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CLB Agenda 02/13/2023COLLIER 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 February 13, 2023 9:00 AM Todd Allen, Chair Stephen M. Jaron, Vice -Chair Matthew Nolton Robert P. Meister, III Patrick G. White Richard E. Joslin, Jr. Kyle E. Lantz Elle Hunt Terry Jerulle 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. 4A APPROVAL OF MINUTES - JANUARY 18, 2023 5. PUBLIC COMMENTS 6. DISCUSSION 7. REPORTS 8. NEW BUSINESS 8.A. 8A. ORDERS OF THE BOARD (7 ITEMS) 8.B. 8B. WILMER Y. PORTILLO SANCHEZ -REVIEW OF EXPERIENCE AND CREDIT -BUILDING CONTRACTOR -REGISTERED -EVE 8.C. 8C. LENA M. CACERES ENDARA - REVIEW OF EXPERIENCE - BUILDING CONTRACTOR - REGISTERED- CORINTO DECOR 8.D. 8D. ENRIQUE TORRES- REVIEW OF CREDIT- EPDXY STONE CONTRACTOR -T & T SURFACES, LLC 8.E. 8E. DAVID MATEO - REVIEW OF EXPERIENCE AND CREDIT - PAVING BLOCKS CONTRACTOR- MAT PRO SERVICES LLC 8.F. 8F. ALFREDO VILLAVICENCIO - REVIEW OF EXPERIENCE -PAINTING CONTRACTOR -GOLDEN GATE DRYWALL, INC. 9. OLD BUSINESS 9.1. 9A. YOSLANDI MARTINEZ -REVIEW OF PROBATION (CREDIT) - LANDSCAPING RESTRICTED CONTR. - TERRA NOVA LAN 10. PUBLIC HEARINGS 10.A. 24577 : 10A. 2023-02 RALPH NOVELLA DBA NOVELLA LIMITED, INC (CEMIS20220006051) 10.B. 10B. 2023-03 PAUL C. LAMBERT DBA STORM SHIELD LLC (DBA) STORM SHIELD WINDOWS & DOOR (CEMIS20220009746 11. NEXT MEETING DATE 11.A. NEXT MEETING DATE MONDAY, MARCH 13, 2023 4.A 02/13/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 4.A Doc ID: 24596 Item Summary: 4A APPROVAL OF MINUTES - JANUARY 18, 2023 Meeting Date: 02/13/2023 Prepared by: Title: — Contractor Licensing Name: Sandra Delgado 02/06/2023 3:33 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 02/06/2023 3:33 PM Approved By: Review: Contractor Licensing Contractor Licensing Contractor Licensing Sandra Delgado Review item Tim Crotts Tim Crotts Review Item Meeting Pending Completed 02/06/2023 3:36 PM Completed 02/07/2023 7:46 AM 02/13/2023 9:00 AM Packet Pg. 3 4.A.1 January 18, 2023 MINUTES OF THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD MEETING January 18, 2023 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: Chairman: Todd Allen Vice Chairman: Stephen Jarron Elle Hunt (excused) Terry Jerulle Richard E. Joslin Kyle Lantz Robert Meister III Matthew Nolton Patrick G. White (excused) ALSO PRESENT: Kevin Noell, Esq., Contractors' Licensing Board Attorney Timothy Crotts, Contractor Licensing Supervisor Colleen Kerins, Assistant Collier County Attorney Timothy Broughton, Collier County Licensing Investigator 1 Packet Pg. 4 4.A.1 January 18, 2023 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: Acting Chairman Jarron opened the meeting at 9:01 a.m. Roll call was taken; five members were present in the BCC Chambers; Board Member Joslin and Chairman Allen joined later. Supervisor Crotts said Mr. White and Ms. Hunt provided prior notice and asked that their absences be approved. 2. ADDITIONS OR DELETIONS: None 3. APPROVAL OF AGENDA: Board Member Lantz moved to approve the agenda. Second by Board Member Nolton. The motion passed unanimously, 5-0. 4. APPROVAL OF MINUTES: A. December 21, 2022 Board Member Nolton moved to approve the December 21, 2022, meeting minutes. Second by Board Member Lantz. The motion passed unanimously, 5-0. [Board Member Joslin joined the meeting at 9: 03] 5. PUBLIC COMMENTS: None 6. DISCUSSION: A. Collier County Code of Ordinances, Section 2-833 — Attendance Requirements Supervisor Crotts said each Board member must attend at least 50% of the CLB meetings posted for the year. Each Board member shall be deemed absent from a meeting if not present for at least 75% of the meeting and any Board member who is absent for two consecutive Board meetings without any satisfactory excuse or approval by the chair shall be deemed to declare that position vacant by the chairman. [Chairman Allen joined the meeting at 9: 04] B. Emergency Certificates of Competency Supervisor Crotts provided an update on Collier County's temporary Certificates of Competency: • On September 27, 2022, the Board went into a special session and approved the issuance of 01 Packet Pg. 5 4.A.1 January 18, 2023 licenses in the areas of roofing, tree trimming and landscaping, as required or as allowed by ordinance. • The ordinance allows a temporary license for up to six months. • We are just over the 90 days allowed for the tree -trimming and removal, landscaping and roofing. • On October 19, 2022, we issued emergency licenses for drywall installation contractor and carpentry. • These licenses are allowed to stay in effect for as long as the county or the City of Naples has its emergency declaration in effect; the county has ended its declaration. • Board discussion is needed to decide whether to extend the roofing, tree trimming and landscaping licenses, which would end in 90 days or in six months, on March 27, 2023. • We don't know how long the City of Naples will maintain its State of Emergency, so he's asking the Board to extend the roofing, tree -trimming and landscaping -restricted emergency licenses until March 27, 2023, when six months ends. • If the City of Naples rescinds its State of Emergency, this license would end sooner than that. A discussion ensued and the following points were made: • Do we need to extend tree -trimming and landscaping emergency licenses? • There were about 20 issued, very few emergency licenses for tree -trimming and landscaping, not as many as there were after Hurricane Irma, when there were 268. • Contractors are coming from out-of-state to compete with local contractors for work. • Is there any evidence there's a backlog of work? • If there are any active permits after the emergency period ends, contractors can finish that work. • If there's not much need, we shouldn't bring in out-of-state contractors. • If the Board takes no action, the emergency licenses would go away tomorrow. • We can't extend the timeframe just for those who already have emergency licenses. • An extension would only affect out-of-state roofers because the state of Florida still has an active State of Emergency, which allows roofing contractors, building GC and residential to come in and do roofing. • The state's emergency order even allowed for outside county jurisdiction, so any licensed roofer, either registered or state certified GC, BC or RC can come to Collier County to do roofing. • Landscaping and tree -trimming don't require permits, just roofing. The Board agreed to let the emergency license period end tomorrow. No vote was required. Supervisor Crotts reported that: • Drywall, insulation and carpentry emergency licenses were approved by the CLB on October 19, when they found out that Hurricane Ian wasn't a wind event but was a water event. • The majority of damage was caused by water. • The license would go away next month if you take no action. • We could extend it for an additional 90 days, so it ends on April 19, 2023, or until the City of Naples ends its emergency declaration. Packet Pg. 6 4.A.1 January 18, 2023 Board Member Jerulle asked how many emergency licenses were issued. Supervisor Crotts said three-quarters of the licenses issued were for drywall and carpentry contractors. Board Member Nolton said he'd agree to extend it due to the amount of work going on. Board Member Nolton made a motion to extend the drywall installation and carpentry contractors emergency licenses until April 19, 2023. Second by Board Member Lantz. The motion passed unanimously, 7-0. 7. REPORTS: A. Renewal Year -End Reports for 2022 Supervisor Crotts reported that. • There were 2,834 license renewals in 2022. • Licenses that were not renewed totaled 259, compared with 2021, when we had 3,011 that were renewed and 181 that were not renewed. Some have converted their local licenses to state and many others are still waiting to see what happens with House Bill 735. We have sent out notifications numerous times this year, as we did last year to remind contractors to come in and get their licenses renewed. Some are still coming in late, but a lot has to do with the license being converted to state or waiting to see what happens with the house bill. • The renewal cost for local licenses is $125, and $145 for specialty licenses. Board Member Lantz noted that if they were to renew and they're theoretically only getting a license for six months, they're still paying what they used to pay for two years, so that might have something to do with the decrease. B. Violation Year -End Reports for 2022 Supervisor Crotts reported that: • There was an increase in violations by case type, 1,083 compared with 918 last year. • There was a 17.97% increase in complaints this year. The agenda packet shows how they broke down to code violations, fraud, misconduct, site development and unlicensed complaints. • The agenda packet also shows a breakdown for how they were received, anonymous complaints through the building department, actual complaints received by residents, property or business owners, and field observations and complaints that came through the public portal. There were code violations, fraud, misconduct and unlicensed activity. • The increase is probably because we're making people more aware of activity that is taking place, as well as Hurricane Ian, which also prompted complaints on a regular basis for doing work without permits and hiring unlicensed contractors. Questions and a discussion ensued and the following points were made: • Code violations that increased included working without a permit and miscellaneous offenses by licensed contractors, such as working outside the scope of their license or without a permit. • A code violation involves unlicensed contractors doing work without a permit, while a licensed contractor doing work without a permit is misconduct. N Packet Pg. 7 4.A.1 January 18, 2023 C. Citation Year -End Reports for 2022 Supervisor Crotts reported that. • In 2021, we issued 268 citations, compared with 227 in 2022. There was a slight decrease because the county is short-staffed. • We have been working without a full staff for quite some time. It's been difficult to hire. • Despite the reduction in citations, the amount being paid and the amount uncollected are nearly identical to last year. The amount paid in 2021 was 67% and it was 68% this year. • The amount uncollected in 2021 was 33% and the amount uncollected for 2022 was 32%. • If it's uncollected, they are sent notices that they must pay, and when we do not get the payment within the allotted time, the county places a lien on the property, which is what the Board chairman signs as the notices of liens. If the property owner tries to sell the property, the lien will pop up and they'll be required to satisfy it before they can sell. Attorney Kerins noted that the County Attorney's Office doesn't typically foreclose on county residents. 8. NEW BUSINESS: A. Orders of the Board [four items] Board Member Lantz made a motion to have the Chairman sign the Orders of the Board. Second by Board Member Joslin. The motion passed unanimously, 7-0. The Orders of the Board were approved. B. Dean W. Christopoulos — Dean W. Christopolous Construction Co. Building Contractor -Registered — Review of Experience Chairman Allen called Mr. Christopoulos to the podium and he was sworn in. Supervisor Crotts reported that Mr. Christopoulos has submitted an application for the issuance of a registered license as a building contractor, which requires 48 months of experience. Mr. Christopoulos has held a Collier County residential contractor's license since 2018 and records show there have been no complaints against him or his company. As part of the staff review process, Mr. Christopoulos submitted a Verification of Experience from non -construction businesses in Oklahoma and one construction contractor from Oklahoma, where Mr. Christopoulos worked as a subcontractor. During an in person interview, Mr. Christopoulos stated that he has limited commercial property building experience but has built several homes one- to three stories high. Mr. Christopoulos reported that throughout his career, he's done some carpentry work and painting, but the majority of work was with residential homes. He stated that his goal was to be able to build up to three-story homes and condominiums. It is staff's opinion that Mr. Christopoulos does not meet the experience required under Ordinance 2006-46, Section 1.6.1.2, for the trade of building contractor in regard to the commercial property aspect of this license. Mr. Christopoulos is being referred to the Board under Section 2.5.2, Referral of the Application to the Contractors' Licensing Board for a Packet Pg. 8 4.A.1 January 18, 2023 Decision. He is here to answer your questions regarding his experience. Chairman Allen told him that this is his opportunity to convince us that you're experienced enough for this license. Mr. Christopolous told the Board that. • He started this process to try to upgrade his licenses. • We purchased a condominium at Colonnade Circle that was water damaged and we were going to refurbish it and flip it. • He concentrated more on residential aspects of experience when he turned in his paperwork. • Although most of his experience is residential, he does have commercial experience. • He has built, owned and operated a mini -storage project in Tulsa, Oklahoma. • He helped his brother build a center and did the build out on a Mexican food restaurant and a liquor store in that project. • Several years ago, he built a CHROMiX one -hour photo shops in a local mall in Tulsa, Oklahoma. • He has worked on many of the homes he's built. • He doesn't think that's much different from commercial but wasn't looking at the strip center part of the license. • He's most interested in renovating a condominium project, although he's qualified to do the rest of it. • He has experience reading plans, working with engineers, architects and customers. • He's on the job all the time and has built residential developments. • He's been a partner on six or seven residential developments and was in charge of running the project from grading to paving, curbing and all utilities. • He grew up in the construction industry and his father was a concrete contractor and general contractor who built office buildings. • We did tilt -up wall construction on industrial buildings. When Board members questioned Mr. Christopolous, the following points were made: • He's been a residential contractor for four years and passed the state building contractor test; the county ordinance does not allow that. • We're here today for his commercial experience. • He's done work in the City of Naples in The Moorings, as well as home at the corner of l0a' Avenue South and 9 h Street, which was on sale for six months and just closed yesterday. • He worked on one custom home, three spec homes and one is a two-story home with a cabana above the garage, a separate garage. • He's familiar with firewalls and bar joists and has been involved in some, but it's not a focus of his career. • He believes that a good manager working with good engineers, architects, subcontractors and inspectors would be able to handle firewalls. • He wasn't able to detail how he'd construct a firewall for an 8-inch concrete slab separating a condo from the condo below, with a pipe coming through. He suggested a Cel Packet Pg. 9 4.A.1 January 18, 2023 clasp. • He's not involved in firewall work. • M st contractors would rely on someone else and there are details in plans that would explain how to do firewalls. • He's always been able to get a job done and works closely with the professionals who work with plans. • He doesn't believe any contractor would understand every technique or item subcontractors work on. • He has to work with subcontractors, plans and engineers to get items inspected and do whatever he has to do to pass inspections. That's what he's always done. Chairman Allen asked what staff recommends. Supervisor Crotts said staff recommends approving the building contractor license, but restrict it not to exceed three -stories in height in residential homes, with only one, two and three buildings. He should not be allowed to conduct work or pull permits for any commercial work, such as strip malls, commercial buildings, etc. A discussion ensued and the following points were made: • That license wouldn't allow condos, which are considered commercial. • Mr. Christopolous disagreed with the Board that he didn't have the necessary commercial experience. • He's never been involved in a lawsuit. • He worked on commercial buildings in Tulsa, where they didn't have engineer's plans, while they have engineers, architects and subcontractors to rely on here. Board Member Jerulle noted that he doesn't qualify per the code and doesn't qualify per the recommendation, so we're going to give him an exception, but limit that exception so he can prove himself. Board Member Lantz made a motion to issue a license for registered building contractor to Dean W. Christopoulos /Dean W. Christopolous Construction Co. and restrict it to multi- family residential, three habitable stories or less, and to place him on one year's probation. Second by Board Member Joslin. The motion passed unanimously, 7-0. Supervisor Crotts said that was a good compromise. C. John R. Richardson III — Richardson & Royce Painting and Maintenance Corp. Painting Contractor — Review of Experience and Credit Chairman Allen called Mr. Richardson to the podium and he was sworn in. Supervisor Crotts reported that Mr. Richardson has submitted an application for the issuance of a specialty license of painting contractor, which requires 24 months of experience and requires a minimum credit score of 660. Under Collier County Ordinance 2006-46, Section. 2.3.9, Mr. Richardson was required to submit a personal and business credit report. His credit report was reviewed and appears not to meet financial responsibility as set forth in Section 2.5.1, Subsection D: "The applicant or qualifier meets the requirements of financial responsibility set forth in Rule VA Packet Pg. 10 4.A.1 January 18, 2023 GI G4-15.006 of the State of Florida. " A review of the personal credit report shows the following area of concern: The credit report shows a credit score of 0. As required by rule, the credit report or credit source should be a minimum of 660. However, the credit report does not show any charge -off or delinquent accounts. Mr. Richardson submitted a Verification of Experience from his own company. Reviewing the IRS wage reporting form submitted by Mr. Richardson, it appears that he has not been working full time with this company. This was confirmed by a phone interview. Staff also has been unable to verify he has the skills needed to perform work such as the painting of the interior and exterior of homes, and the ability to choose correct paint for such work. It is staffs opinion that Mr. Richardson does not meet the minimum requirements set forth in Ordinance 2006-46, as it relates to financial responsibility, and experience under Section. 1.6.3.30, as it relates to painting contractor, because Mr. Richardson does not meet the minimum required credit score by ordinance and the minimum qualifications needed for the issuance of a painting contractor. Mr. Richardson is being referred to the Board under Section 2.5.2, Referral of the Applicant to the Contractors' Licensing Board for A Decision. Mr. Richardson is here today to answer your questions regarding his credit and experience. Chairman Allen asked him to explain his credit score. Mr. Richardson testified that: • He doesn't want to be in debt and follows Dave Ramsey's guidelines. • He's never had credit cards and doesn't owe anyone a penny. • He's financially responsible. • He did try to take out a small loan on a vehicle. • He's proud of his zero credit score. Chairman Allen asked him to explain his painting experience. Mr. Richardson provided details on his experience: • He started out as a handyman when he was 16 years old, when he was hired by an active, wealthy family in the Grand Rapids, Michigan area, that did real estate, excavations and owned several companies. • He worked for them off and on for about two years, working for them and others and coming back to that family business. • He was involved in large industrial remodels. • He did various handyman jobs, from painting to changing out toilets, plumbing, electrical outlets, etc. • It was like an apprenticeship. • He believed that by submitting four years of tax returns, it would show adequate experience. • He also has a sheet from a construction company that proves he had another 258.25 hours of painting experience on commercial painting projects for Ferris State University and some schools in Stevensville, Michigan, 8 Packet Pg. 11 4.A.1 January 18, 2023 He's been in the trades industry painting on and off for his entire life. He made $138,000 with his own company and did well, specializing mostly in residential, but did some commercial work. • He's fit and young enough to work 10-12 hours on jobs. During questioning by the Board, Mr. Richardson testified that: • His painting work was in Michigan and he moved here seven months ago. • He hasn't painted freshly done stucco, but would consult a book on how to do that. • He's not familiar with elastomeric paint. • He has painted a lot of masonry and wood structures and vinyl siding with wood trim. • He asks painting stores for advice on the choice of paint, if he's uncertain. • His experience is 60/40 exterior versus interior. • He painted a stucco home here and used SuperPaint, but the stucco wasn't freshly done. • His contact for paint supplies here is Sherwin Williams and he pays with cash or a card. Supervisor Crotts noted that this license goes away on July 1, 2023. Chairman Allen asked what staff's recommendation was. Supervisor Crotts said staff has concerns about his credit. There were 16 hard inquiries, but no credit issues. If the Board does issue a license, it should be restricted to interior. Board Member Lantz said he has no problem with his zero credit. Mr. Jarron noted that he'd need credit if his business grew and he was waiting for clients to pay. Mr. Richardson said he'd never needed credit accounts and is just trying to keep himself busy to support his family. He admitted there were 16 dings to his credit but that occurred when he was looking for a car loan. He eventually paid cash for the car, which was better for him. Board Member Jerulle made a motion to accept staff s recommendation. Mr. Richardson asked for no limitations on his license. Board Member Jerulle said he hadn't convinced him of his experience. He preferred to give him a restricted license or none at all. This license may go away in six months. A discussion ensued and the following points were made: • From a business standpoint, many painting stores require credit and at some point, he will be taking deposits. • There's a huge liability if he isn't familiar with what paint to use. • If a homeowner chooses the wrong type of paint and he uses it, he's liable. • He's very careful about the products he uses and does a lot of research. • He dusts, power washes and uses maximal adherence, binding primers before painting. • He caulks windows and doors first using high -end caulk, which isn't paintable. • He apologized for not being able to answer questions about caulk, noting that his wife had a baby last night and he was up until 4 a.m., when she delivered. Board Member Nolton said he applauded him for being 34-years-old with a family and having no credit or debt while running a business. N Packet Pg. 12 4.A.1 January 18, 2023 Board Member Jerulle made a motion to approve John Richardson's application as a Licensed Painting Contractor restricted to interior. Second by Board Member Lantz. The motion passed unanimously, 7-0. Board Member Nolton explained that it would be for interior -only now, but in six months, when that license goes away on July 1, he'd also be able to paint exteriors. D. Ivan E. Mendez—1'Source Landscaping Inc. Tree Removal & Trimming Contractor — Review of Credit Chairman Allen called Mr. Mendez to the podium and he was sworn in. Supervisor Crotts said Mr. Mendez has submitted an application for the issuance of a local specialty license for a Tree -Removal and Trimming Contractor, which requires 12 months of experience. As part of the staff review process, Mr. Mendez submitted a resume outlining his experience. However, none of this information could be verified. In an in person interview, Mr. Mendez stated that he had asked past employers to commit to complete the Verification of Experience forms, but they refused. Mr. Mendez also submitted four payroll documents. Two of these payroll documents were submitted from a payroll agency and they do not list an employer and two show an employer, but were only listed for one to two weeks each, dated 2009, 2014, 2000 and 2002. It is staffs opinion that Mr. Mendez does not meet the experience required under Ordinance 2006-46, Section 1.6.3.48, as it relates to his experience in the trade of tree removal and trimming. Mr. Mendez has been referred to the Board under section 2.5.2, Referral of the Application to the Contractors' Licensing Board for a Decision. His credit also is 639, when it's required to be 660. Mr. Mendez is here today to answer your questions. Chairman Allen asked him to explain his experience and credit. During questioning by the Board, Mr. Mendez detailed his experience and credit history and the following points were made: • If a credit report were run now, it would be closer to 700 because he's already paid down some debts. • He doesn't have high credit debt. • He has no charge -offs. • He would agree to put his full name on his application, Ivan E. Mendez -Gonzalez, the name on his driver's license. • He submitted random paystubs but has worked in landscaping for 26 years and has 22 years of experience with large companies. • Employers refused to sign a Verification of Experience because he got his experience through them and they're upset and don't want him as competition. • Pinnacle Lawn & Landscaping didn't want to let him go and when he left, 30 employees decided to quit and follow him. That's why Pinnacle wouldn't sign a Verification of Experience. IN Packet Pg. 13 4.A.1 January 18, 2023 • He worked for AshBritt for a year as a groundsman, removing stumps and trees. • He worked for Pinnacle, Signature Tree Care Service and Sunnygove Landscaping & Nursery doing high -end residential landscaping work. • He also has a pest -control license. • There are no complaints on his licenses. Board Member Joslin asked if the license goes away in July. Supervisor Crotts said it will. Board Member Nolton made a motion to issue a Tree Removal & Trimming Contractor license to Ivan E. Mendez -Gonzalez II 'Source Landscaping Inc. with a 12-month probationary period, but that will end when that license goes away on July 1, 2023, when it will become permanent and the probation is lifted. Second by Board Member Jerulle. The motion passed unanimously, 7-0. Mr. Mendez asked about restrictions on the license. Supervisor Crotts told him that license doesn't allow him to do sod, pavers and fountains, but he can put dirt on top. He can do work with paver blocks and trim and remove trees. E. Sarah P. Berry — Abaca Services LLC — Swimming Pool Cleaning Only Review of Experience and Credit Chairman Allen called Ms. Berry to the podium and she was sworn in. Supervisor Crotts said that Ms. Berry has submitted an application for the issuance of the specialty license of Swimming Pool & Spa Cleaning, which requires 12 months of experience. As part of the application process under Collier County Ordinance 2006-46, Section 2.3.9, Ms. Berry was required to submit a personal and business credit report. Her personal credit report was reviewed and appears not to meet the financial responsibility as set forth in Section 2.5.1, Subsection D: "The applicant or qualifier meets the requirements of financial responsibility set forth in Rule GI G4-15.006 of the State of Florida. " A review of her credit report shows the following areas of concern: • The credit report submitted shows a credit score of 652; the minimum required by rule is 660. • There is a $114 charge off to TDRC/Sams dated November 2022. • The credit report notes serious delinquency and too few accounts currently paid as agreed. After reviewing her Verification of Experience, it appears that Ms. Berry was a customer -service representative and not involved in the pool -cleaning aspect of work. During a phone interview, Ms. Berry confirmed that her experience was that of a customer -service representative. She said her boyfriend has the experience in cleaning pools, but has been unable to pass the required exams. Therefore, she took the exams and submitted the application. It is staffs opinion that Ms. Berry does not meet the minimum requirements as set forth in Ordinance 2006-46, as it relates to financial responsibility, and does not meet the experience 11 Packet Pg. 14 4.A.1 January 18, 2023 required under Section 2.6.2.9.1, as it relates to swimming pool servicing. Ms. Berry has been referred to the Board under Section 2.5.2, Referral of the Application to the Contractors' Licensing Board for a Decision. Ms. Berry is here to answer your questions. Chairman Allen asked her to detail her credit first. Ms. Berry said that she dramatically increased her credit score. She also has satisfied the TD Bank debt and has proof of it. [She provided it to Chairman Allen.] Board Member Joslin made a motion to enter the credit report into evidence. Second by Board Member Lantz. The motion passed unanimously, 7-0. The new credit report was entered as evidence. Chairman Allen asked her to detail her experience. Ms. Berry detailed her experience: • She's been working for Divco Custom Homes for seven years since moving to Florida. • She's a customer liaison who prices all changes, upgrades to contracts and checks job quality onsite to ensure it's what the customer wanted. • She gained a lot of experience in the field. • She doesn't have swimming pool maintenance experience, but her fiance does. • Her fiance struggled with the test and his credit score isn't as good as hers. • She and her fiance are a team. A discussion ensued between the applicant and Board and the following points were made: • The license will go away on July 1, 2023. • She's been around pools her entire life and knows how to read test kits, but would have to rely on her fiance to know what to do. • The license doesn't cover repairs, just test kits. • If something happened between her and her fiance, she wouldn't have his experience as part of her business. Chairman Allen asked for staff s recommendation. Supervisor Crotts said staff recommends that the license not be issued due to lack of experience, but they encourage her fiance to continue taking the test and for her to get the experience and return to get the license. Board Member Joslin made a motion to not issue Sarah P. Berry /Abaca Services LLC a Swimming Pool Cleaning Only license due to her lack of experience. Second by Board Member Lantz. The motion passed unanimously, 7-0. Board Member Jerulle apologized and told her the Board doesn't make the rules and couldn't make an exception for her. F. Peyton R. Silver — La Vida Pools LLC — Swimming Pool Residential Contractor Review of Experience. 12 Packet Pg. 15 4.A.1 January 18, 2023 Chairman Allen called Mr. Silver to the podium and he was sworn in. Supervisor Crotts said Mr. Silver has submitted an application for the issuance of a Residential Pool & Spa Contractor license, which requires 24 months of experience. As part of the staff review process, Mr. Silver submitted Verifications of Experience from his former employers and it appears that Mr. Silver's experience was extremely limited with regards to hands-on skill in pool and spa construction aspects. In an interview, Mr. Silver confirmed his experience was limited to concrete work on footers for lanais and rebar work. He reported that he has experience with pump -outs, acid wash, tile and coping but does not have a lot of experience building pools. He mainly wants to do pump -outs. It is staffs opinion that Mr. Silver does not meet the experience required under Ordinance 2006- 46, Section 1.6.2.8, as it relates to the trade of Residential Pool & Spa Contractor. Mr. Silver has been referred to the Board under Section 2.5.2, Referral of the Application to the Contractors' Licensing Board for a Decision. Mr. Silver is here to answer your questions. Chairman Allen asked him to explain his experience. Mr. Silver told the Board. • He's done a lot of concrete work. • When he was 15, he worked for JD Construction & Associates and did a lot of fuel cells, block and typings. • He hasn't worked with rebar in pools, but worked a lot with rebar outside of pools. • His goal would be to be a sub and shoot concrete and do pump -outs. • He's done a lot of tile outside of the pool and some in pools. • The PSI of a standard pool is 4,000. • He works with Gunnite. • He doesn't plan to do steel and tie. • A concrete license wasn't enough for him to do pools. Supervisor Crotts noted that the category includes forming and placing but doesn't include plastering. It would allow him to do a shell. A discussion ensued between the applicant and Board and the following points were made: • He didn't want to retake the test for a different license. • He's done everything from the ground up but hasn't done framing. • He's done excavating work. • He has no experience with pools on pilings. • He knows about grounding to rebar. • He knows about plumbing, pump -outs, drains and acid wash. • He didn't know that No. 8 bonding wire is used. Mr. Silver asked if he could get a restricted license. Supervisor Crotts said staff would recommend applying for a concrete license because it would 13 Packet Pg. 16 4.A.1 January 18, 2023 be hard to restrict this license. A discussion ensued and the following points were made: A repair license opens the door to do commercial work. He's had a roofing license for four years with no complaints. Board Member Nolton made a motion to deny Peyton R. Silver /La Vida Pools LLC a Swimming Pool Residential Contractor license. Second by Board Member Joslin. The motion passed unanimously, 7-0. Chairman Allen told him to consider the other application. G. Andrew P. Martinez — ADS Landscaping & Irrigation Systems LLC Landscaping Restricted Contractor — Second Entity Application H. Andrew P. Martinez — Ads Landscaping & Irrigation Systems LLC Irrigation Sprinkler Contractor — Second Entity Application Chairman Allen called Mr. Martinez to the podium and he was sworn in. Supervisor Crotts reported that Mr. Martinez has submitted a second -entity application for the trade of landscaping -restricted and for irrigation contractor He currently holds valid Collier County landscaping -restricted and irrigation licenses that were issued in 2022. A review of the current license shows there have been no complaints against the company involving either trade and Mr. Martinez has stayed current on all renewals. He has submitted an application to qualify the company to add landscape and irrigation systems. There is currently no license associated with this company. Mr. Martinez is here today to answer your questions regarding the second -entity application. It should be noted that Mr. Martinez was before the Board over the last year for a second entity, but both those licenses have since been closed by the applicant. If you recall, he had his brother here and he was going to take over the company. Those companies have since closed. Mr. Martinez said that he worked for Avant Yarde for 10-12 years and his brother moved out of the country so that company was dissolved. He currently has a landscaping and irrigation company. Chairman Allen asked Supervisor Crotts about that. Supervisor Crotts said they approved the second -entity and there were no complaints against it. Mr. Martinez told the Board: • He left Avant Yarde Inc. in April and worked for a small company to determine what he wanted to do. • He decided to go on his own. He and Sergio, his partner, have always worked together and Sergio wants the company to grow and mainly handles taxes • He will have ownership next year. • The business is mainly himself and possibly one other person he hires. 14 Packet Pg. 17 4.A.1 January 18, 2023 • ADS will pay the bills, but he has a contract that allows him to look at the books and within a year, he will be able to sign checks. A discussion ensued and the following points were made: • Under the license, he does not need to have a percentage of the company, but the financial responsibility and quality of work falls on the license holder. • They could issue a restricted license. • The landscaping license will go away on July 1, 2023, but the irrigation license won't go away and will be a county function. • The landscaping restriction would go away after July 1. Chairman Allen said he'd make a motion to grant a six-month license and then have Mr. Martinez come before the Board to show his contract grants him financial oversight. Supervisor Crotts said they should require him to return to the Board to prove the contract. Chairman Allen amended his motion to require proof within 60 days. Chairman Allen made a motion to issue Andrew P. Martinez /ADS Landscaping & Irrigation Systems LLC a six-month license for Landscaping Restricted Contractor and Irrigation Sprinkler Contractor and required Mr. Martinez to return before the Board in 60 days to show proof of financial responsibilities in his contract Second by Vice Chairman Jarron. The motion passed 6-1; Board Member Jerulle opposed. [The Board took a break from 10: 47 a.m. to 11: 02 a.m.] 9. OLD BUSINESS: A. Juan R. Masson — US Intermed Corp. dba USI Landscaping Landscaping Restricted Contractor — Review of Probation (credit). Supervisor Crotts said Mr. Masson is here today for a credit review. While on probation, Mr. Masson appeared before the Contractors' Licensing Board on June 15, 2022, due to a review of his credit worthiness. At the review, the Board ordered that Mr. Masson be placed on six months of probation and that he return to the Board to provide proof of a payoff and/or a satisfactory close of loans with creditors, and to supply an updated personal credit report. A copy of the June 15 CLB order is included. As required by Board order, Mr. Masson has supplied staff with updated personal and business credit reports dated January 10, 2023. They show that Mr. Masson has paid off all federal tax liens from 2016 to the current date and those liens have been released. A review of Mr. Masson's personal credit score shows a score of 712, which is above the minimum 660 required by the ordinance. Chairman Allen asked if they could lift his probation. Supervisor Crofts recommended ending probation with no further action required. Board Member Joslin made a motion to terminate probation. Second by Board Member Jerulle. The motion passed unanimously, 7-0. 15 Packet Pg. 18 4.A.1 January 18, 2023 10. PUBLIC HEARINGS: A. 2022-14 — Duane O. Thomas dba Duane Thomas Marine Construction LLC (CEMIS20220006771) Chairman Allen called Mr. Thomas to the podium and he, Investigator Broughton, Marco Island Chief Building Official Raul Perez and Inspector James Reynolds were sworn in. Board Member Nolton made a motion to open the public hearing for 2022-14. Second by Board Member Joslin. The motion passed unanimously, 7-0. The public hearing was opened. Investigator Broughton said a copy of the case packet and complaint was presented, signed and dated by the respondent. He asked to submit the Preamble and Case Packet for 2022-14 into evidence. Board Member Joslin made a motion to accept the Preamble and Case Packet for 2022-14 into evidence. Second by Board Member Lantz. The motion passed unanimously, 7-0. The Preamble and Case Packet were entered into evidence. Investigator Broughton gave an opening statement. Respondent Duane Thomas, a Collier County licensed marine contractor with issuance No. 24326, is the qualifier for and owner of Duane Thomas Marine Construction LLC. Mr. Thomas contracted for and received payment from the property owner for the installation of a marine dock at 772 Nautilus Court on Marco Island. The dock installation commenced prior to an issued permit for which one was required. Mr. Thomas is in violation of Collier County Code of Laws and Ordinances, Section 22-201 (18), which states, in pertinent part, that it is misconduct for the holder of a Collier County Certificate of Competency to proceed on any job without obtaining applicable permits or inspections from the City Building & Zoning Division or the county Building Review & Permitting Department. The chief building official for Marco Island, Raul Perez, and Inspector James Reynolds from the Marco Island Building Department, are here if any testimony is needed. Chairman Allen asked Mr. Thomas if he had an opening statement. Mr. Thomas said there really isn't anything else to discuss. He admitted that he did start the job without a City of Marco Island permit and would take his punishment. Chairman Allen said they could dispense with the presentation of evidence because there's an admission of liability. Board Member Joslin made a motion to close the public hearing. Second by Board Member Lantz. The motion passed unanimously, 7-0. Chairman Allen made a motion to find Duane O. Thomas guilty of working without a permit. Second by Board Member Lantz. The motion passed unanimously, 7-0. CG7 Packet Pg. 19 4.A.1 January 18, 2023 Attorney Noell said the range of disciplinary sanctions that can be imposed is on page 459. This was his second violation. Supervisor Crotts also will share that he had another violation years ago. Supervisor Crotts said Mr. Thomas appeared before the Contractors' Licensing Board on December 27, 2011, for the same charge. At that time, he was fined $2,500 fine and his license was placed on probation for 12 months. Since there have been no incidents since 2011, staff recommends a $2,500 fine and that his license be placed on a 12-month probationary period. Should Mr. Thomas violate probation within the 12 months, he would be required to appear back in front of the Board. Staff recommends that this fine be paid within 60 days. If he fails to pay the fine within 60 days, it would result in the automatic revocation of his license. Board Member Joslin asked if the work was completed. Investigator Broughton said it was. Board Member Jerulle asked why he did the work without a permit. Mr. Thomas testified that: The rules for marine contractors, as far as permits, with state, federal and local is a mixed bag. The federal government no longer has the signing authority for the state Department of Environmental Protection, so his permits get held up with federal permits that can last years or more. With DEP permits, the law says they've got to respond to him within 30 days — yes, no or mitigate on federal permits. Up until three years ago, the DEP had the signing authority for the federal government and on man-made canals, and the DEP would sign for the Army Corps of Engineers. He had a DEP permit for this job, a state permit, but didn't have a federal permit, which could take six months or a year. He was on a man-made canal and already had been issued a permit for the seawall and the boat dock was slightly over 1,000 square feet. Even though he was required to have a DEP and Army Corps of Engineer permit because it was over the 1,000 square foot where it would be exempt, you still have to file an exemption paper. Nothing is automatic even if it's under 1,000 square feet. Marco Island has a building department that selectively issues permits whether you have the federal permit or you don't. They've issued me permits for my jobs, whether they had a DEP or Army Corps of Engineers permit or they didn't. The city was not communicating with him. They were dysfunctional. He sent 100 emails to them and nobody would call or write back, so he had the City of Marco Island and federal permits to build the seawall, but didn't have the federal permit for staging areas, which are at a premium on Marco Island. We have none. He had a staging lot to put the seawall in and that's why he dropped his pilings at the same time. He put the seawall in and drove the pilings for the boat dock at the same time, but did not start any dock construction, just drove the pilings for the dock. That's why he's here. Chairman Allen asked, So you applied for the boat dock permit with the city, but the city wouldn't issue the permit because you ...? Mr. Thomas said it was because he didn't have the federal permit, just the state. However, he can provide the Board with 50 examples to prove the city issues him permits all the time without DEP 17 Packet Pg. 20 4.A.1 January 18, 2023 or federal permits. But in this case, they didn't. It's selective enforcement. He's guilty. He did not have a permit. Vice Chairman Jaron asked if there was any reason he was aware of that Marco Island did not issue this particular permit or delayed it. Mr. Thomas testified that he didn't want to get into a contentious battle with the city, but they have a dysfunctional building department. They do not return emails. They do not return phone calls. It's been that way for three years. Board Member Jerulle said he didn't want to contradict him, but he does work on Marco Island and gets permits before he starts. Mr. Thomas said he understood and admitted he was guilty. Board Member Jerulle said he appreciated his honesty. Board Member Jerulle said he'd make a motion to accept staff s recommendation. Mr. Thomas asked if he could get a higher fine and no probation, which could affect his staging lots. Board Member Jerulle asked how high he wanted to go. That admission is a red flag for him. Mr. Thomas said the closest staging lot is in Naples and if he puts equipment on a vacant lot, he will automatically be in violation. Board Member Meister asked if that really was the closest lot. Mr. Thomas said yes. Homeowners give him a handshake and tell him he can use their lots and they know nothing about it. He found a staging lot on Marco Island with a large sign with the owner's name. But he couldn't reach the owner to rent it and Collier County Code Enforcement Director Michael Ossorio told him the contractor using it did not have permission to use it. Supervisor Crofts said he spoke to Marco Island Chief Building Official Raul Perez and he said if the CLB wants to restrict permits to building permits, not staging permits, the city would not have a problem with that. Board Member Jerulle amended his motion. Board Member Jerulle made a motion to accept staffs recommendation to place Duane Thomas on 12 months of probation and fine him $2,500, which is payable within 60 days. Failure to pay the fine within 60 days will result in the revocation of his license. Second by Board Member Joslin. The motion passed unanimously, 7-0. Chairman Allen said the Board can now move on to findings of fact. Upon consideration of all testimony received under oath, evidence received and arguments presented by the parties during the public hearing, the Board issues the following findings and conclusions: • Service of the Administrative Complaint and notice was legal, sufficiently provided and in compliance with the applicable law. • The Respondent is the holder of the license as set forth in the Administrative Complaint. • The Respondent was present at the hearing and was not represented by counsel. • The Board has jurisdiction over the Respondent and subject matter raised in the 18 Packet Pg. 21 4.A.1 January 18, 2023 Administrative Complaint. • The Respondent committed the violations set forth in Count 1 of the Administrative Complaint. Therefore, by a vote of 7-0, the Respondent is found guilty of the violation set forth in Count 1 of Administrative Complaint 2022-14 and the Board imposes the following sanctions against the Respondent: • A fine of $2,500 to be paid within 60 days. • 12 months of probation. • If a violation occurs, he will come back before the Board. • If the fine isn't paid within 60 days, the license will be revoked. This concludes the order of the Board in this matter. 11. NEXT MEETING DATE: Monday, February 13, 2023 Commissioners' Chambers, Third Floor, Administrative Building F, Collier County Government Center, 3299 E. Tamiami Trail, Naples, FL Chairman Allen made a motion to adjourn. Second by Board Member Lantz. The motion passed unanimously, 7-0. There being no further business for the good of the County, the meeting was adjourned at 11:23 a.m. Collier County Contractors' Licensing Board Todd Allen, 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 IR Packet Pg. 22 8.A 02/13/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 8.A Doc ID: 24570 Item Summary: 8A. ORDERS OF THE BOARD (7 ITEMS) Meeting Date: 02/13/2023 Prepared by: Title: — Contractor Licensing Name: Alyshia Morse 02/02/2023 4:59 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 02/02/2023 4:59 PM Approved By: Review: Contractor Licensing Sandra Delgado Review item Completed 02/06/2023 3:36 PM Contractor Licensing Tim Crotts Review Item Completed 02/07/2023 7:46 AM Contractor Licensing Tim Crotts Meeting Pending 02/13/2023 9:00 AM Packet Pg. 23 8.A.1 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Reyes, Pedro A. 3245 29th AVE NE Naples, FL 34120 CLB Agenda Date: ®February 13, 2023 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 12509 CE.UL20220009197 on 12/12/22 to Reyes..Peft A. in the amount of 1 000. 0, within 10 days of issuance of the Citation, ME PENALTY HAS NOT BEEN PAID, Per Section 489.127(5) (g), Florida Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. If the penalty is not paid in full within 15* days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. CHAIRMAN TODD ALLEN Print Name Attorney to the CLB KEVIN NOELL DATE: Contractor Licensing Supervisor TIMOTHY CROTTS For Contractor Licensing Board * If the 15th day falls on a Saturdays Sunday or holiday, the entire fine must be paid no later than 4:00 P.M. on the County s next business day following that weekend or holiday. Approved as to form and legal sufficiency Packet Pg. 24 8.A.1 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Reyes, Pedro A. 3245 29th AVE NE Naples, FL 34120 CLB Agenda Date: February 13, 2023 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 12640 CECV20220008920 on 12/12/22, to Reyes, Pedro A., in the amount of $1,000.00, within 10 days of issuance of the Citation, THE. PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) (g), Florida Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. If the penalty is not paid in full within 15* days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. CHAIRMAN TODD ALLEN Print Name Attorney to the CLB KEVIN NOELL . DATE -►3-�3 Contractor Licensing Supervisor TIMOTHY CROTTS For Contractor Licensing Board * If the 15th day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.M_ on the County s next business day following that weekend or holiday. Approved as to form and legal sufficiency Packet Pg. 25 8.A.1 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Hauke, Kevin W. 47 Front St_ Unit 25 Marco Island, FL 34145 CLB Agenda Date: Febuary 13. 2023 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 11835 CEUL20220010203 on 11109/22, to Hauke, Kevin W., in the amount of $1,000.00,, within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) (g), Florida Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. If the penalty is not paid in full within 15* days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. CHAIRMAN TODD ALLEN Print Name Attorney to the CLB KEVIN NOELL DATE Contractor Licensing Supervisor TIMOTHY CROTTS For Contractor Licensing Board * If the 15th day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.M. on the County s next business day following that weekend or holiday. Approved as to form and legal sufficiency Packet Pg. 26 8.A.1 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY BOWER, BARAK DOUGLAS 2360 WHITE BLVD NAPLES, FL 34117 CLB Agenda Date: February 13, 2023 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation N . 12502 CEUL20220010579 on 11/29/22 to BOWER BARAK DOUGLAS in the amount of 1 000.00, within 10 days of issuance of the Citation, THE PENALTY HA NOT BEEN PAID. Per Section 489.127(5) (g), Florida Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. If the penalty is not paid in full within 15* days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. CHAIRMAN TODD ALLEN Print Name Attorney to the CLB KEVIN NOELL DATE: ;- i3 --03 Contractor Licensing Supervisor TIMOTHY CROTTS For Contractor Licensing Board * If the 15th day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.M. on the County s next business day following that weekend or holiday. Approved as to form and legal sufficiency a co 0 ti LO Iq N Packet Pg. 27 8.A.1 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY BOWER, BARAK DOUGLAS 2360 WHITE BLVD NAPLES, FL 34117 CLB Agenda Date: February 13, 2023 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 12469 CECV20220008439 on 11129122, to BOWER, BARAK DOUGLAS, in the amount of $1,000.00, within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) (g), Florida Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. If the penalty is not paid in full within 15* days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. CHAIRMAN TODD ALLEN Print Name Attorney to the CLB KEVIN NOELL DATE: Contractor Licensing Supervisor TIMOTHY CROTTS For Contractor Licensing Board * If the 15th day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.M. on the County s next business day following that weekend or holiday. Approved as to form and legal sufficiency a 00 Packet Pg. 28 8.A.1 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY TORTOLERO PEREZ, CESAR ESTEBAN 10303 CASA PALARMO DRIVE RIVERVIEW, FL 33578 CLB Agenda Date: February 13, 2023 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 12508 CEUL20220010758 on 121105/22,_to TORTOLERO PEREZ, CESAR ESTEBAN, in the amount of $1_ 000.00, within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) (g), Florida Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. If the penalty is not paid in full within 15* days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. MT. = :u-► TODD ALLEN Print Name Attorney to the CLB KEVIN NOELL DATE: Contractor Licensing Supervisor TIMOTHY CROTTS For Contractor Licensing Board * If the 15th day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.M. on the County s next business day following that weekend or holiday. Approved as to form and legal sufficiency Packet Pg. 29 8.A.1 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY HERRERA, LUCAS L (DIBIA) LH FLOORING LLC 1215 Commonwealth Circle D104 NAPLES, FL 34116 CLB Agenda Date: _February 13, 2023 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 12617 CEUL20220011232 on 12/22/22, to HERRERA. LUCAS L (DIBIA) LH FLOORING LLC, in the amount of 1 000.00, within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) (g), Florida 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. If the penalty is not paid in full within 15* days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. CHAIRMAN TODD ALLEN Print Name Attorney to the CLB KEVIN NOELL DATE: � v I;�) Contractor Licensing Supervisor TIMOTHY CROTTS For Contractor Licensing Board * If the 15th day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.M. on the County s next business day following that weekend or holiday. Approved as to form and legal sufficiency Packet Pg. 30 8.B 02/13/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 8.13 Doc ID: 24571 Item Summary: 8B. WILMER Y. PORTILLO SANCHEZ -REVIEW OF EXPERIENCE AND CREDIT - BUILDING CONTRACTOR -REGISTERED -EVE Meeting Date: 02/13/2023 Prepared by: Title: — Contractor Licensing Name: Alyshia Morse 02/02/2023 5:00 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 02/02/2023 5:00 PM Approved By: Review: Contractor Licensing Sandra Delgado Review item Completed 02/06/2023 3:38 PM Contractor Licensing Tim Crotts Review Item Completed 02/07/2023 7:46 AM Contractor Licensing Tim Crotts Meeting Pending 02/13/2023 9:00 AM Packet Pg. 31 8.B.1 cQ 1 r county Growth Management Community Development Department _ Q APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY J � FIRM APPLICATION FOR COLLIER COUNTY u, CERTIFICATE OF COMPETENCY r r yY w This application must be"typewritten or legibly printed.The application fee must be paid upon approval and is''NOT w refundable. Ail checks should be made payable to: Collier County Board of County Conimiss)ooers. For further ci inform.ation,,cons ilt Collier County Ordinance Not; 2006.46, as amended.11,W TYPE OF CERTIFICATE OF COMPETENCY: U Q ❑ General $230.00 ❑ Electrician $230.00 ~ z O 2 Building $230.00 ❑ Plumber $230.00 v 0 ❑ Residential $230.00 ❑ Air Conditioner $230.00 z c ❑ Mechanical $230.00 ❑ Swimming Pool $230.00 J m ❑ Roofing $230.00 ❑ Specialty $205.00 ' SpecialtyTrade. C o w Y a n I. APPLICANT PERSONAL INFORMATION: Name: Wilmer Y Portillo Sanchez First Middle Initial Last Business Name: Everlast Building Contractors, Inc. Address: 2604 15th St W Lehigh Acres FL 33971 street Cat,, )tate Z p Email: portillowy@centurylink.net Telephone: 239-872-8960 Date of Birth: 09/25-1984 "SS # (Last 4 digits only): 9977 Driver's License # (Last 4 digits only): 3451 Pursuant to Collier County Contractor Licensing Ordinance No. 2006-46 Section 2.1.1., all applicants are required to submit their social security number, driver's license, and date of birth 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 c) Verification of applicant's identity- Our office will only use the personal information noted above for those reasons pursuant to Chapter 119, Florida Statutes, and as may otherwise be authorized by law. We are fully committed to safeguarding and protecting your personal information and once co€iected, will be maintained as confidential and exempt under Chapter 119, Florida Statutes. Contractor Licensing — FIRM Application Rev, 712022 Page 3 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contra -to rslice nsing@colliercountyfl.goy W w 2 J_ m 00 C E L V R a Packet Pg. 32 8.B.1 1.6.1.2. Building Contractor requires forty-eight (48) months experience with a passing grade on � an approved test and a twe (2) houF business and law test and means a contractor whose services are limited to construction of commercial buildings and single -dwelling or multiple -dwelling residential buildings, which commercial or residential buildings do not exceed three stories in height, and accessory use structures in connection therewith or a contractor whose services are limited to remodeling, repair, or improvement of any size building if the services do not affect the structural members of the building. DOTE: Also See Sect. 1.6.2. W w J_ m 00 r.+ C d E t V R r Q Packet Pg. 33 GO 7eT C.014ftty Growth Management Community Development Department APPLICATION FOR COLLI`ER COUNTY CERTIFICATE OF COMPETENCY Provide the names and telephone numbers of two persons who will always know your whereabouts. Name: Miguel Flores Name: Carlos Rivas Telephone: 239-462-7591 Telephone: 239-980-0166 II. NAME OF APPLICANT'S BUSINESS: Business Name: Everlast Building Contractors, Inc. Business Address: 2604 15th St W Street Telephone: 239-872-8960 Email: portillowy@centurylink.net Federal ID Tax No.. 9 a ` 4 `I 7 3 J f if III. FINANCIAL RESPONSIBILITY Lehigh Acres FL 3397 Clty State Zip YES NO ALL APPLICANTS MUST ANSWER THE QUESTIONS BELOW: X Filed for or been discharged in bankruptcy within the past 5 years? X Had a lien filed against you by the Internal Revenue Service or Florida Corporate Tax Division? X Undertaken construction contracts or work that resulted in liens, suits, or judgments being filed? X Undertaken construction contracts or work that a third party, such as a bonding or surety company, completed or made financial statements on? X Made an assignment of assets in settlement of construction obligations for less than the debts outstanding? X Been convicted or found guilty of, or entered a plea of nolo contendere to, regardless of adjudication, a crime in any jurisdiction within the past 10 years?' X Had claims or lawsuits filed for unpaid or past due accounts by your creditors as a result of construction experience? X Been charged with or convicted of acting as a contractor without a license, or if licensed as a contractor in this or any other state, been "subject to" disciplinary action by a state, county, or municipality? NOTE. If 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.'If you have had a felony conviction, proof that your civil rights have been restored will be required prior to licensure. Contractor Licensing — FIRM Application Rev 7/2022 Page 4 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 . (239) 252-2431 contractorslicansing5colliercountyfl qov 8.13.1 IY w J_ m 00 C 0 E L V R a Packet Pg. 34 Ir Cor County Growth Management Community Development Department 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 is being made. 4 SA List below non formal education (on the job training) you have obtained in the area of competency for which this application is being made: CURRENT/PREVIOUS LICENSE: List below and attach copies any other certificates of competency/licenses you hold/have held in Collier County or any other jurisdiction. Include the license #, Type, and county you hold it in. PAINTING LICENSE, CABINET & FLOORING - COLLIER COUNTY # LCC 20130003348 AFFIDAVIT Under the penalties of perjury, I declare that I have read the foregoing application and the facts stated in it are true. WILMER Y PORTILLO SANCHEZ Applicant (please print) �.� -)- }b�4,11(b Signature of Applicant State of FLORIDA County of COLLIER The foregoing instrument was acknowledged before me by means of ® physical presence or ❑ online notarization on this ;�1 day of ­t­,cnCi­_,WV, 20-,)_D- , by WILMER Y PORTILLO SANCHEZ Such person(s) Notary Public must check applicable box: ® are personally known to me ® has produced a current driver license ❑ has produced FLORIDA DRIVER'S LICENSE as identification. (N ta ;•r^ JOSEPH C. FRAM( :.. Commimlivi # HH 062258 ?� 7. EXPIMS JSW 20, 2025 Bab•d ihu Tray I & kmoar ce sM&%-; 7o19 [1 Notary Signature: L 1` Contractor Licensing — FIRM Application Rev. 712022 Page 5 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 . (239) 252-2431 Contraetorst-risin o7colIiercountvfl.aov 8.B.1 W LU 2 J_ m 00 C 0 E L cv a Packet Pg. 35 8.113.1 CoT ier County Growth Management Community Development Department H J APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY w CERTIFICATION OF APPLICATION u, 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. WILMER Y PORTILLO SANCHEZ Applicant (please print Everlast Building Contractors, Inc. Name of Company r Signature of Applicant State of FLORIDA County of COLLIER The foregoing instrument was acknowledged before me by means of N physical presence or ❑ online notarization on this ? day of xf=., i,, , 20 :� by t - I, — -, ( - Such person(s) Notary Public must check applicable box: N are personally known to me N has produced a current driver license ❑ has produced FLORIDA DRIVER'S LICENSE as identification. (Notary Seal) J05EPH C. FRANK Commission tNHt161258 Notary Signature: Expires January 20, 2025 r Banded rtru Tmy Fain kwrara No-7019 w 2 J Contractor Licensing - FIRM Application Rev. 712022 Page 6 of 14 m 00 Operations & Regulatory Management Division, Contractor Licensing . 2800 North Horseshoe Drive . Naples, FL 34104 a (239) 252-2431 contractorslicensinai�colliercountyfi.ov E L tv a Packet Pg. 36 CO 1EY Cou"Ly Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY WORKMEN'S COMPENSATION AFFIDAVIT It is understood and acknowledged by the Collier County Contractors' Licensing Board and myself that if I fail to acquire, or maintain at all times effective Workmen's Compensation Insurance twill result in the possible revocation of my Certificate of Competency. WILMER Y PORTILLO SANCHEZ Applicant (please print Everlast Building Contractors, Inc. Name of Company Signature of Applicant BEFORE ME this day personally appeared WILMER Y PORTILLO SANCHEZ 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 Insurance. State of FLORIDA County of COLLIER The foregoing instrument was acknowledged before me by means of N physical presence or ❑ online notarization on this day of bc•: , 20 .»- , by Cj=Vyr%sr �' E. l\n c La r Such person(s) Notary Public must check applicable box: N are personally known to me N has produced a current driver license ❑ has produced FLOIDA DRIVER'S LICENSE as identification. (Notary Seal) M JOSEPH C. FRANK C011i i *RH062258 Notary Signature: Expires January 20, 2025 a-W l[vu Troy Fain inaumrm 900.3W7018 Contractor Licensing — FIRM Application Rev. 712022 Page 7 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslicensinaCcDcolliercountkfi gov w W J_ m 00 C 0 E t tv a Packet Pg. 37 8.B.1 GCTS, LLC Examination Operations Division Providing the services and products to assist Government Agencies to make informed educated decisions. Official Examination Score Report Official Score Report: Candidate Information: Name — Wilmer Y Portillo Sanchez Candidate #: 99843451 P Testing Site: Ft. Myers, FL Final Score Result: December 21, 2022 Building Contractor Score: 77% 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 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-GITS — Fax (352) 387-2443 800 997 2129 w w J_ m 00 C E t t) Q Packet Pg. 38 Licensee Information R Licensee Number LCC20120004576 Name PORTILLO SANCHEZ, WILMERYOMI Type Contractor v Status Open v ©escri on TYIX P-perty Alert View Master Proiect View Ai# Activities for this Licensee Add a new eP rsan or business to Address Book Go to Alerts ................... ............. ....... ........._............... .................................... ............................. Examination Results ................................... ............................................ ..................................................................................................................... __........................... ................................ ...-........................ -- ........... . Add Exam Result nk ExaffurrestType Date of Exan7est City Sarre removed Eav VTest result PAINTING (AND DECORATING) 04/09/2013 NO SHOW No Show i BUSINESS AND LAW —;. a3/09/2Ii ' S, FL 87.0 & --•--....._........._.....__.............._............._..___...__..._:_.._._....._............._.......I PAINTING (AND DECORATING) :................ .. ..._.........._...� 05/04/2013 BONITA SPRINGS, FL ............ .....,.........;.55.0�1.........,.........._......._-;Fail.._..._.._........ .......... _.._.._.._.._..-"' _.P..'3..S.:s...--= 738.0% Fall -s _......................_................................. ......... ..... ..................;. PAINTING (AND DECORATING) ................................. ............_ 06/01/2013 .................................. BONITASPRINGS, FL Show i ra Melds I Contractor Licensing Active ❑ Sponsorship App Date Exam Code F10010 Charge Exam Fee ❑ Sponsoring County ICOLLIER COUNTY Sponsorship Expiration Date OS/01/20 33 v Testing Facility 1PROMETRIC W W J_ m 00 C E t t) Q Packet Pg. 39 8.B.1 Co Yer County Growth Management Division Planning & Regulation February 24, 2015 City of Sanibel 800 Dunlop Road Sanibel, FL 33957 Wilmer Y. Portillo Sanchez Everlast Painting Group, Inc. (DBA) M & K Finish Carpentry 9080 San Carlos Blvd. Fort Myers, FL 33967 Painting contractor, LCC20130003348 Re: LETTER OF RECIPROCITY To whom it may concern: This letter is to verify that the above named applicant passed the following Prometric (formally Thomson-Prometric, Experior or Block & Associates) exam(s). Exam: Painting and Decorating Date of Exam: Sept. 7, 2013 Exam Score: 76% Exam: Business and Law Date of Exam: March 9, 2013 Exam Score: 82% The license status is: Active The applicant's license was issued on June 4, 2014. They were required to verify 2 years of experience at the time of application. If you need additional information regarding complaints or other actions, please contact our office at (239) 252-2431. Sincerel , Michael ssorio Licensing Supervisor GMD Planning and Regulation 2800 N. Horseshoe Drive Naples, FL 34104 r-lyi FAwey,rrfirk.:, -n. Plan: ran & Rwn'aUnn • 2800 North Kneshw lute • Nap-!% FWMa 341r t — 239 252.2400 • W w J_ m 00 C 0 L C1 fC a+ a+ a Packet Pg. 40 8.B.1 LUMBERMEN'S CREDIT REPORT SEND TO: LUMBERMEN'S LLC CUST. # PAE399OPQ 701 E COMMERCIAL BLVD 4TH FL, FORT LAUDERDALE, FL 33334 INFILE CREDIT REPORT REQUESTED BY: VAN SALIBA FILE #: 26729824 DATE: 9/30/2022 REF. #: -- REPOSITORIES: XP APPLICANT: PORTILLO, WILMER -9977 CURRENT ADDRESS: 2604 15TH STREET WEST, LEHIGH ACRES, FL 33971 LENGTH: APPLICANT 656 EXPERIAN/FICO SCORE RANGE: 300-850 WILMER PORTILLO 39 SERIOUS DELINQUENCY 10 PROPORTION OF BALANCE TO HIGH CREDIT ON BANK REVOLVING OR ALL REVOLVING ACCOUNTS 08 TOO MANY INQUIRIES LAST 12 MONTHS 06 TOO MANY CONSUMER FINANCE COMPANY ACCOUNTS ECOA IWHOSE ACCT TYPE REPORTED HI CREDIT PAYMENT 30 60 90+ B I B OPEN 08/31/22 $746 $746` 0 0 0 COLLECTION SOURCE 82424561600001 TERM OPENED BALANCE PAST DUE MO REV LAST LATE DLA 001 11107/13 $746 $746 6 --1— —1-- ACCOUNT INFORMATION DISPUTED BY CONSUMER; TELECOMMUNICATIONSICELLULAR ECOAIWHOSE ACCT TYPE REPORTED HI CREDIT PAYMENT 30 60 90* JIB AUTO 11/07/17 $47681 $0 PD WAS 90 SOURCE 11628613432218 TERM OPENED BALANCE PAST DUE MO REY LASTLATE DLA 072 10/11/16 $0 $0 9117 1 DI17 11117 26 11117 11107117 AFFECTED BY NATURAL OR DECLARED DISASTER ECOA rWHOSE ACCTTYPE REPORTED HICREDIT PAYMENT 30 $o 90+ B 1 B REV 08/11117 $600 $0 0 PD WAS 60 SOURCE TERM OPENED BALANCE PAST DUE MO REV LAST LATE DLA - 11104/16 $0 S0 6117 W17 7117 9 07117 08/11/17 ECOA KEY: B=BORROWER; C=CO-BORROWER; J=JOINT; U=UNDESIGNATED; A=AUTHORIZED USER; P=PARTICIPANT; S=CO-SIGNER; W M=MAKER; X=DECEASED; 1=INDIVIDUAL; T=TERMINATED J_ The information is furnished in response to an inquiry for the purpose of evaluating credit risks It has been obtained from sources deemed reliable, the accuracy of which this organization does not guarantee. The inquirer has agreed to indemnify that reporting bureau for any damage arising from misuse of this information, and this report is furnished in reliance upon that indemnity. It must be held in strict confidence and m complies with tha provisions of Public Law 91-506, the Fair Ueda Reporting Act Reporting bureau certifies that all Residential Mortqage Credit Reports meet the standards prescribed by FNMA, FHMC, FHA, VA 00 and the Farmers Home Administraticn, Page 19 E L V fC a+ a+ a Packet Pg. 41 SEND TO: LUMBERMEN'S LLC REQUESTED BY: VAN SALIBA FILE #: 29729824 CUST, # PAE3998PO DATE: 9/3012022 REF- #: 701 E COMMERCIAL BLVD 4TH FL, FORT REPOS[TORIES: XP LAUDERDALE, FL 33334 8.B.1 ECOA IWHCSE ACCTTYPE REPORTED HI CREDIT PAYMENT 30 60 J0+ J 1 B MTG 09/01/22 $142195 $1197 0 0 0 AS AGREED SOURCE A80909106327 TERM OPENED BALANCE PAST DUE MORE`/ LASTLATE DLA 360 04/07/16 $110844 $0 74 (-- 08/03/22 FHA REAL ESTATE LOAN ECOAIWHOSE ACCTTYPE REPORTED MCREDIT PAYMENT 30 60 90+ BIB AUTO 09101/22 $27667 $513 0 0 0 AS AGREED SOURCE 41856245 TERM OPENED BALANCE PAST DUE MO REV LAST LATE DLA 072 08/17/21 $24224 $0 14 -!- 09/01/22 KOA iHHOSE ACCTTYPE REPORTED HI CREDIT PAYMENT 30 60 90+ AS AGREED BIB AUTO 09/16/22 $21082 $433 0 0 0 SOURCE 45393136 TERM OPENED BALANCE PAST DUE MO REV LAST LATE DLA 060 06/01122 $20737 $0 4 --1-- 08A 7122 ECOA/WHOSE ACCTTYPE REPORTED HI CREDIT PAYMENT 30 60 90+ AS AGREED A I B REV 090 8/22 $9300 $294 0 0 0 SOURCE ++•++•+•+<.+..a TERM OPENED BALANCE PAST DUE MO REV LAST LATE DLA - D6/23110 $8965 $0 99 1-- 09113122 FLEXIBLE SPENDING CREDIT CARD; AUTHORIZED USER ECOA/ WHOSE ACCTTYPE REPORTED HI CREDIT PAYMENT 30 60 90+ AS AGREED JIB AUTO 09/25/22 $21351 $429 0 0 0 SOURCE 61 1928017926 TERM OPENED BALANCE PAST DUE MOREY LASTLATE DLA 075 05/10/18 $8645 $0 52 --1-- 09/25/22 ECOAIWHOSE ACCTTYPE REPORTED HI CREDIT PAYMENT 30 60 WE AS AGREED BIB REV 09/23/22 $6500 $153 0 0 0 SOURCE aaaaararaaaaara TERM OPENED BALANCE PAST DUE MO REV LAST LATE DLA - 08/01/16 $6116 $0 52 -1-- 09/21/22 FLEXIBLE SPENDING CREDIT CARD ECOA IV%HOSE ACCT TYPE REPORTED HI CREDT PAYMENT 30 60 90+ LU AS AGREED BIB REV 09125/22 $5000 $193 0 0 0 LL O SOURCE .raka.aa•a. TERM OPENED BALANCE PAST DUE MO REV LASTLATE DLA - 02/09/20 $4894 $0 32 4- 09/25/22 W ECOAIWHOSE ACCTTYPE REPORTED WCREDIT PAYMENT 30 60 90+ AS AGREED W BIB REV 09/08/22 $6000 $156 0 0 0 +••+++•+++ • N SOURCE TERM OPENED BALANCE PAST DUE MO REV LAST LATE DLA W - 02/04/20 $4733 $0 32 -1-- 09/01/22 2 t) Z ECOA IWHOSE ACCT TYPE REPORTED HI Cli PAYMENT 30 60 90+ BIB REV 09/30/22 $6900 $143 0 0 0 AS AGREED N aaaaaa.aaaaarara O SOURCE TERM OPENED BALANCE PAST DUE MO REV LASTLATE DLA - 04/17/16 $4426 $0 78 09/215/22 J H d' ECCAl WHOSE ACCTTYPE REPORTED HI CREDIT PAYMENT 30 60 90+ AS AGREED O IL ECOA KEY: B=BORROWER; C=CO-BORROWER; J=JOINT; U=UNDESIGNATED; A=AUTHORIZED USER; P=PARTICIPANT; S=CO-SIGNER; W M=MAKER; X=DECEASED; 1=INDIVIDUAL; T=TERMINATED 2 J_ The irrformatlon is furnished in response to an inquiry for the purpose of evaluating credl asks, It has been obtained from sources deemed reliable, the accuracy of which this organization does not guarantee, The rnquicec has agreed to indemnify that reporting bureau for any damage arming from hawse of this information, and thm report a furnished in reliance upon that indemnity. It must be held in strict confidence and m complies with the provisions of Public Law 91-508, the Fair Credit Reporting Act. Reporting bureau certi ies that all Residential Mortgage Credit Reports meet the standards prescribed by FNMA, FHMC, FHA, VA and the Farmers Home Administration.00 Page 2,9 4j C � E L cv �-r �-r a Packet Pg. 42 SEND TO: LUMBERMEN'S Li REQUESTED BY: VAN SALIBA FILE #: 26729B24 C UST. # PAE3998PO DATE: 91012022 REI=- #: — 701 E COMMERCIAL BLVD 4TH FL, FORT REPOSITORIES: XP LAUDERDALE, FL 33334 8.B.1 B I B REV 09/28/22 $8000 $140 0 0 0 SOURCE ......+..+.+ TERM OPENED BALANCE PAST DUE MO REV LASTLATE DLA - 03/01/17 $4283 $0 68 --1-- 09/21/22 ECOA r'MiOSE ACCT TYPE REPORTED HI CREDIT PAYMENT 30 60 90+ AS AGREED BIB REV 09JI6122 $5000 $146 0 0 0 SOURCE ........a a.. TERM OPENED BALANCE PAST DUE MO REV LASTLATE DLA - 04/11/22 $4171 $0 6 --1-- 09/14/22 ECOA I NMOSE ACCT TYPE REPORTED HI CREDIT PAYMENT 30 60 90+ CLOSED J I B REV 09/11122 $3900 $73 0 0 0 SOURCE wax.w.....+. TERM OPENED BALANCE PAST DUE MO REV LASTLATE DLA - 02/14/20 $2229 - 32 --1-- 09/11/22 ACCOUNT CLOSED AT CREDIT GRANTOR'S REQUEST ECOA I1MiOSE ACCT TYPE REPORTED RI CREDIT PAYMENT 30 60 90+ AS AGREED BIB REV 09122/22 $2600 $73 0 0 0 SOURCE ............... TERM OPENED BALANCE PAST DUE MO REV LASTLATE DLA - 05/11/16 $2105 $0 77 --1-- 09/18/22 ECOAIW40SE ACCT TYPE REPORTED WCREDIT PAYMENT 30 60 90+ AS AGREED A/B REV 09/12/22 $2000 $93 0 0 0 SOURCE ................ TERM OPENED BALANCE PAST DUE MO REV LASTLATE DLA - 01114/21 $1878 $0 19 AUTHORIZED USER ECOAI WHOSE ACCT TYPE REPORTED HI CREDIT PAYMENT 30 60 90+ AS AGREED BIB REV 09/23/22 $2000 $25 0 0 0 SOURCE .+.+..r.as TERM OPENED BALANCE PAST DUE NO REV LASTLATE DLA - 1 $1869 $Q 8 --1-- 08/30122 I fVYHOSE ACCT TYPE REPORTED HI CREDIT PAYMENT 30 50 90+ AS AGREED BIB REV 08/31122 $1500 $25 0 0 0 SOURCE ++++.s.......... TERM OPENED BALANCE PAST DUE MO REV LASTLATE DLA - 11/29120 $1387 $0 22 --1-- 0818/2, ECOAI WHOSE ACCTTYPE REPORTED WCREDIT PAYMENT 30 60 90+ AS AGREED BIB REV 09/01/22 $770 $40 0 0 0 SOURCE ..+++.+r.+.+ TERM OPENED BALANCE PAST DUE MO REY LASTLATE DLA - 08/28/16 $726 $0 73 --1-- 0810712: ECOAIVMOSE ACCT TYPE REPORTED MI CREDIT PAYMENT 30 60 90+ AS AGREED BIB REV 09/04/22 $750 $21 0 0 0 SOURCE a .www..xaa TERM OPENED BALANCE PAST DUE MO REV LASTLATE DLA - 01/16120 $517 $0 32 --1-- 09/0112: ECOA I WHOSE ACCTTYPE REPORTED HI CREDIT PAYMENT 30 60 90+ A5 AGREED BIB REV 09/20/22 $700 $29 0 0 0 SOURCE wx..xxxxwxx...xw TERM OPENED BALANCE PAST DUE MO REV LASTLATE DLA - 01/01/19 $515 $0 45 -4— 09114/2; ECOA KEY: B=BORROWER; C=CO-BORROWER; J=JOINT; U=UNDESIGNATED; A=AUTHORIZED USER; P=PARTICIPANT; S=CO-SIGNER; W M=MAKER; X=DECEASED; [=INDIVIDUAL; T=TERMINATED J_ The information is furnished in response to an inquuyforthe purpose of evaluating credit risks. It has been obtained from sources deemed reliable, the accuracy of which this organizaM1on does not guarantee. The inquver has agreed to indemnity that reporting bureau for any damage WMU%g from misuse of this information. and this report m furnished in re liance upon that indemnity. It must be held in strict confidence and m complies with the provisions of Public Law 91-608. the Fair Credit Reporting Act. Reporting bureau certifies that all Residential Mortgage Credit Reports meet the standards prescribed by Li FHMC, FHA, VA and the Farmers Home Administration. 00 Pag, .3,r9 E L cv +-r +-r a Packet Pg. 43 SEND TO: LUMBERMEN'S LLC REQUESTED BY: VAN SALIBA FILE # 26729824 OUST_ # PAE3998PQ DATE: 9/30(2022 REF. #: 701 E COMMERCIAL BLVD 4TH FL, FORT REPOSITORIES: XP LAUDERDALE, FL 33334 8.B.1 ECOA)WHOSE ACCT TYPE REPORTED HrCREDIT PAYMENT 30 60 9o+ AS AGREED BIB REV 09/24/22 $2000 $29 0 0 0 ................ TERM OPENED BALANCE PAST DUE MO REV LASTLATE DLA - 05/18/22 $390 $0 5 —l-- 09/21/22 ECOA l WHOSE ACCT TYPE REPORTED HI CREDIT PAYMENT 30 60 90+ AS AGREED BIB REV 09/16/22 $300 $27 0 0 0 .....a.......... TERM OPENED BALANCE PAST DUE MO REY LASTLATE DLA - D6118119 $217 $0 39 —1-- 09112/22 ECOAIWHOSE ACCT TYPE REPORTED HI CREDIT PAYMENT 30 60 90+ AS AGREED BIB INST 08/31/22 $6997 $178 0 0 0 F6439 TERM OPENED BALANCE PAST DUE MOREY LASTLATE DLA %0 100118 $192 $0 30 —1— 03/29/22 ECOAtWHOSE ACCT TYPE REPORTED HI CREDIT PAYMENT 30 60 90+ AS AGREED BIB REV 09/03/22 $600 $25 0 0 0 TERM OPENED BALANCE PAST DUE MO REV LAST LATE DLA - 07/06/16 $163 $0 74 --/-- 08/29/22 ECOAIWHOSE ACCT TYPE REPORTED HI CREDIT PAYMENT 30 60 90+ AS AGREED B/ B REV 09/09/22 $300 $0 0 0 0 ............... TERM OPENED BALANCE PAST DUE MO REV LAST LATE DLA - 06/07/20 $0 $0 28 --1— ECOAI WHOSE ACCT TYPE REPORTED HI CREDIT PAYMENT 30 w 9D+ BIB REV 09l24I22 $1150 $0 0 0 0 AS AGREED TERM OPENED BALANCE PAST DUE MO REV LAST LATE DLA - 04118/16 $0 $0 36 --1— 02/09/22 ECOA I WHOSE ACCT TYPE REPORTED HI CREDIT PAYMENT 30 60 90+ B/ B AUTO 08/31/21 $25123 $0 0 0 0 PAID 37405157 TERM OPENED BALANCE PAST DUE MO REY LASTLATE DLA 072 0814120 $0 $0 13 -1-- 07/28/21 ECOAIWHOSE ACCT TYPE REPORTED HI CREDIT PAYMENT 30 w 90+ J/ B AUTO 07/31 /20 S31345 $0 0 0 0 PAID 18097165 TERM OPENED BALANCE PAST DUE MO REV LAST LATE DLA 072 07/04/14 $0 $0 73 —1-- 07/19/20 ECOA/WHOSE ACCT TYPE REPORTED HI CREDIT PAYMENT 30 60 90+ BIB Tn2RC- AUTO 01/31/20 $19045 $0 0 0 0 PAID 32449272 TERM OPENED BALANCE PAST DUE MO REV LAST LATE DLA 072 04/03/19 $0 $0 10 -'— 12/18/19 ECOA/WHOSE ACCT TYPE REPORTED HI CREDIT PAYMENT 30 60 S0+ BIB AUTO 06/30/14 $23122 $0 0 0 0 PAID 18050371 TERM OPENED BALANCE PAST DUE MO REV LAST LATE DLA 072 06/27/14 $0 $0 1 --1-- i-- ECOA KEY: B=BORROWER; C=CO-BORROWER; J=JOINT; U=UNDESIGNATED; A=AUTHORIZED USER; P=PARTICEPANT; S=CO-SIGNER; W M=MAKER; X=DECEASED; 1=INDIVIDUAL; T=TERMINATED J_ The information is furnished in response to an Inquiry for the purpose of evaluating credit risks. It has been obtained from sources deemed reliable, the accuracy of which this Organization does not guarantee_ The inquirer has agreed to indemnify that reporting bureau for any Carriage arising from misuse al this information, and this report is fumished in reliance upon that indemnity It must be held in s[[ict confidence and m complies with the proyislans of Public Law 91.508, the Fair CreditReporting Act. Reporting bureau ceftifies thatall Residential Mortgage Credit Reports meet the standards prescribed by FNMA, an ide FHA, VA p0 and the Farmers Home Administration. Page 4/9 as E t c� r a Packet Pg. 44 SEND Ti LUMBERMEN'S LLC REQUESTED BY: VAN SALIBA FILE #: 26728824 CUST. # PAE3998PQ DATE: 9/30/2022 REF. #: -- 701 E COMMERCIAL BLVD 4TH FL, FORT REPOSITORIES: XP LAUDERDALE,FL33334 H W ECOAIWHOSE ACCT TYPE REPORTED HI CREDIT PAYMENT 30 60 90+ PAID J BIB REV 05128122 $900 $0 0 0 0 Q' W SOURCE **+"*++aa++xx+xx TERM OPENED BALANCE PASTDUE MO REV LAST LATE OLA - 05/27/21 $0 $0 13 UJ ACCOUNT CLOSED AT CREDIT GRANTOR'S REQUEST W W ECOAlViii ACCT TYPE REPORTED HI CREDIT PAYMENT 30 60 90+ PAID W JIB AUTO 03/31/18 $44787 $0 0 0 0 F- SOURCE 30000167576771OW TERM OPENED BALANCE PAST DUE MOREV LASTLATE CIA a 072 08114/16 $0 $0 20 -1- 03109/18 W Q' HCOAi WHOSE ACCT TYPE REPORTED WCREVIT PAYMENT 30 60 90+ AS AGREED 0 BIB REV 06f19122 $550 $0 0 0 0 H SOURCE •+*.++a++....... TERM OPENED BALANCE PAST WE MO REV LAST LATE DLA Q 08111115 $0 $0 83 -1-- 02/16/20 H Z O ECOA/W4iOSE ACCT TYPE REPORTED HI CREDIT PAYMENT 30 60 90+ PAID BIB REV 071D9YI8 $1200 $0 0 0 0 ,vL) SOURCE ........... *** TERM OPENED BALANCE PAST DUE MO REV LASTLATE DLA ' LQ - 10/02/15 $0 $0 34 --1-- 05122/18 ACCOUNT CLOSED AT CONSUMER'S REQUEST J m ECOAIWHCi ACCT TYPE REPORTED HI CREDIT PAYMENT 30 60 90+ PAID H BIB REV 06/24/18 $1000 $0 0 0 0 a SOURCE ....... I........ TERM OPENED BALANCE PAST DUE MO REV LAST LATE Di LU W - 03/13/17 $0 $0 16 -1-- 05/27/18 U ACCOUNT CLOSED AT CONSUMER'S REQUEST Z Q ECOA I WHOSE ACCT TYPE REPORTED HI CREDIT PAYMENT 30 60 90+ PAID W BIB REV 07107/20 $2000 $0 0 0 0 (> SOURCE **•— ....... * TERM OPENED BALANCE PAST DUE MO REV LAST LATE DLA Z W 01 /03118 $i0 $0 32 -/-- 03/04/20 Q' W d ECOA r WHOSE ACCT TYPE REPORTED HI CREDIT PAYMENT 30 60 90+ PAID X JIB INST 09111/17 $5997 $0 0 0 0 W LL SOURCE 2086 8940'3 TERM OPENED BALANCE PAST DUE MO REV LAST LATE DLA O 024 121W15 so $0 21 -1- 09111/17 LU SECUREDLOAN W_ W ECOA/WHOSE ACCT TYPE REPORTED HI CREDIT PAYMENT 30 60 Si PAID BIB REV 07/14/17 $400 $0 0 0 0 N SOURCE .xx+xx.*. `*♦ TERM OPENED BALANCE PAST DUE MOREY LAST LATE DLA W - 11/11115 $0 $0 21 -1-- 07128/16 = V ACCOUNT CLOSED AT CREDIT GRANTOR'S REQUEST Z a O ECOAIWHOSE ACCTTYPE REPORTED HI CREDIT PAYMENT 30 60 90+ PAID J_ BIB REV 04/13/18 $900 $0 0 0 0 F- SOURCE •••**•*"•+• TERM OPENED BALANCE PAST DUE MO REV LAST LATE OLA W - 05/13/16 $0 $0 24 --/-- 03106/18 O IL B=BORROWER; C=CO-BORROWER; J=JOINT; U=UNDESIGNATED; A=AUTHORIZED USER; P=PARTICIPANT; S=COSIGNER; ECOA KEY: M=MAKER; X=DECEASED; 1ANDIVIDUAL; T=TERMINATED W J_ The info rmi isfurnished in response to an inquiry for the purpose of evaluating credit risks. It has been obtained from sources deemed inquirer has agreed to indemnify that reporting bureau for any damage arising from misuse of this information, and this report is furnished reliable, the accuracy of which this organization does not guarantee. in reliance upon that indemnity. It must be held in strict Confidence The and ompli pes with the provisions of PwAo Law 0-501 the Fair Credit Reporting Apt. Reporting bureau certifies that all Residential Mortgage Credit Reports meet the standards prescribed by FNMA, FHMC, FHA, VA m and the Farmers Home Administration. 00 4j Page 5/9 r- 0 E L V R a Packet Pg. 45 SEND TO: LUMBERMEN'S LLC REQUESTED BY: VAN SALIBA FILE #: 2672$824 OUST. # PAE399SPO DATE: 9/30/2022 REF. #: — 701 E COMMERCIAL BLVD 4TH FL, FORT REPOSITORIES: XP LAUDERDALE, FL 33334 8.B.1 ACCOUNT CLOSED AT CREDIT GRANTOR'S REQUEST Ii i WHOSE ACCT TYPE REPORTED HE CREDIT PAYMENT 30 60 90+ PAID BIB REV 07/27/18 $920 $0 0 0 0 SOURCE ew»»»»»»»ws» TERM OPENED BALANCE PAST DUE MO REV LAST LATE DLA - 09/22/16 $0 $0 23 —/-- 07/20/18 ACCOUNT CLOSED AT CREDIT GRANTOR'S REQUEST ECOAIWHOSE ACCT TYPE REPORTED HE CREDIT PAYMENT 30 60 90+ PAID BIB REV 10/10/19 $1150 $0 0 0 0 SOURCE "wxxwx»wwww• TERM OPENED BALANCE PAST DUE MOREtr I.ASTLATE DLA - 04/18116 $0 $0 43 —1 09116,119 PURCHASED BY ANOTHER LENDER; ACCOUNT CLOSED; SOLD TO CAPITAL ONE ECOAIWHOSE ACCT TYPE REPORTED R CREDIT PAYMENT 30 60 90+ PAID BIB REV 07/08/14 $700 $0 0 0 0 SOURCE w»»xt w»"w" TERM OPENED BALANCE PAST WE MO REV LAST LATE DLA - 08128/13 $0 $0 11 --1-- 06/11114 ACCOUNT CLOSED AT CREDIT GRANTOR'S REQUEST; SECURED CREDIT CARD - REVOLVING TERMS ECOA lVili ACCTTYPE REPORTED HE CREDIT PAYMENT 30 60 90+ PAID BIB AUTO 09/30/16 $20178 $0 0 0 0 SOURCE 519381829803 TERM OPENED BALANCE PAST DUE MOREV LASTLATE DLA 072 04/17114 $0 $0 29 —1-- 08/30/16 ECOAIWHOSE ACCTTYPE REPORTED HE CREDIT PAYMENT 30 60 90+ PAID BIB AUTO 051'31/14 $23333 $0 0 0 0 SOURCE 519381752054 TERM OPENED BALANCE PAST DUE MO REV LAST LATE DLA 072 01/20114 $0 $0 4 —I-- 04/23/14 ECOA/WHOSE ACCT TYPE REPORTED HE CREDIT PAYMENT 30 60 90+ AS AGREED BIB REV 09/16/22 $700 $0 0 0 0 SOURCE «»•»»»wxww»»»»»» TERM OPENED BALANCE PAST DUE MO REV LAST LATE DLA - 09/30118 $0 $0 48 —1-- 07/12122 1-EXPERIAN MESSAGE:SSN MATCHES WHOSE COMPANY B *** NONE *** BUSINESS TYPE BANKING INQUIRY DATE BUREAU OW01122 XP ECOA KEY: 6=13ORROWER; C=CO-BORROWER; J=JOINT; U=UNDESIGNATED; A=AUTHORIZED USER; P=PARTICIPANT; S=COSIGNER; IX LU M=MAKER; X=DECEASED; 1=INDIVIDUAL; T=TERMINATED J_ The information is furnished in response to an Inquiry for the purpose of evaluating credit risks, It has been obtained from sources deemed reliable, the accuracy of which this organization does not guarantee. The inquirer has agreed to indemnifythat reporting bureau for any damage arising from misuse of this information, and this report is lurniahed in reliance upon that indemnity. It must be held in strict confidence and m complies with the provisions of Public Law 91-508,. the Fair Credit Reporting Act Reporting bureau certifies that all Residential Mortgage Credit Reports meet the standards prescribed by FNMA, FHMC, FHA, VA and the Farmers Home Administration.00 Page 619 E L tv �-r �-r a Packet Pg. 46 SEND TO: LUMBERMEN'S LLC CUST. # PAE3998PQ 701 E COMMERCIAL BLVD 4TH FL, FORT LAUDERDALE, FL 33334 REQUESTED BY: VAN SALIBA DATE: 9/30/2022 FILE #: 26729824 REF. #: -- REPOSITORIES: XP 8.B.1 WHOSE COMPANY B SUBSCRIBER NAME AMEX AMEXDSNB APPLE CARDIGS BANK USA BARCLAYS BANKIGAP CAP ONE BK CAPIIWMT CARMAX AUTO FINANCE CBNA CHASE CHASE AUTO COME NITYCBIGAM ESTOP DISCOVER FIN SVS LLC FIRST NATL BK MARIN FNB OMAHA GBS/FIRST ELECTRONIC B GECRBILOWES GEMB/CARE CREDIT GEMBIWALMART RESOURCE PROCESG GROUP-AMF SEIFERTS DEPT STORE SHEFFIELD FINANCIAL CO SYNCB/AMAZON SYNCBIBELK DUAL CARD SYNCBICITY FURNITURE SYNCB/GAP THDICBUSA VERIZON WIRELESS WESTSTAR MORTGAGE CORP WFS FINANCIAL BUSINESS TYPE BANKING INQUIRY DATE BUREAU 07/28/22 XP ADDRESS PHONE PO BOX297871, FORT LAUDERDALE, FL 33329 8DO430-1000 9111 DUKE BLVD, MASON, OH 45040 800-659-6229 LOCKBOX 6112 PO BOX 7247, PHILADELPHIA, PA 19170 877-255-5923 PO BOX 8803, WILMINGTON, DE 19899 866-370-5931 PO BOX 85520, RICHMOND, VA 23285 BM955-7070 PO BOX 31293, SALT LAKE CITY, UT 84131 800-955-7070 12BDD TUCKAHOE CREEK PKW, RICHMOND, VA 23238 800-925-3612 PO BOX 6497, SIOUX FALLS, SD 57117 888-343-1127 PO BOX 15298, WILMINGTON, DE 19850 800-955-9900 9W STEWART AVE, GARDEN CITY, NY 11530 800-336-6675 PO BOX 182120, COLUMBUS, OH 43218 855-497-8168 PO BOX 15316, WILMINGTON. DE 19850 800-347-2683 PO BOX 98875. LAS VEGAS, NV 89193 877-825-3242 1620 DODGE ST, OMAHA, NE 68197 BYMAI LONLY PO BOX 4499, BEAVERTON, OR 97076 1800-958-2556 PO BOX 103065, ROSWELL, GA 30076 800.444.1408 950 FORRER BLVD, KETTERING, OH 45420 866-396-8254 PO BOX 981400, EL PASO, TX 79998 (866)-611-1148 101 EXECUTIVE CTR DR/5-201, COLUMBIA SC 29210 (BYM) AIL -ONLY 500 LAW BUILDING, CEDAR RAPIDS IA 52401 (319) 363-5148 2554 LEWISMLLE CLEMMONS, CLEMMONS, NC Z7012 800-735-1903 PO BOX 965015, ORLANDO, FL 32896 866-634-8379 PO BOX 965029, ORLANDO. FL 32896 855-75243046 CIO PO BOX 965036, ORLANDO, FL 32896 866-396-8254 PO BOX 965005, ORLANDO, FL 32896 800-887-1198 PO BOX 6003, HAGERSTOWN, MD 21747 866-875-5488 PO BOX 650051, DALLAS, TX 75265 800-852-1922 2155 LOUISIANA BLVD NE #, ALBUQUERQUE, NM 87110 505-883-0332 PO BOX19657, IRVINE, CA92623 800-289-8004 ECOA KEY: B=BORROWER; C=CO-BORROWER; J=JOINT; U=UNDESIGNATED; A=AUTHORIZED USER; PI —PARTICIPANT; S=CO-SIGNER; M=MAKER; X=DECEASED; 1=INDIVIDUAL; T=TERMINATED The information is fur is had in response to an Inquiry for the purpose of evaluating credit risks It has been obtained from sources deemed reliable, the accuracy of which this organization does not guarantee. The inquirer has agreed to indemnity that reporting bureau for any damage arising from misuse of this information, and this report is furnished ut relunce upon that mdemndy. It must be held it strict confidence and complies with the provisions of Public Law 91-5W, the Fair Credit Reporting Act, Reporting bureau certifies that all Residential Mortgage Credit Reports meet the standards prescribed by Fi FHMC, FHA, VA and the Farmers Home Administration. Page 7'9 W W J_ m 00 C E L cv �-r a Packet Pg. 47 SEND TO: LUMBERMEN'S LLC REQUESTED BY: VAN SALIBA FILE #: 26729824 $ B OUST. # PAF-3998PQ DATE: 9/3012022 REF. #: — 701 E COMMERCIAL BLVD 4TH FL, FORT REPOSITORIES: XP LAUDERDALE. FL 33334 SUBSCRIBER NAME ZUNTAF( CORP 1 EXPERIAN - PULLED ON: 09/30122 Name WILMER PORTILLO SANCHEZ WILMER PORTILLO WILMER Y SANCHEZ V+ALMER Y SANCHEZ PORTILLO WILMER VIALMER Y REYES Address 18465 IRIS RD, FORT MYERS, FL 33967-3345 2604 15TH ST W, LEHIGH ACRES, FL 33971-5444 9080 SAN CARLOS BLVD, FORT MYERS, FL 33967-5402 Employer EVERLAST PAINTING GROUP I EVERLASTING ADDRESS 1051ST AVE SW, ABERDEEN, SD 57401 Address SSN PHONE 605-622-4531 DOB NIA NIA WA WA NIA NIA Time Frame 10105 - 03121 04/ 16 -12120 07/05 - 03117 Occupation Reported 01114 09l19 The merge process is automated and the report may include some duplications and/or omissions. Inquiries regarding any disputed items should be directed to XACTUS FORMERLY UNIVERSAL CREDIT customer service. ECOA KEY: B=BORROWER; C=CO-BORROWER; J=JOINT; U=UNDESIGNATED; A=AUTHORIZED USER; P=PARTICIPANT; S=COSIGNER; M=MAKER; X=DECEASED; 1=INDIVIDUAL; T=TERMINATED The nformat-on is furnished in response to an inquiry for the purpose of evaluating credit risks. it has been obtained from sources deemable, ed re the accuracy of which this organization does not guarantee. The ,nqu- _ r has t ir,dgmrity that rpoort; b —Pi, for env r{ar - icing from misr,rse of this infnrm;rh" and thic r—t is f-P,,,h ri relianrw. irncri th ineiann by If mrirJ he. hold in 51fISt nfidehCe arvi complies with the provisions of Pubho Law 91-508, the Fair Credd Reporting Apt. Reporting bureau certifies that all Residential Mortgage Credit Reports meet the standards prescribed by FNMA, FHMC, FHA, VA and the Farmers Home Administration. Page 9,9 W J_ m 00 C 0 E L V tv a Packet Pg. 48 SEND TO: LUMBERMEN'S LLC REQUESTED BY: VAN SALIBA FILE #: 26729824 CUST. # PAE399BPQ DATE: 9130/2022 REF. #: -- 701 E COMMERCIAL BLVD 4TH FL, FORT REPOSITORIES: XP LAUDERDALE, FL 33334 8.B.1 TYPE COUNT BALANCE HIGH CREDIT PAYMENTS PAST DUE MORTGAGE 1 $110844 $142195 $1197 $0 AUTO 11 $53606 $70100 $1375 $0 EDUCATION 0 $0 $0 $0 $0 OTHERINSTALLMENT 2 $192 $6997 $178 $0 OPEN 1 $746 $746 $746 $746 REVOLVING 32 $47355 $62620 $1612 $0 OTHER 0 $0 $0 $0 $0 TOTAL 47 $212743 $282668 $6108 $746 SECURED DEBT $164450 OLDEST TRADELINE 06/10 UNSECURED DEBT $50522 REVOLVING CREDIT UTILIZATION 76% TOTAL DEBTIHIGH CREDIT 75% CHARGE OFFS: 0 30 DAYS: 2 INQUIRIES: 2 COLLECTIONS: 1 60 DAYS: 2 MOST RECENT LATE: undetermined BANKRUPTCY: 0 90 DAYS: 1 DISPUTES: 1 PUBLIC RECORDS: 0 OTHER: 0 An asterisk (`) following the payment amount indicates the repositories have no payment data and that the amount was automatically calculated as a percentage of the account balance. This is a report containing information supplied by the repositories listed above. The merge process is automated and the report may include some duplications and/or omissions. Inquiries regarding any disputed items should be directed to the creditor reporting the item, or to the appropriate repository service center(s) listed below. EXPERIAN PO BOX 2DD2 ALLEN, TX75013 888-397-3742 www,experian.com/reportaccess TRANSUNION PO BOX 1000 CHESTER, PA 19016 800-916-8800 transunion.com/myoptions EQUIFAX PO BOX 740256 ATLANTA, GA 30374-0256 866-349-5191 www.equifax,comlfcra PUBLIC RECORDS HAVE BEEN CHECKED ON LOCAL, STATE AND FEDERAL LEVELS — END OF REPORT 9130/2022 2:25:46 PM — ECOA KEY: B=BORROWER; C=CO-BORROWER; J=JOINT; U=UNDESIGNATED; A=AUTHORIZED USER; P=PARTICIPANT; S=COSIGNER; M=MAKER; X=DECEASED; I=INDIVIDUAL; T=TERMINATED The information is turn ished in response to an inquiry for the purpose of evaluating credd risks. It has been obtained from sources deemed reliable, the accuracy of which this organization does not guarantee_ The inquirer has agreed to indemnify that reporting bureau for any damage arising from misuse of this information, and this repot is furnished in reliance upon that indemnity. It must oe held in strict confidence and miI with the provisions of Public Law P1-506 the Fair Credit Reporting Act. Reporting bureau certifies that all Residential Mortgage Credit Reports meet the standards prescribed by FNMA, FHMC, FHA, VA and the Farmers Home Administration. Paga y, 9 C W W J_ m 00 C O E L V tC +r +r a Packet Pg. 49 8.B.1 701 E Commercial Blvd, 4Eh Floor, Fort Lauderdale FL 33334 Phone (954) 771-2100 Fax (954) 771-1777 LUMBERMEN'S LUMBERMEN'S, LLC - Business Credit Report Prepared for: STATE OF FLORIDA - DBPR DECEMBER 30, 2022 EVERLAST BUILDING CONTRACTORS, INC. 260415TH ST W LEHIGH ACRES, FL 33971 Document Number: P22000093998 FFIIEIN Number: NONE Date Filed: 12/21/2022 OfficerfDirector Detail Title PTSD PORTILLO, WILMERY 2604 15TH ST W LEHIGH ACRES, FL 33971 Public Records Summary: NO PUBLIC RECORDS PUBLIC RECORDS HAVE BEEN CHECKED_ ON LOCAL, STATE AND FEDERAL LEVELS a Packet Pg. 50 8.B.1 Aft ,,, � rara ri`irli :�i<rur �'' iir#�u a�rirst�� Department of State { Division of Corporations / Seor h a r s / ear h by Entity- Name / 2604 15TH ST W LEHIGH ACRES, FL 33971 PORTILLO, WILMER Y 2604 15TH ST W LEHIGH ACRES, FL 33971 No Annual Reports Filed Dpeument Imagg$ 12:21! 2022 — Domestic Profit View image :n PDF fo,rnat Packet Pg. 51 8.B.1 Electronic Articles of Incorporation For EVERLAST BUILDING CONTRACTORS, INC. P22000093998 FILED December 21, 2022 Sec. Of State kcostello The undersigned incorporator, for the purpose of forming a Florida profit eorporation, hereby adopts the following Articles of Incorporation: Article I The name of the corporation is: EVERLAST BUILDING CONTRACTORS, INC. Article II The principal place of business address: 2604 15TH ST W LEHIGH ACRES, FL. 33971 The mailing address of the corporation is: 2604 15TH ST W LEHIGH ACRES, FL. 33971 Article III The purpose for which this corporation is organized is: ANY AND ALL LAWFUL BUSINESS. Article IV The number of shares the corporation is authorized to issue is: 100 Article V The name and Florida street address of the registered agent is: WILMER Y PORTILLO 2604 15TH ST W LEHIGH ACRES, FL. 33971 I certify that I am familiar with and accept the responsibilities of registered agent. Registered Agent Signature: WLIMER Y PORTILLO - W w J_ 00 00 c m E z �a a Packet Pg. 52 8.B.1 P22000093998 FILED Article VI December 21, 2022 Sec. Of State The name and address of the incorporator is: kcosteflo WILMER Y PORTILLO 2604 15TH ST W LEHIGH ACRES, FL 33971 Electronic Signature of Incorporator: WILMER Y PORTILLO I am the incorporator submitting these Articles of Incorporation and affirm that the facts stated herein are true. I am aware that false information submitted in a document to the Department of State constitutes a third degree felony as provided for in s.817.155, F.S. I understand the requirement to file an annual report between January I st and May 1 st in the calendar year following formation of this corporation and every year thereafter to maintain "active" status. Article VII The initial officer(s) and/or director(s) of the corporation is/are: Title: PTSD WILMER Y PORTILLO 2604 15TH ST W LEHIGH ACRES, FL. 33971 US Article VIII The effective date for this corporation shall be: 01 /01 /2023 W w J_ m 00 C E t t) Q Packet Pg. 53 8.B.1 1R�NEPARTN:ENT OF THE TREASURY J INTERNAL REVENUE SERVICE CINCINNATI OH 45999-0023 EVERLAST BUILDING CONTRACTORS INC a WILMER Y PORTILLO 2604 15TH ST W LEHIGH ACRES, FL 33971 Date of this notice: 12-27-2022 Employer Identification Number: 92-1473516 Form: SS-4 Number of this notice: CP 575 A For assistance you may tali us at: 1-800-829-4933 IF YOU WRITE, ATTACH THE STUB AT THE END OF THIS NOTICE. WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NTJI-SER Thank you for applying for an Employer Identification Number (EIN). We assigned you EIN 92-1473516. This EIN will identify you, your business accounts, tax returns, and documents, even if you have no employees. Please keep this notice in your permanent records. Taxpayers request an EIN for their business. Some taxpayers receive CP575 notices when another person has stolen their identity and are opening a business using their information. If you did not apply for this EIN, please contact us at the phone number or address listed on the top of this notice. When filing tax documents, making payments, or replying to any related correspondence, it is very important that you use your EIN and complete name and address exactly as shown above. Any variation may cause a delay in processing, result in incorrect information in your account, or even cause you to be assigned more than one EIN. If the information is nor_ correct as shown above, please make the correction using the attached tear -off stub and return it to us. Based on the information received from you or your representative, you must file the following forms by the dates shown. Form 1120 04/15/2024 I£ you have questions about the forms or the due dates shown, you can call us at the phone number or write to -,s at the address shown at the top of this notice. If you need help in determining your annual accounting period (tax year), see Publication 538, Accounting Periods and Methods. we assigned you a tax classification (corporation, partnership, etc.) based on information obtained from you or your representative. It is not a legal determination of your tax classification, and is not binding on the IRS. If you want a legal determination of your tax classification, you may request a private letter ruling from the IRS under the guidelines in Revenue Procedure 2020-1, 2020-1 I.R.B. 1 (or superseding Revenue Procedure for the year at issue). Note: Certain tax classification elections can be requested by filing Form 8632, Entity Classification Election. See Form 8832 and its instructions for additional information. IMPORTANT INFORMATION FOR S CORPORATION ELECTION: If you intend to elect to file your return as a small business corporation, an election to file a Form 1120-S, U.S. Income Tax Return for an S Corporation, must be made within certain timeframes and the corporation must meet certain tests. Ali of this information is included in the instructions for Form 2553, Election by a Small Business Corporation. Packet Pg. 54 (IRS USE ONLY) 575A 12-27-2022 EVER B 9999999999 SS-4 8.B.1 If you are required to deposit for employment taxes (Forms 941, 943, 940, 944, 945, CT-1, or 1042), excise taxes (Form 720), or income taxes (Form 1120), you will receive a Welcome Package shortly, which includes instructions for making your deposits electronically through the Electronic Federal Tax Payment System (EFTPS). A Personal Identification Number (PIN) for EFTPS will also be sent to you under separate cover. Please activate the PIN once you receive it, riven if you have requested the services of a tax professional or representative. For more information about EFTPS, refer to Publication 966, Electronic Choices to Pay All Your Federal Taxes. If you need to make a deposit immediately, you will need to make arrangements with your Financial Institution to complete a wire transfer. The IRS is committed to help_ng all taxpayers comply with their tax filing obligations. If you need help comp-eting your returns or meeting your tax obligations, Authorized e-file Providers, such as Reporting Agents or eter payroll service providers, are available to assist you. visit www.irs.gov/mefbusproviders for a list of companies that offer. IRS e-file for business products and services. IMPORTANT REMINDERS: * Keep a copy of this notice in your permanent records. This notice is issued only one time and the IRS will not be able to generate a duplicate copy for you. You may give a copy of this document to anyone asking for proof of your FIN. * Use this EIN and your name exactly as they appear at the top of this notice on all your federal tax forms. * Refer to this EIN on your tax -related correspondence and documents. * Provide future officers of your organization with a copy of this notice. Your name control associated with this EIN is EVER. You will need to provide this information along with your EIN, if you file your returns electronically. Safeguard your FIN by referring to Publication 4557, Safeguarding Taxpayer Data: A Guide for Your Business. You can get any of the forms or publications mentioned in this letter by visiting our website at www.irs.gov/forms-pubs or by calling 800-TAX-FORM (800-329-3676). If you have questions about your EIN, you can contact us at the phone number or address listed at the top of this notice. If you write, please tear off the stub at the bottom of this notice and include it with your letter. Thank you for your cooperation. Packet Pg. 55 (IRS USE ONLY) 575A 12-27-2022 EVER B 9999999999 SS-4 8.B.1 Keep this part for your records. CP 575 A (Rev. 7-2007) ---------------------------------------------------------------------------------- Return this part with any correspondence so we may identify your account. Please CP 575 A correct any errors in your name or address. 9999999999 YOLr Telephone Number Best Time to Call DATE OF THIS NOTICE: 12-27-2022 ( ) _ EMPLOYER IDENTIFICATION NUMBER: 92-1473516 FORM: SS-4 NOBOD INTERNAL REVENUE SERVICE CINCINNATI OH 45999-0023 EVERLAST BUILDING CONTRACTORS INC % WILMER Y PORTILLO 2604 15TH ST W LEHIGH ACRES, FL 33971 W W 2 J_ m 00 C E t cv a Packet Pg. 56 8.B.1 c A jer coumty Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERDHCATE OF COMPETENCY STATEMENT OF OWNERSHIP This certifies that I, W� ) w\ C -i T , ec "'A 1'3 am a member or managing APPLICANTS NAME (please print) member of fQ(!-4ky-S-k CSC?IrAp,. roH{(c.CAcys : vC (LIMITED LIABILM COMPANY NAME) I own 100 % 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. Applicant (please print) el�P f lcac�F �urtc�M`� CS-nA,,(Aws Inc. Name of Company (o Signature of Applicant FICYJ1a State o + County of Oc"111'&Y— The foregoin instrument was acknowledged bef re me by mea LG' hysicas of pl presence or 0 online notarization on this ` day of i ( 20 j. by t% ' �! 1� Drti r i D Y�;� �e Z Such person(s) Notary Public must check applicable box: ❑ are personally known to me O'has produced a current driver license • has produced as identification. (Notary Seal) otirarPuk ALYSHIAMORSE a ' Commitaion p HH 190514 y�or E><pirea October 25, 2025 Notary Signature: ofrtior 904Wrho,aud,7■trlvMrrb4(vlms Contractor Licensing -- FIRM Application Rev 712022 Page 9 of 14 P W LU J m Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 a (239) 252-2431 qp cont ractorsl icen si na,®co ll ie rco untyfl. q o v C d E t V R r Packet Pg. 57 8.B.1 COier COtunty Growth Management Community Development Department APPUCATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name WELMER Y PORTILLO SANCHEZ CerhficateCategory Rrquested BUILDING CONTRACTOR The applicant is seeking a Collier County Censhcate of Competency in the trade indicated above As pan of fhe application for this certificate, the applicant must verify his/her experience within Ibis trade You are being requested to provide information that will aid tho applicant in meeting this re quiremnni You should vwdy time of active erporience working as an apprant" nr o skilled worker (e.g , as a worker commanding the wage of mechanic of better in the Pride). Time served solely in a supervisory or administrative robe should be desrnbed, but may or may not be considered suffident to demonstrate required trade experience. The DJ�rson verifying trade experience for the above -named applicant must provide the following information Name. r6i ! �O DA I/G t! iZ Trite rf S( f& f eus+rfesa Ntsma: Il G ��'�_ Q Phone' 23 k37 0 S- Lbww No. (R applicable): 5 y 3/ �p Business Addrecs' S6 K3 SAP^ �!/�,O/ sose �G CRY saes ZIA The applicant was employed by me from d/� to Applicant's Idle: Sy� Cc, I �v'P 4T 4+ The applicant's scope orwortt spec& duties) incclluded. _Q 4'R i Cu h / "� r;✓ !n //Jf / Addi�mments. �h-C /J /F -� ��n-r 6 /i--- NOTE TO LICENSED CONTRACTORSFalsifying nny information provided herein may Subject youthconse to revOcabon Under penalty of perjury, I declare that the facts stated here are true County ounty ol' Signature of person prg the stew lien Stale of _��f�j� olfidus The foregoin instrvmrnI was acknowledg/ed before /me by Means 0?9 physical presence or ❑ online notarisation on this by Such persons) Notary Public must check applicable box: aft personally known to me ❑ has produced ❑ hiss produced a current driver license identification. {Notary Scatl t VERONICA ORTIZ 04 Wtary public Sta%e of Florida fi Commit 14M284 E tv Expires 7/5%IQ26M(ttary Signature ta: r'nrvrMnr t ronswf _ FiR1,1 Apptifat on Rew 70922 pogo 11 Of 1 { Opeta:ions 6 Regulatory Management Division, CoM ilaor Laenstng . 28W Noah Megasfroe Drive a Naptey, Fl- 34104 • (239) 252.2431 evnerauo.si pins tscoi K covnlf W W J_ m 00 C E t t) Q Packet Pg. 58 5683 5tnand CU. #8 Milp ems, If- 34110 1/2/23 Dear Sir or Madam, I, Gerald Dalia Jr., a Florida State Certified Building Contractor, #CBC059319 am writing this letter on the behalf of Wilmer Portillo Sanchez and my knowledge of his work ethic and capabilities. I have know Wilmer since October 2012, in this time he has done many different types of work including, painting, pressure washing, installed cabinets, doors & trim, installed door locks, windows & exterior doors. I am also aware that he built a small structure as a owner builder on his property, where he formed and poured his own slab, footers, built walls and windows. All the time I have known Wilmer he has been hardworking and responsible. He is well liked by other subcontractors and homeowners. He has an excellent work ethic, is honest and fair and it's my pleasure to write this recommendation on this behalf. Res p ully, f Gerald Dalia Jr. President Dalia Bldg. Co. Cell 239-253-4492 $Ilsle� VERONICA oRm a - Notary Public }State of Florida W WCOMM# HH284381 Explres 7/5/2026 J m °° r c a� E t U R r Q Packet Pg. 59 COT ter County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name: WILMER Y PORTILLO SANCHEZ Certificate Category Requested: BUILDING CONTRACTOR The applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate, the applicant must verify his/her experience within this trade. You are being requested to provide information that will aid the applicant in meeting this requirement. You should 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: Name: �1_ lTitle:T Business Name: C Phone: -2~ 3 � 060 1-z) Dense No. (if applicable): Business Address: l_ _'� Q G qU 7 Street State Zip The applicant was employed by me from 2—o 1--2— to�.eS2- Applicant's title `' k C in cs�6 The applicant's scope of work (specific duties) included: .LA:a=CA 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 FLORIDA Signature ofpe n p viding the statement County of The foregoing instrument was acknowledged before me by means of-S physical presence or 0 online notarization on this day of�20,,Z Z , by Such person(s) Notary Public must check applicable box: Vare personally known to me 0 has produced (Notary Seal) El has produced a current driver license as identification. VERONICA OMU I'+otrry Pu4gc S;at¢ Of FloiIda cc, nfrw HH2w.3E 1 Notary Signature E,4;ires 7/5/2026 Contractor Licensing — FIRM Application Rev. 712022 Page 11 of 14 Operations 8 Regulatory Management Division, Contractor Licensing s 280D North Horseshoe Drive • Naples, FL 34104 . (239) 252-2431 contractorslicensina colliercoun fl ov 8.B.1 P W W J m 00 r.+ C d E t V R r Q Packet Pg. 60 8.B.1 Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name: WILMER Y PORTILLO SANCHEZ Certificate Category Requested: BUILDING CONTRACTOR The applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate the applicant must verify hisfher 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 fTollowing information: Name: /`�t Iy ib i __ Title: �� I ou" L Business Namet14"6ee E1T )6M T C�ON , Phone: 7^�D� 1 �Q���o License No. (if applicable)dgk4i ZG—_-;St09_ Business Address: !?x a•, (74G0 G C)e. N6PLEi5 Street City T State Zip The applicant was employed by me from EAe-�4 26V'7 Applicant's title: wNae uPE!?szis6 ;;ou6, / PJ% f The applicant's scope of work (specific duties) included: CiffPtaieS MIiVCa IN7wg ,ioe 9l�i'Cll�� C1Gti11�}� �.1�iT14 t bV� Additional cornments: �fi NOTE TO LICENSED CONTRACTORS: Falsifying any information provided herein may subject your license to revocation. Under penalty of perjury, I declare thal: the facts stated here are true. State of FLORIDA _ ►/` Xe_)z�� rf Signature of person providing the statement County of The foregoing instrument was acknowledged before me by means oi)Wphysical presence or 0 online notarization on this 2 day o�x q—, 20 Z-13 , bySuch person(s) Notary !Public must check applicable box: _Ll are personally known to me ❑ has produced a current driver license a O © has produced _ _ as identification. J — J (Notary Sea]) ; IX S VERONICA ORTIZ / O Notary Public a- ti t State cf Florida / } Cornlnit HH284381 Notary Signature: rCf 14►� Expires 7/5%2025 W 2 J Contractor Licensing —FIRM Application Rev. 7I2022 Page 11 of 14 Operations & Regulatory Management Division, Contractor Licensing . 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 m contractorslicensina(rbcollierc_ountyfl-qov pp r.+ C d E t v R r Packet Pg. 61 8.B.1 GARRETT / CURTIS CONSTRUCTION, INC 177 W Pago Pago Dr. Naples, FI 34113 239-631-9306 garrettcurtisconst@gmail.com CBC 1253869 Collier County Contractor Licensing 2800 North Horseshoe Drive Naples, FL 34104 SUBJECT: Referral for Wilmer Portillo Sanchez To whom it may concern: My company does primarily renovations to homes and condominiums in the Marco Island and Naples areas. I have been licensed in Michigan and Florida for a total of 40 plus years. Our projects are typically larger renovations. Wilmer was referred to me in 2017 through another contractor that does similar work as mine. Wilmer and his employees have always done exceptional work. He is a multi -talented person in the trades. When framing repairs are required to make a wall correct for finish, he takes care of it. Besides the interior and exterior paint and finish work, Wilmer has done cabinetry work, flooring, and drywall repairs. Wilmer and his employees have always been professional and a pleasure to work with. Wilmer has directly supervised and run every job that he has helped me with. I will continue my relationship with his company. Sincerely, M Martin Pierman-President Garrett / Curtis Construction, Inc. V@.RON ICA OR= Notary Public State of Florida : comm# HH28M e Expires 7/5/2026 W w 2 J_ m 00 C E L V cC a Packet Pg. 62 8.B.1 Gold Coast School 5600Tamar Hiatus Road Tamarac, FL 33321 of Construction 80°_ ools.c m www.goldcoastschooEs.com dba of Gold Coast Professional Schools, LLC "The Proof is in the Passing!" CERTIFICATE OF COMPLETION Wilmer Y. Portillo 2604 15th St W Lehigh Acres, FL 33971 Director Authorized Signature DBPR School Provider #: 0000983 Course: Financial Responsibility & Stability in Construction (online) Start date: 04/24/2022 Completion date: 04/25/2022 Student ID: 8288175 License Numbers: The student named in the report has completed the referenced courses in accordance with the requirements of the CILB, ECLB, BCAIR, FBASD, FBPE, Hl, Broward, Dade. & Palm Beach County. Important note: Student information must be properly logged for students to obtain full credit for attendance. Gold Coast School of Construction, assumes no responsibility for incomplete, unreadable, or incorrect license information reporting. The student is responsible for accurately listing all numbers for which he or she is requesting credit. Failure to accurately report this information will result in no continuing education credit to be received by the student, which could result in license suspension. ALL LICENSE INFORMATION PROVIDED BY THE STUDENT MUST BE COMPLETE AND ACCURATE FOR CF. CREDIT TO BE ISSUED. W LU J_ m e0 C E t t) Q Packet Pg. 63 8.B.1 Co Ie-V County Growth Management ~ Community Development Department a APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY J w w w AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER o w w STATE OF FLORIDA w COUNTY OF LEE LU O Margarita Ramirez having been first duly sworn, state and affirm: Q I am a resident of LEE County, FLORIDA (State) and have resided here for I— Z more than five (5) years. U 0 Z WILMER Y PORTILLO SANCHEZ 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 m good character. - H ( LU ignature U MARGARITA RAMIREZ o Printed Name Z Q Address: 2419 RICHARD AVE S Street LEHIGH ACRES FL 33973 Ciry State Zip Telephone: 239-200-1666 State of FLORIDA County of LEE The foregoing instrument was acknowledged before me by means of 0 physical presence or ❑ online notarization on this A—. dayof 176cc,%%wa.f ,20.;)D ,by �t{c r.4 I'��._....r�-C Such person(s) Notary Public must check applicable box: 0 are personally known to me ® has produced a current driver license ❑ has produced FLORIDA DRIVER'S LICENSE as identification. (Notary Seal) Commksion # HH 062258 e,�4� Expires January 20, 2025 •°R"•• Bw&d TMu Tvy Fain iuwance 80WW7019 Contractor Licensing - FIRM Application Rev. 7/2022 Notary Signature: 4' Page 13 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive a Naples, FL 34104 . (239) 252-2431 contractorslicensing@a colliercount fy lgov Packet Pg. 64 8.B.1 Cof 7er County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF FLORIDA COUNTY OF LEE CARLOS RIVAS , having been first duly sworn, state and affirm. I am a resident of LEE more than five (5) years. County, FLORIDA (State) and have resided here for During the last five (5) years I have known WILMER Y PORTILLO SANCHEZ(applicant). I have had the opportunity to observe his or her business and personal dealings and find him or her to be a person f honesty, integrity and good character, Signature CARLOS RIVAS Printed Name Address: 9080 SAN CARLOS BLVD Street FORT MYERS, FL 33967 Cary State Zip Telephone, 239-980-0166 state of FLORIDA County of LEE The foregoing instrument was acknowledged before me by means of ® physical presence or ❑ online notarization on this a day of t!-Ce ��, 20 , by _ G-_ c tZ sc _ Such person(s) Notary Public must check applicable box: V are personally known to me V has produced a current driver license ❑ has produced FLORIDA DRIVER'S LICENSE as identification. W (Notary Seal) 0 i IL rr� JOSEPH C. FRANK � Commission 9 HH 062258 W Expires January 20, 2025 Notary Signature: BwdedThruTroy Fain InwranmBOQ- &7010 - J_ Contractor Licensing — FIRM Application Rev. 712022 Page 14 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 a (239) 252-2431 contractorslicensin cclli jrrcountyfl gov X1 00 C L V R a Packet Pg. 65 8.B.1 Florida �- - - rr€LLo S21W a 7,�- r LBF4004 ACRESEL 71- �e 28at19 4 x fw sa ftftT T1C'W WDOMM Im SWc �: l `t l i' a ' a! a noYor i aonsanE to any sdbm P w W J_ m 00 r.+ C d E t V R r Q Packet Pg. 66 Nk,ee 0. ak Local Business Tax Receipt 8.B.1 EVERLAST BUILDING CONTRACTORS INC WILMER Y PORTILLO Dear Business Owner: Your 2022 - 2023 Lee County Local Business Tax Receipt is attached below for account number / receipt: number: 1081683 / 2300966 If there is a change in one of the following, refer to the instructions on the back of this receipt. • Business name • Ownership • Physical location • Business closed This is not a bill. Detach the bottom portion and display in a public location. I hope you have a successful year. Sincerely, Lee County Tax Collector 2022-2023 LEE COUNTY LOCAL BUSINESS TAX RECEIPT Account Number: 1081683 Receipt Number: 2300966 State License Number: Location: 2604 15TH ST W LEHIGH ACRES, FL 33971 EVERLAST BUILDING CONTRACTORS INC WILMER Y PORTILLO 2604 15TH ST W LEHIGH ACRES, FL 33971 Account Expires: September 30, 2023 ADMINISTRATIVE OR BUSINESS OFFICE ONLY THIS LOCAL BUSINESS TAX RECEIPT IS NON Payment Information: PAID B09•00-00806129 12/29/2022 $50.00 W W J_ m 00 C E t c� Q Packet Pg. 67 8.B.1 61G4-15.006 Financial Responsibility and Financial Stability, Grounds for Denial. (1) The financial responsibility ground on which the Board shall refuse to qualify an applicant is failure to provide a current consumer credit report, as defined in Rule 61G4-12.011, 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 judgments or liens against the business entity which the applicant previously qualified as a primary qualifier or which the applicant has applied to qualify. (2) The financial stability ground on which the Board shall refuse to qualify 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 61G4-15.0021, F.A.C., for Financially Responsible Officers in the amount of. (a) $20,000 for Division 1 applicants. (b) $10,000 for Division 11 applicants. (3) Fifty percent of the financial stability bond or the letter of credit requirement may be met by completion of a 14-hour financial responsibility course approved by the Board. (4) An applicant may meet both the financial responsibility and financial stability requirements by providing proof of a current consumer credit report, as defined in Rule 61 G4-12.011, 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 entity which the applicant previously qualified as a primary qualifier or which the applicant has applied to qualify. Specifrc Authority 489.115(5), (6) FS. Law Implemented 489.115(5), (6) FS. History -New 1-6-80, Amended 5-4-80, Formerly 11E-15.06, 11E- 15.006, Amended 10-31-96, 11-13-97. 1-11-08. W LU 2 J_ m 00 4+ C tv E t t) Q Packet Pg. 68 8.0 02/13/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 8.0 Doc ID: 24572 Item Summary: 8C. LENA M. CACERES ENDARA - REVIEW OF EXPERIENCE - BUILDING CONTRACTOR - REGISTERED- CORINTO DECOR Meeting Date: 02/13/2023 Prepared by: Title: — Contractor Licensing Name: Alyshia Morse 02/02/2023 5:01 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 02/02/2023 5:01 PM Approved By: Review: Contractor Licensing Contractor Licensing Contractor Licensing Sandra Delgado Review item Tim Crotts Review Item Tim Crotts Meeting Pending Completed 02/06/2023 3:41 PM Completed 02/07/2023 7:47 AM 02/13/2023 9:00 AM Packet Pg. 69 8.C.1 co�r county Growth Management Community Development Department U J APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY FIRM APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY This application must be typewritten or legibly printed. The application fee must be paid upon approval and is NOT refundable. All checks should be made payable to: Collier County Board of County Commissioners. For further information, cor suit Collier County Ordinance No. 2006-46, as amended. TYPE OF CERTIFICATE OF COMPETENCY: ❑ G,,neral $230.00 ElElectrician $230.00 W tY ® Building $230.00 ❑ Plumber $230.00 tY O ElRosidential $230.00 ❑ Air Conditioner $230.00 L) U Q ❑ M ;chanical $230.00 ❑ Swimming Pool $230.00 z ❑ Roofing $230.00 ❑ Specialty $205.00 O U t;7 Z Specialty Trade: J_ m I. APPLICANT PERSONAL INFORMATION: W U Name: Lena M Caceres Endara w First Middle Initial Last W i Business Name: Corinto Decor LLC IX W 5357 Shirley Street, unit C Naples FL 34109 O Address: W street City State Zip W Email: colintodecor@gmail.com , Q Telephone: 2395720911 Q _ 4041 *SS # (Last 4 digits only): W 05/17/1974 Date of Birth:_ Driver's License # (Last 4 digits only): &77-0 w Pursuant to Collier County Con{ractor Licensing Ordinance No. 2006-46 Section 2.1.1., all applicants are required to submit their social security L) number, driver's lic(nse, and date of birth for the following purposes: a) Assess applicant's ability to satisfy creditors by reviewing their credit Q history. b) Verificat on of applicant's test scores and information. c) Verification of applicant's identity. Our office will only use the personal U information noted above for those reasons pursuant to Chapter 119, Florida Statutes, and as may otherwise be authorized by law. we are fully committed to safeguarding and protecting your personal information and once collected, will be maintained as confidential and exempt under Q Chapter 119, Florid: Statutes. Z W J Contractor Licensing - FIRM Application Rev. 712022 Page 3 of 14 6 Operations & Reguiato y Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 coniractorslicensinajaDcolliercountyfl qoc d E t V R r a+ Q Packet Pg. 70 8.C.1 1.6-1.2. Building Contractor requires forty-eight (48) motiths experience with a passing grade an ;, ' ,, ; t M_n2raved cost and a �e business and lave test and means a contractor whose services are limited to ConserUCtion Of COMFne +vial buildings and single -dwelling or mulbPle-dwelling residen6ai buildings, which ConunerciLl or resi&Jabal buildings do not exceed three sto,ies in height, and accessary use structures its connmtion therewith or s contractor whasC services are limited to remodeling, repair, or improvement of any size building if the services da riot affect the structural members of the building. DOTE. Also see ect. i _6. , z w J U 00 r- W E t U 2 r Q Packet Pg. 71 8.C.1 COMer county Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY Provide the narles and telephone numbers of two persons who will always know your whereabouts. Name: Jua 1 A. Prieto Fernandez Name: Ismael Prieto Caceres Telephone:, 2395720910 Telephone: 239 973 6849 II. NAME OF APPLICANT'S BUSINESS: Business NamE Corinto Decor LLC Business AddrEss: 5857 Shirley Street, unit C Naples FL 34109 Street City SIate zip Telephone: 239 260 7173 Email: co,intodecor@gmail.com Federal ID Tax Vo.: 47-5558300 III. FINANCIP L RESPONSIBILITY YES NO ALL APPLICANTS MUST ANSWER THE QUESTIONS BELOW: X =iied for or been discharged in bankruptcy within the past 5 years? X -iad a lien filed against you by the Internal Revenue Service or Florida Corporate Tax Division? X Jndertaken construction contracts or work that resulted in liens, suits, or judgments being filed? X Jndertaken construction contracts or work that a third party, such as a bonding or surety company, :ompleted or made financial statements on? X vlade an assignment of assets in settlement of construction obligations for less than the debts )utstanding? X 3een convicted or found guilty of, or entered a plea of nolo contendere to, regardless of adjudication, a crime in any jurisdiction within the past 10 years?" X dad claims or lawsuits filed for unpaid or past due accounts by your creditors as a result of ,onstruction experience? Been charged with or convicted of acting as a contractor without a license, or if licensed as a X ,ontractor in this or any other state, been "subject to" disciplinary action by a state, county, or municipality? NOTE. If you hove 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, satisfciction of lien or judgement, bankruptcy discharge, or agreements for payment.`If you have had a felony conviction, proof that your civil rights have been restored will be required prior to licensure. Contractor Licensing - FIRM Application Rev. 712022 Page 4 of 14 Operations & Regulato y Management Division, Contractor Licensing • 2800 North Horseshoe Drive a Naples, FL 34104 • (239) 252-2431 contractors licensingCokolIiercountyflgw Z LI.I J U 00 C d t V R r r Q Packet Pg. 72 COer c014nty 8.C.1 Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY IV. EXPERIENCE VERIFICATION EDUCATION: List below and xovide transcripts for any formal education you have obtained in the area of competency for which this application is being made: Remc deler and Interior Designer in Spain for 14 years - Kitchen and Bathrooms Specialist. I file an LL -_ with Sun buiz since 2015 - Corinto Decor LLC List below non formal education (on the job training) you have obtained in the area of competency for which this application is bring made: Working wit directly with New Vision Builders SW in Naples for about two years Designer specialist and proyect manayer (I had been working with different contractors) - Naples FL - 7 Years CURRENT/PREVIOUS LICENSE: List below and attach copies any other certificates of competency/licenses you hold/have held in Collier County or any other jurisd ction. Include the license #, Type, and county you hold it in. L150001914W Sunbiz -Collier County AFFIDAVIT Under the pena ties of perjury, I declare that I have read the foregoin Ica r n a he facts stated in it are true. / A Lena M. Caceres Endara Appli :ant (please print) Signature of Applicant State of FL County of Collier The foregoin ins trument was acknowledged before me by means of W physical presence or ❑ online notarization on this day of -i'= Z 20 2,� , by Such person(s) N )Cary Public must check applicable box: pare personally mown to me ❑ has produced a current driver license ❑ has produced (Notary Sea apro6�. ANORE SEBASTIAN PAZ C `1A." Notary Public - State or Florida Commisvon p GG 316828 or n My Comm. Expires Mar 21, 2023 Borded throgh Natiora. Notary Ass r. Contractor Licensing - FIRM Application Rev. 712022 Operations & Regulato y Management Division, Contractor Licensing a 2800 North Horseshoe Drive Naples, FL 34104 o (239) 252-2431 contraclorslloensinr4(c5�colliercountyfl.gov as identification. Notary Signature: Page 5 of 14 Z W J U 00 C d t V R r r Q Packet Pg. 73 Coder County Growth Management Community Development Department 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, E s amended, and under penalties of perjury. I declare that I have read the foregoing qualifier information anc that the facts stated in it are true. The undersignE d 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 un Jertaken 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. State of Florida County of Collier Lena M. Caceres Endara Applicant (please print The f regoing im trument was acknowledged before me by `means 7fphysical presence or ❑ online notarization on this ay of tV 1 20 � , by I �,yt(f !` 1 � + U Eoli Such person(s) Notary Public must check applicable box: Fre personally known to me ❑ has produced a current driver license © has produced (Notary Seat) E ANDRE SEBASTIAN PAT Notary Public .State of Florida Commission ill GG 316828 My Comm. Expires Mar 27, 2023 ,orded through National Notary Assn. as identification. Notary Signature: 8.C.1 Contractor Licensing - FIRM Application Rev. 7/2022 Page 8 of 14 0 Operations & Regulato y Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslicensina a)colliercountvfl.gov y E t t� cs r a Packet Pg. 74 C0 167 C014ftty 8.C.1 Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY WORKMEN'S COMPENSATION AFFIDAVIT It is understooc 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 Insurance it will result in the possible revocation of my Cettificat,: of Competency. BEFORE ME tl•is day personally appeared Lena Caceres Endara Applicant (please print Lena M. Caceres Endara who affirms and Applicant (please print) says that he ha i 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 insurance. State of Florida County of Collier The foregoing in: trument was acknowledged be ore me by lay of I. c�/� , 20 , by / Such person(s) Notary Public must check applicable box: off physical presence or ❑ online notarization on this ?are personally known to me ❑ has produced a current driver license ❑ has produced _ as identification. (Note ANDRE SEBASTIA:PAZ Notary Pub11c - Stateda CommissIl 1 I e�µ023MY Comm. E p drd through Nalionai ssn. Notary Signature: Contractor Licensing - FIRM Application Rev. 712022 Page 7 of 14 Operations & Regulatoy Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 a (239) 252-2431 contractors licensingCcDcolIiercountvfl oov Z LU J U 00 C d t v R r r Q Packet Pg. 75 8.C.1 GITS, LLC Examination Operations Division F 'oviding the services and products to assist Government Agencies to make informed educated decisions. Official Examination Score Report Official S{:Dre Report: Candidate Information: Name -- L.: na Caceres Endara Candidate q: 33746770C Online Te:; in Site: Ocala, FL Final Scoic Result: December 14, 2022 Business Procedures Score: 76% (11/25/2022) Building Contractor Score: 82% (12/14/2022) These res : Its represent the grade that has been achieved on the above named examination(s) adniiniste:-,�d by Gainesville Independent Testing Service for Collier County, Florida. If you ha,,t: any further questions, please do not hesitate to contact us. Sincerely, r'✓tee F.iY�r�J� rr1401 e- Jay E./Bo-.N-ermeister President PO Box 831127 Ocala, Florida 34483-1127 — Voice (352) 369-GITS - Fax (352) 387-2443 800 997 2129 0 00 r C d E t c� tv r a Packet Pg. 76 8.C.1 Personal Credit Report for: LENA CACERES HNDARA File Number: 435523166 Date Created: 12/11/2022 Visit transunion.com/dispute to start a dispute online. P Personal Information You have been on our file: since 08/04/2015. Your SSN has been masked for your protection. Credit Report Date 12/11/2022 Social Security Number XXX-XX-4041 Date of Birth 05/17/1974 Name LENA M. CACERES ENDARA Also Known As AKA LENA MIRELLA CACERES ENDARA AKA LENA MIRELLA CACERES AKA LCACERESENDARA Addresses Z W J U 00 r c m E t v r r Q Packet Pg. 77 Current Address 5091 GENOA STAVE MARIA, FL 34142-5092 Date Reported 12/31/2016 Other Address 1160 RESERVE WAY APT 304 NAPLES, FL 34105-3817 Date Reported 08/28/2015 Other Address 1160 RESERVE WAY APT 305 NAPLES. FL 34105-3817 Date Reported 08/31/2016 Other Address 3002 SANTA ALEJANDRA MISSION, TX 78572-7551 Date Reported 08/04/2015 Phone Numbers Phone Number (239) 572-0911 Phone Number (239) 572-0910 Phone Number (239) 300-0598 Phone Number (465) 581-8114 Employers Employer CORINTO DECOR LLC Date Verified 10/28/2021 ---------------------------------------------------------------------------------- RETIRED Occupation RETIRED Date Verified 08/06/2015 8.C.1 Z W J U 00 r c m E t v r r Q Packet Pg. 78 �a Accounts 8.C.1 Typically, creditors report any changes made to your account information monthly. This means that some accounts listed below may not reflect the most rece,it activity until the creditor's next reporting. This information may include things such as balances, payments, dates, remarkE, ratings, etc. The rating key is provided to help you understand some of the account information that could be reported. Pay Status ri=presents the current status of accounts and indicates how you are currently paying. For accounts that have been paid and close(I, sold, or transferred, Pay Status represents the last reported status of the account. Payment/Remarks Key Ratings OK Current, paying cr paid as agreed NCR Not Reported x Unknown 3o Account 30 days late 6o Account 60 days late 90 Account 90 days late 12o Account 120 or n kore days late Coy Transferred to cc llection vs Voluntarily surre idered Rao Repossession c/o Charged off by ai:count provider Fc Foreclosure Remarks AAP: Loan assumed b� another party ACo: Acquired from another lender ACR: Account closed Niue to refinance ACT: Account closed clue to transfer AFR: Account acquired by RTC/FDIC AID: Account informa _ion disputed by consumer AJ P: Adjustment pent ing AMD: Active military duty AND: Affected by natL.raL disaster BAL: Balloon payment BKL: Included in bankruptcy BKW: Bankruptcy witF drawn CAD: Dispute account/closed by consumer CBC: Account closed :)y consumer CBD: Dispute resolve( /consumer disagrees/closed by consumer CBG: Canceled by cre Jit grantor CBL: Chapter 7 bankruptcy 0 00 r c d t tt cv r a Packet Pg. 79 CBR: Chapter 11 bankruptcy CST: Chapter 12 bankruptcy CLA: placed for collection 8.C.1 CLO: Closed CLS: Credit line suspended CRB: Collateral released -balance owing CTR: Account closed -transfer to refinance CTS: Contact subscriber DDR: -none- DLU: Deed in lieu DM: Bankruptcy dismissed DRC: Dispute resolved/consumer disagrees DRG: Dispute resolved reported by credit grantor ER: Election of remedy ETB: Early termination/balance owing ETI: Early termination by default ETO: Early termination/obligation settled ETS: Early termination/status pending FCL: Foreclosure FPO: Account paid, foreclosure started FPI: Foreclosure initiated FRO: Foreclosure collateral sold FTB: Full termination/balance owing FTO: Full termination/obligation satisfied FTS: Full termination/status pending INA: Inactive account INP: Debt being paid through insurance INS: Paid by insurance IRS: Involuntary repossession/balance owing IRE: Involuntary repossession IRO: Involuntary repossession/obligation satisfied JUG: Judgment granted LA: Lease assumption LMN: Loan Modified Not GOVT (government) LNA: Credit line is no longer available MCC: Managed by credit counseling service MOV: No forwarding address NIR: Student Loan not in repayment NPA: Now paying PAL: Purchase by another lender PCL: Paid collection POD: Paid by dealer PDE: Payment deferred PDI: Principle deferred/initial payment only V 00 r c d t c� cv r a Packet Pg. 80 PFC: Account paid fro n collateral FILL: Prepaid Lease PLP: Profit and Loss nc w paying PNR: First payment never received U PPA: Paying partial pa invent agreement J J PPD: Paid by co -make • V PPL: Paid profit and loss W PRD: Payroll deductio 1 O H PRL: Profit and loss w ite-off Z PWG: Account payme it, wage garnish O U REA: Reaffirmation of debt REP: Substitute/replacement account W RFN: Refinanced W F- U RPD: Paid repossession 3 RPO: Repossession W RRE: Repossession redeemed O RVN: Returned voLunt srily F- RVR: Returned voluntarily/redeemed SET: Settled -Less thar full balance 'y F- Z SGL: Government sec fired guaranteed V SIL: Simple interest loan O Z SLP: Student loan per assign government SPL: Single payment loan m STL: Credit card lost/:stolen W TRF: Transfer U Z TRL: Transferred to ar other lender W TTR: Transferred to recovery d WEP: Chapter 13 bank-uptcy W For account informati 3n other than payment history, we may show brackets > < to indicate information that may negatively W O affect your credit health. Z Satisfactory Accounts The following accounts ai e reported with no adverse information. For your protection, your account numbers have been partially masked, and in some cases scrambled. Please note: Accounts are reported as "Current: Paid or paying as agreed" if paid within 30 days of the due date. Accounts reported as Current may still incur Late fees or interest charges if not paid on or before the due date. Account Name BANK OF AMERICA44C066187930"" Account Information Address Phone PO BOX 982238 EL PASO. TX 79998-2235 (800) 421-2110 U 00 c d t v c� r a Packet Pg. 81 Date Opened 08/07/2015 Responsibility Individual Account Account Type Revolving Account Loan Type CREDIT CARD Balance $0 Date Updated 03/28/2018 Last Payment Made 03/08/2018 High Balance $1223 Credit Limit $2.500 Pay Status Current; Paid or Paying as Agreed Terms Paid Monthly Date Closed 03/08/2018 Date Paid 03/08/2018 Remarks Account closed at consumer's request Payment History December 2015 January 2016 February 2016 March 2016 April 2016 May 2016 Rating Rating Rating Rating Rating Rating OK OK OK OK OK OK 8.C.1 June 2016 July 2016 August 2016 September 2016 October 2016 November 2016 Z - W to Rating Rating Rating Rating Rating Rating W w OK OK OK OK OK OK W U a U M December 2016 January 2017 February 2017 March 2017 April 2017 May 2017 Q -- Z W Rating Rating Rating Rating Rating Rating J OK OK OK OK OK OK U 00 r C d E t v R r r Q Packet Pg. 82 8.C.1 June 2017 July 2017 August 2017 September 2017 October 2017 November 2017 Rating Ratirc Rating 7Za6rc Rating Rating OK OK OK OK OK OK December 2017 January2018 February 2018 O H Rating Rating Rating Z OK OK OK O U Total Months- 27 LLI w ---------------•------------------------------------------------------------------- LU H CAPITAL ONE5156768; 9339"" co 3 LU Q-' Account Information OF- Address P O Box 31293 Salt Lake City, UT 84131 V Phone (800)955-7070 F- O V Monthly Payment $25 - Z_ G Date Opened 04/11/2021 J m Responsibility Individual Account LU U - Z Account Type Revolving Account W LU a Loan Type FLEXIBLE SPENDING CREDIT CARD X LU LL O Balance $333 LU Date Updated 11/23/2022 LU Q Last Payment Made 1-1/21/2022 Q Z Pay Status Current: Paid or Paying as Agreed LU LU Terms $25 per month: paid Monthly w U High balance of $2,378 from 05/2021 to 05/2021: $4,831 U from 06/2021 to 06/2021: $6.707 from 07/2021 to High Balance (Hist.) 11/2022 Z LU J Credit limit of $7,500 from 05/2021 to 08/2021; V Credit Limit (Hist.) $10.500 from 09/2021to 11/2022 00 r c E t v c� r a Packet Pg. 83 Payment History 8.C.1 May 2021 June 2021 July 2021 August 2021 September 2021 October 2021 Balance Balance Balance Balance Balance Balance $2.292 $2,991 $6.707 $3.364 $2.806 $3.732 Past Due Past Due Past Due Past Due Past Due Past Due $0 $0 $0 $0 $0 $0 Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment $25 $29 $67 $33 $28 $37 Rating Rating Rating Rating Rating Rating OK OK OK OK OK OK November 2021 December 2021 January 2022 February 2022 March 2022 April 2022 Balance Balance Balance Balance Balance Balance $2.604 $1.965 $492 $1,214 $1.540 $4.392 Past Due Past Due Past Due Past Due Past Due Past Due $0 $0 $0 $0 $0 $0 Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment $26 $25 $25 $25 $25 $43 Rating Rating Rating Rating Rating Rating OK OK OK OK OK OK op Z W J U 00 r c m E t v M r r Q Packet Pg. 84 8.C.1 May 2022 June 2022 July 2022 August 2022 September 2022 October 2022 Balance Balance Balance Balance Balance Balance V $3,755 $2.267 $1.322 $2.722 $1.472 $385 J Past Due Past Due Past Due Past Due Past Due Past Due V $0 $0 $0 $0 $0 $0 W Scheduled Payment Sc-ieduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment 0 $37 $25 $25 $27 $25 $25 Z_ Rating Rating Rating Rating Rating Rating U OK OK OK OK OK OK W w W H CO) LU November 2022 W Q-' Balance $333 0 V Past Due $0 Z O Scheduled Payment V $25 Z_ G Rating J OK m -- - W Total Months: 19 U Z LU KIA FINANCE AM ERIC,\2016080652' W (L X W Account Information LL O Address P08 20835 FOUNTAIN VALLEY, CA 92728-0835 W W Phone (866)331-5632 Q Monthly Payment $0 Q Z W Date Opened 07/26/2016 U) W W Responsibility Joint Account Q U Account Type Installment Account Q Z Loan Type AUTOMOBILE J 6 00 Balance $0 d E t c� tv r a Packet Pg. 85 Date Updated 02/26/2019 Payment Received $0 Last Payment Made 02/25/2019 High Balance $20.080 Pay Status Paid, Closed. was Paid as agreed Terms $0 per month, paid Monthly for 66 months Date Closed 02/26/2019 Remarks CLOSED Payment History August 2016 September 2016 October 2016 November 2016 December 2016 January 2017 Rating Rating Rating Rating Rating Rating OK OK OK OK OK OK February 2017 March 2017 April 2017 May 2017 June 2017 July 2017 Rating Rating Rating Rating Rating Rating OK OK OK OK OK OK August 2017 September 2017 October 2017 November 2017 December 2017 January 2018 Rating Rating Rating Rating Rating Rating OK OK OK OK OK OK February 2018 March 2018 April 2018 May 2018 June 2018 July 2018 Rating Rating Rating Rating Rating Rating OK OK OK OK OK OK August 2018 September 2018 October 2018 November 2018 December 2018 January 2019 Rating Rating Rating Rating Rating Rating OK OK OK OK OK OK 8.C.1 I Z W J U 00 r C d E t V R r r Q Packet Pg. 86 Total Months. 30 ----------------•----------------------------------------------------------------- NATIONSTAR MORTGAGE LLC65106*'** U Account Information Address 8950 CYPRESS WATERS BLVD DALLAS, TX 75063 0 U W 0 Phone (888) 480-2432 0 H Z_ 2 Monthly Payment $2,712 0 Date Opened 11/21/2018 Responsibility Joint Account Account Type Mortgage Account Loan Type CONVENTIONAL REAL ESTATE MTG Balance $119.830 m Date Updated 10/31/2022 Payment Received $2,712 Last Payment Made 10/11/2022 Pay Status Current, Paid or Paying as Agreed Terms $2,712 per month, paid Monthly for 360 months High Balance (Hist.) High balance of $337,422 from 06/2020 to 10/2022 Payment History Z W J U 00 r c m E t v r r Q Packet Pg. 87 8.C.1 December 2018 January 2019 February 2019 March 2019 ApriL 2019 May 2019 Balance Balance Balance Balance Balance Balance Past Due Past Due Past Due Past Due Past Due Past Due Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Remarks Remarks Remarks Remarks Remarks Remarks Rating Rating Rating Rating Rating Rating X OK OK OK OK OK June 2019 July 2019 August 2019 September 2019 October 2019 November 2019 Balance Balance Balance Balance Balance Balance Past Due Past Due Past Due Past Due Past Due Past Due Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Remarks Remarks Remarks Remarks Remarks Remarks Rating Rating Rating Rating Rating Rating OK OK OK OK OK OK V 00 r C d E t t� cC r a Packet Pg. 88 8.C.1 December 2019 January 2020 February 2020 March 202D ApriL2020 May 2020 Balance --- Balance --- Balance --- Balance --- Balance --- Balance --- Past Due Past Due Past Due Past Due Past Due Past Due Amount Paid --- Amount Paid --- Amount Paid --- Amount Paid --- Amount Paid --- Amount Paid --- Scheduled Payment Sc )eduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Remarks Remarks Remarks Remarks Remarks Remarks Rating Rating Rating Rating Rating Rating OK OK OK OK OK OK June 2020 July 2020 August 2020 September 2020 October 2020 November 2020 Balance Balance Balance Balance Balance Balance $275,667 $275.012 $274,355 $268,719 $268,033 $267.344 Past Due Past Due Past Due Past Due Past Due Past Due $0 $0 $0 $0 $0 $0 Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid $2,594 $2,594 $2.594 $7.594 $2.594 $2,594 Scheduled Payment Sc ieduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment $2.594 $2,594 $2.594 $2.594 $2.594 $2.594 Remarks Remarks Remarks Remarks Remarks Remarks Rating Rating Rating Rating Rating Rating OK OK OK OK OK OK 0 00 r C d E t t� cv r a Packet Pg. 89 8.C.1 December 2020 January 2021 February 2021 March 2021 April 2021 May 2021 Balance Balance Balance Balance Balance Balance $266.652 $265,957 $245.259 $244.468 $243,674 $192.876 Past Due Past Due Past Due Past Due Past Due Past Due $0 $0 $0 $0 $0 $0 Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid $2.594 $2.594 $22,604 $2.604 $2,604 $52,604 Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment $2.594 $2,604 $2.604 $2.604 $2,604 $2.604 Remarks Remarks Remarks Remarks Remarks Remarks Rating Rating Rating Rating Rating Rating OR OK OR OR OR OK June 2021 July 2021 August 2021 September 2021 October 2021 November 2021 Balance Balance Balance Balance Balance Balance $191.850 $175,820 $174,718 $160.104 $157.432 $156.248 Past Due Past Due Past Due Past Due Past Due Past Due $0 $0 $0 $0 $0 $0 Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid $2,604 $17.604 $2.604 $17.604 $2.604 $2.604 Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment $2,604 $2,604 $2.604 $2,604 $2.604 $2,604 Remarks Remarks Remarks Remarks Remarks Remarks Rating Rating Rating Rating Rating Rating OR OK OR OR OR OK 0 00 r C d E t t� cv r a Packet Pg. 90 8.C.1 'December 2021 January 2022 February 2022 March 2022 Apdt2022 May 2022 Balance Balance Balance Balance Balance Balance $155.058 $143.863 $142,618 $136.081 $132.301 $126.504 Past Due Past Due Past Due Past Due Past Due Past Due $0 $0 $0 $0 $0 $0 Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid $2.604 $12.604 $2.712 $8,000 $5.212 $7,212 Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment $2.604 $2.712 $2.712 $2.712 $2,712 $2,712 Remarks Remarks Remarks Remarks Remarks Remarks Rating Rating Rating Rating Rating Rating OK OK OK OK OK OK June 2022 July 2022 August 2022 September 2022 October 2022 Balance Balance Balance Balance Balance $125.181 $123.852 $122,517 $121,177 $119.830 Past Due Past Due Past Due Past Due Past Due $0 $0 $0 $0 $0 Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid $2.712 $2,712 $2,712 $2,712 $2.712 Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment $2.712 $2,712 $2.712 $2.712 $2.712 Remarks Remarks Remarks Remarks Remarks _-- --- --- AND --- Rating Rating Rating Rating Rating OK OK OK OK OK Total Months 47 -------------------------------------____---------.,__---------_____--------------- SUNCOAST CREDIT U[ ION460819008010-- Account Information Address PO BOX 11904 TAMPA, FL 33680-1904 Phone Monthly Payment (813)621-7511 A $1200 r C _ d E t c� tv r a Packet Pg. 91 Date Opened Responsibility Account Type Loan Type Balance Date Updated Payment Received Last Payment Made Pay Status Terms High Balance (Hist.) Credit Limit (Hist.) Payment History 01/27/2017 Individual Account Revolving Account CREDIT CARD $579 11/17/2022 $1,300 11/07/2022 Current; Paid or Paying as Agreed $12 per month, paid Monthly High balance of $2,123 from 07/2021 to 11/2022 Credit Limit of $2,000 from 07/2021 to 11/2021; $3,000 from 12/2021 to 11/2022 8.C.1 PP Z W J 6 00 r c m E t v r r Q Packet Pg. 92 8.C.1 July2019 August2019 September2019 October2019 November2019 December2019 Balance Balance Balance Balance Balance Balance Past Due Past Due Past Due Past Due Past Due Past Due Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Rating Rating Rating Rating Rating Rating OR OR OR OR OR OR January 2020 �ebruary 202D March 2020 ApriL2020 May 2020 June 2020 Balance Balance Balance Balance Balance Balance Past Due Past Due Past Due Past Due Past Due Past Due Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Rating Rating Rating Rating Rating Rating OR OR OR OR OR OR July 2020 August 2020 September 2020 October 2020 November 2020 December 202C Balance Balance Balance Balance Balance Balance --- --- --- --- --- Q Past Due Past Due Past Due Past Due Past Due Past Due z Z --- - --- --- LU W Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid w W --- --- --- --- --- --- (� a Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Z Rating Rating Rating Rating Rating W Rating J OR OR OR OR OK OR 6 00 r C d E t t) cv +r r a Packet Pg. 93 8.C.1 January 2021 February 2021 March 2021 April 2021 May 2021 June 2021 Balance Balance Balance Balance Bala,tice Balance Past Due Past Due Past Due Past Due Past Due Past Due Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Rating Rating Rating Rating Rating Rating OK OK OK OK OK OK July 2021 August 2021 September 2021 October 2021 November 2021 December 2021 Balance Balance Balance Balance Balance Balance $129 $1.143 $1,382 $1.873 $1.689 $646 Past Due Past Due Past Due Past Due Past Due Past Due $0 $0 $0 $0 $0 $0 Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid $517 $0 $550 $700 $500 $2.000 Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment $10 $23 $0 $38 $34 $0 Rating Rating Rating Rating Rating Rating OK OK OK OK OK OK 0 00 r C d E t t� cv r a Packet Pg. 94 8.C.1 January 2022 F ebruary 2022 March 2022 Apri12022 May 2022 June 2022 Balance Balance Balance Balance Balance Balance $777 $1,203 $535 $914 $575 $1.814 Past Due Past Due Past Due Past Due Past Due Past Due $0 $0 $0 $0 $0 $0 Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid $900 $0 $700 $1,000 $860 $800 Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment $0 $0 $11 $0 $0 $0 Rating Rating Rating Rating Rating Rating OK OK OK OK OK OK July 2022 August 2022 September 2022 October 2022 November2022 Balance Balance Balance Balanca Balance $1.835 $1,035 $573 $475 $579 Past Due Past Due Past Due Past Due Past Due $0 $0 $0 $0 $0 Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid $0 $1,800 $800 $674 $1,300 Scheduled Payment Scl ,eduled Payment Scheduled Payment Scheduled Payment Scheduled Payment $37 $0 $0 $0 $12 Rating Rating Rating Rating Rating OK OK OK OK OK Total Months: 41 ----------------------------------------------------------------------..---- ----- SUNCOAST CREDIT U11ION460819009991"'" Account Information Address PO BOX 11904 TAMPA, FL 3368D-1904 Phone (813)621-7511 Date Opened 01/27/2017 Responsibility Individual Account Account Type Revolving Account 0 00 r C d t t� cv r a Packet Pg. 95 Loan Type Balance Date Updated Payment Received Last Payment Made High Balance Credit Limit Pay Status Terms Date Closed Remarks CREDIT CARD $0 U 05/18/2022 J J $0 0 W a 04/06/2022 O H Z_ 2 $119 O a $3.000 W W H Paid. Closed; was Paid as agreed N O W Paid Monthly O 04/28/2022 ~ U Q W ~ CREDIT CARD LOST OR STOLEN; CLOSED Z O U c� Payment History May 2020 June 2020 July 2020 August 2020 September 2020 October 2020 Rating Rating Rating Rating Rating Rating OR OR OR OR OR OR R LL! W November 2020 December 2020 January 2021 February 2021 March 2021 April. 2021 O Rating Rating Rating Rating Rating Rating W ON OR OR OR OR OR W May 2021 June 2021 July, 2021 August 2021 September 2021 October 2021 Z W Rating Rating Rating Rating Rating Rating W OR OR OR OR OR OR W W U a U November 2021 December 2021 January 2022 February 2022 March 2022 April 2022 Q Z W Rating Rating Rating Rating Rating Rating J ON OR OR OR OR OR U 00 r d E t V R r r Q Packet Pg. 96 Total Months: 24 ---------------------------------------------------------------------------------- SUNCOAST CREDIT UP ION460819009944'"" U J Account Information J Address PO BOX 11904 TAMPA, FL 33680-1904 O V W Phone (813) 621-7S11 O H Z_ d Date Opened 01/27/2017 O Responsibility Individual Account Account Type Revolving Account Loan Type CREDIT CARD Balance $0 Date Updated 07/18/2021 :4 . Payment Received $0 Last Payment Made 06/18/2021 Pay Status Paid, Closed; was Paid as agreed Terms Paid Monthly Date Closed 07/07/2021 High balance of $2,019 from 06/2020 to 12/2020: $2.123 High Balance (Hist.) from 01/2021 to 06/2021: $0 from 07/2021 to 07/2021 Credit Limit (Hist.) Credit limit of $2,000 from 06/2020 to 07/2021 Remarks CREDIT CARD LOST OR STOLEN: CLOSED Payment History Z W J 6 00 r c m E t v r r Q Packet Pg. 97 8.C.1 May 2017 June 2017 July 2017 August 2017 September 2017 October 2017 Balance Balance Balance Balance Balance Balance Past Due Past Due Past Due Past Due Past Due Past Due Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Rating Rating Rating Rating Rating Rating OK OK OK OK OK OK November 2017 December 2017 January 2028 February 2018 March 2018 Aprit 2018 Balance Balance Balance Balance Balance Balance Past Due Past Due Past Due Past Due Past Due Past Due Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid --- --- --- --- --- --- Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Rating Rating Rating Rating Rating Rating OK OK OK OK OK OK May 2018 June 2018 July 2018 August 2018 September 2018 October 2018 Balance --- Balance --- Balance --- Balance --- Balance --- Balance --- Past Due Past Due Past Due Past Due Past Due Past Due Amount Paid --- Amount Paid --- Amount Paid --- Amount Paid --- Amount Paid --- Amount Paid --- Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Rating Rating Rating Rating Rating Rating OK OK OK OK OK OK V 00 r C d E t t) cv r a Packet Pg. 98 8.C.1 November 2018 1lecember 2018 January 2019 February 2019 March 2019 April 2019 Balance --- Balance --- Balance --- Balance --- Balance --- Balance --- Past Due --- Past Due --- Past Due --- Past Due --- Past Due --- Past Due --- Amount Paid --- Amount Paid --- Amount Paid --- Amount Paid --- Amount Paid --- Amount Paid --- Scheduled Payment Scl ieduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Rating Rating Rating Rating Rating Rating OK OK OK OK OK OK May 2019 June 2019 July 2019 August 2019 September 2019 October 2019 3alance Balance Balance Balance Balance Balance Past Due Past Due Past Due Past Due Past Due Past Due Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid Scheduled Payment Sc ieduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Rating Rating Rating Rating Rating Rating OK OK OK OK OK OK November 2019 December 2019 January 2020 February 2020 March 2020 April 2020 i n Balance Balance Balance Balance Balance Balance --- --- --- --- --- -- a Past Due Past Due Past Due Past Due Past Due Past Due z Z --- - - --- --- --- --- W -. — -- U) W Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid w W a U Scheduled Payment Sc ieduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Q Z Rating Rating Rating Rating Rating Rating J OK OK OK OK OK OK V 00 r C d E t t� cv +r r a Packet Pg. 99 8.C.1 May 2020 June 2020 July 2020 August 2020 September 2020 October 2020 Balance Balance Balance Balance Balance Balance - - - $1.370 $1,095 $1,768 $797 $879 Past Due Past Due Past Due Past Due Past Due Past Due --- $0 $0 $0 $0 $0 Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid - - - $1.840 $2.250 $500 $1,700 $450 Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment --- $0 $0 $0 $16 $0 Rating Rating Rating Rating Rating Rating OK OK OK OK OK OK November 2020 December 2020 January 2021 February 2021 March 2021 April 2021 Balance Balance Balance Balance Balance Balance $242 $1,255 $474 $1.289 $1.473 $1.789 Past Due Past Due Past Due Past Due Past Due Past Due $0 $0 $0 $0 $0 $0 Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid $1.600 $602 $2.300 $900 $1,000 $1,250 Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment $0 $0 $10 $26 $30 $0 Rating Rating Rating Rating Rating Rating OK OK OK OK OK OK May 2021 June 2021 July 2021 Balance Balance Balance $1.028 $517 $0 Past Due Past Due Past Due $0 $0 $0 Amount Paid Amount Paid Amount Paid $900 $500 $0 Scheduled Payment Scheduled Payment Scheduled Payment $0 $0 - - - Rating Rating Rating OK OK OK V 00 C d E t t� cv r a Packet Pg. 100 Total Months. 51 ---------------------------------------------------------------------------------- SUNCOAST CREDIT OF ION460819009936"" U J Account Information J Address PO BOX 11904 TAMPA, FL 33680-1904 0 W Phone (813) 621-7511 O H Z_ 2 Date Opened 01/27/2017 O U 6 Responsibility Individual Account uJ Account Type Revolving Account Loan Type CREDIT CARD Balance $0 Date Updated 05/19/2019 Payment Received $0 Last Payment Made 05/05/2019 High Balance $0 Credit limit $2,000 Pay Status Paid. Closed; was Paid as agreed Terms Paid Monthly Date Closed 05/11/2019 Remarks CREDIT CARD LOST OR STOLEN: CLOSED Payment History Z W J 6 00 r c m E t v r r Q Packet Pg. 101 8.C.1 February 2017 March 2017 April 2017 May 2017 June 2017 July 2017 Rating Rating Rating Rating Rating Rating OK OK OK OK OK OK August 2017 September 2017 October 2017 November 2017 December 2017 January 2018 Rating Rating Rating Rating Rating Rating OK OK OK OK OK OK February 2018 March 2018 April 2018 May 2018 June 2018 July 2018 Rating Rating Rating Rating Rating Rating OK OK OK OK OK OK August 2018 September 2018 October 2018 November 2018 December 2018 January 2019 Rating Rating Rating Rating Rating Rating OK OK OK OK OK OK February 2019 March 2019 April 2019 uu W Ratng Rating Rating U Z OK OK OK W W (L Total Months 27 X W ---------------------------------------------------------------------------------- LL O SUNCOAST CREDIT UNION460819002141'— W Account Information w Address PO BOX 11904 TAMPA, EL 33680-1904 Q a Phone (813)621-7511 z Z W U) Date Opened 01/27/2017 w W U Responsibility Individual Account U Account Type Revolving Account Q Z W J Loan Type CREDIT CARD V 00 r c m E t v r r Q Packet Pg. 102 Balance Date Updated Payment Received Last Payment Made High Balance Credit Limit Pay Status Terms Date Closed Remarks Payment History February 2017 Rating OK $0 12/18/2018 $0 11/28/2018 $0 $2.000 Paid, Closed; was Paid as agreed Paid Monthly 11/30/2018 CREDIT CARD LOST OR STOLEN; CLOSED March 2017 April 2017 May 2017 June 2017 July 2017 Rating Rating Rating Rating Rating OK OK OK OK OK August 2017 S. !ptember 2017 October 2017 November 2017 December 2017 Rating Rating Rating Rating Rating OK OK OK OK OK January 2018 Rating OK February 2018 March 2018 April 2016 May 2018 June 2018 July 2018 Rating Rating Rating Rating Rating Rating OK OK OK OK OK OK 8.C.1 August 2018 S aptember 2018 October 2018 November 2018 U Rating Rating Rating Rating Q OK OK OK OK Z W J U Total Months- 22 00 ------------------------------------------------------------------------------------------------------------------------------------------------------------------- d E t V R r r Q Packet Pg. 103 SYNCB/PPC604419102049""' Account Information Address PO BOX 965005 ORLANDO, FL 32896 Phone (844) 373-4961 Monthly Payment $30 Date Opened 07/26/2020 Responsibility Individual Account Account Type Revolving Account Loan Type CREDIT CARD Balance $672 Date Updated 11/30/2022 Payment Received $0 Last Payment Made 10/23/2022 Pay Status Current: Paid or Paying as Agreed Terms $30 per month; paid Monthly High balance of $0 from 07/2020 to 07/2020; $193 from 08/2020 to 09/2020: $1.938 from 10/2020 to 08/2021; High Balance (Hist.) $2,298 from 09/2021 to 11/2022 Credit Limit of $6,100 from 07/2020 to 10/2021; $7,100 from 11/2021 to 08/2022. $10,000 from 09/2022 to Credit Limit (Hist.) 11/2022 Payment History 8.C.1 Z W J U 00 r c m E t v r r Q Packet Pg. 104 8.C.1 July 2020 eugust 2020 September 2020 October 2020 November 2020 December 2020 Balance Balance Balance Balance Balance Balance $0 $193 $93 $1,938 $1,588 $1,271 Past Due Past Due Past Due Past Due Past Due Past Due $0 $0 $0 $0 $0 $0 Amount Paid amount Paid Amount Paid Amount Paid Amount Paid Amount Paid $0 $0 $100 $93 $350 $300 Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment --- $28 $28 $28 $28 $40 Rating Rating Rating Rating Rating Rating OK OK OK OK OK OK January 2021 F ebruary 2021 March 2021 April 2021 May 2021 June 2021 Balance Balance Balance Balance Balance Balance $571 $271 $0 $876 $426 $418 Past Due Past Due Past Due Past Due Past Due Past Due $0 $0 $0 $0 $0 $0 Amount Paid 4mount Paid Amount Paid Amount Paid Amount Paid Amount Paid $700 $300 $271 $0 $450 $400 Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment $39 $39 --- $40 $40 $29 Rating Rating Rating Rating Rating Rating OK OK OK OK OK OK July 2021 August 2021 September 2021 October 2021 November 2021 December 2021 Balance Balance Balance Balance Balance Balance $118 $463 $2,298 $2,008 $1.708 $1.867 Past Due Past Due Past Due Past Due Past Due Past Due $0 $0 $0 $0 $0 $0 Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid $300 $118 $300 $300 $300 $300 Scheduled Payment SO eduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment $29 $29 $29 $29 $29 $29 Rating Rating Rating Rating Rating Rating OK OK OK OK OK OK 0 00 r C d E t t� cv +r r a Packet Pg. 105 8.C.1 January 2022 February 2022 March 2022 April 2022 May 2022 June 2022 Balance Balance Balance Balance Balance Balance $1,949 $1.649 $749 $1,517 $1,217 $917 Past Due Past Due Past Due Past Due Past Due Past Due $0 $0 $0 $0 $0 $0 Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid $300 $300 $900 $300 $300 $300 Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment $29 $29 $29 $29 $29 $29 Rating Rating Rating Rating Rating Rating OK OK OK OK OK OK July 2022 August 2022 September 2022 October 2022 November 2022 Balance Balance Balance Balance Balance $617 $465 $165 $0 $672 Past Due Past Due Past Due Past Due Past Due $0 $0 $0 $0 $0 Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid $300 $300 $300 $165 $0 Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment $29 $30 $30 - - - $30 Rating Rating Rating Rating Rating OK OK OK OK OK Total Months: 29 ------------..----------------------------------------------------_____------------ SYNCB/TJX CO DC524366166666""' Account Information Address PO BOX 965015 ORLANDO, FL 32896 Phone (877)890-3150 Date Opened 04/16/2021 Responsibility Individual Account Account Type Revolving Account V 00 r c d E t c� cv r a Packet Pg. 106 Loan Type CREDIT CARD Balance $0 Date Updated 11/16/2022 Payment Received $0 Last Payment Made 06/01/2021 Pay Status Current: Paid or Paying as Agreed Terms Paid Monthly Date Paid 06/01/2021 High balance of $0 from 04/2021 to 04/2021; $242 from High Balance (Hist.) 05/2021 to 11/2022 Credit Limit of $1.800 from 04/2021 to 06/2022; $1,024 Credit Limit (Hist.) from 07/2022 to 11/2022 H Payment History 8.C.1 Z W J U 00 r c m E t v r r Q Packet Pg. 107 8.C.1 April 2021 May 2021 June 2021 July 2021 August 2021 September 2021 Balance Balance Balance Balance Balance Balance $0 $242 $0 $0 $0 $0 Past Due Past Due Past Due Past Due Past Due Past Due $0 $0 $0 $0 $0 $0 Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid $0 $0 $242 $0 $0 $0 Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment --- $25 --- --- --- --- Rating Rating Rating Rating Rating Rating OR OR OR OR OR OR October 2021 November 2021 December 2021 January 2022 February 2022 March 2022 Balance Balance Balance Balance Balance Balance $0 $0 $0 $0 $0 $0 Past Due Past Due Past Due Past Due Past Due Past Due $0 $0 $0 $0 $0 $0 Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid $0 $0 $0 $0 $0 $0 Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Rating Rating Rating Rating Rating Rating OR OR OR OR OR OR 0 00 r C d E t t� cC r a Packet Pg. 108 8.C.1 ' April 2022 May 2022 June 2022 July 2022 August 2022 September 2022 Balance Balance Balance Balance Balance Balance $0 $0 $0 $0 $0 $0 Past Due Past Due Past Due Past Due Past Due Past Due $0 $0 $0 $0 $0 $0 Amount Paid amount Paid Amount Paid Amount Paid Amount Paid Amount Paid $0 $0 $0 $0 $0 $0 Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Rating Rating Rating Rating Rating Rating OK OK OK OK OK OK October 2022 N :)vember 2022 Balance Balance $0 $0 Past Due Past Due $0 $0 Amount Paid 4mount Paid $0 $0 Scheduled Payment Sch eduled Payment Rating Rating OK OK Total Months: 20 --------------------------------_—_____—_.._—_-------------------_________--------- SYNCB/TJX CO PLCC6 ]4585106719""`" Account InformaJon Address PO BOX 965015 ORLANDO, FL 32896 Phone (877) 890-3150 Monthly Payment $27 Date Opened 08/01/2022 Responsibility Individual Account 0 00 C d E t c� cv r a Packet Pg. 109 Account Type Revolving Account Loan Type CHARGE ACCOUNT 8.C.1 Balance $353 Date Updated 11/14/2022 Payment Received $338 Last Payment Made 11/07/2022 Pay Status Current; Paid or Paying as Agreed Terms $27 per month; paid Monthly High balance of $57 from 08/2022 to 08/2022; $108 from 09/2022 to 09/2022: $338 from 10/2022 to High Balance (Hist.) 10/2022: $400 from 11/2022 to 11/2022 Credit Limit (Hist.) Credit limit of $900 from 08/2022 to 11/2022 Payment History August 2022 September 2022 October 2022 November 2022 Balance Balance Balance Balance $57 $50 $338 $353 Past Due Past Due Past Due Past Due $0 $0 $0 $0 Amount Paid Amount Paid Amount Paid Amount Paid $0 $57 $50 $338 Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment $27 $27 $27 $27 Rating Rating Rating Rating OK OK OK OK Total Months 4 ibl�, Inquiries Regular Inquiries ci Regular Inquiries are posted when someone accesses your credit information from TransUnion. The presence of an inquiry means 00 that the company Listed received your credit information on the dates specified. These inquiries will remain on your credit file for up d E t c0 r a Packet Pg. 110 to 2 years Name 8.C.1 SUPREME LENDING 67 via UNIVERSAL CREDIT SERVICES Location Requested On Phone 370 REED ROAD SUITE 100 10/09/2022, 10/08/2022 (610) 284-1000 BROOMALL, PA 19008 Inquiry Type Permissible Purpose Individual CREDIT TRANSACTION ---------------- ----------------------------------------------------------------- SYNCEITJX CO DUAL Cl RD Location PO BOX 965015 ORLANDO, FL 32896 Requested On Phone 08/01/2022, 04/16/2021 (877) 890-3150 Inquiry Type Individual --------------------------------------_------------------------------------------- CROSSCOUNTRY MTG I LC via FDCROSSCOUNTRY MORTGAGE Location PO BOX 530090 ATLANTA, GA 30353 Requested On 10/28/2021 Phone (440) 845-3700 Inquiry Type Permissible Purpose Individual CREDIT TRANSACTION ---------------------------------------------------------------------------------- CAPITAL ONE Location Requested On Phone 15000 CAPITAL ONE 04/11/2021 (800) 955-7070 RICH MON D, VA 23238 Inquiry Type Individual Promotional Inquiries The companies listed betcw received your name, address and other limited information about you so they could make a firm offer of credit or insurance. They lid not receive your full credit report. These inquiries are not seen by anyone but you and do not affect your score. Name JPMORGAN CHASE BAJK NA Location Requested On Phone 2500 WESTFIELD DR 08/25/2022. 07/18/2022 (800) 955-9000 ELGIN,IL 60124 ---------------------------------------------------------------------------------- EMBRACEHOMELOAN; V 00 r C d E t t� cC r a Packet Pg. 111 Location Requested On Phone 25 ENTERPRISE CTR O8/1112022, 07/05/2022, 06/02/2022, (800) 620-6292 MIDDLETOWN, RI 02842-5201 05/08/2022, 04/13/2022, 03/11/2022, 02/01/2022, 01/01/2022 ---------------------------------------------------------------------------------- UPGRADEINC Location Requested On Phone 369 PINE STREET, SUITE 208 05/24/2022 (415) 909-0241 SAN FRANCISCO, CA 94104 ---------------------------------------------------------------------------------- THE TRAVELERS COMPANIES Location Requested On Phone 1 TOWER SO 05/23/2022 (866) 240-2682 18CP HARTFORD. CT 06183-0001 AMERISAVE MORTGAGE Location Requested On Phone 3525 PIEDMONT RD N 04/25/2022, 02/28/2022, 12/16/2021 (404) 260-7509 ATLANTA, GA 30305 ---------------------------------------------------------------------------- ALLSTATE INSURANCE Location Requested On Phone 2775 SANDERS RD 04/08/2022 (800) 255-7828 NORTHBROOK, IL 60062-6110 ---------------------------------------------------------------------------------- GOLDMAN SACHS BANK USA Location Requested On P O BOX 45400 03/13/2022 SALT LAKE CITY. UT 84145 Synchrony bank Phone (844)627-2871 Location Requested On Phone 170 election road 03/09/2022 (866) 834-3206 draper, UT 84020 ---------------------------------------------------------------------------------- CHASE.COM Location Requested On Phone P.O. BOX 15298 03/03/2022 (800) 955-9900 WILMINGTON, DE 19850 Account Review Inquiries L) 2 The listing of a company's inquiry in this section means that they obtained information from your credit file in connection with an a account review or other business transaction with you. These inquiries are not seen by anyone but you and will not be used in scoring W your credit file (except insurance companies may have access to other insurance company inquiries, certain collection companies J may have access to other collection company inquiries, and users of a report for employment purposes may have access to other V 00 employment inquiries, where permitted by law). c d E t v c� r a Packet Pg. 112 Name CAPITAL ONE 8.C.1 Location Requested On Phone P O Box 31293 12/02/2022 (800) 955-7070 Salt Lake City. UT 841.1 ---------------------------------------------------------------------------------- SYNCB/SYNCB Location Requested On Phone C/O PO BOX 965036 11/27/2022 (866) 396-8254 ORLANDO, FL 32896-`.036 ---------------------------------------------------------------------------------- SYNCB/TJX CO PLCC Location Requested On Phone PO BOX 965015 11/09/2022 (877) 890-3150 ORLANDO, FL 32896 ---------------------------------------------------------------------------------- SYNCB/PPC Location Requested On Phone PO BOX 965005 11/09/2022 (844) 373-4961 ORLANDO. FL 32896 -----------------------------------------------------------------------------.. - SYNCB/TJX CO DC Location Requested On Phone PO BOX 965015 11/09/2022 (877) 890-3150 ORLANDO, FL 32896 ---------------------------------------------------------------------------------- CAPITAL ONE Location Requested On Phone P O Box 31293 10/02/2022 (800) 955-7070 Sait Lake City, UT 84131 ---------------------------------------------------------------------------------- LENA CACERES ENDAFA via TRANSUNION INTERACTIVE IN Location Requested On Phone 100 CROSS ST 12/10/2022, 12/10/2022 (855) 681-3196 STE 202 SAN LUIS OBISPO. CA 93401 ---------------------------------------------------------------------------------- LENA ENDARA via CREDITWISE CAPONETUI Z W J U 00 r c m E t v r r Q Packet Pg. 113 Location Requested On Phone 1680 CAPITAL ONE DRIVE 12/08/2022,12/04/2022,11/25/2022, (877) 383-4802 MCLEAN, VA 22012 11/20/2022, 11/06/2022,10/22/2022, 10/14/2022.10/04/2022,09/26/2022, 09/18/2022, 09/09/2022. J 08/28/2022. 08/18/2022, J 08/03/2022, 07/23/2022. w O 07/07/2022, 06/17/2022, 06/08/2022, U 06/01/2022, 05/19/2022, 05/12/2022, LU p 05/04/2022,04/24/2022. O 04/16/2022. 04/06/2022, 03/29/2022 Z ---------------------------------------------------------------------------------- O CREDITWISE CAPONETUI U 6 Location Requested On Phone uJ 1680 CAPITAL ONE DRIVE 10/09/2022 (877) 383-4802 LU MCLEAN, VA 22102 C0 ---------------------------------------------------------------------------------- 3 SYNCBPAYPAL Location Requested On Phone PO BOX 965024 09/18/2022 (855) 327-4358 ORLANDO, FL 32896 ---------------------------------------------------------------------------- LENA CACERES ENDARA via CREDITWISE CAPONETUI Location Requested On Phone 1680 CAPITAL ONE DRIVE 03/21/2022, 03/13/2022, 02/28/2022, (877) 383-4802 MCLEAN, VA 22012 02/17/2022, 02/01/2022, 01/23/2022, 01/12/2022,01/04/2022,12/14/2021. 11/29/2021, 11/01/2021, 10/11/2021, 10/04/2021, 09/17/2021. 08/15/2021. 08/01/2021, 07/18/2021. 06/15/2021. 06/01/2021, 05/26/2021, 04/22/2021 ---------------------------------------------------------------------------------- ALLSTATE Location Requested On Phone 1819 ELECTRIC RD 08/06/2021, 08/06/2021 (800) 255-7828 ROANOKE, VA 24018 ---------------------------------------------------------------------------------- CAPITAL ONE Location Requested On Phone 15000 CAPITAL ONE DRIVE 04/11/2021 (800) 955-7070 US565724 RICHMOND, VA 23238 ---------------------------------------------------------------------------------- CAPITAL ONE Location Requested On Phone PO BOX 30281 04/11/2021 (800) 955-7070 SALT LAKE CITY, UT 84130 V 00 r c d t c� cv r a Packet Pg. 114 8.C.1 GITS, LLC Examination Operations Division Pr rviding the services and products to assist Government Agencies to make informed educated decisions. Official Examination Score Report Official Score Report: Candidate : nformation: Name — Lena Caceres Endara Candidate 4: 33746770C Online Tes in Site: Ocala, FL Final Score Result: December 14, 2022 Business Procedures Score: 76% (11/25/2022) Building Contractor Score: 82% (12/14/2022) 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. B llowermeister President PO Box 831127 Ocala, Florida 34483-1127 — Voice (352) 369-GITS — Fax (352) 387-2443 800 997 2129 0 00 r C d E t t� cv r a Packet Pg. 115 1124/23. 4:21 PM Detail by Entity Name 8.C.1 DIVISION or CORPORATIONS � 1 1 D@partment of State 1 Division of Corporations / Search Records 1 Search b Enti N / Detail by Florida Limited CORINTO DEC Filing lnformatic Document Nut FEIIEIN Numb€ Date Filed Effective Date State Status Principal Addre; 5857 Shirley St Unit C Naples, FL 341'. Changed: 04l2 4 Mailing Address 5857 Shirley Sf Unit C Naples, FL 341, Changed: 04l2 t RRggistered Age i Caceres, Lena P 5857 Shirley S1 Unit C Naples, FL 341 C Name Changed Address Chan(( Authorized Pe Li search.sunbiz.orgllnquiry/C orporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=Initial&searchNameOrder=CORINTODECO... 1 i2 Z LU J U 00 r c m E t V R r r Q Packet Pg. 116 1/24/23, 4:21 PM Detail by Entity Name Name & Addre!:s Title President PRIETO FERNnNDEZ, JUAN A 5857 Shirley St, Unit C Naples, FL 34109 Title VP Caceres Endam, Lena Mirella 5857 Shirley St Unit C Naples, FL 34109 Annual Reports Report Year Filed Date 2020 01/21/2020 2021 04/28/2021 2022 03/22/2022 Document Imag ja 03l22M22 - ANNL AL REPORT View image in PDF format 412812021 -ANNEAL REPORT View image in PDF format 01/2112020 - ANNL AL REPORT View image in PDF formal Q4123/2019 - ANNL AL R PORT View image in PDF format 03/0512018 --ANNL AL REPORT View image in PDF format 04/24/2017 - ANNL AL REPORT View image in PDF format 04104/2016 -- ANNL AL REPORT View image in PDF format 11/1212015 -- Rorid i Limited Liability View image in PDF format search.sunbiz.org/Inquiry/C orporalionSearchlSearchResultDetai€?inquirytype=EntityName&directionType=Initial&searchNameOrder-CORINTO DECO... 212 0 00 r C tv t t� tv r a Packet Pg. 117 8.C.1 27911 Crown Lake Blvd Suite #6 LICEN A Bonita Springs, FL 34135 Phone: 239.777.1028 Fax: 877.275,3593 www.LicensesEtc.com PERSONAL CREDIT REPORT (Compiled From National Records) <FOR> <SUB NAME> <MKT SUB> <INFILE> <DATE> <TIME> (1) P NP7771028 LICENSES ETC 16 NP 8/15 01/05/23 13:24CT <SUBJECT> <SSN> <BIRTH DATE> CACERES ENDARA, LENA M. —4041 5/74 <ALSO KNONN AS> ENDARA,LENA,MIRELLACAC£RE CACERES,L--NA,MIRELLA CACERESENJARA,L <CURRENT %DDRESS> <DATE RPTD> 5091 GEN04 ST., AVE MARIA FL. 34142 12/18 <FORMER ADDRESS> 1160 RESERVE WA., #304. NAPLES FL. 34105 8/15 1160 RESERVE WA., #305. NAPLES FL. 34105 8/16 <POSITION> <CURRENT ?MPLOYER AND ADDRESS> <VERF> <RPTD> CORINTO DECOR LLC 10/21 10/21 <FORMER EIPLOYER AND ADDRESS> RETIRED RETIRED 8/15 8/15 ----------------------------------------------------------------------------- M O D E L P R O F I L E * * * A L E R T * * * ***FICO S':ORE 8 SCORE +792 : LENGTH OF TIME REVOLVING ACCOUNTS HAVE BEEN ***ESTABLiSHED;T00 MANY ACCOUNTS WITH BALANCES;TIME SINCE MOST RECENT ***ACCOUNT OPENING IS TOO SHORT;PROPORTION OF BALANCES TO CREDIT LIMITS IS ***TOO HI3H ON BANK REVOLVING OR OTHER REVOLVING ACCOUNTS*** IN ADDITION TO ***THE FA -'TORS LISTED ABOVE, THE NUMBER OF INQUIRIES ON THE CONSUMER'S 'CREDIT FILE HAS ADVERSELY AFFECTED THE CREDIT SCORE. PUBLIC RECOR 3S HAVE BEEN SEARCHED AT THE COUNTY, STATE AND FEDERAL LEVELS — NONE FOUND ---------------------------------------------------------------------------- T R A D E S SUBNAME SUBCODE OPENED HIGHCRED TERMS MAXDELQ PAYPAT 1-12 MOP ACCOUNT# VERFIED CREDLIM PASTDUE AMT—MOP PAYPAT 13-24 ECOA COLL:ffRL/LOANTYPE CLSD/PD BALANCE REMARKS MO 30/60/90 SYNCB/PPC B 999221L 7/20 $2298 MIN30 IE11111111.11 R01 12/22A $10.OK $0 11111111E111 I CREDIT CARD $372 29 0/ 0/ 0 CAPITAL OQE B lDTV001 4/21 $6707 MIN25 111111111111 R01 12/22A $10.5K $0 1111111 I FLEX SPND CRT CRD $91 19 0/ 0/ 0 SUNCST CU Q 298QOOI 1/17 $2123 12/22A $3000 I CREDIT CARD $427 111111111111 R01 $0 111111111111 41 0/ 0/ 0 Pace 1 of 2 ER Z LU J U 00 r c d E t .r r Q Packet Pg. 118 8.C.1 SYNGa/TJXDC B 235065N 4/21 $242 EEEEEEEEEEEE R01 12/22A $1024 $0 EEEEEEIE I CREDIT CARD 6/21 $0 20 O/ 0/ 0 SYNCB/TJX C 235065M 8/22 $867 MIN27 1111 R01 12/22A $900 $0 I CHARJE ACCOUNT $514 4 0/ C/ 0 NSTAR/COOPER F 1QC3005 11/18 $337K 36OM2712 111111111111 MOi 11/22A $0 111111111111 C PFRON LENDING SPA $118K 47 0/ 0/ 0 SUNCST CU Q 298QO07 1/17 $119 111111111111 R01 5/22A $3000 $0 111111111111 I CREDIT CARD 4/22C $0 CRDT CARD LOST/STOLEN 24 0/ 0/ 0 SUNCST CU Q 298Q007 1/17 $0 111111111111 R0l 7/21A $2000 $C 111111111111 I CREDIT CARD 7/21C $0 CRDT CARD LOST/STOLEN 50 0/ 0/ 0 SUNCST CU Q 29SQ007 1/17 $0 111111111111 Rol 5/19A $2000 $0 111111111111 I CREDIT CARD 5/19C $0 CRDT CARD LOST/STOLEN 27 0/ 0/ 0 KIA FIN AK F 29M2001 7/16 $20.OK 066M 111111111111 I01 2/19A $0 111111111111 C AUTO40BILE 2/19C $0 CLOSED 30 0/ 0/ 0 SUNCST CU Q 298QO07 1/17 $0 111111111111 R01 12/18A $2000 $0 1111111111 I CREDIT CARD 11/18C $0 CRDT CARD LOST/STOLEN 22 0/ O/ 0 BK OF AMER B 1597029 8/15 $1223 ElEE11111EE1 R01 3/18A $2500 $0 EE1111111EEE I CREDIT CARD 3/18C $0 ACCT CLSD BY CONSUMER 27 0/ 0/ C I N Q U I R I E S --------------------------- DATE SUBCODE SUBNAME TYPE AMOUNT 1/05/23 PNP7771028(FLA) LICENSES ETC 10/09/22 ZPH1125388(EAS) UNIVERSAL CR 10/08/22 ZPH1125388(EAS) UNIVERSAL CR 8/01/22 BNY4597847(EAS) SYNCB/TJX DC 10/28/21 FH05746472(SCT) CROSSCOUNTRY 4/16/21 BNY4597847(EAS) SYNCB/TJX DC 4/11/21 BPC3575459(NTL) ---------------------------------------------------------------------------- CAPITAL ONE END OF REPORT 0 00 r Pate 2 of 2 d E t v ca r a Packet Pg. 119 8.C.1 27911 Crown Lake Blvd Suite # 211 LICEN$ Bonita Springs, FL 34135 ft Phone: 239.777.1028 Fax: 877.275.3593 www.LicensesEtc.com BUSINESS CREDIT REPORT as of: 01/05/23 15:02 ET Corinto Decor, LLC Fed Tax ID# 47-5558300 Address: 5857 Shirley St Ste C Key Personnel: President: Prieto F Juan Naples, FL 34109-1847 Vice President: Caceres E United States Lena Owner: Juan P Fernand Phone: 239-572-0911 SIC Code: 7389-Business Website: corinto-decor-Ilc.business.site Services, Nec Experian BIN: 421727044 5112-Stationery & Office Supplies Agent: Caceres Lena M 8999-Services, Nec Agent Address: 5857 Shirley ST NAICS Code: 541410-Interior Design Naples, FL Services 424120-Stationery And Office Supplies Merchant Wholesalers 541990-AI I Other Professional, Scientific, And Technical Services Business Type: Corporation Experian File December 2015 Established: Experian Years on 8 Years File: Page 1 of 2 Z LU J U 00 c m E t v r r Q Packet Pg. 120 8.C.1 Years in Business: More than 8 Years Total Employees: 1 Sales: $125,000 Filing Data F[or[da Provided by: Date of 11/12/2015 Incorporation: Public R PUBLIC RECORDS HAVE BEEN SEARCHED AT THE COUNTY, STATE AND FEDERAL LEVELS. ✓ Bankruptcies: 0 V1Liens: 0 ✓Judgrrents Filed: 0 ✓ Collec:ions: 0 END OF REPORT Page 2 of 2 M al II Tr r U ao r Q Packet Pg. 121 8.C.1 Electronic Articles of Organization Fig D $1: 1 97 AM For November 12, 2015 Florida Limited Liability Company sec. Of state tjschroeder Article I The name of tr e Limited Liability Company is: CORINTO DECOR, LLC Article II The street address of the principal office of the Limited Liability Company is: 1160 RESERVE WAY 304 NAPLES, FL. 34105 The mailing address of the Limited Liability Company is: 1160 RESERVE WAY 304 NAPLES, I-L. 34105 Article III Other provisions, if any: 'ANY ANIJ ALL LAWFUL BUSINESS' Article IV The name and Florida street address of the registered agent is: AXIOM ACCOUNTING, INC 4951 TAM AMI TRAIL NORTH 103 NAPLES, FL. 34103 Having been naried as registered agent and to accept service of process for the above stated limited liability compaii � at the place designated in this certificate, I hereby accept the appointment as registered agent and agree to act in this capacity. I further agree to comply with the provisions of all statutes relating to the pi oper and complete performance of my duties, and I am familiar with and accept the obligations of my position as registered agent. Registered Ager t Signature: ROSA ESTELA MORALES 0 00 r c d E z c� r a Packet Pg. 122 8.C.1 Article V The name and address of person(s) authorized to manage LLC Title: MGI tM JUAN A PRIETO FERNANDEZ 1160 RESERVE WAY APT 304 NAPLES, F. 34105 Article V1 The effective c ate for this Limited Liability Company shall be: 11/11/2015 Signature of it ember or an authorized representative Electronic Signa ure: ROSA ESTELA MORALES L15000191497 FILED 8:00 AM November 12, 2015 Sec. Of State tjschroeder I am the member or authorized representative submitting these Articles of Organization and affirm that the facts stated herein are true. I am aware that false information submitted in a document to the Department of State constitutes a third degree felony as provided for in s.817.155, F.S. I understand the requirement to file an annual re iort between January 1 st and May 1 st in the calendar year following formation of the LLC and every year re to maintain "active" status. 0 00 r c d E z c� r a Packet Pg. 123 01/12/2023 12:02:42 PM —0500 IRS PAGE 2 OF 2 ADepartment of the Treasury Internal Rev enue Service 7940 Kentucky Dr Florence, KY 41042 CORINTO DECOR LLC JUAN ANTONIO PRIETO FERNANDEZ MBR 5857 SHIRLEY iT UNIT O NAPLES FL 34109-1847 995 Taxpayer Identification Number: 47-5558300 Form(s): Dear Taxpayer: In reply refer to: Jan 12, 2023 47-5558300 Thank you for your telephone inquiry of January 12th, 2023, 0231174156 LTR 147C Your Employer Identification Number (EIN) is 47-5558300. Please keep this letter in your permanent reccrds. Enter your name and your EIN on all business federal tax forms and on related corresp andence. If you have any questions regarding this letter, please call our Customer Service Department at 1-800-829-0115 between the hours of 7:00 AM and 7:00 PM. If you prefer, you may write to us at the address � hown at the top of the first page of this letter. When you write, please include a telephone num:)er where you may be reached and the best time to call. Sincerely, /s/ Mr. Lam 1001829408 Contact Representative z w J U 00 r c m E t v r r Q Packet Pg. 124 Coiner8.C.1 County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY STATEMENT OF OWNERSHIP Lena M. Caceres Endara This certifies that i, am a member or managing APPLICANTS NAME (please print) member of Corinto Decor LLC (LIMITED LIABILITY COMPANY NAME) I own 53 % 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. Florida State of County of Collier Lena M. Caceres Endara Corinto Decor LLC Applicant (please print) Name of Company of Applicant The figregoin instrument was acknowledged before me by means of physical presence or El online notarization on this ay of, 20 ,LL , by J r Such person(s) N )tary Public must check applicable box: are personally cnown to me ❑ has produced a current driver license ❑ has produced _ as identification. 0,.,,el RE ' EBASTIAN PAZ '`,�`F Notary Pubt c -State of Flanda Commis$ on GG 316828 ern r�` My Comm. Expires Mar 27, 2023 Borded through tt tora, Notary Assn. Notary Signature: Contractor Licensing - - FIRM Application Rev. 712022 Page 9 of 14 Operations & Regulatt ry Management Division, Contractor Licensing • 2800 North Horseshoe Drive . Naples. FL 34104 • (239) 252-2431 contractorslicensinga)coiiiercount fjLl.gov Z LU J U 00 r C d E t V R r a+ Q Packet Pg. 125 8.C.1 Co ver County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY RESOLUTION OF AUTHORIZATION CompletE this form if multiple people own part of the company the license will be attached to. If there is only 1 owner, then this form is not required for the application. In accordance Aith Collier County Ordinance 2006-46, as amended, proposes Company Name to engage in cor tracting as Juan A. Prieto Fernandez in Collier County where Lena M. Caceres Endara Office rs/Owners/Partners Corinto Decor LLC proposes to qua ify for a Certificate of Competency with company Corinto Decor LLC Applicant Name Company It is hereby agreed upon that we the undersigned Juan A. Prieto Fernandez of Corinto Decor LLC Officers/Owners/Partners Company resolve and represent to the Collier County Contractor's Licensing Board that the proposed qualifying agent, Lena M. Cac eres Endara is active in all matters connected with the company named Applicait Name Corinto Iecor LLC We further resolve and represent that Lena M. Caceres Endara is legally Comf any Applicant Name empowered to act on behalf of Corinto Decor LLC in all matters connected with its contracting Company business and h� s the authority to supervise construction undertaken by orin Decor LLC Co a Lena M. C� Ceres Endara OffcerslOwnerslPai Iners e Juan A. Prieto Fernandez Officers/Owners/Pa tners Ismael Pr eto Caceres Officers/OwnerslPa triers Officers/Owners/Pa tners of the above -mentioned company need to sign on the left and7aitn.sssignature signs on the right. State of Forida Countv of Collier The foregoingyn, trument was acknowledg d before me by means of Rphysical presence or ❑ online notarization on this day of�..�r 20,byj�rf Nil 6f`r✓��n Such persons) N xary Public must check applicable box: .0 are personally known to me ❑ has produced a current driver license © has produced as identification. � ANDRE SEBASTIA+, PAZ (Not ); . �Ctary PL&IC - Slate o' F"led t 7 y Commission ir GG 3' 6819 �9,Comm. Expires Mi' 27. 2^23 9ord d throc9h NaIIVa, N3tary AW Notary Signature: Contractor Licensing - FIRM Application Rev. 712022 Page 8 of 14 Operations & Regulate,ry Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslicensin colliercount I. ov Z W J U 00 r C d E t U R r r Q Packet Pg. 126 Collie�` r County 8.C.1 Growth Management Community Development Department tJ J J APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY tY O VERIFICATION OF CONSTRUCTION EXPERIENCE w 0 Applicants Name Lena M Caceres Endara O Certificate Category Requested. Building Contractor z 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 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 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 tldministrative role should be described but may or may not be considered sufficient to demonstrate required trade experien e. The person verifying trade experience for the above -named applicant must provide the following information Name: O 6? S i7 (�p Title: i Business Nam(,: i A 112 C,�,(C Olp- Phone: �?� '1J7— Lic Business Address Street The applicant was employed by me from Applicant's title iseNlo.( if applicable) city State Zip O Z U to e e 1;1, _,�6lp r f e 2 Z i7 Zl e 51 9/7-2 it The applicant's scope of work (specific duties) included i L-� itJ — fyf4_7 6? a 5 v _ S"�mPr) 15 i Ch c; Additional com rents: f V e' Q lle2 /) leef NOTE TO LICIiNSE0 CONTRACTORS: Falsifying any information provided herein y subject your license to revocation Under penalty )f perjury. I declare that the facts stated here are true. �7 State of Florida Counts of nature of person providing the statement the foregoing i istruinew L%as acknou lodged hel'ore me by moans ol')�ph1ysical prc.cncc or ❑ online uolarivation on thi. /a day oll- cv �,�Qa�.hy _�yczJ- IS �c 1'1deVlj cJ- I____, .._,.. _mil �J Such person(sNotary Public must check applicable box: ❑ are personally known to nu ❑ has produced a currcnl drk IA. li:cn �— Not" Public Sho at F rrt �hasproducclll (A�t{'(r?o�O �(' - a" identilication. Dmr-'T'w'bG&Qk EarOF My C-Tanam NM t Ira (Notary Seal) tAAAAAAAAA Nol,1n Signaiurc: Contractor Lrcensi tg - FIRM Applrcahon Rev 712022 Page 10 of 14 Operations & Regulatory Management Division, Contractor Llconsing • 2800 North Horseshoe Drive . Naples. FL 34104 . (239) 252-2431 corttraCIO rs1Wensnuni$, olit- n:;ninlv!I ,rnv z LU J U eo r C d E t V R r r Q Packet Pg. 127 Coffler Coumn 8.C.1 Applicant's IJamw_ Growth k1a,aaerre^t Community DGev�•h il.it,rr,l De-�i:Iu htir�nt Aaoi iCA.li0i',I r'>p COLLIER r."0iir•!TY ('EQT!FICc.TE C)F CQthpFTFr.Ir-1,' VERIFICATION OF CONSTRUCTION EXPERIENCE Lena Ni Caceres Endara Certificate Category Requested. Building Contractor The applicant is seeking a Collier County Certificate of Competency in The trade indicated above. As part of the application for this certificate, the applicant must verify his/her experience within this trade. You are being requested to provide information that will aid he applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skWed wo ker (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: r Name: ✓6C' % Oie6 CA11.4 Title: Business Mime:�( G C.�cF9.� [ /! WJ-r1Z110_M'_1 Phone: -;, I .�"3 - +I -3Qy License No. (if applicable): C6C06/7�J Business A(dress: /33 �y04TuS/�et• •Q A e a 3 Street City State Zip The applica it was working alongside me from November 2016 to 2022 Applicant's I41e: Kitchen, Bathrooms and Interior Designing and Remodeling The applica it's scop2 of work (specific ies) included: Prepare Design, Estimate and Manage the the promects for new and construction Organize and coordinate the process of the project with the workers of different trades to finish it on time. Additional G)mments: She demostraded her extense knowledge to manage and develop the work with reponsability and punctuality NOTE TO LICENSED CONTRACTORS: Falsifying any information provided herein may subject your license to revocation Under pena ty of perjury, I declare that the facts stated here are true. %? State of _ Florida County of Collier person Thrc'oi �jmtrumenl was acknowledged below me by means 442 physical presence or ❑ online notarization on this A��y of ��n w�r� . 20 ZS by r' C Such perm) Notary Public mull check applicable box: L� t/rrc p/esso Tally known to me Cl has produced a current driver license ❑ has prods ccd - — as identification. (Nita I ;ot RArAcL�LASE"Cis ?4+atary Oublic - 5r_ a of Ic di <; Comm�ssiar =:- 27a060 My [pmm. Exp,ree ,ur 9, 2026 NotaryS mature Contractor Lice ising - FIRM Application Rev. 712022 Page 10 of 14 Operations & Regulatory Management division. Contractor Licensing . 2800 North Horseshoe Drive a Naples. FL 34104 . (239) 252-2431 contractorsiicensin o€her unt of V 00 r C d E t t� cis r a Packet Pg. 128 8.C.1 Lena M. Caceres Endara 5091 Genoa St. - Ave Maria, FL 34142 (239) 572 0911 corintodecor@gmall.com This resume is to summarize the process and develop that I had have in my work, now working to get my Builder License and trying to continue growing up with my Family business. Work Experi ance ` Interior Designer and Administrator Corinto Decor LLC Orense - Spain Decoration Store. This was the first business that my husband and I owned. We start with Interior decoration and Renovations for Residential and commercial. Between this years we open 3 stores in Orense and Vigo Cities. Interior Designer and Owner Administrator 07 2007 to 06,2015 Creative - Melita Decoracion SL Madrid - Spain Designer center and Decoration Store. This was our last business in Madrid before to move at US. I worked with interior Residential and Commercial Renovations. Designer and Project Manager Corinto Decor LLC 5857 Shirley Street. Unit C - Naples, FL 34109 We opened this business for Cabinets and Furniture Painting and Refacing. Thanks at Our Experience and customer's demand our business grow up and in addition to our own clients we 'iegan to work for different contractors. Attached W2. Skills ♦ High level of organization - 10+ years Good with people and managing projects - 10+ years Education Universidad Catolica Santa Maria Z Lu J U 00 r c m E t v M r r Q Packet Pg. 129 8.C.1 Bachelor's Agronomic Engineer Arequipa - Peru 04�1994 to 12'1998 Hodges University Other Languaje Naples - FL 09/2015 to 08l2016 i� Z W J U 00 r c m E t v m r r Q Packet Pg. 1370 ] 8.C.1 * * * * * 3 •11C ['I!I15 8�7f' "Lena and here team were amazing. They transformed our kitchen into a great open space: exactly what we wanted, They were professional. detailed. and utilized great design ideas to re-create our spaces I would highly recommend them for your project: we will be using them to rc-model our master and other baths next. Before this re -model the kitchen was dark and walled off." TESTIMONIALS "Corinto recently completed our kitchen remodel, it was a pleasure working with Lena and her learn. They exceeded our expectations with their quality work. They wort hclpfui and knowledgeable during the planning process and they really delivered a quality on time remodel." a W W W H N W W "The remodel of my kitchen by Corinto was outstanding! Le O coordinated work for the var V workmen needed.Thojob wa nplc in the time promiseclAhc wo Z nsh and the willingness to pleas O > grc Always arriving on time and U rca cleaners each day before Iea� Z till 0 products used are excellent a ty-TI workmen are very courteous =J because we are in a pandcm m rc compliant with mask mind: LLJ . 11 definetly recommend this cc Z any kitchen or bathroom ren W_ R W d x W W O W W a 0 Z W y W W W U a U Z W J U 00 r c m E t v M r r Q Packet Pg. 1371 ] -NOIOVNINOo gmQ1ns-93N]m]dX]]0 M3 A]N-VNVQN] S3N33V3'w ¥N]]'o@: amLj3U n¥ / \ \ \ / \ \ } 2 co- a j - { }/ 2 =; / \\ z \ > \ Gf C, ® c y 's ƒ # 2 & : u � \ ) ` LaT \\ 0 \ oIL ` ƒ § EG 2 ) _ \ (3) 0 c' \ }} /4-AOL c� , '�, F } C' # ±E e_ > \ }{ b { \ E e 2 \/ cm _ � \ \/1) a/ - 2 $,\ - EQ2 { a,2 2m� �� \f �\ & ka �} 2±: =y zyo- /® .� #)! )\ \ \\ E° te �\ �^ )/ } k $ C d & } 41 , » 2 = ©.- 9° LQ } {{- ' 0{a\ _ ƒE ,. _ �/ \ 2\\ ■3ee +z \\ ,» ƒ �}/} q a \ a 8.C.1 January 17, 20, 3 To whom it ME y concem I hereby certi 6 that I know Lena Caceres E. and her company as a professional, honest person. Her company Corinto Decor has been in the market for many years providing kitchen cabinets and ceramics. This company :s mainly dedicated to projects for kitchens outside and inside the house, bathrooms wit] a ceramic interior finishes and their designs. I really think that Lena Caceres Endara has enough experience to carry out construction developments Sincerely ........................................... Luis E Nino Merks Solutio:is Groupp licence # C�1-1L-13N-+1) 1 1 + �•l1fi� 3 E16Z Sute ofFlanda f HH IM41 +. Exptn Oct i0, 1`J26 e KAW41] Notary A4 . ER Z LU J 6 00 r c d E t v .r r Q Packet Pg. 133 8.C.1 January 5, 2023 To Contractor Licensing Board, The purpc se of this letter is to recommend at Lena Caceres Endara with her Company Corinto Decor, on my experience. I work with This company since 2016 to provide services in different projects for interior renovations, How is Kitchen, Lathrooms, flooring, etc. I am pleased with the quality of the work, punctualV y and honesty. I am happy to recommend this company to anyone who is seeking this kind of services. During th � course of the renovation, She was able to contact anytime and the team readily adhered to the customer request no matter how big or small they were. Their always are looking for a quality materials and final product work. I highly recommend this company and Their experience for renovation and construction projects. AA412C----------------------- Gam`' David Linscott Plumbing Contractor School House II, INC License Number: RF11067658 F.�RE 5EBA5T;aa DF2 W ��t ticlaty ;L,:)'1C • state 0! F anda J v Commlis�an 0 GG 316121 N{ Comm. Ezp�t µar 21. 2021 V j .a•C thf oqh NdttOnd'. NOOTY ASS' 00 C d E t V R r Q Packet Pg. 134 8.C.1 10 Brockett Rd Niantic, CT 06357 860-823-0304 larrvcorona 12Ca�gmail.com CT License # ELC.0103966-E1 January 10, 2023 To: Operations and Regulatory Management Division Letter of Recommendation for Lena Caceres Endara and Corinto Decor LLC My experience with Lena Caceres Endara and Corinto Decor is on a personal level We had tie benefit of seeing work she had done for another owner in our building and they were very satisfied and they referred her to us. We ended up choosing Corinto, after we went to see other contractors to compare, because we felt we could trust her. It is a leap of faith when picking a contractor in FL that you are not going to be able to personally oversee. She has now done several d fferent renovations in our condo, in Naples, FL. Lena is a pleasure to work with. She organizes the first meeting on site, develops the desigl plan and within a couple of days, produces it for review. She listens to your suggestions, your wants, and your needs when she is assessing your project space. Sl-.e readily adjusts the design until you are satisfied. It is a mutual give and take process. She is a team player. She assists with the choices of product and will even enc :)urage you to go out of your comfort zone, if she feels it is the right design choice. We have trusted her decisions a few times and have not been disappointed. She coordinates the work schedule and adheres to condo rules regarding work times, when work can commence and when it needs to be completed by. She handles ,iny issues that come up at the work site and manages her employees. V 00 c as E a Packet Pg. 135 8.C.1 She is our eyes on site to make sure all is going according to plan. She sees that all work perf armed stays within budget. Any concerns we have had, she has addressed to our satisfaction, in a timely manner. In closing,, being a contractor myself, I am very familiar with what is and is not quality work in the trades. Corinto provides quality work. I can without reservation say that the construction/remodeling community will be getting another solid member when Lena Caceres Endara obtains her contracting license. Sincerely Larry R. Corona State of Co rtnectieut County of OC ! ss._ On this the D day of J I-F , 20,23, before me, the signature appeared L' rC ► , know to me to be the person whose name is subscribed to the within instrument and acknowledged that he-- executed the same for the purposes therein contained. In witness, N,hereof I hereunto set my hand Signature c f Notary Public Date Comriission Expires:_ LAURIE CORONA NOTARY PUBLIC My WOMiSSION EXPIRES SEPT. 30, 2023 V 00 r C d E t c� tv r a Packet Pg. 136 8.C.1 coi[ier County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STAT = OF �ck COUC ITY OF CO IlLeC i, -Al CSiLIA.-M,--- Aqr+ + , having been first duly sworn, state and affirm: I am i resident of W U eC County, _ Rofi[{A _ (State) and have resided here for more :han five (5) years, Durin ] the last five (5) years I have known �e ny M . Carr rrS �tld0tq(applicant). I have had the opportunity to ob: verve his or her business and personal dealings and find him or her to be a person of honesty, integrity and good character. 1 signature Ursula x . Mar4; Printed Name Address: 501'1 Rimi n; Ave Street e Mari GiL 34147_ City state Zip Telephone: lase $q�i -3963 State rfridCf CounryofCnIL ✓ The i irrgoing instrument was acknowledged before me by means of IM physicaI presence or ❑ online notarization on this c ay of i7Ci , 20 2L, by jnprid HQf�-i r Such >erson(s) Notary Public must check applicable box: ❑ are personally known to me has �produced a current driver license ❑ ha; produced �5— Z -V as identification. (Kota ry Seal) ANDRE 5Et1ASTIAN]2OZI �! `i Nota*yhbik-stateo Commision a GG 1 ?�r� My Comm. ERpiref MarNotary Signatttre: Bonded through NatlonalNo Contract x Licensing — FIRM Application Rev. 712022 Page 14 of 14 Operalior s & Regulatory Management Division, Contractor Licensing a 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractors l icensina(d c of l iercou nW.00 v Z LU J U 00 r c m E t v r r Q Packet Pg. 137 8.C.1 co er county Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF _ 'P=11. Y Cr,,— COLINTYOF l -11 I. '"'aving been first duly sworn, state and affirm: L� I am a resident of O 4-r _ County, 6 Il I 1 1(State) and have resided here for more t San five (5) years. Dunne the last five (5) years I have known Ifj!QLR- CII(Prff CY&20applicant). I have had the opportunity to obs,,rve his or her business and personal dealings and find him or her to be a person of honesty, integrity and good r haracter. Sgnature C-2L2l �fz �dl Printed Name Address: �, �� 6er'ttk eet Ate , 'F1 --L-k yO City State Zip Telephone: State o County of i fW The foi egoing instrument was acknowledged before me,by` means of hysicaI presence or ❑ online notarization on this dayof� . 20 by �u(�luX Qef �. Such p rrson(s) Notary Public must check applicable box: )lgre personally known to me ❑ has produced a current driver license ❑ has toduced as identification. {>Vota "r I ANDRE 5E6ASTiAN PAI Notary Pubilc • state of norida ;eft �? Commtsslon RGG 316621 '-Iw'r +' My Comm. Explrts Aar 11, 1011 eodedthroughNational NmaryAsrn. Notary Signature: fir Contrado, Licensing - FIRM Application Rev, 712022 Page 13 of 14 Operation • & Regulatory Management Division, Contractor Licensing . 2300 North Horseshoe Drive . Naples, FL 34104 . (239) 252-2431 co n t racto rs l i ce n s i n Cfd co l l ie rco u ntVfl. ao v I Z W J U eo r c m E t v r r Q Packet Pg. 138 8.C.1 CO er County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE: OF COUNTYOF aac cL having been first duly sworn, state and affirm: am a resident of �� 1 i er County, ilor ICk . (State) and have resided here for more I han five (5) years. Durinc the last five (5) years I have known l effi tT . [ ma "A (applicant). t have had the opportunity to obsyrve his or her business and personal dealings and find him or her to be a perm of honesty, integrity and good r haracter. 11 a? .� I " 12 Signature Printed Name Address: �3' i CQ Lery J q—. Street City I State Lp Telephone: n�� -4< State o County of �f Th t egoing instrument was acknowledged b fore me by means of physical presence or ❑ online notarization on this darof- - 20�by Such pr rson(s) Notary Public must check applicable box: ,Aare f ersonally known to me ❑ has produced a current driver license 0 hasEroduced (Nota-,w I-C ., r� . ANekE SEBASTIAN PA2 11 Notary Public � State of Fiorlda Commi$$Ion 0 GG 31662a ?r 4y Comm, Empires afar 22, 2023 B ,ded through National Notary Aar. identification. Notary Signature: Contractor Licensing - FIRM Application Rev. 712022 Page 14 of 14 Operations & Regulatory Management Division, Contractor Licensing a 2800 North kar eshoe Drive a Naples, FL 34104 a (239) 252-2431 contractorsiicensin collmrcoun ov Z LU J 6 00 r c m E t v r r Q Packet Pg. 139 U 06 - NOiOVNINOa Maims - 30N3lN3dX3 =10 M31n3N - vmvaN3 S32130b'a M `dN31 'a8 4uGw43B;;y 4 uj i f CK W S IUL to j< - U)tr��� V.." 9 I - - qrm I vom WNW is 0 co CIO �l 1", Uig �u R 8.C.1 AC<>RO® CERTIFICATE OF LIABILITY( INSURANCE DATE(MMIDDlYYYY) 01/03/2023 THIS CERTIFICATE IS I SSJED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER- THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR F RODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certficate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and condition; of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER ACT NAME: _ EZINSIJRANCE OF NAPLES PHOCNa• Ealt (238j 353-6207 nol. (239) 353 6432 4127 TAMIAMI TRAP_ EAS' E at _ auentsaiazinsuranceofnanles cnm _ INSURER($) AFFORDING COVER NAPLES FL 34112 INSURER A: Evanston Insurance Company INSURED -- --- -- ------ - - --- -- - --- — INSURER B : CORINTO DECOR LLC INSURER C 5857 SHIRL=Y ST UNIT C INSURER D: INSURER E : NAPLES FL 34109 INSURER F: _ COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THF.F 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 IS WED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDI" IONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. - INSIt ADDL SUBR I TYPE OF INSUF.ANCE ""� EFP LTR POLICY NUMBER MM �DY M DDIYWY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 1 CO!°MERCIAL GENER, L LIABILITY DAMA�`GS_rO RENT�E — 100,000 � PREMISES fEa occurren� $ CLAIMS-MADE �! OCCUR MED EXP 5.� ..--- A i (Any one parson) $ 35310828 12J0712022 12107/2023 PERSONAL BADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GLN'L AGGREGATE LWIT A'PLIES PER, ...-_ PRODUCTS - COMNOP AGG $ 2.000,000 PRO- I —._$ POLICY JECT LOC AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT —i JEaaccidern)$ _ ANY AUTO ! BODILY INJURY (Per person) $ ALL OWNED SCHEDULED _. AUTOS AUTOS B INJURY Per accident $ ( 1 HIRED AUTOS AO7OS NED -- — { PROPERTY DAMAGE $ Per aocidenl) UMBRELLA LLAB LOCCUF I EACH OCCURRENCE $ _ EXCESS LIAB i _-MADE AGGREGATE $ _ OFl) RETENTION $ WORKERS COMPENSATI01, WC STATU- OTH- AND EMPLOYERS' LIABILIT" I N TO.RY LIMITS _ _ ER _ ANY PROPRIETOR/PARTNEF (EXECUTIVE EAS E,L, EACH ACCIDENT OFFICERIMEMBER EXCLUDe D? NIA. (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ .i Y.S. d_5.;" `e L: d2r - CESCRIPTiON OF OPERATI AS below E.L. DISEASE - POLICY LIMIT _ $ i DESCRIPTION OF OPERATIONS 1-OCATIONS! VEHICLES (Attach ACORD 101, Additional Remaras Schedule, more space is requited) Carpentry interior, painting interior, tile, stone marble installation LGn I irit fit i r- r1 VLucm COLLIER C7UNTY CONTRACTOR LICENSING BOARD 2800 NORT-I HORSESHOE DRIVE NAPLES FL 34104 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCCROANCE WITH THE POLICY PROVISIONS. AUTHORRED REPRESENTATIVE EZINSURANCE OF NAPLES ACORD 25 (2C10105) © 1988-2010 ACORD CORPORATION, All rights reserved. The ACORD name and logo are registered marks of ACORD PP Z LU J U 00 r C 0) E t v M r r Q Packet Pg. 141 8.D 02/13/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 8.1) Doc ID: 24573 Item Summary: 81). ENRIQUE TORRES- REVIEW OF CREDIT- EPDXY STONE CONTRACTOR -T & T SURFACES, LLC Meeting Date: 02/13/2023 Prepared by: Title: — Contractor Licensing Name: Alyshia Morse 02/02/2023 5:03 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 02/02/2023 5:03 PM Approved By: Review: Contractor Licensing Sandra Delgado Review item Completed 02/06/2023 3:43 PM Contractor Licensing Tim Crotts Review Item Completed 02/07/2023 7:47 AM Contractor Licensing Tim Crotts Meeting Pending 02/13/2023 9:00 AM Packet Pg. 142 8.D.1 CoMer County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY w CJ FIRM APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY �� ava�. -3a 1 3 W 0 This application must be typewritten or legibly printed. The application fee must be paid upon approval and is NOT w refundable. All checks should be made payable toy Collier County Board of County Commissioners. For further information, consult Collier County Ordinance No. 2006-46, as amended. ,r N TYPE OF CERTIFICATE OF COMPETENCY: ❑ General $230.00 ❑ Electrician $230,00 Building $230.00 ❑ Plumber $230.00 ❑ Residential $230.00 ❑ Air Conditioner $230,00 ❑ Mechanical $231 ❑ Swimming Pool $230.00 ❑ Roofing $230.00 X Specialty $205.00 Specialty Trade: Epoxy Stone I. APPLICANT PERSONAL INFORMATION: Name: Enrique First Business game: T &T Surfaces, LLC Middle Initial Torres last Address: 1457 SW Kamchatka Ave Port St Lucie Florida 34953 Street City State zip Email: enriguetorres1247@ctmail.com Telephone: 772-444-5239 Date of Birth: 05/22/1999 *SS # (Last 4 digits only): 1938 Driver's License # (Last 4 digits only): 1820 Pursuant to Collier County Contractor Licensing Ordinance No. 2006-46 Section 2.1.1., ali applicants are required to submit their social security number, driver's license, and date of birth 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. c) Verification of applicant's identity. Our office will only use the personal information noted above for those reasons pursuant to Chapter 119, Florida Statutes, and as may otherwise be authorized by law. We are fully committed to safeguarding and protecting your personal information and once collected, will be maintained as confidential and exempt under Chapter 119, Florida Statutes. Contractor Licensing — FIRM Application Rev, T2022 Page 3 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslicensinafa colliercountyL ov Packet Pg. 143 8.D.1 1.6.3.17. Epoxy Stone Contractor requires twenty-four (24) months experience with a passing grade on a two (Z) htw 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, LU U W Z LU C CO M ti N Packet Pg. 144 8.D.1 COT Ter COLiYt!ty Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY Cl W Provide the names and telephone numbers of two persons who will always know your whereabouts. W Name: Enrique Torres Valle Name: Patricia Torres w M Telephone: 772-284-3486 Telephone: 772-2B4-3491LO v II. NAME OF APPLICANT'S BUSINESS: N U J Business Name: T &T Surfaces, LLC J Business Address: 1457 SW Kamchatka Ave Port St Lucie Florida 34953 Street City State Zip Telephone: 772-444-5239 Email: enri uetorres1247 mail.com Federal ID Tax No.: :: Bill• : III. FINANCIAL RESPONSIBILITY YES NO ALL APPLICANTS MUST ANSWER THE QUESTIONS BELOW: X Filed for or been discharged in bankruptcy within the past 5 years? X Had a lien filed against you by the Internal Revenue Service or Florida Corporate Tax Division? X Undertaken construction contracts or work that resulted in liens, suits, or judgments being filed? X Undertaken construction contracts or work that a third party, such as a bonding or surety company, completed or made financial statements on? X Made an assignment of assets in settlement of construction obligations for less than the debts outstanding? 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?* Had claims or lawsuits filed for unpaid or past due accounts by your creditors as a result of X construction experience? Been charged with or convicted of acting as a contractor without a license, or if licensed as a X contractor in this or any other state, been "subject to" disciplinary action by a state, county, or municipality? NOTE. If 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.*If you have had a felony conviction, proof that your civil rights have been restored will be required prior to licensure. Contractor Licensing — FIRM Application Rev. 7/2022 Page 4 of 14 operations & Regulatory Management Division, Contractor Licensing a 2800 North Horseshoe Drive • Naples, FL 34104 . (239) 252-2431 contracto rsiicensinn(tt,colliercountyfl.gov Packet Pg. 145 8.D.1 cAlier co-t4nty Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY LU IV� NCE VERIFICATION � Z EDUCATION: uJ List below and provide transcripts for any formal education you have obtained in the area of competency for which this application is being made: Ci 00 Indian River State College - Associates Degree - Business Administration - 2020 <h r` LO Everglades University - Bachelor Degree - Construction Management - Current N List below non formal education (on the job training) you have obtained in the area of competency for which this J application is being made: —J rn LU CURRENT/PREVIOUS LICENSE: List below and attach copies any other certificates of competency/licenses you hold/have held in Collier County or any other jurisdiction. Include 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. State of Enrique Torres Applicant (please print) rl -el County of lb foregoin�j instrument was acknowledged before me by means 1 � day ofY 6 �✓ , 20 Z , by of physical presence or 0 online notarization on Such person(s) Notary Public must check applicable box: El are personally known to me 15(has produced a current driver license ❑ has produced as identification. HERVE J. LESPEPRANCE �t A°$ Notary Public. State of Florida Commission# GG 306064 My Comm. expires March 25, 2023 Notary Signature: Page 5 of Contractor Licensing — FIRM Application Rev. 712022 Operations 8 Regulatory Management Division, Contractor Licensing 9 a 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 o Packet Pg. 146 8.D.1 co-- c01.11ty Growth Management Community Development Department 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. 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 ail 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 _ Enrique Torres Applicant (please print T & T Surfaces, LLC Name of Company Signatur# of Applicant State of 6r G1' County of ' .ei C- The forego in tnstnan crit was acknowledged Zf—day of &CAW L/, 20 2• by me by means ofX physical presence or ❑ online notarization on Such person(s) Notary Public must check applicable box: ❑ are personally known tome has produced a current driver license ❑ has produced (Note Seal HERVE J. LESPERANCE x Notary Public, State of Florida Commission# GG 306064 My comm. expires March 25, 2023 Contractor Licensing - FIRM Application Rev, 712022 as identification. Notary Signature: pana A of operations & Regulatory Management Division, Contractor Licensing . 2800 North Horseshoe Drive * Naples, FL 34104 • (239) 252-2431 Contra Or5lIC2n51n0(r3lrnlfi -"- vvli II OV W z w t7 00 Cl) t` LO Packet Pg. 147 8.D.1 coli7ter county Growth Management Community Development Department W APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY Ci WORKMEN'S COMPENSATION AFFIDAVIT w It is understood and acknowledged by the Collier County Contractors' Licensing Board and myself that if I fail to w acquire, or maintain at all times effective Workmen's Compensation Insurance it will result in the possible revocation ' Cl) of my Certificate of Competency, I— LO v Enrique Torres 04 Applicant (please print U J to T & T Surfaces, LLC w ature BEFORE ME this day personally appeared � ,G)tJL _T; rre < 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 Insurance. State of f �d r, JG` County of � tj c jL- The foregoi instru ent was acknowledged ore me by means of hys_icaJ presence or ❑ online notarization on this Z f day of,- 20 �, by — — Ar, aj •L 601 Such person(s) Notary PubIic must check applicable box: © are personally known to me )(has produced a current driver license 0 has produced (KoqEm ESPERANCE. State of Floridanp GG 306064es March 25. 2023 as identification. Notary Signature: Contractor Licensing — FIRM Appilcaton Rev. 712022 Page 7 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 s (239) 252-2431 contractor0censingO lien Packet Pg. 148 8.D.1 Name: Sponsor: ID M Score: # Unanswered Questions: Score Report Enrique Torres Collier County 92 0 Prov, Test: Business and Law, 2nd edition Date: 12/16/2022 TestlD: 564963884 Result: Pass Module Subject Area Status LOW FLBO Business Organization P FLL1C Licensing F FLTL Tax Laws P FLSRR SafetyOSHA P FLLL Labor Laws P FLCM Contract Management F FLPM Project Management P FLE&B Estimating & Bidding P FLFM Financial Management P FLRM Risk Management P FLLIEN Lien laws P Cut Score HIGH W Z W 00 Packet Pg. 149 8.D.1 St�� , n tt+G'C�s CRS; �. ['rcr�Jil Rej�nrtis�,�� .ticri•icc - PERSONAL CREDIT REPORT MERGED REPORT COMPILED FROM NATIONAL RECORDS ENTRY # 12102 Phone: 850-539-8000 Fax: 866-651-5145 Email: cc@unitedcrs.com www.UnitedCRS.com 4583-A Capital Circle NW Tallahassee, FL 32303 December 30, 2022 SUBJECT NAME: TORRES, ENRIQUE ALSO KNOWN AS: SOCIAL SECURITY NUMBER: -1938 TORRES,ERIQUE DOB: 05/22/1999 CURRENT ADDRESS REPORTED: 05/2018 1457 SW. KAMCHATKA AV., PORT SAINT LUCIE FL. 34953 EMPLOYMENT DATA REPORTED: TREASURE COAST SURFACES SUNDEK POSITION: FOREMAN DATE VERIFIED:09/2021 DATE VERIFIED:03/2019 THE SUBJECT'S TOTAL FILE HISTORY PUBLIC RECORDS: 0 CURRENT NEGATIVE ACCTS: 6 REVOLVING ACCTS: 8 COLLECTIONS: 0 PREVIOUS NEGATIVE ACCTS: 6 INSTALLMENT ACCTS:6 TRADE ACCTS: 14 PREVIOUS TIMES NEGATIVE: 20 MORTGAGE ACCTS: 0 CREDIT INQUIRIES: 7 EMPLOYMENT INQUIRIES: 1 OPEN ACCTS: 0 HIGH CRED CRED LIMIT BALANCE PAST DUE MNTHLY AVAIL REVOLVING: $3510 $3700 $3197 $0 $86 14% INSTALLMENT: $144K $0 $112K $1645 $2377 CLOSED WEAL: $13.5K $5366 $293 TOTALS: $148K $3700 $129K $7011 $2756 FICO CLASSIC SCORE - 713 CREDIT INFORMATION BBY/CBNA H 292FO14 REVOLVING ACCOUNT ACCT CLSD BY CONSUMER CHARGE ACCOUNT VERIF'D 12/2022 BALANCE: $3166 INDIVIDUAL ACCOUNT OPENED 10/2020 M CG"D33.9, CREDIT LIMIT: $2250 CLOSED 11/2022 PAST DUE:$342 STATUS AS OF 11/ 022 ACCOUNT 60 S PAST DUE DATE IN PRIOR 26 MONTHS -ifERIF'D 2 TIME/S 60 DAYS, 2 TIME/S 30 DAYS LATE PAYMENT PATTERN:332111111111111121111111 �/ BK OF AMER B 1597029 REVOLVING ACCOUNT '1 CLSD BY CRDT GRANTOR CREDIT CARD VERIF'D 12/2022 BALANCE: $4151 INDIVIDUAL ACCOUNT OPENED 11/2020 MOST-OWE-D7- �71"9 CREDIT LIMIT: $4000 CLOSED 08/2022 PAST DUE:$556 STATUS AS OF B/20222 ACCOUNT.90 DAYS PAST DUE DATE 02 IN PRIOR 25 MO ARIF'D 2 TIME/S 120 DAYS, 1 TIME/S 90 DAYS 1 TIME/S 60 DAYS, 3 TIME/S 30 DAYS LATE PAYMENT PATTERN:554321111221111111111111 ROCKETLOANS F 2FP0001 INSTALLMENT ACCOUNT UNSECURED Pagel of 3 Packet Pg. 150 8.D.1 VERIF'D 12/2022 BALANCE: $3546 INDIVIDUAL ACCOUNT OPENED 0812020 MOS PAY TERMS: 36 MONTHLY $313 �ACCOUNT STATUS AS OF 12/20PAST DUE DATE IN PRIOR 27 MONTHSIME/S 60 DAYS, 1 TIME/S 30 DAYS LATE PAYMENT PATTERN:321111111111111111111111 CAPI/SAKS D 2D0001 REVOLVING ACCOUNT CHARGE ACCOUNT VERIF'D 12/2022 BALANCE: $501 INDIVIDUAL ACCOUNT OPENED 12/2021 MOST OWED: $715 CREDIT LIMIT: $1000 PAST DUE:$0 STATUS AS OF 12/2022 CURRENT; PAID OR PAYING AS AGREED IN PRIOR 11 MONTHS FROM DATE VERIF'D 1 TIME/S 30 DAYS LATE PAYMENT PATTERN:12111111111 FRD MOTOR CR F 3796761 INSTALLMENT ACCOUNT AUTOMOBILE VERIF'D 12/2022 BALANCE: $59377 JOINT ACCOUNT OPENED 11/2021 MOST OWED: $64827 PAY TERMS: 77 MONTHLY $1040 PAST DUE:$0 STATUS AS OF 12/2022 CURRENT; PAID OR PAYING AS AGREED IN PRIOR 13 MONTH/S FROM DATE VERIF'D PAYMENT PATTERN:111X111111111 DISCOVERBANK B 9616003 REVOLVING ACCOUNT CREDIT CARD VERIF'D 12/2022 BALANCE: $2696 INDIVIDUAL ACCOUNT OPENED 05/2018 MOST OWED: $2795 CREDIT LIMIT: $270 0 PAST DUE:$0 STATUS AS OF 12/2022 CURRENT; PAID OR PAYING AS AGREED IN PRIOR 48 MONTH/S FROM DATE VERIF'D NEVER LATE PAYMENT PATTERN:111111111111111111111111 SYNCB/CTYFRN B 328QO05 REVOLVING ACCOUNT :'LSD BY CRDT GRANTOR CHARGE ACCOUNT VERIF'D 12/2022 BALANCE: $1974 INDIVIDUAL ACCOUNT OPENED 12/2020 0 CREDIT LIMIT: $1770 CLOSED 01/20 PAST DUE:$180 STATUS AS OF 01V2072 ACCCAWT-1,?8-AAY" PAST DUE DATE IN PRIOR 24 MONTHS FROM DATE VERIF'❑ 1 TIME/S 120 DAYS, 1 TIME/S 90 DAYS 1 TIME/S 60 DAYS, 1 TIME/S 30 DAYS LATE PAYMENT PATTERN:543211111111111111111111 GS BANK USA B 2GSZ001 REVOLVING ACCOUNT UNPAID BLNC CHRGD OFF CREDIT CARD VERIF'D 11/2022 BALAN INDIVIDUAL ACCOUNT OST 0 D: $42 OPENED 08/2t/29:222 CREDIT LIMIT: $4000 CLOSED 11/2AST DUE:$4288 STATUS AS OF 1 CH RGG PNC BANK 13012 INSTALLMENT ACCOUNT AUTOMOBILE VERIF'D 11/2022 BALANCE: $44626 JOINT ACCOUNT OPENED 10/2019 MOST OWED: $66744 PAY TERMS: 84 MONTHLY $1024 PAST DUE:$1024 STATUS AS OF 11/2022 ACCOUNT 30 DAYS PAST DUE DATE IN PRIOR 37 MONTHS FROM DATE VERIF'D 2 TIME/S 30 DAYS LATE PAYMENT PATTERN:2211111111111111111111lI DPT ED/AIDV B 6372061 INSTALLMENT ACCOUNT PAYMENT DEFERRED STUDENT LOAN VERIF'D 11/2022 BALANCE: $2250 INDIVIDUAL ACCOUNT OPENED 09/2022 MOST OWED: $2250 DEFERRED TO 05062026 PAST DUE:$0 STATUS AS OF 11/2022 CURRENT; PAID OR PAYING AS AGREED IN PRIOR. 02 MONTH/S FROM DATE VERTF'D NEVER LATE PAYMENT PATTERN:11 DPT ED/AIDV B 6372061 INSTALLMENT ACCOUNT Page 2 of 3 W a w Z W C 00 M ti N Packet Pg. 151 8.D.1 PAYMENT DEFERRED STUDENT LOAN VERIF'D 11/2022 BALANCE: $3000 INDIVIDUAL ACCOUNT OPENED 09/2022 MOST OWED: $3000 DEFERRED TO 05062026 PAST DUE:$O STATUS AS OF 11/2022 CURRENT; PAID OR PAYING AS AGREED IN PRIOR 02 MONTH/S FROM DATE VERIF'D NEVER LATE PAYMENT PATTERN:11 SYNCB/PPC B 999221L REVOLVING ACCOUNT CLSD BY CRDT GRANTOR CREDIT CARD VERIF'D 01/2022 BALANCE: $0 INDIVIDUAL ACCOUNT OPENED 01/2020 MOST OWED: $357 CREDIT LIMIT: $1500 PAID OFF 04/2020 PAST DUE:$0 STATUS AS OF 10/2021 CURRENT; PAID OR PAYING AS AGREED IN PRIOR 24 MONTH/S FROM DATE VERIF'D NEVER LATE PAYMENT PATTERN:111111111111111111111111 ALLY FINCL F 259237L INSTALLMENT ACCOUNT CLOSED AUTOMOBILE VERIF'D 12/2021 BALANCE: $0 JOINT ACCOUNT OPENED 03/2019 MOST OWED: $55079 PAY TERMS: 84 MONTHLY $0 CLOSED 12/2021 PAST DUE:$O STATUS AS OF 12/2021 CURRENT; PAID OR PAYING AS AGREED IN PRIOR 33 MONTH/S FROM DATE VERIF'D NEVER LATE PAYMENT PATTERN:111111111111111111111111 CCB/GAMESTOP D 1N78269 REVOLVING ACCOUNT CLSD BY CRDT GRANTOR CBARGE ACCOUNT VERIF'D 11/2020 BALANCE: $0 INDIVIDUAL ACCOUNT OPENED 0912018 MOST OWED: $173 CREDIT LIMIT: $250 PAID OFF 02/2019 PAST DUE:$0 STATUS AS OF 10/2020 CURRENT; PAID OR PAYING AS AGREED IN PRIOR 25 MONTH/S FROM DATE VERIF'D NEVER LATE PAYMENT PATTERN-111111111111111111111111 PUBLIC RECORDS PUBLIC RECORDS HAVE BEEN CHECKED AT THE COUNTY, STATE, AND FEDRAL LEVELS RESULTS: NO PUBLIC RECORDS FOUND EN D OF REPORT It is with understanding that the credit score attached to this report can fluctuate daily and can Change drastically. In some cases, over 1DO pointswhen making big purchases, etc. Page 3 of 3 W CY W Z W 6 00 M ti t17 N Packet Pg. 152 12122/22, 8:47 AM Detail by Entity Name 8.D.1 DivisioN OF CORPORATIONS 1 -org DI f --1 rrrr rrlfrr;!1 .flrrrr „1 f.'furrrlrr "s ir;i!Y Department of State I Division of Co r r i n 1 Search Records / Search by Entily, Name / Detail by Entity Name Florida Limited Liability Company T & T SURFACES, LLC Filing Information Document Number L22000290729 FEI/EIN Number NONE Date Filed 06/27/2022 Effective Date 06/27/2022 State FL Status ACTIVE Principal Address 1457 SW KAMCHATKAAVE PORT ST LUCIE, FL 34953 Mailing Address 1457 SW KAMCHATKAAVE PORT ST LUCIE, FL 34953 Registered Agent Name & Address TORRES, ENRIQUE 1457 SW KAMCHATKAAVE PORT ST LUCIE, FL 34953 Authorized Person(s) Detail Name & Address Title AMBR TORRES, ENRIQUE 1457 SW KAMCHATKAAVE PORT ST LUCIE, FL 34953 Annual Reports No Annual Reports Filed Document Images 06l2712022 -- Florida Limited Liability View image in PDF format search. sunbiz.orglInquirylCorporationSea rchlSearchResultDetaiI?inquirytype=EntityName&directionType=Initial&searchNameOrder=TTSURFACES L_. 1i2 Packet Pg. 153 8.D.1 Electronic Articles of Organization L22 008 00 29 FILAM For June 27 2022 Florida Limited Liability Company sec. Of State snehatham Article I The name of the Limited Liability Company is: T & T SURFACES, LLC Article II The street address of the principal office of the Limited Liability Company is: 1457 SW KAMCHATKA AVE PORT ST LUCIE, FL. 34953 The mailing address of the Limited Liability Company is: 1457 SW KAMCHATKA AVE PORT ST LUCIE, FL. 34953 Article III The name and Florida street address of the registered agent is: ENRIQUE TORRES 1457 SW KAMCHATKA AVE PORT ST LUCIE, FL. 34953 Having been named as registered agent and to accept service of process for the above stated limited liability company at the place designated in this certificate, I hereby accept the appointment as registered agent and agree to act in this capacity. I further agree to comply with the provisions of all statutes relating to the proper and complete performance of my duties, and I am familiar with and accept the obligations of my position as registered agent. Registered Agent Signature: ENRIQUE TORRES w a W z w c 00 M ti N Packet Pg. 154 8.D.1 Article IV The name and address of person(s) authorized to manage LLC: Title: AMBR ENRIQUE TORRES 1457 SW KAMCHATKA AVE PORT ST LUCIE, FL. 34953 Article V The effective date for this Limited Liability Company shall be: 06/27/2022 Signature of member or an authorized representative Electronic Signature: ENRIQUE TORRES L22000290729 FILED 8:00 AM June 27 2022 Sec. Of §tate snchatham I am the member or authorized representative submitting these Articles of Organization and affirm that the facts stated herein are true. I am aware that false information submitted in a document to the Department of State constitutes a third degree felony as provided for in s.817.155, F.S. I understand the requirement to file an annual report between January 1 st and May 1 st in the calendar year following formation of the LLC and every year thereafter to maintain "active" status. ua U W z ua 0 00 M ti Packet Pg. 155 8.D.1 faTi7Cr DEPARTMENT OF THE TREASURY 1i47 INTERNAL REVENUE SERVICE CINCINNATI OH 45999-0023 T & T SURFACES LLC ENRIQUE TORRES MBR 1457 SW KAMCHATKA AVE PORT ST LUCIE, FL 34953 Date of this notice: 06-30-2022 Employer Identification Number: 88-3049783 Form: SS-4 Number of this notice: CP 575 A For assistance you may call us at: 1-800-829-4933 IF YOU WRITE, ATTACH THE STUB AT THE END OF THIS NOTICE. WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER Thank you for applying for an Employer Identification Number (EIN). We assigned you EIN 88-3049783. This EIN will identify you, your business accounts, tax returns, and documents, even if you have no employees. Please keep this notice in your permanent records. Taxpayers request an EIN for their business. Some taxpayers receive CP575 notices when another person has stolen their identity and are opening a business using their information. If you did not apply for this EIN, please contact us at the phone number or address listed on the top of this notice. When filing tax documents, making payments, or replying to any related correspondence, it is very important that you use your EIN and complete name and address exactly as shown above. Any variation may cause a delay in processing, result in incorrect information in your account, or even cause you to be assigned more than one EIN. If the information is not correct as shown above, please make the correction using the attached tear -off stub and return it to us. Based on the information received from you or your representative, you must file the following forms by the dates shown. Form 941 Form 940 Form 1065 04/30/2023 01/31/2024 03/15/2023 If you have questions about the forms or the due dates shown, you can call us at the phone number or write to us at the address shown at the top of this notice. If you need help in determining your annual accounting period (tax year), see Publication 538, Accounting Periods and Methods. We assigned you a tax classification (corporation, partnership, etc.) based on information obtained from you or your representative. It is not a legal determination of your tax classification, and is not binding on the IRS. If you want a legal determination of your tax classification, you may request a private letter ruling from the IRS under the guidelines in Revenue Procedure 2020-1, 2020-1 I.R.B. 1 (or superseding Revenue Procedure for the year at issue). Note: Certain tax classification elections can be requested by filing Form 8832, Entity Classification Election. See Form 8832 and its instructions for additional information. IMPORTANT INFORMATION FOR S CORPORATION ELECTION: If you intend to elect to file your return as a small business corporation, an election to file a Form 1120-S, U.S. Income Tax Return for an S Corporation, must be made within certain timeframes and the corporation must meet certain tests. All of this information is included in the instructions for Form 2553, Election by a Small Business Corporation. W 0 CY W Z W d 00 M ti LO ICT Packet Pg. 156 8.D.1 cor county Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY LU STATEMENT OF OWNERSHIP Cy IX z LU This certifies that I, Enrique Torres am a member or managing co APPLICANT'S NAME (please pent) member of T & T Surfaces (LIMITED LIABILITY COMPANY NAME) N i own 100 % of the units issued by the Limited Liability Company listed above. t' 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. State of Aoi-11144'— Count• of v4' e The forego in instrumet t was acknowledged Z.Lday of j 20 ?'4, by ` Such person(s) Notary Public must check applicable box: ❑ are personally known to me Xhas produced a current driver license Contractor Licensing - FIRM Application Rev. 712022 Enriaue Torres Applicant (please print) T & T Surfaces Name of Company Signature of Applicant l presence or ❑ online notarization on this G Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431' contractorslicensina ancolliercountyfl.aov Packet Pg. 157 Enrique Torres, Crew Leader Port St Lucie, Florida, United States, 772-444,5239, enriquetorres1247@gmail.com W PP ()FILE Hardworking College Studmr seeking to become a licensed contractor. Bringing forth a motivated attitude and :3 a varieryofpowerful skills. With over 3 years of experience in installing flooring to pool decks, I am committed to utilizing my skills to further the mission of illy company. A strong leader with excelicntcommunicuion skills _0 W and a commiuneat to reamwork. Z W EMPLOYMENT HISTORY - 00 00 Jun 2017 — May 2023 Crew Leader, Sundek By Treasure Coast Surfaces Port Saint Lucie, Florida ti My role in the company was to install flooring on pool decks, patios, and garage flooring, meet with tO customers, and supervise other crew members. 04 • Worked to ensure a positive and hassle -free customer experience. C.) • Kmp the customer informed of everything that was going on at the job site. -° , - - J • Brought forth excellent customer service skills and a commitment to eustomer satisfaction. J W EDUCATION U tug2017 — Apr 2020 Business Administration , Indian River State College Port St Lucie, Florida Associates Degree ug2022—Prescnr Construction Management, Everglades University Boca Karon, Florida Bachelor's Dcgrcc .ILLS Effective Time Management Expert Hard Working Expect Fast Learner Expert Communic2tion Skills Eapett Highly Organized Expert leadership Skills Expert .NGUAGES English Native speaker Spanish Highly proficient REFERENCES Rogelio Torres from Atlantic Coast Father & Son Surfaces 7772-380-3268 Evelin Torres 772-626-7190 Juan Avc1laneda from J & Jr Construction 561-419-1745 Epoxy Flooring Seminar 14-hr Continuing Education, - Financial Stability 0 Packet Pg. 158 FLORIDA NOTARY ACKNOWLEDC STATE OF FLORIDA COUNTY OF ST: Lu C; -e— The foregoing instrument was acknowledged before me by means of>i physical presence or ❑ online notarization, this '� (numeric date) day of I1Cik�� (month),2023 (year), by Trfe-r (name of person acknowledging). (S a HERVE J. LESPERANCE a r' me Notary Putlic, State of Florida Commission# GG 306064 , I My Comm. expires March 25.2023 Personally known: OR Produced Identification. Type of Identification Produced: 8.D.1 Signature of Notary Public Print, TypelStamp Name of Notary Page i of 3 w Cy W z w 0 w M r` LO v rl Packet Pg. 159 8.D.1 hiternal Revenue Service United States Department of the Treasury This Product Contains Sensitive Taxpayer Data Request Date: 07-21-2022 Response Date: 07-21-2022 Tracking Number: 102375783187 Wage and Income Transcript SSN Provided: XXX-XX-1938 Tax Period Requested: December, 2015 Farm W-2 Wage and Tax Statement Employer: Employer Identification Number (EIN):XXXXX7157 TREA 4871 J Employee: Employee's Social Security Number:XXX-XX-1938 ENRI TORR 1457 S Submission Type: ..... ....................................... Original document Wages, Tips and Other Compensation: .................. .............. $30,763_00 Federal Income Tax withheld:.........................................$3,346.00 Social. Security Wages:_... ......... ­ ............................ $30,763.00 Social Security Tax Withheld: ....... ....... $1,907.00 Medicare Wages and Tips: _ ......................................... $30,763.00 Medicare Tax Withheld: ............................................. ... $446,00 Social Security Tips:_... ... ................... _ ............... ... .$O.00 Allocated Tips: .......................................................... $0.00 Dependent Care Benefits: ... _ ...................... .................... $0.00 Deferred Compensation:— ..................... .......................... $0.00 Code "Q" Nontaxable Combat Pay: ............... ........................ _$0.00 Code "W" Employer Contributions to a Health Savings Account:.............$O.GO Code "Y" Deferrals under a section 409A nonqualified Deferred Compensation plan: . ................................. ................................ $0.CO Code "2" Income under section 409A on a nonqualified Deferred Compensation plan: .................................................................... $O.CD Code "R" Employer's Contribution to MSA:.................................$0.00 Code "S" Employer's Contribution to Simple Account :......................$0.00 Code "T" Expenses Incurred for Qualified Adoptions: ...................... $O.CO Code "V" Income from exercise of non -statutory stock options: ............ $O.CO Code "AA" Designated Roth Contributions under a Section 401(k) Plan: ..... $O.CO Code "BB" Designated Roth Contributions under a Section 403(b) Plan: ..... $0.00 Code "DO" Cost of Employer -Sponsored Health Coverage: ------- Code "EE" Designated ROTH Contributions Under a Governmental Section 457(b) Plan: .................................................................... $0.00 Code "FF" Permitted benefits under a qualified small employer health reimbursement arrangement! ........ ­1.1.1­ ...................... I ..... $O.0o Code "GG" Income from Qualified Equity Grants Under Section 83(i):....... $0.00 Code "HH" Aggregate Deferrals Under Section 83(i) Elections as of the Close of the Calendar Year: .................................................... $Q.CO Third Party Sick Pay Indicator: ..................................... Unanswered Retirement Plan Indicator: ............... ..................... .... Unanswered Statutory Employee:.....................................Not Statutory Employee W2 Suhmission Type :...................................................Original W2 WHC SSN Validation Code: .......... .......................... ..Correat SSN Form 1098-T Payer: Payer's Federal Identification Number (FIN)!XXXXX6516 INDI 32C9 V Recipient: Recipient's Identification Numher:XXX-XX-1938 TORR ENRI 1457 S Submission Type: ............................................. original document Account Number (Optional) : .......... ............................ ..... XXXXX1926 Qualified Tuition and Related Expense:_ ......... .................. $1,883.00 Scholarships or Grants:.... ........ ­­111 ... 11 .................... $1,17900 Half Time Student Indicator: ....... _ .... Grtr than or Eq to Half Time Student Graduate Student Indicator; .............. _ ............ Not a Graduate Student Academic Period Code: .......................... Academic Period Box Not Checked TIN Checkbox :.......................................................box marked Adjustments Made for Prior Year: ................................... ... $591.00 Adjustments to Scholarships or Grants for a Prior Year: ......... ........ $0-00 Reimbursements/Refunds from an Insurance Contract: ....................... $000 This Product Contains Sensitive Taxpayer Data W a W Z LU d 00 M ti N Packet Pg. 160 8.D.1 r Internal Revenue Service United States Depart -rent of the Treasury This Product Contains Sensitive Taxpayer Data Request Date: 07-22-2C21 Response Date: 07-22-2C21 Tracking Number: 100950378788 Wage and Income Transcript SSN Provided: XXX-XX-1938 Tax Period Requested: December, 2020 Form W-2 Wage and Tax Statement Employer: Employer Identification Number (EIN)!XXXXX7157 TREA 4871 .I Employee: Employee's Social Security Number:XXX-XX-1938 ENRI TORR 1457 S Submission Type: ......... ................................... Original document Wages, Tips and Other Compensation: ................................. $11,004.00 Federal Income Tax Withheld: .................................... .... $1,397.00 Social Security Wages: .... _ .... ... .............................. $11,004.00 Social Security Tax Withheld: .......................................... $662,00 Medicare Wages and Tips: ............. ...........................$11,004.00 Medicare Tax Withheld;.... ...................... _ ..................... $159.00 Social Security Tips :............................. ....................... $0.00 Allocated Tips: .......... ............................................... $0-CO Dependent Care Benefits: .................... ............................ $0,00 Deferred Compensation: ................................................... $0.00 Code "Q" Nontaxable Combat Pay: .......................................... $0,00 Code "W" Employer Contributions to a Health Savings Account: ............. $0,00 Code "Y" Deferrals under a section 409A nenqualified Deferred Compensation plan: ................................ _ ... _ .... .......... .......... $0.00 Code "2" Income under section 409A on a nonqualified Deferred Compensation plan: ...... __ ............................................ ........... $0.00 Code "R" Employer's Contribution to MSA:.................................$0.00 Code "S" Employer's Contribution to Simple Account: ...................... $0.00 Code "T" Expenses Incurred for Qualified Adoptions: ...................... $0.00 Code "V" Income from exercise of non -statutory stock options: ............ $0.00 Code "AA" Designated Roth Contributions under a Section 401(k) Plan: ..... $0.00 Code "BB" Designated Roth Contributions under a Section 403(b) Plan: ..... $0,00 Code "DD" Cost of Employer -Sponsored Health Coverage: --------------­ $0.00 Code "EE" Designated ROTH Contributions Under a Governmental Section 457(b) Plan* ....... _ .......................................................... $0.0o Code "FF" Permitted benefits under a qualified small employer health reimbursement arrangement:..., ........................................... $O,CG Code "GG" Income from Qualified Equity Grants Under Section 83(i):....... MOO Code "HH" Aggregate Deferrals Under Section 83(i) Elections as of the Close of the Calendar Year: ... __ ......... ----------- $000 Third Party Sick Pay Indicator: ...... ___ ................ _ ...... Unanswered Retirement Plan Indicator: .......................................... Unanswered Statutory Employee: ..................................... Not Statutory Employee W2 Submission Type;...................................................Original W2 WHC SSN Validation Code:_ ..................................... Correct SSN Form W-2 Wage and Tax Statement Employer: Employer Identification Number (EIN):XXXXX1956 ALLY 9016 P Employee: Employee's Social Security Number:XXX-XX-1936 ENRI TORR 1457 5 Submission Type: ............................................. Original document Wages, Tips and Other Compensation:.., .............................. $30,'179.00 Federal Income Tax Withheld: ......................................... $2,576.00 Social Security Wages :............................... I .............. $30,779.00 Social Security Tax Withheld; ........... __ ............ ............ $1,909_00 Medicare Wages and Tips: ................ ............ .......... $30,779.00 Medicare Tax Withheld;... .............................................. $446.00 Social Security Tips: ............. __ .... .......................... $0.00 Allocated Tips: ...................................... .................. $0.00 Dependent Care Benefits; .......................................... .... $0.00 Deferred Compensation: ...................................................$0.00 Code "Q" Nontaxable Combat Pay: ..........................................$0.00 Code "W" Employer Contributions to a Health Savings Account; ------------- $0.00 Code "Y" Deferrals under a section 409A nonqualified Deferred Compensation plan: ............................................... .................... $U.00 Code "Z" Income under section 409A on a nonqualified Deferred Compensation plan: .......................................... _ . ...................... $0.00 W a W Z LU d CO M ti N Packet Pg. 161 Code "R" Employer's Contribution to MSA:.. .. ..$0.00 Code "S" Employer's Contribution to Simple Account: ...................... $0.00 Code "T" Expenses Incurred for Qualified Adoptions;_ .... ............ ....$0.00 Code "V" Income from exercise of non -statutory stock options: ............ $0.00 Code "AA" Designated Roth Contributions under a Section 401(k) Plan: ..... $0.00 Code "BB" Designated Roth Contributions under a Section 403(b) Plan; ..... $0.00 Code "DD" Cost of Employer -Sponsored Health Coverage :....................$0.00 Code "EE" Designated ROTH Contributions Under a Governmental Section 457(b) Plan: ..................................... ............. _ ............... $0.00 Code "FF" Permitted benefits under a qualified small employer health reimbursement arrangement: ............................................... $O.DG Code "GO" Income from Qualified Equity Grants Under Section 83(i):....... $0.00 Code "HH" Aggregate Deferrals Under Section 83(i) Elections as of the Close of the Calendar Year: ....................... ..................._._.$0.00 Third Party Sick Pay indicator: ............................. ....... Unanswered Retirement Plan Indicator: ................. ........................ Unanswered Statutory Employee: ....... 11 --------------- I....., ...... Not Statutory Employee W2 Submission Type: ...................................... __ ......... Original W2 WHC SSN Validation Code: ........................................ Correct SSN Form 1098-T Payer: Payer's Federal Identification Number (PIN(:XXXXX6516 INDI 3209 v Recipient: Recipient's Identification Number:XXX-XX-1938 TORR ENRI 1457 S Submission Type: ............... ............................. original document Account Number (Optional):...........................................XXXXXI926 Qualified Tuition and Related Expense:-.- --------------- I .......... $637.00 Scholarships or Grants: .................................................. $0.00 Half Time Student Indicator: .............. Grtr than or Eq to Half Time Student Graduate Student Indicator: ............................. Not a Graduate Student Academic Period Code: .......................... Academic Period Box Not Checked TIN Checkbox ............................box marked Adjustments Made for Prior Year:_-. ........... ......... ......... $0-CO Adjustments to Scholarships or Grants for a Prior Year:. ........ ..... _$0.00 Reimbursements/Refunds from an Insurance Contract: ... _ .......... _­ ... $0.60 Form 1098-T Payer: Payer's Federal Identification Number (FIN):XXXXX5507 FLOR 777 GL Recipient: Recipient's Identification Number:XXX-XX-1938 TORR ENRI 1457 S Submission Type:.............................................Original document Account Number (Optional):....................................XXXXXXXXXXXX5264 Qualified Tuition and Related Expense:. .............................. $1,399.00 Scholarships or Grants:..............................................$1,274.00 Half Time Student Indicator:_ ...........Grtr than or Eq to Half Time Student Graduate Student Indicator: ........................ .... Not a Graduate Student Academic Period Code:-- ... ...... Academic Period Box Not Checked TIN Checkbox :.......................................................box marked Adjustments Made for Prior Year: ......................................... $0.00 Adjustments to Scholarships or Grants for a Prior Year: ................. .$0.00 Reimbursements/Refunds from an Insurance Contract: ................... ... $0.00 This Product Contains Sensitive Taxpayer Data 8.D.1 W D a W Z W C 00 M ti U1 N Packet Pg. 162 8.D.1 Internal Revenue Service United States Department of the Treasury This Product Contains Sensitive Taxpayer Data Request Date: 07-21-2022 Response Date: 07-21-2022 Tracking Number: 102375783560 Wage and Income Transcript SSN Provided: XXX-XX-1938 Tax Period Requested: December, 2021 Form W-2 Wage and Tax Statement Employer. Employer Identification Number (EIN):XXXXX1956 ALLY 12735 Employee: Employee's Social Security Number:XXX-XX-1936 ENRI TORR 1457 S Submission Type: ..................... ....................... Original document Wages, Tips and Other Compensation:...... ........................... $43,540.00 Federal Income Tax Withheld: ...................................... 858.00 Social Security Wages:...... ........................................$43,540.00 Social Security Tax Withheld: ..... ............................... $2,699.00 Medicare Wages and Tips:............................................$43,540.00 Medicare Tax Withheld; ..................... ........................... $631,00 Social Security Tips: .................. __ ........ ............ . . $0 00 Allocated Tips: ................... ... ___ ...... ....... ....... __ $0.00 Dependent Care Benefits: .................. ....... ...... $0.00 Deferred Compensation: ............................. ... $0.00 Code "Q" Nontaxable Combat Pay:..........................................$0.00 Code "W" Employer Contributions to a Health Savings Account: ...... ...... $0.00 Code "Y" Deferrals under a section 409A nonqualified Deferred Compensation plan: ...................................... ...... _ .... ................ $0,00 Code "Z" Income under section 409A on a nonqualified Deferred Compensation plan:.,. ..............._ .......• ..........................50.00 Code "R" Employer's Contribution to MSA:.................................$0,00 Code "S" Employer's Contribution to Simple Account: ...................... $0.00 Code "T" Expenses Incurred for Qualified Adoptions: ...... .............. .$O.00 Code "V" Income from exercise of non -statutory stock options; ------------ $0-00 Code "AA" Designated Roth Contributions under a Section 401(k) Plan:.....$0.00 Code "BB" Designated Roth Contributions under a Section 403(b) Plan:.....$0.00 Code '=" Cost of Employer -Sponsored Health Coverage: ................ __$0.00 Code "EE" Designated ROTH Contributions Under a Governmental Section 457(b) Plan:. ................ _ ................................ ..........$0.00 Code "FF" Permitted benefits under a qualified small employer health reimbursement arrangement: .......... I—— ........ Code "GG" Income from Qualified Equity Grants Under Section 83(i):... ....$0.00 Code "HH" Aggregate Deferrals Under Section 83(i) Elections as of the Close of the Calendar Year:....................................................$0.00 Third Party Sick Pay Indicator: ........... _ ...... ................. Unanswered Retirement Plan Indicator: .......................................... Unanswered Statutory Employee: ..................................... Not Statutory Employee W2 Submission Type: ..... .......... .............................. .,.,Original W2 WHO SSN Validation Code: .............................. _ ....... Correct SSN Form 5498 Individual Retirement Arrangement Contribution fnformation Trustee: Trustee/Issuer's Federal Identification Number (FIN):XXXXX3567 NATI 499 WA Participant: Participant's Identification Number:XXX-XX-1938 ENRI TORR 1457 S Submission Type: ........ .................................... Original document Account Number (Optional) :............ _ _ ....... ___ ....... XXXXXXXXX2001 IRA Contributions: ...... ................................................ $0A0 Rollover Contributions: .................................................. $0.00 Roth Conversion Amount: ........................................... _._$0.00 Recharacterized Contributions: .......... ............ ................... $0.00 Fair Market Value of Account: ................. ........................ $900.00 Life Insurance Cost Included in Box 1:...................................$0,00 SEP Cade :..........................................................Not Checked IRA Code: ................. ....... ........... ......... _ ........ Not Checked Simple Code: .............. ............. .......................... Not Checked Roth IRA Code: ......................................................... Checked RMD For Subsequent Year: ................................... RMD box not checked FM Date:... .......... __ ............. _ ............. _ ........... 00-00-OCOO Year:_ ............................. ­............................... Postponed Contribution Code: .................. ......... ............. Repayments Code: ........ _,_ ....... ...... ............... ........... W 0 CY W Z W 6 00 M ti N ICT Packet Pg. 163 Fair Market Value of certain specified assets :.......................... .N/A SEP Contributions: ............................................ .... $0 00 SIMPLE Contributions: ....... ............................... .... Roth IRA Contributions: ......................... .................... $1,200.00 Required Minimum Distribution Amount: .................................... $0.00 Postponed Contributions: ....................... — ....................... $ 0.00 Repayment of a qualified reservist distribution or federally designated disaster withdrawal repayment: ........................................... $0,00 Fair Market value of Certain Specified Assets: ........................... $0,00 W 0 Form 1099-B Proceeds From Broker and Barter Exchange Transactions W Z Payer: W Payer's Federal Identification Number (FIN):XXXXX9216 ROBI 500 CO 00 Recipient: Recipient's Identification Number:XXX-XX-1938 M ENRI TORR ti W) 1457 S N Submission Type:.............................................Original document Account Number :................................................... XXXXXXX0577 U Date Sold or Disposed: .............................................. 10-08-2021 J CIJSIP Number ................ ................ .................. ......XXXXXP202 J Gross Proceeds: ................................................Nothing checked Bartering: ...................... ................................. ..... $0.00 Cl) Federal Income Tax Withheld: ................... __ ...................... $0.00 W Proceeds: ........ _ ......................................... _ ......... $6.00 U Aggregate Profit or (Loss):.... --.......•••......•.••••.__ _ ... .... $0.00 Q Realized Profit or (Loss):...... .•••.........••.......••••.•••• .......$0.00 LL Unrealized Profit or (Loss) 12/31 Prior Year: ........................ I ... $0.00 Unrealized Profit or (Loss) 12/31 Current Year:..........................$0.00 Cost or Basis:._ ...... ....... _ ................. ­111, ....... 1........ $1.00 � Wash Sale Lo$$ Disallowed: .............................................. S0.00 Accrued Market Discount Amount:. Description:_ ................................................... ..... PLUG P Second Notice Indicator: ...................................... No Second Notice 06 Date Acquired: .................. _ .................................. 04-16-2020 Noncovered Security Indicator: ... __ .......................... Nothing checked Type of Gain or Loss Code: .... ­­ ........ __ ..................... Long-term Applicable Check Box on Form 8949: O Long term transaction for which the cost or other basis is being reported to the IRS U Loss Not Allowed Indicator: ................................................... Q FATCA Filing Requirement: ....... __ .... Box not checked no Filing Requirement Proceeds from: ... ............................................. Box not checked Form 1099-B Proceeds From Broker and Barter Exchange Transactions Payer: Payer's Federal Identi€ication Number (FIN):XXXXX9216 ROBI 500 CO Recipient: Recipient's Identification Number:XXX-XX-1438 ENRI TORR 1457 S Submission Type: ............ ................ ............ _Original document Account Number:....................................................XXXXXXX0578 Date Sold or Disposed: ........... .................................. 08-09-2021 CUSIP Number:. .............. ........................................ XXXXXT103 Gross Proceeds:_ .............................................Nothing checked Bartering: ..................... ......................... _ ..... ....... $0.00 Federal Income Tax Withheld: ... ......................................... $0.00 Proceeds: ............................................................... $14,00 Aggregate Profit or (Lass):..............................................$0,00 Realized Profit or ILoss):...............................................$0.00 Unrealized Profit or (Loss) 12/31 Prior Year:............................$0.00 Unrealized Profit or (Loss) 12/31 Current Year: .......................... $0.00 Cost or Basis: .......................................................... $12.00 Wash Sale Loss Disallowed: .... _ ..................................... $0,00 Accrued Market Discount Amount:_. ............. ..................... $0-00 Description: ................. _......................................... GOPRO Second Notice Indicator: ...... _ ......................... ._.Uo Second Notice Date Acquired: ...................................................... 02-08-2021 Noncovered Security Indicator: ................................. Nothing checked Type of Gain or Loss Cede: .......................................... Short-term Applicable Check Box on Form 8949: Short term transaction for which the cost or other basis is being reported to the IRS Loss Not Allowed Indicator: .................................................... FATCA Filing Requirement: ................ Box not checked no Filing Requirement Proceeds from: ................................................. Box not checked Form 1099-5 Proceeds From Broker and Barter Exchange Transactions Payer: Payer's Federal Identification Number (FIN):XXXXX9216 ROBI 500 CO Recipient: Packet Pg. 164 Recipient's Identification Number:XXX-XX-1938 ENRI TORR. 1457 S Submission Type: ... _ ....................................... original document Account Number:..., ................................................ XXXXXXX0579 Date Sold or Disposed: ................ ­ ....... .................09-13-2021 CUSIP Number; ...... __ ............................................. XXXXXT103 Gross Proceeds: ....................... _ ....................... Nothing checked Bartering: ............................ ................ .......... $000 W Federal Income Tax Withheld: ........... '''I ....... 41­4 .......... ­­­$9.00 Proceeds......................................................... ......$5.00 0 Aggregate Profit or (Loss): ........................................... ...$0.00 Realized Profit or (Loss) :................................... I .... .......$0.00 W Unrealized Profit or (Lass) 12/31 Prior Year: ........................... .$0.00 Z Unrealized Profit or (Loss) 12/31 Current Year: ...... . . ............ $0.00 LU Cost or Basis ................................... ........................ .$4.00 Wash Sale Loss Disallowed: ........... ........ ..................... ­­$0,00 Accrued Market Discount Amount:..........................................$0.00 W Description :............... . ............................ .....GOPRO ..... ....... Second Notice Indicator: ................................ ......No Second Notice Date 4 Security......... ............................. . ........02-08-2021 M Noncovered d Security Indicator: .................................Nothing checked � � Type of Gain or Loss Code:_ ........................................Short-term W) Applicable Check Box on Form 8949: N Short term transaction for which the cost er other basis is being reported to the IRS U Loss Not Allowed I.ndicator:................................................... FATCA Filing Requirement: ................ Box not checked no Filing Requirement J J Proceeds from: ................................................. Box not checked Form 1099-8 Proceeds From Broker and Barter Exchange Transactions Payer: Payer's Federal Identification Number (FIN):XXXXX4776 ROBI 85 WIL Recipient: Recipient's Identification Number:XXX-XX-1939 ENRI TORR 1457 S Submission type: ............ ................................ Original document Account Number: .................................. ........... .......... XXXX6484 Date Sold or Disposed: ...... ........................................ 05-25-2021 CUSIP Number:.......................................................... XXXFUSD Gross Proceeds: ................................................... Net Proceeds Bartering: .................................. ............................ $0.00 Federal Income Tax Withheld: ....................................... ..... $O.CO Proceeds: .............................................................. $470.00 Aggregate Profit or (Loss):..............................................$0.00 Realized Profit or (Loss):...............................................$0.00 Unrealized Profit or (Loss) 12/31 Prior Year: ............................ $0.00 Unrealized Profit or (Loss) 12/31 Current Year: .......................... $0.00 Cost or Basis: .... ...................................................... $0.00 Wash Sale Loss Disallowed: ............................................... $0-00 Accrued Market Discount Amount...........................................$0.00 Description: ........................................ _ .............. _1255 D Second Notice Indicator: ...................................... No Second Notice Date Acquired: .... __ .......... ................................. 00-00-0000 Noncovered Security Indicator:... Noncovered Security Basis not reported to IRS Type of Gain or Loss Code:..........................................Short-term Applicable Check Box on Form 8949: Short term transaction for which the cost or other basis is not being reported to the IRS Loss Not Allowed Indicator: ......... ......................................... FATCA Filing Requirement: ........... .... Box not checked no Filing Requirement Proceeds from; ........................... .......... .......... box not checked Form 1099-8 Proceeds From Broker and Barter Exchange Transactions Payer: Payer's Federal Identification Number (FIN):XXXXX4776 ROBI 85 WIL Recipient: Recipient's Identification Number:XXX-XX-1939 ENRI TORR 1457 S Submission Type: ........ ............. ...................... original document Account Number: ......... _ ... ................ ....................... XXXX6486 Date Sold or Disposed:.....—.......................................05-25-2021 CUSIP Number,_ ------------------------------------------------------- xxxEUSU Gross Proceeds: ................................................... Net Proceeds Bartering: ................................................. .......... _$0,00 Federal Income Tax Withheld: ............................................. $0,00 Proceeds:_ ... ............ _ .......................................... $129.00 Aggregate Profit or (Loss):..............................................$0.00 Realized Profit or (Lass):..............................................$0.00 Unrealized Profit or (Loss) 12/31 Prior Year; .... ............ .. ....... $0.0c Unrealized Profit or (Loss) 12/31 Current Year: .......... __ ........ _$0,00 Cost or Basis: .............................. ................ ........... ..$0.00 Wash Sale Loss Disallowed:...............................................$0.00 Accrued Market Discount Amount:..........................................$O.OD Description: ---- ........... —..........................................344.62 Second Notice Indicator:.....,. .................. ............ No Second Notice Packet Pg. 165 Date Acquired: ...................................................... 00-OD-0000 Noncovered Security Indicator:...Noncovered Security Basis not reported to IRS Type of Gain or Loss Code: .......................................... Short-term Applicable Check Box on Form 8949: Short term transaction for which the cost or other basis is not being reported to the IRS Loss Not Allowed Indicator: ................................................... FATCA Filing Requirement: ......... __ ... Box not checked no Filing Requirement Proceeds from: ........................ .............. ......... Box not checked Form 1099-R Distributions from Pensions, Annuities, Retire or Profit -Sharing Plans, IRAs, Insurance Contracts, etc. Payer: Payer's Federal Identification Number (FIN(:XXXXX3567 NATI 499 WA Recipient: Recipient's Identification Number:XXX-XX-1936 ENRI TCRR 1457 S Submission Type: ..... ....... .14,4..Original document Account Number (Optional):.......................................XXXXXXXXX2001 Distribution Code Value: .................... Early distribution from a Roth IRA Distribution Code: ........................................................... J Distribution Code Value: .... ........ ................ Not significant Distribution Code;.......................................................Blank Tax Amount Undetermined Code:..... ... ____ .... Tax amount not determined Total Distribution Code: ........................................... Not checked First Year Roth Contribution: ............................................. 0000 SEP Indicator: ................... ................ IRA/SEP/SIMP box not checked FATCA Indicator: ................. ................................... not FATCA Date of Payment for Reportable Death Benefits under Section 6050Y:..00-00-0000 Tax Withheld: .... ...... ...... 1­­­ ....... $().00 Total Employee Contributions: ............................................ $0.00 Unrealized Appreciation: ................................................. $0.00 other Income :.......................................... ................ ..$0.00 Gross Distribution: ........................ ­­­................$1,100-00 Taxable Amount: ............................................ ............. $D.00 Eligible Capital Gains: .... ............................................. 40.00 Amount to IRR:...........................................................$0.00 This Product Contains Sensitive Taxpayer Data 8.D.1 W U W Z LU C 00 M ti N Packet Pg. 166 8.D.1 EMPLOYEE ID EMPLOYEE NAME ALTERNATE 10 DEPT CHECK NUMBER CHECK DATE 2215068CC06 ENRIQUE TORRES, JR. 1938 1 0146447 1208120 EARNINGS AND REIMBURSEMENTS DEDUCTIONS AND DIRECT DEPOSITS DESCRIPTION RATE HOURS AMOUNT YTD AMOUNT DESCRIPTION AMOUNT YTD AMOUNT T-Bonus T Piece Work T-Vac 50000 500-00 27893.89 1205.34 ACH Ck 624422 434.16 23999.14 CHK HOURS 0.00 TOTAL CHK AND YTD EARNINGS 50000 29599.23 TOTAL DEDUCTIONS 0.00 0,00 YTD HOURS 11 75 TOTAL CHK AND YTO TAXABLE EARNINGS 500.00 29509.23 1 TOTAL DIRECT DEPOSIT 434.16 23999,14 FEDERAL, STATE, AND LOCAL TAXES BENEFITS AND INSURANCE MISCELLANEOUS INFORMATION DESCRIPTION AMOUNT YTD AMOUNT DESCRIPTION AMOUNT YTD AMOUNT ER PAID ERYrD PAY PERIOD BEGIN 12/14/2020 SS -FICA 31.00 Federal 27.59 MC -FICA 725 1835.14 2499.83 42921 PAY PERIOD END 12/2012020 PAYTYPE COMMISSION FEDERALSTATUS 300+0-00 WK STATE STATUS FL 00 +0.00 TOTALTAXES1 65-84 1 4764.18 1 TOTAL BENEFITS 0.00 0.00 0.00 0.00 TAKE HOME PAY 5434.16 EMPLOYER OF RECORD WORKSITE EMPLOYER Matrix OneSource Treasure Coast Surfaces, Corp DBA of Ally HR, LLC 1455 SE Village Green Drive 9016 Philips Hwy Port Saint Lucie, FL 34952 Jacksonville, FL 32256 PLEASE NOTE, MEMO: EE MEMO: FEIN, 27-23819661 W2s will N sent out 1-25-2021 Dear Enrique, Details for Check Number 0146447 issued on 12/18/2020 are listed above. Please Contact your Worksite Employer should you have any questions. Thank you. %] .peo_name% on behalf of Treasure Coast Surfaces, Corp. W CY w Z W ci CD M 1- In ICT Packet Pg. 167 8.D.1 EMPLOYEE ID EMPLOYEE NAME ALTERNATE ID DEPT CHECKNUMBER CHECK DATE 22150680006 ENRIQUE TORRES, JR_ 11938 1 1 0254355 12/03/21 EARNINGS AND REIMBURSEMENTS DEDUCTIONS AND DIRECT DEPOSITS DESCRIPTION RATE HOURS AMOUNT YTD AMOUNT DESCRIPTION AMOUNT YTD AMOUNT T Piece Work T-Holiday 18.0000 8 000 T Reg 18.0000 4.600 T-Vac T-Bonus 1050.00 144.00 72.00 21536.51 144.00 14364.00 720.00 100,00 ACH Cl 1025.49 31057.86 CHK HOURS 12.00 TOTAL CHKAND YTD EARNINGS1 1266.00 36864-51 TOTAL DEDUCTIONS 0.00 _ O.DO YTD HOURS 1 846-00 1 TOTAL CHK AND YTO TAXABLE EARNINGS1 1266,00 36864.51 TOTAL DIRECT DEPOSIT 1 1025,49 31057-AS FEDERAL, STATE. AND LOCAL TAXES BENEFITS AND INSURANCE MI&CELLANEOUS INFORMATION DESCRIPTION AMOUNT YTDAMOUNT DESCRIPTION AMOUNT YTD AMOUNT ER PAID ERYTO PAY PERIOD BEGIN 11129C2021 Federal 143.66 SS -FICA 78.49 MC -FICA 18.36 2986.52 2285.60 534.53 PAY PERIOD END 1210512021 PAY TYPE HOURLY FEDERAL STATUS S00+0.00 M STATE STATUS FL DO +0.00 TOTAL TAXES 1 240.51 5806.65 1 TOTALBFJMEFtTE 0 00 0.00 0.00 0.00 TAKE HOME PAY $1.025-49 EMPLOYER OF RECORD WORKSiTE EMPLOYER Matrix OneSource Treasure Coast Surfaces, Corp. DBA a4 Ally HR, LLC 1455 SE Village Green Drive 12735 Gran Bay Parkway W Suite 202 Port Saint Lucie, FL 34952 Jacksonville, FL 32258 PLEASE NOTE: MEMO: EE MEMO: FEIR 27-2381956W2s will be sent out 1-25-2021 Dear Enrique, Details for Check Number 0254355 issued on 12/03/2021 are listed above. Please Contact your Worksite Employer should you have any questions. Thank you. %1.peo_name% on behalf of Treasure Coast Surfaces, Corp. W a W Z W C Do M ti N Packet Pg. 168 MI 8.D.1 Collier County Growth Management Carnrnurnly Devel%ynenl Department LV Cy APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY W Z W AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER o 00 ~ STATE OF. LO N COUNTY OF ST. Luc 1 U I, �,t &rf 5 — V°t /j, , having been first duly sworn, state and affirm: I am a resident of S IL - L vc County, Flo r i ((A (State) and have resided here for more than five (5) years. �� During the last five (5) years I have known _ , i OP rc s (ap $cant). I have had the opportunity to observe his or her business and personal dealings and find him or her r n of honesty, integrity and good character. Signature rtnr' --YaJJe- Phn',edd Name Address: 7 C k^ 4vL Street sT Lie -L klon-V 1953 i Telephone: 7 - w State of �+ f/ County of e foregoing i'nstrument %yas ack •ledged before mebymeans aMphysical presence Qr,0 online notarization or. this day of 0'1A (t.20by / )C �,p iOY-P-s "-f-G f Ly- Such person(s) ?Notary blic must check applicable box: © are personally known to me -has produced a current driver license E3 has produced- 0L as identification. (Notary- Seal) _atiitt vie4,. ROSELYN FRIMPONG _? • a<' Notary Public - State of Florida Commissifln: H 187040 Notary Signature: My Comm. Expires Oct 15, 2025 Contractor Licensing - FIRM Application Rev. 712022 Page 13 of 14 rations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (2391252-2431 �QtrrraClOr9licenslr4a!Q�C6iliefGOUntyft. coy Packet Pg. 169 �, CO 7C—r COunty Growth Management Community Development Department w APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY � W w 6 �^ tp STATE OF � to COUNTY OF-5 i L L r e- v N U I, i1' t (pthct 1" having been first duly sworn, state and affirm: J I am a resident of -<� * L - c r e- County, F (a''-' A-a(State) and have resided here for more than five (5) years. During the last five (5) years I have known G n•rl qi VG 'rp(fe S (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 c-- Prin ed Name Address: (D 11 SW F(*tv'!j l� �- Street �04 sa - f 2 F z 3 R53 c ty State Zip Telephone: 7'7 Z Q 2-1- S 11 io State of County of 4hy.'al The foregoing instrument taus acknowledged before me by means of presence or l[2 online notarization or. this 3Z day of Cle �, .20 -2,k , by Such person(s) Notary Public must checkapplicablebox: [Iare personally known to me M41 produced a current driver license ❑ has produced __ a identification. (Notary S4 �¢., AftEZOEiTEHAD ? 4,t' Notary Public - State of °;orica Commission = HH 168527 orr? My Comm. Expires Aug 23. 2025 Notary Signature: Bonded through National Notary Assr, Contractor Licensing — FIRM Application Rev_ 712022 Page 13 of 14 Operations & Regulatory Management Division, Contractor Licensing a 2800 North Horseshoe Drive * Naples, FL 34104 . (239) 252.2431 ion ra�tors4censltlisrCountvfl.env Packet Pg. 170 \\ 1 1 SUV4DEIK (10 You stand on it. We stand behind it.' Ldi I;i 8.D.1 w Ci z w 0 by Treasure Coast Surfaces 00 Serving: Martin, St. Lucie and Indian River Counties Cl) Office: 772-337-I094 � 1/15/2021 Dear Sir, This letter is to explain the employment of Enrique Torres Jr. with Sun dek by Treasure Coast Surfaces. Enrique or Rick, as I call hits, is an outstanding young man who has been employed by us since 2019. His father Enrique Sr was our 1" employee and would still be working except for some heath issues. Enrique Sr. is badly missed, and we pray for Enrique's return to good health. Rick worked with his father during summers and school holidays before joining our team full time. Rick is in his third year of college and working days. We pay our production crews a piece rate for each process of our installation process, and a rate of $17.00 per hour for labor provided other than piece work. Rick makes an average of $750.00 to $850.00 per week. His employment with Treasure Coast is secure and we look forward to a long last relationship. Thank you and good luck, Michael Widner President Packet Pg. 171 8.D.1 1/19/2022 Sundek by Treasure Coast Surfaces Michael J. Widner 1459 SE Village Green Dr. Port St. Lucie, FI. 34952 772-475-5877 Dear Sir, I have known Enrique Torres Jr. for most of his life, his father was my first employee over 20 years ago. Both Enrique Sr. and Pat can be very proud of the young man Enrique Jr. has become. Rick Jr. has now been employed with Treasure Coast Surfaces for more than two years, he is hard working, never complains and our customers give us wonderful feed- back on his work ethic and customer relations. Treasure Coast Surfaces is proud to have Rick Jr. as an employee and we look forward to many years with Rick as he learns the business and grows with us. Yours truly, /ff Alvx-�� Michael Widner, President W Cy W Z W 6 w cr) I— LO v N Packet Pg. 172 8.D.1 Certificate of Completion AWARDED BY l EXAM PREP DBPR/CILB PROVIDER #0005785 This document is to cer4& the attendance and successful completion by Enrique Torres of the following online Florida CILB Approved Course: 14 Hour Financial Responsibility & Stability, #0612806 �setcom caig sa an Date(s): 12/30/2022 Program Manager: Andrea Hoffman Coconut Creek, Florida 33073 Andrea Hoffman - Miami- FLORIDA CILB APPROVED CEUs CILB Approved Instructor W Z W ci co M 1- LO N Packet Pg. 173 CLASS E 1182-0 01;-:., c : .- C W Z W ci 00 M ti W) Packet Pg. 174 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 12/20/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). W PRODUCER BIBERK P.O. Box Stamford,, CT CT 06 05911 CONTACT NAME (A1CNo.M- 844-472-0967 (AIICC,Nor. 203-654-361 3 Z LV 00 E-MAIL customerservice@biBERK.com INSURERS AFFDRDING COVERAGE NAICS INSURERA: Berkshire Hathaway Direct Insurance Company 10391 Cl) INSURED T & T Surfaces LO NT INSURER B : INSURER C : rl 1457 Southwest Kamchatka Avenue Port St. Lucie, FL 34953-6541 INSURERD: INSURER : J COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR AODL SUBR POLICY EFF POLICY IXP NIS TYPE OF INSURANCE POLICYNUMBER MM1DD/YY MMA IYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE a 1,000,000 CLAIMS -MADE X OCCUR DAMAGETORENTED PREMIS a occurrence S 50,000 MEDrxP(Any one Person) S 5,000 A N9BP874348 11/08/2022 11/08/2023 PERSONAL 8 ADV INJURY i Included GEII AGGREGATE UMrr APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JEa tOC PRODUCTS • COMP/OP AGG s 2,000,000 S X OTHER: AUTOMOBILE LIABILITY CO DISINGLE LIMIT(Ea acciden S BODILY INJURY (Per person) S ANY AUTO OWNED SCHEDULED UTOS AUTOS ONLY A BODILY INJURY (Per accident)S - PROPERTY DAMAGE ar 'd 5 HIRED NON -OWNED AUTOS ONLY AUTOS ONLY S UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE S EXCESS LIAR CLAIMS -MADE DED RETENTIONS $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N PEER r ERH EACH ACCIDENT S ANYPROPRIETORIPARTNER EXECUTIVE OFFICERIMEMBEREXCLUDED? El NIA NIA EL DISEASE - EA EMPLOY S (Mandatory in NH) H yQ5 describe under DESCRIPTION OF OPERATIONS below EL. DISEASE -POLICY LIMIT t Professional Liability (Errors & Per Occurrence/ Omissions): Claims -Made Aggregate DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORO 101, Add rtional Remarks Schedule. maybe attached if more space is required) UtH I IrIL;A I t HULUtK CANCELLATION Coflier County Contractor Licensing Board 2800 N Horseshoe Drive Naples, FL 34104 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE v Iyau-z0ia AUUKU CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Packet Pg. 175 8.D.1 WE JIMMY PATRONIS CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES Cl DIVISION OF WORKERS' COMPENSATION li Z W * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * 6 w CONSTRUCTION INDUSTRY EXEMPTION M This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. v F4 EFFECTIVE DATE: 7/1/2022 EXPIRATION DATE: 6/30/2024 U PERSON: ENRIQUE TORRES EMAIL: ENRIQUETORRES1247@GMAIL.COM � FEIN: 883049783 W w U BUSINESS NAME AND ADDRESS: Q w T & T SURFACES, LLC 1457 W KAMCHATKA AVE PORT SAINT LUCIE. FL 34953 SCOPE OF BUSINESS OR TRADE: Concrete or Cement Work - Floors. Oriveways, Yards, or Sidewalks and Drivers 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 440.05(12), F.S., Certificates of election to be exempt issued under subsection (3) shall apply only to the corporate officer named on the notice of election to be exempt and apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to subsection 440.05(13), F.S., notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 E01558440 QUESTIONS? (850) 413-1609 Packet Pg. 176 8.D.1 61G4-15,006 Financial Responsibility and Financial Stability, Grounds for Denial. (1) The financial responsibility ground on which the Board shall refuse to qualify an applicant is failure to provide a current W consumer credit report, as defined in Rule 61G4-12.011, F.A.C., which consumer credit report does not disclose any unsatisfied CY C'1 judgments or liens against the applicant. In addition, there must not be any unsatisfied judgments or liens against the business entity W which the applicant previously qualified as a primary qualifier or which the applicant has applied to qualify. Z W (2) The financial stability ground on which the Board shall refuse to qualify an applicant is failure to provide proof of either a 6 financial stability bond or an irrevocable letter of credit from a bank authorized to do business in the State of Florida. The bond or w 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, M FICO derived, of 660 or higher, and must be payable as provided in Rule 61G4-15.0021, F.A.C., for Financially Responsible 1- Officers in the amount of. v N (a) $20,000 for Division I applicants. (b) $10,000 for Division II applicants. J (3) Fifty percent of the financial stability bond or the letter of credit requirement may be met by completion of a 14-hour J financial responsibility course approved by the Board. W (4) An applicant may meet both the financial responsibility and financial stability requirements by providing proof of a current U consumer credit report, as defined in Rule 61G4-12.01 I, F.A.C, with a credit score, FICO derived, of 660 or higher, which consumer LL credit report does not disclose any unsatisfied judgments or liens against the applicant. In addition, there must not be any unsatisfied judgments or liens against the business entity which the applicant previously qualified as a primary qualifier or which the applicant has applied to qualify. 06 Specific Authority 489.115(5), (6) FS. Law Implemented 489.115(5), (6) FS Hislorw—New 1-6-80, Amended 5-4-80, Formerly 11F.-15.06, 21E- H 15.006, Amended 10-31-96, 11-13-97. 1-12-0& Packet Pg. 177 8.D.1 CRCITY OF PORT SAINT LUCIE BUSINESS TAX RECEIPT PLEASE POST IN CONSPICIOUS PLACE OR KEEP ON PERSON Term: 10/01 /2022 — 09/30/2023 2022 -2023 Business Address: 1457 SW KAMCHATKA AVE Business Name: T & T SURFACES, LLC Mailing Address: 1457 SW KAMCHATKA AVE PORT ST LUCIE 34953 Category: Category 2 FLOORING Additional Data: BTR#: 151313 Date Made: 12/20/2022 Business Tax Authority $66.25 Category: APPLICATION FEE APPLICATION FEE $19.00 Additional Data; Total Tax Paid: $85.25 THIS IS A RECEIPT FOR TAX PAID AND IS NOT REGULATORY IN NATURE This receipt does not warrant that the receipt holder is competent to perform in the business, but that the holder has paid the required tax and provided the necessary documentation (if required) for this business. Valid only when all state and local regulated trade licenses/competency cards are valid for the current fiscal year as required by law. LU a W z w 0 00 M ti N Packet Pg. 178 8.D.1 61G4-15.006 Financial Responsibility and Financial Stability, Grounds for Denial. (I) The financial responsibility ground on which the Board shall refuse to qualify an applicant is failure to provide a current W consumer credit report, as defined in Rule 61G4-12.011, F.A.C., which consumer credit report does not disclose any unsatisfied a U judgments or liens against the applicant. In addition, there must not be any unsatisfied judgments or liens against the business entity W which the applicant previously qualified as a primary qualifier or which the applicant has applied to qualify. Z W (2) The financial stability ground on which the Board shall refuse to qualify an applicant is failure to provide proof of either a C financial stability bond or an irrevocable letter of credit from a bank authorized to do business in the State of Florida. The bond or ao 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, M FICO derived, of 660 or higher, and must be payable as provided in Rule 61G4-15,0021, F.A.C., for Financially Responsible r- Officers in the amount of: N (a) $20,000 for Division I applicants. U (b) $10,000 for Division 11 applicants. J (3) Fifty percent of the financial stability bond or the letter of credit requirement may be met by completion of a 14-hour J financial responsibility course approved by the Board. W (4) An applicant may meet both the financial responsibility and financial stability requirements by providing proof of a current U consumer credit report, as defined in Rule 61 G4.12.011, F.A.C, with a credit score, FICO derived, of 660 or higher, which consumer LL credit report does not disclose any unsatisfied judgments or liens against the applicant. In addition, there must not be any unsatisfied judgments or liens against the business entity which the applicant previously qualified as a primary qualifier or which the applicant U) H has applied to qualify. ,d Specific Authority 489.115(5), (6) FS. Law Implemented 489.115(5). (6) FS. History --New 1-6-80, Amended 5-4-80, Formerly 11F-15.06, 21F- H 15.006, Amended 10-31-96, 11-13-97, 2-12-08, Packet Pg. 179 8.E 02/13/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 8.E Doc ID: 24574 Item Summary: 8E. DAVID MATEO - REVIEW OF EXPERIENCE AND CREDIT - PAVING BLOCKS CONTRACTOR- MAT PRO SERVICES LLC Meeting Date: 02/13/2023 Prepared by: Title: — Contractor Licensing Name: Alyshia Morse 02/02/2023 5:04 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 02/02/2023 5:04 PM Approved By: Review: Contractor Licensing Sandra Delgado Review item Completed 02/06/2023 3:44 PM Contractor Licensing Tim Crotts Review Item Completed 02/07/2023 7:47 AM Contractor Licensing Tim Crotts Meeting Pending 02/13/2023 9:00 AM Packet Pg. 180 � COi[ier CON-nty Growth Management r�� A � '� O Community Deveiopment Deoartmer Ly /I I n') 3 f N APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY FIRM APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY This application must be typewritten or legibly printed. The application fee must be paid upon approval and is NOT refundable_ All checks should be matte payable to: Collier County Board of County Commissioners. For further information. consult Collier County Ordinance No. 2006-46. as amended. TYPE OF CERTIFICATE OF COMPETENCY: ❑ General $230.00 ❑ Electrician $230.00 ❑ Building $230.00 ❑ Plumber $230.00 ❑ Residential $230.00 ❑ Air Conditioner $230.00 Mechanical $230.00 ❑ Swimming Pool $230.00 Roofing $230.00 if Specialty $205.00 Specialty Trade: PTV i na 1 (r1 I. APPLICANT PERSONAL INFORMATION: Name: (A14+ Middle Inttial Business Name: _ Q� �'r Q Pir�l 1 Address: Email: a f) co Seri i e_e511 C., A amu, F� Last Telephone: � /q - "bL6 J 1 C� 'SS # (Last 4 digits only): q 711 Date of Birth: l D jlz- I g q 3 Driver's License # (Last 4 digits only): O Pursuant to Collier County Contractor Licensing Ordinance No. 2006-46 Section 2.1.1., all applicants are required to submit their social security number, dnver's license. and date of birth for the following purposes: a) Assess applicant's ability to satisfy creditors by reviewing their credit history. b) Verification of applicants test scores and information. c) Venfication of applicants identity_ Our office will only use the personal information noted above €or those reasons pursuant to Chapter 119. Flonda Statutes, and as may otherwise be authorized by law. We are fully committed to safeguarding and protecting your personal information and once collected. will be maintained as confidential and exempt under Chapter 119, Florida Statutes Contractor Licensing — FIRM Application Rev. 712022 Page 3 of 14 Operations & Regulatory Management Division. Contractor Licensing • 2t30f1 North i-Eorseshoe Drive • Naples. FL 34104 . f239j 252-2431 contractorsl!censindCmcoiiiercountvfl ge: Packet Pg. 181 8.E.1 1.6.3.29. Paving Blocks Contractor. Requires twenty-fOUr (2 ) months experience in the rtspective construction plus a passing grade on a-d+me'te r an A rovcd test and a passim grade on a iwe-(2 he business and law test, and means those persons who are qualified to construct driveways, sidewalks, patios and decks, using concrete paving units. r a Packet Pg. 182 8.E.1 Corer County Growth Management Community Development Deoartment N ATPLICA.TION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY Provide the names and telephone numbers of two persons who will always know your whereabouts. Name: r (A d Name:�Oe` Telephone: Telephone: 23 l ~-r 3L - ! i Z 6 II. NAME OF APPLICANT'S BUSINESS: } f� Business Name: 1 ec 0 -y i '(�1 i� L L Business Address: t'1, t 2 �- V `t u�it(,S FL- 3ff 03 Telephone: - Zb ✓ l Email: rn kit_p-f o jer\rtn I te) n - Federal ID Tax No.: Z.- t 6(p 7 aq OJ _� T m Ill. FINANCIAL RESPONSIBILITY O YES NO ALL APPLICANTS MUST ANSWER THE QUESTIONS BELOW: Z - > a Filed for or been discharged in bankruptcy within the past 5 years? a r— V w i` Had a lien filed against you by the Internal Revenue Service or Florida Corporate Tax Division? U Z Undertaken construction contracts or work that resulted in liens, suits, or judgments being filed? Q w Z 4 Undertaken construction contracts or work that a third party. such as a bonding or surety company w_ completed or made financial statements on? 0� w --- - a XMade an assignment of assets in settlement of construction obligations for less than the debts W outstanding? li O Been convicted or found guilty of, or entered a plea of nolo contendere to, regardless of w adjudication_ a crime in any jurisdiction within the past 10 years?' > LU i Had claims or lawsuits filed for unpaid or past due accounts by your creditors as a result of l construction experience? O w _ Been charged with or convicted of acting as a contractor without a license. or if licensed as a Q { contractor in this or any other state. been subject to" disciplinary action by a state, county, or 2 I municipality? NOTE. If you have answer YES to any of the questions below. you must attach a written explanation including the Q nature of the charges. dates, and outcomes, sentences of conditions imposed. You must also attach proof of ui payment, satisfaction of lien or judgement. bankruptcy discharge, or agreements for payment.`If you have had a 00 felony conviction, proof that your civil rights have been restored will be required prior to licensure _ Contractor Licensing - FIRM Apipbcation Rev. 712022 Page 4 of 14 a� E Operations & Rom- :,sy Management Divwon- Contractor Licensing • 2800 North Horseshoe Drive • Naples. FL 34104 • (239) 252-2431 s v contractorslicensingjcvcolliercquntvfi.aov w Q Packet Pg. 183 8.E.1 COt Ier Gou-nty Growth Management Community Development Department oPPI IC_'ATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY IV. EXPERIENCE VERIFICATION EDU� List below and provide transcripts for any formal education you have �tained in the area of competency for which this application is being made: �4 vob&b e' txrte;rtic.e ! r iYye—d i to kY1c- s(d List below non formal education (on the job training) you have obtained in the area of competency for which this application is being made: nt CURRENT/PREVIOUS LIC-INS-r. List below and attach copies any other certificates of competency/licenses you hold/have held in Collier County or any other jurisdiction. Include 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) kZA/k, ignature of Applicant State of 4AoA rAc, County of Cc\\ t-[ +( (l �\\, ) The foregoing instrument was acknowledged before me by means of physical presence or ❑ online notarization on this _VLday o , 20 Z&, by r M Such person(s) Notary Public must check applicable box: © are personally known to me Sha_s produced a current driver license 0 has produced as identification. YOLANDA GARZA My C0N01fSCln-1 h f,6302096 EXPIRES tehu�ar, 1 a. �023 ti N Packet Pg. 184 8.E.1 w CD 7BY County Growth Management Community Development Department 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. 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. Applicant (please print MA�tPYO AL -(- Name of Company nature o -cant State of Q011 dG County of The foregoing instrument was acknowledged before nee by means of 4ysical presence or ❑ online notarization on this day of �ct.y, zo . by — Such person(s) Notary Public must check applicable box: ❑ are personally known to me 14 produced a current driver license ❑ has produced (Notary Seal) DA GX -ZA g� YOLANss,ox Coi`t. ta. ?t}23 � FXPiRES' Fehruaru Contractor Licensing - HRM Application Rev- 712022 as identification. l� r Notary Signature: _ Page 6 of 14 Operabons 8 Regulatory Management Dwmon. Contractor ucensing • 2800 North Horseshoe Drive e Naples. FL 34104 • (239) 252.2431 contractorSricensing cofliercounty0.gov Packet Pg. 185 6. Ir- Coer County Growth management Community Development Department APPLICATION FOR COLLIER CODNTY CERTIFICATE Of COMPETENCY WORKMEN'S COMPENSATION AFFIDAVIT It is understood and acknowledged by the Collier County Contractors' Licensing Board and myself that if I fail to acquire, or maintain at all times effective Workmen's Compensation Insurance it will result in the possible revocation of my Certificate of Competency. 94 k, i r N-t Aw Applicant (please print _1MA �P.� C e rviu5 L LC, Name of Company g ature of Applicant BEFORE ME this day personally appeared Pa t f/ 1' Iot tt0-- -- who affirms and A40icent (pew tom) 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 Insurance. State of county of -e rki \\, �\�� The foregoing instrument was acknowledged before me by means of1J physical presence or © online notarization on this day of 7)IC&N 20_2a, by UQly - Such person(s) Notary Public trust chZroduced licable box: 0 are personally known to mea current driver license ❑ has produced (Notary Seal) R YOLANDA GARZAMY COMMISSION it GG302996 EXPIRES'- February 14.2023 Contractor Licensing - FIRM Application Rev. 712022 as identification. Notary Signature: Page 7 of 14 Operations & R--,,atory Managek._ -. Division. Contrador Licensing • 2800 North Horseshoe Onve • Naptes. FL 34104 • (239) 252.2431 cGntraclorslican5ing LiTcolliercountyfl,Qov 8.E.1 ti N Packet Pg. 186 SM CREDITCHECK CONFIDENTIAL Individual Credit Report Name ... :MATEO, DAVID Ordered By:16761 Address:5420 SHOLTZ STREET Customer :9999 NAPLES, FL 34113 Received :01/10/23 Social#: Applicant: -9791 Completed :01/10/23 CREDIT SCORE: APPLICANT FICO SCORE: 642 (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 01/10123: CLEAR CREDIT RECORD (Credit history has been checked for a period of seven years or from open date.) Creditor Date Date High Unpaid Past Historic Status Current Moe Account Number Reported Opened Credit Balance Due 30 60 90 status Rev aCOA CAP ONE AUTO AS AGREED 62088155098721001 11/22 08/21 24555 21967 0 00 00 00 101 15 I DLA=11/22 CAPITAL ONE AS AGREED 517805749797 12/22 12/21 299 191 0 00 00 00 R01 11 I DLA=12/22 CAPITAL ONE AS AGREED 517805977980 12/22 10/22 147 147 0 00 00 00 R01 01 I DLA=12/22 CONVERGENT OUTS COLLECTION 68322614 12/22 12/22 213 213 213 -- -- -- U9 -- I ORIGINAL CREDITOR: SPRINT CREDITONEBNK AS AGREED 444796261343 12/22 10/22 251 197 0 00 00 00 R01 01 I DLA=12/22 LAW OFC JMCC COLLECTION 20215846 01/23 08/21 484 646 646 -- --- -- 09B -- I ORIGINAL CREDITOR: COPPER POINTE APARTMENTS 8.E.1 w 00 Licensee Applicant: APPLICANT - SEE NAME ABOVE Reporting Agency: Credit Check, Inc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409 . (561) 616-5556 E t r Q Packet Pg. 187 JI41 CREDITCHECK CONFIDENTIAL 8.E.1 Name: MATEO, DAVID _ Customer: 9999 Page.-2 LVNV FUNDING COLLECTION 4060956880175940 12/22 10/22 8616 8616 8616 -- -- -- 09B --- I ORIGINAL CREDITOR: NAVY FEDERAL CREDIT UNION LVNV FUNDING COLLECTION 7960306442 12/22 10/22 585 585 585 -- -- -- 09B -- I ORIGINAL CREDITOR: NAVY FEDERAL CREDIT UNION NAVY FCU AS AGREED 6238 02/14 10/13 960 0 0 00 00 00 I01 04 I DLA=02/14 NAVY FCU AS AGREED 1221 04/15 04/13 12500 0 0 00 00 00 I01 24 I DLA=04/15 NAVY FCU AS AGREED 0985 10/14 04/14 490 0 0 00 00 00 I01 06 I DLA=10/14 NAVY FEDERAL CR AS AGREED 430014B7466 03/14 10/13 960 0 0 00 00 00 101 06 I NAVY FEDERAL CR AS AGREED 43001483281 04/15 04/13 12500 0 0 00 00 00 I01 25 I NAVY FEDERAL CR AS AGREED 43001491800 10/14 04/14 490 0 0 00 00 00 101 07 I NMAC COLLECTION 90102479628070001 12/22 03/15 33274 9237 9237 I09 00 I DLA=12/22 SANTANDER AS AGREED 30000238176031000 09/21 03/20 9877 0 0 00 00 00 I01 18 I DLA=09/21 Total trade lines on this report: 16 INQUIRIES: 10/31/22 by CAP ONE NA (EXP) #2844550 10/31/22 by SUNCOAST CREDIT UNION (EXP) #1879040 10/21/22 by CREDIT ONE BANK NA (EXP) #3278143 12/12/21 by CAP ONE NA (EXP) #2844550 08/29/21 by GROW FINANCIAL FCU (EXP) #1846970 08/29/21 by SUNCOAST CREDIT UNION (EXP) #1B79040 08/29/21 by SANTANDER CONSUMER USA (EXP) #1912477 08/29/21 by ALLY FINANCIAL (EXP) #2100547 08/29/21 by ALLY FINANCIAL (EXP) #2393490 ti Ln 14 54 w 00 Licensee Applicant: APPLICANT - SEE NAME ABOVE :.: Reporting Agency: Credit Check, Inc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409 . (561) 616-5556 E s c0 r Q Packet Pg. 188 CREDITCHECK CONFIDENTIAL 8.E.1 Name: MATEO, DAVID Customer: 9999 Page:3 INQUIRIES - continued: 08/29/21 by GLOBAL LENDING SERVICE (EXP) #1966277 08/29/21 by CAPITAL ONE AUTO FIN (EXP) #1254780 08/29/21 by 700CR/NAPLES NISSAN DT (EXP) #1570302 08/29/21 by CREDIT ACCEPTANCE (EXP) #2685010 10/31/22 by CAPITAL ONE (TU) #3575459 12/12/21 by CAPITAL ONE (TU) #3575459 08/29/21 by NAPLES NISSA (TU) #2580132 08/29/21 by COAF (TU) #1246538 RESIDENCE HISTORY: 5420 SHOLTZ ST, NAPLES FL 34113 608 BUCKEYE DR, APT 102 KNOXVILLE TN 37919 335 W CLEMMENS LN, APT 3 FALLBROOK CA 92028 COMMENTS: ***OFAC NAME SCREEN ALERT - CLEAR*** OFAC (OFFICE OF FOREIGN ASSET CONTROL) IS A FEDERAL AGENCY WHICH MAINTAINS A DATABASE OF TERRORISTS, DRUG TRAFFICKERS AND CRIMINAL ORGANIZATIONS. FRAUD RECORDS HAVE BEEN SYSTEMATICALLY CHECKED BY THE ACCESSED BUREAUS. CHECKS FOR IDENTITY THEFT, FAKE SSN, DECEASED SSN AND OFAC DATABASE PERFORMED. CREDITOR PHONE DIRECTORY: CAPITAL ONE PO BOX 31293 SANTANDER PO BOX 961211 CAP ONE AUTO CREDIT BUREAU DISP NMAC P.O. BOX 660366 CREDITONEBNK PO BOX 98872 NAVY FCU 1 SECURITY PLACE LVNV FUNDING C/O RESURGENT CAPI LAW OFC JMCC 707 MAIN ST NAPLES NISSA 3640 PINE RIDGE RD CREDIT CHECK 3017 EXCHANGE COUR CAPITAL ONE 15000 CAPITAL ONE COAF 3905 N DALLAS PARK BClDTV001 (800) 955-7070 SALT LAKE CITY UT. 84131 FA1R18003 (BBB) 222-4227 FORT WORTH TX. 76161 FA1W2K001 (800) 946-0332 PLANO TX. 75025 QZ507TO78 DALLAS TX. 75266 BC54MR013 (877) 625-3242 LAS VEGAS NV. 89193 QU692NO02 (800) 914-9494 MERRIFIELD VA. 22116 YC21T9002 (866) 464-1183 GREENVILLE SC. 29602 YC2GY9001 (615) 500-8577 NASHVILLE TN. 37206 A 2580132 (239) 643-3800 NAPLES FL. 34109 Z 0630273 (877) 616-5556 WEST PALM BEAC FL. 33409 B 3575459 (800) 955-7070 RICHMOND VA. 23238 F 1246538 (800) 946-0332 PLANO TX. 75093 Licensee Applicant: APPLICANT - SEE NAME ABOVE Reporting Agency: Credit Check, Inc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409. (561) 616-5556 ti Ln 14 54 w 00 c m E s c0 r Q Packet Pg. 189 CREDITCHECK CONFIDENTIAL 8•E.1 Name: MATEO, DAVID Customer: 9999 Page:4 1- r` u0 * * * END O1+ REPORT * * * N This informatwn is confidential and Is not to be divulged except a5 required by the Fair Credit Reporting Act. This personal report is lumished simply as an aid in determimrrg the crediF desirability of the applicartl(s). It is based upon infonnalion obtained in good faith by this agency from sources deemed reliable. The accuracy of same, however, is in noway guaranteed. By your acceptance and use of this report, you specifically agree to hold Credd Check, Inc. harmless from any liability whatsoever. V LU 00 Licensee Applicant: APPLICANT - SEE NAME ABOVE c Reporting Agency: Credit Check, Inc. - 3017 Exchange Court, Suite H, West Palm Beach, Fl_ 33409 . (561) 616-5556 tv E t r, r Q Packet Pg. 190 Score Report LO I'* FIL Pro✓ Name: DAVID MATEO Test Paving Block - (FLO8141) Sponsor: Collier County Date: 01/03/2023 ID #: Test ID: 757894275 Score: 80 Result: Pass 4 Unanswered Questions: 0 Module Subject Area Status LOW Cut Score HIGH ---------- ---------------------------------------- --------------- ----------------------------------------- FLPRE Plan Reading & Estimating IF ---------------------------------------------- -------------- FLSAFE Safety P .— -'--- ---------------------------------- �7 --- -------- - -- ------------------------------------------ FL861L§_ oil Characteristics &COmpacition --- -- FLBM6 Base -Materials, -Bedding -&-Edge Restraints --- ---- ------ - ----------- -- ---- - FLPA - VE - -Paving-Matenals ------------------------ P ---- ----------- - ----------------------------------------------- -------------- ---------------------------------------- FL PINS Paver Installation P I Packet Pg. 191 1 8.E.1 Name: Sponsor: ID #: Score: # Unanswered Questions: Score Report DAVID MATEO Collier County 88 0 Pro,5" Test: Business and Law, 2nd edition Date: 10/1812022 Test ID: 644217798 Result: Pass Module Subject Area Status LOW FLBO Business Organization P FLLIC Licensing P FLTL Tax Laws P ---- _ FLSRR -.--__.6SHA ---- •------------------------- Satety OSHA P FLLL _._.... - - -------------------------------------- Labor Laws -- ------------- P FLCM ---------------------------------------------------IFLPM ontr ent Contract Management P ---------------------------------------------FLE&B Project Management P Estimating&Bidding P FLFM Financial Management F FLRM RiskManagement P -----------------------------------------FLLIEN Lien laws P Cut Score HIGH Packet Pg. 192 8.E.1 Certificate of Completion r_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ This certificate confirms that DAVID MATEO i r Has successfully completed the following Internet Distance Learning Continuing Education Course with API Processing -Licensing, Inc. r 14 Hour Financial Responsibility Course i r Florida CILB Course# 0609899 Passing Score 1DO i Completed On: January 02, 2023 -------------------------------- ----------- ---- --- ------- - - - ' Dawn Tate Director of Distance Learning Continuing Education _ API Processing -Licensing, Inc. M License #PVD0005640 3419 Galt Ocean Drive, Suite A Y$- Ft. Lauderdale, FL 33308 �• (954)567-0013 q* N Packet Pg. 193 1123123, 8:27 AM Detail by Entity Name DIVIsiON OF CORPORATIONS �tzII�IJti Jf N .OM.org — cur r,jTa rrrf �lrrle „J f I!rrr�lr, ::.-ir.r�: J J 1&12artment of State I Division of COrpAyA igna I Search Records I Search by Entity Name I Detail by Entity Name Florida Limited Liability Company MAT PRO SERVICES LLC Filing Information Document Number L23000008935 FEI/EIN Number NONE Date Filed 01/04/2023 State FL Status ACTIVE Principal Address 5359 DIXIE DR NAPLES, FL 34113 Mailing Address 5359 DIXIE DR NAPLES, FL 34113 Registered Agent Name & Address MATEO, DAVID 5359 DIXIE DR NAPLES, FL 34113 Authorized Persons) Detail Name & Address Title AMBR MATEO, DAVID 5359 DIXIE DR NAPLES, FL 34113 Annual Reports No Annual Reports Filed Documentlmages 01/04/2023 - Florida Limited Liabiilit}r View image in PDF format search.sunbiz.org/lnquiryiCorporationSearch/SearchResultDetaiI?inquirytype=EntityName&directionType=Initial&searchNameOrder =MATPROSERVI... 112 Packet Pg. 194 1 /23123, 8:27 AM Detail by Entity Name W 00 C 0 E t U f0 Q Packet Pg. 195 search. sun biz. orgllnquirylCorporationSearchlSearchResultDetaiI?inquirytype=EntityName&directionType=lnitiai&searchNameOrder=M 8.E.1 State of Florida Department of State 1 certify the attached is a true and correct copy of the Articles of Organization of MAT PRO SERVICES LLC, a limited liability company organized under the laws of the state of Florida, filed electronically on January 04, 2023, as shown by the records of this office. I further certify that this is an electronically transmitted certificate authorized by section 15.16, Florida Statutes, and authenticated by the code noted below. The document number of this limited liability company is L23000008935. Authentication Code: 230109183108-700399901257# 1 Given under my hand and the Great Seal of the State of Florida at Tallahassee, the Capital, this the Ninth day of January, 2023 !— C Cord Byrd ,Secrcta?y c}l State Packet Pg. 196 8.E.1 Electronic Articles of Organization L 300 8 00 AM For January 04, 2023 Florida Limited Liability Company sec. Of state jsdennis Article I The name of the Limited Liability Company is: MAT PRO SERVICES LLC Article II The street address of the principal office of the Limited Liability Company is: 5359 DIXIE DR NAPLES, FL. US 34113 The mailing address of the Limited Liability Company is: 5359 DIXIE DR NAPLES, FL. US 34113 Article III The name and Florida street address of the registered agent is: DAVID MATEO 5359 DIXIE DR NAPLES, FL. 34113 Having been named as registered agent and to accept service of process for the above stated limited liability company at the place designated in this certificate, I hereby accept the appointment as registered agent and agree to act in this capacity. I further agree to comply with the provisions of all statutes relating to the proper and complete performance of my duties, and I am familiar with and accept the obligations of my position as registered agent. Registered Agent Signature: DAVID MATEO Packet Pg. 197 8.E.1 Article IV L23000008935 The name and address of personFILED 8:00 AM e LLC. s) authorized to managJanuary 04, 2023 Title: AMBR Sec. Of State DAVID MATEO jsdennisLO 5359 DIXIE DR NAPLES, FL. 34113 US v Signature of member or an authorized representative Electronic Signature: CHEYENNE MOSELEY, LEGALZOOM.COM, INC. I am the member or authorized representative submitting these Articles of Or anization and affirm that the facts stated herein are true. I am aware that false information submitted in a document to the Department of State constitutes a third degree felony as provided for in s.817.155, F.S. I understand the requirement to file an annual report between January 1 st and May 1 st in the calendar year following formation of the LLC and every year thereafter to maintain "active" status. w 00 c m E �a w a Packet Pg. 198 8.E.1 IRSDEPARTMENT OF THE TREASURY INTERNAL REVENUE SERVICE CINCINNATI OH 45999-0023 MAT PRO SERVICES LLC DAVID MATEO SOLE MBR 5359 DIXIE DR NAPLES, FL 34113 LO Date of this notice: 01-10-2023 N Employer Identification Number: L) 92-1664704 Form: SS-4 Number of this notice: CP 575 G For assistance you may call us at: 1-800-829-4933 IF YOU WRITE, ATTACH THE STUB AT THE END OF THIS NOTICE. WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER Thank you for applying for an Employer Identification Number (EIN). We assigned you EIN 92-1664704. This EIN will identify you, your business accounts, tax returns, and documents, even if you have no employees. Please keep this notice in your permanent records. Taxpayers request an EIN for their business. Some taxpayers receive CP575 notices when another person has stolen their identity and are opening a business using their information. If you did not apply for this EIN, please contact us at the phone number or address listed on the top of this notice. When filing tax documents, making payments, or replying to any related correspondence, it is very important that you use your EIN and complete name and address exactly as shown above. Any variation may cause a delay in processing, result in incorrect information in your account, or even cause you to be assigned more than one EIN. If the information is not correct as shown above, please make the correction using the attached tear -off stub and return it to us. A limited liability company (LLC) may file Form 8832, Entity Classification Election, and elect to be classified as an association taxable as a corporation. If the LLC is eligible to be treated as a corporation that meets certain tests and it will be electing S corporation status, it must timely file Form 2553, Election by a Small Business Corporation. The LLC will be treated as a corporation as of the effective date of the S corporation election and does not need to file Form 8832. To obtain tax forms and publications, including those referenced in this notice, visit our Web site at www.irs.gov. If you do not have access to the Internet, call 1-800-829-3676 (TTY/TDD 1-800-829-4059) or visit your local IRS office. Packet Pg. 199 8.E.1 IMPORTANT REMINDERS: * Keep a copy of this notice in your permanent records. This notice is issued only one time and the IRS will not be able to generate a duplicate copy for you. You may give a copy of this document to anyone asking for proof of your EIN. * Use this EIN and your name exactly as they appear at the top of this notice on all your federal tax forms. * Refer to this EIN on your tax -related correspondence and documents. * Provide future officers of your organization with a copy of this notice. Your name control associated with this EIN is MATP. You will need to provide this information along with your EIN, if you file your returns electronically. Safeguard your EIN by referring to Publication 4557, Safeguarding Taxpayer Data: A Guide for Your Business. You can get any of the forms or publications mentioned in this letter by visiting our website at www.irs.gov/forms-pubs or by calling 800-TAX-FORM (800-829-3676). If you have questions about your EIN, you can contact us at the phone number or address listed at the top of this notice. If you write, please tear off the stub at the bottom of this notice and include it with your letter. Thank you for your cooperation. Keep this part for your records. CP 575 G (Rev. 7-2007) Return this part with any correspondence so we may identify your account. Please correct any errors in your name or address. CP 575 G 9999999999 Your Telephone Number Best Time to Call DATE OF THIS NOTICE: 01-10-2023 ( ) - EMPLOYER IDENTIFICATION NUMBER: 92-1664704 FORM: SS-4 NOBOD N W 00 INTERNAL REVENUE SERVICE MAT PRO SERVICES LLC � m CINCINNATI OH 45999-0023 DAVID MATEO SOLE MBR £ 5359 DIXIE DR NAPLES, FL 34113 Q Packet Pg. 200 8.E.1 This certifies that I, C.O le'V County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY STATEMENT OF OWNERSHIP pav'� a M xL C,-/) member of _ APPLICANT'S NAME (please print) q' eo's 1_ L am a member or managing I own I d U % 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. ;d h ,�- Applicant (pleases Qrint i t�ak4o i�efv�ce LLG Name of Company kit!" Signature of Applicant 3 State of PAC)' &.!N County of The foregoing instrument was acknowledged before me by means of Ui pysical presence or 0 online notarization on this day of M a n .20 Z3, by C,k C.kk-1rd Such person(s) Notary Public must check applicable box-- 0 are personally known to me t!]4 produced a current driver license © has produced (Notary Seal) YOLANDA GARZA MY COMMISSION # GG362" EXPIRES' February 14.2023 as identification. Notary Signature: nv Contractor Licensing — FIRM AppYrabon Rev_ 712M Page 9 of 14 4peerations & Regulatory Management Division. Contractor Ljcerrsirg • 28W North Ftorsmhoe Drive • Naples FL 34104 • (239) 252-2431 contra ctorslicensing"co}3iercoun:vfl. Roy Packet Pg. 201 8.E.1 CD per County Growth Management Community Devetopment Department LO le N r4, APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY U J VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name: Cn w � Certificate Category Requested na o(4\ Pay l U) W The applicant is seeking a Colter County Certfficate of Competency in the trade indicated above. As part of the application for O W this certificate: the applicant must verify his/her experience within this trade. You are being requested to provide information IL that wfW aid the applicant in meeting this requirement. You should verify time of active experience working as an apprentice or Q 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: O Name: J j ! E'r Cf�' . S , LIA Po Title: � Business Name: I l-e" UJa /1-1- (— ? Phone: d 3 License No. (ifapplicable): C78 C la J 101 Business Address: q O r / C- I ^ ! 0 Street City j State Zip The applicant was employed by me from aJ1 -� r� n'a o to m e , Qo a Applicant's title: 1 0 The applicant's scope of work (specific duties) included: Q.-�Qn 1 2r!C� C IS[] (, �� /� C& a NOTE TO LICENSED CONTRACTORS: Falsifying any information provided herein may subject yourlicense to revocation. Under penalty of perjury. I declare that the facts stated here are true --// % Signature of person providing the statement State of /r C1Gt_- County of Il Q� The oregoing instrument was acknowledged before me by means of �physicai presence or ❑ online notarization on this ay of,� , 20 , - by ( e r-461 Such persons) Notary Public must check applicable box: are personally known to me ❑ has produced a current driver license © has produced as identification. (Nolan' Smi) �+t Notary PubliMne Robyn LeeNotary Signature: _ My Commis 4�,,,, ` Expires 03/2 Contractor Licensing - FIRM Page 10 of 14 Operations & Regulatory Management D,vrsson. Contractor Lkwming • 28M North Horseshoe Drive • Naples. FL 34104 • (239) 252-2431 Contrc�CtnrshCensfn 'r�coi�ercount tl. nv Packet Pg. 202 8.E.1 Co -Iler County Growth Management Community Development Department rn N APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF/t/�� COUNTY OF having been first duly swam, state and affirm: i am a resident of �0/l/el County, ��// (State) and have resided here for more than five (5) years. During the last five (5) years I have known /-/)Q!/ G/ /A7 eo (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 Printed Name Address: '�8S Street I( 'FJ" r& � S///3 City State Zip Telephone: �'Z 7/ 4o G/ —Z Y 7 5— State of r Z"14 Countyof The foregoing instrument %%-as acknowledged befo e m by means of 3'physical presence or ❑ online notarization on this day Q /",/W 20 21. by Sperson(s) Notary Public must check applicable box: Zr'�d apersonally known to me © has produced a current driver license ❑ has produced as identification. a (Notary Seal) REEE9 .A a 096 Uj 023 W Notary Signature: 00 c 1�7D d Contractor Licensing - FIRM Appliimbon Rev. 712022 Page 13 of 14 Operations & Regulatory Management Division. Contractor Licensing • 2800 North Horsestm Drive • Naples. FL 34104 • i239f 252-2431 r corztraCtorslrcensingra coiliereoi4ntyflgov Q Packet Pg. 203 8.E.1 Col. Y County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF f-larI' - COUNTY OF i, C� r f%/ ,'a yt /"019 / , having been first duty sworn, state and affirm: I am a resident of 4e-e County, F/ r ) 42 4 (State) and have resided here for more than five (5) years. During the last five (5) years I have known 44,1" ( #d le (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 Am Printed Name Address: Street I city State Zip Telephone: State of NjY &x County of i 11,%C --// The foregoing instrument was acknowledged before ml a by means of l�physical presence or ❑ online notarization on this �Y of � 0 by t rjTl� n OC) Such person(s) Notary Public must check applicable box: ❑ are personally known to me vfh produced a current driver license ❑ has produced (Notary Seal) YOLANDA GARZA MY COMMISSION 4 GG302046 EXPIRES: February 14,2023 Contractor Licensing — FIRM Appication Rev. 712t122 as identification. Notary Signature: Page 14 of 14 Operations & Regulatory Management Dnrisron, Contractor Lxe>a tavtg • 28M Norltt Horseshoe Drive • Naples, FL 34104 • (233) 252-2431 contractorslicensano;Q:coiliercountv€i.00v Packet Pg. 204 r w co SNOOIS ONIAVd - ii(AND 4NV 3DN9IN9dX9 =10 MBIABN - OgiVW OIAV4 '38 :;u8WLI3u V A AROu' CERTIFICATE OF LIABILITY INSURANCE DATE(M 8•E.1 41 /12I2423 THIS ERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE L ER. THI CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES .. BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. to IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(tes) must have ADDITIONAL INSURED provisions or br endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. E statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: - HISCOx Inc. PHONE (888) 202- «7 FAx L 520 Madison Avenue E-MAILMArc No L 32nd Floor Contact aQhiscox.Com ADDRESS:1. New York, New York 10022 INSURE S AFFORDING COVERAGE NAIL# C L INSURER A : Hiscox Insurance Company Inc 10200 c INSURED _ INSURER B Mat Pro Services LLC C 5359 Dixie Drive INSURER C : - - F Naples, FL 34113 INSURER D INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER. REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR L TYPE OF INSURANCE ADDL SUBR POLICY NUMBER LICY EFF MM DDIYYYYI POLICY EXP (MMIDD(YYYYI LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1000000 CLAIMS -MADE � OCCUR $ 100,000 RENTED DA"AGE TOEa occurrence) PREMISES MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 A P101.400.714.1 01/12/2023 01 /12/2024 GENERALAGGREGATE GEN'LAGGREGATE LIMITAPPLES PER $ 2,000,000 POLICY PRO dEGT a LUC $ 2,000,000 PRODUCTS -COMPIOPAGG OTHER: $ AUTOMOBILE LIABILITY 0 IIN SINGLE LIMIT $ BODILY INJURY (Per person) ANY AUTO $ ALL OWNED SCHEDULED AUTO$ AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per aociderrt NON -OWNED HIRED AUTOS AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE EXCESSILIAB CLAIMS -MADE $ DED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABIIJTY YIN ER STATUTE ER ANYPROPMETORIPARTNERIE7(ECUTIVE E.L. EACH ACCIDENT $ OFFICERIMEMBEREXCLUDED? NIA (Mandatory, 3n NH) EL. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT - - $ [DESCRIPTION OF OPERATIONS 1 LOCATIONS f VEHICLES (ACORA 101, AgdMonai Remarks Schedule, may be attached it more space is required) CERTIFICATE HOLDER CANCELLATION V t W SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 00 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1J ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE S tJ i ++ i ++ i Q Packet Pg. 206 8.E.1 61G4-15.006 Financial Responsibility and Financial Stability, Grounds for Denial. v (1) The financial responsibility ground on which the Board shall refuse to qualify an applicant is failure to provide a current V consumer credit report, as defined in Rule 61G4-12.011, F.A.C., which consumer credit report does not disclose any unsatisfied V judgments or liens against the applicant. In addition, there must not be any unsatisfied judgments or liens against the business entity J which the applicant previously qualified as a primary qualifier or which the applicant has applied to qualify. N (2) The financial stability ground on which the Board shall refuse to qualify an applicant is failure to provide proof of either a U 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, Lu FICO derived, of 660 or higher, and must be payable as provided in Rule 61G4-15.0021, F.A.C., for Financially Responsible to O Officers in the amount of: a (a) $20,000 for Division I applicants. H (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 14-hour Financial responsibility course approved by the Board. 0 (4) An applicant may meet both the financial responsibility and financial stability requirements by providing proof of a current Q consumer credit report, as defined in Rule 61 G4-12.011, F.A.C, with a credit score, FICO derived, of 660 or higher, which consumer W credit report does not disclose any unsatisfied judgments or liens against the applicant. to addition, there must not be any unsatisfied ZO judgments or liens against the business entity which the applicant previously qualified as a primary qualifier or which the applicant V has applied to qualify. to Y Specific Authority 189.115(5). (6) FS. Law Implemented 489.115(5), (6) FS. History -New 1-6-80, Amended 5-4-80, Formerly 21E-15.06. 21E UO 15.006, amended 10-31-96. 11-13-97, 2-12-0& J Packet Pg. 207 8.F 02/13/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 8.17 Doc ID: 24575 Item Summary: 8F. ALFREDO VILLAVICENCIO - REVIEW OF EXPERIENCE -PAINTING CONTRACTOR -GOLDEN GATE DRYWALL, INC. Meeting Date: 02/13/2023 Prepared by: Title: — Contractor Licensing Name: Alyshia Morse 02/02/2023 5:05 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 02/02/2023 5:05 PM Approved By: Review: Contractor Licensing Sandra Delgado Review item Completed 02/06/2023 3:44 PM Contractor Licensing Tim Crotts Review Item Completed 02/07/2023 7:47 AM Contractor Licensing Tim Crotts Meeting Pending 02/13/2023 9:00 AM Packet Pg. 208 Contractor Licensing C_Jr1or ��u-nty 2800 N. Horseshoe Dr. FL 34104 Growth Management Department Naples, Phone _ 239-25252-2431-2431 Fax - 239-252-2469 to ti to APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY FIRM APPLICATION FOR COLLIER COUNTY 2 CERTIFICATE OF COMPETENCY r This application must be typewritten or legibly printed. The application fee must be paid upon approval and is NOT refundable. All checks should be made payable to: Collier County Board of County Commissioners. For further information, consult Collier County Ordinance No. 2006-46, as amended. TYPE OF CERTIFICATE OF COMPETENCY, ❑ General $230.00 ❑ Building $230.00 ❑ Residential $230.00 ❑ Mechanical $230.00 ❑ Roofing $230.00 Specialty Trade: Painting Contractor I. APPLICANT PERSONAL INFORMATION: 71 Electrician $230.00 :3 Plumber $230.00 Air Conditioner $230.00 D Swimming Pool $230.00 X Specialty $205,00 Name: _ Alfredo Villavicencio First Midce initial ( last Business Name: C-CU7 `-< f (�,,4 1 E(J/d+ Address: 1030 11th St SW Naples FL 34117 5L eQi (aty State Zip Email: alfredovdrywall((�hotmail.com Telephone: (239)687-0442 'SS # (Last 4 digits only): 0544 Date of Birth: 01/28/1964 Driver's License ## (Last 4 digits only): 0280 *Pursuant to Chapter 1-19, Florida Statutes and Collier County Contractor Licensing Ordinance 2006.46 Section 2.1.1., all applicants are required to submit their social security number (SSN) for the following purposes. aj Assess applicant's ability to satisfy creditors by reviewing their credit history. b) Verification of applicant's test scores and information. Our office will only use your SSN noted above for those reasons pursuant to Chapter 1.19, Florida Statutes, and as may otherwise be authorized by law. we are fully committed to safe -guarding and protecting your SSN and once collected, will be maintained as confidential and exempt under Chapter 1-19, Florida Statutes. F= rm_Appl(cation.docx Rev 4/0612020 Page 3 of IS ...____...____..._.— ..___- Packet Pg. 209 8.F.1 1.6.330. Painting Conuactor requires twenty-four (24) months experience, a passing gradc on & 4} an approved test and a passing grade on a t�ho k2i howr business and law test and means those who are qualified to use spraying equipment as well as hand Lools to finish both exterior and interior work, A painting contractor may do paperhanging, sandblasting, waterproofing, and may clean and paint roofs. LL 00 rn r- un v LL eD r c ar E t U M w Q Packet Pg. 210 8.F.1 Contractor Licensing C�O 1e7' C0.94nty 2800 N. Horseshoe Dr. Growth Ma meat Department Naples, FL 34104 Do Phone-239-252-2431 Fax - 239-252-2469 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY `V U Provide the names and telephone numbers of two persons who will always know your whereabouts. Name: Joan Villavicencin Name:_ Fabio Villavir_encia Telephone: (239)631-9142 II. NAME OF APPLICANT'S BUSINESS: Business Name: Telephone:(239)200-2887 10 C-- Business Address: 1,030 11 ttl St SW Nal2les FL 34117 Street City State 7.."ro Telephone: ( 239 ) 687-0442 Email: alfredovdrywall(a)hotmail.com Federal ID Tax No.: 20-8470656 III. FINANCIAL RESPONSIBILITY YES NO — -� ALL APPLICANTS MUST ANSWER THE QUESTIONS BELOW: X Filed for or been discharged in bankruptcy within the past 5 years? X i Had a lien filed against you by the Internal Revenue Service or Florida Corporate Tax Division? i X Undertaken construction contracts or work that resulted in liens, suits, or judgments being filed? i X Undertaken construction contracts or work that a third party, such as a bonding or surety company, completed or made financial statements on? X Made an assignment of assets in settlement of construction obligations for less than the debts ! outstanding? X Been convicted or found guilty of, or entered a plea of noio contendere to, regardless of adjudication, a crime in any jurisdiction within the past 10 years?* Had claims or lawsuits filed for unpaid or past due accounts by your creditors as a result of construction experience? Been charged with or convicted of acting as a contractor without a license, or if licensed as a "subject K contractor in this or any other state, been to" disciplinary action by a state, county, or municipality? NOTE, If 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.'If you have had a felony conviction, proof that your civil rights have been restored will be required prior to licensure. Firm_Application.docx Rev 410612020 Page 4 of 15 LL 00 c E s r Q Packet Pg. 211 8.F.1 (Notary Seal) Contractor Licensing ( ;O CV C,-014-nty 2800 N. Horseshoe Dr. Naples,39-252-2431 Growth Management Department Phon 00 Fax - 239-252-2469 ,n r- APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY N IV. EXPERIENCE VERIFICATION z EDUCATION: J J 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: CURRENT/PREVIOUS LICENSE: List below and attach copies any other certificates of competencyllicenses you hold/have held in Collier County or any other jurisdiction. Include the license ##, Type, and county you hold it in. Drywall Contractor Lic ## 31007 Collier County AFFIDAVIT Under the penalties of perjury, I declare that I have read the foregoi g application and the facts stated in it are true. Alfredo Villavicencio Applicant (please print) Signature o! plicant State of Florida Counry of Collier LTl e Yoregc�in = it3sctuinent was acknowledged b f ue by . cans of i dcal presence or © online notarization on this dgy of 2i1 by 1 (� Such person(s) Notary Public must clieekapplicable box: 0urc peracnally kl--n to me cl- h11 Ear -du eel :, current drier Ijv<asise 0 has produccd N f as identification. r� Notary Signature: ALYSMUORSS Commbdm 5 HH 190514 80w0cidw25,2025 8W"nWqNtdNft78 I, Firrn_Appiication_docx Rev 4/0612020 Page 5 of 15 ......_. Packet Pg. 212 8.F.1 Contractor Licensing CiJpvw , CiUll .ty 2800 N. Horseshoe Dr. Naples, FL 34104 Growth Managen-tent Department 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. 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. Alfredo Villavicencio Applicant (please print Name of Company &gnaturi of ocant 'd State of rI a CaunLy or e01` 4�P� The foregoing instr ment was acknowledged of Inc b means of t Such pemon(s) Notaj_ Public must check applicable box: © are personally known to the U+as l induced a current driver license © has produced _ l)L_ as identification. (Notary Seal) * * 514 � aT Fxpirea Octoberw 25,2 025 EOF�y94' 80110TINSW etNodq WAM Notary Signature: presence or © online notarization on this Firm_Application.docx Rev 4i0&f2020 Page 6 of 15 LL 00 W) ti uO v N U- 00 �.i C N E t V f8 Q _— Packet Pg. 213 8.F.1 VVI cl�oluley C;Ounty Growth Management Department Contractor Licensing 2800 N. Horseshoe ©r. Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY WORKMEN'S COMPENSATION AFFIDAVIT It is understood and acknowledged by the Collier County Contractors' Licensing Board and myself that if I fail to acquire, or maintain at all times effective Workmen's Compensation Insurance it will result in the possible revocation of my Certificate of Competency. Alfredo Villavicencio Applicant (please print game f Company h1o C � signat re f Applicant BEFORE ME this day personally appearedL1/a- V► rooaffirrns 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 Insurance, State o1' ( County of >✓ ,y/ l foregoing t n%Lrrtent was acknowledged e ' ern by means _clay ol', 2()2L. by Such fi.,rsontlary Public must check applicable box: ��vsddl presence Or 0 online notarization oil this 0 are personally known to me U16as produced a current driver license ❑ has produced _�(_ _ __as identification. (Notary Seal) ALY3HIA MORSE +¢i Commission 0 HH 190514 Expires October 25, 2025 w�rEVF aLoc n■u WWNOWY Ste' ]Votary Si&rnaturc: Firm Application.docx Rev 4/06/2020 Page 7 of 15 LL 00 uO ti uO 54 LL CO a+ C N >_ t rC rr r+ a Packet Pg. 214 8.F.1 Fpvorotgs Browse��3 Commen s fQ < 1 c4l > 100% " E] 1 Find I Next LL co Qualifier Exam per Qualifier ID Lo I- v N IKEY EXAM DETAILS EXAM EXAM LOCATION EXAM DATE SPONSOR ... SCORE V 17102 F11540 - EXTERIOR SURFACE NO SHOW - FT. MYERS 6/412005 COLLIER COUNTY Z COATING (PLASTERING) 12813 110 - DRYWALL 90.00 NAPLES 11012002 COLLIER COUNTY J J 12690 110 - DRYWALL 72.00 FT. MYERS 10;512002 COLLIER COUNTY Q 12526 110 - DRYWALL 60.00 NAPLES 9/712002 COLLIER COUNTY 12527 100 - BUSINESS AND LAW 76.00 NAPLES 9/7/2002 COLLIER COUNTY 0 LU I— Q E . � Packet Pg. 215 8.F.1 GITS, LLC Examination Operations Division Providing the services and products to assist Government Agencies to make informed educated decisions. Official Examination Score Report Official Score Report: Candidate Information: Name — Alfredo Villavicencio Candidate #: 00640280V Online Testing Site: Ocala, FL Final Score Result: July 27, 2022 Painting Contractor Score: 84% 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 July 22, 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-GITS — Fax (352) 387-2443 800 997 2129 ILL 00 LO I- LO 1* N ILL 00 C E t U f0 Q Packet Pg. 216 8.F.1 011� Factual Data Factual W7 I PO BOX 1667 1 PITTsa URGH. PA 15230 1 Tel: 800-206-0760 I Fax: 800-694-3273E({[ Requestor Loan Number CrossCountry Mtg LLC - MTG JOAN VILLAVICENCIO 37642208207559 6850 MILLER ROAD ... ..... . _.,... .__..................._._...._ BRECKSVILLE, OH 44141 Date Requested Reference Number 722218204903_41_ 1 _ _ 08/0fi/2022 CREDIT REPORT WITH WORKFLOW SOLUTIONS Account Type Revolving Installment Mortgage Open/Other Total Monthly Payments 157 1,250 0 0 $1,407 Balances 6,757 43,428 0 0 $50,185 Limits 37,000 76,779 0 0 $113,779 Trades 30+ 20 0 5 0 2 0 0 0 27 0 i 60+ 0 j 90+ 0 0 0 0 0 0 0 0 0 Past Due: $0 1 Worst Trade. 1 I Satisfactories: 27 1 Inquiries: 3 1 Public Records: 0 1 Bankruptcies: 0 f Oldest Date: 11/06/91 ALFREDO VILLAVICENCIO ssN DOE 1030 11TH ST SW, NAPLES, FL 34117 -0544 0112811964 Residence, Information 1030 SW 11TH ST, NAPLES, FL 34117 From 07l03 08/22 EFX 7313 BRISTOL APT#: CIR, NAPLES, FL 34120 From 12I07 - 04I16 EFX 4870 WHISTLERS GREEN 0R, APT#: 4, NAPLES, FL 34116 From 04105 - 08/10 ................ ----- EFX _......_._..� 1030 11TH ST, NAPLES, FL 34117-2272 From 03/05 TRU ... _. _... _.. _._ ... ,. .... 7313 BRISTOL Cl, NAPLES, FL 34120-0696 _----- ---. From 11l07 TRU 1030 11TH SW ST, NAPLES, FL 34117 From 12106 TRU 1030 11TH ST SW, NAPLES, FL 34117-2272 From 11102 - 06l21 XPN 7313 BRISTOL CIR, NAPLES, FL 34120-0696 From 11/07 - 09/14 XPN 4870 WHISTLERS GREEN CIR, APT#: 4, NAPLES, FL 34116-9086 From 04/05 - 04l05 , XPN GOLDEN GATE DRYWALL- PRESIDENT ITR DRYWALL - DRYWALL FINISHER ENTERPRISE SYS - DRYWALL FINISH GOLDEN GATE DRYWALL - MANAGER SELF EMPLOYED SELF EMPLOYED GOLDEN GATE DRYWALL iNC Applicant ALFREDO VILLAVICENCIO ----........ From 01/00 From 11/08 j From 11/08 - 11/08 From 01112 - 10120 EFX EFX EFX TRU TRU XPN I XPN CREDIT REPORT WITH WORKFLOW SOLUTIONS : Page 1 of 8 LL 00 LO En N U. 00 C d E t U R r +r a Packet Pg. 217 8.F.1 IFACTA Regulatory Messages THE NUMBER OF INQUIRIES ON THE CONSUMERS CREDIT FILE HAS ADVERSELY AFFECTED THE CREDIT SCORE WITH NO DEROGATORY INFORMATION FOUND ON THE FILE TRU 00 THE NUMBER OF INQUIRIES ON THE CONSUMERS CREDIT FILE HAS ADVERSELY AFFECTED THE CREDIT SCORE XPN LO Ln •� :Credit . _ • V ALFREDO VILLAVICENCIO SSN DOB j Z 1030 SW 11TH ST, NAPLES, FL 34117 -0544 01/28/1964 EFX ALFREDO VILLAVICENCIO SSN DOB TRU Q 1030 11TH ST, NAPLES, FL 34117-2272 -0544 01/28/1964 ALFREDO VILLAVICENCIO %SN DOB XPN 1030 11TH ST SW, NAPLES, FL 34117-2272 -0544 01/28/1964 0 W Name Variations a i� ALFREDO VILLAVICENCO EFX Z W ALFREDO VILLACENCIO EFX IO J ALFREDO VILLAVIVENCIO EFX O _ A VILLAVICENCIO TRU ALFREDO VILLACENCIO XPN O U a Additional H No additional information records found. ZO V O Special_ Z IDENTITY SCAN IDENTITY SCAN DID NOT DETECT ANY ALERTS EFX Z IDVISION ALERT CURRENT INPUT MORE RECENT ADDRESS AVAILABLE FOR CONSUMER TRU Q E a IDVISION ALERT INPUT INPUT CONSUMER IDENTITY ELEMENTS - VERIFIED TRULU ' U Z My Solution: Quickview W_ a. >*% FILE SUCCESSFULLY UPGRADED TO TRIMERGE W 7g Equifax I BEACON 5.0 SCORE TIME SINCE MOST RECENT ACCOUNT OPENING IS TOO SHORT PROPORTION OF BALANCES TO CREDIT LIMITS TOO HIGH ON REVOLVING ACCOUNTS AMOUNT OWED ON REVOLVING ACCOUNTS IS TOO HIGH TOO MANY ACCOUNTS WITH BALANCES Applicant ALFREDO VILLAVICENCIO Experian FAIR ISAAC 766 SCORE 2 1FansUnion I CLASSIC Q4 755 SCORE PROPORTION OF BALANCE TO HIGH TIME SINCE MOST RECENT ACCOUNT CREDIT ON REVOLVING ACCOUNTS OPENING IS TOO SHORT TOO MANY ACCOUNTS RECENTLY PROPORTION OF REVOLVING OPENED BALANCES TO REVOLVING CREDIT TOO MANY INQUIRIES LAST 12 LIMITS IS TOO HIGH MONTHS AMOUNT OWED ON REVOLVING TOO MANY ACCOUNTS WITH ACCOUNTS 15 TOO HIGH BALANCES INSUFFICIENT LENGTH OF REVOLVING FACIA: NUMBER OF INQUIRIES CREDIT HISTORY AFFECTED THE SCORE FACTA: NUMBER OF INQUIRIES AFFECTED THE SCORE IL 00 CREDIT REPORT WITH WORKFLOW SOLUTIONS : Page 2 of 8 C d E t V R r a Packet Pg. 218 8.F.1 CREDIT REPORT ALFREDO VILLAVICENCIO Report Confirmation 2841469536 LL 00 W) ti W) It N Packet Pg. 219 8.F.1 u: 00 EqUIFAX L0 F- L0 Dear ALFREDO VILLAVICENCIO: Thank you for requesting your Equifax credit report. Your credit report contains information received primarily from companies which have granted you credit. Great care has been taken to report this information correctly. Please help us in achieving even greater accuracy by reviewing all of the enclosed material carefully. If there are items you believe to be incorrect, you may Initiate an investigation request via the Internet 24 hours a day, 7 days a week at: https://www.eq uifax.com/personal/cred it-report-sery ices/credit-dispute/ • Please mail the dispute information to: Equifax Information Services LLC P.O. Box 740241 Atlanta, GA 30374 • Call us at 866-349-5186 Please note, when you provide documents, including a letter, to Equifax as part of your dispute, the documents may be submitted to one or more companies whose information are the subject of your dispute. You have the right to request and obtain a copy of your credit score. To obtain a copy of your credit score, please call our automated ordering system at: 1-877-SCORE-11. u- w w c d EQMMAu ALFREDO VILLAVICENCIO I Dec 07, 2022 Page 2 of 84 t U m w w Q Packet Pg. 220 8.F.1 ILL 00 1. Summary r- Ln N Review this summary for a quick view of key information contained in your Equifax Credit Report. 6 Z_ Report Date Dec 07, 2022 J J Credit File Status No fraud indicator on fife Q Alert Contacts 0 Records Found 0 Average Account Age 10 Years, 3 Months LU Length of Credit History 31 Years, 1 Month Q U Accounts with Negative Information 0 W 0 Oldest Account SYNCB/JC PENNEYS (Opened Nov 06, 1991) J O C9 Most Recent Account CITICARDS CBNA (Opened Jun 17, 2021) O I — Credit Accounts Q Your credit report includes information about activity on your credit accounts that may affect your credit score and rating. Z O U A VT*- ��� e - - Iiso a :a: Z Revolving 9 4 $7,496 $31,604 $39,000 19.0% $224 P Z Mortgage 0 0 d Installment 2 2 $39,080 $37,699 $76,779 51.0% $1,250 U Z Other W W Total 11 6 $46.576 $69,203 $115,779 19.0% $1,474 LU d X ul Other Items o Your credit report includes your Personal Information and, if applicable, Consumer Statements, and could include other items that may uJ affect your credit score and rating. W W Consumer Statements 0 Statements Found O Personal Information 12 Items Found U Z W Inquiries 53 Inquiries Found U_ Most Recent Inquiry CREDIT KARMA, INC Dec 01, 2022 J J_ Public Records 0 Records Found > O Collections 0 Collections Found G ILL 00 C 0) EgWF X ALFREDO VILLAVICENCIO I Dec 07. 2022 Page 3 of 84 t Q Packet Pg. 221 8.F.1 7. Personal Information Creditors use your personal information primarily to identify you. This information has no impact on your credit score. Identification Identification is the information in your credit file that indicates your current identification as reported to Equifax. It does not affect your credit score or rating. Name ALFREDO VILLAVICENCIO Formerly known as ALFREDO VILLAVICENCO Social Security Number Age or Date of Birth Other Identification You currently do not have any Other Identifications in your file. Alert Contact Information You currently do not have any Alert Contacts in your file. Contact Information ALFREDO VILLACENCIO ALFREDO VILLAVIVENCIO xxxxx 0544 Jan 28.. 1964 Contact information is the information in your credit file that indicates your former and current addresses as reported to Equifax. It does not affect your credit score or rating. 1030 11TH ST SW Current Dec 06, 2022 NAPLES, FL 34117 7313 BRISTOL CIR Former Apr 01. 2016 NAPLES. FL 34120 4870 WHISTLERS GREEN CIR APT 4 Former Aug 04. 2010 NAPLES, FL 34116 1713 55TH ST SW Former Dec 04. 2014 NAPLES, FL 34116 4537 MEADOWOOD CR APT 2 Former Aug 04., 2010 NAPLES. FL 33999 u_ 00 LO r- LO N u_ 00 c a� �[IFFwx ALFREDO VILLAVICENCIO I Dec 07. 2022 Page 74 of 84 t a Packet Pg. 222 8.F.1 u: 00 Employment History Employment history is the information in your credit file that indicates your current and former employment as reported to Equifax. It does not affect your credit score or rating. V Z .. J J GOLDEN GATE DRYWALL PRESIDENT Q ITR DRYWALL DRYWALL FINISHER d' ENTERPRISE SYS DRYWALL FINISH Emgvi�/IX ALFREDO VILLAVICENCIO i Dec 07. 2022 Page 75 of 84 Packet Pg. 223 8.F.1 9. Public Records This section includes public record items Equifax obtained from local, state and federal courts through a third party vendor, LexisNexis. They can be contacted at: https://equifaxconsumers.lexisnexis.com LexisNexis Consumer Center P.O. Box 105615 Atlanta, CA 30348-5108 Bankruptcies Bankruptcies are a legal status granted by a federal court that indicates you are unable to pay off outstanding debt. Bankruptcies stay on your credit report for up to 10 years, depending on the chapter of bankruptcy you file for. They generally have a negative impact on your credit score. You currently do not have any Bankruptcies in your file. .Judgments Judgments are a legal status granted by a courf that indicates you must pay back an outstanding debt. Judgments stay on your credit report up to 7 years from the date filed and generally have a negative impact on your credit score. You currently do not have any Judgments in your file. Liens A lien is a legal claim on an asset, and Equifax only collects tax related liens. Liens stay on your credit report up to 10 years and generally have a negative impact on your credit score. You currently do not have any Liens in your file. EgUMAX ALFREDO VILLAVICENCIO I Dec 07. 2022 u_ w LO r- LO V rl u_ 00 r c d Page 79 of 84 :M Q Packet Pg. 224 8.F.1 1 0. Collections Collections are accounts with outstanding debt that have been placed by a creditor with a collection agency. Collections stay on your credit report for up to 7 years from the date the account first became past due. They generally have a negative impact on your credit score. You currently do not have any Collections in your file. YJlfi471[ ALFREDO VILLAVICENCIO I Dec 07, 2022 u_ 00 W) N u_ 00 r c m E Page 80 of 84 v Q Packet Pg. 225 8.F.1 u_ 00 11. Dispute File InformationLO LO If you believe that any of the information found on this report is incorrect, there are 3 ways to launch an investigation about the V information in this report. Z When you file a dispute, the credit bureau you contact is required to investigate your dispute within 30 days. They will not remove J accurate data unless it is outdated or cannot be verified. Q To initiate a dispute online please visit https:I/www.equifax.com/personal!credit-report-serviceslcredit-dispute/ To check the status or view the results of your dispute please visit https:llwww.equifax.comlpersonallcredit- report- serviceslcredit- dispute/ W u_ w w W EXWIMX ALFREDO VILLAVECE€VCIO I Dec 07, 2022 Page 81 of 84 t U a Packet Pg. 226 8.F.1 LL 00 Para informacion en espanol, visite www.consumerfinance.gov/learnmore o escribe a la LID Consumer Financial Protection Bureau. 1700 G Street N.W., Washington, DC 20552. LID qV N 12. A Summary of Your Rights Under the Fair Credit Reporting Act The federal Fair Credit Reporting Act (FORA) promotes the accuracy, fairness, and privacy of information in the files of consumer reporting agencies. There are many types of consumer reporting agencies, including credit bureaus and specialty agencies (such as agencies that sell information about check writing histories, medical records, and rental history records). Here is a summary of your major rights under FORA. For more information, including information about additional rights, go to www.consumertinance.gov/ learnmore or write to: Consumer Financial Protection Bureau, 1700 G Street N.W., Washington, DC 20552, • You must be told if information in your file has been used against you. Anyone who uses a credit report or another type of consumer report to deny your application for credit, insurance, or employment — or to take another adverse action against you — must tell you, and must give you the name, address, and phone number of the agency that provided the information. • You have the right to know what is in your file. You may request and obtain all the information about you in the files of a consumer reporting agency (your "file disclosure"). You will be required to provide proper identification, which may include your Social Security number. In many cases, the disclosure will be free. You are entitled to a free file disclosure if: o a person has taken adverse action against you because of Information in your credit report; o you are the victim of identity theft and place a fraud alert in your file; o your file contains inaccurate information as a result of fraud; o you are on public assistance; o you are unemployed but expect to apply for employment within 60 days. In addition, all consumers are entitled to one free disclosure every 12 months upon request from each nationwide credit bureau and from nationwide specialty consumer reporting agencies. See www.consumerfinance.govllearnmore for additional information. • You have the right to ask for a credit score. Credit scores are numerical summaries of your credit -worthiness based on information from credit bureaus. You may request a credit score from consumer reporting agencies that create scores or distribute scores used in residential real property loans, but you will have to pay for it. In some mortgage transactions, you will receive credit score information for free from the mortgage lender. • You have the right to dispute incomplete or inaccurate information.lf you identify information in your file that is incomplete or inaccurate, and report it to the consumer reporting agency, the agency must investigate unless your dispute is frivolous. See www.consumerfinance.gov/learnmore for an explanation of dispute procedures. • Consumer reporting agencies must correct or delete inaccurate, incomplete, or unverifiable information. Inaccurate, incomplete, or unverifiable information must be removed or corrected, usually within 30 days. However, a consumer reporting agency may continue to report information it has verified as accurate. • Consumer reporting agencies may not report outdated negative information. In most cases, a consumer reporting agency may not report negative information that is more than seven years old, or bankruptcies that are more than 10 years old. • Access to your file is limited. A consumer reporting agency may provide information about you only to people with a valid need — usually to consider an application with a creditor, insurer, emptoyer, landlord, or other business. The FCRA specifies those with a valid need for access. • You must give your consent for reports to be provided to employers.A consumer reporting agency may not give out information about you to your employer, or a potential employer, without your written consent given to the employer. Written consent generally is not required in the trucking industry. For more information, go to www.consumerfinance.gov.-learnmore. You may limit "prescreened" offers of credit and insurance you get based on information in your credit report. 5; Unsolicited "prescreened" offers for credit and insurance must include a toll -free phone number you can call if you choose to O remove your name and address form the lists these offers are based on. You may opt out with the nationwide credit bureaus at w 1-888-5-OPTOUT (1-888-567-8688). M LL J Q LL 00 w C d �gtli ax ALFREDO VILLAVICENCIO I Dec 07, 2022 Page 82 of 84 t t� Q Packet Pg. 227 8.F.1 • The following FCRA right applies with respect to nationwide consumer reporting agencies: CONSUMERS HAVE THE RIGHT TO OBTAIN A SECURITY FREEZE You have a right to place a "security freeze" on your credit report, which will prohibit a consumer reporting agency from releasing information in your credit report without your express authorization. The security freeze is designed to prevent credit, loans, and services from being approved in your name without your consent. However, you should be aware that using a security freeze to take control over who gets access to the personal and financial information in your credit report may delay, interfere with, or prohibit the timely approval of any subsequent request or application you make regarding a new loan, credit, mortgage, or any other account involving the extension of credit. As an alternative to a security freeze, you have the right to place an initial or extended fraud alert on your credit file at no cost. An initial fraud alert is a 1-year alert that is placed on a consumer's credit file. Upon seeing a fraud alert display on a consumer's credit file, a business is required to take steps to verify the consumer's identity before extending new credit. If you are a victim of identity theft, you are entitled to an extended fraud alert, which is a fraud alert lasting 7 years. A security freeze does not apply to a person or entity, or its affiliates, or collection agencies acting on behalf of the person or entity, with which you have an existing account that requests information in your credit report for the purposes of reviewing or collecting the account. Reviewing the account includes activities related to account maintenance, monitoring, credit line increases, and account upgrades and enhancements. • You may seek damages from violators. If a consumer reporting agency, or, in some cases, a user of consumer reports or a furnisher of information to a consumer reporting agency violates the FCRA, you may be able to sue in state or federal court. • Identity theft victims and active duty military personnel have additional rights. For more information, www,consumerfinance.gov/learnmore States may enforce the FCRA, and many states have their own consumer reporting laws. In some cases, you may have more rights under state law. For more information, contact your state or local consumer protection agency or your state Attorney General. For information about your federal rights, contact (see next page): LWIMX u_ 00 LO uO Iq 21 Li- co ALFREDO VILLAVICENCIO I Dec 07, 2022 E Page 83 of 84 r Q Packet Pg. 228 8.F.1 TYPE OF BUSINESS: CONTACT: 1.a. Banks, savings associations, and credit unions with total assets of a.Consumer Financial Protection Bureau 1700 G Street, over $10 billion and their affiliates N.W. Washington, DC 20552 b. Such affiliates that are not banks, savings associations, or credit b.Federal Trade Commission Consumer Response Center 600 unions also should list, in addition to the CFPB: Pennsylvania Avenue, N.W. Washington, DC 20580 (877) 382-4357 2-To the extent not included in item 1 above: a.National banks, federal a. office of the Comptroller of the Currency Customer Assistance savings associations, and federal branches and federal agencies of Group 1301 McKinney Street, Suite 3450 Houston, TX 77010-9050 foreign banks b.State member banks, branches and agencies of foreign banks (other b.Federal Reserve Consumer Help Center P.O. Box 1200 than federal branches. federal agencies, and Insured State Branches Minneapolis, MN 55480 of Foreign Banks), commercial lending companies owned or controlled by foreign banks, and organizations operating under section 25 or 25A of the Federal Reserve Act. c.Nonmember Insured Banks, Insured State Branches of Foreign Banks, and insured state savings associations c.FDIC Consumer Response Center 1100 Walnut Street, Box # 1 1 Kansas City, MO 64106 d.Federal Credit Unions d.National Credit Union Administration Office of Consumer Financial Protection (OCFP) Division of Consumer Compliance Policy and Outreach 1775 Duke Street Alexandria, VA 22314 3.Air carriers Asst. General Counsel for Aviation Enforcement & Proceedings Aviation Consumer Protection Division Department of Transportation 1200 New Jersey Avenue, S.E. Washington, DC 20590 4.Creditors Subject to the Surface Transportation Board Office of Proceedings, Surface Transportation Board Department of Transportation 395 E Street, S.W. Washington, DC 20423 5.Creditors Subject to the Packers and Stockyards Act, 1921 Nearest Packers and Stockyards Administration area supervisor 6.Small Business Investment Companies Associate Deputy Administrator for Capital Access United States Small Business Administration 409 Third Street, S.W., Suite 8200 Washington, DC 20416 7.Brokers and Dealers Securities and Exchange Commission 100 F Street, N.E. Washington, DC 20549 8.Federal Land Banks, Federal Land Bank Associations. Federal Farm Credit Administration 1501 Farm Credit Drive McLean. VA Intermediate Credit Banks, and Production Credit Assodahons 22102-5090 9.Retailers. Finance Companies, and All Other Creditors Not Listed Federal Trade Commission Consumer Response Center 600 Above Pennsylvania Avenue, N.W. Washington, DC 20580 (877) 382-4357 E1q 10511u ALFREDO VILLAVICENCIO I Dec 0/7 2022 Page 84 of 84 LL 00 U) ti u7 v N U Z J J Q d' W H Q Z W G J O !Y O I— V H Z O U O Z H Z a a W fJ Z W_ 2 W d X W LL O W W w F- V Z W Q Q J J_ O 0 W w LL J a 00 E t v tv r a Packet Pg. 229 8.F.1 !experian.. m Search inquiry: (My company) CreditScore-"' Report Golden Gate Drywall Inc as of: 01 /01 /23 10,16 FT Address: 1030 111h St SW Key Personnel: President: Alfredo Villavicencio Naples, FL 34117-2272 Vice President: Noemi J Villavicencio United States SIC Code: 1742-Plastering, Drywall & Insulation Phone: 714-962-2411 Contr. Experian BIN: 867474425 NAICS Code: 238310-Drywall And Insulation Contractors Agent: Villavicencio Alfredo `Business Type: Corporation Agent Address: 1030 11 TH ST SW Experian Fiji April 2007 Naples, FL Established: Experian Years on File: 16 Years Years in Business: 16 Years Fling Data Provided by: Florida Date of Incorporation: 02/16/2007 Experian Business Credit Score The objective of the Experian Business Credit Score is to predict payment behavior. High Risk means that there is a significant probability of delinquent payment Low Risk means that there is -a good probability of on -time payment - Key Score Factors: • Nbr of active commercial accts within the last 12 mos. Number of commercial accounts with net 1-30 days term. Number of recently active commercial accounts. Number of commercial accounts including commercial leases. Business Credit Scores range from a low of 1 to high of 100 with this company receiving a score of 31. Higher scores indicate lower risk. This score predicts the likelihood of serious credit delinquencies within the next 12 months. This score uses tradeline and collections information, public filings as well as other variables to predict future risk. Experian Financial Stability Risk Rating Li 00 r.LO LO N Packet Pg. 230 8.F.1 Financial Stability Risk Rating Medium-H'sgli Risk Key Rating Factors: Number of active commercial accounts. • Number of commercial accounts. • Risk associated with the company's industry sector. • Risk associated with the business type. A Financial Stability Risk Rating of 4 indicates a 1V9 potential risk of severe financial distress within the next 12 months. Financial Stability Risk Ratings range from a low of 1 to high of 5 with this company receiving a rating of 4. Lower ratings indicate lower risk. Experian categorizes all businesses to fit within one of the five risk segments. This rating predicts the likelihood of payment default and/or bankruptcy within the next 12 months- This rating uses tradeline and collections information, public filings as well as other variables to predict future risk. Credit Summary This location does not yet have an estimated Days Beyond Payment Tradelines / Commercial accounts, 0 Terms M, or a Payment Trend Indicator. This is often the UCC Filing: 1 result of too few Payment Tradelines. Please refer to Experian's'www.BusinessCreditFacts.com' website for more information on establishing Payment Tradelines. x Businesses Scoring Worse: 30% J Bankruptcies: 0 V Liens: 0 ,/Judgments Filed 0 V Collections: 0 * The information herein is furnished in confidence for your exclusive use for legitimate business purposes and shall not be reproduced, disclosed, or shared to any third party per the restrictions in the Terms and Conditions that you accepted. Neither Experian nor its sources or distributors warrant such information nor shall they be liable for your use or reliance upon it. rRW4 54"93) 2023 Experian Information Solutions Inc. Back to top LL 00 u7 N LL 00 C d E L V Q Packet Pg. 231 8.F.1 DIVISION OF CORPORATIONS Department of State 1 Division of GorporaVons I Search Records 1 Search py Entity Name 1 Detail by Entity Name Florida Profit Corporation GOLDEN GATE DRYWALL INC Filing Information Document Number FEI/EIN Number Date Filed Effective Date State Status Last Event Event Date Filed Principal Address 1030 11 TH ST SW NAPLES, FL 34117 Changed: 03/16/2011 Mailing Address 1030 11 TH ST SW NAPLES, FL 34117 P07000021592 20-8470656 02/ 16/2007 02/16/2007 FL ACTIVE REINSTATEMENT 09/28/2010 Changed: 03/16/2011 Registered Agent Name & Address VILLAVICENCIO, ALFREDO 1030 11 TH ST SW NAPLES, FL 34117 Address Changed: 0311612011 OfficerlDirector Detail Name & Address Title P VILLAVICENCIO, ALFREDO 1030 11 TH ST SW NAPLES, FL 34117 LL. 00 Ln ti LO It FIL Packet Pg. 232 1 Title VICE PRFSIDENT VillaVicencio, Noemi J 1030 11th St SW Naples, FL 34117 Annual Reports Report. Year Filed Date 2020 02127I2020 2021 01 /19/2021 2022 03/03/2022 Document Images 03/03/2022 -- ANNUAL REPORT View image in PDF format 01/19/2021 —ANNUAL REPORT View image in PDF format 02/2712020 — ANNUAL REPORT View image in PDF format 02/06/2019 —ANNUAL REPORT View image in PDF format 02 12018 — ANNUAL REP RT View image in PDF format 02/13/2017 — ANNUAL REPORT View image in PDF format 0311612016 -- ANNUAL REPORT View image in PDF format 04/21/2015 — ANNUAL REPORT View image in PDF format l 0211312014 — ANNUAL REPORT View image in PDF format 04121'2013 -- ANNUAL REPORT View image in PDF format 05101;2012 — ANNUAL REPORT View image in PDF format 0 11 12011 —ANNUAL REP RT View image in POF format 0912812010 — REIN15TATEMENT View image in PDF format 06/24/2009, -- ANNUAL REPORT View image in PDF format 01/3012008 — ANNUAL REPORT View image in PDF format 02/1612007 -- Domestic Profit View image in PDF format L: 00 un ti W) I* N Packet Pg. 233 8.F.1 2022 FLORIDA PROFIT CORPORATION ANNUAL REPORT DOCUMENT# P07000021592 Entity Name: GOLDEN GATE DRYWALL INC Current Principal Place of Business: 103C 11TH ST SW NAPLES, FL 34117 Current Mailing Address: 1030 11TH ST SW NAPLES, FL 34117 FEI Number: 20-8470656 Name and Address of Current Registered Agent: VILLAVICENCIO, ALFREDO 1030 11 TH ST SW NAPLES, FL 34117 US FILED Mar 03, 2022 Secretary of State 6117304525CC Certificate of Status Desired: No The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida. SIGNATURE: Electronic Signature of Registered Agent Officer/Director Detail Title P Name VILLAVICENCIO, ALFREDO Address 1030 11TH ST SW City -State -Zip: NAPLES FL 34117 Title VICE PRESIDENT Name VILLAVICENCIO, NOEMI J Address 1030 11TH ST SW City -State -Zip: NAPLES FL 34117 Date I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signalure shall have the same legal effect as if made under oath: that t am an officer or director of the corporation or the receiver or trustee empowered to execute this report as required by Chapter 647, Florida Statutes: and that my name appears above, or on an attachment with all other like empowered. SIGNATURE: ALFREDO VILLAVICENCIO P 03/03/2022 Electronic Signature of Signing Officer/Directcr Detail Date u- 00 r C 0 E s al Packet Pg. 234 8.F.1 Electronic Articles of Incorporation For GOLDEN GATE DRYWALL INC P07000021592 FILED February 16, 2007 Sec. Of State bmcknight The undersigned incorporator, for the purpose of forming a Florida profit corporation, hereby adopts the following Articles of Incorporation: Article I The name of the corporation is: GOLDEN GATE DRYWALL INC Article II The principal place of business address: 1030 1ITH ST SW NAPLES, FL. 34117 The mailing address of the corporation is: 1030 IITH ST SW NAPLES, FL. 34117 Article III The purpose for which this corporation is organized is: ANY AND ALL LAWFUL BUSINESS. Article IV The number of shares the corporation is authorized to issue is: 100 Article V The name and Florida street address of the registered agent is: ALFREDO VILLAVICENCIO 1030 11TH ST SW NAPLES, FL. 34117 e_ w LO I- LO LL 00 C d E s U r Q Packet Pg. 235 8.F.1 I certify that I am familiar with and accept the responsibilities of registered agent. Registered Agent Signature: ALFREDO VILLAVICENCIO Article VI The name and address of the incorporator is: ALFREDO VILLAVICENCIO 1030 11TH ST SW NAPLES FL 34117 Incorporator Signature: ALFREDO VILLAVICENCIO Article VII The initial officer(s) and/or director(s) of the corporation is/are- Title: P ALFREDO VILLAVICENCIO 1030 11 TH ST SW NAPLES, FL. 34117 Article VIII The effective date for this corporation shall be: 02/16/2007 P07000021592 FILED February 16, 2007 Sec. Of State bmcknight LL 00 Ln Ln U- 00 r c CD E U IC El Packet Pg. 236 024069 IRS�epai�tulent of the Treasury Inter tat Revenue Service OGDEN UT 84201-0038 GOLDEN GATE DRYWALL INC ALFREDO VILLAVICENCIO 1030 11TH ST SW NAPLES FL 34117-2272 Employer identification number: Dear Taxpayer: 8.F.1 In reply refer to: 015250 Aug. 10, 2022 LTR 147C 0 20-8470656 000000 00 00003297 w BODC: SB LO I` LO Ict 20-8470656 Thank you for your inquiry of Aug. 01, 2022. We can't reproduce the CP 575/576, Employer Identification Number (EIN) Assignment. However, this letter will serve as proof of EIN assignment verification. Your employer identification number [EIN) is 20-8470656. Please keep this letter in your permanent records. Enter your name and EIN on all federal business tax returns and on related correspondence. You can get any of the forms or publications mentioned in this letter by visiting our website at www.irs.gov/forms-pubs or by calling 800-TAX-FORM (800-829-3676). If you have questions, you can call us at 800-829-0115. If you prefer, you can write to us at the address at the top of the first page of this letter. When you write, include a copy of this letter, and provide your telephone number and the hours we can reach you in the spaces below. Telephone number C ) Hours Keep a copy of this letter for your records. Thank you for your cooperation. U- w c a� E s L) r Q Packet Pg. 337 l GOLDEN GATE DRYWALL INC % ALFREDO VILLAVICENCIO 1030 11TH ST SW NAPLES FL 34117-2272 Enclosures: Copy of this letter Aug. 10, 2022 LTR 20-8470656 000000 Sincerely yours, 8.F.1 0152503084 147C 0 00 w 00003298 Cathy M. Snider, Operations Mgr. Accounts Management Op 3 Packet Pg. 238 8.F.1 C�Ier coHnty Growth Management Department Contractor Licensing 2800 N. Horseshoe Dr. Naples, Ft_ 34104 239-252-2400 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY STATEMENT OF OWNERSHIP This certifies that 1, Alfredo Villavicencio _ - am a member or managing APPLICANT'S NAME (please print) member of (LIMITED LIABILITY COMPANY NAME) i own 100 % 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. Alfcedc )& atlicencio Applicant (please print) �L A u- tis Name of Company Signature of Applicant State of&A_ County cafe% -The forego] n instrument was acknowledged e o c me y means o ysieal presence or Ci online notarization on this day of Such person(s) Nota Public must check applicable box: © are personally known to me O'Fia_, produced a current driver license © has produced as identification. (Notary Seal) ALYIBNIAMdiISi" Notary Signature Comntulon # HH 1905t4 Expires October 25, 2025 �lEOF EI�P� Ba-&E nrN BIMip�t NdrY SMYIE>9� Firm_Application.docx Rev 410612020 Page 9 of 15 u_ w m I- m v FI LL CO r C N E t ci R r r Q Packet Pg. 239 8.F.1 U- GOLDEN GATE DRYWALL °° Alfredo Villavicencio (239)687-0442 Email: alfredovdrywall@hotmail.com 1030 lath at SW, Naples FL 34117 v To whom and may concern: The purpose of this letter is to inform about the painting experience that I acquire through the years. have the Drywall contractor license since 2007; as I am working on many different projects the contractors asked me to prime and paint my drywall works since I have demonstrated the knowledge of different types of painting and my capabilities of doing the job to the level that they are very satisfied with the finish. For further information please do not hesitate to call me at (239) 687-0442 Alfredo Villavicencio (239)687-0442 STATE OF FL!! COUNTY OF foregoing 1 ment was acknowledged before me by m ns �i preeenoe or j J online n risation this yof 20, byn1a ota Public's Signature NotAry Name Personally Known OR Prod oed Identification Type of identification Produced:[ +t AA IF r 040,A` ALYSf11A MORSE CorrmtiIG" # NN IW514 E*m Odger25, 2025 eakMdThm 040 Ndry 9er. li 00 r c d) E t rc r Q Packet Pg. 240 8.F.1 Co'�ae-r Co>ynty Growth Management Department Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 239-252-2400 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF 4- )n'd G' COUNTY OF J I --,TA o'-/ (20 11 1 e --t' been first duly sworn, state and affirm: I am a resident of l I Z County, (State) and have resided here for more than five (5) years. ViYU� During the last five (5) years I have known -(applicant). I have had the opportunity to observe his or her business and personal deal gs and find him or her to be o of h esty, integrity and good character. signature Printed Name Address73 7 - ""�5���' � Lcreet �, City State Zip Telephone: S!3~z0'y -(Yz2.3 State of � L� County of Lee The foregoing instrument was acknowledge before by means of n physical presence or Elonline notarization on this cqa—day of _ , 2022r, by DULI NS Such person(s) Notary Public must check aap licable box: El are personally known to me has produced a current driver license ❑ has produced as identification. (Notary Seal) :'F•' •'�•- MARISSABELTRAtJ •: *° MY COMMISS*N M HH 252499 Notary Signatur EXPIRES: J* 30. 2026 Firm_Application.docx Rev 4/06/2020 Page 14 of 15 tL w LO r` Ln F4 Packet Pg. 241 Goer CDou-nty Growth Management Department STATE OF Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 239-252-2400 APPLICA.- N FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER COUNTY OF having been first duly sworn, state and affirm: L _( f 1 am a resident of County, I— LG'L�Cf CiLJ (State) and have resided here for more than five (5) years. V1 �� During the last five (5) years 1 have known I I C- a�i'plicca{ 0 t). [ have had the opportunity to observe his or her business and personal de ngs and find him or her to be a person honesty, integrity and good character. ff �(' Signature �CL/ Y a G a \ C` > Punted Name State of FLI County of LEE Address: S f 3 ( At Street City I State Zip Telephone: The foregoing instrument was ackn wledged fore me by means of Llrphysical presence or Q online notarization on this Zqday of , 20 1 ACC / r Such person(s) Notary Public must check applicable box: ❑ are personally known to me b as produced a current driver license ❑ has produced (Notary Seal) p'i`•'': =BELTRAN MYCEJ�ly identification. Notary Signature: Firm_ Application.docx Rev 4/06/2020 Page 14 of 15 8.F.1 tL w LO ti LO v N Packet Pg. 242 8.F.1 Flon'da. mvER ;iuNsE 028-0 - Zvi -NONE M-v , LL Co Lo ti v N LL Co C d E t :i R Q Packet Pg. 243 �'� o� CERTIFICATE OF LIABILITY INSURANCE DATE(MMDDIYVYn 09102(2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT MONICA ARBELAEZ NAME: PHONE {239} 485-8209�FAX(AIC No):(239) 498-2489 BONITA INSURANCE AGENCY LLC E-MAIL ADDRESS' 9enc monica bonitainsa .com Y 10911 BONITA BEACH RD SUITE 1041 INSURERS AFFORDING COVERAGE NAIC Y BONITA SPRINGS, FL 34135 INSURER A: Ascendant Insurance Solutions 1NSUREO INSURER B INSURER C ALFREDO VILLAVICENCIO INSURER D DBA GOLDEN GATE DRYWALL INC INSURER E 1030 11TH ST SW INSURER F NAPLES FL, 34117 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER, THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PER10D INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SVWVQ UBR POLICY NUMBER POLICY EFF MMIDDIYYYY) POLICY EXP (MMIDD/YYYYI LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FXJ OCCUR GL-56733-5 06Y2912022 06/29/2023 EACH OCCURRENCE $ 1,000,000 T PREMISES Ee nccurcence $ 100,000 MED EXP (Any one parson) $ 5,000 PERSONAL a ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO LOC PRODUCTS-COMPIDPAGG $ 1,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB EXCESS LAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETORIPARTNERIENECUTIVE OFFICERIMEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N 1 A WC STARY TLI- OTH- E.L. EACH ACCIDENT $ - E E.L. DISEASE A EMPLOYE $ E.L. DISEASE - POLICY LIMIT 1 $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION Collier County Contractor Licensing Board 2800 North Horseshoe Dr N, Naples, FL 34104 cannon ne rnn�nrn ri �Ld.YiY/� SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE monjCa � akmcmz v laaa-LV1U AGUKIJ GUttNORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 8.F.1 LL 00 ti N LL 00 r-� C a) E s t) tc r-r ..r Q Packet Pg. 244 8.F.1 JIMMY PATRONIS �`�°`°'�'�• CHIEF FINANfCAL 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: 812912021 PERSON: ALFREDO VILLAVICENCIO FEIN: 208470656 BUSINESS NAME AND ADDRESS: GOLDEN GATE DRYWALL INC 1030 11TH ST SW, NAPLES, FL 34117 SCOPE OF BUSINESS OR TRADE: Na board.Shexetrock.Dry wall. Plasterboard, or Cemarnt Board installation Witnin BuiW,,r9s $ Drivers EXPIRATION DATE: 812912023 EMAIL: ALFREDOVDRYWALL@HOTMAIL.COM IMPORTANP Pursuant to subsection 440.05114), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may rot recover benefits or compensation under this chapter. Pursuant to subsection 440.05(12), F.S., Certificates of election to be exempt issued under subsection (3) shall apply only to the corporate officer named on the nonce of election to be exempt and apply only within the scope of the ousiness or trade listed on the notice of election to be exempt. Pursuant to subsection 440.05 (' 3), F.S., notcces of election to be exempt and car*iftcates 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 Cemftcate, the person named on the notice or Certificate no Longer meets the requirements of this section - tor issuance of a certificate. The department shall ;evoke a Certificate at any time for failure of the person named on the certificate to meet the requirements of [his section. DFS-F2-DVJC-252 CERTIFtCATE OF ELECTION TO BE EXEMPT REMISED 08-13 E01V0088 QUESTIONS? (850)413-1605 LL 00 un N W) 14 N LL 00 C N E t to r Q Packet Pg. 245 9.1 02/13/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 9.1 Doc ID: 24576 Item Summary: 9A. YOSLANDI MARTINEZ -REVIEW OF PROBATION (CREDIT) - LANDSCAPING RESTRICTED CONTR. - TERRA NOVA LAN Meeting Date: 02/13/2023 Prepared by: Title: — Contractor Licensing Name: Alyshia Morse 02/02/2023 5:07 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 02/02/2023 5:07 PM Approved By: Review: Contractor Licensing Sandra Delgado Review item Completed 02/06/2023 4:22 PM Contractor Licensing Tim Crotts Review Item Completed 02/07/2023 7:47 AM Contractor Licensing Tim Crotts Meeting Pending 02/13/2023 9:00 AM Packet Pg. 246 9.1.1 w a Findings of Fact, Conclusions of Law and Decision of the Board Collier County Contractor Licensing Board co 0 For Applications Submitted to the Board for Review a J Q Type of Application: Z X Credit Report Review Waiver of Testing Requirements w Reinstatement of License Request to Qualify Second Entity Other (specify) z THIS CAUSE came on for public hearing before the Contractor Licensing Board (hereafter Board) on August 17, 2022 for follow up on this Board's order dated January 19, 2022 and further consideration of an application submitted to the Board for review The application submitted is for a license as a Landscaping Contractor. Yoslandi Martinez, DBA Terra Nova Landscape, Inc. (hereinafter "Applicant") is before the Board for review of his credit report and a determination of whether the applicant's credit score has improved since the January 19, 2022 hearing date. The Board, having heard testimony under oath, received other evidence, and heard arguments relative to all appropriate matters thereupon, issues its Findings of Fact, Conclusions of Law and Order of the Board as follows: FINDINGS OF FACT 1. The Applicant submitted an application to the Collier County Contractor Licensing Supervisor, or his designee, for issuance of a license as a Landscaping Contractor. 2. Based on the credit reports supplied by the Applicant to the Licensing Supervisor, a further review of the creditworthiness of the Applicant by the Board is necessary. E Q Packet Pg. 247 9.1.1 3. The Applicant was present at the public hearing and was not represented by counsel. 4. The Applicant has demonstrated to the Board's satisfaction that the Applicant has taken affirmative and sufficient actions to continue to improve his credit score from the January 2022 hearing date. CONCLUSIONS OF LAW 1. All notices required by the Code of Laws and Ordinances of Collier County, as amended, have been properly issued and the Board has jurisdiction over the matter 2. Pursuant to Section 22-184(b) of the Code of Laws and Ordinances of Collier County, as amended, the subject application met the requirement(s) requiring Board review and approval of the application. 3. The Applicant has sufficiently demonstrated to the Board that his credit score has continued to improve since the January 2022 hearing date but is still short of the credit score of 660 as set out in Code of Laws and Ordinances of Collier County, as amended, and therefore the Landscaping Contractor License shall remain valid and subject to a probationary term and other requirements as set forth below. ORDER OF THE BOARD 1. Based upon the foregoing Findings of Fact and Conclusions of Law, and pursuant to the authority granted as applicable in Chapter 489, Florida Statutes, and Code of Laws and Ordinances of Collier County, as amended, by a vote of 6 in favor and 0 opposed, a unanimous vote of the Board present, the subject license as a Landscaping Contractor is placed on an additional six (6) month probationary term. At a the end of the probationary term the Applicant shall provide proof sufficient to the a� E 2 r a Packet Pg. 248 9.1.1 w a Contractor Licensing Supervisor or his designee of his credit score improved to 660 or U) 0 above and proof of payment plans in place or the satisfaction of the amounts owed of Z a J $2,145.00 and $3,744.00. Failure to do so shall result in the Application appearing o z before the Board to explain the reasons for his failure to comply with this order and for w the Board to take any further lawful action. The Applicant may provide proof sufficient to 17 the Contractor Licensing Supervisor or his designee of his credit score improved to 660 or above and proof of payment plans in place or the satisfaction of the amounts owed of $2,145.00 and $3,744.00 to the Contractor Licensing Supervisor or his designee at any time prior to this six (6) months probationary status and the Contractor Licensing Supervisor or his designee may terminate the probationary status early upon the sufficient proof being provided. 2022. ORDERED by the Contractor Licensing Board effective the 17th day of August CONTRACTOR LICENSING BOARD COLLIER COUNTY, FLORIDA V7� /'� By: Kyle Lantz, Chairman HEREBY CERTIFY that a true and correct copy of the above and foregoing Findings of Fact, Conclusions of Law, and Order of the Board has been furnished to the Applicant, and Timothy Crofts, Contractor Licensing Supervisor, 2800 North Horseshoe Drive, Naples, FL 34103 on this 36•7,> day of 2022. `a J 0 Secretary/Contractor Licensing Board E 3 a Packet Pg. 249 9.1.1 - • . wiz rted�CRS� �. C-i-��di1 Rc�pi»•7i,rt�� .Ser'1•ir��� PERSONAL CREDIT REPORT MERGED REPORT COMPILED FROM NATIONAL RECORDS Entry # 11200 Phone: 850-539-8000 Fax: 866-651-5145 Email: cc@unitedcrs.com www.UnitedCRS.com 4583-A Capital Circle NW Tallahassee, FL 32303 July 28, 2022 SUBJECT NAME: MARTINEZ, YOSLANDI ALSO KNOWN AS: SOCIAL SECURITY NUMBER: _-1418 MARTINES,YOSLANDI DOB: 10/03/1985 CURRENT ADDRESS REPORTED: 01/2018 3610 NE. 14TH AV., NAPLES FL. 34120 FORMER ADDRESS REPORTED: 12/2013 7685 TARA CI., #102. NAPLES FL. 34104 5238 MITCHELL ST., NAPLES FL. 34113 EMPLOYMENT DATA REPORTED: TERRA NOVA LANDSCAPE ANTELLO INVESTMENTS POSITION: VP DATE VERIFIED:03/2021 DATE VERIFIED:04/2019 ANTELO INVESTMENTS INC GARDENSCAPES POSITION:OWNER POSITION: OWNER DATE VERIFIED:12/2018 DATE VERIFIED:04/2015 THE SUBJECT'S TOTAL FILE HISTORY PUBLIC RECORDS: 0 CURRENT NEGATIVE ACCTS: 6 REVOLVING ACCTS: 3 COLLECTIONS: 1 PREVIOUS NEGATIVE ACCTS: 4 INSTALLMENT ACCTS:6 TRADE ACCTS: 11 PREVIOUS TIMES NEGATIVE: 25 MORTGAGE ACCTS: 2 CREDIT INQUIRIES: 4 EMPLOYMENT INQUIRIES: 2 OPEN ACCTS: 0 HIGH CRED CRED LIMIT BALANCE PAST DUE MNTHLY AVAIL INSTALLMENT: $50.4K $0 $5030 $0 $823 MORTGAGE: $299K $0 $280K $0 $2770 CLOSED W/BAL: $13.9K $13.9K $0 TOTALS: $349K $0 $299K $13.9K $3593 FICO CLASSIC SCORE - 650 CREDIT INFORMATION THE FOLLOWING ITEMS ARE FOR COLLECTION RECORDS: SPRINGOAKCAP Y 2H4W002 OPEN ACCOUNT DISP INV CMP-BY GRNTR DEBT BUYER VERIF'D 07/2022 BALANCE: $2145 INDIVIDUAL ACCOUNT OPENED 07/2021 MOST OWED: $2145 12 FIRST ELECTRONIC BANK PAST DUE $2145 STATUS AS OF 07/2022 COLLECTION ------------------------------------------------------------------------------- THE FOLLOWING ACCOUNT INFORMATION IS PRINTED IN ORDER BY MOST RECENTLY UPDATED AND MOST NEGATIVE MANNOR OF PAYMENT (MOP). Page 1 of 3 O z w Q C d E L V r El Packet Pg. 250 9.1.1 MACYS/CBNA D 2A5T001 REVOLVING ACCOUNT CLSD BY CRDT GRANTOR CHARGE ACCOUNT VERIF'D 07/2022 BALANCE: $0 INDIVIDUAL ACCOUNT OPENED 10/2014 MOST OWED: $737 CREDIT LIMIT: $400 PAID OFF 05/2022 PAST DUE:$0 STATUS AS OF 06/2020 PAID CHARGE -OFF OR COLLECTION GROW FN FCU Q 20LG001 UNPAID BLNC CHRGD OFF VERIF'D 07/2022 BALANCE: $10165 OPENED O1/2017 MOST OWED: $49975 CLOSED 02/2020 PAST DUE:$10165 STATUS AS OF 02/2020 CHARGE -OFF SHEFFIELD F 40ZM002 UNPAID BLNC CHRGD OFF VERIF'D 06/2022 BALANCE: $3744 OPENED 06/2018 MOST OWED: $10053 CLOSED 05/2021 PAST DUE:$3744 STATUS AS OF 05/2021 CHARGE -OFF INSTALLMENT ACCOUNT AUTOMOBILE JOINT ACCOUNT PAY TERMS: 72 MONTHLY $0 INSTALLMENT ACCOUNT SECURED JOINT ACCOUNT PAY TERMS: 62 MONTHLY $0 TRUIST B 295SO03 INSTALLMENT ACCOUNT AUTOMOBILE VERIF'D 06/2022 BALANCE: $5030 JOINT ACCOUNT OPENED 12/2016 MOST OWED: $50480 PAY TERMS: 72 MONTHLY $823 PAST DUE:$0 STATUS AS OF 06/2022 CURRENT; PAID OR PAYING AS AGREED IN PRIOR 48 MONTHS FROM DATE VERIF'D 9 TIME/S 30 DAYS LATE PAYMENT PATTERN:111211111122111112111111 MIDLAND MTG Q 771T002 MORTGAGE ACCOUNT FHA REAL ESTATE MORTGAGE VERIF'D 05/2022 BALANCE: $280276 JOINT ACCOUNT OPENED 12/2017 MOST OWED: $299475 PAY TERMS: 360 MONTHLY $2770 PAST DUE:$0 STATUS AS OF 05/2022 CURRENT; PAID OR PAYING AS AGREED IN PRIOR 18 MONTHS FROM DATE VERIF'D 6 TIME/S 30 DAYS LATE PAYMENT PATTERN:1111122122221 LOANDEPOT B 2EMF001 MORTGAGE ACCOUNT TRNSFRD: OTHER LENDER FHA REAL ESTATE MORTGAGE VERIF'D 11/2020 BALANCE: $0 JOINT ACCOUNT OPENED 12/2017 MOST OWED: $299475 PAY TERMS: 360 MONTHLY $0 CLOSED 11/2020 PAST DUE:$0 STATUS AS OF 11/2020 ACCOUNT 30 DAYS PAST DUE DATE IN PRIOR 34 MONTHS FROM DATE VERIF'D 3 TIME/S 60 DAYS, 5 TIME/S 30 DAYS LATE PAYMENT PATTERN:XXXX23213232121111111111 SST/MEDALLIO F 1523028 INSTALLMENT ACCOUNT DISP INV CMP-CNS DSGR SECURED VERIF'D 10/2020 BALANCE: $0 JOINT ACCOUNT OPENED 07/2017 MOST OWED: $9572 PAY TERMS: 60 MONTHLY $0 CLOSED 10/2020 PAST DUE:$O STATUS AS OF 10/2020 PAID CHARGE -OFF OR COLLECTION FEB-RETAIL B 22EL020 REVOLVING ACCOUNT PURCH BY OTHER LENDER CREDIT CARD VERIF'D 05/2020 BALANCE: $0 INDIVIDUAL ACCOUNT OPENED 09/2018 MOST OWED: $3027 CREDIT LIMIT: $3000 CLOSED 02/2020 PAST DUE:$0 STATUS AS OF 02/2020 CHARGE -OFF 5/3 BANK NA B 21AV061 REVOLVING ACCOUNT CLSD BY CRDT GRANTOR SECURED CREDIT CARD VERIF'D 02/2019 BALANCE: $0 JOINT ACCOUNT OPENED 07/2014 MOST OWED: $400 CREDIT LIMIT: $400 PAID OFF 11/2018 PAST DUE:$0 STATUS AS OF 11/2018 CURRENT; PAID OR PAYING AS AGREED IN PRIOR 48 MONTHS FROM DATE VERIF'D 1 TIME/S 60 DAYS, 1 TIME/S 30 DAYS LATE Page 2 of 3 Q Packet Pg. 251 9.1.1 PAYMENT PATTERN:113211111111111111111111 EXETER FIN F 2BBG001 INSTALLMENT ACCOUNT CLOSED AUTOMOBILE VERIF'D 01/2017 BALANCE: $0 JOINT ACCOUNT OPENED 03/2015 MOST OWED: $40228 PAY TERMS: 72 MONTHLY $0 CLOSED 01/2017 PAST DUE:$0 STATUS AS OF 01/2017 CURRENT; PAID OR PAYING AS AGREED IN PRIOR 22 MONTH/S FROM DATE VERIF'D NEVER LATE PAYMENT PATTERN:1111111111111111111111 SANTANDER F 1R18003 INSTALLMENT ACCOUNT CLOSED AUTOMOBILE VERIF'D 03/2015 BALANCE: $0 JOINT ACCOUNT OPENED 12/2013 MOST OWED: $20203 PAY TERMS: 72 MONTHLY $0 CLOSED 03/2015 PAST DUE:$0 STATUS AS OF 03/2015 CURRENT; PAID OR PAYING AS AGREED IN PRIOR 15 MONTH/S FROM DATE VERIF'D PAYMENT PATTERN:1111111X1111111 PUBLIC RECORDS PUBLIC RECORDS HAVE BEEN CHECKED AT THE COUNTY, STATE, AND FEDRAL LEVELS RESULTS: NO PUBLIC RECORDS FOUND END OF REPORT It is with understanding that the credit score attached to this report can fluctuate daily and can change drastically. In some cases, over 100 points when making big purchases, etc. Page 3 of 3 1i r Q Packet Pg. 252 9.1.1 USA CREDIT BUREAU Credit Reporting & Collections 154 SE 7"' Ave Ste 2, Crystal River FL 34429 • 352-628-2580 • Fax 239-719-2755 FEBRUARY 1, 2023 PERSONAL CREDIT REPORT (COMPILED FROM NATIONAL RECORDS) [SUBJECT] MARTINEZ, YOSLANDI [ALSO KNOWN AS] MARTINES,YOSLANDI [CURRENT ADDRESS] 3610 NE. 14TH AV., NAPLES FL. 34120 [FORMER ADDRESS] 7685 TARA CI., #102. NAPLES FL. 34104 5238 MITCHELL ST., NAPLES FL. 34113 [CURRENT EMPLOYER AND ADDRESS] TERRA NOVA LANDSCAPE [FORMER EMPLOYER AND ADDRESS] ANTELLO INVESTMENTS [SSN] [BIRTH DATE] -4418 10/85 [DATE RPTD] 1/18 12/13 [POSITION] [VERF] [RPTD] 3/21A 3/21 VP W a a U 0 z Q J Q O z a W H 4/19A 4/19 0 ---------------------------------------------------------------------------- z M O D E L P R O F I L E ** A L E R T*** Q J ***FICO SCORE 4 SCORE +604 039, 013, 018, 021*** IN ADDITION TO THE ***FACTORS LISTED ABOVE, THE NUMBER OF INQUIRIES ON THE CONSUMER'S CREDIT H ***FILE HAS ADVERSELY AFFECTED THE CREDIT SCORE. W --------------------------___-------------------------------------------------- C R E D I T S U M M A R Y *** T 0 T A L F I L E H I S T O R Y �? PR=O COL=O NEG=6 HSTNEG=4-25 TRD=12 RVL=4 INST=6 MTG=2 OPN=O INQ=3 z HIGH CRED CRED LIM BALANCE PAST DUE MNTHLY PAY AVAILABLE O H REVOLVING: $329 $300 $ $0 $ 100 MORTGAGE: $299K $ $277K $0 $2770 m O CLOSED W/BAL: $11.8K $11.8K $ a TOTALS: $299K $300 $289K $11.8K $2770 U- ----------------------------------------------------------------------------- O T R A D E S W SUBNAME SUBCODE OPENED HIGHCRED TERMS MAXDELQ PAYPAT 1-12 MOP ACCOUNT# VERFIED CREDLIM PASTDUE AMT-MOP PAYPAT 13-24 W ECOA COLLATRL/LOANTYPE CLSD/PD BALANCE REMARKS MO 30/60/90 GROW FN FCU Q 20LG001 1117 $49.9K 072M 109 N Lu 21581980800 1/23A $10.1K z C AUTOMOBILE 2/20F $10.1K UNPAID BLNC CHRGD OFF 0 Q SHEFFIELD F 40ZM002 6/IB $10.OK 062M I09 2094282501 12/22A $1675 C SECURED 5/21F $1675 UNPAID BLNC CHRGD OFF 0 Q J U) FEB-RETAIL B 22EL020 9/18 $3027 R09 0 763400500524 5/20A $3000 $0 I CREDIT CARD 2/20F $0 PURCH BY OTHER LENDER 0 MACYS/CBNA D 2A5TO01 10/14 $737 R9P c 46024534 9/22A $400 $0 t I CHARGE ACCOUNT 6/20F $0 CLSD BY CRDT GRANTOR 0 v iv r Q USA CREDIT BUREAU PAGE 1 OF 3 • • • PERSONAL CREDIT REPORT Packet Pg. 253 SST/MEDALLIO F IS23028 7/17 $9572 060M T9P 32705907 10/20A $0 I SECURED 10/20F $0 PAID/WAS A CHARGE OFF 0 LOANDEPOT B 2EMF001 12/17 $299K 360M 12/19 XXXX23213232 M02 3000106800204 11/20A $0 $5335 03 121111111111 C FHA R.E. MORTGAGE 11/20C $0 TRNSFRD: OTHER LENDER 34 5/ 3/ 0 CAPITAL ONE B IDTVOCI 7/22 $329 11111 R01 517805974760 1/23A $300 $0 I CREDIT CARD 1/23 $0 5 0/ 0/ 0 MIDLAND MTG Q 771TO02 12/17 $299K 360M2770 111111111111 M01 58396418 12/22A $0 22122221 C FHA R.E. MORTGAGE $277K 25 6/ 0/ 0 TRUIST B 295S003 12/16 $50.4K 072M 111111111211 I01 50691664794681001 12/22A $0 111122111112 C AUTOMOBILE 12/22C $0 CLOSED 48 9/ 0/ 0 5/3 BANK NA B 21AV061 7/14 $400 11/18 113211111111 R01 5444 2/19A $400 $0 $51 03 111111111111 C SECURED CRDT CARD 11/18C $0 CLSD BY CRDT GRANTOR 48 l/ 1/ C EXETER FIN F 2BBG001 3/15 $40.2K 072M 111111111111 I01 68068156903751001 1/17A $0 1111111111 C AUTOMOBILE 1/17C $0 CLOSED 22 C/ 0/ C SANTANDER F lR18003 12/13 $20.2K 072M 1111111X1111 I01 30000166623951000 3/15A $0 lIl C AUTOMOBILE 3/15C $0 CLOSED 15 0/ 0/ C -------------------------------------------------------------------------_---_ I N Q U I R I E S DATE SUBCODE SUBNAME TYPE AMOUNT 7/25/22 BPC3575459(NTL) CAPITAL ONE 11/28/21 FPC1246538(NTL) COAF 3/01/21 FPC1246538(NTL) COAF ---------------------------------------------------------------------------- END OF CREDIT REPORT - USA BANKRUPTCY/JUDGMENT/LIEN SEARCH PUBLIC RECORDS HAVE BEEN CHECKED AT THE COUNTY, STATE AND FEDERAL LEVELS ANY RECORDS FOUND MATCH ONE OF THE ELEMENTS SEARCHED AND MAY OR MAY NOT PERTAIN TO THIS SITUATION: LIENS AND JUDGMENTS RECORD 41 DEBTOR - YOSLANDI MARTINEZ ADDRESS - 3610 14TH NE, NAPLES FL 34120-5551 LEXID - 6595418077 DEBTOR - OTHER PARTY FCRA RESTRICTED ADDRESS - CREDITOR - GROW FINANCIAL FEDERAL CREDIT UN FILINGS: NUMBER - 202OCCO01202 USA CREDIT BUREAU PAGE 2 OF 3 Q PERSONAL CREDIT RFP01C Packet Pg. 254 LOCATION - COLLIER CIRCUIT COURT - NAPLES, FL TYPE - CIVIL JUDGMENT 9.1.1 ORIGINAL FILING DATE - 1/28/2021 AMOUNT - $10,165 BOOK/PAGE - 3884/1457 ELEMENTS SEARCHED: YOSLANDI MARTINEZ 3610 14 - AVE NE, NAPLES FL 34120 SSN: r -4418 IN THE PREPERATION OF THE CONTRACTOR LICENSE REPORT, USA CREDIT BUREAU HAS USED CREDIT AND PUBLIC RECORD INFORMATION FROM ONE OR MORE OF THE NATIONALLY RECOGNIZED CREDIT AND PUBLIC RECORD INFORMATION REPOSITORIES. EACH OF THESE REPOSITORIES CERTIFIES THAT PUBLIC RECORD INFORMATION IS SYSTEMATICALLY COLLECTED AND ENTERED INTO THEIR DATA BASES. ►i r Q USA CREDIT BUREAU • • • PAGE 3 OF 3 PERSONAL CREDIT REPORT Packet Pg. 255 9.1.1 August 17, 2022 Q O z MINUTES w OF THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD MEETING August 17, 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: Chairman: Kyle Lantz Vice Chairman: Terry Jerulle Matthew Nolton Richard E. Joslin Patrick G. White (excused) Todd Allen (excused) Robert Meister III (excused) Elle Hunt Stephen Jaron ALSO PRESENT: Kevin Noell, Esq., Contractor Licensing Board Attorney Timothy Crotts, Contractor Licensing Supervisor Colleen Kerins, Assistant Collier County Attorney Michael Bogert, Collier County Licensing Investigator 1 Packet Pg. 256 9.1.1 August 17, 2022 between 30 and 120 days past due, but those accounts are currently up to date. The $81,525.99 federal tax lien was paid and released on May 31, 2022. As required, Mr. Becude is here today to 0 answer your questions on the review of his credit. z Q Chairman Lantz said he didn't see the original credit report in the packet and asked if it could be w included in the future. Supervisor Crotts said he thought it was included and said it will be from now on. Chairman Lantz told Mr. Becude that he'd made amazing progress. Z Mr. Becude said he did everything they asked him to and nothing is past due. Chairman Lantz told him he was impressed. Supervisor Crotts noted that his credit score increased from 604 to 643. Vice Chairman Jerulle said it's supposed to be 660. Do we have to put him on probation again until he reaches 660? Supervisor Crotts said they can continue it for another six months and he can approve it himself if it gets 660 or above, he won't have to come back before the Board. If it's below that, he'd have to come before the Board. Mr. Becude noted that contractors with a specialty license used to be able to post a $20,000 bond and a credit score didn't matter. Board Member Nolton asked if the probationary license was giving him trouble. Mr. Becude said it wasn't affecting business. Vice Chairman Jerulle asked if customers know he's on probation. Mr. Becude said they don't. Board Member Nolton made a motion to continue Lonnie G. Becude Jr.'s probation for another six months and if he can provide Mr. Crotts with a credit report that shows a credit score of 660 or above, probation will automatically be removed and he won't have to come before the Board again, but if it's below 660, he will have to come before the Board. Second by Vice Chairman Jerulle. The motion passed unanimously, 6-0. B. Yoslandi Martinez — Terra Nova Landscape Inc. — Landscaping Contractor — Credit Review Chairman Lantz called Mr. Martinez to the podium and he was sworn in. Supervisor Crotts reported that Mr. Martinez appeared before the Contractors' Licensing Board on January 19, 2022, to answer questions regarding his credit and to explain why his credit score o was below the minimum required. At the conclusion of the hearing, Mr. Martinez was approved Q for a license that was placed on a 12-month probationary period and ordered to submit a 90-day _j debt -repayment plan from a credit restitution company. Mr. Martinez also was ordered to submit o an updated credit report after six months that shows an improvement to his credit score. d o� The contracting licensing supervisor has reviewed the updated credit report and with regards to the credit score received, the original credit score was 660, with $25, 788 in collections or E charge -offs and an account of $22,820 was past due. Q 13 Packet Pg. 257 9.1.1 August 17, 2022 A credit report dated February 18, 2022, showed the average credit score was 543 from two reporting credit agencies. A credit report received on July 14, 2022, showed an average credit o score of 561 from three reporting credit agencies, and a credit report dated July 28, 2022, Z showed a credit score of 650 with the following areas of concern: Collections in the amount of $2,145 as of July 2022; a $10,156 charge -off as of February 2022; and a $3, 744 charge -off as of w May 2021, with the total amount of charge -offs and collections amounting to $16, 054. It is staff's opinion that Mr. Martinez has not provided an improved credit score and the credit improvements are insufficient. Therefore, Mr. Martinez is back in front of the Board and is here to answer your questions regarding his current credit. Chairman Lantz noted that his new credit report shows it totals 650. Supervisor Crotts said that was correct. Chairman Lantz noted that it used to be 550. Supervisor Crotts said it was 543, then 561, and in July, it was 650. Mr. Martinez said he's been paying everything. Chairman Lantz asked if he hadn't also hired a company to help with his credit. Supervisor Crotts said he did hire a credit company, but there are charge -offs and collections that have not been satisfied. Chairman Lantz asked if any of the charge -offs are being disputed. Mr. Martinez said one for $10,000 is for his ex-wife's car. He co -signed for it and it's screwing up his credit because she stopped paying the car loan. He has court papers and documents to show he's paying everything. Chairman Lantz noted that on p. 228, it does say there's an order to dissolve the garnishment. Is that saying they're no longer going after him? Board Member Hunt noted that they dismissed the garnishment. Board Member Nolton said it says it was satisfied or they came to an agreement on it. The bottom line is his credit score has gone up, but if he has charge -offs, that's part of a personal negotiation process. Board Member Nolton said he would like to make a motion but wanted to hear what Mr. Crotts had to say. Supervisor Crotts recommended that they extend his probation for six more months, so he can bring in a new credit report showing his credit score is 660 or above and the remaining two issues of the collection of $2,145 and the $3,744 charge -off have been taken care of. If he can show that within that six-month period, then probation will automatically be removed. If not, then Mr. Martinez will be required to appear back in front of the Board. Chairman Lantz asked if they had to be 100% paid off or would a payment plan be sufficient. O Supervisor Crotts said either would do. d Mr. Martinez said the $3,144 is being paid off every month. c as Board Member Nolton made a motion to extend Yoslandi Martinez's probation for six months E and if he can provide a new credit report showing his credit score is 660 or above and the remaining two issues of the $2,145 collection and the $3, 744 charge -off are being taken care Q 14 Packet Pg. 258 9.1.1 August 17, 2022 of, probation will automatically be removed. If not, he will have to come before the Board. Second by Board Member Joslin. The motion passed unanimously, 6-0. o z C. Simon J. Aguirre — Red Level Construction LLC — Residential Contractor — Review of Experience and Credit Review w Chairman Lantz called Mr. Aguirre to the podium and he was sworn in. Supervisor Crotts reported that Mr. Aguirre had submitted an application for the issuance of a registered license as a Residential Contractor, which requires 48 months of experience and a minimum credit score of 660. Mr. Aguirre appeared before the Contractors' Licensing Board on June 15, 2022, to answer questions regarding his experience and to explain why his credit score was below the minimum required by rule GI G4-15.006 of the State of Florida. At the conclusion of the hearing, the Board decided to table his request until the August 17, 202Z meeting. At the August 17, 2022, meeting, Mr. Aguirre would be required to show that his credit had improved and if not, then he'd present the Board with a detailed plan showing how he was going to improve his credit score. A copy of the minutes from the June 15, 2022, hearing has been provided in your packet. Mr. Aguirre spoke with staff in person on August 9, 202Z and said nothing has changed on his credit report. Mr. Aguirre submitted an unsigned letter from the company assisting him with credit, Helping Hands Financial, which stated that it's working with him to fix his credit. When staff attempted to contact Helping Hands Financial, the phone number was not working and the website does not exist. Therefore, staff has been unable to confirm this information. Today, the Board will be making a decision on the issuance of the Residential Contractor License based upon Mr. Aguirre's experience and to make a decision on the issuance of the license based upon the credit information presented today. Mr. Aguirre is being referred to the Board under Section 2.5.2, Referral of the Application to the Contractors' Licensing Board for a Decision. Mr. Aguirre is here today to answer your questions regarding his experience and credit issues. Chairman Lantz asked Mr. Aguirre if he'd been doing anything to fix his credit. Mr. Aguirre said he's been working with Helping Hands Financial. They called all three credit bureaus to dispute some incorrect information. They were several points off and he should have been over 660. He and Kevin from Helping Hands are working on contacting creditors, but it's hard to change a credit score. He said the company doesn't have a landline now. Supervisor Crotts said that may explain the phone number issue but when staff tried to go online 0 to look at the website, it said "Page No Longer Exists" multiple times. We've been unable to d confirm that Mr. Aguirre is actually working with this company to try to improve his credit. 0 c as Board Member Nolton asked about the review of his experience. E Supervisor Crotts said that was correct and the Board decided to table everything until this meeting. Q 15 Packet Pg. 259 10.A 02/13/2023 COLLIER COUNTY Contractor Licensing Board Item Number: IO.A Doc ID: 24577 Item Summary: 10A. 2023-02 RALPH NOVELLA DBA NOVELLA LIMITED, INC (CEMIS20220006051) Meeting Date: 02/13/2023 Prepared by: Title: — Contractor Licensing Name: Alyshia Morse 02/02/2023 5:08 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 02/02/2023 5:08 PM Approved By: Review: Contractor Licensing Contractor Licensing Contractor Licensing Sandra Delgado Review item Tim Crotts Review Item Tim Crotts Meeting Pending Completed 02/06/2023 4:55 PM Completed 02/07/2023 7:45 AM 02/13/2023 9:00 AM Packet Pg. 260 10.A.1 BEFORE THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD BOARD OF COUNTY COMMISSIONERS, COLLIER COUNTY, FLORIDA, Petitioner, V. RALPH NOVELLA NOVELLA LIMITED INC. Respondent. Case No: 2023-02 Licensee No. LCC20130000955 ADMINISTRATIVE COMPLAINT Collier County (County) files the Administrative Complaint against RALPH NOVELLA (Respondent), a State Certified Building Contractor Collier County (Issuance No. 201300000539), and states the following facts and allegations in support of the cited violations below: The Respondent is currently the Certificate Holder by the State of Florida as a CERTIFIED BUILDING CONTRACTOR (License No. CBC1253221) 2. The Respondent, RALPH NOVELLA, is currently the Certificate Holder and Qualifier of record for NOVELLA LIMITED INC, (Q28049). 3. Under the provisions of Florida Statute {§489.105(12)} and Collier County Code of Law and Ordinances {Sec. 22-202), 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 Law and Ordinances. 4. Under the provisions of Collier County Code of Law and Ordinances Sec 22-202 the actions of the Respondent, constitute misconduct and grounds for discipline. 5. On June 28, 2022, the Collier County Licensing Department received a complaint from property owner Horst R. Konrad regarding an unpermitted kitchen and bathroom remodel that has already been completed at 2215 Arielle Drive #1206, Naples, Florida. A Contractor Licensing case, # CEMIS20220006051, was opened to investigate the complaint. 6. Upon investigation, it was discovered on or about August 19, 2021 NOVELLA LIMITED INC., entered a contract with the property owner, to remodel a kitchen and bathroom. The contracted amount was $31,680.00. A payment of $6,000.00 was made on August 20, 2021, to Novella Limited Inc. by personal check #7708. A second payment of $4,560.00 was made on August 21, 2021, to Novella Limited Inc. by personal check #7709. A third payment of $10,560.00 was made on August 22, 2021, to Novella Limited Inc. by personal check #7723. A fourth and final payment Packet Pg. 261 10.A.1 of $15,257.00 was made on December 28, 2021, to Novella Limited Inc. by personal check #7739. 7. On July 1, 2022, while on a site visit, Investigator Michael Governale reviewed the County records that revealed no building permits were applied for regarding a kitchen and bathroom remodel at the abovementioned address. A stop -work order was posted for commencing work without an issued permit. 8. On July 6, 2022, Senior Architect Robert Moore reviewed pictures from the site visit and, reaffirmed a permit was required for the kitchen and bathroom remodel. 9. On July 12, 2022 and August 15, 2022, telephone contact was made with the Respondent who was advised of the permit requirement. A follow up email was sent to the Respondent both times. 10. On November 1, 2022, another review of the County records revealed permit PRMFH20221048647 was applied for October 24, 2022 and given an incomplete application status on October 24, 2022, November 4, 2022, November 15, 2022, November 29, 2022 and December 29, 2022. 11.On January 6, 2023 a review of the County records revealed no issued permit existed for the kitchen and bathroom remodel at the abovementioned address. Attempts to remedy the issue via telephone and emails with the Respondent have been unsuccessful. 12.On January 6, 2023, Chief Building Official Fred Clum reviewed this case, and deemed it to be consistent with a "willful" building code violation based on the job being completed and no issued permit to date. 13. 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. 14.On January 6, 2023, a Notice of Hearing to appear before the Collier County Contractors' Licensing Board on February 13, 2023, at 9:00 am, was sent to the Respondent, Ralph Novella, via USPS Certified mail (tracking #7007 0710 0003 3697 8440), to the certificate holder's mailing address located at 8770 King Lear Court Fort Myers, Florida 33908. 15.The County now brings the following count(s) in this Administrative Complaint against the Respondent: COUNT I A. The homeowner, Horst R. Konrad, paid a state -certified certificate holder for to remodel a kitchen and bathroom. The Respondent, Ralph Novella, failed his obligation, as a contractor, and has caused a building code violation, FBC 105.1, required permits. Packet Pg. 262 10.A.1 B. Chief Building Official Fred Clum reviewed the ongoing case and agreed the Respondent willfully failed to correct the code violation and constitutes a willful code violation. C. Ralph Novella is in violation of Collier County Code of Laws and Ordinances Section 22-201.1 (2), which states in pertinent part, that willfully violating the applicable building codes or laws of the state, city or Collier County shall constitute misconduct and grounds for discipline WHEREFORE, the Petitioner asserts the above facts and charges are grounds for disciplinary action under Collier County Code of Laws and Ordinances Section 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: r 13i j2az-2 Signed: Collier County Contractors' Licensing Supervisor Packet Pg. 263 10.A.1 Contractors' Licensing Board 2800 North Horseshoe Dr. Naples, FL 34104 Complaint Number- 2023-02 Complainant: Any person who believes that a Contractor holding a Collier County Registration has violated Collier County Ordinance 22-201.1, 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: February 1, 2023 Against: Contractor's Name: Frank Novella Phone: 239.994.4912 Business Name: Novella Limited Inc. License(s) Held: Certified Building Contractor Collier County Issuance number: 201300000539 Contractor's Business Address: 8770 Kings Lear Court, Foil Myers, Florida 33908 Filed By: Name: Collier County Contractors' Licensing / Investigator Michael Governale Address: 2800 N. Horseshoe Dr., Naples, FL 34104 Business Phone: 239-252-8019 Address where work done: 2215 Arielle Drive #1206 City: Naples Comity: Collier Date of contract: August 19, 2021 Packet Pg. 264 10.A.1 Date job started: On or about August 20, 2021 Date job completed or new home occupied: Unknown Were there plans and specifications? Yes Is there a written contract? Yes If yes, amount of Contract: $31,680.00 Has Contractor been paid in full? Yes If not, what amount? Was a Building Permit obtained? No Was a Building Permit required? Yes. Building Permit number if known: PRMFH20221048647 Have you communicated by letter with the licensee? Yes Date: January 6, 2023 Do you have a reply: Yes Please attach to this form all copies of the purchase agreement, building contract, home improvement contract, copies of receipts and/or cancelled checks available and any additional evidence to substantiate your allegations. List any subsections of Collier County Ordinance number 22-201.1, which, in your opinion, have been violated by the contractor, which is the subject of this complaint, (list subsection number): a. Collier County Ordinance 22-201.1(2) Willfully violating the applicable building codes or laws of the State, City or Collier County. Please state the facts which you believe substantiate your charge of misconduct against the subject contractor. List facts separately for each subsection number above: b. Collier County Ordinance 22-201.1(2) Willfully violating the applicable building codes or laws of the State, City or Collier County. 1. Frank Novella is the holder of a Collier County Registration for Building Contractor. Novella failed his obligation, as a contractor, and has caused a building code violation, FBC 105.1, required permits. MicJdel Gover a e Code Enforcement Investigator — Contractor Licensing Packet Pg. 265 10.A.1 State of / l� County of 6e) i The foregoing instrument was acknowle ged before me by means of [hysical presence or ❑ online notarizati n on this I day of �. , 20 , y 1j Such person(s) Notaq Public must check applicable box: 1�1 1 re personally known to me ❑ has produced a current driver license ❑ has produced (Notary Seal) IPAn!' eo SANDRADELGADO ' Commission # HH 101718 ; 3c Expires March 8, 2026 FOFOO Bonded ThNBudget Notary Ser* a as identification. / 1 Notary Signature: Packet Pg. 266 10.A.1 4Z;,v e-r CknAi- .ty Growth Management Division Planning & Regulation Operations Department Licensing Section USPS Certified Mail: 7007 0710 0003 3697 8440 Date: January 6, 2023 Ralph Novella NOVELLA LIMITED INC. 8770 King Lear Court Fort Myers, FL 33908 RE: Case # CEMIS20220006051— 2215 Arielle Drive 41206. Dear RALPH NOVELLA, A complaint has been filed against you by the above referenced entity. A hearing of this complaint will be held by the Contractors' Licensing Board on Monday, February 13, 2023 at 9:00 AM in the Board of County Commissioner's Room, Third Floor, Administration Building (W. Harmon Turner Bldg.), at 3301 East Tamiami Trail, Naples, Florida 34112. Your presence before the Collier County Contractors' Licensing Board is required at this time. The packet concerning your case marked composite exhibit "A" will be delivered to the members of the Contractors' Licensing Board one week prior to the hearing. If you wish to receive a copy of this packet, please notify the Contractor Licensing Customer Service Office. If you wish to prepare a defense packet and have it delivered in conjunction with composite exhibit "A", you must make fifteen copies and have them in our office by 8:00 AM on Wednesday, one week prior to the hearing. In your packet, you may give a summary of events. At this meeting, you may present evidence and be represented by an attorney of your choice. In the event the Contractors' Licensing Board finds you in violation of Sec. 22-201.1 of the Collier County, FL Code of Ordinances: Sec. 22-201.1— MISCONDUCT — State certified contractors. Sec. 22-201.1(2) Willfully violating the applicable building codes or laws of the state, City or Collier County. Growth Management Division*Planning & Regulatio11'2800 North Horseshoe Drive*Naples, Florida 34104*239-252-2400'www.colliergov.net Packet Pg. 267 10.A.1 COy�Y COLLi�l.ty Growth Management Division Planning & Regulation Operations Department Licensing Section The range of disciplinary sanctions which may be imposed are, (1) Revocation of a Collier County or city certificate of competency; (2) Suspension of a Collier County or city certificate of competency; (3) Denial of the issuance or renewal of a Collier County or city certificate of Competency; (4) A period of probation of reasonable length, not to exceed two years, during which the contractor's contracting activities shall be under the supervision of the contractors' licensing board; and/or participation in a duly accredited program of continuing education directly related to the contractor's contracting activities; (5)Restitution; (6)A fine not to exceed $10,000.00; (7)A public reprimand; (8)Reexamination requirement; or (9) Denial of the issuance of Collier County or city building permits or requiring the issuance of permits with specific conditions; (10) Reasonable investigative and legal costs for the prosecution of the violation. Sincerely, chael Governale Code Enforcement Investigator - Licensing Collier County Contractors' Licensing 239-252-2450 Initials Growth Management Division*Planning & Regulation*2800 North Horseshoe Drive*Naples, Florida 34104*239-252-2400*www.colliergov.net Packet Pg. 268 LLS;t,Z) 4909000ZZUSIUM) ONI '031IWI-1 V-1-13AON VSa V-1-13AON Hd-lVN ZO-CZOZ'VOL :IUGWL13BIIV M to CN JR w "'.0 a a -4-,5 =Q) a 0 , IZ P z 0 0 43) a) 000 a 53) cc) ui 2 0 mmmawono: 0013 00 E > -0 -0 am cq 15 15 4a) (D a a Co co (1) t2 t: V (1) a) 0 <V 0 () 0 C's 0 o o C) G) > (0 CO • a) 0 E 00 =, -'-. a) 0 co 41 CD 0.0 O:L m C\j co !a a) CL c\j co rn Lo co 4S: C U.) Q) CCV'a &- $-. u;�'—cy) rnoa CU Cl) Co E3 C\J a) E E C3 o r_ q- 0 t 0) 0 0 E C3 a) < z Lo C) 0 0 < C� Report=rifle: Code Case Details 10.A.1 Date: 2/2/2023 10:59:20 AM Case Number: CEMIS20220006051 Q I Case Number:ICEMIS20220006051 I Case Type: Misconduct Priority: Normal Inspector: MichaelGovernale Jurisdiction: Collier County Status: Refer to CLB Date & Time Entered: 6/28/2022 5:04:55 PM Entered By: webAnonymousUser Case Disposition: Case Pending Origin: Public Portal Detail Description: Contractor provided a notarized Notice of commencement .During the process of the remodel I asked him several times where the Permit was and had the inspector come to the condo. He assured my husbanf and I that he had taken care of all the paper work with Collier County but never produced the permit to us. I have cancelled checks totalling $36,377.00 He subcontracted out the Electrical and the Plumbing for our kitchen and bathroom. I have his proof of insurance, contract and all papers he provided. I also gave him a certified copy of our architechtural drawings. Thank you for any help you can give us. Location Comments: The remodel was the kitchen and bathroom of our condo at 2215 Arielle Dr., Unit 1206, Naples, FI 34109. Our phone numbers are Horst Konrad 217-652-6756 and Sandra Konrad 618-670- 3588. P#22360022641 Address 2215 Arielle DR 1206, (Unit) , Naples Property 122360022641 Complainant Horst R Konrad Contractor NOVELLA LIMITED INC. Property Owner KONRAD, HORST R & SANDRA S Qualifier NOVELLA, RALPH Business Management & Budget Office Packet Pg. 270 Code Case Details 10.A.1 Execution Date 2/2/2023 10:59:20 AM Desc Assigned Required Completed Outcome Comments Addressing Review day_n 6/28/2022 6/29/2022 Complete Complainant: Horst R Konrad, Address:2215 Arielle Dr. (217) 652-6756 & (618) 670-3588 Preliminary Investigation MichaelGover 6/29/2022 6/30/2022 Needs Complaint received for unpermitted kitchen nale Investigatio and bathroom remodeling at the subject n property. No ACTIVE/ISSUED permit exists for this scope of work. Verify Complainant MichaelGover 6/30/2022 6/30/2022 Verified Horst Konrad 217-652-6756 nale Cont. Investigation MichaelGover 7/5/2022 7/6/2022 Complete PERMIT DETERMINATION nale Robert Moore, Architect, determined a permit was required. CE Phone Call MichaelGover 7/6/2022 7/6/2022 Complete Contact was attempted with the Qualifer nale Ralph Novella 239.994.4912 and a detailed message was left for a returned call. CE Phone Call MichaelGover 7/12/2022 7/12/2022 Complete Contact was made with Qualifier Novella. He nale was advised of the permit requirement and to have an issued permit before August 12th. I follow up with an email to; novellalimited@hotmail.com. Cont. Investigation MichaelGover 8/1/2022 7/1/2022 Complete SITE VISIT nale Property owners contracted with NOVELLA LIMITED INC to remodel a kitchen and bathroom for $31,680.00 on 08.19.21. The scope of work included, but was not limited to; demolition of kitchen (wall) and bathroom, kitchen cabinets and bathroom vanities, kitchen island with electric, bathtub to shower, etc. Site photos were taken and a stop -work order was posted. Cont. Investigation MichaelGover 8/15/2022 8/15/2022 Complete Contact was made with the qualifier who told nale me he has not submitted for the permit yet because he is waiting for stamped architect plans from the property owner. He further stated that the property owners have made it difficult for him during this process. I asked him submit the permit application and am extending the permit timeline to another 30 days out. I followed up with another email. CE Phone Call MichaelGover 8/30/2022 8/30/2022 Complete Contact was made with property owner nale Sandra Konrad. She advised that on 08.16.22 her husband emailed Novella the architect certified plans. She further stated that they will be going out of town for (5) weeks beginning on 09.10.22 and planned to let Novella know. Cont. Investigation MichaelGover 9/20/2022 I 9/20/2022 Complete Jon 09.19.22 - Permit application made and na 1 construction plans were sent in with it. Business Management & Budget Office 2 Packet Pg. 271 Code Case Details Execution Date 2/2/2023 10:59:20 AM 10.A.1 Desc Assigned Required Completed Outcome Comments Cont. Investigation MichaelGover 11/1/2022 11/1/2022 Complete Permit #PRMFH2O221048647 was applied for nale on 10.24.22; INCOMPLETE APPLICATION. Cont. Investigation MichaelGover 12/1/2022 1/5/2023 Complete I received an email from attorney Todd Allen nale that stated that he is assisting the property owners with this situation and that we could proceed with the investigation. Cont. Investigation MichaelGover 1/6/2023 1/6/2023 Complete Permit status still INCOMPLETE nale APPLICATION. I met with Chief Building Official Fred Clum and briefed him. He determined a "willful code violation" exists based on the job being already completed and no issued permit to date. Schedule for CLB MichaelGover 1/6/2023 1/6/2023 Complete Monday, Feb 13, 2023 @ 0900hrs nale Generate CLB Notice of Hearing MichaelGover 1/6/2023 1/6/2023 Complete Sent to Qualifier Ralph Novella via USPS nale Certified Mail #7007 0710 0003 3697 8440; 8770 King Lear Court, Fort Myers, FL 33908 Investigation MichaelGover 1/10/2023 1/6/2023 Refer to Address: 2215 ARIELLE DRIVE #1206 nale CLB Property Owner: KONRAD, HORST R=& SANDRA S Complainant: KONRAD, HORST R=& SANDRA S Complaint: UNPERMITTED KITCHEN AND BATHROOM REMODEL Contractor: NOVELLA LIMITED INC License#: CBC1253221 Enter Hearing Results MichaelGover 2/13/2023 Pending 01.11.23 - I received a phone call from Ralph nale Novella who stated he received the "notice of hearing" in the mail today. He had specific permitting questions regarding the pending corrections that need to be made. I provided Building Department contact information and directed him to speak with Chief Building Official Fred Clum in an attempt to resolve the remaining issues. Violation Description Status Entered Corrected Amount Comments 4.2 Misconduct State Certified Contractors Open 7/1/2022 $0 Title Reason Result Compliance Fine/Day Condition Business Management & Budget Office 3 Packet Pg. 272 1/6/23, 10:04AM Permit Application Status - CityView Portal Permit Application Status PRMFH2O221048647 0 Expand All / Collapse All Note: You can collapse and expand individual sections by clicking the header of the section you wish to collapse/expand. — Summary Application Number: PRMFH2O221048647 Application Type: Multi Family Home Application Status: Incomplete Application Property Owner's Full Name: KONRAD, HORST R & SANDRA S Category of Work: Alteration/Remodel Occupancy Code: Residential, Multi -Family Description of Work: Remove existing kitchen cabinets and 1/2 non load belying wall to open up kitchen. Replace bath tub with stand alone shower in master bath. ** PRIVATE PROVIDER ** 2215 Arielle DR 1206, (Unit) , Naples Application Date: 10/24/2022 Expiration Date: 04/22/2023 1-2 Family or Comm: Commercial — Business Name at Location (Portal) Business Name: — Locations Locations: Property 22360022641 Address 2215 Arielle DR 1206,_(Unit)_, Naples — Contacts Applicant: RALPH NOVELLA, Address:8770 KING LEAR COURT Property Owner: KONRAD, HORST R & SANDRA S, Address: 2215 ARIELLE DR #1206 Qualifier: NOVELLA, RALPH, Address:8770 KING LEAR CT, Phone:(239) 482-6684, Licensee # Q28049 License Status Contractor: NOVELLA LIMITED INC., Address:8770 KING LEAR COURT, Phone:(239) 994-4912, State Reg #'s CBC1253221, Licensee # LCC20130000955 License Status Permits (Click to See Reviews) — Permit Number: PRMFH2O22104864701 Permit Type: Building Permit Status: Pending 1 Initial Submittal Status: Pending — Deposits & Bonds There are no deposits or bonds for this permit application. — Inspections There are no inspections for this permit application. — Conditions Guidelines For Electronically Submitting Documents: https://cvportal.colliercountyfl.gov/CityViewWeb/Permit/StatusReference?referenceNumber=PRMFH2O221048647 10.A.1 Q m Q J J W O z d J Q N O M 04 O N Q O r ti ti LO Iq N 1/2 Packet Pg. 273 1/6/23, 1O:O4AM Permit Application Status - CityView Portal 1O.A.1 Condition Status Department I Category Expiration Date Due Date 1 Private Provider Ltr Open Building Review and Reports and Permitting D rip ionn: Submit the digitally signed certificate of compliance letter and Inspection reports from the Private Provider to the condition on the portal. Please be aware that per F.S. 553.791 Private provider shall provide notice, to the Building Department, of the date and approximate time of any such Inspection no later than the prior business day by 2 p.m. local time. Condition lype: CO Hold Documents: I Browse.. (! Notice of ----jand Open Building Review Commencement Permitting Description: Notice of Commencement: Upload to the condition on the portal. Condition Type: Inspection Hold Documents: Browse.. Upload Documents — Documents & Images Date Uploaded File Type Document Name 10/24/2022 N.O.C. Adelle NOC.12d 10/24/2022 Plans Architectural Plans (DS Konrad Alterations ShtS 1-3.gdf) 10/24/2022 Applications Application Form (arielle permit application - Oct 24 2022 14-03-35.P-M. 10/24/2022 Letter Incomplete pDlication Notice (Generate Incom Ip ete Ap�llcatlon Notice) 11/04/2022 11/15/2022 Letter Incomplete Application Notice (Generate Incom Ipete Application Notice) Letter Incomplete Application Notice (Generate Incomplete pDlication Notice). 11/29/2022 Letter Incomplete Application Notice (Generate Incomplete Application Notice), 12/29/2022 I Letter Final Incom Ip ete Application Notice (Generate Final Incomplete Notice) — Upload Documents This application requires all documents to be attached to a submittal. Click Here to Upload Documents. Submittals I Portal Home https://cvportal.colliercountyfl.gov/CityViewWeb/PermitIStatusReference?referenceNumber=PRMFH2O221 O48647 2/2 Packet Pg. 274 1/31/23, 9:34 AM Collier County, FL Code of Ordinances Sec. 22-201.1 - Misconduct —State certified contractors. 10.A.1 The following actions by state certified contractors shall constitute misconduct and grounds for discipline pursuant to section 22-202 of this article. (1) Failing or refusing to provide proof of public liability and property damage insurance coverage and workers compensation insurance coverage as required by Florida Statutes. (2) Willfully violating the applicable building codes or laws of the state, city or Collier County. (3) If the CLB finds through its public hearing process that the contractor was found by another county or municipality within the past 12 months, to have committed fraud or a willful building code violation and the CLB finds that such fraud or other willful violation would have been fraud or a willful violation if committed in Collier County or within the respective city. (4) Fraud. (Ord. No. 94-34, § 4; Ord. No. 99-45, § 4.2-4.2.3, 6-8-99; Ord. No. 2002-21, §§ 1(4.2-4.2.3); Ord. No. 06-46, § 1(4.1.8.2)) about:blank 1/1 Packet Pg. 275 10.A.1 9/19/22, 4:15 PM DBPR - NOVELLA, RALPH; Doing Business As: NOVELLA LIMITED INC, Certified Building Contractor t\ Florida _ &ra resent l Business & Professional Regulation ONLINE SERVICES LICENSEE DETAILS Licensee Information 1 Apply for a License i Verify a Licensee View Food & Lodging Inspections File a Complaint F Continuing Education Course !> ,� Search "e N View Application Status �-744 Find Exam Information t`.. Unlicensed Activity Search Lr AB&T Delinquent Invoice & Activity List Search HOME CONTACT US 4:16:00 PM 9/19/2022 Name: NOVELLA, RALPH (Primary Name) NOVELLA LIMITED INC (DBA Name) Main Address: 8770 KING LEAR COURT FORT MYERS Florida 33908 County: LEE License Mailing: 8770 KING LEAR COURT FORT MYERS FL 33908 County: LEE License Information License Type: Certified Building Contractor Rank: Cert Building License Number: CBC1253221 Status: Current,Active Licensure Date: 08/01/2005 Expires: 08/31/2024 Special Qualification Effective Qualifications Construction 08/01/2005 Business Alternate Names -­7 _. View Related License Information View License Complaint 2601 Blair Stone Road, Tallahassee FL 32399 :: Email: Customer Contact Center :: Customer Contact Center: 850,487.1395 The Stale of Florida is an AA/EEO employer. Copyright 2007-2010 State of Florida. Privacy Statement Under Florida law, email addresses are public records. If you do not want your email address released in response to a public -records request, do not send electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850,487.1395. `Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if they have one. The emails provided may be used for official communication with the licensee. https://www. myfloridalicense.com/License Detai I. asp?S I D=&id=35B9C5C8B8165364 EF2F34F49323CO85 1 /2 Q m Q J J W 0 Z 2 a J Q N 0 M N 0 N Q 0 r ti ti u� N Packet Pg. 276 212/23, 11:07 AM Detail by Entity Name DIVISION Of CORPORATIONS 10.A.1 rtrt r/H,7rtl -S/urn n/'l9ur[tltr s:=-i�sit• Depaliment of State / Division of Corporations / Search Records / Search by Entity Name / https://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=Initial&searchNameOrder=NOVELLA... 1 /2 Packet Pg. 2 7 2/2/23, 11:07 AM 2020 06/14/2020 2021 04/14/2021 2022 04/29/2022 Document Images 04/29/2022 -- ANNUAL REPORT 04/14/2021 --ANNUAL REPORT 06/14/2020 --ANNUAL REPORT 04/01/2019 -- ANNUAL REPORT 03/27/2018 -- ANNUAL REPORT 07/04/2017 --ANNUAL REPORT' 04/28/2016 --ANNUAL REPORT 04/28/2015 --ANNUAL REPORT 02/25/2014 —ANNUAL REPORT 04/20/2013 --ANNUAL REPORT Q9/14/2012 -- REINSTATEMENT 04/26/2010 --ANNUAL REPORT 04/23/2009 --ANNUAL REPORT 12/09/2008 -- Amendment 05/01/2008 —ANNUAL REPORT 05/03/2007 -- ANNUAL REPORT 05101/2006 --ANNUAL REPORT 05/02/2005 -- ANNUAL REPORT 05/03/2004 -- ANNUAL REPORT 01/10/2003 -- Domestic Profit 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 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 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 Detail by Entity Name rW,idu om,; net Carp ... (- is https://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=Initial&searchNameOrder=NOVELLA... 2/2 10.A.1 a m 0 a J J LU 0 Z 2 a J N O M N O N Q O r ti ti Rt N Packet Pg. 278 10.A.1 OVELLA WITED INC. a,ua#nno! . Commaelar • Mww cmwnKN " ftrno" • MOM, 1"*WO rm.M Proposal Submitted to: Job Name. Horst R. Konrad Residence Remodel 22015 Arielle Drive unit 1206 Naples, FL 34109 Sandra's cell 618-670-3588 zeusqueen62Qgmail.com Ron's cell 217-652-6756 . Summary of Work: Interior remodel of Kitchen and Master Bathroom, all in accordance to the stamped architectural drawings provided by Berlin Design Group Inc. Novella Limited Inc. will be referenced as NLI in explanations below. It. C_kUMCation/Assumotfons/Qumcations-, Home owner is responsible for all fees associated with design changes i.e., new drawings and building dept. fees. Included is NLI will be the acting contractor and secure required building department permits. NLI will supply all labor and materials to paint all new walls and wood trim. Ceiling fan is to be supplied by owner and installed by NLI's electrician. Flooring and cabinetry to be supply and installed by outside source and pre -paid by owner under a separate contract between said company and owner. Ill. Additional notations: • Plumbing allowance is $2,500.00, Electrical allowance is $3,000.00. These tow allowances will be formalized and written as a change order once the demolition work is complete. • No allowance for (2) sets patio impact doors, awaiting cost for supply and installation. • Not included: unknow conditions to existing structure that may need repair or replacement before making structure tie-ins. This will be addressed in a separate change order if discovered. • Electrical & plumbing fixtures were not specified and will be added as a change order. PACE AND TERMS OF PAYMENT: To provide all labor and materials to finish work stated above is: Thirty Two Thousand Dollars, $32,000.00. A deposit of 1 /3 $10,560.00 is required at contract signing. A second draw of 1 /3, $10,560.00 is due at the completion of first rough of plumbing and electric. The finial draw is due upon finial building permit sign off and completion owner punch out. All change orders are an addition to this contract and due upon signing. Acceptance of Proposal: The above prices, specifications, conditions and terms are satisfactory and hereby accepted. You are authorized to do the work as specified. J _ A"� ' Client Novella Limited Inc. 8770 King Lear Court, Fort Myers, FL 33908 Phone (239) 994-4912 novellolimited®hotmal.com a m 0 J J W O Z x a J N O M N O N Q O r ti ti u� N r m O W O O O N N O N CO 2 LLI V Q Z 0 LLI H J a J J LU O Z Q CO Q J J W O Z 2 a J Q d' N O M N O N d 0 a Packet Pg. 2 9771 10.A.1 TERMS AND CONDITIONS Contract Documents. This Proposal and this Proposal alone shall existing between the parties, constitute the contract Construction Defect Claim Notice. Any claims for construction defects are subject to the notice and cure provisions of Chapter 558, Florida States. (Fla.Stat. § 558.005(6x2009)). Legal 'terms. The terms and provisions of this Proposal and any dispute arising in connection herewith shall be governed by and construed in accordance with Florida law. The parties agree that all disputes arising under this Proposal shall be resolved by the courts and not by arbitration. The parties further agree that the venue for any legal action brought in connection with this Proposal shall be in Lee County, Florida. In connection with any litigation arising out of or related to this Proposal, the prevailing party shall be entitled to recover all costs incurred, including reasonable attorneys' fees. Personal Guarantee. The individual(s) whose signature appears on the acceptance of this Proposal personally guarantees the performance of all obligations to be performed by the Owner, including but not limited to, payment for the work to be furnished by Target. Past Due Balances. All sums owed to Novella Limited Inc. which are not paid within thirty (30) days from the date due to be shall accrue interest at the highest rate permitted by Florida law, No Damages for Delay. Under no circumstances shall the Owner be entitled to recover from Novella Limited Inc. any monetary damages or loss it might sustain as a result of any delay, intentional, negligent, or otherwise, caused Owner by any act or omission of'Novella Limited Inc. or its material suppliers or subcontractors. Workmanship. All work is to be completed in a workmanlike manner according to standard industry practices. Express Warranty, Novella Limited Inc expressly warrants its work to have been performed in accordance with the specifications set forth on the face of this Proposal for a period of one (1) year from the date the work is completed. If Novella Limited Inc's work is found not to be in accordance with the requirements of the specifications set forth on the front of this Proposal, Novella Limited Inc shall correct the work promptly upon receipt of written notice from Owner. THE FOREGOING EXPRESS WARRANTY IS IN LIEU OF ALL. EXPRESS AND IMPLIED WARRANTIES ARISING BY OPERATION OF LAW, INCLUDING BUT NOT LIMITED TO ANY IMPLIED WARRANTY OF FITNESS FOR A PARTICULAR PURPOSE OR IMPLIED WARRANTY OF MERCHANTABILITY OR HABITABILITY AND ALL SUCH IMPLIED WARRANTIES SHALL BE DEEMED WAIVED AND RELEASED. Damage Limitation and Waiver. In the event of any breach of contract or defective work claim against Novella limited Inc, Novella limited Ine's total liability to Owner shall be deemed limited to the contract price reflected on the front of this Proposal. All claims for damages of any kind in excess of the contract price reflected on the front of this Proposal are expressly waived and released by Owner. All claims by Owner for consequential damages arising from any breach of contract or defective work claim against Novella Limited Inc are expressly waived and released by Owner. Back Charges. The Owner shall not be entitled to make any unilateral, deductive charges against the proposal price owed Novella limited Inc. All deductive charges or set -offs against the proposal price shall only be made with the written agreement of Novella limited Inc. Insurance Requirements. Novella limited Inc shall provide Workman's Compensation Insurance covering the employees of Novella limited Inc and General Liability Insurance with limits of One Hundred Thousand and No/100 Dollars ($100,000.00) per person and Three Hundred Thousand and No/100 Dollars ($300,000.00) per accident. Owner shall maintain property insurance and such other insurances as it deems necessary. The risk of any loss associated with work in place shall be borne by the Owner and the Owner shall take such action as it deems appropriate to protect itself front those exposures. Additional Work. Any work not appearing or described on the specifications set forth on the face of this Proposal or alterations or deviations from said specifications shall be deemed additional work and shall only be performed upon the execution of an appropriate written change order between Owner and Novella limited Inc. General. No modification, waiver, amendment, discharge or change of this Proposal shall be valid unless the same is in writing and executed by the party against whom enforcement is sought. This Proposal and Acceptance shall be binding upon and inure to the benefit of the parties hereto, their respective heirs, legal representatives, successors, and assigns. If any provision or any portion orally provision orthis Proposal and Acceptance shall be held invalid or unenforceable, the remaining portion of such provision, and the remaining provision of this Proposal shall not be affectcd thereby. Owner acknowledges that it has read this Proposal and that it fully understands the totality of its responsibilities hereunder. Packet Pg. 280 10.A.1 Proposal Submitted to: Horst R. Konrad 22015 Arielle Drive unit 1206 Naples, FL 34109 Sandra's cell 618-670-3588 Rou's cell 217-652-6756 Ralph Novella 8770 King Lear Court, Fort Myers, FL 33908 Phone: 239.994-4912 ieusyueen62 n,gmailxom 08/19/21 Contract Amount S31,680.00 05/21/21 first draw #7708 #7709 11/22/21 second draw #7723 12/03/21 electrician invoice. $5362.00 electrician allowance <$3,000.00> $2,362.00 11/24/21 plumber invoice $2,775.00 Plumber allowance <$2,500.00> S 275.00 10/13/21 demo Kitchen floor S 685.00 11/12/21 demo Bathroom floor S 465.00 11/15/21 Supply/install counter brackets S 150.00 11/16/21 Reverse Bathroom door swing $ 300,00 12/1.5/21 move Bathroom electric outlet from mirror location. Install shower grab bars/shower head labor S 500.00 material/drill bits $ 110.00 Total amount due: $15,257.00 4 / I j1�'11 Job Name: Residence Remodel. `1 e2 0 560,06 1 S31,680.00 $ 6,000.00 $25,680.00 $ 4,560.00 $21,120.00 S10,560.00 $10,560.00 $12,922,00 $13,197,00 S 13,882.00 $14,347.00 $14,647.00 $15,147.00 $15,257.00 Q m Q J J W 0 Z d J Q N 0 M N 0 N Q 0 ti Ln Iq F4 Packet Pg. 281 i 10.A.1 6/30/22, 12:38 PM Check Details - chase.wrn CHASE PRIVATE CLIENT - $15 , 2 5 7.0 O Dec 30, 2021 7739 Post date Check # Total HORST R. KONRAD r'm0 7739 SANDRA S. KONRAD 2215 ARELLE OR, APT, 12W NAPLES, FL 341093306 DATE d�9� PAY TO ORDER THE ��� -r � ® I $'`, g-'r7 od 1 P4 a CAASE0 I I v )Morgan Chime Bank NA vmw,cbw ,can mwo )PMorgan Chase Bank, N.A. Member FDIC (02022 JPMorgan Chase & Co, Equal Opportunity Lender Q m 0 Q J J W O z x a J Q N O M N O N Q O r ti LO Iq N Packet Pg. 282 10.A.1 6/30/22, 12:39 PM Check Details - chase.com CHASE PRIVATE CLIENT - $ 15 f 2 5 / .00 Dec 30, 2021 7739 Post date Check # Total JPMorgan Chase Bank, N.A. Member FDIC (02022 JPMorgan Chase & Co. Equal Opportunity Lender Packet Pg. 283 10.A.1 a i Ralph Novella 8770 King Lcur Court, Fan )avers, F1, 33911-Y Phone: 239.994-4911 PA�lij000-4 Ct# Proposal Submitted to: .lob Name: gl1AA �1,604 d'j0 Horst R. Konrad Residence Remodel., i 4; Leos 22015 Arictle Drive unit 1206 Naples, FL 34109 i p)5 2. Sandra's cell 618-670-3588 zeusyueen62�tgmail.com at� 00lCr).11b Ron's cell 217-652-67.56 1 rl��t lit 08/19/21 Contract Amount $31,680.00 Y. - 0.5/21/21 first draw 117708 S 6,000. m 97709 $4,560. h f 11/22/21 second draw 07723 S 10,56 12/03/21 electrician invoice $5362.00 -- ' electrician allowance <S3,000.00> $2,362.00 i 11/24/21 plumber invoice $2,775.00 I Plumber allowance <2,500.00> floor S 275.00 S 685.00 1 f I 10/13/21 demo Kitchen 11/12/21 demo Bathroom floor S 465.00 11/15/21 11/16/21 Supply/install counter brackets Reverse Bathroom door swing S 150.00 S 300.00 c 12/15/21 move Bathroom electric outlet location. Install oar a cc p a! from mirror shower grab bars/shower head be Y vi 7j g aLL N 6 labor S SOUAO Q material/drill bits S 110.00 z � X6 OQ^�d s Total amount due: $15,257.00 Q m Q J J W 0 Z 2 tL J Q N O A N O N Q O r ti ti an Iq N Packet Pg. 284 10.A.1 6/30122, 12:42 PM Check Details - chase.com CHASE PRIVATE CLIENT -$61000.00 Total Nov 3, 2021 7708 Post date Checkt HORST R. KONRAD z thto 7708 ' SANDRA S. KONRAD 2215 ARIELLE DR., APT. 12W p � NAPLES, FL 341093300 on1E O PAY 10 om)R THC E r\( 1 "1 ptiD£R • OF Y (/ t CHASE- O JPMorgan Chao Bank, N.A. wrfw.Cheye.tom ' taer;o JPMorgan Chase Bank, N.A. Member FDIC 0,2022 JPMorgan Chase & Co. Equal Opportunity Lender Packet Pg. 285 10.A.1 6/30122, 12:42 PM CHASE -$61000.00 Total Check Details - chase.com PRIVATE CLIENT Nov 3, 2021 Post date 7708 Check # ..>2f9 3K� YOUR, P . I u -- ` 0 _'.n`r vm a A . (w )PMorgan Chase Bank, NA Member FDIC (02022 )PMorgan Chase & Co. Equal Opportunity lender Packet Pg. 286 10.A.1 6130122, 12'45 PM Check Details - chase.com CHASE PRIVATE CLIENT _ $/j J 5 6 0.0 0 Nov 3, 2021 7709 `� Post date Check # Total un1 HORST R, KONRAD 2-1fr16 7709 SANDRA S. KONRAD Q 2215 ARIELLE DR., APT. 1206 NAPLES, Flfff.��� ///34109.3306PAY TO -/faA7/F, (' Q� � ORDER OF E _ ` J l l� (� 1 �+ 'A -s r� i l DOL U �, CHASE JPMorgan Chose Bank. M.A. rnwt.Cfiase.corn MEMO JPMorgan Chase Bank, N.A. Member FDIC 02022 JPMorgan Chase & Co. Equal Opportunity Lender Q m 0 Q J J W O z x a J Q N O c%> N (D N d O ti W) N Packet Pg. 2 7 6/30/22, 12:46 PM Check Details - chase.com CHASE PRIVATE CLIENT -$4,560.00 Total Nov 3, 2021 7709 Post date Check # >2�3< 24MO02 f � IBERI ANK zi D _ � q JPMorgan Chase Bank, N.A. Member FDIC Cd2022 JPMorgan Chase & Co. Equal Opportunity Lender Q m 0 Q J J LU O z x a J Q N O M N O N Q 0 r ti ti LO Iq N Packet Pg. 288 10.A.1 6130122, 12:46 PM Check Details - chase,com CHASE PRIVATE CLIENT -$101560,00 Total Nov 29, 2021 7723 Post date Check # HORST R. KONRAD r'�70 7 7 2 3 SANDRA S. KONRAD 2215 ARIELLE DR„ APT. 1200 NAPLES, FL 34109-3306 DATE AdZh 4:?-j 24 2/ PAYTOTHE 7 Q` ORDFR `'�`��� � W �dr✓40 , Cid OlGc.:� i�u-.�c/ ct-�i �s�ouARs 8 'e4 CHASE= a v JPMo�gan thaws Dank NJL vm�v.Chase.com MEMO 4�_'e -sa� JPMorgan Chase Bank, N.A. Member FDIC D2022 JPMorgan Chase & Co. Equal opportunity Lender Packet Pg. 289 10.A.1 6/30722. 12:47 PM Check Details - chase.com CHASE PRIVATE CLIENT -$101560.00 Total Nov 29, 2021 7723 Post date Check # - ' •-a I >2 3< AWWk6 , IBER ANK44404141 ! t: • I �' V T= � m A )PMorgan Chase Bank, N.A. Member FDIC C2022 )PMorgan Chase & Co. Equal Opportunity Lender Q m 0 Q J J W O z x a J Q N O M N O N Q o_ ti ti uO v N Packet Pg. 290 10.A.1 6130/22, 12:38 PM Check Details - chase.com CHASE PRIVATE CLIENT - $ 15, 2 5 / . OO Dec 30, 2021 7739 Post date Check # Total HORST R. KONRAD 2-010 7739 SANDRA S. KONRAD 2215 AHIELLE OR, APT, 1206 NAPLES, FL 341093306 WE PAYTHE (y,� �+ e I 15i �' '�7 o(f ORD TO )PMorgsn Chow Bank, NA, wkw.C/haa",corn MEMO JPMorgan Chase Bank, N.P. Member FDIC 02022 JPMorgan Chase & Co. III Fqual Opportunity Lender Packet Pg. 291 10.A.1 : Check Details - chase.com CHASE PRIVATE CLIENT - $ 15, 2 5 7.0 0 Dec 30, 2021 739 Total Post date Check # HIN: U 33 500000179'��. C JPMorgan Chase Bank, N.A. Member FDIC (02022 JPMorgan Chase & Co. 4 Equal Opportunity lender Q m 0 Q J J W O Z 2 d J Q N 0 A N 0 N Q 0 r LO N Packet Pg. 292 LLSt,Z) (LS09000ZZOZSIUY30) ONI 'a311W1-1 V-1-13AON VEIO V-1-13AON Hd-lVN ZO-CZOZ'VOL :luqwLl3euv C14 6 '40 ,� IN 0 WAM RA oo LLSbZ) (LS09000ZZOZSIW30) aNI `a311W1-1 V�-13AON ` EIO V�-13AON Hd-lVN ZO-£ZOZ 'VOL :IUGWL]3elIV Q O T- _j LLSVZ) M09000ZZOMPOO) ONI `0311W1-1 `d-1-13AON b'8Q b'-1-13AON Hd-lb21 ZO-EZOZ 'VU :;uauayOellV T Q N O � T d d Y V R d ml I Q O V- LLSbZ) (6S09000ZZOZSIW30) aNI `a311W1-1 V�-13AON ` EIO V�-13AON Hd-lVN ZO-£ZOZ 'VOL :IUGWL]3elIV W I•• WNW °>o Z° o1z OWy �i 14 3 0 O D �� 3 M 1 r.j Q J 0 ♦♦C^^ V COul z 0 Q ow—o0 �Ec _o a) 0 c CL -c o cvooay, a O U cu c L ` � o`U}a)CU �L�aE O -2 C O O +� �Q,�� 0 (D-0 0 U) c x a O cn O CDY m c a� O O =�m�� �6-oEc o fn' a U U Q} E >, a O Z5 O p N � E m crQ ca E U L O CU o U) O M O CO O C.)C U O cYj -C O C C O O co O > O !/J N 0 cn Q cif c c r O a) a>coo- -0 C U p, � Q N NI Now 0-1 . a"Ims +r ❑ p y- 4 C W Y�—°' o O — 0 � L- 0 c c V n=°►�� 10.A.1 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. 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. In the absence of recognized and accepted test methods, the building official shall approve the testing procedures. Tests shall be performed by an approved agency. Reports 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 providing access to and usability of a facility for persons with disabilities shall be in accordance with Section 11-2.2. SECTION 105 PERMITS 105.1 Required. Any contractor, owner, or aLAhe4zed 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, repair, remove, convert or replace any required impact -resistant 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. 105.1.1 Annual facility permit. In lieu of an individual permit for each alteration to an existing electrical, gas, mechanical, plumbing or interior nonstructural office system(s), the building official is authorized to issue an annual permit for any occupancy to facilitate routine or emergency service, repair, refurbishing, 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 facility work sites as deemed necessary. An annual facility permit shall be assessed Mth 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. BCC CHAPI ER1Administration-11-10-2008 Packet Pg. 299 10.B 02/13/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 10.13 Doc ID: 24578 Item Summary: 10B. 2023-03 PAUL C. LAMBERT DBA STORM SHIELD LLC (DBA) STORM SHIELD WINDOWS & DOOR (CEMIS20220009746 Meeting Date: 02/13/2023 Prepared by: Title: — Contractor Licensing Name: Alyshia Morse 02/02/2023 5:10 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 02/02/2023 5:10 PM Approved By: Review: Contractor Licensing Sandra Delgado Review item Completed 02/06/2023 5:09 PM Contractor Licensing Tim Crotts Review Item Completed 02/07/2023 7:45 AM Contractor Licensing Tim Crotts Meeting Pending 02/13/2023 9:00 AM Packet Pg. 300 10.B.1 BEFORE THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD BOARD OF COUNTY COMMISSIONERS, COLLIER COUNTY, FLORIDA, Petitioner, 1A Case No: 2023-03 Licensee No. LCC20130002446 PAUL C. LAMBERT STORM SHIELD "LLC" (DBA) STORM SHIELD WINDOWS & DOORS Respondent. ADMINISTRATIVE COMPLAINT Collier County (County) files the Administrative Complaint against PAUL C. LAMBERT (Respondent), a State Certified General Contractor Collier County (Issuance No. 201300001241), and states the following facts and allegations in support of the cited violations below: The Respondent is currently the Certificate Holder by the State of Florida as a CERTIFIED GENERAL CONTRACTOR (License No. CGCA60475) 2. The Respondent, PAUL C. LAMBERT, is currently the Certificate Holder and Qualifier of record for STORM SHIELD "LLC" (DBA) STORM SHIELD WINDOWS & DOORS, (LCC20130001380). 3. Under the provisions of Chapter 489 Florida Statutes {§489.105(12)} and Collier County Code of Law and Ordinances {Sec. 22-202}, 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 Law and Ordinances. 4. Under the provisions of Collier County Code of Law and Ordinances Sec 22-202 the actions of the Respondent, constitute misconduct and grounds for discipline. 5. On October 25, 2022, the Collier County Licensing Department received a complaint from property owner Matthew Gainey regarding expired permit PRBD20210103271 regarding exterior windows and door replacement at 2435 Game Hawk Court #1504, Naples, Florida. A Contractor Licensing case, # CEMIS20220009746, was opened to investigate the complaint. 6. Upon investigation, it was discovered on or about September 17, 2020, STORM SHIELD "LLC" (DBA) STORM SHIELD WINDOWS & DOORS entered into a contract with the property owner, to replace all the exterior windows and exterior front door. The contracted amount was for $39,500.00. A payment of $20,000.00 was made on September 17, 2020, to Storm Shield by personal check #1445. A 00 ti Ln N rr J a a M 0 M N O N 00 0 c as E a Packet Pg. 301 10.B.1 second payment of $15,000.00 was made on June 11, 2021, to Storm Shield by personal check #1452. On November 2, 2022, contact was made with Keith Albanito the CEO of Storm Shield, and he was advised of the expired permit. He advised that he would reactivate the permit later that day. On November 8, 2022, a review of the County records revealed permit PRBD20210103271 has been expired since June 21, 2022. Attempts to remedy the issue via telephone and emails to the Respondent and CEO, most recently on December 5, 2022, were unsuccessful. On January 4, 2023, I, Michael Governale, Collier County Licensing Investigator, observed the exterior windows and exterior front door replaced at the property. A review of County records revealed permit PRBD20210103271 had been applied for on January 27, 2021 and issued on February 11, 2021. No inspections have been done. 10.On January 4, 2023, Chief Building Official Fred Clum reviewed this case, and deemed it to be consistent with a "willful" building code violation as the expired permit was not resolved by the Respondent in a timely manner. 11. 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. 12.On January 5, 2023, a Notice of Hearing to appear before the Collier County Contractors' Licensing Board on February 13, 2023, at 9:00 am, was sent to the Respondent, Paul C. Lambert, via USPS Certified mail (tracking #7007 0710 0003 3697 8495), to the certificate holder's mailing address located at 24177 Treasure Island Blvd., Punta Gorda, Florida 33955. 13.The County now brings the following count(s) in this Administrative Complaint against the Respondent: COUNT A. The homeowner, Matthew Gainey, paid a state -certified certificate holder to replace exterior windows and exterior front door. The Respondent, Paul C. Lambert, failed his obligation, as a contractor, and has caused a building code violation, FBC 105.1, expired permits. Permit PRBD20210103271 remains expired since June 21, 2022. B. Chief Building Official Fred Clum reviewed the ongoing case and agreed the Respondent willfully failed to correct the code violation and constitutes a willful code violation 00 ti Ln N rr J a a M 0 M N O N m O C E L V r r Q Packet Pg. 302 10.B.1 C. Paul C. Lambert is in violation of Collier County Code of Laws and Ordinances Section 22-201.1 (2), which states in pertinent part, that willfully violating the applicable building codes or laws of the state, city or Collier County shall constitute misconduct and grounds for discipline WHEREFORE, the Petitioner asserts the above facts and charges are grounds for disciplinary action under Collier County Code of Laws and Ordinances Section 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: f/���Zv2;3 Signed: Collier County Contractors' Licensing Supervisor 00 ti Ln rr J a a M O M N O N m O C E L V r r Q Packet Pg. 303 10.B.1 Contractors' Licensing Board 2800 North Horseshoe Dr. Naples, FL 34104 Complaint Number- 2023-03 Complainant: Any person who believes that a Contractor holding a Collier County Registration has violated Collier County Ordinance 22-201.1, 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: January 31, 2023 Against: Contractor's Name: Paul C. Lambert Phone: 239.491.7002 Business Name: Storm Shield "LLC" (DBA) Storm Shield Windows & Doors License(s) Held: Certified General Contractor Collier County Issuance number: 201300001241 Contractor's Business Address: 19751 N. Tamiami Trail, North Fort Myers, Florida 33903 Filed By: Name: Collier County Contractors' Licensing / Investigator Michael Governale Address: 2800 N. Horseshoe Dr., Naples, FL 34104 Business Phone: 239-252-8019 Address where work clone: 2435 Game Hawk Court # 1504 City: Naples County: Collier Date of contract: October 30, 2020 00 ti Ln 14 N L J a a M O M N O N m O a-: C E t V r r Q Packet Pg. 304 10.B.1 Date job started: On or about February 11, 2021 Date job completed or new home occupied: N/A Were there plans and specifications? Yes Is there a written contract? Yes If yes, amount of Contract: $39.500.00 Has Contractor been paid in full? No If not, what amount? $35,000.00 Was a Building Permit obtained? Yes Was a Building Permit required? Yes. Building Permit number if known: PRBD20210103271 Have you communicated by letter with the licensee? Yes Date: January 5, 2023 Do you have a reply: Yes Please attach to this form all copies of the purchase agreement, building contract, home improvement contract, copies of receipts and/or cancelled checks available and any additional evidence to substantiate your allegations. List any subsections of Collier County Ordinance number 22-201.1, which, in your opinion, have been violated by the contractor, which is the subject of this complaint, (list subsection number): a. Collier County Ordinance 22-201.1(2) Willfully violating the applicable building codes or laws of the State, City or Collier County. Please state the facts which you believe substantiate your charge of misconduct against the subject contractor. List facts separately for each subsection number above: b. Collier County Ordinance 22-201.1(2) Willfully violating the applicable building codes or laws of the State, City or Collier County. 1. Paul C. Lambert is the holder of a Collier County Registration for General Contractor. Lambert failed his obligation, as a contractor, and has caused a building code violation, FBC 105.1, expired permits, which remains expired since June 21, 2022. Mic ael Governale Code Enforcement Investigator — Contractor Licensing 00 ti Ln le N L J a a M O M N O N m O a-: C E L V r r Q Packet Pg. 305 10.B.1 State of 0�1 L'� County of4 The foregoing instrument was acknowle ged before me by means of U`p"hysical presence or ❑ online notarization on this day of , 20 , by Sue .person(s) Notary Public —must check applicable box: are personally known to me ❑ has produced a current driver license ❑ has produced (Notary Seal) o'A"Puae SANDRADELGAD0 , ' ° Commission # HH 101718 * * Expires March 8, 2025 N9lFOF 0�0 Bonded Thru Budget Notary Services as identification. Notary Signature: 00 ti Ln J a a M O M N O N m O C E L V r r Q Packet Pg. 306 10.B.1 CiO�Il.7GY CO-ynty Growth Management Division Planning & Regulation Operations Department Licensing Section USPS Certified Mail: 7007 0710 0003 3697 8495 Date: January 5, 2023 Paul C. Lambert Storm Shield Windows & Doors 24177 Treasure Island Blvd Punta Gorda, FL 33955 RE: Case # CEMIS20220009746 — 2435 Game Hawk Court #1504. Dear PAUL C. LAMBERT, A complaint has been filed against you by the above referenced entity. A hearing of this complaint will be held by the Contractors' Licensing Board on Monday, February 13, 2023 at 9:00 AM in the Board of County Commissioner's Room, Third Floor, Administration Building (W. Harmon Turner Bldg.), at 3301 East Tamiami Trail, Naples, Florida 34112. Your presence before the Collier County Contractors' Licensing Board is required at this time. The packet concerning your case marked composite exhibit "A" will be delivered to the members of the Contractors' Licensing Board one week prior to the hearing. If you wish to receive a copy of this packet, please notify the Contractor Licensing Customer Service Office. If you wish to prepare a defense packet and have it delivered in conjunction with composite exhibit "A", you must make fifteen copies and have them in our office by 8:00 AM on Wednesday, one week prior to the hearing. In your packet, you may give a summary of events. At this meeting, you may present evidence and be represented by an attorney of your choice. In the event the Contractors' Licensing Board finds you in violation of Sec. 22-201.1 of the Collier County, FL Code of Ordinances: Sec. 22-201.1— MISCONDUCT — State certified contractors. Sec. 22-201.1(2) Willfully violating the applicable building codes or laws of the state, City or Collier County. Growth Management Division*Planning & Regulation*2800 North Horseshoe Drive*Naples, Florida 34104*239-252-2400*www.colliergov.net 00 I, - to le N Packet Pg. 307 10.B.1 Co'Li:'re-vCoH-a�ty Growth Management Division Planning & Regulation Operations Department Licensing Section The range of disciplinary sanctions which may be imposed are, (1) Revocation of a Collier County or city certificate of competency; (2) Suspension of a Collier County or city certificate of competency; (3) Denial of the issuance or renewal of a Collier County or city certificate of Competency; (4) A period of probation of reasonable length, not to exceed two years, during which the contractor's contracting activities shall be under the supervision of the contractors' licensing board; and/or participation in a duly accredited program of continuing education directly related to the contractor's contracting activities; (5)Restitution; (6)A fine not to exceed $10,000.00; (7)A public reprimand; (8)Reexamination requirement; or (9) Denial of the issuance of Collier County or city building permits or requiring the issuance of permits with specific conditions; (10) Reasonable investigative and legal costs for the prosecution of the violation. Code Enforcement Investigator - Licensing Collier County Contractors' Licensing 239-252-2450 Initials Growth Management Division*Planning & Regulation*2800 North Horseshoe Drive*Naples, Florida 34104*239-252-2400*www.colliergov.net 00 N Packet Pg. 308 10 B.1 V.5�tG iiaaa3s.Ixi3 ■ Complete items 1, 2, and 3. ® Print your name and address on the reverse so that we can return the card to you. ® Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: t d 9590 9402 7355 2028 0788 81 9 Article Number 0-ransfer from service label) 07 0710 0005 3697 8495 PS Form 3811 July 2020 PSN 7530-02-000-9053 A. Siratu x� t0 ti 71 O N N ❑� c4nt 0 ❑ j w res B. `deceived t§OPrinfed Name) C. Date i � )eli) 00 . Is delivery address different from item 1? ❑ c' r-- If YES, enter delivery address below: Aiki N 3. Service Type ❑ Adult Signature ❑ Adult Signature Restricted Delivery Certified Mail® ❑ Certified Mail Restricted Delivery ❑ Collect on Delivery ❑ Collect on Delivery Restricted Delivery ❑ Insured Mail ❑ Insured Mail Restricted Delivery 0 0 z 0 J W x N ❑ Priority Mail 1 00 ess A ❑' Registered N cn ❑ Registered N Q les Delivery ❑ Signature Cc m nat. ❑ Signature Cc J nat Restricted Di ry 0 J W x cn -- Domestic Retu 2 lec 0 a m 0 w m a J Packet Pg. 309 C*ergov,net Report Title: Code Case Details Date: 1/31/2023 9:26:09 AM Case Number: CEMIS20220009746 I Case Number: I CEMIS20220009746 I Case Type: Misconduct Priority: Normal Inspector: MichaelGovernale Jurisdiction: Collier County 10.B.1 00 ti Ln le F4 Status: Refer to CLB Date & Time Entered: 10/25/2022 9:40:06 AM Entered By: webAnonymousUser Case Disposition: Case Pending Origin: Public Portal Detail Description: Failure to complete installation of storm windows per contract and satisfaction: We are now exactly 2 years from when this started (Oct 2020). We have been more than patient due to COVID and other issues, but the contractor (Storm Shield) has repeatedly failed to respond to our emails and telephoned calls, and/or reluctantly answered our queries. It is not our problem if Contractor can't hire and retain quality installers. We are missing multiple screens. They have not fully completed a slider install. One of the windows installed is clear for a bathroom, when we specified "rain" translucent windows for privacy. They have let the permit expire multiple times, and neighbors and the association board are complaining about the stickers on the windows (waiting for code inspection). Some of the windows stick when opening and need adjustment before final signoff. Parts are still missing (mostly due to need for final code inspection). Location Comments: 2435 Game Hawk Ct #1504 condominium windows and front door P#27220001202 Address 2435 Game Hawk CT 1504, (Unit) , Naples Property 27220001202 Complainant matthew g gainey Contractor STORM SHIELD "LLC" (DBA) STORM SHIELD WINDOWS & DOORS Property Owner GAINEY, MATTHEW G ANNE DEPADRO GAINEY Qualifier LAMBERT, PAUL C. Business Management & Budget Office 1 Packet Pg. 310 Code Case Details Execution Date 1 /31 /2023 9:26:09 AM 10.B.1 Desc Assigned Required Completed Outcome Comments Preliminary Investigation MichaelGover 10/25/2022 11/1/2022 Needs Failure to complete installation of storm nale Investigatio windows per contract and satisfaction: We are n now exactly 2 years from when this started (Oct 2020). We have been more than patient due to COVID and other issues, but the contractor (Storm Shield) has repeatedly failed to respond to our emails and telephoned calls, and/or reluctantly answered our queries. It is not our problem if Contractor can't hire and retain quality installers. We are missing multiple screens. They have not fully completed a slider install. One of the windows installed is clear for a bathroom, when we specified "rain" translucent windows for privacy. They have let the permit expire multiple times, and neighbors and the association board are complaining about the stickers on the windows (waiting for code inspection). Some of the windows stick when opening and need adjustment before final signoff. Parts are still missing (mostly due to need for final code inspection). CE Staff Review day_n 10/26/2022 10/26/2022 Complete Complainant: matthew g gainey, Address:2435 Game Hawk Ct„ Apt 1504, Phone:(239) 248-5601 Verify Complainant MichaelGover 11/1/2022 11/1/2022 Incomplete Detailed message left nale Verify Complainant Follow Up MichaelGover 11/1/2022 11/1/2022 Verified nale CE Phone Call MichaelGover 11/1/2022 11/1/2022 Complete Contact was attempted with "Keith" from nale Storm Shield 239.349.3870, detailed message was left. CE Phone Call MichaelGover 11/2/2022 11/2/2022 Complete Received a voicemail message from "Keith" nale stating they would reactive the permit sometime today. Cont. Investigation MichaelGover 11/8/2022 11/8/2022 Complete Permit remains in expired status. Email sent nale to Qualifier Paul Lambert regarding the existing Code Violation. Cont. Investigation MichaelGover 12/5/2022 12/5/2022 Complete 2nd 30 day permit email sent nale Permit remains in expired status. Email sent to Qualifier Paul Lambert regarding the existing Code Violation. Investigation MichaelGover 1/2/2023 1/5/2023 Refer to Address: 2435 GAME HAWK CT#1504 nale CLB Property Owner: GAINEY Complainant: MATTHEW GAINEY Complaint: EXPIRED PERMIT Contractor: STORM SHIELD LLC (DBA) STORM SHIELD WINDOWS & DOORS License#: CGCA60475 Permit#: PRBD20210103271 Status: EXPIRED As of: 11.01.22 Business Management & Budget Office 00 ti Ln N Lr J a d M 0 M N 0 N m 0 c CD E U M Q Packet Pg. 311 Code Case Details 10.B.1 Execution Date 1/31/2023 9:26:09 AM Desc Assigned Required Completed Outcome Comments Cont. Investigation MichaelGover 1/4/2023 1/4/2023 Complete Permit status still EXPIRED. No response nale from the Qualifier. I met with Chief Building Official Fred Clum and briefed him. He determined a "willful code violation" exists based on the permit still being expired and no response from the Qualifier. Cont. Investigation MichaelGover 1/4/2023 1/4/2023 Complete SITE VISIT nale I met with the property owners and took site photos. I also got a copy of the contract and personal checks they had with Storm Shield to replace all the exterior windows and front door. The contracted amount was for $39,500.00 and was signed and dated 10.30.20. Check #1445 was written on 09.17.20 in the amount of $20,000.00 made payable to "Storm Shield". Check #1452 was written on 06.11.21 in the amount of $15,000.00 made payable to "Storm Shield". Schedule for CLB MichaelGover 1/5/2023 1/5/2023 Complete February 13, 2023 @ 0900hrs nale Generate CLB Notice of Hearing MichaelGover 1/5/2023 1/5/2023 Complete Sent to Qualifier Paul C. Lambert via USPS nale Certified Mail #7007 0710 0003 3697 8495; 24177 Treasure Island Blvd, Punta Gorda FL 33955 and USPS Certified Mail #7007 0710 0003 3697 8488; 19751 N. Tamiami Trail, North Fort Myers, FL 33903. Enter Hearing Results MichaelGover 2/13/2023 Pending Hale Violation Description Status Entered Corrected Amount Comments 4.2 Misconduct State Certified Contractors Open 1/5/2023 $0 Willful Code Vio - Expired Permit Title Reason Result Compliance Fine/Day Condition Business Management & Budget Office 00 ti Ln N L J a a M O M N O N m O c a� E Q Packet Pg. 312 10.B.1 10/27/22, 2:47 PM Permit Application Status - CilyView Portal Permit Application Status Do PRBD20210103271 N v Expand All / Collapse All ]i� I Note: You can collapse and expand individual sections by clicking the header of the section you wish to collapse/expand. � V f►t � — Summary � ,/' 1 V y IJ O p N �[ /� 7 tV Application Number: PRBD20210103271 /� zj Application Type: Building C14 Application Status: Property Owner's Full Name: Expired GAINEY, MATTHEW G ANNE DEPADRO GAINEY W Category of Work: Alteration/Remodel Occupancy Code: Residential, Multi -Family 1 Description of Work: REPLACE 21 IMPACT WINDOWS SIZE FOR SIZE AND 3 IMPACT SLIDING GLASS DOOR, 1 ENTRY DOOR AND 1 SIDELITE ') '7 !/� O 0 2435 Game Hawk CT, Multi Family, Unit #: 1504, Naples J / Application Date: 01/27/2021 ad Issued Date: 02/11/2021 l y Expiration Date: 06/21/2022 1-2 Family or Comm: Commercial Q 0 — Business Name at Location (Portal) Z Business Name: 0 J — Locations Lu 2 Locations: Property (n 27220001202 Address 2435 Game Hawk CT 1504,_(Unit)_, Naples O I- U) — Contacts Q lb Property Owner: GAINEY, MATTHEW G ANNE DEPADRO GAINEY, Address:2435 GAME HAWK CT APT 0 1504 ... Applicant: Storm Shield, Address:19751 N Tamiami Trail, Phone:(239) 491-7002 J Qualifier: LAMBERT, PAUL C., Address:24177 TREASURE ISLAND BLVD., Phone:(239) 491- J 7002, Licensee # LCC20130001380 0 License Status J Contractor: STORM SHIELD "LLC" (DBA) STORM SHIELD WINDOWS & DOORS, Address:19751 LLI N TAMIAMI TRAIL, Phone:(239) 491-7002, State Reg #'s CGCA60475, Licensee # _ LCC20130002446 License Status _ Permits (Click to See Reviews) Permit Number: PRBD2021010327101 Permit Type: Shutters/Doors/Windows Permit Status: Expired 1 Initial Submittal Status: Complete Review Type Final Review 5 Day Review Time Reviewer: I Outcome Est. Completion Date Completed Complete 02/05/2021 02/10/2021 Imane Mokh VEN ((239) 252-5203) Send Email FEMA Review Reviewer: Approved 02/03/2021 02/09/2021 Howard Critchfield ((239) 252-5858) Send Email Fire Review Reviewer: Approved 02/04/2021 02/03/2021 Pamela Demeo ((239) 877-3590) Send Email Structural Review Reviewer: Approved 02/03/2021 02/02/2021 LEGACY: Nestor Garcia ((239) 252-2617) Send Email Coop hitps://cvportal.colliereountyf.gov/CityViewWeb/Pefmlt/StatusReference?referenceNumber=PRBD20210103271 1/3 Packet Pg. 313 10/27/22, 2:47 PM Permit Application Status - CityView Portal 10.B.1 Fire Certificate - Notice Open Building Review of Fire Compliance and Permitting D scr ptlon: > Fire Certificate Fire Certificate was not uploaded //HeatherColonVEN 02/04/2021 12:18 PM Condition y.= CO Hold Documents: Browse., Gainey NOC Recorded.Rdf Permit Extension OR Open Building Review Cancellation and Permitting Description: To Extend OR Cancel Permit upload extension request document. Follow link to locate Forms; https: //www.colli ercountyf. gov/your-government/divisions-a-e/building-review/building-permit-resolution-services Condition TyM Informational Documents: Browse.. Permit Extension Resolved Pending Descri t0 ion: Permit Extension Pending Fee Payment Condition Type: Inspection Hold Upload Documents — Documents & Images Date Uploaded File Type Document Name 01/28/2021 N.O.C. Notice of Commencement (Gainey NOC Recorded.gfj) 01/27/2021 Approved Plans (PR) Construction Plans (Gainey Floor Plan_ pdf) 01/27/2021 Approved Plans (PR) Construction Plans (Gainey Calrs.pjf) 01/27/2021 Approved Plans (PR) Product ARoroval Index Sheet (Index Sheet.odf) 01/27/2021 Product Aprovals Product gorovals/NOAs (NOA 20-0429 05 SGD PGT 5570.pdf) 01/27/2021 Applications QRolkatlon Form (GAINEY PERMIT APPLICATION.pal 01/27/2021 Approved Plans (PR) Construction Plans (Child Safety WOCD MUST INCLUDE IN ALL HOMES HAVING 2ND FL OR MORE.gdf) 01/27/2021 Product Aprovals Product Aporovals/NOAs (NOA 20-0406 01 HR (GP T 5510)aRQj) 01/27/2021 Product Aprovals Product ARnrovals/NOAs (NOA 20-0401 06 Series Double Hung-5560 PVC.011 01/27/2021 Product Aprovals Product {lorovals/NOAs (FL 17347 15 Sing a Do gj@2pM)&dj 01/27/2021 Product Aprovals Product Agnrovals/NOAs (NDA 20-0401 16 PW (GP T 5520):g_df,) 01/28/2021 Gainey NOC Recorded.gdf 01/29/2021 Letter PAymLnL I p�jg) 01/29/2021 Receipt Recelpifortransaction:2021-007809 02/04/2021 Gainey NOC Recorded.0df 02/10/2021 Letter j?pymen S p (RFI-Customer PR) 02/11/2021 Receipt jig gc lnt for transaction:2021-011727 02/11/2021 Approved Plans (PR) BRoroved Construction Documents Commercial 02/11/2021 Letter Inspection Job Card 02/11/2021 Letter Permit 03/23/2022 Letter PAymen Iip-(PR) 03/23/2022 Extension Gainey gxtension.pffff 03/29/2022 Receipt Receipt for transaction:2022-031301 Submittals Portal Home https://cvportal.colliercountyfl.gov/CityVieWWeb/Permit/StatusReference?referenceNumber—PRBD20210103271 3/3 00 I` - to le N v Packet Pg. 314 1/31/23, 9:34 AM Collier County, FL Code of Ordinances Sec. 22-201.1 - Misconduct —State certified contractors. 10.B.1 00 The following actions by state certified contractors shall constitute misconduct and grounds for discipline Ln le pursuant to section 22-202 of this article. (1) Failing or refusing to provide proof of public liability and property damage insurance coverage and workers compensation insurance coverage as required by Florida Statutes. (2) Willfully violating the applicable building codes or laws of the state, city or Collier County. (3) If the CLB finds through its public hearing process that the contractor was found by another county or municipality within the past 12 months, to have committed fraud or a willful building code violation and the CLB finds that such fraud or other willful violation would have been fraud or a willful violation if committed in Collier County or within the respective city. (4) Fraud. (Ord. No. 94-34, § 4; Ord. No. 99-45, § 4.2-4.2.3, 6-8-99; Ord. No. 2002-21, §§ 1(4,2-4.2.3); Ord. No. 06-46, § 1(4.1.8.2)) about:blank 1/1 Packet Pg. 315 Ron DeSantis, Governor Melanie S. Griffin, Secretary gj;w" -TRI F jW-7 '-93M-Wall STATE OF FLORIDA to DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATIO1 cm C'm Q CONSTRUCTION INDUSTRY LICENSING BOARD THE GENERAL CONTRACTOR HEREIN IS CERTIFIED UNDER THE 0 PROVISIONS OF CHAPTER 489, FLORIDA STATUTES 0 0 06 z LAMBERT, PAUL CHESTER STORM SHIELD WINDOWS & DOORS uxi 19751 N TAMIAMI TRAIL N FORT MYERS FL 33903 0 U) LICENSE NUMBER: CGCA60475 EXPIRATION DATE: AUGUST 31,2024 —j Always verify licenses online at MyFloridaLicense.com Ld U) X Do not alter this document in any form. 0 F- qL. Ir r- + ;r r This is your license. It is unlawful for anyone other than the licensee to use this document. LU I Packet Pg. 316 1/31/23, 9:51 AM Detail by Entity Name DIVISION or CORPORATIONS r_. JSY�1U;:i �J an o//irifr/ (1j,1.1wida sr:dbstte Dgpartlnent of State /Division of Corporations / Search Records / S rc Entity Name / https://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=Initial&searchNameOrder=STORMS... 1 /2 00 ti Ln le 04 J a a M O M N O N m O C CD E t v M r r Q Packet Pg. 317 1/31/23, 9:51 AM Report Year 2020 2021 2022 Document Images Filed Date 01 /02/2020 01 /05/2021 02/23/2022 02/23/2022 --ANNUAL REPORT View image in PDF format 01/05/2021 --ANNUAL REPORT View image in PDF format 01/02/2020 --ANNUAL REPORT View image in PDF format 02108/2019 --ANNUAL REPORT View image in PDF format 01/02/2018 --ANNUAL REPORT View image in PDF format 01/11/2017 --ANNUAL REPORT View image in PDF format 03/10/2016 —ANNUAL REPORT View image in PDF format 03/04/2015 --ANNUAL REPORT View Image in PDF format 01/09/2014 -- ANNUAL REPORT View image in PDF format 01/31/2013 -- Reg, Agent Change View image in PDF format 01/28/2013 -- Florida Limited Liability, View image in PDF format Detail by Entity Name FlOdi G3 pa tn*,,t of SWe, [ilVizlOn d Corf)nr 0-5 https://search.su nbiz.org/Inquiry/CorporationSearch/SearchResultDeta i I? inquirytype=EntityName&di rectionType=l nitial &searchNa meOrd er=STORMS... 2/2 10.B.1 L J a a M O M N O N m O C CD E t v W r r Q Packet Pg. 318 1/31/23, 9:51 AM sunbiz.org - Florida Department of State 10.B.1 DIVISION OF CORPORATIONS "I II f r tVi.,io J' rg0- r') 11\ r Previous on List Next on List Return to List Fictitious Name Search Filing History. Submit Fictitious Name Detail Fictitious Name STORM SHIELD WINDOWS & DOORS Filing Information Registration Number G18000034274 Status ACTIVE Filed Date 03/13/2018 Expiration Date 12/31/2023 Current Owners 1 County LEE Total Pages 3 Events Filed 2 FEI/EIN Number NONE Mailing Address 19751 N.TAMIAMI TRAIL N. FORT MYERS, FL 33903 Owner Information STORM SHIELD "LLC" 19751 N TAMIAMI TRAIL N. FORT MYERS, FL 33903 FEI/EIN Number: 46-1882202 Document Number: L13000013555 Document Images 03/13/2018 -- Fictitious Name Filing View image in PDF format 03/29/2018 -- CHANGE NAME/ADDRESS View image in PDF format 03/28/2018 -- CHANGE NAME/ADDRESS I View image in PDF format Previous on List Next on List Return to List Fictitious Name Search Filing History Submit Horida Drpartmcnt of State, Dwision of Corporations dos.sunbiz.org/scripts/ficidet.exe?action=DETREG&docnum=G 18000034274&rdocnum=G18000034274 1 /1 00 ti Iq N Packet Pg. 319 10.B.1 jPID cw ,ioB# o UD1m 'U�r ate ii� �d Name: I-W'416 Address: L a Hm Phone: 2 D Email Address: Single Family Section 11. Wk Phone: Multi Family 13 - 19751 N. Tamianai Trail Aorth Fort Myers, FL 33903 Office 239-491-7002 Fax 239-567-3006 License #CGCA60475 Date Of Agreement Zo Name: City: State' Zip: Cell Phone: Seller Agrees to Furnish the Following Windows, ]Labor, and/or Installation Services CP 1. �%'�t�Q"� �E^- rstdlr_ s`'�+�� - lr�'•�'t � AA�� 17��� • �5�a=� t' �'a� f fsicf��2 J=s � �f�+t., [� ��-,1�-- 1 � (, n�dtfjiiC (y c a . (1 t1 Jury �� F YN��3`v .��� �3) _Lt'Irl. op LIB ® C Ep CP 0 Section IV Remarks / Instructions Section V. Orders to include: Materials Installation Labor Permit Removal of all Debris Storm Shield, LLC agree to thmish materials oad/or labor in aeeordaneo with the specifications in are window detail attached to this agreement. We wgl prepaze, pay forand autrmltthepermitpackegethroughourlicetttedcont W'.Oncethepemtitisauthorizedsadready,wewillengageforaolaatelletiondateWhenprovidingmaterialonlywe will drop ship the meterhd to the prejeet site and the homeowners are responsible for tho laborand permits. Section VE Price/Pa�!rents CuoDh Frice of all Items S d'iy+n tr8, :sae Deposit Paid at order S Payablo on commencement s 'rl'cpsale i:�aldt G¢t tFta �¢rt5¢¢ ells .. Check N y�����, Credit Card (subject to processing tee) Balance to be Paid Cash S `� . 0a Finance S Special Financing Section VIE Terms and Conditions This agreomentincludes terms on thebackside ofthis agreement. Section VIII. Buyers Agreement We the undersigned, hereby authorize the contractorto verify and review my/our credit record with an independent credit reporting agency and release thei all liability incurred from inadvertent omissions or errors. Unless otherwise specified, it is understood that the purchaser is ready for wont to begin. Binding Complete Contract: this is a binding and complete contract. You may not cancel this agreement except as stated. This contract covers and supersedes all conversations; statements and agreements, expressed or Implied, between the parties, their agents or representatives. Contractor to pro all pmmita loc You, the buyer, may cancel this batracfiOp at any time prior to midaight of o thkd buaiac�a ny r the date of this tranaacliato wipuesa whereof, s contrast has been signed on this 2l% r �i� � dsy of 49& a • 20 v at City !� c) '� t State of ll �y HuyersSignatura Date dr®�d() `a,.:J9o,�' Repeeaentetivo..('i(i�t t �%-i�'� yu Buyers Sianahue 00 u� N Packet Pg. 320 10.B.1 WELLS FARGO Vier Check Coplies - Search for a Check Check Number 1445 ®ate Posted 09/24/20 Check Amount $20,000.00 Acc©kgWt N kgvnberr COMMAND ... 1456 MATTHEW GAINEY Wachavia Bank, N A Flip 01_ Zoom 00 N X J Q a M O M N O N m O C E t V R Q Packet Pg. 321 10.B.1 WELLS FARGO View Check Copies - Search for a Check Check Number 1452 Date Posted 06/11/21 Check Amount $15,000.00 Account Number COMMAND...1456 COMMAND Asser PttowtAm 1452 MATTHEW GAINEY 49-2 3o enuecm oo lu Date lot 6-fa� 1 �sL - i $ /(apo, as —�'�� "�r0 dCb � �iiEnan WAGR VIA SECVRITIE;S wachovia Bank, N A Flip Zoom 00 ti Ln le N J a a M O M N O N m O C E L V r r Q Packet Pg. 322 Packet Pg. 323 Packet Pg. 324 e • r, � r• ;�'..` �' -- -'WIT7 ?i � /`i- �F-sir. Packet Pg. 326 10.B.1 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. 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. In the absence of recognized and accepted test methods, the building official shall approve the testing procedures. Tests shall be performed by an approved agency. Reports 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 providing access to and usability of a facility for persons with disabilities shall be in accordance with Section 11-2.2. SECTION 105 PERMITS 105.1 Required. Any contractor, owner, or auther+zed 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, repair, remove, convert or replace any required impact -resistant 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. 105.1.1 Annual facility permit. In lieu of an individual permit for each alteration to an existing electrical, gas, mechanical, plumbing or interior nonstructural e#fee system(s), the building official is authorized to issue an annual permit for any occupancy to facilitate routine or emergency service, repair, refurbishing, "nor---�atieas 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 fa-sility wor!< sites as deemed necessary. An annual facility permit shall be assessed with 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. BCC CHAPIER1Administration-11-10-2008 9 00 ti Ln N L J a a M O M N 0 N m O c CD E t U M Q Packet Pg. 327 10.B.1 HISTORY May 19, 2022 — CEMIS20220004892 — Workmanship Complaint. • DBPR referral July 8, 2022 — CEMIS20220006273 — Expired Permit. • Resolved - Abated by Contractor October 25, 2022 — CEMIS20220009746 — Expired Permit, Abandonment • Referred to CLB. December 8, 2022 — CEMIS20220010889 — Commencing work without a Permit, Abandonement • Contractor terminated, DBPR referral December 12, 2022— CEMIS2022010932 — Expired Permit, Abandonment • Pending, awaiting CLB disposition December 16, 2022 — CEMIS20220011107 — Expired Permit, Abandonment. • Pending, awaiting CLB disposition December 19, 2022 — CEMIS20220011144 — Abandonment (unfounded) • DBPR Referral January 03, 2023 — CEMIS20230000068 — Expired Permit, Abandonment. • Pending, awaiting CLB disposition January 11, 2023 — CEMIS20230000226 — Abandonment (unfounded) • Contractor terminated, DBPR Referral 00 L0 N Packet Pg. 328 11.A 02/13/2023 COLLIER COUNTY Contractor Licensing Board Item Number: I LA Doc ID: 24579 Item Summary: NEXT MEETING DATE MONDAY, MARCH 13, 2023 Meeting Date: 02/13/2023 Prepared by: Title: — Contractor Licensing Name: Alyshia Morse 02/02/2023 5:13 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 02/02/2023 5:13 PM Approved By: Review: Contractor Licensing Contractor Licensing Contractor Licensing Sandra Delgado Review item Tim Crotts Tim Crotts Review Item Meeting Pending Completed 02/06/2023 3:34 PM Completed 02/07/2023 7:48 AM 02/13/2023 9:00 AM Packet Pg. 329