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CLB Agenda 04/19/2023
COLLIER COUNTY Board of County Commissioners Contractor Licensing Board AGENDA Board of County Commission Chambers Collier County Government Center 3299 Tamiami Trail East, 3rd Floor Naples, FL 34112 April 19, 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 5. PUBLIC COMMENTS 6. DISCUSSION 7. REPORTS 7.A. 7A. EMERGENCY CERTIFICATES OF COMPETENCY 8. NEW BUSINESS 8.A. 8A. ORDERS OF THE BOARD (19 ITEMS) 8.B. 8B. JOSE JIMENEZ - REVIEW OF EXPERIENCE - BUILDING CONTRACTOR -REGISTERED - JJ'S INNOVATION QUALITY L 8.C. 8C. SUKEY TORO - REVIEW OF CREDIT - PLUMBING CONTRACTOR - REGISTERED - FLORIDA PLUMBING RESPONSE LLC 8.D. 8D. SHAY BENISH - REVIEW OF CREDIT AND EXPERIENCE - GARAGE DOOR INSTALLATION CONTRACTOR - SPEEDY GAR 8.E. 8E. TARA BOREK - REVIEW OF EXPERIENCE- IRRIGATION SPRINKLER CONTRACTOR - FIELD OF GREENS SW FLORIDA, 8.F. 8f. OSMEL SANZ - REVIEW OF APPLICATION - A/C JOURNEYMAN 8.G. 8G. MICHAEL A. GUERRA - SECOND ENTITY APPLICATION - SWIMMING POOL/SPA SERVICING CONTRACTOR - FIRST C 9. OLD BUSINESS 9.A. 9A. JOSEPH R. ASKEW - PROBATION REVIEW (CREDIT) - GARAGE DOOR INSTALLATION CONTR.- WEST COAST GARAG 10. PUBLIC HEARINGS 10.A. 10A. MASON T. MORGAN - CONTEST CITATION #12583 (CEUL20230000539) AND CITATION #12586 10.B. 10B. 2023-05 SAUL PAREDES TREJO DBA PRO WALLS PAINTING INC (CEMIS20230001428) 10.C. 10C 2023-06 ROBERT A. DEANE DBA DIVERSIFIED MECHANICAL LLC (CEMIS20220010521) 10.D. 10D. 2023-07 JORGE M. LOPEZ DBA CUSTOM FURNITURE BY GEORGE, INC. (CEMIS20230000748) 10.E. 10E. 2023-08 FREDRICK L. FRANKS JR. DBA VETCON CONSTRUCTION SERVICES, INC (CEMIS20220010818) 11. NEXT MEETING DATE 11.A. 11. NEXT MEETING DATE WEDNESDAY, MAY 17, 2023 4.A 04/19/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 4.A Doc ID: 25223 Item Summary: 4A. APPROVAL OF MINUTES Meeting Date: 04/19/2023 Prepared by: Title: — Contractor Licensing Name: Alyshia Morse 04/12/2023 11:20 AM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 04/12/2023 11:20 AM Approved By: Review: Contractor Licensing Contractor Licensing Contractor Licensing Sandra Delgado Review item Tim Crotts Tim Crotts Review Item Meeting Pending Completed 04/12/2023 3:50 PM Completed 04/13/2023 10:27 AM 04/19/2023 9:00 AM Packet Pg. 4 4.A.1 March 13, 2023 MINUTES OF THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD MEETING March 13, 2023 Naples, Florida LET IT BE REMEMBERED that the Collier County Licensing Board, having conducted business herein, met on this date at 9 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 (excused) Vice Chairman: Stephen Jaron Elle Hunt Terry Jerulle Richard E. Joslin Kyle Lantz (excused) Robert Meister III (excused) 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 Michael Bogert, Collier County Licensing Investigator Michael Governale, Collier County Licensing Investigator Sandra Delgado, Supervisor, Operations, Licensing 1 Packet Pg. 5 March 13, 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 Jaron opened the meeting at 9 a.m. Roll call was taken; five members were present in the BCC Chambers. Supervisor Crotts said Board Members Allen, White, Meister and Lantz provided prior notice and asked that their absences be approved. [Acting Chairman Jaron approved the absences.] 2. ADDITIONS OR DELETIONS: Supervisor Crotts said there will be an added update on Senate and House bills filed regarding contractor licensing under "Discussion," 6B. Under "New Business," Item 8G will be removed because the applicant is unable to attend this meeting. It will be moved to the April meeting. 3. APPROVAL OF AGENDA: Board Member Joslin moved to approve the agenda. Second by Board Member Jerulle. The motion passed unanimously, 5-0. 4. APPROVAL OF MINUTES: A. February 13, 2023 Board Member Nolton moved to approve the February 13, 2023, meeting minutes. Second by Board Member Joslin. The motion passed unanimously, 5-0. 5. PUBLIC COMMENTS: None 6. DISCUSSION: Supervisor Crotts introduced Stephen Beckman, the new City of Naples Building Official. Mr. Beckman told the board that he spent most of his years as a contractor working up north in the Midwest, � moved to Florida in 2006 and spent seven years as a contractor in Collier County. He joined the City of Naples v in 2014 for a while, but was lured away by a previous client who owns a resort in the Caribbean, so he triedle that out for a while. He worked as a building official in a couple of other jurisdictions and when the opportunity to return to Naples came up, he couldn't pass it up. He looks forward to working with everyone in E the future. z c� During questioning by board members, he provided additional details: Q • He worked as a certified general contractor and certified building contractor. • He worked mostly in residential, multifamily and remodeling. • He's from Cleveland. • He began working as the city's building official on January 23. • As a contractor, he learned a lot from Code Enforcement officials. Pa Packet Pg. 6 4.A.1 March 13, 2023 • He looks forward to the opportunity to help others, just as good inspectors helped him. • His new job is a great opportunity to work with the public and contractors. Supervisor Crotts provided a report on House Bill 735, which passed last year. • The bill preempts many county -issued local licenses; 31 are scheduled to go away July 1st. • 13 are still being reviewed by staff and the rest will stay. • Last week, two Senate bills and two House bills worked their way up to reverse those licenses going away, but there are still 14 licenses in this bill that will go away if this bill passes. • One of the House bills would go into effect on July I It and will supersede House Bill 735. • Some licenses that would go away are painting, flooring, cabinetry, interior remodel where there is no structural component; decorative stone; tile and marble; terrazzo; plastering; pressure -washing; stucco and caulking; canvas awning; and ornamental iron installation. • We wanted to give the board a heads -up that the bills are going through a review process and one has been filed. • We will keep the board apprised as they move closer to passing. • If the bills pass, it may affect staff recommendations for probationary periods moving forward. Board Member Jerulle asked how many were going away, 31, and now it's 14? Supervisor Crotts said 31 licenses were going away and 13 were questionable, but 14 will go away under the Senate and House Bills pending now. [A discussion about the bills ensued and the Legislative session.] Attorney Kerins provided clarification: • Two house bills and two Senate bills are working their way through; all were filed last week. r, • One made it to the first reading of the subcommittees that review these bills. cm • They then have to work their way through, depending on the number of votes and edits needed. • There is talk at the state level that will allow Collier to retain some of power over specialty licenses. • The original part of 735 remains, with the removal of cabinetry, painting and those types of licenses. ii • It clarifies on all four that structural components would be preempted if it's home remodeling, so you M would not need a license if you're doing home remodeling without a structural component. M • All the bills add that you don't need a license for pressure -washing. • All four also note that if no license is required at the local level, then you do not need to pull a permit, ,n so it preempts building departments from requiring permits. • This would become problematic with fencing and others where the county requires permits. • The rest of the bills — one Senate bill and one House — establish that the CILB shall establish additional m specialty licenses that deal with aluminum, glass and glazing garage doors and much of the marine J work that was previously going to be preempted. d • That still takes away the county's power, but it adds that it will be regulated at the state level. • The last House bill also adds that if you're bidding on a government job and a license isn't required for that work in the private sector, then it's not needed at the public level. E • It's all still in flux, so we recommend proceeding as if these licenses were staying. 0 • The House and Senate are taking a second look at the issues that we've been discussing for the past 172 Q years. Board Member Jerulle noted that Bill 735 passed and is a law and these bills may or may not change that? Attorney Kerins said yes. 7. REPORTS: Packet Pg. 7 4.A.1 March 13, 2023 None 8. NEW BUSINESS: A. Orders of the Board [10 items] Board Member Joslin made a motion to authorize the Chairman to sign the Orders of the Board. Second by Board Member Jerulle. The motion passed unanimously, 5-0. The Orders of the Board were approved. B. Adrian Floarea — Royalty Marble and Tile LLC Tile & Marble Contractor — Review of Experience Acting Chairman Jaron called Mr. Floarea to the podium, and he was sworn in. Supervisor Crotts reported that Mr. Floarea has submitted an application for the issuance of a local license for a Tile & Marble Contractor, which requires 24 months of experience. As part of the application process, Mr. Floarea was required to submit documentation outlining his experience. He submitted a brief summary of his experience that shows that he has experience in electrical contracting, but his ability to show his experience with tile and marble is limited. Mr. Floarea documented that he received a certificate as a Certified Tile Installer in September 2022 and provided IRS documents for 2020 and 2021 showing the business name of Royalty Marble & Tile. This does not represent the required experience. Based upon the information received, it is staff's opinion that Mr. Floarea does not meet the minimum requirements as set forth an Ordinance 2006-46 as it relates to the experience under Section 1.6.3.45, as a Tile • Marble Contractor. Because Mr. Floarea does not meet the qualifications needed for the issuance of the Tile & Marble Contractor License, Mr. Floarea is being referred to the Board under 2.5.2, Referral of the Application to the Contractors' Licensing Board for a Decision. Mr. Floarea is here today to answer your questions. Acting Chairman Jaron asked Mr. Floarea to provide information on his background in tile and marble. During questioning by the Board, Mr. Floarea outlined the following: • He started in 2002 and opened his own company in 2012 and worked in Michigan. • He's been working in the industry for 20 years. • He worked for builders and two remodeling companies. • He could provide them with more information about his background. • He didn't submit more because he was told he just had to submit two references and a resume. m • He made a lot of money doing the work; IRS documents show that. v • A license wasn't required for this type of work in Michigan. • He and his father did tile work for builders and made a lot of income. c m Board Member Jerulle asked Supervisor Crotts if he should withdraw his application. z Supervisor Crofts said staff can speak with Mr. Floarea and show him what documentation is needed. If he can prove he has the experience, he won't be required to go before the CLB. We can postpone this until April Q and then if he gets the information to me, then we'll withdraw it and the application will go through. If he does not provide the information, then we'll bring it back to the CLB in April for a review. Board Member Joslin asked if this is one of the licenses that will go away in July. Supervisor Crofts said it was. 4 Packet Pg. 8 4.A.1 March 13, 2023 Acting Chairman Jaron explained to him that his license may not be required after July. Mr. Floarea said he understood but still wants it. Mr. Floarea agreed to supply staff with the required information and to postpone the matter until the April meeting. Supervisor Crofts said they would continue this matter until April, but the license will be issued if he supplies documentation before that. C. Keaton C. A. Stewart — All Shutters Pro LLC Hurricane Shutters/Awning Contractor — Review of Experience [Continued, respondent did not show up.] D. Ross J. Littlefield — I.W.F. LLC Insulation Contractor (Building) — Review of Experience Acting Chairman Jaron called Mr. Littlefield to the podium, and he was sworn in. Acting Chairman Jaron noted that there was some information provided to board members later Supervisor Crots reported that Mr. Littlefield is here today for issuance of an Insulation Contractor License for Buildings, which requires 24 months of experience and a minimum credit score of 660. As part of the application process under County Ordinance 2006-46, Section 2.3.9, Mr. Littlefield was required to submit a personal and business credit report. His personal credit report was reviewed and appears not to meet the financial responsibility as set forth in Section 2.5.1(d), "The applicant or qualifier meets the requirement for financial responsibility as set forth in Rule 61 G4-15.006 of the State of Florida. A review of the personal credit submitted by Mr. Littlefield shows the following areas of concern: • Mr. Littlefield's credit shows a score of 598, with a minimum of 660 required. • An unpaid past due account of $1, 533 from Capital One, a charge -off dated February 2022. • $1,117, from CCS First National Bank, a charge -off dated January 2022. • $1,212 from First Premier Bank, a charge -off dated September 2021. • $1, 698 from FSB Blaze, a charge -off dated January 2022. • $3, 969 from Landmark Financial Services, a charge -off dated March 2022. • Total charge -off amount. $9,529 The following are under collections: m • $1,184 from Continental Financial Services, dated January 2022 v • $1,179 from LVNV Funding LLC, dated March 2022 • $1,154 from CKS Prime Investments, dated January 2022 r c • $1,513 from Midland Credit Management, dated on March 2022 • $3,199 from the National Credit Adjustment, dated December 2022 • Total in collections: $8,229 1° • The total in charge -offs and collections: $17,758 Q As part of the application process for the issuance of a Building Insulation Contractor License, Mr. Littlefield was required to provide documentation showing his experience. As part of the staff -review process, Mr. Littlefield submitted letters from contractors or coworkers. None of these letters from former or current employers outline his experience. Mr. Littlefield also submitted a local tax receipt from Orange County. However, this tax receipt does not show the trade Mr. Littlefield holds the license for and staff was Packet Pg. 9 4.A.1 March 13, 2023 unable to obtain information from Orange County. Under application issues, under Ordinance 2006-46, 2.3.12 qualifier information G, H and I, staff has been made aware of issues regarding the above sections and asked that the Board review submitted documents transmitted to the Board. In a one-way communication on March 10, 2023, staff confirmed that the applicant has been arrested for crimes and was ordered to pay $2.7 million in restitution in ,$800 monthly payments. Unfortunately, because this information was received at the last minute, staff was unable to confirm if payments are current. There's also information from Orange County courts that shows Mr. Littlefield was found guilty and was sentenced to 48 months in prison and ordered to pay restitution. There's also an order from Osceola County, where Mr. Littlefield also was found guilty. Part of the order involved a supervisory fine and an order that the defendant cannot engage in any fiduciary relationship with any person 55 years or older, except for family. He also was found guilty of money laundering in the Orlando Division of U.S. District Court. Acting Chairman Jaron asked for more information about the 55 years and older terms. Supervisor Crofts said as part of the court order, Mr. Littlefield cannot engage in any fiduciary relationship with any person 55 years of age or older, except for family, and cannot enter into any contracts with anybody 55 years older, except family. Based upon the information received, it is staff's opinion that Mr. Littlefield does not meet the minimum requirements as set forth in Ordinance 2006-46, as it relates to experience under Section 1.6.3.23(b), as it relates to Insulation Contractor for Buildings and that Mr. Littlefield does not meet the financial responsibility under Section 2.5.1(d). Mr. Littlefield is being referred to the Board under Section 2.5.2, Referral of the Application to the Contractors' Licensing Board for a Decision. Investigator Mike Bogert was able to speak to Mr. Littlefield last week and the information he received may be important. Investigator Bogert said he was asked to reach out to applicants on the agenda, including Mr. Littlefield, M to see if they would be attending. Mr. Littlefield verified he would be present today for his review of N M experience and credit. When he was advised that the county discovered more information during the r application process and that he had been criminally charged within the last 10 years. He acknowledged that N and said he would be comfortable discussing this in public during his review. Further dialogue about the application process showed he had a court -ordered $800 monthly obligation for restitution on the criminal c charges. He stated that restitution would be satisfied when roughly $2.7 million was paid in full. I did not confirm if he was in arrears. He confirmed he would be continuing with the application process and would v be present today. d Acting Chairman Jaron thanked him for coming and asked him to provide some background about those issues. E z During questioning, Mr. Littlefield told the Board: �9 • Two Orlando general contractors that are doing business in Collier County building five or six a buildings. They asked him to come here to work for them on those buildings. • He has no interest in opening a business or soliciting business in Collier County. • The GCs are building national chain restaurants, a Cheddars, Olive Garden and a Lone Star. • He works for those contractors in 17 states and has been doing their business for over 20 years. • When he came to Florida in 1992, he worked for Gale Insulation for 14 years. G9 Packet Pg. 10 4.A.1 March 13, 2023 • He was Gale's national commercial manager until 2002, when Masco Contractor Services bought them. • In 2002, he was put on Masco's acquisition team and bought and sold companies for four years. • His wife was going through law school and opened a law office in Osceola County. • The criminal charges stem from her business. She opened a non-profit trust and an advisor from Clearwater told her she needed someone not biased toward her law firm to be on the board of the trust, so he (Mr. Littlefield) agreed to be on the board of the trust. • He was still working for Masco and his wife ran the trust in his absence for two or three years and got into issues with the IRS. • The money laundering involves his wife moving money from the trust to her law firm to fund her personal -injury clients. • He's been doing construction for 35 years and worked for the National Historic Trust in Washington, DC, for 10 years, and in construction management for a large hospital there. • It wasn't a good scenario for four years and he's paying for it. • He's done multiple projects all over Orlando, about 50% of Universal Studios, all of Animal Kingdom, most of MGM studios, the Ritz -Carlton, the Marriott's Gaylord Palms Resort and the Orange County Convention Center, among others. • Since the legal fiasco, he went to work for an Orlando construction company that's building a hotel and was the construction manager until COVID hit. • The construction firm applied for the federal [Paycheck Protection Program] but was denied and everyone was reduced to a 50% reduced wage rate. • That led to him getting into trouble with some credit cards, but 14 are current with a zero balance. • He's been paying off the credit cards a little at a time as money comes in. • His interest in getting a Collier County license was not to open a business, visit or solicit business here. It's only to work for the two GCs and earn less than $100,000 for seven jobs. Board Member Jerulle noted that he was convicted in October 2013, which is less than 10 years ago. His application asked if he'd ever been convicted and he said no. Mr. Littlefield said that probably was a mistake because he did the application by himself and it was a lot of paperwork. He was trying to figure out whether they were asking if he was applying for a General Contractors License or another. He couldn't get a lot of answers from the county about where and how he should apply. Board Member Jerulle said the question is straightforward. Mr. Littlefield apologized and said he missed that. The original charge was 2010 and federal prosecutors charged him in 2013 for the same case. A discussion on the charges ensued and the following points were made: • There were two cases, one in Osceola County and then the feds charged him three years later for v the same criminal case. • He admitted there was a third charge between those cases. He was working for a company and was wrongfully ordering materials. E • He can't work around people 55 years or older when money is involved or write contracts. • The court order may not restrain him from construction contracts. • The question about being convicted within 10 years covers all convictions, even if they stem from a an act that took place more than 10 years earlier. • The court order is specific to fiduciary relationships and financial matters. • The county would not have automatically denied the application if he'd admitted he was convicted of something in the past 10 years but staff would have researched that further. • The county received the criminal information a few days ago and they need to research it further. 7 Packet Pg. 11 4.A.1 March 13, 2023 Supervisor Crotts noted that he's not opening a business or looking for work outside of these general contractors. He could become an employee of the two general contractors and work under their licenses and do the installation as a W2 employee. No license will be required because that would be covered under the general contractor's license. Mr. Littlefield confirmed that and said he doesn't call in any inspections. His work is very specialized. The only reason he's applying for a Collier County license is that the contractors couldn't find anyone else to do that work. Board Member Joslin asked why he couldn't work for them as an employee on their payroll. Mr. Littlefield said that's hard to do with companies because he owns his own company and then be on the payroll for somebody else and the dollar value is minimal. Some of these jobs are $8,000. It doesn't make financial sense for them to go through $1,000 in payroll expense for $8,000 in value when roughly 50% of that is materials. It's about 50% to 50% in value laborwise. If the Board wants to restrict a license to those five or six jobs, he would be fine with that. Board Member Nolton said he's not inclined to approve it due to his credit score and the incorrect answer on his application. Acting Chairman Jaron said it seems like a lot of trouble to go through for a handful of jobs. There are many insulation contractors here so he doesn't know when his GC began searching for someone. Things are changing in construction, lead times are shortening, prices are peaking in some areas, so it doesn't seem like a lot of money for you to come all the way down here. Somebody needs to come up with a motion. We have enough information to make a decision. Board Member Joslin asked Supervisor Crotts if staff had a recommendation. Supervisor Crotts said staff recommends that the license not be granted. Restricting the license would be difficult to enforce because we would not have any capability to make any determinations on any contracts the applicant may be entering into. Board Member Nolton made a motion to deny a waiver of experience and credit for Ross J. Littlefield's Insulation Contractor's License. Second by Board Member Joslin. The motion passed unanimously, 5- 0. E. Yuniel Perez — Innova Construction Enterprises LLC Building Contractor -Registered — Review of Experience and Credit Acting Chairman Jaron called Mr. Perez to the podium, and he and his wife/translator were sworn in. Supervisor Crotts reported that Mr. Perez has submitted an application for the issuance of a local v registered license as a Building Contractor, which requires 48 months of experience and a minimum credit a score of 660. Under Collier County Ordinance 2006-46, Section 2.3.9, Mr. Perez was required to submit a Iq personal and business credit report. His personal credit report was reviewed and appears not to meet the financial responsibility as set forth in Section 2.5.1(d), "The applicant or qualifier meets the requirements E for financial responsibility as set forth in Rule 61 G4-15.006 of the state of Florida. " c� A review of Mr. Perez's personal credit report shows the following areas of concern: Q • The credit report score is 605; a minimum of 660 is required. • $6,338 in unpaid collections from Bank ofAmerica, reported in August 2022. • $1,519 in unpaid collections from Macy's, reported in August 2022. • $3,379 in unpaid collections from Suncoast Credit Union, reported in July 2022. • $10,948 in unpaid collections from Suncoast Credit Union, reported in August 2022. E:l Packet Pg. 12 4.A.1 March 13, 2023 • A total of $22,184 in collections is due. Mr. Perez was required to submit documentation showing his experience. As part of the staff -review process, Mr. Perez submitted the following Verifications of Experience from former employers outlining his experience: • Abbott Hill LLC, a state certified general contractor. The company owner said Mr. Perez worked for the company from September 2021 to August 2022, 11 months. Staff was unable to contact the owner to verify any experience. • Magna Construction Inc., a state -certified general contractor. The company president said Mr. Perez worked for the company from September 2022 to present, 29 months. In a phone interview, the company owner said Mr. Perez's experience involved residential construction only. No commercial building or condominium work was performed. • Perception Building Inc., a state -certified general contractor. The company president said Mr. Perez worked for the company from March 2018 to August 2020, 29 months. Staff was unable to reach the company president to verb any experience. Based on the information received, it is staffs opinion that Mr. Perez does not meet the minimum requirements as set forth in Ordinance 2006-46, as it relates to experience under Section 1.6.1.2, as a Building Contractor, and that he does not meet the financial responsibility under Ordinance 2006-46, Section 2.3.9. Because Mr. Perez does not meet the minimum experience required for credit and qualifications, Mr. Perez is being referred to the Board under Section 2.5.2, Referral of the Application to the Contractors' Licensing Board for a Decision. Mr. Perez is here today to answer your questions. Acting Chairman Jaron asked Mr. Perez to provide more details about his experience. During questioning, Mr. Perez told the Board. • He started working here 12 years ago and has been in the U.S. his entire life. • He does everything in homes with slabs. • He supervises and ensures everything passes inspections. • He had credit problems due to the pandemic, as well as after buying a home this year, when many bills and his mortgage had to be paid. • His credit was good before that, but after the pandemic it got bad. • He's working for Magna Construction now, building houses in Cape Coral. • He supervises 20 workers and they build from the ground up. • He has no commercial or condo experience. • He builds cabinets for Abbott and single-family homes for Magna and did that for Perception. • He started working in 2002, all in the U.S., in Collier County, Marco Island and Lee County. • He plans to continue paying down his debt by making payments little -by -little. " • He has proof that he's making payments and has made plans with creditors. r c Board Member Jerulle told him he should withdraw the application and submit an application as a residential builder and come up with a plan on how to pay down his credit and contact creditors to work out payment plans and bring that to show county staff. He'd be more inclined to give him a residential license. We don't have enough information for a decision. a Acting Chairman Jaron told him his experience is in residential, with single-family homes. He should resubmit for a residential contractor license and provide a credit plan to show how he will pay down his debt. Board Member Hunt told him he should withdraw the application and provide documented proof to show M Packet Pg. 13 4.A.1 March 13, 2023 he's working to pay off his creditors. Once he does that, they would be more open to approving his application. [Ms. Perez asked questions about what to do and then told her husband in Spanish.] Acting Chairman Jaron asked if he would agree to withdraw the application. Mr. Perez said he would. He withdrew his application. Acting Chairman Jaron told him to speak to the county staff about what he should do. Board Member Joslin told him they need more information from him. F. Gregory L. Walker — Greg Walker Fence LLC (dormant license) Fence Contractor — Review of Credit Acting Chairman Jaron called Mr. Walker to the podium, and he was sworn in. Supervisor Crotts reported that Mr. Walker has submitted an application to go from dormant to active for the issuance of a specialty license of Fence -Installation Contractor, which requires a minimum 660 credit score. Under Collier County Ordinance 2006-46, Section 2.3.9, Mr. Walker was required to submit a personal credit report, which was reviewed and appears not to meet the financial responsibility in Section 2.5.1(d), "The applicant or qualifier meets the requirement of financial responsibility as set forth in Rule 61 G4-15.006 in the state of Florida. " A review of the credit report shows the following area of concern: • A credit score of 611, dated February 2023; the minimum required by rule is 660. Because Mr. Walker does not meet the minimum credit score by ordinance, he has been referred to the Board under Section 2.5.2, Referral of the Application to the Contractors' Licensing Board for a Decision. The credit report did not show any collections or any past due amounts. Acting Chairman Jaron asked Mr. Walker to provide some background information on his experience and credit history. [A discussion about the dormant status and his credit ensued.] Mr. Walker detailed his credit for the Board. • He's been in the fence industry since 1984 and started his own business in 2007. • In 2021, he and his wife decided to move to Tennessee, but it didn't work, so they moved to Ocala S because they didn't want to return to Collier County. m • After living with his mother-in-law, they ended up moving back to Collier, but he's been out of v work for the past year due to health reasons and he couldn't find a job in Tennessee. d • That's why his credit is less than required. r • He applied for jobs everywhere, but fencing is all he knows. He dropped out of high school and put his credentials on dormant status because he wasn't sure if they were going to return to Collier. z • He's working on his credit now and borrowed money to pay off his truck payments to get them current. It was mostly credit cards, truck payments and hospital bills hurting him. Q • When he arrived in Tennessee, his family got COVID so he lost the job he'd lined up. Board Member Jerulle asked how long he needed to get his credit score back up. Mr. Walker said a couple of months. He needs to get back to work. Board Member Hunt asked if they could give him a probationary license. Packet Pg. 14 4.A.1 March 13, 2023 Supervisor Crotts recommended 12 months of probation and if his credit improves within six months with no issues, the probation will be lifted. If not, probation would continue another six months. If his credit is still not improved to 660 and above in 12 months, he will come back before the CLB. Board Member Jerulle asked if he understood. Mr. Walker said he understood Board Member Jerulle said he'd be willing to give him a license subject to those terms and conditions. Mr. Walker said he understood. Board Member Joslin noted that it would be a probationary license. Board Member Jerulle made a motion to put Gregory Walker's license on 12 months of probation and if his credit improves within six months with no issues, the probation will be lifted. If not, probation would continue another six months and if not improved by within months, he will be required to come back before the CLB. Second by Board Member Joslin. The motion passed unanimously, 5-0. [The Board took a breakfrom 10: 06 a.m. to 10:22 a.m.] G. Michael A. Guerra — First Choice Pool Service LLC Swimming Pool/Spa Servicing Contractor — Second -Entity Application [Moved to the April 19, 2023, meeting at the applicant's request.] 9. OLD BUSINESS: A. Andrew Martinez — ADS Landscaping & Irrigation Systems LLC Second -Entity Application — Financial Responsibility Contract Review Acting Chairman Jaron called Mr. Martinez to the podium and he was sworn in. Supervisor Crotts reported that Mr. Martinez submitted a second -entity application for the trade of Landscaping Contractor and Irrigation Contractor on January 18, 2023. As part of the Board order, a 60- day probationary license was granted. Prior to the expiration of the probationary period, the applicant was required to appear before the Board to provide a copy of the contract with the second entity and provide proof that the applicant has financial responsibility and financial oversight of the second entity. A copy of this order has been attached for the Board's review. Mr. Martinez, who has an attorney, has submitted a copy of the proposed additional contract that gives Mr. Martinez financial oversight, as required by the Board. The Board has an unsigned copy, but Mr. Martinez supplied a signed document this morning and he'll enter that into evidence. a [A discussion ensued over the signed copy, which was on page 403. The Board then reviewed it.] r c m A discussion ensued and the following points were made: E • The document makes him financially responsible. • He can look at the books quarterly. a • Acting Chairman Jaron advised him to look at them more than quarterly to protect himself and his license, possibly review them weekly. • Mr. Martinez said he has access online through QuickBooks. Acting Chairman Jaron asked what staff s recommendation was. Supervisor Crotts said that if the Board feels the contract is sufficient, the probationary period should be 11 Packet Pg. 15 4.A.1 March 13, 2023 removed. Board Member Nolton asked Attorney Noell if it met the requirement. Attorney Noell said it appears to fit what the Board asked for and it does provide financial oversight. Board Member Nolton made a motion to remove the probationary period. Board Member Joslin seconded it, but said he wished Mr. Martinez had check -writing capabilities. Board Member Hunt said she only sees a right to inspect. Was she missing something? [A discussion ensued over whether it meets the requirements.] Attorney Noell said the key is in paragraph 2 of the agreement toward the end, where it says the qualifier is to assure financial oversight, as required, and it specifically cites Section 489, which more specifically lays out the financial responsibility that the qualifier would have under that statute. By citing that statute, it incorporates it by reference. Board Member Jerulle told Mr. Martinez that if his partner or owner doesn't do something correctly or does it illegally, you're going to withdraw your qualification. That's your only recourse. Board Member Nolton made a motion to lift the probation on Andrew Martinez's Landscaping and Irrigation Contractor licenses. Second by Board Member Joslin. The motion passed unanimously, 5-0. 10. PUBLIC HEARINGS: A. 2023-01— Charles C. Willey, dba Asphalt Maintenance & Sealcoat Inc. (CEMIS20220011243) Acting Chairman Jaron called Mr. Willey to the podium and he, homeowner Scott Angelico, contractor Raymond Rhoden and Investigator Bogert were sworn in. Acting Chairman Jaron made a motion to open the public hearing for 2023-01. Second by Board Member Joslin. The motion passed unanimously, 5-0. The public hearing was opened. Investigator Bogert 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 2023-01 into evidence. Board Member Jerulle made a motion to accept the Preamble and Case Packet for 2023-01 into evidence as County Exhibit A. Second by Board Member Nolton. The motion passed unanimously, 5-0. The Preamble and Case Packet were entered into evidence. Investigator Bogert gave an opening statement. The respondent, Charles Willey, a Collier County licensed paving contractor with Issuance No. 35453, is the Iq qualifier for and owner of Asphalt Maintenance & Sealcoat Inc., a Collier County Contractors' Licensing Board -approved second entity. Mr. Willey contracted for and performed the scope of work for an asphalt E driveway installation at 1870 Angela Rd. The asphalt driveway installation, done by Asphalt Maintenance & Sealcoat Inc., does not meet generally acceptable standards for Collier County because it was not properly compacted and/or because the base underneath was not graded properly. Asphalt material degradation also a is evident with weed growth and distress in the asphalt pavement within a month of the install. Mr. Willey is in violation of Collier County Code of Ordinances, Section 22-201.10, which states, in pertinent part, that it is misconduct for a holder of a Collier County Certificate of Competency to fail to promptly correct faulty workmanship or promptly replace faulty materials installed contrary to the provisions of construction. Faulty workmanship means work that is not commenced, not continued or not completed in 12 Packet Pg. 16 March 13, 2023 accordance with all specifications of the applicable written agreement. Faulty workmanship includes any material flaws in the quantity and/or quality of the unfinished or finished work product, including any item that does not function properly as part of the entire project. If there is no written agreement provision regarding the specific faulty workmanship issue, faulty workmanship exists if the work process product, or part thereof, does not meet generally accepted standards in Collier County in relation to the entire project. Faulty workmanship does not include matters of aesthetics unless the aesthetically related item clearly violates a written contract specification directly related thereto. Acting Chairman Jaron asked Mr. Willey to explain his side through a brief opening statement. Mr. Willey told the Board. • They did a job at 1870 Angela Rd. for a homeowner. • We had a proposal for him, but he wouldn't sign the agreement and never gave us a deposit. • He hesitated to even do the job because the homeowner wasn't going to pay. • The homeowner was supplying his own base rock, so that was underneath the asphalt, which means it's structural. • He can provide a statement from Q. Grady Minor & Associates and FDOT to support his account. • Whatever Collier County standards are, the rock that's underneath it is not correct base rock. • We did not buy it. It's not DOT -specified and we had no testing for it. • Base rock typically has weeds within as little as two weeks. • All these conditions weren't met and the homeowner was aware of all of them. • Another contractor gave the homeowner an estimate and told him similar things, and the documentation from GradyMinor that shows this. It's a structural thing. If the base isn't good, it's not going to roll out and will leave imprints, etc. A discussion ensued and the following points were made: • He wrote up a contract for his son, but the homeowner would never sign it or agree to anything. • My company supplied all the material and that's why he put a lien on it. • The base was contaminated and had clay and other problems. • No money was exchanged. • Mr. Willey's company offered to bring in base rock from the Bonita Grande, but the homeowner didn't want it. • The base rock that was there was just crushed No. 57 stone. • You can roll it when it has creases in it, but it's not good. That means the asphalt that lays on it won't 5 be right. 2 • The base rock underneath is important, and the GradyMinor documentation shows that. He didn't v follow Collier County standards. d Investigator Bogertpresented the county's case: On October 28, 2022, the Collier County Licensing Department received a complaint from homeowner Scott E Angelico regarding workmanship issues related to the installation of an asphalt driveway at 1870 Angela Road, Naples. Upon investigation, it was discovered on October 21, 2022, that Asphalt Maintenance & 1° Sealcoating Inc. entered into a verbal contract with property owner Scott Angelico for a new asphalt a driveway. The agreed upon amount was $12, 000 with no initial deposit required. No payment has been made by the property owner. On December 1, 2022, I performed a site visit and observed a newly paved asphalt driveway with large water spots, divets, vegetation growth and material degradation. On December 3, 2022, the complainant started to receive proposals for corrective work, the first of which was from C&MAsphalt Paving of Southwest Florida, 13 Packet Pg. 17 March 13, 2023 a Collier County licensedpaving contractor. They ascertained they would have to remove all existing asphalt, an approximately 8, 050-square foot area, and regrade it to mitigate high points and low water -retention areas. On December 3, a secondary quote was received from certified general contractor M&M Site Development And Land Clearing for similar work to remove and replace asphalt due to the base underneath not being graded correctly. On December 7, the complainant received a third and final quote from certified building contractor Bonnes Inc. to remove and replace all asphalt in the driveway and under the carport due to the appearance of sub -base failure. The homeowner is in attendance and I would like him to give an account of when he was hiring the contractor, the day of installation and proceedings afterwards. Attorney Noell asked Mr. Willey if he had any questions for Mr. Bogert. Mr. Willey asked if the homeowner told him about the water line that runs three inches underneath the pavement, underneath the underlying driveway, which we hit. Investigator Bogert said it was mentioned but there was nothing of technical relevance he'd understand. The homeowner, Scott Angelo, provided his account of what occurred. • Around October 20, he contacted Tyrone, Mr. Willey's son, about doing some work on his property for some asphalt. O • Tyrone measured it and we came up with a determination that it would be $12,000. a • I had a big pile of base rock in front of my house. a • When Tryone came, I already had No. 57 stone on my driveway where they were going to pave. Tyrone said we can pull that out of here and pile it up wherever you like and determine whatever is underneath there, we'll add the No. 57. N • We'll take the double -crushed base rock that you have out there, we'll dress it up, use that and N compact it and it should be pretty good. If not, we have a load that we'll get from Bonita. That was included in the $12,000 and I agreed. c • I asked if he had a contract for me and he said he'd get it to me, but they're really busy with two jobs but would try to start within the next couple of days. N • I wasn't home the day they started and when I returned, they were piling all the base rock into M T another part of the driveway. A • They took all the old out and they were using the base rock that was piled up outside the fence to dress up the areas. c • They left a lot of No. 57 stone along the edge and other contractors said they should not have left that around the edges. m • When they were working underneath my carport, everything was sinking and there was water c� retention. It was too wet and they said it would cave in. • Tyrone said he was going to call his dad to see what he thought. His father had a couple of guys with blowtorches walking back and forth and blowtorching the base rock to try to dry it out so they could pave it. z • They ran their roller over it and could see the lines it left in the base rock. As long as there were still heavy line indentations, they weren't going to be able to pave it, so they continued to heat it for two a or three hours, until he said it was dry enough and you could walk on it and see footprints. • They paved it and he said it would be fine because once asphalt is down, they'd put a layer of asphalt on top. He said they'd wait an hour before putting fresh asphalt on top to help draw the moisture out of the base rock. • While they were paving, they were throwing sand everywhere as soon as they rolled it and Tyrone said it was for tire imperfections. 14 Packet Pg. 18 4.A.1 March 13, 2023 • I could see indentations in the asphalt and was concerned, but he said they'd fix that by getting a blowtorch and heating the asphalt, tamping it down and running a roller over it. Even if it's tomorrow, he said they'd do that. • That's when they hit the right side of that driveway. They were grading and putting down more base rock and compacting it, when they hit a line with the Bobcat. I didn't know the line was there. • Tyrone called to say water was gushing out of the driveway and they had to stop paving that area and they'd move to a different area. I told him where the water shut-off was and he shut it off. • He asked me to get some hydraulic cement, about $40 a bag, to stop the leak, but I said I'd rather cap it and be done with it. It was an old irrigation line. • I got PVC pipe from my neighbor and then we glued it and poured hydraulic cement over the top, in case water leaked. • They came back the next day and put more base rock over top, rolled it, packed it down, and continued to pave that area. • The next day, after they finished, it had just rained and there were huge puddles everywhere. • I contacted Tyrone via text message and asked him to fix it, saying I would not pay him until it was fixed. He said they'd come tomorrow morning. • They needed to use a roller and wanted to open the garage door, but I didn't want then to use a roller on my garage floor, but he said his guys were smarter than that. • I went inside, got some tea and then saw his workers backing in and out of the garage with their roller vibrating and chipping the concrete off. I told him stop. He said they'd take care of that because he had a guy who does epoxy floors. I told him I had my own guy. • I presented him with an estimate of $6,500 to repair the garage floor and he texted that he wasn't repairing that because they didn't go on the full garage floor. I told him they cracked it and tore up five feet of my garage floor and that the epoxy color couldn't be matched so it has to be redone. • He texted, swore at me and called me names and said they'd put a lien on my house. • I told him his father and his crew could finish the work, but Tryone wasn't welcome on my property. • That's when I contacted the county. Within four days, there were weeds growing through the driveway and within 45 days, it looked like someone had patches on it. • It was a bad experience. During questioning by the Board and Mr. Willey, the following points were made: • There were pieces of concrete that came off the garage floor and there were half -inch gouge marks four feet into the garage. • They put epoxy in front of the garage to try to fix it. • Mr. Willey denied vibrating a roller in the garage or vibrating, but said the homeowner gave permission to go in the garage because they couldn't finish the work without going inside. • The water line was 2'/2 inches under the base. • Mr. Willey told him to purchase a bucket of hydraulic cement that would add extra stability to the d area. That area is the strongest. c Mr. Willey testified that. E • The original proposal was $12,000, but the homeowner said he'd supply the base rock. I told him if we used that we couldn't guarantee anything because the base rock could be contaminated. I didn't know where it came from. Q • There were about three loads of base rock. We graded it and rolled it. • There was a wet area that was dried up by the time we paved it. We put a layer of black top over it. • The homeowner was having a Halloween party four days later, so we put sand down so they could have friction. • If someone else provides base rock, we can't guarantee the work. 15 Packet Pg. 19 March 13, 2023 • That's what Collier County standards say. Reports from GradyMinor say this and Collier County Section 200 covers contaminated base rock. It's a structural thing. You can put all the asphalt you want on it, but it won't make a difference. During questioning, the following points were made: • His company didn't bring in any additional base rock. • Mr. Willey had a contract with his son because Mr. Willey purchased the materials and dropped them off. • No Notice of Commencement was filed. • The company is owned by the son, Tyrone Willey, and Charles Willey is the qualifier. • Mr. Willey would only use base rock provided by a known source, not a homeowner. • It takes an hour to get to the property, so they went ahead with the work. • Mr. Angelico had already purchased the base rock. • Mr. Angelico did not receive an insurance certificate from the contractor or a contract, but he came highly recommended so he hired the company. Raymond Rhoden was questioned and testified that: • He provided the homeowner with an estimate after the work was done. • Everything needed to be removed and replaced. The base rock was contaminated and wouldn't work. • He should have brought new base rock in. • It was sitting there and could have been contaminated. • He's been doing this work for 25 years. • He would never have put asphalt over that base rock. • Once base rock is contaminated, it's no good. During questioning by the Board and others, the following points were made: • Mr. Angelico didn't know the base rock was contaminated. He thought it wasn't graded properly. • You can't warranty it if the homeowner's base rock is used. • Once a job is accepted, the contractor and homeowner accept responsibility. • The contaminated base rock should have been mentioned in the contract. • Rhoden provides his contracts by email so he has proof. • Mr. Willey said he provided the homeowner with paperwork, but the homeowner had only $12,000 to spend. • Charles Willey provided a contract to his son and asked him to ensure that the homeowner signed it. • The homeowner testified he never signed a contract or saw one and said he was told not to worry about a deposit; Mr. Willey contradicted that. • Mr. Willey has a standard contract for customers. v • A proposal was provided, not a contract. The two aren't the same. < • His son provided the contract to Mr. Angelico, but he wouldn't sign it. c m Attorney Noell advised the Board that they could accept or reject any testimony and it was up to their z discretion how much weight they placed on each person's testimony. 0 a A discussion ensued and the following points were made: • If base rock from Bonita Grande were brought in, it would have cost $2,000-$3,000 more. • A permit was not required for this work. Base rock should be 4-6 inches deep and some didn't reach that; DOT recommends 6 inches. Board Member Nolton believed this was more a legal and aesthetics issue, not a CLB issue. A homeowner and contractor should never allow work without a contract. fG9 Packet Pg. 20 4.A.1 March 13, 2023 • There's a verbal contract, but it's disputed by both sides. • The county submitted three documents. Acting Chairman Jaron made a motion to accept the three documents entered as evidence by the county. Second by Board Member Joslin. The motion passed, 4-1; Board Member Hunt voted nay. During questioning of Mr. Willey by staff and the Board, the following points were made: • He didn't bring Tyrone today because Charles Willey is the qualifier for the company. • He called the county on Thursday to ask about that, but never heard back; Supervisor Crotts was out sick. • No money was exchanged for the work but Mr. Willey lost money due to materials and labor. • Additional costs are required for demolition. • Mr. Willey said he handed the contract to Mr. Angelico, so he got one, but didn't sign it. • Mr. Willey told him there was no guarantee if the homeowner's base rock was used. • The garage wasn't damaged. The roller went in 5-feet, 36 inches. The floor was not torn up. Acting Chairman Jaron asked if this was really a licensing case. Attorney Noell said it was and that's how the county charged it. He advised theirs to close the hearing and deliberate. A discussion ensued and the following points were made: • Count 1 says the work does not meet general standards; Mr. Willey disputed that. • If the homeowner's base rock was used, it does not meet county standards. It was contaminated and there wasn't enough base rock. • The base rock should have been 6 inches thick. • Tyrone Willey signed the contract, not the homeowner. Board Member Joslin made a motion to close the public hearing for 2023-01. Second by Acting Chairman Jaron. The motion passed unanimously, 5-0. Attorney Noell advised the Board that they can deliberate, issue a finding of guilt and order any other actions they deem appropriate. A discussion ensued and the following points were made:' • This seems more like a legal issue. c • We have no specifics on the work, such as compaction and grading. • The other three bids mention nothing about removing the base, just the asphalt. m • By Mr. Willey's own admission, it didn't meet county standards. v d Board Member Jerulle made a motion to find Charles Willey guilty of Count 1, misconduct. Second byAw Board Member Hunt. The motion passed unanimously, 3-2; Board Members Joslin and Nolton voted nay. z 0 Attorney Noell advised the Board to move to the penalty and sanctions phase. Acting Chairman Jaron read the options into the record. Q Attorney Noell advised the CLB to take into account the gravity, any impact on the public health and any past violations. A discussion ensued and the following points were made: • There were no costs to the county. 17 Packet Pg. 21 4.A.1 March 13, 2023 Mr. Willey has been before the CLB before as a qualifier, was found guilty, fined and his license was revoked. • Mr. Willey paid the fine but didn't apply to get his paving license back. • He holds a second -entity license. Supervisor Crotts said staff recommends ordering Mr. Willey to pay $6,000 to remove and repair the asphalt. It should be paid within 90 days and if not paid within that period, the license will be revoked. Because he's been before the CLB twice before, staff recommends a $4,000 fine and that he be placed on probation for 12 months. A discussion ensued and the following points were made: • Mr. Willey will be out $12,000, but the driveway is usable. • Board Member Hunt was not comfortable with $6,000 in restitution because there's not enough information to determine liability and it seems more like a civil matter. • No money was exchanged and the homeowner was enriched for something he didn't pay for. • Estimates to fix it say it would cost $6,000. • Why should the homeowner get anything if he didn't pay? • The homeowner needs to pay to fix what was done. • The quotes include a price for removal, $2,600 for removal and $2,000 to regrade the base. • Replacing the asphalt would be $17,340. • The homeowner is looking to be made whole by just removing what was done. • One of the estimates was $2,600. Acting Chairman Jaron made a motion to order Charles Willey to pay $4,600 in restitution and $2,000 in fines. Supervisor Crotts said that must be paid within 90 days and if not, the license would be revoked. Acting Chairman Jaron amended his motion to incorporate that recommendation. Board Member Jerulle seconded the motion. [The motion failed 2-3.] Board Member Hunt said she'd be fine with no restitution since the homeowner paid nothing and to fine Mr Willey $2,000 to be paid within 60 days or his license will be revoked. Board Member Nolton noted that the county doesn't need the $2,000 and he'd be more amenable to $2,000 in restitution. Board Member Hunt amended her motion to $2,000 in restitution, no fines and it must be paid within 90 mJ days and he'd also be placed on 12 months of probation. v Board Member Joslin seconded it. < Board Member Hunt noted that she wants to protect consumers but needs to weigh the evidence. Both sides c made mistakes and the work should never have been done. z A discussion ensued and the following points were made: • Consumers should be able to hire contractors they have faith in. a • No one should start work without a deposit or contract. • Work should not have begun if the base was not acceptable or warrantied. • The homeowner should have protected his rights more than he did. • The contract was verbal and implied because the homeowner allowed Mr. Willey on the property to do the work. 18 Packet Pg. 22 4.A.1 March 13, 2023 • The texts written by Tyrone Willey were despicable. • The father is responsible for his son because he's the qualifier. [The motion made by Board Member Hunt failed.] Board Member Jerulle made a motion to order Charles Willey to pay $2,600 in restitution in 90 days, pay a $2,000 fine in 60 days and to place Mr. Willey on 12 months of probation. Second by Acting Chairman Jaron. The motion passed 4-1; Board Member Nolton voted nay. Acting Chairman Jaron said they could move to the 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 Respondent is the license holder as set forth in the Administrative Complaint. • The Board has jurisdiction over the Respondent and subject matter raised in the Administrative Complaint. • The Respondent committed the violations set forth in Count 1 of the Administrative Complaint. Therefore, by a vote of 4-1, the Respondent is found guilty of the violation set forth in Count 1 of the Administrative Complaint, 2023-1 and the Board imposes the following sanctions against the respondent: • Restitution of $2,600 must be paid to the homeowner within 90 days or the license will be revoked. A $2,000 fine on Count 1 must be paid within 60 days or the license will be revoked. Probation will be imposed for 12 months. This concludes the order of the Board in this matter. Board Member Jerulle told Mr. Angelico to get a signed contract and proof of insurance the next time [The Board took a breakfrom 12:10 p.m. to 12:22 p.m.J B. 2023-04 — Adrian Topan, dba Napoca Enterprises Inc. (CEMIS20230000611) Acting Chairman Jaron called Mr. Topan to the podium and he and Investigator Governale were sworn in. Board Member Jerulle made a motion to open the public hearing for 2023-04. Second by Board Member < Joslin. The motion passed unanimously, 5-0. The public hearing was opened. c m Investigator Governale said a copy of the Preamble and Case Packet was presented, signed, initialed and z dated by the respondent. He asked to submit the Preamble and Case Packet for 2023-04 into evidence. a Board Member Joslin made a motion to accept the Preamble and Case Packet. Second by Board Member Jerulle. The motion passed unanimously, 5-0. The Case Packet was accepted into evidence. Investigator Governale gave an opening statement. The respondent, Adrian Topan, a Collier County licensed tile and marble contractor with Issuance No. 31505 is the qualifier for an owner of Napoca Enterprises Inc. Mr. Topan contracted with the property 19 Packet Pg. 23 4.A.1 March 13, 2023 owner to install drywall and engineered wood floors, baseboards, interior doors and casings at 5234 Seashell Ave. in the City of Naples, work that was outside the scope of his license and without a permit, when required. Mr. Topan is in violation of the Code of Laws and Ordinances of Collier County, Florida, Section 22-201, Paragraph 2, which states, in pertinent part, that it is misconduct for the holder of a Collier County Certificate of Competency to contract to do work outside the scope of their competency, as listed in their competency card and defined in the ordinance or is restricted by the Contractors' Licensing Board Section. 22-20118, which states, in pertinent part, that it is misconduct by a holder of a Collier County Certificate of Competency to proceed on a job without obtaining applicable permits or inspections from the City Building and/or Zoning Division or the County Building, Review and Permitting Department. Mr. Topan provided an opening statement: • He did a good job for the owners last year, when they remodeled their house and he did the wood floors. • After Hurricane Ian, he was contacted to redo the wood floors. • The owner explained that he needs to live in the property. They have another property up north and a certain amount of time needed to get a tax break. • He wanted the house fixed so he could live in it and in March, when his wife comes back down, he said I could pull permits to do the two bathrooms, and then the other bathrooms later. • We looked at the city regulations right after the hurricane and he works for Lamar Construction. We understood we didn't need a permit if it involves cosmetics below 4 feet. • He was not aware he needed a special license to do the drywall or baseboards. • He worked Creative Style and Abbey Carpet and no one ever asked him to get a license for a floor. During questioning by the Board, the following points were made: • The homeowner removed the drywall. • The code allowed everyone to take down drywall. • City and County regulations were different. • No permit was required for demo, just installation. • The homeowner was desperate to live there. • He had to install the drywall first and then the floor. Investigator Governale then presented the county's case:' On January 23, 2023, the Collier County Licensing Department received a complaint from the City of c Naples Building Department regarding unpermitted interior alteration work being performed at 5234 Seashell Ave., Naples. Upon investigation, it was discovered that on October 10, 2022, Napoca Enterprises m Inc. entered into a contract with the property owner to install new drywall, engineered wood floors, interior v doors, casings and baseboards. The total contracted amount was $26,200. Full payment was made on November 19, 2022, to Napoca Enterprises Inc. by the property owner with personal check No. 3016 r c m On January 23, 2023, while conducting a site visit, a review of the City of Naples Records revealed no z permits were applied for regarding interior alteration work. A Stop -Work Order was posted. On January 2 24, 2023, City of Naples Deputy Building Official Tom Tucker reviewed site photos and determined that a Q single-family addition alteration permit was required. [When asked, the respondent had no questions for the investigator.] A discussion ensued and the following points were made: • An owner -builder permit was issued to the homeowner. Oki] Packet Pg. 24 4.A.1 March 13, 2023 • Mr. Topan is currently working on the bathroom walls and shower tile. • His defense is that he was trying to help the homeowner and thought he was following the guidelines. • He comes from a country with no guidelines. • He admits guilt. Board Member Jerulle made a motion to close the public hearing. Second by Board Member Hunt. The motion passed unanimously, 5-0. The public hearing was closed. Board Member Nolton made a motion to find Adrian Topan guilty of both counts. Second by Board Member Jerulle. The motion passed unanimously, 5-0. Attorney Noell advised the Board of the sanctions that could be imposed. Supervisor Crotts said the county recommends a $1,500 fine on Count 1 to be paid within 60 days and a $1,000 fine on Count 2, to be paid within 60 days, and 12 months of probation. If the fines aren't paid within 60 days, his license will automatically be revoked. Acting Chairman Jaron accepted the county's recommendation and ordered a $1,500 fine on Count 1, to be paid within 60 days, and a $1, 000 fine on Count 2, to be paid within 60 days, and 12 months of probation. If the fines aren't paid within 60 days, Adrian Topan's license will automatically be revoked. Second by Acting Chairman Jaron. The motion passed unanimously, 5-0. Acting Chairman Jaron moved to the 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 Respondent is the license holder as set forth in the Administrative Complaint. • The Board has jurisdiction over the Respondent and subject matter raised in the Administrative Complaint. • The Respondent committed the violations set forth in Count 1 and Count 2 of the Administrative Complaint. Therefore, by a vote of 5-0, the Respondent is found guilty of the violations set forth in Count 1 and Count m 2 of the Administrative Complaint, 2023-4, and the Board imposes the following sanctions against the c� respondent: < • A $1,500 fine on Count 1, to be paid within 60 days. • A $1,000 fine on Count 2, to be paid within 60 days. • If the fines aren't paid within 60 days, the license will be revoked. z • 12 months of probation will be imposed. This proceeding is now concluded. Thanks for your candid honesty. 11. NEXT MEETING DATE: Wednesday, April 19, 2023 Commissioners' Chambers, Third Floor, Administrative Building F, Collier County Government Center, 3299 E. Tamiami Trail, Naples, FL 21 a Packet Pg. 25 4.A.1 March 13, 2023 Board Member Nolton made a motion to adjourn. Second by Board Member Joslin. The motion passed unanimously, 5-0. There being no further business for the good of the County, the meeting was adjourned at 12:44 p.m. Collier County Contractors' Licensing Board Stephen Jaron, Acting Board Chairman These minutes were approved by the Vice -Chairman of the Contractors' Licensing Board on , (check one) as submitted or as amended _ 22 r Q Packet Pg. 26 7.A 04/19/2023 COLLIER COUNTY Contractor Licensing Board Item Number: TA Doc ID: 25240 Item Summary: 7A. EMERGENCY CERTIFICATES OF COMPETENCY Meeting Date: 04/19/2023 Prepared by: Title: — Contractor Licensing Name: Sandra Delgado 04/12/2023 3:32 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 04/12/2023 3:32 PM Approved By: Review: Contractor Licensing Contractor Licensing Contractor Licensing Sandra Delgado Review item Tim Crotts Tim Crotts Review Item Meeting Pending Completed 04/12/2023 3:32 PM Completed 04/13/2023 10:38 AM 04/19/2023 9:00 AM Packet Pg. 27 8.A 04/19/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 8.A Doc ID: 25224 Item Summary: 8A. ORDERS OF THE BOARD (19 ITEMS) Meeting Date: 04/19/2023 Prepared by: Title: — Contractor Licensing Name: Alyshia Morse 04/12/2023 11:21 AM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 04/12/2023 11:21 AM Approved By: Review: Contractor Licensing Sandra Delgado Review item Completed 04/12/2023 3:56 PM Contractor Licensing Tim Crotts Review Item Completed 04/13/2023 10:38 AM Contractor Licensing Tim Crotts Meeting Pending 04/19/2023 9:00 AM Packet Pg. 28 8.A.1 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Diaz, Fernando 3000 70TH ST SW NAPLES, FL 34105 CLB Agenda Date: April 19, 2023 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 12678 CEMIS20230000995 on 02/07/23, to Diaz. Fernando, in the amoU_nt 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: � + 1 4 _ 13— 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 Gonzalez, Efrain 4535 31st PL SW Naples, FL 34116 CLB Agenda Date: April 19, 2023 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 12646 CEUL20230000163 on 02/03123,to Gonzalez, Efrain, in the amount of $2,000.00, within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) (g), Florida 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 TQDD ALLEN Print Name Attorney to the CLB KEVIN NOELL DATE: H-k�- 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 It N N LO Packet Pg. 30 8.A.1 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER To PAY CIVIL PENALTY Gonzalez, Efrain 4535 31 st PL SW Naples, FL 34116 CLB Agenda Date: April 19th, 2023 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 12645 CECV20230000277 on 03107123. to Gonzalez. Efrain, 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: +1�-43 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. 31 8.A.1 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Martin, John F. 1251 7th Ave N #310 Naples, FL 34102 CLB Agenda Date: April 1 th 2023 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 12625 CECV20230000534 on 1 John F. f , 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 U-1q-a3 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. 32 8.A.1 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY VASQUEZ GARCIA, JOSE R 3690 31 ST AVE N E NAPLES, FL 34120 CLB Agenda Date: April 19, 2023 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 12630 CECV20230000673 on 01/27/23, to VASQUEZ GARCIA, JOSE R, 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: " I ' 1 � J �L 5 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 Iq N N LO N a 00 E al Packet Pg. 33 8.A.1 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Morgan, Mason Tyler 2569 Clipper Way Naples, FL 34104 CLB Agenda Date: Aril 19, 2023 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 12585 CECV20230000693 on 01/31123, to Megan. Mason Tyler, 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 1C_ 3 DATE: � J 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. 34 8.A.1 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY ROSADO, ANTHONY CARLOS 209 NORWICH AVE LEHIGH ACRES, FL 33936 CLB Agenda Date: April 19, 2023 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 12681 CECV20230000959 on 02/14/23. to ROSADO, ANTHONY CARLOS, in the amount of $1,Q00.00, 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. 35 8.A.1 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Figueredo, Victor Manuel 5550 Jonquil Ln 101 unit Naples, FL 34109 CLB Agenda Date: April 19th, 2023 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 12685 CECV20230001582 on 03103123, to Figueredo, Victor Manuel, in the amount of $2,000,00, within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) (g), Florida 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 14,\�—e 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. 36 8.A.1 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Martin, John F. 1251 7th Ave N #310 Naples, FL 34102 CLB Agenda Date: April 19th, 2023 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 12623 CEUL20230000381 on 01/23123,, 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 �I Ij _ �3 Contractor Licensing Supervisor TIMOTHY CROTTS For Contractor Licensing Board * If the 15th day fails 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. 37 8.A.1 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Martin, John F. 1251 7th Ave N #310 Naples, FL 34102 CLB Agenda Date: April 19th, 2Q23 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 12624 CEUL20230000598 on 1 2 2 h , 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:- � q 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 V N N LO N Packet Pg. 38 8.A.1 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY VASQUEZ GARCIA, JOSE R 3690 31 ST AVE NE NAPLES, FL 34120 CLB Agenda Date: aril 19, 2023 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 12631 CEUL20230000761_ on 01/27123, to VASQUEZ GARCIA, JOSE R. 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: � 1� �)-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. 39 8.A.1 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY ROSADO, ANTHONY CARLOS 209 NORWICH AVE LEHIGH ACRES, FL 33936 CLB Agenda Date: April 1 Q, 2 2 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 12680 CEUL20230000821 on 02 14 23 o ROSADO. ANTHONY CARLOS, 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. !O.ii_,I TODD ALLEN Print Name Attorney to the CLB KEVIN NOELL o>.E H 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 a Packet Pg. 40 8.A.1 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Hubbard, Maxwell 4743 14th Street SW Lehigh Acres, FL 33973 CLB Agenda Date: April 19th. 2023 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 11071 cE.UL20230000988 on 02/02/23, to Hubbard, Maxwell, 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 T DD ALLEN Print Name Attorney to the CLB KEVIN NOELL DATE. H ' I)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 a 00 v N N LO N Packet Pg. 41 8.A.1 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Feiertag, Daniel 14361 N. Cleveland Ave North Fort Myers, FL 33903 CLB Agenda Date:- -April 191 9, 2023 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 12587 CEUL20230001002 2n 02103123, to Feiertag. Daniel, in the amount of $2,000.00, within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) (g), Florida 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: 4 �� 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. 42 8.A.1 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Feiertag, Daniel 14361 N. Cleveland Ave North Fort Myers, FL 33903 CLB Agenda Date: April 19, 2023:w Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 12588 CEUL20230001007 on 02103123, to Feiertag, Daniel, in the amount of $2,000.00, within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) (g), Florida 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 oq.E Iq 33 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 N N LO N Packet Pg. 43 8.A.1 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Figueredo, Victor Manuel 5550 Jonquil Ln 101 unit Naples, FL 34109 CLB Agenda Date April 19th, 2023 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 12684 CEUL20230001628 on 03/03123, to Figueredo, Victor Manuel, in the amount of $2,000,00, within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) (g), Florida 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: H i1 )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. 44 8.A.1 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY PARISH, MATTHEW HENRY 370 12TH AVE NW NAPLES, FL 34120 CLB Agenda Date: April 19, 2023 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 12649 CEUL20230001163 on 02/08123, to PARISH, MATTHEW HENRY, 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. oq H-M-;3 CHAIRMAN TODD ALLEN Print Name Attorney to the CLB KEVIN NOELL 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. 45 8.A.1 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Hubbard, Maxwell 4743 14th Street SW Lehigh Acres, FL 33973 CLB Agenda Date: April 19th, 2023 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 11870 CEUL20220011067 on 1211 22,._to Hubbard. Maxwell, in the amount of $2,000.00, within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) (g), Florida 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. TODD ALLEN Print Name Attorney to the CLB KEVIN NOELL DATE:. � - I � a3 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 Packet Pg. 46 8.A.1 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Hubbard, Maxwell 4743 14th Street SW Lehigh Acres, FL 33973 CLB Agenda Date: April 19th, 2023 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 11870 CEUL20220011067 on 12/15/22, to Hubbard, Maxwell, in the amount of $2,000 00, within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) (g), Florida 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:�I iti 23 Contractor Licensing Supervisor TIMOTHY CROTTS For Contractor Licensing Board * If the 15th day falls on a SaturdaX 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 N N LO N Packet Pg. 47 8.B 04/19/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 8.B Doc ID: 25225 Item Summary: 8B. JOSE JIMENEZ — REVIEW OF EXPERIENCE — BUILDING CONTRACTOR - REGISTERED - JJ'S INNOVATION QUALITY L Meeting Date: 04/19/2023 Prepared by: Title: — Contractor Licensing Name: Alyshia Morse 04/12/2023 11:23 AM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 04/12/2023 11:23 AM Approved By: Review: Contractor Licensing Contractor Licensing Contractor Licensing Sandra Delgado Review item Tim Crotts Review Item Tim Crotts Meeting Pending Completed 04/12/2023 4:02 PM Completed 04/13/2023 10:38 AM 04/19/2023 9:00 AM Packet Pg. 48 8.B.1 COLL70Y County lin Growth Management N Community Development Department N LO N APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY J rIKNI AIrIrLII.AIIUN rUK C.ULLItK C.UUNI T CERTIFICATE OF COMPETENCY This application mast 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 ❑ Electrician $230.00 9 Building $230,00 ❑ Plumber $230.00 ❑ Residential $230.00 ❑ Air Conditioner $230.00 ❑ Mechanical $230.00 ❑ Swimming Pool $230.00 E� Roofing $230.00 �] Specialty $205.00 Specialty Trade: I. APPLICANT PERSONAL INFORMATION: Name: First Middle Initial Last / Business Name: 1�Q �� v l 1 ��� L�.� t �l/'< Ll Address: i 1 V � Street City State Zip Email: Telephone: *SS # (Last 4 digits only) Date of Birth: Driver's License # (Last 4 digits only): L, 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 collected, will be maintained as confidential and exempt under Chapter 119, Florida Statutes. Contractor Licensing — FIRM Application Rev. 7/2022 Page 3 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 . (239) 252-2431 con tractorsiicensin colliercount fl. ov Packet Pg. 49 8.B.1 1.6.1.2. Building Contractor requires forty-eight (48) months experience with a passing grade on a-sk (6) 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 sec Sect. 1.6.2. L0 N N N m 00 c a� E U fC Q Packet Pg. 50 8.B.1 coiner County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY Provide the names and telephone numbers of two persons who will alwa s knowpyour whereabouts. Name: ���1(1r 1M1! ��I�.�-i (A Name: Telephone: < — }� �� Telephone: II. NAME OF APPLICANT'S BUSINESS: Business Name: s: Business Addres� j �. �� �� 9 C ! Street City State Zip Telephone: Email:�� Federal ID Tax No.: 2141 z qcl III. FINANCIAL RESPONSIBILITY YES NO ALL APPLICANTS MUST ANSWER THE QUESTIONS BELOW: `( Filed for or been discharged in bankruptcy within the past 5 years? Had a lien filed against you by the Internal Revenue Service or Florida Corporate Tax Division? Undertaken construction contracts or work that resulted in liens, suits, or judgments being filed? Undertaken construction contracts or work that a third party, such as a bonding or surety company, completed or made financial statements on? Made an assignment of assets in settlement of construction obligations for less than the debts outstanding? Been convicted or found guilty of, or entered a plea of nolo contenders to, regardless of adjudication, a crime in any jurisdiction within the past 10 years?" ' Had claims or lawsuits filed for unpaid or past due accounts by your creditors as a result of construction experience? Been charged with or convicted of acting as a contractor without a license, or if licensed as a contractor in this or any other state, been "subject to" disciplinary action by a state, county, or municipality? 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. 7l2022 Page 4 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 o (239) 252-2431 contractorslicensingpcolliercounly .00v LO N N u7 F4 m 00 C d E t U fC Q Packet Pg. 51 8.B.1 COI[iey 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 application is being made: r•�G tiQ- List below non formal education (on the job training) you have obtained in the area of competency for which this application is being made: etc\-.wca Am\�l t� 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. Applicant (please print) 5igna ure of Applicant State of County of L101 I— Thq foregoing instrument was acknowledged before me by means of Cphysical presence or ❑ online notarization on this l ay of l^ i. 20 23�_ . by jp 1—1 S erson(s) Notary Public must check applicable box: GO/trZ are personally known to me ❑ has produced a current driver license ����\ �5•o�MtssfoNF '�r�1/�i ❑ has produced (Notary Seal) Contractor Licensing — FIRM Application Rev. 7l2022 as identification. Notary Signature: .'�� eER??2 oA�rn •.• s z ; - YGG 929264 ' i 9� •• yp �(fed tt•� le�.� 4 Unde Page 5 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe rive • Naples, FL 34104 • (239) 252-2431 contractorslicensi ng@colliercounlyfl.00v W) N N u7 N Packet Pg. 52 8.B.1 4 6— CoMer County Growth Management N Community Development Department N LO F4 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY J J 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 � S 1 0,��La�::�� Name of Company Signature of Applicant State of County of 0 EE & Cy The foregoing instrument was acknowledged before me by means of i physical presence or ❑ online notarization on this *yof � 20 ,by J',7 Such person(s) Notary Public must check applicable box: ❑ are personally known to me ❑ has produced a current driver license ❑ has produced (Notary Seal) � F � • V� �5ER,2 x'Oi•;.• • #GG 929264 9•• dyp° 'led th ii piA .; 6fic Unbet •C5 �Z \, //////�G��/IIIiI1NVIN�� `\` Contractor Licensing — FIRM Application Rev. 712022 as identification. Notary Signature: Page 6 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslicensing(L7Dcolliercount fl.gov Packet Pg. 53 8.B.1 Comer county Growth Management N Community Development Department N LO N APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY U J J 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. Applicant (please print Name of Company Signature pplicant BEFORE ME this day personally appeared 1l- t 4 1 1,1 `.t 1 iC 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 l V : , County of The foregoing instrument was acknowledged before me by means of Cphysical presence or ❑ online notarization on this Q`day of , �(1 f1 [UI , 20 , by `�S Q J 1 Lk ray(person(s) Notary Public must check applicable box: personally known tome ❑ has produced a current driver license 0 has produced as identification. (Notary Seal) \\\\11111111111I11 E : 4, ��� Rz2 rPF'. Notary Signature: z : 2 #GG 929264 Oil •' rd e0 3 a•�y ' Itvjc U7)deo,.-- 0, ` A 1�I��C, STATc+ 1QF \\\N�\ Contractor Licensing — FIRI 01 01 at�on Rev. 712022 Page 7 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractors licensing@colliercountvfl.00v m 00 C d E t U fC Q Packet Pg. 54 8.B.1 GiTS, LLC Examination Operations Division Providing the services and products to assist Government Agencies to make informed educated decisions. L0 N N N Official Examination Score Report Official Score Report: Candidate Information: Name — Jose Miguel Jimenez Candidate #: 33723360J Online Testing Site: Ocala, FL Final Score Result: September 271h , 2022 Business Procedures 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 September 22"d , 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 tb 00 C E t U fC Q Packet Pg. 55 8.B.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 — Jose M. Jimenez Candidate #: 33723360J Online Testing Site: Ocala, FL Final Score Result: October 10, 2022 Building Contractor Score: 83% 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 October 7, 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 L0 N N V7 N Ib 00 C ry E t U fC Q Packet Pg. 56 IM CREDIT' CHECK Individual Credit Report 8.B.1 CONFIDENTIAL -- N N LO N JIMENEZ, DOSE M. Ordered By:16538 es=:3373 17TH AVENUE SW Customer 9999 NAPLES, FL 34117 Received :12/12/22 --ocial##: Applicant: -1160 Completed :12/12/22 CREDIT SCORE: APPLICANT FICO SCORE: 725 (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 12/12122: CLEAR CREDIT RECORD "r(°dit history has been checked for a period of seven years or from open date.) DsA. NA CUR WAS 30 4-23461714 10/22 02/18 201000 195881 0 04 00 00 M01 33 1 =1C/22 �MEX AS AGREED �,Y�951422431'D4 3 08/14 02/05 4848 0 0 R01 00 T DLA=I�g/ lz RANI AIAER1CA AS AGREED 0057448992 08/20 12/03 180000 0 0 00 00 00 M01 48 I DLA-08/20 4API/ BASSPRG AS AGREED _:17148667520 11/22 04/22 309 0 0 00 00 00 R01 06 1 C I7'1 AS AGREED 51-8941024642 12/22 10/19 100 0 0 00 00 00 R01 37 7 L)LA=1i/22 -" AS AGREED �189111015074 11/22 01/17 11777 897 0 00 00 00 R01 48 A 22 Licensee Applicant: APPLICANT - SEE NAME ABOVE Reporting Agency: Credit Check. Inc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409 .(561) 616-5556 Packet Pg. 57 CREDITCHECK CONFIDENTIAL N,:irne: JIMENEZ, JOSE M. Customer: 9999 Page:2 C, )MI' !J'N- NSERV AS AGREED '25481 04/14 12/03 180000 0 0 00 00 00 M01 13 I P'J:E,LIX EFCJ AS AGREED L=9644000203 11/13 11/07 24537 0 0 00 00 00 101 48 C Dl:,�,=11j 13 „I D / CBNA AS AGREED O'3532094277 12/21 02/19 0 0 0 00 00 00 R01 34 I . ut]-1G, FA?--0CUR WAS 30 1465,12050084 11/22 07/16 12704 3939 0 01 00 00 R01 48 I DL,A-I1/22 Total trade lines on this report: 10 INQUIRIES: 04/03/22 by CAP1/BASS (EXP) #2897500 %21; by -API/PASS (TU) 43847656 RESIDENCE HISTORY: SW 17TH AV, NAPLES FL 34117 4224 SW 19TH PL, NAPLES FL 34116 8210 Svb' 25TH ST, MIAMI FL 33155 COMMENTS: ***OFAC NAME SCREEN ALERT - CLEAR*** -- (OFFICE OF FOREIGN ASSET CONTROL) IS A FEDERAL AGENCY WHICH MAINTAINS .7A2ASE OF TERRORISTS, DRUG TRAFFICKERS AND CRIMINAL ORGANIZATIONS. r,_.UD RECORDS HAVE BEEN SYSTEMATICALLY CHECKED BY THE ACCESSED BUREAUS. ('PECKS FOR IDFNT.I.TY THEFT, FAKE SSN, DECEASED SSN AND OFAC DATABASE PERFORMED CREDITOR PHONE DIRECTORY: t7I BClDTV234 (800) 955-7070 P'-PDX 31293 SALT LAKE CITY UT. 84131 EX BC21WB001 (800) 874-2717 P.O. BOX 981537 EL PASO TX. 79998 IHD/CBItiA BZ26H3005 PO SOX 6497 SIOUX FALLS SD. 57117 COMMUNLNSEPV FM27DB001 (800) 457-5105 4425 PONCE DE LEON CORAL GABLES FL. 33146 PLTBLIX EFCU QU379EO01 (941) 683-6404 p +� L'•OX 1000 LAKELAND FL. 33802 =_1CP. EM427SO02 (800) 669-6607 ,',.'ARESE CIRC TANIPA FL. 33634 Licensee Applicant: APPLICANT - SEE NAME ABOVE Reporting Agency: Credit Check, Inc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409 .(561) 616-5556 W) N N LO Packet Pg. 58 CREDIT CHECK -- CREDITOR PHONE DIRECTORY - continued: CI_'1 BC64DE002 PO BOX 6217 SIOUX FALLS SD. 57117 W'=,LLS FARGO BC908N664 PO BOX 14517 DES MOINES IA. 50306 5/3 BANK NA BM992SO02 5050 KINGSLEY DR CINCINNATI OH. 45263 CREDIT CHECK Z 0630273 3017 EXCHANGE COUR WEST PALM BEAC FL. 33409 CAP1/BASS B 3847656 15000 CAPITAL ONE RICHMOND VA. 23238 CONFIDENTIAL Customer: 9999 Page:3 (800) 462-4720 (513) 358-4801 (877) 616-5556 (800) 955-7070 *** END OF REPORT *** Tr ntomtato s �nhdenhal and s not to Uu Civu;ged ezcepl as rag ea ty ,F.e Fd�r Gred t 1iel,o' a .\ct. �d detarm:nng the creda aeslrattly of tha apphcavtfsY It is Uased up.--nforn�ehon uUlalned goad f -Eh ay II Es agency from souses damned r51 �o:a _ t h:>rede n r way y-uaranteed, By y9u� dr. prance and use of It s report you spec Jjcally agree to hold Cred I Che'k, im,,. harmless iron: ary kaU IAy N'hattiVe✓er Licensee Applicant: APPLICANT - SEE NAME ABOVE Reporting Agency: Credit Check.. Inc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409 . (561) 616-5556 8.B.1 LO N N LO Packet Pg. 59 SM CREDITCHECK CONFIDENTIAL Commercial Credit Report Company: JJ'S INNOVATION QUALITY LLC Address: 3373 17TH AVENUE NW NAPLES, FLORIDA 34117 Telephone: (239) 289-8182 PRINCIPALS: MANAGER JIMENEZ, NOSE M. Address: 3373 17TH AVENUE NW NAPLES, FLORIDA 34117 Social Security Number: _ -1160 Stock Ownership: N/A Address. Social Security Number: Stock Ownership: Address: Social Security Number: Stock Ownership: Address: Social Security Number: Stock Ownership: RISK SCORE: Date: 12/12/22 Cust. No: 9999 Ordered By: 1653S Page: 1 (X) LLC EIN: 84-2856089 Experian Financial Stability Risk Score I Lo Risk 2 Low to Mid 0 3 Medium Risk 4 Med to High 5,High Risk 0 CREDIT RISK SCORE The score uses tradeline and collections information, public filings as well as other variables to predict future risk. Higher scores indicate lower risk. FACTORS LOWERING THE SCORE: Reported for: APPLICANT - SEE NAME ABOVE Reported by: Credit Check, Inc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409 . (561) 616-5556 LO N N LO N Packet Pg. 60 sNI IZEDITCHECK CONFIDENTIAL Commercial Credit Report Company: JJ'S INNOVATION QUALITY LLC Address: 3373 17TH AVENUE NW NAPLES, FLORIDA 34117 Date: 12/12/22 Cust. No: 9999 Ordered By: 165 3 9 Page: 2 RISK SCORE - continued: Your risk score is zero due to insufficient credit history. Here's what you ran do to address this: _. Establish credit lines with banks and vendors using your business name. After opening an account be aware it may take a few months to be reported to the credit bureaus. 2. Make sure your bank or vendors report to Experian. Virtually all major banks and credit unions report to Experian as well as national chains like Lowes, Home Depot, and Staples. 3. Pay your bills in a timely manner to achive the best possible score. JJ�S INNOVATION QUALITY LLC was FORMED in the county of COLLIER, state of FLORIDA, on 08/19, 2019. The charter number is L19000211466. The registered agent is SPL INCOME TAX CORP of 3940 RADIO ROAD, #103, NAPLES, FLORIDA 34104, Offices are LEASED from N/A at N/A per month. The company employs N/A. NET WORTH: ON PILE WITH STATE The company maintains banking relations with N/A The officer handling the account is N/A PUBLIC RECORDS WERE CHECKED FOR COLLIER COUNTY, FLORIDA. A SEARCH OF LOCAL, STATE, AND FEDERAL RECORDS HAS BEEN CONDUCTED WITH THE FOLLOWING RESULTS: CLEAR AS OF 12/12/22 - SEVEN YEAR SEARCH. *** Credit Profile *** REMARKS:. N/A - NOT APPLICABLE/NOT AVAILABLE REPORT WORKED BY KELLY END OF REPORT. 1 •s. • ri ,, ;epud. ,s �'anesr ed z�rnyry as an 2;C m deiemmmIg the cted-1 desaeUEdEy of the appkantlsl. It is dasad upon ni IM— obtain ad in good faith by this agency from wur; s deemed rei;able ,am-_ ,.wve•.e' ❑" rlo way goa -L-d By your au planCe and use of fhis rap., you sp—fiL liy agree [U hold C[ed,c Ch—k. InC f,armies from any I abi4[y hI,A!-e— L0 N N F4 Packet Pg. 61 1l12123, 2:34 PM Detail by Entity Name 8.B.1 .org Detail by Entity Name Florida Limited Liability Company JJ'S INNOVATION QUALITY LLC Filing Information Document Number L19000211466 FEIIEIN Number 84-2856089 Date Filed 08/19/2019 State FL Status ACTIVE Principal Address 3373 17TH AVE NW NAPLES, FL 34117 Changed: 06/05/2020 Mailing Address 3373 17TH AVE NW NAPLES, FL 34117 Changed: 06/05/2020 Registered_ Agent Name_& Address SPL INCOME TAX CORP 3940 RADIO RD 103 NAPLES, FL 34104 Authorized Person(s) Detail Name & Address Title MGR JIMENEZ, JOSE M 3373 17TH AVE NW NAPLES, FL 34117 Annual Reports Report Year Filed Date 2020 06I05/2020 2021 04/28/2021 N N LO N https:l;search.su nbiz.orglinquirylCorporationSearchlSearchResullDelail?inquirytype=EntityName&directionType=Initial&searchNameOrder-JJSINNO... 112 Packet Pg. 62 1/12/23, 2:34 PM Detail by Entity Name 1 2022 04/27/2022 Document Images 2022 -- ANNUAL REPORT F V'zNi:-,021 --ANNUAr-RFPCRT Vewwjoc 1-05i2020 -- ANN�,AL RE -PORT VCy) Irma , 0 P,9-- fn,,,nil https://search.su nb iz.org/I nq uiry/CorporationSearchlSea rch Resu ItDeta i Pi nq u i rytype=E ntityNa meMirectic n Type= In itia MsearchNa meOrde rmJJ S IN NO... 212 I Packet Pg. 63 1 8.B.1 Electronic Articles of Organization FILED 8 11 AM For August 19, 2019 Florida Limited Liability Company sec. of state kepage Article I The name of the Limited Liability Company is: YS INNOVATION QUALITY LLC Article II The street address of the principal office of the Limited Liability Company is: 4224 19TH PL Stir NAPLES, FL. US 34116 The mailing address of the Limited Liability Company is: 4224 19TH PL Ste' NAPLES. FL, US 34116 Article III The name and Florida street address of the registered agent is: SPL INCOME TA.N CORP 3940 RADIO RD 103 N APLES. FL. 34104 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 capachy. I further agree; to comply with the provisions of all statutes relating to ttie 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: ISIITARY G0N7.ALF.7 LO N N LO m 00 c a� E t U fC Q Packet Pg. 64 8.B.1 Article IV L19000211466 The name and address of person(s) authorized to manage LLC: FILED 8:00 AM August 19, 2019 Title: MGR Sec. Of State JOSE M JIMENEZ kepage 4224 19TH PL SW NAPLES, FL. 34116 US Signature of member or an authorised representative Electronic Signature: JOSE M JIMENEZ 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 I'll s.817.155. F.S. I understand the requirement to file an annual report heitiveen January l st and May I st in the calendar year follo�ti ing forniation ol' the 1.1.0 and every year thereafter to maintain "active" status. LO N N LO m 00 c d E U fC Q Packet Pg. 65 8.B.1 UR I RS DEPARTMENT NTERNAL REVENUE SERVITHE CE Y CINCINNATI OH 45999-0023 JJ S INNOVATION QUALITY LLC JOSE M JIMENEZ SOLE MBR 4224 19T14 PL SW NAPLES, FL 34116 Date of this notice: 08-27-2019 Employer Identification Number: 84-2856089 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 FIN 84-2856089. This EIN will identify you, your business accounts, tax returns, and documents, even if you have no employees. Please keep this notice in your permanent records. When filing tax documents, payments, and related correspondence, it is very important that you use your EIN and complete name and address exactly as shown above. Any variation may cause a delay in processing, result in incorrect information in your account, or even cause you to be assigned more than one EIN. If the information is not correct as shown above, please make the correction using the attached tear off stub and return it to us. 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. IMPORTANT REMINDERS: * Keep a copy of this notice in your permanent records. This notice is issued only one time and the IRS will not be able to generate a duplicate copy for you. You may give a copy of this document to anyone asking for proof of your EIN. * Use this EIN and your name exactly as they appear at the top of this notice on all your federal tax forms. * Refer to this EIN on your tax -related correspondence and documents. If you have questions about your EIN, you can call us at the phone number or write to us at the address shown at the top of this notice. If you write, please tear off the stub at the bottom of this notice and send it along with your letter. If you do not need to write us, do not complete and return the stub. Your name control associated with this EIN is JJSI. You will need to provide this information, along with your EIN, if you file your returns electronically. Thank you for your cooperation. LO N N LO N Packet Pg. 66 (IRS USE ONLY) 575G 08-27-2019 JJSI O 9999999999 SS-4 8.B.1 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: 08-27-2019 ( 1 - EMPLOYER IDENTIFICATION NUMBER: 84-2856089 FORM: SS-4 NOBOD INTERNAL REVENUE SERVICE JJ S INNOVATION QUALITY LLC CINCINNATI OH 45999-0023 JOSE M JIMENEZ SOLE MBR 4224 19TH PL SW NAPLES, FL 34116 In N N In N Packet Pg. 67 8.B.1 Coder County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY STATEMENT OF OWNERSHIP This certifies that 1,�� �. i1 > 1 't� am a member or managing APPLICANTS NAME (please print) - member of (LIMITED LIABILITY COMPANY NAME) I own ) V V % 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 f Name of Compa y Signature of Applicant State of County of Rr The foregoing instrument was acknowledged before me by means of Cphysical presence or ❑ online notarization on this IDO tay of Qn+S ( , 20 2_?, , by ZL l-J . M Q_Aa person(s) Notary Public must check applicable box: are personally known to me ❑ has produced a current driver license ❑ has produced as identification. Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive e Naples, FL 34104 . (239) 252-2431 contractors licensing(&colliercountytl. gov L0 N N rid N Packet Pg. 68 Contractor Licensing GO Tel' C,ou'i xty 2800 N. Horseshoe Dr. Grovvth Management Departrnent Naples, FL 34104 Phone - 239-25252-2431-2431 Fax - 239-252-2469 APPLICATION FOR CC71.I.IER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name: �oS-� t-4 Certificate Category Requested: [� Rn S-� � iC0y1 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 verity 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: d'AtY t Title: l""" Y"ck t AD'i Business Name: pk, i Phone: License No. (if applicable): C Z tP c-E�_ Business Address: 3q l t7 J 0 9 Street City I State Zip The applicant was employed by me from t Applicant's title: �— = I --2 to �r-e-4 -k The applicant's scope of work (specific duties) included: Su�p�n,r 6 1 %uY- yD �Lv� y✓��v"-� t' " ct " Ck �j Yya� 9CC-4 N, . Sri-f, �1 pJ IL �'��c i��r � i � J 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. Si o p vide the statement State of i County of T Nay instrument was acknowledged be are In by me ns of Cphysical presence or 0 online notarization on this Nfoay of 20 Z�) , by ti S ch person(s) Notary Vn lic must check applicable box: are personally known to me IlfflJq ♦§X gkX GC)At,, i © has produced a current`eiv ❑ has produced — �_° N W (Notary Seal) Z • y #GG 929264 yd•�i • l h • Q ���% •.,.�r,� Undecw ,• �� �� Notary Signature: Individual Application New.docx REV iI1�Z1t2021 13 8.B.1 LO N N u7 N m 00 c a> E t U fC Q Packet Pg. 69 8.B.1 Coter County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name: Certificate Category Requested: 1c�(L1�;�t_ i l_• ` Ii 1-11 L1 L i + : ! �� i t The applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate, the applicant must verify hislher 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: S. Title: Business Name' 5 LZ_7�_7 L.O�-'t��-L'_'>�O�'S, r�0-' Phone: ;2-31-ZS_3'zw g�y3 d License No. (if applicable): cj::�C Z-4046 SiZ Business Address:. ,3l,Zl Street City State Zip The applicant was employed by me from13�i>d.Q`� 7_p/b to��� Applicant's title: 4154 The applicant's scope of work (specific duties) included: _2N s7'�l d7-x4r-k a E ca�ts�t�zz�catLa s , Additional comments: l CiP�L�bL 7Z5 �+��'rC�DE. � �E4-S ¢c . 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. nature of pers p vidin a atement State of �t �`� County of Q, ", k� Th foregoing instrument was acknowledgedbeforeme by means of physical physical presence or ❑ online notarization on this 1 ay of 20 , by Such person(s) Notary Public must the pplicable box: GOf f, ❑ are personally kin �o?e,NGCVZ �as produced a current driver license ❑ has produced��\ \� �`�F %r � � as identification. (Notary Seal), * z ••y #GG 92re2n4 o i�9• y o°riled tot`` ,; �� Notary Signature: Contractor Licensing — FIRM Ap,l&w Rev. 712022 Page 11 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive � Naples, FL 34104 • (239) 252-2431 contractorslicensingacolliercountvfl.aov of 14 L0 N N 11.0 U J J J Q CY Z O H a O Z Z_ 0 Z_ J_ 7 m I W U Z W_ IX W a- X W I.L. O w > W N W Z W W W O m e0 C d E t U fC Q Packet Pg. 70 8.B.1 Comer County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE -� yy Applicant's Name: ( `y- A \ \.A) ) (. 1 ) `f Certificate Category Requested: The applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate, the applicant must verify his/her experience within this trade. You are being requested to provide information that will aid the applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker (e.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: c�r2!i C F_ 4 �n� z Title: 5'% Q /1 Business Name: C F16W/t r Lr yr/2/fCi1v/G f f�IP�r+ iNL C L C Phone: 02 !- d 5 3 S 3 /5— License No. (if applicable): C G G o 31� 33 1 Business Address: 1=as % /0PIti- FL 31- ifi Street City y7 State Zip The applicant was employed by me from /yti A (_ t-f a U to d F5 Fx-, i Applicant's title: Nc? F C The applicant's scope of work (specific duties) included: AIL- I ►(itS i' S O F C b r✓S7 t2 v (' ib^�' 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. / ��2, ((��j�,� Signat a of person providing the s ment State of r �[n � County of �� The foregoing instrument was acknowledged before roe by means of � rphysical presence or EJ online notarization on this JA:�__day of t , 20 2:3t , by _ a e Such person(s) Notary Public must the plicable box: ❑ are personally known to me has produced a current driver license \\\`����\C� .......RY Clq� ❑ has produced as identification. o�E�gSR2?���p� •, (Notary Seal) • • `' 29264 wA : d A°naed OCa S',' untie;'el. Notary Signature: O43 r;v a N� LO N N L0 N Contractor Licensing - FIRM Application Rev. 712022 V Page 10 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 . (239) 252-2431 m contractorslicensinq@colliercountvft.gov 00 C d E t U fC il Packet Pg. 71 J8.B.1 - Qlue -®!, Diamond ,O N N LO N Wednesday, March 08, 2023 To whom it may concern: By means of this letter, I, HUBLAR LOPEZ as a President of Blue Diamond Home Builders Corp, hereby certify that Jose M Jimenez and his company JJS Innovation Quality LLC has doing work for my company for more than the four years. He is an excellent person and hard worker. We have done many different projects of constructions specializing in electrical work and supervisor. Mr. Jimenez is a highly committed, responsible, reliable, disciplined, honest person and worker. He is very respectful to all coworkers and customers and maintains a high - quality standard and professionalism in all jobs and projects. He is also capable of reading and interpreting architectural construction blue prints very well, which indicates his experience in this field. He is very competent in coordinating with subcontractors to keep projects moving forward. If you need further information, please contact me at my phone described below. Truly you <I -- HUBLAR LOPEZ 3940 RADIO RD STE 103 NAPLES FL 34104 (786) 318-7836 FOR AN OATH OR AFFIRMATION STATE OF FLORIDA Sworn to (or affirmed) and subscribefd, before' E Lopez, by physical presence. NOTARY I TU Produced Identification: FL DL L mm y18ER LO - o OGG 929264 •.;bide d, dec by Hublar Hublar Lopez — Building Contractor Cell:(786) 318 7836 Fax:(239) 435 3900 hublarlr@hotmail.com Packet Pg. 72 8.B.1 �antXaeta r-�, �rLe. March 10, 2023 To whom it may concern, By means of this letter, I, Alejandro J. Espinosa as President of Elite Contractors, Inc., hereby certify that Jose Jimenez has been doing electrical work for my company since February 2010. During this time, he has worked as an electrician, which he has demonstrated a high level of skill at all stages of electrical work. Jose has excelled in the installation of entire home generators and electrical distribution panel replacement. Jose Jimenez is a highly committed, responsible, reliable, disciplined, honest person and talented worker. Jose is very respectful to both customers and coworkers and always maintains a high -quality standard and professionalism in all the projects. Jose is also capable of understanding and interpreting electrical construction plans very well, which indicates his experience in the electrical field. Jose is very competent in coordinating with other trades to keep projects streamlined and moving forward. I highly recommend using Jose for any electrical requirements on both commercial and residential needs. Should you have any questions or concerns please feel free to contact me at your conve 'ence. Alejandro J. spinosa State of Florida County of Collier The foregoing instrument was acknowledged before me by means of physical presence or online notarization on this day of ()��, 20, by Such person(s) Notary Public must check applicable line: y are personally known to me has produced a current driver license has produced J � - rab'+~ 0. as identification. Notary Signature: HELEN SUAREZ MY COMMISSION#NH339425 EXPMES' DEC 07, 2026 Bonded through 1st State Insurance 3421 Tortuga Way ♦ Naples, FL. 34105 ♦ (239) 253-2683 • (239) 262-8747 FAX LICENSE #CGC1504652 //QB24299 m N N LO CO 00 C d E t U fC Q Packet Pg. 73 Pinnacle Contracting & Framing, LLC 8.B.1 March 13", 2023 To whom it may concern, By means for this letter, I, Jorge A. Diaz as the President of Pinnacle Contracting & Framing, LLC. Hereby certify that Jose Jimenez, 3373 17" Ave SW, Naples, FI 34117, has doing work for my company since March 20", 2017. During this time, he has worked as a project advisor, he demonstrated a high level of skills at all stages of project construction. He is a highly committed, responsible, reliable, disciplined, honest person and worker. He is very respectful to all his coworkers, customers and maintains a high -quality standard and professionalism in all jobs and projects. He is capable of reading and interpreting architectural construction blueprints very well, which indicates his experience in this field. He is competent in coordination with subcontractors to keep projects moving forward. Should you have any questions or concerns, please feel free to contact me at your earliest convenience. Z Jorge A. Diaz 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 20 23. by 1AP Such person (s) Notary Public must check applicable box: are personally known to me has produced a current driver license. _ has produced' Ci as Identification. (Notary Seal) � Notary Signature HELEN SUAREZ MY COMMISSION #HH339425 EXPIRES: DEC 07, 2026 Bonded through tst S"ate Insurance 4532 Tamiami Trail East Suite #302 Naples, Florida 34112 239-692-9813 N N LO F4 Packet Pg. 74 8.B.1 Collier County 111.0 Growth Management N Community Development Department rn N APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY U J J AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER J Q STATE OF CY Z O COUNTY OF _ Q O having been first duly sworn, state and affirm: Z I am a resident of more than five (5) years. County, �� (State) and have resided here for L / During the last five (5) years I have known < <Z Z'-14-1112 �zL (applicant). I have had the opportunity i, to observe his or her business and personal dealings and find him or her to be a person of hone, Integrity and good character. Signature Printed Name Address: f � - !r 1h Jl� - Street City State Zip Telephone: State of V( .I- County of Q QJA(� The foregoing instrument was acknowledged Kefore me by means of>l7 physical presence or ❑ online notarization on this ay of 2023 , by _ Q t t ), S CV-k&,LG rperson(s) Nootta�ryyPPu�lic must check applicable box: personally known to me ❑ has produced a current driver license \\\\' ❑ has produced as identification. �c,���9ER2?EfaiP v (Notary Seal) • �_� ?oN�m - Z 2 #GG 929264 • o 0 9•• �2p00(yed t\W' i �,•• �� Notary Signature: �L•'• °66c ndx!• , o y /Q STATE')) \O Contractor Licensing — FIRM Application Rev. 712022 ���fillill4'Page 13 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2600 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractors licens i ng0colliercountvfl.gov Packet Pg. 75 8.B.1 CO tT coH-Inty Growth Management L0 N Community Development Department N u7 N APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY U J AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER J } STATE OF COUNTY OF C� having been first duly sworn, state and affirm., am a resident of l _ I + t —county,---- 1- L I C (State) and have resided here for more than five (5) years. During the last five (5) years I have known `. I �.� 4 'll t,(i (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 J V J-G f Printed Name Address: Street City State Zip Telephone: State of CAO{, (AA.- County of W& The foregoing instrument was acknowledged before me by means of C'hysical presence or ❑ online notarization on this Qt 1 y of , 20 1;_ , by t)E ji2a ch per'on's) Notary Public must check applicable box: are personally known to me ❑ has produced a current driver license \\\\\\\,NRY�RCN!:, w ❑ has produced as identification. W IX (Notary Seal) N ; W Notary Signature: 11111tv"fJlif#lkitllll\� LU U) Contractor Licensing - FIRM Application Rev. 712022 Page 14 of 14 0 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive . Naples, FL 34104 • (239) 252-2431 m contractorslicensinaecolliercountvftoov 00 C d E t U fC Q Packet Pg. 76 Florida. DRFM j 02 .2jwm 0o 4 pm l- t. Ns 00 W= 5 4 ISNGTI-OM is= anlo NONE VOCmm- LO CM C4 LO !LN� I Packet Pg. 77 1 8.B.1 ACORbP CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDNYYY) ��. 01/13/2023 N 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 04 BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED N 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 J this certificate does not confer rights to the certificate holder in lieu of such endorsements . J } PRODUCER CONTACT Nestor TeloY NAME: Telot Insurance Carp dba Univista Insurance PHONE(305) 507-9634 fa No): (786) 536-2864 J 61 Gran Canal Dr., #202 qp.AIL R SS: ntelot@univislainsurance.com Q MSURERJS) AFFORDING COVERAGE. NAIC a 0 INSURERA: GRANADAINSURANCE COMPANY 10000 Miami FL 33144 Z 0: INSURED 0 _INSURER _ _ INSURER C_ Jj S Innovation Quality Llc _ INSURER 0: 4224 19TH PL SW INSURER E_ L 0 NAPLES FL 34116 _ INSURER F : Z — COVERAGES CERTIFICATE NUMRFR- REVISION NUMBFR- 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 ADD SUBS POLICY EFF POLICY EXP .r LTR TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYY MMIDOlYYYY : LIMnb A X COMMERCIAL GENERAL LIABILITY', CLAIMS -MADE ';� OCCUR 0185FL00129536 08/29/2012 08/29/2023 EACH OCCURRENCE $ 1000000 DAMAGE TO RrNTED PREM SES,_(.,Ed OCCurreno S 100000 GEN'L MED EXP (Any o person) $ 5000 PERSONAL & ADV INJURY S 1000000 AGGREGATE LIMIT APPLIES PER: POLICY JPECT LOC OTHER GENERAL AGGREGATE $ 2000000 PRODUCTS -COMPIOP AGG s 2000000 $ AUTOMOBILE _._ LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMIT Ea accident] $ ... BODILY INJURY (Per pomon) $ BODILY INJURY (Per aeddent) $ _ PROPERTY DAMAGE Per accident $ $ AR UMBRELLA LIr LIAR OCCUR HEXCESS CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DIED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERJEXECUTIVE OFFICERMIEMBER EXCLUDED9 ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N I A STATUTE ERPERH EL. EACH ACCIDENT _ $ E.L. DISEASE - EA EMPLOYE $ $ E.L. DISEASE -POLICY LIMIT I DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) COLLIER COUNTY CONTRACTOR LICENSING BOARD 2800 N HORSESHOE DR 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 NESTOR TELOT ©1988-2015 ACORD CORPORATION. All rights reserved ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Packet Pg. 78 8.B.1 .c JIMMY PATRONIS CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW* * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: V1912023 PERSON: JOSE M JIMENEZ FEIW 842856089 BUSINESS NAME AND ADDRESS: JJ'S INNOVATION QUALITY LLC 3373 17TH AVE SW NAPLES, FL 34117 EXPIRATION DATE: 1/18/2025 EMAIL: SPLINCOMETAX@HOTMAIL.COM This certificate of election to be exempt is NOT a license issued by the Department of Business and Professional Regulation. To determine if the certificate holder is required to have a license to perform work or to verify the license of the certificate holder, go to www.myFloridalicense.com. IVPORTANL Pursuant to subsection 440.05(13), 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(11). F.S., Certificates of election to be exempt issued under subsection (3) apply only to the corporate officer named on the notice of election to be exempt. Pursuant to subsection 440.05(12), 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-DWG-252 CERTIFICATE OF ELECTION TO BE EXEMPT RULE 69L-6.012, F.A.C. REVISED 0112023 E01652600 QUESTIONS? (850) 413-1609 N N LO N Packet Pg. 79 8.B.1 PLEASE CUT OUT CARD BELOW AND RETAIN FOR FUTURE REFERENCE -- TA OMENT-O-OA-------------------T----------------------, UEPARTOFFINANCIAL SERVICES NISION OF W00.KERS' COMPENSAT30N IMPORTANT CONSTRUCTION INDUSTRY EXEMPTN]N &,�v) F Pursuant to subsection 440.05(13) P.S , en Officer of a corporation Who elects exemption from this chapter by filing a certificate of election under this section CERTIFICATE F ELEC BE EXEMPT FROM FLORIDA q,� I O may not recover benefits or Compensation under this chapter. WORKER$'CO T ONTOO LAW L Pursuant to subsection 440.05(11 ), F.S., Certificates of election to be exempt EFFECTIVE DATE: 1119+2023 EXPIRATION DATE: 1f1af2075 I D issued under Subsection (3) apply only to the corporate officer named on the PERSON: JOSE MJIMENEZ EMAIL SPLmten+_-nxrgnoTNnK,cau I notice of election to be exempt_ FEN- 942a5was I LI Pursuant l0 Subsection 440055412j, F.S _, notices of election t0 be exempt and I certificates of election to be exempt shall be subject to revocation 4, at any 9US1NE58 NAME AND ADDRESS: E time after the filing of the notice or the issuance of the certificate, the person J� S INNOVATION DUALITY LLC I R named on the notice or certificate no longer meets the requiremenis of this section For issuance of a certificate Tne department shell revoke a certificate E at any WO for failures of the person named on the certificate W meet the I requirements of this section, 337317TH AVE sW I NAPLES. FL Sat 17 I E01652600 I�al.nAno i� I.e ca0cm9 noxix a „9.nee a ne,re a imre m p.+i.+R wwL o+m v.eh Ne lmnn>s o1 ine mn,s-.ro I I 0UESTION57 {650} 413-1609 I ➢IFf2-6VJC-t93 GERIIFIC4IL CF ErtLTiDV To eE E%ElupT RULE 99Lb9i2 FA.C. REVI9EV 015!@3 I--————————————————————— — ———————————————— — — — — — —I N N N Packet Pg. 80 8.0 04/19/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 8.0 Doc ID: 25241 Item Summary: 8C. SUKEY TORO — REVIEW OF CREDIT - PLUMBING CONTRACTOR -REGISTERED - FLORIDA PLUMBING RESPONSE LLC Meeting Date: 04/19/2023 Prepared by: Title: — Contractor Licensing Name: Alyshia Morse 04/12/2023 3:37 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 04/12/2023 3:37 PM Approved By: Review: Contractor Licensing Contractor Licensing Contractor Licensing Sandra Delgado Review item Tim Crotts Review Item Tim Crotts Meeting Pending Completed 04/12/2023 4:07 PM Completed 04/13/2023 10:39 AM 04/19/2023 9:00 AM Packet Pg. 81 �► 8.C.1 COT Bi C014VIty Growth Management Zo Community Development Departr e L c ZQ OOQO�jC N APPLICATION FOR CCI L!ER COUNTY CFRT!FICATE OF CO-MPETENCY LO N FIRM APPLICATION FOR COLLIER COUNTY J CERTIFICATE OF COMPETENCY W This application must be type,T ritten or,iegioly printed. The application fee mist ne pa:ci upon approval and is NOT z0 refundable. AAI checks Should be made payable to Collier County Board of County Commissioners For further d information, consult Collier County Ordinance No. 200E-46. as amended. CO) w W TYPE OF CERTIFICATE OF COMPETENCY: ❑ General ❑ Building ❑ Residential ❑ Mechanical Roofing Specialty Trade. $230.00 ❑ Electrician $230-00 $230,00 $,Plumber $230.00 $230-00 ❑ Air Conditioner $230.00 $230.00 ❑ Swimming Pool $230-00 $230.00 ❑ Specialty $205.00 44s- er, 101116 er I. APPLICANT PERSONAL INFORMATION: 'T^ Name: 2 thehy First Middle initial Last Business Name: �G f �� i[ U�•�ti btA1C1 killi19prj S ��- Address: H W ! i j fr2 o_ �i� �t F/_ 3 S 59 Street City State Zip Email: ef. lu4LI'0 %rfEgl.NSt-LIIAw. ��� . c'�-' Telephone: 6" 7Z 30 - n C 2 l Date of Birth: 1 Z f b�/ m$ 0 "SS # (Last 4 digits only): 40, 91 Driver's License # (Last 4 digits only): ' q �? - 0 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 collected. will be maintained as confidential and exempt under Chapter 119, Florida Statutes, Contractor Licensing - FIRM Application Rev. 7/2022 Page 3 of 14 Operations 8 Regulatory Management Division. Contractor Licensing • 2800 North Horseshoe Drive • Naples. FL 34104 • (239) 252-2431 corntractorslicensing(a-�co;liercountyfl qov Packet Pg. 82 8.C.1 1.612-1L Plumbing CoeLactar nNUires twenty-four (24) m93nlha txpericnae as a liCcnseti Joumeyniao or equivalent with a passing grade on :;M1 + . _ � IL3,UovedtC.dj and a p'061ng gEade Co a the business bnd law test and mean any pers,)n whose contracting boini ss consisr of the "OnItiM of conwuls ret}ttiriigg Ihe exp0ri010% financial M=na, litnawladge, rand skill to inst&U, maintain, repair, alter, extend,, or when not prohibited by law, tlGsign plumbing. A 12 4'v Vm*Ld*@Wk era deleled, warps_ rJ«A ut edd&d. plumbing oontra,ctor may install, roitinudrL. repair, alto, rattcnd, or, when not prohibited by law, deign tltc following without obWTiing any additional focal regulatory licertso, ocftif1j; c, uT registration; sanitary CIWTulgo or storm drainap fxilitics; vCMting systems; public or private water supply systems; septic tanks; drainage and supply wcliti; swimming pool piping; irrigation systems; or s4laT hearing waW systems and all uppurtcuanr-cFr, apparatus, or equipment usod in Cbnneckm themwA, including boilers and presawn process piping and including the installation Of water, narUral gas and swan and sanitary sewer J ines; and water and sewer plants And substaticros_ TIC scope of earls of the plumbing contractor also include& the design when not paaMNtcd by law, and installation, n ainrgt4ncc, Fcpair. alterationr Of exWnsions of air -piping, vycuum line piping, oxygen line piping, nitrous oxik piping, and all slated metiiccal gas sysrcros; fire line muidpipes and fire spHnJrlers to tha extent authr+ri� by WlicaWe law; ink and chrmical lines; luol oil and gasoline piping, axecpt bulb storage. plants; and pneumatic Lwtwl piping systerns, %U in such a manner as w comply with A plans, 9pccjfw& wn6, codes, laws, and regulations applicable. ThG scope of work of the plumbing contractor shall apply to private pmperty and public property, shai] include any excavation work incidental thcrew. "d shall include the work of t$c specialty pEtimbing cant wr. Such t:ontracwr shall subcontract, with a qualifies{ contractor in the fteJd comcrnc4ail other work incidental to the work but which is specified herein As being the work of it Laic other than that of EL pJ u.mbing cvtttractnT, -Fle.:emcnt of fire Safi rtg and fire stopping materials shall be permitted an wall, soiling and €loan pemetratlpar" created withie the taeope of the wont allowed by this section. � r - � . Iq N LC) N Packet Pg. 83 8.C.1 Growth Management Community Development Departn t-ii� T N APPLICATION FOR COLLIER COUNTY CERTIFICATF nF CO".".PFTFIrJCY N Provide the names and telephone numbers of two persons who will always know your whereabouts Name: ANire,# `wt,-o Name: 4y S . E . Tlf Telephone: 7Di6'-qR1- & 31 � II. NAME OF APPLICANT'S BUSINESS: Telephone: T Pb _-2 27 - 0 -�3k0 Business Name: D r-JC,,•} ity.•++K�- Business Address: s W [ 7-err e Ooy,A 10 PL 33 911 [� rr Street cit State Zip Telephone: -7D b- 2 3 b- 06 2 i Email: i'1Vr;d,6 SE' el4JNnG - C.0— Federal ID Tax No.: 92 1103 10 5 III. FINANCIAL RESPONSIBILITY YES NO ALL APPLICANTS MUST ANSWER THE QUESTIONS BELOW: Filed for or been discharged in bankruptcy within the past 5 years? >( Had a lien filed against you by the Internal Revenue Service or Florida Corporate Tax Division? X Undertaken construction contracts or work that resulted in liens, suits, or judgments being filed? Undertaken construction contracts or work that a third parry, such as a bonding or surety company, completed or made financial statements on? xMade an assignment of assets in settlement of construction obligations for less than the debts outstanding? Been convicted or found guilty of, or entered a plea of nolo contendere to, regardless of adjudication, a crime in any jurisdiction within the past 10 years?' Had claims or lawsuits filed for unpaid or past due accounts by your creditors as a result of construction experience? Been charged with or convicted of acting as a contractor without a license, or if licensed as a contractor in this or any other state, been "subject to" disciplinary action by a state, county, or municipality? 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 e (239) 252-2431 contractorslicensin coliiercountyfl yov Packet Pg. 84 8.C.1 -7- o VV �,), / 1 Ue � �, dec tl ec:L wiGti p."e- wP� G�n�-���. �� 7 11A-1 b� 7 �i�G It r1 5 yvi /�Ir let 0!1 tit//.9::-f, 6 ,L) � treSul+, 0° � STATE OF FLORIDA ; f COUNTY OF n i , i Thg foregoing i ment was acknowledged before me by ., IEE!� [ ]online notarization this y ,, c . �r N ary Public's Signature Notary Ivarne Personally Known OR Prcad Ident'itiication Type of Identification Produced. `— ALYSHIAMORSE �otrR;pLe`� + * Commisslon # HH 190514 M�rN o Expires October 25, 2025 �arrteP AendadTMuB�ipaiNolaryServkaa N L0 Packet Pg. 85 8.C.1 UNITED STATES BANKRUPTCY COURT MIDDLE DISTRICT OF FLORIDA 2 FORT MYERS DIVISION In re: Sucky Toro § Case No. 2:2 1 -bk-00805-FMD Debtor(s) § CHAPTER 13 STANDING TRUSTEE'S FINAL REPORT AND ACCOUNT Jon M Waage, Chapter 13 Trustee, submits the following Final Report and Account of the administration of the estate pursuant to 11 U.S.0 § 1302(b)(1). The Trustee declares as follows: 1) The case was filed on 06/18/2021 . 2) The plan was confirmed on NA_ 3) The plan was modified by order after confirmation pursuant to 11 U.S.0 § 1329 on NA. 4) The Trustee filed action to remedy default by the debtor(s) in performance under the plan on NA. 5) The case was dismissed on 08/04/2022. 6) Number of months from filing or conversion to last payment: 11. 7) Number of months case was pending: 14. 8) Total value of assets abandoned by court order: NA. 9) Total value of assets exempted: $0,00, 10) Amount of unsecured claims discharged without full payment: $0.00. 1 1) All checks distributed by the Trustee relating to this case have cleared the bank. UST Form 101-13-FR-S (9/1/2009) N Ln N Packet Pg. 86 8.C.1 Receipts: Total paid by or on behalf of the debtor(s) $ 3,333.00 Less amount refunded to debtor(s) $ 2,999.70 NET RECEIPTS $ 333.30 EExpenses of Administration: Attorney's Fees Paid Through the Plan $ 0.00 Court Costs S 0.00 Trustee Expenses & Compensation $ 333.30 Other $ 0.00 TOTAL EXPENSES OF ADMINISTRATION $ 333.30 IAttorney fees paid and disclosed by debtor(s): $ 2,250.00 Scheduled Creditors: Creditor Claim Claim Claim Principal Interest Name Class Scheduled Asserted Allowed Paid Paid PARAMOUNT RESIDENTIAL Sec 179,953.00 NA NA 0.00 0.00 SUNCOAST CREDIT UNION Sec 5,216.00 NA NA 0.00 0.00 Haven Del Pino, Esquire LLI 0.00 4.500.00 4,500.00 0.00 0.00 UST Form 101-13-FR-S (9/l/2009) N Ln N Packet Pg. 87 8.C.1 Summary of Disbursements to Creditors: Claim Principal Interest Allowed Paid Paid Secured Payments: Mortgage Ongoing $ 0.00 $ 0.00 $ 0.00 Mortgage Arrearage $ 0.00 S 0.00 $ 0.00 Debt Secured by Vehicle $ 0.00 S 0.00 $ 0.00 All Other Secured $ 0.00 $ 0.00 $ 0.00 TOTAL SECURED: $ 0.00 $ 0.00 $ 0.00 Priority Unsecured Payments: Domestic Support Arrearage $ 0.00 $ 0.00 $ 0.00 Domestic Support Ongoing $ 0.00 $ 0.00 $ 0.00 All Other Priority $ 0.00 $ 0.00 $ 0.00 TOTAL PRIORITY: $ 0.00 $ 0.00 $ 0.00 GENERAL UNSECURED PAYMENTS: $ 0.00 $ 0.00 $ 0.00 Disbursements: Expenses of Administration $ 333.30 Disbursements to Creditors $ 0.00 TOTAL DISBURSEMENTS: $ 333.30 UST Form 101-13-FR-S (9/1/2009) N Ln N Packet Pg. 88 8.C.1 12) The Trustee certifies that, pursuant to Federal Rule of Bankruptcy Procedure 5009, the estate has been fully administered, the foregoing summary is true and complete, and all administrative matters for which the Trustee is responsible have been completed. The Trustee requests a final decree be entered that discharges the Trustee and grants such other relief as may be just and proper. Date: 09/09/2022 By: Is/ Jon M Waage Trustee STATEMENT: This Unifonn Form is associated with an open bankruptcy case, therefore, Paperwork Reduction Act exemption 5 C.F.R. § 1320.4(a)(2) applies. UST Form 101-13-FR-S (9/l/2009) N Ln N Packet Pg. 89 Collier County Growth Management Community Deveiopment 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 application is being made: ha L��o Y of f l t Y cL iv\ Le �> �k � yid Y t.0 n d- ' �� i jrrfr t a H List below non formal education (on the job training) you have obtained in the area of competency for which this application is being made: &.4 4532fg6 ZCC-BT-e432 0-4-d re ��r�ru pr�V� �.rA¢f'4 r7tr7�� .(3b"COGt_F/r13)0 3C.1SSr+r 1t;,a1 Vg,.crAfov 62S-M l9zL%:t 4, LSe CURR NT/PREVIOUS LICENSE: List below and attach copies any other certificates of competency/licenses you hold/have held in Collier County or any otherjurisdiction. Include the license #, Type, and county you hold it in. AkNO- AFFIDAVIT Under the penalties of perjury, I declare that I have read the foregoing application and the facts stated in it are true. � r C—" A licant (please print) tune of Applicant State of O r1 County of ((�� �o [I( l e `-- The foregoin in trument was acknowledged before me by means of p ysical presence or ❑ online notarization on this day of e.Wr4G( 20 3 , by S e KZ_F0XC-0 _ Such person(s) Notary Public must check . applicable box: ❑ are personally known to me 1 f' as produced a current driver license ❑ has produced as identification. (N Notary Public State •1 Flak& Mayelin Leyva My Commission HH 30142) Expires 213/2025 Notary Signature: 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 contractorslicensing(-,�colliercountyflgov 8.C.1 N LO N Packet Pg. 90 C01 e-V C;014Hty 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. Je Ky � ©r"U Applicant (please prfnt Fle, '-1114 Name of Company Signs ure of AppIic State of -V 611 GL County of 0—a i "y— 01/ Th�foQ pElregoin instrument was acknowledged before me by means of hysical presence or online notarization on this 1 day of 20 -a-a , by �&A-e 70 r-O Such person(s) Notary Pu is must check applicable box: ❑ are personally known to me A-5,—,'p,oduced a current driver license ❑ has produced as identification. (Notary Seal) Notary Signature: ENolary Public Stateof Fbridaayelin Leyva ommission HH 30842!pires 2/312025 Contractor Licensing — FIRM Application Rev. 7/2022 Page 6 of 14 Operations & Regulatory Management Division. Contractor Licensing • 2800 North Horseshoe Drive • Naples. FL 34104 . Q39) 252-2431 ContracEorslicensrng�cofliercnuntyfl 8.C.1 N LO N Packet Pg. 91 Coder County 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 it wilt result in the possible revocation of my Certificate of Competency. SJr? �Ky t`trir"ti Applicant (please prinif Name of Company -L�� Si a ure of Ap BEFORE ME this day personally appeared zJZ \y 0Y-Ci who affirms and Appli ant (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 Poyr Aol Countyof 1l (e r Thg oreQoin i ,glstrument was acknowledged before me by means of 5J"physical presence or U online notarization on this day o q 20 Aj, by T6-6 Such person(s) Notary Public must check applicable box - El are personally known to me 1!l1as produced a current driver license ❑ has produced _ _ as identification. (Notary Seal) Notary Signature: Alik Notary Public State of Flpriaa Mayelin Leyve lyt "'ly Commission wH 30E129 Expires 213/2025 Contractor Licensing — FIRM Application Rev, 712022 Page 7 of 14 Operations & Regulatory Management Division. Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 a (239) 252-2431 contract__o.rslicensm (a-rollierrountyfl_qv 8.C.1 N L0 Packet Pg. 92 Score Report Pro✓ Name: SUEKYTORO Test: Master Plumber with Gas - (FL0831 1) Sponsor: Collier County Date, 03105/2022 ID #-. Test ID: 547283537 Score: 78 Result: Pass # Unanswered Questions: 0 Module Subject Area Status LOW FLSAFE P FLGK -Safety -------------------------------- General Knowledge _V_e_n_t_S_y_ste_m__s ------------ _15-rai-n-, _F ---- ---- F-Luivv --- i�a-st-e-&- ---------------------------- --- ---- FIFXF I --------------------------------------------------- fr- ONWreS&itthrgs P FLIPR .... _SomqtricsA Plan Reading ................ ---- --- FLPLM --- Plumbing-Math ------------------------- P ---- ---- FLSRD Storm &_ Roof Drainage P FLWH Water Heaters P FLWSD --- Water Supply and Distribution ---------------------- F ---- FLFG Fuel 6is-Systems P Cut Score HIGH I Packet Pg. 93 Name: Sponsor: 10 #: Score: # Unanswered Questions: Score Report SUEKYTORO Collier County 78 0 Pro✓ Test* Business and Law, 2nd edition Date: 0111212023 Test IU 9409511502 Result: Pass Module Subject Area Status LOW FLBO Business Organization F FEM FLU6 ---- -ion ----------- - Licensing F "M FEii-- Tax ------Laws -------------------------- ---- P- FLSRR Safety OSHA P FLd ----- Labor Laws -------------------------- P -- FLCM .... Contract Management---------------- P- FLPM --- Project Management ------------------ ------ - ----- -Bidding ---- I'LLid Estimating-& FLFM Financial-Managemen-t F ---- FLRM ---- ----------------- Risk Management P FILLIEN Lien laws F Cut Score HIGH I Packet Pg. 94 1 8.C.1 27911 Crown Lake Blvd Suite ##6 Bonita Springs, FL 34135 Phone: 239.777.1028 N Fax: 877.275.3593 N www.LicensesEtc.com U PERSONAL CREDIT REPORT (Compiled From National Records) <FOR> <SUB NAME> <MKT SUB> <INFILE> <DATE> <TIME> (I) P NP7771028 LICENSES ETC 16 NP 2/00 02/02/23 09:37CT <SUBJECT> TORO, SUEKY <ALSO KNOWN AS> SUEKY,TORO <CURRENT ADDRESS> 311 SW. 19TH TE., CAPE CORAL FL. 33991 <FORMER ADDRESS> 7957 W. 18TH IN., HIALEAH FL. 33014 <POSITION> <CURRENT EMPLOYER AND ADDRESS> THE PIPE WRIGHT PLUMBER <SSN> <BIRTH DATE> -4099 12/80 <DATE RPTD> 10/16 1/07 <VERF> <RPTD><HIRE> 2/18 2/16 2/14 S P E C I A L M E S S A G E S ***ALERT: #HK#IFCRA INITIAL FRAUD ALERT: ACTION MAY BE REQUIRED UNDER FCRA BEFORE OPENING OR MODIFYING AN ACCOUNT. CONTACT CONSUMER AT (786) 230-0621 (786) 230-0621*** ---------------------------------------------------------------------------- M 0 D E L P R O F I L E ***FICO SCORE 8 SCORE +566 : SERIOUS DELINQUENCY, AND PUBLIC RECORD OR ***COLLECTION FILED;TOO FEW ACCOUNTS CURRENTLY PAID AS AGREED;PROPORTION OF ***BALANCES TO CREDIT LIMITS IS T00 HIGH ON BANK REVOLVING OR OTHER ***REVOLVING ACCOUNTS;NUMBER OF ACCOUNTS WITH DELINQUENCY*** PUBLIC RECORDS HAVE BEEN SEARCHED AT THE COUNTY, STATE AND FEDERAL LEVELS --------------------------- P U B L I C R E C O R D S SOURCE DATE LIAB ECOA COURT ASSETS PAID DOCKET# TYPE PLAINTIFF/ATTORNEY Z 5064316 6/21R $0 I BK 8/22 2100805 CH 13 BANKRUPTCY DISMISSED/CLOSED HAVEN DEL PINO ---------------------------------------------------------------------------- C O L L E C T I O N S SUBNAME SUBCODE ECOA OPENED CLOSED $PLACED CREDITOR MOP ACCOUNT# VERIFIED BALANCE REMARKS CAVALRY PORT Y 1YNA008 I 5/21 $6992 CITIBANK 09B 1/23A $6992 PLACED FOR COLLECTIO ---------------------------------------------------------------------------- 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 COLLATRL/LOANTYPE CLSD/PD BALANCE REMARKS MO 30/60/90 CITI B 64DB002 9/19 $4679 3/21 LLLLLXXXXXXX R09 Page 1 of 3 Packet Pg. 95 1/23A $2980 I CREDIT CARD 2/21F $2917 $1188 05 XXXXXXXXX54 CLSD BY CRDT GRANTOR 39 0/ 0/ 2 8.C.1 DISCOVERBANK B 9616003 3/19 $2498 1/23A $2200 I CREDIT CARD 2/21F $2218 GROW FN FCU Q 20LG001 2/18 $31.4K 1/23A I AUTOMOBILE 1/21F $12.9K SUNCOAST CU Q 298Q001 4/20 $4014 12/22A I UNSECURED 12/20F $3898 WELLS FARGO B 908N664 5/16 $8805 12/22A $7500 I CREDIT CARD 10/20F $8805 SUNCST CU Q 298Q007 9/17 $15.7K 9/22A $15.OK I CREDIT CARD 11/20F $15.7K LENDING CLUB F 2BQT001 7/19 $29.OK 12/20A I UNSECURED 12/20F $0 SUNCOAST CU Q 298Q001 2/18 $9775 12/22A I AUTOMOBILE 12/21F $3215 FLAGSTARBANK B 2525001 9/16 $196K 1/23A I FHA R.E. MORTGAGE $172K PARAMOUNTRMG Q 2FAD002 9/16 $196K 10/22A I FHA R.E. MORTGAGE 10/22C $0 SYNCB/CARECR F 999206T 6/17 $3937 11/20A $4000 I CHARGE ACCOUNT 8/20C $0 MACYS/CBNA D 2A5T001 7/17 $225 5/20A $600 I CHARGE ACCOUNT 2/20C $0 SUNCST CU Q 298Q007 9/17 $15 12/19A $15.OK I CREDIT CARD 11/19C $0 WF/PREFERR H 21GJ627 1/16 $3400 6/19A $3400 I CHARGE ACCOUNT 2/19C $0 WELLS FARGO B 908N664 1/15 $325 12/18A $300 I CREDIT CARD 7/18C $0 1/21 LLLLLLLLLLLL R09 $2218 05 LLLLLLLLL555 UNPAID BLNC CHRGD OFF 29 l/ l/ 4 084M 12/20 LLLLXXXXXXXX I09 $12.9K 04 XXXXXXLLLLKK UNPAID BLNC CHRGD OFF 58 0/ 1/ 1 060M 11/20 LLLLXXXXXXXX 109 $3898 03 XXXXXXLLLLLL UNPAID BLNC CHRGD OFF 32 l/ l/ 0 12/20 LLLLLLLLLLLL R09 $8805 05 LLLLLLLLLL55 CLSD BY CRDT GRANTOR 79 l/ l/ 3 1121 LLLLLLLLLLLL R09 $15.7K 05 LLLLLLL54321 UNPAID BLNC CHRGD OFF 57 l/ l/ 2 11/20 321111111111 109 $0 03 11111 17 l/ l/ 0 072M160 4/21 KKKKXXXXXXXX 108 $0 02 XXXXXX121111 REPOSSESSION 58 1/ 0/ 0 360M1598 11 MO1 $0 3 0/ 0/ 0 360M 11XXXXXXXXXX MO1 $0 XXX111111111 TRNSFRD: OTHER LENDER 71 0/ 0/ 0 EEEEEEEElEEE RO1 $0 EEE111111111 CLSD BY CRDT GRANTOR 41 0/ 0/ 0 EEEEEEEEEEEE RO1 $0 EEEEEEEEEEEE CLSD BY CRDT GRANTOR 34 0/ 0/ 0 111111111111 ROl $0 111111111111 CRDT CARD LOST/STOLEN 26 0/ 0/ 0 EEXXEEEEEEEE R01 $0 EEEEEEEEEEII ACCT CLSD BY CONSUMER 40 0/ 0/ 0 EEEEEEEEEEEE ROl $0 EEEE11111111 CLSD BY CRDT GRANTOR 47 0/ 0/ 0 Page 2 of 3 N N Packet Pg. 96 8.C.1 ALLY FINCL F 259237L 1/15 $13.7K 072M 111111111111 101 3/18A $0 111111111111 I AUTOMOBILE 3/18C $0 CLOSE➢ 37 0/ 0/ 0 ---------------------------------------------------------------------------- I N Q U I R I E S � DATE SUBCODE SUBNAME TYPE AMOUNT 2/02/23 PNP7771028(FLA) LICENSES ETC U ---------------------------------------------------------------------------- J END OF REPORT Page 3 of 3 Packet Pg. 97 8.C.1 Certificate of Completion -------------------------------------------------------------, , This certificate confirms that SUEKY TORO Has successfully completed the following Intemet Distance Leaming ' Continuing Education Course with API Processing -Licensing, Inc ; 14 Hour Financial Responsibility Course Florida CILB Course# 0609899 Passing Score 100 ; Completed On: February 09, 2023 ' , ------------- - - - - -- ------------------------------------ f Dawn Tate Director of Distance Learning Continuing Education API Processing -Licensing, Inc _ M License #PVD0005640 3419 Galt Ocean Drive, Suite A J Ft. Lauderdale, FL 33308 (954) 567-0013 N Ln N Packet Pg. 98 3113/23, 3:06 PM Detail by Entity Name DIVISION OF CORPORATIONS 8.C.1 r J``rf�Irj'' 91 .�rg QPgartmer)t of State I Division of ComQrations ! Search Records ! Search by Enti Name I r N In N search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=Initial&searchNameOrder-FLORIDAPLUM .. 112 Packet Pg. 99 3113/23, 3:06 PM Detail by Entity Name 8 C 1 I Document Ir ages 01117/2023 — Florida Limited Liability View image In PDF format N Lo N �,.0--I�,I _.._ .., ❑n1 ., �lgib•,"-r_i- search.sunbiz.orgltnquirylCorporationSearchlSearchResultDetail?inquirytype=EntityName&directionType=Initial&searchNameOrder=FLORI DAPLUM... 2/2 Packet Pg. 100 8.C.1 Electronic Articles of Organization L23000029553 For FILED 8:00 AM January 17, 2023 Florida Limited Liability Company sec. Of state jsdennis Article I The name of the Limited Liability Company is: FLORIDA PLUMBING RESPONSE, LLC. Article II The street address of the principal office of the Limited Liability Company is: 311 SW 19TH TER CAPE CORAL, FL. US 33991 The mailing address of the Limited Liability Company is: 311 SW 19TH TER CAPE CORAL, FL. US 33991 Article III The name and Florida street address of the registered agent is: SUEKY TORO 311 SW 19TH TER CAPE CORAL, FL. 33991 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: SUEKY TORO N LO Packet Pg. 101 8.C.1 Article IV The name and address ofperson(s) authorized to manage LLC Title: AMBR SUEKY TORO 311 SW 19TH TER CAPE CORAL, FL. 33991 US Title: AMBR ANDREA D CASTRO 311 SW 19TH TER CAPE CORAL, FL. 33991 US Article V The effective date for this Limited Liability Company shall be: 01/17/2023 Signature of member or an authorized representative Electronic Signature: SUEKY TORO L23000029553 FILED 8:00 AM January 17, 2023 Sec. Of State jsdennis 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. N LO Packet Pg. 102 8.C.1 ¢� I17 C DEPARTMENT OF THE TREASURY dd'l� 1i���]]INTERNAL REVENUE SERVICE CINCINNATI OH 45999-0023 FLORIDA PLUMBING RESPONSE LLC SUEKY TORO MBR 311 SW 19TH TER CAPE CORAL, FL 33991 Date of this notice: 01-23-2023 Employer Identification Number: 92-1903105 Form: SS-4 Number of this notice: CP 575 B 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 92-1903105. 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 1065 03/15/2024 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, estate, trust, EPMF, 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. 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. N N Packet Pg. 103 (IRS USE ONLY) 575B 01-23-2023 FLOR B 9999999999 SS-4 8.C.1 IN Q 1:� i)VA" ylfi:4791 Ir * 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 FLOR. 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 B (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 B 9999999999 Your Telephone Number Best Time to Call DATE OF THIS NOTICE: 01-23-2023 ( ? - EMPLOYER IDENTIFICATION NUMBER: 92-1903105 FORM: SS-4 NOBOD INTERNAL REVENUE SERVICE CINCINNATI OH] 45999-0023 IIIId. Ill. Ii IN, Il IN, IIIIIII111II/111111INIIIII IifII FLORIDA PLUMBING RESPONSE LLC SUEKY TORO MBR 311 SW 19TH TER CAPE CORAL, FL 33991 N Ln N Packet Pg. 104 Coder coHHty Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY STATEMENT OF OWNERSHIP This certifies that I. i�2LKy l ors am a member or managing APPLICANT'S NAME (please print) member of F! i I own �) c . LL (LIMITED LIABILITY COMPANY NAME) % 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. /Cr►'d.+ State of -ROOA-k County of a 4r-- Applicant (please print) s Name df Company / t Signature of Applicant T�pf'regoin nsjrument was acknowledged before me by means of 12l'151�ysical presence or ❑ online notarization on this day of 1 RLCli 20 ", by t° l� Qr Z) Such person(s) Notary Public must check applicable x: ❑ are personally known to me [A- �spr.duced a current driver license ❑ has produced as identification. {Notary Sea[) Notary Signature: Nolay public Stara Flpriti: titayelin I.eyva IRt My Commission HH 308429 Expires 213/2025 Contractor Licensing — FIRM Application Rev. 712022 Page 9 of 14 Operations & Regulatory Management Division Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslicensinp(cDcolliercountyfl gc)� 8.C.1 N LO Packet Pg. 105 C 0*eT CiOunty 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 with Collier County Ordinance 2006-46, as amended, /arrd+ 01114t hes,00vs!�+''Proposes Companyame to engage in contracting as Ow"VerN in Collier County where Suekv ae-o Officers/Owners/Partners rApplicant Name proposes to qualify for a Certificate of Competency with company F1�c �w9-P_1A 4nAA C nn Company It is hereby agreed upon that we the undersigned (OWAWS of Fla^lt ��iJcrr6i r� �ecjauNSp,LLC Officers/Owners/Partners Company resolveand •- /represent to the Collier County Contractor's Licensing Board that the proposed qualifying agent, ye kv o✓o is active in all matters connected with the company named Applicant Name gec�cti.3e LGt✓ We further resolve and represent that �veK TKO is legally Com any Applicant Name empowered to act on behalf offlor4e Ausr�e�e V in all matters connected with its contracting Comp y b sines,,,s an has authority to supervise construction undertaken by AV;,4/1 P1UA_6f� Aes� 0NS4 ��, / Company LA - 4/w— Officers arttneerrs Hess Officers/Owners/Partners Witness Officers/Owners/Partners 4 ess Officers/Owners/Partners of the above -mentioned company need to sign on the left and a witness to the signature signs on the right. State of 12(� County of The fpregoin s rument was acknowledged before me by means of 0 sical rese ce or ❑ c ine n�jt_arization on this f / day o _e k , 20,22g, by �f ! fd j C) Yl [ i X lea ?7G� ., Such person(s) Notary Public must check applicable box: ❑ W are personally known to me 'has produced a current driver license ❑ has produced as identification. (Notary Seal) Ak Notary Public State of Florida Mayeun Leyva Notary Signatur s 1111 My Commission HH c306,9 Contractor Page 8 of 14 Operations & Regulatory Management Division, Contractor Licensing a 2800 North Horseshoe Drive o Naples, FL 34104 a (239) 252-2431 contractorslicensinggcolliercountyfl-aov 8.C.1 N LO N Packet Pg. 106 f-, � •.r rr,. .cam r-P.,. ��.fr., .-`s-^r r!, 'r n: n nw,-�,,.; r- VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name: Certificate Category Requested: A V+� t The applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate, the applicant must verify his/her experience within this trade. You are being requested to provide information that will aid the applicant in meeting this requirement. You should verify time of active experence 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: 11� O' Business Name: Phone: �(o Zq� �5 m— Business Address Street Title: 17K ( rat N(d appliicable): 1q., city state Zip The applicant was employed by me from 20QX to 7-0I1 Applicant's title: ..... I k The applicant's scope of work (specific duties) included: Additional comments: NOTE TO LICENSED CONTRACTORS: Falsifying any information provided herein subject your license to revocation. Under penalty of perjury, I declare that the facts stated here are true. State of County of L Signature of person providing the statement The foregoing . u1strument was acknowledged before me by means of 2/physical presence or 12 online notarization on this day of V4�20 , by 1 Such person(s) Notary Public must check applicablebox: ❑ are personally known to me ❑ has produced _ (Notary Sea[) lhas produced a current driver license I1 _G�G das identification. Notary Signature: Contractor Licensing — FIRM Application Rev. 712022 gyFr Notary PublIC Stale of Fiorda Olga Maria Vacaino a a My Commission HH 080411 Expires 02108l2025 t Page 10 of 14 Operations & Reguiatory Management Division Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 3,4104 . (239) 252-2431 8.C.1 N lr') Packet Pg. 107 8.C.1 NAVARRO PLUMBING AND MECHANICAL CONTRACTOR, INC N Ln N March 6, 2023 (1 To Whom It May Concern This letter is to certify that Mr. Sueky Toro had worked at Navarro Plumbing and Mechanical Contractor, Inc from June 2008 to February 2011. As a Plumber for our company he participated in multiple projects in new residential and commercial construction performing different plumbing scope of work, he developed his duties with good quality and in a professional manner. He has a good moral character and confidence in what he was doing. Best regards, Deney Navarro President Navarro Plumbing and Mechanical Contractor, Inc. State of Florida County of Miami Dade The foregoing instrument was acknowledged befor� e by me ns of ®phy ical presence El online notarization, this 03- (Date) by ame and Title of Position), who is personally known to me or who has produced +k' (Type of Identification) as identification_ PON MMry PuD"c slate of fiorma Olga Maria viz caino �p MY COm^+6S*n HH 08041 1 W nP" EXPW" 02;M2025 Notary Signature C� �i� �✓ 15236 NW 87th PL Miami Lakes, FL 33018 Phone: 305-244-5832 Packet Pg. 108 8.C.1 Collier County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name: 6 LLc k, Lk O (0 Certificate Category Requested: CASty y"Io _y'. 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: fc.t` C:Q— rl I C, Title: L 1/n Business Name: 1 I1 G f lL)� LV r(�7t t Phone: (5-T —7q C) " S vo [ License No, (if applicable): Business Address: Street city State Zip The applicant was employed by me from Applicant's title: L-L The applicant's scope of work (specific duties) included: 6C_rJ1 CgL_?I L m JJ . L ri_ la4 "QIJPI 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. ignature of providing the statement State of �/ County of The foregoing instrument was acknowledged b e me by 72, f 9.hysical presence or El online notarization on this 0�10 day of Jk�2� 20 33 , by !_ )%�GLc� Z hson(s) Notary Public must check applicable box: re personally known to me ❑ has produced a current driver license ❑ has produced as identification. (Notary Seal) *� w ELIZABETH M. REILLY MY COMMISSION if HH 153W `• a• , ` EXPIRES: November 14, 2025 BMW itru Notary PLd* tkidBlMrNMe of�' gr' Si atur . Contractor Licensing — FIRM Application Rev. 7/2022 Page 11 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslicensina�a"�colliercountvfl.aov N Ln Packet Pg. 109 8.C.1 t THE PIPE WRIGHT February 15, 2023 To Whom It May Concern This is to certify that Mr. Sueky Toro had worked at The Pipe Wright, Inc from February 2017 to April 2020. He is knowledgeable to provide service maintenance to clients. Actively worked to provide the best service to clients. The willingness to learn the new and advanced avenues to be proficient in all aspects of his Plumbing trade. While Mr. Toro was employed with us, he performed his duties in a satisfactory manner and was a valuable member of our team. He was missed when he decided to seek out other endeavors. We wish him success with any and all endeavors. (��4 cc4, /"'- Bruce Fil Vice President The Pipe Wright, Inc State of Florida County of Broward The forgoing instrument was acknow dged before me by means of Xphysical presence on this 15'' day of Fe ary 21 3, by BRUCE FILA Xwho is personally known to rri` j !Yn;: ELIZABETHM.REILLY / No ignature Elizabeth M Reilly ; MY COMMISSION # HH 153689 a' EXPIRES: November 14, 2025 o: ''•FOF F �?�`' Bonded TIYu Notary Pubk Updenvrihn r 3700 Hacienda Blvd. Suite #C / Davie, Florida 33314 / 954-723-0882 / Fax: 954-723-0881 / Toll Free 800-469-8119 N LO N Packet Pg. 110 Crier COTS my Gro,mh Management Community Development Department nopt 1C ,�,Tlnl~J FnP, COLLIER COUNTY r-FPTItI(_ATF �_7F C'O ,^PFTFr 1(-Y VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name ) Certificate Category Requested: fe t'1c4 4e--- 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: c� t� -L �- ,c r Title: Business Name �- i)) n Phone: O` - "t ��i i 5 �, License No. (if applicable): F C, Z 7 Business Address: Street city ]� State Zip The applicant was employed by me from ( d to �74 I C J 1 Applicant's title: I1A k'SaL, %/�� ' The applicant's scope of work (specific duties) included: L�Ciilryle r L I LEJYi !s 42 U[T��' r / L L, 9 Additional comments: � kl:L,± ! l o v Oy4 K�� F- VYJ-gi -(�E 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. Signatu f per -son e t provi tng j atement State of ii C), County of The foregoing instrument was acknowledged before me by means of Vfphysical presence or ❑ online notarization on this lyrdayof200 �,by ?e��u/f Such person(s) Notary Public must check applicable box: are personally known to me ❑ has produced a current driver license ❑ has produced (Notary Seal) KIMBERLYOLSON ? ' 1 Notary Public -Slate of Florida Commission k HH 258097 '.?nFrtd'' My Comm. Expires Aug 21, 2026 Bonded through National Notary Assn. Contractor Licensing — FIRM Application Rev. 7/2022 identification. Notary Signature: / f` CO f ' Page 12 of 14 Operations & Regulatory Management Division. Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslicensingpcelliercountyfl gov 8.C.1 Packet Pg. 111 u��mETccFuuNicAL. 8.C.1 EMPLOYEE POLICY AND PROCEDURE MANUAL 1719 Plumber Job Description 1719.1 Reports to: Plumbing Field Supervisor 1719.2 Primary Functions: 1719.2.1 Has all abilities of Level -I and Level-2 HeIper plus the items below. 1719.2.2Read and understand blue prints, specifications and submittals. 1719.2.3Mathematically perform work layout and install piping systems per plans and per code. 1719.2.4Able to supervise and train Helpers. 1719.2.5Has tools required to perform ALL required plumbing activities. 1719.2.6Attend and pass company provided specialty training such as medical gas piping installer's certification when the opportunity occurs. 1719.2.7Ability to troubleshoot and repair problems with piping systems and fixtures. 1719.2.8Follow all safety regulations and guidelines to maintain a safe, clean work environment. 1719.2.9 Site clean-up including putting tools and materials away. End Revised — February 2019 Page 23 N in Packet Pg. 112 8.C.1 un ;�nA UNITED IlMECHANICAL N COMPANY Lti N February 14, 2023 RE: Sueky Toro To Whom It May Concern: This letter is to inform you that Sueky Toro was employed by United Mechanical, LLC from 06/29/2020 to 04/02/2021. He worked in our plumbing department. If you have any questions regarding this letter, please contact me at the number listed below. Sincerely United Mechanical, LLC By.. Sheryl P ya Payroll Administrator J, 4-c jhE %��G n� ir�S�lamGr✓f t,,4S 4t, S 1 7 �� /� j`, � r s �c'is:;�� 11 y ,e. dun o •�-� . ✓0T;aray KIMBDHH • `'. Notary Publlorida d`Commissi97My Comm. E, 2026Bonded through NAssn. ;170 r0ai•� :i) f' :;. y Fort Myer-, FL 3391 239-939-4502 I Fax 239-939-4225 1 UrnihVac.com CMC956872 CFC 1427787 EC 1s003282 Packet Pg. 113 C000tr County Growth Management Community Deveiopment Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF F(_OrA(N COUNTY OF CCU C_( ( tl I, _Z 1PIfZE►'�f 5 (�}(1 IL)�� having been first duly sworn, state and affirm. I am a resident of Cr)CCf E R County, FCQR1"'bA (State) and have resided here for more than five (5) years. During the last five (5) years I have known SL)C-KQ l qC-, (applicant). I have had the opportunity to observe his or her business and personal deaAng�-and find him or her to be a person of honesty, integrity and good character, 1-Z 64� Signature �AR tx.[ r S r-t�4rl.�ric�� Printed Name Address: 46_`?(] W4 Aof Z;UJ Street 01Pcc—, EL 3 (///� City State Zip Telephone: z3i Jw2 6? State of �f d County of CtIr ty The foregoing n Llment was acknowledge fore me by me of 11 physical presence or ❑ online notarization on this day of �e/iv zo , by GtRewiS ,�Iiei Such person(s) Notary Public must check applicable box: ❑ are personally known to me ❑ has produced a current driver license ❑ has produced Ucen_SP_ as identification. (Notary Seal) Notary Public State of Florida r Mayelin Leyva Notary Signature. im My Commission HH 308429 Expires 213/2025 Contr cto e —T I W-Apripfication Rev.022 Page 13 of 14 Operations & Regulatory Management Division, Contractor Licensing . 2800 North Horseshoe Drive + Naples FL 34104 • (239) 252-2431 contractorsi�censin ,i7collierCouni fl gov 8.C.1 N Ln N Packet Pg. 114 8.C.1 Collier County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF/�//�� COUNTY OF cOCG/z--R C I, , having been first duly sworn, state and affirm: I am a resident ofC-KZiE2 County, FCO�/�F _ (State) and have resided here for more than five (5) years. During the last five (5) years I have known 9tV. "0 (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: /O !S 7P k SW Street IlaLg /-I/- 3WI19 city state Zip Telephone: 2 3Z16 State of d%Lt County of �c llf i'iil _ 1V Th``°il��r�egoing ' s ument was acknowledged be/f by means f Lg physYi_cal presence or ❑iodine notarization on this ''aay of 20� , by � MQ Me �1 Such person(s) Notary Public must check applicable box: ❑ are personally known to me ❑ has produced a current driver license Csl.h�oduced 16,4 6-e i„J` as identification. (Notary Seal) Notary Public State of Florida Msyelin Leyva t!r! My COrnmisslon NN 306429 Expires 2/3/2025 Contractor Licensing — FIRM Application Rev. 712022 Notary Signature: Page 14 of 14 Operations & Reguiatory Management Division. Contractor Licensing a 2800 North Horseshoe Drive a Naples, FL 34104 a (239) 252-2431 Packet Pg. 115 8.C.1 �nRIVFR LICENcF CLASS E -44 i -0 'n SLIEKY TORO 311 Sri 19TH TER CAPE CORAL. FL 33"13735 Dos 12-07-1980 SExMmg� ms" 03-1#-2015 ExPr7Es 12-07-2023 REST ENDORSE REPLACED' 11 -07.2016 iATE ORIYER i .. .... •,nVAs -orn�rn b fin, vnn Mlr less raprYFO O� 4�r T N 41) N Packet Pg. 116 Case 2:21-bk-00805-FMD Doc 37 Filed 07/20/22 Page 1 of 3 ORDERED. Dated: July 20, 2022 6W,f— 'L Carvl E.. 6elatio Chief United States Bank-ttptcy .fudge UNITED STATES BANKRUPTCY COURT MIDDLE DISTRICT OF FLORIDA FORT MYERS DIVISION www.tlmb.uscourts.gov Case No. 2:2 1 -bk-00805-FMD Chapter 13 In re: Sueky Toro Debtor.' ORDER DISMISSING CHAPTER 13 CASE (THE ORDER IS EFFECTIVE ON THE 15TH DAY FOLLOWING DATE OF ENTRY) THIS CASE came on for consideration for the purpose of entering an appropriate order following the entry of an Order Reserving Ruling on Trustee's Motion to Dismiss for Failure to Make Plan Payments and Granting Period to Cure Default was entered on June 24, 2022 (Doc #31). By submission of this Order for entry, the Chapter 13 Trustee represents that the Debtor failed to cure the default in payments under Debtor's plan. Accordingly, it is ORDERED: 1. The case is dismissed without prejudice effective on the 15th day following the date of entry of this Order. 2. If the automatic stay imposed by 11 U.S.C. § 362(a) or the stay of an action against a codebtor under I 1 U.S.C. § 1301 is in effect at the time this Order is entered, the automatic stay shall remain in effect for 14 days from the date of this Order, notwithstanding the provisions of 1 l U.S.C. § 362(c)(2)(B). i All references to "Debtor" include and refer to both of the Debtors in a case filed jointly by two individuals. Packet Pg. 117 Case 2:21-bk-00805-FMD Doc 37 Filed 07/20/22 Page 2 of 3 8.C.1 3. Debtor may convert this case to a case under another chapter of the Bankruptcy Code within 14 days of the date of this Order. If the case is not converted within 14 days, the case is dismissed effective on the 15th day after the date of entry of this Order. 4. If Debtor files a motion to vacate or for reconsideration of the Order Dismissing the Case within 14 days of the date of this Order, the automatic stay imposed by 11 U.S.C. § 362 and the stay of action against codebtor under 11 U.S.C. § 1301 shall remain in full force and effect until the Court rules on the motion. 5. All pending hearings are canceled with the exception of any scheduled hearing on a motion for relief from stay that is currently scheduled for hearing within 14 days of the date of this Order or on an Order to Show Cause over which the Court hereby reserves jurisdiction, 6. Refund of Plan Payments if Case is Dismissed or Converted. If this case was dismissed or converted to a case under Chapter 7 or Chapter 11, the Trustee shall refund to Debtor(s) any undisbursed funds in the Trustee's possession as follows: a. If this case was dismissed or converted prior to confirmation of the Plan: i. The Trustee shall subtract the amounts set forth in any filed applications for unpaid administrative expense claims, including Debtor(s) attomey(s) filed application for fees, from the refund. ii. Applications for administrative expense claims, including applications for Debtor(s) attomey(s) fees, shall be filed no later than 14 days after initial entry of the order dismissing or converting the case. iii. After the aforementioned 14 day period for filing administrative expense claims has expired, the Trustee shall issue the refund payable to Debtor(s). If Debtor(s) is represented by an attorney, the Trustee shall send the refund to the Debtor(s) in care of Debtor(s) attorney. iv. The Court reserves jurisdiction to determine timely filed applications for administrative expenses. b. If this case was dismissed or converted after the Plan had been confirmed, and Notwithstanding any other Court orders, the Trustee shall issue the refund, made payable to the Debtor(s), as soon as practicable. If Debtor(s) is represented by an attorney, the Trustee shall send the refund to the Debtor(s) in care of Debtor(s) attorney. C. The Trustee shall thereafter file his final report. Upon the filing of the final report, the Trustee will be discharged of all duties as Trustee. 7. Debtor, the Trustee, or any party in interest may, within 14 days of the date of this Order, file a motion requesting the Court to examine the fees paid to Debtor's attorney and for the T N LO N Packet Pg. 118 Case 2:21-bk-00805-FMD Doc 37 Filed 07/20/22 Page 3 of 3 8.C.1 disgorgement of any portion of the fees deemed excessive. The Court shall retain jurisdiction for this purpose. Trustee, Jon M. Waage, is directed to serve a copy of this order on interested parties who do not receive service by CM/ECF and file a proof of service within three days of entry of the order. JMW/j lz C 13T 7/20/22 T N LO N Packet Pg. 119 Case 10-23808-I_MI Doc 9 Filed 06/10/10 Page 1 of 2 CGFD21 (9/19/OR) N J \I J ORDERED in the Southern District of Florida on June 10, 2010 a0jj4 W) 0j1 � Laurel M Isicoff United States Bankruptcy Judge United States Bankruptcy Court Southern District of Florida www.flsb.uscourts.gov In re: (Debtor(s) name(s) used by the debtor(s) in the last 8 years, including married, maiden, and trade) Sueky Toro 12352 SW 213 Terrace Miami. FL 33177 SSN: xxx-xx-4099 ORDER DISMISSING CASE Case Number: 10-23808-LMI Chapter: 13 It has been brought to the attention of the court that the debtor has failed to file or correct deficiencies in the item(s) indicated below by the June 3, 2010 deadline date. The debtor was advised of these requirements in either a clerk's notice of filing requirements or by separate order of the court. Summary of Schedules due 06/03/2010 Schedules A—J due 06/03/2010 Chapter 13 Plan due 0610312010 Statement of Financial Affairs due 06/03/2010 Payment Advices (Db) due 06/03/2010 Declaration Re: Schedules due 06/03/2010 Stmt of Monthly Income [Ch 13] due 06/03/2010 "Credit Counseling Cert (Db) due 06/03/2010 The debtor has not met this deadline. Therefore, it is ORDERED that: Packet Pg. 120 Case 10-23808-LMI Doc 9 Filed 06/10/10 Page 2 of 2 Page I of-2 1. In accordance with 11 U.S.C. § 105(a), this case is dismissed with prejudice as to the filing of any bankruptcy case in any federal bankruptcy court in the United States of America by the above -named debtor earlier than 180 days from entry of this order. 2. The trustee shall file a final report prior to the administrative closing of the case. 3. (If applicable) the debtor shall immediately pay to the Clerk, U.S. Court, $ 233.00 for the balance of the filing fee as required by Local Rule 1017-2(E). Payment must be made in cash, money order or cashier's or "official" check. Any funds remaining with the trustee shall be applied to this balance and the trustee must dispose of any funds in accordance with the Bankruptcy Code and Local Rule 1017-2(F), unless otherwise ordered by the court. The court will not entertain a motion for reconsideration of this order unless all unpaid fees are paid at the time the motion is fled. 4. In accordance with Local Rule 1002-1(B), the clerk of court is directed to refuse to accept for filing any future voluntary petitions submitted by this debtor if the refiling violates a prior order of the court or if the petition is accompanied by an Application to Pay Filing Fee in Installments and filing fees remain due from any previous case filed by the debtor. The clerk shall serve a copy of this order on all parties of record. Page 2 of 2 N Ln N Packet Pg. 121 8.C.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 CM consumer credit report, as defined in Rule 61G4-12.011, F.A.C., which consumer credit report does not disclose any unsatisfied C judgments or liens against the applicant. In addition, there must not be any unsatisfied judgments or liens against the business entity U which the applicant previously qualified as a primary qualifier or which the applicant has applied to qualify. J (2) The financial stability ground on which the Board shall refuse to qualify an applicant is failure to provide proof of either a W financial stability bond or an irrevocable letter of credit from a bank authorized to do business in the State of Florida. The bond or Z 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, O FICO derived, of 660 or higher, and must be payable as provided in Rule 61G4-15.0021, F.A.C., for Financially Responsible t1 Officers in the amount of. W (a) $20,000 for Division I applicants. t7 (b) $10,000 for Division II applicants. Z (3) Fifty percent of the financial stability bond or the letter of credit requirement may be met by completion of a 14-hour M 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 J a consumer credit report, as defined in Rule 61G4-12.011, F.A.C, with a credit score, FICO derived, of660 or higher, which consumer Q credit report does not disclose any unsatisfied judgments or liens against the applicant. In addition, there must not be any unsatisfied o judgments or liens against the business entity which the applicant previouslyqualified as a primaryqualifier or which the applicant FE 0 has applied to qualify. —J LL Specific Authority 489.115(5), (6) FS. law Implemented 489.115(5). (6) FS. Histor)-New 1-6-80, Amended 5-4-80, Formerly 21 E-15.06, 21 E- ' 15.006, Amended 10-31-96. 11-13-97, 2-12-08. W Packet Pg. 122 8.D 04/19/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 8.1) Doc ID: 25227 Item Summary: 8D. SHAY BENISH — REVIEW OF CREDIT AND EXPERIENCE - GARAGE DOOR INSTALLATION CONTRACTOR — SPEEDY GAR Meeting Date: 04/19/2023 Prepared by: Title: — Contractor Licensing Name: Alyshia Morse 04/12/2023 11:25 AM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 04/12/2023 11:25 AM Approved By: Review: Contractor Licensing Contractor Licensing Contractor Licensing Sandra Delgado Review item Tim Crotts Review Item Tim Crotts Meeting Pending Completed 04/12/2023 4:03 PM Completed 04/13/2023 10:39 AM 04/19/2023 9:00 AM Packet Pg. 123 8.D.1 Co le-r C014-nty Growth Management Community development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY FIRM APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY %l' 1 z3 - p7 r 3 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 ❑ Building ❑ Residential ❑ Mechanical ❑ Roofing Specialty Trade: $230.00 ❑ Electrician $230.00 $230.00 ❑ Plumber $230.00 $230.00 © Air Conditioner $230.00 $230.00 ❑ Swimming Pool $230.00 $230.00 t4pecialty $205.00 I. APPLICANT PERSONAL INFORMATION: !Jame BusineE Address Email: Telephone: Date of Birth: r L f ,;i)c . *SS # (Last 4 digits only): {4 (' Driver's License # (Last 4 digits only): Pursuant to Collier County Contractor Licensing Ordinance No. 2006i46 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) Venfication 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 mfonnation and once collected, will be maintained as confidential and exempt under Chapter 119, Florida Statutes. Contractor Licensing — FIRM Application Rev. 7I2022 Page 3 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorsficensing0colliercount ,gov 0 00 r-� C d E t V r r� Q Packet Pg. 124 8.D.1 1.63.7. Garage doors Installation Contractor requires twelve (12) months experience with a pasxing grade on a iwe (2)heR business and law test and means any person who is qualified to install, repair, 4usl or extend garage doors. 0 rb c d E t ce r Q Packet Pg. 125 8.D.1 CoI[ieY County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY Provide the names and telephone numbers of two persons who will always know your whereabouts. •, Name: I, L� Name: /^ Telephone: 7iL L' J Telephone: II. NAME OF APPLICANT'S BUSINESS: Business Name: Business Address: 1 1/ ,r a"-r' t, I Str %%�� 'City state Zip Telephone: � / C tG' � � q !if�-�o 0 Email: _ * & ' Federal ID Tax No.: _r r III. FINANCIAL RESPONSIBILITY YES NO ALL APPLICANTS MUST ANSWER THE QUESTIONS BELOW: ✓ Filed for or been discharged in bankruptcy within the past 5 years? Had a lien filed against you by the Internal Revenue Service or Florida Corporate Tax Division? Undertaken construction contracts or work that resulted in liens, suits, or judgments being filed? ✓ Undertaken construction contracts or work that a third party, such as a bonding or surety company, completed or made financial statements on? Made an assignment of assets in settlement of construction obligations for less than the debts outstanding? Been convicted or found guilty of, or entered a plea of nolo contenders to, regardless of adjudication, a crime in any jurisdiction within the past 10 years?' Had claims or lawsuits filed for unpaid or past due accounts by your creditors as a result of construction experience? / Been charged with or convicted of acting as a contractor without a license, or if licensed as a ✓ contractor in this or any other state, been "subject to" disciplinary action by a state, county, or municipality? 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. 712M Page 4 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 + (239) 252-2431 contractorslicensing0colliercountvfl.gov w Q Packet Pg. 126 8.D.1 coil- tier 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 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 competency/licenses you hold/have held in Collier County or any other jurisdiction. Includ�thhf license #, Type, a2d 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. '' \ pplicant (please print) I Sign ure of Applicant State of �'(! �.L,, County of `� t ✓ The foregoing ins nt was acknowledged before me by of physical presence or 0 online notarization on this ir day of , t c h 20 �, by l Such person(s) Notary Public must check applicable ox: ❑ are personally known to me has produced a current driver license Q has produced` I+DE 1 V iI V9-,r cicQ.1t�6 identification. (Notary ,' ALEXISHIDALGO ' Notary Public - State of Florida � Commission # HH 295545 * t—My Comm. Expires Aug 1, 2026 Notary Signature: Contractor Licensing — FIRM Application Rev. 712022 Page 5 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe DriveV• Naples, FL 34104 • (239) 252-2431 contractorsGcensina0cotliencountO.00v w Q Packet Pg. 127 8.D.1 cofyer 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 foil 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 (pl print of com Signature of Applicant Statc of -T I -br t L \ County of 1� 1 �✓ The forego] n trume�t was acknowledged before me by ears of�hysical presence or ❑ online notarization on this ad.,of o1� ` , 20 LJ , b 3� ! Such person(s) Notary Public must check applicable I: ❑ are personally known to me Pkhas produced a current driver license ❑ has produced (Notary Sea]) 41 ALEXIS HIDALGO �' Notary Public - State of Florida Commission A HH 295545 °C My Comm. Expires Aug 1, 2026 as identification. Notary Signature: Contractor Licensing — FIRM App€ication Rev. 712022 Page 6 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 262-2431 contractorsgcensinafa.colliercount fll..aov w Q Packet Pg. 128 8.D.1 Corer County 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 it will result in the possible revocation of my Certificate of Competency. >� 601111,�h Applicant (pleasf print a e of Com ny Signature of Appiican BEFORE ME this day personally appeared S' ii/) 5� who affirms and A icant (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 V`b'TA6- County of The foregoin trume t was acknowledged before me by m ofl ph sical presence or El online notarization on this "day of O. Y G 20 � , by h t s�� Such person(s) Notary Public must check applicable bo ❑ are personally known to me Xhas produced a current driver license ❑ has produced as identification. (Notary Seal) 4.0rny ALE70SHIOALGO . °y,. Notary Signature: �- Notary Public -State of Fimida commission ft HH 195545 My Comm. Expires Aug 1, 2026 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 contractorslicansin colliercount ov 0 00 r C d E t V «s r Q Packet Pg. 129 8.D.1 GITS, LLC Examination Operations Division Providing the services and products to assist Government Agencies to make informed educated decisions. Official Score Report: Candidate Information: Name — Shay Benish Candidate #: 80831500B Testing ng Site: Ft. Myers, FL Final Score Result: Official Examination Score Report December 20, 2022 Business Procedures Score: 82% 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 20, 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 0 C d E t v ca w Q Packet Pg. 130 CREDITCHECkm CONFIDENTIAL Individual Credit Report Name ... :SHAY, BENISH Ordered By: Address:7868 FOUNDERS CIRCLE Customer :9999 NAPLES, FL 34104 Received :03/09/23 Social#: Applicant: -7110 Completed-03/09/23 CREDIT SCORE: APPLICANT FICO SCORE: 606 (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 03109/23: 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 MOs Account Number Reported Opened Credit Balance Due 30 60 9C Status Rev ECOA CAPITAL ONE PD WAS 30 515307717478 11/22 02/22 664 0 0 01 00 00 R01 08 I DLA=11/22 CB INDIGO 534348048713 02/23 03/22 462 DLA=02/23 CB INDIGO 510004421530 02/22 07/21 59 DLA=02/22 ERC 228421212 02/23 09/20 417 ORIGINAL CREDITOR: AT T FIRST SVG CC 543360120408 03/23 01/22 672 DLA=03/23 CUR WAS 60 0 01 01 00 R01 10 I N 417 417 254 0 AS AGREED 00 00 00 R01 07 I COLLECTION -- -- -- 09B -- I AS AGREED 00 00 00 R01 13 I FSTPROGRESS COLLECTION 544303000456 03/23 05/19 363 163 163 R09 00 I DLA=03/23 Licensee Applicant: APPLICANT - SEE NAME ABOVE Reporting Agency: Credit Check, Inc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409. (561) 616-5556 8.D.1 0 a� E t m w Q Packet Pg. 131 CREDITCHECKbm CONFIDENTIAL 8•D.1 w Name: SHAY BENISH Customer: 9999 Page:2 CQ9 IQ DATA INT COLLECTION Q IQDDALI1128370326 03/23 07/18 10392 13362 13362 -- -- -- 09B -- I O ORIGINAL CREDITOR: LANDERA APARTMENTS TX } w MISSIONLNTAB AS AGREED w 431503751061 02/23 01/22 538 19 0 00 00 00 R01 12 I a DLA=02/23 I O OPRTUNMETABK PDCOLLECT U 5323771 10/22 03/22 2782 0 0 109 00 I Q DLA=10/22 Z PORTFOLIO RC COLLECTION O U 5178058307703853 03/23 02/18 420 420 420 -- -- -- 09B -- I Z ORIGINAL CREDITOR: CAPITAL ONE BANK USA N A O i- Q SANTANDER COLLECTION J J 30000114751841000 08/21 02/16 26995 20091 20091 109 00 I DLA=08/21 y Z SELF / LEAD AS AGREED 0 10755012 02/22 05/21 724 0 0 00 00 00 I01 09 I O DLA=02/22 0 w C9 SELFINC/LEAD AS AGREED D000000O029820 02/23 08/21 579 0 0 00 00 00 R01 18 I Q DLA=02/23 t9 w UPSTA/FINWSE AS AGREED U FW1569805 02/23 06/21 2600 1299 0 00 00 00 101 18 I W DLA=02/23 w a UPSTA/FINWSE CUR WAS 30 w FW2594234 02/23 02/22 4500 4055 0 02 00 00 I01 12 I o DLA=0 Z2/23 Q H US BANK CUR WAS 30 403784012569 02/23 10/20 492 54 0 01 00 00 R01 27 I DLA=02/23 U u_ O US BANK AS AGREED 403784012857 02/23 01/22 3274 1023 0 00 00 00 R01 13 I w DLA=02/23 w WELLS FARGO AS AGREED 2 442644101643 10/16 03/12 3598 0 0 00 00 00 R01 48 I N DLA=10/16 W M WESTLAKE FIN AS AGREED } 5774336 06/15 06/13 14033 0 0 00 00 00 I01 23 I 2 DLA=06/15 6 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 m w Q Packet Pg. 132 CREDIT CHECK CONFIDENTIAL 8•D.1 Name: SHAY, BENISH Customer: 9999 Page:3 Total trade lines on this report: 19 INQUIRIES: 03/04/23 by BK OF AMER (EXP) #2440720 08/29/22 by 700 CREDIT/GREGG YOUNG (EXP) #2849390 08/24/22 by BK OF AMER (EXP) #2440720 04/06/22 by SYNCB/TJX CO (EXP) #1930901 03/28/22 by PATHWARD NA/OPORTUN (EXP) #2926947 02/03/22 by CAPITALONE (EXP) #1585180 01/27/22 by SYNCB/VRZN (EXP) #2916559 01/25/22 by ONEMAIN (EXP) #1934048 01/24/22 by US BANK CONSOLIDATED (EXP) #2903202 12/26/21 by US BANK CONSOLIDATED (EXP) #2903202 12/18/21 by SYNCB/AMAZON PLCC (EXP) #1004664 12/17/21 by ONEMAIN (EXP) #1934048 10/05/21 by ONEMAIN FINANCIAL GROU (EXP) #2907651 08/31/21 by ONEMAIN (EXP) 41934048 08/22/21 by AMEX (EXP) #2916657 07/31/21 by US BANK CONSOLIDATED (EXP) #2903202 07/10/21 by BK OF AMER (EXP) #2440720 05/29/21 by BK OF AMER (EXP) #2440720 03/26/21 by US BANK CONSOLIDATED (EXP) #2903202 03/20/21 by US BANK CONSOLIDATED (EXP) #2903202 03/04/23 by CREDITONEBK (TU) #3953464 01/22/23 by BK OF AMER (TU) #6199555 01/12/23 by BRCLYSBANKDE (TU) #3390354 08/29/22 by GREGG YOUNG (TU) #1242167 08/25/22 by WF PLL (TU) #90140 04/06/22 by SYNCB/TJX DC (TU) #4597847 03/28/22 by CB INDIGO (TU) #4997215 03/26/22 by PATHFWD/OPOR (TU) #4859435 02/06/22 by FINWISE/UPST (TU) #3625310 02/03/22 by CAPITAL ONE (TU) #3698048 01/27/22 by SYNCB/VERIZO (TU) #2741021 01/26/22 by 1ST SAVINGS (TU) #2021 01/25/22 by ML TAB BANK (TU) #1125820 12/18/21 by SYNCB/AMAZON (TU) #5371284 10/05/21 by ONEMAIN (TU) #2375239 08/13/21 by FINWISE/UPST (TU) #3625310 07/10/21 by CB INDIGO (TU) #4997215 05/08/21 by US BANK (TU) #3619145 RESIDENCE HISTORY: 7868 FOUNDERS CI, NAPLES FL 34104 7782 SCARLET CT, NAPLES FL 34104 2317 S 84TH ST, OMAHA NE 68124 COMMENTS: ***OFAC NAME SCREEN ALERT - CLEAR*** OFAC (OFFICE OF FOREIGN ASSET CONTROL) IS A FEDERAL AGENCY WHICH MAINTAINS Licensee Applicant: APPLICANT - SEE NAME ABOVE Reporting Agency: Credit Check, Inc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409. (561) 616-5556 0 a� E t m w Q Packet Pg. 133 CREDITCHECK nn CONFIDENTIAL 8•D.1 Name: SHAY BENISH Customer: 9999 Page:4 COMMENTS - continued: 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 PERFORMEI CREDITOR PHONE DIRECTORY: CAPITAL ONE BClDTV001 (800) 955-7070 PO BOX 31293 SALT LAKE CITY UT. 84131 SANTANDER FA1R18003 (888) 222-4227 PO BOX 961211 FORT WORTH TX. 76161 WESTLAKE FIN FS1T9Q001 (323) 692-8800 4751 WILSHIRE BVLD LOS ANGELES CA. 90010 CB INDIGO BZ22EL023 (866) 946-9545 PO BOX 4499 BEAVERTON OR. 97076 SELF / LEAD BI2ANW003 (877) 883-0999 901 E. 6TH STREET AUSTIN TX. 78702 SELFINC/LEAD FF2ANW004 (877) 883-0999 901 E. 6TH STREET AUSTIN TX. 78702 FIRST SVG CC BC2BYX001 (605) 782-3461 500 EAST 60TH ST N SIOUX FALLS SD. 57104 OPRTUNMETABK FZ2CXY006 (866) 488-6090 2 CIRCLE STAR WAY SAN CARLOS CA. 94070 FSTPROGRESS BC2D8V001 (888) 379-1075 P.O. BOX 84010 COLUMBUS GA. 31908 UPSTA/FINWSE FZ2ETA005 (833) 212-6245 2 CIRCLE STAR WAY SAN CARLOS CA. 94070 MISSIONLNTAB BC2GY6002 (855) 790-8860 PO BOX 105286 ATLANTA GA. 30348 WELLS FARGO BC908N664 (800) 462-4720 PO BOX 14517 DES MOINES IA. 50306 US BANK BC9564005 (866) 234-4750 CB DISPUTES SAINT LOUIS MO. 63166 PORTFOLIO RC YClKSE003 (844) 675-3407 120 CORPORATE BLVD NORFOLK VA. 23502 ERC YC26MT002 (800) 496-8941 PO BOX 57547 JACKSONVILLE FL. 32241 IQ DATA INT YC2BAG001 (888) 248-2509 PO BOX 39 BOTHELL WA. 98041 ONEMAIN F 2375239 (844) 298-9773 P.O. BOX 3327 EVANSVILLE IN. 47706 WF PLL B 0090140 (877) 269-6056 PO BOX 93380 ALBUQUERQUE NM. 87199 US BANK B 3619145 (844) 624-8230 200 SOUTH 6TH STRE MINNEAPOLIS MN. 55402 CB INDIGO B 4997215 (866) 946-9545 PO BOX 4499 BEAVERTON OR. 97076 GREGG YOUNG A 1242167 (402) 298-5070 302 FULTON AVE PLATTSMOUTH NE. 68048 CREDITONEBK B 3953464 (702) 269-1000 6801 S. CIMARRON R LAS VEGAS NV. 89113 FINWISE/UPST F 3625310 (833) 205-5437 FINWISE SAN CARLOS CA. 94070 PATHFWD/OPOR F 4859435 (866) 488-6090 Licensee Applicant: APPLICANT - SEE NAME ABOVE Reporting Agency: Credit Check, Inc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409 .(561) 616-5556 0 a� E t m w Q Packet Pg. 134 CREDITCHEC K M CONFIDENTIAL 8•D.1 Name: SHAY. BENISH _ Customer: 9999 Page:5 w C9 CREDITOR PHONE DIRECTORY - continued: Q 2 CIRCLE STAR WAY SAN CARLOS CA. 94070 CREDIT CHECK Z 0630273 (877) 616-5556 } 3017 EXCHANGE COUR WEST PALM BEAC FL. 33409 W BK OF AMER B 6199555 (800) 421-2110 w PO BOX 982238 EL PASO TX. 79998 ca SYNCB/VERIZO B 2741021 (855) 411-4729 ) PO BOX 965015 ORLANDO FL. 32896 w SYNCB/TJX DC B 4597847 (877) 890-3150 H PO BOX 965015 ORLANDO FL. 32896 SYNCB/AMAZON B 5371284 (855) 597-4891 Q PO BOX 669834 DALLAS TX. 75266 BRCLYSBANKDE B 3390354 (866) 370-5931 Z PO BOX 8803 WILMINGTON DE. 19899 L) 1ST SAVINGS B 0002021 (605) 782-3461 Z 500 EAST 60TH ST N SIOUX FALLS SD. 57104 0 ML TAB BANK F 1125820 (855) 570-3732 Q PO BOX 105286 ATLANTA GA. 30304 CAPITAL ONE B 3698048 (800) 9SS-7070 J Q 15000 CAPITAL ONE RICHMOND VA. 23238 *** END OF REPORT *** This infatuation is confidential and is not to be divulged except as required. by the Fair Credit Reporting Act. This personal rayon is furnished simply as an aid in determining the Ueda desirability of the appl,cant(s). It is based upon information obtained i good faith by this agency from sources deemed reliable. The accuracy of same, however, is in no way guaranteed By your acceptance and use of this report, you specifically agree to hold Credo Check. Inc. harmless from any liability whatsoever. 0 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 m w Q Packet Pg. 135 10/31/22, 8:20 AM Detail by Entity Name DIVISION o= COP.-ORA710NS r� .0rg Detail by Entity Marne Florida Limited Liability Company SPEEDY GARAGE DOORS LLC P111ng Information Document Number L220004448W FE11EIN Number NONE Date Filed 10/17/2022 Effective Date 10/14/2022 State FL Status ACTIVE 160 PLANTATION CIRCLE NAPLES, FL 34104 Mailing Address 160 PLANTATION CIRCLE NAPLES, FL 34104 $ggistered Aaent Name 8 Address BENISH, SHAY 160 PLANTATION CIRCLE NAPLES, FL 34104 Authorized Personf1) Detail Name & Address Title AMBR BENISH, SHAY 160 PLANTATION CIRCLE NAPLES, FL 34104 Annual Reports No Annual Reports Filed Document Images 10117(2022 — Fbndi Limited Liability Vie•.% image in POF fornat httpsJlsearch.sunbiz.orgllnquirylCorporadonSearCNSeamhResultDetad9ingrurylype=En"ame&directionType=lnitsal&searchNameOrder-SPEEDY... 1 /2 0 C d E t V ra w Q Packet Pg. 136 8.D.1 Electronic Articles of Organization L22000444880 FILED 8:00 AM Florida Limited For Company Sec. Of October oisimmons Article I The name of the Limited Liability Company is: SPEEDY GARAGE DOORS LLC Article II The street address of the principal office of the Limited Liability Company is: 160 PLANTATION CIRCLE NAPLES, FL. US 34104 The mailing address of the Limited Liability Company is: 160 PLANTATION CIRCLE NAPLES, FL. US 34104 Article III Other provisions, if any: Article IV The name and Florida street address of the registered agent is: SHAY BENISH 160 PLANTATION CIRCLE NAPLES, FL. 34104 Having been named as registered agent and to accept service of process for the above stated limited liability company at the place designated to this certificate, I hereby accept the appointment as registered agent and agree to act mn this ca acity. 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: SHAY BENISH 0 00 a� E c� r a Packet Pg. 137 8.D.1 Article V The name and address of person(s) authorized to manage LLC: Title: AMBR SHAY BENISH 160 PLANTATION CIRCLE NAPLES, FL. 34104 US Article VI The effective date for this Limited Liability Company shall be: 10/14/2022 Signature of member or an authorized representative Electronic Signature: SHAY BENISH L22000444880 FILED 8:00 AM Sect. Of Stale 022 oisimmons 1 am the member or authorized representative submitting these Articles of ar 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 &T-ee 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 I st in the calendar year following formation of the LLC and every year thereafter to maintain "active" status. 0 00 c a� E t c� r Q Packet Pg. 138 8.D.1 e�1I R DEPARTMENT OF THE TREASURY il�] INTERNAL REVENUE SERVICE C=NCINNATI OH 45999-0023 Date of this notice: 10-31-2022 Employer Identification Number: 88-4236820 Form: SS-4 Number of this notice: CP 575 G SPEEDY GARAGE DOORS LLC SHAY BENISH SOLE MBR 160 PLANTATION CIR For assistance you may call us at: NAPLES, FL 34104 1-800-829-4933 IF YOU WRITE, ATTACH THE STUB AT THE END OF THIS NOTICE. WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER Thank you for applying for an Employer Identification Number (EIN). We assigned you EIN 88-4236820. 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. w Q Packet Pg. 139 (IRS USE ONLY) 575G 10-31-2022 SPEE 0 9999999999 SS-4 8.D.1 IIMPORT111P!'TAENIIMM : * 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 SPEE. 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 Return this part with any correspondence so we may identify your account. Please correct any errors in your name or address. CP 575 G (Rev. 7-2007) -------------------- CP 575 G 9999999999 Your Telephone Number Best Time to Call DATE OF THIS NOTICE: 10-31-2022 ( ) - EMPLOYER IDENTIFICATION NUMBER: 88-4236820 FORM: SS-4 NOBOD INTERNAL REVENUE SERVICE CINCINNATI OH 45999-0023 SPEEDY GARAGE DOORS LLC SHAY BENISH SOLE MBR 160 PLANTATION CIR NAPLES, FL 34104 w Q Packet Pg. 140 8.D.1 Coder County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY STATEMENT OF OWNERSHIP This cerli member ber or managing I own 1 L`�� % 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. II �� Applicant (please print) Name of Company Signature of Applicant State of 10 eY� �\ County of The foregoing stru nt was acknowledged before me by m s ofXp ysical presence or[] online notarization on this day of t, t' -h , 20 _Z3o, by Such person(s) Notary Public must check applicable bo . ❑ are personally known to me )4has produced a current driver license ❑ has produced as identification. (Notary Seal) ALEXIS HIDALDFloplda •': � Notary Public -State Notary Signature: +• �+. Commission N HH My Camm. Expires A Contractor Licensing — FIRM Application Rev. 712022 Page 9 of 14 Operations & Regulatory Management Division, Contractor Licensing • 28DO North Horseshoe Drive • Naples, FL 34104 . (239) 252-2431 contractorslicensinu o(-colliercounlvfl.cov 0 00 C d E t V tts r Q Packet Pg. 141 8.D.1 March 6, 2023 To whom it may concern, dear Sir or Madam: am writing this letter to provide information with my work experience. I worked in Omaha Nebraska for over 5 years with Atlantic Garage Doors as a garage technician. I performed duties on the field like, installation and replacements for new garage doors, remote control entry, repairs or replace openers and springs, diagnose problems and give estimates. Shay Benish (954) 470-0454 7868 Founders Circle Naples FL, 34104 51�N I9SPr.� ALEXIS HI©ALGO _ ' 1 Notary Public - State of Florida Commission # HH 195545 My Comm. Expires Aug i, 2026 1 i r� ¢v t 0 00 C d E t V fC r Q Packet Pg. 142 8.D.1 Corer County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF COUNTY OF C i (O having been first duly sworn, state and affirm: I am a resident of �{,Q�� County, (State) and have resided here for more than five (5) years. During the last five (5) years I have known 1jCl + ! (applicant). I have had the opportunity to observe his or her business and personal dealings d find him or her to be a person of honesty, integrity and good character. Signature Printed Name Address: 7 5(11 Street ity State Zip Telephone:;��, State of Al >5Y t CL County of The fore goin trum�t was acknowledged bef mt. by mean f$1 physical presence or ❑ online notarization on this Cday of C•.0 C 1, 20 2, by 1 I N Q Such person(s) Notary Public must check applicabt box: ❑ are personally known to me '.has produced a current driver license ❑ has produced as identification. (Notary Se[ _ ALE%IS HIDALGO '�' Notary Puhlic -State of Florida a p Commission # HH Z95545 My Comm. Expires Aug 1, 2026 Notary Signature: Contractor Licensing — FIRM Application Rev. 712022 Operations R Regulatory Management Divlsion, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contmctorslicensina(cDwiliemmntvfl.aov w Q Packet Pg. 143 8.D.1 cow county Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF %a COUNTY OFC�a having been first duly sworn, state and affirm: I am a resident of C� L1 / County, (State) and have resided here for more than five (5) years. During the last five (5) years I have known t_ (applicant). I have had the opportunity to observe his or her business and personal dealings and find him or her to be a person of honesty, integrity and good character. Signature a� Printed Name Address:,/%/ o rz )G 24-L street, ty State Tip Telephone: lI Fa — 3c'y-./l 1'��� State of �—� A-, Y I L County of C' � I ( V-Y' The forego tr»m�nt was acknowledged bef !,r me by of4 sisal presence or ❑online notarization on this day of i " It 1 , 20 2,31 , by 1 IV Cyr Such person(s) Notary Public must check applicable box: ❑ are personally known to me 14 has produced a current driver license 0 has produced as identification. (Notary oM1*►Y+V`.. ALEXIS HIDALGO kotary Public State of Florida Commission k HH 295545 My Comm. Expires Aug 1, 2026 Notary Signature: Contractor Licensing — FIRM Application Rev. 712022 Page 14 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive . Naples, FL 34104 • (238) 252.2431 contractorslicensingirLliercount a,aov w Q Packet Pg. 144 8.D.1 w cQ9 a Q C9 z O p Q J J Q H Z_ w O O 0 w C9 Q o: Q O w U Z W_ w W a x W 0 Z Q H 0 w D: U w O w w w x z w m Q x 0 00 a� E t m w Q Packet Pg. 145 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 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) S20,000 for Division I applicants. (b) $10,000 for Division I 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, F1CO derived, of 660 or higher, which consumer credit report does not disclose any unsatisfied judgments or liens against the applicant. In addition, there must not be any unsatisfied judgments or liens against the business entity which the applicant previously qualified as a primary qualifier or which the applicant has applied to qualify. Specific Awhority 489.115(5), (6) FS. Law Implemented 489.115(5). (6) FS. History —New 1-6-80, Amended 5-4-80, Formerly 21E-15.06. 21E- 15.006, Amended 10-31-96, 11-13-97, 2-12-08. 0 aD c at E t v ttt w Q Packet Pg. 146 8.E 04/19/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 8.E Doc ID: 25228 Item Summary: 8E. TARA BOREK — REVIEW OF EXPERIENCE- IRRIGATION SPRINKLER CONTRACTOR - FIELD OF GREENS SW FLORIDA, Meeting Date: 04/19/2023 Prepared by: Title: — Contractor Licensing Name: Alyshia Morse 04/12/2023 11:29 AM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 04/12/2023 11:29 AM Approved By: Review: Contractor Licensing Contractor Licensing Contractor Licensing Sandra Delgado Review item Tim Crotts Review Item Tim Crotts Meeting Pending Completed 04/12/2023 4:11 PM Completed 04/13/2023 10:39 AM 04/19/2023 9:00 AM Packet Pg. 147 CO 7BY County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY FIRM APPLICATION FOR COLLIER COUNTY 01-17 if CERTIFICATE OF COMPETENCY t��) 0?- 3 -0 7� ' This application must be typewritten or legibly printed. The application fee must be paid upon approval and is NOT refundable All checks should be made payable 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 ❑ Electrician $230.00 ❑ Plumber $230.00 ❑ Air Conditioner $230.00 ❑ Swimming Pool $230.00 WSpecialty $205.00 Specialty Trade: 1rr I g6t J-ki�-) Sf) rL kI c— I. APPLICANT PERSONAL INFORMATION: Name: n First Middle Initial Last Business Name: Address: _ ( � G- G. I i-l'1 'st ! 'w VAC4W P I L 1) -7 Street City r — State Zip Email: � � � � c� S-V--wls 1'WPI 20 ao 1, C CM 8.E.1 Telephone: 9 10 — `l � � ^ �?'�� � *SS # (Last 4 digits only): Date of Birth: I o-1G Driver's License # (Last 4 digits only): , Pursuant to Collier County Contractor Licensing Ordinance No. 2006-46 Section 2.1.1., all applicants are required to submit their social security W number, driver's license, and date of birth for the following purposes: a) Assess applicant's ability to satisfy creditors by reviewing their credit W history. b) Verification of applicant's test scores and information. c) Verification of appkicant's identity. Our office will only use the personal m 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. Q H W Contractor Licensing — FIRM Application Rev. 7l2022 Page 3 of 14 00 .r Operat*rrs & Regulatory Managemen; D%r s;an. Comfarclw LxertsiN . 2WO North Horsesboe Drive . Naples. FL 34104 a (239) 252-2431 y contractorslreensinq(6c-olliercountvfl aov E t to .r r Q Packet Pg. 148 1.6.3.2.3. lrngauon Sprinkler Contractor squires twenty-four (24) months experience and 8.E.1 a passing grade on 3) he*F an a r�provtg_test and a passing grade on a t ) he business and law test and means any person who is qualified to install, maintain, repair, alter or extend all piping and sprinkler heads used for irrigation, including any required connections to a water pump; however, such work does not include direct connection to potable water lines. ui c am E t Q Packet Pg. 149 Col ter County Growth Management Community Development Department U APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY Z Q Provide the names and telephone( numbers of two persons who will always know your whereabouts. Name: ZtJI �i i �1W 1�k Name:U lrt b5c,4� _ Telephone: Z 3`� �-11 - i �11 Telephone: �1 �10 3 8i t - 14 T 35 II. NAME OF APPLICANT'S BUSINESS: (� Business Name: t 1 f ]G� 0_ �r°� 1 j w T kJ� I CMG j ►fit . Business Address:— �� j 1 ij'_l jt..S� �f�1e5 t��. J Street Lit) State Zip Telephone: Email: i O_FY-f fr\s u -O(-A aoCon) Federal ID Tax No.: o� — 1 I ? I III. FINANCIAL RESPONSIBILITY YES NO ALL APPLICANTS MUST ANSWER THE QUESTIONS BELOW: Piled for or been discharged in bankruptcy within the past 5 years? Had a lien filed against you by the Internal Revenue Service or Florida Corporate Tax Division? Undertaken construction contracts or work that resulted in liens, suits, or judgments being filed? Undertaken construction contracts or work that a third party, such as a bonding or surety company, y completed or made financial statements on? Made an assignment of assets in settlement of construction obligations for less than the debts outstanding? Been convicted or found guilty of, or entered a plea of nolo contendere to, regardless of adjudication, a crime in any jurisdiction within the past 10 years?* Had claims or lawsuits filed for unpaid or past due accounts by your creditors as a result of construction experience? Been charged with or convicted of acting as a contractor without a license, or if licensed as a contractor in this or any other state, been "sub)ect 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. 712022 Page 4 of 14 Opens & Regsttatary Uanagernerst Dkvrsion, Contractm LK�erxag • 2800 Nortto HDrsestme Onve o :Maples_ FL 34104 . (2391252-2431 cons ra clo rslicensinaQcolliercountvfl. oov LIJ 00 C d E t t4 r Q Packet Pg. 150 CO ter County Growth Management Community Development Deparimeni APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY IV, EXPERIENCE VERIFICATION EDUCATION: List below and provide transcripts for any formal education you have obtained in the area of competency for which this application is being made: .1t3SIryeS3 4 Yr04SJ-Orn J L- iCt1mS L- "' 5CA0thR Ire \+'IL 4lv4 I 1rI1lr\a+lout SIDY'I41-e' List below non formal education (on the job training) you have obtained in the area of competency for which this application is being made: v(A-lhlh6 `'- e Foy 0V t e 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. LankCa ii l ►'1` r e�� Y l t� f d c_oh-�v (-i iv- i, CC00 Q i�� AFFIDAVIT Under the penalties of perjury, I declare that I have read the foregoing application and the facts stated in it are true. n L� - -::�J( p A/ b 6 t4,,A - Applicant (please print) Signature of Applicant (�a�State of I County oh 711%vegoi -day of was wledged _2 .bye Such person(s) Notary Public must check applicable box: ✓✓✓are personally known to me El has produced a current driver license ❑��`has produced as identification. (Notary Sea[) o hav 014 MARGARET JAYNE RICE Commission $ GG 966437 �,e` Expires Merck 10.2024 lfo/FLOC EW*d na ems« Mapq SwAm Notary Signature; Contractor Licensing - FIRM Application Rev. 712022 Page 5 of 14 operations & Regulatory Management Dwissyn. Contractor LFcensmgq a 28M North Horseshoe Drive • Naples, FL V104 . (23S) 252-2431 contractorslgcensing@Zcolliercountyflgov 8.E.1 W 00 C d E t v to r Q Packet Pg. 151 Co ebir 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. 200646, 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, helshe 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 -N ld off' teems %W -0ovdallmir. Name of Company T 'v f5t� Signature of Applicant State of \ FYI V rr f O_Llounty of Th egoi it •trum ni was a wledged bet' e by m s o 1� sisal esence or ❑ online notarization on this —lca, of 7I ?�. t- � e L Stlih persons) Notary Public must check applicable box: personally known to me ❑ has produced a current driver license ❑ has produced as identification. (Notaiy Seal) Notary Signatur +o. ►* ;"a4� W1ii01Jtet JAYNE RICE Commbaloe 0 GG 965437 Expires March 10, 2024 Y�'Cr /4UP EonOed ilYU BudGN Ho1Jry 5�nkea Contractor Licensing — FIRM Application Rev, 712022 Page 6 of 14 OpP_ratrvr;s fs Regui"y Management Drosron. CorWador Lcensing • 28M North Horseshoe Drive • Napies, FL 34104 . (739) 252-2431 contractorsiicensing(acoiiiercountvfl�ov 8.E.1 r Q Packet Pg. 152 Coliier county 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 it will result in the possible revocation of my Certificate of Competency. 77� n boa-(4 Applicant (please print f1k1d of &vefm SW TIC'ldPX- Name of Company _ 4� V et� Signature of Applicant BEFORE ME this day personally appeared --rava n VrtK 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. lo&�state of County of tregoin s me was ac wledged b remeb m a�sof ay of 2. by rr rare rson(s) Notary Public musE check applicable box:ersonally known to ine ❑ has produced a current driver license ❑ has produced (Notary Seal) as identification. Y►u MARGARET JAYNE RICE Notary Signatur . :°^� 4f � Cwnmladon IF GG g68437 Expires Msfch 10, 2024 o �v BW4*d Tlvu B,** No" 50*0 or ❑ online notarization on this 8.E.1 to Contractor Licensing — FIRM Application Rev, 712022 Page 7 of 14 00 .r Dperabons & Regulatory Uanagcnrerat'D?vts*n_ Contractor Licensing v 2B00 AloTih Horseshoe Drive v Naples. FY_ 34104 • (2391252-2431 � tv contra ctors lice n sing@coliiercou ntyfl._qo_v t v R r Q Packet Pg. 153 8.E.1 GITS, LLC Examination Operations Division Providing the services and products to assist Govemment Agencies to make informed educated decisions. Official Examination Score Report Official Score Report: Candidate Information: Name: Tara N. Borek Candidate #: 14766730B Online Testing Site: Ocala, FL Final Score Result: ,tune 2, 2022 Business Procedures Score: 80% 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 June 2, 2022. If you have any further questions, please do not hesitate to contact us. Sincerely, Jay E. Bowertneister President PO Box 831127 Ocala, Florida 34483-1127 — Voice (352) 369-GITS — Fax (352) 387-2443 800 997 2129 u.i 00 C N E t L) R Q Packet Pg. 154 8.E.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 — Tara N. Borek Candidate #: 14766730B Online Testing Site: Ocala, FL Final Score Result: February 27, 2023 Irrigation Contractor Score: 94% These results represent the grade that has been achieved on the above named examination(s) administered by Gainesville Independent Testing Service for Collier County, Florida on February 24, 2023. 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 u.i 00 C N E t c.> R Q Packet Pg. 155 t�-- G�- RS - ofif PERSONAL CREDIT REPORT MERGED REPORT COMPILED FROM NATIONAL RECORDS Entry # 11595 SjEjEl- T'A!qE: F-IFF-K, 1ARA T1, A:,L-. FNftW1: !;Z1j1F0EDE.R, TAFA.:; "3Tfl ZT., AX)F.E,'-'- REF;.: _ED: I _,'I I J FOS 1 T, 1. W- i P %1,6 R: V, }.U- L Phone: 850-539-8000 Fax: 866-651-5145 Email: cc@unitedcrs.com www.UnitedCRS.com 4583-A Capital Circle NW Tallahassee. FL 32303 THE SUBJECT'S TOTAL FILE HISTORY C 0 ("_'7 T ;1jo: C E'.JL .�-.,XIS: 21 P F. I r:'-'S T71,:FS '-V:"1 V'H. TT JNQL11RjE:S' 7 �Mpl,.,-YMVNI 1 (7FE:) 111 N: i I L*, A.7, i L If IN,:* TCA'ZE,. 2 E-- v rat FICO CLASSIC SCORE - 752 CREDIT INFORMATION WELL." 7AR'-' '.-EF1F':) 0 ?/z �i CFX-r T STATUS AS 0F 09 'j 48 K-)'ITH I z1,-1,A[:A71: I AU 7 0X:'-F. 1 ME I ol-4 IPacket Pg. 156 1 �A'ATVS A-z OF (19 :UpRFN'7; PATr PAY74' AS i LEX I i;l,:; 'S',.lF.N*PL'H'; L:.:,:I C;,Rla FMrW 04101 A,_,70 K"', 081EVEr C I ly. I blfls, CFEDIT r-:i•i,7: s: %v)i 1 1 11-7- LA- z,.J SHEMMY- t 4i m X. S 2 1 V Si i MUM. F FAM nA A; ;S.. _... :0 $ 7 S (, n n,-. I ..y nAnT 'S iF _V TV"p n ; PM V QR p"MG AS AMMO -T VF i, I F' C 1: F-EP L.N-K Cmul CMIL, -.EC 7F 1. 7!T,_ 7;,7" i 7 -.7 3 Al.;5 1: i� m To Lwil m 1 NA,7'1 ACC,,; Z 0'PENKI SUM A� --WYK !N� UnE v Fz, T V;l E MUM MIME L c 1 , CLIGED 7n: P�: 77V > OPENEL CLOSEr J / 2,_ r. L, 7 T r FFT,-:F '11 . 71-FIF, PAY NFN 11 P 4 T7 E RN : I I : 11 : I CLOSE-) UPPMED (I Z) 11 ? C I I- yr Pago 2 of 4 IPacket Pg. 157 s I -I �1�7; PAT r Oz pi f CIX, A 14 C5/ 2(. 1-, Mcl:�: "JW! C. 9 2 1 cuk,alr:; PlLL 011-, VET- 1 i 'L N l 121, 113 " I i lei IF" I F- INDIVI A 'T T 7 7 7 T m m I. - : :: .. —, .:- ! - . % .31 V;! U.'.N� PTF'C' 2 6PENU STA- 1, ..-TTECI7 C 11'; FA] F ?A,'Al,', A, V A ll;L A., C L 1 -NEE H,U ')?r 1 1 "I TUi�l: PAIL' rY; VAY:C7 A^. ;tn;E7D F F Z IF-L 1:7'.'EF LATE -A147AS `:T 1 rl C t X I 'JN A '.Mr r. i Page 3 of 4 uj 00 a a) E ca I Packet Pg. 158 I to IA V M 16 �A'�7 r,74 usT 0 0 v I C; 1 -�16 CU14RU.7 I A I F :!i P 111)B C1 x3'.] T H 'c wp,)t4 ---A"rF pIS, 1 N T, 12 X;�i --71 TF VF�MF'1' , 7 4 r: P 0 r7 14 . . . . . . . . . . PUBLIC RECORDS PUBLIC RECORDS HAVE BEEN CHECKED AT THE COUNTY, STATE, AND FEDRAL LEVELS RESULTS: NO PUBLIC RECORDS FOUND F,ND OF REPORT It Is with understanding that the credit score attached to this report can fluctuate dally And Can change drasticnily. in some cases. over M pomots when making bW PUMhab9b. VIC. Page 4 of 4 ui 00 E to I Packet Pg. 159 1 8.E.1 BUSINESS CREDIT REPORT Entry # 12515 Phone: 850-539-8000 Fax: 866-651-5145 Email: cc@unitedcrs.com www.UnitedCRS.com 4583-A Capital Circle NW Tallahassee, FL 32303 FIELD OF GREENS SW FLORIDA, INC. Credit Summary: 1360 19TH ST SW NAPLES, FL 34117 ✓Bankruptcies: PHONE: (970) 371-7455 ✓Liens: Trade Lines Found: 1 ✓Judgments Filed: ✓Collections: Credit Standing: Good Standing Business Type: CORP FEIN Number: 88-1121299 Florida SOS Document #: P22000016895 Key Facts Years in Business: Key Personnel: Florida Registered Agent: As of:3I13123 DBPR PUBLIC RECORD STATEMENT: PUBLIC RECORDS HAVE BEEN CHECKED AT LOCAL, STATE AND FEDERAL LEVELS RESULTS: NONE FOUND 1 Years President: BOREK, TARA Vice President: BOREK, PRZEMYSLAW BOREK, TARA 1360 19TH ST SW, NAPLES, FL 34117 NAPLES, FL 34117 Page 1 of l w 00 c 0) E Packet Pg. 160 n. . 8.E.1 .3ri' f of »�•dr�-t,y �rmr ,rf FfwJ6� .rrLurr �� y r Trs•.,I t o-,..,, cry ma w,7u 1 SCAMLB l; %dr!Xl.l)'i_%}!tly-aa^r, r Detail by Entity Name Flo6ca Profit Corporat,on FIELD OF GREENS SW FLORIDA, INC. F111niOnfo=ation Document Number P220000t6895 FEI/EIN Number NONE Date Filed 02/09/2022 State FL Statue ACTIVE P ri ndpal.AddMin 1360 19TH ST SW NAPLES. FL 34117 Mslting9ddmts 1360 19TH ST SW NAPLES. FL 34117 fiaglsieui! AgaaLNamaAAddras& DOREK.TARA 1360 19TH Si SW, NAPLES, FL 34117 NAPLES. FL 34117 019c9rT01�a1Qr_ 4s1,� I! Name 6 Address Tifie P BOREK, TARA 1360 19TH ST SW, NAPLES. FL 34117 Title VP BOREK. PRZEMYSLAW 1360 19TH ST SW NAPLES, FL 34117 Aftmal- eRr!its No Annual Reports Filcd l3srttmant Irnagcs LU 00 r C tV E t U M Q Packet Pg. 161 8.E.1 Electronic Articles of Incorporation For FIELD OF GREENS SW FLORIDA, INC. The undersigned incorporator, for the purpose of forming a Florida profit corporation, hereby adopts the following Articles of Incorporation: Article I The name of the corporation is: FIELD OF GREENS SW FLORIDA, INC. Article II The principal place of business address: 1360 19TH ST SW NAPLE S, FL. 34117 The mailing address of the corporation is: 1360 19TH 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: Ell Article V The name and Florida street address of the registered agent is: P220000 FILED Februar, Sec. Of ndmcclees W 00 r- d E s U �4 al Packet Pg. 162 8.E.1 Article VI The name and address of the incorporator is: TARA BOREK 1360 19TH ST SW NAPLES, FL 34117 Electronic Signature of Incorporator: TARA BOREK P220000 FILED Februan Sec. Of ndmcclees 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. 1 understand the requirement to file an annual report between January 1st and May 1st in the calendar year following formation of this corporation and every year thereafter to maintain "active" status. Article VII The initial officer(s) and/or director(s) of the corporation is/are: Title: P TARA BOREK 1360 19TH ST SW, NAPLES, FL. 34117 Title: VP PRZEMYSLAW BOREK 1360 19TH ST SW NAPLES, FL. 34117 al Packet Pg. 163 8.E.1 RSDEPARTMENT OF THE TREASURY INTERNAL REVENUE SERVICE CINCINNATI OH 45999-0023 FIELD OF GREENS SW FLORIDA 1360 19TH ST SW NAPLES, FL 34117 Date of this notice: 03-09-2022 Employer Identification Number: 88-1121299 Form: SS-4 Number of this notice: CP 575 A For assistance you may tail 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 88-1121299. 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. W a Form 941 07/31/2022 x Form 940 01/31/2023 W u_ Form 1120 04/15/2023 O If you have questions about the forms or the due dates shown, you can call us at W the phone number or write to us at the address shown at the top of this notice. If you W 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 w information obtained from you or your representative. It is not a legal determination W of your tax classification, and is not binding on the IRS. If you want a legal M determination of your tax classification, you may request a private letter ruling Q 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. ul See Form 8832 and its instructions for additional information, of IMPORTANT INFORMATION FOR S CORPORATION ELECTION. � 0 If you intend to elect to file your return as a small business corporation, E an election to file a Form 1120-5, U.S. Income Tax Return for an 5 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 Q a Small Business Corporation. Packet Pg. 164 (IRS USE ONLY) 575A 03-09-2022 FIEL B 9999999999 SS-4 8.E.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, even if you have requested the services of a tax professional or representative. For more information about EFTPS, refer to Publication 966, Electronic Choices to Pay All Your Federal Taxes. If you need to make a deposit immediately, you will need to make arrangements with your Financial Institution to complete a wire transfer. The IRS is committed to helping all taxpayers comply with their tax filing obligations. If you need help completing your returns or meeting your tax obligations, Authorized e--file Providers, such as Reporting Agents or other 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 [gay 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 FIEL. 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-FCRM (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. W 00 r C d E t t� co r� r� Q Packet Pg. 165 (IRS USE ONLY) 575A 03-09-2022 FIEL B 9999999999 SS-4 8.E.1 Keep this part for your records. Return this part with any correspondence so we may identify your account. Please correct any errors in your name or address. CP 575 A (Rev. 7-2007) -----------------W--_--------- CP 575 A 9999999999 Your Telephone Number Best Time to Call DATE OF THIS NOTICE: 03-09-2022 ( ) - EMPLOYER IDENTIFICATION NUMBER: 88-1121299 FORM: SS-4 NOBOD INTERNAL REVENUE SERVICE CINCINNATI OH 45999-0023 II 1111 1E1lf11 III IIIIII Irlll11111'11111I1111'I Bill 111 FIELD OF GREENS SW FLORIDA 1360 19TH ST SW NAPLES, FL 34117 W 00 c d E t R Q Packet Pg. 166 COLLTBY 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 with Collier County Ordinance 2006-46, as amended, �t� I C� O'`GyP��lj s �krt , j4 proposes Company Name to engage in contracting as O�Tlcy,3 in Collier County where TQM rl I JOnm Officers/Owners/Partners Applicant Name proposes to qualify for a Certificate of Competency with company f iFId 0Gen Stu AL, ,�. �-+ Comp ny It is hereby agreed upon that we the undersigned 0 �'t 1C tJ'J of P tL 4ftyls5�t t[, Officers/Owners/Partners Company resolve and represent to the Collier County Contractor's Licensing Board that the proposed qualifying agent, is active in all matters connected with the company named {� Applicant Name -RO Ofcl� S6y TVs, ,1 �1C,. We further resolve and represent that C4YC1 i'1 1 JOV{K is legally Company (� `^' Applicant Name empowered to act on behalf of 1 1QIL! 0r 6-V 4Vin all matters connected with its contracting Company r� ' business and has the authority to supervise construction undertaken by fjf�`� o V4,e}1S $W -4yidq ,:Ai. (� Company Officers/Owners/Pa rtners N12SiSity tK V1C� �'c3 Officers/OwnerslPartners tness Witness Officers/Owners/Partners Witness Officers/Owners/ rt ers of the above -mentioned comp ny need to sign on the left and a witness to the signature signs on the right. State of County of Lore€oi line t was a wledge f e m b m s o� ysi I p a ce or ❑ online notar• lion ;iflii, —day c,l' 21. by VA P M it Zah person(s) Notary Public must check applicable box: re personally known to me ❑ has produced a current driver license ❑ has produced {Notary Sea]) ,U ro°". •.,4¢ MARGARETJAYFIERICE Commission N GG 966437 ,� cr EXOSS March 10, 2024 foF I�Gt UnEsj ftvu BudIM "ry$W*N Contractor Licensing - FIRM Application Rev. 7/2022 as identification. Notary Signatu Page 8 of 14 Operatons & ReguJatory Management Divisian, Contrador Ucensing . 2WO North Horseshoe t3r+ve • Naples. FL 34104 • (239) 252-2431 contractors Iice nsina &colliercountyfl gov 8.E.1 rr Q Packet Pg. 167 Co ler County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY STATEMENT OF OWNERSHIP This certifies that I, al ka I l N)Vi1� _ am a member or managing (� ea a APPLICANT'S NAME (please print) member of T i4�JA of, CYVQM� SW� 10V1&j . y1L. (LIMITED LIABILITY COMPANY NAME) I own so % of the units issued by the Limited Liability Company listed above. Affidavit of Applicant: I certify under penalty of perjury that the information contained is a true and correct statement to the best of my knowledge. Applicant (please print) 'Reld a nName of Company Signature of Applicant I. State of County of ndayregoin t tmgr was a wtedg b f re me y of 2l} . by Such person(s) Notary Public must check .applicable lox: �Kare personally known to me ❑ has produced a current driver I icense ❑ has produced (Notary Seal) as identification. �v rp4 MARGARET JAYNE RICE Cowtuton # GG 96N37 Notary + ` EgAM lalerr3a 10.2024 Of 1oed�dilroBWprRMeYyO�MoM 5ignatu •: i Contractor Licensing - FIRM Application Rev. 712022 Page 9 of 14 8.E.1 W 00 C 3 ratrors .8 Raqutai27 Dxaagem-e-M Dre slor_ Contractor for L+ce"ks ng . 2800 North Horseshoe Drive . Naples FL 341D4 . 1239) 252-2431 d coat_rr_actorslicensrnq(�collrercount H .qov t 0 r.+ Packet Pg. 168 C67er County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name: Cora n EoVC K Certificate Category Requested: T Yy lrta T yyl zy m ll [.ij� 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: Gb1YS�l �C Y 1V4 �d Title: I �P Business Name: SG�1► 4 �d �J �� Q�Y11�►r(�G(i'1 >J1>��s/ Phone: _�61 ' u 114 ', ,, License No. (if applicable): Business Address: I n � nnyi/ Y'v it �_ C hei I vine- 2.0o Street City 7 St to Zip The applicant was employed by me from ] l�� to YYtRn Applicant's title: The applicant's scope of work (specific duties) included: cpfnva I COh 4YG1 C+o 1 !nz i sllY O p �.yYle.. Wt kryf S VA11 c h MC IIAIS O4rrnl-1-3 , th01 4 h0M 1_-10A?a P1 "-r7 Additional comments: \rp (�2+16v) 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. t IT Sig t re of person providing the statement State County of I regoi t wa&a�)wledged before me by means of 6-physical presence ur 0 online notarization on this day of ?. by 6Y-nr(. Such person(s) Notary Public must check applicable box: arc personally known to me ❑ has produced a current driver license 0 has produced as identification. (Notary, :Seal) MARGARET JAYNE RIM Commisslon fk GG INIU37 Exom March 10, 2024 Notary "I n, r��.`60r4a TMu "$I WJ" Swkn Contractor licensing -- FIRM Application Rev. 712022 Page 10 of 14 Opera.3ors & Regu atory Uanagernent Drv*.s n. Contrador Licensing • 2&X North Horseshoe Drive • Naples. FL 34104 • (239) 252-2431 contractorsficensi ngAcol lie rcountyfl,gov 8.E.1 W 00 r-� C d E s C) rC rr rr Q Packet Pg. 169 8.E.1 Schwedef s All American Homes, Inc;. Manufacturrd Homes and Land -Home PackAge� October 10", 2022 To whom it may concern: This letter is to Certify that Tara Borek worked to Schroeder's Alf -American Homes, Inc. from May 1999 to present. Tara is the General Contractor all our customer's projects. Tara oversees the project from getting permits, basements and homes built, to getting the landscaping finished for customers to have a move in ready home. Thank you, Gary 5chroeder president 307-634-7399 MARGARET JAYNE RICE Cominbston i GG 96W7 Expim MuCh 10, 2024 60l m Thm k4w mm" 6&*" � AA /), h �' / 6 4, d "� al� 10 Mome Avenues C:hevenne. W Y 8200 • 307.634-7399 Prone • 307-634-8181 Fa,,: W 00 C E c� Q Packet Pg. 170 8.E.1 Contractor Licensing Co Te-r C;014"ty 2800 N. Horseshoe Dr. Naples, FL 34104 Growth Management Department 239-252-2400 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF 'T\ ()Y I ACA COUNTY OF C 0 \\�kVf I, 0 c having been first duly sworn, state and affirm: 1 I am a resident of c County, loxfid-7-7- (State) and have resided here for more than five (5) years. During the last five (5) years I have known v.ft/A (applicant). I have had the opportunity to observe his or her business and personal dealings and find him or her to be a person of honesty, integrity and good character. Signature Printed Name Address: 4710 Street C ty State Zip Telephone: ' 1 State of j'� ��i' 1 _� ��-- County of T r ngttt nstru ent was ae�no�+ ledgcT fore me by means of physical presence or El online notarization on this ay of 20 . by JI 0,M t J M/ IYl✓1 t'tIi Such person(s) Notary Public must check applicable box: are personally known to the ❑ has produced a current driver license ❑ has produced as identification. (]Votary Seal) , V004� MARGARET JAYNE RICE Ls Commisslon 1f GG 966437 Notary Signattrr . M,. Expires March 10, 2024 foFF� Bwdod thN audyn NOWY$W&O Firm_Application.docx Rev 4l06l2020 Page 14 of 15 W 00 r-� C d E s c� r a Packet Pg. 171 C;IPie,rCounty Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY ---f AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER _ rl„ STATE OF / I V COU� < I I, I am a resident of more than five (5) years. LC(�hving been first duly sworn, state County, V During the last five (5) years I have known ttY (f 1 W , 1�/uylk to observe his or her business and personal dealings and find him or her to good character. 5 County of `_1 by (k1d affirm: V 1--(State) and have resided here for I have had the opportunity t of honesty, integrity an_o ln� Teleph ne: Q�_Z3 51� ofrl&Uv,icahn7aence or 0 online notarization on this Zapersnn(s) Notary Public must check applicable box:re personally known to ine 0 has produced a current driver license © has produced as identification. (Notary Seat) . MARGARET JAYNE RICE Commisslon 4 GG 966437 Exphs Mirth 10, 2024 fOFFLo4 SmdedThru"stNo4ysovim Contractor Licensing — FIRM Application Rev. 712022 Page 14 of 14 Operations & Reguiwcxy Managemera DAgsron, Contractor Licensing • 28M North Horseshoe Drive . Naples. FL 34104 . (239) 252-2431 contraclorslicensin. L&..colliercountvfl.goy 8.E.1 W 00 r-� C d E t t) Packet Pg. 172 8.E.1 Florida EM1cOLe T . s119TH 3T SlK -- NAPLEs, FL 3M G&1311976 -ss€. F Y �•Fxa W13170:0 TIri6T !r-"- •; ems* NOI'l>� s.w�o}iCME 1Uar� L s re � •az+a�aaln uj 00 C E t U f0 Q Packet Pg. 173 ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE {MMIDD YYYYi 1111812022 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). PRODUCER CONTACT Stacy Lowery NAME: Pinkerton insurance Group, Inc. PHONE (gqi) 584-8606 EAx (S6S) 221-8643 A!C No Exit: AIC No 4240 Tamiami Trail S E-MAIL cedificales@pinkertonpi.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC it INSURER A: Technology Insurance Company,lrc. 42376 Venice FL 34293 INSURED INSURER B INSURER C : Field of Greens SW Florida, Inc INSURER D 1360 19TH ST SW INSURER E : 1 INSURER F: Naples FL 34117 COVERAGES CERTIFICATE NUMBER: CL2241804196 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICES 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 LTR TYPE OF INSURANCE INSO WVD POLICY NUMBER POLICY EFF MMIDn POLICY EXP MM1DD LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S CLAIMS -MADE OCCUR PREMISES Eagr "mce $ MED EXP iary one person) $ PERSONAL&ADV INJURY $ GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ POLICY JECT ❑ LOG PRODUCTS - COMP/OP AGG $ $ OTHER_ AUTOMOBILE LIABILITY CEa .OM.B..INED SINGLE LIMIT [ $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NOWOWNED AUTOS ONLY AUTOS ONLY $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE OEO RETENTION S $ _4 WORKERS COMPENSATION X �RH AOFFICER/MEMBEREXCLUDED? AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE (Mandatory in NH) N!A TWC4102914 04l21/2022 04l2712023 STATUTE E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS belax EL DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS i LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Operations: Lawn Maintenance - Commercial or Residential Certificate subject to policy terms, conditions, limits & exclusions as set forth by policy. Przemyslaw & Tara Borek are Included Officers with respect to Workers' Compensation, CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Collier County Contractor Licensing Board ACCORDANCE WITH THE POLICY PROVISIONS. 2800 N Horseshoe Dr AUTHORIZED REPRESENTATIVE Naples FL 34104 Z 1988-2015 ACORD CORPORATION, All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 8.E.1 Packet Pg. 174 A` o® CERTIFICATE OF LIABILITY INSURANCE ATE (M M(DDIYYYYI F11118l2022 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 endorsements . PRODUCER CONTACT Natalie Epperson PHONE CA, klo(239) 331-7141 uc Na (866) 504-7135 Epperson Insurance Group, Inc E-MAIL ADDRESS: natal ieCCa PP m ersoninsurance.co 1924 Santa Barbara Blvd #3 INSURERS AFFORDING COVERAGE NAIC # INSURER A : Evanston Insurance Company Naples FL 34116 INSURED INSURER B: Progressive Express INSURERC: Field of Greens SW Florida Inc INSURER D: 1360 19th St SW INSURER E : 1 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 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 LTR TYPE OF INSURANCE ADDL wgin SUER vivin POLICY NUMBER POLICY EFF MMfDDNYYY POLICY EXP MMMD LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE OCCUR DAMAGE TO RENTED PREM SES Ea occurrence) $ 100,000 MED EXP (Any oneperson) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 A 2AA361074 04/22/2022 04/22/2023 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY1:1 JE T LOC PRODUCTS - COMPIOP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMH1NED SINGLE LIMIT Ea accident $ 500,000 BODILY INJURY (Per person) ANY AUTO $ B OWNED X AUTOS HEDULED AUTOS ONLY HIRED NON -OWNED AUTOS ONLY AUTOS ONLY 951480859 04/22/2022 04/22/2023 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE PER OTH- STATUTE ER E.L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? ❑ N 1 A (Mandatary in NH) E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ If yes. describe under DESCRIPTION OF OPERATIONS below Inland Marine Scheduled Equipment TIV $25.000 A 2AA361074 04/22/2022 04/22/2023 Unscheduled Equipm, TIV $19,750 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Collier County Contractors Licensing Board AUTHORIZED REPRESENTATIVE 2800 N Horseshoe Dr Naples FL 34104 5,7� p 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 8.E.1 W 00 w C N E t t� tts r Q Packet Pg. 175 W co - NOIO NINOO NBINNINdS NOUVOIN lI -33N3RI3dX3 30 M31n3M — N3NO9 VNVI '38 :;uauay3e;;y N N 0 N co V- 10 13 U Gr z Z o O oc o p W I.r LL U U) ~ u) w z w uu W Npp 5 N LU ti M m` J N a a 7 4. C L � y r ;� tf1 c �. E Q - c m au .0 as is as y ._ •• +• UQ H('1-1 yU7u!v� c � U � L 0 7 T O E i3 U O > rs+ M a c � O O O W V i o m t0 0 c d y IC °1 a U U a Q. L;-- > 0) � y Q o V (D u w c _ M d c . 0 a) o a -0 a U f0 U) c c U M y �_ to a E c m E 0 v y 7 O QJ QJ La c V C ca w t a a� c O A c L 0 c r (? V) c 0 7�► H y L ca � U M C: m� o Q OO U L �.- 0 0 N Qom} (D Ud � a cc') 00 `z O m cn P-= E r W co 0 E S_ O L O Q co O 0 L kv L O L O0 c� c� C3� - NOIOVNINOO NBINNINdS NOUVOI RII -3ON3RI3dX3 =10 M31n3M — N3NO9 VNVI '38 :;uauay3e;;y fCS O c c v W U Q CO M U c� L 0 Q.. Q O QD U ca C C) C V I m i] C O 0 L 0 a� O cCf U m U Q 0 t5 4-0 U m co Al I O L L 0 fin--'' W X LL c cC3 a U V) U) v L V) V) m 73 0 L 0 U m L 0 C O ca CIS Q) O U W C C.� .cu I N CO A u cc v U) Q� Q O L Q O L co O D L 4 un 0 0 a T s�.. L m E 0 0 A, Q� 4-- 4— k 0 U 0 Q� 22 E O U) L a� L �O L x Q� Lo QD cn U L a� O co co co S— c6 O • M� A 8.F 04/19/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 8.17 Doc ID: 25229 Item Summary: 8f OSMEL SANZ — REVIEW OF APPLICATION - A/C JOURNEYMAN Meeting Date: 04/19/2023 Prepared by: Title: — Contractor Licensing Name: Alyshia Morse 04/12/2023 11:34 AM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 04/12/2023 11:34 AM Approved By: Review: Contractor Licensing Sandra Delgado Review item Completed 04/12/2023 4:13 PM Contractor Licensing Tim Crotts Review Item Completed 04/13/2023 10:40 AM Contractor Licensing Tim Crotts Meeting Pending 04/19/2023 9:00 AM Packet Pg. 178 8.F.1 COIi CY C0141ty Grawh Nlan.-kyrnk:nt Departnxtnt Contractor Licensing 2800 N. Horseshoe Dr Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY JOURNEYMAN APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY 289- ee -- 3Q3q LMOZ15 — GYM 35 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 JOURNEYMAN LICENSE: ❑ Electrician $80.00 ❑ Plumber $80.00 [PrMechanical $80.00 I. APPLICANT PERSONAL AND BUSINESS INFORMATION: Name: : c "1 i grin First Middle Initial Last Address: I nb! NLJ f iiay S+ mic4mi C7Gro6s ham- JTw5-r— Street City State Zip Email. ( 2>101Yi L i3 C-7r-+ur) COr"1 Telephone: 305 Date of Birth: M,A ytq 5 7 SS# (Last 4 digits only): 626 Driver's License # (Last 4 digits only): 001,30 'Pursuant to Chapter 1-19, Florida Statutes and Collier County Contractor Licensing Ordinance 2006-46 Sect inn 2.1.1., all applicants are required to submit their seclal security number ISSN] for the following purposes: a) Assess applicant's ability to satisfy creditors by reviewing their credit history. b) Verification of applicant's test scores and information, our office will only use your SSN noted above for those reasons pursuant to Chapter 1-19, Florida Statutes, and as may otherwise be authorized by law. We are fully committed to safe -guarding and protecting your SSN and once collected, will be maintained as confidential and exempt under Chapter 1-19, Florida Statutes. JOURNEYMAN APPLICATION docx REV 07/16/2020 Paae 2 of 11 LL w rn N N to N Packet Pg. 179 8.F.1 IWO Contractor Licensing CO ier Cot4vilty 2800 N. Horseshoe Dr. Naples, FL 4104 Grr4th Plane mt;nt D cC ktrtnXrd Phone - 239-252-2431-2431 Fax - 239-252-2469 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY Provide the names and telephone numbers of two persons who will always know your whereabouts. ( Name: l Url CX— 03G1l J Name: Qo1 Pam' -a rrxl Telephone: X71 -7q0( II. FINANCIAL RESPONSIBILITY Telephone: 30S- qqQ 87$cl 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? Xcompany, Undertaken construction contracts or work that a third party, such as a bonding or surety 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 )G construction experience? Been charged with or convicted of acting as a contractor without a license, or if licensed as a contractor in this or any other state, been "subject to" disciplinary action by a state, county, or X 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 Gen 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 Iicensure. JOURNEYMAN APPLICATION.docx REV 07/16/2020 Page 3 of 11 LL w rn N N u7 Packet Pg. 180 8.F.1 Contractor Licensing CD to C,-ox4vity 2800 N. Horseshoe Dr, 34104 Grcrwh Nlan.: _ -nk;nt tX�nrtment Naples, FL -'�T- Phone - 239-252-24312431 Fax - 239-252-2469 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY Ill. EXPERIENCE VERIFICATION EDUCATION: List below and provide transcripts for any formal education you have obtained in the area of competency for which this application is being made: Clclfe501r, HIOL List below non formal education (on the job training) you have obtained in the area of competency for which this application is being made: I SCnIwGt- G4C'1h Aip— OVAC 5h " f 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. II �J5� e- 4 � 17 7- Applicant (please print) Si of Applicant Stateof r !ur4G Countyof RiO.Wxa - b`;L -e- The foregoing instrument was acknowledged�,<-re mg by m�s of R -physical presence or ❑ online notarization on this 3 day of Wog r, , 20 � , by .. in _ CA,7�._ Such person(s) Notary Public must check applicable box: S ❑ has produced a current driver license are personally known to me ❑ has produced (Notary Se My Cpnrrjs&;on HH 01 SM as identification. JOURNEYMAN APPLICATION.docx REV 0711&2020 Notary Signature: —'ZF Page 4 of 11 LL w rn N N LO N Packet Pg. 181 Co tr 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. 200646, 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 orsuch business or organization and that hewill 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. Sm \ S APpt (p►e print State of T 10r;�County0f M%ra : _A GA The foregoin instrument was acknowledged before me by means of;[physical presence or Coonline notarization on this _ ..,+day of 20 a � , by Such persoa(s) Notary biic must check applicable box; persomlly known to me ❑ has produced a current drivrr license Q has produced as identification. (Notary Seal) Contractor Licensing — JOWneyman Application Rev, 712021 Page 5 of 10 Operations & Regulatory Managerrvirrt Dvision. Conlraclx t_ice"ng . 2800 Noft Horseshoe Drava a Napier, FL 34104 s (239} 252-2431 con tractors EiCei�sinaccsEfieru!]. PIA i Packet Pg. 182 8.F.1 Coicr C'Omaty Gn_-wAn rAa -y.] �nx-nt L?[l-),irtnx.:nt Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name: I 1,3icW1 Z_ { ' Certificate Category Requested: MtC.CY;II11,rQ I 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 histher 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 �Cexperience for the above -named applicant must provide the following information. Name: Jauf0— :ETV Business Name: Phone: Title: 1 60 License No. (it applicable): (�k,1 t5 2-nr7S_ Business Address: 124��051' 5L--> 33 C.-i j`L� V J1-� Street ^ City State Zip The applicant was employed by me from mU rG� r�D to 1'tC iGa 1 eZ- Applicant's title: /C TIP C. The applicant's scope of work (specific duties) included: scruc, rt rA 4ni tr", 521i Fern tc CIALA a Fpjpa 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 Fryf'E �,_ Z-0Z 1 I igna a of person providing the statement County of r` l�� ttiI) _Dcc d e_ The foregoing instrument was acknowledged before me by means of Qf�bysical presence or ❑ online notarization on this .3 day of NLy, e v GCY, 20 7 , by SCiy. ry- Such person(s) Notary Public must check applicable box: Ke personally known to me ❑ has produced a current driver license ❑ has produced as identification. (Notary e I Notary Pubic Slate of F W de Osvaldo Lugo My Cammis�ion HH 015794 - res 07MaM24 Notary Signature: JOURNEYMAN APPLICATION docx REV 07/16/2020 Page 6 of U 'a Z O Q U J a a ILL O W_ W W N Z Q to J W 2 to O !i 00 47) tV tV W) Z Q W Z O U a Z O Q U J a a Q ILL O rb c 0 E t c� cts .r Q Packet Pg. 183 8.F.1 Contractor Licensing C.OT leT C,014ritV 2800 N. Horseshoe Dr. Grt7:ah trlan n}ent Naples, FL 34104 7c taC}7�irtrt�3rt Phone - 239-252-2431 Fax - 239-252-2469 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF COUNTY OF I, �01 4 �7y►1 i� having been first duly sworn, state and affirm: I am a resident ofO'la Ali CLtk— County, Fe _ (State) and have resided here for more than five (5) years. ��}�-y^ J (' c During the last five (5) years I have known ✓tl� I h � (applicant). I have had the opportunity p to observe his or her business and personal dealings and find him or her to be a person of honesty, integrity and LL: w good character. rn tV N _ Signature N z Printed Name Q Address: , 1g35' S 3 T Street NOIrni city State Zip Telephone: _.._d�), 4,V $7d State of Fllo f`A'_ County of t"\t«NA1 ^ D{_A t _ The foregoing instrument was acknowledged b ore me by means of 4hysical presence or ❑ online notarization on this 3 day of I`)f_Vejt�r4 20 _Z?_ , by T �y Such person(s) Notary Public must check applicable box: are personally known to me ❑ has produced a current driver license G has produced as identification. (notary Sear ,dv ry� K �P�*p Fords Wt 15704 Notary si`anature. j a / JOURNEYMAN APPLICATION.docx REV 07/16/2020 Page 9 of 11 Packet Pg. 184 8.F.1 Contractor Licensing Ca rer County 2800 N. Horseshoe Dr. Naples, FL 34104 GrcxMh tt•V-tnatc)elYx.rtt De#rtntrnt Phone - 239-252-2431 Fax - 239-252-2469 �? Q APPLICATION! FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF COUNTY OF I 1, S�hf Z having been first duly sworn, state and affirm: I am a resident of 10M r J 1 � d e- County, I c- (State) and have resided here for more than five (5) years. During the last five (5) years I have known Z)f/nt' l 54,V 1 (applicant). I have had the opportunity O to observe his or her business and personal dealings and find him or her to be a per on of honesty, integrity and L: w good character. rn N Signature 04 1 lf4 (r"5 �Jv Printed Name Z dr Address: 1 `7 71 N w / PV S-)- Street "Jam.' C arclt�s )CZ 3�d S6 City State Zip Telephone: 796 - Z7/ - %`/b-,� State of F(c r County of M(r&hn i - 04 j Y The foregoing instrument was acknowledged before a by means oogl�hysical presence or ❑ online notarization on this day of Pc, p,�,er 20 2�_ , by V, f i .SCAT. 7_ Such person(s) Notary Public must check applicable box: X-ne personally known to me © has produced a current driver license C1 has produced as identification. (L otary Se wR NoWy Put*c Stale d Florida i Osvaldo Lugo My Commisaiorl HH 01W94 , 4 E*ireaonoe12024 Notary Signature: JOURNEYMAN APPLICATION doex REV 07/16/2020 Page 10 of 11 Packet Pg. 185 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 — Osmel Sanz Candidate 4: 40870930S Online Testing Site: Ocala, FL Final Score Result: February 22, 2023 Mechanical Journeyman Score: 76% These results represent the grade that has been achieved on the above named examination(s) administered by Gainesville Independent Testing Service for Collier County, Florida on February 20, 2023. 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 804 997 2129 Packet Pg. 186 8.F.1 Florida omm umu E 493-0 SAKI zD$M'r� 18a4 Nw 1&tT!� S7 GARDENS. FL 33056 33 `MAMI SAFE 0311311987 :' sex M pR vex lc fxa• wv1312025 :sr.g' F-05" ,Res A s+sw, NONE a.lss 0212912018 ypp ROZib07i�5- ' ,. �t„KKK j1 � ��¢ v� [aTbh1UH4 rpllelR to M� LL 00 a) N N N U- 00 r� C a) E t V cC r� r� Q Packet Pg. 187 00 ZNVS 13WSO ':18 : 6ZZSZ) NVWA3Nmnor Obi - NOI-LVOI-lddV =10 M3IABN- ZNVS -13WSO '=18 :IuauayOelIV LA V; kA 3+ •a u Ln E OL a w o a iJ 0 a fd � v�i a b=ulL .a u � E aL+ L p u c�v E a •a COo C _a E •�� > j W v Id > O L 3 c N 1° an -� 3 EO E L O acc U w a N = Id v E � r C E o C IA G L U. o C 0 M "' O a u O vW c ro O to C E 0 � C ° -v c Y o aa(° 41 a -2 Q V L � +� O ,.; W u 1 LA b i O LA to O a °uvi c o C y} p O a� ay /Ci .o 00 8 — m Q O a 4A +� v tin O a u*j a a i ate.+ 0 OJI C a$ O vi a L $' OL d. M V 0. n v �� Q U L] V 3 �- a L 41 Z - a 0 fb + u 0. a C a L 0 �. W 41 c 0 v N a; V N 0 a a .0 41 c v c a 6J CL C � (0 �, 4J i CO E 0-0 o _•w C u �^ O M a L V 3 L �+ ,� a O a-0 do O 3— Ngo O aa - C v °4 1 (,J UUa�J 4; Q o u 'C u � v tv V v w .. t kn o •+Ca' O u QD C .� -0 a a.� o a c O E� E C � 0 n. iC 1 4-1 N O_ OaO c ° s Q U .r Ln t n C �¢ 1 x. 4) m O E �+ a 3 to tOj s u E O 0 a Ln aJ -a- c ate+ a46J'�, L a "` �; c u `� c Lcs a x a ° u 0 a 'L °c O ;, i tea„ ` s E a E Er: o N V ME 0 N �d - 0 CD u M v� r-4 rn N eo rN U r 10 v O: co V co co r C1 a m a ZNVS 13WSO '=I8 : 6ZZSZ) NVWJl3Nmno Obi - NOI-LVOl-lddV =10 M31ABN- ZNVS -13WSO '=18 :lUOLUy3L'IIV 00 4-4 v ar U �e co 'C) � �.. co co co to r 43 cc _ o A o o as I" 4-4 ' b -;, 04 o .� �o ca � CN tiro` �i a to rn 00 Cb a r m Y C1 IL 8.G 04/19/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 8.G Doc ID: 25231 Item Summary: 8G. MICHAEL A. GUERRA — SECOND ENTITY APPLICATION — SWIMMING POOL/SPA SERVICING CONTRACTOR - FIRST C Meeting Date: 04/19/2023 Prepared by: Title: — Contractor Licensing Name: Alyshia Morse 04/12/2023 11:43 AM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 04/12/2023 11:43 AM Approved By: Review: Contractor Licensing Contractor Licensing Contractor Licensing Sandra Delgado Review item Tim Crotts Review Item Tim Crotts Meeting Pending Completed 04/12/2023 4:39 PM Completed 04/13/2023 10:40 AM 04/19/2023 9:00 AM Packet Pg. 190 8.G.1 Corer C.o-t�Ytty GMD Operations & Regulatory Management Licensing Section 2800 North Horseshoe Drive Naples, FL 34104 L 2� d l o l APPLICATION FOR COLLIER COUNTY/CITY OF NAPLES/CITY OF MARCO FIRM -SECOND ENTITY INS RUCTIONS: This application must be typewritten or legibly printed. The application fee must be paid upon approval and is not refundable. All checks should be made payable to: Collier County Board of County Commissioners. For further information, consult Collier County Ordinance No. 90-105, as amended. NAME OF COMPANY CURRENTLY QUALIFIED: Exact Corporate/Business Name: Fiction Name/ DBA: Qualifier Name: Physical Address: (Number & Street) Mailing Address: G (Number & Street) Telephone: 2:�� - (plj$ - q( W General $230.00 Building $230.00 Residential $230.00 Mechanical $230.00 Rooting $230.00 �-k 3�[rw� (State) (Zip Code) cuccoIs -j)d- TEL 3y a (City) (State) (Zip Code) E-mail: U)0-k i5 F (. Electrician $230.00 Plumber $230.00 Air Conditioner $230.00 Swimming Pool $230.00 JZSpecialty $205.00 Specialty Trade: ram-' mm , &ar% CHANGE OF STATUS: ( ) Reinstatement ( ) From One Business to Another Application Fee $105.00 c� 00 Dormant License to Active U r r a Packet Pg. 191 8.G.1 A notarized statement signed by an authorized agent of the entity qualified as well as a notarized statement signed by an authorized agent of the proposed entity attesting to the fact that each is aware of what entity the licensee is presently qualifying and what entity the licensee is requesting to qualify. Example: I , H+K2 G,ir-, , am aware that Nklj- qualifies W,24.orsje and is requesting to qualify r+rb-- ChalLe `+*W S-c-vice Notary 5 n 1 "L�l-- S, am aware that l� ( t sf, and is i , - e�� — r»� r�'�--qualifies �,,e� �S• I?NI( requesting to qualify _C' rs , it C, L C Notary STATE OF FLO DA COUNTY OF y r foregoing ent was acknowledged before me by ns hysical pre" re oft ] q{►�ir�g notari on this yy► �. of y 2�y i �f GL�Cu L ` r � Notary Public's Signature Note NameALYSHIAMOI�SE ;;: , Personalty Known OR Pr Identification �/L t * Cammissbn # HH WSM Type of identification Produced: Ar EXpiros Odder 25, 2025 �E. or r .0 Laxled Tteu Budge! Howy s.r 4m 0 w c m t t� ca r Q Packet Pg. 192 8.G.1 The names, titles, home address and phone numbers of all Officers/Managing Members of the Firm. 0�41ks Ito 2. List all businesses, firms, entities or contracting businesses you have been associated with during the last ten years (i.e. held a license for or been a partner). Attach extra pages if needed. 3. List all debts you or any company(s) associated with you that you refused to pay and the reasons for the refusal to pay. Attach extra pages if needed. ,Qj�I� -Norte AFFIDAVIT Under the penalties of perjury I declare that I have read the foregoi g a lication and that the facts stated in it are true. Authorized Officer of the Firm State of µ — I C) r , J C--� Countyof Cal .l t The foregoing instrument was acknowledged before me by means o9i physical presence or ❑ online notarization on this _day of Lk C e— 20 �) � , by C-3 r ram- _ A Such person(s) Notary Public must check applicable box: C�qre personally known to me Gwendolyn Franses ❑ has produced a current driver license Notary Public, state of Florida M ❑ has produced as identification. * y Comm. Expires 0611012023 Commission No. GG•343432 (Notary Seal) Notary Signatu : Packet Pg. 193 8.G.1 QUALIFIER INFORMATION: Name: Address: 20 % b yc �1VA t t,_ (Number & Street) Telephone: % ?h - l_Sp _ � 6f. 0 (State) Date of Birth: j i? 11 W SS#: Z if E-mail: 5ni%u- , ,_l can Driver's License #: G(4)C-5% -?��J f �y�- 0 `11 1. Type of Certificate of Competency for which application is made. I !I( l' kt(�. 2. The names and telephone numbers of two persons who will know your whereabouts. ( "a.f- 10,S % Cj--) Is - `bps-1 3. Have you ever been convicted of a crime related to Contracting? ' I (If yes, attach extra sheet with explanation.) T 4. Have you or any firms you have been associated with ever filed bankruptcy? /V 0 5. List all debts you or any company(s) associated with you that you refused to pay and the reasons for the refusal to pay and reasons why. NA -, 't11Q 6. List your business or work experience during the last ten years. Pe 7. Statement of any formal training you have had in the area for which the application is made. Packet Pg. 194 8.G.1 AFFIDAVIT The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County No. 200646, 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) irk 0 krj t, �0 a� rui K LL_(. Name of Com y Signature of Applicant State of DI V 1 4 County of on l ll el.li The foregoing instrument was acknowledged before me by means of M..physical presence or ❑ online notarization on this ._..__.__.__day ofbU-e;mVDe 1( 20, ?- - , by Gf U � ch person(s) Notary Public must check applicable box: Wi e personally known to me ❑has produced a current driver license Chas produced as identification. (Notary Seal) Gwendolyn Franses SrpY r Notary Public, State of Florida 3t �. �• My Comm. Expires 0611012023 commission No. GG-343432 Notary Signatu V 00 Packet Pg. 195 8.G.1 AFFIDAVIT The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County No. 200646, as amended, and under penalties of perjury. 1 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. MiLV%cuk Gut fC4%, Applicant (please print) W o"k te' S %rk Oc1 fv, Name of Corn' y Signature of Applicant State of P l (Sv � � C- ^ County of l The foregoing instrument was acknowledged before me by means of4'physical presence or ❑ online notarization on this _5 day of by Mi (--\Q a P C-1 UK C.I- Jr c, Such person(s) Notary Public must check applicable box: Dare personally known to me Gwendolyn Franus ❑has produced a current driver licenseNotary Public, State of Florida ❑has produced as identification. MY Comm. n No. o-3434323 (Notary Seal) `'��,�; Commission No, GG 343432 VO a Packet Pg. 196 8.G.1 C0ft _r C:014slty GMD Operations & Regulatory Management Licensing Section 2800 North Horseshoe Drive Naples, FL 34104 APPLICATION TO QUALIFY SECOND ENTITY THIS FORM MUST BE COMPLETED IF YOU WISH TO INITIATE OR CHANGE THE STATUS OF AN EXISTING LICENSE. READ ALL INSTRUCTIONS AND MAKE SURE YOU HAVE SIGNED WHERE INDICATED. TYPE OR PRINT IN INK. Exact Corporate/Business Name: V , f 5} fir,; cQ '` a o 1 Se�-� � t� . I.U_ Fiction Name/ DBA: N I QualifierName. Gutrrcti __ Physical Address:3;q (Number & Street) (Ci (State) (Zip Code) Mailing Address: 7C B 'Xoo_�a��N _ e. t. 1(5 ;qIA (Number & Street) (Ci ) (State) (Zip Code) Telephone: ?,� ~ �t� l -133�1 E-mail: , ' fy lc_I'+?ia"y4tdfr� n-L ccrn Federal ID Tax Number: 11 i y I ALL APPLICANTS MUST APPEAR BEFORE THE CONTRACTOR LICENSING BOARD FOR FINAL APPROVAL. THE BOARD, AT THEIR SOLE DISCRETION, MAY REQUIRE ADDITIONAL DATA IN ORDER THAT THE WELFARE OF THE CONSUMER IS PROTECTED AT ALL TIMES. Packet Pg. 197 8.G.1 FINANCIAL RESPONSIBILITY ALL APPLICANTS/LICENSEES MUST ANSWER THE QUESTIONS BELOW. If you answer yes to any of the questions, a written explanation is required. Additional documentation is also required, as indicated. If you are applying to qualify a corporation, partnership or other legal entity, ALL OFFICERS OF THAT ENTITY MUST ALSO EXPLAIN IF ANY OF THE BELOW WOULD PERTAIN TO THEM. This would include the president, vice president, secretary, and/or partners or owners of the proprietorship. Have you, the business organization, or any of the above mentioned individuals in any capacity ever: YES NO J 1. Undertaken construction contracts or work for a third party, such as a bonding or surety company, completed or made financial settlements? 2. Had claims or lawsuits filed, or unpaid or past due accounts by your creditors as a result of construction experience? f 3. Undertaken construction contracts or work which resulted in liens, suits or judgments being filed? 4. Had a lien filed against you by the Internal Revenue Service or Florida Corporate Tax Division? If yes, you MUST attach a copy of the Notice of Lien, and any payment agreement, satisfaction, Release of Lien or other proof of payment. S. Made an assignment of assets in settlement of construction obligations for less than the debts outstanding? 6. 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? If yes, you must attach a copy of any state, county, municipal or out of state disciplinary order of judgment. J7. Filed for or been discharged in bankruptcy within the past five years? If yes, you must attach a copy of the Discharge Order, Order Confirming Plan, or if a Corporate Chapter 7 case, a copy of the Notice of Commencement. 8. 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? NOTE: IF YOU, THE APPLICANT/LICENSEE, HAVE HAD A FELONY CONVICTION, PROOF THAT YOUR CIVIL RIGHTS HAVE BEEN RESTORED WILL BE REQUIRED PRIOR TO LICENSURE. 2, r a Packet Pg. 198 8.G.1 QUESTIONNAIRE FOR QUALIFYING A SECOND ENTITY THIS FORM MUST BE COMPLETED BY THE APPLICANT REQUESTING TO QUALIFY A SECOND ENTITY OR REQUESTING A CHANGE TO AN EXISTING SECOND ENTITY QUALIFICATION. THE APPLICANT AND PRESIDENTS/PARTNERS/OWNERS OF ALL COMPANIES INVOLVED MUST SIGN WHERE INDICATED. USE THIS SHEET, AND ADDITIONAL SHEETS IF NECESSARY. 1. Explain why you wish to maintain your present license(s) while qualifying this additional business. wens 4o Ccn 4(ki,4- M� �aooq''wa.#;o't(" . n d wc�1' !v hclP Sin rY1c��z,f1`F,, t i60 ,�� ��5 Pv•�Ae55 Up W►c� �vn,,�� 2. Has the proposed entityeen previously qualified? If so, explain why the previous qualifier isAA no longer willing to continue to qualify this entity. I)G 3. If the proposed entity has been qualified within the last 12 months, list three recent jobs completed by the proposed entity. Include dates of completion, address, description of work, name of previous qualifier and name of owner. NIR-,A)o(L List the last three jobs completed by you under your existing license. Include dates of completion, address, description of work, name ofpreviousqualifier and name of owner. 1 7.1(A -70 '%, St SW 117ov K-koo-r 0A Glu.nI cJ CK 2ind Sk hlC. 11C�- � 5�l,wch ?,41 cle•,n„n b� l'i9 443p P,ge Der 1~I G►v-;S Sullivti� I �ool clean i nq Does the business(es) you presently qualify and/or wish to qualify have any outstanding liens against them or against the property of consumers as a result of construction work or a contract they had with y r firm? YES_ NO If yes, identify business and provide explanation. 6. List principal suppliers for the past six months for the business you presently qualify. li SUPcr for 4a•� 1�ca�oc�-S 7. List principal suppliers for the past six months for the business you are applying to qualify. &)1V� -t-,,iQac 8. List persons authorized (currently and in the past 6 weeks) to pull permits on your Iicense(s). 6 rn 00 m E Q Packet Pg. 199 8.G.1 9. How are you being paid by the business(es) you presently qualify (salary, % of profit, etc.)? RJ410a1a 10. How will you be paid by the business you are applying to qualify? 11. What percentage of ownership do you have in the present business(es) you qualify and what percentage of ownershig will yo� have in the business you are attempting to qualify? VZ r5-� CWL(L = W G1, 12. Do you ( plicant) have check writing authority for the present and proposed entities? YES NO If yes, provide a letter from the bank. 13. List all officers/partners/owners of the business you are applying to qualify and position held. 01L h A\ 03111rrL` c�+w,n MCLV z 1 CS q m b r� 14. List all officers/partners/owners of the business you presently qualify and position held. (" i&Ir4 \ SAIIrCA, ( 411K) 15. Do the business(es) you presently qualify and wish to qualify have any other licenses presently qualifying those businesses? YES NO ��%%�� If yes, list licensee's name, license number and address. 16. Submit notarized statements signed by an authorized agent of the entity(ies) you presently oho qualify and from an authorized agent of the proposed entity attesting to the fact that each is c aware of what entity you presently qualify, and what entity you are requesting to qualify. E w a Packet Pg. 200 8.G.1 Comer 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 with Collier County Ordinance 2006-46, as amended, El fit ckmcl atl SQ,y proposes Company Name 117- to engage in contracting as � � a I in Collier County where Mi kJ` (ru.i rre— OfficerslOwnerslPartners Applicant Name proposes to qualify for a Certificate of Competency with company �+ S} C�, w 5 GO\ S1l t1L {Jt u Compant— rr It is hereby agreed upon that we the undersigned CIA t �— of � T tr5_r &,pLCk Fovy[( Sc rut- Officers/Owners/Partners Company �C- resolve and represent to the Collier County Contractor's Licensing Board that the proposed qualifying agent, Mwtk G-uwr--/--- is active in all matters connected with the company named Applicant Name r-5� ��G t u ?QC I C,ertl . 'Lk We further resolve and represent that MA 8ry-'r ra. is legally Company LL C- Applicant Name empowered to act on behalf of ES r S�- 6\ t, ,. 90Ck Ceti; � in all matters connected with its contracting Cornany I business and has the authority to supervise construction undertaken by �t C'5* &i D t Lt St_r�,j r� Company u -d MZars/OwnerslPartners Officers/Owners/Partners Officers/owners/Partners Witness Witness Witness Officers/Owners/Partners of the above -mentioned company need to sign on the left and a witness to the signature signs on the right. State of ck,'V JL �- County of Oo /), The foregoing instrument was acknowledged before me by means of ph sical presence or ❑ online notarization on this K2day of � /1 ur, r� , 2Q �3 , by � �irti� L ! �� l 1 � l% 'ir � 1Ci 4q . 071 L ,e r Such person(s) Notary Public must check applicable box: ❑ are personally known to me produced a current driver Iicense ❑ has produced �c as identification. (Notary Seal) •tRYP�s ALYSHIAMORSE commission # HH 190514 N� nt Expires petober 25, 2025 Notary Signature: r�°¢ eardedThunudY�►Nah7S�ea Contractor Licensing -MIRM Application Rev. 712022 Page 8 of 14 Operations R Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples; FL 34104 • (239) 252-2431 contractorslicensin colliercount ov a 00 C tv E t V tts il Packet Pg. 201 8.G.1 AFFIDAVIT It is understood and acknowledged by the Collier County Contractor's Licensing Board and myself that if I fail to acquire, or maintain at all times effective Workmen's Compensation Insurance it will result in the possible revocation of my Certificate of Competency. Signature of AppliMnt Q Est C k0i U Pad _ ery_ tat---- LC - Business Name c7_f s1ZZ Date State of F!(ly 1 Cjja _ __ County of eo � L1 �r - - The foregoing instrument was acknowledged before me by means of dFphysical presence or ❑ online notarization on this `j day of jb L,2,V4jeY , 20 3 D , J-71 Such person(s) Notary Public must check applicable box: Ire personally known to me ❑has produced a current driver license Ohas produced as identification. Gwendolyn Franses (Notary Sea]) A Notary Public, State of Florida My Comm. Expires 0611W2023 �� '1� � Commission No. GG-343432 Notary Signatu Packet Pg. 202 8.G.1 w U_ O 2 U H N w LL O H U Q H z O U (9 z_ U_ W Q a U) J O O a a z z O F- L) J a a Q F- F- z w 0 z O U W I Q a' a' W O Q J W Q 2 U_ C9 00 r c d E t v r Q Packet Pg. 203 VdSlOOd JNIWWIMS - NOIIV011ddV AIIIN3 aNO33S- ` NN3no 'V 13VH3IW 'J8 :;uOWLIOBPV le o N 00 a a� R a ACORL]r DATE (MMIDDlYYYY) CERTIFICATE OF LIABILITY INSURANCE 12J7+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 endorsements . PRODUCER �ME: Brian Seneski Ott Insurance Agency, Llc PHONE 23s•948-0001 ��FiuA"c NOL 239-s4s-2004 _ 10915 Bonita Beach Rd Ste 1141 - Bonita Springs FL 34135 �L : briaLi@ottins.com_- INSURER A: Cypress Prop & Casualty Ins Co 10853 INSURED WATEPOO-01 INSURER a: Waterside Pool Service of Marco Island, LLC— PO Box 66 INSURERC: .. — Marco Island, FL 34146 INSURERD: INSURER E : INSURER F: CCIVFRAGFS CFRTIFICATF NIIMRFR• IllP-nAd'Xa RFVIBION NUMRFR- 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. PM LirR TYPE OF INSURANCE L R POLICY POUCY EFF POLICY i� 51111=2 5111=3 LIMITS A X COMMERCIAL4ENERALLIABILITY FGL 5019221 04 EACH OCCURRENCE S 100000 CIAIMSAIADE 1XI OCCUR mo RR AI 5oc"'rerml s100000 MED EXP (Afvy one neon S 5 OOD - PERSONAL S ADV INJURY s 100 0DO GENERAL AGGREGATE s 200 W0 AGGREGATE LIMIT APPLIES PER. _GE_NL X POLICY 17 � 'LJI LOC I' PROOUCTS-COMPIOP AGO slnduded s OTHER - AUTOMOBILE LIABILITY a N L LIWI idenU S ANY AUTO BODILY INJURY (Pw penan) S OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED ONLY AUTOSONLY BODILY INJURY (Per wadent) f PROPF-RTY DAMAGEAUTOS - i LIMBRELLALL40 OCCUR EACH OCCURRENCE f ---- ---- I AGGREGATE EXCESS WAD CL11MSMADE' S DED 1 1 RETENTION S S WORKERS COMPENSATION AND EMPLOYERS'LRABILITY YIN PER T EL. EACH ACCIDENT --- s -- ANYPROPRIETORrPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? ❑ NlA EL. DISEASE • FA EMPLOYEE (Mandatory In NH) s It es, describe under DESCRIPTION OF OPERATIONS EL. DISEASE - POLICY LIMIT S 7 :::I DESCRIPTION OF OPERATIONS! LOCATIONS! VEHICLES (ACORD 101, Addrttonal Remarks Schedule, maybe allached If more space is required) Swimming Pool Servicing, Pressure Washing - No Roofs - -- -- - .+4 LLr1 1 iV 1• SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Collier County Contractor Licensing Board ACCORDANCE WITH THE POLICY PROVISIONS. 2800 N Horseshoe Dr. Naples, FL 34104 AUTHORED REPRESENTATIVE I t105-ZVI0 AL UKU GURPORATION. All rights reserved ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 8.13.1 0 Do C d t v Q Packet Pg. 205 8.G.1 cP FrankWinstonk: . General Liability Application Insurance Company: Frank Winston Crum Insurance Company Producer Phone: 239 948-0001 Appticarrt's Name and Mailing Addrbsa Date 12105/2022 Fax: 239 948-2004 Policy: I TBD Ott Insurance Agency, LLC First Cholce Pool Service LLC 10915 Bonita Beach Rd, Ste. 1141 PO Box 110791 Bonita Springs, FL 34135 Naples, FL 34108 Collier maliziasteven@gmail.com by, Effective Cate Explinabon Date Insured Phone Ott Insurance Agency, LLC 12/0512022 12/05/2023 239 -�6' -7339 Buss Addrew 525 McArthur Blvd Lehigh Acres, FL 33974 Years In Business: 0 Years Experience Business Type: Limited Liability Corporation Inspectlon Contact Steven Malizia Web AddrBss: FEIN: 921011141 0 Limits of Liability include - Occurrence, General Aggregate, Products/Completed Operations, Personal and Advertising injury. Certain classes include the Products! Completed Operations Hazard within the General Aggregate Limit. Cfasa Codes Covered: 90505,99506,99507,95625,92451 See Sugglemental Information below Covews L1mb: Doducdble: $200,000 General Aggregate S500 $200,000 Products I Completed Operations Aggregate Bodily injury and Property Damage per claim $10UDD Each Occurrence including claim adjustment expense $100,000 Personal & Advertising Injury $300,000 Damage to Premises Rented to You S10,000 Medical Payment Expense Indiicafe percentage of lndustrial 0 Residential 99 Commercial 1 work for each New Construction 0 Repair or Service 100 Room Additions 0 Remodeling 0 Type of License Swimming Pool Class C Current License Number 111 (service) Business Description See listed classificabons(s) selected by Policyholder and their insurance agent. Do you perform under written contract ? No ❑o you subcontract any work ? No If yes, percentage subcontracted ' 0% Types of work subcontracted: None Do you require certificates for general liability equal to or greater than your own Yes Do you require certificates for Workers Compensation Yus 727.608.1552 • fax 727.608.1531 • 100 South Missouri Avenue, Clearwater, FL 33756 • www.FWcruminsurance.com 12/0512022 03:00:06 PM 0 488789 Page 1 of 9 Packet Pg. 206 8.G.1 FrankWinstonCrum General Liability Application lrmrance GempeM : Frank Winston Crum Insurance Company Producer Phone: 239 948-0001 Appllcanfa Name and Mailing Addrew date 12105/2022 Fax: 239 948-2004 Polic TBD Ott Insurance Agency, LLC First Choice Pool Service LLC 10915 Bonita Beach Rd. Ste. 1141 PO Box 110791 Bonita Springs, FL 34135 Naples, FL 34108 Collier maliziasteven@gmail.com RWared is -. Effective Date iration Date Insured Phone Ott Insurance ApencV, LLC 12105/2022 112J05/2023 239-961-7339 Past and anticipated projects detail Payroll Insured Subcontractors Uninsured Subcontractors Gross Receipts Prior 12 months $33,400 $0 s0 $60,000 Next 12 months $33,400 $0 $0 $80,000 Do you now or have aver acted as General Contractor ? No Losses Year Had Coverage Carder Any Loegm # Of Clalms 727.608.1552 • fax 727,608,1531 • 100 South Missouri Avenue, Clearwater, FL 33756 • vn+nv,FWcri rnrnsurance.com 12/05/2022 03:00:06 PM 0-488789 Page 2 of 9 Total incurred Packet Pg. 207 8.G.1 cP FrankWinstonCrum General Liability Application InsumnoeCompany: Frank Winston Crum Insurance Company Producer Phone: 239 948-0001 Appllcarrt'a Name and Mailing Address Date' 12/05/2022 Fax: 239 948-2004 1 Poli TBD Ott Insurance Agency, LLC First Choice Pool Service LI,C 10915 Bonita Beach Rd. Ste. 1141 PO Box 110791 Bonita Springs, FL 34135 Naples, FL 34108 Collier maliziasteven@gmail.com RWAred by- Effed va lathe /ration Date Insured Phone LOU insurance Agency, LLC 112105i2O22 11210512023 239-961-7339 Supplemental Inforriniation IMPORTANT - Coverage under this policy applies only to claims arising out of classifications chosen by the Insured specifically listed here: Class Code 99505 Payroll $29,392 SWIMMING POOL_ SERVICING - Includes routine maintenance of swimming pools, spas, and hot tubs, such as cleaning filters, vacuuming and maintaining proper water chemistry levels. Includes tile and grout work above water line. Includes incidental store and showroom premises exposures only if specifically declared to and accepted in writing by the company providing this insurance. Excludes structural repair work. Excludes construction of swimming pools, hot tubs, or spas. Class Code 99506 Payroll $1,002 SWIMMING POOLS — CONSTRUCTION, INSTALLATION, OR REPAIR - ABOVE GROUND - Includes service, repair, construction, and installation of above ground swimming pools, spas, and hot tubs. Includes the incidental sale of parts and accessories. Includes incidental store and showroom premises exposures only if specifically declared to and accepted in writing by the company providing this insurance. Clans Code 99507 Payrol $1,002 SWIMMING POOLS —CONSTRUCTION, INSTALLATION, OR REPAIR - BELOW GROUND - Includes service, repair, construction, and installation of below ground swimming pools, spas, and hot tubs. Includes the incidental sale of parts and accessories. Includes incidental store and showroom premises exposures only if specifically declared to and accepted in writing by the company providing this insurance. Excludes crane operations. Excludes work related to diving board and/or slide service, repair, and installation. Excludes installation of safety fencing around pool perimeter. Class Code 95625 Payroll S1,002 HANDYPERSON - Includes a variety of minor non -licensed, non-structural activities. Coverage for this classification is defined in and limited by form FCG 1022 - Redefinition of Handyperson. Excludes any work for which a contractors or profess"sonal license is required (including but not limited to roofing, plumbing, HVAC). Excludes water extraction activities, removal or cleaning of property or materials damaged by smoke or fire, and mold remediation work. Excludes any work related to installation, service, or repair of equipment or appliances, connections, or lines using or involving LPG and/or natural gas. Excludes exterior work over three (3) stories in height. Excludes pressure washing operations. Clews Code 92451 Payroll $1,002 727.608.1552 -tax 727.60B.1531 - 100 So On Missouri Avenue, Clearwater, FL 33756 - www.FWcn,minsurance.com 12/05/2022 03:00:06 PM 0-488789 Page 3 of 9 Q Packet Pg. 208 8.G.1 cP FrankWinstonCrum General Liability Application Irmiranco Company: Frank Winston Crum Insurance Company Produces Phone: 239 94&-0001 ApplicarlVa Name and Mailing Address Dale: 12 O512022 Fax: 239 948-2004 1poliw JTBD Ott Insurance Agency, LLC First Choice Pool Service LLC 10915 Bonita Beach Rd Ste. 1141 PO Box 110791 Bonita Springs, FL 34135 Naples, FL 34108 Collier maliziasteven@gmad,com by; Eifecilive Date ira:Wn Data Insured Phone Ott Insurance Agency, LLC 12/05/2022 12J05/2023 239-961-7339 ELECTRICAL APPARATUS - INSTALLATION, SERVICE, OR REPAIR - Includes exterior lighting and electrical work. Excludes power line construction, repair, or service, and burglar or lire alarm system work and hospital, dental, or medical equipment work Excludes work on life safety equipment for the disabled or handicapped. Excludes exterior work over three (3) stories in height. Automatic Additlonal insureds FCG1002 FCG 1002 Automatic 201 C Additional Insured Endorsement (SO charge) PCG1014 FCG 1014 Punch List Pro : Increases medical payment to S10k, fire damage, legal to $300k, waivers of subrogation, automatic Al for lessors of premises and equipment ($0 charge) Aggregats Exanskm Location Protects Inland Marine Covers e ACV Limit Deductible Not Covered Scheduled Contractors Make Model Serial Number ACV Limit Deductible E ui Tent Type Not Covered Loss Payee, None =`tAL w a U_ N��� � t:9 00 r c ar E 727.608.1552 • fax 727.608.1531 • t0© South Missouri Avenue, Clearwater FL 33756 • www.FWcrLminsurance.cam v tv 12105I2022 03:00:08 PM Q-488789 Page 4 of B Q Packet Pg. 209 8.G.1 cR FrankWinstonCrum General Liability Application Insurarxe Comp": Frank Winston Crum Insurance Company Producer one: 239 948-0001 Applicarift Name and Mailing Address Dale 12/05/2022 hFa'x: 239 948-2004 Poli TBD Ott Insurance Agency, LLC First Choice Pool Service LLC 10915 Bonita Beach Rd. Ste, 1141 PO Box 110791 Bonita Springs, FL 34135 Naples, FL 34108 Collier maliziasteven@gmail.com Prepared by: Ef cdm Date ==1&Jratfon Rate Inured Phone Ott Insurance Agency, LLC 12/05/2022 12/0512023 239-961-7339 Supplemental Information Underwrtrig Questions Does the Applicant ever use workers from any daily labor pools or other altemabve staffing firms, other No than a PEO ? 2 Does the Applicant have any knowledge of an occurrence that could result in a claim? No 3 Has the Applicant ever declared bankruptcy or had a judgment entered against them(dms, not apply if No caused solely by medical expenses) within the past 5 years? 4 Do any directors, partners, or officers have a prior felony conviction(other than a solely drug - related No charge at least 10 years old) ? 5 Does the Applicant nave all required licenses and permits for all work to be performed under this Yes insurance ? 727,603.1552 • fax 727,608.1531 • 100 South MISSOLri Avenue, Clearwater, FL 33756 • www.FWcrurninsurance.com 12/05/2022 0100:07 PM Q-4W769 Page 5 of 9 Packet Pg. 210 8.G.1 General Liability Application Irtattrgnce Company: Frank Winston Crum Insurance Company Phone: Producer 239 949-0001 ApplicanYe Name and Melling Address Date 12/05/2022 239 948-2004 1 Policy: JTBD Fax: Ott Insurance Agency, LLC First Choice Pool Service LLC 10915 Bonita Beach Rd. Ste. 1141 PO Box 110791 Bonita Springs, FL 34135 Naples, FL 34108 Collier coal iziasteven@gmail.00m Effecdve Date nation Dabs Insured Phone Ott Insurance Agency, LLC 11210512022 1210512023 239-961-7339 6 Does the Appllcant perform any work related to the following? If so, risk is Ineligible. No -Aircraft, railroad, watercraft, all - terrain vehicle, motorcycle, snowmobile, venicle or recreational vehicles Alarm systems, security systems, cameras I surveillance systems monitoring Asbestos abatement or mold and I or fungus remediation work Blasting, demolition, or any operation where explosive materials are used •Construction, maintenance, or repair of any dam, sewer, or bridge, Including but not limited to overpass, overhead or elevated walkway over any street, road, or waterway. Cell phone, water, gas, or oil tank or tower related work Coal, wood, waste or all burning stoves - installation, maintenance, modification, or repair Discharge of fumes, acids or waste Elevators, Escalators or Sellers Herbicides, pesticides, or worts of any chemical spraying or fumigation work other than over -the - counter products which do not require an EPA permit for application Inspection or appraisal company - homewatch services, inspection work not associated with repair Marine or marine - related work, canals, docks, waterways or waterway construction Mobile home construction or repair work related to structural repair, foundation, tie - down, or transportation Oil, gas, natural gas or LPG related work of any kind, unless insured is specifically licensed to do LPG andior natural gas work Plumbing or plumbing -related work which requires a plumbing license (only eligible if work is performed by a fuliy insured & licensed plumbing subcontractor) Radioactive or nuclear materials Recrealional equipment, playground construction, maintenance or repair or related work Rental, lease, or repair of equipment to or for others Sales, installation, service of any automatic fire extinguishing systems%AY, Sinkhole - related repair, remediation, or reconstruction work of any sort. -Steel erection and related work A Utility line construction work or fiber optic cable work except for cable TV related work Tunneling work Work in the state of Louisiana -Work on street, road, highway, or any work performed on the right of way or easements 727.603.1552 • fax 727.608,1531 - 100 South Missouri Avenue, Clearwater, FL 33756 • www,FWcruminsurarce.com 12I0512022 0100:07 PM 0-488789 Page 6 of 9 0 rb Packet Pg. 211 8.G.1 General Liability Application lntsumnce Company: Frank Winston Crum Insurance Company Producer Phone: 239 948-0001 Applicant's Name and Mailing Address Date 112J0512022 Fax: 239 948-2004 Polic : TBD Olt Insurance Agency, LLC First Choice Pool Service LLC 10915 Bonita Beach Rd. Ste. 1141 PO Box 110791 Bonita Springs, FL 34135 Naples, FL 34108 Collier maliziasteven@gmaii.com Prepared by-, Effective bate Irration Date lneured Phone Ott Insurance Agency, LLC 112J0512022 112105/2023 239-961-7339 Supplemental Information Underwrtting Questions Gala Code Question Answer In the last 10 years, have you had a constriction defect claim for your current business or any previous No business? 99505,99506,995 Does the Applicant have any showroom or store -type locations or operations to be covered under this No 07 insurance? 99506,99507.956 Does the Applicant perform ANY digging WITHOUT first using a Utility locator service prior to digging? No 25 95625 Does the Applicant do any emergency water, flood remediation or mold removal work? No 99505,99507 Does the Applicant do any major pool repair or pool remodeling that requires draining pool below the No fitter intake or required water line? 95625 Does the Applicant do any work in store or locations that are open to the public 24 hours? No 99505 Does the Applicant do any work other than just cleaning, maintaining swimming pools water? Pressure No washing? Landscape work? Sealing/resurfacing Pool Decks? 95625 Does the Applicant install or service outdoor lighting other than that which is attached to a residential No structure? 99507,95625 Does the Applicant use any cranes, lifts or bucket trucks? No 95625 Does your operation involve any exterior work performed over 3 stories in height? No 92451 Does Applicant provide or participate in any monitoring of alarms? No 95625 Does Applicant provide any sinkhole -related repair, remediation, or reconstruction services? No 95625 Does the Applicant ever do any spray painting? No 99505,99506,995 Does applicant perform any roofing, roof work, or any activity of any kind on any roof, including any No 07,95625,92451 construction, repair, maintenance, cleanirg or inspection of any roof? 99505,99506,995 Does the applicant perform ANY out of state work? No 07,95625,92451 727.608.1552 • fax 727.608.1531 • 100 Soutri Missouri Avenue, Clearwater, FL 33756 • wvvw.FWcr,rrrinsurance.com 1210512022 03:00:07 PM C} 488789 Page 7 of 9 H �r 211 J W a _U E 6 00 E t V r Q Packet Pg. 212 8.G.1 FrankWinstonCrum General Liability Application Insurance Company: Frank Winston Crum Insurance Company Pmducer Phone: 239 948-0001 Applicanea Name and Mailing Address Date 12/05/2022 Fax: 239 948.2004 I Policy: 1TBQ Oft Insurance Agency, LLC First C1loice Pool Service LLC 10915 Bonita Beach Rd. Ste. 1141 PO Box 110791 Bonita Springs, FL 34135 Naples, FL 34108 Collier maliziasteven@gmail.com by. Effective Date I Moratlon Date Insured Phone Ott insurance Agency, LLC 12/05/2022 12/05/2023 239-961-7339 99507 Does the applicant perform any installation, service, or repair of any diving boards or slides? 99507 Does the applicant install any safety fencing around the perimeter of pools? 01 No 99507,95625,924 Do you have any prior or planned jobs covered under Consolidated Insurance Program (CIP), Owner No 51 Controlled insurance Program (OCIP), Contractor Controlled insurance Program (CCIP), or similar "wrap-up" policies? General Liability Premium $1.168.00 General Liability Policy Fee $90.00 2022-1 Florida Insurance Guaranty $23.36 Association Assessment Grow Toted $1,281.36 Thle appilicaflon does not bind the applicant nor the company to compieie the Insurance, but It is agreed trim the Information contained herein ARE MATERIAL REPRESENTATIONS BY THE APPLICANT, and shall be the basis of the contract should a policy be taaued. FRAUDWARNING Any person who knr ingiy and with the intent to Injure, defraud, or decal any Insurer files a statwnent of daim or an applleatian containing any fahm, incomplete, or mbleading Infommtaon is guilty of a felony of the third degree. It Is understood that the Brokering Agent Is submittlng ft applicatlon to the insurer on my behalf and Is acing as my agent and is not an egerlt of the huffu.Therefore, the Insurer and 1 or Its appointed representative Is not bound by any representation made by the Brokering Agent unless wed by the Insurer or Its representative. I understand this application Is not a binder unless Indicated as such on thla form by the broker aWft See supplemental Information attached, which is incorporated here in as specific attachment and is hereby made a part of this application. a 00 Ar- � 727.608.1552 • fax 727.608.1531 - 100 South Missoun Avenue, Clearwater, FL 33756 • www.FWcmminsurence.com U U 12AW022 03:00:07 PM Q488789 Page 8 of 9 Fi . Q Packet Pg. 213 8.G.1 cP FrankWinstonCrum General Liability Application Insurance Company: Frank Winston Crum Insurance Company Producer Phone: 239 948,0001 Appl'scant'a Name and Maiiirag Addreaa FDate 12/0512022 Fax: 239 94B 2D04 li TBD Ott Insurance Agency, LLC First Choice Pool Service LLC 10915 Bonita Beach Rd. Ste. 1141 PO Box 110791 Bonita Springs, FL 34135 Naples, FL 34108 Collier matiziasteven@gmaii.com 1ROMW by. Pfective Date Expiration Date Insured Phone Ott insurance Agency, LLC 12105i2022 12/05/2023 239-961-7339 "I hereby certify that I have read and understood the above questions contained in the application for a commercial general liability policy with the insurance company Ilsted and that the responses are true, accurate and complete as of the date of submission of this application." Applicant Signature Licensed ent44>roducer Signature Date Dale I 7ii License# 727.608.1552 • fax 727.608.1531 - 100 Soutn Missouri Avenue, Clearwater, FL 33756 • www.FVirrLminsurarce.com 12/05/2022 03:00:07 P.M Q-488789 Page 9 of 9 (D 00 Packet Pg. 214 8.G.1 Declined Coverage From: Named Insured F'(-'a-� �,r l�t } SPi'�, C �� Date �zl Cyber Liability Coverage has been explained to me and I am not interested i rage. I realize this coverage is not available to me on the quote/policy provided. IT! initials Employment Practices Liability Insurance - Coverage has been explained to me and l am not inter sted in coverage. I realize this coverage is not available to me on the quote/policy provided. initials Contractors Pollution Liability Coverage has been explained to me and I am not inter ted in coverage. I realize this coverage is not available to me on the quote/policy provided. initials Professional Liability Coverage has been explained to me and I am not irate sted in coverage. I realize this coverage is not available to me on the quote/policy provided. initials Contractors Equipment Coverage Coverage has been explained to me and I am not int�j�ested in coverage. I realize this coverage is not available to me on the quote/policy provided. d:�� initials Commercial Property Coverage has been explained to me and I am not inter ted in coverage. I realize this coverage is not available to me on the quote/policy provided. initials Wind Coverage Coverage has been explained to me and I am not interested in(�overage. l realize this coverage is not available to me on the quote/policy provided.'` initials Flood Coverage has been explained to me and I am not intere led in coverage. I realize this coverage is not available to me on the quote/policy provided. initials Umbrella or Excess Liability Coverage Coverage has been explained to me and I am not inter�} sted in coverage. I realize this coverage is not available to me on the quote/policy provided. initials Page 1 of 2 0 00 c m E t Q Packet Pg. 215 8.G.1 Declined Coverage From: Builders Risk Coverage has been explained to me and I am not interested in coverage. I realize this coverage is not available to me on the quote/policy provided. � initials Subsidence Coverage has been explained to me and I am not interested,in coverage. I realize this coverage is not available to me on the quote/policy provided. initials General Liability Coverage has been explained to me and I am not interested in coverage. I realize this coverage is not available to me on the quote/policy provided. r initials Cargo Coverage Coverage has been explained to me and I am not interestedZicoverage, I realize this coverage is not available to me on the quote/policy provided. initials Commercial Automobile Coverage Coverage has been explained to me and I am not interested in coverage. I realize this coverage is not available to me on the quote/policy provided. '`- initials Workers Compensation Coverage has been explained to me and I am not interested -in coverage. I realize this coverage is not available to me on the quote/policy provided. _1- initials Vag v cow .P r CA- Cj 6e� \,. b hcda1\11; 1-,S O "-p . ti-t, Wit` Wr0 Ffun�A (Cur--. �I C,/ Page 2 of 2 J Packet Pg. 216 When cyber attacks like data breaches and hacks occur, they can result in devastating damage. Businesses have to deal with business disruptions, lost revenue and litigation. It is important to remember that no organization is immune to the impact of cyber crime. As a result, cyber liability insurance has becorne an essential component to any risk management program. Cyber liability insurance policies are tailored to meet your company's specific needs and can offer a number of important benefits, including the following: Data breach coverage. In the event of a breach. organizations are required by law to notify affected parties. This ,���� can add to overall data breach costs, particularly as they relate to security fixes, identity theft protection for those k _,��j impacted by the breach and protection from tx)ssibk,. INai action. Cyber liability policies include coverage for these exposures, thus safeguarding your data from cyber criminals. Business interruption loss reimbursement. A cyber attack can lead to an IT failure that disrupts business operations, costing your organization botr2 time and money. Cyber liability policies may cover your loss of income during these interruptions. What's more, increased costs to your business operations in the aftermath of a cyber attack may also be covered. Cyber extortion defense. Ransornware and similar malicious software are designed to steal and withhold key data +,e from organizations uritil a steep fee is paid. As these types of attacks increase in frequency and severity, it's critical that organizations seek cyber Inability insurance, which can help recoup loses related to cyber extortion. Forensic support. Following a cyber attack. your organization will have to investigate to determine the extent of the breach and what led to it, The right policy can reimburse the insured for costs related to forensics and seeking out expert advice Additionally some polices can provide 24l7 support from cyber specialists, which is especially useful following a hack or data breach. • + Legal support. In the wake of a cyber incident, businesses often seek legal assistance. This assistance can be costly. Cyber liability insurance can help businesses afford proper legal work following a cyber attack. Coverage beyond a general liability policy. General liability policies don't always protect organizations from losses N related to data breaches. Whats more, data is generally worth tar more than physical assets. and its important to have the right protection in place when you need it most. Supplementing your Insurance with cyber coverage can provide you with peace of mind that, in event of an attack your organization's financial and reputational well-being is protected. Learn More About Cyber Liability Insurance r_ uer exlx wires aren't going away and. In fact, conai ue to escalate. Businesses need to be prepared in the event that a cyber attack strikes. To learn More about cyber liability insurance, contact us today. 1dtC D 2017 Zywave, Inc All rights reserved Jrf 1=a 8.G.1 Packet Pg. 217 8.G.1 CONTRACTORS VULNERABLE EXPOSURES? A roofing contractor replaces a residential roof and fails to properly connect the dryer exhaust vents Intrusion Exposure through to the roof. This causes elevated moisture levels leading to subsequent mold growth and as a result the homeowner becomes ill. This results in mold remediation costs and third party bodily injury, inctuding associated legal defense expenses. A general contractor hires a subcontractor to perform plumbing operations at a commercial building. The plumber inadvertently fails to properly install a hose connection device which results in water leaks. Upon subsequent investigation, mold is discovered within the walls. This results in significant costs to remediate the mold as well as third party property damage. Asbestos exposure A homeowner hires a restoration contractor to dry out a house from water damage. The contractor, without testing for asbestos, starts and finishes the dry out process, inadvertently disturbing asbestos which releases asbestos fibers into the air. After the job is complete, an industrial hygienist, hired by the homeowner, tests for asbestos and finds that it has spread throughout the house due to the dry out process. This results in cleanup costs and allegations of bodily injury resulting from asbestos inhalation, including associated legal defense expenses. €5verspray Exposure A contractor is responsible for painting a water tank at a farm. The farm later discovers that their produce is polluted with paint flakes, due to overspray, causing damage to their product. Consequently this results in losses sustained by the farm including extensive clean-up efforts. Transportation A contractor hauls wet transformers that are improperly secured during transit. One of the transformers Pollution Exposure accidentally falls during transit and causes an oil spill. This results in extensive cleanup costs. Accidental seepage While repairing a clogged wastewater pipe for a homeowner, a plumber inadvertently causes effluent M release and causes damage to the homeowner's properly. This results in losses sustained by the homeowner. including cleanup costs. replacement of damaged personal property and restoration costs. A contractor performs demolition work and mistakenly pumps cutting fluid into a storm drain. The drain feeds into a retention pond and causes contamination. This results in cleanup costs and lab analyses expenses. A painting contractor accidentally causes a spill on a jobsite while moving a tote containing fluorosilicic acid. This results in cleanup costs, resulting property damage to the floor and loss sustained by the general contractor due to the construction delay. insured, 0 00 ZI Packet Pg. 218 8.G.1 ri EAR 911 1 !F INS' IRANICF CO"T ,rw W U_ O x U H Co d' d' O H U a z O U Z_ U_ W Co Q IL U) J O O IL cD z z O F- L) J d a a F- z w 0 z O U w Co I a W d J W Q 2 U_ m 6 Co c m E t u cv a Packet Pg. 219 8.G.1 Commercial General Liability THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CLASSIFICATION LIMITATION ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM This insurance will not provide coverage or supplementary payments for defense or expense costs under any part of the policy arising out of operations not described in the Classification(s) of operations shown in the Policy Declarations or the Policy Coverage Schedule whether or not incidental. FCG-970 12-12 ©2016 Copyright Clear Blue Insurance Company Packet Pg. 220 8.G.1 Coverage Disclaimer All insurance policies contain exclusions and limitations either within the policy language or added to the policy by attachment of an endorsement. Not all exclusions or limitations are addressed in this proposal. Exclusions and limitations can be absolute or conditional based on the specific circumstances and allegations of a loss or claim. Policy language dictates coverage. Ott Insurance Agency, LLC offers the coverage options available from the insurance carriers it is licensed to represent or from those with which it has a relationship; the agency makes no representations regarding coverages, exclusions or imitations in policies from any carriers not represented by the agency nor does the agency make representations regarding the availability of coverage to cover any specific risk of loss in the broader insurance marketplace. Policyholder / Applicant's Signature 0wro(,/, Y,b; - c 47 �- 14 I( Print name and Title of Person (S) Signing ✓) %A -. �W Date and Time Signed �s ZZ 7�, Z?jI Packet Pg. 221 8.G.1 FRANK WINSTON CRUM INSURANCE COMPANY Commercial General Liability THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. REDEFINITION OF HANDYPERSON CLASSIFICATION It is hereby understood and agreed that classification 95625 - HANDYPERSON provides coverage only for operations included within the classifications listed below. A{l other operations, including but not limited to any operations that require specific contractor, occupational, or professional licenses (including but not limited to plumbing, electrical, HVAC, or roofing), are excluded under 95625 - HANDYPERSON. CLASSIFICATION CLASSIFICATION DESCRIPTION CODE 91150 APPLIANCE & ACCESSORIES INSTALLATION, SERVICE OR REPAIR - COMMERCIAL - Excludes LPG manufacturing, storage, or distribution. Excludes any operations involving LPG and/or natural gas. 91155 APPLIANCE & ACCESSORIES INSTALLATION, SERVICE OR REPAIR — RESIDENTIAL - Excludes LPG manufacturing, storage, or distribution. Excludes any operations involving LPG and/or natural gas. 91340 CARPENTRY - CONSTRUCTION - RESIDENTIAL - Includes work on residential property three stories or less in height with primary work of rough carpentry, framing, wood siding installation, and finishing work. Excludes exterior work over 3 stones in height. Excludes abatement work. Excludes any new construction other than punch list or punchout related work. Excludes truss work. 91341 CARPENTRY - INTERIOR - Includes the installation of doors, shelving, floors, cabinets, windows and wood, hardwood, or parquet flooring. Not applicable to contractors engaged in any other carpentry operation at the same job or location. Excludes abatement work. Includes tear -out and removal of existing cabinetry & woodworking prior to installation. 91342 CARPENTRY — CONSTRUCTION — COMMERCIAL - Includes carpentry contractors with primary work as rough carpentry, framing and finishing work. Excludes exterior work over 3 stories in height. Excludes abatement work. Excludes any new construction other than punch list or punchout related work. Excludes truss work 91436 CEILING OR WALL INSTALLATION 91551 COMMUNICATION EQUIPMENT INSTALLATION - INDUSTRIAL OR COMMERCIAL - Installation, repair, and maintenance of wiring, cables and circuits for telephone and communications equipment such as computers, telephone, cable TV, satellite TV, Antennas (up to 30 feet) and building connections operating at less than 50 volts. Excludes burglar, fire alarm or emergency systems work, outside electrical power line construction, telephone, telegraph or cable TV line construction', household communication equipment, and household appliances. \Q,4 91629 DEBRIS REMOVAL INCLUDING CONSTRUCTION SITE CLEAN-UP - Excludes salvage operations and asbestos or mold removal or remediation. Includes removal of storm debris Excludes any tree trimming and tree removal. W N�@ 91746 DOOR, WINDOW INSTALLATION - Excludes skylight installation, service or repair. 92338 DRYWALL OR WALLBOARD INSTALLATION — Includes texturing work performed on drywall or Lj wallboard. 15 92451 ELECTRICAL APPARATUS - INSTALLATION, SERVICE, OR REPAIR - Includes exterior lighting and 6 electrical work. Excludes power line construction, repair, or service. Excludes burglar or fire alarm 00 .. system work and hospital, dental, or medical equipment work Excludes work on life safety equipment for the disabled or handicapped. Excludes any work for which an electrical license is required. E s FCG 1022 03 19 C2019 Copyright Frank Winston Crum Insurance Company Page 1 of 3 Q Packet Pg. 222 8.G.1 FRANK WINSTON CRUM INSURANCE COMPANY 92478 ELECTRICAL WORK - WITHIN BUILDINGS - Includes interior installation or repair of electrical fixtures ! appliances and outside fixtures permanently attached to a building in which interior electrical work is also performed. Excludes exterior lighting and electrical work. Excludes installation or repair of alarms or alarm systems. Excludes electrical machinery or auxiliary apparatus work. Excludes power line construction. Excludes fiber optic cable work and cell phone tower work. Excludes any work for which an electrical license is required. 94276 FENCE ERECTION CONTRACTORS - Includes repair, upkeep, and maintenance of existing fences. Excludes new fence installation and/or replacement of entire fence. 94569 FLOOR COVERING INSTALLATION - Includes carpet, vinyl, linoleum, and laminate installation. Excludes ceramic tile work or stonework and hardwood floor work 95124 FURNITURE I FIXTURES INSTALLATION - Installation of furniture or fixtures in office or stores - portable - metal or wood. Excludes installation of hospital, dental or medical equipment; any disabled for handicap life safety equipment. Excludes residential movers or hauling operations. Includes assembly of prefabricated furniture. Excludes crib or baby furniture assembly or installation. 96063 HOUSE FURNISHING INSTALLATION - Includes incidental upholstering. Includes assembly of prefabricated furniture. Excludes crib or baby furniture assembly or installation. 96611 INTERIOR DECORATORS 96816 JANITORIAL SERVICES - Excludes window cleaning, painting, maintenance or repair at any location where Insured does not also perform janitorial services. Floor waxing excluded unless after normal business hours at work site. Excludes floor waxing for any 24-hour operations or work site. Excludes use of propane floor waxers and work performed at supermarkets or superstores. Excludes water or fire damage restoration services and mold remediation work. 97047 LANDSCAPE GARDENING - Includes laying out grounds, planting trees, shrubs, flowers or lawns, sod or turf, and interior landscaping. Includes outdoor sprinkler system installation or repair. Includes incidental application of "over the counter' fertilizers and herbicides or pesticides. Includes installation and service of artificial grass or turf. Includes incidental minor tree pruning conducted solely while standing on the ground. Excludes herbicide or pesticide application requiring license or permit. Excludes excavation, interior sprinkler system work, or work along roads or highways. Excludes any tree trimming activities not conducted solely while standing on the ground. Excludes tree removal and stump grinding. Excludes snow and ice removal and snow plow work. LAWN CARE SERVICES - Includes services for fawn care such as mowing, fertilizing, edging or cleaning 97060 lawns, including the removal of leaves, or preventing growth of or killing weeds. Includes incidental application of "over the counter" fertilizers and herbicides or pesticides. Includes incidental minor tree pruning conducted solely while standing on the ground. Excludes herbicide or pesticide application requiring license or permit. Excludes excavation, interior sprinkler system work, or work along roads or highways. Excludes any tree trimming activities not conducted solely while standing on the ground. Excludes tree removal and stump grinding. Excludes snow and ice removal and snow plow work 98111 OFFICE MACHINES OR APPLIANCE INSTALLATION AND SERVICE - Excludes installation, service or rx repair of computers or computer related equipment. W 98304 PAINTING - EXTERIOR — 3 STORIES OR LESS - Excludes painting of budges or towers of any type. Excludes painting of any oil, gas or water tanks. Q J W 98305 PAINTING - INTERIOR Q 2 � U `� 98344 PAPERHANGING 967 SIDING INSTALLATION - Includes installation of non -motorized hurricane shutters, gutters, 00 downspouts, soffits, and screened enclosures. Excludes work over 3 stories. d E s FCG 1022 03 19 ©2019 Copyright Frank Winston Crum Insurance Company Page 2 of 3 a Packet Pg. 223 8.G.1 FRANK WINSTON CRUM INSURANCE COMPANY 99650 TELEVISION OR RADIO RECEIVING SET INSTALLATION 1 REPAIR - Residential only - includes installation and repair of home theatre equipment. Excludes work at commercial locations. 99746 TILE, STONE, MARBLE, MOSAIC OR TERRAZZO WORK -- INTERIOR - Includes interior and exterior construction. Excludes any swimming pool construction or repair work, and operations that require any draining of pool. 99955 WATERPROOFING - Includes application of caulk, sealant, and similar materials to buildings and surfaces such as driveways, parking areas, patios, and decks. Includes installation of shower inserts, liners, and walls made from acrylic, PVC plastic or similar materials. Excludes roofing and roofing related exposures. Excludes work over three (3) stories in height. 99975 WINDOW CLEANING - Exciudes exterior work over 3 stories in height. PUNCH LIST, PUNCHOUT, and REO OPERATIONS 95625 — HANDYPERSON includes coverage for punch list and punchout contractors for the classifications and operations listed above. Punch list and punchout contractors are those who perform the final cosmetic clean up, touch up, or repair of incidental damage to existing finishes, material, and structures for recently repaired or constructed property. 95625 — HANOYPERSON includes coverage for Property Preservation and REO (real estate owned) contractors for the classifications and operations listed above. Property Preservation and REO contractors provide general light maintenance and repair activities for real estate owned by lenders, investors, and other mortgagees as well as apartment and rental housing owners. Excludes any tenant screening, qualification, rent collection, administration, or eviction activity. GENERAL 95625 - HANDYPERSON does not provide any coverage for any claim arising wholly or in part out of or in connection with any LPG and/or natural gas work unless the insured is specifically licensed to do LPG and/or natural gas work. 95625 - HANDYPERSON excludes water or fire damage restoration services and mold remediation work 95625 - HANDYPERSON does not provide any coverage for any claim arising wholly or in part out of or in connection with any use of cranes, bucket trucks, or lifts. Such work is excluded unless such use is specifically declared to and accepted in writing by the company providing this insurance prior to start of work. 95625 - HANDYPERSON does not provide any coverage for any claim arising wholly or in part out of or in connection with any inspection service, security service, or 'homewatch' type service. 95625 - HANDYPERSON does not provide any coverage for any claim arising wholly or in part out of or in connection with any structural addition or structural remodeling to any existing building. All other terms and conditions remain unchanged. FCG 1022 03 19 .©2019 Copyright Frank Winston Crum Insurance Company Page 3 of 3 Packet Pg. 224 8.G.1 R. JIMMY PATRONIS CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * NON -CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law EFFECTIVE DATE: 12/16/2022 EXPIRATION DATE: 12/15/2024 PERSON: MICHAEL A GUERRA EMAIL: WATERSIDEPOOLSERVICE@GMAIL.COM FEIN: 825451219 BUSINESS NAME AND ADDRESS: WATERSIDE POOL SERVICE OF MARCO ISLAND LLC 2013 49TH TER SW NAPLES, FL 34116 SCOPE OF BUSINESS OR TRADE: Janitorial Services By Contractors -No Window Cleaning Above Ground Level & 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 E01638437 QUESTIONS? (850) 413-1609 Packet Pg. 225 1218122, 8:41 PM Detail by Entity Name 16VINION OF CORPORATIONS 8.G.1 %or9 Joloirrl of <) f Department of State ! Division of Corporations I Search Records 1 Search by Entity Name I https alsearch. su n biz. orgl l nq u i rylCorporati o nS earchlSea rch Resu ItOeta i I?inq uirylype=EntityN a me&d irectionType=l n iti a I&sea rch N am eOrd er=W AT E RS I ... 112 Packet Pg. 226 1218122. 8A1 PM Detail by Entity Name 8.G.1 1 Q41UQf2O2? --ANNUAL REPORT 08128/2021 —ANNUAL REPORT 0410/ 0 0—ANNUAL REPORT 04130/2019 -- ANNUAL REPORT 1 2016 -- Florida Limited Liability View image in PDF formal View image in PDF format View image in PDF format J View image in PDF format View image in PDF format hftps:tisearch.sunbiz,org/Inquiry/CorporationSearch/SearchRes ultDetaiI?inquirytype=EntityName&directionType=Initial&searchNameOrder=WATERSI... 2/2 0 00 C N t V rr rr Q Packet Pg. 227 12i8l22, 8:42 PM Detail by Entity Name Dive,€nr, n, CnR?ORATMW, 8.G.1 ru+',ifvwl rrut:,.,,u1114A Department of State / Division of Corporations ! Search Records ! Search by Entity Name I https:llsearch.sunbiz.orglinqu4lCorporationSearchlSearchResultDetail?inquirytype=EntityName&directionType=lnitial&searchNameOrder=F IRSTCH... 112 Packet Pg. 228 1218/22.8:42 PM Document Images Detail by Entity Name 11107/2022 -- Florida Limited Liability View image in PDF forma, 0 00 C N E t V Q Packet Pg. 229 https:llsearch.sunbiz.orglInquiry/CorporationSearchlSearchResuItDetail?inquirytype=EntityName&directionType=Initial&searchNameOr 8.G.1 JIMMY PATRONIS CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law EFFECTIVE DATE: 11 /16/2022 PERSON: STEVEN M MALIZIA FEIN: 921011141 BUSINESS NAME AND ADDRESS: FIRST CHOICE POOL SERVICE, LLC 525 MCARTHUR BLVD LEHIGH ACRES, FL 33974 SCOPE OF BUSINESS OR TRADE: Contractor -Project Manager, Construction Executive, Construction Manager or Construction Superintendent EXPIRATION DATE: 11/15/2024 EMAIL: MALIZIASTEVEN@GMAIL.COM 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 E01625004 QUESTIONS? (850) 413-1609 a 00 Packet Pg. 230 8.G.1 USA CREDIT BUREAU Credit Reporting & Coliectfons 154 SE 7th Ave Ste 2, Crystal River FL 34429 • 352-628-2580 • Fax 239-719-2755 DECEMBER 12, 2022 PERSONAL CREDIT REPORT (coMPrtED FROM AATI0IVAL RECORDS) [SUBJECT] GUERRA, MICHAEL ANTHONY [CURRENT ADDRESS] 2013 SW. 49TH TE., NAPLES FL. 34116 [FORMER ADDRESSI 7035 SIERRA CLUB CI., #5104. NAPLES FL. 34113 9415 MARINO CI., #306. NAPLES FL. 34114 [SSN] [BIRTH DATE] -8726 12/85 [DATE RPTD] 6/19 2/19 [POSITION] [CURRENT EMPLOYER AND ADDRESS] [VERF] (RPTD] COLLIER COUNTY EMS PARAMDIC 11/15A 12/20 [FORMER EMPLOYER AND ADDRESSI ISLANDER POOL AND PATIO 10/11A 9/11 M O D E L P R O F I L E * * * A L E R T * * * ***FICO SCORE 4 SCORE +566 : 010, 013, 030, 018*** IN ADDITION TO THE ***FACTORS LISTED ABOVE, THE NUMBER OF INQUIRIES ON THE CONSUMER'S CREDIT ***FILE HAS ADVERSELY AFFECTED THE CREDIT SCORE. C R E D I T S U M M A R Y *** TOTAL FILE HISTORY PR=O COL=O NEG=O HSTNEG=1-1 TRD=32 RVL=17 INST=13 MTG=2 OPN=O INQ=9 HIGH CRED CRED LIM BALANCE PAST DUE MNTHLY PAY AVAILABLE REVOLVING: $45.4K $51.OK $34.7K $0 $1192 32t INSTALLMENT: $28.7K $ $22.6K $0 $679 MORTGAGE: $349K $ $336K $0 $2159 TOTALS: $424K $51.OK $393K $0 $4030 ---------------------------------------------------------------------------- T R A D E S SURNAME SUBCODE OPENED HIGHCRED TERMS MAXD£LQ PAYPAT 1-12 MOP ACCOUNT# VERFIED CREDLIM PASTDUE AMT-MOP PAYPAT 13-24 ECOA COLLATRL/LOANTYPE CLSD/PD BALANCE REMARKS MO 30/60/90 ROCKET MTG F 13XJGC1 4/21 $349K 36OM2159 111111111111 M01 8673474139409 12/22A $0 11111 C FHA R.E. MORTGAGE $336K 19 0/ 0/ 0 SYNCB/CARECR F 999206T 7/22 $4790 MIN128 601918387659 12/22A $5000 $0 I CHARGE ACCOUNT $3920 SUNCOAST CU Q 2980001 4/21 $26.2K 06OM604 4149802 11/22A $0 I UNSECURED $20.1K SUNCOAST CU Q 298QOOI 10/22 $2509 3+6M75 41498C2 11/22A $0 I UNSECURED $2509 SYNCB/CTYFRN B 328QO05 5/19 $3528 MIN75 601919021136 11/22A $3500 $0 USA CREDIT BUREAU • • 0 PAGE I OF 4 11111 R01 5 0/ 0/ 0 111111111111 101 111111 18 0/ 0/ 0 1 101 1 0/ 0/ 0 111111111111 R01 c}-a 1Z1111111111 Q PERSONAL CREDIT REPORT Packet Pg. 231 8.G.1 I CHARGE ACCOUNT $1942 SUNCST CU Q 298QO07 1/22 $5059 460819002191 11/22A $5000 I CREDIT CARD $5049 CAPITAL ONE B lDTV001 10/16 $1625 517805866301 11/22A $1600 I CREDIT CARD $1590 CAPITAL ONE B 1DTV001 8/15 $1651 517805871363 11/22A $1650 I CREDIT CARD $1549 JPMCB CARD B 26QK001 5/19 $1018 414740025016 11/22A $1000 I FLEX SPND CRT CRD $514 AMEX B 21WB001 5/21 $3533 3499928745330503 11/22A $3900 A CREDIT CARD $1865 DISCOVERBANK S 9616003 5/19 $10.7K 601120885677 11/22A $16.0K A CREDIT CARD $8134 CBNA B 292FO31 12/14 $3149 426937104099 11/22A $3100 I CREDIT CARD $3082 SYNCB/NAUTLS F 999209G 12/20 $2922 602052244821 11/22A $2000 I CHARGE ACCOUNT $2882 SYNCB/RMSTGO H 9992545 5/19 $1871 601919125628 11/22A $3000 I CHARGE ACCOUNT $781 KOHLS/CAPONE D 12EN005 12/14 $759 639305077565 11/22A $700 I CHARGE ACCOUNT $136 SYNCB/JCP D 235058D 8/16 $275 600889147604 11/22A $300 I CHARGE ACCOUNT 7/20 $0 CREDITONEBNK B 54MR013 9/13 $1801 444796223620 11/22A $1750 I CREDIT CARD $1758 CAPITAL ONE B lDTV001 1/19 $1138 480213979888 11/22A $1000 I BUSINES CRDT CARD $754 GS BANK USA B 2GSZ001 12/21 $1548 1200 10/22A $1500 I CREDIT CARD $795 TARGET/TD D 6476007 6/19 $257 585975214355 5/21A $300 I CREDIT CARD 5/21C $0 42 0/ 0/ 0 MINI02 1111111111 R0l $0 10 0/ 0/ 0 MIN52 111111111111 Rol $0 111111111111 48 0/ 0/ 0 MIN51 111111111111 R0l $0 111111111111 DISP INV CMP-BY GRNTR 48 0/ 0/ 0 MIN25 111111111111 R0l $0 111111111111 41 0/ 0/ 0 MIN58 111111111111 R0l $0 111111 18 0/ 0/ 0 MIN194 111111111111 R0l $0 111111111111 41 0/ 0/ 0 HIN134 111111111111 R0l $0 111111111111 48 0/ 0/ 0 MIN137 111111111111 R01 $0 11111111111 23 0/ 0/ 0 MIN35 111111111111 R01 $0 111111111111 42 0/ 0/ 0 MIN29 211111111111 R0l $0 111111111111 DISP INV CMP-BY GRNTR 48 1/ 0/ 0 111111111111 ROl $0 111111111111 48 0/ 0/ 0 MIN88 7/17 111111111111 R01 $0 03 111111111111 48 0/ 0/ 0 MIN25 111111111111 R0l $0 111111111111 45 0/ 0/ 0 MIN59 1111111111 R01 $0 10 0/ D/ 0 $0 INACTIVE ACCOUNT SUNCOAST CU Q 298QO01 5/20 $23.0K 060M 4149802 5/21A $0 USA CREDIT BUREAU PAGE 2 OF 4 111111111111 R01 1111111111 22 0/ 0/ 0 111111111111 101 r H Z W 0 Z O U W I Q W (0 Q J W Q 2 U_ O 00 c m E t v c� r Q • PERSONAL CREDIT REPORT Packet Pg. 232 8.G.1 I UNSECURED 5/21C $0 NEW AMRCN FU F 2DJF003 5/19 $353K 9653000294308 4/21A C FHA R.E. MORTGAGE 4/21C $0 SUNCOAST CU Q 298QOOI 5/19 $15.OK 4149802 5/20A I UNSECURED 5/20C $0 SUNCOAST CU Q 298QO01 11/16 $12.8K 4149802 5/19A I UNSECURED 5/19C $0 SETF/WOFC F 2729004 11/15 $19.OK 42009238559 5/18A C AUTO LEASE 5/18C $0 SETF/WOFC F 2729004 11/15 $13.3K 42009240515 3/18A C AUTO LEASE 3/18C $0 AM HONDA FIN Q 3946007 2/13 $11.OK 163011107 12/15A I AUTO LEASE 12/15C $0 SETF/WOFC F 2729004 10112 $17.1K 42009355611 11/15A I LEASE 11/15C $0 SUNCOAST CU Q 298QO01 1/15 $3813 4149802 5/15A I UNSECURED 5/15C $0 CLOSED 12 0/ 0/ 0 360M 11111111XXX1 MO1 $0 1111111111 CLOSED 22 0/ 0/ 0 060M 111111111111 I01 $0 CLOSED 12 0/ 0/ 0 060M 111111111111 101 $0 111111111111 CLOSED 30 0/ 0/ 0 OOlM 111111111111 101 $0 111111111111 FULL TERM/OBLIG SATIS 30 0/ 0/ 0 001M 111111111111 101 $0 111111111111 FULL TERM/OBLIG SATIS 27 0/ 0/ 0 036M $0 CLOSED 038X $0 CLOSED 048M $0 CLOSED SUNCOAST CU Q 298QO01 9/13 $3704 048M 41498 1/15A $0 I UNSECURED 1/15C $0 C:�OSED SUNCOAST CU Q 298QOOI 3/13 $3011 036M 111111 TOl 41498 9/13A $0 I UNSECURED 9/13C $0 CLOSED 6 0/ 0/ 0 BMW FIN SVC A 82WT002 10/12 $11.9K 060M lil I01 1001498870 3/13A $0 I AUTOMOBILE ---_------------------------------------------------------------------------- 3/13C $0 CLOSED 4 0/ 0/ 0 I N Q U I R I E S DATE SUBCODE SUBNAME TYPE AMOUNT 7/21/22 BNY4368310(EAS) SYNCB 2/14/22 ZC06447317(CAL) CREDCO 1/26/22 BUT5066013(MWB) AMEX 1/25/22 LNY1199407(EAS) SYNCB/LOWES 12/09/21 BNY4134811(EAS) GS BANK 3/22/21 ZC04279853(CAL) CREDCO 3/01/21 ZC04279853(CAL) CREDCO 12/28/20 FNY4853553(EAS) SYNCB 12/12/20 ANX3465715(EAS) ---------------------------------------------------------------------------- MIAMI LKS AU BANKRUPTCY/JUDGME.NT/LIEN SEARCH PUBLIC RECORDS HAVE BEEN CHECKED AT THE COUNTY, STATE AND FEDERAL LEVELS 0 00 USA CREDIT BUREAU • • • PAGE 3 OF 4 • • • PERSONAL CREDIT REPORT Packet Pg. 233 8.G.1 ANY RECORDS FOUND MATCH ONE OF THE ELEMENTS SEARCHED AND MAY OR MAY NOT PERTAIN TO THIS SITUATION: NO RECORDS FOUND ELEMENTS SEARCHED: MICHAEL GUERRA 2013 SW, NAPLES FL 34116 SSN: 8726 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. USA CREDIT BUREAU • • • PAGE 4 OF 4 • • • PERSONA. CREDIT REPORT Packet Pg. 234 8.G.1 USA CREDIT BUREAU Credit Reporting & Collections 154 SE 71' Ave Ste 2, Crystal River FL 34429 • 352-628-2580 • Fax 239-719-2755 CONTRACTOR CREDIT REPORT DECEMSER 12, 2022 BUSINESS CREDIT REPORT WATERSIDE POOL SERVICE OF MARCO ISLAND LLC FED TAX ID#: 82-5451219 FILED: 05/01/2018 PO BOX 66, MARCO ISLAND FL 34146 2697 55-" TER SW, NAPLES FL 34116 CORPORATE OFFICERS MICHAEL A GUERRA FINANCIAL RECORDS CREDITOR/SANK ACCOUNT NUMBER NOT APPLICABLE OFFICE SSN AR NONE PROVIDED TYPE OF HIGH RET PAST ACCOUNT OPENED BALANCE LIMIT CHECKS DUE BA NKRUPTCYIJUDGMENTILIEN 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: NO RECORDS FOUND ELEMENTS SEARCHED: WATERSIDE POOL SERVICE OF MARCO ISLAND LLC FED TAX ID#: 82-5451219 PO BOX 66, MARCO ISLAND FL 34146 2697 557�' TER SW, NAPLES FL 34116 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, 0 00 c m E t u ca .r a USA CREDIT BUREAU • • • PAGE 1 OF 1 • • • BUSINESS CREDIT REPORT Packet Pg. 235 8.G.1 Suncoast Account Statement Member Number: 4 111/10/2022 - 11/30120221 Page 1 of 2 FIRST CHOICE POOL SERVICE, LLC 525 MCARTHUR BLVD LEHIGH ACRES FL 33974-9590 Business Lending Made Easy! Looking to grow your business or streamline business expenses? We make it easy to apply for business credit cards or auto loans with low rates to help you save money and a streamlined online application portal to help you save time. Visit suncoastcreditunion.com to apply! Year to Date Summary Dividends Paid YTD BUSINESS REGULAR SAVINGS Suffix 0000 $0.32 Suncoast Credit Union Access Your Account: SunNet Online Banking SunMobile App SunTel Phone Banking For Direct Deposit and Automatic Payments use Routing Number (RTN): 1 Authorized Signer - STEVEN M MALIZIA Authorized Signer - MICHAEL GUERRA Transaction History Post Date Eff Date Transaction Description 11/10/2022 Balance Forward 11/10/2022 11/10/2022 Deposit Transfer From CRYSTAL BLUE PO XXXXXXXXXX Share 0000 11/25/2022 11/25/2022 Deposit Transfer From Share 0050 11/25/2022 11/25/2022 Deposit Transfer From MALIZIA,STEVEN XXXXXXXXXX Share 0000 11/25/2022 11/25/2022 Deposit 1 1 /30/2022 11 /30/2022 Deposit Dividend Annual Percentage Yield Earned 0.250%from 11A0/2022 through 11/30/2022 Dividends Paid Year to Date Amount New Balance 0.00 2,15052 2,150,52 300.00 2,450.52 50.00 2,500.52 20.00 2,520.52 0.32 2,520.84 0.32 r............... --.--... ....... ........... ........... ...... ................._.._ .._......_. . __ .... _.._...- -------- , Total for this Statement Period Total Year to Date ............. -.1--.-......... _...._...._._..........,............ Total Overdraft Fees $0.00 I $0.00 .................... .........._.......................................... .d— Total Returned Item Fees $0.00 j $0.00 Continued on next page 800.999.5887 1 813.621,7511 1 suncoastcreditunion.com I P.O. Box 11904, Tampa, FL 33680 0 Do El Packet Pg. 236 8.G.1 Member Number: 34111/10/2022-11/30/20221 Page2of2 BUSINESS SMART CHECKING Suffix 0050 Activity Summary Previous Balance 11/10/2022 $0.00 Deposits $300.00 Withdrawals $-300.00 Ending Balance 11/3012022 $0.00 Transaction History Post Date Eff Date Transaction Description 11 /10/2022 11 /10/2022 Deposit Transfer From CRYSTAL BLUE PO XXXXXXXXXX Share 0050 11 /15/2022 11 /15/2022 Deposit 11/25/2022 11/25/2022 Withdrawal Transfer To Share 0000 Authorized Signer- STEVEN M MALIZIA Authorized Signer - MICHAEL GUERRA Amount New Balance 50.00 50.00 250.00 300.00 -300.00 0.00 .......... ................... ... ._.............. .........................................,...__............,..,.,..,.,..,.,..,....,,.............,..... ........... ._......... ... .......................................... ; Total for this Statement Period I Total Year to Date �.. _.... _.._...._..--...._..-------- .._..._.._ ...... Total Overdraft Fees $o.00 $0.00 _..m. �.__._. Total Returned Item Fees $0.00 $0 00 L.._..._._....•--_._............._._...-..........._.............._..._.........-._.........._......_._.._..._...........-----......._....._..._.__.._.__.._.........._.........._..._..._._................._.................._..._.....5 800.999.5887 1 813.621.7511 j suncoastcreditunion.com I P.O. Sox 11904, Tampa, FL33680 Packet Pg. 237 8.G.1 Suncoast Account Statement Member Number: ; 112/01 /2022 - 12/31/2022 I Page 1 of 2 FIRST CHOICE POOL SERVICE, LLC 525 MCARTHUR BLVD LEHIGH ACRES FL 33974-9590 IRS FORM IRS Form 10991NT will be mailed by January 31, 2023 reflecting dividend (interest) earned in excess of $10.00 on each social security number for tax year 2022. If duplicate copies of tax forms are requested, a $1 fee will be assessed. Year to Date Summary Dividends Paid YTD BUSINESS REGULAR SAVINGS Suffix 0000 Transaction History $0.86 Suncoast Credit Union Access Your Account: SunNet Online Banking SunMobile App SunTel Phone Banking For Direct Deposit and Automatic Payments use Routing Number (RTN): 263182817 Authorized Signer - STEVEN M MALIZIA Authorized Signer - MICHAEL GUERRA Post Date Eff Date Transaction Description Amount New Balance 12/01/2022 Balance Forward 2,520.84 12/31/2022 12/31/2022 Deposit Dividend 0,54 2,521.38 Annual Percentage Yield Earned 0.250%from 12/01/2022 through 12/31/2022 Dividends Paid Year to Date Total Overdraft Fees .....................................................................1............ Total Returned Item Fees Total for this Statement Period $0.00 ... ._......... .._..._.._...__..........._..._... $0,00 BUSINESS SMART CHECKING Suffix 0050 Activity Summary Previous Balance 12/01/2022 $0.00 Deposits $250.00 Withdrawals $0,00 Ending Balance 12/31/2022 $250.00 Transaction History Post Date Eff Date Transaction Description 12/22/2022 12/22/2022 Deposit Transfer From WATERSIDE POOL XXXXXXXXXX Share 0051 0.86 Total Year to Date $0 .......................................................... $0.00 Authorized Signer- STEVEN M MALIZIA Authorized Signer - MICHAEL GUERRA Amount New Balance 250.00 250,00 Continued on next page 800.999.5887 1 813.621.7511 1 suncoastcreditunion.com I P.O. Box 11904, Tampa, FL 33680 0 00 .r C d E t U cv a Packet Pg. 238 8.G.1 Member Number: 0007010884112/01/2022 - 12/31/20221 Page 2 of 2 .... ...... .._.... ........ ...... ............................................._.._..._.................................._........................................................._._......._...............-. ......... ! Total for this 3 Statement Period Total Year to Date .:........................ ......- -----.__.._..._...__a....._..........._..._ _......_.. .... _............... Total Overdraft Fees $0.00 $0.00 Total Returned Item Fees $0,00 $0.00 -------------------..........._._..._ __...------------- --- ........_...----------------._.._.__..._..._..._._.._..__._.._.................... .... ._..__. ...... .._..._..._............. ; 800.999.5887 1 813-621,7511 1 suncoastcreditunion.com I P.O. Box 11904, Tampa, FL 33680 a 00 c m E t U f6 Q Packet Pg. 239 8.G.1 Suncoast Account Statement Member Number: Q 112/01/2022 - 12/31/2022 I Page 1 of 17 WATERSIDE POOL SERVICE OF MARCO ISLAND L PO BOX 66 MARCO ISLAND FL 34146-0120 IRS FORM AOL Suncoast Credit Union IRS Form 10991NT will be mailed by January 31, 2023 reflecting dividend (interest) earned in excess of $10.00 on each social security number for tax year 2022. if duplicate copies of tax forms are requested, a $1 fee will be assessed. Year to Date Summary Dividends Paid YTD $0.82 Access Your Account: Sui Online Banking SunMobile App SunTel Phone Banking For Direct Deposit and Automatic Payments use Routing Number (RTN): BUSINESS REGULAR SAVINGS Suffix 0000 Authorized Signer - MICHAEL ANTHONY GUERRA Authorized Signer - MARIAM LEON Transaction History Post Date Eff Date Transaction Description Amount New Balance 12/01/2022 Balance Forward 5.00 12/01/2022 12/01/2022 Deposit Transfer From Share 0051 3,205.00 3,210.00 12/12/2022 12/12/2022 Deposit Transfer From Share 0051 1,000.00 4,210.00 12/31 /2022 12/31 /2022 Deposit Dividend 0.82 4,210.82 Annual Percentage Yield Earned 0.250% from 12/01/2022 through 12/31/2022 Dividends Paid Year to Date 0.82 .......... ........._........._........_................_........_....................................... - -r.. Statement Period • . •Total Year __._....................................: Total for this i to Date Total Overdraft Fees — _......$0.00............... ; $0.00 ... ........................................_.........,................ .,..,.. _ Total Returned Item Fees $0.00 $0.00 BUSINESS SMART CHECKING Suffix 0051 Authorized Signer - MICHAEL ANTHONY GUERRA Activity Summary Authorized Signer - MARIAM LEON Previous Balance 12/01/2022 $8,518,94 Deposits $45,475,03 Withdrawals $-51,825.18 Ending Balance 12/31/2022 $2,168.79 Transaction History Post Date Eff Date Transaction Description Amount New Balance 12/01/2022 11/30/2022 Withdrawal Debit Card-160.47 8,358.47 EDIBLE ARRANGEMENTS 678-992-2300 GA Continued on next page 800.999.5887 1811621.7511 1 suncoastcreditunion.com I P.O. Box 11904, Tampa, FL 33680 0 00 Packet Pg. 240 8.G.1 Member Number' 32112/01/2022 - 12/31/20221 Page 2 of 17 BUSINESS SMART CHECKING Suffix 0051 Transaction History ((ontinued) Post Date Eff Date Transaction Description Amount New Balance 12/01/2022 12/01/2022 Withdrawal Debit Card -146.34 8,212,73 PINCH A PENNY#160 MARCO ISLAND FL 12/01/2022 12/01/2022 Withdrawal Debit Card -53.34 8,158.79 TST* Italian Deli and M Marco Island FL 12/01/2022 12/01/2022 Deposit ACH INTUIT 66006345 110.00 8,268.79 TYPE: DEPOSIT CO: INTUIT 66006345 12/01/2022 12/01/2022 Withdrawal Debit Card -123.93 8,144.86 SUPERIOR POOL - 415A 239-649-7705 FL 12101/2022 12/01/2022 W&drawalACH INTUIT40899405 -50.67 8,094.19 TYPE: TRAN FEE CO: INTUIT 40899405 12/01/2022 12/01/2022 Withdrawal ACH INTUIT 46084545 -3.44 8,090.75 TYPE: TRAN FEE CO: INTUIT 46084545 12/01/2022 12/01/2022 Withdrawal POS #233508639677 -13.11 8,077.64 CIRCLE K 07386 NAPLES FL 12/01/2022 12/01/2022 Withdrawal POS #233508654909 -24.52 8,053.12 CIRCLE K 07386 NAPLES FL 12/01/2022 12/01/2022 Deposit Debit Card 3,205.00 11,258.12 Intuit Inc. VISA DIRECT CA Date 12/01 /22 04754962335771941719418 4829 12/01/2022 12/01/2022 Withdrawal Transfer To Share 0000 -3,205.00 8,053.12 12/01/2022 12/01/2022 Deposit by Check 617.50 8,670,62 12/01/2022 12/01/2022 Withdrawal -500.00 8,170.62 12/01/2022 12/01/2022 Recurring Withdrawal Debit Card -9.99 8,160.63 JOOYCAR* FLEETR HTTPSJOOYCAR_ CA 1210112022 12/01/2022 Recurring Withdrawal Debit Card -21.02 8,139.61 NETFLIX.COM NETFLIX.COM CA 12/01/2022 12/01/2022 Withdrawal Adjustment Debit Card Credit Voucher 12.82 8,152A3 AMZN Mktp US Amzn.com/bill WA 12/01/2022 12/01/2022 Deposit Debit Card 710.00 8,862.43 Intuit Inc. VISA DIRECT CA Date 12101 /22 14754962335825811258112 4829 12/01/2022 12/01/2022 Deposit Debit Card 120.00 8,982.43 Intuit Inc. VISA DIRECT CA Date 12/01 /22 14754962335872351723515 4829 12/02/2022 12/02/2022 Deposit Debit Card 1,170.00 10,152.43 Intuit Inc. VISA DIRECT CA Date 12/01 /22 14754962335899901999019 4829 12/02/2022 12/02/2022 Recurring Withdrawal Debit Card -31.99 10,120.44 WWW.MUSCLEBOX.ME WWW.MUSCLEBOX NJ 12/02/2022 12/02/2022 Deposit ACH INTUIT 75694475 431.55 10,551.99 TYPE: DEPOSIT CO: INTUIT 75694475 12/0212022 12/02/2022 Withdrawal Debit Card -86.24 10,465.75 SUPERIOR POOL - 415A 239-649-7705 FL 12/02/2022 12/02/2022 Withdrawal Debit Card -75.66 10,390.09 SUPERIOR POOL - 415A 239-649-7705 FL 12/02/2022 12/02/2022 Withdrawal Debit Card -267.04 10,123.05 #503 NAPLES DEL MAR NAPLES FL 12/02/2022 12/02/2022 Withdrawal ACH INTUIT 57312775 -155.39 9,967.66 Continued on next page 800.999.5887 1813.621.7511 + suncoastcreditunion.com P.O. Box 11904, Tampa, FL 33680 C9 00 Packet Pg. 241 8.G.1 Member Number:...,. --- )32112/01/2022 - 12/31/20221 Page 3 of 17 BUSINESS SMART CHECKING Suffix 0051 Transaction History (continued) Post Date Eff Date Transaction Description Amount New Balance TYPE: TRAN FEE CO: INTUIT 57312775 12/02/2022 12/02/2022 Withdrawal ACH INTUIT 57398475 -13.02 9,954.64 TYPE: TRAN FEE CO: INTUIT 57398475 12/02/2022 12/02/2022 Deposit Debit Card 645.00 10,599.64 Intuit Inc. VISA DIRECT CA Date12/02/22 04754962336957091570918 4829 12/02/2022 12/02/2022 Deposit Debit Card 130.00 10,729,64 Intuit Inc. VISA DIRECT CA Date 12/02/22 14754962336055961559615 4829 12/03/2022 12/03/2022 Withdrawal Debit Card -240.00 10,489.64 BEST VERSION MEDIA 262-7650534 WI 12/03/2022 12/03/2022 Withdrawal Debit Card -119.33 10,370,31 SUPERIOR POOL - 415A 239-649-7705 FL 12/03/2022 12/03/2022 Withdrawal Debit Card -125.50 10,244.81 SUPERIOR POOL - 415A 239-649-7705 FL 12/03/2022 12/03/2022 Recurring Withdrawal Debit Card -92.39 10,152.42 UMZUCOM 800-2149820 CO 12/03/2022 12/03/2022 Deposit Debit Card 120.00 10,272,42 Intuit Inc. VISA DIRECT CA Date 12/03/22 04754962337089701897013 4829 12/03/2022 12/03/2022 Deposit Debit Card 115.00 10,387 42 Intuit Inc. VISA DIRECT CA Date 12/03/22 04754962337106521065218 4829 12/03/2022 12/03/2022 Recurring Withdrawal Debit Card -9.99 10,377,43 DOORDASH DASHPASS WWW.DOORDASH. CA 12/04/2022 12/04/2022 Withdrawal Debit Card -269.93 10,107.50 APPLE.COM/US 800-676-2775 CA 12/05/2022 12/05/2022 Deposit Debit Card 105.00 10,212,50 Intuit Inc. VISA DIRECT CA Date 12/04/22 14754962338200191001918 4829 12/05/2022 12/05/2022 Withdrawal Debit Card -11,69 10,200.81 ROYAL SCOOP VANDERBILT NAPLES FL 12/05/2022 12/05/2022 Deposit ACH INTUIT 84643605 110.00 10,310.81 TYPE: DEPOSIT CO: INTUIT 84643605 12/05/2022 12/05/2022 Deposit ACH INTUIT 91773065 100.00 10,410,81 TYPE: DEPOSIT CO: INTUIT 91773065 12/05/2022 12/05/2022 Withdrawal ACH INTUIT 61266325 -77.72 10,333.09 TYPE: TRAN FEE CO: INTUIT 61266325 12/05/2022 12/05/2022 Withdrawal ACH INTUIT 73627995 -3.15 10,329.94 TYPE: TRAN FEE CO: INTUIT 73627995 12/05/2022 12/05/2022 Withdrawal ACH INTUIT 66579255 -3A4 10,326.50 TYPE: TRAN FEE CO: INTUIT 66579255 12/05/2022 12/05/2022 Withdrawal ACH INTUIT 69279645 -14.99 10,311.51 TYPE: TRAN FEE CO: INTUIT 69279645 12/05/2022 12/05/2022 Deposit Debit Card 110.00 10,421.51 Intuit Inc. VISA DIRECT CA Date 12/05/22 04754962339224911249115 4829 12/05/2022 12/05/2022 Deposit Debit Card 360.00 10,781.51 Continued on next page 800.999.5887 1813,621.7511 1 suncoastcreditunion.com P.O. Box 11904, Tampa, FL 33680 0 00 Packet Pg. 242 8.G.1 Member Number: 932I 12/01/2022 - 12131 /2022I Page 4 of 17 BUSINESS SMART CHECKING Suffix 0051 Transaction History (continued) Post Date Eff Date Transaction Description Amount New Balance Intuit Inc. VISA DIRECT CA Date 12/05/22 14754962339303871038712 4829 12/05/2022 12/05/2022 Withdrawal -800.00 9,981.51 12/05/2022 12/05/2022 Withdrawal Debit Card -100.00 9,881.51 VENMO* Visa Direct NY 12/06/2022 12/06/2022 Deposit ACH INTUIT 01502835 120.00 10,001.51 TYPE: DEPOSIT CO: INTUIT 01502835 12/06/2022 12/06/2022 Withdrawal Debit Card -242.93 9,758.58 SUPERIOR POOL - 415A 239-649-7705 FL 12/06/2022 12/06/2022 Withdrawal Debit Card -89.93 9,668.65 SUPERIOR POOL - 415A 239-649-7705 FL 12/06/2022 12/06/2022 Withdrawal Debit Card -198.53 9,470.12 SUPERIOR POOL -415A239-649-7705 FL 12/06/2022 12/06/2022 Withdrawal Debit Card -1,342.11 8,128.01 SUPERIOR POOL - 415A 239-649-7705 FL 12/06/2022 12/06/2022 Withdrawal Debit Card -89,93 8,038.08 SUPERIOR POOL - 415A 239-649-7705 FL 12/06/2022 12/06/2022 Withdrawal ACH INTUIT 77719825 -23.43 8,014.65 TYPE: TRAIN FEE CO: INTUIT 77719825 12/06/2022 12/06/2022 Withdrawal ACH INTUIT 83589635 -3.73 8,010.92 TYPE: TRAIN FEE CO: INTUIT 83589635 12/06/2022 12/06/2022 Withdrawal POS #234008276978 -16.35 7,994.57 WAWA 5238 NAPLES FL 12/06/2022 12/06/2022 Deposit by Check 1,320.00 9,314,57 12/06/2022 12/06/2022 Deposit Debit Card 260.00 9,574.57 Intuit Inc. VISA DIRECT CA Date 12/06/22 14754962340457661576612 4829 12/07/2022 12/07/2022 Deposit Debit Card 2,581.00 12,155,57 Intuit Inc. VISA DIRECT CA Date 12/06/22 14754962340517961179619 4829 12/07/2022 12/07/2022 Deposit ACH INTUIT 04728425 120.00 12,275.57 TYPE: DEPOSIT CO: INTUIT 04728425 12/07/2022 12/07/2022 Withdrawal Debit Card -301.61 11,973.96 SUPERIOR POOL - 415A 239-649-7705 FL 12/07/2022 12/07/2022 Withdrawal Debit Card -140,84 11,833.12 SUPERIOR POOL - 415A 239-649-7705 FL 12/07/2022 12/07/2022 Withdrawal Debit Card -30.01 11,803.11 SUPERIOR POOL - 415A 239-649-7705 FL 12/07/2022 12/072022 Withdrawal Debit Card -89.93 11,713.18 SUPERIOR POOL - 415A 239-649-7705 FL 12/07/2022 12/07/2022 Withdrawal Debit Card -144,26 11,568.92 SUPERIOR POOL - 415A 239-649-7705 FL 12/07/2022 12/07/2022 Withdrawal Debit Card -30.23 11,538.69 SUPERIOR POOL - 415A 239-649-7705 FL 12/07/2022 12/07/2022 Withdrawal Adjustment Debit Card Credit Voucher 186.32 11,725.01 SUPERIOR POOL - 415A MAPLES FL 12/07/2022 12/07/2022 Withdrawal ACH INTUIT 86352215 -3.73 11,721.28 TYPE: TRAIN FEE CO: INTUIT 86352215 Continued on next page 800.999.5887 1813.621.7511 1 suncoastcreditunion.com I P.O. Box 11904, Tampa, FL 33680 0 00 Packet Pg. 243 8.G.1 Member Number: 332112/01/2022 - 12/31/2022 k Page 5 of 17 BUSINESS SMART CHECKING Suffix OOS1 Transaction History 0-itinuec) Post Date Eff Date Transaction Description Amount New Balance 12/07/2022 12/07/2022 Withdrawal ACH INTOiT 89697205 -7.92 11,713.36 TYPE: TRAN FEE CO: INTUIT 89697205 12/07/2022 12/07/2022 Withdrawal POS #234100152418 -60.00 11,653.36 7-ELEVEN 641 S. COLLIER BLV US MARCO ISLAND FL 12/07/2022 12/07/2022 Deposit Debit Card 130.00 11,783.36 Intuit Inc. VISA DIRECT CA Date 12/07/22 04754962341557591575918 4829 12/07/2022 12/07/2022 Withdrawal Debit Card -60.53 11,722.83 AMZN Mktp US*NP83U2AS3 Am2n.com/bill WA 12/07/2022 12/07/2022 Withdrawal Debit Card -609.54 11,113.29 SETF 800-686-3494 FL 12/08/2022 12/08/2022 Deposit Debit Card 150.00 11,263.29 Intuit Inc. VISA DIRECT CA Date 12/07/22 24754962341655931559310 4829 12/08/2022 12/08/2022 Withdrawal Debit Card -581.12 10,682 17 ACI*GM FINANCIAL 800-252-9638 NE 12/08/2022 12/08/2022 Withdrawal Debit Card -96.37 10,585,80 SUPERIOR POOL - 415A 239-649-7705 FL 12/08/2022 12/08/2022 Withdrawal Debit Card -22.69 10,563.11 TROPICAL SMOOTHIE CAFE 239-9708866 FL 12/08/2022 12/08/2022 Withdrawal Debit Card -160.00 10,403.11 NIC*-FL SUNBIZ.ORG EGOV.COM FL 12/08/2022 12/08/2022 Withdrawal ACH INTUIT91447665 -106.48 10,296.63 TYPE: TRAN FEE CO: INTUIT 91447665 12/08/2022 12/08/2022 Withdrawal POS #234207686251 -7.49 10,289.14 CIRCLE K 07488 NAPLES FL 12/08/2022 12/08/2022 Deposit Debit Card 210.00 10,499.14 Intuit Inc. VISA DIRECT CA Date12/08/22 04754962342694901949018 4829 12/08/2022 12/082022 Withdrawal -450.00 10,049.14 12/09/2022 12/09/2022 Withdrawal Debit Card -162.71 9,886.43 SUPERIOR POOL - 415A 239-649-7705 FL 12/09/2022 12/09/2022 Withdrawal Debit Card -99.94 9,786.49 SUPERIOR POOL - 415A 239-649-7705 FL 12/09/2022 12/09/2022 Withdrawal POS #234306646826 -6.19 9,780,30 RACETRAC2348 NAPLES FL 12/09/2022 12/09/2022 Withdrawal ACH INTUIT 97556225 -14.79 9,765.51 TYPE: TRAN FEE CO: INTUIT 97556225 12/09/2022 12/09/2022 Withdrawal POS #234300291463 -52.70 9,712.81 7-FLEVEN 24651 S. TAMIAMI T US BONITA SPRING FL 12/09/2022 12/09/2022 Withdrawal POS #234300391688 -5.35 9,707.46 7-ELEVEN 14267 COLLIER BLVD US NAPLES FL 12/09/2022 12/09/2022 Deposit Debit Card 100.00 9,807,46 Intuit Inc. VISA DIRECT CA Date 12/09/22 04754962343834311343118 4829 Continued on next page 800.999.5887 1813.621.7511 1 suncoastcreditunion.com I P.O. Box 11904, Tampa, FL 33680 C9 00 Packet Pg. 244 8.G.1 Member Number: l 9321 12/01 /2022 - 12131120221 Page 6 of 17 BUSINESS SMART CHECKING Suffix 0051 Transaction History (continued) Post Date Eff Date Transaction Description Amount New Balance 12/09/2022 12/09/2022 Withdrawal Debit Card -38.51 9,768.95 AMZN Mktp US*XD1 UTOMQ3 Amzn.com/bill WA 12/09/2022 12/09/2022 Withdrawal Debit Card -7.21 9,761,74 POLLO TROPICAL 10087 NAPLES FL 12/09/2022 12/09/2022 Withdrawal POS #234400800465 -12,89 9,748,85 7-ELEVEN 2490 VANDERBILT BE US NAPLES FL 12/09/2022 12/09/2022 Withdrawal POS #234318362805 -345.00 9,403.85 SQ *LINDSAY THOMAS HAIR SQUARE PURCHASE BONITA SPRING FL 12/10/2022 12/09/2022 Recurring Withdrawal Debit Card -110.25 9,293,60 SKIMMER POOL SOFTWARE HTTPSGFTSKIMM TX 12/10/2022 12/10/2022 Withdrawal Debit Card -86.16 9,207 44 SUPERIOR POOL - 41 SA 239-649-7705 FL 12/10/2022 12/10/2022 Withdrawal POS #234414268659 -15.71 9,191.73 MARCO ACE HARDWARE MARCO ISLAND FL 12/10/2022 12/10/2022 Withdrawal Transfer -860,00 8,331.73 To LEON,MARIO C XXXXXXXXXX Share 0050 12/10/2022 12/10/2022 Withdrawal POS #234500259375 -53.98 8,277.75 SALLY BEAUTY #16 5030 AIR NAPLES FL 12/10/2022 12/10/2022 Withdrawal POS #234400032879 -10.16 8,267.59 CVS/PHARMACY 405041 05041--5585 GOLDEN GATE NAPLES FL 12/11/2022 12/10/2022 Withdrawal Debit Card -10.24 8,257.35 DUNKIN #363330 NAPLES FL 12/11/2022 12/11/2022 Withdrawal Debit Card -22.54 8,234.81 CULVERS OF NAPLES 486 NAPLES FL 12/11/2022 12/11/2022 Withdrawal POS #234500060146 -12.88 8,221.93 7-ELEVEN 4704 GOLDEN GATE P US NAPLES FL 12/11/2022 12/11/2022 Deposit Debit Card 110.00 8,331.93 Intuit Inc. VISA DIRECT CA Date 12/11/22 04754962345012341123419 4829 12/11/2022 12/11/2022 Withdrawal POS #234600715145 -4.94 8,326.99 7-ELEVEN 2135 TAMIAMI TRAIL US NAPLES FL 12/12/2022 12/11/2022 Withdrawal Debit Card -500.00 7,826.99 GEICO *AUTO800-841-3000 DC 12/12/2022 12/12/2022 Withdrawal Debit Card -7.19 7,819,80 ROYAL SCOOP VANDERBILT NAPLES FL 12/12/2022 12/12/2022 Deposit ACH INTUIT 26381635 120.00 7,939.80 TYPE: DEPOSIT CO: INTUIT 26381635 12/12/2022 121122022Deposit ACH INTUIT 34263405 316.00 8,255.80 TYPE: DEPOSIT CO: INTUIT 34263405 12/12/2022 12/12/2022 Withdrawal ACH INTUIT 08450565 -3.73 8,252.07 TYPE: TRAN FEE CO: INTUIT 08450565 12/12/2022 12/12/2022 Withdrawal ACH INTUIT 06711985 -4,15 8,247.92 TYPE: TRAN FEE CO: INTUIT 06711985 12/12/2022 12/12/2022 Withdrawal ACH INTUIT 15953305 -4.54 8,243.38 TYPE: TRAN FEE CO: INTUIT 15953305 12/12/2022 12/12/2022 Withdrawal ACH INTUIT 16298755 -9.41 8,233,97 Continued on next page 800.999.5887 1813.621.7511 1 suncoastcreditunion.com j P.O. Box 11904, Tampa, FL 33680 a w c E t U f6 Q Packet Pg. 245 8.G.1 Member Number: ;32I 12/01/2022 - 12/31/20221 Page 7 of 17 BUSINESS SMART CHECKING Suffix 0051 Transaction History continued) Post Date Eff Date Transaction Description Amount New Balance TYPE: TRAN FEE CO: INTUIT 16298755 12/12/2022 12/12/2022 Withdrawal POS #234608523841 -3,52 8,230A5 CIRCLE K 07386 NAPLES FL 12/12/2022 12/12/2022 Withdrawal POS #234608507733 -63.14 8,167.31 CIRCLE K 07386 NAPLES FL 12/12/2022 12/12/2022 Withdrawal POS #234616060355 -22.13 8,145.18 AUTOZONE 4855 2245 PINE NAPLES FL 12/12/2022 12/12/2022 Withdrawal POS #234611689385 -6.20 8,138.98 RACETRAC602 NAPLES FL 12/12/2022 12112/2022 Withdrawal POS #234615389941 -109.20 8,029.78 SQ *USA CREDIT BUREAU SQUARE PURCHASE CRYSTAL RIVER FL 12/12/2022 12/12/2022 Withdrawal Debit Card -13.91 8,015.87 POLLO TROPICAL 10204 NAPLES FL 12/12/2022 12/12/2022 Withdrawal POS#234615022243 -5,35 8,010.52 RACETRAC2404 NAPLES FL 12/12/2022 12/12/2022 Deposit by Check 4,791.87 12,802.39 12/12/2022 12/12/2022 Withdrawal -800.00 12,002.39 12/12/2022 12/12/2022 Deposit Debit Card 648.45 12,650.84 VENMO*Guerra Mike New York City NY Date 12/12/22 14248182346259991599913 4829 12/12/2022 12/12/2022 Deposit Debit Card 278.05 12,928.89 Cash App*Cash Out Visa Direct CA Date 12/12/22 64016372346302223022906 4829 12/12/2022 12/12/2022 Withdrawal Transfer To Share 0000 -1,000.00 11,928.89 12/12/2022 12/1212022 Withdrawal POS#234647602724 -22.23 11,906.66 NNT SUNSHINE ACE-G001302 11673 COLLIER BLVD. NAPLES FL 12/13/2022 12/12/2022 Withdrawal Debit Card -133.50 11,773.16 FIRST CARE CLINIC NAPLES FL 12/13/2022 12/12/2022 Deposit Debit Card 2,792.36 14,565.52 Intuit Inc. VISA DIRECT CA Date 12/12/22 14754962346162191621918 4829 12/13/2022 12/12/2022 Withdrawal Debit Card -1,052.45 13,513.07 GEICO *AUTO 800-841-3000 DC 12/13/2022 12/13/2022 Withdrawal Debit Card -67.75 13,445.32 TRATTORIA MANGIA NAPLES FL 12/13/2022 12/13/2022 Withdrawal Debit Card -114.83 13,330.49 SUPERIOR POOL - 415A 239-649-7705 FL 12/13/2022 12/13/2022 Withdrawal Debit Card -1,532.27 11,798.22 SUPERIOR POOL - 415A 239-649-7705 FL 12/13/2022 12/13/2022 Withdrawal Debit Card -8.04 11,790.18 SUPERIOR POOL - 415A 239-649-7705 FL 12/13/2022 12/13/2022 Withdrawal Debit Card -204.01 11,586.17 SUPERIOR POOL -415A239-649-7705 FL 12/13/2022 12/13/2022 Withdrawal Debit Card -9.41 11,576.76 POLLO TROPICAL 10204 NAPLES FL 12/13/2022 12/13/2022 withdrawal ACH CAPITAL ONE -200.00 11,376.76 Continued on next page 800.999.5887 1813.621.7511 1 suncoastcreditunion.com P.O. Box 11904, Tampa, FL 33680 C9 00 Packet Pg. 246 8.G.1 Member Number: 1 32112/01/2022 - 12/31/2022I Page 8 of 17 BUSINESS SMART CHECKING Suffix 0051 Transaction History (cortnued) Post Date Eff Date Transaction Description Amount New Balance TYPE: MOBILE PMT CO: CAPITAL ONE NAME: MICHAEL GUERRA 12/13/2022 12/13/2022 Withdrawal POS#234709831662 -18.74 11,358.02 RACETRAC2522 NAPLES FL 12/132022 12/13/2022 Withdrawal Debit Card -11.75 11,346.27 YOUR CHOICE CARWASH LLC NAPLES FL 12/13/2022 12/13/2022 Withdrawal Debit Card -9.50 11,336.77 YOUR CHOICE CARWASH LLC NAPLES FL 12/13/2022 12/13/2022 Withdrawal POS #234718421342 -21.35 11,315.42 MARCO ACE HARDWARE MARCO ISLAND FL 12/13/2022 12/13/2022 Withdrawal at ATM #000000008326 -400.00 10,915.42 SUNCOAST CREDIT UNION 7465 VANDERBILT BEACH R NAPLES FL 12/13/2022 12/13/2022 WithdrawalPOS #234723150770 -10.38 10,905.04 WALGREENS STORE 4747 GOLD NAPLES FL 12/13/2022 12/13/2022 Deposit Debit Card 225.00 11,130.04 Intuit Inc. VISA DIRECT CA Date 12/13/22 14754962347286861868615 4829 12/14/2022 12/14/2022 Recurring Withdrawal Debit Card -37.44 11,092.60 ONSTAR SERVICES 888-40NSTAR MI 12/14/2022 12/14/2022 Withdrawal Debit Card -23.65 11,068.95 AMAZON.COM*YW2J23VX3 AM AMZN.COM/BILL WA 12/14/2022 12/14/2022 Withdrawal Debit Card -263.52 10,805.43 SUPERIOR POOL - 415A 239-649-7705 FL 12/14/2022 12/14/2022 Withdrawal Debit Card -109.94 10,695.49 SUPERIOR POOL - 415A 239-649-7705 FL 12/14/2022 12/14/2022 Withdrawal Debit Card -53,57 10,641.92 SUPERIOR POOL - 415A 239-649-7705 FL 12/14/2022 12/14/2022 Withdrawal Debit Card -283.55 10,358.37 SUPERIOR POOL - 415A 239-649-7705 FL 12/14/2022 12/14/2022 Withdrawal Debit Card -3,533.24 6,825.13 SUPERIOR POOL - 415A 239-649-7705 FL 12/14/2022 12/14/2022 Withdrawal Debit Card -66.26 6,758.87 DOMINO'S 5093 239-354-2444 FL 12/14/2022 12/14/2022 Withdrawal ACH INTUIT 22642795 -107.06 6,651,81 TYPE: TRAN FEE CO INTUIT 22642795 12/14/2022 12/14/2022 Withdrawal POS #234812127214 -46.90 6,604.91 WIN N-DIXIE #07 4849 GOL NAPLES FL 12/14/2022 12/14/2022 Withdrawal POS#0103130 -22.97 6,581.94 PUBLIX 7101 RADIO RD NAPLES FL 12/14/2022 12/14/2022 Deposit Debit Card 115.00 6,696.94 Intuit Inc. VISA DIRECT CA Date 12/14/22 14754962348415091150915 4829 12/15/2022 12/15/2022 Withdrawal Debit Card -7,64 6,689.30 7-ELEVEN 10318 NAPLES FL 12/15/2022 12/15/2022 Deposit ACH INTUIT 50922415 145.00 6,834.30 TYPE: DEPOSIT CO: INTUIT 50922415 Continued on next page 800.999.5887 ! 813.621,7511 1 suncoastcreditunion.com I P.O. Box 11904, Tampa, FL 33680 C9 00 Packet Pg. 247 8.G.1 Member Number: 32112/01/2022 - 12/31/20221 Page 9 of 17 BUSINESS SMART CHECKING Suffix 0051 Transaction History (continued) Post Date Eff Date Transaction Description Amount New Balance 12/15/2022 12/15/2022 Withdrawal Debit Card -74.71 6,759.59 SUPERIOR POOL - 415A 239-649-7705 FL 12/15/2022 12/15/2022 Withdrawal Debit Card -76.91 6,682.68 SUPERIOR POOL - 415A 239-649-7705 FL 12/15/2022 12/15/2022 Withdrawal Adjustment Debit Card Credit Voucher 269.93 6,952.61 APPLE.COM/US 800-676-2775 CA 12/15/2022 12/15/2022 Withdrawal ACH Credit One Bank -181.00 6,771.61 TYPE: Payment CO: Credit One Bank NAME: MICHAEL GUERRA 12/15/2022 12/15/2022 Withdrawal ACH INTUIT 33152295 -4.46 6,767.15 TYPE: TRAM FEE CO: INTUIT 33152295 12/15/2022 12/15/2022 Withdrawal ACH INTUIT 28028895 -9.03 6,758.12 TYPE: TRAN FEE CO: INTUIT 28028895 12/15/2022 12/15/2022 Withdrawal POS #234900800754 -13.71 6,744.41 7-ELEVEN 14267 COLLIER RLVD US NAPLES FL 12/15/2022 12/15/2022 Recurring Withdrawal Debit Card -55.00 6,689.41 INTUIT *QBooks Online CL.iNTUIT.COM CA 12/15/2022 12/15/2022 Recurring Withdrawal Debit Card -69.53 6,619.88 ABC*ATHLETICA HEALTH 888-8279262 FL 12A S/2022 12/15/2022 Withdrawal POS #234914157734 -17.50 6,602.38 SPROUTS FARMERS MARKET # NAPLES FL 12/15/2022 12/15/2022 Deposit Debit Card 115.00 6,717.38 Intuit Inc. VISA DIRECT CA Date 12/15/22 14754962349515771157712 4829 12/15/2022 12/15/2022 Withdrawal POS #234917299181 -3.52 6,713.86 CIRCLE K # 23989 NAPLES FL 12/15/2022 12/15/2022 Withdrawal Transfer -680.00 6,033.86 To LOPEZ,MICHAEL A XXX)ODUCXXX Share 0050 12/15/2022 12/15/2022 Recurring Withdrawal Debit Card -200.00 5,833.86 AFFIRM * PAY 30002KMI 855-423-3729 CA 12/16/2022 12/16/2022 Withdrawal Debit Card -128.31 5,705.55 AMZN Mktp US*CM8XU7H33 Amzn.com/gill WA 12/16/2022 12/16/2022 Withdrawal Debit Card -58.95 5,646.60 SUPERIOR POOL - 41 SA 239-649-7705 FL 12/16/2022 12/16/2022 Withdrawal Debit Card -178.05 5,46855 SUPERIOR POOL - 415A 239-649-7705 FL 12/16/2022 12/16/2022 Withdrawal ACH INTUIT 33815335 -9.48 5,459.07 TYPE: TRAN FEE CO: INTUIT 33815335 12/16/2022 12/16/2022 Withdrawal POS #235010404752 -12.19 5,446.88 WAWA 5238 NAPLES FL 12/16/2022 12/16/2022 Withdrawal POS #235011207682 -69.75 5,377.13 LOWE'S #2261 NAPLES FL 12/16/2022 12/16/2022 Withdrawal POS #235000031369 -59.19 5,317.94 CVS/PHARMACY 405041 05041--5585 G O LDE N GATE NAPLES FL 12/16/2022 12/16/2022 Withdrawal POS #235100678383 -101.90 5,216.04 CHUCK E CHEESE 778 NAPLES FL Continued on next page 800.999.5887 1 813.621.7511 j suncoastcreditunion.com I P.O. Box 11904, Tampa, FL 33680 0 00 Packet Pg. 248 8.G.1 Member Number: 932I 12/01/2022- 12/31/20221 Page 10 of 17 BUSINESS SMART CHECKING Suffix 0051 Transaction History (continued) Post Date Eff Date Transaction Description Amount New Balance 12/17/2022 12/17/2022 Recurring Withdrawal Debit Card -15.00 5,201.04 ONSTAR DATA PLAN -AT&T 888-466-7827 TX 12/17/2022 12/17/2022 Withdrawal Debit Card -11412 5,086.92 SUPERIOR POOL - 415A 239-649-7705 FL 12/17/2022 12117/2022 Withdrawal Debit Card -2,022.05 3,054.87 SUPERIOR POOL-415A 239-649-7705 FL 12/17/2022 12/17/2022 Withdrawal Debit Card -71,98 2,992,89 SUPERIOR POOL - 415A 239-649-7705 FL 12/17/2022 12/17/2022 Withdrawal Debit Card -31.65 2,961.24 SUPERIOR POOL - 415A 239-649-7705 FL 12/17/2022 12/17/2022 Withdrawal POS #235139629406 -43.32 2,917.92 NNT SUNSHINE ACE-G002312 11673 COLLIER BLVD. NAPLES FL 12/17/2022 12/17/2022 Withdrawal POS #235100028353 -3.19 2,914.73 CVS/PHARMACY #04738 04738--13400 IMMOKALEE NAPLES FL 12/17/2022 12/17/2022 Withdrawal POS*235100911429 -14.16 2,900,57 7-ELEVEN 641 S. COLLIER BLV US MARCO FL 12/17/2022 12/17/2022 Withdrawal Debit Card -5.50 2,895,07 TST* NOTHING BUNDT CAKE NAPLES FL 12/17/2022 12/17/2022 Withdrawal Debit Card -6.51 2,888.56 XPRESS-MART MARCO ISLAND FL 12/17/2022 12/17/2022 Withdrawal POS #235117458514 -47.68 2,840.88 WINN-DIXIE #07 4849 GOL NAPLES FL 12/17/2022 12/17/2022 Withdrawal P05 #235117451995 -3.87 2,837.01 WINN-DIXIE #07 4849 GOL NAPLES FL 12/17/2022 12/17/2022 Withdrawal -800.00 2,037.01 12/17/2022 12/17/2022 Recurring Withdrawal Debit Card -14,95 2,022,06 Audible*NE1 W23ZL3 Amzn.com/bill NJ 12/17/2022 12/17/2022 Withdrawal Debit Card -98. 4 1,923.62 ISLANDER PATIO AND POOL MARCO ISLAND FL 12/17/2022 12/17/2022 Withdrawal Debit Card -69.51 1,854.11 AMZN Mktp US*L57GD91Q3 Amzn.com/bill WA 12/18/2022 12/18/2022 Withdrawal POS #0086599 -8.65 1,845.46 PUBLIX 7101 RADIO RD NAPLES FL 12/18/2022 12/18/2022 Withdrawal at ATM #000619 -280.00 1,565.46 PUBLIX 7101 RADIO ROAD NAPLES FL 12/18/2022 12/18/2022 Deposit Debit Card 147.38 1,712.84 VENMO*Guerra Mike New York City NY Date 1211 BY22 04248182352569388693885 4829 12/18/2022 12/18/2022 Deposit Debit Card 4,975.00 6,687,84 Intuit Inc. VISA DIRECT CA Date 12/18/22 04754962352787261672618 4829 12/18/2022 12/18/2022 Withdrawal POS #235212927572 -48.34 6,639.50 CIRCLE K 07488 NAPLES EL 12/19/2022 12/19/2022 Withdrawal Debit Card -52.79 6,586.71 DOMINO'S 5093 239-354-2444 FL Continued on next page 800.999.5887 1 813.621.7511 1 suncoastcreditunion.com I P.O. Box 11904, Tampa, FL 33680 0 00 Packet Pg. 249 8.G.1 Member Number: i 332I 12/01/2022 - 12/31/2022 ` Page 11 of 17 BUSINESS SMART CHECKING Suffix 0051 Transaction History (continued) Post Date Eff Date Transaction Description Amount New Balance 12/19/2022 12/19/2022 Withdrawal Debit Card -235.38 6,35133 AMZN Mktp US*F037X9HX3 Amzn.com/bill WA 12/19/2022 12/19/2022 Withdrawal ACH INTUIT53886745 -194.28 6,157.05 TYPE: TRAN FEE CO: INTUIT 53886745 12/19/2022 12/19/2022 Withdrawal POS #235308608163 -4.50 6,152.55 RACETRAC2401 NAPLES FL 12/19/2022 12/19/2022 Withdrawal POS #235308488929 -58.81 6,093.74 RACETRAC2401 NAPLES FL 12/19/2022 12/19/2022 Deposit Debit Card 1,925,00 8,018.74 Intuit Inc. VISA DIRECT CA Date 12/19/22 04754962353848311483118 4829 12/19/2022 12/19/2022 Withdrawal POS #235369644714 -38,51 7,980.23 NNT SUNSHINE ACE-M0023041720 SAN MARCO RD. MARCO ISLAND FL 12/19/2022 12/19/2022 Deposit Debit Card 82,50 8,062.73 Intuit Inc. VISA DIRECT CA Date 12/19/22 14754962353892831928312 4829 12/20/2022 12/20/2022 Withdrawal Debit Card -10.48 8,052.25 MANGO THAI #0053 NAPLES FL 12/20/2022 12/20/2022 Withdrawal Debit Card -15.56 8,036.69 SANDY'S CUBAN CAFE 239-3318204 FL 12/20/2022 12/20/2022 Withdrawal Debit Card -374.51 7,662.18 SUPERIOR POOL - 41 SA 239-649-7705 FL 12/20/2022 12/20/2022 Withdrawal Debit Card -102.92 7,559.36 SUPERIOR POOL - 415A 239-649-7705 FL 12/20/2022 12/20/2022 Withdrawal Debit Card -77.98 7,481.38 SUPERIOR POOL - 415A 239-649-7705 FL 12/20/2022 12/20/2022 withdrawal Debit Card -73.53 7,407.85 SUPERIOR POOL - 415A 239-649-7705 FL 12/20/2022 12/20/2022 Withdrawal Debit Card -29.07 7,378,78 POLLO TROPICAL 10087 NAPLES FL 12/20/2022 12/20/2022 Withdrawal ACH INTUIT 57570565 -78.80 7,299,98 TYPE: TRAN FEE CO: INTUIT 57570565 12/20/2022 12/20/2022 Withdrawal POS #235400212788 -19.49 7,280,49 7-ELEVEN 3701 SANTA BARBARA US NAPLES FL 12/20/2022 12/20/2022 Withdrawal POS #235409582325 -68.50 7,211,99 LOWE'S #2261 NAPLES FL 12/20/2022 12/20/2022 Withdrawal POS #235414800375 -15.65 7,196.34 MARCO ACE HARDWARE MARCO ISLAND FL 1212012022 12/20/2022 Withdrawal POS #235498651045 -31.02 7,165.32 NNT SUNSHINE ACE -M002554 1720 SAN MARCO RD. MARCO ISLAND FL 12/20/2022 12/20/2022 Withdrawal Debit Card -14.58 7,150,74 XPRESS-MART MARCO ISLAND FL 12/20/2022 12/20/2022 Deposit Debit Card 1,564.95 8,715.69 Intuit Inc. VISA DIRECT CA Date 12/20/22 14754962354998531985310 4829 12/20/2022 12/20/2022 Deposit by Check 1,824.88 10,540.57 Continued on next page 800.999.5887 1813.621.7511 1 suncoastcreditunion.com P.O. Box 11904, Tampa, FL 33680 C9 00 Packet Pg. 250 8.G.1 Member Number: 932112/01/2022- 12/31/20221 Page 12 of 17 BUSINESS SMART CHECKING Suffix 0051 Transaction History (con.nued) Post Date Eff Date Transaction Description Amount New Balance 12/20/2022 12/20/2022 Withdrawal at ATM #000000005875-100.00 10,440.57 SUNCOAST CREDIT UNION 8797 TAMIAMI TRAIL EAST NAPLES FL 12/20/2022 12/20/2022 Withdrawal at ATM #000000005876 -40.00 SUNCOAST CREDIT UNION 8797 TAMIAMI TRAIL EAST NAPLES FL 12/20/2022 12/20/2022 Deposit Debit Card 120.00 Intuit Inc. VISA DIRECT CA Date 12120122 14754962354024271242712 4829 12/20/2022 12/20/2022 Withdrawal POS #235415261775 -37.32 PET SUPERMARKET #214 NAPLES FL 12/20/2022 12/20/2022 Deposit Debit Card 240.00 Intuit inc. VISA DIRECT CA Date 12/20/22 14754962354060041600415 4829 12/20/2022 12/20/2022 Withdrawal POS #235418652771 -22.61 COSTCO GAS #0354 NAPLES FL 12/21/2022 12/20/2022 Withdrawal Debit Card -600.00 SETF 800-686-3494 FL 12/21/2022 12/21/2022 Recurring Withdrawal Debit Card -6.41 HP *INSTANT INK 955-785-2777 CA 12/21/2022 12/21/2022 Withdrawal Debit Card -21.96 SUPERIOR POOL-415A 239-649-7705 FL 12/21/2022 12121 /2022 Withdrawal Debit Card -54.37 SUPERIOR POOL - 415A 239-649-7705 FL 12/21/2022 12/21/2022 Withdrawal Debit Card -1,131.89 SUPERIOR POOL -415A239-649-7705 FL 12/21/2022 12/21/2022 Withdrawal ACH INTUIT 64153595 -66.21 TYPE: TRAN FEE CO: INTUIT 64153595 12/21/2022 12/21/2022 Withdrawal Debit Card -3AI XPRESS-MART MARCO ISLAND FL 1212112022 12/21/2022 Deposit Debit Card 1,015,98 Intuit Inc. VISA DIRECT CA Date12/21/22 04754962355114791147918 4829 12/21/2022 12/21/2022 Withdrawal -1,500.00 12/21/2022 12/21/2022 Withdrawal Transfer -570.00 To LOPEZ,MICHAEL A XXXXX)0000( Share 0050 12/21/2022 12/21/2022 Deposit Debit Card 536.32 Intuit Inc. VISA DIRECT CA Date 12/21 /22 14754962355153381533812 4829 12/21/2022 12/21/2022 Withdrawal Debit Card -100,00 VENMO* Visa Direct NY 12/21/2022 12/21/2022 Draft 2026 -185.00 12/22/2022 12/22/2022 Withdrawal Debit Card -436.58 ACI*GM FINANCIAL800-252-9638 NE 1212212022 12/22/2022 Deposit ACH INTUIT89330565 355.00 TYPE: DEPOSIT CO: INTUIT 89330565 12/22/2022 12/22/2022 Withdrawal Debit Card -86.55 SUPERIOR POOL - 415A 239-649-7705 FL Continued on next page 800.999.5887 i 813.621,7511 1 suncoastcred!tun ion.com P.O. Box 11904, Tampa, FL 33680 10,400,57 10,520.57 10,483.25 10,723.25 10,700.64 10,100.64 10,094.23 10,072,27 10,017.90 8,886.01 8,819.80 8,816.39 9,832.37 8,332.37 7,762.37 8,298.69 8,198.69 8,013.69 7,577.11 7,932,11 7,845.56 C9 00 Packet Pg. 251 8.G.1 Member Number: t32112/01/2022 - 12/31/20221 Page 13 of 17 BUSINESS SMART CHECKING Suffix 0051 Transaction History (continued) Post Date Eff Date Transaction Description Amount New Balance 12/22/2022 12/22/2022 Withdrawal Debit Card -89.54 7,756.02 SUPERIOR POOL - 415A 239-649-7705 FL 12/22/2022 12/22/2022 Withdrawal ACH INTUIT 66077855 -71.40 7,684.62 TYPE: TRAN FEE CO: INTUIT 66077855 12/22/2022 12/22/2022 Withdrawal ACH INTUIT 71577605 -11.05 7,673.57 TYPE: TRAM FEE CO: INTUIT 71577605 12/22/2022 12/22/2022 Withdrawal POS #235692662788 -110,34 7,563.23 NNT SUNSHINE ACE-G000319 11673 COLLIER BLVD. NAPLES FL 12/22/2022 12/22/2022 Withdrawal POS #23561 1441698 -50.16 7,513.07 7-ELEVEN 37113 NAPLES FL 12/22/2022 12/222022 Withdrawal POS #235600608038 -7.97 7,505.10 7-ELEVEN 14004 IMMOKALEE RD US NAPLES FL 12/22/2022 12/22/2022 Deposit Debit Card 4,734.15 12,239.25 Intuit Inc. VISA DIRECT CA Date 12/22/22 04754962356236211362118 4829 12/22/2022 12/22/2022 Withdrawal Debit Card -21.39 12,217.86 AMZN Mktp US*KIOB97TR3 Amzn.com/bill WA 12/22/2022 12/222022 Withdrawal Debit Card -24.60 12,193.26 AMZN Mktp US*849SVOYA3 Amzn.com/bill WA 12/22/2022 12/22/2022 Withdrawal Debit Card -144.45 12,048.81 ISLANDER PATIO AND POOL MARCO ISLAND FL 12/22/2022 12/22/2022 Draft 2025 -21.60 12,027.21 12/22/2022 12/22/2022 Draft 2000 -250.00 11,777.21 12/22/2022 12/22/2022 Withdrawal Transfer -250.00 11,527.21 To FIRST CHOICE POO XXXXXXXXXX Share 0050 12/22/2022 12/22/2022 Withdrawal Debit Card -34.99 11,492.22 AMZN Mktp US*4H1XR7CL3Amzn.com/bill WA 12/23/2022 12/23/2022 Withdrawal Debit Card -40.27 11,451.95 SUPERIOR POOL - 415A 239-649-7705 FL 12/23/2022 12/2312022 Withdrawal Debit Card -2,901,18 8,550.77 SUPERIOR POOL - 415A 239-649-7705 FL 12/23/2022 12/23/2022 Withdrawal Debit Card -1,006.10 7,544.67 SUPERIOR POOL - 415A 239-649-7705 FL 12/23/2022 12/23/2022 Withdrawal Debit Card -97.88 7,446.79 SUPERIOR POOL - 415A 239-649-7705 FL 12/23/2022 12/23/2022 Withdrawal Debit Card -37A7 7,409.32 SUPERIOR POOL - 415A 239-649-7705 FL 12/23/2022 12/23/2022 Withdrawal Debit Card -9.95 7,399.37 SUPERIOR POOL - 415A 239-649-7705 FL 12/23/2022 12/23/2022 Withdrawal Debit Card -256,75 7,142.61 SUPERIOR POOL - 415A 239-649-7705 FL 12/23/2022 12/23/2022 Withdrawal Adjustment Debit Card Credit Voucher 240,31 7,38292 SUPERIOR POOL - 415A NAPLES FL 12/23/2022 12/23/2022 Withdrawal Debit Card -52.32 7,330.60 DOMINO'S 5093 239-354-2444 FL 12/23/2022 12/23/2022 Withdrawal ACH INTUIT76150595 -185,13 7,145.47 TYPE: TRAN FEE CO: INTUIT 76150595 Continued on next page 800.999.5887 1813.621.7511 1 suncoastcreditunion.com P.O. Box 11904, Tampa, FL 33680 C9 00 Packet Pg. 252 8.G.1 Member Number: '32I 12/01/2022 - 12/31/20221 Page 14 of 17 BUSINESS SMART CHECKING Suffix 0051 Transaction History ((ontinued) Post Date Eff Date Transaction Description Amount New Balance 12/23/2022 12/23/2022 Withdrawal ACH Synchrony Bank -00.00 6,945.47 TYPE: CC PYMT CO: Synchrony Bank NAME: MICHAEL GUERRA 12/23/2022 12/23/2022 Withdrawal ACH CAPITAL ONE -200.00 6,745.47 TYPE: MOBILE PMT CO: CAPITAL ONE NAME: MICHAEL GUERRA 12/23/2022 12/23/2022 Withdrawal POS #235714298892 -26.73 6,718.74 MARCO ACE HARDWARE MARCO ISLAND FL 12/23/2022 12/23/2022 Withdrawal POS #235714764514 -38.51 6,680.23 MARCO ACE HARDWARE MARCO ISLAND FL 12/23/2022 12/23/2022 Withdrawal Debit Card -105.41 6,574,82 TST* LA TRATTORIA NAPLES FL 12/23/2022 12/23/2022 Deposit Debit Card 55.00 6,629.82 Intuit Inc. VISA DIRECT CA Date 12/23/22 04754962357351731517318 4829 12/23/2022 12/23/2022 Deposit by Check 3,397.65 10,027.47 12/23/2022 12/23/2022 Withdrawal -800.00 9,227.47 12/23/2022 12/23/2022 Deposit Debit Card 125.00 9,352.47 Intuit Inc. VISA DIRECT CA Date 12/23/22 14754962357384011840112 4829 12/23/2022 12/23/2022 Withdrawal POS#235800617698 -5.92 9,346.55 7-ELEVEN 4704 GOLDEN GATE P US NAPLES FL 12/23/2022 12/23/2022 Withdrawal Debit Card -10.00 9,336.55 ISLANDER PATIO AND POOL MARCO ISLAND FL 12/23/2022 12/23/2022 Withdrawal at ATM #235700005697 -104.00 9,232,55 REBEL # 846--636443 11655 COLLIER BLVD NAPLES FL 12123/2022 12/23/2022 Withdrawal ATM Withdraw Fee -1,50 9,231,05 REBEL # 846--636443 11655 COLLIER BLVD NAPLES FL 12/24/2022 12/24/2022 Withdrawal POS#235807683826 -44.52 9,186.53 CIRCLE K 07488 NAPLES FL 12/24/2022 12/24/2022 Withdrawal POS #235800084524 -5.35 9,181,18 7-ELEVEN 14267 COLLIER BLVD US NAPLES FL 12/24/2022 12/24/2022 Withdrawal POS #235811061955 -34,70 9,146.48 COSTCO GAS #0354 NAPLES FL 12/24/2022 12/24/2022 Withdrawal Debit Card -7.68 9,138,80 XPRESS-MART MARCO ISLAND FL 12/24/2022 12/24/2022 Withdrawal Debit Card -200.00 8,938.80 BREAD 844-992-7323 NY 12/24/2022 12/24/2022 Withdrawal POS #235800819613 -9.60 8,929.20 7-ELEVEN 860 7TH AVE NORTH US NAPLES FL 12/25/2022 12/25/2022 Recurring Withdrawal Debit Card -363.82 8,565.38 VZWRLSS*APOCC VI5E 800-922-0204 FL 12/26/2022 12/26/2022 Withdrawal Debit Card -24.99 8,540.39 Prime Video *869060093 888-802-3080 WA 12/26/2022 12/26/2022 Withdrawal POS #236007808528 -3.52 8,536.87 CIRCLE K 07488 NAPLES FL Continued on next page 800.999.5887 1813.621.7511 1 suncoastcreditunion.com I P.O. Box 11904, Tampa, FL 33680 C9 00 Packet Pg. 253 8.G.1 Member Number: )321 12/01/2022 - 12/31/2022 1 Page 15 of 17 BUSINESS SMART CHECKING Suffix 0051 Transaction History (continued) Post Date Eff Date Transaction Description Amount New Balance 12/26/2022 12/26/2022 Withdrawal POS #236014334552 -5,89 8,530.98 WALGREENS STORE 6029 PINE NAPLES FL 12/26/2022 12/26/2022 Withdrawal POS #236011997139 -21.65 8,509.33 SPROUTS FARMERS MARKET # NAPLES FL 12/26/2022 12/26/2022 Withdrawal Debit Card -23.99 8,485.34 Amazon.com*2810UIKV3 Amzn.com/bill WA 12/27/2022 12/27/2022 Withdrawal ACH INTUIT 81808355 -7,53 8,477.81 TYPE: TRAIN FEE CO: INTUIT 81808355 12/27/2022 12/27/2022 Withdrawal POS #236119761549 -117.69 8,360.12 MARCO ACE HARDWARE MARCO ISLAND FL 12/27/2022 12/27/2022 Withdrawal POS #236200260451 -2.66 8,357.46 7-ELEVEN 641 S. COLLIER BLV US MARCO FL 12/27/2022 12/27/2022 Withdrawal Debit Card -123.50 8,233.96 ISLANDER PATIO AND POOL MARCO ISLAND FL 12/28/2022 12/28/2022 Withdrawal Debit Card -53.05 8,180.91 TEXACO 0303980 MARCO ISLAND FL 12/28/2022 12/28/2022 Withdrawal Debit Card -106.35 8,074.56 SUPERIOR POOL - 415A 239-649-7705 FL 12/28/2022 12/28/2022 Withdrawal Debit Card -22.20 8,052.36 SUPERIOR POOL - 415A 239-649-7705 FL 12/28/2022 12/28/2022 Withdrawal Debit Card -103.64 7,948.72 SUPERIOR POOL - 415A 239-649-7705 FL 12/28/2022 12/28/2022 Withdrawal Debit Card -46.02 7,902.70 SUPERIOR POOL - 415A 239-649-7705 FL 12/28/2022 12/28/2022 Withdrawal Debit Card -2,702.88 5,199,82 SUPERIOR POOL - 415A 239-649-7705 FL 12/28/2022 12/2812022 Withdrawal Debit Card -11.51 5,188.31 DUNKIN #349848 Q35 NAPLES FL 12/28/2022 12/28/2022 Withdrawal POS #236208084113 -4.81 5,183,50 RACETRAC2404 NAPLES FL 12/28/2022 12/28/2022 Withdrawal Debit Card -7.68 5,175.82 XPRESS-MART MARCO ISLAND FL 12/28/2022 12/28/2022 Deposit Debit Card 105.00 5,280.82 Intuit Inc. VISA DIRECT CA Date 12/28/22 04754962362670981709818 4829 12/28/2022 12/28/2022 Deposit Debit Card 575.00 5,855.82 Intuit Inc. VISA DIRECT CA Date 12/28/22 14754962362706551065512 4829 12/28/2022 12/28/2022 Withdrawal POS #236300864801 -5.28 5,850.54 7-ELEVEN 600 BALD EAGLE DR US MARCO FL 12/28/2022 12/28/2022 Withdrawal POS #236218542813 -28.87 5,821.67 PET SUPERMARKET #214 NAPLES FL 12/28/2022 12/2812022 Withdrawal POS #236301811054 -163,12 5,658.55 KOHLS 1127 6381 NAPLES BL NAPLES FL 12/29/2022 12/29/2022 Withdrawal Debit Card -313.76 5,344.79 SUPERIOR POOL - 415A 239-649-7705 FL 12/29/2022 12/29/2022 Withdrawal Debit Card -81.03 5,263.76 SUPERIOR POOL - 415A 239-649-7705 FL Continued on next page 800.999.5887 1 813.621,7511 1 suncoastcreditunion.com P.O. Box 11904, Tampa, FL 33680 C9 00 Packet Pg. 254 8.G.1 Member Number: 32112/01/2022 - 12/31/20221 Page 16 of 17 BUSINESS SMART CHECKING Suffix 0051 Transaction History ((.ontinued) Post Date Eff Date Transaction Description Amount New Balance 12/29/2022 12/29/2022 Withdrawal ACH INTUIT 97504625 -27.03 5,236.73 TYPE: TRAN FEE CO: INTUIT 97504625 12/29/2022 12/29/2022 Deposit Debit Card 80.00 5,316.73 Intuit Inc. VISA DIRECT CA Date 12/29/22 04754962363765941659413 4829 12/29/2022 12/29/2022 Withdrawal Debit Card -9.62 XPRESS-MART MARCO ISLAND FL 12/29/2022 12/29/2022 Withdrawal POS #21066600 -3.20 CHEVRON/PIONEER OIL CO 6001 BOLLINGER CANYON R MARCO FL 12/29/2022 12/29/2022 Withdrawal -1,500.00 12/29/2022 12/29/2022 Withdrawal POS #236318946904 -26.00 CIRCLE K 07488 NAPLES FL 12/29/2022 12/29/2022 Withdrawal Debit Card -99.40 PROGRESSIVE AUTO CENTER MARCO ISLAND FL 12/30/2022 12/30/2022 Deposit ACH INTUIT 21327115 110.00 TYPE: DEPOSIT CO: INTUIT 21327115 12/30/2022 12/30/2022 Withdrawal Debit Card -85.67 SUPERIOR POOL - 415A 239-649-7705 FL 12/30/2022 12/30/2022 Withdrawal Debit Card -74.38 SUPERIOR POOL - 415A 239-649-7705 FL 12/30/2022 12/30/2022 Withdrawal Debit Card -1,396.40 SUPERIOR POOL - 415A 239-649-7705 FL 12/30/2022 12/30/2022 Withdrawal ACH CAPITAL ONE -300.00 TYPE: MOBILE PMT CO: CAPITAL ONE NAME: MICHAEL A GUERRA 12/30/2022 12/302022 Withdrawal ACH INTUIT 01150165 -1.60 TYPE: TRAN FEE CO: INTUIT 01150165 12/30/2022 12/30/2022 Withdrawal ACH INTUIT 04035825 -3.44 TYPE: TRAN FEE CO: INTUIT 04035825 12/30/2022 12/30/2022 Recurring Withdrawal Debit Card -169.00 BUTCHFRBOX, LLC HTTPSWWW,8UTC MA 12/30/2022 12/30/2022 Withdrawal Debit Card -3.41 XPRFSS-MART MARCO ISLAND FL 12/30/2022 12/30/2022 Withdrawal Debit Card -10.00 CFX - E-PASS A/R 407-690-5000 FL 12/30/2022 12/30/2022 Withdrawal Debit Card -10.00 CFX -E-PASS RETAIL 407-690-5000 FL 12/30/2022 12/30/2022 Deposit Debit Card 589.44 Intuit Inc. VISA DIRECT CA Date 12/30/22 04754962364914571145718 4829 12/30/2022 12/30/2022 Deposit Debit Card 110.00 Intuit Inc. VISA DIRECT CA Date 12/30/22 14754962364956601566012 4829 12/31/2022 12/31/2022 Withdrawal Debit Card -29.26 CHICK-FIL-A #01609 SARASOTA FL 12/31/2022 12/31/2022 Withdrawal Debit Card -6 24 SUPERIOR POOL - 415A 239-649-7705 FL Continued on next page 800.999,5887 1813.621.7511 1 suncoastcreditunion,com P.O. Box 11904, Tampa, FL 33680 5,307.11 5,303.91 3,803.91 3,777.91 3,678.51 3,788.51 3,702.84 3,628,46 2,232.06 1,932.06 1,930.46 1,927.02 1,758.02 1,754.61 1,744.61 1.734.61 2,324.05 2,434.05 2,404.79 2,398.55 C9 00 Packet Pg. 255 8.G.1 Member Number: { 32I 12/01 /2022 - 12/31/2022 I Page 17 of 17 BUSINESS SMART CHECKING Suffix 0051 Transaction History (continued) Post Date Eff Date Transaction Description 12/31/2022 12/31/2022 Withdrawal Debit Card SUPERIOR POOL - 415A 239-649-7705 FL 12/31/2022 12/31/2022 Withdrawal Debit Card SUPERIOR POOL - 415A 239-649-7705 FL 12/31/2022 12/31/2022 Withdrawal Debit Card SUPERIOR POOL - 415A 239-649-7705 FL Share Draft Summary No. Amount No. Amount No. 2000 250.00 2025* 21.60 2026 Amount New Balance -139.58 2,258.97 -37.36 2,221.61 -52.82 2,168.79 Amount 185.00 Total: 3 $456.60 i Total for this Statement Period Total Year to Date Total Overdraft Fees $0.00 $0.00 .... Total Returned Item Fees $0.00 i $0.00 800.999.5887 1813.621.7511 1 suncoastcreditunion.com I P.O. Box 11904, Tampa, FL 33680 C9 00 Packet Pg. 256 8.G.1 Suncoast Account Statement Member Number: 32 1 11/01/2022 - 11/30/20221 Page 1 of 14 WATERSIDE POOL SERVICE OF MARCO ISLAND L PO BOX 66 MARCO ISLAND FL34146-0120 Business Lending Made Easy! Looking to grow your business or streamline business expenses? We make it easy to apply for business credit cards or auto loans with low rates to help you save money and a streamlined online application portal to help you save time. Visit suncoastcreditunion.com to apply! BUSINESS REGULAR SAVINGS Suffix 0000 Transaction History Post Date Eff Date Transaction Description 11/01/2022 Balance Forward No transactions for this cycle Total Overdraft Fees __........................ .................................................. Total Returned Item Fees Suncoast Credit Union Access Your Account: SunNet Online Banking SunMobile App SunTel Phone Banking For Direct Deposit and Automatic Payments use Routing Number (RTN): 263182817 Authorized Signer - MICHAEL ANTHONY GUERRA Authorized Signer - MARIAM LEON Total for this Statement Period .................._ _......... $0.00 ...... .... ._....... _..__._...................... $0.00 Amount New Balance 5.00 Total Year to Date ......................._........................._. $0.00 ��so.aa BUSINESS SMART CHECKING Suffix 0051 Authorized Signer - MICHAEL ANTHONY GUERRA Activity Summary Authorized Signer - MARIAM LEON Previous Balance 11/01/2022 $6,611,10 Deposits $40,704.77 Withdrawals $-38,796.93 Ending Balance 11/30/2022 $8,518.94 Transaction History Post Date Eff Date Transaction Description Amount New Balance 11/01/2022 11/01/2022 Withdrawal Debit Card -24.04 6,587.06 DOMINO'S 3815 NAPLES FL 11/01/2022 11/01/2022 Withdrawal Debit Card -234.02 6,353.04 SUPERIOR POOL - 415A 239-649-7705 FL 11/01/2022 11/0112022 Withdrawal Debit Card -653.83 5,699.21 SUPERIOR POOL - 415A 239-649-7705 FL 11/01/2022 11 /01/2022 Withdrawal Debit Card -101.48 5,597.73 SUPERIOR POOL - 415A 239-649-7705 FL 11/01/2022 11/0112022 Withdrawal ACH INTUIT 82111705 -72.52 5,525.21 TYPE: TRAN FEE CO: INTUIT 82111705 11/01/2022 11 /01 /2022 Withdrawal POS#230508449722 -14.33 5,510.88 Continued on next page 800.999,5887 1 813.621,7511 1 suncoastcreditunion.com j P.O. Box 11904, Tampa, FL 33680 C9 00 Packet Pg. 257 8.G.1 Member Number: 32111/01/2022 - 11/30/20221 Page 2 of 14 BUSINESS SMART CHECKING Suffix 0051 Transaction History (continued) Post Date Eff Date Transaction Description Amount New Balance SHELL SERVICE STATION NAPLES FL 11/01/2022 11/01/2022 Recurring Withdrawal Debit Card -9.99 5,500.89 JOOYCAR* FLEETR HTTPSJOOYCAR. CA 1110112022 11/01/2022 Deposit Debit Card 2,770.00 8,270.89 Intuit Inc. VISA DIRECT CA Date 11101/22 04754962305328171281718 4829 11/01/2022 11/01/2022 Deposit Debit Card 1,025.00 9,295.89 Intuit Inc. VISA DIRECT CA Date 11 /01122 14754962305377851778512 4829 11/01/2022 11/01/2022 Recurring Withdrawal Debit Card -21.02 9,274.87 NETFLIX.COM NETFLIXCOM CA 11/01/2022 11/01/2022 Withdrawal POS#230520613781 -394.60 8,880,27 AUTOZONE 1068 5195 GOLDE NAPLES FL 11/02/2022 11 /0212022 Deposit Debit Card 856.25 9,736.52 Intuit Inc. VISA DIRECT CA Date 11 /01 /22 14754962305453751537519 4829 11/02/2022 11/02/2022 Recurring Withdrawal Debit Card -31.99 9,704.53 WWW.MUSCLEBOX.ME WWW.MUSCLEBOX NJ 11/02/2022 11/02/2022 Deposit ACH INTUIT 16953625 555.00 10,259.53 TYPE: DEPOSIT CO: INTUIT 16953625 11/02/2022 11/02/2022 Withdrawal Debit Card -109.89 10,149.64 SUPERIOR POOL -415A 239-649-7705 FL 11/02/2022 11/02/2022 Withdrawal Debit Card -1 16.34 10,033.30 SUPERIOR POOL - 415A 239-649-7705 FL 11/02/2022 11/02/2022 Withdrawal Debit Card -217.05 9,816.25 SUPERIOR POOL - 415A 239-649-7705 FL 11/02/2022 11/02/2022 Withdrawal ACH INTUIT95944995 -16.85 9,799.40 TYPE: TRAIN FEE CO: INTUIT 95944995 11/02/2022 11/02/2022 Withdrawal ACH INTUIT93286695 -154.29 9,645.11 TYPE: TRAIN FEE CO: INTUIT 93286695 11/02/2022 11/02/2022 Withdrawal ACH CHASE CREDIT CRD -2,300.00 7,345.11 TYPE SPAY CO: CHASE CREDIT CRD NAME: MARIAM LEON 11/02/2022 11/02/2022 Withdrawal POS #230607623634 -69,12 7,275.99 CIRCLE K 07488 NAPLES FL 11/02/2022 11/02/2022 Deposit Debit Card 645.00 7,920.99 Intuit Inc. VISA DIRECT CA Date 11102122 04754962306511781117818 4829 11/02/2022 11/02/2022 Withdrawal Debit Card -100.00 7,820.99 VENMO* Visa Direct NY 11/02/2022 11/02/2022 Deposit Debit Card 135.00 7,955.99 Intuit Inc. VISA DIRECT CA Date 11 /02/22 14754962306554931549312 4829 11/03/2022 11/03/2022 Withdrawal Debit Card -95.11 7,860.88 UMZUCOM 800-2149820 CO 11/03/2022 11/03/2022 Withdrawal Debit Card -240.00 7,620.88 BEST VERSION MEDIA 262-7650534 WI 11/03/2022 11/03/2022 Deposit ACH INTUIT25606845 120.00 7,740.88 Continued on next page 800.999.5887 1813.621.7511 1 suncoastcreditunion.com j P.O. Box 11904, Tampa, FL 33680 C9 00 Packet Pg. 258 8.G.1 Member Number: 132I 11/01/2022 - 11/30/2022I Page 3 of 14 BUSINESS SMART CHECKING Suffix 0051 Transaction History (continued) Post Date Eff Date Transaction Description Amount New Balance TYPE: DEPOSIT CO: INTUIT 25606845 11/03/2022 11 /03/2022 Withdrawal Debit Card -36.02 7,704.86 SUPERIOR POOL - 415A 239-649-7705 FL 11/03/2022 11 /03/2022 Withdrawal ACH INTUIT 98369515 -67.10 7,637.76 TYPE: TRAN FEE CO: INTUIT 98369515 11/03/2022 11/03/2022 Withdrawal ACH CAPITAL ONE -200.00 7,437.76 TYPE: MOBILE PMT CO: CAPITAL ONE 11/03/2022 11/03/2022 Withdrawal ACH Synchrony Bank -300.00 7,137.76 TYPE: CC PYMT CO: Synchrony Bank NAME: MICHAEL GUERRA 11/03/2022 11/03/2022 Withdrawal ACH I NTU IT 04828095 -3.73 7,134.03 TYPE: TRAN FEE CO: INTUIT 04828095 11/03/2022 11/03/2022 Withdrawal POS#230700705396 -11.54 7,122.49 7-ELEVEN 14267 COLLIER BLVD US NAPLES FL 11/03/2022 11/03/2022 Deposit Debit Card 260.00 7,38249 Intuit Inc. VISA DIRECT CA Date 11 /03/22 04754962307675181751818 4829 11/03/2022 11 /03/2022 Withdrawal Debit Card -20.22 7,362.27 AMZN Mktp US*H27787GS0 Amzn.com/bill WA 11/03/2022 11 /03/2022 Withdrawal Debit Card -105.93 7,256.34 APPLE.COM/US 800-692-7753 CA 11/03/2022 11/03/2022 Deposit Debit Card 235.00 7,491.34 Intuit Inc. VISA DIRECT CA Date 11/03/2214754962307718161181612 4829 11/03/2022 11/03/2022 Withdrawal Debit Card -1,273.20 6,218.14 SETF 800-686-3494 FL 11/04/2022 11 /04/2022 Withdrawal Debit Card -581.92 5,636.22 ACI*GM FINANCIAL 800-252-9638 NE 11/04/2022 11/04/2022 Deposit ACH INTUIT 32389055 325.00 5,961.22 TYPE: DEPOSIT CO: INTUIT 32389055 11/04/2022 11 /04/2022 Withdrawal Debit Card -148.69 5,812.53 SUPERIOR POOL -415A 239-649-7705 FL 11/04/2022 11/04/2022 Withdrawal Debit Card -105.27 5,707,26 SUPERIOR POOL - 415A 239-649-7705 FL 11/04/2022 11 /04/2022 Withdrawal ACH INTUIT 09487715 -20.31 5,686.95 TYPE: TRAN FEE CO: INTUIT 09487715 11/04/2022 11 /04/2022 Withdrawal ACH INTUIT 11656215 -9.93 5,677,02 TYPE: TRAN FEE CO-. INTUIT 11656215 11/04/2022 11 /04/2022 Withdrawal POS #230800310953 -9.08 5,667,94 7-ELEVEN 12750 TAMIAMI TRAI US NAPLES FL 11/04/2022 11/04/2022 Withdrawal Debit Card -53.50 5,614A4 SP RIPTIDEVAC.COM matthew.j.lop FL 11/04/2022 11/04/2022 Deposit Debit Card 565.00 6,179.44 Intuit Inc. VISA DIRECT CA Date 11 /04/22 04754962308835911359118 4829 11/04/2022 11/04/2022 Deposit by Check 1,290.00 7,469.44 11/04/2022 11/04/2022 Withdrawal -1,300.00 6,169.44 11/04/2022 11/04/2022 Withdrawal POS 9230814490781 -39.98 6,129.46 Continued on next page 800,999,5887 1813.621.7511 1 suncoastcreditunion.com P.O. Box 11904, Tampa, FL 33680 C9 00 Packet Pg. 259 8.G.1 Member Number: 32 1 11 /01 /2022 - 11/30/2022 1 Page 4 of 14 BUSINESS SMART CHECKING Suffix 0051 Transaction History (co-,u -ued) Post Date Eff Date Transaction Description Amount New Balance THE FRESH MARKET 027 NAPLES FL 11/04/2022 11/04/2022 Deposit Debit Card 110.00 6,239.46 Intuit Inc. VISA DIRECT CA Date 11 /04/22 14754962308885421854212 4829 11/04/2022 11/04/2022 Withdrawal Debit Card -20,30 6,219.16 HOOTS of East Naples Br Naples FL 11/05/2022 11/04/2022 Withdrawal Debit Card -26.74 6,192.42 AMZN Mktp US*H21482B10 Amzn.com/bill WA 11/05/2022 11/04/2022 Withdrawal Debit Card -9.81 6,182.61 ROYAL SCOOP VANDERBILT NAPLES FL 11/05/2022 11/05/2022 Deposit Debit Card 529.01 6,711.62 Intuit Inc. VISA DIRECT CA Date11/04/22 24754962308959041590412 4829 11/05/2022 11 /05/2022 Withdrawal Debit Card -678.92 6,032.70 SUPERIOR POOL - 41 SA 239-649-7705 FL 11/05/2022 11/05/2022 Withdrawal Debit Card -283.20 5,749.50 SUPERIOR POOL - 415A 239-649-7705 FL 11/05/2022 11/05/2022 Withdrawal Debit Card -97,94 5,651,56 SUPERIOR POOL - 415A 239-649-7705 FL 11/05/2022 11/05/2022 Withdrawal Debit Card -14.44 5,637.12 WALGREENS #11658 NAPLES FL 11/05/2022 11/05/2022 Withdrawal POS#230900553119 -5.35 5,631.77 7-ELEVEN 4704 GOLDEN GATE P US NAPLES FL 11/05/2022 11/05/2022 Withdrawal POS#230905364422 -11,00 5,620,77 NNT SUNSHINE ACE-M000664 1720 SAN MARCO RD. MARCO ISLAND FL 11/05/2022 11/05/2022 Deposit Debit Card 11 C.00 5,730.77 Intuit Inc. VISA DIRECT CA Date 11 /05/22 04754962309978051780518 4829 11/05/2022 11 /05/2022 Withdrawal POS #230951366533 -33.12 5,697.65 NNT SUNSHINE ACE-G000029 11673 COLLIER BLVD. NAPLES FL 11/05/2022 11 /05/2022 Withdrawal Debit Card -197.95 5,499.70 DILLARDS 216 COASTLAND NAPLES FL 11/05/2022 11 /05/2022 Withdrawal POS #231000419749 -56.44 5,443.26 7-ELEVEN 4612 TAMIAMI TRAIL US NAPLES FL 11/06/2022 11 /05/2022 Deposit Debit Card 130.00 5,573.26 Intuit Inc. VISA DIRECT CA Date 11 /05/22 14754962309024361243619 4829 11/06/2022 11/05/2022 Deposit Debit Card 115.00 5,688,26 Intuit Inc. VISA DIRECT CA Date 11 /05/22 24754962309031421314212 4829 11/06/2022 11/06/2022 Withdrawal POS #231040370899 -197.93 5,490.33 NNT SUNSHINE ACE-G001897 11673 COLLIER BLVD. NAPLES FL 11/06/2022 11/06/2022 Deposit Debit Card 130.00 5,620.33 Intuit Inc. VISA DIRECT CA Date 11 /06/22 04754962310043941439418 4829 Continued on next page 800.999.5887 1 813.621,7511 1 suncoastcreditunion.com P.O. Box 11904, Tampa, FL 33680 C9 00 Packet Pg. 260 8.G.1 Member Number: l 32I 11/01/2022 - 11/30/20221 Page 5 of 14 BUSINESS SMART CHECKING Suffix 0051 Transaction History (continued) Post Date Eff Date Transaction Description Amount New Balance 11/06/2022 11/06/2022 Withdrawal POS #231017093244 -47.56 5,572.77 THE HOME DEPOT#6348 NAPLES FL 11/07/2022 11/07/2022 Deposit Debit Card 145.00 5,717.77 Intuit Inc. VISA DIRECT CA Date 11 /06/22 14754962310079091790919 4829 11/07/2022 11/07/2022 Deposit ACH INTUIT43989595 100.00 5,817.77 TYPE: DEPOSIT CO: INTUIT 43989595 11/07/2022 11/07/2022 Deposit ACH INTUIT47456665 120.00 5,937.77 TYPE: DEPOSIT CO: INTUIT 47456665 11/07/2022 11/07/2022 Withdrawal ACH INTUIT23740625 -15.38 5,922.39 TYPE: TRAN FEE CO: INTUIT 23740625 11/07/2022 11 /07/2022 Withdrawal ACH INTUIT 20336885 -25.42 5,896.97 TYPE: TRAN FEE CO: INTUIT 20336885 11/07/2022 11/07/2022 Withdrawal ACH INTUIT16334855 -27.59 5,869.38 TYPE: TRAN FEE CO: INTUIT 16334855 11/07/2022 11/07/2022 Withdrawal ACH INTUIT23304675 -3.15 5,866.23 TYPE: TRAN FEE CO: INTUIT 23304675 11/07/2022 111072022 Withdrawal ACH INTUIT 26791805 -3.73 5,862,50 TYPE: TRAN FEE CO: INTUIT 26791805 11/07/2022 11/07/2022 Withdrawal POS #231100308182 -7.64 5,854,86 7-ELEVEN 4704 GOLDEN GATE P US NAPLES FL 11/07/2022 11/07/2022 Withdrawal POS #231117740539 -702.98 5,151.88 TIRES PLUS 464465 NAPLES FL 11/08/2022 11/08/2022 Withdrawal Debit Card -73.53 5,078,35 SUPERIOR POOL - 415A 239-649-7705 FL 11/08/2022 11/08/2022 Withdrawal Debit Card -116.34 4,962.01 SUPERIOR POOL - 41 SA 239-649-7705 FL 11/08/2022 11/08/2022 Withdrawal Debit Card -26.41 4,935.60 SUPERIOR POOL - 415A 239-649-7705 FL 11/08/2022 11/08/2022 Withdrawal ACH INTUIT27234705 -5.91 4,929.69 TYPE: TRAN FEE CO: INTUIT 27234705 11/08/2022 11 /03/2022 Deposit Debit Card 210.00 5,139,69 Intuit Inc. VISA DIRECT CA Date 11 /08/22 04754962312242141421415 4829 11/08/2022 11/08/2022 Deposit Debit Card 149.95 5,289,64 Intuit Inc. VISA DIRECT CA Date 1 1/08/22 04754962312266491664918 4829 11/08/2022 11/08/2D22Withdrawal POS#231212407025 -5.98 5,283.66 CIRCLE K 07457 NAPLES FL 11/08/2022 11/08/2022 Withdrawal Debit Card -9.94 5,273.72 AMZN Mktp US*H22NY8TG2 Amzn.com/bill WA 11/08/2022 11/08/2022Withdrawal Debit Card -19.25 5,254.47 AMZN Mktp US*H217M5TJ2 Amzn.com/bill WA 11/08/2022 11/08/2022 Deposit Debit Card 100.00 5,354.47 Intuit Inc. VISA DIRECT CA Date 11 /08/22 14754962312306941069412 4829 11/08/2022 11/08/2022 Withdrawal POS#231217450965 -32.44 5,322,03 CIRCLE K # 23989 NAPLES FL Continued on next page 800.999.5887 1813.621.7511 ] suncoastcreditunion.com I P.O. Box 11904, Tampa, FL 33680 a w c m E t U f6 Q Packet Pg. 261 8.G.1 Member Number: 932111 /01/2022 - 11/30120221 Page 6 of 14 BUSINESS SMART CHECKING Suffix 0051 Transaction History (continued) Post Date Eff Date Transaction Description Amount New Balance 11/09/2022 11/08/2022 Withdrawal Debit Card -4 40 5,317.63 PRIME VIDEO *HB56993FO 888-802-3080 WA 11/09/2022 11/09/2022 Deposit ACH INTUIT 58751975 165.00 5,482.63 TYPE: DEPOSIT CO: INTUIT 58751975 11/09/2022 11/09/2022 Withdrawal Debit Card -46.02 5,436.61 SUPERIOR POOL - 415A 239-649-7705 FL 11/09/2022 11/09/2022 Withdrawal Debit Card -20.00 5,416.61 NIC*-FL DEPT HLTH MCA EGOV.COM FL 11/09/2022 11/09/2022 Withdrawal Debit Card -45.00 5,371.61 NIC*-FL DEPT HLTH MCA EGOV.COM FL 11/09/2022 11/09/2022 Withdrawal ACH INTUIT35477315 -18.94 5,352.67 TYPE: TRAN FEE CO: INTUIT 35477315 11/09/2022 11/09/2022 Withdrawal ACH INTUIT 38242415 -5.04 5,347,63 TYPE: TRAN FEE CO: INTUIT 38242415 11/09/2022 11/09/2022 Withdrawal POS #0032427 -30.25 5,317.38 PUBLIX 5991 PINE RIDGE RD EXT NAPLES FL 11 /09/2022 1110912022 Withdrawal POS #231300342848 -11.12 5,306.26 7-ELEVEN 860 7TH AVE NORTH US NAPLES FL 11/09/2022 11/09/2022 Deposit Debit Card 140.00 5,446.26 Intuit Inc. VISA DIRECT CA Date 11 /09/22 04754962313402501025018 4829 11/10/2022 11 /09/2022 Recurring Withdrawal Debit Card -69.50 5,376.76 SKIMMER POOL SOFTWARE HTTPSGETSKIMM TX 11/10/2022 11/10/2022 Withdrawal Debit Card -21.39 5,355.37 AMZN Mktp U5*HB7VDON61 Amzn.com/bill WA 11/10/2022 11/10/2022 Withdrawal Debit Card -85.18 5,270,19 SUPERIOR POOL - 415A 239-649-7705 FL 11/10/2022 11/10/2022 Withdrawal POS#231406662892 -5.35 5,264.84 RACETRAC2404 NAPLES FL 11/10/2022 11/10/2022 Withdrawal ACH INTUIT 42387585 -5.71 5,259.13 TYPE: TRAN FEE CO: INTUIT 42387585 11/10/2022 11/10/2022 Deposit by Check 1,150.00 6,409.13 11/10/2022 11/10/2022 Withdrawal -800.00 5,609.13 11/10/2022 11/10/2022 Withdrawal POS #231400486506 -14.57 5,594.56 7-ELEVEN 3701 SANTA BARBARA US NAPLES FL 11/10/2022 11/10/2022 Deposit Debit Card 635.00 6,229,56 Intuit Inc. VISA DIRECT CA Date 11 /10/22 04754962314538681386818 4829 11/10/2022 11/10/2022 Withdrawal POS #231498395885 -121.00 6,106.56 NNT SUNSHINE ACE-M002923 1720 SAN MARCO RD. MARCO ISLAND FL 11/10/2022 11 /10/2022 Deposit at ATM #000000004521 2,700.00 8,808,56 SUNCOAST CREDIT UNION 7215 RADIO ROAD NAPLES FL 11/10/2022 11 /10/2022 Withdrawal at ATM #000000004522 -400.00 8,408.56 SUNCOAST CREDIT UNION 7215 RADIO ROAD NAPLES FL Continued on next page 800.999,5887 1 813.621.7511 1 suncoastcreditunion.com I P.O. Box 11904, Tampa, FL 33680 0 00 Packet Pg. 262 8.G.1 Member Number 3321 11/01/2022 - 11/30/2022 1 Page 7 of 14 BUSINESS SMART CHECKING Suffix 0051 Transaction History (continued) Post Date Eff Date Transaction Description Amount New Balance 11/11/2022 11/11/2022 Withdrawal Debit Card -67.70 8,340.86 DOMINO'S 3815 239-354-2444 FL 11/11/2022 11/11/2022 Withdrawal Debit Card -110.62 8,230.24 SUPERIOR POOL - 415A 239-649-7705 FL 11/11/2022 11/11/2022 Withdrawal Debit Card -69.92 8,160.32 SUPERIOR POOL - 415A 239-649-7705 FL 11/11/2022 11 /11 /2022 Withdrawal Debit Card -287.80 7,872.52 SUPERIOR POOL - 415A 239-649-7705 FL 11/11/2022 11/11/2022 Withdrawal Debit Card -3,209.12 4,663.40 SUPERIOR POOL - 415A 239-649-7705 FL 11/11/2022 11/11/2022 Withdrawal POS #231507623852 -8,80 4,654.60 RACETRAC2404 NAPLES FL 11/11/2022 11/1112022 Withdrawal Debit Card -13.23 4,641.37 XPRESS-MART MARCO ISLAND FL 11/11/2022 11/11/2022 Deposit Debit Card 4,550.00 9,191.37 Intuit Inc. VISA DIRECT CA Date 11 /11122 147549623157065610656114829 11/11/2022 11/11/2022 Withdrawal Debit Card -350.00 8,841.37 VENMO* Visa Direct NY 11/11/2022 11 /11/2022 Withdrawal POS #231600475977 -50.74 8,790.63 7-ELEVEN 7445 DAVIS BLVD. US NAPLES FL 11/11/2022 11/1112022 Withdrawal at ATM #231527641875 -400.00 8,390.63 AX004304 5585 GOLDEN GATE PKWY NAPLES FL 11/11/2022 11 /11 /2022 Withdrawal ATM Withdraw Fee -1.50 8,389.13 AX004304 5585 GOLDEN GATE PKWY NAPLES FL 11/11/2022 11/11/2022 Withdrawal Debit Card -84.44 8,304.69 Marco Office Supply Mar Marco Island FL 11/11/2022 11A1/2022 Withdrawal POS#231500027433 -4.27 8,300.42 CVS/PHARMACY#05041 05041-5585 GOLDEN GATE NAPLES FL 11/11/2022 11/11/2022 Withdrawal POS #231519659809 -35.90 8,264.52 RACFTRAC2439 NAPLES FL 11/12/2022 11/12/2022 Withdrawal Debit Card -84.26 8,180.26 SUPERIOR POOL - 415A 239-649-7705 FL 11/12/2022 1 Ill212022 Withdrawal Debit Card -16.01 8,164.25 SUPERIOR POOL - 415A 239-649-7705 FL 11/12/2022 11/12/2022 Withdrawal Debit Card -150.25 8,014.00 SUPERIOR POOL - 415A 239-649-7705 FL 11/12/2022 11/12/2022 Withdrawal Debit Card -89,25 7,924,75 SUPERIOR POOL - 415A 239-649-7705 FL 11 /12/2C22 11 /12/2022 Deposit Debit Card 843.16 8,767.91 Intuit Inc. VISA DIRECT CA Date 11 /12/22 04754962316786301863018 4829 11 /12/2022 11 /12/2022 Withdrawal POS #0071730 -17.65 8,750.26 PUBLIX 7640 SAND LAKE RD ORLANDO FL 11/13/2022 11/13/2022 Withdrawal POS #14484300 -43.41 8,706.85 BP#9494113CIRCLE K 27089 8200 CHAMPIONSGATE DAVENPORT FL Continued on next page 800.999.5887 1813.621.7511 1 suncoastcreditunion.com I P.O. Box 11904, Tampa, FL 33680 0 00 Packet Pg. 263 8.G.1 Member Number: 1 32I 11 /01 /2022 - 11/30/2022� Page 8 of 14 BUSINESS SMART CHECKING Suffix 0051 Transaction History (continued) Post Date Eff Date Transaction Description Amount New Balance 11/13/2022 11/13/2022 Withdrawal Debit Card -25.00 8,681.85 SEAWORLD ORLANDO FL 11/13/2022 11 /13/2022 Withdrawal Debit Card -22.35 8,659.50 SEAWORLD-MRCHDSE ORLANDO FL 11/13/2022 11/13/2022 Withdrawal Debit Card -16.76 8,642.74 SEAWORLD-MRCHDSE ORLANDO FL 11/13/2022 11/13/2022 Withdrawal Debit Card -13512 8,507.52 SEAWORLD-FOOD SVC ORLANDO FL 11/13/2022 11/13/2022 Withdrawal Debit Card -22.35 8,485.17 SEAWORLD-FOOD SVC ORLANDO FL 11/13/2022 11/13/2022 Withdrawal Debit Card -25.70 8,459.47 SEAWORLD-FOOD SVC ORLANDO FL 11/13/2022 11 /13/2022 Withdrawal Debit Card -8.94 8,450.53 SEAWORLD-FOOD SVC ORLANDO FL 11/13/2022 11/13/2022 Withdrawal Debit Card -7.82 8,442.71 SEAWORLD-FOOD SVC ORLANDO FL 11/14/2022 11/13/2022 Withdrawal Debit Card -106.99 8,335.72 DicksSportingGoods.com Coraopolis PA 11/14/2022 11/13/2022 Withdrawal Debit Card -109.36 8,226.36 LONGHORN STEAK 0125502 ORLANDO FL 11/14/2022 11/14/2022 Recurring Withdrawal Debit Card -37.44 8,188.92 ONSTAR SERVICES 888-40NSTAR MI 11/14/2022 11/14/2022 Withdrawal Debit Card -45.88 8,142.04 AUNTIE ANNFS 4FL276 SARA50TA FL 11/14/2022 11/14/2022 Withdrawal ACH INTUIT48461105 -25.02 8,117.02 TYPE: TRAN FEE CO: INTUIT 48461105 11/14/2022 11 /14/2022 Withdrawal ACH INTUIT 59424445 -33.13 8,083.89 TYPE: TRAN FEE CO: INTUIT 59424445 11/14/2022 11/14/2022 Withdrawal ACH INTUIT 55314375 -177.70 7,906.19 TYPE: TRAN FEE CO. INTUIT 55314375 11/14/2022 11/14/2022 Withdrawal ACH CAPITAL ONE -400.00 7,506.19 TYPE: MOBILE PVT CO: CAPITAL ONE NAME: MICHAEL GUERRA 11/14/2022 11/14/2022 Withdrawal POS #231807638751 -7.04 7,499,15 CIRCLE K 07488 NAPLES FL 11/14/2022 11/14/2022 Withdrawal POS#231807626068 -21.17 7,477.98 CIRCLE K 07488 NAPLES FL 11/14/2022 11/14/2022 Withdrawal P05#0033635 -47.80 7,430.18 PUBLIX 5991 PINE RIDGE RD EXT NAPLES FL 11/15/2022 11/15/2022 Withdrawal Debit Card -93.94 7,336.24 SUPERIOR POOL -415A 239-649-7705 FL 11/15/2022 11/15/2022 Withdrawal POS #231900589974 -5.35 7,330.89 7-ELEVEN 860 7TH AVE NORTH US NAPLES FL 11/15/2022 11/15/2022 Deposit Debit Card 112.50 7,443.39 Intuit Inc. VISA DIRECT CA Date 11 /15/22 04754962319052591525918 4829 11/15/2022 11/15/2022 Recurring Withdrawal Debit Card -55.00 7,388.39 INTUIT *QBooks Online CL.INTUIT.COM CA Continued on next page 800.999.5887 1811621.7511 1 suncoastcreditunion.com i P.O. Box 11904, Tampa, FL 33680 C9 00 Packet Pg. 264 8.G.1 Member Number: 332I 11/01/2022- 11/30/20221 Page 9 of 14 BUSINESS SMART CHECKING Suffix 0051 Transaction History (continued) Post Date Eff Date Transaction Description Amount New Balance 11/15/2022 11/15/2022 Recurring Withdrawal Debit Card -94.53 7,293.86 ABC*ATHLETICA HEALTH 888-8279262 FL 11/15/2022 11/15/2022 Deposit Debit Card 105.00 7,398,86 Intuit Inc. VISA DIRECT CA Date 11 /15/22 14754962319131471314715 4829 11/16/2022 11/16/2022 Withdrawal Debit Card -57,59 7,341,27 SU PERIOR POOL - 415A 239-649-7705 FL 11/16/2022 11/16/2022 Withdrawal ACH INTUIT73240425 -4.64 7,336.63 TYPE: TRAN FEE CO: INTUIT 73240425 11/16/2022 11 /16/2022 Withdrawal POS #232080432083 -23.10 7,313,53 NNT SUNSHINE ACE-G000509 11673 COLLIER BLVD. NAPLES FL 11/16/2022 11/16/2022 Deposit Debit Card 1,05S.00 8,368,53 Intuit Inc. VISA DIRECT CA Date 11 /16/22 04754962320193561935618 4829 11/16/2022 11/16/2022 Withdrawal Debit Card -8.00 8,360.53 CASH APP*AARON 8774174551 CA 11/16/2022 11 /160022 Withdrawal Debit Card -50.57 8,309,96 SUSHI ONE NAPLES NAPLES FL 11/16/2022 11/16/2022 Withdrawal POS #232100356087 -6.83 8,30313 7-ELEVEN 600 BALD EAGLE DR US MARCO FL 11/17/2022 11/17/2022 Recurring Withdrawal Debit Card -15.00 8,288.13 ONSTAR DATA PLAN -AT&T 888-466-7827 TX 11/17/2022 11/17/2022 Withdrawal Debit Card -58.56 8,229.57 DOMINO'S 5093 239-354-2444 FL 11/17/2022 11/17/2022 Withdrawal Debit Card -53.0S 8,176.52 FAYARD HARDWARE INC NAPLES FL 11/17/2022 11/17/2022 Withdrawal Debit Card -73.93 8,102.59 SUPERIOR POOL - 415A 239-649-7705 FL 11/17/2022 11/17/2022WithdrawalDebit Card -155.19 7,947.40 SUPERIOR POOL - 415A 239-649-7705 FL 11/17/2022 11/17/2022 Withdrawal Debit Card -1,402.59 6,544.81 SUPERIOR POOL - 415A 239-649-7705 FL 11/17/2022 11/1712022 Withdrawal ACH INTUIT 75887875 -45.75 6,499.06 TYPE: TRAN FEE CO: INTUIT 75887875 11/17/2022 11/17/2022 Withdrawal POS #232100958064 -13.32 6,485.74 7-ELEVEN 3701 SANTA BARBARA US NAPLES FL 11/17/2022 11 /17/2022 Withdrawal POS #232117824658 -47.36 6,438.38 7-ELEVEN 34803 NAPLES FL 11/17/2022 11/17/2022 Withdrawal POS #232200768021 -7.51 6,430.87 7-ELEVEN 31 TAM IAMI TRAIL N US NAPLES FL 11/18/2022 11/18/2022 Deposit ACH INTUIT 07538315 130.00 6,560.87 TYPE: DEPOSIT CO: INTUIT 0753831 S 11/18/2022 11/18/2022 Withdrawal Debit Card -549.56 6,011.31 SCP DISTRIBUTORS - 84 239-598-2411 FL 11/18/2022 11 /19/2022 Withdrawal Debit Card -104.73 5,906.58 SUPERIOR POOL - 415A 239-649-7705 FL 11/18/2022 11/18/2022 Withdrawal ACH INTU IT 8725491 S -4.02 5,902.56 Continued on next page 800.999.5887 1813,621.7511 1 suncoastcreditunion.com j P.O. Box 11904, Tampa, FL 33680 0 00 Packet Pg. 265 8.G.1 Member Number: 32I 11 /01/2022 - 11/30/20221 Page 10 of 14 BUSINESS SMART CHECKING Suffix OOS1 Transaction History (continued) Post Date Eff Date Transaction Description Amount New Balance TYPE: TRAN FEE CO: INTUIT 87254915 11/18/2022 11/18/2022 Withdrawal POS #232213500770-150,85 5,751,71 THE HOME DEPOT #0276 FORT MYERS FL 11/18/2022 11/18/2022 Withdrawal POS #232200434846 -12,76 5,738.95 7-ELEVEN 1688 COLONIAL BLVD US FORT MYERS FL 11/18/2022 11/18/2022 Recurring Withdrawal Debit Card -169.00 BUTCHERBOX, LLC HTTPSWWW.BUTC MA 11/18/2022 11/18/2022 Deposit Debit Card 1,578.70 Intuit Inc. VISA DIRECT CA Date 11 /18/22 04754962322467161671618 4829 11/18/2022 11/18/2022 Withdrawal POS #232300065011 -13.50 7-ELEVEN 641 S. COLLIER BLV US MARCO FL 11/19/2022 11/19/2022 Withdrawal Debit Card -80.32 SUPERIOR POOL - 415A 239-649-7705 FL 11/19/2022 11/19/2022 Withdrawal Debit Card -622.76 SUPERIOR POOL - 415A 239-649-7705 FL 11/19/2022 11/19/2022 Withdrawal Debit Card -55.97 SUPERIOR POOL - 415A 239-649-7705 FL 11/19/2022 11/19/2022 Withdrawal Debit Card -3.07 SUPERIOR POOL - 415A 239-649-7705 FL 11/19/2022 11 /19/2022 Withdrawal POS #232306105535 -36.92 LOWE'S #2261 NAPLES FL 11/19/2022 11/19/2022 Withdrawal POS #232312378438 -21.15 MARCO ACE HARDWARE MARCO ISLAND FL 11/19/2022 11/19/2022 Withdrawal POS#41228400 -10.73 CHEVRON/PIONEER OIL CO 6001 BOLLINGER CANYON R MARCO FL 11/19/2022 11/19/2022 Withdrawal Transfer -240.00 To LOPEZ,MICHAEL A XXXXXXXXXX Share 0050 11/20/2022 11/20/2022 Withdrawal Debit Card -6.94 COLD STONE CREAMERY #2 714-7285258 FL 1112012022 11 /20/2022 Withdrawal Debit Card -27.90 COLD STONE CREAMERY #2 714-7285258 FL 11/20/2022 11/20/2022 Withdrawal Debit Card -110.88 TST* Island Gypsy Cafe Naples FL 11/20/2022 11/20/2022 Withdrawal POS#232417753050 -11_85 MARCO ACE HARDWARE MARCO ISLAND FL 11/20/2022 1120/2022 Withdrawal POS #232415427208 -55.82 RACETRAC602 NAPLES FL 11/20/2022 11/20/2022 Withdrawal Debit Card -82.25 CRAVE OF FORT MYERS INC FORT MYERS FL 11/20/2022 11/20/2022 Withdrawal Debit Card -64.68 TEXACO 0303980 MARCO ISLAND FL 11/21/2022 11/21/2022 Recurring Withdrawal Debit Card -6.41 HP *INSTANT INK 855-785-2777 CA 1 1 /21 /2022 11121 /2022 Withdrawal Debit Card -436.96 ACI*GM FINANCIAL 800-252-9638 NE Continued on next page 800.999.5887 1813.621.7511 1 suncoastcreditunion.com P.O. Box 11904, Tampa, FL 33680 5,569.95 7,148.65 7,135,15 7,054.83 6,432.07 6,376.10 6,373.03 6,336,11 6,314.96 6,304.23 6,064.23 6,057.29 6,029.39 5,918.51 5,906.66 5,850.84 5,768.59 5,703.91 5,697.50 5,260.54 0 00 Packet Pg. 266 8.G.1 Member Number: 2I 11/01/2022 - 11/30/20221 Page 11 of 14 BUSINESS SMART CHECKING Suffix 0051 Transaction History (continued) Post Date Eff Date Transaction Description Amount New Balance 11/21/2022 11/21/2022 Withdrawal Debit Card -48.94 5121 1.60 DOMINO'S 5093 239-354-2444 FL 11/21/2022 11/21/2022 Withdrawal ACH INTUIT91115495 -62.07 5,149.53 TYPE: TRAN FEE CO: INTUIT 91 115495 11/21/2022 11/2112022 Withdrawal ACH Synchrony Bank -200.00 4,949.53 TYPE: CC PYMT CO: Synchrony Bank NAME: MICHAEL GUERRA 11/21/2022 11/21/2022 Withdrawal Debit Card -6.30 4,943.23 XPRESS-MART MARCO ISLAND FL 11/21/2022 11/21/2022 Deposit Debit Card 710.00 5,653.23 Intuit Inc. VISA DIRECT CA Date 11121 /22 04754962325714271142718 4829 11/21/2022 11 /21 /2022 Withdrawal POS #232513186725 -25.43 5,627.80 SPROUTS FARMERS MARKET# NAPLES FL 11/21/2022 11/21/2022 Withdrawal POS #232600425063 -11.64 5,616.16 7-ELEVEN 14267 COLLIER BLVD US NAPLES FL 11/22/2022 11/22/2022 Deposit ACH INTUIT 24762425 1,031.80 6,647.96 TYPE: DEPOSIT CO: INTUIT 24762425 11/22/2022 11/22/2022 Withdrawal Debit Card -4.56 6,643,40 SUPERIOR POOL - 415A 239-649-7705 FL 11/22/2022 11 /22/2022 Withdrawal Debit Card -52A2 6,5%98 SUPERIOR POOL - 415A 239-649-7705 FL 11/22/2022 11/22/2022 Withdrawal Debit Card -163.25 6,427,73 SUPERIOR POOL - 415A 239-649-7705 FL 11/22/2022 11/22/2022 Withdrawal Debit Card -41.57 6,386,16 SUPERIOR POOL - 415A 239-649-7705 FL 11/22/2022 11/22/2022 Withdrawal ACH INTUIT03330175 -28.94 6,357.22 TYPE: TRAN FEE CO: INTUIT 03330175 11/22/2022 11/22/2022 Withdrawal ACH INTUIT04805365 -30,17 6,327.05 TYPE: TRAN FEE CO: INTUIT 048OS365 11/22/2022 11/22/2022 Withdrawal POS#232613849449 -3.41 6,323.64 RACETRAC2348 NAPLES FL 11/22/2022 11/22/2022 Deposit by Check 5,219,20 11,542.84 11/22/2022 11/22/2022 Withdrawal -1,500.00 10,042.84 11/23/2022 11 /23/2022 Withdrawal Debit Card -80.25 9,962.59 IN *MEGA GRAPHX 239-2890199 FL 11/23/2022 11/23/2022 Withdrawal Debit Card -82.05 9,880.54 SUPERIOR POOL - 415A 239-649-7705 FL 11/23/2022 11/23/2022 Withdrawal Debit Card -73.93 9,806.61 SUPERIOR POOL - 415A 239-649-7705 FL 11/23/2022 1112312022 Withdrawal Debit Card -2,901.18 6,905A3 SUPERIOR POOL - 415A 239-649-7705 FL 11/23/2022 11/23/2022 Withdrawal POS #232707467718 -5.35 6,900,08 SHELL SERVICE STATION NAPLES FL 11/23/2022 11/23/2022 Withdrawal POS #232700855454 -58,26 6,841.82 7-ELEVEN 641 S. COLLIER BLV US MARCO ISLAND FL 11/2312022 11 /23/2022 Withdrawal POS #232700291902 -6.28 6,835.54 Continued on next page 800.999,5887 1813.621.7511 1 suncoastcreditunion.com j P.O. Box 11904, Tampa, FL 33680 0 00 Packet Pg. 267 8.G.1 Member Number 132111/01/2022 - 11/30/20221 Page 12 of 14 BUSINESS SMART CHECKING Suffix 0051 Transaction History (continued) Post Date Eff Date Transaction Description Amount New Balance 7-ELEVEN 600 BALD EAGLE DR US MARCO FL 11/232022 11/23/2022 Withdrawal POS #232784477130 -11.96 6,823.58 NNT SUNSHINE ACE-M001548 1720 SAN MARCO RD. MARCO ISLAND FL 11/24/2022 11/24/2022 Withdrawal Debit Card -179.34 SUPERIOR POOL - 415A 239-649-7705 FL 11/24/2022 11/24/2022 Withdrawal Debit Card -37.38 SUPERIOR POOL - 415A 239-649-7705 FL 11/24/2022 11/242022 Withdrawal Debit Card -57.97 SUPERIOR POOL - 415A 239-649-7705 FL 11/24/2022 11/24/2022 Withdrawal Debit Card -79.39 SUPERIOR POOL - 415A 239-649-7705 FL 11/24/2022 11/24/2022 Withdrawal Debit Card -63.92 SUPERIOR POOL - 415A 239-649-7705 FL 11/24/2022 11/24/2022 Withdrawal POS #232807974481 -10.48 CIRCLE K 07488 NAPLES FL 11/24/2022 11/24/2022 Withdrawal Debit Card -11.50 YOUR CHOICE CARWASH Li NAPLES FL 11/24/2022 11/24/2022 Withdrawal Debit Card -7.25 XPRESS-MART MARCO ISLAND FL 11/24/2022 11/2412022 Withdrawal Debit Card -200.00 BREAD 844-992-7323 NY 1 1 /25/2022 11/25/2022 Recurring Withdrawal Debit Card -129.39 AFFIRM * PAY DRHIBY61 855-423-3729 CA 11/25/2022 11/25/2022 Recurring Withdrawal Debit Card -141.81 VZWRLSS*APOCC VISE 800-922-0204 FL 11/25/2022 11/25/2022 Withdrawal ACH APPLECARD GSBANK -347.11 TYPE: PAYMENT CO: APPLECARD GSBANK NAME: Michael Guerra 11/26/2022 11/26/2022 Withdrawal Transfer -1,000.00 To LEON,MELISA X>000000= Share 0050 11/26/2022 11/26/2022 Withdrawal Debit Card -23.36 CULVERS OF NAPLES 554 NAPLES FL 11/26/2022 11/26/2022 Withdrawal Debit Card -56.39 CHIPOTLE 2860 NAPLES FL 11/26/2022 11/26/2022 Withdrawal POS #0024446 -41.16 PUBLIX 5991 PINE RIDGE RD EXT NAPLES FL 11/26/2022 11/26/2022 Withdrawal POS #233000091871 -5.35 7-ELEVEN 860 7TH AVE NORTH US NAPLES FL 11/27/2022 11/26/2022 withdrawal POS #233100503451 -11.84 7-ELEVEN 1252 IMMOKALEE RD US NAPLES FL 11/27/2022 11/27/2022 Withdrawal POS#233114205329 -63.66 SPROUTS FARMERS MARKET # NAPLES FL 11/27/2022 11/27/2022 Withdrawal Debit Card -100.00 VENMO* Visa Direct NY 11/28/2022 11/28/2022 Deposit Debit Card 80,00 Intuit Inc. VISA DIRECT CA Date11/28/22 04754962332275311753113 4829 Continued on next page 800.999.5887 1813,621.7511 1 suncoastcreditunion.com P.O. Box 11904, Tampa, FL 33680 6,644.24 6,606.86 6,548,89 6,469.50 6,405.58 6,395.10 6,383.60 6,37635 6,176.35 6,046.96 5,905.15 5,558.04 4,558.04 4,534.68 4,478.29 4,437.13 4,431.78 4,419.94 4,356.28 4,256.28 4,336.28 C9 00 Packet Pg. 268 8.G.1 Member Numbei 32111/01/2022 - 11/30/20221 Page 13 of 14 BUSINESS SMART CHECKING Suffix 0051 Transaction History (continued) Post Date Eff Date Transaction Description Amount New Balance 11/28/2022 11/28/2022 Withdrawal ACH SYNCHRONY BANK -200.00 4,136,28 TYPE: PAYMENT CO: SYNCHRONY BANK NAME: GUERRA,MICHAEL 11/28/2022 11/28/2022 Withdrawal POS #233200353203 -55.61 4,080,67 7-ELEVEN 10795 TAMIAMI TRAI US NAPLES FL 11/28/2022 11/28/2022 Withdrawal POS #233200173219 -16.36 4,064.31 CVS/PHARMACY #04227 04227--8863-H Tamiami T Naples FL 11/28/2022 11/28/2022 Withdrawal Debit Card -12.82 4,051.49 AMZN Mktp US*HW7W47S42 Amzn.com/bill WA 11/28/2022 11/28/2022 Deposit Debit Card 345.00 4,396.49 Intuit Inc. VISA DIRECT CA Date 11/28/22 04754962332309201092019 4829 11/28/2022 11/28/2022 Deposit by Check 2,596.15 6,992.64 11/28/2022 11/28/2022 Deposit Debit Card 4,750,09 11,742,73 Intuit Inc. VISA DIRECT CA Date 11/28/2214754962332348361483611 4829 11/28/2022 1128/2022 Withdrawal Debit Card -35.29 11,707.44 SP PILLOW SLIDES LANGLEY CA 11/28/2022 11/28/2022 Withdrawal Debit Card Fee -0.28 11,707.16 VISA INTERNATIONAL SERVICE ASSESSMENT Date 11/28/22 11/28/2022 11/28/2022 Withdrawal Debit Card -784.00 10,923.16 SQ *GULF COAST CHARTER gosq.com FL 11/28/2022 11/28/2022 Deposit Debit Card 120.00 11,043.16 Intuit Inc. VISA DIRECT CA Date 11 /28/22 14754962332394961949617 4829 11/29/2022 11/29/2022 Deposit ACH INTUIT54336605 250.00 11,293.16 TYPE: DEPOSIT CO: INTUIT 54336605 11/29/2022 11/29/2022 Withdrawal Debit Card -100.33 11,192.83 SUPERIOR POOL - 415A 239-649-7705 FL 11/29/2022 11/29/2022 Withdrawal Debit Card -550.68 10,642.15 SUPERIOR POOL - 415A 239-649-7705 FL 11/29/2022 11/29/2022 Withdrawal ACH INTUIT 29851505 -201.31 10,440.84 TYPE: TRAIN FEE CO: INTUIT 29851505 11/29/2022 11/29/2022 Withdrawal ACH INTUIT34479315 -7.50 10,433.34 TYPE: TRAIN FEE CO: INTUIT 34479315 11/29/2022 11/29/2022 Withdrawal POS #233300467043 -6.12 10,427.22 7-ELEVEN 1252 IMMOKALEE RD US NAPLES FL 11/29/2022 11/29/2022 Withdrawal POS #233310099005 -148.98 10,278,24 GNC #5732 NAPLES FL 11/29/2022 11/29/2022 Withdrawal Debit Card -7.68 10,270,56 XPRESS-MART MARCO ISLAND FL 11/29/2022 11/29/2D22 Withdrawal POS #233300174095 -4.98 10,265.58 CVS/PHARMACY #05041 05041--5585 GOLDEN GATE NAPLES FL 11/29/2022 11 /29/2022 Withdrawal POS #83081000 -9.60 10,255.99 844 2100 GOODLETTE RD N NAPLES FL Continued on next page 800,999.5887 1813.621.7511 1 suncoastcreditunion.com I P.O. Box 11904, Tampa, FL 33680 0 00 Packet Pg. 269 8.G.1 Member Number: 32I 1 1 /01 /2022 - 11/30/2022 1 Page 14 of 14 BUSINESS SMART CHECKING Suffix 0051 Transaction History (continued) Post Date Eff Date Transaction Description 11/29/2022 11/29/2022 withdrawal POS#233314812796 WAWA 5238 NAPLES FL 11/29/2022 11/29/2022 Deposit Debit Card Intuit Inc- VISA DIRECT CA Date 11 /29/22 14754962333492921929212 4829 11/29/2022 11/29/2022 Withdrawal Debit Card COLD STONE CREAMERY #2 714-7285258 FL 11/30/2022 11/29/2022 Withdrawal Debit Card EGOV-ASSIST.COM 8445653 844-565-3473 MD 11/30/2022 11/30/2022 Deposit Debit Card Intuit Inc. VISA DIRECT CA Date 11/29/2214754962333551101511019 4829 11/30/2022 11/30/2022 Withdrawal Debit Card NAPLES HOUSE OF OMELET 239-6316402 FL 11/30/2022 11/30/2022 Withdrawal Debit Card SU NPASS*ACC1 00617523 888-865-5352 FL 11/30/2022 11 /30/2022 Withdrawal Debit Card SUPERIOR POOL - 415A 239-649-7705 FL 11/30/2022 11/30/2022 Withdrawal Debit Card SUPERIOR POOL-415A 239-649-7705 FL 11/30/2022 11/30/2022 Withdrawal Debit Card SUPERIOR POOL - 415A 239-649-7705 FL 11/30/2022 11/30/2022 Withdrawal Debit Card SUPERIOR POOL - 415A 239-649-7705 FL 1 1 /30/2022 11 /30/2022 Withdrawal POS #233406907121 CIRCLE K 07488 NAPLES FL 11/30/2022 11/30/2022 Withdrawal ACH INTUIT35020895 TYPE: TRAN FEE CO: INTUIT 35020895 11/30/2022 11/30/2022 Withdrawal ACH Synchrony Bank TYPE: CC PYMT CO Synchrony Bank NAME: MICHAEL GUERRA 11/30/2022 11/30/2022 Withd rawal POS #233400301026 7-ELEVEN 4831 E. TAMIAMI TR US NAPLES FL 11/30/2022 11/30/2022 Withdrawal POS #233414469313 MARCO ACE HARDWARE MARCO ISLAND FL 11 /30/2022 11 /30/2022 Withdrawal Debit Card DID DOORDASH CHICK-FIL 855-973-1040 CA .................. ..... ........ ..... ............. -... ........... ... ...... .......... ..-.... ........ ........ ......_................ Total for this Statement Period _........ ... .................. _.--------- Total Overdraft Fees $0.00 . .................__... _.._...-_._...._.. Total Returned Item Fees $0.00 Amount New Balance -12.28 10,243.70 421.47 10,665.17 -42.11 -249.00 1,286.49 -19.59 -12.14 -16,01 -43.97 -2,529.26 -68.02 -50.00 -21.61 -239.00 -4.58 -48.77 -88.66 Total Year to Date $0.00 $0.00 800,999,5887 1813.621.7511 1 suncoastcreditunion.com I P.O. Box 11904, Tampa, FL 33680 10,623.06 10,374.06 11,660.55 11,640.96 11,628.82 11,612.81 11,568.84 9,039.58 8,971.56 8,921.56 8,899,95 8,660.95 8,656.37 8,607.60 8,518.94 C9 00 Packet Pg. 270 8.G.1 Suncoast Account Statement Member Number: _ 32 110/01/2022 - 10/31/20221 Page 1 of 16 WATERSIDE POOL SERVICE OF MARCO ISLAND L PO BOX 66 MARCO ISLAND FL 34146-0120 How can we help your business grow? ip Suncoast Credit Union When you bank with Suncoast, you have a financial partner dedicated to your business When it's time to grow, turn to Suncoast for low competitive rates and favorable terms on the financing that fits your needs. From commercial loans to business credit cards and auto loans, borrowing with Suncoast comes with great savings and benefits. Learn more at suncoastcreditunion.com/business BUSINESS REGULAR SAVINGS Suffix 0000 Transaction History Post Date Eff Date Transaction Description 10/01/2022 Balance Forward No transactions for this cycle Access Your Account: SunNet Online Banking SunMobile App SunTel Phone Banking For Direct Deposit and Automatic Payments use Routing Number (RTN): 263182817 Authorized Signer - MICHAEL ANTHONY GUERRA Authorized Signer - MARIAM LEON Amount New Balance 5.00 _._w.._..,........,._..._..µ......__.._.._....................... ,_...................... _._............ .._.._.................... _................ _...._.._....... _............ ...... .... ........ , Total for this Statement Period Total Year to Date ........................._.............._..._............ _................ ....................................... -.__.... .......... .._..... ..._.............. ., Total Overdraft Fees $0.00 $0.00 ._...._ _....--..._._.._....------_--...----------------- -.............. ._.-..-----.._..._..--_...-._.._................. , Total Returned Item Fees $0.00 $0.00 ..................................................................................._......_...............-......_........................................._......................................................................................i BUSINESS SMART CHECKING Suffix 0051 Authorized Signer - MICHAEL ANTHONY GUERRA Activity Summary Authorized Signer - MARIAM LEON Previous Balance 10/01/2022 $1,251.71 Deposits $54,967.62 Withdrawals $-49,608 23 Ending Balance 10/31/2022 $6,611.10 Transaction History Post Date Eff Date Transaction Description Amount New Balance 10/01/2022 10/01/2022 Withdrawal POS #227400846292 -18.37 1,233.34 7-ELEVEN 23 GOLDEN GATE BLV US NAPLES FL 10101 /2022 10/01/2022 Withdrawal at ATM #000000002743 -203.25 1,030.09 PAI ISO 740 BALD EAGLE DR MARCO ISLAND FL 10/01/2022 10/01/2022 Deposit Debit Card 700.00 1,730.09 Intuit Inc. VISA DIRECT CA Date 10/01 /22 14754962274648561485612 4829 10/01/2022 10/01/2022 Withdrawal POS #227400230258 -343.71 1,386.38 SAMS CLUB #6364 SAM'S Club NAPLES FL 10/01/2022 10/01 /2022 Deposit Debit Card 110.00 1,496.38 Intuit Inc- VISA DIRECT CA Continued on next page 800,999.5887 1813.621.7511 1 suncoastcreditunion.com I P.O. Box 11904, Tampa, FL 33680 C9 00 Packet Pg. 271 8.G.1 Member Number ^ " 32 � 10/01/2022 - 10/31 /2022 I Page 2 of 16 BUSINESS SMART CHECKING Suffix 0051 Transaction History (cen[Inued) Post Date Eff Date Transaction Description Amount New Balance Date 10/01/22 147549622746681716817164829 10101/2022 10/01/2022 Withdrawal POS #227423216816 -12,29 1,464.09 WINN-DIXIE #07 4849 GOL NAPLES FL 10/01/2022 10/01/2022 Withdrawal Debit Card -37.59 1,426.50 TEXACO 0303980 MARCO ISLAND FL 10/02/2022 10/01/2022 Withdrawal Debit Card -21.02 1,405,48 Netflix.com 408-5403700 CA 10/02/2022 10/01/2022 Deposit Debit Card 492.50 1,897.98 Intuit Inc. VISA DIRECT CA Date 10/01 /22 24754962274682311823110 4829 10/02/2022 10/02/2022 Withdrawal Debit Card -31.99 1,865.99 WWW.MUSCLEBOX.ME WWW.MUSCLEBOXNJ 10/02/2022 10/02/2022 Deposit Debit Card 240.00 2,105,99 Intuit Inc. VISA DIRECT CA Date 10/02/22 04754962275691621916215 4829 10/022022 10/02/2022 Withdrawal POS #95308100 -11,18 2,094.81 847 5100 GOLDEN GATE PKWY NAPLES FL 10/02/2022 10/02/2022 Deposit Debit Card 720.00 2,814.81 Intuit Inc. VISA DIRECT CA Date 10/02/22 04754962275705751057518 4829 10/02/2022 10/02/2022 Withdrawal Debit Card -31.25 2,783.56 PINCH A PENNY #160 MARCO ISLAND FL 10/02/2022 10/02/2022 Deposit Debit Card 100.00 2,883.56 Intuit Inc. VISA DIRECT CA Date 10/02/22 14754962275721811218111 4829 10/02/2022 10/02/2022 Withdrawal POS #227521471755 -99.34 2,784,22 THE HOME DEPOT#6348 NAPLES FL 10/03/2022 10/02/2022 Deposit Debit Card 125.00 2,909,22 Intuit Inc. VISA DIRECT CA Date 10/02/22 14754962275748541485419 4829 10/03/2022 10/03/2022 Deposit Debit Card 120.00 3,029,22 Intuit Inc. VISA DIRECT CA Date 10102/22 24754962275762181621812 4829 10/03/2022 10/03/2022 Deposit ACH INTUIT44365205 120.00 3,149.22 TYPE: DEPOSIT CO: INTUIT 44365205 10/03/2022 10/03/2022 Deposit ACH INTUIT 39851265 855.00 4,004.22 TYPE: DEPOSIT CO: INTUIT 39851265 10/03/2022 10/03/2022 Deposit Debit Card 127.73 4,131.95 VENMO*Guerra Mike New York City NY Date 10/03/22 04248182276115879158793 4829 10/03/2022 10/03/2022 Withdrawal ACH INTUIT 15979745 -25.56 4,105.39 TYPE: TRAN FEE CO: INTUIT 15979745 1 3/03/2022 10/0312022 Withdrawal ACH INTUIT 15941015 -28.55 4,076.84 TYPE: TRAN FEE CO: INTUIT 15941015 10/03/2022 10/03/2022 Withdrawal ACH INTUIT 16508375 -68.36 4,008.48 TYPE: TRAN FEE CO: INTUIT 16508375 10/03/2022 10/03/2022 Withdrawal ACH INTUIT 20779975 -3.73 4,004.75 TYPE: TRAN FEE CO. INTUIT 20779975 Continued on next page 800.999.5887 1813.621.7511 1 suncoastcreditunion.com P.O. Box 11904, Tampa, FL 33680 C9 00 Packet Pg. 272 8.G.1 Member Number 32I 10/01/2022 - 10/31/20221 Page 3 of 16 BUSINESS SMART CHECKING Suffix 0051 Transaction History (continued) Post Date Eff Date Transaction Description Amount New Balance 10/03/2022 10/03/2022 Withdrawal POS #227608122407 -29,56 3,975,19 CIRCLF K 09775 NAPLES FL 10/03/2022 10/03/2022 Deposit Debit Card 690.00 4,665.19 Intuit Inc. VISA DIRECT CA Date 10/03/22 04754962276803711037118 4829 10/03/2022 10/03/2022 Withdrawal POS #227600895688 -28,01 4,637.18 SAMS CLUB #6364 SAM'S Club NAPLES FL 10/03/2022 10/03/2022 Deposit Debit Card 220.00 4,857.18 Intuit Inc. VISA DIRECT CA Date 10/03/2214754962276860351603512 4829 10/04/2022 10/04/2022 Deposit ACH INTUIT 51222365 130.00 4,987.18 TYPE: DEPOSIT CO: INTUIT 51222365 10/04/2022 10/04/2022 Withdrawal Debit Card -2,719,67 2,267.51 SUPERIOR POOL - 415A 239-649-7705 FL 10/04/2022 10/04/2022 Withdrawal Debit Card -196.32 2,071.19 SUPERIOR POOL - 415A 239-649-7705 FL 10/04/2022 10/04/2022 Withdrawal Debit Card -57.55 2,013.64 JASON'S DELI NAPLES FL 10/0412022 10/04/2022 Withdrawal ACH INTUIT 21493115 -47.57 1,966.07 TYPE: TRAIN FEE CO. INTUIT 21493115 10/04/2022 10/04/2022 Withdrawal ACH INTUIT 27845115 -4,02 1,962,05 TYPE: TRAIN FEE CO: INTUIT 27845115 10/04/2022 10/04/2022 Withdrawal POS #227708387471 -8.60 1,953,45 CIRCLE K 09775 NAPLES FL 10/04/2022 10/04/2022 Withdrawal Transfer -100.00 1,853.45 To LOPEZ,MICHAEL A 700000CX Share 0050 10/04/2022 10/04/2022 Withdrawal POS #0088549 -48.87 1,804.58 PUBLIX 15265 COLLIER BLVD NAPLES FL 10/04/2022 10/04/2022 Deposit Debit Card 510.00 2,314.58 Intuit Inc. VISA DIRECT CA Date 10/04/22 04754962277988731887318 4829 10/04/2022 10/04/2022 Deposit Debit Card 110.00 2,424,58 Intuit Inc. VISA DIRECT CA Date 10/04/22 14754962277032531325311 4829 10/04/2022 10/04/2022 Withdrawal POS #227722178270 -2.12 2,422.46 THE HOME DEPOT #6348 NAPLES FL 10/05/2022 10/05/2022 Withdrawal ACH INTUIT 33688955 -25 43 2,397,03 TYPE: TRAIN FEE CO: INTUIT 33688955 10/05/2022 10/05/2022 Deposit Debit Card 110.00 2,507.03 Intuit Inc. VISA DIRECT CA Date 10/05/22 04754962278152571525718 4829 10/05/2022 10/05/2022 Withdrawal POS #227800303546 -27.13 2,479.90 7-ELEVEN 641 S. COLLIER BLV US MARCO FL 10/05/2022 10/05/2022 Withdrawal Transfer -100.00 2,379.90 To GUERRA,MICHAEL X)00000000C Share 0050 10/06/2022 10/06/2022 Withdrawal Debit Card -9.63 2,370.27 PINCH A PENNY #160 MARCO ISLAND FL Continued on next page 800,999,5887 1 813.621.7511 1 suncoastcreditunion.com I P.O. Box 11904, Tampa, FL 33680 C9 00 Packet Pg. 273 8.G.1 Member Number: 32I 10/01 /2022 - 10131/20221 Page 4 of 16 BUSINESS SMART CHECKING Suffix 0051 Transaction History (continued) Post Date Eff Date Transaction Description Amount New Balance 10/06/2022 10/06/2022 Recurring Withdrawal Debit Card -37.44 2,332.83 ONSTAR SERVICES 888-40NSTAR MI 10/06/2022 10/06/2022 Withdrawal Debit Card -106.26 2,226.57 SUPERIOR POOL - 415A 239-649-7705 FL 10/06/2022 10/06/2022 Withdrawal Debit Card -27.53 2,199.04 SUPERIOR POOL - 415A 239-649-7705 FL 10/06/2022 10/06/2022 Withdrawal Debit Card -150.98 2,048,06 SUPERIOR POOL - 415A 239-649-7705 FL 10/06/2022 10/06/2022 Withdrawal Debit Card -496.83 1,551,23 SUPERIOR POOL - 415A 239-649-7705 FL 10/06/2022 10/06/2022 Withdrawal ACH INTUIT 41321165 -4 54 1,546.69 TYPE: TRAN FEE CO: INTUIT 41321165 10/06/2022 10/06/2022 Deposit Debit Card 108.08 1,654.77 VENMO*Guerra Mike New York City NY Date 10/06/22 04248182279595653956535 4829 10/06/2022 10/06/2022 Withdrawal POS #227908476S67 -35.22 11619,55 RACETRAC2401 NAPLESFL 10/06/2022 10/06/2022 Withdrawal POS #227908814341 -53.17 1,566.38 RACFTRAC2401 NAPLESFL 10/06/2022 10/06/2022 Deposit Debit Card 2,744.75 4,311.13 Intuit Inc. VISA DIRECT CA Date 10/06/22 04754962279306151061518 4829 10/06/2022 10/06/2022 Withdrawal Debit Card -17.77 4,293.36 XPRESS-MARTMARCO ISLAND FL 10/06/2022 10/06/2022 Deposit Debit Card 110.00 4,403.36 Intuit Inc. VISA DIRECT CA Date 10/06/22 14754962279348181481812 4829 10/06/2022 10/06/2022 Deposit Debit Card 127.73 4,531.09 VENMO*Guerra Mike New York City NY Date 10/06/22 14248182279150785507853 4829 10/06/2022 10/06/2022 Deposit Debit Card 350.00 4,881.09 Intuit Inc. VISA DIRECT CA Date 10/06/22 14754962279374071740713 4829 1 W07/2022 10/07/2022 Deposit Debit Card 210.00 5,091.09 Intuit Inc. VISA DIRECT CA Date 10/06/22 14754962279405421054219 4829 10/07/2022 10/07/2022 Withdrawal Debit Card -240.00 4,851_09 BEST VERSION MEDIA 262-7650534 WI 10/07/2022 10/07/2022 Withdrawal Debit Card -35.52 4,815.57 SUPERIOR POOL-415A 239-649-7705 FL 10/07/2022 10/072022 Withdrawal Debit Card -527.02 4,288.55 SUPERIOR POOL-415A 239-649-7705 FL 10/07/2022 10/07/2022 Withdrawal Debit Card -234.72 4,053.83 SUPERIOR POOL - 415A 239-649-7705 FL 10/07/2022 10/07/2022 Withdrawal Debit Card -141.13 3,912.70 SUPERIOR POOL - 415A 239-649-7705 FL 10/07/2022 10/07/2022 Withdrawal Debit Card -415.83 3,496.87 SUPERIOR POOL - 415A 239-649-7705 FL Continued on next page 800.999.5887 1 813.621.7511 1 suncoastcreditunion.com P.O. Box 11904, Tampa, FL 33680 C9 00 Packet Pg. 274 8.G.1 Member dumber: 132110/01/2022- 10131120221 Page 5 of 16 BUSINESS SMART CHECKING Suffix 0051 Transaction History (continued) Post Date Eff Date Transaction Description Amount New Balance 10/07/2022 10/07/2022 Withdrawal Debit Card -9.41 3,487.46 POLLO TROPICAL 10087 NAPLES FL 10/07/2022 10/07/2022 WithdrawalACH INTUIT48134635 -126.75 3,360.71 TYPE: TRAIN FEE CO: INTUIT 48134635 10/07/2022 10/07/2022 Withdrawal Debit Card -169.00 3,191.71 3UTCHERBOX, LLC HTTPSWWW.BUTC MA 10/07/2022 10/07/2022 Deposit Debit Card 280.00 3,471.71 Intuit Inc. VISA DIRECT CA Date 10/07/22 04754962280461281612818 4829 10/07/2022 10/07/2022 Withdrawal Debit Card -10.04 3,461.67 XPRESS-MART MARCO ISLAND FL 10/07/2022 10/07/2022 Withdrawal POS #11899900 -17.52 3,444.15 CHEVRON/PIONEER OIL CO 6001 BOLLINGER CANYON R MARCO FL 10/07/2022 10/07/2022 Deposit by Check 880.00 4,324.15 10/07/2022 10/07/2022 Withdrawal -1,000.00 3,324,15 10/07/2022 10/07/2022 Deposit Debit Card 125.00 3,449.15 Intuit Inc. VISA DIRECT CA Date 10/07/2214754962280505811058112 4829 10/07/2022 10/07/2022 Withdrawal POS #13546500 -40.00 3,409.15 MALL STATION 1890 NW 107TH AVE MIAMI FL 10/08/2022 10/07/2022 Deposit Debit Card 149.03 3,558,18 Intuit Inc. VISA DIRECT CA Date 10/07/22 14754962280564941649419 4829 10/08/2022 10/08/2022 Withdrawal Debit Card -891.95 2,666,23 SUPERIOR POOL - 415A 239-649-7705 FL 10/08/2022 10/08/2022 Withdrawal Debit Card -219.25 2,446,98 SUPERIOR POOL -415A 239-649-7705 FL 10/08/2022 10/08/2022 Withdrawal Debit Card -26.64 2,420,34 SUPERIOR POOL - 415A 239-649-7705 FL 10/08/2022 10/08/2022 Withdrawal Debit Card -1,694.10 726.24 SUPERIOR POOL -415A 239-649-7705 FL 10/08/2022 10/08/2022 Withdrawal Debit Card -18.81 707.43 POLLO TROPICAL 10204 NAPLES FL 10/08/2022 10/08/2022 Deposit Debit Card 3,591.25 4,298.68 Intuit Inc. VISA DIRECT CA Date 10/08/22 04754962281596401964018 4829 10/08/2022 10/08/2022 Withdrawal POS #0110749 -30.22 4,268.46 PUBLIX 3304 BONITA BEACH ROAD BONITA SPRING FL 10/08/2022 10/08/2022 Withdrawal at ATM 4000000007737 -400.00 3,868.46 SUNCOAST CREDIT UNION 12055 COLLIER BLVD NAPLES FL 10/09/2022 10/08/2022 Deposit Debit Card 115.00 3,983.46 Intuit Inc. VISA DIRECT CA Date 10/08/22 14754962281637951379519 4829 10/09/2022 10/09/2022 Withdrawal Debit Card -17.68 3,965.78 MARCO ACE HARDWARE MARCO ISLAND FL Continued on next page 800.999.5897 1813.621.7511 1 sun coastcreditunion.com P.O. Box 11904, Tampa, FL 33680 a w c E t U f6 Q Packet Pg. 275 8.G.1 Member Number: 32110/01/2022 - 10/31/20221 Page 6 of 16 BUSINESS SMART CHECKING Suffix 0059 Transaction History (continued) Post Date Eff Date Transaction Description Amount New Balance 10/09/2022 10/09/2022 Withdrawal POS #228207242519 -79.18 3,886.60 SHELL SERVICE STATION NAPLES FL 10/09/2022 10/09/2022 Withdrawal POS#228209509269 -40.64 3,845,96 SPROUTS FARMERS MARKET # NAPLES FL 10/09/2022 10/09/2022 Withdrawal Debit Card -10.21 3,835.75 XPRESS-MART MARCO ISLAND FL 10/09/2022 10/09/2022 Recurring Withdrawal Debit Card -129,39 3,706,36 AFFIRM * PAY 5E1 G5CNC 855-423-3729 CA 10/10/2022 10/10/2022 Recurring Withdrawal Debit Card -67.50 3,638.86 SKIMMER POOL SOFTWARE HTTPSGETSKIMM TX 10/10/2022 10/10/2022 Withdrawal POS #228300057197 -12.98 3,625.88 7-ELEVEN 860 7TH AVE NORTH US NAPLES FL 10/10/2022 10/10/2022 Withdrawal Debit Card -47.08 3,578.80 JOOYCAR* FLEETR HTTPSJOOYCAR. CA 10/10/2022 10/10/2022 Withdrawal POS #228317023875 -9.37 3,569.43 SPROUTS FARMERS MARKET # NAPLES FL 10/10/2022 10/10/2022 Withdrawal POS #228356000027 -308.08 3,261.35 NNT FIT21RUN NAPLES 000713 1810 TAMIAMI TRAIL N NAPLES FL 10/11/2022 10111 /2022 Withdrawal POS #228400434473 -8.70 3,252.65 7-ELEVEN 14267 COLLIER BLVD US NAPLES FL 10/11/2022 10/11/2022 Withdrawal Debit Card -169,68 3,082.97 SUPERIOR POOL - 415A 239-649-7705 FL 10/11/2022 10/11/2022 Withdrawal ACH INTUIT51339485 -25.25 3,057.72 TYPE: TRAIN FEE CO. INTUIT 51339485 10/11/2022 10/11/2022 Withdrawal ACH I NTU IT 57731875 -147.12 2,910.60 TYPE TRAIN FEE CO, INTUIT 57731875 10/11/2022 10/11/2022 Withdrawal ACH INTUIT 61752585 -4.74 2,905.86 TYPE: TRAIN FEE CO: INTUIT 61752585 10/11/2022 10/11/2022 Withdrawal POS #228407404913 -41.35 2,864.51 845 NAPLES FL 10/11/2022 10/11/2022 Withdrawal POS #49206300 -15.86 2,848.65 845 6300 DAVIS BLVD NAPLES FL 10/11/2022 10/11/2022 Deposit Debit Card 410.00 3,258,65 Intuit Inc. VISA DIRECT CA Date 10111 /22 04754962284844101441017 4829 10/11/2022 10/11/2022 Withdrawal POS #228400739451 -44.67 3,213,98 7-ELEVEN 641 S. COLLIER BLV US MARCO FL 10/11/2022 10/11/2022 Deposit by Check 2,155.00 5,368,98 10/11/2022 10/11/2022 Withdrawal POS #228500159502 -5.35 5,363.63 7-ELEVEN 4704 GOLDEN GATE P US NAPLES FL 10/11/2022 10/11/2022 Withdrawal Debit Card -28.32 5,335.31 HOMEDEPOT.COM 800-430-3376 GA 10/11/2022 10/11/2022 Withdrawal Debit Card -10 67 5,324.64 HOMEDEPOT.COM 800-430-3376 GA 10/11/2022 10/11/2022 Deposit Debit Card 115.00 5,439.64 Intuit Inc VISA DIRECT CA Date 10/11 /22 14754962284939481394816 4829 Continued on next page 800.999.5887 1 813,621,7511 1 suncoastcreditunion.com P.O. Box 11904, Tampa, FL 33680 C9 00 Packet Pg. 276 8.G.1 Member Number: 932I 10/01 /2022 - 10/31 /2022 I Page 7 of 16 BUSINESS SMART CHECKING Suffix 0051 Transaction History (co,ltinued) Post Date Eff Date Transaction Description Amount New Balance 10/12/2022 10/12/2022 Withdrawal Debit Card -89.22 5,350A2 SUPERIOR POOL - 415A 239-649-7705 FL 10/12/2022 10/12/2022 Withdrawal Adjustment Debit Card Credit Voucher 142.66 5,493.08 SUPERIOR POOL-415A NAPLES FL 10/12/2022 10/12/2022 Withdrawal Debit Card -18.81 SA74.27 POLLO TROPICAL 10087 NAPLES FL 10/12/2022 10/12/2022 Withdrawal ACH INTUIT 74199935 -16.75 5,457,52 TYPE: TRAN FEE CO: INTUIT 74199935 10/12/2022 10/12/2022 Deposit Debit Card 130.00 5,587,52 Intuit Inc. VISA DIRECT CA Date 10/12/22 14754962285039891398912 4829 10/12/2022 10/12/2022 Deposit by Check 845,00 6,432,52 10/12/2022 10/12/2022 Withdrawal Debit Card -22.99 6,409,53 AMZN Mktp US*1 K7532B92 Amzn.com/bill WA 10/13/2022 10/12/2022 Withdrawal Debit Card -31.54 6,377.99 AMAZON.COM*HT44F8JW0 AM AMZN.COM/BILL WA 10/13/2022 10/132022 Withdrawal Debit Card -18.03 6,359.96 MARCO ISLAND FOOD STORE MARCO ISLAND FL 10/13/2022 10/13/2022 Deposit Debit Card 120.00 6,479.96 Intuit Inc. VISA DIRECT CA Date10/12/22 24754962285106571065712 4829 10/13/2022 10/13/2022 Withdrawal Debit Card -160.49 6,319.47 SUPERIOR POOL-415A 239-649-7705 FL 10/13/2022 10/13/2022 Withdrawal Debit Card -73.95 6,245.52 SUPERIOR POOL - 415A 239-649-7705 FL 10/13/2022 10/13/2022 Withdrawai Debit Card -518.46 5,727.06 SUPERIOR POOL - 41 SA 239-649-7705 FL 10/13/2022 10/13/2022 Withdrawal POS #228605807148 -43.05 5,684.01 CIRCLE K 07488 NAPLES FL 10/13/2022 10/13/2022 Withdrawal ACH INTUIT 77384535 -10.06 5,673.95 TYPE: TRAN FEE CO: INTUIT 77384535 10/13/2022 10/13/2022 Withdrawal POS #228600349457 -17.25 5,656.70 7-ELEVEN 860 7TH AVE NORTH US NAPLES FL 10/13/2022 10/13/2022 Deposit by Check 2,342.12 7,998.82 10/13/2022 10/13/2022 Withdrawal -1,100,00 6,898.82 10/132022 10/13/2022 Deposit Debit Card 529,65 7,428.47 Intuit Inc. VISA DIRECT CA Date 10/13/22 04754962286118201182016 4829 10/14/2022 10/13/2022 Withdrawal Debit Card -196.31 7,232.16 POOL SUPPLY UNLIMITED 888-836-6025 CA 10/14/2022 10/14/2022 Recurring Withdrawal Debit Card -37.44 7,194.72 ONSTAR SERVICES 888-40NSTAR MI 10114/2022 10/14/2022 Deposit ACH INTUIT 06675985 5,400.00 12,594.72 TYPE: DEPOSIT CO: INTUIT 06675985 10114/2022 10/14/2022 Withdrawal ACH INTUIT 84418085 -25,84 12,568,88 TYPE: TRAN FEE CO: INTUIT 84418085 10/14/2022 10/14/2022 Withdrawal ACH INTUIT 83420515 -156.85 12,412.03 TYPE: TRAN FEE CO: INTUIT 83420515 Continued on next page 800.999.5887 1 813.621.7511 1 suncoastcred itunion.com I P.O. Box 11904, Tampa, FL 33680 C9 00 Packet Pg. 277 8.G.1 Member Number 32110/01 /2022 - 10/31/20221 Page 8 of 16 BUSINESS SMART CHECKING Suffix 0051 Transaction History (continued) Post Date Eff Date Transaction Description Amount New Balance 10/14/2022 10/14/2022 Withdrawal ACH GM Financial -577.77 11,834.26 TYPE: GMF Pyrnt CO: GM Financial 10/14/2022 10/14/2022 Withdrawal Debit Card -783.58 11,050.68 SUPERIOR POOL - 415A 239-649-7705 FL 10/14/2022 10/14/2022 Withdrawal Debit Card -68.94 10,981.74 SUPERIOR POOL - 415A 239-649-7705 FL 10/14/2022 10/14/2022 Withdrawal Debit Card -348.76 10,632.98 SUPERIOR POOL - 415A 239-649-7705 FL 10/14/2022 10/14/2022 Withdrawal Debit Card -152.23 10,480.75 SUPERIOR POOL - 415A 239-649-7705 FL 10/14/2022 10/14/2022 Withdrawal Debit Card -1,500.00 8,980.75 SUPERIOR POOL - 415A 239-649-7705 FL 10/14/2022 10/14/2022 Withdrawal Debit Card -1,400.00 7,580.75 SUPERIOR POOL - 415A 239-649-7705 FL 10/14/2022 10/14/2022 Withdrawal Debit Card -96.95 7,483.79 SUPERIOR POOL - 415A 239-649-7705 FL 10/14/2022 10/14/2022 Withdrawal Debit Card -24.37 7,459.42 TROPICAL SMOOTHIE CAFE 239-9708866 FL 10/14/2022 10/14/2022 Withdrawal Debit Card -40.65 7,418.77 AMZN Mktp US*1 K7BX2KW2 Amzn.com/bill WA 10/14/2022 10/14/2022 Withdrawal -800.00 6,618.77 10/14/2022 10/14/2022 Withdrawal Debit Card -309.45 6,309,32 VERIZON WRL MYACCT VE 800-9220204 CA 10/14/2022 10/14/2022 Withdrawal Debit Card -30.00 6,279.32 HOOT'S OF MARCO BREAKFA MARCO ISLAND FL 10/15/2022 10/14/2022 Withdrawal Debit Card -25.52 6,253.80 CHICK-FIL-A#04405 NAPLES FL 10/15/2022 10/14/2022 Withdrawal Debit Card -12.08 6,241.72 CHICK-FIL-A #04405 NAPLES FL 10/15/2022 10/14/2022 Withdrawal Debit Card -15.33 6,226.39 CHICK-FIL-A#04405 NAPLES FL 10/15/2022 10/15/2022 Withdrawal Debit Card -70.83 6,155.56 TEXACO 0303980 MARCO ISLAND FL 10/15/2022 10/15/2022 Withdrawal Debit Card -578.19 5,577.37 SUPERIOR POOL - 415A 239-649-7705 FL 10/15/2022 10/15/2022 Withdrawal Debit Card -180.34 5,397.03 SUPERIOR POOL - 415A 239-649-7705 FL 10/15/2022 10/15/2022 Withdrawal Debit Card -1,090.93 4,306.10 SUPERIOR POOL-415A 239-649-7705 FL 10/15/2022 10/15/2022 Withdrawal Adjustment Debit Card Credit Voucher 16.45 4,322.55 SUPERIOR POOL - 415A NAPLES FL 10/15/2022 10/15/2022 Withdrawal Debit Card -142.27 4,180.28 IN *SUNSHINE STITCHERS 239-9700200 FL 10/15/2022 10/15/2022 Withdrawal Debit Card -9.41 4,170.87 POLLO TROPICAL 10087 NAPLES FL 10/15/2022 10/15/2022 Withdrawal POS #0024711 -63.12 4,107.75 PUBLIX 7101 RADIO RD NAPLES FL 10/15/2022 10/15/2022 Withdrawal POS #228800897296 -8.84 4,098.91 Continued on next page 800.999.5887 1 813.621.7511 1 sunccastcreditunion,com I P.O. Box 11904, Tampa, FL 33680 C9 00 Packet Pg. 278 8.G.1 Member Number: 132I 10/01/2022 - 10/31/20221 Page 9 of 16 BUSINESS SMART CHECKING Suffix 0051 Transaction History (continued) Post Date Eff Date Transaction Description Amount New Balance 7-ELEVEN 3701 SANTA BARBARA US NAPLES FL 10/15/2022 10/15/2022 Withdrawal -1,000.00 3,098.91 10/15/2022 10/15/2022 Withdrawal Debit Card -18.52 3,080.39 XPRESS-MART MARCO ISLAND FL 10/15/2022 10/15/2022 Withdrawal POS #228800742860 -4.92 3,075.47 7-ELEVEN 860 7TH AVE NORTH US NAPLES FL 10/15/2022 10/15/2022 Recurring Withdrawal Debit Card -55.00 3,020.47 INTUIT *QBooks Online CL.INTUIT.COM CA 10/15/2022 10/15/2022 Withdrawal POS #228818507041 -114.98 2,905.49 GNC #5732 NAPLES FL 10/16/2022 10/15/2022 Withdrawal Debit Card -121.49 2,784.00 VENMO *ORBEEZ GUNS 855-812-4430 NY 10/16/2022 10/16/2022 Withdrawal POS #228900697360 -8.13 2,775.87 7-ELEVEN 860 7TH AVE NORTH US NAPLES FL 10/16/2022 10/16/2022 Withdrawal POS #228921062930 -18.22 2,757.65 WINN DIXIE #2515 7575 VAN NAPLES FL 10/16/2022 10/16/2022 Withdrawal POS #229000952195 -7.84 2,749.81 7-ELEVEN 14267 COLLIER BLVD US NAPLES FL 10/16/2022 10/16/2022 Withdrawal Debit Card -41.95 2,707.86 SP BUFF DUDES STORE.BUFFDUD OR 10/17/2022 10/17/2022 Deposit Debit Card 1,325.00 4,032.86 Intuit Inc. VISA DIRECT CA Date 10/16/22 24754962289516101161010 4829 10/17/2022 10/17/2022 Withdrawal Debit Card -23.53 4,009.33 AMZN Mktp US*HT21X5UD0 Amzn.com/bill WA 10/17/2022 10/17/2022 Withdrawal Debit Card -17.29 3,992.04 AMZN Mktp US*HT7HB76L1 Amzn.com/bill WA 10/17/2022 10/17/2022 Deposit ACH INTUIT 17770275 563.89 4,555,93 TYPE: DEPOSIT CO: INTUIT 17770275 10/172022 10/17/2022 Withdrawal ACH INTUIT 94622145 -16.60 4,539.33 TYPE: TRAN FEE CO: INTUIT 94622145 10/17/2022 10/17/2022 Withdrawal ACH Synchrony Bank -98.00 4,441.33 TYPE: CC PYMT CO. Synchrony Bank NAME: MICHAEL GUERRA 10/17/2022 10/17/2022 Withdrawal POS #229007352225 -3.52 4,437.81 CIRCLE K # 23989 NAPLES FL 10/17/2022 10/17/2022 Withdrawal POS #229011613567 -9.33 4,428.48 WALGREENS STORE 6029 PINE NAPLES FL 10/17/2022 10/17/2022 Withdrawal POS #229003250740 -34.00 4,394.48 NNT SUNSHINE ACE-N001367 141 TAMAMI TRAIL N NAPLES FL 10/17/2022 10/17/2022 Deposit by Check 2,840.66 7,235.14 10/17/2022 10/17/2022 Withdrawal -1,500.00 5,735.14 10/18/2022 10/18/2022 Withdrawal Debit Card -14.74 5,720.40 MARCO ISLAND FOOD STORE MARCO ISLAND FL 10/18/2022 10/18/2022 Deposit ACH INTUIT 32953425 230.00 5,950.40 TYPE: DEPOSIT CO: INTUIT 32953425 Continued on next page 800.999.5887 1813.621.7511 1 suncoastcreditunion.com I P.O. Box 11904, Tampa, FL 33680 0 00 Packet Pg. 279 8.G.1 Member Number: 32I 10/01 /2022 - 10/31/20221 Page 10 of 16 BUSINESS SMART CHECKING Suffix 0051 Transaction History (continued) Post Date Eff Date Transaction Description Amount New Balance 10/18/2022 10/18/2022 Withdrawal Debit Card -114.73 5,833.67 SUPERIOR POOL - 415A 239-649-7705 FL 10/18/2022 10/18/2022 Withdrawal Debit Card -115,51 5,720,16 SUPERIOR POOL - 415A 239-649-7705 FL 10/18/2022 10/18/2022 Withdrawal Debit Card -315.48 5,404.68 SUPERIOR POOL -415A 239-649-7705 FL 10/18/2022 10/18/2022 Withdrawal Debit Card -9.41 5,395.27 POLLO TROPICAL 10204 NAPLES FL 10/18/2022 10/18/2022 Withdrawal ACH INTUIT 04686235 -51,93 5,343.34 TYPE: TRAN FEE CO: INTUIT 04686235 10/18/2022 10/18/2022 Withdrawal ACH INTUIT 10037005 -6.92 5,336.42 TYPE: TRAN FEE CO: INTUIT 10037005 10/18/2022 10/18/2022 Withdrawal at ATM #000000002799 -103,25 5,233.17 PAI ISO 740 BALD EAGLE DR MARCO ISLAND FL 10/18/2022 10/18/2022 Withdrawal ATM Withdraw Fee -1.50 5,231.67 PAI ISO 740 BALD EAGLE DR MARCO ISLAND FL 10/18/2022 10/18/2022 Withdrawal POS #229178256559 -95.00 S,136.67 NNT SUNSHINE ACE-M002933 1720 SAN MARCO RD. MARCO ISLAND FL 10/18/2022 10/18/2022 Deposit Debit Card 105.00 5,241.67 Intuit Inc. VISA DIRECT CA Date 10/18/22 04754962291704501045018 4829 10/18/2022 10/18/2022 Withdrawal Debit Card -100.00 5,141.67 VENMO* San Jose CA 10/18/2022 10/18/2022 Withdrawal POS #229122445499 -35.25 5,106.42 WALGREENS STORE 4747 GOLD NAPLES FL 10/19/2022 10/19/2022 Deposit ACH INTUIT 3855404S 120.00 5,226.42 TYPE: DEPOSIT CO: INTUIT 38554045 10/19/2022 10/19/2022 Withdrawal Debit Card -135.14 5,091.28 SUPERIOR POOL - 415A 239-649-7705 FL 10/19/2022 10/19/2022 Withdrawal Debit Card -543.29 4,547.99 SUPERIOR POOL - 415A 239-649-7705 FL 10/19/2022 10/19/2022 Withdrawal Debit Card -3,068.29 1,479.70 SUPERIOR POOL -415A239-649-7705 FL 10/19/2022 10/19/2022 Withdrawal ACH INTUIT 15600105 -3.73 1,475.97 TYPE: TRAN FEE CO: INTUIT I S600105 10/19/2022 10/19/2022 Withdrawal ACH INTUIT 13929235 -4.35 1,471.62 TYPE: TRAN FEE CO: INTUIT 13929235 10/19/2022 10/19/2022 Deposit by Check RDC:70108394 110.00 1,581.62 10/19/2022 10/19/2022 Deposit by Check RDC:70108406 1 10.00 1,691.62 10/19/2022 10/19/2022 Withdrawal POS #229208532720 -57.64 1,633.98 WAWA 5238 NAPLES FL 10/19/2022 10/19/2022 Withdrawal POS#229208534265 -17.70 1,616.28 WAWA 5238 NAPLES FL 10/19/2022 10/19/2022 Deposit Debit Card 550.00 2,166.28 Intuit Inc. VISA DIRECT CA Date 10/19/22 04754962292803941039416 4829 Continued on next page 800.999.5887 1 813,621.7511 1 suncoastcreditunion.com I P.O. Box 11904, Tampa, FL 33680 C9 00 Packet Pg. 280 8.G.1 Member Numbei t21 10/01/2022 - 10/31/2022 1 Page 11 of 16 BUSINESS SMART CHECKING Suffix 0051 Transaction History (continued) Post Date Eff Date Transaction Description Amount New Balance 10/19/2022 10/19/2022 Withdrawal Debit Card -20.48 2,145,80 XPRESS-MART MARCO ISLAND FL 10/19/2022 10/19/2022 Deposit by Check 3,525.00 5,670.80 10/19/2022 10/19/2022 Withdrawal -500.00 5,170,80 10/19/2022 10/19/2022 Withdrawal POS #229223055523 -19,83 5,150.97 WIN N-DIXIE #074849 GOL NAPLES FL 10/20/2022 10/20/2022 Withdrawal Debit Card -126,26 5,024.71 SP YOUNGLA HTTPSYOUNGLA, CA 10/20/2022 10/20/2022 Withdrawal Debit Card -15.00 5,009.71 ONSTAR DATA PLAN -AT&T 888-466-7827 TX 10/20/2022 10/20/2022 Withdrawal Debit Card -180,73 4,828.98 SUPERIOR POOL - 415A 239-649-7705 FL 10/20/2022 10/20/2022 Withdrawal Debit Card -619.06 4,209,92 SUPERIOR POOL - 415A 239-649-7705 FL 10/20/2022 10/20/2022 Withdrawal Debit Card -9.41 4,200.51 POLLO TROPICAL 10087 NAPLES FL 10/20/2022 10/20/2022 Withdrawal ACH INTUIT 19051375 -21.95 4,17856 TYPE: TRANI FEE CO: INTUIT 19051375 10/20/2022 10/20/2022 Withdrawal POS#229309239639 -16.30 4,162.26 RACETRAC2401 NAPLES FL 10/20/2022 10/20/2022 Deposit Debit Card 8,555.95 12,718,21 Intuit Inc VISA DIRECT CA Date 10/20/22 04754962293961121611218 4829 10/20/2022 10/20/2022 Withdrawal POS #229316839427 -28.52 12,689.69 MARCO ACE HARDWARE MARCO ISLAND FL 10/20/2022 10/20/2022 Withdrawal -1,100.00 11,589.69 10/20/2022 10/20/2022 Deposit Transfer 2,500.00 14,089.69 From GUERRA,MICHAEL XXX0000000C Share 0000 10/20/2022 10/20/2022 Withdrawal Debit Card -69.53 14,020.16 30609 ATHLETICA HEALTH NAPLES FL 10/20/2022 10/20/2022 Withdrawal POS #229300279260 -557.90 13,462.26 SAMS CLUB #6364 SAM'S Club NAPLES FL 10/21/2022 10/20/2022 Recurring Withdrawal Debit Card -1,240.70 12,221.56 AFFIRM * PAYYTYA045T 855-423-3729 CA 10/21/2022 10/21/2022 Withdrawal Debit Card -29.74 12,191.82 PINCH A PENNY #160 MARCO ISLAND FL 10/21/2022 10/21/2022 Deposit ACH INTUIT 49135445 1,516,88 13,708.70 TYPE: DEPOSIT CO: INTUIT49135445 10/21/2022 10/21/2022 Recurring Withdrawal Debit Card -6,04 13,702,66 ONSTAR SERVICES 888-40NSTAR MI 10/21/2022 10/21/2022 Withdrawal Debit Card -124.25 13,578,41 SUPERIOR POOL - 415A 239-649-7705 FL 10/21/2022 10/21/2022 Withdrawal Debit Card -605,11 12,973,30 SUPERIOR POOL - 415A 239-649-7705 FL 10/21/2022 10/21/2022 Withdrawal Debit Card -55.88 12,917.42 SUPERIOR POOL - 41 SA 239-649-7705 FL 10/21/2022 10/21/2022 Withdrawal Debit Card -78,45 12,838.97 SUPERIOR POOL - 415A 239-649-7705 FL Continued on next page 800,999,5887 1813.621.7511 1 suncoastcreditunion.com i P.O. Box 11904, Tampa, FL 33680 C9 00 Packet Pg. 281 8.G.1 Member Number: 32I 10/01/2022 - 10/31/20221 Page 12 of 16 BUSINESS SMART CHECKING Suffix 0051 Transaction History (contlnued) Post Date Eff Date Transaction Description Amount New Balance 10/21/2022 10/21/2022 Withdrawai Debit Card -59.90 12,779.07 AMZN Mktp US*HB3PP3MW0 Amzn.com/bill WA 10/21/2022 10/21/2022 Withdrawal Debit Card -9.41 12,769.66 POLLO TROPICAL 10204 NAPLES FL 10/21/2022 10/21/2022 Withdrawal Debit Card -9.41 12,760,25 POLLO TROPICAL 10087 NAPLES FL 10/21/2022 10/21/2022 Recurring Withdrawal Debit Card -129.39 12,630.86 AFFIRM * PAY 18RO69S5 855-423-3729 CA 10/21/2022 10/21/2022 Withdrawal ACH INTUIT 26287495 -44.24 12,586.62 TYPE: TRAIN FEE CO- INTUIT 26287495 10/21/2022 10/21/2022 Withdrawal ACH INTUIT25728305 -334.18 12,252.44 TYPE: TRAN FEE CO: INTUIT 25728305 10/21/2022 10/21/2022 Withdrawal ACH APPLECARD GSBANK -773.17 11,479,27 TYPE: PAYMENT CO: APPLECARD GSBANK NAME: Michael Guerra 10/21/2022 10/21/2022 Withdrawal POS#229407554407 -24.29 11,454.98 CIRCLE K 07488 NAPLES FL 10/21/2022 10/21/2022 Withdrawal POS #229410333937 -21,95 11,433.03 SPROUTS FARMERS MARKET # NAPLES FL 1021/2022 10/21/2022 Withdrawal POS#229494276893 -32.08 11,400.95 NNT SUNSHINE ACE-G002191 11673 COLLIER BLVD. NAPLES FL 10/22/2022 10/2112022 Withdrawal Debit Card -500.00 10,900.95 GEICO *AUTO 800-841-3000 DC 10/22/2022 10/22/2022 Recurring Withdrawal Debit Card -6.41 10,894.54 HP *INSTANT INK 855-785-2777 CA 10/22/2022 10/22/2022 Withdrawal Debit Card -181.43 10,713.11 SUPERIOR POOL - 415A 239-649-7705 FL 10/22/2022 10/22/2022 Withdrawal POS 4229539281272 -28.61 10,684.50 NNT SUNSHINE ACE-G000610 11673 COLLIER BLVD. NAPLES FL 10/22/2022 10/22/2022 Withdrawal Debit Card -32.09 10,652.41 AMZN Mktp US*H86KZ8DP0 Amzn.com/bill WA 10/22/2022 10/22/2022 Withdrawal POS #229500932178 -5.28 10,647.13 7-ELEVEN 2135 TAM IAMI TRAIL US NAPLES FL 10/23/2022 1023/2022 Withdrawal at ATM 4229600004900 -204.00 10,443.13 REBEL # 846--636443 11655 COLLIER BLVD NAPLES FL 10/23/2022 10/23/2022 Withdrawal ATM Withdraw Fee -1.50 10,441.63 REBEL # 846-636443 11655 COLLIER BLVD NAPLES FL 10/23/2022 10/23/2022 Withdrawal POS #26851800 -449.31 9,992.32 SAMSCLUB #6364 2550 IMMOKALEE RD NAPLES FL 10/23/2022 10/23/2022 Withdrawal Debit Card -38.78 9,953.54 POLLO TROPICAL 10087 NAPLES FL 10/24/2022 10/24/2022 Withdrawal Debit Card -34.00 9,919.54 CORAL CAY NAPLES FL 10/24/2022 10/24/2022 Withdrawal ACH CAPITAL ONE -200.00 9,719.54 Continued on next page 800,999.5887 1 813,621.7511 1 suncoastcreditunion.com I P.O. Box 11904, Tampa, FL 33680 C9 00 Packet Pg. 282 8.G.1 Member Number: 32I 10/01 /2022 - 10/31/2022 � Page 13 of 16 BUSINESS SMART CHECKING Suffix 0051 Transaction History (coitinued) Post Date Eff Date Transaction Description Amount New Balance TYPE: MOBILE PMT CO: CAPITAL ONE 1 C12412022 10/24/2022 Withdrawal ACH CHASE CREDIT CRD -500.00 9,219.54 TYPE: EPAY CO: CHASE CREDIT CRD NAME: MICHAEL A GUERRA 10/24/2022 10/24/2022 Withdrawal POS #229700064400 -68.69 9,150.85 7-ELEVEN 3701 SANTA BARBARA US NAPLES FL 10/24/2022 10/24/2022 Withdrawal POS #229714291182 -57 70 9,093,15 NNT SUNSHINE ACE-M002806 1720 SAN MARCO RD. MARCO ISLAND FL 10/24/2022 10/24/2022 Withdrawal POS #229715305306 -63,11 9,03004 MARCO ACE HARDWARE MARCO ISLAND FL 10/24/2022 10/242022 Withdrawal Debit Card -44.99 8,98505 TST* FOOD AND THOUGHT 2 NAPLES FL 10/24/2022 10/24/2022 Deposit by Check 1,949.07 10,934.12 10/24/2022 10/24/2022 Withdrawal -700.00 10,234.12 10/24/2022 10/24/2022 Withdrawal POS #229715827808 -5.80 10,228.32 WAWA 5297 NAPLES FL 10/24/2022 10/24/2022 Withdrawal POS #37532900 -49.97 10,178.35 SAMSCLUB #6364 2550 IMMOKALEE RD NAPLES FL 10/25/2022 10/25/2022 Withdrawal Debit Card -800.00 9,378.35 SQ *GULF COAST CHAR 877-417-4551 FL 10/25/2022 10/25/2022 Withdrawal Debit Card -38.51 9,339.84 AMZN Mktp US*H889B27U1 Amzn.com/bill WA 10/25/2027 10/25/2022 Deposit ACH INTUIT 68918075 120.00 9,459.84 TYPE: DEPOSIT CO: INTUIT 68918075 10/25/2022 10/25/2022 Withdrawal Debit Card -211.18 9,248,66 SUPERIOR POOL - 415A 239-649-7705 FL 10/25/2022 10/25/2022 Withdrawal Debit Card -211,18 9,037,48 SUPERIOR POOL - 415A 239-649-7705 FL 10/25/2022 10/25/2022 Withdrawal Debit Card -211.18 8,82630 SUPERIOR POOL - 415A 239-649-7705 FL 10/25/2022 10/25/2022 Withdrawal Debit Card -211.18 8,615.12 SUPERIOR POOL - 415A 239-649-7705 FL 10/25/2022 10/25/2022 Withdrawal Debit Card -993.87 7,621.25 SUPERIOR POOL - 415A 239-649-7705 FL 10/25/2022 1025/2022 Withdrawal Adjustment Debit Card Credit Voucher 211.18 7,832,43 SUPERIOR POOL - 415A NAPLES FL 10/25/2022 10/25/2022 Withdrawal Adjustment Debit Card Credit Voucher 211,18 8,043,61 SUPERIOR POOL - 415A NAPLES FL 10/25/2022 10/25/2022 Withdrawal Adjustment Debit Card Credit Voucher 211.18 8,254.79 SUPERIOR POOL - 415A NAPLES FL 10/25/2022 10/25/2022 Withdrawal Adjustment Debit Card Credit Voucher 139.00 8,393.79 SAMS CLUB 46364 NAPLES FL 10/25/2022 10/25/2022 Withdrawal ACH INTUIT 46253365 -3.73 8,390.06 TYPE: TRAM FEE CO: INTUIT 46253365 10/25/2022 10/25/2022 Recurring Withdrawal Debit Card -533,48 7,856.58 VZWRLSS*APOCC VISE 800-922-0204 FL 10/25/2022 10/25/2022 Deposit Debit Card 240.00 8,096.58 Continued on next page 800.999.5887 1 813.621.7511 1 suncoastcreditunion.com I P.O. Box 11904, Tampa, FL 33680 C9 00 Packet Pg. 283 8.G.1 Member Number: __32I 10/01/2022 - 10/31/20221 Page 14 of 16 BUSINESS SMART CHECKING Suffix 0051 Transaction History (contln(+ed) Post Date Eff Date Transaction Description Amount New Balance Intuit Inc. VISA DIRECT CA Date 10/25/22 04754962298484941849418 4829 10/25/2022 10/25/2022 Withdrawal POS 4229822320893 -60.64 WALGREENS STORE 4747 GOLD NAPLES FL 10/25/2022 10/25/2022 Withdrawal POS #229822440538 -9.61 WINN-DIXIE #07 4849 GOL NAPLES FL 10/26/2022 10/26/2022 Deposit ACH INTUIT 74449255 125.00 TYPE: DEPOSIT CO: INTUIT 74449255 10/26/2022 10/26/2022 Withdrawal Debit Card -138.46 SUPERIOR POOL - 41 SA 239-649-7705 FL 10/26/2022 10/26/2022 Withdrawal Debit Card -1,103.52 SUPERIOR POOL - 415A 239-649-7705 FL 10/26/2022 10/26/2022 Withdrawal Debit Card -91.87 SUPERIOR POOL - 415A 239-649-7705 FL 10/26/2022 10/26/2022 Withdrawal Debit Card -23130 SUPERIOR POOL - 415A 239-649-7705 FL 10/26/2022 10/26/2022 Withdrawal ACH INTUIT 51715455 -3.88 TYPE: TRAIN FEE CO: INTUIT 51715455 10/26/2022 10/26/2022 Withdrawal ACH INTUIT 49962425 -9.87 TYPE: TRAIN FEE CO: INTUIT 49962425 10/26/2022 10/26/2022 Withdrawal POS #229908242509 -19.03 RACETRAC2522 NAPLES FL 10/26/2022 10/26/2022 Deposit Debit Card 1,152.60 Intuit Inc. VISA DIRECT CA Date 10/26/2214754962299657151571512 4829 10/27/2022 10/27/2022 Withdrawal Debit Card -67.03 CHEVRON 0383801 MARCO ISLAND FL 10/27/2022 10/27/2022 Withdrawal Debit Card -284.99 SQ *PRIMATE POOL TOOLS gosq.com CA 10/27/2022 10/27/2022 Withdrawal Debit Card -113.00 SP GYMSHARK INC HTtPSWWW.GYMS CO 10/27/2022 10/27/2022 Deposit ACH INTUIT 79781555 55.00 TYPE: DEPOSIT COS INTUIT 79781555 10/27/2022 10/27/2022 Withdrawal Debit Card -140.44 SUPERIOR POOL - 415A 239-649-7705 FL 10/27/2022 10/27/2022 Withdrawal Adjustment Debit Card Credit Voucher 93.49 SUPERIOR POOL - 415A NAPLES FL 10/27/2022 10/27/2022 Withdrawal Debit Card -22.12 POLLO TROPICAL 10087 NAPLES FL 10/27/2022 10/27/2022 Withdrawal Debit Card -24.37 TROPICAL SMOOTHIE CAFE 239-9708866 FL 10/27/2022 10/27/2022 Withdrawal ACH INTUIT 56952055 -45.46 TYPE: TRAIN FEE CO: INTUIT 56952055 10/27/2022 10127/2022 Withdrawal ACH INTUIT 57113775 -1.85 TYPE: TRAN FEE CO: INTUIT 57113775 10/27/2022 10/27/2022 Deposit Debit Card 912.63 Intuit Inc. VISA DIRECT CA Date 10/27/22 14754962300791321913212 4829 Continued on next page 800.999.5887 1813.621.7511 1 suncoastcreditunion.com P.O. Box 11904, Tampa, FL 33680 8,035.94 8,026.33 8,151.33 8,012.87 6,909.35 6,817.48 6,586.18 6,582.30 6,572.43 6,553.40 7,706.00 7,638.97 7,353.98 7,240.98 7,295.98 7,155.54 7,249.03 7,226.91 7,202.54 7,157.08 7,155.23 8,067.86 C9 00 Packet Pg. 284 8.G.1 Member Number: 32I 10/01/2022- 10/31/20221 Page 15 of 16 BUSINESS SMART CHECKING Suffix 0051 Transaction History (continued) Post Date Eff Date Transaction Description Amount New Balance 10/27/2022 10/27/2022 Withdrawal Debit Card -142.05 7,925.81 SP WOLFPAK HTTPSWOLFPAK. CA 10/28/2022 10/28/2022 Withdrawal Debit Card -111.17 7,814.64 SUPERIOR POOL - 415A 239-649-7705 FL 10/28/2022 10/28/2022 Withdrawal Debit Card -10.00 7,804,64 SQ *GULF COAST CHAR 877-417-4551 FL 10/28/2022 10/28/2022 Withdrawal ACH INTUIT 62727675 -36,10 7,768.54 TYPE: TRAIN FEE CO: INTUIT 62727675 10/28/2022 10/28/2022 Withdrawal POS #230110400126 -30.70 7,737,84 SPROUTS FARMERS MARKET# NAPLES FL 10/28/2022 10/28/2022 Withdrawal Transfer -630.00 7,107.84 To LOPEZ,MICHAEL A X=0000= Share 0050 10/29/2022 10/29/2022 Withdrawal Debit Card -12.00 7,095.84 CASH APP*ERIC ESPIN 8774174551 CA 10/29/2022 10/29/2022 Withdrawal Debit Card -437.35 6,658.49 ACI*GM FINANCIAL 800-252-9638 NE 10/29/2022 10/29/2022 Withdrawal Debit Card -199 76 6,458.73 SUPERIOR POOL - 415A 239-649-7705 FL 10/29/2022 10/29/2022 Withdrawal Debit Card -107.85 6,350.88 SUPERIOR POOL - 415A 239-649-7705 FL 10/29/2022 10/29/2022 Deposit Debit Card 80.00 6,430.88 Intuit Inc. VISA DIRECT CA Date 10/29/22 04754962302008071080713 4829 10/29/2022 10/29/2022 Withdrawal POS #230208223428 -3.98 6,426.90 CIRCLE K 07457 NAPLES FL 10/29/2022 10/29/2022 Withdrawal POS #230210255819 -5.35 6,421.55 SHELL SERVICE STATION NAPLES FL 10/29/2022 10/29/2022 Withdrawal POS #230200296702 -11.31 6,410.24 7-ELEVEN 140041MMOKALEE RD US NAPLES FL 10/29/2022 10/29/2022 Withdrawal -775.00 5,635.24 10/29/2022 10/29/2022 Withdrawal POS #230200124023 -407.92 5,227.32 TARGET T-2063 2415 Tarpon Bay Blvd Naples FL 10/30/2022 10/30/2022 Withdrawal Debit Card -52.18 5,175.14 DOMINO'S 5093 239-354-2444 FL 10/30/2022 10/30/2022 Withdrawal Debit Card -58.51 5,116.63 TST* SEED TO TABLE NAPLES FL 10/30/2022 10/30/2022 Withdrawal Debit Card -22.11 5,094.52 JII-EAST NAPLES NAPLES FL 10/30/2022 10/30/2022 Deposit Debit Card 110.00 5,204.52 Intuit Inc. VISA DIRECT CA Date 10/30/22 14754962303097081970812 4829 10/30/2022 10/30/2022 Withdrawal POS #230300068611 -114.26 5,090.26 OFFICE MAX/OFFI 5066 AIRPORT PULLING NAPLES FL 10/31/2022 10/31/2022 Withdrawal ACH INTUIT 71889615 -1.60 5,088.66 TYPE: TRAIN FEE CO: INTUIT 71889615 10/31/2022 10/31/2022 Withdrawal ACH INTUIT 76849125 -4.54 5,084.12 Continued on next page 800.999.5887 1813.621.7511 1 suncoastcreditunion.com I P.O. Box 11904, Tampa, FL 33680 C9 00 Packet Pg. 285 8.G.1 Member Number: 32110/01/2022 - 10/31/20221 Page 16 of 16 BUSINESS SMART CHECKING Suffix 0051 Transaction History (continued) Post Date Eff Date Transaction Description TYPE: TRAN FEE CO. INTUIT 76849125 10/31 /2022 10/31/2022 Deposit Debit Card Intuit Inc. VISA DIRECT CA Date 10/31/22 14754962304207681076812 4829 10/31 /2022 10/31 /2022 Withdrawal Debit Card VFRIZON WRLS 13952-01 NAPLES FL 10/31 /2022 10/31 /2022 Withdrawal Debit Card VERIZON WRLS 13952-01 NAPLES FL 10/31 /2022 10/31 /2022 Withdrawal Debit Card VERIZON WRLS 13952-01 NAPLES FL Total for this Statement Period ......... ......... ......... Total Overdraft Fees $0.00 ..... ... ... ............... ......................................._......... _......... ...._.................... .._....._..._................ _._.._ Total Returned Item Fees $0.00 Amount New Balance 1,853.10 6,937.22 -84.00 6,853,22 -56.00 6,797.22 -186.12 6,611.10 Total Year to Date $0.00 _... .... .... ............................ ..............._.._ $0.00 0 00 800.999.5887 1813.621.7511 1 suncoastcreditunion.com I P.O. Box 11904, Tampa, FL 33680 a=i E s �a r r Q Packet Pg. 286 Share and Loan List Page 1 of 1 ifSuncoast Credit Union Waterside Pool Service Of Marco Island L Account Type: LLC Member WATERSIDE POOL SERVICE OF MARCO ISLAND L WATERSIDE POOL SERVICE OF MARCO ISLAND L MICHAEL ANTHONY GUERRA MARIAM LEON MICHAEL ANT14ONY GUERRA MARIAM LEON PO BOX 66 MARCO ISLAND, FL 34146-0120 Base Relationship Type Birthdate Primary 05/01/2018 Mailing Only 05/01/2018 Authorized Signer S 0000 12/01/1985 Authorized Signer S 0000 03/28/1989 Authorized Signer S 0051 12/01/1985 Authorized Signer S 0051 03/28/1989 Share Description Maturity Date Available Balance S 0000 BUSINESS REGULAR SAVINGS [ N2] 4,205.82 4,210.82 S 0051 BUSINESS SMART CHECKING [ 2] 10,810.81 11,169.65 THIS IS TO CERTIFY THAT THIS IS A TRUE AND CORRECT COPY OF THE ORIGINAL,. SUNCOAST CREDIT UNION file:///C:lProgramData/Jack%20Henry%20and%20Associates/Episys%20For%20 W indow... 1 / 11 /2023 a 00 a� U f6 Q Packet Pg. 287 _ 32 WATERSIDE POOL S Transaction Summary Post Date ID Eff Date Transaction Trans Amt Balance_Chg int/Pnity Fees %% ACH Trace 021000026152809 TYPE: DEPOSIT CO: INTUIT 72380225 01/0912023 S 0051 01/09/2023 ACH Deposit 115.00 115.00 0.00 0.00 %% Card 30 #3605 Date 01 /08/23 14754963008943261432617 4829 Intuit Inc. VISA DIRECT CA 01/09/2023 S 0051 [01/0812023] Debit Card D... 125.00 125.00 0.00 0.00 %% Card 30 #3605 Date 01 /08/23 24692163008108151039247 5942 AMZN Mktp US'BE4F94JG3 Amzn.com/bill WA 01/08/2023 S 0051 01/0812023 Debit Card W... 84.52 -84.52 0,00 0.00 %% Card 30 #3605 Date 01 /08/23 14754963008931951319512 4829 Intuit Inc. VISA DIRECT CA 01/08/2023 S 0051 01/0812023 Debit Card D... 130.00 130.00 0.00 0.00 %% Card 30 #3605 SPROUTS FARMERS MARKET # NAPLES FL 01/08/2023 S 0051 01/08/2023 POS Withdra... 47.53 -47.53 0.00 0.00 %% Card 30 #3605 7-ELEVEN 1252 IMMOKALEE RD US NAPLES FL 01/08/2023 S 0051 01/08/2023 POS Withdra... 5.35 -5.35 0.00 0.00 %% Card 30 #3605 Date 01/06/23 24692163007107593302248 5399 IN "SUNSHINE STITCHERS MARCO ISLAND FL 01/08/2023 S 0051 [01/0712023) Debit Card W... 733.19-733.19 0.00 0.00 %% Card 30 #3605 W INN DIXIE #2515 7575 VAN NAPLES FL 01/07/2023 S 0051 01/07/2023 POS Withdra... 8.34 -8.34 0.00 0.00 %% Card 30 #3605 WINN DIXIE #2515 7575 VAN NAPLES FL 01/07/2023 S 0051 01/07/2023 POS Withdra... 47.46 -47.46 0.00 0.00 Not all available transaction history is displayed here THIS IS TO CERTIFY THAT THIS IS ATRUE AND CORRECT COPY OF T ORIGI _ L. SUNCOAST CREDIT UNION Page 3 8.G.1 New Balance Description W U 9,057.94 INTUIT 72380225 = U t- tn 8,942.94 iy O 8,817.94 Q H Z 8,902.46 O U C9 Z 8,772.46 #300812990126 V 8,819.99 #300800673819 y Q IL J 8,825.34 O O a 9,558.53 #300723311412 Z 9,566.87 #300723217378 cz 0 00 Packet Pg. 288 8.G.1 32 WATERSIDE POOL S Transaction Summary Post Date ID Eff Date Transaction TransAmt Balance Chg Int/Pnity Date 01 /09/23 14754963009066291662918 4829 Intuit Inc. VISA DIRECT CA 01/10/2023 S 0051 [01109/2023] Debit Card D... 120.00 120.00 0.00 %% Card 30 #3613 COSTCO GAS #0354 NAPLES FL 01/09/2023 S 0051 01/09/2023 POS Withdra... 27.21 -27.21 0.00 ova% Card 30 #3605 PLAYSTATION NETWORK FOSTER CITY CA 01/09/2023 S 0051 01/09/2023 POS Withdra... 78.97 -78.97 0.00 %% Card 30 #3605 WINN-DIXIE #07 4849 GOL NAPLES FL 01/09/2023 S 0051 01/09/2023 POS Withdra... 37.03 -37.03 0.00 %% Card 30 #3605 Date 01 /09/23 14754963009034781347813 4829 Intuit Inc. VISA DIRECT CA 01/09/2023 S 0051 01 /0912023 Debit Card D... 105.00 105.00 0.00 %% Card 30 #3605 Date 01/09/23 04754963009986121861219 4829 Intuit Inc. VISA DIRECT CA 01/09/2023 S 0051 01/09/2023 Debit Card D... 115.00 115.00 0.00 %% Card 30 #3605 WAWA 5238 NAPLES FL 01/09/2023 S 0051 01/09/2023 POS Withdra... 67.94 -67.94 0.00 %% Card 30 #3605 WAWA 5238 NAPLES FL 01/09/2023 S 0051 01/09/2023 POS Withdra... 16.23 -16.23 0.00 %% ACH Trace 021000026016957 TYPE: TRAN FEE CO: INTUIT 56556325 01/09/2023 S 0051 01/09/2023 ACH Withdra... 14.54 -14.54 0.00 %% ACH Trace 021000026037155 TYPE: TRAN FEE CO: INTUIT 57211005 01/09/2023 S 0051 01/09/2023 ACH Withdra... 3.59 -3.59 0.00 %% ACH Trace 021000026075533 TYPE: TRAM FEE CO: INTUIT 59894865 01/09/2023 S 0051 0110912023 ACH Withdra... 2.60 -2.60 0.00 %% ACH Trace 021000020017504 TYPE: TRAM FEE CO: INTUIT 48458315 01/09/2023 S 0051 01/09/2023 ACH Withdra... 99.76 -99.76 0.00 %% ACH Trace 021000020030402 TYPE: TRAN FEE CO: INTUIT 49619875 01/09/2023 S 0051 01/09/2023 ACH Withdra... 53.81 -53.81 0.00 %% ACH Trace 021000029801285 TYPE: DEPOSIT CO: INTUIT 65292155 01/09/2023 S 0051 01/09/2023 ACH Deposit 1,846.85 1,846,85 0.00 Page 2 Fees New Balance De 0.00 10,843.11 0.00 10,723.11 #300920654217 0.00 10.750.32 #300919220175 0.00 10,829.29 #300923364634 0.00 10,866.32 0.00 10,761.32 0.00 10,646.32 #300909884407 0.00 10,714.26 #300909279377 0.00 10,730.49 INTUIT 56556325 0.00 10,745.03 INTUIT 57211005 0.00 10,748.62 INTUIT 59894865 0.00 10,751.22 INTUIT 48458315 ' 0.00 10.850,98 INTUIT 49619875 0.00 10,904.79 INTUIT 65292155 i C9 00 Packet Pg. 289 0006382932 WATERSIDE POOL S Transaction Summary 8.G.1 Post Date ID 01/10/2023 S 0051 01/10/2023 S 0051 01/10/2023 S 0051 01/10/2023 S 0051 01/10/2023 S 0051 01/10/2023 S 0051 01/10/2023 S 0051 01/10/2023 S 0051 01/10/2023 S 0051 01/10/2023 S 0051 01/10/2023 S 0051 Eff Date Transaction Trans Amt Balance Chg Int/Pnity Fees New Balance Description %% Card 30 #3605 Date 01/10123 24692163010109646667960 6012 AFFIRM ' PAY A227A6LH 855-423-3729 CA 01/10/2023 Debit Card W... 200.00-200.00 0.00 0.00 9,614.08 %% Card 30 #3605 Date 01/10/23 24193043010003314501643 5996 ISLANDER PATIO AND POOL MARCO ISLAND FL 01/1012023 Debit Card W... 42.79 -42.79 0.00 0.00 9,814.08 %% Card 30 #3605 FL 841 12030 BONITA BEACH RD S BONITA SPRING 01/10/2023 POS Withdra... 4.89 4.89 0.00 0.00 9,856.87 #69126300 off % Card 30 #3613 AVENUE NAPLES FL NNT SAIGON TO PARIS002475 3915 ARNOLD 01 /10/2023 POS Withdra... 35.39 -35.39 0.00 0.00 9,861.76 #301000789896 %% ACH Trace 021000029966910 TYPE: TRAN FEE CO: INTUIT 60264885 01/10/2023 ACH Withdra... 14.22 -14.22 0.00 0.00 9,897.15 INTUIT 60264885 %% Card 30 #3605 Date 01/09/23 24493983009081853456160 5085 SUPERIOR POOL - 415A 239-649-7705 FL 01/10/2023 Debit Card W... 3.31 -3.31 0.00 0.00 9,911,37 %% Card 30 #3605 Date 01/09/23 24493983009081853316323 5085 SUPERIOR POOL - 415A 239-649-7705 FL 01/10/2023 Debit Card W... 225.17-225.17 0.00 0.00 9,914.68 %% Card 30 #3605 Date 01/09/23 24493983009081853247189 5085 SUPERIOR POOL - 415A 239-649-7705 FL 01/1012023 Debit Card W... 12.25 -12.25 0.00 0.00 10,139.85 %% Card 30 #3605 Date 01109/23 24493983009081862674094 5085 SUPERIOR POOL - 415A 239-649-7705 FL 01/10/2023 Debit Card W... 517.54-517.54 0.00 0.00 10,152.10 %% Card 30 #3605 Date 01/09/23 24493983009081861779787 5085 SUPERIOR POOL - 415A 239-649-7705 FL 01110/2023 Debit Card W... 51.97 -51.97 0.00 0.00 10,669.64 %% Card 30 #3605 Date 01/09/23 24492163010000001845147 5734 SKIMMER POOL SOFTWARE HTTPSGETSKIMM TX [01/09120231 Debit Card W... 121.50-121.50 0.00 0.00 10,721.61 %% Card 30 #3605 Page 1 a w c m E t U f6 Q Packet Pg. 290 8.G.1 Collier County Board of County Commissioners Certificate of Competency Collier County * City of Marco * City of Naples * City of Everglades Issued Date: 12/20/2022 Company: WATERSIDE POOL SERVICE OF MARCO ISLAND LLC Address: PO BOX 66 MARCO ISLAND, FL 34116 Telephone: (239) 658-4660 Qualifier: GUERRA, MICHAEL License #: LCC20180001111 Issuance #: 201800000657 Classification: SWIMMING POOL CLEANING ONLY Valid Thru: 09/30/2023 State License #: State Valid Thru: It is the Qualifier's responsibility to keep current all records with Collier County. This shall include insurance certificates and/or contact information. Always verify licenses online at https://cvportal.colliercountyfl.gov/CityViewWeb/ Do not alter this document in any form. This is your license. It is unlawful for anyone other than the licensee to use this document. This Collier County Certificate of Competency's status and expiration date may change on July 1, 2023, due to the State of Florida House Bill No.735. Please visit our website at www colliercountyfl gov/government/growth-management/divisions/operations-reaulato man agementicontractor-1ice nsing for more information as it becomes available. C9 00 Packet Pg. 291 9.A 04/19/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 9.A Doc ID: 25237 Item Summary: 9A. JOSEPH R. ASKEW - PROBATION REVIEW (CREDIT) - GARAGE DOOR INSTALLATION CONTR.- WEST COAST GARAG Meeting Date: 04/19/2023 Prepared by: Title: — Contractor Licensing Name: Alyshia Morse 04/12/2023 1:23 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 04/12/2023 1:23 PM Approved By: Review: Contractor Licensing Contractor Licensing Contractor Licensing Sandra Delgado Review item Tim Crotts Review Item Tim Crotts Meeting Pending Completed 04/13/2023 9:02 AM Completed 04/13/2023 10:40 AM 04/19/2023 9:00 AM Packet Pg. 292 9.A.1 Findings of Fact, Conclusions of Law and Decision of the Board Collier County Contractor Licensing Board For Applications Submitted to the Board for Review Type of Application: X Credit Report Review Waiver of Testing Requirements Reinstatement of License Request to Qualify Second Entity Other (specify) THIS CAUSE came on for public hearing before the Contractor Licensing Board (hereafter Board) on September 21, 2022 for consideration of an application submitted to the Board for review. The application submitted is for a license as a Garage Door Installation Contractor. Joseph R. Askew, dlbla West Coast Garage Doors, L.L.C. (hereinafter "Applicant") is before the Board for review of his credit report and a determination of whether the Applicant's credit report should prevent the license from being issued to the Applicant. The Board, having heard testimony under oath, received other evidence, and heard arguments relative to all appropriate matters thereupon, issues its Findings of Fact, Conclusions of Law and Order of the Board as follows: FINDINGS OF FACT 1. The Applicant applied to the Collier County Contractor Licensing Supervisor, or his designee, for issuance of a license as a Garage Door Installation Contractor, 2. Based on the credit reports supplied by the Applicant to the Licensing Supervisor, a review of the creditworthiness of the Applicant by the Board is necessary 3. The Applicant was present at the public hearing and was not represented by counsel. 1 Packet Pg. 293 9.A.1 4. The Applicant has demonstrated to the Board's satisfaction that the Applicant Does not have creditworthiness issues but rather has a history of paying cash for living costs and expenses and has not relied on credit for payments of his debts. As a result, the Applicant does not have a credit history with a high credit score. 5. The Applicant has demonstrated to the satisfaction of the Board that the Applicant should be issued a license as a Garage Door Installation Contractor subject to a probationary term and certain conditions to further evidence improvement to his credit and credit score during the probationary term. CONCLUSIONS OF LAW 1. All notices required by the Code of Laws and Ordinances of Collier County, as amended, have been properly issued and the Board has jurisdiction over the matter 2. Pursuant to Section 22-184(b) of the Code of Laws and Ordinances of Collier County, as amended, the subject application met the requirement(s) requiring Board review and approval of the application. 3. The Applicant has sufficiently demonstrated to the Board that he meets the creditworthiness standard(s) as set out in Code of Laws and Ordinances of Collier County, as amended, to be issued a license as a Garage Door Installation Contractor subject to a probationary term of ten (10) months and ongoing review of his credit. ORDER OF THE BOARD 1. Based upon the foregoing Findings of Fact and Conclusions of Law, and pursuant to the authority granted as applicable in Chapter 489, Florida Statutes, and Code of Laws and Ordinances of Collier County, as amended, by a vote of 8 in favor and 0 opposed, a unanimous vote of the Board present, the application for license as a N Packet Pg. 294 9.A.1 Garage Door Installation Contractor is approved and the license is placed on a ten (10) month probationary status. The Applicant shall provide to the Contractor Licensing Supervisor or his designee a new credit report at the six (6) month period of the probationary status evidencing a rising credit score and resolution of the two debts outstanding on his current credit report to I C System and Choice Recovery. 2. If the Applicant demonstrates an improved credit score and resolution of the two outstanding debts, via the updated credit report, then the remaining probationary period shall be automatically lifted from the subject license. If the Applicant fails to meet these requirements the probation term shall continue on the subject license through July 1, 2023. 3. If the Contractor Licensing Supervisor or his designee determines the Applicant fails to provide the required information by the deadlines as set forth above, the Applicant may be brought back before the Board for the Board to take any further lawful action as deemed necessary. ORDERED by the Contractor Licensing Board effective the 21 st day of September 2022. CONTRACTOR LICENSING BOARD COLLIER COUNTY, FLORIDA /, By: Kyle Lantz, Chairman I HEREBY CERTIFY that a true and correct copy of the above and foregoing Findings of Fact, Conclusions of Law, and Order of the Board has been furnished to the Applicant, and Timothy Crofts, Contractor Licensing Supervisor, 2800 North Horseshoe Drive, Naples, FL 34103 on this --1 day of - 2022. 3 Packet Pg. 295 9.A.1 w c� a Secretary/Contractor Licensing Board a c� a O U H w Packet Pg. 296 9.A.1 September 21, 2022 MINUTES OF THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD MEETING September 21, 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, 3`d Floor, Collier County Government Center, Naples, Florida, with the following members present: Chairman: Kyle Lantz Vice Chairman: Terry Jerulle Matthew Nolton (excused) Richard E. Joslin Patrick G. White Todd Allen Robert Meister III EIIe Hunt Stephen Jaron ALSO PRESENT: Kevin Noell, Esq., Contractor Licensing Board Attorney Timothy Crotts, Contractor Licensing Supervisor Colleen Kerins, Assistant Collier County Attorney Michael Governale, Collier County Licensing Investigator Packet Pg. 297 9.A.1 September 21, 2022 D. Joseph R. Askew — West Coast Garage Doors LLC — Garage Door Installation Contractor Review of Credit Chairman Lantz called Mr. Askew to the podium and he was sworn in Supervisor Crofts reported that Mr. Askew has submitted an application for the issuance of a specialty license of Garage -Door Installation Contractor, a license that requires a minimum credit score of 660. As Part of the application process under Collier County Ordinance 2006-46, Section 2.3.9, Mr. Askew was required to submit a personal credit report. Staff reviewed it and it does not appear to meet the financial responsibility as set forth in Section 2.5.1, Subsection D: "The applicant or qualifier meets the requirements offinancial responsibility set forth in Rule GIG4-15.006 of the State of Florida. " A review of the credit report submitted by Mr. Askew shows the following area of concern: • His credit report shows a credit score of 629; the minimum required by rule is 660. In a phone interview with Mr. Askew, he said he had a couple of non -construction -related issues that have been resolved but he has not been building a lot of credit. As of today, there are a lot of hard inquiries on Mr. Askew's credit report. He explained that was due to him attempting to build his credit because he doesn't meet the required minimum under the ordinance. Mr. Askew is being referred to the Board under Section 2.5.2, Referral of the Application to the Contractors 'Licensing Board for a Decision. Mr. Askew is here today to answer questions regarding his credit. Chairman Lantz said it seems like you're more a victim of no credit than bad credit. Mr. Askew said lie paid cash for everything his whole life and his parents also took care of things until he was about 40, so lie didn't need credit. He owns his house and vehicles outright. During a discussion about his credit, the following points were made: • There are a few outstanding balances on his credit report, including a N.Y. Electric bill that he says is not valid and he filed a police report to dispute i. • Another outstanding balance is from Choice Medical, a biI[ for services he says were not rendered, so he's contesting that. • He's been licensed in Cape Coral and Lee County since March 2022. • He's been in this trade for 26 years and was given the license on the condition he'd build his credit, but he didn't and moved out of state for a couple of years. • He now uses credit under his business name, West Coast Garage Doors LLC. + His business is about 80% service and 20% sales. • He purchases about $30,000 of equipment monthly in Tampa. + He's been a staple in the garage door community for many years. • Two nears ago, he had a 0-credit score and has built it to 629 or 630. • He has a 100% payment history. • He can get these issues resolved within six months. Supervisor Crotts said the County's recommendation is that the Board grant a license with 10 months' probation, require Mr. Askew to submit a credit report within six months showing no issues, and if that's achieved, probation will automatically be removed. If not, probation would continue to July 1, 2023, Board Member White moved to grant a license with 10 montlis' probation, require Mr. Askew to submit a credit report within six months showing no issues, and if that's achieved, probation will automatically be removed. If not, probation would continue to July 1, 2023. Second by Board Member Allen. The Packet Pg. 298 9.A.1 September 21, 2022 w motion passed unanimously, 8-0. 0 Q E. Gahriela R. Rea — Florida Gulf Coast Roofing Inc. — Review of Credit and Reinstatement of Rooting C7 Contractor License and New Application for Plastering & Stucco Contracting Chairman Lantz called Ms. Rea to the podium and she was sworn in. Q O U Supervisor Crotts reported that Ms. Rea has submitted two applications, one for the issuance of a specialty Cn license for Plastering and Stucco Contractor, and another for reinstatement as a Roofing Contractor. Both LU require a minimum credit score of 660. As part of the application process under Collier County Ordinance 2006-46, Section 2.3.9, Ms. Rea was required to submit a personal and business credit report. Staff reviewed them and they appear not to meet the financial responsibility in Section 2.5.1, Subsection D; "The applicant or qualifier meets the requirements of financial responsibility set forth in Rule GIG4-15.006 of the State of Florida. " A review of Ms. Rea 's personal credit report shows the following areas of concern: • A credit score of 522; the minimum required score is 660. • A 54,297 charge -off by Suncoast Credit Union dated June 2022. • A $1,180 charge -off by Suncoast Credit Union dated August 2018. • The total charge -off amount is $5,477. The following areas of concern were noted on the business credit reports: • A $3, 013 collection amount owed to Superior Stucco Group Inc. by McCarthy, Burgess & Wolf dated January 2019. • A $14,245 collection amount against Florida Gulf Coast Roofing by Altus Global Trade Solutions dated July 2020. During an interview with Ms. Rea, she confirmed the charge -offs and amounts are correct. Because Ms. Rea does not meet the requirements for the minimum credit score under the Ordinance, she is being referred to the Board under Section 2.5.2, Referral of the Application to the Contractors ' Licensing Board for a Decision. Ms. Rea is here today to answer your questions regarding her credit. Chairman Lantz asked about Atlas Global Trade Solutions. Ms. Rea testified that: • When she initially was licensed in Collier County, she fully intended to start a roofing company • She got equipment, vehicles and trucks. • Soon after that, her husband got injured and she had to halt her business to take care of him. • She was unaware that when she returned the equipment, they were going to fully charge her for a dump trailer. • Once she was charged, she called to contest it and has been trying to resolve that because she only used it once; they're going to mail her documentation. During questioning by CLB members, the following points were made: • Her husband got injured around the time she rented the dump trailer and she has documentation to prove that. • Her husband is unable to walk, so they opened a jewelry shop that allows him to work and repair jewelry. • Now she wants to return to starting her own business. • She has a Stucco and Plastering license in Lee County and has been doing surface work and 1.1 Packet Pg. 299 9.A.1 From: ContractorsLicensina To: "WESTCOASTGARAGEDOORSLLC(aGMAIL.COM" Cc: CrottsTimothv; DelcadoSandra Subject: Contractor Licensing Board Probation Documents Due LCC20220001734 Date: Wednesday, March 22, 2023 12:06:00 PM Attachments: CLB Finding of Facts 9,21,2022 SIGNED - ASKEW. JOSEPH - CREDIT REPORT.(ddff Hello, Please see the attached finding of facts from the Contractor Licensing Board meeting dated -21 -2 2 . Submit required documents to avoid being scheduled for the next meeting date. These were due March 21, 2023. 1. Applicant appeared before the CLB for a review of credit. After the review, the CLB approved the license for Garage Door Contractor with the following conditions: 1. License is issued as a probationary license for 10 months. Applicant shall submit an updated credit report after 6 months showing an improved credit score, no other credit issues, and the two collections in the amount of $2,116 have been resolved. Failure to comply, shall require that probation period to continue and the applicant appear back before the CLB. If after 6 months the applicants credit score has reach 660 and the two collections have been resolved, the probation shall be removed. Please let us know if you have any questions or concerns. Thank you. Respectfully, Sa vt.d vau Delga d o- Supervisor—Operations, Licensing ', CD Ter County Growth Management Community Development Department Operations & Regulatory Management Division Exceeding Expectations, Every Day! 2800 North Horseshoe Drive, Naples FL 34104 Phone: 239.252.2431 Sandra.DelgadoCDcolliercountyf l gov ContractorsLicensingt@colliercountyfl.gov How are we doing? The Operations & Regulatory Management Division wants to hear from you! Please take our online SURVEY. We appreciate your feedback! Packet Pg. 300 9.A.1 From: ContractorsLicensina To: WESTCOASTGARAGEDOORSLLC(o)GMAIL.COM Cc: CrottsTimothv; DelgadoSandra Subject: RE: Contractor Licensing Board Probation Documents Due LCC20220001734 Date: Monday, March 27, 2023 11:27:48 AM Attachments: CLB Finding of Facts 9,21.2022 SIGNED - ASKEW. JOSEPH - CREDIT REPORT.odf Good morning, Please see the attached finding of facts from the Contractor Licensing Board meeting dated 12 21 --20221. Submit required documents by March 21, 2023 to avoid being scheduled for the next meeting date. Please let us know if you have any questions or concerns. Thank you. Respectfully, Sa.viArcL, Ddga.d& Supervisor —Operations, Licensing CO 7eY C014 tty Growth Management Community Development Department Operations & Regulatory Management Division Exceeding Expectations, Every Day! 2800 North Horseshoe Drive, Naples FL 34104 Phone: 239.252.2431 Sandra. Delgado0colliercountyf l,gov ContractorsLicensing(a colliercountvfl.eov How are we doing? The Operations & Regulatory Management Division wants to heorfrom you! Please take our online SURVEY. We appreciate your feedback! From: ContractorsLicensing <ContractorsLicensing@colliercountyfl.gov> Sent: Wednesday, March 22, 2023 12:07 PM To: WESTCOASTGARAGEDOORSLLC@GMAIL.COM Cc: CrottsTimothy <Timothy.Crotts@colliercountyfl.gov>; DelgadoSandra <Sandra.Delgado@ col liercountyfl.gov> Subject: Contractor Licensing Board Probation Documents Due LCC20220001734 Hello, Please see the attached finding of facts from the Contractor Licensing Board meeting dated -21 -20221. Submit required documents to avoid being scheduled for the next meeting date. These were Packet Pg. 301 10.A 04/19/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 10.A Doc ID: 25232 Item Summary: 10A. MASON T. MORGAN - CONTEST CITATION #12583 (CEUL20230000539) AND CITATION #12586 Meeting Date: 04/19/2023 Prepared by: Title: — Contractor Licensing Name: Alyshia Morse 04/12/2023 11:46 AM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 04/12/2023 11:46 AM Approved By: Review: Contractor Licensing Contractor Licensing Contractor Licensing Sandra Delgado Review item Tim Crotts Review Item Tim Crotts Meeting Pending Completed 04/13/2023 10:27 AM Completed 04/13/2023 10:38 AM 04/19/2023 9:00 AM Packet Pg. 302 James E. Willis, Esq. Joseph A. Davidow, Esq. Christina B. Davidow, Esq. Shane McDonald, Esq. Tylan Ricketts, Esq. Michael S. Zivik, Esq. 9015 Strada Stell Court Suite 106 N Naples, FL 34109 N Tel: (239) 465-0531 Fax: (888) 435-0911 WillisDavidow.com o REAL ESTATE 0 WILLS, TRUSTS & ESTATE PLANNING ® PROBATE 0 CORPORATIONS BUSINESS & CONSTRUCTION LITIGATION 0 FEDERAL DEFENSE O IMMIGRATION January 31, 2023 VIA TRACKED US MAIL Collier County Contractor Licensing Department Development Services Building 2800 Horseshoe Dr. North Naples, FL 34104 Re: Mason Tyler Morgan; Ticket 12583 and 12586 Dear Contractor's Licensing Supervisor: Please be advised that this firm represents M. Tyler Moran. I am in receipt of Citations CEUL20230000539/12583 and CEUL 20230000688/12586 (copies of which are included herein) and hereby am providing notice pursuant to the Citations that I am requesting a hearing as it relates to these Citations. Please acknowledge receipt and provided me notice of the date and time that such matters will be set for hearing. Thank you. PAV Q M- On F, , '0-� �-� A. Davidow Attorney for M. Tyler Morgan cc: file enclosure Packet Pg. 303 10.A.1 CE L L- 0000 5 1 LUER COUNTY 12 -3 GROWTH MANAGEMENT DIVISION ('.ITAI10N Pursuant to section 489 Florida Statutes, the undersigned hereby certifies that upon personal investigation, he/she has reasonable and probable grounds to believe that the person whose name appears below as issued to, did violate subsection 489.127.(1), Florida Statues, and the Collier County Contractor's Licensing Ordinance No. 2006-46 (as may be amended) by committing the viiooljation stated below. j! Month-4 ` _ Dav f: A M M Issued L �Cgity S State 1 � Zip q � C_3 p t I.D. j Imo— 1 e Vehicle Make/Type (ifapplicableYea!_ Color JTag No. Location of Viola t(` Mview r flNPI J/� OPTIONS I have been informed of the violation for which I have been charged and elect the following option (Check one) /yy� µ 1) ❑ I choose to pay the penalty of stax, 00 2) ❑ I choose not to pay the penalty, and will request in writing by certified mail r han delivery an Administrative Hearing before the Contractors Licensing B r . Description of Violation Date Violation Observed a) ❑Falsely hold self or business organization out as a licensee, certific t hol r or registrant; b) ❑ Falsely impersonate a certificate holder or registrant; ld T l t c) OPresent as his/her own the certificate or registration of another; d) ❑ Knowingly give false or forged evidence to the Board or a member thereof; e) ❑Use or atte p to a c use a certificate or. registration which has lb%n_ suspended f) Engage in the business or actin a tty o a contractor or advertise sett r business organization as available to engage in the business or act in the capacity of a contractor without being duly registered or certified; g) ❑ Operate a business organization engaged in contracting after (60) days; h) ❑ Commence or perform work for which a building permit is required pursuant to an adopted state minimum building code or without such permit being in effect; i) ❑ Willfully or deliberately disregard or violate any Collier County ordinance relating to uncertified or unregistered contractors. A person or business organization operating on an inactive o ed certificate, or registration, or operating beyond the scope of w l�scope of the registration, is not duly certified or registe SIGNATURE PRINT (RECIPIENTS Pursuant to 489.127, Florida Statues, willful refusal to sign and accept this citation constitutes a misdemeanor of the second degree, punishable as provided in section 775.082 or 775.083 Florida Statutes. (SEE REVERSE FOR INSTRUCTIONS) COUNTY CCII`€TRAC € O S i_ICEWE: N M N ILLS N Packet Pg. 304 10.A.1 �4.1 Report Title: Code Case Details 2/28/2023 9:55:08 AM 10rase Number: CEUL20230000539 ise � vn,�,, CEUL20230000539 Case Type: Unlicensed Prioritv, Normal Inspector TimothyBroughton Jurisdiction City of Marco Origin; Complaint Detail Description: Unlicensed General Contracting - Morgan, Mason Tyler- Citation #12583, $1000.00, 1st Violation, Owner of Coastal Breeze Homes Inc. Location Cornments:1320 Seaview Ct. Unit 510 Property 74310400009 Case Disposition..: Unpaid Complainan".. AMAT ISLAND HOLDINGS LLC Property (hone;, AMAT ISLAND HOLDINGS LLC Violator Morgan, Mason Tyler Business Management & Budget Office N M N u7 N I— Packet Pg. 305 Business Management & Budget Office N M N u7 N I— Packet Pg. 305 10.A.1 Code Case Details Execution Date 2/28/2023 9:55:08 AM Desc Assigned Required Completed Outcome Comments Preliminary Investigation TimothyBroug 1/20/2023 1/20/2023 Citation Unlicensed General Contracting. Needs hton Required Investigation. TB Issue Citation (Licensing) TimothyBroug 2/2/2023 2/2/2023 Complete Unlicensed General Contracting - Morgan, hton Mason Tyler- Citation #12583, $1000.00, 1st Violation, Owner of Coastal Breeze Homes Inc. TB Cont. Investigation TimothyBroug 2/2/2023 2/2/2023 Complete I was contacted by the homeowner, Ms. hton Adelina Amat (305) 283-6289. She was advised by the Marco Island Permitting Manager, Ms. Lee Lower to contact me regarding the possible unpermitted bathroom renovations at the said location. Ms. Amat stated that she hired Coastal Breeze Homes Inc. and issued the owner, Mr. Mason Tyler Morgan a deposit check for $22,512.00. Total contract for the renovation of both bathrooms in her condo was $37,520.00. - Ms. Amat stated that no permit was issued for the said location for the said scope of work. She also gave me verbal permission to enter the said location with the HOA to take a look at the unpermitted work. On 1/20/23 1 entered the said location with HOA office worker, Ms. Kathy Gorman. I took my site photos and posted a Stop Work Order. Both bathrooms were demoed and the put back was started. Mr. Morgan, owner of Coastal Breeze Homes contracted for the remodel of both bathrooms to include new tile floors, new tile showers, new vanities, new toilets, plumbing and electrical. Also Mr. Morgan contracted for interior painting of all rooms in the condo. A check revealed that no permit was issued for the said scope of work at the said location. Ms. Amat provided me a copy of the contract and deposit check. TB Attach Picture(s) TimothyBroug 2/2/2013 2/2/2023 1 Complete hton BL16inasS Managen,ent & Budget Office 2 Q 0 r C N E t V fC a+ a+ Q Packet Pg. 306 10.A.1 Code Case Details Execution Date 2/28/2023 9:55:08 AM Desc Assigned Required Completed Outcome Comments Cont. Investigation TimothyBroug 2/2/2023 2/2/2023 Complete On January 31, 2023 at 11:20am, I met with hton the owner of Coastal Breeze Homes Inc., Mr. Mason Tyler Morgan. Also present in the meeting was Investigator Michael Bogert. I confirmed with Mr. Morgan that he did not have a valid contractor's license to complete the said scope of work that he contracted for. I also confirmed with Mr. Morgan that the contractor's license number (CGC1523210) that was used on his contract, that was signed by him and the homeowner was not an issued contractor's license for him . Mr. Morgan stated that he did some of the work at the said location himself and that he sub contracted some to day laborer's. I then issued Mr. Mason Tyler Morgan citation #12583 for unlicensed general contracting. I explained the rear of the citation and asked Mr. Morgan if he had any questions. He stated no. TB Cont. Investigation TimothyBroug 2/2/2023 2/2/2023 Complete Also reference case numbers hton CECV20230000693 and CEUL20230000688. TB Schedule for CLB Meeting/Send TimothyCrotts 2/8/2023 Pending Letter received in the mail 2/7/2023 usps Letter tracking 9405 5112 0620 3516 0537 76, submitted to Tim. DelgadoSandra 02/08/2023 8:24 AM Citation Paid/Contested SandraDelgad 2/16/2023 2/8/2023 Contested Letter received in the mail 2/7/2023 usps o tracking 9405 5112 0620 3516 0537 76. DelgadoSandra 02/08/2023 8:24 AM Violation Description Status Entered Corrected Amount Comments Unlicensed General Contracting Open 1/31/2023 $0 Title Reason Result Compliance Fine/Day Condition N M N u7 N I— Z O Q Diu.>irfe,ss Mamagr.n?ent & Budget Office 3 0 r C N E t V fC a+ a+ Q Packet Pg. 307 10.A.1 N M N LO N 0 Co tD O O O O Cr) N O N J W U_ Co 0 W) N r z O H Q H U a z Q M LO O O O O M N O N J W U_ M Co LC) N r z O Q U H N LLI H z O U z a c� O z O Q Q 0 r r c a� E R Q Packet Pg. 308 10.A.1 N M N LO N H Packet Pg. 309 10.A.1 N M N LO N Packet Pg. 310 10.A.1 N M N LO N 0 Co tD O O O O Cr) N O N J W U_ Co 0 W) N r z O H Q H U a z Q M LO O O O O M N O N J W U_ M Co LC) N r z O Q U H N LLI H z O U z a c� O z O Q Q 0 r r c a� E R Q Packet Pg. 311 10.A.1 N M N LO N 0 Co tD O O O O Cr) N O N J W U_ Co 0 W) N r z O H Q H U a z Q M LO O O O O M N O N J W U_ M Co LC) N r z O Q U H N LLI H z O U z a c� O z O Q Q 0 r r c a� E R Q Packet Pg. 312 10.A.1 N M N LO N 0 Co tD O O O O Cr) N O N J W U_ Co 0 W) N r z O H Q H U a z Q M LO O O O O M N O N J W U_ M Co LC) N r z O Q U H N LLI H z O U z a c� O z O Q Q 0 r r c a� E R Q Packet Pg. 313 10.A.1 N M N LO N 0 Co tD O O O O Cr) N O N J W U_ Co 0 W) N r z O H Q H U a z Q M LO O O O O M N O N J W U_ M Co LC) N r z O Q U H N LLI H z O U z a c� O z O Q Q 0 r r c a� E R Q Packet Pg. 314 i f ; 1 �* fir.. ffA z 0 Q Packet Pg. 315 10.A.1 N M N LO N 0 Co tD O O O O Cr) N O N J W U_ Co 0 W) N r z O H Q H U a z Q M LO O O O O M N O N J W U_ M Co LC) N r z O Q U H N LLI H z O U z a c� O z O Q Q 0 r r c a� E R Q Packet Pg. 316 Collier County Property Appraiser Property Summary Site 320 MARCO Site Zone Parcel No 74310400009 Address SEAVIEW Site City ISLAND *Note 34145 * Disclaimer CT Name / Address AMAT ISLAND HOLDINGS LLC 9850 SW 121STAVE _ City MIAMI State FL Zip 33186 Map No. Strap No. Section Township Range Acres *Estimated 71318 804600 2 51071318 18 52 26 0 Legal SOUTH SEAS WEST CONDO APTS OF MARCO ISL TOWER 2-510 Millage Area 0 182 Millage Rates* *Calculations Sub./Condo 804600 - SOUTH SEAS WEST CONDO APTS School Other OF MARCO ISLAND Total Use Code 0 4 - CONDOMINIUM 4.459 5.681 10.14 Latest Sates History 2022 Certified Tax Roll (Not all Sales are listed due to Confidentiality) (Subject to Change) Date Book -Page Amount Land Value $ 0 07/28/21 5993-2558 $ 0+) Improved Value $ 570,351 06/22/20 5791-3663 $ 377,500 Market Value $ 570,351 11/24/99 2614-3408 $ 309,000 (_) 10% Cap $ 136,016 06/12/98 2429-3129 $ 0 _ Assessed Value $ 434,335 07/01/81 931-1138 $ 95,900-� (_) School Taxable Value $ 570,351 (_) Taxable Value $ 434,335 If all Values shown above equal 0 this parcel was created after the Final Tax Roll 10.A.1 N M N LO ;14- a+ Q Packet Pg. 317 6PV;L Atom �6^60WA" BroughtonTimothy From: Adelina Amat <adelinaamat@gmail.com> M Sent: Wednesday, January 18, 2023 9:47 AM M N To: BroughtonTimothy Subject: Scammed by a contractor - Need assistance o0 EXTERNAL EMAIL: This email is from an external source. Confirm this is a trusted sender and use extreme caution when opening attachments or clicking links. Good Morning Mr. Broughton: Ms Lee Loewer referred me to you. We have been scammed by a contractor. We own a condo in Marco Island but we do not live there. We wanted to update the bathrooms and contracted with a company someone recommended called Coastal Breeze Homes (Tyler Morgan). The contract includes $1500 for permitting. He never pulled permits and began the work. We have not been there but because of other circumstances the personnel from the condo maintenance went to the apartment and notified us. They called the fire marshal and a red ticket was issued. We want to show you all documents and to charge the company for operating without a permit. I don't know the procedure but our condo is not liveable now. We have no bathroom and he scammed us of our hard earned money. We have some health issues that do not allow us to travel whenever we wish but we could make arrangements for a call or to go to Marco if it is necessary. Please advise, Thank you, Adelina Amat (305) 283-6289 Packet Pg. 318 10.A.1 4775 mercantile Ave Suite 3 Naples, FL, 34104 Tyler@cbhomesinc.com www.cbhomesinc.com (239) 404-7184 CGC41523210 Coastal Breeze Homes Inc. Proposal For: Jose Amat jamot007@aol.com South seas tower Bldg 2 320 sea view court Unit 510 (306) 878-3993 Description Prep and cover room, doors and trim in 2 bedrooms, remove all furniture to living room. Remove popcorn ceiling and texture smooth PdM rooms doors and trim. Color tbd Remodel both bathroom floors and showers, vanities, bathroom lighting, new exhaust fans in each bathroom, mirrors that are backlit. Supply and install all materials demo existing. Soda white cabinet vanities. Brushed nickel handle hardware, size tbd. Brushed nickel Glass shower slider. Glacier elongated toilets. Quartz Calacatta Venice. White square under mount sinks. Plumbing and electrical up to code included. Faucet RA4115BN Marco island permitting and filing included, any fees provided by county or drawings or engineering they might require are not included. Shower heads for each bathroom brushed nickel, style tbd Supply and install 12" grab bars in each shower along back wall Linear shower drains brushed nickel to be selected from floor and decor *Indicates non-taxable item 1/2 Estimate No: 1119 Date: 10/16/2022 Quantity Rate Amount 1 $4,950.00 $4,950.00* 1 $29,950.00 $29,950.00* 1 $1,500.00 $1.500.00* 2 $325.00 $650.00* 2 $25.00 $50.00* 2 $210.00 $420.00* N M N LO N Q Packet Pg. 319 10.A.1 Coastal Breeze Homes Inc. - Proposal 1119 - 10/16/2022 Payment Details subtotal A 60% deposit of $22,512.00 is required by 10116/2022. Total Total Deposit due 10/16/2022 Terms and Conditions $37,520.00 $37,520.00 $37,520.00 $22,512.00 -ZSd�'' Terms and Conditions This is a quotation on the goods named, subject to the conditions noted below: Pricing is subject to change after 30 days if proposal is not signed and deposit submitted. Project will not be scheduled until signature and deposit made as well. All proposals shall be signed by both parties and a deposit. 51/o fee will be added if you pay by PayPal. 60% deposit is to be given to mobilize. 20% upon request. Additional payment of 10% will be made as needed to complete the project. Balance upon completion of project. Certificate of completion if applicable. All change orders will be paid in full for labor and materials. 2.1.1 Prior to the beginning of construction, the Contractor shall provide the Owner with an estimate of the projected Project Cost (hereinafter the "Estimated Project Cost"). The Owner hereby understands and acknowledges that the Estimated Project Cost is merely a good faith estimate for use in budgeting and for determining the amount of the Construction Deposit and the Contractor shall in no way be bound thereto. 2.2 The Owner agrees to provide contractor with copies of any invoices for material or labor which contributed toward the completion of the home and were paid for by the owner. Make all checks payable to Coastal Breeze Homes Inc. Any additional work will be added with time and material. All design selections will be signed and approved by client. The unforeseen concealed condition clause will apply to all signed quotations or contracts and may result in additional costs payable by client. Total due upon day completion. Overdue accounts subject to a service charge of 5% per month. Clarifications: General Contractor will provide all labor, water and electric as needed. In signing this you agree to all terms and conditions. Thank you for your business! Coastal Breeze Homes Inc. s C- �Iliennature 2/2 N M N W) N t- a+ Q Packet Pg. 320 NOUVilD aNV (6£50000£ZOZ-lf13o) £8SZ6# NOUVII0 1S31N00 - NVONOW '1 NOS` IN 'VOL :4u0wL4oelIv 1 I F�C�e) U 0 a m u m a x co 4--J 0 L H 0 u aD rll n NOUVilD aNV (6£50000£ZOZ-lf13o) £8SZ6# N011b'll0 1S31NOD - NVONOW '1 NOS` IN 'VOL :4u0wL43elly `N' U 0 a m u m a x ENDORSE -ERE (D CNECK HERE FOR MORR.E ON REMOTE OEVOSIr ONLY AT_ DATF bFfC OF Fe1FNG�AI InSTNUR01( 00 NOT WRITE, STANP OR SIGN BELOW THIS LINE IU:SE%UED con it CIAL INSTI ruticH u5t . i g� ! NJ N � VI: 'cwlry l:•uwrt b'hdnvnl0. ad ltJ.0 U16,d nJ•N M rollul.Y crcnVUMddi•IF.G'HRY. �T�.,I,>,..o-,l.�n,d.. .�„-,gin=..,:rl ••..�r�,.u... I �ArciGaTTW}' % .L rn.ew, e•^I•<�,M�41,+•.'Id LQ7LLause n4jw 0..: •n •p t[-VY- q•..::Y`Mna= i i el ____j 10.A.1 DIVISION OF CORPORAT ':':'; . /„i�t'Li3.vuti2�... Department of State / Division of Cort2orations / Search Records / Search by En i Name / Detail by Entity Name Florida Profit Corporation COASTAL BREEZE HOMES INC Filing Information Document Number FEI/EIN Number Date Filed Effective Date State Status Last Event Event Date Filed Principal Address 3504 PLANTATION WAY UNIT 30 NAPLES, FL 34112 Mailing Address PO BOX 8972 NAPLES, FL 34101 P18000056048 APPLIED FOR 06/22/2018 06/26/2018 FL ACTIVE REINSTATEMENT 01 /15/2020 Registered Agent Name & Address MORGAN, TYLER 3504 PLANTATION WAY UNIT 30 NAPLES, FL 34112 Name Changed: 01/15/2020 Officer/Director Detail Name & Address Title P MORGAN, TYLER PO BOX 8972 NAPLES, FL 34101 Annual Reports Report Year Filed Date N M N u7 H Q Packet Pg. 323 1 2020 01 /15/2020 2021 07/28/2021 2022 01 /05/2022 Document Images 01/05/2022 —ANNUAL REPORT View image in PDF format 07/28/2021 --ANNUAL REPORT View image in PDF format 01/15/2020 -- REINSTATEMENT View image in PDF format 06/22/2018 — Domestic Profit View image in PDF format N M N u7 N H a+ Q Packet Pg. 324 Search all services we offer... COLLIER COUNTY ..`: TAX COLLECTOR to Vehicle Registration Property Tax Business Tax Search > Accou.nt_S,i:ninary > Bill Details Business Tax Account #114 COASTAL BREEZE HOMES INC ( Request a change to your Business Tax Account Current owner: Current business address: Current business phone: MORGAN, MASON 350- PLANT ATION \rur;r # 30 502- 7 24- NAPLES, FL 34112 01 More Details 2023 Details Account number: 114 Mailing address: Business start date: 07/10/2018 Physical business location: Collier County Owner(s): Business address: COASTAL BREEZE HOMES INC 3504 PLANTATION WAY #30 �V NAPLES, FL 34112�g�� Business phone: 502-724-6903 RECEIPTS AND OCCUPATIONS RECEIPT 190133 DEALER OF TANGIBLE PERSONAL PROPERTY 10/01/2022 - DEALER OF TANGIBLE PERS PROP 09/30/2023 0 2019-2023 Grant Street Group. All rights reserved. $0.00 10.A.1 Tourist Tax .. N M N u7 , N 4 $% Get bills by email COASTAL BREEZE HOMES INC 3504 PLANTATION WAY #30 NAPL ES, FL 34112 MORGAN, MASON jr�[lsL 3504 PLANTATION WAY 430 NAPLES,FL341.12 Print this receipt (PDF) a+ Q Packet Pg. 325 04 m N W 0 A N Lo 2 3 0. 4 0 4. 7 18 4o co to TYL ER@CBH 0 ME S I KC,. CON Wt C 8 HOMES INC. CDM'9%dk" 4775 MERCANTILE AVE161TE 3 NAPLES R 34104 COASTAL BREEZE PROPFRTY PANTEENANCE z 0 E U Packet Pg. 326 10.A.1 DIVISION OF CORPORATION.- N J+ ;"e lCI3 9j wo�A-'2_ t0 !tC rtliter�s' 'iCN{v ;t,' / lutYrfrt ssr'£:!{? CD o Department of State / Division of Corporation / Search Records / Search by Entity Name / Detail by Entity Name Florida Limited Liability Company PRECISION BUILDING, LLC Filing Information Document Number L15000047409 FEI/EIN Number 47-3445545 Date Filed 03/16/2015 State FL Status ACTIVE Last Event REINSTATEMENT Event Date Filed 09/29/2017 Principal Address 4456 LAKEWOOD BLVD NAPLES, FL 34112 Changed: 04/20/2016 Mailing Address 4456 LAKEWOOD BLVD NAPLES, FL 34112 Changed: 04/20/2016 Registered Agent Name & Address LAVERY, MICHAEL 4456 LAKEWOOD BLVD NAPLES, FL 34112 Name Changed: 09/29/2017 1 M i VA Address Changed: 04/20/2016 p Authorized Persons) Detail Name & Address Q 0 r Title AMBR c a� E LAVERY, MICHAEL t Q Packet Pg. 327 1 4456 LAKEWOOD BLVD NAPLES, FL 34112 Annual Reports Report Year Filed Date 2020 04/07/2020 2021 03/12/2021 2022 04/14/2022 Document Images 04/14/2022 —ANNUAL REPORT 03112/2021 --ANNUAL REPORT 04/07/2020 -- ANNUAL REPORT 06 7/7/209----:ANNUAL REPORT 04/02/2018 --ANNUAL REPORT 09/29/2017 -- REINSTATEMENT 04/20/2016 —ANNUAL REPORT 05/06/2015 -- LC Amendment 03/16/2015 — Florida Limited Liability View image in PDF format View image in PDF format View image in PDF format --- - -- -- View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format .............. View image in PDF format N M N N H a+ Q Packet Pg. 328 10.A.1 THE OFFICIAL SITE OF THE FLORIDA DEPARTMENT OF BUSINESS & PROFESSIONAL REGULATION Ronda d pr DE' " rtment of Business HOME CONTACT US MY ACCOUN-1... �+ f rofessiC a` Rf3gulattm ONLINE SERVICES LICENSEE DETAILS 9:06:15 AM 212812023 Licensee Information Apply for a License Name: LAVERY, MICHAEL (Primary Name) Verify a Licensee PRECISION BUILDING, LLC (DBA Name) View Food & Lodging Inspections Main Address: 4456 LAKEWOOD BOULEVARD NAPLES Florida 34112 File a Complaint County: COLLIER Continuing Education Course Search License Information View Application Status License Type: Certified General Contractor Rank: Cert General Find Exam Information License Number: CGC1523210 Unlicensed Activity Search Status: Current,Active Licensure Date: 05/04/2015 AB&T Delinquent Invoice &Activity List Search Expires: 08/31/2024 Special Qualification Effective Qualifications Construction 05/04/2015 Business Alternate Names N M N LO N View Related License Information O View License Complaint r- Z O 2601 Blair Stone Road, Tallahassee FL 32399 :: Email: Customer Contact Center :: Customer Contact Center: 850.487.1395 The State of Florida is an AA/EEO employer. Copyright 2007-2010 State of Florida. Privacy Statement Q 0 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 r 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 N provide the Department with an email address if they have one. The emails provided may be used for official communication with the licensee. E However email addresses are public record. If you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public. Please see our Chapter 455 page to determine if you are affected by this change. Q Packet Pg. 329 Licensee Number LCC20150002521 Status Inactive Name ; Description PRECISION BUILDING, LLC Start Date 0710112015 v Type Contracto11 r End Date 06/30/2016 Inspector 1 Submitted On O7/OV2015 Jurisdiction Collier County Department Operations Activity Description — Suggest Marling Address Exclude from Auto -Suggest? ❑ Add this Mailing Address as a Location Add Contact Number Mailing Address 4456 LAKEWOOD BLVD Address Line 2 Address Line 3 City/State/Zip NAPLES FL 34112 Country Email MICHAELL4VERY22@YAHOO.COM —� Preferred Contact Method 'Email Receive SMS Text ❑ Notifications? Portal User? Portal ID t Confidential? ❑ Contractor Attributes Show More Fields, Contractor Type F:-i= inc= Date of Birth Drivers License Number— — Business Tax Receipt? Yes Can be Renewed on Portal? ❑ Last Application Status Location Add Related Parcels and Addresses Add a Location To link a location to this Licensee, enter location information below. CityView will suggest possible matches as you type: ,nk _ Description Pr rJert I Primary? I Status tAAL_1 F1' eP' — 111 i c i* F_ -L�i6pzK— Contacts 10.A.1 A A: N M N u7 F_ Q Packet Pg. 330 Licensee Information A Licensee 1'..lumber LCC20150002521 1 .1 Descriptior Pr,-,pert,,-.�lertj i Name I PRECISION BUILDING, 1-1-C Tvpe Contractor -.tatus Inactive Plaster Project A tlts for s Licensee Add a new person or business to Address Book Go to Alerts ................... I ............................................................... - ............................................................................................................................................................................................................................................... Classifications .......... I .................. ................. -.1 ............................................................................................................................................................................................................................................................................................................................... License Issuances A Attach Driver License Photo Add Issuance Link j Type Status I Date Issued j Issuance Number n Date �GENERALCONT R--CERTIFIED Expired 06/01/2018 i201500001278 08/31/2020 ........... ............. .............. I ........... I ................ GENERAL CONTR.-CERTIFIED :7=.: ............ ...................... ......................... ................ .................... Expired 11/ 16/2 0 2 0 ...................................... 201500001278 .................................................. 08/31/2022 .................... .......... ............................... GENERALCONTR..-CERTIFIED Active 09`16`2L ')22 :201500001278 08/31/2024 Entered By :LEGACY: Samantha Ro Comments LAVERY, MICHAEL-QUALIFIER Contractor Licensing Date Entered 07/01/2015 Show More Fields Issuance Fee Category Voluntary Registration License Category State - Certified State Registration Expiration Date State Registration Number CGC1523210 I Unique Identifier LCC6589 Dormant Renewal? El F- Packet Pg. 331 10.A.1 :L2586 COLLIER COUNTY GROWTH MANAGEMENT DIVISION I�lO! Pursuant to section 489 Florida Statutes, the undersigned hereby certifies that upon personal investigation, he/she has reasonable and probable grounds to believe that the person whose name appears below as issued to, did violate subsection 489.127.(1), Florida Statues, and the Collier County Contractor's Licensing Ordinance No. 2006-46 (as may be amended) by committing the violation stated below. Mon .r Da a 2--� I M! M Issued To s0N1 -- Address �-%O) City State— Zip d O I.D. e_ Bir Vehicle Make/Type (if applicable) Year Colo Tag No. r-� Location of Vio o OPTIONS I have been informed of the violation for which I have been charged and elect the following option (Check one) �+ 1) ❑ I choose to pay the penalty of 5 � A 2) ❑ I choose not to pay the penalty, and will request in writing by certified ma or nd delivery an Administrative Hearing before the ConVactors Licensing Boa D cf ion of Violation Date Violation Observed a) alsely hold self or business organization out as a licensee, certific e h der registrant,, [n b) ❑ Falsely impersonate a certificate holder or registrant; c) ❑Present as his/her own the certificate or registration of another; d) ❑ Knowingly give false or forged evidence to the Board or a member thereof; e) ❑Use or attempt to use a certificate or registration which has been suspended or revoked; f) ❑ Engage in the business or act in the capacity of a contractor or advertise self or business organization as available to engage in the business or act in the capacity of a contractor without being duly registered or certified; g) ❑Operate a business organization engaged in contracting after (60) days; h) ❑ Commence or perform work for which a building permit is required pursuant to an adopted state minimum building code or without such permit being in effect; i) ❑ Willfully or deliberately disregard or violate any Collier County ordinance relating to uncertified or unregistered contractors. A person or business organization operating on an inactiv sMended certificate, or registration, or operating beyond the scope of w 'ra . at scope of the registration, is not duly certified or registere SIGNATURE PRINT (RECIPIENTS NAMY ORINT (INVESTIGATOR'S NAME) Pursuant to 489.127, Florida Statues, willful refusal to sign and accept this citation constitutes a misdemeanor of the second degree, punishable as provided in section 775.082 or 775,083 Florida Statutes. (SEE REVERSE FOR INSTRUCTIONS) (r01.1(FR "'COUNTY C='GNP!' ACTOR-`- tJC,;��VSE N M N In N Packet Pg. 332 10.A.1 e reMov.net Report Title: Code Case Details Date: 2/28/2023 9:58:34 AM Case Number: CEUL20230000688 Case NumbEr. CEUL20230000688 Case Type;: Unlicensed Priority. Normal Inspector: TimothyBroughton Jurisdiction. City of Marco Origin: Complaint Detail Description Falsely hold self or business organization out as a licensee, certificate holder or registrant - Morgan, Mason Tyler - Citation #12586, $1000.00, 1st Violation, Owner of Coastal Breeze Homes Inc. Location Comments1320 Seaview Ct. Unit 510 Property 74310400009 Complainan! AMAT ISLAND HOLDINGS LLC Property Owner AMAT ISLAND HOLDINGS LLC Violator Morgan, Mason Tyler Business Management & Budget Office Status Citation Date & Time Entered: 1/25/2023 11:50:52 AM Entered By TimothyBroughton Case Disposition: Unpaid N M N u7 Fl I— Packet Pg. 333 Code Case Details Execution Date 2/28/2023 9:58:34 AM 10.A.1 Desc Assigned Required Completed Outcome Comments Preliminary Investigation TimothyBroug 1/25/2023 1/25/2023 Citation Falsely hold self or business organization out hton Required as a licensee, certificate holder or registrant - Morgan, Tyler - Citation #12584, $1000.00, 1 st Violation, Owner of Coastal Breeze Homes Inc. TB Issue Citation (Licensing) TimothyBroug 2/2/2023 2/2/2023 Complete Falsely hold self or business organization out Mon as a licensee, certificate holder or registrant - Morgan, Mason Tyler - Citation #12586, $1000.00, 1st Violation, Owner of Coastal Breeze Homes Inc. Cont. Investigation TimothyBroug 2/2/2023 2/2/2023 Complete I was contacted by the homeowner, Ms. hton Adelina Amat (305) 283-6289. She was advised by the Marco Island Permitting Manager, Ms. Lee Lower to contact me regarding the possible unpermitted bathroom renovations at the said location. Ms. Amat stated that she hired Coastal Breeze Homes Inc. and issued the owner, Mr. Mason Tyler Morgan a deposit check for $22,512.00. Total contract for the renovation of both bathrooms in her condo was $37,520.00. - Ms. Amat stated that no permit was issued for the said location for the said scope of work. She also gave me verbal permission to enter the said location with the HOA to take a look at the unpermitted work. On 1/20/23 1 entered the said location with HOA office worker, Ms. Kathy Gorman. I took my site photos and posted a Stop Work Order. Both bathrooms were demoed and the put back was started. Mr. Morgan, owner of Coastal Breeze Homes contracted for the remodel of both bathrooms to include new tile floors, new tile showers, new vanities, new toilets, plumbing and electrical. Also Mr. Morgan contracted for interior painting of all rooms in the condo. A check revealed that no permit was issued for the said scope of work at the said location. Ms. Amat provided me a copy of the contract and deposit check. TB Attach Picture(s) TimothyBroug 2/2/2023 2/2/2023 Complete hton Business Managen,eilt & Budget Officr: 2 H a+ Q Packet Pg. 334 10.A.1 Code Case Details Execution Date 2/28/2023 9:58:34 AM Desc Assigned Required Completed Outcome Comments Cont. Investigation TimothyBroug 2/2/2023 2/2/2023 Complete On January 31, 2023 at 11:20am, I met with hton the owner of Coastal Breeze Homes Inc., Mr. Mason Tyler Morgan. Also present in the meeting was Investigator Michael Bogert. I confirmed with Mr. Morgan that he did not have a valid contractor's license to complete the said scope of work that he contracted for. I also confirmed with Mr. Morgan that the contractor's license number (CGC1523210) that was used on his contract, that was signed by him and the homeowner was not an issued contractor's license for him . Mr. Morgan stated that he did some of the work at the said location himself and that he sub contracted some to day laborer's. I then issued Mr. Mason Tyler Morgan citation #12586 for Falsely hold self or business organization out as a licensee, certificate holder or registrant. I explained the rear of the citation and asked Mr. Morgan if he had any questions. He stated no. TB Cont. Investigation TimothyBroug 2/2/2023 2/2/2023 Complete Also reference case numbers hton CECV20230000693 and CEUL20230000539. �TB Schedule for CLB Meeting/Send TimothyCrotts 2/8/2023 Pending Letter received in the mail 2/7/2023 usps Letter tracking 9405 5112 0620 3516 0537 76, submitted to Tim. DelgadoSandra 02/08/2023 8:24 AM Citation Paid/Contested SandraDelgad 2/16/2023 2/8/2023 Contested Letter received in the mail 2/7/2023 usps o tracking 9405 5112 0620 3516 0537 76. DelgadoSandra 02/08/2023 8:24 AM Violation Description Status Entered Corrected Amount Comments Presented False Certificate or Registration Open 1/31/2023 $0 Title Reason Result Compliance Fine/Day Condition N M N u7 N H Z O Q Business M anagene nt & Bi..i €ge:t Office 3 Qo r a+ C N E t V fC a+ a+ Q Packet Pg. 335 10.A.1 N M N LO N H Packet Pg. 336 10.A.1 N M N LO N 0 Co tD O O O O Cr) N O N J W U_ Co 0 W) N r z O H Q H U a z Q M LO O O O O M N O N J W U_ M Co LC) N r z O Q U H N LLI H z O U z a c� O z O Q Q 0 r r c a� E R Q Packet Pg. 337 10.A.1 N M N LO N 0 Co tD O O O O Cr) N O N J W U_ Co 0 W) N r z O H Q H U a z Q M LO O O O O M N O N J W U_ M Co LC) N r z O Q U H N LLI H z O U z a c� O z O Q Q 0 r r c a� E R Q Packet Pg. 338 10.A.1 N M N LO N 0 Co tD O O O O Cr) N O N J W U_ Co 0 W) N r z O H Q H U a z Q M LO O O O O M N O N J W U_ M Co LC) N r z O Q U H N LLI H z O U z a c� O z O Q Q 0 r r c a� E R Q Packet Pg. 339 10.A.1 Hgp�pMxcrsvxm.v.N.+F•+Mr..•r..y!nr.+.•.^•wrn. ss.:: N M N LO N Packet Pg. 340 10.A.1 N M N LO N 0 Co tD O O O O Cr) N O N J W U_ Co 0 W) N r z O H Q H U a z Q M LO O O O O M N O N J W U_ M Co LC) N r z O Q U H N LLI H z O U z a c� O z O Q Q 0 r r c a� E R Q Packet Pg. 341 10.A.1 N M N LO N a Q Q r Packet Pg. 342 10.A.1 N M N LO N Packet Pg. 343 10.A.1 N M N LO N H Packet Pg. 344 Collier County Property Appraiser 1o.A.1 Property Summary Site 320 MARCO Site Zone cm Parcel No 74310400009 Address SEAVIEW ' Site City 34145 ISLAND *Note N *Disclaimer CT N Name /Address' AMAT ISLAND HOLDINGS LLC 0000 m 9850 SW 121ST AVE c City MIAMI State FL Zip 33186 Map No. Strap No. Section Township Range Acres *Estimated 71318 804600 2 5107B18 18 52 26 0 Legal SOUTH SEAS WEST CONDO APTS OF MARCO ISL TOWER 2-510 Millage Area to 182 Millage Rates a *Calculations Sub./Condo 804600 - SOUTH SEAS WEST OF MARCO ISLAND CONDO APTS School Other Total Use Code 0: 4 - CONDOMINIUM 4.459 5.681 10.14 Latest Sales History 2022 Certified Tax Roll (Not all Sales are listed due to Confidentiality) (Subject to Change) Date Book -Page Amount Land Value $ 0 07/28/21 5993-2558 $ 0 (+) Improved Value $ 570,351 06/22/20 5791-3663 $ 377,500 �_) Market Value $ 570,351 11/24/99 2614-3408 $ 309,000 (_) 10% Cap $ 136,016 06/12/98 2429-3129 $ 0 (_) Assessed Value $ 434,335 07/01/81 931-1138 $ 95,900 (_) School Taxable Value $ 570,351 (_) Taxable Value $ 434,335 If all Values shown above equal 0 this parcel was created after the Final Tax Roll H a+ Q Packet Pg. 345 EIMlfil F*OM NEowA" 10.A.1 BrroucghtonTirnothy N M N From: Adellna Amat <adeiinaamat@gmatcom> N Sent: Wednesday, January 18, 2023 9:47 AM To: BrcughtcnTlmothy a 00 Subject: Scammed by a contractor - Need assistance c A EXTERNAL EMAIL: This email is from an external source. Confirm this is a trusted sender and use extreme caution when opening attachments or clicking links. Good Morning Mr. Broughton: Ms Lee Loewer referred me to you. We have been scammed by a contractor. We own a condo in Marco Island but we do not live there. We wanted to update the bathrooms and contracted with a company someone recommended called Coastal Breeze Homes (Tyler Morgan). The contract includes $1500 for permitting. He never pulled permits and began the work. We have not been there but because of other circumstances the personnel from the condo maintenance went to the apartment and notified us. They called the fire marshal and a red ticket was issued. We want to show you all documents and to charge the company for operating without a permit. I don't know the procedure but our condo is not liveable now. We have no bathroom and he scammed us of our hard earned money. We have some health issues that do not allow us to travel whenever we wish but we could make arrangements for a call or to go to Marco if it is necessary. Please advise, Thank you, Adelina Amat (305) 283-6289 Z 0 Q a 0 E V Q t Packet Pg. 346 10.A.1 4775 mercantile Ave Suite 3 Naples, FL, 34104 Tyler@cbhomesinc.com www.cbhomesinc.com (239) 404-7184 CGC41523210 Coin& l Breeze Homes Inc. Proposal For: Jose Amat jamat007@aol.com South seas tower Bldg 2 320 sea view court Unit 510 (305) 278-3993 Description Prep and cover room, doors and trim in 2 bedrooms, remove all furniture to living room. Remove popcorn ceiling and texture smooth.•Pgint rooms, doors and trim. Color tbd Remodel both bathroom floors and showers, vanities, bathroom lighting, new exhaust fans in each bathroom, mirrors that are backlit. Supply and install all materials demo existing. Soda white cabinet vanities. Brushed nickel handle hardware, size tbd. Brushed nickel Glass shower slider. Glacier elongated toilets. Quartz Colocatto Venice. White square under mount sinks. Plumbing and electrical up to code included. Faucet RA4115BN Marco island permitting and filing included, any fees provided by county or drawings or engineering they might require are not included. Shower heads for each bathroom brushed nickel, style tbd Supply and install 12" grab bars in each shower along back wall. Linear shower drains brushed nickel to be selected from floor and decor *Indicates non-taxable item 1/2 Estimate No: 1119 Date: 10/16/2022 Quantity Rate Amount 1 $4,950.00 $4,950.00* 1 $29,950.00 $29,950.00* 1 $1,500.00 $1,500.00, 2 $325.00 $650.00* 2 $25.00 $50.00* 2 $210.00 $420.00* N M N W) i— a+ Q Packet Pg. 347 10.A.1 Coastal Breeze Homes Inc. - Proposal 1119-10/16/2022 Payment Details subtotal A 60% deposit of $22,512.00 is required by 10/16/2022. Total Total Deposit due 10/16/2022 Terms and Conditions Terms and Conditions $37.520.00 $37,520.00 $22,512.00 / SgO,22 This is a quotation on the goods named, subject to the conditions noted below: Pricing is subject to change after 30 days if proposal is not signed and deposit submitted. Project will not be scheduled until signature and deposit made as well. All proposals shall be signed by both parties and a deposit. 5% fee will be added if you pay by PayPal. 60% deposit is to be given to mobilize. 20% upon request Additional payment of 10% will be made as needed to complete the project Balance upon completion of prdjgct. Certificate of completion if applicable. All change orders will be paid in full for labor and materials. 2.1.1 Prior to the beginning of construction, the Contractor shall provide the Owner with an estimate of the projected Project Cost (hereinafter the "Estimated Project Cost"). The Owner hereby understands and acknowledges that the Estimated Project Cost is merely a good faith estimate for use in budgeting and for determining the amount of the Construction Deposit and the Contractor shall in no way be bound thereto. 2.2 The Owner agrees to provide contractor with copies of any invoices for material or labor which contributed toward the completion of the home and were paid for by the owner. Make all checks payable to Coastal Breeze Homes Inc - Any additional work will be added with time and material. All design selections will be signed and approved by client The unforeseen concealed condition clause will apply to all signed quotations or contracts and may result in additional costs payable by client. Total due upon day completion. Overdue accounts subject to a service charge of 5% per month. Clarifications: General Contractor will provide all labor, water and electric as needed. In signing this you agree to all terms and conditions. Thank you for your business! Coastal Breeze Homes Inc. lien s signature '2/2 N M N N Packet Pg. 348 n NOUVII3 ONd (6£S000O£ZOZ-lf13o) £SSZL# N011VII3 1S31NO3 - NVONOW '1 NOSVUY "VOL :IUeWLIoe;;d Fcoe,))) I m 1�1 Nouvilo ONV (6£90000£ZOZlmo) £8SU# NOI VAD 1S31NOO - NVE)HOW '1 NOS` w '`d06 lUewy3eUv FcmD� Ur a �a a x j ENDORSE HERE I 'CNECKHEREFORAtOO&LEORHEAfOYEDEPoSITONLY AT OATE IlalaC OF FNJaNOW. WSiRVTWH DO NOT WRITE, STAMP OR SIGN BELOW THIS LINE OI:SDN�/I;O FOR iitlallClAl INSTt IUYtON VG' R i �m tee® I r �o hs'uiCS NJtdO,Ipp.TSIx�EM1SUw!— OOfIGC'SCIMENG6lly Rl,idyl¢t IOa•rL. �C.: :. R_+nn , e.-:...t, .. �, ."'J �•I IJT.. ._.. 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Q Vehicle Registration Property Tax Business Tax Tourist Tax Search > Acri}Lint umma_ry, > Bill Details Business Tax Account #114 COASTAL BREEZE HOMES INC I Request a change to your Business Tax Account Current owner: Current business address: Current business phone: MORGAN, iVIASON 3504 PLANTATION WAY #30 502-724-6903 NAPLES, FL 34112 (D More Details 2023 Details Account number: 114 Mailing address: Business start date: 07/10/2018 Physical business location: Collier County Owner(s): Business address: COASTAL BREEZE HOMES INCc� 3504 PLANTATION WAY #30 NAPLES, FL 34112�1` �. Business phone: 502-724-6903 RECEIPTS AND OCCUPATIONS RECEIPT 190133 DEALER, OF TANGIBLE PERSONAL PROPER Tf 10/01/2022- DEALER OF TANGIBLE PIERS PROP 09/30/2023 0 2019-2023 Grant Street Group. All rights reserved. $0.00 w Get buts by emai hl COASTAL BREEZE HOMES INC 3504 PLANTATION WAY #30 NAPLES, FL 34112 MORG.AN, MASON 3504 PLANTATION WAY #30 NAPLES, FL 34112 Q Print this rece pt (PDP) a+ Q Packet Pg. 353 10.A.1 4775 MERCANTILE AVE SUITE 3 MAPLES R 34104 FULIL SERVICE RE60DELING PROPERLY N M N W) N a+ Q Packet Pg. 354 10.A.1 DIvisEON OF CORPORP.T".ONS N M N C4 ` 00 'r %` i rJ r t r , ! I o0 CD Department of State / Division of Corporations / Search Records / Search by En ity Name / Detail by Entity Name Florida Limited Liability Company PRECISION BUILDING, LLC Filing Information Document Number L15000047409 FEI/EIN Number 47-3445545 Date Filed 03/16/2015 State FL Status ACTIVE Last Event REINSTATEMENT Event Date Filed 09/29/2017 Principal Address 4456 LAKEWOOD BLVD NAPLES, FL 34112 Changed: 04/20/2016 Mailing Address 4456 LAKEWOOD BLVD NAPLES, FL 34112 Changed: 04/20/2016 Registered Agent Name & Address LAVERY, MICHAEL 4456 LAKEWOOD BLVD NAPLES, FL 34112 Name Changed: 09/29/2017 z Address Changed: 04/20/2016 N Authorized Person(s) Detail Q Name & Address Q 0 r Title AMBR a� E LAVERY, MICHAEL t Q Packet Pg. 355 1 10.A.1 4456 LAKEWOOD BLVD NAPLES, FL 34112 Annual Reports Report Year Filed Date 2020 04/07/2020 2021 03/12/2021 2022 04/14/2022 Document Images 04114/2022 —ANNUAL REPORT 03/12/2021 —ANNUAL REPORT 04/07/2020 -- ANNUAL REPORT 06/27/2019 —ANNUAL REPORT 04!02/2018 —ANNUAL REPORT 09/29/2017 -- REINSTATEMENT 04/20/2016 —ANNUAL REPORT 05106/2015 — LC Amendment 03/16!2015 -- Florida Limited Liability View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format j N M N H a+ Q Packet Pg. 356 10.A.1 THE Of "iC°Al. SITE OF 7':t _.',R CA 0E— A7 _:fj O -US1!4 _: & PR0FESS10INAL REEG,ULAe.0N aopr ONLINE SERVICES LICENSEE DETAILS Licensee Information Apply for a License Name: Verify a Licensee View Food & Lodging Inspections File a Complaint Continuing Education Course Search View Application Status Find Exam Information Unlicensed Activity Search AB&T Delinquent Invoice & Activity List Search Main Address County: License Information HOME CONTACT US 9: 06:15 AM 2/28/2023 LAVERY, MICHAEL (Primary Name) PRECISION BUILDING, LLC (DBA Name) 4456 LAKEWOOD BOULEVARD NAPLES Florida 34112 COLLIER License Type: Certified General Contractor Rank: Cert General License Number: CGC1523210 Status: Current,Active Licensure Date: 05/04/2015 Expires: 08/31 /2024 Special Qualifications Construction Business Alternate Names Qualification Effective 05/04/2015 N M N u7 View Related License Information v View License Complaint z O co 2601 Blair Stone Road, Tallahassee FL 32399 :: Email: Customer Contact Center :: Customer Contact Center: 850.487.1395 Q The State of Florida is an AA/EEO employer. Copyright 2007-2010 State of Florida. Privacy Statement r 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 N 850.487.1395. *Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must E provide the Department with an email address if they have one. The emails provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public. Please see our Chapter 455 page to determine if you are affected by this change. Q Packet Pg. 357 Licensee Number LCC20150002521 Status Inactive Name ! Description PRECISION BUILDING, LLC Start Date 67/01J2015 Type Contractor End Date 06,f30j2016 v Inspector Submitted On 07/01/2015 - ----- --- - ---- --- -------- - Jurisdiction Collier County Department Operations Opera_ Activity Description --�- Suggest MaMngAddress Exclude from Auto -Suggest? ❑ Add this Mailing Address as a Location Add Contact Number Mailing Address 4456 LAKEWOOD BLVD T e Contact Number Ext. sI Primary 1(239) 580-7440 Address Line 2 Address Line 3 City/State/Zip NAPLES FL v 34i12 Country Email MICHAELLAVERY22@YAHOO.COM - -` Preferred Contact Method 'Email Receive SMS TextNotifications? ❑ Portal User? Portal ID Confidential? ❑ Contractor Attributes Contractor Type ;Business v Drivers License Number Can be Renewed on Portal? ❑ Location Show More Fields Date of Birth I Business Tax Receipt? 'Yes v Last Application Status Add Related Parcels and Addresses Add a Location To link a location to this Licensee, enter location information below. CityView will suggest possible matches as you type: 1 F1 epa , — I'I1 C (+A FL LAVA Contacts 10.A.1 A A T N M N In El Packet Pg. 358 Licensee Information 21 10.A.1 Licensee Number LCC20150002521 Name PRECISION BUILDING, LLC Type Contractor .: Status iInactive v Descriptior Type Pro Alert View Master Proiect View µ Activities for t^is Licensee Add a new eo rson or business to Address Book Go to Alerts_ ......................................................................................................................................... I......................-.............................................................. ..................... _............. . ................................................................................................................................... Classifications V ....................................................................................................................................................-......_.................................................................................-..................................................................................................._..................................................I License Issuances A Attach Driver License Photo Add Issuance Link Type Status Date Issued Issuance Number Expiration Date GENERAL CONTR.-CERTIFIED Expired 06/01/2018 201500001278 08/31/2020 ............-............. _........... ......-........... _._............ ......... ........._..._............... GENERAL CONTR.-CERTIFIED _....... ;............. _.._..... _...... _......................... ....... ............................. ............... Expired 11/16/2020 .............................................................. 201500001278 ;................................................. 08/31/2022 .. ............. ...................................................................................................................................:............_......-................._...............;_......................_......................--_: GENERAL CONTR. CERTIFIED Active 09/16/2022 _... `201500001278 08/31/2024 :.................__. _....._ _..........................pe.......................... .................. ...... ................. ..................................:.............................................. ........... ................................................................ ............................ .................. Entered By 'LEGA-CY: Sarnantha Ro v Date Entered 07/01/2015 Comments LAVERY, MICHAEL-QUALIFIER Show More Fields Contractor Licensing Issuance Fee Category !Voluntary Registration .. License Category State - Certified �- State Expiration Date u State Registration Number CGC1523210 on Expiration Date + J Unique Identifier LCC6589 Dormant Renewal? ❑ N M N H Q Packet Pg. 359 10.A.1 From: KerinsColleen To: CrottsTimothy; DelaadoSandra; BroughtonTimothy M Subject: FW: Mason Tyler Morgan In Date: Monday, April 3, 2023 11:26:07 AM 00 I can't remember if I forwarded this or not, so here it is again as confirmation that they c acknowledged the hearing date. CD o From: Carmela Widener <cwidener@willisdavidow.com> Sent: Tuesday, March 7, 2023 11:10 AM To: KerinsColleen <Colleen.Kerins@colliercountyfl.gov> Cc: jdavidow@willisdavidow.com Subject: Re: Mason Tyler Morgan EXTERNAL EMAIL: This email is from an external source. Confirm this is a trusted sender and use extreme caution when opening attachments or clicking links. Thank you for the information! It was a pleasure speaking to you. Have a nice rest of your week. Carmela On Tue, Mar 7, 2023 at 11:06 AM KerinsColleen <Colleen. Kerins(@colliercountyfl.gov> wrote: Ms. Widener — As discussed, the citation contest will be placed on the Contractor Licensing Board agenda for 4/19/23. The CLB meets starting at gam on the 3rd floor at 3299 E. Tamiami Trail (the 8 story building next to the courthouse). Colleen A. Kerins Assistant County Attorney Collier County Attorney's Office 3299 East Tamiami Trail -Suite 800 Naples, FL 34112 T- (239) 252-8927 F- (239) 252-6300 Colleen.Kerins&colliercountyfl. = Under Florida Law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by telephone or in writing. Packet Pg. 361 10.A.1 Carmela Widener Florida Registered Paralegal Willis & Davidow, LLC 9015 Strada Stell Court #io6 Naples, Florida 34109 Tel. (239) 465-0531 Fax (888) 435-0911 Email: cwidenerawillisdavidow.com www.willisdavidow.com *This email may contain PRIVILEGED and CONFIDENTIAL information and is intended only forth e use of the specific individuaI(s) to whom it is addressed. If you are not an intended recipient of this email, you are hereby notified that any unauthorized use, dissemination or copying of this email or the information contained in it or attached to it is strictly prohibited. If you have received this email in error, please delete it and immediately notify the person named above by reply mail. Thank you. N M N Packet Pg. 362 10.A.1 AFFIDAVIT OF ADELINA AMAT STATE OF FLORIDA COLLIER COUNTY 1. My name is Adelina Amat. I am over the age of eighteen (18) years, competent to testify in a court of law and testify from my own knowledge and of my own free will. 2. My husband, Jose Amat, Sr., and I are managing members of Amat Island Holdings, LLC, a Florida Limited Liability Company. 3. Amat Island Holdings, LLC owns the residential real property located at 320 Seaview Ct, Unit 510, Marco Island, Florida 34145 in the South Seas Condominium on Marco Island ("the Property") and owned the Property at the time of the incident(s) described below. 4. My husband and I traveled from our home in Miami and met with Mason Tyler Morgan (known to us then as Tyler Morgan) at Coastal Breeze Homes, Inc.'s business location in Naples, Florida, on Wednesday, October 26, 2022. Although Mr. Morgan had communicated with us before October 26, 2022 by phone and email, this was the first and only time I met Mr. Morgan. 5. While at Coastal Breeze Homes, Inc.' s location in Naples on Wednesday, October 26, 2022, my husband signed a Contract with Coastal Breeze Homes, Inc. and gave Mr. Morgan a check payable to Coastal Breeze Homes, Inc. on behalf of Amat Island Holdings, LLC for the first deposit due under the Contract. 6. A true and accurate copy of the Contract and check, and a true and accurate copy of my email correspondence with Mr. Morgan coordinating our October 26, 2022 meeting, are included in the attached Composite Exhibit "1." 7. The scope of work to be performed by Coastal Breeze Homes, Inc. under the terms of the Contract was the remodeling of two bathrooms and other work, as described in the Contract ("the Work"). 8. At all times, Mr. Morgan led us to believe that Coastal Breeze Homes, Inc. was a licensed contractor capable of performing the Work in accordance with all applicable laws and regulations. 9. Before signing the Contract, we told Mr. Morgan that the Work had to be completed by the middle of December of 2022, as there was a work moratorium in our condominium from December 31 through April lst of every year, and we had renters taking possession on January 1, 2023, and he represented to us that it would be completed by that time. 1 N M N 0 N Packet Pg. 363 10.A.1 N 10. At all times I understood and believed that Coastal Breeze Homes, Inc. was a N licensed contractor capable of completing of performing the Work in accordance with all applicable laws and regulations, by itself, without the need to hire other professionals. 00 11. I never knew or agreed that anyone other than Coastal Breeze Homes, Inc. and its employees would be performing any portion of the Work, nor did Mr. Morgan tell us that another person or entity would be performing some portion of the Work or obtaining the permits for the Work. 12. At no time did Jose Amat, Sr. or I, individually or on behalf of Amat Island Holdings, LLC, contract with Precision Building, LLC. 13. At no time did Jose Amat, Sr. or I, individually or on behalf of Amat Island Holdings, LLC, contract with Michael Lavery. 14. In fact, I had never heard of Precision Building, LLC or Mr. Lavery until well after a Stop Work Order was issued by the Marco Island Fire Rescue on January 4, 2023 because no permit had been obtained for the Work. 15. Jose Amat, Sr. did not sign the Permit Application attached as Exhibit "2", nor was his signature ever notarized by Mason Morgan, in person or virtually, on November 1, 2022, or any other time. While the signature appears to be Jose Amat, Sr.'s, he did not place his signature on the Permit Application, or authorize its placement on the Permit Application, and it appears to have been cut and pasted from another document. As indicated above, the one and only time we were in the presence of Mr. Morgan was on October 26, 2022, and he did not sign the Permit Application at that time. 16. In fact, the first time I saw the Permit Application attached as Exhibit "2" was on Monday, February 20, 2023, after my attorney received a copy of it from counsel for Coastal Breeze Homes, Inc., Mr. Davidow. Under penalties of perjury, I declare that I have read the foregoing document and that the facts stated in it are true. Adelina Amat SWORN TO and subscribed before me by means of [q/p*hysical presence or [ ] online notarization, on this 29 day of March, 2023 by Adelina Amat, who is personally known to me or has presented a Florida's Driver's license as identification, and did/did not taken an oath. NOTARY PUBLIC Packet Pg. 364 10.A.1 [SEAL] N M N ` PUe�, LUIGI SAIEH 1�A Printed Name of Notary COto Ogr�+Y Commission # HH 121576 Commission Number: j4 pF V S7(O o Expires July 10, 2025 sr� ptp LQ Eonded'hruBulaelNrtaryServices My Commission Expires: �l o 2S" o C M N mAamat island holdings, Ileklecreonic file\sub-fileslhearing docslaffidavit of adelina amat.dom Packet Pg. 365 10.A.1 Proposal for South Seas Unit 510 3 messages Adelina Amat <adelinaamat@gmail.com> To: "tyler@cbhomesinc.com" <tyler@cbhomesinc.com> Good morning, We will be at your location tomorrow, Wednesday between 12 and 2 We will bring the signed documents and will select the items. Please let us know if you will meet us there. Any questions please contact us. Thank you, Jose and Adelina Amat Adelinaamat@gmail.com Tyler Morgan <tyler@cbhomesinc.com> To: Adelina Amat <adelinaamat@gmail.com> N Adelina Amat <adelinaamat@gmail.com> N ul) N Tue, Oct 25, 2022 at 11:30 AM Tue. Oct 25, 2022 at 1:17 PM Good afternoon, I will see you there. If you could give me a 30 min heads up via text or call between the specified 12pm-2pm tomorrow that'd be greatly appreciated_ As I'm in and out of the office all day. Thank you Coastal Breeze Homes Inc. Tyler Morgan 239-404-7184 Owner/Operator Sent from my iPhone On Oct 25, 2022, at 11:30 AM, Adelina Amat <adelinaamat@gmail.com> wrote: Good morning, [Quoted text hidden] Adelina Amat <adelinaamat@gmail.com> To: Tyler Morgan <tyler@cbhomesinc.com> Will do, thanks. tQuotea text nlaaent Tue, Oct 25, 2022 at 1:18 PM H Z O to a r- a 0 r EXHIBIT E M i COMPOSITE EXHIBIT Q Packet Pg. 366 10.A.1 4775 mercantile Ave Suite 3 Naples, FL, 34104 Tyler@cbhomesinc.com w vw.cbhornesfnc.com (239) 404-7184 CGC#1523210 Proposal For. Jose Amot jamat007@aol.com South seas tower Bldg 2 320 sea view court Unit 510 (305) 878-3993 Description Prep and cover room, doors and trim in 2 bedrooms, remove all furniture to living room. Remove popcorn ceiling and texture smooth. Paint rooms, doors and trim. Color tbd Remodel both bathroom floors and showers, vanities, bathroom lighting, new exhaust fans in each bathroom, mirrors that are backlit Supply and install all materials demo existing. Soda white cabinet vanities. Brushed nickel handle hardware, size tbd. Brushed nickel Glass shower slider. Glacier elongated toilets_ Quartz Calacatto Venice. White square under mount sinks. Plumbing and electrical up to code Included. Faucet RA4115BN Marco island permitting and filing Included, any fees provided by county or drawings or engineering they might require are not included. Shower heads for each bathroom brushed nickel, style tbd Supply and install 12" grab bars in each shower along back wall. Linear shower drains brushed nickel to be selected from floor and decor *Indicates non-taxable item V. CV N CV Estimate No: 1119 Date: 10/16/2022 Quantity Rate Amount 1 $4.950.00 $4,950.00* 1 $29,950.00 $29,950.00* 1 $1,500.00 $1,500.00* 2 $325.00 $650.00* Z 2 $25.00 $50.00* 0 a 2 $210.00 $420.00* d 0 Q 1/2 Packet Pg. 367 10.A.1 Coastal Breeze Homes Inc. - Proposal 1119-10/16/2022 Payment Details Subtotal A 60% deposit of $22,512.00 is required by 10/16/2022. Total Total Deposit due 10/16/2022 $37,520.00 $37,520.00 $37,520.00 ZZ, --rj, Terms and Conditions Terms and Conditions This is a quotation on the goods named, subject to the conditions noted below: $22,512.00 Pricing is subject to change after 30 days if proposal is not signed and deposit submitted. Project will not be scheduled until signature and deposit made as well. All proposals shall be signed by both parties and a deposit. 5% fee will be added if you pay by PayPal. 60% deposit is to be given to mobilize. 20% upon request Additional payment of 10% will be made as needed to complete the project Balance upon completion of project. Certificate of completion if applicable. All change orders will be paid in full for labor and materials. 2.1.1 Prior to the beginning of construction, the Contractor shall provide the Owner with an estimate of the projected Project Cost (hereinafter the "Estimated Project Cost"). The Owner hereby understands and acknowledges that the Estimated Project Cost is merely a good faith estimate for use in budgeting and for determining the amount of the Construction Deposit and the Contractor shall in no way be bound thereto. 2.2 The Owner agrees to provide contractor with copies of any invoices for material or labor which contributed toward the completion of the home and were paid for by the owner. Make all checks payable to Coastal Breeze Homes Inc. Any additional work will be added with time and material. All design selections will be signed and approved by client The unforeseen concealed condition clause will apply to all signed quotations or contracts and may result in additional costs payable by client Total due upon day completion. Overdue accounts subject to a service charge of 5% per month. Clarifications: General Contractor will provide all labor, water and electric as needed. In signing this you agree to all terms and conditions_ Thank you for your business! Coastal Breeze Homes Inc. lien s signature N M N w 00 to 0 0 0 0 M N O N J n W _ U W 00 u7 N V- Z O H H U 0 Z Q M 0 0 0 O O M N 0 N J W U_ M 00 uO N Z O H Q H U H y W H Z O U Z Q 0 W 2/2 Packet Pg. 368 1�1 NOIIVIID 4N`d (6£50000£ZOZ-lf133) £8SZW NOIIVIID 1S31NOD - NVDIJOW '1 NOSVW 'VO4 :;uawy3elIV Fcmwm) U tm a a� Y V a x Q) co E -I--t 0 L_L1_ 1 0 H 4:t .V u u I P y� Itt 1. w i i ;C. Zk If I Zuni .— 1�1 NOIIVIID 4N`d (6£50000£ZOZ-lf133) £8SZW NOIIVIID 1S31NOD - NVDIJOW '1 NOSVW 'VO4 :;uawy3elIV _c U tm a a� Y V a Is w - ;ENGOHSEHERE pp� ��� C/rBGK NSAEfOA A10816f 01l NE/d0TF 0HP0SAONU' at 0<TF. wW[ f IgaRwL n 00. N0T WpITE. STAMP OR SIGN BELOW ,y LJNE IV,6CAYi:� f0� fI.lA11CY6L 1N5t1 ttlfldN US. < 1 f h. l0 f � �8 � N . cmbM+trxae'NaIffieNaaax,wl7.xMua 11$•7: j �d u,4C OfM+:•:tar� r Fug.. . IQQ• .luq •V?n f irYirl.wK IMI��a.. a..n n �Tem1.,I9Y.n:I4oF ✓f. .a.•n+..0 a .. 1: .. ... ..-j '❑ Tee rF...::.•nm.. Y' mm.n...r .W :e+-::l ~I � Clp••'eCl haled>M a. ea:w4 I UTP a_S"Y: rr<ryY,w •Snl .•i. e. '1'" •. ` �NnOdyfnvr»L.d •L„Rtl'e'eIM1 �eth+'i•+nv.w lt:....p 7 �Ogr.:l[a.all r1uP...:m .n 4.0y. e.• -1-1— ,+ r 10.A.1 Multi -Family — Dwelling Unit Remodel 4 �- Bu�ldin� Permit M Florida Buildine Code 7th Edition (2020) N ,NLO, Florida Fire Prevention Code 71 Edition 00 to O O Job Information Application Date: Giltma Est:. cost: Permit # O O c Parcel iD#: 7431 DO= Job Address: U4 UW#*W CIiL URK 6% M M Idlift PL 6444 —J Legal: 5ub/unit/Blk/Lot: SOUTH &PA wnT CONDO A'TS OF MARCO ISL TOWER "10 v Owner's Name: AMAT ISLAND HOLDING@ LLC Z� Owner's Mailing Address (if different): SIM SW 121 BT AVE MIAMI FL 33188 N Prime Contractor information Z O PRECISION BUILDING LLC CGC1523210 Contractor: � State Cert/CC Comp Card #: Address/Email/Phone: 4456 LAKEWOOD BOULEVARD NAPLES, FL. 341121239-580-7740 Q p MR. MORGAN 239-404-7184 Job Re resentative Contact Info; v p Description of Work Description Of the Work Includes the Renovation of The Two Existing Bathrooms, located in A Multifamily Z on ominlum n t, ame Size and Location. See The cope o 0 Document for u er etai s. M AdditioNAlteration DataC to LO CD o 0 � M Remodel square Ft.: Sq. Ft. o N Be advised that significant portions of the City of Marco Island are subject to deed restrictions. It is incumbent upon the property owner to research deed restrictions that may be applicable to their property. Questions regarding deed restrictions should be directed to the Marco Island Civic Association (MICA) at (239) 642-7779. The following must be included with the application An electronic set of plans in pdf format consisting of the following: e Detailed scope of work. !� Floor plan of the unit to be worked in (if not common area) with work area highlighted. ❑ If the layout is being modified in any way, an existing floor plan and a proposed floor plan indicating all proposed layout changes and work areas shall be required 19 Floor plan of condo building with work area and floor penetrations 19 UL Listings for fire rated wall assemblies and floor penetrations. ❑ Location of electric panel and details of electrical changes. 8 Engineer's plan affidavit, if scope includes disturbing the structure. ❑ If work is related to the common area, or affects more than one dwelling unit, use a commercial alteration permit. Regulations and Information Z 1. City of Marco Island Building Services is regulated by the Florida Building Code 7th Edition (2020). For more information about p CO the code or to purchase the code, visit http://www.floridabuilding.org Q 2. Visit mm-w.cityofmarcoisland.com/C'SS for more information about how to submit for permit. 3. Required plan size is 24" x 36" or standard sized paper. Plans must be to scale with a minimum of 3/16" l'. Q 4. A total floor plan must be submitted with any interior remodeling. Work areas will be clouded. T 5. Check with the respective property owners association for deed restrictions on any exterior work. 6. Plans for structural components must be designed, signed and sealed by a Florida State Certified Design Professic nai Marco Island - Multi Family Dwelling Unit Remodel (Effective for permits submitted 10/01/2022 or later.) t EXHIBIT w Q 2 Packet Pg. 371 10.A.1 Job Information Address: 320 Seaview Ct. Unit 510 Marco Island, FL 34145 permit #: 7. One application must be filled out with the original signature of the qualifier who is pulling the permit. M 8. If the work will be performed in more than one unit but not in all units, a separate permit will be required for each unit that bas a N unique Tax Id (Folio Number). 9. Fee for this permit is $0.57 per square foot of the gross square footage of rooms being remodeled with work requiring a building a permit. The associated electrical, plumbing and mechanical fees are each $0.20 per square foot of the gross square footage of the to structure, with a minimum of $77.00. Fire review and fire prevention (inspection) fees are assessed at the current adopted rate. c 10. A fee equal to 38% of the permit fee will be charged at the time an application for a permit is received for plan review. This fee is M not refundable nor is it credited to any other fee. c N J Sub -Contractor Informat, n (Enter C�mpa Name, License number, and Address.) m C, w Electric: 1t Plumbing: UCKEYE PLUMBING OF SOUTHWEST FLOPIDA, INC. 00 N Mechanical: N/A Fire -stop Company z Design Professional Information (Enter Name, License Number, and Address.) Miscellaneous Information (Enter Company Name and Address.) Fee Simple Title Holder: N/A Bonding Company: N/A Mortgage Lender: N/A Additional Portal Access Permission I an! autho ' ' g the general contractor for this project i- i 5 - , and/or permitting service to have full access to this permit via the tizens Self Service Portal. I acknowledge that I am s ely responsible for managing any/all permits applied for under my license. Required Owner Contact Info ��---� r Owner's Email Address: Or;1�J� �t 44 n 4�4' property owner of the abo a referenced project address, elect to opt out of email noWications. Prin{ ame of owne Agent for Owner Signature of Owner or Agent Owner Page 2 of 3 Marco Island - Muni Family Dwelling Unit Remodel (Effective for permits submitted 10/01/2022 or later.) Packet Pg. 372 10.A.1 Job Information Address: 320 Seaview Ct. Unit 510 Marco Island, FL 34145 Permit #: Owner's Affidavit I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. RECORDED NOTICE OF COMMENCEMENT MUST BE POSTED IF THE PROJECT VALUATION EXCEEDS $2,500.00 WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Tyler Morgan Print Name of Owner or Agent for Owner Signature of Owner or Agent for dw State of FL County of Collier The foregoing instrument was acknowledged before me this 9 day of January , 20 23 by Tyler Morgan who is Ilpersonally known to me, or ❑has produced by means of ❑physi al presence or ❑online notarization. —uleen" J Signature, Notary Public — State of Florida Herminio Ortega Printed, Typed, or Stamped Name of Notary Contractor's Affidavit 'iiaY' 't HERMINIOORTEGA �'= Notary Public State of Florida ,.'' (Uai)ission # HH 330 007 My Comm. Expires Nov 7, 2026 Bonded through National Notary Assn. as identification, I certify that all the foregoing information is accurate and that all work must be done in compliance with all applicable laws regulating construction and zoning. I understand THERE WILL BE A FINAL INSPECTION of the work permitted herein. Compliance will be strictly enforced. No work whatsoever will commence until the building permit has been issued. • The permit fee will be quadrupled if work is started without an approved permit. • The permittee further understands that only licensed contractors may be employed and that the structure shall not be used or occupied until a Certificate of Occupancy is issued. • See Section 105.5 of the Marco Island Administrative Construction Code for information regarding the permit expiration date. Michael Lavery Print Name of Licensed Contractor Sign of State of FL County of Collier The foregoing instrument was acknowledged before me this g day of January by Michael Lavery , who is Okpersonally known to me, or ❑has produced by meps of 11phy ' ce or ❑online notarization. Signature, Notary Public— State of Florida Herminio Ortega Printed, Typed, or Stamped Name of Notary 20 � •, HERMINIOORTEGA ? • =Rotary Public •State of Florida �n' (SUAoission # HH 330107 '?'cFr� My Comm. Expires Nov 7, 2026 Bonded through National Notary Assn. as identification, Page 3 of 3 N M N LO 04 Marco Island - Multi Family Dwelling Unit Remodel (Effective for permits submitted 10/01/2022 or later.) Packet Pg. 373 10.A.1 Job Information Address: �710 Permit #: � Owner's Affidavit: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. co 0 RECORDED NOTICE OF COMMENCEMENT MUST BE POSTED IF THE PROJECT VALUATION c EXCEEDS $2,500.00 Co N WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF J COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS w TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND U POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO o OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE 04 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Z Print Name of Owner or Agent for Owner (i lure of Owner or Agent �br)Owner U State of'-` C ounty of t.rAyi -(ter Q The foregoing instrument vjas acknowledged before me this day ofLO by �_____ 5:< Ht O—A-'5� who is L ersonally known to me, or Chas produced as identification, o by means of Ophysical presence or Donline notarization �.�`� �� P Ve�!�,� cn O 512i2 Morgan LU Si ature, Notary Public— of Florida - Z n MOt9 Q = U = Mason bZn O Printed, Typed, or Stamped Name o otary '�i�9� Nw ����� N ///lllrllllrl«��`,, Z Contractor's Affidavit O I certify that all the foregoing information is accurate and that all work must be done in compliance with all applicable laws regulating Q construction and zoning. I understand THERE WILL BE A FINAL INSPECTION of the work permitted herein. Compliance will be strictly enforced. U No work whatsoever will commence until the building permit has been issued. y • The permit fee will be quadrupled if work is started without an approved permit. H • The permittee further understands that only licensed contractors may be employed and that the structure shall not be used or Z occupied until a Certificate of Occupancy is issued. O • See Section 105.5 of the Marco Island Administrative Construction Code for information regarding the permit expiration date. • I will provide the Florida DBPR - Florida Lien Law statement to the Mrson whose DLQ= is abiect to attar Z Q Print Name of Licensed Contractor Sig M f Licensed or O /r H State of F� County of C G1/% f+ Mvo-e��20iz Z O The foregoing instrument was acknowledged before me this day of Q ti���111tlllfl////// �2 by % N V tr who is ersonally known to me, or ❑has produced s $S dentification, by means of Ophysical presence or ❑ e notarization 51212p26 r Z Mos9at► 4 Mason p1 signature, otaryPublic- of ' (Seal) C' MN°Z 4ti;6`Zt' _` .� 3 o.��� Printed, Typed, or Stamped Name of No f,0 rIF %\\,�\`\ Pa e4of4 Marco Island - Multi Family New (Effective for permits submitted 10/01/2022 or later.) Packet Pg. 374 10.A.1 AFFIDAVIT OF JOSE AMAT, SR. STATE OF FLORIDA COLLIER COUNTY 1. My name is Jose Amat, Sr. I am over the age of eighteen (18) years, competent to testify in a court of law and testify from my own knowledge and of my own free will. 2. My wife, Adelina Amat, and I, are managing members of Amat Island Holdings, LLC, a Florida Limited Liability Company. 3. Amat Island Holdings, LLC owns the residential real property located at 320 Seaview Ct, Unit 510, Marco Island, Florida 34145 in the South Seas Condominium on Marco Island ("the Property") and owned the Property at the time of the incident(s) described below. 4. My wife and I traveled from our home in Miami and met with Mason Tyler Morgan (known to us then as Tyler Morgan) at Coastal Breeze Homes, Inc.'s business location in Naples, Florida, on Wednesday, October 26, 2022. Although Mr. Morgan had communicated with us before October 26, 2022 by phone and email, this was the first and only time I met Mr. Morgan. 5. While at Coastal Breeze Homes, Inc.' s location in Naples on Wednesday, October 26, 2022, I signed a Contract with Coastal Breeze Homes, Inc. and gave Mr. Morgan a check payable to Coastal Breeze Homes, Inc. on behalf of Amat Island Holdings, LLC for the first deposit due under the Contract. 6. A true and accurate copy of the Contract and check, and the email chain between Mr. Morgan and my wife coordinating our October 26, 2022 meeting, are included in the attached Composite Exhibit " V' 7. The scope of work to be performed by Coastal Breeze Homes, Inc. under the terms of the Contract was the remodeling of two bathrooms and other work, as described in the Contract ("the Work"). 8. At all times, Mr. Morgan led us to believe that Coastal Breeze Homes, Inc. was a licensed contractor capable of performing the Work in accordance with all applicable laws and regulations. 9. Before signing the Contract, we told Mr. Morgan that the Work had to be completed by the middle of December of 2022, as there was a work moratorium in our condominium from December 31 through April 15t of every year, and we had renters taking possession on January 1, 2023, and he represented to us that it would be completed by that time. Packet Pg. 375 10.A.1 10. At all times I understood and believed that Coastal Breeze Homes, Inc. was a licensed M N contractor capable of completing of performing the Work in accordance with all applicable laws and regulations, by itself, without the need to hire other professionals. 00 11. I never knew or agreed that anyone other than Coastal Breeze Homes, Inc. and its employees would be performing any portion of the Work, nor did Mr. Morgan tell us that another person or entity would be performing some portion of the Work or obtaining the permits for the Work. 12. At no time did Adelina Amat or I, individually or on behalf of Amat Island Holdings, LLC, contract with Precision Building, LLC. 13. At no time did Adelina Amat or I, individually or on behalf of Amat Island Holdings, LLC, contract with Michael Lavery. 14. In fact, I had never heard of Precision Building, LLC or Mr. Lavery until well after a Stop Work Order was issued by the Marco Island Fire Rescue on January 4, 2023 because no permit had been obtained for the Work. 15. I did not sign the Permit Application attached as Exhibit 112", nor was my signature ever notarized by Mason Morgan, in person or virtually, on November 1, 2022, or any other time. While the signature appears to be mine, I did not place my signature on the Permit Application, or authorize its placement on the Permit Application, and it appears to have been cut and pasted from another document. As indicated above, the one and only time I was in the presence of Mr. Morgan was on October 26, 2022, and I did not sign the Permit Application at that time. 16. In fact, the first time I saw the Permit Application attached as Exhibit "2" was on Monday, February 20, 2023, after my attorney received a copy of it from counsel for Coastal Breeze Homes, Inc., Mr. Davidow. Under penalties of perjury, I declare that I have read the foregoing document and that the facts stated in it are true. Q-�OW6;Dc�;- - e,Amat, Sr. SWORN TO and subscribed before me by means of [ physical presence or [ ] online notarization, on this Zq� day of March, 2023 by Jose Amat, Sr., who is personally known to me or has presented a Florida's Driver's license as identification, and did/did not taken an oath. OTARY PUBLIC 2 Packet Pg. 376 10.A.1 N M N 2o� r aue�c LUIGI SAIEHL y( G 1` A t e j4 00 * Commission # HH 121576 Printed Name of Notary o * Expires July 10, 2025 Commission Number: 14/ f 1 Z (j 5 N'TFOF F��p`�Q' Bonded Thtu Bedgel NotaryServices CD [SEAL] My Commission Expires: o t loZS" M N \\Iawde\civil lit\amat island holdings, Ile\electronic file\sub-files\hearing docs\affidavit of jose amat, sr.docx 3 Packet Pg. 377 10.A.1 Gmail Proposal for South Seas Unit 510 3 messages Adelina Amat <adelinaamat@gmail.com> To: "tyler@cbhomesinc.com" <tyler@cbhomesinc.com> Good morning, We will be at your location tomorrow, Wednesday between 12 and 2 We will bring the signed documents and will select the items. Please let us know if you will meet us there. Any questions please contact us. Thank you, Jose and Adelina Amat Adelinaamat@gmail.00m Tyler Morgan <tyler@cbhomesinc.com> To: Adelina Amat <adelinaamat@gmail.com> N Adelina Amat <adelinaamat@gmail.com> N to N Tue, Oct 25, 2022 at 11:30 AM Tue, Oct 25, 2022 at 1:17 PM Good afternoon, I will see you there. If you could give me a 30 min heads up via text or call between the specified 12pm-2pm tomorrow that'd be greatly appreciated_ As I'm in and out of the office all day. Thank you Coastal Breeze Homes Inc. Tyler Morgan 239-404-7184 Owner/Operator Sent from my iPhone On Oct 25, 2022, at 11:30 AM, Adelina Amat <adelinaamat@gmail.com> wrote: Good morning, (Quoted text hidden] Adelina Amat <adelinaamat@gmail.com> To: Tyler Morgan <tyler@cbhomesinc.com> Will do, thanks. [Quoted text hidden] Tue, Oct 25, 2022 at 1:18 PM H Z O Cn a r- a 0 r EXHIBIT E s COMPOSITE EXHIBIT 1 � Packet Pg. 378 10.A.1 4775 mercantile Ave Suite 3 Naples, FL, 34104 Tyler@cbhomesinc.com www.cbhomesinc.com (239) 404-7184 CGC#1523210 Coastal Breeze Homes Ina Proposal For. Jose Amot jarnat007@aol.com South seas tower Bldg 2 320 sea view court Unit 510 (305) 878-3993 Description Prep and cover room, doors and trim in 2 bedrooms, remove all furniture to living room. Remove popcorn ceiling and texture smooth. Paint rooms, doors and trim. Color tbd Remodel both bathroom floors and showers, vanities, bathroom lighting, new exhaust fans in each bathroom, mirrors that are backlit. Supply and install all materials demo existing. Soda white cabinet vanities. Brushed nickel handle hardware, size tbd. Brushed nickel Glass shower slider. Glacier elongated toilets. Quartz Calacatto Venice. White square under mount sinks. Plumbing and electrical up to code included. Faucet RA4115BN Marco island permitting and filing included, any fees provided by county or drawings or engineering they might require are not included. Shower heads for each bathroom brushed nickel, style tbd Supply and install 12" grab bars in each shower along back wall. Linear shower drains brushed nickel to be selected from floor and decor *Indicates non-taxable item Estimate No: 1119 Date: 10/16/2022 Quantity Rate Amount 1 $4,950.00 $4,950.00* 1 $29.950.00 $29,950.00* 1 $1,500.00 $1,500.00* 2 $325.00 $650.00* 2 $25.00 $50.00* 2 $210.00 $420.00* N N UA N H Z O Cn a d 0 r c m E s U Q 1/2 Packet Pg. 379 10.A.1 Coastal Breeze Homes Inc. - Proposal 1119-10/16/2022 Payment Details Subtotal A 60% deposit of $22,512.00 is required by 101JJW022. Total Total Deposit due 10/16/2022 $37,520.00 $37,520.00 $37,520.00 ti --L�r_ Terms and Conditions Terms and Conditions This is a quotation on the goods named, subject to the conditions noted below: $22,512.00 -Z-Sd< Pricing is subject to change after 30 days if proposal is not signed and deposit submitted. Project will not be scheduled until signature and deposit made as well. All proposals shall be signed by both parties and a deposit. 5% fee will be added if you pay by PayPal. 60% deposit is to be given to mobilize. 20% upon request. Additional payment of 10% will be made as needed to complete the project Balance upon completion of project. Certificate of completion if applicable. All change orders will be paid in full for labor and materials. 2.1.1 Prior to the beginning of construction, the Contractor shall provide the Owner with an estimate of the projected Project Cost (hereinafter the "Estimated Project Cost"). The Owner hereby understands and acknowledges that the Estimated Project Cost is merely a good faith estimate for use in budgeting and for determining the amount of the Construction Deposit and the Contractor shall in no way be bound thereto. 2.2 The Owner agrees to provide contractor with copies of any invoices for material or labor which contributed toward the completion of the home and were paid for by the owner. Make all checks payable to Coastal Breeze Homes Inc. Any additional work will be added with time and material. All design selections will be signed and approved by client The unforeseen concealed condition clause will apply to all signed quotations or contracts and may result in additional costs payable by client. Total due upon day completion. Overdue accounts subject to a service charge of 5% per month. Clarifications: General Contractor will provide all labor, water and electric as needed. In signing this you agree to all terms and conditions_ Thank you for your business! Coastal Breeze Homes Inc_ lien signature N M N u7 w 00 to 0 0 0 0 M N O N J W . U W 00 u7 N V- Z O H H U 0 Z Q M 0 0 0 0 O M N 0 N J W U_ M 00 in N Z O H Q H U H CO W H Z O U Z Q 0 W 2/2 Packet Pg. 380 NOIIVIID 4NV (6£50000£ZOZ-lf133) £8SZ4# NOIIVIID 1S31NOD - NV!DMOW '1 NOSVW 'VO0 :IU8WLPePV x cs I'` N Q•° \ tom-{ .� t� N011VII0 aNV (6r50000czoz-ln33) S9S;Z 4# N011VII3 IS31NOD - NV!DMOW U NOSVW 'VO 4 :IU8WL13ePV m I C\j 0 u u (D qHrXH$RffFoR Aloortf OR IMMOTE DEPOSfT ONLY AY ..tf- ZIAUr JF FINANCIAL INSTITUTION DON CW41 7E 50 SrAIz CoInAL-S JG" IFL Ow , 1! LIME 9- tm a. 10.A.1 Multi -Family — Dwelling Unit Remodel l� N Building Pennit N Florida Building Code 7th Edition (2020) Florida Fire Prevention Code let Edition Job Information Application Date: Di10WM Est. cost: Permit #: Parcel ID #: i4.3i040000s Job Address: M SSSVWW GLUM M0 MAU ON, FL 84141 Legal: Sub/Unit/Blk/Lot: SOUTH SPA WEST CONDO AM OF MARGO NIL TOWEL! Hi D Owner's Name: AMAT ISLAND HOLDINGS LLO Owner's Mailing Address (if different): 88W SW 121 ST AVE MIAMI FL 33188 Prime Contractor Information Contractor: PRECISION BUILDING, L.LC State Cert/CC Comp Card #: CGC1523210 Address/Email/Phone: 4456 LAKEWOOD BOULEVARD NAPLES, FL. 34112 / 239-580-7740 Job Representative Contact Info: MR. MORGAN 239-404-7184 Description of Work Description Of the Work Includes the Renovation of The Two Existing Bathrooms, located in A M Condominium e ium nit. amSize and Location. See The Scope of WorkDocument for Further detE ta Addition/Alteration Da Remodel square Ft.: Be advised that significant portions of the City of Marco Island are subject to deed restrictions. It is incumbent upon the property owner to research deed restrictions that may be applicable to their property. Questions regarding deed restrictions should be directed to the Marco Island Civic Association (MICA) at (239) 642-7778. The following must be included with the application An electronic set of plans in pdf format consisting of the following: 11 Detailed scope of work. 11 Floor plan of the unit to be worked in (if not common area) with work area highlighted. O If the layout is being modified in any way, an existing floor plan and a proposed floor plan indicating all proposed layout changes and work areas shall be required. Floor plan of condo building with work area and floor penetrations UL Listings for fire rated wall assemblies and floor penetrations. 0 Location of electric panel and details of electrical changes. A Engineer's plan affidavit, if scope includes disturbing the structure. ❑ If work is related to the common area, or affects more than one dwelling unit, use a commercial alteration permit. Regulations and Information z 1. City of Marco Island Building Services is regulated by the Florida Building Code 7th Edition (2020). For more information about p the code or to purchase the code, visit http://www.floridabuilding.org Q 2. Visit www.ci!3,ofinarcoislaW.cqm/CSS for more information about how to submit for permit. 3. Required plan size is 24" x 36" or standard sized paper. Plans must be to scale with a minimum of 3/16"=1'. Q 4. A total floor plan must be submitted with any interior remodeling. Work areas will be clouded. T 5. Check with the respective property owners association for deed restrictions on any exterior work. 6. Plans for structural components must be designed, signed and sealed by a Florida State Certified Design Professic ttai Marco Island - Multi Family Dwelling Unit Remodel (Effective for permits submitted 10/01/2022 or later.) t EXHIBIT Q 2 Packet Pg. 383 10.A.1 Job information Address: 320 Seaview Ct. Unit 510 Marco Island, FL 34145 permit #: 7. One application must be filled out with the original signature of the qualifier who is pulling the permit. 8. If the work will be performed in more than one unit but not in all units, a separate permit will be required for each unit that has a unique Tax Id (Folio Number). 9. Fee for this permit is $0.57 per square foot of the gross square footage of rooms being remodeled with work requiring a building permit. The associated electrical, plumbing and mechanical fees are each $0.20 per square foot of the gross square footage of the structure, with a minimum of $77.00. Fire review and fire prevention (inspection) fees are assessed at the current adopted rate. 10. A fee equal to 38% of the permit fee will be charged at the time an application for a permit is received for plan review. This fee is not refundable nor is it credited to any other fee. Sub -Contractor Informatign (EntgX CgmpaD# Name, License number, and Address.) Electric: 1 g- C-4*)44 Plumbing: UCKEYE PLUMBING OF Mechanical: NIA Fire -stop Company FLOP,IDA, INC. Design Professional Information (Enter Name, License Number, and Address.) Miscellaneous Information (Enter Company Name and Address.) Fee Simple Title Holder: N/A Bonding Company. N/A Mortgage Lender. N/A Additional Portal Access Permission I am autho i J the general contractor for this project L J 5 Y`- - , and/or permitting service j �s •,ctt, to have full access to this permit via the Pitizens Self Service Portal. I acknowledge that I am saliely responsible for managing any/all permits applied for under my license. Required Owner Contact Info Owner's Email Address: Or; Il,� 2-&IaJ &AA;V-, property owner of the abo a referenced project address, elect to opt out of email no cations. Prim ame of Own Agent for Owner Signature of Owner or Agent Owner Page 2 of 3 N M N 0 N co 0 0 O O O 0 M N O N J n w U_ to 0 LO N z O H Q i— C) 0 z Q M LC> O O 0 0 M N O N J LU U_ M 0 LO N z O H U Cl) w z O C) z Q CD W O z O U) Q d 0 T y.+ C cd G L (i i+ Wr Q Marco Island - Multi Family Dwelling Unit Remodel (Effective for permits submitted 10/01/2022 or later.) Packet Pg. 384 10.A.1 Job Information Address: 320 Seaview CL Unit 510 Marco Island, FL 34145 Permit #: Owner's Affidavit I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. N RECORDED NOTICE OF COMMENCEMENT MUST BE POSTED IF THE PROJECT VALUATION EXCEEDS $2,500.00 WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF o COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS o TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND o POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO J OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE W COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. 0 W 00 Tyler Morgan N Print Name of Owner or Agent for Owner Signature of Owner or Agent for O Z Z O State of FL County of Collier 9 January23 The foregoing instrument was acknowledged before me this day of , 20 U Tyler Morgan a by Y , who is @personally known to me, or ❑has produced as identification, Z by means of ❑physi al presence or ❑online notarization. ((Q�,-'P�t es RMINIO 0 '"' HE ♦ ry RTEGA Signature, Notary Public — State of Florida `F`: Notary Public- State of Florida (fission 8 HH 330107 Herminio Ortega `?ash Ay Comm. Expires Nov 7,2026 Printed, Typed, or Stamped Name of Notary Bonded through National Notary Assn, Contractor's Affidavit I certify that all the foregoing information is accurate and that all work must be done in compliance with all applicable laws regulating construction and zoning. I understand THERE WILL BE A FINAL INSPECTION of the work permitted herein. Compliance will be strictly enforced. No work whatsoever wfll commence until the building permit has been issued. • The permit fee will be quadrupled if work is started without an approved permit. • The permittee further understands that only licensed contractors may be employed and that the structure shall not be used or occupied until a Certificate of Occupancy is issued. • See Section 105.5 of the Marco Island Administrative Construction Code for information regarding the permit expiration date. Michael Lavery Print Name of Licensed Contractor State of FL County of Collier � V �.JThe foregoing instrument was acknowledged before me this g day of January by Michael Lavery who is dpersonally known to me, or ❑has produced as identification, by m of dM e or ❑online notarization. Signature, Notary Public'— State of Florida Herminio Ortega Printed, Typed, or Stamped Name of Notary , jcr'i HERMINIO ORTEGA •z Notary Public . State of Florida (91miolssion Y HH 330107 Ay Comm. Expires Nov 7, 2026 Bonded through National Notary Assn. Page 3 of 3 Marco Island - Multi Family Dwelling Unit Remodel (Effective for permits submitted 10/01/2022 or later.) Packet Pg. 385 10.A.1 ia M Job Information Address: �Zlo 4601 Permit #: 04 Owner's Affidavit: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. w 00 RECORDED NOTICE OF COMMENCEMENT MUST BE POSTED IF THE PROJECT VALUATION c EXCEEDS $29,500.00 0 WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Print Name of Owner or Agent for Owner Signature of Owner or Agent `for Owner t r State of 'F is ounty of (-C� li `Z" 6 � The foregoing instrument as acknowledged before me this day off 20 by ram' { o. who is 111ft"r'sonally known to me, or ❑has produced as identification, ``0%1 1/111j/ by means of ❑physical presence or ❑online notarization. �.�`' �� P rj& 51212p2b l���s Si tune, Notary Public — of Florida Son 0 � (Seat) s�N� MY H92 b11ev Printed, Typed, or Stamped Name o otary C—)�•� Contractor's Affidavit I certify that all the foregoing information is accurate and that all work must be done in compliance with all applicable laws regulating construction and zoning. I understand THERE W I.L BE A FINAL INSPECTION of the work permitted herein. Compliance will be strictly enforced. No work whatsoever will commence until the building permit has been issued. • The permit fee will be quadrupled if work is started without an approved permit. • The permittee further understands that only licensed contractors may be employed and that the structure shall not be used or occupied until a Certificate of Occupancy is issued • See Section 105.5 of the Marco Island Administrative Construction Code for information regarding the permit expiration date. 14 C2-� {' Print Name of Licensed Contractor Si f Licensed State of F-c County of C 4!l g, 15 P The foregoing instrument was acknowledged before me this day of �'� by !. �!\ 1J�zr who is ersonally known to me, or ❑has produced` 11 I' i/Jderitification, by means of ❑physical presence or ❑ tine notarization. "\``'�`�`f 51,11202bCj o� Signature, otaryPublic— o (lNMas Comm"ri (Seal) � A %4 234 O sr.�j er J� C'JV ���•�%� G�/ ��• Printed, Typed, or Stamped Name of No ��iil rr� iFi Pa e4of4 Marco Island - Multi Family New (Effective for permits submitted 10/01/2022 or later.) Packet Pg. 386 10.B 04/19/2023 Item Number: IO.B Doc ID: 25233 Item Summary: IOB. (CEMIS20230001428) Meeting Date: 04/19/2023 Prepared by: Title: — Contractor Licensing Name: Alyshia Morse 04/12/2023 11:52 AM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 04/12/2023 11:52 AM Approved By: Review: Contractor Licensing Contractor Licensing Contractor Licensing COLLIER COUNTY Contractor Licensing Board 2023-05 SAUL PAREDES TREJO DBA PRO WALLS PAINTING INC Sandra Delgado Review item Tim Crotts Review Item Tim Crotts Meeting Pending Completed 04/13/2023 9:12 AM Completed 04/13/2023 10:22 AM 04/19/2023 9:00 AM Packet Pg. 387 10.B.1 BEFORE THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD J BOARD OF COUNTY COMMISSIONERS, a COLLIER COUNTY, FLORIDA, LO Petitioner, M N O N v. m Case No: 2023-05 Licensee No. LCC20160001450 ; SAUL PAREDES TREJO, N PRO WALLS PAINTING, INC. N, Respondent. F / N ADMINISTRATIVE COMPLAINT Collier County files this Administrative Complaint against SAUL PAREDES TREJO (Respondent), a Collier County licensed contractor (Issuance number 201600000757) and states the following facts and allegations in support of the cited violations below: The Respondent is currently licensed as a PAINTING CONTRACTOR by Collier County Contractors' Licensing 2. The Respondent, SAUL PAREDES TREJO, is the Collier County license holder of record for the company PRO WALLS PAINTING, INC., (LCC20160001180). 3. Under the provisions of Florida Statutes 489.105(12) and Collier County Code of Laws and Ordinances Sec. 22-202, the Collier County Contractors' Licensing Board, is authorized to impose penalties against Collier County Certificate of Competency holders who violate the Collier County Code of Laws and Ordinances. 4. Under the provisions of Collier County Code of Laws and Ordinances Sec 22-202 the actions of the Respondent, constitute misconduct and grounds for discipline. 5. On February 6, 2023, the Collier County Licensing Department received a complaint from the City of Naples Building Department regarding unpermitted interior alteration work being performed at 2775 Leeward Lane, Naples, FL 34103. 6. Upon investigation, it was discovered that on November 1, 2022, PRO WALLS N PAINTING, INC invoiced Matthew Parish (an unlicensed general contractor) for N interior painting, drywall installation and insulation. The total invoice amount was for $15,000.00. The first payment of $7,000.00 was made on November 4, 2022 to Pro Walls Painting, Inc by Matthew Parish Contracting LLC with check #1003. A final E payment of $8,000.00 was made on November 12, 2022 to Pro Walls Painting, Inc by Matthew Parish Contracting LLC with check #1006. .2 Packet Pg. 388 10.B.1 7. On February 6, 2023, while conducting a Site Visit, a review of the City of Naples records revealed no permits were applied for regarding interior alteration work. A stop -work order was posted. 8. On February 6, 2023, City of Naples Deputy Building Official Tom Tucker reviewed site photos and determined that a single-family addition/alteration permit was required. 9. 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. 10.On February 21, 2023, a Notice of Hearing to appear before the Collier County Contractors' Licensing Board on April 19, 2023 at 9:00 a.m., was served in person to the Respondent, SAUL PAREDES TREJO. 11. The County now brings the following count(s) in this Administrative Complaint against the Respondent: COUNT A. Saul Paredes Trejo is the holder of a Collier County Painting Contractor license. Saul Paredes Trejo contracted to do work outside the scope of his license. Saul Paredes Trejo's license does not allow for the installation of drywall and insulation. B. Saul Parades Trejo is in violation of Collier County Code of Laws and Ordinances Section 22-201(2), which states, in pertinent part, that it is misconduct for a holder of a Collier County Certificate of Competency to contract to do any work outside of the scope of his/her competency as listed on his/her competency card and as defined in this ordinance or as restricted by the Contractors' Licensing Board. COUNT II A. Upon review of City of Naples permitting records, a permit was never issued prior to commencing work, and a permit was required to perform the subject work. Saul Paredes Trejo is in violation of Collier County Code of Laws and Ordinances Section 22-201(18), which states, in pertinent part, that it is misconduct by a a holder of a Collier County Certificate of Competency, to proceed on any job Packet Pg. 389 10.B.1 without obtaining applicable permits or inspections from the City building and zoning division or the County building review and permitting department. WHEREFORE, the Petitioner asserts the above facts and charges are grounds for disciplinary action under Collier County Code of Laws and Ordinances Sec. 22-201 and WHEREFORE, in consideration of the foregoing, the Petitioner respectfully requests the Collier County Contractors' Licensing Board to find the Respondent guilty of the violation(s) charged. Dated: `l/7/0-2 Signed: — — Collier County Contractors' Licensing Supervisor — Timothy Crotts J Q Ln 0 M N O N m 0 M M N LO N Packet Pg. 390 10. B.1 Contractors' Licensing Board 2800 North Horseshoe Dr. Naples, FL 34104 Complaint Number- 2023-05 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: March 23, 2023 Against: Contractor's Name: Saul Paredes Trejo Phone: 239.250.9895 Business Name: Pro Walls Painting, Inc. License(s) Held: Painting Contractor Collier County Issuance number: 201600000757 Contractor's Business Address: 3500 White Blvd Naples, Florida 34117 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: 2775 Leeward Lane City: City of Naples County: Collier Date of contract: November 1, 2022 J a LO 0 M N 0 N Ln 0 M M N N Packet Pg. 391 10.B.1 Date job started: On or about November 1, 2022 J Date job completed or new home occupied: Unknown Ln 0 Were there plans and specifications? Unknown N o N Is there a written contract? Yes If yes, amount of Contract: $15,000.00 m 0 Has Contractor been paid in full? Yes If not, what amount? M Ln N Was a Building Permit obtained? No Was a Building Permit required? Yes. Building Permit number if known: Unknown N Have you communicated by letter with the licensee? Yes Date: February 21, 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, 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(2) Contracting to do any work outside of the scope of his/her competency as listed on his/her competency card and as defined in this Ordinance or as restricted by the Contractors' Licensing Board. b. Collier County Ordinance 22-201(18) Proceeding on any job without obtaining applicable permits or inspections from the City building and zoning division or the county building review and permitting department. Please state the facts which you believe substantiate your charge of misconduct against the subject contractor. List facts separately for each subsection number above: a. Collier County Ordinance 22-201(2) Contracting to do any work outside of the scope of his/her competency as listed on his/her competency card and as defined in this Ordinance or as restricted by the Contractors' Licensing Board. Saul Paredes Trejo is the holder of a Collier County Painting Contractor license. Saul Paredes N CD Trejo's contracted to do work outside the scope of his license. Saul Paredes Trejo's license does N not allow for the installation of drywall and insulation. c T b. Collier County Ordinance 22-201(18) Proceeding on any job without obtaining applicable E permits or inspections from the City building and zoning division or the county building review and permitting department. a Packet Pg. 392 10.B.1 J Saul Parades Trejo is in violation of Collier County Code of Laws and Ordinances {Section a 22-201(18)1, which states, in pertinent part, that it is misconduct by a holder of a Collier N tn County Certificate of Competency, to proceed on any job without obtaining applicable permits c M or inspections from the City building and zoning division or the County building review and c permitting department `~ 00 0 Mi el Gove ale Code Enforcement Investigator - Contractor Licensing State of �—wr-7 d County of Ca l �e r The foregoing instrument was acknowledged before me by means of physical presence or ❑ online notarization on this,Iday of ' , 20, by 11'lICG1Ca�.( -ACAUU Such person(s) Notary Public must check applicable box: l7"are personally known to me ❑ has produced a current driver license ❑ has produced (Notary Seal) Pt*,c 9ANDRA DELGADO 2o,rrV Commission # HH 101718 * * N, Expires March 8, 2025 oe 9rFUF f`oQ� Balled Thtu Budget Notary Services as identification. I Notary Signature: M M N to N Packet Pg. 393 10.B.1 Co e-� Go,rz-Kty Growth Management Division -J M Planning & Regulation < Operations Department o Licensing Section CV, N O N m O Received by: Date: /')Z— Z/ /g0 M N N Date: February 21, 2023 Saul Paredes Trejo PRO WALLS PAINTING INC. 3500 White Blvd Naples, FL 34117 RE: Case # CEMIS20230001428 — 2775 Leeward Lane Dear SAUL PAREDES TREJO, A complaint has been filed against you by the above referenced entity. A hearing of this complaint will be held by the Contractors' Licensing Board on Wednesday, April 19, 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 of the Collier County, FL Code of Ordinances: Sec. 22-201 — MISCONDUCT — Collier County/city certificate of competency. Growth Management Division*Planning & Regulation'2800 North Horseshoe Drive*Naples, Florida 34104*239-252-2400'www.colliergov.net Packet Pg. 394 10.B.1 CoC�ie-r• +Cou-n�ty �.... _U ,,,.. y : Growth Management Division � Planning & Regulation a Operations Department LO Licensing Section M N O N m O Sec. 22-201(2) Contracting to do any work outside of the scope of his/her competency as listed on his/her competency card and as defined in this Ordinance or as restricted by the Contractors' N Licensing Board. v Sec. 22-201(18) - Proceeding on any job without obtaining applicable permits or inspections from the City building and zoning division or the county building review and permitting department. 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, Michael Governale Licensing Compliance Officer Collier County Contractors' Licensing 239-252-8019 Initials Growth Management Division*Planning & Regu€ation*2800 North Horseshoe Drive*Maples, Florida 34 104 * 239-252-2400*wviw.collierfr)v.net Packet Pg. 395 Report Title: Code Case Details 4/10/2023 10:52:23 AM Case Number: CEMIS20230001428 Case Number: CEMIS20230001428 Case Type: Misconduct Priority: Normal Inspector: MichaelGovernale 10.B.1 Status: Refer to CLB Date & Time Entered: 2/16/2023 11:22:49 AM Entered By: MichaelGovernale Case Disposition: Hearing Jurisdiction: City of Naples Origin: Field Observation Detail Description: Working outside of the scope / Commening work without an issued permit CLB #2023-05 2775 Leeward Lane Naples, FL 34103 P#12934440009 Address 2775 Leeward LN, City of Naples Property 12934440009 Complainant Collier County Building Dept. Address:2800 N Horseshoe Dr. Contractor PRO WALLS PAINTING INC. Property Owner MARILYN TEMPEST TRUST HARRISON F TEMPEST TRUST Qualifier PAREDES TREJO, SAUL Business Management & Budget Office 0 J a U) 0 M N 0 N m 0 r M M N LO m Packet Pg. 396 Code Case Details Execution Date 4/10/2023 10:52:23 AM 10.B.1 Desc Assigned Required Completed Outcome Comments Preliminary Investigation MichaelGover 2/16/2023 2/16/2023 Needs While investigating case nale Investigatio #CEUL20230001162; I learned of a Collier n County licensed contractor that performed work outside the scope of their license and without a permit. Matthew Parish owner of MATTHEW PARISH CONTRACTING told me that he verbally sub -contracted PRO WALLS PAINTING to replace drywall, insulation and paint the interior at 2775 Leeward Lane. The agreed upon amount was $19,500.00 which was already paid in full. Investigation MichaelGover 2/16/2023 2/21/2023 Refer to Address: 2775 LEEWARD LANE nale CLB Property Owner: TEMPEST Complainant: COLLIER COUNTY BUILDING DEPARTMENT Complaint: MISCONDUCT - OUTSIDE THE SCOPE / NO PERMIT Contractor: PRO WALLS PAINTING INC License#: Permit#: Status: As of: Cont. Investigation MichaelGover 2/16/2023 2/16/2023 Complete PERMIT DETERMINATION - 02.06.23 nale City of Naples Deputy Building Official Tom Tucker determined a single family addition/alteration permit was required. CE Phone Call MichaelGover 2/16/2023 2/16/2023 Complete Contact was made with the Qualifier Saul nale Paredes and a meeting at the GMCD facility was scheduled for Tuesday, February 21 @ 1100hrs. Cont. Investigation MichaelGover 2/21/2023 2/21/2023 Complete GMCD MEETING nale I met with Trejo at the GMCD facility who provided me with a copy of an invoice dated 11.01.22 he sent to Matthew Parish in the amount of $15,000.00. The scope of work listed was for drywall, insulation and painting. He also provided me with a copy of two checks from Matthew Parish made payable to Pro Walls Painting. Check #1003 dated 11.04.22 for $7,000.00 and check #1006 dated 11.12.22 for $8,000.00. He signed and was provided a copy of a "notice of hearing" to appear before the Contractors Licensing Board on April 19, 2023 @ 0900hrs. Schedule for CLB MichaelGover 2/21/2023 2/21/2023 Complete April 19, 2023 @ 0900hrs nale Generate CLB Notice of Hearing MichaelGover 2/21/2023 2/21/2023 Complete Personally served and provided a copy nale Enter Hearing Results MichaelGover 4/19/2023 Pending nale Business Management & BUdget Office J Q to LO 0 M N 0 N m 0 M M N Q Packet Pg. 397 Code Case Details Execution Date 4/10/2023 10:52:23 AM 10.B.1 J Q to LO O Violation Description Status Entered Corrected Amount Comments M N O N m O Title Reason Result Compliance Fine/Day Condition M M N N m O r C d E3usiness Management & Budget Office 3 t 0 r Q Packet Pg. 398 4/10/23, 10:55 AM Collier County, FL Code of Ordinances 10.6.1 Sec. 22-201. - Misconduct —Collier County/city certificate of competency. The following actions by a holder of a Collier County/City Certificate of Competency shall constitute misconduct and grounds for discipline pursuant to section 22-202: J Knowingly combining or conspiring with an unlicensed contractor by allowing one's CertificateLO y of Competency to be used by an unlicensed contractor with intent to evade the provisions of o M this Ordinance. When a licensed contractor acts as the qualifying agent for any firm without c N first making application under this Ordinance to represent said firm, such act shall constitute m 0 prima facie evidence of intent to evade the provisions of this Ordinance. When a certificate holder allows his certificate to be used by one or more companies without having any active N participation in the operations, management, and control of such companies, such act LO v constitutes prima facie evidence of an intent to evade the provisions of this Ordinance. Active N participation requires job site supervision, knowledge of and participation in the business c operations of the company(s), including all contractual matters. 0 CamD a. If any individual qualifying any business organization ceases to be affiliated with such N co business organization, he shall so inform the Board. In addition if such individual is the w only certified individual affiliated with the business organization, the business v organization shall notify the Board of the individual's termination and shall have no more U ? than sixty (60) days from the date of termination of the individual's affiliation with the z business organization in which to affiliate with another person certified under the z provisions of this article. In any event, the business organization shall not enter into any a new contracts and may not engage in any new contracting until such time as a qualifying � agent is employed. Q (2) Contracting to do any work outside of the scope of his/her competency as listed on his/her a competency card and as defined in this Ordinance or as restricted by the Contractors' m Licensing Board. O (3) Abandoning a construction project in which he/she is engaged or under contract as a w W contractor. A project may be presumed abandoned if the contractor terminates the project ~ co without just cause, or fails to notify the owner in writing of termination of the contract and LU o basis for same, or fails to perform work for ninety (90) consecutive days withoutjust cause w Q and no said notice to the owner. a J (4) Diverting funds or property received for the execution of a specific contract project or < operation or diverting funds earmarked for a specified purpose to any other use whatsoever, LO o (5) Departing from or disregarding in any material respect the plans or specifications of a M N construction job without the consent of the owner or his duly authorized representative. c (6) d E about:blank 1/4 s v Q Packet Pg. 399 4/10/23, 10:55 AM Collier County, FL Code of Ordinances 10.B.1 Failing to promptly correct faulty workmanship or promptly replace faulty materials installed contrary to the provisions of the construction contract. Faulty workmanship means work that is not commenced, not continued, or not completed in accordance with all specifications of the applicable written agreement. Faulty workmanship includes any material flaw(s) in the quality and/or quantity of the unfinished or finished work product, including any item that does not function properly as a part of the entire project. If there is no written agreement provision regarding the specific faulty workmanship issue, faulty workmanship exists if the work, process, product or part thereof does not meet generally accepted standards in Collier County in relation to the entire project. Faulty workmanship does not include matters of esthetics unless the esthetically related item clearly violates a written contract specification directly related thereto. (11) Failure to maintain at all times, with an insurance company authorized to do business in the State of Florida, the limits of liability and other categories of insurance as required by this Ordinance. (12) Failing to claim or refusing to accept certified mail directed to the contractor by the Contractors' Licensing Board, or its designee. (13) Failing to maintain a current mailing address. (14) Failing to appear in person or through a duly authorized representative at any scheduled hearing on a complaint filed against the contractor. (15) Being convicted or found guilty, regardless of adjudication, of a crime in Collier County which directly relates to the practice of contracting or the ability to practice contracting. (16) Allowing another to take a qualifying examination on the applicant's behalf. (17) Engaging in contracting business in Collier County or the City when prohibited from doing so by the Contractors' Licensing Board of Collier County. (18) Proceeding on any job without obtaining applicable permits or inspections from the City building and zoning division or the county building review and permitting department. (19) Failing in any material respect to comply with the provisions of this Ordinance as a contractor or as a qualifying agent for a business entity engaging in contracting. (20) Signing a statement with respect to a project or contract falsely indicating that the work is bonded; falsely indicating that payment has been made for subcontracted work, labor, or materials which results in a financial loss to the owner, purchaser, or contractor; or falsely indicating that Workers' Compensation and public liability insurance are provided. (21) Failure of a qualifying agent for a firm/legal business entity to comply with the requirements set forth in F.S. §§ 489.119 and 489.1195. (22) Falsifying or misrepresenting any material fact to another person with the intent or for the purpose of engaging in the contracting business, providing materials or services, or soliciting business for an employer, as a contractor, or as an employee, regardless of any financial about:blank 3/4 J Q co 0 0 M N 0 N 00 0 M M N LO N Packet Pg. 400 4/10/23, 10:57 AM Collier County, FL Code of Ordinances 10.B.1 heat, and power. Placement of fire safing and fire stopping materials shall be permitted on wall, ceiling and floor penetrations created within the scope of the work allowed by this section. (27) Marine, seawall, and dock construction contractor requires 36 months experience, a passing grade on an approved test and a passing grade on a business and law test, and means those who are qualified to build and install bulkheads, revetments, docks, piers, wharves, groins, boathouses, lifts and davits, and to do pile driving. Electrical service and wiring must be provided by a licensed electrical contractor. (28) Masonry contractor requires 36 months experience, a passing grade on an approved test and a passing grade on a business and law test and means those who are qualified to select, cut, and lay brick and concrete block or any other unit masonry products, lay other baked clay products, rough cut and dress stone, artificial stone and precast blocks, glass brick or block, but who shall not pour or finish concrete. (29) Paving blocks contractor requires 24 months experience in the respective construction plus a passing grade on an approved test and a passing grade on a business and law test, and means those persons who are qualified to construct driveways, sidewalks, patios and decks, using concrete paving units. (30) Painting contractor requires 24 months experience, a passing grade on an approved test and a passing grade on a business and law test and means those who are qualified to use spraying equipment as well as hand tools to finish both exterior and interior work. A painting contractor may do paperhanging, sandblasting, waterproofing, and may clean and paint roofs. (31) Paving contractor (commercial or unlimited) requires 36 months experience, a passing grade on an approved test and a passing grade on a business and law test, and means those who are qualified with the experience and skill to construct roads, airport runways and aprons, parking lots, sidewalks, curbs and gutters, storm drainage facilities, and to perform the excavating, clearing, and grading incidental thereto. (32) Plastering and stucco contractor requires 36 months experience, a passing grade on an approved test and a passing grade on a business and law test, and means those who are qualified to coat surfaces, including lathing and drywall, with a mixture of sand or other aggregate gypsum plaster, Portland cement or quicklime and water, or any combination of such materials such as to create a permanent surface coating. This category does not include the plastering of the interior of a pool. (33) Pollutant storage contractor means a contractor who installs a pollutant storage tank. Said contractor must have a state pollutant storage license. A county certificate of competency is (34) about:blank not available for this category. 8/17 J Q co 0 0 M N 0 N 106 0 M M N LO Packet Pg. 401 7 In O (BZVL000£ZOZSIW30) aNI ONI1NIVd S-l-lbcM ONd dea Of l S30321dd -rots SO-£ZOZ •ao� :ivawtioe;;d N N O N N N co 0 R N U Z J Q z CO z o 00 GQ. J W W Z 00 M co r- ~ O „ CO W J LL ti 00Cl) I— o ti U J ~ 0LO O N W o 40 V.. C N O CD "j a a? W or N U coo H Z o m o z J a M o chi aQ. co-, L = Cl) L Occ cn I— _ = m N1 U)O d iC E -a m Cc d v N cv - cC to UU> N 1 L o L 0 a� �. M L � o 0 t cno �• c o 0 o '> M C o E N O cu �+ C E C � O 3 a� o, o (a U C: >' E N cu EL N (6 a) >— CU ta O > -0-- CU C: o cn o a� cu " o •Q � U 0 - L w c o En cU _ ca o cc enE ^U fa C O in O Ca O E E > L U L o 4- o O c U > U E in c� U a O cv L L C co U o c L O m Q) U cn ca cn = c ca Fes— 2 El 2/8/23, 3:44 PM License Application Status - CityView Portal 10.B.1 License Application Status LCC20160001450 Expand All / Collapse All Note: You can collapse and expand individual sections by clicking the header of the section you wish to collapse/expand. — License Application Summary Application Number: LCC20160001450 Business Name: PRO WALLS PAINTING INC. License Type: Contractor Application Status: Inactive Description of Business: See Comments Mailing Address: 3500 WHITE BLVD. NAPLES FL 34117 Prowaflspainting@gmaii.com — Portal Licensee Status Details Licensee Details: PRO WALLS PAINTING INC., Address:3500 WHITE BLVD. , Phone:(239) 465-8785, Licensee # LCC20160001450 — Contacts Business Applicant: Saul Paredes, Address:3500 White BLVD, Phone:(239) 465-8785 Qualifier: PAREDES TREJO, SAUL, Address:410 Leawood Cir, Phone:(239) 465-8785, Licensee # LCC20160001180 Business Applicant: PAREDES TREJO, SAUL, Address:410 Leawood Cir, Phone:(239) 465-8785, Licensee # LCC20160001180 Business Applicant: PRO WALLS PAINTING INC., Address:3500 WHITE BLVD. , Phone:(239) 465-8785, Licensee # LCC20160001450 Contractor: PRO WALLS PAINTING INC., Address:3500 WHITE BLVD. , Phone:(239) 465-8785, Licensee # LCC20160001450 — Fees Paid Fees Amount Paid Owing Date Paid Specialty Contracts: Initial License $205.00 : $205.00 Paid 09/16/2016 Renewal Specialty License $125.00 $125.00 Paid 08/08/2017 Renewal Specialty License I $125.00 i $125.00 Paid 09/17/2018 Renewal Specialty License $125.00 $125.00 Paid 08/19/2019 Renewal Specialty License — -- $125.00, $125.00 Paid 09/09/2020 Renewal Specialty License Renewal Specialty License --- -- _.. -- Outstanding Fees No outstanding fees. $125.00 j $125.00 I __ _.-.. t I Amount i $125.00 $125.00 - .. Paid Paid Paid _ - Owing 09/15/2021 08/22/2022 - --- Date Paid Totals: $955.00 S955.00 $0.00 Total Amount Payable Online: $0.00 — Deposits & Bonds There are no deposits or bonds for this contractor application. — Issuances Type pate Issued Date Expires (Status PAINTING CONTR. i O[ 8/22/2022 09/30; 2023 Active PAINTING CONTR. 09/15/2021 /30/2022 Expired PAINTING CONTR. 09/09/2020 1 09/30/2021 Expired PAINTING CONTR. 09/16/2016 09/30/2020 Expired https://cvportal.col liercountyfl.g ov/CityViewWeb/License/Status?license Id=147846 - -�Number 1600000757 201600000757 201600000757 1/3 U) W a W Q (_ J Q U) L0 O M N O N m O r M M N N Packet Pg. 403 10.B.1 2/8/23, 3:44 PM — Submittals Name 3 License Application Submittal 2 License Application Submittal 1 License Application Submittal — Conditions Guidelines For Electronically Submitting Documents: License Application Status - CityView Portal Type Status [.:,.ease Application Submittal Accepted license Application Submittal I Accepted i .ense Application Submittal 1 Accepted Condition status -_-_ Department T— p j Category ;Expiration Date Due Date . General li_d:ty ( , R o Ived Licensing Description: Gene al Liability (G) Workers Compensation Resolved LicensingT (W) Description: Workers Compensation (W) Update Contact Open Licensing j Information Descri I n: Update Contact Information Documents: Browse.. -00 — Workers Comp Open ' Licensing Exemption (WCE) !. Description: Workers Comp Exemption (WCE) Documents: Browse.. — Insurance Producer :Type ACENTR?A ;NSURf `JCE General Dability - FT. MYERS OFFICE Upload Documents Policy Effective Date Expiry Date Limit FGFL0011300506 08/24/2022 08/24/2023 y2,000,000.00'. SAUL PAREDES Worker's Comp (QUAL?TIER) 09/04/202�2024 Exemption (ACENTRIA INSURANCE Worker's 019654491000 02/14/2022 02/14/2023 - FT. MYERS OFFICE Compensation LINDA C PAREDES Worker's Comp 09/0 '202(i 09/04/2022 Exemption Documents & Images Date Uploaded File Type €{` Document Name 09/16/2016 Receipt [ Receipt for transaction: 2016-059861 08/08/2017 Receipt R eipt for transaction: 2017-050137 09/17/2018 Receipt Receipt for transaction: 2018-082395 08/19/2019 Receipt Receipt for transaction: 2019-075415 06/25/2020 Letter Renewal SQCLLaIjy. i 07/SS/2020 Letter Customer Insurance ExQiration Reminder Notice 107/15/2020 Letter Customer Insurance ExQiration Reminder Notice 08/15/2020 Letter Customer Insurance ExQiration Reminder Notice 08/1512020 Letter Customer Insurance Expiration Reminder Notice 108/25/2020 Certificate of Insurance Certificate of General Liability Insurance .pdf — -- OS/25/2020 Certificate of Insurance Certificate of Workers Compensation Insurance.(Ldf 08/25/2020 Certificate of Insurance i Certificate of Works Comp Exemption Linda.pdf https://cvportal.colliercountyfl.gov/CityViewWeb/License/Status?licenseld=147846 2/3 U) LU 17 W Q a J a LO O M N O N m O_ M M N Ln 04 Packet Pg. 404 10.B.1 2/8/23, 3:44 PM License Application Status - CityView Portal Date Uploaded File Type Document Name ;?/2E/2020 t.'.cate of Insurance ' Certificate of Works Comp Exemption Saul_pdf 09/09 2020 Letter LC Pay nt bR y ...... ......-----.— .... _...... ... ---- - 09/09 r2020 Receipt Recent for transaction: 2020 072894 09/10/2020 Letter Collier County Certficate of Competency 09/10/2020 Letter Contractor License Coml2 Card Generate &Issue LicenseZ {( ........ ........... ......... ......... ....-._. 07/ 15/2021 Letter Customer Insurance Expiration Reminder Notice �07/15/2021 Letter Customer pnsurtce Expiration Reminder Notice - - - 07/19/2021 Letter Renewal S eci I - -.._- ....... -i 08/23/2021 ? Certificate of Insurance COI,s.122f 09/08/2021 Certificate of Insurance CERTIFICATE OF GENERAL LIABILITY INSURANCE (Certificate Collier County.ofZ 09/08/2021 Certificate of Insurance CERTIFICATE OF WORKMEN'S COMPENSATION INSURANCE (Certificate -Collier Count&pdf) 09/09/2021 Business Tax LC 22 COLLIER BTAX.docx (Visible) -.__......................— - _ _....--... __..... .............. _.-_..__ _........_.... - _.. _-..-.__.-__._... 09/09/2021 Letter LC Payment Slip 09/15/2021 Receipt Receipt for transaction:2021-082069 ------ --} -- ... - -. _ ............... .... .............._..-.-....-........... ...... -- - --- 09/15/2021 ; Letter Contractor License Como Card (Generate &Issue LicenseZ 09/15/2021 Letter [ Collier County Certificate of Coml2etena i _.__ _._..- ...... i--- ........ - _................... _........... 01/20/2022 Certificate of Insurance i General Liability & Workers Comp Insurance _....... _ . ............. _. 02/10/2022 Certificate of Insurance ` General Liability Insurance - 06/21/2022 Certificate of Insurance General Liability Insurance j 07/05/2022 Letter i Renewal SLtLialty - - -- ---- - -- -- ..... .......................... ... ..--- ., 07/07/2022 Letter Renewal SQecialty ................. ............ ....._........ ..- _.... _._....._.-.. _..._._ 08/15/2022 Letter Customer Insurance Expiration Reminder Notice 08/15/2022 Letter Customer Insurance Expiration Reminder Notice - -- - - ..._ .-- - -- 08/19/2022 Certificate of Insurance CERTIFICATE OF WORKERS EXEMPTION E __ .... .....---- - - .. -._ —_. ....... - -- 08/19/2022 Certificate of Insurance ; CERTIFICATE OF INSURANCE 08/19/2022 Business Tax LC BUSINESS TAX RECEIPT 2023 [I (Visible) ............ ....... .......--_._ --........---..._.____...._-......_..._-.._._......_ 08/19/2022 Letter LQ Paym nt IiR . ........... _......_..... .................. ----- -----..........._.....--- - ........._.__€ 08/22/2022 Receipt --- Receipt for transaction: 08/22/2022 Letter ....... _- _ ....................... .. ... 08/22/2022 Letter Upload Documents - - .................. .- Contractor License ComQS&rd (Generate & Issue License), - _ ...... ................... Collier County Certificate of Competency This application requires all documents to be attached to a submittal, Click Here to U12load Documents, Submittals I Portal Home https://cvportal.colliercountyfl.gov/CityViewWeb/License/Status?licenseld=147846 Packet Pg. 405 3/21/23, 10:31 AM Detail by Entity Name DIVISION OF CORPORATIONS F �. �� Oft (tiff, DepmArnent of State / Division of Corporations / Search Records / Search by Entity Name / https://sea rch.su n biz. org/Inquiry/CorporationSearch/SearchResu ltDeta il? inq uirytype=E ntityNa me&directionType=l nitial&search Na meOrd er=PROWAL 1/2 Packet Pg. 406 3/21/23, 10:31 AM Detail by Entity Name 10.B.1 2022 03/29/2022 2023 02/08/2023 U) w Document Images p W 02/08/2023 --ANNUAL REPORT View image in PDF format 03/29/2022 --ANNUAL REPORT View image in PDF format 0. J 04/09/2021 --ANNUAL REPORT View image in PDF format 04120!2020 --ANNUAL REPORT View image in PDF formal fn LC) 01128/2019 --ANNUAL REPORT View image in PDF format O - ------..__......_....._.__._..._............ ....._._._..-...-..........._ 03112/2018 -- ANNUAL REPORT View image in PDF format C ......... _... .-.. 03/17/2017 -- ANNUAL REPORT View image in PDF format N 06/22/2016 -- Domestic Profit View image in PDF format O M M N L1) N https://search. su n biz. org/Inquiry/Corporation Search/Sea rch Resu ltDetai I?i nqu i rytype=EntityN ame&directionType=l nitial&sea rch N a meOrder=PRO WAL... 2/2 Packet Pg. 407 10.B.1 �ROWALLS HINTING INVOICE BILL TO Matthew Parish Naples, FI 34104 USA SERVICE FOR 2775 Leeward Interior Painting drywall repairs and painting' SHIP TO Matthew Parish Naples, FI 34104 USA Thank you for your attention and prompt payment. We appreciate your SUBTOTAL business' TAX Pro Walls Painting, Inc. 3500 White Blvd Naples, FL 34117 US +1 2394658785 prow allspainting@gmail com TOTAL PAYMENT --------------------------------------- BALANCE DUE Page 1 of 1 INVOICE 2076 DAT E 11 /01 /2022 DUE DATE 11/01/2022 15,000.00 15,000.00 0.00 15,000.00 15,000.00 $0.00 PAID W 0 W Q a J Q LO O M N O N m O M M N LO N Packet Pg. 408 10.B.1 Bank ofAmerica Online Bankinff Pro Walls Checking: Account Activity Transaction Details Postdate: 11/04/2022 Amount: 7,000.00 Type: Deposit Description: BKOFAMERICA MOBILE 11/04 3672138342 DEPOSIT *MOBILE FL Merchant name: BKOFAMERICA MOBILE DEPOSIT FL Merchant *MOBILE,FL information: Transaction Income: Deposits category: !aa� MATTHEW PARISH CONTRACTING LLC. Till .-11 AVE NW KkFLMFL311z=? Ll2l"LT'I (^+�� DATE_ PAY TO THE )� q F L J 011.11 c S �,r�'1 S CHASE ij 1 FOR I ( S M IIJa -- J Q N LO 0 M N O N m 0 r ce) cM N In N m Packet Pg. 409 10.B.1 Bank of America —% Pro Walls Checking: Account Activity Transaction Details Post date: 11/14/2022 Amount: 8,000.00 Online Banking Type: Deposit Description: BKOFAMERICA MOBILE 11/13 3674734872 DEPOSIT *MOBILE FL Merchant name: BKOFAMERICA MOBILE DEPOSIT FL Merchant *MOBILE,FL information: Transaction Income: Deposits category: loos MATTHEW PARISH CONTRACTING L.L C. W012MAVERW MFL34V { DATE'' 638tt32870 PAY TO OROEflO THE fNM, wr l ftA $$ . f l..,,5 Gs'S' nouafls fi = 1 CHASE r FOR w 0 w a a J D Q 0 M N O N m 0 M CO) N LO rl Packet Pg. 410 1�1 (8Z14OOOCZOZSIW33) ONI ONIlNIVd STIVM ONd VSCI Of gmi SBOBNVd -robs 50-£ZOZ 'qu :}u8wLl3e;;y Fl�T r d W,, ``y Ar a El (8Z14OOOCZOZSIW33) ONI ONIlNIVd STIVM ONd VSCI Of gmi SBOBNVd -robs 50-£ZOZ 'qu :}u8wLl3e;;y F:";qt m 0 10.B.1 DO NOT REMOVE 67'I r jpL, i ON THE }� ti BUILDING DEPARTMENT STOP ORDER ALL WORK SUSPENDED PER FLORIDA BUILDING CODE ADDRESS a 7S REASON WARNING: CONTINUED UNAUTHORIZED WORK ON THIS PROJECT COULD RESULT IN SEVERE PENALTIES. FOR INFORMATION YOU MAY CALL 213-5020 DATE Packet Pg. 413 10.B.1 C0 GovernaleMichael w w From: Tom Tucker <ttucker@naplesgov.com> a Sent: Monday, February 6, 2023 12:34 PM _J To: GovernaleMichael a Cc: Stephen Beckman; Zachary Wiggins; Sue Monroe; Colleen Ryan U) Subject: FW: 2775 Leeward Way - SWO c Attachments: M IMG_4204.JPG; IMG_4206.JPG; IMG_4208.JPG; IMG _4211.JPG; IMG_4214.JPG; IMG_ 04 4216.JPG; IMG_4217.JPG; IMG_4219.JPG; IMG_4222.JPG; IMG_4223.1PG; IMG_4224.JPG; N IMG 4228.JPG o0 0 M M EXTERNAL EMAIL: This email is from an external source. Confirm this is a trusted sender and use extreme caution when N opening attachments or clicking links. F4 Single Family Addition/Alteration permit will be required, 2X fees apply. Thomas Tucker Deputy Building Official Building Department 295 Riverside Circle - Naples FL 34102 ttucker@naplesgov.com www.naplesgov.com PHONE: 239-213-5047 -----Original Message ----- From: GovernaleMichael <Michael.Governale@colliercountyfl.gov> Sent: Monday, February 6, 2023 10:15 AM To: Tom Tucker <ttucker@naplesgov.com> Cc: Stephen Beckman <sbeckman@naplesgov.com>; Zachary Wiggins <zwiggins@naplesgov.com> Subject: 2775 Leeward Way - SWO CAUTION: This email originated from outside of the City of Naples e-mail system. Do not click links or open attachments unless you recognize the sender and know the content is safe. Interior alterations on the entire first floor possibly by an Unlicensed Contractor. A deck leading to the dock from the pool cage was demoed by the property owner. Part of the dock as well. They are getting bids from contractors to rebuild the deck and dock. [IMG_4204.JPG] [IMG_4206.JPGj [IMG_4208.JPGj o c [IMG_4211.JPGj E s Packet Pg. 414 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 autheFized 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 effiee system(s), the building official is authorized to issue an annual permit for any occupancy to facilitate routine or emergency service, repair, refurbishing, ations 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 fae+l+ty work 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 CHAPTER1Administration-11-10-2008 0 m 0 M CO) N LA N m 0 d E s V R a Packet Pg. 415 10.0 04/19/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 10.0 Doc ID: 25234 Item Summary: IOC 2023-06 ROBERT A. DEANE DBA DIVERSIFIED MECHANICAL LLC (CEMIS20220010521) Meeting Date: 04/19/2023 Prepared by: Title: — Contractor Licensing Name: Alyshia Morse 04/12/2023 11:56 AM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 04/12/2023 11:56 AM Approved By: Review: Contractor Licensing Contractor Licensing Contractor Licensing Sandra Delgado Review item Tim Crotts Review Item Tim Crotts Meeting Pending Completed 04/13/2023 9:14 AM Completed 04/13/2023 10:23 AM 04/19/2023 9:00 AM Packet Pg. 416 10.C.1 BEFORE THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD BOARD OF COUNTY COMMISSIONERS, COLLIER COUNTY, FLORIDA, Petitioner, V. Case No: 2023-06 Licensee No: C34638 ROBERT A. DEANE DIVERSIFIED MECHANICAL LLC Respondent. ADMINISTRATIVE COMPLAINT Collier County (County) files the Administrative Complaint against ROBERT A. DEANE (Respondent), a State Certified Air Conditioning Contractor Collier County (Issuance No. C34638), and states the following facts and allegations in support of the cited violations below: 1. The Respondent is currently the Certificate Holder by the State of Florida as a CERTIFIED AIR CONDITIONING CONTRACTOR (License No. CAC1817181) 2. The Respondent, ROBERT A. DEANE, is currently the Certificate Holder and Qualifier of record for DIVERSIFIED MECHANICAL LLC. 3. Under the provisions of Florida Statute {§489.105(12)) and Collier County Code of Law and Ordinances {Sec. 22-2021, the Collier County Contractors' Licensing Board (Board), is authorized to impose penalties against Collier County Certificate of Competency holders who violate the Collier County Code of 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 November 17, 2022, Contractor Licensing received a complaint from Inspector James Reynolds of the Marco Island Building Department regarding an unpermitted AC installation that was already completed at 511 S. Heathwood Drive, Marco Island, Florida. A Contractor Licensing case, # CEMIS20220010521, was opened to investigate the complaint. 6. Upon investigation, it was discovered on or about November 17, 2022, DIVERSIFIED MECHANICAL LLC., entered into a written contract with the property owner, to install an AC unit and handiler unit (Emergency Repair). The contracted amount was $3200.00 (Labor Only). A payment of $3200.00 was made on or about February 7, 2023, to DIVERSIFIED MECHANICAL LLC by personal check. Packet Pg. 417 10.C.1 7. On November 22, 2022, while on a site visit, Investigator Timothy Broughton reviewed the Marco Island Permitting records and determined no building permits were applied for or issued regarding an AC installation at 511 S. Heathwood Drive. 8. On November 23, 2022, telephone contact was made with the Respondent who was advised of the permit requirement. The Respondent stated that the AC installation was an emergency repair and he would apply for the proper permit. 9. On December 19, 2022, Inspector James Reynolds of the Marco Island Building Department who also conducted a site visit to 511 S. Heathwood, reaffirmed a permit was required for the AC installation. 10.On December 19, 2022, another review of the Marco Island Permitting records revealed no permit was applied for or issued for 511 S. Heathwood for the AC installation. Investigator Timothy Broughton contacted the Respondent by telephone and followed up with an email giving the Respondent 30 days to have the permit applied for and issued. 11.On January 23, 2023, another review of the Marco Island Permitting records revealed no permit was applied for or issued for 511 S. Heathwood for the AC installation. Investigator Timothy Broughton contacted the Respondent by telephone and followed up with an email giving the Respondent a final 30 days to have the permit applied for and issued. Attempts to remedy the issue via telephone and emails with the Respondent have been unsuccessful. 12.On March 2, 2023, Chief Building Official for Marco Island, Mr. Raul Perez 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 March 8, 2023, a Notice of Hearing to appear before the Collier County Contractors' Licensing Board on April 19, 2023, at 9:00 am, was sent to the Respondent, ROBERT A. DEANE, via USPS Certified Mail (tracking #7022 3330 0000 1433 0124), to the certificate holder's mailing address located at 502 Palmetto Ave, Lehigh Acres, Florida 33972. 15. The County now brings the following count(s) in this Administrative Complaint against the Respondent: COUNT A. The homeowner, Mr. Tim Pegram, paid a State Certified certificate holder for an AC installation. The Respondent, ROBERT A. DEANE, failed his obligation, as a contractor, and has caused a building code violation, FBC 105.1, required permits. Packet Pg. 418 10.C.1 B. The Chief Building Official for Marco Island, Mr. Raul Perez reviewed the case and agreed the Respondent willfully failed to correct the code violation which constitutes a willful code violation. C. The Respondent, ROBERT A. DEANE 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: `1A/Z Signed: Collier County Contractors' Licensing Supervisor 5- w m O W W 0 M N 0 N U 0 r M N LO N- U Q Packet Pg. 419 10.C.1 Contractors' Licensing Board 2800 North Horseshoe Dr. Naples, FL 34104 Complaint Number: 2023-06 Complainant: Any person who believes that a Contractor holding a Collier County Certificate of competency has violated Collier County Ordinance 22-201, as amended, may submit a sworn complaint to the Contractor Licensing supervisor, or his / her designee. The complaint shall be in substantially the form prescribed by the Contractor Licensing Supervisor. The complaining party shall state with particularity which section(s) of this Ordinance he or she believes has been violated by the contractor and the essential facts in support thereof. Complaint: Please print or type and return signed copies of the complaint. Date: April 6, 2023 Against: Contractor's Name: Robert Deane Phone: 239.839.6498 Business Name: Diversified Mechanical LLC License(s) Held: Certified Air Conditioning Contractor Collier County Competency number: 34638 Contractor's Business Address: 502 Palmetto Ave Lehigh Acres, Florida 33972 Filed By: Name: Collier County Contractors' Licensing: Timothy Broughton Address: 2800 N. Horseshoe Dr., Naples, FL 34104 Business Phone: 239-252-2563 Address where work done: 511 S. Heathwood City: Marco Island County: Collier Date of contract: January 24, 2023 i w m O co 0 C) N 0 N 0 M N Ln N A Q Packet Pg. 420 1 o.c.1 Date job started: On or before November 17, 2022 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: $3200.00 Has Contractor been paid in full: Yes If not, what amount: Was a permit obtained: No Was a permit required: Yes Permit number if known: Have you communicated by letter with the licensee: Yes Date: March 8, 2023 Do you have a reply: 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, 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. Robert Deane is the holder of a State of Florida Contractor License for Air Conditioning Contractor. Robert Deane failed his obligation, as a contractor, and has caused a building code violation, FBC 105.1, required permits. H w m O co 0 M N O N U O v M N Ln N. Packet Pg. 421 10.C.1 r Q LU Timothy Broughton m Code Enforcement Investigator — Contractor Licensing 0 M N 0 i N State of /7r��^ County of ^, E�/ CD The foregoing instrument was acknowledged before me b L7 means of physical presence or ❑ online notarization on this I O day of YAW 20 N by N Such person(s) Notary Public mtAt check app ' ble box: 62 are personally known to me C4 ❑ has produced a current driver license o ❑ has produced (Notary Seal) o,'Ay "u'�, SANDRA DELOADO Commission # HH 101718 N9, Expires March 8, 2025 \oe FOF FLOP Bonded Thru Budget Notary SerAm as identification. Notary Signature: Packet Pg. 422 10.C.1 HISTORY Active Case — November 17, 2022 — CEMIS20220010521 — Refer to CLB — Commencing Work for which a Permit is Required. CLB Case #2023-06. Gl H W w m O co 0 M N (D N U 0 M N W) N a Packet Pg. 423 10.C.1 Coder Corivity Growth Management Division Planning & Regulation Operations Department Licensing Section Date: March 8, 2023 Mr. Robert Deane Diversified Mechanical LLC 502 Palmetto Ave Lehigh Acres, Florida 33972 RE: Case # CEMIS20220010521— 511 S. Heathwood Drive MR. ROBERT DEANE, A complaint has been filed against you by the above referenced entity. A hearing on this complaint will be held by the Contractors' Licensing Board on Wednesday, April 19, 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 22-201.1 of the Collier County, FL Code of Ordinances: Sec. 22-201.1— MISCONDUCT — State Certified Contractors The following actions by state certified contractors shall constitute misconduct and grounds for discipline pursuant to section 22-202 of this article. (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 5 w m O w co 0 M N O N c� 0 M N In Packet Pg. 424 10.C.1 Growth Management Division Planning & Regulation Operations Department Licensing Section The range of disciplinary sanctions which may be imposed are, (1) denial of Collier County/City building permits or require the issuance of permits with specific conditions; (2) recommendation for suspension, revocation, or restriction of your certificate of competency, or a fine to be levied by the Construction Industry Licensing Board. Sincerely, TIMOTHY BROUGHTON Licensing Compliance Officer Collier County Contractors' Licensing 239-252-2563 Initials: Growth Management Division*Planning & Regulation*2800 North Horseshoe Drive*Naples, Florida 34104*239-252-2400*www.colliergov.net w m O W co 0 M N O N c� 0 M N In pk Packet Pg. 425 (4ZS0WOZZOZSIW33) 0ll lVDIN`dH33W a3131SU3AI4 vea 3NV3a 'V IM390M 90-£ZOZ '3U :;uawy3e;;vy co N O aY r a a� u m IL E F= V) CL U) D KI IT CV _9 CV) ° CO E r ° o 0 0 o -0 C3 m E z CYi T °} N o N F o L 3 T O d Z U CC SA m Cl) spa O E t M U N j a l!J N _ C a •E i CC) r a _ LU 1 a O T O E v O T w O N N E 3= OI 0 U yin 3 N d O U 0 F— i 0 per, (3 U 0 ►j 9 nj r-3 C3 M M -I- r-q C3 C3 C3 C3 C3 M M M ru ru 0 r- U.S. Postal Service'm CERTIFIED MAIL® RECEIPT Domestic Mail Only 1.z, 4-1 -Certified Mail Fee I 2Xtra Services & FeeS (check box, add lee as appropriate) ❑ Return Receipt (hardcopy) $ ❑ Return Receipt (electronic) $ Postmark E] Certified Mail Restricted Delivery $ Here ❑ Adult Signature Required $ ❑ Adult Signature Restricted Delivery $ Postage Total Postage and Fees YAWf - ----------------------------- w2fj5+4t --------------------------------------------- I Packet Pg. 427 1 LZSO WOZZOMW33) 3-1-1 'lVOINVH33W a7=llSM3AI(3 V8(3 3NV3(3 'V IN3130M 90-CZOZ '30 � :IU8WL138PV ;11 E 0 S 0 c t m I E t r- L) 10.C.1 d THE OFFICIAL SITE OF THE FLORIDA DEPARTMENT OF BUSINESS &� PROFESSIONAL REGULATION m O W W 0 <4ta N De rtment of Business �S HOME CONTACT US MY ACX (NJIVT N & rofessional[.A-galaticx, � V 0 ONLINE SERVICES LICENSEE DETAILS 12:24:54 PM 411012023 04 Licensee Information In Apply for a License c� Name: DEANE, ROBERT A (Primary Name) Verify a Licensee DIVERSIFIED MECHANICAL LLC (DBA Name) View Food &Lodging Inspections Main Address: 502 PALMETTO AVE c LEHIGH ACRES Florida 33972 0 File a Complaint County: LEE c N Continuing Education Course U) Search License Location: 502 PALMETTO AVE 2 w LEHIGH ACRES FL 33972 U View Application Status County: LEE J Find Exam Information J J License Information Q Unlicensed Activity Search V License Type: Certified Air Conditioning Contractor Z Q AB&T Delinquent Invoice & Activity Rank: Cert Air V List Search w License Number: CAC1817181 Status: Current,Active w Licensure Date: 07/26/2012 LL Expires: 08/31 /2024 Special Qualification Effective Qualifications Class A 07/26/2012 Construction 07/26/2012 Business Alternate Names View Related License Information U View License Complaint r m E t 2601 Blair Stone Road, Tallahassee FL 32399 :: Email: Customer Contact Center :: Customer Contact Center: 850.487.1395 v R r r The State of Florida is an AA/EEO employer. Copyright 2007-2010 State of Florida. Privacy Statement Q 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 Packet Pg. 429 10.C.1 DWISION OF CORPORATION`:; erg C arit } '/4�l3fl :jtrtr?� srf i"d.,rY t.! :e a3,;,r� Department of Sta'e / Division of Corporations / Search Records / Search by Entity Name / Detail by Entity Name Florida Limited Liability Company DIVERSIFIED MECHANICAL LLC Filing Information Document Number FEI/EIN Number Date Filed State Status Last Event Event Date Filed Principal -Address 23251 N RIVER RD ALVA, FL 33920 Changed: 08/27/2009 Mailing Address 23251 N RIVER RD ALVA, FL 33920 L06000063255 20-5082535 06/22/2006 FL ACTIVE REINSTATEMENT 09/29/2015 Changed: 08/27/2009 Registered Agent Name & Address BOUDREAU, ELIZABETH 23251 N RIVER RD ALVA, FL 33920 Name Changed: 09/29/2015 Address Changed: 01/04/2013 Authorized Persons) Detail Name & Address Title MGRM DEANE, ROBERTA 502 PALMETTO AVENUE LEHIGH ACRES, FL 33972 P, U Packet Pg. 430 1 Title MGRM BOUDREAU.ELIZABETH 5O2PALMETTO AVENUE LEH|GHACRES, FL33972 TNeMGRM BAJANA.VVASH|NGTON 7O8SVV23RDTERRACE CAPE CORAL, FL33001 Title MGRM BAJANA.JEANETTE 7O8SVV23ROTERRACE CAPE CORAL, FL330O1 TNoK4GRM ELKNS.D0NALD 311018THSTVV LEH|GHACRES, FL33Q71 Report Year Filed Date 2020 01/15/2020 2021 02/01/2021 2022 0206/2022 Document Images 011/1512020 --ANNUAL REPORT 02,112/2019 ANNUAL REPORT 93/12/2018 ANNUAL REPORT 04113/2017 —ANNUAL REPORT 03/28/2016 --ANNUAL REPORT 06/27/2012 LC Amendment 1/09/2012 --ANNUAL REPORT 02/1712011 --ANNUAL REPORT 12,12712010 LC Amendment 04/15/2010 ANNUAL REPORT 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 mpoFformat | ������11 1.���� View image in PDF format View image in PDF format View image in PDF format View image in PDF format | View image mporformat __/ vie°maoe/n pmmm � View image in PDF format View image in PDF format 5 o 10.C.1 ,,rgovxet Report Title; Code Case Details ---,._._, ..._- Date.: 4/10/2023 12:15:19 PM Case Nurnber: CEMIS20220010521 Case Number: CEMIS20220010521 Case Type: Misconduct Priority: Normal Inspector: TimothyBroughton Status: Investigation Date & Time Entered: 11/23/2022 9:15:28 AM Entered By: TimothyBroughton Case Disposition: Referral Jurisdiction: City of Marco Origin: Building Department Detail Description: Unpermitted AC Installation by Diversified Mechanical LLC #CAC1817181 Administrative Complaint Case Number 2023-06 Location Cornments:1511 S. Heathwood Property 57748440001 Contractor DIVERSIFIED MECHANICAL LLC Property Owner PEGRAM, TIMOTHY R & DONNA F Qualifier DEANE, ROBERT A. Business Management & Budget Office H d' W m 0 m 0 M N 0 N U 0 M N N U Packet Pg. 432 Code Case Details Execution Date 4/10/2023 12:15:19 PM 10.C.1 Desc Assigned Required Completed Outcome Comments Preliminary Investigation TimothyBroug 11/23/2022 11/23/2022 Needs Unpermitted AC Installation, Needs hton Investigatio Investigation. TB n Cont. Investigation TimothyBroug 11/23/2022 11/23/2022 Complete I received a complaint from Inspector James hton Reynolds of the Marco Island Building Department on an unpermitted AC installation at the said location. I conducted a site visit to the same. I received no response at the front door. I left my business card for the homeowner to give me a call. I then received a call back from the homeowner, Mr. Tim Pegram (239) 919-4640. He stated that he hired Diversified Mechanical LLC to install the new AC unit. He stated that they just finished the job yesterday and that it was an emergency repair. I advised him that I would reach out to the contractor and ensure that a permit is applied for. TB Cont. Investigation TimothyBroug 11/23/2022 11/23/2022 Complete 1 then called and talked with the qualifier of hton Diversified Mechanical LLC, Mr. Bob Deane (239) 839-6498, state certified #CAC1817181. He stated that he installed the AC unit at the said location. He also stated that it was an emergency repair and that they just finished the job yesterday getting the unit going for the homeowner. I advised him that he needed to apply for a permit with Marco Island Building Department. He stated that he would take care of it right away. TB Attach Picture(s) TimothyBroug 11/23/2022 11/23/2022 Complete hton Cont. Investigation TimothyBroug 12/19/2022 12/19/2022 Complete I called and talked with the qualifier of hton Diversified Mechanical LLC, Mr. Bob Deane (239) 839-6498, state certified #CAC1817181. I asked him why the permit for the AC installation at the said location has not been submitted yet. He stated that he has been registering his license with the City of Marco Island and once that was complete he would submit the permit application. I advised him that he would receive a 30 day notice to have the permit issued or this could result in a willful code violation. I followed up with an email to Mr. Deane regarding the 30 day notice. TB Cont. Investigation TimothyBroug 1/6/2023 1/6/2023 Complete Continued Investigation. TB hton 1 Business Management & Budget Office i w m O m 0 M N O N U 0 M N u7 N U Packet Pg. 433 10.C.1 Code Case Details Execution Date 4/10/2023 12:15:19 PM Desc Assigned Required Completed Outcome Comments Cont. Investigation TimothyBroug 1/23/2023 1/23/2023 Complete I called and left a message with the qualifier hton of Diversified Mechanical LLC, Mr. Bob Deane (239) 839-6498, state certified #CAC1817181. I asked him to give me a call. No permit for the said location has been submitted yet. I advised him that he would receive a final 30 day notice to have the permit issued or this could result in a willful code violation. I followed up with an email to Mr. Deane regarding the final 30 day notice. TB Cont. Investigation TimothyBroug 3/1/2023 3/1/2023 Complete I called and left a message with the qualifier hton of Diversified Mechanical LLC, Mr. Bob Deane (239) 839-6498, state certified #CAC1817181. I asked him to give me a call. No permit for the said location has been submitted yet. I advised him that I would be asking the CBO for Marco Island to declare this a willful code violation. I also sent Inspector Reynolds an email asking for the willful code violation from CBO of Marco Island Mr. Raul Perez. TB Cont. Investigation TimothyBroug 3/8/2023 3/8/2023 Complete I received no call back from the qualifier, Mr. hton Bob Deane (239) 839-6498, state certified #CAC1817181 of Diversified Mechanical LLC. I requested a willful code violation from the Chief Building Official for Marco Island, Mr. Raul Perez for commencing work for which a building permit is required. The willful code violation was granted and Mr. Deane was notified via email and USPS certified mail of a Notice of Hearing in front of the Contractor's Licensing Board for April 19, 2023. TB Cont. Investigation TimothyBroug 3/24/2023 3/24/2023 Complete Scheduled for April 2023 CLB Hearing for hton Willful Code Violation. TB Cont. Investigation TimothyBroug 3/29/2023 3/29/2023 Complete Sent a reminder email of the scheduled hton Notice of Hearing for 4/19/23 to the qualifier, Mr. Robert Deane. TB Cont. Investigation TimothyBroug 4/4/2023 4/4/2023 Complete Investigation Continued - Scheduled for April hton 2023 CLB Hearing for Willful Code Violation. TB Investigation TimothyBroug 4/10/2023 Pending hton Violation Description Status Entered Corrected Amount Comments 4.2 Misconduct State Certified Contractors Open 3/8/2023 $0 Title Reason Result Compliance Fine/Day Condition i w m O a' m 0 M N O N U 0 M N u7 N U Business Managemient & Budget Office 3 0 r c d E t t� m r r Q Packet Pg. 434 10.C.1 BroughtonTimothy Q From: James Reynolds <JReynold s@cityofmarcoisland.com> Sent: Tuesday, December 20, 2022 5:38 AM w m To: BroughtonTimothy 0 Subject: RE: Permit Determination - 511 S. Heathwood - AC Installation to 0 M N O EXTERNAL EMAIL: This email is from an external source. Confirm this is a trusted sender and use extreme caution when N opening attachments or clicking links. o Permit required for AC changeout. N LO F4 Respectfully, James Reynolds Inspector — Compliance City of Marco Island Building Services From: BroughtonTimothy <Timothy.Broughton @colliercountyfl.gov> Sent: Monday, December 19, 2022 1:31 PM To: James Reynolds <JReynolds@cityofmarcoisland.com> Cc: BroughtonTimothy <Timothy.Broughton @colliercountyfl.gov> Subject: Permit Determination - 511 S. Heathwood - AC Installation Needed for my report with the contractor. Thank You, Tim Broughton Collier County Contractors Licensing Licensing Compliance Officer timothy.broughton@colliercountyfl.gov Collier Gounty GMD Operations 2800 Horseshoe Drive North Naples, Florida 34104 Packet Pg. 435 10.C.1 City of Marco Island Building Services 1310 San Marco Road - Suite B Marco Island, FL 34145 To: Collier County Contractor Licensing From: Chief Building Official Raul Perez Date: 03/02/2023 Re: 511 S. Heathwood Marco island, FL 34145 Diversified mechanical LLC, state certified Contractor #CAC181 7181, qualifier Robert Deane, has failed to obtain a valid issued permit for AC changeout at 511 South Heathwood. A period of 60 days was afforded to Mr. Deane to perform the required steps to obtain a permit; to date no permit has been obtained. A review of our records was performed and no outstanding issue was found to explain the delay in permitting. The air conditioning changeout was a result of damage received from hurricane Ian, information discovered by our Administrative Inspector. Due to the hurricane, we were authorizing the demolition of affected areas without immediate permitting, however, a permit is still required for put - back. To my understanding, Investigator Broughton with Collier County Contractor Licensing had relayed this information to the contractor. I'm considering this a Willful Code Violation until a time where this work becomes permitted. Raul Perez III Chief Building Official City of Marco Island i STATE OF FLORIDA Q COUNTY OF COLLIER (Sign) W This instrument was signed or acknov& d d before me on: W March 02, 2023, by O O CO) 04 - ..... _ O N �1f ham. AMESK NotaREYNOLDSry Signature L) *� COmetlal #HH2W1l$ t My commission expires: d. r Expira March 20, 20M ° N E t V w Q Packet Pg. 436 10.C.1 BroughtonTimothy From: Sent: To: Cc: Subject: Mr. Robert Deane Diversified Mechanical LLC License #CAC1817181 BroughtonTimothy Monday, December 19, 2022 1:28 PM bob@diversifiedmech.com BroughtonTimothy 511 S. Heathwood - Unpermitted AC Installation Location of Violation: 511 S. HEATHWOOD — COMMENCE WORK PRIOR TO AN ISSUED PERMIT I am giving you 30 days from today to apply for and have the permit issued for the above location on Marco Island If the permit is not ISSUED prior to January 20, 2023, I will be seeking a willful code determination from the Marco Island Chief Building Official for failing to obtain an issued permit prior to commencing work, which could result in the suspension of your permit pulling privileges in Collier County and Marco Island. The case would then be referred to DBPR for investigation and possible discipline. Should you have any questions or comments, please don't hesitate to reach out to me. Please respond to this email that you received it and are working on applying for the permit for the above location Thank You, Tim Broughton Collier County Contractors Licensing Licensing Compliance Officer timothy.broughton@colliercountyfl.gov GMD Operations 2800 Horseshoe Drive North Naples, Florida 34104 Phone: (239) 252 2563 r w m O m 0 M N O N U 0 M N W) N U Packet Pg. 437 10.C.1 BroughtonTimothy From: Sent: To: Cc: Subject: Mr. Robert Deane Diversified Mechanical LLC License #CAC1817181 BroughtonTimothy Monday, January 23, 2023 1:15 PM bob@diversifiedmech.com BroughtonTimothy RE: 511 S. Heathwood - Unpermitted AC Installation Location of Violation: 2511 S. Heathwood Marco Island, Florida 34145. Commence New AC Installation Prior to an Issued Permit. I am giving you a final 30 days from today to have the permit issued for the above location. If the permit is not ISSUED prior to February 23, 2023, 1 will be seeking a willful code determination from the Marco Island Chief Building Official for failing to obtain an issued permit prior to commencing work, which could result in the suspension of your and permit pulling privileges in Collier County. The case will also be referred to DBPR for investigation and discipline. Should you have any questions or comments, please don't hesitate to reach out to me. Please respond to this email that you received it and are working on the permit for the above location. Thank You, Tim Broughton Collier County Contractors Licensing Licensing Compliance Officer timothy.broughton@colliercountyfl.gov Coriter County GMD Operations 2800 Horseshoe Drive North Naples, Florida 34104 Phone: (239) 252 2563 w m O m 0 M N O N U 0 M N LO F4 w m O O Cl) N O N U 0 r c a� E t U a r r Q Packet Pg. 438 Diversified Mechanical LLC 23251 N River Rd Alva. FL 33920 CAC 1817181 Phone # 239.936.1270 Fax # 239.936.1685 Bill To: Tim Pegram 51 1 S. I leathwood Dr Marco Island, 1'L 34145 Invoice Date Invoice DM Invoice 124'2023 10913 Work Site: Ti,;, Pegram 51 S. Heathwood Dr Marco Island. FL 34145 :PLEASE PAY :THIS AMOUNT s3.200.00 ................................................................. Make checks payable to. Diversified Mechanical LLC Plcch ck box iraddress is incortect or has changed. and .— indicate Chang Ys) on nverx• site. ---------------------------------------------------------------- Diversified Mechanical LLC PLEASE DETACH AND RETURN TOP PORTION WITH PAYMENT 23251 N River Rd Date Completed DM Job # Date before Service Charge Terms Rep Project Name 11/182022 221029-10 224/2023 Due on receipt AG Description Qty Rate _ Amount I In prep of new equipment. Removed freon and recovered. i I 3.200.00 3,200.00 Pulled out condenser and began AHU removal AC Install. Removed freon line, evaporator coil and. blower. !I Customer originally wanted condenser hung on wall. Now I has changed his mind to use concrete and stand. Sidewall partially in the way and had to remove stone blocks and level area. Paid paid and put up stand. Completed install with new AC system It's been a pleasure working with you! There will be a S40.00 charge for all returned checks. All invoices over 30 Total $3 200.00 days are suject to a 1.5%service charge per month. Ifyou have any questions please contact Elizabeth at lizzCadiversiftedmech.com Payments/Credits S0.00 Billing Inqueries? Call 239.936.1270 Balance Due S3?00.00 Timvtt R 2' C/ rare 4007 67-T51/1,29 Donna j `Pegqram� +ma,su29 ora,a 511 S. XeadriwodDr 2 % 2dz 3 Nfarco is(and, FL 34145 Pay ,o the OrJer of �StNv 0 4W o JLUmC)apO �d for X"1%o�_ f..- 1 D 1 • 3 _ � -- — - � 1� '■■■N■■■■■ 4001 i H LU m O co 0 M N O N U 0 r a-i C N E L V tC a+ a+ Q Packet Pg. 439 10.C.1 i w Co O w m 0 M N O N O M N N. U Q Packet Pg. 440 10.C.1 Collier County Property Appraiser Property Summary Site Address 511 S MARCO Site Zone 34145 Parcel No 57748440001 *Disclaimer HEATHWOOD DR Site City ,ISLAND *Note Name / Address PEGRAM, TIMOTHY R=& DONNA F 511 S HEATHWOOD DR City MARCO ISLAND State FL Zip 34145-5035 Map No Strap No. Section Township Range Acres *Estimated 71316 776700 296 471316 16 52 26 0.2 Legal MARCO BCH UNIT 8 BLK 296 LOT 4 Millage Area 0 ' 58 Millage Rates 0 *Calculations Sub./Condo 776700 - MARCO BEACH UNIT 8 School Other Total Use Code 4 1 - SINGLE FAMILY RESIDENTIAL 4.459 5.681 10.14 Latest Sales History 2022 Certified Tax Roll (Not all Sales are listed due to Confidentiality) (Subject to Change) Date Book -Page Amount Land Value $ 228,580 12/21/12 4870-2297 $ 178,600 (+) Improved Value $ 209,251 12/19/96 2262-1737 $ 0 (0 Market Value $ 437,831 10/01/85 1162-917 $ 84,000 11/01/77 721-1651 $ 0 t) Save our Home $ 207,242 10/01/74 603-1519 $ 2,900 (_) Assessed Value $ 230,589 {-) Homestead $ 25,000' (_) School Taxable Value $ 205,589' {-) Additional Homestead $ 25,000 (_) Taxable Value $ 180,589' If all Values shown above equal 0 this parcel was created after the Final Tax Roll w m O W CD 0 M N O N U 0 M N LO Packet Pg. 441 10.D 04/19/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 10.13 Doc ID: 25236 Item Summary: IOD. 2023-07 JORGE M. LOPEZ DBA CUSTOM FURNITURE BY GEORGE, INC. (CEMIS20230000748) Meeting Date: 04/19/2023 Prepared by: Title: — Contractor Licensing Name: Alyshia Morse 04/12/2023 12:02 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 04/12/2023 12:02 PM Approved By: Review: Contractor Licensing Contractor Licensing Contractor Licensing Sandra Delgado Review item Tim Crotts Review Item Tim Crotts Meeting Pending Completed 04/13/2023 9:15 AM Completed 04/13/2023 10:24 AM 04/19/2023 9:00 AM Packet Pg. 442 10.D.1 BEFORE THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD BOARD OF COUNTY COMMISSIONERS, COLLIER COUNTY, FLORIDA, Petitioner, v. Case No: 2023-07 Licensee No: C31861 JORGE LOPEZ, CUSTOM FURNITURE BY GEORGE, INC. Respondent. ADMINISTRATIVE COMPLAINT Collier County (County) files the Administrative Complaint against MR. JORGE M. LOPEZ, CUSTOM FURNITURE BY GEORGE, INC. (Respondent), a Collier County licensed contractor with license #C31861, and states the following facts and allegations in support of the cited violations below: 1. The Respondent is currently licensed as a CABINET INSTALLATION CONTRACTOR by Collier County Contractors' Licensing as a CORPORATION with the following issuance number: (202100000600). 2. The Respondent, MR. JORGE M. LOPEZ, is the Collier County license holder of record for the company CUSTOM FURNITURE BY GEORGE, INC., (C31861). 3. Under the provisions of Chapter 489 Florida Statutes [§489.105(12) F.S.] and the Code of Laws and Ordinances of Collier County, Florida [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 Code of Laws and Ordinances of Collier County, Florida. 4. Under the provisions of the Code of Laws and Ordinances of Collier County, Florida Sec 22-202, the following actions of the Respondent, constitute misconduct and grounds for discipline. 5. On or about January 23, 2023, the Collier County Licensing Department received a complaint from Collier County Code Enforcement regarding active and unpermitted work at 2000 Unity Way, Naples, Collier County, Florida 34112. 6. On or about January 24, 2023, it was confirmed that CUSTOM FURNITURE BY 0 GEORGE INC., contracted to install a new vinyl floor and new kitchen cabinets at 2000 Unity Way, Naples, Florida 34112. It was also confirmed that CUSTOM_ FURNITURE BY GEORGE, INC., had a written contract, dated August 22, 2022, Q with Unity Church for the above scope of work. It was also confirmed that CUSTOM Packet Pg. 443 10.D.1 FURNITURE BY GEORGE, INC., capped the plumbing when removing the cabinets. The construction contract states that CUSTOM FURNITURE BY GEORGE, INC., would be paid $25,701.90 for the contracted scope of work and received a deposit via wire transfer for $10,000.00 on August 23, 2022. 7. On or about January 24, 2023, while on site, I, Timothy Broughton, Collier County Licensing Investigator, observed a new luxury vinyl floor and kitchen cabinets removed with exposed plumbing in the church kitchen at 2000 Unity Way, Naples, Florida 34112. A review of the Collier County Cityview permitting database revealed no building permit was issued for the scope of work. I then posted a stop work order at the subject address for the unpermitted plumbing. 8. On February 14, 2023, Collier County Chief Building Official Mr. Fred Clum reviewed photo's of the exposed plumbing and determined a permit was required. 9. Based on the investigation, and pursuant to the Code of Laws and Ordinances of Collier County, Florida Section 22-202(a)(2) and (b), the Contractors' Licensing Supervisor determined sufficient cause exists to warrant the filing of formal charges. 10.On February 14, 2023, a Notice of Hearing to appear before the Collier County Contractors' Licensing Board on April 19, 2023, at 9:00 a.m. was sent USPS certified mail to the Respondent, MR. JORGE LOPEZ. The certified letter with an article number of 7022 3330 0000 1433 0162 (sent to Sunbiz address of record). 11. The County now brings the following count(s) in this Administrative Complaint against the Respondent: COUNT A. MR. JORGE LOPEZ is the holder of a Collier County license for CABINET INSTALLATION CONTRACTOR. Mr. Lopez's license does not allow for floor installation or plumbing, however, plumbing and flooring was contracted for in the scope of work he provided under the contract. B. MR. JORGE LOPEZ is in violation of The Code of Laws and Ordinances of Collier County, Florida [Section 22-201(2)], which states, in pertinent part, that it is misconduct for a holder of a Collier County Certificate of Competency to contract to do any work outside of the scope of his/her competency as listed on his/her competency card and as defined in this ordinance or as restricted by the Contractors' Licensing Board. Packet Pg. 444 10.D.1 X91IIkTM A. Upon review of County permitting records, a building permit was never issued for the plumbing prior to commencing work, and a permit was required to perform the subject work. B. MR. JORGE LOPEZ is in violation of the Code of Laws and Ordinances of Collier County, Florida [Section 22-201(18)], which states, in pertinent part, that it is misconduct by a holder of a Collier County Certificate of Competency, to proceed on any job without obtaining applicable permits or inspections from the City building and zoning division or the County building review and permitting department. WHEREFORE, the Petitioner asserts the above facts and charges are grounds for disciplinary action under the Code of Laws and Ordinances of Collier County, Florida Sec. 22-201 and WHEREFORE, in consideration of the foregoing, the Petitioner respectfully requests the Collier County Contractors' Licensing Board to find the Respondent guilty of the violation(s) charged. Dated: Yh/Z 3 Signed Collier County Contractors' Licensing Supervisor w c� 0 ti 0 M N 0 N 6 0 M N LO N 0 M N O N ci O C N E L V fC a+ a Packet Pg. 445 10.D.1 Contractors' Licensing Board 2800 North Horseshoe Dr. Naples, FL 34104 Complaint Number: 2023-07 Complainant: Any person who believes that a Contractor holding a Collier County Certificate of competency has violated Collier County Ordinance 22-201, as amended, may submit a sworn complaint to the Contractor Licensing supervisor, or his / her designee. The complaint shall be in substantially the form prescribed by the Contractor Licensing Supervisor. The complaining party shall state with particularity which section(s) of this Ordinance he or she believes has been violated by the contractor and the essential facts in support thereof. Complaint: Please print or type and return signed copies of the complaint. Date: April 6, 2023 Against: Contractor's Name: Jorge Lopez Phone: 239.250.9889 Business Name: Custom Furniture by George, Inc. License(s) Held: Cabinet Installation Contractor Collier County Competency number: 31861 Contractor's Business Address: 2831 64`h St SW Naples. Florida 34105 Filed By: Name: Collier County Contractors' Licensing: Timothy Broughton Address: 2800 N. Horseshoe Dr., Naples, FL 34104 Business Phone: 239-252-2563 Address where work done: 2000 Unity Way City: Naples County: Collier Date of contract: August 22, 2022 w C9 O ti O Cl) N O N 6 0 Cl) N LO N 00 0 O O O M N O N w u w O ti O M N O N G O �.i c m E M U M Q Packet Pg. 446 10.D.1 w Date job started: On or before January 24, 2023 C7 O Date job completed or new home occupied: N/A c 0 Were there plans and specifications: Yes N 0 Is there a written contract: Yes If yes, amount of Contract: $25,701.90 r Has Contractor been paid in full: If not, what amount: N LO N Was a permit obtained: No Was a permit required: Yes (Plumbing Only) 00 Permit number if known: PRCS20230206782 0 0 0 0 Have you communicated by letter with the licensee: Yes N 0 N Date: February 14, 2023 Do you have a reply: Yes co 2 w U 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, 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(2) Contracting to do any work outside of the scope of his/her competency as listed on his/her competency card and as defined in this Ordinance or as restricted by the Contractors' Licensing Board. b. Collier County Ordinance 22-201(18) Proceeding on any job without obtaining applicable permits or inspections from the City building and zoning division or the county building review and pennitting department. Please state the facts which you believe substantiate your charge of misconduct against the subject contractor. List facts separately for each subsection number above: w a. Collier County Ordinance 22-201(2) Contracting to do any work outside of the scope of his/her competency as listed on his/her competency card and as defined in this Ordinance or 3 as restricted by the Contractors' Licensing Board. o M N O 1. Jorge Lopez is the holder of a Collier County license for Local- Specialty — Cabinet Installation Contractor. Jorge Lopez's license o does not allow for performing installation of vinyl flooring and plumbing of which was contracted for in the contract. E s c� � Q Packet Pg. 447 10.D.1 b. Collier County Ordinance 22-201(18) Proceeding on any job without obtaining applicable pennits or inspections from the City building and zoning division or the County building review and permitting department. 1. Upon review of Collier County permitting records, a plumbing permit was never applied for or issued prior to commencing work, and a permit was required to perform the subject work. Timothy Broughton Code Enforcement Investigator — Contractor Licensing State of /l Kl d of County of cd I Ire� The foregoing instrument was acknowledged before me by means of 2-p"hysical presence or ❑ online notarization on ti , day of , 20 , by Such person s) Notary Public trust check a Dare personally known to me' ❑ has produced a current driver license ❑ has produced (Notary Seal) a��►Rv Pu��o SANDRA DELGADO Cornmis*n # HH 101718 ` Expires March 8, 2025 N9rFOF F`OQC BondedTtuu Budget Notary Servkes le box: as identification. Notary Signature: w 0 W O ti O M N O N 0 0 r O M N M N ib I* r` O O O O M N O N w U r` O M N O N O r C Q1 E t V Q Packet Pg. 448 10.D.1 CoR=er Coun.ty Growth Management Division Planning & Regulation Operations Department Licensing Section Date: February 14, 2023 Mr. Jorge Lopez Custom Furniture by George, Inc. 2831 64" St. SW Naples, Florida 34105 RE: Case # CEMIS20230000748 — 2000 Unity Way Naples, Florida 34112 MR. JORGE LOPEZ, A complaint has been filed against you by the above referenced entity. A hearing on this complaint will be held by the Contractors' Licensing Board on Wednesday, April 19, 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 22-201(2) and 22- 201(18) of the Collier County, FL Code of Ordinances: Sec. 22-201— MISCONDUCT — Collier County/city certificate of competency. Sec. 22-201(2) Contracting to do any work outside the scope of his/her competency as listed on his/her competency card and as defined in this Ordinance or as restricted by the Contractors' Licensing Board. Growth Management Division•Planning & Regulati0n•2800 North Horseshoe Drive"Naples, Florida 34104`239-252-2400'www.coiliergov. let w O O 0 M N O N O cc M N LO N 00 1* I- Q O O O M N O N D w A 2 Q Packet Pg. 449 10.D.1 Coe-r Co rivity Growth Management Division Planning & Regulation Operations Department Licensing Section Sec. 22-201(18) - Proceeding on any job without obtaining applicable permits or inspections from the city building and zoning division or the county building review and permitting department. 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, TIMOTHY BROUGHTON Licensing Compliance Officer Collier County Contractors' Licensing 239-252-2563 Initials: pro vti� Vla iagcment Dn ision Planning & Regulation 2800 North Horseshoe Drive•Naples, Florida 34104*239-252-2400"www.colliergov.net w O O 0 M N O N O m M N LO N ib i` 0 0 0 O M N O N D 2 w A 2 Packet Pg. 450 10.D.1 rU r -I 0 m m ra O C3 C3 O C3 m m m ti ry 0 r` ❑ Return Receipt (hardcopy) $ ❑ Return Receipt (electronic) $ ❑ Certified Mail Restricted Delivery $ ❑ Adult Signature Required $ ❑Adult Signature Restricted Delivery $ Postage as appropriate) re 1� ----- ------------------ or Pt3 Box No. ------- ------------ ZIP+4a w O w O ti 0 M N O N O r O M N O N O O O O M N O N W U 2 W O ti O M N O N 6 O r C d E S C1 R Q Packet Pg. 451 '3NI `30MO30 .kG 3unilNmn=i woisno VS(3 Z3dOl 'W 3omo LO-£ZOZ '(3U WOMOU44V r N Lo 0 � O � r d rr d Y C1 a x N 7 Ci p t�L E W 01 L ' CE W E- z W .!G s- z. U C = Z R O � u- a r Zco c > O o N N o N N = O C a G i» �= C w v LU } m ~ c m c > i t R L 2 R y 0 CL = O O. G Li LL LL rn Y ro 2 c O C R1 � U C T 2 L t U7 � O Cco (0v a. Z c r > o C p y c ai c C) C_ y O mw a a O S O y c 0 i p (Q L O Y R O M { Y ,z 0 N o CL y CO)2 T N a i N �° O v 0 L Imo. 10.D.1 co 4C-,10-r4-nty Growth Management Division Planning & Regulation Operations Department Licensing Section Date: February 14, 2023 Mr. Jorge Lopez Custom Furniture by George, Inc. 2831 64" St. SW Naples, Florida 34105 RE: Case # CEMIS20230000748 — 2000 Unity Way Naples, Florida 34112 MR. JORGE LOPEZ, A complaint has been filed against you by the above referenced entity. A hearing on this complaint will be held by the Contractors' Licensing Board on Wednesday, April 19, 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 22-201(2) and 22- 201(18) of the Collier County, FL Code of Ordinances: Sec. 22-201 — MISCONDUCT — Collier County/city certificate of competency. Sec. 22-201(2) Contracting to do any work outside the scope of his/her competency as listed on his/her competency card and as defined in this Ordinance or as restricted by the Contractors' Licensing Board. Growth Management Division*Planning & Regulation'2800 North Horseshoe Drive*Naples, Florida 34104*239-252-2400*wwvv.collie rgov.net W O ti O M N O N O M N LO N. Packet Pg. 453 10.D.1 Growth Management Division Planning & Regulation Operations Department Licensing Section Sec. 22-201(18) - Proceeding on any job without obtaining applicable permits or inspections from the city building and zoning division or the county building review and permitting department. 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, TIMOTHY BROUGHTON Licensing Compliance Officer Collier County Contractors' Licensing 239-252-2563 Initials: Growth Management Division*Planning & Regulation'2800 North Horseshoe Drive*Naples, Florida 34104*239-252-2400*www.colliergov.net W O ti O M N O N G O O CM N LO N. Packet Pg. 454 Notice of Hearing for 4/19/23 at 9:00am - 2000 Unity Way BroughtonTimothy To . cfbygeorge@comcast.net Cc Q BroughtanTimothy Notice of Hearing -Jorge Lopez.door ©� 72 KB Mr. Lopez, Just sending you a reminder of your hearing in front of the Contractor's Licensing Board that is scheduled for Wednesday, April 19, 2023 at 9:00am. Please see the attached document. Thank You, Tim Broughton Collier County Contractors Licensing Licensing Compliance Officer timothy.broughtortfcolliercountyfi.gov Co yer County GMD Operations 28W Harsestroe Drive North Maple;, Fiprida_34704 Phone: (239) 252 2563 10.D.1 Reply Reply All - _— 4Ye LU O 7 ti O M CV O N O M N LO N Packet Pg. 455 10.D.1 coy,- co-14-Kty Growth Management Division Planning & Regulation Operations Department Licensing Section Date: February 14, 2023 Mr. Jorge Lopez Custom Furniture by George, Inc. 2831 64" St. SW Naples, Florida 34105 RE: Case # CEMIS20230000748 — 2000 Unity Way Naples, Florida 34112 MR. JORGE LOPEZ, A complaint has been filed against you by the above referenced entity. 0;,-SSC 5w, A hearing on this complaint will be held by the Contractors' Licensing Board on Monday, April 19, 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: i�bi � "A", you must make fifteen copies and have them in our office by 8:00 AM 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 22-201(2) and 22- 201(18) of the Collier County, FL Code of Ordinances: Sec. 22-201— MISCONDUCT — Collier County/city certificate of competency. Sec. 22-201(2) Contracting to do any work outside the scope of his/her competency as listed on his/her competency card and as defined in this Ordinance or as restricted by the Contractors' Licensing Board. Growth Management Division"Planning & RegulatiW2800 North Horseshoe Drive* Naples, Florida 34104"239-252-2400•www.colliergov.net W O ti O M N O N G O O CM N LO N. Packet Pg. 456 10.D.1 Corr CoH,-, ty W Growth Management Division p Planning & Regulation ti Operations Department O Licensing Section N N G O Sec. 22-201(18) - Proceeding on any job without obtaining applicable permits or inspections M from the city building and zoning division or the county building review and permitting C4 department. N. 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. Sincere TIMOTHY BROUGHTON Licensing Compliance Officer Collier County Contractors' Licensing 239-252-2563 Initials: IrA Jan--- Growth Management Division*Planning & Regulation'2800 North Horseshoe Driv4'Naples, Florida 34104*239-252-2400*www.colliergov.net Packet Pg. 457 10.D.1 ed*egov.net Report Title: Code Case Details Date: 4/10/2023 10:46:51 AM Case Number: CEMIS20230000748 Case Number: CEMIS20230000748 Case Type: Misconduct Priority: Normal Inspector: TimothyBroughton Jurisdiction: Collier County Status: Investigation Date & Time Entered: 1/26/2023 2:02:52 PM Entered By: TimothyBroughton Case Disposition: Referral Origin: Complaint Detail Description: Collier County Specialty Contractor Working Outside the Scope of his License and Commencing work prior to an Issued Plumbing Permit Custom Furniture By George Issuance #C31861 Administrative Complaint Case Number #2023-07 Location Comments 12000 Unity Way Address 2000 Unity WAY, Naples Property 402560009 Contractor CUSTOM FURNITURE BY GEORGE, INC. Property Owner UNITY OF NAPLES INC Qualifier JORGE LOPEZ Business Management & Budget Office 0 W c� 0' O ti 0 M N O N 0 to M N LO N Packet Pg. 458 Code Case Details Execution Date 4/10/2023 10:46:51 AM 10.D.1 Desc Assigned Required Completed Outcome Comments Preliminary Investigation TimothyBroug 1/26/2023 1/26/2023 Needs Collier County Specialty Contractor Working hton Investigatio Outside the Scope of his License n Custom Furniture By George Issuance #C31861. TB Cont. Investigation TimothyBroug 1/27/2023 2/6/2023 Complete Received a complaint from Supervisor Crotts. hton Conducted a site visit on 1/24/23 at 1:40pm. I talked with the Church Minister, Ms. Claudia Rene (239) 775-3009. She stated that they were having some work done in the meeting room. She showed me the room and work taking place. Ms. Rene stated that they were having new cabinets put in and had a new floor installed. I also observed exposed electrical and capped plumbing. I took my site photos and asked her to email me a copy of the contract and form of payment for the job. No contractor was onsite at the time of my site visit. I observed the new floor completed and the cabinets were ready to be installed. TB Attach Picture(s) TimothyBroug 1/27/2023 2/6/2023 Complete hton Cont. Investigation TimothyBroug 1/27/2023 2/6/2023 Complete On 1/26/23 1 received a permit determination hton and posted a Stop Work Order at 10:30AM. I talked with the Church Director, Mr. Tony Williamson. He also confirmed the new floor installation and cabinets by Custom Furniture by George. I advised him that I would reach out to the contractor. I also advised him that a permit was required for the electrical and plumbing. Mr. Williamson stated that the floor and cabinet contractor did not touch the electric and plumbing. TB Issue Stop Work Order TimothyBroug 1/27/2023 3/30/2023 Complete hton Cont. Investigation TimothyBroug 2/1/2023 2/6/2023 Complete I called and talked with the qualifier of Custom hton Furniture by George, Mr. Jorge Lopez (239) 250-9889. He confirmed that he installed the new vinyl floor and cabinets at the said location. I advised him that we needed to meet at the GMD regarding the work and possible violation of working outside the scope of his license. Mr. Lopez stated that he had jury duty coming up and would call me on Friday 2/3/23 and let me know when he could meet. TB Business Management & Budget Office w a IX O ti 0 M N O N 0 to M N v7 N Packet Pg. 459 Code Case Details Execution Date 4/10/2023 10:46:51 AM 10.D.1 Desc Assigned Required Completed Outcome Comments Cont. Investigation TimothyBroug 2/14/2023 2/15/2023 Complete I met with the qualifier of Custom Furniture by hton George, Mr. Jorge Lopez (239) 250-9889, license #C31861 at the Growth Management Department to discuss the case. I confirmed with Mr. Lopez that he installed the vinyl plank floor in the church kitchen. I confirmed with Mr. Lopez that he capped the plumbing prior to removing the kitchen cabinets. I confirmed with Mr. Lopez that he entered into a contract for the said scope of work and received payment of $25,701.90 (wire transfer) for cabinet and floor installation at the said location. I confirmed that Mr. Lopez only has a cabinet installation license and does not have a license for flooring or plumbing. I also confirmed with Mr. Lopez that he did not have an issued permit for the capped plumbing in the kitchen. I then issued a NOH to Mr. Jorge Lopez for the CLB Hearing on Wednesday, April 19, 2023 at 9:00am. Mr. Lopez signed for his NOH. I advised him that he was being charged with working outside the scope of his contractor's license and for commencing work for which a building permit is required (plumbing). TB Cont. Investigation TimothyBroug 3/8/2023 3/8/2023 Complete Investigation Continued - Case scheduled for hton April CLB Hearing. TB Cont. Investigation TimothyBroug 3/29/2023 3/29/2023 Complete Emailed a reminder notice and copy of the Mon NOH for 4/19/23 to the qualifier, Mr. Jorge Lopez. TB Cont. Investigation TimothyBroug 4/4/2023 4/4/2023 Complete Investigation Continued - Case scheduled for hton April CLB Hearing. TB Investigation TimothyBroug 4/10/2023 Pending hton Violation Description Status Entered Corrected Amount Comments 4.1 Misconduct-County/City Certificate of Competency Open 1/26/2023 $0 Open 1/26/2023 $0 Open 1/26/2023 $0 Title Reason Result Compliance Fine/Day Condition Business Management & Budget Office w a IX O ti 0 M N O N 0 M N LO N Packet Pg. 460 10.D.1 HISTORY Active Case — January 24, 2023 — CEMIS20230000748 — Refer to CLB — Working outside the scope of license and commencing work without an issued permit. CLB Case #2023-07. w O W O ti O M N O N 0 O O M N LO N E Packet Pg. 461 10.D.1 CUSTOM FURNITURE BY GEORGE INC. Date: 8/22/22 2831 64T" ST SW NAPLES, FL. 34105. SHERRY MARTIN UNITY CHURCH. NAPLES, FL. SUPPLY AND INSTALL NEW CABINETS FOR EXISTING ONES. PLUS, AD 2 NEW SECTIONS OF CABINETS 6' EACH, COVER WITH PANELS ON BOTH SIDESAND BACK.--------------------------------------------------------------------- $ 7,568.00. ADDITIONAL REFRIGERETOR PANEL, AND MAKE 4 BASE CABINETS WIDER AND 1 FULL BANK OF DRAWS.--------------------------------------------------------------- $ 890.00. SUPPLY AND INSTALL NEW COUNTERS FOR ALL THIS CABINETS IN QUARTZ (INSTALL BY J AND K MARBOL AND GRANITE) SUPPLY NEW SINK AND FAUCET. --------------------------------------------- $ 587.90.00. SUPPLY LABOR AND MATERIALS TO PACH DAMEGE WALLS AROUND DOOR FRAME AND BACK WALL.---------------------------------------------------------- $ 980.00. SUPPLY AND INSTALL VINYL FLOOR FOR THE ROOM. --------------------- $ 9,318.00. SUPPLY AND INSTALL 5 1/4" BASEBOARDS FOR THE ROOM. ------------ $ 720.00. TOTAL WORK ---- $ 25,701.90. DEPOSIT REQUIRE- ------- $10 ,000.00. BALANCE: -------------------- $15 701 90 Packet Pg. 462 10.D.1 1/25/23, 1:46 PM Bill Payment #17503 t online banking matches Payee Custom Furniture by Georc Bank/Credit account 10100.1 First Horizon Chec Balance $37,706.24 Mailing address Jorge M Lopez Custom Furniture by George, Inc. 2831 64th St SW Naples, Florida 34105 Payment date 08/22/2022 Ref no. 17503 Print later Bill Payment O Help X AMOUNT PAID $10,000.00 Amount 10,000.00 Outstandinq Transactions Find Bill No. _ Filter > All o DESCRIPTION DUE DATE ORIGINALAMOUNT OPEN BALANCE C Bill It to pont(08/23/2022) 08/23/2022 10,000.00 10,000.00 < First Previous 1-1 of 1 Next Last> AmounttoApply $10,000.00 Amount to Credit $0.00 Clear Payment Memo 0)Attachments Maximum size: 20MB Drag/Drop files here or click the icon _..... — Show existing _..__..... ... Privacy Print check I Order checks I More Sale and close --� https:Happ.gbo.intuit.com/app/bilipayment?txnld=92384 W O O M N O N O O M N N tb ti O O O O M N O N N W U Ir O M N O N 0 O T C E t V EI 1/1 Packet Pg. 463 G 0 'ONI `BON030 AS 9mnJL1Nmn=i wojLsno ` sci Z3dOl 'W mmo LO-£ZOZ 'U0L :;UaLU43L' V N N 0 N c co O R 0 CD N of U Z w O w c� m Z0 w U H LO C J Z N W p- F- M D to J M Z M V% N O w LU N Ur coZ 04 U) a a) W °r° 00 c, m N Z� U U U r> o s O to F— = V ` C fA O L a) w O V s V m cC f/1 s w N c !~_ H J> E— ca R cv L) HC'l.71 NU>cnco (a 5 70 0 O U- N O 0 (� L fn a a) ' c O O cM c N a) O E N N m T c o E c L O O O L m Uc a) > E a) E EZ a) ns > m O > c� co 0 } = E os -O U — c U) fII _ c6 � p c U O ca m w ca E o N L U M c c a� a)— a) a) O Q. 0 E U � o 0 0 c m>a) N i m O O O LO U � U c M c O O �j o Z c a) __ E U (nM Un � c co � 2 E le co d m Y V m d Licensee Number C31861 Name / Description CUSTOM FURNITURE BY GEORGE, INC. Type Contractor .+ Inspector v Jurisdiction Collier County Activity Description All Certificates from CDPlus: 31861 Suggest Mailing Address Add this Mailing Address as a Location Mailing Address 2831 64TH ST SW Address Line 2 Address Line 3 City/State/Zip NAPLES FL v 34105 Country v Email CFBYGEORG E@ COM CAST. NET Preferred Contact Method Email Receive SMS Text ❑ Notifications? Portal User? Portal ID ................................... Status Active 1O.D.1 Start Date 08/16/2022 V End Date F V W Submitted On 0 Department 'Operations Exclude from Auto -Suggest? ❑ Add Contact Number Primary (239) 261-4397 .......... Cell (239) 250-9889 Fax (239)261-4397 I Business Tax Expiration Date 09{30i 2021 v Confidential? ❑ Home Based Business ❑ Sub -certificate Required ❑ Show More Fields Contractor Attributes Contractor Type Business Date of Birth v Drivers License Number Business Tax Receipt? Yes Can be Renewed on Portal? ❑ Last Application Status Location Add Related Parcels and Addresses Add a Location To link a location to this Licensee, enter location information below. CityViewwill suggest possible matches as you type: Packet Pg. 465 Licensee Number C31861 Descripti Name CUSTOM FURNITURE EY GEORGE, ] Type Contractor .r Status Active ., View Master Project View AH Activities for tt�is Licensee Classifications T Add a new person or business to Address Book Go to Alerts Generate Defaults :odd a Classification To add a classification to this Licensee, enter text below. CityViewwill suggest possible matches as you type; CABINET INSTALL CONTR. 10.D.1 Link I Type Date Entered Status Status Date ;CABINET INSTALL CONTR, 06{03{2011 i Active —................................_.....:................................. ...._..__... __ . ._.._..__......................................._._ ......; Contractor Licensing License Category Local - Specialty Temporary/Emergency License Issuances Link i Type Status CABINET INSTALL CONTR. _........._....................................._.................._............._..............................._..................:.............. s Expired . :CABINET INSTALL CONTR. _...................... Expired CABINET INSTALL CONTR. — .................... ......................... Expired — :CABINET INSTALL CONTR. ............................... Active Entered By .. Comments QUALIFIER; JORGE M. LOPEZ Entered By System .Administrator v Sho%, h-tore Fields Unique Identifier r52938 Attach Driver License Photo Add Issuance _-------—....._..— .._.. Date ISSLed' -_ i _ Issuance Number —--..__._....---._._._..._ Expiration D_a_t- 01/20/2017 31861 09/3012020 _ .......... 08/13,/2020 s......... .....................__._.....__.............. ..........:................. 31861 : _...._....._._.. _........ 09/30/2021 :................................................. ..... ___...................... 09/14/2021 ................................... .......... ............... 31861 09/30/2022 08/16/2022 '31361 09/30/2023 Date Entered 2 W d' O ti 0 M N O N d O r C t V fC Q Packet Pg. 466 ONI `39MO39 A8 3unJLINmn=i woisnO dea Z3dO-1 M 39mo LO-£ZOZ '006 :IU8WLI3ellV 'R I LL a I a a LA z c y a W a W L d a o W s « m r_ C n W .� �_- o o N -i E" M m M tD LL = LL -It O D W N Lo W LL N MZ) J 0- M a CO V N Z r,4 Z � Co O O N i N V! W L 'O 10 N to L L d 'q 3 O D I _ c 0 0 V V < m x U o } W Z ry C a s w 0 a a a o N m I W U N N � 4 = a w o U ra 00 p U. S v rn ti v rq ? 5 N a, — cn ry N O U V N N � l h-- V o a o o J i rn Er 7] U N f (U y d N p S N ^ 3 U E c O a OQ n '� C- O 0 + h c za ,a O �N _ w M c a � m u .n a i i1 •N V �, •in •N W w Co Q v(i m' tj N ¢ m a m m w m I-) v f 10.D.1 DIVISION Of COPPORATIONi DDepartrnent of State / Division of Corporations / Search Records / Search by Entity Name / Detail by Entity Name Florida Profit Corporation CUSTOM FURNITURE BY GEORGE, INC. Filing Information Document Number P07000009498 FEI/EIN Number 20-8310508 Date Filed 01/22/2007 State FL Status ACTIVE Last Event REINSTATEMENT Event Date Filed 09/21/2010 Principal Address 2831 64TH ST SW NAPLES, FL 34105 Mailing Address 2831 64TH ST SW NAPLES, FL 34105 Registered Agent Name & Address MICHELLE BILLIE, CPA, PA 2831 64TH ST SW NAPLES, FL 34105 Name Changed: 09/21/2010 Address Changed: 09/21/2010 Officer/Director Detail Name & Address Title PST LOPEZ, JORGE M 2831 64TH ST SW NAPLES, FL 34105 Annual Reports Report Year Filed Date 2020 03/06/2020 W O 7 ti O M N O N 0 O T to M N N 0 0 0 0 M N O N r'n 2 w tU rr 0 M N O N 0 m t m r Q Packet Pg. 468 1 10.D.1 Permit Application Status PRCS20230206782 In order to view fees or schedule inspections, you need to be signed in. 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: PRCS20230206782 Application Type: Commercial Building Application Status: Rejected Property Owner's Full Name: UNITY OF NAPLES INC Category of Work: Alteration/Remodel Occupancy Code: Assembly Church Description of Work; Cut, sweat, finish and pressurize (1) existing sink and connect waste line. Install and energize (2) soffit mounted can lights. 2000 Unity WAY, Naples Application Date: 02/16/2023 Expiration Date: 09/13/2023 1-2 Family or Comm: Commercial — Business Name at Location (Portal) Business Name: — Locations — Contacts Property Owner: UNITY OF NAPLES INC, Address:2000 UNITY WAY Applicant: DANIEL SHERRY, Address:5307 Shirley St Suite L Contractor: LINE ITEM MAINTENANCE SERVICE INC, Address:PO BOX 771239, Phone:(239) 653-9049, State Reg #'s CBC1250484, Licensee # C24592 License Status Qualifier: DANIEL LEE SHERRY, Address:1749 BOXWOOD LANE, Phone:(239) 253-0053, Licensee # Q24197 License Status Permits (Click to See Reviews) Deposits & Bonds — Inspections Conditions — Documents & Images Portal Home W 0 7 ti O M N 0 N 0 O r r,p M N LO N ti O O O O M N O N LU tU M LU (7 0 7 ti O M N O N O r C N E t 0 M a+ a+ Q Packet Pg. ,69 10.D.1 0 CO) N O cfl M N LO - N ti O O O O D� CO) O I � T W U Z W O W J EAAoo, W OC H LL O U Q v N W a O W Ail - -- -�� \JIM�� --- — O _ O M N O -------- -- ------ ------ - - N C �.i C t t� R a r - Packet Pg. 470 I 10.D.1 Collier County Property Appraiser Property Summary Parcel No 00402560009 Site Address 2000 UNITY WAY Site City NAPLES *Disclaimer Name / Address UNITY OF NAPLES INC 2000 UNITY WAY City NAPLES State FL Site Zone 34112 *Note Zip 34112-2732 Map No. Strap No. Section Township Range Acres *Estimated 51308 000100 004 051308 8 50 26 31.01 Legal 8 50 26 NW1/4 OF SW1/4 OF NE1/4, AND N1/2 OF NE1/4 OF SW1/4 OF NE1/4, AND SW1/4 OF NE1/4 OF SW1/4 OF NE1/4, AND SW1/4 OF SW1/4 OF NE1/4 Millage Area 9 268 Millage Rates O *Calculations Sub./Condo 100 - ACREAGE HEADER School Other Total Use Code* 71 -CHURCHES 4.459 6.5042 10.9632 Latest Sales History 2022 Certified Tax Roll (Not all Sales are listed due to Confidentiality) (Subject to Change) Date Book -Page Amount Land Value $ 2,887,500 05/13/14 5037-1811 $ 11,100 (+) Improved Value $ 1,537,049 (_) Market Value $ 4,424,549 (-) 10% Cap $ 790,427 (_) Assessed Value $ 3,634,122 (_) School Taxable Value $ 0 (_) Taxable Value $ 0 If all Values shown above equal 0 this parcel was created after the Final Tax Roll W O r` 0 M N O N 0 O <O M N u7 N w v 0 0 0 0 M N O N co 2 W U 2 W O O M N O N 0 O r�+ C d E L V R r r Q Packet Pg. 471 10.D.1 i�.gt- Packet Pg. 472 10.D.1 w O O ti O M N O N 0 O O M N Ln N O ti O O O O M N O N Cn m W U r- r Q Packet Pg. 473 4-0,&S* -- N 10.D.1 w O O ti O M N O N 0 O O M N Ln N O ti O O O O M N O N Cn m W U r- r Q Packet Pg. 474 10.D.1 - J f F"• "# 4imv w O O ti O M N O N 0 O O M N Ln O ti O O O O M N O N Cn W U r- r Q Packet Pg. 475 f � O M m W U r Q Packet Pg. 476 k, Packet Pg. 477 10.D.1 O M N Ln N O ti O O O O M N O N Cn m LU U (3 Z LLI O LU m LU H Z a' LL m O H Cn C) Q 00 0 N LU a O J LU D' O ti O M N O N 0 O C d E t V r Q Packet Pg. 478 Lm" I Packet Pg. 479 1 10.E 04/19/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 10.E Doc ID: 25247 Item Summary: 10E. 2023-08 FREDRICK L. FRANKS JR. DBA VETCON CONSTRUCTION SERVICES, INC (CEMIS20220010818) Meeting Date: 04/19/2023 Prepared by: Title: — Contractor Licensing Name: Sandra Delgado 04/13/2023 12:07 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 04/13/2023 12:07 PM Approved By: Review: Contractor Licensing Sandra Delgado Review item Contractor Licensing Sandra Delgado Review Item Contractor Licensing Tim Crotts Meeting Pending Completed 04/13/2023 12:07 PM Skipped 04/13/2023 12:06 PM 04/19/2023 9:00 AM Packet Pg. 480 10.E.1 BEFORE THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD , M N O N BOARD OF COUNTY COMMISSIONERS, c COLLIER COUNTY, FLORIDA, Petitioner, N U) N V. 00 Case No: 2023-08 Licensee No. 20220003070CD FREDERICK LEON JR FRANKS N DIBIA VETCON CONSTRUCTION SERVICES, INC o Respondent. n 1 � W ADMINISTRATIVE COMPLAINT Collier County (County) files the Administrative Complaint against FREDERICK LEON JR FRANKS (Respondent), a State Certified Building Contractor (Collier County Issuance No.20220003066), and states the following facts and allegations in support of the cited violations below: 1. The Respondent is currently the Certificate Holder by the State of Florida as a CERTIFIED BUILDING CONTRACTOR (License No. CBC1263067 ) 2. The Respondent, Frederick Leon Jr Franks, is currently the Certificate Holder and Qualifier of record for VETCON CONSTRUCTION SERVICES, INC (20220003070). 3. Under the provisions of Chapter 489 Florida Statutes §489.105(12) F.S. 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 December 7, 2022, Contractor Licensing Investigator Mike Rivera observed a w fence being installed at 105 Manor Blvd, Naples, Florida 34104. Investigator Mike U_ Rivera, during his investigation, established that no permits were issued for the o installation of fence or concrete patio. Contractor Licensing case number o CEMIS20220010818 was opened to investigate the construction work. N ui O 6. The investigation revealed that VETCON CONSTRUCTION SERVICES, INC. and property manager Robert Gist of Aspen Square entered into a written contract on or E around June 1, 2023, for the installation of fences and concrete pads. The agreed - upon sum of $137,812.19 represented the contract to install 106 new fences and r r Q [21-OPS-020 5 U117844fla11 ] Packet Pg. 481 10.E.1 concrete pads. At the time of the investigation, only approximately 5 fences were , installed. N 0 N 7. On December 8, 2022, Investigator Mike Rivera communicated with the o Respondent, Mr. Franks. The Respondent was informed that permits were needed for the installation of fences and concrete pads. It was confirmed with Mr. Franks N that the work at the property was in fact performed by employees of his company, N VETCON CONSTRUCTION SERVICES, INC. Mr. Franks claimed he did not know 00 he needed a permit for the installation of fences. He was advised that the installation 00 of the fences require permits and cement pads require an Site Development Plan o Insubstantial Change (SDPI) before the issuance of those permits, and he was also N advised that a STOP WORK ORDER was issued for the work at the property. He o was provided 30 days to obtain a permit. v 8. On February 16, 2023, multiple emails were sent to VETCON CONSTRUCTION SERVICES, INC. regarding the project, but no permit was issued, according to a review of the County records. 9. On February 17, 2023, Fred Clum, Chief Building Official and Division Director Jaime Cook examined this case and determined that it was consistent with a "willful" violation of the building code since no permit had been issued in the time period since the stop work order. 10. Based on the investigation, and pursuant to Collier County Code of Laws and Ordinances, Section 22-202(a)(2) and (b), the Contractors' Licensing Supervisor determined sufficient cause exists to warrant the filing of formal charges. 11.On February 21, 2023, a Notice of Hearing to appear before the Collier County Contractors' Licensing Board on April 19, 2023, at 9:00 am, was served in person to the Respondent, FREDERICK LEON JR FRANKS. 12.The County now brings the following count(s) in this Administrative Complaint against the Respondent: COUNT A. Frederick Leon Jr. Franks, a state -certified building contractor, failed to obtain the necessary permits within the allotted 90 days. B. Fred Clum, Chief Building Official, reviewed the ongoing case and agreed the Respondent willfully failed to correct the ongoing violations as he failed to obtain the necessary permits and such action constitutes a willful code violation. C. Frederick Leon Jr Franks 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 [21--OPS-02050J1784400/11 Packet Pg. 482 10.E.1 M N O N W 0 WHEREFORE, the Petitioner asserts the above facts and charges are grounds for N disciplinary action under Collier County Code of Laws and Ordinances Section 22-201 — and, 00 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. �1`�Z �:� Signed: - Collier County Contractors' Licensing Supervisor [21-OPS-02050/1784400/1] Packet Pg. 483 10.E.1 A N Contractors' Licensing Board N 2800 North Horseshoe Dr. ui Naples, FL 34104 0 Complaint Number: 2023-07 N m N Complainant: Any person who believes that a Contractor holding a Collier County Certificate of — competency has violated Collier County Ordinance 22-201, as amended, may submit a sworn T- complaint to the Contractor Licensing supervisor, or his / her designee. The complaint shall be in r substantially the form prescribed by the Contractor Licensing Supervisor. The complaining party o shall state with particularity which section(s) of this Ordinance he or she believes has been violated c by the contractor and the essential facts in support thereof. 5�1 Complaint: Please print or type and return signed copies of the complaint. Date: April 11, 2023 Against: Contractor's Name: Frederick Leon JR Franks Phone: 357,575.7411 Business Name: VETCON CONSTRUCTION SERVICES, INC License(s) Held: Certified Building Contractor Collier County Competency number: 20220003066 Contractor's Business Address: 3535 NW 155TH ST, REDDICK, FL 32686 Filed By: Name: Collier County Contractors' Licensing: Mike Rivera Address: 2800 N. Horseshoe Dr., Naples, FL 34104 Business Phone: 239-252-2297 Address where work done: 105 Manor Blvd. City: Naples County: Collier Date of contract: June 01, 2022 Packet Pg. 484 10. E.1 Date job started: On or before December 01, 2022 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: $137,812.19 Has Contractor been paid in full: If not, what amount: Was a permit obtained: No Was a permit required: Yes (SDPI) Permit number if known: NONE Have you communicated by letter with the licensee: Yes Date: February 21, 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, 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(18) Proceeding on any job without obtaining applicable permits or inspections from the City building and zoning division or the county building review and pennitting department. Please state the facts which you believe substantiate your charge of misconduct against the subject contractor. List facts separately for each subsection number above: a. Collier County Ordinance 22-201(18) Proceeding on any job without obtaining applicable permits or inspections from the City building and zoning division or the County building review and permitting department. 1. Upon review of Collier County permitting records, a Fence or a SDPI permit was never applied for or issued prior to commencing work, and a permit was required to perform the subject work. A N 0 N W 0 ti N LO N Packet Pg. 485 10.E.1 Mike Rivera Code Enforcement Investigator— Contractor Licensing State of t 0�County of (0 r The foregoing instrument was acknowled ed before me b means of �sical presence or ❑ online notarization on this day of , 20 t�, by m e., —V Such person(s) Notary Public must chec ff are personally known to me ❑ has produced a current driver license applicable box: ❑ has produced as identification. (Notary Seal) sArrQw+ni=Lcnflo Notary Signature: �y * Commission # HH 101718 iPr O� Expires March 8, 2025 PrFOF fvop Bonded Tiuu Budget Notary SO"Kes M N O N W 0 N LO N. Packet Pg. 486 10.E.1 M CO eY Coin-tty04 N Cro%►th Management Division o Planning & Regulation Operations Department N Licensing Seetion 'n N LISPS Certified Mail: 7020 0090 0001 1350 2916 Date: February 21, 2023 Frederick Frank VETCON CONSTRUCTION SERVICES, INC PO BOX 664 REDDICK, Florida 32686 RE: Case # CEMIS20220010818 — 105 Manor Ith (I.Naples Dear. Frederick Frank A complaint has been filed against you by the above referenced entity. A hearing of this complaint will be held by the Contractors' Licensing Board on Wednesday, April 19, 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 "frail, 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: See. 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 24D0•www.tolhergc . Packet Pg. 487 10.E.1 Co *e-r C: Y014vtty N 0 Grro►►th Managument Division N LLI Plannint, & Rc„ulation Operations Department Licensing Section N LO N The range of disciplinary sanctions which may be imposed are. (1) Revocation of a Collier County or city certificate of competency. (2) Suspension of Collier County or city certificate of competency: (3) Denial of the issuance or renewal of a Collier County or city certificate of Competenev: (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 tine 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. Mike Rivera Code Enforcement Investigator - Licensing Collier County Contractors' Licensing 239-944-0688 Initials w 0 r C E t V f0 a+ Growth Nlanaeeznent bivision'Planning & Regulation'2800 North Horseshoe Drive'Naples, Florida 34104.239 252 2400'www.colliergov.net Q Packet Pg. 488 10. E.1 HISTORY OF MISCONDUCT NONE N Lo N r Co O r 0 O N N O N Cn 2 W C) U Z C W U_ d' W N Z O F- L) w H Z O U Z O U F- LU Q m 0 N Y Z a LL J Y C) 0 W w LL O 0 M N O N W O r r.+ C d E L V Q Packet Pg. 489 10.E.1 C ergozutet Report Title: Code Case Details Cl) N Date: 4/11/2023 10:24:40 AM Case Number: CEMIS20220010818 N Case Number:ICEMIS20220010818 I Case Type: Misconduct Priority: Normal i Inspector:IMike.Rivera I Jurisdiction:lCollier County w r ti N LO N Status: Investigation _. Date & Time Entered: 12/7/2022 8:32:27 AM co 0 Entered By: Mike.Rivera c 0 Case Disposition: Case Pending N 0 Origin: Detail Description: Unpermitted fence erection and cement pad needs an (SDPI). Administrative Complaint Case Number: 2023-08 Location Comments: 105 Manor Blvd Naples, FL 34104 PIN#00400880008 Address 105 Manor BLVD, (Clubhouse) , Naples Property 1400880008 Complainant ICOUNTY, COLLIER Contractor IVETCON CONSTRUCTION SERVICES, INC Property OwnerjNAPLES CARRIAGE LLC Qualified FRANKS JR, FREDRICK L. Business Management & Budget Office 1 Packet Pg. 490 Code Case Details 10.E.1 Execution Date 4/11 /2023 10:24:40 AM Desc Assigned Required Completed Outcome Comments Preliminary Investigation Mike.Rivera 12/7/2022 121712022 Needs During active patrol 1 was able to identify Investigatio installation of fence being perform at 105 n Manor Blvd. Cont. Investigation Mike.Rivera 12/7/2022 12/7/2022 Complete In the course of my active patrol at 105 Manor Boulevard, I encountered three workers who €dentified themselves as regular w2 employees of VECTCON CONSTRUCTION SERVICES, INC. I was providing the owner's and qualifiers telephone numbers (352-575- 7411). It was noted that the installation work of the fence was already being done on the buildings 135,115,125 and that a cement floor was recently laid. No active permit and no workers compensation in effect. I took photos and posed a stop -work order. Cont. Investigation Mike.Rivera 12/7/2022 12/7/2022 Complete PERMIT DETERMINATION Senior Lisa Blacklidge determined a permit was required. Cont. Investigation Mike.Rivera 12/7/2022 12/7/2022 Complete PERMIT DETERMINATION: DIVISION DIRECTOR JAIME COOK DETERMINED A SDPI IS REQUIRED. CE Phone Call Mike.Rivera 12/7/2022 12/7/2022j Complete contacted the phone number of Mr.Frederick ji (352-575-7411) no one answered the call a details voice message was left. M N 0 N W 0 ti N 0 N 00 oo 0 0 0 N N 0 N to 2 W U_ V Z fin uJ V LU N Z O H V H Cl) Z O V Z O U H LU Q m 0 to Y Z Q u_ J Y U 0 Lu W u_ o 0 M N O N W 0 C d E s Ca w Q Business Management & Budget Office 2 Packet Pg. 491 Code Case Details 10.E.1 Execution Date 4/11 /2023 10:24:40 AM Desc Assigned Required Completed Outcome Comments CE Phone Call Mike.Rivera 1/6/2023 12/8/2022 Complete 357.575.7411 1 communicated with the qualifier Mr. Frederick, he was informed of my Observations about the installation of fences without any permit being issued and the work it was being performed by three workers who alleged that they were employees of their company VECTCON CONSTRUCTION SERVICES, INC. He stated that they do work for his company as regular employees W2 and that he did not know that he needed a permit for the installation of fences. He was advised that the installation of the fences and cement pad needs a permit (SDPI), and he was also advised that STOP WORK ORDER was place and he has 30 days to issue a permit if not I will be sending him a Notice of Noncompliance. I also explained that I couldn't find proof of workers 'compensation he answers me that he would be sending me and email whit proof of the worker compensation. EMAIL SEND:INFO@VETCONS.COM Cont. Investigation Mike.Rivera 1/6/2023 11812023 Complete An additional 30 days were given to Mr. David by Investigator, Bogert Michael through email. If At the end of this 30 days, the SDPI and permit(s) are not obtained, Investigator Bogert will be forwarding this complaint to the Collier County Chief Building Official for a willful code violation for Commencing Work without an Issued Permit, Mr David was also informed via email that he might be asked to appear before the Collier County Contractors' Licensing Board to discuss potential sanctions for permit pulling privileges. CE Phone Call Mike.Rivera 2/16/2023 2/16/2023 Complete Qualifier 357.575.7411 (FRANKS, FREDERICK LEON JR) When Mr. Frederick was called to inform him that the 60 days he had been given were expired, no permits had been issued, and the call went unanswered, it looks like the phone number was disconnected. A N O N W O r i` N LO w O r C d E t V M r Q Business Management & Budget Office 3 Packet Pg. 492 Code Case Details 10.E.1 Execution Date 4/11 /2023 10:24:40 AM Desc Assigned Required Completed Outcome Comments Cont. Investigation Mike.Rivera 2/17/2023 2/17/2023 Complete Fred Clum, chief building official, examined this case and determined that it was consistent with a "willful" violation of the building code since no permit had been issued in the 60 days that Mr. Frederick had been given. As no SDPI permit had been issued in the 60 days that Mr. Frederick had been provided, Division Director Jaime Cook evaluated this case and found that it was consistent with a "willful" violation of the building code. Schedule for CLB Meeting/Send Mike.Rivera 2/21/2023 2/21/2023 Complete Mr. Frederick Frank has received a notice of Letter hearing via certified mail requesting that he appear before the CLB on April 19, 2023 at 9:00 am. Generate CLB Notice of Hearing Mike.Rivera 2/21/2023 2/21/2023 Complete Date: February 21, 2023 Frederick Frank VETCON CONSTRUCTION SERVICES, INC PO BOX 664 REDDICK, Florida 32686 RE: Case # CEMIS20220010818 — 105 Manor Blvd, Naples Dear, Frederick Frank A complaint has been filed against you by the above referenced entity. A hearing of this complaint will be held by the Contractors' Licensing Board on Wednesday, April 19, 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 A N O N W O N W) Business Management & Budget Office 4 Packet Pg. 493 Code Case Details 10. E.1 Execution Date 4/11 /2023 10:24:40 AM 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. 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, Mike Rivera Code Enforcement Investigator - Licensing Collier County Contractors' Licensing 239-944-0688 (Attach Picture(s) IMike.Rivera I 2128/2023I 2/28120231Complete ((EMAIL COPY) (Attach Picture(s) IMike.Rivera 1 31312023I 313120231Complete (NEW EMAIL ON 03/03/2023 J Y V fY 0 w Ix u_ 0 0 M N 0 N W 0 r C d E t U f3 r Q Business Management & Budget Office 5 Packet Pg. 494 Code Case Details 10.E.1 Execution Date 4/11 /2023 10.24.40 AM Desc Assigned Required Completed Outcome Comments Investigation Mike.Rivera 3/24/2023 Pending Address: 105 Manor Blvd Property Owner: NAPLES CARRIAGE LLC Complainant: Collier County Building Department Complaint: Unpermitted Fence Erection Contractor: FREDERICK LEON JR FRANKS License#:CBC1263067 AND CCC1332666 Permit#: None Status: None As of: 12- 12-2022 Enter Hearing Results Mike,Rivera 4/19/2023 Pending Violation Description Status Entered Corrected Amount Comments Title Reason Result Compliance Fine/Day Condition A N O N W O r` N LO Business Management & Budget Office 6 Packet Pg. 495 10.E.1 THE OFFICIAL SITE OF THE FLORIDA DEPARTMENT OF BUSINESS & PROFESSIONAL REGULATION ap •db rDepartment Of FiUS}ne55HOME & !'rC71e55iC}l a' fie �!,�hcL CONTACTUS MYACCOUNT ONLINE SERVICES LICENSEE DETAILS 11:0 1:38 AM 411112023 Licensee Information Apply for a License Name: FRANKS, FREDERICK LEON JR (Primary Name) Verify a Licensee VETCON CONSTRUCTION SERVICES, INC (DBA Name) View Food 8 Lodging Inspections Main Address: PO BOX 664 File a Complaint REDDICK Florida 32686 County: MARION Continuing Education Course Search License Location: 3535 NW 155TH ST View Application Status REDDICK FL 32686 County: MARION Find Exam Information Unlicensed Activity Search License Information AB&T Delinquent Invoice & Activity License Type: Certified Building Contractor List Search Rank Cert Building License Number: CBC1263067 Status: Current.Active Licensure Date: 04/19/2019 Expires: 08/31 /2024 Special Qualification Effective Qualifications Construction 04/19/2019 Business Alternate Names 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 State of Florida is an AAIEEO 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, Packet Pg. 496 10.E.1 DIVISfON OF COP M N O }r� N Uj In N department of State / Division of Corporations 1 Search Records 1 Search by EntityName I Detail by Entity Name Florida Profit Corporation VETCON CONSTRUCTION SERVICES, INC Filing Information Document Number P19000036349 FEI/EIN Number 83-4630038 Date Filed 04/24/2019 Effective Date 04124/2019 State FL Status ACTIVE Principal Address 3535 NW 155TH ST REDDICK, FL 32686 Mailing Address PO BOX 634 REDDICK, FL 32686 Registered Agent Name $ Address FREDERICK L FRANKS JR PA 1720 SE 16TH AVE. OCALA, FL 34471 Officer/Director Detail Name S Address Title P FREDERICK L FRANKS JR PA 1720 SE 16TH AVE OCALA, FL 34471 Annual Reports Report Year Filed Date 2021 04/26/2021 2022 04/28/2022 2023 04111 /2023 Document Images Packet Pg. 497 1 1111 0 3 —ANNUAL REPORT View image in PDF format 04/26/2022 —ANNUAL REPORT View image in PDF format O 04/26/2021 —ANNUAL REPORT View image in PDF format O M N 06/08/2020 —ANNUAL REPORT View image in PDF format O N 04124/2019 — Domestic Profit View image in PDF fomniat W O T" N O N J Y U_ d' W W LL CO O M N O N W O r C N s ra Q Packet Pg. 498 10.E.1 Vetcon Construction .Specializing in Commercial and Residential Construction Proposal Date: 06/0112022 Project: Meadow Lakes 105 Manor Blvd. Naples, FL To: Dane From: Michael Attn: Re: Vetcon Construction Services proposes to furnish all labor, and qualified supervision to complete the work listed below as per plans unless otherwise specifically stated in written proposal: Scope of Work: Concrete Pads • Labor and material to install 10 concrete 8 x 10 pads , installation of rebar, rebars dowels drilled and epoxy and pads with footers as well. • Clean up and debris removal as needed. Total : S 1,150 per pad... Installation of fence S 115 per fence. Alternate Add: Demolition of existing concrete and pour back at S8.50 a sf. Alternate Add: Labor only for roof repairs S 150 per square. Exclusions: Container or dumpsters Equipment rental Accepted Frederick Franks Vetcon Construction Services Signature: Accepted Project Mgr/Owner Naples, FL Signature: Vetcon Construction 3535 NW 15511 St Reddick, FL 32686 Business: (904) 757-2165 Cell: (904) 476-3230 Fax: (904) 757 2208 Email: fred@localrealtyservice.com 0 0 M N 0 N W 0 r N N Packet Pg. 499 10.E.1 THE OFFICIAL SITE OF THE FLORIDA DEPARTMENT OF BUSINESS & PROFESSIONAL REGULATION dbprDepartment of Business HOME CONTACT US MY ACCOUNT & Professional Regt_tlatitr ONLINE SERVICES LICENSEE SEARCH OPTIONS 11:01:19AM411112023 Apply for a License Data Contained In Search Results Is Current As Of 04/11/2023 11:00 AM. Verify a Licensee Search Results - 2 Records View Food & Lodging Inspections Please see our glossary of terms for an explanation of the license status shown in these search results. File a Complaint For additional information, including any complaints or discipline, Continuing Education Course click on the name. Search License License Name Name Number/ Status/Expires View Application Status Type Type Rank Find Exam Information Certified FRANKS, CBC1263067 Current, Active Unlicensed Activity Search Building FREDERICK Primary Cert Building08/31/2024 Contractor LEON JR AB&T Delinquent Invoice & Activity License Location Address': 3535 NW 155TH 5T REDDICK, FL 32686 List Search Main Address`: PO BOX 664 REDDICK, FL 32686 Certified VFTCON CBC1263067 Current, Active Building CONSTRUCTION DBA Contractor SERVICES, INC Cert Building 08/31/2024 License Location Address': 3535 NW 155TH ST REDDICK, FL 32686 Main Address': PO BOX 664 REDDICK, FL 32686 New Search denotes Main Address - This address is the Primary Address on file, Mailing Address - This is the address where the mail associated with a particular license will be sent (if different from the Main or License Location addresses). License Location Address -This is the address where the place of business is physically located. 2601 Blair Stone Road, Tallahassee FL 32399 :: Email: Customer Contact Center :: Customer Contact Center: 850.487.1395 The State of Florida is an AA/EEO employer. Copyright 2007-2010 State of Florida. Privacy Statement Under Florida law, email addresses are public records. If you do not want your email address released in response to a public -records request, do not send electronic mail to this entity. Instead, 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. However email addresses are public record. If you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public. Please see our Chapter 455 page to determine if you are affected by this change. 00 0 A N 0 tV W 0 r ti N LO Packet Pg. 500 10.E.1 N IN c N N W ♦ �_! C 0 6'� �r N LO a CO — -a O ' 1 i CD R { + CD N N CD ^ En 1 � W U_ U Co LU U «, W _ V) Z O F- M H z O W �> J •- Y U W A. w LL v CC O CD ' N W i • `" C _ �•` � Mf ��, jam'= ,''��• -- d } y `' Q Packet Pg. 501 i M N O N W 0 r N W 0 Tml ONI `S331AI13S Noi.Lon211SNOO N0013A vea 21f SNN":I '-1 moaja3MA 80-£ZOZ "30t :Iuewgoe;Id ' ZOSO-LLL(O££} Y � k U r r c�i c e er fit:- . cl d 3 = Il s.w.� 6 YES ffe .�O s F.- I i ONI `S331A-83S NOIlonHISNOO N0313A VSO N SMNVN=l 'I NOINa3N=1 80-£ZOZ '306 :WOLUy31311V ZOSO—LLL (OU) L� r'- _ :gege ai ��W� � a Ail � •g1 !.j � � s Y I E =iSs 0— "I. Y pp Y noaaE�e��a..9ao,-•�, L � � 4 J I s � ce -9a Y° c Q■�e�eg4�s�a gc5�e�� �edg����� ;a �r@i� d i � iaag Y,° !a nQyLill 14.ln1jg!1lI 19i II. oil ae 8� D. �gd ° lip 5p�iq 2jp p @�' j Leg°j , -1, �q5, !1 pap � as @c� ��� as ������ JIB ��ll �plj E� ��� a6 ��� ��1��� r�XIN �� ���p yqyp■E � 1y yc. lw ply -�4 �1.; � �� �_®pfy� �11 y � sgi�n� gpa IT Ni���3����� ���° fi I IN 36� 21k pIII H10 a?��� r� �-���y %. �e S11 �`. i�@2 115 '95halfi � _P. 'e A 1 r •� O � 0 U O O O O G rg 8 00 O O O 00 - 0 u� Ch d m u M a. Packet Pg. 505 10.E.1 M N O N W O ti Iq N W) N Packet Pg. 506 I Packet Pg. 507 1 10.E.1 M N 0 N W 0 ti I* N N Q Packet Pg. 508 10.E.1 M N O N W O r ti N N r O O r O O N N O N 2 W U_ U z N W U > W U) z O H U H N z O U z O U H LU Q 00 0 Y z Q LL J Y U 0 w w U- 00 O M N O N W O r a+ C E t V f0 a+ Q Packet Pg. 509 10.E.1 �J M N O N W O T ti N 1A N Packet Pg. 510 10.E.1 � I y LA W 0 r d t V y.+ w+ Q Packet Pg. 511 10. E.1 M N O N W O r ti N LO N r O O r O O N N O N U) 2 LU U U Z N W U_ W U) Z O H U H N Z O U Z O U H W a m 0 Y Z a LL. J Y U_ d' W w LL 00 O M N O N W O r r C d E t .r a Packet Pg. 512 10.E.1 ■ _ . M N O N W 0 r ti N LO N Packet Pg. 513 — Search for Permits 1O.E.1 Search: 105 MANOR BLVD Go! Enter all or part of a permit number, address, Parcel number or name/address of a contact on the Permit and then click the go button. — Permit Applications Permit Number: PRBD20170831453 Permit Type: Building Status: Void Locations: 105 Manor BLVD, Building, Clubhouse, Naples 400880008 Permit Status Permit Number: PRBD20170414439 Permit Type: Building Status: Finaled Locations: 105 Manor BLVD, Building, Clubhouse, Naples 400880008 Permit Status Permit Number: PRBD20170411994 Permit Type: Building Status: Finaled Locations: 105 Manor BLVD, Building, Clubhouse, Naples 400880008 Permit Number: PRBD20160205443 Permit Type: Building Status: Finaled Locations: 105 Manor BLVD, Building, Clubhouse, Naples 400880008 Permit Status Permit Number: PRBD2016010D630 Permit Type: Building Status: Cancelled Locations: 105 Manor BLVD, Building, Clubhouse, Naples 400880008 Permit Status M N 0 N W 0 ti N In N W 0 r C d E t U R Q Packet Pg. 514 10.E.1 Reference # Type Status Date Entered Description: (CC-DESCAMP. PROP. NUMEROUS BALLOONS AFFIXED TO ENTRY WAY FEATURES. T/T JERRY MIKLER AND ADVISED HIM TO REMOVE THE BALLOONS. 1230-1240 P - RC 3/27 DR][CC_DISP:COMPUED] M - .-..._.... _........... ,.--...---, - -- ...,. _ ........_ _ N 2002080695 Legacy - Zoning Closed 08/20/2002 N Description: (CC-DESC:SAXON MANOR ISLES - PROMOTION] [CC_DISP:COMPLIED] LLI O 2002070290 Right of Way Closed 07/11/2002 Description:[CC_DESC:CITATION] [CC _DISP:ABATED] - - -- - N 2001090236 Vehicles i Closed _ D9/10/2001LO --- - N Description; [CC_DESC:][CC_DISP:COMPLIED] — 00 2 001070 5O7 Vehicles Closed 0711212001 00 O Description: [CC_DESC:][CC_DISP:COMPLIED] C 2001050574 Legacy - Housing Closed 05/10/2001 N Desc p> i R: [CC-DESC:FRONT DOOR DOES NOT LOCK PROPERLY][CC_DISP:COMPLIED] O N 2000040418 Signs _ Closed 04/24/2000 0) Description: [CC_DESC:OBS 2 FLAGS. 1) WELCOME, 2) NOW LEASING. ON FLAG POLE. TIT W V RENTAL MANAGER TO REMOVE FLAGS. ISSUED VERBAL WARNING. KRC][CC_DISP:COMPLIED] 1999050845 Signs Closed j 05/17/1999 Z Description: [CC_DESC:"NOW LEASING' BANNER][CC_DISP:] uj 1999040598 i Legacy - Housing Closed 04/16/1999 (Wj Description: [CC_DESC:SMOKE INTO APARTMENT THROUGH MASTER BATH AND MASTER BEDROOM CLOSED, SON HAS SEVERE ASTMA, LU COMPLAINTIVE HAS DOCTORS STATEMENT AND ATTORNEY.][CC_DISP:] �51221021 Legacy- Environmental !Closed 12/21/1995 0 Description: [CC_DESC:OL.D APPLIANCES, FURNITURE, BLANKET, PAPER, PLASTIC, PIPE, ~ BRICKS, LIMBS & BRANCHES.][CC_DISP:ABATED BY CONTRACTOR] j 50503030 Legacy - Environmental Closed 05/03/1995 _.._ to Description: [CC_DESC:AUTO TRANSMISSIONS, AUTO PARTS, PILES OF LUMBER, PLASTER, -- CINDER BLOCKS ETC.][CC_DISP:CASE CLOSED] j O U 40624011 Legacy - Environmental Closed 06/24/1994 Z 40526009 Description : (CC_DESC:PILES OF DEBRIS WOOD, METAL, AUTO PARTS, FURNITURE, CONCRETE, CONCRETE BLOCKS)[CC_DISP:CASECLOSED) Legacy - Environmental -^ Closed OS/26/1D94 Description: [CC_DESC:OPEN SEWER LINES WHERE RAW SEWERAGE IS SEEPING OUT.] 1 [CC_DISP:CASE CLOSED] 30108003 Legacy - Environmental Closed 01/08/1993 Description; [CC _DESC:LITTER][CC_DISP:CASE CLOSED] 21221034 Legacy - Structural Closed 12/21/1992 Description: [CC_DESC:HOUSING] [CC_DISP:CASE CLOSED] 21201007 Legacy - Structural Closed 12/01/1992 Description: (CC _DESC:HOUSING] [CC _DISP:CASE CLOSED] 21120020 Legacy - Environmental Closed 11/20/1992 Description: [CC_DESC:HOUSEHOLD ITEMS, APPLIANCES, LUMBER, CLOTHING, CARPETING BEDING, PAPER, GLASS, METAL, YARD DEBRIS & FURNITURE.][CC_DISP:CASE CLOSED] 21119056 Legacy - Structural Closed �li/19/1992 - Description: [CC_DESC:RAW SEWAGE GOING UNDER MOBILE HOME) [CC_DISP:NO VIOLATION] Permit Applications Permit # Type Work Class Status Date Issued PRBD20170831453 Building Accessory - I Void i Permits: Description: Extension of an existing paver pool deck and addition of a new security fence around pool deck, Case Number: CESD20150024599 105 MANOR BLVD Packet Pg. 515 10.E.1 Permit S Type Work Class Status Date Issued PRBD20170414439 Building Alteration/Remodel Finaled 04/13/2018 — �— --- - Permits: � M N Descri to ion: PAVER DECK N 105 MANOR BLVD W I O T CODE CASE-CESD20150024599 -- 7--- — PRBD20170411994 Building Accessary ;Finaled 04/13/2018 N i Permits: v Description: POOL FENCE EXTENSION O 105 MANOR BLVD pop O_ ***REAPPLYING**"PRBD20160100630 AND CODE CASF-CESD20150024599 O PRBD20170102204 Building --T� Accessory Finaled OS/30/2017 N — _ P rmi y Description: INSTALL WH BLK CH LINK FENCE W/ 2 GATES W 161 MANOR BLVD V PRBD20160205443 Building ; Alteration/Remodel Finaled 07/21/2016 V Pam: Z Description; INTERIOR REMODELING WORK, FRAMING, DRYWALL AND PAINT (Case Number: U CESD20150024599) 105 MANOR BLVD i PRBD20160100630 Building Addition Cancelled LU ���. Z O Description: 60' POOL FENCE WITH 2 GATES (95 022) V 105 MANOR BLVD Cancellation Request periled. 3UiW 7/25/2016 � — Mechanical, Electrical, Plumbing, Gas & Fire Permit Applications z Z O _ Permit # Type Work Class Status Date Issued +—— - -- Z PRFR20230206645 Fire 1 AIDRejected O -teration/Remodel —a U Permits: W Description: After the fact permit. Previous contractor performed actual work, Replacement of fire alarm ' Q I control panel. Originally filed permit PRFAS2022115306701. Needs canceled. App€y paid fees to this m application. Greater Naples stated they wanted a different type of permit filed for plan review. This C application is being fled to clear expired permit PRFR20171252788. Per request from city. 135 Manor BLVD 4, (BLDG) , Naples PRFA520221153067 -Fire Alarm System � Alteration/Remodel !Issued { 11/23/2022 i Y Project i Z Permits: Description: After the fact permit application. Replacement of Fire Alarm Control Panel J PRFR20211256706 Fire j Alteration/Remodel Finaled 12/15/2021 V Permits I � Descri i n: REPLACE FIRE ALARM CONTROL PANEL W w LL 135 Manor BLVD, BLDG #: 4, Naples, Multi Family 00 PRFR20180639q68e Alteration/Remodel Finaled 06/29/2018 t Permits: N D rip i n: FACP REPLACEMENT 105 Manor BLVD PRFR20171252788 Fire Alteration/Remodel Permits: schption: FACP REPLACEMENT LIKE FOR LIKE. 135 MANOR BLVD BLDG 4 PRFR20170831491 ! Fire f Alteration/Remodel Expired 12/27/2017 Finaled 05/07/2018 i — Packet Pg. 516 10.E.1 Permit # 'Type Work Class - -- -- Permits: Description: WIRELESS MONITORING TAKE OVER 145 MANOR BLVD BLDG*5 Status PRFR20170a31490 Fire Alteration/Remodel ;Finaled Permits: Description: WIRELESS MONITORING TAKEOVER 135 MANOR BLVD 13LDG#4 PRFR20170831489 Fir@ Alteration/Remodel Finaled Permity Description: WIRELESS MONITORING TAKE OVER 175 MANOR BLVD BLDG#8 PRFR20170831488 Fire Alteration/Remodel Finaled 7 Perm, i ri i n: WIRELESS MONITORING TAKE OVER i 185 MANOR BLVD BLDG*9 PRFR20170831487 Fire Alteration/Remodel Finaled Permit Descri t{y ion: WIRELESS MONITORING TAKE OVER 190 MANOR BLVD BLDG#10 PRFR20161142578 Fire Alteration/Remodel Finaled Permits: DeSCrip i n: TAKE OVER FIRE ALARM MONITORING/ POTS SERVICE 135 Manor BLVD, Unit:BLDG 4 PRFR20161040442 Fire Alteration/Remodel Finaled �` Permi s: Description: TAKE OVER FIRE ALARM MONITORING/ POTS SERVICE 190 Manor BLVD, Unit:BLDG 10 PRFR20161040441 Fire Alteration/Remodel i Cancelled Degtiptlon; TAKE OVER FIRE ALARM MONITORING/ POTS SERVICE 185 Manor BLVD, Unit:BLDG 9 PRFR20161040440 Fire Alteration/Remodel Finaled Perm Description: TAKE OVER FIRE ALARM MONITORING/ POTS SERVICE 175 Manor BLVD, Unit:BLDG 8 PRFR20161040439 Fire Alteration/Remodel Finaled Permits: D ri tian: TAKE OVER FIRE ALARM MONITORING/ POTS SERVICE 145 Manor BLVD, Unit:BLDG 5 PRFR20151033939 Fire Alteration/Remodel Finaled Permits: Description: FRCP REPLACEMENT 190 MANOR BLVD. BLDG. *10 PRFR20141028678 { Fire Alteration/Remodel Expired r i peri tp ion: FIRE PANEL REPLACEMENT 185 MAN00. BLVD BLDG 9 PRFR20140824435 Fire Alteration/Remodel Finaled Permits: Description: TAKE OVER EXISTING FIRE ALARM MONITORING 135 MANOR BLVD BLDG 4 Date Issued 0 0 M CV 0 05/07/2018 N W 0 ti N 05/07/2018 to N 05/07/2018 05/07/2018 11/16/2016 05/25/2017 11/04/2016 m Y Z 11/04/2016 LL J Y U_ 11/10/2015 0 W I LL 0 i C i M 10/14/2014 0 — N W 0 T C d 09/11/2014 t U r a Packet Pg. 517 10.E.1 Permit it Type Work Class Status PRFR20140824432 Fire Alteration/Remodel Finaled Permits- Description: TAKE OVER EXISTING FIRE ALARM MONITORING -- 175 MANOR BLVD BLDG 8 PRFR20140824431 Fire Alteration/Remodel Finaled Permits: Description : TAKE OVER EXISTING FIRE ALARM MONITORING 145 MANOR BLVD BLDG 5 PRFR2014OS24429 Fire Alteration/Remodel i Finaled Prmi Description: TAKE OVER EXISTING FIRE ALARM MONITORING 190 MANOR BLVD BLDG 10 PRFR20140824427 I Fire Alteration/Remodel i Finaled Permi Description: TAKE OVER EXISTING FIRE ALARM MONITORING 185 MANOR BLVD BLDG 9 PRFR20140306927 Fire Alteration/Remodel Fil Haled Permits: Date Issued 09/11/2014 09/11/2014 09/30/2014 09/30/2014 04/08/2014 DPcrriQtjQl]: FIRE PANEL BOARD REPLACEMENT BOARD FOR BOARD 135 MANOR BLVD PRFR20130922253 Fire Alteration/Remodel Cancelled Permits: Description: MONITORING TAKE OVER WIRELESS GSM 190 MANOR BLVD BLDG 10 Cancellation Request Approved. Refer to PRFR20140824429. JL/JW 10/21/2016 PRFR20130922249 Fire ' Alteration/Remodel Cancelled Permits: j rip$(Qn: MONITORING TAKE OVER WIRELESS GSM i185 MANOR BLVD BLDG 9 Cancellation Request Approved. Refer to PRFR20140824427• JL/JW 10/21/2016 PRFR20130922245 Fire — Alteration/Remodel I Cancelled Permits: Descdj2don: MONITORING TAKE OVER WIRELESS GSM 175 MANOR BLVD BLDG 8 Cancellation Request Approved. Refer to PRFR20140824432. JL/JW 10/21/2016 PRF R20130922244Fire Alteration/Remodel i Cancelled Permits: Description: MONITORING TAKE OVER WIRELESS GSM 145 MANOR BLVD BLDG 5 Cancellation Request Approved. Refer to PRFR20140824431. JL/JW 10/21/2016 PRFR20130922242 Fire Alteration/Remodel Cancelled Permits: D ri tion; MONITORING TAKE OVER WIRELESS GSM 135 MANOR BLVD BLDG 4 Cancellation Request Approved. Verified by Shar Ningson stating, 'Yes, you may cancel the expired monitoring permit that was pulled in 2013 by Beaumont (PRFR20130922242) but never finaled. It was later superseded by a monitoring permit obtained by Cintas m 2014 (PRFR20140824435)". JL/JW 11/2/2016 CDP2005032136 Mechanical i Expired 03/18/2005 Permits: e criptlon: CONVENIENCE PERMIT - REAC 165 MANOR BLVD COP2005032140 Mechanical Expired 03/18/2005 -.-_ ---- -- I. - ------ Do O M N O N W O ti N LO N Packet Pg. 518 10.E.1 Permit # Type Work Class Status Date Issued P rmit O Description: CONVENIENCE PERMIT - REAC M N 155 MANOR BLVD o N — Right of Way, Sign & Well Permit Applications — W 0 Permit # Type Work Class Status Date Issued ti PRWL20220416417 Well f New Construction Finaied 04/18/2022LO Permits: Description: 4/11/22 irrigation well I Well 1 - 145 Manor BLVD, BLDG #: 5, Naples, Multi Family 00 I Well 2 - 205 Manor BLVD, BLDG ie : 12, Naples, Multi Family O — Planning Applications N 0 N Permit # Type Status pate Closed PL20180000170 Zoning Verification Letter Approved - Closed for W Uploads V Namg. Meadow Lakes (ZLTR) V Z Comments: See attachment N - -- -- W P_L20170004076 € Site Development Plan Complete - Closed for Insubstantial Change Uploads -- - > Name: Meadow Lakes Apts. Swimming Pool Deck Expansion W N Comments: A swimming pool deck expansion to an existing community amenity area located 0 within the Meadow Lakes Apartment complex. The deck expansion is 4080 square feet. The apartment complex was initially permitted as Saxon Manor Isles (SDP 95-22). V RL2Q17Q0g4026 Insubstantial Change to Cancelled - Closed for Construction Plan Uploads Name: Meadow Lakes Apts Swimming Pool Deck Expansion Z 0 Comments: An expansion to an exiting swimming pool with an additional 4,081 square feet of V paver block deck area. The existing pool is located at the Meadow Lakes Apartments community Z amenity area. The apartment complex is within the Saxon Manor Isles PUD and the original site 0 i permit number is 5DP 95-22.LLJ PL20170003939 i Pre -Application Meeting Cancelled - Closed for i - -- -- Name: Meadow Lakes Apts - Swimming Pool Deck Expansion (SDPA) Comments: A swimming pool deck expansion to an existing community amenity area located within the Meadow Lakes Apartment Complex. The deck expansion is 4080 square feet. The apartment complex was initially permitted as Saxon Manor Isles (SDP 95.22), U) - -- Z PL20160000822 Zoning Verification Letter Complete - Closed for Uploads Name: 6480 Radio Rd J Comments: ZLTR-(See scanned attached documents) V PLPL 015� Zoning Verification Letter Complete - Closed for Uploads _ W Name: 105 Manor Blvd I 1L 00 Y_amments: Zoning Verification Letter - General Zoning Verification and verification of any Zoning CD Violations cj PL20110000513 Zoningi Verification Letter Complete - Closed for N Uploads -- W O Name: IV[ ASSESSNEBT SERVICES, INC, r Comments REQUEST FOR A ZONING COMPLIANCE LETTER, CURRENT ZONING, ZONING C REQUIREMENTS, AND RIGHT TO REBUILD. 4) Packet Pg. 519 Special Events, Zoning Certificates, Temporary Use, Short -Term Vacation Rental Registration, RV & Garage Sale Permit Applications 10.E.1 Permit # Type Status Date Closed PL20230003264 Zoning Certificate - Home Complete - Closed for Uploads Name: HD Handyman Services LLC Comments: Zoning Certificate - Home Maintenance Services 175 Manor BLVD BLDG: 8 ; Unit ff#: 816 PL20230002070 Zoning Certificate - Home Complete - Closed for Uploads - Name: Zoning Ceertificate�- Home PL20220006206 PL20120002043 Comments: Zoning Certificate - Home Occupation (ZCR) 135 Manor BLVD 416, (Unit) , Naples Zoning Certificate - Home Reviews Complete - Closed for Uploads —1 Name: Daniel Gallegos Comments: Zoning Certificate - Home Zoning Certificate - Non i Issued Residential f Name: Meadow fakes Apartments residential apartment rentals for this location Environmental Permit Applications Permit # — Type ; Status Date Closed PL20100000788 free Removal Permit Entered in Error - Closed for Uploads Name: SAXON MANOR i Comments: CONSERVATION EASEMENT APPLICATION 00 0 M N O N W O ti N to J Y V rx G LU LL 0 0 M N 0 N W O r r C d E t V w r+ a Packet Pg. 520 10.E.1 0 0 effectiveness, fire resistance, durability and safely. When altemale life safety systems M 04 o are designed, the SFPE Engineering Guide to Performance -Based Fire Protection N Analysis and Design of Buildings, or other methods approved by the building official c 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. N 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 (hat a material or method does not conform to the requirements of this code, or in order to substantiate claims for attemalive 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. Repass of such tests shall be retained by the building official for the period required for retention of public records. 10d.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 10S.1 Required. Any contra owner, or au4beri2od agent aulhorized in accordance with Fl wVil? Stafafe M 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, w4nor renovations component replooement of service systems or manufacturing equipment installationsrrelocalions. The budding official shall be notified of major changes and shall retain the right to make inspections at the tarAly work sile� as deemed necessary. An annual faicility permit shall be assessed wish an annual fee and shall be valid for one year from date of issuance. A separate permit shall be obtained for each lacility 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. 8U; (Ji V> I LK1AunwusUau0m_i M0.2008 Packet Pg. 521 10.E.1 M N O VW23, 9 34 AM Collior County, FL Code of Ordinances N Sec. 22-201.1 - Misconduct —State certified contractors. o The following actions by state certified contractors shall constitute misconduct and grounds for discipline N pursuant to5ection 22-202 of this article. N (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) 1f 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)) Packet Pg. 522 w d ON|` ]ol M]S N01 onNISNOO N0313A vsa, rSMNVN=l moma]m]8- Z z' oL:} emL138 n¥ C, . E 0 � � 10.E.1 RiveraMike From: Julie -Reid <Julie_Reid@aspensquare.com> Sent: Wednesday, November 17, 2021 10:36 AM To: Dane -Wheeler Subject: RE: Hi Dane, I looked in punchout and the below is all I am seeing in the Oft height. It is showing as unavailable so not sure we would be able to get it anytime soon. If it looks like something you are interested in a could check further Thanks, Julie https://www.lowes.com/pd/Freedom-Actual-3-83-ft-x-5-56-ft-Ready-to-Assemble-Hampton-White-Vinyl-Flat-Top-Vinyl- Fence-Panel/50374094 u 30 +2 more O -----Original Message ----- From: Dane —Wheeler <Dane_Wheeler@aspensquare.com> Sent: Wednesday, November 17, 2021 10:19 AM To: Julie —Reid <Julie_Reid@aspensquare.com> Ciihiart- =f EXCLUSIVE 1-1 S8Q.81 Includes Contract Pnce Freedom Ready -to -Ass Vinyl Flat -Top Fence Pa • Fence panel kn - assemz • '.vorxs wln pre -routed 5� corner csearcn rtjode( v 7 • Coordinating gates avail 5-f[ (search model ts 730 eFree Store Pu a•livery 00 0 M N 0 N ui 0 ti v N Ln N J i 0� ra W LL 00 0 M N 0 N 0 c a� E s r a Packet Pg. 524 11.A 04/19/2023 COLLIER COUNTY Contractor Licensing Board Item Number: I LA Doc ID: 25239 Item Summary: 11. NEXT MEETING DATE WEDNESDAY, MAY 17, 2023 Meeting Date: 04/19/2023 Prepared by: Title: — Contractor Licensing Name: Alyshia Morse 04/12/2023 3:00 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 04/12/2023 3:00 PM Approved By: Review: Contractor Licensing Contractor Licensing Contractor Licensing Sandra Delgado Review item Tim Crotts Review Item Tim Crotts Meeting Pending Completed 04/12/2023 3:32 PM Completed 04/13/2023 10:26 AM 04/19/2023 9:00 AM Packet Pg. 525 Public Hearins Procedures of the tz^stb A3e^dL \+e.\ \0 A Collier Countv Contractor Licensins Board 7. 3. 4. 7 10 11, 12 13 The Hearing will be conducted pursuantto proced ures set out in Collier Cou nty Ordina nce #90- L05, as amended, and Florida Statutes Chapter 49. The Hearing is quasi-judicia lin nature. The formal Rules of Evidence will not apply. Fu ndamenta I fairness a nd due process shall be observed a nd sha llgovern the proceeding. lrreleva nt, immaterial, or inconclusive evidence shallbe excluded but all otherevidence ofthe type common ly relied upon by reasona bly prudent persons inthe conduct oftheir a ffa irs sha ll be admissible whether or not such evidence wouid be admissible in a trial in the courts of Florid a. Hea rsay evidence may be used for the purpose ofsupplementing orexplaining a ny evidence but shall not be sufficient by itself to su pport a Finding un less such hearsay wou ld be adm issible or objected to in civil actions in Court. The Rules of Procedu re shall be effective to the same extent that they would now be hereafter recognized in civil actions. The general purpose of the proceeding is for the Cou nty to set out its Opening Statement which details its cha rges against the Respondent. The Respondent may or may not ma ke his/her Opening Statement setting out in generalterms the defenses to the charges. The Countythen presents itsCase in Chief, calling witnesses and presenting evidence. The Respondent may cross-exa mine these witnesses. Once the County has closed its Case in Chiel the Respondent may presen t his/her defense and may call witnesses and do all the things described earlier, that is to ca ll a nd exa mine witnesses, to introduce exhibits, to cross-examine witnesses and impeach any witnesses regardless of which party ca lled the witnessto testify, and to rebut a ny evide nce presented against the party. Afterthe Respondent has presented his/her case, the County may present a rebutta I to the Respondent's presentation. When the rebutta I is concluded, each party may present their Closing Statement. The County will have a further opportunity to rebut afterthe conclusio n ofthe Respondent,s Closing Statement. 5 6 7 8. 9 1.4. cASENUMBER / C\l*t,o- #: i2S83r---_. 15 16. The Board will then close the Pu blic Hearing and will begin its deliberations. P rior to the begin ning of deliberations, the Attorney forthe Board willgive the charge simila r to a Charge to a Jury, setting out the parameters upon which the Board can base its decision. During deliberations, the Board can ask foradditional information and clarification from the parties, The Board will then decide two different issues: (a) First, whether the Respondent is guilty ofthe offense, or not, as charged in the Administrative Complaint and a vote will be taken on the matter. (b) Second, lf the Respondent has been found guilty, then the Board m ust decide u pon the Sa nctions to be imposed. The Board's attorney will advise the Boa rd concerning the Sanctions which may be imposed and the factors to be considered. The Board will discuss the Sanctions and take anothervote. Afterthe two matters have been decided, the Chair o1 in his/her absence, the Vice Chair, will read a summary of the Order to be issued by the Board. The sum ma ry will set forth the basic outline of the Order but may not be the exact same la ngu age as the Final Order. The Final Orderwill include the fulldetails as required underState law. 77 18. 19. 20. t-{et -I Printed Name of Respondent Signatu re of Respo nt o''{ /r q h-s D ate 2 r.benclc,. l+uN-' l,0. * 4775 mercontile Ave - Suite 3 Noples, FL, 34104 Tyler@cbhomesinc-com www.cbhomesinc.com (?39) 404-7184 cGc#1523210 For: Coasal Brcere Ilomes Inc. Proposol Jose Amot Jomot007@ool.com South seos tower Blds 2 320 seo view court Unit 510 (3O5J 878-39s3 Description Shower heods for eoch bothroom brushed nickel, styletbd Supply ond instoll 12,' grob bors in eoch shower olong bock woll. Lineor shower droins brushed nickel to be selected from floOr ond decor *lndicotes non-toxoble item Estimote No: Dote: Quontity 11 19 tol16t2022 Rote Amount $+,gso.oo $4,s5o.oo* 1 $29,950.00 $29.950.00* Prep ond cover room. dosrs ond trim in 2 bedrooms, rernove ollfurniture to living room. Removepopcorn ceiting ond texture smoothdtm doors ond trim. Color tbd ffib"*, bothroom floors ond showers, vonities, botlroom lighting, new exhoust fons in eochbothroom. mirrors thot qre bockrit. Supply ond instofl o[ moteriors demo exisung. sodo whftecobinet voniues' Bnished niekel hondle.hqrdwore, size tbd. Brushed nlckel Gloss shower slider.Glocier elongoted toilets. Quortz colocotto venice- White squore under mount sinks. plumbing ondelectricol Uptp code included. Foucet,RA4115BN :::::::1t*iftlns ona firins incruded, onv rees provided by county or drowings or engineeringthey might require qre not included. 1 i $1,500.00 $3z5.oo $25.00 $21o.oo $1,5oo.oo* $650.00* $5o.oo* $42o.oo* 2 2 2 1/2 t 6'XCE 20lO Coastal Breeze Homes Irc. - proposal 1119 - 10/16/2022 Poyment Detoils A 60% deposit of*22,512.00 is requir€d by 10/16/2022 Coostol Ereeze Homes lnc. Subtotol Totol Totol Deposlt due 10/162022 //L- $37,520.00 $37,520.00 $:z,szo.oo $22,s12.00 _ZS,QO Terrns ond Conditions Terms ohd Conditions This is o quototloh on the goods nomed, sllbject to the condftlons noted below: Pricing ls subJectto chonge ofter 30 doys ff proposol is not slgned ond deposit submitted. project will not be scheduled untit signoture onddeposlt mode os well All proposols sholl be signed by both porties ond o deposit. 5% fee will be odded if you poy by poypol. 60% deposft isto be given to mobilize. 20 upon request Additionol poyment of 10 will be mode os needed to comptete the project Bolonce upon completion of prdjFct. Certificote ofcompletion if opplicoble. Allchonge orders will be poid in fufl for loborond moteriols. 2 1'1 Prior to the beginning of construction' tie controctor sholl provide the owner with on estimote ofthe projected project cost (hereioofterthe "Estimoted Project cost") The ovvner hereby understonds ond ocknowledges thot the Estimoted prqect cost is merely o good foithestimote for use ln budgeting qnd for determinlng the omount of tJre construction Deposft ond the controctor shollin ho woy be boundthereto- 2 2 The ownerogrees to provide contoctor with copies of ony invoices for rnoterrol or lobor whrch cohtributed toword the completon of thehome ond were pold for lry the owner- Moke ollchecks poyoble to Coostol Breeze Homes lnc. Any oddiuonol work will be odded with time ond moteriol. All design selections willbe signed ond qpproved by client. The unforeseen conceoled condltion clnrrse willopptyto oll signed quototions or controcts ond moy resutt in odditionolcosts poyoble by client.Totoldue upon doy completion. Overdue occounts subjectto o servlce chorge of 596 permonth Clorilicdtions: Generol Controctor willprovtde o lobor, woterohd electric os needed. ln signing this you ogree to ollterms ond conditons. Thonk you for your busihess! I s sighotLrre 2t2 v"- fu^d, I+taa 16, q- Permit Details lTab Elements I Main Menu Type: It4ulti-Family - Dwelling Unit Minor Remodel Status: Permit Active Project Name: Applied Date: 01t11t2023 lssue Date: 04t11t2023 District: Marco lsland Expire Date: 10t09t2023 Square Feet: 103.00 Valuation: $37,5'12.00 Finalized Date: Description: NOC - lnterior renovation consisting of replacing the existing tubs With a shower, same size and location, the drain shall remain in the same location. Summary Locations Sub-Records Holds Fees Reviews lnspeclions Altachments (jontacls Permit Number: MFAA-23-00253 Ciiy of Marco lsland Permit Set Joblnformationeppti"otiouout",010lll0ll rrt. M^d" lla"' 10. ft 4 Job U0 &.Ylrw 0t Untt tt Peamit #: 0 Mros FL U1ltParcel ID 71!r010000t kgal: Sub/u toUTH il^lWTITOONDOAPTS OF MAROO IILTOWIRI'T1O Owner's Name:AMAT ISLAND HOLDINOO LLC Prime Cotrtractor Informrtion Con PRECISION BUILDING, LLC State Cert/CC Comp Card #cGG1523210 Job Reprssentatiye Cotrtact ltrfo MR MORGAN 2394104-718r'. Description of Oescription Of the Work lncludes the Renovation of The Two Existing Bathrooms, located in A Multifamily n me u er aoaitionratteration naf "ez{ Romodel square Ft Be advised that sigrmcrnt portioDs of the City of Marco Ishtrd are subject to de€d r$tricdoN. It ls incumbenl upor the property owner to rescrrch deed r€strictions tlat may be spplicible to thcir property. Questions regarding deed restrictions should be directed to the Mrrco Island Civic Associatiotr (MICA) ^t (239) 642-7'178. TLe following must be hcluded wlti thc applicati,on An electronic set ofplans in pdfformat consisting ofthe following: I Detailed scope ofwork. I Floor plan ofthe unit to be worted in (ifnot common arca) with wort area higblighted. O lfthe tayout is being modified in any way, au existing floor plan and a proposed floor plan indicatiog atl proposod layout changes and work areas shall be required. f Ftoor plan of condo buitding with work area and floor p€netratiotrs I [rL Listings for fire rated wall assemblies and floor petretatioEs. O l,ocation ofelectic panet and dctails ofetectrical changes. t Engirc€('s platr affidsvil, ifscope inctudes <tist[bing rhe structue. tr If work is related to the comrnon area, or affects more tban one dwelling unit, use a commqcial alteration pernit. Marco Island - Multi Family Dwelling Unit Remodel (Effective for permits submitted l0l0l/2022 or lzter.) Multi-Family - Dwelling Unit Remodel Building Permit Florida Buildins Code 7th Edilior (2020) Florida Fire Prevention Code 7e Edition 23-00253 owner's Mailing Address (if clrerenq: 98ti0 SW I2iSTAVE M]AMI FL 3lll88 Address,/Emaitr?hone. 4456 LAKEWOOD BOULEVARD IIAPLES, FL. 34112 / 239580-240 Regulrtiom and Informadon l. City ofMarco Islaud Building Services is regulated by the Florida Building Code 7th Edition (2020). For more infomation about the code or !o purchase the codg visit http;//www.floridabuilding.org 2. Visit w}T/.cilvoftnarcoisland.coE/Css for morp information about hon, to submit for permit. 3. Required ptan size is 24" x 36" or staudard sLed paper. Plaus must be to scale with a minimum of3/16"=l'. 4. A total floor plan must be subDitted with any interior remodeling. Work areas will be clouded. 5. Check with the rcspective property owtrers association for deed restictions on any cxterior wort, 6. Plans for stucirral comlronents must be designcd signed and sealed by a Florida State Certified Design Pmfessional. Ci15, of Marco lsland Permit Set $ry0fftrgoHtion Address' 320 seaview cl. unit 510 Marco lsland,fL 341'15 Permit #: 7- One application must be filled out with the origiual signature ofthe qualificr who is pulling the permit. 8. If the work will be perfonned in more than one unit but trot iD aU units, a separate permit will be required for each unit that has a unique Tax Id (Folio Number). 9. Fee for this permit is $0.57 per square foot ofthe gross square footage ofrooms being remodeled with work requiring a building pemit. The associated electrical, plumbing and mechanical fees are e3ch $0.20 per square foot of the gross square footage ofthe structure, with a minimum of$77.00. Fire rwiew and fire prevention (inspection) fees arc assessed at the curent adopted rate. 10. A fee equal to 38% of the permit fee will be charged at the time an application for a pemit is recoived for plan review, This fee is not refirndable nor is it credited to any other fec. Su}>Contractor Name, Liceose number, and Address,) Electric: CKEYE PLUMBING OF SO FLOR.IDA, INC. Mechanical:N/A I Fire. Fire-stop Company Design Professional InforDation (Enter Name, License Number, atrd Address.) Architect: Miscellaneous Informatiou (Enter Compaly Name and Address,) e> Fee Simple Title N/A o\ il _s. Bonding N/A N/AMortgage Iam Additional Portal Access Permissiotr the general cootractor for this project !-t >rt and/or permitting service to have fi-Ill access to this permit via the Self Service Portal. I acknowledge ttrat I am y respotrsible for managing anylall permits applied for under my license. I.t\A,property9n,* ofthe referenced project address, elect to opt out of email ame of Agetrt for Owner Signature of Owner or Marco lsland - Multi Family Dwelling Unit Remodel (Effsctive for pemits submitt€d 1olo1l2o22 ot later.') LO Required Olvner Contact Info Owner's Email Address:-Or; Owner Page 2 of 3 Ci{y of Marco lsland Permit Set Jlbo7B0{rffion Ad dress. 320 Seaview ct. Unit 510 Maroo lsland, FL 34145 Permit #: mer'aAffi-(F\ria I certiry that atl the foregoing information is accurate atrd that all work will be done ia compliance with all applicable laws regulating coNtruction aod zoni[9. RECoRDED NOTICE OT COMMENCEMENT MUST BE POSTED IF THE PROJECT VALUATION EXCEEDS $2,500.00 WARNING TO OWNER: YOIIRFAILURE TO RECORDA NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOURPROPERTY. ANOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOURNOTICE OF COMMENCEMENT. Tyler Morgan Priut Name of Owner or Agent for Owncr Signatur€ ofOwner or Agent for sor" ot FL co*ty orQllier The foregoirg instrument *^ -*o*ffi-*ror= -" at !-a"y ot tr::^ffitr*ceorEonrinenotarization- January 2023 , 6, Tyler Morgan . who is lpenonauy known to me, or Dhas produced Signatuxe, Notary Public - Stale of Florida Herminio Ortega Printe( Typed, or Starnped Name ofNotary Contr.ctor's Afidivit I cc(iry that all the foregoing information is accurato and that all no* must be dotre in compliance with all applicable laws regulating constuction and zoning. I understard TmRE }1rILL BE A I'INAL INSPECTION of the work permitted herein. Compliance will be strictly enforced- No work whatso€ver will com-mence until the bufldirg permit has bcen issued. The permit fee will be quadrupled if work is staded without an appoved p€rmit. The permittee fi]Ither utderstands that or y liceosed contractors may be employed aod that the structure shall trot be used or occupied until a Cenificate of Occupanry is issued- See Section 105.5 ofthe Marco Island A&ninistative Construction Code for information regardiag the permit expiration date. o, January as identification, as identification, Michael Lavery Print Name of Licerrsed Contractor s of ensed sor" of FL co*ty orCollier The forcgoi.g instrunxent ** ""ao*[J oIo*" rti, 9-a.y 2 6, Michael Lavery , rvho is fpersonally known to me, or Ehas produced by of or Donline notarization. arl Signatue, Notary Public - State of Florida Herminio Ortega Printed, T,?ed, or Stamped Name ofNotary HENAINIO ORTT6A Notary Public - slate of Florida (Sodllrrion t HH 310107 l.{y Co.nd. Ergir.s }rov 7, 2026 E6dad throuth Netlonil lotnry As!n. HE TINO ORIEGA ilotary Publi. - strte of Florida (Mhhrioo r nH 130107 l{y Comm. Expirer Nov ,, 2026 gondedtlvough National ilot.ry Atsn. ft4arco lsland - Multi Family Dwelling Unit Remodel (Effective for permits submitted 1010112022 ot later) Page 3 of 3 Cif;l of Marco lsland' Permit Set o4to7t2o23 v*;WbJoblnformation Address:|Z.o t4^.tl.t ,.t ("'.ts Permit #: Owner's A.ffidavit: I certify that all the foregoing hformation is accurale and thst all work will be done in compliance with all applicable laws regulating coostructioD aod zooitrg- RICORDED NOTICE OF COMMENCEMENT MUST BE POSTED IF THE PROJECT VALUATION EXCEEDS $2,500.00 WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOURPAYING TWICE FORIMPROYEMENTS TO YOUR PROPERTY. ANOTICE OF COMMENCEMENT MUSTBE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. :fesAu x Print NarDe of O\\ner or Agent for Owner of or Agetrt I certify that all the foregoiog inforutation is acaurdre and thst 8ll work must be done in compliance wilh all applicable laws regulating corstruction and zoring. I understand TEERD WIII BD, A flNAL INSPECTION of the wo* pemritted herein. Compliance will be strictly etrforced. No work whakocver wiII commcncc until thc building pcrmit has been issued. . The permit fee will be quadrupled ifwork is started without an approved pemit. . The permittee fiuther uDdeNlards that oDIy lic€$ed contractoE may b€ employed atrd thal the struchle shall lrot bc used or occupied until a Cedificate of Occupancy is issued. . See Section 105-5 ofthe Maco Island Admioist'alive Construction Codc for information regardiag the permit expiration date. Prht Na.me ofl,icetrsed Contractor S Licensed state of f(' couoty * Gt[,a- /*" N""*--zozz,The foregoing instfumenl was acknowledged before me this by Mr"-V.o -() _a.14<44. l"to is f rlay of by mears of Dphysical presence or E notarizalion. Signatule,otary Public - Printed, Type4 or Stamped Name ofN known ro tuq or Ehss **"* 5;ffi!ffi*"** ii ^o"on uo,e"n f;i (s€ar) ZdTi*'gtt'tS ""7,i.f,,,g,[,,'.*,\*"..,. Marco lsland - Multi Family New (Effuctive for permits submitted lOnlDOD ot lalet.l 20-2. as identificalion, by meaos of Dphysical preseoce or Eoditre trotarizatioD- Notary Public (Seal) Printed Tne4 or Stamped Name Cotrtroctor's Allidavit o Ay^dc. lt",*., to,k aiffi5 PROJECT TEAM: The Service Provider: Herminio Ortega. Project Consultant & Drafting 3427 Enterprise Ave. Suite A Naples, FL. 34104 Diecl:239-778-21M Owner: Amat lsland Holdings 9850 SW l2lStAve Miami, FL 33186 cto23940/.-71u Contrador Precision Building, LLC ccc1523210 4456 Lakewood Boulevard Naples, Florida 34112 cto239404-718/ Engineer: Naples Engine€ring & Design Michael A. Trapasso PE#2482 Certificate of Authorization #33402 PH (239) 280-0543 Fax(239)2AG,0432 700 11th St. S. Suite PH 2 Naples, F1.34102 RG@SEKUR.COM PROPOSED BATH 1 & 2 CONVERT TUBS TO SHOWER FOR: AMAT ISLAND HOLDINGS. LLC sourH SEAS wEsr coNDo Aprs. oF MARco TSLAND CITY OF MARCO Building Departnent '1310 San Marco Rd Marco lsland, FL 34145 Permitting Phone: 239-389-5059 Chief Building Official: Raul Perez rperez@cityofrnarcoisland. com 239-389-3968 Districts 1 Commissioner Rick Locastro, Chairman Rick. LoCastro@ColliercountyFL. gov Executive Coordinator Aixa Capizzi Aixa.Capizzi@ColliercountyFL.gov 4a .<I ; P J(r\ 320 SEAVTEW ST. 2-510 MARCO ISLAND, FL.34145 R.YLwd lor coda @m]il.nc. P Bolr.nbek - Plumblne o41u2023 11..0541 'nt R.vLfrd ior coda MdLE H T.r.d. OZ1O|2023 11:32:23 N i rc.lloI E:ru Ilsil--::---l I T-;=::t | *Elkr I csePEaEt roEK BATHlEBATH2: COM/ERT EXISTING TUB TO SHOWER NEW FIXTURES & TILE AND SHW ENCLOSURE DRAIN UNE TO REMAIN usTtreFLomffia 1,0t0 str ARAOF REMOOEL un1 4so.tr.&n2 &$.ff. TOTA TADRK AREA 103 S, [, Unit #510 is Un-Proteded By Fire Sprinklers. Existing Fire Sprinklers in the Hallway Fire Rated Assemblies & Penetration Details: Pleas€ See Attached STI Fire Rated Assembly and Pen€tration Detail Documents Provided By: All Fire Shield Fire Barier (Alexander Uzaga) Contaci: 239-25&5574 Email: alex@allfireshield.@m RErcW q6NNG ruS Necwa sHomRs No TOWER 2 UNIT 510 OCCUPIEO UNIT ABOVE AND BELOW TOWER 2 UNIT 510 OCCUPIED UNIT ABOVE AND BELOW EXISTING FLOOR PLAN NEW FLOOR PLAN RrLFd fb. @da cfrDlbE H &rr0r 0Z'1312023 6:31:36 Al, BATH 1 &2 SHOWER PAN DETAIL ^Lt mtru@Es HUl]ieRffi!ffEBffiO EnElnsffMuffi@&aftmffiffiGmwErEcrl.mffffiftffifrm ffiuerl.N@eMrmenm PRO.'ECT OATA d*Mrw REm@@unFu[Y NB*Fls _!q mrE: .L ffiBBSreMffi EUI@IreMA SME F@I&E IM4E:_!L .)I 6s!5o 6E p 0- e fi I $!I E E: dE 55 !S* {iiE e* 9_8J* di ! .EEgc"! P -.'it: lrttGFtEIE -z io 66 E$ : OAIE:2+23 BALCONY 57or 60 BEonOOn No I t*rr* BEDROOM No 2 l2o, t5? LIVING AREA DININO AREA Atc HAL L FOYER l3o r 24' I( ITCHEN g?xgo EALCONY 37or 50 aEDnOoM l{o I rfrro EEDROOM t{o 2 tzo ' t5? LIVING AREA l3o x 248 HALL DININO AREA l(lTCHElri FOYERg?* sE ,aLfo FINRES *EM.SllMRPNTAT 2W63 ASlNGCORRIrcR t----'/t. L :.t - I : ::. i . .']" l 15 Srwt@25107A1! o s + d-1css I SOUTII SNAS ScALE CONDOMINIT]M OF MARCO ISLANI] . 'IOWIR II rOOL AND LANDSCAIED POOL DECK AREA t 200 +BEAC}I h;---;,;r [:]"':':l _.\_- ;.j+i e \a\nnlY AgenAc" \kz'r ro.& EXISTIN6 BUILDIN6 FLOOR PLAN: rYPrcAl I - FLOORS 2, t9 _ rowDR tI frgonfic* lV,r. r rO .Sr INSPECTION CARD 50 Bald Eagle Drive Marco lstand, FL 34145 Phone: (239) 369-5059 THIS CARD MUST BE POSTED IN A CONSPICUOUS LOCATION BEFORE START OF WORK. Hours of Construclion: 7 am lo 7 pm Monday through Saturday except holidays. No Pile Driving or Demolition before 8 am. Permit No. MFAA-23-00253 Pe mit Ty po : BS -lil,ultl+amlly work Classification: Dwelling Unit Romodel - Minor Pem,l Statusi Permit Active lceue Date: 4/1 1/2023 ParcelNumber; 74310400009 Job Addrss3: 320 Seaview Ct74310400009 510 Legal Descriplion: SOUTH SEAS WEST CONDO APTS OF MARCO Owne/s Name Ownc/E Address AMAT ISLAND HOLDINGS LLC 9850 Sw 121St Ave Miami, FL 33186 Scopo of Work: NOC - lnlerior renovation @nsisting of replacing the existing tubs With a shower, same size and localion, lhe drain shall remain in the same l@ation. Coll Phono PECQUE ELECTRIC & SERVICES INC PRECISION BUILDING LLC BUCI(EYE PLUiIBING OF SOUTHWEST FL IIIC Eleclri@l Contractor Genecl Contractor Plumbing Contraclol 23923,43r'.34 2394386662 2395A07440 lnsp*tion lnsp€ctor Pass Date lnspectlon In5pector Pass Date 099 - Nolice ot Commencement 108 - Framing 1 10 - Tile Backerboard 151 . Work Complete 201 - 2nd Rough in/Tubset 204 - Final Plumbing 501 - Electric Rough 502 - Final Electric Pemil Conditions RECORDED NOTICE OF COMMENCEMENT MUST BE POSTED lF THE PROJECT VALUATION EXCEEDS $2,500. Waming to Owner: your failure to record a Nolice of commencement may result in your paying twice for improvements to your property. lf you intend toibtain financing, consull with your lender or attorney before recording your Notice of commencement. FL713.135 04/1y2023 Raul Perez Dale Building Ofricial Processed By lnspections - Call before 7 pm the day prior to when the inspection is needed 3E9-5057 - Docks, Electric, Poots 389-5056 - Structural, Awnings, Signs, Fences, Demo's, Shutters 389-5055 - Plumbing, Gas, Sewer, Solar, R-O-W, lnigation. A,/C, lnsulation 394-5405 - Fire lnspections lssuan@ of this permit is conditional upon full compliance with the provisions ot the code of City ot Marco lsland, Florida Not6: The preferred method to schedule inspections is through the citizen's access portal <http://ww.cityofmarcoisland.com/index.aspx?pago=72>. Keep in mind that you can also view your inspeclion history and view the inspections scheduled at this page. Please visit ww.citvofmarco;sland.com/inspeclions<http://M.citvofmarcolsland.com/insoections> for more info. Agnda lle*n ,0.4Cityrof [Varco lsland Permit Set MRCO ISUNO FIRE RESCUE-#il Specified Technologies lnc. 23-00253 STI" Project 320 Seaview Court Date 01t09t2023 Project Address 320 Seaview Court Marco lsland, FL 34135 USA Submitted By ALEXANDER Submitter Email ALEX@ALLFTRESH I ELp.COM Submitter Phone Submitter Address 28190 oLD 41 BONITA SPRINGS, FLORIDA 34135 US rTEEE@ ALEXANDER UZAGA ?022 [i',{ 'r" ilil- SPECIFIED TECHNOLOGIES lNC. . SOMERVILLE. NJ 08876 USA. T: +1-908-526-8000 . F: +1-908-526-9623. WWW.STIFIRESTOP.COM ALL FIRESHIELD FIRE BARRIER 2392535574 Citv of tr4apco lsland Permit Set 0410 ontents Systems 1 cAJ2093 N,4ax. 2" PVC or CPVC pipe (DWV or closed)or RNC. Wrap Strip embedded in SSM Mortar.2 & 3 Hr. Approval lnformation Certificates of Compliance 1 STI General Certificate of Conformance User Upload Documents 1 EJ FOR TUB NIARCO |SLAND.pdf City of lvlaqco lsland crMlfiltg,p23 Underwilers Laboratories,lnc to ASTN.4/U11479 (ASTM EB14) System No. C-AJ-2093 F Ratings - 2 & 3 Hr (See ltem 3C) T Ratings - 1 & 2 Hr (See ltem 3C) Section A-A 1. FloororWall Assembly - Min 4-'112 in. thick reinlorced lightweight or normal weight ('100-'150 pcf) concrete. Wall may also be constructed of any UL Classified Concrete Blocks'. Max area of opening is 288 sq in. with max dimension of 24 in. See Concrete Blocks (CAZT)category in the Fire Resistance Directory for names of manufacturers. 2. Through Penetrants . A max of two nonmetallic pipes or conduits to be installed within the firestop system. The space between the pipes or conduit shall be a min 1-114 in. to a max 17-114 in. The annular space between the pipes or conduit and the periphery of the opening shall be a min 1 to a max 21-518 in. The pipe or conduit to be rigidly supported on both sides of the floor or wall. The following types and sizes of pipes or conduits may be used: A. Polyvinyl Chloride (PVC) Pipe - Nom 2 in. diam (or smaller) Schedule 40 cellular or solid core PVC pipe for use in closed (process or supply) or vented (drain, waste or vent) piping systems. B. Chlorinated Polyvinyl Chloride (CPVC) Pipe - Nom 2 in. diam (or smaller) SDR 17 CPVC pipe for use in closed (process or supply) or vented (drain, waste or vent) piping systems. C. Rigid Nonmetallic Conduit+ - Nom 2 in. diam (or smalle0 Schedule 40 PVC conduit installed in accordance with Article 347 of the National Electrical Code (NFPA No. 70). 3. Firestop System - The firestop system shall consist of the following: A. Fill, Void or Cavity Materialt - Wrap Strip - Nom 1/4 in. thick intumescent material faced on both sides with a plastic film, supplied in 'l-112 or 2 in. wide strips. One layer of wrap strip installed around outer circumference of each through penetrant with ends butted and held in place wilh a layer of aluminum foil tape. ln floors, the bottom edge of wrap strip shall be recessed a nom 1 in. above the bottom surface of mortar (ltem 3C). ln walls having a thicknesss of 5 in. or less, the wrap strip shall be centered at mid-depth of wall assembly and shall be installed such that the edges of the wrap strips are recessed a nom 1 in. from each side of the mortar. ln walls having a thickness of greater than 5 in., the wrap strip shall be installed on both surfaces of the wall such that the exposed edge ofthe wrap strip is recessed a nom 1 in. from each side ofthe mortar. SPECIFIED TECHNOLOGIES ING - Specseal RED Wrap Strip or Specseal BLU Wrap Strip B. Forms - (Not Shown) - Used as a form to prevent the leakage of fill material during installation. Forms to be rigid sheet material, cut to fit the contour of the penetrating items and positioned on the bottom surface of the floor or both sides of the wall as required to accommodate the required thickness of flll material. Forms to be removed after fill material has cured. Ei{E =i+.JE[+! A A ----------r-#Reproduced courtesy of Underwriters Laboratories, lnc. Created or Revised: Jan1ary 23, 2014 (800)992-1180 . (908)526-8000. FAX (908)231+415. E-l\,,laillechserv@stifirestop.com . Websile:www.slilirestop.comSTI. Specified Technolog ies lnc. 210 Evans Way Somerville, NJ 08876 c-AJ-2093 PAGE 1 OF 2 City of lvlalco lsland 04t07t2023 C. Fill, Void or Cavity Material* - Mortar - [Iin 3-1l2 in. thick of fill material applied within the annulus. ln floors, the mortar shall be installed flush or recessed a 1/2 in. from the bottom surface of the floor. ln walls havinq a thickness of 5 in. or less, the mortar shall be recessed a '1l2 in. from each surface of the wall. ln walls, having a thickness of 5 in. or greater, the morlar shall be installed flush or recessed a 1/2 in. with each surface of the wall. Type of Piping Svstem Type of Wrap StriD Min Thkns of Mortat ln.F Rating Hr T Rating Hr Vented SpecSeal BLU Wrao Strio 4-1t2 2 1 CIosed SpecSeal BLU WraD Strip 4-1t2 3 2 Vented SpecSeal RED Wrap SkiD 3-1t2 2 0 Vented SpecSeal RED Wrao Strio 4-1t2 2 0 Closed SpecSeal RED Wrap Skip 2 0 Mortar to be mixed with water at a rate of 1.4 parts dry mixture to 1 .0 part water by weight in accordance with the installation instructions supplied with the product. The F and T Ratings of the firestop system are dependent upon the type of piping system (vented or closed), type of wrap strip and min thickness of mortar as tabulated below: SPECIFIED TECHNOLOGIES INC - Specseal L4ortar +Bearing the UL Listing Mark .Bearing the UL Classification Marking Specified Technologies lnc. 210 Evans Way Somerville, NJ 08876 Reproduced courtesy of UndeMriters Laboratories, lnc- Created or Revised: January 23, 2014 (800)992-1180 . (908)526-8000 . FAX (908)231-8415 . E-l\,4aillechserv@stifirestop.com . Website:www.stifirestop.com ------------r-# STI,c-AJ-2093 PAGE 2 OF 2 @ City of Marco lsland Permit Set 041a712023 I #specifiedm iff.""'os'Ies GENERAL CERTIFICATE OF CONFORMANCE JANUARY 2019 SpecSeal@) Firestop Products; Pensil@ Silicone Sealants; EZ-Path@ Fire Rated Pathways; Ready@ Slecvc STI Products Included Products: These Chemical Content Statement: are tested to one or more of the standards SEALANTS. CAULKS & PUTryS SpecSeal@ SSS lntumescent Sealant SpecSeal@ LCI Intumescent Sealant SpecSeal@ LC Firestop Sealant SpecSealGr SIL300 Silicone Sealant SpecSeal@ SIL300SL Silicone Sealant SpecSeal@ ES Elastomeric Sealant Pensil@ PEN300 Silicone Sealant Pensil@ PEN300SL Silicone Sealant BlazeStoprM WF300 Firestop Caulk SmokeBlock@ Caulk SmokeBlock@ Fireblocking Foanr SPRAYS SpecSeal@ AS200 Elastonreric Spray SpecSeal@ Safing Spray SpecSeal@ FT Fast TackrM Firestop Spray PUTTY SpecSeal@ SSP Puffy SpecSeal@ SSP Putty Pads FOAM Pensil6r PEN200 Silicone Foam COLLARS. WRAP STRIP. CAST.IN SpecSeal@ CID Cast-In Firestop Devices SpecSeal@ SSC Firestop Collars SpecSeal@ LCC Firestop Collars SpecSeal@ RTC Firestop Collars SpecSealtv SSW Wrap Strips COMPOSITE SHEET. PILLOWS. PLUGS SpecSeal@ SSB Firestop Pillows SpecSealtD FP Firestop Plugs SpecSeal@ CS Composite Sheet MORTAR SpecSeal@ SSM Firestop Mortar SPEEDFLEX SpecSealt& SpeedFlex@ Fire Rated Joint Profile SpecSeal@t SpeedFlex@ Track Top Gasket CIRCUIT PROTECTION TBW Themral Barrier Wrap SpecSealG; CS I 05 Cable Spray ANCHORPROTECTION SpecSeal@ Connection Protection ELECTRICAL/DATACOM EZ-Path@22 Pathway EZ-PathtD 33 Pathu,ay EZ-P athcD 44, 44+, 4452 Pathway EZ-Path@ Retrofit Device EZ-Firestop@ Grommets PowerShieldrN' Box Insert Ready@ Sleeve Ready@ Split Sleeve SMOKE/ACOUSTICAL EZ-Path@ Smoke & Acoustical Pathway EZ-Path@ Snroke & Acoustical Ceiling Pathway SpecSeal@ Smoke 'N' Sound Spray SpecSeal@ Smoke 'N' Sound Sealant OTHER FyreFlange€r Firestop Angle SpecSeal@ Closet Flange Firestop Gasket SpecSeal@ SSAMW Mineral Wool . ASTM E814 (ANSVULI479) Standard Test Method for Fire Tests of Penetration Firestop Systenx . ASTM E I 966 (ANSIiUL2019) Standard Test Method fbr Fire-Resistive Joint Systems . ASTM El l9 (ANSIruL263) Standard Test Methods for Fire Tests of Building Construclion and Materials . ASTM E I 36 Standard Test Method for Behavior of Materials in a Vertical Tube Fumace at 750uC . ASTM 82307 Standard Test Method for Detennining Fire Resistance of Perimeter Fire Barrier Systems Using Intennediate Scale, Multi-Story Test Apparatus . ASTM E1399 Standard Test Method for Cyclic Movenrent and Measuring the Minirnunr and Maximum.Toint Widths of Architectural Joint Systerrrs . ASTM E84 (ANSyUL723) Standard Test Method for Surface Buming Characteristics of Building Materials . ASTM 81725, Standard Test Methods for Fire Tests of Fire-Resistive Barrier Systems for Electrical Systern Components . UL Subject l724,Fire Tests for Electrical Circuit Protective Systerns . CANruLC Sl l5 Standard Method of Fire Tests of Firestop Systerns . CAN/ULC Sl01 Standard Methods of Fire Endurance Tests of Construction and Materials No asbestos, PCB's, lead, or water-soluble intumescent ingredients are used or contained in these products. 7ftu James Stahl Jr., CFPS Vice President & General Manager, Engineering and Ernerging Businesses Christopher DeMarco, CFPS Quality Assurance and Certifications Manager Citv oJ Mqrco lsland Concrete Floors Using SpecSeal@ BLU or BLU2 Wrap Strip & Mortar Prepared by: Bernadette Bautista Date:REV1 .02-28-08 NS1 797028 m d Firestop System For PVC Pipe ln L_____ r --'t I I --T-- I I I J 1. CONCRETEFLOOR. IVIAXl2X l8IN.OPENING 2. MAX.2tN.TRADE S|ZESCH.40 PVC P|PE (DWV). ANNULARSPACE I0tN.ORMORE SPECSEAL@BLU OR BLU2WRAP STRIP. SINGLE LAYERWRAPPED AROUNDPIPEAND SECUREDWITH ALUMINUM FOILTAPE. WRAPSTRP TO EXTEND 1/2 IN.BELOW FLOOR. STEEL PLATE, NO.2O GA. PLATE TO OVERLAP 2 IN. ON BOTTOM OF FLOOR AND TO BE FASTENED BY MEANS OF STEEL CONCRETE SCREWS SPACED 6IN. O.C. AS AN OPTION, PLATE I\4AY BE SECURED WITHIN THE OPE N ING BY FABRICATING STEE L HANGE R STRAPS M ECHAN ICALLY ATTACHED TO E ITHER THE TOP oR srDES OF THE OPENtNG. PLATE MAY BE SLTTOR SpLtT TO ACCOTV1MODATE PtPE (SEE F-A-2031 FOR DETALS). SPECSEAL@ MORTAR INSTALLEDTO 3IN. DEPTH OVER STEEL FORMNG PLATE SPECSEAL@ LCIOR SSS SEALANTTO 1I2IN. BEADATMORTAR/PVC PIPE INTERFACE 2 4 5. 6. NOTE: The products used in this design have been tested as follows: 'ASTIU E8141UL1479: Refer to System Nos. F-A-2031, C-AJ-8055 ' ASTIVI E1 19: Time/Temperature Exposure, Cotton Waste lgnition ' Annular Space Requirements This Design Represents an Engineering Recommendation NOTICE: The information contained herein is based upon internal & third party testing which we believe to be accurate. This information is provided for engineering purposes only and unless otherwise noted, relates to fire-resistance properties only. The user must determine the suitability of the product and the design to the intended application. Since the use ofthe product is beyond our control, Specified Technologies lnc.'s only responsibility shall be to refund or replace materials found to be defective as per our standard warranty.Signature Various Marco lsland Florida Projects Prcject Name Marco lsland, FL Address ArchitecVContractor Address SpecifiedTechnologieslnc. r 200EvansWay o Somerville,NJ08876 o (800)992-1180. FAX(908)231-8415 A Ag.^do l\e.m lo. + DIVISIoN oF CoRPoRATIoNs *Y-fu" i ;': ;;;',?r',,, r,, i - Dep3-(rnefi_Alslale / Divisionof CorBerAtiQlS / SearchReqords / SearchbvEntituName / Detail by Entity Name Florida Limited Liability Company PRECISION BUILDING, LLC Filing lnformation DocumentNumber L15000047409 FEI/EIN Number 47-3445545 Date Filed 0311612015 State FL Status ACTIVE Last Event REINSTATEMENT Event Date Filed 0912912017 PrincipalAddrcs 4456 LAKEWOOD BLVD NAPLES, FL34112 Changed: 0412012016 Mailing Address 4456 LAKEWOOD BLVD NAPLES, FL34112 Changed: 0412U2A16 Registered Agent Name & Address LAVERY MICHAEL 4456 LAKEWOOD BLVD NAPLES, FLU112 Name Chang ed: 09 12912017 Address Changed: 0412012016 Authorized Person(sHDctai! Name &Address TitleAMBR LAVERY MICHAEL 4456 LAKEWOOD BLVD NAPLES, FL34112 Title Field Supervisor Morgan, Mason Tyler 4456 LAKEWOOD BLVD NAPLES, FL34112 Annual Rep_ortg Report Year 2021 2022 2023 Filed Date 03112t2021 04t14t2022 04t17t2023 Document lmaggg O4l1 7/2023 - ANNUAL REPORT 04114/2022 - ANNUAL REPORT 03/1212021 -ANNUAL REPORT 04107/2020 - ANNUAL REPORT 06/2712019 - ANNUAL REPORT M/OZ2O18 - ANNUAL REPORT 09/29/201 7 . REINSTATEMENT O4l20l2016 _ ANNUAL REPORT 05/06/2015 * LCAmendment 03/16/2015 - Florida Limited Liability View image in PDF fomat View image in PDF format View image in PDF fomat View image an PDF format View image in PDF format View image in PDF format Mew image in PDF fomar I View image in PDF format View image in PDF format Floridd Depanftrent oi state, Davisron of CorpoGEionJ View image in PDF format Agendo. \+ern Io,B Grordh illanagement Cornrnunity Datelopment Depanment SPONSORSHIP APPROVAL NOTICE DATE: QUALIFIER NO: TESTING AGENCY: EXAM CODE: EXPIRATION DATE: March23.2023 LCC20160001 180 ProV FL081 10 0912y2023 This letter confirms that the sponsorship application for the below applicant has been accepted by Collier County Licensing. The examination administrative fee of $130.00 has been paid. This sponsorship and fee are good for six (6) months from the date payment was received. This fee is not transferable or refundable. This Sponsorship approval notice is sent to the testing agency that the applicant selected on their application. Applicant should reach out to the testing agency directly to acquire reference material and schedule testing dates. APPLICANT SPONSORED TO TAKE THE FOLLOWING EXAMINATION DRYWALL CONTR. Name of Examination Requested SPONSORSED APPLICANT DETAILS Name of Applicant: Address: Telephone: Date of Birth: Driver's License #: EmailAddress: PAREDES TREJO, SAUL 410 Leawood Cir Naples, FL 34104 239-465-878s February 03, 1978 P80430 prowal lspa inting@gmail.com Operations & Regulatory Management Division, Contraclor Licensing o 28@ i.lorth Horseshoe Drive r Naples, FL 34104 o 1239) 252-2431 contrac{orslicensing@ colli€rcounMl.gov Public Hearins Procedure WnA i+rrn b.BCL s of the Collier Countv Contractor Licensing Board 7. 3. 4. 7 9. 10 tl 13 The Hearing will be cond ucted pursua ntto procedures setout in Collier Cou nty Ordinance #90- 10S, as amended, and Florida Statutes Chapter 49. The Hearing is quasi-judicialin nature. The formal Rules of Evidence will not apply. Fu ndamental fairness and d ue process shall be observed and shallgovern the proceeding. lrrelevant, immaterial, or inconclusive evidence shallbe excluded butall otherevidence ofthe type com monly relied upon by reasona bly prudent persons inthe conduct oftheir affa irs shall be admissible whether or not such evidence would be admissible in a trial in the courts of Florid a. Hea rsay evidence may be used for the purpose ofsupplementing orexplaining any evidence but sha Il not be sufficient by itself to support a Finding unless such hea rsay wou ld be admissible or objected to in civil actions in Court. The Ru les of Procedu re shall be effective to the same extent that theywou ld now be hereafter recognized in civil actions. The general purpose of the proceeding is for the Cou nty to set out its Opening Statement which details its cha rges against the Respondent. The Respondent may ormay not make his/her Opening Statement setting out in generalterms the defenses to the charges. The County then presents its Case in Chief, calling witnesses and presenting evidence. The Respondent may cross-examine these witnesses. Once the County has closed its Case in Chief, the Respondent may presen t his/her defense and may call witnesses and do allthe things described earlier, that is to ca ll a nd exa mine witnesses, to introduce exhibits, to cross-examine witnesses and impeach any witnesses regardless of which pa rty called the witness to testify, a nd to rebut anyevide nce presented against the party, Afterthe Respondent has presented his/her case, the County may present a rebuttal to the Respondent's presentation. When the rebutta I is concluded, each party may present their Closing Statement. The County will have a fu rtheropportunity to rebut afterthe conclusion ofthe Respondent's Closing Statement. 5 6 7 8, 72 L4 c^sENu',14BFjr.-____2212 A):5_ 18 15 16 17. 19 20. The Board will then close the Public Hearing and will begin its deliberations. P rior to the beginning of deliberations, the Attorney forthe Board will give the cha rge simila r to a Cha rge to a J u ry, setting out the parameters u pon which the Board can base its decisio n. During deliberations, the Board can ask foradditional information and clarification fromthe parties. The Board will then decide two different issues: (a) First, whether the Respondent is guilty ofthe offense, or not, as charged in the Administrative Complaint and a vote will be taken on the matter. (b) Second, lf the Respondent has been fou nd guilty, the n the Board must decide upon the Sa nctions to be imposed. The Board's attorney will advise the Boa rd concerning the Sanctions which may be imposed and the factors to be considered. The Board will discuss the Sanctions and take anothervote. Afte rthe two matters have been decided, the Cha ir or, in his/her a bse nce, the Vice Chair, will read a sum mary of the Order to be issued by the Board. The sum mary will set forth the basic outline of the Order but may not be the exact sa me la ngu age as the Fina I Order. The Final Orderwill include the full details as required underState law. qd; Printed Name of Respondent Si na ture of Respondent Date ,l 2 n/,: ; .,) CASE NUMBER A*t- r) Public Hearins P {genda l+.-- to . (- rocedures of the Collier Countv Contractor Licensing Board 2. 4. L 9. 10. 11, The Hearing will be conducted pu rsuant to procedu res setout in Collier County Ordinance #90- 10S, as amended, and Florida Statutes Chapter49. The Hearing is quasi-judicialin nature. The formal Rules of Evidence will not apply. Fu ndamenta I fairness a nd due process shall be observed a nd sha llgovern the proceeding. lrreleva nt, immaterial, or inconclusive evidence shallbe excluded but a ll otherevidence ofthe type common ly relied upon by reasona bly prudent persons inthe conduct oftheir affairs sha Il be admissible whether or not such evidence would be admissible in a trial in the courts of Florid a. Hea rsay evidence may be used for the purpose ofsupplementing orexplaining a ny evidence but sha ll not be sufficient by itself to support a Finding unless such hearsay would be admissible or objected to in civil actions in Court. The Rules of Procedure sha ll be effective to the same extent that theywou ld now be hereafter recognized in civil actions. The genera I pu rpose ofthe proceeding is for the Cou nty to set out its Opening Statement which details its charges against the Respondent. The Respondent may ormay not make his/her Opening Statement setting out in generalterms the defenses to the charges. The Countythen presents itsCase in Chief, calling witnesses and presenting evidence. The Respondent may cross-examine these witnesses. once the county has closed its case in ch ief, the Respondent may prese n t his/her defense and may call witnesses and do all the things described earlier, that is to ca ll a nd exa mine witnesses, to introduce exhibits, to cross-examine witnesses and impeach any witnesses regardless of which pa rty called the witness to testify, a nd to rebut anyevide nce presented aga inst the party. Afterthe Respondent has presented his/her case, the cou nty may present a rebutta I to the Respondent's presentation. When the rebuttal is concluded, each party may presenttheir Closing Statement. The county will have a further opportunity to rebut afte rthe conclusio n ofthe Respondent,s Closing Statement. 5 6, 7 8 12 13 1.4. 18 15. 15. 77. 19 20. The Board will then close the Public Hearing and will begin its deliberations. Prior to the beginning of deliberations, the Attorney forthe Board willgive the charge sim ila r to a Cha rge to a Jury, setting out the pa rameters upon which the Board can base its decision. During deliberations, the Board can ask foradditional informationand clarification fromthe parties. The Board will then decide two different issues: (a) First, whether the Respondent is guilty ofthe offense, or not, as charged in the Administrative Complaint and a vote will be taken on the matter. (b) Second, lfthe Respondent has been fou nd guilty, then the Board m ust decide upon the Sanctions to be imposed. The Board's attorney will advise the Board concerning the Sanctions which may be imposed and the factors to be considered. The Board will discuss the Sanctions and take anothervote. Afterthe two matters have been decided, the Chair or, in his/her a bsence, the Vice Chair, will read a summary ofthe Orderto be issued by the Board. The summary will setforth the basic outline of the Order but may not be the exact same langu age as the Fina I Order. The Final Orderwill include the full details as required underState law. o Pri me f Res po Signatu re of Respondent 2 r /7 4nr,,/ zs Date cASEN,TJMBER 3ui.Z- oV Public Hearins Proced fue"do. lt""n lo,D ures of the Collier Countv Contra r Licensing Board 2. 3, 4. 7 8. 9, 10. r7. The Hearing will be conducted pursuantto proced ures set out in Collier County Ordina nce #90- 10S, as amended, and Florida Statutes Chapter 49. The Hearing is quasi-judicialin nature. The formal Rules of Evidence will not apply. Fu ndamenta I fairness a nd due process sha ll be observed a nd shallgovern the proceeding. lrreleva nt, immateria l, or inconclusive evidence sha llbe excluded but a ll otherevidence ofthe type common ly relied upon by reasonably prudent persons in the conduct oftheir affairs sha ll be admlssible whether or not such evidence would be admissible in a trial in the courts of F lo rid a. Hearsay evidence may be used for the pu rpose ofsu pplementing orexplaining a ny evidence but sha ll not be sufficient by itself to su pport a Finding unless such hea rsay wou ld be a dmissible or objected to in civil actions in Court. The Ru les of Procedu re shall be effective to the sa me extent that theywou ld now be hereafter recognized in civil actions. The general pu rpose of the proceeding is for the Cou nty to set out its Opening Statement which details its cha rges aga inst the Respondent. The Respondent may ormay not make his/her Opening Statement setting out in generalterms the defenses to the charges. The Cou nty then presents its Case in Chief, calling witnesses a nd presenting evidence. The Respondent may cross-exam ine these witnesses. once the county has closed its case in chief, the Respondent may presen t his/her defense and may ca ll witnesses and do a ll the things described earlier, that is to ca ll a nd exa mine witnesses, to introduce exhibits, to cross-examine witnesses and impeach any witnesses regardless of which party called the witness to testify, and to rebut any evide nce presented against the party. Afterthe Respondent has presented his/her case, the county may present a rebuttal to the Respondent's presentation. When the rebuttal is concluded, each party may presenttheir Closing Statement. The County will have a further opportunity to rebut afterthe conclusion ofthe Respondent,s Closing Statement, 5, 6 7 12 13 74, 15 16 17. 1d. 19 The Board will then close the Public Hearing and will begin its deliberations' Prior to the begin ning of deliberations, the Attorney forthe Boa rd willgive the charge similar to a Cha rge to a Jury, setting out the parameters upon which the Boa rd can base its decision. During deliberations, the Board can ask foradditional information and clarification fromthe pa rties. The Board will then decide two different issues: (a) First, whether the Respondent is guilty ofthe offense, or not, as charged in the Administrative Complaint and a vote will be ta ken on the matter' (b) Second, lfthe Respondent has been found guilty, then the Board must decide upon the Sanctions to be imposed. The Board's attorney will advise the Board concerning the Sanctions which may be imposed and the factors to be considered. The Board will discuss the Sanctions and take anothervote. Afterthe two matters have been decided, the Chair or, in his/her a bsence, the Vice Chair, will read a summary of the Order to be issued by the Board. The sum mary will set forth the basic outline of the Order but may not be the exact same la ngu age as the Final Order. The Final Orderwill include the full details as required underState law.20 ,- t----,,lara ?-z-- P rinted of Respondent Sig na re Respondent 3 Date 2 fomclc l+ern lo, E 1, CASENUMBER: )AA3- 0A Public Hearine Procedures of the Collier Count v Contracto r Licensing Board The Hearing will be conducted pursuant to procedures set out in Collier County Ordinance #90- 105, as amended, and Florida Statutes Chapter 49. The Hearing is quasi-judicial in nature. The formal Rules of Evidence will not apply. Fundamental fairness and due process shall be observed and shall govern the proceeding. lrrelevant, immaterial, or inconclusive evidence shall be excluded but all other evidence of the type commonly relied upon by reasonably prudent persons in the conduct of their affairs shall be admissible whether or not such evidence would be admissible in a trial in the courts of Florida. Hearsay evidence may be used for the purpose of supplementing or explaining any evidence but shall not be sufficient by itself to support a Finding unless such hearsay would be admissible or objected to in civil actions in Court. The Rules of Procedure shall be effective to the same extent that they would now be hereafter recognized in civil actions. The general purpose of the proceeding is for the County to set out its Opening Statement which details its charges against the Respondent. The Respondent may or may not make his/her Opening Statement setting out in general terms the defenses to the charges. The County then presents its Case in Chief, calling witnesses and presenting evidence. The Respondent may cross-examine these witnesses. Once the County has closed its Case in Chief, the Respondent may present his/her defense and may call witnesses and do all the things described earlier, that is to call and examine witnesses, to introduce exhibits, to cross-examine witnesses and impeach any witnesses regardless of which party called the witness to testify, and to rebut any evidence presented against the party. Afterthe Respondent has presented his/her case, the county may present a rebuttalto the Respondent's presentation. When the rebuttal is concluded, each party may present their Closing Statement. 7 2 3 4 5 6 7 8 9. 10. tL. 1-2 13. 14.The County will have a fu rther opportunity to rebut after the conclusion of the Respondent's Closing Statement. The Board will then close the Public Hearing and will begin its deliberations. Prior to the beginning of deliberations, the Attorney for the Board will give the charge similar to a Charge to a Jury, setting out the parameters upon which the Board can base its decision. During deliberations, the Board can ask for additional information and clarification from the pa rties. The Board will then decide two different issues: (a ) First, whethe r the Respo nde nt is guilty of the offense as cha rged in the Ad m in istrative Complaint and a vote will be taken on the matter. (b) lf the Respondent has been found guilty, then the Board must decide upon the Sanctions to be imposed. The Board's attorney will advise the Board concerning the Sanctions which may be imposed and the factors to be considered. The Board will discuss the Sanctions and take another vote. After the two matters have been decided, the Chair or, in his/her absence, the Vice Chair, will read a summary of the Order to be issued by the Board. The summary will set forth the basic outline of the Order but may not be the exact same language as the Final order. The Final order will include the full details as required under State law. 18 L5 1,6. T7, 19. 20. LL Ldru k' Printed Name of Respondent Signature of Respondent Date l4zazz 2