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CLB Agenda 05/18/2022 (revised)COLLIER 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 May 18, 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 proceeding, you are entitled, at no cost to you, the provision of certain assistance. Please contact the Collier County Facilities Management Division located at 3335 East Tamiami Trail, Suite 1, Naples, Florida, 34112 -5356, (239) 252-8380; assisted listening devices for the hearing impaired are available in the Facilities Management Division. 1. ROLL CALL 2. ADDITIONS OR DELETIONS 3. APPROVAL OF AGENDA 4. APPROVAL OF MINUTES 4.A. APPROVAL OF MINUTES - APRIL 20, 2022 5. PUBLIC COMMENTS 6. DISCUSSION 7. REPORTS 8. NEW BUSINESS 8.A. ORDERS OF THE BOARD (8 ITEMS) 8.B. CHRISTOPHER GREEN – REVIEW OF CREDIT – CABINET INSTALLATION CONTRACTOR–CAMERON CARPENTRY NAPLES LLC 8.C. RYAN D. PETTIT. - REVIEW OF EXPERIENCE – RESIDENTIAL CONTRACTOR – RYAN PETTIT LLC 8.D. JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPL 8.E. SHIRLEY R. HALL – REVIEW OF EXPERIENCE - CONCRETE PLACING AND FINISHING CONTRACTOR - NOVELLO CONCRET 8.F. RYAN M. GOBIEL – REVIEW OF EXPERIENCE – SWIMMING POOL/SPA SERIVCE AND REPAIR CONTRACTOR - ISON CORP 9. OLD BUSINESS 10. PUBLIC HEARINGS 10.A. CONTEST CITATION #11812 – RIGOBERTO GUIDICELLI (CEUL20220003651) 10.B. CONTEST CITATION #12489 – KENNETH J. DITTMER (CEUL20220003164) 10.C. 2022-04 – KRISTO MISKA DBA HOME & MORE SERVICES INC. (CEMIS20220001812) 11. NEXT MEETING DATE 11.1. NEXT MEETING DATE - WEDNESDAY, JUNE 15, 2022 05/18/2022 COLLIER COUNTY Contractor Licensing Board Item Number: 4.A Item Summary: APPROVAL OF MINUTES - APRIL 20, 2022 Meeting Date: 05/18/2022 Prepared by: Title: – Contractor Licensing Name: Alyshia Morse 05/11/2022 1:15 PM Submitted by: Title: – Contractor Licensing Name: Tim Crotts 05/11/2022 1:15 PM Approved By: Review: Contractor Licensing Sandra Delgado Review item Completed 05/11/2022 1:29 PM Contractor Licensing Tim Crotts Review Item Completed 05/11/2022 5:03 PM Contractor Licensing Tim Crotts Meeting Pending 05/18/2022 9:00 AM 4.A Packet Pg. 3 April 20, 2022 1 MINUTES OF THE COLLIER COUNTY CONTRACTORS’ LICENSING BOARD MEETING April 20, 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 (absent) Patrick G. White (excused) Todd Allen (excused) Robert Meister III Elle Hunt Stephen Jaron ALSO PRESENT: Kevin Noell, Esq., Contractor Licensing Board Attorney Timothy Crotts, Contractor Licensing Supervisor Colleen Kerins, Assistant Collier County Attorney 4.A.1 Packet Pg. 4 Attachment: 4A APPROVAL OF MINUTES -APRIL 20, 2022 (22225 : APPROVAL OF MINUTES - APRIL 20, 2022) April 20, 2022 2 Any person who decides to appeal a decision of this Board will need a record of the proceedings and may need to ensure that a verbatim record of said proceedings is made, which record includes the testimony and evidence upon which any appeal is to be made. 1. ROLL CALL: Chairman Kyle Lantz opened the meeting at 9:02 a.m. Roll call was taken; five members were present in the BCC Chambers at roll call; a sixth joined later. Mr. Crotts said Board Members Allen and White had prior engagements and asked that their absences be excused. Chairman Lantz approved the absences. 2. ADDITIONS OR DELETIONS: None 3. APPROVAL OF AGENDA: Board Member Nolton moved to approve the agenda. Vice Chairman Jerulle seconded the motion. It was carried unanimously, 5-0. 4. APPROVAL OF MINUTES: A. Approval of Minutes for March 18, 2022 Chairman Lantz noted that Board Member Jaron filed a Form 8B (Memorandum of Voting Conflict) because he had open contracts with Carter Fence Co. and he didn’t want it to look like he had any gains or losses, so he abstained. Board Member Allen filed a Form 8B because Fugang Zhou was a client of his and he didn’t want it to appear he had any gains or losses, so he abstained. Attorney Noell said those forms will be part of the minutes to be approved. Board Member Nolton moved to approve the March 18, 2022, meeting minutes, with Form 8Bs for Board Members Jaron and Allen. Vice Chairman Jerulle seconded the motion. The motion carried unanimously, 5-0. 5. PUBLIC COMMENTS: None 6. DISCUSSION: 7. Chairman Lantz said that during last month’s meeting, the Board discussed naming a business for a trade that business is not licensed to do. He asked Mr. Crotts to address that issue. 4.A.1 Packet Pg. 5 Attachment: 4A APPROVAL OF MINUTES -APRIL 20, 2022 (22225 : APPROVAL OF MINUTES - APRIL 20, 2022) April 20, 2022 3 Mr. Crotts said at the last meeting, the issue came up about somebody having a name of a company that may mislead the public into believing they have a license other than what was approved. There’s nothing in our Ordinance that addresses that, so he reached out to DBPR to find out if there was anything in the State Statute under their authority that does. At first glance, they cannot find anything that would prohibit somebody from naming a company for a license they don’t hold. However, DBPR is doing deeper research and he expects an answer by the next meeting. 8. REPORTS: None 9. NEW BUSINESS: A. ORDERS OF THE BOARD Vice Chairman Jerulle made a motion to have the Chairman sign the Orders of the Board. Board Member Nolton seconded the motion. The motion was carried unanimously, 5-0. The Orders of the B oard were approved. B. Hunter K. Jones – Review of Experience – General Contractor Registered Hooks Construction LLC Chairman Lantz called Mr. Jones to the podium and he was sworn in. Mr. Crotts reported that Mr. Jones has submitted an application for the trade of General Contractor, a license that requires 48 months of experience. As part of the staff-review process, Mr. Jones submitted required Verifications of Experience. • H2 Technologies. They reported that he was employed there from 2015 to 2019. This company is a licensed limited-energy contractor, which means they deal in low voltage only. Mr. Jones was an assistant to the apprentice and assisted in running wire through commercial buildings. He was not an employee at that time due to his age. • Elias Bros. Group General Contracting – June 2020 to February 2021, eight months. The director of operations confirmed he worked as an assistant supervisor overseeing employees and had some hands-on experience. • Double G Construction – January 2021 through July 2021, six months. A qualifier of the company confirmed that Mr. Jones assisted in the performance of roof repairs and replacements. • Massey Group Construction – July 2021 to August 2021, one month. We weren’t able to contact anybody from this company. • McFlooring Tile & Marble Designs – December 20, 2021, to March 2022, three months. We were unable to contact anybody from the company to determine the scope of work. Based upon the experience allowed and the Verification of Experience, it appears that Mr. Jones does not have the required time or experience for the license. Therefore, Mr. Jones has been referred to the Board under County Ordinance 2006-46, Section 2.5.2, Referral of the Application to the Contractors’ Licensing Board for a Decision. Mr. Jones is here to answer your questions. 4.A.1 Packet Pg. 6 Attachment: 4A APPROVAL OF MINUTES -APRIL 20, 2022 (22225 : APPROVAL OF MINUTES - APRIL 20, 2022) April 20, 2022 4 [Board Member Meister joined the meeting at 9:09 a.m.] Chairman Lantz asked if he could tell them about his experience. It’s hard to get four years of experience when you’re not allowed to legally work in the construction trade until you’re 18 and you’re only 21. So, do you want to give us a little information? Mr. Jones said his parents had their own aluminum company and did pool cages and things like that. He worked with them when he was younger. H2 Technologies was his first job when he turned 18 and he left. He also was working for the owner, not being paid and doing commercial work. Then he started doing cabinets. He did cabinets for a hotel in Puerto Rico, for a general contractor down here. After that, he started doing roofing, learning how the roofing trade works and became a supervisor and started learning how to pay employees and how to run 80-person jobs on huge high-rise buildings. After that, he went to Double G Construction to expand his knowledge and do the same thing he was doing before at Elias Brothers. Then he went to Curran Young for three years in commercial work doing high rises. He just finished building a bank for them on November 28, his last day. Chairman Lantz asked if it was three years or three months. Mr. Jones said it was three months. Since then, for four years and three months, he wasn’t the full-time superintendent, but was there to punch out the job. Also in Cape Coral, he did a high-rise building for Curran Young for two months and learned how columns and decks were built when they were going vertical with that building. Since then, he started doing his own thing and was charged with unlicensed contracting. He did some work for someone, remodeled her house and had some altercations with her and she reported him to get him fined. Since then, he’s been selling tile for a flooring company, getting jobs for them, residential and commercial. He knows a lot of big general contractors here that build a lot and he’s best friends with most of them. Board Member Hunt asked what the problem was that the homeowner had with him. Mr. Jones said it had to do with payments. Board Member Hunt asked if he did an excellent job and she refused to pay. Mr. Jones said he didn’t want to speak badly about someone, but said she was not someone they’d want to deal with. Board Member Hunt asked if the homeowner thought he’d done an acceptable job. Mr. Jones said yes, she told him he’d done a really good job. But then she turns around and tells someone something else. He offered to show them texts of her saying she loved the work. She’s a two-faced person. Board Member Hunt asked Mr. Crotts if there was anything more about the citation in this package. 4.A.1 Packet Pg. 7 Attachment: 4A APPROVAL OF MINUTES -APRIL 20, 2022 (22225 : APPROVAL OF MINUTES - APRIL 20, 2022) April 20, 2022 5 Mr. Crotts said it was for unlicensed work as a general contractor for the work that he was doing at that residence. Board Member Hunt asked if she’d complained about the quality of the work. Mr. Crotts said they weren’t here for that issue today. Mr. Jones did not have a license for the trade he was conducting. Mr. Jones noted that he was reading that under Section 22-183 for Experience Requirements, college could be substituted for a portion of experience. It says education and accredited college/accredited school may be presented as a certified portion of experience requirements in this section. Specifically, each full year of school-level work in the trade for which the application is made shall be credited to the applicant at 0.75 years of experience, but such credit shall be no more than one-half the total experience required by this section. He said he graduated from college with degrees in construction, architectural design and construction technology. Chairman Lantz asked if he had a two-year associate degree. Mr. Jones said he worked on two two-year degrees at the same time. They all had the same classes. He may have spent another month for the other degree. Board Member Nolton asked if his classes were during the day. Mr. Jones said he worked during the day and went to college from 6-8 or 9 p.m. Chairman Lantz said, so you’re asking us to give you a license to build a high-rise? Mr. Jones said that was his goal in two years. Chairman Lantz asked him to explain to the Board how he’s qualified to build a high-rise. Mr. Jones said he’s seen all the trades since he’s been on the jobs, especially for Curran Young as a superintendent. He’s seen how all these trades work and he learns and figures out how business works. He used that when he got fined, figuring out how the trades work. He learned how from the ground up, especially roofing. Roofing is one of the most important things on a building because if that’s not dried in, then everything is going to get soaked when it rains and then everything is going to leak, so everything needs to be structurally attached together and it needs to be dried in. Vice Chairman Jerulle asked if you’re building a high-rise, what type of structural system are you using? Mr. Jones said he’d use block. Vice Chairman Jerulle said block is an exterior facia or wall system. What type of structural floor system are you going to use? Mr. Jones said he could show him steps on building a high-rise. Vice Chairman Jerulle asked what type of structural system. Mr. Jones asked him to elaborate further. Vice Chairman Jerulle said you have a floor and there are a dozen floor systems. Which one would you use? Mr. Jones said he’d use pilings. Vice Chairman Jerulle asked if he’d use pilings for a floor. Pilings are for deep foundations. 4.A.1 Packet Pg. 8 Attachment: 4A APPROVAL OF MINUTES -APRIL 20, 2022 (22225 : APPROVAL OF MINUTES - APRIL 20, 2022) April 20, 2022 6 He’s asking about a floor system. Mr. Jones said he’d use reinforced concrete slab. Vice Chairman Jerulle asked who determines if pilings are required for a high rise. Mr. Jones said an engineer does. Vice Chairman Jerulle asked how the engineer determines that. Mr. Jones said it depends on how many stories are going up and if the building will sway. Vice Chairman Jerulle asked if there were considerations for the soil conditions. Mr. Jones said, yes there are and sand is not your best friend. Vice Chairman Jerulle asked Board Member Nolton if he agreed with that. Board Member Nolton said just from the questions we’ve asked so far, there’s a lot of experience you don’t have to build a four-story building or higher. There’s a lot you still have to learn, so he didn’t even have more questions to ask because he hasn’t been able to answer the few questions we presented. Vice Chairman Jerulle said these are some basic questions people should know for him to give you a license to be a general contractor. There may be a license you are qualified for, but he didn’t see him being qualified in Collier County as a general contractor to build a high-rise. You just don’t have the experience. But he appreciates the initiative. Chairman Lantz said they all appreciate the initiative. You’re only 21 years old, you’ve passed the general contractor test, which isn’t easy to do. You’ve gone to college, you’ve dabbled in a bunch of different trades. Your average job is three or four months, so you haven’t mastered anything. You’re just figuring out where to go. You’re on the right track but have a little more ways to go. We’re not trying to tell you anything negative. Keep going on the path you’re going on. Board Member Nolton said you’re here to ask us to waive experience and the reason you have to have the experience is so that you don’t get in trouble and you don’t build something wrong for a client. If you, as a general contractor, are going to build those kinds of buildings, you’ve got to know there are shallow foundations and deep foundations, there are three or four different types of deep foundations, as Mr. Jerulle asked, and there’s this type of slab, there’s precast slab, there’s cast, there’s a column. You should know all that. And it doesn’t appear that you have that experience. Board Member Jaron asked why he didn’t stay with Curran Young. Mr. Jones said he was talking to a lot of people and they were giving him jobs. He was looking at how many people were giving him jobs. He decided he didn’t want to work for people anymore. He remodeled people’s homes and obviously, he got fined for that. Board Member Nolton said he applauded his desire to work on his own, but said he needed more time and experience for this license. Board Member Nolton made a motion to deny the waiver of experience. Vice Chairman Jerulle seconded the motion. The motion carried unanimously, 6 -0. 4.A.1 Packet Pg. 9 Attachment: 4A APPROVAL OF MINUTES -APRIL 20, 2022 (22225 : APPROVAL OF MINUTES - APRIL 20, 2022) April 20, 2022 7 Vice Chairman Jerulle told Mr. Jones that he has a young son in the business and he will give him the same speech he gave him. He advised him to find a general contractor who does the work he ultimately wants to do. The State requires four years of experience, but in his estimation, you need more than four years, about five to six years, to be successful. You don’t want to go out and fail. You want to be successful. Find a general contractor and work five or six years. Mr. Jones said all right, thank you. C. John J. Price – Priceless Customz Fabrication LLC – Aluminum w/ Concrete Contractor Review of Experience D. John J. Price – Priceless Customz Fabrication LLC – Aluminum w/ Concrete Contractor Review of Credit Chairman Lantz called Mr. Price to the podium and he was sworn in. Mr. Crotts reported that Mr. Price has submitted an application for the issuance of a Certificate of Competency for Aluminum with Concrete Contractor, a license that requires 24 months of experience. As part of the process, Mr. Price submitted one Verification of Experience and two IRS Wage Reports from employers. • William Bennett Carpentry – January 2016 to December 2017, 24 months of experience. Research shows that this company is a local licensed carpentry contractor. • Gatekeeper of Southwest Florida Inc. – no dates shown on the IRS Wage Report. This is not a licensed company in Collier County within CityView. However, the Collier County Business Tax database shows this company as a welding service company; it is not a licensed contractor. • James A. Barr Enterprises – no dates shown on the IRS Wage Report. This is not a licensed company for contractor licensing in Collier County. The Collier County Business Tax database shows this business as an auto repair or maintenance service. In a phone interview with Mr. Price, he stated that the vast majority of the work he has done has been installing railings on homes, such as stair railings and balcony railings. We discussed the license being restricted for railings only. Mr. Price told me that he may want to do carports and screen cages later and would like the license. When asked about his experience building carports or screen cages, Mr. Price told me he has helped with a couple. He has not been able to show any experience with the concrete aspect of this license. Mr. Price did submit several photos of types of work he says he has installed, however, this could not be verified. Based upon the information received from Mr. Price, it is staff’s opinion that Mr. Price does not meet the experience requirements under Ordinance 2006-46, Section 1.6.3.2, as it relates to the trade of Aluminum with Concrete Contractor. Regarding the credit part of the application review process, Mr. Price’s credit score currently is 591. The minimum required under Rule G1G4-15 is 660. As part of the credit review, Mr. Price 4.A.1 Packet Pg. 10 Attachment: 4A APPROVAL OF MINUTES -APRIL 20, 2022 (22225 : APPROVAL OF MINUTES - APRIL 20, 2022) April 20, 2022 8 has six collections by the U.S. Department of Education and one from Wakefield Medical. For the U.S. Department of Education, the amount owed is $23,465. It also should be noted that Mr. Price had three loans under the Federal Loan Program that were 128 days past due in the current amount of $9,333. However, these have been made current. There were also two other collections from Lincoln Tech that showed on the credit report, but they have been paid in full. Mr. Price is being referred to the Board under Section 2.5.2, Referral of Application to the Contractors’ Licensing Board for a Decision. Chairman Lantz said it looks like you have a lot of student loans and very little other credit, Capital One and Credit One Bank. Mr. Price said those are his credit cards and those are all paid. He looked this morning to see if his credit has gone up and it’s up to 645 on one and 605 on the other, so he’s trying. Because he was self-employed, it was hard to get on a payment program with his college, but that’s taken care of now. That’s going to be his next step, to get on a payment plan to get that taken care of so it doesn’t linger. Chairman Lantz asked if he had to pay his federal loans now or were they on deferral. Mr. Price said probably because of COVID until September. He had to meet with an accountant to prove his income and get on a payment plan. Chairman Lantz said you have a lot of student loans, one little medical debt and some credit. Mr. Price said yes, sir. His payment history is 100%, so it’s just student loans. Chairman Lantz said OK and asked if owns a welding or fabrication business. Mr. Price said yes, he started this business on his own when he was 21 because he worked for the Gatekeeper and didn’t know he needed a license. He’s done some amazing things and grew up in this town. He loves this town and would love to work here and not have to look over his shoulder and do it the right way. If you could give me codes out of the books for railings and pool fence, he knows his job and would be more than happy to prove that in some way. He also brought his tablet and can show the Board he’s designed things, taking them from design all the way to build. He’s drawn it up, built it and installed it. Chairman Lantz asked whether he designs, builds and installs railings. Mr. Price said railings, gates, the fencing, pool fencing, that kind of stuff and interior railings. Vice Chairman Jerulle asked what the height of a full fence is for the City of Naples. Mr. Price said 48 inches, 54 to the latch from the ground. Vice Chairman Jerulle said OK. He apologized for interrupting the Chair. Chairman Lantz said that was OK. He probably didn’t mean to answer so quickly. Mr. Price asked, Is it wrong? Did I answer wrong? Vice Chairman Jerulle said, No, you had me with the answer and now you’re putting doubts in 4.A.1 Packet Pg. 11 Attachment: 4A APPROVAL OF MINUTES -APRIL 20, 2022 (22225 : APPROVAL OF MINUTES - APRIL 20, 2022) April 20, 2022 9 my mind. Mr. Price apologized. Vice Chairman Jerulle asked what is the definition of dissimilar materials? Mr. Price said it’s different, like the metals don’t mix up. Like if one is steel and one is aluminum, those are different materials. Vice Chairman Jerulle asked how that was relevant in the railing business. Mr. Price said if you use the wrong welding wire with the wrong aluminum, you could get a structure or something that’s not right – porosity, it could break. There are a lot of different things that go into that, so you need to line up your welding wire with what materials you’re using and be very cautious. If you’re using T6, which is structural, you need to be using structural wire. Vice Chairman Jerulle said, OK, so that’s the fabrication. What about installation? How do dissimilar materials apply in installation? Mr. Price said it’s the same thing. If a steel screw goes into aluminum, you need to make a point to where it doesn’t touch because it’s going to start to corrode right there. And as far as anything else goes, when you’re fastening things to the deck, make sure you silicone everything down, make sure it’s waterproof, use stainless steel Tapcons. Make sure you’re doing what you need to be doing in order to not fail. Vice Chairman Jerulle said you know what you need to be doing and that’s why they’re asking him those questions. What about concrete? What do you know about concrete and what don’t you know about concrete? Mr. Price said he’s never poured a slab or anything like that. The only time he uses concrete is a pool fence. He mixes up a bag and puts it in each at every post. If it’s an 80-pound bag, then he lets it set up and he comes back. He doesn’t mix concrete. He has no experience with mixing. Vice Chairman Jerulle asked if he was doing carports and screen enclosures, wouldn’t he need to know a bit more about concrete? Mr. Price said yes, sir. But he doesn’t really want to do carports. Maybe in the future if he could get with a company that would give him some experience, he could come back to the CLB again and maybe get those restrictions lifted. He really just wants to do railings and that kind of stuff. Chairman Lantz said there’s aluminum and there’s a separate license for aluminum with concrete, right? Mr. Crotts said that was correct. Chairman Lantz said if he has an aluminum license and he’s pouring concrete in every post, he could do that with just an aluminum license. He didn’t need the concrete to do a slab. Mr. Crotts said that is correct. That is ancillary to that work. However, if he has no experience with carports and screen cages, if the aluminum license is being considered, he would ask that they restrict the license to fences and handrails. Mr. Price said decorative metals. Chairman Lantz asked Mr. Price how he felt about that, not having concrete as part of the license. 4.A.1 Packet Pg. 12 Attachment: 4A APPROVAL OF MINUTES -APRIL 20, 2022 (22225 : APPROVAL OF MINUTES - APRIL 20, 2022) April 20, 2022 10 Mr. Price said that would be OK, as long as he’d be able to put concrete in the holes for the fencing. Chairman Lantz asked what if it was restricted to architectural aluminum? Mr. Price said that’s all he needs. Vice Chairman Jerulle said when we were talking about architectural aluminum, in my world, you’re talking about Bahama shutters. Mr. Price said: Yes, sir. Vice Chairman Jerulle said Bahama shutters or an application that is applied to the building that must meet the wind codes. Mr. Price said a lot of the shutters they’re making nowadays aren’t hurricane rated, so it’s just like a decorative thing. Those are probably for Storm Smart, the companies that are making roll downs. Vice Chairman Jerulle said he’s not talking about that type of shutter. Mr. Price said or talking about windshear with Tapcons Vice Chairman Jerulle said he’s talking about a decorative Bahama-type shutter that’s applied on either side of a window. That has to meet the wind codes, right? That has to be attached to the building so that it doesn’t blow off. Mr. Price said: Yes, sir. Vice Chairman Jerulle asked him to run through how that happens, because if the Board is going to give him a license, that’s going to allow you to do that. Mr. Price said that normally, he would make sure that the companies put the concrete around the windows and then drill. You put epoxy in there, put your Tapcons 12 inches on center. If it’s a bigger shutter, maybe a little bit more, and use quarter-inch Tapcons and make sure you’re biting what you need to be biting and if it’s shallow concrete, use shallow anchors. If you need to get back there to get where you need to be, use longer Tapcons. Vice Chairman Jerulle asked what he’d do if the contractor doesn’t have concrete around the windows. Mr. Price said he’d ask why there is no concrete. He said that’s happened to him before. Vice Chairman Jerulle agreed it happens, noting that’s why he’s asking that question. He wanted to hear that he wouldn’t install the window. Mr. Price said absolutely, he would not. Vice Chairman Jerrulle said that’s exactly right. Board Member Nolton asked whether most of the projects he works on are for a general contractor in new construction. He doesn’t permit it, it’s permitted under them? Mr. Price said he likes to work with general contractors. He’s got an itch. As a really cool decorative metals guy, they come to him when nobody else wants to do it, so he has a lot of good opportunities. It’s amazing what he could do with somebody else’s money and build things. Board Member Nolton asked if he’d done anything for a homeowner that needed to be permitted. Mr. Price said he ended up finding out he needed a license when he was working for Oakley 4.A.1 Packet Pg. 13 Attachment: 4A APPROVAL OF MINUTES -APRIL 20, 2022 (22225 : APPROVAL OF MINUTES - APRIL 20, 2022) April 20, 2022 11 Developers on 1500 Pelican and got fined for not having a license. But he was only supposed to do their railings. They completely ripped up the whole house. That’s how he ended up here. Once he realized he needed a license, he spoke to Tim (Crotts) to find out what he needed and he studied and passed all his tests. And now he’s here to make sure he gets what he needs. Chairman Lantz said it seems like they’re going down the road of no concrete, architectural. Is everybody in agreement with that? Board Member Nolton said he assumes architectural includes gates. Mr. Crotts said that was correct. Board Member Nolton said it seems architectural means no structural support, just components and cladding. Mr. Price said it means no structural steel posts and houses, that kind of thing. Chairman Lantz asked if everyone was in agreement. Mr. Price said absolutely. He appreciates the opportunity. Chairman Lantz said he had no issues with his credit. He understands student loan debt. He didn’t feel they needed to put him on probation for that. Board Member Jaron asked if he’d checked his credit before coming here. Mr. Price said he did. It was 645 on Equifax and it was 605, so he has been working on trying to figure out how to increase it a bit, but it doesn’t happen overnight. The student loans are really hurting him until he can get on a payment program. It keeps hitting his credit. He needs his taxes sorted out so he can prove his income and get on a payment program. When he was young, he didn’t realize that doesn’t go away. As he got older, he realized he needed to take care of things. Chairman Lantz asked if anyone wanted to make a motion. Board Member Nolton made a motion to approve the Aluminum with Concrete License with restrictions, restricting it to aluminum only, and restricting it only to architectural- aluminum, no screen enclosures or structural carports, with a 12-month probationary period so he could provide proof to Mr. Crotts that his credit score has improved. Board Member Hunt seconded the motion. The motion carried unanimously, 6-0. E. Alexander U. Ramos – Prestige Irrigation & Landscape Lighting Inc. – Irrigation Sprinkler Contractor – Review of Experience Chairman Lantz called Mr. Ramos to the podium and he was sworn in. Mr. Crotts reported that Mr. Ramos has submitted an application for the issuance of a Certificate of Competency as an Irrigation Sprinkler Contractor, a license that requires 24 months of experience. As part of the staff review process, Mr. Ramos submitted two Verifications of Experience. • A Personal Touch Lawn Care Service Inc. – 28 months. Research shows this company is a landscape-restricted contractor whose license does not allow for the trade of irrigation to be performed, so work performed by the applicant would have been done as an unlicensed contractor for an unlicensed irrigation company. The qualifier of the company confirmed it’s a landscape-restricted only company, but they have done some irrigation. 4.A.1 Packet Pg. 14 Attachment: 4A APPROVAL OF MINUTES -APRIL 20, 2022 (22225 : APPROVAL OF MINUTES - APRIL 20, 2022) April 20, 2022 12 • Pablo Esteban Lawn Care Inc. – 14 months of experience. Research shows this company is a licensed irrigation sprinkler contractor. Based upon the information received from Mr. Ramos, it is staff’s opinion that Mr. Ramos does not meet the experience required under Ordinance 2006-46, Section 1.6.324, as it relates to the trade of Irrigation Sprinkler Contractor. Mr. Ramos 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 if he had a Lawn Care License, which Mr. Ramos’ first employer. Mr. Crotts said that was correct. It was restricted. That means no irrigation. Chairman Lantz asked if he were mowing someone’s lawn and the sprinkler head was up and he shredded it, can he not repair that head? Mr. Crotts said that is correct. It must go through a sprinkler contractor. Chairman Lantz asked, even if I broke it? Mr. Crotts said that is correct. Vice Chairman Jerulle asked if this is one of the licenses that will go away this July. Mr. Crotts said irrigation will not go away. Attorney Kerins said there’s a State irrigation license under the Specialty Contractor Section of CILB. We get to keep that portion. We will not be able to keep the landscape portion of it, so it’s all tentative at this point, but most likely the landscape and irrigation license will be grandfathered into just irrigation unless there’s some sort of restriction. Chairman Lantz said irrigation is a life-safety thing because you have cross-contamination of water from the fertilizer. Chemicals could get mixed with the City water or the house water. If you’ve never taken a backflow class, it’s a huge thing, so that would be the argument for it. He asked Mr. Ramos if he wanted to explain his experience. You’re trying to convince us that you have the required experience, whether you meet the 24 months or not. Either you have the 24 months, or you are highly competent in the trade. Mr. Ramos said he started with a pest control license, which is through the State. He got three licenses with the State for the termites, lawn ornamental and the pest-control license for residential and roaches. He started working for the landscape company, doing all the ornamental treatment, such as grass and plants. He noticed that customers were not properly taking care of their properties. So, by the time they called him, he had to put too much chemical down, so he studied the books and studied and got the Landscape License and the Tree Treatment License. He started his company last year, a lawn-service company. For him to replace a sprinkler, like you mentioned, he had to have an Irrigation License if it broke. If one of his guys broke it, he had to replace it, so he had to call somebody else to go up there. Meanwhile, water is just flowing through. He wants to be able to take care of the problem there. That’s the reason he went back and tried to submit it last year, but he only has an A Personal Touch license. He doesn’t know if the license works or not. He was told it was a grandfathered-in license, so they figured that they’re able to do all these landscape and irrigation. He was working 4.A.1 Packet Pg. 15 Attachment: 4A APPROVAL OF MINUTES -APRIL 20, 2022 (22225 : APPROVAL OF MINUTES - APRIL 20, 2022) April 20, 2022 13 with them for a while and then when he was trying to submit the paperwork last year, they told him he only had one referral. He tried to get another one, so he called Pablo, whom he has worked with in the past, so he could qualify for his Landscape License and his Tree-Trimming License. He called him back again and he gave him some experience. He said he could work three or four days out of the week and he could help out by replacing and doing new installations. So, he went there and got a second referral. His goal is to have all these licenses under one roof, so whenever he goes to a house, he’ll be able to take better care of the customers from the pest-control point of view, because, for example, we call it the winter time when we get a lot of fungus on the grass. He had to pour a lot of product, a lot of fungicides, so he keeps coming back to those houses because they don’t want to control the water, so he has to notify the homeowner. The homeowner has to notify the landscape guys or the irrigation person, so by the time that cycle goes, he has to keep going back again and re-treat the lawn because they don’t want to control the water, which is a treatment period for all the pesticide that he used. So, the reason he decided to start his own business for the landscaping and everything is so that he can manage his work better and that way if he’s on a property, he’ll be able to take care of it there and not wait too long for somebody else to come in and take care of it. Chairman Lantz asked if he was trying to be a one-stop shop for maintenance. Mr. Ramos said he was. Chairman Lantz asked if he wanted to do new systems, as well. And have do you have experience installing new systems? Mr. Ramos said, yes, he has. Chairman Lantz asked what he does. Do you lay it out? Do you design it or does someone else design it? Mr. Ramos said he designs it. In the past, he did one for Personal Touch, he did for one of his friends. We had to go all the way from City water. We went from the meter over. And we designed it by the pressure that we have in there. We went by the pipe, even though it’s more expensive. But he’d like to use the Schedule 40. It’s a little thicker pipe because they don’t break after two or three years, and you have to dig it out to replace it for any reason. It’s hard. And some of those pipes that don’t last too long, the cheaper ones. And that’s the reason when he did the design, he went by how the pressure minimizes. He passed the test two years ago. He’s just trying to put all these together to finally to get the irrigation incorporated into his business. Chairman Lantz asked who does the backflow. Do you do it, does a plumber do it? How does that work? Mr. Ramos said he’d have to call a plumber if it’s backflow and it’s out of his league. He knows people who are more advanced than he is on the irrigation side and the plumbing. For example, his nephew broke a water pipe downtown with a machine. He drove by and we were doing some spraying on the lawn and he broke the pipe, so he had to tell the homeowner, “Let’s get it quicker in here. Let’s call a plumber.” So, they only chain up a pipe that was about a foot, over one inch and that cost him almost $500 just to replace that on a weekend. This plumber is taking all that money for doing something simple. He could have gone to Home Depot and tried to do it himself 4.A.1 Packet Pg. 16 Attachment: 4A APPROVAL OF MINUTES -APRIL 20, 2022 (22225 : APPROVAL OF MINUTES - APRIL 20, 2022) April 20, 2022 14 and make the customer happy. He told him, “Let’s do it the right way and let’s fix it properly.” That’s the reason. Even though when he opened the account, he hasn’t done anything out there that is not under himself. Everything was done for A Personal Touch or Pablo (Esteban) Lawn Service. Board Member Nolton asked if his plan was to have more than one company or have it all under one company. Mr. Ramos said his plan now is to have them all separate. He has Prestige Pest Management, Prestige Landscape Management and one irrigation, Prestige Irrigation & Landscape Lighting, which is low-voltage, just to put in a lamp. He was told there’s no licensing for that, so that’s why he put those two together. Chairman Lantz asked if it’s all Prestige. Mr. Ramos said, yes. Chairman Lantz asked Mr. Crotts if backflow has to be handled by a plumber in Collier County. Mr. Crotts said that was correct. Chairman Lantz asked if there were any questions from the Board. Any recommendations? He liked what Mr. Ramos was doing, a one-stop shop. Anyone want to make a motion? Board Member Hunt said she had a few more questions. If he were working with a homeowner who decided to relandscape to be Florida Friendly, they need to make irrigation changes because they’re changing their landscape. Because you do their irrigation and landscaping, they’re going to come to you to do it, so tell me the steps you’re going to take to decide how to change the landscape from their current model to a Florida-Friendly model. Mr. Ramos said he’d first ask the homeowner what kind of plants they want. He has to make sure they’re going to put the right plants in the right place, so that way we are not overwatering in one area or minimizing the water when other ones are going to require more. So, he has to make sure that they’re going to choose the right plants and he has to make some suggestions before they can do anything. We have to start from what they want and how we can get them there and explaining that we cannot put these plants here because, for example, some of these plants require a lot of water. Some of these require a lot of shade, so if we put two plants together that are not compatible, then it’s going to create a problem eventually in the future because he’s going to have to go back again and respray it for fungus and for insects. So, it’s better that he tries to avoid using something unnecessary when he manages their property. When he goes there to take a look at the property and say, “OK, we have these plants here, we need to remove it because it’s giving me a lot of problems due to the water that we have in there, so we need to shut down the irrigation on that section.” Regarding the question about remodeling the landscape structure, he would have designed it on his own. Usually, he likes to do everything by hand. So, once we figure out what they want, he’ll give them the option of how we can put them on the layout and depending on that, then he’ll go with irrigation, eventually measuring the pipes and lines that are going to be there, the type of drift lines that are going to be put down. If there are some places that don’t require a lot of water, then he can just minimize it. If they require a little bit. Some plants out there that don’t require water at all, so those he doesn’t have to run a sprinkler. So, he’ll save money for the customer by minimizing the use of water in the pipeline they’re going to be using. That would be one of the first steps that he would do, trying to 4.A.1 Packet Pg. 17 Attachment: 4A APPROVAL OF MINUTES -APRIL 20, 2022 (22225 : APPROVAL OF MINUTES - APRIL 20, 2022) April 20, 2022 15 figure out what they want before we go forward. And then after they agree to the plants, then we can start moving and say, “OK, we’ve got so much pressure, we’ve got to make sure we go to the County and see if we need any special permit because of the water lines, so call before you dig.” That’s another thing that he has to make sure of because they keep breaking my internet line where he lives, out there in the Estates. The new buildings, they dig in the trenches and it’s like every month his internet goes out. So, that’s one of the things that he always keeps on top of his head. That would be the process that he would start. Board Member Hunt said he answered her question. Board Member Nolton said he would make a motion to approve the waiver of experience and provide a 12-month probationary period for the irrigation, in case there are negative issues that were reported that would require him to come back to the Board. If there were none, that would then convert to a full license. Mr. Crotts said that would be fine. Board Member Nolton made a motion to approve the waiver of experience and provide a 12-month probationary period for the irrigation and that would then convert to a full license. Vice Chairman Jerulle seconded the motion. The motion carried unanimously, 6 - 0. F. Yasmani Balcazar Vaca – Tamiami Insulation LLC – Insulation Contractor Review of Experience Chairman Lantz called Mr. Balcazar Vaca to the podium and he was sworn in; his wife was sworn in as his interpreter. Mr. Crotts reported that Mr. Balcazar has submitted an application for the issuance of a Certificate of Competency for the trade of Insulation Contractor Buildings, a license that requires 24 months of experience. As part of the review process, Mr. Balcazar has submitted a brief résumé outlining his trade certifications. In part of his résumé, he stated that he has been an insulation installer for over eight years in different states. However, none of this information can be verified by staff. There have been no verifications of experience submitted as part of this application. Based upon the information received, it is staff’s opinion that he does not meet the experience under County Ordinance 2006-46, Section 1.6.3.23 B, as it relates to the trade of Insulation Contractor. Mr. Balcazar has been referred to the Board under Section 2.5.2, Referral of the Application to the Contractors’ Licensing Board for a Decision. Chairman Lantz said he could see he had a lot of certifications, which he imagines are not easy to get. Can you give us a little background on your experience and how you got some of those certifications? Ms. Balcazar said he has certifications for about nine years in different states – insulation, spray foam, fiberglass, blowing, fiberboard, walls, buildings. Everything in insulation, he worked and got experience. 4.A.1 Packet Pg. 18 Attachment: 4A APPROVAL OF MINUTES -APRIL 20, 2022 (22225 : APPROVAL OF MINUTES - APRIL 20, 2022) April 20, 2022 16 Chairman Lantz asked who he worked for in other states. Mr. Balcazar said he worked for a company in Rhode Island. He asked that they let his wife translate for him. Ms. Balcazar said he worked for Protective Barriers since he moved here from Rhode Island. Attorney Noell asked her to let him testify first and then translate that for the Board. Ms. Balcazar said he used to work for Protective Barriers, but they didn’t want to give him the Certification of Experience because they see him as a competitor. He worked in other states, like Rhode Island, and has checks he can show the Board from past years. He has Verifications of Experience for construction from his last job in Rhode Island. Board Member Nolton asked how many years that was. Ms. Balcazar said from September 2016 to September 2019. Board Member Nolton asked if he’d been licensed anywhere else. Mr. Balcazar said no. Chairman Lantz asked if he does a lot of spray foam work. Mr. Balcazar said yes. Chairman Lantz asked what the advantages or disadvantages are for open-cell versus closed- cell. Ms. Balcazar said closed-cell is better because it’s waterproof. Open-cell is more light. Vice Chairman Jerulle said if he were building a house in Naples and needed icynene-type insulation, what type of insulation would he propose? Ms. Balcazar said spray foam is better because it doesn’t leave any space for air to come out. Vice Chairman Jerulle asked if he would use spray foam in the entire building. Mr. Balcazar said not just foam, he would mix foam and fiberglass. Vice Chairman Jerulle asked what type of foam. Ms. Balcazar asked if it’s residential or commercial. Vice Chairman Jerulle said residential. Mr. Balcazar said open-cell. Vice Chairman Jerulle said, So, you’re going to propose an open-cell spray insulation in the attic. What about the garage? Ms. Balcazar said he’d use the same thing. But it depends on the client. Florida Code says it depends on the owner if you want to go with spray-foam or fiberglass, depending on what you want to pay. Vice Chairman Jerulle said it’s his opportunity to explain his experience and explain his answer. He has a house with air-conditioned space and non-air-conditioned space, his lanai and attic. How would you handle the transition between them? Ms. Balcazar said he would definitely suggest spray foam in the entire house, depending on your 4.A.1 Packet Pg. 19 Attachment: 4A APPROVAL OF MINUTES -APRIL 20, 2022 (22225 : APPROVAL OF MINUTES - APRIL 20, 2022) April 20, 2022 17 budget. In the air-conditioned area, definitely use spray foam. When it comes to a non-air- conditioned living area, maybe use regular fiberglass to reduce the cost. Board Member Nolton said using the same scenario, if he has a whole house, where does the spray foam go on the air-conditioned areas versus the non-air-conditioned areas? Mr. Balcazar said even if it’s not AC, it would go up on the roof. It would go on top of the roof. Board Member Nolton said, OK, so he’s saying it would go everywhere. Does he take any other steps or modifications? Mr. Balcazar said he doesn’t because everything goes up on the roof. Because if you put it on the ceiling, you would have to spray the cables, which is not a good idea. Board Member Nolton said if he has an attic and sprays under the roof because it’s not enclosed and he has a lanai and garage that are not air conditioned, there is no insulation the way he described it. Mr. Balcazar said no, he would have to do a wall with the spray foam if the attic is not going to be insulated. Chairman Lantz asked how he would do that wall. Mr. Balcazar said there is a laminate made of foam that he has to put in between in order to spray it. It’s called NuWall, to make the separation. Vice Chairman Jerulle said that answers his question. He didn’t know if it answers Board Member Nolton’s question. What is the difference between spray foam in commercial versus residential. Ms. Balcazar said it all depends on the architect or engineer. If the foam is going to be exposed in a commercial building, it needs to have a special paint. That’s the difference and it all depends on what the engineer is looking for. Chairman Lantz (and others) said he heard him say fire proof. Ms. Balcazar said yes, it has to be fireproof paint if the spray foam is exposed. Chairman Lantz said he could see he’d been spraying spray foam for quite a while. Board Member Nolton said if they’re using batt insulation or foam board insulation, can he tell him the R-value for a wall versus attic space. Mr. Balcazar said it would be R19 in Florida in the ceiling and the wall is less, R5. Fiberglass is R30 and foam is R19. Board Member Jaron asked why his driver’s license is temporary, 60 days. Mr. Balcazar said he had to renew it and it’s a slow process. Ms. Balcazar said because they’re backlogged, it’s taking time and they’re waiting for documents. Vice Chairman Jerulle asked if she works for him. Mr. Balcazar said she helps and he’s the expert. She saw his frustration with other companies. He likes to do things right, so she said they should start a company where they do things right. She does the administrative work, not sales. 4.A.1 Packet Pg. 20 Attachment: 4A APPROVAL OF MINUTES -APRIL 20, 2022 (22225 : APPROVAL OF MINUTES - APRIL 20, 2022) April 20, 2022 18 Chairman Lantz asked how much a spray foam machine costs. Mr. Balcazar said they bought it for $70,000. Vice Chairman Jerulle so you bought it. Do you have employees? Ms. Balcazar said they bought it and have no employees. Board Member Nolton asked if they plan to do new construction or just replacement. Mr. Balcazar said new construction. Board Member Jaron made a motion to approve the Insulation Contractor License. Board Member Meister seconded the motion. The motion carried unanimously, 6 -0. G. Duniel M. Busto – Pool MD Inc. – Swimming Pool Cleaning Only Contractor Review of Experience H. Duniel M. Busto – Pool MD Inc. – Swimming Pool Cleaning Only Contractor Review of Credit Chairman Lantz called Mr. Busto to the podium and he was sworn in. Board Member Nolton disclosed that he knows Mr. Busto and he’s used him at his house before, but he has no dealings with him now. Mr. Crotts reported that Mr. Busto submitted an application for the issuance of a Certificate of Competency for the trade of Swimming Pool Service Contractor, a license that requires 24 months of experience, and the business law exam is required. No trade exam is required. Mr. Busto was issued a license for this trade in 2013. However, the license was not renewed in 2016 and was placed in canceled status in 2017. Mr. Busto is now required to submit a new application for the issuance of competency. Under County Ordinance 2006-46, Section 1.4, Renewal of Certificate of Competency, Subsection 1.4.9, it states in part: As of the date of the receipt of the new application, if three years have passed since the date of the most recent examination, that individual is required to retest. The most recent examination taken by Mr. Busto was in 2007. Mr. Busto asked to appear before the Contractors Licensing Board for a waiver of the business and law exam. Mr. Busto submitted a credit report, however, his personal credit report was reviewed and appears to not meet the financial responsibility as set forth in Subsection 2.5.1. under Rule G1G4- 15-006 for the State of Florida. Mr. Busto’s credit report shows no credit score. It is listed as not scored and is listed as insufficient credit. The report does show that Mr. Busto has had student loans starting in 2017 and a mortgage loan. However, this loan shows no balance. Mr. Busto is being referred to the Board under Section 2.5.2, Referral of the Application to the Contractors’ Licensing Board for both decisions. Chairman Lantz asked Mr. Busto to explain. 4.A.1 Packet Pg. 21 Attachment: 4A APPROVAL OF MINUTES -APRIL 20, 2022 (22225 : APPROVAL OF MINUTES - APRIL 20, 2022) April 20, 2022 19 Mr. Busto said the reason he requested the meeting was to avoid having to take the business and law test again. He was unaware his license expired in 2016. His employer was stopped in one of the subdivisions and they ran his tag and found out that his license had expired. But he wasn’t aware of it. It looks to him that what happened all these years ago was that he’s been paying the business tax license and we thought that was all they needed and they just missed it. He kept paying the business tax for screen repairs. He owns two businesses tax licenses, one for metal manufacturing and the other for handyman, so we’re guessing that we just started them by paying those. For some reason, they pulled one slip. Obviously, we have not stopped servicing our customers. We have over 100 customers and have been doing business as usual with no complaints, as you can see. The reason for the zero-credit score is because his company has no debt, so it’s a plus in the books. He has no credit cards and he still has a mortgage, but that doesn’t report to his credit and it’s current. He’s just here to ask to not have to take the business and law exams again. Chairman Lantz noted that he’d been in business all these years and hadn’t missed anything. Vice Chair Jerulle asked if this was one of the licenses that will go away on July 1, 2023. Mr. Crotts said it’s under review. It’s uncertain if that trade will go away in 2023. Attorney Kerins said the County Ordinance breaks down some of the trades, especially involving the swimming pool-related contractor specialties, which do not exactly match up with the ones that are designated by the State. So, based on some of the statutory changes and things coming, we’re trying to figure that out, so we don’t do anything against the preemption to make sure our Ordinance will line up with that of the State, so we don’t draw lawsuits and unwanted attention. Vice Chairman Jerulle asked for Mr. Crott’s recommendation. Mr. Crotts recommended that the license be reinstated with payment of all back fees required. He noted there were no complaints since he’s had his license. As far as credit is concerned, he asked that a new credit report be submitted in six months so they can see if there have been any changes in credit and the mortgage. Mr. Busto said if you decide to grant the license again, would this help in getting the next step in his license, service and repairs? Would the past experience qualify, or would he have to wait two years? Vice Chairman Jerulle said the Board isn’t qualified to answer that, but he could ask Mr. Crotts after the meeting. Chairman Lantz said this license certainly won’t hurt you. Mr. Crotts said staff would be happy to sit down with him and explain the difference between the two license and everything that’s required. Vice Chairman Jerulle made a motion to reinstate the Swimming Pool Service Contractor license and require all back fees be paid, and he must submit a new credit report in six months. Board Member Hunt seconded the motion. The motion carried unanimously, 6 -0. [The Board took a break from 10:22-10:30] 4.A.1 Packet Pg. 22 Attachment: 4A APPROVAL OF MINUTES -APRIL 20, 2022 (22225 : APPROVAL OF MINUTES - APRIL 20, 2022) April 20, 2022 20 I. Jack T. Griffin – Paving Blocks Contractor – Second Entity Application Chairman Lantz called Mr. Griffin to the podium and he was sworn in. Mr. Crotts reported that Mr. Griffin has submitted a Second-Entity Application for the trade of Paving-Block Contractor. He currently holds a valid Paving Block License from Collier County that was issued in March 2019. A review of the current licenses in CityView shows there have been no complaints against this company and Mr. Griffin has stayed current on all the renewal requirements. Mr. Griffin is here today to submit a Second-Entity Application to qualify a company called Superior Interlocking Paving Inc. This company currently holds a license in the trade of Masonry Contractor, which was issued by Collier County. Mr. Griffin is here today to answer your questions regarding this Second-Entity Application. Chairman Lantz asked him to give the Board a little background. Mr. Griffin said he was born and raised in Naples, went to St. Ann’s School and St. John Neumann High School and then FIU in Miami. He returned to Naples and started working for his father, Dan Griffin, at Superior. The reason he got his license was to one day succeed him, which is the time they’re at now. The current company he started and owns, he runs with his brother. They do all paver maintenance-related work, cleaning, sealing, other repairs. The reason he started that company was just a lack of it in our industry. There weren’t a lot of reputable people doing it, and there are a lot of issues. His brother worked for a company, Tropic Seal, under Richard Dietrich, who had been doing it for 25-some years. His brother came on with his company and they started doing that under that license since it has everything to do with the maintenance now. Currently, we’re going forward and his father intends to step down and then he will qualify for that company, Superior. He’s been with Superior since about 2013 as a project manager and estimator and still holds that position now. Chairman Lantz asked if he currently qualifies for Griffin Brothers or Superior. Mr. Griffin said he qualifies for Griffin Brothers. Chairman Lantz said so that’s strictly maintenance, and now you want to also qualify Superior, your father’s company? Mr. Griffin said yes, Griffin Brothers. The reason for the two separate companies is because we actually do maintenance-related work for other paving companies in town, so he can’t show up in a Superior truck to another company’s project when they just installed a driveway. It doesn’t work out. Board Member Nolton asked if Griffin Brothers was the same license or a different one. Mr. Crotts said Griffin Brothers is a Paving-Block Contractor License. Board Member Hunt asked if he only does maintenance. Mr. Griffin said yes and repairs, but the reason he originally got that license was to be able to 4.A.1 Packet Pg. 23 Attachment: 4A APPROVAL OF MINUTES -APRIL 20, 2022 (22225 : APPROVAL OF MINUTES - APRIL 20, 2022) April 20, 2022 21 qualify for paving blocking, an interlocking paving company. From his understanding, the reason his father had the masonry license was because they used to do precast work, so they were doing vertical stuff and different things like that. That part of the company is no longer around. It’s closed down, but he still has the same license that qualifies for paving block and for the precast masonry. Board Member Nolton noted it would be the same license for two different companies. So, theoretically, they could compete against each other, right? Mr. Crotts said that was correct. Chairman Lantz said yes, as they’ve been doing for 10 years. Mr. Griffin said, right, but we haven’t been competing against each other. Chairman Lantz asked how long he’s had Griffin Brothers. Mr. Griffin said four years. Chairman Lantz said so you’ve been working for Superior? Mr. Griffin said he had. Chairman Lantz said that theoretically, he’s been working for four years and if there was going to be an issue, he’s had four years to screw up. Board Member Nolton said he’s trying to be consistent. So, if it were the other way around, when he had the license with Superior and he came before us and he wanted to do that, we would probably give him the restricted license. Board Member Hunt asked how much ownership he has in each company. Mr. Griffin said 89% in Griffin Brothers and his brother has 11%. He currently owns none of Superior. Board Member Hunt asked if he’d been getting some ownership when his father steps down. Mr. Griffin said that would occur over time. His father is 90% and his partner, Mario, is 10%. So, as they transition the company and buy it out, his father will slowly decrease his salary in the company and his ownership and it will all transition and they’ll change hands. He can’t really answer because he’s not the president of Superior, but that is kind of how it would happen over time. That’s our buyout plan. Board Member Hunt asked if he had insight and authority within the financials for Superior. Mr. Griffin said yes, and he does reviews as a project manager. It’s a company that’s been around for a while in town, but it’s not huge. We don’t have 10-12 sales guys. We have five crews. It’s himself; his father, who is more of an advisor now; and his partner, Mario. Anything that comes in, as far as homeowners, new contractors or any kind of new clientele, he (himself) takes that on personally. Mario handles the people that have been around with the company for the last 23 years, that side of the relations. From start to finish, he (Mr. Griffin) does his own job costing and everything with his office manager, so he knows all the jobs in and out. As far and handling finances goes, he got approved to sign checks and to do those kinds of things, so he’s paying bills and sits down with the office manager once a week to review things that are coming in and out, payables, receivables, all that stuff. So, he does have some authority to make decisions and make payments, as well. 4.A.1 Packet Pg. 24 Attachment: 4A APPROVAL OF MINUTES -APRIL 20, 2022 (22225 : APPROVAL OF MINUTES - APRIL 20, 2022) April 20, 2022 22 Vice Chairman Jerulle asked Mr. Crotts what would happen with Superior’s current license if the Board approves this license today. Mr. Crotts said that license is separate. It would stay until such time that the qualifier either does not renew it and it goes into cancel status or terminates. Vice Chairman Jerulle asked if they had two qualifiers. Mr. Crotts said that is correct. There are two qualifiers for different trades. One would be for paving block, the other would be for masonry. They currently have masonry. Vice Chairman Jerulle said he understands that. Let’s just talk about the paver blocks. Your father is currently the license holder for the paver blocks for interlocking. If you get your license, what’s going to happen with your father’s license? Mr. Griffin said he assumes his father would no longer renew that license and then it would eventually go away. Mr. Crotts clarified that Mr. Griffin’s father has the license for masonry, not paving block. Mr. Griffin said he would not renew his masonry license. Vice Chairman Jerulle asked who holds the paver block license. Chairman Lantz said paver block falls under masonry. He’s saying they don’t need the masonry anymore, they only need the paver blocks because they don’t do precast work anymore. Vice Chairman Jerulle asked if they approve his license today, he will be the approver for the paver block, but not the masonry? Mr. Crotts said that’s correct. Vice Chairman Jerulle said if the Board approves his license today, he will be the Paver-Block License holder for that company, but not the Masonry, correct? Mr. Crotts said that was correct. Board Member Nolton noted that he’d have two licenses until one goes away. Mr. Crotts said that was correct. Vice Chairman Jerulle said going back to Board Member Hunt’s questions, he has concerns. He pointed out that he votes against Second-Entity Applications 90% of the time for various reasons. Moving forward here, if you do have a license for Superior, you’re going to be the financial- responsible officer for the company. You understand that, correct? Not your father because you’re doing the paver block. It’s your license and you’re responsible. You understand that, right? Mr. Griffin said he does. Vice Chairman Jerulle asked if his father understands that. Mr. Griffin said he does. Vice Chairman Jerulle said there are a lot of concerns he has about two entities, but maybe not so much in this case. Mr. Griffin said he wished they could put everything into one company, but the only reason they can’t combine the two is that the service they offer, they can’t do that for other installers. Board Member Nolton noted that as he said before, if it were reversed and you had this license and you came for the Griffin Brothers, we probably would have done it restricted, where you could only do maintenance. That’s probably what we would have done, so there was no chance 4.A.1 Packet Pg. 25 Attachment: 4A APPROVAL OF MINUTES -APRIL 20, 2022 (22225 : APPROVAL OF MINUTES - APRIL 20, 2022) April 20, 2022 23 for crossover. Mr. Griffin said that’s fine with him. The Griffin Brothers license doesn’t need to have installation purposes. As long as it’s for maintenance, repair purposes. Board Member Hunt said she was less concerned because these are family-owned businesses. Chairman Lantz said we’ve seen a lot of second entities and a lot of working with brothers or families. They may not have a written plan in place, but this is the first one that’s actually had the conversations about succession and that’s pretty rare in our industry, so that’s pretty good. Vice Chairman Jerulle asked Mr. Crotts for his recommendation. Mr. Crotts said there do not seem to be any issues, there have been no complaints, no issues with registration or renewing the license, so they have stayed on top of that. Based upon what he sees and hears today, he had no reason to believe that the same thing would not happen with the Paver- Block License under Superior. Vice Chairman Jerulle asked Mr. Griffin how old he was. Mr. Griffin said he was 30 and would be 31 in a month. Board Member Nolton made a motion to approve the Second-Entity Application. Board Member Meister seconded the motion. The motion carried unanimously, 6 -0. J. Vincent J. La Manna – Tile and Marble Contractor – Second Entity Application K. Vincent J. La Manna – Floor Covering – Second Entity Application Chairman Lantz called Mr. La Manna to the podium and he was sworn in. Mr. Crotts reported that Mr. La Manna has submitted a Second-Entity Application for the trades of Tile and Marble Contractor and Floor-Covering Contractor. He currently holds a valid license for Tile and Marble and Floor Covering from Collier County, which were issued in 2011. A review of the current license in CityView shows there have been no complaints against this company for either trade, and Mr. La Manna has stayed current on all required renewals. Mr. La Manna is submitting a Second-Entity Application to qualify the company of Wood Flooring & More LLC for both the aforementioned trades. There is currently no license associated with this company. Mr. La Manna is here today to answer your questions regarding the Second-Entity Application. Chairman Lantz asked Mr. La Manna to give them an introduction. Mr. La Manna said he’s with Sunset Carpet & Tile and has been in Naples since 1974. Basically, what he’s trying to do is create another wood-flooring company that strictly does wood flooring. He’ll still be running it with his son. Wood flooring has become such a big product and this way, when people look for wood flooring on the Internet, it will pop up a lot sooner than Sunset Carpet & Tile. So, basically that’s all we’re trying to do, just create a wood-flooring company. Chairman Lantz asked if it would be run out of the same building, the same ownership. Mr. La Manna said it would be the same ownership, same everything, just a different name. 4.A.1 Packet Pg. 26 Attachment: 4A APPROVAL OF MINUTES -APRIL 20, 2022 (22225 : APPROVAL OF MINUTES - APRIL 20, 2022) April 20, 2022 24 Board Member Nolton asked why they didn’t just change the current name. Mr. La Manna said they’ve been in town for so long, 48 years, so a lot of people and contractors know them as Sunset Carpet & Tile. We don’t want to give up that name and we just want to create another name. So, if people are looking for just wood flooring, that’s basically what this company would be doing, just wood flooring and maintaining wood floors. Vice Chairman Jerulle asked who owns Sunset Carpet & Tile. Mr. La Manna said he does. Vice Chairman Jerulle asked who started it. Mr. La Manna said his father started it in 1974. Chairman Lantz noted that Mr. La Manna and his son run it now. Vice Chairman Jerulle asked if his son had any ownership. Mr. La Manna said he does. This way, if something happens to him, the company can go under his son’s direction and he could lead it. Vice Chairman Jerulle asked why he didn’t ask his son to get his license. Mr. La Manna said he understands that in July 2023, that specialty license is going to be dropped. Vice Chairman Jerulle said that wasn’t the answer he’s looking for. He’s coming before the Board to ask for a license for a second entity. If your son is in the business, why didn’t you ask him to get a license for this new wood company? Mr. La Manna said he didn’t think there was a need for it since he already has a license. The ownership is going to be staying the same, with him being the president of the company, so he didn’t think they needed to go that route. Board Member Hunt asked how much ownership his son has. Mr. La Manna said he owns 48% of both companies. Board Member Jaron noted that his corporate name is actually Sunset Carpet & Draperies. That’s the official name. Mr. La Manna said that was correct. That was the official name his father started with in 1974. People weren’t doing draperies anymore and when his father passed away, he didn’t know much about draperies. But he kept that name because people knew them back in the early 70s and to keep it the same for credit with distributors and others. If he were to drop that name and use Sunset Carpet & Tile, he’d have to re-establish all new credit with distributors and manufacturers. So, that’s why they filed a DBA with Sunset Carpet & Tile, and draperies went to the wayside. Now it’s shutters and other stuff. These days, carpet has kind of gone to the wayside and wood is a big product that most builders and homeowners are doing now. So, we’re trying to create a company that if you Google it, it pops up with Wood Flooring & More versus Sunset Carpet & Tile, which doesn’t have any name involving wood flooring. We’re trying to promote wood flooring. So, if you do Google it, it’s strictly a store that’s going to do wood flooring and service wood flooring. If you need maintenance, that’s what the “More” is for, if you need it to be buffed or cleaned. 4.A.1 Packet Pg. 27 Attachment: 4A APPROVAL OF MINUTES -APRIL 20, 2022 (22225 : APPROVAL OF MINUTES - APRIL 20, 2022) April 20, 2022 25 Chairman Lantz asked if he has a storefront now. Mr. La Manna said they just sold the building and he’s working on the production of flooring, so they are going to be in the process of building another building. Chairman Lantz asked if they’d have signs for both businesses. Mr. La Manna said correct. They were in permitting, which is tough because everyone is backed up right now. Vice Chairman Jerulle asked Mr. Crotts for his recommendation. Mr. Crotts said the only question staff has with the second entity is that he says he really wants to keep this as floor covering. However, he has submitted a Second-Entity Application for tile and marble also. My question would be: Do you plan on doing tile and marble? Mr. La Manna said, no, not really. Tile and marble are going to stay through Sunset Carpet & Tile. The wood flooring is going to fall under wood flooring, so that’s the flooring part. Wood Flooring & More is going to strictly handle wood flooring, so he put both in the applications. Mr. Crotts asked if he wanted to pull the application for tile and marble for the second entity. Mr. La Manna said, sure. Chairman Lantz asked if he got his building up and running and he came in as a contractor who was doing a house and needed someone to do tile all his showers, the bathroom and kitchen and he wanted to put laminate wood floor throughout the whole house, could he handle it? Mr. La Manna said he could. And that’s why he wants Wood Flooring & More. We’re doing the license for the tile and everything else because this way, if you come in for wood flooring and you want him to do the bathroom as well and they ask, “Can you do the shower?” This way, Wood Flooring & More has both licenses. They can do all of it under Wood Flooring & More, versus saying they could only do the wood flooring and you have to go to Sunset Carpet & Tile for the tile work. We’re just trying to make it as simple as possible. Chairman Lantz said he could either write two checks, one to Wood Flooring & More and one to Sunshine Carpet & Tile, or he could still write one check to Sunset Carpet & Tile, if you were to keep it that way. His concern is there can be some confusion. What is your intent? Is Wood Flooring & More going to be only wood floors and Sunset Carpet & Tile is going to be only carpet and tile? Or is it going to be more? Mr. La Manna said the majority of it is strictly going to be flooring, but if you ask me if we could do your entry with tile or a bathroom. Instead of saying, we can only do your wood flooring because we’re only licensed for wood flooring and then you have to go to Sunset Carpet & Tile and write a check to them, it just seems easier if Wood Flooring & More handled everything. Board Member Nolton said it seems like it would be easier to change your DBA and drop “Carpet” and add “Wood Flooring,” if that’s what you’re trying to do. There are all kinds of ways to get hits on the internet rather than a second entity. Mr. La Manna said with all the contractors and everybody in town and how long they’ve been in business, everyone knows them as Sunset Carpet & Tile. If he drops Sunset Carpet & Tile and brings on a new company, people are not going to notice it as much as they did with Sunset 4.A.1 Packet Pg. 28 Attachment: 4A APPROVAL OF MINUTES -APRIL 20, 2022 (22225 : APPROVAL OF MINUTES - APRIL 20, 2022) April 20, 2022 26 Carpet & Tile. Board Member Nolton said he wasn’t telling him to drop Sunset. Keep Sunset but drop “Carpet” and add “Wood.” Mr. La Manna said they could do that. Board Member Nolton said that would be a much simpler process. Board Member Hunt said that in the document he provided the Board, it says he owns 50% and his son owns 48%, so who owns the other 2%? Mr. La Manna said it’s probably a typo or error. Chairman Lantz asked if there were other questions or issues. Vice Chairman Jerulle said he’s OK with Mr. Crotts’ recommendation for a license that gives him the ability to just do wood flooring and not tile. Board Member Nolton said that just complicates what we just talked about when Mr. Lantz said he wants the whole house done. He’s going to have to create a contract with both companies. Board Member Hunt said he owns both companies, so it shouldn’t be an issue. Board Member Nolton said that’s true. Vice Chairman Jerulle made a motion to approve the Second-Entity License for Wood Flooring & More, LLC for floor covering only. Board Member Hunt seconded the motion. The motion carried unanimously, 6-0. Mr. La Manna withdrew his application for Tile & Marble, 8J. 10. OLD BUSINESS: A. Luis Patino – The Oasis Group of SWFL Inc. dba Oasis Renovations & Pools – Swimming Pool/Spa Servicing/Repair Contractor 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 Board on June 16, 2021, to review his credit worthiness. At that hearing, the Board set criteria that Mr. Patino had to meet. He was asked to appear before the Board on February 16, 2022, to answer questions regarding this. However, he thought the meeting started at 11 a.m. and missed the meeting. He was confirmed to come back on March 16th to supply those documents. However, on March 16th, he showed up the day of the meeting and staff didn’t have a chance to review those documents. Staff has had a chance to review the documents Mr. Patino submitted. Mr. Patino’s current credit score is 637. The minimum credit score required is 660. However, when Mr. Patino appeared before the Board in July 2021, his credit score was 547. With regard to the creditors that the Board asked him to take care of: • TD Auto. This has been paid and settled. • Suncoast Credit Union. His credit report shows that he has entered into a payment plan and will pay $300 a month, along with a $1,500 down payment. Based upon this credit plan, Mr. Patino will need 25 months to settle this account. 4.A.1 Packet Pg. 29 Attachment: 4A APPROVAL OF MINUTES -APRIL 20, 2022 (22225 : APPROVAL OF MINUTES - APRIL 20, 2022) April 20, 2022 27 • Verizon. Mr. Patino supplied an email from Verizon that stated that this account had been closed and disconnected and there is no longer a balance remaining. This account has also been removed from Mr. Patino’s credit report. Mr. Patino said he’s working on it. There’s a lot to work on. Can we go back to the history of why he’s here before the Board? Back in 2016 or 2017, he sold several accounts to some Canadians. That caused a lot of problems. That’s what stretched him thin. He got into a lawsuit with the Canadians who breached the contract and he went all the way, but it stretched him thin, and caused a lot of family headaches in the midst of all the troubles. Code Enforcement knows about that and now he’s here. We relapsed on the renewal of the license, and when we went to settle that, his credit came into question because of everything that he went through with Oasis Pools, the original company he had. He’s still in the pool business. Chairman Lantz asked if he had one of three left. Mr. Patino said he has Oasis. Chairman Lantz said he remembers being here a year or two ago, when his license got renewed and he had three bills he had to pay. That was our original order. TD Auto, Suncoast and Verizon. Two of the three are 100% gone. Mr. Patino said he sold his house and has a few things he’s still working on. Chairman Lantz said Suncoast Credit Union still has not been resolved. Mr. Patino said it’s on the installment plan and he’s planning on resolving it. Chairman Lantz said it’s not paid off, but you have moved forward and it’s not an $8,000 debt. Mr. Patino said it’s probably $7,000 now. Chairman Lantz asked if he had a payment plan. Mr. Patino said he did. We have an installment plan, but he’s not planning to take 25 months to pay it off. He wants to try to pay it off in six months. He doesn’t want it to linger. He’s been in business since 2010 and he’s still in town. The Canadians aren’t, though. Board Member Nolton said if he understood right, his credit score has continued to move up. Mr. Crotts said that was correct. Board Member Nolton noted it went up 90 points. Chairman Lantz asked what the will of the Board was. Vice Chairman Jerulle asked what Mr. Crotts’ recommendation was. Mr. Crotts said staff recommends that Mr. Patino’s license be reinstated to active probationary. During this probationary status, Mr. Patino must provide staff with an agreed- upon payment plan with Suncoast Credit Union and show that payments have been made on time, per the agreement, after six months. After 12 months, Mr. Patino must supply documentation from Suncoast Credit Union showing the on-time payments have remained and a credit report showing that his credit score has increased. 4.A.1 Packet Pg. 30 Attachment: 4A APPROVAL OF MINUTES -APRIL 20, 2022 (22225 : APPROVAL OF MINUTES - APRIL 20, 2022) April 20, 2022 28 Board Member Nolton made a motion to adopt Mr. Crotts’ recommendation: to prove that Suncoast Credit Union has been paid on time, to provide his credit report and prove that his credit score has increased in six months and in twelve months. Vice Chairman Jerulle seconded the motion. The motion carried unanimously, 6-0. 11. PUBLIC HEARINGS: None 12. NEXT MEETING DATE: WEDNESDAY, May 18, 2022 Commissioners’ Chambers, Third Floor, Administrative Building F, Collier County Government Center, 3299 E. Tamiami Trail, Naples, FL Board Member Hunt made a motion to adjourn. Board Member Meister seconded the motion. The motion carried unanimously, 6-0. There being no further business for the good of the County, the meeting was adjourned at 11:02 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 Packet Pg. 31 Attachment: 4A APPROVAL OF MINUTES -APRIL 20, 2022 (22225 : APPROVAL OF MINUTES - APRIL 20, 2022) 05/18/2022 COLLIER COUNTY Contractor Licensing Board Item Number: 8.A Item Summary: ORDERS OF THE BOARD (8 ITEMS) Meeting Date: 05/18/2022 Prepared by: Title: – Contractor Licensing Name: Alyshia Morse 05/11/2022 11:58 AM Submitted by: Title: – Contractor Licensing Name: Tim Crotts 05/11/2022 11:58 AM Approved By: Review: Contractor Licensing Sandra Delgado Review item Completed 05/11/2022 1:29 PM Contractor Licensing Tim Crotts Review Item Completed 05/11/2022 5:04 PM Contractor Licensing Tim Crotts Meeting Pending 05/18/2022 9:00 AM 8.A Packet Pg. 32 CONTRACTORS' LICENSI NG BOARD COTLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Malka, Sharon 3702 NE 167th Street N. Miami Beach, FL 33160 CLB Aqenda Date:, Mav 18. 2022 Pursuant to Section 489.127, Florida Statutes. Operations and Regulatory Management DepartmenUlicensinq Section issued Citation No. 09446 CECV20220002773 on 03/22122. to Malka. Sharon. in the amount of ${.000.00, within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) (g), Florida Stafures, 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 .s-18 - ?> CHAIRMAN KYLE LANTZ Print Name Attorney to the CLB KEVIN NOELL ' 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 Countt's next blsiness day following that weekend br holiday. Approved as to form and legal sufficiency Contractor Licensing Supervisor TIIMOTHY CROTTS For Contractor Licensing Board 8.A.1 Packet Pg. 33 Attachment: 8A ORDERS OF THE BOARD (8 ITEMS) (22214 : ORDERS OF THE BOARD (8 ITEMS)) CONTRACTORS, LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Malka, Sharon 3702 NE 167th Street N. Miami Beach, FL 33160 CLB Agenda Dale: May 18.2022 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management DepartmenUlicensing Section issued Citation No. 09445 CEUL20220002771 on 03/22122, to Malka, Sharon, 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 Stafules, 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 ?|8->>- CHAIRMAN KYLE LANTZ Attorney to the CLB KEVIN NOELL Contractor Licensing Supervisor TII\4OTHY CROTTS For Contractor Licensing Board . lf the 15th dav falls on a Saturdav. Sundav or holidav. the entire flne must be oaid no later than 4:00P.M. on the Countyli next bisiness day following that weekend br holiday Approved as to form and legal sufficiency Print Name 8.A.1 Packet Pg. 34 Attachment: 8A ORDERS OF THE BOARD (8 ITEMS) (22214 : ORDERS OF THE BOARD (8 ITEMS)) CONTRACTORS' TICENSING BOARD coLLtER COUNW, FLORIDA ORDER TO PAY CIVIL PENALTY Carol Ann Gholson 1704 Park Meadows Drive unit 1 Fort Myers, FL 33912 CLB Agenda Date: May 18.2022 Pursuant to Section 489.127 , Florida Statutes, Operations and Regulatory lrianagement DepartmenULicensing Section issued Citation No. 11723 CEUL20220001988 on 02/28/22. to Carol Ann Gholson, 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 Slatures, 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 15t 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. oAre:5 -\ 8 "-)> CHAIRMAN KYLE LANTZ Print Name Attorney to the CLB KEVIN NOELL . lf the 15th da later than 4:00 Contractor Licensing Supervisor TIMOTHY CROTTS For Contractor Licensing Board v falls on a Saturdav. Sundav or holidav. the entire fine must be paid no P.M. on the Countls next business day following that weekend br holiday Approved as to form and legal sufficiency 8.A.1 Packet Pg. 35 Attachment: 8A ORDERS OF THE BOARD (8 ITEMS) (22214 : ORDERS OF THE BOARD (8 ITEMS)) CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Carol Ann Gholson 1704 Park Meadows Drive unit 1 Fort Myers, FL 33912 CLB Aqenda Date: Mav 18. 2022 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Departmenvlicensing Section issued Citation No. 11724 CECV20220002069 on 02/28/22. to Carol Ann Gholson. 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 5-tr=>}- CHAIRMAN KYLE LANTZ Print Name Attorney to the CLB KEVIN NOELL Contractor Licensing Supervisor TIMOTHY CROTTS For Contractor Licensing Board " lf the 'l5th 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. 36 Attachment: 8A ORDERS OF THE BOARD (8 ITEMS) (22214 : ORDERS OF THE BOARD (8 ITEMS)) CONTRACTORS, LICENSING BOARD COLLIER COUNTY, FLORIDA Carol Ann Gholson 1704 Park Meadows Drive unit 1 Fort lvlyers, FL 33912 CLB Agenda Dalei Mav 18.2022 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory lvlanagement DepartmenVlicensing Section issued Citation No. 11725 CEUL20220002096 on 03/01/22. to Carol Ann Gholson. in the amount of $1 .000.00, within 1 0 days of issuance of the Citation, THE PENALW 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 filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. onre: 5 -18->}- CHAIR[/AN KYLE LANTZ 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 flne must be oaid no later than 4:00P.M. on the Countfs 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. 37 Attachment: 8A ORDERS OF THE BOARD (8 ITEMS) (22214 : ORDERS OF THE BOARD (8 ITEMS)) CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Roderka, Eric 260 Bth St NE Naples, FL 34120 CLB Aoenda Date: Mav 18.2022 Pursuant to Section 489.127, Florida Sfafufes, Operations and Regulatory Management DeoartmenUlicensino Section issued Citation No. 11567 CECV20220000875 on 02/22122, to Roderka, Eric, 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 Sfafutes, 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. DA 5-18->] CHAIRIVAN 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. 38 Attachment: 8A ORDERS OF THE BOARD (8 ITEMS) (22214 : ORDERS OF THE BOARD (8 ITEMS)) CONTRACTORS' LICENSING BOARD COLLIER COUNW, FLORIDA ORDER TO PAY CIVIL PENALTY Yates, Brian [t/. 2311 8lh Ave SE Naples, FL 34117 CLB Agenda Date: lttlay 18.2022 Pursuant to Section 489.127, Florida Sfafutes, Operations and Regulatory fi/anagement Department/Licensing Section issued Citation No. 09438 CEUL20220002748 on 03/18/22, to Yates, Brian M., 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 5 -t8-7J CHAIRTUAN KYLE LANTZ Print Name Attorney to the CLB KEVIN NOELL Contractor Licensing Supervisor TIIUOTHY CROTTS For Contractor Licensing Board * lf the 1sth dav falls on a Saturdav, Sundav or holidav, the entire fine must be paid 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 8.A.1 Packet Pg. 39 Attachment: 8A ORDERS OF THE BOARD (8 ITEMS) (22214 : ORDERS OF THE BOARD (8 ITEMS)) CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Ir4elia, Francisco '10005 Conneticut St Bonita Springs, FL 34135 CLB Agenda Datei Mav 18.2022 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Departmenulicensing Section issued Citation No. 09447 CEUL20220002910 on 03/23122, to Mejia, Francisco. 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:5 s->->-\ CHAIRI\,4AN KYLE LANTZ Print Name Attorney to the CLB KEVIN NOELL . lf the 1 sth da later than 4:00 Contractor Licensing Supervisor TIMOTHY CROTTS For Contractor Licensing Board v falls on a Saturdav. Sundav or holidav. the entire fine must be oaid no P.M. on the Countfs next b0siness dai following that weekend br holiday Approved as to form and legal sufficiency 8.A.1 Packet Pg. 40 Attachment: 8A ORDERS OF THE BOARD (8 ITEMS) (22214 : ORDERS OF THE BOARD (8 ITEMS)) 05/18/2022 COLLIER COUNTY Contractor Licensing Board Item Number: 8.B Item Summary: CHRISTOPHER GREEN – REVIEW OF CREDIT – CABINET INSTALLATION CONTRACTOR–CAMERON CARPENTRY NAPLES LLC Meeting Date: 05/18/2022 Prepared by: Title: – Contractor Licensing Name: Alyshia Morse 05/11/2022 12:01 PM Submitted by: Title: – Contractor Licensing Name: Tim Crotts 05/11/2022 12:01 PM Approved By: Review: Contractor Licensing Sandra Delgado Review item Completed 05/11/2022 1:45 PM Contractor Licensing Tim Crotts Review Item Completed 05/11/2022 5:03 PM Contractor Licensing Tim Crotts Meeting Pending 05/18/2022 9:00 AM 8.B Packet Pg. 41 Covnatll 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 FIRM APPTICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY!,qt-rrI (UL?mz-trtb This application musl be typewritten or legibly printed. The application fee must be paid upon approval and is NOT refundable. All checks should be made payable lo: Collier County Board of County Commissioners. For further information, consult Collier County Ordinance No. 2006-46, as amended. TYPE OF CERTIFICATE OF COMPETENC"Y: D General tr Building tr Residential E lt/echanical tr Roofing $230.00 $230.00 $230.00 $230.00 $230.00 tr Electrician tr Plumber tr Air Conditioner tr )imming Pool tr6pecialty u*btu{ $230.00 $230.00 $230.00 $230.00 $205.00 Specialty Trade ffilNEA A^)D N I. APPLICANT PERSONAL INFORMATION: Name (t+A5r&t&1-dW*t First tr/iddle lnitial Last Business Name: Address Email: UtMrm-lW W NAP 7a 2-#/o Street City State zip grerukc?,.{L(r;s;=l*c&GM Tel .SS # (Last 4 digits only): q55' 388-oDate of Birth Driver's License # (Last 4 digits only) +Pursuant to Chapter l-19, Florida Statutes and Collier County Contractor Licensing Ordinance 2006-46 Section 2.1.1., all applicants are required to submit their social security number (SSN) for the following purposes: alAssess applicant's ability to satisfy creditors by reviewing their credit history. b) Verification of applicant's test scores and information. Our office will only use your SSN noted above for those reasons pursuant to Chapter l-19, Florida Statutes, and as may otherwise be authorized by law. We are fully committed to safe-guarding and protecting your sSN and once collected, will be maintained as confidential and exempt under Chapter l-19, Florida Statutes. Firm_Application.docx Rev 410612020 Page 3 of '1 5 8.B.1 Packet Pg. 42 Attachment: 8B CHRISTOPHER GREEN – REVIEW OF CREDIT – CABINET INSTALLATION CONTRACTOR – CAMERON CARPENTRY NAPLES f '63'5' Cabinet Installation Contractor rcquircs twenty-four (24) months expericnce with passing gradc on a t*e$lherx business and law tcst and means any pcrson who is qualified to manufactuc, asscmblc, install, dismantlc, mn;nt4n, adjust, alteq extcnd, and desiga cabinets and millwork The scopc of pcrmitrcd work shall include, but not bc limitcd to kitchen cabinets, bathroom vanities, acccssory cabincts, countcr tops, officc fumiture, and millwork itcms which have been manufactured for installation onjob sire locations. 8.B.1 Packet Pg. 43 Attachment: 8B CHRISTOPHER GREEN – REVIEW OF CREDIT – CABINET INSTALLATION CONTRACTOR – CAMERON CARPENTRY NAPLES CovrmX! 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 Provide the names and telephone numbers of two persons who will always know your whereabouts. Name: akrYX Cru r.r"rn"' MAe(. 'BLrki-b,,.J Telephone Telep t5tL, II. NAME OF APPLICANT'S BUSINESS: Business Name C A{4 \ a fi7Pp,\ja2-7 La tLC Business Address:Z.U.< furnr,nr'*JeJ C"W fL s+r Street City State 7ip Telep Email hone: ( ffi ,571 a7d-) Gvdtz?3??.\)tL+-t @ L_(oA Federal lD Tax No Bg-tT7t&8 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 APPLIGANTS MUST ANSWER THE QUESTIONS BELOW: x Filed for or been discharged in bankruptcy within the past 5 years? f Had a lien filed against you by the lnternal Revenue Service or Florida Corporate Tax Division? r Undertaken construction contracts or work that resulted in liens, suits, or judgments being filed? ) Undertaken construction contracts or work that a third party, such as a bonding or surety company, completed or made financial statements on? r 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?" r 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? Firm_Application.docx Rev 410612020 Page 4 of 15 8.B.1 Packet Pg. 44 Attachment: 8B CHRISTOPHER GREEN – REVIEW OF CREDIT – CABINET INSTALLATION CONTRACTOR – CAMERON CARPENTRY NAPLES Cor.tYtX3l Growth lVla nagement 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 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: A^!D&,tt f t*..)r'. oZF, Atfn n4rt-r-rJC:P 1 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 application and the facts stated in it are true. Applicant (please print)Signature of State of f/ Counry .r Co ll ief The foregoing instrument was acknowledged before me by means of ffiysicalpresence or E online notarization on this /l_duy.r Apri I ,20 Z2 ,av Cbr'S fo?Ler &feerL Such person(s) Notary Public must check applicable box: E are personally known to me W{, produ"ed a current dliver license I has produc "d FL DL "s identification. Notary Signature:Edward Ha '*#lK1';, rtuq,* EDWARD HABASHI Notary Public - State of Florida Commission # GG 264130 I'ty Comm. Expires Oct 1, 2022 (Notary Firm_Application.docx Rev 4lO61202O Page 5 of 15 8.B.1 Packet Pg. 45 Attachment: 8B CHRISTOPHER GREEN – REVIEW OF CREDIT – CABINET INSTALLATION CONTRACTOR – CAMERON CARPENTRY NAPLES CortYtt3l 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 CERTIFICATION OF APPt!CATION The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County No. 2006-46, as amended, and under penalties of perjury. I declare that I have read the foregoing qualifier information and that the facts stated in it are true. The undersigned hereby certifies that he is legally qualified to act on behalf of the business organization sought to be licensed in all matters connected with its contracting business and that he has full authority to supervise construction undertaken by himself or such business or organization and that he will continue during this registration to be able to so bind said business organization. The qualified license holder understands that in all contracting matters, he/she will be held strictly accountable for any and all activities involving his license. Any willfulfalsification of any information contained herein is grounds for disqualification. CJ{Z) Applicant (please print Name of Company Applicant State of Fl County of The foregoing instrument was acknowledged me by means of rthysicalpresence or E online notarization on this Zld^v or Apn'l ,20 22, ,by Such person(s) Notary Public must check applicable box: p are personally known to me 6roau"ed a current driver license T-lC E has produced (Notary Seal) as identification. II Notary Signaturer#.r x'-tft,') ,l.i!:, EDWARD HAEASHI Notary Public - State of Florida Commission I GG 264130 ily Comm. Expires Oct 1, 2022 Firm_Application.docx Rev 4/06/2020 Page 6 of 15 8.B.1 Packet Pg. 46 Attachment: 8B CHRISTOPHER GREEN – REVIEW OF CREDIT – CABINET INSTALLATION CONTRACTOR – CAMERON CARPENTRY NAPLES CovrtX! 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 COMPET-NCY 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. CALf,@rze-Ctrfzxt Applicant (please print <ar't62exn CA?Prr\u?7 N$FIE . L-LL Name of of Applicant BEFoREMEthisdaypersonallyappearedWGzr,:lwhoaffirmsand 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 F/County of The foregoing instrument was acknowledged before me by means of 2l day or frpril ,20 ? Z ,by Such person(s) Notary Public must check applicable box: E are personally known to me 6u, prodo"ed a current driver license fl. D/-as identification. E Notary Signature: fiyrr"utpresence or ! online notarization on this dward Habashi E has produced (Notary Seal) rs ,?ffidet EDWARD HABASHI Notary Public - State of Florida Commission i 6G 264130 i,\y Comm. Expires oct '1, 2022 Firm_Application.docx Rev 410612020 Page 7 of 15 8.B.1 Packet Pg. 47 Attachment: 8B CHRISTOPHER GREEN – REVIEW OF CREDIT – CABINET INSTALLATION CONTRACTOR – CAMERON CARPENTRY NAPLES GITS, LLC Examination Operations Division Providing the services and products to assist Government Agencies to make informed educated decisions. Official Examination Score Report February 22,2022 Official Score Report: Candidate Information: Name: Christopher Green Candidate #: 00713880G Testine Site: Fort Myers , FL Final Score Result: Business Procedures Score: 84o% 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 21,2022. If you have any further questions, please do not hesitate to contact us. Sincerely, Jay E. Bowermeister President PO Box 831127 Ocala, Florida 34483-1127 - Voice (352) 369-clTS - Fax (352) 387-2443 800 997 2129 8.B.1 Packet Pg. 48 Attachment: 8B CHRISTOPHER GREEN – REVIEW OF CREDIT – CABINET INSTALLATION CONTRACTOR – CAMERON CARPENTRY NAPLES 4t20t2022 I At a glance Flco@ score 8 Experian ?&penon"a Pr.p.rcd Fot CHRISTOPHER L. GREEN Personal & confidential Drtc gonant d: Apr 20,2022 300 You may not have enough credit history for us to generate your FtCOo Score 8. F|COl.li,)tilii 850 Acmunt aummsy Open accounts Selfjeporled accounts Accounts ever late Closed accounls Collections AveGge account age Oldest account Ovcrall crcdlt usaqo Drbt $mmry Credit card and credit line debt Selfreported account balance Loan debt Collections debl Total debt $o $o So $o $o fi creditused:S0 Credil limit $0 https l//usa. experian.com/member/printable-reporuexperian/now 119 a O o/" 8.B.1 Packet Pg. 49 Attachment: 8B CHRISTOPHER GREEN – REVIEW OF CREDIT – CABINET INSTALLATION CONTRACTOR – CAMERON CARPENTRY NAPLES 412012022 Experian Employerg SALTIRE SERVICES LLC '#*p"rion.Prepared For CHRISTOPHER L. GREEN Date generated: Apt 20,2022 Personal information Add16ses NAPLES, FL 3i1109-1750 Also hown as N PLES, R 3410+56i10 2011 TEnnAiZO tr{ Year ot birlh 1972 Fsonal riolomenlt https://usa.experian.com/member/printable-reporVexperian/now 2t9 GffeGtional idenlilier 8.B.1 Packet Pg. 50 Attachment: 8B CHRISTOPHER GREEN – REVIEW OF CREDIT – CABINET INSTALLATION CONTRACTOR – CAMERON CARPENTRY NAPLES 412012022 !Fp*tion- Open accounts Experian Prepared For CHRISTOPHER L. GREEN Date generatod: Apt 20,2022 No opon accounts ropofisd, https://usa.experian.com/member/printable-reporUexperian/now 3/9 8.B.1 Packet Pg. 51 Attachment: 8B CHRISTOPHER GREEN – REVIEW OF CREDIT – CABINET INSTALLATION CONTRACTOR – CAMERON CARPENTRY NAPLES 4t2012022 ?.&p"tion- Experian Prepared For CHRISTOPHER L. GREEN Date generatod: Apr 20,2022 Closed accounts No cl@ed ae@nlr reported. https ://usa.experian. comlmember/printable-reporUexperian/now 419 8.B.1 Packet Pg. 52 Attachment: 8B CHRISTOPHER GREEN – REVIEW OF CREDIT – CABINET INSTALLATION CONTRACTOR – CAMERON CARPENTRY NAPLES 412012022 Experian ?Frp*tion-Prepared For CHRISTOPHER L. GREEN Date generated: Apr 20,2022 Collection aceounts No @lletion aEount. rcponod. hft ps://usa.experian.com/mem ber/pri ntable-reporVexpe rian/now 5/9 8.B.1 Packet Pg. 53 Attachment: 8B CHRISTOPHER GREEN – REVIEW OF CREDIT – CABINET INSTALLATION CONTRACTOR – CAMERON CARPENTRY NAPLES 4t20t2022 ?.oO*tion* Public records Experian Prepared For CHRISTOPHER L. GREEN Date generated: Apr 20,2022 No public r4qdg roported. https ://usa. experian. com/member/printable-reporUexpe ria n/now 6/9 8.B.1 Packet Pg. 54 Attachment: 8B CHRISTOPHER GREEN – REVIEW OF CREDIT – CABINET INSTALLATION CONTRACTOR – CAMERON CARPENTRY NAPLES 412012022 ?.&o"tion- lnquiries Experian Prepared For CHRISTOPHER L. GREEN Date generat.d: Apt 2q2022 No inqui116 r.poded. https://usa.experian.com/member/printable-reporVexperian/now 7t9 8.B.1 Packet Pg. 55 Attachment: 8B CHRISTOPHER GREEN – REVIEW OF CREDIT – CABINET INSTALLATION CONTRACTOR – CAMERON CARPENTRY NAPLES 412012022 ?Fo*tion- Experian Prepared For CHRISTOPHER L. GREEI{ Date generated: Apr 20,2022 Credit scores Flco@ seore I FICO,.i(-.lLili $ Experian oraanorzozz No FICOG Credit Sctr lor Apr 2q 2022 - oo cndit 6ting aEildble. You may not have enough credh history for uslo generateyour FICOG S.ore 8. &503S& https://usa.experian.com/member/printable-reporUexperian/now 8/9 8.B.1 Packet Pg. 56 Attachment: 8B CHRISTOPHER GREEN – REVIEW OF CREDIT – CABINET INSTALLATION CONTRACTOR – CAMERON CARPENTRY NAPLES 412012022 t&r"tion- Experian Prepared For CHRISTOPHER L. GREEN Date generated: Apt 20,2022 Disclaimer About your Flcoo s@r€ 8 or olher Flcoo Scoro8 s@re models. p(@ess. Other f.cto6, such aa your annual salary and length ofemploymst, may also be considered by lenders whs y@ apply ror a l@n. What thls mans to you: speciic FlcO@ Scqes prcvided by us. q different scoring models to detemine how you 6core, https://usa.experian.com/member/printable-reporVexperian/now 9/9 8.B.1 Packet Pg. 57 Attachment: 8B CHRISTOPHER GREEN – REVIEW OF CREDIT – CABINET INSTALLATION CONTRACTOR – CAMERON CARPENTRY NAPLES DtvtstoN oF CoRPoRATtoNs pCp3nllcn.lptstals / Division of Comorations / Search Records / Search by-E41j1y-Ne-lqe / Detail by Entity Name Florida Limited Liability Company CAMERON CARPENTRY NAPLES LLC Filing lnformation Document Number 122000131488 FEUEIN Number NONE Date Filed 0311612022 State FL Status ACTIVE Princip_a!_lklclress 2668 FOUNTAIN VIEW CIRCLE APT, 103 NAPLES, FL 34109 Mailing Address 2668 FOUNTAIN VIEW CIRCLE APT.103 NAPLES, FL 34109 Registered Agent Name & Address GREEN, CHRISTOPHER L 2668 FOUNTAIN VIEW CIRCLE APT. 103 NAPLES, FL 34109 Authorized Person(S) Detail Name & Address Title MGR GREEN, CHRISTOPHER L 2668 FOUNTAIN VIEW CIRCLE. APT. ,I03 NAPLES, FL 34109 Annual Reportls No Annual Reports Filed Document lmaoes 03/16/2022 - Florida Limited Liabitity View image in PDF format 8.B.1 Packet Pg. 58 Attachment: 8B CHRISTOPHER GREEN – REVIEW OF CREDIT – CABINET INSTALLATION CONTRACTOR – CAMERON CARPENTRY NAPLES SqIgH* H.{HdffJSI}t}{} ;rrruuuffrS ttr}f,k' Fmt'irf,.}H 'pnfiu 60lt f '"fuI'#il'rd't'l',1 CSI'IdY e'IlHIf, .{t[fl 1,\ NIYII*1O.{ g99e I'i31U$ "I UIHd*I$UFI) :sr lussE p*.r*lflf,il sr{tJo *s*rppE laa{s BpFOI;l pIII? auBu aql. 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Thj-6 E1}l utl-1 tdart,tfy you, l'Eur huis.ltreBs aec{r{rBt6, tax !eturr:$, and dorument6. evan !f yer ha?e no eurploy*eE. Ptreese ks*p thto 6otie€ in ynur *]ErlEaneBtrecords. ?axpayers reguest ar EtrN for tbelE bosl-necs. Sd6re taxpayera receLve CP575 natices '*hn'lanother Fcraorl has stalen thelr ide*tity and are apnlag a bueiaees u*ing their Lnforurati.on.rf you Ala a.t apply fcr thi6 ErB. glea&e contacL irs at'the phom nrmber-or add-re*e lieted on thp tep of th16 nqtie€. $Ikre+ flling tax *t*rsmnts, &aki-a.g Fe$ents, *r replyitrg tE &ay rBlatEd €or*e.sgrandenee.It is e*qr furyott&$t that you uBs your ElH &lld caqrlete narm and addrese €nectly Es shown aborre. A.ny varlatlon Eray cause, a delay in p.rocesgLag, result ln laeorrect lnfereration ln your accot:tlt. o"r evtlt ea{*€ you t<r be asetgaed nore t}ran oae EfH. If the ir:foriaation is not corteet as sh.rhrfl above. please make the correeti* using tl:e attached tear-off stub and retr:ra lt to ue. A. ltrstted liabtlity co6rp6ny {u,C} s&y flL€ Forte &832. Eatjty Claself.d,eat.dan E1ection, and eleet lo ha tl-asstt:.ed ai oi a*s*ilfatI"on tax*n1'* es fl cor;lorltton. If the IJ,c teeligj-ble to be tfeated as a corporation that rneets certain testE and It rrill bc eleetj-ng S rorporatlerl 6tatus, lt relst tlfiEly fLle Fomr 2553, ElectTon by a i*aLl Bu.sl.n€sgCorporaLion The IJ{ n111 b€ tEat€d aE a corporation ae of th* e{fectiva datg of the S corForatl-a1l ele€tLon a.ad doer fiot ned to ftle FoEr6 8832. ?:: okaln t&x for:s6 md publleatloas, tncludS.ng those refef,encsd in thla r:at-i.ee,visit our Eleh slte at Mi^tur.irs.gorr. If you do not hatre acceas to the Internet, c&IIl-800-829-36?5 (rfY/TDD l-800-BZ9-4059) or uLBLt your local IRS offj-ee. 8.B.1 Packet Pg. 61 Attachment: 8B CHRISTOPHER GREEN – REVIEW OF CREDIT – CABINET INSTALLATION CONTRACTOR – CAMERON CARPENTRY NAPLES {IES qJSE O|;LY} 573G 01-20-20I2 CAI'{E O 9S99999999 SS-jt SlF0m}lrr *EHrt*B8B!i: * !{eep a copy of thj-s Botice ia your percrarrerl| records " ?hL* notic€ ls issu*d onLy one tinu and the fRS w11]" nnt be able to generate a duplleaLE copy for you" You tmey glve E copy of this d*<;amnt to anytrne asking for proof of your EIH. * U6e this EIH and ycrur na&le Bxertrtly a* they oppear at tha t*p of thl's atrtlce on sllyour f ederal t.ax {ormn. * Bafer to thig 8IH on your tax-related eorresFndence and **urnentg, * Frsvide future officers a{ yeur organizatian ryLth a eopy r:f thl"s notJ"ce. Yf,trtr nfins conLrqi" ae*erclatsd erlth this AIN g* cAilE" Ysu rsll-l need to provide *hislnf*rnstlnrr *l.*r:q ui.th ynur AIAE, If you fil* ycur retlt.rne eleetrorrlcally. Sa,feguard your EIH by ref erring to Puhllcatl"an 4557. S&{e?rrlaf,dlrrg taxpayer Aaaaa e Gul-dq {or Your Euainess. Eslr can get *ny of the forrns ar publlcatlo.rw @ntioned ln this letter byvl*lting otrr rr,ebslte at trnmr.J-r*,gov/for:u*-prbs or by calling 80S-TAX-FG*}{ t *&0-92$*1676 I , If you have questions about ynur Efll, you ca.n cont&ct us at tha phone nurnheror addresa liated at the top of this notice. If you urite, pleaei tear off the stl1b at the botte6B of this notiee and ine]ude it wlth your lELtEr. TtlatiE you fo: yuer eoopsratl*. Keep lhla part for yctr records.cP 5?5 G {8etr. 7-20071 Seturn thl* part elth any st:rreapoildsnfi* 36 trs may ldcntlfy your accaunt, PLears eorrect any strsjra ln your riarEE or address" cP sl5 tr t*?99999e9 8B-18?r658 Your Telephoae llumber Best ?Lse to CaIL(l trA?E 0F EIIIS BfrfECE: 0{-20-20?2 EAFI.$YER IDE},I?IFICAIION }ITI}IEEE ;E0EH; S5-{ H0E&& I'TTEANAL REVEHUE sERVICE e :l.Ie rur{ATI orl 45999-0021 lnl',l,l,l,l,l,,l,l,,l,l,,lt,,nll,,,,,l,l,,ll,l,l,,l CA},tEfi*}I CAXPE}flTRY Of *E}LES IJ,C CI{BISTOFIIEN L GN"EEII SOtE }IER ?668 FCItlblTAILl VIEr{ fIA 3,pT 103 N&FI"ES, rL 3d10! 8.B.1 Packet Pg. 62 Attachment: 8B CHRISTOPHER GREEN – REVIEW OF CREDIT – CABINET INSTALLATION CONTRACTOR – CAMERON CARPENTRY NAPLES CouvtX! Growth Management Depaftment Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 239-252-2400 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY STATEMENT OF OWNERSHIP This certifies that l,WqGt* aruxt am a member or managing APPLICANT'S NAME (please print) member NAME) lown lc % 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. CrZ,sreF"lrf.- (aar Applicant (please print) Name of Company Signature of Applicant State of County of (ol/ rcf The foregoing instrument was acknowledged before me by means of fihysical presence or E online notarization on this Z-Lauv of Aor ;l ,20 LZ ,bY Such person(s) Notary Public must check applicable box: E are personally known to me Wtproau"ed a current driver license UL I has produced (Notary Seal) as identification. Notary Signature:Edward Habashi ,#,lKa,,rffi EDWARD HABASHI Notary Public - State of Florida Commission # GG 264110 l,ly Comm. Erpires Oct 1, 2022 Firm_Application.docx Rev 4/06/2020 Page g of 15 8.B.1 Packet Pg. 63 Attachment: 8B CHRISTOPHER GREEN – REVIEW OF CREDIT – CABINET INSTALLATION CONTRACTOR – CAMERON CARPENTRY NAPLES Cotr, rX3l Growth Management Deparfnent Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 239-252-2400 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name:6'o,215vofr*K Gzr+-* Ceft ifi cate Category Requested :Cbrxsaf AxD M trr-t^:eE,( 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 verirying trade experience for the above-named applicant must provide the following information: ?t.tr 4'le, rName Business Name ,o-t QAC Sc,,euic-e Phone: ?sq - , kE - otl L License No. (if applicable):@P/lfot? < 6 fi oBusiness Address Street The applicant was employed by me from City State zip 0e* lon to ar.il Ut? Applicant's title I,.rsnatlE R The applicant's scope of work (specific duties) irrcl,rJ,'*, 'h,th, - ZtusA4 Arl' incruded: &,'lA,'Po N,il in rmtlr:^tq c-aeinprc V ot-> 6f Ug:" +olJ,an - gdqeAr-at a^-!@ Additional comments: J NOTE TO LICENSED CONTRACTORS: Falsifytng any information provided Under penalty of perjury, I declare that the facts stated here are true subject your revocation. providing the statement presence or E online notarization on this Ft-( cU; ecState of County of The foregoing instrument was ttzt aay of .20 Such person(s) Notary Public must check applicable box: ! are personally known to me llhas produced a current driver license Apr.'( Fur)L-as identification.fl has produced (Notary Seal) Notary Signatu'e:F..{].'.!fq oAGEDALY lw"i ffifl#ill;il3 Firm_Application.docx Rev 410612020 Page 11 of 15 nre: ?2tstbep{ I 8.B.1 Packet Pg. 64 Attachment: 8B CHRISTOPHER GREEN – REVIEW OF CREDIT – CABINET INSTALLATION CONTRACTOR – CAMERON CARPENTRY NAPLES CottYtW Growth lvlanagement Department Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 239-252-2400 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Na Certlfi cate Category Req uested :t.-tZS-vvlt 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 The trade for the above-named applicant must provide the following information: Name: Business Name Phone:2 License No. (if ): Business Address The applicant was employed by me from Applicant's title The applicant's scope of work (specific duties) included t A/a( * State t? guA 't Additional comments: NOTE TO LICENSED CONTRACTORS: Faisiflzrng any information provided herein may your license to revocation. Under penalty of perjury, I declare that the facts stated here are true State of F( ,,n; 4",-County of [/^ e acknowledged by means re of pbrson providing the statement The,joregoing ipstrument was /#ou, "r/pLiL_,zo 2),av .ffi*tarization on thispresence atal Such person(s) Notary Public must check applicable box: E are personally known to me -t proauced a current driver license E has produc.d f-L hL as identification. FF,1,llt o Notary Signatu'e: (Notary Seal) Firm_Application.docx Rev 410612020 Page'10 of 15 I 4, No.HH 50397 8.B.1 Packet Pg. 65 Attachment: 8B CHRISTOPHER GREEN – REVIEW OF CREDIT – CABINET INSTALLATION CONTRACTOR – CAMERON CARPENTRY NAPLES Cou*lt3/ Growth Management Department Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 239-252-2400 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY Applicant's Name VERIFICATION OF CONSTRUCTION EXPERIENCE CiR)5-rc)VfEL UZZZ^) Business l,1",.n". ft.-4 1) *ln:fr r*:q C--orZ( Ceftificate Category Requested:f nrRplEf A x$N nt rr--t-uJCe 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 sufficlent to demonstrate requlred trade experience. The person verifying trade for the above-named applicant must provide the Na me:e: Phone: GA *1S -loo \License No. (if applicable):6crc- ob:L3o&- Business Address: 2-tb U6NDATLB\{ 1strc-n, \Ob l.]frgLas 'Pt- 3t-t\ Street The applicant was employed by me from City State Zip to Applicant's title LS<'9 CAWS\f\+-r1==- t>?JLr\<- \.)6 Additional comments: NOTE TO LICENSED CONTRACTORS: Falsifying any information provided herein may subject your license to revocation Under penalty of perjury, I declare that the facts stated here are true. State of F/.,r,Ct County of Signature of person providing the statementr The foregoing instrument was acknowledged before me by means of dphysical presence or E online notarization on this .TCauyof Ac,rrarh ,20 3,Q,6t Such person(s) Notary Public must check applicable box: E are personally known to me fhas produced a current driver license fi has produced (Notary Seal) as identification. Notary Signature:ffi#ffi Firm_Application.docx Rev 410612020 page 12 of 15 The applicant's scope of work (specific duties) included: 8.B.1 Packet Pg. 66 Attachment: 8B CHRISTOPHER GREEN – REVIEW OF CREDIT – CABINET INSTALLATION CONTRACTOR – CAMERON CARPENTRY NAPLES Couwt3l Growth Management Department Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 239-252-2400 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF !NTEGRITY AND GOOD CHARACTER STATE OF ftaetbn /U f,' FOAro *r having been first duly sworn, state and affirm: I am a residentot C Ctr Ll E/L County,FtofLtOA (State) and have resided here for more than five (5)years During the last five (5) years thave known C/4R/5 GC/XM (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 nted Name Address ?+32 clttq. t)€/d StreetU,HVd fr* City State zip Telep non", 2 3z 57 / t5/ 6 State of of The was acklowledged by of presence or E onling notarization on this /7laay or 20?z,by Such person(s) Notary Public must check applicable box n are personally known to me {nutproduced a current driver license f,has produc "a lt- -'.t ,,- - - \/ ; 0 ,s identification. Notary Signature .( c ffi DENISA BAHA Notary Public ' State of Florida Commission # GG 985919 My Comm. Expires MdY 10'207.4 (Notary Seal) Firm_Application.docx Rev 410612020 page 14 of .15 COUNTY OF CA LLl C E- 8.B.1 Packet Pg. 67 Attachment: 8B CHRISTOPHER GREEN – REVIEW OF CREDIT – CABINET INSTALLATION CONTRACTOR – CAMERON CARPENTRY NAPLES CovrnXy Growth Management 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 9 (O"i ,tq COUNTY OF I,\n.*9. fY\a G\ #nu, having been first duly sworn, state and affirm I am a resident of County,€,4-c.--,)^(State) and have resided here for more than five (5)years. During the lastfive (5)years I have known Ch f ,'s tVL 6f'&^^ (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 Signaturef,t-C- fYl.4KL Printed Name )voo 1:,^AC - Street f A qp V^ €u 3vtoc ng was 20 22 ,by Such person(s) Notary Public must check applicable box: Stateof F/o[vbfi county "r fol/ir r The foresoi L2 aav"or t,ty State zip Telephone .\: t - 181-t> L7 g presence or fl online notarization on thisby ! has produced (Notary Seal) ! are personally known to me produced a current driver license ',fofi)s identification. Notary SignatureDENISA BAHA Notary Public - State of Florida Commission # GG 9E5919 My Comm. Expires Aay 10. 2024 A Firm_Application.docx Rev 410612020 page 13 of 15 Cs&,-L baa-; i;.ffi(i 1P&E i+ 'l.9l.F-'.:' 8.B.1 Packet Pg. 68 Attachment: 8B CHRISTOPHER GREEN – REVIEW OF CREDIT – CABINET INSTALLATION CONTRACTOR – CAMERON CARPENTRY NAPLES o 103 rAit BRIVE*. -.5s o7n7r2l2g g. 1rt!|ff oar ffi ldEb c6lttui6 .-;;;;i. ry id'61r't ilqi'"d w o* Itodard 8.B.1 Packet Pg. 69 Attachment: 8B CHRISTOPHER GREEN – REVIEW OF CREDIT – CABINET INSTALLATION CONTRACTOR – CAMERON CARPENTRY NAPLES JIMMY PATRONIS CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW * * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law EFFECTIVE DATE: 412012022 EXPIRATION DATE: 411912024 PERSON: CHRISTOPHER L GREEN EMAIL: SALTIRESERVICESLLC@GMAIL.COM FEIN: 881871668 BUSINESS NAME AND ADDRESS: CAMERON CARPENTRY NAPLES LLC 2668 FOUNTAINVIEW CIRCLE, APT 1, 03 NAPLES, FL 34109 SCOPE OF BUSINESS OR TRADE: Carpentry lnstallationOf Cabinel Work or lnterior Trim IMPORTANT: 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 44o.05(12), F.S., Certificates of election to be exempt issued under subsection (3) shall apply only to the corporate officer named on the notiee 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 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08.13 E01s22668 QUESTTONS?(850)413-1609 8.B.1 Packet Pg. 70 Attachment: 8B CHRISTOPHER GREEN – REVIEW OF CREDIT – CABINET INSTALLATION CONTRACTOR – CAMERON CARPENTRY NAPLES CovtYtLjt Growth Management Division Planning & Regulation Operations Department Licensing Section May 10,2022 Christopher L. Green 2668 Fountain View Cir Naples, Fl 34109 RE: Review of Credit - Cabinet Install Contractor Dear Mr. Green, You have been added to the agenda for the Collier County Contractors' Licensing Board on Wednesday, May 18th,2022. The Meeting is held at 9:00am at the W. Harmon Turner Building (Bldg F, Admin Bldg), 3299 Tamiami Trail East, 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 Sincerely, Timothy Crotts Contractor Licensing Supervisor Collier County Contractors' Licensing Growth Management Divislon*Planning & Regulation*2800 North Horseshoe DrivetNaples, Florida 34104*239-252-2400*www.colliergov.net 8.B.1 Packet Pg. 71 Attachment: 8B CHRISTOPHER GREEN – REVIEW OF CREDIT – CABINET INSTALLATION CONTRACTOR – CAMERON CARPENTRY NAPLES 6lG4-15.006 Financial Responsibility and Financial Stability, Grounds for Denial. (l) The financial responsibility ground on which the Board shall refuse to qualiff an applicant is failure to provide a current consumer credit report, as defined in Rule 6lG4-12.011, 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 judgmens or liens against the business entity which the applicant previously qualified as a primary qualifier or which the applicant has applied to qualiS. (2) The financial stability ground on which the Board shall refuse to quali$ 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, FICO 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 curent consumer credit report, as defined in Rule 6lC4-12.01l, F.A.C, with a credit score, FICO 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 entiry which the applicant previously qualified as a primary qualifier or which the applicant has applied to qualify. Specfic Authority 489.115(5). (6) FS. l-aw lmplemented 489.115(5), (6) FS. History-New l-6-80. Amended 5-4-80, Formerly 2lE-|5.06, 2lE- 1 5.006, Amended l 0-3 1 -96. l l- 1 3-97, 2- 1 2-08. 8.B.1 Packet Pg. 72 Attachment: 8B CHRISTOPHER GREEN – REVIEW OF CREDIT – CABINET INSTALLATION CONTRACTOR – CAMERON CARPENTRY NAPLES 05/18/2022 COLLIER COUNTY Contractor Licensing Board Item Number: 8.C Item Summary: RYAN D. PETTIT. - REVIEW OF EXPERIENCE – RESIDENTIAL CONTRACTOR – RYAN PETTIT LLC Meeting Date: 05/18/2022 Prepared by: Title: – Contractor Licensing Name: Alyshia Morse 05/11/2022 12:03 PM Submitted by: Title: – Contractor Licensing Name: Tim Crotts 05/11/2022 12:03 PM Approved By: Review: Contractor Licensing Sandra Delgado Review item Completed 05/11/2022 1:46 PM Contractor Licensing Tim Crotts Review Item Completed 05/11/2022 5:05 PM Contractor Licensing Tim Crotts Meeting Pending 05/18/2022 9:00 AM 8.C Packet Pg. 73 C,ovtttly Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 Growth Managernent Departrnent ^DPLICATICN FOR COLLIER COUNTY CERTIFICATE OF COMPETENCYnl. FIRM APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY TYPE OF CERTIFICATE OF COMPETENCY: E General n Building E {esidential [] Mechanical tr Roofing $230.00 $230.00 $230.00 $230.00 $230.00 tr Electrician E Plumber tr Air Conditioner tr Swimming Pool tr Specialty $230.00 $230.00 $230.00 $2s0.00 $205.00 Specialty Trade -R_.= , ol, -{,r\ ec- ,.-*' o.1or I. APPLIGANTPERSONAL INFORMATION: Name First lViddle lnltial Last Business Name 1\\l&-n ?o+it LLc-J Address \\o Street City State zip Email Telephone o .SS # (Last 4 digits only)Q oR(., Date of Birth Driver's License # (Last 4 digits only).AA}O *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 Rev 411?118 Page 3 of 15 8.C.1 Packet Pg. 74 Attachment: 8C RYAN D PETTIT- REVIEW OF EXPERIENCE – RESIDENTIAL CONTRACTOR – RYAN PETTIT LLC (22216 : RYAN D. PETTIT. - 1.6.i.3, Residential Contractor rcquircs forty.etght (48) months experience with a passing grade on a+i*-(6)Seus an aporoved test and a t*e{3}herx businoss and law tost ancl means a contractox whoso. eervices are. lir{ted to construction, rcmodeling, repair, or improvement of one-family, two-famliy, or three-family residences $ot exceeding two storias in height and accessory use $tructures In connection therewith, 8.C.1 Packet Pg. 75 Attachment: 8C RYAN D PETTIT- REVIEW OF EXPERIENCE – RESIDENTIAL CONTRACTOR – RYAN PETTIT LLC (22216 : RYAN D. PETTIT. - C,o*mly Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34'104 Phone - 239-252-2431 Fax - 239-252-2469 Provide the names and telephone numbers of two persons who will always know your whereabouts Name Name Telephone ,1 Telephone S -l {.o II. NAME OF APPLICANT'S BUSINESS Business Name: Business Address:oLn o Street City zip Telephone 5st - ez o Emaii oc.n Federal lD Tax No III. FINANCIAL RESPONSIBILITY NOTE. lf you have answer l/ESto any of the questrons 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. Ca \ tr YES NO ALL APPLICANTS MUST ANSWER THE QUESTIONS BELOW: Filed for or been discharged in bankruptcy within the past 5 years? Had a lien filed against you bythe lnternal Revenue Service or Florida Corporate Tax Division? Undertaken construction contracts or work that resulted in liens, suits, or judgments being filed? V Undertaken construction contracts or work that a third party, such as a bonding or surety company, completed or made financial statements on? Made an assignment of assets in settlement of construction obligations for less than the debts outstanding? Been convicted or found guilty of, or entered a plea of nolo contendere to, regardless of adjudication, a crime in any jurisdiction within the past 10 years?* Had claims or lawsuits filed for unpaid or past due accounts by your creditors as a result of construction experience ? 'Been charged with or convicted of acti ng 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 Rev 4t1Zt1B Page4ofl5 Growfll Managernerd Deparhnent tr V M tr M tr g tr V V u Y 8.C.1 Packet Pg. 76 Attachment: 8C RYAN D PETTIT- REVIEW OF EXPERIENCE – RESIDENTIAL CONTRACTOR – RYAN PETTIT LLC (22216 : RYAN D. PETTIT. - Cov*rlt3t Growth Management Departrnent Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY IV. EXPERIENCEVERIFICATION 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: {/,. 1 , ,.lrooi 1,'f /o on*, / gv ua,-rj 5Aor, <lo r<)v 7 7 T List below non formal education (on the job training) you have obtained in the area of competency for which this application is being made: )*{ r,c-,^ < en, <iTe (v"r,cnc? / 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./// 4 AFFIDAVIT Under the penalties of perjury, I declare that I have read the foregoing application and the facts stated in it are true. 17 o Applicant (please { State of (Notary Seal) me by of Notary Signature Signature of Applicant or n online notarization on this Such person(s) Notary Public must check applicable box: E are personally known to me l$rodruced a current driver license E has produc"O b1-'- as identification. -..fl'..o% AtYBHnU0ffi .-_\iaZ-* Gornrtdonf HH t3(F14 ?S?s- Erpin.OcbDff25,trI25-eorrro- 8.rld.dllf,Efrliofrlril Firm_Application.docx Rev 410612020 Page 5 of 15 ,by (ln,An countv ., Coll,u,tr 8.C.1 Packet Pg. 77 Attachment: 8C RYAN D PETTIT- REVIEW OF EXPERIENCE – RESIDENTIAL CONTRACTOR – RYAN PETTIT LLC (22216 : RYAN D. PETTIT. - .\z^ c,ffEu,CottYrt!Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 Growth Management Department APPLICATION FOR COLLIER COUNTY CERTITICATE 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. Kyo, /, ff, f Applicant (please print U, /ut,rt/. Name6f Company / ft-ll'-y* biltr The foresoins instrument was llauy"*'lVkth .zo 4,0, State of E has produced (Notary Seal) Counfy of re me presence or E online notarization on this Such person(s) Notary Public must check applicable box: E are personally known to me du, proau"ed a current driver license NU--- asidentification. Notary Signahrre: '-- AIYSHTA]ORSE -- ' isoiui, " riit 19(514 -. Octcber 25, 2fi6 -.,,""! nru trudgdtaolrytrrtaa ,$,* ",i,1*,, Firm_Application.docx Rev 4lOOl2020 Page 6 of 15 P&ln 8.C.1 Packet Pg. 78 Attachment: 8C RYAN D PETTIT- REVIEW OF EXPERIENCE – RESIDENTIAL CONTRACTOR – RYAN PETTIT LLC (22216 : RYAN D. PETTIT. - GroMh lVanagement 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 WORKMEN'S COMPENSAT!ON AFF!DAVIT 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. f print Name Company of L BEFORE ME this day personally appeared who affirms and Applicant (please print) says that he has less than one employee and does not require Workmen's Compensation understands that at any time he employees one or more persons he must obtain said Workmen's Compensation lnsurance. Countv instrument was acknow ledged me by day of 20 %.by an Such person(s) Notary Public must ?ln Jn ", TallnV check applicabJe box: wdarred a current /"hr or E online notarization on thisY State of TheqL, n are personally to me E has produced (Notary Seal) driver license as identification. Notary Signature: ALYSHIAIIORIE ComntdonlHH 19{514 ErpltaOfiber2s,2025 h.allrt&4liltrS!friffi Firm_Application.docx Rev 410612020 Page 7 of 15 8.C.1 Packet Pg. 79 Attachment: 8C RYAN D PETTIT- REVIEW OF EXPERIENCE – RESIDENTIAL CONTRACTOR – RYAN PETTIT LLC (22216 : RYAN D. PETTIT. - Providingth e services an d prodJcts to assist Government Ag encies to make informed ed ucated decisions. Official Examination Score Report July 18,2019 July 18,2019 Official Score Report: Candidate lnformation : Name - Ryan Pettit Candidate #:24822220 Testine Site: Fort Myers, FL Final Score Result Residential Contractor Score: 75% (6119/2019) Score: 80% (5/14/2019)Business Procedures 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. If you have any further questions, please do not hesitate to contact us. Sincerely, Jay E. Bowermeister President Po Box 831127 ocala, Florida u483-1127 -Voice (352) 369-GtrS - Fax (3s2)387-2443 800 997 2129 8.C.1 Packet Pg. 80 Attachment: 8C RYAN D PETTIT- REVIEW OF EXPERIENCE – RESIDENTIAL CONTRACTOR – RYAN PETTIT LLC (22216 : RYAN D. PETTIT. - 4120122,6:24PM Excellent! Score Factors . Balances on bankcard or revolving accounts not too high compared to limits . Few or no installment accounts with delinquent or derogatory payment status . You have few or no inquiries on your credit repo( . Your largest credit limit on open bankcard or revolving accounts is too low o The balances on your accounts are too high compared to loan amounts Show more Summary Revolving Crcdit Accounts Count Balance Payments Open Closed Defened/Unknown Real Estate Credit Accounts Count Balance Payment Fifth Third Identity Alert - Credit Gateway 3 Bureau Credit Report with 3 Bureau VantageScores as ot 4l2Ol2O22 Excellent! Score Factors . You have few or no unpaid collection agency accounts . Balances on bankcard or revolving accounts not too high compared to limits . The date thatyou opened your oldest account is not too recent. Total ofall balances on bankcard or revolving accounts is too high . You have too many inquiries on your credit report. . Your largest credit limit on open bankcard or revolving accounts is too low Showmom Excr.llent! Score Factons . Balances on bankcard or revolving accounts not too high compared to limits . You have few or no inquiries on your credit report . Few or no installment accounts with delinquent or derogatory payment status r The balances on your accounts are too high compared to loan amounts . Your largest credit limit on open bankcard or revolving accounts is too low . Total ofall balances on bankcard or revolving accounts is too high Show morc Eq, 3 $8,354.00 $125.00 1 2 0 Eq 0 $0.00 $0.00 815 811 815 Eq@?3a ?aa 4 $8,354.00 $152.00 1 3 0 0 $0.00 $0.00 @ @t'.4 4 $8,354.00 $12s.00 ,| 3 0 0 $0.00 $0.00 https://www.53identityalert.com/secure/CrediGateWay.aspx l/10 8.C.1 Packet Pg. 81 Attachment: 8C RYAN D PETTIT- REVIEW OF EXPERIENCE – RESIDENTIAL CONTRACTOR – RYAN PETTIT LLC (22216 : RYAN D. PETTIT. - 4120122,6:2/.PM Open Gollection Accounts Count Balance Payment Open Closed Defened/Unknown Other Accounts Count Balance Payment Open Closed Debned/Unknown Fdth Third Identity Alert - Credit Gateway 0 0 0 $0.00 $0.00 0 1 0 1 $8,354.00 $12s.00 0 $0.00 $0.00 0 0 0 @ 0 $0.00 $0.00 0 0 0 0 Closed Defened/Unknown lnstallment Credit Accounts Count Balance Payment Open Closed Defened/Unknown Open Accounts Count Balane Payment Open Closed Deferred/Unknown 0 0 0 @:.ts 0 Eq, ,| $0.00 $0.00 0 1 0 ,| $0.00 $0.00 0 1 0 'l $8,354.@ $125.00 0 $0.00 $0.00 0 0 0 0 $0.00 $0.00 0 0 0 @:.4' @?.4' ?.4' Eq. 1 $8,354.00 $12s.00 Eq 0 $o.oo $0.00 0 0 0 Eq. 0 $0.00 $0.00 0 0 0 https://www.53identityalert.com/secure/CreditGateWay'aspx 2no 8.C.1 Packet Pg. 82 Attachment: 8C RYAN D PETTIT- REVIEW OF EXPERIENCE – RESIDENTIAL CONTRACTOR – RYAN PETTIT LLC (22216 : RYAN D. PETTIT. - 4t20122,6:24PM Perconal lnformation Peeonal lnformation Name Date of Birth Address Date Address Reported Previous Addrcsses Address'l Address 2 Address 3 Employment [letaile Employer 1 Ryan Davirt Pettit 1982 15948 Paseo Ln Naples FL %11Gl2828 8nt2016 ?.4 15948 Paseo Ln Naples FL 34'110-2828 605 Galleon Dr Naples FL Y102-7il1 4853 Wldcat Rd VMnchester OH 45697-9576 ta' Properties Plus Fifth Third Identity Alert - Credit Gateway @ Ryan D Peftit ,t982 15948 Paseo Ln Naples FL 34110 8nPO16 @ 15948 Paseo Ln Naples FL 34110 4477 Eastwood Dr Batavia OH 45103 605 Galleon Dr Naples FL 34102 John Gable Construction @ 8t13n020 CR BUR SVCS Eq Ryan Pettit ,1982 15948 Paseo Ln Naples FL 34110 3t21n022 Eq 15948 Paseo Ln Naples FL 34110 4367 Longlake Dr Batavia OH 45103 4853 lMldcat Rd \Mnchester OH 45697 ta' Eq@ Consumer Stabment No Consumer Statements Available. Credit lnquiries lnquiry I lnquiry Date Creditor Name Creditor Address Creditor Phone :.4'Eq https ://www.53identi tyalert.com/secure/CreditGateWay-aspx 3n0 8.C.1 Packet Pg. 83 Attachment: 8C RYAN D PETTIT- REVIEW OF EXPERIENCE – RESIDENTIAL CONTRACTOR – RYAN PETTIT LLC (22216 : RYAN D. PETTIT. - 4120122,6:24PM Account I Account Account Holder Account Type Account Condition Date Opened High Balance Monthly Payment Account Balance Last Reported Amount Past Due Limit Remarks Responsibilig Past Due - 30 Days Past Due - 60 Days Past Due - 90 Days Experian Transunion Equifax Revolving Ctudit Accounts ?.ts CITICARTIS CBNA 542418XXXXXX Revolving Open 11/1/1989 $28,923.00 $125.00 $8,354.00 411t2022 $0.00 $37,000.00 Authorized User 0 0 0 Fifth Third Identity Alert - Crcdit Gateway clTl 542418XXXXXX Revolving Open 1't11/1989 $28,923.00 $12s.00 $8,354.00 4t1t2022 $0.00 $37,000.00 Authorized Account 0 0 0 @ eoo.r" r-a.8ffi, Eq CITICARDS CBNA 542418XXXXXX Revolving Open 11/1/1989 $28,923.00 $125.00 $8,354.00 il1no22 $0.00 $37,000.00 Authorized User 0 0 0 mff""* fuffi Notn rit.ot" @ Pait 2a months M J J ASON D J FMAM J J ASON D J FMA @ cr*nt @ rao o"v" r-a" 30 Drys Late @ Pavment etan ffi oooarslae E:ffiff:" @ rzoow"ua" @rr.o't* Account 2 ACCOUNT SYNCB/NTWK AccountHolder 650172XXXXXX Account Type Revolving Account Condition Closed Dab Opened 81712016 High Balance $5'314.00 hfl ps://www53identityalert com/secure/CrediGateWay.aspx ?.4'@ SYNCB/NETWRK 650172XXXXXX Revolving Closed 8n2.0't6 $s,314.00 Eq SYNCHRONY NETWORKS 650172Xx)qXX Revolving Closed 8n12016 $5,314.00 oKloK 4t10 OK OK OK OK OK OK OK OK OK OK OK OK OK FIT OK OK OK OKOKOKOKOKOKOKOKOK OK OK OK OK OK OKOKOKOKOKOKOKOKiOKOK OK OK OK OK OKOKOKoKOKoKOKOKOKOKOKOKOKOKOK 8.C.1 Packet Pg. 84 Attachment: 8C RYAN D PETTIT- REVIEW OF EXPERIENCE – RESIDENTIAL CONTRACTOR – RYAN PETTIT LLC (22216 : RYAN D. PETTIT. - 4t20122,6:24PIt{ Monthly Payment Account Balance Last Reported Amount Past Due Limit Remarks Responsibility Past Due - 30 Days Past Due - 60 Days Past Due - 90 Days Experian Transunion Equifax $0.00 $0.00 9t30t2021 $0.00 $4,s00.00 Joint Account 0 0 0 Fifth Third Identity Alert - Crcdit Gateway $0.00 $0-00 1t30t2022 $0.00 $4,500.00 lnactive Account Joint Account 0 0 0 ffi to o"y" a","8ffi" $0.00 $0.00 1t30t2022 $0.00 $4,500.00 Joint Account 0 0 0 Past 2a months MJ JASONDJ FMAMJ JASO N D J F MA @ c*'ot @ raoo"r"r-a. 30 Days Late @ eavment eun ffi *ory"*. EIffi @ rzooar.r-* @r.r"o"r* eFEE l5ODaysffii Lae f'ft Notar"it"ot":# Account 3 Account Account Holder Account Type Account Condition Date Opened High Balance Monthly Payment Account Balance Last Reported Amount Past Due Limit Remarks Responsibility Past Due - 30 Days BARCI.AYS BANK DEIAWARE 00028lxxxxxxxxx RevoMng Closed 1t23t20',t7 $1,042.00 $27.00 $0.00 7t't6t20,18 $0.00 $1,700.00 Terminated BRCLYSBANKDE 000281xxxxx Revolving Closed 1t23t2017 $1,042.00 $0.00 $0.00 7t16t2018 $0.00 $1,700.00 Account Relationship Terminated Eq@:.4' OK OK https://www.53identityalert.corn /securc/Credi tGateWay.aspx 0 0 5/10 OK OK OK OKIOK OK OK OK OK oxloxioxloxioxioxioxIiirlt oxlox OK OK OK oxlox iOKiOK oxloxjox OK OK OK OK OK OK OK OK OK oxtoxioxlorlox OK OK OK OKiOK OK ox OK i I OK OK 8.C.1 Packet Pg. 85 Attachment: 8C RYAN D PETTIT- REVIEW OF EXPERIENCE – RESIDENTIAL CONTRACTOR – RYAN PETTIT LLC (22216 : RYAN D. PETTIT. - 4120122,6:'HPM Past Due - 60 Days Past Due - 90 Days Experian Transunion Equifax 0 0 Fifth Third Identity Alert - Credit Gateway 0 0 Past 24 mdths l[ eo ov" ua"8ffi" @ M J J ASON D J FMAM J J ASOND J FMA @cunent @ teo o":r" ra" 30 Oays Late @ eavrnent nan lffi*or""t" EFffiT @ rzoorr"u" @n o"u* @ffi""* @r,rotara*n Account 4 Account Account Holder Account Type Account Condition Date Opened High Balance Monthly Payment Account Balance Last Reported Amount Past Due Limit Remarks Responsibility Past Due - 30 Days Past Due - 60 Days Past Due - 90 Days Experian Transunion Equifax rtxava FIFTH THIRD BANK NA 5444oorcru(xXXXXXX Revolving Closed 1'.U3t2017 $316.00 $0.00 $0.00 10/182018 $0.00 $1,300.00 Account Closed At Consumer's Request Account Closed At Consumer's Request lndividual 0 0 0 Eq FIFTH THIRD BANK, N 5444ooXXXXXX Revolving Closed 1113t2017 $316.00 $0.00 $0.00 10t19t2018 $0.00 $1,300.00 lndividual Account 0 0 0 Pilt24 months M J J ASOND J FMAM J J ASOND J FMA https://www53identi tyalert.com/securt/CrediGateWay'aspx 6/10 8.C.1 Packet Pg. 86 Attachment: 8C RYAN D PETTIT- REVIEW OF EXPERIENCE – RESIDENTIAL CONTRACTOR – RYAN PETTIT LLC (22216 : RYAN D. PETTIT. - 4/20122,6:24PM Fifth Third Identity Alert - Crcdit Gateway ffi sooarsr-ae 83ffi" 5/3 BANK NA xxxx Revolving Closed 11t3t2017 $316.00 $0.00 $0.00 10t19t2018 $0.00 $1,300.00 Account Closed By Consumer lndividual Account 0 0 0 Past 2.l months ffi sooo"la. 83ffiT" @cunenr @ raoov"r"t @cunent @ reoo"v"r-a. 30 Days Late @ eavment etan 30 Days Late @ eavment ptan ffi *o"t"t","E:ffir ffi rzo orv" r-a" ffi nn**r" fEry 150 Days W Late ffi Nota*iuor 1 50 Days Late Not Available Account 5 Account Account Number Account Type Account Condition Date Opened High Balance Monthly Payment Account Balance Last Reported Amount Past Due Limit Remarks Responsibilig Past Due - 30 Days Past Due - 60 Days Past Due - 90 Days Experian Transunion Equifax Eq@:i! M J J ASON D J FMAM J J ASON D J FMA ffiiffi 6o oav" r-ateE:ffir ffi rr*r".'," ffi n*r*',. Real Estate Credit Accounts No Account lnformation Available. lnstallment Crcdit Accounts https ://www.53 i dentityalert.com/securc/Credi tGateWay.aspx 7ilO 8.C.1 Packet Pg. 87 Attachment: 8C RYAN D PETTIT- REVIEW OF EXPERIENCE – RESIDENTIAL CONTRACTOR – RYAN PETTIT LLC (22216 : RYAN D. PETTIT. - 4120122,6:24PM Account 1 Account Account Holder Account Type Account Condition Date Opened High Balance Monthly Payment Account Balance Last Reported Amount Past Due Limit Remarks Responsibility Past Due - 30 Days Past Due - 60 Days Past Due - 90 Days Experian Transunion Equifax NISSAN MOTOR ACCEPTANC 102425XXXXXXXXX lnstallment Closed '12t28t20't7 $0.00 $0.00 $0.00 9t30t2018 $0.00 $0.00 Cosigner 0 0 0 Fifth Third Identity Alert - Credit Gateway @ NISSAN MOTOR 102425XXXXXXXXX lnstallment Closed 1212812017 $19,7s5.00 $0.00 $0.00 9n6no18 $0.00 $0.00 Closed Co,SQner On Account 0 0 0 Past 24 months ffi soo+sr-ae E3*ff& NISSAN ACCEPTANCE CO Eq::"' l02425XXXXXXXXX lnstallment Closed 12t28t2017 $19,755.00 $0.00 $0.00 9t30t2018 $0.00 $0.00 Fixed Rate Co'Maker 0 0 0 M J J ASON D J FMAM J J ASON D J FMA @cunent @ reooo"ra" 30 Days Late @ eavment etan fPS oo Davs Late&ffiE:ffiv ffi ,ro Dsvs Late ffi u"o"t* p?-tH 150 DaysffiLate ffi Notn*l"ot" Open Accounts Account I Account Account Holder CITICARDS CBNA 542418XXXXXX clTl 542418XXXXXX Eq CITICARDS CBNA 542418XXXXXX @:.4' htQs : //www.53identityalert.com/secure/CreditGateWay'aspx 8/ l0 8.C.1 Packet Pg. 88 Attachment: 8C RYAN D PETTIT- REVIEW OF EXPERIENCE – RESIDENTIAL CONTRACTOR – RYAN PETTIT LLC (22216 : RYAN D. PETTIT. - 4120122,6:2.PM Account Type Account Condition Date Opened High Balanoe Monthly Payment Account Balance Last Reported Amount Past Due Limit Remarks Responsibility Past Due - 30 Days Past Due - 60 Days Past Due - 90 Days Experian Transunion Equifax @ cunent @ reooo"ua. 30 Days Lale @ c+menteun ffiffi oooosraeEFffi ffi moavs t-ate @ffH1} ffi tzo oavs lae E*]ffi ***," Revolving Open 11t11198;9 $28,923.00 $125.00 $8,354.00 41112022 $0.00 $37,000.00 Authorized User 0 0 0 Bgt 150 Oavs &fiffi rae - fl4$ Not arritrot" Revolving Open 11t1t1989 $28,923.00 $125.00 $8,354.00 4t112022 $0.00 $37,000.00 Authorized User 0 0 0 Flfth Third ldentity Alert - Credit Gateway Revolving OPen 11/1/'t989 $28,923.00 $125.00 $8,354.00 41112022 $0.00 $37,000.00 Authorized Account 0 0 0 Past 24 month3 M J J ASOND J FMAM J J ASON D J FMA Collection Accounts No Account lnformation Available. Other Accounts No Account lnformation Available. Derogatory lnformation OK https ://www.53 identi tyalert.corn/securc/Credi tGateWay.aspx 9n0 OK OK OK OKoxlorloxlorloxOKOKOKOKOKOKOKOK L!oKloKloK1i OK OK OK oxioxior OK OK OK oKloK oxlox OK OK OK OK OK oKI I I OK OK OK OK OK OK iloKloKloK IOKIOK OK OK oxloxioxioxjox oKioK OK OK OK OK 8.C.1 Packet Pg. 89 Attachment: 8C RYAN D PETTIT- REVIEW OF EXPERIENCE – RESIDENTIAL CONTRACTOR – RYAN PETTIT LLC (22216 : RYAN D. PETTIT. - 4120122,6:24PM No Derogatory lnformation Available. Public Records Fifth Third Identity Alert - Credit Gateway No Public Records Available. Creditor Contact Information No Creditor Gontact lnformation Available. https ://www.53 identityalert.com/secure/C reditGateWay.aspx 10/10 8.C.1 Packet Pg. 90 Attachment: 8C RYAN D PETTIT- REVIEW OF EXPERIENCE – RESIDENTIAL CONTRACTOR – RYAN PETTIT LLC (22216 : RYAN D. PETTIT. - 'rrlq' .l'cn,ic€' - Phone: 850-539-8000 Fax: 866-651-5145 Email: cc@unitedcrs.com www.UnitedCRS.com 4583-A Gapital Circle NW Tallahassee, FL 32303 Entry # 10461 RYAN PETTIT LLC 15948, PASEO LN NAPLES, FL 34{IO PHONE: (5{3) 508-2340 Trade Lines Found:4 Credit Standing: Good Standing Business Type: LLC FEIN Number:824609389 Florida SOS Document #: 118000051338 Key Facts Years in Business Key Personnel: Florida Registered Agent BUSINESS CREDIT REPORT As ot:3124122 Credit Summary Bankruptcies: Liens: Judgments Filed: Collections: DBPR PUBLIC RECORD STATEMENT: PUBLIC RECORDS HAVE BEEN CHECKED AT LOCAL, STATE AND FEDERAL LEVELS RESULTS: NONE FOUND 4 Years Managing Member: PEfilT, RYAN LEGALINC CORPORATE SERVICES INC. 5237 SUMMERLIN COMMONS BLVD SUITE 4OO FORT MEYERS, FL 33907 Page I ofl 8.C.1 Packet Pg. 91 Attachment: 8C RYAN D PETTIT- REVIEW OF EXPERIENCE – RESIDENTIAL CONTRACTOR – RYAN PETTIT LLC (22216 : RYAN D. PETTIT. - 4120122,11:30 AM Detail by Entity Name 'r#Drursror.r o/ ORPORATIONS ,t ofrickl Storc of Fbthla rehlift C SepjdoelfalslA& / Divjsion of Corporalions / Search Records / Search by_El1i!y_L1a!e / Detailby Entity Name Florida Limited Liability Company RYAN PETTIT LLC Filing lnformation DocumentNumber L1800005'1338 FEUEIN Number 824609389 Date Fited 0212612018 State FL Status ACTIVE Principa!_]k&[ess 15948, PASEO LN NAPLES, FL 34110 MailinE Addrsss 15948, PASEO LN NAPLES, FL 34110 Begistered Agent Name & Address LEGALINC CORPORATE SERVICES INC. 5237 SUMMERLIN COMMONS BLVD SUITE 4OO FORT MEYERS, FL 33907 Authorized Person(9) Detail Name & Address TitIE AN,4BR PETTIT, RYAN 15948, PASEO LN NAPLES, FL 34110 Annual Replits Report Year 2020 2021 2022 Filed Date 0211112020 02t02t2021 o1t2912022 Document lmagCs search.sunbiz.org/lnquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=lnitial&searchNameorder=RYANpETTIT L1 1t2 FLoRrpA DEPARTMENT ol srATq DtvtstoN oF CoRPoRATtoNs 8.C.1 Packet Pg. 92 Attachment: 8C RYAN D PETTIT- REVIEW OF EXPERIENCE – RESIDENTIAL CONTRACTOR – RYAN PETTIT LLC (22216 : RYAN D. PETTIT. - 4120122, 11:30 AM Detail by Entity Name O1/29/2022 - ANNUAL REPORT 02102/2021 - ANNUAL REPORT O2l1112020.- ANNUAL REPORT O3/O1/2019 - ANNUAL REPORT 0212612018 - Florida Limited Liability View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format search.sunbiz.org/lnquiryicorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=lnitial&searchNameorder=RYANPETTIT L1 " ' 212 Florida Department of State, Division of Corporations 8.C.1 Packet Pg. 93 Attachment: 8C RYAN D PETTIT- REVIEW OF EXPERIENCE – RESIDENTIAL CONTRACTOR – RYAN PETTIT LLC (22216 : RYAN D. PETTIT. - 2O?2 FLOBIDA LIMITED LIABILIry CO PAI.IYANNUAL REPORT DOCUMENT# 118000051338 Entity Name: RYAN PETTIT LLC Current Prlnclpal Place of Buslness: 159,18. PASEO LN NAPLES, FL 34110 Current Maillng Addre$: 159,18, PASEO LN NAPLES, FL 34110 US FEI Number: 82-4609389 Name and Address of Cunent Registercd Agent: FILED Jan29,2022 Secretary of State 0545176220CC Certificate of Status Desired: Yes LEGALINC CORPORATE SERVICES INC 5237 SUI\iIMERLIN COMMONS BLVD SUITE 4OO FORT MEYERS, FL 33907 US The above named entity submits rhis stalenent lot ttlP' putqse o{ charyiv its regis@td olfice or registered ager , or bot1, in tlc gate ol Florida. SIGNATUBE: Electronic Signature ol Registered Agent Date Authorized Person(s) Iretall : TitIE AMBR Name PETTIT, BYAN Address 159,18, PASEO LN city-State-zip: NAPLES FL 34110 t @y carnt rhat da ktoniatit itdbd @ dtu B@tl @ str{ eMrai ra@i b rtue ah.l wab aad that ny eM@b *ratne $at have rhe w /€gal .niea s it dade und odh; kat t M, natugia nidntu q haw@ otob ldtd f$ltty dtw,ty.ttt .*etuet qtuet6 dlrwd to dalte t ls tu9<r1a rdpitdby cttoptq dN, Fk ila sratut@; ad ltat hy @ at@M aln@ q @ tu anadnwtt *tb all ollw Ro dnprN*e<i. SIGNATURE: RYAN PETTIT OWNER O1129f2O22 Electronic Signature of Signing Authoized Person(s) Detail 0ate 8.C.1 Packet Pg. 94 Attachment: 8C RYAN D PETTIT- REVIEW OF EXPERIENCE – RESIDENTIAL CONTRACTOR – RYAN PETTIT LLC (22216 : RYAN D. PETTIT. - Electronic Ar(lcles of OrganizationFor L18000051338 FILED 8:00 AM Florida Limited Liability Company Februarv 26.2018 Sec. Of Stat6 cnco Article I The name of the Limited Liability Company is: RYAN PETTIT LLC Article II The street address of the principal offrce of the Limited Liability Company is: 15948, PASEO LN NAPLES, FL. US 34I10 The mailing address of the Limited Liability Company is: 15948. PASEO LN NAPLES, FL. US 34I10 Article III The name and Florida street address of the registered agent is: LEGALINC CORPORATE SERVICES INC. 5237 ST,MMERLIN COMMONS BL\D SUITE 400 FORTMEYERS,FL. 33907 Having been named as registered agent and to accepl service ofprocess for the above stated limitedliability company at the pl3.cc designated ^in this ceriificate. I herebv accept fte appointmcnt as regislered agent and agree to acl in_this capacity. I furdrer agrce to comply riidr thti provisi<ins of all slatute-srclatlnq to the^ proper and complcte perfbrmance of my dufies. and I am familiar with and accepl fre obligations of my position as r-egiste:red agort. Registered Agent Signature: NANCY LLINA 8.C.1 Packet Pg. 95 Attachment: 8C RYAN D PETTIT- REVIEW OF EXPERIENCE – RESIDENTIAL CONTRACTOR – RYAN PETTIT LLC (22216 : RYAN D. PETTIT. - Article IV The name and address of person(s) authorized to manage LLC Title: AMBR RYAN PETTIT 15948. PASEO LN NAPLES, FL. 34110 US Signature of member or an authorized representative Electronic Signature: NANCY LUNA L18000051338 FILED 8:00 AMFebruarv 26.2018 Sec. Of Stat6 crico I am the mcmber or audrorized representafive submifting flrcse Articles of Oreanization and affrm that dre facts slaled herein are true. I am iware ttrat false infoniation submitted in a trocumenl lo the DeDartmentolState constitutes a.third degree felonv as provided for in s.817.155. F.S. I undersland the requiremeni toIile an annual rePort hshveen January..l st.and May Ist in the calendar year lollowing formation of tfie LLC and cverv year thereafler to mainlain "active" status. 8.C.1 Packet Pg. 96 Attachment: 8C RYAN D PETTIT- REVIEW OF EXPERIENCE – RESIDENTIAL CONTRACTOR – RYAN PETTIT LLC (22216 : RYAN D. PETTIT. - Y6DIRS DEPARI'I{ENT OF THE TREAST'RY INTERNAI REVEM'E SERVICE CINCINNATI OH 45999-0023 Date of this notice 3 03-01-2018 hE)loyer Identif ication Nrmbe! : 82-4609389 Form: SS-4 Nurber of thia notice 3 cP 575 G RYAN PETTIT II.c RYAN PHITIT SOI,E I{BR 15948 PASEO IJ.I NAPI,ES, EL 34110 For assistance you tnary call us at: 1-800-829-4933 9lE ASSIGMD YOU AN E!,IPLOYER IDENIIFICATION NUIIBER Thank you for applying for an hE)loyer ldentification Nunber (EIN). We assigned you EIN 82-4609389. This Enl will identify you, your business accounts, tax returns, and documents, even if you have no eq>Ioyees. Please keep this notice in your penlanent records . tlhen filing tax docllEnts, payrents, and related correspondence, it i8 very inportantthat you use frour EfN and ccq)lete nare and addresa exactly as shorrn above. Any variationrEy cause a delay in processing, result in incorrect infornation in your account, or even cause you to be assigned rbre than one EIN. If the infornation is not correct aa shorn above, please nake the corlection using the attached tear off stub arrd return it to us. A li.nited liabiJ-ity coq)any (LLC) nay file For:rr 8832, Entity Classificaxion ETection, and elect to be claasified aa an aasociation taxable as a corporation. ff the L,L iseligible to be treated as a corporation that trEets certain teats and it silI be electing Scorporation atatus, it nust tinely file Form 2553, ETection by a Smll BusinessCo4roraxion. The Iirc rriU be treated as a corporation aa of the effective atate of the Scorporation election and does not need to file Forur 8832. To obtain tax forms and publications, including those refereDced in this notice,visit our web Eite at r*nr.irs.gov. If you do not hive acce6E to the Internet, calt 1-800-829-3676 (Try/mD 1-800-829-4059 ) or visit your local rRS office. IMFORINSI REHNDESs: * KeeP a copy of this notice in your pernanent recorda. ltia D€tic€ ia isaued oalyoue ti.m ard the IR! yffl Dot be able to geuerat€ a duplicate copy for I7ou. you nay give a copy of thia docutrEnt to anyon-.asking for proof of y6ir rrt. * use thi-s ErN and your na,e exactry as they appear at the top of this notice on arlyour federal tax forrna . * Refer to thia EIN on your tax-related correspondence and docuEnts. . rf. you -have questions about you-r ErN, you can calr us at the phone nunber or write tous at the addres' Ehown at the top of this notice. rf you write, ii"i"" t".r off the stubat the bottm of this notice -and iend it arong wi-th youi Lette..' ir you ao not need towrite us. do not ccq)lete and return the stub] Your nar. contror asEociated nith this ErN is RyA}{. you wirl need to provide thisinfoEEtion, along with your EIN, if you file you.r returns electr.onical1y. ' Thank you for you:: cooperation. IF YOI' WRITE, ATTACS THE STTJB AT THE END OF 1'IIIS NOTICE. 8.C.1 Packet Pg. 97 Attachment: 8C RYAN D PETTIT- REVIEW OF EXPERIENCE – RESIDENTIAL CONTRACTOR – RYAN PETTIT LLC (22216 : RYAN D. PETTIT. - Cott*rX! G rowth l\rlanagement Department Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 239-252-2400 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY STATEMENT OF OWNERSHIP This certifies that l,CL ll am a member or managing LICANT'S (please print) member ITED LI,L|TY COIUPANY NATVE) I own ioo % 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. tK, ,-, /"rftr (ler','Jn- Applicant (please print) of Company nature Applicant presence or E online notarization on this State of The Counry of ATYSHTAIORSE CqnftdofltHH tg06l4 EIplrEoO6ior25,2026 SqddlruErSt,Er!ffi me by of identification. Notary Signature Such person(s) Notary Public must check applicable box: E are personally known to me 6oau"ed a current driver license instrument was acknowledged ?L zo UL-,byday of E has produced (Notary Seal) ffi Firm_Application.docx Rev 410612020 Page g of 15 8.C.1 Packet Pg. 98 Attachment: 8C RYAN D PETTIT- REVIEW OF EXPERIENCE – RESIDENTIAL CONTRACTOR – RYAN PETTIT LLC (22216 : RYAN D. PETTIT. - Cov*rty Growth Management Department Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 239-252-2400 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name:(qort ?ell'it-r Certificate Category Requested The applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate, the applicant must verify 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 forthe above-named applicant must provide the following information l,tto[ fui,U,Name:Title Business Name: ii lr AVr n,dm af rtJaJes Phone:231 2bt53ia License No. (if applicable): Business Address:ln Street The applicant was employed by me from C,^nortpc 5 6 3 OL zipState slzslt+tot 2 Appl icant's title:-l The applicant's scope of work (specific duties) included ,vl Additional comments NOTE TO LICENSED CONTRACTORS: Falslflzrng any information provided herein may subject your license lo revocation Under penalty of perjury, I declare that the facts stated here are true State of flor\d*County "r Czollier of person providing the statement The loregoing instrument wasLauy"r&ril ,zo ZZ ,ty before me means physical presence or ! online notarization on this as identification Notary Signature: Such person(s) Notary Public must check applicable box: I Eare personally known to me E has produced a current driver license E has produced (Notary Seal) _.;rffiJ;1,.ffi MELISSA HEDBERG Stat€ of Florida-Notary Commission # GG 20 My Commission Expires 7506 A ril 1 2022 Firm_Application.docx Rev 410612020 Page 10 of 15 I lfitst15 cit 8.C.1 Packet Pg. 99 Attachment: 8C RYAN D PETTIT- REVIEW OF EXPERIENCE – RESIDENTIAL CONTRACTOR – RYAN PETTIT LLC (22216 : RYAN D. PETTIT. - 27$2MO3118n0229:51 AM a-, $ 1040 Deparlment of lh6 Treesu,ryndernal Revenue SeNhe (99) U.S. lndividual lncome Tax Return OMB No. 15454074 IRS Use Only-Do not write or staple in this space.2021 Filingstatus f] Singte ffi uanieonmgpinuy ! r,hni"anringseparately(MFs1 [ xeaoofhousehold(HoH) ! auafifyingwidow(e0(aw) Check only f you chec*ed the MFS box, snter the name of your spouse. lf pu checked the HOH or QW box, ent6r ttle child's name if the gualifying one box.is a child but not Your first name and middle initial RYAI{ D. lf joint retum, spous€'s first name and middle initial R. Home addross (number and street). lf you have a P.O box, sae instructions. 15948 PASEO IJAI{E City, town or post office. lf 1ou have a foreign address, also comdete spaces belory. NAPI,ES ForBign country name At time 202'l did receive, ssll,or Your socla! sccudty numbar***- ** -085 Spottre! mchl rcudty number***- ** -2282 Pr6id.nti.l Elcctoll Crmpsign Chcck herc if you, or your sporse if filirB jdn0y, want $3 to go to hb fund.Checking a box belon will not drange yurr tax or refund. You tn You as a dependent Your spouse as a dependent a separate retum or you were a dual-status alien No Standard Deduction Sorneone can clialm: [ ] spou". iternizes on Last name Last name PETTTT Apt. no. State FI, ZIP code 34110 Foreign provinc€/state/county Foroign po$al code Yes (a Social sscurity number (3) REhtionship to you *** - ** -0747 DAUGHTER*** - ** -4928 DAUGHTER I 2b 3b 4b 5b 6b 7 8 9 10 11 12c 13 14 15 You Dependents (see instructions): KIERSTIN M BOHN I Wages, sahries, tips, etc.Attach w-2 Were bom before 2,1957 Are blind Was bom before 1957 ls blind (4) r' if qualifies for (see instructions): lf more hathu dependeilb, see instr. and ch€ck here Attach Sch.B if required. 2a b Taxable interest b Taxable amount Capital gain u (le). Athdt Sdedule D if required. lf not rcqrircd, deck here . . . Other income from Schedule 1 , line 10 Add lines 1, 2b, 3b, 4b, 5b, 6b, 7, and 8. This is your total income Adjustments to income ftom Schedule 1, line 26 Subtract line 10 from line 9. This is your adjusted gross income . Standard deduc.tlon or itemized deductiong (from Schedule A) . b Ctndbble contihrtims if you bke the standard deduction (see imfuctions) . . . . . c Add lines 12a and 12b . . . . 13 Qualified business income deduction from Form 8995 or Form 899$.A 14 Add lines 12c and 13. _....l5 Taxable lncome. $rbhact line 14 frorn line 11. lf zero or less, enter {- Tax-exempt interesl . . . Qualified OivtOegffi\ IRA disbibution& Pensirxs ano annffi# Soc. sec ben. 15 250 4 49 774 4 25 100 1 rorm 'l 040 lzozt I $rtltud Dadrcdor br- . SiqCoa ilridflh0 s+trdy, 912.s60 o Maied flnc iin[y r Qtditite wih{r}, l25,lm r ]lead d hacldd, 118,m . It tu, dt€*ad -y bq ud€. &adrd Mdka sirdnditr. 4a 5a 0a 7 8 I 10 11 25 For Disclosure, Prlvacy Ac{, and Paperwork Reduc,tlon Act llotice, see soparate lnstuctions. DAA ) il 3a l-l I I h - I\ n I 6a 8.C.1 Packet Pg. 100 Attachment: 8C RYAN D PETTIT- REVIEW OF EXPERIENCE – RESIDENTIAL CONTRACTOR – RYAN PETTIT LLC (22216 : RYAN D. PETTIT. - ealiue I ighting d.eclric I Con February 22.2022 I am the owner ol and license holder fbr Creative Lighting and Electric. Inc. (EC 13001 398). I have been asked by Ryan Pettit to submit a major trades letter. I have worked with Ryan on numerous occasions over the last three years. He has exhibited the vast knowledge oithe trades which he is seeking a residential contractors license for. He also takes great pride in his work and has the ability to verbalize the work being done to residential owners. He has also supervised several trades on projects for the company he has worked 1br. Ryan helped me renovate my own residence, in advising me how to complete variousjobs that I had an Orvner Builder permit on. Some ofthosejobs included how to layout and build an ADA accessible master bathroom. how to interrupt the engineering drawings and complete the lraming required. He also helped me complete the trim carpentry and cabinet installations. Ilyou have any questions, please f'eel fiee to give me a cal[ (239) 289'7979. Si rely, J T. Morris- Jr- State of Flry'rdc.- County of Cot\raY Who is personally known to me.ry 2022bySubscribed and swom to befbre me on this 33 day oi ud\, r.rctlnea*J tx elc,a lYbrci nl 4888 Davis Blvd. Suite 294 r Naples, Florida 34104 Tel (239) 775-7770 r Fax (239) 775-7785 www.clenaples.com . joe@clenaples.com o FL EC13001398 Printed Name ..rrr 1qa Not ry psbhc S!.i ot Fbd.ivi ffffiffilih,"'" To Whom it May Concern: 8.C.1 Packet Pg. 101 Attachment: 8C RYAN D PETTIT- REVIEW OF EXPERIENCE – RESIDENTIAL CONTRACTOR – RYAN PETTIT LLC (22216 : RYAN D. PETTIT. - Shoreline Custom Painting, lnc. 27125 Belle Rio Dr. Bonita Springs, FL 34135 (239)992-0880 March28,2O22 To whom it may concern, My name is John Kunz and I am the owner of Shoreline Custom Painting, lnc. I have been in business for over 30 years. Over the pastten years, lhavegottento know Ryan both professionally and personally. lhave had the opportunity to work with him on many jobs over the years. His experience, skills and attention to detail consistently produces quality work which lfind very impressive. I have had Ryan do ca rpentry work at my home a nd have referred him to my clients and the results are always impeccable. He completes projects on time, he's knowledgeable, reliable and a trustworthy individual. Please feel free to contact me directlyif you have any questions. Mycell phone is (239)289-0485' Sincerely, John L. K Preside (lo,;)^-State of County of Colpr Subscribed and sworn to before me on this 2? day ot /l/loncl^.,.7022 by , who is personally known to me. U ublic s\^^-(V,ro ' I I CRISIINAMORRIS MY COiVt\.{tsstoN #GG 917420 EXPIRESj January 27, 2024 Bondei Thru Nolary Public undenrrita6 ia:rfne:eJ r"..P"s o,- 3lZqlZoZZ Printed Name 8.C.1 Packet Pg. 102 Attachment: 8C RYAN D PETTIT- REVIEW OF EXPERIENCE – RESIDENTIAL CONTRACTOR – RYAN PETTIT LLC (22216 : RYAN D. PETTIT. - Glo\ nh NaanagEnqlt Departnent Contractor Licensing 28OO N. Horseshoe Dr. Naples, FL 34104 239-252-2400 APPI-ICATION FOR COI.I.IER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF csa t COUNTY OF Ccr ll i c-t- having bo6n tirst duly sworn, state and affrm; I am I resident of Ct ) [1.:County,c>r, Ouring the last five (5) years I have known to obs6 rve his or her business and personal dealings and find him or hor to b€ a more than five (5) years. State of F'bridt Counw of Loe (St8te)and have resided here for (applic€nt). I have had the opportunity rJ ?-tF,t {,,* su..t 3? 0t <> Thgforcgoiag iosuumcnt was3Lr"r l{Ptil ,zo Such psron(s) Notsry Public nust chcck applicablc box: {uc pcr:yJtally kJrowa u mc E bls prcduccd 8 currcnt driv.r liccnsc aclnowledgcd bcforc me 2Lrv a\n .n bym t^/QA.v?rr-- caas of prcscncc or O onlinc Dotarization on this as identification. Nolary Signatulc Heather Ryba Notary Public State of Florida Commf HH133086 txpires 5/23Effi-Application.docx Rev 4/06/2020 Page 14 of 15 C El has produccd (Not ry Se.l) Scanned with CamScanner Evnn-t t^.b*ro.- .,I, good charactor. City t st.t. atp rct pno*,ZE-ZZ7-2e62_ 8.C.1 Packet Pg. 103 Attachment: 8C RYAN D PETTIT- REVIEW OF EXPERIENCE – RESIDENTIAL CONTRACTOR – RYAN PETTIT LLC (22216 : RYAN D. PETTIT. - CovrtL3l Growth Management Department Contractor Licensing 2B00 N. Horseshoe Dr. Naples, FL 34104 239-252-2400 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY STATE OF I am a resident of more than five (5) years During the last five (5) years I have known to observe his or her business and personal d good character. State of I has produced (Notary Seal) AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER -/4 i?lvtr-c( cl- (having been first duly sworn, state and affirm G//i"rt County,/=/n )i a.- ngs and find him or her to be a Add (State) and have resided here for (applicant). I have had the opportunity honesty, integrity and Signature OCc t- Printed Name Per+; + EK,"^, o*L Cto( Ja"X Street IeS 3{/u City State zip Telephone )-Sq- rl6 - /q?? instrument was acknowledgt before means of zo]}r,y Such pers;x(s) Notary Public must check applicable box: \y'. personully known to me n has produced a current driver license presence or E online notarization on this as identification. irffi* ,i_--w ANTONINA IT BITI'TOLO Notrry Public' State of Ftorida Commission # HH 223734 My Comm. ExPires APr 10, 2026 Notary Firm_Application.docx Rev 4lO612020 Page 13 of 15 couNrYor 0oflica t, i F\qiAq counry",Qql\€A of 8.C.1 Packet Pg. 104 Attachment: 8C RYAN D PETTIT- REVIEW OF EXPERIENCE – RESIDENTIAL CONTRACTOR – RYAN PETTIT LLC (22216 : RYAN D. PETTIT. - AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF Fta zr'd+ couNry ordoLL;elt having been first duly swom, state and affirm: I am a resident of 6LtroL County,(State) and have resided here for more than frve (5) years. During the last five years I have known (applicant). I have had the opportunity to observe his or her business and personal dealings and find him or her to be a person of honesty, integrity and good character I, Signature Name D o 277-2tG- tqq3 Telephone The foregoing instrument as acknowledged before me this by Tno lnpu". .who has produced (name of person acknowledging) as identification and did not take an oath. NOTARY'S SEAL ccl o (Date)flr" i^t\r,,.r?r ea se (type of identifi cation) irffi;.i 1..e$#".: ROAIN A LOBELL Not.ry Publlc ' st.t! of Florid. Commiriion , HH 05E993 ry Cornm, Erpirc Nov 1, 2021 oF NOTARY) I ^fu/ 8.C.1 Packet Pg. 105 Attachment: 8C RYAN D PETTIT- REVIEW OF EXPERIENCE – RESIDENTIAL CONTRACTOR – RYAN PETTIT LLC (22216 : RYAN D. PETTIT. - Covtttxy Growth Management Deparfnent Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 239-252-2400 AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATEOT ftOTTIOA CoUNryoF C"-Ltrq having been first duly swom, state and affirm: I am a resident of County,,4tUla)(State) and have resided here for more than five (5) years. During the last five (5) years I have known , A Yt),i ;*r// I f (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 good character State of Gl ltc,Ft County of Jl ,by / E Street ,a) Printed Name flr&nqrr#z/,1) Signature /,,So/1) '#0 44az< CitV State zip ,"Kk5lP€uilruo Ihg foregoing instrument was ?_a^yor /\frtl ,zo acknowledged before me by means of ffphysical presence or E online notarization on this L o- Such person(s) Notary Public must check applicable box: E are perconally known to me P,tras produced a current driver license phas produced (Notary Seal) FL b t-- Notary Signature:eM, I Yrbq,!n,* as identification. -;;i{{q-- t?.H*r . O8ERAH E ^iAcLE^N.'iffi'-lh;'8i',il!T" ily Lornm. Exprres Dec Z, 2023 Firm_Application.docx Rev 410612020 Page 13 of 15 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY D-,5 ) 8.C.1 Packet Pg. 106 Attachment: 8C RYAN D PETTIT- REVIEW OF EXPERIENCE – RESIDENTIAL CONTRACTOR – RYAN PETTIT LLC (22216 : RYAN D. PETTIT. - EAVE BLAI'JK TYPE OB PRII']T ALL INFOqMATION IN BLACK' r,e-i,,t- ,,ir'o trA\'i ToLxl 1000001 5345 PETTIT. RYAN OAVID FL9234002 22 19A206 15S4A PASEO LN, NAPLES. FL 34110 POE US 20211202 UCN BACKGROUNO CHECK CROSSMATCH GUAROIAN 2OO 40a6 --, ..;Ea --.. , ..,.[ ;uwl\rs- z//1 7: W FO.258 LEXMARK 4o638d660642 1 212]2021 9: 1 1 :42 AM :: A CcrPS M W 600 185 BLU BRO OH 8.C.1 Packet Pg. 107 Attachment: 8C RYAN D PETTIT- REVIEW OF EXPERIENCE – RESIDENTIAL CONTRACTOR – RYAN PETTIT LLC (22216 : RYAN D. PETTIT. - ^fE:.II z 8.C.1 Packet Pg. 108 Attachment: 8C RYAN D PETTIT- REVIEW OF EXPERIENCE – RESIDENTIAL CONTRACTOR – RYAN PETTIT LLC (22216 : RYAN D. PETTIT. - PROI'ERTY & C]ASUA INSURANCE COMP/ PO BOX 41059 JACKSONVILLE, FL 32203-1059 1-877,560 5224 tFOB ALL INOUIRES) COMMERCIAL GENERAL LIAB]LITY POLICY POLICY DECLARATIONS Policy Number FGL 5O18015 04 81 Benewal oI FGL 5O18015 Policy Period Frcm 03 / o-l /2022 To 03 / o7 /2023 12:Ol A-M. Stardrd Tim. sl ihe Nsmed l^tu..d'3 Addr.3s Transacrion RENEWAL DECLARATION Ellecriue. 03 / O7 /2022 Date lssued: gI/ IO/ZUZZ p5y g5n; DIRECT BILL Nrm6d lnsu.ed and Addrcss RYAN PETTIT LLC 15948 PASEO LN NAPLES FL 34110-9999 Ag€nt INSI'R,AIiICE SOURCE OF NAPLES lNC 5OOO1O5 2355 VAIiIDERBII,T BEACH RD #152 NAPLES FI, 34109 T€lephone: 219-325-3O30 Typ€ oI Busin€ss LIMITED LIABILITY COMPANY Audh Period ANTruA], IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE W|TH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. LIMITS OF INSURANCE General Aggregate Limit (Other than Products-Completed Operations) Products - Completsd Operations Aggregate Limit Each occurrence Limit Personal and Advertising lnjury Umit Medical Expense Limit. any one person Fira Damage Limit, any one firo Liability Deductible (Property Damage Only) Per Claim AMENDED LIMITS OF LIABILITY Ref6r to attached schedule, if any. CLASS]FICATIONS Refer to attached schedule. FORMS AND ENDORSEMENTS Refer to attached schedule. 2,000,000 2,000,000 1,000,000 1,000,000 5,000 10o, ooo 500 These Doclarations togethor with the common policy conditions, cov6rage part declarations, coverage part form(s), original application, endorsements, and renewal questionnaires, complete the above numbered policy. Claim Free Discount (10?) TOTAL COVERAGE PREMIUM TOTAL ASSESSMENTS AND FEES POLICY FEE FIGA ,A.SSESSMENT COUNTERSIGNED DATE: BY 8 s 25 - 00 4.38s $ 654 - 00 cGL 100-FL 05 07 0L/L6/20 INSURED'S COPY TOTAL POLICY PREMIUM: $ Page 1 of 5 @tpxr: lNCLUDED 625.00 $ $ $ $ $ $ 8.C.1 Packet Pg. 109 Attachment: 8C RYAN D PETTIT- REVIEW OF EXPERIENCE – RESIDENTIAL CONTRACTOR – RYAN PETTIT LLC (22216 : RYAN D. PETTIT. - JIMMY PATRONIS CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DTVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW * * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 91512021 EXPIRATION DATE: 91512023 PERSON: RYAN D PETTIT EMAIL: RYANPETTITLLC@OUTLOOK.COM FEIN: 824609389 BUSINESS NAME AND ADDRESS: RYAN PETTIT LLC 15948 PASEO LN NAPLES, FL3411O SCOPE OF BUSINESS OR TRADE: Door and Wndow lnstallation Carpentry N@ Carpentry lnstallation Of Cabinet Work or lnterior TrimAll Types Residential and Commercial IMPOFITANT: Pursuant to subsection ,140.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certiticate of election under this section may not recover benefits or compensation under this chapter. Purcuant to subsec{ion ,t4O.05(12), F.S., Certificates of election to be exempt issued under subsection (3) shall apply only to the corporate otficer named on the notice of election to be exempt and apply only wilhin the scope ol the business or trade listed on the notice of election to be exempt. Pursuant to subsection ,+40.05(13), F.S., notices ol election to be exempt and certificates ot election to be exempt shall be subject to revocation if, at any time atter the filing ol the notice or the issuance ot the certificate, the person named on the notice or certilicate no longer meets the requirements of this section for issuance o, a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meel the requirements of this section. DFS-F2-DWC.252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED O8-13 E01402386 QUESTTONS?(850)413-1609 8.C.1 Packet Pg. 110 Attachment: 8C RYAN D PETTIT- REVIEW OF EXPERIENCE – RESIDENTIAL CONTRACTOR – RYAN PETTIT LLC (22216 : RYAN D. PETTIT. - EY Growth Management Division Planning & Rcgulation Operations Department Liccnsing Scction May 5,2022 Ryan David Pettit Ryan Pettit, LLC 25948 Pasco Ln Naples, Fl 34110 RE: Review of Experience - Residential Contractor Dear Mr. Pettit, You have been added to the agenda for the Collier County Contractors' Licensing Board on Wednesday, May 18th,2022. The Meeting is held at 9:00am at the W. Harmon Turner Building (Bldg F, Admin Bldg), 3299 Tamiami Trail East, 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 S Growth ManaBement Division* Planning & Regulation+2800 North Horseshoe DrivetNaples, Florida 34104r239-252-2400rwww.colliergov.net 8.C.1 Packet Pg. 111 Attachment: 8C RYAN D PETTIT- REVIEW OF EXPERIENCE – RESIDENTIAL CONTRACTOR – RYAN PETTIT LLC (22216 : RYAN D. PETTIT. - 05/18/2022 COLLIER COUNTY Contractor Licensing Board Item Number: 8.D Item Summary: JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPL Meeting Date: 05/18/2022 Prepared by: Title: – Contractor Licensing Name: Alyshia Morse 05/11/2022 12:04 PM Submitted by: Title: – Contractor Licensing Name: Tim Crotts 05/11/2022 12:04 PM Approved By: Review: Contractor Licensing Sandra Delgado Review item Completed 05/11/2022 1:47 PM Contractor Licensing Tim Crotts Review Item Completed 05/11/2022 5:04 PM Contractor Licensing Tim Crotts Meeting Pending 05/18/2022 9:00 AM 8.D Packet Pg. 112 Cov*tXy Grouffr lvlanagernent 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 FIRM APPTICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY WZozZ-C(o12- This application must be typewritten or legibly printed. The application fee musl be paid upon approvaland is NOT refundable. All checks should be made payable lo: Collier County Board of County Commissioners. For further information, consult Collier County Ordinance No. 2006-46, as amended. TYPE OF CERTIFICATE OF COMPETENCY: 0Lrrq.l E General ffauitaing tr Residential tr ]vlechanical tr Roofing $230.00 $230.00 $230.00 $230.00 $230.00 f Electrician tr Plumber I Air Conditioner I Swimming Pool tr Specialty $230.00 $230.00 $2s0.00 $230.00 $205.00 Specialty Trade:(rlt t Dt At o co dri(ZAc zor< Name:Jo-zrtr ItltrDeeU4Y First l\.4iddle lnitial Last BusinessName: IC\PA LLC- DSA T.uT cnbtNeTrzY OF UqPLLg Address: ttor ?tP€&, (cu D *3 P|eLe)Fu 3\ rto Street City State zip Emair: JoZef UpDEa<lrnY e V4noo.Cdr\ Telephone:213* Z-eo- -r27L .SS # (Last 4 digits only)6 so9 Dare or air,,, O'l / o'L / t q N Driver's License # (Last 4 digits only)I ?_Zo *Pursuant to Chapter l-19, Florida Statutes and Collier County Contractor Licensing ordinance 2ooE-4G Section 2.L.L,, allapplicants 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 I. APPLICANT PERSONAL INFORMATION: 8.D.1 Packet Pg. 113 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, L6'1'?" Ruilding contractor requires forty-eight (48) rnonths exper{ence with a passing . 8rad9.on +*ix-(6)+€ur an apEr.oJed test and a ttve-(g+&€ur business and law test ancl rneans B contraotor whose.' services are ]imitecl tp construction of cornuiercial buildings and rr multiple-dwelling rq,gi{entlal buildings, which commerciel or residential siugio-dwelling r builqlings do not exceed three storles in treight, &td accessqry pse structuros in, conneclion therowith or"a contractor whose eervlcus sre limited to remodeling, repalrr or improvement of any size build'ing if ,the services do not affect th€-sh:uctural mombers of the buildtng. NSTE: Also . see Sect. 1,6,2. 8.D.1 Packet Pg. 114 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, Growth fvlanagement Departnent Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 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: A poftbss a ut poa<N*Y Name: 0 To p4 Tzu?t< Telephone:(7ov) 6o 7 -72€q Telephone:(ztq ) zso - tq t? II. NAME OF APPLICANT'S BUSINESS: Business Name: Kt PH LLL Dl fr 'ItJT ct+b( bg(tcY Oe Pflfcag Business Address:I Zol PtPbA 6cuD +a unPLes ?L 39 tto Street Crty State ztp ?- 11 6ss - 1391Telephone Email:SfrceS @ T(J? cq*ltu€T{LY. Con Federal lD Tax No {t l,ttolgv 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: Y Filed for or been discharged in bankruptcy within the past 5 years? K Had a lien filed against you by the lnternal Revenue Service or Florida Corporate Tax Division? K Undertaken construction contracts or work that resulted in liens, suits, or judgments being filed? K Undertaken construction contracts or work that a third party, such as a bonding or surety company, completed or made financial statements on? Y Made an assignment of assets in settlement of construction obligations for less than the debts outstanding? K 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? Firm_Application.docx Rev 410612020 Page 4 of 15 8.D.1 Packet Pg. 115 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, Cottttt! Growth lvlanagement Departnent Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY IV. EXPERIENCE VERIFICATION 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: Por,-, DeC rc.Tufta€D roo(9 ttSqeefcof e'if F hct fto7gc?t o &)/nm pe ss us*cL /urus tuctoutu6 Hlefie(\L Jo& s tIf Eubvftrfo^t rHqoOGt( 2t" tt'Jt C(.Ab€ SOfE?y ou 0{.rS CU RRENT/PREVIOUS LICENSE : bo R I b.6 Hlcyl ll f6 re L, C'TI/,J <-7t oa-,/ i F ttl€ be( L(l frul cl,.y2L 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. Lcc Lo I 6 ooo i.Cy> 7 - cn 6 t rET to sr A(L cd 6rTlzhc?oL< LCC ZO,S OoO ,{tft - P4tunat6 (oh,Terlc?o4 L(eZot6ooooN?_-IILG ) HA'(6L€ (oU?4t+<?o< AFFIDAVIT Under the penalties of perjury, I declare that I have read the foregoing application and the facts stated in it are true. JO?€e l(t ua€Qc-pY Applicant (please print)re of Applicant State of F\ or rclr-County of Gi\,.. bctbrc n.rc by means of J physical scnce or n online notarization on this Such person(s) Notary Public must check applicable box: E are personally known to rne d ho, pro,lr.ed a current driver license E has produced (Notary Seal) rh*- PATTI L, GIUMENTARO Notary Public, State ol Florida Commission# HH 73750 lvly comm. expires }ec.20,2024 as identification Notary Signature Firm_Application.docx Rev 410612020 Page 5 of '15 8.D.1 Packet Pg. 116 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, Cov*rty Grovrdfr l\4anagement 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. JO eer t.( utDE( erol Applicant (please print vtpts L(c D6n TuT cqg U€T?T or pn"Le-s Name of Company Signatu State of f toc, A,^County or C-o l\rcr I The foregoing instrument was acknowledged before me by means of U physical presence or E online notarization on this 8!'^auv of TYrercv-l ,20 33- . by .le.r(-f \iodcrnc., Such person(s) Notary Public must check applicable box: I! are personally known to me E has produccd a current driver license E has produced (Notary Seal) as identiflcation. Notary Signarure PATN L. GIUME}+TARO Notary Publh, State ol Florida Commission# HH 73750 lvly comm. expires Dec. 20, 2024 t;il"- Frrm_Application.docx Rev 41061202O Page 6 of 15 I 8.D.1 Packet Pg. 117 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, Cou*tty Groufth Management Depadrnent Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL34104 Phone - 239-252-2431 Fax - 239-252-2469 APPLICATION FOR COLLIER COUNTY 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. Jozg e lLr pDE<I*+L( Applicant (please print YlPq Ltc D6e TuT t n N u€?Lr ot ullLc 9 Name of Company Signature of BEFORE ME this day personally appeared $ zAe V ) &.tD€(A,r+T 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 Flo r , ctr.-County of Ctlu.t The foregoing instrument was acknowledged I me by means of d physical presence or ! online notarization on this 2S?uv or \[vt vc!.. .2s AA. by k. Such person(s) Notary Public must check applicable box: /E are personally known to me [|) has produced a current driver license n has produced (Notary Seal) rtA*- PATTI L. GIUMENTARO Notary Public, State ol Florida Commission# HH 73750 My comm. expires Dec. 20, 2024 as idcrrtification Notary Signaftlre: Firm*Application.docx Rev 410612020 Page 7 of '15 8.D.1 Packet Pg. 118 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, IKEY 19418 19419 20109 76.00 68.00 FI. MYERS NAP LES FT, MYERS EXAM DETAILS F11410 - PAINTING (AND DECORATING) F1OO1O-BUSINESS&LAW F11410 - PA|NT|NG (AND DECORATING) BGEIB.TILE & MARBLE F11410 - PAtNTtNG (AND DECORATING) EXAM SCORE EXAM TOCATION NO SHOW- FT. I\,1YER5 EXAM DATE 6t3t2006 6/3/2006 9191200a 25035 21147 85.00 2t23t2012 4t712007 Qualifier Exam per Qualifier lD 8.D.1 Packet Pg. 119 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, GITS, LLC Examination Operations Division Providing the services and products to assist Government Agencies to make informed educated decisions. Official Examination Score Report January 3,2022 Official Score Report: Candidate Information: Name - Jozef Kindemay Candidate #:20781220K Online Testine Site: Ocala, FL Final Score Result: Building Contractor Score:77o/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 December 23,2021 If you have any further questions, please do not hesitate to contact us. Sincerely, Jay E. Bowermeister President PO Box 831127 Ocala, Florida 34483-1127 -Voice (352) 369-clTS - Fax (352) 387-2443 800 997 2129 8.D.1 Packet Pg. 120 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, CREDIT CHECI(-CONFIDENTIAL lndividual Credit Report Name K INDERNAY ,ro7,F.F Ordered By : 14346 Received : A412_9122 Completed 04/28/22 Address:188 5PARD D VF,I Customer :9999 J{AP l,L 5 l": a 12A Social#: Applicant:-6509 CREDIT SCORE: APPLICANT FICO SCORE: 674 (scores range from 300 to 850) SOURCE(S): EXPERIAN TRANSUNION PUBLIC HECORDS: PUBLIC RECORDS HAVE BEEN CHECKED AT THE LOCAL, STATE AND FEDERAL LEVELS WITH THE FOLLOWING RESULTS AS OF 04128122: CLEAR CREDIT RECORD Credit hi.stor has b n checked f -r'I EV n ars or from o lr,, il:r: i.' : ' .i:r lii-il l).ii l r":' ii.st.)ir !-i_;1:i.ir li, i :!1i4,,' !1,::: A ALLY F]NCL 29922261 201 DLA=06/17 AMEX 349991333617 BANKAMERICA 5842 DLA:02l15 BARCLAYS BANK D 000208287 94 DLA=06/15 RBY/CBNA 603s35027510 DLA=o4 / 22 CAPITAL ONE 480213971351 DLA:A] / \4 o6/t] 03/15 3'7268 0 AS AGREED0 00 0000r01 26 I AS AGREED0 00 00 00 Ror. 54 r AS AGREED0 c0 0c 00 Rot- 48 r AS AGREED 0 00 03 00R01 99 T AS AGREED0 00 00 00R01 48 r AS AGREED0 00 00 00 R01 01 r TL/15 11/03 02/L5 01 /A2 1\/1'c I0/07 04/22 05/t s 07/14 70/r0 ;:915 1500 1?O')LJQL 0 3090 0 A. )I i -) 4 r 32 0 0 Licensee Applicant: APPLICAIiII - SEE NAIr{E ABOVE ReportingAgency: CreditCheck. lnc.-30lTExchangeCourt,SuiteH,WestPalmBeach,FL33409.(561)616-5556 8.D.1 Packet Pg. 121 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, CREDIT CHECtr(-CONFIDENTIAL Name : KINDERNAY, JOZEF CHRYSLERCAP 30000204933431000 05/21 06/11 45487 DLA=05/21 D I SCOVERBANK 501100834967 DLA=()4 / 22 as/22 05/ L6 1852 L067 DSNB MACYS 503534005008 DLA=O 4 / 22 04/22 A5/L1 73t Customer: 9999 Page: 2 AS AGREED0 00 00 00R01 48 r PD WAS 300 06 0c00r01 41 c AS AGREED0 00 c0 00 R01 48 i AS AGREED0 00 0000R01 48 r AS AGREED0000cc0r0109r AS AGREED0 00 0cc0r01 a] r AS AGREED0 00 00c0r01 07 r AS AGREED0 00 ccc0r01 08 r AS AGREED0 00 0000r01 04 r PD WAS 500 10 04 00 r0l. 48 r AS AGREED0 00 0c 3cR01 48 r AS AGREED 0 00 00 00 R01 99 r AS AGREEI]0000c00R0132r CAPITAL ONE 51780s939448 DLA=03 / 22 FINWISE RISE 1180938 DLA=A6 / 27 FINWISE RISE 1017559 DLA=0 5 /2 0 FINWISE RlSE 836875 DLA:10/19 FINWISE R]SE 13621 44 DLA=a3 I 22 FRD MOTOR CR 608362s2 DLA=A4 / 22 FRD MOTOR CR 51911iA1 DLA=12 / 21 JPMCB CARD 4644t821\213 DLA:o4 / 22 JPMCB CARD 543s0500690r DLA=04 / 1 3 KOHLS /C:APONE 639305C91486 DLA=O9 /27 03/22 0sl08 o6 / 21 A9 / 20 5000 72/27 06/1] ,,14801 2:i12 r.999 0 52A 0 0 005/20 10119 40c0 10/19 03119 4000 0 03/22 A1 l2i 5C00 4028 a4/22 72/27 s1190 490s7 0 04/22 08/1s 2 564 03/L5 72/02 94-13 0 0a9/2L 12/78 96 Licensee Applicant: APPLICAIIT - SEE NA!4E ABOrr/E Reporting Agency: Credit Check, lnc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409. (561)616-5556 8.D.1 Packet Pg. 122 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, CREDIT CHECI(,CONFIDENTIAL Name KTNI)E.RN AY .TOZEF' 02/22 08/21, r2000 LL278 Custorner:. 9999 Page: 3 AS AGREED0 00 00 00 Rol. 48 1 AS AGREED0 00 00 00 r01 06 r 0 AS AGREEDr01 00 I AS AGREED0 00 0c00r01 10 I SYNCB/NEi,JEGG 603459760i32 DLA=03 / 22 UPGRADE lNC 123720724 DLA=02 / 22 UPSTART NETW L28766E8 DLA-03 / 22 UPSTART NETW 11?t Cn(q DLA=O1 / 22 a3/22 12i1.7 03/22 03/22 ootr 0 1200 5200 o1/22 C61'.21 i50[)0 13716 I o t a La cle 1inIr s on this reoort: 23 INQUIRIES: L2/23/27 12/23/21\a/13/2t a6/24i27 a5/03/21 a3/t9/27 c4/L6/20 a4ia2/20 04/01/22 03/31/22 i2/23127 70/73/21 a8/20/21 06/71 /2ra2/24/2\ UPSTAR.T NETW TAMIAMI FORD ONEMAiI'l BLUERIDGE/UP UPSTART NETW BK OF AMER by by by by by by by by by by by by TOOCR/TAMIAMI FORD (EXP) #1119I21 FORD MOTOR CREDIT CORP (EXP) #765444A ONEMAIN TINANCIAL GROU (EXP) #2907583 EXPERIAN BUSINESS CP.ED (EXP) #4301099 BK OF AMER (EXP ) +L79'i 518 EXPERIAN BUSINESS CRED (EXP) #4301099us sM BUS ADMrN ODA (EXP) +1916799AMEX (EXP) ti1234990CREDITONEBK (TU) #3 9534 54 by by by (TU )(ru) (TU ) (TU ) (TU ) (TU) *31 7 2951 * 7 123\ 91 +237 5239 # 4530 427 #31 1 2957 #5199555 RESIDENCE HISTORY: i885 PAII DR, NAFLES F'L 34tZA-i 548 IIRISTOL Ci, NApLES FL .j4L,ir.)15285 CORTONA WY, NAPLES FL ..i412C COMMENTS: ***OFAC NAME SCREEN ALERT - CLEARd**OFAC (OTFICE OF FOREIGN ASSE::I' CCNTROI,) ISA DA'IABASE OE TERRORISTS, DRUG TRAFFICKERS A FEDERAL AGENCY WHICH MAINTAINS AND CRIMINAL ORGANIZATIONS. FRAUD RECORDS HAVtr BEEN SYSTEMATICALI,Y CHECKED BY THE ACCESSED BUREAUS.CHECKS FOR IDENTITY THEFT, FAKE SSN/ DECEASED SSN AND OFAC DATABASE PERFORMED Licensee Applicant: APPLTCAIvT - sEE NAME ABo\IE Reporting Agency: Credit Check, lnc. - 3017 Exchange Court, Suite H, west patm Beach, FL 33409 (561)616-s556 8.D.1 Packet Pg. 123 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, CREDIT CHECtr(-CONFIDENTIAL Name:K T NDF,RNAY . .TO7, F,F Customer: 9999 Page: 4 CREDITOR PHONE DIRECTORY: KOHLS/CAPONE DCT2EI',1005 FO BOX 3115 MILWAUKEE i,rlI . 53201 CAPITAL ONE BC].DTVOOI PO BOX 37293 SALT LAKE CI?Y UT. 84i31 ALLY FINCL FA259231LP.O. BOX 380901 BLOOMINGTON MN. 55438 JPMCB CARD BC26QK001 PO BOX 15369 WILMII'IGTO}J DE. 19850 BBY/CBNA HEZ 92T01 4?o Box 649"7 sloux t'ALLs sD. 5lti7 DSNB MACYS DCZA5TO t} 1 PO BOX 6789 SIOUX FALLS SD. 51IL1CHRYSLERCAP TA2E3DOO1 PO BOX 961272 FORT WORTIi TX. 1 6i6 t FINWISE RISE IiP2E]OOO6 4150 ]NTERNATIONAL FORT t^rOItTH 'l'X. '76109 UPSTART I.]ETI'\ TZ2ETA0{]12 CIRCLE STAR WAY SAN CARLOS CA. 94A10 UPGRADE INC FP2GB1OO12 NORTH CENTRAL AV PTiOENIX AZ. 85004 FRD MOTOR CR TA3796161 POB 542OOO OMAHA NE. 58154BANKAMERICA BC533] 059 PO BOX 982238 EL PASO T:,(. 19e98 DISCOVERBANK BC961 6003 PO BOX 30939 SALT LAKE CITY U'I" 841*?0SYNCB/NE}iEGG FZ 9 9 92 15Nc/o Po Box 965036 ORLANDO FL. 32896ONEMAIN T 2375239 P . O. BOX 3321 EVANSVILLE II{ . 411A6 TAMIAMI FORD A :423791 1471 N AIRPORT RD NAPLES FL. 341C4 UPSTART NETTII B 311295i 2345 YALE STREET PALO ALTO CA. 94305CREDITONEBK B 3953464 6801 S. CIMARRON R i,AS VEGAS NV. 8 9 J 1 3BLUERIDGE/UP F 4530427 215 BATTERY ST SUI SAN FRANCISCO CA. 94IA4 CREDIT CHECK Z i63A213 3017 EXCHANGE COUR WEST PALI,I BEAC FL. 33409 BK OF AMER B 6199555 PO BOX 982238 EL PASO IX. ?9998 (800) (800) (8BB) (800) (Bss) (866) (8ss) (800) (800) (800) (865) (84 4t (23e) (8ss) (142) (8ss) (8771 (800) 564-51 40 955-7070 925-2559 94 5-2000 563-5635 580-L226 451-675-? 't 2-7 -1000 421-2170 341 -2683 396-8254 298-9'7 7 3 643-3573 451-5753 2 69-1000 997-3100 616-5556 421-2710 i** END CF REILTRT *** Licensee Applicant: APPLICANT - 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. 124 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, SM CREDIT CHECK CONFIDENTIAL lndividual Credit Report tl-F^I!c1-1.= . . . Addres s Crdereci By : -.. i5.' 1885 PAR DRI\iE Custorner :9999 Compieted z 04/08/22 NAPLES, FL 34120 Recei.ved : A4/08/22 CREDIT SCORE: APPLICANT FICO SCORE: 653 (scores range from 300 to 850) SOURCE(S): EXPERIAN TRANSUNION PUBLIC RECORDS: PUBLIC RECOHDS HAVE BEEN CHECKED AT THE LOCAL, STATE AND FEDERAL LEVELS WITH THE FOLLOWING RESULTS AS OF 04t08122: CLEAR ALLY FINCL 29922267 207 DLA-06/1" CAPITAL Oi.iE 512365939448 DLA=I3 / 22 06/11 03/r5 3'7268 AS AGR.EE)0 00 0c 00 r01 26 c216r0 0 n 0 0 .. l 0 00 0c 0 lt 0 l',._. ,r l AS AG!.EE:0R01 54 r .{i AG:EalR01 48 I a - n ^nnrhi\J ALTIlE LL'CROl 99 T gAl.l(Ar'4ER i i.\ 5842 DLA:02l15 BARCLAYS BANK D 00020828i91 DLA:06/15 a2/L5 01 ,/ a. UUl) 1 0 ,,: 1500 Ai AuSF,Li0 R01 4Lr !)/ T l.03/2?05/08 : -z 1999 AS AGiEE]0 00 00 c0 R01 4E Socj-a1# : Appl i.u,lt! CREDIT RECORD tCreciil nisto i-f Licensee Applicant: APPLICAI{T - SEE NAITE ABOVE Reporting Agency: credit check. lnc. - 3017 Exchange court, suite H. west Palm Beach. FL 33409 . (56't)616-5556 8.D.1 Packet Pg. 125 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, fi-.\ CREDIT CHECK CONFIDENTIAL Name 0 _;. . 0 0c c : ,'..-.. -r01,' CAPITAL O}']E 4802\3971351 DLA=0?/i4 DSNB MACYS 603534C05008 DLA:o4 / 22 FINWlSE RlSE 83 6875 DLA:1 0 / 19 FINI,\TISE R.ISE t362'7 44 DLA=02 / 22 FiNI,f I SE RI SE 1017559 DLA:0 5 / 2C FINI,[ISE RISE 1180938 nT a=nAl71 FRD MOTOR CR 51911 \a] DLA=iZ / 2l JPMCB CARD 54_?505C06901 DLA:0 4 / t3 KOIILS/CAPONE 639305C91485 DLA:o9 / 2L 0 AS AGF,EE!0 00 0c 30R01 01 ro'7 / t4 10170 04/22 05/11 ta/19 a3/19 02/22 01 /?-i 05/20 10/19 06/21 0912A ,1000 0 . ).,('; 4557 0 5000 l:i 0 r_057 0 0 25L5 0 0 , 5L226 A.i Ar,i,..E,l-:. 0 :, ,r ir' ' Ll R01 ,lr: l AS AGiEE:0 00 0c c0 r01 0"/ I AS AGREED0 00 0cc0r01 01 r AS AGREE;0 00 0c00r01 07 r AS A,GF.EE} 0 00 0: :C r01 ()!) 1 i'l, i','i:ill fi:0 --, :': -: I01 -,r . -,--: .r. -l ,'. !:. :- -0 a l: .r I01 !,.- . 0 a5 / i,1 03/1s t2/a2 9433 AS AGREED0000000R0199r ,\:.i i:\fl:. i.,l:. 1 0 L;,r i,) )1.; R01 1:. i Licensee Applicant: APPLICAI{T SEE NAII{E ABO\IE Reporting Agency: CreditCheck, lnc. - 3017 Exchange Court, Suite H. West Palm Beach, FL33409. (56j)616-5556 8.D.1 Packet Pg. 126 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, I \.rT CREDIT qt{ CHECK CONFIDENTIAL 9999 Page: -3 ,-'.:i -:. '::'.If -.0 : :. :, R01 ..: AS AGR.EED0 00 0cc0r01 06 r SYI.ICB/NE}lEGG 6034 5 976C _32 DLA=O3 / 22 UPSTART NETW i.i 3192 65 DLA:03 / 22 UPSTART NETW L281 6688 ULlt:r-t ) i ZZ 0 13509 0 00 0 A5 ALIKL-E L:0 r01 an i r01 00 I03/22 0?,/22 :t rr0 5200 0 Tota, L racie lines on this report z 23 INQUIRIES: i.! ') l:1' by by i- rr x,,!) b.v tL' b.-v* by by by b,y '^t' L) hrr!_l l.'i RESIDENCE HISTORY: 15.i5 Bi-'iiSTui, C-, IAiri,i,S i'i. j il. _i.-t : .-.:il,p,l,!-r:.jj:i :..\, :l;... :.:-J : - ., . - FRALTD RECORDS iiA\.IE BIEii 5YSlil,lA'l"IilAl"l,\' ili.Ear:iri) BY THI ACCE-cSED EUREAUS. liiECj.:S aa: ::I:'r;::i ::i!:i:-, :;-.i :- :.:::, - ! 1..tr^31, S.Sl. .:,i.-: :;a.i:' :AIAtsiSE i,FF.:'{_,iilliEi. CREDITOR PHONE DIRECTORY: Licensee Applicant: APPLICANT SEE NAI{E ABOVE ReportingAgency: CreditCheck. lnc.-3017ExchangeCourl.SuiteH.WestPalmBeach.FL33409.(561)616-5556 8.D.1 Packet Pg. 127 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, i".sM CREDIT CHECK CONFIDENTIAL Custclr,e"r: 99c;9 ,,:, (8C0) (800) (EBB) (800) 564-5740 955-107A 925-2559 945-2000 (855) (855) (85s) 563-5635 580-t226 451-6753 (800) (800) (e00) (856) (844) (239t (Bs5) (7 A2t (855) (t??) (800) 127-7000 421*2t7A 341 -2683 3 9 6- 8254 298- 91 1 3 643-361 3 451-6753 269- 1 000 991-3100 616*5556 427-2LtA Licensee Applicant: APPLICANT 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. 128 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, CREDIT CHECId CONFIDENTIAL lndividual Credit Report Name. . . :KTNDF',R\1AY..TOZEF Ordered By : 74346 Customer :9999 Received :94128122 Completed :04/28/22 Addre s s 885 PAR D IVE NAPLES, FL 34720 SociaI#: Applicant: -5509 CREDIT SCORE: APPLIGANT Flco SCoRE: 674 (scores range from 300 to Bso) SOURCE(S): EXPERIAN TRANSUNION PUBLIC REGORDS: PUBLIC RECORDS HAVE BEEN CHECKED AT THE LOCAL, STATE AND FEDERAL LEVELS WITH THE FOLLOWING RESULTS AS OF 04t28t22: CLEAR CREDIT RECORD Credit histor ha hecked for a riod f n ears or from o en ,:aaj r - tr' irrt r': lL:ir:l Date Repcrteci Ope;reci d :e Fast Dre Current SLaLus Histori.c Status 30 60 90 Mos ReV ECCA ALLY FINCL 29922261 201 DLA:o6 / 71 AMEX 349991333517 BANKAMERICA 58 42 DLA:02 / 75 BARCLAYS BANK D 00020828194 DLA:06/15 BBY/CBNA 603535021610 DLA:0 4 / 22 CAPITAL ONE 480213971351 DLA:01 / t4 05 / t] 03/ 1s 31 268 77/t5 71./03 02/75 01 /02 01/74 70/70 3090 413 0 2915 1500 l3B2 0 0 0 0 AS AGREED0 00 0000r01 26 r AS AGREED0 00 00 00 R01 54 I AS AGREED 0 00 00 00R01 48 I AS AGREED0 00 00 00R01 99 r AS AGREED0 00 00 00R01 48 r AS AGREED0 00 00 00R01 01 r 7t / 76 1,0 / 01 4tB2 04/22 0sl1s Licensee Applicant: APPLICAIiIT SEE NAI{E ABOVE Reporting Agency: CreditCheck, lnc. -3017 Exchange Court, Suite H, West Palm Beach, F133409. (561)616-5556 8.D.1 Packet Pg. 129 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, CREDIT CHECR-CONFIDENTIAL Name:KINDERNAY, JOZEF CAPITAL ONE 517805939448 DLA:0 3 / 22 03/22 05/08 2712 ]-999 CHRYSLERCAP 30000204933431000 05/21 06/11 45481 DLA:05 / 2t 0 DlSCOVERBANK 501100834961 DLA:O4 / 22 04/22 0s/76 3852 LO67 Customer: 9999 P age: 2 AS AGREED0 00 00 00R01 48 r PD WAS 300 06 00 00 r01 41 c AS AGREED0 00 00 00 R01 48 r AS AGREED0 00 00 00R01 48 r AS AGREED0 00 00 00 r01 09 I AS AGREED0000000r0101I AS AGREED0000000r0107I AS AGREED0 00 00 00 r01 08 r AS AGREED0 00 0000r01 04 r PD WAS 600 10 04 00 r01 48 r AS AGREED0 00 00 00R01 48 r AS AGREED0 00 00 00 R01 99 I AS AGREED0000000R0132r DSNB MACYS 603s34005008 DLA:o4 / 22 FINWISE RISE 1180938 DLA:o5 / 2t F]NWISE RISE 1017559 DLA:O 5 / 20 F]NWISE RISE 835875 DLA:1 0 / 79 FINWISE RISE 13621 44 DLA:0 3 / 22 FRD MOTOR CR 60836252 DLA:O 4 / 22 FRD MOTOR CR 5 491 1 101 DLA:1 2 / 27 JPMCB CARD 464018277273 DLA:o4 / 22 JPMCB CARD 543505006901 DLA:0 4 / 73 KOHLS/CAPONS 639305091486 DLA:O9 / 2l 06/2t 09/20 5000 04/22 06/t] 0s/20 70/79 131 4000 0 0 0 0 70/t9 03/79 4000 0 03/22 01 /2L 5000 4028 04/22 72/27 s1190 49057 72/ 21 06 / 71 448A7 04/22 08/1s 2664 520 03/75 t2/02 9433 0 09/27 t2/78 96 0 Licensee Applicant: Appl.rcAlirr sEE NArdE ABovE Reporting Agency: credit check, lnc. - 301 7 Exchange court, suite H, west palm Beach, FL 33409 . (561 ) 61 6-5556 8.D.1 Packet Pg. 130 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, SN,]CREDIT CHECK CONFIDENTIAL Name:KINDERNAY, JOZEF 02 / 22 0B / 2t 12 000 LL278 Customer: 9999 Page: 3 AS AGREED 0 00 00 00R01 48 r AS AGREED0 00 00 00 r01 05 r AS AGREEDr01 00 r AS AGREED0000000r0110r SYNCB/NEWEGG 503459760132 DLA:O 3 / 22 UPGRADE INC t23t20124 DLA-02 / 22 UPSTART NETW L281 668B DLA:o3 / 22 UPSTART NETW L7379265 DLA:O 4 / 22 03/22 72/r1 03/22 03/22 BB5 0 5200 5200 0 04/22 06/27 1s000 L37t6 Total trade Iin es on this report: 23 INQUIRIES: 72/23/2 t2/23/2 70/L3/2 06/24/2 05/03/2 03/1.e/2 04/76/2 04/02/2 04/01/2 03/37/2 72/23/2 70/73/2 a8/20/2 a6/11 /2 02/24/2 1bv1bv1bv1bv1bv1bvobvobv2bv2bv1bv1bv1bv1bv1bv 700cR/TAMTAMT FORD (EXp) #1119121 FORD MOTOR CREDIT CORP (EXP) #1654440 ONEMAIN FINANCIAL GROU (EXP) +2901583 EXPER]AN BUSINESS CRED (EXP) #4301099 BK OE AMER (EXP) +1191618 EXPERIAN BUSINESS CRED (EXP) #430I099 US SM BUS ADMIN ODA (EXP) #191-6199AMEX (EXP) #1234990CREDITONEBK (TU) #3953464 UPSTART NETW (TU) +3112957 TAMTAMT FORD (TU) +7423L91ONEMATN (TU) #2315239BLUERIDGE/UP (TU) #453042r UPSTART NETW (TU) #3112951 BK OF AMER (TU) +6199555 RESIDENCE HISTORY: 1BB5 PAR DR, NAPLES FL 341201548 BRTSTOL Cr, NAPLES FL 3412015285 CORTONA WY, NAPLES FL 34120 COMMENTS: ***OFAC NAME SCREEN ALERT - CLEAR*** OFAC (OFFICE OF FOREIGN ASSET CONTROL) IS A FEDERAL AGENCY WHICH MAINTAINSA DATABASE OF TERRORISTS, DRUG TRAFFICKERS AND CRIMINAL ORGANIZATTONS. FRAUD RECORDS HAVE BEEN SYSTEMATICALLY CHECKED BY THE ACCESSED BUREAUS.CHECKS FOR TDENTITY THEFT, FAKE SSN, DECEASED SSN AND OFAC DATABASE PEREORMED Licensee Applicant: APPLICA}iIT sEE NAII{E ABO\IE Reporting Agency: credit check, lnc. - 3017 Exchange court, suite H, west palm Beach, FL 33409 . (561) 616-5556 8.D.1 Packet Pg. 131 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, CREDIT CHECR-CONFIDENTIAL Name:KINDERN AY JOZEF CREDITOR PHONE DIRECTORY: KOHLS/CAPONE DC12ENOO5 PO BOX 3115 M]LWAUKEE W]. 5320).CAP]TAL ONE BC1DTVOO1 PO BOX 37293 SALT LAKE C]TY UT. 84131ALLY F]NCL FA259231LP.O. BOX 3BO9O1 BLOOMINGTON MN.55438 JPMCB CARD BC26QK001 PO BOX 15369 WILMINGTON DE. 19850BBY/CBNA HE292FOI4 PO BOX 6497 SIOUX EALLS SD. 51LI1 DSNB MACYS DC2A5TOO1 PO BOX 6189 SIOUX FALLS SD. 51II1CHRYSLERCAP FA2E3DOO1 PO BOX 9672\2 EORT WORTH TX. 16I6L FINW]SE RISE FP2ETOOO64150 INTERNATIONAL FORT WORTH TX. 16709 UPSTART NETW FZ2ETAOOI2 C]RCLE STAR WAY SAN CARLOS CA. 94010 UPGRADE INC FP2GB1OO12 NORTH CENTRAL AV PHOENIX AZ. B5OO4 FRD MOTOR CR FA37 961 67 POB 542000 OMAHA NE. 68154BANKAMERICA BC6331059 PO BOX 982238 EL PASO TX. 19998DISCOVERBANK BC961 5OO3 PO BOX 30939 SALT LAKE CITY UT. 84130SYNCB/NEWEGG F2999215Nc/o Po Box 965036 ORLANDO FL. 32896ONEMAIN F 2315239P.O. BOX 3321 EVANSVILLE IN. 41106 TAMIAMI FORD A L423791 1,417 N AIRPORT RD NAPLES EL. 34704 UPSTART NETW B 311295I2345 YALE STREET PALO ALTO CA. 94306CREDITONEBK B 39534646801 S. CIMARRON R LAS VEGAS NV. 89113BLUERIDGE/UP F 4530427215 BATTERY ST SUI SAN FRANCISCO CA. 94704CREDIT CHECK Z A6302133017 EXCHANGE COUR WEST PALM BEAC FL. 33409BK OF AMER B 5199555 PO BOX 982238 EL PASO TX. 19998 This Customer:. 9999 Page: 4 (8oo) (800) (888) (800) (8ss) (866) (Bss) 564-51 40 955-7070 925-2559 945-2000 553-5635 580-7226 457-61 53 (8oo) (800) (800) (866) (844) (23e) (Bss) (102) (Bss) (811 ) (800) 1 21 -7 000 427-2IL0 347 -2683 396-8254 298-911 3 643-361 3 45t-61 53 259-1,000 997-3100 516-s555 427-2770 *** END OE REPORT *** Licensee Applicant: APPLICAI|T SEE NAI{E ABO\ZE Reporting Agency: Credit Check, lnc. - 301 7 Exchange Court, Suite H, West Palm Beach, FL 33409 . (561 ) 61 6-5556 8.D.1 Packet Pg. 132 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, CREDIT CHECK'CONFIDENTIAL lndividual Credit Report Name...: KINDERNAY JOZEF Ordered By : L3240 Customer :9999 Recej-ved :0a/05/22 Completed | 0L/05/22 Address: 1885 PAR DRIVE NAPLES FL 341,20 Social#: Applicant: -- -5509 CREDIT SCORE: APPLICANT FICO SCORE: 637 (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 01105122: CLEAR CREDIT RECORD Cre di t hist orv has been checked for a riod of seven years or from open date. ) Credi t or Account Number Current Status ECOA ilistcrlc StaIus .10 bC 90 Mos Rev ALLY F]NCL 29922267 207 DLA=0 6 / 17 AMEX 349997333617 BANKAMERICA 5842 DLA= 02 / 1,5 BARCLAYS BANK D 00020828794 DLA=06/15 BBY/CBNA 50353 5027610 DLA= OL/ 22 CAPITAL ONE 517805939448 DLA=72 / 2l o6/77 03 /75 3726a tt/\s 7t/03 3090 0 AS AGREED0 00 00 00 r0l_ 26 r AS AGREED0000000RoL54r AS AGREED0000000R0L48I AS AGREED0000000RoL99r AS AGREED0000000R0148I o oo oo oo *8r""tEt', 0 002/t5 a7 la2 77/16 70/A7 0L/22 05/\s 72/2L 0sl08 4l.3 4]-82 0 ?q1q 718 )nqn l-984 Licensee Applicant: APPLICANT - SEE NAME ABOVE Reporting Agency: credit check, lnc. - 3017 Exchange court, suite H, west Patm Beach, FL 33409 . (561) 616-5556 8.D.1 Packet Pg. 133 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, $lt'jCREDIT CHECK CONFIDENTlAL Name: KINDERNAY, JOZEF CHRYSLERCAP 30000204933431000 05 / 2t 06 /1_'7 45487 DLA=0 5 / 2l DISCOVERBANK 601100834967 DLA= OL/ 22 0t/22 05/16 3852 3662 Customer | 9999 ge AS AGREED0 00 00 00 R01 01 I PD WAS 300060000r0147c AS AGREED 0000000R0148r AS AGREED0 00 00 00 R01- 48 r AS AGREED0 00 00 00 r0l_ 04 r AS AGREED0 00 00 00 r0l_ 09 I AS AGREED0 00 00 00 r01 07 r AS AGREED0000000I0107I PD WAS 500 10 03 00 r01 48 r 0 AS AGREEDroL 00 I AS AGREED0000000R0L99I AS AGREED0 00 00 00 R0L 48 r AS AGREED0000000RoL32I Pa CAPITAL ONE 48A213971351 DLA=07 / L4 DSNB MACYS 603534006008 DLA=12/2t F]NWISE RISE 73627 44 DLA=11, / 2L F]NW]SE RISE 1180938 DLA=o6 / 27 FINWISE R]SE 1017559 DLA=0 5 / 20 FINW]SE RISE 835875 DLA=I 0 / L9 FRD MOTOR CR 5497'7l_07 DLA=12 / 2L FRD MOTOR CR 60836252 DLA=72 / 2t JPMCB CARD 543505006901 DLA=04/13 JPMCB CARD 4640L82LL2L3 DLA=1-2 / 2l KOHLS/CAPONE 63 93 05 097485 DLA=0 9 / 2L 07/t4 t0/10 1382 0 0 0 72/2L 06/77 73L 0 tL/2t 07 /2t 5000 457 2 06/2L 0e/20 5000 0 05/20 70/\e 4000 \0 lt9 03 /t9 4000 72/2L 06/77 4480L 0 0 L2/2L 12/21 s1190 5LL90 03/t5 t2/a2 9433 0 t2/T.08/L5 2664 252L 0e/2L a2/78 o6.0 Licensee Applicant: APPLICANT - SEE NAI4E ABoVE ReportingAgency: CreditCheck, lnc.-30lTExchangeCourt,SuiteH,WestPalmBeach,FL33409.(561)616-5556 8.D.1 Packet Pg. 134 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, 3t'l:CREDIT CHECK CONFIDENTIAL Name : KINDERNAY, .TOZEF tL/ 27 08 / 2t 12 000 11456 L2/2L o6/2L lsooo L4035 Customerl. 9999 Page: 3 AS AGREED 0000000R0148r AS AGREED0000000roL03I AS AGREED0000000roL05r SYNCB/NEWEGG 6034591_60132 DLA=72 / 27 UPGRADE INC t2312At24 DLA=1 7 / 2t UPSTART NETW L1 3 1 9265 DLA= 12 / 2L 72/2L 12/t7 88s 0 Total trade fines on this report: 22 INQUIRIES: a2/23/Zt by 700CR/TAMTAMT FORD iEXp) #1719L27 12/2 l.0/L o6/2 os/o o3/L o4/L o4/o t2/2to/t o8/2 o6/L 02/2 by FORD MOTOR CREDIT CORP (ExP) #L6s4440by ONEMAIN FINANCIAL GROU (nXp) #2907583by EXPERIAN BUSINESS CRED (ExP) #4301099by BK OF AlvlER (ExP) #l:.97618by EXPERIAN BUSINESS CRED (ExP) #+:01099by US SM BUS ADMIN ODA (ExP) #19L6799by AMEX (ExP) #1234e90by TAMIAIvII FORD (TU) #L423197by ONEMAIN (TU) #237s239by BLUERTDGEIUP (TU) #+S:042Lby UPSTART NETW (TU) #377295Lby BK oF AMER (TU) #6199sss RESIDENCE HISTORY: 1885 PAR DR, NAPLES FL 3472C 1548 BRISTOL CI, NAPLES FL 34\2: 75285 CORTONA WY, NAPLES FL 34i.::) GOMMENTS: ***OFAC NAIVIE SCREEN ALERT _ CLEAR*** OFAC (OFFICE OF FOREIGN ASSET CONTROL) IS A FEDERAL AGENCY WHICH MAINTAINS A DATABASE OF TERRORISTS, DRUG TRAFF]CKERS AND CRIMINAL ORGANTZAT]ONS. FRAUD RECORDS HAVE BEEN SYSTEMAT]CALLY CHECKED BY THE ACCESSED BUREAUS. CHECKS FOR IDENTITY THEFT, FAKE SSN, DECEASED SSN AND OFAC DATABASE PERFORMED. CREDITOR PHONE DIREGTORY: 3/2t 3/2L 4/27 3 /21e/2t 6/20 2/20 3 /2t3/2t o/21 7/21, 4/21 KOHLS/CAPONE PO BOX 3115 CAPITAL ONE PO BOX 37293 ALLY FINCL DC1 2ENO O 5MILWAUKEE W]. 53201 BClDTVO O 1 SALT LAKE CITY UT. 84131 FA2 5 9237L (800) (800) (888) 564-57 40 955-7070 925 -2559 Licensee Applicant: APPLICANT - SEE NAME ABOVE ReportingAgency: CreditCheck, lnc.-30lTExchangeCourt,SuiteH.WestPalmBeach,FL33409.(561)6'16-5556 8.D.1 Packet Pg. 135 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, *inCREDIT CHECK CONFIDENTIAL Name : KINDERNAY-_TJQZEF CREDITOR PHONE DIRECTORY - continued: P.O. BOX 380901 BLOOMINGTON MN. 55438 JPMCB CARD BC25QK001 PO BOX 15369 WILMINGTON DE. 19850BBY/CBNA H8292F014 PO BOX 6497 SIOUX FALLS SD. 5777] DSNB MACYS DC2A5TOO1 PO BOX 5789 S]OUX FALLS SD, 57LL7CHRYSLERCAP FA2E3DOOl PO BOX 96L2I2 FORT WORTH TX. 76I6L FINWISE R]SE EP2E7OOO64150 INTERNAT]ONAL FORT WORTH TX. ]5L09 UPSTART NETW FZ2ETAOO12 CIRCLE STAR WAY SAN CARLOS CA. 94070 UPGRADE TNC FP2GBlOO12 NORTH CENTRAL AV PHOEN]X AZ. 85004 FRD MOTOR CR FA379676I POB 5420AA OMAHA NE. 58154BANKAMERICA 8C6331059 PO BOX 982238 EL PASO TX. 79998DISCOVERBANK BC96T6OO3 POB 15316 WTLM]NGTON DE. 19850SYNCB/NEWEGG FZ979215Nc/a Po Box 955036 ORLANDO FL. 328s6ONEMA]N F 2375239 P. O. BOX 3327 EVANSVILLE IN. 4'/"/ A6 TAMIAMI FORD A 1423197 1471, N AIRPORT RD NAPLES FL. 34LA4 UPSTART NETW B 37'7295L2345 YALE STREET PALO ALTO CA. 94306BLUERTDGE/Up F 453042t275 BATTERY ST SUI SAN FRANCISCO CA. 94L04 CREDIT CHECK Z 06302]33017 EXCHANGE COUR WEST PALM BEAC FL. 33409BK OF A]VIER B 6199555 PO BOX 982238 EL PASO TX. 79998 Customer:. 9999 P (800) e4s-2000 4age (85s) (866) (85s) s53-s535 580-].226 45L- 67 53 (800) (800) (800) (866) (844) (23e) (8ss) (8ss) (877 ) (800) 727 - 7000 42L-2LLA 347 -2683 396 - 8254 298 -9773 643 -3673 457-67 53 997*3100 6L6-5556 421-21-lO *** END OF REPORT *** Thls lnformahon ls confrdenlral an.i s .ol io be drvuloed exceot as req.rreo bv the Farr Credtl Reoorhno Act. Licensee Applicant: APPLICANT - SEE NAIUE ABOVE Reporting Agency: Credit Check, lnc. - 3017 Exchange Court, Suite H. West Palm Beach, FL 33409. (561) 616-5556 8.D.1 Packet Pg. 136 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, CREDIT CITECI(- Gommercial Credit Report CONFIDENTIAL Date: oi- / o5 / 22 Cust. No: 9999 Ordered By. J.3240 Page: 1 (x) LLC EIN: 81-3180987 Company: KIPA, LLC D/B/A: TNT CABINETRY OF NAPLES, LLC Address: a2o:_ prpER BoULEVARD, surrE ) NAPLES, FLORTDA 34110 Telephone: (239) e s:-9899 PRINCIPALS: MANAGER Address: KINDERNAY, JOZEF 1885 PAR DRTVE NAPLES, FLORfDA 3472A -6509 50? Social Security Number Stock Ownership: AUTHORIZED MEMBER/uauacEB Address: Social Security Number: Stock Ownership. PATZNER, OTO I2OL PIPER BOULEVARD, #g NAPLES, FLORIDA 34110 7 -2299 50? Address Social Security Number Stock Ownership: Address Social Security Number: Stock Ownership: RISK SCORE Reported for: AIrLTCANT - sEE NAME ABovE Reportedby: CreditCheck, lnc.-30lTExchangeCourt,SuiteH,WestPalmBeach,FL33409.(561)616-5556 i.llif*p"rion Financial Stability Risk Score I+ 3 4 Med to Risk to Med High CREDIT RISK SCORE 56 The score uses t.radeline and collectionsas oLher variables Lo predicL future risk Excellent'1 00 High Risk inf ormat ion, publi-c f ilings as. Higher scores indicate lower 1 -Poor wel 1risk FACTORS LOWER]NG THE SCORE:* number of commercial col-lection accounts* risk associat.ed with the company's industry sector* number of acti-ve commercial account.s* risk associated with the business type Risk Class 8.D.1 Packet Pg. 137 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, CREDIT CHECI(-GONFIDENTIAL Commercial Credit Report Company: KIPA, LLC D/B/A: TNT CABINETRY OF NAPLES, LLC Address: t2ol prpER BoULEVARD, sr-irrE 9 NAPLES, FLORIDA 341iC KrpA, LLC D/B/A TNT CABTNETRv oF NArLES, LLC wasCOLLfER, state of FLORIDA, on 07 i 05, 2016 .Ll6000123820. The registered agent is MARTOCCIO, EDGE CIRCLE , #104, BONTTA SpRTNGS, FLORTDA 34734 -N/A at N/A per month. The company employs N/A. NET WORTH: oN F]LE W]TH STATE Date Cust. No Ordered By Page ot/05/22 9999 ]-3240 2 The company maintains banking relations with BANK oF AMERICA The officer handling the account is N A - NAeLES, FLoRTDA PUBLIC RECORDS WERE CHECKED FOR COLLIER COUNTY, FLORIDA. A SEARCH OF LOCAL, STATE, AND FEDERAL RECORDS HAS BEEN CONDUCTED WITH THE FOLLOWING RESULTS: AS OF 01IO5I22. SEVEN YEAR SEARCH. (1) LAV{SUrT FrLED 07/23/19, CASE #2Ar9SC002028, COLLTER PLAINT]FF: IINIVERSAL PROPERTY AND CASUALTY ]NS CO END OF PUBL]C RECORDS SEARCH FORMED in the county ofThe charter number is GREGORY A. of 3380 WOODSOffices are LEASED from COUNTY C]RCUIT COURT DrsMrssED 09/27 /t9 BUSINESS CATEGORY DATE RPTD LAST ACTIV PAY TERMS *** Credit Profile *** iilGli CREf-T BALANCE CUR 3C 50 90 91+ COMMENTS BLDG MATRL BUS SER\YCS FINCL SVCS FINCL SVCS FINCL SVCS F]NCL SVCS FLOOR COVR CONTRACTOR 12/2a oe/2t t2/21 7L/2a t2/27 Ta/21 12/21 03/1e ooloo ooloo 10/2A aL/ 21 t0/27 oe/21 ooloo ooloo 0 100 2100 500 30900 0 0 300 0? az 1C0? 0? 0? 100? luu6 l)6 I nno- no-IUU O Ub0z az0? az100? oz i9 0? 0z 0% 0% i9 09o 0z 0? 0? U6 0? 0? io- VARIED VARIED NET 30 VARIED CONTRCT NET 30 0 ic0 10ic0 I9LQA 7 iSCA 28aC A 0 300 n9 n9 0? U6 0? 0z az SATSFTRY ACCTCLOSED REMARKS: N/A = NOT APPLTCABLE/NOT AVAILABLE REPORT WORKED BY KELLY END OF REPORT. 8.D.1 Packet Pg. 138 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, DtvtstoN oF CoRPoRATtoNS llt't:;yr; rti {) U :,,-y } jii:r" J, lr t t { .) @tutt.tili'ttt|'|itult'ttl!.!ttrtdlt'.,h,!|t Pgpenrnefi_Atslalg / Division of Corpqg3liAlg / Search Records / Search by_Eetlly_tlalOe / Detail by Entity Name Florida Limited Liability Company KIPA, LLC Filing lnformation Document Number L16000123820 FEI/EIN Number 81-3180987 Date Filed 0710512016 State FL Status ACTIVE Last Event LC AMENDMENT Event Date Filed 1012012016 Event Effective Date NONE PrincipallkldrcsE 1201 PIPER BLVD #9 NAPLES, FL 34110 Changed: 1012012016 Mailing Address 120.1 PIPER BLVD #9 NAPLES, FL 34110 Changed: 1012012016 Registered Agent Name & Address IVARTOCCIO, GREGORY A 3380 WOODS EDGE CIR #104 BONITA SPRINGS, FL 34134 Authorized Person(g) Detail Name & Address Title MGR KINDERNAY JOZEF 1201 PIPER BLVD #9 NAPLES, FL 34110 Title AMBR ,1{/ Sillyhrg 8.D.1 Packet Pg. 139 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, PATZNER, OTO 1201 PIPER BLVD #9 NAPLES, FL34110 Annual Rep_qrts Report Year 2020 2021 2022 Filed Date 0112012020 0111812021 02t09t2022 Document lmages 02109/2022 . ANNUAL REPORT 01/18/2021 -. ANNUAL REPORT O1120/2020 -. ANNUAL REPORT O2l1 8/201 9 - ANNUAL REPORT O4l1 5/201 B -- ANNUAL REPORT O3/17l20,I7 -. ANNUAL REPORT 10/20/2016 - LC Amendment 07/05/2016 - Florida Limited Liability- View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format Vrew image in PDF format li,),,a:n ll,trirlr,rr,ri,)r,;l:1ti. tlMf,iral i\i ('9rfa{atr,rir' 8.D.1 Packet Pg. 140 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, 2022 FLORIDA LIMITED LIABILITY COMPANYANNUAL REPORT DOCUMENT# L1 60001 23820 Entity Name: KIPA, LLC Current Principal Place of Business: 1201 PIPER BLVD #9 NAPLES, FL 34110 FILED Feb 09, 2022 Secretary of State 7346992512CC Current Mailing Address 1201 PIPER BLVD #9 NAPLES, FL 34110 US FEI Number: 81-3180987 Name and Address of Current Registered Agent: MARTOCCIO, GREGORY A 3380 WOODS EDGE CIR #104 BONITA SPRINGS FL 34134 US The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Ftorida. SIGNATURE: Certificate of Status Desired: No Electronic Signature of Registered Agent Authorized Person(s) Detail : Tit|e MGR Name KINDERNAY, JOZEF Address 1201 PIPER BLVD #9 City-State-Zip: NAPLES FL 34110 Date Title Name Address City-State-Zip AMBR PATZNER, OTO 120,I PIPER BLVD #9 NAPLES FL 34110 thal my name appears above, ot on an attachment with all other like empowered. SIGNATURE:JOZEF KINDERNAY OWNER 02t09t2022 Electronic Signature of Signing Authorized Person(s) Detail Date 8.D.1 Packet Pg. 141 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, (RequEatoi5NameI (Address) (Address) ! rrcx-ue ! werr ! r',rnrL (Business Entity Name) (Document Number) Certified Copies _ Certificates of Status Specral lnstructions to Filing Officer: Office Use Only LI b fiiltffi]llflfltffitiltffirilililI 400290659074 I t-1.'j:i.tr I i; "- ij i Llr.r.j- D. SCOTT l[T 21 2016 8.D.1 Packet Pg. 142 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, CAPITAL CONNECTION, INC. 417 E. Virginia Street, Suitc I . Tallahassec. Florida 3230 I (850)224-8870 . 1.800-342.8062 . Fax (85O)222.t722 Signature Requested by:sertr t0/19n6 Name Date Walk-ln Will Pick Up Art ol lnc. Fil e LTD Pirtnership Fi lp For.'isrr Com. File L.C. Filc_ Fictitious Nanr File_ Trade/Scn'ice trlark- l\lerger Filc- \ Art. oiAnrend. Fi t,. RA Resignation- Dissolution / \\ rthdnwal- Annual Repon / Rei Cert. Coor Photo Coov Cenificate of Cood Stirndi Certificate of S Certifi catc of Fictitious Corp Record Seuch_ Otficer Sc rrnh Fictitious Fictitious Os'ncr (pn rnh Vehicle Search_ Drivine Record UCC I or3 Fil UCC I I Search- UCCII lrr blfah,t. Itaffai.U mC Time Courier- LLC {\ ( rno I)' o(, FJa I l I € 8.D.1 Packet Pg. 143 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, COllER LETTER. TO: n4ltdmErCn WlooolGorporrdou 8('ETEICN ,Klpe, LLC N@ottlnbdlldrfryO,.t " 1t oclod t&lcr dAorodm ud tr(r) rc arbilod fu Oh& Planc tm a[ ocrqloaoe omabg t[i, h.trrb ttr, btbailg: Gregory A. Martocclo N@oflcrm Martoccio & DeFlllppo, P,A. norhry 3380Woode EdgB Cirdc, Ste. 1(N_IG- Bonlta Springo, FL 34134 clsb greg@bonitalaw.oom 6!rnrir FE tuttc l&do ooaaduorr e, PlG.r cdl: A. Martoccio Eaclord lr r c.Dd fc fu dhrilg lirc E fits.fi EtliryBc tr&l(l.elitiryFc& Ocdlarbof Ststur UAIIIIIE.'U}DNES& IagilEdmSodfi Divfuiodcorpcatior ?.O. 8016327 Trllftao,lll23l4 B,ih.Td*trn!Ndr d( 330 -)lscO& 49s€007 {\ ( rno 3 tJo 4* a t,@ C l- "-lO-r 4r'cn\ ASS.Offingrct CcdflodCry gdlfic.roerLEb..o Otm.mEhtFG., "iCodfcrloo?$or& Ad[dcsgy Gqff-roaybd) SI?IET'GOINIIN, ADTEXSt: nrglrtrd@8d6 Dlvidoof OorpcUioc CIlfioEdldhs 266t Errud,ra Coac Clrtlo Trllatrc, FLt230l I I 8.D.1 Packet Pg. 144 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, ARTICLES OF AI}TENDMEF{T TO ARTICLES OF ORGANIZATION or' KIPA, LLC Thc futiclcs of Organization fc this T,imited Liability Company wcrc filod on vilost20t6 Flmida alosurunt rurmbcr Ll6m0t23t20 This m€o(hcot is srfimiEd to emcod thsfotlowiag A- If tmcodlng urug cnEr 6e nelw mme otthc Umllcd Uabl[tv cornocnv hcrc: and arsigncd Tho nov urno uturl bo od onllh lbG wntr "LiEiEd t&btltty Entcr ner pdnctprl ofEcec rddrc3s, If appllcable: Pitctml ofics od&zn MUAT BE A STREF. T ADITnESiSt Enter neu; mrtllng rddrut, trrppttcebh: (M3il/lrle e&vlrs,MlY BE A Poltr OFFICE 8On Conpran" 6c drriF tioo "rra' *tic Ob1llrhti6 T^LC." I2OI PIPERBL\ID#9 NAPLES, FL 34IIO I2OI PIPBR BLVD #9 NAPLES, FL 34I IO B. Il ruendlr4 tDc rtgLtsrcd 8gent snd/or rqtlcrea o6oc addgr or,our ncordr, Namc of ]rlav Rcsistorcd Ag.ot: Nw Re$rtond OfEco Adftess: Enar Fbldaw&ra , Floddr o a !P ,'',(,. -.1-^.4W- Ncr Rcdrtcltd Arcnttr SlmrEn. trctrlrlur Rcdgorrd Arcnt I hereby rcce4t tln qpotnnun as regisurd ageit and agree b act in rtb capoctry, Ifurther og*e b contply wilh rheptwisior* of all statutes relattve to he pruper and amplete pafonuncz oimy ducies,- and I ail"riti*iti rrrA accc?t the obligatiotx ofmy postdon as rcgisarud agent as prwidedfor tn Clapur 605, F.S. O, if thk doatn*ent is beingfiled to nerelv rul-lcc1a change h rte reglstod ogci aaaressl t here.by ionsrm inot *" tantel tptUtty contpory has ben rctifid ln wridng of thts chorge, If Chalghgncglrttrd Page I of3 Ajcrf Skmlnrc glNs Rcdrratcd Agcat oe,{\ I 8.D.1 Packet Pg. 145 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, Ilamcudlry Authorlzed Poron(r) eultor{zed to msna8E, @: MGR- Mauger AMBR - AutLorlzod Mcmbcr Tlflc MGR Nqgt JOZEFKINDERNAY Add+tt I2OI PIPERBLVD #9 NAPLES, FL 34I IO I2O1?IPERBLVD#g NAPLES, FL 34I IO $mcofAcdon Rcotovc ChuSo Rrmove Cbangc Rcrnovc Add AMBR OTOIATA.IBR Add Add n Clmgc fr ll r.r -fl 6c CP d@ a 7 Rrnow Chngo Add Roow Prge 2 of3 Ctangc 8.D.1 Packet Pg. 146 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, D. It rEcEdltr3 aoy ottff ltrformrdoo,' eEter cirrg.(s) harc: (Attach addldonal sttzats, itne,ce*ty.) do.uorit'3 .fhctivc da& on tr Dcprtsnont of St!&'! rccordt. Datcd 7 E" Efiedw drtq It o&or tisn ltr drb ot lllhg: ]: (optlouD (If e.fl!.dv!&to b Urli4 Ac do o||' hc ryo<ift ai{.t!mt t pri6 b lh. of Aig rmrc tta SO dty! liq lXb&) ptl.lls,r b 60j.O2rI (3Xb) !Sg, If 6c ddc irr.dcd is lhis block do€ rlot mlrl th. qptioablc dEhltory filiag rcquircrncnr, ihir drt! wilt sot bG lirtcd 8s tb; rthe record sp€clflcs a delayed effedlve date, Dut not an effecuve ume, at 12:ol a.rn, on tie earller of:(b) Tts 9(}lrr day aft6r the recod ls f,led. ar ma .crl or-)rl t\,o .at* P o) aO rn C, -4 -- j> r r} aot O&EGORY A. MARTOCSO a r1.l 6 ruatc Prge 3 of 3 Flllug Fce: $25.00 >. ! I 8.D.1 Packet Pg. 147 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, J)tvl:"tu,rl qy e r t :'-PL-\1;':"1'J L I f -i Dtvtstor.r or ConpoRATloNS Fictitious Name Search Submit k, Next on List Return to ListPrevious on List No Filing History Fictitious Name Detail Fictitious Name TNT CABINETRY OF NAPLES, LLC Filing Information Registration Number Status Filed Date Expiration Date Current Owners County Total Pages Events Filed FEUEIN Number Mailing Address G1 6000079275 ACTIVE 08/03/201 6 1213112021 1 COLLIER I NONE 81-1 380987 1201 PIPER BLVD UNIT 9 NAPLES, FL 34110 Owner lnformation KIPA, LLC 1201 PIPER BLVD, UNIT 9 NAPLES, FL 34110 FEI/ElN Number: 81-3180987 Document Number: L1 60001 23820 Document lmages 08/03/201 6 -- REGTSTRATTON View image in PDF format Previous on List Next on List Return to List No Filing History Fictitious Name Search Submit Florida Department of State, Ilivision oF Corporations \ / 8.D.1 Packet Pg. 148 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, x ffM rns gSipffilr*1.3[*lg.,l[[t3po' PHILADELPHIA PA I9Z55.OOZ3 007564,679083,421117.2516 I lrB 0,419 8s0 tlltltl,l,,llr,llrl,,!trtilrh,,,rHhlrtrll,,trllltl,l,,illttI KIPA LLC JOZEF KINDERNAY MER1201 PIPER BLVD STE 9 NAPLES FL 34I10 Date of tlris notice: 07-13-?01,6 Employer I dentifi cat i on Bl-3180987 Number I Fot mr SS-4 NumheF o.l' this lroticer CP 575 A AT t.L= )1564 Fon assistance you may call us at:I-800-829-4933 IF YOU l,lRITE, ATTACH THE STUB OF THIS NOTICE, WE ASSIGNED YOU AN EI4PLOVER IDENTIFICATION NU},IBER Employer Identification Number (EIN). lle assignedidentify you, your business accounts, tax returns,employees, Please keep this notice in youn Thank you for applyingyou EIN 8I-3180987, This EIand documents, even if you hpermaheht records, fon an N Hillave no tlhen filing tax documents,inportant that you use your EfN Any variation may cause a delayaccount, or even cause you to bis not correct as shown above,stub and return it to us. pavments, and r"elated correspondence, it and complete nane and address exactly asin processing, result in inconnect infonm is s[]oati veny wn above.on in your e assigned more than one EfN, If the infonmationplease make tha conFection using the attached tear-off Based on the information received from you or your t epnesentative, you must filethe followins form(s) by the date(s) shot{n. Form Form Form 94t 1065 940 L0/3t/?oL603/15/20t70l)t3l/?g17 If you us at the phIf you needPublication hav onehel 538 e questions about the form(s) or the due dates(s) shownr vou can call numben on write to us at the address shown at the top of this notice.p in determining your annual accounting period (tax year), see, Accounting Periods and Hethods. l,Ie assigned you a tax classification based on information obtained from you oryoun representative. It is not a l6gaL determination of your tax classification and is not trinding on the IRS. If you want a legal deternination of youn taxclassification, you rlay nequest a pt'ivate letter rulins from the IRS under thesuidelines in Revenue Pnocedure 2004-1 ,2004-l I.R.B, I (or superseding Revenue Procedure for the year at issue). Noter Certain tax classification elections canbe requested by filir]g For'nr 6832, Entity Classification Election, Sea Fonm 8852 and its instnuctions for additional information, 8.D.1 Packet Pg. 149 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, Grouffr Management Departnent Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 239-252-2400 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY STATEMENT OF OWNERSHIP This certifies that l,Jo Z6g tLl l!EX-Lr+\ APPLICANT'S NAME (please print) member Aors L 64 ?uT cthhl rr€?BY D has produced _as identitrcation. (Notary Seal) Notary Signature r';s"- PATTI L. GIUMENTARO Notary Public, State of Florida Commission# HH 73750 Itiy comm. expires Dec. 20, 2024 am a member or managing OF auACLE I (LIMITED LIABILITY COMPANY NAME) lown s5.z % 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. Jo e€€ rct bD6< unY Applicant (please print) l(tPq (c( ,)fe Tur ctq&r.€?t'Li dF t*rtg-p Name of Company Signature of Applicant State of Fto.l'.V,-County of C^ tt,." I The foregoing instrument was acknowledged before me by rneans of f,physical presence or E online notarization on this {8{'auy of YY\rct r ,20-1L . by Such person(s) Notary Public rnust check applicable box: ,D are personally known to me E has produced a current driver license Firm_Application.docx Rev 4/06i2020 Page 9 of 15 2 z<-+k,nAty vaar/ Z 8.D.1 Packet Pg. 150 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, Groudh lvlanagement Deparfnent Contractor Licensing 2800 N. Horseshoe Dr Naples, FL 34104 239-252-2400 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 county ordinance 2006-46, as amended ,ttnluC hA TtsT 144/p€Iel k ffirH. Company Name to engage in contracting as Urrpe{L> in colier counry Officers/Owners/Pa rtners where Jozef vl l,,otre6->O7 Applicant Name Applicant Name in all matters connected with its contracting heg LcL dt90 T,,-JT ctA <)(= ,.td a ,A- 4.ETo{.'r Com proposes to qualify for a Certificate of Competency with company lQt6 ccc al4o ttri (A6t/G or t$Ml It is hereby agreed upon that we the undersigned OWp€-rl\ Officers/Owners/Partners Company resolve and represent to the Collier County Contractor's Licensing Board that the proposed qualifying agent, -(oze r u ur€(r,*?is active in all matters connected with the company named Company Tp? c l,l A/.AtZ.a ot YtPt+ lLc ol6n oe refi,oDa6g arete?CJ We further resolve and representthat Jo7€€ l(tA't)€Qu4Y is legally Comoanv lctct4 tcc cl64 iPT^ I to act on behalf of cACt petc\ otz un Oc€l Yt?t1 L(\ olLq Applicar T&/oe Name cd 6t J.! a.- nt t empowered Company business and has the authority to supervise construction undertaken by ? Ktu0€44,& Officers/Owne rs/Pa rtners oCC ?A?ZoE-L Officers/Owners/Partners Witness Officers/Owners/Partners Witness Officers/Owners/Partners of the above-mentioned company need to sign on the left and a witness to the signature signs on the right State of €e County ofC-a,\f\e ^ The foregoing instrument was acknowledged befbre rnc by -/'-of ffphysical presence or E online notarization on thiszd^ day of l-,rArzrr-. ,20)>, , by t r\q,C Such person(s) Notary Public must check applicable box: ffi p..ronully known to me E has produced a current driver license n has produced (Notarv Seal) as identiflcation Notary PuOlrc St't. ot r,, Gina Bove My Corrnruon GG tbptt2E)ercs qr2grA022 Notary Signatureffi Firm_Application.docx Rev 4t0612020 page g of 15 8.D.1 Packet Pg. 151 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, Brief History Of Experience (22 years in construction) Education Work New Construction 200t-2002 Under Tri-City Electrical Contractors and Encompass Contracting Group Participated in construction projects: - Fiddlers Creek (Deers Crossing and Cascades Sections) - Regent at Gulf Shore Blvd - Cap Ferrat at Pelican Bay - Quail West Golf & Country Club - Parking Building behind NCH maternity center North Naples - LaPlaya Parking Garage Building Alterations / Remodels / Renovations / Refinishing Companies Worked For: - Royal Painting - Partners in Painting - Golden Works of Naples - Mark Hevier Enterprises Top Solutions - GC Companies Worked With - Biada Builders - GC - Lykos Construction Group - GC - Gates Builders - GC - Biltmore Construction - GC - Direct Contracting Group FL - GC - Associated Contracting INC - GC and others... Licenses and own companies - Colorful Coat, INC - AD Symphony Stones dba Set in Stone - Kipa LLC dba TNT Cabinetry of Naples 4 years of vocational industrial technical school ending with GED. major in electrical, electronics and computer systems (1992-1996) skills obtained: usage of hand and electric tools. machine shop operations and tools, principles of construction and electrical theory, electronics principles and components. computer skills and programming, CAD programs and designing, ability to read construction plans and create them. technical drafting, usage of MS Office, AutoCad and others. technical english 4 years of college, ( 1 996-2000), with selected maior in electrical engineering and radio telecom skills obtained. deeper knowledge of electrical circuits and designs. industrial machinery. 3 phase systems, programming. CAD designs and analysis. construction plan drafting. construction principles, materials & procedures 8.D.1 Packet Pg. 152 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, Qouvtty Growth Management Departrnent Contractor Licensing 2800 N. Horseshoe Dr Naples. FL 34104 239-252-2400 APPLICATION FCR CCLLtt k F CF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name J Certificate Category Requested BrJ rz p 6 (o r., ?(4CtoQ.613E tn The applicant is seeking a Collier County Certificate of Competency in the lrade 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 rnechanic 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 tiade experience for the above-named applicant must provide the following information Name: V €tt D4 L( ( ttAf (Ee riue: Pr?ES r l)E /UT Business Name: h \cJ nr I AT €ID (r)oricAcTltv€) /b( Phone ( 1tq) tz I q13l License No. 1if applicable):C6C Ds-g.rq tr Business Address: Zo 2 o J Ae.,t) ( & u C\ t: iPt t-s FC 3cr ro9 State rn€ v uT Zip to Applicant s title Foo6 tt itt / y'rto t5c f t-7r?p HCE <_ The applicant's scope of work (specific duties) included Pe flh U nLD fzE?rlATtON l-lAty}c O6l Ju P{t?Ul/r1.dd, t1 E/t Fto (oo l)| /o4)9U li t)iu Additionat comments: lll C(Y Stt r tt€9 O€,/"CA OrtAL E RlJ0 Qrsteoo.lr 8t E NOTE TO LICENSED CONTRACTORS Falsifying any tnformatton provided herein may subject your license fo revocation. Under penalty of perjury, I declare that the facls staled here are true State of tr Cotrntr ,,, C-t\\ € Sjgnature of person the statement tr (crr*if?X-t0u 1ff'J;',&ry i;Hi..:'*"'ffi ^#u Such person(s) Notary Public rnusr check lpplrcahlc [rr,r @ personalll'knou,n to rrre E l,.rs proclrrcc(i l crrrrenl tlrircr. lrucnsc( cal prcscncc or ! onlinc notarization on this<- E has produced irs itlentitlcutiotr \ () I ill'\ IlanLh lGvda N@rYPubllc State of Florlda Cornm$ HH099526 Erylrr-s31212025 (Notan'Seal) pl cation.docx Rev 41062020 Page 1 0 of 1 5 Street City The applicant was employed by me from OV ? OU 8.D.1 Packet Pg. 153 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, Associated Contracti Inc. we work harder so you don't have to Letter of experience. intesrity and eood character 0210912020 To whom it may concern, applicant Jozef Kindernay is working with our company from April, 201 8 to present day. He acts as a foreman and project supervisor. His duties involve all aspects of the project from start to finish. Specifically: He is involved in project estimating and planning, preparation of permit paperwork, application and all supporting documents, working with an architect, filling of all needed documents to portal, filling of any corrections or additional documents, filling NOC's with courthouse etc. Inspections field time, meeting inspectors on jobs, taking care of any corrections and synchronizing subcontractors to make sure all is done and corrected by code, also final inspections, closing permits and submitting certificates of completion to customers. In the field he is a hands on supervisor and foreman to other workers and subcontractors, skilled in all trades of construction he can replace any worker if needed, guides and gives a helping hand to anybody that needs it. He makes sure that all is done by the plans, in timely and neat fashion, checks the quality ofjob done by workers and subcontractors, takes corrective actions as needed. He synchronizes material orders and deliveries to the job site. He is in direct communication with owners and designers where he meets them on the regular basis for any updates or changes. Towards job completion he oversees the final stages and finishing touches to make sure all is done to customer satisfaction. We are highly satisfied with his performance, he can take care of the complete project from slab to final detail. He is more than ready to be a building contractor the he is applying for. Jozefs integrity and good character, he is highly skilled and knowledgeable person, he is dependable, responsible a takes on every project as if it was his own home. He synchronizes and guides other workers and subcontractors, assists to whoever needs help. He is in direct communication with owners and designers, where he makes sure project is on the right track in polite and professional manner. He always goes the extra mile, overall he is a great asset to the company. Regards, Kendall Chaffee President ACI state of A.-rLr.Co unty of Collier The forgoing instrum ent was acknowledged bef-ofe me uv koa..,[.0.-tr-C]v\Qcc by Means of physical presence on tfris 1 aay of 2022 must check applicable: me _ has produced a current drivers license has produced_ as identification. Iffib l&luda NffiryPubllc State of Florlda Commf H1O99526 Explres 3NnE Notary Sign www.aci2O2O.com | 2O2O J&C Blvd. Naples, FL 34109 | Office 239 59G-8088 Fax 239 59G-8090 8.D.1 Packet Pg. 154 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, Grouih Management Depaftnent Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 239-252-2400 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name:J 4S Vt troe,e (;,nY Certificate Category Requested :Bu ilPa CoLsTa4clq - GBEIQ The applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application forthis certificate, the applicant must verify hisiher 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 ora skilled worker (e.g., as a worker commanding the wage of mechanic or better in the trade). Time served solely in asupervisory or administrative role should be described but ma y or may not be considered sufficient to demonstrate requiredtrade experience. The person verifying trade experience N.^", Krc* *e> fil*p.o]i^ A for the above-named applicant must provide the following information Title Business Name Phone )?1- -*l)f/3-License No. (if applicable):Z-Cr<- /.<J JP3o Business Address:DAr ltr,€U rg \t-4pt k Pr 3Lt 1a Streel City State Zip The applicant was employed by me from ot / ?ots to Ot / zo1F Applicant's title KI TLfu frSst s T fO tuPtu.t P TeP The applicant's scope of work (specific duties) included enEo wtTn D N6 ?x e Additional comments: f,f ltt L Q,OA K, NOTE To LIcENSED coNTRAcToRS Falsifying any information provided herein may subject your ticense to revocation.Under penalty of perjury, I declare that the facts stated here are true. -lState of k L County of (., \r.\ tf Signature of providing the statement The foregoing instrument was 19'&, of n.\c.rc- t-:, . 2o rne by nreans of ffiysical presence or E online notarization on thist\acc\r Such person(s) Notary Public must check applicable box: Mare personally known to me E has produced a current driver license D has produced .--- as identification. (Notary Seal) co svf,s ,fJrrES Notary Signature Notary Public State of Fii,r,., Gina Bove MyCom,trluon cc :',,71.- Expires 04/20/2022# Firm_Application.docx Rev 410612020 page 11 of 15 :f) t )A-:F/L 8.D.1 Packet Pg. 155 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, $- , Siftmore figmodefing LLC 1721 $irdb (Dr. Ndptes, $C 34120 239-560-1742 State License # CGC 1522830 l6't'March,2022 Supporting Letter For Construction Experience To whom it may concern. this is to confirm that Jozef Kindemay was rvorking with our company for approx 2 years, from 0l/2013 to 0112015. He was a skilled worker and little bit laterbecame an assistantto supervisor/ superintendent on the job sites while still performing his worker duties. He came already skilled in most areas of construction, including carpentry both frame and finish, cabinet installation, fine finish cabinetry and refacing, also drywall installation and drywall finishing, tile installation in showers and main floors. all painting including spray jobs. He could take on any job given and take it to the end to the finest detail, great for custom projects with focus on quality. He assisted to the supervisor with job quality control, punch lists and troubleshooting. After regular meetings with supervisors he would then relay the information to other workers and follow plans to get job done as specified. Overall a good and kind personality. well liked among other workers and leadership. Highly skilled and detail oriented. Good work ethics, always on time and very responsible. Skilled in troubleshooting and problem solving. Always positive thinking and where others say it cant be done. he would come, solve the problem and do it. Regards, R;. He <D o crJ r., E R_ B, tt lr)oaA /l n KorTfr Re4oDE Ltp6 ALL ar,i)d.*-- Signature of person providing the statement State of -€u-County of C.or\\ {-1.- The foregoing instrument was acknowledged before me by means of (ffical presence or ! online notarization on this3Jfay of \-sr-\-. , 20aa M s-o\t e^ Suclr s) Notary Public must check applicable box are personally known to me ! has produced a current driver license as identification.! has produced (Notary Seal of Ftoride 1957 1r:#8ff"o#*** !{v Co,nm6i6a 66Erprr.s 0.u2gr2o2t Notary Signature 8.D.1 Packet Pg. 156 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, Cov*tty Grouth Management Departnent Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 239-252-2400 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VER!FICATION OF CONSTRUCTION EXPERIENCE Applicant's Name io "Ot lCr lttM-< f/r/,Y Certificate Category Requested:(o tcor r,6 (ot'7rZAc"o< -G*e tfl 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 comman{ing the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should M 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: if./ ltren Arrl ),Title:,/,r.- ?nt -l Business Name ,)l n/l I Business Address: l'loS Cs Street The applicant was employed by me from Jftt, fuof (irappricabre), Lb & S OU )JA fi to hnY State ?ot{ (4 License sr,t,t a) City ?ol C Zip Applicant's title:T€An L€Jotl t t z€-tC C>l lvft? The applicant's scope of work (specific duties) included VO ,?-ut at 6 1., (fl'l 0i) E5grbtutt 6l f- Fo( ft T€An D Fq-S6a5ftk€,Cf /D fuL ew€u to* t?Sr t 6N neatrs Additional comments: DtrJ -itn 6 D€PF:or Hl 6t-t tY FDT| vrr7El) NOTE TO LICENSED CONTRACTORS: Falsifying any information provided herein may subject your ticense to revocation. Under penalty of perjury, I declare that the facts stated here are true County of !e\'..^.Signature person providing the statement State of TL The foregoing instrument was ac =.-is dal of\rc\_.20L. bi/.\$.$ Such s) Notary Public must check applicable box are personally known to me E has produced a current driver license E has produced - as identification (Notary Seal) rknowledged bcfbrc rne by nrcans nl gG.ical prcscnce or E online notarization on this **O ,*," at"te ot rtrr,,,t, MyCornmirrion GG ilr,,;,.cx9/,e6,ut2gl2o22 Notary Signahrre,* Firm_Application.docx Rev 4/06/2020 page 12 of 15 Phone: 8.D.1 Packet Pg. 157 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, t:1705 Colonial Blvd Suite D1 Fort Myers, FL 33907 Ofc (239) 992-1484 ccc - 1s06234 N ompany Counfy of C--rr l, r'j www.Maddox(onstructionCompa ny.com Date.03103122 Experience Letter To whom it may concern, This letter is to verifo that Jozef Kindernay worked for our company between January, 201 5 and May, 201 8. He was in a position of a team leader and job site coordinator. He was responsible for a crew of 4-5 workers. His duties included, but were not limited to: as a team leader, rnaking sure that given tasks are done properly and on time, working together with his workers, distribute work load, give directions and help with problems. so that the project gets done from start to finish. At the end he would perform quality check and report to supervisors. Workload depending of the job would include concrete work. carpentry, framing, sheet rock, plastering, painting, finish carpentry, tile and wood floors. and more. As a coordinator his duties were to direct and synchrorrize work with sub-contractors, making sure the materials are on site and distributed as needed among workers. directed deliveries. making material checklists, material requests with the office, resolving sub-contractor issues and requests, and other information relay between office and a job site. He is highly knowledgeable and skilled. there were no problems that he could not resolve. Good team leader and always goes extra mile. While at work he gives helping hand wherever it is needed. Due to his knowledge in construction field he could replace any worker in the company if needed. He is reliable and dependable. Sincerely, w i t (i q,tu^' A zc ve,lo ,1,r. pret i/ r n t Signature of person providing the statement State of -d Th rhi instrument was acknowledged before me by means o(p-physical presence or tr online notarization on \-\20\,by \J.r\\A.=-" Sllr-person(s) Notary Public must check applicable box: -E are personally known to me tr has produced a current driver license ! has produced - as identification (Notary Seal) Notary Signature ^orYlO Notary Prrbllc Stete of Ficr,,.i*i fl"&PJ.l,""GG i,:7 ,lortof Exgtt?Eo/,ti2gt2oz2 r frfa Commercial . lndustrial . Design Build GIctll I 8.D.1 Packet Pg. 158 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, Cov*tt1l Growth l\4anagement Department Contractor Licensing 2800 N. Horseshoe Dr Naples, FL 34104 239-252-240A APPLICATION Fi-"r, , ':,..".... . -Jr CCMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER Ylr;J," COUNTY OF CIIiET I am a resident of County During the last five (5) years I have known to observe his or her business and personal dealings and find him or good character. STATE OF more than five (5) years Stateor L.^L Crttr-(Coltntr trf I)illoio lGtda Notary Publlc State of Florlda Comtn$ Hl'1099S26 |-:drresslzl2f,29 (State) and have resided here for (applicant). I have had the opportunity to be a person of honesty, integrity and Ual( Uw Printed Name Addre qs ){c BIA Street t 4 State zip lhc 'lbleeoing irrstuJrncnt u as!|u."-,gg1ry ,rt#acknou lctl 24r,r Such person(s) Notary Public rnust chcck appJicalrle bor: Prc personally knou rr to nre E lras 1-r'oriuccd il-current c|.i'er lrcerrse I cll prlcscncc or n online notarization on this E has produced _ ls itlentilication (Notarl' Seal) \r,1ar r Si-r.t " - " ,.lrlrlrcation.docx Rev 410612020 page 13 of .,l5 I,P ,L L Ll (l having been rirst duty sworn state and arrirm: ,","rn.^"' 7?1 62L' 4QV( ffi 8.D.1 Packet Pg. 159 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, Cottttt! Growth Management Departrnent 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 srATE oF Fto,a i blq COUNry oF Coc+ie ,,4 tr;+*rx IT,'sAqL ng been first duly sworn, state and affirmt,, havi I am a resident of (,otl-te A County,tgca t bC (State) and have resided here for more than five (5) years. During the last five (5) yea rs lhave known JoZt k I t"136<r.'fr\(applicant). I have had the opportunity to observe his or good character. her business and personal dealings and find him or her to be honesty, integrity and Signature Le{ax,b hr$i't Printed Name Address:trt \L Street UA}LES n- 3rt City t0 State zip $q t69,tIhcTelephone State of €-County or Cr.r.ri<- The foregoing instrument was acknowledge<l belbre me by means of'16'!hysical presence or ! online notarization on this3-]' aay o\\r.ar--.2oar. ty R,cr,,,- J \\r\a.L- Such person(s) Notary Public must check applicable box: E are personally known to me D has produced a current driver license E has produced as identification. of Ftoride 195712 Notary Signature: t*Igtary_P'r0,rc St re $,f""i#;;ls," Firm_Application.docx Rev 410612020 Page 14 of 15 ///-\ 8.D.1 Packet Pg. 160 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, (h Florida LICENSEDnnm ""K[ _ _ r Xll{DERNAY TJOZEF 11885 FAR DiMPLeS. FL 34120{tt5 0* :':s 04102/1978 ':sr, tt 04tOZ?Ot0 'r --, 6'.01" r , " r,loNE ,r.qr NONE t-122-0 I aGL-='ra-- ax;H=Sll#ffi* - 8.D.1 Packet Pg. 161 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, odQo*CERTIFICATE OF LIABILITY INSURANCE CATE NUM N REVISION R: H Collier County Contraclor Licensing, 2800 Horseshoe Dr, Naples, FL 34104 AUlHORIZED SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANGELLEO BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE OELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. DATE (MM/DO/YYYY) 12tO612021 RMATIVEL THISER.OLDTEHCERTIFICA'Ro UPIGHTS No ETHNL'CONFERS,AND NAFTIiNFORMAoONASUEDMAATTERTECERTIFICAtsststsIH IESPOLICEBYTHTHAFFORDEDCOVERAGETERORIVELTAMENDEXTENDREGANNDOESAFOTFICERTIFITEUETHINGISSUAUTHORIZEINSUBETWEENRER(s).ASTITUTE CONTRACTEEScNOTONDOTEFNSURANCCERTTHISFICA'BELOW HTE EOLD RTHEANDCERTIFICAPRODORUUA'REPRESENT TIVE ER, orsed.endbeorINSUREOprovisionsm ustes haveSUINDREtheSADanDITIONALpo(icytfcertificatetheohderANT:onstatementAanent.ndorsemcteSreotSthpmayquirecertainatermsconndditionpocyWAIVEcttheto5lfTIONUBROGAISsubje of hsuc rsemendohcateolderlienucert ifitotheconiedoesnotcertificatelhis 239-591-1225 Heather Andrea 239-591 -3373 casl.nelaei nsu ra NAIC 1TNSURER(S) AFFOROING COVERAGE - - A: Cranada lnsurance INSURER O INSURER C ERB PRODUCER A&E lnsurance GrouP, lnc. aeinsurancegroup@comcast. net 870 111th Avenue North Suite 1 rL 34108 FL 341 10 INSU RED Na Kipa LLC dba TNT Cabinetry of NaPles 1201 Piper Blvd, Suite 9 LilItrs PERIODPFORAEOVEOLICYTHEHETDINSURENAIUEDTOISSUEDHAVEBELOWBEENINSURANCEF]CYtrNTTHAPOLITHEESLIoHTSTOISCERTIFY CH THiSRESPEwlTr.l TOOCUI\,ITNTERDORTRACTOTHITIONCONDANYOFCONORTERt1l'lANDI AN REOUIREMENTYNOTWITHSTICAINDTED.TERI\IS,THEIUALHEINRESUBJt5POLITHEESctDESCRIBEDDAFFORBYEDRT,THEN INSJRANUEDYI\4A PEBEMAYt55tFlCERTCATE 8Y DPAI CLAIMS,YNiA AVEH BEEN E3 UCEDL llv1 SHOWNt>SUntr POtICIES,UNCONDITIONSANDEXCLUSIONS TYPE OF INSURANCE 1NCEEACHx SEXPcne 1,000 000PERSOT.iAL & ADV A 85F1000897iCOMMERCIAL GENERAL LIABILfIY C'!AIMS.MADE OCCUR GENERAL PRODJ COMPIOP AGG TE GEN'L AGGR€GAT€ LIMIT APPLIES PER i I PRO- POLTCY i___-l JECT I LUL S BODILY INJURY (Per Percon)S BODILY TNJURY (Per accidenll ) s S ANY AUTO OWNED AUTOS ONLY tlIRED AUTOS ONLY AUTOS !NLY SCHEOULED AUIOS NON.OVJNEI) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB S OCCUR AGGREGATE EACH DEO sDISEASE. EA sE,L. DISEASE .LIMIT ANYPROPRIETOR/OARTNER/EXECUTI./E T---lOFFICER/ME&IBEREXCLUDED" I (Mandatory in NH) N/A N ACCIDENT under WORKERS COMPENSATION AND Elt{PLOYERS' LIAAILITY oESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Addilional Remarks Schedulr, may be attached i'more space is required) Carpentry Heather Andrea l)rn rtt?*nt,r / s i I I 8.D.1 Packet Pg. 162 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, COVERAGES CERTIFICATE OF LIABILITY INSURANCE CERTIFICATE NUMBER:REVISION NUMBER DATE (MM/DO/YYYY) 0110312022 THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMAT]VELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTTTUTE A CONTRACT BETWEEN THE tSSUtNG TNSURER(S), AUTHORTZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: lf the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. lf 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). Automatic Data Processing lnsurance Agency, lnc. ljl3."ni.. .,u, 1 -Boo -s24-7 02^ E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # PRODUCER Automatic Data Processing lnsurance Agency, lnc. NJ 07068 1 Adp Boulevard Roseland INSURER A. NoTGUARD lnsurance Company 31470 INSURER B INSURER C INSURER D : INSURER E DBA: TNT Cabinetry Of Naples '1201 Piper Blvd Ste I Naples FL 34110 INSURED Kipa, LLC INSURER F 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 REOUIREIVENT, 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. LI[/ITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TTR ryPE OF INSURANCE INSD POLICY NUMBER POLICY EFF /MM/DD/YYYYI LIMITS COMMERCIAL GENERAL LIABILITY CLAII\,4S-I\,IADE OCCUR GEN'L AGGREGATE LIN4IT APPLIES PER: POLICY OTHERI E n"i l-1.o" EACH OCCURRENCE s UAMAUE IUXENIEU PREMISES (Ea occurrence)$ N,4ED EXP (Any one person)$ PERSONAL & ADV INJURY 5 GENERAL AGGREGATE $ PRODUCTS. COMP/OP AGG 5 $ AUTOMOBILE LIABILITY ANY AUTO OWNEO AUTOS ONLY HIRED AUTOS ONLY SCHEDULED AUTOS NON.OWNED AUTOS ONLY s BODILY INJURY (Per person)$ BODILY INJURY (Per accident)s $ S UMBRELLA LIAB EXCESS LIAB OCCUR CLAII\iIS-I,4ADE EACH OCCURRENCE 5 AGGREGATE s DED RETENTION S S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) lf yes, describe under DESCRIPTION OF OPERATIONS below N/A N K1wc211012 0713112021 0713112022 \/ I PER, .ISTATUTE olH- ER E.L. EACH ACCIDENT s 500,000 E,L, DISEASE . EA EI\,,1PLOYEE s 500,000 E.L, DISEASE - POLICY LIMIT s 500,000 DESCRIPTION OFOPERATIONS/LocATloNs/vEHlcLES (AcoRD'l0l,AdditiohalRemarksschedute,maybeattachedif morespaceisrequired) CERT!FICATE CANC ,TION 1988.2015 ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.Collier County Contractor Licensing Board 2800 N. Horseshoe Dr FL 34104Naples -)ln*jr AUTHORIZED REPRESENTATIVE ACORD 2s (2016/03)The ACORD name and logo are registered marks of ACORD TION. Ala rights reserved. I I l I I + 8.D.1 Packet Pg. 163 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, JIMMY PATRONIS CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * ", CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 1 1 t2i t2o2i PERSON: JOZEF KINDERNAY FEIN: 813'180987 BUSINESS NAME AND ADDRESS: KIPA LLC TNT CABINETRY OF NAPLES 1201 PIPER PLVD #9 NAPLES, FL 341 1O SCOPE OF BUSINESS OR TRADE: Carpentry InstallationOf Contractor-prolectManager Cabinet Work or lnterior Trim Construction Eiecutive. - Construclion Manager or Construction Superintendenl EXPIRATION DATE: 11 t2t t2023 EMAIL: HANA@TNTCABINETRY.COM Carpen:-. Detached One or Two Farllv Dlvellings Carpentry Dwellngs Three Stor es or Less IMPORTANT: Pursuant to subsection 440.05(14), F.S., an officer of a ccrporation who elects exemption a certificate of election underthis section may nol recover benefits or compensation under this chapter. Pursuant to subs ectaon 440.05 election to be exempt issuedunder subsection (3) shall apply only to the corporate officer named on the notice of election to be exempl and apply only within the scope of the business ortrade listed on the notice of election to be exempt. Pursuant to subsection 440.05(13). F.S.. nolices ofelection to be exempt and certificates of election to beexempt 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 certificateno longer named on meets the requirements of this section for issuance of a ce(ificate. The department shall revoke a certificate at any time for failure of the personthe certificate to meet the requirements of this sectron. DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEN4PT REVISED 0B-13 E01411238 QUESTTONS? (850) 413-1609 from this chapter by filing i(12). F.S., Certificates of 8.D.1 Packet Pg. 164 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, CoLLIERCOUNTYBUSINESSTAX BUSII{ESSTAXNUMBER: coLLtER COUNTY TAX COLLECToR - 2800 N. HORSESHoE DRIVE - APLES FLORIDA 34104. (2391252.2471 VISIT oUR wEBslTE AT: m$r.colllertaxcol€&r.com THIS RECEIPT EXPIRES SEPTEMBER 30' 2022 DISPLAY AT PLACE OF BUSINESS FOR PUBLIC INSPECTION- FAILURE TO OO SO IS CONTRARY TO LOCAL LAWS 151080 151081 #iff-$*-il'*i=ffi, ""y,:#1if.1fr.;,rt- ttv I l"ro EMPLoYEES , \. u,h4 ,' . I CLASsrFtcATtoN CABINET & MILLWORK coNlRAcTql .'' -., SCLASSIF|CAT|oN CoDE: 02107501 .f ,'.--_ -__. 4o^- Il:j,Tl,'Jliil',',.:Hl':T,l;l'"i,iJ,I,:,,11j"i11;i"l,1llffi#"t6+.8,6,ft.' nordoes il exempt the licensee from anyothertaxes or pemits that may be requiredtrftar/. iSitlgi-j'o'PTPERBLVD#e _Jf*^,-:7!*,BUSINESS PHONET 653-9899 STATE oR couNry Lrc # l) t- LLC , \_ /-tQi -'-'{d .:'r* 'i'jl I tr- I i r'-,,fj t clAsstFtcATtoNi RETATL sALES i- 'i'' .,..'' I cLASslFlcATloN coDE: o390ooo'l )^f t - ' ." ,-.Q ThE document is a business kx ooty. This 15 not cenin.rtion t "t r,&lfS qiit - - - -a(U It does not pemit the licensee to viotate any existing r'.OutrrorV.oningiiir@@go$6r&, nor does it exempt the licenseo from any other taxes or permib that may be requl6Cty-taw: ' KIPA, LLC TNT CABINETRY OF NAPLES KINDERNAY, JOZEF 1201 PIPER BLVD # 9 NAPLES, FL 34110 .THIS TAX IS NON"REFUNDABLE. DATE 07t06t2021AI/oUNT 18.00RECETPT WWW-22-00049105 &( 7"".r(^-"oo COLLIER COUNTY BUSINESS TAX BUstNEss TAx NUIi,!BER coLLrER CoUNTY TAX COLLECIOB . 2800 N. HORSESHOE DRTVE " t{ApLES FLORTDA 34104 . \239]|252-2411 VISIT OUR WEBSITE AT: www.colliertax@l€dor.com THIS RECEIPT EXPIRES SEPTEMBER 30, 2022 DISPLAY AT PLACE OF BUSINESS FOR PUBLIC INSPECTION FAIIURE TO DO SO IS CONTRARY TO LOCAL LAWS. KIPA, LLC TNT CABINETRY OF NAPLES KINDERNAY, JOZEF 1201 PIPER BLVD #9 NAPLES, FL 34110 .THIS TAX IS NON.REFUNDAELE. DATE 07t06t2021AMOUNT 3O.OORECETPT WVW-22-00049'105 &(9""."/-.r,*r" 8.D.1 Packet Pg. 165 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, ET Cott?aty Growth Management Division Planning & Regulation Operations Department Licensing Scction May 5,2022 Jozef Kindemay KIPA, LLC: dba - TNT Cabinetry of Naples 1201 Piper Blvd # 9 Naples, Fl 34110 RE: Review of Experience - Building Contractor Dear Mr. Kindernay, You have been added to the agenda for the Collier County Contractors' Licensing Board on Wednesday, May l&th,2022. The Meeting is held at 9:00am at the W. Harmon Turner Building (Bldg F, Admin Bldg), 3299 Tamrami Trail East, 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 S Growth Management Division*Planning &Regulation*2800 North Horseshoe DrivetNaples, Florida 34104*239-252-2400*www.colliergov.net 8.D.1 Packet Pg. 166 Attachment: 8D JOZEF KINDERNAY - REVIEW OF EXPERIENCE – BUILDING CONTRACTOR – KIPA, LLC (DBA) TNT CABINETRY OF NAPLES, 05/18/2022 COLLIER COUNTY Contractor Licensing Board Item Number: 8.E Item Summary: SHIRLEY R. HALL – REVIEW OF EXPERIENCE - CONCRETE PLACING AND FINISHING CONTRACTOR - NOVELLO CONCRET Meeting Date: 05/18/2022 Prepared by: Title: – Contractor Licensing Name: Alyshia Morse 05/11/2022 12:06 PM Submitted by: Title: – Contractor Licensing Name: Tim Crotts 05/11/2022 12:06 PM Approved By: Review: Contractor Licensing Sandra Delgado Review item Completed 05/11/2022 3:12 PM Contractor Licensing Tim Crotts Review Item Completed 05/11/2022 5:05 PM Contractor Licensing Tim Crotts Meeting Pending 05/18/2022 9:00 AM 8.E Packet Pg. 167 Cav**! Growth Management Depadmeni Contractor Licensing 2800 N. Horseshoe Dr Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 APPLICATiON FOR COLIiTil COI.JNTY CERTITICATE OF COMPETENCY FIRM APPLICATION FOR COTLIER COUNTY CERTIFICATE OF COMPETENCY UL?-oU -lL51b UcWT-o1 t1 This application must be typewritler: or legibly printed. The application fee must be paid upon approval and is NOT refundable. All checks should be made payable to: Goll'er Courtty Esard of Courtty Conlmissrbners. For further information. consult Collier County Ordinance No. ?006-46, as amended. TYPE OF CERTIFICATE OF COMPETENCY: E General tr Building tr Residential D Mechanical tr Roofing $230.00 $230.00 $230.00 $230.00 $230.00 (_.: I Electrician E Plumber tr Air Conditioner tr Swimming Pool E/specialty $230.00 $230.00 $230.00 $230.00 $205.00 Specialty Trade:*h v0, R $ I. APPLICANT PERSONAL INFORMATION: Name.S[; Fii'st Business Name:sl(\D q Middle lnitiel Last -\2.-Address: L12\rt/'+L L t?-<: Street City State zip Email:n cJ ^:[,=r @ a-1, cou-, Telephone -nd-/- I &-SS # (Last 4 digits only)Zryg Date of Birth 2 Driver's License # (Last 4 digits only), gqqo *Pursuant to chapter l-19, Florida Statutes and Collier County Conrractor Licensing Ordinarrce 2006{6 Section 2.1.1., all applicants are required to submit their social security number (SSN) for the following purposes: af Assess applicant's ability to satisfy creditors by reviewing their credit history. b) Verification of applicant's test scores and information. Our office rvill only use your sSN noted above for those reasons irursuant 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, Fiorida Statutes. Firnr_Application.docx Rev 4/06/2020 Page 3 of 1S /l ?^^n-.Je 6rtn t*c-. 8.E.1 Packet Pg. 168 Attachment: 8E SHIRLEY R HALL – REVIEW OF EXPERIENCE - CONCRETE PLACING AND FINISHING CONTRACTOR - NOVELLO CONCRETE 1.53.10. Concrctc Pl*ing and Finishing Contractor rcquircr thirty-six (36) months cxpericncc with a paesing gradc on i.{hsc{3H€ur an aoomvcd tcgt and a prssing gradc on ! t*o €,)fur busincss erd law trst arrd mcans thorc who arc qualificd to pour place and finish concrctc flat wor* (floon, shb on gradc, sidcwalks, ctc.) including placearnt of mcsh rcinforccmcnt, plastic vapor banisn and edge forms incidcntd rcrcto. This category docs not includc thc plasrcring of ftc inrerior of a pool. 8.E.1 Packet Pg. 169 Attachment: 8E SHIRLEY R HALL – REVIEW OF EXPERIENCE - CONCRETE PLACING AND FINISHING CONTRACTOR - NOVELLO CONCRETE Col.ale;l! Growth Management Depadrnent Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 APPLICATION FOR COLLIER COUNTY CTRiITICATE OF COMPETENCY Provide the names and telephone numbers of two persons who will Name: un,r,I (;" t-1"(/, Ji. Name Telep none' LjQ: ?'l )- nfl always know your whereabouts. L Mr € Telepho Bq -gLE-z{\3 I!. NAME OF APPLICANT'S BUSINESS: Business Name: Ur*l{o Business Address:2G5 \J-) Street 1ts9 VL SLllzo City State zip Telephone Email:AcJ*Ju.s r rg qa;/,.-.r.r..^ Federal lD Tax No.G;- oq?zcti 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 OUESTIONS BELOW: t/Filed for or been discharged in bankruptcy within the past 5 years? /Had a lien filed against you by the lnternal Revenue Service or Florida Corporate Tax Division? Undertaken construction contracts or work that resulted in liens, suits, or judgments being filed? Undertaken construction contracts or work that a third party, such as a bonding or surety company, completed or made financialstatements on? t/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?* t/Had claims or lawsuits filed for unpaid or past due accounts by your creditors as a result of construction experience? Firm_Application.docx Rev 410012020 Page 4 of 15 tl 8.E.1 Packet Pg. 170 Attachment: 8E SHIRLEY R HALL – REVIEW OF EXPERIENCE - CONCRETE PLACING AND FINISHING CONTRACTOR - NOVELLO CONCRETE Cou*lty Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 Growth Managemerrt Depadnrent APPLICATION FOR COLLITR COUNTY CERTITICATE OT COMPETTNCY IV. EXPERIENCE VERIFICATION 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: UiA List below non formal education (on the job training) you have obtained in the area of competency for which this application is being made: \a).,.[r..d ,.,..]\. h*l.,0w J h R-tJ o^d .f$.o Q-+ui"+ zt> + cu RRENT/PREVTOUS LTCENSE: 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. \)rne AFFIDAV!T Under the penalties of perjury, I declare that I have read the foregoing application and the facts stated in it are true. Sl''l x.(( Flori L Countv * Ailr.r Applicant {nysicutpresence n online notarization on this (please print) State of The instrument was acknowledged before me means ?-{au,of 20 *,by, Such person(s) Notary Public must check applicable box: /b'^- 6" prrronully known to me E has produced a current driver license n has produced _ as idenrification. Ksvln Andrsw Marrctta Notary public Strtc of Florida Comm# HH160804 Explres 8/3/2025 f.lotary Signature (Notary Firm_Appiication.docx Rev 4106/2020 Page 5 of 15 8.E.1 Packet Pg. 171 Attachment: 8E SHIRLEY R HALL – REVIEW OF EXPERIENCE - CONCRETE PLACING AND FINISHING CONTRACTOR - NOVELLO CONCRETE Cov*lty Growth Management Department Contractor Licensing 2800 N. Horseshoe Dr Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 APPLICATION FOR COLLiTii COUI{IY C[R'|ITiC,^.TE OF COAAPETENCY 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. | 3\.,,J R {{ Applicant (please print \)o*l bu=,'^ Tq",D Name of Company State of \)-l otiA""County or Gtli*r The foregoi ent was ac me lneans cal orE notarization on this !{aay-ot ng instrum, UqrL.,20 4-'2-,by Such person(s) Notary Public must check applicable box ffare personally known to me ! has produced a current driver licensc [J has produced _as identificaticn. (Notary Seal) C.,," Kovln Andmw Maretta Notary Public State of Florlda Comm# HH160804 Expires 8/3/2025 Notary Signature: Firm_Application.docx Rev 410612020 Page 6 of 15 8.E.1 Packet Pg. 172 Attachment: 8E SHIRLEY R HALL – REVIEW OF EXPERIENCE - CONCRETE PLACING AND FINISHING CONTRACTOR - NOVELLO CONCRETE Caunty Growth lVlanagement Departrnerrt Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 APPLICATION FOR CCLLIfR COii;lTY C[k?lrlCATE 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. st.,Y tlP Applicant (please L)n.-l G.b\l,.*- 4^., fiyri"ur I c) Name of Company of BEFORE ME this day personally appeared SIi R, tt"/l 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 F(".iL County of E has produced (Notary Seal) C, The instrument was ackncwl edged me means @ay of 20zL,by Such person(s) Notary Public must check applicable box 6r" p"rronully known to me E has produced a current driver license orEon line notarization on this { as identification. lGvttAndrswManetts Notary Public State of Florida Commf HH160804 Explres 81312025 Notary Signature: Firm_Application.docx Rev 4/0612020 Page 7 of '15 8.E.1 Packet Pg. 173 Attachment: 8E SHIRLEY R HALL – REVIEW OF EXPERIENCE - CONCRETE PLACING AND FINISHING CONTRACTOR - NOVELLO CONCRETE Score Report Pro{ Name: Sponsor: lD #: Score: # Unanswered Questions: Module SHIRLEY R HALL Collier County Subject Area Business and Law - (FL08100) 03t03t2022 545263566 Pass Test: Date: Test lD: Result:80 0 Status LOW Cut Score HIGH FLBO Business F FLLIC Licensi F FLTL Tax Laws P FLSRR OSHA P FLLL Labor Laws P FLCM Contract F FLPM FLE&B FLFIV Financial q, Biqqrf's- FLRM Risk FLLIEN Lien laws P P P F P lJ 8.E.1 Packet Pg. 174 Attachment: 8E SHIRLEY R HALL – REVIEW OF EXPERIENCE - CONCRETE PLACING AND FINISHING CONTRACTOR - NOVELLO CONCRETE Score Report Pro{ Name: Sponsor: tD #: Score: # Unanswered Ouestions: Module SHIRLEY R HALL Collier County 85 Test: Date: Test lD: Result: Concrete Placing and Finishing - (FL08107) 02122t2022 261875827 Pass Cut Score HIGH 0 Subject Area Status LOW FLPRE Plan &P FLSAFE FLPcti Safety P of Concrete P FLPFP for Placement P FLREIN Reinforcement P FLP&F Placement & Finishi ls- FLSIF lnstallations & Finishes P P FLQCC Quality Control & Curing F lead1!o 8.E.1 Packet Pg. 175 Attachment: 8E SHIRLEY R HALL – REVIEW OF EXPERIENCE - CONCRETE PLACING AND FINISHING CONTRACTOR - NOVELLO CONCRETE rting st^eruicc - PERSONAL GREDIT REPORT MERGED REPORT COMPILED FROM NATIONAL RECORDS Entry # 10505 Phone: 850-539-8000 Fax: 866-651-5145 Email: ec@u nitedcrs.com tvuru.UnitedCRS.com 4583-A Capital Circle NW Tallahassee, FL 32303 March 30,2022 SUBJECT NAME: HALL, SHIRLEY R ALSO KNOWN AS: HALL, SHIRLEY, A CURRENT ADDRESS REPORTED: 02/200.7 265 NW. 31ST ST., NAPLES FL. 34120 EORMER ADDRESS REPORTED: 0l/2005 4175 SW. 5TH AV., NAPLES rL. 34119 1411 SW. 29TH ST., NAPT,ES EL. 34117 EMPLOYMENT DATA REPORTED US POSTAL SERVICE NAPLES EL. POSITION: CARRIER DATE VERIFIED : 04,21983 SOC]AL SECURITY NUMBER DOB:02/04/L958 -2939 PUBLIC RECORDS: O COLLECTIONS: 0 TRADE ACCTS': 24 CREDIT INQUIRIES: 1 THE SUBJECT'S TOTAL FILE HISTORY CURRENT NEGAT]VE ACCTS: O PREVIOUS NEGATIVE ACCTS: O PREVIOUS TIMES NEGATIVE: O EMPLOYMENT INQUIRIES: 1 REVOLVING ACCTS: INSTALLMENT ACCTS MORTGAGE ACCTS: OPEN ACCTS: 18 4 2 0 REVOLVING: MORTGAGE: CLOSED W/BAL TOTALS: HIGH CRED $1s.6K s5L4K PAST DUE $0 $0 $0 $0 MNTHLY $3033 $19s9 s5089 AVAIL 9'7% CRED LIMIT BALANCE $17.8K 5463$0 s3r.2K 1232K$17.8K S545KCtr'OU FICO CLASSTC SCORE - 752 CREDIT INFORMATION SYNCB/JCP D 235058D REVOLVING ACCOUNT CHARGE ACCOUNT VERIFTD 03/2022 BALANCE: 90 ,JOINT ACCOUNT OPENED Ll/1,990 MOST OWED: 521L3 CREDIT LIMIT: 54900 PAID OFE 04/2021, PAST DUE:$0 STATUS AS OE 04/2027 CURRENT; PAID OR PAYING AS AGREED IN PRIOR 48 MONTH/S FROM DATE VERIF'D NEVER LATE PAYMENT PATTERN : 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 L l, SYNCB/CHEVRO O 235064X REVOLVTNG ACCOUNT CHARGE ACCOUNT VERIFTD 03/2022 BALANCE: S126 TNDTVTDUAL ACCOUNT OPENED O8/L98'I MOST OWED: $704 CREDIT LIMIT: $2OOO PAST DUE:$0 STATUS AS OE 03/2022 CURRENT; PAID OR pAyING AS AGREEDIN PRIOR 48 MONTH/S FROM DATE VERIE'D NEVER LATE PAYMENT PATTERN : 1111,111111111111- 11111 11 1 Page I of5 8.E.1 Packet Pg. 176 Attachment: 8E SHIRLEY R HALL – REVIEW OF EXPERIENCE - CONCRETE PLACING AND FINISHING CONTRACTOR - NOVELLO CONCRETE JPMCB CARD B 26OKOO1 REVOLVfNG ACCOUNT FLEXIBLE SPENDING CREDIT CARD VERIE'D 03/2022 BALANCE: $72 AUTHORIZED ACCOUNT OPENED 06/2OL4 MOST oWED: i9116 CREDIT LIMIr: $5000 PAST DUE:S0 STATUS AS OE 03/2022 CURRENT,. PAID OR PAYING AS AGREED IN PRIOR 48 MONTH/S FROM DATE VERIE'D NEVER LATE PAYMENT PATTERN : 1 1 1 1 1 1 1 1 1 1 1 1 t- l- 1 1 1 1 1 r 1 r r r PNC MORTGAGE B 6613209 LINE OF CREDIT ACCOUNT CL IN REPAYMENT PHASE HOME EQUITY LOAN VERIE'D 03/2022 BALANCE: $232372 JOINT ACCOUNT OPENED 03/2001 MOST OWED: $295305 CREDIT LIMIT: 5305000 CLOSED 02/2008 PAST DUE:S0 STATUS AS OE 0212008 CURRENT; PAID OR PAYING AS AGREED ]N PRIOR 48 MONTH/S EROM DATE VERIF'D NEVER LATE PAYMENT PATTERN : 1 1 1 L 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 SPS E ISRMOO1 MORTGAGE ACCOUNT BALLOON PAYMENT CONVENTIONAL REAL ESTATE MTG VERIF'D 03/2022 BALANCE: 5312461 JOrNT ACCOUNT OPENED 06/2005 MOST OWED: $514138 PAY TERMS: 348 MONTHLY 53033 PAST DUE:$o BALLOON DUE 07012035 100600 STATUS AS OF 03/2022 CURRENT,. PAID OR PAYING AS AGREED IN PRIOR 21 MONTH/S FROM DATE VERIEID NEVER LATE PAYMENT PATTERN : l-lt1 1 1 rrll,t LLLllrrl C]TI SHELL B 282E024 REVOLVING ACCOUNT CREDIT CARD VERIF'D 03/2022 BALANCE: $265 ,JOINT ACCOUNT OPENED 06/1998 MOST OWED: $1114 CREDIT LIMIT: $600 PAST DUE:$0 STATUS AS OF 03/2022 CURRENT; PAID OR PAYING AS AGREED IN PRIOR 48 MONTH/S EROM DATE VERIE'D NEVER LATE PAYMENT PATTERN : 1 1 1 1 1 1 1 1 1 L L l, l- l- 1 1 1 1 1 r r I I I CBIBLLSFL D 1NZ816O REVOLVfNG ACCOUNT CHARGE ACCOUNT VERIE'D 02/2022 BALANCE: $0 INDIVIDUAL ACCOUNT OPENED 06/20L7 MOST OWED: $206 CREDIT LIMIT: $1000 PAID OFE 08/2020 PAST DUE:S0 STATUS AS OF 08/2020 CURRENT; PAID OR PAYING AS AGREEDIN PRIOR 48 MONTH/S EROM DATE VERIE'D NEVER LATE PAYMENT PATTERN : 1 l, 1 1 L 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 DSNB MACYS D 2A5TOOI REVOLVING ACCOUNT CHARGE ACCOUNTVERIF'D 02/2022 BALANCE: $0 INDIVIDUAL ACCOUNT OPENED l2/20L'7 MOST OWED: $245 CREDIT LIMIT: 51600 PAID OEE 0'7/2020 PAST DUE:S0 STATUS AS OF 01 /2020 CURRENT; PAID OR pAyING AS AGREEDIN PRIOR 48 MONTH/S FROM DATE VERIE'D NEVER LATE PAYMENT PATTERN : l-11111L11111111L11111111 BMW EIN SVC A 82WTOO2 TNSTALLMENT ACCOUNTCLOSED AUTOMOBILE VERIF'D LL/202L BALANCET S0 JOINT ACCOUNT OPENED 05/2020 MOST OWED: $43856 pAy TERMS: 72 MONTHLY S0CLOSED 11,/202L PAST DUE:S0 STATUS AS OE 1,1./202I CURRENT, PAID OR PAYING AS AGREEDIN PRIOR ].6 MONTH/S EROM DATE VERIF'D NEVER LATE PAYMENT PATTERN : 1 1 1 1 1 1,1 1 1 1 1 1 1 1 1 1 TRUIST B 295SOO3 INSTALLMENT ACCOUNT CLOSED AUTOMOBILE VERIE'D 0L/2021 BALANCE: $0 JOINT ACCOUNT OPENED 05/20L8 MOST OWED: $26400 pAy TERMS: 61 MoNTHLy SOCLOSED 0L/202L PAST DUE:S0 STATUS AS OE 01,/2021 CURRENT, PAID OR pAyING AS AGREED Page 2 of 5 8.E.1 Packet Pg. 177 Attachment: 8E SHIRLEY R HALL – REVIEW OF EXPERIENCE - CONCRETE PLACING AND FINISHING CONTRACTOR - NOVELLO CONCRETE IN PRIOR 31 MONTH/S EROM DATE VERIE'D NEVER LATE PAYMENT PATTERN : 111111111111111111111111 KOHLS/CAPONE D 12ENOO5 REVOLVING ACCOUNT INACTIVE ACCOUNT CHARGE ACCOUNT VERIFfD 0L/2O2L BALANCE: $0 INDIVIDUAL ACCOUNT OPENED 03/20L0 MOST OWED: $355 CREDIT LIMIT: 5300 PAID OFF 12/2018 PAST DUE:$0 STATUS AS OF 1,2/2020 CURRENT,. PAID OR PAYING AS AGREED IN PRIOR 48 MONTH/S EROM DATE VERIE'D NEVER LATE PAYMENT PATTERN : 1 1 1 l- 1 1 1 1 1 1 1 1 1 r 1 1 1 1 1 l- l- I 1- I ASHRO D 4534006 REVOLVING ACCOUNT CHARGE ACCOUNT VERIE'D L0/2020 BALANCE: $0 INDIVTDUAL ACCOUNT OPENED 0L/2OI3 MOST OWED: $845 CREDIT LIMIT: $2700 PAID OEF L0/2020 PAST DUE:S0 STATUS AS OE 10,/2020 CURRENT,. PAID OR PAYING AS AGREEDIN PRIOR 01 MONTH/S EROM DATE VERIFID NEVER LATE PAYMENT PATTERN:1 SYNCB/LITT Y 99922IU REVOLV]NG ACCOUNT INACTIVE ACCOUNT CHARGE ACCOUNT VERIE'D 01/2020 BALANCE: $0 INDIVIDUAL ACCOUNT OPENED l1/2OL6 MOST OWED: $5638 CREDIT LIMIT: 55700 PAID OFF 03/2011 PAST DUETS0 STATUS AS OY 04/2020 CURRENT; PAID OR PAYING AS AGREED IN PRIOR 44 MONTH/S EROM DATE VERIF'D NEVER LATE PAYMENT PATTERN : 111111111 l- 1 l- 111111111 11 L JPMCB HOME B LI2]OO! MORTGAGE ACCOUNT TRNSERD: OTHER LENDER CONVENTIONAL REAL ESTATE MTGVERIF'D 06/2020 BALANCE: $0 JOINT ACCOUNT OPENED O2/200'l MOST OWED: $5141"38 PAY TERMS: 336 MONTHLY $0 CLOSED 06/2020 PAST DUE:S0 STATUS AS OE 06/2020 CURRENT; PAID OR PAYING AS AGREED IN PRIOR 48 MONTH/S FROM DATE VERIEID NEVER LATE PAYMENT PATTERN : 1 I I 1 1 1 l- I l. l- l, I l- 1 l1 1 1 I I 1 I 1 1 CCB/GEI\.1 J LNZ8243 REVOLVING ACCOUNT CLSD BY CRDT GRANTOR CHARGE ACCOUNT VERIE'D 05/2020 BALANCE: $0 INDTVTDUAL ACCOUNT OPENED tl/20L3 MoST OWED: $4010 CREDTT LrMrT: $4050 PAID OEE 08/2A17 PAST DUE:S0 STATUS AS OF 05/2020 CURRENT; PAID OR PAYING AS AGREED IN PRIOR 48 MONTH/S EROM DATE VERIF'D PAYMENT PATTERN : XLLl I1111111111111111111 CBIPIER]. H 1N28183 REVOLVING ACCOUNT CISD BY CRDT GRANTOR CHARGE ACCOUNT VERIF'D 05/2020 BALANCE: $0 INDTVTDUAL ACCOUNT OPENED 09/20L5 MOST OWED: $23't CREDTT LrMrT: 53000 PAID OFE 01/201,8 PAST DUE:S0 STATUS AS OF 04/2020 CURRENT, PAID OR pAyING AS AGREEDIN PRIOR 48 MONTH/S FROM DATE VERTEID PAYMENT PATTERN : X]- I I 1 1 L l. 1 L 1 I 1 1 1 1 I L 1 1 1 1 1 1 DSNB MACYS D 2A5TOO]- REVOLVING ACCOUNT CLSD BY CRDT GRANTOR CHARGE ACCOUNTVERIF'D 1"2/20L9 BALANCE: $0 TNDTVTDUAL ACCOUNT OPENED 12/2073 MOST OWED: $875 CREDTT LrMrT: $2OOPAID oEE 02/20),5 PAST DUE:90 STATUS AS OF L2/2074 CURRENT; PAID OR PAYING AS AGREEDIN PRIOR 48 MONTH/S FROM DATE VERIFID NEVER LATE PAYMENT PATTERN : 1 1 1 1 l- 1 1 1 1 1 1 I 1 I 1 I 1 I 1 I 1 L L 1 CAPITAL ONE B 1DTVO41 CLSD BY CRDT GRANTOR VERIF'D 1,I/201,9 BALANCE: $O OPENED 03/201,2 MOST OWED: S400 REVOLVING ACCOUNT CHARGE ACCOUNT INDlV]DUAL ACCOUNT CREDIT LIMIT: $5OO Page 3 of 5 8.E.1 Packet Pg. 178 Attachment: 8E SHIRLEY R HALL – REVIEW OF EXPERIENCE - CONCRETE PLACING AND FINISHING CONTRACTOR - NOVELLO CONCRETE PAID oEE 07/201,8 PASr DUE:$0 PFROM COMENITY BANKDRESSBARN STATUS AS OF 10,/2019 CURRENT; PAID OR PAYING AS AGREED IN PRIOR 48 MONTH/S FROM DATE VERIE'D NEVER LATE PAYMENT PATTERN : 1 1 1 I I I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 CCBICHLDPLCE C 1N28328 CLSD BY CRDT GRANTOR VERIFTD L7/20L8 BALANCE: $0 OPENED 02/2014 MOST OWED: S203 PAID OFF 07/2016 PAST DUE:S0 PFROM C]TIBANK STATUS AS OE 1112018 CURRENT,. PAID OR PAYING AS AGREED IN PRIOR 48 MONTH/S EROM DATE VERIF'D NEVER LATE PAYMENT PATTERN : 1 1 1 1 1 1 I l- I I l- l, L l I 1 1 1 I I 1 I 1 1 CBIEXPRESS C 834900]. REVOLVING ACCOUNT CLSD BY CRDT GRANTOR CHARGE ACCOUNT VERIF'D 05/2018 BALANCE: $0 INDMDUAL ACCOUNT OPENED 05/2013 MOST OWED: S57 CREDIT LIMIT: $500 PAID OEF 05/2OL3 PAST DUE:$0 STATUS AS OE 0412018 CURRENT; PAID OR PAYING AS AGREED ]N PRIOR 48 MONTH/S FROM DATE VERIE'D NEVER LATE PAYMENT PATTERN : 11IL11L11l-rIII111IIIIIL CBINY&CO C 1NZ8O74 REVOLVING ACCOUNT CLSD BY CRDT GRANTOR CHARGE ACCOUNT VERTEfD 04/2018 BALANCE: S0 INDIVIDUAL ACCOUNT OPENED 05/2012 MOST oWED: $59 CREDIT LIMIT: 5500 PAID OEE 06/2OL2 PASr DUE:S0 STATUS AS OE O4l20],8 CURRENT,. PA]D OR PAY]NG AS AGREED IN PRIOR 48 MONTH,/S EROM DATE VERIF'D NEVER LATE PAYMENT PATTERN : l" L l" 1 1 1 1 1 1 r 1 r 1 l l- 1 L L L L 1 1" L BMW EIN SVC A 82WTOO2 INSTALLMENT ACCOUNT CLOSED AUTOMOBILE VERIFTD 02/201,8 BALANCE: $0 JoINT ACCOUNT OPENED 04/2016 MOST OWED: $33598 PAY TERMS: 60 MONTHLY S0 CLOSED 02/20L8 PAST DUE:S0 STATUS AS OE 02/2018 CURRENT,. PAID OR PAYING AS AGREED IN PRIOR 21 MONTH/S FROM DATE VERIE'D NEVER LATE PAYMENT PATTERN : 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 SYNCB/GAPDC B 235064D REVOLVING ACCOUNT CLOSED CREDIT CARD VERIF'D 01/20L6 BALANCE: $0 INDIVIDUAL ACCOUNT OPENED 1,1,/20L2 MOST OWED: $70 CREDIT LIMIT: $1024 PA]D OTF I2/20L2 PAST DUE:$O STATUS AS OF 01,/2015 CURRENT,. PAID OR PAYING AS AGREED IN PRIOR 38 MONTH/S FROM DATE VERIEID NEVER LATE PAYMENT PATTERN : 1 1 1 1 1 1- 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 L 1 BMV{ EIN SVC A 82WTOO2 INSTALLMENT ACCOUNT CLOSED AUTOMOBILE vERIEtD L1,/2014 BALANCE: $0 JOINT ACCOUNT OPENED 06/2014 MOST OWED: $15230 PAY TERMS: 48 MONTHLY $O CLOSED ll/20L4 PAST DUE:$0 STATUS AS OE 1Tl20],4 CURRENT,. PA]D OR PAYING AS AGREED ]N PRIOR 04 MONTH/S EROM DATE VERIF'D NEVER LATE PAYMENT PATTERN:11 PUBLIC RECORDS PUBLIC RECORDS HAVE BEEN CHECKED AT THE COUNTY, STATE, AND FEDRAL LEVELS RESULTS: NO PUBLIC RECORDS FOUND END OF REPORT REVOLVING ACCOUNT CHARGE ACCOUNT ]NDIVIDUAL ACCOUNT CREDIT LIMIT: $500 Page 4 of 5 8.E.1 Packet Pg. 179 Attachment: 8E SHIRLEY R HALL – REVIEW OF EXPERIENCE - CONCRETE PLACING AND FINISHING CONTRACTOR - NOVELLO CONCRETE It i3 wfth u nileFlanding lhal lhe credit .coro attachedlolhis report can fluctuare daily and can chango drastically.ln 3omecas6, ovor 100 poinB when making big pu.ch.ses, etc- Page 5 of 5 8.E.1 Packet Pg. 180 Attachment: 8E SHIRLEY R HALL – REVIEW OF EXPERIENCE - CONCRETE PLACING AND FINISHING CONTRACTOR - NOVELLO CONCRETE .trlirrf,! .Sc'n,ict: Entry # 10605 NOVELLO CONCRETE DIVISION, 265 3,IST STREET NW NAPLES, FL 34120 PHONE: (239) 304-1481 Tmde Linss Found: 28 Crodit Standing: cood Standing Business Type: CORP FEIN Numbsr: 65-0422615 Florida SOS Documont #: P93000063182 Key Facts Years in Business: Key Personnol: Florida R6gistered Agent: BUSINESS CREDIT REPORT As of:3/30/22 rNc.Crsdit Summary y' Bankruptcies: y' Liens: y' Judgments Filod y' collections: RESULTS: NONE FOUNO 28 Years PTESidENt: HALL, WILLIE JAI\4ES, SR. V|CE PTESidENt: HALL, SHIRLEY R HALL, WILLIE JAMES, SR. 265 31ST STREET NW NAPLES, FL 34120 PUBLIC RECORDS HAVE BEEN CHECKED AT LOCAL, STATE AND FEDERAL LEVELS Page I of I ** tt Phone: 850-539-8000 Fax:866-651-6145 Email: cc@unitedcrs.com www.UnitodCRS,com 4583-A Capital Circlo NW Tallahasseo, FL 32303 OBPR PUBLIC RECORD STATEMENT: 8.E.1 Packet Pg. 181 Attachment: 8E SHIRLEY R HALL – REVIEW OF EXPERIENCE - CONCRETE PLACING AND FINISHING CONTRACTOR - NOVELLO CONCRETE ,#DwrsroN o/ ORPORATIONSC Dep_art!0en!-alslate / Division of Corp_AGlgls / Search Records / Search by_Entlty_NsEe / Detail by Entity Name Florida Profi t Corporation NOVELLO CONCRETE DIVISION, INC. Filing lnformation Document Number P93000063182 FEUEIN Number 6s-04226is Date Filed 09/07/1993 State FL Status ACTIVE LastEvent AMENDMENT Event Date Filed 0910712021 Event Effective Date NONE Princioal Address 265 31ST STREET NW NAPLES, FL34120 Changed: 0512912012 Mailing Address 265 31ST STREET NW NAPLES, FL34120 Changed: 0512912012 Registered Agent Name & Address HALL, WILLIE James, Sr. 265 31ST STREET NW NAPLES, FL34120 Name Changed. 06111 12015 Address Changed : 05129 120 12 Off icer/Di rector Detai I Name & Address Title P HALL, WILLIE James, Sr. https://search. su nbiz.org/lnquiry/CorporationSea rc h/SearchResu...tNa meOrder=N OVE LLOCON CRETE DIVISION%20P930000631821 3125122,8:09 PM Page 1 oI 3 FLoRr pA DEPARTMENT of srAi;DrvrsroN or Conponlrroxs an oflicial State of Florida w,ebsite 8.E.1 Packet Pg. 182 Attachment: 8E SHIRLEY R HALL – REVIEW OF EXPERIENCE - CONCRETE PLACING AND FINISHING CONTRACTOR - NOVELLO CONCRETE https://search.sunblz.org/lnquiry/corporationsearch/searchResu...tNameorder=NovELLocoNcRETEDtvtsloN%20p930000631g21 265 31st STREET NW NAPLES, FL34120 Title V HALL, SHIRLEY R 265 31 STREET NW NAPLES, FL34120 Annual Reoorts Report Year 2020 2021 2022 Filed Date 02t15t2020 02t08t2021 02t21t2022 Document lmaggg O2l2112022 - ANNUAL REPORT 09/07/2021 - Amendment 02115,'2020 ANNUAL REPORT View image in PDF format . O2l1212018 - ANNUAL REPORT 01/30/2017 - ANNUAL REPORT O3/1212016 - ANNUAL REPORT 06/11/2015 _ ANNUAL REPORT O4l09/2014 - ANNUAL REPORT 0212612013 - ANNUAL REPORT 05/2912012 - ANNUAL REPORT 04103/2011 - ANNUAL REPORT O1/2212009 _ ANNUAL REPORT C4,10,2008 -- ANNUAL REPORT View image in PDF tormat O2l27l2006 - ANNUAL REPORT O4l22l2005 _ ANNUAL REPORT 01/10/2005 - Name Change O7l27l2004 - ANNUAL REPORT O5/16/2OOO - ANNUAL REPORT 03/08/1 999 - ANNUAT REPORT O2l09/1 998 - ANNUAL REPORT O3/20l1 997 - ANNUAL REPORT O4l27l1 995 _ ANNUAL REPORT 3125122,8:09 PM Page 2 of 3 Mew image in PDF format Mew image in PDF format Mew image in PDF format View image in PDF format View image in PDF lormat View image in PDF format View image in PDF fiormat View image in PDF fiormat Mew image in PDF View image in Mew image in PDF format View image in PDF tormat View image in POF format Vaew image in PDF format View image in PDF format View image in PDF format Viev, irnage in PDF format View image in PDF format View image in PDF format Mew image in PDF format View image in PDF format Mew image in PDF fiormat View image in PDF tormat Mew image in PDF format Mew image in PDF format Mew image in PDF brmat 8.E.1 Packet Pg. 183 Attachment: 8E SHIRLEY R HALL – REVIEW OF EXPERIENCE - CONCRETE PLACING AND FINISHING CONTRACTOR - NOVELLO CONCRETE 2022 FLORIDA PROFIT CORPORATION ANNUAL REPORT DOCUIVENT# P93OOOO63 1 82 Entity Name: NOVELLO CONCRETE DlvlSlON, lNC. Current Principal Place of Business: 265 31ST STREET NW NAPLES, FL 34120 FILED Feb 21,2022 Secretary of State 9547733428CC Certificate of Status Desired: Yes Current Mailing Address 265 31ST STREET NW NAPLES, FL 34120 FEI Number: 65-0422615 Name and Address of Gurrent Registered Agent: HALL, WILLIE JAMES SR" 265 31ST STREET NW NAPLES, FL 34120 US The above named entity submits thrs statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida. SIGNATURE: WILLIE JAMES HALL SR. 0212112022 Electronic Signature of Registered Agent Officer/Director Detail : Title P Name HALL, WILLIE JAMES SR. Address 265 31ST STREET NW City-State-Zip: NAPLES FL 34120 above, or on an aftachment with all other like empowered. SIGNATURE:wILLIE J HALL PRESIDENT 0212112022 Date Title Name Address City-State-Zip: HALL, SHIRLEY R 265 31 STREET NW NAPLES FL 34120 Electronic Signature of Signing Officer/Director Detail Date 8.E.1 Packet Pg. 184 Attachment: 8E SHIRLEY R HALL – REVIEW OF EXPERIENCE - CONCRETE PLACING AND FINISHING CONTRACTOR - NOVELLO CONCRETE Pq7 (Requesto/s Name) (Address) (Address) (Clty/StateZip/Phone #) fl ercx-ue ! wnrr ! uerr- (Business Entity Name) (Document Number) Certified Copies Certificates of Status Special lnstructions to Filing Officer: Otfice Use Only 000 b7 ts l rillil llil llil llllt ilIil ilil ilil] llil lilt iltit lilt !il til ilt!!il ililil t!ilil ill 00037247 1 450 rl:i,'[r?,,/il 1 --t:l l t_tJi:t --t] 1 :1 r* :i5, [t[l NC) ='J',l l'r'i-U I J i> € (-) N) j ,:"tl \rLn sEP i r ?0u1 I ALBRITTQI'I 8.E.1 Packet Pg. 185 Attachment: 8E SHIRLEY R HALL – REVIEW OF EXPERIENCE - CONCRETE PLACING AND FINISHING CONTRACTOR - NOVELLO CONCRETE c()\'l,R-1..1:Trt R 'l'0 : r\nrcndrrtcrrt Scction I)ivisiorr ol' Corporarions \..\TI E () F CoRP()R.\TI()\ DOCUTT l.\'1' NUll [rt R: Novcllo Ct'rncrctc [)ivision, loc '['hc r:nclrrssd Artides oJ'Ameultncn I and li.c aru suhrrrinctl lbr lilirrg. I'leasc return alI corrcsporrdcncc ceuccnrirlg this nla[cr ro rhc lbllorving: \1/illirrJ llall SR Nantc ol' (.ont:rct ['cr.son Novcllo Cortsrr:(c l)ivisiorr. Inc l"irrn/ Corrrpany 265 ilst St \\\' Addrcs-s Naplcs. Fl -l{ 1 l0 Cit1y' Statc and Zip Codc Nctlrvhsr@aol.corrt I:-ntail addrcss: {to be usc(l lilr ftrturc allnual rcp()rt notillcalion) For turther inlbrnratir-rn corrccrning rhis tnalter, plea.rc clrll: \\'iilicJllallSl )'l{)s2i- lc)04ar( \ar)rc o l'Conlact |)crsot)r\rca Codc & Dat'tinrc '['el*phorrc Nurrrbcr ljlrclosr'd is a chcck lbr thc lbllorving iurtounl rlirdc pavablc ro thc l.'loridu I)cpartrncrrl ot'Sturc: I s:ts ljiling l:cc trs+.i.ls l:ilirrg Fcc & Esr.i.z.s lriling l:c-c & nss:.so [;iling lir.c Cjcrtilicntc of St:rrr,rs Ccrriticd Copl' Ccrrit'icarc ol.Stalus (r\dditirrrrul urrpy is Ccrrilicrl Cop_r. cnclosctl) (r\ddirionirl Cop1. is cnclosrd) )Iailins A(ldrrss Arttcndrnc'nt Scctiorr Division ol' Corporurions P.O. llo-r 6127 -l'ullahirsscr. IjL l2.l I-l St rcr'l .\drl rcss r\ntcndrucnt Scction Divi.sion ol (Jorpolatiorrs -l'hc Ccntrc ol' Tallalrasscc 2-l l5 N. i\,lorrroc Srrcer. Suire 810 'l-:rlhh;rsscc, l:L ili().i 8.E.1 Packet Pg. 186 Attachment: 8E SHIRLEY R HALL – REVIEW OF EXPERIENCE - CONCRETE PLACING AND FINISHING CONTRACTOR - NOVELLO CONCRETE ..\rticlcs of ,\ nlendnlent to ,\rticles of I ncurporation of (\arlr of.(-orooration ls currentlr' filrd_n'ith thc Flrrrid:r l)e_qt. of State) ( f)ocunrcnt N unrbr.r o I' Corporarion ( i l' k norvn) its r\:'ticlcs ot' I ncorporir(ion: A. lf lnrcnding namc, cnlcr lhc ncrl nlnrc rrf lhc cr.rrooraliol: :L,,,;;"i ".hilrtcrcd." "proJi,ssionul uss<tciotitttr." or tht ohhrrviuliott "P...1." B. [,lrlcr rrcrr prirrciprrl officc addrcss. if aptrlicahlc: (l'rincipul trffit:e uddrrs.s ,lIUSf BE .,1 STREI:-T ..t.DDRL-SS I p OrJ !1 -J :l a ,4qv C. Flnler nclr nrailins uddrrss. if loulicablr: (,llailing addrest tv/fi' RE jl I,OST Ol, l'lCE ROX)u C, t). ,Vonrc rrf ,\t'ry R.gi.ttcre'<l :lgcttt ltcw Rtgi"stercd Otlice ,4dlruss: ( f^ I tt ri lu t I r.' il dtld,'!.ts I l;lorida_--- lZilt ('u/c)tCrtyt Ncrv R.cgistercd r\scnt's Sisn:rtu rc. i f chrr ngins Rcf istt:rrd ..\ecnf : S i gn a t r r r r o f',\t t u' R rg i s I c t r d ..1 qt n r, i.l' t: h u ngi nu Chcck iI applicablc D 'l'hc anrcndntclt(s) is/arc bcirr-q ljitrl pulsuirnt ro s. (r07,0120 (l l) (c). Ij.S. Novcllo Corrcrtc l)ivision. lrtc. 8.E.1 Packet Pg. 187 Attachment: 8E SHIRLEY R HALL – REVIEW OF EXPERIENCE - CONCRETE PLACING AND FINISHING CONTRACTOR - NOVELLO CONCRETE If antt'nding iht ()fficcrs rnd/or Direct{rrs. entrr the titlr lnd nanrc of cach offict'r/tlirector lreing rcnror'cd and tille. rranre. and addrcss of cech Officcr and/or Dircctor bcing rrdded: (..1 t t t <' h a I t I i t i o n a I .t h e a ! s, i l' t t t c <'.s tt t r.t' ) l'lt'u.r( fir;tr tlt,,rLlitar/tlirtL'k)l'titlr h_t'th,,./ir:^t lctrtt'ttJ tht o.lJi<'t titlt: I're.tiiant, Trut.sun'r. Dircctrtr wtuhl ht l'7'l). ,llikc.lones, l" us RanxtrL'. tni Sallr Snrith, Slt us on ..lll. llra nrple: X Chlngc Pl' John l)oc .\ Rcnror.c X r\dd 'n'as^s!-4s!rqr (('hcck Onc) l) _ Chlnuc' I_ Adtt - Rcnrovc \ _Chtrrsc _ r\dd - Rct:tovc ..1 ) _ Clrangc Add - l{cnrovc 1) _ Chanss r\<ld _ Rr:movc 5) _Changc _ .\dd _ Rcnrovc 6) _ Changc _ Add I{crrrovc \tike Jones Sallv lrrith v SV 'l'itlc r\ddrr'ss 2(ri .l Ist St N\\' Nuplcs. l:l i{ 120 Nalnc Shirlcv R Ilall 8.E.1 Packet Pg. 188 Attachment: 8E SHIRLEY R HALL – REVIEW OF EXPERIENCE - CONCRETE PLACING AND FINISHING CONTRACTOR - NOVELLO CONCRETE l). If anrendjnr or :rddine additionrl Articles. rntcr changc{s) hcrr: (r\rtach udditionul shtcts, if necc.t.run'1. (Dc srctiJic) l. Ifan unrcndmcnl provitles fof un t'rchar!ge. rctlassificalion. or canccllllion oI issued shares. provisions fgr inrplsmcntint lhe unrcndment.if not contained in the anrendmenl itself: ( i i' nor upp I i cultl t'. irul icure t\/.4\ 8.E.1 Packet Pg. 189 Attachment: 8E SHIRLEY R HALL – REVIEW OF EXPERIENCE - CONCRETE PLACING AND FINISHING CONTRACTOR - NOVELLO CONCRETE 'l'he datc of each aurcndntt'nt(s) adoption: . il- othcr thrn lhe dctc this docurrrcnt *'rs signed. t ffcctir'e date if roplicahlt' l,t() mor( thun 9(l duy.s u.litr untt,rulntcnt./ilc latet docrrrncnt's cl'hctivc dllr'on thc l)cpnrtnrcnt of Statc's rccord.s. Adoplion of A rnendnrenll5)(cilt:cti oit+t) lrclion \r'ils n()l rc(luirc(i, !'['hc rttrcntlr]lcnt(s) \r'as/\\'cr'c adoptcd by'thc sharchtrldcrs. 'l'hc nunrbcr uf \'()rcs casl tur thc arrrcndrncnt(s) bv thc sharr.'holdcrs s'as/rvcrc sulficicnt lirr irpproyll. "'l'hc rturttbcr r.rl'votcs cilsl ti)r tlrc arncndrr:cnt(s) sasir*crc sufficicnt ibr appror,:rl b_v (votint troupl q l) Siluraturc -LQ-)L (R1' l dircctor. prc.si<turrt ()r o(hcr olllrr:r - if dircctols or olJlcurs havc nol bc'crr sclccturl. b1':rn irrcorprlrirtor - ifin thc harttls ol'a lcceivr:r, lrustcc. rrr r:thr:r courl :rppointcd fiduciar'r, bv rhar ticlucirrv) Willie J l.tall Sr ('l'ypcd or prirrtcd nanrc of'pcrson si_urrirrg) l'rcs idcnt (-l-itlc ol' pcrson sisninq) 8.E.1 Packet Pg. 190 Attachment: 8E SHIRLEY R HALL – REVIEW OF EXPERIENCE - CONCRETE PLACING AND FINISHING CONTRACTOR - NOVELLO CONCRETE ro- 1120-s U.S. lncome Tax Return for an S Corporation ) Do not file this form unless the corporation has filed or is attaching Form 2553 to elect to be an S corporation. > Go to www.its"govlForml lZ)S lor instructions and the latost information. tnnr OMB No. 1545-0123 2@21Department of the Treasury lnternal Revenue Service For calendar 2021 ortax A S election effective date ot/01,/1,ee5 D Employer identification number 65-04226L5 B Businass activity code number (see instructions) E Date incorporated 08 1a L993 2357L0 F Total assets (see instructions) C Check il Sch. M-3 attached $298 605 ls the corporation electing to be an S corporation beginning with this tax year? See instructions.Yes No Check if: (1) ! Final return (2) E Name change (3) [] Address change (4) ! Amended return (5) fl S election termination Enterthenumberofshareholderswhowereshareholdersduringanypartofthetaxyear.> Check if corporation: (1)Aggregated activities for section 465 at-risk (2) ! Grouped activities for section 469 passive activity purposes G H I J 1 fo Concrete Dj-vision, Inc. Name Number, street, and room or suite no. lf a P.O. box, see instructions. 65 3l-st St Nw TYPE OR PRINT City or town, state or province, country, and ZIP or foreign postal code l-es FL 34720 1a 1,1,73 ,]-37 tb 1c 2 3 4 5 la b c 2 3 4 5 6 Gross receipts or sales Returns and allowances Balance. Subtract line 1 b from line 1a Cost of goods sold (attach Form 1125-4) . Gross profit. Subtract line 2 from line 1c Net gain (loss) from Form 4797,line 17 (attach Form 4797) Other income (loss) (see instructions-attach statement) Total income Aod lines 3 5 6 7 8 I 10 11 12 13 14 15 16 17 18 't9 20 7 Compensation of officers (see instructions-attach Form 1 '125-E) I Salaries and wages (less employment credits) 9 Repairs and maintenance . 10 Bad debts 11 Rents 12 Taxes and licenses . 13 lnterest (see instructions) 14 Depreciation not claimed on Form 1125-A or elsewhere on return (attach Form 4562) '15 Depletion (Do not deduct oil and gas depletion.) 16 Advertising 17 Pension, profit-sharing, etc., plans 18 Employee benefit programs 19 Other deductions (attach statement) . See. Sta.tement. m Total deductions. Add lines 7 through 19 21 Ordinary business income (loss). Subtract line 20 from line 6 21 Excess net passive income or LIFO recapture tax (see instructions) . Tax from Schedule D (Form 1120-S) Add lines 22a and 22b (see instructions for additional taxes) 2021 estimated tax payments and 2020 overpayment credited lo 2021 Tax deposited with Form 7004 Credit for federal tax paid on fuels (attach Form 4136) Add lines 23a through 23c Estimated tax penalty (see instructions). Check if Form 2220 is attached . > tr Amount owed. lf line 23d is smaller than the total of lines 22c and 24, enter arr.ount owed Overpayrnent. lf line 23d is larger than the total of lines 22c and 24, enter amourtt overpaid Enter amount from line 26: Credited lo 2O2. estimated tax > Refunded ) Z2a b G 8a b c d 24 25 fr 27 2c Yes No 23d 27 24 25 26 22a 23c 22b 23b 23a May the IRS discuss lhis return with the preparer S€e inslructions. PrinVType preparer's name Kevin A. Marretta, CPA Preparer's signature 02/25/2022 Date check n iI self-employed Firm,sname > Unsworth, I{arretta & Unsi,,/ol:th Cer: 1es !'L 34!04Firm'saddress> 3960 Radio Road, Suite 203 Na Caution: lnclude only trade or business income and expenses on lines 1a through 21 . See the instructions for more information. Under penalties of perjury, I il is true, conect, and declare lhat I have examined this return, 1 173 L37o Eoog 327 289 845 848 845,848 74 880 320 511 817 2 ,8L3 94 798 493 919 351 929 and to the best of my knowledge and has 6c .o E E o atttr .9 o5 o,s o) o)a ;tr .9 o =too o eo E oo.ttro x6 Sign Here belief,complete. Declaration of preparer (other )President Dale Paid Preparer Use Only Signature of officer PTIN P007 97 495 Flrm,s EtN >87-3739790 no. (23 549-8111 For Paperwork Reduction Act Notice, se6 separate instructions, BAA )Title REV O2|2Z22PRO rorm 1 120-S poztl 8.E.1 Packet Pg. 191 Attachment: 8E SHIRLEY R HALL – REVIEW OF EXPERIENCE - CONCRETE PLACING AND FINISHING CONTRACTOR - NOVELLO CONCRETE GIient: Client EIN: Preparer: Type: Retum Submltted: Return Accoptance Oats: Flrst E*onslon Submittod: FiBt Extenelon Acceptanco Dats: Amendod Rotum Submitted: Amonded Retum Acceptanc€ Date: Novello Concrete, Division, Kevin A. Manetta, CPA 11203 Federal I lnc. March 05,2022, 11:19 A -05:00 03t05t2022 Certification of Electronic Filing Submission The lntuit Electronic Postmark is deemed the filing date if the date of the electronic postmark is on or before the date prescribed for filing of the federal business income tax return/extension. This information should be kept along with the tax return/extension as an ofiicial filing record. There are two importiant aspects of the lntuit Electronic Postmark: ,. The lntuit Electronlc Postma*. The electronic postmark shows the date and time lntuit received the federal retum/extension, and is deemed the filing date if the date of the electronic postmark is on or before the date prescribed for filing of the federal business income tax return/extension. Timely Filing: A federal business income tax refurn/extension must be postmarked by midnight, of its due date, for the IRS to consider it timely filed. lntuit issues the electronic postmark in the Pacific Time Zone. ln general, the lntuit Elec{ronic Postrnark time must be adjusted to the elecfonic retum originato/s (ERO) Local Time Zone. For example, if the ERO is located in the Eastem Time Zone, add three (3) hours to he lntuit Electronic Postmark time to determine the actual postrnark time. lf the federal tax retum/extension is rejected, the IRS will still consider it timely filed if the electronic postmark is on or before its due date, and a conected return/extension is submitted electronically within 5 business days of the due date, and is then accepted. lf the taxpayer requesE an automatic extension of time to file, the return must be electronically postmarked by midnight of the extended due date, for the IRS to consider it timely filed. lf the extended federal tax return is rejected, the IRS will still consider it timely filed if the electronic postmark is on or before the first or second extended due date, respectively, and the corrected return is electronically submitted within 5 days of the extended due date, respectively, and then accepted. 2. The Acceptance Date. once the lRs accepts the electronically filed returr/extension, the acceptance date will be provided by the lntuit Electronic Filing center. This date is proof that the IRS accepted the electronically fi led return/extension. lntuit Electronic Postmark Report for Tax Year 2021 8.E.1 Packet Pg. 192 Attachment: 8E SHIRLEY R HALL – REVIEW OF EXPERIENCE - CONCRETE PLACING AND FINISHING CONTRACTOR - NOVELLO CONCRETE Cout+Ly Grc|vrth lVlanagement Depadment Contractor Licensing 2800 N. Horseshoe Dr. Naples. FL 34104 239-252-2400 APPLICATION FOR COLLIEfT COLJi.IT} CNR'iIf.iCATE OF COMPETTNCY This certifies that I f'' iv STATEMENT OF OWNERSHIP S NAME (please print) Dv; [,n\' ,l 5ho"e \,-tL"/ am affieffioe?TnTlafiagmg rlmembero 6 (LIMITED LIABILITY COMPANY E) I own SO % 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. t( \).*/[ G^.".1" \;*ron,(c . Applicant (please print) Name of Company Signature of Applicant E online notarization on this o I State of \-tofi &County ", Cot/i*- The foregoing instrument was €auy or ,{lo.rJ^.-, zo acknowledged before me by nteans of ffisical L1-,by Such pgrson(s) Notary Public must check applicable box: {ur" prrronully known to rne n has produced a current dliver licensc ! has produced (Notary Seal) as identification. l(evhtufiewiiarmth Notary Public State of Florida Comm# HH160804 ExgltesS/3lzozs Notary Signature: Firm_Application.docx Rev 4/06t2020 page g of 1S 8.E.1 Packet Pg. 193 Attachment: 8E SHIRLEY R HALL – REVIEW OF EXPERIENCE - CONCRETE PLACING AND FINISHING CONTRACTOR - NOVELLO CONCRETE Cawnty Grclli/th Management Depadnrent Contractor Licensing 2800 N. Horseshoe Dr. Naples. FL 34104 239-252-2400 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 County Ordinance 2006-46, as amended,lo to engage in contracting as O.or1o15 in Collier County where r poses l,l Officers/Owners/Partners proposes to qualify for a Certificate of Competency with company 6 1r C- EJ"a Comoanv or fr)r'"//, G.*]- )g.. ,tu", Name {" It is hereby agreed upon that we the undersigned (4J Officers/Owners/Partne rs Company resolve and represent to the Collier County Contractor's Licensing Board that the proposed qualifying agent, s\,y is active in all matters connected with the company named U;1.k further resolve and represent that SI.Ll is Iegally Company empowered to act on behalf of in all matters connected with its contracting Company \c. l.L b,.nr,r*business and the authority to supervise construction undertaken by Witness Officers/Owners/Partners Witness Officers/Owners/Partners of the above-mentioned company need to sign on the left and a witness to the signature signs on the right. State of l:loriI^County "rG//'qf acknorvledged me of L1--,by Such person(s) Notar)'Public rnust check applicable box: /y-\" El'are personally known to me [J has produced a cument driver license Name presence ine notarization onvThe foregoing instrument was llauy or-!\o^r.-l,^. , zo fl has produced (Notary Seal) lGvlnAndmwMarntts Notary Public State of Florida Commfl HH160804 Expires 8/3/202S as identification Notary Signature Firnr_Application docx Rev 4/06i2020 page B of l5 n 8.E.1 Packet Pg. 194 Attachment: 8E SHIRLEY R HALL – REVIEW OF EXPERIENCE - CONCRETE PLACING AND FINISHING CONTRACTOR - NOVELLO CONCRETE f4?tr 15 2022 02:39PM Novelb Conoere Uv lnc 2393041t82 G.owtl irEq€nsf OF.tnort page 1 ContIacbr Liceosing 2800 N. Hor3e3ho6 Or, Naples, FL 34104 239-252-2400 APPTICATION FOR COI.UER COUNTY CERTIFICAIE OF COMPMNCY VERIFICATION OF CONSIRUCTION EXPERIENCE Appli:snft Name:JH'rr-uer HALL Offtif cat€ C8legory Rrqucst6d:Co t\cv-e +r-PL,-,.*- o^rl .,..S fl Th! .pplicant ls s€.king I Coliar County Cqtif,cd,r ol Cotnpobncy h $o f.dr iftLdGd !Dorr.. A3 p.n ot tha aDdicatkm ior thh csdflcato, lha apdbsnt murt vsit hiCher dp.rilncs wi$in this lrade. You arc bdrE trqucalrd to Foyide inbmltion thd will ald h. applicanl in mEiing thb ,!qui rlirEnl. You lhould t,grfy tmc of e.dve €xpodsne mfiing a! an eoru{ce otI Skill€d uroftcr (o-9. , as . wo*.r cofiifii.di{ ths *Egr of ttld1etb or brtbr in tha trade). Tlmr se Ed rolely ln e Bupervhory or sdt nl!fa0y! mlc thould ba dco€rib.d, b(Jl rftly or msy not be conskbrBd 3{rf,lcldll to d€flpnstsE requirod lrldo apuianco. Thg llerson varifinC trado axpc(bnca hr tlo aborc-narEd applcatt infurmaton: Atr-t Pn &KCN_r! m-rrrI p{urid. lhc bllowin! PVts,o*r/oNam€:Trtle B6inegs Namo;/] P B*ucoeas Cor..sF SE BLtrc€{ {/Jc, wPtr{ Pho.Ei L31 6qL11qu License No. (tf appllc*lc):Cec- t25r'zc) BusrnelAdd,€rs: <21 -h BAL0 EAGL€ 0F- Mnp.-o CjLr,.lD Fu 3gcv5Slt t Cty Thc 4plce0t*r..m*otao natorrr 2OO 1 v Strtr zb Peesetr Applicenfs title:Pe oAg o (tc€-il,+aEB-OcrNEp, Thc applcdf s scope of wo* (speific dutirs) indudld N",./ello Cop e.retc- /:ta, Ser.ut.ucl t eav rt$ /^-)L P*vf erF ot r Additbnal comrnenE:ol frrfsaafy,R$,^tesl le orn5k,P NOTE TO UCE {8ED CO TRACTORS: Fel&ioirl4 erry infomr,/lion Nw*ted holDk mey g4/bjdr,l tow liaenr€torw6,/li Undsr pon.lty of p.rjury, I .l€d8l! th.t tha f*1s rhad horc ,c trut /.-Lz.-.- * CcllterState of tr her producrd (Notrry Sc.I) County 8i fril! ol p.Eon thc d{.rnrnt prcsance or E online ootarizatioo m drisJle foregoilg lpsrmrlt€nt w.s I (rhd"v or [ ) I\rc tr . zo 22 achow ldsd ,by of r idoutiEcation. Su.! p€(sqtG) IiotEry Public must cbcck appticablc box: E tIe perrmdly lnown o mc E lu3 pro&ccd a currlrn drivcr liccnsc ,ri;,j., SHaxNoN l,llnlE HILLllh1l urarr Pulti(-state of Flondr rlpr:,, fiffi |[]1"'il','i',',,,' Bonded through Nattonal Notar! lss'. Fim_Application.docr Rev 4,(8f2020 PagF '10 ol 15 Notry Sign ture: 8.E.1 Packet Pg. 195 Attachment: 8E SHIRLEY R HALL – REVIEW OF EXPERIENCE - CONCRETE PLACING AND FINISHING CONTRACTOR - NOVELLO CONCRETE Gro$dft lrran€gBment Dapafrunt APPUCATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Shirley HallApplicant's Cerlif cate Calegory Requested: 1.1"r". Iason BaileY Concrete Place and Finish The applicant is seeking a Colliel county cediffcate ot competency in the trade indicated above. As part ofthe application fior lhis csrtificate, lhe applicanl must veriry his/her expcrience within this lrade. You are boing rrquestad to provide informalion thalvirlll aid the applicant in mosllng this requirement. You should vsrify time of sctivs expsri€nce working as an apprentice or a skilled worker (e.9,, as a worker commanding the wage of mechanic or better in the trade). Time seryei solely in a supervisory or administrative role should be doscribed, but may or may nol b€ considored suffcienl to domonslrate tequired trad8 oxperiBnce. The p€rson verifing trade sxperienca for the above-named applicant must provids the following inbmation: Title President FCI Homes, Inc. Business Name: Phona: 239-643-4166 License No. (if applicaus): CBC1261026 Business Addrsss: 4584 Mercantile Avenue, Suite C Naples, FL 34104 City Stat6 zip The applicant was employed by me from lanuary 1997 ,o Present Applicanfs title: Office manager/operatiors (co-owner) - Novello Concrete Division. Inc- The applicant's scope of wort (specific dutie6) included;Ordering Materials, job estimates and supervising on the job sites and helping out as needed. Shirley is very knowledgeable and helpful. NOTE TO LICENSED CO TRACTORS: Falffing any infomation provided herein may subject your license to revoaadql. Under penally of perjury, I declare lhat the fact6 statod hers are true. of prrson providing thr Btatement state of Florida County of Collier The foregoing instrument was acknow ledged bcforc 2\day of March 20 22 ,by me by mcans ofXI ohysical orcscnce or E online notarization on this BailEyJason Such person(s) Notary Public must check applicable box: dkre personally known to me E has produced a cuntnt driver license tr has produced (Notsry Seal) as idcntilication. Signature: _ G. Mang -oF t- Noteru Pubk Slit€ ot Fload!i{l fft""iil:s"..,*,\.:*{ e$na.0st22no23 Contractor Licensing 2800 N. Horsahoo Dr. Naples, FL 34104 239-252-2400 Skeet Additional comments: Firm_Appllcation.docx Rsv 4/06/2020 PEgs 12 of 15 8.E.1 Packet Pg. 196 Attachment: 8E SHIRLEY R HALL – REVIEW OF EXPERIENCE - CONCRETE PLACING AND FINISHING CONTRACTOR - NOVELLO CONCRETE q0r/t/tr fu tanage.rn€nt Contractor LlcBn8ino 2800 N. Hoeeehoo Drl Naples, FL 34104 239-252-2400 APPLICATION FOR COTTIER COUNTY CERTIFICATE OF CO/\^PETENCY VERIFICATION OF CONSTR ucTro N EXPERIENCE Applicant's C6 ificate Calegory RBquestod: The epplcant is se6king a Collier County CenmcaG of Competsncy in th8 trade indicatsd abovs. A8 psrl of thE applicafon fotthi! oer ficato,the aElicant must vsdt hidher experlence wilhin this trade. You sl3 being requested to pbvido informationlhat will ald the appllcant in m€e[ng thls raqulrBmsnl. You should v€rlt time of acdvs exped€nG wortirE as sn eppr8ntc8 o,a skilled wo*sr (a.9., aB a uror*er commanding the wage of rneahanic or betBr in lh!trade). Tima sarved solely ln asuparuisory or administralive role Bhould b6 d€6cdbsd, bul may or may not be soBidsrud eJtficiont to dsnonrta0s llqullBdt ade €xperlsnca. Ths penon vsrltlng fiads expe,ionc€tor fte above.namod applicant mu6t provHa ttla follorelng lfibrmadon; *" " P,-.op\_ O/{6ttz_ tsusiness Neme:/4 Llcenso No. (lf appllcabte):R'R 262*l |+q3 Business Addrass:?. o, |fo$ltt4+4CI Z+c1ty1t 9 L zipSlrrst The applicant was emdoyad by me from q4Z_lo 7 'rCltyStateL- t Applicanfs title: The applhenfs scope of wo* U o included:o*D6E //1&A+{-b igs Ch, (sprcifc duties)sT6e (_ Additional commenta: llorE To ucEI{sED co rRAcroRs: Fsrsfryfrg eny inbmattut prlyk*,tt herdn may s.rbled wur @ne ro ,aw4/,on. Under penalty of parjury, I dodar6 thst lh6 brl3 staled here aIe tue. /'-,/ n/ %l- (- o" o * (u//t €r- sisnatu. or psr'or Thg foregoing instument was rllaqorfllgl_,zo Ststo of acknowledged fore me by of*,w Such p6rson(8) Notary Public must ch€ck applicable box: E are personally known to me Ef6-pmduced a cunent driver lic€nse tr has produccd (Nobry Scrl) idcntification. prcsenoe or E onlino notrization on thi! ..H- U o,rmilri€' D!c. l& 202tl Al{r}bNt F. FEO!^ ilotrry Pultt, Stab o, Ftor*,a CommEsion, HH 693C7 Notrry Rel'r 4lcF,l2020 Page 12 st 15 -rt*, Vrut//E;*, f pnone: ZVI - 7iG .-Z-e ZZ I 8.E.1 Packet Pg. 197 Attachment: 8E SHIRLEY R HALL – REVIEW OF EXPERIENCE - CONCRETE PLACING AND FINISHING CONTRACTOR - NOVELLO CONCRETE Ccl**y G rowth Management Deparfi rent 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 F(O'; Jq couNrY oF Q^t(t.--- Po,, ( bn ^-r.1,\^ I am a resident of more than five (5)years. having been first duly sworn, state and affirm: County,(State) and have resided here for Street C.,((i*-a I PlaYi& t/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 Po.,r( (rnr-o*t\^. t'nn""" Printed Name /o:s.- C{.Add l"\*lo'V<, 34lzx> CIil State zip Telephone 14-utu'*r'/o State or l'l"riL county or C.,l{;* The foqegoing instrument was, 6ry or Mo^r.-L- , zo befbre me by means of ttr6hvsical Dresence or n online notarization on this#+. t",^( t/^s*,.jL-acknowledged L-t__,by Such person(s) Notary Public must check applicable box: /X"- $dre personally known to me E has produced a current driver license D has produced (Notary Seal) as identification Kevh furdrew Mansth Notary Public State of Florida comms HH160804 Exolres 8/3/2025 Notan' Firm_Application.docx Rev 4/06/2020 Page 13 of 15 8.E.1 Packet Pg. 198 Attachment: 8E SHIRLEY R HALL – REVIEW OF EXPERIENCE - CONCRETE PLACING AND FINISHING CONTRACTOR - NOVELLO CONCRETE Cou*lt! Growth l\4anagement Depadnrent Contractor Licensing 2800 N. Horseshoe Dr Naples. FL 34104 239-252-2400 APPLICATION FOR COLLIER COul.lT"' CERT|fi;ATE OF COIAPETEI'jCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACIER STATE OF FIOT\ CoUNTY oF C n\ \ie-T The foregoing instrument rvas ?iau, or [y\qp\ , zo having been first duly sworn, state and affirm County trI am a resident of more than five (5) years. good character Stateor l'( oriJq County of C,ll During the last five (5) years I have known Shif \"-q \\ a \ \ to observe his or her business and personal dealings ,ndfinO him or her to (State) and have resided here for (applicant). I have had the opportunity be a person of honesty, integrity and Signature Printed Name Address #Zdt Street State zip Telep none:%4-bq9-6t\ I L2,av Such person(s) Notary Public must check applicable box: /X^- &Z'are personally known to me E has produced a current driver license sical ce or online notarization on this KevlnAndmw Manetta Notary Public state of Florida Comm# HH160804 Expires 81312025 rar me as icientitlcation |iotary Signature: acknow E has produced (Notary Seal) Firm*Application.docx Rev 4lA61202A Page 14 of 15 I 8.E.1 Packet Pg. 199 Attachment: 8E SHIRLEY R HALL – REVIEW OF EXPERIENCE - CONCRETE PLACING AND FINISHING CONTRACTOR - NOVELLO CONCRETE -;g1f,,:l:*:':i;'':;' t'::'ntr --t"TU l,t aoll*"r*'ffiU3ano aJit .H o-r?9'oPrtoH!$Glltl u3ADO -o 8.E.1Packet Pg. 200Attachment: 8E SHIRLEY R HALL – REVIEW OF EXPERIENCE - CONCRETE PLACING AND FINISHING CONTRACTOR - NOVELLO CONCRETE e,conif CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDTYYYY} 11t312021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RTGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF TNSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE |SSU|NG TNSURER(S), AUTHORTZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: lf the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. lf SUBROGATION lS wAlVED, 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). License#: L100460 '6:#Tf;"r"r/Acentria tnsurance - Naptes 11215 Metro Pkwy Bldg. 1, Suite 4 Fort Myers FL 33966 CONTACTNAME: SanOV SaqOna 239494-5592 352- INSURER(S} AFFORDING COVERAGE NAIC # TNSURER A: Clear Blue lnsurance Company 28860 INSURED Novello Concrete Division lnc 265 - 31st Street NW Naples FL34120 NOVECON.Ol INSURER B INSURER C INSURER D INSURER E INSURER F: CERTIFICATE NUMBER: 18021 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE POLICY NUMBER POLICY EFF IMM/DD/YYYY} POLICY EXP TMM/DDTYYYYI LIMITS $ 1,000,000 $ 300,000 $ 10,000 $ 1,000,000 $ 2,000,000 $ 2,000,000 X BGFL001 2469504 11114t2021X LOC 11t14t2022 EACHCOMMERCIAL GENERAL LIABILITY CLAIi,4S-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS . COMP/OP AGG GENERAL AGGREGATE MED EXP one & AOV INJURY X POLICY PRO- JECT $ $ BOOILY INJURY (Per peen)$ BOOILY INJURY (Per acident)s PROPERTY DAMAGE lPer accidenl)$ ANY AUTO OWNEO AUTOS ONLY HIRED AUTOS ONLY AUTOMOBILE LIABILITY SCHEDULED AUTOS NON-OWNED AUTOS ONLY $ $ $ UMBRELLA LIAB EXCESS LIAB DEO EACH OCCURRENCE AGGREGATE OCCUR CLAIMS-MADE s PIR STATL ITF OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE. EA EMPLOYEE $ WOR(ERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETORYPARTN ER/EXECUTIVE OFFICERYMEMBER EXCLUDED? (Mandatory in NH) lf yes, describe under DESCRIPTION OF OPERATIONS below N/Afr E.L. DISEASE. POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER O 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBEO POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVlSlOtlS.COLLIER COUNTY CONTRACTORS LICENSING BOARD 28OO N. HORSESHOE DRIVE NAPLES FL34104 ^W ,6kREPRESENTATIVE ACORD 25 (2016/os) RETENTION S 8.E.1 Packet Pg. 201 Attachment: 8E SHIRLEY R HALL – REVIEW OF EXPERIENCE - CONCRETE PLACING AND FINISHING CONTRACTOR - NOVELLO CONCRETE CERTIFICATE OF LIABILITY INSURANCE 3t7 t2022 produceE Plymouth lnsurance Agency 2739 U.S. Highway 19 N. Holiday, FL 34691 (727) 538-5s62 This Certificate is iiBu€d as a matter ol lnfoniatlon only and contG6 no rights upon lhe Cerdicate H,older, Thla Cerdf,catc does not amGnd, extend or.lter the @ve.aee allorded by th€ polici€s b€low. Insurers Affording Coverage NAIC # rnsur€dr South East Personnel Leasing, lnc. & Subsidiaries 2739 U.S. Highway 19 N. Holiday, FL 34691 lnsur€r A: Uon Insurance Company 11075 lnsurer 8: lnsur€r C: lnsurer D: lnsurer E Coverages Th.pdid.so'h5U6ncallstsdb€]o{fuy.b€6.la3U€dloth6iBuEdna66dabov.fulhspollcyp€dotr limls shown m6y h€!€ been reduc8d by lald d6lB- INSR LTR ADOL INSRO Type of lnsurance Policy Numbe. Policy Effecl ve Date (lV[rDDIYY) Policy Expiration Date(M[,UDOryY)Llmits EiIERAL LIABILTTY Comm€rcial General Liability claims Made I o""r, eneral aggregate limil applies per: e"rio I e,+a I roc Dama$ lo rcnted prcmjs€s (EA Producls - Comp/Op A€g MOBILE LIABILITY S 5 EXCESS/UMBRELLA LIABILITY o@, I cr"i* ru"o" Workers Compgnsatlon ard Employers' Liablllty Any poprietor/parlner/executive off cer/member excluded? NO lf Y€s, describe under special provi6ions below wc 71949 0110112022 01t01t2023 x OTH- ER E.L. Each Accidenl $1,000,000 E.L. Oisease - Ea Employ€€$1,000,000 Other Lion Insurance ComDany is 4.11. Best ComDany rated A (Excellent), AMB # 12516 IlescdptlonE of OperationsrLocations/Vehlcles/Excluaiona addsd by Endorsemenuspecial Prcvlslons: Cllert ID: 92-67-929 Coverage only applies to active emdoyee(s) of South East Pe6onnel Leasing, Inc, & Subsidian:es that arc leased to drc following "Clent Compan/: oYcllo Concr.te Divbiol lnc, Coverage only applies to iniuries incuned by South East Personnel LeasirE, IrE. & Subsjdiades active employ€e(s), while worldng in: FL. Cole€ge does not apply to slatutory employec(s) or ind€pend€nt contraclo(s) of th€ Client Company or any other entity. A list of the adjve emdoye€(s) leas€d to UE Cllent Company .an be obtained by fdxirE a request !o (727) 937-2138 or efiail cerIf,cates@lloninsurance.omparry.com Prcled ame: FAX 23$2s2-2469 / rSSUE 0S2S14 (TLD) RETSSUE 09-02-15 (AF). RETSSUE 01-2&16 (rD). RE|SSUE0l{4-1S (SS). RETSSUE 12{2-21(BP). RETSSUE 03-07-22 (KLT) E€sin O.tc: 1U14l2013 COLLIER COUNW CONTRACTOR LICENSING 28OO N HORSESHOE DRIVE NAPLES, FL 34104 Should Eny ol rhe .bove descrabgd pollcis be can@llsd b€toB llle g,qlralion d.l€ lh3€of, th€ Esulng insu€r lill endeavor to mil 30 daF erin€n not@ to th. o€rtilicalc holder narEd lo lh6 lotl, bul failure to doso sh€llimposo noobligalon orliabili9ol.ny kind lponlh6 insurc., ilsagME or Errentaliv6, /' .a---...---$).n,,o.- F I eua, o*,*n""$ l H F"", ------F----- I;",*"", *, "r-------T-------lc€n€.r&s*sars F I WC Slatu- loryUmib E L'Di"*"" +"r.+-- T3r!."o"" 8.E.1 Packet Pg. 202 Attachment: 8E SHIRLEY R HALL – REVIEW OF EXPERIENCE - CONCRETE PLACING AND FINISHING CONTRACTOR - NOVELLO CONCRETE QQLLIERCOUNT}BUSINESSTAX Busr{EssTD(NUMBER: coLLtER COUNTY TA)( COLLECTOR - 2800 N. HORSESHOE DRIVE. NAPLES FLORIDA 34104. (239) 252-2477 073019 VISIT OUR WEBSITE AT: THIS RECEIPT EXPIRES urwrv.coll iertaxcolefu r.com SEPTEMBER 30,2022 LOCATION: 265 31ST STREET NW ZONED: HOME OCCUPATION BUSINESS PHONE: 239-825-1 904 STATE 0R COUNTY LIC #: 32581 1.10 EMPLOYEES CLASSIFICATION: CONCRETE PLACE & CLASSIFICATION CODE: 021 081 01 This document is a business tax only. This is not certification that It does not permit the licensee to violate any existing regulatory zoning nor does it exempt the licensee from any oher taxes or permits thal may be DISPLAY AT PLACE OF BUSINESS FOR PUBLIC INSPECTION. FAILURE TO DO SO IS CONTRARY TO LOCAL LAWS. NOVELLO CONCRETE DIV, INC SR., WILLIE J 31ST STREET NWFL 34120 -THIS TAX IS NON-REFUNDABLE. DATE 0812712021AMOUNT 18.00RECETPT 502-22.0,0119905 <"( 9""."(r,"r,^.* * s o T{f lr 8.E.1 Packet Pg. 203 Attachment: 8E SHIRLEY R HALL – REVIEW OF EXPERIENCE - CONCRETE PLACING AND FINISHING CONTRACTOR - NOVELLO CONCRETE 05/18/2022 COLLIER COUNTY Contractor Licensing Board Item Number: 8.F Item Summary: RYAN M. GOBIEL – REVIEW OF EXPERIENCE – SWIMMING POOL/SPA SERIVCE AND REPAIR CONTRACTOR - ISON CORP Meeting Date: 05/18/2022 Prepared by: Title: – Contractor Licensing Name: Alyshia Morse 05/11/2022 12:07 PM Submitted by: Title: – Contractor Licensing Name: Tim Crotts 05/11/2022 12:07 PM Approved By: Review: Contractor Licensing Sandra Delgado Review item Completed 05/11/2022 3:15 PM Contractor Licensing Tim Crotts Review Item Completed 05/11/2022 5:05 PM Contractor Licensing Tim Crotts Meeting Pending 05/18/2022 9:00 AM 8.F Packet Pg. 204 1e-r Qotrtrty Gro^ith Managernent Departrnent Conlractor Licensing 2800 N. Horseshoe Dr. tlades, FL 34104 Phone - 239-252-2431 Fa\ - 239-252-2469 APPLICATION FOR COTTIER COUNTY CERTIFICATE OF COMPETENCY FIRM APPTICATION FOR COltlER COUNTY Lcc,losg-t111" CERTIFICAIE OF COMPEIENCY "r^ 202>-83 7 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 lo:. Collier County Board of County Cornm,:ss,bners. For further information, consult Collier County Ordinance No. 2006-46, as amended. TYPE OF CERTIFICATE OF COMPETENCY: I General n Building ! Residential n Mechanical ! Roofing $230,00 $230.00 $230.00 $230.00 $230.00 ! Electrician I Plumber n Air Conditioner f,swimming Pool n Specialty $230.00 $230.00 $230.00 $230.00 $20s.00 Speeialffie:1-/., t < / I. APPLICANT PERSONAL INFORMATION: /t4.6ro,l e,Name Business Name Middre lnitlrl 4 AL Poo I S.-ri.. Address Czo hL^ /o c 3 0 Strcct ctv Statc B/"t,l l/\c Telephone o31)2t'? -t54L Date of Birth ,/,, /re 26 'Pu.su.anr to O€Pter l_19, Elorida Statutes and collier County contra.to. Ucensiq ordinance 2006-115 S€ction 2.1.1., all applkints ar€ required to submit their socirls*urity number lssn) forth€following purpos€s: alAsse.s a pplka nds abillty to ratisfy.reditofl by revi€wing thetr oedir hisrory, b) Verifkation olapplicanfs test scorcs and Iniormatioh. Our office will only use yourssl! noied abov€ for rh6€ reasons pursuant to chaprer t,19, florida Statutes, and a5 may otherwise b€ autho.ired by hrrr. We are tully commatted to saf€-guarding :nd prot€cting your SSit and once collecte4 wi[ be maintiimd as confidential3nd eremFr und€r Chapt€r t19, Etori& St tutes. Firm_Application.docx Rev 4/06/2020 Page 3 of 15 Email: .SS # (Last 4 digits onty]: 2t 6C Driver's License # (Last 4 digits ontyl: d5d0 8.F.1 Packet Pg. 205 Attachment: 8F RYAN M. GOBIEL – REVIEW OF EXPERIENCE – SWIMMING POOLSPA SERIVCE AND REPAIR CONTRACTOR - ISON CORP C,Rff",C-aunty Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-243'l Fax - 23*252-2469 Gmafi Man4eme{ Elepartrnent APPIICATION FOR COTTIER COUNTY CERTIFICATE OF COMPETENCY Provide the names and telephone numbers of two persons who will always know your whereabouts l-l^,b:" (Name:( Telephon ..(rz?)3aL-7 II, NAME OF APPLICANT'S BUSINESS: Business Name Business Address: Telephone Co,- 6zo n/.3 (o Clty Slaie zlp {ct Z- Email:B "A P,Ic A Federar rDraxNo.t 4('>55 6g?Z- III. FINANCIAL RESPONSIBILITY NOTE. lf you have answer yES to any of the queslions below, you musl atlach a written explanation including the nature of the charges, dates, and outcomes, sentences of conditions imposed. You must also atlach 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. a, YES NO ALL APPLICANTS MUST ANSWER THE QUESTIONS BELOW: 'Filed for or been discharged in bankruptcy within the past 5 years? Had a lien filed against you by the lnternal Revenue Service or Florida Corporate Tax Division? Underlaken construction contracts or work that a third party, such as a bonding or surety company, comdeted or made financial statements on? Made an assignment of assels in settement of construction obligations for less than the debts outstanding? Been convicled or found guilty of, or entered a dea of nolo contendere to, regardless of adjudication, a crime in any jurisdiction within the past 10 years?* 'Had claims or lawsuits filed for unpaid or past due accounts by your creditors as a result of construclion experience? , Been charged with or convicted of acting as a contractor without a license, or if licensed as a conlractor in this or any other state, been'subject to" disciplinary action by a state, county, or municipality? Firm_Application.docx Rev 4/06/2020 Page 4 of 15 ".^., D.L.,.,l 6L;r/ raepnon, 09h 7ot'9(?3 ,271 , )*q - Undertaken construction contracts or work that resulted in liens, suits, or judgments being filed? tl 8.F.1 Packet Pg. 206 Attachment: 8F RYAN M. GOBIEL – REVIEW OF EXPERIENCE – SWIMMING POOLSPA SERIVCE AND REPAIR CONTRACTOR - ISON CORP 1.6.2.9. swimming Poovspa Servicing/Rcpair contractor rcquires 24 months cxperience with a passing gradc on edrc{r}+ouf an approvcd rcst and a passing grada on a r*e{a+oar ll Wordr *uef.Onr6l llc dclcaGd; noldr undcrlirEd rrc lddcd. busincss and law tcgg 614 rr}o $ a cootraclor whorc u;upc of work rnvolv*, but is not limit€d to, thc rcpair and *rvicing of any swimming pool, or hot tub or spa, whcthcr public or privatc, or othcrwisc, rcgardlcss of usc. Thc scopc of work includcs drc rcpair or rcplaccmcnt of cxistrng cquipmcnt, any clcaning or cquipment sanitizing which rcquircs at tcast a panial disassembling, cxcluding filtcr changes, and rhe installation of ncw poovcpa equipmcnt, intcrior rcfinishing, thc rcinstallation or addition of pool heatcrs, the repair or rcpraccmcnt of all pcrimcrcr piping and filtcr piping, thc rcpair of cquipmcnt rmms or housing for pooUrpa cquipmcnt, and rhe substartial or complctc draining of a swimmiog pool, or hot tub or spa, for thc purposc of any rcpair or rcnovation. Thc scopc of such work docs not includc dirpct conncctions to a slnitary scwer systcm or to potablc watcr lincs. Thc installation, constnrction, modification, subsrandal or complctc disasecmbly, or replaccmcnt of equipmcnt pcrmancntry iltachcd to rnd associatod with thc pool or spa for rhe purpose of watcr trcatment or cleaning of thc pool or spa rcquires liccnsurc; howcvcr, thc usagr of such cquipmcnt for the purposcs of watcr trrafi."nt or clcaning ehall not roquire liccnsurc unrcss thc usagc invorvcs corurruction. modificadon, subctsnriar or complctc disasscmbly, or rtpraccment of such equipmcnt. watcr trGa.o*nl that do* not rrquirr such cquipmcnt docs not rcquirc a riccnsc. In addition, a licensc shslr not bc rcquired for rhc cleaning of thc pool or spr in any way that docs not affoct thc structural integrity of the poor or spa or its a$sociatcd oquipmcnr. 8.F.1 Packet Pg. 207 Attachment: 8F RYAN M. GOBIEL – REVIEW OF EXPERIENCE – SWIMMING POOLSPA SERIVCE AND REPAIR CONTRACTOR - ISON CORP INSTRUCTIONS PAY ENT OF CITATON: Th. pcnalty for cach uocont.stcd violetioo has b.co s.t by Ihc Board of Collil County Cornmtsioners, ard sha.ll bc payablc to rhc Borrd of Collirr CruDt Commissioncrs. 2800 Nonh Horscahoc Drivc, Naplcs, Ftorida 34104, no latcr $r l0 dayr of noticc rcceipt, cxcludiog wcrkcnds .nd lcgal holidays. PAYMENTS MUST BE MADE BI CASH,CHECK, OR MONEY ORDER; ALL FEES MUST 8E REMMED N A.S, FIJNDS. FINE SCHEDTJLE - UNCONTESTED VIOLAT'IONS lsr Uncontcsrcd Ofrcnsc $1.000.00 2nd Uncontcstcd Offcnsc $2,000.00 Notwithstaodilg thc abovc-rrfcranced pcnaltics, in $c cvcDt a first uocontcst! violation is thc rcsuh of the violator engaging in the busincss o. acting in th capacity oftr contractor or adv.nising himsclf or hersclf or a businass organizatio as lvailablc to angagc in thc bssincss or act in rhc capacity ofa contracbr withot being duly rcgistercd or c.rtificd. The pcna.lty shall bc abat d from $1,000.m ! $100.00 ifthe violaror submirs a complcrcd application in accordaflce wirh Sedio 2.1 and 1.2 of this Ordinancc within fony-fivc (45) days of lhc &tc of issuance o the Ciration for the violation. Ifyou nced additional info.marion cal W.Gai"l LEwLduo?EfiEftH&Ir 09440 GROWTH iIANAGEMENT DIVISION GITATION PuErfut ro rccii@ a89.liL{3}{. . Flni& Sr.lur.3, t}r. uD&6igr.d h.Gby c.ni6cs thlt upor F'!o.lrl invclti8ltion, hctlr. hr! n son blc ed prct bL gror8& to b.li.ve lhll th. F.!oa wh@ n:mc .p[ct$ b.lo* r! iisll.d to, did viol!& lubs.crioo 4E9.127.( I ), Floridr Sttlut.!, lnd rh. Collicr County Conhclor's Uc.nsinS frirrnc. No. 2m646 (.s mly b. &ndtd.d) by cornn rinS th. viol.tioa sh&d bclow. lssu€d To D City a->State Mlt /typ. (if rppliciblc) I havc bccn informcd of thc violation followinS option ( I ) Ll I chmsc to Che.k onc) pay thc pcrt.aliy of 2) E I choolc not lo pay dlc p.nalty,or hand &tvcry an Administrativc Hqring bcfor. thc Ccntr.ctor! capacity of ! clDEaclor without bcing duly rrgistcrrd or clrtificd: Opcrar. a business orga[ization cngagcd itl con[actirg aftcr (60) dsys; Cortr,llcnca or pcrform work for which a building parmit is rcquitd porsuad to an adop!.d stetc minimun building codc or without such pcrmir bcint in cfrccr; Willtully or &libqatcly disrcgad or viola& .ny Colliq Coudy ordinrncc rcleting to uncqtifcd o! ulrgistcrcd conu-actoF. !,.)k ziP?. b REQUEST FOR HEARING: You may requcst no Administrarive Hcaring within the samc tcn 00) day tim, framc bcfore the Collicr Counq Contractor's Liceosing Board upon notlcc. irwriting, to the Conrractor's Licensing Suparvisor lf you do not rcqucst ! heariru or pry the penahy fce as describcd, lhe citation shall automatically becomc a Fina Order of the Conractor's Liccnsing Board, ordering thc violatoi o pay rhc civi p€nalty sct forth on thc citation withour a hcariog. A ccrtificd copy oi such Orde shall be recorded in public rEcords and thereafter shall constiturc a lien agains most real and pcrJonal propcrty owned by the violator Upoo pcdrion to thc Circui Coun. such Order may bc anforced in rhe same mannci as a Coun Judgmcnt b1 thc Sheriff's Of6cc or rbe State. If afrcr thrcc (3) monrhs froo ing such licn, ttll lien remains unpaid, rhe Cootractor's Liccnsing Board may authoize rhe Counq Attomcy's Offce ro foreclos€ oD thc lie!, The nlaximum penalry for a cont€stcd citation is $2.5m.m for each day thr violadon cxists. Each day€ willful knowing violation continucs it shlll constitutc a scparate ofrensiand penalties shall continuc to accruc. Any aggaicvcd party may appcal a FinaAdministrativc Ordcr of ftc Board lo the Ctcuit Coun.'Such appcj .Ut no, U,a hcarinS de novo. bt{ shall be limk.d to appeltatc rcvicw of t'hc rccord crcatcf before t}c Board. An appcal Inust bc filed within $iny (30) days of cxccution Jrhc Order s)oh)tr Dtr A perron or businss oag8nization oFrsting on a! iructivc or rcgistratioo, or opcrsting bcyond rhc scop. of work rEgisFation, is llot duly ccrtificd or rcBisrcrcd. scopc of thc ATOR)S (RECIPIENT) --aA 6"t,/''t a0s l-oc. cttt? P4*lA No I Lic, b Clrru Prls. ?al C(r,ut)c €-oF'P rt.t 0. PRINT (RECIPTENTS NAME)'s NAMtt) Pursuanl !o 489.127. Floi& SuruGs, v/illful rEfusd to sign rnd rcctpt rhis cilation corBtiEtc.! r misdsrcanor of the sccond dcg.Er, Frnisheblc rs providcd in scc{ion 775.082 or 775.083 Flo.i& Sta$!cs. (SEE REVERSE FOR INSTRUCTIONS) COLLIER COUI{TY CONTBACTORS LICENSE of.-l 0 b {h"1. 5t*rc 0 ol T-, tJroWJL +hz- A"wrp\.d€- I)"."i*J cn }hrs \d<-trirm A /e IEIIilIEEIIHIz' 'o l'.rLl-WTo':\t * l<j ;-;- Jil",,.: C,]*icrr- fi)n\^n qhd -\e 20zz will rEqucst in bccn charg.d end clccl thc cqtifcrt!, 8.F.1 Packet Pg. 208 Attachment: 8F RYAN M. GOBIEL – REVIEW OF EXPERIENCE – SWIMMING POOLSPA SERIVCE AND REPAIR CONTRACTOR - ISON CORP From: To: Subject: Date: Attachments: DelgadoSandra on behalf of ContractorsLicensing ''BLUAOUAPOOLSERVICE(aGI\4AIL.COM" LC Payment Slip Citations CEU120220002118 Wednesday, April 20, 2022 5:59:00 PM LC Payment Slip Citations.odf Hello, Your citation CEUL20220002118 has been abated down from $1 ,000 to $300 with license application # LCC20220000837. This fee must be paid before the issuance of the license. See the payment slip attached. Respectfu I ly, Sa,nd.t wDdqadn- Supervlsor - Operations, Licensing C,oUtW Operations & Regulatory Monogement Division 6 rowth Ma nage me nt De partme nt Exceeding Expectations, Every Doy! 2800 North Horseshoe Drive, Naples FL 34104 Phone:239.252.2431 Sandra.)elgado@colliercounMl.gov ContractorsLicensing@colliercountvfl.gov How are we doing? The aperotions & Regulatory lvlonagement Division wonts to heor from you! Pleose toke our online $llffl[ff, We appreciote your feedback! LCC20220000837). Del gadoSa ndra 04 I 2O I 2022 5 : 53 P M 8.F.1 Packet Pg. 209 Attachment: 8F RYAN M. GOBIEL – REVIEW OF EXPERIENCE – SWIMMING POOLSPA SERIVCE AND REPAIR CONTRACTOR - ISON CORP Growth Management Departnent Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY IV. EXPER!ENCE VERIF!CATION 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: L { List below non formal education (on the job training) you have obtained in the area of competency for which this application is being made: 2 n/r-rr,n, V,'^-tt Ccr,n cu RRENT/PREV|OUS LTCENSE : 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. /t//+ AFFIDAVIT Under the penalties of perjury, I declare that I have read the foregoing application and the facts stated in it are true. Rr,^lr," / zo fu,ay Such person(s) Notary Public must check applicable box: ! are personally known to me w(proau"ed a current driver license n has produced (Notary Seal) as identification. Signature of Applicant me by means of ffisical or E online notarization on this Notary Signature: Applicant (please print) State of Jo-County of was "ffiffik REINSTATEMENT APPLTCATTON REV 4l6t2O2O page 5 of 11 blben 8.F.1 Packet Pg. 210 Attachment: 8F RYAN M. GOBIEL – REVIEW OF EXPERIENCE – SWIMMING POOLSPA SERIVCE AND REPAIR CONTRACTOR - ISON CORP CouttX! 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 CERTIFICATION OF APPLICATION The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County No.2006-46, as amended, and under penalties of perjury. ldeclare 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. R r,^ 6o6rcI Applcanf tpmse U;t Tso. Name of Company of Applicant ,i,1'C C 4o^,la CAlljr ! has produced (Notary Seal) State of Counly of me by means Such person(s) Notary Public must check E are personally known to me €nu"produced a current driver license fl online notarization on this as identification. Notary Signature: 'ffi SANDRADETGADO Commlssion * HH 101?18 Ex9fos March 8,2025 8ond.d ItIu BtSt NotBrY *vloo Firm_Application.docx Rev 410612020 Page 6 of '15 The instrument of by upptiluutJuo*, 1 8.F.1 Packet Pg. 211 Attachment: 8F RYAN M. GOBIEL – REVIEW OF EXPERIENCE – SWIMMING POOLSPA SERIVCE AND REPAIR CONTRACTOR - ISON CORP Covt*ttJ Growth Management Deparfnent 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 alltimes effective Workmen's Compensation lnsurance it will result in the possible revocation of my Certificate of Competency. Applicant print Name of cant e 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. BEFORE ME this day personally appeared State of County of The instrument was I G lier \Q-aav or 20 Such person(s) Notary Public must check applicab D are personally known to me before me by means of produced a current driver license as identification. Notary Signature or ! online notarization on this r", E has produced (Notary Seal) ".$I'& SATTDRADETGADO ffisffiflffi Firm_Application.docx Rev 410612020 page Z ot 15 ( 8.F.1 Packet Pg. 212 Attachment: 8F RYAN M. GOBIEL – REVIEW OF EXPERIENCE – SWIMMING POOLSPA SERIVCE AND REPAIR CONTRACTOR - ISON CORP GITS, LLC Examination Operations Division Providing the services and products to assist Govemment Ag€ncies to make informed educated decisions. Official Examination Score Report March 31,2022 Official Score Report: Candidate Information: Name - Ryan Matthew Gobiel Candidate #: 33760500G Online Testing Site: Ocala, FL r I I iil'l 1il I : Final Score Result: Sincerely, 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 March 31,2022. If you have any further questions, please do not hesitate to contact us. Business Procedures t,6or",V-rrlr-*^ir*;- Score: 78% ,1 ftr Jay E. Bowermeister President i\r\l: li i PO Box 831127 Ocala, Florida U483-1127 - Voice (352) 369-ctTS - Fax (3S2) fi7-2449 800 997 2129 8.F.1 Packet Pg. 213 Attachment: 8F RYAN M. GOBIEL – REVIEW OF EXPERIENCE – SWIMMING POOLSPA SERIVCE AND REPAIR CONTRACTOR - ISON CORP GITS, LLC Examination Operations Division Providing the services and products to assist Government Agencies to make informed educated decisions. Official Examination Score Report March 24,2022 Official Score Report: Candidate Information : Name - Ryan Matthew Gobiel Candidate #: 33760500G Online Testine Site: Ocala, FL Final Score Result: Business Procedures Pool Maintenance and Repair Contractor Score:44o/o Score: 80olo 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 March 24,2022 Ifyou have any further questions, please do not hesitate to contact us Sincerely, furO-*,c44re";Z;- Jay E. Bowermeister President Po Box 831 1 27 ocala, Florida 34483-1127 - voice (352) 369-Gtrs - Fax (352) zBT-244g 800 997 2129 8.F.1 Packet Pg. 214 Attachment: 8F RYAN M. GOBIEL – REVIEW OF EXPERIENCE – SWIMMING POOLSPA SERIVCE AND REPAIR CONTRACTOR - ISON CORP CREDIT CHECI(CONFIDENTIAL lndividual Gredit Repoil Name...:GOBIEL, RYAN MATTHEW Ordered By:1418 B Customer z 9999 Received ;04172/22 Completed :04/L2/22 Address: 620 HENLEY DRfVE NAPLES, FL 34104 Social#: Applicant:-2L66 CREDIT SCORE: APPLICANT FICO SCORE: 751 (scores range from 3fi) to 850) SOURCE(S): EXPERIAN TRANSUNION PUBLIC RECORDS: PUBLIC RECORDS HAVE BEEN CHECKED AT THE LOCAI-' STATE AND FEDERAL LEVET-S WTH THE FOLLOWING RESULTS AS OF Mt12t22z CLEAR CREDIT RECORD fCreOit nistorv na crcditor .Licount Nu$bq Dat aDate Hish Unpai d BaL anca Past r\la l{istoric St.tu. 30 60 90 Curreot S j:4ttr F !!os Peportid Opinid 5/3 BANK NA 88464 DLA:03 / 22 AMEX 349991,410 585 9 623 DLA:01 / 1 B CB/KAY 7 7 B 8504 0s7 s0 DLA:06/20 CBNA 4269380869s1 DLA:AA / 22 KAY JEWELERS 317 486 DLA:10/17 PNC BANK 3302008128889834 DLA:03 / 22 a3/22 lt/L] 25982 8908 01 /1B 0t / 01 0 0 06/20 12/ts 4294 04 / 2.?. 04 / 1O ?.096 484 70/11 12/75 4294 AS AGREED0 00 0000r01 48 r AS AGREED0000000R0148r AS AGREED0000000R0132r CUR WAS 300010000R01487 AS AGREED0000000R0121r AS AGREED00 r01 45 r 0 0 a3/22 0sl18 13064 3665 0000c Licensee Appticant: ApptICAuT _ SEE I{AME ABO\IE Reporting Agency: credit chec*, lnc. - 3017 Exchange court, suite H, west palm Beach, FL 33409 . (561) 616-5556 8.F.1 Packet Pg. 215 Attachment: 8F RYAN M. GOBIEL – REVIEW OF EXPERIENCE – SWIMMING POOLSPA SERIVCE AND REPAIR CONTRACTOR - ISON CORP CONFIDENTIAL Name: GOBIEL, RYAN MATTHEW Customer: 9999 Page: ] CREDIT CHECI(, SETF/WOFC 110000003168264 04/18 05/14 20040 DLA:04 / 1 8 SUNCOAST CU 4039931 DLA:03 / 22 03/22 01 /09 40000 15648 SIII{CST CU 4 608 1 900 99s0 DLA:03 / 22 03/22 0t /00 27378 L32tl SUNCST CU 460819009948 DLA:0 9/ 1 9 09/L9 A1 /0A 0 SYNCB 18500r_0000201390 DLA:03 / 22 03/22 0B/20 78062 L3297 SYNCB/AMAZON 604578113756 DLA:03 / 22 03/22 04/L9 1386 647 SYNCB/CTYERN 60191902093'7 DLA:o1 l2 0 ot/20 04/74 3790 0 THD/CBNA 603532094L06 DLA:03 / 22 03/22 01/19 1098 202 TRUIST s0692018108301101 03/22 04119 13148 7454 DLA=03 / 22 VW CREDIT 8122081843 DtA:04 / 22. 04/22 77/19 71922 5205 AS AGREED00 00 00 r01 47 r AS AGREED0000000M0148r CUR I{AS 300010000R0148r AS AGREED0000000R0125r AS AGREED0 00 c0c0r01 18 r AS AGREED0000000R0135r AS AGREED0000000R0148I AS AGREED0000000R0138r AS AGREED0 00 0000r01 3s r AS AGREED0 00 0000r01 28 r 0 INQUIRIES: 0B/27/20 by FIFTH THIRDAB/21/20 by SYNCB TU) #3136841TU) #726343]- ( ( RESIDENGE HISTORY: 620 HENLEY DR, NAPLES FL 34104 Licensee Applicant: ApptIcAI{T - SEE NA}iE aBOVE Reporting Agency: credit check, lnc. - 3017 Exchange court, suite H, west Palm Beach, FL 33409. (561) 616-5556 ,,,Totat traae tin 8.F.1 Packet Pg. 216 Attachment: 8F RYAN M. GOBIEL – REVIEW OF EXPERIENCE – SWIMMING POOLSPA SERIVCE AND REPAIR CONTRACTOR - ISON CORP CREDIT CHECI(CONFIDENTIAL Name . GT)}l I F:I.. RYAN MAT'THEW Customer: 9999 Paqe: f RES+IEIIC= I{STORY - €{*irxsd: 650C CUTTY SARK LI.I, lIlpLtrS trL 3{10{6600 STARK LN, NAPLES FL 34104 COMMENTS: ***OFAC NA},IE SCREEN ALERT - CLEAR*** OTAC {OFTICE OF FOREiGiT ASSET CONTROI,) iS A TEDERAL AGEI+CY Wiiicii i.iAiN?Air+SA DATABASE OE TERRORISTST DRUG TRAEFICKERS AND CRIMINA]' ORGANIZATIONS. FR.\UD RECORDS HAVE BEE!'I SYSTET4ATICALLY CHECKED BY THE ACCESSED BUF.EAUS. CHECKS FOR IDENTITY THEFT, FAKE SSN, DECEASED SSN AND OEAC DATABASE PERFORMED. CREDTTOR PHONE TXRECTORY: CB/KAY JA1NZB344 PO BOX L&2789 COLUMBUS OH. 43218ApiEX 8C21Wts001P.O. BOX 981537 EL PASO TX. 79998SYNCB/AMAZON DZ235A64R PQ BOX 965015 0RTANDO EL. 32896THDICBNA BZ26H3OO5 PO BOX 64 9'l S rOUX FALLS SD . 5' t77 tsETr/woFC F227290A6 PO BOX 9I6L4 MOBILE AL. 36691CBNA BB292FO31 PO BOX 6497 SIOUX FALLS SD. 57117 VW CREDIT EZ2943AA3P.O. BOX 3 E]LLSBORO OR. 91L23TRUIST BB295SOO3 PO BOX 849 WILSON NC. 27894 SLINCOAST CL] QI-I2 9BQOO1 PO BOX 11904 TAMPA Ft. 33680SYNCB/CTYFRN BC32BQOO5c/o Po Box 965036 oRLANDO FL. 32896PNC BANK 8Z66T30T2 P}iC CB I}JVESTIGATI CLEVELA}.ID OH. 44101KAY JF;WEI,ERS JA72?.D62X375 GHENT RD AKRON OH. 443335./3 BANr( NA RT9302020 5O5O KINGSLEY DR CINCINNATI OH. 45263sYI.rcB FF9gg222W PO BGX 965073 ORLANDO FL. 32896EIFTH THIRD B 3136841 5OO1 KINCLSEY DR CINCTNNATI OH. 45221CREDIT CHECK Z 06302"13301'/ EXCHANGE COUR WEST PALM BEAC EL. 33409SYNCB N 1263431c/o Po Box 965037 oRLANDO FL. 32896 touu, (866) Q1 .4 _n'1 "t 1U'A LILI 634-8379 (800 ) (BBB } (s03 ) (844 ) (8131 (866) (800) (866) (s13) (811 ) iB66) s53-2 650 574 -1301 675-7228 487-84 7B 62L-75l.t 396-8254 97 2-3A30 220-9432 358-04 B0 616-5556 419*4096 *** END OF REPORT *** rhi€pe.norr6ponbtumi6*sirq,ras.a"^"iifiUiJffifit"dflffifBf:SL3tffiH.fti-m*ffimi"lx[E#5fffiffibr.,has€icynmffido.nsdEri$b rho eiev ot ffi, hosd{ is , rc Hy euetaai;od 'Bt t;;'u+Gt*5 il'c;E mi;'}d.;i *y;f*Ttdt',{;; 6 hotd d;ii;1;:ffi hamr* r@ qtry rabddy wharo*. Licensee Applicant: AppLICAIgf - SEE NAME eBO\rE Reporting Agency: Credit Check, inc. - 3017 Exchange Coi.irt, Suite H,',riest pdm BGach, FL 33409. (561i 616_5556 8.F.1 Packet Pg. 217 Attachment: 8F RYAN M. GOBIEL – REVIEW OF EXPERIENCE – SWIMMING POOLSPA SERIVCE AND REPAIR CONTRACTOR - ISON CORP CREDIT CHECK Commercial Credit Report Dalet 04 / L2/ 22 Cust. No: 9999 Ordered By: 14188 Page: t- (X) Corporation EIN: 46-2556592 Company: ISON CORP. D/B/A: BLU AQUA POOL SERVICE Address: 620 HENLEY DRIVE NAPLES, ELORIDA 34104 Telephone: (239], 289-7542 PRINCIPALS: OWNER/ D/ P/S /T Address: GOBIEI, RYAN 620 HENLEY DRIVE NAPLES, FLORIDA 34104 -2L66 100?, Social Security Number: Stock Ownership: Address Address Social Security Number: Stock Ownership: Social Security Number: Stock Ownership: RISK SCORE Financial Stability Risk Score I Lorr Risk 2 Lor+' to Mcd+ -l Medinm Risk{ Med ro High 5 High Risk CRED]T RISK SCORE 45 The score uses tradeLine and corlections information, pubric firings as wellas other variabres to predict future risk. Hlgher scor-es i-ndi-cate iower ri-sk EACTORS LOWERING THE SCORE:* number of commercial- accounts with net 1-30 days term* nbr of active commerciaf accts within the last- 12 mos* number of recently active commercial accounts* number of commercial accounts with high utitlzation RepoTted foT: APPLICANT - SEE NAME ABoVE Reported by: credit check, lnc. - 3012 Exchange court, suite H, west palm Beach, FL 33409 . (56i ) 616_5556 45 Rlsk Class CONFIDENTIAL Social Security Number: Stock Ownership: Address: 8.F.1 Packet Pg. 218 Attachment: 8F RYAN M. GOBIEL – REVIEW OF EXPERIENCE – SWIMMING POOLSPA SERIVCE AND REPAIR CONTRACTOR - ISON CORP CRE'DIT CHECK Company: ISON CORP. DtBtA: BLU AQUA POOL SEBVICE Address: 620 HENLEY DRrvE NAPLES, FLORTDA 34104 SM Gommercial Credit Report ** Crcdit Profile *** HIGH CREDIT BALANCE CUR10700 9800 100* CONFIDENTIAL Date:04/tz/22 Cust. No: 9999 Ordered By: 14188 Page: 2 91+ COMMENTS 0% ISON CORP. D/B/A BLU AQUE POOL SERVICE was ]NCORPORATED in the county ofCOLLIER, state of FLORIDA, on 04/08, 2073. The charter number isP13000031381. The registered agent is GOBIEL, RYAN of 620 HENLEY DRIVE, NAPLES, FLORIDA 34704. Offices are LEASED from N/A at N/A per month. The company employs N/A. NET WORTH: ON FILE wTTH STATE The company maintains banking relations with cHass The officer handling the account is N/A - NAeLES, FLoRTDA PUBLIC RECORDS WERE CHECKED FOR GOLLIER COUNTY, FLORIDA. A SEARCH OF LOCAL, STATE, AND FEDERAL RECORDS HAS BEEN CONDUCTED WITH THE FOLLOWING RESULTS: CLEAR AS OF A$NAN.. SEVEN YEAR SEARCH. BUSINESS CATEGORY BANK CARD DATE LAST PAY RPTD SALE TERMS 03/22 00/00 REVOLVE 30 0% 60 0e 90 0% REMARKS: N/A : NOT APPLICABLE//NOT AVAILABLE REPORT WORKED BY KELLY END OF REPORT. Tho a@Ecy ol sm€. hof,sr' b ir no rarr guaBnt€ed. By y@r rccoptarc and E ql thb r€por( y@ speciticalty agEe to hoH cEdn ch;ck, inc. harmk€s ftom any liability whats@ver 8.F.1 Packet Pg. 219 Attachment: 8F RYAN M. GOBIEL – REVIEW OF EXPERIENCE – SWIMMING POOLSPA SERIVCE AND REPAIR CONTRACTOR - ISON CORP 4111122.2:46 PM Deta,l by Entity Name DepadtDel!-atslale / Oivision of CoraaIaligqr / Seel!trAecadr / Se"rcfi by-Elllty-llalng / Detailby Entity Name Florida Profit Corporation ISON CORP Filing lnformation Document Number P13000031381 FEUEIN Number 46-2556592 Date Filed 0410812013 State FL Status ACTIVE Last Event REINSTATEMENT Event Date Filed 0410312020 Principalll!&lIrss 620 HENLEY DR. NAPLES, FL 34104 Mailing Address 620 HENLEY DR. NAPLES, FL 34104 Registered Agent Name & Address GOBIEL, RYAN 620 HENLEY DR. NAPLES, FL 34104 Name Changedi 01 11012018 Ofticer/Director Detail Name & Address Title DPST GOBIEL, RYAN 620 HENLEY DR, NAPLES, FL 34,I04 Annual Repldg Report Year 2020 2021 2022 Filed Date 04t03t2020 02105t2021 02t1612022 FLoRIDA DEPARTMETfl OI STATq DtvtstoN oF CoRPoRATtoNs t# cilxitLrroNs dn ofiici.tl Stare of Flo da u,ebtirc search.sunbiz.org/lnquiry/CorporationSearch/SearchResultDetail?inquirytype=EntatyName&directionType=lnitial&searchNameOrder=ISON p1300003... .1/2 8.F.1 Packet Pg. 220 Attachment: 8F RYAN M. GOBIEL – REVIEW OF EXPERIENCE – SWIMMING POOLSPA SERIVCE AND REPAIR CONTRACTOR - ISON CORP 4111122,2:46 PM Detail by Entity Name Document lmages O2l16/2022 _ ANNUAL REPORT 02105/2021 -- ANNUAL REPORT 04103/2020 - REINSTATEMENT O1 /,I O/2018 - REINSTATEMENT O7l15/2016 - ANNUAL REPORT O4l2112015 _ ANNUAL REPORT 03/2312014 - ANNUAL REPORT 04/08/2013 - Domestic Profit Mew image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format Florida Depaftment of State, Division of Corporations search.sunbiz.org/lnquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=lnitial&searchNameorder=lSoN P't 300003 2t2 8.F.1 Packet Pg. 221 Attachment: 8F RYAN M. GOBIEL – REVIEW OF EXPERIENCE – SWIMMING POOLSPA SERIVCE AND REPAIR CONTRACTOR - ISON CORP 4111122,2:48 PM sunbiz.org - Florida Department of State FLoRIDA DgpaRrUrrqT OI STATE Dtvrsroru oF CoRPoRATToNS Drvruorv o/ ConpoRATroNs orr oflicinl State of Florida v'ehsite Previous on List Next on List Retum to List Filing History Fictitious Name Owner Search Submit Fictitious Name Detail Fictitious Name BLU AQUA POOL SERVICE Filing lnformation Registration Number Status Filed Date Expiration Date Current Owners Coungr Total Pages Events Filed FE!/ElN Number Mailing Address G1 3000046452 ACTIVE ost15t2013 12t31t2023 1 MULTIPLE 2 1 NONE 6600 CUTTY SARK LN NAPLES, FL34104 Owner lnformation ISON CORP 6600 CUTTY SARK LN NAPLES, FL34104 FE!/EIN Number: 46-2556592 Document Number: P1 3000031 381 Document lmages 05/15i2013 -- Fictitious Name Filing View image in PDF format 03/21l2018 -- Fictitious Name Renewal Filing View image in PDF format Previous on List Next on List Retum to List Filing History Fictitious Name Owner Search Submit Florida Department of State, Division of Corporations dos.sunbiz.org/scrlpts/ficidet.exe?action=DETowN&docnum=G13000046452&seq=669666001&format=C&name=lSoN CoRp&rdocnum=G.,l300004... .1/.1 8.F.1 Packet Pg. 222 Attachment: 8F RYAN M. GOBIEL – REVIEW OF EXPERIENCE – SWIMMING POOLSPA SERIVCE AND REPAIR CONTRACTOR - ISON CORP 2022 FLORIDA PROFIT @RPORATION ANNUAL BEPORT DOCUMENT# P1 3000031 381 Entity Name; ISON CORP. Currer Principal Place ot Busin€Gs: 620 HENLEY DR, NAPLES, FL 34104 Currenl Mailing Addr€ss: 620 HENLEY DH, NAPLES, FL 34104 US FEI Numb€r: 46-2556592 Name and Addr€ss ol Current Rsgislered Agent: C€rtilicate o, Status Desired: No FILED Feb 16,2022 Secretary of State 2075841998CC GOBIEL, BYAN 620 HENLEY DR NAPLES. FL 34I04 US Tt]o fuve naned e$ty s.lD,,iB this sl,,tenr€j, ld tp putwe d cll€4gitv iE eqisbtd dfce or tegige.sd agst, or bott, in tE Stae ot Haida. SIGNATURE: RYAN GoBIEL o2!16m2 Ebcfoob Slgmturo of BegisteGd Aoent OfticezDireclor Detail : Title OPST Narm cOBlEL BYAN Add.€SS A2O EENLEY DR. Clrstate.Zlp: NAPLES FL 3410,1 Date I ldrebf d'th i14 lla nAhial,ott ^,Etfd M th ffi.l d str't&,Etl, l .e@rl B t^d dn tu*o dd DEt nrf eLtl.m tu tr,up twp lt. 6w s.tat otbct a aL@ udh"dh trttn*do,t*MdnldBAl tat,;td@@'vtML; F*aetr.' "eere tH rsrtt'dh$,pdy cl,,qltu &7, Ftul69.eu,,.. d,J dut dvtu 4r,*dwd, Ltd ddadnrt ulth el ottB, ke e4nwtxt. SIGNATUBE: BYAN GOBTEL PHES|DENT 02fi6B022 Eledronlc Signature ot SignlrE OfiiceriDlreclor Delall Date 8.F.1 Packet Pg. 223 Attachment: 8F RYAN M. GOBIEL – REVIEW OF EXPERIENCE – SWIMMING POOLSPA SERIVCE AND REPAIR CONTRACTOR - ISON CORP Electronic Articles of lncorporation For ISON CORP The undersigned incorporator, for the purpose of forming a Florida profit corporation, hereby adopts the following Articles of Lrcorporation: Article I The name of the IS ISON CORP Article II o the corporation is: Y DR. NAPLES, FL. US 34T04 Article III The purpose for which this corporation is organized is: ANY AND ALL LAWFUL BUSINESS. Article IV The number of shares the corporation is authorizedto issue is 1,000,000 cle V of the registered agent is: with and accept the responsibilities of P1 3000031 381 FILEDAoril 08. 2013 Sbc. Of Statejshivers 620 HENLEY DR. NAPLES, FL. US 34104 The o The name and Florida RYAN GOBIEL 620 HENLEY DR. NAPLE,S, FL. 34104 that I am Registered Agent Signature: RYAN GOBIEL 8.F.1 Packet Pg. 224 Attachment: 8F RYAN M. GOBIEL – REVIEW OF EXPERIENCE – SWIMMING POOLSPA SERIVCE AND REPAIR CONTRACTOR - ISON CORP Article VI The name and address of the incorporator is CARRI BROWN 23586 CALABASAS ROAD SUITE 102 P1 3000031 381 FILEDAoril 08. 2013 Sbc. Of Statejshivers CALABASAS, CA 91302 Electronic Signature of Incorporator: CARRI BROWN I am the incorporator submitting these Articles of Incorporation and affrm that the facts stated herein are true. I am aw'are that false info"rmation submitted in a document to the Department of State constitutes a third degree felony as provided for in s.817.155, F.S. I understand the requirement to file an annual report between"January ist and May lst in the calendai year following formation of this corporation and every year thereafter to maintain "active" stafus. Article VII The initial officer(s) atdlor drector(s) of the corporation is/are: Title: DPST RYAN GOBIEL 620 HENLEY DR. NAPLES, FL. 34104 US 8.F.1 Packet Pg. 225 Attachment: 8F RYAN M. GOBIEL – REVIEW OF EXPERIENCE – SWIMMING POOLSPA SERIVCE AND REPAIR CONTRACTOR - ISON CORP ffi Internal Revenue Seryice Uoitcd Steuu Dcpanment of thc fternrry This Product Contains Senrl,tive Taxpayer Data Requcst Date: Response Date:Tracking Number: 10 2405 r 55 1 Account Transcript F0Rl'l NUI'IBER: 94L TAX PERI0D: Jun. 30, 20Lq TAXPAYER IDEIITIFICATI0N ilUllDER z 46-?555592 ISON CORP620 HENLEY DR NAPLES, FL 5410q-6529-204 --- A}IY I{IilUS SIGN SHOT}I BELOT{ SIGIIFIES A CREDIT AI,IOU}IT --- ACCOUNT BAIANCE: ACCRUED INTEREST: ACCRUED PENALTY: ACCOUNT BAIA}ICE PLUS ACCRUALS(THIS IS }IOT A PAYOFF A}IOUNT):90.00 I* INFOR}IATION FROI'I THE RETURN OR AS ADJUSTED TT TAX PER TAXPAYER: $5,157.50 RETURN DUE DATE OR RETURN RECEIVED DATE (HHICHEVER IS LATER) PROCESSED DATE TRA}ISACTIOilS CODE EXPLAilATION OF TRANSACTION CYCLE DATE150 Tax return filcd 201431 08-18-2014 55135-210 -c+3669-q 650 Federal tax deposit 05-50-2014 650 Federal tax depoeit 06-?0-20L4 650 Federal tax deposit 07-18-201{ This Product Contains Sonsitive Taxpayer Data Al.t0uNT 95,157.50 -+1,580.76 -$1,975.96 -$1,580 . 78 -20L9 -20L9 23 23 20 r8 20L4 Dec Jul . AS OF AS OF zBLq 20L4 OI0t 04 ffi 022488 t0.00 90.00 $0.00 3I,3I, Jul. 3I,Auc.18, 8.F.1 Packet Pg. 226 Attachment: 8F RYAN M. GOBIEL – REVIEW OF EXPERIENCE – SWIMMING POOLSPA SERIVCE AND REPAIR CONTRACTOR - ISON CORP F",.1120 U.S. Corporation lncome For calendar ycar 2018 or tax year bcglnning ' D€oadmont ol lt'. I..asury hlirn3l R.venue SeMe '> Go to vlFodnl 1 20 lot insirucllons and the lalesl information. Tax Return ,2018, ending OMB No. I545.0123 4/08 ?0L3 O Toial ass€15 (sce instn clDns) 2018 B Etnplor.r ldtn0fc.ton ht,n!.r 46-2355592la b 2 3 4 ! Consolidaled retl'ln (ar6.r' Fo.m 851) . (a(?dr Scr'. Pro . - Schadulc M.3 E I |t c o E 403 827 . Address change 408 046. 723 7 5'1 . 284 289 . 284 289 . 66 I65 53 84. 68. 07. FooEN DULCt Tllol ST IsoEnES lo sTDREI'DCUTCIToll{o s s 1 5 8 6 5 4 9 1 1 0. 18 705. 1 372. I 119 . 13 45. 26 ,a 1 51. 15 36 P00497968 rn,'" Etr r 81-27 L07 4 Pton€ r,o. 2 3 9-435-353 3 8 5 9 3 t-x,i Rs, It ir:s 1 0 0 0 0 Sign Here Paid Preparer Use Only TYPE OR PRIt{T ISON CORP. BTU AQUA POOL SERVICE 620 IIEI{LEY DR NAPLES, FL 34 ].04 E Check it: O)lnitial return (4 Final return (3)Name change (4) 1c 2 3 4 6 8 9 '10 bReturns and al|owances................ c Balance. Subtract line 'lb fiom line 1a. . . . . . . . . . . . . . Cosl ot goods sold (attach Form I 125-A). . . . ... . . . . . . Gross profit. Sublracl line 2lrom line lc............. Dividends and inclusions (SclEdule C, line 23, column (a)) lnterest . . . . . . . . . . . . . Grossrents......... Grossroyallies...... Capital gain net income (attach Schedule D (Form I120))........... Net gain or (loss) fomFotm 4797, Part ll, line 17 (attach Form 4797) ofEr income (s€e instructions - att ch statemert) . 2 3 4 5 6 7 8 9 10 11 tt Total income. Add lines 3 lh h to I ! Gross receipts or sales 1a 'tb 'l.l 12 t3 14 't5 't6 17 18 l9 20 21 22 23 24 25 26 27 4c 28 12 Compensalion ol otficers (see instructions - attach Form I125,E)... . .. . 13 Salaries and wages (less employment credits). . . . . . . . . . . . . '14 Repairs and maintenance........ 15 Bad debts....... 15 Rents.......... 17 Taxes and licenses . . . . . . . . . . . . 18 lnterest (see instructions)........ 19 Chantable conkibutrons . . . . . . . . . . 20 Depreciation fom Fo.m /1562 not claimed on Form I 125,A or elsewhere on return (attach Form 4562)2l Oepletion....... 22 Advertising..... 23 Pension, profit'sharing, etc., plans.......... 24 Employee benefit programs......... 25 Reserved for future use............. 26 0her deducliom (attich statement). . . . . . . . . . . . . . . .SEE .S.T.4TEPI-E. .NL 1 27 Totll dcdudons. Add lines 12 through 26. . . . . . . . 28 Talade inconE before net operatjng loss dductjon and speciat deduclions. Subtract lin€ 27 from line I ] 29r Net operatinO loss deduction (see instructions) . . . . . b Special deductions (Schedule C, line 24, column (c)) c Add lines 29a and 29b........... 15 361.SEE - ST,,?8a 3t 32 33 4 35 36 Tarlblc lncomc, Subtract line 29c from line 28. See instructions.......... Total tax (Schedule J, Part l, line I l) . . . . . . . . . . . . . . . . . 2018 net 955 tax liability paid (Schedute J, Part lt, tine 12) . . . . . . . . . . . . . . . . , Total payments, credits, and section 965 net tax liability (Schedute J, part lll, tine 23)........ Estimated tax penalty. See inslructions. Check il Fot-r, m is attached. . . . . Amouot owad. It line 33 is smaller than the total ot lines 31, 32, and 34, enter amount owed . Ovlrp.ymrnt lf line 33 is larger than lhe tolal of lines 3l ,32, and y, enter amount overpaad 3l) 31 u. 33u 35 36 37 Enter amount from line 36 you want Credit€d to 2lll9 estimated tax I ncfunacd '9 Und.r penanEs ot p€rlury, I de(tar€ hat I have €tamn€d th6 r6turn. tnctudrm accomoanvrno s{itGdutesano o€xer. It 6 tsu€, corecl and aornpt t!. oechrato.r ot pr.Dare, (otEr uEri Laxpa*r) is bas6d on a[ pr6parer stE,*n below? llo and stalemenls. and to tE bcst of mv knowl€doe iniohation ol wh'ch p,epar6r has ani kno,iledgil'.) pnssroeNr c ROBERT H. ANSTETT ROBERT H, ANSTETT 9 /23/L9 Date Check APAFtm's narne ' ANSTETT TAMIAUI010 TRL N S 5TE 20 NAPLES rL 34102 -lir:Iirlll For Pap€rwo on Act ce, s€c sepaEle on5.cF\cao2t2| 01/04J19 orm 5 7 30 n Yes 8.F.1 Packet Pg. 227 Attachment: 8F RYAN M. GOBIEL – REVIEW OF EXPERIENCE – SWIMMING POOLSPA SERIVCE AND REPAIR CONTRACTOR - ISON CORP F",,8879-C DeDartment of the Treasurv lnlernai Re€rue setore ]SON CORP. OMA No. 1545-0123 IRS e-file Signature Authorization for Form 1'120 ror c.lendar yea,2118, or tar year beginn,nq ' , 2019, end,ng _, _ ' Do nol send to thc lRS, Kecp foryour rccords,> Go lo www-irs.goylFo.n 8879C lor thelstesl inlormation. 2018 1 2 3 4 5 Erploy.r 46-2556592 Tax Return lnlormation ole dollars on Total income (Form I120, line ll). . . Taxable income Gorm 1120, line 30) Total tax (Form llm, line 3l)....... Amount owed (Form l'120, line 35) . . Over nt orm I i20 line 36 Declaration and Si nature Authorization of Officer. Be sure to et a copy o, the corporation's return. Under penallies of periury, I declare thal I am an officer of the above corporation and that I have examined a copy of the corporation's 2018 electronic income tax return and accompanyrng schedules and statements and to the best of my knowledge and beliel, it is true, correct, and complete. I further declare that the amounts rn Part I above are the amounts shown on the copy of the corporation's electronic income tax relurn. I consent to allow my electronic return originator (ERO), transmitter, or intermediate service provider to send the corporation's return to the IRS and to receive from the IRS (a) an acknowledoement of receipt or reason lor rejection of the lransmission, (b) the reason for any delay in processing the return or refund, and (c) the date of any refund. lf applicable, I authorize the U,S. Treasury and its desrgnated Financial Agent to initiate an electronic funds withdrawal (dnect debit) entry lo the financial institution account indicated in the tax preparation software for payment ot the corporation's federal taxes owed on this return, and the financial institution to debit the entry to this account. To revoke a payment, I must contact the U.S. Treasury Financial Agent at 1.88&3534537 no later than 2 business days prior to the payment (settlement) date. I also authorize the financial institutions involved in lhe processing of the electronic payment of taxes to receive conlidential intormalion necessary to answer inquiries and resolve issues related to the payment. I have selected a personal identification number (PlN) as my signature for the corporation's electronic income tax return and, iI applicable, the corporation's consent to electronic funds withdrawa[. Olfice/s PIN; check one box only I I authorize ANSTETT CPA PA to enter my PIN 02051 as my signature do not .,t.r .ll z.ro5EmfirlrtlL. on the corporation's 2018 electronically filed income tax return [As an ofticer of the corporation, I will enter my PIN as my signature on the corporation's 20]8 electronically filed income tax return ,l 2 3 4 5 Certification and Authentication ERO's EFIN/PIN, Enter your six-digit EFIN fottowed by your live,digit setf.selected ptN ERo's sionaturc > ROBERT H. ANSTETT 655590522'79 do not.nt rdl z.ro. I certify that the above numeric entry is my PlN, which is my signature on the 2Ol8 electronically filed income tax return for the corporation indicated above. I conlirm that I am submitting this return in accordance with the requirements ot Pub. 3l 12, IRS e-rile Application andParticipation, and Pub,4163, Modernized e-Fiie (MeF) lnformation for Authorized IRS e-file Providers for Buiiness Returris. ERO Musl Retain This Form - See lnstructlons Do t{ot Submit This Fo]m to lhe IRS Unless Requestrd To Do So BAA For Papcrwork Reduction Act Nolice, s€e instruclions.Form 887$C (2018) cF€almlL 07/27118 Pad I il r,te' PRESIDENT & CEO 8.F.1 Packet Pg. 228 Attachment: 8F RYAN M. GOBIEL – REVIEW OF EXPERIENCE – SWIMMING POOLSPA SERIVCE AND REPAIR CONTRACTOR - ISON CORP CovwrX! GroMh Management Department Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 239-252-2400 APPLICATION FOR COLLIER COUNTY CERTIFICAIE OF COMPETENCY STATEMENT OF OWNERSHIP This certifies that l,6 /c am a member or managing S NAME (please print) member or Tgon C ono Dtr^ RI A ^,-fuo ( f,,,^,.,., lown /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. iel 4 Dlr"- DL 1fi""u Applicant (please print) of Company Signature of or E online notarization on this {loik GCounty ofState of The was before mely means of$physical presence K ur r,r 11' fY\NA]A0-llJ Aob\g-tt< davof 20 Such person(s) N E are personally n has produced (Notary Seal) by otary Public must check applicable ;:-J as identification known to me fhas produced a current driver license{4 Du SNDRADELGADO Commbsion; HH '101718 ExDires Marctr 8,2025 Bdrd.d ft u Adg't )hEry s'r*E Notary Signature 'ffi Firm_Application.docx Rev 410612020 Page 9 of 15 8.F.1 Packet Pg. 229 Attachment: 8F RYAN M. GOBIEL – REVIEW OF EXPERIENCE – SWIMMING POOLSPA SERIVCE AND REPAIR CONTRACTOR - ISON CORP QottttXy Gro\^/,lh Managernent Departnent Contractor Licensing 2800 N. Horseshoe Dr. l.laples, FL M104 239-252-2400 APPLIC,ATION FOR COLTIER COUNTY CERTIFICATE OF COMPETENCY STATEMENT OF OWNERSHIP This certifies that l,Rh^ Cob;* I ama Dt^ BLmember lown Affidavit of Applicant: I statement to the best of my State of \g\ (l are perconally known to I has produced (Notary Seal) listed above. on contained is a true and correct or managing Applicant GLi./ I rtn'.t Name Company b2: l.u..G\ tr presence or E online notarization on this \ w belorc chcck applicablc box: E has produced a current driver as identification. [}ANY LEIVA Notary Public State of Florlda comms tlH1o5257 Notary Explrcs n/3/2025 % of the units issued by the Limited Liabil under penalty of perjury that the Firm_Application.docx Rev 4/06/2020 Page 9 of 15 ,by _ I 8.F.1 Packet Pg. 230 Attachment: 8F RYAN M. GOBIEL – REVIEW OF EXPERIENCE – SWIMMING POOLSPA SERIVCE AND REPAIR CONTRACTOR - ISON CORP Covt*tQ Gro\^nh Managerrnnt Departnent Contractor Licensing 2800 N. Horseshoe Dr. Naples, FLU1O4 239-252-2404 APPLICATION FOR COLTIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Na te/ Certificate Category Requested R" / a^r{ lo^4*/.-uL-. 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 hiVher experience within this trade. You are being requested to provide information that will aid the applicant in meeting this requirement. You should verifo time of ach've 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 veriling trade experience for the above-named applicant must provide the following information: [T\ nrcc 00DName: Business Name:0 HTI€, G eo',.19 .LLPhone: Business Address: Street The applicant was employed by me ftom License No. (if applicable): to 20 t1 Z City State zip 2 Applicant's title: _ The applicant's scope of work (specific duties) included Additional mmments: NOTE TO LICENSED CONTRACTORS'. Falsifying any information prcvided herein may subjectyour license to revocation. Under penalty of perjury, I declare that the facts stated here are true i,tf ,'*.r\\uLU counry.r-(o\\*"v Thc was acknowledged by means offlphysical prosence or n onlinc notarization on this by "t-t|-2az-\ 0,t^Such person(s) Notary Public must E are personally known to me n has produccd _ (Notary Seal) as identification. DANY LEIVA Notary Publlc State of Florida Commf HH10S2S7 Exekes4l3l2O2S driver liccnsc Notary Firm_Application.docx Rev 4/06/2020 Page 11 of 15 Cx" l! 7 zz- 8.F.1 Packet Pg. 231 Attachment: 8F RYAN M. GOBIEL – REVIEW OF EXPERIENCE – SWIMMING POOLSPA SERIVCE AND REPAIR CONTRACTOR - ISON CORP Gro^,lh Nlanagqrgrt Deparfnent Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL3r'.104 239-252-2404 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY Applicant's VERIFICATION OF CONSTRUCTION EXPERIENCE '"/ Poo( .J U c"J..,A,^Certificate Category Requested: The applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate, the applicant must verify hisi/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 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 rua,": )f ^/D ( Sr+u&.r*,u C Lu / )q-.t e- /+'e,,-- ( t40, Business Name: fs Phone: 23r g* 3f F3 C L- $ )rrz.tr--- License No. (if applicable):Cfrn S06to Business Address:,br 6cud On'rL tz 3 </r3/ Street City State Zip The applicant was employed by me from /h .ArLo/+ Ao2d to Ton4l r9fEt< &a* Applicant's title: The applicant's scope of work (specific duties) included s L,,,0-,'nt d Additional comments: NOTE TO LICENSED CONTRACTORS: Falsifying any information provided herein may subject your license to revocatbn. Under penalty of perjury, I declare that the facts strated here are true. 54,o,-{1 Signature of person providing the statemer( L starc ot' F[n".\.^ ('.u*rv nt' G\.. " was acknowlcdged bc mc by means otfl.physical prcscncc or d onlinc notarization on this 4 'r s - )/,>L D-t-Such pcrson(s) ! arc personally known to rnc I has produccd (Notary Seal) -irs idcntification. T}ANY I.EIVA Notary Publlc State of Florlda Comm# HH1OS2S7 Notary Exptres4l3l202S drivcr licensc # Firm_Application.docx Rev 410612020 Page 'l 2 of 15 Public must 8.F.1 Packet Pg. 232 Attachment: 8F RYAN M. GOBIEL – REVIEW OF EXPERIENCE – SWIMMING POOLSPA SERIVCE AND REPAIR CONTRACTOR - ISON CORP Creative Construction & Design, lnc. 870 Bald Eagle Dr. Suite 2-A Marco lsland, FL.34145 T 239-253-6939/F: 239-394-5722 To whom it may concern, I have know Ryan Gobiel for nearly 20 yrs. He has been in the pool and spa industry for approximately 10 yrs and has shown proficiency in nearly all aspects of the service industry including but not limited to: Chemical balance and testing, filtration of all types, pump mdntenance and repair, plumbing, valves, leak repair', lighting, automation, chemical pumps, etc. Ryan is an extremely hard worker that will get the lob assigned in a professional and timely manner. Sincerely, Pat Visser cGc-t{287'/3 DANY LEMA Notary Public State of Florida Commf 8H105257 Exgt.€t 4BfnE ( - 6- aaea -T\<- $orczroino', ns{..rr.ne...{,u)aS q,cq"rJ.a\.J.qed bc{>re no.c- tr\ 6rr6,ons 6€ *hxsieo,\ ?retc-oc-e aJ personL\\ Kntsrsn -lo rt\e 8.F.1 Packet Pg. 233 Attachment: 8F RYAN M. GOBIEL – REVIEW OF EXPERIENCE – SWIMMING POOLSPA SERIVCE AND REPAIR CONTRACTOR - ISON CORP C,Rff.,Qor,ttrt3l Contractor Licensing 2800 N. Horseshoe Dr Naples, FL 34104 235252-2400Gro,r,/th Managernent Departrnent AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER Fcou.oF COUNry OF Gwr{.u $Aru{+{L :I. L-AqA having been first duly sworn, state and affirmI, I am a resident of Cout €n-County,P-oru'Ofo (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 lo observe his or her business and personal dealings and find him or her to be a person of honesty, integrity and good character. Signature M rcHAA, J. LAI\D Address: € S?t CH tC Pe{SLft/U PL Street N eP.{)FL 1'{lr3 City Stalo zlp Stalc of Thc fo rLxor instrumcnt was acklowledgul be $\or-r* .*",r", (-\\.o, Telepho ne:z\1 -2t t- 21"1 D olline notarizatiofl o[ thisLqtilrnc by mcans ol Eph ,by Such pcrson(s) Notary Public must chcck applicablc box DANY I.EIVA Notary Publk State of Florlda Commf HH105257 Expires 4/3/2025 Notary Sigliaturc 4-t,-zdLz D'l- D Fi.m_Application.docx Rev 4/06/2020 Page 13 of 15 APPLICATION FOR COTLIER COUNTY CERTIFICATE OF COMPETENCY STATE OF 7.r^A 6oq \q- E arc pemonally known to me 0 has produccd a current driver liccnsc E has prcduccd as idcntification. (Notary Seal) 8.F.1 Packet Pg. 234 Attachment: 8F RYAN M. GOBIEL – REVIEW OF EXPERIENCE – SWIMMING POOLSPA SERIVCE AND REPAIR CONTRACTOR - ISON CORP Cotttrt3l Grovrih Managernert Departrnent Contraclor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 239-252-2400 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF ]NTEGRITY AND GOOD CHARACTER FLoR ID A, couNry or CO LL I e K LocttER County, STATE OF I am a resident of more than five (5) years Slatc ol' foregoi (State) and have resided here for BYAN &oB rrlDuring the last five (5) years I have known to observe his or her business and personal dealings good character. (applicant). I have had the opportunity and find him or her to be a nof , integrity and Signature Pff1g1c(S 'EI? Address cily I Co 5t.cct Prlnted Name ,3 {L Statc 2o \--[^G\\.; Telephone Llq-Ls3-617 7 c onlinc not rizrtion on this Ln,A V"s.- 4-15'Loz7- f).L County ol' was acknowlcdgcd bc Sucye rson(s) /arc pcnonal olary Puhlic mu\t chcck applicablc hox:ffi known to mL' (Ihas produc.'d a cly D has produccd (Notary Seal) urrent drivcr liccnse as idcitillcatior OANY LEIVA Notary Publlc State of tlorlda Commf HH10525lto(rry siAn E\gtes 413/2025 Firm Application.docx Rev 4/06/2020 Pag€ 14 of 15 ,, Pr4IR f Cf J , / f S<ERhavins been nrst dury sworn, state and arrrm: t--LOR(DA 8.F.1 Packet Pg. 235 Attachment: 8F RYAN M. GOBIEL – REVIEW OF EXPERIENCE – SWIMMING POOLSPA SERIVCE AND REPAIR CONTRACTOR - ISON CORP *t))rssJTJt' s(F G'GIqr*(t ftr H G} ,' t *q Tu T il& r*1 * 1: s f; I. L (I7t-' IIlrit ) L I&f r/ Atrlt utrFil T } T lIi t j { dx>'l' I 7 \-/ -.] .l tI ,/;t\- T r s k \8.F.1Packet Pg. 236Attachment: 8F RYAN M. GOBIEL – REVIEW OF EXPERIENCE – SWIMMING POOLSPA SERIVCE AND Cott'ttLjl Growth Management Division Planning & Regulation Operations Department Licensing Section May 10,2022 Ryan M. Gobiel Ison Corp dba/ Blu Aqua Pool Service 620 Henley Dr Naples, Fl 34104 RE: Review of Experience - Swimming Pool/Spa Service and Repair Dear Mr. Gobiel, You have been added to the agenda for the Collier County Contractors' Licensing Board on Wednesday, May 18ih,2022. The Meeting is held at 9:00am at the W. Harmon Turner Building (Bldg F, Admin Bldg), 3299 Tamiami Trail East, 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 T Crotts Contractor Licensing Supervisor Collier County Contractors' Licensing Growth Management Division+Planning & Regulation*2800 North Horseshoe Drive*Naples, Florida 34104*239-252-2400*www.colliergov.net 8.F.1 Packet Pg. 237 Attachment: 8F RYAN M. GOBIEL – REVIEW OF EXPERIENCE – SWIMMING POOLSPA SERIVCE AND REPAIR CONTRACTOR - ISON CORP 05/18/2022 COLLIER COUNTY Contractor Licensing Board Item Number: 10.A Item Summary: CONTEST CITATION #11812 – RIGOBERTO GUIDICELLI (CEUL20220003651) Meeting Date: 05/18/2022 Prepared by: Title: – Contractor Licensing Name: Alyshia Morse 05/11/2022 12:09 PM Submitted by: Title: – Contractor Licensing Name: Tim Crotts 05/11/2022 12:09 PM Approved By: Review: Contractor Licensing Sandra Delgado Review item Completed 05/11/2022 4:39 PM Contractor Licensing Tim Crotts Review Item Completed 05/11/2022 5:03 PM Contractor Licensing Tim Crotts Meeting Pending 05/18/2022 9:00 AM 10.A Packet Pg. 238 Covttaiy Growth Management Division Planning & Regulation Operations Department Licensing Section May 2,2022 Rigoberto Guidicelli 2946 54th Ave NE Naples FL 34120 Ref: Citation 11812 Dear Mr. Guidicelli, I have received your request to contest the citation you received as listed above. A hearing has been scheduled before the Collier County Contractors' License Board for MAY 18th,2022 at 9:00am in the Board of County Commissioner's Room, Third Floor, Administration Building (W. Harmon Turner Bldg.) at3299 East Tamiami Trail East, Naples, Florida 34112. There is a security checkpoint you will need to go through, do please allow enough time to make it to the meeting. A copy of the investigator's report is also included with this letter If you have any questions or concems, please call (239) 252-2431 or you may email me at contractorslicesninq@coI I iercountyfl . gov. Crotts Licensing Compliance Supervisor Collier County Growth Management 2800 North Horseshoe Drive Naples, FL 34104 Growth Management Division*Planning & Regulation*2800 North Horseshoe Drive*Naples, Florida 34104*239-252-2400*www.colliergov.net If you wish to submit evidence on your behalf, we must receive those documents no later thanT days prior to the hearing date of MAY l8th, 2022. 10.A.1 Packet Pg. 239 Attachment: 10A CONTEST CITATION #11812 – RIGOBERTO GUIDICELLI (CEUL20220003651) (22221 : CONTEST CITATION #11812 – Mx,*Repmrt Title: Code Case Details Date: 4120120224:22:O5PM CaseNurnber: CEUL20220003651 Case Nunrber:oEUL202200036s1 Case Type:Unlicensed Priority Normal lnspecton TimothyBroughton Jurisdiction Collier County Origin Gomplaint Detail Description Unlicensed Carpentry Contractor - Guidicelli, Rigoberto - Citation #11812, $1000.00, 1st Violation Location Commerrts 9724 Gult Shore Drive (Parking Garage) Status Citation Date & Tinre Entered 411212022 4:34:40 PM Entered By TimothyBroughton Case Disposition Unpaid Aridress 9724 Gulf Shore DR, Naples, Other Structure Property 27481480002 Property Owner REFERENCE ONLY VILLAS OF VANDERBILT BEACH CONDO Violator Guidicelli, Rigoberto Business Management & Budget Office 1 10.A.1 Packet Pg. 240 Attachment: 10A CONTEST CITATION #11812 – RIGOBERTO GUIDICELLI (CEUL20220003651) (22221 : CONTEST CITATION #11812 – Code Case Details Execution Date 412012022 4:22:05 PM Desc Assigned Required Gompleted Comments Preliminary lnvestigation TimothyBroug hton 4t12t2022 411212022 Citation Required Unlicensed and Unpermitted work in the Parking Garage. Needs lnvestigation. TB Cont. lnvestigation TimothyBroug hton 411512022 4t15t2022 Complete On April 11,2022 at 1:'lOpm, lconducted a site visit to 9715 Gulf Shore Drive (Across the Street in the Parking Garage) on possible unpermitted work taking place. I observed two site workers installing a storage room on the lower level of the parking garage (visible from the street). I talked to Mr. Rigo Guidicelli (239) 734-5296. He stated that he was installing a storage room for bikes. I asked him if he was hired by the HOA to build and install the storage room. He stated no. He then stated that Mr. Gerardo Ramirez was hired by the HOA to build and install the storage room. Mr. Guidicelli then stated that he was building the storage room for payment for approximately $500.00 worth of landscaping that he received at his primary residence from Mr. Gerardo Ramirez. I asked Mr. Guidicelli if he had a state or local license to build or install the storage room. He stated no. A check revealed that Mr. Rigoberto Guidicelli did not have a valid state or local license that would allow him to build or install the storage room and that no permit was issued for the said work. I then took my case photos - posted a Stop Work Order. I advised Mr. Guidicelli that he could receive two citations (1 for Unlicensed Carpentry and 1 for Commencing Work for which a Building Permit is Required). I told him I would finish my investigation and give him a call to come down to GMD to discuss the case when I had all the facts. I advised him of the SWO and to make the site safe and secure. l\4r. Guidicelli stated that he understood. TB Attach Picture(s)TimothyBroug hton 411512022 4t1512022 Complete Attached case photos and support docs. TB Business Management & Budget Office 2 Outcome 10.A.1 Packet Pg. 241 Attachment: 10A CONTEST CITATION #11812 – RIGOBERTO GUIDICELLI (CEUL20220003651) (22221 : CONTEST CITATION #11812 – Code Case Details Execution Date 412012022 4:22:05 PM Desc Assigned Required Completed Outcome Comments Cont. lnvestigation TimothyBroug hton 4t15t2022 4115t2022 Complete On April 15,2022 at 1:00pm, I met with Mr. Rigoberto Guidicelli (239) 734-5296 at the Growth Management Department. With Supervisor Delgado present for translation and Supervisor Crotts present to answer and explain some questions from Mr. Guidicelli. Again I confirmed with Mr. Guidicelli that he was installing the storage room at the said location on the said date. I confirmed that he had a verbal agreement and was installing the storage room for payment for approximately $500.00 worth of landscaping that he received from Mr. Gerardo Ramirez. I also confirmed with Mr. Guidicelli that he did not have a state or local license that would allow him to complete the said scope of work. I confirmed that Mr. Ramirez was in direct contract with the property HOA and sub the work to Mr. Guidicelli. I then issued lVlr. Rigoberto Guidicelli citation #11812 for Unlicensed Carpentry. I explained his 3 options on the rear of the citation. Supervisor Crotts allowed Mr. Guidicelli to receive a notice of non compliance instead of receiving a 2nd citation for commencing work for which a building permit is required. TB Cont. lnvestigation TimothyBroug hton 411812022 411812022 Complete Also reference case #CEU L202200037 60 (unlicensed carpentry Mr. Ramirez) and case #CECV 202200037 20 (permit req u i red referral). TB lssue Citation (Licensing)TimothyBroug hton 4t18t2022 411812022 Complete lssued Mr. Rigoberto Guidicelli citation #11812 for Unlicensed Carpentry. TB Citation Paid/Contested Michelle.Puen te 5t2t2022 Pending Violation Description Status Entered Corrected Amount Comments Unlicensed Carpentry Open 411412022 $o Title Reason Result Compliance Fine/Day Condition Business Management & Budget Office 3 10.A.1 Packet Pg. 242 Attachment: 10A CONTEST CITATION #11812 – RIGOBERTO GUIDICELLI (CEUL20220003651) (22221 : CONTEST CITATION #11812 – INSTRUCTIONS PAYMENT OF S|TAT|ON: -lhe pen.rlq lur each uncontested lir:lation has been set b! the Board ofCol lier CorLnn'Conrmissioners, and shal-l be payable to the Boaid of Collrer Counn Commissloners, 2800 North Horseshoe brive, Neples, Florida 3'{104, no lattj thm l0 davs of notice receipt, excluding weeken.ls .lnd lega.l holidal,s. P.'lvi{ENIS,1{LIST BE l.I:lDE BY CASH, CHECK, Ofi ,efOrYff OBDER; ATt FTES i,ILTST BE REITITTED {N US 'tINDS. FINF- SCH}:DULE . UNCONTESTT.D VIOLATIONS lst Unconaestcd Oflense $1,000.00 ?nd Uncontested Offense 52.000.00 UuLloJ-). mo?,0}51 LL1LzCOLLIER GOUNTY GROWTH MANAGEMENT DIVTSION 3',ilxii""::J,:;i;:i::;l ., I m, q 0 cmAnoN Pusuant to section 489 Florida Statutes, the udersigned hereby certi-fres that upon personal inv*tigation, he/she has reasonable and probable grounds !o believe that &e person whose name appws below as issued to, did violate subsection 489.127.(l), Florida Statues, and the Collier County Contractor's Licensing Ordinance No. 2005-46 (as may be amended) by tie violation stated below. Issued To Address elLll 9&.,+Nt r.le city IJAakS *;;jt-;j'{l}o (if applicablq,)-Tas No.u_ Location ofViolation OPTIONS I have been informed ofthe violation for which I have been charged and elect theNtrtu'115r,ond,na the tbove-ret!renced penalties, in the er.ent a 6rst uncontes-te< r rr-,lrtion i; the resrrlt r;i 1[1 r,161.11s1 eirga.{rng rn the business or acting in tht ;., pa;itr.,o_i a corltra.tor .r .ldvert i sing hiuiseUor hersJli'()r J brsiness organizatior aJ ;t1 *il::Lrie to e nElage rr tirc br,rs iness o r uc t ilr rlre cai.r, i 11 o l t contractor withou l-,ring dui..,'r<SistcreJ ur ccrrified. The penalty:hrll abated from S1,000.00 rr $100.00 il the rLtrlalor submits a compieted applicaliun in accordance with sec, tiq'n 2.1 and 2.1 of this (.)rdin;rnce rithin ioro.-hvr a,l5) days of the date ofissu. rn.< oi rhe Citatitrn lor drc r rolar:ol- REQUEST FOR HEARING: \',,u nrav;equest rn.qCruinLstrarrve l-leariilg rvitlrilr (he same tcn 110) dal.rin 1'-i;111 I'sf)p4 tlte Co.licr r.r,untr Cnnrracf()r'( L,!r:':sing Boar.i upon notice, i '. rrtirg, tu tlte Contr:rclr)r'.s Licensing Supervisor. lf you dc, not request a heanr ,)i tri ihe pena lrr ir'c ;.r. rle:c ribcd. tl.e ;itation >hall autontat icallr- bccome a{ir(l:cer,:f the Conrractrr'.s Licensrng Board, ordering the violatr'i to pal,the ci, p.l n,:it'; sei forth on the citation rvir'hour a hearing. ri certified copr oisich Ord.l,ril l:e rccorderl in pubtrc records and therea-ftir rhall cr:nsrih:re a lien agair lli(,\i_r(".Ii and Fersonrl Fr,)Fdrt,v cr,u'ned by the vic,laror. Upon petrLiorr to thi Ci,juri i.,jrLr[. juch Utd(r nral be entorceu rn the sarn. rnJnnE'r as a Corrrt Judgme b'. r l:c Sheriff 's Ofli.",.. t hi Stute. If after three (i l m+lths trom fi ling sucir liin, rl li,:ir rtrlaias unpaid, thc Contrrctor'-s Licensing BuarJ m.u,authoriiie thc Coua .\lt,rrnevi Oflice to ioreclo:e on tlre lien. .1r., nttr:in]urir p:n.iln r,)r J .r)ntest:ii ciiattr-,.1 is S2.:,itq1.91] f,rr each Cat.the rr.:lalir:ln e,trsts. I r:\ ii.i' l ,''rllrr! kri,:rr.rng violation a{rntlnues ri shall constitate a separat{ rrHeu'c anLi pen.rlries shali c'irntinue to accrue. Anv aqqrieved partv nlay jppeal i:inai irjministraiire ilrder ,rf rhe tsulrd to ihr Cri:iii (,,rurr.'Suih apieal'shl ni;r be a hearilrg tle novo, but .liall 'ot lrnrrt":J tu Jppcllire reviers ofthe recorcrt:tei !:efore the Bcrrd. Arr appeai ,r,r,.l [.r iii< j u rthin thiriy (30) days c c\e :r-:i:'li1 i-.i ll:r Orilcr otbs.ffi'fi.,-*Eno d"Jf- A Cww kt*1"1, 6), Lic. 2) [ I choose or delivery Descriplion of Yiolation Date Violation a) ElFalsely hold self or business orga.nization out as a licensee, or registrant; b) tr Falself impersonate a certificate holder or registrant; c) flPresent as his/'her own the certifcate or registration of another; d) tr Knowingly give false or forged evidence to the Board or a member thereof; e) f]Use or attempt.to u{e arertifcate or regislstion which has been suspended - r-y'-*\*r L{^!Licz"rg+ N " CpgPe*fq ^ 0 flEngage in thE businers o] aa ii the capacity 6f a contractor or advertrse self/\or business orgarization as available to engage in the business or act in the capacity ofa contractor without being duly registered or certified; g) EOperate a business organization engaged in contracting after (60) days; h) E Commence or perform work for which a building permit is requted pursuant to an adopted state minimum building code or without such permit being in effect; i) fl Wrilfuliy or deliberately disregard or violae any Collier County ordinmce relating to uncertified or unregistered contractors. A person or business organization operating on an certificate, or registration, or operating bcyond the scope of scope ofthe registration, is not duly certiied or 'a 4 4,---> (RECIPIE}$) :not to pay the penalry md will request in Miting an Adminiskative Heaing before the Contractor's {li. irr 4ee!i ad.lit NAME)NAI/IE) accept this citation provided in section Pursuart to 489.127, Florida Statues, willfi.rl refusal to sign and constitutes a misdemeanor ofthe second degree, punishable as 775.082 or 775.083 Florida Statutes. (SEE REVERSE FOR INSTRUCTIONS) ID Fu- Du \ Year Color (INVESTIGATOR) I t 10.A.1 Packet Pg. 243 Attachment: 10A CONTEST CITATION #11812 – RIGOBERTO GUIDICELLI (CEUL20220003651) (22221 : CONTEST CITATION #11812 – CrottsTimothy From: Sent: To: Subject: Rico Guidicelli < ricocelli@gmail.com> Wednesday, April 20, 2022 4:39 PM CrottsTimothy Re: Contest citation 11812 EXTERNAL EMAIL: This email is from an external source. Confirm this is a trusted sender and use extreme caution when opening attachments or clicking links. Please confirm that you received my request. Thank you On Wed, Apr 20,2022 al3:06 PM Rico Guidicelli <ricocelli@email.com> wrote: With all due respect I would like to contest the citation given to me by your officer code enforcer I have a clear record of Mr. Broughton saying clearly that he does not give citations to the workers, that he gives the citation to the company owner. So I feel that he has committed a double standard violation. Because I do not own the company. He has mislead , lied, and harass not only myself but our Collier county resident. And I feel he needs to be investigated Because I don't think he represents you or our county in a professional manner. Thank for your Time 1 10.A.1 Packet Pg. 244 Attachment: 10A CONTEST CITATION #11812 – RIGOBERTO GUIDICELLI (CEUL20220003651) (22221 : CONTEST CITATION #11812 – 10.A.1Packet Pg. 245Attachment: 10A CONTEST CITATION #11812 – RIGOBERTO GUIDICELLI (CEUL20220003651) (22221 : 10.A.1Packet Pg. 246Attachment: 10A CONTEST CITATION #11812 – RIGOBERTO GUIDICELLI (CEUL20220003651) (22221 : 10.A.1Packet Pg. 247Attachment: 10A CONTEST CITATION #11812 – RIGOBERTO GUIDICELLI (CEUL20220003651) (22221 : 10.A.1Packet Pg. 248Attachment: 10A CONTEST CITATION #11812 – RIGOBERTO GUIDICELLI (CEUL20220003651) (22221 : 10.A.1Packet Pg. 249Attachment: 10A CONTEST CITATION #11812 – RIGOBERTO GUIDICELLI (CEUL20220003651) (22221 : 10.A.1Packet Pg. 250Attachment: 10A CONTEST CITATION #11812 – RIGOBERTO GUIDICELLI (CEUL20220003651) (22221 : 10.A.1Packet Pg. 251Attachment: 10A CONTEST CITATION #11812 – RIGOBERTO GUIDICELLI (CEUL20220003651) (22221 : 10.A.1Packet Pg. 252Attachment: 10A CONTEST CITATION #11812 – RIGOBERTO GUIDICELLI (CEUL20220003651) (22221 : 10.A.1Packet Pg. 253Attachment: 10A CONTEST CITATION #11812 – RIGOBERTO GUIDICELLI (CEUL20220003651) (22221 : U.S. Postal Service,^, CERTIFIED MAIL, RECEIPT (Domeslic Mall Only; No lnsurance Coverage Provided) ffitAt 0 For deli,lnrormation vlsit our website at www.usps.com,, postage Cerllflsd Fso Rotum RecelDt Fsa(Endors€mont Re{ulr€d) Reslrlclad OgllvEyFo6 (Endorsement Req[,hefl Total Postage & Foed Also comPlete ls deslrcd. r Prlnt your name and addess on the reverse r Attach thls so that we can return the card card to the back of to you. the mdlplece, or on the front lf sPace permlts. 1. AillclsAd&€ssed to: -=-:rd r ComDlete ltems 1, 2, and 3. hem 4lf Restrlcted D'ellvery Poslmarft A. Slgnature x El Asent C. Date of Delivery D. ls deltvery address differentfrom item 1?Yes lf YES, enter dellvery address below:E tlo 3. S€rulce]ype E Certified Malt E ExPress Mall E RegtstereO Et Retum Recelpt for Merchandlse El lnsured Mall tr C.O.D. 4. Restrlcted DellverY? (ExtnFea)E ves Hgre ru J -!ru lrl Etr .f, rjl F:l EIE trl EJIro ru rrEErr Kenneth J. Dittmer g5g7 Crescent Garden Unit 201 Naples, Fl 34109 ?uu? e5hE DIIEl l,'{85 eE35 R Box l,lo, PS Fo'rn 3800 I 2006 lir:r: llrrvt.r :,r' l,)t lilslr uclton! B. Recelved bY (Prlnhd Nane) COMPLETE TH'S SECT'ON ON DELIVERY SENDER: COMPLETE rH,S SECflON r PS Form 381 1, February 2004 Dornestlc Retum Roc€lPt 10259502-M-1540 I I I I i i l i t,I I , ll 10.A.1 Packet Pg. 254 Attachment: 10A CONTEST CITATION #11812 – RIGOBERTO GUIDICELLI (CEUL20220003651) (22221 : CONTEST CITATION #11812 – 05/18/2022 COLLIER COUNTY Contractor Licensing Board Item Number: 10.B Item Summary: CONTEST CITATION #12489 – KENNETH J. DITTMER (CEUL20220003164) Meeting Date: 05/18/2022 Prepared by: Title: – Contractor Licensing Name: Alyshia Morse 05/11/2022 12:11 PM Submitted by: Title: – Contractor Licensing Name: Tim Crotts 05/11/2022 12:11 PM Approved By: Review: Contractor Licensing Sandra Delgado Review item Completed 05/11/2022 4:39 PM Contractor Licensing Tim Crotts Review Item Completed 05/11/2022 5:04 PM Contractor Licensing Tim Crotts Meeting Pending 05/18/2022 9:00 AM 10.B Packet Pg. 255 Growth Management Division Planning & Regulation Operations Department Licensing Section May 2,2022 Kenneth J. Dittmer 9597 Crescent Garden Unit 201 Naples FL 34109 Ref: Citation 12489 Dear Mr. Dittmer, I have received your request to contest the citation you received as listed above. A hearing has been scheduled before the Collier County Contractors' License Board for MAY 18th,2022 at 9:00am in the Board of County Commissioner's Room, Third Floor, Administration Building (W. Harmon Turner Bldg.) at3299 East Tamiami Trail East, Naples, Florida 34112. There is a security checkpoint you will need to go through, do please allow enough time to make it to the meeting. If you wish to submit evidence on your behalf, we must receive those documents no later thanT days prior to the hearing date of MAY 18th, 2022. A copy of the investigator's report is also included with this letter. If you have any questions or concerns, please call (239) 252-2431 or you may email me at c ontrac to rs l i ce sn in g @,c o l I i erc ountv fl . go v. Crotts Licensing Compliance Supervisor Collier County Growth Management 2800 North Horseshoe Drive Naples, FL 34104 S Growth Management Division*Planning & Regulation*2800 North Horseshoe Drive*Naples, Florida 34104*239-252-2400*www.colliergov.net 10.B.1 Packet Pg. 256 Attachment: 10B CONTEST CITATION #12489 – KENNETH J. DITTMER (CEUL20220003164) (22222 : CONTEST CITATION #12489 – KENNETH J. cffieryou"Esr Report Title: Code Case Details s.ss\.**\A"e Date: 411512022 1:07:42 PM CaseNurnber: CEUL20220003164 Status Citation Date & Time Entered 31301202211:43:53 AM Entered By:MichaelGovernale Case Disposition:Unpaid cEUL20220003164Case Number: UnlicensedCase Type NormalPriority: MichaelGovernalelnspector: City of NaplesJurisdiction: Field Observation0nigin Citation #12489, Unlicensed Drywall Contractor, 1st Offense - Kenneth John (DBA) Himself, Working at; 1375 Chesapeake Ave' $1000.00, lssued to; Dittmer,Detail Description Location Comments:1375 Chesapeake Ave Naples, FL34102 P#04830080005 4830080005Property Collier County Building Dept. Address:2800 N Horseshoe Dr.Complainant 1375 CA HOLDINGS LLCProperty Owner Dittmer, Kenneth JohnViol Business Management & Budget Office 1 10.B.1 Packet Pg. 257 Attachment: 10B CONTEST CITATION #12489 – KENNETH J. DITTMER (CEUL20220003164) (22222 : CONTEST CITATION #12489 – KENNETH J. Code Case Details Execution Dale 411512022 1:07:42 PM Desc Assigned Required Completed Outcome Comments lssue Citation (Licensing)MichaelGover nale 313012022 313112022 Complete Citation #12489, Unlicensed Drywall Contractor, 1st Offense - $1000.00' lssued to; Dittmer, Kenneth John (DBA) Himself, Working at; 1375 ChesaPeake Ave. I explained the instructions on the reverse side the citation H e stated he u n d erstood, and was provided with a coPY Preliminary lnvestigation MichaelGover nale 313012022 3t31t2022 Citation Required SITE VISIT FOR #CECV2O22OOO3O6B While investigating the above listed complaint, contact was made with Kenneth Dittmer who stated he was installing 2" X 4" backers to hang drywall in the kitchen area. He told me he was working for the property owner as a 10 -99 subcontractor and doing business for himself. He was verbally contracted at $20 per hour to hang drywall in the kitchen. He stated he had worked about 13 hours so far and anticipated working up to 25 hours total. He signed a "consent to enter" form and allowed me in to take photos of the area he was working in. ICE PHONE CALL was made with ProPertY owner Charles Gibson 239.821.8269. He conflrmed Dittmerwas a 10-99 employee and that he was working for $20.00 per hour to do the drywall and to do some other "handyman" tasks. He stated that he has only been paid about $500 so far. CE CASE RESEARCH Kenneth J. Dittmer is NOT active with Sunbiz. Kenneth J. dittmer is NOT licensed through Collier County or the State of Florida for any type. Schedule for CLB Meeting/Send Letter TimothyCrotts 41812022 Pending Citation Paid/Contested SandraDelgad o 4t1312022 4t812022 Contested Violation DescriPtion Status Entered Gorrected Amount Comments Unlicensed Drywall Open 3t3112022 $1,000 Business Management & Budget Office 2 Title Reason Result Compliance Fine/Day Condition 10.B.1 Packet Pg. 258 Attachment: 10B CONTEST CITATION #12489 – KENNETH J. DITTMER (CEUL20220003164) (22222 : CONTEST CITATION #12489 – KENNETH J. Jk' Soup FOUNOATIONSr nmtESEVEL0PilE'{'b * - Solid Foundations Redevelopment LLC 13O7 Chesapeake Ave - Naples, FL 34102 Phone: (239) 542-11@ - Email: info@solldfoundationsre.com www.solidfoundationsre.com April 7, 2022 Collier County Growth Management Division Collier County Contractor's Licensing Board 28O0 Horseshoe Drive North Naples, FL 34104 RE: Citation #12489 To whom it may concern: On behalf of our employee, Kenneth J Dittmer, Jr, we are requesting an Administrative Hearing before the Collier County Contractor's Licensing Board regarding the above referenced citation. Please contact us at the above address/phone number regarding scheduling. Warm regards, Autumn ber Solid Foundations Redevelopment LLC Kenneth J r, Jr Copy of Citation attached 10.B.1 Packet Pg. 259 Attachment: 10B CONTEST CITATION #12489 – KENNETH J. DITTMER (CEUL20220003164) (22222 : CONTEST CITATION #12489 – KENNETH J. COLLIER COUNTY -* GROWTH MANAGFT'ENT DryISloN cffiAnoN Pursuant to scclion '189 Rotida Stlrules, thc un&rdgtrd her$ crrrifi$ thrt uFln Pcrsn{l ir!r$tigat!.n, helshe hag rearonablc md prcbrhh 6ruund5 to h.lifi( tllst thr F$*n shos n8n* *pp$r* below x tsEsed t(}. rtid vtolate luhs€dr.]n 4il9.l2:.{l}. Flurida lil*Iue*, and the Colliea (:ounty Cont.sLtori l..i{ds$ng Ordin&n{r No, :0$6'*6 l*$ rna.l'ht amendc.l} h1 (ommitling lhe Yiolaiion :taud lssued To Address City Vehicle i\,lakelTyp* (if aPPlirahle) Stnte ,. ""'Zip No No. Localion ol Yiolation OPTIONS I har"e bmn infurnr*d of the violation ftr r*hich I have beelr chargtd and elect the l) E I ch&rstoprrthepmeltyofS / &-il'l 1) Et nrd thr mdwill tn Descripion of Yi*lation Datc Violation a) BFelscl,v hold *lf or busincs organizttion ctt as a lic.ssec' or rcgistrang b) [fFalEdy impcr$onal€ a csrti$cde c) EPrscnt as hislhcr own thc {erlili(at{, .{ pe.rsnn or businers organization aperating on &n inrclive or or registration, or operating be,r'ond rhc scope of ruotk or registretion, i6 no! duly certified or registered, (RECIPIENT) c*rtificd ar haod holder d) E kroringly gitr false or forged evidenc to thc Doard or a member thereof; e) EUrc or attempt to uref c.dnc.tt or registraliqp whidr has boeo susp*&d orrevoked; * -";/},,i,.,".+*",lio.l -.-'. -,..,-"* , g f,[$age in rh* &:;i*S$ *iiiii,i rir*.rpdity ir, cont,actos or ado'ertise s.lf' or businees organizetion as a$ilable to eagage in the hrriless or act in tlx capacity ofa conlractor n'iflrout being duh regi*ered or cenificd; g) frOprate a busincs organir*tion engagcd in contracting a*cr (60) dayr; h) SCommence or purfirrm wnr&. for rrhich a building p*rmit is rcquired pursueot t6 {n &&ptcd stse minrnrum building code or without *uch permit being in efea; i) EWillfully or dcliterately dirrtgard or viol*t ao,v Collier County ordinuce relrting to uncertifitd or uilr€Sistered contlzctors. PRIN'T (I N UEs'TICATOR S }'I$,ME) lllre rnsriirrilru i:,elultl' trrrr * *,:r:l( ! l{ "\ ( il ll t(r,r i\ $;':if"{l 0f' ftrr mch tiay rioirtinn erist.q. Iilch iiav a williui kn,:ivin5 ,i,i,.:. i,.:!L:'.iiii,-sepsra(a (l,J& rl ryith (30) dayr ci .xccution of th. Ofikr. nettii ildditiunrl initlrrrliltlffr i:*11 the n PRINT TRECIPIENTS N.A.il{E} PuNuant to.{89.t27, Flori& Stetues, willful refusal to siSnsnd acccpl lhis citation constitutes a mi*demcanor of the sccond degrec, punishabk as prrxided in section 7?5.0112 or 7;i.0*-l lrlortda S!atrtlcr. rst t. Rt\'IRsf F()H I\sl RL'(]l lo\si i..." , i :, I : ./ / ':tl:_:"-'i !_ '\.''- !r .....i:,:-- ,rl?".,..,r.;'r. : I t) l'ear i I I I creatcd trelore An appc*l must be 10.B.1 Packet Pg. 260 Attachment: 10B CONTEST CITATION #12489 – KENNETH J. DITTMER (CEUL20220003164) (22222 : CONTEST CITATION #12489 – KENNETH J. Grolvth Il{an agement Division Planning & Regulation ()perations Department Licensing Section My name is ruff P-T t+l,i u -l D;l+J*,\f, K I am the I Property Owner at t3-l 5 / Agent fOccupant C/J 5A pdAl( E Address code Enforcement lnvestigator, Michael Governate, has provided Collier County identification, and has identified himself as an officer with collier county contractors' Licensing. The officer has advised me that the purpose of this inspection is to inspect the property and/or structure(s), for compliance with the Collier County Contractors' License Ordinanc e 2006-46, as amended, and the Florida Building Code. I hereby authorize an inspection of this properfy andlor structure(s). nature: Date rty Owner/ Time Agent i Occupant /a rg\_ Growth Management Divisi on*Planning & Regulation*2900 North Horseshce Drive'Naples, Florlcla 34104i239-252_2 40Otwww.colliergov_ net ffionvactar{- 10.B.1 Packet Pg. 261 Attachment: 10B CONTEST CITATION #12489 – KENNETH J. DITTMER (CEUL20220003164) (22222 : CONTEST CITATION #12489 – KENNETH J. ik. w{ry,*; - -*; I10.B.1Packet Pg. 262Attachment: 10B CONTEST CITATION #12489 – KENNETH J. DITTMER (CEUL20220003164) (22222 : !l-'\b,l'10.B.1Packet Pg. 263Attachment: 10B CONTEST CITATION #12489 – KENNETH J. DITTMER (CEUL20220003164) (22222 : 10.B.1Packet Pg. 264Attachment: 10B CONTEST CITATION #12489 – KENNETH J. DITTMER (CEUL20220003164) (22222 : 10.B.1Packet Pg. 265Attachment: 10B CONTEST CITATION #12489 – KENNETH J. DITTMER (CEUL20220003164) (22222 : , i.10.B.1Packet Pg. 266Attachment: 10B CONTEST CITATION #12489 – KENNETH J. DITTMER (CEUL20220003164) (22222 : I ' tlrt't10.B.1Packet Pg. 267Attachment: 10B CONTEST CITATION #12489 – KENNETH J. DITTMER (CEUL20220003164) (22222 : Collier County Property Appraiser Property Summary 5 Site ZoneSAPEAKE Site City NAPLES *Note 3 4102Parcel No Name / Address Map No. 5A10 1375 CA HOLDINGS LLC 1307 CHESAPEAKE AVE City NAPLES Strap No. Section 028300 A 2sA10 State : FL Zip 341O2 Township Range Acres iEstimatpd50250 3 : ..1. Leg GRANADA I A CONDOMINIUM BLDG A.2 Millao e Area $1 76 28300 . CASA GRANADA I A CONDOMINIUM Millage Rates s :gdculetisxs School Other Total 4.889 5.8724 10.7614 Sub./Condo . CONDOMINIUM Latest Sales History (N ot all Sales are listed due to Confidentiality) 2A21 Certified Tax Roll (Subject to Change) Date ' 02/18/22 11/O:2/O4 07/o3/o3 Boot<lPage 609q-2709 ?51-7:1??8 3332-1 73q 07 /03/03 33"32-1749 o4/o7lo3 3258-3302 04/27/01 7814:2621 1377-8208/30/88 o_:7/o1t8_8 Amount Land Value $ 395,000 (+) lm proved Value $ 299,000 $o $o $ 170,000 1=1 Market Value (-) Save our Home 1-y 10% Cap $68,soo 1=1 Assessed Value $ 53,500 (-) Hnmestead $58,200 49,000 1=; School Taxable Value $ $o $ 194,400 $ 194,4001... :$ 2e,767 $972' $ 153,651 $ ?5,ooo $ 139,533 o4/o1/8s 13r 9-2349 1 131 -1384, o4/o1t7e gqft5-19 (-) Additional Homestead $ I7,433 $o 1=y Taxable Value $ 121,2 lf all Values shown above equal 0 this parcel was created after the Final Tax Roll 10 10.B.1 Packet Pg. 268 Attachment: 10B CONTEST CITATION #12489 – KENNETH J. DITTMER (CEUL20220003164) (22222 : CONTEST CITATION #12489 – KENNETH J. r racK your pat]Kage Data provided by USPS Tracking number 700725$00il0 1 1 4852635 Selivered @ May 04, '11 :074M Naples, FL 10.B.1 Packet Pg. 269 Attachment: 10B CONTEST CITATION #12489 – KENNETH J. DITTMER (CEUL20220003164) (22222 : CONTEST CITATION #12489 – KENNETH J. tU $ $ For deltvery lnformailon vtdti our webslte al www.uspg.comrt U.S. Postal Service,^, CERTIFIED MAIL, verage Provicled) ,, RECEIPT(Domestic Mail only; No lnsurance Co ro mJI ru I 1. &tlcl€ Ad&€ss€d to: pogtage Cedlfled Fee .- . Retum Recelpt Fee(tsndorsemont Rgquired) _flestdcted Daltuery FsB(Endorsamsnt Bequlred) Total postage ll Fees -;--=t: Posher* A. Slgnature x [J Agent C. Date of Delivery D. ls dellvery addess different from item 1? E Yes It YES, enter dellvery address below: E No 3, ServlceType Kenneth J. Dittmer 9597 Crescent Garden Unit 201 Naples, Fl 34109 PS Form 381 Here I rfl EO,f ft -lEI E]tf Et-!lfl ru r\ EtErr 1 l t_ 4. Restrlcted Delvefi @tnF€r,)E yes E express tvtatt E Return Rec€lpt for Merchancilsstr c.o.D. 1 0259SO2-M-1 540 E C€rtmed Mall E RegtstereA E hsured Mafl ?uu? ESEI] UUEL lr+85 Eb35 1, feOruary ZOOa Domestlc Rotum R€celpt Frcn^, &v6or PQ aox ltlo.qs31 €rescrn' ,i4- JY B. Recelvec, by (fulnted Nane) COMPLETE rH'S SECI'Oru ON DELIVERY SENDER: COMqLETE IHrS SECITON j I ,I t,il I l l L I I 2006 Scc BCverSe l0l 10.B.1 Packet Pg. 270 Attachment: 10B CONTEST CITATION #12489 – KENNETH J. DITTMER (CEUL20220003164) (22222 : CONTEST CITATION #12489 – KENNETH J. Souo Fouriolrpns...REDEVELOP EI{TT.- Solid Foundations Redevelopment LLC 1307 Chesapeake Ave - Naples, FL 34102 Phone: (239) 542-1100 - Email: info@solidfoundationsre.com www.solidfoundationsre.com May Ll,2022 Collier County Growth Management Division Collier County Contractor's Licenslng Board 2800 Horseshoe Drive North Naples, FL 34104 RE:Citation #12489 To whom it may concern: On behalf of our employee, Kenneth J Dittmer, Jr, we are submitting the following documents as evidenceforthe hearing scheduled to be conducted on 5/t812O22 regarding the above referenced citation. Demonstrating his status as an employee of our company pursuant to FL statute 440.02 (a)(d)1.a.(t)( )( )(tv)(vxvt), Mr. Dittmer is not an tndependent contractor as rrems (r)-(vl) of FL statue 440.02 (a)(d)1.a. do not appty. EXHIBIT A - Payments to Mr. Dittmer lndividually EXHIBIT B - FL Statutes re: labor classifications EXHIBIT C - Email to City prior to construction with response EXHIBIT D - Screenshot of city permitting guidelines EXHIBIT E - Email to city after stop work order issues with response Respectfully, Autumn Gibson Managing Member Solid Foundations Redevelopment Ll-C Property Owner 10.B.1 Packet Pg. 271 Attachment: 10B CONTEST CITATION #12489 – KENNETH J. DITTMER (CEUL20220003164) (22222 : CONTEST CITATION #12489 – KENNETH J. EXHIBIT A (PG 1 OF 3)Solid Foundations Redevelopment, LLC Transaction List by Date All Dat6 DATE TRANSACT]ON WPE NUM POSTING MME LOCATION MEMO/OESCRPTION SPLIT MOUNT January - O@mb€r 2020 O5l11t202o Ch€ck O5l18nO2O Chsk OsnBlzO2O Chsk MIDOm Chmk mnSn0m Check 6/16,2020 Ch€ck 06121n02o Chek 06129n02o Chek O7lO720n Ch*k 07h5ngm Chrck Olr2U2ON Chek @l11l2O2O Chek @/2GI2O20 BlllPsyment(Ch6ck) Engl2O2O Chtrk @|15EO2O Ch*k @/21 l20N Ch€ck 0912A20?0 Chek 10l06l20m Chek 1011412020 Chek 10120/20?0 Chek 10126120?0 Si[Payment(Chock) 11n2n02o Chock 11l1qn0m Ch€ck 11117n020 Ch*k 1111a1202O Ch€ci( 11123n0'{ Ch*k 121o2n0n Ch6ck lZOAnOn Ch*k 12J1512020 Chek 12J2212020 Ch@k 12I22n02O Chek l2BOnOm Ch€ck Toad lor Jau{y - Osnbs 2020 January - 0€6mb€r 2021 O1n5n021 Chek 01h2n021 Ch6ck 01 11912021 Chek O1ml2O21 Sill Paymeflt (Ch€ck) g2l$4l2$21 Ch€ck 0211212021 Chsk @12212021 Blll Paymanl (Ch6ck) @110/2021 Chock 113110/2021 Bill Paymed (Check) 0t03/2021 Chek 07127/2021 Ch*k 0€,k9l2021 Chek @11112021 Chsk @6012021 Chod( 0€,lmt2021 Chek Toaal h( Jeu{y - Dqmb€( 2oel January - D@mb6r 2022 A2I22.2OU Chek @n7n0e. Bill Paymenl (Check) Bf23n0D Bill Paym6nl (Chek) Toad lb. Joury - Dcmbq 2022 1034 Yos 1037 Y€s lMl Yes 1(X5 Yas 1M9 Y.s 1050 Yes 1057 Yes 1058 Yes 1061 Yes 1044 Yos 1065 Yos 1071 Y€s 1076 Yos 1087 Y€s 1092 Yes 1@3 Yes 1097 Yes 1100 Yes 1105 Y6s 1107 Yos 1111 Yos 1114 Yes 1119 Y.s 1123 Y6s 1122 Y6s 1 125 Yes 1128 Yes 1131 Yos 1132 Yes 1136 Yos 1 137 Yes 1 14O Yes Yes Yes Ys5 Y9s Yos Y6s Y6s Y6s Yas Ygs Y6s Y6s Yss Yes Yes Yos Bdch Dinmer Bdch Oinmer Bdch Oinmer Bdch Oinmer Btrh Dinmer Bdch Dinm€r Bulch Ditm€r Butch Ditmor Eulch Ditm€r Bulch 0inm6r Bfth Dinmer Bdch Omm6. Bulch olnmer Eulch Oinmer Bulch Oifimsr Buich Ditmer Bdch Dkm6r Bnch Dinmor Butch Dinmor Bulch Di[m6r Btrh Dinmer Bdch oinmer BUch Ditmer Bulch oitmer Bulch Ditmar Bulch Ditmor Bdch Dinmor Bdch oinm€r Butch Dinmor Butch Dinmer gdch Oinmor BUch Dinmsr Shop H6lp Shop H6lp Shop Clean up Misc Labor Mis Labor Misc Labor l\risc Labor Propedi€s:Job Cds:Prcjd Managoment:Labor Propedi€s:Job CoSs:Prcj6d Manag€m€nt:Labor Propenies:Job Co$s:Prcj6d Managem€nt:Labor "Splil- Propedies:Job Coss:Prcjd Managemeil:Labor ProFdiss:Job CoSs:Projd Manag6m6d:Labor Prop6di6s:Job Coss:Projd ManaO6m6nl:Labor Proponies:Job CoSs:Project Mana0om6nt:Labor Prop6nios:Job Costs:Projed ManaO6m€nl:Labor Propenies:Job CoSs:Prcjd Management:Labor Prop€di6s:Job Co$s:Prcjd Managam€ntLabor Prop€nies:Job Cons:Prded ManaqemenlLabor A@ounts Payable {4,/P) Propedi6s:Job Costs:Proi€d Manag6m€nl:Labor Propenies:Job CoSs:Proi€d Managemenl:Labor Prop€ii6s:Job Cds:Prold Managomenl:Labor Propenjes:Job Cds:Prcjd Managomenl:labor Propedies:Job Cods:Prcjd ManagementLabor Propenies:Job Co$s:Prcjed Manag6mentLabor Prop6dies:Job Co$s:Prcjd ManagemenlLabor Aeounts Payable (4"/P) Prop€dies:Job Cds:Prcjd Manag6m6d:Labor Prop€dies:Job Cds:Projd Managem€d:Labor Proponi€s:Job CoSs:Projed Managsmonl:Labor Propenies:Job Cds:Proj6d Managem gnl:Labor Prop€ni€s:Job Cds:Projd Managomonl:Labor Prop€dies:Job CoSs:Prcjd Manaqem€ntLabor Propedies:Job CoSs:Prcjd ManaO€mentLabor Properties:Job Coss:Prcjgcl Manag6m6ntLabor Prcponies:Job Cosls:Prcjecl Manaq6mentLabor Propenies:Job Coss:Prcjod ManagomentLabor Prop€nies:Job Co$s:Prcjd Manag€m6nt:Labor Propedigs:Job Cods:Projed Mana0€m€nl:Labor Prcpedi€s:Job Cosls:Prcject Mana06m€ntLabo. Proponies:Job Co$s:Prcjoct ManaoementLabor A@ounts Payablo (A/P) Prop€dies:Job Co$s:Prcied Managem€d:Labor Prcponlss:Job Co$s:Proid Manag€m9nl:Labor Aeounls Payable (A,/P) Popenies:Job Co$s:Projd Manag€menl:Labor A@uds Payable (AP) Prcpgdi6s:Job Cosls:P@j€d Manag6m6nl:Labor Repai6 & Mainlenance RepaiE & Malnlenance Ropd6 & Mainlonance Prop€njes:Job Costs:Prcjd Managomentlabor Proponies:Job Coss:Prcjd ManagementLabor _460.00 -360.00 -660,00 -594.43 ,640.00 -640.00 -680.00 -780.00 -680.00 -420.00 ,540.00 -530.00 -750.00 -720.O0 ,540.00 -s60.00 -680.00 -700.00 40.00 -500.00 -600.00 -460.00 -716.94 -560.00 -710.00 -560.00 -375.00 -515.00 -695.00 -515.00 -500.00 ,395.00 l-1a,77e37 -470.00 -605.00 -M5.00 -675.00 -545.00 -545.00 -520.00 n 4.0.00 {10.00 j,790,00 -450.00 -350.00 -380.00 -250.00 -630.00 a{,,(}5.m Prcp6fr ies:Job Cons:Prcjd Managem6nt:Labor A@unb Payablo (A,/P) A@ounts Payabl6 (AP) -300.00 ,860.00 -898.65 l -2,058.65 Labor Labor Labor 't 141 1 1,19 1 154 1156 1 159 1 162 |65 1 026 1051 1052 1027 1 029 Bulch Dinmsr Butch Dillmer Bulch Dinmer Bdch Dinmor Bulch Ofimer Bulch Oinmer Bulch Dltmor Butch Dinmer Bulch Ditrmer Butch Dinmor Bulch Dinmer Bdch Dinmer Burch Dilmor Bdch Dilmar Bdch Dinmor Final V€ Holdings 1 039 1 3 Bdch Dinm6. Bdch Dilm€r Eulch Ditm€r ru6day, May 10. ru2 A2:29 P M G MT& @ 111 10.B.1 Packet Pg. 272 Attachment: 10B CONTEST CITATION #12489 – KENNETH J. DITTMER (CEUL20220003164) (22222 : CONTEST CITATION #12489 – KENNETH J. VOID Form 1 PAYER'S name, address, Z|Plpostal code, counlry & phone no. SOI,ID FOI]NDATIONS REDEVELOPMENT LL 1307 CHESAPEAKE AVE NAPLES FL 34102 (239) s42-1100 OMB No- 1545-0116 2@)21 norm 1099-NEG PAYER'S TIN 84-2886952 RECIPIENT'S TIN -2]-66 1 Nonemployee compensation $ 840s.00 2 Payer made direct sales totaling $5,000 or more of 3 consumer to lor resale 4 Federal income tax withheld $ RECIPIENT'S name, address, ZIPlpostal code & country KENNETH .f DITTMER 9597 CRESCENT GARDEN DR #20L NAPLES FL 34109 Account number (see instructions) t43997895653 TIN not. 5 State tax withheld 6 Slate/Pay€r's state no. EXHIBIT A (PG 2 OF 3) Nonemployee Compensation Copy C For Payer For Privacy Act and Paperwork Reduction Act Notice, see the 2021 oo UJz6)o) !0 N so N IFz do UJz @ lnstructions lor Certain lnlormation Returns. 7 State income $ $ Department of the Treasury - lnlernal Bevenue Service n 10.B.1 Packet Pg. 273 Attachment: 10B CONTEST CITATION #12489 – KENNETH J. DITTMER (CEUL20220003164) (22222 : OMB No. 1545-0116 2@20 Form 1099-NEC PAYER'S name, street address, city or lown, state or province, country, ZIP or foreign postal code, and telephone no. SOLID FOUNDATIONS REDEVELOPMENT LLC 1307 CHESAPEAKE AVE NAPLES FL 34102 (239) 542-1100 18735,OO 'I Nonemployee compensation $ 2PAYER'S TIN 84.2886952 RECIPIENT'S TIN -2166 3RECIPIENT'S name KENNETH J DITTMER Street address (including apt. no.) 9597 CRESCENT GARDEN DR #201 4 Federal income tax withheld $ City or town, state or province, country, and ZIP or foreign postal code NAPLES FL 34109 FATCA filing requirement tr 5 State tax withheld $ 6 State/Payer's state no. FU Account number (see instructions)2nd TIN not. tr $ VOID CORRECTED EXHIBIT A (PG 3 OF 3) rorm 1099-NEC Nonemployee Compensation c For Payor For Privacy Act and Papenvork Reduction Act Notice, see the 2020 General lnstructions for Gertain lnformation Returns. 7 State income ww.irs.gov/Form1099NEC Department of the Treasury - lnternal Revenue Servico 10.B.1 Packet Pg. 274 Attachment: 10B CONTEST CITATION #12489 – KENNETH J. DITTMER (CEUL20220003164) (22222 : CONTEST CITATION #12489 – KENNETH J. 5110122. l:59 PM Stalules & Constilulion :Mew Staliltes i On,ine Sunshine EXHIBIT B (PG I OF 8) Setect Year: 2021 w Go The zozr Florida Statutes Titte xxxl chaple[rgo view Entire chaplel LABOR WORKERS' COMPENSATION 440.07 Definitions.-When used in this chapter, unless the context clearty requires otherwise, the following terms shatt have the foLtowing meanings: (1) "Accident" means only an unexpected or unusual event or resutt that happens suddenty. Disabitity or death due to the accidental acceteration or aggravation of a venereal disease or of a disease due to the habitual use of atcohot or controtled substances or narcotic drugs, or a disease that manifests itsetf in the fear of or distike for an individuat because of the individuat's race, cotor, religion, sex, national origin, age, or handicap is not an injury by accident arising out of the employment- Subject to s. 440.15(5), if a preexisting disease or anomaly is acceterated or aggravated by an accident arising out of and in the course of emptoyment, onty acceteration of death or acceteration or aggravation of the preexisting condition reasonabty attributable to the accident is compensabte, with respect to any compensation otherwise payabte under this chapter. An injury or disease caused by exposure to a toxic substance, inctuding, but not timited to, fungus or motd, is not an injury by accident arising out of the employment untess there is clear and convincing evidence estabtishing that exposure to the specific substance involved, at the tevets to which the emptoyee was exposed, can cause the injury or disease sustained by the emptoyee. (2) "Adoption" or "adopted" means tegaL adoption prior to the time of the injury. (3) "Agency" means the Agency for Heatth Care Administration. (4) "Carrier" means any person or fund authorized under s. 440-38 to insure under this chapter and inctudes a setf-insurer, and a commercial setf-insurance fund authorized under s.674/462. (5) "Casuat" as used in this section refers on[y to emptoyments for work that is anticipated to be compteted in 10 working days or tess, without regard to the number of persons employed, and at a total tabor cost of less than s500. (6) 'Chitd" includes a posthumous chitd, a child tegatty adopted prior to the injury of the emptoyee, and a stepchitd or acknowtedged chitd born out of wedtock dependent upon the deceased, but does not inctude married chitdren untess whotty dependent on the emptoyee. "Grandchitd" means a chitd as above defined of a chitd as above defined. "Brother" and "sister" inctude stepbrothers and stepsisters, hatf brothers and hatf sisters, and brothers and sisters by adoption, but does not inctude married brothers or married sisters unless whotly dependent on the emptoyee. "Chitd," "grandchitd," "brother," and "sister" inctude onty persons who at the time of the death of the deceased employees are under 18 years of age, or under 22 years of age if a futt-time student in an accredited educationat institution. (7) "Compensation" means the money attowance payabte to an emptoyee or to his or her dependents as provided for in this chapter. (8) "Constructjon jndustry" means for-profit activities invotving any buitding, clearing, fitting, excavation, or substantiat improvement in the size or use of any structure or the appearance of any land. Howevel "construction" does not mean a homeowner's act of construction or the resutt of a construction upon his or her own premises, provided such premises are not intended to be sotd, resotd, or leased by the owner within 'l year after the commencement of construction. The division may, by rute, estabtish codes and definitions thereof that meet the criteria of the term "construction industry" as set forth in this section. www.leg.stale.fl.us/Statutes/index.cfm?App_mode=Display_Statute&uRL=M00-0499/M40/Sections/0440.02.h1m1 118 10.B.1 Packet Pg. 275 Attachment: 10B CONTEST CITATION #12489 – KENNETH J. DITTMER (CEUL20220003164) (22222 : CONTEST CITATION #12489 – KENNETH ,1122.'lOr33AM Slatules & Constitution rMew Statutes I Online Sunshine EXHIBIT B (9) "Corporate officer" or "officer of a corporation" means any person who fitts an office provided for in thqPc 2 oF 8) corporate charter or artictes of incorporation fiLed v/ith the Division of Corporations of the Department of State or as authorized or required under part I of chapter 607. The term "officer of a corporatjon" includes a member owning at least 10 percent of a timited tiabitity company as defined in and organized pursuant to chapter 605. (10) "Date of maximum medicat improvement" means the date after which further recovery from, or lasting improvement to, an injury or disease can no tonger reasonabty be anticipated, based upon reasonabte medicat p robabi ti ty. (11 ) "Death" as a basis for a right to compensation means only death resutting from an injury. (12) "Department" means the Department of Financial Services; the term does not inctude the Financiat SeMces Commission or any office of the commission. (13) "Disabitity" means incapacity because of the injury to earn in the same or any other emptoyment the wages which the emptoyee was receiving at the time of the injury. (14) "Djvisjon" means the Division of Workers' Compensation of the Department of Financial Services. (15)(a) "Emptoyee" means any person who receives remuneration from an emptoyer for the performance of any work or service while engaged in any emptoyment under any appointment or contract for hire or apprenticeship, express or imptied, orat or written, whether tawfutLy or untawfutty emptoyed, and includes, but is not timited to, atiens and minors. (b) "Emptoyee" includes any person who is an officer of a corporation and who performs services for remuneration for such corporation within this state, whether or not such services are continuous. 1. Any officer of a corporation may etect to be exempt from this chapter by fiting notice of the etection with the department as provided in s. 140J5. 2. As to officers of a corporation who are engaged in the construction industry no more than three officers of a corporation or of any group of affitiated corporations may etect to be exempt from this chapter by fiting a notice of the etection vr'ith the department as provided in s. :!!0.05. Officers must be shareholders, each owning at teast 10 percent of the stock of such corporation and tisted as an officer of such corporation with the Division of Corporations of the Department of State, in order to etect exemptions under this chapter. For purposes of this subparagraph, the term "affiliated" means and inctudes one or more corporations or entities, any one of which is a corporation engaged in the construction jndustry under the same or substantiatly the same controt of a group of business entities which are connected or associated so that one entity controls or has the power to control each of the other business entities. The term "affitiated" inctudes, but is not timited to, the officers, directors, executives, sharehotders active in management, emptoyees, and agents of the affitiated corporation. The ownership by one business entity of a controtting interest in another busjness entity or a pooting of equipment or income among business entities shatt be prima facie evidence that one business is affitiated with the other. 3. An officer of a corporation who etects to be exempt from this chapter by fiting a notice of the etection with the department as proyided in s. IEKLo5 js not an emptoyee. SeMces are presumed to have been rendered to the corporation if the officer is compensated by other than dividends upon shares of stock of the corporation which the officer owns. (c) "Emptoyee"inctudes: 1. A sote proprietor or a partner who is not engaged in the construction industry devotes futl time to the proprietorship or pannership, and etects to be inctuded in the definition of emptoyee by fiting notice thereof as provided in s. ,140.05. 2. Att persons who are being paid by a construction contractor as a subcontractoi untess the subcontractor has yatjdty etected an exemption as permitted by this chapter, or has otherwise secured the payment of compensation coverage as a subcontractor, consistent with s. 440.10, for work performed by or as a subcontractor. 3. An independent contractor working or performing services in the construction industry. 4. A sote proprietor who engages in the construction industry and a partner or partnership that is engaged in the construction industry. (d) "Emptoyee" does not inctude: www.leg.state.fl.us/Stalutes/index.cfm?App_mode=Display_Stalute&URL=M00-0499/0440/Sections/0440.02.htm|2t8 10.B.1 Packet Pg. 276 Attachment: 10B CONTEST CITATION #12489 – KENNETH J. DITTMER (CEUL20220003164) (22222 : CONTEST CITATION #12489 – KENNETH J. t11/22, 10:33AM Statutes & Conslitution :Mew Stalules : online Sunshine EXHIBIT B 1. An indep€ndent contractor who is not engagd in the construction industry. (PG 3 oF 8) a. ln order to meet the definition of independent contractor, at least four of the fottowing criteria must be met: (l) The independent contractor maintains a separate businesr with his or her own work facitity, truck, equipment, materials, or simitar accommodations; (ll) The independent contractor holds or has apptied for a federal emptoyer identification number, unless the independent contractor is a sote proprietor who is not required to obtain a federal emptoyer identification number under state or federat regutations; (lll) The independent contractor receives compensation for services rendered or work performed and such compensation is paid to a business rather than to an individuau (lV) The independent contractor hotds one or more bank accounts in the name of the businds entity for purposes of paying business expens€s or other expenses related to services rendered or work performed for compensation; (V) The independent contractor performs vvork or is abte to perform work for any entity in addition to or besides the emptoyer at his or her own etection without the necessity of compteting an emptoyment apptication or process; or (Vl) The independent contractor receives compensation for work or services rendered on a competitive-bid basis or comptetion of a task or a set of tasks as defined by a contractuat agreement, unless such contractuat agreemeflt expressty states that an ernptoyment relationship exists. b. lf four of the criteria tisted in sub-subparagraph a. do not exist, an individuat may stitt be presumed to be an independent contractor and not an emptoyee based on fut[ consideration of the nature of the individuat situation with regard to satisfying any of the fottowing conditions: (l) The independent contractor performs or agrees to perform specific services or work for a specific amount of money and controts the means of performing the services or work. (ll) The independent contractor incurs the principat expenses retated to the service or work that he or she performs or agrees to perform. (lll) The independent contractor is responsibte for the satisfactory compLetion of the work or services that he or she performs or agrees to perform. (lV) The independent contractor receives compensation for work or services performed for a commission or on a per-job basis and not on any other basis. (V) The independent contractor may reatize a profit or suffer a loss in connection with performing work or services, (Vl) The independent contractor has continuing or recurring business tiabitities or obtigations. (Vll) The success or faiture of the independent contractor's business depends on the retationship of business receipts to expenditures. c. Notwithstanding anything to the contrary in this subparagraph, an individual ctaiming to be an independent contractor has the burden of proving that he or she is an independent contractor for purposes of this chapter. 2. A real estate ticensee, if that person agrees, in writing, to perform for remuneration sotety by way of commission. 3. Bands, orchestras, and musical and theatricat performers, inctuding disk jockeys, performing in licensed premises as defined in chapter 562, if a written contract evidencing an independent contractor retationship is entered into before the commencement of such entertainment. 4. An owner-operator of a motor vehicte who transports property under a written contract with a motor carrier which evidences a relationship by which the owner-operator assumes the responsibitity of an emptoyer for the performance of the contract, if the owner-operator is reguird to furnish motor vehicte equipment as identified in the written contract and the principal costs incidental to the performance of the contract, inctuding, but not timited to, fuel and repairs, provided a motor carrier's advance of costs to the owner-operator when a written contract evidences the owner-operator's obtigation to reimburse such advance shalt be treated as the owner- www-leg.state.fl.us/Staiutes/index.cfm?App_mode=Disptay_Statute&URL=0400-0499/0440/Sections/0440.02.htmt 3/8 10.B.1 Packet Pg. 277 Attachment: 10B CONTEST CITATION #12489 – KENNETH J. DITTMER (CEUL20220003164) (22222 : CONTEST CITATION #12489 – KENNETH J. st1ot22.1,5s PM Slatutes & Constilution :Mew Statutes : Online Sunshine EXHIBIT B operator furnishing such cost and the owner-operator is not paid by the hour or on some other time-m""],i[6 ot t' basis. 5. A person whose emptoyment is both casuat and not in the course of the trade, business, profession, or occupation of the emptoyer. 6. A volunteer, except a votunteer worker for the state or a county, municipatity, or other governmentat entity. A person who does not receive monetary remuneration for services is presumed to be a votunte€r untess there is substantiat evidence that a valuabte consideration was intended by both emptoyer and employee. For purposes of this chapter, the term "yotunteer" includes, but is not timited to: a. Persons who serve in private nonprofit agencies and who receive no compensation other than expenses in an amount tess than or equivatent to the standard miteage and per diem expenses provided to salaried emptoyees in the same agency or, if such agency does not have salaried emptoyees who receive miteage and per diem, then such volunteers who receive no compensation other than expenses in an amount tess than or equivatent to the customary miteage and per diem paid to salaried workers in the community as determined by the department; and b- Votunteers participating in federat programs estabtished under Pub. L. No. 93-113. 7. Untess otherwise prohibited by this chapter, any officer of a corporation who elects to be exempt from this chapter. Such officer is not an emptoyee for any reason under this chapter untiL the notice of revocation of etection filed pursuant to s. 440.05 is effective. 8. An officer of a corporation that is engaged in the construction industry who elects to be exempt from the provisions of this chapter, as otherwise permitted by this chapter. Such officer is not an emptoyee for any reason untit the notice of revocation of etection filed pursuant to s. ,140.05 is effective. 9. An exercise rider who does not work for a sjngte horse farm or breeder, and who is compensated for riding on a case-by-case basis, provided a written contract is entered into prior to the commencement of such activity which evidences that an employee/emptoyer retationship does not exist. '10. A taxicab, timousine, or other passenger vehicte-for-hire driver who operates said vehictes pursuant to a written agreement with a company which provides any dispatch, marketing, insurance, communications, or other services under which the driver and any fees or charges paid by the driver to the company for such services are not conditioned upon, or expressed as a proportion of, fare revenues. 11 . A person who performs services as a sports official for an entity sponsoring an interschotastic sports event or for a pubtic entity or private, nonprofit organization that sponsors an amateur sports sr'ent. For purposes of this subparagraph, such a person is an independent contractor. For purposes of this subparagraph, the term "sports officiat" means any person who is a neutrat participant in a sports event, inctuding, but not Limited to, umpires, referees, judges, tinespersons, scorekeepers, or timekeepers. This subparagraph does not appl.y to any person emptoyed by a district school board who seryes as a sports officiat as required by the emptoying schoot board or who serves as a sports officiat as part of his or her responsibitities during normat schoot hou6. 12. Medicaid-enrotted ctients under chapter 393 who are exctuded from the definition of emptoyment under s. ,143.1216(4)(d) and served by Adutt Day Training SeMces under the Home and Community-Based or the Famity and Supported Living Medicaid Waiver program in a sheltered workshop setting ticensed by the United States Department of Labor for the purpose of training and earning tess than the federat hourty minimum wage. 13. Medicaid-enrotLed ctients under chapter 393 who are exctuded from the definition of employment under s. 443.1216(4Xd) and served by Adult Day Training Services under the Famity and Supported Living Medicaid Waiver program in a shettered workshop setting ticensed by the United States Department of Labor for the purpose of tralning and earning less than the federat hourly minimum wage. (16)(a) "Emptoyer" means the state and att potiticaL suMivisions thereof, atl pubtic and quasj-pubtic corporations therein, every pe6on carrying on any emptoyment, and the tegat representative of a deceased person or the receiver or trustees of any person. "Emptoyer" atso inctudes employment agencies, employee leasing companies, and simitar agents who provide emptoyees to other persons. lf the emptoyer is a corporation, parties in actuat controt of the corporation, including, but not limited to, the president, officers who exercise broad corporate powers, directors, and att sharehotders who directty or indirectty own a controtling interest in the corporation, are considered the employer for the purposes of ss. 440.105, 440.106, and 4!9. w.!w.leg.state.fl.u9/Statdesnndex.cfm?App-mode=Display-Statute&URl=0400{499/0440/Sections/0440.02.htm1 48 10.B.1 Packet Pg. 278 Attachment: 10B CONTEST CITATION #12489 – KENNETH J. DITTMER (CEUL20220003164) (22222 : CONTEST CITATION #12489 – KENNETH J. f'not2?, 1:5g PM Slatutes & conslitution :Mew Statutes : Online Sunshine EX H I B I T B (b) A homeowner shatl. not be considered the emptoyer of persons hired by the homeo*n"r, t6P.G.73t8Jt construction on the homeowner's own premises jf those premises are not intended for immediate lease, sate, or resate. (c) Facitities seMng individuats under subparagraph (15Xd)12. shall be considered agents of the Agency for Heatth Care Administration as it relates to proyiding Adutt Day Training Services under the Home and Community- Based Medicaid Waiver program and not emptoyers or third parties for the purpose of timiting or denying Medicaid benefits. (17)(a) "Emptoyment," subject to the other provisions of this chapter, means any service performed by an emptoyee for the person employing him or her. (b) "Employment"inctudes: 1. Emptoyment by the state and att potitical subdivisions thereof and att publ.ic and quasi-pubtic corporations therein, inctuding officers elected at the potts. 2. Att private emptoyments in which four or more emptoyees are emptoyed by the same emptoyer or, Mth respect to the construction industry atl private emptoyment in which one or more emptoyees are emptoyed by the same emptoyer. 3. Votunteer firefighters responding to or assisting with fire or medical emergencies whether or not the firefighters are on duty. (c) "Emptoyment" does not include seMce performed by or as: '1. Domestic servants in private homes. 2. Agricutturat labor performed on a farm in the employ of a bona fide farmer, or association of farmers, that emptoys 5 or fewer regular employees and that emptoys fe\4,er than '12 other emptoyees at one time for seasonal agricutturat tabor that is compteted in tess than 30 days, provided such seasona( emptoyment does not exceed 45 days in the same catendar year. The term "farm" inctudes stock, dairy pouttry fruit, fur.bearing animats, fish, and truck farms, ranches, nurseries, and orchards. The term "agricuttural labor" inctudes fietd foremen, timekeepers, checkeB, and other farm labor supervisory personnet. 3. Professional athletes, such as professional boxers, wrestters, basebatt, footbalt, basketbalt, hockey, polo, tennis, jai atai, and simitar players, and motorsports teams competing in a motor racing event as defined in s. 549.08. 4. Labor under a sentence of a court to perform community services as provided jn s. I!.!LLX!. 5. state prisoners or county inmates, except those performing services for private employers or those enumerated in s- 948.036(1). (18) "Misconduct" includes, but is not timited to, the foltowing, which shatt not be construed in pari materia Mth each other: (a) Conduct evincing such wiltful. or wanton disregard of an emptoyer's interests as is found in deliberate viotation or disregard of standards of behavior which the employer has the right to expect of the employee; or (b) Caretessness or negtigence of such a degree or recurrence as to manifest cutpabitity, wrongful intent, or evit design, or to show an intentionat and substantial disregard of an employer's interests or of the emptoyee's duties and obligations to the emptoyer. (19) "lnjury" means personal injury or death by accident arising out of and in the course of emptoyment, and such diseases or infection as naturatly or unavoidabty result from such injury. Damage to dentures, eyeglasses, prosthetic devices, and artificiat limbs may be inctuded in this definition onty when the damage is shown to be part of, or in conjunction with, an accident. This damage must specificalty occur as the resutt of an accident in the normal course of employment. (20) "Parent" inctudes stepparents and parents by adoption, parents-jn-law, and any persons who for more than 3 years prior to the death of the deceased emptoyee stood in the ptace of a parent to him or her and were dependent on the injured emptoyee. (21) "Partner" means any person who is a member of a partnership that is formed by two or more persons to carry on as co-owners of a business with the understand'ing that there wilt be a proportionat sharing of the profits www.leg.state.fl.us/Statutes/index.cfm?App_mode=Display_Statne&URL=MoGM99/044oisections/0{40.02.htm|5/8 10.B.1 Packet Pg. 279 Attachment: 10B CONTEST CITATION #12489 – KENNETH J. DITTMER (CEUL20220003164) (22222 : CONTEST CITATION #12489 – KENNETH J. 5r1ot22,1:5g PM statutes & Constitution :Mew Stalules : online Sunshine EXHIBIT B and losses between them- For the purposes of this chapter, a partner is a person who participates futty in{Efe6 oF 8) management of the partnership and who is personalty liabte for its debts. (22) "Permanent impairment" means any anatomic or functionat abnormatity or toss determined as a percentage of the body as a whote, existing after the date of maximum medical improvement, which resutts from the injury. (23) "Person" means individuat, partnership, association, or corporation, inctuding any public service corporation. (24) "5elf-insurer"means: (a) Any emptoyer who has secured payment of compensation pursuant tos.440.38(1)(b) or (6) as an individuat setf-insurer; (b) Any emptoyer who has secured payment of compensation through a group setf-insurance fund under s. 624.4621t (c) Any group setf-insurance fund established under s. @A]4gli (d) A pubtic utitity as defined in s. 36!1J02 or s. 366.02 that has assumed by contract the Uabitjties of contractors or subcontractors pursuanl lo s. 624.46225t ot (e) Any tocat government setf-insurance fund estabtished undet s. g!!!@. (25) "Sote proprietor" means a naturat pe6on who owns a form of business in which that person owns att the assets of the business and is solety tiabte for atl. the debts of the business. (26) "Spouse" inctudes only a spouse substantiatty dependent for financial support upon the decedent and tiving with the decedent at the time of the decedent's injury and death, or substantiatty dependent upon the decedent for financial support and living apart at that time for justifiable cause. (27) "Time of injury" means the time of the occurrence of the accident resutting in the injury. (28) "Wages" means the money rate at which the service rendered is recompensed under the contract of hiring in force at the time of the injury and inctudes onty the wages earned and reported for federal income tax purposes on the job where the empl.oyee is injured and any other concurrent emptoyment where he or she is atso subject to workers' compensation coverage and benefits, together with the reasonabte value of housing furnished to the emptoyee by the emptoyer which is the permanent year-round residence of the emptoyee, and gratuities to the extent reported to the emptoyer in writing as taxabte jncome received in the course of emptoyment from others than the emptoyer and employer contributions for health insurance for the emptoyee or the emptoyee's dependents. However, housing furnished to migrant workers shatt be inctuded in wages unless provided after the time of injury. ln emptoyment in which an employee receives consideration for housing, the reasonabte value of such housing compensation shatl be the actual cost to the employer or based upon the Fair lvlarket Rent survey promulgated pursuant to s. 8 of the Housing and Urban Devetopment Act of 1974, whichever is less. However, if employer contributions for housing or health insurance are continued after the time of the injury the contributions are not "wages" for the purpose of catculating an emptoyee's average weekly wage. (29) "Weekty compensation rate" means and refers to the amount of compensation payabte for a period of 7 consecutive catendar days, incLuding any Saturdays, Sundays, hotidays, and other nonworking days which fatt within such period of 7 consecutive catendar days. When Saturdays, Sundays, hotidays, or other nonworking days immediatety fottow the first 7 calendar days of disabitity or occur at the end of a period of disability as the tast day or days of such period, such nonworking days constitute a part of the period of disabitity with respect to which compensation is payable. (30) "Construction design professionat" means an architect, professional engineer, tandscape architect, or surveyor and maPPer, or any corporation, professional or generat, that has a certificate to practice in the construction design fietd from the Department of Business and Professionat Regutation. (31) "lndividuat self-insurer" means any emptoyer who has secured payment of compensation pursuant to s. 440.38(1)(b) as an individual setf-insurer. (32) "Domestic individuat setf-insurer" means an individuat setf-insurer: (a) Which is a corporation formed under the laws of this state; www.leg.slale.fl.us/Slatutes/index.cfm?App_mode=Display_Statde&URL=M00-049e/0440/Sections/0440.02.htm|6/8 10.B.1 Packet Pg. 280 Attachment: 10B CONTEST CITATION #12489 – KENNETH J. DITTMER (CEUL20220003164) (22222 : CONTEST CITATION #12489 – KENNETH J. t1O/22, 1:59PM SlatLrtes & Gonstitution :View Stalutes : Online Sunshine EXHIBIT B (b) Who is an individuat who is a resident of this state or whose primary ptace of business is tocated in thilPG 7 oF 8) state; or (c) Which is a partnership whose principats are residents of this state or whose primary ptace of business is located in this state. (33) "Foreign individuaL seLf-insurer" means an individual setf-insurer: (a) Which is a corporation formed under the laws of any state, district, territory or commonwealth of the United States other than this state; (b) Who is an individual who is not a resident of this state and whose primary ptace of business is not tocated in this state; or (c) Which is a Partnership whose principa(s are not residents of this state and whose primary ptace of business is not tocated in this state. (34) "lnsolvent member" means an individuat self-insurer \ryhich is a member of the Ftorida Setf-lnsurers Guaranty Association, lncorporated, or which was a member and has withdrawn pursuant to s. 440.385(1Xb), and which has been found insotvent, as defined in subparagraph (35XaX., subparagraph (35Xa)2., or subparagraph (35) (a)3., by a court of competent jurisdiction in this or any other state, or meets the definition of subparagraph (35) (a)4. (35) "lnsolvency" or "insotvent" means: (a) Mth respect to an individual self-insurer: 1. That atl assets of the individuat setf-insurer, if made immediatety avaitabte, woutd not be sufficient to meet att the individuat setf-insurer's tiabitities; 2. That the individuat self-insurer is unabte to pay its debts as they become due in the usual course of business; 3. That the individuat setf-insurer has substantiatty ceased or suspended the payment of compensation to its emptoye€s as required in this chapter; or 4. That the individuat setf-insurer has sought protection under the United States Eankruptcy Code or has been brought under the jurisdiction of a court of bankruptcy as a debtor pursuant to the United States Bankruptcy Code. (b) Mth respect to an empl.oyee ctaiming insotvency pursuant to s.,140.25(5), a person is insotvent who:'1. Has ceased to pay his or her debts in the ordinary couBe of business and cannot pay his or her debts as they become due; or 2. Has been adjudicated insotvent pursuant to the federat bankruptcy taw. (36) "Arising out of" pertains to occupationat causation. An accidentat injury or death arises out of emptoyment if work performed in the course and scope of emptoyment is the major contributing cause of the injury or death. (37) "soft-tissue injury" means an injury that produces damage to the soft tissues, rather than to the sketetat tissues or soft organs. (38) "lnsurer" means a group setf-insurers' fund authorized by s.624.4621, an individuat setf-insurer authorized by s. 440.38, a commercial self-insurance fund authorized by s.674.462, an assessabte mutual insurer authorized by s. 628.6011, and an insurer Ucensed to write workers' compensation and employer's tiabitity insurance in this state. The term "carrier," as used in this chapter, means an insurer as defined in this subsection. (39) "statement," for the purpoces of ss. 440.105 and 440.106, shatl inctude the exact fraud statement language in s. 440.105(7). This requirement inctudes, but is not timited to, any notice, representation, statement, proof of injury bitl for services, diagnosis, prescription, hospital or doctor record, X ray, test resutt, or other evidence of toss, injury or expense. (40) "Specificity" means information on the petition for benefits sufficient to put the emptoyer or carrier on notice of the exact statutory ctassification and outstanding time period of benefits being requested and inctudes a detaited exptanation of any benefits received that shoutd be increased, decreased, changed, or otherwise modified. lf the petition is for medicat benefits, the information shatt incLude specific detaits as to why such benefits are being requestd, why such benefits are medicatty necessary and why current treatment, if any, is not sufficient. Any petition requesting alternate or other medicat care, inctuding, but not timited to, petitions requesting psychiatric or psychologicat treatment, must specificatty identify the physician, as defined in s. \41/wleg.state.fl.us/Statutegindex.cfrn?App_mode=Display_Stalute&URl=040G0499/940/Seclions/0440.02.htm1 nA 10.B.1 Packet Pg. 281 Attachment: 10B CONTEST CITATION #12489 – KENNETH J. DITTMER (CEUL20220003164) (22222 : CONTEST CITATION #12489 – KENNETH J. Copyright O 1995-2022 The Florida Legjstature . tiyagy:steletrg!]! . Contact LJs wwwleg.stale.i.us/statutes/index.cfm?App_mode=Display_statute&uRL=040G0499i0440/sections/0440.02 hIm1 8/8 t10/22, 1:59PM Stalutes & Constitution :View Statdes : Online Sunshine EXHIBIT B 440.13(1\, who is recommending such treatment. A copy of a report from such physician making the (PG 8 oF 8) recommendation for alternate or other medicat care shatl atso be attached to the petition. A judge of comPensation claims shalt not order such treatment if a physician is not recommending such treatment. (41) "Office of lnsurance Regutation" means the Office of lnsurance Regulation of the Financiat Servicg Commission. Hlstory.-s.2, ch. 174E1, 1935; s. 1,ch. 174E2,1935; s. 1,.h. 17483, 1935; CGL 1936 supp,5966(2); s. 't, ch. 18413, 1937; s. t, ch. 20672, 1941i s. 1, ch. 28238, 1953; s. 1, ch,29778, 1955; s. 1, ch. 57-155; s. I, ch. 57-225; s. 1, ch- 59-100; s. 1, ch. 65-184; s. j, ch. 67- 554; ss. 17, 35, ch. 69-106; s. 1, ch. 71-E0; s. 167, ch.71-1n; s. 1, ch.72-243; s. 1, ch.73-127; s. 1, ch. 73-283; s. 1j6, ch. 73-3ll; s. t, ch.74-46; s. 1, ch.74-124i s. 1, ch.74-197; s. 1, ch. 75-2@; s. 1, ch- Tt-174; s. 1, ch. Z-290; ss. 1, 23, ch. 7E-3OO; s. 15, ch. 79-7; ss. 2, 124, ch.79-,4A; s. 21, ch.79-312; s. 1, ch. 80-236; s. 3, ch. E1-119; ss. 1, 20, ch. 83-305; s. 1, ch. 84267i s. 6, ch. 86-171; s. 1, ch. 67- 330; s, 1, ch,88-203; s. 2, ch.89.61; ss.3,43, ch. E9-289; ss,9, 56, ch.90-201; ss.7, 52, ch.91-1; s. l, ch.91.2; s.2, ch,93,415; s, 117, ch.94-119; s.59, ch.94-218;s.97, ch.97-t0l; s. 1, ch.98-174; s.89, ch.2000-153; s. 7, ch.2001-91; s. 11, ch.2002,194; s.5, ch.2m2- 236; s. 54, ch. 2003-164; s. 467, ch.7N3.261; ss. 1,2, ch,2@3-412; e.2, ch- Zm3-412; s, 59, ch. 2004-5; s. 12, ch. 2004-373; s. 21, ch. 2005'60; s. 12, ch,2005-71; s. 1, ch.2m5-78; s.4, ch.2006-15; ss. 1,2) ch.2012-213; s. 1, ch.2013-141; s.46, ch.2014-209; s. 19, ch. 2015-148. 10.B.1 Packet Pg. 282 Attachment: 10B CONTEST CITATION #12489 – KENNETH J. DITTMER (CEUL20220003164) (22222 : CONTEST CITATION #12489 – KENNETH J. EXHIBIT C (PG 1OF 2) Frcm: TO: Cc: Subject: Date: Attachments: Davi4galles6 Atllmo-Gib5otr Buildino Peflniftino RE: Permltlng for Condo Frury, turuary 4,2022 2:10:07 tfi imFo€O01. nno imeoe002.ono ln The City of Naples regardless of how many units, flooring, countertops, and painting do not require a permit. This is stated on the building departments website under frequently asked questions. You might want to check with your HOA for any regulations they may have when doing these. ? David Matthews Building Plans Examiner City of Naples Building Department 295 Riverside Circle - Naples FL 34102 dmatthews@naplesgov.com www. naplesgov.com PHONE: 239-2'13-5035 lvlegan Loughman Building Technology Analyst City of Naples 295 Riverside Circle - Naples FL 34102 www. n a olesgov. co m Phone:239-213 5020 From: Building Perm itting <permitting@ naplesgov.com> Sent: Friday, February 4, 2022 1:45 PM To: David Matthews <dmatthews@naplesgov.com> Subiect: FW: Permitting for Condo Hi Dave, Could you provide some clarification for Autumn please Thank you, ,(iIir!l.h ! --:' qr rxt i:ilf.i.5..lsj From: Autumn Gibson <aLtumo@so.IdfoLloi-aio.nge-com> Sent: Friday, February 4, 2022 9:40 AM To: Building Permitting <oermitting@nao esgov.com> Subiect: Permitting for Condo 10.B.1 Packet Pg. 283 Attachment: 10B CONTEST CITATION #12489 – KENNETH J. DITTMER (CEUL20220003164) (22222 : CONTEST CITATION #12489 – KENNETH J. EXHIBIT C (PG 2 OF 2) CAUTION: This email originated from outside ofthe City of Naples e-mail system. Do not click links or open attachments unless you recognize the sender and know the content is safe. Good Morning, I am currently under contract to purchase a condo within City limits and we plan to do some light remodeling, (Flooring, Countertops and paint) I know I don't need a permit to do those things, however I had read somewhere that if there are more than 4 units in the building, I will need a permit regardless of the work being done. Can someoneconfirm if this is indeed the case. Thanks, Autumn Black Gibson Sotto Four.rolttoHs ---?EOEVf LOPMEX'- -- wE BUY HOUSES - CA5H/"AS-|S" www.solidfoundationsre.com PH (239) s42-1100 10.B.1 Packet Pg. 284 Attachment: 10B CONTEST CITATION #12489 – KENNETH J. DITTMER (CEUL20220003164) (22222 : CONTEST CITATION #12489 – KENNETH J. 213122.5:30 PM lrihen do I need a Permil? | Naples, Floida COVID-19 - Updates and Vaccination lnformation EXHIBIT D (PG 1 OF 2) Florida BUITDING lmportant News- Electronic Permitting. click here When do lneed a Permit? Required Building Permits Applications for building permits are required to be submitted for installations regulated by Section 105.1 of the Florida Building Code if any owner or authorized agent intends to: . Construct, enlarge, alter, repair, move, demolish or change the occupancy of a building or structure . Erect, install, enlarge, alter, repair; remove, convert or replace any electrical, gas, mechanical or plumbing system Permit Exemptions . Although a building permit is required for most construction-related work, various improvements of real property may not require a building permit. The work exempted must still be constructed in accordance with minimum code standards. Items that do not require a permit: . Air conditioning repair . Air conditioning window unit replacement with existing electrical . Carpet installation . Ceiling fan replacement using existing outlet box and wiring . Door replacement for any interior, residential door within the individual unit . Gutters and leaders . Heating unit repair . lnstallation of floor/wall ceramic tile . Painting/wallpaper https J/wwwnaplesgov.com,4ruildang/page^,lhen-do-Fneed-permit 1t2 City of 10.B.1 Packet Pg. 285 Attachment: 10B CONTEST CITATION #12489 – KENNETH J. DITTMER (CEUL20220003164) (22222 : CONTEST CITATION #12489 – KENNETH J. 43122, 5.30 PM Vtihen do I need a Permit? | Naples, Florida EXH lBlT D Plumbing fixture replacement pG 2 oF z Repair of existing single family home roof less then 2 squares (200 square ft) Residential appliance replacement Residential drywall repairs that are not fire-related and are for small areas that do not exceed two sheets of drywall Residential playground equipment Single-family home and condominium replacement of existing countertops and sinks that are going back in the same location (bathroom vanity, kitchen cabinetry replacement in single family and condominiums does require a permit) Window repair lnstallation of drywall in a detached garage without habitable space. More !nformation ln the event of a conflict between this document and a specific rule or regulation, all applicable codes shall apply. For more information, please contact 239-213-SO20. CONTACT INFORMATION 295 Riverside Cir. Naples, FL34102 Building Staff List VIEW FULL CONTACT DETAILS 735 8th Street South, Naples, Florida 34102 ADA Contact Us Special Districts (Dependent) Sitemap Select Language V trEEIG httpsrwlvw.naplesgov.comibuilding/page^Mlen-do-i-need-permil 10.B.1 Packet Pg. 286 Attachment: 10B CONTEST CITATION #12489 – KENNETH J. DITTMER (CEUL20220003164) (22222 : CONTEST CITATION #12489 – KENNETH J. EXHIBIT E (PG 1 OF 2) Fiomi To: Cc: Subjectr Date: Attachments: Craio Mole Autumn Gibson oar one; Chuck Gibson; Stan Lieberfarb; Tom Tucker RE: 1375 Chesapeake Ave, Napleq FL 34102 Thursday, March 31, 2022 10:36:35 AM imaoeoo1.pno imaoe002.png Autumn, its probably best that we meet you on site to determine amount of work and what permit would be required. Are you available at 2pm this afternoon? O'T THE GI.t-F Craig Mole',RA,cBo,cFM,ArA Chief Building Official Director of Building Services 295 Riverside Circle - Naples FLU1O2 cm@naplesgov.com Phone: 239-213-5008 From: Autu mn Gibson <autu mn @solidfoundationsre.com> Sent: Wednesday, March 30,2022 5:05 PM To: Craig Mole <CMole@naplesgov.com> Cc: gar one <garoneinc@gmail.com>; Chuck Gibson <chuck@solidfoundationsre.com>; Stan Lieberfa rb <sta n @ sol idfoundationsre.com> Subject: 1375 Chesapeake Ave, Naples, Fl34102 CAUTION: This email originated from outside of the City of Naples e-mail system. Do not click links or open attachments unless you recognize the sender and know the content is safe. Good afternoon, Mr. Mole' My name is Autumn Gibson with Solid Foundations Redevelopment LLC. Today, were visited by a Mr. Michael Governale, Licensing Compliance Officer to our job located at 1-375 Chesapeake Ave. I am writing to explain the details of where we are, and to see what would need to be done to be in compliance. 1. OriginalScopeofworkwastoreplacetheflooring,countertops,andpaint. lcontactedthecityvia email to confirm whether or not we needed a permit as the unit is a condo. Per David Matthews, we were told we did NOf need a permit for these alterations (Please see attached email and response.) a. The bottom Kitchen cabinets were moved in order to install new tile. Same for the Commodes. They were removed for installation of the new floor. Based upon the conversation with the city, We believe that this work all fell under the work required to retile. lt is our intent to reinstall the cabinetry as it existed prior. b. During removal of the Countertops/backsplash, the drywall behind the backsplash was damaged, which we are in the process of repairing. c. We recently decided to upgrade the showers and replace the bath inserts with marble and 10.B.1 Packet Pg. 287 Attachment: 10B CONTEST CITATION #12489 – KENNETH J. DITTMER (CEUL20220003164) (22222 : CONTEST CITATION #12489 – KENNETH J. EXHIBIT E (PG 2 OF 2) glass tile. Once we made this determination, we immediately contacted a plumber who notified us that he could not pull the permit, that a GC had to pull the permit. I contacted the city to find out what forms we needed and spoke to a very nice woman who informed me that yes, indeed we did need a GC and they needed to fill out the Mechanical permit form, the City rules and regs from and a NOC as well as submit a drawing ofthe proposed work to be done (could be hand drawn if necessary). Which we are currently working on, our GC is currently working on the drawings for submission ASAP. To date, the Bath inserts have been removed, apparentlv this was done in error. Per Mr. Governale, we should have waited until the pluming permit was issued. d. As required, all of our Subs and Trades are licensed and insured. Now that you have the current status, please let us know what we need to do to get in compliance and continue moving forward. I can be reached via any of the means below. I look forward to hearing from you. Warm regards, Autumn tsfacL Qi6son Sor-ro Fouxolrroxs -- -lEOEVE TOPME|l-- r - Solid Fou ndations Redevelopment LLC 1307 Chesapeake Ave Naples, FL 34102 Phone: (239) 542-1100 ext 101 Mobile (239) 239-821-0139 Email: autumn@solidfoundationsre.com Website: www.solidfoundationsre.com 10.B.1 Packet Pg. 288 Attachment: 10B CONTEST CITATION #12489 – KENNETH J. DITTMER (CEUL20220003164) (22222 : CONTEST CITATION #12489 – KENNETH J. 05/18/2022 COLLIER COUNTY Contractor Licensing Board Item Number: 10.C Item Summary: 2022-04 – KRISTO MISKA DBA HOME & MORE SERVICES INC. (CEMIS20220001812) Meeting Date: 05/18/2022 Prepared by: Title: – Contractor Licensing Name: Alyshia Morse 05/11/2022 12:12 PM Submitted by: Title: – Contractor Licensing Name: Tim Crotts 05/11/2022 12:12 PM Approved By: Review: Contractor Licensing Sandra Delgado Review item Completed 05/11/2022 4:44 PM Contractor Licensing Tim Crotts Review Item Completed 05/11/2022 5:03 PM Contractor Licensing Tim Crotts Meeting Pending 05/18/2022 9:00 AM 10.C Packet Pg. 289 BEFORE THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD BOARD OF COUNTY COTU[/ISSIONERS, COLLIER COUNry, FLORIDA, Petitioner, Case No: 2022-04 Licensee No. 20160001 079 KRISTO I\/ISKA, D/B/A HOME & MORE SERVICES, INC Respondent. ADMINISTRATIVE COMPLAINT Collier County (County) files the Administrative Complaint against KRISTO MISKA (Respondent), a Collier County licensed contractor and states the following facts and allegations in support of the cited violations below: 1. The Respondent is currently licensed as a Tile & Marble contractor, a Floor Covering contractor, and a Cabinet lnstallation contractor, by Collier County Contractors' Licensing as an INCORPORATION with the following issuance numbe(s):(license numbers 201600000536, 201600000537, and 201600000538 respectively). 2. The Respondent, KRISTO MISKA, is the Collier County license holder of record for the company HOME & MORE SERVICES, lNC., (Q20110004040). 3. Under the provisions of Chapter 489 Florida Statutes [5489.105(12) F.S.] and Collier County Code of Laws and Ordinances lSec.22-2021, the Collier County Contractors' Licensing Board (Board), is authorized to impose penalties against Collier County Certificate of Competency holders who violate the Collier County Code of Laws and Ordrnances. 4 Under the provisions of Collier County Code of Laws and Ordinances Sec 22-202 the following actions of the Respondent, constitute misconduct and grounds for discipline. 5. On February 18,2022, I, Michael Governale, Collier County Licensing lnvestigator, was conducting field observations in the lsland Walk community and observed construction work occurring in the driveway at 4409 prescott Lane. 6. Upon investigation, it was discovered that, Home & More services lnc. entered into a contract with Della Burt-Bradley for a master bathroom renovation. The contracted amount was for $5,750.00. No down payment was made, and the parties agreed that it would be paid in full upon completion of the job, I 10.C.1 Packet Pg. 290 Attachment: 10C 2022-04 – KRISTO MISKA DBA HOME & MORE SERVICES INC. (CEMIS20220001812) (22223 : 2022-04 – KRISTO MISKA DBA 7. On February 18, 2022, while on site, a review of County records revealed no burldrng permits were applied for regarding the bathroom renovatrons (plumbing). 8 On February 22,2022, Chief Building Official Jonathan Walsh reviewed site photos of the bathroom renovations performed and determined that a permit was required. A stop-work order was issued for commencing work without an issued permit 9. Previously, on [t/ay 19,2021 , the Collier County Contractors'Licensing Board held a formal disciplinary hearing in which the Board placed Kristo Miska's three (3) Iicenses on probation for a period of one (1) year for working outside the scope of his license, causing financial harm and commencing work wrthout an issued permit. '10 Based on the investigation, and pursuant to Collier County Code of Laws and Ordinances Section 22-202(a)(2) and (b), the Contractors' Licensing Supervisor determined sufficient cause exists to warrant the filing of formal charges. 1 1. On ltrlarch 31 , 2022, a Notice of Hearing to appear before the Collier County Contractors' Licensing Board on May 18, 2022 at 9:00 a.m. was issued to and signed by the Respondent, Kristo [Vliska, at the Contractors' Lrcensing office located at 2800 N Horseshoe Dr., Naples, FL 34104. COUNT I A. Kristo Miska is the holder of a Collier County license for Tile & Marble Contractor, Floor Covering contractor, and Cabinet lnstallation contractor. Kristo Miska's license does not allow for shower tile demolition and waterproofing installation lpiumbing contractor), that was done in the scope of services he had provided under the subject contract. B Kristo lVliska is in violation of Collier County Code of Laws and Ordinances {Section 22-201(2)}, whrch states, rn pertinent part, that it is misconduct for a holder of a Collier County Certificate of Competency to contract to do any work outside of the scope of his/her competency as listed on his/her competency card and as defined in this ordinance or as restricted by the Contractors' Licensing Board. COUNT II A. Upon review of County permitting records, a building permit was never issued pnor to commencing work, and a permit was required to perform the subject work. 12 The County now brings the following count(s) in this Administrative Complaint against the Respondent. 10.C.1 Packet Pg. 291 Attachment: 10C 2022-04 – KRISTO MISKA DBA HOME & MORE SERVICES INC. (CEMIS20220001812) (22223 : 2022-04 – KRISTO MISKA DBA B. Kristo I\4iska is in violation of Collier County Code of Laws and Ordinances {Section 22-201(18)}, which states, in pertinent part, that it is misconduct by a holder of a Col er 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. WHEREFORE, the Petitioner asserts the above facts and charges are grounds for disciplinary action under Collier County Code of Laws and Ordinances Sec.22-201 and WHEREFORE, in consideration of the foregoing, the Petitioner respectfully requests the Collier County Contractors' Licensing Board to find the Respondent guilty of the violation(s) charged. Dated.s-/r" 1-rz Signed: Collier County Contractors' Licensing Supervisor 10.C.1 Packet Pg. 292 Attachment: 10C 2022-04 – KRISTO MISKA DBA HOME & MORE SERVICES INC. (CEMIS20220001812) (22223 : 2022-04 – KRISTO MISKA DBA Contractors' Licensing Board 2800 North Horseshoe Dr. Naples, FL 34104 Com plaint Num ber- 2022-04 Complainant: Any person who believes that a Contractor holding a Collier County Certificate of competency has violated Collier County Ordinance 22-201, as amended, may submit a sworn complaint to the Contractor Licensing supervisor, or his / her designee. The complaint shall be in substantially the form prescribed by the Contractor Licensing Supervisor. The complaining party shall state with particularity which section(s) of this Ordinance he or she believes has been violated by the contractor and the essential facts in support thereof. Complaint:. Please print or type and return signed copies of the complaint. Date: May 9,2022 Against: Contractor's Name: Kristo Miska Phone: 239.595.089 I Business Name: Home & More Services Inc License(s) Held: Tile & Marble, Floor Covering and Cabinet Installation Contractor Collier County Competency number:201600000536,201600000537 &201600000538 (respectively) Contractor's Business Address: 495 Ibis Way, Naples, FL 341l0 Filed By: Name: Collier County Contractors' Licensing / Michael Governale Address: 2800 N. I-lorseshoe Dr., Naples, FL34104 Business Phone: 239-252-8019 Address where work done: 4409 Prescott Lane. Naples, FL Citv: Naples County: Collier Date of contract: Unknown L 10.C.1 Packet Pg. 293 Attachment: 10C 2022-04 – KRISTO MISKA DBA HOME & MORE SERVICES INC. (CEMIS20220001812) (22223 : 2022-04 – KRISTO MISKA DBA Date job started: C)n or about F'ebruary 18,2022 Date job completed or new home occupied: N/A Were there plans and specifications? Yes Is there a written contract? No If yes, amount of Contract: $5,750.00 Has Contractor been paid in full? Unknown [f not, what amount? Unknown Was a Building Permit obtained? No Was a Building Permit required? Yes. Building Pcrmit numher if known: PRAC20220209214 Have 1'ou communicated by letter with the licensee? Yes (in person) Date: 03131122 Do you have a reply? Yes Please attach to this form all copies of the purchase agreement, building contract, home im;trovement contract, copies of receipts and/or cancelled checks available and any additional evitlence to substantiate your allegations. List any subsections of Collier County Ordinance number 22-201, which, in your opinion, have been violated by the contractor, which is the subject of this complaint, (list subsection number): u. Collicr County Ordinance 22-201(2) Contracting to do any work outside of the scope of lii5ilrei eontpctcrtcy as listed on hisiher conrpetency card arrd as defined in this Ordinance or irs restricted by the Contractors' Licensing Board. h. Collier County Ordinance 22-201(18) Proceeding on any job without obtaining applicable pernrits or inspections from the City building and zoning division or the county building review and perrnitting depaftment. Please state the lacts N'hich you believe substantiate your charge of misconduct against the subject contractor. List facts separately for each subsection number above: Collier County Ordinance 22-201(2) Contracting to do any work outside of the scope of hisiher collpetenc\,'as listed on his/her competency card and as defined in this Ordinance or as lcstricted b1' the Clontractors' L,icensing Board. Kristo Miska is the holder of a Collier County license for Tile & Marble Contractor, Floor Covering contractor. and Cabinet Installation contractor. Kristo Miska's license does not allow for shower tile denrolition and waterproofing installation (plumbing contractor), that was done in the scope of services he had provided under the subject contract. b. Collier County Ordinance 22-201(18) Proceeding on any job without obtaining applicable penttits or inspectiolts fronr the City building and zoning divisiorr ol the county building review and permitting depaftment. 2. Krislo Miska is irr violation of Collier County Code of Laws and Ordinances {Section 22- 201(18)), which states. in perlinent part, that it is rnisconductby a holder of a Collier County Certificate 2 10.C.1 Packet Pg. 294 Attachment: 10C 2022-04 – KRISTO MISKA DBA HOME & MORE SERVICES INC. (CEMIS20220001812) (22223 : 2022-04 – KRISTO MISKA DBA 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. Mi I L. Governale Code Enfbrcerrent Investigator - Contractor Licensing State of County of Gtvre f The foregoing instrument was before me bv means2),ofp'physical presence or E online nota on 20 by Such perso n(s) Notary must check applicable box: e6are personally known to m E has produced a current driver license E has ;lroducetl (Notary Seal) Notary Signature: SANDRADELGADO Commlsslon#HH 1017,10 Erplres Malclr 8,2026 Bondod lln, Budg.t tlolrY to!'ifGtg of as 'ffi 3 10.C.1 Packet Pg. 295 Attachment: 10C 2022-04 – KRISTO MISKA DBA HOME & MORE SERVICES INC. (CEMIS20220001812) (22223 : 2022-04 – KRISTO MISKA DBA Qottvtl1V {.; row'th llI:rr:rgcrnrnt I}ivisiulr I'l;tnning & ltergul:rtion {}grtrrxtions I}*1ra rtnr*:lI Lic*nsing Section I{cccrvcd hr Date //*? 1)atu. llarclr .l l. 2021 Kristo \4iska Iltrtrre & \,irrre Services lnc l9.i l[']is \\'i]_] \aplcs. Irl. i+ I l0 I{lrl: ('ase # (lt[,I1520220001812 - 4409 Prescott Ln. I)crrr KlllS'IO MISKA. ,,\ conrplairrt has bcen liled against you by the above referenced entity \ lrc;rrirtg ol'tlris uorrtplaint rvill be held by lhe C]ontractors'l-icensing Board on Wednesday, I'lar 18.2U22 nt 9:0() AiVl in tlrc IJoalcl ol'County Commissioner's Roorn. Third I;Ioor, \.irnirrirtiatrort Ilttilrling (\\'. L'lanlon'l'urner Bldg.). at 3.i01 East Tarlianri 'l'rail. Naplcs. i irrrr.iil -il I il. Yr)ur" fxcsrrrcc bclirrc thr: Collier County Contractors' Licensing Board is required at tliis tirnc. I lrc nngligl crrncertting. \oLrr case rnarked conrposite exhibit "A" rvill he clelivcrcci to thc ttlettri'ct's ol'Iltc ('trnlr;.tctor-s' Liccusirrg Uoard onc week prior to the hearing. If'1,ou *ish ro :(,'i-,-'l\r'ir r'!);)\ trt'lltis 1:;le:kct" please n()tity the ContractorLicensing Custonrer Senice Olllce. Il' .\iiii 'i,\i:it iri Pt"cParc a r"l*lcnsc packet and have it delivered in conjurrction i.vith conrposite exhibit"'\"- t ott trtttsl tlttkc tjlieen copies and have them in our office by' 8:00 AM on Wecinesdarl,. one!\'r'k Ilirrr to tltc iicltring. ln vour packet. \'or-r mav give a summar\: clf eyents. At rhis,l.,*.ii,.,g. .\riir ntli\ i)r'cscnt erirlcrrecandhe reprcsentecl trYanattorneyofvourchoice. lrr f lrt crcrrt thc ('()ntrulcl.ors' Licensing fJoard tinds 1,ou in violation ol.Sec. ZZ-Zlll nf thc{'ollit'l' ('orrnlr'. l.'1, ('orlc ol' Ortlinanccs: 2l-l{}l - }Ils('ONI)lr(l'f * ('ollier Countr'/city certificnte of conrpetencr,. :l .iliila'.,-li; :i1,,' t,;ari'"....,\\,; r,lii,,,r,r i ,,r'ii;'r iit 10.C.1 Packet Pg. 296 Attachment: 10C 2022-04 – KRISTO MISKA DBA HOME & MORE SERVICES INC. (CEMIS20220001812) (22223 : 2022-04 – KRISTO MISKA DBA €uY Co*tr*.e;f Cron'th Managtment llivision Pl*mlting & !{egtrlntion ( );rer;r ( io *s []c 1.r*rtmcn t I .it ct, r iltg .5t^r.'!.lrttt Scr. 23-2(ll(2) (iontractine to do an1,r'ork oLrtside o,'the scope of hislhcr competcncr us Iislcrl i,n his ircr cortrpctcrrr:_r carcl and as cleflned in this Ordinance or as restricted h1,the ( otttractors' Liccnsing lloard. Sec. 22-201( l ll) - Ilrocccclinu on anv iob *'ithout ohtaining applicable permits or inspcctions tionr the ('ity huilding and z-oning division ortl:c count),building rer,iex'and prcrrritt i ng clcpiirl nrcnt. l'lrc ranuc ol'disciplinarv siinctions ivhich nray be irnposed are, (l) Ilevocation o1'a Collicr' L'ount-r' or cit,r, ccnillcate ol'cornpetency; (2) Suspension of a Collier Cor.rnty or cit1, ccrtilicate ()i'conrpctenc."-: (3)l)enial oftheissuanceorrenewal ofaCollierCountyorcitl.'ccrtilrcatcol' (-t'rnrpetencr,: (4).A period of'prohation olreasonablc length, not to exceed trllo vears. clurine r.i'hich the corrtlirclor's contracting activities shall be under tlte surpervisiort ol'tlre corttluclols' liccnsing btxrrd: ;rnclftrr participation in a clu15,accredited program ol'continuing cclucatiorr dirc,,:tlr rclulctl to tlrc contrlctorJs corrtracting activities: (5)Restitution; (6)A finc nol to cxccctl 51{).(XX).(X): (7)A prrblic reprirlancl; (8)lleexanrination requirement; or (9) Dcrrial of'thc issLrancc of'Collicr (lounty' or city huilding permits or recluiring the issuancc o1'pcrnrils u'itlr spccilie conr"litions. (10) Rcasonablc investigative and legal costs fbr the prosccution o['thc violation. S irrcsrcl\ \,{ic rnalc L- iccnsing Clonrpliance ()lljcer Collier C.ountl' Contractors' l-icensing llq-152-s()1() I rniriars &.ry'' 10.C.1 Packet Pg. 297 Attachment: 10C 2022-04 – KRISTO MISKA DBA HOME & MORE SERVICES INC. (CEMIS20220001812) (22223 : 2022-04 – KRISTO MISKA DBA \d; Crffiirrgo:o^nd ".-,e*- \"*-..\'.%_"i@.",,a Report Title: Code Case Details iti:iiri 51912022 2:59:16 PM CaseNum[:er: CEM1520220001812 Case Numi:er cEM1s20220001812 Case l"ype Misconduct Normal lnspec!or;MichaelGovernale Collier County Field Observation Detari Description Gommencing work without an issued permit; Working outside of the scope of CC certificate of competency; retiling (2) bathrooms; shower walls & floor, fluted molding around bathroom mirrors. 4409 Prescott Lane Naples, FL 34119 P# s2250025427 $tatus:Refer to CLB Oate & l"ime Entered 21181202211:22:00 AM Entered By:MichaelGovernale Ci*s* Disposition Hearing Priority 0rigin l.oc;ltiq:n Cornments A<Jdross 4409 Prescott LN, Naples, Single Family 5225002s427 Complainant Collier County Building Dept. Address:2800 N Horseshoe Dr. Contractor HOME & MORE SERVICES INC BURT.BRADLEY, DELLAPrr::oer-ty Owner Brr*irxlss Milnaeemont & tsudget Offico 1 10.C.1 Packet Pg. 298 Attachment: 10C 2022-04 – KRISTO MISKA DBA HOME & MORE SERVICES INC. (CEMIS20220001812) (22223 : 2022-04 – KRISTO MISKA DBA Code Case Details Execution Date 51912022 2:59:16 PIVI Desc Preliminary lnvestigation CE Case Research lnvestigation Assigned Required Completed Outcome Comments MichaelGover nale 2t18t2022 211812022 Needs lnvestigatio n I observed working being done in the driveway at 4409 Prescott Lane. Contact was made with Kristo Miska the qualifier for HOME & MORE SERVICES lNC., he told me he contracted with the property owner to remove and replace the shower wall tile in two bathrooms and to retile over the existing shower floor tile with new in the master. He also installed fluted molding around (4) bathroom mirror. Contact was made with the property owner Burt-Bradley, Della 219.614.86'1 5 who agreed to meet me at the subject property in one hour to conduct a site visit. The property owner signed the consent form and allowed me in to take photos of the work that was done and still in progress. She printed out the contract that was from a text on her phone she received from Miska. She stated it was only for the master bathroom and not the guest bathroom because that was decided while work was being done to the master bathroom. The master bathroom contract was for $5,750.00 of which no payment has been made yet. [VlichaelGover nale 2t18t2022 2t2312022 Complete No ACTIVE/ISSUED permit(s) exist on the subject property and No ACTIVE Code Enforcement cases exist. The subject property was listed in a flood zone on the FEti/A flood map. HO[/E & MORE SERVICES is licensed through Collier County for; Tile & tvlarble, Floor Covering and Cabinet lnstallation. All (3) licenses are currently on probation (CLB case #2021-06) through May 19,2022. MichaelGover nale 211812022 2123t2022 Refer to CLB Address: 4409 PRESCOTT LANE Property Owner: BURT-BRADLEY, DELLA Complainant: COLLIER COUNTY BUILDING DEPARTMENT complaint: coMlvlENClNG woRK wtTHouT AN ISSUED PERMIT Contractor: HOME & IV1ORE SERVICES INC License#: 201 600000536Permit#: Status: As of: Contract & Payment Doc: NNC issued: il{,.i siil{rsic; lvianage}fit*il t & tiuo get Uf ice 2 I 10.C.1 Packet Pg. 299 Attachment: 10C 2022-04 – KRISTO MISKA DBA HOME & MORE SERVICES INC. (CEMIS20220001812) (22223 : 2022-04 – KRISTO MISKA DBA Code Case Details Execution Dale 51912022 2:59:16 PtVl Desc Assigned Required Completed Outcome Comments Cont. lnvestigation lVlichaelGover nale 2t22t2022 2t22t2022 Complete PERMIT DETERN4INATION Chief Building Official Jonathan Walsh determined a permit was required for this work and that the exemption did not apply since the structure was within a flood zone CE Phone Call fir'lichaelGover nale 2122t2022 212212022 Complete Contact was made with Kristo tViska 239.595.0891 and he was advised of the permit requirement. He agreed to me with me tomorrow at 1pm at the Gl\4D facility to further discuss this matter. [\4ichaelGover nale 212212022 2123t2022 Complete "Stop work order" posted, property owner was notified of the permit requirement. Schedule for CLB [\4ichaelGover nale 2t22t2022 2t23t2022 Complete CLB hearing set for April 20,2022 @ 0900hrrs Generate CLB Notice of Hearing lVlichaelGover nale 2t23t2022 212312022 Complete Supervisor and I met with Miska and served him with a Notice of Hearing for April, 20 2022 @ 0900hrs. He refused to sign it and was given a copy Not Applicable MichaelGover nale 2t23t2022 2123t2022 Not Required I\4ichaelGover nale 312812022 3t3012022 Complete Contact was made with the property owner and was advised of the details of my meeting with CBO Walsh. MichaelGover nale 3t2812022 313012022 Complete After reviewing the current permit status and conditions, I met with Chief Building Official Jonathan Walsh for direction. After he reviewed that permit conditions and submitted documentation included he concluded the following. The scope of work described in the submitted documents included plumbing work (sealing and waterproofing elements) which requires a plumbing contractor. He suggested the plumber should reapply for a "plumbing" permit. Otherwise, the current permit would required a CGC, CRC or CBC and a plumber (subcontractor) to meet the required conditions before it could get issued. MichaelGover nale 3t31t2022 4t1t2022 Complete I met with the Miska at the GMD regarding my direction from CBO Walsh. Miska told me that he understood and would work with the property owner to get a CGC, CBC or CRC involved and would recommend GULF SHORE PLUMBING as the subcontractor. Miska signed a new "notice of hearing" for ltAay 18,2022. Schedule for CLB lVichaelGover nale 3t3112022 411t2022 Complete Generale CLB Notice of Hearing lVlichaelGover nale 3131t2022 411t2022 Complete MichaelGover nale 4t1t2022 4t1t2022 Not Required Cont. Investiqation CE Phone Call Cont. lnvestigation Cont. lnvestigation Not Applrcable fi*s!inrl$$ F,tranaclement & Budget Office 3 I l IVlay 18, 2022 @ 0900hrs 10.C.1 Packet Pg. 300 Attachment: 10C 2022-04 – KRISTO MISKA DBA HOME & MORE SERVICES INC. (CEMIS20220001812) (22223 : 2022-04 – KRISTO MISKA DBA Code Case Details Execution Date 51912022 2:59:16 PM Desc Enter Hearing Results Assigned Required Completed Outcome Comments lVlichaelGover nale 511812022 Pending 02.23.22 - Notice of Hearing sent via USPS Certified #7016 0910 0000 7'178 0823 to 495 lbis Way, Naples FL 341'10. 02.23.22 - lsent an email to the qualifier stating that he had 30 days to obtain an ISSUED permit. 02.25.22 - USPS Certified mailupdate; Notice Left at the address to either pick up at the forwarding post office or reschedule delivery. 03.02.22 - USPS Certified mail update; Delivered, left with individual. Received the signed delivery card. 03.16.22 - Alteration/Remodel Permit #PRFH20220310237 was applied for on 03.04.22. Permit status; UNDER REVIEW 04.09.22 - Change of Contractor to SWF co[/PANY (HOt\4E & I\4ORE SERVTCES LLC now historical) and Subcontractor added; GULFSHORE PLUTUBING, INC - Permit status: READY FOR ISSUANCE. 04.20.22 - Permit ISSUED Violation Description Status Entered Corrected Amount Comments Open 3t16t2022 $o4'1 I\Iisconduct-County/City Certificate of Competen Title Reason Result Compliance Fine/Day Condition *rrsir:i,lss f,la*agemenl & Budget Office 4 10.C.1 Packet Pg. 301 Attachment: 10C 2022-04 – KRISTO MISKA DBA HOME & MORE SERVICES INC. (CEMIS20220001812) (22223 : 2022-04 – KRISTO MISKA DBA 5t9t22.3 03 PM Summary Permit Application Status - CityView Portal Permit Application Status PRFH202203 10237 Applicstion Nurnber Application Iype Application Status Prooerty 0wrrer's Full Name Category of Work occupancy Code Description of Work Application Date: Issired Date; Expiration Date: Date Finaled: 1-2 Family or Comm: pRFr-i 202201102 t7 l-2 l-amily Home Finaled BURT.BR,ADLEY, DELLA Alteration/Rernodel Residential, One and Two Farnily New or Guest House Remove & insfall wall tile & cement board in master & guest bathroom 4409 Prescott LN, Naples, Single Family a3/04/2022 o4/20/ZOZ2 7U02/2022 os/09/2422 1-2 Family Locations 1...{,(ations: Property 5225002s427 Address 4409 Prescott LN,_Ngp_leS,.Sjlgle Fa mily Contacts Properly 0wrei: APPlicanti Quaiif:er - Historical; Coiltractor: l l istcricai Qualifier: Contractor: Co*irz.:tor: Pli,mbrng BU RT-8AADLI Y, DELLA, Add r€rss : 44i19 PRESCOTT LN Kristo Miska. Address:495 lbis Way, Phone:(239) 595-0891 MISKA, (RISIO, Address:495 IBIS !'VAY Phone:(239) 595-0891, Licensee # 1CC20110004040 License Status l{OMf & MORI SERVICES lNC, A.ddress:495 IBIS WAY Phone:(2j19) 595-0891, Licensee # 1CC20160001079 License Status 3ALA, ARDIT, Address:15167 SUMMIT PLACE CIR, Licensee # r-cc20200000699 License Status S\,VF COMPANY Address:15167 SUMMIT PIACE CIR , Phone:(239) 777- 8229, State Reg #'s CGC1529157, Licensee # LCC20200000700 License Status Gtji..iis;l"lC,RH Pl-UtYBlNG, IllC., Address:4830 HIC:KORY W0OD DIi,lV[, Phone:(239) 877-4220, State Reg #'s CFC1428765, Licensee # c.28679 License Status Permits (Click to See Reviews) Permit Number: PRFH2O22O31O237Ol Pcrnlil TYrc: Blilding Per{1r|t Slatljs: frrlalec 1 Initial Submittal Status: Complete Review Type Final Review 5 Day Review I It?t€ ()utcome Est, Corilpletion Completed a3/77/2022 03126/2C22Conrplete 1t3 i. 10.C.1 Packet Pg. 302 Attachment: 10C 2022-04 – KRISTO MISKA DBA HOME & MORE SERVICES INC. (CEMIS20220001812) (22223 : 2022-04 – KRISTO MISKA DBA 5t9t22,3 03 PM Permit Application Status - CityView Portal Reviewer:Ar'lnr Gorlzalez ((239) 252-2704) Send Email Rev ier /er:ionathan Thomas ((239) 252-2991) Send Email Appr0,/ed a3/15/2022 i 03117 / ;"a)2 Reviewer: , Approved 03/ t6/ 2022 l{ev ic!ve r .lohanil Franco ((239) 252-2694) Send Email Irl'lpact F*e Sevieu, &esidential Reyiew FEI''lA Review Fees C0rnplete-No Fees 43i15/202.2 a3/2.4/2422. ilobert lloore ((239) 252-5705) Send Email o3/t5/2A22 Paid Owing Date Paid $s0.00 P.r i.J $90.00 $90.00 Paid n ? /no /?n? l a4/79/2022 $s0.00 Paid o4/ 19/2022 $2.8s Paid 01/19/2A22 $2.00 Paid 04/19/2022 $ 190.00 Paid Owing $0.0o Peid Fees Strr-,ct.,rel - Application Fee Fcn Arnount ss0.c0 $50.00 $2.00 $ i 90.00 i-\ill{l Surr:harqe Aft*r th€r i::,:]i::t Permit Fee 0utstanding Fee$ I Totals: o1/19/2022 Date PfridAnl0unt $384.85 P*id $384.S5 PLEASE DO NOT SUBMIT ANY PAYMENTS UNTIL A COLLIER COUNTY PAYMENT SLIP IS DISTRIBUTED Total Amount Payaille Online: 90.00 Deposits & Eonds lir0rtr: ;lrc, iro deijos.ts or oonds for this perrnit application Inspections trm:$pe{:ti0n ()ut{;0m€Scheduled Sate Inspected 05ia6i2a?2 2I4 ' Remodel Res Plumbing Final Pass i nspec:tor: 172 - Remodel Res Building Final Inspector Pas!i 5i5i2A22 s/6/2A?_2 _lohn .lones vEl\ ((239) 849-661.2) Send Email Conditions Requesterl 5/4/2022 5/4/2A22 os/44/7022 Rob Rsgeis ((239) 438-2087) Send Email ($fi{liti()n ln.ompleie Permii Ap;.i ii:i:tir-:n i' {rrrrr ,rti,iti ,vi,e Ar.;r.l AiF iilot Resolved 5LI II ilev OepartmentSt;rtus Deseription Upload to the condition on the porta l. ' A tile and marble contractor is ' unahle to sulrmit frrr a bLiilcJinc ' alteratron permii. Please provide A CGC, CBC OR CRC. // or 67ll pg 3600 recorded 4 / 13 / 22 BernhardtKiely 04/78/2022 9:04 AM Condition"fypri PermitHold i- l I Category Expiration Date Due Date Pe.mrttrng Rcsolv*cl Pe.mitting Conditjon Typi: Perm:t llold Euilding i Revic',r and Final Type Add ATF Fees https://cvportal.colliercountyfl.gov/Cityviewweb/PermiUStatusReference?referenceNumb er=PRFH2O22O310237 2t3 $2.85 i I 10.C.1 Packet Pg. 303 Attachment: 10C 2022-04 – KRISTO MISKA DBA HOME & MORE SERVICES INC. (CEMIS20220001812) (22223 : 2022-04 – KRISTO MISKA DBA 5t9t22,3.03 PM Permit Application Status - Cityview Portal , flevair0,) Certihcate tJn.rl{jr Consiruction l"lOirce 0f C0t r r'rlence ffient Eltl\.ation Certificate Buildin0 Review anci i,ffniitiinE tsuildrng ,q.eview and Perrnitting tsuilcJing R.eview and Pef mltting ariC n$ Res0lved Notice of Commencement: Upload to the c0ndition on the DCJ.tAI, DENlED- NOC CCNTRACTOR LISTED DOES I.JOT MATCH OUR SYSTEM RECORDS/ OR 6111 PG 3600 RECORDEO 4/ 1.3 I 2A22/ LopezMarisel 04 / 7 3 / 2O22 4:26 PM At the time of permit application, the permitted structure is in the special flood hazard area. An Under Construction Elevation Certificate is required within 10 ciays of passinq a 103 or 133 inspe{:tion 0f slab or other foundation system. Prior to i:btarinirg County approvai r:rf the Under Construction Elevation Certificate, the permit holder's construction activities are at his/her own risk, lJnder Construction Elevati0n Certificates rnust verify the slab , rneets rninimum elevations per the Florida Burlolng Code and Chapter 62, Collier ilounty C:ode of Laws and Crdinances (e,9", BFE +1 or 18" ahove the crotryn of the road, lvhichever is higher, and the elevation established by the SFWMD perrrit). Condition Typii CO Hold Condition Typei Inspection l-lold fiot Required i2.i:si0lvtld re il ti0t Rrlgu > Elevation Certificate :ii.ia; (l0ni:ract0r (Plr.rnr b inq ) Documents & Images C;ondit:on Typi: CO Hold Sub Contractor (Plumbing) Upload to the condition on portal. ' 3uili.lrnq : ttvierv {e i-rTi i tU Condition Ty-pg: Inspection Hold #ate ug:rtr:ocfectr ,:]iii.:.2()1.) t3/'{i8i2a22 cSli:9/?022 !J3i26i2022 0,1,ic9i2t22 llti I t J: J\) l: $4/ 11,1;lii22 04i 15i2022 i.i,i, 1t-)1');)"^1. A/+/2Ai2{22 i_,ii ii)i2i\22 i):' 1t<.\ i 2i.t2 2 File Type .a.ppr6vsi Plans (PR) Applicatlons Letter Receipt Letter 'etier iie,i: i!)i- i\pproved Plans (PR) l-et!aer r altttc r Dccurn€nt Natne Construction Plans (Construction Plans - Prepilgd4*pil) A p_pl&E!s!_E9Et_( A p_pJ-@99-0_:_Pre p a r e d 24. {Received).pjl) eayment SIp_e$. Receipt for transaction : 2 eay-l11g0!:slp_( RFI- Customer P R ). ehegge of Contractor. plf Subcontractor - Plu mbing:p_glf Notice of Commencement.p_glJ I n co m plele_eqld j!-Q-0_N-e!t!C Notice of Commencement.pjJ Receipt for transaction : Approved Construction Documents Residential Com bined Permit a nd I nsrcgu_A!-]gh'.qeId Certificate of Com p.!91[og https://cvportal.colIercountyfl.gov/Cityviewweb/PermiUStatusReference?referenceNumb er=PRFH20220310237 3t3 10.C.1 Packet Pg. 304 Attachment: 10C 2022-04 – KRISTO MISKA DBA HOME & MORE SERVICES INC. (CEMIS20220001812) (22223 : 2022-04 – KRISTO MISKA DBA 519122, 3 05 PM Collier County. FL Code of Ordinances Sec. 22-201 . - M isconduct-Collier County/city certificate of competency. The following actions by a holder of a Collier County/City Certificate of Competency shall constitute misconduct and grounds for discipline pursuant to section 22-202: (1) Knowingly combining or conspiring with an unlicensed contractor by allowing one's Certificate of Competency to be used by an unlicensed contractor with intent to evade the provisions of this Ordinance. When a licensed contractor acts as the qualifying agent for any firm without first making application under this Ordinance to represent said firm, such act shall constitute prima facie evidence of intent to evade the provisions of this Ordinance. When a certificate holder allows his certificate to be used by one or more companies without having any active participation in the operations, management, and control of such companies, such act constitutes prima facie evidence of an intent to evade the provisions of this Ordinance. Acttve participation requires job site supervision, knowledge of and participation in the business operations of the company(s), including all contractual matters. a. lf any individual qualifiTing any business organization ceases to be affiliated with such business organization, he shall so inform the Board. ln addition if such individual is the only certified individual affiliated with the business organization, the business organization shall notify the Board of the individual's termination and shall have no more than sixty (60) days from the date of termination of the individual's affiliation with the business organization in which to affiliate with another person certified under the provisions of this article. ln any event, the business organization shall not enter into any new contracts and may not engage in any new contracting until such time as a qualifying agent is employed. (2) Contracting to do any work outside of the scope of his/her competency as listed on his/her competency card and as defined in this Ordinance or as restricted by the Contractors' Licensing Board. (3) Abandoning a construction project in which he/she is engaged or under contract as a contractor. A project may be presumed abandoned if the contractor terminates the project without just cause, or fails to notify the owner in writing of termination of the contract and basis for same, or fails to perform work for ninety (90) consecutive days without just cause and no said notice to the owner. (4) Diverting funds or property received for the execution of a specific contract project or operation or diverting funds earmarked for a specified purpose to any other use whatsoever. (5) Departing from or disregarding in any material respect the plans or specifications of a construction job without the consent of the owner or his duly authorized representative. (6) Disregards or violates, in the performance of his contracting business in Collier County, any of the buildinS, safety, health, insurance or Workers' Compensation laws of the State of Florida 114 10.C.1 Packet Pg. 305 Attachment: 10C 2022-04 – KRISTO MISKA DBA HOME & MORE SERVICES INC. (CEMIS20220001812) (22223 : 2022-04 – KRISTO MISKA DBA 519122 3:05 PM Collier County, FL Code of Ordinanc€s quality and/or quantity of the unfinished or finished work product, including any item that does not function properiy as a part of the entire project. lf there is no written agreement provision regarding the specific faulty workmanship issue, faulty workmanship exists if the work, process, product or part thereof does not meet generally accepted standards in Collier County in relation to the entire project. Faulty workmanship does not include matters of esthetics unless the esthetically related item clearly violates a written contract specification directly re lated thereto. Failure to maintain at all times, with an insurance company authorized to do business in the State of Florida, the limits of liability and other categories of insurance as required by this O rd ina n ce, Failing to claim or refusing to accept certified mail directed to the contractor by the Contractors' Licensing Board, or its designee. Failing to maintain a current mailing address. Failing to appear in person or through a duly authorized representative at any scheduled hearing on a complaint filed against the contractor. Being convicted or found guilty, regardless of adjudication, of a crime in Collier County which directly relates to the practice of contracting or the ability to practice contracting. Allowing another to take a qualifying examination on the applicant's behalf. EngaginS in contracting business in Collier County or the City when prohibited from doing so by the Contractors' Licensing Board of Collier County. Proceeding on any job without obtaining applicable permits or inspections from the City building and zoning division or the county building review and permitting department. Failing in any material respect to comply with the provisions of this Ordinance as a contractor or as a qualifying agent for a business entity enSaSing in contracting. Signing a statement with respect to a project or contract falsely indicating that the work is bonded; falsely indicating that payment has been made for subcontracted work, labor, or materials which results in a financial loss to the owner, purchaser, or contractor; or falsely indicating that Workers'Compensation and public liability insurance are provided. Failure of a qualifying agent for a firm/legal business entity to comply with the requirements set forth in F.S. 55 489.119 and 489.1 195. Falsifying or misrepresenting any material fact to another person with the intent or for the purpose of engaging in the contracting business, providing materials or services, or soliciting business for an employer, as a contractor, or as an employee, regardless of any financial conside ration. Failing or refusing to provide proof of public liability and property damage insurance coverage (1 1) (12), (13) (1 4) (1s) (16) (17) (18) (1e) (20) (21\ (22\ 123) 3/4 10.C.1 Packet Pg. 306 Attachment: 10C 2022-04 – KRISTO MISKA DBA HOME & MORE SERVICES INC. (CEMIS20220001812) (22223 : 2022-04 – KRISTO MISKA DBA 5t9t22,3.08 PM (1) (2) (3) (4) (s) (6) (7) Collier County, FL Code of Ordinances Acoustical contractor requires 24 months experience with a passing grade on a business and law test and m person who is qualified to install, maintain, repair, and alter acoustical materials. The scope of work permitt this classification shall include, but not be limited to, the installation of grid work used to support acoustical including luminous ceiling panels. Aluminum contractor, including concrete, requires 24 months experience with a passing grade on an approved test and a passing grade on a business and law test and means those who are qualified to fabricate, install, maintain, repair, alter, or extend accessories such as metal and vinyl siding, awnings, security shutters, gutters, soffits and prefabricated rooms and portable metal or vinyl partitions. These contractors may form, place on grade reinforcing steel and miscellaneous steel, and pour, place, and finrsh nonstructural concrete on grade only, incidental to an aluminum accessory structure and/or screen e ncl os u res. Aluminum contractorrequires 24 months experience with a passing grade on an approved test and a passing grade on a business and law test and means those who are qualified to fabricate, install, maintain, repair, alter, or extend accessories such as metal and vinyl siding, awnings, security shutters, gutters, soffits and prefabricated rooms, screen enclosures, and portable metal orvinyl partitions. Alarm system contractorrequires 24 months experience with a passing grade on an approved test and a passing grade on a business and law test and means a person whose business includes the execution of contracts requiring the ability, experience, science, knowledge, and skill to lay out, fabricate, install, maintain, alter, repair, monitor, inspect, replace, or service alarm systems for compensation. a. Alarmsystemcontractorlmeansanalarmsystemcontractorwhosebusinessincludesall typesof alarm systems for all purposes. b. Alarm system contractor //means an alarm system contractorwhose business includes all types of alarm systems other than fire, for all purposes. c. Alarm system means any electrical device, signaling device, or combination of electrical devices used to signal or detect a burglary, fire, robbery, or medical emergency. d. Burglar alarm contractormeans an alarm system contractor whose business is limited to the installation of burglar alarms in single-family homes and two-family homes, mobile homes, and small commercial buildings having a square footage of not more than 5,000 square feet. Cabinet installation contractor requires 24 months experience with passing grade on a business and law test and means any person who is qualified to manufacture, assemble, install, drsmantle, maintain, adjust, alter, extend, and design cabinets and millwork. The scope of permitted work shall include, but not be limited to, kitchen cabinets, bathroom vanities, accessory cabinets, counter tops, office furniture, and millwork items which have been manufactured for installation on job site locations. Carpentry contractor requires 36 months experience with a passing grade on an approved test and a passing grade on a business and law test and means those who have the knowledge and skill to install any wood and metal products including, but not limited to, rough framing, wood structural, wood and metal nonstructuraltrusses, sheathing, paneling, trim, metalframing and cabinetry. Placement of fire safing and fire stopping materials shall be permitted on wall, ceiling and floor penetrations created within the scope of the work allowed by this section. Garage door installation contracforrequires 12 months experience with a passinggrade on a business 3t14 10.C.1 Packet Pg. 307 Attachment: 10C 2022-04 – KRISTO MISKA DBA HOME & MORE SERVICES INC. (CEMIS20220001812) (22223 : 2022-04 – KRISTO MISKA DBA 5t9t22.3 08 PM Collier County, FL Code of Ordinances approved hurricane shutter installer test and a passing grade on a business and law test, and means, those who are qualified to install, maintain, repair or replace shutters and awnings that are designed to protect residential and commercial buildings from hurricane and storm force winds and windborne debris all in accordance with Collier County amendments to the Applicable Building Code, as amended from time to time. Any electricalwork connected with the installation of the shutters or awnings must be done by a licensed electrical contractor. Only nonstructural adjustments to existing openings may be performed as part of the work. Contractors who hold current Collier County Aluminum Contractor lncludtng Concrete or Aluminum license on the effective date of this amendment are not required to pass tl'tis test, but must apply for this Certificate not later than one year from the effective date of this amendment. (17) Epoxy stone contracforrequires 24 months experience with a passing grade on a business and law test and means those who are qualified to batch and mix aggregates, epoxy, hardener, and gravel to specifications, or to construct forms and framework for the casting and shaping of epoxy and aggregate, or to pour, place and finish over concrete base, (18) Excavation contracforrequires 36 months experience and a passinggrade on an approved testand a passing grade on a business and law test and means any person who is qualified to excavate to obtain or remove materials such as rock, gravel and sand; to construct or excavate canals, lakes and levees, including the cleaning of land of surface debris and vegetation as well as the grubbing of roots; and to remove debris and level surface land incidental and necessary thereto in compliance with all environmental laws, the building code, and other applicable codes and regulations. Minor excavations, such as footings, backfill without compaction, and similar activities are exempt hereunder. The use of explosives is not included in this category. (19) Fence erection contractor requires 24 months experience and a passing grade on a business and law test and means any person who is qualified to install, maintain or repair fencing or decorative prefabricated walls on grade. (20) Floor coverings installation contractorrequires 24 months experience installing the specific product and a passing grade on an approved business and law test and means any person who is qualified to install carpet, sheet vinyl and/or alltypes of wood flooring. This category does not include, tile, marble, or terr azzo. (21) Gasoline tank and pump contracforrequires 48 months experience and a passing grade on an approved test and a passing grade on a business and law test and means those who are qualified to install, maintain, repair, alter, or extend any aboveground system used for the storing and dispensing of gasoline, kerosene, diesel oils and similar liquid hydrocarbon fuels or mixtures (not to include pollutant storage). (22) Glass and glazing contracforrequires 24 months experience, a passing grade on an approved test and a passing grade on a business and law test, and means those who are qualified to select, cut, assemble, and install all makes and kinds of glass and glass work, and execute the glazingframes, panels, sash and door and holding metal frames, ornamental decorations, mirrors, tub, shower enclosures, and portable partitions. The scope of work shall include the installation of hurricane shutters or devices that are integral with the window system. 5114 10.C.1 Packet Pg. 308 Attachment: 10C 2022-04 – KRISTO MISKA DBA HOME & MORE SERVICES INC. (CEMIS20220001812) (22223 : 2022-04 – KRISTO MISKA DBA 519t22,3 08 PM (40) (41) (42) (43) Collier County, FL Code of Ordinances Senergy systems, TEC Ful-O-Mite systems, Pleko systems, Thoro's EIFS systems, and USG EIFS. The applicant must prove then current approval from an authorized representative of the specific system and must have a passing grade on a business and law exam. Nonelectrical sign contractorrequires 24 months experience, a passing grade on a business and law test, and means any person who is qualified to erect, install, repair, alter, extend or change any nonelectrical sign, provided all work is performed in accordance with applicable Collier County and city ordinances, This category does not include the construction of freestanding structural signs. Electrical sign contracrorrequires 24 months experience, a passinggrade on an approved testand a passing grade on a business and law test, and means any person who is qualified to install, repair, alter, manufacture, add to, or change any electrical wires, apparatus, raceways, conduit or any part thereof on electrical signs and is qualified to erect signs. Such contractor may contract for, and take out building permits for the erection of signs. The electrical service and wiring from the electrical service to the sign disconnect must be supplied by a licensed electrical contractor. Solar heater installation contractor requires 24 months experience, a passing grade on an approved test and a passing grade on a business and law test, and means those who have the knowledge to install, alter, repair, or replace any solar hot water heating system for residences or for residential swimming pools, including collectors, storage and expansion tanks, heat exchangers, piping, valves, pumps, sensors and low voltage controls which connect to existing plumbing stub-outs and electrical disconnects. Structural steel erection contractorrequires 36 months experience, a passinggrade on an approved test and a passing grade on a business and law test, and means those who are qualified to erect structural steel shapes and plates, including such minor field fabrication as may be necessary, of any profile, perimeter or cross-section, that are or may be used as structural members for buildings and structures, and the erection of communication towers, including riveting, welding and rigging, only in connection therewith. (44) Structure moving contractor means persons who are required to be general, building or residential contractors, and who are qualified to lift and secure structures and transport said structures from one site to another, whether or not such transport is across public roads, including the proper placement of structures at a new location. (45) Tileandmarbleinstallationcontractorrequires24monthsexperience,apassinggradeonanapproved test and a passing grade on a business and law test, and means those persons who are qualified to set tile, marble and stone. (46) Tile, marble and terrazzo installation contractorrequires 24 months experience, a passinggrade on an approved test and a passing grade on a business and law test, and means those persons who are qualified to mix, prepare, and finish lerrazzo, prepare the base, and set tile, marble and stone. (41) Underground utility and excavation contractorrequires 48 months experience, a passing grade on an approved test and a passing grade on a business and law test, and means contractors whose services are limited to the construction, installation, repair, on public or private property, whetheraccomplished through open excavation or other means, including, but not limited to, directional drilling, auger boring, jacking and boring, trenchless technologies, wet and dry taps, routing, and slip lining of main sanitary sewer collection systems, main water distribution systems, and storm sewer collection systems, and the 8t14 10.C.1 Packet Pg. 309 Attachment: 10C 2022-04 – KRISTO MISKA DBA HOME & MORE SERVICES INC. (CEMIS20220001812) (22223 : 2022-04 – KRISTO MISKA DBA Company: Address: Telephone: Qualifier: License #: lssuance #: Classification: Valid Thru: State License #: State Valid Thru: Gollier County Board of County Commissioners Certificate of Competency Collier County * City of Marco * City of Naples * City of Everglades lssued Date: 0812012021 HOME & MORE SERVICES INC 495 IBIS WAY NAPLES, FL 341 1 O (23e) 5e5-08e1 MISKA, KRISTO LCC201 60001 079 201 600000536 TILE & MARBLE 0913at2022 CONTR. It is the Qualifier's responsibility to keep current all records with Gollier County. This shall include insurance certificates and/or contact information. Always verify licenses online at www.CVPortal.CollierGov.Net Do not alter this document in any form. This is your license. lt is unlawful for anyone other than the Iicensee to use this document 10.C.1 Packet Pg. 310 Attachment: 10C 2022-04 – KRISTO MISKA DBA HOME & MORE SERVICES INC. (CEMIS20220001812) (22223 : 2022-04 – KRISTO MISKA DBA Company: Address: Telephone: Qualifier: License #: lssuance #: Classification: Valid Thru: State License #: State Valid Thru: Collier County Board of County Commissioners Certificate of Com petency Collier County * City of Marco * City of Naples * City of Everglades lssued Date: 0812012021 HOME & MORE SERVICES INC 495 IBIS WAY NAPLES, FL 34110 (23e) 5e5-08e1 MISKA, KRISTO LCC201 60001 079 201 600000537 FLOOR COVERING CONTR. 09130t2022 It is the Qualifier's responsibility to keep current all records with Collier County. This shall include insurance certificates and/or contact information. Always verify I i censes onl i ne at www.CVPortal.Gol lierGov. Net Do not alter this document in any form. This is your license. lt is unlawful for anyone other than the licensee to use this document. 10.C.1 Packet Pg. 311 Attachment: 10C 2022-04 – KRISTO MISKA DBA HOME & MORE SERVICES INC. (CEMIS20220001812) (22223 : 2022-04 – KRISTO MISKA DBA Collier County Board of County Commissioners Certificate of Com petency Collier County * City of Marco * City of Naples * City of Everglades lssued Date: 0812012021 HOME & MORE SERVICES INC 495 IBIS WAY NAPLES,L 34110 Company: Address: Telephone: Qualifier: License #: lssuance #: Classification: Valid Thru: State License #: State Valid Thru: 91 TO LCC201 60001 079 201 600000538 CABINET IN 09t3a12022 STALL CONTR. It is the Qualifier's responsibility to keep current all records with Collier County. This shall include insurance certificates and/or contact information. Always verify licenses online at www.CVPortal.CollierGov.Net Do not alter this document in any form. This is your license. lt is unlaMul for anyone other than the licensee to use this document. 10.C.1 Packet Pg. 312 Attachment: 10C 2022-04 – KRISTO MISKA DBA HOME & MORE SERVICES INC. (CEMIS20220001812) (22223 : 2022-04 – KRISTO MISKA DBA 519122,3:19 PM Detail by Entity Name DtvisroN oF CoRFoRATToNS Detail by Entity Name Florida Profit Corporation HOME & MORE SERVICES INC Filing lnformation Document Number P13000000423 FEI/EIN Number 46-1697792 Date Filed 0110212013 Effective Date 0110112013 State FL Status ACTIVE Prinsipal_Addrcss 495IBIS WAY NAPLES, FL 34110 Mailing Address 495 IBIS WAY NAPLES, FL 34110 Eegistered Agent Name & Address MISKA, KRISTO 495 IBIS WAY NAPLES, FL 34110 Off icer/Director Detail Name & Address Title P MISKA, KRISTO 495 IBIS WAY NAPLES, FL 34110 Annual RepsrtE Report Year 2020 2021 2022 Filed Date 0111712020 01t16t2021 0112412022 Document lmages https://search. sunbiz.org/lnquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=lnitial&searchNameOrder=HOMEMO. . . 1/2 10.C.1 Packet Pg. 313 Attachment: 10C 2022-04 – KRISTO MISKA DBA HOME & MORE SERVICES INC. (CEMIS20220001812) (22223 : 2022-04 – KRISTO MISKA DBA 5t9t22 3 19 Pt\A Detail by Entity Name 01i24i2022 -- ANNUAL REPORT 01ii6i202i ..- r\NNUAL REFCRT ii i.l],/-'!-02g.::.ANN U.AL-Bff AAI" ii:2i? {-'2-0-19-::: lL\lJNUAt-B E PQBI 1T111 1i201 8 -. ANNUAL REPORT 0-1i.1ci291z:-tNN!at-BE PqEI C3iij3l2016 -- ANNUAL REPORT O1i 12i2015.. ANNUAL REPORT i:lieiJ2lli --ANN-uAI8E?QR'I 0_:i.iQ22013::Dsnes [s Profit View image in PDF fonnat View image in PDF fornrat View irnage irr PDF formerl Vielv image in PDF tormat View image in PDF format View image in PDF format View image in PDF fornrat View image in PDF fonnat ! View image in PDF tormat i Vielv image in PDF format https.//search. sunbiz.org/lnquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=lnitial&searchNameOrder=HOMEMO. . " 2/2 10.C.1 Packet Pg. 314 Attachment: 10C 2022-04 – KRISTO MISKA DBA HOME & MORE SERVICES INC. (CEMIS20220001812) (22223 : 2022-04 – KRISTO MISKA DBA Hi N.4 rs. Bretly who's there quick estimate regarding your master bathroom renovation Remove and discard wall tile including shower floor tile and tile around the bathtub including area behind toilets Supply and install wall and shower floor tile All setting materials included let lnstallation labor and material Supply and install fluted molding around four mirror mirrors with square Rosette on each corner 3 master bathroom and one on guest bathroom cleanup working area when job is complete Total of $5,750 10.C.1 Packet Pg. 315 Attachment: 10C 2022-04 – KRISTO MISKA DBA HOME & MORE SERVICES INC. (CEMIS20220001812) (22223 : 2022-04 – KRISTO MISKA DBA LANAI OWNERS SUITE r8'.-ro'r ra'.6' \vIc LTVING R@M 15'{'r 24!S -ftro.{Alg€ffA CENTER N@Klil7. r tZ'S' DEN tO-'tf x 13-{' { owN BATHArea nf Work ;cope of Work . NO CHANGES TO PLUIVBING. )SiGINAL PLUMBING REMAINS. . Demo shower walls. . lnstall shower walls with 1/2" r:,Iileilt Doard. Seal all shower joints with tape . rtrSet. Seal shower with waterproofing , crack membrane. uistall sliower wall tiles. \t .BA 2 BEDROOM3 l?-4'r ll:r0 BEDROOM 2l?-t t llrT rOYER ENTRY I 2-CARCAR{GE 4't o? .r.f\E.scoTr Lrl 10.C.1 Packet Pg. 316 Attachment: 10C 2022-04 – KRISTO MISKA DBA HOME & MORE SERVICES INC. (CEMIS20220001812) (22223 : 2022-04 – KRISTO MISKA DBA \ Q \ N \ Sn aN*E S -\ i \t^Jq sc N$' r $ ti\\t-,{ *S* .{ }- \-.n=n S rt i d Lr NE tYN e N j-r.II, I \. \ -l $\o Nth u, ,1 7 Fil TZ {T\ -t \ q \\ J I s=10.C.1Packet Pg. 317Attachment: 10C 2022-04 – KRISTO MISKA DBA HOME & MORE SERVICES INC. (CEMIS20220001812) )^a- I) ,/ I A'I\l t/ 1 ,/ \\ {? \10.C.1Packet Pg. 318Attachment: 10C 2022-04 – KRISTO MISKA DBA HOME & MORE SERVICES INC. (CEMIS20220001812) (22223 : 2022-04 – KRISTO MISKA DBA I I I I rH\IJ a Lt I IU I 1 I 77 -l \ 7 :\ ) 7 10.C.1 Packet Pg. 319 Attachment: 10C 2022-04 – KRISTO MISKA DBA HOME & MORE SERVICES INC. (CEMIS20220001812) (22223 : 2022-04 – KRISTO MISKA DBA \tl fli.j_.1 !gI :--r$lfr ti !rl /[d ';l /! .ilt Bc;* :jdqsGte,'d -- t '.,,€ i L 10.C.1Packet Pg. 320Attachment: 10C 2022-04 – KRISTO MISKA DBA HOME & MORE SERVICES INC. (CEMIS20220001812) - t I Z)LUor?Z GountY DO NOT Gollier RENiOVE HIS NOTIGEBuilding Department Permit No. Date coD E vto N AT THIS LOCATION: A ADD R E VIOLATION: REMARKS:€Jb.-oc 2-F zcs. Balo lnspector:/4. s'l0lD )ltlIT)ti ES I I -:\< : I I :{ t h/ E r 10.C.1 Packet Pg. 321 Attachment: 10C 2022-04 – KRISTO MISKA DBA HOME & MORE SERVICES INC. (CEMIS20220001812) (22223 : 2022-04 – KRISTO MISKA DBA effectiveness, fire resistance, durability and safety. When alternate life safety systems are designed, the SFPE Engineering Guide to Performance-Based Fire Protection Analysis and Design of Buildings, or other methods approved by the building official may be used. The building official shall require that sufficient evidence or proof be submitted to substantiate any claim made regarding the alternative. 104.11.1 Research reports. Supporting data, where necessary to assist in the approval of materials or assemblies not specifically provided for in this code, shall consist of valid research reports from approved sources. sEcTtoN 10s PERMITS 105.1.1 Annual facility permit. ln lieu of an individual permit for each alteration to an existing electrical, gas, mechanical, plumbing or interior nonstructural eff+ee system(s), the building official is authorized to issue an annual permit for any occupancy to facilitate routine or emergency service, repatr, refurbishing, miner renevatiens component replacement of service systems or manufacturing equipment installations/relocations. The building official shall be notified of major changes and shall retain the right to make inspections at the fue+h{y work sites as deemed necessary. An annual facility permit shall be assessed wi{h an annual fee and shall be valid for one year from date of issuance. A separate permit shall be obtained for each facility and for each construction trade, as applicable. The permit application shall contain a general description of the parameters of work intended to be performed during the year. IBCC CHAPTER l Administration*1 1-10-2008 104.11.2 Tests. Whenever there is insufficient evidence of compliance with the provisions of this code, or evidence that a material or method does not conform to the requirements of this code, or in order to substantiate claims for alternative materials or methods, the building official shall have the authority to require tests as evidence of compliance to be made at no expense to the jurisdiction. Test methods shall be as specified in this code or by other recognized test standards. ln the absence of recognized and accepted test methods, the building official shall approve the testing procedures. Tests shall be performed by an approved agency. Repods of such tests shall be retained by the building official for the period required for retention of public records. 104.'11.3 Accessibility. Alternative designs and technologies for provid ing access to and usability of a facility for persons with disabilities shall be in accordance with Section 1 1-2.2. 105.1 Required. Any contractor. owner, or au{henzed agent authorized in accordance with Florida Statute 489 who intends to construct, enlarge, alter, repair, move, demolish, or change the occupancy of a building or structure, or to erect, install, enlarge, alter, reparr, remove, convert or replace any required impaclresistant coverings, electrical, gas, mechanical or plumbing system, the installation of which is regulated by this code, or to cause any such work to be done, shall first make application to the building official and obtain the required permit. 10.C.1 Packet Pg. 322 Attachment: 10C 2022-04 – KRISTO MISKA DBA HOME & MORE SERVICES INC. (CEMIS20220001812) (22223 : 2022-04 – KRISTO MISKA DBA HISTORY January 24,2017 - CECV20170001261 - Commencing work without a Permit.. Abated by Contractor - No written documentation. February 25, 2021 - CE|Vl520210001 972 - [/isconduct.. Referred to CLB; Work outside the scope of license, Commencing work without a Permit. . Finding of fact; $1000 fine, all (3) licenses (1) year of probation beginning 05119121, for working outside the scope, causing financial harm ($1,SZO to be paid to the homeowner) and commencing work without a Permit . 10.C.1 Packet Pg. 323 Attachment: 10C 2022-04 – KRISTO MISKA DBA HOME & MORE SERVICES INC. (CEMIS20220001812) (22223 : 2022-04 – KRISTO MISKA DBA 4.4.1 May 19,2021 Mr. Lnnlz shored v,hol he hns experienced os o licensed cortlrtclor tnd suggested lltol a higlt fine tt,oulrl serve o.s o rlelerrenl, Mn Jerulle ruovecl to impose n $5000 tine to be poid ruitltitr six (6) nronths, or license will be revolred, lrt o (2) )tetr prolttrtion nnd n pultlic reltrimnnd; Mr, LontZ offered o second irt support of llte moiiort, Corried ununimously 5-0. Mr. Noltorr resd lhe docrtment, "ReodAfter the Finolltote of the BoardAfter the Puhlic Hefiring.t' B. 2021-06- KRTSTO MrSHr(A DBA HOMtr & MORtr SERYICBS, INC. Mr, Lanlz moved to open the Public Heorings. Mr, .Ierulle offerel o second in sultport o.f the rttoliott. Ctrried unun inruusly 5-0. fuIr. Noltort opened lhe hearing lty nskirtg the County to present their openirtg remorks, Mn Goverttole, Collier Courtty License Complionce Officer, issued his opening statement wrd subnilled o preomltle ond packel ns evidence. Mr, Ll/hite moved lhat the Preornble ond pocket be accepled inlo evidence; Mn Joslirt olfered o secortd irt sttpport, Corried untninruusly 5-0, Mr. Mislrko, on beholf of Honte & More Services, Irtc., issued his opening slatenrcut lhot he occepted full responsibility for his actiorrs, Mr, Goventale sloted thol the cost to the honrcorfiter wfls $1570, Mr.ll/hite nroved to close the public heoring; Mr. lerulle offered o second in suppott of the moliort, Cnrried un flnintousl), 5-0. Mr, llhile ntoved toJirtd lVIr. ll[isltko guilty ns chargedy Mr. Joslitt offered o second in supltort o/ the motion, Corrierl unonintousl), 5-0. Mr. Crotts providel lhe Courttyts recontflrenclotion thnt $1570 he pnid to the honteoy,ner withirt ninetst (90) days. If nol poid withirt lhat limefronte, then the tilehnnrble license x,orrltl be revoked, Orr Corttrt One (1) afine of $1000Jine to be poid N,ithin six (6) monlhsl nnd three (3) licenses be pluced in probntio,ro,'J' slfilttsfor one (1) yeor, On Courtt Trvo (2),lhe County tlso reconrntends o $1000./ine to be poid x,itltin six (6) rtrortths; the lhree (3) liceuses be ploced in probdionu'), slnttts for one (1) ),ear. Mn lllritc rtttde o moliort to the rcstilullott lty (s11xl1t, Mn Ltntz secouded in support of the moliott, Cttierl unonimously 5-0, Mr. Nofton reoi lhe dncunrcnl, 't Reud A,fler the Finol Vote of the Boord lfler the Public Hearing." Packet Pg. 10 (\ao(\l ot =o lrJ f, ==IIo J o d.o. o- o6) (g 5 sto(\ o, =U't! :) =E ll-o J o L& rt ()z Lllo q) E (J (o -7- 10.C.1 Packet Pg. 324 Attachment: 10C 2022-04 – KRISTO MISKA DBA HOME & MORE SERVICES INC. (CEMIS20220001812) (22223 : 2022-04 – KRISTO MISKA DBA 05/18/2022 COLLIER COUNTY Contractor Licensing Board Item Number: 11.1 Item Summary: NEXT MEETING DATE - WEDNESDAY, JUNE 15, 2022 Meeting Date: 05/18/2022 Prepared by: Title: – Contractor Licensing Name: Alyshia Morse 05/11/2022 12:12 PM Submitted by: Title: – Contractor Licensing Name: Tim Crotts 05/11/2022 12:12 PM Approved By: Review: Contractor Licensing Sandra Delgado Review item Completed 05/11/2022 1:30 PM Contractor Licensing Tim Crotts Review Item Completed 05/11/2022 5:04 PM Contractor Licensing Tim Crotts Meeting Pending 05/18/2022 9:00 AM 11.1 Packet Pg. 325