CLB Agenda 04/20/2022COLLIER 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 20, 2022
9:00 AM
Kyle E. Lantz, Chair
Terry Jerulle, Vice-Chair
Matthew Nolton
Robert P. Meister, III
Patrick G. White
Richard E. Joslin, Jr.
Todd Allen
Elle Hunt
Stephen M. Jaron
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 proceedin g,
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 MINITES MARCH 16, 2022
5. PUBLIC COMMENTS
6. DISCUSSION
7. REPORTS
8. NEW BUSINESS
8.A. ORDERS OF THE BOARD (22 ITEMS)
8.B. HUNTER K. JONES – REVIEW OF EXPERIENCE – GENERAL
CONTRACTOR-REGISTERED - HOOKS CONSTRUCTION LLC
8.C. JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W/ CONCRETE
CONTRACTOR
8.D. JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W/ CONCRETE
CONTRACTOR
8.E. ALEXANDER U. RAMOS - REVIEW OF EXPERIENCE - IRRIGATION
SPRINKLER CONTRACTOR
8.F. YASMANI BALCAZAR VACA – REVIEW OF EXPERIENCE - INSULATION
CONTRACTOR (BUILDINGS)
8.G. DUNIEL M. BUSTO – WAIVER OF TESTING - SWIMMING POOL CLEANING
ONLY CONTRACTOR - POOL MD, INC.
8.H. DUNIEL M. BUSTO - REVIEW OF CREDIT- SWIMMING POOL CLEANING
ONLY CONTRACTOR - POOL MD, INC.
8.I. JACK T. GRIFFIN – SECOND ENTITY APPLICATION - PAVING BLOCKS
CONTRACTOR
8.J. VINCENT J. LA MANNA - SECOND ENTITY APPLICATION - TILE &
MARBLE CONTRACTOR
8.K. VINCENT J. LA MANNA - SECOND ENTITY APPLICATION – FLOOR
COVERING CONTRACTOR
9. OLD BUSINESS
9.A. LUIS G. PATINO – REVIEW OF CREDIT - SWIMMING POOL/SPA
SERVICING/REPAIR CONTRACTOR
10. PUBLIC HEARINGS
11. NEXT MEETING DATE
11.A. NEXT MEETING DATE - WEDNESDAY, MAY 18, 2022
04/20/2022
COLLIER COUNTY
Contractor Licensing Board
Item Number: 4.A
Item Summary: APPROVAL OF MINITES MARCH 16, 2022
Meeting Date: 04/20/2022
Prepared by:
Title: – Contractor Licensing
Name: Sandra Delgado
04/13/2022 4:02 PM
Submitted by:
Title: – Contractor Licensing
Name: Tim Crotts
04/13/2022 4:02 PM
Approved By:
Review:
Contractor Licensing Trish Morgan Review item Completed 04/13/2022 4:27 PM
Contractor Licensing Sandra Delgado Review item Completed 04/13/2022 5:24 PM
Contractor Licensing Tim Crotts Review Item Completed 04/14/2022 11:42 AM
Contractor Licensing Tim Crotts Meeting Pending 04/20/2022 9:00 AM
4.A
Packet Pg. 4
March 16, 2022
1
MINUTES
OF THE COLLIER COUNTY
CONTRACTORS’ LICENSING BOARD MEETING
March 16, 2022
Naples, Florida
LET IT BE REMEMBERED that the Collier County Contractors Licensing Board, having conducted
business herein, met on this date at 9:00 a.m. in REGULAR SESSION in Administrative Building F,
3rd Floor, Collier County Government Center, Naples, Florida, with the following members present:
Chair: Kyle Lantz
Vice Chairman: Terry Jerulle
Matthew Nolton
Richard E. Joslin
Patrick G. White
Todd Allen
Robert Meister III (excused)
Elle Hunt
Stephen Jaron
ALSO PRESENT:
Kevin Noell, Esq., Contractor Licensing Board Attorney
Timothy Crotts, Contractor Licensing Supervisor
Colleen Kerins, Assistant Collier County Attorney
James Reynolds, Collier County Licensing Investigator
Timothy Broughton, Collier County Licensing Investigator
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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.
1. ROLL CALL:
Chairman Kyle Lantz opened the meeting at 9:01 a.m.
Roll call was taken; eight members were present in the BCC Chambers at roll call.
[Board Member White arrived at 9:02 a.m. and participated in roll call.]
Mr. Crotts said Board Member Robert Meister was unable to make it and asked that his absence be
excused.
2. ADDITIONS OR DELETIONS:
None
3. APPROVAL OF AGENDA:
Vice Chairman Jerulle moved to approve the agenda. Board Member Nolton seconded the motion.
It was carried unanimously, 8-0.
4. APPROVAL OF MINUTES:
A. Approval of Minutes for Feb. 16, 2022
Board Member White moved to approve the February 16, 2022 meeting minutes. Board
Member Allen seconded the motion. The motion carried unanimously, 8-0.
5. PUBLIC COMMENTS:
None
6. DISCUSSION:
None
7. REPORTS:
None
8. NEW BUSINESS:
A. ORDERS OF THE BOARD
Board Member Joslin made a motion to have the Chairman sign the Orders of the Board. Board
Member Nolton seconded the motion. The motion was carried unanimously, 8-0. The Orders of
the B oard were approved.
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B. Humberto M. Sanchez – Creative Design General Contractors Inc. – Review of Credit
Review of Experience
Chairman Lantz called Mr. Sanchez to the podium and he was sworn in.
Mr. Crotts reported that Mr. Sanchez submitted an application for the issuance of a specialty
license of Underground Utility Contractor as part of the application process under County
Ordinance 2006-46, Section 2.3.9.
Mr. Sanchez was required to submit a personal credit report. While reviewing the personal credit
report submitted by Mr. Sanchez, we had the following areas of concern:
• His credit score is 630. The required minimum credit score under Financial
Responsibility, Section 2.5.1 Subsection D, under Rule 61G4-15.006, from the State of
Florida, should be 660.
• There was a $11,750 Suncoast Credit Union collection amount as of November
2021. However, Mr. Sanchez said he entered a payment plan with Suncoast Credit Union
and is paying $461.34 monthly. As of December 1, 2021, he has paid back approximately
$6,997, including a $1,000 payment on November 1, 2021. This leaves an approximate
balance of $4,753. Using the current monthly payment amount, it would take about 10
months to pay off.
Mr. Sanchez is being referred to the Board under Section 2.5.2, Referral of Application to the
Contractors’ Licensing Board for a Decision, and he is here to explain his credit issues.
Chairman Lantz told Mr. Sanchez that it appeared he’d made a mistake with his credit and he’s
working on a payment plan and making payments.
Mr. Sanchez said he was, and he hopes to pay off his debts so he can move on.
Chairman Lantz said it appeared he’s a victim of “too-little-credit,” rather than bad credit. It’s
affected his credit score so much because he doesn’t have much credit.
Mr. Sanchez said he was involved in a divorce two or three years ago, which caused a lot of
lawyer fees and other costs.
Chairman Lantz asked if he has a general contractor’s license.
Mr. Sanchez said he didn’t.
Chairman Lantz asked if he’d taken the test.
Mr. Sanchez said he did and wanted to come before the Board to make everything right. When
his credit was 430, the CLB told him to withdraw his letter and apply as residential. He’s trying to
fix his credit to make everything right.
Chairman Lantz noted that in the past, the CLB has had an issue if someone calls their business
“general contractors” if they’re not a general contractor because it implies that they are a general
contractor. Is that an issue now? Do we still care about that?
Mr. Crotts said the name tends to be kind of misleading. But if he’s following the scope of the
work for the license and he’s not contracting outside the scope of what that license allows, then
there’s really nothing in the ordinance that stops anyone from naming themselves “general
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contracting.” He noted that there’s a painter in the County who is a painter but lists himself as a
general contractor.
Vice Chairman Jerulle asked Attorney Noell if anything in the code contradicts that.
Chairman Lantz asked if it covered advertising a business as a general contractor.
Attorney Noell said he’d review it and check because there are freedom of speech issues and
other implications on how you can market yourself. Obviously, if you use words like “pool
contractor” or something like that and you don’t have that license, that’s blatant or flagrant. But if
you advertise “general contracting services” or something like that, he’s not comfortable advising
the Board on that without conducting more extensive research because there are potential
constitutional issues.
Vice Chairman Jerulle asked Mr. Sanchez why he had “general contractor” in his business name
Mr. Sanchez said he intended to get that license, but that didn’t happen when he came before the
CLB the first time. He worked for Collier County for six years doing underground utilities. The
CLB told him he needed to get more experience, so he decided to jump into utility contractor
underground and then wait and get the general contractor license.
Chairman Lantz asked if he’d already had that company name already set up.
Mr. Sanchez said he set it up before he came to the CLB initially.
Board Member Jaron asked if he did water line and sewer line work.
Mr. Sanchez said he does potable water.
Board Member Hunt said she noticed some of the documents say Creative Design General
Contractors LLC and others say Creative Design General Contractors Inc. Are these two different
companies?
Mr. Sanchez said he initially set up as an LLC, then his CPA said to change it because it wasn’t a
big company. Everything was changed to “incorporated,” including documentation with the IRS
and banks.
Board Member Allen noted that page 54 of the packet shows that was rejected by the state
Division of Corporations.
Mr. Sanchez said he submitted another and it’s been fixed.
Chairman Lantz asked if it was an LLC or Inc. now.
Mr. Sanchez said it’s incorporated.
Board Member White said the statutes are pretty clear, at least with respect to the CLB, that a
general contractor is clearly a different classification than the residential license we’re talking
about.
Chairman Lantz said this is an underground utility license.
Board Member White said that’s not any one of them. His point is it’s a term under the statutes.
Vice Chairman Jerulle said he’d really like to hear from Attorney Noell on that issue next
month.
Attorney Noell said he can look into that, but the issue before the Board now is to review the
experience for the approval of the license Mr. Sanchez applied for, regardless of what he named
his business. That may be an enforcement issue down the road with the Contractor Licensing
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Department making that decision during a formal investigation, if he is advertising to do work
outside the scope of his license. In my opinion, at this juncture, that would be more of an
enforcement issue in the future. What’s before the Board now is an application for a particular
license for approval. The Board probably shouldn’t concern itself over what he calls himself right
now. If it is improper, that would be an enforcement issue the Licensing Board could bring up.
You are not approving something that’s unlawful. You’re approving the license he’s applying for.
Attorney Kerins said that under 22-201, Subsection 22, possible violations include
misrepresenting any material fact to another person with the intent or for the purpose of engaging
in a contracting business, soliciting business for an employer as a contractor, as an employee,
regardless of financial consideration. It might behoove the applicant to reconsider some things
moving forward, in terms of names, to prevent possible enforcement issues.
Board Member Hunt noted that Mr. Sanchez created the company to manage a general-
contracting license and the fact that he’s changing the scope of it now is a concern. He’s named it
assuming he’d get a general contractor’s license beforehand.
Mr. Sanchez said he fully understands. When he came before the CLB the first time and was told
to fix his credit, he was given the opportunity to withdraw his application. He didn’t return right
away because he took his time to prepare so he’d have a better opportunity this time. He admits he
has money problems, but he needs to support his family. If he has to change his company name,
he understands there’s a process. His business involves doing services for property-management
companies, such as picking up garbage and cleaning, very minor jobs. Right now, if it’s a matter
of a name and he has to change it, he will change it. But eventually he plans to get his general
contractor license.
Board Member White said he could work with the state Division of Corporations to amend the
name or do a dba. It isn’t a very complex or costly process. The naming issue should be his
concern, to minimize the risk of putting the company at jeopardy of someone misunderstanding
the scope of his business or being enticed into doing work outside the scope of the license he may
get today.
Mr. Sanchez said he totally understands. Changing his business name isn’t a problem. He doesn’t
do promotions, advertising, Facebook, have a webpage or Instagram because he doesn’t yet have
a license. It’s just word of mouth. He’s surpassed a difficult situation, a divorce. He lost
everything and he’s trying to get out of it and do this the right way. When he came before the
CLB before, his credit was much lower, 430 or 420, and the CLB told him to come back. That
was almost 1½ years ago and he doesn’t want to have to leave and come back again because he
needs to do something else.
Board Member Allen asked Mr. Crotts if he had any recommendations.
Mr. Crotts said he’d recommend that a 12-month probationary license be granted, that
Mr. Sanchez provide staff with a six-month payment status report from Suncoast Credit Union
showing that the payments are being made and on schedule; provide staff with a 12-month
payment status report from Suncoast Credit Union; and an updated credit report showing an
improved credit score. If Mr. Sanchez meets these requirements, the probationary status would be
removed. Failure to meet these requirements would require Mr. Sanchez to appear back before the
Board for reconsideration.
Board Member Allen made a motion.
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Board Member White seconded it.
Chairman Lantz asked if there was any discussion.
Vice Chairman Jerulle asked the Board if they were going to include the name change. We don’t
care about the name change.
Board Member Allen said he was concerned about giving advice on a name change. They could
just make a friendly recommendation on changing the name but it’s not before the Board today.
Mr. Sanchez said he appreciated their advice and if the name is a problem, he’d change it.
Vice Chairman Jerulle asked if he planned to change the company name.
Mr. Sanchez said he appreciated their advice and suggestions. If the problem is the name, he will
change it.
Vice Chairman Jerulle asked if he was going to change his name.
Mr. Sanchez said he would.
Vice Chairman Jerulle said he’d take his word on that.
Board Member Joslin asked about the statement of ownership and who owned the other half of
his business.
Mr. Sanchez said his wife is in business with him and owns half. He got remarried six months
ago.
Board Member Allen made a motion to approve a 12-month probationary license and require
Mr. Sanchez to provide a payment-status report from Suncoast Credit Union in six months and
12 months to show that payments are being made on schedule and provide an updated credit
report showing an improved credit score. Board Member White seconded the motion. The
motion passed unanimously, 8-0.
C. John Ricciardelli – Electrical Journeyman – Review of Experience Requirement as an
Apprentice
Chairman Lantz called Mr. Ricciardelli to the podium and he was sworn in.
Mr. Crotts said that Mr. Ricciardelli has submitted an application for the issuance of a
Journeyman Electrician, which requires four years as an apprentice. As part of the staff review
process, the following verifications of experience were documented:
• O’Neill Electric LLC, Clinton, N.Y., February 2021-December 2021, 10 months. Staff was
unable to verify this information.
• M&K Luxury Sales, Boston, Mass., 2018-2020, two years. Staff confirmed he worked
approximately 12 jobs during that period, doing rough and minor electrical work.
• McEvoy Contracting Inc., Boston, Mass., 2018-2021. He worked on job sites as a
subcontractor doing miscellaneous electrical jobs. The company owner could not
remember how many jobs he worked or who he worked for as a subcontractor.
Based upon the timeframes given, it appears that Mr. Ricciardelli has worked a total of three
years and 10 months. However, this total time could not be verified.
Based upon this information, it does not appear, on face value, that the applicant has met the
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eligibility requirement for the Certificate of Competency. Therefore, Mr. Ricciardelli is here today
under 2.5.2, Referral of the Applicant to the Contractors’ Licensing Board for A Decision.
Chairman Lantz asked if he wanted to explain his experience.
Mr. Ricciardelli said he worked for Mike O’Neill in Clinton, NY, for 10-11 months when he was
laid off from his state job in New York. Mr. O’Neill gave him an opportunity to work for him. He
returned to the state to work full time after the 10 months but continued to work for Mr. O’Neill
for many years on the side. He passed away a couple of years ago, so that’s probably why staff
couldn’t verify the experience. He did everything from panel changes, generators, new
construction, remodels, old work, new work, some commercial work.
Chairman Lantz asked if he received a W2 from O’Neill or was it just cash?
Mr. Ricciardelli said that for the 10-month period, he did. After that, it was just cash. In that
area, you do not need a license to do that work, and he was working under him and also doing
side jobs.
Chairman Lantz asked why he wanted a Journeyman’s Card.
Mr. Ricciardelli said he hoped to take the business and law exam and move to an EC. His family
moved here in April, and he got into food manufacturing, which does not make him happy. He
would rather be in an attic pulling wire, running new switching on lights and crawl spaces than
working in factories.
Chairman Lantz asked what his experience was, residential, commercial, industrial, a little bit of
everything?
Mr. Ricciardelli said he would not say industrial, just residential and commercial.
Chairman Lantz asked if it was single-phase, three-phase, both?
Mr. Ricciardelli said all single phase. He did some work with three-phase, but not enough to
make him comfortable enough to accept work on that.
Chairman Lantz asked if there was anything on the Journeyman’s Card that requires Phase-3
work.
Mr. Crotts said there was nothing in the ordinance. For the Journeyman, it just shows that it
requires four years as an apprentice.
Chairman Lantz asked Mr. Crotts for his recommendation.
Mr. Crotts said at this time, staff doesn’t feel comfortable with issuing a license based upon the
amount of time that’s required. Staff would feel more comfortable if Mr. Ricciardelli came back
and showed at least another 12 months’ experience moving forward, based upon staff not being
able to verify all the information submitted.
Chairman Lantz asked when he last worked on a permitted job.
Mr. Ricciardelli said it was in 2021 in Boston. But he’s had countless praises from inspectors in
New York, as well. He’s done new construction homes by himself, homes that he wired alone. He
got stickers because his work was so neat and tight that inspectors there trusted him. Keith
Townsend was one.
Chairman Lantz noted that the Journeyman License doesn’t really allow him to do anything. It
might get him a raise at a company he’s working for, but it doesn’t allow him to do anything on
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his own. There are really not many Journeymen in this area. On the other coast, there’s a lot more
electrical Journeymen because they get a raise when they get a Journeyman’s License.
Vice Chairman Jerulle asked if they’d be lowering the bar.
Chairman Lantz said no.
Board Member White asked if they’d be increasing the pool of potential employees in a market
where they may be necessary.
Chairman Lantz said it was his opinion that even though staff couldn’t verify his experience, he
believes he did the work based on his testimony. And if it’s a risk factor, I don’t think any of the
residents of Collier County are at a big risk if somebody has a Journeyman Card or somebody
doesn’t have it. The hardest part about a Journeyman’s License is the test. From what he was told,
it’s harder than the Electrical Contractor test. So, if you can pass a test and your experience is
very questionable, I would probably err on the side of giving the benefit of the doubt.
Board Member White said he believes the whole point of having a hearing is so we can inquire
of the applicant under oath, give weight to his testimony and justify approval of some type of a
license.
Board Member Allen moved to approve the license with a 12-month probationary period.
Chairman Lantz asked what the probation was for, to see if someone complained about him?
Board Member Allen said if there’s an issue that comes up. One of the concerns staff has is that
he needs an additional 12 months. He believes his testimony that he has that experience, but we
should provide the public with the protection of him being subjected to additional review if an
issue comes up.
Board Member Hunt said she’d also like to see full-time work as a Journeyman for those 12
months. If he only does odd jobs here and there, she didn’t believe the 12-month period is
valuable.
Mr. Ricciardelli said his goal was to be an EC and to work for himself. If it’s a Board decision
that he find employment with a company, he could, but he wants to move forward.
Board Member Hunt noted that the Board was just saying that a Journeyman can’t work for
himself. He’d have to work with somebody else to get a permit. He’d have to do that based on the
license he applied for.
Chairman Lantz asked if his goal is to be an EC, why is he applying for a Journeyman’s
License? If he wanted to follow the state route for an EC license, an EC doesn’t require a
Journeyman’s Card.
Mr. Ricciardelli said when he researched the applications on the website, it said he needed to be
a Journeyman for X-amount of time before applying for the EC. So that’s why he went that way.
If he could have jumped right into the EC, he would have. He was just following directions.
Chairman Lantz said it may have changed, but he believed the difference with the state route
was that you had to show experience, maybe a year or two years, a certain amount of time, for
three-phase work. You had to document three-phase work, so you might not be able to go that
route if you don’t have that documentation. It may have changed. He’s an EC and he didn’t get a
journeyman’s card.
Mr. Ricciardelli said his goal is to become an EC and work for himself. He moved here to
provide a better way of life for his family than what was going on in upstate New York. His goal
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is to work for himself and provide a better life. He was working 70-80 hours a week. That isn’t
what he came here for.
Chairman Lantz said the County requirements to be a registered Electric Contractor require that
he has to have Journeyman’s Card for a year or two.
Attorney Kerins said 24 months.
Mr. Crotts said 24 months or the equivalent.
Board Member Joslin said that with his experience, why get a Journeyman’s Card when he
could just go to work for another electrical contractor who is licensed? Why not skip that?
Mr. Ricciardelli said if he has to work for someone for two years to get a Journeyman’s Card, he
will. The goal is to be an EC and work for himself. This is how he understood he had to do it.
Chairman Lantz told him there are two paths he could take, County or State. It’s not the CLB’s
job to advise him, but if he does his homework, he will find out this isn’t the best path.
Board Member Allen said he’d amend his motion to require full-time employment, as Board
Member Hunt suggested.
Board Member Hunt seconded it.
Chairman Lantz clarified that the motion includes one-year probation and employment under a
licensed, certified electrical business.
Mr. Crotts asked if they could amend that motion to say that for the last part of the requirement,
the respondent must show staff that he has entered into employment as a full-time employee with
an electrical company.
Board Member Allen amended it.
Board Member Hunt seconded it.
Board Member White said that the intention is to show that to staff so he doesn’t have to return
to the Board and the license would move from a probationary period to full.
Mr. Crotts clarified that was true and the probationary period would disappear if there were no
issues. But the Board also could set a time period to fulfill that employment requirement. He’d
leave that up to the Board’s discretion, about how long they would give him to prove he found a
job. If he didn’t prove it, he’d have to come before the Board due to failure to prove it.
Board Member Joslin asked how long they should give him to prove that.
Mr. Crotts said he’d leave that up to the Board’s discretion.
Board Member White said they should ask Mr. Ricciardelli how long it would take to get a job.
Mr. Ricciardelli said it might be easier to get a job if he had a card.
Board Member White asked if could get a job in 30 days.
Mr. Ricciardelli said he hoped so. He has a lot to support.
Board Member Nolton said he can’t pull permits or doing anything as a Journeyman. He can get
a job and work for someone. He’s proved he has the experience as a Journeyman. He has no
problem moving forward and not making this complicated.
Board Member White asked what is the challenge if you make it a temporary, 12-month license?
What are the conditions you want to achieve?
Chairman Lantz said as a Journeyman, the conditions are on the license.
Board Member Nolton said he can’t do any work without pulling a permit, so he’s being
supervised by the person with the license.
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Chairman Lantz said you can’t do anything with a journeyman’s license.
Board Member Allen said in that case, he’d withdraw his motion and just approve it.
Board Member White seconded it.
Board Member Hunt wanted to make sure he wasn’t just taking small jobs during probation. She
understood the motion removed the full-time employment requirement.
Chairman Lantz said they removed that condition. If he goes the County route and tries to get an
Electrical Contractor’s License, his experience will be questioned by the Board then.
Board Member White said he’d then have to show proof of full-time employment, Board
Member Hunt’s concern.
Board Member Hunt said, exactly.
Board Member Allen made a motion to approve a 12-month probationary Journeyman’s
License. Board Member White seconded the motion.
The motion passed unanimously, 8-0.
D. Margarita Brodskaya – New Horizon Cabinetry Inc. – Cabinet Installation Contractor
Review of Experience
Chairman Lantz called Ms. Brodskaya to the podium and she was sworn in.
Mr. Crotts said Ms. Brodskaya has submitted an application for the issuance of a Certificate of
Competency for a Cabinet-Install Contractor, which requires 24 months’ experience. As part of
the staff review process, Ms. Brodskaya has submitted two verifications of experience by former
employers.
• Mascot Interiors, Brooklyn, NY. This company is closed and no work experience can be
verified.
• SWF Modern Renovations, May 2021-October 2021, five months.
There was a resume submitted, but it showed the same employers. Therefore, based upon the
information submitted by the applicant, it is staff’s opinion that Ms. Brodskaya does not meet the
experience requirement under Ordinance 2006-46, Section 1.6.3.5 for Cabinet-Install Contractor.
Ms. Brodskaya is being referred to the Board under Section 2.5.2, Referral of the Application to
the Contractors’ Licensing Board for Decision.
Board Member Nolton asked Mr. Crotts what can be done with that license.
Mr. Crotts said she’d be qualified to manufacture, assemble, install, dismantle, maintain, adjust,
alter, extend, design cabinets and millwork, and this permitted work is not limited to kitchen
cabinets, bathroom cabinets, accessory cabinets, countertops, office furniture and millwork items
that have been manufactured for installation on the jobsite locations.
Board Member White noted that it’s in the Agenda Packet, page 156.
Chairman Lantz asked Ms. Brodskaya to detail her experience since it’s not officially
documented and convince the Board that she has the experience required for the license.
Ms. Brodskaya said she and her husband moved here from New York a while back. Besides her
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working for Mascot Interiors, she and her husband, who is here, had their own business in New
York. He does custom cabinets, and they did installation. We designed cabinets and she ran the
business. He’s been in the cabinetry business since he came to the United States many, many
years ago. After they moved to Florida, he worked for a cabinetry business, and they decided to
open their own business.
They are dealers for manufacturers, a few lines. We design. She designs herself and they work
with customers and contractors. They’ve operated that business since 2013. They want to expand
and be able to install, so they’re applying for the license.
Board Member Hunt noted that she’s applying for the license, not her husband, so the Board
needs to understand her personal experience.
Ms. Brodskaya said that when they had a business in New York, they did installations. She
supervised the projects. She helped. They had two employees. She helped her husband with
installation. They worked with countertop businesses and she supervised those projects.
Board Member Jaron asked who does the installs now?
Ms. Brodskaya said they don’t install now. They work with the contractors.
Board Member Nolton said it appears they just provide designs and the cabinetry.
Board Member White asked if her husband is an employee of any firm that does installations.
Ms. Brodskaya said he worked for House of Cabinetry in Bonita Springs doing installations for
seven years when they came to Florida.
Chairman Lantz noted that she does designs but assisted with installations. If you had a 2020
drawing of cabinets, could you personally install them?
Ms. Brodskaya said she probably could, although they’re heavy cabinets. She knows the
technique.
Vice Chairman Jerulle reiterated that she does remodels and asked Mr. Crotts if this license will
allow her to do new construction and remodeling.
Mr. Crotts said that was correct.
Vice Chairman Jerulle asked if she went into a home to do remodeling in the kitchen, what does
she do with electrical outlets in the backsplashes?
Ms. Brodskaya said they hire electricians.
Vice Chairman Jerulle pointed out that she can’t hire electrical contractors.
Ms. Brodskaya said she knew the rules and took the test. She works with the contractors, who do
the hiring.
Vice Chairman Jerulle asked how she’d handle the electrical and plumbing work.
Ms. Brodskaya said the customer would have to hire those contractors. We cannot hire.
Board Member White said that was correct.
Vice Chairman Jerulle asked if she had the recommended experience.
Ms. Brodskaya said she does.
Chairman Lantz noted that this came down the CLB’s age-old debate, husband-and-wife teams.
Board Member Joslin asked why her husband wasn’t applying.
Ms. Brodskaya said she has an MBA, so it was much easier for her to apply.
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Board Member Nolton asked what the ownership of her company is.
Ms. Brodskaya said it’s 39% for her and 51% for him.
Board Member White made a motion to grant the application for a Certificate of Competency
for a Cabinet-Install Contractor. Board Member Joslin seconded the motion. The motion
passed 6-2; Vice Chairman Jerulle and Board Member Hunt opposed.
E. Fugang Zhou – Visio Signs LLC dba Signs Now – Electrical Sign Contractor
Review of Experience
Chairman Lantz called Mr. Zhou to the podium and he was sworn in.
Board Member Allen said he would be abstaining from this vote because Mr. Zhou is an active
client of his.
Mr. Crotts said Mr. Zhou submitted an application for the issuance of a Certificate of
Competency for Electrical-Sign Contractor, which requires 24 months’ experience. He pointed
out that Mr. Zhou has been a licensed Non-Electrical Sign Contractor for 11-plus years.
As part of the staff review process, Mr. Zhou submitted three verifications of experience, who
were contacted.
• Bank of America, one job in 2017. Mr. Zhou supervised and worked on window and door
lettering.
• Signworks of Naples, 2008-2012. Mr. Zhou worked as a helper, not an employee. The
company president said he assisted with approximately 10 projects over this four-year
period. He said Mr. Zhou helped him, so he helped Mr. Zhou.
• Al DeLeon & Associates Inc., an insurance agency, December 2014 to January 2015,
about two months. Mr. Zhou replaced light bulbs in front and rear panels on their
marquee signs.
Based upon the information received and phone interviews with employers, it is staff’s opinion
that Mr. Zhou does not meet the requirements under Ordinance 2006-46 1.6.3.41 for an
Electrical-Sign Contractor. Mr. Zhou is being referred to the Board under Section 2.5.2, Referral
of the Application to the Contractors’ Licensing Board for Decision.
Chairman Lantz told Mr. Zhou it was his turn to present his case.
Mr. Zhou said he graduated from UF with an engineering degree, so he dealt with a lot of
electrical issues, but that was a long time ago. He started this business in 2008 and was managing
IT stuff and decided to start his own company. He got a Non-Electrical License 11-plus years ago
and he’s learned the trades by working with many different people and businesses, such as
Soundworks, which has an electrical company. He knows how to do things, but he doesn’t
necessarily do them himself. He mostly supervises projects to ensure employees didn’t make
mistakes.
The companies do the installation and permits, and he sells the electrical sign to the customer,
electrical signs only. When they need help, he helps them. That’s how the arrangement goes. He
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chose not to get licensed years ago because there was no justification businesswise. He’d have to
invest a lot of money to do that and read a stack of books. He didn’t feel the need for it.
He makes arrangements with other electric contractors. Recently, he was cited because paperwork
wasn’t done by the employer. They were told by the contractor, that if it was permitted and
installed by his client, it would be fine. But apparently, it’s not. We have to separate it into two
work orders or invoices. People ask him to work with them on invoices. This became an issue
because it’s a $1,000 fine, which is fine with him, but he didn’t want this to continue and become
a more serious issue if someone made a mistake. He’s not at office often, so he decided to become
a contractor himself.
Vice Chairman Jerulle asked about when he helps businesses, is he a sub-sub-contractor? Does
he sub out?
Mr. Zhou said they can’t legitimately subcontract so they partner with a client. They would say
that the permit will be pulled and installed by the client and his company does the rest.
Vice Chairman Jerulle asked if he had a contract with the sign contractor.
Mr. Zhou said they have an agreement, not really a contract.
Chairman Lantz asked if it was a handshake deal.
Vice Chairman Jerulle said an agreement is an agreement and a handshake is like a signed
document. So, you’re acting like a sub-contractor to install signs for companies?
Mr. Zhou said he doesn’t install signs. His company helps. One of the reasons is because he
wants to learn the ins-and-outs of the business. When a client goes to install something, many
times they can do it themselves. But if the client can’t and needs a helper outside, such as if it’s a
big panel, his company helps them. He did it himself in the early days, but he has an employee to
do it now.
Board Member Nolton said it will come down to whether he gets paid when he helps.
Vice Chairman Jerulle said that’s a 1099.
Board Member White said a subcontractor is a 1099, W2 is an employee.
Vice Chairman Jerulle said he’s not trying to trap him. He’s trying to figure out what he’s doing.
The fact that he’s not naming names probably is not helping him. If he has experience doing this
and he’s working for people in town, he should be naming them to show the CLB he has that
experience.
Mr. Zhou said the last one he was fined on was Southeast Sign Install because they had the
license. The reason he didn’t get a referral for the CLB from Southeast is because that company
owner told him he’s not happy he’s going before the CLB to get this license because it’s a
competitive business and he’d be taking business away from Southeast. He had no intention of
competing with them, but he’s trying to prevent a potentially serious issue from occurring. If
someone makes a paperwork mistake, he’ll be fined, and he doesn’t know how high that fine
would be. That’s why he wants to get licensed.
Vice Chairman Jerulle said he appreciated that he’s trying to fix this and asked Mr. Crotts to
detail why he was fined.
Board Member White said the citation is in the packet.
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Mr. Crotts said he received a citation for operating as an Electrical-Sign Contractor.
Board Member Nolton asked if he had a contract with that client on the project. Whoever you
were selling signs to, you had the contract with them? So, then the licensed electrical sign
contractor, did they have a contract with those same people, or did they work with you?
Mr. Zhou said he was told by them that the contract said the permit and install would be done by
them. They said that’s OK. He’s been doing jobs that way and apparently, that’s not OK.
Board Member Nolton asked if his contract said it would be done by them.
Mr. Zhou said the contract said it would be permitted and installed by them.
Board Member Nolton asked who paid them, would the customer pay them? You would pay
them?
Mr. Zhou said the client would get paid and he would get paid through that client/customer.
Chairman Lantz asked if the customer was writing two checks.
Mr. Zhou said there was sometimes one check, sometimes two.
Chairman Lantz asked if he’d get a check and then write it to the customer.
Mr. Zhou said he was told that was not OK, so they had to split the check. Now they split the
check.
Vice Chairman Jerulle asked if he was trying to get the license so that company wouldn’t get
involved.
Mr. Zhou said no. He doesn’t want to get into trouble again. That’s why he doesn’t want to name
names. But he’s potentially going to have to hire more people because that client is too busy, and
he received feedback. They didn’t get a good report with the clients because it’s taking three
weeks, four weeks and you cannot just constantly drag on. But his demand is too high, so we
potentially will help onsite, but the majority are probably still going to go to him.
Chairman Lantz asked who builds the signs.
Mr. Zhou said building signs is not cost effective. They do manual jobs and just install signs.
Chairman Lantz asked if he just buys the signs.
Mr. Zhou said the customer buys the signs. They do it manually, but now they have machines to
do it.
Chairman Lantz asked if a signed contract is only allowed to go from the disconnect and they’re
not allowed to do any real wiring.
Mr. Crotts said that was correct. After that, it requires an electrical contractor.
Board Member Nolton said it’s like putting a light in your house.
Mr. Zhou said it’s just like plugging in a coffee pot. They have to feed the wire to the point.
Chairman Lantz asked if he needed 24 months’ experience, how much of those 24 months has to
be connecting the electric? A job could take six hours for the sign job, but only five minutes to
hook up a wire.
Board Member White noted they had a similar instance at last month’s meeting. The electrical
component is often a minor part of the job, not much time. The other part is being qualified to
erect the sign. The electrical component seems to be very minor. You could work 24 months and
say you have that experience, but erecting the sign is of greater concern and the CLB hasn’t heard
much detail on that. Can you tell us you’re qualified?
Mr. Zhou said they are very easy to erect. Nowadays, you just install a track and install and
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secure it.
Board Member White asked if he’s done that for 24 months.
Mr. Zhou said absolutely. It depends on how you calculate time.
Board Member White asked if he routinely did that for 24 months.
Mr. Zhou agreed he had over 14 years of experience if you add bits and pieces. He works with
many sign companies. He didn’t even ask some for a reference.
Board Member White asked if he understood the process of what happens with his $1,000
citation if they approve this license?
Mr. Zhou said he already paid that, it’s not about the money. He doesn’t want to get into trouble
again and it’s not about the money.
Board Member White noted that if he’d gotten a license in a certain amount of time, it would
have reduced the amount of the citation.
Mr. Zhou said it took a lot of studying and books and he didn’t pass the first time but passed the
second time.
Board Member White made a motion to grant the application for a Electrical Sign Contractor
License. Board Member Hunt seconded the motion. The motion passed unanimously, 7-0;
Board Member Allen abstained.
F. Mark E. Berkley – Homeaway Home Watch LLC – Swimming Pool Spa Servicing
Review of Experience
Chairman Lantz called Mr. Berkley to the podium and he was sworn in.
Mr. Crotts said Mr. Berkley has submitted an application for the issuance of a Certificate of
Competency for Swimming Pool-Spa Servicing Contractor, which requires 24 months’
experience. As part of the staff review, Mr. Berkley submitted two verifications of experience.
• Amy Berkley LLC. Research showed that this appears to be a real estate agent, not a
licensed pool company with a license in the trade of swimming pool, spa servicing or any
other swimming pool spa trade. Staff was unable to locate a phone number to verify the
experience.
• ACDC LLC. In a phone interview with the company owner, staff learned that ACDC is not
a business in the trade of swimming pool spa servicing, but a wholesale distributor. The
company owner said Mr. Berkley cleans her residential pool.
During a phone interview with Mr. Berkley, staff confirmed that he is only cleaning residential
pools at the two previously mentioned locations. He’s been cleaning these two pools for some
time. None of these companies are licensed pool companies, he has no experience from them, and
his only experience is cleaning the two residential pools.
Based upon the information received from Mr. Berkley, staff found that Mr. Berkley does not meet
the experience required under Ordinance 2006-46, Section 1.6.2.9.1 for the trade of Swimming
Pool-Spa Servicing Contractor. Mr. Berkley is being referred to the Board under Section 2.5.2,
Referral of the Application to the Contractors’ Licensing Board for a Decision.
Chairman Lantz asked him to detail his experience.
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Mr. Berkley said he started HomeAway Homewatch LLC last March. He hopes it will be his
retirement job moving forward. That’s what he does for the snowbirds, home-watch and pool
cleaning services. In his mind, it’s not contracting, but just pool cleaning services as part of his
home-watch business.
Chairman Lantz asked what he meant by pool cleaning.
Mr. Berkley said he also does vacuuming and skimming, tests the water and adds chemicals.
Chairman Lantz asked if he pulls out the filter to clean it.
Mr. Berkley said on occasion he does. He was given contradicting information. He didn’t believe
he needed a license to clean pools, including occasionally cleaning a filter every four months or
replacing it yearly. He was fined and someone told him he needed to take a test with GITS,
Gainesville Independent Testing Service.
GITS sent him a sheet about a 50-hour exam pertaining to pool maintenance or repair contractor
for Florida construction credentialing. But it says a license is not required for cleaning a pool or
spa in any way that doesn’t affect the structural integrity of the pool or spa or associated
equipment. It also states unless someone is partially disassembling, excluding filter changes, the
installation of new pool spa equipment, interior refinishing, reinstallation, installation of pool
heaters, repair, replacement, perimeter piping, filter piping, etc.
He doesn’t do any of that. So, he was confused about why he was fined. He paid it because he is
similar to the last respondent. He also was told he should take the business procedures test, so he
did and it took him three times to pass and by then, the timeframe had expired. So, he paid the
fine because he didn’t pass the test in time. He has since passed that business procedures test.
All he’s doing is a home-watch business and cleaning pools. He’s not replacing heaters. He goes
to Islander Pool on Marco Island, where he lives, and gives that business to them. He puts the
homeowner directly in touch with Islander Pool and they pay Island Pool directly. He doesn’t get
involved other than just keeping an eye on it. If he knows there’s a problem with the pool heater,
he alerts the homeowner, makes a recommendation, asks them how they want to handle it and he
puts them in touch with the appropriate company.
Board Member Joslin asked if he’d ever worked for a pool company.
Mr. Berkley he had never worked for a pool company. He’s worked on pools forever for people
who have rental properties. Both of the LLCs Mr. Crotts mentioned have rental properties, so he’s
taken care of those pools for years, but he just cleans them. That’s why he started the home-watch
business, because the two go hand-in-hand because he’s at the house anyway, particularly during
the summer off-season. Since he’s there and it’s not that difficult, he offers pool cleaning services,
as well.
Board Member Nolton said he was confused. Based on his explanation, does he actually want a
license? It sounds like all you do is pool cleaning.
Mr. Berkley said exactly. He got into this situation because he was fined and didn’t understand
why. So no, he’s not really interested in a license per se because he didn’t think he needed one to
begin with. If he needs one, then he wants a license. He received contradictory information from
GITS.
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Board Member Joslin asked Mr. Crotts what the criteria is.
Board Member White said it’s on page 227 of the packet.
Board Member Joslin said there’s a difference between being a pool servicing contractor and a
pool cleaning contractor.
Mr. Crotts said a Pool and Spa Servicing Contractor requires 24 months of experience, with
work that includes the servicing or water treatment of any private or public swimming pool, hot
tub, spa subject to Section 40.487.0437 of the Florida Statutes, which may include the infusion of
chlorine gas. But these contractors may also disassemble equipment permanently attached to
association with effective pool and spa of the water treatment or cleaning of the pool and spa,
which would include a filter.
Board Member Nolton asked if just cleaning a pool requires a license.
Mr. Crotts said the license comes in the minute you start adding any chemicals to the water. It’s
not required just to clean and scoop leaves out of it, but when you start adding chemicals or
servicing the attached elements of the pool.
Vice Chairman Jerulle asked if he had a pool at home.
Mr. Berkley said he does.
Vice Chairman Jerulle asked if he’s been cleaning it for two years.
Board Member White made a motion to approve.
Vice Chairman Jerulle seconded it.
Board Member Joslin said the license allows him to do more than just clean a pool. It allows
residential and commercial installation. There is nothing that tells me he has the qualifications to
take care of a commercial pool. That is a whole different animal. I’m a swimming pool contractor.
Mr. Berkley said he’s not doing any commercial pools and doesn’t advertise that he does.
Board Member White said the license says “or” not “either,” so if he does either residential or
commercial, he’s qualified. He asked what would allow him to do what he’s doing now without
getting fined.
Vice Chairman Jerulle asked Mr. Crotts if this is one of the licenses that may be going away in
July of 2023.
Mr. Crotts said this was the only swimming pool license that would go away in July 2023
because it is not a registered element.
Board Member Nolton said there are contractors out there that have this license, right? And
they’ve done what they have to do, they apply, they have a business and it’s cleaning pools. So,
are we penalizing them or taking something away from them in this situation?
Board Member White asked, How so?
Board Member Nolton said by allowing someone that really doesn’t have those same
qualifications to do work.
Board Member White said he meets the exact qualifications of this license as described in this
code.
Board Member Nolton said OK.
Board Member White says it doesn’t say how many pools, how long or how often. Is he
comfortable that he knows what the license allows him to do? Yes. Does he intend to go out and
do something beyond the scope of the license? He didn’t think so. And if he does, he’s pretty sure
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he knows that they’re watching closely and not at all hesitant to issue citations.
Board Member Joslin asked what pH he puts in his pools.
Mr. Berkley said it’s 80-120 ppm.
Board Member Joslin asked what the limits are.
Mr. Berkley said chlorine is 1-3, pH is 7.2-7.6.
Board Member Joslin said it’s 7.2-7.8. How do you change the alkalinity?
Mr. Berkley said by adding acid. He adds it to the water itself, poured around the edge of the
pool in the water. He doesn’t add it to the skimmer. The only thing he adds to the skimmer is a
stabilizer. You have the pH, and you’re adding chlorine stabilizer, particularly when you have a
lot of sun. This time of year, there’s a lot of sun and a lot of evaporation with cool
nights. Everything is added to the pool in one sense or another, some through the skimmer, some
just as the chlorine. The acid is added in the same direct fashion as the chlorine, directly into the
pool. If it’s a saltwater pool, you add a 40-pound bag of salt. There’s always a monitor checking
the salt system. If it gets down to 2,700, that’s when it needs salt. It should be between 2,700 and
3,400. I’m not going to say it’s simple, but it’s kind of simple if you just follow that.
Board Member Joslin said OK.
Chairman Lantz noted that they have a motion and a second. Any more discussion?
Board Member White made a motion to grant the application for a Swimming Pool-Spa
Servicing Contractor License. Vice Chairman Jerulle seconded the motion. The motion passed
7-1; Board Member Joslin opposed the motion.
[The Board took a break at 10:18 a.m. and resumed the meeting at 10:30 a.m.]
9. OLD BUSINESS:
A. Luis Patino – The Oasis Group of SWFL Inc. dba Oasis Renovations & Pools
Review of Credit
Chairman Lantz called Mr. Patino to the podium and he was sworn in.
Mr. Crotts reported that Mr. Patino appeared before the Contractor Licensing Board on June 16,
2021, due to a review of his credit worthiness. After a review, the Board ordered that Mr. Patino
be placed on a six-month probationary period and to come back before the Board to show proof
of a payoff or a satisfactory close to all creditors’ loans, and to supply an updated personal credit
report.
On February 2, 2022, Mr. Patino was contacted and was advised that he had not supplied any
proof of the credit issues listed to the Board. At the CLB hearing on February 16, 2022, he did not
appear, and his license was put into suspended status until he could show proof and appear
before the Board.
Mr. Patino is here today. He met with him to explain the seriousness of what needed to take place,
and the information that he needs to provide to staff to show that he has met the June 16, 2021
Order of the Board. Unfortunately, Mr. Patino did not supply those documents until today, so he’s
been unable to review them. What would the Board like to do?
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Board Member White asked Mr. Crotts if he believed it hadn’t been satisfied or if needed more
time.
Mr. Crotts said they could leave the license on suspended status. He hasn’t had a chance to
review the documents. But it does appear that he’s making an attempt.
Board Member White said it wasn’t Mr. Crotts’ fault. Mr. Patino didn’t submit it until today,
and it’s kind of unfair. He’s just trying to be fair to everyone, including the Board. He asked Mr.
Crotts’ what his level of comfort was.
Mr. Crotts said he’d like a chance to review it.
Board Member Allen made a motion to table it until next month, so Mr. Crotts has sufficient
time to review it.
Board Member Nolton seconded it.
Board Member White told Mr. Patino that there were some procedural options. It may be more
appropriate for him to ask the CLB to withdraw it from the agenda and come back next month. He
understood Mr. Patino wouldn’t want to do that, but he probably wants to understand the context.
Mr. Patino said he’s been in business since 2010 and understands both positions. He asked if his
license could be reinstated and then suspended next month.
Board Member White said the process is simply to suggest to you that you need to weigh
whether you want us to table it or if you’d be more comfortable asking for it to be withdrawn and
reconsidered.
Mr. Patino said he’d like to table it.
Board Member White said it was the same difference. At this point, if staff is comfortable with
that, to have it withdrawn, all we have to do is amend our agenda to have it withdrawn.
Mr. Crotts said staff has no objection to having it withdrawn and put on next month’s meeting
agenda.
Board Member White withdrew his earlier motion and amended it to withdraw the matter from
the agenda and hear it next month.
Board Member Allen withdrew his earlier second and seconded the new motion.
Chairman Lantz asked if there was any discussion.
Vice Chairman Jerulle asked if Mr. Patino and his business had any open permits.
Mr. Crotts said he hadn’t checked, but his license has been suspended for the past 30 days, so he
hasn’t been able to pull any permits or enter into new contracts.
Vice Chairman Jerulle asked if he could finish any open business.
Mr. Crotts said apparently, no.
Vice Chairman Jerulle said there may be people out there who may be in the middle of having a
pool dug and will have to wait.
Mr. Patino said he might have some resurfacings that may have to be closed out.
Vice Chairman Jerulle said he’s worried about the clients having to wait for work to be
completed.
Mr. Crotts said until he can do a good verification with the information received from Mr.
Patino, he can only say that the credit score supplied, which was done in February, is still below
the required minimum.
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Board Member White made a motion to amend the agenda to withdraw the Review of Credit for
Luis Patino and Oasis Renovations & Pools and put it on next month’s agenda. Board Member
Allen seconded the motion. The motion passed unanimously, 8-0. The agenda was amended.
Board Member White told Mr. Patino that most boards require respondents to submit
information at least two weeks before a hearing, sometimes a week.
Mr. Patino said he was waiting for creditors to send him the letters.
10. PUBLIC HEARINGS:
A. 2022-02 – Kenneth D. Carter dba Carter Fence Company Inc. (CEMIS20220000242)
B. 2022-03 – Kenneth D. Carter dba Carter Fence Company Inc. (CEMIS20220000241)
Chairman Lantz called Mr. Carter to the podium and he was sworn in.
Board Member White asked if both could be heard together.
Mr. Crotts said staff had no problem with hearing both.
Vice Chairman Jerulle disclosed that Mr. Carter had done work for his company in the past, but
it wouldn’t affect his vote.
Chairman Lantz said he believed they should all go through any conflicts since they all knew
him or had business with him.
Board Member Jaron said he also works with Mr. Carter.
Attorney Noell asked if any of them had current contracts, would the decision affect them?
Board Member Jaron said it would not affect his vote.
Chairman Lantz said Mr. Carter is his neighbor, but that won’t affect his vote.
Attorney Noel told the Board that page 245 of the packet details the ranges of discipline if they
find Mr. Carter in violation. He said that could affect current contracts or finances of their
businesses, their current contracts, or themselves financially.
Board Member Jaron said he has construction fence contracts with Mr. Carter, but he didn’t
believe that they’d be affected unless Carter Fence was totally shut down.
Attorney Noell said that was a potential under those penalties and advised him to err on the side
of abstaining.
Board Member Jaron said he’d abstain.
Attorney Noell asked if any other Board members had conflicts. The standard is whether you
personally or your business or relative have a financial interest, a special, private interest, either as a
business or personally, that the decision you make here today would benefit you or be a detriment or a
harm to you.
Board Member White said no, but he wanted to be transparent and disclosed that a few years
ago, when he was HOA president, the HOA hired Carter Fence and he finished the job.
Board Member Joslin said he’s known him for 40 years through business and personal matters.
There were no personal or private interests.
[Collier County Investigators Reynolds and Broughton were sworn in.]
Chairman Lantz asked for a motion to open the hearing.
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Board Member White made a motion to open the hearing and to combine the two matters.
Board member Joslin seconded it. The motion passed unanimously, 7-0; Board Member Jaron
abstained.
Investigator Reynolds asked to submit the Preamble and Case Packets, 2022-02 and 2022-03, into
evidence.
Board Member White made a motion to accept the Preamble and Case Packets as evidence.
Board Member Nolton seconded the motion. The motion was carried unanimously, 7-0; Board
Member Jaron abstained. The preamble and case packet were accepted into evidence.
10A. Investigator Reynolds said he had a brief opening statement. The respondent, Kenneth Carter, a
licensed county fence contractor with Issuance No. 11475, is the qualifier and owner of Carter Fence
Company Inc. and Carter Fence Co. Inc. Contractors.
He received payment and performed the scope of work for a fence installation at 340 Mamie St.,
Chokoloskee, without an issued permit, when one was required on January 7, 2022. Mr. Carter is in
violation of Collier County Ordinance 2006-46, Section 22-201, Part 18, which states, in pertinent
part, that it is misconduct for a holder of a Collier County Certificate of Competency to proceed on
any job without obtaining applicable permits or inspections from the City Building or Zoning Division
or the Collier County Building Review and Permitting Department.
10B. Investigator Broughton said the respondent, Kenneth David Carter, a Collier County licensed
fence contractor with Issuance No. 11475, is the qualifier for and owner of Carter Fence Company Inc.
Mr. Carter contracted with the property owner and received payment for a fence installation at 53
Silver Oak Circle, Naples. The fence installation commenced without a permit, when one was
required. Mr. Carter is in violation of Code of Laws and Ordinances of Collier County, Ordinance
2006-46, Section 22-201.18, which states, in pertinent part, that it is misconduct by the holder of a
Collier County Certificate of Competency to proceed on any job without obtaining applicable permits
or inspections from the City Building and Zoning Division or the County Building Review and
Permitting Department.
Chairman Lantz asked Mr. Carter if he had an opening statement.
Mr. Carter said he’s the owner and president of Carter Fence Company. We’ve been in business since
1989 and have served the community for 32 years. Since our inception, we have been known as a
reputable company that conducts business accordingly, adhering to all local, state, and federal
ordinances. Since 2016, we have executed between 150 and 200 permits annually, in just Collier
County. Since 2011, we have had four citations, which were all settled and abated for lack of a permit.
The two most recent issues involve Chokoloskee, Silver Oaks and Vineyards, and brought him before
the Board today. Both issues were mistakes made without any ill intent. For Silver Oaks, it was an
error involving submitting for a permit. The homeowner told us that he didn’t have permits for the last
two dumpsters he did. He did not need a permit and he told a woman in his office that the HOA had
approved it. He didn’t have a permit for his slabs and he didn’t permit the other two dumpsters.
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Unfortunately, that was revealed to our salesman, he put it in, waiting for homeowner approval, and
we never did pull a permit.
For the Chokoloskee installation, we had applied for the permit and was awaiting permitting
approval. It was held up because the woman in permitting (he believed it was Christine Willoughby)
thought that there were two gates to enter the property and felt that it could be used as a storage lot.
That was not the homeowner’s intention. It held up the permit a little longer, and while his permit
employee was on vacation, we went and started the job prior to the permit being approved.
Unfortunately, that was a day Investigator Reynolds was down at the end of Chokoloskee and his crew
working were stopped and he (Reynolds) stopped the job. Our intent has never been to defy any
ordinance. Since my mistake, we have internally added to our permitting department, changed our
internal approval-submitting process, and have continued to work on any outstanding permits that need
to be closed.
I’m asking for some consideration for these permit issues. They were mistakes and not conducted with
any ill intent and I have learned from my mistakes and am making amends, both internally and
externally.
Board Member White asked if the county had anything more. Mr. Chairman, it seems the
respondent’s testimony shows we have an admission of guilt.
Mr. Crotts said staff considers that the investigators’ opening statements carry the burden of proof
and with Mr. Carter’s admission, the County has nothing further.
Board Member White made a motion for a finding of guilt in 2022-02 and 2022-03. Board
member Nolton seconded it. The motion passed unanimously, 7-0; Board Member Jaron
abstained.
Attorney Noell said the Board will move on to the penalty phase, page 245 and 293 of the
Agenda Packet, which are identical. [Page 245 was put on the visualizer to show the range of
sanctions that may be imposed.] When the Board considers the different level of sanctions, the
Board can consider a number of factors:
• the weight of the evidence and the gravity of the violation;
• the impact of the violation on public health, welfare and safety;
• any actions taken by the violator to correct the violation;
• any previous violations committed;
• and any other evidence presented at the hearing that’s relevant to the sanctions that are
appropriate in this case, given the nature of the violation.
Chairman Lantz asked if Mr. Crotts had any recommendations for restitution.
Mr. Crotts said no restitution was involved.
Chairman Lantz asked for a motion to close the hearing.
Board Member White made a motion to close the public hearing. Board Member Allen
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seconded it. The motion carried unanimously, 7-0; Board Member Jaron abstained.
Chairman Lantz asked if he (CLB Attorney Noell) could advise them on the possible sanctions.
Attorney Noell said they were on pages 245 and 293 of the Agenda Packet. The full range could be
$10,000 for the first violation and $10,000 for the second violation. It is brought as not a second or
third offense, but that range is set forward, so each maximum penalty set forth on those pages could be
provided for each of the two violations.
Board Member White asked with regards to probation or anything like it, they could be consecutive
or concurrent?
Attorney Noell said they could.
Board Member Nolton noted that Mr. Carter was here a while back, his license was in good standing,
and he had four violations in the past. Can you tell us more about that?
Mr. Crotts said that he was brought before the Board in April 2021 and found guilty of working
without a permit. The disciplinary action was 12 months of probation. He’s still on probation and it
will expire on April 21, 2021.
Chairman Lantz asked for Mr. Crotts’ recommendation.
Mr. Crotts said Mr. Carter has complied with all orders by the Board. Prior to today, he met with me
two times to discuss what measures are needed moving forward to ensure incidents like this won’t
occur again. He told staff that he has added additional personnel to help monitor the process and he
understands the seriousness of the issue and what future consequences could be for his license.
Staff recommends a $2,000 fine to be paid within 90 days for 2022-02. Failure to pay within the 90-
day period will result in the automatic revocation of the respondent’s license. The respondent’s license
shall be placed on probation for one year, to run concurrent with the probation imposed on April 21,
2021. This probation would end on March 16, 2023. Also, note that the permit for this offense was
completed and “finaled.”
For the second violation, 2022-03, staff asks for a $2,000 fine to be paid within 90 days. Failure to pay
within the 90-day period will result in the automatic revocation of the respondent’s license. The
respondent’s license shall be placed on probation for one year, to run concurrent with the probation
imposed on April 21, 2021. This probation would end on March 16, 2023. The permit for this violation
was completed and “finaled.”
Chairman Lantz asked if the Board had any questions.
Board Member White said appreciates the staff’s investigation. He’s absolutely certain that Carter
Fence could pay these fines without missing its profit margins. So, for those reasons, it’s also
unnecessary in terms of the amount. He asked to adopt the County recommendations and impose a
$500 fine so it’s $1,000 total, to be paid within 90 days and one-year concurrent probation.
Chairman Lantz said he wanted to clarify that, so if he already had a citation for doing work without
a permit, the first offense would be $1,000, a second offense would be $2,000. And you’re
recommending $500?
Board Member White said he was. He didn’t believe that the dollar amount is going to change
anything. From a compliance perspective, what was desired was that we heard a recognition of
responsibility and admission of that guilt. There was a degree of contrition, and more important than
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either of those two aspects, there’s a recognition that after what happened a year ago in April and what
happened again with these two cases, something different needed to be done in the administration of
the business, which was the point that the Board intended to make last April. What he wants to do is
recognize that and make the respondent be aware that what he’s done is appreciated.
Vice Chairman Jerulle said he was confused. For any other contractor that would come in front of
the Board who doesn’t know as many people as Mr. Carter does – and he’s on probation and has these
offenses – would we be lowering the fine?
Board Member White said he can tell you, by history, that the Board hasn’t since he’s been on the
Board. He told Mr. Carter he’s really disappointed in him because he heard the same thing from him
last April and now he’s on probation. The difference is that there were no changes offered or
anticipated to be made about how their internal procedures work.
Vice Chairman Jerulle said he did say he was going to hire more people last year, if you look at the
meeting minutes. He said he’s disappointed that that we’re here again. Something has to change, Mr.
Carter. You’re either taking on too much work for the size of your company or you need to delegate
somebody to do something better. But we’re going to be here again next year.
Board Member White said we don’t have to be.
Vice Chairman Jerulle said we don’t. We can take his license away and make sure we’re not here,
not that I’m suggesting that Mr. Carter, but something has to change. He said he was irritated by Mr.
White’s suggestion that the Board should reward someone by lowering the fine.
Board Member White said they’re not rewarding anyone. He’s still paying a fine. They just have a
difference of opinion on whether there’s value in the amount of the fine.
Vice Chairman Jerulle said he believed that if anyone else were before the Board, we wouldn’t be
considering lowering the fine. Some of us would be considering raising the fine.
Board Member White said when they talk about raising or lowering, it’s anywhere from zero to
$10,000. So, you’re talking about an arbitrarily determined number on the part of staff. The point is
$4,000 won’t change his bottom line.
Vice Chairman Jerulle said they should make it $10,000. Or maybe $20,000 would get his attention.
He was here last year and he’s on probation.
Board Member White noted that he’d be on probation for another year.
Vice Chairman Jerulle said he didn’t agree with his opinion and didn’t want to debate it.
Board Member White said they’d agree to disagree.
Chairman Lantz asked if there was any more discussion.
Board Member Nolton asked if Mr. Carter had anything to say.
Mr. Carter said he did take action when he found out about the first incident. He called right away to
find out what they could do to rectify it. It took a week. He presented it to somebody higher up to find
out if this really required a permit and they determined it did. We had already applied for a permit. We
already were doing everything we could to correct it. We corrected it immediately.
The same thing with the other incident. When I came before the Board last time, my first fine was
$2,000. It wasn’t $500 and it was for the first time I’ve been in front of the CLB in his lifetime. He’s
just asking for a little bit of leniency for being a contractor for 32 years with no complaints involving
quality of work. There’s no consideration for that here and there was not the last time, as well.
Vice Chairman Jerulle said there’s definitely consideration. We could be taking your license, and
nobody is even suggesting that or even considering that. If you were a different contractor who didn’t
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know as many people on the Board, he believed the Board would be taking a different approach. He’s
just trying to get the people on the Board to understand we should be treating everybody the same.
They have an obligation to the County to treat people the same, to be consistent. We’re not being
consistent. That’s his point.
Chairman Lantz said there has been no consideration. That was only Board Member White’s
suggestion and no one else on the Board has agreed.
Board Member White said it’s based on the criteria the Board is supposed to evaluate. He looked at
each one of those: gravity, harm to the public, what was being done by the respondent. All those things
must be weighed in favor of a lesser fine, not the same as recommended, or greater. He contended he’s
not lenient, as his record will show, but the point is are we supposed to penalize? When someone takes
the steps to do what they’re supposed to do, get in compliance, and change their behavior at the
company level, isn’t that something that is appropriate to recognize? It’s not rewarding in any way.
Board Member Allen said he didn’t disagree. But the whole point is to change behavior and we’re
not seeing changed behavior. He believed Vice Chairman Jerulle’s point that if it were anybody else,
we would have thrown the book at them.
Board Member White said that’s where they were last year.
Board Member Nolton said he agreed with that. If it was a $2,000 fine last time, he assumes there
were two counts and it was $1,000 per count. He didn’t look, but that’s what he’s guessing, so this
would be the second and third violation, so it would be normally a $2,000 fine, which the County is
recommending. That would be in line with what we’ve done in the past. Obviously, we could go
greater than that or less than that. Mr. Carter, it has nothing to do with knowing you. It has to do with
being in business. He appreciates that he’s been in business as long as he has and he’s pulled
thousands of permits. But the fact is, you did something you shouldn’t have done and you know you
did it. You admitted to it and you’re here on probation. I know last time you were here we told you to
fix this and don’t let this happen again. You’re on probation.
Chairman Lantz said that when someone messes up on probation, they have to pay a price. If we put
somebody on probation, probation has to mean something. If he were on probation, he’d be walking
on eggshells. He noted that he’s had employees on criminal probation and they’re always afraid
they’re going to get into trouble. So, the standard is much higher when someone is on probation. We
expect 100% compliance. He knows one or two things could slip through, but when you’re on
probation, you should be making sure that those things don’t slip through.
Board Member White told the Chairman and Board that he didn’t disagree with anything they were
saying. But the difference in this case is the circumstances. He saw it on the agenda and thought Mr.
Carter probably hired a lawyer. He’s worked it out with the County and we’re going to have something
put on the record that the County recommended. He thought it would all be worked out, but what
happened? Mr. Carter came in with a prepared statement, having thought through what it would be that
we would want and expect to hear, and that’s exactly what he heard. That’s exactly what we would
want from any respondent. He did not go the distance to hire a lawyer. This is the perfect respondent
where it makes some degree of sense to give him what he’s asking for, in terms of leniency, not from
the perspective of whether $1,500 is going to change his life. But rather, what is the message we’re
sending someone out there who is going to put themselves in a situation similar to Mr. Carter? It’s not
appropriate to penalize. There are times when it’s absolutely appropriate to whack somebody as hard
as we can. This is not the person.
Vice Chairman Jerulle said he doesn’t know Mr. Carter, but he knows his business. He’s worked for
him in the past with no problem and he believes he does pull his permits. He’s one of the better
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contractors in town. But he said he won’t vote for a lower fine.
Chairman Lantz asked if anyone wanted to second the motion.
Mr. Carter said in his defense, he’d like to ask Mr. Crotts to tell the Board how much Carter Fence is
being proactive, with him coming to see Mr. Crotts and asking what his company could do to improve,
so this process doesn’t happen again. He knows our intentions are sincere, that we don’t intend on
doing this again. This wasn’t maliciously trying to not get a permit to make a little extra money and
harm somebody. There was no harm intended.
Vice Chairman Jerulle said he’s not speaking for the Board, but he didn’t think there was any
malicious intent or harm. It’s just something that happened within your company, a company you’re in
control of. It happened a year ago, you’re on probation and it happened again. He’s disappointed that
he’s here again because he believes he’s better than that.
Board Member Nolton noted that Mr. Crotts understands what he’s doing and recommended a
$2,000 fine on each count, which could be considered lenient, and one year of probation. He noted that
making probation concurrent also could be considered lenient.
Board Member Joslin said he’s known Mr. Carter for 40 years. He agreed with Mr. White that the
fine wasn’t as important as probation. Under the circumstances and knowing Mr. Carter for all these
years, he knows he’s a very good-hearted person. He does things as best he can. When you become the
size that his company has in the past 10 years, when it grew to be phenomenally huge, they’re going to
have bases that are missed. That’s not right, and he shouldn’t have done this. But there were also some
implications that he mentioned, staff measures, and some questions on whether it needed a permit,
whether it didn’t, and who said what.
We’ve got some things that are out there that are that are still questionable. But under the
circumstances, he agrees the Board should show some leniency. If there’s another fine, it’s not going
to hurt the company. A $5,000 fine won’t hurt the company. What we want to do is get it back on track
so this doesn’t happen anymore. With another year of probation, that’s going to definitely wake him
up so it won’t ever occur again.
Board Member White said that to reinforce the point that Board Member Joslin is making, his
philosophy is that he will get 12 months of probation and all he’s got to do is screw up once and he’ll
come back in front of the Board. We’re going to drop the hammer on him. There’s no doubt he knows
that and that’s why he’s here today without legal representation. The point is to be consistent, not be
consistent with what we did before, but to treat each and every case individually, consistent with what
the law requires, and the facts represent.
Attorney Noell reminded the Board to consider the following factors when arriving at the appropriate
level of penalty:
• the gravity of the violation
• the impact of the violation on the public’s health, welfare, and safety
• any actions taken by the violator to correct the violations
• any previous violations committed
• any other evidence presented at the hearing that’s relevant to the sanctions that are appropriate to
the case, given the nature of the violations.
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Chairman Lantz noted that there are some questionable circumstances about whether a permit was
required or not. But he’d say if anybody knows the law, Mr. Carter knows if the permit was required
because he’s pulled thousands of permits.
Board Member White asked the Chairman to be realistic. In his experience in dealing with Carter
Fence Company, it became very clear that the internal processes of what was going on in the office at
the administrative level and working with the county was to some degree not as connected as what was
going on out in the field, both in terms of timing, to some degree the scope of the job and writing
down the level of what the building officials specifically expected and required in order to issue the
permit.
Mr. Carter has been here two times and based on those experiences with us, and the attitude he’s heard
from us, the message has resonated to the degree where my expectation is if he asked him the direct
question, “Is there any way that someone will start work without having confirmed with the office that
a permit has been issued?” He’s hoping the answer is, “Absolutely, positively, 100% of the time. Yes,
we will not start a job unless the field crew has confirmed with the office in some regard that a permit
has been issued.” And if it hasn’t done that, the County will find out within the next 12 months and
he’s going to be back before the Board. He needs to understand we’d drop the hammer. By showing a
degree of leniency today, he’ll be in the position next time to be a hammer.
Chairman Lantz asked if there were any more questions and called for a vote.
The vote failed 3-4; Board Member Jaron abstained.
Board Member White made a motion to order the Respondent to pay a $2,000 fine on each count
within 90 days and if it’s not paid within 90 days, his license will be revoked; he will be placed on
one year’s probation, until March 16, 2023. Vice Chairman Jerulle seconded it. The motion
passed, 6-1; Board Member Joslin voted nay and Board Member Jaron abstained.
Chairman Lantz said the Board can now move onto findings of fact. Upon consideration of all
testimony received under oath, evidence received, and arguments presented by the parties during the
public hearing, the Board issues the following findings and conclusions:
• Service of the amended Administrative Complaint and notice was legal, sufficiently provided and in
compliance with the applicable law.
• The Respondent is the holder of the license set forth in the Administrative Complaint.
• The Respondent was present at the hearing and was represented by counsel.
• The Respondent is a license holder as set forth in the Administrative Complaint.
• The Board has jurisdiction over the Respondent and subject matter raised in the Administrative
Complaint.
The Respondent committed the violations as set forth in Count 1 for Case 2022-02 and Case 2022-03:
This concludes the order of the Board in this matter.
11. NEXT MEETING DATE: WEDNESDAY, April 20, 2022
Commissioners’ Chambers, Third Floor,
4.A.1
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March 16, 2022
28
Administrative Building F, Collier County Government Center,
3299 E. Tamiami Trail, Naples, FL
Board Member White made a motion to adjourn. Board Member Joslin seconded the motion. The
motion carried unanimously, 8 -0.
There being no further business for the good of the County, the meeting was adjourned at
11:17 a.m.
Collier County Contractors’ Licensing Board
_______________________________________
Kyle Lantz, Board Chairman
These minutes were approved by the Chairman or Vice-Chairman of the Contractors’ Licensing Board
on _______________________________, (check one) as submitted ____ or as amended _____.
4.A.1
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04/20/2022
COLLIER COUNTY
Contractor Licensing Board
Item Number: 8.A
Item Summary: ORDERS OF THE BOARD (22 ITEMS)
Meeting Date: 04/20/2022
Prepared by:
Title: – Contractor Licensing
Name: Sandra Delgado
04/13/2022 4:04 PM
Submitted by:
Title: – Contractor Licensing
Name: Tim Crotts
04/13/2022 4:04 PM
Approved By:
Review:
Contractor Licensing Trish Morgan Review item Completed 04/13/2022 4:25 PM
Contractor Licensing Sandra Delgado Review item Completed 04/13/2022 5:37 PM
Contractor Licensing Tim Crotts Review Item Completed 04/14/2022 11:46 AM
Contractor Licensing Tim Crotts Meeting Pending 04/20/2022 9:00 AM
8.A
Packet Pg. 33
CONTRACTORS' LICENSI NG BOARD
COLLIER COUNTY, FLORIDA
ORDER TO PAY CIVIL PENALTY
COSTA, SEAN
2939 GRAND AVE
FORT IMYERS, FL 33901
CLB Agenda Date: April20. 2022
Pursuant to Section 489.127, Florida Sfafufes, Operations and Regulatory l/anagement
Department/Licensing Section issued Citation No. 11762 GEUL20220001054 on
02/02/22. to GOSTA. SEAN, in the amount of $1,000.00, within 10 days of issuance of
the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) (g), Florida
Sfafufes, the violator is hereby ORDERED to pay that penalty in full within 15 days from
the date of mailing a copy of the ORDER to the violator's address as noted on the
Citation. lf the penalty is not paid in full within 15* days, this ORDER may be recorded in
the public records of Collier County and thereafter shall constitute a lien against any real
or personal property owned by the violator. After 3 months from the filing of any such lien
which remains unpaid, the Contractor Licensing Board may authorize the County
Attorney to foreclose on the lien.
\- 2o-22DATE
CHAIRIVAN
KYLE LANTZ
Print Name
Attorney to the CLB
KEVIN NOELL Contractor Licensing Su pervisor
TITVOTHY CROTTS
For Contractor Licensing Board
* lf the 1sth dav falls on a Saturdav. Sundav or holidav. the entire fine must be oaid no
later than 4:00 P.tr/. on the County''s next blsiness day following that weekend br holiday
Approved as to form and legal sufficiency
8.A.1
Packet Pg. 34 Attachment: 8A ORDERS OF THE BOARD (22 ITEMS) (21958 : ORDERS OF THE BOARD (22 ITEMS))
CONTRACTORS, LICENSING BOARD
COLLIER COUNTY, FTORIDA
ORDER TO PAY CIVIL PENALTY
COSTA, SEAN
2939 GRAND AVE
FORT MYERS, FL 33901
CLB Agenda Dalei Aoril20. 2022
Pursuant to Section 489.127, Florida Statutes. Operations and Regulatory Nlanagement
DepartmenUlicensing Section issued Citation No. 1 1763 CECV20220000109 on
0'l/1'll22. to COSTA, SEAN, in the amount of $1.000.00, within 10 days of issuance of
the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) (g), Florida
Slafutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from
the date of mailing a copy of the ORDER to the violator's address as noted on the
Citation. lf the penalty is not paid in full within 15* days, this ORDER may be recorded in
the public records of Collier County and thereafter shall constitute a lien against any real
or personal property owned by the violator. After 3 months from the filing of any such lien
which remains unpaid, the Contractor Licensing Board may authorize the County
Attorney to foreclose on the lien.
DATE 4- lo
CHAIRIVAN
KYI F I ANTT
Print Name
- lf the 15th da
later than 4:00
Contractor Licensing Supervisor
TII\,4OTHY CROTTS
For Contractor Licensing Board
V falls on a Saturdav. Sundav or holidav. the entire fine must be oaid no
P.lr,4. on the Countt's next bisiness day following that weekend br holiday
Approved as to form and legal sufficiency
Attorney to the CLB
KEVIN NOELL
8.A.1
Packet Pg. 35 Attachment: 8A ORDERS OF THE BOARD (22 ITEMS) (21958 : ORDERS OF THE BOARD (22 ITEMS))
CONTRACTORS, LICENSI NG BOARD
COLLIER COUNTY, FLORIDA
Pagliaroli, Frank
2685 22nd Ave SE
Naples, FL 341 17
CLB Agenda Oatei Aoril20.2022
Pursuant to Section 489.127, Florida Statutes. Operations and Regulatory l\ilanagement
Department/Licensing Section issued Citation No. 1 1569 CEUL20220000785 on
01/31/22. to Pagliaroli. Frank, in the amount of $1.000.00, within 10 days of issuance
of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section a89.127(5) (g),
Florida Statutes, the violator is hereby ORDERED to pay that penalty in full within 15
days from the date of mailing a copy of the ORDER to the violator's address as noted on
the Citation. lf the penalty is not paid in full within 15. days, this ORDER may be recorded
in the public records of Collier County and thereafter shall constitute a lien against any
real or personal property owned by the violator. After 3 months from the filing of any such
lien which remains unpaid, the Contractor Licensing Board may authorize the County
Attorney to foreclose on the lien.
DATE:4'l.o - 2x
CHAIRIVAN
KYLE LANTZ
Print Name
Attorney to the CLB
KEVIN NOELL Contractor Licensing Su pervisor
TIMOTHY CROTTS
For Contractor Licensing Board
' lf the 1Sth dav falls on a Saturdav, Sundav or holidav. the entire fine must be oaid no
later than 4:00P.|V. on the Countf s next business day following that weekend br holiday
Approved as to form and legal sufficiency
ORDER TO PAY CIVIL PENALTY
8.A.1
Packet Pg. 36 Attachment: 8A ORDERS OF THE BOARD (22 ITEMS) (21958 : ORDERS OF THE BOARD (22 ITEMS))
CONTRACTORS, LICENSI NG BOARD
COLLIER COUNTY, FLORIDA
ORDER TO PAY CIVIL PENALTY
Pagliaroli, Frank
2685 22nd Ave SE
Naples, FL 341 17
CLB Agenda Dale: Aoril 20.2022
Pursuant to Section 489-127, Florida Statutes. Operations and Regulatory ltlanagement
Department/Licensing Section issued Citation No. 11568 CEUL20220001065 on
01/3'll22-to Pagliaroli. Frank, in the amount of $1.000.00, within 10 days of issuance
of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) (g),
Florida Statutes, the violator is hereby ORDERED to pay that penalty in full within 15
days from the date of mailing a copy of the ORDER to the violator's address as noted on
the Citation. lf the penalty is not pard in full within 15. days, this ORDER may be recorded
in the public records of Collier County and thereafter shall constltute a lien against any
real or personal property owned by the violator. After 3 months from the filing of any such
Iien which remains unpaid, the Contractor Licensing Board may authorize the County
Attorney to foreclose on the lien.
DATE
Ll-Jo
CHAIRIVlAN
KYI F I ANTT
Print Name
Attorney to the CLB
KEVIN NOELL Contractor Licensing Supervisor
TIIVOTHY CROTTS
For Contractor Licensing Board
- lf the 1Sth day falls on a Saturdav, Sundav or holidav, the entire fine must be oaid no
later than 4:00'P.lV. on the County's next business day following that weekend br holiday
Approved as to form and legal sufficiency
8.A.1
Packet Pg. 37 Attachment: 8A ORDERS OF THE BOARD (22 ITEMS) (21958 : ORDERS OF THE BOARD (22 ITEMS))
CONTRACTORS' LICENSI NG BOARD
COLLIER COUNTY, FLORIDA
Roderka, Eric
260 Bth St NE
Naples, FL 34120
CLB Agenda Datei April20.2022
Pursuant to Section 489.127, Florida Statutes. Operations and Regulatory lvlanagement
DepartmenVlicensing Section issued Citation No. 1 1618 CEUL20220000409 on
01/26/22. to Roderka, Eric. in the amount of $1.000.00, within 10 days of issuance of
the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) (g), Florida
Sfafufes, the violator is hereby ORDERED to pay that penalty in full within 15 days from
the date of mailing a copy of the ORDER to the violator's address as noted on the
Citation. If the penalty is not paid in full within 15* days, this ORDER may be recorded in
the public records of Collier County and thereafter shall constitute a lien against any real
or personal property owned by the violator. After 3 months from the filing of any such lien
which remains unpaid, the Contractor Licensing Board may authorize the County
Attorney to foreclose on the lien.
DATE 4-20 -)2-
KYI F I ANTT
Print Name
Attorney to the CLB
KEVIN NOELL Contractor Licensing Supervisor
TII\4OTHY CROTTS
For Contractor Licensing Board
' lf the 15th day falls on a Saturday, Sundav or holidav. the entire fine must be Daid no
later than 4:00 P.tvl. on the County's next business day following that weekend br holiday
Approved as to form and legal sufficiency
ORDER TO PAY CIVIL PENALTY
CHAIRIVlAN
8.A.1
Packet Pg. 38 Attachment: 8A ORDERS OF THE BOARD (22 ITEMS) (21958 : ORDERS OF THE BOARD (22 ITEMS))
CONTRACTORS' LICENSING BOARD
COLLIER COUNTY, FLORIDA
ORDER TO PAY CIVIL PENALTY
Sanchez, Anthony
405 NW 1st Place
Cape Coral, FL 33993
CLB Agenda Date: Aoril20.2022
Pursuant to Section 489.127 , Florida Statutes. Operations and Regulatory Management
DepartmenUlicensing Section issued Citation No. 11588 CEUL20220001221 on
02/04/22. to Sanchez. Anthony. in the amount of $1.000.00, within 10 days of
issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127 (5)
(g), Florida Srafufes, the violator is hereby ORDERED to pay that penalty in full within 15
days from the date of mailing a copy of the ORDER to the violator's address as noted on
the Citation. lf the penalty is not paid in full within 15- days, this ORDER may be recorded
in the public records of Collier County and thereafter shall constitute a lien against any
real or personal property owned by the violator. After 3 months from the flling of any such
lien whjch remains unpaid, the Contractor Licensing Board may authorize the County
Attorney to foreclose on the lien.
DATE:4-?"-?)
CHAIRIVAN
KYLE LANTZ
Attorney to the CLB
KEVIN NOELL Contractor Licensing Supervisor
TII\4OTHY CROTTS
For Contractor Licensing Board
. lf the 15tn day falls on a Saturdav, Sundav or holidav. the entire fine must be oaid no
later than 4:00 P.M. on the County s next business day following that weekend br holiday.
Approved as to form and legal sufficiency
Print Name
8.A.1
Packet Pg. 39 Attachment: 8A ORDERS OF THE BOARD (22 ITEMS) (21958 : ORDERS OF THE BOARD (22 ITEMS))
CONTRACTORS' LICENSING BOARD
COLLIER COUNW, FTORIDA
ORDER TO PAY CIVIL PENALTY
IVCDONALD, GREGORY J
3190 POINCIANA DRIVE
NAPLES, FL 34105
CLB Agenda Dale: Aoril20.2O22
Pursuant to Section 489.127, Florida Statutes. Operations and Regulatory lvlanagement
DepartmenUlicensing Section issued Gitation No. 11742 CEUL20220000982 on
02/09/22. to MCDONALD, GREGORY J. in the amount of $1,000.00, within 10 days of
issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127 (5)
(g), Florida Sfatufes, the violator is hereby ORDERED to pay that penalty in full within '15
days from the date of mailing a copy of the ORDER to the violator's address as noted on
the Citation. lf the penalty is not paid in full within 15* days, this ORDER may be recorded
in the public records of Collier County and thereafter shall constitute a lien against any
real or personal property owned by the violator. After 3 months from the filing of any such
lien which remains unpaid, the Contractor Licensing Board may authorize the County
Attorney to foreclose on the lien.
DATE:4- 2n -2>-
CHAIRIVAN
KYLE LANTT
Print Name
Attorney to the CLB
KEVIN NOELL Contractor Licensing Supervisor
TIMOTHY CROTTS
For Contractor Licensing Board
. lf the 15th day falls on a Saturdav, Sundav or holidav. the entire fine must be oaid no
later than 4:00 P.M. on the Countiis next business day following that weekend br holiday.
Approved as to form and legal sufficiency
8.A.1
Packet Pg. 40 Attachment: 8A ORDERS OF THE BOARD (22 ITEMS) (21958 : ORDERS OF THE BOARD (22 ITEMS))
CONTRACTORS, LICENSING BOARD
COLLIER COUNTY, FLORI DA
ORDER TO PAY CIVIL PENALTY
WATROUS, ROBERT T
28760 DIAIVOND DR
UNIT 204
BONITA SPRINGS, FL 34134
GLB Agenda Datei April 20.2022
Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management
Department/Licensing Section issued Citation No. 1'1608 CEUL20220001134 on
02/11/22. to WATROUS. ROBERT T. in the amount of $1.000.00, within 10 days of
issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 485.127 (5)
(g), Florida Stafufes, the violator is hereby ORDERED to pay that penalty in full within 15
days from the date of mailing a copy of the ORDER to the violator's address as noted on
the Citation. lf the penalty is not paid in full within 15. days, this ORDER may be recorded
in the public records of Collier County and thereafter shall constitute a lien against any
real or personal property owned by the violator. After 3 months from the filing of any such
lien which remains unpaid, the Contractor Licensing Board may authorize the County
Attorney to foreclose on the lien.
DATE 4 -?2-
CHAIRIVAN
KYLE LANTZ
Print Name
Attorney to the CLB
KEVIN NOELL Contractor Licensing Supervisor
TIIVOTHY CROTTS
For Contractor Licensing Board
" lf the 15th da
later than 4:00
v falls on a Saturdav. Sundav or holidav. the entire fine must be oaid no
P.M. on the Countf s next blsiness day following that weekend br holiday.
Approved as to form and legal sufficiency
8.A.1
Packet Pg. 41 Attachment: 8A ORDERS OF THE BOARD (22 ITEMS) (21958 : ORDERS OF THE BOARD (22 ITEMS))
CONTRACTORS' LICENSI NG BOARD
COLTIER COUNTY, FLORIDA
ORDER TO PAY CIVIL PENALTY
Busto Duniel
420 Logan blvd s
Naples, FL 341 19
CLB Agenda Date: Aoril20.2022
Pursuant to Section 489.127 , Florida Statutes, Operations and Regulatory N/anagement
Department/Ljcensing Section issued Citation No. 12484 CEUL20220001556 on
02/'11l22, to Busto Duniel, in the amount of $1,000.00, within 10 days of issuance of
the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) (g), Florida
Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from
the date of mailing a copy of the ORDER to the violator's address as noted on the
Crtation. lf the penalty is not paid in full within 15. days, this ORDER may be recorded in
the public records of Collier County and thereafter shall constitute a lien against any real
or personal property owned by the violator. After 3 months from the filing of any such lien
which remains unpaid, the Contractor Licensing Board may authorize the County
Attorney to foreclose on the lien.
DATE:4 - 2D -2-2-
CHAIRMAN
KYLE LANTZ
Print Name
Attorney to the CLB
KEVIN NOELL Contractor Licensing Supervisor
TIIVOTHY CROTTS
For Contractor Licensing Board
- lf the 15th da
later than 4:00
v falls on a Saturdav. Sundav or holidav. the entire fine must be oaid no
P.lvl. on the Countfs next brisiness day following that weekend br holiday.
Approved as to form and legal sufficiency
8.A.1
Packet Pg. 42 Attachment: 8A ORDERS OF THE BOARD (22 ITEMS) (21958 : ORDERS OF THE BOARD (22 ITEMS))
CONTRACTORS' LICENSING BOARD
COLLIER COUNTY, FLORIDA
ORDER TO PAY CIVIL PENALTY
JII\iIMIE DELAROSA
2696 IVIARIANNA WAY UNIT 206
I I\iI IVIOKALEE, F L 341 42
CLB Agenda Oatei Aptil 20.2022
Pursuant to Section 489.127 , Florida Statutes, Operations and Regulatory lvlanagement
DepartmenULicensing Section issued Citation No. 12472 CEUL2O22OO017 57 on
02/17122. to JIMMIE DELAROSA. in the amount of $1.000.00, within 10 days of
issuance of the Citation, THE PENALW HAS NOT BEEN PAID. Per Section 489.127 (5)
(g), Florida Sfalufes, the violator is hereby ORDERED to pay that penalty in full within 15
days from the date of mailing a copy of the ORDER to the violatoas address as noted on
the Citation. lf the penalty is not paid in full within 15- days, this ORDER may be recorded
in the public records of Collier County and thereafter shall constitute a lien against any
real or personal property owned by the violator. After 3 months from the flling of any such
lien which remains unpaid, the Contractor Licensing Board may authorize the County
Attorney to foreclose on the lien.
DATE 4-2o - 2)-
CHAIRMAN
KYLE LANTT
Print Name
Attorney to the CLB
KEVIN NOELL Contractor Licensing Supervisor
TIIMOTHY CROTTS
For Contractor Licensing Board
. lf the 15th d
later than 4:0
ay falls on a Saturday, Sundav or holidav, the entire fine must be oaid no
0 P.M. on the Countls next b[rsiness dai following that weekend br holiday
Approved as to form and legal sufficiency
8.A.1
Packet Pg. 43 Attachment: 8A ORDERS OF THE BOARD (22 ITEMS) (21958 : ORDERS OF THE BOARD (22 ITEMS))
CONTRACTORS' LICENSING BOARD
COLLIER COUNTY, FLORIDA
ORDER TO PAY CIVIL PENALTY
CLB Agenda Date: April 20,2022
Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory l\4anagement
DepartmenUlicensing Section issued Citation No. 11589 CEUL20220001001 on
02i07/22. to Bens. Nevin. in the amount of $1.000.00, within 10 days of issuance of
the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127 (5) (g), Florida
Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from
the date of mailing a copy of the ORDER to the violatois address as noted on the
Citation. lf the penalty is not paid in full within 15. days, this ORDER may be recorded in
the public records of Collier County and thereafter shall constitute a lien against any real
or personal property owned by the violator. After 3 months from the filing of any such lien
which remains unpaid, the Contractor Licensing Board may authorize the County
Attorney to foreclose on the lien.
DATE 4 -?o -2 >-
Print Name
Attorney to the CLB
KEVIN NOELL
* lf the 15th
later than 4
Contractor Licensing Supervisor
TIIMOTHY CROTTS
For Contractor Licensing Board
falls on a Saturdav. Sundav or holidav. the entire fine must be oaid no
.l\/1. on the Countf s next brisiness dai'following that weekend br holiday
Approved as to form and legal sufficiency
dav
00'P
Bens, Nevin
847 S. Randall Rd. Suite 349
Elgin, FL 60123
CHAIRI\4AN
KYI tr I ANTT
8.A.1
Packet Pg. 44 Attachment: 8A ORDERS OF THE BOARD (22 ITEMS) (21958 : ORDERS OF THE BOARD (22 ITEMS))
CONTRACTORS' LICENSING BOARD
COLLIER COUNTY, FLORIDA
RODRIGUES SILVA, LUIS G DBA LR PALIVI TREE LLC
5525 JONQUIL LN 202
NAPLES, FL 34109
CLB Agenda Date: April 20- 2022
Pursuant to Section 489.127 , Florida Statutes, Operations and Regulatory Management
DepartmenUlicensing Section issued Citation No. 11769 CEUL20220001826 on
02/18/22. to RODRIGUES SILVA, LUIS G DBA LR PALM TREE LLC. in the amount of
$1.000.00, within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN
PAID. Per Section 489.127(5) (g), Florida Sfatufes, the violator is hereby ORDERED to
pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to
the violator's address as noted on the Citation. lf the penalty is not paid in full within 15.
days, this ORDER may be recorded in the public records of Collier County and thereafter
shall constitute a lien against any real or personal property owned by the violator. After 3
months from the filing of any such lien which remains unpaid, the Contractor Licensing
Board may authorize the County Attorney to foreclose on the lien.
DATE 4 - ao '2>-
CHAIRMAN
KYI F I ANTT
Print Name
Attorney to the CLB
KEVIN NOELL Contractor Licensing Supervisor
TIIVOTHY CROTTS
For Contractor Licensing Board
- lf the 1Sth day falls on a Saturday, Sundav or holidav, the entire fine must be paid no
later than 4:00 P.lVl. on the County's next business day following that weekend br holiday
Approved as to form and legal sufficiency
ORDER TO PAY CIVIL PENALTY
8.A.1
Packet Pg. 45 Attachment: 8A ORDERS OF THE BOARD (22 ITEMS) (21958 : ORDERS OF THE BOARD (22 ITEMS))
CONTRACTORS' LICENSING BOARD
COLLIER COUNTY, FLORIDA
ORDER TO PAY CIVIL PENALTY
Cobb, Steven
4499 Dorando Drive
Naples, FL 34103
CLB Agenda Datei Aptil20.2022
Pursuant to Section 489.127, Florida Statutes. Operations and Regulatory l\,4anagement
DepartmenVlicensing Section issued Citation No. 09435 CEUL20220001913 on
02/23122, to Cobb-Steven. in the amount of $1.000.00, within 10 days of issuance of
the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) (g), Florida
Stafufes, the violator is hereby ORDERED to pay that penalty in full within '15 days from
the date of mailing a copy of the ORDER to the violator's address as noted on the
Citation. lf the penalty is not paid in full within 15. days, this ORDER may be recorded in
the public records of Collier County and thereafter shall constitute a lien against any real
or personal property owned by the violator. After 3 months from the filing of any such lien
which remains unpaid, the Contractor Licensing Board may authorize the County
Attorney to foreclose on the lien.
DATE:4-zo - ? D-
CHAIRIVAN
KYLE LANTZ
Print Name
Attorney to the CLB
KEVIN NOELL Contractor Licensing Supervisor
TIIMOTHY CROTTS
For Contractor Licensing Board
. lf the 1Sth da
later than 4:00
y falls on a Saturdav, Sundav or holidav, the entire fine must be oaid no'P.lvl. on the County's next business day following that weekend br holiday
Approved as to form and legal sufficiency
8.A.1
Packet Pg. 46 Attachment: 8A ORDERS OF THE BOARD (22 ITEMS) (21958 : ORDERS OF THE BOARD (22 ITEMS))
CONTRACTORS' LICENSING BOARD
COLLIER COUNTY, FLORIDA
ORDER TO PAY CIVIL PENALTY
Lyncheski, Michael L
4840 W. Blvd Ct.
Naples, FL 34103
CLB Aqenda Date: Aoril20.2022
Pursuant to Section 489.127, Florida Statutes, Operations and Regulalory lt4anagement
Department/Licensinq Section issued Gitation No. 11666 CEUL20220001752 on
02/17122. to Lyncheski. Michael L.. in the amount of $1,000.00, within 10 days of
issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127 (5)
(g), Florida Sratufes, the violator is hereby ORDERED to pay that penalty in full within 15
days from the date of mailing a copy of the ORDER to the violator's address as noted on
the Citation. lf the penalty is not paid in full within 15- days, this ORDER may be recorded
in the public records of Collier County and thereafter shall constitute a lien against any
real or personal property owned by the violator. After 3 months from the filing of any such
lien which remains unpaid, the Contractor Licensing Board may authorize the County
Attorney to foreclose on the lien.
DATE 4- Zct -2)-
CHAIRMAN
KYLE LANTZ
Print Name
Attorney to the CLB
KEVIN NOELL Contractor Licensing Supervisor
TIMOTHY CROTTS
For Contractor Licensing Board
- lf the 1Sth dav falls on a Saturdav. Sundav or holidav. the entire fine must be oaid no
later than 4:00P.M. on the County's next business day following that weekend br holiday
Approved as to form and legal sufficiency
8.A.1
Packet Pg. 47 Attachment: 8A ORDERS OF THE BOARD (22 ITEMS) (21958 : ORDERS OF THE BOARD (22 ITEMS))
CONTRACTORS, LICENSING BOARD
COLLIER COUNTY, FLORIDA
ORDER TO PAY CIVIL PENALTY
JUERGAN SCHREYER
7236 SWAN LAKE DRIVE
FORT MYERS, FL 33919
CLB Aoenda Date: Aoril 20.2022
Pursuant to Seclion 489.127, Florida Statutes, Operations and Regulatory lvlanagement
DepartmenUlicensinq Section issued Citation No. 1 1709 CEUL20220001299 on
02/07/22, to JUERGAN SCHREYER. in the amount of $1.000.00, within 1 0 days of
issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127 (5)
(g), Florida Sfalufes, the violator is hereby ORDERED to pay that penalty in full within 15
days from the date of mailing a copy of the ORDER to the violator's address as noted on
the Citation. lf the penalty is not paid in full within 15. days, this ORDER may be recorded
in the public records of Collier County and thereafter shall constitute a lien against any
real or personal property owned by the violator. After 3 months from the filing of any such
lien which remains unpaid, the Contractor Licensing Board may authorize the County
Attorney to foreclose on the lien.
DATE:4 -ao - a->--
CHAIRTVAN
Attorney to the CLB
KEVIN NOELL Contractor Licensing Supervisor
TII\4OTHY CROTTS
For Contractor Licensing Board
- lf the 15th d
later than 4:0
av falls on a Saturdav. Sundav or holidav. the entire fine must be oaid no
0?.1v1. on the Countfs next birsiness day following that weekend br holiday.
Approved as to form and legal sufficiency
KYLE LANTZ
Print Name
8.A.1
Packet Pg. 48 Attachment: 8A ORDERS OF THE BOARD (22 ITEMS) (21958 : ORDERS OF THE BOARD (22 ITEMS))
CONTRACTORS' LICENSING BOARD
COLLIER COUNTY, FLORIDA
PERMANN, SCOTT,I965 IIUPERIAL GOLF CO BLVD
NAPLES, FL 341,I0
CLB Aqenda Date: Aoril20.2022
Pursuant to Section 489.127 , Florida Statutes, Operations and Regulatory lt4anagement
DepartmenULicensinq Section issued Citation No. 11765 CEUL20210012702 on
01/11/22, to PERMANN. SCOTT. in the amount of $2.000.00, within 10 days of
issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127 (5)
(g), Florida Statufes, the violator is hereby ORDERED to pay that penalty in full within 15
days from the date of mailing a copy of the ORDER to the violatols address as noted on
the Citation. lf the penalty is not paid in full within 15* days, this ORDER may be recorded
in the public records of Collier County and thereafter shall constitute a lien agarnst any
real or personal property owned by the violator. After 3 months from the flling of any such
lien which remains unpaid, the Contractor Licensing Board may authorize the County
Attorney to foreclose on the lien.
DATE:4 -ao-2?-
CHAIRIVAN
KYLE LANTZ
Print Name
Attorney to the CLB
KEVIN NOELL Contractor Licensing Supervisor
TITVOTHY CROTTS
For Contractor Licensing Board
" lf the 15th da
later than 4:00
y falls on a Saturday, Sunday or holiday, the entire fine must be paid no
P.M. on the County's nexl business day following that weekend or holiday
Approved as to form and legal sufficiency
ORDER TO PAY CIVIL PENALTY
8.A.1
Packet Pg. 49 Attachment: 8A ORDERS OF THE BOARD (22 ITEMS) (21958 : ORDERS OF THE BOARD (22 ITEMS))
CONTRACTORS' LICENSING BOARD
COTLIER COUNTY, FLORIDA
ORDER TO PAY CIVIL PENALTY
Morales Ordonez, Leonel
3512 Tamiami Ln
Naples, FL 341 12
CLB Agenda Dale: April20.2022
Pursuant to Section 489.127, Florida Statutes. Operations and Regulatory Management
DepartmenUlicensing Section issued Citation No. 11780 CEUL20220002067 on
03/01/22. to Morales Ordonez, Leonel, in the amount of $1.000.00, within 10 days of
issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127 (5)
(g), Florida Starutes, the violator is hereby ORDERED to pay that penalty in full within 15
days from the date of mailing a copy of the ORDER to the violator's address as noted on
the Citation. lf the penalty is not paid in full within '15. days, this ORDER may be recorded
in the public records of Collier County and thereafter shall constitute a lien against any
real or personal property owned by the violator. After 3 months from the filing of any such
lien which remains unpaid, the Contractor Licensing Board may authorize the County
Attorney to foreclose on the lien.
DATE 4 - Jo -)-s-
CHAIRMAN
KYLE LANTZ
Print Name
Attorney to the CLB
KEVIN NOELL Contractor Licensing Supervisor
TIMOTHY CROTTS
For Contractor Licensing Board
- lf the 1sth da
later than 4:00
v falls on a Saturdav. Sundav or holidav. the entire fine must be oaid no
P.M. on the County's next blsiness day following that weekend br holiday
Approved as to form and legal sufficiency
8.A.1
Packet Pg. 50 Attachment: 8A ORDERS OF THE BOARD (22 ITEMS) (21958 : ORDERS OF THE BOARD (22 ITEMS))
CONTRACTORS' LICENSING BOARD
COTLIER COUNTY, FLORIDA
ORDER TO PAY CIVIL PENALTY
Jesus Gonzaga DBA JG ENTERPRISES HOIVE LLC
2170 2,1ST ST SW
Naples, FL 341 17
CLB Agenda Date:. April20.2022
Pursuant to Section 489.127, Florida Statutes. Operations and Regulatory l/anagement
DepartmenUlicensing Section issued Citation No. 11767 CEUL20220001679 on
02/18/22. to Jesus Gonzaga DBA JG ENTERPRISES HOME LLC. in the amount of
$1.000.00, within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN
PAID. Per Section 489.127(5) (g), Florida Sfafufes, the violator is hereby ORDERED to
pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to
the violator's address as noted on the Citation. lf the penalty is not paid in full within 15.
days, this ORDER may be recorded in the public records of Collier County and thereafter
shall constitute a lien against any real or personal property owned by the violator. After 3
months from the filing of any such lien which remains unpaid, the Contractor Licensing
Board may authorize the County Attorney to foreclose on the lien.
DATE:4-)4*22-
CHAIRIVAN
KYLE LANTZ
Contractor Licensing Supervisor
TIMOTHY CROTTS
For Contractor Licensing Board
" lf the 15th day falls on a Saturdav, Sunday or holidav. the entire fine must be oaid nolater than 4:00 P.M. on the county's next business day following that weekend br holiday
Approved as to form and legal sufficiency
Print Name
Attorney to the CLB
KEVIN NOELL
8.A.1
Packet Pg. 51 Attachment: 8A ORDERS OF THE BOARD (22 ITEMS) (21958 : ORDERS OF THE BOARD (22 ITEMS))
CONTRACTORS' LICENSING BOARD
COLLIER COUNTY, FTORIDA
ORDER TO PAY CIVIL PENALTY
GOBIEL, RYAN MATTHEW
6600 CUTry SARK LANE
NAPLES, FL 34104
CLB Agenda Datei Aotil20.2022
Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management
DepartmenUlicensing Section issued Citation No. 09440 CEUL20220002118 on
03/02122. to GOBIEL. RYAN MATTHEW. in the amount of $1.000.00, within '10 days of
issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127 (5)
(g), Florida Sfalutes, the violator is hereby ORDERED to pay that penalty in full within 15
days from the date of mailing a copy of the ORDER to the violator's address as noted on
the Citation. lf the penalty is not paid in full within 15- days, this ORDER may be recorded
in the public records of Collier County and thereafter shall constitute a lien against any
real or personal property owned by the violator. After 3 months from the filing of any such
lien which remains unpaid, the Contractor Licensing Board may authorize the County
Attorney to foreclose on the lien.
DATE t/" 2o -22-
CHAIRIVAN
KYLE LANTZ
Print Name
Attorney to the CLB
KEVIN NOELL Contractor Licensing Supervisor
TIIVOTHY CROTTS
For Contractor Licensing Board
' lf the 15th day falls on a Saturdav, Sundav or holidav. the entire tine must be oaid no
later than 4:00 P.tt/. on the countfs next business day following that weekend br holiday
Approved as to form and legal sufficiency
8.A.1
Packet Pg. 52 Attachment: 8A ORDERS OF THE BOARD (22 ITEMS) (21958 : ORDERS OF THE BOARD (22 ITEMS))
ORDER TO PAY CIVIL PENALTY
LOPEZ, VICENTE
5249 DIXIE DR
NAPLES, FL 34113
CLB Agenda Dale: April20. 2022
Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory lt4anagement
DepartmenUlicensing Section issued Citation No. 12487 CEUL20220002175 on
03/03/22. to LOPEZ. VICENTE. in the amount of $1.000.00, within 10 days of
issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127 (5)
(g), Florida Sfafufes, the violator is hereby ORDERED to pay that penalty in full within 15
days from the date of mailing a copy of the ORDER to the violator's address as noted on
the Citation. lf the penalty is not paid in full within 15- days, this ORDER may be recorded
in the public records of Collier County and thereafter shall constitute a lien against any
real or personal property owned by the violator. After 3 months from the filing of any such
lien which remains unpaid, the Contractor Licensing Board may authorize the County
Attorney to foreclose on the lien.
DATE 4' lo ->.)-
CHAIRMAN
KYLE LANTZ
Print Name
Attorney to the CLB
KEVIN NOELL Contractor Licensing Supervisor
TIMOTHY CROTTS
For Contractor Licensing Board
' lf the 1Sth day falls on a Saturdav, Sundav or holidav. the entire fine must be oaid nolater than 4:00 P.M. on the county's next business day following that weekend br holiday.
Approved as to form and legal sufficiency
CONTRACTORS' LICENSING BOARD
COLLIER COUNTY, FLORIDA
8.A.1
Packet Pg. 53 Attachment: 8A ORDERS OF THE BOARD (22 ITEMS) (21958 : ORDERS OF THE BOARD (22 ITEMS))
CONTRACTORS, LICENSING BOARD
COLLIER COU NTY, FTORIDA
ORDER TO PAY CIVIL PENALTY
Tyson, David
289 9th Ave S.
Naples, FL 34102
CLB Agenda Date: April20.2022
Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management
DepartmenVLicensing Section issued Citation No. 09442 CEUL20220002'185 on
03/02122. to Tyson. David. in the amount of $1.000.00, within 10 days of issuance of
the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) (g), Florida
Sfafules, the violator is hereby ORDERED to pay that penalty in full within 15 days from
the date of mailing a copy of the ORDER to the violator's address as noted on the
Citation. lf the penalty is not paid in full within 15* days, this ORDER may be recorded in
the public records of Collier County and thereafter shall constitute a lien against any real
or personal property owned by the violator. After 3 months from the filing of any such lien
which remains unpaid, the Contractor Licensing Board may authorize the County
Attorney to foreclose on the lien.
DATE:4-ao')>-
CHAIRMAN
KYLE LANTZ
Print Name
Contractor Licensing Supervisor
TIIVOTHY CROTTS
For Contractor Licensing Board
. lf the lStn day falls on a Saturdav, Sundav or holidav. the entire fine must be oaid no
later than 4:00 P.M. on the County's next business day following that weekend br holiday.
Approved as to form and legal sufficiency
Attorney to the CLB
KEVIN NOELL
8.A.1
Packet Pg. 54 Attachment: 8A ORDERS OF THE BOARD (22 ITEMS) (21958 : ORDERS OF THE BOARD (22 ITEMS))
CONTRACTORS' LICENSING BOARD
COLLIER COUNW, FTORIDA
ORDER TO PAY CIVIL PENALTY
Sotero, Yoslier
5354 16th Pt SW
Naples, FL 341 16
CLB Agenda Date: April20.2022
Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory lvlanagement
DepartmenUlicensing Section issued Citation No. CEUL20220002514 on 03/11/22. to
Sotero, Yoslier. in the amount of $1.000.00, within 10 days of issuance of the Citation,
THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) (g), Florida Stafutes, the
violator is hereby ORDERED to pay that penalty in full within 15 days from the date of
mailing a copy of the ORDER to the violator's address as noted on the Citation. lf the
penalty is not paid in full within 15. days, this ORDER may be recorded in the public
records of Collier County and thereafter shall constitute a lien against any real or
personal property owned by the violator. After 3 months from the filing of any such lien
which remains unpaid, the Contractor Licensing Board may authorize the County
Attorney lo foreclose on the lien.
DATE 4 -zo'2>-
CHAIRIVAN
KYLE LANTZ
Print Name
Attorney to the CLB
KEVIN NOELL Contractor Licensing Supervisor
TIMOTHY CROTTS
For Contractor Licensing Board
- lf the 1 5th da
later than 4:00
v falls on a Saturdav. Sundav or holidav. the entire fine must be oaid no
P.M. on the Countfs next blsiness dai following that weekend br holiday
Approved as to form and legal sufficiency
8.A.1
Packet Pg. 55 Attachment: 8A ORDERS OF THE BOARD (22 ITEMS) (21958 : ORDERS OF THE BOARD (22 ITEMS))
04/20/2022
COLLIER COUNTY
Contractor Licensing Board
Item Number: 8.B
Item Summary: HUNTER K. JONES – REVIEW OF EXPERIENCE – GENERAL
CONTRACTOR-REGISTERED - HOOKS CONSTRUCTION LLC
Meeting Date: 04/20/2022
Prepared by:
Title: – Contractor Licensing
Name: Sandra Delgado
04/13/2022 4:06 PM
Submitted by:
Title: – Contractor Licensing
Name: Tim Crotts
04/13/2022 4:06 PM
Approved By:
Review:
Contractor Licensing Trish Morgan Review item Completed 04/13/2022 4:34 PM
Contractor Licensing Sandra Delgado Review item Completed 04/13/2022 5:37 PM
Contractor Licensing Tim Crotts Review Item Completed 04/14/2022 11:43 AM
Contractor Licensing Tim Crotts Meeting Pending 04/20/2022 9:00 AM
8.B
Packet Pg. 56
LCC20220000610
8.B.1
Packet Pg. 57 Attachment: 8B HUNTER K. JONES – REVIEW OF EXPERIENCE – GENERAL CONTRACTOR-REGISTERED - HOOKS CONSTRUCTION LLC
1.6.1.1. General Contractor requires forty-eight (48) months experience with a passing
grado on o-si,6{+hour an appr:oved test and a.t*e{3}#eur business and law test and moans a
conftactor whose services are unlimited as to the type of work which he/she may do, except as
provided in this O.rd.inanco or in lhe Florid.a Statutes.
1
8.B.1
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8.B.1Packet Pg. 114Attachment: 8B HUNTER K. JONES – REVIEW OF EXPERIENCE – GENERAL CONTRACTOR-REGISTERED - HOOKS CONSTRUCTION LLC
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04/20/2022
COLLIER COUNTY
Contractor Licensing Board
Item Number: 8.C
Item Summary: JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W/ CONCRETE
CONTRACTOR
Meeting Date: 04/20/2022
Prepared by:
Title: – Contractor Licensing
Name: Sandra Delgado
04/13/2022 4:08 PM
Submitted by:
Title: – Contractor Licensing
Name: Tim Crotts
04/13/2022 4:08 PM
Approved By:
Review:
Contractor Licensing Sandra Delgado Review item Completed 04/13/2022 5:02 PM
Contractor Licensing Trish Morgan Review item Completed 04/13/2022 5:19 PM
Contractor Licensing Tim Crotts Review Item Completed 04/14/2022 11:45 AM
Contractor Licensing Tim Crotts Meeting Pending 04/20/2022 9:00 AM
8.C
Packet Pg. 116
C,OtgAW
Grcr\ ih Managernent Departnent
Contractor Licensing
2800 N. Horseshoe Dr.
Naples, FL 34104
Pl]rne - 239-252-2431
Fax - 239-252-2469
APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY
FIRM APPL!CATION FOR COttIER COUNTY
CERTIFICATE OF COMPETENCY tfi1'w-oqqlLUIgU--?.oz{
This application must be typewdtten or legibly printed. The application fee must be paid upon approval and is NOT
refundable. All checks should be made payable to:. Collier County Board of County Commissioners. For further
information, consult Collier County Ordinance No. 200646, as amended.
E General
! Building
tr Residential
n Mechanical
n Roofing
$230.00
$230.00
$230.00
$230.00
$230.00
E Electrician
E Plumber
E Air Conditioner
E Swimming Pool
ts Specialty
$230.00
$230.00
$230.00
$230.00
$205.00
t NU ylz1 W r1 h CCNCk-'Specialty Trade fu Atrpr
I. APPLICANTPERSONALINFORMATION:
Name:5o ?\
l_rr5t M e lnitial Last
PP rcguess Ci,srcrnz g c-Arro^, LLC
Address 41515 Lno,l (p c\€L 3 4 ttt1A^E APL
Street City State zip
Emair: Johl @ Pk,celrsscusrror!/l2- cAo an
Teleph on,(Q71) 5+l - 58 65 -SS # (Last 4 digits only):aLq3
Dateof Birth: rcIe l lqq3
.pursuant to Chapter l-19, Florida Stetutes and Collier Counw Contractor licensing Ordinance 2006{6 Sedion 2.1.1., all applicants are required to
submit theirsocial security number (SSN) to. the following purposes; a) A5r€ss applicant's ability to satirty cteditors by.eviewing theircredil history.
b) Verification of applicant's test scorer and information. Our office will only use your SSN noted above {or thos€.easons putsuant to Chapter l-19,
Florida Statutes, and as may otherwise be authorized by law. We are fully committed to sate{uarding and protecting your S5l{ and once collected, will
be maintained as aonfidential and exempt undet Chapter l-19, Florida Statutes.
Firm_Application.docx Rev 4/06/2020 Page 3 oI 15
ryPE OF CERTIFICATE OF COMPETENCY:
Business Name:
Driver's License # (Last4 digits onlylt 336 O
8.C.1
Packet Pg. 117 Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
l.o.J.z, Alumtnum uontractor Including Concrete roquires twer.rty-four (24) months
oxperionce with a passing grado on e+lree{g}h€ur aa appro,ved test and a passing grade on a S#€
e)$our business and lsw test and moans those.who aro qualified to fabricate, install, maintaln,
repair, alter, or €xtend accossories srlch as metal and vinyl siding, awningo., securiry shutters,
gutters, soffits and prefabricated rooms and pofiable metal or vioyl partitions. These contractors
may form, place on grade reinforcing steel and miscellaneous steel, and pour, place, and finish
non-shuctursl coucreto on grade only, incidental to an aluminuu acce$sory structure and or
screon onclosures.
8.C.1
Packet Pg. 118 Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
Cott*rt!Contractor Licensing
2800 N. Horseshoe Dr.
Naples, FL34104
Phone - 239-252-2431
Fax - 239-252-2469
Gro\Mh Management Departnent
APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY
IV. EXPERIENCEVERIFICATION
EDUCATION:
List below and provide transcripts for any formal education you have obtained in the area of competency for which
this a ication is de:,L A.
List below non formal education (on the job training) you have obtained in the area of competency for which this
application is being made:
(
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 j iction. lnclude the license #, Type, and county you hold it in
t
AFFI
Under the penalties of perjury, I declare that I have read the foregoing
true.
nd the facts stated in it are
Signature of Applicant
presence or E online notarization on this
Iohn 5^v Oi,e-
Applicant (please print)
State of Ao*lort County of
acknowledged me by ofFThe foresoins instrument was ,
-!-a^v"d NaWbff ,zo 7l ,0,
Such person(s) Notary Public must check applicable box
! are personally known to me E+"rproduced a current driver license
E has produced
(Notary Seal)
as identification
Notary
'ffi ffih
REINSTATEMENT APPLICATION REV 41612020 Page 5 of 11
{L
8.C.1
Packet Pg. 119 Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
C-ovt*ttt
Gro\^,th Management Departrnent
Contractor Licensing
2800 N. Horseshoe Dr.
Naples, FL34104
Phone - 239-252-2431
Fax - 239-252-2469
APPL]CATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY
Provide the names and telephone numbers of two persons who will always know your whereabouts.
Name Name:
T tr1-ru3q\316-4t3s
II. NAME OF APPLICANT'S BUSINESS:
Business Name: ?l.cole<9 &r6-r0rvTr 6p'Sltr C$rrorrl L [.c
Business Address: I trL 3Q t ttq
Street City State zip
Telephon e,t239 't 57| - 5865
Email:o F
Federal lD rax No., Z2- 35{.) 3J8
€SS fi L 6/16. corn
III. FINANCIAL RESPONSIBILITY
NOTE. lf you have answer YES to 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 conviction, proof that your civil rights have been restored will be required prior to licensure.
YES NO ALL APPLICANTS MUST ANSWER THE QUESTIONS BELOW:
x Filed for or been discharged in bankruptcy within the past 5 years?
x Had a lien filed against you by the lnternal Revenue Service or Florida Corporate Tax Division?
x Undertaken construction contracts or work that resulted in liens, suits, or judgments being filed?
x Undertaken construction conlracts or work that a third party, such as a bonding or surety company,
completed or made financialstatements on?
x Made an assignment of assets in settlement of construction obligations for less than the debts
outstanding?
X 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?"
x Had claims or lawsuits filed for unpaid or past due accounts by your creditors as a result of
construction experience?
X
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?
Firm_Application.docx Rev 410612020 Page 4 ot 15
I C.'
8.C.1
Packet Pg. 120 Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
Crua z*zrdaoffi*'z
il_655
COLLIER COUNTY
GROWTH il'IANAGEMENT DIVISION
crAfloN
Purs!ani tr) t('clion .189 florida Stalutes, the untlersignccl hereb,v aertities that upotr Personal
in1?rlrgation. hc,'shr'h;r rel:,:rable anrl probrblt'8r()uo.1s i.r lxlis'e thrt thc Ferson rvho:c
nam. ippears trelow rs issued lo, did violate sub\cctic,rl +89.1::.il;, Firridr Statues, and the
Collicr Countv (lontrr(tor'! l.icensing Ordinance No. !006-16 {as ntav hc rmendcd) b.r'
;ommitting thc violation statcd beloh'.
-"-" oZ-[* ti Ie,/ V.#" ]6>n
Issued To PRr.t 'Tt** €
Address //67_f ,&y0u*Za*E---.;
1l./nPra-State i##g------7+-
7?
TUB
7
City zip
No.
i\{ake/Twe (if applicable)o.
Location "'"'o'fYor, /r., e*a/ 3r:€
OPTIONS
1 irave been infornred ofthe;-iolation for rvhich I have besr charged and elect the
following option ((lheck one) )".- .. O O
l) fl I choox'not t() pay thc fenalty, and will request in writing
delivert an.\dministrrti!e Heuing b€flore the Contmttors
hrnd
Description of Viohtion Date Violation
a) BFalsel,v hold self or business nrganization out as a licensee,
()r registrant;
b) ElFalsel.v impersonate a certificate bolder or registranti
c) If Present as hislher oxn the r:enificate or registration of another;
d) 0 Knowingly give falx or lorged er"idence to the Board or a member thereof;
e) flL'se or attempt to ust'-.r iertifi(ate or registratig,qwhich has been suspended
-;p re voked r., 4 ^
..t -fl ..1 uft, C so,u tw-Taf,r*..
r*r rl' I pfngage in the bulincss or act in the capacitl' of a conlrac
/ or business organization as al'ailable to engage in lhc business or act in lhe
eapacity ofa contraclor without being dul,v registered or certified:
gi B0perate a business orgarization engaged in contracting after (60) davs;
h) [ Comrnence or perform work lor which a building pcrmit is required
pursuant to an adopled s:ate minimum building ctxi; *r without such Permit
being in effect;
i) flWillfullv or dcliberarely disregard or viol*e an,v Collier Countv ordinance
relating to uncenified or rnregistered contractors.
.{ person or business organiation operating on an inactive nr suspended ccrtificate,
or registration,bryo:rd the scope of work or
or registerrd.
(RECIPI:'N]I {tN\rESl'tGATOR)
4"**;**zzae:*-
PRINT' (RECIPIENTS NAIqE) PRINT (INVESTIGATO(S NAME)
Pursuant to 489.127, Florida Statues, willtul refusal to sign and accePt this citation
coostitutes a misdemeanor ofthe second degree, punishable as provided in section
7?3.082 or 775.081 Florida S:atutes.
( sE l': Rl-.\' ERSE fpR I NSI'RUCTIOU)Til U 7n,^
",
;;, "Car**z {*"
:- i.'rt L ll: !'l f{}aJ*:Y COI'ITRACti}*S l iCr" l'!SF L-d/i"
Lll.{L /)
I'ear
lcotor
8.C.1
Packet Pg. 121 Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
INSTRUCTIONS
PAYMENT QF CITATION:
s€t
,e llr,$ f:l
i lec
by the Boartl of t ol
rard ofColhcr Count'
lorrda l,tl0.l, no late
REQUEST FOR HEARING:
te ctent I nrst un((rntcst!'d
e business
;rth rcr
ni issrr
rnlstfaltve ilcanng wrtnln tnesamc tco
:' fl u rtr. f,,intracto r".s Licrnsi ns lloa rd ttr
'cqucsl
y hcio
) day tllne
noticr. in
r hcoring
me a I'inal
r set lirrth on the citrtion withcxrt a heuring, A cert
ie recorded in puLrlic records and thcr.'attir shall
)l ruch (
a(rnslihrte a
:p0n pdtrtio
ncr irs r Cou
ren a8
to ilre
In lne llel
\ilicste(i.
8.C.1
Packet Pg. 122 Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
Qo**rX!
Gro\ dh lManagernent Departnent
Contractor Licensing
2800 N. Horseshoe Dr.
Naples, FL34104
Phone - 239-252-2431
Fax - 239-252-2469
APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY
CERTIFICATION OF APPTICATION
The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County
No. 2006-46, as amended, and under penalties of perjury. I declare that I have read the foregoing qualifier
information and that the facts stated in it are true.
The undersigned hereby certifies that he is legally qualified to act on behalf of the business organization sought to
be licensed in all matters connected with its contracting business and that he has full authority to supervise
construction undertaken by himself or such business or organization and that he will continue during this registration
to be able to so bind said business organization. The qualified license holder understands that in all contracting
matters, he/she will be held strictly accountable for any and all activities involving his license.
Any willful falsification of any information contained herein is grounds for disqualification.
Tohn To-V ;CL
Applicant (please print
(e C,YAL
Name of Company
Signature of Applicant
State of Fi,er:l*County of <er
The foregoing instrument was acknowledged before me by means of flnhVsicat presence or E online notarization on this
I aay of Aju/qnnber ,20 Zr ,by
Such person(s) Notary Public must check applicable box:
fl a.e pe.sorally known to me D has produced a current driver iicense
honv
LLC
n has produced
(Notary Seal)
as identification.
ddit JOSEPH PASCHIITI
Notary Public, State ot Florida
Commission# GG 95tgg2
My comm. e4ires Jan.2g, 2024
Notary Sigrature
Firm_Application.docx Rev 410612020 Page 6 of 15
8.C.1
Packet Pg. 123 Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
Grot^nh tManagernent Deparfnent
Contractor Licensing
2800 N. Horseshoe Dr.
Naples, FL 34104
Phone -239-252-2431
Fax - 239-252-2469
APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY
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.
n
Applicant (please print
zSS rnL
Name of Company
of Applicant
BEFORE ME this day personally appeared who affirms and
(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.
State of €l*b County of (ntl;u
The foregoing instrument was acknowledged before me by means of presence or E online notarization on this
-|-auy of AJ-u&4bd ,2oLl ,rot
Such person(s) Notary Public must check applicable box:
Aqe personally known to me E has produced a current driver license
(
A,
LVc'
n has produced
(Notary Seal)
as identification.
Notary Signature:ddit JOSEPH PASCTITTI
Notary Public, Stats of Florida
Commission, GG g5,g82
My comm. e4ires ,hn.29.fr24
Firm_Application.docx Rev 410612020 Page 7 ot 15
8.C.1
Packet Pg. 124 Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
GITS, LLC Examination Operations Division
Providing the services and products to assist Government Agencies to make informed educated decisions.
Official Examination Score Repoft
October 28,2021
Official Score Report:
Candidate
Name -
Candidate
Online Testing Site: Ocala, FL
Final Score Result:
i I ,r i I !
Business Procedures Score: 64% (10125 12021)
Score: 84% (1012812021)Business Procedures
These results represent the grade on the above named examination(s)
Collier County, Florida.
PO Box 831127 Ocala, Florida 34483-1127 - Voice (352) 369-GITS - Fax (352) 387-2443
800997 2129
j' ' , ,f"lltJl
r,rr ,i l'0,
administered by Gainesville
If you have any further questions, please do not hesitate to contact us.
Sincerely,
Jay E. Bowermeister
President
8.C.1
Packet Pg. 125 Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
GITS, LLC Examination Operations Division
Providing the services and products to assist Government Agencies to make informed educated decisions
Official Examination Score Report
February 24,2022
Official Score Report:
Candidate Information :
Name - John J. Price
Candidate #: 70933860P
Online Testine Site: Ocala, FL
Final Score Result:
Aluminum Contractor Score:760/o
These results represent the grade that has been achieved on the above named examination(s)
administered by Gainesville Independent Testing Service for Collier County, Florida on February)) )o))
If you have any further questions, please do not hesitate to contact us
Sincerely,
Jay E. Bowermeister
President
PoBox831127 ocala,Florida34483-1127 -Voice(352) 369-ctrs -Fax(352)387-2443
800 997 2129
8.C.1
Packet Pg. 126 Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
..-SM
CREDIT CHECK CONFIDENTIAL
lndividual Credit Report
Name. . . :PRICE, JOHN JAY Ordered By:
Customer :9999Address: L1-675 LADYBUG LANE
NAPLES, FL 341,14 Received
Completed
: L1, / 0]-/ 2L
: 11/ A /ztSocial-#: Applicant:_ -0143
CREDIT SCORE:
APPLICANT FICO SCORE: 591 (scores range from 300 to 850)
SOURCE(S): EXPERIAN TRANSUNION
PUBLIC RECORDS:
PUBLIC RECORDS HAVE BEEN CHECKED AT THE LOCAL, STATE AND FEDERAL LEVELS WITH
THE FOLLOWING RESULTS AS OF 1110112'l: CLEAR
CREDIT RECORD
eriod of sevenCredit histo has ked for a r from date
Creditor
Account Number
DateDate High
Credit
Unpaid
Balance
PaST
Due
Historic Status
30 60 90
Mos
Rev
CurrenL
Reported Opened ECOAStatus
CAPITAL ONE
5l_7805783145
DLA=L0 /21
CAPTTAL ONE
517805850332
DLA=1 0 / 2a
CREDITONEBNK
4441 96247 977
DLA= 06 / 2L
FEDLOAN
9954373874FDo0003
DLA=0 6 / 1-6
t0 /27 o7 /L8 1s31 757
L0 / 21- 1-o / t9 7s87 969
06/2a LL/te 505 0
06/16 01-/L4 4000 0
AS AGREED
0000000R0138r
AS AGREED
0000000R0123r
AS AGREED
0 00 00 00 R01 1,9 r
PD WAS l.20
0000010r0528r
PD WAS 7200 00 0010r05 28 r
PD WAS 720
0 00 0010r05 25 I
FEDLOAN
9954373874FD00001
DLA=05l16
06/1-6 1,2/1-3 3s00 0
FEDLOAN
9954373874FD000 06
DLA=05/15
06/1-5 04/t4 1833 0
Licensee Applicant: APPLICAIiIII - SEE NAIIE ABOVE
Reporting Agency: Credit Check, lnc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409 . (561) 616-5556
8.C.1
Packet Pg. 127 Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
CREDIT CHECR"CONFIDENTIAL
Name : PRf CE , JOHN JAY Customer:9999 Page : 2
PDCOLLECTr09 00 r
PDCOLLECTr09 00 r
COLI,ECT]ONr9B 00 I
COLLECT ION
I9B OO I
COLLECTI ON
I9B OO I
COLLECTI ONO9B I
LINCOLN TECH
71OO17OOOOO9 44617 09/1,6 L2/14
DU\=09l16
3997 0 0
610 n 0
2247 2247
1833 2500 2500
1833 4496 4495
4983 4983
3500 4247 424L
4998 4998
851 924 924
LTNCOLN TECH
31700000958372
DLA=05/15
US DEPT ED
30331387
D!,A=Lo / 21
US DEPT ED
30331383
DLA=Io / 2a
US DEPT ED
30331379
DIJ\=10 / 2L
US DEPT ED
3 033417 2
DLA=Io / 2a
US DEPT ED
30334023
DL,A=1,0 / 21,
US DEPT ED
30334027
DL,A=L0 / 21
06/15 L0/L4
10/21 04/t4 1833
L0/2r L2/73
10/21, 04/14
t0/27 01/1,4 1833
10/21 L2/t3
10/2t 04/t4 3 s00
COLLECTION
I9B OO I
COLLECTI ON
I9B OO I
WAKEFI ELD12L0904349 70/2t 03 /2I
ORIGINAT CREDITOR: MEDICAL
TotaI trade lines on this report: 15
INQUIRIES:
L0/06
09/23
09/23
09/23
09/23
09/23
09/23
09/03
a9/a3
09/03
ae/ot
by UNIVERSAL CREDTT SVCS (ExP) #29L9746by ALLY FINANCIAL (ExP) #2393490by CAPITAL ONE AUTO FIN (EXP) +1254780by ALLY F INANCIAL (EXP) #2100547by SANTANDER CONSUMER USA (EXP) #1-91-2477by NOWCOM/WESTLAKE FINANC (ExP) #2733940by GLOBAL LENDING SERVICE (EXP) #1966277by ALLY FINANCIAL (ExP) #1639000by ALLY FINANCIAL (EXP) #2100547by ALLY FfNANCIAL (ExP) #2393490
by ALLY FINANCfAL (ExP) #1539000
Licensee Applicant: APPLICAIflr - SEE NAUE ABOVE
Reporting Agency: Credit Check, lnc. - 3017 Exchange Court, Suite H, West Palm Beach, FL33409. (561)616-5556
/21
/21/zt
/2t
/2a/2t
/21
/21
/21
COLLECT I ON
I9B OO I
8.C.1
Packet Pg. 128 Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
SI\,4
CREDIT CHECK CONFIDENTIAL
NAME: PRICE .JOHN .fAY Customer:9999 Page : l
621-3115
955-7070
729-7600
a25 -3242
971-1300
925 - 2559
845-3700
515-5555
INQUIRIES - continued:
os/ot/2L by ?OOCR/RICK HENDRICK CH (EXP) #1553005
FACTUAL DATA (EXP) #26986'7 O
AMEX (EXP) #29]-6657
CIT BANK N.A. (EXP) #L425270
FORD MOTOR CREDIT CORP (EXP) #1554440
ALLY FINANCIAL (EXP) #1639000
700CR/TAMTAMT FORD (EXP) #17'79]-27AMEX (EXP) #a234990
a5/1804/ro
03/02
02 /20
02 /20
02/20
t2/11
10/0s
a9/11
ot /30
1L /t4
70 /30L0/04
oe /230sl18
02 /20tt /14
/21
/21
/21/2t
/21
/21
/20
/20
/20
/20/te/te
/1e
/2\
/21/te
by
by
by
by
by
by
by
by
by
by
by
by
by
by
by
by
by
SUNCOAST CREDIT UNION
AIVIEX (
CITI CARDS CBNA (
FACTUAL DATA (
CREDIT ONE BANK NA (
CAP ONE NA (
COAF (
CROSSCOUNTRY (
ALLY FINANCI (
CROSSCOUNTRY (
US DEPT ED VG155OOO4
PO BOX 5509 GREENVILLE TX.
CAPITAL ONE BC1DTVO O 1
PO BOX 31293 SA],T LAKE CITY UT.
LINCOLN TECH EV2Z1VOOI
1 PLYMOUTH MEETING PLYMOUTH MEETI PA.
CREDITONEBNK BC54MRO13
PO BOX 98872 I,AS VEGAS NV.
WAKEFIEI,D YC42DFO 03
PO BOX 50250 I(NOXVILLE TN.
AI]LY FINANCI F 5222240
PO BOX 38O9O1 BI.,OOMINGTON MN.
CROSSCOUNTRY F 57 46472
5850 MILLER ROAD BRECKSVILLE OH.
CREDIT CHECK Z 0630273
3017 EXCHANGE COUR WEST PALM BEAC FL.
(EXP) #1879040EXP) #a234990
EXP
EXP
EXP
EXP
TU)
TU)
TU)
TU)
#L240'750
#269867 0
#3278r43
#2 844ss 0
#a246s38
#57 4647 2
#5222280
#57 4647 2
RESIDENGE HISTORY:
11675 LADYBUG LN, NAPLES FL 34114
7452 INSPIRA DR, APT 4111 NAPLES FL 34113
349 IANOLLWOOD DR, ANDERSON SC 29625
COMMENTS:
***OFAC NAME SCREEN ALERT - CLEAR***
OFAC (OFFICE OF FOREIGN ASSET CONTROL) IS A FEDERAL AGENCY WHICH MAINTAINS
A DATABASE OF TERRORISTS, DRUG TRAFFICKERS AND CRIMINAL ORGANIZATIONS.
FRAUD RECORDS HAVE BEEN SYSTEMATICALLY CHECKED BY THE ACCESSED BUREAUS.
CHECKS FOR IDENTITY THEFT, FAKE SSN, DECEASED SSN AND OFAC DATABASE PERFORMED.
CREDITOR PHONE DIRECTORY:
'15403
84131
r9462
89193
37950
55438
4414L
33409
(800)
(800)
(610)
(877 \
(86s)
(888)
(440)
(871)
Licensee Applicant: APPL ICAI{:[ - SEE NAME ABOVE
Reporting Agency: Credit Check, lnc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409 . (561 ) 616-5556
8.C.1
Packet Pg. 129 Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
CREDIT CHECR'CONFIDENTIAL
Name : PRI CE , .IOHN .IAY Customer:9999 Page : 4
GREDITOR PHONE DIRECTORY - continued:
coAF E 1246538
3905 N DALLAS PARK PLANO TX. 75093
(8 0 0 ) 94 5 - 0 3 3 2
*** END OF REPORT ***
Thrs inlomatD. is @nhdenlialald.s not lo be d'vuloed e,ced as eoLred bv lhe rd crsd I Feporl no Acl
Licensee Applicant: AppLICAI[f - SEE NAI{E ABOVE
Reporting Agency: Credit Check, lnc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409 . (561) 616-5556
8.C.1
Packet Pg. 130 Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
LfREDIT CHECI(,CONFIDENTIAL
Date: i.i. / ot / zt
Cust. No: 9999
Ordered By:
Page: 1
(x) LLC
EIN:82-3513328
Commercial Credit Report
Company: PRICELESS GUSTOMZ FABRICATION, LLC
Address: L1,6't5 LADYBUG LANE
NAPLES, FLORIDA 34114
Telephonet (239) s71-s85s
PRINCIPALS:
PRESIDENT
Address:
PRICE, JOHN .JAY
77575 LADYBUG LANE
NAPLES, FLORTDA 34114
014 3
10 0?
Social Security Number:
Stock Ownership:
MANAGER
Address:
PRICE, JOHN, SR.
II575 LADYBUG LANE
NAPLES, FLORIDA 34114
N/A
N/A
Social Security Number:
Stock Ownership:
Address:
Social Security Number:
Stock Ownership:
Address
Social Security Number:
Stock Ownership:
RISK SCORE:
'.33.'-
:i..i: Experian Financial Stability Risk Score
+
'1-Poor Excellent-100
CREDIT RISK SCORE 28
The score uses tradeline and collections information, public filings as well
as other variables to predict future risk. Higher scores indicate lower risk
FACTORS LOWERING THE SCORE:* risk associated with the company's industry* company's business type
Low RiskI
2 Low to Med
3 Medium Risk
Med to Hiph4
5 Hish Ris
Risk Glass
Reported for: AppLrcANT - sEE NAME ABovE
Reported by: Credit Check, lnc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409 . (561) 616-5556
o
o
8.C.1
Packet Pg. 131 Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
SM
dIIEDIT CTIECK CONFIDENTIAL
Commercial Credit Report
Company: PRICELESS CUSTOMZ FABRICATION, LLG
Address: Lt675 LADYBUG LANE
NAPLES, FLORIDA 34114
Date
Cust. No
Ordered By
Page
la/07/21
9999
2
PRICELESS CUSTOMZ FABRICATION, LLC was FORMED in the county of COLLIER, sLate
of FLORIDA, on tt/Ze, 201-7. The charter number is L17000243510. The
registered agent is PERFECT TAX & ACCOUNTING LLC of 28063 EDENDERRY COURT,
BoNrrA spRrNGs, FLoRTDA 34135. offices are LEASED from N/a at N/A per
month. The company employs N/A.
NET WORTH: ON F]LE W]TH STATE
The company maintains banking relations with N/A
The officer handling the account is N/A
PUBLIG RECORDS WERE GHECKED FOR COLLTER COUNTY, FLORIDA. A SEARCH OF LOCAL,
STATE, AND FEDERAL RECORDS HAS BEEN CONDUCTED WITH THE FOLLOWING RESULTS: CLEAR
AS OF 11101121- SEVEN YEAR SEARCH.
*"* Gredit Profile *"*
REMARKS:
N/A = NOT APPLICABLE/NOT AVAILABLE
REPORT WORKED BY KELLY
END OF REPORT.
8.C.1
Packet Pg. 132 Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
ffi ms ?ffiffiH.1"35#H',lm3g*
CINCINNATI OH 45999-0023
PRICELESS CUSTOMZ FABRICATION LLC
JOHN JAY PRICE SOLE MBR
4058 SEAOATS LN
NAPLES, FL 347L2
Date of thls notice: 77-21-2071
EmpJ-oyer Identification Number :
82-3513328
Form: SS-4
Number of this notice: CP 575 G
For assistance you may call us at:
1-8 0 0-82 9-4 933
]E YOU WRITE, ATTACH THE
STUB AT THE END OF THIS NOTTCE.
WE ASSTGNED YOU AN EMPLOYER IDENTIFICATION NUMBER
Thank you for applying for an Employer Identification Number (EIN). We assigned you
EIN 82-3513328. This EIN will identlfy you, your business accounts, tax returns, and
documents, even if you have no employees. Please keep this notice in your permanent
records.
When fifing tax documents, palments, and related correspondence, 1t 1s very important
that you use your EIN and complete name and address exactly as shown above- Any variation
may cause a delay in processing, result in incorrect informati-on in your accountr or even
cause you to be assigned more than one EfN. If the information is not correct as shown
above, please make the correction using the attached tear off stub and ret.urn it to us.
A limited liability company (LLC) may file Eorm 8832, Entity Classification Election,
and elect to be classified as an association taxable as a corporation. If the LLC iseligible to be treated as a corporation that meets certain tests and it wil-l- be electing S
corporation status, it must timely file Eorm 2553, Efection by a Smaff BusrnessCorporation. The LLC w111 be t.reated as a corporation as of t.he effective date of the S
corporaLion election and does not need to file Form 8832.
To obtain tax forms and publications, including those referenced in this notice,vlsit our Web site at www.irs.gov. If you do not have access to the Internet, call
1-800-829-3676 (TTY/TDD 1-800-829-4059) or visit your 1oca1 IRS office.
IITTPORTAI{T RET.IINDERS :
Keep a copy of this notice in your permanent records. Ttris notice is issued only
one tine and ttre fR.S will not be able to grenerate a dnplicate copy for you. You
may give a copy of this document to anyone asking for proof of your EIN.
* Use this EIN and your name exactly as they appear at the top of this notice on allyour federal tax forms.
* Refer to this EIN on your tax-reLated correspondence and documents.
If you have questions about your EIN, you can call- us at the phone number or write tous at the address shown at the top of this notice. If you write, please tear off the stubat the bottom of this notice and send it along with your letter. If you do not need towrite us. do not complete and return the stub.
Your name control associated wj-th this EIN is PRIC. You will- need to provide thisinformation, al-ong with your EIN, if you file your returns electroni-ca1ly.
Thank you for your cooperation.
8.C.1
Packet Pg. 133 Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
1111121,7:54 AM Detail by Entity Name
[)t'n:Jtot'i ai
Cr:;yturG\Tloi I-:
# !]il $flirirl .'itarv ri f'htrt'ln *tb:*,
Deplhen.[gl$l{e / Division of Comorations / Search Records / Search by-Enlily-Nage /
Detail by Entity Name
Florida Limited Liability Company
PRICELESS CUSTOMZ FABRICATION, LLC
Filing lnformation
Document Number L17000243510
FEI/EIN Number 82-35'13328
Date Filed 1112812017
State FL
Status ACTIVE
LastEvent REINSTATEMENT
Event Date Filed 0712212019
Principallklc!rcss
11675 LADYBUG LANE
NAPLES, FL34114
Changed: 02lOTl2O21
Mailing Address
11675 LADYBUG LANE
NAPLES, FL34114
Changed: 0210712021
Eegistered Agent Name & Address
PERFECT TAX & ACCOUNTING LLC
28063 EDENDERRY CT
BONITA SPRINGS, FL 34135
Name Chang ed: 02107 12021
Address Changed: 02107 12021
Authorized Person(g) Detail
Name & Address
Title President
PRICE, JOHN J
11675 LADYBUG LANE
NAPLES, FL34114
D,vrstoN oF CoRPoRATToNS
1t2
8.C.1
Packet Pg. 134 Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
1111121,7:54 AM
Itle MGR
PRICE, JOHN, Sr.
1,I675 LADYBUG LANE
NAPLES, FL 34114
Annual Repqlg
Report Year
2020
202',l
2021
Detail by Entity Name
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no.da Depanment of sta&, Dlv'soi of cooorat,ons
Filed Date
03t19t2020
0210712021
09to't t2021
Document lmages
02107/2021 - ANNUAL REPORT
O3/19/2020 - ANNUAL REPORT
O7l2212019 - REINSTATEMENT
11/28/2017 - Florida Limited Liability
View rmage in PDF format
8.C.1
Packet Pg. 135 Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
Electronic Arflcles of OrganizationFor
Florida Limited Liability Company
Article I
the name of the Limited Liability Company is:
PRICELESS CUSTOiVIZ FABRICATION. LLC
L1 70002 435',1
FILED 8:00 A
November 28
Sec. Of State
ccave
0
M
,2017
Article II
The street address of the principal office of the Limited Liability Company is
4058 SEAOATS LANE
NAPLES, FL. US 34112
The mailing address of the Limited Liability Company is
4058 SEAOATS LANE
NAPLES, FL. US 34112
Article III
The name and Florida street address of the registered agent is
LISA PRICE
18584 SEBRING RD.
FORT MYERS, FL. 33967
Having been named as registered agent and to accept service of process for the above stated limited
liability company at the place desighated in this certificate, I hereby accept the appointment as registered
agent dnd agiee io act in'this capaiity. I further agree to cbmply viittr ttd provisiSns of all statute"s
relating to the proper and complete performance of my duties, and I am familiar with and accept the
obligations of my position as registered agent.
Registered Agent Signature: LISA PzuCE
8.C.1
Packet Pg. 136 Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
Article IV
The name and address of person(s) authortzed to manage LLC:
Title: AN4BR
JOHN J PRICE
4058 SEAOATS LANE
NAPLES, FL. 34112 US
Signature of member or an authorized representative
Elechonic Signature: CHEYENNE MOSELEY, LEGALZOOM. COM, INC.
,2417
ccave
I am the member or authorized representative submitting these Articles of Organization and affirm that the
facts stated herein are true. I am aware that false information submitted in a document to the Department
of State constitutes a third degree felony as provided for in s.817.155, F.S. I understand the requirement to
file an annual report between January lst and N4ay 1st in the calendar year following formation of the LLC
and every year lhereafler to maintain "active" status.
8.C.1
Packet Pg. 137 Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
2019 FLORIDA LIMITED LIABILITY COMPANY REINSTATEMENT
DOCUMENT# L17 00024351 0
Entity Name: PRICELESS CUSTOMZ FABRICATION, LLC
Current Principal Place of Business:
3727 DOIVESTIC AVE
UNIT D
NAPLES, FL 34104
Current Mailing Address
3727 DOMESTIC AVE
UNIT D
NAPLES, FL 34,104 US
FEI Number: 82-3513328
Name and Address of Current Registered Agent:
FILED
Jul 22,2019
Secretary of State
1978343925CR
Gertificate of Status Desired: Yes
PRICE, LISA
18584 SEBRING RD.
FORT MYERS, FL 33967 US
The above named entity submits this slaleme nt for the purpose of changing its registered office or registered agent, or both, in the State of Florida.
SIGNATURE: LISA PRICE 0712212019
Electronic Signature of Registered Agent Date
Authorized Person(s) Detail :
Title MEMBER
Name PRICE, JOHN J
Address 3727 DOMESTIC AVE
UNIT D
City-State-Zip: NAPLES FL 34104
that my name appears above, or on an altachment with all othet like empowered.
SIGNATURE:JOHN PRICE MEMBER 0712212019
Electronic Signature of Signing Authorized Person(s) Detail Date
8.C.1
Packet Pg. 138 Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
Cou*rX3l
Gru dh 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
STATEMENT OF OWNERSHIP
50A,"?,,,,This certifies that l,am a member or managing
APPLICANT'S NAME (please print)
member of 6 \re[esS \-o A
(LtMtTED L|ABtLtry CO[/PANY NAME)
lown % 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.
NJ
T.l il,,
State of County of
E are personally known to me ptras produced a current driver license
n has produced €-\- Dl-- as identification.
(Notary Seal)
n (
Applicant (please print)
LLl S t
Name of
Signature of Applicant
Notary Signature:
catiou
The loregoing instrument was acknowledged before me by means of'ffihasical presence or n online notarization on thisI auy,r f\lgltrr{hrzo2r ,u, lohn ?"9 P.-.-
Such person(s) Notary Public must check applicable box: 17
SAI{ORADELGADO
Commissionf HH 101718
Expires Mard 8, 2025
Bddod Ihru 8u6Ntuy Sefticas
-o$Y.'.!1+"lffir
REINSTATEMENT APPLICATTON REV 4t6t2020 page g of 11
q0
( lrru
8.C.1
Packet Pg. 139 Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
CouttXt
Growth lvlanagement Departrnent
Contractor Licensing
2800 N. Horseshoe Dr.
Naples, FL 34104
Phone - 235-252-2431
Fax - 239-252-2469
APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY
RESOTUTION 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
ln accordance with Collier Cou ntv O
tu
rdinance 2oo6-46,as amended, lr ,r€[o> lrrFr. r FtldliU+rr.:t"p
to engage in contracting as
Officers/Owners/Partners
proposes to qualify for a Certificate of Competency with company\
Such person(s) Notary Public must check applicable box:
E are personally known to me phas produced a current driver license
UC
roposes
Company Name
in Collier County where ,\iC,
Applicant
Com
as identification.
Notary Signahrre:
I
It is hereby agreed upon that we the undersigned Yru'htdg of C,s Z
Officers/Owners/Partners Company
resolve and represent to the Collier County Contractor's Licensing Board that the proposed qualifying agent,
&-is active in all matters connected with the company named
Applicant Name V:c-
further resolve and represent that )ohn ic is legally
Company
empowered to act on behalf of s
business
Company
ority to supervise construction undertaken by
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 Counlv of
The was acknowledged means of flphysical presence or n online on thisme
of
LLL
FMil,cc
tu-
(
Qn e\eg: Gr,i460'(Si,'m-j.*..::Hil;[ contracti n
,by
a-th^.
I-LL
t
(1( o
E has produced
(Notary Seal)
SANDRADELGAOO
Commlsslon # Hll 10 li ; B
ftflres Match 8, 2025
Bmded Ihru &dget tiotary Servi:fs'ffi REINSTATEMENT APPLI REV 41612020 Page 8 of 11
C
f
8.C.1
Packet Pg. 140 Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
8.C.1
Packet Pg. 141 Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
Thi P uct taCon I Sens 1!T Dayeraxpa
i
l
1r
i
lps and Other CoEpeosation:
Income Tax rithheld:
ity llages:
iti Tax lrithbeld:
o9-22-2027
09-22-2021
101130294563
Orlginaf docutnent
s5{,975-00
s5, 598,00
$54,976.00
93, {08.00
$51, 975,00
s79? .00
s0.00
$0.00
s0,00
$0.00
$o-00
50. o0
50.00
IR"lr".t r" Service
n1 ted States Department of the Treasurv
Wage and Income Transcript
-2
-0141
Decenber,20l7
-2 Wage and Tax Statement
entifj.cation Nu$er (EIN) : 201059506
ETT CA.RP
E LANE
3 4113 -OOOO
Social Secur ity Nunber: -0143
Page I ot 4
s0-00
E
S I.ANE
3 4112-0 00 0
Type:
ges and Tips
fiithheld:
iompensation:
durity tipL:
hip",
tare eenefits:
ferlals unde. a section 409A nonquafifled Defelred Cor@ensation
under sec!1on 4094' on a nonqualified Deferred Conpensatiod
taxable Cohbat Pay:
loyer ContEibutions to a Health Savings Accouat:
:i
signated Roth contributions under a Sectj.on 403(b)
st of E]nployer-Sponsored Ilealth Coverage:
icontriqution to MSA:
contribution to sinple Account:
3es Incurled for Qualified Adoptions:
Incone from exercise of non-statutory stock options:
igrrated Roth Contributiors unde! a SectioB 401(k) Plana
Plan:
s0.00
s0.00
s0.00
s0.00
s0.00
s0.00
so. oo
s0.00Designated Rorfi contributions under a GoeerDmental. Section 451{b)
irs onvlesnrhds//rpnrrecf</TdsPr drrntAcfinn dn?mefhod=nrndrrctl)etails qD) l)n)1
1
u
il
iffi
Request Date:
Response Date:
Tlackinq Nuhber:
I
i:l
I
I
I
8.C.1
Packet Pg. 142 Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
-2
-2 Wage and Tax Statement
tification Number (EIN) : 264052304
OF
ILE AVE 3
34104-0000
Social Security Number: -0143
LAI{N PLACE
34L13-0000
IOther
Income Tax Withheld:
ty wages:
ity Tax liithheld:
and Tips
!iithheld
ity Tips:
,benef i ts under a qualified smal1 employer heal-th
Pay fndicator
Plan Indi-cator:
loyee:
.on Type:
Validation Code:
Cotnpensation:
Original document
s31,920.00
s4,132.00
$31 , 920.00
$ 1, 979.00
s31, 920.00
s452.00
$0.00
s0.00
$0 .00
s0.00
s0.00
s0.00
$0.00
Page 2 ot' 4
$0.00
Unanswered
Unanswered
Not Statutory
&q)loyee
Original
Correct SSN
$0.00
$0.00
$0.00
s0.00
s0. oo
$0.00
$0. 00
$0. 00
Benefits:llrisat ibn:
I
ta:{abLe combat Pays
e
olfer Contributions to a Health Savings Account:
rials Lnder a section 409A nonqualified Deferred compensation
under section 409A on a nonqualified Deferred Co[pensation s0. 00
oyer's contributj.on to MsA:
oyer's Contribution to Simple Account:
s Incurred for eualified Adoptions:
from exercise of non-statutory stock options:
gnated Roth contributions under a section 401(k) plan:
t Roth Contributions under a Section 403(b) plan:
oyer-isponsoled Hea1th Coveragel
I
ROTH Contributions Under a Governmental Section 45?(b)
Permitted benefits under a qualified small employer health s0.00arrangement
Sick Pay Indicator:Unansrrered
Unanswered
Not Statutory
Employee
original
Plarr lndricator:
Type:
irs onlz/pcnr/trle./lrefi:rqte/TdsPrndrrefAnfinn dn?mefhnd:nrnrirrnfllefailc q/2) l)a21
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8.C.1
Packet Pg. 143 Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
\
3-l
Request Date:
Response Date:
Tracking Number:
Page I ot'4
o9-22-202L
o9-22-202r
101130294563
s0.00
of
Senrice
the Treasury
Wage and Income Transcript
-2 Wage and Tax Statement
-0 L4 3
December, 2016
ification Nunber (EIN) : 201059606
CARPENTRY INC
34113-0000
ity lNunber: -0143
and Other Compensation:
Tax l{ithheld:
Wages:
Tax withheld:
and jrips:
thhetd:
ity Tips:
ar s[cur
I
BANK CIRCLE
FL 34112-0000
itv
ity
Original document
$s3, 673.00
ss, 195.00
953, 673 .00
$3,327 .00
s53,673.00
$778.00
s0.00
s0.00
$0.00
s0.00
$0.00
s0.00
$0.00
S
l
!vi.
!i
ls".r"if i..are
on:
e Conbat Pay:
loyer Contrj.butions to a Health Savings Account
ferrals under a section 409A nonqualified Deferred Conpensation
under section 409A on a nonqual-ified Deferred Compensatj,on
oyer's Contribution to MSA
Contribution to Sitrqgle Account:
lfor Qualified Adoptions
exercise of non-statutory stock options
Designated Roth Contributions under a Section 401(k) ptan
ted Roth Contributions under a Section 403 (b) plan:
of Employer-Sponsored HeaIth coverage:
ignated ROTH Contrj.butions Under a Governmental Sectj.on 457 (b)
I
irs onrz/ecnrltd<l lreatpsfs/TdsPrndnef Actinn dn?mpthnd=nrndrretl)etailc
I
r'
$0.00
90.00
$0.00
$0.00
s0.00
90.00
s0.00
$0.00
This Product Contains Sensitive Data
qn) l)o)1
r
ii
CS
ll
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8.C.1
Packet Pg. 144 Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
Sick Pay Indicator:
Tlpe:
ssN validation code:
fication Nurrber (EIN) : 264052304
INC
34 104 -0000
:
Social security Number: -0143
LAWN PTACE
34113-0000
Wage and Tax Statement
Page 2 of' 4
Unanswered
Unans!'rered
Not Statutory
Enpl,oyee
original
Correct SSN
original document
$23,?,68.00
s3,165.00
923 ,268 . OO
$1,442.00
923 , 268 .00
s337 .00
90-00
s0'00
s0 .00
s0 .00
$0.00
$0'00
$0.00
s0 .00
and Other Corpensation
thheld:
!iithheld:
and TiPs:
Tax Withheld:
ity Tips:
ips:
are Benefits
on:
Comlrat Pay:
l"oyer Contributions to a HeaLth Savings Account:
er{aIs lunder a section 4O9A nongualified Deferred corpensation
lr
under section 409A on a nonqualified Deferred col(u)ensation
olierrsr Contributr.on to MSA:
oyerrs contribution to Sinple Account:
Incurred for Qualj.fied Adoptions:
from exercise of non-statutory stock options:
j.gnated Roth contributions under a Section 401(k) PIan:
ignated Roth contributions under a section 403 (b) Plan:
t of Employer-Sponsored Heafth Coveraqe:
gnated ROTH Contributions Under a Governmental Section 457 (b)
Indicator;
ion Type
Validation Code:
-2 Wage and Tax Statement
li
irc onw/psnrltd<lhennests/TdsPrndrrntAction dn?methnd:ntndrretT)efeilc
s0.00
s0.00
$0 .00
s0.00
$0.00
s0.00
s0.00
s0.00
Unanswe red
Unanswered
Not Statutory
Employee
Original
Correct sSN
gn) l)fi)1
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WHC
2
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8.C.1
Packet Pg. 145 Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
code
\
I
Nudber (EIN): 650103537
SW
FL 34115-0000
Social Security Nunber: -0143
CE
LAWN PLACE
34 113-0000
Typei :
and other Compensation
:r"* hirhteto,
y Wages:
y Tax Withheld:
and Tips i
!',ithhe-ld
lity Tips
ips i
Benefits:
Is
of
it
ir
Page 3 ot 4
original document
5L,227.00
$91.00
91,22'l .oo
$76.00
5t,221.00
917.00
s0.00
$0-00
s0.00
90.00
$0'00
$0.00
$0.00
$0.00
ion:
e, combat Pay:
I
$ntribudions to a Health Savings Account:
Lnder a section 4O9A nonqualified Deferred Compensation
" Income under section 409A on a nonqualified Deferred compensation
loyer's Contribution to MSA:
loyer'sl Contribution to Sj.mple Account:
enses Incurred for Qualified Adoptions:
ome from exercise of non-statutory stock options:
signated Roth Contri.butions under a Section 401(k) Plan:
Roth contributions under a section 403(b) Plan:
r-sponsored Eealth coverage:
ignated RoTH contributions Under a Governmental Section 457 (b)
Sick Pay Indicatox
Plan Indicator:
Type:
validation Code:
$0. 00
s0. 00
$0.00
$0.00
$0.00
s0.00
$0.00
s0.00
-G
Unanswered
Unanswered
Not Statutory
Enlployee
Original
Correct SSN
,oj[.,fication Nunber (EIN): 311334822
:IO
OF TAXATION
6
43216-247 6
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8.C.1
Packet Pg. 146 Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
a
ve DatasensitTaxpayerContainsProduct
-t
ffi'i
I
NW 18
447r.8-0000
T)rpe:
(Optional):
Cornpensation:
ion Number: -01-43
Page 4 ot 4
Original document
13.57.42.887335
$0.00
s0-00
s0.00
s0 .00
90'00
s26.00
s0.00
2 015
Not Refund, Credit, or Offset for Trade or
Business
on comflrodity Credit Corporation loans
Srlbsidlies:
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8.C.1
Packet Pg. 147 Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
Cout*,3t
Gro\ llh lvlanagiernent Departrnent
Contractor Licensing
2800 N. Horseshoe Dr.
Naples, FL 34104
239-252-2400
APPLICATION FOR COLL]ER COUNTY CERTIFICATE OF COMPETENCY
AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER
STATE OF 7
COUNTY OF C ?,
l, t4 having been first duly sworn, state and affirm:
I am a resident of County O.)(State) and have resided here for
more than five (5) years.
During the last five (5) years I have known l?/(applicant). I have had the opportunity
to ooserve@an business and personal dealings and find him o€arfo be a person of honesty, integrity and
good character
C.ts
Printed Name
Street
State of F\o-tdq County of 0utt\<r
The foregoing instrument was acknowledged before me by means of frhysical presence or E online notarization on this
Zt$ duy of lhrratt/ ,20 zl ,by 'ffo,r^... F: "ct..*
Such person(s) Notary Public must check applicable Jbox:
Mare personally known to me I has produced a current driver license
E has produced identification.
Notary Signature
,fi sot
3
State Zi
;{.
?^\.
a
II II]0l'
tli\l . ..'
:
(Notary Seal)
Firm_Application.docx Rev 410612020 Page 14 ot'15
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8.C.1
Packet Pg. 148 Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
8.C.1
Packet Pg. 149 Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
,
Flarida Dnnm uc,*$E # '
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8.C.1
Packet Pg. 150 Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
oiQo'CERTIFICATE OF LIABILITY INSURANCE DATE (]'M'DD/YYYY)
1110212021
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORUATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATTVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUTNG INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: lf the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITTONAL INSURED provisions or be endorsed.
If SUBROGATION lS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PROOUCER
Liberty Mutual lnsurance
PO Box 188065
Fairfleld oH 45018
CONTACT
NAME:
lllPTf. .*,. 8oo-e62-7132 800-845-3666
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A : Ohio Security lnsurance Company 24082
INSURED
PRICELESS CUSTOMZ FABRICATION LLC
11675 Ladybug Ln
Naples FL 34114
INSURER B :
INSURER C
INSURER D :
INSURER E :
INSURER F :
NUMBER: 0250926561 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ABOVE FOR THE POLICY PERIOD
POLICY EFF(MM,/DD/YYYYI LIMITSINSR
LTR TYPE OF INSURANCE INSD wvD POLICY NUMBER
s 1000000EACH OCCURRENCE
DAMAGE IORENIEU
PRFiTISFS lFe odurrence)s 300000
s 15000MED EXP (Any one pe6on)
PERSONAL & ADV INJURY s 1000000
GENERAL AGGREGATE s 2000000
s 2000000PRODUCTS. COMP/OP AGG
12t03t2021 12t03t2022
$
A
COMMERCIAL GENERAL
GEN'L AGGREGATE LIMIT APPLIES PER:x PRO-
JECTPOLICY LOC
CLAIMS.MADE [X o""r*
x X BLS58445223
$
$BODILY INJURY (Per person)
BODILY INJURY (Per aeident)$
$
AUTOMOBILE LIABILITY
ANY AUTO
OWNEO
AUTOS ONLY
HIRED
AUTOS ONLY AUTOS ONLY
SCHEDULED
AUTOS
NON.OWNED
EACH OCCURRENCE s
$AGGREGATE
UMBRELLALIAB
EXCESS LI,AB
OCCUR
CLAIM$MADE
$DED RETENTION $PER I
STATTJTF I
OTH.
ER
$E.L. EACH ACCIOENT
$E.L. DISEASE. EA EMPLOYEE
E.L. DISEASE. POLICY LIMIT $
WORKERS COMPENSATION
AND EMPLOYERS' LI,ABILITY
ANYPROPRI ETOR/PARTNEFYEXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in
It yes, describe
DESCRIPTION OF OPERATIONS below
NH)
under
N/A
DESCRIPTION OF OPERAnONS / LOCATIONS / VEHICLES (ACORD l0l, Additional Remarks Schedule, may be attached if more space is required)
CERTIFICATE HOLDER CANCELLATION
Collier County Contractor Licensing Board
2800 N Horseshoe Dr
Naples FL 30104
SHOULD ANY OF THE ABOVE DESCRIBEO POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH T}IE POLICY PROVISIONS.
AUTHORIZEO REPRESENTATIVE
@ 1988-2015 ACORD CORPORATION. All rights reserved
The ACORD name and logo are registered marks of ACORDACORD 25 (2016103)
I
I
I
H
I
/fue-
8.C.1
Packet Pg. 151 Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
JIMMY PATRONIS
CHIEF FINANCIAL OFFICER STATE OF FLORIDA
DEPARTMENT OF FINANCI,AL SERVICES
DMSION OF WORKERS'CO PENSATION
- . CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION I-AW'*
CONSTRUCTION INDUSTRY EXEIIIPTION
This certifies that the individual listed below has elected to be exempt fiom Florida Workers' Compensation law.
EFFECTIVE DATE: 5l18l2O2O EXPIRATION DATE: 511812022
PERSON: JOHN J PRICE EMAIL: PR|CEJ9O8@GMAIL.COM
FEIN: 823513328
BUS]NESS NAME AND ADDRESS:
PRICELESS CUSTOMZ FABRICATION
11675 LADYBUG LANE
NAPLES, FL3/.114
SCOPE OF BUSINESS OR TRADE:
DFS-F2.DWC.252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED O8-13 E01166718 OUESTIONS? (850)41},1609
TMPORTANT: Pursuant to subsedion 440.05(14), F.S., an offcor oI a corpo!'alion who elecis exemption trom this ctaptor by filing a cedficate ot election under
this sec.tion may not rccover benefits or compenialbn under this chapter. Pu6lant to $rbsec-tlon 440.05(12), F.S., Cedificafes of eleaton to bo exempl issued
und6r sub6edi6n (3) shell apgly only to th€ iorporale ofrcar named on lho nolics ol slection to bs oxempt and apply only wilhin lhe srop€ of the business or
bade listed on the n;tice of biei:tion'to te exempt Pursuanl to subsedion 440.05(13). F.S., nolicss of eleciion to be exempl and certjfc€tes oI election to be
exempt shall be subject to rBvocation if, at any fme aflef the 6ling of th€ notice or the issuance of lhe certificate, lhe peEon named on lhe notice or certifcate
no b;gor meets thaGquiromentrs of this sec,tion fo, issuanc€ of a cortificate. The depaflrnent shall revoke a csrlificate at any time for failuro of the p€rson
named on the certificate to me6t the reauirem€nb of this seclion.
lnstallation 8 DriveG
8.C.1
Packet Pg. 152 Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
8.C.1Packet Pg. 153Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
8.C.1Packet Pg. 154Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
8.C.1Packet Pg. 155Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
8.C.1Packet Pg. 156Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
8.C.1Packet Pg. 157Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
8.C.1Packet Pg. 158Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
8.C.1Packet Pg. 159Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
8.C.1Packet Pg. 160Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
8.C.1Packet Pg. 161Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
8.C.1Packet Pg. 162Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
8.C.1Packet Pg. 163Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
8.C.1Packet Pg. 164Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
8.C.1Packet Pg. 165Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
8.C.1Packet Pg. 166Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
8.C.1Packet Pg. 167Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
8.C.1Packet Pg. 168Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
8.C.1Packet Pg. 169Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
8.C.1Packet Pg. 170Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
8.C.1Packet Pg. 171Attachment: 8C JOHN J. PRICE - REVIEW OF EXPERIENCE - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION,
04/20/2022
COLLIER COUNTY
Contractor Licensing Board
Item Number: 8.D
Item Summary: JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W/ CONCRETE
CONTRACTOR
Meeting Date: 04/20/2022
Prepared by:
Title: – Contractor Licensing
Name: Sandra Delgado
04/13/2022 4:10 PM
Submitted by:
Title: – Contractor Licensing
Name: Tim Crotts
04/13/2022 4:10 PM
Approved By:
Review:
Contractor Licensing Sandra Delgado Review item Completed 04/13/2022 4:59 PM
Contractor Licensing Trish Morgan Review item Completed 04/13/2022 5:23 PM
Contractor Licensing Tim Crotts Review Item Completed 04/14/2022 11:44 AM
Contractor Licensing Tim Crotts Meeting Pending 04/20/2022 9:00 AM
8.D
Packet Pg. 172
C,OtgAW
Grcr\ ih Managernent Departnent
Contractor Licensing
2800 N. Horseshoe Dr.
Naples, FL 34104
Pl]rne - 239-252-2431
Fax - 239-252-2469
APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY
FIRM APPL!CATION FOR COttIER COUNTY
CERTIFICATE OF COMPETENCY tfi1'w-oqqlLUIgU--?.oz{
This application must be typewdtten or legibly printed. The application fee must be paid upon approval and is NOT
refundable. All checks should be made payable to:. Collier County Board of County Commissioners. For further
information, consult Collier County Ordinance No. 200646, as amended.
E General
! Building
tr Residential
n Mechanical
n Roofing
$230.00
$230.00
$230.00
$230.00
$230.00
E Electrician
E Plumber
E Air Conditioner
E Swimming Pool
ts Specialty
$230.00
$230.00
$230.00
$230.00
$205.00
t NU ylz1 W r1 h CCNCk-'Specialty Trade fu Atrpr
I. APPLICANTPERSONALINFORMATION:
Name:5o ?\
l_rr5t M e lnitial Last
PP rcguess Ci,srcrnz g c-Arro^, LLC
Address 41515 Lno,l (p c\€L 3 4 ttt1A^E APL
Street City State zip
Emair: Johl @ Pk,celrsscusrror!/l2- cAo an
Teleph on,(Q71) 5+l - 58 65 -SS # (Last 4 digits only):aLq3
Dateof Birth: rcIe l lqq3
.pursuant to Chapter l-19, Florida Stetutes and Collier Counw Contractor licensing Ordinance 2006{6 Sedion 2.1.1., all applicants are required to
submit theirsocial security number (SSN) to. the following purposes; a) A5r€ss applicant's ability to satirty cteditors by.eviewing theircredil history.
b) Verification of applicant's test scorer and information. Our office will only use your SSN noted above {or thos€.easons putsuant to Chapter l-19,
Florida Statutes, and as may otherwise be authorized by law. We are fully committed to sate{uarding and protecting your S5l{ and once collected, will
be maintained as aonfidential and exempt undet Chapter l-19, Florida Statutes.
Firm_Application.docx Rev 4/06/2020 Page 3 oI 15
ryPE OF CERTIFICATE OF COMPETENCY:
Business Name:
Driver's License # (Last4 digits onlylt 336 O
8.D.1
Packet Pg. 173 Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
l.o.J.z, Alumtnum uontractor Including Concrete roquires twer.rty-four (24) months
oxperionce with a passing grado on e+lree{g}h€ur aa appro,ved test and a passing grade on a S#€
e)$our business and lsw test and moans those.who aro qualified to fabricate, install, maintaln,
repair, alter, or €xtend accossories srlch as metal and vinyl siding, awningo., securiry shutters,
gutters, soffits and prefabricated rooms and pofiable metal or vioyl partitions. These contractors
may form, place on grade reinforcing steel and miscellaneous steel, and pour, place, and finish
non-shuctursl coucreto on grade only, incidental to an aluminuu acce$sory structure and or
screon onclosures.
8.D.1
Packet Pg. 174 Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
Cott*rt!Contractor Licensing
2800 N. Horseshoe Dr.
Naples, FL34104
Phone - 239-252-2431
Fax - 239-252-2469
Gro\Mh Management Departnent
APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY
IV. EXPERIENCEVERIFICATION
EDUCATION:
List below and provide transcripts for any formal education you have obtained in the area of competency for which
this a ication is de:,L A.
List below non formal education (on the job training) you have obtained in the area of competency for which this
application is being made:
(
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 j iction. lnclude the license #, Type, and county you hold it in
t
AFFI
Under the penalties of perjury, I declare that I have read the foregoing
true.
nd the facts stated in it are
Signature of Applicant
presence or E online notarization on this
Iohn 5^v Oi,e-
Applicant (please print)
State of Ao*lort County of
acknowledged me by ofFThe foresoins instrument was ,
-!-a^v"d NaWbff ,zo 7l ,0,
Such person(s) Notary Public must check applicable box
! are personally known to me E+"rproduced a current driver license
E has produced
(Notary Seal)
as identification
Notary
'ffi ffih
REINSTATEMENT APPLICATION REV 41612020 Page 5 of 11
{L
8.D.1
Packet Pg. 175 Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
C-ovt*ttt
Gro\^,th Management Departrnent
Contractor Licensing
2800 N. Horseshoe Dr.
Naples, FL34104
Phone - 239-252-2431
Fax - 239-252-2469
APPL]CATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY
Provide the names and telephone numbers of two persons who will always know your whereabouts.
Name Name:
T tr1-ru3q\316-4t3s
II. NAME OF APPLICANT'S BUSINESS:
Business Name: ?l.cole<9 &r6-r0rvTr 6p'Sltr C$rrorrl L [.c
Business Address: I trL 3Q t ttq
Street City State zip
Telephon e,t239 't 57| - 5865
Email:o F
Federal lD rax No., Z2- 35{.) 3J8
€SS fi L 6/16. corn
III. FINANCIAL RESPONSIBILITY
NOTE. lf you have answer YES to 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 conviction, proof that your civil rights have been restored will be required prior to licensure.
YES NO ALL APPLICANTS MUST ANSWER THE QUESTIONS BELOW:
x Filed for or been discharged in bankruptcy within the past 5 years?
x Had a lien filed against you by the lnternal Revenue Service or Florida Corporate Tax Division?
x Undertaken construction contracts or work that resulted in liens, suits, or judgments being filed?
x Undertaken construction conlracts or work that a third party, such as a bonding or surety company,
completed or made financialstatements on?
x Made an assignment of assets in settlement of construction obligations for less than the debts
outstanding?
X 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?"
x Had claims or lawsuits filed for unpaid or past due accounts by your creditors as a result of
construction experience?
X
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?
Firm_Application.docx Rev 410612020 Page 4 ot 15
I C.'
8.D.1
Packet Pg. 176 Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
Crua z*zrdaoffi*'z
il_655
COLLIER COUNTY
GROWTH il'IANAGEMENT DIVISION
crAfloN
Purs!ani tr) t('clion .189 florida Stalutes, the untlersignccl hereb,v aertities that upotr Personal
in1?rlrgation. hc,'shr'h;r rel:,:rable anrl probrblt'8r()uo.1s i.r lxlis'e thrt thc Ferson rvho:c
nam. ippears trelow rs issued lo, did violate sub\cctic,rl +89.1::.il;, Firridr Statues, and the
Collicr Countv (lontrr(tor'! l.icensing Ordinance No. !006-16 {as ntav hc rmendcd) b.r'
;ommitting thc violation statcd beloh'.
-"-" oZ-[* ti Ie,/ V.#" ]6>n
Issued To PRr.t 'Tt** €
Address //67_f ,&y0u*Za*E---.;
1l./nPra-State i##g------7+-
7?
TUB
7
City zip
No.
i\{ake/Twe (if applicable)o.
Location "'"'o'fYor, /r., e*a/ 3r:€
OPTIONS
1 irave been infornred ofthe;-iolation for rvhich I have besr charged and elect the
following option ((lheck one) )".- .. O O
l) fl I choox'not t() pay thc fenalty, and will request in writing
delivert an.\dministrrti!e Heuing b€flore the Contmttors
hrnd
Description of Viohtion Date Violation
a) BFalsel,v hold self or business nrganization out as a licensee,
()r registrant;
b) ElFalsel.v impersonate a certificate bolder or registranti
c) If Present as hislher oxn the r:enificate or registration of another;
d) 0 Knowingly give falx or lorged er"idence to the Board or a member thereof;
e) flL'se or attempt to ust'-.r iertifi(ate or registratig,qwhich has been suspended
-;p re voked r., 4 ^
..t -fl ..1 uft, C so,u tw-Taf,r*..
r*r rl' I pfngage in the bulincss or act in the capacitl' of a conlrac
/ or business organization as al'ailable to engage in lhc business or act in lhe
eapacity ofa contraclor without being dul,v registered or certified:
gi B0perate a business orgarization engaged in contracting after (60) davs;
h) [ Comrnence or perform work lor which a building pcrmit is required
pursuant to an adopled s:ate minimum building ctxi; *r without such Permit
being in effect;
i) flWillfullv or dcliberarely disregard or viol*e an,v Collier Countv ordinance
relating to uncenified or rnregistered contractors.
.{ person or business organiation operating on an inactive nr suspended ccrtificate,
or registration,bryo:rd the scope of work or
or registerrd.
(RECIPI:'N]I {tN\rESl'tGATOR)
4"**;**zzae:*-
PRINT' (RECIPIENTS NAIqE) PRINT (INVESTIGATO(S NAME)
Pursuant to 489.127, Florida Statues, willtul refusal to sign and accePt this citation
coostitutes a misdemeanor ofthe second degree, punishable as provided in section
7?3.082 or 775.081 Florida S:atutes.
( sE l': Rl-.\' ERSE fpR I NSI'RUCTIOU)Til U 7n,^
",
;;, "Car**z {*"
:- i.'rt L ll: !'l f{}aJ*:Y COI'ITRACti}*S l iCr" l'!SF L-d/i"
Lll.{L /)
I'ear
lcotor
8.D.1
Packet Pg. 177 Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
INSTRUCTIONS
PAYMENT QF CITATION:
s€t
,e llr,$ f:l
i lec
by the Boartl of t ol
rard ofColhcr Count'
lorrda l,tl0.l, no late
REQUEST FOR HEARING:
te ctent I nrst un((rntcst!'d
e business
;rth rcr
ni issrr
rnlstfaltve ilcanng wrtnln tnesamc tco
:' fl u rtr. f,,intracto r".s Licrnsi ns lloa rd ttr
'cqucsl
y hcio
) day tllne
noticr. in
r hcoring
me a I'inal
r set lirrth on the citrtion withcxrt a heuring, A cert
ie recorded in puLrlic records and thcr.'attir shall
)l ruch (
a(rnslihrte a
:p0n pdtrtio
ncr irs r Cou
ren a8
to ilre
In lne llel
\ilicste(i.
8.D.1
Packet Pg. 178 Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
Qo**rX!
Gro\ dh lManagernent Departnent
Contractor Licensing
2800 N. Horseshoe Dr.
Naples, FL34104
Phone - 239-252-2431
Fax - 239-252-2469
APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY
CERTIFICATION OF APPTICATION
The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County
No. 2006-46, as amended, and under penalties of perjury. I declare that I have read the foregoing qualifier
information and that the facts stated in it are true.
The undersigned hereby certifies that he is legally qualified to act on behalf of the business organization sought to
be licensed in all matters connected with its contracting business and that he has full authority to supervise
construction undertaken by himself or such business or organization and that he will continue during this registration
to be able to so bind said business organization. The qualified license holder understands that in all contracting
matters, he/she will be held strictly accountable for any and all activities involving his license.
Any willful falsification of any information contained herein is grounds for disqualification.
Tohn To-V ;CL
Applicant (please print
(e C,YAL
Name of Company
Signature of Applicant
State of Fi,er:l*County of <er
The foregoing instrument was acknowledged before me by means of flnhVsicat presence or E online notarization on this
I aay of Aju/qnnber ,20 Zr ,by
Such person(s) Notary Public must check applicable box:
fl a.e pe.sorally known to me D has produced a current driver iicense
honv
LLC
n has produced
(Notary Seal)
as identification.
ddit JOSEPH PASCHIITI
Notary Public, State ot Florida
Commission# GG 95tgg2
My comm. e4ires Jan.2g, 2024
Notary Sigrature
Firm_Application.docx Rev 410612020 Page 6 of 15
8.D.1
Packet Pg. 179 Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
Grot^nh tManagernent Deparfnent
Contractor Licensing
2800 N. Horseshoe Dr.
Naples, FL 34104
Phone -239-252-2431
Fax - 239-252-2469
APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY
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.
n
Applicant (please print
zSS rnL
Name of Company
of Applicant
BEFORE ME this day personally appeared who affirms and
(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.
State of €l*b County of (ntl;u
The foregoing instrument was acknowledged before me by means of presence or E online notarization on this
-|-auy of AJ-u&4bd ,2oLl ,rot
Such person(s) Notary Public must check applicable box:
Aqe personally known to me E has produced a current driver license
(
A,
LVc'
n has produced
(Notary Seal)
as identification.
Notary Signature:ddit JOSEPH PASCTITTI
Notary Public, Stats of Florida
Commission, GG g5,g82
My comm. e4ires ,hn.29.fr24
Firm_Application.docx Rev 410612020 Page 7 ot 15
8.D.1
Packet Pg. 180 Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
GITS, LLC Examination Operations Division
Providing the services and products to assist Government Agencies to make informed educated decisions.
Official Examination Score Repoft
October 28,2021
Official Score Report:
Candidate
Name -
Candidate
Online Testing Site: Ocala, FL
Final Score Result:
i I ,r i I !
Business Procedures Score: 64% (10125 12021)
Score: 84% (1012812021)Business Procedures
These results represent the grade on the above named examination(s)
Collier County, Florida.
PO Box 831127 Ocala, Florida 34483-1127 - Voice (352) 369-GITS - Fax (352) 387-2443
800997 2129
j' ' , ,f"lltJl
r,rr ,i l'0,
administered by Gainesville
If you have any further questions, please do not hesitate to contact us.
Sincerely,
Jay E. Bowermeister
President
8.D.1
Packet Pg. 181 Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
GITS, LLC Examination Operations Division
Providing the services and products to assist Government Agencies to make informed educated decisions
Official Examination Score Report
February 24,2022
Official Score Report:
Candidate Information :
Name - John J. Price
Candidate #: 70933860P
Online Testine Site: Ocala, FL
Final Score Result:
Aluminum Contractor Score:760/o
These results represent the grade that has been achieved on the above named examination(s)
administered by Gainesville Independent Testing Service for Collier County, Florida on February)) )o))
If you have any further questions, please do not hesitate to contact us
Sincerely,
Jay E. Bowermeister
President
PoBox831127 ocala,Florida34483-1127 -Voice(352) 369-ctrs -Fax(352)387-2443
800 997 2129
8.D.1
Packet Pg. 182 Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
..-SM
CREDIT CHECK CONFIDENTIAL
lndividual Credit Report
Name. . . :PRICE, JOHN JAY Ordered By:
Customer :9999Address: L1-675 LADYBUG LANE
NAPLES, FL 341,14 Received
Completed
: L1, / 0]-/ 2L
: 11/ A /ztSocial-#: Applicant:_ -0143
CREDIT SCORE:
APPLICANT FICO SCORE: 591 (scores range from 300 to 850)
SOURCE(S): EXPERIAN TRANSUNION
PUBLIC RECORDS:
PUBLIC RECORDS HAVE BEEN CHECKED AT THE LOCAL, STATE AND FEDERAL LEVELS WITH
THE FOLLOWING RESULTS AS OF 1110112'l: CLEAR
CREDIT RECORD
eriod of sevenCredit histo has ked for a r from date
Creditor
Account Number
DateDate High
Credit
Unpaid
Balance
PaST
Due
Historic Status
30 60 90
Mos
Rev
CurrenL
Reported Opened ECOAStatus
CAPITAL ONE
5l_7805783145
DLA=L0 /21
CAPTTAL ONE
517805850332
DLA=1 0 / 2a
CREDITONEBNK
4441 96247 977
DLA= 06 / 2L
FEDLOAN
9954373874FDo0003
DLA=0 6 / 1-6
t0 /27 o7 /L8 1s31 757
L0 / 21- 1-o / t9 7s87 969
06/2a LL/te 505 0
06/16 01-/L4 4000 0
AS AGREED
0000000R0138r
AS AGREED
0000000R0123r
AS AGREED
0 00 00 00 R01 1,9 r
PD WAS l.20
0000010r0528r
PD WAS 7200 00 0010r05 28 r
PD WAS 720
0 00 0010r05 25 I
FEDLOAN
9954373874FD00001
DLA=05l16
06/1-6 1,2/1-3 3s00 0
FEDLOAN
9954373874FD000 06
DLA=05/15
06/1-5 04/t4 1833 0
Licensee Applicant: APPLICAIiIII - SEE NAIIE ABOVE
Reporting Agency: Credit Check, lnc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409 . (561) 616-5556
8.D.1
Packet Pg. 183 Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
CREDIT CHECR"CONFIDENTIAL
Name : PRf CE , JOHN JAY Customer:9999 Page : 2
PDCOLLECTr09 00 r
PDCOLLECTr09 00 r
COLI,ECT]ONr9B 00 I
COLLECT ION
I9B OO I
COLLECTI ON
I9B OO I
COLLECTI ONO9B I
LINCOLN TECH
71OO17OOOOO9 44617 09/1,6 L2/14
DU\=09l16
3997 0 0
610 n 0
2247 2247
1833 2500 2500
1833 4496 4495
4983 4983
3500 4247 424L
4998 4998
851 924 924
LTNCOLN TECH
31700000958372
DLA=05/15
US DEPT ED
30331387
D!,A=Lo / 21
US DEPT ED
30331383
DLA=Io / 2a
US DEPT ED
30331379
DIJ\=10 / 2L
US DEPT ED
3 033417 2
DLA=Io / 2a
US DEPT ED
30334023
DL,A=1,0 / 21,
US DEPT ED
30334027
DL,A=L0 / 21
06/15 L0/L4
10/21 04/t4 1833
L0/2r L2/73
10/21, 04/14
t0/27 01/1,4 1833
10/21 L2/t3
10/2t 04/t4 3 s00
COLLECTION
I9B OO I
COLLECTI ON
I9B OO I
WAKEFI ELD12L0904349 70/2t 03 /2I
ORIGINAT CREDITOR: MEDICAL
TotaI trade lines on this report: 15
INQUIRIES:
L0/06
09/23
09/23
09/23
09/23
09/23
09/23
09/03
a9/a3
09/03
ae/ot
by UNIVERSAL CREDTT SVCS (ExP) #29L9746by ALLY FINANCIAL (ExP) #2393490by CAPITAL ONE AUTO FIN (EXP) +1254780by ALLY F INANCIAL (EXP) #2100547by SANTANDER CONSUMER USA (EXP) #1-91-2477by NOWCOM/WESTLAKE FINANC (ExP) #2733940by GLOBAL LENDING SERVICE (EXP) #1966277by ALLY FINANCIAL (ExP) #1639000by ALLY FINANCIAL (EXP) #2100547by ALLY FfNANCIAL (ExP) #2393490
by ALLY FINANCfAL (ExP) #1539000
Licensee Applicant: APPLICAIflr - SEE NAUE ABOVE
Reporting Agency: Credit Check, lnc. - 3017 Exchange Court, Suite H, West Palm Beach, FL33409. (561)616-5556
/21
/21/zt
/2t
/2a/2t
/21
/21
/21
COLLECT I ON
I9B OO I
8.D.1
Packet Pg. 184 Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
SI\,4
CREDIT CHECK CONFIDENTIAL
NAME: PRICE .JOHN .fAY Customer:9999 Page : l
621-3115
955-7070
729-7600
a25 -3242
971-1300
925 - 2559
845-3700
515-5555
INQUIRIES - continued:
os/ot/2L by ?OOCR/RICK HENDRICK CH (EXP) #1553005
FACTUAL DATA (EXP) #26986'7 O
AMEX (EXP) #29]-6657
CIT BANK N.A. (EXP) #L425270
FORD MOTOR CREDIT CORP (EXP) #1554440
ALLY FINANCIAL (EXP) #1639000
700CR/TAMTAMT FORD (EXP) #17'79]-27AMEX (EXP) #a234990
a5/1804/ro
03/02
02 /20
02 /20
02/20
t2/11
10/0s
a9/11
ot /30
1L /t4
70 /30L0/04
oe /230sl18
02 /20tt /14
/21
/21
/21/2t
/21
/21
/20
/20
/20
/20/te/te
/1e
/2\
/21/te
by
by
by
by
by
by
by
by
by
by
by
by
by
by
by
by
by
SUNCOAST CREDIT UNION
AIVIEX (
CITI CARDS CBNA (
FACTUAL DATA (
CREDIT ONE BANK NA (
CAP ONE NA (
COAF (
CROSSCOUNTRY (
ALLY FINANCI (
CROSSCOUNTRY (
US DEPT ED VG155OOO4
PO BOX 5509 GREENVILLE TX.
CAPITAL ONE BC1DTVO O 1
PO BOX 31293 SA],T LAKE CITY UT.
LINCOLN TECH EV2Z1VOOI
1 PLYMOUTH MEETING PLYMOUTH MEETI PA.
CREDITONEBNK BC54MRO13
PO BOX 98872 I,AS VEGAS NV.
WAKEFIEI,D YC42DFO 03
PO BOX 50250 I(NOXVILLE TN.
AI]LY FINANCI F 5222240
PO BOX 38O9O1 BI.,OOMINGTON MN.
CROSSCOUNTRY F 57 46472
5850 MILLER ROAD BRECKSVILLE OH.
CREDIT CHECK Z 0630273
3017 EXCHANGE COUR WEST PALM BEAC FL.
(EXP) #1879040EXP) #a234990
EXP
EXP
EXP
EXP
TU)
TU)
TU)
TU)
#L240'750
#269867 0
#3278r43
#2 844ss 0
#a246s38
#57 4647 2
#5222280
#57 4647 2
RESIDENGE HISTORY:
11675 LADYBUG LN, NAPLES FL 34114
7452 INSPIRA DR, APT 4111 NAPLES FL 34113
349 IANOLLWOOD DR, ANDERSON SC 29625
COMMENTS:
***OFAC NAME SCREEN ALERT - CLEAR***
OFAC (OFFICE OF FOREIGN ASSET CONTROL) IS A FEDERAL AGENCY WHICH MAINTAINS
A DATABASE OF TERRORISTS, DRUG TRAFFICKERS AND CRIMINAL ORGANIZATIONS.
FRAUD RECORDS HAVE BEEN SYSTEMATICALLY CHECKED BY THE ACCESSED BUREAUS.
CHECKS FOR IDENTITY THEFT, FAKE SSN, DECEASED SSN AND OFAC DATABASE PERFORMED.
CREDITOR PHONE DIRECTORY:
'15403
84131
r9462
89193
37950
55438
4414L
33409
(800)
(800)
(610)
(877 \
(86s)
(888)
(440)
(871)
Licensee Applicant: APPL ICAI{:[ - SEE NAME ABOVE
Reporting Agency: Credit Check, lnc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409 . (561 ) 616-5556
8.D.1
Packet Pg. 185 Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
CREDIT CHECR'CONFIDENTIAL
Name : PRI CE , .IOHN .IAY Customer:9999 Page : 4
GREDITOR PHONE DIRECTORY - continued:
coAF E 1246538
3905 N DALLAS PARK PLANO TX. 75093
(8 0 0 ) 94 5 - 0 3 3 2
*** END OF REPORT ***
Thrs inlomatD. is @nhdenlialald.s not lo be d'vuloed e,ced as eoLred bv lhe rd crsd I Feporl no Acl
Licensee Applicant: AppLICAI[f - SEE NAI{E ABOVE
Reporting Agency: Credit Check, lnc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409 . (561) 616-5556
8.D.1
Packet Pg. 186 Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
LfREDIT CHECI(,CONFIDENTIAL
Date: i.i. / ot / zt
Cust. No: 9999
Ordered By:
Page: 1
(x) LLC
EIN:82-3513328
Commercial Credit Report
Company: PRICELESS GUSTOMZ FABRICATION, LLC
Address: L1,6't5 LADYBUG LANE
NAPLES, FLORIDA 34114
Telephonet (239) s71-s85s
PRINCIPALS:
PRESIDENT
Address:
PRICE, JOHN .JAY
77575 LADYBUG LANE
NAPLES, FLORTDA 34114
014 3
10 0?
Social Security Number:
Stock Ownership:
MANAGER
Address:
PRICE, JOHN, SR.
II575 LADYBUG LANE
NAPLES, FLORIDA 34114
N/A
N/A
Social Security Number:
Stock Ownership:
Address:
Social Security Number:
Stock Ownership:
Address
Social Security Number:
Stock Ownership:
RISK SCORE:
'.33.'-
:i..i: Experian Financial Stability Risk Score
+
'1-Poor Excellent-100
CREDIT RISK SCORE 28
The score uses tradeline and collections information, public filings as well
as other variables to predict future risk. Higher scores indicate lower risk
FACTORS LOWERING THE SCORE:* risk associated with the company's industry* company's business type
Low RiskI
2 Low to Med
3 Medium Risk
Med to Hiph4
5 Hish Ris
Risk Glass
Reported for: AppLrcANT - sEE NAME ABovE
Reported by: Credit Check, lnc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409 . (561) 616-5556
o
o
8.D.1
Packet Pg. 187 Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
SM
dIIEDIT CTIECK CONFIDENTIAL
Commercial Credit Report
Company: PRICELESS CUSTOMZ FABRICATION, LLG
Address: Lt675 LADYBUG LANE
NAPLES, FLORIDA 34114
Date
Cust. No
Ordered By
Page
la/07/21
9999
2
PRICELESS CUSTOMZ FABRICATION, LLC was FORMED in the county of COLLIER, sLate
of FLORIDA, on tt/Ze, 201-7. The charter number is L17000243510. The
registered agent is PERFECT TAX & ACCOUNTING LLC of 28063 EDENDERRY COURT,
BoNrrA spRrNGs, FLoRTDA 34135. offices are LEASED from N/a at N/A per
month. The company employs N/A.
NET WORTH: ON F]LE W]TH STATE
The company maintains banking relations with N/A
The officer handling the account is N/A
PUBLIG RECORDS WERE GHECKED FOR COLLTER COUNTY, FLORIDA. A SEARCH OF LOCAL,
STATE, AND FEDERAL RECORDS HAS BEEN CONDUCTED WITH THE FOLLOWING RESULTS: CLEAR
AS OF 11101121- SEVEN YEAR SEARCH.
*"* Gredit Profile *"*
REMARKS:
N/A = NOT APPLICABLE/NOT AVAILABLE
REPORT WORKED BY KELLY
END OF REPORT.
8.D.1
Packet Pg. 188 Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
ffi ms ?ffiffiH.1"35#H',lm3g*
CINCINNATI OH 45999-0023
PRICELESS CUSTOMZ FABRICATION LLC
JOHN JAY PRICE SOLE MBR
4058 SEAOATS LN
NAPLES, FL 347L2
Date of thls notice: 77-21-2071
EmpJ-oyer Identification Number :
82-3513328
Form: SS-4
Number of this notice: CP 575 G
For assistance you may call us at:
1-8 0 0-82 9-4 933
]E YOU WRITE, ATTACH THE
STUB AT THE END OF THIS NOTTCE.
WE ASSTGNED YOU AN EMPLOYER IDENTIFICATION NUMBER
Thank you for applying for an Employer Identification Number (EIN). We assigned you
EIN 82-3513328. This EIN will identlfy you, your business accounts, tax returns, and
documents, even if you have no employees. Please keep this notice in your permanent
records.
When fifing tax documents, palments, and related correspondence, 1t 1s very important
that you use your EIN and complete name and address exactly as shown above- Any variation
may cause a delay in processing, result in incorrect informati-on in your accountr or even
cause you to be assigned more than one EfN. If the information is not correct as shown
above, please make the correction using the attached tear off stub and ret.urn it to us.
A limited liability company (LLC) may file Eorm 8832, Entity Classification Election,
and elect to be classified as an association taxable as a corporation. If the LLC iseligible to be treated as a corporation that meets certain tests and it wil-l- be electing S
corporation status, it must timely file Eorm 2553, Efection by a Smaff BusrnessCorporation. The LLC w111 be t.reated as a corporation as of t.he effective date of the S
corporaLion election and does not need to file Form 8832.
To obtain tax forms and publications, including those referenced in this notice,vlsit our Web site at www.irs.gov. If you do not have access to the Internet, call
1-800-829-3676 (TTY/TDD 1-800-829-4059) or visit your 1oca1 IRS office.
IITTPORTAI{T RET.IINDERS :
Keep a copy of this notice in your permanent records. Ttris notice is issued only
one tine and ttre fR.S will not be able to grenerate a dnplicate copy for you. You
may give a copy of this document to anyone asking for proof of your EIN.
* Use this EIN and your name exactly as they appear at the top of this notice on allyour federal tax forms.
* Refer to this EIN on your tax-reLated correspondence and documents.
If you have questions about your EIN, you can call- us at the phone number or write tous at the address shown at the top of this notice. If you write, please tear off the stubat the bottom of this notice and send it along with your letter. If you do not need towrite us. do not complete and return the stub.
Your name control associated wj-th this EIN is PRIC. You will- need to provide thisinformation, al-ong with your EIN, if you file your returns electroni-ca1ly.
Thank you for your cooperation.
8.D.1
Packet Pg. 189 Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
1111121,7:54 AM Detail by Entity Name
[)t'n:Jtot'i ai
Cr:;yturG\Tloi I-:
# !]il $flirirl .'itarv ri f'htrt'ln *tb:*,
Deplhen.[gl$l{e / Division of Comorations / Search Records / Search by-Enlily-Nage /
Detail by Entity Name
Florida Limited Liability Company
PRICELESS CUSTOMZ FABRICATION, LLC
Filing lnformation
Document Number L17000243510
FEI/EIN Number 82-35'13328
Date Filed 1112812017
State FL
Status ACTIVE
LastEvent REINSTATEMENT
Event Date Filed 0712212019
Principallklc!rcss
11675 LADYBUG LANE
NAPLES, FL34114
Changed: 02lOTl2O21
Mailing Address
11675 LADYBUG LANE
NAPLES, FL34114
Changed: 0210712021
Eegistered Agent Name & Address
PERFECT TAX & ACCOUNTING LLC
28063 EDENDERRY CT
BONITA SPRINGS, FL 34135
Name Chang ed: 02107 12021
Address Changed: 02107 12021
Authorized Person(g) Detail
Name & Address
Title President
PRICE, JOHN J
11675 LADYBUG LANE
NAPLES, FL34114
D,vrstoN oF CoRPoRATToNS
1t2
8.D.1
Packet Pg. 190 Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
1111121,7:54 AM
Itle MGR
PRICE, JOHN, Sr.
1,I675 LADYBUG LANE
NAPLES, FL 34114
Annual Repqlg
Report Year
2020
202',l
2021
Detail by Entity Name
View image in PDF format
View amage in PDF format i
View image in PDF format
View image in PDF format
no.da Depanment of sta&, Dlv'soi of cooorat,ons
Filed Date
03t19t2020
0210712021
09to't t2021
Document lmages
02107/2021 - ANNUAL REPORT
O3/19/2020 - ANNUAL REPORT
O7l2212019 - REINSTATEMENT
11/28/2017 - Florida Limited Liability
View rmage in PDF format
8.D.1
Packet Pg. 191 Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
Electronic Arflcles of OrganizationFor
Florida Limited Liability Company
Article I
the name of the Limited Liability Company is:
PRICELESS CUSTOiVIZ FABRICATION. LLC
L1 70002 435',1
FILED 8:00 A
November 28
Sec. Of State
ccave
0
M
,2017
Article II
The street address of the principal office of the Limited Liability Company is
4058 SEAOATS LANE
NAPLES, FL. US 34112
The mailing address of the Limited Liability Company is
4058 SEAOATS LANE
NAPLES, FL. US 34112
Article III
The name and Florida street address of the registered agent is
LISA PRICE
18584 SEBRING RD.
FORT MYERS, FL. 33967
Having been named as registered agent and to accept service of process for the above stated limited
liability company at the place desighated in this certificate, I hereby accept the appointment as registered
agent dnd agiee io act in'this capaiity. I further agree to cbmply viittr ttd provisiSns of all statute"s
relating to the proper and complete performance of my duties, and I am familiar with and accept the
obligations of my position as registered agent.
Registered Agent Signature: LISA PzuCE
8.D.1
Packet Pg. 192 Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
Article IV
The name and address of person(s) authortzed to manage LLC:
Title: AN4BR
JOHN J PRICE
4058 SEAOATS LANE
NAPLES, FL. 34112 US
Signature of member or an authorized representative
Elechonic Signature: CHEYENNE MOSELEY, LEGALZOOM. COM, INC.
,2417
ccave
I am the member or authorized representative submitting these Articles of Organization and affirm that the
facts stated herein are true. I am aware that false information submitted in a document to the Department
of State constitutes a third degree felony as provided for in s.817.155, F.S. I understand the requirement to
file an annual report between January lst and N4ay 1st in the calendar year following formation of the LLC
and every year lhereafler to maintain "active" status.
8.D.1
Packet Pg. 193 Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
2019 FLORIDA LIMITED LIABILITY COMPANY REINSTATEMENT
DOCUMENT# L17 00024351 0
Entity Name: PRICELESS CUSTOMZ FABRICATION, LLC
Current Principal Place of Business:
3727 DOIVESTIC AVE
UNIT D
NAPLES, FL 34104
Current Mailing Address
3727 DOMESTIC AVE
UNIT D
NAPLES, FL 34,104 US
FEI Number: 82-3513328
Name and Address of Current Registered Agent:
FILED
Jul 22,2019
Secretary of State
1978343925CR
Gertificate of Status Desired: Yes
PRICE, LISA
18584 SEBRING RD.
FORT MYERS, FL 33967 US
The above named entity submits this slaleme nt for the purpose of changing its registered office or registered agent, or both, in the State of Florida.
SIGNATURE: LISA PRICE 0712212019
Electronic Signature of Registered Agent Date
Authorized Person(s) Detail :
Title MEMBER
Name PRICE, JOHN J
Address 3727 DOMESTIC AVE
UNIT D
City-State-Zip: NAPLES FL 34104
that my name appears above, or on an altachment with all othet like empowered.
SIGNATURE:JOHN PRICE MEMBER 0712212019
Electronic Signature of Signing Authorized Person(s) Detail Date
8.D.1
Packet Pg. 194 Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
Cou*rX3l
Gru dh 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
STATEMENT OF OWNERSHIP
50A,"?,,,,This certifies that l,am a member or managing
APPLICANT'S NAME (please print)
member of 6 \re[esS \-o A
(LtMtTED L|ABtLtry CO[/PANY NAME)
lown % 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.
NJ
T.l il,,
State of County of
E are personally known to me ptras produced a current driver license
n has produced €-\- Dl-- as identification.
(Notary Seal)
n (
Applicant (please print)
LLl S t
Name of
Signature of Applicant
Notary Signature:
catiou
The loregoing instrument was acknowledged before me by means of'ffihasical presence or n online notarization on thisI auy,r f\lgltrr{hrzo2r ,u, lohn ?"9 P.-.-
Such person(s) Notary Public must check applicable box: 17
SAI{ORADELGADO
Commissionf HH 101718
Expires Mard 8, 2025
Bddod Ihru 8u6Ntuy Sefticas
-o$Y.'.!1+"lffir
REINSTATEMENT APPLICATTON REV 4t6t2020 page g of 11
q0
( lrru
8.D.1
Packet Pg. 195 Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
CouttXt
Growth lvlanagement Departrnent
Contractor Licensing
2800 N. Horseshoe Dr.
Naples, FL 34104
Phone - 235-252-2431
Fax - 239-252-2469
APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY
RESOTUTION 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
ln accordance with Collier Cou ntv O
tu
rdinance 2oo6-46,as amended, lr ,r€[o> lrrFr. r FtldliU+rr.:t"p
to engage in contracting as
Officers/Owners/Partners
proposes to qualify for a Certificate of Competency with company\
Such person(s) Notary Public must check applicable box:
E are personally known to me phas produced a current driver license
UC
roposes
Company Name
in Collier County where ,\iC,
Applicant
Com
as identification.
Notary Signahrre:
I
It is hereby agreed upon that we the undersigned Yru'htdg of C,s Z
Officers/Owners/Partners Company
resolve and represent to the Collier County Contractor's Licensing Board that the proposed qualifying agent,
&-is active in all matters connected with the company named
Applicant Name V:c-
further resolve and represent that )ohn ic is legally
Company
empowered to act on behalf of s
business
Company
ority to supervise construction undertaken by
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 Counlv of
The was acknowledged means of flphysical presence or n online on thisme
of
LLL
FMil,cc
tu-
(
Qn e\eg: Gr,i460'(Si,'m-j.*..::Hil;[ contracti n
,by
a-th^.
I-LL
t
(1( o
E has produced
(Notary Seal)
SANDRADELGAOO
Commlsslon # Hll 10 li ; B
ftflres Match 8, 2025
Bmded Ihru &dget tiotary Servi:fs'ffi REINSTATEMENT APPLI REV 41612020 Page 8 of 11
C
f
8.D.1
Packet Pg. 196 Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
8.D.1
Packet Pg. 197 Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
Thi P uct taCon I Sens 1!T Dayeraxpa
i
l
1r
i
lps and Other CoEpeosation:
Income Tax rithheld:
ity llages:
iti Tax lrithbeld:
o9-22-2027
09-22-2021
101130294563
Orlginaf docutnent
s5{,975-00
s5, 598,00
$54,976.00
93, {08.00
$51, 975,00
s79? .00
s0.00
$0.00
s0,00
$0.00
$o-00
50. o0
50.00
IR"lr".t r" Service
n1 ted States Department of the Treasurv
Wage and Income Transcript
-2
-0141
Decenber,20l7
-2 Wage and Tax Statement
entifj.cation Nu$er (EIN) : 201059506
ETT CA.RP
E LANE
3 4113 -OOOO
Social Secur ity Nunber: -0143
Page I ot 4
s0-00
E
S I.ANE
3 4112-0 00 0
Type:
ges and Tips
fiithheld:
iompensation:
durity tipL:
hip",
tare eenefits:
ferlals unde. a section 409A nonquafifled Defelred Cor@ensation
under sec!1on 4094' on a nonqualified Deferred Conpensatiod
taxable Cohbat Pay:
loyer ContEibutions to a Health Savings Accouat:
:i
signated Roth contributions under a Sectj.on 403(b)
st of E]nployer-Sponsored Ilealth Coverage:
icontriqution to MSA:
contribution to sinple Account:
3es Incurled for Qualified Adoptions:
Incone from exercise of non-statutory stock options:
igrrated Roth Contributiors unde! a SectioB 401(k) Plana
Plan:
s0.00
s0.00
s0.00
s0.00
s0.00
s0.00
so. oo
s0.00Designated Rorfi contributions under a GoeerDmental. Section 451{b)
irs onvlesnrhds//rpnrrecf</TdsPr drrntAcfinn dn?mefhod=nrndrrctl)etails qD) l)n)1
1
u
il
iffi
Request Date:
Response Date:
Tlackinq Nuhber:
I
i:l
I
I
I
8.D.1
Packet Pg. 198 Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
-2
-2 Wage and Tax Statement
tification Number (EIN) : 264052304
OF
ILE AVE 3
34104-0000
Social Security Number: -0143
LAI{N PLACE
34L13-0000
IOther
Income Tax Withheld:
ty wages:
ity Tax liithheld:
and Tips
!iithheld
ity Tips:
,benef i ts under a qualified smal1 employer heal-th
Pay fndicator
Plan Indi-cator:
loyee:
.on Type:
Validation Code:
Cotnpensation:
Original document
s31,920.00
s4,132.00
$31 , 920.00
$ 1, 979.00
s31, 920.00
s452.00
$0.00
s0.00
$0 .00
s0.00
s0.00
s0.00
$0.00
Page 2 ot' 4
$0.00
Unanswered
Unanswered
Not Statutory
&q)loyee
Original
Correct SSN
$0.00
$0.00
$0.00
s0.00
s0. oo
$0.00
$0. 00
$0. 00
Benefits:llrisat ibn:
I
ta:{abLe combat Pays
e
olfer Contributions to a Health Savings Account:
rials Lnder a section 409A nonqualified Deferred compensation
under section 409A on a nonqualified Deferred Co[pensation s0. 00
oyer's contributj.on to MsA:
oyer's Contribution to Simple Account:
s Incurred for eualified Adoptions:
from exercise of non-statutory stock options:
gnated Roth contributions under a section 401(k) plan:
t Roth Contributions under a Section 403(b) plan:
oyer-isponsoled Hea1th Coveragel
I
ROTH Contributions Under a Governmental Section 45?(b)
Permitted benefits under a qualified small employer health s0.00arrangement
Sick Pay Indicator:Unansrrered
Unanswered
Not Statutory
Employee
original
Plarr lndricator:
Type:
irs onlz/pcnr/trle./lrefi:rqte/TdsPrndrrefAnfinn dn?mefhnd:nrnrirrnfllefailc q/2) l)a21
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8.D.1
Packet Pg. 199 Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
\
3-l
Request Date:
Response Date:
Tracking Number:
Page I ot'4
o9-22-202L
o9-22-202r
101130294563
s0.00
of
Senrice
the Treasury
Wage and Income Transcript
-2 Wage and Tax Statement
-0 L4 3
December, 2016
ification Nunber (EIN) : 201059606
CARPENTRY INC
34113-0000
ity lNunber: -0143
and Other Compensation:
Tax l{ithheld:
Wages:
Tax withheld:
and jrips:
thhetd:
ity Tips:
ar s[cur
I
BANK CIRCLE
FL 34112-0000
itv
ity
Original document
$s3, 673.00
ss, 195.00
953, 673 .00
$3,327 .00
s53,673.00
$778.00
s0.00
s0.00
$0.00
s0.00
$0.00
s0.00
$0.00
S
l
!vi.
!i
ls".r"if i..are
on:
e Conbat Pay:
loyer Contrj.butions to a Health Savings Account
ferrals under a section 409A nonqualified Deferred Conpensation
under section 409A on a nonqual-ified Deferred Compensatj,on
oyer's Contribution to MSA
Contribution to Sitrqgle Account:
lfor Qualified Adoptions
exercise of non-statutory stock options
Designated Roth Contributions under a Section 401(k) ptan
ted Roth Contributions under a Section 403 (b) plan:
of Employer-Sponsored HeaIth coverage:
ignated ROTH Contrj.butions Under a Governmental Sectj.on 457 (b)
I
irs onrz/ecnrltd<l lreatpsfs/TdsPrndnef Actinn dn?mpthnd=nrndrretl)etailc
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$0.00
90.00
$0.00
$0.00
s0.00
90.00
s0.00
$0.00
This Product Contains Sensitive Data
qn) l)o)1
r
ii
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8.D.1
Packet Pg. 200 Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
Sick Pay Indicator:
Tlpe:
ssN validation code:
fication Nurrber (EIN) : 264052304
INC
34 104 -0000
:
Social security Number: -0143
LAWN PTACE
34113-0000
Wage and Tax Statement
Page 2 of' 4
Unanswered
Unans!'rered
Not Statutory
Enpl,oyee
original
Correct SSN
original document
$23,?,68.00
s3,165.00
923 ,268 . OO
$1,442.00
923 , 268 .00
s337 .00
90-00
s0'00
s0 .00
s0 .00
$0.00
$0'00
$0.00
s0 .00
and Other Corpensation
thheld:
!iithheld:
and TiPs:
Tax Withheld:
ity Tips:
ips:
are Benefits
on:
Comlrat Pay:
l"oyer Contributions to a HeaLth Savings Account:
er{aIs lunder a section 4O9A nongualified Deferred corpensation
lr
under section 409A on a nonqualified Deferred col(u)ensation
olierrsr Contributr.on to MSA:
oyerrs contribution to Sinple Account:
Incurred for Qualj.fied Adoptions:
from exercise of non-statutory stock options:
j.gnated Roth contributions under a Section 401(k) PIan:
ignated Roth contributions under a section 403 (b) Plan:
t of Employer-Sponsored Heafth Coveraqe:
gnated ROTH Contributions Under a Governmental Section 457 (b)
Indicator;
ion Type
Validation Code:
-2 Wage and Tax Statement
li
irc onw/psnrltd<lhennests/TdsPrndrrntAction dn?methnd:ntndrretT)efeilc
s0.00
s0.00
$0 .00
s0.00
$0.00
s0.00
s0.00
s0.00
Unanswe red
Unanswered
Not Statutory
Employee
Original
Correct sSN
gn) l)fi)1
I
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WHC
2
:l
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8.D.1
Packet Pg. 201 Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
code
\
I
Nudber (EIN): 650103537
SW
FL 34115-0000
Social Security Nunber: -0143
CE
LAWN PLACE
34 113-0000
Typei :
and other Compensation
:r"* hirhteto,
y Wages:
y Tax Withheld:
and Tips i
!',ithhe-ld
lity Tips
ips i
Benefits:
Is
of
it
ir
Page 3 ot 4
original document
5L,227.00
$91.00
91,22'l .oo
$76.00
5t,221.00
917.00
s0.00
$0-00
s0.00
90.00
$0'00
$0.00
$0.00
$0.00
ion:
e, combat Pay:
I
$ntribudions to a Health Savings Account:
Lnder a section 4O9A nonqualified Deferred Compensation
" Income under section 409A on a nonqualified Deferred compensation
loyer's Contribution to MSA:
loyer'sl Contribution to Sj.mple Account:
enses Incurred for Qualified Adoptions:
ome from exercise of non-statutory stock options:
signated Roth Contri.butions under a Section 401(k) Plan:
Roth contributions under a section 403(b) Plan:
r-sponsored Eealth coverage:
ignated RoTH contributions Under a Governmental Section 457 (b)
Sick Pay Indicatox
Plan Indicator:
Type:
validation Code:
$0. 00
s0. 00
$0.00
$0.00
$0.00
s0.00
$0.00
s0.00
-G
Unanswered
Unanswered
Not Statutory
Enlployee
Original
Correct SSN
,oj[.,fication Nunber (EIN): 311334822
:IO
OF TAXATION
6
43216-247 6
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8.D.1
Packet Pg. 202 Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
a
ve DatasensitTaxpayerContainsProduct
-t
ffi'i
I
NW 18
447r.8-0000
T)rpe:
(Optional):
Cornpensation:
ion Number: -01-43
Page 4 ot 4
Original document
13.57.42.887335
$0.00
s0-00
s0.00
s0 .00
90'00
s26.00
s0.00
2 015
Not Refund, Credit, or Offset for Trade or
Business
on comflrodity Credit Corporation loans
Srlbsidlies:
ti,a, I
il
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8.D.1
Packet Pg. 203 Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
Cout*,3t
Gro\ llh lvlanagiernent Departrnent
Contractor Licensing
2800 N. Horseshoe Dr.
Naples, FL 34104
239-252-2400
APPLICATION FOR COLL]ER COUNTY CERTIFICATE OF COMPETENCY
AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER
STATE OF 7
COUNTY OF C ?,
l, t4 having been first duly sworn, state and affirm:
I am a resident of County O.)(State) and have resided here for
more than five (5) years.
During the last five (5) years I have known l?/(applicant). I have had the opportunity
to ooserve@an business and personal dealings and find him o€arfo be a person of honesty, integrity and
good character
C.ts
Printed Name
Street
State of F\o-tdq County of 0utt\<r
The foregoing instrument was acknowledged before me by means of frhysical presence or E online notarization on this
Zt$ duy of lhrratt/ ,20 zl ,by 'ffo,r^... F: "ct..*
Such person(s) Notary Public must check applicable Jbox:
Mare personally known to me I has produced a current driver license
E has produced identification.
Notary Signature
,fi sot
3
State Zi
;{.
?^\.
a
II II]0l'
tli\l . ..'
:
(Notary Seal)
Firm_Application.docx Rev 410612020 Page 14 ot'15
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8.D.1
Packet Pg. 204 Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
8.D.1
Packet Pg. 205 Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
,
Flarida Dnnm uc,*$E # '
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8.D.1
Packet Pg. 206 Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
oiQo'CERTIFICATE OF LIABILITY INSURANCE DATE (]'M'DD/YYYY)
1110212021
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORUATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATTVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUTNG INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: lf the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITTONAL INSURED provisions or be endorsed.
If SUBROGATION lS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PROOUCER
Liberty Mutual lnsurance
PO Box 188065
Fairfleld oH 45018
CONTACT
NAME:
lllPTf. .*,. 8oo-e62-7132 800-845-3666
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A : Ohio Security lnsurance Company 24082
INSURED
PRICELESS CUSTOMZ FABRICATION LLC
11675 Ladybug Ln
Naples FL 34114
INSURER B :
INSURER C
INSURER D :
INSURER E :
INSURER F :
NUMBER: 0250926561 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ABOVE FOR THE POLICY PERIOD
POLICY EFF(MM,/DD/YYYYI LIMITSINSR
LTR TYPE OF INSURANCE INSD wvD POLICY NUMBER
s 1000000EACH OCCURRENCE
DAMAGE IORENIEU
PRFiTISFS lFe odurrence)s 300000
s 15000MED EXP (Any one pe6on)
PERSONAL & ADV INJURY s 1000000
GENERAL AGGREGATE s 2000000
s 2000000PRODUCTS. COMP/OP AGG
12t03t2021 12t03t2022
$
A
COMMERCIAL GENERAL
GEN'L AGGREGATE LIMIT APPLIES PER:x PRO-
JECTPOLICY LOC
CLAIMS.MADE [X o""r*
x X BLS58445223
$
$BODILY INJURY (Per person)
BODILY INJURY (Per aeident)$
$
AUTOMOBILE LIABILITY
ANY AUTO
OWNEO
AUTOS ONLY
HIRED
AUTOS ONLY AUTOS ONLY
SCHEDULED
AUTOS
NON.OWNED
EACH OCCURRENCE s
$AGGREGATE
UMBRELLALIAB
EXCESS LI,AB
OCCUR
CLAIM$MADE
$DED RETENTION $PER I
STATTJTF I
OTH.
ER
$E.L. EACH ACCIOENT
$E.L. DISEASE. EA EMPLOYEE
E.L. DISEASE. POLICY LIMIT $
WORKERS COMPENSATION
AND EMPLOYERS' LI,ABILITY
ANYPROPRI ETOR/PARTNEFYEXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in
It yes, describe
DESCRIPTION OF OPERATIONS below
NH)
under
N/A
DESCRIPTION OF OPERAnONS / LOCATIONS / VEHICLES (ACORD l0l, Additional Remarks Schedule, may be attached if more space is required)
CERTIFICATE HOLDER CANCELLATION
Collier County Contractor Licensing Board
2800 N Horseshoe Dr
Naples FL 30104
SHOULD ANY OF THE ABOVE DESCRIBEO POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH T}IE POLICY PROVISIONS.
AUTHORIZEO REPRESENTATIVE
@ 1988-2015 ACORD CORPORATION. All rights reserved
The ACORD name and logo are registered marks of ACORDACORD 25 (2016103)
I
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8.D.1
Packet Pg. 207 Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
JIMMY PATRONIS
CHIEF FINANCIAL OFFICER STATE OF FLORIDA
DEPARTMENT OF FINANCI,AL SERVICES
DMSION OF WORKERS'CO PENSATION
- . CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION I-AW'*
CONSTRUCTION INDUSTRY EXEIIIPTION
This certifies that the individual listed below has elected to be exempt fiom Florida Workers' Compensation law.
EFFECTIVE DATE: 5l18l2O2O EXPIRATION DATE: 511812022
PERSON: JOHN J PRICE EMAIL: PR|CEJ9O8@GMAIL.COM
FEIN: 823513328
BUS]NESS NAME AND ADDRESS:
PRICELESS CUSTOMZ FABRICATION
11675 LADYBUG LANE
NAPLES, FL3/.114
SCOPE OF BUSINESS OR TRADE:
DFS-F2.DWC.252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED O8-13 E01166718 OUESTIONS? (850)41},1609
TMPORTANT: Pursuant to subsedion 440.05(14), F.S., an offcor oI a corpo!'alion who elecis exemption trom this ctaptor by filing a cedficate ot election under
this sec.tion may not rccover benefits or compenialbn under this chapter. Pu6lant to $rbsec-tlon 440.05(12), F.S., Cedificafes of eleaton to bo exempl issued
und6r sub6edi6n (3) shell apgly only to th€ iorporale ofrcar named on lho nolics ol slection to bs oxempt and apply only wilhin lhe srop€ of the business or
bade listed on the n;tice of biei:tion'to te exempt Pursuanl to subsedion 440.05(13). F.S., nolicss of eleciion to be exempl and certjfc€tes oI election to be
exempt shall be subject to rBvocation if, at any fme aflef the 6ling of th€ notice or the issuance of lhe certificate, lhe peEon named on lhe notice or certifcate
no b;gor meets thaGquiromentrs of this sec,tion fo, issuanc€ of a cortificate. The depaflrnent shall revoke a csrlificate at any time for failuro of the p€rson
named on the certificate to me6t the reauirem€nb of this seclion.
lnstallation 8 DriveG
8.D.1
Packet Pg. 208 Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
8.D.1Packet Pg. 209Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
8.D.1Packet Pg. 210Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
8.D.1Packet Pg. 211Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
8.D.1Packet Pg. 212Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
8.D.1Packet Pg. 213Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
8.D.1Packet Pg. 214Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
8.D.1Packet Pg. 215Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
8.D.1Packet Pg. 216Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
8.D.1Packet Pg. 217Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
8.D.1Packet Pg. 218Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
8.D.1Packet Pg. 219Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
8.D.1Packet Pg. 220Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
8.D.1Packet Pg. 221Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
8.D.1Packet Pg. 222Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
8.D.1Packet Pg. 223Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
8.D.1Packet Pg. 224Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
8.D.1Packet Pg. 225Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
8.D.1Packet Pg. 226Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
8.D.1Packet Pg. 227Attachment: 8D JOHN J. PRICE - REVIEW OF CREDIT - ALUMINUM W CONCRETE CONTRACTOR - PRICELESS CUSTOMZ FABRICATION, LLC
04/20/2022
COLLIER COUNTY
Contractor Licensing Board
Item Number: 8.E
Item Summary: ALEXANDER U. RAMOS - REVIEW OF EXPERIENCE - IRRIGATION
SPRINKLER CONTRACTOR
Meeting Date: 04/20/2022
Prepared by:
Title: – Contractor Licensing
Name: Sandra Delgado
04/13/2022 4:11 PM
Submitted by:
Title: – Contractor Licensing
Name: Tim Crotts
04/13/2022 4:11 PM
Approved By:
Review:
Contractor Licensing Trish Morgan Review item Completed 04/13/2022 4:31 PM
Contractor Licensing Sandra Delgado Review item Completed 04/13/2022 5:26 PM
Contractor Licensing Tim Crotts Review Item Completed 04/14/2022 11:41 AM
Contractor Licensing Tim Crotts Meeting Pending 04/20/2022 9:00 AM
8.E
Packet Pg. 228
Cov*rt3/
Growth Management Department
Contractor Licensing
2800 N. Horseshoe Dr.
Naples, FL 34104
Phone -239-252-2431
Fax - 239-252-2469
APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY
Lccl\tg_tq52
FIRM APPIICATION FOR COLLIER COUNTY
CERTIFICATE OF COMPETENCY LCL"frd=b76
This application must be typewritten or legibly printed. The application fee must be paid upon approval and is NOT
refundable. All checks should be made payable to: Collier County Board of County Commissrbners. For further
information, consult Collier County Ordinance No.2006-46, as amended.
TYPE OF CERTIFICATE OF COMPETENCY:
E General
tr Building
tr Residential
E Mechanical
tr Roofing
$2s0.00
$230.00
$230.00
$230.00
$2s0.00
n Electrician
tr Plumber
tr Air Conditioner
tr Swimming Pool
fipeciatty
$230.00
$230.00
$230.00
$230.00
$205.00
Specialty Trade:
I. APPLICANT PERSONAL INFORMATION:
Name
Business Name:
Address
O t
N/iddle lnitial
lU
Last
vuC
7€6 I i]luJ t%ze' ruqruffitrr3 FC 1llzo
Street CitV State zip
Email.dLrf *toS filsx z) 6) no /, Ca ?v
.SS # (Last 4 digits only):7
Driver's License # (Last 4 digits only)7o
+Pursuant 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.
Firm Application.docx Rev 410612020 Page 3 of 15
rctepnone: 2=9 - (O; - 7) i?
Date of Bitih i 0 .- Za - 1q > 3
8.E.1
Packet Pg. 229 Attachment: 8E ALEXANDER U. RAMOS - REVIEW OF EXPERIENCE - IRRIGATION SPRINKLER CONTRACTOR - PRESTIGE IRRIGATION &
L'b.s,'A,Irlgation Sprinkler Contractor requires twenty-four (24) months experience and
a passirlg grade on
"+hr€e{3}+oBr an approved test and a passing grade on I trv*€fho{r
business'and law test and moans any person who is qualified to instoll, ruaintain, ropair, alter or
extend all piping and sprinkler heads used for irrigarion, including any required conrtections to a.
water Pumpl however, such work doEs not includo direct connection to.potable wa[er lines.
8.E.1
Packet Pg. 230 Attachment: 8E ALEXANDER U. RAMOS - REVIEW OF EXPERIENCE - IRRIGATION SPRINKLER CONTRACTOR - PRESTIGE IRRIGATION &
Couvrfr!
Growth l\Xanagement Deparh"nent
Conlractor Licensing
2800 N. Horseshoe Dr.
Naples, FL 34104
Phone - 239-252-2431
Fax - 239-252-2469
APPLICAT'CN TOR (OLLIIR COUNTY CEETTTICATT OT CO^^PETENCY
Provide the names and telephone numbers of two persons who will always know your whereabouts
Name Plnruu€z o(o6Lr o
tercpnone, 23?' 28 1 - ? ?9 1
It. NAME OF APPLICANT'S BUSINESS:
teepno"e, ?3116o - l73l
,(axtwn ',t@i8*lzryYrud 6gLro
Name:w)
r*CPrevious Business Name
Business Name
Business
t+
I
Address: Lff| 57"ffi/c,ru{ lufiltd E t Sct lz-c>
Street City State 7ip
Teleph one:(?3Qt 6ot- 77;q
71'o / o4
III. FINANCIAL RESPONSIBILITY
NOTE. lf you have answer YES to 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 conviction, 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?
t/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?
r 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?
l,a 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?*
y'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?
NAME CHANGE DIFFERENT FEIN p.EV 4I12I1B Page 4 of 15
Federal lD Tax No.:
8.E.1
Packet Pg. 231 Attachment: 8E ALEXANDER U. RAMOS - REVIEW OF EXPERIENCE - IRRIGATION SPRINKLER CONTRACTOR - PRESTIGE IRRIGATION &
Covt*tt3l
Growth Management Deparfnent
Contractor Licensing
2800 N. Horseshoe Dr.
Naples, FL 34104
Phone -239-252-2431
Fax - 239-252-2469
APPLICA]ION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY
IV. EXPERIENCEVERIFICATION
EDUCATION:
List below and provide transcripts for any formal education you have obtained in the area of competency for which
this application is being made:
t71
,:xtla-l Lrtturv etru-€ 12.. Lot) oCI rso ?Q{, fi(el-go** -tout// (e-tt z ?;)
List below non formal education (on the job training) you have obtained in the area of competency for which this
application is being made:
ty'L lugv,*7uu4fi0,**
t4 4, rtleZtWCq
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.
,C/222to?€
ewT-lt+
.T It lz&-a-
AFF!DAVIT
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 Applicant
State of County or Cc ll,er-
The foregoing instrument was acknowledged before me by means of {nysicalpresence or n online notarization on this
jLauy of Feb - ,206[ , by AtoXarr"lpc ( I.Qornets
Such person(s) Notary Public must check applicable box:
fI are personally known to me Krproau"ed a current driver license
E has produced as identification.
Notary Signature::\8",.,a JOANN GREENEERG
f"f'^+\h' Notary Public . State of Florida
A\i,il r-a' Commission d GG 327141':qi ;-:9: My conrm. txplrer Apr 24, 2o2l
Bonded through Nitional Notary Assn.
(Notary Seal)
Firm Application.docx Rev 410612020 Page 5 of 15
t
8.E.1
Packet Pg. 232 Attachment: 8E ALEXANDER U. RAMOS - REVIEW OF EXPERIENCE - IRRIGATION SPRINKLER CONTRACTOR - PRESTIGE IRRIGATION &
Couttty
Growth lVlanagement Department
Contractor Licensing
2800 N. Horseshoe Dr
Naples, FL34104
Phone - 239-252-2431
Fax - 239-252-2469
APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY
CERTIFICATION OF APPTICATION
The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County
No. 2006-46, as amended, and under penalties of perjury. I declare that I have read the foregoing qualifier
information and that the facts stated in it are true.
The undersigned hereby certifies that he is legally qualified to act on behalf of the business organization sought to
be licensed in all matters connected with its contracting business and that he has full authority to supervise
construction undertaken by himself or such business or organization and that he will continue during this registration
to be able to so bind said business organization. The qualified license holder understands that in all contracting
matters, he/she will be held strictly accountable for any and all activities involving his license.
Any willful falsification of any information contained herein is grounds for disqualification.
/arr+"-Jn, p-.rtuo\
Applicant (please print
Name Company
Signature of
Itue -
State of Ftorr ltu "f (bllt 'er
County
instrument was acknowledged
&l ,av
before me by meaps of {physicalpresence or E online notarization on thisMexadzr'Ad.o<
Such person(s) Notary Public must check applicable box:
E are personally known to me K, proau"ed a current driver license
E has produced
(Notary Seal)
as identification.
Notary Signature:
rffiffiu
Firm_Application.docx Rev 410612020 Page 6 of 15
8.E.1
Packet Pg. 233 Attachment: 8E ALEXANDER U. RAMOS - REVIEW OF EXPERIENCE - IRRIGATION SPRINKLER CONTRACTOR - PRESTIGE IRRIGATION &
Cou*rtgl
Growth Management Department
Contractor Licensing
2800 N. Horseshoe Dr.
Naples, FL34104
Phone - 239-252-2431
Fax - 239-252-2469
APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY
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 all times effective Workmen's Compensation lnsurance it will result in the possible revocation
of my Certificate of Competency.
ltZ€Xtu/Aa'- fl4v.1 eS
Applicant (please print
d*
of
Signature
BEFORE ME this day personally appeared c 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.
(t^F
l.+e.
Stateor flOtlo-OtlirCounfy of
E has produced
(Notary Seal)
applicable box
E are personally known to me du, prodr"ed a current driver license
presence or E online notarization on thismemeans
as identification.
DAllEl surc
Corrr&donlHH00l7tl
Exdms llovenrler 0' 2t2l
BadcdlxrBrotlld!3itt6ffi'
Notarv S
Firm_Application.docx Rev 410612020 Page 7 of 15
was
of zoll ,ay
Such person(s) Notary
8.E.1
Packet Pg. 234 Attachment: 8E ALEXANDER U. RAMOS - REVIEW OF EXPERIENCE - IRRIGATION SPRINKLER CONTRACTOR - PRESTIGE IRRIGATION &
GITS, LLC Examination Operations Division
Providing the services and products to assist Govemment Agencies to make informed educated declsions.
Official Examination Score Report
August 30, 20t 8
Official Score Report:
Candidate Informati on :
Name - Alexander U. Ramos
Candidate #: 18733870R
Testing Site: Fort Myers, FL
Final Score Result:
Business Procedures Score: 88o%
These results represett the grade that has been achieved on thc above named examination(s)
administered by Gainesville Independent Testing Service for Collier County, Florida.
If you have any further questions, please do not hesitate to contact us,
Sincerely,
Jay E. Bowermeister
President
POBoxS3'l127Ocala,FloridaY483-1127-Voice(352)369-GITS *Fax(352)387-2443
800 997 2129
8.E.1
Packet Pg. 235 Attachment: 8E ALEXANDER U. RAMOS - REVIEW OF EXPERIENCE - IRRIGATION SPRINKLER CONTRACTOR - PRESTIGE IRRIGATION &
GITS, LLC Examination Operations Division
Providing the services and products to assist Government Agencies to make informed educated decisions.
Official Examination Score Report
July 7,2020
Official Score Report:
Candidate Information:
Name -Alexander Ramos
Candidate #: 18733870R
Testine Site: Fort Myers, FL
Final Score Result:
Irrigation Contractor Score: 7 0% (06129 12020)
Irrigation Contractor Score: 90% (07 103 12020)
These results represent the grade that has been achieved on the above named examination(s)
administered by Gainesville Independent Testing Service for Collier County, Florida.
Ifyou have any further questions, please do not hesitate to contact us.
Sincerely,
Jay E. Bowermeister
President
PO Box 831127 Ocala, Florida 34483-1 127 -Yoice (352) 369-GITS - Fax (352) 387-2443
800997 2129
8.E.1
Packet Pg. 236 Attachment: 8E ALEXANDER U. RAMOS - REVIEW OF EXPERIENCE - IRRIGATION SPRINKLER CONTRACTOR - PRESTIGE IRRIGATION &
SMCREDIT CHECK CONFIDENTIAL
lndividual Credit Report
Name...: RAMOS, ALEXANDER UBERTO Ordered By : 13954
Customer 9 999
Received :03/2L/22
Completed 03/2L/22
Address: 2586 52ND AVENUE NORTHEAST
NAPLES, FL 34120
Social#: Appticant:-0939
CREDIT SCORE:
APPLICANT FICO SCORE: 718 (scores range from 300 to 850)
SOURCE(S): EXPERIAN TRANSUNION
PUBLIC RECORDS:
PUBLIC RECORDS HAVE BEEN CHECKED AT THE LOCAL, STATE AND FEDERAL LEVELS WITH
THE FOLLOWING RESULTS AS OF 03121122: CLEAR
-:.:i::ar
Ac.r lrit l\iurnber
Dat e
Repo rt ed
Date
Opened
Hiqh
C red it
U!paid
Ba.l- a nce
Past
Due
lli.storic Star-us
30 6A 90
a 1l r re lrt,
S:tat,us
Mos
Rev ECOA
ALLY F]NCL
61 39286281 48
DLA:o8/19
AMEX
3199925801993453
DLA:o3 / 22
BK OF AMER
_135
DLA:02 / 22
BK OF AMER
5701
DLI\:ot / 2L
BK OF AMER
9295
DLA:o2 / 22
CBlKAY
778850 40649'7
DLA:02 / 22
08/79 04/79 s0390
03/22 05/18 17095 L22L4
AS AGREED0000000r0104c
AS AGREED0 00 0000R01 45 r
AS AGREED
0000000R0148r
AS AGREED
0 00 0000R01 22 r
AS AGREED0 00 0000R01 3s r
AS AGREED0 00 0000R01 48 r
02/22 0sl08
0t/27 03/79
02/22 A2/79
02/22 04/A9
0
633 189
2844 0
6120 5853
3288 0
Licensee Applicant: APPLTCANT - SEE NA!dE ABo\rE
Reporting Agency: CreditCheck, lnc. - 3017 Exchange Court, Suite H, West Palm Beach. FL33409. (561)616-5556
CREDIT RECORD
tCreait nistorv tla
8.E.1
Packet Pg. 237 Attachment: 8E ALEXANDER U. RAMOS - REVIEW OF EXPERIENCE - IRRIGATION SPRINKLER CONTRACTOR - PRESTIGE IRRIGATION &
CREDIT CHECK,CONFIDENTIAL
Name TO
CBNA
426931100368
DLA:O3 / 22
03/22 t7/08 351 1
DPT ED/AIDV
634101E'002201s0908 02 /22 09 /1.5
DLA:02 / 22
KAY JEWELERS
600054
DLA:10/17
t0/L1 04/09 32BB 0
PENNYMAC
ssE0018018 865391
Dr.A:03 / 22
03/22 0s/18 214928 270789
SETE/WOFC
1 1 000 a00267 0s8 6 04 / r4 12 / 12 r9262
DLA:O4 / t4
0
SETE/i^IoFC
110000003160751 0't /75 04/14 24529
DLA=07l15
0
SHEI'E l ELD
210 420 63 0 6
DLA:02 / 22
02/22 09/2A 6222 L892
SHEFE I ELI)
27Atr3E90B
DLA:02 / 22
02/22 12/7e 967L 3661
SHEI'F IELD
2107 972609
DLA:02 / 22
02/22 0B/21 14892 L2765
Customer: 9999 P age: 2
AS AGREED0 0c 0000R01 48 r
AS AGREED0 00 0000r01 48 r
AS AGREED0 00 0000r01 48 r
AS AGREED
0 00 0000I01 48 I
AS AGREED0 00 0000r01 08 c
AS AGREED0 00 00 00 R01 48 r
AS AGREED0 00 00 00 M01 44 r
AS AGREED0 00 0000r01 02 r
AS AGREET.)0 00 0000r01 14 r
AS AGREL,]I)0 00 00 00 r01 li r
AS AGREED0 00 0000r01 26 r
AS AGREED0 00 0000r01 06 c
AS AGREED0 00 0000r01 48 r
: RAMOS - /\T,F,XANDF',R TIRF-.
DPT EDIAIDV
634701E00120140909 02/22 09/74
DLA:02 / 22
DPT EDIAIDV
E0042017090s170905 02/22 09/11
DT,A:02 / 22
FRD MOTOR CR
5807 78 41
DL,A:o4 / 20
04/20 08/19 68816
SUNCOAST CU
411 225E
DLA:I1l19
1,7 / L9 01 / L5 222L1
0
77410 L4867
10000 13882
r5E95 L8494
0
0
Licensee Applicant: APPLICAI{T - SEE NAI{E ABOVE
Reporting Agency: Credit Check, lnc. - 301 7 Exchange Court. Suite H, West Palm Beach, FL 33409 . (561) 616-5556
8.E.1
Packet Pg. 238 Attachment: 8E ALEXANDER U. RAMOS - REVIEW OF EXPERIENCE - IRRIGATION SPRINKLER CONTRACTOR - PRESTIGE IRRIGATION &
CREDIT CHECK,CONFIDENTIAL
Name:RAMOS, ALEXANDER UBtrRTO
SUNCOAST CU
411 225E
DLA:02 / 22
SYNCB/LOW
1 987921 t0 6 49
DLA:02 / 22
SYNCB/ SAMSDC
521333723'716
DLA:02 / 22
SYNCB/YAMAHA
1200010001L89231
Di,A:09/13
02/22 72/27 21580 26995
Customer: 9999 Page: 3
AS AGREED0 00 0000r01 02 r
AS AGREED0 00 0000R01 05 r
AS AGREED
0 00 0000R01 45 r
AS AGREED
0 00 0000I01 25 r
AS AGREED0 00 0000R01 03 r
AS AGREED0 00 0000r01 76 r
02/22 05/78 3187 2783
02/22 09/27 1084
09/L3 05/08 8148
109
0
THDlCBNA
603532100588
DLA:o2 / 22.
02/22 Lt/27 3041 2792
WORLD OMNI F
i10000002184930 1,2/L2 11l08 28094
DLA--72 / 72
0
Total- trade Iines on this report: 25
INQUIRIES:
L2/22/21 by
L2/08/21 by
L2/08/21 by
L2/08/21 bt1
12/08/?.1 by
Lt /1"8 / 27 b1,t7/06/27 bya9/L8/2t ay06/t8/2t ay
c5/1,3/2t by
05/13/21 by0t/23/21 byt2/08/21 by
09/18/?-1 by
+21 21 0s0
#L97241'7
#1861071
#1879040
TD RETAIL CARD SERV]CE
SANTANDER CCNSUMER USA
OOCR/AUDI OF NAPLES D
EXP
EXP
EXP1
S
M
I
UNCOAST CREDIT UNION (EXP)
IDELORTDA CREDIT UN]O (EXP) +11193A2
srrzrj FTNANCE/CENTURY (EXp) #1937515CBNA/THD (EXP ) #100254 9SYNCB/LOWES (EXP ) #1 639870
SUNCOAST CRED]T UNION (EXP) #1879040
ALLY E]NANCIAL (EXP) +1639000
T'ORD MOTOR CRED]T CORP (EXP) #1-654440
SUNCOAST CRED]T UNION (EXP) +1879040
AUDr OE NAPL (TU) #4501573SYNCB/LOWES (TU) #2120710
RESIDENCE HISTORY:
2 5 3 6 N]E 5 2IID AV, NAP T,E S
I1 4B S'/,i 4 9TH ST, NAPLES
2816 S7,7 47TH ST, NA?LES
I'T
FL
FL
3472C
34716
34116
COMMENTS:
Licensee Applicant: APPLICAI{T SEE NAIIE ABO\IE
Reporting Agency: Credit Check, lnc. - 301 7 Exchange Court, Suite H, West Palm Beach. FL 33409 . (561) 616-5556
8.E.1
Packet Pg. 239 Attachment: 8E ALEXANDER U. RAMOS - REVIEW OF EXPERIENCE - IRRIGATION SPRINKLER CONTRACTOR - PRESTIGE IRRIGATION &
CREDIT CHECR'CONFIDENTIAL
Name:RAMOS, ALEXANDER UBERTO Customer 99 99 Page: 4
COMMENTS - continued:
**,KOFAC NAME SCREEN ALERT CLEAR***
OFAC (OFFICE OF FOREIGN ASSET CONTROL) IS A EEDERAL AGENCY WHICH MAINTAINS
A DATABASE OF TERRORISTS, DRUG TRAEEICKERS AND CRIMINAL ORGANIZATIONS.
FRAUD RECORDS HAVE BEEN SYSTEMATICALLY CHECKED BY THE ACCESSED BUREAUS.
CHECKS FOR IDENTITY THEET, EAKE SSN, DECEASED SSN AND OFAC DATABASE PERFORMED.
CREDITOR PHONE DIRECTORY:
BK OF AMER
PO BOX 9822-38
t,lJ/ f\llI
PO BOX \82189
AMEX
P.O. BOX 981537
SYNCB/LOW
PO BOX 9560C5
SYNCB/YAMAHA
PO BOX 965013
SYNCB/ SAMSDC
PO BOX 965005
ALLY FINCL
P. O. BOX 380901
THD/CBNA
PO BOX 6491
SETF'/WOFC
PO BOX 916L4
CBNA
PO BOX 6491
SUNCOAST CU
PO BOX 17904
WORLD OMNI F
P O BOX 97674
PENNYMAC
PO BOX 514387
F-RD MOTOR CR
POB 5 42000
SHEFF]ELDo Box 25211
EDlAIDVo Box 9535
JEWELERS
75 GHENT RD
BC15 91029
EL PASO TX.
JAlNZ834 4COLUMBUS OH.
BC2 lWBO O 1
EL PASO TX.
LH235041JORLANDO EL.
F22350597ORIANDO FL.
8C235061DORLANDO FL.
EA25 9231L
BLOOMINGTON MN.
8226H3005
SIOUX FALLS SD.
EZ21 29006MOBILE AL.
B8292F031
SIOUX FALLS SD.
QU29BQo01TAMPA FL.
FA2CC4002MOB]LE AL.
EM2CCHO O 1
LOS ANGtrLES CA.
FA3796761OMAHA NE.
FZ4OZMOO2
WINSTON SALEM NC.
BS6372061
WILKES BARRE PA.
JAl 22D52XAKRCN OH.
(800) 427-2110
P
DPT
P
KAY
3
1 9998
432L8
'7 9998
32896
32896
32896
554 38
57 L71
3669L
57 771
33680
36697
90051
58154
21 L74
78113
44333
34L04
33409
32896
(800)
(8oo)
(877)
(800)
(BBB)
(800)
(BBB)
(813)
(800)
(866)
(800)
(335)
(800)
87 4-211'7
444-L408
314-1507
964-r911
925-2559
553-2550
51 4-r30\
627-1 577
3 0 1-3 51s
545-9070
1 21 -1 000
756-1388
1 22-L300
435-3200
616-5556
444-t408
AUDI OF NAPL A 4507613
601 AIRPOF.T RD S NAPLES FL.
CREDTT CHECK Z 06302'13
3017 EXCHANGE COUR WEST PALM BEAC FL.
SYNCB/LOWES N 212OI7O
PO BOX 965005 ORLANDO EL.
(239\
(811 )
(800)
*** END OF REPORT .,(.,(*
This intormation is mnlrclonlial and is nol to be divulged except as requrrod by the Fair Credit Roponing.Act
Licensee Applicant: APPLTCAT{T - sEE NAIqE ABo\18
Reporting Agency: Credit Check, lnc. - 301 7 Exchange Court. Suite H, West Palm Beach. FL 33409 . (561) 616-5556
8.E.1
Packet Pg. 240 Attachment: 8E ALEXANDER U. RAMOS - REVIEW OF EXPERIENCE - IRRIGATION SPRINKLER CONTRACTOR - PRESTIGE IRRIGATION &
CREDIT CHECId CONFIDENTIAL
Date: 03/21/22
Cust. No: 9999
Ordered By: 13955
Page: 1
(X) Corporation
EIN: 86-1290106
Commercial Credit Report
Company: PRESTIGE IRRIGATION & LANDSCAPE LIGHTING lNC.
Address: 2586 52i{D AVENUE NoRTHEAST
NAPLES, FLORTDA 34720
Telephone: 1239) 6Al_1154
PRINCIPALS:
PRESIDENT
Address:
RAMOS, ALEXANDER U.
2586 52ND AVENUE NORTHEAST
NAPLES, TLORIDA 34120
1939
100es
Social Security Number:
Stock Ownership:
Address:
Social Security Number:
Stock Ownership.
Address:
Social Security Number:
Stock Ownership:
Address
Social Security Number
Stock Ownership:
RISK SCORE
illlliuopuri*n Financial Stability Risk Score Tffi!ilt Lou'Risk
2 [,olv to Med
3 l\lediunr Risk
.l l\letl to High
5 High Risk
+
'l -P@r Excellent- 100
26
CRED]T RISK SCORE
The score uses tradeline and collections information, public filin
as other variables to predict future risk. Higher scores indicate
FACTORS LOWERING THE SCORE:* risk associated with the company's industry* company's business type* number of employees
SAS
ower
wel- Irisk.g
1
Reported for: APPLICANT - SEE NAME ABOVE
Reported by: Credit Check, lnc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409 . (561) 616-5556
I
8.E.1
Packet Pg. 241 Attachment: 8E ALEXANDER U. RAMOS - REVIEW OF EXPERIENCE - IRRIGATION SPRINKLER CONTRACTOR - PRESTIGE IRRIGATION &
CREDIT CHECId CONFIDENTIAL
Commercial Credit Report
Company: PRESTIGE IRRIGATION & LANDSCAPE LIGHTING !NC.
Address: zsge 52ND AVtrNUtr NoRTHtrASI
NAPLES, L',LORTDA 34720
Date
Cust. No
Ordered By
Page
03/27/22
9999
13 955
2
PRESTIGE IRRIGATION & LANDSCAPE LIGHTING INC. was INCORPCRATED in the countyof COLL]ER, state of FLORIDA, on 77/09, 2020. The charter number isP20000089452. The registered agent is RAMOS, ALEXANDER U. ot 2586 52ND
AVENUE NORTHEAST/ NAPLES, FLORfDA 34120. Offices are LEASED from N/A at N/Aper month. The company employs N/A-
NETWORTH: oNl FILE WITH STATE
The company maintains banking relations with SUNCoAST CREDTT ul.rroN
The officer handling the account is N/A - l'AMpA, r,'LoRrDA
PUBLIC RECORDS WERE CHECKED FOR COLLIER COUNTY, FLORIDA. A SEARCH OF LOCAL,
STATE, AND FEDERAL RECORDS HAS BEEN CONDUCTED WITH THE FOLLOWNG RESULTS: CLEAR
AS OF 03121122. SEVEN YEAR SEARCH.
*"* Credit Profile **"
REMARKS:
N/A : NOT APPLICABLE/NOT AVAILABLE
REPORT WORKED BY KELLY
trND OI' RtrPORT.
8.E.1
Packet Pg. 242 Attachment: 8E ALEXANDER U. RAMOS - REVIEW OF EXPERIENCE - IRRIGATION SPRINKLER CONTRACTOR - PRESTIGE IRRIGATION &
DlvrstoN oF CoRPoRATToNS
Drratot uj
Co;lryrsila'i]oi'ri
# ar alfiriut Jaxr ol Fbrl*t wtbsur
Dep3rtmel!-stslalc / Division oI Corpllelgls / Search Records / Search by_fg[ty_NaEs /
Detail by Entity Name
Florida Profit Corporation
PRESTIGE IRRIGATION & LANDSCAPE LIGHTING INC
Filing !nformation
Document Number P20000089452
FEYEIN Number 86-1290106
Date Filed 1110912020
Effective Date 1111512020
State FL
Status ACTIVE
Principaj_.lk&kcss
2586 52ND AVE NE
NAPLES, FL34120
Mailing Address
2586 52ND AVE NE
NAPLES, FL34120
Registered Agent Name & Address
RAMOS, ALEXANDER U
2586 52ND AVE NE
NAPLES, FL34120
Officer/Director Detail
Name & Address
Title P
RAMOS, ALEXANDER U
2586 52ND AVE NE
NAPLES, FL34120
Annual Rep_qrls
Report Year
2021
Filed Date
0311412021
Document lmages
View image in PDF format
View image in PDF format
11/09/2020 -- Domestic Profit
8.E.1
Packet Pg. 243 Attachment: 8E ALEXANDER U. RAMOS - REVIEW OF EXPERIENCE - IRRIGATION SPRINKLER CONTRACTOR - PRESTIGE IRRIGATION &
Electronic Articles of Incorporation
For
PRESTIGE IRRIGATION & LANDSCAPE LIGHTING INC
The undersigned incorporator, for the purpose of forming a Florida
profit corporation, herebv adopts the following Articles of Incorporation
Article I
The name of the corporation is.
PRESTIGE IRRIGATION & LANDSCAPE LIGHTING INC
Article II
The principal place of business address:
2586 52ND AVE NE
NAPLES, FL. 34120
The mailing address of the corporation is
2586 52ND AVE NE
NAPLES. FL. 34120
Article III
The purpose for which this corporation is organized is:
INSTALLATION AND REPAIR IRRIGATION AND INSTALLATION AND
REPAIR LANDSCAPE LIGHT
Article IV
The number of shares the corporation is authorized to issue is
1
Article V
The name and Flonda street address of the registered agent is:
ALEXANDER U RAN,{OS
2586 52ND AVE NE
NAPLES. FL. 34120
I certify that I am familiar with and accept the responsibilities of
registered agent.
Registered Agent Signature: ALEXANDER RAMOS
P200000894s2
FILED
November 09. 2O2OSec. Of State'tscott
8.E.1
Packet Pg. 244 Attachment: 8E ALEXANDER U. RAMOS - REVIEW OF EXPERIENCE - IRRIGATION SPRINKLER CONTRACTOR - PRESTIGE IRRIGATION &
452
Article VI
The name and address of the incorporator is
ALEXANDER RAN,{OS
2586 52ND AVE NE
,2020
NAPLES, FL34I2O
Electronic Signature of Incorporator: ALEXANDER RAMOS
I am the incorporator submitting these Articles of Incorporation and affrm ihat the facts stated herein are
true. I am aware that false information submitted in a document to the Department of State constitutes a
third degrce felony'as provided for in s.817.155, F.S. I understand the requirement to file an annual report
behr,'een January I st and lvlay l st in the calendar year following formation of this corporation and every
year thereafter io maintain "dctivei statui.
Article VII
The initial ofticer(s) andlor director(s) of the corporation is/are:
Title: P
ALEXANDER U RAMOS
2586 52ND AVE NE
NAPLES. FL. 34120
Article VIII
The effective date for this corporation shall be:
Iyt5t2020
8.E.1
Packet Pg. 245 Attachment: 8E ALEXANDER U. RAMOS - REVIEW OF EXPERIENCE - IRRIGATION SPRINKLER CONTRACTOR - PRESTIGE IRRIGATION &
f,S tns DEPAR'fMENT OF THE TREASURY
INTERNAL REVENUE SERVICE
CINC]NNAT] OH 45999_0023
Date of this notice: 0L-01-2021
Employer fdentrfrcation Number:
I6-r.2 9010 6
Eorm: SS-4
Number of this notice: CP 575 A
PRESTIGE IRRIGATTON I,ANDSCAPE
LIGHTING INC
2585 52ND AVE NE
NAPLES, EL 34120
For assistance
1-800-829-493_?
you may call us at:
IF YOU WRITE, ATTACH THE
STUB AT THE END OF THIS NOTICE.
WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NI,'},IBEP.
Thank you fcr applying for an Employer Identrfrcation Number (EIN). We assigned you
EIN 86-l-290106. Thls EIN will identify you, your buslness accounts, tax returns, and
documents, even if you have no employees. Please keep this notice in your permanent
records.
When filing tax documents, pa\ments, and related correspondence, it j-s very important
Lhat you use your EIN and compleLe name and address exactly as shown above. Any variation
may cause a delay in processing, result in i-ncorrect information j-n your account, or even
cause you to be assigned more than one EIN. ff the j-nformation is not correct as shown
above, please make the correction using the attached tear off stub and relurn it to us.
Based on the information received from you or your representative, you must filethe following form(s) by the date(s) shown.
Form 1120 04/t5/2A22
If you have questions about the form(s) or the due date(s) shown, you can call us at
the phone number or write to us at the address shown at the top of this notice. If you
need help in determining your annuaf accounting perrod (tax year), see Publication 538,
Accounting Periods and Methods.
We assigned you a tax classification based on information obtained from you or your
representative. It is not a legal determination of your tax classlficati-on, and i-s not
binding on the IRS. If you want a J-ega1 determination of your tax classification, you may
request a private letter ruling from the IRS under the guidelines in Revenue Procedure
2a04-1, 2004-l I.R.B. 1 (or superseding Revenue Procedure for the year at issue). Note:
Certain tax cfassification el-ections can be reguested by fiJ-ing Eorm 8832, Entity
Classification Election. See Form 8832 and its instructions for additional informaticn.
IMPORTAI{T INEORIIIATION EOR S CORPORATION ELECTION:
ff you intend to elect to file your return as a small business corporation,
election to file a Form 1120-5 must be made within certain timeframes and the
corporation must meet certain tests. AI1 of Lhis information is lncluded ln the
instructlons for Form 2553, ELection by a Snall Business Corporation.
an
8.E.1
Packet Pg. 246 Attachment: 8E ALEXANDER U. RAMOS - REVIEW OF EXPERIENCE - IRRIGATION SPRINKLER CONTRACTOR - PRESTIGE IRRIGATION &
(IRS USE ONLY) 575A 07-07-2021 PRES B 9999999999 SS-4
If you are required to deposlt for employtent taxes (Forms 941, 943, 940, 944, 945,
CT-1, or !a42), excise taxes (Form 720), or income taxes (Form 7120\ , you will receive a
Welcome Package shortly, which incl-udes instructions for making your deposits
electronically through the Electronic Federal Tax Palzment System (EFTPS). A Personaf
Identifrcation Number (PIN) for EFTPS will afso be sent to you under separate cover.
Piease activate the PIN once you receive it, even if you have requested the services cf a
tax professional or representati-ve. For more information about EFTPS, refer to
Publicatron 966, ELectronic Choices to Pay Al-l- Your Federaf Taxes. If you need to
make a deposit immediately, you will need to make arrangements with your Fi-nancial
InsLitutron to complete a wire transfer.
The lRS is committed to helping a1J- taxpayers comply with their tax filing
obl:-gations. If you need help completing your returns or meeting your tax obligaLions,
Authorized e-frle Providers, such as Reporting Agents (payroll service providers) are
avail-able to assist you. Visit the IRS Web site at www.irs.gov for a l-ist of companies
t.hat offer IRS e-file for business products and services. The list provides addresses,
telephone numbers, and lrnks to their Web sltes.
Tc obtain tax forms and publications, includrng those referenced in this notice,
vrsrt our Web site at www.irs.gov. If you do not have access to the Internet., call
L-8A0-829-3676 (TTY/TDD 1-800-829-4059) or visit your local IRS office.
IMPORTANT REIvIINDERS :
Keep a copy of this notice in your permanent records. This notice is issued only
one ti:ne and the IRS wiJ.l not be able to generate a dtrplicate copy for you. You
may give a copy of this document to anyone asking for proof of your EIN.
Use thrs EIN and your narne exactly as they appear at the top of this notice on all
your federal tax forms.
Refer to thrs EIN on your tax-related correspondence and documents.
If you have questions about your EIN/ you can call us at the phone number or write to
us at the address shown at the top of thrs notice. If you write, please tear off the stub
at the bottom of this notice and send it along with your letter. If you do not need to
wrile us, do not complete and return the stub.
Your name control associated with this EIN is PRES. You wil-l- need Lo provide thrs
lnformatlon, along wlth your EIN, if you file your returns electronically.
Thank you for your cooperation.
8.E.1
Packet Pg. 247 Attachment: 8E ALEXANDER U. RAMOS - REVIEW OF EXPERIENCE - IRRIGATION SPRINKLER CONTRACTOR - PRESTIGE IRRIGATION &
(rRsj usE ONLY) 57.5A 0L-0'7-2027 pRES B 9999999999 SS-4
Keep this part for your records.CP 575 A (Rev. 1-2001)
Return this part with any correspondence
so we may ident.ify your acccunt. Please
correct any errors in your name or address.
Your Telephone Number Best Tlme to CaI1
()
CP 575 A
9999999999
DATE OF THIS NOTICE: 0L-01-202L
EMPLCYER IDENTIFICATION NUMBER: 86-729A106
FORM: SS-4 NOBOD
]NTERNAL REVENUE SEP.VICE
CILICIN\]ATI OH 45999-C023
l,l,,l,l,l,l,l,,l,l,,l,l,,ll,,,ll,,,,,l,l,,ll,l'l"l
PRESTIGE TRRIGATION LANDSCAPE
LIGHTING INC
2585 52ND AVE NE
NAPLES, FL 34120
8.E.1
Packet Pg. 248 Attachment: 8E ALEXANDER U. RAMOS - REVIEW OF EXPERIENCE - IRRIGATION SPRINKLER CONTRACTOR - PRESTIGE IRRIGATION &
CouvttSl
Growth Management Deparhnent
Contractor Licensing
2800 N. Horseshoe Dr.
Naples, FL 34104
239-252-2400
APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY
STATEMENT OF OWNERSHIP
I
Thiscertifies natt, filoltz-deZ* (4uoS amamemberormanaging
APPLICANT'S NAME (please print)
4lcfl+-,JrX-
member of ,u tkc
ITED LIABIUry COMPANY NAME)
town /OO % 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.
S
The instrument was acknowledged
of 20ll ,by
Such person(s) Notary must check applicable box:
E are personally known to me fi^tproduced a current driver license
Applicant (please print)
0*Zrt*trrn*-
Name of Company
Signature of Applicant
presence or E online notarization on this
{'*y
lt?e.
ffiu,produced floriAa r)t- +as identification.
(Notary Seal)
DAr#tA$nc
ConnTSnlHHGtTtl
E$tor ilorrr$uO, 2@4
Sadtd ltu Bdo.at$, &Nt€'ffi Notary
Firm-Application.docx Rev 4lOOl2020 Page 9 of 15
Stateor Florid* county ,r Cpllp,r
me
nf
8.E.1
Packet Pg. 249 Attachment: 8E ALEXANDER U. RAMOS - REVIEW OF EXPERIENCE - IRRIGATION SPRINKLER CONTRACTOR - PRESTIGE IRRIGATION &
Cov*rXy
Growth Management Deparlrnent
Contractor Licensing
2800 N. Horseshoe Dr.
Naples, FL 34104
239-252-2400
APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY
VERIFICATION OF CONSTRUCTION EXPERIENCE
fr
Applicant's
Certifi cate Category Requested
trade
The applicant is seeking a Collier County Certrficate of Competency irr 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.g., as a worker commanding the wage of mechanic or better in the trade). Time served solely in a
supervisory or ad ministrative role should be described, but may or may not be considered sufficient to demonstrate required
The person verifying trade experience for the above-named applicant must provide the following information
Name t-q\c\r
Business Name:ln
pnon",@\ -8qn-q License No. (if applicable);
S!,J Ft- sq rt
zip
Business Address:
Street
The applicant was employed by me from
State of County of
City State
V1
2.'on to
Applicant's title T
The applicant's scope of work (specific duties) included
Additional comments:
NOTE TO LICENSED
Under penalty of perjury, I declare that the facts stated here are true.
\r
Fa lsifying any i nformatio n provided may subject your license to revocation
,by
Such person(s) Notary Public must check applicable box:
.t/(ffare personally known to me D has produced a current d;vei iivcuse
fl has produced identification.
Notary Signature:
/4 trl-tr.<of person providing the statement
before me by ryeans of presence or E online notarization on this
FlorldaolSt.tc
n
1
(Notary Seal)
Firm-Application.docx Rev 4/06/2020 Page '10 of 15
8.E.1
Packet Pg. 250 Attachment: 8E ALEXANDER U. RAMOS - REVIEW OF EXPERIENCE - IRRIGATION SPRINKLER CONTRACTOR - PRESTIGE IRRIGATION &
Cout*y
G row$r Management Deparfnent
Contractor Licensing
2800 N. Horseshoe Dr.
Naples, FL 34104
239-252-2400
APPLICATION FOR COLTIER COUNTY CERTIFICATE OF COMPETENCY
VERIFICATION OF CONSTRUCTION EXPERIENCE
Applicant's
Certifi cate Category Requested:
The applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for
this certificate, the applicant must verify 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). Time served solely in a
supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required
trade experience. The person verifying trade experience for the above-named applicant must provide the following information:
Name:
Bustness Name 1L/
Phone License No. (if applicable):ot o3)L5
Business Address:
Street
The applicant was employed by me from
Applicant's title VY
The applicant's scope of work (specific duties) included:
>!
Additional comments €.sStra*s46b r*)
L aq/)i
ZipCityState
NOTE TO LICENSED CONTRACTORS: Falsifying any information prcvided herein may subject your license to revocation.
Under penalty of perjury, I declare that the facts stated here are true.
;of person providing the statement
State of County of
The
/ out of
Such person(s) Notary
Wr" P"rtonullY known to me
E has produced DtJa.
E has produced a current driver license
I ' 4I oas identification.
Notary Signature:. l{otsry Publlc Stato olA Luinn Thomas
6,.T,b:f:iiHli::
Florida
(Notary Seal)
Firm-Application.docx Rev 4/06/2020 Page 10 of 15
-,n", flettJtw*
Sn :oz, ,o *or4tvcy'/?ozz-
t(4c f #o* rta*tpbrYU--Cdl
a ,tz iolt .r
e
20 z,
box:
fl online notarization on this
8.E.1
Packet Pg. 251 Attachment: 8E ALEXANDER U. RAMOS - REVIEW OF EXPERIENCE - IRRIGATION SPRINKLER CONTRACTOR - PRESTIGE IRRIGATION &
Cotr;lXJ
Growth Management Department
Contractor Licensing
2800 N. Horseshoe Dr.
Naples, FL 34104
239-252-2400
APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY
AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER
STATE OF ft_
COUNTY OF Co lt n-
eour*lo l\ub,"
e-//, i--
having been first duly sworn, state and affirm
County,,,')4 (State) and have resided here forI am a resident of
more than five (5)years.
State of
A/rrn^lnn 2**sDuring the last five (5) years I have known
to observe his or her business and personal dealings and find him or her to be a
good character.
Add
(applicant). I have had the opportunity
, integrity and
ZA b6u,
Sionature
C"b1i
Printed Name
/>/on
Street
Arte laArirt FL zr/ y'L
City State zip
(^-County "' Cllltt f
Telephone Z ?2- tAo '7? J )
presence or E online notarization on thisThe foresoins instrument was ,
tllr a,v""r flarch . zo
Such person(s) Notary Public must check applicable box:
E are personally known to me W{produ"ed a current driver license
E has produced
(Notary Seal)
as identification.
Notary Signature
ALUANpR.a rACi{li
Notary Publk . Statc of Flondt
Caunirioo t !{H 2301t5
ry Cofim. EIPir$ tlo 17, 2026
Eoded thro4h X.tkmai tbtary Aesr
Firm_Application.docx Rev 410612020 Page 14 of 15
8.E.1
Packet Pg. 252 Attachment: 8E ALEXANDER U. RAMOS - REVIEW OF EXPERIENCE - IRRIGATION SPRINKLER CONTRACTOR - PRESTIGE IRRIGATION &
Cotr;lX!
Growlfr Managernent Departnent
Contractor Licensing
2800 N. Horseshoe Dr.
Naples, FL 34104
239-252-2400
APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY
AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER
STATE OF rL
COUNTY OF CO L) TCA .
Ae o
I am a resident of /01/iea
more than five (5) years.
having been first duly sworn, state and affirm:
County,Tlor"/a (State) and have resided here for
During the last five (5) years I have known
to observe his or her business and personal dealings and find him or her to be
good character
Address:
l/eaa*.trz t/.La*x
State of AL 0o LI,e(County of
The foresoins instrument was
It a"y "r 5eP{ernb(. zo JD ,uv
acknowledged me bv means
Such person(s) Notary Public must check applicable box
D are personally known to me
76as produced a current driver license
Telephone z3o- 30? -4 b5i
presence or E online notarization on this
(a I have had the opportunity
of , integrity and
Signature
R-a o lr_1, (
Printed Name
o 2 71{-, *fe- tlJ €
Street
e TL s4t20
City State zip
n has produced
(Notary Seal)
Notary Signature
DORMANT REINSTATEMENT APPLICATION REV 41 12]18
identification.
#Notary Public State o, Fldida
Aymee Minaya
Mi Commisrion GG 908375
E\qne. 1011212023
Page 6 of 7
t,
8.E.1
Packet Pg. 253 Attachment: 8E ALEXANDER U. RAMOS - REVIEW OF EXPERIENCE - IRRIGATION SPRINKLER CONTRACTOR - PRESTIGE IRRIGATION &
l::
i?EE$I:4.
6 €3 tcri!?&a
1
8.E.1
Packet Pg. 254 Attachment: 8E ALEXANDER U. RAMOS - REVIEW OF EXPERIENCE - IRRIGATION SPRINKLER CONTRACTOR - PRESTIGE IRRIGATION &
--*,ACORD-CERTIFICATE OF LIABILITY INSURANGE DATE (MM/DD/YYYY)
03t23t2022
THIS CERNFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFIGATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. TH|S CERTTFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORTZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: lf the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. lf SUBROGATION lS WAIVED, sublect to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsemenl(s).
PRODUCER
EZINSURANCE OF NAPLES
4127 lamiami Trail East
NAPLES
(239) 353-6207 (2s9) 353-6432
agents@ezinsuranceofnaples.com
AFFORDING COVERAGE NAIC #
Heritage lnsurance
INSURER BINSURED
Prestige lnigation and Landscape Lighting lnc.
2586 52nd Ave NE
Naples FL 34120
INSURER C :
INSURER D
INSURER E
INSURER F:
COVERAGES CERTIFICATE NUMBER:REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LII\4ITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
ITR TYPE OF INSURANCE
ADDL SUBR POLICY EFF POUCY EXPIMM/hnWVYr /MUihh/VVVVT LIMITS
GENERAL LIABLITY
COM[,|ERCIAL GENERAL LIABILITY
CLATMS-|\IADE ffi o""r*
GEN'L AGGREGATE LIMIT APPLIES PER:
'o.,.' [l ?F& f_l,-o.
HCR026456 0312312022
EACH OCCURRENCE
MED EXP one
0312312023 PERSONAL & ADV INJURY
GENE RAL
PRODUCIS. COMP/OP AGG
s '1,000,000
S 300,000
S 10,000
$ 1,000,000
$ 1,000,000
$lncluded
s
AUTOMOBILE LIABILITY
ANY AUTO
ALL O!\AED
AUTOS
HIRED AUTOS
SCHEDULED
AUTOS
NON-O\AiNED
AUTOS
UUMtsINTU SINGLE LIMI I
lEa arcidenl)
s
$
BODILY INJURY (Per person)
BODILY INJURY (Per accident)
UMARELLA LIAB
EXCESS LIAB
OCCUR
CLAIMS.t\rADE
EACH OCCURRENCE
AGGREGATE
WORKERS COMPENSATION
AND EMPLOYERS' LIABILTTY
ANY PROPRIETOR/PARTNER/EXECTJTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
lf yes. descflbe uoder
UFSCRIPnON OF OPERAIIONS tpLw
H NiA
WC STATI,}
TORY LIMITS
OTH-
ER
E,L. EACH ACCIDENT $
E.L. DISEASE. EA EMPTOYEE $
E.L. DISEASE- POLICY LIMIT $
OESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Addirional R€marks Schedule, it mors space is required)
Low voltage landscape lighting and irrigation
CANCELLATION
@ 1988-2010 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
SHOULD ANY OF THE ABOVE OESCRIBEO POLICIES BE CANCELLEO BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Collier County Contractor Licensing Board
FL 34104
2800 Horseshoe Drive N
Naples
AUTHORIZED REPRESENTATIVE
EZINSURANCE OF NAPLES
ACORD 25 (2010/0s)
FL 34112
H
$
$
$
$
I
8.E.1
Packet Pg. 255 Attachment: 8E ALEXANDER U. RAMOS - REVIEW OF EXPERIENCE - IRRIGATION SPRINKLER CONTRACTOR - PRESTIGE IRRIGATION &
JIN/TUY PATRONIS
CHIEF FINANCIAL OFFICER STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS' COMPENSATION
* * CERTTFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW * *
CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law
EFFECTIVE DATE: 111212021 EXPIRATION DATE: 111212023
PERSON: ALEXANDER U RAMOS EMAIL: RAMOSALEX2T@AOL.COM
FEIN: 861290106
BUSINESS NAME AND ADDRESS:
PRESTIGE IRRIGATION & LANDSCAPE LIGHTING INC.
2586 52ND AVE I.IE
NAPLES, FL34120
SCOPE OF BUSINESS OR TRADE:
Landscape Gardening & Plumbing NOC and Drivers
Drivers
Cleaner-Debris Removal -
Construction
Electric Light
Construction
or Power Line
& Drivers
llrl PORTANT: Pursuant to subsection 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under
this section may not recover benefits or compensation under this chapter. Pursuant to subsection 440.05\12), F.S., Certiflcates of election to be exempt issued
under subsection (3) shall apply only to the corporate officer named on the notice of election to be exempt and apply only within the scope of the business or
trade listed on the notice of election to be exempt. Pursuant to subsection 440.05(13), F.S., notices of election to be exempt and certificates of election to be
exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate
no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person
named on the certificate to meet the requirements of this section.
DFS-F2-DWC-252 CERTTFTCATE OF ELECTTON TO BE EXEMPT REVISED 08-13 E01279333 QUESTIONS? (850)413-1609
lr/
8.E.1
Packet Pg. 256 Attachment: 8E ALEXANDER U. RAMOS - REVIEW OF EXPERIENCE - IRRIGATION SPRINKLER CONTRACTOR - PRESTIGE IRRIGATION &
04/20/2022
COLLIER COUNTY
Contractor Licensing Board
Item Number: 8.F
Item Summary: YASMANI BALCAZAR VACA – REVIEW OF EXPERIENCE -
INSULATION CONTRACTOR (BUILDINGS)
Meeting Date: 04/20/2022
Prepared by:
Title: – Contractor Licensing
Name: Sandra Delgado
04/13/2022 4:14 PM
Submitted by:
Title: – Contractor Licensing
Name: Tim Crotts
04/13/2022 4:14 PM
Approved By:
Review:
Contractor Licensing Trish Morgan Review item Completed 04/13/2022 4:53 PM
Contractor Licensing Sandra Delgado Review item Completed 04/13/2022 5:39 PM
Contractor Licensing Tim Crotts Review Item Completed 04/14/2022 11:46 AM
Contractor Licensing Tim Crotts Meeting Pending 04/20/2022 9:00 AM
8.F
Packet Pg. 257
Contractor Licensing
2800 N. Horseshoe Dr.
Naples, FL 34104
Phone -235-252-2431
Fax - 239-252-2469
Growt-r Management Deparhnent
TYPE OF CERTIFICATE OF COMPETENCY:
FIRM APPTICATION FOR COIIIER COUNTY
CERTIFICATE OF COTNPETENCY
E General
tr Building
n Residential
n Mechanical
I Roofing
$230.00
$230.00
$230.00
$230.00
$230.00
tr Electrician
I Plumber
f Air Conditioner
n Swimming Pool
B Specialty
tcc
$230.00
$230.00
$230.00
$230.00
$205.00
Specialty Trade:lnsulation Buildings
I. APPLICANT PERSONAL INFORMATION:
Name:Yasmani Balcazar
First Middle Initial Last
Business Name: Tamiami lnsulation LLC
Address: ,105 Willard Ave L-ehigh Acres FL 33922
Street City State Zp
Email: insulationtamiami@gmait.com
T 239-565-0063 *SS # (Last 4 digits only):7355
Date of Birth: 0910211979 Driveis License # (Last 4 digits only)
1.>nfrJLZU
fPursuant to C-hapter l-19, Florida Statutes and Colller CountyContmctor ticensint minance 20(HO Section 2.1.L, all apflicanB are required to
submlt their social security number (SSil) for the followlng purposes: al Asso .r*can/s abitrty to saffi credltors by rwiewing their credit history.
b) Verificatlon of applicant's test scores and information- Our offre will only use your SSN noted above for thos€ reasons pursuant to Chapter l-19,
Florida Statutes, and as may othenrv*c be authorbed by law. We are fully committed to safeguarding and proEcting your SSll and once collected, will
be maintained as confidential and exempt under Chapter l-Ir, Florlda Statrtes.
Firm-Application.docx Rev 4lQOl2020 Page 3 of 15
8.F.1
Packet Pg. 258 Attachment: 8F YASMANI BALCAZAR VACA – REVIEW OF EXPERIENCE - INSULATION CONTRACTOR (BUILDINGS) - TAMIAMI INSULATION
1.6.3,23, Insutation Contractor.
4., All types except buildings * requires ihirty-six (36) months experience, a
pascing grade on +thrse#Iheur an approved,.test and a passing grade on a turc-(a)rhetn business
and }aw test, and means those who are quolified to instali, maintain, ropair, aher, or oxtoncl any
insulation prtmarily lnstalled to prevent loss or gain of heat, frorn in[ernal or ex[ernal sourcgs on
pipes, vessels, ducts, fue stopping materials, spraycd-on fire resistiye matorials, or buitt-up
refrigerated boxes or rooms, and acoustit:al materials.
b. Buildings - requires twonty-four (,2a) months experience, a passing grade
on **h*e+$!*eur an apgroved test and a ere{gr.neu* business and law test, and 6eans those
who aro qualified to install, maintain, repair, alter, or oxtend any insulation priuarily installed to
prevent loss or gain of heat from rooms or buildings.
8.F.1
Packet Pg. 259 Attachment: 8F YASMANI BALCAZAR VACA – REVIEW OF EXPERIENCE - INSULATION CONTRACTOR (BUILDINGS) - TAMIAMI INSULATION
c,nff.,Contractor Licensing
2800 N. Horseshoe Dr.
Naples, FL 34104
Phons - 239-252-2431
Fax - 239-252-2469
C,OvL*aW
APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY
Provide the names and telophone numbers of two parsons who will always know your whereabouts.
Name: Maira Roca
Telephone:Telephone 401-290-7798
II. NAME OF APPLICANT'S BUSINESS:
Business Name: Tamiami lnsulation LLC
Business Address 405 Willard Ave Lehigh Acres FL 33972
Teleph
Str.ct
on.. 1 239 1 744-6343
City State zip
Email: insulationtamiami@gmail.com
Foderat tD Tax No.. 87-251 3683
YES NO
x Filed for or baen discharged in bankruptcy within the Past 5 years?
X Had a lien filed against you by ths lntsmal Revenue Service or Florida Corporato Tax Division?
Undertaken construction contracts or work that resulted in liens, suits, or judgments being filed?x
Undertaken construction contracts or work that a third party, such as a bonding or surety company,
completed or made linancial statements on?X
Made an assignment of asseG in settlement of construction obligations for less than the debts
outstanding?
x
Been convicted or found guilty of, or entered a plea of nolo contendere to, regardless of
adjudication, a crime in any iurisdiction within the past 10 years?'
Had claims or lawsuits filed for unpaid or past due accounts by your creditors as a result of
construction experisnce?x
X
Been charged with or convicted of acting as
contractor in this or any other state, been "s
a contractor without a license, or if licensed as a
ubiect to' disciplinary action by a state, county, or
mun
NOTE. lf you have answer YES to 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 aftach proof of
payment, satisfadi;n of lien or judgement, bankruptcy discharge, or agreements for payment.'lf you have had a
ielony conviction, proof that your civil rights have been restored will be raquired prior to licensure'
Firm-Applicalion.docx Rev 4/06/2020 Page 4 of 15
Gro/vth Managernent Deparfnent
Name: AngellcaBalcazar
239-565-0063
III. FINANCIAL RESPONSIBILITY
ALL APPLICANTS TIUST ANSWER THE QUESTIONS BELOW:
8.F.1
Packet Pg. 260 Attachment: 8F YASMANI BALCAZAR VACA – REVIEW OF EXPERIENCE - INSULATION CONTRACTOR (BUILDINGS) - TAMIAMI INSULATION
Growth Managernent Departrnent
Contraclor 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
EDTJCATION;
List belox/ and provide t?nscripb for any formal education you have obtained in the area of competency for whicfrthis application ls being mad€:
I have taken certlfied trainings online and being approved as an lnsulation Authorized lnstalter
List.below non formal educalion (on the job training) you have obtained in the area of competency for which this
application is being made:
CURRENT/PREVIOUS LICENSE:
List below and attach copies any other certificates of competency/licensos you hold/have held in Collier County or
any other jurisdiction. lndude the license #, Type, and county you hold it in.
AFFIDAVIT
Under the penalties of porjury, I declare that I have read the foregoing applicati bnd the stated in it are
true.
M^p i bLAo
Applicant (please pnnt)
County of
The foregoing instrumert was ackrow3caay of l\'\ci ii t^ .zo.p,uy
ofApplicant
of physical presence or D online notarization on this
G(
Such person(s) Notary Public must check appticable box:
tr are personally hown to me El has produced a cunent driver license
P has produced
(Notrry Seal)
f lti{as identification
Notary SiFature
Nobry Pi.ibhc State ol Flonda
Devd Virella
Mv Commra$on HH 001395
Eipr16s O5/1s,2024
Firm_Application.docx Rev 41612020 Page 5 ol 15
Statc of I-l ,..-,,{ n
before me by
i;#
8.F.1
Packet Pg. 261 Attachment: 8F YASMANI BALCAZAR VACA – REVIEW OF EXPERIENCE - INSULATION CONTRACTOR (BUILDINGS) - TAMIAMI INSULATION
C v'Qou*rqy Contractor Lrcensing
2800 N. Horseshoe Dr.
Naples, FL 34'104
Phone - 239252-2431
Fa\ - 239-252-7469
GrD\a/th l\rlanagernent Deparlrytent
APPLICATION FOR C(}|LIEK (-'iui] iY
'E(TIFICATE
OF COMPTTENCY
CERTIFICATION OF APPTICATION
The undersigned hereby makes application for ce ilicare oi Competency under the provisions of Collier CountyNo. 2006-46, as amended, and under penalties ol per1ury. I declare ihat I have iead the foregoing qualifier
information and that the facts stated in it are true.
The undersigned hereby certifies that he is legally qualified to act on behalf of the business organization sought tobe licensed in all matters connected with its contacting business and that he has full auihority to supjrviseconstruction undertaken by himself or such business or organization and that he will continue during this registrationto be able to so bind said business organization. The qualified |icense holder understands thatin all co;tractingmalters, he/she will be held stricfly accountable for any and all activities involving his license.
Any willful falsification of any information contained herein is grounds for disqualiflcation.
?lo;Laa z^,u
Statc of _d,.couotv of L g<
A
licanl (plsase print
'Tana iro r'a i rJsoL^1ionJ Lt <-
Nam6 ofCompany
s'q Appl
I
Such pcNon(s) Notary Public must check applicablc box:
E are personally kno$n to mc 3 h8s pr(!duce,,l a uunerrt driver ljcensc
p.tras proaucea -f-L-,! aylf -L{-lL).r(- as i<tenriricaiion
(Iotrry Senl)
Nolery Signanrre: _f."!rt ht*lif#il::tlo,E^di Explr6.05/102024
Frrrrr_-Applicalion docr Rev 4/06/202C Page 6 of '15
4hc forcgoiop lfstrumcnt was acknowlcdgcd,beforc m: by mcans cf dphysi;al prescncc or I oulinc rrotarizarion ou thrs
)cJ-day of J\flc,yc l- .204.),by.Y4Sru,vlU_lr, e_l ,__(]_z Z!
8.F.1
Packet Pg. 262 Attachment: 8F YASMANI BALCAZAR VACA – REVIEW OF EXPERIENCE - INSULATION CONTRACTOR (BUILDINGS) - TAMIAMI INSULATION
C Qov*tXy
Gro\^/th Managerrefi t Depadrnefl t
Contractor Licensing
2800 N. Horseshoe Dr.
Naples. FL 34104
Phone - 239-252-2431
Fax - 239-252-2469
APPLICATION FOR COI.LIER COUNiY CERTIFICATE OF COMPETENCY
WORKMEN'5 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 all times effective Workmen's Compensation lnsurance it will result in the possible revocation
of my Certificate of Competency.
ASMNJ i BaT.o^
(ploase pnnt
AM I AN/INso(;rioat t-L<
Name of Company
srg
BEFORE N,lE this day personally appeared _ who affirms and
Applicant (please print)
says that he has less than one employee and does not require Workmen's Compensalion understands that at any
time he employees one or more persons he must obtain said workmen's compensation lnsurance.
State of County of
instrument \Yas acknou'l eforc me by sof physical prescnce or E oulinc norarizatiou on this
.20,}}. by
I
v cl f'
Such person(s) Notary Public musl check applicablc box:
D are persoually known to me E has produced a curreut driver license
frras orod uced H- ''b.,,,u 1.)un l.t as idenril'ication.v
(r'-otrry Seel)
Notrry Signature'flIft HltL"tr";T:;::?o,E|!f E)(pl'.3 0rt9ao24
Firm_Applicalion.docx Rev 4/06/2020 Page 7 of 15
f ("",,/.-
8.F.1
Packet Pg. 263 Attachment: 8F YASMANI BALCAZAR VACA – REVIEW OF EXPERIENCE - INSULATION CONTRACTOR (BUILDINGS) - TAMIAMI INSULATION
ff (-/omrnunity
evelopment
Lee Counv
BOARD OF COUNTY COMMISSIONERS
Distticl Ooe
Cocil L. P€odorqra8a
Rev Sandelll
Dlettict Three
Erien Hsmman
Rooer Dosiadals
County Manegat
Rldred Wesch
County Allomey
Oonna Medo Colllns
County Heaing Exdt
COLLIER COUNTY CONTRACTOR LICENSING
28OO N HORSESHOE DRIVE
NAPLES, FL 33942
LETTER OF RECIPROCITY
This letter is to verify that YASMANI BALCAZAR VACA took the examination,
Gainesville lndependent Testing Services sponsored by Lee County.
BUSINESS PROCEDURES: 760lo
DATE: 212112O22
Insulation Structural MHEILe (G) /418 (P): 76%
DATE:11912022
lf you have any questions or if I can be of further assistance, please contact
Contractor Licensing at (239) 533-8895.
Sincerely,
Contractor Licensing
(2ss) 5s3-8895
PHONE: (239) 5318895 FAx: (239) 48S5r/
EMAIL:coNTRAcToRUcENslNG@LEEGov'99!! ---
untLtruo loon-Ess. po. gox 398. Foft Myers, Florids 33902-0398 filcltncp. rpt
March 29,2022
8.F.1
Packet Pg. 264 Attachment: 8F YASMANI BALCAZAR VACA – REVIEW OF EXPERIENCE - INSULATION CONTRACTOR (BUILDINGS) - TAMIAMI INSULATION
GITS: Gainesville Independent Testing Service
EIS: Examination lnformation Sheet
Mechanical Insulation Contractor - MHE1A
Florida Construction Credentialing
Scope
The scope of work of an Insulation Contractor shall include and be limited to the installation, maintenance,
repair, alteration and extension of any insulation primarily installed to prevent loss or gain of heat from internal
or external sources in pipes, vessels, ducts or in built-up refrigerated boxes or rooms, including the application
of protective coatings necessary and incidental thereto.
Examination Content Outline
The Mechanical Insulation Contractor examination is based on trade-specific information pertaining to
materials, tools, equipment, practices, terminology, and relevant laws. The examination is a two (2) hour, open
book exam that consists of50 questions.
Subjects No. of ltems
Code Compliance 1B
lnsulation 22
Safety '10
50Total
Annroved References
1. Florida Building Code (Mechanical),2017
2. Code of Federal Regulations - Title 29, Parl1926 (OSHA),2010
3. Florida Building Code (Energy Conservation) 2017
03121 www.gitsllc.org
8.F.1
Packet Pg. 265 Attachment: 8F YASMANI BALCAZAR VACA – REVIEW OF EXPERIENCE - INSULATION CONTRACTOR (BUILDINGS) - TAMIAMI INSULATION
GITS: Gaincsville Indcpendcnt Testing Servicc
EIS: Examination Information Sheet
Insulation (Structural) Contractor - SKElA
Florida Constnrction Creclenlialing
Scooe
lnsulation Contractor means the scope of certification includes and is limited to the execution of contracts
requiring the skill. knowledge, ability and experience to install, repair, maintain, and replace, insulation on or in
walls and attics, in compliancc with the Florida Modcl Energy Code. As regulated undcr Florida Statutc, a
person who has passed a competency examination as an Insulation Contractor may perfom these or related
tasks or may supervise persons in his employ in the execution of these tasks.
Examination Content Outline
The Insulation Contractor examination is based on trade-specific information pertaining to materials, tools,
cquipmcnt, practiccs, tcrminology, and rclevant laws. The cxamination is a one and onc-half ( 1 I /2) hour, open
book exam that consists of25 questions.
iubiects:No. of ltems
Estimatino and Plan Readinq 5
lnsulation lvlaterials and Equipment 10
lnsulation [.4ethods and Technioues 8
Safety 2
25
ADoroved References
1. Florida Building Code (Energy Conservation),2017
2. Code of Federal Regulations - Title 29, Part 1 925 (OSHA), 201 0
0'7 fig ww.gitsllc.org
8.F.1
Packet Pg. 266 Attachment: 8F YASMANI BALCAZAR VACA – REVIEW OF EXPERIENCE - INSULATION CONTRACTOR (BUILDINGS) - TAMIAMI INSULATION
Code Desc
INSULATION ALL ryPES
INSULATION ALL ryPES/RESTR, FIRESTOPPING PENETRATION
INSULATION BUILDING
ApplicablePermitTypes
BD
BD
4200
4201
4215
Thc scope of work shal incrudc thc instslra on of hurricare shuficrs or devices that sre integrar
with $e window system.
1.63.23. Insulation Contractor.
a. All types cxcepr buildings _ requircs thiny-six (36) months experience, a
passing grade on e+hre+Blreur En aoorovcd lesr and a passing gradc on a Ev€{3}+€uf business
and law test' and means those who arc qua.li{ied to instalr, maintarn, repair, arter, or extend any
insulstion primarily installcd to prcvent loss or gain of heat, from inbmal or extemal sources on
pi1rs, vesscrs, ducts, firc sropping ma*riars, spraycd-on fire rcsistivc materials, or built_up
rcfrigerated boxcs or rooms, and acoustical msterials.
b. Buildings - Equires twenty-four (24) months cxpcriencc, a passing grsde
on +{hre+{3}fuor an alrorovcd test and a *ve$}*e* busincss and law tesr, and means &ose
who are quarified to insh,, msintain' rcpair, arrcr, or cxtcnd any insuration primariry inshlred to
prevcnt loss or gain of hcat from rooms or buildings.
8.F.1
Packet Pg. 267 Attachment: 8F YASMANI BALCAZAR VACA – REVIEW OF EXPERIENCE - INSULATION CONTRACTOR (BUILDINGS) - TAMIAMI INSULATION
.$'e rtricc: -.
Phone: 850-539{000
Fax: 866651-5145
Emall: cc@unltedcrc.com
www.UnltedcRS.com
4583-A Capltal Circle NW
Tallahassee, FL 32303
March26,2022
PERSONAL CREDIT REPORT
MERGED REPORT COMPILED FROM NATIONAL RECORDS
Entry # 10468
SUBJECT NAME:
BALCAZARVACA, YAS}4ANI
ALSO KNOIIN AS:
VACA, YASMANT, BATCAZAR
BALCAZARVACA, YAF}TANI
CURRENT ADDRESS REPORTED: 0L/2020
405 WILLARD AV., TEHTGH ACRES FL. 33972
FORMER ADDRESS REPORTED: L0/20L9
21 ARLINGTON ST., EAST PROVIDENCE Rr. 029141301 pr,AINFrEr,D ST., JOHNSTON Rr. 02919
EMPLOYMENT DATA REPORTED:
ANCHOR
POSITION:SPRAY FOAU
DATE VERIFIED: 08,/2018
THE SUBJECT'S TOTAL FILE HISTORY
HIGH CRED
s11.7K
s29.7K
s21lx
s253K
CRED LIMIT
s21.9K
s0
$0
s21.9K
BALANCE
s1 835
$13.7K
$2 03K
s218K
MNTHLY
$3s
$499
s1436
$1 970
-7355
AVAIL
92*
SOCIAI SECURTTY NUMBER
DoB: 09/02/r9'79
PUBLIC RECORDS: 0
COLLECTIONS: 0
TR;ADE ACCTS: 11
CREDIT INQUTRIES: 5
CURRENT NEGATIVE ACCTS: O
PREVIOUS NEGATIVE ACCTS: 2
PREVIOUS TIMES MGATIVE: 2
EMPLOYMENT INQUTRIES: 1
REVOwING ACCTS: 1
INSTALLMENT ACCTS:1
MORTGAGE ACCTS: 3
OPEN ACCTS: O
REVOLVING:
INSTALLMENT:
MORTGAGE:
TOTALS:
PAST DUE
$0
$0
s0
$0
FICO CLASSTC SCORE - 7s2
CREDIT INFORMATION
BK OF AIIER B 159?029 REVOLVING ACCOT'NT
CREDIT CARD
VERIFTD 03/2022 BAI$ICE: $1836 INDIVIDUAI ACCOTNT
oPENED 05/2020 LOST owED: $1890 CREDIT LIMIT: $7000
PAST DUE:$0
STATUS AS OF 03/2022 CURRENT, PAID OR PAYING AS AGPAED
IN PRIOR 22 MONT}I/S FROM DATE VERIFID NEVER LATE
PAYMENT PATTERN : 11111 111 1 1 11111111 11 1 1
I'NTD WHL MTG F 1U1ZOO6 MORTGAGE ACCOUNT
CONVENTIONAL REAI, ESTATE !4AG
VERIF'D 03/2022 BATANCE: $20326L INDTVIDUAI ACCOLTNT
oPENED L2/20L9 MOST owED: S211755 PAY TERMS: 360 MoNTHIY $1436
PAST DUE:$0
STATUS AS OF 03/2022 CURRENT, PAID OR PAYING AS AGREED
IN PRIOR 26 MONTHS EROM DATE VERIEID 1 TIME/S 30 DAYS IATE
Page 1 of3
I
8.F.1
Packet Pg. 268 Attachment: 8F YASMANI BALCAZAR VACA – REVIEW OF EXPERIENCE - INSULATION CONTRACTOR (BUILDINGS) - TAMIAMI INSULATION
PAY-I,!E}{I PAIIERN : 111111111111111121111111
rD BANK N.A. B ?O8PO44 REVOTVI G ACCOT'NT
CREDIT CARD1,EnIE'D 03/2022 BALANCE: $0 AUTnORIZED ACCOI NTOPENED 05/2015 MOST OfEDr $5059 CREDIT IIMIT: S?5OOPA:D oaE 1112021 PAsa DUE:So
S?ATUS AS OF 7I/202I CURREI?, PAID OR PAYING AS AGREEDIN PRIOR 48 !,IONTH/S FRol,l DATE VERTF'D NEVER I,TTE
PAYUENT PA?rtRN : 111111111111111 1t 1t 1111 I
PAII'IUCREI CU O 57?POO2 INSTAII,T{ENI ACCOUNI
AUTOiOBIIEVERIF"D O2l2022 BA].ANCA: 513?69 TNDIVIDUAI, ACCOI,NTOPENED OA/2O18 MOST OWED: 529?98 pAy IERHS: ?2 lrolrrHl,y 9499
PAST DUE: S0
STATUS AS OE 02/2022 CURRENTi PAID OR pAyING AS AGREEDIN PRIOR 42 UONIE/S ERON' DA?E VERIF'D NEVER 1ETE
PATMENT pAlfERN I 1111 11111111 1111111 11I I1
RAY AND FLAN 11 1421916 REVOLVING ACCOUNT
CAARGE ACCOIJNTvERIFt D 02/2022 BALANCE I S0 TNDTVIDUA! ACCOUNToPENED tO/2O11 MOST OtaED: S2098 CREDII LIMITT S5S00PAID oFF 09/2018 PAST DiE:S0
STATUS AS OE 09/2018 CURRENIT PAID OR pAyINc AS AGREEDIN PRIOR 48 MONTIi/S FROT,f DATE VER'IFID NEVER TATE
PAYI{ENT PATTERN: 111lU1t 111I111111111111
IHD/CBNA B 2543005 REVOT,VING AccoUNT
CflARGE ACCOI'NTVERTEiD O2/2O22 BAITNCE: g0 INDIVTDUA! AccouNrOPEMD 06/2020 uosT onED: S2.t18 CREDTT UurT: Sr900PAID oFr 11/2021 PAST DUE:$0
STAN,S AS OT 7L/2021 CURRENT, PAID oR PAYING As AGRTEDIN PRIOR 20 I{ONTII/S FROU DATE VERITID NEVER TATE
PAYHENI PAIAERN: 111 1111 1 1 1111 t 111111
PENNYMAC F 2CCHOO1 I,IORTGAGE ACCOI'NTCIOSED EEA RE.AL ESTATE IORTGAGEVERIFID 11/2021 BAI,ANCE: $O INDIVID0AI AccoU}TIOPENED 08/2019 MOST OTED: S294993 pAy TERMS: 372 !!oNIF!Y gO
CLOSED L7/2O2L PAST DUE: S0
STATUS AS OF ll/2021 CITRREN?; pArD oR pAylllc AS AGREEDIN PRIOR 26 MONTflS I'ROM DATE VERIE'D 1 TIME/S 30 DAYS LATE
PAYMENT PA??ERN: 11111111121111XXXX111111
CAPI/BASSPRO B 1DTV234 REVOLVING ACCOI'NT
ACCT CLSD BY CONSI'}{ER CREDII CARDvERIrrD 10/2021 BN,INCE: S0 ITDT1rIDUA]. ACCOUNT
OPENED 70/2O2O MOST OnED: 9151 CBIDII I,IUIT: S3OOO
PAID OtE 04/2021 PAST DUE:S0
STATOS AS Ot f0/2027 CURRENT; PAID OR PAYING AS AGREED
IN PRIOR 11 T,ONAE/S FROU DATE VERIF'D NEVER TAAE
PAYI{ENT PATTERN : 1 11111t 11 11
PENNYMAC
cr,osED
VERI E' D
OPENED
cl,osED
06/2019
0'1/2011
06/2019
BALANCE: S0
UOST OflED: 51639?5
PAST DUE: S0
MORIGAGE ACCOUNI
FHA REAI ESTATE MOR1GAGE
INDIVIDUAL ACCOUNT
PAY TERMS: 1160 MONTHLY S0
r 2ccll001
Page 2 of 3
BBY./CBNA 11 292EOI4 REVOI,ITNG ACCOUNT
INACTIVE ACCOI'NT CITARGE ICCOUN?
VERIF'D 1212019 BALANCE: S0 INDIVIDUA! ACCOITNT
OPENED 09/2016 MOS" OnED: 5319 CREDTT LIUrT: 51000
PAID oFE 03/2017 PAST DUE:So
STATUS IS OF 03,/2019 CURRENTi PAID OR PAYIT,TG AS AGREED
IN PRIOR 39 MONIH/S FROT{ DAIE VERIP'D NSVER
',ATEPAYMENT PITIERR: 111111111111111111111111
8.F.1
Packet Pg. 269 Attachment: 8F YASMANI BALCAZAR VACA – REVIEW OF EXPERIENCE - INSULATION CONTRACTOR (BUILDINGS) - TAMIAMI INSULATION
STATUS AS OE 06/2019 CURRENT,. PAID OR PAYING AS AGREEDIN PRIOR 22 MONTH/S FROM DATE VERIE'D NEVER I,ATE
PAYMENT PATTERN: 111111111111111111111
BK OP AMER B 759'1029 REVOLVING ACCOUNA
ACCT CISD BY CONSUI,IER SECURED CREDIT CARDvERIrrD 0212017 BAIANCE: g0 INDTVTDUA! ACCouNTOPENED 01/2075 MOST OWED: 9335 CREDIT LrMrT: S3OOPAID OFE 01/2017 PAST DUE:S0
STAaUS AS OE Oa/2017 CURRENT; PAID OR pAyING AS AGREEDIN PRIOR 25 MONTH/S EROII DATE \,'ERIFID NSVER IJATE
PAYMEN? PATTERN : 111111111111111111111111
PUBLIC RECORDS
PUBLIC RECORDS }IAVE BEEI{ CHECI(ED AT THE COUNTY, STATE, AND FEDRAL LEVELS
RESULTS: NO PUBUC RECORDS FOUND
END OF REPORT
i-L wl8'rrll(brthtrdLg od (f, ddrl.cori.n ch.d to tir. rtPon on ftrcturb.irry.hd c-l ch.ig. drrtcdty. h rdn. Gi-, or.,t00 pohb slr.n mlllng btg pu.ct.rd!.rc.
Page 3 ol 3
8.F.1
Packet Pg. 270 Attachment: 8F YASMANI BALCAZAR VACA – REVIEW OF EXPERIENCE - INSULATION CONTRACTOR (BUILDINGS) - TAMIAMI INSULATION
Entry # 10468
TAMIAMI INSULATION LLG
405 WLL.ARD AVE
LEHIGH ACRES, FL 33972
PHONE: (239) 744.6343
Trade Lines Found: 0
Credit Standing: New Business
Business Type: LLC
FEIN Number: 87-2513683
Florida SOS Document #: L21000369455
Key Facts
Years in Business:
Key Personnel
Florida Registered Agent:
L
.1'<lrt'ic(a --_
BUSINESS CREDIT REPORT
As ol:3126122
Credit Summary:
y'Bankruptctes:
r/ Liens:
t' Judgments Filed:
y''Collectlons:
DBPR PUBLIC RECORD STATEMENT:
PUBLIC RECORDS HAVE BEEN CHECKED AT
LOCAL, STATE AND FEDERAL LEVELS
RESULTS: NONE FOUND
0 Years
Manager: MAIRA, ROCAA
Authorized Member: YASMANI, BALCAZAR
YASMANI, BALCAZAR
405 WILLARD AVE
LEHIGH ACRES, FL33972
Phone: 850-539-8000
Fax: 866-651-5145
Email : cc@unitedcrs.com
www.UnitedCRS.com
4583-A Gapital Circle NW
Tallahassee, FL 32303
Page I ofl
*
**'I
8.F.1
Packet Pg. 271 Attachment: 8F YASMANI BALCAZAR VACA – REVIEW OF EXPERIENCE - INSULATION CONTRACTOR (BUILDINGS) - TAMIAMI INSULATION
DrvrsroN oF CoRpoRATtoNS
lit /r-- L
#til/ul,org
! t!,,: ll.{ t : rti
( t(,i, l.t( t,, ...1t ..,.
-"/.J:- .J:J-- :. )_..J
.t,' . '!, ,ti t,,.. 't i :.1:.!:y , ..ti :.
Sepanloe$Atslate / Divisionof Coroorations / SearchRecords / Searchby_EglilyJEfig /
Detail by Entity Name
Florida Limited Liability Company
TAMIAMIINSULATION LLC
Filing lnformation
Document Number L210003694Ss
FEUEIN Number 87-2513683
Date Filed 0At1TtZ021
Effective Date A8tfit2021
State FL
Status ACTTVE
PrincipalSc&lrcss
405 WILLARD AVE
LEHIGH ACRES, FL 33972
Mailing Address
405 WILLARD AVE
LEH]GH ACRES, FL 33972
fgglstered Agent Name & Address
YASMANI, BALCAZAR
405 WILLARD AVE
LEH]GH ACRES, FL 33972
Authorlzed Person($_8.elafl
Name & Address
T'itle MGR
MAIRA, ROCAA
405 WILLARD AVE
LEHIGH ACRES, FL 33972
TitleAMBR
YASMANI, BALCAZAR
405 WILLARD AVE
LEHIGH ACRES, FL 33972
Annual Repeflg
Report Year Filed Date
8.F.1
Packet Pg. 272 Attachment: 8F YASMANI BALCAZAR VACA – REVIEW OF EXPERIENCE - INSULATION CONTRACTOR (BUILDINGS) - TAMIAMI INSULATION
2022 FLORIDA LIMITED LT,ABILTTY COMPANY ANNUAL REPORT
DOCUMENT# L2.t 000369455
Entlty Namo: TAMIAMI INSULATTON LLC
Current Pdnclpal Place of Buslness:
405 WILLARO AVE
LEHIGH ACRES, FL 33972
FILED
MarO1,2O22
Secretary of State
6754872158CC
Cortificate of Status Daslred: Y6s
Current Malllng Address:
405 WILLARD AVE
LEHIGH ACRES, FL 33972
FEI Number: 87-2513683
Nam6 and Addr€ss of Current Roglstored Agent:
YASMANI, BALCAZAR
405 WILLARD AVE
LEHIGH ACRES, FL 33972 US
Thc afut6 natlcd at tty rlbtnfis rnb rrrt 16rr rbr t ra prrrpo!. d dra,/{,hrg ts r'BMaad ofi(' ot tl{lrdarad qont or Do(rr, & t , srrtr of liorffr.
SIGNATURE:
Electlonlc Signature of Rsgistered Ag6d
Authorlzod Porson(3) Dolall :
Tid6 MGR
Name MAIRA. ROCAA
Address 405 WLLARD AVE
City€tate-Zp: LEHIGH ACRES FL 33972
Date
Titl6
Name
Addr6ss
City-SlateZp:
AMBR
YASMANI, BALCAZAR
405 WLLARD AVE
LEHIGH ACRES FL 33372
t,,,,€bv .'ttvthaa't h,ffir t t,r,Dd d d. try4q s*tr,1u rrya b ,r.D.rr.t ,rE.x.b ad n nv.,.cnd* *a.ntn rd h.yrt. en b.l cH a t n* 01t-o,dt; tt t t d. ns,,eto nn b.o't'Enq*ot dt W bbrry .,i,f,it dtr tr(toin.,dtr* c"pi,irna o.nq/t-orr,.por * rliraEcjiiL iii'ru,6. ol,t* rnatnd ny a.l', ar.j,/t, doo e, !/,t,,!,i,t9,O d odi. b c,leo*.t d,
SIGNATURE: MAIRA ROCA MGR O3tO1t2On
Electronic Signature ot Signing Authorizod person(s) Dotail Oate
8.F.1
Packet Pg. 273 Attachment: 8F YASMANI BALCAZAR VACA – REVIEW OF EXPERIENCE - INSULATION CONTRACTOR (BUILDINGS) - TAMIAMI INSULATION
I certit/ the attached is a true and correct copy of the Articles of organization of TAMIAMI
INSULATION LLC, a limited liability company organized under the laws of the state of Florida,
filed electronically on August 17 ,2O21 effective August 17 ,2021, as shown by tlre records of
this oflice.
I firrther certift that this is an electronically transmitted certificatc authorized by section 15. 16,
Florida Statutes, and authenticated by the code noted below.
The document number of this limited liability company is L21000169455.
Authentication Code: 210818100948-200371 8813 l2# I
Given under my hand and the
Great Seal ofthe State of Florida
at Tallahassee, the Capital, this the
Eighteenth day of Augus! 2021
statg tcnforitd
lDepartnwnt of Stdte
Whtfi-
Laurc[ {fr' Tct,$utelatq of Statt
8.F.1
Packet Pg. 274 Attachment: 8F YASMANI BALCAZAR VACA – REVIEW OF EXPERIENCE - INSULATION CONTRACTOR (BUILDINGS) - TAMIAMI INSULATION
State of tlorida
Department of State
I certifu from the records of tfiis offrce that TAMIAMI INSULATION LLC is a
limited liability company organized under the laws of the State of Florida, filed
on August 17,2021, effective August17,2021.
The document number of this limited liabiliry company is L21000369455.
I further certifu that said limited liability company has paid all fees due ttris
oflice through December 31, 2022, that its most recent annual report was filed
on March I,2022, and that its status is active.
Given under my hand and the
Great Seal of the Snu ol Florida
at Tallahassee, the Capital, this
the Firs, dsy of Mtrch, 2022
Trrcldrg Number: 6754872158CC
To luthenticste this c€rtificrte,visit thc following llte,enter this number. !trd therl
follow thc inJtructiors dilplayed.
https://services.sullbiz.org/Tlllngs/CertlticrteorstrturcertlficrteAuthelticrtion
Secraary ofSute
8.F.1
Packet Pg. 275 Attachment: 8F YASMANI BALCAZAR VACA – REVIEW OF EXPERIENCE - INSULATION CONTRACTOR (BUILDINGS) - TAMIAMI INSULATION
Electronic Articles of OrganizationForFlorida Limited Liability Company
Article I
The name ofthe Limited Liability Company is:
TAMLAIv{I INSILATION LLC
Article II
The street address of the principal offrce of the Limited Liability Company is:
405 WLLARD AVE
LEHIGH ACRES, FL, 33972
The mailing address of the Limited Liability Company- is:
405 WILLARD AVE
LEHIGH ACRES, FL. 33972
Article III
The name and Florida street address ofthe registered agent is
BALCAZAR YASMANI
405 WILLARD A\,'E
LEHIGH ACRES, FL. 33972
L21000369455
FILED 8:00 AMAuoust 17.2021
Sed. Of Stite
bjhayes
Having been named as registered agent and to accept service of process for lhe above stated lirnited
liabitity company at the place designated in ftis cerijficate, I herebv. accept flre €ppointnent as registered
agent and &gree to act in this oapadity. I further agree to comply *idr thd provisi<ins of all statute-s
relatrng to the- pnoper and oomplete performarce of my dutie{ and I arn familiar rvith and accept the
obllgatlons ol my posluon 8s regrstered agent.
Registered Agent Sigrature: YASMANI BALCAZAR
8.F.1
Packet Pg. 276 Attachment: 8F YASMANI BALCAZAR VACA – REVIEW OF EXPERIENCE - INSULATION CONTRACTOR (BUILDINGS) - TAMIAMI INSULATION
Article IY
The name and address of person(s) authorized to manage LLC:
Title: MGR
ROCA A MAIRA
405 WILLARD A\E
LEHIGH.A.CRES, FL. 33972
Title: A[{BR
BALCAZAR YASMANI
405 WII,LARD A\IE
LEHIGH ACRES, FL. 33972
Article V
The effective date for this Limited Liabitity Company shall be:
08/17/2A2t
Signature of member or an authorized representative
Electronic Signature: YASMANI BALCAZAR
I am the member or authorized representative submitting these Articles of Organization and aJlirm that the
facts stated herein are true. I am i.ware that false infonfration submitted in a ilocument to the Department
of State constitutes a-third deg:ee felony as provided for in s.817.155, F.S. I under$fand flre roquiremont tofile an annual report between-Juruan lltentt lvlay lst in the calendar"year following formatiori oTttii flC
and el'ery year thereafter 1o maintairi "active" statirs.
8.F.1
Packet Pg. 277 Attachment: 8F YASMANI BALCAZAR VACA – REVIEW OF EXPERIENCE - INSULATION CONTRACTOR (BUILDINGS) - TAMIAMI INSULATION
(IRS USE ONLY) 575G 09-L0-202t TAt{r 0 0509907504 SS-4
Keep this part fon youn necords.
ffi
,o2382
CP 575 G (Rev. l-2015)
Return this pgrt with any connespondenceso lre may identify youn account. Pleasecorract eny enrors in youn nE[!e on sddress.cP 575 G
050990750q
Your TelephonE Nunber Best Time to Call()p4IE 0F THIS N0TICE: 09-10-A0zr
EI,IPLOYER IDENTIFICATIOI{ NUI,IEER; 87 -?513683FoRl{ r Ss-4 Nonob'
II'ITERNAL REVE}IUE SERVICE
PHILADELPHIA PA I9255 - 0 023
TAI,IIAI{I INSULATION
YASIiIANI BALCAZAR SOLE HTR405 }'ILLARD AVE
LEHIGH ACRES FL 33972
lthrlll'lh1l'ltlllllhh1111lr1ll1l1llllllll;lsrlrlrrrrlllttll
8.F.1
Packet Pg. 278 Attachment: 8F YASMANI BALCAZAR VACA – REVIEW OF EXPERIENCE - INSULATION CONTRACTOR (BUILDINGS) - TAMIAMI INSULATION
DigiSign Verifred: 9ED5C6D4-58D74200-83D4-E9DCTDBFI 749
w-9
(R6v. Oclob.r 2018)
Dop.nmorl ol lh. Ttlsury
lnl6msl Ravanuo Scllcc
1 Nrrn. (es Bhown on yout Nam. is mquired on thb lin6: clc not
TAMIAMI INSULATION LLC
2 BGiness n m./dEr6ged.d mtlty nem., lt dffi.rlrlt Aom abow
7 Ust account numbc(s) her6 (opl
Enter your TIN ln the appropnato box. Th€ TIN provlded musl match the name givsn on line 1 to avoid
backup withholding. For lndlviduals, this Is g6n6rally your soclal security numb€r (SSN), Howovor, for q
r€sidenl alien, sole proprietor, or disregarded entity, see the lnltructions for Pai l. laler. For other
entati$, it ls your employer ldentillcatlon numb€r (ElN). lf you do not have a number, see Holv lo gel a
TlN,laler.
Nota: lf th€ accounl b in mole than one name, se€ the irElrucllon3 tor lin€ 1. Also se€ 144?a? Nam€ aad
tlumber To Give the Requestet for guidelln€s on whose number to enter.
Request for Taxpayer
ldentifi cation Number and Gedification
> Go lo ww t.its.govlFonnffglor ind/uotiona 6nd lhc lalrat intoinagon.
Givs Form lo tha
rsqusst.r. Do not
s€nd to the lRS.
oc
E:
o. .q
Io
u,
4 Er€mptioru (cod€s apCy only io
carlain 6ntitl€s, not individu8lsi s€€
iBtr!rc1ion! on pago 3):
Exsnpl paye€ code (if any)
Exempllon lrorn FATCA rcpodrng
cod. fif any)
,.rp.r 6-dd 'r&h,rddr,& h u.sJ
n6me and eddrGs (oplional)
or
Sign
Here
Slgn.tur. ot
u"s, paBon >DltG >
General lnstructions
Section relorences arE to the lnternal R6venu6 Codo unl6!3 othorwlso
noted.
Future developnront!. For th6 lat€st ir olmation about d6\6lopmont8
relatod to Form W-9 and its instructions, such a6 logialatlon onacled
aft6r th6y wore publishd,9o lo www.irs,govlFonnl /9.
Purpose of Form
An individual or entity (Fom W-g requ€stei who is requlred to tile an
intormation retum with the IRS musl oMain yol]l conect laxpaysr
id€ntification number mN) which may be your socialsecurlty number
(SSN), indlvidusl taxpayer identifcation number (TTIN), adoption
taxpayer ldenllfication number (ATIN), or €mploy€r identification numb6r
(ElN), to report on an infomalion Gturn the amount paid lo you, or oth6r
amount rcportabla on an ihlomallon ratum. Exampl* ol lhlormatlon
returns lnclude, but are nol llmhcd lo, the follo\ rlng.
. Form 1099-lNT (intcrost oamcd or pal4
3 Check approprieto box lor fed€ral tar( ddsfllcation of thc p€llon whose n*ne is entaied on lh€ 1 . Chack olrt ona ot the
ionowing gevon box€s.
E hdiriduay*t" p.pri"t ol. E c coootauon E s corporaton E p"rtn".!tip E rn]su""t r"
single-mamber LLC
E Li.n"a neb ity company. Enis lh€ tar dlssificltion (C-C clrpo6tlon. S-S cqpdstioh, P.Ptrlncrlhh) > S
t{or€: Ch€ck th. appoprlalo box in tha lin! lbot,t lor lho tar ch!.6cation ol lhr Jn0l€-m6flb!, otm.r. 0o not ch€ck
LLC if thc LLC is chsslfi€d a! a dngb,m.mb.. LLC thet b dbr.Oord€d rom tho owncr l,ll€G th. own.r of tho LLC i3
rnoth.r LLC thet b mt dbr€ardod iom lhc owflrr br U.S. furrd rar purp@3 olhctwlsc, a linglo-namber LLC
rs disloolrrdod aorn th6 owncr Bhould chGck th. rpproprl.t bot ,or the tax cle.sific.lion ol ns owi.r.
Oth6r (3.e insmrctiorE) >
@SCinsnrcttors.
405 Willard Ave
a City, stat6. and zlP code
Lehlgh Acres FL 33972
Identification NumberTPart I tIIl
id.ntifcrtion numb.r
8 7 2 3EEEET
Part ll
ronn W-9 6ev. toZotrl
Under p6naltles ol peiury, I certify that:
1. The number shown on this lorm i6 nry con€ct taxpayrr ldontillcation numbor (or I am waitlhg for E numbar to bo lssuod 1o m6); end
2. I am not subj.cl to backup withholdlng brcause (a) I am 6xompt ,rom backup withholdlng, or (b) I hav6 not b.an notifiod by th6 lnt.mal R.v€iue
S6rvic6 (lRS) that I am subicct to backup wtthholdlng as I rrsuh o, a fallur" to report all intercst or dtuldcnds, or (c) the lFlS has notifi€d me that I am
no longcr Bubjecl to backup wtthholdingi and
3. I am a U.S. cltazon or olher U.S. porson (d6tined below); and
4. The FATCA code(s) entered oh this lonn (rf an9 ihdicating lhat I am exempt trom FATCA reportlng is conect.
Codmcadon lnsbuouons. You must cross out itorn 2 abov6 lf you hav6 boei notiH by the IRS that you ar6 currsniy sublect to backup withholdlng bccau.e
you have failod to ropod all irterest and dMdo#s on yoor tax rctum. For rcal estate lransactlorB, ltem 2 do€s not apply. For moigagc intarest paid,
acquisition or abandonnrenl of s€cured property, cancellation ot debt, coniibutjons to an indMdual retirement arangcm.rt (lRA), aM gensally, paynents
other than intorest and divld€nds, you are not toquired to sign the certiicatlon, but you musl ppvide your conect TlN. S€e the instructids for Pafl ll, later.
. Form 1099-OlV (dlvldends, lncludlng tho6o lrom stocks or mduai
lunds)
. Form 1ogg-MISC (varlous typ6s ol lncom6, priz€s, aw6rds, or grcrs
procoeds)
. Form 10998 (81ock or mL.tual tund sal66 and c€rtaln oth€r
hansactlons by brok{s)
. Form 109$S hroceeds trom real 6tate transaclions)
. Form 1099K (mercharit card and lhird party netwo* transactlors)
. Form 1098 (home mortgEg€ int6rest), 109&E (studerd loan interest},
1 098-T (tuitlon)
. Form 1099-C (canceled debt)
. Form 1 099-A (acqul8itlon or abandorment ol s.cured properE/)
Us€ Form W-9 only lryou are a U.S, perBon (ncludlng a r6sld6it
ali€n), to provid6 your conect TlN.
ll you do not r.tun Fom W-g to th. ,.qur6tar whh e nN, you mlght
be subjecl to bach.tp witht o/di,ag. S6e Whal ls backup withholdlng,
latet.
L]_]
CaL No. 1m31X
8.F.1
Packet Pg. 279 Attachment: 8F YASMANI BALCAZAR VACA – REVIEW OF EXPERIENCE - INSULATION CONTRACTOR (BUILDINGS) - TAMIAMI INSULATION
c,Rft, ean*,ttt#..r\---;i*
Grorl/v{h f anagernent Depart;rEnt
Contractor Licensing
2800 N, Horseshoe Dr.
Naples. FL 34104
239-252-2400
APPLICATION FOR COLLiER CCLINIY CEkTIFICAIE OF COtvipETENCy
STATEMENT OF OWNERSHIP
This certifies that t,ASr,{Aji OtLOt am a member or managing
APPLICANT S NAME (pt€ase print)
member of
-.1--
/ afir i AMi TNSocorl onl LLQ
(LIMITED LIABILITY COMPANY NAME)
town l0O % 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 correctstatement to the best of my knowledge.
Yas rUal.J i tspl-aa.'zo.lZ
Applicant (please pnni)
AMl\lt4 I U,;alo/ LLq
Name of Cornpany
Signature of Applicant
Srate of _ County of_
The foregoing lnstrunlent was ackno\r.led
;i-, a"y or Nlcrrch .:o)2; uy
ged helble me by rn physical presence or E onlinc notarization on tbis
Such person(s) Notary Public mrrst check applicable box:
D are persomlly knoq-n to me E has ptoduced a current driver license
phas produccd 'bnvrr L 11 J,(* as iderrtilicarion
(Notary Scsl)
l!,rtary Signature
ar
;x:Nolery Pr,bllc SleIQ ol Flonda
Davd Virella
My Commtsson HH 001395
Erpres 05/19/2024
Firm_Applicalion.docx Rev 4/06t2020 page g of 1S
8.F.1
Packet Pg. 280 Attachment: 8F YASMANI BALCAZAR VACA – REVIEW OF EXPERIENCE - INSULATION CONTRACTOR (BUILDINGS) - TAMIAMI INSULATION
Dear Licensing Board
My Name is Yasmani Balcazar, l'm applying for a certificate of competency for the specialty trade of
lnsulation.
l'm certified through different insulation companies by recognized experts, I have attached copies for
your record, also you willfind copies of my past OSHA occupationalSafety and Health Trainings from
past years.
Please kindly accept this letter as a confirmation and verification of experience that l've been working as
an lnsulation lnstaller for over 8 Years in different States of USA.
I Thank you in advance forthe opportunity to serve the community and allow me to work on what I do
best which is to work in the insulation trade.
Kind Regards
Yasmani Balcazar
Under the penalties of perjury, I Yasmani Balcazar declare that I have
facts stated in it are true.
ment and the
'dN1]./\?4o.
Print Name
The fo regoing instrument was acknow
of 2O22by
Has produced Z.Dn;L/.P r'
Notary Signature
ledge me by means of physical presence on this
/icetnr,as
state of Fil"*,ntA countyof Ltc
!0,,
$8r ak Notary Pubiic State of Florrdaf B^81 David Virella*o"md Yl?':ru,tii#H ool 3ss
8.F.1
Packet Pg. 281 Attachment: 8F YASMANI BALCAZAR VACA – REVIEW OF EXPERIENCE - INSULATION CONTRACTOR (BUILDINGS) - TAMIAMI INSULATION
'f/aasa
@xpe
/tt rta(
e ie rtce
//c<e/' ,//ro1 ct7/<lit tls cu.rfErrtPrtt?ft "r)n l/ft Tenc/e l
OSHAffi 3&60144,6?4C :
This card acknowledges that the recipient has succ€ssfully comploted a
3O-hour Occupational Salety and Health Training Course in
Constructlon Safety and Health
Yasnuni Balcazar
(Peter*tce 97357 4lt1l20t7
Orainer nam€ - prinl or typs)(Eourse enO aate)
' -"2'-J
osHAm.
This cardackno]vledges that the recipient has successfully complBted a
1O-hour Occupational Safuty and H€atth Training Course in
Constructlon Salety and Health
Ynsmnni Balcazar
Jack Judge 9 t}4lt3
CfAilr rume - print or tvpe) tCou-rse ind ditcf
\- __
YASMANI BALCAZAR
LEVEL 1 CERTIFIED IRAININED
BY OWENS CORNING
Yosmani Bolcozar
Cert. 11139
I nstallation Specialist
unnw.icynene.com
ffi
;*iir,,[(YilE*E"
/ !ffi ".,*P \
\CERTIFIED ENERGYi
EXPERT'
lt
-: tt
I
.-,,1,:...
8.F.1
Packet Pg. 282 Attachment: 8F YASMANI BALCAZAR VACA – REVIEW OF EXPERIENCE - INSULATION CONTRACTOR (BUILDINGS) - TAMIAMI INSULATION
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.8.F.1Packet Pg. 284Attachment: 8F YASMANI BALCAZAR VACA – REVIEW OF EXPERIENCE - INSULATION CONTRACTOR
c,&*""Cotttlxy Contractor Licensing
28CC l.l. Horseshoe Dr.
Naplos, FL 34104
239-252-2400
Gro /th Managernert D(,l3attI .ont
APPLICATION FOR COt"IE'i {O(,}IIIY CEPTIFICITIT OF CO}V\PETENCY
AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER
STATE OF
COUNTY OF Lu
A r,t
I
having been first duly sworn, state and affirm:
Counly,rt r..t t <1 a- -2?(Slate) and have resided here for
more than five (5) years.
During the last five (5) years I have known (applicant). I have had the opportunity
to observe his or her business and personal dealings and find him or her to be a person of honesty, integrity and
I am a resident of
State of 1 /
/2,
0r //,nJ fe ,,2
Signature
eaaress: b-14 /efte
/xlul rW>t=/ 22i44
-Pdnt€d
Name
cl r/-
City State z'p
Telep non",)B€ 2?1 Z€ Z3
,/ c-Clounty of Lee
The forego;l.lg instmment \\,as ackno\a1ed !be ntcans ol'dphysical presence or D online notanzarion on dlis?o a^y .tl)lSyLL-.zo )),bv
Such penon(s) Norary Public rnust clrt'ck aprplicablc trox:
tr are pcrsoually knolvn lo !!)e ph:s produccri ir cunerrt driver liccuse
p has produced }\- os ir-ientiricali o
\ctrry Signarurc{.i^
Nolary Public SteE ot Fbfida
Davrd Vkella
My CommrlJo(l HH 001395
Expllor o5/198024
(\otary Seal)
Frrm_Applicattcn.docx Rev 4i 06/2020 paoe 13 o, 1s
{l"ni l^
I,
good character.
8.F.1
Packet Pg. 285 Attachment: 8F YASMANI BALCAZAR VACA – REVIEW OF EXPERIENCE - INSULATION CONTRACTOR (BUILDINGS) - TAMIAMI INSULATION
Co 7ev CounW
GroMh Managernent D€parttr€nt
Contmctor Licensing
2800 N. Horseshoe Dr.
Naplos, FL 34104
239-252-2400
APPLICATION FOR COLLIER i,:.',,, .*., :ERTIFICATE OF CO/VIPETENCY
AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER
STATE OF ELr.do
COUNTY OF L
, having been first duly sworn, slale and affirm:
I am a resident of od County,(State) and have resided here for
more than five (5) years.
During the last five (5) years I have known applicant). lhave had the opportunity
to observe his or her business and personal dealings and find him or her to be a person of honesty, integrity and
Signatu16
Printed Name
Address:
Street
h
Stale Zp
Telep non",9,9- .5A{@6-?
Starc of
The foregoing instmment was ackno$ lcdged before m!. by means ol presence or D online notariza on on this
.?oday or Maycl .zo 22.by A
Such person(s) Notary Public rnust chcck applicable box:
D arc personally known to rnc dhas prodrrced a cum:nt driver liccnse
pr'as proaucco fl-,--\gyq1-[ggX.1(--as identifi cation.
(Notiry Serl)
Notary Sigrrature
L
'#
Notary PubtE SEia d Flond.Uavd Virellt
tuly CommBeo.l HH OOt395crpr.s 05/19/2O2a
t,
//on'J.^
good character.
F lsri d a- countyor Lpa-
Firm_Application.docx Rev 4/06/2020 page 14 ot .1S
8.F.1
Packet Pg. 286 Attachment: 8F YASMANI BALCAZAR VACA – REVIEW OF EXPERIENCE - INSULATION CONTRACTOR (BUILDINGS) - TAMIAMI INSULATION
FLORIDA DEPARTMENT OF HIGHWAY SAFETY & MOTOR VEHICLES
DIVISION OF MOTORIST SERVICES
TEMPORARY DRIVING PE Florida
-lrrcqar'
DA'?IEN UCE}69
*o-&
aALcAaArt vACl,YA3l.l,rlrrai *!-LliD AY€
LEr{O}l lcRts. FL tdrr:
A*t-,
322{".-6
t
DL#: License Glass: E
Name: YASMANT BALCAZAR VACA
DOB: 09/02/1979 Gender: MALE
Address: 405 WILLARD AVE
City: LEHIGH ACRES State: FL
Height: 5' 11"
lssued: 0311112022 Expires: OSllllZOZz
Restrictions:
Endorsements:
Remarks:
By The Authority Of:
ROBERT R KYNOCH, DIRECTOR
DIVISION OF MOTORIST SERVICES
, iu 6fiUt!7t oa I
at* t?ttfifrEl nx' 3"ll'
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Zip: 3-tvir
Period: 60
:ja
,t'"{t&
A.uthorized
Form # N8421 12130014
ISSUANCE OFFICE: N84
25987 S TAMIAMITRL
BONITA SPRINGS, FL 34134
Signature )
PHOTOCOPIES ARE NOTVALID, MUST HAVE ORIGINAL SIGNATURES
[http : //vnwtv. fl h s mv. g ov]
4
8.F.1
Packet Pg. 287 Attachment: 8F YASMANI BALCAZAR VACA – REVIEW OF EXPERIENCE - INSULATION CONTRACTOR (BUILDINGS) - TAMIAMI INSULATION
ACORD'TAMIINS.Ol
CERTIFICATE OF LIABILITY INSURANCE DAII (I ]DOTYYYY)
3/3,|
THIS CERTIFICATE IS ISSUED A,s A ATTER OF INFORMAION OIILY A D CONFERS NO RIGHTS UPON THE CERTIFICATE HOLOER. THIS
CERNFICATE DOES NOT AFFIRIIATIVELY OR i{EGANVELY AIIEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE FOLICIESBELOW. THIS CERTIFICATE OF INSURAIICE DOES NOT CONSTTTUTE A COITRACT BETmEN THE |SSU|NG r{SURER(S), AUTHORTZED
REPRESEMTATTVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
AITOmONAL INSURED provlrlon. or b..ndoE d-
lclot mly rcqulle an andoE€manl A atrtarient on
ANT:
BROGATION
IMPORT thetf cortlffcat6 holder ants INSUADOITlONAL theRED must havepollcy(ioc)
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Ostrowakl
674-7636
ladandswank.com
INSURER{S ) AFFORDING COVERAGE NAIC'
PRODUCER
Goodhd t Swtnk ln.urrnor, LLC.
702 Leeland Helohts Blvd w
Lohlsh AclE!, Ff 33936
674-7630
^: Frank Vylnston Crum
INSURER B
11600
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INSURER E:
Trmhml lntul.tlon LLc
/O5 Wlhrd AY!
L.hlgh AcGt, FL 33S72
l !UREO
B
THAT HAVE
CATE
HAVE
THI s TO CERTIFY OFPOLTCtES LISTEDINSURANCE BELOW BEEN TOISSUED THE NSURED NAMED FORABOVE POLICYTHE PERIODTEDINDICAOTWITHNSTANDINGTERMOROFCONDITIONCONTRACTANYOTHERORDOCUMENTTORESPECITHISWHICH
AE ISSUEDCERTIFI THE UtNs RANCE BY OESCRIBEDPOLICIES EREH IN TOSUBJECT THEALL TERMS,USIONSEXCL D DITIONScoN SUCH LI[JPOLtCtES.SHITS owN BEEN AYREOUCED PAID CLAIMS
INSR
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Colll€r County ContEclor Llconrlng Bolrd
2800 Nortft HoB..hos Drlve
NrploE, FL 34104
SHOULO AI{Y OF THE AEOVE OESCRIBED POUCIES BE CAI{CELLEO BEFORETHE EXPIRAIO DATE TTIEREOF, }IOTICE wlLL BE DELA'ERED INACCORDAiICE WTH THE POLICY PROVIStr)iIS.
AUTXORIZEO TEPREIEiITAT'VE
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8.F.1
Packet Pg. 288 Attachment: 8F YASMANI BALCAZAR VACA – REVIEW OF EXPERIENCE - INSULATION CONTRACTOR (BUILDINGS) - TAMIAMI INSULATION
JIMMY PATRONIS
CHIEF FINANCIAL OFFICER STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SERVICES
D]V|SION OF WORKERS' COMPENSATION
.. CERTIFICATE OF ELECTION TO BE EXEMPT FRO]U FLORIDA WORKERS' COTPENSATION LAW'*
CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the individual listed below has elected lo be oxempt from Florida Workers' Compensalion law.
EFFECTIVE DATET 312?J2022 EXptRATtOt{ DAfE: 3t21t2O24
PERSON: YASMANI BALCAZAR EMATL: |NSULATIONTAM|AM|@GMAIL.COM
FEIN: 872513683
BUSINESS NAME AND ADORESS:
TAMIAMI INSULATION LLC
405 WILLARD AVE
LEHIGH ACRES, F|.33S72
SCOPE OF BUSINESS OR TRADE:
lnsuletion wo Noc and
DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVTSED 08-13 EO15O7U2 QUESTTONS? (850) 413-1609
IMPoRTANTi Pu.luant to subsodon 440.05(14), F.s., an offc6r of a co@oratlon who 6l6cB oxomptton from thls chapt€r by filing a ceruficate of ol€cdon undert l rccti:n JnEy n9t racovcr bcncfits or cornpcnsetlon uidcr thls chapt6r. Pursu.nt lo sub6€c{on 4i0.og(12), F.s., C;r0tl;tca oiJcanoo to ue excmp,r rsucaunoor.subcoclion (3) shall apply onty to tho corporatg oficor nam6d on the nolics of elecdon io be ex€{ipt aM eppty only whhin th6 scop€ of ihe bus gsa orh.dc ll8ted on lh! nollce ol6lcctoi lo b6 6xcmpt. Pursuant to sub..ction 140.05(13), F.s., noucas ot etircdon rd cxJ,lprina ccancatas ot etecton to tcexompt shan bo subject to r6vocaton if, at any tim€ afror tho filing of ho notco or lho issuanc€ ol th6 cerlifcate. the persoi nameO oo tre noUco or ce*ncateno longor nEotB the rcqulromonts of thb 66ctlon for i6susn6 of a cartillcat6. Th6 deparlment shalt revoke a cerfltcaie at any tinr Or faUre of tte peraonnam€d on th6 codificale to mast ths r€qulaemonts of lhi6 seciion.
8.F.1
Packet Pg. 289 Attachment: 8F YASMANI BALCAZAR VACA – REVIEW OF EXPERIENCE - INSULATION CONTRACTOR (BUILDINGS) - TAMIAMI INSULATION
vcocounr,
*,rHt".
**r, o"oa
WW6,*,,,,7
Local Business Tax Receipt
TAMIAMI INSULATION IIC
TAMIAMI INSULATION LLC
405 WILLARD AVE
IEHIGH ACRES, FL 339?2
Dear Business Owner:
Your 2O2l - 2022 Lee County local Business Tax Receipt is attached below for account number / rcceipt:
number: 107842:t I 2Z0tB43
Ifthere is a change in one ofthe following refer to the instructions on the back of this receipt.. BusiDess nameo Ownershipe Physical location. Busincss closed
This is not a bill. Detach the bottom portion and display in a public Iocation
I hope you have a successful ycar.
Sincerely,
Jr
Lee County Tax Collector
Account Numberz lO1E423
Receipt Number: 2201843
Locedor:
405 WILLARD AYE
LEHIGH ACRES, FL 33972
TAMIAMI INSULATTON LLC
TAMIAMI INSULATION LLC
405 WILLARD AVE
LEHIGH ACRES, FL 33972
2021-2022
LEE COUNTY LOCAL BUSINESS TAX RECEIPT
Account Expircs: September 30, 20i12
Mry cngrBc in thc busilcss of
MISCELL{I\EOUS MAINTENANCE OR REPAIR
TIIIS LOCAL BUSINESS IAX RECEIPT IS NON REGULATORY
Paymcnt Information:
PAID S 1,1-00-00058?36 BD3n02,
s63.50
8.F.1
Packet Pg. 290 Attachment: 8F YASMANI BALCAZAR VACA – REVIEW OF EXPERIENCE - INSULATION CONTRACTOR (BUILDINGS) - TAMIAMI INSULATION
04/20/2022
COLLIER COUNTY
Contractor Licensing Board
Item Number: 8.G
Item Summary: DUNIEL M. BUSTO – WAIVER OF TESTING - SWIMMING POOL
CLEANING ONLY CONTRACTOR - POOL MD, INC.
Meeting Date: 04/20/2022
Prepared by:
Title: – Contractor Licensing
Name: Sandra Delgado
04/13/2022 4:16 PM
Submitted by:
Title: – Contractor Licensing
Name: Tim Crotts
04/13/2022 4:16 PM
Approved By:
Review:
Contractor Licensing Trish Morgan Review item Completed 04/13/2022 4:37 PM
Contractor Licensing Sandra Delgado Review item Completed 04/13/2022 5:36 PM
Contractor Licensing Tim Crotts Review Item Completed 04/14/2022 11:43 AM
Contractor Licensing Tim Crotts Meeting Pending 04/20/2022 9:00 AM
8.G
Packet Pg. 291
Covt*txy
Growth Management Department
Contractor Licensing
2800 N. Horseshoe Dr.
Naples, FL 34104
Phone - 239-252-2431
Fax - 239-252-2465
APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY
FIRM APPLICATION FOR COTLIER COUNTY
CERTIFICATE OF COMPETENCY
This application must be typewritten or legibly printed. The ap fee must be paid upon
refundable. All checks should be made payable lo'. Collier County Board of County Commissioners.
information, consult Collier County Ordinance No. 2006-46, as amended.
is NOT
further
TYPE OF CERTIFICATE OF COMPETENCY:
E General
tr Building
tr Residential
tr Mechanical
D Roofing
tr Electrician
tr Plumber
tr Air Conditioner
tr Swimming Pool
Dspecialty
Porrl gA cleopt*g rt*tllSpecialty Trade:
$230.00
$230.00
$230.00
$230.00
$230.00
3, trh r,^ I
^/
(
$230.00
$230.00
$230.00
$230.00
$205.00
J-----------1-
I. APPLICANT PERSONAL INFORMATION:
Name:v^r t(, \B* lo
Lastrstt\zliddle lnitial
Business Name D/L
Address:OLo &a"l 6ko 5 ,A)lrS Jj lt
zipStreetCityState
Email 4\l \. ca
Telephone:0h tJoq-r,oul,.SS # (Last 4 digits only)(?Ll>c1
Date of Birth: O U- 9b - 9},Driver's License # (Last 4 digits only):Eoao
'Pursuant 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 hlstory,
b) Verification of applicant's test scores and information. Our office will only use your SSN noted above Ior those reasons pursuant to Chapter l-19,
Florida Statutes, and as may otherwise be authorized by law, We are fully committed to safe-guardint and protecting your SSN and once collected, will
be maintained as confidential and exempt under Chapter l-19, Florida Statutes,
D
Firm_Application.docx Rev 410612020 Page 3 of 15
6?ot53 tCLZOtz-tzq b
Po,t
8.G.1
Packet Pg. 292 Attachment: 8G DUNIEL M. BUSTO – WAIVER OF TESTING - SWIMMING POOL CLEANING ONLY CONTRACTOR - POOL MD, INC. (21964 :
3/7/2022
Re: Meeting Request
Dear Board Members
On behalf of Pool MD lnc. located in Collier County, I am requesting an opportunity to appear at the next
available meeting.
I shall appear and request exemption of the business and law test allowing me to re-activate my
business license. My license unknowingly expired back in 2016, however I have never stopped operating
and servicing my customers since. Yearly taxes, continuous General liability coverage, current
continuous business tax renewal, and no complaints are some items that would prove such.
On February 11th I was cited due to an expired swimming pool license. lt was then lfound out it had
expired.
Respectfully,
Duniel Busto
Pool MD lnc.
{ili.8[[!'frlluz
The
ine
Notary
Personally Known
--Type of ldentfication Prod
oR Produced ldentification,""o Sl
+.fL'.:-%
LWu
AtYsHtA oRSE
Com..lon,HHl0o5l1
EIplI.o 0dobor25,2026
&ia.C th tudFa Lo:raitc..
war acknovi,ledgod before me bY
8.G.1
Packet Pg. 293 Attachment: 8G DUNIEL M. BUSTO – WAIVER OF TESTING - SWIMMING POOL CLEANING ONLY CONTRACTOR - POOL MD, INC. (21964 :
r.o,z.v.r. .swimmirg PooVSpa Servicing Contractor reguires twenty-four (24) months
exporieuce with.a passing grade on a t*e{3}*e*r business and law Gst and means any person
whose scope of work lncludes servicing or water tr"etrnont of any publio or private swimmlng
pool,. hot tub or spa,. and, s'ubjeot to Section 487.0437, Florida Stat.utes, may include ditqct
infusion of cNorine gas, Thcse conUactors may disassemble equipmont ponnaneatly attaohed to
or. associated witlt tho respective pool or spa fol the puryose of. water tr€atmeirt or cleaning the
pool or spa.
8.G.1
Packet Pg. 294 Attachment: 8G DUNIEL M. BUSTO – WAIVER OF TESTING - SWIMMING POOL CLEANING ONLY CONTRACTOR - POOL MD, INC. (21964 :
6lG4-15.006 Financial Responsibility and Financial Stability, Grounds for Denial.
(l) The financial responsibility ground on which the Board shall refuse to qualify an applicant is failure to provide a current
consumer credit report, as defined in Rule 6lc4-12.0'll , F.A.c., which consumer credit report does not disclose any unsatisfied
judgments or liens against the applicant. In addition, there must not be any unsatisfied judgments or liens against the business entity
which the applicant previously qualified as a primary qualifier or which the applicant has applied to qualify'
(2) The financial stability ground on which the Board shall refuse to qualifu an applicant is failure to provide proof of either a
financial stability bond or an irrevocable letter of credit from a bank authorized to do business in the State of Florida. The bond or
letter of credit must be in a form acceptable to the Board and must remain in effect until the applicant can demonstrate a credit score,
FICS derived, of 660 or higher, and must be payable as provided in Rule 6lG4-15.0021, F.A'c., for Financially Responsible
Officers in the amount of:
(a) $20,000 for Division I applicants.
(b) $10,000 for Division II applicants.
(3) Fifty percent of the financial stability bond or the letter of credit requirement may be met by completion of a l4-hour
financial responsibility course approved by the Board.
(4) An applicant may meet both the financial responsibility and financial stability requirements by providing proof of a current
consumer credit report, as defined in Rule 6lG4-12.011, F.A.c, with a credit score, Flco derived, of 660 or higher, which consumer
credit report does not disclose any unsatisfied judgments or liens against the applicant. In addition, there must not be any unsatisfied
judgments or liens against the business entity which the applicant previously qualified as a primary qualifier or which the applicant
has applied to qualifY.
Specific Authority 4B9.lt5(5), (6) FS. Law Implemented 48g.tt5(5), (6) FS. History'New 1-6-80, Amended 5-4-80, Formerly 2lLl506' 2lE-
15.006, Amended l0-31-96, I l-13-97' 2-12-08.
8.G.1
Packet Pg. 295 Attachment: 8G DUNIEL M. BUSTO – WAIVER OF TESTING - SWIMMING POOL CLEANING ONLY CONTRACTOR - POOL MD, INC. (21964 :
Cov*rty
Growth [Vlanagement Department
Contractor Licensing
2800 N. Horseshoe Dr.
Naples, FL34104
Phone - 239-252-2431
Fax - 239-252-2469
APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY
Provide the names and telephone numbers of two persons who will always know your whereabouts.
Name:'fl ayt rr,5V C ttba<irnnr)4
Telep h"^" )iq bq> -o57Ll >>q 7)Y -ots3Tel
II. NAME OF APPLICANT'S BUSINESS:
Business Name Q uri r"o tNL
Business Address
Telephone
Email:
LDo 8tv u iJ {+iCS
City
3L
State
l)
7ipStreet
OJ ,rt a
Federal lD Tax No.Z,o'ofiilbq\
III. FINANCIAL RESPONSIBILITY
NOTE. lf you have answer YES to 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 conviction, 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?
x Had a lien filed against you by the lnternal Revenue Service or Florida Corporate Tax Division?
X Undertaken construction contracts orwork that resulted in liens, suits, or judgments being filed?
X
Undertaken construction contracts or work that a third party, such as a bonding or surety company,
completed or made financial statements on?
x 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?'
r Had claims or lawsuits filed for unpaid or past due accounts by your creditors as a result of
construction experience?
D{b
\d5
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?
Firm_Application.docx Rev 410612020 Page 4 of 15
t)51 I t{o\-r,ot tz
8.G.1
Packet Pg. 296 Attachment: 8G DUNIEL M. BUSTO – WAIVER OF TESTING - SWIMMING POOL CLEANING ONLY CONTRACTOR - POOL MD, INC. (21964 :
f/ichrl,ln ?
?*"etwJ *\/\(-
[ott \c\ trn Apg
\. [^" cil*ic'r {o
be qt"J*J
A rrecreiwd',[
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1,2 48 4COLLIER COUNTY -
GROWTH T'ANAGEiIENT DIVISION
pursuf,nt to *ction ,rn ,r.n* ,r".r*ffi$* hcrebr cerritics ti.* upon pcnonal
inycstigatior, hc/rhe har rrasonable and protrable gnrunds to be[re that the perur wlrose
nm.appear! belorr a: rt\!rd to, diJ riolrte subr((tion 489.11:,ilt. l-'L'rida Statua, and tht
Collrtr Countr (-on!r.rli)ri Li"ensing ()rdinan.r, No. 2O{}6-.t6 ins ma!.bc rrncrrdedl b;
committins thc violeti(xr stated h€low.
lssued To
Address A2O 46t*.-, 8.rO f
,rrr ^ '"rEJ ou, f- *3/tt?
Yehicle l{ake/Trpe ( if applicable)Tag No.
Location ofViolation
OPTIONS
I have been informed ofthe riolation ftrr which I hare been charged and eloct the
following option (Check one)
t) E I choo*top ny,t, prnary utS /44 O'
2) [ t chm* nor to pJy th€ F€nalrr'. and uill rmucst in writins ]
delivay an Adniinistmtivc Heirhg bcfore tlc ContractorYs
C,\
hand
Description of Violation Date \tolation
a) E falsel). h"ld self or business organization out as a licensee,
or regislrant;
b) Q Falscly impersonate a certificate holder or registrant;
c) ftPresent as his/her own the certificate or registration ofanother;
d) E Kno*'inglv give false or forged eridence to the Board or a member thereof;
e) EUsr or attempl t() us€ a certificate or regigqtion whrch has been suspended
,rtXr2nl!;f*#,tm,rffi:,,{*4r,r,r#kSi'uirg/ or busincss organization as arrailable to engage in the btrsiness or act in the
capeciq'ofa contractor --ithour being dul,v registered or certified;
g) EOperate a busincss organization engaged in contratting after (60) days;
h) [Oommence or perform work for which a building permit is required
pursuant to an adopted state minimum building code or u.ithout such permit
being in clfect;
i) nlvillfully or delihcrately disregard crr violde any Collier County ordinance
rel.rting to uncertified or unregislered contractors.
A person or business organization operating on an inactiye or
or or operating be_r'ond the *:ope of u'ork or
not duly certified or registered.
(INVESTIG.ITTOR}
b
PzuN'l' (REC I PIENTS N,{vlE)PRINT (INVESTIGATORS NA}IE)
Pursuant to 489.127, !'lorida Statues, willful refusal to sign and accePt this citalion
€onstitutes a nridemeanor ofthe second degrr'e, punishable as provided in section
773.082 or 775.083 Florida Statutes.
st
nfo
(SEE RE\TERSE FOR INSTRUCTIONS)
"knA d-/*^"," 4*
COt I.IER COUNTY CONTRACTORS I ICEI{ TI
I )av t/a3 ./1
'o fiJt fia4a f)ltr trl4,,
)tar
lcolor
8.G.1
Packet Pg. 297 Attachment: 8G DUNIEL M. BUSTO – WAIVER OF TESTING - SWIMMING POOL CLEANING ONLY CONTRACTOR - POOL MD, INC. (21964 :
Covrtxy
Growth Management DePa(ment
Contractor Licensing
2800 N. Horseshoe Dr.
Naples, FL 34104
Phone - 239-252-2431
Fax - 239-252-2469
APPLICATION FOR COLLIER COUNTY CERTIFIC,A'TE OF COMPETENCY
IV. EXPERIENCEVERIFICATION
EDUCATION:
List below and provide transcripts for any formal education you have obtained in the area of competency for which
this application is being made:
List below non formal education (on the job training) you have obtained in the area of competency for which this
application is being made:
/N b ust/v(<5 StuLt )b
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'
AFFIDAVIT
Under the penalties of perjury, I declare that I have read the foregoing applicatio and the facts stated in it are
true.
bvr.wl 8n&;
Applicant (please print)of
or E online notarization on this
state or € l*r'lA e,ll; ,rCounty of
betbre me bv means of
\)u n-,= | {n
Such person(s) Notary Public mr.rst check applicable box:
! are personally known to rne K prrau"ed a current driver license
LL as identification.f) has produced
(Notary Seal)
Notary Signature:
Firm_Application.docx Rev 410612020 Page 5 of 15
8.G.1
Packet Pg. 298 Attachment: 8G DUNIEL M. BUSTO – WAIVER OF TESTING - SWIMMING POOL CLEANING ONLY CONTRACTOR - POOL MD, INC. (21964 :
-ric,&ff.,Cowntll Contractor Licensing
2800 N. Horseshoe Dr.
Naples, FL 34104
Phone - 239-252-2431
Fax - 239-252-2465
Growth Management Department
APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY
CERTIFICATION OF APPT!CAT!ON
The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County
No. 2006-46, as amended, and under penalties of perjury. I declare that I have read the foregoing qualifier
information and that the facts stated in it are true.
The undersigned hereby certifies that he is legally qualified to act on behalf of the business organization sought to
be licensed in all matters connected with its contracting business and that he has full authority to supervise
construction undertaken by himself or such business or organization and that he will continue during this registration
to be able to so bind said business organization. The qualified license holder understands that in all contracting
matters, he/she will be held strictly accountable for any and all activities involving his license.
Any willful falsification of any information contained herein is grounds for disqualification.
D, n,,c t B us L.>
Applicant (please print
?a,t\ f,^D t,ttL
Name of Company
Signature of Applica
State of f ttlZrnH County of Co\\fY
The tbregoing instrument was acknowledged betbre me by means of d physical presence or E online notarization on this
?t\ auy or lrJbvcYr ,20 JJ- , by \mrr\ a6\b
Such person(s) Notary Public must check applicable box:
E are personally known to me J hu. p.o,lr"ed a current driver license
E has produced as identification,
(Notary Seal)
Notary Signature
REZ
|'{oley Put/r. Stal€ ol Flo{ic.
Cornmissio.l No. HH 3;I05
Comnrisinr E r;rris 0E/30i ?(t2l..1
Firm_Application.docx Rev 410612020 Page 6 of '1 5
8.G.1
Packet Pg. 299 Attachment: 8G DUNIEL M. BUSTO – WAIVER OF TESTING - SWIMMING POOL CLEANING ONLY CONTRACTOR - POOL MD, INC. (21964 :
Cav**y
Growth Management Depadment
Contractor Licensing
2800 N. Horseshoe Dr.
Naples, FL 34104
Phone - 239-252-2431
Fax - 239-252-2465
APPLICAIION FOR COLLIER COUNTY CTRTITICATE OF COMPETENCY
WORKMEN'5 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 all times effective Workmen's Compensation lnsurance it will result in the possible revocation
of my Certificate of Competency.
Drn,,e l. t3.,'1\'>
Applicant (please print
OJ \) t /wC
Name of
Signature of nt
BEFORE ME this day personally appeared ),r,t [ $us]a 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.
State of tov'o\County "f 0s\Rr
The foregoing instrument was acknow before me by means of I physical presence or ! online notarization on this
6-auv of hiuTch ,2 otl- , by
Such person(s) Notary Public must check applicable box:
I
E are personally known to me M has produced a current driver license
E has produced
(Notary Seal)
as identification
Notary Signature{&.T Irrora-y Fublic. stale d Flcdd0
Cornmision Nc Hil 37705
Cornnrrssion Exores 0&3C/2021
Firm_Application.docx Rev 4106/2020 Page 7 of 15
8.G.1
Packet Pg. 300 Attachment: 8G DUNIEL M. BUSTO – WAIVER OF TESTING - SWIMMING POOL CLEANING ONLY CONTRACTOR - POOL MD, INC. (21964 :
Qualifier Exam per Qualifier lD
EXAM SCOREIKEYEXAM DETAILS EXAM LOCATION EXAM DATE
22066 F1OO1O-BUSINESS&LAW 86.00 NAPLES 7t21t2007
8.G.1
Packet Pg. 301 Attachment: 8G DUNIEL M. BUSTO – WAIVER OF TESTING - SWIMMING POOL CLEANING ONLY
SPONSOR
COLLIER COUNTY
8.G.1
Packet Pg. 302 Attachment: 8G DUNIEL M. BUSTO – WAIVER OF TESTING - SWIMMING POOL CLEANING ONLY
279LL Crown Lake Blvd Suite #5
Bonita Springs, Ft 34135
Phone: 239.777.1028
Fax: 877.275.3593
www. LicensesEtc.com
PERSONAL CREDIT REPCRI (Compiled From National Records)
<FOR> <SUB NAME>
(I) P NP7771028 LICENSES ETC
<SUBJECT>
BUSTO, DUNIEL M.
<CURRENT ADDRESS>
420 LOGAN BL., NAPLES EL. 341,79
<FORMER ADDRESS>
6175 ENGLISH OAKS LN., NAPLES FL.
6217 ENGLTSH OAKS LN., NAPLES FL.
<CURRENT EMPLOYER AND ADDRESS>
MEDITERRANEAN MARBLE INC
<MKT SUB>
16 NP
<INF]LE>
Lt/07
<DATE>
03/03/22
<TIME>
09:44CT
34719
34719
<SSN>
<VERE>
1/01
<BIRTH DATE>
6429 6/83
<DATE RPTD>
e/0'7
8/05
5/05
<RPTD>
'7/01
<PORMER EMPLOYER AND ADDRESS>
HOME DEPOT
B/04
MODEL PROFILE
***EICO SCORE 8: NOT SCORED: INSUFFICIENT CIIEDIT***
PUBLIC RECORDS HAVE BEEN SEARCHED AT THE COUNW, STATE AND FEDERAT LEVELS - NONE FOUND
TRADES
SUBNAME SUBCODE OPENED HIGHCRED TERMS
ACCOUNT# VERFIED CREDLTM PASTDUE
ECOA COLLATRL/LOANTYPE CLSD/PD BALANCE REMARKS
NAVTENT V 6372060 8/04 $1950 066M
8/t1A $0
] STUDENT LOAN B/7'7C $O TRNSERD:
MAXDELQ
AMT-MOP
tL/ t6
05 11
OTHER LENDER 14
PAYPAT 1-12 MOP
PAYPAT 13_24
Mo 30/ 60/90
555555555411 r05
0/ 0/70
NAVTENT V 6372060 B/04 $1550
8/t7A
I STUDENT.LOAN B/71C $O
tt/16 555555555411
05 11
OTHER LENDER 14 O/ O/
066M
$o
TRNSFRD
r05
10
NAVIENT V 6312060 LO/03
8/17A
I STUDENT LOAN 8/I7C
B/A1
8/2tA
8/2LC
8/01
4/tgA
4/t9C
$262s
$0
$285K
$0
$21 2R
$o
066M
$0
TRNSFRD:
552M
$o
TRNSFRD:
552M
$0
TRNSFRD:
t7/16 555555555411 r05
05 11
OTHER LENDER 14 O/ O/LO
111 111111111 M01
111111111111
OTHER LENDER 51 O/ O/ O
111 111111111 M01
111111111111
OTHER LENDER 71 O/ O/ O
LOANCARE B 46QPO31
] CONV R.E MORTGAGE
DITECH F 119OOO1
] CONV R.E MORTGAGE
rNQu
DATE
IRIES
SUBCODE SUBNAME TYPE AMOUNT
Page 1 of 2
t
8.G.1
Packet Pg. 303 Attachment: 8G DUNIEL M. BUSTO – WAIVER OF TESTING - SWIMMING POOL CLEANING ONLY CONTRACTOR - POOL MD, INC. (21964 :
3/03/22
8/01 /2t
2/26/2t
PNP7717O2B(FLA)
FHO5746412(SCT)
FLA2922923 (CAL)
LICENSES ETC
CROSSCOUNTRY
NEW AMERICAN
END OF REPORT
Page 2 of 2
8.G.1
Packet Pg. 304 Attachment: 8G DUNIEL M. BUSTO – WAIVER OF TESTING - SWIMMING POOL CLEANING ONLY CONTRACTOR - POOL MD, INC. (21964 :
27911Crown Lake Blvd Suite # 211
Bonita Springs, FL 34135
Phone: 239.777,LO28
Fax: 877.275.3593
www.LicensesEtc.com
BUSINESS CREDIT REPORT
Pool MD, Inc.
as of: O3 22 1O:5O ET
Fed Tax ID# 80-0881694
President: Daniel M Busto
President: Mayensy Cubas
Director: Alejandro Cubas
8010-Doctors Of Medicine,
Offices & Clinics
627777-Offices Of
Physicians (Except
Mental Health
Specialists)
ress:
Experian BIN:
420 Logan BLVD S
Naples, FL 34119-2804
United States
239-404-6066
967251906
Busto Duniel M
420 Logan BLVD S
Naples, FL
Key Personnel:
honeP
Agent:
Code:src
NAICS Code:
Agent Address:
Business Type:Corporatlon
Experian File
Established:
January 2013
Experian Years on 9 Years
File:
Years in Business: More than 9 Years
Filing Data Provided Florida
by:
Date of I ncorporatio n: 07 / 07 I 201,3
PUBLIC RECORDS HAVE BEEN SEARCHED AT THE COUNTY, STATE AND FEDERAL LEVELS
d'Bankruptcies:
Liens:
E Judgments Filed:
/collections:
0
0
0
0
Page 1 of 2
Public Records
8.G.1
Packet Pg. 305 Attachment: 8G DUNIEL M. BUSTO – WAIVER OF TESTING - SWIMMING POOL CLEANING ONLY CONTRACTOR - POOL MD, INC. (21964 :
Date:
Owner;
Filing Location:
Legal Type:
Legal Action:
Document Number
Liability Amount:
Description:
08/22/2079
State of Florida
Collier County Circuit Court
State Tax
Released
57s6439
ss96
Other Tax
END OF REPORT
Page 2 of 2
Tax Lien Filings
8.G.1
Packet Pg. 306 Attachment: 8G DUNIEL M. BUSTO – WAIVER OF TESTING - SWIMMING POOL CLEANING ONLY CONTRACTOR - POOL MD, INC. (21964 :
DtvrsroN oF CoRPoRATIoNS
/
f )rr.f-y{ti,*i*'!' Jl-tt t ")
Depjrtntgt]lglsGle / Division of Coraglalsttg / Search Records / Search byldily-Nenoe /
Detail by EntitY Name
Florida Profi t CorPoration
POOL MD, INC.
Filing lnformation
Document Number P'I3000001776
FEI/EIN Number 80-0881694
Date Filed 0110712013
Effective Date 01/06/2013
State FL
StAtUS ACTIVE
LastEvent AMENDMENT
Event Date Filed 0311112013
Event Effective Date NONE
Principa!-Al<sss
420 LOGAN BLVD S
NAPLES, FL 34119
Mailing Address
420 LOGAN BLVD S
NAPLES, FL 34'I'I9
Registered Agent Name & Address
BUSTO, DUNIEL M
420 LOGAN BLVD S
NAPLES, FL 341'I9
Officer/Director Detail
Name & Address
Title P
BUSTO, DUNIEL M
420 LOGAN BLVD S
NAPLES, FL 34119
Annual Repqf,ts
Report Year
201 9
2020
Filed Date
0412412019
0611412020
8.G.1
Packet Pg. 307 Attachment: 8G DUNIEL M. BUSTO – WAIVER OF TESTING - SWIMMING POOL CLEANING ONLY CONTRACTOR - POOL MD, INC. (21964 :
Electronic Articles of Incorporation
For
POOL IVID. INC
'fhe unclersignecl incorporator. tbr the purpqse ol ton3rng a- Florida
;;;rrii ;;,lrr-riation, h,-rebv ack'rpts the loilor,vir-rg Articles of Incorporation
Article I
The natne clf the ocl4lclration is:
POOL lvtD. INC.
P1 3000001 776
FILED
Januarv 07, 2013
Sec. OfState
tburch
Article II
The prurcipal plaoe qf'business acldress:
420 LOGAN BI-VD S
Nr\PLES. FI,. 34I19
fhe niailing address ol'the coqlortltton ts
420 L,OC}AN BI,\'I) S
NAPI-ES. FL. 34I19
Article III
T'l-re purpt'rse ltrr rvhicfi tl-ris corporatitlu is orgalized is:
ANY AND ,\1,1, I,A\\IFIJL, I]LISINF,SS.
Article IV
f'he nuntber of shares the corporation is authorized to issue is
100
Article V
The nanc anr] Floricla street adclress of the registered agent is
DL NI|,1. N{ l}L'S'l'o
420 I,oGAN BI,\'D S
NAPI,E,S. I;I, 34II9
I r;ertify that I ant liuuiliar rvith itncl aoocpt the responsibilities tif
registcred aplcnt
Itegisterecl :\g,ettl Sigttaltrre: I)l lNIIrl' I][ rS'fO
8.G.1
Packet Pg. 308 Attachment: 8G DUNIEL M. BUSTO – WAIVER OF TESTING - SWIMMING POOL CLEANING ONLY CONTRACTOR - POOL MD, INC. (21964 :
P1 3000001776
5lt"=u?,, 07 ,2013
Sec. OfState
tburchArticle VI
'fhe naure ancl address of the iucorporator is
DTNIEL BLJSTO
420 I-OGT\N BI-VD S
NAPLES.FL 341I9
[:,lectronic Signattrre olltlcorporator: DLINIIIl- RLTSTO
I a,r t5e i,c.rporat.r subrnitting these Articles of Incorporation ancl aflimr that the facts stated herein are
n.ue r arlr awar.e o,,rriiiilJiiiiti,iit.,i;iiffiit;a;i;.ffiii,',-rfio-tire Depzutnettt oistate constittttes a
r'irdclcsrcelblo*v^ipi:n"l,i.j,r.torinr8i7.i'i-{'F:bl i;i,ir,liianclthcrcclttirentetttlot'ileauatutual report
bcr*,ecri.rarluarr, r *'i,ii'itio',,Y'i;;'i,i'id;;Li"i,ini r"i,i firil,li-;i.g iiin,rariori of this corp.raliott attd everr'
i.n'l iri.i.,,tt*r io rrtailttain "rictivc" stattts'
Article VII
Ihe initial ofticerls) ancl/c-rr clirector(s) of the cqrpqration is/are:
Title: P
N,{AYENSY CLIBAS
420 LOG,,\N BL\TD
NAPI.ES. ITL 3.I1I9
T'itle: \i P
DLINlEt. \'{ lll is'fO
420 I-OGAN BI-VD S
NAPL,ES. I:t,. 34I I9
Article VIII
"l'he etfective clate lbr this corporatior-r sl"rall be:
01r0(r;2013
8.G.1
Packet Pg. 309 Attachment: 8G DUNIEL M. BUSTO – WAIVER OF TESTING - SWIMMING POOL CLEANING ONLY CONTRACTOR - POOL MD, INC. (21964 :
x
i'dhl tRS DEPARTMENT OF THE TREASURY
INTERNAL REVENUE SERVICE
oGDEN UT 84201-0023
002 6 5 6 . 2 I 6 5 1 1 . 0 0 0 8 . 0 0 1 1 l.1B 0.404 850
,lr,lrrillr,l,rl,ril,llil,rr,,ilrl,,llIl,rl,r,ltrllr,lr[,l,t,l
Date of tlris notice: 0I-14-20I3
Employer Identification Number rB0-088r694
Form: SS-4
Numben of this notice: CP 575 A
POOL I4D INCZ DUNIEL BUSTO
420 TOGAN BLVD S
NAPLES FL 34I I9
For assistance you may call us atI-800-829-4933
IIE ASSIGNED YOU AN EMPLOVER IDENTIFICATlON NUMBER
Employer Identification Number (EIN). We assisnedidentify you, your business accounts, tax retqrns,employees. PLease keep this notice in your.
002666
Thank you for applying for anyou EIN B0-0881694. This EIN will
an<l docunents, even if you have nopermanent records.
tJhen filing tax doctrments, paynents, and related correspondence, it is veryimportarrt that you use your EIl,l ancl complete rTame and addaess exactly as shown above.Any variation may cause a clelay in pr-ocessilrg, result in incornect information in your
account, or even cause you to be assigned more than one EIN, If the informationis not correct as slrown above, please make the correction using the attached tear offsttrb and neturn it to r-rs.
Based on the information received from you or your rep.esentative, you must filethe folIoHins form(s) by the date(s) shown.
Fornr 1120 o3/ts/20r4
If you have questions about the form(s) or the due dates(s) shoHn, you can callus at the phone number or write to us at the adclness shown at the top of this notice.If you need help in determining youn annual accounting period (tax year), seePublication 538, Accounting Periods and Metlrods.
[,le assigned you a tax classification based on i.nformation obtained from you oryour nepresentative. It is not a legal determination of your tax classification
and is not binding on the IRS. If you want a legal determination of your taxclassification, you may request a private letter ruling from the IRS under theguidelines in Revenue Pnocedune 2004-1, 2004-l LR.B. 1(o. st,p+rseCing Pe..,enueProcedure for the year at issue). Note: Certain tax classification elections canbe reqr.tested by filing Form 8832, Entity Classification Election. See Form 8832and its instnuctions for addltronal infor-mation.
ffi
IF YOU IIRITE, ATTACH THE
STUB OF THIS NOTICE.
8.G.1
Packet Pg. 310 Attachment: 8G DUNIEL M. BUSTO – WAIVER OF TESTING - SWIMMING POOL CLEANING ONLY CONTRACTOR - POOL MD, INC. (21964 :
Cownql
Growth Management DePartment
Contractor Licensing
2800 N, Horseshoe Dr.
Naples, FL34104
239-252-2400
APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY
STATEMENT OF OWNERSHIP
This certifies that l,P\e am a member or managing
APPLICANT'S (please print)
member of 0o t t'r NC
COMPANY NAME)
I own t % of the units issued by the Limited Liability Company listed above.
Dvnr,el g Io
Applicant (please
Prrl r'r D /N<
Name of Company
nature of Applicant
State of County of tl\ltev
The foregoing instrument was acknowledged before me by
$-oay of \UO{C h zo]* ,by f-lurKt
Such person(s) Notary Public must check applicable box:
I
E are personally known to me M has produced a current driver license
,1rpun, ofJ physical presence or E online notarization on this
UD{IJ
E has produced
(Notary Seal)
as identification.
Notary Signature:
YAll,.',
Notry Puurc, Shtc of Flcirh
commissim f,lo. HH 37i05
Conmission Exprre 0&30/2021
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.
Firm_Application.docx Rev 410612020 Page 9 of 15
8.G.1
Packet Pg. 311 Attachment: 8G DUNIEL M. BUSTO – WAIVER OF TESTING - SWIMMING POOL CLEANING ONLY CONTRACTOR - POOL MD, INC. (21964 :
CounXy
Growth lVlanagement Department
p\u
Contractor Licensing
2800 N. Horseshoe Dr.
Naples, FL34104
239-252-2400
APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY
Certificate Category Requested Wtt.,,rt\l d"t
The applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for
this certificate, the applicant must verify 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). Time served solely in a
supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required
trade experience. The person verifying trade experience for the above-named applicant must provide the following information
Applicant's Name
Name:
VERIFICATION OF CONSTRUCTION EXPERIENCE
Iprn,o \ Br:lc
.Fr n,rc | 6yllu leul
Business Name:frol l.,1D tNL
Phone:
"\q
I oLl- ao uc License No. (if applicable):
Business Address:Lu
Street
The applicant was employed by me from
N &lvt: S fr €5 L S.{I
City State zip
to
Applicant's title:Uvretu
The applicant's scope of work (specific duties) included:
Additional comments:
NOTE TO LICENSED CONTRACTORS: Falsifying any information provided herein subject your license to revocation.
Under penalty of perjury, I declare that the facts stated here are true.
State of FIIl?fA County "r Q0\\iev
person providing the statement
The tbregoing instrument was acknowledged betbre rn. by rn.uns of J physical presence or E online notarization on this
,28_auy or NCI(Ch ,20 D?r , by |tLnTf.l fulsto
Such person(s) Notary Public must check applicable box:
IE are personally known to me M has ploduced a current driver license
n has produced
(Notary Seal)
as identification.
Notary Signature
Nrrlary Pubtrc. State ot Ftonda
CornmrSSionNo HH I ,05
Coarmissim E xprres 08iJ0/20?4
YAII,i'
Firm_Application.docx Rev 410612020 Page 10 of 15
8.G.1
Packet Pg. 312 Attachment: 8G DUNIEL M. BUSTO – WAIVER OF TESTING - SWIMMING POOL CLEANING ONLY CONTRACTOR - POOL MD, INC. (21964 :
(
Collier County Contractor Licensing
C/O Corrrmunity Development & Enyironnrental Services Division
2800 N. Horseshoe Drive
Naples, FL 34104
Telephone: (239) 4Og-2491-.' (239) 4A8-2432 or (239) 2L3-29O9
Applicant's Narne:
Certificate Categoly Requested Foru cl H
The Applicaut is seeking a Colliet County Certificate of Competency in the trade indicated above. As part of
the application for this certifioate the Applicant must verify their exlrerience within this tr.ade, You are
being reqrrested to provide infolmation that will aid the Applicant in meeting this requirernent. You shoulcl
veriff time of active e-perience as au apprentice or a skilled worker (e,9. as a worker conrmauding the wage
of rnechanic ol better in the trade). Time selved solely irr a supervisory or administrative role shoulcl be
described, but may or may not be consiclered sufficieut to demonstrate required trade experience. The
pelson verifuing tlade exper.ience must provide the following informationl
Name, Title and license number of the person signing belorv and verifying Applicants relevant experience:
Name: A a'.
rirre: ?.e-ttJe.\['LicenseNumbel(if applicable), e.*\ f\b, ' Z59S?
N G€|.kav\r'- I N (-,Name of Bus t'Y\
Business Address:4 {D0 z+rn CT" SuJ,
Business Phone -165'1rn Applicant's years of experience
The applicant's scope of rvork (specific duties) included
c\er5
4 o
J^*.rr-8",tl
SK\*^n^l irt'r(,.cz. .*.1 {- la s6,10 t"
Additionat Comrnents:
Falsifying any information provided herein may sulrject your Iicense to revocatiol.
Signarure aPrinted
state of Florida
County of Collier
rvas acknorvledged before me on rhis -]m,The
by
and rvho did not take an oath.
rvho is personally known to
of
I 8.G.1
Packet Pg. 313 Attachment: 8G DUNIEL M. BUSTO – WAIVER OF TESTING - SWIMMING POOL CLEANING ONLY CONTRACTOR - POOL MD, INC. (21964 :
23s,-3U4- I'lUb
Collier County Contractor Licensing
c/o comm u n,,, o1:r;8il: t*,r#:BI#taI
se r vi c es D i vision'
' NaPtes' FL 34lt}4
Teleplrone: (239) 403'24.91, (239) 4OS'2432 or (2S9) 2I3-290S.
Applicant's ]tt Nt t/13 us'ra5
ceilificate category Reqwsted 3 ty-' i t-t r u (; ?Co{
The Applicant ie seeking a Collier County iu the irade ladioated above- As parL of
the application for tlris certificate the within this trade. Ysu bxe
belng requested to provide this requiremeoL "Youishould
worker co-- aading the wageverify time of ective
of mechauio or better iu role ehould be
described, but may or trade exporience. The
person verlfylng
Name, Title and I relevant experience:
Name;
Ti(e (if .i f)ut
v1X
,rl
Name
The
)ut' ,u'
f.-
L- t<.>t..ili lt{;
')
r'E
(specific duties)
The Applicant's years of experiencc
,(;!Sg 1",. iur-,t:-
VERIF'ICATION OF
an apprentice or a skllled worker
e). Tiae served solely in a eupervisory or
not be considered sufficlent to demonstrate
number of the person signlng below and verifuing
(e'9.
#;slro E:u),-'ir'a Jt uL-t_. -
must verify thetr
wilr aid the Applicant ln
must provide tbe following
'{l ,, .- )/
Address
z'. "i
f'.*)-rl1/-1'L-/' t'.*l w;DL 5t., Ui(:5r;i.'r I clx
oul {}-,s Ll./.itt /LI v{at' f,.l 7kfir g;";l af
ui
Addilional Commenrs
Falsifylng any lnformation provided hereln may subject your liceose lo
State of Florida
County of Collier
who is personally known to me or
as identifrcation and who did mt mke an oath.
I
The foregoing instnrmelt was acknowledgedby _ AD ftt $t-tfO le%zL
.-€,D
before me on this C dey of
dtr KRTSIINABODRIGUEZ
Notary PuUlc, Stale ol Flodda
Commlslonf 00614926
l,{y comrn. oxplres Feb' 27, Nll
Signature of
4$vPn
Nov ol o? O933Sp I'legensg
(
I
(8.G.1
Packet Pg. 314 Attachment: 8G DUNIEL M. BUSTO – WAIVER OF TESTING - SWIMMING POOL CLEANING ONLY CONTRACTOR - POOL MD, INC. (21964 :
((
Collier County Contractor Licensing
C/O Conrnrunity Development & Environmental Scrvices Division.
2800 N. Horseshoe Drive
Naples, IfL 34104
Telephone: (239) 403-243L, (239) 403-2432 or (239) 213-29A9,
Applicant's Name l'sr;o
Certificate Category C
The Applicant is seeking a Collier County Certificate of Competency in the tracle indicated above. As part of
tlre application for this certificate the Applioant must verify their erperience within this trade. You are
being requested to provide information that will aid tlre Applicant in meeting this tequirement,'You should
verify time of active experience as an apprentice or a skilled worker (e.g, as a worker commanding the rvage
of mechanic or better in the trade). Time setved solely in a supervisory or administrative role should be
described, but may or may not be considered sufficient to demonstrate required trade experience, The
person verifying trade experience rnust provide the following informationl
Name, Title and license number of the person signing below and verifying Applicants relevant experience:
Narne
---\',/ :l- ,'i , e:
L*, (+.,'J'\*
_4.1tlc:{l.,il^tttzt- License Number (if
S
dr{'
Ti
Name of Business:
Business
,. {o
, d- l:n(,' t 7l't5/+il.tr,e',riS
!.:,_,',Jr!'
Business Phone 4, iJ \.. "j I.- ?,f (The Applicant's years of experience
4d D'*,i*.t
The applicant's scope of rvork (specif-rc duties)f{.,ilc{
I
VERIFICATION OF CONSTRUCTION EXPEN.rcNCE
Additional Cornments:
Falsifying any information provided herein may subject your Iicense to
Printed Name
State of Florida
County of Collier
The
by
before me on this lSJhry or Dc\a
who is personally known to me or produced
and who did not take an oath.ds
0.c*_.-.-,...,-.-.-
r-+
n
Q^^J^r' h--
8.G.1
Packet Pg. 315 Attachment: 8G DUNIEL M. BUSTO – WAIVER OF TESTING - SWIMMING POOL CLEANING ONLY CONTRACTOR - POOL MD, INC. (21964 :
Duniel Busto
2394046066 | poolmd@hotmail.com 1420 Logan Blvd S, Logan, Naples, FL
Experience
Pool MD lnc I Naples, FL
03/2012 - Present
Owner with 14 years of experience. ln charge of daily operations. Servicing pool, customer service and
billing. Grew company from 35 to over 100 customers.
Skills
Customer service, Computer literacy, Communication skills, Time management, Bilingual
Education
Hodges University I Naples, FL
Computer Science
STATE OF FLORIDA r .courw or $U iC r
was acknowledged betore me byorllnotarization
/\t/
Notary 's Signature
Personally Knom _ OR
AIYSHIA IIORsE
Coflmh.bn lHH igoft8
Erplr.rodrt 26,2025
enaad itr Al'e.t iloLrrr*.,lype of ldentitication produced
Prq&c4d tdentification
this
s'fL"l-q
LWo
8.G.1
Packet Pg. 316 Attachment: 8G DUNIEL M. BUSTO – WAIVER OF TESTING - SWIMMING POOL CLEANING ONLY CONTRACTOR - POOL MD, INC. (21964 :
Grc{/vth Management Department
Contractor Licensing
2800 N. Horseshoe Dr.
Naples, FL34104
Phone - 239-252-2431
Fax - 239-252-2469
APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY
AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER
STATE OF i Ln'lo
f .al*counry "r (UlltC(
Telephone : 734 \38^u3o7
I
by means ofd physical presence or E online notarization on this
couNrYo, Ullt(n
il tr, / A)a,,having been first duly sworn, state and affirm
I am a resident of Col\ re n County,f lo rttC",(State) and have resided here for
more than five (5)years
During the last five (5) years I have known Dur,',r l6rrf.r (applicant). I have had the ity
to observe his or her business and personal dealings and find him or her to be a person of hon and
good character
/t
Signature
Printed Name
Address 33t ?lt )+ s\)
Street
Nfrolc7 fL s7tt7
City State zip
State of
The foregoing instrument was acknowledged before me
n has produced
(Notary Seal)
Aauy "r \jSKh , zo lL , uy
Such person(s) Notary Public must check applicable box:
! are personally known to me J hu, pro.lu.ecl a current driver license
A l(rt,b IA 3u^)
as identification
Notary Signature;
Puitrc,l.lr;39y olState Flfiidc
Co,nmggon t{o HH 37t05
Cc,,"misJrill E\tres Mt30m24 REINSTATEMENT AppLtCATtON REV 4t6t2OZO page 10 of 11
8.G.1
Packet Pg. 317 Attachment: 8G DUNIEL M. BUSTO – WAIVER OF TESTING - SWIMMING POOL CLEANING ONLY CONTRACTOR - POOL MD, INC. (21964 :
Cov*rtj
Growth Management Department
Contractor Licensing
2800 N. Horseshoe Dr.
Naples, FL34104
239-252-2400
APPTICATION TOR COLL R COUNTY CTRTIFICATT OT COMPETENCY
STATE OF
AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER
Flondq
C,otl*r
b*,0] 8"4,
S^* Pir.,
S^* A,"o
COUNTY OF
Sa,* ?lcrez having been first duly sworn, state and affirm
I am a resident of 0,:l li. r County F1.ordd (State) and have resided here for
more than five (5) years.
During the last five (5) years I have known (applicant). I have had the opportunity
to observe his or her business and personal dealings and find him or her to be a person of honesty, integrity and
good character
Signature
Add
Printed Name
2o a"fl, /L 3u)
StreetM,cbs {c sVtrb
State of
Such person(s) Notary Public must check applicable box:
E are personally known to me Jhu, prodr.ed a current driver license
E has produced
(Notary Seal)
as identification.
Notary Signature:
c[v State zip
presence or E online notarization on this
County of G\\rcv
l,lolary Pu5,,. .)iele o, Flcridt
Commissron No. HH 37705
Cornnrissior Erprros 0A3Ol2O2l
Yail
Firm_Application.docx Rev 410612020 page 13 of 1S
t,
reepnone: J3?- ]?3 -3+3r
fi-ag\fi
oi lJfl\Ch ,zod,7 ,ay
8.G.1
Packet Pg. 318 Attachment: 8G DUNIEL M. BUSTO – WAIVER OF TESTING - SWIMMING POOL CLEANING ONLY CONTRACTOR - POOL MD, INC. (21964 :
8.G.1Packet Pg. 319Attachment: 8G DUNIEL M. BUSTO – WAIVER OF TESTING - SWIMMING POOL CLEANING ONLY
04/20/2022
COLLIER COUNTY
Contractor Licensing Board
Item Number: 8.H
Item Summary: DUNIEL M. BUSTO - REVIEW OF CREDIT- SWIMMING POOL
CLEANING ONLY CONTRACTOR - POOL MD, INC.
Meeting Date: 04/20/2022
Prepared by:
Title: – Contractor Licensing
Name: Sandra Delgado
04/13/2022 4:42 PM
Submitted by:
Title: – Contractor Licensing
Name: Tim Crotts
04/13/2022 4:42 PM
Approved By:
Review:
Contractor Licensing Trish Morgan Review item Completed 04/13/2022 4:44 PM
Contractor Licensing Sandra Delgado Review item Completed 04/13/2022 5:35 PM
Contractor Licensing Tim Crotts Review Item Completed 04/14/2022 11:42 AM
Contractor Licensing Tim Crotts Meeting Pending 04/20/2022 9:00 AM
8.H
Packet Pg. 320
Covt*txy
Growth Management Department
Contractor Licensing
2800 N. Horseshoe Dr.
Naples, FL 34104
Phone - 239-252-2431
Fax - 239-252-2465
APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY
FIRM APPLICATION FOR COTLIER COUNTY
CERTIFICATE OF COMPETENCY
This application must be typewritten or legibly printed. The ap fee must be paid upon
refundable. All checks should be made payable lo'. Collier County Board of County Commissioners.
information, consult Collier County Ordinance No. 2006-46, as amended.
is NOT
further
TYPE OF CERTIFICATE OF COMPETENCY:
E General
tr Building
tr Residential
tr Mechanical
D Roofing
tr Electrician
tr Plumber
tr Air Conditioner
tr Swimming Pool
Dspecialty
Porrl gA cleopt*g rt*tllSpecialty Trade:
$230.00
$230.00
$230.00
$230.00
$230.00
3, trh r,^ I
^/
(
$230.00
$230.00
$230.00
$230.00
$205.00
J-----------1-
I. APPLICANT PERSONAL INFORMATION:
Name:v^r t(, \B* lo
Lastrstt\zliddle lnitial
Business Name D/L
Address:OLo &a"l 6ko 5 ,A)lrS Jj lt
zipStreetCityState
Email 4\l \. ca
Telephone:0h tJoq-r,oul,.SS # (Last 4 digits only)(?Ll>c1
Date of Birth: O U- 9b - 9},Driver's License # (Last 4 digits only):Eoao
'Pursuant 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 hlstory,
b) Verification of applicant's test scores and information. Our office will only use your SSN noted above Ior those reasons pursuant to Chapter l-19,
Florida Statutes, and as may otherwise be authorized by law, We are fully committed to safe-guardint and protecting your SSN and once collected, will
be maintained as confidential and exempt under Chapter l-19, Florida Statutes,
D
Firm_Application.docx Rev 410612020 Page 3 of 15
6?ot53 tCLZOtz-tzq b
Po,t
8.H.1
Packet Pg. 321 Attachment: 8H DUNIEL M. BUSTO – REVIEW OF CREDIT - SWIMMING POOL CLEANING ONLY CONTRACTOR - POOL MD, INC. (21965 :
3/7/2022
Re: Meeting Request
Dear Board Members
On behalf of Pool MD lnc. located in Collier County, I am requesting an opportunity to appear at the next
available meeting.
I shall appear and request exemption of the business and law test allowing me to re-activate my
business license. My license unknowingly expired back in 2016, however I have never stopped operating
and servicing my customers since. Yearly taxes, continuous General liability coverage, current
continuous business tax renewal, and no complaints are some items that would prove such.
On February 11th I was cited due to an expired swimming pool license. lt was then lfound out it had
expired.
Respectfully,
Duniel Busto
Pool MD lnc.
{ili.8[[!'frlluz
The
ine
Notary
Personally Known
--Type of ldentfication Prod
oR Produced ldentification,""o Sl
+.fL'.:-%
LWu
AtYsHtA oRSE
Com..lon,HHl0o5l1
EIplI.o 0dobor25,2026
&ia.C th tudFa Lo:raitc..
war acknovi,ledgod before me bY
8.H.1
Packet Pg. 322 Attachment: 8H DUNIEL M. BUSTO – REVIEW OF CREDIT - SWIMMING POOL CLEANING ONLY CONTRACTOR - POOL MD, INC. (21965 :
r.o,z.v.r. .swimmirg PooVSpa Servicing Contractor reguires twenty-four (24) months
exporieuce with.a passing grade on a t*e{3}*e*r business and law Gst and means any person
whose scope of work lncludes servicing or water tr"etrnont of any publio or private swimmlng
pool,. hot tub or spa,. and, s'ubjeot to Section 487.0437, Florida Stat.utes, may include ditqct
infusion of cNorine gas, Thcse conUactors may disassemble equipmont ponnaneatly attaohed to
or. associated witlt tho respective pool or spa fol the puryose of. water tr€atmeirt or cleaning the
pool or spa.
8.H.1
Packet Pg. 323 Attachment: 8H DUNIEL M. BUSTO – REVIEW OF CREDIT - SWIMMING POOL CLEANING ONLY CONTRACTOR - POOL MD, INC. (21965 :
6lG4-15.006 Financial Responsibility and Financial Stability, Grounds for Denial.
(l) The financial responsibility ground on which the Board shall refuse to qualify an applicant is failure to provide a current
consumer credit report, as defined in Rule 6lc4-12.0'll , F.A.c., which consumer credit report does not disclose any unsatisfied
judgments or liens against the applicant. In addition, there must not be any unsatisfied judgments or liens against the business entity
which the applicant previously qualified as a primary qualifier or which the applicant has applied to qualify'
(2) The financial stability ground on which the Board shall refuse to qualifu an applicant is failure to provide proof of either a
financial stability bond or an irrevocable letter of credit from a bank authorized to do business in the State of Florida. The bond or
letter of credit must be in a form acceptable to the Board and must remain in effect until the applicant can demonstrate a credit score,
FICS derived, of 660 or higher, and must be payable as provided in Rule 6lG4-15.0021, F.A'c., for Financially Responsible
Officers in the amount of:
(a) $20,000 for Division I applicants.
(b) $10,000 for Division II applicants.
(3) Fifty percent of the financial stability bond or the letter of credit requirement may be met by completion of a l4-hour
financial responsibility course approved by the Board.
(4) An applicant may meet both the financial responsibility and financial stability requirements by providing proof of a current
consumer credit report, as defined in Rule 6lG4-12.011, F.A.c, with a credit score, Flco derived, of 660 or higher, which consumer
credit report does not disclose any unsatisfied judgments or liens against the applicant. In addition, there must not be any unsatisfied
judgments or liens against the business entity which the applicant previously qualified as a primary qualifier or which the applicant
has applied to qualifY.
Specific Authority 4B9.lt5(5), (6) FS. Law Implemented 48g.tt5(5), (6) FS. History'New 1-6-80, Amended 5-4-80, Formerly 2lLl506' 2lE-
15.006, Amended l0-31-96, I l-13-97' 2-12-08.
8.H.1
Packet Pg. 324 Attachment: 8H DUNIEL M. BUSTO – REVIEW OF CREDIT - SWIMMING POOL CLEANING ONLY CONTRACTOR - POOL MD, INC. (21965 :
Cov*rty
Growth [Vlanagement Department
Contractor Licensing
2800 N. Horseshoe Dr.
Naples, FL34104
Phone - 239-252-2431
Fax - 239-252-2469
APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY
Provide the names and telephone numbers of two persons who will always know your whereabouts.
Name:'fl ayt rr,5V C ttba<irnnr)4
Telep h"^" )iq bq> -o57Ll >>q 7)Y -ots3Tel
II. NAME OF APPLICANT'S BUSINESS:
Business Name Q uri r"o tNL
Business Address
Telephone
Email:
LDo 8tv u iJ {+iCS
City
3L
State
l)
7ipStreet
OJ ,rt a
Federal lD Tax No.Z,o'ofiilbq\
III. FINANCIAL RESPONSIBILITY
NOTE. lf you have answer YES to 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 conviction, 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?
x Had a lien filed against you by the lnternal Revenue Service or Florida Corporate Tax Division?
X Undertaken construction contracts orwork that resulted in liens, suits, or judgments being filed?
X
Undertaken construction contracts or work that a third party, such as a bonding or surety company,
completed or made financial statements on?
x 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?'
r Had claims or lawsuits filed for unpaid or past due accounts by your creditors as a result of
construction experience?
D{b
\d5
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?
Firm_Application.docx Rev 410612020 Page 4 of 15
t)51 I t{o\-r,ot tz
8.H.1
Packet Pg. 325 Attachment: 8H DUNIEL M. BUSTO – REVIEW OF CREDIT - SWIMMING POOL CLEANING ONLY CONTRACTOR - POOL MD, INC. (21965 :
f/ichrl,ln ?
?*"etwJ *\/\(-
[ott \c\ trn Apg
\. [^" cil*ic'r {o
be qt"J*J
A rrecreiwd',[
Cr u*2o22{batS'f6
1,2 48 4COLLIER COUNTY -
GROWTH T'ANAGEiIENT DIVISION
pursuf,nt to *ction ,rn ,r.n* ,r".r*ffi$* hcrebr cerritics ti.* upon pcnonal
inycstigatior, hc/rhe har rrasonable and protrable gnrunds to be[re that the perur wlrose
nm.appear! belorr a: rt\!rd to, diJ riolrte subr((tion 489.11:,ilt. l-'L'rida Statua, and tht
Collrtr Countr (-on!r.rli)ri Li"ensing ()rdinan.r, No. 2O{}6-.t6 ins ma!.bc rrncrrdedl b;
committins thc violeti(xr stated h€low.
lssued To
Address A2O 46t*.-, 8.rO f
,rrr ^ '"rEJ ou, f- *3/tt?
Yehicle l{ake/Trpe ( if applicable)Tag No.
Location ofViolation
OPTIONS
I have been informed ofthe riolation ftrr which I hare been charged and eloct the
following option (Check one)
t) E I choo*top ny,t, prnary utS /44 O'
2) [ t chm* nor to pJy th€ F€nalrr'. and uill rmucst in writins ]
delivay an Adniinistmtivc Heirhg bcfore tlc ContractorYs
C,\
hand
Description of Violation Date \tolation
a) E falsel). h"ld self or business organization out as a licensee,
or regislrant;
b) Q Falscly impersonate a certificate holder or registrant;
c) ftPresent as his/her own the certificate or registration ofanother;
d) E Kno*'inglv give false or forged eridence to the Board or a member thereof;
e) EUsr or attempl t() us€ a certificate or regigqtion whrch has been suspended
,rtXr2nl!;f*#,tm,rffi:,,{*4r,r,r#kSi'uirg/ or busincss organization as arrailable to engage in the btrsiness or act in the
capeciq'ofa contractor --ithour being dul,v registered or certified;
g) EOperate a busincss organization engaged in contratting after (60) days;
h) [Oommence or perform work for which a building permit is required
pursuant to an adopted state minimum building code or u.ithout such permit
being in clfect;
i) nlvillfully or delihcrately disregard crr violde any Collier County ordinance
rel.rting to uncertified or unregislered contractors.
A person or business organization operating on an inactiye or
or or operating be_r'ond the *:ope of u'ork or
not duly certified or registered.
(INVESTIG.ITTOR}
b
PzuN'l' (REC I PIENTS N,{vlE)PRINT (INVESTIGATORS NA}IE)
Pursuant to 489.127, !'lorida Statues, willful refusal to sign and accePt this citalion
€onstitutes a nridemeanor ofthe second degrr'e, punishable as provided in section
773.082 or 775.083 Florida Statutes.
st
nfo
(SEE RE\TERSE FOR INSTRUCTIONS)
"knA d-/*^"," 4*
COt I.IER COUNTY CONTRACTORS I ICEI{ TI
I )av t/a3 ./1
'o fiJt fia4a f)ltr trl4,,
)tar
lcolor
8.H.1
Packet Pg. 326 Attachment: 8H DUNIEL M. BUSTO – REVIEW OF CREDIT - SWIMMING POOL CLEANING ONLY CONTRACTOR - POOL MD, INC. (21965 :
Covrtxy
Growth Management DePa(ment
Contractor Licensing
2800 N. Horseshoe Dr.
Naples, FL 34104
Phone - 239-252-2431
Fax - 239-252-2469
APPLICATION FOR COLLIER COUNTY CERTIFIC,A'TE OF COMPETENCY
IV. EXPERIENCEVERIFICATION
EDUCATION:
List below and provide transcripts for any formal education you have obtained in the area of competency for which
this application is being made:
List below non formal education (on the job training) you have obtained in the area of competency for which this
application is being made:
/N b ust/v(<5 StuLt )b
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'
AFFIDAVIT
Under the penalties of perjury, I declare that I have read the foregoing applicatio and the facts stated in it are
true.
bvr.wl 8n&;
Applicant (please print)of
or E online notarization on this
state or € l*r'lA e,ll; ,rCounty of
betbre me bv means of
\)u n-,= | {n
Such person(s) Notary Public mr.rst check applicable box:
! are personally known to rne K prrau"ed a current driver license
LL as identification.f) has produced
(Notary Seal)
Notary Signature:
Firm_Application.docx Rev 410612020 Page 5 of 15
8.H.1
Packet Pg. 327 Attachment: 8H DUNIEL M. BUSTO – REVIEW OF CREDIT - SWIMMING POOL CLEANING ONLY CONTRACTOR - POOL MD, INC. (21965 :
-ric,&ff.,Cowntll Contractor Licensing
2800 N. Horseshoe Dr.
Naples, FL 34104
Phone - 239-252-2431
Fax - 239-252-2465
Growth Management Department
APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY
CERTIFICATION OF APPT!CAT!ON
The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County
No. 2006-46, as amended, and under penalties of perjury. I declare that I have read the foregoing qualifier
information and that the facts stated in it are true.
The undersigned hereby certifies that he is legally qualified to act on behalf of the business organization sought to
be licensed in all matters connected with its contracting business and that he has full authority to supervise
construction undertaken by himself or such business or organization and that he will continue during this registration
to be able to so bind said business organization. The qualified license holder understands that in all contracting
matters, he/she will be held strictly accountable for any and all activities involving his license.
Any willful falsification of any information contained herein is grounds for disqualification.
D, n,,c t B us L.>
Applicant (please print
?a,t\ f,^D t,ttL
Name of Company
Signature of Applica
State of f ttlZrnH County of Co\\fY
The tbregoing instrument was acknowledged betbre me by means of d physical presence or E online notarization on this
?t\ auy or lrJbvcYr ,20 JJ- , by \mrr\ a6\b
Such person(s) Notary Public must check applicable box:
E are personally known to me J hu. p.o,lr"ed a current driver license
E has produced as identification,
(Notary Seal)
Notary Signature
REZ
|'{oley Put/r. Stal€ ol Flo{ic.
Cornmissio.l No. HH 3;I05
Comnrisinr E r;rris 0E/30i ?(t2l..1
Firm_Application.docx Rev 410612020 Page 6 of '1 5
8.H.1
Packet Pg. 328 Attachment: 8H DUNIEL M. BUSTO – REVIEW OF CREDIT - SWIMMING POOL CLEANING ONLY CONTRACTOR - POOL MD, INC. (21965 :
Cav**y
Growth Management Depadment
Contractor Licensing
2800 N. Horseshoe Dr.
Naples, FL 34104
Phone - 239-252-2431
Fax - 239-252-2465
APPLICAIION FOR COLLIER COUNTY CTRTITICATE OF COMPETENCY
WORKMEN'5 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 all times effective Workmen's Compensation lnsurance it will result in the possible revocation
of my Certificate of Competency.
Drn,,e l. t3.,'1\'>
Applicant (please print
OJ \) t /wC
Name of
Signature of nt
BEFORE ME this day personally appeared ),r,t [ $us]a 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.
State of tov'o\County "f 0s\Rr
The foregoing instrument was acknow before me by means of I physical presence or ! online notarization on this
6-auv of hiuTch ,2 otl- , by
Such person(s) Notary Public must check applicable box:
I
E are personally known to me M has produced a current driver license
E has produced
(Notary Seal)
as identification
Notary Signature{&.T Irrora-y Fublic. stale d Flcdd0
Cornmision Nc Hil 37705
Cornnrrssion Exores 0&3C/2021
Firm_Application.docx Rev 4106/2020 Page 7 of 15
8.H.1
Packet Pg. 329 Attachment: 8H DUNIEL M. BUSTO – REVIEW OF CREDIT - SWIMMING POOL CLEANING ONLY CONTRACTOR - POOL MD, INC. (21965 :
Qualifier Exam per Qualifier lD
EXAM SCOREIKEYEXAM DETAILS EXAM LOCATION EXAM DATE
22066 F1OO1O-BUSINESS&LAW 86.00 NAPLES 7t21t2007
8.H.1
Packet Pg. 330 Attachment: 8H DUNIEL M. BUSTO – REVIEW OF CREDIT - SWIMMING POOL CLEANING ONLY
SPONSOR
COLLIER COUNTY
8.H.1
Packet Pg. 331 Attachment: 8H DUNIEL M. BUSTO – REVIEW OF CREDIT - SWIMMING POOL CLEANING ONLY
279LL Crown Lake Blvd Suite #5
Bonita Springs, Ft 34135
Phone: 239.777.1028
Fax: 877.275.3593
www. LicensesEtc.com
PERSONAL CREDIT REPCRI (Compiled From National Records)
<FOR> <SUB NAME>
(I) P NP7771028 LICENSES ETC
<SUBJECT>
BUSTO, DUNIEL M.
<CURRENT ADDRESS>
420 LOGAN BL., NAPLES EL. 341,79
<FORMER ADDRESS>
6175 ENGLISH OAKS LN., NAPLES FL.
6217 ENGLTSH OAKS LN., NAPLES FL.
<CURRENT EMPLOYER AND ADDRESS>
MEDITERRANEAN MARBLE INC
<MKT SUB>
16 NP
<INF]LE>
Lt/07
<DATE>
03/03/22
<TIME>
09:44CT
34719
34719
<SSN>
<VERE>
1/01
<BIRTH DATE>
6429 6/83
<DATE RPTD>
e/0'7
8/05
5/05
<RPTD>
'7/01
<PORMER EMPLOYER AND ADDRESS>
HOME DEPOT
B/04
MODEL PROFILE
***EICO SCORE 8: NOT SCORED: INSUFFICIENT CIIEDIT***
PUBLIC RECORDS HAVE BEEN SEARCHED AT THE COUNW, STATE AND FEDERAT LEVELS - NONE FOUND
TRADES
SUBNAME SUBCODE OPENED HIGHCRED TERMS
ACCOUNT# VERFIED CREDLTM PASTDUE
ECOA COLLATRL/LOANTYPE CLSD/PD BALANCE REMARKS
NAVTENT V 6372060 8/04 $1950 066M
8/t1A $0
] STUDENT LOAN B/7'7C $O TRNSERD:
MAXDELQ
AMT-MOP
tL/ t6
05 11
OTHER LENDER 14
PAYPAT 1-12 MOP
PAYPAT 13_24
Mo 30/ 60/90
555555555411 r05
0/ 0/70
NAVTENT V 6372060 B/04 $1550
8/t7A
I STUDENT.LOAN B/71C $O
tt/16 555555555411
05 11
OTHER LENDER 14 O/ O/
066M
$o
TRNSFRD
r05
10
NAVIENT V 6312060 LO/03
8/17A
I STUDENT LOAN 8/I7C
B/A1
8/2tA
8/2LC
8/01
4/tgA
4/t9C
$262s
$0
$285K
$0
$21 2R
$o
066M
$0
TRNSFRD:
552M
$o
TRNSFRD:
552M
$0
TRNSFRD:
t7/16 555555555411 r05
05 11
OTHER LENDER 14 O/ O/LO
111 111111111 M01
111111111111
OTHER LENDER 51 O/ O/ O
111 111111111 M01
111111111111
OTHER LENDER 71 O/ O/ O
LOANCARE B 46QPO31
] CONV R.E MORTGAGE
DITECH F 119OOO1
] CONV R.E MORTGAGE
rNQu
DATE
IRIES
SUBCODE SUBNAME TYPE AMOUNT
Page 1 of 2
t
8.H.1
Packet Pg. 332 Attachment: 8H DUNIEL M. BUSTO – REVIEW OF CREDIT - SWIMMING POOL CLEANING ONLY CONTRACTOR - POOL MD, INC. (21965 :
3/03/22
8/01 /2t
2/26/2t
PNP7717O2B(FLA)
FHO5746412(SCT)
FLA2922923 (CAL)
LICENSES ETC
CROSSCOUNTRY
NEW AMERICAN
END OF REPORT
Page 2 of 2
8.H.1
Packet Pg. 333 Attachment: 8H DUNIEL M. BUSTO – REVIEW OF CREDIT - SWIMMING POOL CLEANING ONLY CONTRACTOR - POOL MD, INC. (21965 :
27911Crown Lake Blvd Suite # 211
Bonita Springs, FL 34135
Phone: 239.777,LO28
Fax: 877.275.3593
www.LicensesEtc.com
BUSINESS CREDIT REPORT
Pool MD, Inc.
as of: O3 22 1O:5O ET
Fed Tax ID# 80-0881694
President: Daniel M Busto
President: Mayensy Cubas
Director: Alejandro Cubas
8010-Doctors Of Medicine,
Offices & Clinics
627777-Offices Of
Physicians (Except
Mental Health
Specialists)
ress:
Experian BIN:
420 Logan BLVD S
Naples, FL 34119-2804
United States
239-404-6066
967251906
Busto Duniel M
420 Logan BLVD S
Naples, FL
Key Personnel:
honeP
Agent:
Code:src
NAICS Code:
Agent Address:
Business Type:Corporatlon
Experian File
Established:
January 2013
Experian Years on 9 Years
File:
Years in Business: More than 9 Years
Filing Data Provided Florida
by:
Date of I ncorporatio n: 07 / 07 I 201,3
PUBLIC RECORDS HAVE BEEN SEARCHED AT THE COUNTY, STATE AND FEDERAL LEVELS
d'Bankruptcies:
Liens:
E Judgments Filed:
/collections:
0
0
0
0
Page 1 of 2
Public Records
8.H.1
Packet Pg. 334 Attachment: 8H DUNIEL M. BUSTO – REVIEW OF CREDIT - SWIMMING POOL CLEANING ONLY CONTRACTOR - POOL MD, INC. (21965 :
Date:
Owner;
Filing Location:
Legal Type:
Legal Action:
Document Number
Liability Amount:
Description:
08/22/2079
State of Florida
Collier County Circuit Court
State Tax
Released
57s6439
ss96
Other Tax
END OF REPORT
Page 2 of 2
Tax Lien Filings
8.H.1
Packet Pg. 335 Attachment: 8H DUNIEL M. BUSTO – REVIEW OF CREDIT - SWIMMING POOL CLEANING ONLY CONTRACTOR - POOL MD, INC. (21965 :
DtvrsroN oF CoRPoRATIoNS
/
f )rr.f-y{ti,*i*'!' Jl-tt t ")
Depjrtntgt]lglsGle / Division of Coraglalsttg / Search Records / Search byldily-Nenoe /
Detail by EntitY Name
Florida Profi t CorPoration
POOL MD, INC.
Filing lnformation
Document Number P'I3000001776
FEI/EIN Number 80-0881694
Date Filed 0110712013
Effective Date 01/06/2013
State FL
StAtUS ACTIVE
LastEvent AMENDMENT
Event Date Filed 0311112013
Event Effective Date NONE
Principa!-Al<sss
420 LOGAN BLVD S
NAPLES, FL 34119
Mailing Address
420 LOGAN BLVD S
NAPLES, FL 34'I'I9
Registered Agent Name & Address
BUSTO, DUNIEL M
420 LOGAN BLVD S
NAPLES, FL 341'I9
Officer/Director Detail
Name & Address
Title P
BUSTO, DUNIEL M
420 LOGAN BLVD S
NAPLES, FL 34119
Annual Repqf,ts
Report Year
201 9
2020
Filed Date
0412412019
0611412020
8.H.1
Packet Pg. 336 Attachment: 8H DUNIEL M. BUSTO – REVIEW OF CREDIT - SWIMMING POOL CLEANING ONLY CONTRACTOR - POOL MD, INC. (21965 :
Electronic Articles of Incorporation
For
POOL IVID. INC
'fhe unclersignecl incorporator. tbr the purpqse ol ton3rng a- Florida
;;;rrii ;;,lrr-riation, h,-rebv ack'rpts the loilor,vir-rg Articles of Incorporation
Article I
The natne clf the ocl4lclration is:
POOL lvtD. INC.
P1 3000001 776
FILED
Januarv 07, 2013
Sec. OfState
tburch
Article II
The prurcipal plaoe qf'business acldress:
420 LOGAN BI-VD S
Nr\PLES. FI,. 34I19
fhe niailing address ol'the coqlortltton ts
420 L,OC}AN BI,\'I) S
NAPI-ES. FL. 34I19
Article III
T'l-re purpt'rse ltrr rvhicfi tl-ris corporatitlu is orgalized is:
ANY AND ,\1,1, I,A\\IFIJL, I]LISINF,SS.
Article IV
f'he nuntber of shares the corporation is authorized to issue is
100
Article V
The nanc anr] Floricla street adclress of the registered agent is
DL NI|,1. N{ l}L'S'l'o
420 I,oGAN BI,\'D S
NAPI,E,S. I;I, 34II9
I r;ertify that I ant liuuiliar rvith itncl aoocpt the responsibilities tif
registcred aplcnt
Itegisterecl :\g,ettl Sigttaltrre: I)l lNIIrl' I][ rS'fO
8.H.1
Packet Pg. 337 Attachment: 8H DUNIEL M. BUSTO – REVIEW OF CREDIT - SWIMMING POOL CLEANING ONLY CONTRACTOR - POOL MD, INC. (21965 :
P1 3000001776
5lt"=u?,, 07 ,2013
Sec. OfState
tburchArticle VI
'fhe naure ancl address of the iucorporator is
DTNIEL BLJSTO
420 I-OGT\N BI-VD S
NAPLES.FL 341I9
[:,lectronic Signattrre olltlcorporator: DLINIIIl- RLTSTO
I a,r t5e i,c.rporat.r subrnitting these Articles of Incorporation ancl aflimr that the facts stated herein are
n.ue r arlr awar.e o,,rriiiilJiiiiti,iit.,i;iiffiit;a;i;.ffiii,',-rfio-tire Depzutnettt oistate constittttes a
r'irdclcsrcelblo*v^ipi:n"l,i.j,r.torinr8i7.i'i-{'F:bl i;i,ir,liianclthcrcclttirentetttlot'ileauatutual report
bcr*,ecri.rarluarr, r *'i,ii'itio',,Y'i;;'i,i'id;;Li"i,ini r"i,i firil,li-;i.g iiin,rariori of this corp.raliott attd everr'
i.n'l iri.i.,,tt*r io rrtailttain "rictivc" stattts'
Article VII
Ihe initial ofticerls) ancl/c-rr clirector(s) of the cqrpqration is/are:
Title: P
N,{AYENSY CLIBAS
420 LOG,,\N BL\TD
NAPI.ES. ITL 3.I1I9
T'itle: \i P
DLINlEt. \'{ lll is'fO
420 I-OGAN BI-VD S
NAPL,ES. I:t,. 34I I9
Article VIII
"l'he etfective clate lbr this corporatior-r sl"rall be:
01r0(r;2013
8.H.1
Packet Pg. 338 Attachment: 8H DUNIEL M. BUSTO – REVIEW OF CREDIT - SWIMMING POOL CLEANING ONLY CONTRACTOR - POOL MD, INC. (21965 :
x
i'dhl tRS DEPARTMENT OF THE TREASURY
INTERNAL REVENUE SERVICE
oGDEN UT 84201-0023
002 6 5 6 . 2 I 6 5 1 1 . 0 0 0 8 . 0 0 1 1 l.1B 0.404 850
,lr,lrrillr,l,rl,ril,llil,rr,,ilrl,,llIl,rl,r,ltrllr,lr[,l,t,l
Date of tlris notice: 0I-14-20I3
Employer Identification Number rB0-088r694
Form: SS-4
Numben of this notice: CP 575 A
POOL I4D INCZ DUNIEL BUSTO
420 TOGAN BLVD S
NAPLES FL 34I I9
For assistance you may call us atI-800-829-4933
IIE ASSIGNED YOU AN EMPLOVER IDENTIFICATlON NUMBER
Employer Identification Number (EIN). We assisnedidentify you, your business accounts, tax retqrns,employees. PLease keep this notice in your.
002666
Thank you for applying for anyou EIN B0-0881694. This EIN will
an<l docunents, even if you have nopermanent records.
tJhen filing tax doctrments, paynents, and related correspondence, it is veryimportarrt that you use your EIl,l ancl complete rTame and addaess exactly as shown above.Any variation may cause a clelay in pr-ocessilrg, result in incornect information in your
account, or even cause you to be assigned more than one EIN, If the informationis not correct as slrown above, please make the correction using the attached tear offsttrb and neturn it to r-rs.
Based on the information received from you or your rep.esentative, you must filethe folIoHins form(s) by the date(s) shown.
Fornr 1120 o3/ts/20r4
If you have questions about the form(s) or the due dates(s) shoHn, you can callus at the phone number or write to us at the adclness shown at the top of this notice.If you need help in determining youn annual accounting period (tax year), seePublication 538, Accounting Periods and Metlrods.
[,le assigned you a tax classification based on i.nformation obtained from you oryour nepresentative. It is not a legal determination of your tax classification
and is not binding on the IRS. If you want a legal determination of your taxclassification, you may request a private letter ruling from the IRS under theguidelines in Revenue Pnocedune 2004-1, 2004-l LR.B. 1(o. st,p+rseCing Pe..,enueProcedure for the year at issue). Note: Certain tax classification elections canbe reqr.tested by filing Form 8832, Entity Classification Election. See Form 8832and its instnuctions for addltronal infor-mation.
ffi
IF YOU IIRITE, ATTACH THE
STUB OF THIS NOTICE.
8.H.1
Packet Pg. 339 Attachment: 8H DUNIEL M. BUSTO – REVIEW OF CREDIT - SWIMMING POOL CLEANING ONLY CONTRACTOR - POOL MD, INC. (21965 :
Cownql
Growth Management DePartment
Contractor Licensing
2800 N, Horseshoe Dr.
Naples, FL34104
239-252-2400
APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY
STATEMENT OF OWNERSHIP
This certifies that l,P\e am a member or managing
APPLICANT'S (please print)
member of 0o t t'r NC
COMPANY NAME)
I own t % of the units issued by the Limited Liability Company listed above.
Dvnr,el g Io
Applicant (please
Prrl r'r D /N<
Name of Company
nature of Applicant
State of County of tl\ltev
The foregoing instrument was acknowledged before me by
$-oay of \UO{C h zo]* ,by f-lurKt
Such person(s) Notary Public must check applicable box:
I
E are personally known to me M has produced a current driver license
,1rpun, ofJ physical presence or E online notarization on this
UD{IJ
E has produced
(Notary Seal)
as identification.
Notary Signature:
YAll,.',
Notry Puurc, Shtc of Flcirh
commissim f,lo. HH 37i05
Conmission Exprre 0&30/2021
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.
Firm_Application.docx Rev 410612020 Page 9 of 15
8.H.1
Packet Pg. 340 Attachment: 8H DUNIEL M. BUSTO – REVIEW OF CREDIT - SWIMMING POOL CLEANING ONLY CONTRACTOR - POOL MD, INC. (21965 :
CounXy
Growth lVlanagement Department
p\u
Contractor Licensing
2800 N. Horseshoe Dr.
Naples, FL34104
239-252-2400
APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY
Certificate Category Requested Wtt.,,rt\l d"t
The applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for
this certificate, the applicant must verify 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). Time served solely in a
supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required
trade experience. The person verifying trade experience for the above-named applicant must provide the following information
Applicant's Name
Name:
VERIFICATION OF CONSTRUCTION EXPERIENCE
Iprn,o \ Br:lc
.Fr n,rc | 6yllu leul
Business Name:frol l.,1D tNL
Phone:
"\q
I oLl- ao uc License No. (if applicable):
Business Address:Lu
Street
The applicant was employed by me from
N &lvt: S fr €5 L S.{I
City State zip
to
Applicant's title:Uvretu
The applicant's scope of work (specific duties) included:
Additional comments:
NOTE TO LICENSED CONTRACTORS: Falsifying any information provided herein subject your license to revocation.
Under penalty of perjury, I declare that the facts stated here are true.
State of FIIl?fA County "r Q0\\iev
person providing the statement
The tbregoing instrument was acknowledged betbre rn. by rn.uns of J physical presence or E online notarization on this
,28_auy or NCI(Ch ,20 D?r , by |tLnTf.l fulsto
Such person(s) Notary Public must check applicable box:
IE are personally known to me M has ploduced a current driver license
n has produced
(Notary Seal)
as identification.
Notary Signature
Nrrlary Pubtrc. State ot Ftonda
CornmrSSionNo HH I ,05
Coarmissim E xprres 08iJ0/20?4
YAII,i'
Firm_Application.docx Rev 410612020 Page 10 of 15
8.H.1
Packet Pg. 341 Attachment: 8H DUNIEL M. BUSTO – REVIEW OF CREDIT - SWIMMING POOL CLEANING ONLY CONTRACTOR - POOL MD, INC. (21965 :
(
Collier County Contractor Licensing
C/O Corrrmunity Development & Enyironnrental Services Division
2800 N. Horseshoe Drive
Naples, FL 34104
Telephone: (239) 4Og-2491-.' (239) 4A8-2432 or (239) 2L3-29O9
Applicant's Narne:
Certificate Categoly Requested Foru cl H
The Applicaut is seeking a Colliet County Certificate of Competency in the trade indicated above. As part of
the application for this certifioate the Applicant must verify their exlrerience within this tr.ade, You are
being reqrrested to provide infolmation that will aid the Applicant in meeting this requirernent. You shoulcl
veriff time of active e-perience as au apprentice or a skilled worker (e,9. as a worker conrmauding the wage
of rnechanic ol better in the trade). Time selved solely irr a supervisory or administrative role shoulcl be
described, but may or may not be consiclered sufficieut to demonstrate required trade experience. The
pelson verifuing tlade exper.ience must provide the following informationl
Name, Title and license number of the person signing belorv and verifying Applicants relevant experience:
Name: A a'.
rirre: ?.e-ttJe.\['LicenseNumbel(if applicable), e.*\ f\b, ' Z59S?
N G€|.kav\r'- I N (-,Name of Bus t'Y\
Business Address:4 {D0 z+rn CT" SuJ,
Business Phone -165'1rn Applicant's years of experience
The applicant's scope of rvork (specific duties) included
c\er5
4 o
J^*.rr-8",tl
SK\*^n^l irt'r(,.cz. .*.1 {- la s6,10 t"
Additionat Comrnents:
Falsifying any information provided herein may sulrject your Iicense to revocatiol.
Signarure aPrinted
state of Florida
County of Collier
rvas acknorvledged before me on rhis -]m,The
by
and rvho did not take an oath.
rvho is personally known to
of
I 8.H.1
Packet Pg. 342 Attachment: 8H DUNIEL M. BUSTO – REVIEW OF CREDIT - SWIMMING POOL CLEANING ONLY CONTRACTOR - POOL MD, INC. (21965 :
23s,-3U4- I'lUb
Collier County Contractor Licensing
c/o comm u n,,, o1:r;8il: t*,r#:BI#taI
se r vi c es D i vision'
' NaPtes' FL 34lt}4
Teleplrone: (239) 403'24.91, (239) 4OS'2432 or (2S9) 2I3-290S.
Applicant's ]tt Nt t/13 us'ra5
ceilificate category Reqwsted 3 ty-' i t-t r u (; ?Co{
The Applicant ie seeking a Collier County iu the irade ladioated above- As parL of
the application for tlris certificate the within this trade. Ysu bxe
belng requested to provide this requiremeoL "Youishould
worker co-- aading the wageverify time of ective
of mechauio or better iu role ehould be
described, but may or trade exporience. The
person verlfylng
Name, Title and I relevant experience:
Name;
Ti(e (if .i f)ut
v1X
,rl
Name
The
)ut' ,u'
f.-
L- t<.>t..ili lt{;
')
r'E
(specific duties)
The Applicant's years of experiencc
,(;!Sg 1",. iur-,t:-
VERIF'ICATION OF
an apprentice or a skllled worker
e). Tiae served solely in a eupervisory or
not be considered sufficlent to demonstrate
number of the person signlng below and verifuing
(e'9.
#;slro E:u),-'ir'a Jt uL-t_. -
must verify thetr
wilr aid the Applicant ln
must provide tbe following
'{l ,, .- )/
Address
z'. "i
f'.*)-rl1/-1'L-/' t'.*l w;DL 5t., Ui(:5r;i.'r I clx
oul {}-,s Ll./.itt /LI v{at' f,.l 7kfir g;";l af
ui
Addilional Commenrs
Falsifylng any lnformation provided hereln may subject your liceose lo
State of Florida
County of Collier
who is personally known to me or
as identifrcation and who did mt mke an oath.
I
The foregoing instnrmelt was acknowledgedby _ AD ftt $t-tfO le%zL
.-€,D
before me on this C dey of
dtr KRTSIINABODRIGUEZ
Notary PuUlc, Stale ol Flodda
Commlslonf 00614926
l,{y comrn. oxplres Feb' 27, Nll
Signature of
4$vPn
Nov ol o? O933Sp I'legensg
(
I
(8.H.1
Packet Pg. 343 Attachment: 8H DUNIEL M. BUSTO – REVIEW OF CREDIT - SWIMMING POOL CLEANING ONLY CONTRACTOR - POOL MD, INC. (21965 :
((
Collier County Contractor Licensing
C/O Conrnrunity Development & Environmental Scrvices Division.
2800 N. Horseshoe Drive
Naples, IfL 34104
Telephone: (239) 403-243L, (239) 403-2432 or (239) 213-29A9,
Applicant's Name l'sr;o
Certificate Category C
The Applicant is seeking a Collier County Certificate of Competency in the tracle indicated above. As part of
tlre application for this certificate the Applioant must verify their erperience within this trade. You are
being requested to provide information that will aid tlre Applicant in meeting this tequirement,'You should
verify time of active experience as an apprentice or a skilled worker (e.g, as a worker commanding the rvage
of mechanic or better in the trade). Time setved solely in a supervisory or administrative role should be
described, but may or may not be considered sufficient to demonstrate required trade experience, The
person verifying trade experience rnust provide the following informationl
Name, Title and license number of the person signing below and verifying Applicants relevant experience:
Narne
---\',/ :l- ,'i , e:
L*, (+.,'J'\*
_4.1tlc:{l.,il^tttzt- License Number (if
S
dr{'
Ti
Name of Business:
Business
,. {o
, d- l:n(,' t 7l't5/+il.tr,e',riS
!.:,_,',Jr!'
Business Phone 4, iJ \.. "j I.- ?,f (The Applicant's years of experience
4d D'*,i*.t
The applicant's scope of rvork (specif-rc duties)f{.,ilc{
I
VERIFICATION OF CONSTRUCTION EXPEN.rcNCE
Additional Cornments:
Falsifying any information provided herein may subject your Iicense to
Printed Name
State of Florida
County of Collier
The
by
before me on this lSJhry or Dc\a
who is personally known to me or produced
and who did not take an oath.ds
0.c*_.-.-,...,-.-.-
r-+
n
Q^^J^r' h--
8.H.1
Packet Pg. 344 Attachment: 8H DUNIEL M. BUSTO – REVIEW OF CREDIT - SWIMMING POOL CLEANING ONLY CONTRACTOR - POOL MD, INC. (21965 :
Duniel Busto
2394046066 | poolmd@hotmail.com 1420 Logan Blvd S, Logan, Naples, FL
Experience
Pool MD lnc I Naples, FL
03/2012 - Present
Owner with 14 years of experience. ln charge of daily operations. Servicing pool, customer service and
billing. Grew company from 35 to over 100 customers.
Skills
Customer service, Computer literacy, Communication skills, Time management, Bilingual
Education
Hodges University I Naples, FL
Computer Science
STATE OF FLORIDA r .courw or $U iC r
was acknowledged betore me byorllnotarization
/\t/
Notary 's Signature
Personally Knom _ OR
AIYSHIA IIORsE
Coflmh.bn lHH igoft8
Erplr.rodrt 26,2025
enaad itr Al'e.t iloLrrr*.,lype of ldentitication produced
Prq&c4d tdentification
this
s'fL"l-q
LWo
8.H.1
Packet Pg. 345 Attachment: 8H DUNIEL M. BUSTO – REVIEW OF CREDIT - SWIMMING POOL CLEANING ONLY CONTRACTOR - POOL MD, INC. (21965 : DUNIEL
Grc{/vth Management Department
Contractor Licensing
2800 N. Horseshoe Dr.
Naples, FL34104
Phone - 239-252-2431
Fax - 239-252-2469
APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY
AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER
STATE OF i Ln'lo
f .al*counry "r (UlltC(
Telephone : 734 \38^u3o7
I
by means ofd physical presence or E online notarization on this
couNrYo, Ullt(n
il tr, / A)a,,having been first duly sworn, state and affirm
I am a resident of Col\ re n County,f lo rttC",(State) and have resided here for
more than five (5)years
During the last five (5) years I have known Dur,',r l6rrf.r (applicant). I have had the ity
to observe his or her business and personal dealings and find him or her to be a person of hon and
good character
/t
Signature
Printed Name
Address 33t ?lt )+ s\)
Street
Nfrolc7 fL s7tt7
City State zip
State of
The foregoing instrument was acknowledged before me
n has produced
(Notary Seal)
Aauy "r \jSKh , zo lL , uy
Such person(s) Notary Public must check applicable box:
! are personally known to me J hu, pro.lu.ecl a current driver license
A l(rt,b IA 3u^)
as identification
Notary Signature;
Puitrc,l.lr;39y olState Flfiidc
Co,nmggon t{o HH 37t05
Cc,,"misJrill E\tres Mt30m24 REINSTATEMENT AppLtCATtON REV 4t6t2OZO page 10 of 11
8.H.1
Packet Pg. 346 Attachment: 8H DUNIEL M. BUSTO – REVIEW OF CREDIT - SWIMMING POOL CLEANING ONLY CONTRACTOR - POOL MD, INC. (21965 :
Cov*rtj
Growth Management Department
Contractor Licensing
2800 N. Horseshoe Dr.
Naples, FL34104
239-252-2400
APPTICATION TOR COLL R COUNTY CTRTIFICATT OT COMPETENCY
STATE OF
AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER
Flondq
C,otl*r
b*,0] 8"4,
S^* Pir.,
S^* A,"o
COUNTY OF
Sa,* ?lcrez having been first duly sworn, state and affirm
I am a resident of 0,:l li. r County F1.ordd (State) and have resided here for
more than five (5) years.
During the last five (5) years I have known (applicant). I have had the opportunity
to observe his or her business and personal dealings and find him or her to be a person of honesty, integrity and
good character
Signature
Add
Printed Name
2o a"fl, /L 3u)
StreetM,cbs {c sVtrb
State of
Such person(s) Notary Public must check applicable box:
E are personally known to me Jhu, prodr.ed a current driver license
E has produced
(Notary Seal)
as identification.
Notary Signature:
c[v State zip
presence or E online notarization on this
County of G\\rcv
l,lolary Pu5,,. .)iele o, Flcridt
Commissron No. HH 37705
Cornnrissior Erprros 0A3Ol2O2l
Yail
Firm_Application.docx Rev 410612020 page 13 of 1S
t,
reepnone: J3?- ]?3 -3+3r
fi-ag\fi
oi lJfl\Ch ,zod,7 ,ay
8.H.1
Packet Pg. 347 Attachment: 8H DUNIEL M. BUSTO – REVIEW OF CREDIT - SWIMMING POOL CLEANING ONLY CONTRACTOR - POOL MD, INC. (21965 : DUNIEL
8.H.1Packet Pg. 348Attachment: 8H DUNIEL M. BUSTO – REVIEW OF CREDIT - SWIMMING POOL CLEANING ONLY
04/20/2022
COLLIER COUNTY
Contractor Licensing Board
Item Number: 8.I
Item Summary: JACK T. GRIFFIN – SECOND ENTITY APPLICATION - PAVING BLOCKS
CONTRACTOR
Meeting Date: 04/20/2022
Prepared by:
Title: – Contractor Licensing
Name: Sandra Delgado
04/13/2022 4:43 PM
Submitted by:
Title: – Contractor Licensing
Name: Tim Crotts
04/13/2022 4:43 PM
Approved By:
Review:
Contractor Licensing Sandra Delgado Review item Completed 04/13/2022 5:23 PM
Contractor Licensing Trish Morgan Review item Completed 04/13/2022 5:40 PM
Contractor Licensing Tim Crotts Review Item Completed 04/14/2022 11:44 AM
Contractor Licensing Tim Crotts Meeting Pending 04/20/2022 9:00 AM
8.I
Packet Pg. 349
8.I.1
Packet Pg. 350 Attachment: 8I JACK T. GRIFFIN – SECOND ENTITY APPLICATION - PAVING BLOCKS CONTRACTOR (21966 : JACK T. GRIFFIN – SECOND
8.I.1
Packet Pg. 351 Attachment: 8I JACK T. GRIFFIN – SECOND ENTITY APPLICATION - PAVING BLOCKS CONTRACTOR (21966 : JACK T. GRIFFIN – SECOND
8.I.1
Packet Pg. 352 Attachment: 8I JACK T. GRIFFIN – SECOND ENTITY APPLICATION - PAVING BLOCKS CONTRACTOR (21966 : JACK T. GRIFFIN – SECOND
8.I.1
Packet Pg. 353 Attachment: 8I JACK T. GRIFFIN – SECOND ENTITY APPLICATION - PAVING BLOCKS CONTRACTOR (21966 : JACK T. GRIFFIN – SECOND
8.I.1
Packet Pg. 354 Attachment: 8I JACK T. GRIFFIN – SECOND ENTITY APPLICATION - PAVING BLOCKS CONTRACTOR (21966 : JACK T. GRIFFIN – SECOND
8.I.1
Packet Pg. 355 Attachment: 8I JACK T. GRIFFIN – SECOND ENTITY APPLICATION - PAVING BLOCKS CONTRACTOR (21966 : JACK T. GRIFFIN – SECOND
8.I.1
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Packet Pg. 421 Attachment: 8I JACK T. GRIFFIN – SECOND ENTITY APPLICATION - PAVING BLOCKS CONTRACTOR (21966 : JACK T. GRIFFIN – SECOND
04/20/2022
COLLIER COUNTY
Contractor Licensing Board
Item Number: 8.J
Item Summary: VINCENT J. LA MANNA - SECOND ENTITY APPLICATION - TILE &
MARBLE CONTRACTOR
Meeting Date: 04/20/2022
Prepared by:
Title: – Contractor Licensing
Name: Sandra Delgado
04/13/2022 4:47 PM
Submitted by:
Title: – Contractor Licensing
Name: Tim Crotts
04/13/2022 4:47 PM
Approved By:
Review:
Contractor Licensing Sandra Delgado Review item Completed 04/13/2022 5:20 PM
Contractor Licensing Trish Morgan Review item Completed 04/13/2022 5:37 PM
Contractor Licensing Tim Crotts Review Item Completed 04/14/2022 11:46 AM
Contractor Licensing Tim Crotts Meeting Pending 04/20/2022 9:00 AM
8.J
Packet Pg. 422
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04/20/2022
COLLIER COUNTY
Contractor Licensing Board
Item Number: 8.K
Item Summary: VINCENT J. LA MANNA - SECOND ENTITY APPLICATION – FLOOR
COVERING CONTRACTOR
Meeting Date: 04/20/2022
Prepared by:
Title: – Contractor Licensing
Name: Sandra Delgado
04/13/2022 4:47 PM
Submitted by:
Title: – Contractor Licensing
Name: Tim Crotts
04/13/2022 4:47 PM
Approved By:
Review:
Contractor Licensing Sandra Delgado Review item Completed 04/13/2022 5:21 PM
Contractor Licensing Trish Morgan Review item Completed 04/13/2022 5:35 PM
Contractor Licensing Tim Crotts Review Item Completed 04/14/2022 11:46 AM
Contractor Licensing Tim Crotts Meeting Pending 04/20/2022 9:00 AM
8.K
Packet Pg. 451
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04/20/2022
COLLIER COUNTY
Contractor Licensing Board
Item Number: 9.A
Item Summary: LUIS G. PATINO – REVIEW OF CREDIT - SWIMMING POOL/SPA
SERVICING/REPAIR CONTRACTOR
Meeting Date: 04/20/2022
Prepared by:
Title: – Contractor Licensing
Name: Sandra Delgado
04/13/2022 4:51 PM
Submitted by:
Title: – Contractor Licensing
Name: Tim Crotts
04/13/2022 4:51 PM
Approved By:
Review:
Contractor Licensing Sandra Delgado Review item Completed 04/13/2022 5:03 PM
Contractor Licensing Trish Morgan Review item Completed 04/13/2022 5:41 PM
Contractor Licensing Tim Crotts Review Item Completed 04/14/2022 11:45 AM
Contractor Licensing Tim Crotts Meeting Pending 04/20/2022 9:00 AM
9.A
Packet Pg. 481
Findings of Fact, Conclusions of Law and Decision of the Board
Collier County Contractor Licensing Board
For Applications Submitted to the Board for Review
Type of Application:
X Credit Report and Probationary
Status Review
Waiver of Testing RequirementsX Reinstatement of License
Request to Qualify Second Entity
Other (specify)
THIS CAUSE came on for public hearing before the Contractor Licensing Board
(hereafter Board) on February 16,2022 for a follow up hearing, based on a prior order
of this Board dated June 16,2021, issued to probationary license holder Luis Patino,
D/B/A Oasis Renovations & Pools (hereafter Applicant). The Applicant was granted a
six (6) month probationary license and ordered to appear before the Board to provide
proof to the Board of either a pay-off, satisfactory close out, or payment plan of
outstanding debts owed and an updated credit report for the Board's review. The
matter is now before the Board to determine whether Applicant has complied with the
Board's order and decide on the status of the probationary license previously granted by
this Board.
The Board, having heard testimony under oath, received other evidence, and
heard arguments relative to all appropriate matters thereupon, issues its Findings of
Fact, Conclusions of Law and Order of the Board as follows:
FINDINGS OF FACT
1. Luis G. Patino D/B/A Oasis Renovations & Pools (the "Applicant") applied to the
Collier County Contractor Licensing Supervisor, or his designee, for reinstatement of a
I
9.A.1
Packet Pg. 482 Attachment: 9A LUIS G. PATINO – REVIEW OF CREDIT - SWIMMING POOL SPA SERVICING & REPAIR CONTRACTOR – THE OASIS GROUP OF
Certificate of Competency for a Swimming Pool Class C contractor and a hearing was
held on the matter on June 16, 2021.
2. The Applicant was presenl at the June 16, 2021, was not represented by
counsel, and was granted a six (6) month probationary license for a Swimming Pool
Class C Contractor.
3. The Applicantwas then ordered to appear before the Board before the end of
the of the six (6) month probationary period to provide proof to the Board of either a
pay-off, satisfactory close out, or a payment plan in place for three outstanding debts
owed and an updated credit report for the Board's review.
CONCLUSIONS OF LAW
1. All notices required by the Code of Laws and Ordinances of Collier County, as
amended, have been properly issued and the Board has jurisdiction over the matter.
2. The Board has jurisdiction over the person and subject matter.
3. The Applicant has failed to comply with the requirements of the probationary term
by not appearing before Board during the six (6) month period and not providing proof
to the Board of having paid off, satisfactorily closed out, or working a payment plan for
the three outstanding debts owed and not providing an updated credit report for the
Board's review.
ORDER OF THE BOARD
1. Based upon the foregoing Findings of Fact and Conclusions of Law, and
pursuant to the authority granted as applicable in Chapter 489, Florida Statutes, and
Code of Laws and Ordinances of Collier County, as amended, by a vote of 8 in favor
and 0 opposed, a unanimous vote of the Board present, the Certificate of Competency
2
9.A.1
Packet Pg. 483 Attachment: 9A LUIS G. PATINO – REVIEW OF CREDIT - SWIMMING POOL SPA SERVICING & REPAIR CONTRACTOR – THE OASIS GROUP OF
for a Swimming Pool Class C Contractor licensure that was issued on a six (6) month
probationary status is hereby suspended.
2. The Applicant shall provide the records to the Contractor Licensing Supervisor or
his designee which complies with this Board's June 16,2021 order that demonstrates
either the satisfaction, successful close out, or a payment plan is in place for the
outstanding loans made by the three creditors and an updated credit report.
3. Once the records are provided to the Collier County Contractor Licensing Board
or his designee the Applicant shall appear before the Board for a review of the records
and any further other lawful action as may be had and approved by a majority vote of
the quorum of the Board present at the future hearing.
ORDERED by the Contractor Licensing Board effective the 16th day of February
2022.
CONTRACTOR LICENSING BOARD
COLLIER COUNTY, FLORIDA
By: Kyle Lantz, Chairman
I HEREBY CERTIFY that a true and correct copy of the above and foregoing
Findings of Fact, Conclusions of Law, and Order of the Board has been furnished to the
Applicant, and Timothy Crotts, Contractor Licensing Supervisor, 2800 North Horseshoe
Drive, Naples, FL 34103 on this day of February 2022
Secretary/Contractor Licensing Board
3
9.A.1
Packet Pg. 484 Attachment: 9A LUIS G. PATINO – REVIEW OF CREDIT - SWIMMING POOL SPA SERVICING & REPAIR CONTRACTOR – THE OASIS GROUP OF
Findings of Fact, Conclusions of Law and Decision of the Board
Collier County Contractor Licensing Board
For Applications Submitted to the Board for Review
Type of Application:
X Credlt Report and Probationary
Status Review
Waiver of Testing RequirementsX _ Reinstatement of License
Request to Qualify Second Entity
Other (specify)
THIS CAUSE came on for public hearing before the Contractor Licensing Board
(hereafier Board) on June 16, 2021 for consideration of an application submitied to the
Board for review. The application submitted is for a reinstatement of a Certificate of
Competency for a Swimming Pool Class C contractor. The applicant is before the
Board for review of his credit report and a determination of whether the applicant's
credit report should prevent the license from being reinstated to the applicant.
The Board, having heard testimony under oath, received other evidence, and
heard arguments relative to all appropriate matters thereupon, issues its Findings of
Fact, Conclusions of Law and Order of the Board as follows:
FINDINGS OF FACT
1. Luis G. Patino DiBlA Oasis Renovations & Pools (the "Applicant") applied to the
Collier County Contractor Licensing Supervisor, or his designee, for reinstatement of a
Certificate of Competency for a Swimming Pool Class C contractor.
2. Based on the credit reports supplied by the Applicant to the Licensing
Supervisor, a review of the creditworthiness of the Applicant by the Board is necessary.
1
9.A.1
Packet Pg. 485 Attachment: 9A LUIS G. PATINO – REVIEW OF CREDIT - SWIMMING POOL SPA SERVICING & REPAIR CONTRACTOR – THE OASIS GROUP OF
3. The Applicant was present at the public hearing and was not represented by
counsel.
4. The Applicant's credit report shows monies are due and owing by the Applicant
to different companies.
5. The Applicant has demonstrated to the Board's satisfaction however that the
Applicant has taken afflrmative and suf{icient actions to improve his creditworthiness to
a sufficient level to have the Certificate of Competency reinstated and has a plan ln
place to continue to improve his credit report in the near future.
6. The Applicant has demonstrated to the satisfaction of the Board that his
Certificate of Competency for a Swimming Pool Class c contractor should be reinstated
and placed on a six (6) month probationary status.
CONCLUSIONS OF LAW
1. All notices required by the Code of Laws and Ordinances of Collier County, as
amended, have been properly issued and the Board has jurisdiction over the matter.
2. Pursuant to Section 22-184(b) of the Code of Laws and Ordinances of Collier
County, as amended, the subject application met the requirement(s) requiring Board
review and approval of the application.
3. The Applicant has sufficiently demonstrated to the Board that he meets the
creditworthiness standard(s) as set out in Code of Laws and Ordinances of Collier
County, as amended, to have his Certificate of Competency for a Swimming Pool Class
C contractor to be reinstated and subject to a probationary term.
ORDER OF THE BOARD
2
9.A.1
Packet Pg. 486 Attachment: 9A LUIS G. PATINO – REVIEW OF CREDIT - SWIMMING POOL SPA SERVICING & REPAIR CONTRACTOR – THE OASIS GROUP OF
1. Based upon the foregoing Findings of Fact and Conclusions of Law, and
pursuant to the authority granted as applicable in Chapter 489, Florida Statutes, and
Code of Laws and Ordinances of Collier County, as amended, by a vote of 6 in favor
and 0 opposed, a unanimous vote of the Board present, the application for
reinstatement of a Certificate of Competency for a Swimming Pool Class C contractor is
approved. The Certificate of Competency is placed on a six (6) month probationary
status. The Applicant shall come back before the Board within the six (6) months
probationary period and provide proof of payoff and/or satisfactory close out of loans
made by the following creditors:
a. TD Auto - $9,174.00
b. Suncoast - $8,000
c. Telecom- $'1,732
2. lf the Applicant provides proof sufficient to the Contractor Licensing Supervisor or
his designee of the satisfaction or successful close out of the loans made by the three
creditors, the probationary status is automatically extinguished with no further action
needed by this Board.
3. lf the Applicant fails to provide proof sufficient to the Contractor Licensing
Supervisor or his designee within the six (6) months probationary period of satisfaction
or successful close out of the debts to three listed creditors, then the Applicant shall
appear before the Board with an updated personal and business credit report for the
Board to review to consider termination of probation, extension of probation, or any
other lawful aclion as approved by a majority vote ofthe quorum ofthe Board present at
the future hearing.
J
9.A.1
Packet Pg. 487 Attachment: 9A LUIS G. PATINO – REVIEW OF CREDIT - SWIMMING POOL SPA SERVICING & REPAIR CONTRACTOR – THE OASIS GROUP OF
ORDERED by the Contractor Licensing Board effective the 16th day of June
2021
CONTRACTOR LICENSING BOARD
COLLIER C , FLORIDA
Terry Jeru hair
I HEREBY CERTIFY that a true and correct copy of the above and foregoing
Findings of Fact, Conclusions of Law, and Order of the Board has been furnished to the
Applicant, and Timothy Crotts, Contractor Licensing Supervisor, 2800 North Horseshoe
Drive, Naples, FL 34103 on this 2t<--day of
Secretary/Contractor Licensing Board
1
4
9.A.1
Packet Pg. 488 Attachment: 9A LUIS G. PATINO – REVIEW OF CREDIT - SWIMMING POOL SPA SERVICING & REPAIR CONTRACTOR – THE OASIS GROUP OF
' Licensee Infgrmation
Vieur Flaster Proiect tJiew All Activities for thig Licensee Add a neu; person or business to Address Book
i Go"!o.{[erts ;
A
ACornments
Add a Comment
Description
tvlr: Patino was contacted regarding his probationary period and credit review requirementst Spake to I*1r. Patino via a phone
call and reminded him of his probationary status and the requirement to submit a new credit report showing that the three
credit issued stated on the CLB FOF needed ta be submitted within 5 months of June 16th, 2021. I reminded Itlr. Patino that
we had not received the required cedit repcrt because, he will now be required to appear before the CLB an OU16!22. l"lr.
Patino said he needed time to wrap his head around what was needed. TIC
Entered av ,rlmoihf g;tt" - - ;Entered Date 02!fr2/20"21:5,{ Plvl
Licensee l.lumber
Name
Type
Status
LCC20 180002312 Description Type Prooertl'.Alert
THE OA5I5 GROUP OF SWFL, INC.
Contrsctor
and Time
OUO112022 11r47 AM
*DONE** Still pending D*PR. Update. in Pending status until update is completed. Has 10 daysto u
No Credit has been received by !.'lr. Patino and there for this w'ill be brought before the Ci-3 for failin
+*+*BOARD O*.D=R****
OBt76/2021 2:41 PFI
08/18/2021 3:44 Ptvl
:6
FACT CONCLUSION F LAUy'l"'l oCONTRACTOR.cianPatri B/18/2CLBI"IAILED (r)NN']N rgOF
0e128/2019 3:03 Pl*l
oitl+lzog B:15 At'l
month probabtlon from !/t6("021to LZf 1612A21 .er CLB, see FO_F uolgad3f s/tsizf_zr Dglgado
,
9.A.1
Packet Pg. 489 Attachment: 9A LUIS G. PATINO – REVIEW OF CREDIT - SWIMMING POOL SPA SERVICING & REPAIR CONTRACTOR – THE OASIS GROUP OF
Licensee Information
Vie'!ri I"laster Proiect
Conrments
View Ail Activities for this Licensee Add a nernr Derlon or business to Address Book
Go to Alerts.
Add a Comment
A
I
I
I
Description
No Credit has been received by Mr Patinc and there for this will be brought before the CLts for failing to comply r,vith the
Finding of Facts issued on .lune 16th, 2021. Ivlr. Pation to be notified. TIC
Entered By Timothy Crotts Entered Date OUAT/202V 11r47 AM
.-*.:
Licensee Number
Name
lCC201800023 12 Descrioti*rt T','rc propert,. Alert
THE OASIS GROUP OF SWFL, ]NC.
Type Contractor
Status Actiue
ou28/201s 3,03 Pr{
07/24/2019 8r15 AM
*DONE** Still pending DBPR Update.ln Pending status until update is completed, Has trO days to u
+***BOARD OR,DER****
08/16/2021 2:41 Plvl
selfitzoit 3:a4 FM
r5 monlh prcbabtion frqm 6/16/2021 to l2l16/2$21 p*r CLB, *ee FOF uploade<i 8/13/2021 Delgado
]VIAILED CLB =NDINGS OF EACT - CO}ICLUSIO,\i OF LAW TO CONTRACTOR. MorgANPAtriCiA 08/18/2
BU0U2B22 1:54 PI,l Mr. Patino tvas {ontact€d regarding his probationary p*rlod and credit revierv requirements: Spoke
A9.A.1
Packet Pg. 490 Attachment: 9A LUIS G. PATINO – REVIEW OF CREDIT - SWIMMING POOL SPA SERVICING & REPAIR CONTRACTOR – THE OASIS GROUP OF
ti
Findings of Fact, Conclusions of Law and Decision of tfte Board
Collier County Contractor Licensing Board
For Applications Submitted to the Board for Review
Type of Application:X Credit Report and Probationary
Status Review
Waiver of Testing Requirements
**I__ Reinstatement of License
Request to Qualify Second Entity
Other (specify)
THIS CAUSE came on for public hearing before the Contractor Licensing tsoard
(hereafier Board) on June 16,2021 for consideration of an application submitted to the
Board for review. The application submitted is for a reinstatement of a Certificate of
Competency for a Swimming Pool Class C contractor. The applicant is before the
Board for review of his credit report and a determination of whether the applicant's
credit report should prevent the license from being reinstated to the applicant.
The Board, having heard testimony under oath, received other evidence, and
heard arguments relative to all appropriate matters thereupon, issues its Findings of
Fact, Conclusions of Law and Order of the Board as follows:
FINDINGS OF FACT
1. Luis G. Patino DiBIA Oasis Renovations & Pools (the "Applicant") applied to the
Collier County Contractor Licensing Supervisor, or his designee, for reinstatement of a
Certificate of Competency for a Swimming Pool Class C contractor.
2. Based on the credit reports supplied by the Applicant to the Licensing
Supervisor, a review of the creditworthiness of the Applicant by the Board is necessary.
1
9.A.1
Packet Pg. 491 Attachment: 9A LUIS G. PATINO – REVIEW OF CREDIT - SWIMMING POOL SPA SERVICING & REPAIR CONTRACTOR – THE OASIS GROUP OF
3. The Applicant was present at the public hearing and was not represented by
counsel.
4. The Applicant's credit report shows monies are due and owing by the Applicant
to different companies.
5. The Applicant has demonstrated to the Board's satisfaction however that the
Applicant has taken affirmative and sufficient actions to improve his creditworthiness to
a sufficient level to have the Certificate of Competency reinstated and has a plan in
place to continue to improve his credit report in the near future.
6. The Applicant has demonstrated to the satisfaction of the Board that his
Certificate of Competency for a Swimming Pool Class c contractor should be reinstated
and placed on a six (6) month probationary status.
CONCLUSIONS OF LAW
1. All notices required by the Code of Laws and Ordinances of Collier County, as
amended, have been properly issued and the Board has jurisdiction over the matter.
2. Pursuant to Section 22-184(b) of the Code of Laws and Ordinances of Collier
County, as amended, the subject application met the requirement(s) requiring Board
review and approvalof the application.
3. The Applicant has sufficiently demonstrated to the Board that he meets the
creditworthiness standard(s) as set out in Code of Laws and Ordinances of Collier
County, as amended, to have his Certificate of Competency for a Swimming Pool Class
C contractor to be reinstated and subject to a probationary term.
ORDER Q"F THE BOARD
2
9.A.1
Packet Pg. 492 Attachment: 9A LUIS G. PATINO – REVIEW OF CREDIT - SWIMMING POOL SPA SERVICING & REPAIR CONTRACTOR – THE OASIS GROUP OF
1. Based upon the foregoing Findings of Fact and Conclusions of Law, and
pursuant to the authority granted as applicable in Chapter 489, Florida Statutes, and
Code of Laws and Ordinances of Collier County, as amended, by a vote of 6 in favor
and 0 opposed, a unanimous vote of the Board present, the application for
reinstatement of a Certificate of Competency for a Swimming Pool Class C contractor is
approved. The Certificate of Competency is placed on a six (6) month probationary
status, The Applicant shall come back before the Board within the six (6) months
probationary period and provide proof of payoff and/or satisfactory close out of loans
made by the following creditors:
a. TD Auto - $9,174.00
b. Suncoast - $8,000
c. Telecom- $1,732
2. lf the Applicant provides proof sufficient to the Contractor Licensing Supervisor or
his designee of the satisfaction or successful close out of the loans made by the three
creditors, the probationary status is automatically extinguished with no further action
needed by this Board.
3. lf the Applicant fails to provide proof sufiicient to the Contractor Licensing
Supervisor or his designee within the six (6) months probationary period of satisfaction
or successful close out of the debts to three listed creditors, then the Applicant shall
appear before the Board with an updated personal and business credit report for the
Board to review to consider termination of probation, extension of probation, or any
other lav'rful action as approved by a majority vote of the quorum of the Board present at
the future hearing.
3
9.A.1
Packet Pg. 493 Attachment: 9A LUIS G. PATINO – REVIEW OF CREDIT - SWIMMING POOL SPA SERVICING & REPAIR CONTRACTOR – THE OASIS GROUP OF
ORDERED by the Contractor Licensing Board effective the 16th day of June
2021
CONTRACTOR LICENSING BOARD
COLLIER , FLORIDA
Terry Jerul hair
I HEREBY CERTIFY that a true and correct copy of the above and foregoing
Findings of Fact, Conclusions of Law, and Order of the Board has been furnished to the
Applicant, and Timothy Crotts, Contractor Licensing Supervisor, 2800 No(h Horseshoe
Drive, Naples, FL 34103 on this day of
Secretary/Contractor Licensing Board
1
4
9.A.1
Packet Pg. 494 Attachment: 9A LUIS G. PATINO – REVIEW OF CREDIT - SWIMMING POOL SPA SERVICING & REPAIR CONTRACTOR – THE OASIS GROUP OF
THE OASIS GROUP OF SWFL, INC.
Statu s
Licensee ttlumber
Name
TYpe
View Plaster Proiect AddresE Bosk
Go to gterti
Pt!'l
Bate and Tirne Comrnents
02/28/2019 3r03 Plvl
[7/2412[18 8:15 Ahl
+DONE*+ Still pending OBPR {Jpdate. in Pending status until update is cernpleted, Has 10 days to u
**=*BOARD
08/16/2021 2:41 PM
08/18/?r121 3:44 PM
r)"!07/202? 11r47 Ar'l
6 rnonth Srobabtion from 6/16,/2021 lo 12115/2321. per- CLB, see FOF r.rploaded 8/13i2$21 Delgado
M&ILED CLB mldSIlSGS OF FACT - CONCLUSION OF LAI1J TS COruTRACTOR" MorganPatricia 0B/18/2
No Credit has been received by I'{r, Patino and there for this will be brought before tlre Cl-B for failin
lvlr. Fatine was centacted regarding his probatienary period and credit review requirements: Spoke to I'vlr. Patino via a phone
call and reminded him of his probationary status and the requirement to submit a new credit report showing that the three
credit issued stated on the CLE FOF needed to be submitted within 6 months of lune 16th, ?021" I reminded Mr: Patino that
we had not received the r:equired cedit report because, he will now be required to appear before the CLB on 0U16/22. klr.
Patino said he nee,ded time to wrap his head around what was needed. TIC
Entered By
Licensee Information
Conrrurents
A
Add a Comment
Description
LCC?01800023 t?D*seriotion Tvrie Prooertr,' Alert
I
I
iJz.liJz.!2rJ22 1:54 Pl"l ,l"lr, Patino i'r=r r:r:-te.:tec regarciing his probatienarr- ;erird ani credit revier"r requirements: Spake
Crotts v
9.A.1
Packet Pg. 495 Attachment: 9A LUIS G. PATINO – REVIEW OF CREDIT - SWIMMING POOL SPA SERVICING & REPAIR CONTRACTOR – THE OASIS GROUP OF
Type Contractcr
Status Active
llumbe r
f,lBme
Eerson ok
Comrnents
. Go to Alerts
k
Add a Comrnerrt
02/28/2019 3:03 Ptvl
rl7/24/2019 8:15 AM
+DONE+* Stilf pending OtsP*. Update. In Pending status until update [s ccrnpleted. Has 10 days to u
+***BOARD OH.DE*.**r*
08/16/2021 2141 Ptl
il8/18/?021 3r44 PIU
5 month probabtron from 6/16/2021-ta 12/L6/Z$21 per CLB, see FOF uploaded 8/13/2S2L Delgado
MAILED CLB ilNDnNGS OF mCT - CONCI,-L,ISISN OF LAW TO CONTRACTOR. MorganPatricia 08/18/2
E2/0U2022 1:5rl PI'l
D2rr0i,i2D22 1 1 r.t7 AFl
1*lr. Patino r*,as contacted regarding his probationary period and credit revierv requirements: Spske
No Credit has been received by lvlr. Fatino and there fcr this will be brought before the CLB for failing to comply with the
Finding of Facts issued on June 16th, 2021.. F'lr. Pation to be notified. TIC
1
Licensee Information A
r,r i e'+i lrla ster Prri* ct Vieur AII Actir,ities for this Licensee
Description
1CC20180002312 Bescriotisn Tvoe Prooert"'Aert
THE 0A5.I5 GRoUP GF SWFL, INC.
Entered By Timothy Crotts Entered Date
9.A.1
Packet Pg. 496 Attachment: 9A LUIS G. PATINO – REVIEW OF CREDIT - SWIMMING POOL SPA SERVICING & REPAIR CONTRACTOR – THE OASIS GROUP OF
G rowth M anagement Division
Planning & Regulation
Opcrations Department
Licensing Section
February 8,2022
Luis G. Patino
Oasis Renovations & Pools
10310 Windsor Way
Naples, FL 34109
RE: Probation Credit Review Per Contractor Licensing Board
Dear Mr. Patino,
You have been added to the agenda for the Collier County Contractors' Licensing Board on
Wednesday, February 16th,2022. The Meeting is held at 9:00am at the W. Harmon Tumer
Building (Bldg F, Admin Bldg), 3299 Tarriami Trail, Naples, FL in the Commissioner's
Meeting Room on the 3'd Floor. Please be sure to allow yourself enough time to go through
security.
If there are any questions, please call(239)252-4229
Timothy Crotts
Contractor Licensing Supervisor
Collier County Contractors' Licensing
Growth Mana8ement Divlsion+Planning & Regulation*2800 No rth Horseshoe Drive*Naples, Florida 34104*239-252-2400+www.colliergov.net
9.A.1
Packet Pg. 497 Attachment: 9A LUIS G. PATINO – REVIEW OF CREDIT - SWIMMING POOL SPA SERVICING & REPAIR CONTRACTOR – THE OASIS GROUP OF
27911Crown Lake Blvd Suite f6
Bonita Springs, FL 34135
Phone: 239.777.1028
Fax: 877.27 5.3593
www.LicensesEtc.com
PERSONAL CREDT REPffiT (Compiled From NationalRecords)
.1FOR} <SUB NAME>
(I) P NP77710:8 LICENSES ETC
<SUBJECT>
PATiNO, LUIS GABR]EL
.(CURRENT ADDRESS>
7808 BUCKS RUN DR., NAPLES
<FORMER ADDRESS>
6017 PINE RIDGE RD., *27'7 .
2995 10TH AV., NAPLES rL.
3411 9 1 /LL
5/L0
<PCS ITION>
<VERF> <RPTD><HIRE>
GENERAL }4ANAGER
9/LC li/t] 70/09
MANAGER
<MKT SUB>
16 NP
<INFILE>
6/91
<DATE>
c2/L4/22
<TTME>
09:57CT
<BIRTH DATE>
2/82
<DATE RPTD>
9/L'7
<SSN>
-6243
FL.34t20
NAPLES EL
3417'1
<CURRENT EMPLOYER AND ADDRESS>
OASIS POOLS
NAPLES TL.
<TORMER EMPLOYER AND ADDRESS>
SEP
5/08 2/t1 2/15
SPECiAL MESSAGES
+**CONSUMER STA?EMENT: SEE END RPT***
!,,)i,.)DEL PR.CFILE ***ALERT***
***FICO SCORE 8 SCORE +637 : PRCPORTIOI{ oF BALAI.ICES TC
"iaF.EDIT LII4ITS IS TOO HIGH ON BAI'IK F.EVOLVING OR OTHEF. :IEVOLVII;G
'**ACCOUNTS,'TOC FEt'l ACCOUNTS CURRENTLY PAID AS AGREED;TIi.iE Sli';{;!l DELI}JQUEi.:",
i*i15 TCC B.EaENT OR UNKNOWN**r Il.1 ADDITION ?O THE FACTOR,S Li:iTEi, .iFtJ-'/E, T:-
1**NU}IBEB CF INQUIF,IES CN THE CONSUMER'S CF.EDIT FILE HAS ADVERSEI i' AFl-EaT:r;.
t' * * THE CF.EDIT SCOR.E .
PUBTIC RECORDS HAVE BEEN SEARCHED ATTHE COUNTY, STATE AND FEDERAT tEVEtS - NONE FOUND
TRADES
SUBNAME SUBCODE OPENED HIGHCRED TERMS MAXDELQ PAYPAT 1-12 MOP
ACCOUNT* VERFIED CREDLIM PASTDUE AMT-MOP PAYPAT L3_24
ECOA COLLATRL/LOANTYPE CLSD/PD BALANCE REMARKS MC 3A/60/9A
BRCLYSBANKDE B LZZBOAT 8/L6 $2OOO 2/I9 LLLLLLLLLLLL RO9
2/22A $1450 $1578 $269 05 LLLLLLLLLLLL
I CREDIT CARD L/:-gF. $1578 DISP INV CMP-CNS DSGR 65 3/ 2/ 4
*r, AUro FrN Y 624c39:
.. AUTOI'4OBiLE
sul\lcoAsT cu Q 298Q001
I LINE OE CREDTT
AMEX B 21WBOO1
2/]-'7 $14.8K
1/2:h
72/2l-E S0
073M L2 / it
$o
PAiDi SETTLED
+U
PAI D
I9P
TO:,6/L3
t/22A
L2/21
$10.0K
$o
$o
6/11
r/22A
$15.0K
$0
I -9!)
$0
Page 1 of 3
(,a
n
9.A.1
Packet Pg. 498 Attachment: 9A LUIS G. PATINO – REVIEW OF CREDIT - SWIMMING POOL SPA SERVICING & REPAIR CONTRACTOR – THE OASIS GROUP OF
I FLEX SPND CRT CRD 01/22
SETF/WOFC T 2729006 8/75
72/ztA
I AUTOMOBILE L/228
) r-r
;J5. Jh
$0
PAI D
075M
$o
PA] D
MIN23O
$o
3 60M
$o
CLOSED
120M
}U
CLOSED
12 0M
$o
CLOSED
a72M.
}U
CLOSED
!" l'18
L4322L111121 F,0B
1111
t':r
79?
SL]NCST CLI Q 298QOO7
I CF.EDIT CARD
ALLY FINCL T 259231L
S AUTOMOB]LE
i'rrssN INF LT Q 50?T0S5
i AUTO LEASE
;.i.illl B 21W8001
1 CREDIT CAF.D
iits.iovERBAI']K B 961 6003
] CREDIT CARD
5/12 $19.9K
5 / 1.9A
5/t9r S0
9/11 Szt.]K
s4s49
7/ 79t
$300
TERMS
0'72M
So
PA]D/WAS A CHARGE OFF O
2/1.6
3/19A
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L/22A
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6/13
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co-trtr
$8000
$0
$21.0K
$4400
$7 s8
$867s
$7 900
g1'7 90
039M556 72/le 111111111XXX rC,1s0 s548 02 xxxxxxxxxx2l.
FULL TERM/Ei,UC OWING 52 5/ C/ i;
MrN40 111111111111 ROi
$ 0 1 1111111 11 1r"
CLSD BY CRDT GRANTOR 17 O/ {)i O
2/ 79
$70 6
1i 1 11111111 1 RC 1
03 1111_1111111:t-
82 1/ti 0
M]DLAND MTG Q 771TOO2 LO/1.5
11 / ztL
I F'HA R.E. MORTGAGE 1.L/2IC
s343K
)U
.AMERIHOM MTG F 2Y1WOO1 1O/T5 $343K
10 / 18A
I THA R.E. MORTGAGE 1Oi18C $O
3 60M 111 1 111 1 1 11 1 1.101
$o 111111111111
TRNSFRD: oTHER LENDER 35 0/ ?i ')
EEEEEEEEEEEE F.I]1
$O EEEEEEEEEEEE
CLSD BY CRDT GRANTOR 33 0/ i:i ij
EEEEEEEEEEEE F.C J
$O EEEEEEEEEEEE
CLSD BY CRDT GRANTOR. 55 O/ C/ C
:i'/I'ICB/NETWRK B 561R006 71/75
8/1BA
i CHARGE ACCOUNT 4/LBC
SYNCB/NETWRK B 561ROO6 72/73
B/18A
I CI{ARGE ACCOUNT 4 /TEC
IJAVTENT V 6372A60 6/03
I /16A
I STUDENT LOAN E/76C
$2sE6
$0
|JAVTENT V 6312060 E/02 $26:5
8/t6A
I STUDENT LOAN E/76C SO
DISCOVERBANK B 9616003 1Ol10
4/76A
T CREDIT CARD
suNcoAST cu Q 298Q001 9/ts
9/1sA
C AT]TOMOBILE 9/I5C
$2?. sK
9/79 XXXXXXXXXXXX i,lCti
$4834 03 XXXXXXXX32ZZ
31 9/ 2i ri
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Page 2 of 3
SUNCOAST CU Q 298Q00L 1/13 $40.4K C12M
9.A.1
Packet Pg. 499 Attachment: 9A LUIS G. PATINO – REVIEW OF CREDIT - SWIMMING POOL SPA SERVICING & REPAIR CONTRACTOR – THE OASIS GROUP OF
I AUTOMOBILE
9 /t5A
9 /t5C
suNCoASr cu Q 29BQ00t 10/14
6/15A
I HOME EQUITY LOAN 6/15C
JPMCB HOME B 1127001 5/12
6/t5A
I FMHA REAL ESTATE 6/I5C
SUNCOAST CU Q 29BQOOL 3/74
t0 / 74A
I HOME EQUITY LOAN 7O/74C
SUNCoAST CU Q 298Q007 7/71
6/73A
I UNSECURED 6/L3C
SUNCOAST CU Q 29BQOO1 10l10
6/73A
I AUTOMOBILE 6/73C
$0
)bz.ui1
$o
$t42K
$0
$1s.0K
$0
cE,o,
$0
$18.9K
$0
$0
CLOSED
$0
CLOSED
3 60M
$0
CLOSED
0 66M
$0
CLOSED
111111111111
26 0/ 0/ 0
11111111 M01
111111111111 M01
111 111 111 1 1 1
34 0/ 0/ 0
M01
8 0/ o/ 0
0/ a/ 0
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1111111
$0
CLSD BY CRDT GRANTOR 1
0 60M
$0
C],OSED
111111111111 r0r
111111111111
29 0/ 0/ 0
x111111 r01
INQUTRIES
DATE SUBCODE SUBNAME
2/14/22 pNp777l02B (FLA) LTCENSES ErC
4/2'1 /21 pNp7771028 (FLA) LTCENSES ETC
t2 /74 /20 FCE231 5239 (CHr) ONEMATN
TYPE AMOUNT
CONSUMER STATEMENT
DO NOT CONFUSE MY CREDIT FILE WITH PEOPLE OF SIMILAR NAME, ADDRESS OR SSI.I.
VERIFY ALL IDENTIEYING INFORMATION.
END OF REPORT
Paee 3 of 3
9.A.1
Packet Pg. 500 Attachment: 9A LUIS G. PATINO – REVIEW OF CREDIT - SWIMMING POOL SPA SERVICING & REPAIR CONTRACTOR – THE OASIS GROUP OF
February 18, 2022
PATINO, LUIS
10310 WINDSOR WAY
NAPLES FL
34't 09-'t687
PERSONAL AND CONFIDENTIAL
ln view of your financial hardship, we are pleased to offer you a monthly payment
arrangement in the amount of $300.00 per month with a down payment of $'1,500.00
Your next monthly payment is due on March 15, 2022. lt is important that payment be
made on time and for the correct amount to avoid any additional collection activity. Should
your circumstances require a different payment plan, please call our office to discuss other
arrangements.
We appreciate your immediate attention to this opportunity
Sincerely,
Natasha Bales
Managing Coach
This communication is from a debt collector. This is an attempt to collect a debt
Any information obtained will be used for that purpose.
General PPA Letter
lssue No 4
lssue Date 1/14122
Private
,4/o
Re: Creditor Name: SUNCOAST CREDIT UNION
Account Number: 5530
Product Type: LOAN
Product Number: 0038
Reference #: 4882705
Balance Due: $ 9, 102-84
9.A.1
Packet Pg. 501 Attachment: 9A LUIS G. PATINO – REVIEW OF CREDIT - SWIMMING POOL SPA SERVICING & REPAIR CONTRACTOR – THE OASIS GROUP OF
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19.A.1Packet Pg. 502Attachment: 9A LUIS G. PATINO – REVIEW OF CREDIT - SWIMMING POOL SPA SERVICING & REPAIR CONTRACTOR – THE OASIS GROUP OF
zTgllCrown Lake Blvd Sulte #5
Bonita Springs, FL 34135
Phone: 239,777.LO28
Fax:. 877,275.3593
yr_H /u,.Ugengggf!ffg"m
PERSONAL CREUT REPORT (Compiled From National Records)
<EOR> <SUB NAME>
(r) P NP7771028 T,TCENSES ETC
<SUBJECT>
PATINO, LU]S GABRIEIJ
<CURRENT ADDRESS>
7808 BUCKS RUN DR. , NAPIJES
<EORMER ADDRESS>
601_7 PrNE RrDGE RD., *277.
2995 l_oTH AV., NAPLES EL.
<MKT SUB> <INEILE> <DATE>
L6 NP 6/e7 04/27 /2L
<SSN>
<TIME>
L2z32CT
<BIRTH DATE>
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<DATE RPTD>
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EL.34t20
NAPLES FL. 341.1.9
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<CURRENT EMPLOYER AND ADDRESS>
OASIS POOLS
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<['ORMER EMPLOYER AND ADDRESS>
SEP
<POSITION>
<VERE'> <RPTD><HIRE>
GENERAL MANAGER
s/Lo LL/L7 1,0/09
MANAGER
5/OB 2/L7 2/L5
SPECIAL MESSAGES
***CONSUMER STATEMENT: SEE END RPT***
MODEL PROEILE ***ALERT***
*t*TlCO.]ggggf .8 SCORE +5?4 : SERIOUS DELINQUENCY, AND PUBIJIC RECORD OR
***CO],LECTION FTI,ED, PROPORTION OE BATANCES TO CREDIT LTMTTS IS TOO HIGH ON
***BAI{K REVOTVING OR OTHER REVOLVING ACCOUNTS,NUMBER OE ACCOUNTS WITH
***DEI,INQUENCY;TIME STNCE DELINQUENCY IS TOO RECENT OR UNKI{OT^JN*** IN
***ADDITION TO THE EACTORS I,]STED ABOVE, THE NUMBER OE INQUIRTES ON THE
***CONSUMERIS CREDIT EI],E HAS ADVERSEI.Y AFEECTED THE CREDIT SCORE.
PUBUC NECORDS HAVE BEEN SEARCHED AT'TNT.COUI'TW;:SIRTT.ETTIP TTDTiNT TTVTU -.NONE EOUND
COLLECTIONS
SUBNAME SUBCODE
ACCOUNT#
ICSYSTEM Y2834001
ECOA OPENED CLOSED $PI,ACED
VERIT'IED BATANCE
r 8/20 $383
4 /21-A $383
CREDITOR MOP
REMARKS
ATT DIRECTV O9B
NATURAL/DCLRD DISAST
TRADES
SUBNAME SUBCODE OPENED HIGHCRED TERMS MAXDELQ PAYPAT ]._].2 MOP
ACCoUNT#VEREIEDCREDLIMPASTDUEAMT-MoPPAYPATl3.2q
EcoA CoIJATRI,/LOANTYPE CLSD/PD BAI,ANCE REMART(S MO 30160/90
AMEX B 21WBOO1 6/L7 $15.0K GGG R09
q/2LA $O $2L77
r rLEX SPND CRT CRD L/2tE $10.9K CLSD BY CRDI GRANTOR 3 O/ Ol O
BRCLYSBANKDE B TZZBOOL
I CREDIT CARD
TD AUTO EIN g 624C382
8/16
4/2LA
1/LgF
$2ooo
$14s0
$1578
2/1-9 ],LLLLI,LLILLL RO9
$1578 $ZEg 05 LLLLLLLLLLLs
DISP INV CMP-CNS DSGR 56 3/ 2/ 4
L2/19 LI,LLLIJLLLITLI, I09
Page 1 of 3
2/1-t $14 . BK 073M
9.A.1
Packet Pg. 503 Attachment: 9A LUIS G. PATINO – REVIEW OF CREDIT - SWIMMING POOL SPA SERVICING & REPAIR CONTRACTOR – THE OASIS GROUP OF
C AUTOMOBILE
suNcoAST cu Q 298Q00L
I LINE OF CREDIT
SUNCST CU Q 298QOO7
I CREDTT CARD
VERIZON U ]-R2WOO2
I TELECOM,/CEIJIJUIJAR
AIJLY EINCL E 259237L
S AUTOMOB]LE
DISCOVERBANK B 9616003
I CREDIT CARD
AMEX B 21WBOO1
I CREDIT CARD
NISSN INF LT Q 5O7TOB5
I DET'ERRED O42O2O2]"
SETE/WOEC r 27290A6
I AUTOMOBILE
MIDLAND MTG Q 771TOO2
r ['HA R.E. MORTGAGE
AI4ERIHOM MTG F 2F7WOO1
I EHA R.E. ITORTGAGE
SYNCB/NETWRK B 561.R006
I CHARGE ACCOUNT
SYNCB/NETWRK B 561ROO6
I CHARGE ACCOUNT
NAVIENT V 6372060
I STUDENT LOAN
NAVIENT V 6372060
r STUDENT LOAN
DISCOVERBANK B 961.6003
3/27A
L/?OY
6/L3
3/21-A
7 /LeE
2/L6
3/1,sA
L/:lgE
t/1,L
3/2tx
1 /Lgv
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5/tgP.
5/tgE
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4/21,A
$ e1_7 4
$1o. oK
$o
$l-0. 6K
$825s
$8ooo
$B2ss
$le't z
$1732
$19. 9K
$o
$8675
$7e00
$1952
$9L't 4 $7 4L 04 I,L432L71,L2LL
UNPAID BLNC CHRGD OE[' 48 6/ 2/ 1
6IL9 LLI,LLLLLLLIL CO9
$10. 5K $421 03 I,Lr,T,LLLL3222
CLSD BY CRDT GRANTOR 82 5/ 1/ O
L/L9 L43221-1-1L121 R09
$82s5 $342 O4 1l-t-1-11-1LL1Lr-
UNPAID BLNC CHRGD OEE 36 3/ L/ 1.
o98
$1'732
PLACSD EOR COI,LECTION 44 o/0/o
7 /1,s
4/2LA
1/ztc
9/L7
3/21,A
B/Ls
3/21A
LA/L5
2/2]',A
LO/1,5
10/ L 8A
7A/]-Bc
$21- . 0x
$q+oo
$2347
$21 .7x
$2L96
$35.3K
$4 601
$3 43K
$31"3K
$343K
$o
MrN235 2/L9 r-1L11-l-1-11111 R01
$o $zoo 03 i-l-111-111-11-11-73 L/L/O
MrN60 111-111111111 R01
$o 111.11111-1-111-
CLSD BY CRDT GRANTOR 68 O/ O/ O
039M55 6 LZ/LB XXXXX)O(XXXXX r01
$o $548 02 2L1LLL1-L221-1,
PAYMENT DEE'ERRED 42 5/ OI O
075M529 L2/20 L4432!K32r-33 r01
$o $1-s89 04 222LL2]-L2L]-L
66 t/4/2
360M 9/L9 XXXXXXXXXXX3 M01
$o $4834 03 222L3222222L
ACCT IN T'ORBEARANCE 28 9/ 2/ O
360M 111111L111l-i. M01
$o 11111L1-11111
TRNSERD: OTHER LENDER 35 0/ 0/ 0
EEEEEEEEEEEE ROl-
$O EEEEEEEEEEEE
CLSD BY CRDT GRANTOR 33 O/ O/ O
EEEEEEEEEEEE RO1
$O EEEEEEEEEEEE
CLSD BY CRDT GRANTOR 56 O/ O/ O
o72M
$o
PAID/WAS A CHARGE oEF O
L2OM
$o
CLOSED
r9P
t-l_11_i_11_1_l-1-1r- r01
1_11r.1r.1111r-r_76 o/o/o
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11r_Er-11r.1-111
Page 2 of 3
LL/1,5
8/r-BA
4/Lgc
$1-3s5
$1s00
$o
1,2/L3
B /l-8A
4/LBc
6/03
8/l-6A
B/L6C
8/02
B/1"6A
8/L6c
L0/70
4 /L6P.
$1_ 6oe
$1soo
$o
$2586
$o
$262s
$o
$10.4K
$11.8x
l-20M
$o
CLOSED
$o
9.A.1
Packet Pg. 504 Attachment: 9A LUIS G. PATINO – REVIEW OF CREDIT - SWIMMING POOL SPA SERVICING & REPAIR CONTRACTOR – THE OASIS GROUP OF
T CREDIT CARD
suNcoAsr cu Q 2 98Qo01
C AUTOMOBITE
suNcoAsT cu Q 298Q0 01
I AUTOMOBILE
suNcoAsT cu Q 2 980001
I HOME EQUITY LOAN
.}PMCB HOME B 1127001
I T'}.4HA REAI ESTATE
suNcoAsT cu Q 2 98Q001
I HOME EOUTTY IJOAN
suNcoAsT cu Q 2 98Q001
I UNSECURED
suNcoAsT cu o 2 98Q001
I AUTOMOBIIJE
9/L5
9/t5}-
9 /15c
'7 /t3
9/A5A
9/ tsc
LO /14
6/15A
6/7sc
5/12
6/ tsl'
6/t5c
3/L4
LO /l4A
to /14C
L /L1
6/ 13A
6/L3c
LO/LO
6/L3A
6/L3c
$o
$27.5K
$o
$40.4K
$o
$62. 0K
$o
$142K
$o
$1s.0K
$o
$5292
9o
$18.9K
$o
o'12M
$o
C],OSED
07 2M
$o
CTOSED
066M
$o
CIOSED
$o
Cl,OSED
360M
$o
C],OSED
11111 11
$o
C],SD BY CRDT GRANTOR 7
060M
$o
CI,OSED
65
1111_111r 11,1r. r0t
11t 111-111111
26 O/ O/ O
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I o/ 0/ o
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34 O/ o/ O
M01
0/ 0/ 0
111,111111111 I01
Ll-t l"1t- 11111129 0/ 0/ 0
x11111"1 r01
0
7 0/ o/ 0
INqUIRIES
DATE SUBCODE
4 /2"1 /21 PNP7771028 (rrA)
L2 / 14 / 20 FC82375239 (cHr)
2/08/2A ECE237 s23 9 (cHr )
SUBNAME
LICENSES
ONEMAIN
ONEMAIN
ETC
CONSUMER STATEMENT
DO NOT CONEUSE MY CREDIT EII]E WIT}I PEOPIE OF SIMIIJAR NAME, ADDRESS OR SSN.
VERIFY ALL IDENTTFYING INEORMATION.
END OF REPORT
Page 3 of 3
o/ o/ o
r01
TYPE AMOUNT
9.A.1
Packet Pg. 505 Attachment: 9A LUIS G. PATINO – REVIEW OF CREDIT - SWIMMING POOL SPA SERVICING & REPAIR CONTRACTOR – THE OASIS GROUP OF
27911C.ronn Lake
I
Bhrdtulte
gofilts Sprlngs, FL ;14135
Phoner Lt9,777,LAZA
Fafi 877,275,3595
udrFd}/r,f, lsf, nsE$.Et&{eff}
fl et1
BUSINESS CREDIT REPOBT
Tho Oaels Group of SWFL, Inc. dba Oaslo Renovatlon* & Pools
Fed Tax ID# 83-1853467
Addrassr 15275 Colliur BLVD
Naplts, FL 3.1119"6750
Unlted Stiltos
Key Personneh
Exporlan Bl,ilr
At6nt:
Agent Addrcssr
r156250910
Patlno tuls G
15275 Colller BIVD
Naplos, FL
SIC Codet
NAICS Code:
Presldentl Lulr G Patlno
Smretary; Flerre
Dontinlquc'
1799.Speclal Ttade
Contractorl, Nec
238990"AllOther
Spucislty Tr&dc
Corilrartorl.
Buslners Typer Corporatlon
Erperlan HIE E*tsb.lislmdr Hovernber 20 I I
Exgerlan Years cn Fller 3 Year
Ytars ln Burlnes: More than 3 Y€a.s
Flllng Data Provldad by: Florlds
Drtc of lnro,rporatlonl o9/o6po18
puBLrc REcoRDs HAVE BEEN SEARCHED AT THC COU}|TY, STATE AND FEOERAT IEVELS,
,r Bankruptc{esr 0
,.,,'' Llenr: o
u" Jud[mente Flled: 0
"'colledlons; o
Pagt I of 2
9.A.1
Packet Pg. 506 Attachment: 9A LUIS G. PATINO – REVIEW OF CREDIT - SWIMMING POOL SPA SERVICING & REPAIR CONTRACTOR – THE OASIS GROUP OF
June 16,2021
MINUTES
OF THE COLLIER COUNTY
CONTRACTORS' LICENSING BOARD MEETING
June 16,2021
Naples, Florida
LET IT BE REMBMBERED 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,
"3'd Floor, Collier County Government Complex, Naples, Florida, with the following Members present:
Chair: Matthew Nolton (excused absence)
Vice Chair: 'ferry-Jerulle (Acting Chair)
Members: Richard E. Joslin
Patrick G. White (called in)
Todd Allen
Kyle Lantz
Robert Meister III (excused absence)
Joseph Coleman
ALSO PRESENT:
Kevin Noell, Ilsq. - Attorney for the Contractors' Licensing Board
Tirnothy Crotts - Contracting License Supervisor
Colleen Kerins -Assistant Collier County Attorney
-l -
9.A.1
Packet Pg. 507 Attachment: 9A LUIS G. PATINO – REVIEW OF CREDIT - SWIMMING POOL SPA SERVICING & REPAIR CONTRACTOR – THE OASIS GROUP OF
Jlune 16,2021
Any person who decides lo uppeal a decision of this Boartl will need a record of tlre proceedings otld
moy need lo ensarc lhat o verbdim record of said proceedings k made, including the testimony antl
evidence upott whiclr any appeal is to be made.
Terry lerulle, Acting Board Chair, opened the meeting I 9:03 AM.
Roll Call was taken; Five (5) Members were presenl in the BCC Chambers.
o Matthew Nolton - wos absentJrom the meeting.
o Robert Meisler III - t,os abserrtfrom the meeting.
o Patrick G. White - parlicipated in the meeting by phone.
Mr. Crotts, Contractor Licensing Supervisor, commenled lhat Mr. Nokon tnd Mr. Meister gave
prior notice thal they would nol he allending the meeting. tr[n White asked to parlicipale in the
meeting via phone. Mr. Crotts asked the Board to approve Mr. Nolton and Mr. Meister's absence
as approved absences. In atlrtition, Mr. Crotts asked lhat Mn lYhile be approved to ptrticipale in
the meeting tia plrone.
Mr. Lantz moved lo opprove the requests from Mr. Crotts; Mr. Allen offered a second in support
of the motion. Carrietl unanimously 5-0.
A quorum was established al Roll Call; six (6) voting Members wele present ot the start of the
meeting,
2. ADDITIONS OR DELETIONS:
Mr. Crolts advised thot lhere is a deletion under New Business, Item 8.D. as Mr. Edward J. Frank
II requested to postpone his appearance unlil the next meeling on July 21,2021.
Mr. Joslin movetl to approve tlre agenda; Mn Lantz offered a second in support of the molion.
Carried unanimously 6-0.
A. May 19,2021
Mr. White and Mn Allen moved to approve the Minates of the May 19, 2021 meeting; Mr. Joslin
offered a second in support of the motion. Curried unanintously 6-0. Minutes were approved.
5. PUBLIC COMMENTS:
A. (None)
1
I. ROLLCALL:
3. APPROVALOFAGENDA:
4. APPROVALOFMINUTES:
9.A.1
Packet Pg. 508 Attachment: 9A LUIS G. PATINO – REVIEW OF CREDIT - SWIMMING POOL SPA SERVICING & REPAIR CONTRACTOR – THE OASIS GROUP OF
June 16. 2021
A. REVIEW OF EMERGENCY RESTRICTED CERTIFICATES OF COMPETENCY
Mr. Crotts, Contracting Licensing Supen'isor, stated as n remhtder to the Board that in lhe evenl
of a rleclnration of emergency in Collier County h.y lhe Collicr Counly Botrcl ol County
Commissioners or in the City by the City Council, irt which suhstantial damage has occurred to
buildings awl strlrcturcs lo cause o shorlage of ovailable persons and Jirms/entitles in lhe
contracting trades for which lhere are Collio Counly/City CerliJicales of Competency, lhe
Conlactorst Licensing Board may be called together for an emergency meeting to issue
Emergency Restricted Certificales of Competency, no( to exceed slr (6) montlts or until the
emergency is dechred over, lo out of slate or out of Collier Counir- corrtroclots.
Then, with the Board's authorizatiott, Mr. Crotts advised that his slaff will validate tlte contraclor
and issue the temporary Emergency Restricted CertiJicates of Competency to lhose contraclors
not to e.rceecl sk (6) months or the declaralion of emergency. In additbn, the County will provide
activeJieltl supervision within the City of licensetl and unlicensed activity through its investigation
and citation authority. The staff will aclvise unlicensed co lroclots thdt they need to obtain a
tamporary Emergency Restricted certificate of competency. The staff will also issue warnings
fottowetl by a citalion after the warning periocl has expired. An unlicensed contraclor who ltas
been issued a cilation may request an Emergency Restricted certi/icate of Competency.
Otherwise, f the Emergencj Reslricte(t CerliJicde of Competencl, is nol obtained, they will
conlinue lo receive citations,
A. (None)
8. NEWBUSINESS:
Note: 'I'he individuals rvho testified in the following cases under Itcm 8, "New
Business," wcre first srvorn in by Gayane Gelenian
B. RENE J. LOPEZ _ REVIEW OI- EXPERIENCE _ PAINTING CONTRACTOR
Mn Jerulle calletl fuIn Lopez to the podium.
Mr. Crotls, Contracling License Supervi-sor, staled that Mr. Lopez is asking for a Painling
Conlractor License. This type of license requires ot leasl twenty-four (24) months ofexperience in
the lrade. In verifying Mr. Lopez/s experience, Mr, Crotts conlocled the President of Spectrum
Contracting as a reference, The President indicated that l)[r. Lopez workedfor him in the role of
a painler from 2010-2013. Mr. Crotls asked Mr. Lopez to come in before the Board to state his
painling experience since that timqfrome.
-3-
6. DISCUSSION:
7. REPORTS:
A. ORDERSOFTHEBOARD
Mr. Lantz offered a moliot to have the Board Chab sign orders of the Board' Mr.
Allen offered a second in supporl of the molion. Carried unanimously 6-0.
9.A.1
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.lunc 16. 2021
Mr. Lantz asketl Mr. Crotls if there is a requirement stolitrg how recent lhe experience must be?
Mr. Crotts odvisetl that there is nol a requirement saying how recent the experience must be.
However, due lo a seven (7) year lapse of clocumentation showing thal Mn Lopez has experience
in the trade, Mr. Lopez was askefl to presenl his experience to the Boord. In addilion, Mr. Lopex
must show that he has previorts interior and eyterior paintittg experience to obtain a painling
license,
Mn Lopez commented that he painted inside and outside high-rise buildings and hoases wlrcn he
worketlfor Spectrum Contractorsfrom 2010-201-1. In 2017, Mr. Lopez opened his own handyman
business where he tlitl painl touch upfor his clients. However, his business clienls are asking him
to do more painting than just tottch-ups. Until now, he has been sending tlte painting requests to
other licensetl co tractors. Then, he apptied for lhe license so thal he can do the painting for his
clients.
Mn Lantz asked why Mr. Lopez l''as lookittg to have a Collier County license when he lives in Lee
County. Mn Lopez stated that most of lhe contr ctors he works with are in Collier County.
Mr. Jerulle asketl Mn Lopez to elaborate on his painling experience while workingfor Spectrum
Contracting. Mr. Lopez statert thal he pressure washed and painted both inside and oulside of high
rises and homes. He tlid also have experience with painting new home conslructionfor a company
while living and working in California.
Mr. Crotts recommendetl that the Boartl give Mr. Lopez a probationary licensefor one (l) year. If
there are no issues or complaints during thal year, lhe Contraclor Licensing Supemisor will
rcmove lhe probatiorrory statut by oruler of the Board.
Mr. Allen moved to approve the request; Mr, Coleman offered a second in support of lhe motion.
Mn lYhite suggested amentting the motion to have the license aulomatically renew aftet lhe one
(1) year probationary periotl. The amended molion Carried unanimously 6-0.
C. LUIS G. PATINO. REVIEW OF CRE,DIT AND PROBATIONARY STATUS
Mr. Jerulle called Mr. Patito to the podium-
Mr. Crotts stated that Mn Palito is here loday to reiflslate his Sx,imming Pool license, Class C,
which nas suspended on December 31,2020. Due to his license being suspended, Mr. Patino is
required to submit an applicationfor reinslatement, which he has sabmitted. However, Mr. Crotts
ulvised thot in reviewing lhe opplication, Mn Patino's credit score was lower than the 660
minimum credil score needed to meet the financiol requirements of the application. In aclclition,
the following credil ilems were found as areas of concern:
1. An unpaid chargeofffor TD Auto Finoncial in lhe tntount of $9,174
2. An unpaid chargeofffor Suncoast Credit Union in the amounl of 58,000
3. Account in colleclions for Telecom Cellular "Verizon" for a balance of $1,732
4, Three (3) accoturts closed in 2021 b1, creditors due to paynlsnl i5s,t.t
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In adtlition, Mn Crotts ortvisetl the Bonrd that Mn Patino's license was placetl on a twenly-four
(24) month probationdr! status by the contraclors' Licensing Boartl on July 17,2019. The Board
'also requiietl Mr. Patino to pay the homeowner $10,000 reslituliot. Mr. Patino tlid pay the
homeowner the $10,000 in the time attofle(t; however, the probationary status is in effect until
July 17,2021.
Mr. Pntino commented that he has been in business sirtce 2010, His financial troubles slarted as
a result of a substantial Jinancial lawsuit antl breach of contract fi,ith Canadian cttmpany and
his company, oasis Pools of sll FL Inc. Mn Patino purchased another pool compatry in Porl
Charlotte to help him ulith his cash Jlow, However, wilh lhe lawsuit, he lost $150,000 and over-
e$entled himsetf Jinanciolty. During this time, he let his Pool license lapse because lte was
financially strapped. He has plans to gel out of debt and back on track by selling his home to pay'off
his (t;bt. Ai pr"t"nt, Mr. Patino b working as an employee of All Pool Systems while his
iisiness is only tloing pool nninterance. Mr. Patino's business had 500 accounts, tutd now he is
maintaining 120 residential occounls and 20 commercial accounts.
Mr. Lantz asked about Mn Patino's business uedit. Mr. Crotls advised that The Oasis Group of
sllFl, Inc. DBA: Oasis Renovatiotts ond Pools had credit, and there were no bankruptcy, liens,
collections, or judgments Jiled againsl lhe business.
Mr. Jerulle asked Mr. Patino how he plans on ssuring the Board movingfonvard that he will do
what he intends to clear his credil?
Mr. lYhite also asked Mr. Patino to explain how he will satbfy his outslanding debt?
Mr. Patino commented that he is setling his house lo clear his debt and improve his credit.
Mr. lYhife asked Mr. Patino how lotrg it teill take to complete the sale of his home to make
payn ents lo clear his indebtedness ond improve his credit?
Mr. Jerulle asketl Mr. Potino d he has contacted the companies he owes monq) to drro,tge a
repayment plan to clear the tlebt? Mr. Patino commented lhdl he had conlactetl all lhe companies
except VeriZon as he is atreatly making payrrrcnts lo Verizon on his outstonding balance. Mr.
Jerulle asked Mr. Patino d he could agree to take core of his debt h,ithin the nexl six (6) months
if a motion was nuule with that timeframe? Mr. Palino conJirmed thal he could clear his debt
within six (6) months.
Mr. Joslin asked if Mr. Palino has done any pool construclio,t over tlre past year? Mr. Palino
comn ented lhd he is ott tlre pq'roll o|aAU Pool Systems, selling jobs for that comPan)),
Mn Crotts gave his recommendation thol the Board reinstotes Mr, Patino's license for o
probationary period of one (I) J,ean During this time, Mr. Patino wortld be responsihlefor paying
off his creditors. Also, he would be required to shotl proof lo the Board thol ltis credit score has
improved.
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June 16,2021
I. NEXTMEIII'INGDATE:WEDNESDAY, JIJLY 21, 2021
Commissioner's Chambers, 3'd Floor-Administrative Building
Government Cenler,3299 E. Tamiarni Trail, Naples, FL
Mn White stated thot he woultl nol be presenl ot the Juty 21,2021 meeting and requesled an
ercused absence from tlrat meeting.
Mr. Lantz made a molion lo atljourn the meeting; Mr. Joslin offered a second in support of the
motion. Carried unanimously 6-0.
Mn Crolts tisted the debt thot should be paid olJ!
1. An unpaitt chargeofffor TDAuto Financialfor $9,174
2. An unpaid chargeolffor Suncoost Credit Unionfor $8'000
3. Account in collections for Telecom Celtular "Verizon" for a bolance of $1,732
Mn Lantz moverl to reinstate Mr. Patino's licensefor t sk (6) month probalionary period, during
which time he will clear tlrc debt listert above. In additiorr, he will show proof thot thk debt is clear
to Mn Crotts, Contracting License Supervisor, within the six (6) month period, After that time,
his license witt no longer-be untler probatio ory status, Mr. IYh ite offered a second in support of
tlre brotion x,ith the amen(letl comments lhot if Mn Patino doesn't clear his debt wilhin the sk (6)
months, he must come back to the Board with a new personal and business credit report. Amended
motion Carried unanimouslY 6'0.
Mr. Coleman asked Mr. Patino to make sure he has past judgments dating back lo 2018 from
"SCP Distributors" show poid infull in lhe Offical County records.
D. EDWARD J. FRANK II _ MOVEDTO NEXT MEETING
9.O LD BUSINESS:
A, Mr. Coleman stated that he was moving lo Lee County and submitled his resignation to the
Board as of June 30, 2021.
The Board and Mr. Crotts thanked Mr. Colemanfor his service uttl wkhed him all the best.
A. (None)
I
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10. PUBLICHEARINGS:
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June 16,2021
There being no further business for the County's good, the meeting was adjourned at 9:48 AM.
COLLIER COUNTY CONTRACTORS' BOARJ)
TERRY JER ULLE, Board Wce-C h o ir ma n (Acti ng C h a irman)
The Minutes were approved by the Chairman or Vice
2021, (check one) "cs submitted"
Chairynan of the Contractors'Licensing Board on
I t/ I or "as amentled" l I.
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04/20/2022
COLLIER COUNTY
Contractor Licensing Board
Item Number: 11.A
Item Summary: NEXT MEETING DATE - WEDNESDAY, MAY 18, 2022
Meeting Date: 04/20/2022
Prepared by:
Title: – Contractor Licensing
Name: Sandra Delgado
04/13/2022 4:53 PM
Submitted by:
Title: – Contractor Licensing
Name: Tim Crotts
04/13/2022 4:53 PM
Approved By:
Review:
Contractor Licensing Trish Morgan Review item Completed 04/13/2022 4:54 PM
Contractor Licensing Sandra Delgado Review item Completed 04/13/2022 5:37 PM
Contractor Licensing Tim Crotts Review Item Completed 04/14/2022 11:45 AM
Contractor Licensing Tim Crotts Meeting Pending 04/20/2022 9:00 AM
11.A
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