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CLB Agenda 04/17/2019COLLIER COUNTY Board of County Commissioners Contractor Licensing Board AGENDA Board of County Commission Chambers Collier County Government Center 3299 Tamiami Trail East, 3rd Floor Naples, FL 34112 April 17, 2019 9:00 AM Kyle E. Lantz, Chair Matthew Nolton, Vice-Chair Robert P. Meister, III Patrick G. White Michael E. Boyd Terry Jerulle Richard E. Joslin, Jr. Jeffrey Williams NOTICE: All persons wishing to speak on Agenda items must register prior to presentation of the Agenda item to be addressed. All registered speakers will receive up to three (3) minutes unless the time is adjusted by the chairman. Any person who decides to appeal a decision of this Board will need a record of the proceeding pertaining thereto, and therefore may need to ensure that a verbatim record of the proceedings is made, which record includes the testimony and evidence upon which the appeal is to be based. If you are a person with a disability who needs any accommodation in order to participate in this proceeding, you are entitled, at no cost to you, the provision of certain assistance. Please contact the Collier County Facilities Management Division located at 3335 East Tamiami Trail, Suite 1, Naples, Florida, 34112 -5356, (239) 252-8380; assisted listening devices for the hearing impaired are available in the Facilities Management Division. 1. ROLL CALL 2. ADDITIONS OR DELETIONS 3. APPROVAL OF AGENDA 4. APPROVAL OF MINUTES 4.A. APPROVAL OF MINUTES - MARCH 20, 2019 5. PUBLIC COMMENTS 6. DISCUSSION 7. REPORTS 8. NEW BUSINESS 8.A. ORDERS OF THE BOARD 8.B. GISLAINE R. LOPEZ – REINSTATEMENT APPLICATION WITH WAIVER OF EXAMS 8.C. RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE 9. OLD BUSINESS 10. PUBLIC HEARINGS 10.A. CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES 10.B. CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON 10.C. CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC MAR, LLC DBA MY AFFORDABLE ROOF 11. NEXT MEETING DATE 11.A. WEDNESDAY, MAY 15, 2019 Inquiries concerning changes to the Board’s Agenda should be made to the County Manager’s Office at 252-8383. 04/17/2019 COLLIER COUNTY Contractor Licensing Board Item Number: 4.A Item Summary: APPROVAL OF MINUTES - MARCH 20, 2019 Meeting Date: 04/17/2019 Prepared by: Title: – Contractor Licensing Board Name: Lilla Davis 04/04/2019 3:43 PM Submitted by: Title: Supervisor - Operations – Contractor Licensing Board Name: Everildo Ybaceta 04/04/2019 3:43 PM Approved By: Review: Contractor Licensing Board Lilla Davis Review Item Completed 04/04/2019 3:43 PM Contractor Licensing Board Everildo Ybaceta Review Item Completed 04/08/2019 2:17 PM Contractor Licensing Board Everildo Ybaceta Meeting Pending 04/17/2019 9:00 AM 4.A Packet Pg. 3 March 20, 2019 1 MINUTES OF THE COLLIER COUNTY CONTRACTORS’ LICENSING BOARD March 20, 2019 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: Kyle E. Lantz Vice Chair: Matthew Nolton Members: Michael E. Boyd Richard E. Joslin Terry Jerulle Robert P. Meister Patrick G. White Excused: Jeffrey Williams ALSO PRESENT: Everildo Ybaceta – Supervisor, Contractors’ Licensing Office Kevin Noell, Esq. – Assistant Collier County Attorney Jed Schneck, Esq. – Attorney for the Contractors’ Licensing Board 4.A.1 Packet Pg. 4 Attachment: March 2019 Minutes (8561 : APPROVAL OF MINUTES - MARCH 20, 2019) March 20, 2019 2 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 made. I. ROLL CALL: Chairman Kyle E. Lantz opened the meeting at 9:02 AM and read the procedures to be followed to appeal a decision of the Board. Roll Call was taken; a quorum was established; six (6) voting members were present. II. AGENDA- ADDITIONS, CHANGES, OR DELETIONS: Changes: • Under Item X, “Public Hearings,” the County requested to withdraw the following: o Case #2019-12: Board of County Commissioners, Petitioner, vs. Peter Wozniak, Respondent, d/b/a Florida Roof The case will be continued and heard at later Board meeting. III. APPROVAL OF AGENDA: Patrick White moved to approve the Agenda as amended. Richard Joslin offered a Second in support of the motion. Carried unanimously, 6 – 0. IV. APPROVAL OF MINUTES: FEBRUARY 20, 2019 Patrick White moved to approve the Minutes of the February 20, 2019 Meeting as submitted. Michael Boyd offered a Second in support of the motion. Carried unanimously, 6 – 0. V. PUBLIC COMMENT: (None) VI. DISCUSSION: (None) VII. REPORTS: (None) VIII. NEW BUSINESS: A. Orders of the Board: Patrick White moved to approve authorizing the Chairman to sign the Orders of the Board. Vice Chairman Matthew Nolton offered a Second in support of the motion. Carried unanimously, 6 – 0. 4.A.1 Packet Pg. 5 Attachment: March 2019 Minutes (8561 : APPROVAL OF MINUTES - MARCH 20, 2019) March 20, 2019 3 IX. OLD BUSINESS: (Note: The individuals who testified in the following cases under Item IX, “Old Business,” were first sworn in by the Attorney for the Board.) A. Case #2018-10: Update – Stephen Bowles (d/b/a “Jackson Pools”) Misconduct of a State-Certified Contractor Everildo Ybaceta, Supervisor – Contractors’ Licensing Office, stated that Jackson Pools received the Certificate of Completion for the work that had been permitted. He further stated the case has been closed and the Board’s recommendations were forwarded to the State’s Construction Industry Licensing Board per the Board’s Amended Order of February 20, 2019. (Chairman Lantz noted Terry Jerulle had arrived; Quorum was increased to seven (7) voting members.) Mr. Ybaceta stated the Board’s newest member, Jeffrey Williams, who was scheduled to attend this meeting was not present. X. PUBLIC HEARING: A. Case #2019-12: Board of County Commissioners, Petitioner, vs. Peter Wozniak, Respondent, d/b/a Florida Roof Services – Misconduct (Note: This case was withdrawn by request of the County, per the amended Agenda.) NEXT MEETING DATE: WEDNESDAY, APRIL 17, 2019 BCC Chambers, 3rd Floor – Administrative Building “F, Government Complex, 3301 E. Tamiami Trail, Naples, FL There being no further business for the good of the County, the meeting was adjourned by order of the Chairman at 10:00 AM. 4.A.1 Packet Pg. 6 Attachment: March 2019 Minutes (8561 : APPROVAL OF MINUTES - MARCH 20, 2019) March 20, 2019 4 COLLIER COUNTY CONTRACTORS’ LICENSING BOARD ____________________________________ KYLE E. LANTZ, Chairman The Minutes were approved by the Chairman or Vice Chairman of the Contractors’ Licensing Board on ______________________, 2019, “as submitted” [___] - OR - “as amended” [___] 4.A.1 Packet Pg. 7 Attachment: March 2019 Minutes (8561 : APPROVAL OF MINUTES - MARCH 20, 2019) 04/17/2019 COLLIER COUNTY Contractor Licensing Board Item Number: 8.A Item Summary: ORDERS OF THE BOARD Meeting Date: 04/17/2019 Prepared by: Title: – Contractor Licensing Board Name: Lilla Davis 04/04/2019 3:35 PM Submitted by: Title: Supervisor - Operations – Contractor Licensing Board Name: Everildo Ybaceta 04/04/2019 3:35 PM Approved By: Review: Contractor Licensing Board Lilla Davis Review Item Completed 04/04/2019 3:36 PM Contractor Licensing Board Everildo Ybaceta Review Item Completed 04/08/2019 2:19 PM Contractor Licensing Board Everildo Ybaceta Meeting Pending 04/17/2019 9:00 AM 8.A Packet Pg. 8 04/17/2019 COLLIER COUNTY Contractor Licensing Board Item Number: 8.B Item Summary: GISLAINE R. LOPEZ – REINSTATEMENT APPLICATION WITH WAIVER OF EXAMS Meeting Date: 04/17/2019 Prepared by: Title: – Contractor Licensing Board Name: Lilla Davis 04/04/2019 3:46 PM Submitted by: Title: Supervisor - Operations – Contractor Licensing Board Name: Everildo Ybaceta 04/04/2019 3:46 PM Approved By: Review: Contractor Licensing Board Lilla Davis Review Item Completed 04/04/2019 3:46 PM Contractor Licensing Board Everildo Ybaceta Review Item Completed 04/08/2019 2:21 PM Contractor Licensing Board Everildo Ybaceta Meeting Pending 04/17/2019 9:00 AM 8.B Packet Pg. 9 et Qounty COLLIER COUNTY CONTRACTORS' LICENSING BOARD April '17,2019 9:00 A.M. GISLAINE R. LOPEZ - REINSTATEMENT APPLICATION WITH WAIVER OF EXAMS GISLAINE R. LOPEZ is coming before the board today asking for a Reinstatement of her TILE & MARBLE CONTR. license under company MARTINS FLOOR COVERING lNC., which was CANCELLED in 2015 for nonrenewal. She is asking that the exams she took in 200612007 with Lee County Sponsorship can be used in the application. Mrs. Lopez first received her license with us in 2010. She kept the license active with us until 9/30/2014. She has not been Active with us since that date. Mrs. Lopez also holds a current license in Lee County. 8.B.1 Packet Pg. 10 Attachment: GISLAINE R. LOPEZ – REINSTATEMENT APPLICATION WITH WAIVER OF EXAMS (8562 : GISLAINE R. LOPEZ – REINSTATEMENT Gontents Letter to go in Front of the Board Application Lee County Letter of Reciprocity lndividual Credit Report Company Credit Report IRS EIN Documents Resolution of Authorization Statement of Ownership Verif ication of Experience Lee County Certificate of Competency Affidavit of lntegrity & Good Character Certificate of lnsurance Worker's Comp Exemption Lee County Business Tax Driver's License Board Hearing lnformation Sunbiz Documents 8.B.1 Packet Pg. 11 Attachment: GISLAINE R. LOPEZ – REINSTATEMENT APPLICATION WITH WAIVER OF EXAMS (8562 : GISLAINE R. LOPEZ – REINSTATEMENT NelsonColleen From: Sent: To: Subject: Lainey Lopez < lainey1704@hotmail.com > Wednesday, March 6,2019 1 1:57 AM ContractorsLicensing Board Meeting. To Whom lt May Concern I Gislaine Regina Torquato Lopez, would like to request a meeting before the board of directors of the Collier County Contractors Licensing Department, pertaining to renewal of my previous Tile and Marble License, in Collier County. Sincerely, Gislaine Regina Torquato Lopez Get Outlook Android 1 8.B.1 Packet Pg. 12 Attachment: GISLAINE R. LOPEZ – REINSTATEMENT APPLICATION WITH WAIVER OF EXAMS (8562 : GISLAINE R. LOPEZ – REINSTATEMENT C,Rff",Qov*rW nfffiFr*1Bfl 1Y Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 Fax - 23Y252-2469 Groadh tvlanaernent Deparffi BY:.... APPLICATION FOR COTTIER COUNIY CERTIFICATE OF COMPETENCY a 3 21D3 FIRM APPTICATION FOR COLIIER COUNTY CERTIFICATE OF COiIPETENCY35L7w TYPE OF CERTIFICATE OF COMPETENCY: E General ! Building D Residential tr Mechanical fl Roofing D Electrician tr Plumber ! Air Conditioner tr Swimming Pool XPpeciahy \\o*lr. $2s0.00 $230.00 $230.00 $230.00 $230.00 $230.00 $230.00 $230.00 $230.00 Speciafty Tracle: FEES DTIT $205 - Reinstatement $375 - Renewal ($ 125 x B) 5180 - Late fees ($60 x 3) $760 - Total DueI. APPLICANTPERSONALINFORMATION: Name R Farst Mrddle lnrt,al st Address Street City Stat€zip Email Telep no"",(13fl\ A25- l5i1 'SS # (Last 4 digits only):?i? Driver's License # (Last 4 digits only):Soqo 'Plrlutrlt to Ch.gte. l-19, Floru. Sbtut.! .nd Colbr Crunty (.[trado. U.cnai[ din nar 2006-115 sac{oi 2.1.1., a[ .pglkantr ..8 requi]cd to tubmh thal. rodal aecurity nuhbar (SSt{} for ttc 6oltowl.{ pu.pot .: .l fur6t.pplkant's .bl[ty to satiity cr.dhofi by .avLsing thrh dldh hinory. b) V.rlf,c.tloh ol applic.nt's tai: saor6 .rd lnlo.madon. Oor ofice wlll only ura yo!, SSN nolad abovc 5or tio$ rcaaoni puflurnt to Chapta. 119, Flo.ld. St.tut6, and .r m.v othcrwir. bc .uthorl4d by Lw. wa are ftrlh coftnftiad to aalG{uardlnt..d potactlna you. SSN .nd onc. collcctcd, wlll bc malhtrlnod aa @ifdendal and dcnpt under Chaptor l.l9, flodd. Strtut r. *Vluantla+entnf FIRM APPLICATION Rev 4h2ha Page 3 of 15 This application must be typewritten or legibly printed. The application fee must be paid upon approval and rs NOT refundable. All checks should be made payable lo. Colliq County Board of County Commlssioners. For further information. consult Collier County Ordinance No. 2006-46, as amended. ( Dateof Bidh: 0&- Aq- lqEh 8.B.1 Packet Pg. 13 Attachment: GISLAINE R. LOPEZ – REINSTATEMENT APPLICATION WITH WAIVER OF EXAMS (8562 : GISLAINE R. LOPEZ – REINSTATEMENT C,RF.,,Qol!rt,:ty Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 Gro\ nh N4anagernent DepartrEnt APPLICATION FOR COTLIER COUNTY CERTIFICATE OF COMPETENCY Provide the names and t€lephone numbers of two persons who will alwa)rs know your whereabouts. Nam Name:A,ntonio Grqartc Telephone , hg)qqo - At? ll. FICTITIOUS NAME OF APPLICAIIT'S BUSINESS: Business Name:G (lf nocompany n3mewillbe used, write"lndividual") I Ao FL 3qI\Business Address Street City zip r A3Ft )s,5 -\5\+ Federal lD Tax No.' rlO- tOtl?QO III. FINANCIAL RESPONSIBILITY YES NO ALL APPLICANTS MUST ANSWER THE QUESIO S BELOW: x Undertaken construction contracts or work that a lhird party, such as a bonding or surety company, completed or made financlal statements on? * Had daims or lawsuits filed for unpaid or past due accounts by your creditors as a result of construction experience? / Undertsken construction contracts or n,ork that resutted in liens, suits, orjudgments b€ing filed? x Had a lien filed against 1ou by the lntemal Revenue Service or Florida Corporate Tax Division? x Made an assignm€nt of assets in setuement of construction obligations for less than the debts ouGtanding? x Been charged with or convicted of acling as a contractor without a lic€nse, or if lic€nsed as a contractor in lhis or any other state, bo€n "subiect to" disciplinary aclion by a stat€, county, or municipality? Filed for or been discharged in bankruptcy wilhin the past 5 years? * B€en convict€d or found guilty of, or entered a dea of nolo contendere to, regardless of adjudication, a crime in any jurisdiction within the past 10 years?' NOTE. lf you have answ€r YES to any of the qu€stions below, you must attach a written explanation including the nature of lhe charges, dates, and outcomes, sentences of conditions impos€d. You must also attach proof of paynent, satisfaction of lien or judgement, bankruptcy discharg€, or agreements for payment. 'lf you have had a felony conviction, proof that your civil rights have been restored will be required prior to licensure. State FIRM APPLICATiON Rey 4hi,18 Page 4 of 15 ,"r"rn""", (33q\ alC - AAqO Telephone: 8.B.1 Packet Pg. 14 Attachment: GISLAINE R. LOPEZ – REINSTATEMENT APPLICATION WITH WAIVER OF EXAMS (8562 : GISLAINE R. LOPEZ – REINSTATEMENT Grcll ith Managernent OepartrrEnt Contractor Licensing 2800 N. Horseshoe Or. Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY IV. EXPERIENCEVERIFICATION EDUCATION: List b6low and provldo transcripts for any formal education you have obtalned in the ar€a of cornpet€ncy for which thisapplicationisbeinsmade: ke, co.ln\ Ftoritc. h,,i ag55 g anool c,Rff.,CountJ F\orr\.. li\e on[ m<rrb\e c\o.s:r>. application is being made wl ee Cousi r\ CURRENT/PREVIOUS LICENSE: List b6low and attach copies any other c€rtificat€s of competencynic€nsos you hold/havo held in Colli€r County or any other jurisdiction. lndude the license #, Typ€, and county you hold it in. Ti U J Under the penalties of periury, I declare that I have read the foregoing application and the facts stated in it are lrue. Adlqinz Q.--f- lnoez Applic€nt (piease pdn[)SigrEture State of F\os i<Lc. County of The foregoing instrument as acknowledged before me this by 6'i \e.,rr"- N -.u Lo0...t-who has produced nam6 of p€rsoo acknowl6dging (apilicant) as identification and did nol take an oath. NOT 21%RD l\o.rt-V-S. L<ll\ date -gu t>r. r typ€ ol idontification or known D ROEEFTA A. FORD t.ry Publi( - State ol Florid. commillion , GG 220477 Comm. Expir.s l'lay 21, 2012 Bonded throlgh Natioflal Notary A!!i. FIRM APPLICATION Rev 4112t18 Page 5 of 15 List below non formal education (on th€ job training) you have obtained in the area of competency for which this AFFIDAVIT 8.B.1 Packet Pg. 15 Attachment: GISLAINE R. LOPEZ – REINSTATEMENT APPLICATION WITH WAIVER OF EXAMS (8562 : GISLAINE R. LOPEZ – REINSTATEMENT C,Rff",Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 Fax - 239252-2469 QouttXy G{c ^/,ltt t\,'lanagerrEnt DepartrEnt APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY CERTIFICATION OF APPTICATION The undersignsd hereby makes application for Certiflcate of Competoncy under the provisions of Collier County No. 2006-46, as amsnd€d, and under ponalties of perjury. I declare that I have read th€ foregoing qualifier information and that the facts stated in it are true. The undersigned hereby certifies that he is l€gally qualified to act on behatf of the busins$ organization sought to be licensed in all matters connectsd with its conbacting business and that ho has full authority to suporvise construction undertaken by himself or such business or organization and that he will continue during this registratjon to be able to so bind sakj business organization. The qualified license holder understands that in all contracting matt6rs, he/she will be held strictly accountable for any and all activfies involving his license. Any willful falsilicalion of any information contained herein is grounds for disqualificataon. T. Applicant (plsase print) Name of Cornpany State of: \ \sr--c}'t- County of: r of The foregoing instrument as acknowledgGd before me this by C'.s\ c-i..e- f\a. L eQ&A who has prcduced Q- ' Sr . L'.q- ^ < typ€ of idontificsuon or known TURE ARY) ctf namo of psr6on acknowledging (apdicant) as identmcation and did not take an oath. NOTARY'S SEAL ROBERTAA.FORD FIRM APPLICATION ReY 4112118 Page 6 oI 15 .tii',,;:... RosEf,raA.FoRo.ff$l'' notary ruttic - state or Florld. !+ffi5: ", fifl fl ]'iiili*,of.i1oi,'i,, Eond.d throo8h tl.tion.l Notarl Atrn. 8.B.1 Packet Pg. 16 Attachment: GISLAINE R. LOPEZ – REINSTATEMENT APPLICATION WITH WAIVER OF EXAMS (8562 : GISLAINE R. LOPEZ – REINSTATEMENT C,Rfu,C--anmxy Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 23V252-2431 Fax - 23*252-2469 Glo\ath lr,tanagerrEnt D€parfnent APPI.ICATION FOR COLLIER COUNIY CERTIFICATE OF COMPETENCY WORK'iAEN'S COMPENSATION AFFIDAVIT It is understood and acknowledged by the Collier County Contractors' Licensing Board and m)6olf that if I fail to acquire, or maintain at all times effective Workmen's Compensation lnsurance it will result in the possible revocation of my Certificate of Competency. Gblqine F-a. lowz Applic€nt (pleas€ print) Name of Cornpany of Apdicant BEFORE ME this day p€rsonally appeared 'nz .T who affirms and Apdicant (ploase Drint) sa)6 that he has l€ss than one employeo and do€s not rBquire Workmen's Compensation understands that at any time he employees one or morB persons he must obtain said Workm€n's Comp€nsation Insuranca. State of -F\o<i cl-c County of L The for€going instrument as acknowledged before me this by G'.s\ c,,. ^a- CL:-r. L,sa,.z who has p roduced f ,. \r . L-, <-<+-s-.@ as idontification and did not tak€ an oath. typo of idsntification or knowtl (SIGNATURE ROBERTA A. FORD ROSERTA A. FORO "#k,,#s'Notary Public - state o{ Florid' Comm iliion, GG 220477 lly Comm Erpird .Y 21, 20 17 {. FIRM APPLICATION ReY 4112118 Bonded through l.lational Notary At9n Page 7 of 15 fYtarr\ 5. 2o\1 da'te NOTARY'S SEAL 8.B.1 Packet Pg. 17 Attachment: GISLAINE R. LOPEZ – REINSTATEMENT APPLICATION WITH WAIVER OF EXAMS (8562 : GISLAINE R. LOPEZ – REINSTATEMENT fi'.*n#v*tv RECEIVED ZnlS @\t:^.lOo.vn- BOARD OF COUNTY COMMISSIONERS Cecil!. Penderomss March 05, 20'19 Brian Hamman COLLIER COUNTY CONTRACTOR LIC 28OO N HORSESHOE DRIVE NAPLES FL 33942 LETTER OF RECIPROCITY This letter is to verify that GISLAINE R TORQUATO took the examination, sponsored by Lee County. BUSINESS PROCEDURES: 76% DATE: 10fil2006 fM: 84% DATE:11612007 The applicant needed to prove 2 experience in the trade at the Licensing Board appearance. GISLAINE R TOROUATO has had a Tile and Marble Contractor - TM Contractor License in Lee County since date 0910712018. lf you have any questions or if I can be of further assistance, please contact Contractor Licensing at (239) 533-8895. Sincerely, David Paschall Chief Code Enforcement Officer P.O. Box 398, Fort Myers, Florida 33902-0398 (239) 533-2111 lnternet address http://www.lee-county.com AN EOUAL OPPORTUNITY AFFIRMATIVE ACTION EMPLOYER Richard \rym Wesch fl cltrrcp rpl /,*c 8.B.1 Packet Pg. 18 Attachment: GISLAINE R. LOPEZ – REINSTATEMENT APPLICATION WITH WAIVER OF EXAMS (8562 : GISLAINE R. LOPEZ – REINSTATEMENT Prepared gy: Iilerit credit (239) 277 -32A2 (8s0) 37r- 3348 TRANSUNION CREDIT REPORT lFoRl [suB NA,4E ](t) z NP62a4423 [MKr SUB] 15 NP IssN ]IBIRTH DATE ]a717 2/86 IDATE RPTD] 9 /75 9 /17 I RPro] 3/s4 c 3 5a1Q MODE L PR*rrFrco scoRE 4 OF PR=9 COL=6 NEG=O HSTNEG=4-4 HIGH CREO CREO LII.I REVOLVING: $8157 $14.51( INSTATLMENT: $19.5K $ ToTALS: $27.8K $14.5K : 939, O!8, eas, OtOl** TOTAL FILE HISTORY TID=25 RVL=15 INST=lo HT6=6 OPX=O INQ=2 BALANCE PAST DUE I,4NTHLY PAY AVAILABLE $1387 $o $71 90%$$o$1387 $0 $7t TRADES SUBNAI,4E SUBCOOE OPENED HIGHCRED TERMS ACCOUNT# VERFIED CREDLIM PASTIX'E ECOA COLLATRL/LOAi.ITYPE CLSD/PD BALANCE REi4ARI(S crtAsE CARD B 26QXOa7 9/r5 $5279 425684143A34 2/r9A $TO.OK ,0 I CREDIT CARD 7/T7 $g Mr 27 $o BBY/CBNA H 292FO2r 7/tt t898752t272!7t55 2/t9A $9seI CHARGE ACCOTJNT 3/I6C $O I'IT')(DE LQ A}1T.I€P PAYPAT 1-12 I4OP PAYPAT 13.24ya 3g/6s/99 111111111111 R61 11111111111140 s/olo 111111111111 RO1 $o 111111111111 cLsD BY CRDT GRANTOR 31 Ol O/ O 1 R01 7 OlslO $e INACTIVE ACCOIJNT 111111111111 R01 111111111111 48 slOls sy{cBlRr4sTco t1 9992545 17/tO $27896er91972LAt2 7/t9A $1300I C}IAR6E ACCOUNT $1289 osNB MACYS O 2ASrOOt 7g/12 $2964798s675 7O/t8A $3eOI CHARGE ACCOT',NT 5/I3C $O 111111111111 R01 11111111111148 s/e/a 111111111111 R01 $a 111111111111 ACCT CLSD BY CONSTI4ER 48 O/ O/ O M .144 $o $e INACTIVE ACCOUNT 111111111111 Rg1 1111111111112a s/olg RECEIVED C: \ i L-'\ I suBJ ECT] LOPEZ, GISLAINE R. IALSO (Mlllr ASI TORqJATO, CIS LAINE , R ICURRENT ADDRESS] 1141 COI,NTESS AV., L€HIGH ACRES FL. 33974 I FOR]IER ADORESSI 2561 E. MLDEN GATE BV., NAPLES FL. 34120 1825 LINHART AV., #23. FORT I'{YERS Ft. 33901 ICURRENT EI..IPLOYER AXD ADDRESS] NASHUA HIGH IDATE] ITIHE]O3/65/19 7s:4acr IrtlFrLE] 3/s4 CREOIT SUMH DSNB MACYS O 2A5T@1 7/t9 t98603534010858 2/t9A $7OOO I CHARGE ACCOUNT ,98 DSNS T1ACYS O 2ASTSOL 7/76 $321 6O3534OUO68 2/t9A $6O0 I CMR6E ACCOTJNT 2/79C $O crrr B 64DB@2 9/t5 $Os4241ALO7r35 !/tBA $77sOA CREDIT CARD 1O/I7C $O 8.B.1 Packet Pg. 19 Attachment: GISLAINE R. LOPEZ – REINSTATEMENT APPLICATION WITH WAIVER OF EXAMS (8562 : GISLAINE R. LOPEZ – REINSTATEMENT cB/vrcscRT c 15usoo1 8/09 5A563752A997 r/7AA I CHARGE ACCOUNT 5/73C BANKATIERICA B 633IO59 3/O4 69A2 UIAAI CREDIT CARD I2/I7C SYNCB/TIX C 235O65$ 7 /99 6g45A52O€47g 5/A7A I CHARGE ACCOJNT 9/1TC BX OF /\l'lER B a597O29 7 /14a352 5/75AC CREDIT CARD 4/16C DPT ED/OSLA E TOSROO4 6/09 Sggoooggo0€2224 6/t4AI STI.,OENT LOAN 6/I4C DPT EDIOSLA E 10SR004 10108 SOOOOOOOO@L92 3/t4AI STT.JDENT LOAt't 3/L4C DPT EDIOSLA E LOSROO4 6/A9 500gooooooo2024 3/t4a I STUDENT LOAN 3/14C CAP1/BST8Y O ].DTV0ST 7/tt 702,-27217!55 9/!3A I CHARGE ACCOU'{T 9/73C cBlLI,trTED C !22PgO7 tloga4771 s/r3a I C||ARGE ACCOUI{T 5/T3C xoltLs/cAPoNE o 12EN0o5 3/A8639395050607 4/BA I CHARGE ACCOUNT 3/!3C us DEP ED V rBfP001 5/O970OO0169405g924 7 /r2AI ST1JOENT LOAN 7 /12C us DEP ED V lBfPsOL LO/A8 7OOgOt694O5Ls24 7 /12AI STUDENT LOAN 7 /72C US DEP ED V 1BTPOOT 6/O97gogol694a5tt24 7 /72AI STUDENT LOAN 7 /12C US DEP ED V 1BTP9O1 1Ol08 7O000769405SA24 7 /!2A I STIDENT LOAN 7 /L2C BK OF /\I.iER A 7597529 5/57 8059 !O/\7A I CREDIT CARD 5/g9C $88 $1soo $o 111111111111 RO1 11111111111 148 0/O/O 111111111111 R01 $o 111111111111 ACCT CLSD BY COilSt r{ER rt8 0/ s/ O 111111111111 R01 $s 111111111111 CLSD BY CRDT GRATITOR 48 gl gl O $o CLOSED 111111111111 R01 $o 1111111111 ACCT CLSD 8Y CONSTTI|ER 22 Ol Ol O 120M54 L2/12 111111111111 I01 $9 $158 04 11111411 cLosED 2O Al gl 7 12/12 111111111111 I01 $235 04 72.17411 19 slOl7 $e1 s600 $o $2!s7 $2AOs $e $140s $MOA $o $42sO $o $6sso $o $3s0o $o $31sA $o $8s5 $7ss ta t99 $IOOO $o 720M80 $s CLOSED 720M42 $a CLOSED 120t439 $o CLOSED t2/L2 111111111111 rO1 $!27 04 714t7 77 slOll t2/t2 111111111111 r01 $174 04 71417 17 slAlr t31s0 $s $6OOA $o $42Os $a $39OO $o 111111111111 R01 $9 11111111111 ACCT CLSD BY Cot'lSL.,l,4ER 48 gl gl O 111111111111 ROl $0 111111111111 INACTIVE ACCOUNT 48 Ol O/ O 120M38 111111111 I91 9o IRNSFRO OTHER OFFICE 9 gl gl g 12q479 111111111 I01 $o TRI.ISFRD OTHER OFFICE 9 Ol Sl O L2gt453 111111111 r01 $o TRNSFRD OIHER OFFICE 9 Ol Ol g $23s3 $soso Ss 720r!I.2 111111111 rO1 $o TRNSFRD OTHER OFFICE 9 gl gl O xxxxxxxx$fix Ro1 s0 x111111111L1 ACCT CLSD BY COr,rSr.[itER rla Ol gl O $tt2 $700s ,0 DPT EDIOSLA E 10SR004 10108 5goooggggog2l24 5/74AI STTJDENT LOAN 5/L4C 111111111111 R01 $0 11111 PURCH BY OTHER LENDER 17 gl gl g 8.B.1 Packet Pg. 20 Attachment: GISLAINE R. LOPEZ – REINSTATEMENT APPLICATION WITH WAIVER OF EXAMS (8562 : GISLAINE R. LOPEZ – REINSTATEMENT FRD t'pTOR CR F 3796761 4/O6 40585035 t7/e9A I AUTO'IOBILE t19.5K te $\t .7K $o 074t1361 $s t20x200 $o r01 slo/o IUR o/s/o 11 4 CREDIT REPORT SERVICEO BY: TRANSUNION 800-888-4213 2 BALOWIN PLACE, P.O. BOX 1AA9 CHESTER, PA 19015 CONSUHER OISCLOSURES CAN BE OBTAINED ONLINE TTIROT,GH TRANSUNION AT: HTTP : //I.Ii,JW. TRANSUNION. COiI INQUIRIES DATE SUBCOOE SUBNAI1E 3/As/E 2NP62a4423( F LA) MERIT CREDIT t7/o8/ 77 8HO1589919(SCT) FrRST FEOERA IYPE AI"IoUNT CREDITOR CONTACT INFORMATIO'I DPT EDIOSLA EL1OSRo94 525 CENTRAL PARK D OKLAHOI1A CIry O(. 73105 CBILIMITED CWAZaPO97 PO 80X 182789 COLtI4BUS &1. 43278 KOHLS/CAPONE DC12ENo05 PO 80X 3115 IiILMUKEE WI. 53201 BK OF ,.I'1ER BCT597o29 PO 80X 982238 EL PASO fX. 7999A cBlvrcscRT cz16us001 P0 Box 182789 COLU|'i8US 0H. 43218 US DEP ED VZTSTPaOT PO BOX 5509 GREEUVTLTE fX. 75443 CAPI/BSTBY DC1DTVOs7 PO BOX 39253 SALT LAKE CITY UT. 84130 SYNCB/TIX CC235055M PO BOX 965015 0RLAN00 FL. 32895 CHASE CARD BC25QKOO1 P.O. BOX 15298 WILMINGTO,T DE. 198s0 BBY/CBNA HE292FO27 PO BOX 6497 SIOJX FALLS SD. 57117 DSNB MACYS DC2AsTOS1 P0 BOX 8218 MASO 0,l. 45046 FRD I'OTOR CR FA3796767 wB s4za9s OtlA}tA NE. 58154 BANXA'4ERICA 8C6331059 PO BOX 98223E EL PASO TX. 79998 CITI BC64DBO02 PO BOX 6217 SIOUX FALLS SO. 57717 SYNCE/RI4ST6O HF9992545 c/o Po Box 955035 oRLANm FL. 32896 FIRST FEDERA B 1589919 4795 WEST US HIGHl.l LA(E CITY FL. 32955 MERIT CREDIT Z 62A4423 12734 KEt'lt'JooO LANE FORT MYERS FL. 33997 END OF TRANSUNION REPORT MERII CREOIT HAS RETRIEVED THE ABOVE PERSONAL CREDIT REPORT FOR LICENSING PURPOSES A5 REQUESTED BY THE EUSINESS OTNE R/PROPRIETOR. PUBLIC RECORDS FOR THIS REPORT HAVE EEEN CHECKEO AND VERIFIED AT THE COUNTY, STATE AND FEDERAL LEVELS. PUBLIC RECORDS HAVE ALSO BEEN VERIFIED FOR PINELLAS COIJNfY. (8oo) s64-s74g (aeo) 427-2rtg (8@) 727 -7OOO Geo) 421-21ts (866) 396-8254 (386) 7s5-o6s0 (23e) 277 -32O2 PUBLIC RECORDS LEARNED __n_ US DEP ED V 18TPOO1 1Ol08 396A7171 g/a]A I STUDENT LOAN 9/T1C (888) 254-9762 (8A0) 8118-0979 (8ee) 69s-69s0 (877 ) 89O-3].'5O (80s) 94s-2000 8.B.1 Packet Pg. 21 Attachment: GISLAINE R. LOPEZ – REINSTATEMENT APPLICATION WITH WAIVER OF EXAMS (8562 : GISLAINE R. LOPEZ – REINSTATEMENT SOURCES oF INFORfiATION; TRANS UNrON LLC IRS LIEN SECTIoi'I COUNTY COJRTHOUSE RECORDS IF YO(J HAVE ANY QUESTIONS REGARDIN6 THIS REPORT, PLEASE CONTACT I4ERIT CREDIT AT: 7-A€€-371-134A OR (239) 277-3292. 8.B.1 Packet Pg. 22 Attachment: GISLAINE R. LOPEZ – REINSTATEMENT APPLICATION WITH WAIVER OF EXAMS (8562 : GISLAINE R. LOPEZ – REINSTATEMENT Ooing Business As: MARTINS FLOOR COVERING INC Primary Address: 1118 HOIVER AVE S LEHIGH ACRES FL 33973.2095 Tax lD: 20-1081790 +This busrness rs lhe uilrmate parent. See the corporate hierarchy by c,ickin+hqrr Business ldenlification Number 73652.[:148 Premier Profile - MARTINS FLOOR COVERING, INC Subcode: 970135 Orde,ed: 03/05/20'19 10 52:04 CST Transaclion Number: C50291 7950 Search lnquiry: lvlartins Floor Covering lnc/920 Alaska Ave/Lehigh Acres/FU33971 Model Oescription: lntelliscore Plus V2 Current lntelliscore Plus Score: 53 ?&perion rcr Q rcr Q ror Q Score ranger 1 - 100 percentile lntelliscore Plus 16 Financial Slability Risk MEDIUM RISK LOW TO l\,IEDIUM RISK Credrt Limrt Recomrnendato.r $2,900 O,iginal Filings High Rrsk Alerls 1 Years on File: State ot lncoaporation Date of lncorporationi Business Type: Contacts: 15 (FrLE ESTABLTSHED 08t2004) FL 05tc/'t2004 Profit ANIONIO TOROUATO - PRESIDENT JONATHAN TOROUATO - SECRETARY HOL'ING COMPANIES NEC - 6719 CONSTRUCTION. SINGLE-FAM]LY HOUSES - 1521 Otfices of Other Holding Companies ' 551 112 Resdential Building Construclion - 236110 GISLINE TORQUAI - VICE PRESIDENT SIC Codei NAICS Code Business Facts Active Business lndicator Experian shows this business as acliver' Possible OFAC Match No OFAC match found,u, lErBusiness Victim Statement:No viclim staiement on file BUSINESS ADDRESS IDEN"TIFIED AS RESIOENTIAL PTem|er PIoi]Ie . MARTINS FLOOR COVERING INC Risk Class: 2 1| 4 ror Q Business Name MARTINS FLOOR COVERING, INC. ',{ i' Commercial Fraud Shield Eva|Ualion for: MARTINS FLOOR COVERING, INC, ,,I18 HOMER AVE S, LEHIGH ACRES, FL33973.2095 Business Alerts Verif:cation Triggers Credit Risk Score and Credit Limit Recommendation Risk Dashboard Risk Scores and Credit Limit Recommendation Oays Beyond Terms Company DBT 0 8.B.1 Packet Pg. 23 Attachment: GISLAINE R. LOPEZ – REINSTATEMENT APPLICATION WITH WAIVER OF EXAMS (8562 : GISLAINE R. LOPEZ – REINSTATEMENT This score predicts the likelihood of serious credat delinquencies for this business within the nexl 12 monlhs. Payment hastory and public record along with olher variables are used to predicl future risk. Higher scores indicale lower risk. Factors loweri'lg the score > NUMBER OF COMI\,1ERClAL ACCOUNTS WIIH NET 1-30 DAYS TERM ' NBR OF ACT'VE COI\4IUERCIAL ACCTS WIIHIN THE LAST 12 MOS ' NUIVBER OF COMMERC'AL COLLECfION ACCOUNTS > NUlilBER OF RECENTLY ACTIVE COMMERCIAL ACCOUNTS ttffillflr{lll|lll..l The risk class groups scores by risk inlo ranges of simrlar performance. Range 5 is ihe highest risk, range 1 is the lowest risk. lndustry Risk Comparison 52% of businesses indicale a hrgher likelrhood of severe delinquency. Quarterly Score Trends .cg o€c''-.\,\ r'1 0 No''J \,\TR 9x?\uN ru6 100 80 The lntelliscore Plus Quarterly Score Trends provlde a vaew of the likelihood of dehnquency over the past 12 months fo.lhis business. The lrends will indicale if the score improved. remained slable. fluctualed or declined over lhe last 12 months. 60 .10 20 This score predlcls lhe likelihood of financial stabrlity risk within the nexl 12 months The score uses tGdelrne and collections information, public filings as well as other variables to predict future rlsk. 3i9her scores indicale lower risk. Factors loweaing the score } NUMBER OF ACTIVE COMMERCIAL ACCOUNTS , NUI\,1BER OF COMMERCIAL COLLECTION ACCOUNTS ' RISK ASSOCIATED WTH THE COIUPANY'S INDUSTRY SECTOR ' RISK ASSOCIATED WITH THE BUSINESS TYPE Current Financial Stability Risk Score: 16 Risk Class: 3 The risk class grcups scores by risk into ranges of similar performance. Range 5 is the highesl risk. range 1 is lhe lowesl risk. hdustry Risk Comparison 15% of businesses indicate a hagher likelihood of flnancial slability risk. Prem er Pronle - MARTINS FLOOR COVERING INC 214 53 3 1tl 10 tr I t"l Hiqh R isk Low Risk lntelliscore Plus Quarterly Score Trends 3933 13 53 Financial Stability Risk Quarterly Score Trends t_- Hiql,1F.itL. 11t) Risk D3 Lfi 8.B.1 Packet Pg. 24 Attachment: GISLAINE R. LOPEZ – REINSTATEMENT APPLICATION WITH WAIVER OF EXAMS (8562 : GISLAINE R. LOPEZ – REINSTATEMENT Quarterly score Trends 100 80 60 40 tv 0 The Fanancial Slability Risk Ouarterly Score Trends provrde a vrew of the likelihood of financral slabrlrty risk over ihe past 12 moaths for lh15 blsiness The lrends will rndicate aflhe score improved. remained stable. fluctuated or declined over the lasl 12 months \,\rR \u$ r,\p.'l Fu6 9x? .\{o'J oe c.teg I ,oe e roP o roe c Credit Limit Recommendation $2.900 This recommendalioa compares lhis business against similar businesses in the Experian busrness credil dalabase. lt is based on trade information, industry. age of business and the lntelliscore Plus. The recommendation is a guide. The linal decision musl be made based on your company's business policies Curent DBT: 0 Predicted OBT: N/A Monthly Average DBT: 0 Highest DBT Previous 6 Months: 0 Highest DBT Previous 5 Ouarters: 0 Payment Trend lndication: Payment trend indicator not available ,ndustry OBI Range Compa.ison the current DBT of this business is 0 80% of businesses have a DBT range of 0-5 OBT for this business: 0 DBT Range 0-5 6-15 16+ No 0 0 s0 0 No s862 SO $862 $0 $4,700 Agency Agency Phone cAINE & WETNER (818) 251-1718 Oate Placed 03/2014 Status Date Closed 07t2a14 Original Balance s862 Outstanding Balance S862 Closed Uncollected Collgction Experi6ncos Trade Line Type Lines Reported OBT Recent High Credit Balance Curent 0l-30 31,60 61"90 91+ Conlinuous Premier Proflle - MARTINS FLOOR COVERTNG tNC $4.700 $0 3t4 TI I6+ Credit Limit Recommendation Paymont and Legal Filings Summary Trado and Collecdon Balanca Total trade and collection (2): All trades (1 ): All collections (1): Continuous trade (1): 6 month average: Highest credat amount ertended: lvlost frequent industry purchasing terms: nduslry purchasrng lerms nol ava abe Legal Filings Ban kruptcy: Tax Lien filings Judgment tilings: Sum of legal filings: UCC filings: Cautionary UCC filings: qb ol bttJinerses frnok ir',r.iil Trade Payment Summary 1 8.B.1 Packet Pg. 25 Attachment: GISLAINE R. LOPEZ – REINSTATEMENT APPLICATION WITH WAIVER OF EXAMS (8562 : GISLAINE R. LOPEZ – REINSTATEMENT New Combined Trade SO $0 0 1 s4,700 Add(ronal Total Trade 0 1 s0 $o loP o 1ae o roP o loe o Experian prides itself on the depth and accuracy ofthe dala mainlained on our databases. Repoding your customer's payment behavior to Experian will ludhef strengthen and enhance the power of the informalion available lor making sound credit decisions. Give credil where credil is due. Cal 1-800-520-1221, option lll for more inlormation. End of report 1 of 1 report fhe ttfo/maltan here/n ls futntshed n confldence or your e^c/t/s/ve use lor /egi/male b sness pu@oses dnd sha// nol be rc?oduced l/elherEapexan /nlotmalon Sa/ultons lnc . ,7ot lhe, souEes o, dtsh\bulols wa anl such /nhmal/on nar sha// lhey be ,ab/e fo, your use ol /e/1ance upon I O Expe(an 2019 Allrights reserued. Privacv nolicv Experian and the Experian marks hereia are seNice marks or regrsteaed taademarks ol Expenan Business Category Date Reported Last Sale Payment Terms Recent High Credit Balance Cur 1-30 31-60 61-90 Il+ Comments BLOG MATRL OZ2A19 O3I2O15 CREDIT $4.700 $0 THE FOLLOWNG INFORMATION WAS PROVIDED BY THE STATE OF FLORIDA. THE DATA IS CURRENTAS OF 03/05/2019 Statc of Origin: FL Date ot lncorporation: OSl04l2OO4 Current Status: Actave Businsss Type: Profit CharterNumber: P040000725 Agent: TOROUATO LOPEZ GISLAINE R Agent Address: 1 118 HOMER AVE S LEHIGH ACRES. FL The inquired upon business, ,tlARTINS FLOOR COVERING,lNC, is the Ultimate Parent I\4ARIINS FLOOR COVERING, INC 1,1,18 HOMER AVE S - LEHIGH ACRES,FL 736524348 1825 LINHART AVE LOT 95 . FORT MYERS,FL 930660248 Branches oI the inquired upon business IUARTINS FLOOR COVERING INC Premier Profrle l\4ARTlNS FLOOR COVERING INC s4,700 Trade Payment - New and Congruoo3ly Ropo.ted Trade Details Additional Busin€s Facts Corporate Linkage BIN 8.B.1 Packet Pg. 26 Attachment: GISLAINE R. LOPEZ – REINSTATEMENT APPLICATION WITH WAIVER OF EXAMS (8562 : GISLAINE R. LOPEZ – REINSTATEMENT -TII !.{ERIT CREDIT BAS RETRIEVED TEE ABOVE BUSINESS REPORT !'OR LICENSING PI'RPOSES AS REQT'ESTED BY TEE BUSINESS OIINER/PROPRIETOR. PUBLIC RECORDS EOR TEIS REPORT EAVE BEEN CSECXED AIID VERIEIED AT TEE COT'NTY (INCLT'DINC PINELIA"S}, SIAfE AND FEDERAI, ],EVEI,S. Fast, Acc urate & Se.ure PUELIC RECORDS IEARNED: O SOURCES OF INFORMATTON: COMPANY NAME: MARTINS FTOOR COVERING, lNC. FEDERAL lD: 20-1081790 CU RRENT STATUS: ACTIVE PRINCIPAL(S): ANTONIOTORQUATO GISLAINE R TORQUATO LOPEZ JONATHAN A TORQUATO Merit Credit TITLE: P TITLE:VP TITLE: S EXPERIAN BUSINESS IN-E'ORI'fi,TION SERVICES IRS LIEN SECIION COI'NTI COI'RTTIOUSE RECORDS IF YOU IIA\IE ANY QUESTIONS REGAXDING THTS REPORT, PLE,ASE CONTTCT MERIT CREDIT AT: 1- 800-371-3348 0R 239-2't7-3202. DATE I NCORPORATED: 05 /O4 / 200a 8.B.1 Packet Pg. 27 Attachment: GISLAINE R. LOPEZ – REINSTATEMENT APPLICATION WITH WAIVER OF EXAMS (8562 : GISLAINE R. LOPEZ – REINSTATEMENT 3t5t2019 Ostail by Entity Namo DrvrsroN oF CoRpoRArroNs ./, );.,i;,.,r.Oft -# [.1(',(,V !t!O!; Uj i'!r-tiU-'J'!r-tl ) DepAtu0ellglglsts / Division ofcorporations / Search Records / Derail ByJ)qcUmeDllU,[0!9r / Detail by Entity Name Florida Profi t Corporation MARTINS FLOOR COVERING, INC. Filing lnformation Document Numbo? P0/,O00072572 FEUEII{ ltumber 2G.1081790 Data Filed 0510/.12004 Stat6 FL Status ACTIVE Last Event CANCEL ADM DISS/REV Evsnt Date Fll6d 11/18/2009 Evont Efroctlvo Date NONE Prircinal_lkldnr! 1118 Homer Ave S LEHIGH ACRES, FL 33973 Changed: 0412712018 Mailing Address 11'18 Homer Ave S LEHIGH ACRES, FL 33973 Changsd: 04,12712018 BGgistered Agent Name & Add.as8 TOROUATO LOPEZ, GISLAINE R 1118 Homer Ave S LEHIGH ACRES, FL 33973 Name Changed: Ul 1512015 Address Changed: Ul27 12018 Ofllc€r/Dlreclor Dotall Nam. & Address lltle P TORQUATO, ANTONIO '1118 Homer Ave S LEHIGH ACRES, FL 33973 http://soarctr .sunbiz.org/lnquiry/corporationsearch/SoarchResultDstail?inquirytype=EntityName&direclionTypo=lnitjal&searchNameorder=MART|NSF... 1/2 8.B.1 Packet Pg. 28 Attachment: GISLAINE R. LOPEZ – REINSTATEMENT APPLICATION WITH WAIVER OF EXAMS (8562 : GISLAINE R. LOPEZ – REINSTATEMENT 3t512019 Dalail by Entity Name Title VP TORQUATO LOPEZ, GISLAINE R 1118 Homer Ave S LEHIGH ACRES, FL 33973 Tltle S TORQUATO, JONATHAN A 1118 Homer Ave S LEHIGH ACRES, FL 33973 Annual R.pellg Report Year 2016 2017 2018 Flled Dat€ u12612016 03t0212017 u12712018 Document lmaget O4l27l2018 -. ANNUAL REPORT O3/OZ2O17 - ANNUAL REPORT M/26l2016 - ANNUAL REPORT O4/15/2015 - ANNUAL REPORT O4l22l2014 - ANNUAL REPORT O4l21l2013 - ANNUAL REPORT O4l16/2012 - ANNUAL REPORT O4/O7l2011 - ANNUAL REPORT O7l19/2010 - ANNUAL REPORT O4I3O/2010 - ANNUAL REPORT 1,I/1 8/2OOg - REINSTATEMENT O3/14/2008 - ANNUAL REPORT O1/10/2007 - ANNUAL REPORT IXl2112006 - ANNUAI REPORT 05/01/2005 - ANNUAL REPORT 05/04/2004 - Domestic Profit Vlew image in PDF formal View image in PDF formal View image in PDF formal View image in PDF fomat View imag€ in PDF lormat Viow imege in PDF fomal Mew image rn PDF format Vi€w image in PDF fomat View image in PDF formal Mew image ln POF fo.mat View amage in PDF formal View amage in PDF format View image m PDF lormel View image in PDF formal Vew image in PDF lormat View imag€ in PDF Iomat 2t2 8.B.1 Packet Pg. 29 Attachment: GISLAINE R. LOPEZ – REINSTATEMENT APPLICATION WITH WAIVER OF EXAMS (8562 : GISLAINE R. LOPEZ – REINSTATEMENT 2018 FLORIDA PROFIT CORPORATION ANNUAL REPORT DOCUMENT# P04 00007257 2 Entity Name: MARTINS FLOOR COVERING, lNC. Current Principal Placo of Businols: I.I18 HOMER AVE S LEHIGH ACRES. FL 33973 Current Mailing Addresa: 11 18 HOMER AVE S LEHIGH ACRES, FL 33973 US FEI Numbsr: 20-'1081790 llame and Address of Cunent Reglstered Agent: Certificato of Status Desired: No TORQUATO LOPEZ. GISLAINE R 1118 HOMER AVE S LEHIGH ACRES, FL 33973 US Tlte &o,,c naned @tily s/&nits ltis slsller.nl lo. tt,6 ,utpdi' ordr,rgirg n! rlgratt td olfrc' u troitr,e'ad qql/' o. Dodr, i, t r Srala o/8oda. SIGNATURE: GISLAINE R TORQUATO LOPEZ 0412712018 Electonic Signaturc of Rogisterod Agent Offi cer/Direc-tor Detail : Tiue P Narne IOROUATO, ANToNlo Address 111E HOMER AVE S City-Stat€-Zp: LEHIGH ACRES FL 33973 T"rde S Narne TOROUATO. JONAIHAN A Address 1118 HOMER AVE S Cily-State-Zp: LEHIGH ACRES FL 33973 TOROUATO LOPEZ. GISIAINE R .1118 HOMER AVE S LEHIGH ACRES FL 33973 Date Iioe tlarno Addrg6s Citfstat&Zp: I @ @ttity M lho itb.tti,lrdl laMed oa tll/a lo,gl or s*,,nltl ,D!'tl k b1h dLt .c,1/r|d drl tM ny .ltcttt ,lc *aatu. # h.w t ,rr. bgd .le G h* urdte. 6}Dt ., d ot1 *1 .idMl ai,,., orwr6 crporuld. SIGNATURE: ANTONIO TORQUATo PRESIDENT Ut27l2O18 Eloct ohic Signaturo of Signing Oficer/Direclo. Detail Dale FILED Apr 27, 2018 Secretary of State CC'1481807525 8.B.1 Packet Pg. 30 Attachment: GISLAINE R. LOPEZ – REINSTATEMENT APPLICATION WITH WAIVER OF EXAMS (8562 : GISLAINE R. LOPEZ – REINSTATEMENT JUN-30-2000 19 | 37 IRS Departrnent of the Treasury Internal Revenue Senrice Ogden, UT 84201 8016205331 P,001/001 feD In reply refer to: Mar 05, 2019 20- 1081790 04416111 54 LTR 147C MARTINS FLOOR COVERING INC rTIS HOMER AVE S IIHIGH ACRES FL 33973-2095 180 Taxpayer Identification Number: 20- l0E l79O Form(s): Dear Taxpayer: Thank you for your relephone inquiry of March sth. 2019. Your Employer Identificarion Number (EIM is 20-1081790. please keep this letter in your permanent records. Enter your name and your EIN on all business federal tax forms and on related correspondence, If you have any questions regarding this letter, please call our Customer Service Department at 1-800-829-0115 between the hours of 7:00 AM and 10:00 PM. If you prefer, you may write to us ar the address shown at the top of the first page of this letter. When you write, please include a telephone number where you may be reached and the best time to cdl. Sincerely, Mr. Folkman r00368073 7 Customer Service Representative TOTAL P.OO1 8.B.1 Packet Pg. 31 Attachment: GISLAINE R. LOPEZ – REINSTATEMENT APPLICATION WITH WAIVER OF EXAMS (8562 : GISLAINE R. LOPEZ – REINSTATEMENT C C-..ovtrl.x3l7ef Glo$rltr Naanag@rrEnt Departrsrt Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34'104 239-252-2400 APPLICATION FOR COI.TIER COUNTY CERTIFICATE OF COMPETENCY RESOLUTION OF AUTHORIZATION Complete this form if multipl€ people own part of the company the license will be attached to lf there is only 1 own€r, then this form is not required for the application. ln accodance with Collier County Ordinance 2006-46, as amended,/rh Company Namo to engage in contracting o Anlcr'o6omb in Collier County where- ofii*,=i ffiP",i""*Applicant Nam6 proposes to qualify for a Certificste of Competency with company poses It is hereby agreed upon that we the undersigned of /l Oficgrgoxn€rs/Pa.tners Co.npany resolve and represenl to the Collier County Contractor's Licensing Board that the proposed gualifying agent, ,ni,tgTu ( Applicant Co.npany empowered to act on behalf of is active in all matters connected with the company namad u tfe furtl,e, ,esotve and reprosent that is legally ftf /1ln ( . Applicant Name all matters connected with its contracting Company business and has the authority to supervise conslruction undertaken b v r artners Witx€ss artnors of the ebow montionod cornpany ne€d to sign on tho nght and a witsrgss to the signalura signs on thg lsfl State of County of \or C-o.)rt[ I-_ The foregoing instrument as acknowledged by name of person acknowledgl (Oficersr'O,vners) as idsntmcation and did not tak€ an oath. I . JS SANTOS : i:6 a'Floail! ..:'67711 ':' '2t 4,n2. beroremerhis ff\C!\Uh O. EC\1 dc,. dat6 who has p roaucea?JH-' -.'11-O lCJA}t 't tl/pe of klontificstio- or known Itok' lqC:- FIRM APPLICATION Rev 4112118 (SIGNATURE OF NOTARY) Page I of 15 .Arllon;o'forourh 00s Barc 1..V42. 1Crlll 8.B.1 Packet Pg. 32 Attachment: GISLAINE R. LOPEZ – REINSTATEMENT APPLICATION WITH WAIVER OF EXAMS (8562 : GISLAINE R. LOPEZ – REINSTATEMENT C,Rft,Corrrtrty Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 239-252-2400Grovr/tt ManaSerrEnt DepartrEnt APPLICATION FOR COTTIER COUNTY CERTIFICATE OF COMPETENCY STATEMENT OF OWNERSHIP This certifies that l,a APPLICANTS NAME (deas€ print)r Gvsrin The foregoing instrument as acknowledged before me this date by iL who has produced t-\, nam€ of p€rsoa! acknowiodging ( am a member or managing momber of (LIMITED LIABIUry COMPAI.IY I own 1o % of the units issued by the Limited Liability Company listed above. Affidavit of Applicant: I cortlty under p€nalty ot porJury that the information containsd is a true and correct statemont to the be3t of my knowledge. Gdo,n R. T Aoeae Applicant (please print) ol Cornpany Signature of Applicant Srate of \\st'. t\u County of \-q-- frra-. L a 1-o \1 L- type of idsntification or knowrl as identification and did not take an oath. --^t/ =*,_-/\.'_JsmrruaE ofNorARY, ROBERTA A. FORD NOTARY'S SEAL rlffiq, !?"Q0/sl ROSERTAA, FORD Notiry Publi( . St.te ol Ftoride Commission , GG 220a77 Ity Coom. Erpirer liry 21, 20i2 t FIRM APPLICATION Rey 4112118 Bonded throulh N.tion.lNotary Altn Page 9 of 15 8.B.1 Packet Pg. 33 Attachment: GISLAINE R. LOPEZ – REINSTATEMENT APPLICATION WITH WAIVER OF EXAMS (8562 : GISLAINE R. LOPEZ – REINSTATEMENT C,Rff",Qot*,:x3l Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 239252-2400Grc ^/$t tvbnagernent Oeparfrsrt APPLICATION FOR COtt|ER COUNTY CERTIFICATE OF COMPETENCY Applicant's Nam6: VERIFICATION OF CONSTRUCTION EXPERIENCE Gs\a,ne- ? .-toro,.-rcrlo Aooez--\rk b Nk'rbva, The applicant is seeking a Collier County Certificate of Competency in he trade indicated above. As part of tha application for lhis certificate, the apdicant must verify his/her exporience within this lrade. You ars b6ing r€quasted to prcvido information that will aid the applicant in meoting this requiremont. You should verify time of actlve experience t ro*ing as an appranlics or a skilled li/orker (e.9., as a worker @mmanding the wage of mechanic or better in th6 trada). Time sarvod solely in a supervisory or administrative role should be describod, but may or may not b€ considered suffcient to demonstrate required trad€ experience. Ths p€rson vGrttdng trade exprri€nca for tho abova{amod applicant musl p.ovldc tho fol,owing Name:Title:O.twr (if applicable): EusinessAddress: htro carl.f, \t,.L^"D.t*+ [rr"s tfi _ 35L Street City to State zip( la.laotThe Appl applicant was employed by me ,rom ftxnrs tiue: tf f- i rrS{c.tte e- reN Additional NOTE TO UCENSED CONTRACTORS: Falsifying any infomation prcvided hercin may your licenso to revocation Under penalty of p€rjury, I declare that tho facts statad hera ars true Vtn^aq \ietL Da\o.nt"s Signatur€ths statemenl State of County of Th€ for€gdng instrument as acknotrledgod b€for6 m€ this Ytlu^cJn Ct{ , Qorq. date who has producad -o nam6 ol pgrson oclnorr€dging NOTARYS SEAL or J;]j;.,, JANICE ANDRADE DOS SANTOS -.'eZ\,x:'r Nohry PuUc - 5r 6 cl Ftonda i.{! Attr.: co;nBsror ! GG t6771i i,+**/.-1.j t'ty cmt E Drctt.tat '' 2022'.,.:,.,:' ao"oeo r,od uxr rio,.r, &3i FIRM APPLICATION Rey 4112118 oF NOTARY) C€rtifi cate Category Rsqussted: Businsss Nam€: applicant's scop€ of work (specifc dutios) indudsd: \ typ€ Page 10 of 15 8.B.1 Packet Pg. 34 Attachment: GISLAINE R. LOPEZ – REINSTATEMENT APPLICATION WITH WAIVER OF EXAMS (8562 : GISLAINE R. LOPEZ – REINSTATEMENT Qotrnt! Grov\ih Man4ernent Deparf rEnt Contractor Licensing 2800 N. Ho6eshoe Dr. Naples, FL 34104 239-252-2400 APPLICATION FOR COTI.IER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE \or -fi The applicant is soeking a C<rlier ColJnty C€dmcate of Comp€tancf in the fada indicatod above. As part of th€ application for this cerlificats, lh6 applicant must vorit hislher experi6nca within this trads. You are being rsqueslsd to provido information that will aid the applicant in meeting this requirement. You should veriry tims of aclive experienca lvorking as an apprantica or a skilled $/ork6r (e.9., as a workor @mmanding the waga of medranic or b6tt6r in the trad6). Time served solely in a supeMsory or administrative role should b€ doscribed, but may or may not be considered suffcient to demonstrate rBquired trade experience. Tho parson vorfylng trade expadenc. for th. abov..n.med appllc.nt mu.t provlde tho tollowing intomatlon: Name o /o Jo Tite License No.(if applicable):Business Nam6 eusiness adoress: /5d6 ()n/O -fl 3 City to State zio Applicant's titls: aa,/ts/&( c7-/o./t/ Additional comments NOTE TO LICENSED COI{TRACTORS: Felsifying any infomation provided heroin mey subject your Under penalty of perjury, I dedare that the facts stBted her€ are true. Ft p^da date statement State of County of keGun\\) Tho foregc,ing instrument as acknowledged before me this by namc ol pc6on acknonlcdglng as identification and did not take an oath NOTARY'S SEAL .aocb ftnd,rOCt," *,tor,a"p.or""o ht Dnfft revocation. JAT. cE AXDMOE OO8 iAXI6 l{6y Ffic - 9d. o, nqtr Co. nil.io.l I GG l6n!1 Iy Cdrxll. Ef*a Mar 11. :@l Bod.diolgnNtn tort^. r,r. (SIGNATURE OF ARY) Page 11 of 15 Applicant's Name: Cerlifi cate Catagory Roquastod: The applicant wEs emdoyed by me lrom .k, The applicant's scope ol work (specific rluties) induded: -o FIRM APPLICATION Rev 4112118 8.B.1 Packet Pg. 35 Attachment: GISLAINE R. LOPEZ – REINSTATEMENT APPLICATION WITH WAIVER OF EXAMS (8562 : GISLAINE R. LOPEZ – REINSTATEMENT Qorrtr;Xjt Grc ^itr Managernent OepaffrEnt Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 23*252-2400 APPLICATION FOR COTTIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Nam€ Cerlifl cate Category Requested -n\p. ?o NorUs The applicant is so€king a Collisr County Certific€to of Competency in tho trade lndicated above. As parl of the applicalion for this c€rtilicate, tha applicant must vsrify his/hor exporiencs within this trado. You 816 b6ing requesled to pmvide information thal will aid the applicant in meeting this requirement. You shaJld verify time of active experience r,vorking as an apprentice or a skilled worker (e.9., as a urorker commanding tho wage ot mechanic or beter in the trade). Tim6 served solely in a supervisory or administrative role should be described, but may or may not b6 consid€rBd suffcient to demonstrate required trade e)Qerience. Th. paBon varltylng b.d. .xp.rbnca ior th. aboy.{am.d .pdlc.nt mutt prrvldc th. folloylng lnformatlon: *"., X.VAn/br?6 S- SiLveiRA Business tv*"l Ploon ca $,tiles License No. (if applicablB):Lcczotr@03 \s7 s,"in ""eoo,.ss, 100q Arp(r04 Av- Lav,t?d Acegs FL 3311! Street City State zip The applicant was employad by me from >OLL z0l I -t tL€ Z.t'J LLC< The apdicant's scope of work (specific duties) induded Bc to fte€DO N6 fl&R TN ,/WRBG o/vl rllftLl5 s PTite 5 s L Additional comments: NOTE TO tlQFlID CONTRACTORS: Falsivng any infomation provided harain may subject your licF,nse to revocation. Under penatty of peiury, I decJare that the lacts stated here are true Signature the stalernent County of LozcontrJ The forsgdng instrumenl as acknowlodg€d b€fora me this by who has produced .-J51. name of person type of or kno*,h as adentilication and did not take an oath NOTARY'S SEAL rcE NDR,ADE tas sANros fublic Sr.G F a.caN0ury Commrrsrc^GG Comn Err 'as FIRM APPLICATION Rev 4112118 (SIGNATURE OF NOTARY) Page 12 ol 15 Applicant's tido: ^q\/ eTc. stateot (lo}id.a 8.B.1 Packet Pg. 36 Attachment: GISLAINE R. LOPEZ – REINSTATEMENT APPLICATION WITH WAIVER OF EXAMS (8562 : GISLAINE R. LOPEZ – REINSTATEMENT $msw Llc2006-01544 lainey 1 704@hotmail.com Lien$ Holdrr Nama: Firh Namll Addl!s3 GISLAINE R TORQUATO LOPEZ MARTINS FLOOR COVERING INC 920 ALASKA AVE LEHIGH ACRES, FL 33971 Thank you for assisting Lee County Contractor Licensing in their effort to "Go Green". Please keeP this documenulile in a safe place as you will nol be receiving any additional copies of your license from this ofiice. Be sure to keep your email address cunent with us at all times. Below please find your Lee County Cerlificate of Competency. This Certificate will nced to be renewed yearly if you wish to perform work in Unincorporated Lee County. Renewal will begin in the middle of August of each calendar year. lf you choose to place your license on inactive status please notify this office as soon as possible. Please keep yourself up to date with our departments information by periodically reviewing our website at www lee-county. comldcd/contractorlicensing. htm ln addition to this Cerlificate. it is your responsiblity to maintain your worker's compensation. general liaba,ity insurance and obtain a yeady business tax receipt from the Lee County Tax Collector while performing rvork in Unincorporated Lee County. You may email your certiticates of insurance to ContractorLicensing@Leegov.com. Our phone number is 239-533-8895. Please send e-mail address and/or telephone changes to ContractorLacensing@Leegov.com IMPORTANT CHANGE PLEASE READ: ln an etfort to reduce costs and "go green" we will no longer be mailing renewal reminders. lf you wish to receive a renewal reminder via email please provide us with your email address along with your case number LlC2006-01544 to Contractorlicensing@Leegov.com. Re: "renewal by email". C!)r Hara Reaewal duc tor 8dve and inactive canricetg 6ach year rn S€ptember. COMP. NO. lhallrppaar on all advorttlamonl9 including whicles rci€ding a bllintaa nama. lEE COTJNTY CERTIFICATE OF COMPETEI€Y r239r53't89S NAME: GISLAINE R TORQUATO LOPEZ D/8/A MARTINS FLOOR COVERING INC ConC I ors ai Ce',lri6cate Shall malntrrn rcqurcd inlunncas on aqrve c.rtifcat6.. Sh.ll inform th€ Conractor Licensing Oflice of 8ny Addrcas or lolephonel} changeLICENSEO FOR Tile and Marble COMP. NO.: TM06-01544Sh.ll only conracl rn Cv&A name .3 il apoears on canifcato. 8oaac, ot ApDrcvel requarod on bulrnesr namc dlangcs.NOT ID 09/30/2019 8.B.1 Packet Pg. 37 Attachment: GISLAINE R. LOPEZ – REINSTATEMENT APPLICATION WITH WAIVER OF EXAMS (8562 : GISLAINE R. LOPEZ – REINSTATEMENT CorneXy Gontlh ftAaflagerrEnt D€partrrstt Conlractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34'104 235252-2400 APPTICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVII OF INTEGRITY AND GOOD CHARACTER STATE OF Flor,ao. COUNry OFt\c ng be6n first duly swom, state and affirm: I am a resident of lo o C.onVq County (State) and have reskled here for more than five (5) years. During the last five (5) years I have known Ci-\oi".p. R.'T. Io0(z-(applicant). I have had the opportunity to observe his or good character. her business and personal dealings and find him or her to be a of honesty, F-\ie e.pe tros Signetu.o ( Address: Street City Telephone oq data type o, k entilication Printed Name State zip Yo1{.5. 6"n,;o"r,,on r 5 The foregoing instrument as acknowl€dged b€fore me this by .E\ret "iv,t .\O\who has nane ol palsoo aclnonl€dging and did not take an oath. NOTARYS SEAL ...lliitr., JANTGE ANoRrDe oos seHros f:tTqi -t#*Jx;ilt.iiif '1-.$9fl31 r.ry Com. Eta,res iaf'r 2022 !ci6.d rGrr! \.x^. ror,) Are FIRM APPLICATION Rev 4/12i 18 IGNATURE OF NOTARY) Page 13 of 15 F t atxd,c^ l-pra 8.B.1 Packet Pg. 38 Attachment: GISLAINE R. LOPEZ – REINSTATEMENT APPLICATION WITH WAIVER OF EXAMS (8562 : GISLAINE R. LOPEZ – REINSTATEMENT ler Aovmqt Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 239-252-2400 APPI.ICATION FOR COTLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER .-,/ _ / f,Zo,erc/rl COUNry OF )rr-.ct Zo oa I am a resident of County,(State) and have resided hsre for more than live (5) yoars. During the last five (5) y€ars I have known Gslqr,re ?.1. Lopet-(applicant)I have had th to observa his or her business and personal dsalings and flnd him or h6r to be a good characler. Signature o. Printed Name J Cily State a having been first duly sworn, state and affirm: Tolephone:7-aq -E date /J Zt 6 3,16 . Th6 foregoing instrument as acknowledged b€for6 me this by (has oS,<,S 'O as identification name of porson scknododging and dki not take an oath. NOTARYS SEAL ueC &lnown rity and FIRM APPLICATION Rey 4112118 (SIGNATURE OF NOTARY) Page 14 of 15 STATE OF GroMh [ anagernent Depaftn€nt who 3..ac6 :.rrJ.. r.. tr. \..tl Atr. 8.B.1 Packet Pg. 39 Attachment: GISLAINE R. LOPEZ – REINSTATEMENT APPLICATION WITH WAIVER OF EXAMS (8562 : GISLAINE R. LOPEZ – REINSTATEMENT c,Rff", c,o Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 239-252-2400 u*aw Grolvth Managernent Departsnent AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF ?/otu,tA COUNryOF LW A-N s. siLu having b€en first duly swom, state and afnrm:t, L€C County,fu*.rr>n (State) and have resided here for more than flve (5) years. During the last five (5) y€ars I have known 1.(applicant). I have had the opportunity to observ€ his or her business and personal dealings and find him or her to be a person of honesty, integrity and good character. 8l4N'DPvC S - S.srEbrBSrcvQPl Priolod Nane ^ddregs: Loal fu..k@A AV Street ht+ic+ rc.R6 t?t 33?7!_ City State zio T z7q 3e0 SSBZ The instument as acknowledged before me this of p€rson ad('lo rledgng has produced and did not take an oath- 'l date 5 type of irotifrcation entification NOTARY'S SEAL (SIGNATURE OF NOTARY) APPLICATION FOR COLLIER COUNTY CERTIFIC.ATE OT COMPETENCY I am a resident of Coffniaslor JAI']ICE ANORADE 00s ${NTOS iloE y Public -Sletq of Fionda ! GG 167711 MyConm.E$resltat ta.nn 8.B.1 Packet Pg. 40 Attachment: GISLAINE R. LOPEZ – REINSTATEMENT APPLICATION WITH WAIVER OF EXAMS (8562 : GISLAINE R. LOPEZ – REINSTATEMENT A,<:ORD*CERTIFICATE OF LIABILITY INSURANCE 3/5/)019 THIS CERTIFICATE IS ISSUEO 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 OOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANTi lf the certificate holdor is an ADDITIONAL INSURED, the policy(ies) must be endorssd. ll SUBROGATION lS WAIVED, subj€ct to the terms and conditions of the policy, conain policies may require an endolsoment. A slatemont on this cenificato does not confer rights to the certificato holder in liou of such endorsoment(s). 10231 M€vo Parkwly ste. l04 .239-313-2045 wc, No)877-A9A461A FL 33966 INSURERA: INSURER B: Cyp.esr lnsuran.e Company -CGL 10455 INSURED l MARTIN5 fTOOR COVERING INC r!slEEEq INSURER O: FL 33971 COVERAGES CERTIFICATE NUMBER REVISION NUi,IBER: INOICATEO NOTWTHSTANDING ANY REOUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT I{ITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES OESCRIBED HEREIN IS SUSJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIIV S SHO\AA I\.1AY HAVE BEEN REDUCED 8Y PAID CTAIMS T THE POLICIES OF INSURANCE LISTED BEL HAVE NI rNso INSF_ -anrni 9t4t2A1A 9/4/2019FGL 5021038 00 2,000,000L l Loc OTHER L__,1 JEcr $ 5,000 I 000,000 2,000,000GEN'L AGGREGAIE L MIT APPLIES PER PROOUCTS COMP/OP AGG CENERAL AGGREGATE MED ExP (Any on€ p€Eon) PERSONAL A AOV INJURY l ,000,0@I ,--" COMI'ERCIAL GENERAL LIABILITY-+ CLATMS,MAOE L ] OCCUR AUTOS HIREOAUTOS - Ea SCHED!LED AUTOS NONOIINEO AUTOS AUTOMOBILE LIABILITY aoorLY NJURY (P6r person) oA[AC- BODILY INJURY (Pe. a@der) t n DED EACH OCCURRENCE()CCUR CLAIMS.MAOEEICESS LIAB AGGREGATE AI{O EMPLOYERS' UABILITY ANY PROPRIETOR,PARTNER/EXECIJTIVE OFFICER/MEMAER EXCLUOEO' oEscRrPTroN oF oPERATTONS b€row E L OISEASE ER E L EACH ACCIOENT E L OISEASE POLICY LIMIT EA EMPLOYEE S OESCRIPiON OF OPERATIONST LOCATIONS / VEHICLES IACORD 101, Addi$onrlR.n..k. Sch.dul., my b.rtbch.d It nod .p.c. l! ..qulEd ) CERTIFICATE HOLDER CANCELLATION SHOULO ANY OF THE ABOVE DESCRIBEO POLICIES BE CANCELLEO BEFORE THE EXPIRATION OATE THEREOF, NOTICE WILL BE OELIVEREO IN ACCOROANCE WITH THE POLICY PROVISIONS, Cla/,e* A*,tt o'1988-2014 A o ACORD 25 (2014i01)The ACORD name and logo are registered marks of ACORD RPORATION. All rights reserved rNsuRER(!) Af roRDrNG COVEPIGE Forl Myert l EACXOCCURRENCE l DAracflo_REYTED-_ PREMISES (Ea @ren@) E I't s $ s S 5 COLLIER COUNIY CONIRACTOR LICEN5ING BOARO 2800 North Horse5hoe Or ve 8.B.1 Packet Pg. 41 Attachment: GISLAINE R. LOPEZ – REINSTATEMENT APPLICATION WITH WAIVER OF EXAMS (8562 : GISLAINE R. LOPEZ – REINSTATEMENT JIMMY PATRONIS CHIEF FINANICAL OFFICER STATE OF FLORIDA DEPARTHENT OF FINANCIAL SERVICES olvlslot{ oF woRKERs' CoHPENSAT|ON . . CERTIFICATE OF ELECTION TO AE EXETPT FROM FLORIDA WORKERS' COIPENSATION LAW'' CONSTRUCTION INDUSTRY EXE PTION This certifies that the individual listod below has olected to be ex€mpt from Florida Work€rs' Compensalion law. EFFECTIVEDATEt 1Ol9l2O17 EXPIRATION DATE: 10/9/2019 PERSON: GISLAINE R LOPEZ EHAIL: LA|NEY1704@HOTMA|L.COM FEIN: 201081790 BUSINESS NA'SE A D ADDRESS: MARTINS FLOOR COVERING INC. 1 1 18 HOMER AVE S LEHIGH ACRES, FL 33973 SCOPE OF BUSINESS OR TRADE: C66mic Tila, lndoo. Slono, M6rble, or Mosaic Work IMPORTANT: Ptr6uant to Chapbr,a40.0ql4), F.S., an offtcar of a co.poration rvtro elocts ox.rnptioo trom this afiap{cr by fili B a cenifioeto o{ elcclioo unde. this s6€!oo rmy not recover ben€fls or cofiponsalho undor this ctEpter. Pursuant to Chapter 440.05(12), F.S., Cenificat€s of €l€dion to bo €xompt... apdy ody withan th6 scop€ of the busin$s or trrd6 listod on th€ nolice ol oleGliorl to b€ oxempl Pursuant lo Chepler 440.05(13), F.S., Notirr€s of sleclion to b6 sr6mpt and c6dfcal0s of oloclion to be oxompt shdl b6 subigct to rg,/ocation il at any ti.n6 afior tho f,ing of tho notk6 or ttl6 issuance d th9 cortifcato, th€ poEon namod oo the notica or canificato no kng€a meels lhe rcquiremonts of this sedion to,r iss{ance o, a cartfc€te. Th6 dopartrnort shall aglroke a corlifcate al any time tc,r falluro of th6 p€raon Mmod on the corlifcsts to m66t th6 requi gmgnta of this 6edion. DFS-F2.DWG252 CERT]FICATE OF ELECTION TO BE EXEMPT REVISED O&13 QUESTTONS? (850)413n609 8.B.1 Packet Pg. 42 Attachment: GISLAINE R. LOPEZ – REINSTATEMENT APPLICATION WITH WAIVER OF EXAMS (8562 : GISLAINE R. LOPEZ – REINSTATEMENT ,,eaoqo, ro*.?f,o, %.ro.&" {no# lacrdoa: 920 AIASKA AVE LEHIGH ACRES FL 33973 Local Business Tax Receipt Dear Business Owner: Your 2016-2019 Lee County Local Business Tax Receipt is attached below for account number l0(X004, Ifthere is a change in one ofthe following, refer to the instructions on the back of this receipt,. Business nameo Ownenhipo Physical locationo Business closed This is not a bill. Detach the bottom portion and display in a public location. I hope you have a successfirl year. Sincerely, Jr lee County Tax Collector 20tE -2019 LEE COUNTY LOCAL BUSINESS TAX R.ECEIPT AccountNumber: lfiX(XX Account Erpirrs: September 30, 2019 Mly Gtur$ in th. busincss of: MARBLE /TILE / TERRAZZO CONTRACTOR TTUS LOCAL BUSINESS TAX RECETPT IS NON REGULATORY MARTINS FLOOR COVERJNG INC TORQUATO GISLAINE R 920 ALASKA AVE LEHIGH ACRES FL 33973 PtyDcot lnfornrtion: PAID 495428-6-l l0/15/l8ll:34:22AM 053.00 8.B.1 Packet Pg. 43 Attachment: GISLAINE R. LOPEZ – REINSTATEMENT APPLICATION WITH WAIVER OF EXAMS (8562 : GISLAINE R. LOPEZ – REINSTATEMENT FI tI I [?]a , ot t tl{in: z Fi 8.B.1 Packet Pg. 44 Attachment: GISLAINE R. LOPEZ – REINSTATEMENT APPLICATION WITH WAIVER OF EXAMS (8562 : GISLAINE R. LOPEZ – REINSTATEMENT et Cotrtiy Growth Nlanagement Department Planning & Regulation Operations Division Licensing Section March 6, 2019 GISLAINE R. TORQUATO LOPEZ 920 ALASKA AVE 1118 HOMER AVE LEHIGH ACRES, FL 33974 RE: REINSTATEMENT WITH WAIVER OF EXAM Ms. GISLAINE R. TORQUATO LOPEZ, You have been added to the agenda for the Contractor Licensing Board meeting on Wednesday, April 17,2019. Please attend the meeting so the board may review your submitted reinstatement application and ask you questions regarding your request for waiver of exams. The meeting is held at 9:00am at the W. Harmon Turner Building (Bldg. F, Admin. Bldg.),3299 Tamiami Trail. E., Naples, FL341'12 in the Commissioner's Meeting Room on the 3rd floor. There is a security checkpoint you will need to go through, so please allow enough time to make it to the meeting. lf you have any questions or concerns, please call (239) 252-2431 or you may email me at contractorslicensing@colliercountyf l.gov. Since Davisa Administrative Supervisor Contractor Licensing Collier County Growth Management Department 2800 North Horseshoe Drive Naples, FL 34104 / STOMER ATURE 3-b - tq DATE RECEI\DD GroMh Management 0epanment'Conlractor licensing'2800 Nonh Horceshoe Drve'Naples, Florida 34104'239,252.2400'www.coltiergov net 8.B.1 Packet Pg. 45 Attachment: GISLAINE R. LOPEZ – REINSTATEMENT APPLICATION WITH WAIVER OF EXAMS (8562 : GISLAINE R. LOPEZ – REINSTATEMENT 04/17/2019 COLLIER COUNTY Contractor Licensing Board Item Number: 8.C Item Summary: RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE Meeting Date: 04/17/2019 Prepared by: Title: – Contractor Licensing Board Name: Lilla Davis 04/04/2019 3:49 PM Submitted by: Title: Supervisor - Operations – Contractor Licensing Board Name: Everildo Ybaceta 04/04/2019 3:49 PM Approved By: Review: Contractor Licensing Board Lilla Davis Review Item Completed 04/04/2019 3:49 PM Contractor Licensing Board Everildo Ybaceta Review Item Completed 04/08/2019 2:20 PM Contractor Licensing Board Everildo Ybaceta Meeting Pending 04/17/2019 9:00 AM 8.C Packet Pg. 46 ev Cownty COLLIER COUNTY CONTRACTORS' LICENSING BOARD April 17,2019 9:00 A.M. RENE G. LUCAS MAZAR]EGOS_ APPROVAL OF EXPERIENCE RENE LUCAS MAZARIEGOS is coming before the board today to review his experience and to be approved for the General Contractor - Registered Contractor License. Mr. Lucas Mazariegos currently holds a Masonry license with Collier. He was approved forthis license in May 2017 and has remained in an active status. He also holds an active Masonry license with Lee County. Generalcontractor requires 48 months experience with a passing grade on an approved test and a business and law test and means a contractor whose services are unlimited as to the type of work which he/she may do, except as provided in this article or in the Florida Statutes. Ordinance 2006-46 (1.6.1.1) 8.C.1 Packet Pg. 47 Attachment: RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE (8563 : RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE) Gontents Letter to go in Front of the Board Application Test Scores lndividual Credit Report Sunbiz Documents Statement of Ownership Resolution of Authorization Verification of Experience - KCI Architectural Elements Verification of Experience - Kaye Lifestyle Homes Verification of Experience - VCC Contracting, LLC Affidavit of lntegrity & Good Character Driver's License Board Hearing lnformation 8.C.1 Packet Pg. 48 Attachment: RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE (8563 : RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE) Monday 25,2019 To Whom it may concern: Hello, my name is Rene Lucas Mazariegos owner R&M Precast Decoration & Design LLC. I have lived in Naples, Florida for over 18 years working in construction, with all respect I want to see the Board for approval experience for General Contractor. l've been helping Naples and Fort Myers make the luxury homes with passion and love, if you need more information please feel free to contact me . Sincerely, Rene Lucas Mazari egos 8.C.1 Packet Pg. 49 Attachment: RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE (8563 : RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE) Cou*ltll Growth Management Departrnent tr@tr[[7tr f-lAR 2 5 20ig BY Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 m D E OF CQMPETE oru - zozl 2o - o55x FIRM APPLICATION FOR COTLIER COUNTY CERTIFICATE OF COMPETENCY or legibly and is NOT TYPE OF CERTIFICATE OF COMPETENCY: d General tr Building n Residential E Mechanical tr Roofing $230.00 $230.00 $230.00 $230.00 $2s0.00 E Electrician n Plumber n Air Conditioner tr Swimming Pool tr Specialty $230.00 $230.00 $230.00 $230.00 $205.00 Specialty Trade enefi"l Conkacfu( !. APPLICANTPERSONALINFORMATION: B ene Lvc-rr> b\ . (Y)aLcriName Business Name: First Middle lnitial Last RoS^ [ Construc{io4 of owF t NL Address:Loz+ L{q rn Terf 'sw lUogles F L zLt ti L City yand rvt precasi olgno,u f, 6,om Street State zip Email Telephone Czzq) Ltbs-+q t,t .SS # (Last 4 digits only)bb* 1 Date of Birth 1 lzolso Driveds License # (Last 4 digits only)3s oo tPursuant to Chapter l-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 l-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 l-19, Florida Statutes. FIR[/ APPLICATION Rev 4t12t1|Page 3 of 15 fp 8.C.1 Packet Pg. 50 Attachment: RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE (8563 : RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE) Couttty Groudh Management Deparhnent Name , Erertl kroK Telepho 1600 II. NAME OF APPLICANT'S BUSINESS:?e*e 6r1iqt s t,/ CZ u) azF f qto UNTY CERTIFICATE OF CO Telephone C2 lio rrOs*tefu Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 u0 o ,rl C-ons*rro'fi'c^ of sw7 I NcBusiness Name: Business Address: 29"+4Q rh Terr Svtl Na,?les ?L 3Ll/)6 Street Clty State zip Telephone: t L4 I 4be - 7q t4 rqnd mgec*st frg rw^,' l, cohEmail Federal lD Tax No 9z -32+zqlq III. FINANCIAL RESPONSIBILITY NOTE. lf you have answer YESto any of the questions below, you must attach a written explanation including the nature of the charges, dates, and outcomes, sentences of conditions imposed. You must also attach proof of payment, satisfaction of lien or judgement, bankruptcy discharge, or agreements for payment..lf you have had a felony conviclion, proof that your civil rights have been restored will be required prior to licensure. YES NO ALL APPLICANTS MUST ANSWER THE QUESTIONS BELOW: Filed for or been discharged in bankruptcy within the past 5 years? Had a lien filed against you by the lnternal Revenue Service or Florida Corporate Tax Division? Undertaken construction contracts or work that resulted in liens, suits, or judgments being filed? Undertaken construction contracts or work that a third party, such as a bonding or surety company, completed or made financial statements on? Made an assignment of assets in settlement of construction obligations for less than the debts outstanding? . Been convicted or found guilty of, or entered a plea of nolo contendere to, regardless of adjudication, a crime in any jurisdiction within the past 10 years?* Had claims or lawsuits filed for unpaid or past due accounts by your creditors as a result of construction experience? Been charged with or convicted of acting as a contractor without a license, or if licensed as a contractor in this or any other state, been "subject to" disciplinary action by a state, county, or municipality? FIRIV APPLICATION Rev 4l12l18 Page 4 of 15 Provide the names and telephone numbers of two persons always your Name 8.C.1 Packet Pg. 51 Attachment: RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE (8563 : RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE) Growth Management Departrnent Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 APPLICATION FOR COLLIER COUNTY CERTIFICATE ,OF COMPETENCY IV. EXPERIENCEVERIFICATION EDUGATION: List below and provide transcripts for any formal education you have obtained in the area of competency for which this application is being made: C r/orlh 1ez\i '&M List below non formal education (on the application is being made: F->Ltpfl ln,hla*to^ oF fteci>l' job training) you have obtained in the area of ,,fsorz on -{ l'/( ./.,-( ,A .. s,bne Verlee r t (u,n' Ccafrn , competency for which this teil,t r +i let #rau C01 a ia*VUII 11 cca tv1 k CU RRENT/PREVIOUS LICENSE: List below and attach copies any other certificates of competency/licenses you hold/have held in Collier County or any other jurisdiction. lnclude the license #, Type, and county you hold it in. Cot\i er = [Sasb/'r Cott*(, # LCcLot+Ooooq b Lee-$ otsor, tE C * (vlLt+_6o5bL AFFIDAVIT Under the penalties of perjury, I declare that I have read the foregoing application and the facts stated in it are true. Applicant (please print)Signature of icant State of County ot Cpltie ( The foregoing instrument as acknowledged before me this oa,or (lotQ R"n, 6. Luw.s fvl by lAncl G. k)cah name of person acknowledging (applicant) and did not take an oath. /A,il/qZ RrTmlmlt{oaaryRilq*dffiCnnfieil([Am [{ycum.u*cOcttl.E rlzlc who has producedB,,DL-:L 35OO as identification type of identification or known FIRIV APPLICATION Rev 4112/18 (STGNATURE OF NOTARY) Page 5 of 15 8.C.1 Packet Pg. 52 Attachment: RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE (8563 : RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE) Cov*rty Groradh Management Deparbnent Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 UNTY CERTIFICATE NOTARY'S SEAL CERT!FICATION OF APPLICATION 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 willfulfalsification of any information contained herein is grounds for disqualification. ftevte 6- ltc-^s fvl Applicant (please print F"Sr^,l Conslrurtion oF W tuc Name of Company Signature of Applicant state of: E'tna dq County ot: 0 n0i a/ The foregoing instrument as acknowledged before me this by Tl crnrr G. lucas fl.who has produced L'nErie o-person acknowledging (applicant) and did not take an oath. tq type of identification or known 350 as identification NAZARET RGUEROA |,lotary Public, State ol Flodda Commissbn# GG 269796 My comm. expires 0d.21, 2022 Ncrr (S|GNATURE OF NOTARY) NOTARY'S SEAL dtr FIRIV APPLICATION Rev 4/12fi8 Page 6 of 15 ' date' 8.C.1 Packet Pg. 53 Attachment: RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE (8563 : RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE) Cou*lty Grorndh Management Deparh'nent Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 WORKMEN'S COMPENSATION AFFIDAVIT It is understood and acknowledged by the Collier County Contractors' Licensing Board and myself that if I fail to acquire, or maintain at alltimes effective Workmen's Compensation lnsurance it will result in the possible revocation of my Certificate of Competency. Kente A Lwas iTlauilegos Applicant (please print RoJ,.l (nn>4wrnio^ oP SwF urt Name of Company Signature of BEFORE lvlE this day personally appeared who affirms and Applicant (please print) says that he has less than one employee and does not require Workmen's Compensation understands that at any time he employees one or more persons he must obtain said Workmen's Compensation lnsurance. By, 6 b*5 lYl State of Flori J "t County of Crs lll e r The foregoing instrument as acknowledged before me this oa/or/aotQ by date F-S b' 14? "who has produced FL Dc name of person acknowledging (applicant) and did not take an oath. ffi T{AZABET RGUEFOA f,lobry Publlc, Stab ol Fhdd, Comn*ssiont CG20g7gC My comm. e4ires U"zl,Ap NOTARY'S SEAL type of identilication or known A) (S|GNATURE OF NOTARY) as identification --l ./ .- FIRIM APPLICATION Rev 4112118 Page 7 of 15 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY 8.C.1 Packet Pg. 54 Attachment: RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE (8563 : RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE) GITS, LLC Examination Operations Division Providing the services and products to assist Government Agencies to make informed educated decisions. Official Examination Score Report January 18,20ll 16,2017 If you have any further questions, please do not hesitate to contact us. it i::::::::::::" Sincerely, t. Jay E. Bowermeister President t. PO Box 831127 Ocala, Florida 34483-1 127 -Yoice (352) 369-ctTS - Fax (3S2) SA7-2449 800 997 21 29 Official Score Report: Candidate Information: Name - Rene G Lucas Mazariegos candidate #: 27803500L Testing Site: Ft. Myers, FL Final Score Result: Business Procedures Score: 80% 8.C.1 Packet Pg. 55 Attachment: RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE (8563 : RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE) GITS, LLC Examination Operations Division Providing the services and products to assist Government Agencies to make informed educated decisions. Official Examination Score Report Official Scorc Report: (-andidatc Information: Narne - Rene G. Lucas Mazariegos Candidate #: 27803500L Testins Site: Ft. Myers, FL Final Score Result: General represent the by Gainesville Contractor Score: 887o grade that has been achieved on the above named examination(s) lndependent Testing Service for Collier County, Florida on October Thcse results administered I 9. 201 8. If you have any further questions, please do not hesitate to contact us. Sincerely, Jay E. Bowcrmeister President Po Box 831127 ocata, Ftonda 34483-1 127 _voice (352) 369-Gtrs - Fax (352) gat-2443 800 997 2129 8.C.1 Packet Pg. 56 Attachment: RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE (8563 : RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE) Prepaned By: Merit Cnedit (239) 277 -3202 (800) 371- 3348 TRANSUNION CREDIT REPORT IMKT SUB] 16 NP IsuBJECr] LUCASMAZARIEGOS, RENE G. IAL5O KNoWN ASI LUCAS, RENE, G MAZARIEGOS, RENE ICURRENT ADDRES5] 2037 SW. 49TH TE., NAPLES FL. 34116 IFORMER ADDRESS ] 4870 hIHISTLERS GREEN CI., #7. NAPLES FL. 34116 4870 T.THISLERS GREEN CIR A, *7. NAPLES FL. 34116 IINFILE] 7 /a4 r s< it 'l [DATE] [TIME ]Oal3o/rg 09 ioocr IBIRTH DATE ]66a7 9/8O IDATE RPTD ] 2/76 7/74 MODEL PROFILE ***FICO SCORE 4 scoRE +766 :912, O3O, gL4, OtO+** CREDIT PR=0 C0L=0 REVOLVING: MORIGAGE: TOTALS: SU14MARY '* '* '* TOTAL FILE HISTORY NEG=O HSTNEG=o TRD=9 RVL=8 INST=O MTG=1 0pN=0 rNQ=3 HIGH CRED CRED LIM BALANCE PAST DUE MNTHLY PAY AVAILABLE $s863 $14.2K $7s74 $A $25 89,( $1e1K $ $178K $O $].448 $L97K $14.2K $179K $O $7473 MAXDELQ AI'1T - MOP PAYPAT 1-12 MOP PAYPAT 13-24 t4o 30/60/90 111111111111 R61 1111111111112a o/olo 11111111111 RA1 La o/o/o 111111111111 R01 1 11 11 11 11111 34 O/O/O 11111111111X M01 xxxx11111111 34 0/O/o 2/a8 t/t9A 3/t8 BK OF AMER B A597O29 4964 1 CREDIT CARD $297 $22OO $o $191K $178K $1128 $2OOO $o $o 360r'11448 $o $o THD/CBNA B 26H3OO5 3/76 603532084624 L/79A I CHARGE ACCOUNT 7t/1a FIFTH THIRD B 992SOO2 2/L6 42L526977 12/1aA I FHA R. E. MORTGAGE suNcsT cu Q 29aQoO7 91754604799O2L32 L2/r8AI CREDIT CARD 7 /77 BK OF AI4ER S a597O29 a1/14 3386 7/76A I CREDIT CARD 6/L6C $724 $3OOO $o $o 111111111111 R01 $o 11111111 ACCT CLSD BY CONSUMER 20 Ol O/ O L1111111L111 RO1$o7 ACCT CLSD BY CONSUMER 13 O/ Ol O 1111111111L1 R01 111 11111 11113e o/olo $s08 $sao $o s/ L5 7 /t6A 6/!6C $1398 $2OOO $o AMEX B 2rWBOOl 6/Ls $1852 R01 lFoRl [SU8 NA|4E ](1) Z NP628M23 TRADES SUBNAME SUBCODE OPENED HIGHCRED TERMS ACCOUNT# VERFIED CREDLIM PASTDUE ECOA COLLATRL/LOANTYPE CLSD/PD BALANCE REMARKS crTr B 6408040 6/15 $37L4 MrN25 4tao39ooa668 LlL9a $7gOO $OI FLEX SPND CRT CRD $L574 sYr'/cBllcP D 235058D 600889L47 352I CHARGE ACCOUNT 8.C.1 Packet Pg. 57 Attachment: RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE (8563 : RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE) 3499922397 36547 3 I CREDIT CARD BK OF AMER B L597O29 9561 I SECURED CRDT CARD 6/ L6A 6/ L6C $7oos $o $3s $300 $o 7 /1,4 2/1,5A 7 / 1,4C o/olo R01 olo/o $o PURCH BY OTHER LENDER 11 1111111 $o ACCT CLSD BY CONSUI4ER 7 TYPE AMOUNT CREDIT REPORT SERVICED BY:TRANSUNTON 800- 888 -4213 2 BALDWIN PLACE, P.0. 8OX 1000 CHESTER, pA A9076 CONSUIiIER DISCLOSURES CAN BE OBTAINED ONLINE THROUGH TRANSUNION AT: HTTP: //W["JW. TRANSUNION. CoM CREDITOR CONTACT INFORMATION BK OF Al,lER 8C1,597O29 PO BoX 982238 EL PASo TX. 79998 AMEX BC21r^18001 P.0. BOX 981537 EL PASO TX. 79998 SYNCB/]CP DC235058D P0 BOX 965007 oRLANDO FL. 32896THD/CBNA 8Z26A3005 PO BOX 5497 SIOUX FALLS SD, 57117 suNcsT cu Qc298Q007 6801 HILLs AVE TAIIIPA FL. 33680 CITI BB64DBO4O PO BOX 6190 SIOUX FALLS SO. 57a17 FIFTH THIRD 8M992SOO2 5O5O KINGSLEY DR CINCINNATI OH. 45263 SK OF AMER B 6199555 P0 BOX 982238 EL PA50 TX. 79998 MERIT CREDIT Z 6284423 12734 KENWOOD LANE FORT MYERS FL. 33907 (8Os) 427-2L7b (8OO) 874-27L7 (866) 227 -52].3 (813) (8ss) (s13) ( 8oo) (23e) END OF TRANSUNION REPORT I4ERIT CREDIT HAS RETRIEVED THE ABOVE PERSOTIAL CREDIT REPORT FOR LICENSING PURPOSEs A5 REQUESTED BY THE BUSINESs OI,JNE R/ PROP RI ETOR . PUBLIC RECORDS FOR THIS REPORT HAVE BEEN CHECKED AND VERIFIED AT THE COUi!TY, STATE AND FEDERAL LEVELS. PUBLIC RECORDS HAVE ALSO BEEN VERIFIED FOR PINELLAs COUNTY. PUBLIC RECORDS LEARNED O SOURCES OF INFORI'IATIoN: TRANS UNION LLC IRS LIEN SECTION COUNTY COURTHOUSE RECORDS IF YOU HAVE ANY QUESTIONS REGARDING THIS REPORT, PLEASE CoNTACT MERIT CREDIT AT: L-AOO-371-3348 0R (239) 217-3202. INQUIRIES DATE SUBCODE SUBNAI,IE A/3O/I9 ZNP628M23( FLA) MERIT CREDIT 6/2I/17 8NC6A99555(FLA) BK OF AMER s/L9177 2NP6284423 ( FLA) MERrT CREDTT 621-75A7 374-6467 358-4801 42r-21LO 277 -3202 8.C.1 Packet Pg. 58 Attachment: RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE (8563 : RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE) Detail by Entity Name Detail by Entity Name Florida Profit Corporation ROYAL CONSTRUCTION OF SWF INC Filinq lnformation Document Number P19000006485 FEI/EIN Number NONE Date Filed 0111712019 Effective Date 0112112019 State FL Status ACTIVE Principal Address 2037 49 TH TERR SW NAPLES, FL 34116 Mailinq Address 2037 49 TH TERR SW NAPLES, FL 34116 Reqistered Aoent Name & Address LUCAS, RENE G, SR. 2037 49 TH TERR SW NAPLES, FL 34116 Officer/Director Detail Name & Address Title P LUCAS, RENE G, SR. 2037 49TH TERR SW NAPLES, FL 34116 Title VP LUCAS, TIMOTEO M, SR. 2037 49TH TERR SW NAPLES, FL 34116 Annual Reports No Annual Reports Filed Document lmaqes nonda Oepatment of Stat€, Ovrsron of Corporaions Page2 of2 View image in PDF format http://search.sunbiz.org/Inquiry/Corporationsearch/SearchResultDetail?inquirytype:Entity... 312612019 8.C.1 Packet Pg. 59 Attachment: RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE (8563 : RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE) Electronic Articles of Incorporation For ROYAL CONSTRUCTION OF SWF INC The undersigned incorporator, for the purpose of forming a Flonda protit corporation, hereby adopts the followrng Articles of Incorporation: Article I The name of the corporation is: ROYAL CONSTRUCTION OF SWF INC Article II The principal place of business address: 2037 49 TH TERR SW NAPLES, FL. US 34116 The mailing address of the corporation is 2037 49 THTERRSW NAPLES, FL. US 34116 Article III The purpose for which this corporation is organized is CONSTRUCTION BUSINESS Article IV The number of shares the corporation is authorized to issue is 100 Article V The name and Florida street address of the registered agent is: RENE G LUCAS SR. 2037 49 TH TERR SW NAPLES, FL. 34116 I certiff that I am familiar wrth and accept the responsibilities of registered agent. Registered Agort Signature: RENE G LUCAS P19000006485 FILED Januarv 17.2019 Sec. Ofstate dlokeefe 8.C.1 Packet Pg. 60 Attachment: RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE (8563 : RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE) P19000006485 FILED Article VI The name and address of the incorporator is RENE G LUCAS 2037 49 TH TERR SW 19 NAPLES FL 34I16 Electronic Signature of Incorporator: RENE G LUCAS I am the incorporator submitting these Articles of Incorporation and affrrm that the facts stated herein are true. I am aw'are that false info-rmation submitted in a document to the Department of State constitutes a third degree felony as provided for in s.8 17. I 5 5, F. S. I understand flre requirement to file an annual report between"January ist arid lvlay lst in the calendai year following formation of this corporation and every year thereafter to maintain "active" status. Article VII The initial offrcer(s) and/or director(s) of the corporation is/are: Title: P RENE G LUCAS SR. 2037 49TH TERR SW NAPLES, FL. 34116 US Title: VP TIMOTEO M LUCAS SR. 2037 49TH TERR SW NAPLES, FL. 34116 US Article VIII The effective date for this corporation shall be: 0L/2120t9 Januarv 17.20 Sec. Ofstate dlokeefe 8.C.1 Packet Pg. 61 Attachment: RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE (8563 : RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE) Cou*tlt Growt'r Management Deparknent Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone -239-252-2431 Fax - 239-252-2469 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY This certifies that l, member of lown o State of ?bri County of Lnltifil The foregorng instrument as acknowledged before me this by name of person acknowledging as identification and did not take an oath NAZARET FIGUEROA Notary Public, Stat6 ol Flollda Commission# GG 2S790 My mmm. expires 0c1.21,2022 STATEMENT OF OWNERSHIP am a member or managing APPLICANT'S NAME (please print) Co"$r,tdh'o''ailr I r\) (LTMTTED LTABTLTTY COMPANY NAME) o % of the units issued by the Limited Liability Company listed above. Affidavit of Applicant: I certify under penalty of perjury that the information contained is a true and correct statement to the best of my knowledge. frene 6- L"ca'S Con>hrw*u SutF /ruc L 2otq Applicant (please print) ny Signature of 36oA date who has p roduced &-,OL C' type of identification or known Nozom-z- (EIGNATURE OF NOTARY)dtr NOTARY'S SEAL Rene €, Lur,as otl o 8.C.1 Packet Pg. 62 Attachment: RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE (8563 : RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE) Cav*fiy Gro^dh Management Deparhnent RESOLUTION OF AUTHORIZATION Complete this form if multiple people own part of the company the license will be attached to lf there is only 1 owner, then this form is not required for the application qSu/F tw ln accordance with Collier County Ordinance 2006-46, as amended,c ,dt,,t^proposes Company Name to engage in contracting as Cu?oraton Lr\ in corier co where hene 6 Lucrr5 7v1.unty Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 239-252-2400 Company +sq It is hereby agreed upon that we the undersigned Par{ ne r 5 of Y.O J^t Cons-ftrr{ a4 ltvc Otficers/Owners/Partners Company resolve and represent to the Collier County Contractor's Licensing Board that the proposed qualifying agent, hene (s Lv<-r.-s /l-is active in all matters connected with the company named . A Aoolicant Name fo3"l Lo,rstr.cftd; or 9,,up trU(,. We further resolve and represent that ften e li:coS is legally Off icers/Owners/Partners proposes to qualify for a Certificate of Competency with company Company empowered to act on behalf of Company business and has the authority to supervise construction undertaken by'hetno Lvra'3 Bq9 at Cont+#ifi.rl"iip w t^t* (1, tNL APPlicant Name in all matters connected with its contracting hoS^l Corslnr-lto" of tu?L INL FoS"l C*r+*,t .rn w 9t'l Off icers/Owners/Partners Officers/Own ers/Partners Witness Officers/Owners/Partners Witness Officers/Owners/Partners of the above mentioned company need to sign on the right and a witness to the signature signs on the left. State of TL County or Loll; e r The foregoing instrument as acknowledged before me this otq by Ben e L,:cas qd ftde .te n&ryi cjo LDcAb FLauuwho has produced name of person acknowledging (Officers/Owners) as identilication and did not take an oath. ddi-NAZARETNOUEROA Notary Public, Sbb ol Ho.lda Comnfssion# GG 2@7S Mymm.e4ire W"U,nn NOTARY'S SEAL type of identification or known IPU DL L. 3qlo ) 35oo FIRM APPLICATION Rev 4112118 (SIGNATURE F NOTARY) Page 8 of 15 APPLICATION FOR COLLIER 'date 8.C.1 Packet Pg. 63 Attachment: RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE (8563 : RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE) GrowH-r Management Deparknent Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 239-252-2400 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name:./l Lvcas lYlazari o CertiJicate Category Requested CLon-l rac The applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate, the applicant must verify his/her experience within this trade. You are being requested to provide information that will aid the applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker (e.9., as a worker commanding the wage of mechanic or better in the trade). Tlme served solely in a supervisory or administrative role should be described, but may or may not be considered sutficient to demonstrate required trade experience. The person verifying trade experience for the above-named applicant must provide the followin g informationBrE+ kwr rc;iden 4Name: Business Name Phone Tirt rmer*-: License No. (if applicable)Cbc oZ KL I/q Business nOOress: I Ao fi4erunl f lc t/e trla ( Street The applicant was employed by me from a l!(r r t-a City State zip ," Vceenf Dq r Applicant's title 5 n The applicant's scope of work (specific duties) included:SO'r OYt l't ie td IJ he cldJ r))e{4 Additional comments Ver esioval eJi e 4 I NOTE TO LICENSED CONTRACTORS: Falsifying any information provided herein may subject your ticense to revocation. Under penalty of perjury, I declare that the facts stated here are true. State of (Lorerd a Signature of person providing the County of /^t LR. The foregoing instrument as acknowledged before me this eLo- lq by date +who has produced as identification name of person acknowledging and did not take an oalh. type of identification or known NOTARY'S SEAL BAMARAERICIGON MY COMMIS$ON T FF248N EXPIRES: JulY 11,2019 Bonded Thru flotary Pubfic Und€ffiit6t3 FIRtV APPLICATION Rev 4112/18 SIGNATURE OF NOTARY Page 10of15 Precn^t 11 r. f rr-ro] J 8.C.1 Packet Pg. 64 Attachment: RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE (8563 : RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE) r<GI ccc o38244 23s,49-€r60C, March 5,2019 KCI Architectural Elements 3700 Mercantile Avenue Naples, Florida 34L04 RE: Rene Geronimo Lucas Mazariegos To Whom lt May Concern: Rene Mazariegos was employed at KCI Architectural Elements from January 2,2OL3 to Present. Rene then branched out on his own and we now employ him on a sub contractor basis. He was full time employee and has worked as a Supervisor in the field . Rene has demonstrated remarkable leadership skills and is of good character and in good standing. Sincerely, Brent Kuck President, KCI Architectural Elements NOTARY: State of:E-t A Subscribed and sworn to before me on this 5th day of March in the year 2019 by beet"f kt.ck- County of Name of document signer Public Type or Printed Name: BtffB RAEB|CI$oI{ MY COMMISSION I FF2462M EXPIBES:Juty 1t, ZOtg Bonded Ihru |5tary Publc UndoMitc6 My Commission Expires:_ r r-----l 8.C.1 Packet Pg. 65 Attachment: RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE (8563 : RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE) C,Rfr,CottttW Grc afi Managernent Departrnert APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY Applicant's Name VERIFICATION OF CONSTRUCTION EXPERIENCE Rene Lucas Certiflcate Category Requested General Contractor The applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate, the applicant must verify his/her experience within this trade. You are being requested to provide information that will aid the applicant in meeting this requirement. You should verity time of active experience working as an apprentice or a skilled wo*er (e.9., as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or adminislrative role should be described, but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience for the above-named applicant must provide the following information ,u,". Catherine Jay Kaye Tifl e: Vice PresidenU General Contractor Business Name: Kaye Lifestyle Homes License No. (if applicable):c8C1253367 BusinessAddress;910 39th St SW Naples FL 34'l 17 Street 6v.t 2ot zip The applicant was employed by me fro ay ,o Present Day Applicant's title President of R & M Precast The applicant's scope of work (specific duties) included fabricate and install corbels, brackets, Crown molding, louvers out of foam and paint and supervisor in the field Additionar comment" Very dedicated, hardworking and laible trade. NOTE TO LICENSED CONTRACTORS: Falsifying any information provided herein may subject your license to revocation Under penalty of perjury, I declare that the facts stated here are true. c\p.tu State of FL County of o0ilier The foregoing instrument as acknowledged before me this 3.q.n by date who has produced name ot person acknowledgi and did not take an oath. type of identifi SiOnature of O\!$ovi&ing the statement identification nEangn l,tmr sunLLwoor' I tvY coMllllssloN #GG141 801' EXPTRES SEP 06 2021 Bonded throulh lslState lnsurar NOTARY'S SEAL vERtFtcATtoN oF EXPERTENCE REV 4/t2/t8 SIG TURE OF Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 Fax - 239 -252-2469 City Slate 8.C.1 Packet Pg. 66 Attachment: RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE (8563 : RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE) KAYIT ti&d"rt llnffi March 4,2019 Catherine Kaye 910 39th Street SW Naples, Florida 341L7 239.434.KAYE I write this letter in recommendation Rene Lucas as a general contractor. Kaye Lifestyle Homes has had the pleasure of working with Mr. Lucas since July 2077.1 can recommend him highly and without reservation. His experience with us includes precast, foam coating, and resin. He has demonstrated responsibility, honesty, leadership skills and good character. He follows through on projects and provides excellent customer service even when he ends a projects he makes himself available and is always willing to provide additional services upon a client's request. I believe along with my staff that Mr. Lucas would make an excellent General Contractor in Collier County. Sincerely, Catharine Jay Vice President/General Contractor J Kave@ kavelifestvlehomes.com c8c1253367 www.KaveL leHomes.com info@kavel omes.com 8.C.1 Packet Pg. 67 Attachment: RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE (8563 : RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE) CATIOl\OF C O I ISTts UCIiOlq- IIGERIEN GlzD Operations & R-egulatory Mlanagenent Deparr:-nent Licsnsing Sectioo 2800 i'i. iiorseshoe Drive liagles, fL 34104 Applicant's Nrme:< ne Lucq5 ffi oz-a r i o C ertiicate Caregory Requested:r The applicant is seeking a Collier Coury Certificate of Competenry in the tade indicded above. As pan of the application for this certificate, '.he appiicanr must verifr their experience within this trade. You are being requesteci ro provide information &at wiil aid the applicaat ia meetiag this requirement.You should verify time of active experience working as an apprenrice or a skiiled worker (e.g. as a worker commaading the wage of mechanic or berter ia &e trade). Time served solely in a supenrisory or administative role should be described, but may or may not be considered sufficieut rc demonsrate requireci irade experience- The persorr verifoing t-ade experience must provicie the following information: Name:c €C(o?,\€e (k?4>o,J Title:A(Nr,'aber (if applicable >, C6lC1p5OO18 Name e1g*io"tt LC C.o"r<anc-{r J6 LL Business Address:Lt Ar?z?o9< ?.r,-,-tJ4 P.,#L@z BusinessPhone: Z<q Un"lQol The applicant's years of experience aom -?/tOto 6l-I-r The applicant's scope of work (specific duties) inciucied: Lr)oa( 6o?€,zl t57*I4 i, a-s Additional comments: Qg+errrnl3tBr-e Falsifying any informatior provided herein may subject your license to revocation. Under the penalties of pe{ui]l I declare that I have read in it are t-ue. and 'rhat the facts srated Qr4{.o?'ALe (. t-a,ag',J Print Name State of Counry Florida.of Lor^q LL The foregoing insirument as aclsrowiedged before me this by C*..s -Uq,t(name of person ac}nowledging) as identification and did not take ar oath. NOTARY'S SEAL / @atg) whohasp.oar..a iuuJ--C - . i'{ 'o (type of identifi cation) U/ t tu rq ffi ]ENNIFER VASQUEZ Notary Public - State d Florida Commission l6G 093427 My Comm. ErpiresApr 21,2021 isd.d thrugh t'lath.l iiotiry Ar!n. ry 8.C.1 Packet Pg. 68 Attachment: RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE (8563 : RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE) VeC Cemffiq,€im& Hhfi 381{ AIRPORT PULLING RD. N. #102 NAPLES FL 34105 PH:(239) 649-7909 FAX:(239) 649-7971 website: rvww.vccof naples.com email: vccco c@qmail.com March 12,2019 To Whom lt May Concern I am writing this letter in recommendation of Rene Lucas Mazariegos. He has worked as a subcontractor for our company on numerous occasions over the course of the last 9 years. His duties included supervision of jobsites as specifically related to exterior finishes. We expect to continue to work with him and would be happy to recommend him to anyone looking for a responsible, capable, knowledgeable, contractor. Qualifier Vice President VCG Contracting, LLC STATE OF FLORIDA COLLIER COUNTY The foregoing instrument was acknowledged before me on March 12,2019, by CHRIS CARSON who is personally known to me and provided the attached identification. My commission expires: JENNIFER VASQUEZ lllotary PuUic - State of Florida Commlssion # GG 093427 MyComm. Erpires Apr 21,2021 Bmffi thrcugh Nalional l{otary Atsn. BLIC 8.C.1 Packet Pg. 69 Attachment: RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE (8563 : RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE) Covt*tit Grcn^/4h Managernent Departrent Contractor Licensing 2800 N. Horseshoe Dr' NaPles, FL 34104 239-252-2400 LI AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF COUNTY OF I am a resident of more than five (5) Years. During the last five (5) years I h.ave known to observe his or her business and personal dealings and find him or her good character,. Address T The foregoing instrument as acknowledged before me this * ^J having been first duly sworn, state and affirm ( tt Ulf< County, F/ ,' ^ 4 (Srate) and have resided here for 3kt,r\\tr/kANltW,4lrq I have had the oPPortunitY honesty, integritY and Signature Printed Name trt 3{4'jr State Zp Street .4r & who has produced 231 - 6{?- C(oo as identification by date ( name of person and did not take an oath. 'r. type of identification STOREYD;tOBIN 062631(J\,ilCO!IMISSIONriv 2021L, Underwdtee FIRM APPLICATION Rev 4112j18 (STGNATURE OF NOTARY) //o/c," 0 J77 Page 13 of 15 I t, Bare Nrt?-h{rZ trmricant). 8.C.1 Packet Pg. 70 Attachment: RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE (8563 : RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE) Covtttt3l Groldh Management DeParknertt STATE OF COUNTY OF COU LEK I am a resident of The foregoing instrument as acknowledged before me this /-a?,11 date Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 239-252-2440 more than five (5) years. tapplicant). I have had the opportunityDuring the last five (5) years I have known f to observe his or her business and personal dealings and find him or her to be a person of honesty, integrity and good character. +rr_ AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER having been first duly swom, state and affirm: lrK Signature 6Beur Street Fu z4!o+ Printed Name State zip 00 as identification T Z by -hrr^ r Lr* t /C who has produced name of person acknowledging type identification and did not take an oath BonCed thru STOREYDROBIN 062631GG# 12,2021 r Undeo,vnters FIRM APPLICATION Rev 4112118 (SIGNATURE OF NOTARY) fioh'n 'a t"f Page13of15 KUUl t, noorrrr' 3bO Mer.ot f ,\< Au. 8.C.1 Packet Pg. 71 Attachment: RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE (8563 : RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE) F o L IETGGEffi urc s 8.C.1 Packet Pg. 72 Attachment: RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE (8563 : RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE) Covt?aiy Growth Management Department Planning & Regulation Operations Division Licensing Section lt/arch 25,2019 Rene Lucas Mazariegos 2037 49th Terr SW Naples, FL 341 16 RE: Review of Experience Mr. Rene Lucas Mazariegos, You have been added to the agenda for the Contractor Licensing Board meeting on WednesdayiApril 17,2019. Please attend the meeting so the board may review your submitted application and ask you questions regarding your experience. . The meeting is held at 9:00am at the W. Harmon Turner Building (Bldg. F, Admin. Bldg.), 3299 Tamiami Trail. E., Naples, FL 34112 in the Commissioner's Meeting Room on the 3'd floor. There is a security checkpoint you will need to go through, so please allow enough time to make it to the meeting. lf you have any questions or concerns, please call (239) 252-2431 or you may email me at co ntracto rs I ice ns i n g@co I I i e rco u ntyf l. gov. VIS Administrative Supervisor Contractor Licensing Collier County Growth Management Department 2800 North Horseshoe Drive Naples, FL 34104 CUS SIGNATURE DATE RECEI\ED Growth [/anagement Department-Conlractor Licensing .2800 North Horseshoe Drive.Naples, Florida 34'104'239-252-2400-www.colliergov.net 8.C.1 Packet Pg. 73 Attachment: RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE (8563 : RENE LUCAS MAZARIEGOS – APPROVAL OF EXPERIENCE) 04/17/2019 COLLIER COUNTY Contractor Licensing Board Item Number: 10.A Item Summary: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES Meeting Date: 04/17/2019 Prepared by: Title: – Contractor Licensing Board Name: Lilla Davis 04/05/2019 4:28 PM Submitted by: Title: Supervisor - Operations – Contractor Licensing Board Name: Everildo Ybaceta 04/05/2019 4:28 PM Approved By: Review: Contractor Licensing Board Lilla Davis Review Item Completed 04/05/2019 4:29 PM Contractor Licensing Board Everildo Ybaceta Review Item Completed 04/08/2019 2:19 PM Contractor Licensing Board Everildo Ybaceta Meeting Pending 04/17/2019 9:00 AM 10.A Packet Pg. 74 ET County COLLIER COUNTY CONTRACTORS' LICENSING BOARD APRIL 17,2019 9:00 A.M. ADh/INISTRATIVE COMPLAINT - CASE 2019-02 PETER E. WOZNIAK_ t\/ISCONDUCT OF A STATE CERTIFIED CONTRACTOR PETER E. WOZNIAK is the License holder for his company FLORIDA ROOF SERVICES, LLC. The license (CCC1331226 - ROOFING CONTRACTOR - CERTIFIED) is currently ACTIVE with the County under Collier Licensing number LCC2017O0O21 15. A Contractor Licensing case CEM 1S2018001 5337 was opened due to a complaint received on December 10, 2018 from the homeowner Josephine & George Reyes. They stated a deposit was paid to the contractor, the work commenced before the permit was issued, and the permit later expired. The roof is now leaking, as shown by photographs atlached. The permit PR8D20180529401, was reactivated on February 20, 2019. The Dry-in/Flashing was inspected on 31712019 and passed with notes. The Re-Roof Final inspection lailed on 312812019 with the comments "Grout on back gable already cracking & falling out". Mr. WOZNIAK is in violation of the Collier County Ordinance 2006-46, as amended, Section 4.2.2, Misconduct of a State Certified Contractor, which states "Willfully violating the applicable building codes or laws of the state, city or Collier County" - lf work has commenced and the permit is revoked, becomes null and void, or expires because of lack of progress or abandonment, a new permit covering the proposed construction shall be obtained before proceeding with the work (Ftorida State Buitding Code violation 105.4.1.1). He is going in front of the board to hear possible disciplinary actions due to his violation. 10.A.1 Packet Pg. 75 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA Administrative Complaint Formal Complaint. State of Florida, Department of Business & Professional Regulation Licensee Detail Collier County Contactor Licensing Section Registration Detail State of Florida, Division of Corporations, Limited liability Company Detail. Notice of Hearing sent via Certified Mail, Signed Return Receipt Case S CEM 1520180015337, Reyes Preliminary Com plaint Form PERMIT APPLICATION H PR8D20180529401 (Reyes) Contracts Check copies NOTICE OF NON COMPLIANCE- (Reyes) Email -Meulenberg / Rayl Photographs (Reyes residence) Permit Final lnspection Collier County Ordinance 2005-45, as amended, Section 4.2.2., for MISCONDUCT - State Certified Contractors Florida Building Code (A) 105.4, "Conditions of Permit". Florida Building Code (A) 105.1, "PERMITS". Florida Building Code (A) 105.3.2, "Time Limitations of Application". Table of Contents 10.A.1 Packet Pg. 76 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA BEFORE THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD BOARD OF COUNry COMMISSIONERS, COLLIER COUNTY, FLORIDA, CONTRACTORS' LICENSING BOARD Petitioner, WOZNIAK, PETER EDWARD FLORIDA ROOF SERVICES LLC Respondent. ADM INISTRATIVE COMPLAINI Collier County (County) files the Administrative Complaint against Peter Edward Wozniak (Respondent), a State of Florida, Certified Roofing Contractor (CCC1331226) registered in Collier County (license f 1CC20170002115), and states the following facts and allegations in support of the cited violations below: 1. The Respondent is currently licensed by the State of Florida as a Certified Roofing Contractor with License number CCCL33L226 and registered in Collier County with license 1CC20170002115. 2. Under the provisions of Collier County Ordinance 2006-46, as amended, Section 4.2 Misconduct - State Certified Contractors, the following actions by a holder of a State Certified Roofing Contractor / Collier County registered Contractor (# 1CC20170002115) shall constitute misconduct and grounds for discipline pursuant to Section 4.3 (Disciplinary proceedings). I received the written complaint from homeowner, Josephine & George Reyes, who reside at 4484 Dunlin Ct., Naples, FL on December 10, 2018. The complaint stated that Mr. and Mrs. Reyes entered into a contract for roof work with Florida Roof Services LLC. The contract for roof work was executed by the parties and dated 3/25/2079. The contract was for 542,600.00 and the Reyes' paid a deposit of $14,200.00 at the time of signing the contract. Ms. Reyes said that on April 1, 2018, they paid a second deposit as requested by a Case Number: 2019 - 02 License Number: CCCl331225 10.A.1 Packet Pg. 77 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA e C d h the contractor of 514,200.00. Ms. Reyes stated that the contractor performed tear off and underlayment work on May 9, 2018. b. Ms. Reyes provided me a copy of the contract and I have included it as exhibit 8 I received the copies of the checks that reflected the initial deposit of S14,200.00 and the later payment of S14,200.00 and have attached them as exhibit 9. I further researched the computer database of the State of Florida, Division of Corporations and located the company, Florida Roof Services LLC, Florida Limited Liability Company, FEIN: 81-3988250, Date Filed- 05/2512016, StatuS-ACTIVE, Principal Address- 2605 Forest Parkway N, la,go, F|33777, Registered Agent- Wozniak, Peter E, Authorized Person- Wozniak, Peter E (Title- MGR). I also researched the computer database of the Florida Department of Business and Professional Regulation (DBPR) for company, Florida Roof Services LLC. I located a listing for Florida Roof Services LLC, Qua lifier/Lice nse Holder, Wozniak, Peter Edward, under License S CCC1331226, Certified Roofing Contractor, Licensure Dale: 06/16/2077, Expires: O8/37/ZO2O, Status: Current, Active, add ress of 2605 Forest Pa rkway N, Largo, FL 33771. I also researched the computer database of the Collier County Growth Management Department, Contractor Licensing Section for company, Florida Roof Services LLC. The company was licensed under Registration # 1CC20170002115 to conduct business in Collier County. I researched the database of the Collier County Building Department. I located Permit fl PR8D20180529401for 4484 Dunlin Ct. (Reyes residence). The permit was listed for "CONCRETE TILE OVER POLYGLASS TH 6:1.2 PITCH 45". The contractor is listed as Wozniak, Peter Edward (dba) Florida Roof Services LLC, License # CCC1331226. The permit expired on November 21,2018 and was reactivated on February 20,2019 (in expired status for 90 days). Several attempts were made to contact the license holder and other representatives of the company (Mr. Jeff Rayl) reference the Expired permit. A Notice of Non-Compliance was sent on the date of December 13, 2018 to the email on record for the company. I knew that this email was one in which Contractor License Officer Tim Meulenberg had contacts with the contractor (exhibit 10) k l. No attempt to resolve the issue (Expired permit) had been taken by the contractor Florida Roof Services LLC made application for the permit on May 1, 2018. They commenced work on May 9, 2018 (tear off & underlayment). The permit was issued May 24,2OLg (15 days after work commenced). The dry-in lnspection was verified on June 7, 2018 with Status: Failed. t. t. j 10.A.1 Packet Pg. 78 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA m n r s On December L3,2078,I traveled to the subject residence. I observed it to be a single family detached structure and observed the dry-in material (underlayment) on the roof. I took photographs depicting the appearance of the roof as of this date ll2/13/2OL8). lwas notifled by Ms. Reyes that they had a leak in their home (underlayment only on the roof). The contractor sent workers who worked on the roof. A Notice of Hearing was sent on the date of January 15, 2019. The contractor did subsequent work in while permit still in Expired status and under Stop Work Order. The tile roof was then completed by the contractor and the permit currently is listed as Status: Failed ("Grout on back gable already cracking & falling out"). COUNT 1 5. Collier County Ordina nce 2006-46, as amended, Section 4.2.2., Miscond uct - State Certifled Contractors, states: "Willfully violating the applicable building codes or laws of the state, city or Collier County." - lf work hos commenced and the permit is revoked, becomes null ond void, or expires becouse of lock of progress or obondonment, o new permit covering the proposed construction sholl be obtoined before proceeding with the work. (Stote Building Code violotion 105.4.1.1). WHEREFORE, the Petitioner asserts the above facts and charges are grounds for disciplinary action under Collier County Ordinance 2006-46, as amended, Section 4.2., as amended, and p q o.On the date of Janua ry 15,2079, I observed the contractor working on the roof while the permit was listed in Expired status. A Stop Work Order was issued and contractor was notified through voice mail. The Permit was Re-Activated on the date of February 20, 2019. 3. Thereafter, pursuant to Collier County Ordinance 2005-46, as amended, Section 4.3.2. and Section 4.3.3., the complaint was investigated and found sufficient cause to file formalcharges. 4. Collier County brings the below charges in this formal complaint against the Respondent. WHEREFORE, in consider+tion of the foregoing, the Petitioner respectfully requests the Collier County Contractors' Licensing Board to find the Respondent guilty of the violations charged. 10.A.1 Packet Pg. 79 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA 5iBned: Collaar Counly ContradoJt' Ltcaniint Suparvilor oa OBiBn€c oated;s/q 10.A.1 Packet Pg. 80 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA Contractors' Licensing Board 2800 North Horseshoe Dr. Naples, Fl. 34104 Complaint Number- 2019 - 02 Complainant: Any person who believes that a Contractor holding a State Certification or Certificate of competency has violated Collier County Ordinance 2006-46, 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 S50.00 to defray the costs of administering the complaint, at the time of filing the complaint. The complaining party shall state with particularity which section(s) of this Ordinance he or she believes has been violated by the contractor and the essential facts in support thereof. Complaint: Please print or type and return signed copies of the complaint. Date: Februarv 28, 2019 Aga inst: Contractor's Name: WOZNIAK, PETER EDWARD Phone: 877-844-8300 Business Name: FLORIDA ROOF SERVICES tLC License Number if known: Certified Roofins Contractor (State license f CCC1331226) Collier County Registration number: 1CC20170002115 Contractor's Business Address: 2505 FOREST PARKWAY N LARGO. FL 33771 Filed By 10.A.1 Packet Pg. 81 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA Name: eqlliet'CounW Contractors' Licensing Office (Jack Gumphl Address: 2800 N. Horseshoe Dr., Naples, Ft 34104 Busi ness Phone : 239-252-2468 Address(s)where work done: 4484 Dunlin Ct (Reves) City : NAPIES Ft 34119 Cou nty: COLLIER Date of contract(s): 3/2512018 (Reyes) Date job started: 5/9/2018 (Reves) Date job completed or new home occup ied: NOT Complete Were there plans and specifications? Unknown ls there a written contract? Yes. lf yes, amount of Contract: S42.500.00 (Revesl Has Contractor been paid in full? No. lf not, what amount? 528,400.00 (Reves) Was a Building Permit obtained? YES Building Permit number if known: PRBD20180529401 (Revesl Have you communicated by letter with the licensee? YE! Date: 1/15/2019. Do you have a reply? YES Please attach to this form all copies of the purchase agreement, building contract, home improvement contract, copies of receipts and/or cancelled checks available and any additional evidence to substantiate your allegations. List any subsections of Section 4 of Collier County Ordinance number 90- 105, as amended, which, in your opinion, have been violated by the contractor which is the subject of this complaint, (list subsection number): COUNT 1: 5. Collier County Ordinance 2006-46, as amended, Section 4.2.2., Misconduct - State Certified Contractors, states: "Willfully violating the applicable building codes or laws of the state, city or Collier County." - lf work hos commenced ond the permit is revoked, becomes null ond void, or expires becouse of lock of progress or abondonment, o new permit covering the proposed construction sholl be obtoined before proceeding with the work. (Stote Building Code violotion 105.4.1.1). Please state the facts which you believe substantiate your charge of misconduct against the sub.iect contractor. List facts separately for each subsection number above: a. I received the written complaint from homeowner, Josephine & George Reyes, who reside at 4484 Dunlin Ct., Naples, FL on December Lo,2o7g. The complaint stated that Mr. and 10.A.1 Packet Pg. 82 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA b c Mrs. Reyes entered into a contract for roof work with Florida Roof Services LLC. The contract for roof work was executed by the parties and dated 3/25/ZOt8. The contract was for 542,600.00 and the Reyes' paid a deposit of S14,200.00 at the time of signing the contract. Ms. Reyes said that on April 1,2018, they paid a second deposit as requested by the contractor of S14,200.00. Ms. Reyes stated that the contractor performed tear off and underlayment work on May 9, 2018. Ms. Reyes provided me a copy ofthe contract and I have included it as exhibit 8. I received the copies of the checks that reftected the initial deposit of S14,200.00 and the later payment of $14,200.00 and have attached them as exhibit 9. I further researched the computer database of the State of Florida, Division of Corporations and located the company, Florida Roof Services LLC, Florida Limited Liability Company, FEIN:81-3988250, Date Filed- 05/2512016, Status-ACTtVE, Principal Address- 2605 Forest Parkway N, largo, FL 33771, Registered Agent- wozniak, Peter E, Authorized Person- Wozniak, Peter E (Title- MGR). I also researched the computer database of the Florida Department of Business and Professional Regulation (DBPR) for company, Florida Roof Services LLC. I located a listing for Florida Roof Services LLC, Qua lifier/License Holder, Wozniak, Peter Edward, under License CCCI331226, Certified Roofing Contractor, Licensure Date: 06/76/2OL7, Expires: O8/3L/2O2O, Status: Current, Active, address of 2605 Forest Parkway N, Laryo, FL33771. I also researched the computer database of the Collier County Growth Management Department, Contractor Licensing Section for company, Florida Roof Services LLC. The company was licensed under Registration f 1CC20170002115 to conduct business in Collier County. I researched the database of the Collier County Building Department. I located Permit # PR8D20180529401tor 4484 Dunlin Ct. (Reyes residence). The permit was listed for "CONCRETE TILE OVER POLYGLASS TH 6:12 PITCH 45". The contractor is listed as Wozniak, Peter Edward (dba) Florida Roof Services LLC, License fl CCC L337226. Florida Roof Services LLC made application for the permit on May 1, 2018. They commenced work on May 9, 2018 (tear off & underlayment). The permit was issued May 24, 2018 (15 days after work commenced). The dry-in lnspection was verified on June 7, 2018 with Status: Failed. The permit expired on November 21,2018 and was reactivated on February 20,2019 (in expired status for 90 days). Several attempts were made to contact the license holder and other representatives of the company (Mr. Jeff Rayl) reference the Expired permit. A Notice of Non-Compliance was sent on the date of December 13, 2018 to the email on record for the company. I knew that this email was one in which contractor License officer Tim Meulenberg had contacts with the contractor (exhibit 10) No attempt to resolve the issue (Expired permit) had been taken by the contractor. on December 13, 2018, ttraveled to the subject residence. tobserved it to be a single family detached structure and observed the dry-in material (underlayment) on the roof. I took photographs depicting the appearance of the roof as of this dat e (72/t3/21lgl. d e f h k m i. t. 10.A.1 Packet Pg. 83 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA n I was notified by Ms. Reyes that they had a leak in their home (underlayment only on the roof). The contractor sent workers who worked on the roof. On the date of ianuary 15, 2019, lobserved the contractor working on the roof while the permit was listed in Expired status. A Stop Work Order was issued and contractor was notified through voice mail. A Notice of Hearing was sent on the date of Janua ry L5, 20L9. The contractor did subsequent work in while permit still in Expired status and under Stop Work Order. The Permit was Re-Activated on the date of February 20, 2019. The tile roof was then completed by the contractor and the permit currently is listed as Status: Failed ("Grout on back gable already cracking & falling out"). (Complainant's signature) State of FLORIDA County ofCOtLlER Sworn to (or affirmed)and subscribed before me this 201q, (siSnature of person makinS statement).by (si8nature of Notary Public) Vno*6 or produced identification 'ffi lITDAIF wco rssoltFFH 0 EafiErr-r!,2ll0 Ira.allrs r,t'}!rt lr*" o. p. q. r. s. Print, type or stamp commissioned name of Notary Public: 10.A.1 Packet Pg. 84 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA Exhibit 1 State of Florida, Department of Business & Professional Regulation Licensee Detail 10.A.1 Packet Pg. 85 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA DBPR - WOZNIAK, PETER EDWARD: Doing Business As: FLORIDA ROOF SERVI... Page I of I 10:3214 AM 4n2019 Licensee Detaals Licensee Information Name:WOZNIAK, PETER EDWARD (Primary Name) FLORIDA ROOF SERVICES LLC (oBA Name) 2605 FOREST PARKWAY NORTH LARGO Florida 33771 PINELLAS l4ain Address: County: License Mailing: LicenseLocation : License Information License Type: Rank: License Number: Status: Licensure Date: Expires: Special Qualifications Construction Business Certified Roofi ng Contractor Cert Roofing ccc1331226 Current,Active 06/t6/2OL7 oa/3t/2o2o Qualification Effective 06 / t6/ 2OL7 Alternate Names 2601 Blair Stone Road. Tallahassee FL 32399 r: Email: Customer Contad Center :: Customer Contact Center : 850.487.1395 The State of Florida is an AAIEEO emptoyer Coovrioht 2OO7-2Or.O Stat. of Ftorida. privacv Statem€nt U.der Florida law, email addr€sses are public reaords. lf you do not want your email address released io response to a pubtic records .equest, do not send eleclronia mail to thrs enrity. Instead, contact the office by phone or by traditional mait, If you have anyqueshons, please contact 850.487.1395. 'Pursuant to Section 455.275(r), Florida Statutes, effedive October 1, 2012, ticensees licensed under chapter 455, F.S. must provide the oepartment with an email address rf they have one. The emails provided may be used for offrcral communication with the licensee. tlowever email addresses ar€ public record. If you do not wish to aupply a personal address, please provade the Department with an email address which can be made avaitabte to the pubtia. https://www.myfloridalicense.com,/LicenseDetail.asp?SID:&id=B ll77g5D405Cg45C4FA0... 4/3l20l9 View Related License Information View License Complaint 10.A.1 Packet Pg. 86 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA Exhibit 2 Collier County Contactor Licensing Section Registration Detail 10.A.1 Packet Pg. 87 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA License Application Status - CityView Portal License Application Status - Llccnsc apPllc.tlon summ.ry Page I of I GMD Public Portal Note: You @n collapse.nd expand hd'v'dual s..tions by cr'ckng th. head.r ofth. crt6n you w'sh to coll.p*/.rpand APplication Nurnber: Business Name: ticeose TYP€: Appticatio. Status: o€scriptjon of Bustness: Maalin9 Address: 1CC20170002115 FLORIDA ROOF SERVICES LLC 4505 9TH STREET EAST 2505 fOREST PARXWAY NORIH LARGO F! 3377I ELLINGION FL 34222 lwRAYr@YAHOO.COM ROOFING CONTR..CERTIFIED 201700001091 There are ^o submittals for this license applica!on There are no revie{s lor this li.ense application $0.00 o7/2t/201,7 Expiration Processed: Producer Phone Numbe.: NO ',276A24040 o1lot/2014 07/ot/2020 7279372138 Expiration Processed Producer Phone Number 1A41410304 01/2r /2019PLYMOUTH INS, AGENCY http://cvportal.c.l liergov.net/CityViewWeb/License/Status?licenseld= I 506 1 9 4/3t20t9 I Date Erplre. )oe/tr/zozojs?:4e{---l In.ur.nc. ffi;- -----t Iervrour*i rrs. I l^cENcY i I 10.A.1 Packet Pg. 88 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA Exhibit 3 State of Florida, Division of Corporations, Limited liability Company Detail 10.A.1 Packet Pg. 89 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA Detail by Entity Name Detail by Entity Name Florida Limited Liability Company FLORIDA ROOF SERVICES LLC Filino lnro]mataon DocumentNumber L'l6000102116 FEUEIN Number 81-3988250 D.te Filed 0512512016 Effective Date 06,101120'16 State FL Slatus ACTIVE Last Event REINSTATEMENT Event Date Filed 'l1lo1l2o18 Princloal Addross 2605 FOREST PARKWAY N LARGO. FL 33771 i,lailino Address 2605 FOREST PARKWAY N LARGO, FL 33771 Rooistorod Aoenl Name & Address WOZNIAK, PETER E 2605 FOREST PARKWAY N LARGO, FL 33771 Name Changed: 1 1l1'll2O1A Authorl2ed Po6on(s) De(ail Name E Address Title MGR WOZNIAK, PETER E 2605 FOREST PARKWAY N LARGO, FL 33771 Annual Repofts Report Year 2017 2018 2019 Filed Date 05/21t2017 11101t2018 03t31t2019 Document lmaog€ O3/31/2019 - ANNUAL REPORT 11/01/2018 REINSTAIEMENT O'21l2017 ANNUALREPORT 05/25/2016 .. Flonda Limrred Liabitrtv View image in PDF rormal View rnage rn POF lormat View image in PDF lomal View image in POF format Page 2 of 3 http://search.sunbiz.orgllnquiryicorporationSearch/SearchResultDetail?inquirytyfe=Entity.4t3/20t9 10.A.1 Packet Pg. 90 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA Electronic Articles of Organization -t or f,'lorida Limited Liability Company Article I The name of the Limited Liability Company is: FLORIDA ROOF SERVICES LLC Article II The street address of the principal offrce of the Limited Liability Company is: 2605 FOREST PARKWAY N LARGO, Ft". 33771 The mailing address of the Limited Liability Company is: 2605 FOREST PARKWAY }; LARGO, FL. 33771 Article III The name and Florida street address of the registered agent is: PETER E WOZNIAK 2605 FOREST PARKWAY N LARGO, FL. 33771 L16000102116 FILED 8:00 AM Mav 25. 2016Sei. of State ndmccleessam Having been named as registered agent and to acoept service of process for tho above stated limited liabilitv company at the place designated in dtis ceriificate, I herebv accept the appointnent as regislered agent ind agiee io act in'flris capac-ity. I further agree to cbmply riifi thti provisidns of all starutel re-lating lo tf,e^ proper and complele ferlormance oTmy dutiesi dnd I am fainiliar with and accept the oblrgatrons ol my posrtron as reglslered agenl. Registered Agent Signature: PETER E WOZNIAK 10.A.1 Packet Pg. 91 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA Article IV The name and address ofperson(s) authorized to manage LLC: Title: MGR PETER E WOZNIAK 2605 FOREST PARKWAY N LARGO, FL. 33771 Article V The effective date for this Limited Liability Company shall be: 06t0L/2016 Signature of member or an authorized representative Eleclronic Signature: PETER E WOZNIAK L160001 021 '1 6 FILED 8:00 AM Mav 25. 2016Sei. Of State ndmccleessam I am dre member or aulhorized reDresentalive submitlins these Articles of Orsanization and alllrm that the facts staled herein arc true. I am iware drat false infoni'ation submitted in a tlocument to tl]e Dcparmenl ofStale conslitutes a third degree felony as provided for in s.817.155. F.S. I understand the requirement 1o file an annual report hetween January I st and May I sl in the calendar year lollowrng lormation olthe Ll.C and evcry year flrereafter to mainlain "active" status. 10.A.1 Packet Pg. 92 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA 2017 FLORIDA LIMITEO LIABILITY COMPANY ANNUAL REPORT DOCUMENT# 1160001 021 16 Entity Name: FLORIDA ROOF SERVICES LLC Current Principal Place of Business: 2605 FOREST PARKWAY N LARGO. FL 33771 Current Mailing Address: 2605 FOREST PARKWAY N LARGO, FL 33771 FEI Number: 81-3988250 Name and Address of Current Registered Agsnt: FILED May 21,2017 Secretary of State cc7805475153 Certificate of Status Oesired: No WOZNIAK. PETER E 2605 FOREST PARKWAY N LARGO, FL 33771 US The above namecl enw submils this sratement for the pupose ol changing ls registerea! office or Egisterec! egenL or both, in ihe Stale of Ftodia. SIGNATURE: Electronic Signature oI Registered Agent Authorized Person(s) Oetail : Title MGR Name WOZNIAK, PETER E Address 2605 FOREST PARKWAY N City-State-Zip: LARGO FL 33771 Date oa@:Inat t.n. nahdgthS rqborot nandgcr otlhe Ii l.d tabiht, crhpany o. ttE .acev€? q ttusto€ eh@wecd to arccut; ttls e@n as ,€lqudt br Chaie, AOS ronoa Srautes andthal ay nahe ap,'a,s above, il on an anachhqt wdh a othat tke ad@||eecl SIGNATURE: PETER E WOZNIAK MANAGER OSt21t2O17 Electronic Sagnature of Signing Authorized person(s) Detail Date 10.A.1 Packet Pg. 93 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA 20.I8 FLORIDA LIMITEO LIABILITY COMPANY REINSTATEMENT DOCUMENT# 1160001021 16 Entity Name: FLORIDA ROOF SERVICES LLC Current Principal Place of Business: 2605 FOREST PARKWAY N LARGO. FL 33771 Current Mailing Address: 2605 FOREST PARKWAY N LARGO. FL 33771 FEI Number: 81-3988250 Name and Address of Currsnt Registered Agent: Csrtificate of Status Desired: No FILED Nov 01, 20{8 Secretary of State cR4197225568 WOZNIAK, PETER E 2605 FOREST PARKWAY N LARGO FL 33771 US The above named enttly subnils this statemenl fot the puryose of chahging ils regislered otrce ot rcgi9tered agent, ot both, in the State ot Florida. SIGNATURE: PETER E WOZNIAK 1110112018 Electronic Signature of Registered Agent Authorized Person(s) Dotail : Title MGR Name WOZNIAK. PETER E Address 2605 FOREST PARKWAY N Caty-State-Zip: LARGO FL 3377'l Dale oalh. that t ah a nahaqng donber ot nanager ot lhe lihited liabihy conpany ot lhe recei9t ot trste ehqwaan b etecute lhs .srtl as Egutbd by Chabtet 605, Fbnda Statules ancl rhat ny nane apFars abova, ot on an atachdeot dh all otha. like ed@we.Bd. SIGNATURE: PETER E WOZNIAK MANAGER 1110112018 Electronic Signature of Signing Authorized Person(s) Detail Dale 10.A.1 Packet Pg. 94 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – 2019 FLORIDA LIMITED LIABILITY COMPANY ANNUAL REPORT DOCUMENT# 1160001021 16 Entity Name: FLORIDA ROOF SERVICES LLC Current Principal Place of Business: 2605 FOREST PARKWAY N LARGO. FL 33771 Current Mailing Address: 2605 FOREST PARKWAY N LARGO, FL 33771 FEI Number:81-3988250 Name and Address of Current Registered Agent: FILED Mar 31, 2019 Secretary of State 9694148790CC Certificate of Status Desired: No WOZNIAK. PETER E 2605 FOREST PARKWAY N LARGO, FL 33771 US The above naned enw submls lllis slalefient lot the pupose of changing its Egistered olfice or ftgistered agenl, ot both, n the State ol Floticla SIGNATURE: PETER E WOZNIAK O3I31DO19 Electronic Signalure of Registered Agenl Authorized Person(s) Detail : Tille MGR Name WOZNIAK, PETER E AddTess 2605 FOREST PARKWAY N Caty-State-Zip: LARGO FL 33771 Date I hercbv cetutv lhat the inlod.hoh iNicated on this r@d ot supptenenlal ENn B ta aN a@late aN th,,! hy ate.?/otc sighatug shall hac tt saae (!gat eiact as it aa& uh&t@th that t ad a naAasias nadbat ot rnanaset ot tha tinted lia&hty coipany or tt.€ rcet€r or rrusrae enpwelea a axacurins rcpa as auireo oy ci:pt,iaoi. rara srarur"": ano lhat ny nane ap€aB abow. ot oh an aflachaant with au oher lika ah@wetd. SIGNATURE: PETER E. WOZNIAK MGR 03t3112019 Eleclronic Signature of Signing Aulhorized Person(s) Detail Dale 10.A.1 Packet Pg. 95 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA Exh ibit 4 Notice of Hearing sent via Certified Mail Signed Return Receipt 10.A.1 Packet Pg. 96 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA e'r c,<)ta?1t3r' (iroxth llanagorncnt l)ivision Planning & Ilegulation ()pcrations Dcpartment l,iccnsing Scction Certified Mail #7017 0530 0000 8339 6286 Date: January I 5, 2019 Peter Edward Wozniak d,/b/a - Florida Roof Services LLC 2605 Forest Parkway N Largo, FL 33771 Rf,: PERMIT # PRBD2O18052940I, PR8D20180422436,,PR8D20180745475 Dear Mr. Wozniak, A complaint has been filed against you by the above referenced entity. A hearing of this complaint will be held by the Contractors' Licensing Board on Wednesday March 20,2019 ar 9:00 AM in the Board of County Commissioner's Room, Third FIoor, Administration Building (W. Harmon Tumer Bldg.), at 3301 East Tamiami Trail, Naples, Florida 34112. Your presence before the Collier Counqv Contractors' Licensing Board is required at this time. The packet concerning your case marked composite exhibit "A" will be delivered to the members ofthe Contractors' Licensing Board one week prior to the hearing. Ifyou wish to receive a copy of this packet, please notily the Contractor Licensing Customer Service Office. lf 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 offrce by 8:00 AM on Wednesday, one week prior to the hearing. In your packet, you may give a sunmary ofevents. At this meeting, you may present evidence and be represented by an attomey ofyour choice. In the event the Contractors' Licensing Board finds you in violation ofSection(s) 4.2 of Collier County Ordinance # 2006-46, as amended, the range ofdisciplinary sanctions which may, be imposed are from an oral reprimand to a suspension or revocation ofyour Collier County Certificate issuance (N/A), and/or suspension or revocation ofyour permit privileges against your State license # CCC I 33 1226. Sincerely, ump h (239-252-2468) Li ng Compliance Officer, Collier County Contractors' Licensing rations and Regulatory Management, Growh Management Department 2800 N. Horseshoe Dr. Naples. FL. 341 04 Growth Managernent O,vision'Planning & ReSulation.2E00North tlorserhoe onve.NopleJ, Floridi la1fl'2J9 2S2 24OO.r\,ww.collier8ov ret 10.A.1 Packet Pg. 97 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA r Compl€lb ltoms 1, 2, ard 3. r Prirt your narp and addr€as on lhs rsvarsa so lhal wo can rBturn tho csrd to you. I Aitach thls card to tho back of the mailpieca, or on the ftont if pgrmlt8, 1. tutid. Add6ss€d to:O. ls d€li!€.y edd.B dflIe.grt frqn 1? lf YES, dnq &[vdy addrsss b€low: E lro L E C. Oate of D€ t W ulozxrq( itocroa PotF ffrz,ttc€a'il"iti*rri Paer""1 rt' L-^r&;, trL 33?fl il[fl]llltllltil |l ilt ll |l illlililil1t ]t 3. S€dlco Typ.O Priority M.ll Erp.E @ O Addr Shnat ! 9590 9402 3463 7275 0756 52 O arnsb iJ! R!.tLl!d O.Ot ty Ocstlt d M.lo o md Ud Fctlctd o Ortr,,in d tldlcLd O.{v..y O O Od.ct d| O.a?ry 2. Article Numbor ffranslx Imn tui.D tetst E Co66ct d\ O.lYry nCb|.l, D*..rya O ge.'drt Cqllthdjo?' O Eg.!.t ! Conftn {oo 7 C l,? 0510 00 0 0 8333 LeSb I Ps Form 381 1, July 2015 psN z63cc2{o-goss Oorn€otic Rolum F€c eipt x B- R€c€lvad by iPrrrtEdfzft< t t,t" SENDER: CAMPLETE THiS SECTION COMPLEIE IHIS SEC'ION ON DELIVERY 10.A.1 Packet Pg. 98 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE USPS IRACKI'IG # ilr ilt ltiltilt llil flmmil ililililt ilt I I tll 9590 1q0a lqt3 ?a?5 0?5t 5a Flrst€lass Mail Posta06 & F6es Pald USPS Permit No. G-10 - United States Postal Service . Sender Please pdnt your name, add.esa, end ZIP+4. ln this box. Growth Management Divison Planning & Regulation Contractor Licensing Section 2800 N. Horseshoe Drive Naples Fl. 34104 57 tt, t,, I t llt llt n,,lh, ilil,, tll,, t l,t lt |il, l, t t ilt, t ht ilt,t, 10.A.1 Packet Pg. 99 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE GumphJack From: Sent: To: C<: Subject: Attachments: Gumpruack Tuesday, January L5, 2019 11:40 AM jwrayl@yahoo.com Gumphjack GuzmanJuan; MeulenbergTimothy FW: RE: Permit # PR8D20180529401, 4484 Dunlin Ct., Naples, FL 01152019110722.pdf Mr. RaylfrVozniak, Attached, please find a 'Notice to Appear' before the Contractor LicensinB Board to answer charges of violations on permit S 's PRBD2o18{r529rO1, PRBO20180422436 and PR8D20180745475. lf you have questions, please don't hesitate to contact me. Thank you, Jack Gumph Compliance Offi cer, Contractor Licensing Collier County Growth Management Department 2800 North Horseshoe Drive Naples, FL 34104 239-252-246A (Office) 239-438-519s [Cell) lack.Gumph@CollierCountyFL.gov C,Rff*.Cottnxy From: GumphJack S€nt: Thursday, December 13,2018 11:34 AM To: .iwrayl@yahoo.com Cc: GumphJack <ack.Gumph@colliercountyfl.tor> Subject: RE: Permit S PR8D20180529401, 4484 Dunlin Ct., Naples, FL Attached please find a violation notice for Permit f PR8D201805294O1,4484 Dunlin Ct., Naples, FL. The permit is listed as ExPIRED. Pleased re-activate the permit. Please have Qualifier, Peter Wozniak sign the violation form and sent back to me via email. lt is essential you take the necessary steps to resolve the homeowne/s issues: Underlayment is expired- leakage into the home, completing the roof and finalizing the permit. Thank you, f ack Cumph Compliance Omcer, Contractor Licensing Collier County Growth Management Deparrment 2800 North Horseshoe Drive Mr. Rayl, 1 10.A.1 Packet Pg. 100 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA Exhibit 5 Collier County Contractor Licensing Section Case # CEM1S20180015337 10.A.1 Packet Pg. 101 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA Date. 41412019 7i49:53 AM Report Title:Code Case Details Case Number cEM1s20180015337 Case Type Normal lnspector JackGumph Jurisdiction Collier County Origin Complaint Detail Description On the date of December 10, 2018, ( J. Gumph) received the written complaint through Contractor Licensing Office, Customer Service from homeowner, Josephine & George Reyes, .1484 Dunlin Ct., Naples, FL against the roofing contractor. The contractor is listed as Florida Roof Services LLC (877-844-8300). The homeowner stated that a contract was signed on 3/25/20'18 with a deposit paid. Location Comments 4484 Ounlin Ct., Naples, FL 341 l9 (Folio # 56'105511901) Status lnvestigation Date & Time Entered I 21 1 2l2O'18 I 0:54:36 AM Entered By JackGumph Case Disposition Case Pending Property 56105s1 1901 Complainant REYES, GEORGE E & JOSEPHINE C Contractor FLORIDA ROOF SERVICES LLC Business Management & Budget Office 1 fu! CaseNumber CEM1S20180015337 Misconduct Priority: 10.A.1 Packet Pg. 102 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA Code Case Details Execution Date 41412019 7:49:53 AM Assigned Required Completed Outcome Commenls JackGumph 't2t12t201A 12t12t2018 Needs lnvestigatio n 12t5t2018 On the date of Oecember 10, 2018, (J. Gumph) received the written complaint through Contractor Lic€nsing Office, Customer Service from homeowner, Josephine & George Reyes, 4484 Dunlin Ct., Naples, FL against the roofing contractor. The contractor is listed as Florida Roof Services LLC (877-844-8300). The homeowner stated that a contract was signed on or about 3/2512018 with deposits paid in the amount of $28,300. lnformation supplied by the homeowners indicate that they hired "Florida Roof Services LLC' (Florida Roo0 on or about 3/2512018'fo( a total of $42,600. The homeowner paid a deposit at that time of $14,200. On 05/09/2018, the old roof tiles were removed and the 'underlayment' put down. The inspection on the underlayment failed (subsequently found to be dated 06/07i20'18).There have been water leaks occurring after the underlayment installed. The company came back and said they "fixed" the problem however the leaks still exist. Homeowner, George Reyes spoke to company representative, Jeff Rayl in October, 2018 who told him the company would come to the home to resolve. There has been no work since that time with communication with Florida Roof being unsuccessful. I located Permit # PRBD20180529401. Applied for on 05/01/2018, lssued on OSl24l2O18 and listed as STATUS: EXPIRED The contractor is listed as Peter Edward Wozniak, (dba) Florida Roof Services LLC (877-8214-8300), Certified Roofi ng Contractor, # CCC1331226. As noted in the permit, the "Dry-ln" lnspection has FAILED on 06107t2018. 2 Desc Preliminary Investigation Busrness Management & Budget Office 10.A.1 Packet Pg. 103 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA Code Case Details Execution Dale 41412019 7:49:53 AM Oesc Assigned Completed Outcome Comments Cont. lnvestigation JackGumph 12t13t2018 12113t2014 Complete 12t13/2018 On the date of December 12, 2018, I (J. Gumph) traveled to 4484 Dunlin Ct., Naples, FL. I observed the home to be a single family dwelling. I met with homeowner, Ms. Josephine Reyes. Ms. Reyes showed me to several areas inside the home where I photographed water stains in the cealing reportedly from the leakage of the roof work previously done by Florida Roof. lexplained to Ms. Reyes that the permit was now expired and that I would be contacting the roofing company to re-activate the permit and complete the work. On the date of Dec€mber 13, 2018, I placed a telephone call to the phone number on record for Qualafier, Peter Edward Wozniak, (dba) Florida Roof Services LLC (877-844-8300) There was no answer and I left a message reference the expired permit, to re-contact me. On this same date. I drafted a Notice of Non- Compliance for the violation of Building Code, Expired Permit. I emailed the notice to the company under the email for Jeff Rayl at jwrayl@yahoo.com. Cont. lnvestigation JackGumph 1t2t2019 1t2t2019 Complete 11212019: I (J Gumph) reviewed permit and found no change. Wll need to attempt contact again with contractor. continues JackGumph 1t10t2019 1t10t2019 Complete 'll9i20'19: On the date of January 9, 2019, I placed a telephone call to the phone number on record for Oualifier, Peter Edward Wozniak, (dba) Florida Roof Services LLC (877-844-8300). There was no answer and I left a message reference the expired permit, to re-contact me. Business Management & Budget Office Required Cont. lnvestigation 3 10.A.1 Packet Pg. 104 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA Code Case Details Execution Dale 41412019 7:49:53 AM Oesc A$igned Required Completed Outcome Comments Cont. lnvestigation JackGumph 1t15t2019 1t15t2019 01t15t2019 I (J. Gumph) have had follow up contact with the homeowner who related they have not been contacted by Florida Roof Services about compleling their roof proJect There rs still leak damage from the underlayment that has FAILED inspection. As I have had no response from Peter Edward Wozniak, (dba) Florida Roof Services LLC, ldid on this date ofJanuary 15, 2019, drafted a'Notice of Hearing" to Mr. Wozniak (Qualifie0 to answer the complaint of the EXPIRED permit and FAILEO inspection. The letter was sent certified mail (7017 0530 0000 8339 6286) to Peter Edward Wozniak, (dba) Florida Roof Services LLC. 2605 Forest Parkway North, Largo, FL 3377'1. continues JackGumph 1t15t2019 1115t2019 Complete 01t15t2019 On the date ofJanuary 15, 2019, I 9J Gumph) placed a telephone call to homeowner, Ms. Josephine Reyes to alert to the issuance of the Notice of Hearing to Qualifier, Peter Edward Wozniak. At the time, Ms. Reyes related that at the present time, Florida Roof Services is on her roof doing work. I immediately travelled to the Reyes home, 4484 Dunlin Ct., Naples, FL where I observed two (2) men working on the home roof. I identified the workers as Juan Gonzalez and Abdiel Rodriguez who stated they worked for Florida Roof Services. Mr. Gonzalez related that they were sent to the home by Jeff Rayl (Florida Roof Services) to complete repairs for the re-inspection oI the underlayment. I attempted phone contact to Mr. Rayl (727417 -2719) at a phone number supplied by Juan Gonzalez but went to voice mail. It should be noted that research of Permit # PRBD201 80529401 indicated an EXPIRED Permit (dated 1112012018J. Noting that there was work ongoing, I issued and posted a Stop Work Order for working on an expired permit. Cont. lnvestigation JackGumph 1t23t2019 1t23t20'19 Complete JackGumph 1t28t2019 1t28t2019 Complete '112812019: Researched the USpS database for delivery for # 7017 0530 0000 8339 6286 Found attempted delivery, "No Authorized Recipient Available". A slip was lefr at door. ivery was scheduled-- on this date, a RE-Del 4 Business Management & Budget Offlce Complete Cont. lnvestigation 112312019. Researched the USPS database for delivery for # 7017 0530 0000 8339 6286 Found attempted delivery, "No Authorized Recipient Available". A slip was left at door. Cont. lnvestigation 10.A.1 Packet Pg. 105 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA Code Case Details Execution Dale 41412019 7:49:53 AM Desc Asaigned Required Completed Comments Cont. lnvestigation JackGumph 2t1t2019 Complete 1l31l2O'19: Researched the USPS database for delivery for # 7017 0530 0000 8339 6286. Research revealed successful delivery. USPS Tracking sheet attached to the file. Cont. lnvestigation JackGumph 2t5t2019 Complete 2/5/2019: Rec€ived the USPS database for delivery (returned 'GREEN CARD') for # 7017 0530 0000 8339 6286. Research revealed successful delivery sagned by contractor, Peter E. Wozniak. USPS 'GREEN CARD' attached to the file. JackGumph 2t20t2019 2t20t2019 Complete 2120t2019 On this date I (J. Gumph) did observe the permit (#PRBD20'180529401 ) was re- activated this date. lcontacted Ms Desiree Suarez, daughter of the homeowner to notify. Ms. Suarez related information that the company had come back to the home and installed some new underlayment a "couple weeks ago" (still under a Stop Work Order for Expired Permit). She related they still have not scheduled a re-inspection ofthe FAILED original underlayment. I advised that no inspections could take place with an expired permit. Cont. lnvestigation JackGumph 2t27 t2019 2t27 t20'19 Complete 2t27t2019 Schedule for CLB JackGumph 3t'13t201s 3t13t2019 Complete THIS CASE IS SCHEOULED FOR THE CONTRACTOR LICENSING BOARD, iIARCH 20, 2019 FOR Reyes, 4484 Dunlin Ct - Contractor lS Florida Roof Services LLC Generate CLB Notice of Hearing JackGumph 3t't3t2019 3113t2019 Complete Notice generated Cont. lnvestigation JackGumph 3t20t2019 3t20t2019 Complete 312012019: Received information that Attorney for Mr. Wozniak, a Mr. Anthony Tilton (850- 213-1295\, called Spv Ybaceta and requested a continuance based on Mr. Wozniak currently being in the hospital for surgery. The CLB will re-schedule the Hearing. Cont. lnvestigation JackGumph 4t4t2019 4t4t2019 Complete I (Gumph) was advised by Desiree Suarez (daughter of Reyes) that workers have come to the home as of March 1, 2019 and installed new underlayment and then continued work on installing the tile roof. Research on April3, 2019 revealed the roof final inspection has a Status: Failed on 3/2812019, description being "Grout on bact gable already cracking and falling out". Enter Hearing Results JackGumph 4t20t2019 Pending lnvestigation JackGumph 4t20t2019 Pending THIS CASE IS SCHEDULED FOR THE CONTRACTOR LICENSING BOARD, MARCH 20, 2019 FOR Reyes, 4484 Duntin Ct - Contractor lS Florida Roof Services LLC -- RE-scheduled for CLB , 4117t2019 Business Management & Budget Office Outcome 2t1t2019 Cont. lnvestigation Research revealed that the permit (# PR8D20180529401) was reactiyated and issued an Extension on the date of 2/2012019. 10.A.1 Packet Pg. 106 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA Code Case Details Execution Dale 41412019 7:49:53 AM Violation Oescription Status Entered Corroctod Amount Comments 4.2 Misconduct State Certified Contraclors Open 12t12120'18 $0 Title Reason Result lCompliance I Fine/Day Condition Business Management & Budget Office 6 10.A.1 Packet Pg. 107 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA Exh ibit 6 Preliminary Complaint Form 10.A.1 Packet Pg. 108 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA Co Cou*txy Contractor Licensing 28OO N. Horseshoe Dr, Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 Growth Managernent Depart'nent PRELIMINARY COMPLAINT FORIVI Please mmplete this form to the best of ycur abilities Also include with ihis form any documents you would like to b€ reviewed as evidence for this case. This can include Contracts, Copies of Checks. Permits, Liens, etc. Complainant's Name J e.-Date rO !,. \i^/'n>Y. ',^( v + Home address 'tti.,, c-+-. City -f.^,L . C-c9f\ L il Stale zip L Street Email !<-z A I Telephone a SUr' t > COMPLAINT INFORMATION: Address of Complaint.Q..r\i., L+ N L,: ?L Ll Street Stale zip Company Name T t.*-;Ac,-S"LLL City rU i(eS l>e1".- e. i,)szni+K: j.*X f rly L Contractor/Person in Charge5.*+1t1. ut7-21q !<r,; i.L 5+*-Pa+- c{cr13 tZzL License 1aa 2alleco2 tl 2 )1-kwlerepno 2\ t- t'|-u Coniract:n", I -s q- )*,;.a\r. gitc&o.-r 5., e..ot, Daie cf ),tr L;L eZr,iox 3)l_ 61b_Ylo Z-# d';"'-"*-*t .*l t1-y 4ts.' r^s1. lr,.-t 51.-r \? d.f.4!-.i.}-v",* 9*s i-1o.li-a. L 3t fto".-.t P-"1 l*wcts, wno'.A W u--U-'l'' -\Mz!:, \'! \-).,,-1. r^-rj c,sl"- -t- + t. l ;+ il"{-1 tor,,l. l! l,-h-.A;.<+h.tt l-,..,<- l-c,it ].r> Co.+1.- L rbl t^5 ---i+t*,-. I P{S s,.S-b * ',(-C.,^\<il Il a-.i 'tlJ{ \l F 7++e.?l ..*.{ l-5 '.'f 4.L E*+,^L.5 k,.o*r.-t --*{- - t,*Dr.la')4:J iris+4i.( m])P" tt-A b nr:h +t*- .-J. H.. alS. !..L- u>ct.Vf 'o.iL a l.-t"l.*t ,rS ru-2..<z.- Cr>\-a-+ a^ u\ ",. &,+.1 f 1 r.^-.f1--S r r_15.f P;i:s.Wo L-$,,,- {*-*t e-"\ a-tc ,L,,is +Lr!- l.\l-<- kL-4.14-lq -l-.}",-lw.<-J>V- l-.:S t1.,-.4.<-- ,{.or:, "l^-, 2 \3i' b<5 4Et+SIGNATURE J.t+RM REV 4/1211.8 \z PRETIMINARY COMP[AINT R.-..':L *-,*,-4 .4 r,. rj 'A- t " ^--. . ,m p.*-v-L- ca'-4 aarl{ ;r!i COMPLAINT DETAILS (ATTACH ADDITIONAL SHEETS IF NECESSARY) _ _t_ I 10.A.1 Packet Pg. 109 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA Exhibit 7 PE RM IT APPLICATION # PRBD2O 180529401, 10.A.1 Packet Pg. 110 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA C,ot*rtl G.o,,cr *lr.el''sr D€pdlrEfi Dte.tt.u-.must con@le dl L1 &rdrBTypq &4,Fe'I,,ttEeT\,9€: Property krfumatlon gJ. Pa.teYfdio B: 8.6. lob Street Address: 8.7, O.fier Ndne: B.8. Oi\,rlet PhFe: 8,9. tubdiviricr: t-oVEod(r.Jnit 8.10. SDP/P|jr B.11. 'PtI Flena.rE: ' W - tu rzirrq Fklroia dl 6itrvta,! Md c]€tEc EPIUMB trI M€GI C2. Plrmt Type: BUITDING PERMIT APPUCATION 28OO N. HORSESHOE DR, NAPLES, FL 34104 | TEL. i239)252-2doo lltittrtioas lo 82 MastEr Ped,lrt gayp 6nrrr*r *Unn rrlc,* Q rvrarcTrurrrror*trrrt O (fcorr* O o.*rro**,.'r Daa Cstnd(rffiom.tbn 8.12 Licease * B-l:l. Co.rpany tlarne: 8-1,1. Ovatfitr Na.ne &15. Cfitad NanE: 816. Co.np.ny Add6r Reirriti€l l. u ivt litil.drly Q Ort'er zuiUet ecLl33l eeL &17. Co.rlptry Phql€: 8.18. tax {: B.lg.a. "knail 1: &19.b. "Emd z C3. Fr! Plrmil Type: C.4. Cs6tsucti,l Type: C.5. Ocopaocla C5. Watcr sewice: C7. 56.,er S6vke D..U,a,*t"a(s) a qrrdycdadt nY]dr/,. Cl S€ptic E Lds/ Vdtage E Struttcrs El AlcI frdn hou!€ DGas c, Fr.c Sp.hucd: C3. Pcmit byArfidait ClO Prh6t Proiid.r: Cll lhrEshoH B..ddilg: C12 VcSetatioo ClcadE; C13 ReI,ted to OAMAGES INCURRED 8Y HURFJCA}IE IRMT Oro O.L DeJ<riptjoo of Wort lptt&.!t*t)i 0.2. Proj€d Narie lfdrl D.3. Dedored Vaiue:s tprstb.v .O-4. Re5ile0tbl 5q. ft. ' Ns/ CqlsL lcdlri'Eo4d a o4!/ &itic,r t(r4ai' A1, & DJ.6) Arte.and| Estr fi.a&, D5. Cdnmerdal!$ Ft; :le.w Co.rst. lta-nptr oid s osoi Addition fcdEa. a5 6 d o !D / Ateratron /Cdrpti.r5./ O.4a. NEt./C6EL O,,l.c WqtAta (&. fL) O.a.ci. Living: O.a{i oftliviog: _ TOTAL O 0.4,d. Teb by Area roralw", o lqrA\d.r-r 0 O5r. trol C6EL Ds-b. WortA.ea (Sq. Fr) TOTAI: o Osc Wqt Arla 6q. Ft) hterioi Elteris: TOTAL fl Stsies: f Unts: lnteaiq: Exte.bc E.2, Number of Plan SeG: _ t.3. Revis$, Dal4 !vT15LOE.1. Enal R6;6.i Date: aeir.d Ort?r lr/29/r7 v2 15 Q c-*-a"r E//dh-la-, Fl {2r2-€7r. 8./4 - 94,w Dr.b. W!*Arr3 (5+ Ft, D..ni l^ivi,rg: o..-b-a t{qr&irE: _TUrA.: 0 X Sto.i6: I thitc ,8€droo.n!: l8.thr6r6l Thir 6 paBa 1 ol3 pagll ol tha Building permr( Applicanon p,e.ra lubmrt ell 3 lagei when (omottt:d- 10.A.1 Packet Pg. 111 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA - it, -BUII.DII{G PERMTAPPUCATION ?800 N. HORSESHOE DR., NAPLES, FL 34104 | rEt: (239) 252-2400 NOTICE OF COLLIER COUNTY ADDITIONAL REGULATIONS NOTICE OF AOOITIONAL RESTRICTIONS: ln 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 Cou nty, and there may be additional permits required from other governmental entities such as the Water Management District, State ag€ncies, or Federal agencies. WARNING OF POSSIBLE DEED RESTRICTIoNS: The land sub.lect 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 ofthe landowner is cautioned to seek professional advice. WARNING OF WORK lN THE COUNTY RIGHT-OF-WAY5: 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. lf such improvements are necessary, a separate permit for that purpose must be obtained from the Growth Management Department. NOTICE OF CLEARING RESTRICTIONS: The issuance of a building permit for a single-family dwelling allows up to one (1) acre of native ve8etation to be cleared. Clearing more than one (1) acre may be allowed for accessory structures and requires a separate Vegetation Removal Permit. Properties located in the following zoning district overlays may not be allowed to clear one (1) acre: Bural Fringe Mixed Use District (RFMU), Big Cypress Area of Concern (ACSC), and Special Treatment Overlay (5T). There may be additional restrictions related to clearing native vegetation and impacts to wetlands or protected species found on the property. State and Federal agency permits may be required. Contact the Growth Management Department's Environmental Services at (239) 252-2400 for additional information. lssuance of a Demolition Permit for a structure does not authorize removal of vegetation beyond the footprint of the structure. A Demo Permit is not a clearing permit. WoRK lN THE SPECIAL FLOOD HAZARD AREA: 8e advised that Substantial Damage/Substantial Improvement requirements will apply to structures located in the Special Flood Hazard Area with Finished Floor Elevations below the Base Flood Elevation. By initialing, I am acknowledging that I have read and understand this Notice nf Collier County Additional Regulations. lnrtials Ownet or Agent of Owne/s or Contractor's initiols orc required. R:a l1'29.2017 v2 Thi! it p.9.2 of 3 pa8a, of lha guildinG Permit Applit.t;on P:eare subm;t .tl 3 p!t.! wh.n comrtrted 10.A.1 Packet Pg. 112 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA -rf _]:j,lg+3j11 BUITDING PERMII APPUCAIION 2800 N. HORSESHOE DR., NAPIES, F|34104 I TEL: i239) 252-2400 ACKNOWTEDGEMENT OF COTLIER COUNTY REGULATIONS Application is hereby made to obtain a permit to do the wo.k artd instalhtions at indicated. I certify lhai no work or rnrl.,lrlron ha9 cornmenced prior to the rssuancc of a permit and that all worl will be pa.formed to meet lhe stnnlards of all la'rJ tetulatin8 const.uction in this jurisdiction The pcrmi! or applacation ,e! maY have additional fees imposed for failing to obtain perrnits ptior to commencement of construction. The approved pe.mit and/or permit application erpi.es if not commenced within 180 days from the date of issuance. Ihe permittee fu.the, undeEtandr that only licensed contractors may be employed and that the ltrurture will no( be used or oc.upied udtil a certificate of occlpancy is isrued. By sigoing this petmit appl,carion. I aSree that I have been retained by the owne/permittee to provrde contractint services for the trade for whrch I am liited. Fuathermo.e. it is mY respohtibilitY to hotify rhe Euildint Plan Review and !nspection Divigion should I no longer be the cont.astor responsible for prqviding said contracting se.vice!. I furthe. agree that I understand that the review and issuing of this permit does not exempt me from complying with allCounty Codes and Ordinan.es. lt is further understood that the p.operty own.t/permittee ir the owner of the permit. Note: An Owner-Builder muit complEte S.cliont A .nd I and lhe Orvner-&lilder Amdavlt form' sEcTtoN A. owNt8 or AGENT Of OWNER ACKNOWLEDGEMENT. The Coltractor may siSn a5 the A8e.rt of Ouner io lonS ar i cgnttact with Ownea permits ruah nation:c ?eh. L&r,,;"r, nt The f oreSoint inStrument wa5 acknowledted belo.e me rnis ,/ oav ot /el<:d })znt a({name of person} who p.oduced identilicrtion {typ entifi Notary Sitnature: ACKNOWLEDGEMEN': ts zolrlr _du r s*!o ha9 B /l*n nbu,/ et snaturi of Co.r lPnnt namc of Conlr.ctorl The foretoing inr ment was acknowled ged telore me this 1\ dal ot zo/9 at lz l^affe ol pe.so lwho jZG me, or who_has produced id€ntrtication (id Notary SiBnature NOTICE OF COMMENCEMENT INFORMATION Per Flo/ida Statutes 711.135 a Noti(e of Commencement (NOC) ;s required fo. construction of i.nprovements totalinB more th,ln S2.500. with .ertain erceptions. Foa A/C Reparts or Replacementl a notice ol aommencement i5 requjred for i.np.ovementg more thaa or eqLlal to S7,500. The applicant shril lile with the issuinS authority prior to lhe firsr inspection eith€r 3 cer(ilied copy of the recorded NOC or a notarired statement that the NOC hat been f;led for recording, alon6 with a copy thereof. l11 order to comply with the rtate requirement. perrnits will be pl.ced rn inspectron hold uodl proci of the NOf is filed with the bujlding permitting.nj inspectron department lhe issuinB autho.ity sha,l not perform or approve subsequenl inspections until the applicant files by rhail, lacsi16iie, hand delivery, email or any other mean5 such as certiFied .opy wilh lhe is5uing authority. WARNING To owNER: YouR FAILURE To RECORD A NortcE oF COMMENCEMENT MAy RESUI.T IN YOUR PAYING TWICE FOR IMPROVEMENTS IO YOUR PROPERTY. IF YOU INTEND TO OETAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRsT INSPECTION. aev:l:9 10t/vl l'hisi5pate3of_lpagerorlheEurlC,ntpermrtAppliantron prease subm,r rlt3 rate, when Eohpleteci. €)(FIRES ll.fCr ll. 2Or9 , rr!.r115.t..! :r J l!!c or 95 MY Cor{lflSSrO.{ ' FF206995 ExeaEs urch r3*i'16 Irdt'-:15,*-s 3 fPrint n.mc o, Owncr or AArnt ol Owner) )l t )a> a ,'tt // JEFFERY UJ RAYL 10.A.1 Packet Pg. 113 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA .Rff,,Cavmty Re-Roofing Mitigation Package To be filled out and included with all Residential Re-Roofingapplications tor the purpose ofthis document, sections cited are ftom Florida Building Code Sixth Edition 12017), Eristing Building. Secondary Water Earrier: Section 705.7.2 A secondary water barrier shall be installed using one of the following methods when roof covering is removed and replaced: FOR: Aphalt shinBl€s, Met.l roof shingles, Mineral-surfaced roll roofing, Slate and slate type rhintl€s, Wood shingles, Wood shates, Metal roof panels, Photovoltaic Shiotles: Outside the High-Velocity Hurricane Zone (Collier Countyl.lPleose CIRCLE 7, 2, or 3 below, to indicote the underloyment occodlng to the attoched FgC Res 6th Ed. Chg Toble R905.1.1.): Underlayment shall comply with Section R905.1.1 ot the Florida Building Code, Residential. L2or. 5pecify Secondary Waler Barrien Manufacturer Product approval number FOR:or ncret€ Tile lcomply with the manufacturer instructions or the FRSA/TRl Florida High Wind Concrete andhal r) Clay Roof Tlle lnslallation Manual. 5s Edition{r .;,FSpecify Secondary Water Barrier; Man u Product approval number Roof slopes < 2:12 havinB a continuous roof system shall be deemed to (:.r,nply with Sectign 706,7.2 requirements for a secondary water bar.ier. Clay and concrete tile roof systems installed ar required by the Florida Euilding Code are deemed to comply with the requirements of Section 7o6.7.2 f or Secondary Water Barriers. ffe.ncol Mitigation P.cl.ge 01.29-2018 v4 Exceptions: 1. 2 &Jll! En Reri6r A UEpedim oirsi,' A0 Ndfi }trsdpe 0rr.. |hCe. Fhida 34104' ?39252-2at0 'wvn cdircd, :El PaEe 1 of 2 Gro//th Management Department Building Plan Review & lnspectron Divsion p,,p,ny e.aa,"rr, 4/ E/ /),tn L'a ({ permir Number: 10.A.1 Packet Pg. 114 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA Re-Roofi ng Mitigation Package EsoLAb.QIcsll contracto. acknowledges that as reqrrired by Flo,ida Building code Sixth Edition (2017), Exirting Euilding S€stion707.3.2 the structure's Diaphragm will be evaluated and noted within Re.roof affidaviL Roof to wall connectionri FBC-E Sectlon 705,8 1. Wa s the building permit for the home construction applied for on or after Se@nber 141993?-/'a. YES _NO _41 2. lftheanswertoquestionnumber 1is YE5, then proceed to Sitnalure and perm it submittal. (Documentation required substantiating this application). 3. lfthe answer to questio n n u mbe r 1 is NO, a pplicant m ust provide documentatio n for the va lue ofthe build ing (indicote tyPe provtded below): a. _ Copy of current home insurance summarysheet b. _Copyof latesttaxbill or Property Appraiser office webpage for the home Note: the appraised value o{ the improvemen! determinet the threshold amount. 4. Based on documentation provided, i5 the value of the buildinS S300,0o0 ormore? a. YES _ NO_ 5. lf the answerto question 4 is NO, proceed to signature and permit submittal. 6. If the answer to question 4 is YES, then, will evaluation and connections at p.ioritized and non-prioriti:ed areas be completed for 15% of the cost of roof replacement? YES-NO- (Hurricane Retro-fit af{idavit will be required per FBC.E section 706.8 prior to Certilkate of Completion and retm-fft contrd€tor shall be noted on permit) 7. tf the answer to question 5 is NO, provide documentation of the cost of e.raluation/installatlon and iodicate 'prioritized" areas in which will be enhanced up to 15% of roof replacement, See 8(a) for additional requirements. NOTICE: This documentation will be reviewed tor appropriateness, since prescriptive methods of mitigating roof to wall conoections provide necessary designs to accomplish roof to wall connection improvemcntg- Misrepresentation of information above may be conslrued as a willful codeviolation. 8. An additional 15% of the cost ofthe re-roofing must be spent on enhanced connections,but the mitigatron is not required to exceed that. The roof to wall connections must be enhanced to compty with FBC-E section 706.8. The priorities for upgrading are outlined in se.tion 706.8.1.7. At least 15% shall be provided to the prioritized elements. a. These items are required to besubmitted: i. Permit description to include notation that Mitigation Retro-fit will be installed (Fetro-fit work to be conducted by a residential, building or Beneral contractor) ii. Sub affirmation form for conlractor whom will install retro-fit components iil. A plan indicating areas to be retro-fitted, connecto6 used, and fastener requiremen15, iv. Any applicable docu ntation specitied aboye. 5-t./{ Sit.lder/ AUI P.int Name of QLralifier/Owner gdlderl Autho.ized AgenI Re-8oof Mrtitaricn p..kate O1-29-20:8 v{ 0ate Page 2 ol 2 10.A.1 Packet Pg. 115 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA R905.l.l Underleyment Unless otherwise noted underlayment for asphalt shingles, metal roof shingles, mineral-surEced roll roofing, slate and slate-type shingles. wood shingles, wood shakes and metal roof panels shall conform to the applicable standards listed in this chapter. Underlayment materials required to comply with ASTM D226, D1970, D4869 and D6757 shall bear a label indicating compliance to the standard designation and, it applicable, type classification indicated in Table R905.1.1 . Underlayment shall be applied and attached in accordance with Table R905.1.1. Exceptlon: A reinforced synthetic underlayment that is approved as an altemate to underlayment complying with ASTM D226 Type ll and having a minimum tear strength in accordance with ASTM D1970 or ASTM D4533 of 20 pounds shall be permitted This underlayment shall be installed and attached in accordance with the underlayment attachment methods of Table R905.1 .1 for the applicable roof covering and slope, except metal cap nails shall be required where the ultimate design wind speed, V-, equals or exceeds 150 mph. Table R905.1 .t (1) Underlayment Types. Reserved TABLE R905.'1.1 UNOERLAYMEI{T TABLE Mlneral-6urfacod roll roofing R905.5 Roof covering Scction Root Slope 2:12 and Less Than ,a:12 Underlayment UndorlaFeni Att chmenf Root Slope 4:t2 and Greater Underlaymont Und€rLym€nt AttachmGnt' Asphalt shingles R905.2 ASru D226 Type I or llAsru tN869 Typ€ ll. lll or IVASTM D6757 1 ASTM D226 Type IASTM 04869 Ti?e IVASTU D6757 2 ASTM D1970 3 ASTM O1970 3 Goncrtc.nd Clay Tilo R905.3 Se€ Secion Rg05 3.3 M€tal rool shlngls3 RS05.4 ASTM 0226 Type I or IIASTM D{869 Type ll, ll,or tvAsTM D5757 1 ASTM D226 rype IIASTU D4469 Type lV 7 ASTM O1970 3 ASTM 0226 Type I or IIASTM Oa86S Typo ll. lll or IVASTM D6757 ASTM 0226 Type IIASIM D4869 Iype IV 2 ASTM D1970 ASTM D1970 3 Sl:te and slalT. type shingle3 R905.5 ASTM D226 Type I or IIASIM D4869 Type ll, lll or IVASTM D6757 1 ASTM D226 Type ,IASTM 04869 Type lV ASTM 01970 3 Anachment to: P,e-roof Mtitatron P.ckate . lanueq 04,201A uz ASTM D1970 3 Page I of 2 2017 Florida Building Code - Residential, Slxth Edition CHAPTER 9 ROOF ASSEMBLIES sEcTtoN R905 REQUIREMENTS FOR ROOF COVERINGS httos://codes.iccsafe. oro/oublicJdocumenUFRC20l 7/chaoter-+roof-assemblies asTM o19/0 10.A.1 Packet Pg. 116 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA Root Covaring Section Roof Slopo 2:'12 and Lesa Th.n r[:12 Underlafnent Underlayment Atlachmenf Root Slope 4il2 and Great€r Underlayment Undgdaymenl Attachmenf Wood shingles R905.7 ASTM 0226 Typc I o. ttAsTM 04869 Type ll, lll or IV ,1 ASTM 0226 ry?e IIASTM 04869 Typ€ lV Wood 3hakeg R905.E Limiled lo roof slopes 4:12 and Greater ASTM D226 Type IIASTM 04869 Trpe lV 2 Metel roof p.nels R905,10 1 I I ASTM D226 Type IIASTU D4869 Typ€ IVASTM 06757 ASTM D1970 3 ASTM D1970 3 Photovoltaic Shingl83 R905.17 ASTM 0226 Type I or llASTt'l 04869 Tyga ll. lll or rvAsTM 06757 ,l ASTM D226 rype llASru D4869 Type IVASru D6757 ASTM 01970 3 ASTM 01970 3 'Underlayment Attachment '1. Roof slopes from two units ve(ical in 12 units horizontal (17-percent slope), and less than four units vertical in 12 units horizontal (3$percent slope). Apply a 1g-inch (483 mm) strip of underlayment ielt parallel to and starting al the eaves, fastened sutticiently to hold in place. Sta.ting at the eave, apply 3&inchwide (914 mm) sheets of underlayment, ovedapping successive sheets 19 inches (483 mm), end laps shall be 6 inches and shall be offset by 6 feet. The underlayment shall be attached to a nailable deck with corrosion-tesistant fasteners wilh one row c€nlered in the field of the sheet,,yilh a maximum fastener spacing of '12 inches (305 mm) o.c., and one row at the end and side laps fastened 6 inches (152 mm) o.c. Underlayment shall be attached using metal or plastic cap nails with a nominal cap diameter of not less than 1 inch. Metal caps shall have a thickness of not less than 32{age sheel metal. Por,rrer{tiven metalcaps shall have a minimum thickness of 0.010 anch. Minimum thickness of the outside edge of plastic caps shall be 0,035 inch. The cap nail shank shall be not less than 0.083 inch for ring shank cap nails and 0.091 inch for smooth shank cap nails. Cap nail shank shall have a length sutficient to p€netrate through the roof sheathing or not less lhan 3/r inch into the root shealhing. Z. Roof stopes of four units verlical in 12 units horizontal (3}percent slope) or greater. Underlayment shall be applied shingle fashion, parallel to and starting from the eave and lapped 4 inches (51 mm), end laps shail be 6 inches and shall be offset by 6 feet. The underlayment shall be attached to a nailable deck with two staggered rows in the field of lhe sheet with a maximum faslener spacing of 12 inches (305 mm) o.c., aod one row at the end and side laps lastened 6 inches (152 mm) o.c. Underlayment shall be attached using metal or plastic cap nails with a nominal cap diameter of not less than 1 inch. Metal caps shall have a thickness of not less than 32{age sheet metal. Power{rven metal caps shall have a minimum thickness 01 0.010 inch- Minimum thickness of the outside edge of plaslic caps shall be 0.035 inch The cap nail shank shall be not less than 0.083 inch tor ring shank cap nails and 0.091 inch for smoolh shank cap nails. Cap nail shank shall have a length sufiicienl to penelrale through the roof shealhing or not less than r/r inch into the roof sheathing. 3. Roof slopes from two unils vertical in l2 units horizontal (17-percent slope) and greater. The entire roof deck shall be covered with an approved self-adhering polymer modi{ied bitumen underlayment complylng with ASTM D1970 rnslalled in accordance with both the underlayment manufacturer's and roof covering manufaclurer's inslallation instruclions for the deck material, roof ventilation configuration and climate exposure for the roof covering to be installed. Exception: A minimum 4-inch-wide (102 mm) strip of setf-adhering polymer-modified bitumen membrane complying with ASTM D'1970, installed in accordance with the manufacturer's instructions for the deck malerial, shall be applied over all joinls in the roof decklng. An approyed underlayment in accordance with Table R905. 1 .1 for the applicable roof covering shall be applied over lhe entire roof overthe +inch-wide (102 mm) membrane strips. Att.chmen! to Re-roof MiliSation pacl.t. - Janudry Oa, ?O1g vZ ?age Z ol 2 2 ASTM 0226 Type I or IIASTM D./1869 Typ. ll, lllo( tvASTM 06757 10.A.1 Packet Pg. 117 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA Permit Application Status - Cit_vvieiv Porral Page i of2 GMD Public Portal Pcrmlt AppllcltloD Strtur ln o<l!r !r sdr.(t . in.9.6ms, yor n .d to D. ilgncd h, - so.nof,t AFplbt 66 Xum!..: PtEO2Ot 8O529:lO 1 l@liodon Ty!.: Arritdl.g lrpot.tioo 5t tt6: In c.ttioni Co6r6..d ft6r.r? Oinc!'s Fu0 N.h?: REYES, G6OR6E E & IOSEPTiINE C GEge.y o{ Wdr: &!r.don Ocorp.ncy Codc: l|lCdcnti.l, On. lnd Iro F.mrh n.r o. Go6t ttoura oBcriprrm ot worr: corrRETE flLE ovEc mlycr s5rx5:r2prrcfi.5 aaSa olJr{t-til cI appti..lon Oat!: Os/otl2olE tsqa, O.r.r 05/24nolt B.r'r.rton Oa!.: 05,/21/t0r9 l-2 r.mlry o. Com: 1.2 f..rxt P..hltr (okr to s.€ Edl.s) t50,oo t50 00 t90 0o 05/24/20).8 05/21i2Ct8 t50 0o !50-o-. scal 5:.S5 Jr.85 t2.00 e5/z4izora rroo.oo ]03/01/2019 3l5a.a5 so.oo I !60.00 :t294.!s :!60.00 SnKtw.l - Appllcrtro.r F.. Stru(!i, - R.Y., 4..c5/21/27t8 05/2a./2318 r?.00 !100 00 R!insp.<!on f!€ lor Building ,,LEASE DO NOT 5UAiIT &{Y PAYI4Et'TS U'YIIL A COLUTR COUN1Y PAYHEIiI SLIP 15 DIS]RIDUIEO 169 - O.t-|./al..hln9 s -::::s 6D/aOta i oStort)ota i REYES/ GEORGE E LgStPlliIE C, Ard.!rr:a,a!a OUiU|| Cl OAVIO A. AJCxxCr )R., ddrc.s:1020 rAlRw^Y laltE, llro.t!:(!2r) 636- 8302, U(a!.! . Q28l08 lr!oa.Bd!5 wozt{u& ,ETER Eo{VlRo, Ad.t.65: 1605 fOR€ST PARXUY IroRTH , Fho..:(877) 4...t3@, t r!.Ec. ' ICC2O!7m02rla U@c-BliE F|'OtID ROOf SEMCES lIC, Ad&!3!:45O5 grn STREEI EASI, tih€: (877) 8{a-E300, sur. i.! ,.r CCC!]Il25, Uc!,r... + rcc20r70@21r5 li@ltllrE http:/lcvponal.colliergov.net/CiryViewWeb.pcmrir,/Status?permitld=2592 l6 3/112019 t90 o0 tii0-c0 10.A.1 Packet Pg. 118 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA Permit Application Status - Cit_vView Porral lhon s w'nb€' ((239) 877-2502) s-n FM'r Page 2 of ? Corrt(in r: Sr.oJg: D.t! gabs Ch.69cdi Comdtlnts: xrsralLna@. cofadbns 06tol tzota n,r..lr.n.ous Cor..nma Oin.r rt.rtt Poidi<r rU l..x u.dc.Lyn.nt, ! m iodc. 6t cDrm.,x.m6!r. 2. m.n a{,t <nr6 D.o.tr(t.po.@.i 6 3, drdcr-Lyr!.ia d6 not ppelr ro b. hrl.!.d 9ar r!..ut .tr.r!s |rC.rr.ao.l a, l!p. h.v. not ba.n mrl.d. 5.. pt'olo. ln 3. ecrttc.l oylr 1.95 l/2' oolt o.! dgft tdr ot 9.r.9.. 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PoFLt Tl Fax undc-Lydt nt. l, m notl4 oa corrlmlncld€na. ?. m rn nuLrt!6 o.o(fud .oo.ov.l on eta. r07.3.t l, !r!4.tr.yn .t do.; not .eecr to b! ttt Ld F 6.ltrn6ufta i.n Lti..l A, Itp3 hala .t0! b.!n rot.d, S.a pnotor rn E, eaniol ov.r Lps !/2' only on .igr't sd. ot 9...9.- S.. pioroa ifi docrm6ts. 4, ririrs.9 n.d .io9., N9, v.lcY. d dr9.dlc. 107.3.1 noa o.. d.ut <tur. l,ilarlaoo. i.rrtruction . // Iw 6rlra Co.ractift !: st Els: Drt! Strhlt ch.D!Ed: Coavn nrs: hftp:.'.'cl.portal.co.lliergov.net/CityVie*.Web,?ermitis.utus?permitld =259216 3li20t9 10.A.1 Packet Pg. 119 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA COLLIER COUNTY BOARD OF COUNTY GOMMISSIONERS TERIIIT#: t'R8D20180529.10101ISSLED: 8LMASTER#: COA: JOB ADDRESS: 4484 Dunlin CI JOB PERMIT PERIvIIT TY?E: ,A.PPL DATE:05-01- l8 RO ON: CONCRETE TII-E O \lER POLYGL,{SS TH 6: l2 PITCH JOB PHON'E APPROVAL DATE; 05-24- 18 LOT: .t5 4484 DLri{LI}i gr SL'BDIVISION I: FLOOD }AP: FOLIO #: 56105511901 ZONE: OR,N,IATION REYES, GEORCE F, & JOSEPHINE C 4.18,1 DUI\LIN CT NAPLES, FL 34I I9- FCC CODE: TRUCT]ON o 0210 JOB VALL-E: St2,300.00 SEItsAEKS FRONT REAR: SEWER: CONTACT NAME: REIES, cEORcE E & JOSEPHINE C CONTACT PHO\-E <NO PRIMARY PHONF> BLOCK: lil E\'TION. SECTION-TOWNSHIP-R {"\GE; 10.48-26 CO CTOR I'IiF TION FLORIDA ROOF SERVICES LLC .I.505 9TH STREET E{ST ELLI\."OTON, FL J4222 CERTIFICATE 3: <.ro ucersE - PHONE: TOTALRESSOFT:0 TO'IAL COIIV SQFT: 0 LEFT: WATER; RICHT: Per collier CouDr' ordinanc. No. 2002-ol, r.s t flray b. .ln.nd.d, lll u,o* must cornply wiri all .ppliclble h*s, codcs, ordinancrs, and any addirionalstipullliors or coodilions ofthis permit. This pcrmit cxpirrr if \rcrt .uthorizld by rhe pcmit is nor iomnrnccd *ithin sii (6) months liDm thc dltc of issuancc oflhc pcrmit. Addirional fcas for failing to obtain pcrmirs prior !o thc coftncnccErcnt ofconshuction may bc impos.d. p"rEin!.(s) fudllcr undcrsBrds t lll .ny contmctor 6sl may bc cmpioycd must bc & Iiccnscd c.nlractor and that thc smrctur. must not be usci or occupricd uotil a Ccnificate ofOccuFncy is rssucd. IiOTICE: PRIOR TO THE R.E}IOVAL OF ASBESTOS PRODUCTS OR THE DE}IOLITTON OF A STRUCTURE, FEDER{LA\D ST.{TE LAlVS REQUIRE T}IE PER]VIITTEE (EITHER THE OWNER OR CONTR.{CTOR) TO SUBMIT .4, NOTICE OF'tHE INTENDED \IORK TO TIIE STATE DEPARTMENT OF ENVTRON'N{ENTAL pROTECTTON (DEp). FOR MORE INFOR\rATrON, CONTACT DEp AT (239) tJ4-5600. In addilion to lhc conditions of this pcrmit, th€rc may bc additiooll rcstrictions .pplicable to lhis propcrty th!t mry be found in the public records ot this county, and thcre me-v bc edditionrl p.rmlts r.qulrcd trom othcr goyemm.;tll rntitics such es *elcr In:rnagement dislricts, state agenciqs, or fcderrl ag€ncias. \YARNING TO O\YNER: YOUR FAILURE To RECORD A NOTICE oF COM]ITENCEMENT NIAY RESULT IN YOUR PAYING TWICE FOR I]VIPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECOR-DING YOUR NOTICE OF COMMENCEMENT. 10.A.1 Packet Pg. 120 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA Contracts Exh ibit 8 10.A.1 Packet Pg. 121 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA lw t;,1E CrRnFt€D ic|canc cofiiracroR UCElisE ' CCC1:31226 'r,liEcliTtFraD REsto€Ntlat gutlDlltc coNTtAcao8 LrctNSE ' C8Cl33:762 FLORIDA ROOF SERVICES tLC Z5OS rcR€SI PARXWAY TORrH IARGO, FLOODA 33r,1 pHoilE 877-t44-&lm FAX941_222-89A2 SALES AGREEMENT BETWEEN THE CONTRACTOR AND THE CU5IOMER NAMEO SELOW 727- ttx'3 rg, J''Y ADDRESS s g 1r^ 7 - izJLl L PHO NE Q4 !;,,1 ,.. C+ctTY/ztP I L-;2:- F/lLJJ';/ EMAIL TIIE CONTRACTOR HEREI II AGBEES TO FURNISH MATERIALS AXD LABOR TO CAMPIE E THE FOLIOWING: ,&EROOF SHINGLE, METAL OR TILE ROOF: !1, l Rltf,OyE oll, eOOt TO STOOT}I llO,lrAaLE .3UTFACL rEAtrrCC AXy RO1rtlD |IOOO X.rL O S9O ,v ,t_r t_t7 pn f.cl.RIXAIL llrOOOE!'l ROOI DE-CltlNc TO R FTERS wrTE Etx6 Sl{AxX tlAl!5 tX ACCOaDATaC! ntt}l CUtf,lrT COOt]i .3.i APPLY IIEYI 'SECOi{OARY FI.l VER EMiIEE DECIC .t l sfal-t xE.llr FHAva EAvr o -I, I IXSTALL XEII VALLEY MEIAL J.INSIALI- 'IEYI LEAO AOOTS A olls atlo llElt vExT ltoooS at ltt Exllaulsl poRT!. icoLoa) coLon) lxsrAr-t.: tlE Oa ilDcE vExr 'EET OF OTI RTDGE VE,IIT lYrt}i a,trG SltaxK lrlalL5lt accoRDAracE wrl"H cuRRlrr coocs. HOEE I,A7ME {1 oVER lrflet OrCr(. -_ -__lloal UXDER I'PfY toicS 5YsTEtlr. 00.00 /[ .-9, C!.EAX UF JOaSltE OF ALL noi,( nEtAlEO DEtRtS Att xlu! Atr4y 'i0. col{TRAcToE rllL cooaolnatl YroRx RELAtEo -ro rHE fol'(oti'lc at aoofftot{aL CSIRGEL SoLAt utlTs, iooFaop AtR Cot{Dtllot{!85. ROOFTOP a.V. Dt5HEs, 5t{YLlG}frs, Ara! t LL! Sofrirt & TASCI OUE TO EXC633tV! WOOE FOT, RERooFNLow PEN ROOF...(TPO TNSULATED ROOF SYSTEM) OR (.r-ply TORCH SYSTEM) REt!OVE OlD ROOf 70 REIAIL WOOOEX ROOF Rr(ABL! SUR'ACE. i!?!-ACE AllY f,OTr!O $aOOO frrA C SlXl F.. .h..t 45, p.' aooLt, 1 3. 5. 6 7, a ,1ailY ra:Ya.sscorDARi tllslan.l. _ lll3ul.AIloll toaaD tgP tFo 3tstEr ,xsr-rl.l. Err tHt,vA ! v! DRlt -..$,xtT!--aFon B*aLActa-.GA! tNSYALL Xe* !EAO rOatrs, rtF VE 'r tOObS AXD,OR ILASH|NOS WHEf,! neCEsSAEy. ADE ]f. IF PAYING AY CREOTT CAi! S IT5fALL IIEIY TPO II'EITBRATE COVER OR GRAT UIJIIED 'TOTCH OOTTX-COLOR. WHTTE CLIAI{ OP JO6STII OF ALL IYOR* IIT.IITID DIBR'3 AI'O HAU!. AI'AY. 1 ,. 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[, ,Eyn i.d Eri ir! .ffi"h5 H'-*r r..r-F l.-a. !.&r G+. ra.;";.,ret-. -i.,e,ial._rLlr*sn._ ,r,o ^a,.... &?,*-. sEx rnc ari,-Ea .{cToIFt EDCES SECEPT Oi _r coff oI TEE rcnEEEqr rlrsDo Nor srcl rrls Boxx rypRor'ErdExr corrnecr rr r-iiri. i-{?:'E: lBrE ](Or Src). TErS CONTR{,--T }Lry CFZaTE r LEri\. Oi F .:o- ED TO t. COrl OF TFIS CO.YTF.{'T o:r YouR PnoPEnrf r! tioi i,rrD r';tt. .ra9ii) 7'-4/u- --_!.{f o Ol.; A.RE E}TITL iolrel NAME I r.n6 FoR rF! 5Ctr Of ,....-,---..-.--.----... 14. iOATE) 10.A.1 Packet Pg. 122 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA Exhibit 9 Check copies 10.A.1 Packet Pg. 123 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA Opota o Soiyrci etiiionlc irPAY TO THE 9RoER:OF Purchaser.Copy CASHIER' F SERA ROO VICE rcha | 11_2 4 S.CHECK SERIAL d: ACCOUNTB: 121O(8) srpxrte sueaez is YES , .rr179 t69 rouneen thousand two hunilred doltars and no ients*** ,,,rJc ACdresjlct:1o: . lxooF REpa,R Er -L: FARGO 8AH& tJ.A.,U5]I(A'VOBLVD PLES, FL U1fi r /NOUIR/ES CALL fis o! 3s4-3122 NolcE To puRcHAsrn - rs rHrs'ti,ismuMENT ts Losr, STOL-EX O]1 DESTROYED, YOI,J I.,iAY,REOUEST CANCELLATIONANo REtssuANcE; As a coltotttdN ro cnHctlteltoH iwonetssu,qrucE. wir-r-s FARGo BANK MAy,lupose a re e ANoREOUIRE AN INDEMIiITY NENCEUE TINOBONO.. ""$14,200.00*" VOID IF OVERUS $ NON.NEGOTIABLE 10.A.1 Packet Pg. 124 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE o066511 1t -24 FLrndi^gSou.ce: Paper,torrlr(s) PAY TO THE ORDER OF Payee Addrcss:. Uomol ROOF REPAIR YELLS FARGO BANK, N.A. ,,0 SIRAND BLVD \PLES, FL U1fi )R INQU/R,ES CALL (4iO) 3s4-3122 CASH S CHECI( NOTICE TO PURCHASER - IF THIS INS IRT}MENT IS LOST. STOLEN OR IJESTROYED, YOU MAY REOL]EST CANCELLATION AND REISSUANCE. AS A.CONOITION TO CANCELLATION,AND' REISSUANCE, WELLS FARGO BANK MAY IMPOSE A FEE ANO NI,OUIRE N N INDEMNITY AGREEMENT AND BOND. Purchaser Copy Ofitcc AU r 12tO{8) JOSEPHINE Stllnez nevesr^.cDlira.rE st taREZ REyES aoiostt uJTgrGs sqRlAL #: , ACCOUNT#:llemiller. P!rchaser PurDhas€r AccoLrnl Operalot LD.: ""*FLORIDA ROOF SERVICES LLC*** April 20,2018 **$14;200.00"* v6lD tE oVER US t 14,2A NON.NEGOTIA "**Fourteen thousand two hundred dollars and no centsn"* yri0? 10.A.1 Packet Pg. 125 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE Exhibit 10 NOTICE OF NON COMPLIANCE 10.A.1 Packet Pg. 126 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA Notice of Non-Complia nce BE lT XNOWN THAT l, rhe person whose signature appears belo,{, do hereby formally acknowledSe, agree and consent as follows: THAT a cenain case, case t cEMls2o180015337, involving me has recendy been investigated by the Collier County Contractor Ucensing Oepartment. THAT the said Department had made it known to me that, in the oepartment's view, I violated state (Florida Building code section 105.1) and county (ordinance 200O-46. as amended,4.1.6 & 4.1.18) licensing laws in said case, ExPIRED PERMn, pRBD2o18o5294o1. receives, as initial payment, money totaling more than 10 p€rEent of the contract price, having failed or refuse to p€rtorm any worl for agkay period that has subiected occupants to pot ntial water darnage. Dryin inspection FAIED (on 617 /781, Undedaynent crpired over E mooths. Type of Work: CONCRETE TILE OVER POLYGTASS TH 6:12 ptTClt 45 Location ofwo*: 4484 Dunlin Ct.. Naples, Ft 34119 Date of Site visit - Oecember 12, 2018 THEREFoRE, BEING FULTY ADvlsEo, I oo AGREE that I will obtain and maintain in curr€nt status, all Euildin8 Permits required by 5tatutes and fully understand that if I commenc€ wort without obtainint or maintainiog necessary Building Permits in the future, the Contrdctor Licensint Depanm€nt witt conjider that a willful code violation where penalties and restrictions to Suilding Permit priviletes may follow. Witness my signature (Contrdctor)Print Petlr Edw.rd Wozniak State of: Florida, lssuance [: CCC1331226. WOZNtAI(, PETER EDWARD County of: Colli€r,lssuance g: LCC201 7mo2115, FTORtDA R OOF SERVICES, LLC. The foregoing instrument was acknowledged before me this (date) by ffihotlasproduced s ignature of Notary .:%Licensin8lnvestigalor,in|ieuofNotary'Date: Tlm Meulenber& Coltier County Contractor licensin& 239-252-gOZ3 THAT the said Department has explained to me that all contractint work, including BUT NOT UMTTED To: home or business improvement, residential or commercial, remodelin& renovation, addition, repair, alleraticn. plumbin& electrkal, roofin& pool corlrtruction, air conditionin& sheet metal, aluminum and alarm contractor work, all reouire the issuance and maintenan€e of a valid Buitdinq permit Drbr to commencement and throushout workinE on a o€rmit rcqui.ed buildinq oroie<t. 10.A.1 Packet Pg. 127 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA GumphJack From: Sent: To: Cc: S ubject: Attachments: GumphJack Thursday, December 13. 2018 11:34 AM jwrayl@yahoo.com GumphJack RE: Permit * PR8O201805294O1, 4484 Dunlin Ct, Napler FL 12132018112018.pdf Mr. Rayl, Attached please find a violation notice for Permit s PBBDZ018O5Z9401, ,4484 Dunlin Ct., Naples, tt. The permit is listed as EXPIRED. Pleased re-activate the permit. Please have Qualifier, Pet€r Wozniak sign the violation form and sent back to me via email. lt is essential you take the necessary sleps to resolve the homeowne/s issuest Underlayment is expired- leakage into the home, completing the roof and finalizing the permit. Tha nk you, fack Gumph Compliance 0fficer, Contractor Licensing Collier County Growth Management Department 2800 North Horseshoe Drive Naples, FL 34104 239-252-2468 (offrce) 239-438-5195 (CellJ Iack.Gumph@CollierCountvFL.gov C,Rfr,Cotmty Under Florida Law, e-mail addresses are public records. lf you do not want your e-mail address released in responss ta arublic records r3quest, do not send electronic mail to this entity. lnstead, contaa this office by telephone or rn writrng. I 10.A.1 Packet Pg. 128 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA Exhibit 11 Email: Meulenberg / Rayl 10.A.1 Packet Pg. 129 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA 10.A.1 GumphJack From: Sent: To: 5ubject: Attachments: MeulenbergTimothy Tuesday. Decembet 04, 2078 10:45 AM 'jwrayl' RE:1965 tsla De Palma CIR. Permit #P8RD20180745475 Notice of Non-Compliance (Expired Permit)-Florida Roof Services, LLC Wosniak.docx Peter E TLooE o doJl! YgzNo3tulFt!(L d)c{ F() fozooo E No ot o(\l t!o o ol!o >t UJo ILoo E. a.oJl! Y zNo B e. UJF uJ o- 0, E o(, J eff, I checked on the status of the order of Crown Tile for 1965 lsla De Palma Circle and it appears it was placed approximately a month a.go which would place the order well after the date of the owner making a second payment on August 8, 2018. ln the mean time if there is a better phone number for me to use, please let me know. At this end, I will continue to explain to the public, the significant demand on roofing contractors and the shortage of specific tile choices at my end. .|eff, as a reminder, lwill still need the att3ched Notice of Non{ompliance signed by Peter E. Wozniak and r€turned to me Respectfully, Tim Meulenberg Licensing Compliance Officer l.239t.252-8023 c,&ff"'Covrnty From:jwrayl <jwrayl@yahoo.com> Sent: Tuesday, December 04, 2018 8:14 AM To: MeulenbergTimothy <Timothy.MeulenberE@colliercountyfl,gov> Subject: Re: 1965 lsla De Palma ClR. Permit fP8RD20180745475 Tim, We have been requesting delivery dates on our tile loads on a regular basis. The manufacturers have been vague and non comminal with their responses. We have tile orders for 5 jobs on the books right now for the collier county area. The most recent tile order release (oddly enough) has been for the most recent order we placed. It has created a very frustrating situation for contractor and homeowner alike. We will make an effort to communicate this information to our customers this week. Thanks, J eff Florida roof services Packet Pg. 149 I Sent on my Eoost Mobale SamsunB Galaxy 58. 10.A.1 Packet Pg. 130 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA Photogra phs Exhibit 12 10.A.1 Packet Pg. 131 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA 4t4 '\ , , il \ I ,"$t t --- \., tl j.llJ.. ',! i:a'i'-.i.'F '.H !re,_,-,. ll*<"_- r_ai.\\e*..'.,.'. ?.:/l''r ;ua''' ''r' "r."'' 1^ '.i bd t-' 't.._ 1\t ,,i-.-. \- ,/ 10.A.1 Packet Pg. 132 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE I :if c) { /,*.*. \\ i : --'--.t.* .- :_. .l> "s+. - ! e;'' j:-,, - -.- i.;.. ] . ,iL.:+" {r'*f" l' ii H. 't (,i i !-2,'i . 'l :i. 10.A.1 Packet Pg. 133 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE t \ .\l\I I I \t.b\ , t/ I FtI I)-) {i j t-. l, rI ./ , -.."- tl i,/ ...7 7 :' t) ,.. 10.A.1 Packet Pg. 134 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE t qt.F '? r\ t; .; r{. .t o'uilt t . LS,r ''a ,! ,y, ..,.,.: I F i ':, : l,{i" .t,.# t a')s ,,'..1 \- l -?:r !: i* 'i.,,t'i ,l j'B..Si -,t 11 t i ,Ti tifl':; .,1 1., 'jt ti! ).a f .:i : , .' -1.Ut;. 1 ,14 $,.i iii\i \!,tt\ tit_ il"\l 'ilttl t i ir t! f " tl'. :,,1 ,,,:: .'t t i. {i, : ',1!l!.:j'',-,',,, .l*:i.*f Uii'." , r.i;',is, ':,.1 L ,,, ,i Si .,,,1. , ii. ,.t //: \ 10.A.1 Packet Pg. 135 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE s . Er, trr n lti \alinaq r lr.arlB i - a 'Il!.Es d..a-ii r{ra,r.r{ltq5 rttettrlhaoo. Salt,ta-*rrcr.a- th--. na.Gta i.!a ry i. 'r!rr |U *r 6.8 '_..! - .r r- F rr,__.r nF, itF'.E ll- I r r- - aE t. r- .l.L-6-.:.r.ai r r-rt I, ----larr- Dqrarirrafif xoTrcE 'a Cc*.rCnil, aralfita D0 flor BEMOYE J* - ARB APPROVED PROJECT ryEcEhl-.d r--, ---- I s I I i I rtlEr I >.- e /\Florgsl*elnke 10.A.1 Packet Pg. 136 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – (o 10.A.1 Packet Pg. 137 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – \\ \ \ \ 10.A.1 Packet Pg. 138 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – il I I 10.A.1 Packet Pg. 139 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – / 7 f "'rtn r.Tfltxnrrq** 10.A.1 Packet Pg. 140 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – Exhibit 13 Permit Final lnspection 10.A.1 Packet Pg. 141 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – Permit Application Status - CityView Portal P€rmit Application Status in order to sched!le inspections, you n€ed to be signed rn. ApPlication Date Issued Date Expirataon Date 1-2 Family o. Comm Page I of2 GMD Public Portal Applic.tion Number: Application Typ€: Appllcation Statusi Prope.ty Owner's Full Nafie: Category of Wortr Occupancy Codel Des€ription of Workl PRBO2018052940r Bulldino lnsp€ctions Commenc€d REYES, GEORGE E & JOSEPHINE C R€sad€ntlal, On€ and Two family New or Guest House CONCRETE TILE OVER POLYG|ASS TH 6: ! 2 PrCH 45 4484 DUNUN CT 05/oL/2OrA 05/24lzOtA 09to3lzor9 P.rmlts (Cllck to Scc Rcvlcwr) 169 - ory-in/rlashlng Cor.€€tion 1 Status oate Status changed Comments lllscellaneous Cor.€ctions Outstanding 06/07/2014 HlscellaneousCorredions Owner states Polystick TU Max unde-layment. 1, no nolice of commencemenl. 2, no manufadures product approvalon slte. 107.3.1 3, under-laym€nt does not appear to be hstalled per manufactures inst.ll.tion A, laps have not b.en rolled. See pholos in B, v€rtl(al over laps 1/2' only on rlght slde of 96ra9.. S€e photos h docum€nts. 4, mlssing metal .ldge, hlp, valley, and dnp edg€, 107.3.1 not per manufacture hsta(ation inst.uctlon. // TW 6/7/18 Mlsc€llan€ous Conectlons 03/24/2019 Mlscallanaous Corrc(llons, Groul on btck gabl€ already crecklng & falllng out // R t 3-28-19 Se!.ff-lErl 3/7/20t9 3/7/2019 03/07/2019 170 - Re-rool Flnal 3/24/20193/28/20\9 o1/24/20t9 Sob loges (1239) 784-7917) Corection 1 Status Date Status Changed Comments rrederick Maddox sglrlEElil http://cvportal.colliergov.net/CityViewWeb/Permit/Status?permitl d=259216 4/5t2019 10.A.1 Packet Pg. 142 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – Permit Application Status - CityView Portal Page 2 of 2 Corr€ction 2 Status oate Status Changed Comments Corredion 1 Status Date Status changed Comments Pass with Inspector Notes 03/07/20t9 Pass with Inspector Notes: IJNDERIAYMENT POLYGLASS POLYSTICK Ridg€ and valtey Metat instarled 3/7/t9 tM Miscellaneous Coredions 06loll2ota Miscellaneous Corrections Owner states Polystick TU Max unde-layment, 1, no noti€e or commencement. 2, no manuaactures product approvalon site. 107.3.1 3, under layment does not appea. to be installed per manufadures installation A, laps have not be€n rolled. See photos in B, vertical over laps 1/2" only on right side of garage. See photos in documents, 4, missinq metal ridqe, hio, valley, and drip edge. 107.3.! not per manufacture installarion inskuction. // Tw 6/7/18 170 - Re-roof Firal oocum€nts & Imagcs 6/1/20tA 6/7/20ta 06/07/2014 LEGACY: Thomas winkier ((239) 877-2s02) SfflllEloi! 169 - Dry-in/Flashins Correction l: Status: Date Status Changed: Comments: Misc€llaneous Cor.ections Outstanding 03/24/2019 Miscellaneous Corectlons. Grout on back gable already cracking & ralling out // RlL. 3-28-19 http://cvportal.colliergov.net/CityViewWeb/Permit/Status?permitl d:259216 4/512019 I I i-'L J 10.A.1 Packet Pg. 143 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – Exhibit 14 Collier County Ordinance 2006-46, 4.2. and Florida Building Code 10.A.1 Packet Pg. 144 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – COLLIER COUNTY ORDINANCE NO. 2006-46 AN ORDINANCE AMENDING COLLIER county ordinance NO. 90- 105, AS AMENDED, THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD ORDINANCE PART FOUR: STANDARDS OF CONDUCT AND DISCIPLINE 4.2, Misconduct -State Certified Contractors The following actions by State Certified Contractors shall constitute misconduct and grounds for discipline pursuant to Section 4.3 of this Ordinance. 4.2.2. Willfully violating the applicable building codes or laws of the state, City or Collier County. 10.A.1 Packet Pg. 145 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA 2017 Florida Building Code -Building, Sixth Edition CHAPTER 1 SCOPE AND ADMINISTRATION PART 1-SCOPE AND APPLICATION SECTION 101 GENERAL 105.4 Conditions of the permit. 105.4.1 Permit intent. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter or set aside any of the provisions of the technical codes, nor shall issuance of a permit prevent the building official from thereafter requiring a correction of errors in plans. construction or violations of this code. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months after its issuance, or if the work authorized by such permit is suspended or abandoned for a period of six months after the time the work is commenced. 105.4.1.1 If work has commenced and the permit is revoked, becomes null and void, or expires because of lack of progress or abandonment, a new permit covering the proposed construction shall be obtained before proceeding with the work. 105.4.1.2 If a new permit is not obtained within 180 days from the date the initial permit became null and void, the building official is authorized to require that any work which has been commenced or completed be removed from the building site. Alternately, a new permit may be issued on application, providing the work in place and required to complete the structure meets all applicable regulations in effect at the time the initial permit became null and void and any regulations which may have become effective between the date of expiration and the date of issuance of the new permit. 105.4.1.3 Work shall be considered to be in active progress when the permit has received an approved inspection within 180 days. This provision shall not be applicable in case of civil commotion or strike or when the building work is halted due d 10.A.1 Packet Pg. 146 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – SECTION 105 PERMITS SECTION 105 PERMITS 105.1 Required. "Any awrier or =auttio.nzecf"age·ntwho intends tocon.struc( enfirge, alter, repair, move,-demofish, or change the occupancy of? building or structure ·;-or to'erect, in.stall, enlarge, alter, repair, remove; convert oi-replace· any required impact-resistant coverings, electrical, gas, mecf:lanical or plumbing system, the installation of which is regulated by this code, or to cause any such work �o be qqne, sh_all first make application to the building official and obtain the required permit. Friday, Mar 01, 2019 03:19 PM 10.A.1 Packet Pg. 147 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – 2017 Florida Building Code - Building, Sixth Edition CHAPTER 1 SCOPE AND ADMINISTRATION Bl� [A]105.3.2 Time limitation of application. An application for a permit for any proposed work shall be deemed to have been abandoned 180 days after the date of filing, unless such appllcation has been pursued in good faith or a permit has been issued; except that the building official is authorized to grant one or more extensions of time for additional periods not exceeding 90 days each_ The extension shall be requested in writing and justifiable cause demonstrated. Thursday, Jan 04, 2018 12:17 PM 10.A.1 Packet Pg. 148 Attachment: CASE 2019-02 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC - REYES (8572 : CASE 2019-02 – PETER WOZNIAK – FLORIDA 04/17/2019 COLLIER COUNTY Contractor Licensing Board Item Number: 10.B Item Summary: CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON Meeting Date: 04/17/2019 Prepared by: Title: – Contractor Licensing Board Name: Lilla Davis 04/05/2019 4:34 PM Submitted by: Title: Supervisor - Operations – Contractor Licensing Board Name: Everildo Ybaceta 04/05/2019 4:34 PM Approved By: Review: Contractor Licensing Board Lilla Davis Review Item Completed 04/05/2019 4:35 PM Contractor Licensing Board Everildo Ybaceta Review Item Completed 04/08/2019 2:22 PM Contractor Licensing Board Everildo Ybaceta Meeting Pending 04/17/2019 9:00 AM 10.B Packet Pg. 149 .m,County COLLIER COUNTY CONTRACTORS' LICENSING BOARD APRTL 17, 2019 9:00 A.M. ADMINISTRATIVE COMPLAINT - CASE 2019-03 PETER E. WOZNIAK_ MISCONDUCT OF A STATE CERTIFIED CONTRACTOR PETER E. WOZNIAK is the License holder for his company FLORIDA ROOF SERVICES, LLC. The license (CCC1331226 - ROOFING CONTRACTOR - CERTIFIED) is currently ACTIVE with the County under Collier Licensing number LCC20170002115. A Contractor Licensing case CEM 1S20190002603 was opened due to a complaint from a site visit to address 5329 Mitchell St. by Conlractor Licensing Supervisor, Evy Ybaceta. This address has a permit application (PR8D20181266458) that was submitted on 12/1012018, that currently sits in Rejected status. Roof work has already commenced as shown by the pictures attached. Mr. WOZNIAK is in violation of the Collier County Ordinance 2006-46, as amended, Section 4.2.2, Misconduct of a State Certified Contractor, which states "Willfully violating the applicable building codes or laws of the state, city or Collier County" - Commence work prior to issuance of a building permit (Florida State Building Code violation 105.1). He is going in front of the board to hear possible disciplinary actions due to his violation. 10.B.1 Packet Pg. 150 Attachment: CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON (8573 : CASE 2019-03 – PETER WOZNIAK – Table of Contents Administrative Complaint FormalComplaint. State of Florida, Department of Business & Professional Regulation Licensee Detail Collier County Contactor Licensing Section Registration Detail State of Florida, Division of Corporations, Limited liability Company Detail. Notice of Hearing sent via Certified Mail Signed Return Receipt for accepted Certified Mail. Case # CEM 1520190002603 (V. Simon) PERMIT APPLICATION f PRBD20181266458 Contracts Check copies Photographs (V. Simon residence) Permit Correction Letter Collier County Ordinance 2006-46, as amended, Section 4.2.2., for MISCONDUCT - State Certified Contractors Florida Building Code (A) 105.1, "PERMITS". Florida Building Code (A) 105.3.2, "Time Limitations of Application" Florida Building Code (A) 105.4, "Conditions of Permit". Florida State Statute, Chapter489, Section 489.126(2) (a)) for...-took more thon 10% ofthe controct price ond did not opply for the permit within the 30 doy limit. 10.B.1 Packet Pg. 151 Attachment: CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON (8573 : CASE 2019-03 – PETER WOZNIAK – BEFORE THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD BOARD OF COUNry COMMISSIONERS, COLLIER COUNTY, FLORIDA, CONTRACTORS' LICENSING BOARD Petitioner, Case N umber: 2qu1:..1q3 License Number: CCCl331226 WOZNIAK, PETE R EDWARD FLORIDA ROOF SE RVICES LLC Res po ndent. ADMINISTRATIVE COMPLAINT Collier County (County) files the Administrative Complaint a8ainst Peter Edward Wozniak (Respondent), a State of Florida, Certified Roofing Contractor (CCC1331226) registered in Collier County (license # 1cC20170002115), and states the following facts and allegations in support ofthe cited violations below: 1. The Respondent is currently licensed by the State of Florida as a Certified Roofing Contractor with License number ccc1331226 and registered in collier county with license 1cc20170002115. 2. under the provisions of collier county ordinance 2006-46, as amended, section 4.2 Misconduct - State Certified Contractors, the following actions by a holder of a State Certified Roofing Contractor / Collier County registered contractor (s Lcc2o17ooo2115) shall constitute misconduct and grounds for discipline pursuant to Section 4.3 (Disciplinary proceedings). a. I received the complaint on March 7, 2019 through contractor Licensing office, supervisor, E Ybaceta reference the residence at 5329 Mitchell st. Naples, FL. The contractor is listed as Florida Roof Services LLC with License Holder/eualifier listed as peter Edward Wozniak, State License # CCC1331226 (Certified Roofing Contractor). b. I later confirmed the complaint with Mr. Rolex simon, brother of homeowner, vladmir simon (vladmir simon lives out of state and Rolex simon took care of contract), reference 5329 10.B.1 Packet Pg. 152 Attachment: CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON (8573 : CASE 2019-03 – PETER WOZNIAK – c Mr. Simon provided me a copy of the contract and I have included it as exhibit 7. e d. I received a copy of the check that reflected the initial deposit of S11,355.83 and have attached it as exhibit 8. I further researched the computer database of the State of Florida, Division of Corporations and located the company, Florida Roof Services LLC, Florida Limited Liability Company, FEIN: 81- 3988250, Date Filed- 05/2512016, StatuS-ACTIVE, Principal Address- 2605 Forest Parkway N, Largo, FL 33771, Registered Agent- Wozniak, Peter E, Authorized Person- Wozniak, Peter E (ritle- McR). f. I also researched the computer database of the Florida Department of Business and Professional Regulation (DBPR) for company, Florida Roof Services LLC. I located a listing for Florida Roof Services LLC, Qualifier/License Holder, Wozniak, Peter Edward, under License # CCC1331225, Certified Roofing Contractor, Licensure Date: 06/L6/2OL7, Expires: 08/31/2O2O, Status: Current, Active, address of 2605 Forest Parkway N, Largo, FL 33771. g. I also researched the computer database of the Collier County Growth Management Department, Contractor Licensing Section for company, Florida Roof Services LLC. The company was licensed under Registration # 1CC20170002115 to conduct business in Collier County. h. I researched the database of the Collier County Building Department. I located the application for Permit # PR8D201.81266458 for 5329 Mitchell St. (V. Simon residence). The permit application was listed foT "MASTER RIB METAL RE-ROOF OVER PEEL & ST|CK. 17 SQS 4:12 PTTCH 1-PLY MEMBRANE ROOF ON FLAT AREA 8 SQS LOW SLOPE.,,. The contractor is |isted as Wozniak, Peter Edward (dba) Florida Roof Services LLC, License # CCC7331226. i. Florida Roof Services LLC made the application for permit on 12/7ol2)lg. j. Permit # PR8020181266458, Application only, was shown in Rejected status. The application was rejected on 1Z/f4/2O78, and a Corrections Letter sent out f2/t4/2}78 to the contractor of record, Florida Roof services LLc (state License f ccc133 7226, Mt. peter wozniak, License Holder). The letter was sent to address of record as listed on the permit (exhibit 10). k. on March 12,2oL9, r travered to the subject residence. r observed it to be a singre famiry detached structure. rconfirmed work had commenced as the dry-in materiar (underrayment) was visibre on the roof on the west side. r arso observed on the east side, the ord metar roof and roofing supplies. I took photographs depicting the appearance of the roof as of this date (3/ t2/2oLel. Mitchell St. Naples, FL. The Simon's entered into a contract for roof work with Florida Roof Services LLC. The contract for roof work was executed by the parties and dated 10/4/2018. The contract was for S16,540.00 and the Simon's paid a deposit of $11,365.83. Mr. Simon stated that the company came to the residence about two months ago and started the work. He said they left and never came back. He further advised he has telephoned the company many times to check on status to have the work performed and they have been unresponsive. 10.B.1 Packet Pg. 153 Attachment: CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON (8573 : CASE 2019-03 – PETER WOZNIAK – l. The permit application currently sits in Status: Rejected. 3. Thereafter, pursuant to Collier County Ordinance 2006-46, as amended, Section 4.3.2. and Section 4.3.3., the complaint was investigated and found sufficient cause to file formal charges. 4. Collier County brings the below charges in this formalcomplaint against the Respondent. COUNT 1 5. Collier County Ordinance 2006-46, as amended, Section 4.2.2., Misconduct - State Certified Contractors, states: "Willfully violating the applicable building codes or laws of the state, city or Collier Counly." - Commence work prior to issuonce of o building permit (Stote Building Code violotion 705.7). WHEREFORE, the Petitioner asserts the above facts and charges are grounds for disciplinary action under Collier County Ordinance 2006-46, as amended, Section 4.2., as amended, and Datedi Zo 5itned : Coal€r Cgunty Contrtqtor( Ljc.nring Supaavitot or Ocai8nrr 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. 10.B.1 Packet Pg. 154 Attachment: CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON (8573 : CASE 2019-03 – PETER WOZNIAK – Contractors' Licensing Board 2800 North Horseshoe Dr. Naples, Fl. 34104 Complaint Number- 2019 - 03 Complainant: Any person who believes that a Contractor holding a State Certification or Certificate of competency has violated Collier County Ordinance 2006-46, 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 550.00 to defray the costs of administering the complaint, at the time of filing the complaint. The complaining party shall state with particularity which section(s) of this Ordinance he or she believes has been violated by the contractor and the essential facts in support thereof. Complaint: Please print or type and return signed copies of the complaint. Date: Februarv 28, 2019 Aga inst: Contractor's Name: WOZNIAK, PETER EDWARD Pho ne: 877-844-8300 Business Name: FLORIDA ROOF SERVICES tLC License Number if known: Certified RoofinE Contractor (State license # CCC13312261 Collier County ReBistration number: 1CC20170002115 Contractor's Business Address:2505 FOREST PARKWAY N LARGO. FL 33771 Filed By: 10.B.1 Packet Pg. 155 Attachment: CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON (8573 : CASE 2019-03 – PETER WOZNIAK – Name: Collier CounW Contractors' Licensing Office (Jack Gumph) Address: 2800 N. Horseshoe Dr., Naples, FL 34104 Business Phone: 239-252-246A Address(s) where work done: 5329 Mitchell ST City :NAPLES Fr 34113 Co unty: COLLIER Date of contract(sl: 70l l2078 Date j ob started: approximatelv Januarv, 2019 Date job completed or new home occup ied: NOT Complete Were there plans and specifications? Unknown ls there a written contract? Yes. lf yes,amount of Contract: S16,540.00 Has Contractor been paid in full? No. lf not, what amount?365.831 Was a Building Permit obtained? NO - Application only Building Permit number if known: PR8D20181266458 - application onlv Have you communicated by letter with the licensee? llES Date: llt5lzo,,g. Do you have a reply? YEs Please attach to this form all copies of the purchase agreement, building contract, home improvement contract, copies of receipts and/or cancelled checks available and any additional evidence to substantiate your allegations. List any subsections of Section 4 of Collier County Ordinance number 90- 105, as amended, which, in your opinion, have been violated by the contractor which is the subject of this complaint, (list subsection number): 1 collier county ordinance 2006-45, as amended, section 4.2.2., Misconduct - state certified contractors, states: "willfully violating the applicable building codes or laws of the state, city orcollier county." - Commence work prior to issuonce of o buirding permit (stote Buirding codeviolotion 705.7). Please state the facts which you berieve substantiate your charge of misconduct aBainst the subjectcontractor. List facts separately for each subsection number above: 10.B.1 Packet Pg. 156 Attachment: CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON (8573 : CASE 2019-03 – PETER WOZNIAK – a t h k I received the complaint on March 7,2019 through Contractor Licensing Office, Supervisor, E. Ybaceta reference the residence at 5329 Mitchell 5t. Naples, FL. The contractor is listed as Florida Roof Services LLC with License Holder/Qualifier listed as Peter Edward Wozniak, State License f CCC1331226 (Certified Roofing Contractor). I later confirmed the complaint with Mr. Rolex Simon, brother of homeowner, Vladmir Simon (Vladmir Simon lives out of state and Rolex Simon took care of contract), reference 5329 Mitchell St. Naples, FL. The Simon's entered into a contract for roof work with Florida Roof Services LLC. The contract for roof work was executed by the parties and dated 10/4/2018. The contract was for S16,540.00 and the Simon's paid a deposit of S11,365.83. Mr. Simon stated that the company came to the residence about two months ago and started the work. He said they left and never came back. He further advised he has telephoned the company many times to check on status to have the work performed and they have been unresponsive. Mr. Simon provided me a copy of the contract and I have included it as exhibit 7. I received a copy of the check that reflected the initial deposit of s11,365.83 and have attached it as exhibit 8. I further researched the computer database of the State of Florida, Division of Corporations and located the company, Florida Roof Services LLC, Florida Limited Liability Company, FEIN: 81- 3988250, Date Filed- 05/25l2016, Status-ACTlvE, Principal Address- 2605 Forest Parkway N, Laryo, FL 3377 L, Registered Agent- Wozniak, Peter E, Authorized Person- Wozniak, Peter E (Title- MGR). I also researched the computer database of the Florida Department of Business and Professional Regulation (DBPR) for company, Florida Roof Services LLC. I located a listing for Florida Roof Services LLC, Qua lifier/License Holder, Wozniak, Peter Edward, under License fi CCC1331226, Certified Roofing Contractor, Licensure Dale: 06/L6/2017 , Expires: 08/31,/2020, Status: Current, Active, address of 2605 Forest Parkway N, Largo, FL 33771. I also researched the computer database of the Collier County Growth Management Department, Contractor Licensing Section for company, Florida Roof Services LLC. The company was licensed under Registration fi 1CC201700021.15 to conduct business in Collier County. I researched the database of the Collier County Building Department. I located the application for Permit # PR8D20181265458 for 5329 Mitchell St. (V. Simon residence). The permit application was listed for "MASTER RIB METAL RE-ROOF OVER PEEL & STICK. 17 SQS 4:1.2 PITCH 1-PLY MEMBRANE ROOF ON FLAT AREA 8 SQS LOW SLOPE.". The contractor is listed as Wozniak, Peter Edward (dba) Florida Roof Services LLC, License # CCC L33L226. Florida Roof Services LLC made the application for permit on 72/LOI?OL9. Permit # PRBD20181266458, Application only, was shown in Reiected Status. The application was rejected on L2/74/2O78, and a Corrections Letter sent out L2/74/2078 to the contractor of record, Florida Roof Services LLC (State License # CCC133 L226, Mr. Peter Wozniak, License Holder). The letter was sent to address of record as listed on the permit (exhibit 10). On March L2,2019,I traveled to the subject residence. I observed it to be a single family detached structure. I confirmed work had commenced as the dry-in material(underlayment) was visible on the roof on the west side. I also observed on the east side, the old metal roof and b. c. d. e. i. j. 10.B.1 Packet Pg. 157 Attachment: CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON (8573 : CASE 2019-03 – PETER WOZNIAK – roofing supplies. I took photographs depicting the appearance of the roof as of this date 13/ r2/2o7el. The permit application currently sits In Status: Rejected. (Complainant's signature) State of FLORIDA Cou nty of COLLIE R Sworn to (or affirmed) and subscri d before me this 5 day of (signature of person making statement). 2o1q by (signature of Notary Public) Print, type or stamp commissioned name of Notary Public: Personally known \Lno"n or produced identification *{.'.-'c,^ r,wu III.ADAIB ltY cotiffslol{ t FF m7$ gPnE, tlyq 2r2o Eod.dllrt|L&alHrtr*. t\ 10.B.1 Packet Pg. 158 Attachment: CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON (8573 : CASE 2019-03 – PETER WOZNIAK – Exhibit L State of Florida, Department of Business & Professiona! Regulation Licensee Detail 10.B.1 Packet Pg. 159 Attachment: CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON (8573 : CASE 2019-03 – PETER WOZNIAK – DBPR - WOZNIAK, PETER EDWARD; Doing Business As: FLORIDA ROOF SERVI... Page I of I 10:32 1a AM 4n2019 Licensee Details Licensee Information Name: Main Address: County: License Mailing: LicenseLocation: License Information License Type: Rank: License Number: Status: Licensure Date: Expires: Special Qualifications Construction Business WOZNIAK, PETER EDWARD (Primary Name) FLORIDA ROOF SERVICES LLC (DBA Name) 2605 FOREST PARKWAY NORTH LARGO Florida 33771 PINELLAS Certified Roofing Contractor Cert Roofing ccc1331226 Current,Active 06/L6/2Or.7 oa/3L/2O2O Qualification Effective 06/ t6 / 2OL7 Alternate Names View Related License Information View License Complaint 2601 Elair stone Road- Tallahassee FL 32399 :: Email: Customer contact center : : Customer Contact Center: e50.487.1395 The State of Florida is an AA/EEO employer. Copvraoht 2OO7-2OlO Stare ot Ftorida. priv.cv Staiement Under Florida law. €marl addresses are public records. If you do not want your email address released ro respcnse to a pubtrc-recordsrequest, do not send electroni. mail to thjs entaty. Instead, contact the offlce by phone or by traditionat mait. It you have anyquestions, please contact 850.487.1395. *Pursuant to Section 455.275(1). Flonda StarLrtes, effective October 1, j012, ti.enseeslicensed under chapter 455, F.S. must provide the oepartmenr with an email address if they have one. rhe emairi p.oviaeo rnay oeus€d for otliclal communication with the li.ensee. However emait addresses a.e pubtic record. If yo. Oo not "irn to iuppfilpu.J,rn"raddress, please provide the Department with an email address r/vhich can be made;vaitable to the puofii.- ' " https://www.myfloridalicense.com/LicenseDetail.asp?SID:&id:B ll779sD405cg45c4FA0...4/312019 10.B.1 Packet Pg. 160 Attachment: CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON (8573 : CASE 2019-03 – PETER WOZNIAK – Exhibit 2 Collier County Contactor Licensing Section Registration Detail 10.B.1 Packet Pg. 161 Attachment: CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON (8573 : CASE 2019-03 – PETER WOZNIAK – License Application Status - CityView Portal License Application Status - Llccnse Application Somm.ry Page 1 of 1 GMD Public Portal Note: You ca. coll.pse and expand rndividual 5ectaohs by cliclin9 the h€ader of th.s4tion you wish to collapse/axrand Application Number: Susiness Name: License Type: Appli.ation Status: Des.ription of Ausiness: Mailan9 Address: LCC20l70002rr5 FLORIDA ROOf SERVICES LTC 4505 9TH STREET EAST 2605 FOREST PARKWAY NORTH LARGO fL 3377I ETLINGTON FL 34222 ]WRAYL@YAHOO,COM ROOFING CONTR.-CERTtFtED 09,/25/2018 oa/31/2020 20170000r09, There are no reviews lor this license application Limit PTYMOU'H INS, AGENCY vlc7 t949 0t/ot/20ta o1/ol/2020 $0.00 Expiratio. Processed Producer Phon€ Number 72?9372138 34414r0304 01/2t/20t7PTYMOUTH INS, Elpiratjon Processed Producer Phone Number 7276424040 http://cvportal.colliergov.net/cityviewweb/License/status?licenseld= t 506 I 9 4/3t2019 I:- mere are no submittals for thls hcense applacatlon. Il_ L I ' ,-_-j 10.B.1 Packet Pg. 162 Attachment: CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON (8573 : CASE 2019-03 – PETER WOZNIAK – Exhibit 3 State of Florida, Division of Corporations, Limited liability Company Detail 10.B.1 Packet Pg. 163 Attachment: CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON (8573 : CASE 2019-03 – PETER WOZNIAK – Detail by Entity Name Detail by Entity Name Florida Limited Liability Company FLORIDA ROOF SERVICES LLC Filinq lnloImation DocumentNumber L16000102116 FEI/EIN Number 81-3988250 Date Filed 0512512016 Effective Date 06/01/2016 State FL Status ACTIVE Last Event REINSTATEMENT Event Date Filed 'l1lo1l2o1a Prlncipal Addrea8 2605 FOREST PARKWAY N LARGO, FL 33771 lraillno AddJ.ss 2605 FOREST PARKWAY N LARGO, FL 33771 Rgolstersd Ao€nt Name & Addrgs3 WOZNIAK, PETER E 2605 FOREST PARKWAY N LARGO. FL 33771 Name Changed: 11 lO1 l2ola Authorized Porsgnlsl O€tail Name & Address Title MGR WOZNIAK, PETER E 2605 FOREST PARKWAY N TARGO. FL 33771 Page 2 of 3 Annual Rooorts Report Year 2017 20't8 2019 Filed Date 05Dl12017 11t01t2018 03t31t2019 Oocumenl lmaoes O3/3I/2019 - ANNUAT REPORT 1 i/01/2018 - REINSTATEMENT O5/21l20I7 ANNUAL REPORT 05/2512016 - Ftorida L'nnted tiat'ititv View image m PDF tormal vlew image rn PDF tomat View image in PDF tormal http://search.sunbiz.orgrnquiry/corporationSearch/SearchResultDetail?inquirytyfe:Entiry. 4t3/20t9 View image rn PDF format 10.B.1 Packet Pg. 164 Attachment: CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON (8573 : CASE 2019-03 – PETER WOZNIAK – Electronic Articles of OreanizationFor Florida Limited Liability Company Article I The name of the Limited Liability Company is: FLORIDA ROOF SER\4CES LLC Article II fhe street address of the principal office of the Limited Liability Company is 2605 FOREST PARKWAY N LARGO, FL. 33771 The mailing address of the Limited Liability Company is 2605 FOREST PARKWAY N LARGO, FL. 33771 Article III The name and Florida street address of the registered agent is: PETER E WOZNIAK 2605 FOREST PARKWAY N LARGO, FL. 33771 L16000102116 FILED 8:00 AM Mav 25. 2016Sei. of State ndmccleessam Having been named as registered agent and to accept service of process for the above stated limited liabilitv company al the place designated in ttris certificale. I hereby accepl the appointment as regislered agent ind agiee io act irithis capac"ity. I furtfter agree to comply with thd provisi6ns of all statuleis relating 1o tfre proper and complele performance of my dulies. and I am familiar widt and accept the obligations ofmy position as registered agent. Registered Agent Signature: PETER E WOZNIAK 10.B.1 Packet Pg. 165 Attachment: CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON (8573 : CASE 2019-03 – PETER WOZNIAK – Article IV The name and address ofperson(s) authorized to manage LLC Title: MGR PETER E WOZNIAK 2605 FOREST PARKWAY N LARGO, FL, 33771 Article V The effective date for this Limited Liability Company shall be: 0610U2016 Signature of member or an authorized representative Electronic Signature: PETER E WOZNIAK L160001 021 16 FILED 8:00 AM Mav 25.2O16Sei. of State ndmccleessam I am the member or authorized rcpressntative submitting these Articles of Organizatron and affirm that the facts stated herein are true. I am aware that lalse 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 undersland the requiremenl 1o file an annual reporl between .lanuary I st and May I sl in the calendar year following formation of the LLC and every year drereaffer lo maintain "active" slatus. 10.B.1 Packet Pg. 166 Attachment: CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON (8573 : CASE 2019-03 – PETER WOZNIAK – 2017 FLORIDA LIMITED LIABILITY COMPANY ANNUAL REPORT DOCUMENT# 1160001 021 1 6 Entity Name: FLORIDA ROOF SERVICES LLC Current Principal Place of Business: 2605 FOREST PARKWAY N LARGO, FL 33771 Cu rrent Mailing Address: 2605 FOREST PARKWAY N LARGO, FL 33771 FEI Number: 8l -3988250 Name and Address of Current Registered Agent: FILED May 2'l, 2017 Secretary of State cc7805475153 Certificate of Status Desired: No WOZNIAK, PETER E 2605 FOREST PARKWAY N LARGO, FL 33771 US Electronic Signature of Regislered Agent Authorizsd Person(s) Detail : Tille MGR Name WOZNIAK. PETER E Address 2605 FOREST PARKWAY N City-State-Zip: LARGO FL 33771 Date o€th that t an a nahqhs henba ot aanager ot 06 nhbd tabtu+ @pany or the E@Er u t*g* s.@re,"d a u.r,ut; tt s rcN1 as..9uied by anaiii i6i. rcnaa xatur"r. a.athal ny nahe arpeaB above, o. @ ah atkchnqt vith at olhet t*e onroweB<L SIGNATURE: PETER E WOZNTAK MANAGER OSt21tZO17 Electronic Signature of Signing Authorized person(s) Detail Dale The above named enlily submi/s this stalemenl fot the purpose of changing ils egisleed otrhe or regisleed agcnt, or bolh, in the Slale ol FloNa SIGNATURE: 10.B.1 Packet Pg. 167 Attachment: CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON (8573 : CASE 2019-03 – PETER WOZNIAK – 2018 FLORIDA LIMITED LIABILITY COMPANY REINSTATEMENT DOCUMENT# L1 60001021 16 Entity Name: FLORIDA ROOF SERVICES LLC Current Principal Place of Business: 2605 FOREST PARKWAY N LARGO, FL 3377,I Current Mailing Address: 2605 FOREST PARKWAY N LARGO, FL 33771 FEI Number:81-3988250 Name and Address of Current Registered Agent: FILED Nov 01, 2018 Secretary of State cR4197225568 Certificate of Status Desired: No WOZNIAK, PETER E 2605 FOREST PARKWAY N LARGO. FL 33771 US The above named entty sobm s this statenent fot lhe pupose ol danging ils egisleted ofrce or registered a?enl, ot bolh, in the Stale of Floricla. SIGNATURE: PETER E WOZNIAK 11t01t2018 Electronic Signature of Registered Agenl Authorized Person(s) Oetail : Title lvlcR Name WOZNIAK, PETER E Address 2605 FOREST PARKWAY N City-Slate-Zip: LARGO FL 33771 @th. that t an . a.nagng henbet or hanaget ot the liane<, tgbtttty @opany ot ltF- e@Et o. lun.e edpore..d to e,ecut; ttus lBpad as ^,qu@d by Chaiie, aii rA.Aa Sr"ruos aAthal6y nade appea$ abow, ot oh adachnenl with alt olher like enpoqoad. SIGNATURE: PETER E WOZNTAK MANAGER 11t}1l2}1g Electronic Signature ot Signing Authorized Person(s) Delail Date Dale 10.B.1 Packet Pg. 168 Attachment: CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON (8573 : CASE 2019-03 – PETER WOZNIAK – 2019 FLORIDA LIMITED LIABILIry COMPANY ANNUAL REPORT DOCUMENT# L 160001021 16 Entity Name: FLORIDA ROOF SERVICES LLC Current Principal Place of Business: 2605 FOREST PARKWAY N LARGO. FL 33771 Current Mailing Address: 2605 FOREST PARKWAY N LARGO, FL 33771 FEI Number: 8'l -3988250 Name and Address of Current Registered Agent: FILED Mar 31 , 2019 Secretary of State 9694148790CC Certificate of Status Desired: No WOZNIAK, PETER E 2605 FOREST PARKWAY N LARGO, FL 33771 US fhe above named enlity submils this statemenl lot the purpose ol changing its rcgislerecl office or rcgislerecl agenl, or both, in lhe State ol Floricla. SIGNATURE: PETER E WOZNIAK o3t31t2o19 Electronic Signalure of Registered Agent Authorized Person(s) Detail : Tille MGR Name WOZNIAK, PETER E Address 2605 FOREST PARKWAY N City-State-Zip: LARGO FL 33771 Dale I he'P-bt erhtv hat the htord .sugdehentat e@n 6 t.ue and .tuate a't that y etecttulre s/g@rurp s^r, r,aye rh€ s.me bgat er1,cr as n ha. uwl@th thatt. a hanasy @hbd or danas,,otthehdda<t lnh,i i..,,iiiiiiiitii;;;i;;;;;;;,*,*"*t"u.s reo,d as.equtsd by chatet @s. tbnda satures..ndthat y nahe appeaB abote, doa an adachned wnh at othot hke oapoweE<t- SIGNATURE: PETER E. WOZNTAK MGR O3t31t2)1g Eleclronic Signature of Signing Authorized person(s) Detait Dale 10.B.1 Packet Pg. 169 Attachment: CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON (8573 : CASE 2019-03 – PETER WOZNIAK – Exhibit 4 Notice of Hearing sent via Certified Mail Signed Return Receipt 10.B.1 Packet Pg. 170 Attachment: CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON (8573 : CASE 2019-03 – PETER WOZNIAK – Co er Cor,wtt-jl (;ro\r'th Ilunagcurcnt l)ivisiou Planning & Ilcgulation ()peratious l)cprrtmrnt Liccnsing Scction Certified Mail41017 0530 0000 8339 6286 Datc: January 15.2019 Peter Edward Wozniak d/b/a - Florida Roof Services LLC 2605 Forest Parkway N Largo,FL 33771 RE: PERMIT # PR8D201E0529401, PR8D20180422436, PR8D20180745475 Dear Mr. Wozniak. A complaint has been filed against you by the above relerenced entity. A hearing of this complaint w'ill be held by the Contractors' Licensing Board on Wednesday March 20,2019 at 9:00 AM in the Board of County Commissioner's Room, Third Floor, Administration Building (W. Harmon Tumer Bldg.), at 3301 East Tamiami Trail, Naples, Florida 341 12. Your presence before the Collier County Conlractors' Licensing Board is required at this time. The packet conceming your case marked composite exhibit "A" will be delivered to the members ofthe Contractors' Licensing Board one week prior to the hearing. If you wish to receive a copy of this packet. please notify the Contractor Licensing Customer Service Office. 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 ofevents. At this meeting, you may presenl evidence and be represented by an attorney ofyour choice. In the event the contracrors' Licensing Board finds you in violation ofSection(s) 4.2 of collier County Ordinance # 2006-46, as amended, the range ofdisciplinary sanctions which may be imposed are from an oral reprimand to a suspension or revocation ofyour collier countv certificate issuance (N/A), and/or suspension or revocation ofyour permit privileges against your State license # CCCl33l226. Sincerely, ut'l1p h (239-2s2-2468) Li ng Compliance Officer, Collier County Contractors' Licensing ons and Regulatory Management, Growth Management Department . Horseshoe Dr. tr 2800 N Naples. FL.34104 Growth MnnrSe.nent Orvision'pla ning & ReS tnrion'2 800 North Horrerho€ Orve.Naples, F lorida lalOa'239:J 2 2400'www.collie[ov ner 10.B.1 Packet Pg. 171 Attachment: CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON (8573 : CASE 2019-03 – PETER WOZNIAK – r Coodstc lt3rrB f , 2, ard 3.t Prlrt your namo and addrlsa on th€ rs/ars€ so thal w€ oan r!turn lhe card to you, r Att&i U$ cad to tho bac* o, tho mallph6, or fi lha llont if spsce permtts. 1. Anidc Add.lss€d to: tl C. Deie of D€li D. b doliw.y adda dtrqqlt turn 1? lf YES. drli ddr,r{y 6dd.6s b.lor: El No L frI4z tnJoz yn(- ttoe ro^ Po t F f€tz,t t cca'iiiti*rri PaeaY N' LAc4b, trL =3?71 ililrilffiiilililililil lt |l ilililIil til il fi 9590 9402 3463 7275 0756 52 3. SrvlcoTfDa o prt !r, M.r Ep.!$ O Adtit Slealt . O R.*t .!d M.ir O 4r,arEgdlrr ndlcid D.ay.., B h;ittd ud Firid.c84-nb6Mdo O.[,t, tr O-tu Md F.-{cl- D.$dy B ea'n Rc.ha to, D asdD.A-v M.E||ldi. O Corra- Orrriartrra D.llvsy O tlgrldrr Cdrrrrido.|-, i{ tr Sig-lt cdrnrndronE -B-Wtfi, e!d.d rny 2. Artlclo Nt mbor ffidnsfet hom savlra t t'n 70r? 0530 0008 8331 ha8 I PS Form 381 1, Juty 2o1s psN 75oGo2{oo-sos3 Oorielth Satum Rocelpl x B-Ro6hr.d by @rr,bdEff* t trt" SENDER: COMPTEIE IHrS SECITON COMPLEfE IHIS SECIION ON DELIVERY 10.B.1 Packet Pg. 172 Attachment: CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON (8573 : Itlil]ilti lilt e3 75 07 Your nam€. address. and in this box. Growth Management Divison Planning & Regulation Contractor Lrcensi ng Section 2800 N. Horseshoe Drive Naples F|.34104 57 tt, t,, I t llt llt M' ll I nil,, ill,, tl,t lth t, l,t t ilt t tht t lt,t, ililt l Flrst{lass Mail Postage & Fees Pald USPS Pormit No. G-10 I 10 rqo United States Postal Servlce I 10.B.1 Packet Pg. 173 Attachment: CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON (8573 : Exhibit 5 Collier County Contractor Licensing Section Case # CEM 1520190002603 10.B.1 Packet Pg. 174 Attachment: CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON (8573 : CASE 2019-03 – PETER WOZNIAK – ?aft:T !Report Title:Code Case Details Date 41412019 8:16123 AM CaseNumber: CEMlS20l90002603 Case Number.cEMts20190002603 Case Type Misconduct Priority Normal lnspector:JackGumph Jurisdiction:Collier County Odgin:Complaint Detail Description Received the packet from Permitting Department reference Permit # PRBD20't 81266458, Application ONLY in REJECTED Status with roof work commenced. Location Comments 5329 Mitchell ST (Folio # 62254640005) Status:lnvestigation Date & Time Entered 31812019 11:04:27 AM Entered By JackGumph Case Disposition Case Pending Property 62254640005 FLORIDA ROOF SERVICES LLC Property Owner SIMON, VLADMIR Business Management & Budget Office 1 Contractorl 10.B.1 Packet Pg. 175 Attachment: CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON (8573 : CASE 2019-03 – PETER WOZNIAK – Code Case Details Desc Assigned Required Complet6d Outcome Commenls Prelaminary lnvestigation JackGumph 3/8/2019 3t8t2019 Needs lnvestigatio n 0310712019 On the date of 3/7i2019 I (J Gumph) received a packet from Spv E. Ybaceta, reference Permit Application # PR8D20181266458. I researched the application and found the application date to be listed as 1211012018 The application was rejected and a Corrections Letter sent out to the contractor of record, Florida Roof Services LLC (State Lic. # CCC1331226 Mr. Peter Wozniak, License Holde0. JackGumph 3t8t2019 3t8t2019 Complete On the date of March 8, 2019, I was informed by Spv E. Ybaceta that he personally drove to the address in question, 5329 Mitchell St. At the location, he found a single family detached structured (house). Mr. Ybaceta observed that the roof work had commenced prior to the issuance of the permit # PR8O20181266458. He observed that approximately one half of the roof had been torn off and new underlayment placed installed. Spv E. Ybaceta took photographs ot the roof work (whrch are attached to this case report). Cont. lnvestigation JackGumph 3t8t2019 3t8t2019 Complete 3/8/2019: This case will be included in the Contractor Licensing Board Hearing for the contractor scheduled for March 20, 2019. Cont. lnvestigation JackGumph 4t4t2019 4/4t2019 Complete I (J. Gumph) later confirmed the complaint with Mr. Rolex Simon, brother of homeowner, Vladmir Simon (Vladmir Samon lives out of state and Rolex Simon took care of contract), reference 5329 Mitchell St. Naples, FL. The Simon's entered into a contract for roof work wath Florida Roof Services LLC. The contract for roof work was executed by the parties and dated 10/4/2018. The contract was for $'16,540.00 and the Simon's paid a deposit of $11,365.83. Mr. Simon stated that the company came to the residence about two months ago and started the work. He said they lefr and never came back. He further advised he has telephoned the company many times to check on status to have the work performed and they have been unresponsive. Mr. Simon provided me a copy of the contract. I received a copy of the check that reflected the initial deposit of $ 11,365.83. lnvestigation JackGumph 4120t2019 Florida Roof Services --- Mltchetl Street - CLB - 4t'17t2019 Execution Dale 41412019 8:'16:23 AM Cont. lnvestigation Pending Business Management & Budget Ofrice 2 10.B.1 Packet Pg. 176 Attachment: CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON (8573 : CASE 2019-03 – PETER WOZNIAK – Code Case Details Execution Dale 41412019 8:16:23 AM Violation Description Status Entered Amount Comments Commencing Work Wthout A Permit Open aat2019 $0 Reason Result Condition Business Management & Budget Office 3 Corrected Title Compliance Fine/Day 10.B.1 Packet Pg. 177 Attachment: CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON (8573 : CASE 2019-03 – PETER WOZNIAK – Exhibit 6 PERM !T APPLICATION # PRBD2OL8L266458 10.B.1 Packet Pg. 178 Attachment: CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON (8573 : CASE 2019-03 – PETER WOZNIAK – Permit Application Status - Cityview Portal Page I of I GMD Public Portal Permit Appllcation Status ln o.d€r to s.hedule inspections, you n€€d to be signed in. Applicatlon Numben PRBO20!81266458 Appllcation lype: Buildhg ApplicationStatus: R€jected Properw Owner's Fulr Name: SU!'|ON, VT OMIR Category of Wor*: alteration Occupancy Code: Resid€ntial, One and T\iro Family N€w or Gu€st House Oesc.iption or Wort: MASTER RIB !,IEIAL RE-ROOF OVER PEEI & STICI(. 17 sQS 4:12 prCH I.PLY MEMARANE ROOF ON FLAT AREA 8 SQS tOW SLOPE, 5329 lritchell sT Appric.tion Oat€: 12110/20r0 Expkation Date: 06/1212019 l-2 Famlly or Comm: t-2 Family Qualifier: Sll,lON, VtAOMIR, Address:484r 12TH ST NE !dOZNIAK, PFIER EDWARD, Addr€ssr2505 FOREST PARKWAY NORTH , Phoner(877) 844-8300, Licensee * rCC20r70002114 Li.ense Status FIORIDA ROOF SERVICES LLC, Address:4505 9TH SIREET EAST, Phone (877) 844'8300, Srate Reg #'s cccl3ll226, ricensee r 1CC20170002r 15 lEslse.statur P€rmlts (Cllck to Sce R.vlew.) $0.00 $0.00 $0.00 Structural - Appli€atron Fee t50.00 t0.00 $50 00 Js0.oo l0.oo l50.oo PLEASE DO NOT SUBMrI ANY PAYMENTS UNTIL A COLTIER COUNTY PAY}IENT SLIP I5 DISTRISUTEO Oocunents & tm.9es http://cvportal.colliergov.net/CityViewWeb/Permit/Status?permitl d=296643 414/2019 10.B.1 Packet Pg. 179 Attachment: CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON (8573 : CASE 2019-03 – PETER WOZNIAK – Cor,rttt! c{rffir la*qE.tErt DepstrEnt must the BUI1DING PERM]T APPUCATION 2800 N. HORSESHOE DR.. NAPLES, FL 34104 | TEL: (239)252'2400 DitectiotE: 8.1 . Pdmbry Permh f ttrlrrl ,-) I lnnrv<tk,ls to thk Apdicdtion. B.Z Master Permit s fforyl Q uobfe/M.'uf.ct'redhqrE O nor,,tu*i ts* monl *;t"r*v Corsneroal t 8.3, guildirB Type: 8.4. Perrittee Type: Propety ldormation 8.5. Parce/Folio * 8.5. Job Street Address: F1& 2 ramry d^,ellinc,frou,nt'oi€ pco.',.*,o,O o.r,g" tnAesr,-"r Contractor lnfdmatbn 8.12. ticense l: 8.13. Company Name: 8.14. Qualifier Name: 8.15. Contact Narne: 8.16. corrFany Md.ess: Q O^,n". euidet f..r/)1rt22LL1/r Yooo t' tr?2,)tvliL L)/ qr. /YAPI 4r't9 8.7. O\,vner Name: 8.8. Ou/n€r Phone: 8.9. tubdvision: tot/Blod<,/Unit: B.1O SOF/Pi"#: 8.11.'Pt tihname: t///1 tl -t/ ttlol ,,t/rtP /)tx /.-of 2z 'Optio.El - S.'dl atstiry Fkrcmcs at @@!qp! 8.17. Colrpa'ry Phme: B 18. Fa( r: B.19.a."Email1: 8.19.b. -Email2: T "b not 6e Eftyls)os pitwy tottdt nffi. sedion A. P€rmit Number Sec{irfl g. G€neral Permtt lnformation section C. Applicatioo lnformation O ELEC EPLUME T] MEC}I Es€ptic Etol /Vdtage E Shutte6 E ElEctfrorn hore E Gas C8 6reSprir ded: C3. Pemlt by Affdavit C10. Pri\.dte Prorrld€t: CU. Ihre$old Buildi.tg: C12. Veg@tion O€aing: C13. Related to OAMAGES IMURRED BY IIURRICANE IRMA: C2. PermitTlpe: le - Rro I C.3. Flre Pelmh Trrpe C4. Coisfrudio.r Type: C5. ocalpancy: C.6. Water s€rvice: C7. 56.r€r Service: Section D. Proied lnfonnaticl ? D.1. D€asiptjon of Wo* (pwdctut D 2. Project Name ftt'f ves QNo D.3. oedratdvaln 5,/ f ooog D.4. R6lderttalSq Ft.: New Co.1sL (@Ear.d a o4h) Mdtim &rrpltaao a aah, AlteGtion lcdrplEo4cl D.5. Comme(blsq. tL: New C6l5L /coTpttos.a & a5b, Addition aconetsasa & asb.,f Aterdtio lcorp€e osc/ 8.1. Final R€\,ierl Date: RevrredOate: 11/29117 v2 0.4.a. New colln OJ.b. Wsk Area (&. Ft) 0.1bi Living: o.4bi NqFliving: _ TOTAI: 0 0.4.c work Area (sq. Ft.) o 4.ci. UvinS: o.&.ir Non-lMn8: _ TOrAr 0 D.4.d. Totals by Area X)IArLrrE: 0 IOIATNo *r: O i Stories: f Unib: # Bedrooms: f Bathroorr6: D.5!- tle^^/ Conn 05.b. Wqk Area (sq. ft) lnterigl: Exterioc -.-TOTAI: 0 D.5.c Wo* Area (Sq. Ft.) lnterior: _ Exterior. TOTAL { Stories: f Units: 8.2. Number of Plan Sets:E,3.Re!i6,Da\:510 15 Thir rt page 1ol3 pates ofthe Building Permir Application' Pleate 5ubmit .ll 3 pages when completed I ^{'o, Fl qz''r'l F tt?'- R44 - 842a 10.B.1 Packet Pg. 180 Attachment: CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON (8573 : CASE 2019-03 – PETER WOZNIAK – .lL.--'BUIIDING PERIUTT APruCATION 28OO N. HORSESI.IOE DR., NAPLES, FL 34104 I TEL: (239) 252-2400 NOTICE OF COLLIER COUNTY ADDITIONAT REGULATIONS NOTICE OF ADDITIONAL RESTRICTIONS: ln addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be fou nd in th e public records of this County, and there may be additional permits required from other governmental entities such as the 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 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 seek professional advice. WARNING OF WORK lN THE 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. lf such improvements are necessary, a separate permit for that purpose must be obtained from the GroMh Management Department. NOTICE oF CIEARING RESTRICTIONS: The issuance of a building permit for a single-family dwelling allows up to one (1) acre of native vegetation to be cleared. Clearing more than one (1) acre may be allowed for accessory structures and requires a separate Vegetation Removal Permit. Properties located in the following zoning district overlays may not be allowed to clear one (1) acre: Rural Fringe Mixed Use District (RFMU), Big Cypress Area of Concern (ACSC), and Special Treatment Overlay (ST). There may be additional restrictions related to clearing native vegetation and impacts to wetlands or protectdd species found on the property. State and Federal agency permits may be required. Contact the Growth Management Department's Environmental Services at (239) 252-2400 for additional information. lssuance of a Demolition Permit for a structure does not authorize removal of vegetation beyond the footprint of the structure. A Demo Permit is not a clearing permit. WORK lN THE SPECIAL FIOOD HAZARD AREA: Be advised that Substantial Da mage/Substantia I lmprovement requirements will apply to structures located in the Special Flood Hazard Area with Finished Floor Elevations below the Ease Flood Elevation. By initialing, I am acknowledging that I have read and understand this Notice of Collier County Additional Regulations. ln itia ls Ownet or Agent of Owne/s or Controcto(s initials ore required 4.v11.29.2017v2 Thie is paSe 2 of 3 pag€i of the BuildinS permat Apptication Please !ubmit all3 pa8es when completed 10.B.1 Packet Pg. 181 Attachment: CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON (8573 : CASE 2019-03 – PETER WOZNIAK – ..f-..*' produced identifi Notary Sitnature cati on (type of identification): SECIION RA NOWtr MENT ure of Ih e fo instrument was acknowl edged before me this -JL-a"v (name of person)wh Owner or nt of Owner) otn instrument was acknowledted belore me thi5 cation (typ eof tion) BUII.DING PERM]T APPUCATION 2800 N. HORSESHOE DR., NAPLES, FL 34104 I TEL: (239) 252-2400 ./rrr* Vrzu ,hY {Print name ofOwner or ASent ofOwner) aay a fzu+,b*t .2oJlf-b\ (name oI person) who /- -2!s peronally known to me, or who -has (Print name of Contractor) ACKNOWTEDGEMENT OF COLLIER COUNTY REGULATIONS Application as hereby made to obtain a permit to do the work and installataons as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be perfo.med to meet the standards oI all laws regulating construction in this jurisdiction. The permit or application fee may have additiodal feet imposed for failing to obtain permits prior to commencement of construction. The approved permit and/or permit application erpires if not .ommenced 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. 8y signing this p€rmit application, I agree that I have been retained by the owner/permittee to provide contractint services for the trade for which I am listed. Furthermore, it i5 my responsibility to notify the Euilding Plan Review and lnspection Division should I no longer be the contractor responsible for providinB said contracting services. I further agree that I understand that the review and issuing of this permit doe5 not exeftpt me from complying with all County Codes and Ordinances. lt is further understood that the property owner/permittee is the owner of the permit Note: An Owner-Builder must complete sections A and B and the owner-Builder Aflidavit form. SECTION A. OWNER or OWNEn ACxNowtEOGEMENT. The Contractor may siSn as the Atent o, Owner so lont as Contractor's conttact €rmitt a ct|on: (Sisnature The foreS a flrCr ,1.,<,zoJLLav o )2fi pusonally known to me, or who -hasproduced identifi Notary Signature NOTICE OF COMMENCEMENT INFORMATION per Florida Statutes 713.135 a Notjce Of commencement {NOC) is required for construction of improvements totalinS more than s2,50o,withc€rtainexception5.ForA/cRepairsorReplacementsanoticeofcommencementi5reqUiredforimprovement5morethan or equal to s7,5OO- The applicant shall file with the issuint authority prior to the first inspection either a cert'fied copy of the recorded NOC or a notarized statement that the NOC has been filed for recording, alon8 with a copy thereof ln order to comply with the state requirement, permits will be placed in inspection hold untal proof of the Noc is filed with the buildinS permitting and inspection a"i".t."nt. ri," i5suing authoritv shall not perform or approve 5ubsequent inspections until the applicant files by mail' facsimile' hand delivery, email or any other means such as cenified copy with the is5uing aL'lthor'ty' WARNINGToOWNER:YoURFAILUREToREcoRDANoTIcEoFCoMMENCEMENTMAY RESULTINYoURPAYINGTWICEFoRIMPRoVEMENTSToYoURPRoPERTY.tFYoUINTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YoURNoTIcEoFcoMMENcEMENT.ANoTIcEoFcoMMENCEMENTMUSTBERECoRDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION' a€v t1-z+2017 v2 This is page 3 of 3 pages of the Building Permit Application' Please submit all 3 pages when completed # MY COr,{MrSSrOt'r I FF206995 EXPTRES Mr.cn 13.2019 ERY W RAYL JEFFERY W RAYL MY COMMTSSOfl t FF2o69A5 EXPIRES Uydr t3 z)tg 10.B.1 Packet Pg. 182 Attachment: CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON (8573 : CASE 2019-03 – PETER WOZNIAK – Qo Cou:ntj Grcv(h Managen€nl Depaon€rx 28m N. Horse5hoe Or. Napl€t, FL 34104 l.2391252-24co RE-ROOFI NG MITIGATION PACKAGE To be filled out and included with all Residential Re-Roofing applications. Property Address:Permit Number: For the purpose of this document, sections cited are from Florida Buildint Code Sirth Edition (20171, Existing Building. Secondary Water Barrier: Section 705.7.2 A secondary water barrier shall be installed using one of the following methods when roof covering is removed and replaced: FOR: Asphalt shingles, Metal roof shingles, Mineral-surfaced roll roofin& Slate and slate type shingles, Wood shingles, Wood shakes, Metal roof panels, Photovoltaic Shingles: Outside the High-Velocity Hurricane Zone (Collier County). (Pteose CHECK 7,2, or 3 below, to indicote the underlayment occording to the ottoched FBC Res 6th Ed. Ch9 Toble R9O5'1'1'): /.- O, O, o, @und.rl"yment shall comply with section R9o5.1.1 of the Florida Building Code, Residential. fi J"iZ - A.iy Manufd Roofing covering M aretats: 44 .f It'r I fru.laf ,,,9< t F/'1U'a - ?!/' Manufacturer / Product approval number FOR: Clay or Concrete Tile _ Shallcomply with the manufacturer instructions orthe FRSA/rR| Florida High Wind Concrete and linitial) Ctry noof Tile lnstallation Manual, 5'i Edition. Specify Secondary Water Barrier: M anufacturer Product approval number Roof inB Covering Materials Manufacturer Product approval number FOR: Reinstallation of materials 706.5 (tnitial) Existint slate, clay or cement tile shall be permitted for reinstallation, except that damaged, cracked or broken slate or tile shall not be reinstalled. R.-Roo, MdiSatio. Ptctate 05-03'2018 v6 PaSe 1of ? 5pecify Secondary Water Banier: Product approval number 10.B.1 Packet Pg. 183 Attachment: CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON (8573 : CASE 2019-03 – PETER WOZNIAK – Re-Roofing Mitigation packaBe Roof Dia phragm building (indicate type provided belo w) Copy of current home insurance summary sheel Copy of latest tax bill or Property Appraiser office webpage for the home 2800 N. Horseshoe Dr. Naples, FL 34104 1229) 2s2-24m contractor acknowledges that as required by Florida Building Code sixth Edition {2017}, Existing Buitdintsections 706.7.1, 706.7.2, 706.8, the structure wlll be evaluated a;d noted wlthln Re-roof affijavit. - Roof to wall connections: FBC-E Section 706.9 W a s the buildinS permit for the home construction applied for on or after SepErnbe 14,1993?a yEs O Nog lf the answer to question number lisyEs,thenproceedtosignatureandpermitsubmittar. (Documentation is required substantiating this application). lf the answcr to qucstion number 1is No, applicant must provide docurrentatiorr for the vdlue ofthe a.W 4 Note: the appraised value of the improvement determines the threshold amount. Based on documentation provided, is the value of the building S30O,OOO or more?a yEs O No7q. lf the answer to qnestion 4 is NO, proceed to signature and permit submittal. lf the answer to question 4 is YE5, then, will evaluation and coAections.4t prioritized and non-prioritized areas be completed for 15%ofthecost of roof replacement? yES (J NO (, (Hurricane Retro-fit affidavit will be required per FBc-E section 706.g prior tg Certificate of completion and retro-fit contractor shall be noted on permit) lf the answer to question 5 is NO, provide documentation of the cost of evaluation/installation and indicate"prioriti?ed" areas in which wilr be enhanced up to 1s% of roof replacement, see 8(a) for additional requirements. NoTlcE: This documentation will be reviewed for appropriateness, since prescriptiye methods ofmitigating roof to warr connections provide necessary designs to accomprish roof to warl connectlon lmprovemenE. Mlstepresentation of information above may be construed as a willful code violation. An additional 15% of the cost of the re-roofinB must be spent on enhanced connections, but the mitigation is not 'equired to exceed that. The roof to wall connestions must be enhanced to comply with rgC-f sectio"n 7Oi.A. rhepriorities for upgrading are outlined in section 706.8.7.7. At least 15% shall be provided to the prioritizedelements. a. These items ar€ required to besubmitted: i Permit description !o include notation that MitiSation Retro-fit will be installed (Rerro-6t,,rro* to be conducted by aresidential, buildlnt or8enerel contrector) ii. Sub afflrmatjon form for contractor whom will in5tall retro,fit componentsiii. a plrn indjcating areas to be retro-fitted, connectors u!ed, and festener reqUirements.iv. Hurricane MitiEation Af{idrvat_ 5 6 7 8 specified above. ner Euilder/ print ame //*4- Date 5 iBna Aut a ente Ae'roof Mrtrgaxo. pacl.8. - OS.O3. 2OlS v6 Authorized Agent a lifier/Owner Builder/ Pae. 2 ol l -ffi,-.-,.i4^+=:_ GEl'l.tvidtO.ErB 1. 2. 3. b. 10.B.1 Packet Pg. 184 Attachment: CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON (8573 : CASE 2019-03 – PETER WOZNIAK – R905.1.1 Underlayment. Unless otherwise noted underlayment for asphalt shingles, metal roof shingles, mineral-surfaced roll roofing, slate and slate{ype shingles, wood shingles, wood shakes and metal roof panels shall conform to the applicable standards listed in this chapter. Underlayment materials required to comply with ASTM D226, r1970, D4869 and D6757 shall bear a label indicating compliance to the slandard designation and, if applicable, type classification indicated in Table R905.'1.1. Underlayment shall be applied and attached in accordance with Table R905.1.1. Exception: A reinforced synthetic underlaymenl that is approved as an alternate to underlayment complying with ASTM D226 fype ll and having a minimum tear slrength in accordance wilh ASTM D1970 or ASTM D4533 of 20 pounds shall be permilted. This underlayment shall be installed and attached in accordance with the underlayment attachment methods of Table R905. 1 .1 for the applicable roof covering and slope, except metal cap nails shall be required where the ullimate design wind speed, V*, equals or exceeds 150 mph. Table R905.1 .1 (1) Underlayment Types. Reserved. TABLE R905.1.1 UNDERLAYMENT TABLE Roof Covering Section Roof Slope 2:12 and Less Than 4:12 Undsrlayment LJnderlaymenl Attachment'Root Slope 4:12 and Greater Underlayment Underlayment Attachmenl' Asphalt shingles R905.2 ASTM D226 Type I or IIASTM D4869 Type ll. lll or IVASTM 06757 1 ASTM D226 Type IIASTM D4869 Type lVASTlvl D6757 ASTM D1970 3 ASTM D'I970 3 Concr3te and Clay Tile R905.3 1 ASTM D225 Type IIASTM D4869 Type lVMetal roof shingles R905.4 3 ASTM O1970 3 Mineral-surtaced roll roofing R905.5 ASTM D226 TyPe I or IIASTM D4869 Type ll. lll or tvAsTi,,l 06757 1 ASTM D226 Type IIASTM D4869 Type lV ASTM D1970 3 ASTM D1970 3 Slate and slate- type shingles R90s.6 ASTM D226 TyPe I or llAsTM D4s6g Type ll, lllo. IVASTM 06757 1 ASTM D226 Type IIASTM D4869 Type lV 2 ASTM O1970 3 ASTM 01970 3 Attachment ro: Re.roof MitiSation PackaSe - 0t03- 2018 v5 Page 1, of 2 2017 Flotida Building Code - Residential, Sixth Edition CHAPTER 9 ROOF ASSEMBLIES SECTION R9O5 REQUIREMENTS FOR ROOF COVERINGS hltos.//codes iccsafe.orq/public/document/FRC20 1 7/chaoler-9-roof-assemblies See Section R905.3.3 ASTM D226 Type I or IIASTM D4869 Type ll, lll or IVASTM D6757 ASIM D1970 2 10.B.1 Packet Pg. 185 Attachment: CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON (8573 : CASE 2019-03 – PETER WOZNIAK – Roof Slopo 2:12 and Less Than 4:12 Underlaymenl Underlayment Attachment"Roof Slope zl:12 and Greater Underlayment underlayment Attachment. Wood shinqles R905.7 ASTM D226 Type I or llAsIM D4869 Type ll, lll or lV 1 ASTM D226 Type IIASTM D4869 Type lV 2 Wood shakes R905.8 Limited to roof slopes 4:'12 and Greater 2 Metal roof panels R905.10 ASTM D226 Type I or IIASTM D4869 Type ll, lll or IVASTM 06757 1 ASTM D226 Type I|ASTM D4869 lype IVASTM D6757 2 ASTM D1970 3 ASTM D1970 ASTM D226 Type I or IIASTM D4869 Type ll. lll or IVASIM D6757 1 ASIM D226 Type IIASTM D4869 Type IVASTM 06757 2 ASTM D1970 3 ASTI\,1 D1970 3 Roof Covering S€ction ASTM D226 Type IiASTM D4869 Type tV 3 Photovoltaic Shingles R905.'17 'Underlaymenl Atlachment l Roof slopes trom two unils vertical in 12 units horizontal (17-percent slope), and less than four units verlicalin 12 units horizontal (3lpercent slope). Apply a 19-inch (483 mm) strip oi underlayment felt parallel to andstarting at lhe eaves, fastened sufrlciently to hold in place. Starling at the eave, appiy 36-inchwide (g14 mm)sheets of underlayment, overlapping successive sheets 19 incheJ (483 mm), end iaps shall be 6 inches andshall be ofEet by 6 feet. The underlayment shall be attached to a nailable deck with corrosion-resistantfasteners with one row centered in the field ofthe sheet with a maximum fastener spacingof 12 inches (305mm) o.c-, and one row at the end and side laps fastened 6 inches (152 mm) o,". und""rl"y."nt snait beattached using metal or plastic cap nails with a nominal cap diameter of not iess than i inlh. Metat cafsshall have a lhickness of not less than 32-gage sheet metal. Fower-driven metat caps shall have a minimumthickness ot 0.010 inch. Minimum thickness of the outside edge of plastic caps strait te o.oss inch. The capnail shank shall be not less lhan 0.083 inch for ring shank cip nails ano o.ilgt inch for smooth shank capnails. Cap nail shank shall have a length sufficient to penetrate through the roof sneatning or not less than3/. inch into the roof sheathing. 2' Roof slopes of four units vertical in 12 .units horizonlal (33-percent slope) or greater. Underlayment shall beapplied shingle fashion, parallel to and starlrng from lhe eave and lapped a inches (51 mm), end laps shallbe 6 inches and shall be offset by.6 feet. The underlayment shall be attached to a nailabte deck with twostaggered rows in lhe field of the sheet with a maximum fastener spacing of 12 inches (305 mm) o.c., andone row at the end and side.laps fastened 6 inches (152 Jnml o c. Undidayment srrall'oe attacned usingmetal or plastic cap nails with a nominal cap diameier of noi tess than 1 inch. M;i;i ;p" shal have athickness of not less than 32-gage sheet metal. Power-driven metal caps shall have a minimum lhickness of0'010 inch Minimum thickness of-the.outside edge of plaslic caps shall be 0.035 incrr ite cap nait shankshall be not less than 0.083..inch-for ring shank Jap nails and 0,091 inch for smooth shank cap nails. capnail shank shall have a length sufficient to penetrate through the root streattrinl oi not-r#'in"r, 3L inch intothe roof sheathing_ 3 Roof slopes from two units v€rtical in 12.units horizontal (17-percent slope) and greater. The entire roof deckshall be covered with an approved self-adhering polymer modified bitumen underlayment complying withASTM D1970 installed in accordance with b;th the unoerlayment manutaciureTs uno ,'oot coveringmanufacturer's installation instructions for the deck materiat, ioof ,";iit"ti--;;;;uilitn ano ctimateexposure for the roof covering to be installed. Exception: A minimum 1rl:h-]viqe (102 mm) strip of serf-adhering porymer-modified bitumenmembrane complying with ASTM D1970; instarrei in acJoroance with the manufacturer,s rnstruclions forthe deck materiar. shafl,b€ appried.overc[ j;;tt ;;j;" roof decking. An approved underrayment inaccordance with rable R905 1 1 ror tne appllcaure roor ioruring shal be applied over the entire roof overthe 4-inch-wide (i02 mm) membrane stri;;. --- - -' "' Attachmeht to: ,e_roof Mitr,arion pack'Ee - 05-03- 2018 v5 pa.e 2 0l 2 10.B.1 Packet Pg. 186 Attachment: CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON (8573 : CASE 2019-03 – PETER WOZNIAK – COLLIER COUNTY GOVERN M ENT GROWTH MANAGEMENT DIVISION / BUILDING REVIEW & INSPECTION 28OO N. Horseshoe Drive, Naples FL 34104 * Phone (239) 252-24OO Outsta nding Corrections Date: December 14, 2018 Contact Name: FLORIDA ROOF SERVICES LLC Address: 4505 gTH STREET EAST, 2605 FOREST PARKWAY NORTH LARGO FL 33771 City, State Zip: ELLINGTON, FL 34222 Fax: <NO FAX NUI\iIBER>Email: JWRAYL@YAHOO. COM Dear Applicant Plans submitted with the referenced permit have been reviewed. We are unable to approve your permit application for the reason(s) indicated below. For Applications Submilted on Paper: . Review the corrections below to identify each documenl you will need to submit.. All corrections must be clouded.. Corrections to paper documents must be submitted in person; the GMD oftice receiving corrections is open until 4:30 pm. . Submit 2 sets of corrected documents.. Submit 2 copies of the Letter of Response summarizing the changes made to address each correction comment below. JOB DESCRIPTION: MASTER RIB METAL RE-ROOF OVER PEEL & STICK. 17 SQS 4:12 PITCH 1-PLY MEMBRANE ROOF ON FLAT AREA 8 SQS LOW SLOPE 5329 Mitchell ST Reiected Review: Residential Review Reviewed By: Ada Mejia VEN Phone: Email:Ada.Mejia@colliercountyfl.gov Correction Comment 1: MISSING THE INSTALLATION INSTRUCTION FOR THE METAL ROOF, I HAVE EMAIL SEVERAL TIME BEFORE REJECTING THIS PERMIT. PLEASE DOWNLOAO THE INFORMATION AND BRING IN TO THE CORRECTION DEPARTMENT; HERE lS THE LINK: https://www.floridabuilding.org/prlpr_app_srch.aspxFL12713-R4 THERE ARE 11 DIFFERENT TYPES ATTENTION: Collier County Plan Review and lnspections roulinely reviews all outstanding permit applications in order to determine their status. The review process includes appropriate responses from the permit applicant when the permit cannot be approved. When the applicant is advised of deficiencies and does not respond within 180 days with corrected plans or an appeal to the Code Enforcement Board, the permit application will be canceled as per Collier County Ordinance 2002-01, Section, 104.5.1.1 to 104.5.1.4 (as amended). PERMIT NO: PRBD2018'126645801 APPLICATION NO: PR8D20181266458 JOB SITE ADORESS: 5329 Mitchell ST 10.B.1 Packet Pg. 187 Attachment: CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON (8573 : CASE 2019-03 – PETER WOZNIAK – Exhibit 7 Contracts 10.B.1 Packet Pg. 188 Attachment: CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON (8573 : CASE 2019-03 – PETER WOZNIAK – STATE CERTIFIEO ROOFING CONTRACTOR LICENSE f CCC1331225 STATE CERTIFIED RESIOENTIAI BUILDING CONTRACIOR LICENSE f CRC1331782 FLORIDA ROOF SERVICES LLC 2605 FOREST PARI(WAY fTORTH LARGO, FTORIDA 33771 PHONE E7r-844-8300 FAX941'722€982 SATES AGREEMENT BETWEEN THE COTITTRACIOR AND THE CUSTOMER NAMED BELOW NAME HONE PHONE ctrY lzlP EMAIL ........==--'-Txe_;biT BoR To coll?LETE THE FoLLowNG! REROOT SHINOLE' METAL OR TILE ROOF; R! OV! OLD ROOf TO sIltOOTll $'ORI(ABLE IUR;ACE.REPLICE al{Y IOITED ITYOOD XTRA @ $90 p.t th..t 437 P.t loor' REt{AtL XTOOOEX ROOF OlCrlXO TO RAFTIRS WITH RlrG StlAnK {Alll lx ACCORDANCA tYlTtI CURR II,ITIR! DECK, INSTAIL NEW LEAD AOOTS AT IiIG PENITRATIOXS ANO XEW V!T{T HOODS AT AIR IXHAUST PORT9' IN'TALL NEU'SHIN 1. 2, 3. 5. 6. 7.AILE (coLoR) e . rxsr+r, ,l'e)FEET OF RIDCE VINT _ rlEr oF ofF RlooE VENT g. cl!a?{ uP Joaslr!Of ALL WORX iELATED DIBRIS AND IIAUL AIYAY. 10. corarFlcroR wLL cooRDllilarE sloRx R!!at!o To TH! foLLOSnXG AT ADDITIOI|AL C'|ARGE5... SOLAR Ut{tTt! looFToP AIR COi'lDtllONERl, ROOFTOP a.v. Dtstlls, ll(YLloHTS. AraD IALIEX gOtFlTT & ia3cra DUE TO EXCltllvE lYooD Rol. MUNICIPLE & PlR rf IIES ,/.E-- TOTAL s complet. .nd iob6lts 3h.ll r|ot hclude th.iutlid lctionalfin.l lnlp.ctlon d.b' ll DRAW aT rDRY'lN" PLUS wooD ctlaRcls lnd ln.!6;c. mitlg.tlo. BALAXCE UPOiI COUPLETIOI{nwlttln 30 d.ys ot nn.l AOO 3% IF PAYIITC BY CREDIT CARD d{dlind und.. ihi. Alorid. Stltut vhicl nu.t h. D.! .nd foUovcd to Ptutet vour intd6i'' 8. coutrotiotr lndutiE R@lcry Puld P.ynar n.I b. .v.tuhl. rDn O. ClRf if you too oon.y o! . lrcj dt. For inforE.tior .bout $. Hytrv fulil lrd 6lina . cl.i ent.ct rl* Flodd. Couttu4ion lndu.ry Li6d,a 8dd.t ri. rolloeiir tdfion. n!90+?16530... ?960 lrtirlton ErPa*.r,Suitc 30r JlckeavilL Flord. 3221 !?46?YOT 20E-BUYER ACKOVLEDCES RECEIPI O!'A COPY OFTHIS rICRE TIIIS K. YO COPY OTTqIS CONTRACTDO NOT SIGN TIIIS HOMD IMPROVEMENT CONTRA A LEIN OR TO IP NO'T PAID l. wh.n ln.t ll.uon wo.k i3 l. cl..nod. Th. t r|n comPl.tlon ol p '4/4 , Y tr4rj*fra*sr.r/ )rlrq Il,t,ltC {J rTHE tlL! PariT' l. coNTnlct DocuilEMfs. :i! @nr*t @rrE ot tln dooma., 66 r@d 0t!o,irt6nr plu. uy '@d !.PL€mat, 'l Ev, ..d u Frmatl 'e fir"i{ 'l! i,""a.r a.-.*o. no p--iE orld rlrn rhoE .F.i6alty rd f.rit u rh. @rnct doeEao-rrr !. @ari..d Lr .itid p.,rr. :. rt.,-,i".t""a -i.g;l tl.t tli' 6nrr.ot.h.ll Dr b.bi;iq uPon dE@ ncld u't'l 'i!n'd d'cPtcd b"r om'I"r:t'" -'':11:. -,,,-.---,^.3. Tl," @ ..cro. 6.-; ,ll. nghr 1o lub irur.E di.n of ql!.l or grot r v.lu.. 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ENIITLED TO A (DATI) It ADDRESS cooEs. 10.B.1 Packet Pg. 189 Attachment: CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON (8573 : CASE 2019-03 – PETER WOZNIAK – Exhibit 8 Check copies 10.B.1 Packet Pg. 190 Attachment: CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON (8573 : CASE 2019-03 – PETER WOZNIAK – DATE: POLICY{ PAYEE: 0a /27 /207A 8FL507082-03 VLADIITIR SIt ON VLAD]MIR SIMON 6 .18,{ I 12?ll sT NE CHECK t:1tI952 CHECK AMOUNT: a r 11, 365.83, * LOSS DATE: ag/Og/2011 IM]R SIMON -I lnd i NAPTES, FL 34120 !-tl _, f' Cu"tru rralt cLAirrANl: --N I'T fr: COvEF.,ACE IqaA- .J: NONE - cP p.!..,c1: ror toss 10.B.1 Packet Pg. 191 Attachment: CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON (8573 : CASE 2019-03 – PETER WOZNIAK – Exh ibit 9 Photogra phs 10.B.1 Packet Pg. 192 Attachment: CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON (8573 : CASE 2019-03 – PETER WOZNIAK – ttL I i n l^ ttFa'i fi*t It fi trb + / I t\I t rxr '/,,y,.r !.,/ \ rl I I \n./ (l, ai /t4 :!:.t ./1'*, ,l \r ti vk: /'/Zt l .\ I I I l-f,t7le, ...4. . j il lil ll k t l tl,?i:,,1 tr! !!t -u*$;'ff :'f.'I (: it'.,|ar\ Y, I a I .fJ*rifr . ,rt' ';Ii.'\: - :' ).. i\,,.(. .'.' ' <t k l, i'!, I I I ,:j '! I I I rr'.':,lF J,\ ,,1 'i .;.?' : I I I fifi { F!& 1., ' rii ,'',i. .t li" J'T ^/ / \ d I .tsrl 10.B.1 Packet Pg. 193 Attachment: CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON (8573 : \ \tu --= =r, \ : $ t' '!l lu / :s l .\ r . .tt I !!rs i di":l"L il\It tf., \ W, I]Itl 't'. .a ?- lrt =--)i,,l \ i :)! )) ,!) .' 1."-,i. a' (,' yr t'14d, 10.B.1 Packet Pg. 194 Attachment: CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON (8573 : Exhibit 10 Permit Correction Letter 10.B.1 Packet Pg. 195 Attachment: CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON (8573 : CASE 2019-03 – PETER WOZNIAK – COLLIER COUNTY GOVERNMENT GROWTH MANAGEMENT DIVISION / BUILDING REVIEW & INSPECTION 28OO N. Horteshoe Drive, Naples FL 34104 | Phone (239) 252-24OO Outstanding Corrections Date; December 14,2018 Contact Name: FLORIOA ROOF SERVICES LLC Address: 4505 gTH STREET EAST, 2605 FOREST PARKWAY NORTH LARGO FL 33771 City, Stats Zip: ELLINGTON, FL U222 Fax: <NO FAX NUMBER>Email: JWRAYL@YAHOO.COM Dear Applicant: Plans submitted with the referenced permit have been revie$red. We are unable lo approve your permit application for the reason(s) indicated below. For Applications Submiated on Paper:. Review the corrections below to identify each document you will need lo submit.. Allcorections must be clouded.. Corrections to paryr documenls must be submitted in person; the GMD office receiving corrections is open until 4:30 pm.. Submit 2 sets of corrected documents.. Submit 2 copies of the Letter of Response summarizing the changes made to address each correction comment below. JOB DESCRIPTION: MASTER RIB METAL RE-ROOF OVER PEEL & STICK. 17 SQS 4:12 PITCH 1-PLY MEMBRANE ROOF ON FLAT AREA E SOS LOW SLOPE 5329 Mitchell ST Rejected Review: Residential Review Rsyiowed By: Ada Msjia VEN Phone: Email:Ada.Mejia@colliercountyfl.gov CoTTection Comment 1:MISSING THE INSTALLATION INSTRUCTION FOR THE METAL ROOF, I HAVE EMAIL SEVERAL TIME BEFORE REJECTING THIS PERMIT. PLEASE DOWNLOAO THE INFORMATION ANO BRING IN TO THE CORRECTION DEPARTMENT; HERE lS THE LINK: https:/Aauw.floridabuilding.org/prlpr_app_srch.aspxFL12713-R4 THERE ARE 11 DIFFERENT TYPES ATTENT'ON: Collier County Plan Review and lnspections routinely reviews all outstanding permit applications in order to determine their status. The review process includes appropriate responses from the permit applicant when the permit cannot be approved. When the applicant as advised of deficiencies and does nol respond \ rithin 180 days with corrected plans or an appeal to the Code Enforcement Board, the permit application will be canceled as pet Coltier County Ordlnancd 2(N2-01, Sectlon, 101.5.1.1 to 1U.5.1.4 (as amended). PERMIT NO: PRBO20'18126645801 APPLICATION NO: PR8D20181266458 JOB SITE ADDRESS: 5329 Milchell ST 10.B.1 Packet Pg. 196 Attachment: CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON (8573 : CASE 2019-03 – PETER WOZNIAK – Exhibit 11 Collier County Ordinance 2006 -46, 4.2. and Florida Building Code 10.B.1 Packet Pg. 197 Attachment: CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON (8573 : CASE 2019-03 – PETER WOZNIAK – AN ORDINANCE AMENDING COLLIER county ordinance NO. 90- 105, AS AMENDED, THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD ORDINANCE PART FOUR: STANDARDS OF CONDUCT AND DtSCtPLtNE 4.2, Misconduct - State Certified Contractors The following actions by state certified contractors shall constitute misconduct and grounds for discipline pursuant to Section 4.3 of this Ordinance. 4.2.2.Willfully violating the applicable building codes or laws of the state, City or Collier County. COLLIER COUNTY ORDTNANCE NO. 2006-46 10.B.1 Packet Pg. 198 Attachment: CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON (8573 : CASE 2019-03 – PETER WOZNIAK – sEcTloN 105 PERMITS SECTION 105 PERMITS 105,1 Required. Any oumbr or'idtroriidd agent who intends tb-construct, enlarge, altLr, repair, move, demolish, or change the occupancy of a building or structure, or to ereci, install, enlarge, alter, repair, remove, @nven or replace any required impact-resislant coverings, electical, gas, mechanical or plumbing system, the installation oFwhich is regulqted by this code, or to cause any such work to be done, sb_all first make application to the building official and obtain the required permit. Friday. Mar01,2019 03:19 PM 10.B.1 Packet Pg. 199 Attachment: CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON (8573 : CASE 2019-03 – PETER WOZNIAK – 2017 Florida Building Code - Building, Sixth Edition trI LAI 105.32 Time lirniffiion of applicatioru An application ior a permit for any proposed work shall be deefned to have been abandoned 180 days affer the date of filing. unless such application has been pursued in good iaith or a pennit has been issued; except thal the building official is authorDed to grard one or more extenslons of time for additional periods not exceeding g0 days each. The extension shall be requested in writing and justifiable cause demonstrated. CHAPTER 1 SCOPE AND ADMINISTRANON V Thursday, Jan 04, 2018 1Z1t pt, 10.B.1 Packet Pg. 200 Attachment: CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON (8573 : CASE 2019-03 – PETER WOZNIAK – 2017 Florida Building Code - Building, Sixth Edition CHAPTER 1 sCOPE AND ADMINISTRATION PART 1-SCOPE AND APPLICAT]ON SECTION 101 GENERAL 105.4 Conditions of the permit. 105.4.1Permit intent. A permit issued shall be construed to be a license to proceed rvith the work and not as a uthoritv to vioiate, cancel, alter or set aside any of the provisions of the technical codes, nor shall issuance of a permit prevent the building official from thereafter requiring a correction of errors in pldns. construstion or violations of this code. Every permit issued shall become invalid unless the work a uthorized by such permit is commenced within six months atter its issuance, or if the work authorized by such permit is suspended or a ba ndoned for a period of six months after the time the work is commenced. 105.4.1.1 lf work has commenced and the permit is revoked, becomes null and void, or expires because of lack of progress or abandonment, a new permit covering the proposed construction shall be obtained before proceeding with the work- 105.4.1.2 lf a new permit is not obtained rvithin 180 days from the date the initial permit became null and void, the building official is authorized to require that anywork which has been commenced or completed be removed from the building site. Alternately, a new permit may be issued on application, providing the lvork in place and required to complete the structure meets all applicable regulations in effect at the time the initial permit became null and void and any regulations which may have become effective between the date of expiration and the date of issuance of the new permit. 105.4.1.3 Work shall be coosidered to be in active progress when the permit has received an approved insp€ction within 180 days. This provision shall not be applicable in case ofcivil commotion or strjke or when the bllildint work is halted due d 10.B.1 Packet Pg. 201 Attachment: CASE 2019-03 – PETER WOZNIAK – FLORIDA ROOF SERVICES, LLC – V. SIMON (8573 : CASE 2019-03 – PETER WOZNIAK – 04/17/2019 COLLIER COUNTY Contractor Licensing Board Item Number: 10.C Item Summary: CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC MAR, LLC DBA MY AFFORDABLE ROOF Meeting Date: 04/17/2019 Prepared by: Title: – Contractor Licensing Board Name: Lilla Davis 04/05/2019 4:38 PM Submitted by: Title: Supervisor - Operations – Contractor Licensing Board Name: Everildo Ybaceta 04/05/2019 4:38 PM Approved By: Review: Contractor Licensing Board Lilla Davis Review Item Completed 04/05/2019 4:38 PM Contractor Licensing Board Everildo Ybaceta Review Item Completed 04/08/2019 2:21 PM Contractor Licensing Board Everildo Ybaceta Meeting Pending 04/17/2019 9:00 AM 10.C Packet Pg. 202 Co et COLLIER COUNTY CONTRACTORS' LICENSING BOARD APRTL 17,2019 9:00 A.M. ADMINISTRATIVE COMPLAINT - CASE 2019.04 CHRISTOPHER J. DUTRUCH - MISCONDUCT OF A STATE CERTIFIED CONTRACTOR CHRISTOPHER J. DUTRUCH is the License holder for his company MAC MAR, LLC DBA MY AFFORDABLE ROOF. The license (CCC1331305 - ROOFING CONTRACTOR - CERTIFIED) is currently ACTIVE with the County under Collier Licensing number LCC20170002681 . A Contractor Licensing case (CEM1520180014985) was opened due to a complaint received on November 30, 2018 from homeowner Erika and Hermann Bartenbach. They stated they gave their contractor multiple payments lor a new roof ; however, the contractor had only performed the tear off and new underlayment on May 24,2018, but never returned. Alter further review and discussion, Mr. Dutruch is in violation o1 the Collier County Ordinance 2006-46, as amended, Section 4.2.2 Misconduct - State Certified Contractor: "Willfully violating the applicable building codes or laws of the state, city or Collier County." - A contractor who receives, as initial payment, money totaling morc than 10 percent of the contract price for repair, restoration, improvement, or construction to residential real property must:(a) Apply for permits necessary to do work within 30 days altet the date payment is made, except where the work does not require a permit under the applicable codes and ordinances, and (b) Start the work within 90 days after the date all necessary permits for work, if any, are issued, unless the person who made the payment agreed, in writing, to a longer period to apply for the necessary permits or staft the work or to longer periods for both. (Florida State Slalue, Title XXX|l, Chapter 489, Section 489.126(2)(a)&(b)). He is going in front of the board to hear possible disciplinary actions due to his violations. Qownty 10.C.1 Packet Pg. 203 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC Table of Contents -Bartenbach Administrative Complaint Formal Complaint. State of Florida, Department of Business & Professional Regulation Licensee Detail Collier County Contactor Licensing Section Registration Detail State of Florida, Division of Corporations, Limited liability Company Detail. Notice of Hearing sent via Certified Mail, Signed Return Receipt Case f CEM1520180014985, - Bartenbach Preliminary Complaint Form PERMIT APPLICATION # PRBD2O18O1O2349 Contracts Check copies Cancellation Photographs Emails New Roofing Contract (new company) Collier County Ordinance 2006-46, as amended, Section 4.2.2., for MISCONDUCT - State Certified Contractors and 4.1.3. for abandoning a construction project. Florida State Statute, Chapter 489, Section 489.126(2) (a)) for... - took more thdn 10% of the controct price ond did not opply for the permit within the 30 doy limit 10.C.1 Packet Pg. 204 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC BEFORE THE COLLIER COUNW CONTRACTORS' LICENSING BOARD BOARD OF COUNW COMMISSIONERS, COLLIER COUNTY, FLORIDA, CONTRACTORS' LICENSING BOARD Petitioner, DUTRUCH, CHRISTOPHER.JOSEPH MAC lVlAR, LtC (dba) MY AFFORDABLE ROOF Respondent. ADMIN ISTRATIVE COM PLAI NT Collier County (County) files the Administrative Complaint against Dutruch, Christopher Joseph (Respondent), a State licensed Certified Roofing Contractor (license # CCC1331305), and states the following facts and allegations in support of the cited violations below: 1. The Respondent is currently licensed by State of Florida as a Certified Roofing Contractor with License number CCC1331305. 2. Under the provisions of Collier County Ordinance 2006-46, as amended, Section: 4.2.(Misconduct - State Certified Contractors), the following actions by a holder of a State Certified Roofing Contractor / Collier County registered Contractor (# LCC2O17OOO2681) shall constitute misconduct and grounds for discipline pursuant to Section 4.3 (Disciplinary proceedings). a. I received the written complaint from homeowner, Erika and Hermann Bartenbach, who reside at 5064 Ventura Ct., on November 30, 2018. The complaint stated that the Bartenbach,s entered into a contract for roof work with Mac Mar, LLC (dba) My Affordable Roof. The contract for roof work was executed by the parties and dated October 29,2017. The contract was for 532,350.00 and the Bartenbach's paid a deposit of S5,OOO.OO at the time of signing the contract. Ms. Bartenbach also said that on March 2,2018, they paid a second deposit as requested by the Case Number: 2019 - 04 License Number: CCC1331305 10.C.1 Packet Pg. 205 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC contractor of S10,000.00. Ms. Bartenbach stated that the contractor performed tear off and underlayment work on May 24,2078 and they paid an additional S15,000.00 on that date. Ms. Bartenbach stated that since that date no further work had been performed. She further stated she has contacted the contractor numerous times to check on the status of their return to complete the work and the contractor was unresponsive to her calls. c. I received the copies ofthe checks of reflected the initial deposit of 55,000 and the later payments of S10,000 and S15,000 respectively and have attached them as exhibit 9. d. Upon investigation of the company, Mac Mar, LLC (dba) My Affordable Roof, I located Florida Department of Business and Professional Regulation (DBPR) listing under License CCC1331305, Dutruch, Christopher Joseph and Collier County Growth Management Department, Contractor Licensing Section for company, Mac Mar, LLC (dba) My Affordable Roof (exhibits 1 & 2). I also located a company listing in State of Florida, Division of Corporations (exhibit 3). e. I located the Permit (PRBD20180102349) for the subject residence. The permit was applied for on 01/ L2/20L8, issued on0l/29/2018 and expired on 7/2912018 and was reactivated on LO/25/2O78. The permit expired again onOL/24/2079 and was reactivated L/3L/2O79. The company did tear off and underlayment install at the residence on 5/24/2078 and a dry in inspection was never called in as of the date the homeowner canceled the contract in February, 2019. f. On December 6, 2018, I took photographs of subject roof & observed that the old tiles had been removed and new underlayment in place. g. On Janua ry, 8,2019, I was notified by Ms. Bartenbach (email) that they have heard nothing from My Affordable Roof, despite their numerous calls to company and there is a leak in roof above master bedroom. h. Ms. Bartenbach and I spoke again on January 27,2079 and she stated that My Affordable Roof has still been unresponsive and leak remains. Building lnspector, Fred Maddox and myself traveled to the residence and took photos of leak areas. We then contacted Matt Booth (My Affordable Roofl and he stated they would take steps to resolve leak and complete the work. i. On February 9, 2019, I spoke to Ms. Bartenbach and she advised the contractor (My Affordable Roof) came to the home and performed work on the roof, but the roof continued to leak. She stated she has again sent emails to My Affordable Roof informing them of the continuing problem. b. Ms. Bartenbach provided me a copy of the contract and I have included it as exhibit 8. 10.C.1 Packet Pg. 206 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC j. I spoke to Ms. Bartenbach the last week in February, 2019. At the time, she informed me that the roof continues to leak and My Affordable Roof is largely unresponsive, and they are forced to cancel the contract. k. On February 26, 2019, I researched permit fr PR8D20180102349 and found that a 'Change of Contractor' had been documented. The subject permit currently reflects a change of contractor. 3. Thereafter, pursuant to Collier County Ordinance 2005-46, as amended, Section 4.3.2. and Section 4.3.3., the complaint was investigated and found sufficient cause to file formal charges. 4. Collier County brings the following charge in this formal complaint against the Respondent. COUNT 1 5. Collier County Ordinance 2006-46, as amended, Section 4.2.2., Misconduct - State Certified Contractors, states: "Willfully violating the applicable building codes or laws of the state, city or Collier Counly." - A controctor who receives, os initiol poyment, money totoling more than 10 percent of the controct price Ior repdir, restorotion, improvement, or construction to residentidl reol property must: Apply for permits necessory to do work within 30 doys ofter the dote poyment is mdde, except where the work does not require o permit under the opplicoble codes ond ordinonces ond, (b) Stdrt the work within 90 days ofter the dote oll necessory permits for work, if any, ore issued, unless the person who mode the poyment ogreed, in writing, to o longer period to opply for the necessory permits or stort the work or to longer periods for both (Florido stote stotute, Title xxxll, chopter 489, section a89.126(2)(o)&(b)). WHEREFORE, the Petitioner asserts the above facts and charges are grounds for disciplinary action under Collier County Ordinance 2006-46, as amended, Section 4.2., as amended, and WHEREFORE, in consideration of the foregoing, the Petitioner respectfully requests the Collier County Contractors' Licensing Board to find the Respondent guilty of the violations charged. Dated:f Signed:hor Ja mph Collier County Contractors' Licensing Supervisor or Designee 10.C.1 Packet Pg. 207 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC Contractors' Licensing Board 2800 North Horseshoe Dr. Naples, Fl.34104 Complaint Number- 2019 - 04 Complainant: Any person who believes that a Contractor holding a State Certification or Certificate of competency has violated Collier County Ordinance 2006-46, 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 550.00 to defray the costs of administering the complaint, at the time of filing the complaint. The complaining party shall state with particularity which section(s) of this Ordinance he or she believes has been violated by the contractor and the essential facts in support thereof. Complaint: Please print or type and return signed copies of the complaint. Date: March 25. 2019 Aga inst: Contractor's Name:Dutruch. Ch ft r roseph Phone: 352-978-7050 Business Name:MAC MAR. LLC (dbal Y AFFORDAETE ROOF License Number if known: Certified Roofins Contractor (State license # CCC1331305) Collier County Reg istration number: 1CC20170002681 Contractor's Business Address: 1585 KENNESAW DRIVE CLERMONT, FL 3477I Filed By: 10.C.1 Packet Pg. 208 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC Name: Collier Countv Contractors' Licensinp Office (Jack Gumphl Address: @ Business Phone: 239-252-246a Add ress(s)where work done: 5064 Ventura Ct. City: NAPI-Es. F[ Cou nty: COLLIER Date of contract(s): october 29, 2017 Date jo b started: May 24, 2018 Date job completed or new home occup ied: NOT Complete Were there plans and specifications? Unknown ls there a written contract? Yes. lf yes, amount of Contract: 532,350.00 Has Contractor been paid in full? No. lf not, what amount? S30,@0.fi) Was a Building Permit obtained? YES B u ild ing Permit number if known: PR8D20180102349 Have you communicated by letter with the licensee? YEs Date:215120L9. Do you have a reply? YES Please attach to this form all copies of the purchase agreement, building contract, home improvement contract, copies of receipts and/or cancelled checks available and any additionalevidence to substantiate your allegations. List any subsections of Section 4 of Collier County Ordinance number g0- 105, as amended, which, in your opinion, have been violated by the contractor which is the subject of this complaint, (list subsection number): COUNT 1: Collier County Ordinance 2006-46, as amended, Section 4.2.2., Misconduct - State Certified Contractors, states: "Willfully violatinB the applicable building codes or laws of the state, city or Collier Counly." - A controctor who receives, os initial poyment, money totoling more thon 10 percent ofthe controct price for repoir, restoration, improvement, or construction to residentiol reol propefty must: Apply for permits necessory to do work within 30 doys ofter the dote poyment is mode, except where the work does not require o permit under the opplicdble codes and ordindnces and, (b) Stort the work within 90 days ofter the dote oll necessory permits for work, if ony, ore issued, unless the person who mode the poyment ogreed, in writing, to o longer period to opply for the necessory permits or stort the work or to longer periods for both (Florido stote stotute, Title xxxll, chapter 489, section 489.726(2)(o)&(b)). 10.C.1 Packet Pg. 209 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC Please state the facts which you believe substantiate your charge of misconduct against the subject contractor. List facts separately for each subsection number above: a. I received the written complaint from homeowner, Erika and Hermann Bartenbach, who reside at 5064 Ventura Ct., on November 30, 2018. The complaint stated that the Bartenbach's entered into a contract for roof work with Mac Mar, LLC (dba) My Affordable Roof. The contract for roof work was executed by the parties and dated October 29 , 2O!7 . The contract was for S32,350.00 and the Bartenbach's paid a deposit of $5,000.00 at the time of signing the contract. Ms. Bartenbach also said that on March 2,2018, they paid a second deposit as requested by the contractor of 510,000.00. Ms. Bartenbach stated that the contractor performed tear off and underlayment work on May 24,20!8 and they paid an additional 515,000.00on that date. Ms. Bartenbach stated that since that date no further work had been performed. She further stated she has contacted the contractor numerous times to check on the status of their return to complete the work and the contractor was unresponsive to her calls. b. Ms. Bartenbach provided me a copy of the contract and I have included it as exhibit 8. c. I received the copies of the checks of reflected the initial deposit of $5,000 and the later payments of $10,000 and 515,000 respectively and have attached them as exhibit 9. d. Upon investigation of the company, Mac Mar, LLC (dba) My Affordable Roof, I located Florida Department of Business and Professional Regulation (DBPR) listing under License CCC1331305, Dutruch, Christopher Joseph and Collier County Growth Management Department, Contractor Licensing Section for company, Mac Mar, tLC (dba) My Affordable Roof (exhibits 1 & 2). I also located a company listing in State of Florida, Division of Corporations (exhibit 3). e. I located the Permit (PR8D20180102349) for the subject residence. The permit was applied for on O7/I2/20t8, issued on 07/2912078 and expired on 7129/2OL8 and was reactivated on fO/25/2O18. The permit expired again on OL/24/2OL9 and was reactivated |/3L/zOD.fhe company did tear off and underlayment install atthe residence on S/24/20f8 and a dry in inspection was never called in as of the date the homeowner canceled the contract in February, 2019. f. On December 5, 2018, I took photographs of subject roof & observed that the old tiles had been removed and new underlayment in place. g. On Janua ry, 8, 2079, I was notified by Ms. Bartenbach (email) that they have hea rd nothing from My Affordable Rool despite their numerous calls to company and there is a leak in roof above master bedroom. h. Ms. Bartenbach and lspoke again on January 27,2019 and she stated that My Affordable Roof has still been unresponsive and leak remains. Building lnspector, Fred Maddox and myself traveled to the residence and took photos of leak areas. We then contacted Matt Booth (My Affordable Roof) and he stated they would take steps to resolve leak and complete the work. i. On February 9, 2019, tspoke to Ms. Bartenbach and she advised the contractor (My Affordable Roof) came to the home and performed work on the roof, but the roof continued to 10.C.1 Packet Pg. 210 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC leak. She stated she has again sent emails to My Affordable Roof informing them of the contin uing problem. .i. lspoke to Ms. Bartenbach the last week in February, 2019. At the time, she informed me that the roof continues to leak and My Affordable Roof is largely unresponsive, and they are forced to cancel the contract. k. On February 26, 2019, I researched permit # PR8D20180102349 and found that a 'Change of Contractor' had been documented. The subject permit currently reflects a change of contractor. {Complainant's signature) State of FLORIDA County ofCOLLIER Sworn to (or affrmed) and zooft by bed before me this S day of APr;t l."a (signature of person making statement). rwr l"tuu[,ts wcofasSg{ t tFE710 APfiES f,r!,280 grtdd llrl tt.l lt tr*..(signature of Notary Public) Print, type or stamp commissioned name of Notary Public Lno-n o,.produced identification 10.C.1 Packet Pg. 211 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC Exhibit 1 State of Florida, Department of Business & Professional Regulation Licensee Detail 10.C.1 Packet Pg. 212 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC DBPR - I) t i'fli.tjCll I. (ll IIt IS'lol'l I ER JOSEPH; Doing Business As: MY AF-FOIID^ Ill.... l)agc lol'I 10 55 58 AM 3/14n019 Licensee Details Licensee Information Na me:DUTRUCH, CHRISTOPHER JOSEPH (Primary Name) MY AFFORDABLE ROOF (DBA Name) 1585 KENNESAW DR CLERMONT FIOfidA 347LL LAKE Main Address: County: License Mailing: LicenseLocation : License fnformation License Type: Rank: License Number: Status: Licensure Date: Expires: Special Qualifications Construction Business certified Roofing Contractor Cert Roofing ccc1331305 CurrentrActive 09/2A/2017 oalsL/2o2o Qualification Effective 09/2a/2OL7 Alternate Names View Related License Information View License Comolaint 2601 Blair Stone Road, Tallahassee FL 32399 :: Emarl: Customer Contac-t C€nter :: Customer Contact Center: 850.487.1395 rh€ State or Flonda is an AA/EEO employ€r. lqtxli9rbl;10lz:;lqlQlleligllflrrid& Privacv Stat€ment Under Florida law, emari addresses are pubtic rccords. If you do not want your email address released an response to a pub|c-records request, do not send electronrc mail to this entity. Instead, conlact the offic€ by phone or by traditional mail. If you have any questions, please contact 850.487.1395. 'Pursuant to Section 455.275(1), Florida Statutes, eifectrve October 1,2012, licensees licensed under Chapter 455, F.S. must provide the Department u/ith an email address if they have one. The emails provided may be used for offrcialcommunication with the licensee. However email adCresses are public reccrd. If you do not wislr to supply a personal address, please provide the Department with an email address whi.h can be made availabl€ to the publt.. https://www.myfloridalicense.com/l,icenseDetail.asp?SID:&id=4D82897R6D49E71\829...3/1412019 10.C.1 Packet Pg. 213 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC Exhibit 2 Collier County Contactor Licensing Section Registration Detail 10.C.1 Packet Pg. 214 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC License Application Status - CityView Portal License Application Status ticense Application sqmmary Not€r You can coll.pse.nd exp.nd indrydual s4lions by clacki.C th. header olthe seclion you -lsh to collapstexpand. GMD Public Portal Page I of I applrcatioo Number: Business Name: Ljcense Type: Apphcation Statls: Desc.iption of Business: llailin9 address: 1CC20170002681 MAC HAR, LTC (DAA) MY ATTORDABLE ROOF amanda Latsey 1-229-392'6132 1585 (ENNESAW DR ctERlrot/T tL 34711 CHRIS@HYAFf ORDABLEROOF.COI'l; lGrenmi9etz@myatrordableroof .com I st.t"' ROOFTNG COXTR.-CER]IFI€O 201700001360tt/24/2017 oa/31/2020 There are no submitlals lo. this license appliGtion. There are no reviews lor thrs I'cens€ apllication. wc201900000 o1/o1/2019 01./01/2020 ErpirationP.ocessed: No Producer Phone Number: 800 277 1620 X4800 PASCAL AURKE INS,Raso011257 ta/rt/2ota to/t1/2019 $2,000,000.00 ExOiration Processed Producer Phone Number 4774937629 ]OHN O BOGGS Addr€ss: Expiration P.oc€sted: NEEOS Exemptjon.Or Comp Coverage CHRISTOPHER ) DUTRUCH (QUALIFIER)r2lot/2017 12/Ort2A19 €rDir.tionProcessed: No http:/icvportal.colliergov.net/CityViewWeb/License/Status?licenseld: 1 5 1 I g5 3/14/2019 10.C.1 Packet Pg. 215 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC Exhibit 3 State of Florida, Division of Corporations, Limited liability Company Detail 10.C.1 Packet Pg. 216 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC Detail by Entity Name Page 1 of 2 DrvrsroN or CoRPoRArroNs Dt tlJvri ai r.l9yi'9;'-L.'yyl:1) tu i!)i, ) :;ti . t'l l kl.ith n(bttt(--'a1*, Deoarimen t ol Slale / A!!si9!-9rc449Ia!.S!S / Scr4!-Br9gds / Delai'l Bv Do'umenl Nuhber / Detail by Entity Name Florida Limited Liability Company MAC MAR, LLC Fillnq lnlormation Oocument Numbe. L17000190431 FEUEIN Number A1-2787225 Date Filed O9lOBl2O17 Effective Date OglO1l2O17 State FL Status ACTIVE Last Event LC AMENDMENT Event Date Filed O1lO2l2O18 Event Effective Dale NONE Princioal Addrols 1585 KENNESAW DRIVE CLERMONT, FL 34711 Mailino Address 1585 KENNESAW DRIVE CLERMONT, FL 34711 Reoistorsd Aoent Name E Addless BOGGS, JOHN DAVID 1585 KENNESAW DRIVE CLERMONT, FL 34711 Authorized Psrson(s) Oetail Name & Address Title MGRM BOGGS, JOHN DAVID 4602 MUD LANE LOUISVILLE, KY 40229 Title NIBR DUIRUCH, CHRIS 1585 KENNESAW DRIVE CLERMONT, FL 34711 Trtle MGR httD://search.sunbiz.org,/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity...3ll5/2019 10.C.1 Packet Pg. 217 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC Dctail by Entity Namc Page 2 ol2 LAIRSEY, AMANDA 400,1 GARRIN COURT SPRING HILL TN 37174 Annual Rooorts Report Yea. 2018 2019 Filed Date 04t09t201a 02t26t2019 Documgnt lmaoos 026/2019 - ANNUAL REPORT 04/09/20!E - ANNUAL REPORT 0l/0212018 - LC Amendmenl 09ma/2017 - Flond. Lrmrred LBbrrlv View image in POF iomal View image in PDF romaI vi€w image in POF Iormal View lmage ln PDF lomal http://search.sunbiz.org/lnquiry/CorporationSearch/SearchResultDetail?inquirytype:Entity...3ll5l2019 10.C.1 Packet Pg. 218 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC Electronic Articles of Or ganization For Florida Limited Liability Company Article I The name of the Limited Liability Company is: I\4AC MAR, LLC Article II The street address of the principal oflice of the Limited Liability Company is 1585 KENNESAW DRIVE CLERIV{ONT, FL. IJS 3471I 'I'he mailing address of flre Limited Liability Company rs: I585 KENNESAW DRIVE CLERMONT,FL.US 347II Article III Other provisions, if any: ANY AND ALL LAWFTJL BUSINESS. Article IV The name and Florida street address of the registered agent is: JOHN DA\,'ID BOGGS 1585 KENNESAW DRIVE CLERMONT, FL. 34711 L17000190431 FILED B:00 AM Seotember 08.2017 seb- of State ' kpcardwell Havins becl named as regislered agent and to accept service ofprocess for lhe above stated lunited liabilifi,, comoanv at the place designated in dris ceriificale. I hereby accept the appointment as regislercd agerrt dnd agiee io act in this capac-ity. I further agree to_ comply with the provisions_ of all slalules ref adng to the proper and compiele ierlormance oTmy duties. and I am lamiliar wirh and accepl the obligaiions ol itrl'position as regislered agent. Registered Agcnt Signature: JOI'IN DAVID BOGGS 10.C.1 Packet Pg. 219 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC Article V The na:ne and address ofperson(s) authorized to manage LLC. Title: MGRM JOHN DAVID BOGGS 4602 MUD LANE LOUISVILLE, KY. 40229 US Title: MBR CHRIS DUTRUCH 1585 KENNESAW DRIVE CLERMONT,FL. 347II US Title: lr,{BR GLENN WILLIAMS 7424HACKAMORE ROAD ZEP}IYRHILLS, FL. 33541 Article VI The effective date for this Limited Liability Company shall bc: 09/01/2017 Signature of member or an authorized representative Electonic Signature: JOHN DAVID BOGGS L17000190431 FILED 8:00 AM Seotember 08.2017 Seb. of State ' kpcardwell I am the member or authorized represenlative submitting these Articles of Organization and affrm that the facts staled herein are tr-ue. I am aware thal false inf,ormation submifled in a documenl to fte Departrnent of State consfitutes a third degree felony as provided for in s.8l 7. I 55, F.S. i undersland the requirement to file an annual report betweenJanuary l3t and May lsl in the calendar year followrng formation of the LLC and cvcry ycar drereafler to maintain "active" slatus. 10.C.1 Packet Pg. 220 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC \ (Address) (Address) (City/StateZip/Phone g) I crcx-uc ! wnrr f] r',rnrr- (BLrsiness Entjty Name) (Oocurnent Numbe, Cerlilied Copies _ Certilicates of Stalus _ Special lnsructions to Filing Ofticer Office Use Only otre\qQq3l liltil lffi lffi ilil ffi ililIilIilt]tilfl tffi fliltililtfl ilililiiliilffi til]ili 500307128355 lll .rir-r.,'t ,:/__ir I ir:,:l__ir.j -,irir:,: @ j!:r I r\) = r\) S WARREN JAfl 0 3 20ts (Requesto/s Name) :'! 10.C.1 Packet Pg. 221 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC C()VI]R I,P]'I'1'ER 't'( ):l{rrist.rt;,,n Sr{la,,Ir I )i\ i\ion r)f Cr)rtn'r:rti,)ns sllB.tl,c'l:MAC MAR. LLC Nrnrc ni l-i.'rir((l l.i:rhilir! (:,{rprrr! 'lh( cn!1,'i(l -,\nicl(i(rf,\rrr(riJnl(nl imd li\(Jl:rr! sxbrDill\'J li)r lililltl. l'l(at r(luol nll cor^'jp(lnJcn(c cdnctnlirls lhis mlrtrtr trr thc l'rlh'rtilrr:: John Oavid Boggs MAC MAR, LLC 1 585 Kennesaw Drive Clermont. FL 34711 ( irlrsrcl'::lrrd ZiI (iU( david@mvaffordableroof . com lirr ritnh(r illlitrnr:rti{rl Lon(crnins llii rnrllcr. plcxJt (rll David Boq 11 1502 1 639-9224 ,\rc:r (ixlc lh\tiril(' l'rlrlht,n( NuIlhu I:n(l,,sr.l ii :r Lhc(k li)r th( lirlft)Nin! a rrrrnl: E 5!5.00 t:iliIg lict D s-irl.t)0|:ilirrg l:ec & Ccnilicxla tliSlntur lt..\ll,lN( ;,u)l)Rt:ss: Rt!iJlrirli,in Sr(l;('n I)ir isirrn ol-(irryx,ruti rrrs l'(). l\(,\ 6.j17 lirll:rh:rss.c. ljl, -il; I I D 5!5 Olt I'iliry l:cc.l ( rrlillc.lti)l\ rrrtjnx{Bl [dp\ r< .(l,q!r O 56r).011 ,jilin( li.e. (-cdilic:llr r,a Srxrus ,\ ccniried (:"n' (dj'l'oct L1)p r!..ir'N.J, s'l-R!:E'l'/c( )LiRILlt,\t,l)R L.\s: Ilcsisrrdii(rn Scclion |)ivi,\i ,r ',1 (.()rBrriti()nj (ilirl,nr ltril linB -166 I li\ccLrli\c (i(,)r.r (lir.l( t rllahrrs!'(. fl. iliOl 10.C.1 Packet Pg. 222 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC ARI'ICI,L-S 0T' AM ENI)M}-N'I''l'() ARl'tCr.r-S Ol' ()R(;ANr ZA',r'r()N ( )1. MAC MAR, LLC l hc ,\niclcs ol ()r-uilrliTirtior) lirr lhis l-irnitcd l,iirl)ilil\'(-irtrpanv rvcrc lilcd (rrr 918t17 lrnd assirn,,rl l:loridir Jocunrcnt llurrthc r 117000190431 'I his nnrcntirl,]nt is suhntittcd to unrcnd lhc li'llo\\'irlg: A. If lnre nd ing ntnre. tntcr lhtl ncn naprcr)f thclimitcd liallilil t conr lr nl hcrc l,nter nc$' mailing uddrqis. if alrplicahlc: (ltaili t! tukh6:t ItAl' lll': A I'OS'|'Ol"l'lcli oI) ll. lf antcntling thc rc8is-tertd a8(nl uo(Uor rtg ist(r({l ofllL(' ld(lress {rrr our r(cr)rds. rnlcr lhc nrntr of thr ncrr reeistcrc(l apfnl an(Uor lhe rcei\lcr(l om(c xddrcss hcr(.: Nanrc ol Ncrr' !qqi54'rcd /\rcnt, Ncrv l{cristclrxi Oll'icL' r\ddrcss lin?, l.ltrith \nttt nthlt?\\ l Lrri<lu Citt Nrs Repistcrcd,\pant'r Si!nnturc. if cIanpin! Rrpis(cra(l AEenr: I lttrtl't <tr.tt'lrt tln, ttpJt,intntnt u:; ntqisttrul orltnt otri otr.r to (tt:t in thit cel.\k:it_ I'n,tisiott:; ofoll *uutr,J r(lotir'( t.' tltL: lr.t'lr.'t ttkl (ottU'h tr: pc'rlrru,ttttt' ttJ rur tlut ttcctpr tlv oblituritns o/ ttrt' ltrtsitirn t.s rrr stt,rtl utcnt ts pnttidttllrtr in Choptar h,i tjlklut rcr(l'' ruflr(t u.'hory( it thc rctittr'tt,l r{f ct ttrllrc.t, I ln,ttb.t' tttrtft urnptat hot hcatt otilcd i tritint ti rlti.s dutnyc. lr (jh!nri n8 R('l'ta\l(^rl ,$tnt. Si,!.r:'tura "f .\"r$ t,!i\l(:.r.d,A!(ntr. lit,Q\h. t , I lruhL'r utrct n L-(,rlpl\' \-itlt th( i15. tt,hl I ortl jl)tilittr vitlt ttnl 6()5, F -5. Or. ( thit rht..trttu,ttr is ru rhu tln: linitaHiohili6i 2: I l$ ,v l'rrgr I ol -] Enlcr nerr' ;lrincipal olficei addrrss. if Jlrpli(ithlc: r Pi nciutl ollrtc u&lrtst,V US'l tt l') 1\!!!!!!1\l!)!!))1 10.C.1 Packet Pg. 223 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC ll .rrntnrling ,(uthrrrizrrl l,cni()n(st itulhoriz('d lo nl:rDrgc. cnlcr thc litl('. nanrc. :lnd a(ldrr$ ot cath t)cni()n lx'int xd(ltd or rt'nroverl fronr our records: trf(iR = l\lantger A,\l ItR = .\uthrrrizr<l ll(ntl)cr 'l irk'I:rntt Addrcss 'l'r'pc rrl ,\clirrrr MGR AIIANDA LAIRSEY 4001 Garrin Court /u,,, Spring Hill, TN 37174 ft tr (lhu ll!a (;hirrsr C ,\(l(l ,\d(, l{cnn\( (;hirnEc E /\.1\l n l{cnr!\L (:hrnSe o,\dd ,(lhr|lrco O I{(nro\( @ iv 'o ,\J(l = Itun,,re Page 2 of -l LJ I llutttgr " !1,- , n: 10.C.1 Packet Pg. 224 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC I). lf.lnrenrlirig anr r)lh(r informrtion. 0lltcr (hangclsl httti l,\ltrch uJlitit)ttol sh4.tr. iI ]B:t!:\1r\'-t t.. LfTeclir t, dalc. il olhcr lhan lhe dalc of lilinE: ql,lrr (()plionrl) rl rtunrcrrr'.rlir.tti{c rlilI..rll l[|j l)(pirnr)lc l ol Slxt('s rcconls. If the reco.d specifies a delayed effective date, but not an effectave time, at l2:01 a.m. on the earlier oF (b) rhe 90th day after the record is filed. r)ir.d 12127/17 12/21/17 ]-)-r /) @ --a :_t--a.J ,- =r N) John Oavid Boggs I!fkd nr pnolcd nantc dl .rgn.'c Pagc .l rrl .l l'iling l'te: S25.00 10.C.1 Packet Pg. 225 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC 2018 FLORIDA LI MITED LIABILITY COMPANY A NUAL REPORT DOCUMENT# L1 7000190431 Entity Name: MAC MAR, LLC Current Principal Place of Business 1585 KENNESAW DRIVE CLERMONT, FL 34711 FILED Apr 09,2018 Secretary of State cc6947734082 Cu rrent Mailing Address: 1585 KENNESAW DRIVE CLERMONT, FL 34711 US FEI Number:81-2747225 Name and Address of Current Registered Agent: Certificate of Status Desired: No BOGGS, JOHN DAVID 1585 KENNESAW DRIVE CLERMONT: FL 3471,I US The above naned entity submtts this stalefienl lor the pupose ol changihg its registered otfice or regislercd agent, ot bolh, in the Slale o, Florbe. SIGNATURE: DateElectronic Signature oI Registered Agenl Authorized Person(s) Detail : Tille MGRM Name BOGGS, JOHN DAVID Address 4602 MUD LANE Cily-State-Zip: LOUISVILLE KY,10229 Title MGR Name LAIRSEY, AMANDA Address 4001 GARRIN COURT City-Slate-Zip: SPRING HILL TN 37174 MBR DUTRUCH, CHRIS 1585 KENNESAW DRIVE CLERMONT FL 34711 oath: lhal t an a hdnaging nenbat u naaagq olthe lihile.! iobnty @hpary ot ttc t*ivet ar tlstee enpawerd lo ex*lle this rpod as equtetl by Chaptet 605, Fbnda stalules; and lhal ny nane appea6 abow, or on an altadaaal wilh all othet lite enpoweed. SIGNATURE: JOHN DAVID BOGGS MEMBER 0410912018 Eleclronic Signature of Signing Authorized Person(s) Delail Dale Tille Name Address City-Slate-Zap: 10.C.1 Packet Pg. 226 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC 2019 FLORIDA L IMITED LIABILITY COMPANY ANNUA L REPORT DOCUMENT# L1 70001 90431 Entity Name: MAC MAR, LLC Current Principal Place of Business: 1585 KENNESAW DRlVE CLERMONT, FL 34711 Cu rrent Mailing Address: 1585 KENNESAW DRIVE CLERMONT, FL 3471 1 US FEI Number: 81-2787225 Name and Address of Current Registered Agent: FILED Feb 26, 2019 Secretary of State 7146991825CC Certificate of Status Desired: Yes 8OGGS, JOHN DAVID 1585 KENNESAW DRIVE CLERMONT, FL 34711 US The above naned entity subnits lhis statemenl for the purpose ol changitg ils regislerccl oiice or registercd agcm. ot both, in lhe Slate ol Florida SIGNATURE: Electronic Signature of Registered Agenl Authorized Person(s) Detail : Tille MGRM Name BOGGS, JOHN DAVID Address 4602 MUD LANE City-State-Zip: LOUISVILLE KY 40229 Date Title Name Address City-Slate-Zip: MBR DUTRUCH, CHRIS 1585 KENNESAW DRIVE CLERMONT FL 34711 MGR LAIRSEY, AMANDA 4OO1 GARRIN COURT SPRING HILL TN 37174 I hercby cedily thal the hlonalioo iod,caled on lhis rporl or supplenenlal repon is lre and accuale aN lhal ny eletonic *nalute shall haE lhe sane legal ellet as il hade under lhal ny aahe aqoears abote, o. on an a achtueot wnh al olhet ttke enpwerd. SIGNATURE AI/IANDA LAIRSEY 02t26t2019 Eleclronic Signalure of Signing Authorized Person(s) Detail MGR Dale Title Name Address City-State-Zip: 10.C.1 Packet Pg. 227 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC Exh ibit 4 Notice of Hearing sent via Certified Mail Signed Return Receipt 10.C.1 Packet Pg. 228 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC Co er Qor.t*tL3l ( )rou'l h l\'Ianagcnrcnl I)ir is inn I'lanuirrg & llcgu la I ion ()pcrations l)r:pa rl nr en ( l,icensing Scction Ccrtified Mail # 10)1 0530 0000 8339 6293 Date: February 5, 2019 Christopber Dutruch, Mac Mar, LLC (dba) My Affordable Roof 1585 Kennesaw Dr., Clermont, FL347ll'6872 Permit's: PRBD20180321328' PR8D20180321367' PR8D20180102349' PR.BD20180426035' pR8D20180425643, PRBD2o180320010, PRBD2o180319332, PR8D20180426078, PR8D201802089?4, PR8D20180320234, PRBD2ol80l04I70, PRBD20l80l04l67, pRBD20180210132, PRBD2ot8l)31931, PRBD20I80l04l66, PRBD2ot7 t t 4X42, pR-8D20180320650, PR8D20180209098, PR8D20180319507, PRBD2olE08496l8, PR8D20180849784 plus or minus 54 EXPIRED PERMIIS Dear Dutruch, A complaint has been filed against you by the above referenced entiry. A hearing of this Complaint will be held by the Contractors' Licensing Board on Wednesday, APRIL l7,2019 rt 9:fi) A.lt{ in the Board of County Commissione/s Room, Third Floor, Administration Building (W. Harmon Turner Bldg.), at 3301 Esst Tamiami Trail, Naples, Florida 341 12. Your presence before thc Collier County Contractors' Licensing Board is required at this time. The packet conceming your case marked composite exhibit "A" will be delivered to the members ofthe Contractors' Licensing Board one week prior to the hearing. Ifyou wish to receive a copy ofthis packet, please notiry the Contractor Licensing Customer Servic-e Ofiice. lfyou wish to prepare a defense packet and have it delivered in conjunction wilh composite exhibit "A", you must make fiffeen copies and have them in our office by 8:00 AM on Wednesday, one week prior to the hearing. ln your packet, you may give a summary ofevents. At this me€tin& you may present evidence and be represented by an attomey ofyour choice. ln the event the Contracton' Licensing Board finds you in violation ofSection(s) 22-201.1(2) of Collier County Ordinance #90-105, as amended, the range ofdisciplinary sanctions which may be imposed are from an oral reprimand to a suspension or revocation ofyour Collier CoLrnty Certificate issuance (N/A), and/or suspension or revocation ofyour permit privileges against your State license # CCC 133 1305. Sincerely, Jack Col tc ounty Contractors' Licensing o ions and Regulatory Management, Growth Management De 2800 N. Horseshoe Dr. Naples, FL. 341 04 panment ..*lr 1r...:!r, nr,:r.r i rrjrLr..l)1r,, i:rf ;t irI. j.i.r .r7('ti.roinr. f ioridi 3,rtf,t.2irq 10.C.1 Packet Pg. 229 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC I Compl6ts hb.n8 1,2, .rU 3.r Pdnt yoqr narna snd sddr6 on th6 rE\roas€so that !t/€ can td.rn tho cad to )Du.r Attach thts csrd to the back of tho mailptocr,or on the ttlnt It . Antclc Add.B.d to: C*e;2ror,4*. AY 4€fraorBt I 124 t5s5 t(grlue.s^u>f. Cudzuor.rr , €t- 3rt?U-c,ia di o*,ry C, D.to of 1'.? udilt]ti] Iilfililil ilI II lt tilt[ ilfl il il ilt9s90 9402 3463 7275 07s6 45 3. o IYpo on Coa..f tr oo 2.Arrlclb Numbcr ?01,7 0530 0000 a331 het3 3811,Jut2015 PsN Rctwl SENDER:COMPLEIE THIS SECTION CO&'PI.E7S '}"S SECT'O N ON DEL,VENY tr Agorlt PS Fo.m 7530-@{rG906:l dollrrliy sddrcs ENo D. 10.C.1 Packet Pg. 230 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 illtilllltil ill ll l I,.,SPS IRAC(I{G fl First€lass Mall Postag6 & Fees Paid USPS Psrmit No. G-l0 153 jq0e ?5 ' Sonden lour neme, address, and P+4. ln thls box'United States PosEl SeMce Growth Manag€meot Oivison Planning & Rogulation contractor Licensing Section 28OO N. Horsoshoe Drive Naples Fl 341M 113-138930-57 ,,rlilrll,rlllr,,llilrltrtrrrl.lhilrllil,,,,il,tllItl,tltl,],,t i) it !r I Iti II Ltt 10.C.1 Packet Pg. 231 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 Exhibit 5 Collier County Contractor Licensing Section Case # CEM 1520180014985 10.C.1 Packet Pg. 232 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC MAR, Report Title:Code Case Details Case Number cEMts2018001498s Misconduct Priority Normal lnspector:JackGumph JLrrisdiction Collier County Origin Complaint Detail Descraption On the date of November 30, 2018, ( J. Gumph) received the written complaint through Contractor Licensing Office, Customer Service from homeowner, Mr./Mrs. Bartenbach, 5064 Ventura Ct against the roofing contractor. The contractor is listed as Mac Mar, LLC (dba) My Affordable Root (407-5174767). The homeowner stated that a contract was signed on 1012912017 with a deposit pald. Location Comments 5064 Ventura Ct (Folio # 80400021754) Status lnvestigation Date & Time Entered 1215120181:59:28 PM Entered By JackGumph Case Disposition Case Pending Propedy 80400021764 Complainant BARTENBACH, HERMANN & ERIKA Contractor MAC MAR, LLC (DBA) MY AFFORDABLE ROOF 1 Business Management & Budget Oflice fu! Dare. 3126t201911:11:43 AM Case Number: CEM1S20180014985 Case Type: 10.C.1 Packet Pg. 233 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC MAR, Code Case Details Execution Dalre 312612019 11:11:43 AM lnvestioation JackGumph 11t2112018 Pending On the date of November 30, 2018, ( J. Gumph) received the written complaint through Contractor Licensing Office, Customer Service from homeowner, Erika Bartenbach. 5064 Ventura Ct, Naples, FL against the rootlng contractor for not completing the roof. The contractor is listed as Mac Mar, LLC (dba) My Affordable Roof. The homeowner stated that a contract was signed on 1012912017 for $32,350.00, with deposits paid in the amount of $30,000. lnformation supplied by the homeowner, Erika Bartenbach indicate that they hired "My Affordable Roof'(MAR) on October 29,2017. The homeowner paid a deposit at that time of $5,000.00. The old roof tiles were removed in lvlay, 2018 and the 'underlayment' put down. There has been no work since that time with communication with MAR being unsuccessful. I subsequently spoke with Ms. Bartenbach by phone and she related further that on March 2, 2018, they paid a second deposit as requested by the contractor of $10,000.00. On May 24, 2O18,lhe contraclor finally commenced the work (tear off and underlayment) and again requested a third deposit of $'15,000.00 whrch was paid. Accompanying the original Preliminary Complaint Form was a copy of the contract. I observed the contract 'heading', My Aftordable Roof, to Erika 8a(enbach,5064 Ventura Ct, Naples, FL 34109, dated 1012812017 for the total amount of $32,350.00 and deposit of $5,000.00. The signature of Erika Eartenbach is on the bottom. Accompanying the original Preliminary Complaint Form was a copy of the deposit check. # '1017, daled 1012912017, issued from the account of Hermann & Erika Bartenbach, pay to the order of, My Aflordable Roof, the amount of $5,000.00, with note in "fo/ (memo) as "Matt Booth'. 'Dep'. On the date of November 18,20'18, I researched the computer database of the State of Florida, Division of Corporations and located the company, t ac Mar, LLC, Florida Limited Liability Company, FEtN: 81- 27 87225, Date Fited-og/O8i2o1 7, Status- ACTIVE, Principal Address-1585 Kennesaw Drive, Clermont. FL 34711, Registered Agent_ Boggs, John David, Authorized person- 9oggs, John David (Ti e- MGRM), Dutruch, Chris (T(le-MBR), Lairsey. AmanJa (Ti e_ 2 Assigned Req u ired Completed Outcome CommentsOesc B usiness Management & Budqet Office I 10.C.1 Packet Pg. 234 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC MAR, Code Case Details Execution Date 312612019 1 1 :1 1 :43 AM Business Management & Budget Office MBR) On the date of November '18, 2018, I researched the computer database of the Florida Department of Business and Professional Regulation (DBPR) tor company, Mac Mar, LLC (dba) N4y Affordable Roof. I located a listing for Mac Mar, LLC (dba) My Affordable Roof, Oualifi erllicense Holder, Dutruch, Christopher Joseph, under License # CCC1331305, Certified Roofing Contractor. Licensure Date: 0912812017 , Expies OBl31l2O2O, Status: Current, Active, address of 1585 Kennesaw Dr., Clermont, FL 34711. I also researched the computer database of the Collier County GroMh Management Department. Contractor Licensing Section for company, Mac Mar, LLC (dba) My Affordable Roof. I located a listing for Mac Mar, LLC (dba) My Atfordable Roof, Dutruch, Christopher Joseph, Qualifier/License Holder under State License # CCC1331305. Certified Roofing Contractor under Type.'Roofrng Contr.-Certified". The company was Registered under # 1CC20170002681, Date lssued:'l'l /28/20'1 7, Date Expires: I 131 l2o21, Status Active. On the date of November 18, 20'18, I (J. Gumph) researched the database of the Collier County Building Department. I located Permit # PRBD20180102349 for the address of 5064 Ventura Ct (Bartenbach residence). The permit was listed for "Re-roof due to hurricane lrma". The permit was applied for onO1hA2O18. issued on 0'1/29/2018 and Expired on 7129t2018. The permil was reactivated on 1012512018. The permit rs currently listed as Status: Reactivate The contractor is listed as Christopher Joseph Outruch (dba) irac Mar, LLC (dba) lMy Affordable Rool License # CCC1331305. As noted in the permit, there has been NO inspections, thus when the work commenced in May of 20'18, there was never a 'Dry-ln' inspection called in. (NOTE: lt should be noted that subsequently. thrs permtl agatn went Expired on 0'1/2412019 and was reactivated 113112O19) On lhe date of December 6 20'18, I traveled to Ms Bartenbach s residence at 5064 Ventura Ct, observing it to be a two family (duplex) structure lobserved the condition of the roof that was underlayment only. Photographs were taken to memorialize the fact no further work has been compleled on the roof of the complainant's home as of that date (512412018). whjch is approximatety six months from work date. On the date ofJanuary,B,2OiB,l was notified 3 10.C.1 Packet Pg. 235 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC MAR, Code Case Details Execulion Dale 312612019 11:'l 1:43 AM by Ms. Bartenbach (email) that they have heard nothing from My Affordable Roof and now have a leak in their master bedroom (underlaymenl only on the roo0. On the date ot Janvary 27 2018, lagainwas notified by Ms Bartenbach reference the leak and stated they have called My Affordable Roof who has done nothing. I subsequently went to the home with Building lnspector, Fred Maddox. We observed the leak and contacted My Affordable Roof (Matt Booth). Mr. Booth subsequently came to the home and after observation, relaled they would take steps to resoive the ieak. On the date ol February 9.2019, lwas advrsed by Ms Bartenbach thal lhe contractor (My Affordable Roo0 came to the home and worked on the roof, however they still have leaks. She stated she has sent emails to My Affordable Roof. During the last week in February,2018, I spoke to Ms Bartenbach in person reference the contrnued situation with My Affordable Roof. At the time, Ms. Bartenbach expressed her frustration wrth not having the contractor work at the residence since May of 2018. Also that they leak was substantial and My Affordable RooI came and never resolved the leak (which is still occurring). Ms Bartenbach stated she and her husband have decided that they would cancelthe contract with My Affordable Roof and seek a retund On the date of February 26,2019. I researched permit # PRBD20180'102349 and found that a'Change of Contractor'had been accepted. The investigation revealed that a contract was signed (10t2912O17) and a deposit provided totaling more than 10% of lhe contract price ($5,000.00-16%) The permit was issued on 112912018. Work commenced on 512412018. That said, the permit applicatlon was over 30 days atter conkact signing and the work did not commence for over 90 days after the permit was issued. Further, the contractor did no work on the home from the date ot May 24, 2018 to January 30, 2019 (leak resolution). 4 Business Management & Budget Office 10.C.1 Packet Pg. 236 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC MAR, Execution Dale 312612019 '1 1 :'l 1 :43 AIV Completed Outcome CommentsDescAssigned 12t5t2014 12t5t2018 Needs lnvestigatio n Preliminary lnvestigalion JackGumph On the date of November 30, 2018, (J. Gumph) received the written complaint through Contractor Licensing Offlce, Customer Service from homeowner, Hermann and Erika Bartenbach, 5064 Ventura Ct against the roofing contractor. The contractor is listed as Mac irar, LLC (dba) My Affordable Root (4O7-517-4767). The homeowner stated that a contract was signed on 10/29120'17 with deposits paid in lhe amount of $30,000. lnformation supplied by the homeowners indicate that they hired "My Affordable Roof' ([4AR) on or about 1012912017. fhe homeowner paid a deposit. The old roof tles were removed in May,2018 and the 'underlayment' put down. There has been no work since that time with communication with MAR being unsuccessful. I located Permit # PR8D20180102349, 1/29/2018 and listed as STATUS: Reactivated. The contractor is listed as Christopher Joseph Dutruch (dba) Mac [Iar, LLC (dba) My Affordable Roof (407-517- 4767). As noted in the permit, the'Dry-ln" Inspection has not been passed. On the date of December 5, 2018, I drafled an emailto Amanda Lairsey. CFO, Mac Mar, LLC (dba) My Affordable Roof outlining the complaint of the homeowner and requesting resolution. 12t5t2018 contrnues Cont. lnvestigation JackGumph Complete 121612018: I (Gumph) had telephone contact with Herman & Erika Bartenback. Ms. Bartenback confirmed the information in the written complaint. I advised Ms. Bartenback that I have been jn contact with My Affordable Roof owner, Ms. Amanda Lairsey, Ms. Lairsey has stated that the company will take the necessary steps to resolve the issue and complete your roof. contioues Cont. lnvestigation JackGumph 12t8t2018 1218/2018 Complete 121712018 On this date, I (Gumph) traveled to the address, observing a duplex family residence. Photographs were taken to memorialize the condition ofthe roof area at this date. Business Management & Budget Office 5 Code Case Details Req u ired 12t6t2018 12t6t20',18 10.C.1 Packet Pg. 237 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC Code Case Details Execution Dale 312612019 1 I :1 1 :43 AIV Violation Description Status Entered Corrected Amount Com ments 4.2 Misconduct State Certified Contractors Open 12t5t2018 $o Title Reason Result Compliance Fine/Day Condition Busrness Management & Budgel Oitice 6 10.C.1 Packet Pg. 238 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC Exh ibit 6 Preliminary Complaint Form 10.C.1 Packet Pg. 239 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC MAR, Grc^,vlh Managernenl Departnent PRELIMINARY COMPLAINT FORM Contrncror Licenslnt 2800 N. Horseshoe Or. Naples, fL 14104 Phone - 239-252-2431 Fax - 239-252-2169 Complainant's Name ,4, * o r^Lt ; {n -&, f.,, Lac h Date ,r- ,7 ,?or/ Home address u 1e Slate /, ztpStreetCity D Telep none A,??- 51t-311( COi'PLAINT INFORMATION: d'17 5'/lo' "se Address of Complaint: Str€et h ,"f*;le qoo --reLlt I (es {t, ZipCityState Company Name "l ov i/ oo Contractor,/Person in Charge:(\xun". * //o y i..t a- .f d//tsg UDT Dat€ ofgontract iO"1?* r ti/'lTelephone COMPLAINT DETAILS (ATTAC H ADDITIONAL SHEETS IF NECESSARY)7h nr v;{h [er/cL-a( neieh b c'-s4nd g.n* manl t/ ,la o4 e-;/t V,'ol l/ealqva- Ct vle qaqcie CaqullQ.sS phene aa t1g o *" as 4:uS fo ha,'e fb li?a<e-OV b t, {o€, ot ct n c/ e ,- s' +-- o1,,, n o./ aurde 4 $j 'k'.-'/e t'vev ies ca ul, qci',4../ rc-at -0l 7 <z uc ,-e n /- xsaL c/ay'ecl 3 -2- 4t/3 ,,y;lh k + ,,^S o( pa1trre4LS, Po1 k ') ctucl ,+{ d-'1 yl.1 ir) (o sJ 1 1. Ct .> krc o{ v4e+;4-s o'11 ( c.>t le 4"1 y- /F , \^.,! dr e ae /.f : 75t .6u j o.t , n2 t'i<7 /1ct- 7L procea KJ*t V SIGNATURE 5: a.,+/.(:.nQ PREIlft,ltNARy COMptAtNT FORM REV 4/12/78 7S - ;{ \. e ct+4 atgisl 'n,,Qn wo,e i,fi pb,r-r.- cr'( e9- rtr- Ji?/ @sy,- Ptease complete this form to the best o, your abilities. Also include with this fom any documents you would like to be reviewed as evidence for lhis case. Thi6 can includ8 Contracls, Copies o, Checks, Pennits, Liens. etc. E narl: J4ro " fr:L*'o:!t 10.C.1 Packet Pg. 240 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC MAR, Exhibit 7 PERM IT APPLICATION # PRBD2O18O102349 10.C.1 Packet Pg. 241 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC MAR, Permit Application Status - CityView Porral Page I of2 GMD Public Partal Permit Application status In order to rch€dule inspections, you !le.d to be signed in. Appliotion tlumberi PRao2oraor02l49 Appll(atlonType: Building AppllcationStatus: Reactiv.te Propcrty Ownefs Full Name: EARTENBACH, HER!1ANtl $ Eilxa Cat€Oory of Wo.k: Alter.tion Ocorponcy Code: Residentral. One and lwo rannly No, or Gu€st House Dessiption of work: te_mof due to Huricnhc lrrna 5064 VENIURA CT Apd(ationDate: O1/1?20r6 IssuedDater 01/2912018 Expiration Datei 0l/23l2019 1-2 ramily or Comm: ,-2famrly Quallii€r: BARTENBACH, HfRI'1ANN & ER](A, AddTess:5064 VENTURA CT Christophe. DLrtruch, Addressr r5€5 kennesaw Dl. DU.TRUCH, CITRISTOPHER ]OsEPH, AddTess:I585 KENNESA$I DR , Phone (352) 978'7030, Licensec r 1CC20r70002680 ticense Status I{AC I'IAR, LLC (OBA) I'IY AfFORDABLE ROOF, AddTCSs:1585 KENNESAW OR, Phon€:(407) 517-4767. Stote Reg , r CCC13ll305, License€ f 1CC2017000263r ticens€ Status Permits (ctlck to See Reviewr) 169 - Dry-in/fltshhg 170 - Re-root final Doc(mertr & Inl.g€3 oL/17t20ta otj26j2o18 or/29/2014 0y29t20ta oti29/20r8 Date ot/12/201A 01,,12/201a 41t25/20tA ft odud aporovals/lJoas (Brlrtenb.ch H r,loA.rllln Aoprication ro.m lBnrtenbr.h. 11 Ml! P..taoe.odt) Aoohcation Forrn lfrart€olra€h. t Rev Bundino Aoo - Preoared,odfl Corredions Leiter Paper - O.ltstandino Corredroos Pavmeat Slip iPR) Receiot for rransictron: 2018,007089 lns^edion ,ob Ca,d e9rot http!lcvportal.colliergov.net/cityviewweb/permit/Status?permitl d=236074 12/5t2018 10.C.1 Packet Pg. 242 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC MAR, Permit Application Status - CityView Portal Page 2 of 2 10r25/20r4 10/25,/201S EXTENSION REOUEST - O.t 25 201a 11 53_49.pdf lQJ!:nc!!t|.l2leSl http://cvportal.colliergov.net/CityViewWeb,/Permit/Status?permitl d=23607 4 t2/5t2018 10.C.1 Packet Pg. 243 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC MAR, C-atefiy Go,r$ Dknage.rErf Dqsffi AectirE must Pleose Property lnfonnation 8.5. ParceYFollo *: 8.5. Job Stre€t Address: @ Contraaot NATLEs L J'I]UU 8.7. Orrner l{,arn€: 8.8. O,vner Phooe: 8.9. Subdivisbn: tot/Bock/Unit: B.1O SDP/PUI 8.11.'Pt Fil€namer BARTENBACH, HERMANN & ERIKA VILLAGE WALK PHASE SIX LOT 814 'Optidpl- ful odtthg Fletui$u AMtt t fuEl BUI1DING PERMIT APPUCATION 28oo N. HORSESHOE DR., NAPLES, FL 34104 | TEL: (239)252-2400 Pemit 1b @razram[vdwtitglrou,nu* Ottutu}l.rrlaarrroal.r. O8.3. Euildins Type: 8.4. Permittee Type;O oeslgn nrofesstonat Contractor lnformation 8.12. Lirnse * B.r:1. Comparry Name: 8.14. Qualiffer Narne: 8.15, Contact llame: 8.16. Company Address: B.lT. Comparry Phone: 239-272-3031 &18. Fax n 9.19.a. -Ernail 1: 8.19.b. "Ernall 2: [:J-'D,ra rrr€ erm61 * yrrwy @1t,r,t nPtttd. Rrsiilnthl3,| unitsitvt#h.rity Q c*t*t u Q ortrer auBet ccc133130s MAC MAR,/MY AFFORDABLE ROOF CHRIS DUTRUCH RONNIE GRIGSBY 80400021764 506,{ VENruM 17102 ALICO CENTER ROAD i1 ffi Section C. Application lnformation C2. Permit TyIE: C3. Flrc Fermit Type: C4. ConiruAin Type; C.5. Occupancr; C.5. Wat€r Serlice: C.7. s€\.ver Servi:e: trErc E Root FI tr Etri^/Vofta8e trlshutteB []El,Eclfomhol,'e El Gas c& f}e Splhkl€d: C9. Mt byAffda/t: C10. Pri\€t! ProvUer: c11. Ihr€shold Buildint: c12 VeSffiion Cl€arin8: Clj|. Relad to DAI/AGES lNCljfiRED 8Y HURRICANE IRMA: @Ves Qno Section D. Project lnformation 0.1. Des.riptbn of Work be*tlt D.Z H€ct Name0r/0.3. Dedarcd Value: $ 32,350 D.4. R€sHe.rthlSq, Ft: Nel.r' Const. (Cdnpk A,r"o.I44tr/ Additi,l lcdq,t& aLa &D4b,) Alteration fcorlp&lr a4c./ D5. CommerdalSq. FL: New CDnst fco.4pt*as.o & D-j.b, Addition fco',pin. a5z & a5.6., AJterdtion /CdnpkEolc./ D.43, Net r Corst.6r"b,worl ArEs (&rft.) D.4.br l-ivin& or.hf NonlMng: _ TOfAi o D.4.c Wort Area (Sq- Fr) Dir.i tiving: o.4.ci. Non]Mngl TfiAL: O 0,4.d. Totab h/ Arp, t Storhs # Uritr # Bedroorrrs: f Batfu@firs: # Storie: # Units: lnterb.: Eterio.: TUTAL lnt€rior Exterior: TOTAL IOIAI},TE 0 0 DJ,a.iNan/ Co.EL 05,b. Work Area (Sq, Ft) D.S.c Work Area (Sq. Ft) 0 o Sectidn E StaffSection E.2. Nurnber of Plan s€G -.- EJ, Rerrhw Daysl wr15UL5E.1. Final Revb, oer€: Revb.d o.r€: rvz9l17 v2 This i5 pate 1 of 3 pat.s otrhe Buildint permit application. please submir all3 pages when.ompleted. Section A. Permit Number A"1. Permit C fsdtopai*r; Section B.Permh lnformation 8.1 . Primary Pe.mit B fy'q, c1. 8.2, Master Permit # fy'o',yX .1 RE-ROOF AFIER HURRICANE IRMA USING BORAL TILE SEAL. 10.C.1 Packet Pg. 244 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC MAR, oft;9-.d BUIDNG PEU\,IAPPiXrATI0I{ 28OO N. HORSESHOE DR,, NAPI.IS, FL 341q l-TEtj (239) 252-2400 I NOTICE OF COTIIER COUNTY ADDITIONAL REGUTATIONS No,ncE oF ADDmoNAL RESTRICflONS: tn addition to the requirements of this permit, there may be addftional restrisdons appllcilbleto this piopertythat may be found in the public records of this countY, and there may be additional permits required from other governmental enthies such as the Water Management Dlstrict, State agencies, or Federal agencies' wARiltNG 0F posslBtE DEED RESTRICTIOIIIS: The land subject to this permit may be subjectto deed, and other resticdons that may llmit or lmpalr the landowner's rights. colller county is not responslble for the enforcement of these r€strlctions, nor are Colller County employees authorized to provide legal or business advlce to the public relatlve to these restrictions. The landowner or any applicant acting on behalf of the landowner is cautioned to seek professional advlce' WARN|NG OF WORX llt THE COUf{Tv R!G}[T-OF-WAYS: This permlt does not authorlze constnrction or lnstall8tlon of any structure or utility, above or below Sround, within any right of way or easement reserued ior access, drainage or utilfi purposes. This restriction speciflcally prohibits fenclng sprlnkler systems, landscaplng other than sod, signs, water, sewer, cable and drainage work therein. lf such lmprovemenrs are necessary, a separate permlt for that purpose must be obtalned from the Growth Managemert DePartment. t{gncE oF ct^EAmilG RESTRtcTtoNS: The issuance of a building permtt for a slngle-family dwelllng allows up to one (1) acre of natlve vegetation to be cleared. Clearing more than one (1) acre may be allowed for aCCeSsOry structures and requires a separate Vegetation Removal Permlt' Properties located in the following zoning dlstrict overlays may not be allowed to clear one (1) acre: Rural Frlngp Mixed Use Dtrdct (RFMU), Alg Cypress Area of Concern (ACSC), and Speclal Treatment Overlay (SIJ. There may be addiHonal restrictions related to clearing native vegetation and impacs to wetlands or protected species found on'the property. State and Federal agenry permitr maY be required. Contact the Gronth Managem€nt Department's Environmental Services at (239) 252-24{10 for addltional informauon. lssuance of a Demolition Permh for a structure does not authorize removal of vegetatlon beyond the footprint bf the stnrAure. A Demo Permit is not a clearing perrnil gy initiaiizing, I am acknowledging that I have read and understand this Notice of collier county Addhional Regulatlons. (,, D lnltials Owner, or Agent of Owner, ot contmctot's initlals ore required' n irt!.d Drt.: V1d17 V.rsbr 1,ThLr is p.gr 2 of 3 prge! of th€ SutUinS permt Applicadon. pta.sr submh sll 3 p.tEs whcn @mfra!d, t 10.C.1 Packet Pg. 245 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC MAR, #s BJlDlt'IG PBMIf APPIJCAIOI'J 2so0 tl, BoRSESHOE D8.,lilAPus. R 34101 | lEl:12391252'24N ACKNOWIIOGEMEIIT OF COLU!n cou'lw RE(rulAflOlls tDl(,rho b hsttv tn dq o otr,ro " *naiiJi " ** rnd *tmor-.3 hdEdd' I 6rfv th't to u'ort n llulrtltlor lllt onnmed D.to( to dt t u.,l(' ol t pt"nf"J U* tf ** "A t" pt'tttit'd to al.rt fi 't'addt o' t[ Llrl n'uLttl ccrcuaba h tl& F;rdrafo* fU p"rmt oipelt- ft' tntyt't'! 'd;Ue'ttlf'tt ltnpord It butf to obtrln D"ott p'brlo aoirrEt{tfiE|t of @ntt rldlon' fht rrDlEi[d p.ttnt rnd/o. PcrmE tprlL'uon rrPl'G' f tot 'oo rrlrd iyltt,r' lSO dryt-tlom di' d'tc o{ ltli,.n.a Thc p'rmlBt' nnhtl !nd.rn.,d! th6r onrv non*a cgrmal'rnri te cmprora rna lhrr dlr ,tnBrE yrl[ rct b. urcd c ocarphd rird r ..rdrl(e ol o..l!.r.t lr **' ", tg""t t;;;i tpgrt.&o f tg*-th't I h,I! t'Gn nbh'd b' ri! o'n'rl"ttoltr" b Dnitit!.ornr.drr r.ftla., f-,he tttat ot Jtat t - !'ii' ftttt"-t' n f w 'lt'ooo&tio Etll'tt' lll! U flm finttiY H;rffi;;;[r * r"*, utl;*r.-*p.,6rrp.-!ts..lroltffih.t.tLrt l tuo'.r.t la lh'tl #;ffi;;;;.;;; -t a u'o-rt"ia* Jllner *rl"(Dqtrti:wi'r 'r ca'Invoodrrrld dln"s] lt it rlhrux.,looa rfto $r gmFtty oryttcr/P'mralc b lt! flmrotl't' P'ntlL Iot rt oroc|*luldlr rtcoi$ht Glhs^md 6.!d ttr o}tcf'oufi'f8dl lfom' tttto,t A. Owtllt or lGtl,T Or olla{ar rrltowlEaalEl nt c.nbra{ ti" Sn I rtl. l'3r o{ orn'7 ! lol! r coartraGl r{rh ttilon! Ovl|a, orlalnl rrrtarcor,ut 174 *tafhchrunEot (tl.m!o,wbo - Ir pa'ronlly t ol,9r, lo irlc" or who -;has - ,,odu.!d ld.rldtodoo (tvt o, Itobry ltrlau.r- 6nrartd, ln rumgi w', s..l TNT: brlorc mt "{a nJa w cr.c*io_bc lPrtl dry o, (n m6 o,paarodl e,ho lr pcaronrlt ktot rr to prldqed thry Stoltrlcr 5.rl: p|r tld,ld.strttrr n1lls . todo. o, clltlnt Ernr* OOq h t!{ul.td toa sa.soo,Eltfi .ttLln rr(.puolr. Fo, A/c etpatlt o, Rarhclorena I no0a' !d 'odutlcfiltncnt b G$rild for lmlrol/!(ll.nB mm tlun rtqmlrD S?J& r!..pe{qrt $rll f,c w$h thr lgrr4ra.uIEdq gtbr to tha furt htpa.lton.r}tr.. c.,ttt d cogyot lfir noded *oc o. . rbortrd rtrtlrlaEt lh.t It taoc h.t t*, tt dt r EEordlt,.lolltlil. rorylErloa' ln adc.l! .o Pr, rrtl or. tht rtqrrsDt & Flt{B vrtfl br Dhc.d ti hrFctton hold ur{I FDol ol dr ,(rc b fl.d vl{! th. Mlrr Fri rlaa .nd lotFdtoo dlf,rtlnnl Ih. Btut E !t 0todtY rhrl not fctfotm oi .PPto[ *5rc4lr.if htPlatloor lodl tfu |Pt[.!nt t Gt !y nr[, fr!!dl', hand d.$trrr qrEl, ot..ry oatE mt'4t sldr r GanlEd Gogy rl$ lha Brul4.dhodt , WARIIING TO O$INER: YOUR FAILURE TO RECORD A NOTICE OF COMMEITICEMENT MAY RESULT II{ YOUR PAYING TW}CE FOR IMPROVEMEilNI TO YOUR PROPEfrTV, IF YOU INTEND TO OBTAIN RI{ANONG, OONSUITWIITI YOUfi LEI{9ER ORAN ATTORNEY EEFORE REC]()RUNG . YOUR NONCE OF CC'MMENCEME ff. A NOTIG OF COMMEIICEMEITIT MUST BE RE@RDED .' AND POSTED ON THE JOB SITE BEFORE IHE TIil'T "{SPECNON.tntl.:+l6rra r.bFr3ottFFol0.tut$thn*Apt&.tb[ftlartcttdllrcrrh.n.o,arLt.d. rxa rrt vt0^ tlolr, t.Ut! - Sbt ol Fbtlrr OofllLlho , tf e01US i4y Coao, tt lr.. Ul, 19.2020 5ttei;€r AD(A LTE YI.GA llol.ry Pllllc . Suh ol fbridr CotsrbthD , tt 99t528 MyColnm. ErDl .3 Mry ,9.2020 NOIICE OF @MMEIICEMENT 10.C.1 Packet Pg. 246 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC MAR, PI.]I{}II'I'#: ISSUED PRBD20l80l023490l BY: PERMIT PERN'llT'IYPU: Ro APPLIED DATE: 0l -12- l8 COA:MAS'fER #: JOI] ADI)RESS IQB Dt]SCRIPTION Re-roofdue to Hurricane Irma 5064 VENTURA CT AIPROVAL DATE: 0l-26-l 8 RIGHI' 5064 Ventura CT SUBDIVISTON # FLO o ivtA P FOLIO ll: 80400021764 OWNER TN}'ORM ATION BARTENBACH, HERMANN & ERIKA 5064 VENTURA CT NAPLES, FL 34I09. REAR: CONTRACTOR INFORMATION: MAC MAR, LLC (DBA) MY AFFORDABLE ROOF 1585 KENNESAW DR CLERMONT, FL 347I I CERTTFICATE #: .No r.rcENsEb PHONII: TOTAL RES SOFT: 0 TOTALCOMM SQFT: 0 LEFT: WATER: Pcr Collier County Ordinance No. 2002-01, as it may be amended, all work must comply wilh all applicable laws, codes, ordinances, and any additional stipulations or conditions oflhis permit. This permit expires if work authorized by the permit is nol commenced within six (6) months from the dat€ of issuance ofthe permit. Additional fees for failiDg to obtain permits prior to thc comrDcncemcnt ofconstruction may be imposed. Permittee(s) firrther underslands that any conlractor that may be employed must be a licensed contractor and that the structure musl not be used or occupied until a Cenificate ofOccupancy is issued. NO'TICE: PRIOR TO THE REMOVAL OF ASBESTOS PRODUCTS OR THE DEMOI,I.IION OI..A SI.RUCTURE, FEDERAL AND STATE LAWS REQUIRE THE PERMITTEE (EITHER THE OWNER OR CONTRACTOR) TO SUBMIT A NOTICE OF THE IN',I'ENDED WORK TO THE STATE DEPARTMENT OF ENVIRONMENTAL PROTECTION (DEp). FOR MORE INl,'ORMATION, CONTACT DEP AT (239) J44-5600. 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 addilional prrr ils lequiI'ed floru other govet ntrtental elrtities such as watcr maDagenlcnt 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 BEFORB RECORDING YOUR NOTICE OF COMMENCEMENT. FC(] CODE: CONSTRUCI ION CODE: 0220 JOB VALUE: $32,350.00 SETBACKS FRONT: SEWER: CONTACT NAME: CONTACT PHONE: COLLIER COUNTY BOARD OF COUNTY GOMMISSIONERS JOB PHONE: BLOCK: ZONE: ELEVATION: SECTION-TOwNSHIP-RANGE: 6"49-26 LOT: 10.C.1 Packet Pg. 247 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC Exhibit 8 Contracts 10.C.1 Packet Pg. 248 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC MAR, fr YAFFOftDABLIOOF.CCIrd i Il'| I ,,-E RMAN'{ E. EABTEf{BACl{EI KAJI. BARTEflSACH ,\l^l4l'i..|! Xttli1 ;ta Li) \7 li! :l; .,11i . i I i I lrt.) .:,ra*i.,, f -Slt 7 {nu d 115l,l,r.i, l |rk, Xrrrr.!r,colrtiv.r: iltrlt llrr{rrr. (2J9, :tr&56f 9 I lt'nrlr (.rrr <'r l9lOi 7n0.4rt91 tile roof rcplncrt[enl down to a cLat 'r6nrao, Cham up ad &rpod h damagai wulJ d*ahiog al a prics oft50 perrica" AIt riti .,i i i. r iir I ..1lrti\ :i t'1 t-l ttt r..., f. x,364 ,J l'hsr, r* yoo Ior OE oppoan4lb. b ry y^, ot;i. Fafcsrirynj scrvice.r aryJ rccommrzdairxr;.rrxf i*;poaion MyA.rlltd$bfodoftnrt, rtu"_a'prfi*iir" v"_ " ";a_"ir . Bared rn orrra rt ! ririr l E runorcd .rd rpbcrd lhc dccfing rcrLccd raba 4.-- rb 10.C.1 Packet Pg. 249 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC MAR, Y AFFORDABLEROOF.COM Date: 10-28-2017 Erica Bartenbaugh 5064 Ventura Court Naples, FL 34109 Assigned Field Representatives: Matt Booth- (239) 208-5619 Ileath Gover- (910\ 280-0997 Proposal Thank you for the opportudty to offer you our professional services and recommendations. Based on our recent site visit and inspection My Affordable Roofoffers the following proposal for your consideration. Scope of Work Zero mairtenance, clay tile roof replacement l - Remove exisling tile roofing system and underla)menl down 10 a clean substrale. Clean up and disposal in accordance with all applicable laws and requirements.2. Full deck inspection ofclean substrate to ensure all damaged wood sheathing be removed and replaced. These charges will be in addition to contract amount at a price of $50 per sheet All decking replaced to be fastened in accordarce with code (8D nails, fastened 6" on center)3. Fumish and install Polystick TU underlayment to entire roofing substrate-4. Fumish and install metal anchors fastened to substrate l2', on center, on all hips and ridges.5. a"*F\rrnish and install custom Yalley metal, in all valleys. Valleys to be sealed with cemert and reinforcedwith EPDM rubber. 6. ***Furnish and install new vents where applicable for maximum ventilation flow.7. Fumish and install custom drip edge around entire perimeter-8. Fumish and install matching tile risers on all eaves.9. Fumish and install H.O.A. compliant clay tile to entire roofing surface. 10. Fumish and install matching hip and ridge tiles fastened to installed anchors and sealed with new mortar. Totat Cost-$32Jso VtA FL License #CRC1331408 # ccc 1331168 10.C.1 Packet Pg. 250 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC MAR, Scope of Work: C lay tile roof replacement, open concrete valleys ToEttIEt---SZt739- PROPOS AL ACCEPTAT{CE I . Remove existilg tile roofing system and underlayment down to a clean substrate- Clean up and disposal in accordance with all applicable laws and requirements. 2. Full deck inspection oiclean substrate to ensure all damaged wood shealhing be removed and replaced. These charges will Le in addition to contract amormt at a price of $50 per sheet. A1l decking replaced to be fastened in accordance with code (8D nails, fastened 6" on center) 3. Fumish and install Polystick TU underlayment to entire roofing substrate' 4. Fumish and install metal anchors fastened to substrate 12" on center, on all hips amd ridges. 5. ***Valleys installed as is with open cut concrete. 6. ***Furnisb and instatl new vents in locations they currently exist 7- Furnish and install custom &ip edge arotmd entire perimeler' 8. Furnish and install matching tile risers on all eaves. 9. Fumish and install H.O.A. compliant clay tile to entire roofing surface' 10. Fumish and install matching hb and ridge tiles faSened to installed anchors and sealed with new mortar. Notes: A. O* ptoposal is valid for (30) thirty days from the above date' B. Our proposal includes all applicable taxes and permitting fees' C. My Affordable Roofing is iicensed and insured in both general liability and workers compensation. p. *+iy6ur fislj representative is your direct point ofcontact througho,t this process. Terms: ii fJuy-"rrt il] the amount of one thfud due at acce?tdlce of contract. Second payrnent in the amomt of one third due after the ioof has been inspected for proper dry in- Balance to be paid in full tpon completion rmless buyer h8s not yet realized their roofing replacement cost benefits (depreciation). In this case, the account will be paid in full upon completion, less the-amount ofthe associared deprecation. Once homeowner receives this deprecation amount, il is agreed to be paid to My Affordable Roofing at thal time. ilt g E*L"a<. o,tz- /0-d?-12BUYER SIGNATURE & DATE: CONTRACTOR SIGNATUR-E & DATE: o-d 10.C.1 Packet Pg. 251 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC MAR, #" AFFORDABLE fL Licease: *CR'Cl33t3O5 AisigD.d Ft H R.frcreolrtiy6: Mrtt BoorL <239>20&5619 ilrat@.Er.rtrordrbhroo('coE llt AffoBLble Roof 17102 Alico Call.r Rd Fort M]'ers Fl- 33967ROOF.COM Proposal Name: Herman and Erika Ba(enbach Address: 506 Ventura Ct. Naples, Fl. 34109 Thank you for the opportunity to offer you our professional services and recommendalions. Based on our recent site visit and inspection, My Affordable Roof offers the following proposal for your consideration. Scope of Work Zero maintenatrce, clay tile roof replacement CAPRI MODEL DT PLEX SPIJTIts I - . ' Remove existing tile roofug sysem and rmderla)rment dowD to a cleatr substralc. Clean up and disposal in accordance with all applicable laws ald requirements. 2. Full deck inspection ofclean substrate to ensure all damaged wood sheathing be removed and replaced- These charges will be in additiotr to cont.act amount at a price of $75 per sheet- First l0 included #3. Furnish and install Complete secondary water barrier system OVERLAPPING ALL METAL EDGES .PTOdUCI: CERTANTEED FLINTLASTIC MOD BIT CAP SHBET OT horneowner approved like kind Fumish and install metal anchors fastened to substrate 12" on center, on all hips and ridges. Fumish and install custom valley metal, in all valleys- With W metal upon Homeowner request Fumish and install new vents and lead pipe flashing where applicable. Add one 4ft off Ridge Vent Fumish and install custom drip edge around entire perimeter. Gutters Renoved and Replaced After Job Completion Maximum Hold Back on Final Palment for guEers: $3500.00 Replaceme ofRotten Sub Facia Expo3ed by gtrter removaL ADD Metal Prot€ctive Barrier to Sub Facia After Roof Dry in. Furnish and install matching tile risers on all eav€s- Fumish and install H-O.A. compliant clay tile to entire roofing surface. T)?e: Santa Fe Village Walk Tile To Be Fastened usitrg FOAM ADHESIVE and A Screw ln EACH TILE. Fnrnish and install matching hip and ridge tiles fastened to installed anchors and sealed with new mortar RE-Nail decking to meet curctrt Florida Building Codes Repair and paint dry wall in Larmdry room after roof is dried in: Provide all materials and labor/remove and replace Laund4r Machines. PROPOSAL A CCEPTANCE Homeowner name print:Contractor Representative: _ In-surance Co: Claim#: 4. 5. 6. , 7. -tfb*. *10. 11. 12. *13. 14. l5_ *16. SI(INATI]IIE:D^rr,3'2-/f Total Cmt-Full insurencc Proceeds (RCV) For the scopre of the Tile Roof inchding supplements and depreciation Payment: $15,fi)0.00.Deposit($5,000 Rcceived t0lt9l17 Check #t014 $15,000.ffi_upon comoletion ofI)rv in.clecl # /olg. {^/ooo2. Pe.hrcl ga-B . +c/e:"l# [oio-/7iom.r, .y-2rLg ,, Final PayDenl to be_th_c total ofRecoverable depreciation aud sripplemenls paid by'the rnsurance companv. --h A All payments shall be made directly Io My Aftorda-blc Roof lf imurance Final depreciation accepted al recovery \I.,,q B. My Affordable Roofwill submit final invoice to rhc insurance compary ro rclease necoveraute depiec-iail?i"ili", *rr*,ff Additional info: 10 Year Labor Warranty Lifetime Manufacturer's provided warrantv on tile %"trd 10.C.1 Packet Pg. 252 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC MAR, 1-\FFORDABLI OOF COM ilii#il:,ilifiitrf", l4al-t 1.,, | | 111ttu Hl!r",tf /'ra' * \ fnrrr, ---- " F,".1-,{,tdl- ro t ? I rrl ['rl t I li r{r r,rr.|tu(rta}r\llrtr llikrlh rl.ie, ltrS lt6l9 , r.rr r, r.,,r', (.t||t 2m4,4.t I i i : I I .ail, f 'J'/'' / l'rlrprrrI, I hrlrl -rrrrf ,.r t E opporrunrry to o{lq y.r, .rB grcrcarird taryirt. rrrd ,raqrrErdfi).E. B.rGd (.*r .i, ,!aa lrE yij,irx, ir)rt Gcrion My Aflbrt0lc Ruf .tir^,t. i.Ilogfrf e-d?i* r*a-*gr ScoB d f.r+ Z-! -a.-.+i, & rrrf nphcacr dqro bacl6 rilrr.. Ckan up ardrr+orl; bc nrucd ad rplrod. Tnerr dccfiry reflrtd rr bc hnarad n ad ri.trs. Y :------ d z l'ic. il rtl vrtbyr ."6tor rrd rti[kEd 10.C.1 Packet Pg. 253 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC MAR, Exhibit 9 Check copies 10.C.1 Packet Pg. 254 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC MAR, HEFMAT{N E. BARTENAACH ENIKA i'. BABTENSACH 5064 VENTURA CT NAPLES, FL 34109 €3-9r r/o & 1017 uq-/-t:c?:4 $ fug,-- o0 loa a *.-- SEverBank. -t-3 ,'l.t.l- _ €&baay'.L---.-:I _Jl? Print Vieu Page I oi I Io 2o ,a a9 4A1z lo a5:-{ *6 t ..- ,! 1i :a R.5 https:i/ii. fi sglobal.com/iilPrint lntagev2. jsp 312712019 le ,r,,,"&tLteA)2ry ! 10.C.1 Packet Pg. 255 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC Print Vieu'I)age I ol'I A-llss Y' ?*.L--4oda rrJ l8 ala lluereank. a" 'oo /00 e-pPE &wtw 6 *:: HEBMANN E. BABTENBACH EBIKA'M, BAATENBACH 506,I VENTUBA CT NAPTES, E 34109 n- '- a-{21!/6i0 sa 1018 i ! I I c '.,1 c c ! 'i,'r, "L a_ https://ii.fi sglobal.comiiilPrinrl magev2.j sp 3i27t2019 $ /eaa* 10.C.1 Packet Pg. 256 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC Print View 6-9r1l& lo to ao & i. {:f1'd 4L x' to20 E---E ,i*E g 3--/"- Z, $ /i-cwa,--- HEFMANN E. BARTENBACH EFIKA M. BABTENBACH 5064 !ENruRA cr }IAPL€S. FL 34IO9 :: -zlff,n a ,-..- o i -1,<!r3 Tf Ego,2 8E.ll o For Deposit Only - JPMC E !: J ,!o a'o: '@h ,o{ 1t.a =z ltt 3 3t27t2019 https:/iii.fi sglobal.com./iilprintlmagev2. lsp Pagc I ol' I t Eve€ank. S=.L=fua* 10.C.1 Packet Pg. 257 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC MAR, Exhibit 10 Cancellation of Contract 10.C.1 Packet Pg. 258 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC MAR, d"" AFFORDABLE ROOF.COM 'E-Fax (all offices) 80G.52G.44O3 'Ioll Free 833-345-RooF DaytonaOffice 121-27+^76f.3 Ft Myers Office 239-747-7&3 Jactrcnvllle Ofhce Wt-447 -7 663 Key West Office 305€:|+76G3 lnfo@myaffordableroof.com JOS ADORCSS Ii{SURAn CE CO. AOTUSIER ct ltt r PHO}IE DAIE e REPRESEITATVE 2tt ss y 1t?/3/2 8n c _rod+ l/eoTura Ceu F/ t- cu9ro &EI tt ADoiEs5 PROPOS t Slr$lrmo1o Wc h.nbr 3ubmlt apcclficrdom and rrdrnrtcs Soc El Layo'\Berlstlng O lnltall- wird turblnes Cl Tear off- layen ofshlnglcr 0 lnstall _ alr ventt O lnstall ft ofridge venr 0 lnstall_drlp edge as needed. Colo, _-O Clean up and haui off.oofng debrijfl Run magnet roller over yard tir _ U Protect land5(apingwtl( Q Wood damag€ (lf needed) at exrra cost to (urtomer 4, x B. Oeddng S_ per sh€etl' x 8' or 'l' x l0' S per 6oot O Homeowner authorizeeiob sign in yard E ttew{x., C" ),Ear fi berglass sHngles /,!:Z,ezrt,le tlsp 5,fu7/1 FFO Syc.nd color (orlite klnd) sPlct L 1t{STnUCINr}15: O ead ddhiond kyrr at S_ /sguare O llcw - lb. f,rft rs ne.ded E flat roofing system.hodified/roll roofing r/',/t ti< EINew clos€d vallcv ., ^O lukont-No;SL OfRcplace vem fashings: 2'- 3'- 4'- Ariod.U. nc6rE k ,Er ErporBlble b. .l'y (r.(bd or broten &trrryr-yarbal rr.darrr.diq .,ld .rranEot! wlrh lfprt ntattvr d|t[ mr b.t rdtner All ultd.r*.nd&tq .nd .gl! nrnar murt b. ,.r rorth h wldrlg on 6b <oai.act Plrtha!.r aera!:r @ ramo[ bar*abLr frorn orBldaw.lk of horna durtng lnr!.ll.rbn o, worL C{trtoana, agEat to aaty altaradon o, dcairtbn frffirFdtaatlcn abdr tnctu(t{ Gflr. con w b..'f*Ed upon w'ltt n o.d.ft urd wt b.<ofn sddltoi.l <hrng.o*r.nd.bo\. dE(oitrld p.k . AIp.,i on lo b. rrd. rolcty to fry Arnod.tt Root o 50* d.godr 25t coafir.rEnraif, ,5f cordldon El lnrrr.rra daltr I. 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Oo not .trrt rort Ho''-l!nar rrrrtl .pF!r.a by I CASH PRICE Drportr $ /$OOa o NI 6.a r-./ ,.,/ /.r Torrl s cor.IR|cr0Ypq,ry.RncwfffiEN oF ilt€ THnD gusia€ss oly ArrEn c ,r(Et 3 UYEil,EGHTIO <A CEt:8I.IYER CANC€L TXIS NOIICE rc sEutnIH'Al IIME Pfroi TO lllof{6HTllttDAIEof THts IMt{SlCTtOtr-Bt,YER usE T}lls IHA]col{TR ct AS NOIKE SYWnmN61HEflEfYtltEATAXOBOnOr!.|ADO|l.lc BUYEIrS Al{oNAME ADOfit5s.AFITS 3RDTHER€oY,yr!,I 8E 2595 c^r.rcEu.anoi FEE S]GNATURE Bontaornar 5rcNAruRE r8 a ()t rqtn rrshlp, ,hbhdhrm o. orlw oun GUARANIEEn..,,r!9 In thrr b.trd.d&.r "xtaod .9.inntoothard.m.fa (aula.ry hx noth.bdfrg.llrrrt d lo fromd.h.gc ottlrIhlr rradat ke,to tho 09htdllpak rl0,httaaloa h.t '.aof ttru6ura.ATITHINT llo otr*t ETHIiwAiiAtntc5,ortIPlassf,o 8YflruEDPartn ,!t AfFOiOAt!t N@flNGdl€p lnpaymant tuI b du.tlk ildt t+tull k ALL (RIDIT CN RD PAi UVr5 tt l t. [.icl.lB A Ar)t),ItoNA L :.5". t BoctSstN6 fUJ rQ.-cAg-'r-,rte-( gbct c,G.ler o - rr =-'-a!.r rflltiifififf-l r'bv E /'a?-17 I - Naples Offrce 239-747-7663 Orlando Office 4r7-2167fr.3 Palm Beach Off ce 561-325-763 Port St. Lucle Ofnce 772-242-2663 Sebring Office 803-269,7663 Tampa Of6ce 813-27&16f;3 FL Llcense I CCC I 33 I 305 ta r.ld. d.&r.Belencr 5 10.C.1 Packet Pg. 259 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC MAR, Exhibit 11 Photographs 10.C.1 Packet Pg. 260 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC MAR, 7 I = E --- ) ,r-fi>- -// &,rY );.,..,ti ffi I -r-------=- ET 10.C.1 Packet Pg. 261 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 a t-rt u I v /r u I III 5Ctt T t! i \i( ' :. I q it:r, a l, li,i ,f, l, n I l. ;IJ l. .t ) ,1 (,1 ! tt I / ; ,/ T /r' \n , I j ; .,d I l 1 I',i I ]A 7 I I / /i i # i I I l- I ).---.t l. m \\\ ( ti, ir, \ -i\i*' ii''i, f., ^: .+t 10.C.1 Packet Pg. 262 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 Bartenbach master bedroom Water leak stains Water leak sta ins sta ins 10.C.1 Packet Pg. 263 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC Bartenbach Master bed room Water leak stains 10.C.1 Packet Pg. 264 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC MAR, Exhibit 12 Ema ils 10.C.1 Packet Pg. 265 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC GumphJack From: Se nt: To: Subject: Attachments: Erika Bartenbach <friekerich-eb@peoplepc.com> Sunday, January 27, 20L9 8:04 PM GumphJack update on meeting My Affordable Roof P1050582..iPG; P1050583.JPG; P1050586.1PG; P1050584.JPG; P1050585.JPG 18.00 clock, sunday Good afternoon on a very rainy sunday afternoon! Jack, please give us the very latest info about your meeting with my affordable roof.attached foto is self-explanatory. Thanks for fast answer! We are desperate!l!! Erika and Hermann Bartenbach 5064 Ventura Ct.Naples 1 10.C.1 Packet Pg. 266 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC MAR, G u m phJack From: Sent: To: Subject: Erika Bartenbach <friekerich-eb@peoplepc.com> Monday, January 28, 2019 6:35 AM GumphJack 5064 ventura ct naples EMERCENCY EMERCENCY EM ERCENCY jack, we can not use our bedroom - rain is dripping into our beds --we had to move into the spare room last night WHAT CAN WE DUE ???????????????? DESPERATE __-ERIKA 1 10.C.1 Packet Pg. 267 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC G u m phJack From: Sent: To: Cc: Subject: Erika Bartenbach <friekerich-eb@peoplepc.com> Saturday, February 09. 2019 5:39 PM David Boggs GumphJack 5064 Ventura Ct roof DAVID As of the meeting on Jan.11 YOU and several other people (Amanda Lairsey, Jack Gumph, Bobby Fields, Kevon Dennis, Clarissa Delacruz, Evy Ybaeta, Jonathan Walsh Byron Jacobs, Robert Moore)were ln attendance. Our name was first on {o be done list- afler finishing the roofs on lsla Ciudad and EI Verdado. These roof are completed which the county inspector told us. Please verify that we are next in line by giving us a tentative beginning date. Thanks - Erika Bartenbach 5064 Ventura Ct 1 10.C.1 Packet Pg. 268 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC Gum phJack From: Sent: To: Subject: Erika Bartenbach < friekerich-eb@ peoplepc.com > Tuesday, lanuary 08, 20L9 12:42 PM GumphJack meeting this morning at ventura ct naples hi jack, following up with above meeting this morning. - Erika and Hermann bartenbach, 5064 ventura ct. my affordable roof - Could you please let us know wheter there was an collier county inspector at our place for the work done already.( the underlayment was done but we never seen a sticker for inspection. Thanks for your answer. erika 1 10.C.1 Packet Pg. 269 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC G u mphJack From: Sen t: To: Cc: Subject: GumphJack Tuesday, January 08, 2019 12:53 PM Erika Bartenbach GumphJack RE: meeting this morning at ventura ct naples Here is your permit... as you can see, there has been NO Inspections... Can you tell me when it was put on the roof and I will address with Ms. Lairsey. Property owne/s Full Name: Category of Work: ocrupancy codel Descnption of work: AARTE AACH, HERIIANN & ERIXA Alteration R€sidential, Ooe and Tryo Family New or Guest House Re-roof due to Humcane Irma 5064 VEr'ln RA CT oLl12t20fi 01/29170t8 ot/2312019 1-2 Family Applicatioo Date: Issued Dater Expiration Date: 1-2 Family or Comm: I Locations - ) Contaats ) Perrnits (Clic& to Sbe Reviews) ) Fees t Deposits & Bonds ' Inspections 169 Dry-in/Flashing Pending lnspe ctor: Email: l70 - Re-roof Final Inspectori Pending Emdili N1A Jack Gumph Compliance Officer, Contractor Licensing Collier County Growth Management Department 2800 North Horseshoe Drive Naples, FL 34104 239-252-2a68 pfficel 1 I i t I i-.r I 10.C.1 Packet Pg. 270 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC 239'438-5195 (Cell) Jack.G um ph @ Co llie rco u ntyF L.Bov '----Original Message---- From: Erika Ba rte n bach Imailto:friekerich-eb@peoplepc.coml Sent: Tuesday, January 08, 2019 12:42 PM To: G u m phJack <Ja ck. G u m ph @ collie rco u ntyfl.gov> Subject: meeting this morning at ventura ct naples hijack, following up with above meeting this morning. - Erika and Hermann bartenbach, 5064 ventura ct. my affordable roof - Could you please let us know wheter there was an collier county inspector at our place for the work done already.( the underlayment was done but we never seen a sticker for inspection. Thanks for your answer. erika L,nder Florida Law. e-marl addresses are public records. lf you do not want your e-mail address released in response to a pUblic records request, do not send electronic mail to this entity lnstead, contact this office by telephone or in writing. 2 10.C.1 Packet Pg. 271 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC G u m phJack From: Sent: To: Subject: Erika Bartenbach <friekerich-eb@peoplepc.com> Tuesday, January 08, 2019 1:10 PM GumphJack RE: meeting this morning at ventura ct naples The underlayment was put on 5-23-2018- matt collected the check of 15 000 the next day ( as of contract the 1 5 000 was due to completion of dry in ) thanks for bringing this up with ms.lajrsey. --Erika PS - we have a leak in the master bedroom I ---Original Message---- From: GumphJack Sent: Jan 8,2019'12:53 PM To: Erika Bartenbach Cc: GumphJack Subject: RE: meeting this morning at ventura ct naples 1 10.C.1 Packet Pg. 272 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC G u m phJack From: Sent: To: Subject: Jack, sorry I answer your e-mail so late We have nothing more to say - only, that we NEVER PROVIDED MAR WITH A SIGNED LETTER STATING THAT THEY OWE US ZERO MONEY AND WE OWN THEM ZERO MONEY. We very strongly believe that a refund to us would be in order. Jack, we very much appreciate your bringing our siluation up during the Contractor Licensing Board on April 17 Thank You! Erika ---Original Message--- From: GumphJack Sent: Mar 14, 2019 8:51 AM To: Alex & Bonni , "klppercole@gmail.com" , Erika Bartenbach, "ciaocon@aol.com" , "topd@aol.com,, , ' PSventura@aol.com" , 'limnmm@gmail.com" , Denise Petillo , "kimbennek@aol.com" , ,'kjbuff@aol.com,, Cc: Pierre Grauel , GumphJack Subject: My Affordable Roof - Refund Good Morning all, ln a continued effort to further the conversat,on to refunds for all the homeowners who canceled with MAR, I recently sent an email to MAR (Amanda Lairsey) inquiring of refunds to any of you in Village Walk. As you will see (below), Ms. Lairsey replied to me that you (all) had provided MAR with "Letters', stating that MAR owes youno monies and you own them no monies. lf this is accurate, I would like to know how this was presented to you and would like copies of the "lette/' that she is referring to. lf you have a differing opinion as to refunds youbelieve you deserve, I would like to know that also. 1 Erika Bartenbach <friekerich-eb@peoplepc.com> Sunday, March 24, 201-9 5:28 PM GumphJack Re: My Affordable Roof - Refund 10.C.1 Packet Pg. 273 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC Tha nk you again, Jack From: Amanda Lairsey <ama nda @ myaffordableroof.com> ... "They all sent letters saying that we owed them zero money and they owe us zero money. Is there someone specific you are referring to? On Tue, Mar 1.2,2OL9 at 1:19 PM GumphJack <Jack.Gumph @colliercountyfl.eov> wrote: Please advise if there has been any refunds to those homeowner's in Village Walk who have changed contractors. lack Gumph Compliance Officer, Contractor Licensing lack Gumph Compliance Offi cer, Contractor Licensing Collier County Growth Management Department 2800 North Horseshoe Drive Naples, FL 34104 239-252-2468 {Office) 239-a3B-s 19s (CellJ Iack.Gumnh@CollierCountvFL.pov Under Florida Law. e-mail addresses are public records. lf you do not want your e-mail address released inresponse to a public records request. do not send electronic mail to this entity. lnstead. contact this office bytelephone or in writing. 2 lf you have copies of the form/letter, would you please forward with the information. As you know, we are scheduled for a Hearing before the Contractor Licensing Board on April 17, 2019 and would like to present to most accurate information possible on how this company operates as it relates to you, the homeowners'who were left without your roof completion. E 10.C.1 Packet Pg. 274 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC Exhibit 13 New Roofing Contract (new company) 10.C.1 Packet Pg. 275 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC lr abovt All Roofitl! co.fflor LLc 39la r*i*i tir x pvsr:2s NEplGs FL l{ I 01(zlc) roz.:Di- rbovcellrco,fi n jmofi rg@gmri Lcom Paul Brunton Fla. c6d. rcccl33i25E Tile Roof Replacement - ContractAsol'E Ar,L RO0FIN(; r-r-t NASMLLE ' X,XOXVTLLL' NA -trS Nv JOB' fuyiarn Tar'lr.r 10.. Dr d Sh.atg /OI O.a rao.r dultY o( aa. Fird .tlor,tt dl.E uDoo comPlclirn. 0.f Sllh..g. lor p.rma.L mtd. vlr ctldil rsd) **g 8.,-L-,-4not, 6l P TO Va.gc lr* G.ols Rlb Cagd Stlta Ho.ia Accsptsd Dale Cuatomer Mr & Ma. Barlenbach 5OO{ Vsntura Court Napl68, Florida 34109 239-5S4-3191 ACT1VITY Tih Roo( lnEtaltaton 1) Provldo and irBlall custom lauic€ted valley m€tal lo dl valloys 2) Provide and |tl.glan +prov€d white rdal bird 6top. ii pro.riOe u,O insta0 Saha Fe Spanlsh S-styts day rool syslem in spproved colot Uend ';Att tite to be medrarscaly anadled using g6tvanized sctsrvs' 4) Pro\rts8 and lnstatl day NP ald rug€ cap9ing . Nl hip & ridge to b€ loam set and mschanhalv anach€d usir! galvanized sc{€tYs, thsn mottar dresssd' 5) Fhalclean up 8nd site walk thouoh aftsr tool completiotl' 6i A pormltdng to bs pulled by Abo/e All Roofing' 'j5 Ydar work;anstip tYarranty on all work por'ormed' TOTAL AT,OUIIIT r8,750.00 $18,750.00 hgrqDrthnrdS3EO (- aQ- t 1d2 q \ret' OAIE 12n7lm1A Taa, ot rd $dacD Yrlh cffiA! Ua rootrE rytLtn-Discount price = $17,500 10.C.1 Packet Pg. 276 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC Exhibit 14 Collier County Ord inance 2006-46, 4.2. and Florida Statutes 489.L26 10.C.1 Packet Pg. 277 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC COLLIER COUNTY ORDINANCE NO. 2006-46 AN ORDINANCE AMENDING COLLIER county ordinance NO. 90- 105, AS AMENDED, THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD ORDINANCE PART FOUR: STANDARDS OF CONDUCT AND DISCIPLINE 4.2, Misconduct -State Certified Contractors The following actions by State Certified Contractors shall constitute misconduct and grounds for discipline pursuant to Section 4.3 of this Ordinance. 4.2.2. Willfully violating the applicable building codes or laws of the state, City or Collier County. 10.C.1 Packet Pg. 278 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC The 2018 F1orida Statutes Title XXXII Chapter 489 View Entire Chapter REGULATION OF PROFESSIONS AND OCCUPATIONS CONTRACTING 489.126 Moneys received by contractors.- (1)For purposes of this section, the term "contractor" includes all definitions as set forth in s. 489. 105 (3 ), and any person performing or contracting or promising to perform work described therein, without regard to the licensure of the person. (2)A contractor who receives, as initial payment, money totaling more than 10 percent of the contract price for repair, restoration, improvement, or construction to residential real property must: (a)Apply for permits necessary to do work within 30 days after the date payment is made, except where the work does not require a permit under the applicable codes and ordinances, and (b)Start the work within 90 days after the date all necessary permits for work, if any, are issued, unless the person who made the payment agreed, in writing, to a longer period to apply for the necessary permits or start the work or to longer periods for both. Friday. Mar 01, 2019 03:21 PM 10.C.1 Packet Pg. 279 Attachment: CASE 2019-04 – CHRISTOPHER DUTRUCH - MY AFFORDABLE ROOF (8574 : CASE 2019-04 – CHRISTOPHER DUTRUCH - MAC 04/17/2019 COLLIER COUNTY Contractor Licensing Board Item Number: 11.A Item Summary: WEDNESDAY, MAY 15, 2019 Meeting Date: 04/17/2019 Prepared by: Title: – Contractor Licensing Board Name: Lilla Davis 04/04/2019 3:37 PM Submitted by: Title: Supervisor - Operations – Contractor Licensing Board Name: Everildo Ybaceta 04/04/2019 3:37 PM Approved By: Review: Contractor Licensing Board Lilla Davis Review Item Completed 04/04/2019 3:37 PM Contractor Licensing Board Everildo Ybaceta Review Item Completed 04/08/2019 2:20 PM Contractor Licensing Board Everildo Ybaceta Meeting Pending 04/17/2019 9:00 AM 11.A Packet Pg. 280