any of its terms,or in any appeal therefrom,it is agreed that the prevailing party shall be entitled to reasonable attorney's fees to be fixed by the arbitrator, trial court, and/or appellate court. 18. Presumption. This Agreement or any section thereof shall not be construed against any party due to the fact that said Agreement or any section thereof was drafted by said party. 19. Computation of Time. In computing any period of time pursuant to this Agreement,the day of the act, event or default from which the designated period of time begins to run shall be included,unless it is a Saturday, Sunday or a legal holiday,in which event the period shall begin to run on the next day which is not a Saturday, Sunday or a legal holiday, in which event the period shall run until the end of the next day thereafter which is not a Saturday, Sunday or legal holiday. 20. Titles and Captions. All article, section and paragraph titles or captions contained in this Agreement are for convenience only and shall not be deemed part of the context nor affect the interpretation of this Agreement. Page 5 -Employment Agreement 21. Pronouns and Plurals. All pronouns and any variations thereof shall be deemed to refer to the masculine, feminine, neuter, singular or plural as the identity of the Person or Persons may require. 22. Entire Agreement. This Agreement contains the entire understanding between and among the parties and supersedes any prior understandings and agreements among them respecting the subject matter of this Agreement. 23. Prior Agreements. This document is the entire, final and complete agreement of the parties, and supersedes and replaces all prior or existing written and oral employment agreements between the parties. 24. Agreement Binding. This Agreement shall be binding upon the heirs, executors, administrators, successors and assigns of the parties hereto. 25. Further Action. The parties hereto shall execute and deliver all documents, provide all information and take or forbear from all such action as may be necessary or appropriate to achieve the purposes of this Agreement. 26. Good Faith, Cooperation and Due Diligence. The parties hereto covenant, warrant and represent to each other good faith, complete cooperation, due diligence and honesty in fact in the performance of all obligations of the parties pursuant to this Agreement. All promises and covenants are mutual and dependent. 27. Counterparts. This Agreement may be executed in several counterparts and all so executed shall constitute one Agreement, binding on all the parties hereto even though all the parties are not signatories to the original or the same counterpart. 28. Parties in Interest. Nothing herein shall be construed to be to the benefit of any third party, nor is it intended that any provision shall be for the benefit of any third party. 29. Savings Clause. If any provision of this Agreement, or the application of such provision to any person or circumstance, shall be held invalid, the remainder of this Agreement, or the application of such provision to persons or circumstances other than those as to which it is held invalid, shall not be affected thereby. Agreed to by each of the undersigned on the date first noted above. [signatures appear on following page] Page 6 - Employment Agreement WITNESSES: PMT OF NAPLES, INC., 6 // a Florida Corporation/// 4 i . ACL, ' By: Witness# 1, Signature SILVIU PORNEALA r eof .in.Y-N ."-v Its: President Witness#1/Printed Name tness#2, Signature Af--774-4 Witness#2/Printed Name EMPLOYEE (--- 81ye.rt RDPvi+Nt 11V...),rv\_, _ Witness#1/Printed Name TALINA CAPONE Witness# 1, Signature P 1 itness#2, Signature X /z-- Witness#2/Printed Name Page 7 -Employment Agreement GRANTLAW, P.A. 3400 Tamiami Trail N., Suite 201 Naples, FL 34103-3717 GRANTLAW, P.A. provides the option to make payment by credit card. VISA, MasterCard, and Discover are accepted. AUTHORIZATION FORM Please print or type, and return this completed form to our office by fax to (239) 643-9810, U.S. Mail, or e-mail to dseymour@grantlawswfl.com. I hereby authorize payment in the amount shown below to my(check one): ❑VISA ❑MasterCard ❑Discover Invoice Number: Amount to be Charged: $ Card Holder Name: Card Account Number: 3 Digit Access Code (listed on the back of card): Expiration Date: Billing Address: Daytime Phone Number: Signature of Cardholder: Date: \\saver\SavQ_c\WPDOCS LEGAL Correspondence 2008\FORMS\Credit Card Authonz tion Fo mrtf MasterCard VISA DISCOVER NETWORK 1 _ BEFORE THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD BOARD OF COUNTY COMMISSIONERS, COLLIER COUNTY, FLORIDA, CONTRACTORS' LICENSING BOARD Petitioner, V. Case Number: 2016-04 License Number: 201300001412 Jimmy M. Dean D/B/A—J.D. Design Construction, Inc. Respondent. ADMINISTRATIVE COMPLAINT Collier County (County) files the Administrative Complaint against Jimmy M. Dean ( Respondent), a Collier County licensed General Contractor ( license #201300001412), and states the following facts and allegations in support of the cited violations below: 1. The Respondent is currently licensed by Collier County as a General Contractor with License number 201300001412. 2. Under the provisions of Collier County Ordinance 90-105, as amended, Section 22-201, the following actions by a holder of a Collier County/City Certificate of Competency shall constitute misconduct and grounds for discipline pursuant to Section 22-202. a. The Respondent had been paid $46,000.00 of a $56,500.00 contract (81%). At the time that the Respondent removed himself from the permit, on 4/28/16, it is reported that approximately 35% of the work had been executed, allowing for the Respondent to retain 35% of the contracted price ($19,775.00). Had the Respondent returned $26,225.00, leaving the amount retained the 35%of the contract price or$19,775.00, no violation would have been established. With the Respondent being unable to return the $26,225.00, it is established that the Respondent diverted the funds earmarked for the complainant's project, and applied it to another use. b. Thereafter, pursuant to Collier County Ordinance 90-105, as amended, Section 22-202 (b) and Section 22-202 (c), the complaint was investigated and found sufficient cause to file formal charges. 3. Collier County brings the following charge in this formal complaint against the Respondent. COUNT I 4. Collier County Ordinance 90-105, as amended, Section 22-201 (4) states "Diverting funds or property received for the execution of a specific contract project or operation or diverting funds earmarked for a specified purpose to any other use whatsoever". WHEREFORE, the Petitioner asserts the above facts and charges are grounds for disciplinary action under Section 22-201 of Collier County Ordinance 90-105, as amended, and WHEREFORE, in consideration of the foregoing, the Petitioner respectfully requests the Collier County Contractors' Licensing Board to find the Respondent guilty of the violations charged. i Dated: September 9, 2016 Signed: Collier County Contractors' Licensing Supervisor or Designee t C.L.B. Case #2016-04 Jimmy M. Dean - D/B/A J.D. Design Construction, Inc. Table of Contents El through E3— Formal Complaint E4 through E7—Case Detail Report E8—Preliminary Complaint Form E9 & E10—Licensee Detail Report E11— Notice of Hearing E12 through E21—Original Proposal E22 through E30-Contract E31—Payment Schedule E32 through E34— Payment Records E35 through E37— Permit Application / Permit E38 through E42—Permit Activity Report E43—Original Permit Applicant Release E44 & E45—Change of Contractor/ Qualifier Page E46—Respondent's Release of Permit E47 & E48—Change of Contractor/ Qualifier Page E49—Statement from Current Contractor, Outlining Deficiencies in Construction E50—Statement from Current Contractor, Outlining Percentage of Work Completed E51—Collier County Ord. 90-105, as Amended, Section 22-201(4) E52 & E53—Respondent's Settlement Offers E54 through E66 - Photos Contractors' Licensing Board 2800 North Horseshoe Drive Naples, Fl. 34014 Complaint Number: Complainant: Any person that believes that a Contractor holding a State Certification or Certificate of competency has violated Collier County Ordinance 90-105, as amended, may submit a sworn complaint to the Contractor Licensing Supervisor, or his/ her designee. The complaint shall be in substantially the form prescribed by the Contractor Licensing Supervisor. The complainant shall pay a fee of$50.00 to defray the costs of administering the complaint, at the time of filing the complaint.The complaining party shall state with particularity which section(s) of this Ordinance he or she believes has been violated by the contractor and the essential facts in support thereof. Complaint: Please print or type and return signed copied of the complaint. Date: 9/9/16 Against: Contractor's name:Jimmy M. Dean Phone: 239-595-8769/ 239-228-7108 Business name:J.D. Design Construction, Inc. License number if known: 201300001412 Collier County Competency number: 201300001412 Contractor's business address: 2036 50th Terrace SW Naples, Fl. 34116 Filed By: Name: Collier County Contractor Licensing Section/ Ian Jackson Address: 2800 N. Horseshoe Dr. Naples, Fl. 34104 Business phone: 239-252-2451 Address where work done: 790 Pan Am Ave City: Naples County: Collier Date of contract: First Payment 12/28/15 Date job started: Permit issued 1/7/16 Date job completed or new home occupied: NA/ Inspections completed 8/5/16 under new contractor Were there plans and specifications? YES Is there a written contract?YES If yes, amount of Contract? $56,500.00 Has Contractor been paid in full? NO If Contractor has NOT been paid in full, what amount is paid? $46,500.00 Was a Building Permit obtained? YES Building Permit number if known: PRBD20140411319 Have you communicated by letter with the licensee?YES Date: 8/22/16 Do you have a reply? YES/ Hand Delivery 1. Please attach to this form all copies of the purchase agreement, building contract, home improvement contract, copies of receipts and /or cancelled checks available and any additional evidence to substantiate your allegations. List any subsections of Section 4 of Collier County Ordinance number 90-105, as amended, which, in your opinion, have been violated by the contractor which is the subject of this complaint, (list subsection): 90-105, as amended, Section 22-201(4), "Diverting funds or property received for the execution of a specific contract project or operation or diverting funds earmarked for a specified purpose to any other use whatsoever". 2. Please state the facts which you believe substantiate your charge of misconduct against the subject contractor. List facts separately for each subsection number above: The Respondent had been paid $46,000.00 of a $56,500.00 contract (81%). At the time that the Respondent removed himself from the permit, on 4/28/16, it is reported that approximately 35%of the work had been executed, allowing for the Respondent to retain 35%of the contracted price ($19,775.00). Had the Respondent returned $26,225.00, leaving the amount retained the 35%of the contract price or$19,775.00, no violation would have been established. With the Respondent being unable to return the $26,225.00, it is established that the Respondent diverted the funds earmarked for the complainant's project, and applied it to another use. (10.____L),, (complainant's signsure) State of: Pc 1 . cl County of: 0-6111,a Sworn to (or affirmed) and subscribed before me this 12m day of 2016 i t• By ,C' F` (signature of person making statement). 16. (signature of Notary Public) 60,:`°&. JOANN GREENBERG k �1 * MY COMMISSION#FF 212324 app:..• EXPIRES:April 8,2019 �'4,e r oBonded Nu Budget Notary Services of Print, type or stamp name of Notary Public: or Personally known or produced identification. 411111111111101111111111.1*. T it e: Code Case Details Ds e 9/13/2016 8:59:12 AM Case Number: cemis20160006915 Case Number: CEM1S20160006915 Status: Refer to CLB Case Type: Misconduct Date & Time Entered: 4/28/2016 3:02:46 PM Priority: Normal Entered By: StevenKovacs Inspector: lanJackson Case Disposition: Case Pending Jurisdiction: Contractor's Licensing Origin: Written Detail Description: Received complaint from Ian and Mila Charik 790 Pan Am Ave. Naples 34110 / 312 919 5002/for contractor J.D. Design Construction Inc. /Qualifier Jimmy Dean / 595 8769/2036 50th terrace. Complaint states that job was unfinished, Constant delays, no shows. All since 3rd. payment was made. Location Comments: folio#27907300080 Property 27907300080 Complainant CHARIK, IAN L & MILA G Contractor J.D. DESIGN CONSTRUCTION INC. Business Management& Budget Office �%!� 1 r � Code Case Details Execution Date 9/13/2016 8:59:12 AM Desc Assigned Required Completed Outcome Comments Preliminary Investigation StevenKovacs 4/28/2016 4/28/2016 Needs 4/28/2016 Received written complaint from Investigatio Ian and Mila Charil 790 Pan Am Ave. Folio n #27907300080 against J.D. Design Construction Inc.Qualifier Jimmy Dean/595 8769/Issuance#201300001412. Complainant states job was not finished, constant delays, and so shows since they made there third payment of$10,000.Total payments to date are$46,000 and contract is for$56,500.At this time contractor licensing will look into case to determine if there is any violations. Attach Picture(s) StevenKovacs 4/28/2016 4/28/2016 Complete 4/28/2016 attached copies checks,written complaint,contract Attach Picture(s) StevenKovacs 5/3/2016 5/3/2016 Complete 5/3/2016 Attached pictures sent from Mr. Charsk via email. Cont. Investigation StevenKovacs 5/4/2016 5/4/2016 Complete 5/4/16. Have been in communication with complainant. Found that contractor removed himself from permit. Reviewing case to try to establish violation. Cont. Investigation lanJackson 5/11/2016 5/11/2016 Complete 5/11/16. Spoke with homeowner,who is in process of taking bids from new contractors to take over permit and construction. Preliminary figures are in the$40,000.00 range to complete work.With approximately $10,500.00 left on original contract, appears that homeowner will be paying$30,000.00 (+/ -)more than the original contract price. Homeowner will contact me when new contractor is in place. Cont. Investigation lanJackson 6/6/2016 6/7/2016 Complete 6/6/16. Reviewed contract and payment documents. Final contract price of $56,000.00. Payments made in the amount of $46,000.00(81% of contract price paid). New contractor is inn place and has taken permit over. Requested that homeowner arrange for new contractor to provide statement indicating what percentage of work was completed at time current contractor took over job. Requested that current contractor provide statement indicating deficiencies in workmanship and potential code violations. Met with Jimmy Dean(subjectofcomplaint), who stated he had pulled off of job/permit due to he and homeowner not being able to agree on change orders and due to the homeowner allegedly being belligerent with employees at site. Will move forward when current contractor provides documentation requested (statement of percentage and statement of deficiencies) Business Management& Budget Office 2 Code Case Details Execution Date 9/13/2016 8:59:12 AM Desc Assigned Required Completed Outcome Comments Cont. Investigation lanJackson 7/14/2016 7/25/2016 Complete 7/14/16. Met with Assistant County Attorney, Kevin Noell,to review case. Found that at the time the contractor had removed himself from permit he had been paid 81%of the contract price,and had apparently performed approximately 35% of the work(statement from current contractor in case). Found that a violation of 22-201(4)has occured"Diverting funds or property received for the execution of a specific contract project or operation or diverting funds earmarked for a specified purpose to any other use whatsoever". Had the contractor been paid 35% ($19,775.00)or returned$26,225.00 of the $46,000.00 paid (leaving the amount paid being the 35%/$19,775.00), no violation would have been found. Will review finding with contractor, proposing that he return the$26,225.00 to the homeowner to abate violation and settle case. Will review finding with homeowner to determine whether they are satisfied with outcome,and move forward with above mentioned abatement/settlement or Board action if contractor is unwilling or unable to abate violation. Cont. Investigation lanJackson 7/27/2016 7/27/2016 Complete 7/27/16. Spoke with complainant,who advised that he wishes to proceed with County process with contractor.Will arrange meeting with contractor to discuss violation and settlement/abatement process. Cont. Investigation lanJackson 8/22/2016 8/22/2016 Complete 8/22/16. Met w/contractor,J. Dean. Explained County's position with violation. Requested that he provide evidence showing that a larger percentage of work was completed when contract was terminated. Explained process to abate violation with no Board Hearing. Contractor may settle case with payment being made to homeowners. Issued Notice of Hearing for September 21, 2016 CLB. Contractor advised that he will look into avenues to settle case: Cont. Investigation lanJackson 9/6/2016 9/6/2016 Complete 9/6/16. Have left several messages for contractor with no return call. Have not received settlement agreement proposal or documentation showing that a larger percentage of work was done.Will be preparing case for 9/21/16 Hearing. Business Management& Budget Office 3 Code Case Details Execution Date 9/13/2016 8:59:12 AM Desc Assigned Required Completed Outcome Comments Cont. Investigation lanJackson 9/7/2016 9/9/2016 Complete 9/7/16. Received settlement offer from Contractor, J. Dean (attached). Settlement offer was an offer of$15,225.00,which was provided to complainants,who declined to settle. 9/9/16. Left voice message for the contractor, advising him of the homeowners declining the settlement. Homeowners are deciding whether a September Hearing or possibly a November Hearing is best for their schedule. Will communicate with them on 9/12/16 to move forward. Cont. Investigation lanJackson 9/12/2016 9/13/2016 Complete 9/12/16. Received second settlement offer from J. Dean, stating he will settle the matter for the amount of$26,225.00, making payments of minimum$2,000.00. Provided offer to complainants,who declined and wish to move forward with a September Hearing. Case prepared for CLB. Schedule for CLB lanJackson 9/13/2016 9/13/2016 Complete Generate CLB Notice of Hearing lanJackson 9/13/2016 9/13/2016 Complete Investigation StevenKovacs 9/16/2016 9/13/2016 Refer to CLB Enter Hearing Results lanJackson 9/22/2016 Pending Violation Description Status Entered Corrected Amount Comments 4.2 Misconduct State Certified Open 4/28/2016 $0 Contractors Title Reason Result Compliance Fine/Day Condition Business Management& Budget Office 4 a � GOttier Growth Management Department Operations & Regulatory Management Division PRELIMINARY COMPLAINT FORM Complainant's Name: J-,�s + /`1sut� �1 Date: 3428) .o/6 Address: 7q0 ‘4.,.1 , A.46 City: A SMLe) State: rt._ Zip: 3 Home Phone: 2 3 t—q%—8i/ 3 srnes : 312—q 19—Cbc)2- A s 6 COMPLAINT INFORMATION: Company Name: 1 u 7C44,..1 License Number: 20J3oc,0o/4'/Z 31.30. Contractor or Person in Charge: (If known) .Terri Address: ,2.c>3 6 CCTN T6R. S� ) I Ft- 34416 239 -• 22 '— ?Io86o(Pir-6) Phone: 239- S9S- 76q Cr:0674.-4. Date of Contract: /'228/.20/ COMPLAINT DETAILS: (Attach additional sheets as necessary) J46 �,`i�Se��SJK�� / (.d in ,...s C�IT��sJ gepri ac, 4NS1/ve S —A-w c 614r11g,rr aF J11 Cel $%oar C,�t�K� Tyr. Ash To.►re e) oo t9-I.3 "741/2Yi6"' icr.,er IA)/5-0o 1 (AJ^1(Le,---a cc . 1)--ds Sia+ / •' C .i o /a • .�,sc,�� 8 Ae ,KrS. Include copies of all appropriate documents: Contracts, checks, liens,permits, etc... Signature: 444. erations&Regulatory Management Division•2800 North Horseshoe Drive•Naples,Rorida 34104.239-252-2400 •vrww.coll' ovnet 4 li.'iew Hatter Project ie^r 4II �ctr.:hies for this Licensee S,did newperson or business to Address Book Licensee Information s 1—New Licensee (current project) I New Licensee (no protect) -j Licensee Number ILCCCC201300022423 Status AveActiv '-JStart Date 07/02/2013 Name / Description .D. DESIGN CONSTRUCTION INC. Type Contractor 111 End Date 1 07/02/2014 Inspector 'i Submitted On s 07,'02,12013 Jurisdiction Collier County Department Operations Activity Description ------ '' Suggest Mailina Address 1 Exclude from Auto-Suggest? 1 Add this Mailing Address as a Location 1 Add Contact Number Mailing Address 12036 50TH TER SW Type Contact Number Ext. Primary (239) 595-8769 Address Line 2 1 Address Line 3 1 City/State/Zip NAPLES X134116 Country — — -- — — T li Email IJddesigncosult@aol.com Preferred Contact Method I Show More Fields Contractor Attributes Contractor Type r--- v DOB Drivers License NumberI 1 Sponsorship Appliction Date T Workers Compensation i .- Business TaxReceipt? LT1 Expiration Date i Location Add Related Parcels and Addresses 11 Add a Location To link a location to this Licensee, enter location information below. CityView will suggest possible matches as you type: I Description Type Property Alert Primary? Display? Contacts Add new person or business to Address Book Go to Alerts 1 Add a Contact To link a contact to this Licensee, enter contact information below. CityView will suggest possible matches as you type: J.D. DESIGN CONSTRUCTION INC., Address:2036 50TH TER SW, Phone:(239) 595-8769 - Go Link Type Description Contact Alert End Date Primary? Display? _ Applicant J.D.DESIGN CONSTRUCTION INC.,Address:2036 50TH TE 2 Qualifier DEAN,JIMMY M.,Address:2036 50TH TER SW,Phone:(239 I ❑ ❑ Eq 'Licensee Information Description I Type Prcperty.�Jert { Licensee Number LCCCC201300022�8 Name f J.D. DESIGN CONSTRUCTION INC.I Type Contractor 171 Status Active View Master Project View All Activities for this Licensee Add a new person or business to Address Book T Classifications Generate Defaults I Add a Classification To add a classification to this Licensee,enter text below. CityView will suggest possible matches as you type: IGENERAL CONTR.-REGISTERED Link Type Date Entered Status Status Date GENERAL CONTR.-REGISTERED 07/02/2013 !Active 07/0212013 07/08/2016 Active 07/08/2016 Show More Fields i Unique Identifier 1LCC3337 Contractor Licensing Renewable?[I License Category State Registered ID License Issuances Attach Driver License Photo I Add Issuance Link Type Status Date Issued Issuance Number Expiration Date GENERALCONTR.-REGISTERED Active 09/03/2015 201300001112 09/30/2017 Comments . I August'14: CLB Lifted Probation For Credit- See Docs i Show More Fields License Category State - Registered .- Renewable?[JJ State Registration 108/3112017 State Registration Number)RG291103871 Expiration Date Unique Identifier,LCC3337 , Collier County Growth Management Division / Planning and Regulation Operations Department/ Licensing Section Date F/2 7-// -'Hand Delivery ---- Jimmy Jimmy M. Dean—D/B/A J.D. Design Construction, Inc. 2036 50th Terrace SW Naples,Fl 34116 Date: 8/22/2016 RE: Complaint filed against you by Collier County Contractor Licensing regarding a violation of Collier County Ordinance 90-105, as amended, Section 22-201(4) Dear: Mr. Dean A complaint has been filed against you by the above referenced Collier County Division Section. A hearing of this complaint will be held by the Contractors' Licensing Board on September 21,2016 at 9:00 AM in the Board of County Commissioner's Room, Third Floor, Administration Building(W. Harmon Turner Bldg.), at 3301 East Tamiami Trail,Naples, Florida. Your presence before the Contractors' Licensing Board is required at this time. The packet you will receive marked composite exhibit"A"will be delivered to the members of the Contractors' Licensing Board one week prior to the hearing. If you wish to prepare a defense packet and have it delivered in conjunction with composite exhibit"A",you must make fifteen copies and have them in our office by 8:00 AM on Wednesday, one week prior to the hearing. In your packet, you may give a summary of events. At this meeting,you may present evidence and be represented by an attorney of your choice. In the event the Contractors' Licensing Board finds you in violation of Section number(s) 22-201(4) Ordinance#90-105, as amended,the range of disciplinary sanctions which may be imposed are from an oral reprimand to a suspension or revocation of your Collier County Certificate#201300001412 and/or suspension or revocation of your permit privileges against your state license#N/A . Sin e ely, Ian; .' son Lid ..ng Compliance Supervisor phone 239-252-2451 /m eII J.D . DESIGN CONSTRUCTION INC. LIC.#LCC201300002248 Cell Phone:239-595-8769 Telephone:239-228-7908 Fax:239-228-7984 1100 COMMERCIAL BLVD, UNIT#116 NAPLES,FL. 34104 December 5,2015 It was a pleasure to meet with you at the site of 790 Pan Am Avenue.As per our conversation this is an estimate per the plans for your residence. Which includes: A. Pool& pool deck with an estimated price of$40,000. B. New deck in rear of house. C. New room and bath in existing garage area. D. New area for washer& dryer in existing garage. J.D.Design Construction Inc.could do these additions for an estimated price of around $80,000 not to exceed$90,000. Please feel free to call to discuss any concerns or questions. J.D. Design Construction Inc. 1100 Commercial Blvd. Naples,Florida 34104 Thank You President, Jimmy Dean CIS . # Oesid ConstruCt/On Ince .1:100 6017MIeraillsaMV1 thaft#14.6 Naples, Florida.34104 OfWce. (23q)228-7108 Ce/f,-(239}'5q5 6764 JVVE516INIGON5likr@Am.com December 28, 2015 \\ \ \ . 7///' \\\\? E s \7c7-77 Char* Residence Naples, Florida Gover Sheet J.D. Design Construction Jnc.(23'73 228-7108 L i„ WIIIMMOMMOMIIIIk 4,1.12 Vesi tl Construction Inc. Mr.&Mrs.Charik 790 Pan Am Avenue Naples,E oricda J.D.Design Construction Inc.proposes to furnish labor and material in accordance with the proposal list below, submitted by.1.D Design Construction Inc. Amount: $80,000.00 Not to exceed$90,000.00 Eighty thousand•arid 00000 100 do%lats. ' ,Ea 1.2�uI/5- Pa�ments to be made as foflaws_ //CS -- .15% 512,000.00 F�'1 Vit 2. Due upon acrei tatsce of proposals, 30% $24,000.00 2. Due once framing has started for floor in new ""demo .f area..10% $8,000.00 3. Due once pool design is completed and re..'.,'.pear dry r ea..10 $12,000.00 4. Due upon completion of framing inspe pl .� 0%, $16,000.00 5. Due upon completion of finish HVAC C� 1�: 16,000 00 6. Due upon completion of contra�/ '\J __/7/ S6)?C9 fillti “. r_____,L...,_J) E S J ------\k\vy Page 1 of 8 Proposal from.1.P• Design Lonstructfon Inc- (239)2223-7108 8 -7108 J.D. 12esi fl Construction Inc sca•e a work and"ob details in the ollowin'•sections; 1. Demolition and site preparation(Trees to be remove by owner or extra cost) 2. Pool design and construction. 3. Temporary Utilities(provided by owner) 4. Framing material 5. Framing labor 6. Insulation 7. Rough plumbing 3. Rough/Finish Electric 9. Drywall 10. Trim Material 11. Cabinets and Countertops (For Bath area) 12. Trim Labor 13. A/C system 14. Painting 15. Finish Plumbing 16. Flooring Material 17, Flooring Labor 18. Shower and bath mirrors and / \ \ 19. Project Insurance �\ 20. Dumpster / \� 21. Warranty and Manual 22. Change orders 23. Job schedule 24. Misc. E S t_, G r_t Proposal from_La Design Construcllon Inc. (2390228-7108 Page 2of8 L(< DesionConstio • 1. AerrIolition and Site Preparation deck area to be demoed. A. Contractor to demo interior walls and drywalls as needed,pool 2. Pool Design and Construction A. J.D. Design Construction to provide a pool contractor and design for the new pool. 3. Temporary litgities A. Owner to provide temporary power and water. 4. ,Frog material A. Framing min material to reflect followl : • • sn pe 'ations: ""\\\essure treated bottom pB. Pr lat-// .-ad of const adhes e and 1/4"x 3"tapcon anchors C. Bottom plates anchored � �—� 24" o.c staggered. / s ,ds t.j o.c#11, „\\\, SPF � , \ D. 2x4and2x6,j � � 2firest p E. Furr.... / on =-: --- -- - - - - opo ewa s �. •�lb•r \ 5. Framing nd pe. scat ..ns�f -- stru accor o pia A. � n � . to sup= for to -• B. All labor to be completed in a • n•'an �� r' nner according to industry standards 6. insulation A. R-30 batt w/vapor barrier to be used.above ail areas under air if.needed. B. Exterior walls to have R-4 installed between furring strips or alternate Fi-Fold if needed. . 7. Rough P} aing A. Includes PEX or PVC for water B. PVC for drainage C. 1" backflow preventers D. Water lines up to 160-included Page 3of8 Proposal from J.D.Design Construction Inc_ (2e9)22e-71Oe 18 e � Desi:_ n Construction Inc,. S. Rough/Finish Electric A. All new devices to be white Decor or Match Existing B. Contractor includes material and labor. 9. Drywall A. Contractor includes material and labor for the following: B. �/z"regular drywall on walls and ceilings ,<-'-eded C. /2" ducrock in showers D. All corner bead to be 90 d-: -j . \ � �,�:;� i �. ooth the if desired-Match Existing E. Finish will be a light j�� ' s"'• ° `"• � \\ 10. Trim material A. Base-: .' •» .. :..,: – —_ ! B. .:sin: to be same le 3-1/2".To match existing house areas E 111 C 11. Cabinets .nd countertops A. Cabinets&bath vanity top to bes,.- er F.-• ater date. B. Labor for installation.provided by Coractor for cabinets. Page 4 of 13 Proposal from J.D.Design Construction Inc. 09)22B-710a L i . J. . oesion Construction 12. Trim labor/Finish Carpentry A. Contractor to supply labor for installation of the following: B. Installation of bath,kitchen,and laundry cabinets indicated on plans. C. Installation of caoinet hardware. D. Installation of 5-1/4" baseboard. E. installation of 3-1/2" casing. ..\ \ F. Installation of closet shelving or• :- Q ///\ \N Q(2ldor:mar, paper holders, soap dishes) G. lnstaltation of bath access r�//' sc=!, $gym , (Not included) H. Installation of crown %q�1{ � �\ \ ambs,s . an, ndo�lasing.\ I. Installation of /( %. 0 \ . . ..: ' ' -..ards r . _..._e _�•■_ !_fl, a..._� // J. All lab_��w j 13. A/C syst; be c - kand eva d to s if it i• .deq,..:.e for din bed oom-bath A. A � sY• Il• ar:a . I�g a s.1 0 em. �_,/ 14. Painting �� included �� A. Paint material and labor inclu B. Trim work nail holes to be fl-lted-with spackling .C. Tr raworkto be caulked with 35yr,acryliclatex caulking D. Material to be Sherwin Williams latex:interior latex ProMar200, Exterior latex E. Interior walls and ceilings to be primed one coat where work is to be done F. Interior walls and ceilings to have one finish coat where work is to be done G. Trim work to have one finish coat over pre-primed material where work is to be done Proposal from J.D. Design Construction Inc. (294}228-7705 Page 5 of.. . .1.0. .C7e5lin Construction Inc, 15. Finish Plumbing A. Fixtures supplied by Contractor. (Owner approval) B. Finish fixtures installed in all locations: (new bath area) C. Plumbing aspect does not include the following: (Fre Spri"nkffers) 16. Flooring Material A. Provided by Contractor per notes on plan -r to verify sample or number for floor finishes. (Midgrade) \ 17. Flooring Labor /;� \ \:\\‘\'\\\ \:\ Provided b contractor /// A. Pro Y ► \ and bath Mirrors • -SS \ �\ 18. Shower ) \ \ . :'.orfo •- , 1.&'. EtAilu .r0Bathar-- A. Includes materi. 'I 19. Project 1 .ur ce .\pro• • trent liability � jnstru ,pro i - %riottuu. encento •a. �ed byFlorida roma t Vera E' • a- ma' /I I! .Q• .a 1"'•' Law. Contractor will provide ce :3\\-ates • `i. •ance for said coverage to Owner,onniingull Owner as additional insured there \\s�- .sntractor agrees to pay all at the completion,and,approval of all subcontractor work performed.Any mec`har is/c©nstruchion Pen filed against Owner or Residence will be paid and cleared by >CDrltracrtor wkillin 30 days of receipt ofthe+Nlotice of+Lien. Za. imp. A. Contractor will.pr>oV de adumpsteron site for>debris removal and labors use. B. Dumpster to be removed and replaced when full. C. Jobsite to be kept clear or trash or refuse. . . .. . ... .. page 6 of Proposal from J.D. Design Construction Inc. (239)228-7108 L' Desi n Con5truction Inc. 21. Warranty and Manuals A. Contractor to provide homeowner with a project warranty and maintenance manual at project closeout. B. .Projectnianual wall-cops4s of ooRtRaor,i;sts,verKiors,and'contacts. C. Warranty packet will contain material documentation from all appliances,and fixtures. 22- Change orders require a change process,there •- b tions that arise that may a A. During the construction \ .\evolv\e order,for many possible reasons. \ / s required, \ tier, Homeowner, Owners Rep, B. When a deviation from the se p - t and discuss the changes to r -re per niupi- -• �\ Contractor,and necessary a � not -ed to be present during the occur, unless one of th-j. 7. agr-' o,i. ritili: ha discussion regardin: c 1 aneo •-r. , . '- '--- Ae order. C. Once ate ► • f r''---s--- - ;-ate=fie ang writt= \�1� h Hom o'wn�r,Con' ; o an• • \er ers Rep D. The • an li- mus -n be si ff by o '• will be -rincr ls-d eti ded _ mp}�, ifac ane •�-• requ -• • ':. .• •• .- •- - order can be implernen�•/ e normal schedule of construction,Contractor F. if the change \ supervisor will pt access an aciditionaicharge fora,.-yob supervision,as there is already a jobsu p present on the project. G. ,Extra supervision charges wIU only oocur if tllve project schedu e is to be prolonged. 23. Job schedule A. Job scheduie is set at a 2-3 month period once ground•is broken on the beginning of construction of the remodel. Depending on pool design. B. Schedule Countdown will not start during demolition process C. Any delays due to governmental delays or regulations, and Mother Nature are beyond Contractors control. Page 7 of 8 Proposal from J.D. Design GonsfrudIon Inc. (239)228-7108 � JO. Oesign Construction Inc. 24. Misc. A. All financial draws are contingent upon the passage of inspection for that particular stage of construction. B Home owner to reimburse contractor for permit fees. C. Homeowner to pay impact fees. (if any) D. Owner riot responsible for re-inspection fees. (if any) General Notes: / �\ there is anychanges in th- art - l bid pricin_th • `ner& \. Design Construction Inc. are if /7e in o ' final bid pricing,such to review together. Upo' . ;= e:t i. w tr : • • y agreement shall be s'(T: + Own:r : Co t : o/fort o men , ent of any work under the new pricing. t- r •, id in s hy= or!r. .-: 1 e ove 10.00 a•• be in accordance with para• 0--- -- / • D _r\ \\\�\ Owner Signature Design Construction inc. \., � / J.D. Sigraatikne Proposal from J.D. Design Construction Inc. (239}228-7108 Page 8 of 8 Cz ( i x 1 1 .1100 Commercial,Blvd. limit.#111 Naples. Florida 34104 1 Oice: (234)228-7108 Celt(2.,31j.545-,07.459 JD1255/6NCON5L-'L T AOL.GOM 1 z 1 i CONT G T Decem[aer28, 2015 i d I 7-<-- ---\ 4 //7/\'\ \% 1 /A , \ .\ , . ///7/ ) //,,, /j-,„ ,,-,,, \ , ; • ,j ) ,\\ /„.,./„..:. ) , , ..___,- \• \Gig ,,, 0,,i , �, i ,,,, ,____,/, • , ___.„ h s `// 1......,..,...--____./,' r ti `moi 11 i' Cher&& Residence Naples, Florida J.D. Design Construction Inc. (239)228-7108 Cover Sheet a-t _ Mr.&Mrs.Charik 790 Pan Am Avenue Naples, Florida J.D. Design Construction Inc. proposes to furnish labor and material in accordance with the proposal list below, submitted by J.D Design Construction Inc. Amount: $80,000.00 Not to exceed$90,000.00 :Eighty thousand and 00/100 dollars. Payments to be made as follows: yyy... 6 12121l17C. 1. Due upon acceptance of proposals 15% $12,000.00ECjC ��� $/s/e� 2. Due once framing has started for floor in new�i f�fn .30% $24,000.00 ti 0.3. Due once pool design is completed and reaceorNdemkif area..10% $8,000.00 4. Due upon completion of framing inspec*rx/( tly\for dry. !!)15°% $12,000.00 ' /'• ��' ! 0% $16,000.00 5. Due upon completion of finish HVAC,'c* p ng....•••• 6. Due upon completion of contract/2Z::7j' ��. \ 10\ $8,000.00 i:;i \1:.\ �\ /,, ///// � � \ \`� � ; )) A ,---.--- , I ©-1— �`� \\ 1 I 1 \ \ I .\ l r `,, U '\ / \'•/\i // arresignmeginamagmers Page 1 of B Proposal from J.D. Design Construction Inc. (259)223-710 L z,s3 I t l t r _ ' L / r I-1 (i f_s.j 4 l Scope of work and lob details in the following sections: 1. Demolition and site preparation (Trees to be remove by owner or extra cost) 2. Pool design and construction. 3. Temporary Utilities(provided by owner) 4. Framing material 5. Framing labor 6. Insulation 7. Rough plumbing 8. Rough/Finish Electric 9. Drywall 10. Trim Material 11. Cabinets and Countertops (For Bath area) 12. Trim Labor /� 13. A/C system /�\ !/� \�, 14. Painting /;-;>Ni ., \\15. Finish Plumbing / z„ 16. Flooring Material ///,27/' / ���� 17. Flooring Labor ///i\ \�\�. �\ 18. Shower and bath mirrors and s \ \\ 19. Project Insurance //, %, N.20. Dumpster j/ ` \�\ �\ 21. Warranty and Manua//. i \� 22. Change orders %/ \ ,�0, 0 �\\ J�> 23. Job schedule / _-. 24. Misc. ���\ /' \\\7//// / Page 2 of 8 Proposal from J.D. Design Construction Inc. (239)228-710 L_Z` I 1. Demolition and Site Preparation A. Contractor to demo interior wails and drywalls as needed, pool deck area to be demoed, 2. Pool Design and Construction A. J.D. Design Construction to provide a pool contractor and design for the new pool. 3. Temporary Utilities A. Owner to provide temporary power and water. 4. Framing material A. Framing material to reflect followifl lan sp ifi ations: '! / \\ \,. B. Pressure treated bottom plate ,'"/ .'1 '-\.‘ � \ /////,/,' �� it?, , C. Bottom plates anchored�iitkSad of constru adhes e\and 1/4" x 3" tapcon anchors � �,, 24" o.c staggered. �\/, i A.D. 2x4 and 2x6, K'sy4dst 6 � lrs'N' , F .% ';/ ----: \ t/� 2 fire stop E. a opo ewa s �, �; 5. Framing b•r 1 I `\� `� 1 ( \� ',; u or to fr4r strut e accor - o pla s�ndspe cat ns A. n ' . to s p� B. All labor to be completed in a Wkmn a ( e� finer according to industry standards �V r 6. insulation A. R-30 batt w/v.apor barrier to be used above all areas under air if needed. B. Exterior walls to have R-4 installed between furring strips or alternate Fi-Fold if needed. 7. Rough.Plumbing A. Includes PEX or PVC for water B. PVC for drainage C. 1" backflow preventers D. Water lines up to 160 included Page 3018 Proposal from J.D. Design Construction Inc- (239)228-7108 L I 8. Rough/Finish Electric A. All new devices to be white Decor or Match Existing B. Contractor includes material and labor. 9. Drywall A. Contractor includes material and labor for the following: B. '/2" regular drywall on walls and ceilings �d C. %2" ducrock in showers ////////4/ .\\.\\\, \\\\\ \ D. All corner bead to be 90 d `p /\/ \\\ /\\, E. Finish will be a light - d '"s o ''- 44. \t ooth the if desired- Match Existing i ) \\\ 10. Trim material / "? A. Bas\ `\. - • 4" ,- _.._. I, . .., . - • '.• .. :•i-:,/,/= /,/ \ � B. C sin to be same style-1/2".To match existingexihou e areas ` \ K i \ , L____-/7 k f 11. Cabinets .nd countertops ;�\ 'fit-j' A. Cabinets & bath vanity top to b\e\ '" ter date. B. Labor for installation:provided by CCo.� ctor for cabinets.. Page4of8 Proposal from J.D. Design Construction Inc. (239)228-7108 o 13 r 12. Trim labor/Finish Carpentry A. Contractor to supply labor for installation of the following: B. Installation of bath, kitchen, and laundry cabinets indicated on plans. C. Installation of cabinet'hardware. D. Installation of 5-1/4" baseboard. E. Installation of 3-1/2" casing. F. Installation of closet shelving or/ \ \ '-- AZ/4/ A G. Installation of bath accessory, ar ware (tovae,�l hods, hoks, paper holders, soap dishes) j'/ A: \\ ‘ H. Installation of crown c�agjdipg, sag,, 'rail4j';d molding, or similar. (Not included) I. Installation of vviAtcwfambs, s Hsi and w{ndo /casing. ��� \\ J. All labp�''b- 3-.m• __• .. . , . ..... III. .....- . .'.;; a a.ards 13. A/C syst m i A. A/�sy tlern)cibe the c�;and eval>-fid to s if it i \ delta to ford ddi i n dk bed oom-bath area it5g a spiitern. \� 14. Painting 1/2. % G \ \//// A. Paint material and labor included ‘._.,;-- B. �B. Trim work nail holes to be filled with spackli-ng C. Trim work to be caulked with 35yr.acrylic latex caulking D. Material to be Sherwin Williams latex: interior latex ProMar200, Exterior latex E. Interior walls and ceilings to be primed one coat where work is to be done F. Interior walls and ceilings to have one finish coat where work is to be done G. Trim work to have one finish coat over pre-primed material where work is to be done Proposal from J.D. Design Construction Inc. 62.39)22B-7108 Page 5 of 8 L21 a I 15. Finish Plumbing A. Fixtures supplied by Contractor. (Owner approval) B. Finish fixtures installed in all locations: (new bath area) C. Plumbing aspect does not include the following: (Fire Sprinklers) 16, Flooring Material A. Provided by Contractor per notes on plans �o verify sample or number for floor finishes. / \ (Midgrade) /,--,\ 17. Flooring Labor ��'� '-, "\„ //% / \\.<� A. Provided by contractor ///7 \\, ,,277,,,/ 4 r \ \ :\ 18. Shower and bath Mirrorsli" %s 1 �)�, `. A. Includes material'r�d'I orfo r : Bath ar-. '> /4.,/,____;,....-- ��//% // B� rr�om B. Inclu��st�atror gi ' -. .—_ ..._ _..a.. _ �--- --- - � II `l 19. Project hit ur ty\ � ) ��� I �� s\\5A. C htr it proyic __t7 (--cd �'rior tkcogrinencment of nstruJon;, ro of c rrent liability and workers compensation in�uuance coverage in the minimum amounts red by Florida Law. Contractor will provide cei\ikates , nce for said coverage to Owner, naming Owner as additional insured there*\d con/tractor agrees to pay all subcontractors in full at the co pletion,and approval of ail subcontractor work performed.Any mechanic/construction lien filed against Owner or Residence will be paid and cleared by Contractor within 3Q days of receipt of the Notice of,L>ien. 20. Dumpster A. Contractor willprovide acdumpsteron site fordebris removal and labors use. B. Dumpster to be removed and replaced when full. C. Jobsite to be kept clear or trash or refuse. Proposal from J.D. Design Construction Inc. (239)225-710B Page 6 of B_ Efti • $ 21. Warranty and Manuals A. Contractor to provide homeowner with a project warranty and maintenance manual at project closeout. B. Project.manual wild consist of conitract'orIjsts,vendors,,and contacts. C. Warranty packet will contain material documentation from all appliances, and fixtures. 22. Change orders A. Duringthe construction process,there.ry�''\�be situations that arise that may require a change /. !, , order,for many possible reasons. /%;,! \required, s',,, B. B. When a deviation from the senvolved,parties, Homeowner, Owners Rep, t p. n 's _\ ,, \\ �' % iii �to m and discuss the changes to Contractor, and necessary�yl��a�\°r ,°��••- �q � �As a r Ito, i 4 riti'>3 ha�t�i` y not ed to be present during the //occur, unless one ofthe/5j> g , N:\ \�� \ discussion regardin �i�i�(i,�han e o � � \\\ > - --!- -...-_, . .-.,.a . �L, ._ -=/with C. Once a h �� jr_+ - •' - _ //a. � � ;.n . =-v-R'- f e c ange order. writt i Ch1 Ho e owner, Con c�tor an�u Ow ers Rep D. The c an aor��rmus nbesi re`bffby by'-.411e ey \\` \ I I I ,\�� !! 5-7` roje the Ho eow er will be E. If a clan e " r incr-. - e tirr ded tb�omple / schedule ad" ..-• '-,\ /:. F. If the change order can be implemerieNw�� e normal schedule of construction, Contractor will not access an additional charge for:tob supervision,as there is already a job supervisor present on the project. G. Extra supervision charges will only occur if the project schedule is to be prolonged. 23. Job schedule A. Job schedule is set at a 2-3 month period once ground is broken on the beginning of construction of the remodel. Depending on pool design. B. Schedule Countdown will not start during demolition process C. Any delays due to governmental delays or regulations, and Mother Nature are beyond Contractors control. Page 7 of 8 Proposal from J.D. Design Construction Inc. (239)228-7108 EZ e( c 24. Pdlisc. A. All financial draws are contingent upon the passage of inspection for that particular stage of construction. B. Home owner to reimburse contractor for permit fees. C. Homeowner to pay impact fees. (if any) D. Owner not responsible for re-inspection fees. (if any) /ON. \ General Notes: If there is any changes in the;cirig�a�l bid pricin th�.i*ner&*D. Design Construction Inc. are to review together. Upo;. 9e fne t 1 w to .. y \\ e ird ' final bid pricing, such agreement shall be s', -• Own r&Cot :cto ', fort `mmen ent of any work under the new pricing. �iip�iid in4 yi r, e oven a 0.00 be in accordance a Ordlorc ata va \\ with parao� \ h /I (--- ,, -, ((,,__—• . //1 r "-- % :Jj r 1 li Lo• \ j /r Owner Signature \�\„//J.D. Design Construction Inc. Signature Proposal from J.D. Design Construction Inc. (239)228-710B Page 8 of E.36 7 2A//(A: a1 f.. t Fs. f , I (.c' , °r� 1 f t�f ;.— f f .- 1.--.: \-f l Mr.&Mrs.Charik 790 Pan Am Avenue Naples,Florida J.D. Design Construction Inc. proposes to furnish labor and material in accordance with the proposal list below, submitted by J.D Design Construction Inc. Amount: $56,500.00 Fifty six thousand five hundred and 00/100 dollars. Payments to be made as follows: . Due upon aeoe.ptbnceof proposals '$12,000x!'- .2:". Due once framing has started for floor in new, ro 2 27 PO , Due upon completion of demo of pool cag \ \ $10,000.00 Aiiii.2,/E, 4. Due upon completion of finish HVAC,ej ' , • 1 \ing S' Vega. 6"1"'' " 5. Due upon completion of contract....A. ;/,�/ ‹.—'000" -- N \ /7//7' ' , , i% ,/, , \‘,. \ Ay ,,., , :5, , _ , , - \> „.\,..--,--7 , „,,,, ,,,,.„-- ,,,,,-- 1 ,. n_„„\ „ ,, (-- -, ,, , , \ 1-. e, ) ) (`,:),, ...,..�_.. ._ .n. ., �, .,:. . ., ... . 'W. 1522211211222EM Proposal from J.D. Design Construction Inc. (239)22B-710 Page 1 0123 C. 31 . r Check Image-Citibank 3(28(2016 CIT.a Pdnt a Copy Ck ATM/Debit Card:3000()OOIX 2945 As of 03-28-201612:11 EDT SERVICES Check Details Account Check# Post Date Amount Interest Checking:5244 366 12/29/2015 $12,000.00 ''"_ 2^7dd ttr, f 3 fi. 0.iJ,ti{--:F.NARKr2 i2 pm• J' '.:_ _-5' vio PA kl 3VE oTy?5 ?ihPl�Sr e;;��c _i sal'9 ' .mfr• _ L'_ citigOlII tl aT1 CL 69j2- is.., __________ :�.. oils 4:z.7101010111111110111 191 P ---u"I"i"Illi"IlIllIllIllMIIIIIIIM a 0. 9 04 14 iz,E D ,, °'iii Security Tip:Check Image files may be automatically saved on the hard drive of this computer. If other people use this computer you should delete these files so that no one will have access to your check images and account information.Learn more L 32 1/1 hitt://online.Citi.Com/USlusba/cilpresentCheckimage.do Check Image-Citibank 8/28/2016 Print acopy Clc ATM1Deblt Card:X)00:-)000:-)99:X-2945 As of 03-28-2016 12:11 EDT SERVICES Check Details Account Check# Post Date Amount Interest Checking:5244 374 01/06/2016 $24,000.00 ED reo�Vuta 3 7 4 IYlR.11EN:t.F CHARM -12-12 �— 7: .t14 7510/0,04 ave 11-4 NicLEs,EY.941 S of 3?s -14 1911, ...grSr� _ 1 $.2►fa Cl l ank Citlgold` tam t`?>:a 0 i0..:. .w�a •a • n: Security Tip:Check Image files may be automatically saved on the hard drive of this computer.If other people use this computer you should delete these files so that no one will have access to your check images and account information.Learn more E33 1/1 https://onlinaciti.com/US/usbaki/presentChecklmage.clo • t 8/28/2016 Check image-Citibank • /+/"we _ Print a Copy CI( C�t i _ _. ATM/Debit Card: Q YJOC(YJOO(-2945 As of 03-28-201612:10 EDT SERVICES Check Details Account Check# Post Date Amount Interest Checking:5244 381 02/12/2016 $10,000.00 f-mta 381 .,f::CHAS K.'1-ia sAi`I Ian Ztt, 2 cy(� 1Ocs tpN #1tiYt62s – ,_.I $%Opcv-ea iiiii ----_______.- t#2_„'' om, ei .F =t -7— —"7.,--•-——- - .u.. 8 m,. ����' Ctt6g0Id' Iiirja i ct _...,..0.4... Vait''' L.- a---Q---0, 10fill 03$:'I. . r • t1 At Iy v . . 1 ik } Security Tip:Check Image files may be automatically saved on the hard drive of this computer. If other people use this computer you should delete these files so that no one will have accessto your check images and account information.Learn more 3q1/1 https://ortlinaciti.com/US/usba/ci/presentChecklmage.do BUILDING PERMIT APPLICATION I Cotierounty Growth Management Division, Planning and Regulation 2800 N. Horseshoe Drive, Naples Florida 34104 ' 239-252-2400 Please fold plans with the plain side out. Ensure documents are stapled inside each set of plans. Residential 1 or 2 Units n Residential 3 or more Units n Commercial flWalk Through Permit No. iRRDIANIAV-H,1 "S tot r ZO�'3OO Folio T q-9 00 _ I State Cert No CGC1505602 Anovus Corporation 790 Pan Am Ave. Company Name I Job Address Salvador Chairez z I Ian & Mile Charik ^ 7 Qualifier Name__—_ o Owner Keith Wulber 239-821-4999 - t- Contact Name i Owners Phone Nn. G U ' 2 Address 6626 Monterey Pt p Lot 3 Block Unit = = Naples FL 34105 1.4 The Cottages of Gulf Harbor z city P JStatc Zip_ q Snbdll'iSiOn ^v t 0t.: z_ Phone 239-444-3570 '' Twnshp 4% Range 7-5 Section 14 - Fax 239-444-3471 SDP COA FE!s'i.A: BEE: 9 Zone: AE 9 E-Mail Address keith@anovuseorp.com New Construction Doors/Windows Marine Re-Roof Private Provider El Non-Sprinkled Addition IElectric.Low'Voltage Sprinkled M /Electrical z 0 p Z Mechanical Screen Enclosure ,. Low Voltage - ❑I A DIB �' ✓Mechanical ❑I1 A ❑Il B vAlteration Fence , z r- i w ; _ `� ❑IIIA ❑UIB i Mobile Home Shutter i � •� Plumbing �,, .- ❑IVA ❑IVB Convenience Book 'Fire • ^ Roofing ;j r- O - Plumbing Sign/Flagpole U = Septic z n V A Ey B i Demo IGas I Shutter I i.: Occupancy Classification Electric from House (Solar f' Permit be Affidavit Group R3 Residential 'Pool H Description of Work: _ Description of Work: Modifyexisting garage _ — c� z ii- adding 569 SF of AC area _ p I . Modify existing Deck O __ p r I _ 4 4 Floors #Units =Fixtures i ^ =Stones 2 =Units 1 Cost of Job 65000 Q #Tons Cost of Job < • =Bedrooms N/A = •Baths N/A Tons N/A O U Interior Sq Ft Exterior Sq Ft Total Area ' ! N Living Sy Ft Non-Living Sq Ft Total Area • K z /`vO�0 2 SDP: COAT SDP: ______-- COA' -- --- O Code Case: i code Case. U SEWAGE WATER SUPPLY well Septicell ❑ iName McHarris Planning &JB Engineering of SWFL Inc Ave Maria fAve Maria 7 City of Naples ❑City of Naples r 0 Address 11338 Bonita Beach Road Suite 103 U W ^ < t-i�, Bonita Springs FL - p 34135 ✓Collier County ❑✓ Collier County c, 2State Li - Golden Gate City ❑Golden Gate City I— 0 Phone 239948-6688 Immokalee nimmokaleez I — Orange Tree Elf Orange Tree G Other ❑Other 5/S Days Review: S #of Sets July 1, 2011 nor Use n>-county state PMR Date: ACKNOWLEDGEMENT OF COLLIER COUNTY REGULATIONS tee-� a tr,713.135 a No a e t .. f:. _ } r{ mare FO.A:C F'.., a.e'ren anVP . ^:r P. !Dt tna,e The abilicar,s'ier,L a' the ua. ,,t r"'+ o• - - r n. ._ D., NOC or a no_anz d_„a e.nen that the NOCr n a .t mspe_cCiln cit,.)a,.l,e'1. :cu r q a..,Gr h„ nC .n n S ..t cr' ...._,u'..,. .. 71D de:'Ive J.cmai!O”ar}0:r.n-Ten.:S S'tin '.l';; aJl WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. The approved permit and/or permit application expires if not commenced within six(6)months from the dale of issuance. The permit or application fee will be four times the amount of the permit fee. if work is started without an approved permit- The permittee further understands that only licensed contractors may be employed and that the structure will not be used or occupied until a certificate of occupancy is issued. By signing this permit application, I agree that I have been retained by the owneripermittee to provide contracting Services for the trade for v.ihioh I am listed. Furthermore,it is my responsibility to notify the Customer Service section of the Building Review and Permitting Depahment should I no longer be the contractor responsible for providing said contracting services. I further agree that I understand that the review ane issuing o`this permit does not exempt me from complying with all County Codes and Ordinances. It is further understood that the property ownerfperrni!tee is the owner of the permit. WARNING OF POSSIBLE DEED RESTRICTIONS THE LAND SUBJECT TO THIS PERMIT MAY BE SUBJECT TO DEED, AND OTHER RESTRICTIONS THAT MAY LIMIT OR IMPAIR THE LANDOWNER'S RIGHTS. COLLIER COUNTY IS NOT RESPONSIBLE FOR THE ENFORCEMENT OF THESE RESTRICTIONS,NOR ARE COLLIER COUNTY EMPLOYEES AUTHORIZED TO PROVIDE LEGAL OR BUSINESS ADVICE TO THE PUBLIC RELATIVE TO THESE RESTRICTIONS. THE LANDOWNER OR ANY APPLICANT ACTING ON BEHALF OF THE LANDOWNER IS CAUTIONED TO SEE PROFESSIONAL ADVICE. WARNING ON WORK IN COUNTY RIGHT-OF-WAYS This permit does not authorize construction or installation of any structure or utility, above or below ground, within any right-of-way or easement reserved for access, drainage or utility purposes. This restriction specifically prohibits fencing, sprinkler systems, landscaping other than sod, signs, water, sewer, cable and drainage work therein. If such improvements are necessary, a separate permit for that purpose must be obtained from Transportation/ROW Permits and Inspections(239)252-5767. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management district, state agencies, or federal agencies. CONVENIENCE BOOKS A convenience book can be purchased for air conditioning,water heaters,or residential garage doors(size for size). They may not be used for work having a value of over 55000. They are not valid for work in the Right of Way. A separate ROW permit must be obtained. Reapplications are allowed for convenience permits. The permit must be completely filled out by you prior to commencing the work,and the job-site copy posted at the electric meter, It Is your responsibility to ensure the documents are posted correctly and securely. Inspections must be called for within 24 hours of work completion. A permit is not required for a water heater under 52 gallons for a single family detached house only. Residential garage doors need NOA or Florida Product Approval. Approval numbers must be written on the convenience permit. Approval must be on the job site with the copy of the permit. Convenience permits can be delivered or faxed to the office at(239)-252-3990, Company Name: Anovus Corporaaon State License#: l' )\- Qualifier's Name �o,1UG3 C r Ckc i;C E Qualifier's Signature 0 c , State of Pio f tda , County of t: 1(t e r Sworn to(or affirmed) and subscribed before me this 0 9- / c2,`t" !of f Who is personally known X. OR Produced ID Type of ID Notary Public Name \l)U.k.) (SEAL) Notary Public Signatur ti— ^ tU' N- t' L /.7.17:". ; SUSAN WI BER MY COMM'.SSION f FF C105302 - = EXPIRES'April 10,2017 ��.,'f••• ;t�, Bonded Tttry Notary Pubic lireerwrilers - - b7b2011 x;34 • COLLIER COUNTY BOARD OF COUNTY COMMISSIONER,' PERMIT PERMIT#: PRBD2014041131901 PERMIT TYPE: BD ISSUED: BY: APPJ,TFD DATE: 04-28-14 APPROVAL DATE: 12-22-15 MASTER#: COA: JOB ADDRESS: 790 Pan Am AVE JOB DESCRIPTION: MODIFY EXISTING GARAGE ADDING 569 SF OF AC JOB PHONE: AREA.MODIFY EXISTING DECK 790 PAN AM AVE LOT 3 SUBDIVISION#: BLOCK: LOT: FLOOD MAP: ZONE: FT,F VATION: FOLIO#: 27907300080 SECTION-TOWNSHIP-RANGE: 16-48-25 OWNER INFORMATION: CONTRACTOR INFORMATION: CHARM,IAN L&MILA G J.D.DESIGN CONSTRUCTION INC. 790 PAN AM AVE 2036 50TH TER SW NAPLES ,FL 34110- NAPLES,FL 34116 CERTIFICATE Lcc20130002248 PHONE: FCC CODE: CONSTRUCTION CODE: 0207 JOB VALUE: $65,000.00 TOTAL RES SQFT: 569 TOTAL COMM SQFT: 0 SETBACKS FRONT: REAR: LEFT: RIGHT: SEWER WATER: CONTACT NAME: CONTACT PHONE: Per Collier County Ordinance No.2002-01,as it maybe amended,all work must comply with all applicable laws,codes,ordinances,and any additional stipulations or conditions of this permit.This permit expires if work authorized by the permit is not commenced within six(6)months from the date of issuance of the permit.Additional fees for failing to obtain permits prior to the commencement of construction may be imposed.Permittee(s)further understands that any contractor that may be employed must be a licensed contractor and that the structure must not be used or occupied until a Certificate of Occupancy is issued. NOTICE:PRIOR TO 111L REMOVAL OF ASBESTOS PRODUCTS OR THE DEMOLITION OF A STRUCTURE,FEDERAL AND STATE LAWS REQUIRE 1111:PERMTITEE(EITHER'1111.OWNER OR CONTRACTOR)TO SUBMIT A NOTICE OF T'HE INTENDED WORK TO THE STATE DEPARTMENT OF ENVIRONMENTAL PROTECTION(DEP).FOR MORE INFORMATION,CONTACT DEP AT(239)344-5600. In addition to the conditions of this permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,and there may be additional permits required from other governmental entities such as water management districts,state agencies,or federal agencies. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 00 Application Information . 1 _ __ — Property.alert Application Number PRED20140411319 Description Type p` 27907300030 Propertyi Type Building L' ;90 Pan Am AVE • Address 3 Status Inspections Completed 1111 Inspector I View Master Project Add a new person or business to Address Book Show Permits on this Application V Activity Tracking A Show Me All Permit and Inspection Activities + ' r _ Generate Email l Go Link Activity AssignedTo Priority Date Require Outcome Date Complete _ Generate Default Reviews and Normal 04/28/2014 Complete 04/28/2014 — Environmental Review Kirsten Wilkie Normal 05/01/2014 Approved 04/29/2014 1F: j I .:FEMA Review Michael Gibbons Normal 05/01/2014 Rejected 05/05/2014 ,_ j — — Residential Review Michael Gibbons Normal 05/01/2014 Rejected 05/05/2014 I Zoning Review Kirsten Wilkie Normal 05/01/2014 Approved 05/02/2014 Impact Fee Review Craig Davis Normal 05/01/2014 Rejected 05/02/2014 i _ Final Review 5 Day Review Ti Martha Vellos Normal 05/05/2014 Complete 05/05/2014 Generate Review Correction N Martha Vellos Normal 05/06/2014 Complete 05/05/2014 _ _ Generate Application Fees Normal 05/16/2014 Complete 04/28/2014 _ _ Were Corrections Received Vicki Scott Normal 10/17/2014 Submittal Received 12/03/2015 _ _ TIMER: Checkfor Submittal Re Normal 06/17/2015 Pending ' Process Permit Extension Normal 06/19/2015 Pending Process Permit Extension Normal 09/28/2015 Pending ... FEMA Review Michael Gibbons Normal 12,11/2015 Rejected 12/09/2015 Comments ] Bulk Inspection Update Start Time Responsible Department Building Review and Permitting f End Time 1 Resource Group 'Permitting Tech 7 Hours Spent lDate Requested I Completed By :Jesse DeWitt Requested Time Frame Category 1 Jurisdiction _El Show Activity Comments History V Show Activity Extended Description V Electronic Documents I No I Y_k Permit y !PRBD2014041131901 Permit Type IBD Submittal Number 11 Activity Checklist9c Item Priority Status Completed? Date Completed 6-36 i .Ap.Ui'cation Information A. Application Number PRBD20140a11319 Description 1 Type 1 Property Alert 1 27907300080 Property. i Type Building Iv'I 790 Pan Am AVE Address Status ;Inspections Completed I�1 Inspector i View Master Proiect Add a new person or business to Address Book Show Permits on this Application V Activity Tracking A Show Nle All Permit and Inspection Activities Generate Email Go Link Activity 1=kssiqniedio Priority Date Require Aii Outcome Date Complete Ai _ _ Residential Review Michael Gibbons Normal 12/11/2015 Approved 12./09/2015 Impact Fee Review Craig Davis Normal 12/11/2015 Complete-No Fees 12/10/2015 _ Final Review 5 Day Review Ti Vicki Scott Normal 12/15/2015 Complete 12/14/2015 _ Vicki Scott Normal 12/15/2015 Complete 12/14/2015 1i Generate Review Correction N P FEMA Review Michael Gibbons Normal 12/21/2015 Approved 12/18/2015 �a- Final Review 5 Day Review Ti Tracy Bates Normal 12/23/2015 Complete 12/22/2015 I_ Generate Permit Fees Tracy Bates Normal 12/23/2015 Complete 12/22/2015 100 - Footings John Serenko Normal i 04/22/2016 Pass 04/22/2016 _ 105 - Shearwall John Serenko Normal 05/26/2016 Cancellation By Con 05/26/2016 _ 108 - Framing John Serenko Normal 05/26/2016 Partial Pass 05/26/2016 _ 201 - Plumbing Rough-in LEGACY:Tony Gabriell Normal 05/26/2016 Partial Pass 05/26/2016 _ _ 501 - Electrical Rough Vito Congine Normal 05/26/2016 Pass 05/27/2016 _ Were Corrections Received Vicki Scott Normal 05/27/2016 Submittal Received 12/16/2015 300 - A/C Rough Rob Rogers Normal 05/27/2016 Failed - Building 05/27/2016 -- Comments Bulk Inspection Update Start Time Responsible Department Building Review and Permitting 0 End Time f Resource Group ;FEMA Plan Review Hours Spent I Date Requested 112/09/2015 Completed By ';Michael Gibbons — " " Requested Time Frame � ' Category i El Jurisdiction Show Activity Comments History V Show Activity Extended Description V Electronic Documents No Permit = 1PRBD2014041131901 Permit Type IBD Submittal Number 12 Activity Checklist A e 39 Item Priority _ Status Completed? Date Completed Ensure Work Items Entered (as applicable) Pending 71 •Application Information . Application Number PRBD20140411319 Deszripticr _ Type .1 Property Alert _ 2.9+07_00080 Property I Type Building H 740 Pan Am ;E Address 1 Status Inspections Completed Inspector —17 View Master Project Add a new person or business to Address Book Show Permits on this Application V Activity Tracking A Show Me All Permit and Inspection Activities Generate Email Go Link Activity AssinnedTo Priority Date Req uire Outcome Date Complete 300 - A/C Rough Wayne Hendrickx Normal 06/01/2016 Pass with notes 06/01/2016 _ 109 - Insulation Wayne Hendrickx Normal 06/01/2016 Failed - Building 06/01/2016 _ _ Verify Submittal Abe Berrios Normal 06/10/2016 Complete 06/10/2016 _ Residential Review Robert Moore Normal 06/13/2016 Approved 06/16/2016 Plans Routed Maria Diaz Normal 06/16/2016 Complete 06/15/2016 Final Review 5Day Review Ti Angel Tarpley Normal 06/17/2016 Complete 06/17/2016 `_ 201 - Plumbing Rough-in Herb James Normal 06/17/2016 Pass 06/17/2016 1i Generate Permit Fees Angel Tarpley Normal 06/20/2016 Complete 06/17/2016 1.51 _ Verify Permit ready to Issue Cashondra Chandler Normal 06/20/2016 Complete 06/20/2016 —'I _ _ 105 - Shearwall Thomas Winkler Normal 06/23/2016 Failed - Building 06/23/2016 108 - Framing Thomas Winkler Normal 06/24/2016 Failed - Building 06/24/2016 105 - Shearwall Thomas Winkler Normal 06/24/2016 Partial Pass 06/24/2016 105 - Shearwall John Serenko Normal 06/28/2016 Pass 06/28/2016 301 -A/C Final Wayne Hendrickx Normal 08/01/2016 Pass 08/01/2016 Comments Bulk Inspection Update System Message: IVR completed scheduling at 05/26/2016 04:30:17 PM. . , 1 Start Time Responsible Department ';Building Review and Permitting T End Time 1 Resource Group Mechanical Inspection Zone 7 _I Hours Spent 10.00 Date Requested 105/27/2016 Completed By :Rob Rogers L-, Requested Time Frame II Category i . Jurisdiction Show Activity Comments History V Show Activity Extended Description V 81-1 "_-_ Field Confirmation Number 100490354 Electronic Documents No Inspection Zone 17 Permit - 1PRBD2014041131901 Permit Type IBD Range 125 Section 116 Submittal Number 11 Township 148 l: Ci Activity Checklist • A ,Application Information •r.. Application Number PRED201A0 11319 De,criFtic'r I Thpe I Prcpeft.wort f 2790730 080 Property Type Euildrng790 Pan Am AVE Address , Status _Inspections Completed Inspector LJ View Master Project Add a new person or business to Address Book Show Permits on this Application 1 Activity Tracking v. A Show Me jAll Permit and Inspection Activities 1 • — ! Generate Email x Go Link Activity AssicnedTo Priority Date Require Dutoon;e Date Complete , 103 - Floating Slab John Serenko Normal 08/01/2016 Not Required 08/01/2016 _ 107 - Sheathing Facia John Serenko Normal 08/01/2016 Not Required 08/01/2016 202 -Plumbing Stack Herb James Normal 08/01/2016 Pass 08/0112016 204 - Plumbing Final Herb James Normal 08/01/2016 Pass 08/01/2016 _ _ 120 - Flood Vent Relief John Serenko Normal 08/01/2016 Not Required 08/01/2016 _ 502 - Electrical Final Richard Davidson Normal 08/01/2016 Pass 08/01/2016 136 - Impact Glass John Serenko Normal 08/01/2016 Failed - Building 08/01/2016 _ _ 108 - Framing John Serenko Normal 08/01/2016 Partial Pass 08/01/2016 _ 136 - Impact Glass Thomas Winkler Normal 08/04/2016 Pass with notes 08/04/2016 ,__ _ 108 - Framing Thomas Winkler Normal 08/04/2016 Pass with notes 08/04/2016 1 _ 115 - Building Final John Serenko Normal 08/05/2016 Pass 08/05/2016 l` _ _ Verify Submittal Jesse DeWitt Normal Complete 04/28/2014 _ 200 -Plumbing Underground LEGACY:Tony Gabriell Normal Pass 05/26/2016 Verify Re-Submittal Vicki Scott Normal Complete 12/08/2015 – Bulk Inspection Update Comments System Message: CityView Portal completed scheduling at 07/29/2016 03:09:01 PM. Start Time 1 Responsible Department _Building Review and Permitting End Time l Resource Group Mechanical Inspection Zone 7 Hours Spent 10.00 Date Requested 08/01/2016 - Completed By ;Wayne Hendrickx l_, Requested Time Frame 1 i Category Jurisdiction Show Activity Comments History Show Activity Extended Description V Confirmation Number 100490355 Electronic Documents No Inspection Zone 17 Permit _ 1PRBD2014041131901 Permit Type JBD Range 125 Section 116 Submittal Number 11 Township 148 EH j Activity Checklist •Ap litation Information "' Application Number PP ED201-0 .11319 Description, 1T_..Fe Frcpe t;.Ale I 27907300080 Property ' Type Building _ ?gu Pan km A':E Address 1 Status Inspections Completed Inspector H T View Master Project Add a new person or business to Address Book Show Permits on this Application Activity Tracking A Show Me iAll Permit and Inspection Activities w I Generate Email Go link Activity .ussign:dTo Priority Date Require A. Outcome Date Complete f _ 136 - Impact Glass Thomas Winkler Normal 08/04/2016 Pass with notes O8/04/2016 _ 108 - Framing Thomas Winkler Normal 08/04/2016 Pass with notes 08/04/2016 115 - Building Final John Serenko Normal OS/05/2016 Pass 08/05/2016 _ _ Verify Submittal Jesse DeWitt Normal Complete 04/28/2014 _ 200 - Plumbing Underground LEGACY:Tony Gabriel) Normal Pass 05/26/2016 • — Verify Re-Submittal Vicki Scott Normal Complete 12/08/2015 • _ Verify Re-Submittal Vicki Scott Normal Complete 12/16/2015 _ _ All Fees Verified Tracy Bates Normal Complete 12/22/2015 _ Verify Permit ready to Issue Abe Berrios Normal Complete 01/06/2016 _ _ Generate and Issue Permit Abe Berrios Normal Complete 01/07/2016 109 - Insulation Robert Cornetta Normal Pass with notes 06/23/2016 _ Generate Default Reviews and Abe Berrios Normal Complete 06/10/2016 _ All Fees Verified Angel Tarpley Normal Complete 06/17/2016 _ Generate and Issue Permit Cashondra Chandler Normal Complete 06/20/2016 Comments 1 Bulk Inspection Update Start Time 1 Responsible Department Building Review and Permitting End Time ) Resource Group ',Permitting Tech Hours Spent I Date Requested I Completed By ;Vicki Scott Requested Time Frame Category j v Jurisdiction I Ell ShowActivity Comments History Vi Show Activity Extended Description V Electronic Documents No Permit -= 1PRBD2014041131901 Permit Type IBD Activity Checklist A Item Priority Status Completed? Date Completed • • coaoavrio� tt Contractor's Release 12/28/2015 To: 1 Collier County Building Department P ment From: Anovus Corporation 2316 Pine Ridge Rd.Suite 316 Naples FL 34109 Attn:Keith Wulber 2339-405-2255 keith anovuscorp com Reference: j Job name:Charik Residence I Address:.790 Pan Am Ave Collier County, FL Permit It:PBRD2014041131901 To whom it ma I yconcern: This leetter confirms and acknowledges that Anovus Corporation,permit nam CGC1505602 releases our rights to all Anovus Corporation �project.will not be the contractor for work associated with Sincerely, Permit#PBRp2014041131901, .Anovus Corporation I E.`i3 i 1 New Contractor's Letter 1 'i} To:Collier County Building Department Job Name: Charik Residence Location-790 Pan Am Avenue, Collier County, Florida Permit#: PRBD2014041 131901 1 1 To Whom It May Concern: This is to let you know that J.D. Design Construction inc.Naples Florida 34104 is taking over the rights on the construction papers for this project Anovus Corp(2316 Pine Ridge Rd#312,Naples Florida 1 34109 is no longer the contractor on this project. i Thank you for your attention to this matter. J' can President J ��,G off' k- /�r c!� u s A ..--e-..----7 0{ --✓rc/]G —,.... �076 ,..,/,',,,.qv,r�/ 2 cz r) :��7�G-f c-LI J c')7"Tc 1 /17 .- - 1 � �� c X e Gtc `- A;s /cl `-r. /Lk .s �s�-r //y i�,,, "�' ,._, ! , / U ...-1-7 A-e...L.' ,.. ..M.----1,..,____.7.L., F: :ti . GLENNA S.TOLSON /' :.. - ,Y MY COMMISF/ EXPIRESt R,` h Bonded Thu Notary Pudic UndenwIlers E H QV AE;FIERS PAGE Application is hereby made to obtain ACKNOWLEDGEMENT*OFICOLLIER COUNTY REGULATIONS commenced prior to the issuance of a permit and tha± he installations as indicated. I certify chat no work or instalfati0n I this jurisdiction. The permit or application fee may have additionalefeesrf imposed for failing to obtain construction. p rmto meet the standards of all laws regulating constructior The approved permit and/or permit application e Permits prior to commencement further understands dfands that only permit contractorsonmayres if not commenced within 180 days from the date of issuance. occupancy is issued. By signing this permit application, 1 agree that I have been retained b be employed and that the structure willbnot be used or occupied until a certificate services for the trade for which I am listed. Furthermore, it is my responsibility to notify the BuildingR The Demon should I no longer be the contractor responsible for providing said responsibility se issuingY the owner/permittee to provide contracti. should ofthispermit hes nott ceontractor t Review and Perm owner/permittee is the owner of the permit from complyingg services. I further agree that I understand thatf t9eDre vew�� with all County Codes and Ordinances. It is further understood that the proper Note: If change of contractor, please provide the following: Permit Number: - ' -; 4 11 3 1 jC:. E-mail Address: • COMPANY NAME; ;7 V STATE LICENSE N0:K 7 r)LL •, 3E QUALIFIER'S NAME (PRINT) : )r,,,-1`-. , e--- QUALIFIER'S S NATURE: i STATE OF: 1- COUNTY OF: C1 / i, ,,, . ----• SWORN TO(OR AFFIRMED)AND SUBSCRIBED BEFORE ME THIS ( (` WWHO IS PERSONALLY KNOWN: / n WN: OR AS PRODUCED ID; ✓ -- TYPE OF ID: /% (___ --- NOTARY PUBLIC SIGNATUR - - NOTICE IN ADDITION TO THE REQUIREMENTS OF THAT MAY BE FOUND IN THE PUBLIC RECOTHIS RDS OFE�IT (SEAL) GOVERNMENTAL ENTITIES SUCHTHERE MAY BE ADDITIONAL RESTRICTIONS THIS COUNTY, T, ATHERE MAY BE DITEDER PERMITS REQUIRED FROM OTHER AS WATER MANgGEMENTDISTRtCT,STATE AGENCIES,OR FEDERAL WARNING OF TO THIS PROPERTY WE LAND OF POSSIBLE DEED RESTRICTIONS AGENCIES. LANDOWNER'S THIS PERMIT MAY BE COWER COUNTY RIGHTS. COLLIER C SUBJECT TO DEED, LANDOWNE S. EMPLOYEES OUN1Y IS NOT RESPONSIB AND OTHER RESTRtENT O THEEMPLOYEES AUTHORIZED TO PROVIDE LE FOR THE THAT M ADVICE. LANDOWNER OR ANY APPLICANT ACTING LEGAL OR BUSINESS F ADVENT OF RESTRIAY ICTIONg IMPAR THE TING ON BEHALF OF TO THE PUBLIC THE LANDOWNER IS CAUTIONED TO RELATIVE� NOR ARE WARNING ON WORK IN COUNTY SEEAK PROFESS ONAL THIS PERMIT DOES NOT RIGHT-OF-WAYS WITHIN ANY RIGHT-OF AUTHORIZE CONS PROHIBITS F W AYU ORTRUCTION OR INSTALL ATION OF ANY STRUCTURE ABOVE OR BELOW GROUND. FENCING, EASEMENT RESERVED FOR THEREIN. SPRINKLER SYSTEMS, LANDSCAPINGSEEDFR ACCESS, DRAIN PU TR OH BITS ENCING W P SPRINKLER AGE OR UTILITY W ATE RpSEgLfTY, IMPROVEMENTS ARE NECESSARY,OTHER THAN 50D, THIS ES RESTRICTION SPECIFICALLY PERMITS AND INTS ARE (239)252-8192 SEPAR ATE PERMIT FOR THAT PURPOSE MUST BE OBTAI ARNING R CABLE AND DRAINAGE WORK TO OWNER: YOURNED FROM ARNI N TO T RY FAILURE TO OMMENCEMENT TO RESULT RECORD A NOTICE O . INANCING, T YOUR PROPERTY YOUR YOU TWICE =INANC RE, CONSULT WITHIF YOU INTEND TO OBT O- perFloddaSfatWes7 YOURORDING YOUR(� LENDER O AI RerFiod a 13.135 a Notice of Commencement NOTICE OF CO R AN ATTORNE Thea ePtacernentsanoticeofcommencementisre NOred °o��YPEN� applicant shaft fife with the issuing � C)is required for co recordrnorRegwltheco gauthorityprienor tot qurstinsrimprovementsnsoretionofimproveme EENT. permitting copy thereof.In order to he first inspection either more than$7,500. tits totaling more than re of ,i 0t swith inspection department. The issuing rtocomply me first atata re �a cedified copy of the recorded N $d stat Y hermeans such ce ed Cop with certain exceptions. rtepart a tit.Th e authorityshestat quirement,permits will be OC or Pr ons. Forfil issuing authority. pertorrn or approve subseq placed jGo05 until a notarized files es b men;fhar the NOC an q vent inspections until theld until prop/of the N aPPlican(files b OC is filed with}has been filed for Y mail,facsimile,hand deli very,email or i s J.D . DESIGN CON STYI`_, C.TICJN INC. C``. Lc.C:LCC201300022 ,'1- S to F:RG2911�13?-' CO Phone:.,239-595-8,47c 9 Telephone:239-228-7108 Fox:239-2287984 1100 Cornmercio B',d. r-116 NAPLES.FL 34104 April 28, 2016 To: Whom it may Concern This is a letter to inform Collier County Buildine Department that J.D. Design Construction Inc. is removing their name from the permit#PR8020140411319.The address is 790 Pan Am A\enue, Naples Florida 34104. The name on the protect and owner is CHARIK,IAN L&MIL G. Thank You! J. D. Design Gonstruction inc_ 2036 50th Terrace 5.1^t. Naples, Florida 34116 Office: (239)228-7108 Fax: (239)228-1984 Gell: (239)595-8769 President: Jimmy Dean Sign: ; :. CiLENNA S.TOLSON ! _.: ,., ; MY COMMISSION 1 FF 072378 S i Z c /C it c�C '���.j§ EXPIRES:February 5,2018 r Ci I?;ted'; Booed Nu No Public Underrrten CGC{ , )11 � I c(/7�r G.) C/ Yvw-rn f Gni - "-„; rnE' Page 1 of 1 ‘2- 6//: 6 CJ Colirt County CHANGE OF CONTRACTOR Permit Number: /3284)2 0/1/0 //1/54/ E:mail: ...4so,✓47./�i et-c 7G0NTiL./--?'sl/,:z. G'o", Date: 54_?//G Please select one or more of the following options below: Contractor's Licenses No.: C4C/2S^/4 OL [Change of Contractor Job Address: ?7 U PrigiV/¢i°•+ ❑ Change of Sub-Contractors /1/.¢�G.c c `G 3f///0 ❑Change of Owner Builder ORIGINAL CONTRACTOR: Printed Name of Original Contractor Original Contractor's Signature Printed Business Name: Phone#: Original Contractor Subscribed and Sworn to before me this day of in the year Signature of Notary Public: Seal CHANGE TO NEW CONTRACTOR: aAi , (6 Printed Name of New Contractor N- • ontractor's Signature Printed Business Name: 4)/de-e7 1 4G1?-,V f Phone#: 2-71..e9-2/-r-��,"7 New Contractor Subscribed and Sworn to before me this /7 day of in the year 2 a/G SHANNON M.BULLOCK Signature of Notary Public: �!����.a9/J/� , -/./_,/,./‘1-/ Seal = o MY COMMISSION N FF905968 EXPIRES August 03.2019 4O/)3 6-0'63 FmrdallonryS.nics.corn OWNER/GENERAL CONTRACTOR: AO , / / Printed Name of Owner/General Contractor 0 er' :neral C.jTractor's Signature Phone#:( $ )- —9v,v Owner/Contractor Subscribed and Sworn to before me this (jj day of May in the year 26 1.C,, Signature of Notary Public. (7,--L5.11-(11,a6/141C, li��rLG(C'� Seal LA 4 ''- NICOLLE DE ARRUDA • �V.`s . ,. Notary Public-State of Florida ''. il ' ' Commission M FF 978807 Please fax or email your change of contractor to the following: ;F o,�;" My Comm.Expires Apr 5,2020 Collier County Fax No: (239)252-2334 E-mail: PermittingPlanReview@colliergov.net Al QUALIFIERS PAGE ACKNOWLEDGEMENT OF COLLIER COUNTY REGULATIONS Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. The permit or application fee may have additional fees imposed for failing to obtain permits prior to commencement of construction. The approved permit and/or permit application expires if not commenced within 180 days from the date of issuance. The permittee further understands that only licensed contractors may be employed and that the structure will not be used or occupied until a certificate of occupancy is issued. By signing this permit application, I agree that I have been retained by the owner/permittee to provide contracting services for the trade for which I am listed. Furthermore, it is my responsibility to notify the Building Review and Permitting De partment should I no longer be the contractor responsible for providing said contracting services. I further agree that I understand that the review and issuing of this permit does not exempt me from complying with all County Codes and Ordinances. It is further understood that the property owner/permittee is the owner of the permit. Note: If change of contractor, please provide the following: Permit Number: Ae.e%) 2 o/7'a y/7.7/S0 E-mail Address: .? o-✓ - p27-'2/f COM COMPANY NAME: '> GT ?2,,CTiv4 .dee vo• STATE LICENSE NO: c,J - Alr,%a QUALIFIER'S NAME(PRINT) : QUALIFIER'S SIGNATURE: STATE OF: fe-04./.-1 COUNTY OF: lJ=4. SWORN TO(OR AFFIRMED)AND SUBSCRIBED BEFORE ME THIS S / / / /G WHO IS PERSONALLY KNOWN: OR AS PRODUCED ID: ,, SHANNON M.BULLOCK MY COMMISSION#FF905968 TYPE OF ID: • 'w"r,. EXPIRES August 03.2019 II00 3W-0'b3 FwrManow•ySemce.corr NOTARY PUBLIC SIGNATURE:'Ili f� (SEAL) NOTICE IN ADDITION TO THE REQUIREMENTS OF THIS PERMIT, THERE MAY BE ADDITIONAL RESTRICTIONS APPLICABLE TO THIS PROPERTY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY, AND THERE MAY BE ADDITIONAL.PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICT,STATE AGENCIES,OR FEDERAL AGENCIES. WARNING OF POSSIBLE DEED RESTRICTIONS THE LAND SUBJECT TO THIS PERMIT MAY BE SUBJECT TO DEED, AND OTHER RESTRICTIONS THAT MAY LIMIT OR IMPAIR THE LANDOW NER'S RIGHTS. COLLIER COUNTY IS NOT RESPONSIBLE FOR THE ENFORCEMENT OF THESE RESTRICTIONS, NOR ARE COLLIER COUNTY EMPLOYEES AUTHORIZED TO PROVIDE LEGAL OR BUSINESS ADVICE TO THE PUBUC RELATIVE TO THESE RESTRICTIONS. THE LANDOWNER OR ANY APPLICANT ACTING ON BEHALF OF THE LANDOWNER IS CAUTIONED TO SEE K PROFESSIONAL ADVICE. WARNING ON WORK IN COUNTY RIGHT-OF-WAYS THIS PERMIT DOES NOT AUTHORIZE CONSTRUCTION OR INSTALL ATION OF ANY STRUCTURE OR UTILITY, ABOVE OR BELOW GROUND, WITHIN ANY RIGHT-OF-W AY OR EASEMENT RESERVED FOR ACCESS, DRAINAGE OR UTILITY PURPOSES. THIS RESTRICTION SPECIFICALLY PROHIBITS FENCING, SPRINKLER SYSTEMS, LANDSCAPING OTHER TH AN SOD, SIGNS, W ATER, SEWER, CABLE AND DRAINAGE WORK THEREIN. IF SUCH IMPROVEMENTS ARE NECESSARY, A SEPAR ATE PERMIT FOR THAT PURPOSE MUST BE OBTAINED FROM TRANSPORTATION/ROW PERMITS AND INSPECTIONS(239)252-8192. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY f3EFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Per Florida Statutes 713.135 a Notice of Commencement(NOC)is required for construction of improvements totaling more than$2,500,with certain exceptions. For A/C Repairs or Replacements a notice of commencement is required for improvements more than$7,500. The applicant shall file with the issuing authority prior to the first inspection eithera certified copy of the recorded NOC or a notarized statement that the NOC has been filed for recording,along with a copy thereof.In order to comply with the state requirement,permits will be placed in inspection hold until proof of the NOC is filed with the building permitting and inspection department.The issuing authority shall not perform or approve subsequent inspections until the applicant files by mail,facsimile,hand delivery,email or any other means such certified copy with the issuing authority. L�v Direct Contracting Group 11562 Woodmount Lane Estero FL 33928 June 14th, 2016 To whom it may concern This report is concerned with the new addition at 790 Pan Am Ave, Naples FL 34110—Owner Mr. and Mrs.Charik.Permit Number PRBD20140411319. When the Permit was assigned to Direct Contracting Group,the work completed by the previous General Contractor(JDDesign)was assessed.The following issues were noted: 1. Interior framing either had to be re-worked or corrected. 2. The plumbing was not to code, and would need to be removed and re-installed. 3. The electrics was "roughed-in"and approximately 60%completed. 4. The footer for the main outside column had to be re-done. 5. The outside deck/platform had to be re-done 6. The outside beam and supporting detail was not assembled according to the plan or code, and had to be re-worked.This incurred extra cost due to re-engineering, materials and labor. Our estimate of the work that was done correctly by JD Design would be approximately 20%to 25%. Signed �" ' ���"---J' Date J C! "L- 1 Li — /‘ Direct Contracting Group 11562 Woodmount Lane Estero FL 33928 July 6th, 2016 To whom it may concern This report is concerned with the new addition at 790 Pan Am Ave, Naples FL 34110—Owner Mr. and Mrs. Charik. Permit Number PRBD20140411319. Our estimate of the work performed by1D Design would be approximately 35%. However, as stated in our letter of June 14th, our opinion is that much of this work was sub-standard or not to specification. signed ---- ` /` �6.--�_ Date <-1(' t 7 /6/16 seg Sec. 22-201. - Misconduct—Collier County/city certificate of competency. The following actions by a holder of a Collier County/City Certificate of Competency shall constitute misconduct and grounds for discipline pursuant to section 22-202: (1) Knowingly combining or conspiring with an unlicensed contractor by allowing one's Certificate of Competency to be used by an unlicensed contractor with intent to evade the provisions of this Ordinance. When a licensed contractor acts as the qualifying agent for any firm without first making application under this Ordinance to represent said firm, such act shall constitute prima facie evidence of intent to evade the provisions of this Ordinance.When a certificate holder allows his certificate to be used by one or more companies without having any active participation in the operations, management, and control of such companies, such act constitutes prima facie evidence of an intent to evade the provisions of this Ordinance. Active participation requires job site supervision, knowledge of and participation in the business operations of the company(s), including all contractual matters. a. If any individual qualifying any business organization ceases to be affiliated with such business organization, he shall so inform the Board. In addition if such individual is the only certified individual affiliated with the business organization, the business organization shall notify the Board of the individual's termination and shall have no more than sixty (60) days from the date of termination of the individual's affiliation with the business organization in which to affiliate with another person certified under the provisions of this article. In any event, the business organization shall not enter into any new contracts and may not engage in any new contracting until such time as a qualifying agent is employed. (2) Contracting to do any work outside of the scope of his/her competency as listed on his/her competency card and as defined in this Ordinance or as restricted by the Contractors' Licensing Board. (3) Abandoning a construction project in which he/she is engaged or under contract as a contractor. A project may be presumed abandoned if the contractor terminates the project without just cause, or fails to notify the owner in writing of termination of the contract and basis for same, or fails to perform work for ninety (90) consecutive days without just cause and no said notice to the owner. (4) Diverting funds or property received for the execution of a specific contract project or operation or diverting funds earmarked for a specified purpose to any other use whatsoever. (5) Departing from or disregarding in any material respect the plans or specifications of a construction job without the consent of the owner or his duly authorized representative. (6) Disregards or violates, in the performance of his contracting business in Collier County, any of the building, safety, health, insurance or Workers' Compensation laws of the State of Florida or ordinances of this County. (7) Falsifying or misrepresenting any material fact in his application and supporting papers for the purpose of obtaining a Certificate of Competency under this Ordinance. (8) Committing mismanagement or misconduct in the practice of contracting that causes financial harm to a customer. Financial mismanagement or misconduct includes, but is not limited to, any of the following: a. The contractor fails to fulfill his/her contractual obligations to a customer because of inability, refusal or neglect to pay all creditors for material furnished or work or services performed in the operation of the business for which he/she is licensed, under any of the following circumstances: 1. Valid liens have been recorded against the property of a contractor's customer for supplies or services ordered by the contractor for the customer's job;the contractor has Page 26 L: 6 1/ 1 PAGE. Sep. 07 .2016 12 :07 PM J. D. Design 2392287984 . J.D. DESIGN CONSTRUCTION INC. LlC../RG29110301 Cell Phone:239'595-8749 Z olrphone:239-228-7108 Fax:239-228-7984 1)00 Commercial Blvd.18116 Naples,Fl.34104 September 7,2016 fi lo;,..vt e rtyl t rm ay a a o n e e r n, I Jimmy Dean have review the situation with the complaint against J,D, Design Construction Inc. We J,D.Design Construction Inc, did a lot extra work on this project and we were delayed by the Owners (Mr. &Mrs.Charik)numerous times for window selection. I'm willing to settle this matter for($15,2.25.00)which is fare for we did a lot of demo that utas.not in the contract per the owner's request that was,extra. Also we added sq. footage to• the closet area and the laundl•y area per the owngr request that was extra, We also did some ' framing under the new landing for storages e a,All the framing was done other than the'window that-was still not in,.all-the To 'i c .t••lumbing was done. d S6) --7' 6) \\,,.\\\ .„„5.... .„e -_____..) ,e,........__, Thank You! L I G f\( J.O.Design Construct' 11 -? y ,---l. 1100 Commercial 13Md. ,1,16,.:.,....._:.__..,.:__r..Ve0. - ... Naples, Florida 94104 Office:(Z9a)229-'1'108 '' ',11ax:-(2134{)225415• PrA:.' . :-,;r v- ,Ern! Page 1 of l t I J.D . DESIGN CONSTRUCTION INC. LIC.* RG291103871 Cell Phone:239-595-8769 Telephone:239-228-7108 Fax:239-228-7984 1100 Commercial Blvd.#116 Naples,Fl.34104 September 12,2016 To:Whom it may concern. I Jimmy Dean have review the situation with the complaint against J.D. Design Construction Inc. We J.D. Design Construction Inc. we are willing to pay the amount of $26,225.00 to the Owners (Mr. & Mrs. Charik). _ I'm willing to settle:this matter for($26,225.00) with a payment plan of$2,000.00 a month until the total amount is paid off. This is the minimum amount that will be paid to the (Charik's)each month. If J.D. Design ConstructionJne. can do more they will. Also we would like to apologize for,ar�y inconvenience this has caused to the Charik's. \ \Ii 1 i; ` lUyL y/ ��-_/ 'c__- \ s / / 7 1 -, � 7--'d �t l I I Thank'foul l ) - - 1 J. D. Design Construction Inc_.-',' _l' I ‘,`,,,...,..,1 � I 1100 Commercial Blvd. 4116_ Naples, Florida 34104 ,/,/ , Office: (239)228-'1108 ; Fac: (239) . - Cell: (x'' :3413-81-e p�:- my Dean Page 1of1 L.-: C3 Mi MU? arm r s F ---...-"-'''. 1:•'•'..: ., t 4 1 ---.- • , .i , 1 7- '.......,--. .- t + � _ • _il i �1- . i — v -Br - _ --. :- . --v O. -- --_ . . . - -:1-- .:,....,.:,--_-7-7-74 - _ti:----',' __Asis' ,ff: "."-,..1,---,:_.:-- '- - ----.-- r_-il'... .. ,, i I �. �xs _ Jam _ L •1ffi. ..,-,-,...„i.$/$_•-:::-.;;-.,1„..$$$,$,,-..---- ,' fir _ 7. l::w.�- 4 ,/7/ ' ' r s _ _ fit; 1 Fes- t i--__—..-,-) ,r-- , : _ , _ � , 5_ `( € _ , J —� ` n'/ - #-+ , _ __ • _ rUf/ 4611111•1111111111011111111, „__ ____ 3 iir.. . ...or,, __. _ . . 1-...4 --—- 7i ....;vz---- T--_---Arn fij :--- .---. ! --- - .' 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