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CLB Agenda 07/19/2023COLLIER COUNTY Board of County Commissioners Contractor Licensing Board I:�da"I .11 Board of County Commission Chambers Collier County Government Center 3299 Tamiami Trail East, 3rd Floor Naples, FL 34112 July 19, 2023 9:00 AM Todd Allen, Chair Stephen M. Jaron, Vice -Chair Matthew Nolton Robert P. Meister, III 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 06-21-2023 (26090) 5. PUBLIC COMMENTS 6. DISCUSSION 7. REPORTS 8. NEW BUSINESS 8.A. 8A. ORDERS OF THE BOARD (10 ITEMS) (26091) 8.11. 8B. RENE LUCAS MAZARIEGOS - REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - INNOVA BUILDERS, INC (26092) 8.C. 8C. JOSUE E. VASQUEZ - REVIEW OF APPLICATION (SUPERVISION) - JOURNEYMAN ELECTRICIAN (26093) 8.D. 8D. WILMER Y. PORTILLO SANCHEZ - REVIEW OF EXPERIENCE - CARPENTRY CONTRACTOR - EVERLAST BUILDING CON (26094) 8.E. 8E.ROBERTO SUAREZ SANCHEZ - REVIEW OF CREDIT - SWIMMING POOLSPA SERVICING CONTRACTOR - ALPHA POOL GUYS WEST COAST, LLC (26096) 9. OLD BUSINESS 9.A. 9A. SIMON J AGUIRRE - REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - RED LEVEL CONSTRUCTION LLC (26100) 10. PUBLIC HEARINGS 10.A. 10A. 2023-15 - NICHOLAS ANTHONY MAZZOLA DBA ABOVE & BEYOND PAINTING AND DECORATING L.L.C. (CEMIS2023 (26097) 11. NEXT MEETING DATE 11.A. 11. NEXT MEETING DATE WEDNESDAY, AUGUST 16, 2023 (26098) 4.A 07/19/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 4.A Doc ID: 26090 Item Summary: 4A. APPROVAL OF MINUTES 06-21-2023 Meeting Date: 07/19/2023 Prepared by: Title: — Contractor Licensing Name: Alyshia Morse 07/12/2023 3:20 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 07/12/2023 3:20 PM Approved By: Review: Contractor Licensing Contractor Licensing Contractor Licensing Sandra Delgado Review item Tim Crotts Review Item Tim Crotts Meeting Pending Completed 07/12/2023 3:48 PM Completed 07/13/2023 7:31 AM 07/19/2023 9:00 AM Packet Pg. 3 June 21, 2023 4.A.1 MINUTES OF THE COLLIER COUNTY CONTRACTOR LICENSING BOARD MEETING JUNE 21, 2023 Naples, Florida LET IT BE REMEMBERED that the Collier County Contractor Licensing Board, having conducted business herein, met on this date at 9:00 a.m. in REGULAR SESSION in Administration Building F, 3rd Floor, Collier County Government Center, Naples, Florida, with the following members present: Chairman: Todd Allen Vice Chairman: Stephen Jaron Robert Meister Terry Jerulle Matthew Nolton Richard Joslin Jr. Kyle Lantz Elle Hunt ALSO PRESENT: Colleen Kerins, Esq. Timothy Crotts, Contracting Licensing Supervisor Kevin Noell, Esq. Michael Bogert, Licensing Compliance Officer Greg St. Jean, Licensing Compliance Officer Sandra Delgado, Operations Supervisor 1 Packet Pg. 4 4.A.1 June 21, 2023 Any person who decides to appeal this decision of the 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 ■ Todd Allen: Meeting came to order and a roll call was taken with eight members present. 2. Additions or Deletions ■ Timothy Crofts: • Remove under new business, 81). The application has been withdrawn by the applicant (Freddy A. Prado). • Under 8E, we have Mr. Aguilar for review of experience. We've also added credit a to that. Q • Under 8F, that is being continued to the July meeting at the request of the applicant (Wilmer Y. Portillo Sanchez). N 0 • Under 9A, Old Business, Mr. Novella was able to complete the requirements of N the previous Board order. The certificate of completion has been issued so that has M been removed. N 0 3. Motion to Approve the Amended Agenda ■ Kyle Lantz: Made motion to approve the amended agenda. ■ Richard Joslin: Seconded the motion. All in favor — aye. Carried unanimously, 8-0. 4. Approval of May 17, 2023, Minutes ■ Kyle Lantz: Made motion to approve the agenda. ■ Matthew Nolton: Seconded the agenda. All in favor — aye. Carried unanimously, 8-0. 5. Public Comments None. 6. Discussion ■ Timothy Crotts: June is the official start of the hurricane season. As a reminder for the Board, as an update that in the ordinance 206-46 under Section 2.11, the County does have the authority to issue emergency restricted certificates of competency. Those are done under the authority of 2.11.1, when the county or city declares a state of emergency. We would then come before the Board, have an emergency meeting of 2 Packet Pg. 5 June 21, 2023 4.A.1 the Board to discuss what emergency licenses we may need to issue for the trades we think that may be affected or be most affected by the effects of the hurricane. The licenses are done for the period of the state of emergency by the county or by the City of Naples, or they automatically expire after six months. So that is something that we would monitor throughout that process. With any luck, I'm hoping that we don't have to worry about it this year, but I just want to bring it to the Board's attention should something happen. That is the procedure we would be following. 7. Reports ■ Timothy Crotts: Announcement of reappointment of Kyle Lantz to the Contractors Licensing Board effective through June 30, 2026, representing District 3. ■ Colleen Kerins: Update on House Bill 1383— signed by Governor DeSantis June 20, 2023, most importantly pushing back any of the changes regarding state licensure preemption to 2024. So, we do gain an additional year of continuing in the status quo. What it also does is require that the state board establish additional voluntary licensure categories for 12 new things that were not previously allowed to be regulated at the state level — many of the marine aspects are there, seawall, bulkhead, dock work, pile driving, structural masonry, rooftop solar heating, structural steel window and door install, plaster and lath and some structural carpentry. That should allow us to continue to regulate those items as well as at the county level. It also specifically allows the county to continue to regulate aluminum or vinyl gutters, siding, soffit, fascia, rooftop painting, coating, ceiling above three stories, and then fence installation and erection, as we have already been regulating those items prior to January 1, 2021, when the initial preemption was put forth by the state. This allows us to regain and keep a lot of the things we thought we were going to lose with the prior aspects of the statute change. Our ordinance revamp won't be as lengthy and allow the board to continue to regulate it and have more consumer protection at our level. ■ Kyle Lantz: Painting, tile — still gone, effective 2024. ■ Richard Joslin: And that's probably subject to change too. ■ Colleen Kerins: I would assume so based on the past, what, four months of legislation on this, where everything kind of got tested and retracted for a little bit of the part. With these changes, it appears that they've now required licensure for the things that would be required for you to pull a permit, which is why they've allowed us to retain the fencing and make those additional voluntary levels at the state. Things like painting and flooring, a lot of times we don't require anyway, so this should not affect the permitting process as much as we would have thought with the prior version. All subject to change, so let's see how the next year goes. ■ Timothy Crotts: Introduction of Greg St. Jean, one of the newest full time investigators. He is full-time. ■ Greg St. Jean: Served for 22 years on the fire department in Providence, Rhode Island. Moved here about four years ago and decided to venture outside of the fire service. I am looking forward to working with each of you and Supervisor Crotts. 3 Packet Pg. 6 June 21, 2023 4.A.1 ■ Timothy Crofts: I am allowed five full time slots. Mr. St. Jean is the fifth addition to the staff. We are still trying to fill three full-time/part-time positions — what they consider the key staff positions for a total of eight investigators. The three full- time/part-time positions are full-time but come from an employment agency. They are not employees of the county. ■ Richard Joslin: Did anyone see the case that came up on TV where three gentlemen were caught doing unlicensed work as a felony? Did the county have anything to do with that as far as one of our investigators?. ■ Timothy Crotts: Those were all licensing cases. The County Contractor Licensing put those cases together and we presented those cases to the Sheriff's Office for the probable cause that they needed for the arrest warrants. There have been eight felony arrests with unlicensed contractors during the state of emergency and we have six pending. But those are all cases that were put together by Contractor Licensing. 8. New Business (A) Orders of the Board (13 items) ■ Richard Joslin: Made a motion that the Chairman sign the Orders of the Board. ■ Kyle Lantz: Made motion to second. All in favor — aye. Carried unanimously, 8-0. (B) John J. Karterouliotis: Sworn testimony given. ■ Timothy Crofts: Application was submitted for the issuance of a general contractor's license which requires 48 months' experience. As part of the application process for the issuance of a general contractor's license, he was required to submit documentation showing his experience. As part of the review process by staff, he submitted verification of experience from current and former employees outlining his experience. First one was Next Generation Construction, which is a local licensed general contractor, Matthew Baker, President. According to Mr. Baker, this company does mostly condo remodels, no building of new condominiums, limited commercial building remodels and limited new home builds. Mr. Karterouliotis has worked for this company from April 2023 to the present, which is two months. His role is that of a site supervisor and may do hands on work if required. The second one received was Gulf Coast Construction of Naples, which is a state certified general contractor, Thomas Meister, President. According to Mr. Meister the company's scope of work consists of 90% commercial with nothing over four floors. Mr. Karterouliotis was a full-time employee for this company from April 2021 to October 2021, six months. He assisted in all areas of construction. HIR Naples AC and Gas, which is a state certified building contractor, Mark DeSoto owner. According to Mr. Desoto, the company's scope of work consists of constructing and remodeling of residential homes with nothing over three stories, no new commercial building only remodeling. Mr. Karterouliotis worked for this company from January of 2017 to April 2021, 51 months. He was described as very hands on and very talented. ■ Based on this information received, the staff's opinion is that Mr. Karterouliotis does not meet the requirements set forth in ordinance 206-46 as it relates to experience 4 Packet Pg. 7 June 21, 2023 4.A.1 under section 1.6.1.1 as a general contractor. Because Mr. Karterouliotis does not meet the requirements, qualifications needed for the issuance of the general contractor license, Mr. Karterouliotis is being referred to the Board under section 2.5.2 referral of the application to the Contractors Licensing Board for decision. Mr. Karterouliotis is here today to answer your questions regarding his experience. ■ John J. Karterouliotis: I've been down in Naples for about 18 years. I am a third generation contractor, my grandfather, uncles, cousins are all contractors. It's pretty much all I know my entire life. Up north, we've done everything from pour slabs, frame. Pretty much contracting is all I've ever done. I've worked for several companies besides the ones mentioned. Am very hands on. Whatever I don't know for sure I know where to find the answers. I'm very resourceful. A man of integrity. And honestly, I'm just looking to do better for my family and my community. ■ Stephen Jaron: What are the other companies that weren't mentioned by Mr. Crotts? ■ John J. Karterouliotis: Supreme Flooring; I've worked for other small town contractors from out of state, from upstate New York. Sometimes we travel back and forth depending on my cousin. He owns a company called Apex. My uncle owns TLC Construction. ■ Todd Allen: What sort of work are you planning to do with the license if you get it? ■ John J. Karterouliotis: My strong point is residential remodel. I'm not going to lie to the Board. I feel confident that I can handle all tasks at hand. A general contractor license would afford me the opportunity to excel and possibly open new horizons for future work. I always want to improve. I always want to do better. I want to put my name on things. I want people to say, hey John did that, he's a quality guy, I want to refer him, I want to hire him. It's important for me to represent myself and my company. ■ Elle Hunt: A general contractor license allows him to build condominiums, right? ■ Timothy Crotts: Condominiums, high rises, it allows him to build one of the highest buildings that we could consider in the county. ■ Elle Hunt: Can you explain experience in those areas? How many condos have you built? ■ John J. Karterouliotis: Honestly, I haven't built any, but in the event that I would need to build a condo, I would make sure that I staffed properly, I've kept all my books. I have a network of people/peers who I can communicate with, if I have questions. But honestly, I'm not looking to come out of my normal scope of residential remodeling. ■ Elle Hunt: Why didn't you apply for just the residential contractor license? ■ John J. Karterouliotis: A general contractor is unlimited to his or her abilities. I don't know where the future will take me, but once I get there, I want to make sure that I'm fully prepared. ■ Elle Hunt: So instead of starting off with a residential and then working your way up to it, you want us just to give you an unlimited license today. ■ John J. Karterouliotis: Not that you would give it to me, but I feel confident. You know, I've passed the test. I've studied for over a year. I think that my review of experience, I can understand how you would think, okay he's never built one before, 5 Packet Pg. 8 4.A.1 June 21, 2023 but as any person who's coming across new work or new codes that comes out, we all have to learn them. We all have to implement those rules and you know I feel confident that I'd be able to handle it when the time came that I felt confident enough to build a high rise. So I don't want you to give me anything. I feel that I've earned it to an extent. Obviously I passed the test. I have a tremendous amount of residential experience. And in the future, if I were to decide to go that way, I feel that I would take the proper steps to be able to be fully qualified to be able to build a high rise or a commercial building. ■ Kyle Lantz: Have you ever built a house? ■ John J. Karterouliotis: Yes, I've taken part in several homes. ■ Richard Joslin: Meaning? ■ John J. Karterouliotis: I didn't own the company. I worked for someone who built a home. But I've been there through all stages, yes. ■ Matthew Nolton: In Florida or up north? ■ John J. Karterouliotis: Both. ■ Kyle Lantz: How about a commercial building? 0 ■ John J. Karterouliotis: I've partaken in limited commercial work, firewall a a applications, metal framing, but never fully built a commercial building. a ■ Kyle Lantz: Do you have much work remodeling commercial buildings? ■ John J. Karterouliotis: Far and few. I like the residential end better. I mean, if I can o maintain that, then I would. ■ Stephen Jaron: Residential meaning single family homes? ■ John J. Karterouliotis. Single family homes, multifamily dwellings, condos, stuff o like that. N ■ Stephen Jaron: High rise condos? ■ John J. Karterouliotis: Nothing more than like the typical condo in Naples like four floors and under. When I think high rise, I think down on the beach, Gulf Shore Blvd. I have a tremendous amount of experience. With the previous company doing flooring, I've been in and out of many high rises, but as far as constructing a high rise I have pretty much none. ■ Terry Jerulle: What have you been doing the last two years? ■ John J. Karterouliotis: The last two years I've been working for various companies. I started working with Next Generation. Matt is a mutual friend and I've been working with him on his projects. ■ Terry Jerulle: And you have a flooring license? If you're going to take the test to be a general contractor, why haven't you worked for a general contractor on some of these high rises or worked for a general contractor that builds homes? ■ John J. Karterouliotis: I have worked for several contractors. Yes, I have built a home from the ground up. ■ Terry Jerulle: So you've driven piles? ■ John J. Karterouliotis: Pilings? No, we've poured slabs. ■ Terry Jerulle: So you have no experience doing a deep foundation system? And you don't think that's important to know or to have? 11 Packet Pg. 9 4.A.1 June 21, 2023 ■ John J. Karterouliotis: I do feel that's very important. You've asked me if I've done it. I said I have not, but I am knowledgeable in the event that if we need to I will take every proper precaution and make sure it's done right the first time. I'm not going to tell you that I have experience doing something I've never done. ■ Terry Jerulle: No offense, but everybody that comes in front of us that wants a license will say the same thing. You just don't have the experience. If you were to come to me before this meeting and ask me, what do I need to do to get my contractor license, I would say you need to work for a general contractor that does homes from the ground up or does commercial buildings from the ground up and have that experience. I think the minimum is 4 years or 48 months. ■ Richard Joslin: Without having any piling experience do you think that he would be qualified to even have a residential license? ■ Terry Jerulle: I just don't think so. I mean a residential license you have to do a swimming pool. In swimming pools sometimes they're structural swimming pools and I don't know that he has. I mean, I'm just listing off of a few of the many things that you need. 0 ■ John J. Karterouliotis: With all due respect, I've been in construction my entire life. a I've seen pretty much everything but because I haven't built high rises, because I a haven't sunk pilings, doesn't mean I'm not qualified to do the rest of the scope of work. o ■ Matthew Nolton: There's an old maxim, you don't know what you don't know. These structures are very complicated and sure you can ask people, but as a general v contractor it all falls back to you and you're supposed to be the guy guiding and o directing. And we didn't even talk about all the various roof issues down here or the r waterproofing issues down here. I mean, it goes on and on and on and on about three o story residences or four story commercials and up. It's a very complicated place to 0 build structures and you haven't told us that you have that experience. ■ Todd Allen: Motion to approve or reject? I'll make a motion that we not approve the Z application. ■ Terry Jerulle: Second motion to reject. o ■ John Karterouliotis: I have a quick question. Obviously, general contracting is a big Q boy license. It requires a lot and you guys are here for a reason. Quality control. As 0 you stated earlier, why didn't I apply for a residential license? All my experience is as pretty much in residential. Would it be an option to receive a residential building license to excel my company? ■ Todd Allen: What we can do is if you would want to withdraw this application and get back with Mr. Crotts and his staff and submit a new application for that, then we E can reconsider that. I can't give you advice, but I think it would probably be best for you to with consider withdrawing this application before it's denied. Q ■ John Karterouliotis: Yes, I withdraw my application that's before the Board now. ■ Stephen Jaron: But you're still going to need more experience, either way, whether it's a residential, building or general. You can withdraw it and then reapply. I don't think we're going to approve the residential either if you don't know anything about structural, concrete and pilings. 7 Packet Pg. 10 June 21, 2023 4.A.1 ■ Terry Jerulle: And this is just flee advice. You really should work for a general contractor, a legitimate general contractor in town that does ground up construction and try to get a supervisory position there where you're exposed to everything from the piling to the roof trusses to the roofing itself. ■ Elle Hunt: They are always hiring. They're looking for great contractors/people. So if you have this experience, it will be easy to find one of these roles. (C) Yuniel Perez: Sworn testimony given to Mr. Perez and his translator. ■ Timothy Crotts: Mr. Perez has submitted an application for the issuance of a residential contractor license, which requires 48 months experience and requires a minimum credit score of 660. Under the credit side, as part of the application process under Collier County Ordinance 206-46, section 2.3.9, Mr. Perez was required to submit a personal and business credit report. Mr. Perez's personal credit report was reviewed and appears not to meet the financial responsibility as set forth in section 2.5.1, subsection D the applicant or qualifier meets the requirements for financial responsibility as set forth in Rule 61 G415.006 of the State of Florida. A review of the personal recurrent report submitted by Mr. Perez shows the following areas of concern. Mr. Perez' personal credit score shows 597. Your credit report shows the following unpaid collections -- $6,338 from Bank of America, which was reported on March of 2023. Should be noted that Mr. Perez has entered into a payment plan with the Bank of America, however, it's unknown if this payment plan is current. $583 from Hartfield reported on March of 2023. This debt was satisfied on March 30 of 2023. $1,500 from Macy's reported on March 2023. $626 from Portfolio ROC Synchrony Bank reported on February of 2023. And $3,495 from Suncoast Credit Union reported on September of 2022. $10,948 from Suncoast Credit Union reported on September of 2022. Total amount of collections due was $23,509. ■ As part of the experience, the application process, Mr. Perez was required to submit documentation showing his experience. As part of the review process by staff, Mr. Perez submitted verification experience from former employees outlining his experience. Abbott Hill LLC, which is a state certified general contractor. Peter Sacacian owner. Mr. Perez worked for this company from September 2020 through August of 2021; 11 months. His work consisted of light remodeling only. There was no building of new homes. Magnet Construction Incorporated, which is a state certified general contractor. Jaime Calle President. Mr. Perez worked full time for this company from September 2020 to present; 29 months. In a phone interview with Mr. Calle, it was revealed that Mr. Perez' experience was that as a supervisor, he had no hands-on building of residential homes. Perception Building Incorporated, which is a state certified general contractor, James Melgar, President. Mr. Perez was reported to have worked full time from March 2018 to August 2020; 29 months. After several attempts to contact the owner of this company, we were unable to reach him and we were unable to verify the experience and could not confirm any experience at this time. Mr. Perez did appear before the Contractor Licensing Board on March of 2023 for review of his credit and experience. A copy of those minutes has been included in your packet for review. Based upon the information received, Mr. Perez does not meet E3 Packet Pg. 11 June 21, 2023 4.A.1 the minimum requirements set forth in ordinance 206-46 as it relates to financial responsibility, and it is the opinion of staff that Mr. Perez does not meet the experience as required under section 206.46.1.6.1.3 as it relates to the trade of residential building contractor. Mr. Perez is being referred to the Board under section 2.5.2 referral the application to the Contractors Licensing Board for decision and Mr. Perez, along with his translator, is here today to answer your questions regarding his credit and experience. ■ Yuniel Perez: I'm working on it little by little and every month to pay everything off. ■ Elle Hunt: So do you have anything that we can verify in regards to like the credit repayment or deals that you have with them? ■ Timothy Crotts: There is documentation starting on page 125 and 127. ■ Yuniel Perez: The only account that is not willing to do a payment settlement is Suncoast. We're still working with them. Macy's is requesting the 1099 from the IRS. We've asked twice but they haven't sent it yet. We consulted with the credit people and since we've been making arrangements about paying the credit score goes down. ■ Todd Allen: The concern at the last meeting, I believe, was not necessarily about his experience but more so about the credit. Is that correct Mr. Crotts? ■ Timothy Crotts: The emphasis was more on the credit not the experience. However, there was still a concern about the experience for the level of contracting; it's a residential. Last time he was here for building contractor registered. ■ Kyle Lantz: So I'd just like to commend you. We have a lot of people who come in here with some problems on their credit and we say you need you to call everybody, see what you can do to fix it. And they all say, okay I will. And very few of them do. You called them, made plans, paid some stuff off, gave us documentation. That's what we asked for. And we don't get that very much. You did a good job with that. ■ Kyle Lantz: Can you refresh my memory on what kind of experience you have? ■ Yuniel Perez: Supervises about 20 properties right now with Magna Construction, from the slab blocks, everything until the new houses are finished. Yes he has done pilings. The pilings were done where the water is, the slab is from 6 to 8 inches; residential is 4 inches on the concrete. Regarding trusses, as the guys are doing it I check that they're on code from one to the other. The trusses come by number and he looks at the plans/blueprint. ■ Stephen Jaron: The 20 jobs you're supervising, where are those? ■ Yuniel Perez: Cape Coral. It is a community. The homes are similar and they are all on slab — no stem walls, no pilings. ■ Terry Jerulle/Elie Hunt: When do you think you'll have your credit report back up? Why do you want to start working as a contractor today versus waiting six months until the credit is cleared up? Why should we approve you today? ■ Yuniel Perez: There is a house in Collier County that he needs to start on to build. They are waiting on him to get his license before they start the build. ■ Kyle Lantz: I'll make a motion that we approve his license with a one year probation. The one year probation is due to his credit and after in a year's time he has to show up with a credit report that is above 660. If that's the case, we don't have to see him again. If it's less than 660, then he has to come back to the Board. If he shows up with W Packet Pg. 12 June 21, 2023 4.A.1 the credit report at 660 tomorrow, he gets taken off probation tomorrow. The probation is just until either one year or until you get a credit report up to 660. ■ Terry Jerulle: Made issues regarding taking away his license a year from now if the credit score is not up to 660; it could be 640. What if he's in the middle of a build? ■ Timothy Crotts: Recommendation made: If the license is to be granted, we would do a 12 month probationary period. Within 90 days, Mr. Perez will be required to submit updates as to the status of those credit accounts where a payment plan has been agreed to show that the payments are current. Within 90 days, Mr. Perez would be required to show payment plans entered into with the remaining credit accounts, and that these credit plans are current with the agreed amounts. That Mr. Perez submits an updated credit report in six months, showing an increased credit score, all payment plans are current and there are no additional credit issues. That Mr. Perez submit an updated credit report at the end of 12 months showing a credit score of at least 660, all payment plan amounts are current and there are no additional credit issues. Failure to meet any of these conditions would require the applicant to appear back before the Board for an explanation and other actions to be determined by the Board. Should Mr. Perez meet all the required as stated, the probation would be automatically removed and no further action would be required by the Board. ■ Above paragraph was read to Mr. Perez in Spanish for his full understanding of the above and he has given his agreement. ■ Kyle Lance: I'll modify my motion to exactly what Mr. Crotts said. ■ Richard Joslin: Seconded the motion. ■ Todd Allen: All in favor — aye. Carried unanimously, 8-0. (E) Rafael Aguilar: Sworn testimony given to Mr. Aguilar. ■ Timothy Crofts: Mr. Aguilar has submitted an application for the issuance of a residential pool spa contractor, which requires 24 months experience in the trade and a minimum credit score of 660 as required by rule for the State of Florida. Note that Mr. Aguilar currently holds a local specialty license for the trade of paving block contractor, which was issued in 2021. As part of the credit as part of the application process under Collier County Ordinance 206-46, section 2.3.9, Mr. Aguilar was required to submit a personal and business credit report. Mr. Aguilar's personal credit report was reviewed and appears not to meet financial responsibility as set forth in section 2.5.1 subsection D, the applicant or qualifier meets the requirement for financial responsibility as set forth in Rule 61 G415-006 of the State of Florida. A review of the personal credit report submitted by Mr. Aguilar shows the following area of concern. Mr. Aguilar's current report shows a score of 525, which is below the minimum credit score required by rule of 660. The following areas of concern were noted as collections: $1,352 by AMEX dated February of 2023; $358 from Capital One dated February of 2023; $2,378 from GS Bank USA dated February of 2023, for a total collection of $4,088. ■ As part of the review process by staff, Mr. Aguilar was required to submit verification of experience from the following licensed contractors outlining his experience — Jeff Wilson Pools Incorporated, Theresa Burnett, director, is a state certified pool and spa 10 Packet Pg. 13 4.A.1 June 21, 2023 contractor. Mr. Aguilar has been employed from June 2019 to present full-time. Mr. Aguilar's duties are that of installing paver block, tile, coping and some pool related repairs. It was noted that Ms. Burnett stated that Jeff Wilson Pools does not build new pools. Nassau Pool Construction, Brian Hicks, vice president of construction, which again is a state certified pool and spa contractor, Mr. Aguilar has been a subcontractor as a 1099 employee from March 2019 to present. Mr. Aguilar's duties have been tile work and some repair work. Mr. Aguilar has not built any pools for this company. ■ Based upon the information received from Mr. Aguilar, he does not meet the minimum requirements as set forth of the ordinance 206-46 as it relates to financial responsibility and is the opinion of staff that Mr. Aguilar does not meet the experience required under section of the ordinance, 206-46 section 1.6.2.8 as it relates to the trade of residential pool and spa contractor. Mr. Aguilar has been referred to the Board under section 2.5.2 referral of the application to the Contractor Licensing Board for decision. Mr. Aguilar is here to answer your questions regarding his credit and experience. 14 ■ Mr. Aguilar: I have an updated credit report where I paid off Capital One, GS Bank 0 and Wells Fargo. I am still in contact with AMEX. They told me they had passed my a balance to a collector, but then we're going to get it back so I can negotiate with them a and they could probably remove it from my report but pay the full amount to them. I have an updated report yesterday. o ■ Todd Allen: Yes, can we see that? ■ Richard Joslin: While we're looking at that can you give me insight on your v experience for pools? ■ Mr. Aguilar: I started at a young age with my dad since I was ten or 11 years old and he would take me to the job site. So I've been eating, sleeping and breathing pools all my life. We've done major repairs and major installs for Nassau pools, the oldest pool but here in Naples. For any type of big concern they always call us and I'm the one that's in front of the company right now. My dad retired three years ago, so he's a supervisor on the side. But I'm the one taking the company now. I've done work with the guys that do the rebar. I've done the excavation tool. I know how to read the prints. I've done the wiring, the ground wiring on the rebar, putting it on to the attachments of the handrail of all the access areas running it to the equipment, doing the pre -plumbing, testing it at 35 PSI for 50 minutes, so there are no leaks in the plumbing, the Shotcrete types of cement. There's the type one that is normal or the regular, type two for sea fronts that have no salt affect on the concrete. I've done the coping. I have a license right now for paver, so I do paver work for a lot of companies here especially Nassau pools and Jeff Wilson. But I've also done work for Sunshine Pools. I've done work for other contractors, and I've done work as well for Primo Pools up in Port Charlotte. ■ Richard Joslin: What kind of work did you do with the other companies? ■ Mr. Aguilar: A lot of repair work, coping, tile and paving. I was a 1099 subcontractor. ■ Richard Joslin: You know you can't do that. I'm a pool contractor. ■ Mr. Aguilar: I was their employee. They cut me a check with taxes taken. 11 Packet Pg. 14 June 21, 2023 4.A.1 ■ Terry Jerulle: I have a house on the beach up in Hickory that I'm going to be building and they want an elevated pool. Can you build an elevated pool? ■ Mr. Aguilar: I've seen how they do it but have never done one. ■ Elle Hunt: Explain to us the process that you would do building his pool. ■ Mr. Aguilar: We get the prints from the engineer. Then we schedule the pilings. Because it's on beachfront or waterfront, class C soil so everything is very loose, we get the number of pilings from the print. We install the pilings, and the forming, and I don't remember the name but it supports the weight of the concrete. You do dependently one level twisting it one by one. Then we run the pre -plumbing, do the rebar #5. On Bonita Beach helping my godfather, we did two layers of rebar, one on the bottom with four inch spacing. Then the second layer on the top so that we have the reinforcement because of the waterfront and then we pour the concrete. That's Type 2. Then we get the inspector to come out and check was has been done so far. ■ Richard Joslin: And how long ago was this? And the company you worked for? ■ Mr. Aguilar: It was COVID 2020. Diamond Pools. My godfather was working for them. The owner is Diamond Lamont. The rebar was a grade 60, #5. ■ Kyle Lantz: What do you want to do with this license? ■ Mr. Aguilar: Focus mostly on coping, tile and renovations, overall renovations. People ask can you do a renovation in the future? ■ Discussion ensued regarding pool maintenance, minor repairs, chemistry, water balance, not enough experience with constructing a pool, etc. ■ Todd Allen: Do you want to withdraw your application and resubmit for the Pool Service and Repair License? I don't think we heard enough today to give you a residential pool spa contractor license. ■ Mr. Aguilar: Yes, withdraw. Will submit for a Pool Spa Servicing Contractor. No structural work. (G)Orlando Blanco, Jr.: Sworn testimony given to Mr. Blanco. ■ Timothy Crofts: Mr. Blanco has submitted an application for the issuance of garage door installation contractor, which requires 12 months experience. As part of the application process for the issuance of a garage door installation license, Mr. Blanco was required to submit documentation showing his experience. As part of the review process by staff, Mr. Blanco submitted a verification of experience from current employer, showing that Mr. Blanco was a full-time employee from February 2022 to January 27, 2023, when the verification of experience was submitted. Allied Doors of West Florida, which is a local garage door installation contractor and speaking with the general manager of this company, he declined to answer any questions as no comment regarding Mr. Blanco's scope of work or the quality of his work. Mr. Blanco also submitted a W2 tax form from Garage Doors of Naples. However, staff was unable to confirm this information and at this time we were unable to confirm any scope of work. Based on the information received it is the staffs' opinion that Mr. Blanco does not meet the requirements that's set forth in ordinance 206-46 as it relates to experience under section 1.6.3.7 as garage door installation contractor. Because Mr. Blanco does not meet the required qualifications needed for the issuance 12 Packet Pg. 15 4.A.1 June 21, 2023 of a garage door installation license, Mr. Blanco is being referred to the Board under section 2.5.2 referral of the application to the Contractor Licensing Board for a decision, and Mr. Blanco is here today to answer your questions regarding his experience. ■ Orlando Blanco: My experience started when a buddy of mine told me to go over to Garage Doors of Naples. I was there for seven or eight months. He was teaching me the basics of the trust layouts where you see the prints for that type of door depending on the wind loads and all that stuff. Then from there they let me loose by myself, started getting more into the work. Went to Allied Doors and that's where the quality of my work changed. They taught me residential, like the takedowns, when there's an old garage door in and when you're going to put in the new one, check for the stub placements on the bucks and some are 6 inches and then you go to 12 to 16 from there to reinforce the buck on the current house. Just learned the windows of different doors and all that for different houses. Garage Doors of Naples, they weren't going to 0 say anything because we've had other employees that have left to get their license and J they told me they weren't going to say anything; on Allied though, I'm not sure why. 0 ■ Matthew Nolton: How many garage doors do you think you installed? a ■ Orlando Blanco: Over 100. a ■ Matthew Nolton: New construction and replacement and roll up doors? ■ Orlando Blanco: Yes. Roll up doors I did it twice. I don't really do commercial work o for the garage doors. The craziest thing I've done was for house in Frontier on Gordon Dr. It was a rear torsion assembly. So the springs on the garage doors are usually in v the front. We had to come up with a different layout because the architecture of that o house had the windows up front. So we couldn't put the springs there. So instead of r having it in the front, you put it in the back. We had to make new cables and come up o with a different winding mechanism for the springs to make it work. 0 ■ Kyle Lantz: How long were you at Garage Doors of Naples? ■ Orlando Blanco: Six to seven months —August to February. It was over 40 hours per Z week, more like 50-60 hours. I'm still at Allied but they're now called Mo Better. ■ Kyle Lantz: When I look at it, I see two W2's on page 270 and 271. For Allied, you 0 made $52-$54,000. That's a year. ■ Orlando Blanco: When Mo Better came in from June they started a different pay — 0 per door instead of hourly. The W2 for Naples only shows $5,600 — the one month a that same year I went over to Allied. I couldn't find a W2. ■ Kyle Lantz: Side note -- on page 267 and 269 on his tax return, his direct deposit information needs to be covered up. ■ Further discussion ensued regarding Mr. Blanco's business name, advertising, E marketing of his company, the potential temptation of doing other work if asked by a client. Q ■ ■ Elle Hunt: Using the name Butterfly Homes, we are trying to nicely say that this may be very confusing to consumers. You will be licensed specifically for garage doors, but the name implies some level of home skills -- remodeling, home building. Butterfly Homes sounds much more general than Butterfly Garages as an example. 13 Packet Pg. 16 4.A.1 June 21, 2023 ■ Further discussion ensued regarding Mr. Blanco's business name, advertising, marketing of his company, the potential temptation of doing other work if asked by a client. ■ Timothy Crofts: I would recommend that the license be granted for residential only through the applicant's own admission. He's had very little skill or trade experience in installing commercial garage doors. I recommend a restricted license for residential style garage door installation only. ■ Todd Allen: I'll make a motion adopting the county's recommendation. ■ Kyle Lantz: I'll second it. All in favor — aye. The motion passed unanimously, 8-0. ■ Kyle Lantz: I want to clarify something on our motion. Would that be residential buildings or residential style doors? ■ Mr. Crotts: That would be residential style buildings. ■ Terry Jerulle: We should come back in a year and ask the Board to remove those restrictions. ■ Todd Allen: Ten minute break. a a ■ Todd Allen: Reconvenes meeting. a Q 9. Old Business o None. N 10. Public Hearings o ■ Jose A. Betancourt Paz DBA J.A.B. Painting Inc. r ■ Kevin Noell, Esq. o Sworn testimony given to both parties, Mr. Betancourt and Mr. Noell. 0 ■ Todd Allen: Do I have a motion to open the public hearing? ■ Terry Jerulle: Motion to open. Z ■ Elle Hunt: Seconded All in favor — aye. The motion passed unanimously, 8-0. ■ Todd Allen: Would the County like to introduce their complaint? ■ Michael Bogart: For the record, Michael Bogart, Collier County Licensing Investigator. A copy of the hearing preamble was given to you and read by the respondent. He has initialed and dated the copy. I would like to enter the preamble and packet for case 2023-13 into evidence at this time. ■ Matthew Nolton: I move to accept the preamble and package into evidence. ■ Kyle Lantz: I second the motion. All in favor — aye. The motion passed unanimously, 8-0. ■ Michael Bogart: I have a brief opening statement. The respondent, Jose Betancourt, a Collier County licensed painting contractor with issuance 20190001357, is the qualifier for and owner of JAB Painting, Inc. Mr. Betancourt contracted, received payment and performed drywall and metal stud installation during the State of Emergency due to Hurricane Ian at 6849 Grenadier Blvd. without a permit where one 14 Packet Pg. 17 4.A.1 June 21, 2023 was required. Mr. Betancourt is in violation of the Collier County Code of Laws and Ordinances, section 22.2012 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 the scope of his or her competency as listed on his or her competency card, and as defined in this ordinance or as restricted by the Contractor Licensing Board. Mr. Betancourt is also in violation of Collier County Code of Laws and Ordinances, section 22.20118, which states in pertinent part that it is misconduct by a holder of a 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. ■ Jose Betancourt: I am guilty. I agree with all that was said and I'm open to whatever I have to do. ■ Todd Allen: So you're admitting guilt? Kevin, can you give some guidance? ■ Kevin Noell: I think whatever the Board's pleasure — if the Board wants to hear just the facts in case there's anything that's egregious or anything that would impact any sanctions and things like that. But as far as you know, the formalities of going through question and answer, I don't think that's necessary as there's an admission of guilt. a ■ Michael Bogart: On May 9, 2023, Collier County Building Review and Permitting 1* Division Director, Richard Long reported unpermitted interior renovations at 6849 0 Grenadier Blvd. A contractor licensing case was open to investigate further. Upon investigation, it was discovered on January 18, 2023, JAB Painting, Inc. entered into v written contracts with the property owner, Saint Lawrence, at Water Park Place HOA o for drywall and metal stud replacement at 6849 Grenadier Blvd. through agreed upon r amounts through various contracts and invoices was $730,000. An initial deposit o payment of $64,242.50 was paid on February 14 to JAB with business check 1122 0 and there were three other subsequent business checks that were paid to JAB Painting, Inc. for a grand total of $530,221.63. On May 9, Michael Bogert, Collier Z County licensing investigator, observed finished drywall installation on the first floor and cabanas at 6849 Grenadier Blvd. I did a review of the county permitting records o and it revealed no building permits were issued for the drywall installation. A stop Q work order was issued. On May 9, Deputy Chief building official, Doug Esposito, 0 determined a permit was required for the drywall installation. On May 30, a meeting a was scheduled with Mr. Betancourt regarding the drywall installation performed by his company. During the meeting, he did confirm that he had contracted with Saint Lawrence at Water Park Place for $730,000 to install roughly 200 sheets of drywall and 20 metal studs between the first floor and cabanas at 6849 Grenadier Blvd. At the time, Mr. Betancourt stated he was unaware of the need for permitting regarding the installation and he was unaware that his license could not install the drywall. ■ Todd Allen: Do I have a motion for finding of guilt or innocence? ■ Miester: I make a motion that we find him guilty on both counts. ■ Terry Jerulle: I second the motion. ■ Todd Allen: Any discussion? All in favor — aye. The motion passed unanimously, 8- 0. 15 Packet Pg. 18 4.A.1 June 21, 2023 Does the County have any recommendations? ■ Kevin Noell: A motion just for procedural sake a motion to close the hearing. ■ Terry Jerulle: If we close the hearing am I allowed to ask the witness questions? ■ Kevin Noell: The purposes of the hearing is more for the cross examination and the introduction of evidence. Whatever the Board's pleasure, if you want to close it and then ask questions or ask questions during, I don't think this would be as formal as our typical hearing when there's an admission. ■ Further discussion by the Board regarding Mr. Betancourt's job at 6849 Grenadier Blvd.: • Past experience with drywall • Painting • Baseboards but no millwork • No electrical or plumbing U- • Metal studs — not much 0 • The price of painting and as well as drywall charged 0 • No demolition W a • The job was signed off by the Board of Directors with the knowledge from the a a HOA manager Q • Was a drywall contractor before with my uncle 0 • Working for the building a couple of years c • Close to $400,000 in drywall alone N ■ Michael Bogart: A case is being referred to Code Enforcement as we speak at the N end of today. N ■ Mr. Betancourt: I have an application already for drywall and today at 1:00 is my N exam. ■ Michael Bogart: There was no permit ever applied for. There was a general contractor on site who may not actually be doing that project to take care of the permitting that was required at this time. But yes, it does require a permit. ■ Timothy Crotts: Licensing along with the Building Department, has met with the property management and Condo Board Association with this and there are some other issues involving this building that were initially cited for what had come up. This was something we found out afterwards, so the Building Department is currently working with the property management, the condo association and a general contractor for which they're looking to hire, to solve all these issues. They know that there's going to be some permits that are going to be needed for this first floor and there may be even issues where some work may have been covered up prior. But they are working with a general contractor currently. ■ Matthew Nolton: Motion that we find the respondent guilty on both counts. ■ Todd Allen: I'll second. Any discussion? All in favor — aye. The motion passed unanimously, 8-0. ■ Matthew Nolton: Motion that we close the public hearing. ■ Todd Allen: I second the motion. All in favor — aye. 16 Packet Pg. 19 4.A.1 June 21, 2023 ■ Kevin Noell: And then the range of disciplinary sanctions is found on bate stamp bottom right hand corner of the packet, page 306. When the Board is considering the sanctions, the factors that the Board can consider as the gravity of the violation, the impact of the violation on public health, welfare, or safety or any actions taken by the violator to correct the violation. I'm sorry, any previous violations committed by the violator and any other evidence that's presented at the hearing that the Board finds relevant to the sanctions. ■ Todd Allen: Does the county have any recommendations? ■ Timothy Crotts: Yes, Mr. Chairman, for consistency on Count 1, County is going to recommend a $2,000 fine to be paid within 30 days. Failure to pay the fine within 30 days will result in the respondent's license being automatically revoked. License of the respondent would be placed on probation for a period of 12 months. On Count 2, a $1,000 fine to be paid within 30 days. Failure to pay the fine within 30 days will result in respondent's license being automatically revoked. License of the respondent will be placed on a 12 month probationary period concurrently with Count 1. ■ Discussion ensued pertaining to: • The amount of the respondent's project amount. a • The fine seems very light. a • The respondent is taking his drywall exam for Collier County later today. • The county could issue the drywall license if respondent meets the experience. • Or the Board could require the respondent to appear in front of the Board just to N make sure that he understands there would be no issues working outside the scope M of that license. o • The fine is not enough and the respondent could go outside his license in particular if there's another hurricane. • The management company and the HOA have culpability but this doesn't have any bearing on what he will be fined. • Increase the fine to $10,000. • Increase the probation. • Consistency and historically of the amount of the fine • Setting a new precedent? I like consistency. • A lesson to be learned • Longer probation? ■ Todd Allen: I'm going to make a motion that we impose a fine of $4000 on Count 1 payable within 30 days and if it's not within 30 days, his license is revoked and that he is on 24 month probation. And then the same for Count 2, a $4000 fine 30 day payment. If not, it is revoked and then 24 month probation concurrent with Count 1. ■ Colleen Kerins: With the probation, the Board should keep in mind with the new law change painting will be one of the licenses that will be most likely going away as of July 1 of next year. I just want to make you all aware as to where we currently stand. ■ Terry Jerulle: Seconds the motion. ■ Todd Allen: So we have a motion and a second. Any further discussion? All in favor — seven in favor; Matthew Nolton — nay. So it passes 7 to 1. 17 Packet Pg. 20 4.A.1 June 21, 2023 ■ Todd Allen: 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 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 Council. The Board has jurisdiction over the respondent and subject matter raised in the M o administrative complaint. The respondent committed the violations as set forth in Count 1 and Count 2 of the administrative complaint. Therefore, by a vote of seven in favor and one opposed the respondent is found guilty as set forth in Count 1 and Count 2 in the administrative complaint, and the Board imposes the following LU sanctions against the respondent. For Count 1: respondent shall pay a $4000 fine z_ within 30 days. If the fine is not paid within the 30 days, his license will be M U- automatically revoked and his license will be placed on probation for 24 months. On o Count 2: the fine will be imposed of $4000 which shall be paid within 30 days. If not paid within that 30 day period, his license will be revoked and he will serve a 24 0 month probation on Count 2 which will be concurrent with Count 1. Did I miss a anything? a ■ Matthew Nolton: The guilty verdict was actually unanimous. The seven to one was just on the fine. o ■ Todd Allen: I'll amend that. Therefore by a vote of 8 in favor and 0 opposed, the respondent is found guilty of the violation set forth in Count 1 and Count 2 of the v administrative complaint. Did I miss anything on the sanctions? This concludes the Board on this matter. 11. Next Meeting Date ■ Todd Allen: July 19, 2023 Motion to adjourn? ■ Richard Joslin: Made motion to adjourn. ■ Todd Allen: Seconded. All in favor — aye. The motion passed unanimously, 8-0. There being no further business for the good of the County, the meeting was adjourned at 11:00 AM. Collier County Contractors' Licensing Board 18 Packet Pg. 21 June 21, 2023 4.A.1 Todd Allen, Board Chairman These minutes were approved by the Chairman of the Con tractors'Licensing Board on (check one) as submitted or as amended 19 Packet Pg. 22 8.A 07/19/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 8.A Doc ID: 26091 Item Summary: 8A. ORDERS OF THE BOARD (10 ITEMS) Meeting Date: 07/19/2023 Prepared by: Title: — Contractor Licensing Name: Alyshia Morse 07/12/2023 3:21 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 07/12/2023 3:21 PM Approved By: Review: Contractor Licensing Sandra Delgado Review item Completed 07/12/2023 4:23 PM Contractor Licensing Tim Crotts Review Item Completed 07/13/2023 7:31 AM Contractor Licensing Tim Crotts Meeting Pending 07/19/2023 9:00 AM Packet Pg. 23 8.A.1 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY CHARLES C. WILLEY 5677 HERON LANE UNIT 107 NAPLES, FL 34110 CLB Agenda Date: July 19, 2023 Pursuant to Collier County Ordinance 2006-46 Section 4.3.5.1, Collier County Contractor Licensing Board issued a Civil Penalty on 3/1312023, to CHARLES C. WILLEY DBA O Cn ASPHALT MAINTENANCE & SEALCOAT INC, in the amount of $2,000. THE W PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) (g), Florida Statutes, the w 0 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 Certificate of 0 Competency. If the penalty is not paid in full within 15* days, this ORDER may be co recorded in the public records of Collier County and thereafter shall constitute a lien r against any real or personal property owned by the violator. After 3 months from the filing c of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. w DATE: CHAIRMAN TODD ALLEN Print Name Attorney to the CLB KEVIN NOELL Code Enforcement Manager 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 Ref: CEMIS20220011243 Packet Pg. 24 8.A.1 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Rios, Jose Mauricio 3018 41 st Ter SW Naples, FL 34118 CLB Agenda Date: July 19, 2023 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 12626 CEUL20230003762 on 05/19/23, to Rios, Jose Mauricio, 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: Code Enforcement Manager 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. 25 8.A.1 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY JONES, HUNTER KULLEN 3148 50TH ST SW NAPLES, FL 34116 CLB Agenda Date: July 19, 2023 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 11913 CEUL20230004520 on 05117/23, to JONES, HUNTER KULLEN. 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; 9 - 19 — �03 Code Enforcement Manager 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 Packet Pg. 26 8.A.1 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY JONES, HUNTER KULLEN 3148 50TH ST SW NAPLES, FL 34116 CLB Agenda Date: July. 19 2023 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 11941 CEUL20230004333 on 05/17123, to JONES, HUNTER KULLEN, 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 ` ) I ` 010d-3 Code Enforcement Manager 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 Q Packet Pg. 27 8.A.1 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Darby, Daniel Marc 1460 Golden Gate Parkway Unit 103 Naples, FL 34105 CLB Agenda Date: July 19, 2023 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 11910 CEUL20230001992 on 04/03123, to Darby, Daniel Marc, 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. DATE.-- I f'� ~ �C,� J CHAIRMAN TODD Al LEN Print Name Attorney to the CLB KEVIN NOELL Code Enforcement Manager 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 Packet Pg. 28 8.A.1 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Ehrlichman, Matt 411 1 st Ave S. Suite 501 Seattle, WA 98104 CLB Agenda Date: July 19, 2023 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 11912 CEUL20230003977 on 05/09/23 to Ehriichman Mattin 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. DATE: `9 Y 1 9 - � o2 3 CHAIRMAN TODD ALLEN Print Name Attorney to the CLB KEVIN NOELL Code Enforcement Manager 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. 29 8.A.1 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Rolando Mejia 167 Nimitz st Naples, FL 34104 CLB Agenda Date: July 19, 2023 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 12718 CEUL20230004791 on 05/25/23, to Rolando Melia, in the amount of $1 000 00, within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) (g), Florida Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. If the penalty is not paid in full within 15* days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. CHAIRMAN TODD ALLEN Print Name Attorney to the CLB KEVIN NOELL DATE: v I �U,43 Code Enforcement Manager 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 Q Go Packet Pg. 30 8.A.1 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Rios, Jose Mauricio 3018 41 st Ter SW Naples, FL 34118 CLB Agenda Date: July 19, 2023 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management co Department/Licensing Section issued Citation No. 12627 CECV20230004613 on W w 05/19/23, to Rios, Jose Mauricio, in the amount of $1,000.00, within 10 days of o issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) O (g), Florida Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 d days from the date of mailing a copy of the ORDER to the violator's address as noted on 00 the Citation. If the penalty is not paid in full within 15* days, this ORDER may be recorded o in the public records of Collier County and thereafter shall constitute a lien against any N 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. w o 2 DATE: I—lci-) CHAIRMAN TODD ALLEN Print Name Attorney to the CLB KEVIN NOELL Code Enforcement Manager 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 STEVENSON, DONALD ARTHUR (DIBIA) LOTUS ARCHITECTURE LLC 10 THORNBRIAR CT TRAVELERS REST, SC 29690-9538 CLB Agenda Date: ,July 19. 2023 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management co Department/Licensing Section issued Citation No. 12707 CECV20230003546 on W 04/24123, to STEVENSON, DONALD ARTHUR (DIBIAI LOTUS ARCHITECTURE LLCM 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 co 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 o 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 in by the violator. After 3 months from the filing of any such lien which remains unpaid, the 2 Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. DATE: [ ~ l � o1b, �)-,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. 32 8.A.1 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Juan Mendez Chavez 5280 HUNTER BLVD APT B Naples, FL 34116 CLB Agenda Date: July 19. 2023 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 12668 CEUL20230002060 on 03108/23, to Juan Mendez Chavez, 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: 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 a 0 W N Packet Pg. 33 8.B 07/19/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 8.13 Doc ID: 26092 Item Summary: 8B. RENE LUCAS MAZARIEGOS — REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - INNOVA BUILDERS, INC Meeting Date: 07/19/2023 Prepared by: Title: — Contractor Licensing Name: Alyshia Morse 07/12/2023 3:22 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 07/12/2023 3:22 PM Approved By: Review: Contractor Licensing Sandra Delgado Review item Completed 07/12/2023 4:25 PM Contractor Licensing Tim Crotts Review Item Completed 07/13/2023 7:31 AM Contractor Licensing Tim Crotts Meeting Pending 07/19/2023 9:00 AM Packet Pg. 34 8.B.1 zlih Cow ier Couvlty Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY FIRM APPLICATION FOR COLLIER COYMY C off0t) j CERTIFICATE OF COMPETENCY �0) 3 - LO - 1 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 ❑ Electrician $230.00 ❑ Building $230.00 ❑ Plumber $230.00 1?fResidential $230.00 ❑ Air Conditioner $230.00 ❑ Mechanical $230.00 ❑ Swimming Pool $230.00 ❑ Roofing $230.00 ❑ Specialty $205.00 Specialty Trade: I. APPLICANT PERSONAL INFORMATION: Name: ) 1 ene L 00 015 � %�dzcjr�j0S First Middle tnitial Last Business Name: . /. *,7 &44 Address: ;, D3,7 � 4 /e6- SW Agp4 ' , ,cL. 3,e111 _ Street City state Zip Email: Oar Ge C� /1174ya �V' Cr✓' OTC% Telephone: CZ .5q y65�- I'M *SS # (Last 4 digits only): 665'-7- Date of Birth:_ G%/-?nZ/w Driver's License #1 (Last 4 digits only): 35ol 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. 712022 Page 3 of 14 Operations & Regulatory Management Division, Contractor Licensing . 2800 North Horseshoe Drive • Naples, FL 34104 . (239) 252-2431 contractors licensin colIiercount Fl. gov m 00 N Cn O W F4 a Packet Pg. 35 8.B.1 1.6.1.3. Residential Contractor requires forty-eight (48) months experience with a passing grade on a-M*-({) heff An_g2provLd test and u twe-(3)hout: business and law test and means a contractor whose services are limited to construction, remodeling, repair, or improvement of one -family, two-family, or three-family residences not exceeding two stories in height and accessory use structures in connection therewith. 00 00 m Go c a� E M V a Packet Pg. 36 8.B.1 Cover 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: f eSS t f a 1J �4 Name: '!� 0 Y1'C7S 7! Telephone: C2M S 2-3113� 9 1 Telephone: C2 3y J — cl t Il. NAME OF APPLICANT'S BUSINESS: -1 Business Name: 13 U I dOrS IU G Business Address: 2 o3 -rh T ery S w Nq'e s I— L 3Z // 6 �� 5treet �^—City State Zip Telephone: C2 3 6 y 16 J�G 1 / y Email: 1 Ge GV Innoto 4u alder. p Federal ID Tax No.: 9 5-2 q S3 /1 [[I. 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 contendere to, regardless of adjudication, a crime in any jurisdiction within the past 10 years?* Had claims or lawsuits filed for unpaid or past due accounts by your creditors as a result of construction experience? /Been charged with or convicted of acting as a contractor without a license, or if licensed as a "subject contractor in this or any other state, been to" disciplinary action by a state, county, or municipality? NOTE. If you have answer YES to any of the questions below, you must attach a written explanation including the nature of the charges, dates, and outcomes, sentences of conditions imposed. You must also attach proof of payment, satisfaction of lien or judgement, bankruptcy discharge, or agreements for payment.*If you have had a felony conviction, proof that your civil rights have been restored will be required prior to licensure. Contractor Licensing — FIRM Application Rev. 712022 Page 4 of 14 m 0 N rn 0 m N a Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslicensin colliercouni fl. ov Packet Pg. 37 8.B.1 Co Ter 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: /' Iohrs 0,5 t/Q %ru41 /Yla3onry hcetsc �ar.ti � l,tewSe, List below non formal education (on the job training) you have obtained in the area of competency for which this application is being made: 5 v e�1�iSor, �Ya�esmanG'%No��/ /�v,.�,�s v�tr►'!�r kry wa IV 0 4'4 CQ Ana 19a rA-ol- CURRENT/PREVIOUS LICENSE: List below and attach copies any other certificates of competencyllicenses you hold/have held in Collier County or any other jurisdiction. Include the license ##, Type, and county you hold it in. ccq&frachr C o Ili ry L Cc z 0q u o C/ t+ If ,Lee Ll c 2,0) ' -0057 6 gr��fmy Corr�roc;(Oe Colfler'h' LGc 20110000 13g3 AFFIDAVIT Under the penalties of perjury, I declare that I have read the foregoing application and the facts stated in it are true. fle,17e Co. Lc,G�r S Applicant (please print) Signatur of Applicant State of AJ Ar County of m 0 N rn 0 m N befo by or ❑ online notarization on this tY The foregoing instrument was acknowledged me means of physical presence N Z day of, 20 2 3 , by Q Such person(s) Notary Public must check applicable box: to U y a KELVIN SANTOS ❑ are personally known to me 0 tas produced a current driver license oti `'A� Notary Public, State of Florida :3 J r " Commission# HH 300599 w ❑ has produced PL as identification. Iti4y oomrn,expires Aug. 2028 w W (Notary Seal) m 0 c m Notary Signature• Pa e5of14 Contractor Licensing — FILM Application Rev. 712022 g +a Q Operations S, Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 conlractorslicensina aO-colliercountyil.gov T Packet Pg. 38 8.B.1 CO Ter County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY CERTIFICATION OF APPLICATION The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County No. 2006-46, as amended, and under penalties of perjury. I declare that I have read the foregoing qualifier information and that the facts stated in it are true. The undersigned hereby certifies that he is legally qualified to act on behalf of the business organization sought to be licensed in all matters connected with its contracting business and that he has full authority to supervise construction undertaken by himself or such business or organization and that he will continue during this registration to be able to so bind said business organization. The qualified license holder understands that in all contracting matters, he/she will be held strictly accountable for any and all activities involving his license. Any willful falsification of any information contained herein is grounds for disqualification. State of4 I r)11' '�3Erl e 6. Lc .5 Applicant (please print (11lq O[il 14'Prs i / it%C Name of Company Signature of Applicant County of (XA"/- m 1411 foregoing instrument was acknowledged befo e by means of physical presence or ❑ online notarization on (It is "I day of _ , 20 7i 3 , by 2+..0 % Gt+ Such person(s) Notary Public must check applicable box: ll are personally known to me l0lias produced a current driver license ❑ has produced 'rL � as identification. (Notary Seat) Notary Signature:t-�--� KELVIN SANTOS a&m� Notary Public, State of Florida r " Commission# HH 300599 I-'1V ,xOmm. expires Aug. 14, 2026 Contractor Licensing - FIRM Application Rev. 712022 Page 6 of 14 Operations & Regulatory Management Division, Contractor Licensing . 2800 North Horseshoe Drive • Naples, FL 34104 . (239) 252-2431 tri 0 N rn 0 m F4 m 0 c m E t €a a contraclorslicons inn a(-colliercounlyfl.-gov Packet Pg. 39 8.B.1 COttleY C01414ty 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. /;�e�7 e 6 ' Applicant (please print �_ ;IA )V, 30-10101- /1VC Name of Company Signature of Applica t BEFORE ME this day personally appeared JRe oe G * G61G4'--4T 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 County of (..a f l i V/— The foregoing i strunient vas acknowledged bef me by means of U physical presence or Elonline notarization on this day of 1, 20> byy►R tl LC.a C- Such person(s) Notary Public niust check applicable box: ❑ are personally known to me Wias produced a current driver license ❑ has produced f L as identification. _ 7 (Notary Seal) KELVIN SANTOS o~�� a�e� Notary Pubk . State of Florida r Commission# HH 300599 Nly comm. expires Aug. 14, 2026 Contractor Licensing — FIRM Application Rev. 712022 Notary Signature: d� Page 7 of 14 m 0 N rn 0 m N m 0 c m E t v R a Operations & Regulatory Management Division, Contractor Licensing e 2800 North Horseshoe Drive • Naples, FL 34104 . (239) 252-2431 contractorslicensing aQcolliercountyfl.gov Packet Pg. 40 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 — Rene G, Lucas Mazariegos Candidate #: 27803500L Testing Ft. Myers, FL Final Score Result: January 18, 2017 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 January 16, 2017. If you have any further questions, please do not hesitate to contact us. Sincerely, Jay E. Bowermeister President m 00 N M O t0 N rn 00 c a� E �a a PO Box 831127 Ocala, Florida 34483-1127 -- Voice (352) 369-GITS — Fax (352) 387-2443 800 997 2129 Packet Pg. 41 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: Nanie -- Rene G. Lucas Mazariegos Candidate #. 27803500L Testing Site: Ft. Myers, FL Final Score Result: October 19, 2018 General Unlimited Contractor Score: 88% 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 19, 2018. If you have any further questions, please do not hesitate to contact its. Sincerely, Jay E. Bowermeister President PO Box 831127 Ocala, Florida 34483-1127 — Voice (352) 369-GITS — Fax (352) 387-2443 800 997 2129 Ed 00 N O O Co N m 00 c aD E M Q Packet Pg. 42 8.B.1 BUSINESS CREDIT REPORT 27911 Crown Lake Blvd Suite #t 211 Bonita Springs, FL 34135 Cd Phone:239.777.1028 0 Fax: 877.275.3593 m N www.LicensesEtc.com z as of; 02/20/23 15:50 ET Innova Builders Inc Fed Tax ID# 85-2953143 Address: 2037 49th Ter SW Key Personnel: President: Lucas M Rene Naples, FL 34116-5741 President: M R Lucas United States SIC Code: 1542-Nonresidential Phone: 239-465-7914 Construction, Nec NAICS Code: 236220-Commercial And Experian BIN: 492611483 Institutional Building Agent: Lucas M Rene Construction Agent Address: 2037 49 TH Terr SW Business Type: Corporation Naples, FL Experian Fife Septeniher 2020 Experian Years on 3 Years File: Years in Business: More than 3 Years Total Employees: 10 Filing Data Florida Provided by: Date of 08/28/2020 Incorporation: m Go c m E PUBLIC RECORDS HAVE BEEN SEARCHED AT THE COUNTY, STATE AND FEDERAL LEVELS. R `' Bankruptcies: 0 Q Pag Packet Pg. 43 8.B.1 tit Liens: ✓ Judgments Filed: ✓ Collections: END OF REPORT 00 0 N M 0 m M 0 c m E t V R a Page Packet Pg. 44 8.B.1 Cd 00 N O) N GoreLogic Credco Instant Merge Credit Report C re d 'Co gAdd or Upgrade Product Z Ref#: 1-16479-00207-0000 12/16/2022 Supplement Upgrade TID#: 1-16479-00207 12/16/2022 14:33:49 Prepared For: Prepared By: CARDINAL FINANCIAL Client Loan # CoreLogic Credco Requested EFX, XPN, TUC - J COMPANY LP Account # : M0 P.O. BOX 509124, SAN Delivered EFX, XPN, TUC 3701 ARCO CORPORATE DR Notes DIEGO, CA92150 AddlRemove Credit Re ositefy STE 415 Tel: (800)435-5661 CHARLOTTE, NC 28273 US Fax: (800)435-5667 FP,cing nsactlon Cost: $35.14 Attention: OCTANE URL: www.cfedco.com al Cost $35.14 Name Address LUCAS MAZARIEGOS, Current: RENE GERONIMO BELTRAN ROBLES, Current: YESSICAALEJANDRA :COUNT DISTRIBUTION :count Type Number Real Estate 2 Installment 1 Revolving 11 All Other Accounts 0 Total 14 :counts in Dispute: 0 :counts In Forbearance: 0 rAILABLE CREDIT Revolving 99.0% QUIRIES 3-month Total 4 Elim Same Day 3 Adjusted Total 1 New Trades (6 mos) 0 2037 49TH TERRACE SW, NAPLES, FL 34116 2037 49TH TERRACE SW, NAPLES, FL 34116 Address SSN DOBorAge Applicant Type Identifier .-6687 09/30180 APP1 •2875 11/16/92 APP2 CURRENT STATUS (Tradelines) Balance Past Due Payments Current Closed Unrt 30 60 90+ $99,059 $0 $0 1 1 0 0 0 0 $0 $0 $0 0 1 0 0 0 0 $329 $0 $70 4 7 0 0 0 0 $0 $0 $0 0. 0 0 0 0 .0 $99,388 $0 $70 5 9 0 0 0 0 Number of iradellnes with serious derogatory: 0 Accounts with Payment Deferred: 0 Accounts affected by NaturaliDeclared Disaster: 1 $41,471 Authorized UserAccounts: 0 PUBLIC RECORDS HISTORICAL DELINQUENCIES (COUNT) EFX NIA Account Type Last Dlq 30 60 90+ XPN NIA Real Estate 0 0 0 TUC NIA Installment 0 0 0 Last 2 yrs N Revolving 0 0 0 All Other Accounts 0 0 0 Total 0 0 0 Disclaimer: OnlyApplicant(s) information included In the Summary. REPOSITORY ern # Name SSN# Score Date Data Applicant Generated Source Identifier 1 LUCAS MAZARIEGOS, RENE G -6687 799 07-25-14 EFX APP1 2 LUCAS, RENE G -6687 807 ........ XPN APP1 3 LUCAS RENE G 6687 [8011 07-23-14 TUC APP1 m 00 C d E t to a Page 1 of 2 Packet Pg. 45 9/10/2020 Detail by Entity Name $ 13 _p anrrcni nt SE, to / Diyi-, nn ni Cnrpnrafinns / SP.arrh r ernrds I Sepirch by Entity Name / Dq'LaH by Entity Name Florida Profit Corporation INNOVA BUILDERS INC Filing Information Document Number P20000069049 FEl/EIN Number NONE Date Filed 08/28/2020 Effective Date 09/01/2020 State FL Status ACTIVE Principal Address 2037 49TH TERR SW NAPLES NAPLES, FL 34116 Mailing Address 2037 49 TH TERR SW NAPLES, FL 34116 Regislered Agent Name & Address LUCAS M, RENE 2037 49 TH TERR SW NAPLES, FL 34116 Officer/Director Detail Name & Address Title P LUCAS M, RENE 2037 49 TH TERR SW NAPLES, FL 34116 Annual Reports No Annual Reports Filed Document Images C8?28l2020 -- Domestic Prnfit View image in PD, Fermat m 00 N M O t0 N M w r c a) E t V R a sea rch.sunbiz.orglInquiry/CorporationSearchlSearchResultDetail?inquirytype=EntityName&directionType=Initial&searchNameOrder= Packet Pg. 46 Electronic Articles of Incorporation For INNOVA BUILDERS INC P20000069049 FILED August 28, 2020 Sec. Of State Iskervin 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: INNOVA BUILDERS INC Article II The principal place of business address: 2037 49TH TERR SW NAPLES NAPLES, FL. US 34116 The mailing address of the corporation is: 2037 49 TH TERR SW NAPLES, FL. 34116 Article III The purpose for which this corporation is organized is: CONSTRUCTION AND PAINTING Article IV The number of shares the corporation is authorized to issue is: Article V The name and Florida street address of the registered agent is: RENE LUCAS M 2037 49 TH TERR SW NAPLES, FL. 34116 I certify that I am familiar with and accept the responsibilities of registered agent. Registered Agent Signature: RENE LUCAS M ad ao N CD O to m 00 a aD E M a Packet Pg. 47 8.B.1 P20000069049 FILED Article VI August 28, 2020 Sec. Of State The name and address of the incorporator is: Iskervin RENE LUCAS M 2037 49 TH TERR SW NAPLES FL, 34116 Electronic Signature of Incorporator: RENE LUCAS M I am the incorporator submitting these Articles of Incorporation and affirm that the facts stated herein are true. I am aware that false information submitted in a document to the Department of State constitutes a third degree felony as provided for in s.817.155, F.S. I Understand the requirement to file an annual report between January 1 st 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 RENE LUCAS M 2037 49 TH TERR SST NAPLES, FL. 34116 US Article VIII The effective date for this corporation shall be: 09/01/2020 ad ao N 0 N m 00 c aD E a Packet Pg. 48 8.B.1 J� TD C�DEPARTMENT OF THE TREASURY f111iR INTERNAL REVENUE SERVICE CINCINNATI OF 45999-0023 INNOVA BUILDERS INC 2039 49TH TER SW NAPLES, FL 34116 Date of this notice: 09--10--2020 Employer Identification Number: 85-2953143 Form: SS-4 Number of this notice: CP 575 A For assistance you may call us at: 1-800-829-4933 IF YOU WRITE, ATTACH THE STUB AT THE END OF THIS NOTICE. WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER Thank you for applying for an Employer Identification Number (EIN). We assigned you EIN 85-2953143. 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. Based on the information received from you or your representative, you must file the following form(s) by the date(s) shown. Form 1120 04/15/2021 If you have questions about the form(s) or the due date(s) shown, you can call us at the phone number or write to us at the address shown at the top of this notice. If you need help in determining your annual accounting period (tax year), see Publication 538, Accounting Periods and Methods. We assigned you a tax classification based on information obtained from you or your representative. It is not a legal determination of your tax 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 2004-1, 2004-1 I.R.B. 1 (or superseding Revenue Procedure for the year at issue). Note: Certain tax classification elections can be requested by filing Form 8832, Entity Classification Election. See Form 8832 and its instructions for additional information. IMPORTANT INFORMATION FOR S CORPORATION ELECTION: if you intend to elect to file your return as a small business corporation, an election to file a Form 1120-S must be made within certain timeframes and the corporation must meet certain tests. All of this information is included in the instructions for Form 2553, Election by a Small Business Corporation. 00 00 m 00 c d E t v Q Packet Pg. 49 8.B.1 Co er C;ou ity Growth Management Community Development Department m 0 N M APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY 0 m U STATEMENT OF OWNERSHIP Z vi tr This e Z ucus �, I, w J certifies that am a member or managing m APPLICANT'S NAME (please print) Q member of 7o/flv� UlQ'vfs O (LIMITED LIABILITY COMPANY NAME) Z W 1 own /QD 7� % of the units issued by the Limited Liability Company listed above. Affidavit of Applicant: 1 certify under penalty of perjury that the information contained is a true and correct statement to the best of my knowledge. ) elr ,L vas �%G1Za+%C U1 Applicant (please print) otl� ��v/cis, /«C Name of Company Signature of Applicant State of County of I CJY The foregoing in, trutnent was acknowledged efore nee by means of physical presence or ❑ online notarization on this I day of c r, 20�, by �h L c 1' i rI c 0 Such person(s) Notary Public must check applicable box: w ❑ are personally known to me 17Is produced a current driver license NQ ❑ has produced as identification. rn a U (Notary Seal) � J W Z '01Pu* ALYSH1AMORSE IX =o ..... Notary Signature: * ComMlaalon�HH19051l4 * > E>splrea October 25, 2025 0 �'�ov�°�� DadodlM�it�d4�i c m E t R Contractor Licensing -- FIRM Application Rev. 712022 Page 9 of 14 Q Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 con tractors licensin coll ie rcoun(vfl.il ov Packet Pg. 50 8.B.1 Comer County Growth Management Community Devetnpment Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name: 17 � �JUu-i—S 0 Ul Yi o_� Certificate Category Requested: Ae Sr (Jet? PCr! Coyerrt[_'&— 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: r Name: Title: Business Name: Phone: License No. (if applicable): /? ,��� G>4 Business Address: Street city F State Zip The applicant was employed by me from c to .Z 0 ? Z Applicant's title: 5; The applicant's scope of work (specific duties) included: S V { �' h C Gr �� a• r `C ' r-• . r s Additional comments: NOTE TO LICENSED CONTRACTORS: ralsifying any information provided herein may subject your license to revocation. Under penalty of perjury, I declare that the facts stated here are true. yy Ca f h 4! Signature of person providing the statement State of TL. County of t� I The foregoing instrun_}e-nt was acknowledged ibeefor me by me�ncs of B physical presence or ❑ online notarization on this `q day of CV1 , 20 , hY N'fC} [ ���T�MI, Such person(s) Notary Public must check applicable box: ®"are personally known to me ❑ has produced a current driver license ❑ has produced (:N otavy Sea[) rttco�S>�tA��lrt z o�PgYPUB��a Caroni. I11#GG977486 ' expires sot 12, 2024 * * Ag N� QQ Bonded 1111Sll 9T"OF f'p Contractor Ur.onsing - FIRM Application Rev. 712022 as identification. Notary Signature: Page 12 of 14 od 00 a Operations & Regulatory Management Division, Contractor Licensing . 2800 North Horseshoe Drive . Naples, FL 34104 . (239) 252-2431 con tractors I!censing Wcolliercountvfl-gov Packet Pg. 51 8.B.1 S 1 NiaoNj coNjs.��Ru,;oN : 6480 40th st ne na ples fl 34120 03/05/2023 to whom it may concern: Luis Morales owner of Union construction of swfl inc. i hired. Rene Lucas Mazariegos from 2019 to 2022 and he worked as super intendant his job was to supervise jobs organize sub- contractor scheduling and managing and tracking job progress. singerly, Name: Luis morales owner/ Qualifier Business Name: Union construction of 5wfL inc Phone: 239 351 7020 License No. BR. 282812034 00 00 o�9gv rus�,� NIC. LAS MARTINEZ 00 signature * * COMd1ssion#GG971488 ExpfresApri112,2024 Q N�9JF 4! Bonded Traa budget Notary swim E QF FL L Packet Pg. 52 8.B.1 Coer County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name: �Qhe �. LV LCS _Maur y' <Q Certificate Category Requested:C C7E �6.1 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: 6rCt • TitleI: Business Name: Cus�om L1tlgne�3y ItiAyt R4 yt L+�� s�e� b{Y�C $ Phone: _ -1 + "h� q' 7 (rf 3 X 2�10 License No. (if applicable): C 16305 y q Business Address: 94h14 5W PAs rz- 3 C///'`1 Street city' state zip The applicant was employed by me from " C� G d to Applicant's title: l de S ync.vt �`6 ,4N%C a - The applicant's scope of work (specific duties) included: E f f—fy%'Yfa _ 1�i�►t uc.. �` ��iCUtrl 'L. Additional comments: 1'��-�"� WbT,\y.CT1 NOTE TO LICENSED CONTRACTORS: Falsifying any information provided herein ma subject your li to revocation. Under penally of perjury, I declare that the facts stated here are true. Jl County \\ Signature o person providing th ement State of JCIb r� � � Coun of Co t e (` The yyforegoing instrument was acknowledged before the by means of<physical presence or 0 online notarization on this Uay of uul , 20 P , by Such person(s) Notary Public must check applicable box: E TARA L SIIEHLe personally known to me ❑ bas produced a current driver licenseNotary Pubilc • State of PlorfdaCommission k HH t37S38rr� My Comm. Expires Jun 4, 2025 lk*jhas produced as identification. Bonded through National Notary Assn. tri 0 N rn 0 m N (Notary Sea[) m 0 m Notary nature. R Contractor Licensing —FIRM Application Rev. 7i2022 Page 12 of 14 Q Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractors lice nsin ,colliercountvfl.aov Packet Pg. 53 8.B.1 I K KAYE Lifestyle 111 ICS TO: Collier County Growth Management RE: Verification of Residential Construction Experience Date: March 8"' 2023 I Mark Carril Certified General Contractor CGC1530544 Vice President of Construction for Kaye Life Homes am writing this letter as Verification of Residential Construction Experience for RENE G. Lucas Rene has been employed Kaye Lifestyle Homes on various projects from Aug 2020 till present in the capacity of Tradesman, Field Supervisor and Labor in the following fields Framing, Drywall, Paint, Remodeling of Homes, Concrete, Flooring, Cabinetry, Rene G Lucas has shown to have experience and knowledge in the above and is a Honest hard working Person with dedication and integrity Date: / Mark Carril CGC 1530544 VP Kaye Lifestyle Homes State of FLORIDA County of COLLIER The Forgoing instrument was acknowledged before me by the means of Physical Presence 81" day of March 2023 by Mark Carril Such Person Notary Public must Check applicable Box: X Personally Known by me _ Has Produced a currant drivers license Has produced as Identification Ed ao Cn a (Notary Seal) Notary Signatu w TARA L $71EHL Z 4 . W 7 Notary Public • stato of e; 0r1�a Commission N H� 13 7038 oFrt<,• My Comm. Expires fur d, 2025 136 00 30nded through Nation&. rotary Assr. C d E t 910 39th Street SW Naples, Ft. 34117 -- a 239.434.5293 1 WWW.ka eli s l mes.c�m W Packet Pg. 54 8.B.1 Comer County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name: i�YZ[ �' ' 1�ULy`�U7 tl�r i i'C� 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. Th`e_ person verifying trade experience for the above -named applicant must provide the following information: Name: �ol�I� v {' Title: (�uQhAev Business Name: cus6m oome3 e Phone: ).3cl. 9 f - C72-C n� License No. (if applicable): _CEC. l Z-5 J3 tp-7 Business Address: q / to S � •, Ctu f 'i ` - l �N R_ q t (-, Street t� City State Zip The applicant was employed by me from to Di'- es eo Applicant's title: l7 e f` V i in 'h f. l ' t 10 6 t7r L The applicant's scope of work (specific duties) included: (CdiV1(JJPlrVW ShtCC�r �r tr�'hYt� C?OCP_,✓'rjj, S3n, lU�t'rnU Additional comments: NOTE TO LICENSED CONTRACTORS: Falsil�ing any information provided herein may subject your license to revocation. Under penalty of perjury, I declare that the facts stated here are true. /I cr +� ` Signature of State of I `QUA County of ��� (tY i v The foregoing insir0111ent was acknowledged before me by means of [physical presence or ❑ online notarization on this _LOday of Qr��t a , 20 , by Cd h e r , Such person(-,) Notaryubtic nmst check applicable box: TARA L STIEHL g•. are 3crsonatl known to me F1 has produced a current driver license y �; Notary arublfc •Stott! of Florida t Y p =., commission # HH 13163E orrti.,, My Comm. Expires Jun 4, 2025 ❑ has produced as identificationOR In"W"WWWWO .Bonded through National Notary Assn Cd 00 N rn 0 W N (Notary Seal) ad 00 c m Notary4iaturrov(n to Contractor Licensing — FIRM Application Rev. 712022 Page 12 of 14 Q Operations & Regulatory Management Division, Contractor Licensing . 2800 North Horseshoe Drive • Naples, FL 34104 . (239) - contractorsticensing(g)colliercountyfl.gov Packet Pg. 55 8.B.1 cd 00 Cn NNE: y 1985 7015 V To whom it may concern: I, Catherine Kaye, License CBC1253367, am writing this letter as Verification of Residential Construction Experience for Rene G. Lucas. Rene has been employed at Kaye Lifestyle Homes on various projects from August 20;1"1 until present to the capacity of Tradesman, Field Supervisor and Labor in the following fields, Framing, Drywall, Paint, Remodeling of Homes, Concrete, Flooring, Cabinetry. Rene G Lucas has shown to have experience and knowledge in the above and is an honest and hardworking person with dedication and integrity. Date: ­4 �- Catherine Kaye CBC1253367 VP Construction Kaye Lifestyle Homes STATE OF FLORIDA COUNTY OF _Cohrcr The foregoing instrument was acknowledged before me by means of fl physical presence El� online notarization, this day of ff4 (40k , 202-3 , by 4rfxi/ ",A, I~ckthenne La:� (Name of Officer or Agent, Title of Officer or Agent) of a s 1-1(Nameof Corporation Acknowledging), a Flu{,e�N (State or Place of Incor oration) corporation, on behalf of the corporation. He/she is ersonall known to me or has produced (Type of Identification) as identification. ---------- 't*"ue TARA L 5il£HL W ' `�: HotaryPubllc State of Florida (seal) W Sig otar Pubi'��e`,.•' Commission r HH 137838 lY ?FF+Bo d t Comm. EXPiles Jun 4, 2025 � / ��� Bonded through National Notary Assn, m _ 00 Print, Type or Stamp Name of Notary E 910 39th St SW. Naples, FI 34117 239.434.KAYE ca a www.Kayelifesty[eHomes.com info@kayelifestylehomes.com Packet Pg. 56 8.B.1 co xer County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF i�'!—"kz (f;y) COUNTY OF O L I I C." Q ! 4 a t.� "c having been first duly sworn, state and affirm: I am a resident of — O ! e—C County, or 0(ci (State) and have resided here for more than five (5) years. Durina the last five (5) vears l have known 1C1 ` V ca S (applicant). I have had the opportunity to observe his or her business and personal dealings and find him or her to be d p rson of honesty, integrity and good character. Signature C a+tq z41i A,- aA4 V-� R State of Foorc(r., County of "V ll%,Q r Printed Name Address: ( (o 3 e W C3-+L Street Q1U'o 4YGs City I State Zip Telephone: The foregoing instrument was acknowledged before me by means of�,physii '1 day of Feh. 20 ZS , by (?CL'''`�Q Such person(s) Notary Public must check applicable box: �<Ire personalty known to me ❑ has produced a current driver license ❑ has produced t rNotary Public Stats of Florida Marisol Rotar My Commission HH 024167 Fxpires0712712024 Contractor Licensing — FIRM Application Rev. 712022 as identification. presence or ❑ online notarization on this Iq tri 0 N M 0 m N m 0 C d Notary Signature: R Page 13 of 14 Q Operations & Regulatory Management Division, Contractor Licensing + 2800 North Horseshoe Drive + Naples, FL 34104 • (239) contractorslicensin colliercouni Fl. ov Packet Pg. 57 8.B.1 Comer County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF 0 COUNTY OF (_O� ,l- 1, \� S �, 1• �,, & �aJ i --t , having been first duly sworn, state and affirm: I am a resident of (0 County, 10\1 r- e' (State) and have resided here for more than five (5) years. During the last five (5) years I have known .Yi e n e 6-Z . L r ` (applicant). 1 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. State ofy- Loo-l r-'�q Countyof C0 11 T r -t`ti Signature Printed Name Address: d J ` Sw Street �jC"12\e—\ l� BSI O Ci State Zip t q _3Y��� Telephone: 9-? I,) — - . - 0110612023 The foregoinr instrument was acknowledged before me by means o physical presence or ❑ online notarization on this day of t ,20L3 ,by e-S-nC4 f\ �'ti UA\SA 0 Such person(s) Notary Public must check applicable box: ❑ are personally known to we has produced a current driver license tas produced L 1J C— as identification. (Notary Seal) Ew YARU82A LALLAVE I Notary Public - State of FloridaP' Commission X HH 064185 My Comm. ExPlres Nov 16, 2024 106 0 N rn 0 m N Lr m 0 C _ d Notary Signature: f E t 0 to Contractor Licensing - FIRM Application Rev. 712022 Page 14 of 14 Q Operations & Regulatory Management Division, Contractor Licensing a 2800 North Horseshoe Drive • Naples, FL 34104 • (239 contractors lice nsingCg colliercountyfl.gov Packet Pg. 58 b +� 2�yy� r p� yW4 � . -' Egga IYFt'IL �'.k� upps l� { is 'r. r 8.B.1 im �s { 00 .: Cn v ' Z 0 E) J m 100 a� E a Packet Pg. 59 �, DATE (MhffODMYY) A6oR CERTIFICATE OF LIABILITY INSURANCE 07MV2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER CONTACT NAME: Emron Cuunin harn PHONE FAX Cunningham Insurance Agency Inc 1460 Golden Gale Pkwy (AIC, No, EXT): (239) 263-3110 (AfC, No): (239) 263-3117 E-MAJL ADDRESS: cunri nghamins7-9�n.aoLcom SUAR 110 Naples, FL 34105 INSURER(S) AFFORDING COVERAGE NAIC 6 NSURER A: Heritage Property & Casualty Insurance 14407 INSURED NSURER S : NSURER C : INNOVA BUILDERS INC 2037 49TH TER SW NAPLES, FL 34116 NSURER D : NSURER E NSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN 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 INSR SUBR WVD POLICY NUMBER POLICY EFF MMIDDiYYYY POLICY EXP MMIDDIYYYY LIMITS GENERAL LIABILITY. HCP,017315 4J/7112022 09111 F2023 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES PREMISES 11=a cawrance X COh1MERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR HIED EXP(Any ONE PERSON) $101000 PERSONAL & ADV INJURY $ 1006,voa AGGREGATE 52000,OW lGENERAL GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS -COSIPiOP AGG S2.60D,000 X POLECY F SECPR6T LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) BODILY 114JNRY (Per person) ANY AUTO BODILY INJURY (Per accident) ALL OWNED SCHEDULED AUTOS AUTOS PROPERTY DAMAGE IPer aaidenl HIRED AUTOS NON -OWNED AUTOS UMBRELLA LIAR OCCUR EACH OCCURRENCE AGGREGATE EXCESS LIAR H CLAIMS-MADE DED I I RETENTION $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY YIN TORY LIMITS ER E.L. EACH ACCIDENT ANY PROPRIETMPARTNEMEXECUTIVE OFFICERWEMBE8 EXCLUDED? N A E.L. DISEASE. - FA EMPLOYEE (Mandatory In NH) If yes, describe under k=.L. DISEASE -POLICY LIMIT DESCRIPTION OF OPERATIONS belnv+ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Addil[onal Remarks Schedule, it more space is requhed) PAINTER CERTIFICATE HOLDER CANCELLATION COLLIER COUNTY CONTRACTOR LICENSING BOARD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 2800 HORSESHOE DR N THE EXPIRATION GATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. NAPLES, FL 34104 AUTHORIZED REPRESENTATIVE Emron Cunningham ACORD 25 (2010105) ©1988-2010 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD tri O N O O to N m O r-� C d E t V r� Q Packet Pg. 60 8.B.1 Ac o� CERTIFICATE OF LIABILITY INSURANCE FDATE TE(MMJDDrfYYY) �� 09/2212022 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 Hou of such endorsement(s). PRODUCER CONTACT NAME: Staci Merchant Merchant Insurance Solutions _tei4,. ,U; (239) 273-2931 _(AAie.He): (866) 406-4983 12326 Isabella Drive E-MAIL nealm nierchantiinsurancesolulions,com _ ADDRESS: G� _ INSURER(S) AFFORDING COVERAGE Bonita Springs FL 34135 INSURER A-:—FLORIDA CITRUS BUSINESS & INDUSTRIES FUN NIA INSURED -- - INSURER B Innova Builders Inc INSURER C: 2037 49 TH TERR SW INSURER D: INSURER E: NAPLES FL 34116 1 INSURER F: ('0VrPAr:FR rCDTIFIr`ATF KIltaae Co• - - 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. FXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IHSR - FADDL1SU0R',. LTR TYPE OF INSURANCE POLICY NUMBER - POLICY Ell POLICY EKP MMrODfYYYY MMIDDIYYYY LIMITS I COMMERCIAL GE14ERRAL LIABILITY - ( EACH OCCURRENCE S - DAMAGE TO RENTED - -- - CLAIMS-MADE1 OCCUR - PREMISES (Ea_occufrence) S - -y-- I h9E_D_P>CP (Any one person) S PERSONAL &ADV INJURY 5 GEN'L AGGREGATE LIMIT APPLIES PER: _ GENERAL AGGREGATE S f ..: PRO- l .. i _ iPOLICY I I JECT �_ LOC PRODUCTS _COMPIOP AGG _ S 1 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S - (Ea ecc�enl] ' ANY AUTO BODILY INJURY (Per person) 5 OWNED ' SCHEDULED - - AUTOS ONLY 'AUTOS -� : BODILY INJURY (Per accident) S HIRED 'NON -OWNED � PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY S tPer accident) 5 UMBRELLALtAB I OCCUR EACH OCCURRENCE S EXCESS LIAR _ I CLAIMS -MADE I _ - I AGGREGATE - 5 DED li RETENTIONS a i t 5 (WORKERS COMPENSATION I 11 AND EMPLOYERS' LIABILITY YIN ', _ t ^'_STATUTE ERH- ANY PROPRIETORIPARTNERIEXECUTIVE E.L. EACH ACCICENT S 1.000,000 A OFFICERWEMBER EXCLUDED? ❑Y NIA- 64089 :O3/1!il2022 03]1512023I --- - (mandatory In NH) I E L. DISEASE - EA FMPLOYEE S 1,000,000 Ir yes. descAbe under _ DESCRIPTION OF OPERATIONS below '. ------ - - -- E.L. DISEASE- POLICY L17A17 S 1,000,000 I DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) —.i !`AArf`FI I ATInT1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, Collier County Contractor Licensing Board 2800 Horseshoe dr N Naples, FL 34104 AUTHORIZED REPRESENTATIVE V WUU-205 ACORD CURPORATION. All rights reserved ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Ed O M O r-� C d E t rJ r� Q Packet Pg. 61 8.B.1 m 00 O) JIMMY PATRONIS CHIEF FINANCIAL OFFICER STATE OF FLORIDA t� DEPARTMENT OF FINANCIAL SERVICES ? DIVISION OF WORKERS' COMPENSATION rn * * 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: 9/26/2022 PERSON: RENE G LUCAS M FEIN: 852953143 BUSINESS NAME AND ADDRESS: INNOVA BUILDERS WC 2037 49TFI TERR SW NAPLES, FL 34116 SCOPE OF BUSINESS OR TRADE: Painting NOC & Shop Operations, Qr{vers EXPIRATION DATE: 9/25/2024 EMAIL: OFFICE CINNOVABUILDER.ORG 1tNiPORTANT: 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 Ihis section may not recover benefits or compensation under this chaplet. 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 ceitificates 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 certificale, the person named on the notice or certificate no longer meets the requirements of this section far issuance of a certificate. The department shall revoke a conTrate at any time for faiiure of the person ranged on the certificate to meet the requirements of this section. DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 E01601405 QUESTIONS? (850) 413-1609 m 00 C d E t to a Packet Pg. 62 8.0 07/19/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 8.0 Doc ID: 26093 Item Summary: 8C. JOSUE E. VASQUEZ — REVIEW OF APPLICATION (SUPERVISION) — JOURNEYMAN ELECTRICIAN Meeting Date: 07/19/2023 Prepared by: Title: — Contractor Licensing Name: Alyshia Morse 07/12/2023 3:24 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 07/12/2023 3:24 PM Approved By: Review: Contractor Licensing Contractor Licensing Contractor Licensing Sandra Delgado Review item Tim Crotts Review Item Tim Crotts Meeting Pending Completed 07/12/2023 4:48 PM Completed 07/13/2023 7:31 AM 07/19/2023 9:00 AM Packet Pg. 63 8.C.1 CDlL7eY COLlnty 0220000612 Growth Management Cornmunily Development Department LCC20230001485 _ 00 00 M APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY o co N JOURNEYMAN APPtICATiON FOR C0 _LL I -ER COUNTY z CERTIFICATE OF COMPETENCY This application Must be typewritten or legibly printed. The application fee must be paid upon approval and is N( refundable. All checks should be made payable to: Collier County Board of County Commissioners. For Furth information, consult Collier County Ordinance No. 2006-46, as amended. TYPE OF JOURNEYMAN LICENSE: 21 Eiectrician $80.00 ❑ Plumber $80.00 ❑ Mechanical $80.00 1. APPLICANT PERSONAL AND BUSINESS INFORMATION: Name: First C Middle Initial Address: S3 O N. XSoi,6, C �n �L� 33 L I iWiS(oNO Street City State Zip Email: i,-P5,; v•c7Kt(w joArv_ c Telephone: C2 3 � U j -- I ( 73 Date of Birth: X _ 70 ' l 618 _- SS# (Last 4 digits only): 7 0 4 1 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 secu number, driver's license, and date of birth for the following purposes: a) Assess applicant's ability to satisfy creditors by reviewing their cr history. b) Verification of applicant's test scores and information. e) Verification of applicant's identity. Our office will only use the persc information noted above for those reasons pursuant to Chapter 119, Florida Statutes, and as may otherwise be authorized by law. We are committed to safeguarding and protecting your personal information and once collected, will be maintained as confidential and exempt ur Chapter 119, Florida Statutes, Contractor Licensing — Journeyman Application Rev. 7/2022 Pag Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-24 contractorslicensino@coiifercountyfl.gov Packet Pg. 64 8.C.1 U 00 M O O O N l 1.b.2.11.1. Journeyman Electrician requires four (4) years as an apprentice, a passin ` grade on an a roved test, and means those persons qualified to perform work i the electrical trades while employed or supervised by an electrical contractor. This provisiol does not apply to any individual who then holds a valid, active journeyman's license in th, `. electrical trade and that license was issued by any Florida County or Florida Municipality whet ' that licensee complied with all reciprocity criteria of Section 489.5335, Florida Statutes. w w I 0) O tU 00 w c d E t v Q Packet Pg. 65 8.C.1 Co er County GrovAh Management Communitv Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY Provide the names and telephone numbers of two persons who will always knowyourwhereabouts. Name: d^l "� Ii5 c " Name: j VZS4� f Z- Telephone:31 2 3 3 il. FINANCIAL RESPONSIBILITY Telephone: YES NO LL 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 9utstanding? 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 r r 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. Page 3 of 10 Contractor Licensing — Journeyman Application Rev, 7/2022 M -—.o...� Operations & Regulatory Management Division,yContractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 . (239) 252-2431 contractorsiicensing(a)colliercount fl.qf_v U 0 w Q Packet Pg. 66 8.C.1 CO�r County Growth Management (3 Community Development Department — 00 ------------ M 4PPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY 111. EXPERIENCE VERIFICATION Z Q EDUCATION: List below and provide transcripts for any formal education you have obtained in the area of competency or which this appl cation is being made: _ c �0f List below nor formal education (on the job training) you have obtained in the area of competency for which this applicatiot is being made: S f5 CURRENT/PF EVIOUS LICENSE: List below an, I attach copies any other certificates of competency/licenses you hold/have held in Collier County or an, other jurisdiction. Include the license #, Type, and county you hold it in. LA AFFIDAVIT Under the pE nalties of perjury, I declare that I have read the foregoing application and the facts stated in it are true. 666- A )plicant (pl se print) State of F r J County of Signature of Applicant The foregoing in: trument was acknowledged before me by means of A physical presence or ❑ online notarization on this day of Ao.',, , 20 Q , by ;)�s0C— t4ks jay Z— Such person(s) N :)tary Public must check applicable box: ,Ware personally known to me ❑ has produced a current driver license produced ►miofcas. rt Pnowido My CpnvrAugon HH t TP EXW~ O&WIMS identification. U 00 C d kJ6-4'V1.;e E Notary Signature: C.ontrector Ucensing - Journeyman Application Rev. 7/2022 c Page 4 of a ratlons 8 Regulat try Management DivIslon, Contractor Licensi 4pa r►9 • 2800 North Horseshoe Drive .Naples, FL 34104 • (239) 252-2431 �pntra�orsllcBrtRlna ollfer�� nty�i cpv Packet Pg. 67 8.C.1 o rer county � 00 Growth Management Community Development Department th 0 0 cc N_ APPLICATION FOR COWER COUNTY CERTIFICATE OF COMPETENCY ETENCY z a 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. �`lu L � 1:15 s7 Applicant (please Orint C1C� V.?kjq".A^- 'Namqjalf Company 0ure..n p scant State of Al (Dr (� County of cf . r The foregoing instrument was acknowledged before me by means of (21physical presence or ❑ online notarization on this day of /l/lr�ft✓� 20 by v L' S'' i i Ll Such person(s) Notary Public must check applicable box: , Tare personally known to me O has produced a current driver license ❑ has produced as identification. CY Q (Notary Seal) > y� a LU W :01U, ry r'uAiic stall fbrid. Notary Signature: / _ ��✓� U) EAW o.�My �spC:,rn >•J<Kl NH t 141 O ORWQ5 U 0 c m E Page 5 of 10 c� Contractor Licensing — Journeyman Application Rev. 7/2022�- Operations &Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 Q contractorslicensin coAiercount2fl.gov_ Packet Pg. 68 8.C.1 GITS, LLC Examination Operations Division Providing the services and products to assist Government Agencies to make informed educated decisions. (3 00 Official Examination Score Report Official Score Report: Candidate Information: Name — Josue E Vasquez Candidate #:25873904V Online Testing Site: Ocala, FL Final Score Result: April 26, 2022 Journeyman Electrician 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 April 26, 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 Q 800 997 2129 Packet Pg. 69 8.C.1 �-- Cor C-109411" y C*x)%voi INAvA porntjnt Departn'"It 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 ___ Josue Vasque2 Certificate Category Requested: Electrical Journeyman t_icense The applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate, the applicant must verify hisfher experience within this trade. You are being requested to provide information that will aid the applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker (e.g.. as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience for the above -named applicant must provide the following information: Name: Jeff S Hall Jeff Hall Electric Inc Business Name: Phone:-812-653-7195 Business Address: Title: CEO License No. (if applicable): P.O. Box 21 el ORLEANS Indiana 47452 Street The applicant was employed by me from Applicant's title: Apprentice City 1 1 /04/2019 to EC 13004025 State ZP 04/09i 2020 The applicant's scope of worts (specific duties) included: Installing panels, running conduit, pulling wire. lerminatin[ landing wires, checking and testing equipment, cleaning work area Additional comments: NOTE TO UCENSED CONTRACTORS: Falsifying any information provided herein may subject your license to revocation. Under penalty of perjury, I declare that the facts stated here are true. State of FLORIDA 21t 9q�& -- Signature of person providing the statement County of LAKE The foregoing instrument was acknowledged before me by means of ❑ physical presence or V online notarization on this 3rd day of May . 20 23 , by Jeff Hall Such person(s) Notary Public must check applicable box: 10 are personally known to me ❑ has produced a current driver license ❑ has produced as identification. V rp CO) o� N Z , L) F- V J Lu Z! QI W �I O' V H L) Lu J Lu I Z O lY Lu a. Z O F- Q U J a. a. Q LL O w w I N Lu Cl) Q (Notary Seal) o U �j�, iNARK WlSLEY 00 p `F Notuy Public - State of Florida Cornmhslon / HH 355347 ar My Comm. Expires Jan 29, 2027 Notary Signature: jlv E EandM th w1h National Notary At<afl. � r Contractor Licensing - Journeyman Application Rev. 712022 Peg Q Operations & Regulatory Management Division, Contractor Licensing a 2800 North Horseshoe Drive o Naples, FL 341 contractorslicensing&colliercountyfl oov Packet Pg. 70 8.C.1 Contractor Licensing CO leer 42mo rtty 2800 N. Horseshoe Dr. Naples, FL 34104 Growth Managemerrt Department Phone - 239-252-2431 Fax - 239-252-2469 APPLiCATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE ApplicarttsName,. )nSLIC Vasgtiez Conificete Category Requested: �i)ltrtlC�`n1 to d.iCtnSe The applicant is seeking a Collier County Cartiticate of Competency In the trade indicated above. As part of the application for this certificate, the applicant must verify hisfier 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). 'lime served solely In a supervisory or administrative rats 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: Riwrttortd.saliflt Titfe: Prof<--ct NJ.�n;wer-l'VP Business Name:(.ogburn Bros. Inc. Phone: - 35 8 - / 3 44 License No. (if applicable): 1? C :0001120 Business Address: 3300 Eave Road lacksonville FL 32226 Street city slate zip The applicant was employed by me from 6111,12020 to Pr went Applicants tiffe: A1etentice Elect lcian The applicant's scope of work (specific duties) Included: Installation of electrical niaterial, install condi it. ull wire "t sta l light. fixtttz'es i.t shill 12aiiels Additional comments: NOTE TO LICENSED CONWtACTORS: Falsffying any informetlon provided h"17 y bfect your lice to revoi tlon. Under penalty of perjury. I declare that the facts stated here are 4 L - J Signature of parson Omvidfng the31starhaht State of Florida County of Duval The foregoing inshunteut was acknowledged Before me by means of M physical presence or 0 online notat'ization on this day of FebrtiaLy 20-23 , by Rayn- and Ssnitl Such person(s) Notary Public must check applicable box: 13 are personalty known to me 0 has produced a current driver license 13 has produced (Ndtwy $eW) identification. Notary put:fic Slate of Ftcrida e' r ?-atlly fy". 4vrse Notary Signature: Apr MY Commission GG 929627 of µrP" EXPIMS 02/0602024 712022 Page 6 of 14 Operations 1£ Regulatory Management Division, Contractor Licensing • 280D North Horseshoe Drive • Naples, FL 34144 . (239) 262-2431 cnnlra.o orziiconslna�alcotilercountvft.gov U w M 0 W FIL Q U U W J W z O N W a z O F- Q U_ J a a Q tL O W W W w Q Packet Pg. 71 8.C.1 `r Contractor Licensing _ds.-�r"%t1� 2800 N. Horseshoe fir. Gro>nrihManagement Department Naples, FL 34104 00 Phone - 239-252-2431 Fax - 239-252-2469 M rn t a^ A C h. / o j Y 0:!R �°I -1 ilk: F i.-(_�f�/1RE T i'I' K °� � i Z AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER a STATE OFc��Y ,Q COUNTY OFC) ( I, I)Z4 e.7�il �A �r s 1 d , having been first duly sworn, state and affirm: I am a resident of (2-0 U• e!^ County, ,'- )'A (State) and have resided here for more than five (5) years. During the last five (5) years I have known �05` �/YYS QU'Qkapplicant). I have had the opportunity to observe his or her business and personal dealings and find im or her to be a person of h tegrity and good character. Signature Printed Name Address: "2., 52V C,ra--cam A—D Street —1<--PAZ1 0X Zt City State Zip Telephone: _ LLf O State �r� of Countyof :,tf W ha"tregoin S e rwas a�vledged fo e m mean hysicall pre`s�ence } ❑online notarization on this W t _ f_ 120 aY o by �4f I Such person(s) Notary Public must check applicable box: N ul :3 ❑ are personally known to me produced a current driver license U' Cn (�fas a K,hias produced �. ` as identification. t ui (Notary Seal) �, _ w oil PAULA J LAWRENCE ?' Notary Public Notary Sign F �„ = State of Florida ature:;�J� Commission d HH 225742 / j /'� 00 o�OF`My Comm, Expirrrs Feb 1, 2026 3onded through National Notary A%ri: d Contractor Licensing — Journeyman Application Rev. 712022 Page 9 of 10 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 . (239) 252-2431 Q _ ntra�tcs_sliccnsinG a collierc.ouni i.rsov Packet Pg. 72 8.C.1 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STPTEOF f I0(-; j . COUNTY OF H 2 y)'At —,having been first duly sworn, state and affirm:; I ar 7 a resident of �I e ►l d r County, r 10 rr u (State) and have resided here for me re than five (5) years. Dt. ring the last five (5) years I have known —10 S VC E. Vas Rye z (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 gc od character. `/ signature �o.�an i Long � Printed Name II-4f'r-de? Countyof ;oing instrument was acknowledged before me by means of Urphysical presence or 0 online notarization on this of — i____, 20 V , by ✓4-'j� L z 2 ;on(s) Notary Public must check applicable box: .personally known to me 0 has produced a current driver license Cont actor licensing — Journeyman Application Rev. 7/2022 Page 10 of operg Uons & Regulatory Management Division, Contractor licensing • 2800 North Horseshoe Drive + Naples, FL 34104 • (239) 252-2431 contractorslicensingAcolliercounte. gov U 00 w w I to O U 00 a m E ra Q Packet Pg. 73 r V 06 N as ❑ cr m LI W 3 N O L Y+ O N 2 O 7 V O N cc E E -1VOINiO3-13 - (NOISInb3dnS) NOIIVOl-lddV =10 M31n3N - Z3nOSVA '3 3f1SOf 'o8 :3U8WLj3e;; Ql R Q LU N N N .. _. N t7 a) N N N N N �1 (O O N Q NO N O O r O O O O h (D V N N C) h0 O O O O O O s m � � U') to to LO u7 O m w ? �rpa m cn m M Ca o0 W V v. 3 � CD N N N LO Lo � LO co � �t7 T CV 2 -- a, QO J O J O J O J P 4} O N w C Q> am z� z� zm z� a°� 0- a d O O O .. O .. .. aD m as m o 00 o m o p0 o ao co ao a o nr w r w s w r w r a.L c. r OL= Cir ¢a za za. za za aci as an_ ¢a N N N N N N 'a ED cc a) C] Cl) (N? ['N7 CN'l N O CmrS n M m J J J R J Lo J N ll. N, o w o w o cc w o LL o- o w c a n m ti N" m m'i 7 �. 7 T 7 T a X 03 a n1 a m e m e m e to c w C m C D ui 0 0 LL U LL o LL O LL a LL a I a �p ICI-� S O O Y O Y O Y O m O y 2 0 C [Oa C O U O U C) U O U O U Q U co co � m -3 M � Cr7 "ro7 C7 � C") � � O N CL N a U U C C N 0) U_ U _U U C U C U C;. U C U C U C C ll a a V 0 fb -0 H) 0 m c -0 vi 0 m 7 � 41 o m 3 fn a m a N o m Q w (4 2 N L �, m s b O m m n _0 O U O 0 O U O U O U O 0 --) O OO m m 8.C.1 weeks of su "` • nse fequil tion will detail� I ire U 00 U 00 c d E v c� a Packet Pg. 75 8.D 07/19/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 8.D Doc ID: 26094 Item Summary: 8D. WILMER Y. PORTILLO SANCHEZ — REVIEW OF EXPERIENCE — CARPENTRY CONTRACTOR - EVERLAST BUILDING CON Meeting Date: 07/19/2023 Prepared by: Title: — Contractor Licensing Name: Alyshia Morse 07/12/2023 3:26 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 07/12/2023 3:26 PM Approved By: Review: Contractor Licensing Sandra Delgado Review item Completed 07/12/2023 4:50 PM Contractor Licensing Tim Crotts Review Item Completed 07/13/2023 7:31 AM Contractor Licensing Tim Crotts Meeting Pending 07/19/2023 9:00 AM Packet Pg. 76 ,00 C01 I Y C,014Ylt"V 4 , -, ('" Ne Cf—ID 4p. �.,.�i (!s— '1 e",""�I 9KrT F P'L_S?"��IS i('� A_3'C (`Y re`I fA, C73�-f-?; FIRM APPLICATION FOR COLLIER COUNTY �' ' a01a 'NS�(Q CERTIFICATE OF COMPETENCY (eCao31-s - 0q 3a- TYPE OF CER71FfCATE OF COMPETENCY: ❑ General $230.00 ❑ Electrician $230.00 ❑ Building $230.00 ❑ Plumber $230.00 ❑ Residential $230.00 ❑ Air Conditioner $230.00 ❑ Mechanical $230.00 ❑ Swimming Pool $230.00 ❑ Roofing $230.00 -1 Specialty $205.00 Specialty Trade: (,C c ayzz, I. APPLICANT PERSONAL INFORMATION: Name: gy), I n 1' First Business Name: r Address: 2 Q �-i i-�34-V 1 k�-) Street Email:/0 Telephone: )_ Date of Birth: 02 LL l Q S i5 Middle Initial ct- C. )C) :5 Last city j ttate Zip *SS # (Last 4 digits only): / C/ -7? 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 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 Nortn Horseshoe Drive . Naples. FL 34104 • (2: Packet Pg. 77 W w J_ 0 00 c d E t U r a 8.D.1 1.6.3.6. Carpentry Contractor requires thirty-six (36) months experience %kith a passing grade on it t"i?- eUF an approved test and a passing grade on a �r business and law test and means those who have the knowledge and skill to install any wood and metal products including, but not limited to, rough Framing, wood structural wood and metal non-structural trusses, sheathing, paneling, trim, metal framing, and cabinrtiT. Placement of fire sating and fire stopping materials shall be permitted on wall, ceiling and floor penetrations created within the scope of the work allowed by this section. Packet Pg. 78 8.D.1 Provide the names and telephone numbers of two persons who will always know your whereabouts. Name: --/7j Name: Telephone(_j�y(o Z - 75 91 Telephone:0 3cd % Z:� - 2 Z -3c, II. NAME OF APPLICANT'S BUSINESS: Business Name: ri [/-/ r Business Address: Street Ci Telephone: Email: 1n ( 1-k-4 -1-47)Q4 I Federal ID Tax No.: L%%3 .91(o III. FINANCIAL RESPONSIBILITY H ',-539 r7 State Zip 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 X outstanding? Been convicted or found guilty of, or entered a plea of nolo contendere to, regardless of X/ 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 x contractor in this or any other state, been "subject to" disciplinary action by a state, county, or municipality? NOTE. If you have answer YES to any of the questions below, you must attach a written explanation including the nature of the charges, dates, and outcomes, sentences of conditions imposed. You must also attach proof of payment, satisfaction of lien or judgement, bankruptcy discharge, or agreements for payment.*If you have had a felony conviction, proof that your civil rights have been restored will be required prior to licensure. Contractor Licensing — FIRM Application Rev. 7/2022 Page 4 of 14 Operations & Regulatory Management Divis+on, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 3,4104 . Packet Pg. 79 CA 1C'"Y C01414tl' 8.D.1 IV. EXPERIENCE VERIFICATION List below and provide transcripts for any formal education you have obtained in the area of competency for which this application is being made: � la List below non formal education (on the job training) you have obtained in the area of competency for which this application is being made: �J I la 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. i CG Z0I--3c)0633��, �i � �hh CA. i� 7� hi h,o � Cat M 1 f)nr ; h rr — ;L C. C2 f) .;;- 2- do0 Z � .L AFFIDAVIT Under the penalties of perjury, I declare that I have read the foregoing application and the facts stated in it are true. W1Owr V P0r 4i LW Applic nt (p ease print) Signature of Applicani State of 1;County of Mt' The foregoing instrument was acknowledged before me by means of-0 physical presence or 0 online notarization on this day of iW-ArGh 20 Z'T , by k1� 3 i kMg,Y A e 6 Y lid Such person(s) Notary Public must check applicable box: ❑ are personally known to me 0 has produced a current driver license ❑ has produced as identification. (Notary Seal) VERONICA ORTiZ Notary Public State of Florida ' Comm# HH284381 Notary Signature: E t9� Expires 75/2026 Contractor Licensing — FIRM Application Rev. 7/2022 ?a 14 W w 2 J_ 0 00 c a) E U M Q u4 operations & Regulatory Management Division Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL i41• Packet Pg. 80 Ct3Ter COUYMY 8.D.1 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. U Applicant (please print F- ,r I(k4 r Cm'I-4C C1W"S To, Name of Company (JL.) \ I V%, C'f i ' 106 Val it Signature of Applicant State of FI' County of Co f /4 r The foregoing instrument was acknowledged before me by means of 11 physical presence or ❑ online notarization on this day of Ma rGh . 20 _ZJ , by 1 r r a Such person(s) Notary Public must check applicable box: --iM are personally known to me ❑ has produced a current driver license ❑ has produced (Notary Seal) as identification. VERONICA ORTIZ Notary Public Notary Signature: State of Florida Comm# HH28M Expires 7/5/2026 Contractor Licensing — FIRM Application Rev. 712022 Page 6 of 14 Operations & Regulatory Management Division Contractor Licensing a 2800 North Horseshoe Drive • Napies, FL 34104 . ;2 Packet Pg. 81 CO3 ler CUN.YttV 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. k) 11 rYW.- Y Applicant (please print^^ ��-urtj& Name of Company Signature of Applicant BEFORE ME this day personally appeared W t me (- \/ . t4 f j 10 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 11,)r 169� County of C O M tr Y The foregoing instrument was acknowledged before me by means of-8 physical presence or ❑ online notarization on this day of MojTh 20 6 , by `�%i�E,,�Q ,•//n Such person(s) Notary Public must check applicable box: —E are personally known to me ❑ has produced a current driver license ❑ has produced (Notary Seal) as identification. S VERONICA ORTM Notary Public Notary Signature: State of Florida 18,e� Comm# HH284381 Expires 7/5/2026 Contractor Licensing - FIRM Application Rev. 7/2022 Page 7 of 14 Operations & Regulatory Management Division. Contractor Licensing • 2800 North horseshoe Drive • Naples. FL 34104 . (2 Packet Pg. 82 8.D.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 — Wilmer Y Portillo Sanchez Candidate #: 99843451 P Testing Site: Ft. Myers, FL Final Score Result: December 21, 2022 Building Contractor Score: 77% These results represent the gradethat has been achieved on the above named examination(s) administered by Gainesville' Independent Testing Service for Collier County, Florida on December 21, 2022. If you have any further questions, please do not hesitate to contact us. Sincerely, 697, Jay E. Bowermeister President PO Box 831127 Ocala, Florida 34483-1127 —Voice (352) 369-GITS — Fax (352) 387-2443 800 997 2129 Packet Pg. 83 8.D.1 Al;)-"N Icd8ercoulity Growth Management Division Planning & Regulation K February 24, 2015 City of Sanibel 800 Dunlop Road Sanibel, FL 33957 Wilmer Y. Portillo Sanchez Everlast Painting Group, Inc. (DBA) M & K Finish Carpentry 9080 San Carlos Blvd. Fort Myers, FL 33967 Painting contractor, LCC20130003348 Re: LETTER OF RECIPROCITY To whom it may concern: This letter is to verify that the above named applicant passed the following Prometric (formally Thomson-Prometric, Experior or Block & Associates) exam(s). Exam: Painting and Decorating Date of Exam: Sept. 7, 2013 Exam Score: 76% Exam: Business and Law Date of Exam: March 9, 2013 Exam Score: 82% The license status is: Active The applicant's license was issued on June 4, 2014. They were required to verify 2 years of experience at the time of application. If you need additional information regarding complaints or other actions, please contact our office at (239) 252-2431. o a Sincerely%'-*--� w Michael bssorio co Licensing Supervisor GMD Planning and Regulation 2800 N. Horseshoe Drive Naples, FL 34104 a 'ties Packet Pg. 84 8.D.1 LUMBERMEN'S LLC 701 E Commercial Blvd 4th FI Fort Lauderdale, FL 33334 PUBLIC RECORDS CHECKED ON LOCAL, STATE AND FEDERAL LEVELS Customer Code: UCIS3159PQ Requested By: VAN SALIBA Loan Number: Name s : i rner Po: talo SIM _..-9977 Cunard Addtw. 200415th Street West, Lehlgh Aces, FL 33971 Alert Ordered: 03/27/2023 Released: 0312712023 Reissued: Name SSN Current Al lttlo A Credit Report Report ID: 46030582 Repositories: EXP Price: TransUnion Experlan Equifax TransUlnlon Experian Equifax FICO SCORE 669 Underwriting Alerts Recommendation Disputed Accounts: The following account(s) are reported as having been disputed by the If using an automated underwriting process, order a Rapid consumer: FURNISHER (EXP). Update. If using a manual underwriting process, order a tradeline update. Historical Late Payments Account Type Number of Accounts Open Accounts Accounts Currently Pest Due Pest Due Payment Balance Accounts 30 Days 60 Days 90+Days Mortgage 1 1 0 $0 $1,197 $104,927 0 0 0 0 Revolvinglcre& L€ne 33 24 0 $0 $1,204 $33,016 1 2 1 0 Auto 12 4 0 $0 $2,047 $80,811 1 1 1 1 Eduwt;on 0 0 0 $0 $0 $0 0 0 0 0 Omer Installment 3 1 0 $0 $178 $341 0 0 0 0 Totals 49 30 0 $0 $4,626 $219,095 2 3 2 1 Number of Public Records: 0 Available Credit. $31 ,820 Number of CollectlonslCharl 1 RevolvinglCredit Lino Used: 51 % Bankruptcy: No Number of Inquiries: 1 Number of Authan,ed User Aocounts: 2 M W W J_ 00 r C E t t) Packet Pg. 85 8.D.1 • A Credit Report LUMBERMEN'S LLC Customer Code: UCIS3159PO Ordered: 03127/2023 Report 10: 460'0582 701 E Commercial Blvd Requested By: VAN SALIBA Released: 03/27/2023 Repositories: EXP 4th F Loan Number: Reissued: Price: Fort Lauderdale, FL 33334 ApplicantCo-Applicant Name Wilmer Portlllo Name SSN 3977 SSN Current Address Current Address 2604 15th Street West, Lehigh Acres, FL 33971 Underwriting Alerts Alert Recommendation Disputed Accounts: The following account(s) are reported as having been disputed by the If using an automated underwriting process, order a Rapid consumer: FURNISHER (EXP). Update. If using a manual underwriting process, order a tradeline update. Credit score Name Repository Model IDevatoped By .Range Calculated RaporW On Wilmer Portillo Experian Fair Isaac (v2) Fair Isaac 1320-844 i0312712023 EXP-All Factors 669 39 - Serious delinquency. • 10 - Proportion of balance to high credit on bank revolving or all revolving accounts. • 08 - Too many inquiries last 12 months. • 06 - Too many consumer finance company accounts. Credit History W Creditor Name Date Date High Balance Past MO 30 60 Ixl Awount Status C h Rprtd Opened Credit Due Rev + O 0 a A Aoct Number DLA Cradl Terms Maximum Deliroouancy Account Type e Li— B I FURNISHER 02/2812023 11/07/2013 $746 SO $0 14 0 0 0 Charge Off ^; 00000000000000 02/14/2023 1M Inst Closed: 0112022 EXP Cal 1 COIIACCt 1 ACCOUNT INFORMATION DISPUTED BY CONSUMER B J FURNISHER 11107/2017 10/11/2015 $47,681 $0 $0 25 1 1 1 90 Days Late 00000000000000 11/0712017 72M Inst Paid: 1112017 EXP Auto Loan I Delinq 901 AFFECTED BY NATURAL OR DECLARED DISASTER 30-59 Days Late: 0912017, 60-89 Days Late.- 1012017, 90+ Days Late: 1112017 B 1 08/11120171110412016 $629 $0 9 2 1 0 As Agreed NU I Ktt'UK I tU Ut91112017 Paid: 08/2017 Credit Card, Terms Rev I Cur Was 60 3059 Days Late: 0612017, 0512017, 60-89 Days Late: 0712017 B J FURNISHF.- 03/011202304/07/2016 000000000000 03/01/2023 FHA Real Estate Loan I Curr Acct B I FURNISHER 03102/2023 1 Oil 812022 00000000 03/02/2023 Auto Loan I Curr Acct B I FURNISHER 03101/202308/1712021 00000000 03/01/2023 Auto Loan I Curr Aoct B I FURNISHER 03/161202306/0112022 00000000 03/16/2023 Auto Loan I Curr Acct B A FURNISHER 03/17/2023 06/23/2010 NOT REPORTED 03/1712023 Curr Acct B J FURNISHER 02/25/202305/10/2018 000000000000 02/25/2023 Auto Loan 1 Curr Acct B I FURNISHER 02123/202302109/202D NOT REPORTED 02/23/2023 Revolving Charge Account 1 Curr Acct B 1 FURNISHiFR 03123/20230810112016 NOT REPORTED 03/23/2023 Curt Acct j500 Rev $142,195 $104,927 $0 80 0 0 0 As Agreed 360M1$1197 Mtg $34,736 $33,551 $0 5 0 0 0 As Agreed 72MI$672 Inst $27,667 $22,296 $0 20 0 0 0 As Agreed 72M1$513 Inst EXP $21,082 $18,546 $0 10 0 0 0 As Agreed 60M/$433 Inst EXP $12,153 $8,374 $0 99 0 0 0 As Agreed $9,300 MIN $290 Rev EXP $21,351 $6,418 $0 57 0 0 0 As Agreed 75M1$429 Inst $4,958 $4,610 $0 37 0 0 0 As Agreed $5,000 MIN $151 Rev $7,138 $3,622 $0 58 0 0 0 As Agreed $4,350 MIN $81 Rev F'yr' Page 1 of 5 IX W J_ 0 00 r C d t v Q Packet Pg. 86 LUMBERMEN'S LLC 701 E Commercial Blvd 4th FI Fort Lauderdale, FL 33334 Customer Code: UCIS3159PQ Requested By: VAN SALIBA Loan Number. Credit Report Ordered: 03/27/2023 Report ID: 46030582 Released: 03/27/2023 Repositories: EXP Reissued: Price: IN E Creditor Name h C Data Data High Balance Past Mo 30 60 90 Account Statu 0 0 Rprld Opened Credit Due Rev a A Acct Numbar e DLA Credd Urn t Terms Maximum Delinquency Acccum Type B I FURNISHER 02/26/2023 03/01/2017 $7,999 $3,148 $0 73 0 0 0 As Agreed NOT REPORTED 0212612023 $8,000 MIN $103 Rev Revolving Charge Account! Curr Acct B I FURNISHER 03/17/2023 04111/2022 $5,028 $2,988 $0 12 0 0 0 As Agreed NOT REPORTED 0311712023 $5,000 MIN $120 Rev Revolving Charge Account I Curr Acct B 1 03/24/2023 01/31/2022 $2,251 $1,980 $0 14 0 0 0 As Agreed NOT REPORTED 03/24/2023 $2,000 MIN $25 Rev Credit Card, Terms Rev 1 Curr Acct B J FURNISHER 03/121202302/14/2020 $5,568 $1,866 $0 38 0 0 0 As Agreed NOT REPORTED 03/0312023 $3,900 MIN $61 Rev Closed: 1012022 n ;= Revolving Charge Account I Curr Acct I ACCOUNT CLOSED AT CREDIT GRANTER'S REQUEST B I FURNISHER 02/28/202304/1712016 $6,088 $1,613 $0 83 0 0 0 As Agreed NOT REPORTED 02/28/2023 $6,900 MIN $78 Rev Revolving Charge Account 1 Curr Acct EXP B I FURNISHER 03123/2023 05M 1/2016 $2,515 $1,328 $0 83 0 0 0 As Agreed NOT REPORTED 03123/2023 $2,600 MIN $35 Rev Credit Card, Terms Rev 1 Curr Acct EXP B I FURNISHER 03109120230210412020 $5,989 $1,274 $0 38 0 0 0 As Agreed NOT REPORTED 03/09/2023 $6,000 MIN $92 Rev Revolving Charge Account / Curr Acct EXP B I FURNISHER 02128/202311129/2020 $1,720 $1,066 $0 28 0 0 0 As Agreed NOT REPORTED 02128/2023 $1.500 MIN $25 Rev Credit Card, Terms Rev I Curr Acct EXP B A FURNISHER 03/13/2023 01114/2021 $2,550 $613 $0 25 0 0 0 As Agreed NOT REPORTED 03/1312023 $2,000 MIN $40 Rev Credit Card, Terms Rev / Curr Acct EXP B I FURNISHER 02/28/2023 10/21/2018 $6,997 S341 $0 36 0 0 0 As Agreed 00000 02/28/2023 60M1$ f 78 Inst Unsecured Loan 1 Curr Acct B I FURNISHER 02/23/2023 05/18/2022 $898 $289 $0 10 0 0 0 As Agreed NOT REPORTED 0212312023 $2,000 MIN $29 Rev Revolving Charge Account I Curr Acct 8 1 FURNISHER 03/031202307106/2016 S707 $194 $0 80 0 0 0 As Agreed NOT REPORTED 03/0312023 $600 MIN $25 Rev Credit Card, Terms Rev / Curr Acct B I FURNISHER 03121/202301/01/2019 $899 $31 $0 51 0 0 0 As Agreed NOT REPORTED 03/2112023 $700 MIN $29 Rev Credit Card, Terms Rev 1 Curr Acct B I FURNISHER 03/17/2023 06P 812019 $329 $20 $0 45 0 0 0 As Agreed NOT REPORTED 0311712023 $300 MIN $20 Rev Credit Card, Terms Rev I Curr Acct F x x- B I FURNISHER 03/17/2023 09/30/2018 $770 $0 $0 54 0 0 0 As Agreed NOT REPORTED 03/17/2023 $700 Rev Revolving Charge Account I Curr Acct B I FURNISHER 03/17/2023 08/11/2015 $494 $0 $0 92 0 0 0 As Agreed NOT REPORTED 03/17/2023 $550 Rev Revolving Charge Account I Curr Acct B I FURNISHER 03/09120230610712020 $0 $0 34 0 0 0 As Agreed NOT REPORTED 0310912023 $300 Rev Revolving Charge Account I Curr Acct B I FURNISHER 031051202301/1612020 $803 $0 $0 38 0 0 0 As Agreed NOT REPORTED 03/05/2023 $750 Rev Credit Card, Terms Rev I Curr Acct 8.D.1 w W J_ l7 00 r C d E t V Page 2 of 5 Q Packet Pg. 87 LUMBERMEN'S LLC Customer Cade: UCIS3159PO 701 E Commercial Blvd Requested By: VAN SALIBA 4th FI Loan Number: Fort Lauderdale, FL 33334 .. • - A -.... Credit Report Ordered: 03/2712023 Report ID: 46030582 Released: 0312712023 Repositories: EXP Reissued Price. w ; E CredRor Name Data Date High Balance Past Mo 30 60 90 Account Status h C RpM Opened Credit Due I Rev + o O s A AM Number OLA Credit Terms Maximum Delinquency Account Type a Limes B 1 FURNISHER 031021202308/28/2016 $1,043 $0 $0 79 0 0 0 As Agreed NOT REPORTED 03102/2023 $770 Rev Credit Card, Terms Rev I Curr Acct B I FURNISHER 021221202304118/2016 $1,204 $0 $0 41 0 0 0 As Agreed NOT REPORTED 02/22/2023 $1,150 Rev Revolving Charge Account 1 Curr Acct B I FURNISHER 081311202108114/2020 $25,123 $0 $0 13 0 0 0 As Agreed 00000000 07128/2021 72M Inst Paid: 0812021 ; :^:a. Auto Loan B J FURNISHER 07/31/2020 07/04/2014 $31,345 $0 $0 73 0 0 0 As Agreed 00000000 07/19/2020 72M Inst Paid 07/2020 Auto Loan B I FURNISHER 01/31/202004/0312019 $19,045 $0 $0 10 0 0 0 As Agreed 00000000 12/18/2019 72M Inst Pald: 01 /2020 Auto Loan B J FURNISHER 03/311201808/1412016 $44,787 $0 $0 20 0 0 0 As Agreed 00000000000000000 03/09/2018 72M Inst Paid: 0312018 EXP Auto Loan B J FURNISHER 091111201712/0512015 $5,997 $0 $0 21 0 0 0 As Agreed 0000000000 09/11/2017 24M Inst Paid: 0912017 EXP Secured Loan B 1 09/30/2016 04/17/2014 $20,178 $0 $0 29 0 0 0 As Agreed 000000000000 08/30/2016 72M Inst Paid: 0912016 x ' Auto Loan B I FURNISHER 06/30/201406/27/2014 $23,122 $0 $0 1 0 0 0 As Agreed 00000000 d— 72M Inst Paid: 0612014 Auto Loan 8 I FURNISHER 05131120140112012014 $23,333 $0 $0 4 0 0 0 As Agreed 000000000000 04/23/2014 72M Inst Paid: 0512014 Auto Loan B I FURNISHER 1011012019 0411812016 $2,291 $0 43 0 0 0 As Agreed NOT REPORTED 09/1612019 $1,150 Rev Closed: 1012019 Y P Revolving Charge Account 1 Curr Acct I PURCHASED BY ANOTHER LENDER B 1 FURNISHER 05/28/2022 05/27/2021 $0 13 0 0 0 As Agreed NOT REPORTED 1---- $900 Rev Closed, 05/2022 Revolving Charge Account I Curr Aect ! ACCOUNT CLOSED AT CREDIT GRANTER'S REQUEST B I FURNISHER 07107/20200110312018 $2,000 $0 32 0 0 0 As Agreed NOT REPORTED 03/0412020 $2,000 Rev Paid: 07/2020 Credit Card, Terms Rev I Curr Acct i B 1 07/27/2018 09/22/2016 $1,529 $0 23 0 0 0 As Agreed NOT REPORTED 0712012018 $920 Rev Closed. 07/2018 Revolving Charge Account 1 Curr Acct I ACCOUNT CLOSED AT CREDIT GRANTER'S REQUEST B I FURNISHER 06/24120180311312017 $1,070 $0 16 0 0 0 As Agreed NOT REPORTED 05/27/2018 $1,000 Rev Closed: 0612018 Credit Card, Teens Rev I Curr Acct 1 ACCOUNT CLOSED AT CONSUMER'S REQUEST 8.D.1 w W J_ 0 00 c a� E t c� Page 3 of 5 Q Packet Pg. 88 A credit Report LUMBERMEN'S LLC Customer Code: UCIS3159PQ Ordered 03/27/2023 Report ID: 46030562 701 E Commercial Blvd Requested By: VAN SALIBA Released: 03/2712023 Repositories: EXP 4th FI Loan Number: Reissued: Price: Fort Lauderdale, FL 33334 W E Creditor Name Date Date High h C Rprtd Opened Balencel i Pest Mo 30 60 go Account Status 0 Credit o 0 Due Rev J a A Acct Number e DLA Credit Lima Terms Maximum Delinquency Account Type B I FURNISHER 071091201810/02/2015 $1,288 $0 34 0 0 0 As Agreed lb NOT REPORTED 05122/2018 $1,200 Rev 0712018 0)Closed: Credit Card, Terms Rev ( Curr Acct 1 ACCOUNT CLOSED AT CONSUMER'S REQUEST Q J B I FURNISHER 040 3/2018 05113/2016 $783 $0 24 0 0 0 As Agreed W NOT REPORTED 03106/2018 $900 Rev > Closed: D412018 EXP W Revolving Charge Account 1 Curr Acct / ACCOUNT CLOSED AT CREDIT GRANTER'S REQUEST r B I 10/20/20170912512016 $1,000 $0 14 0 0 0 As Agreed O NOT REPORTED 04/1312017 $1,000 Rev H Closed: 1012017 x __ U Revolving Charge Aocount / CurrAcct I ACCOUNT CLOSED AT CREDIT GRANTER'S REQUEST Q Q' B I FURNISHER 07/14/2017 11/11/2015 $205 $0 21 0 0 0 As Agreed H NOT REPORTED 0712812016 $400 Rev Closed: 07/2017 O Revolving Charge Account I Curr A= I ACCOUNT CLOSED AT CREDIT GRANTER'S REQUEST U B I FURNISHER 07(08/2014 08/28/2013 $670 $0 11 0 0 0 As Agreed NOT REPORTED 06/11/2014 $700 Rev H Closed: 0712014 Z Secured Credit Card Terms I Curr Acct / ACCOUNT CLOSED AT CREDIT GRANTER'S REQUEST W —Revolving a Whose, B-Borrower, C-Coborrower, JJoint ECOA: A-Auihodzod User, &Joint, I -Individual, J-Joint, M-Primary Borrower, P-Particlpant, S-Cosigner, T-Terminated, U-Undesignated, x-Deceased U Account Type: CL-Line of Credit, Inst-Installment, Mtg-Mortgage, Open -Open, Rev -Revolving, Unkn-Unknown r Public Records W THE REPORTING BUREAU CERTIFIES THAT: public records have been Checked for bankrupiciae invoiving the aubjeot(sj were obtained directly through the repositories used, or by direct searches, or a public V Z records search firm other than the repository, or by all methods with the following results: PUBLIC RECORDS LEARNED: NONE IJ,J Repository Messages W Dsfa Reported On Comment ti 03127/2023 EXP-Ai 0084 SSN MATCHES X W ILL Fraud Messages Date Reported On Comment 03127/2023 EXP-Al FACTA: ADDRESS DISCREPANCY - POSSIBLE ADDRESS MISMATCH DETECTED ON CURRENT ADDRESS W In qui ri as (Lost t Days) Date Name Subscriber Code Reported On ECCA W "03123/2023 PARTNERSIAMERICAN PACI 2883300 EXP-Al ""Inquiry less than 120 days old N W Creditors 2 * FURNISHER U + PARTNERSIAMERICAN PACI 2883300 Z Q Repository Files Returned N EXP-Al Experian- Pulled: 03/2712M1 O NM. Wilmer Portillo ssN_ 3-9977 J J AKA WILMER Y SANCHEZ AKA: WILMER Y REYES AKA: WILMER Y SANCHEZ AD: 18465 Iris Rd, Fort Myers, FL 339673345, Reported: 10/2005 a AD: 2604 15th St W, Lehigh Acres, FL 339715444, Reported: 04/2016 AD: 9080 San Carlos Blvd, Fort Myers, FL 339675402, Reported: 07/2005 } EM: EVERLAST PAINTING GROUP I. Reported.0114 EM: EVERLASTING, Reported:0919 W Miscellaneous Information J_ 0 tb e r-� Chadic Bureau certifies that this Merged Mortgage Credit Report (MMCR) meets the guidelines as setforth by the Consumer Data Industry AssdGation (CDIA). This report contains information supplied by the repositones listed on the report and may also contain duplicate inforrnetion. t t� Page 4 of 5 Q Packet Pg. 89 A 8.D.1 - Credit Report LUMBERMEN'S LLC Customer Code: UCIS3159PO Ordered: 03127/2023 Report ID: 46030582 701 E Commercial Blvd Requested By: VAN SALIBA Released: 0312712023 Repositories: EXP 4th FI Loan Number: Reissued: Price: Fort Lauderdale, FL 33334 Credit Repositories Experian 0 P. O. Box 2002 J Allen, TX 75013 888-397-3742 www.experian.com m } W J_ 0 e0 r�+ C d E t V Page 5 of 5 Q Packet Pg. 90 8.D.1 701 E Commercial Blvd, 4th Floor, Fort Lauderdale FL 33334 jr Phone (954) 771-2100 Fax (954) 771-1777 w eMail: Van@GoLCA.com :s LUMBERMEN'S LUMBERMEMS, LLC - Business Credit Report Prepared for: STATE OF FLORIDA - DBPR DECEMBER 30, 2022 EVERLAST BUILDING CONTRACTORS, INC. 2604 15TH ST W LEHIGH ACRES, FL 33971 Document Number: P22000093998 FEI/EIN Number: NONE Date Filed: 12/21/2022 Officer/Director Detail Title PTSD PORTILLO, WILMER Y 2604 15TH ST W LEHIGH ACRES, FL 33971 Public Records Summary: NO PUBLIC RECORDS PUBLIC RECORDS HAVE BEEN CHECKED QU LQCAL,STATE AND FEDERAL LEVEL Packet Pg. 91 8.D.1 701 E Commercial Blvd, 41h Floor, Fort Lauderdale FL 33334 M � f Phone (954) 771-2100 Fax (954) 771-1777 n —� A eMail: Van@GoLCA.com `�w i LUMBERMEM'`S LUMBERMEN'S, LLC - Business Credit Report Prepared for: STATE OF FLORIDA - DBPR March 27, 2023 EVERLAST PAINTING GROUP, INC 2604 1 STH ST WEST LEHIGH ACRES, FL 33971 Document Number: P13000076689 FEI/EIN Number: 46-3664665 Date Filed: 09117/2013 Officer/Director Detail 105=111■R PORTILLO, WILMER Y 2604 15TH ST WEST LEHIGH ACRES, FL 33971 Title V- President Flores, Marisol 18465 Iris Fort Myers, FL 33967 Public Records Summary: NO PUBLIC RECORDS PUBLIC RECORDS HAVE BEEN CHECKED ON LOCAL, STATE AND FEDERAL, LEVELS Q Packet Pg. 92 8.D.1 rg Ilia 41111 i,411410 of r'`'Is w4do webife UeP'rtment of State / Division of Comorations / Search Records / Search by Entity Name / Detail by Entity Name Florida Profit Corporation EVERLAST BUILDING CONTRACTORS, INC. Filing Information Document Number FEI/EIN Number Date Filed Effective Date State Status Principal Address 2604 15TH ST W LEHIGH ACRES, FL 33971 P22000093998 NONE 12/21 /2022 01 /01 /2023 FL ACTIVE Mailing Address 2604 15TH ST W LEHIGH ACRES, FL 33971 Registered Agent Name & Address PORTILLO, WILMER Y 2604 15TH ST W LEHIGH ACRES, FL 33971 Officer/Director Detail Name & Address Title PTSD " PORTILLO, WILMER YLU J 2604 15TH ST W LEHIGH ACRES, FL 33971 d r d Annual Reps E s No Annual Reports Filed r r Q Document Imagg& 12,'21/2022 -- Domestic. Profit View image in PDF format Packet Pg. 93 8.D.1 Electronic Articles of Incorporation For EVERLAST BUILDING CONTRACTORS, INC. P22000093998 FILED December 21, 2022 Sec. Of State kcostello The undersigned incorporator, for the purpose of forming a Florida profit corporation, hereby adopts the following Articles of Incorporation: Article I The name of the corporation is: EVERLAST BUILDING CONTRACTORS, INC. Article II The principal place of business address: 2604 15TH ST W LEHIGH ACRES, FL. 33971 The mailing address of the corporation is: 2604 15TH ST W LEHIGH ACRES, FL. 33971 Article III The purpose for which this corporation is organized is: ANY AND ALL LAWFUL BUSINESS. Article IV The number of shares the corporation is authorized to issue is: 100 Article V The name and Florida street address of the registered agent is: WILMER Y PORTILLO 2604 15TH ST W LEHIGH ACRES, FL. 33971 I certify that I am familiar with and accept the responsibilities of registered agent. Registered Agent Signature: WLIMER Y PORTILLO Packet Pg. 94 8.D.1 Article VI The name and address of the incorporator is: WILMER Y PORTILLO 2604 15TH ST W LEHIGH ACRES, FL 33971 Electronic Signature of Incorporator: WILMER Y PORTILLO P22000093998 FILED December 21, 2022 Sec. Of State kcostello I am the incorporator submitting these Articles of Incorporation and affirm that the facts stated herein are true. I am aware that false information submitted in a document to the Department of State constitutes a third degree felony as provided for in s.817.155, F.S. I understand the requirement to file an annual report between January 1 st and May 1 st in the calendar year following formation of this corporation and every year thereafter to maintain "active" status. Article VII The initial officer(s) and/or director(s) of the corporation is/are: Title: PTSD WILMER Y PORTILLO 2604 15TH ST W LEHIGH ACRES, FL. 33971 US Article VIII The effective date for this corporation shall be: 01/01/2023 Packet Pg. 95 8.D.1 IS NTREASURY INTERNAL REVENUE SERVICE CE CINCINNATI OH 45999-0023 EVERLAST BUILDING CONTRACTORS INC % WILMER Y PORTILLO 2604 15TH ST W LEHIGH ACRES, FL 33971 Date of this notice: 12-27-2022 Employer Identification Number: 92-1473516 Form: SS-4 Number of this notice: CP 575 A For assistance you may 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 92-1473516. This EIN will identify you, your business accounts, tax returns, and documents, even if you have no employees. Please keep this notice in your permanent records. Taxpayers request an EIN for their business. Some taxpayers receive CP575 notices when another person has stolen their identity and are opening a business using their information If you did not apply for this EIN, please contact us at the phone number or address listed on the top of this notice. When filing tax documents, making payments, or replying to any related correspondence, it is very important that you use your EIN and complete name and address exactly as shown above. Any variation may cause a delay in processing, result in incorrect information in your account, or even cause you to be assigned more than one EIN. If the information is 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 1120 04/15/2024 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, etc.) based on information obtained from you or your representative. It is not a legal determination of your tax classification, and is not binding on the IRS. If you want a legal determination of your tax classification, you may request a private letter ruling from the IRS under the guidelines in Revenue Procedure 2020-1, 2020-1 I.R.B. 1 (or superseding Revenue Procedure for the year at issue). Note: Certain tax classification elections can be requested by filing Form 8832, Entity Classification Election. See Form 8832 and its instructions for additional information. IMPORTANT INFORMATION FOR S CORPORATION ELECTION: If you intend to elect to file your return as a small business corporation, an election to file a Form 1120-5, U.S. Income Tax Return for an S Corporation, must be made within certain timeframes and the corporation must meet certain tests. All of this information is included in the instructions for Form 2553, Election by a Small Business Corporation. M w J w c d E t t� Q Packet Pg. 96 Clog C;014HtV 8.D.1 STATEMENT OF OWNERSHIP This certifies that I, 1_I)HMgX Y Pn ' �10 �._)gyt(�ltZ am a member or managing APPLICANT'S NAME (please print) member COMPANY I own v0 Z % of the units issued by the Limited Liability Company listed above. Affidavit of Applicant: I certify under penalty of perjury that the information contained is a true and correct statement to the best of my knowledge. Di) t+ 1I 6 St�Yl�h� z Applicant (please print) 6k—t-Last zo 4a lt&lf , ,IJ— Name of Company Signature of Applicant LU 2 State of i County of o v z a The foregoing instrument was acknowledged before me by means of Qphysical presence or ❑ online notarization on this Cn ,_Zday of /�&/ Ch .20 2,3 , by f � (le 221t2y S /ass 4d- - Z JJ J_ H Such person(s) Notary Public must check applicable box: O a `B] are personally known to me ❑ has produced a current driver license >: t= ❑ has produced as identification. w J_ (Notary Seal) 0 00 VERONICA ORM J c Notary Public Notary Signature: State of Florida � Comma HH284381 U $ Explres 7/5/2026 a Contractor Licensing — FIRM Application Rev. 7/2022 Page 9 of 14 Operations & Regulatory Management t]nrision. Cc:ntra c .s _�L . LK0 Nortn Horseshoe Drive . Napes Packet Pg. 97 8.D.1 C01t County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name r Certificate Category Requested The applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate, the applicant must verify his/her expenence within this trade. You are being requested to provide information that will aid the applicant in meeting this requirement You should verity time of active experience working as an apprentice or a skilled 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: rvame. �hE l L 1 ��G2�C�L Title: J! E = T_.._ Business Name N Phone q " Z`J 3 0015 � )� License No (if applicable): 1�C (4 _ I Z 5 Business Address 5 l iY 0 1 ! r _ _ �.�* ./ G�.�J�� f �� -5 %lra s Street C ity State Zip PP employed by '{�z�Z0�� to 1 Z Z3 The applicant was em to ed me from '] Applicant's title:���— The applicant's scope of work (specific duties) included: q. 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 Signature of person providing t state rit State of k-oWtAh County of CULL 1 C� T'he foregoing instrument was acknowledged before me by means of1Wphysical presence or ❑ online notarization on this day of �tll +�� �t , 20 Z-3, by DA-91EL S 4C-"1 Such person(s) Notary Public must check applicable box: ❑ are personally known to me E�has produced a torrent driver license ❑ has produced (Notary Sea I -� �, HLOS D. RODRIGUEZ o y p� Notary Public. State of Florsda r Commission# HH 151636 My c0mm. expire, Aug. 19, 2025 as identification. Notary Signature: Contractor Licensing - FIRM Application Rev. 7f2022 Page 10 of 14 Operations & Regulatory Management Division, Contractor Licen" • 28M North Horseshoe Drive a Naples, FL 34104 a (239) 252-2431 contracaorsiieensingacollrercountvfl 4ov Packet Pg. 98 Comer County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF-TIUiIAq COUNTY OF Lf ; `i I, V 1 Y I hi A TU 00 10` -tYl Z D , having been first duly sworn, state and affirm: I am a resident of L e e, County, b r1 o _ (State) and have resided here for more than five (5) years. During the last five (5) years I have known NI rn2 r O (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. YS Na 'So cm Z0reriza Signature 14 l�i�(�iYliq Sclwirl �.p�(PXLZ� �/.� � Printed Name Address: M 3 Street arf ES- s J:�/ City State Zip Telephone: 9,3 ! '1 � " 02 j T 7` State of County of -cam The foregoin instrument was acknowledged before me by means ofiZ physical presence or ❑ online notarization on this Zj_day of —, 20 Z-B , by � S it ii ��L��J__nrC�? Such person(s) Notary Public must check applicable box: -- ® are personally known to me ❑ has produced (Notary Seal) ❑ has produced a current driver license identification. a VERONICA ORTIZ F Notary Public Notary Signature: U-",, LW State of Flofids • ��z Comm# HN2UM1 Expires 7/S/2026 Contractor Licensing — FIRM Application Rev. 7/2022 Page 14 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslicensing &colliercountyfl.gov 8.D.1 W w J_ 00 c d E t t� tE Q Packet Pg. 99 CACT County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF 4� I n lr � Cl Ck COUNTY OF L -cC I, T .5 Q i la S Two, n having been first duly sworn, state and affirm: I am a resident of 1_e :C County, �OrL?.%. (State) and have resided here for more than five (5) years. During the last five (5) years I have known �/I� f IMPr k4 ``iY)Lj ((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. t Signature }- Printed Name Address:/ CQS�oqY C, Y Street City State Zip 8.D.1 Telephone: , _ w State of :' &UdeL County of Q w The foregoing instrument was acknowledged before me by means of IRKphysical presence or ❑ online notarization on this U Z 2day of nViLk 202, 3 , by Such person(s) Notary Public must check applicable box: OJ J_ ­111 are personally known to me ❑ has produced a current driver license O ❑ has produced as identification. a (rotary Seal w VERONICA ORM J Notary Public i 00 State of Florida Notary Signature: Ile'. Comm# Hti284381 Expires 7/5/2M6 w c Contractor Licensing — FiRM Application Rev. 712022 Page 14 of 14 y E Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • {239) 252-2431 v contractorsiicensina ancolliercountyfl.00v Q Packet Pg. 100 AUiN3dNV3 - 30N3lU3dX3 d0 MMAM - Z3HONVS 0111121Od 'A b3WIIM 'a8 :;uauay3euv , VIA a�Fru a • t rS 1 06rQ N IL q- Ali r 0 o` ACC>R o® CERTIFICATE OF LIABILITY INSURANCE FDAT1/3/2023YYY) 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 Ott Insurance Agency, LIc 10915 Bonita Beach Rd Ste 1141 Bonita Springs FL 34135 CONTACT NAME: Brian Seneski PH E A/ONN x :239-948 -0001 a/c ENo): 239-948-2004 ADDRESS: brian@oftins.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: Clear Blue Insurance Company 28860 License#: L063629 INSURED EVERBUI-01 Everlast Building Contractors Inc INSURER B : 2604 15th St W INSURER C : INSURER D: Lehigh Acres FL 33971 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:709113415 RFVISION KIHMRFR, 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 SUBR POLICY NUMBER POLICY EFF MM/DD/VYYV POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 77-1 OCCUR BGFL0026909500 1/3/2023 1/3/2024 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTEDPREMISES Ea occurrence $300,000 GEN'L X MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: JECT PRO - POLICY ❑ PRO- ❑ LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ P BODILY INJURY (Per accident ( ) $ PROPERTY DAMAGE Per accident $ UMBRELLA LIAB __]__QCCUR EXCESS LB CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? El (Mandatoryin NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A I PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) Remodeling Contractor A Gill]PfG\11�7D1�9�G1 Collier County Contractor Licensing Board 2800 Horseshoe Dr N 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 U 1988-2015 ACOHU CORPORATION. All rights reserved ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 8.D.1 W W J_ 00 w c d E t R r r Q Packet Pg. 102 \,ee Coo 4 Tax Collector Noeiie urannmg Local Business Tax Receipt EVERLAST BUILDING CONTRACTORS INC WILMER Y PORTILLO Dear Business Owner: Your 2022 - 2023 Lee County Local Business Tax Receipt is attached below for account number / receipt: number: 1081683 / 2300966 If there is a change in one of the following, refer to the instructions on the back of this receipt. • Business name • Ownership • Physical location • Business closed This is not a bill. Detach the bottom portion and display in a public location. I hope you have a successful year. Sincerely, t AR 5 j Lee County Tax Collector ----------------------------------------------------------------------------------------------------- 2022-2023 LEE COUNTY LOCAL BUSINESS TAX RECEIPT Account Number: 1081683 Receipt Number: 2300966 State License Number: Location: 2604 15TH ST W LEHIGH ACRES, FL 33971 EVERLAST BUILDING CONTRACTORS INC WILMER Y PORTILLO 2604 15TH ST W LEHIGH ACRES, FL 33971 Account Expires: September 30, 2023 ADMINISTRATIVE OR BUSINESS OFFICE ONLY LOCAL BUSINESS TAX RECEIPT IS NON REGULATORY Payment Information: PAID B09-00-00806129 12/29/2022 $ 50,00 8.D.1 Packet Pg. 103 8.D.1 JIMMY PATRONiS Tp CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 1/5/2023 PERSON: WILMER Y PORTILLO FEIN: 921473516 BUSINESS NAME AND ADDRESS: EVERLAST BUILDING CONTRACTORS, INC 2604 15TH ST W LEHIGH ACRES, FL 33971 EXPIRATION DATE: 1 /4/2025 EMAIL: PORTILLOWY@CENTURYLINK.NET 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. IMPORTANT: 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 4, 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 RULE 69L-6.012, F.A.C. REVISED 0112023 E01645328 QUESTIONS? (850) 413-1609 W w r- J_ 0 00 r C d E t U r Q Packet Pg. 104 8.D.1 February 13, 2023 MINUTES OF THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD MEETING February 13, 2023 Naples, Florida LET IT BE REMEMBERED that the Collier County Contractors' Licensing Board, having conducted business herein, met on this date at 9:00 a.m. in REGULAR SESSION in Administrative Building F, P Floor, Collier County Government Center, Naples, Florida, with the following members present: Chairman: Todd Allen (excused) Vice Chairman: Stephen Jarron Elle Hunt (excused) Terry Jerulle Richard E. Joslin Kyle Lantz Robert Meister III (absent) Matthew Nolton (absent) Patrick G. White ALSO PRESENT: Kevin Noell, Esq., Contractors' Licensing Board Attorney Timothy Supervisor Crotts, Contractor Licensing Supervisor Colleen Kerins, Assistant Collier County Attorney Michael Governale, Collier County Licensing Investigator Sandra Delgado, Supervisor, Operations, Licensing Packet Pg. 105 8.D.1 February 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. Acting Chairman Jarron opened the meeting at 9 a.m. Roll call was taken; five members were present in the BCC Chambers. Supervisor Crotts said Mr. Allen and Ms. Hunt provided prior notice and asked that their absences be approved. He hadn't heard from Mr. Nolton. "�1 1 1X_ Board Member Lantz moved to approve the agenda. Second by Board Member Joslin. The motion passed unanimously, 5-0. 4. APPROVAL OF MINUTES: A. December 21, 2022 Board Member Lantz moved to approve the January 18, 2023, meeting minutes. Second by Board Member Joslin. The motion passed unanimously, 5-0. 5. PUBLIC COMMENTS: None 6. DISCUSSION: None _ti DI 0_C 8. NEW BUSINESS: a A. Orders of the Board [seven items] >: D: w Board Member White made a motion to authorize the Chairman to sign the Orders of the Board. Second by Board Member Lantz. The motion passed unanimously, 5-0. The Orders of the Board were approved. d W r B. Wilmer Y. Portillo Sanchez — Everlast Building Contractors Inc. Building Contractor — Review of Experience and Credit r Acting Chairman Jarron called Mr. Sanchez to the podium, and he was sworn in. a Packet Pg. 106 8.D.1 February 13, 2023 Supervisor Crotts reported that Mr. Sanchez has submitted an application for the issuance of a registered license for a Building Contractor, which requires 48 months of experience and requires a minimum credit score of 660. Under Collier County Ordinance 2006-46, Section 2.3.9, Mr. Sanchez was required to submit a personal and business credit report. His 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 for financial responsibility as set forth in Rule 61 G4-15.006 of the state of Florida. " A review of the credit report submitted by Mr. Sanchez shows the following areas of concern. • Mr. Sanchez's credit report shows a credit score of 656. • The credit report shows a collection in the amount of $748 from ECOA as of 8/31/22. • The credit report shows a note of serious delinquency. Mr. Sanchez was required to submit documentation showing his experience as part of the review process by staff. He submitted a Verification of Experience from his current and former employers outlining his experience: • Dalia Building Company Inc., a state -certified building contractor. Mr. Sanchez has worked for this company from 2012 to present. The company president said Mr. Sanchez's experience was that of doing small repairs, cabinet work, painting and trim work. He has no experience building homes or commercial construction. • On Site Woodworking Inc., a state -certified general contractor. Mr. Sanchez has worked for this company from 2012 to present and his employment was that of a subcontractor, not a full-time employee. The company's qualifier said Mr. Sanchez's experience involved finish, trim work, painting and some drywall. He had no structural experience with this company. • Garrett/Curtis Construction Inc., a state -certified building contractor. Mr. Sanchez worked for this company from 2017 to 2022. The company president said Mr. Sanchez's experience was in painting, stucco wall repair, framing interior and exterior, floor installation and cabinet work. He had no construction experience building homes or in commercial construction. Based upon the information received, it is staffs opinion that Mr. Sanchez does not meet the minimum requirements as set forth in the Ordinance 2006-26, as it relates to the financial responsibility, or the experience, as it relates to a Building Contractor, under Section 1.6.1.2. Because Mr. Sanchez does not meet the minimum requirements for his credit score and qualifications needed to be a Building Contractor, Mr. Sanchez is being referred to the w Contractors' Licensing Board under Section 2.5.2, Referral of the Application to the Contractors' 2 Licensing Board for a Decision. Mr. Sanchez is here today to answer your questions regarding his credit and experience. o 00 Acting Chairman Jarron asked Mr. Sanchez to explain his credit report, noting that his credit score is close but a couple of points shy of what he needs. E �a Mr. Sanchez told the Board: a Packet Pg. 107 February 13, 2023 • He just checked on Friday and it's 664 now and he has the proof. • He used that credit score to apply for a license in Palm Beach County. • He wasn't able to get Verifications of Experience because past employers said they would fill out the letters, but then wouldn't get back to him after he sent them the letter. • He got his painting license in 2012. • He's worked for Mario's Painting. He worked for other companies and helped them do the work. The wouldn't fill out the letter. • He knows how to read plans and doesn't want to build big buildings. He just wants to be licensed. • He has supervised many jobs but doesn't have a license to take full responsibility of a job. • He's helped supervisors and understands the work. During questioning by the Board, the following points were made: • He's done some concrete work, such as fixing and repair. • He has no experience driving pilings. • He didn't know the difference between a grade beam and a tie beam. • He's been told how to do that work but has been supervised. • He formed and poured a slab for his own house, with a detached garage, and built it using a blueprint. He did not do the electrical, water and AC work, but hired licensed contractors to do that. • He doesn't have experience in structural work. Board Member White made a motion to deny issuance of a Building Contractor's License for Wilmer Y. Portillo Sanchez. Second by Board Member Jerulle. The motion passed unanimously, S-0. Board Member White advised him to go to the people who didn't respond to his request for Verifications of Experience to prove he has the experience. His limited amount of experience doesn't meet the minimum required and he needs to be familiar with the structural components needed to build. C. Lena M. Caceres Endara — Corinto Decor LLC Building Contractor — Review of Experience Acting Chairman Jarron called Ms. Endara to the podium, and she was sworn in. Supervisor Crotts reported that Ms. Endara has submitted an application for the issuance of a a registered license for Building Contractor, which requires 48 months of experience. As part of the � application process for the issuance of Building Contractor's License, Ms. Endara was required w to submit documentation outlining her experience. As part of the staff -review process, Ms. Endara submitted a Verification of Experience from her CO former employers outlining her experience: • New Vision Builders of Southwest Florida, a state -certified building contractor. She E worked for this company from May 2020 to December 2022 as a full-time employee. The company vice president said her experience involved kitchen design and in -home .2 4 Packet Pg. 108 8.E 07/19/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 8.E Doc ID: 26096 Item Summary: 8E.ROBERTO SUAREZ SANCHEZ - REVIEW OF CREDIT — SWIMMING POOLSPA SERVICING CONTRACTOR - ALPHA POOL GUYS WEST COAST, LLC Meeting Date: 07/19/2023 Prepared by: Title: — Contractor Licensing Name: Alyshia Morse 07/12/2023 3:31 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 07/12/2023 3:31 PM Approved By: Review: Contractor Licensing Sandra Delgado Review item Completed 07/12/2023 4:51 PM Contractor Licensing Tim Crotts Review Item Completed 07/13/2023 7:32 AM Contractor Licensing Tim Crotts Meeting Pending 07/19/2023 9:00 AM Packet Pg. 109 ofld (bmr, Contractor Licensi 8•E.1 CO�BY C01LiYRt 2800 N. Horseshoe Dr. y Naples, FL 34104 Growth Management Department ��> �� (�� Phone - 239-252-2431 Fax - 239-252-2469 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY FIRM APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY This application must be typewritten or legibly printed. The application fee must be paid upon approval and is NOT refundable. All checks should be made payable to: Collier County Board of County Commissioners. For further information, consult Collier County Ordinance No. 2006-46, as amended. TYPE OF CERTIFICATE OF COMPETENCY: ❑ General $230.00 ❑ Building $230.00 ❑ Residential $230.00 Mechanical $230.00 - Roofing $230.00 Specialty Trade: Swimming Pool Cleaning I. APPLICANT PERSONAL INFORMATION: Name: Roberto F --t Business Name: Alpha Pool Guys West Coast LLC ti��l;�❑ t '"'Itic� ❑ Electrician $230.00 ❑ Plumber $230.00 ❑ Air Conditioner $230.00 ❑ Swimming Pool $230.00 ❑ Specialty $205.00 Suarez Sanchez La St Address: 14875 Mystic Lake Cir Naples FL 34119 Street City State Lip Email: robe980821 a mail.com Telephone: 239-682-8215 Date of Birth: 08/21/1998 *SS # (Last 4 digits only): 7772 Driver's License # (Last 4 digits only): 3t110 *Pursuant to Chapter 1-19, Florida Statutes and Collier County Contractor Licensing Ordinance 2006-46 Section 2.1.1., all applicants are required to submit their social security number (SSN) for the following purposes: 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. Firm_Application.docx Rev 4/06/2020 packet Pg. 110 CD*BY Ci014"ty Growth Management Department Contractor Licensi 8•E.1 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 to 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: Anaiza Sanchez Hernandez Telephone: 305-965-5985 II. NAME OF APPLICANT'S BUSINESS: Business Name: Alpha Pool Gus West Coast LLC Name:Roberto Suarez Sr. Telephone: 239-691-8879 Business Address: 14875 Mystic Lake Cir Naples FL 34119 Street City State Zip Telephone: ( 305 ) 965-5985 Email: al ha c mail.com Federal ID Tax No.: 92-3624226 III. FINANCIAL RESPONSIBILITY YES NO ALL APPLICANTS MUST ANSWER THE QUESTIONS BELOW: X Filed for or been discharged in bankruptcy within the past 5 years? X Had a lien filed against you by the Internal Revenue Service or Florida Corporate Tax Division? X Undertaken construction contracts or work that resulted in liens, suits, or judgments being filed? Undertaken construction contracts or work that a third parry, such as a bonding or surety company, X completed or made financial statements on? Made an assignment of assets in settlement of construction obligations for less than the debts X outstanding? X Been convicted or found guilty of, or entered a plea of nolo contendere to, regardless of adjudication, a crime in any jurisdiction within the past 10 years?* X Had claims or lawsuits filed for unpaid or past due accounts by your creditors as a result of construction experience? Been charged with or convicted of acting as a contractor without a license, or if licensed as a X contractor in this or any other state, been "subject to" disciplinary action by a state, county, or municipality? NOTE. If you have answer YES to any of the questions below, you must attach a written explanation including the nature of the charges, dates, and outcomes, sentences of conditions imposed. You must also attach proof of payment, satisfaction of lien or judgement, bankruptcy discharge, or agreements for payment.*If you have had a felony conviction, proof that your civil rights have been restored will be required prior to licensure. Firm Application.docx Rev 4/06/2020 Packet Pg. 111111 C AV 'C' 0147lty Growth Management Department Contractor Licensing F8TT771 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 to 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: None 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. LCC20210001423, Swimming Pool Cleaning, Collier County _ AFFIDAVIT Under the penalties of perjury, I declare that I have read the foregoing applicatioAand he facts stated in it are true. A+ Roberto Suarez Sanchez Applicant (please print) 7naf7pplicant State of f Zor1 LCrL1 County of tip �t1z a� l2 The foregoing instrument was acknowledged before me by means of Vph sical presence or ❑ online notarization on this 41ic day of JV vt C 20 QL , by rt Z Such person(s) Notary Public must check applicable box: h bare personally known to me ❑ has produced a current driver license �H'r'�"� Yarlet Cambria�C cz3 HH 326037 ❑ has produced as identification. �j COMM.,Expires: October 26, 2026 Notary Pulpit - State of Florida (Notary Seal) ' ""'�. Yanet Camlona Notary Signature: Comm.: HH 326037 Expires: October 26, 2026 ' � y Notary Public - State of 90rida Firm Application.docx Rev 4/06/2020 Page 5 of 15 Packet Pg. 112 Contractor Licensing C,61fier CO'L i ty 2800 N. Horseshoe Dr. 34104 Growth Managerrertt Department Naples, FL Phone - 239-252-2431-2431 Fax - 239-252-2469 to APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY � J CERTIFICATION OF APPLICATION °o 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. Roberto Suarez Sanchez Applicant (please pent State of T7/or "do County of r Q2 The foregoing instrument was acknowledged before me by me /_day of _�t� vi0 20 Z 3 , by 1 Such person(s) Notary Public must check applicable box: Nl El are personally known to me ❑ has produced a current driver license ' ••.Yanet Gammon Z� Zi3 Comm.:HH326037 ❑ has produced as identification. Expires: October 26, 2026 Notary Public -State of Florida (Notary Sea]) Notary Signature: 'r'•• Yanet Carmona tj�Comm.: HH 326037 Expires: October 26, 2026 " Notary Public - State of Florida Firm_Application.docx Rev 4/06/2020 Page 6 of 15 Packet Pg. 113 Contractor Licensing Ciolfie7' Ci014 "ty 2800 N. Horseshoe Dr. Naples, FL34104 Growth Management Department Phone - 239-252-2431 Fax - 239-252-2469 co 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. Roberto Suarez Sanchez Applicant (please print BEFORE ME this day personally appeared Roberto Suarez Sanchez who affirms and Applicant (please print) says that he has less than one employee and does not require Workmen's Compensation understands that at any time he employees one or more persons he must obtain said Workmen's Compensation Insurance. State of FG-©ni 41 County of P -TCP The foregoing instrument was acknowledged before me by means of 2 physical resence or ❑ online notarization on th' _day of f, 20 Za, by Cpiz a,4 c -Soli a ka & ,Y'�l Such person(s) Notary Public must check applicable box: glare personally known to me ❑ has produced a current driver license ❑ has produced (Notary Seal) .�°^AlftYanet Carmona , V� Comm.: HH 326037 ` Expires: October 26, 2026 Notary Public - State of Florida Yanet Carmona identification. fir•` '� Comm.: HH 326037 �''= Expires: October 26, 2026 NMn" ` Notary Public - State of Florida mr� Notary Signature: — yC q n� f Z(a f Zc�Z3 Firm_Application.docx Rev 4/06/2020 Page 7 of 15 Packet Pg. 114 8.E.1 USA CREDIT BUREAU Credit Reporting & Collections 154 SE 71h Ave Ste 2, Crystal River FL 34429 • 352-628-2680 • Fax 239-719-2755 JUNE 9, 2023 PERSONAL CREDIT REPORT (COMPILED FROM NATIONAL RECORDS) [SUBJECT] SUAREZSANCHEZ, ROBERTO [ALSO KNOWN AS] SANCHEZ,ROBERTO,SUAREZ SUAREZ,ROBERTO [CURRENT ADDRESS] 14875 MYSTIC LAKE CI., #6205. NAPLES FL. 34119 [FORMER ADDRESS] 1710 NE. 191ST ST., #206. MIAMI FL. 33179 7610 TARA CI., #107. NAPLES FL. 34104 [SSN] [BIRTH DATE] -7772 8/98 [DATE RPTD] 12/21 9/21 [POSITION] [CURRENT EMPLOYER AND ADDRESS] [VERF] [RPTD] LUXURY TRANSPORT CORP BROOKER 6/22A 6/22 [FORMER EMPLOYER AND ADDRESS] TRUSTINVESTING INVESTER 8/21A 8/21 M O D E L P R O F I L E * * * A L E R T*** ***FICO SCORE 4 SCORE +432 : 038, 013, 010, 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 *** T 0 T A L F I L E H I S T O R Y PR=O COL=1 NEG=24 HSTNEG=1-9 TRD=28 RVL=13 INST=13 MTG=O OPN=2 INQ=59 HIGH CRED CRED LIM BALANCE PAST DUE MNTHLY PAY AVAILABLE INSTALLMENT: $169K $ $161K $15.4K $2764 CLOSED W/BAL: $640K $487K $ TOTALS: $169K $ $802K $503K $2764 ---------------------------------------------------------------------------- C O L L E C T I O N S SUBNAME SUBCODE ECOA OPENED CLOSED $PLACED CREDITOR MOP ACCOUNT# VERIFIED BALANCE REMARKS CREDIT COLL Y 1GZD005 I 10/22 $113 06 SENTRY SELECT I 09B 465782 5/23A $113 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 SYNOVUSCARDS B 1ZUZO01 6/22 $22.2K R09 476425000624 6/23A $22.OK $22.1K I CREDIT CARD 10/22F $22.1K CLSD BY CRDT GRANTOR 0 AMEX B 21WBOOl 6/22 $13.3K R09 3499929959737303 6/23A $0 $2904 I CREDIT CARD 7/22F $13.3K CLSD BY CRDT GRANTOR 0 AMEX B 21WBOOl 12/21 $17.5K 009 3499929331355493 6/23A $4846 USA CREDIT BUREAU • • • PAGE 1 OF 4 • • • PERSONAL CREDIT REPORT Packet Pg. 115 8.E.1 I CREDIT CARD 7/22F $17.5K CLSD BY CRDT GRANTOR 0 ALLY FINCL F 259237L 6/22 $63.9K 075M 109 228112055878 5/23A $65.OK C AUTOMOBILE 12/22F $66.5K UNPAID BLNC CHRGD OFF 0 TRUIST B 423A072 6/22 $63.OK 072M 109 50692029844921001 5/23A $64.7K C AUTOMOBILE 3/23F $64.7K UNPAID BLNC CHRGD OFF 0 TRUIST B 423A072 6/22 $29.OK 060M 109 50692028791099001 5/23A $31.OK I UNSECURED 11/22F $31.OK UNPAID BLNC CHRGD OFF 0 YAMAHA MOTOR A 2F8K002 6/22 $29.4K 084M 109 1000201610 5/23A $0 I AUTOMOBILE 4/23F $33.5K UNPAID BLNC CHRGD OFF 0 SYNOVUS BANK B 863R046 6/22 $25.2K 036M 109 416503206800010 5/23A $27.2K I UNSECURED 11/22F $27.2K UNPAID BLNC CHRGD OFF 0 SYNCB/JCP D 235058D 12/19 $2019 R09 600889141462 5/23A $1400 $0 I SLDTO PORTFOLIO R 9/22F $0 PURCH BY OTHER LENDER 0 VW CREDIT F 2943003 6/22 $99.OK 072M I09 8138259884 5/23A $65.OK I AUTOMOBILE 3/23F $101K UNPAID BLNC CHRGD OFF 0 SYNCB/PPC B 999221L 9/21 $5117 R09 604419103645 5/23A $4200 $4418 I CREDIT CARD 9/22F $4418 UNPAID BLNC CHRGD OFF 0 SYNCB/TJXDC B 235065N 12/20 $2455 R09 524366166139 5/23A $1100 $2455 I CREDIT CARD 7/22F $2455 UNPAID BLNC CHRGD OFF 0 MACYS/CBNA D 2A5T001 10/20 $866 R09 603534010086 5/23A $1500 $866 I CHARGE ACCOUNT 8/22F $866 CLSD BY CRDT GRANTOR 0 DISCOVERBANK B 9616003 11/19 $8153 R09 601100474184 5/23A $7700 $8153 I CREDIT CARD 12/22F $8153 DISP INV CMP-BY GRNTR 0 CREDITONEBNK B 54MR013 7/22 $632 Rug 444796268702 5/23A $0 $0 I SLDTO LVNV FUNDIN 12/22F $0 PURCH BY OTHER LENDER 0 NORDSTM/TD D 2FAH001 1/21 $4969 R09 447043112613 5/23A $4500 $4969 I CREDIT CARD 8/22F $4969 UNPAID BLNC CHRGD OFF 0 VW CREDIT F 2943003 8/21 $39.1K 048M 109 8134301287 5/23A $10.3K I AUTO LEASE 4/23F $10.3K UNPAID BLNC CHRGD OFF 0 HARLEY DAVID F 41LD002 6/22 $42.2K 084M 109 20220622306034 5/23A $0 I AUTOMOBILE 3/23F $44.9K NATURAL/DCLRD DISASTR 0 BMW FIN SVC A 82WT002 6/22 $66.9K 072M 109 1004528186 5/23A $65.OK USA CREDIT BUREAU • • • PAGE 2 OF 4 • • • PERSONAL CREDIT REPORT Packet Pg. 116 8.E.1 C AUTOMOBILE 1/23F $68.1K DISCOVER PL B 799UO06 6/22 $25.OK 500014110950 4/23A I UNSECURED 12/22F $26.8K JPMCB CARD B 26QK001 9/21 $16.2K 414720250946 3/23A $7400 I FLEX SPND CRT CRD 7/22F $16.2K JPMCB AUTO B 402DO38 6/22 $73.OK 12216910525300 2/23A C AUTOMOBILE 1/23F $74.7K VERIZON U 1R2WO02 7/21 $661 3262025710 5/23A I TELECOM/CELLULAR 2/23F $661 TRANSFERD TO RECOVERY 0 060M I09 $26.8K UNPAID BLNC CHRGD OFF 0 $16.2K CLSD BY CRDT GRANTOR 0 072M 109 $65.OK UNPAID BLNC CHRGD OFF 0 $661 PLACED FOR COLLECTION 0 09B CNH IND CAP F 18BB008 6/22 $86.7K 060M1518 11/22 55555543211 105 328737 5/23A $15.4K $6065 05 I COMM INSTALL LOAN $88.6K 11 1/ 1/ 7 SUNCOAST CU Q 298QO01 6/22 $83.1K 072M1246 illlllliiii I01 6924239 5/23A $0 C AUTOMOBILE $72.7K 11 0/ 0/ 0 DISCOVERBANK B 9616003 7/22 $0 1111111 R01 601101209557 2/23A $500 $0 I CREDIT CARD 2/23C $0 CLSD BY CRDT GRANTOR 7 0/ 0/ 0 SYNCB/PPMC B 235061Z 1/20 $0 111111111111 R01 521853103544 12/22A $1000 $0 111111111111 I CREDIT CARD 9/22C $0 CLSD BY CRDT GRANTOR 35 0/ 0/ 0 BLOCKFI F 2FTJO05 12/21 $1621 11111111 R01 900000063074 9/22A $5500 $0 I CREDIT CARD 9/22C $0 CLOSED 8 0/ 0/ 0 ---------------------------------------------------------------------------- I N Q U I R I E S DATE SUBCODE SUBNAME TYPE AMOUNT 1/06/23 FNV5023733(CAL) HDFS 12/05/22 FNV5023733(CAL) HDFS 10/20/22 FNV5023733(CAL) HDFS 7/18/22 ZCO8256968(CAL) CREDCO-AUTO 7/15/22 BNY3193738(EAS) SYNCB/DKS 7/06/22 ZTN0620205(SCT) TRANSLEASE I 7/03/22 NNY2120170(EAS) SYNCB/LOWES 7/01/22 FNY4853553(EAS) SYNCB 6/22/22 FPC1246538(NTL) COAF 6/22/22 BCI1780815(DAY) FIFTH THIRD 6/22/22 BNC1619001(FLA) US BANK 6/21/22 FLA2817275(CAL) CPS 6/21/22 QAM4005027(FLA) CULS/CINCH 6/21/22 BRI1403244(NEN) CITIZENS ONE 6/21/22 FDT3025836(MCH) TD AUTO FIN 6/21/22 ACH2852027(CHI) RICK HENDRIC 6/21/22 FPC1246538(NTL) COAF 6/20/22 ACH4941258(CHI) MERCEDES BEN 6/20/22 FDT4831813(MCH) MB FIN SVCS 6/20/22 FPC1246538(NTL) COAF 6/18/22 QC00003019(DAY) BMW FIN SVC 6/18/22 FDT1338045(MCH) ALLY FINANCI 6/18/22 BNC1619001(FLA) US BANK 6/17/22 FDT3025836(MCH) TD AUTO FIN USA CREDIT BUREAU • • • PAGE 3 OF 4 PERSONAL CREDIT REPORT Packet Pg. 117 8.E.1 6/17/22 QC00003019(DAY) 6/17/22 ALA4756347(CAL) 6/16/22 FPC1246538(NTL) 6/16/22 BC03201671(DAY) 6/16/22 FDT3025836(MCH) 6/16/22 ALA8563000(CAL) 6/16/22 FDT4831813(MCH) 6/16/22 ATA3572944(FLA) 6/16/22 FDM0093314(ILM) 6/15/22 FDT3025836(MCH) 6/15/22 BNC1619001(FLA) 6/15/22 ACH7148603(CHI) 6/15/22 QC00003019(DAY) 6/15/22 FCH0004217(CHI) 6/14/22 FPC1246538(NTL) 6/14/22 BC03201671(DAY) 6/14/22 BCI1780815(DAY) 6/14/22 ANC3326523(FLA) 6/14/22 NDY1263431(DAY) 6/14/22 FDT3025836(MCH) 6/14/22 BRI1403244(NEN) 6/13/22 NDY1263431(DAY) 6/13/22 SLA3308523(CAL) 6/13/22 FLA3578659(CAL) 6/13/22 SLA1456840(CAL) 6/09/22 BBH4389853(SCT) 6/08/22 BBH4389853(SCT) 6/08/22 FCE3291258(CHI) 6/07/22 FCE2375239(CHI) 6/06/22 BDM0090140(ILM) 12/14/21 BNY5371284(EAS) 12/06/21 BUT5066013(MWB) 9/16/21 BMA2450957(EAS) 8/10/21 ACH2924356(CHI) 8/10/21 FCH0004217(CHI) ------------------------ BMW FIN SVC GERMAIN BMW COAF HUNTINGTON TD AUTO FIN BRICKELL MOT MB FIN SVCS MERCEDES BEN DEERE CR SVC TD AUTO FIN US BANK AUDI FORT MY BMW FIN SVC VW CREDIT COAF HUNTINGTON FIFTH THIRD MERCEDES BEN SYNCB TD AUTO FIN CITIZENS ONE SYNCB NORTH MIAMI YAMAHA MOTOR RIVA MOTORSP REGIONS BANK REGIONS BANK DISCOVER FIN ONEMAIN WF PLL SYNCB/AMAZON AMEX SYNCB/PAYPAL PALMETTO 57 VW CREDIT BANKR UPTCYIJUDGMENTILIEN SEARCH AU AL 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: ROBERTO SUAREZ 14875 MYSTIC LAKE CIR, NAPLES FL 34119 SSN: •7772 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 • • • PERSONAL CREDIT REPORT Packet Pg. Tl8 8.E.1 USA CREDIT BUREAU Credit Reporting & Collections 154 SE 7t" Ave Ste 2, Crystal River FL 34429 • 352-628-2580 • Fax 239-719-2755 CONTRACTOR CREDIT REPORT JUNE 9, 2023 BUSINESS CREDIT REPORT ALPHA POOL GUYS WEST COAST LLC FED TAX ID#: 92-3624226 FILED: 04/13/2023 14875 MYSTIC LAKE CIR, NAPLES FL 34119 2645 39TH AVE NE, NAPLES FL 34120 CORPORATE OFFICERS OFFICE SSN ANAIZA SANCHEZ HERNANDEZ MGR -3434 FINANCIAL RECORDS CREDITOR/BANK TYPE OF HIGH RET PAST ACCOUNT NUMBER ACCOUNT OPENED BALANCE LIMIT CHECKS DUE NOT APPLICABLE BANKR UPTCYIJUDGMENTILIEN 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: ALPHA POOL GUYS WEST COAST LLC FED TAX ID#: 92-3624226 14875 MYSTIC LAKE CIR, NAPLES FL 34119 2645 39TH AVE NE, NAPLES FL 34120 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 1 OF 1 • • • BUSINESS CREDIT REPORT Packet Pg. 119 8.E.1 U*SA WCREDIT BUREAU Credit Reporting & Collections U) 154 SE 7" Ave Ste 2, Crystal Rimer FL 34429 • 352-628.2580 • Fax 239-719-2755 CONTRACTOR CREDIT REPORT --INE 20, 2023 BUSINESS CREDIT REPORT ALPHA POOL GUYS L.L.C. FED TAX ID#: 86-3027962 FILED: 4/9/2021 14875 MYSTIC LAKE CIR UNIT 6205, NAPLES FL 34119 CORPORATE OFFICERS OFFICE SSN ROBERTO SUAREZ JR MGR NONE PROVIDED ROBERTO SUAREZ MGR NONE PROVIDED FINANCIAL RECORDS CREDITOR/BANK TYPE OF HIGH RET PAST ACCOUNT NUMBER ACCOUNT OPENED BALANCE LINIT CHECKS DUE NC 71, APPLICABLE BANSRUPTCYIJUDGMENTILIEN SEARCH PUBLIC RECORDS HAVE BEEN CHI--KED 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: ELEMENT'S SEARCHED: ALPHA POOL GUYS L.L.C. FED TAX ID#: 86-3027962 14875 MYSTIC LAKE CIR UNIT 6205, NAPLES FL 34119 IN THE PREPERATION OF THE CONTRACTOR INCENSE 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 BASE. USA CREDIT BUREAU • • • PAGE 1 OF 1 • • • BUSINESS CREDIT REPORT Packet Pg. 120 8.E.1 DIVISION OF CORPORATION:: org --/' J>�� fu1 u!%tf}n! .attu� R,f j•'!ur/t!u �t•!'ir..rtY &partment of State / Division of Corporations / Search Records / Search by Entity Name / Detail by Entity Name Florida Limited Liability Company ALPHA POOL GUYS WEST COAST, LLC Filing Information Document Number L23000182905 FEI/EIN Number 92-3624226 Date Filed 04/13/2023 Effective Date 04/13/2023 State FL Status ACTIVE Principal Address 2645 39TH AVE NORTHEAST NAPLES, FL 34120 Mailing Address 2645 39TH AVE NORTHEAST NAPLES, FL 34120 Registered Agent Name & Address SANCHEZ HERNANDEZ, ANAIZA 2645 39TH AVE NORTHEAST NAPLES, FL 34120 Authorized Persons) Detail Name & Address Title MGR SANCHEZ HERNANDEZ, ANAIZA 2645 39TH AVE NORTHEAST NAPLES, FL 34120 Annual Reports No Annual Reports Filed Document Images 04/13/2023 — Florida Limited Liability View image in PDF format Packet Pg. 121 1 8.E.1 Electronic Articles of Organization FLED 8 00 AM For April 13 2023 Florida Limited Liability Company sec. Of State rinchardson Article I The name of the Limited Liability Company is: ALPHA POOL GUYS WEST COAST, LLC Article II The street address of the principal office of the Limited Liability Company is: 2645 39TH AVE NORTHEAST NAPLES, FL. 34120 The mailing address of the Limited Liability Company is: 2645 39TH AVE NORTHEAST NAPLES, FL. 34120 Article III Other provisions, if any: ANY AND ALL LEGAL BUSINESS Article IV The name and Florida street address of the registered agent is: ANAIZA SANCHEZ HERNANDEZ 2645 39TH AVE NORTHEAST NAPLES, FL. 34120 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: ANAIZA SANCHEZ HERNANDEZ Packet Pg. 122 8.E.1 Article V The name and address of person(s) authorized to manage LLC: Title: MGR ANAIZA SANCHEZ HERNANDEZ 2645 39TH AVE NORTHEAST NAPLES, FL. 34120 US Article VI The effective date for this Limited Liability Company shall be: 04/13/2023 Signature of member or an authorized representative Electronic Signature: ANAIZA SANCHEZ HERNANDEZ L23000182905 FILED 8:00 AM April 13 2023 Sec. Of �§tate rlrichardson I am the member or authorized representative submitting these Articles of Or anization and affirm that the facts stated herein are true. I am aware that false information submitted in a document to the Department of State constitutes a third degree felony as provided for in s.817.155, F.S. I understand the requirement to file an annual report between January 1 st and May 1 st in the calendar year following formation of the LLC and every year thereafter to maintain "active" status. Packet Pg. 123 8.E.1 Ti]S T]EPAFtTMENT OF THE TREASURY mo INTERNAL REVENUE SERVICE CINCINNATI OR 45999-0023 ALPHA POOL GUYS WEST COAST ANAIZA SANCHEZ HERNANDEZ SOLE MBR 2645 39TH AVE NE NAPLES, FL 34120 Date of this notice: 04-20-2023 Employer Identification Number: 92-3624226 Form: SS-4 Number of this notice: CP 575 G For assistance you may call us at: 1-800-829-4933 IF YOU WRITE, ATTACH THE STUB AT THE END OF THIS NOTICE WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER Thank you for applying for an Employer Identification Number (EIN). We assigned you EIN 92-3624226. 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 corporation status, it must timely file Form 2553, Election by a Small Business Corporation. The LLC will be treated as a corporation as of the effective date of the S corporation election and does not need to file Form 8832. To obtain tax forms and publications, including those referenced in this notice, visit our Web site at www.irs.gov. If you do not have access to the Internet, call 1-800-829-3676 (TTY/TDD 1--800-829-4059) or visit your local IRS office. Packet Pg. 124 8.E.1 (IRS USE ONLY) 575G 04-20-2023 ALPH O 9999999999 SS-4 IMPORTANT REMINDERS: * Keep a copy of this notice in your permanent records. This notice is issued only one time and the IRS will not be able to generate a duplicate copy for you. You may give a copy of this document to anyone asking for proof of your EIN. * Use this EIN and your name exactly as they appear at the top of this notice on all your federal tax forms. * Refer to this EIN on your tax -related correspondence and documents. * Provide future officers of your organization with a copy of this notice. Your name control associated with this EIN is ALPH. 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 (500-829-3676). If you have questions about your EIN, you can contact us at the phone number or address listed at the top of this notice. If you write, please tear off the stub at the bottom of this notice and include it with your letter. Thank you for your cooperation. Keep this part for your records. CP 575 G (Rev. 7-2007) Return this part with any correspondence so we may identify your account. Please correct any errors in your name or address. CP 575 G 9999999999 Your Telephone Number Best Time to Call DATE OF THIS NOTICE: 04-20-2023 ( ) - EMPLOYER IDENTIFICATION NUMBER: 92-3624226 FORM: SS-4 NOBOD INTERNAL REVENUE SERVICE CINCINNATI OH 45999-0023 II III I. II II II III 1. L. U.. II{I III I I III III I III I I I I I II ALPHA POOL GUYS WEST COAST ANAIZA SANCHEZ HERNANDEZ SOLE MBR 2645 39TH AVE NE NAPLES, FL 34120 Packet Pg. 125 Cc�r County Growth Management Comrrnmity Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY STATEMENT OF OWNERSHIP This certifies that I, _ K0QPX I n -MV? am a member or managing PLICAWS NAME (�nt) n memberof __A I Own 10 6 of the units issued by the Limited Liability Company listed above. A`r!davit of Applicant: I certify under penalty of perjury that the information contained is a true and correct statement to the best of my knowledge. ko�' A0 sw)"e'� Applican ase pnnt) 801� 20i 6m eu t oa.5 ALL ame of Company 1 SignaTorApplicant State of Q012 T'df"A County of I p 1_ W;I? The foregoing instrument was acknowledged before me by mcT of l"physical presence or O online notarization on this j�dayof 0via- 20 ',,by l�C�,G,=/Z�t� C,.)')',A(? �d Such person(s) Notary Public must check applicable box: 9'a'm- personally known to me ❑ has produced a current driver license ❑ has produced (Notary Seal) Yanet Camtona £ Comm.: HH 326037 Nires: October 26,2026 otary public State of Fmcia Contractor Licensing - F IRIA ApplK;ation Rev 7/2022 "ML. as identification. Notary Signadue: w c m E s Page 9 of 14 Q Packet Pg. 126 St�(__Omnty G"%4h hilirt2 Wiertt Departrix" Contractor Licensing 2800 N. Horseshoe Dr, Naples, FL 34104 239-252-2400 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 200646, as amended, I �+" proposes ( Comp a Name to engage in contracting as 1 1rA- tllt� x f Q 1to Collier County where�_— Officers/Owners/Partners Applicant Nam Roberto Suarez proposes to qualify for a Certificate of Competency with company 0 U ��Q ALL `,jjCompIt is hereby agreed upon that we the undersigned� i11C11 �_°i11G n(1CAf --di7 i li �b�i? 10a.`3� Officers/Owners/Partners Company -�lve and represent to the Collier County Contractor's Licensing Board that the proposed qualifying agent, Roberto uarez n �11111,ltfu AA1 ,. .._..._..._�}, is active in all matters connected with the company named Applicant�mpany Nare Rober11 siare�f �iQA_. We further resolve and represent that , -.. r 1, 1 -'`' is legally D ( Applicant Name empowered to act on behalf of (j 1Pt �416lr I OCIS in all matters connected with its contracting Company ii ' A' business and has the authority to supervise construction undertaken b 11a Poo U U�►C ompany 4&� Officers/Owners/Partners ss W41 Officers/Owners/Partners Witness Officers/Owners/Partners Witness Officers/Owners/Partners of the above -mentioned company need to sign on the left and a witness to the signature signs on the right. State of / Off' i c�i County of (011j1 Cr R The foregoing instrument was acknowledged before me by means of ® physical presence or 0 online notarizati n o this dayof _�VnG_ 20�,by •/it-)l�. i to �1 Such person(s) Notary Public must check applicable box: C� � /21a�70 Z3 Bare personally known to me 0 has produced a current driver license ,,,, ; �,,, Yanet Caamna Comm.: HH 326037 ❑ has produced as identification. Expires: October26, 2026 ^� Not Public _ Staja of Florida (rotary Seal) Notary Signature: Yanet Carron =pf � . Comm,: HH 326037 �/ • Expires: October 26, 2026 „' Notary Punta • State of flodda Firm_Application.docx Rev 4/06/2020 Page 8 of I Packet Pg. 127 8.E.1 ti c lfer County Gmwth Mmagwtertt Departrnent Contractor Licensing 2800 N. Horseshoe Dr. Naples. FL 34104 239-252-2400 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF 110 f i V-,' COUNTY OF O� III E r I t, AC ct Je S to having been first duly sworn, state and affirm: I am a resident of Coll, i r County more than five (5) years. (State) and have resided here for During the last five (5) years I have known Roberto Suarez. Sanchy. (applicant). I have had the opportunity to observe his or her business and personal dealings and find him or her to be a pens of honesty, integrity and good character. �' Signature Printed Name Address: 105V Ile CiL Street pry State Zip Telephone: i State of f(cladiA Count} of 00 Icl? The foregoing instrutnem %%as ackno%%ledged before ipe Ily means of ID/plt) siical presence or 0 online notarization on this LdaN of h E. _. 20 , by - 01A� Zvtr C> l.Ft � rC7 >a �c"C�y {i rJ 0 �c Such personas) NOWn Public must check applicable boy: C" `t i( /7c, L 3 pare personalty known to me O has produced a current dmcr license Yanet Carmona ►!!��i: 0 has produced as identification. P k Comm.: HH 326037 ••:�.� °Expires: October 26, 2026 (Notary Seal) Notary Public - State of Florida """ ,,,,,,,.. Yanet Carmona ;�" ; ,ro: Comm.: HH 326037 Notan Sigrc�rurc _ . Expires: October 26, 2026 N"zyFudx.stateot Wn Packet Pg. 128 8.E.1 C:,� County C Cordractor LK,Pnsmg 2800 N Horseshoe Df Naples, FL 34104 239-252.2400 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTM STATE OF O 1 COUNTY OF L� I. P'0 having been first duly swom, state and affirm. I am a resident of �d lifY County, Bof IdQ. (State) and have resided here for more than five (5) years. During the last five (5) years I have known Roberto Suar , Sanchez (applicant). I have had the opportunity to observe his or her business and personal dealings and find him or her to be a person o honesty, integrity and good character. Signature RicatiJo SUVeZ Printed Name Address: 26M- Alyh Age of��. Street nifs FI 3q �o City state Z'p Telephone: 23q h,,c 102 0 State of r zt'G -T c14 CountN of �G l (11ZPL The foregoing instrument aas acknow!edged before me b) means of Vphi sicall resence or 0 online notarisation on this Ada} of �}t3 4 It . 20 . b% + `�Tz2o adr? Such person(s) Notar% Public roust check applicable box- 0—are personally know n to "be ❑ has produced a current driver license Yanet Carrnona as identification ,r'Y�O""'-- � has produced _ __ _ ___ __ � �� Comm.: HH 326037 =Expires: October 26, 2026 (Notan seal)"1ja^'` Notary Public State of Florida ,nm" Yaret Camara • '' '> Comm.: HH 326W7 Notan Signature: -- _ _ ----_ J) E6pires: October 26, 2026 s F hotar( h,* ' SIA 71 i7prYi3 Packet Pg. 129 8.E.1 Florida DwmxvgsE O SUAREZSANCHEZ ?ROBER'O s14875 MYSTIC LAKE CIR #6206 MAPLES. FL 34119 oop 08/2111998 ?s: .. M m cxP 0&21:2028 ±- ;- 5'-11" - '2 PEST NONE ]d � NONE �JJJW,. SAFE812312RIVER �d s� 0812312019 .1 i�C N13211I..22 Y GEP: i 11:0812021 �P�dtton Jt d TOfO! ��tNLf! �C(:ltnL}L$ :on"nt to any sat~v tat r.Jqu,rec w dw Packet Pg. 130 8.E.1 .ft O CERTIFICATE OF LIABILITY INSURANCE �/ DAT3/30/202311 03/30/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endoreement(s). PROWLER CONTACT NAME: CUSTOMER SERVICE PHONE FAX C AIC No INTEGRAL UNDERWRITERS CORP PO BOX 990337 E-MAIL ADDRESS: INSURE S AFFORDING COVERAGE NAIL N NAPLES FL 34116 INSURERA: Accelerant Specialty Insurance Company 16890 INSURED INSURERB: TECHNOLOGY INSURANCE COMPANY 42376 INSURER C : ALPHA POOL GUYS WEST COAST LLC INSURER D 2645 39th Ave NE INSURER E : Naples, FL 34120 INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTVATHSTANDING 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. WSR LTR TYPE OF INSURANCE ADDL wqp U n NUMBER POLICPOLICY Miamo� POLICY EXP LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FxI OCCUR X DEDUCTIBLE$500 r i N r I PI GL4562302 5/17/2023 05/17/2024 EACH OCCURRENCE $ 1,000,000 PREMISES Ea occuRence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL BADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- LOC PRODUCTS - COMP/OP AGG $ 2 000 000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS NON-OWNED HIRED AUTOS AUTOS PIP 10,000 F MBINED IN L LIMIT Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ 7-- PR PMAGE Per accident $ $ UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS -MADE r r EACH OCCURRENCE $ AGGREGATE $ DED RETENTIONS COVERAGE $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y I❑N OFFICE/MEMBER EXCWDED9 Y (Mandatory in NH) If yes, describe under N I A ' ry TVVC4268892 5/16QO23 5/16/2024 WC STATUSLIMITS OER E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYE $ 100,000 E.L. DISEASE -POLICY LIMIT s 500,000 1 " ( N DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Pool Services By Contractors t LK 1 IF ILA It: MULUtK I.AN1,l=LLA I IUIV COLLIER COUNTY CONTRACTOR LICENSING BOARD 2800 N HORSESHOE DR # 400 NAPLES FL 34104 contractorslicensing@colliercountyfl.gov 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 WN • © 1988-2010 ACORD CORPORATION. All rights reserved ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD Clear All Packet Pg. 131 8.E.1 The foregoing notarizat,�i n �o,n� by Notarized Letter Template - to Qualify a Different Business To be submitted with a firm aaalication for new comoanv with same or different FEIN I, the license holder, , am no longer wanting to qualify for the business U LC effectiveQ6 -A- 2023 understand I will no lon� r rnclup; bysiMv� s under sai M.51 e and /woould like to only qualify for a different business l� Ct, Fool�' I twat time of approve. I have notified the above company in writing via email with verification of read receipt or certified mail (see attached) as of = DATE: 6 O QUALIFIER'S SIGNATURE: State of & I � County of ( U(/' t was hysic ac nowledged before me by means of f07pal presence or ❑ online da of J64 vt.�— 20 ,AcG ✓-e 2 ✓i e Z Such person(s) Notary Public must check applicable box: ❑ are personally known to me as produced a current driver license ❑ has produced as is (Notary Seal) o ALYSHIA MORSE Commission# HH 190514 Notary Signature: Expires October 25, 2025 FOFFto� B0wledThruBu0WNotMSwdM Revised 4/13/2023 SD Page 1 of 1 Packet Pg. 132 8.E.1 Roberto Suarez Sanchez 14875 Mystic Lake Circle Unit 6205 Naples, FL 34119 RE: Intent to Terminate Business Qualification To Whom It may Concern: This is to confirm that I intend to terminate qualifying Alpha Pool Guys L.L.C. State of tZT7 jV� County of cc, `/T1ZrZ The foregoing instrumment was acknowledged before me by means of physical presence or0 online notarization on this: I &day of .4o�iff 20 Z3 by 1r1� _� /�... �4� i7f'LtO 504a Such person(s) Notary Public must check applicable box. are known to me Fhas produced Notary Seal v�.' ,,, Yanet Carman A Comm.: HH 326037 Expires: October 26, 2026 c Notary Public • State of Florida has produced a current driver license Notary Signature: 04'74-pt3 Y(ki � as identificatio= yanet carmona Comm.: HH 326037 ��.. J Expires: October 26 20 - Notary Public -Slate of Flor 1lRI1 Packet Pg. 133 8.E.1 j mil? 1, t � tr.rt Si C 7'c•t/iI It c•����►�•liXl,t,� .S'c��'t+ic�'c�Now— PERSONAL CREDIT REPORT MERGED REPORT COMPILED FROM NATIONAL RECORDS Phone: 860-639-8000 Fax:866-651-6146 Email: cc@unitedcrs.com www.UnitedCRS.com 4683-A Capital Circle NW Tallahassee, FL 32303 SUBJECT NAME: SUAREZ, ROBERTO ALSO KNOWN AS: SOCIAL SECURITY NUMBER: SUAREZSANCHEZ,ROBERTO DOB: 08/21/1998 CURRENT ADDRESS REPORTED: 1012019 7610 TARA CI., #107. NAPLES FL. 34104 THE SUBJECT'S TOTAL FILE HISTORY June 9, 2021 -7772 PUBLIC RECORDS: 0 CURRENT NEGATIVE ACCTS: 0 REVOLVING ACCTS: 6 COLLECTIONS: 0 PREVIOUS NEGATIVE ACCTS: 0 INSTALUIENT ACCTS:O TRADE ACCTS: 6 PREVIOUS TIMES NEGATIVE: 0 14ORTGAGE ACCTS: 0 CREDIT INQUIRIES: 2 EMPLOYMENT INQUIRIES: 1 OPEN ACCTS: 0 HIGH CRED CRED LIMIT BALANCE PAST DUE MNTHLY AVAIL REVOLVING: $3771 $15.OK $2064 $0 $86 86% TOTALS: $3771 $15.OK $2064 $0 $86 FICO CLASSIC SCORE - 712 CREDIT INFORMATION SYNCB/TJXDC B 23506514 REVOLVING ACCOUNT CREDIT CARD VERIF'D 05/2021 BALA14CE: $0 INDIVIDUAL ACCOUNT OPENED 12/2020 MOST (PIED: $321 CREDIT LIMIT: $1100 PAID OFF 05/2021 PAST DUE:$( STATUS AS OF 05/2021 CURRENT; PAID OR PAYING AS AGREED IN PRIOR 05 MONTH/S FROM DATE VERIF'D NEVER LATE PAYMENT PATTERN:11111 DSNB 14ACYS D 2AST001 REVOLVING ACCOUNT CHARGE ACCOUNT VBRIF'D 05/2.021 BALANCE: $O INDIVIDUAL ACCOUNT OPENED 10/2020 140ST OPJED: $337 CREDIT LIMIT: $1000 PAID OFF 10/2020 PAST DUE:$O STATUS AS Or 10/2020 CURRENT; PAID OR PAYING AS AGREED IN PRIOR 07 MONTH/S FR4:1 DATE VERIF'D NEVER LATE PAYMENT PATTERN:1111111 SYNCB/PPMC B 2350GIZ REVOLVING ACCOUNT CREDIT CARD VERIF'D 05/2021 BALANCE: $0 INDIVIDUAL ACCOUNT OPENED 01/2020 140ST WED., $0 CREDIT LIMIT: $1000 PAST DUE:$( STATUS AS OF 05/2021 CURRENT; PAID OR PAYING AS AGREED IN PRIOR 16 MONTH/S FRO:-1 DATE VERIF'D NEVER LATE PAYMENT PATTERN:1111111111111111 DISCOVERBA14K B 9616003 REVOLVING ACCOUNT CREDIT CARD Page 1 Of 2 Packet Pg. 134 8.E.1 VER1F'D 05/2021 BALANCE: $460 INDIVIDUAL ACCOUNT OPENED 11/2019 MOST Oi7ED: $1111 CREDIT LIMIT: $6500 PAST DUE:$O STATUS AS OF 05/2021 CURRENT, PAID OR PAYING AS AGREED 114 PRIOR 18 NONTH/S FROM DATE VERIF'D NEVER LATE PAY14ENT PATT£RN:111111111111111111 SYNCB/JCP D 235058D REVOLVING ACCOUNT CHARGE ACCOUNT VERIF'D 05/2021 BALANCE: $0 INDIVIDUAL ACCOUNT OPENED 12/2019 MOST UNED: $133 CREDIT LIMIT: $1400 PAID OFF 02/2021 PAST DUE:$0 STATUS AS OF 02/2021 CURRENT; PAID OR PAYING AS AGREED IN PRIOR 11 MONTH/S FR0,1 DATE VERIF'D NEVER LATE PAYMENT PATTERN:11111111111111111 NORDSTM/TD D 2FAR001 REVOLVING ACCOUNT CREDIT CARD VERIF'D 05/2021 BALA14CE: $1604 INDIVIDUAL ACCOUNT OPENED 01/2021 MOST Oi9ED: $1869 CREDIT LIMIT: $4000 PAST DUE:$0 STATUS AS OF 05/2021 CURRENT; PAID OR PAYING AS AGREED IN PRIOR 03 MONTH/S FROM DATE VERIF'D NEVER LATE PAYMENT PATTERN:111 PUBLIC RECORDS PUBLIC RECORDS HAVE BEEN CHECKED AT THE COUNTY, STATE, AND FEDRAL LEVELS RESULTS; NO PUBLIC RECORDS FOUND END OF REPORT It Is with understanding that the credit score attached to this report can fluctuate daily and can change drastically. In some cases, over 100 points when making big purchases, etc. Page 2 of 2 Packet Pg. 135 8.E.1 Contractor Licensing CAMY C0'14"ty 2800 N. Horseshoe Dr. Naples, FL 34104GrovtlManagement Department Phone - 239-252-2431 Fax - 239-252-2469 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY FIRM APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY - i C210 20m [ �`12.` , C - ACC-2D`421.I OX I q Z3 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. 200646, as amended. TYPE OF CERTIFICATE OF COMPETENCY: ❑ General ❑ Building ❑ Residential ❑ Mechanical ❑ Roofing Specialty Trade: - ' VV i M M I I. APPLICANT PERSONAL INFORMATION: Name: Robato First / Business Name: t ta F0, 0 v, aNiAddress: � (��'� �_I� (�!� { Street Email Y © 1 f 1 ';/YZ � f- J Telephone:___1R9 gG09 0G Date of Birth: oslai 1.1,99S Middle Initial ❑ Air Conditioner L_ Swimming Pool Z 5; $230.00 tW O $230.00 CO CCL (n a- $230.00 Q = p $205.00 Lu Z U) Z O i� uJ = LL1 LU Last tool State Zip 'SS # (Last 4 digits only):_ Driver's License # (Last 4 digits only):— i 0 'Pursuant to Chapter 1-19, Florida Statutes and Collier County Contractor Licensing Ordinance Z006-46 Section 2.1.1., all applicants are required to submit their social security number (SSN) for the following purposes: a) Assess applicant's ability to satisfy creditors by reviewing their credit history. b) Verification of applicant's test scores and information. Our office will only use your SSN noted above for those reasons pursuant to Chapter 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. Firm_Application.docx Rev 4/06/2020 Page 3 of 15 Packet Pg. 136 8.E.1 61G4-15.006 Financial Responsibility and Financial Stability, Grounds for Denial. (1) The financial responsibility ground on which the Board shall refuse to qualify an applicant is failure to provide a current consumer credit report, as defined in Rule 61G4-12.011, F.A.C., which consumer credit report does not disclose any unsatisfied judgments or liens against the applicant. In addition, there must not be any unsatisfied judgments or liens against the business entity which the applicant previously qualified as a primary qualifier or which the applicant has applied to qualify. (2) The financial stability ground on which the Board shall refuse to qualify an applicant is failure to provide proof of either a financial stability bond or an irrevocable letter of credit from a bank authorized to do business in the State of Florida. The bond or letter of credit must be in a form acceptable to the Board and must remain in effect until the applicant can demonstrate a credit score, FICO derived, of 660 or higher, and must be payable as provided in Rule 61G4-15.0021, F.A.C., for Financially Responsible Officers in the amount of. (a) $20,000 for Division I applicants. (b) S10,000 for Division II applicants. (3) Fifty percent of the financial stability bond or the letter of credit requirement may be met by completion of a 14-hour financial responsibility course approved by the Board. (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 G4-12.01 I, F.A.C, with a credit score, FICO derived, of 660 or higher, which consumer credit report does not disclose any unsatisfied judgments or liens against the applicant. In addition, there must not be any unsatisfied judgments or liens against the business entity which the applicant previously qualified as a primary qualifier or which the applicant has applied to qualify. Specific Authority 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. Packet Pg. 137 9.A 07/19/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 9.A Doc ID: 26100 Item Summary: 9A. SIMON J AGUIRRE — REVIEW OF EXPERIENCE — RESIDENTIAL CONTRACTOR - RED LEVEL CONSTRUCTION LLC Meeting Date: 07/19/2023 Prepared by: Title: — Contractor Licensing Name: Alyshia Morse 07/12/2023 3:53 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 07/12/2023 3:53 PM Approved By: Review: Contractor Licensing Sandra Delgado Review item Completed 07/13/2023 10:29 AM Contractor Licensing Sandra Delgado Review Item Skipped 07/13/2023 11:54 AM Contractor Licensing Tim Crotts Meeting Pending 07/19/2023 9:00 AM Packet Pg. 138 9.A.1 Co -je-r County Growth Management Department Contractor Licensing 2500 N. Horseshoe Dr. Naples, FL 34104 c Phone - 239-252-2431 Fax - 239-252-2469 F4 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY FIRM APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY W-01 s _ �51 low - This application must be typewritten or legibly printed. The application fee must be paid upon approval and is NOT refundablo. All checks should be made payable to: Collier County Board of County Commissioners. For further information, consult Collier County Ordinance No. 2006-46, as amended. TYPE OF CERTIFICATE OF COMPETENCY: ❑ General $230.00 ❑ Building $230.00 ® Residential $230.00 ❑ Mechanical $230.00 ❑ Roofing $230.00 Specialty Trade: i - I " I. APPLICANT PERSONAL_ INFORMATION: ❑ Electrician $230.00 ❑ Plumber $230.00 ❑ Air Conditioner $230.00 ❑ Swimming Pool $230.00 ❑ Specialty $205.00 Name:. ff) C-) i) j EMU 1 r re_ First Middle Initial Last Business Name:' L Address: i11_1 C-I ra n+ B\\Jcl V Q k I oy) .. ;T 1 G-�__es t—(— -_�s ci —74 Street City 1j State Zip Telephone: )zc- a `-jt�{'1 U C1 "SS # (Last 4 digits only):Eo�f 0 Date of Birth: D(0 tZ�n _] I I vi O I Driver's License # (Last 4 digits only): 0 *Pursuant to Chapter 1-19, Florida Statutes and Collier County Contractor Licensing Ordinance 2006-46 Section 2.1.1., all applicants are required to submit their social security number (55N) 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 he maintained as confidential and exempt under Chapter 1-19, Florida Statutes. Firnt_Application.dou Rev 4/06/2020 Pago 3 of 15 Packet Pg. 139 9.A.1 1.6-1.3. Residential Contractor requires forty-eight (48) months experience with a passing grade on a pLoved test and a twe �Hhmf business and law test and means a contractor whose services are limited to construction, remodeling, repair, or improvement of one -family, two-family, or three-family residences not exceeding two stotYes in height and accessory use structures in connection therewith. CD 0 m N Packet Pg. 140 9.A.1 C o -,e,- county Growth Management Department Contractor Licensing 2800 N. Horseshoe Dr. c Naples, FL 34104 0 Phone - 239-252-2431 0 Fax - 239-252-2469 F4 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY Provide the names and telephone numbers of two persons who will always know your whereabouts. Name. e rqQ�' C I ff� "1461 Name: ►� &Y %a Clyk rnb C, �- Telephoners I .4 (o` , Z-S i i II. NAME OF APPLICANT'S BUSINESS: Business Name: Y4 d U.ufl Business Address: Street Telephone: (X3,9 )a-�- +q(o C? Telephone: O3 1" 2—(;'-6 • 9 O 5 (.O Email: `>WnO'l C_a LAAY` Yi � �E' C C)Vy Federal ID Tax No.: !RZ— q645 3QQ III. FINANCIAL RESPONSIBILITY State Zip YES NO ALL APPLICANTS MUST ANSWER THE QUESTIONS BELOW: �( Filed for or been discharged in bankruptcy within the past 5 years? X Had a lien filed against you by the Internal Revenue Service or Florida Corporate Tax Division? �( Undertaken construction contracts or work that resulted in liens, suits, or judgments being tiled? Undertaken construction contracts or work that a third party, such as a bonding or surety company, completed or made financial statements on? x Made an assignment of assets in settlement of construction obligations for less than the debts outstanding? Been convicted or found guilty of, or entered a plea of nolo contendere to, regardless of adjudication, a crime in any jurisdiction within the past 10 years?* J 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. Firm Application.docx Rev 4/06/2020 Pago 4 of 15 Packet Pg. 141 9.A.1 Contractor Licensing CO 7ew Comity 2800 N. Horseshoe Dr. 34104 Growth Management Department Naples, FL -2431 9 p Phone - 239-252-2431 Fax - 239-252-2469 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY IV. EXPERIENCE VERIFICATION EDUCATION: List below and provide transcripts for any formal education you have obtained in the area of competency for which this application is being made: List below non formal education (on the job training) you have obtained in the area of competency for which this application is being made: CURRENT/PREVIOUS LICENSE: List below and attach copies any other certificates of compete ncylliccnses 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. C t? Applicant lease print) Signature of Applicant State of E f O ( % CAJC County of Le The foregoit instrument was acknowledged before ntc by nicans day of 1 20 �, by physical presence or ❑ online notarization on this Such person(s) Notary Public must check applicable box: '-/ are personally known to nie ❑ has produced a current driver license ❑ has produced (Notary Seal) a llolary public Slate d FloridaDONNA A MORALES My Commission HH 005419 Expues0513112024 as identification, Notary Signature I Firm_Application.docx Rev 4/06/2020 Page 5 of 15 0 0 N Packet Pg. 142 9.A.1 Contractor Licensing CO 7e�' CO�fY1ty 2800 N. Horseshoe Dr. Growth Management Department Naples, FL 34104 0 g Phone - 239-252-2431 0 Fax - 239-252-2469 F4 V J APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY J z 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. State of 'j Ind - G County of The fforegoin his rum it was acknowledged before me by —aay °fr 4 te—' 20 by Such person(s) Notary Public must check applicable box: S t YYIp Applicant (please print J �d PL c, kYvCE-1byAkY Name of Company - L' , A ignature of -AppliqAnt physical presence or ❑ online notarization on this fare personally known to me ❑ has produced a current driver license ❑ has produced as identification. (Notary Seal) ["Xr pu, Notary Public Stale of Florida Notary Signature: DONNA A MtORALES j y, My commission HH 005419 t �YjOf Expifes 0513112024 Firni_Application.doex Rev 4/06/2020 Page 6 of 15 Packet Pg. 143 9.A.1 COer CO-m4ty Growth Management Department Contractor Licensing 2800 N. Horseshoe Dr. CD Naples, FL 34104 0 Phone - 230-252-2431 m Fax - 239-252-2469 F4 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. trr42 Applicant (please print �VQ� �'��yI,S�VUc_L�LIt IIC Name of Company nature of Apoicant BEFORE ME this day personally appeared �S w)no 1 PQ Vl4 Y Y e- _ who affirms and Applicant Olease 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 County of The foregoing 'nstrument was acknowledged before me by means 19 day of 20 by Such person(s) Notary Public must check applicable box: k Fare personally known to n1e ❑ has produced a current driver license El has produced (Notary Seal) a llotary Public State of Flontla DONNA A MORALESMy Commission Hit 005419 Expoes0513112024 as identification. presence or 11 online notarization on this Notary Signal cie:,/ Firrn_Application.docx Rev 4/06/2020 Page 7 of 15 Packet Pg. 144 Name: Sponsor ID ft: Score: 11 Unanswered Questions: Score Report Simon J Aguirre Collier County 78 0 Pro✓ Test: Residential Contractor - (FL08103) Date: 03129/2022 Test ID: 938373948 Result Pass Module Subject Area Status LOW FLIVI Masonry----- ------------ --- FLk Roofing FLAT Associated Trades P FLIT Inferior Finishes F 7 ---- T - - , - ---------------- Exterior Finishes --- -- ---------- --------- FLSAFE P ---------- FLPR -Safety -------------------------------- Plan Reading F FLS&Fl - ------ ---------- Sitework & Foundations ----------- FLCARP Carpentry---------------- F ------------ --- FLEiR --- ----- Concrete and Reinforcement P Cut Score HIGH I Packet Pg. 145 1 9.A.1 Aguirre, 51mon Name: Sponsor: ID fE: Score: 1! Unanswered Questions: Score Report Simon J Aguirre Collier County 82 0 Pro..: Test: Business and Law - (FL06100) Date: 03122/2016 Test ID: 652246607 Result. Pass Module Subject Area Status LOW FLBO --------------------------------------------------- Business Organization F ---- FLLIC Licensing F FLLIEN e- --------------------------------- Lien laws F FLTL Tax Laws P --------------------------------------------------- FLSRR safely RepoRing Rgylallons - F FLLL --------------------------------------------------- Labor Laws P---- FLCM Contract Management ------------------------------- P ---- FLPM --------------------------------------------------- Project Management P---- FLE&B Estimating &Bidding P ---------------------------------------------------- FLFM Financ(al Management ---- F -------------------------------------------------- FLRM Risk Management ---- F Cut Score HIGH ---------------------------------------------------- ---------------- ---------------- 0 0 N Packet Pg. 146 9.A.1 •r !experian, Dashboard MY account- Products idelp Business services Search Inquiry: Red Level Construction Llc / Lehigh Acres / FL / (My company) Credit5cores" Report Red Level Construction LLC Address: 177 Grant BLVD Lehigh Acres, FL 33974-9477 United States Phone: 239-222-4969 Experian 61N: 449508716 Agent: Aguirre Simon J Agent Address: 3611 Lee BLVD Lehigh Acres, FL Experian Business Credit Score sign out o N as of: 04/19/22 20:40 ET Key Personnel: Manager: Simon J Aguirre Manager: Bernadette Cimental SIC Code: 1521-Construction, Single -Family Houses 1542-Nonresidential Construction, Nec NAICS Code: 236115-New Single -Family Housing Construction (Except For -Sale Builders) 236220-Commercial And Institutional Building Construction Business Type: Corporation Experian E1Le July 2018 Established- Experian Years on File: 4 Years Years In Business: 4 Years Total Employees: 4 Sales: $1,234,000 Filing Data Provided by: Florida Date of Incorporation: 02/27/2018 htltr.;'jjsn,allhusint:si.experi]n-c�rmfreuort.astix?fs,=4�l9�ir7871fi&...el;7+tdr;rnEFRLV�%�7eLeliigh+Acres'-olr�rt-�3397R-9d7,krske-1 •�;l�!"7 Packet Pg. 147 9.A.1 Business Credit t`.isk Score Key Score Factors: • Number of active commercial accounts. • Balance of all commercial accounts. • Percent of delinquent commercial accounts. • Commercial account balance 1.30 days delinquent. The objective of the Experian Business Credit Score is to predict payment behavior. High Risk means that there is a significant probability of delinquent payment. Low Risk means that there is a good probability of on -time payment. Business Credit Scores range from a low of 1 to high of 100 with this company receiving a score of 41. Higher scores indicate lower risk This score predicts the likelihood of serious credit delinquencies within the next 12 months. This score uses tradeline and collections information, public filings as well as other variables to predict future risk. Experian Financial Stability Risk Rating I Financial Stability Risk AAetiir+nr i'.' Rating Key Rating Factors: • Number of active commercial accounts. • Percent of commercial accounts delinquent. • Risk associated with the company's industry sector. • Risk associated with the business type. A Financial Stability Risk Rating of 3 indicates a 2.95% potential risk of severe financial distress within the next 12 months. Financial Stability Risk Ratings range from a low of 1 to high of 5 with this company receiving a rating of 3. Lower ratings indicate lower risk. Experian categorizes all businesses to fit within one of the five risk segments. This rating predicts the likelihood of payment default and/or bankruptcy within the next 12 months. This rating uses tradeline and collections information, public filings as well as other variable to predict future risk, Credit Summary 0 0 N hltp•> f,r; riratlhusenn a.rrsp er ian.com/re port. a NpX MI a 4495087 r &.. 07710rtmt4 BLVd°ib7eLehrgh•Acws`x,2r 4FL+ 339, 4-9,177l; pke_:1 4119 4 i Gt:1 Packet Pg. 148 9.A.1 This location does not yet have an estimated Bays Beyond Terms (O-E), or a Payment Trend Indicator. This is often the result of too few Payment Tradellnes. Please refer to Experian's'www.Buis] nos sCreditFacts.com' website for more Information on establishing Payment Tradelines, Lowest 6 Month Balance: $0 Highest 6 Month Balance: $0 Current Total Account Balance: $0 Highest Credit Amount Extended: $0 Payment Tradelines: UCC Filinga: x Businesses Scoring Worse: ,/Bankruptclew ✓Llens: ./Judgments Filed: (Collections: 0 40% 0 0 0 0 * The Information herein Is furnished In confidence for your exclusive use for legitimate business purposes and shall not be reproduced disclosed, or shared to any third party per the restrictions In the Terms and Conditions that you accepted. Neither Experian nor Its sources or distributors warrant such information nor shall they be liable for your use or reliance upon it. (oorstooa:) © 2022 Experlan Information Solutions Inc. Bj3Ck tU 101 0 0 N ;'i;r.;hsmMkiw.inr5s.ngi!Brian.cnrnfreP+art.ray.px?fIs_4A950a?lV,&...r#77r(]rar,f+F3LVn?!,7e1r'highrAcresF<'!ciF!-03n74-19477''-O!Ii,_�,•, �: Al ni;t Packet Pg. 149 !experian. •■ At a glance FIC0 Score S 300 Account summary Open accounts Self -reported accounts Accounts ever late Closed accounts Collections Average account age Oldest account 4 0 3 2 0 3 yrs 3 mos 7 yrs 10 mos 6 6 � 7xp dan data E 8 Experian data May 25, 2023 fail Overall credit usage 24 % Credit used, $560 Credit limit. $2,300 Debt summary Credit card and credit line debt Self -reported account balance Loan debt Collections debt Total debt 9.A.1 Prepared For SIMON AGUIRRE Personal & confidential CD Date generated: May 25, 2023 CO 050 $560 $0 $42,025 $0 $43,385 Packet Pg. 150 9.A.1 !experian- Personal information Name SIMGN AGUIRRE Also known as GeneraV.n.I identifier Year of hirlh 1987 Perconal slafemenls Addresses 177 GRANT BLVD LEHIGH ACRES, FL 33974-9477 239 NAUTILUS AVE LEHIGH ACRES, FL 33974.5572 931 CHEZY ST E LEHIGH ACRES, FL 33974-9545 Prepared For SIMON AGUIRRE Date generated: May 25, 2023 Employers RED LEVEL CONSTRUCTION LLC SELF 279 07-01-222499947ID SECURITY ALERT: FRAUDULENT APPLICATIONS MAY BE SUBMITTED IN MY NAME OR MY IDENTITY MAY HAVE BEEN USED WITHOUT MY COWNT TO FRAUDULENTLY OBTAIN GOODS OR SERVICES- DO NOT WEND CREDIT WITHOUT FIRST VERIFYING THE IDENTITY OF THE APPLICANT. I CAN BE BEACHED AT 239-222-4969. THIS SECURITY ALERT W ILL BE MAINTAINED FOR 1 YEAR BEGINNING 07-01 22. C 0 m N Packet Pg. 151 9.A.1 ! experian,. Prepared For SIMON AGUIRRE Date generated: May 25, 2023 Open accounts ®AMERICAN CREDIT ACCEPT Exceptional payment history a Account info ACCountname AMERICAN CREDIT ACCEPT Balance Account number 901239XXXXX Balance updated Original Creditor - Original balance Company sold Paid off Account type Auto loan Monthly payment Date opened Nov18,2020 Last PaymonlDate Open/closed Open Terms Status Open/Neverlate. Responsibility Status updated Apr2023 Your statement M Payment history Jan Feb !Aar Apr May Jun Jul Aug 2023 — — — — 2022 2021 2020 — — — — — — — Current berms met — Dala Unsvkble ® Contact info Address 961 E MAIN sr SPARTANBURG, SC 29302 Phone number (866) 441.0251 3 Comments 820,084 Balance updated Apr 30, 2023 $20,084 Apr 30,2023 $25,722 22% $685 Mar31,2023 72 Months Joint Sep Oct Nov Dec 0 0 m N Packet Pg. 152 !experian. CAPITAL ONE 1 fate payment A Account info Account name CAPITAL ONE Account number 517805XXXXXX Original creditor - Company sold - Account type Credit card Date opened Sep 24, 2021 Open/closed Open Status Open. Status updated Nov 2022 1. Payment history Jan Feb Mar Apr Iday Jun 2023 — — 2V2 2021 — — — — Current/Terms met 30 Pasiduendays — Dala Vnarai!a6!e e Contact info Address PO BOX 31293 SALT LAKE CITY, UT 64131 Phone number (800) 955.7070 D Comments 9.A.1 Prepared For SIMON AGUIRRE Date generated: May 25, 2023 Balance Balance updated Credit limit Credit usage Monthly payment Last Payment Date Highest balance Terms Responsibility Your Statement Jul Aug Sep Get 30 O O $0 Balance updated Ayr 21, 2023 N $0 Apr 21, 2023 $800 0% $0 Feb 16, 2023 $919 Individual Nov Dec Packet Pg. 153 !experian. •FO&TIMFRCURY Exceplianal payment history 9.A.1 Prepared For SIMON AGUIRRE Date generated: May 25, 2023 C O $560 tp Balance updatedMay09,2023 N 0 Account info Account name FB&T/MERCURY Balance $560 Account number D05356XXXX Balance updated May 09, 2023 Original creditor - Credit limit $1,500 Company sold - Credit usage 37% Account type Credit card Monthly payment $0 Date opened May 09, 2022 Last Payment Pale May 02, 2023 Openlclosed Open Highest balance $1,430 Status Open/Neverlate. Terms Status updated May2023 Responsibllity Individual Your statement 10 Payment history Jan Feb Mar Apr May Jun Jul Avg Sep Oct Nov 13 c 2023 — — — — — — — 2022 -- — — — — Curd/Terms met — Data Ur,ara�iab:e t,a Contact info Address 2220 6TH ST BROOKINGS, S0 57006 Phone number (605) 696-2265 1) Comments Packet Pg. 154 9.A.1 ! experian. Prepared For SIMON AGUIRRE Date generated: May 25, 2023 0 0 *WELLS FAR00 DEALER SVC $22,741 tp Exceptional payment history Balance updated Apr 30,2023 vt E Account info Account name WELLS FARGO DEALER SVC Balance $22,741 Account number 517655XXXXKX Balanceupdated Apr30,2023 Original creditor - Originalbalance $25,148 Company sold - Paid off 10% Account type Auto Loan Monthly paym ent $525 Dateopened Apr1e,2022 Last Payment Date Mar31,2023 Open/closed open Terms 73 Months Status Open/Neverlate. Responsibility Individual Status updated Apr 7023 Your statement ' M Payment history Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2023 — — — -- — — — — 2022 — — — — — — Current/Terms met — Dalatlwa i?able ca Contact info Address PO BOX 10709 RALEIGH, NC 27605 Phone number (600) 289.8004 3 Comments Packet Pg. 155 s. !experianr. Closed accounts OACIMA OIGITAt FKA SIMp 6 potentially negative months 0 Account info Account name ACIMA DIGITAL FKA SIMP Account number 77XXXX Original creditor - Company sold Account type Lease Dale opened Jan 29, 2018 Open/closed Closed Status Account charged off. $4,935 written off. $4,808 past due as of Jan 2019. Status updated Sep 2018 Payment history Jan Feb Mar Apr May Jun 2019 CO 2018 — Current l Terms met C CO 0ur9eo11 No NodalalortNspeiod 60 Partdue60days — Data Onaranab:e 5a Contact info Address 13907 S MINUTEMAN DR FL DRAPER, UT 24020 Phone number (801) 297.1982 Comments 9.A.1 Prepared For SIMON AGUIRRE Date generated: May 25, 2023 r7 0 m N $4,938 Closed Balance $4,938 Balance updated Jan 31, 2019 Original balance $6,773 Monthly payment - Last Payment Dale Jun 01, 2018 Past due amount t4,808 Terms 12 Months Responsibility Individual Your statement " Jul Aug Sep Oct Nov Dec 60 C CO CO No cc Packet Pg. 156 9.A.1 ! experian. Prepared For SIMON AGUIRRE Date generated: May 25, 2023 0 0 *SANTANDER CONSUMER USA Closed N 4 late payments V J JZ Account Info Account name SANTANDER CONSUMER USA Balance - O Account number 300001XXXXXXXXX1tX valance updated V Original creditor - original balance $33,6e0 D Company sold - Monlhty payment - Accounttype Auto Loan Last Payment Date Aug 09,2021 Z O Date opened Jul 26, 2015 Terms 73 Months L) Opentclosed Closed Responsibility Individual J LU Status Paid, Closed. Your statement W J Status updated Avg 2021 0 LU M Payment history O H Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2021 CLS -- — — — 2020 30 30 30 60 Z — — — — O 2019 — — U C—rt yT—met CLS Crossd 30 Pasld.30days J Q 60 Past due 69 days — WLl Urta Nble F— Z LU ♦� ® Contact Info (A Address PO BOX 961245 FT WORTH, LU TX 76161 I Phone number (866) 923-92B2 LU a Comments Packet Pg. 157 9.A.1 i■ !ppenan. Collection accounts No collpNlon *"*unto eeparted. Prepared For SIMON AGUIRRE Date generated: May 25, 2023 O O RO N Packet Pg. 158 9.A.1 !ppenann Public records No public records reported. Prepared For SIMON AGUIRRE Date generated: May 25, 2023 O 0 m N Packet Pg. 159 9.A.1 �s !experian Inquiries 700 CREOITIKIA OF CAPE inquired on Apr 16, 2022 Business Type, Automobile Dealers, Used 404 HE PINE ISLAND RD CAPE CORAL, FL 33909 (239) 242-7000 This Inquiry Is scheduled to continue on record until May 2024 CAP ONE NA Inquired on Sep 24, 2021 Business Type: Dank Cned'd Cards PO BOX 30281 SALT LAKE CITY, UT 84130 (800) 221-4825 This Inquiry is scheduled to continue on record unftOct 2023 CREDCO Inquired on Aug 4, 2021 Business Type: Mortgage Reporters PO BOX 509124 SAN DIEGO, CA 92150 (800)523.0233 This inquiry is scheduled to continue on record until Sep2023 DCARDICONA Inquired on Nov 11, 2021 business Type' TBA Stores, Tire Dealers 541 SID MARTIN RD GRAY, TN 37615 (423) 4n-6800 This Inquiry is scheduled to continue on record until Dec 2023 FACTUAL DATA Inquired on Dee 26, 2022 Business Type: Mortgage Reporters 875 GREENTREE RD PITTSRURGH, PA 15220 (877)237.8317 This inquiry Is scheduled 10 continue on record until Jan 2025 Prepared For SIMON AGUIRRE Date generated: May 25, 2023 ALLY FINANCIAL $Nutted on Apr 16, 2022 Bus{ness Type: Auto Financing Companies 3010 W AGUA FRIA FNYY STE PHOENIX, A2 85027 (866) 462-2770 This Inquiry Is scheduled to continue on record until May 2024 CAPITAL ONE AUTO FIN Inquired on Apr 16, 2022 Business Type: Personal Loan Companies PO BOX 2594W PLANO, TX 75025 (BD0) 946-0332 This Inquiry Is scheduledto continue on record until May 2024 CREOCO/CARDINAL FINANC Inquired on Dec 12, 2022 Business Type: Mortgage Companies 37D1 ARCO CORPORATE DR S CHARLOTTE, NC 28273 (855) 551-4944 This inquiry Is scheduled to conlinue on record until Jan 2025 EXETER FINANCE LLC7WCG Inquired on Sep 22, 2021 Business Type: Auto Financing Companies 2101 W JGHN CARPENTER FW IRVING, TX 75063 (214) 572-8278 This inquiry Is scheduled to continue on record until Oct 2023 FACTUAL DATA Inquired on Gee 22, 2022 Business Type: Mortgage Reporters 875 GREENTREE RD PITTSBURGH, PA 15220 (877) 237-8317 This inquiry Is s&mduled to continue on record until Jan 2025 ALLY FINANCIAL Inquired on Apr 16, 2022 Business Type: Auto Financing Companies 200 RENAISSANCE CTR DETROIT, MI 49243 (248) 263-3004 This inquiry Is scheduled to continue on record until May 2024 CREDCO Inquired on Nov 3, 2021 Business Type: Mortgage Reporters PO BOX 509124 SAN DIEGO, CA 92150 (800) 523,0233 This Inquiry Is scheduled to continue on record until Rev 2023 CREDCOA.OANDEPOT Inquired on Jan 26, 2023 Business Type: Mortgage Companies 6561 IRVINE CENTER OR IRVINE, CA 92618 (949) 575.5197 This inquiry is scheduled to continue on record until Feb 2026 FACTUAL DATA Inquired on Jan 73, 2023 business Type_ Willgage Reporters 875 GREENTREE RD PITTSBURGH, PA 15220 (877) 237-8317 This Inquiry Is scheduled to continue on record until Feb 2025 GLOBAL LENDING SERVICE Inquired on Apr 16, 2022 Business Type: Auto Financing Companies 3399 PEACHTREE RD HE STE ATLANTA. GA 30326 (688) 508.2188 This inquiry Is scheduled to continue on record until May 2024 Packet Pg. 160 ITHINK FINANCIAL CREW Inquired on Apr 16, 2022 Business Type; Credit Unions 1000 NVY 17TH AVE DELRAY BEACH, FL 33445 (561) 982 4700 This inquiry Is scheduled to continue on record until May 2024 SANTANDER CONSUMER USA Inquired on Apr 16, 2022 Business Type: Finance Companies - non specific 8585 N STEMMOMS MY DALLAS, TX 75247 (866) 923-928Z This inquiry is scheduled to continue on record until May 2024 9.A.1 SUNCOAST CREDIT UNION Inquired on Apr 16.2022 Business Type: Credt UnionsCD . . 6801 E HILLSBOROUGH AVE TAMPA, FL 33610 r CO N (813) 621.7511 v V This inquiry Is scheduled to continue on record until May 2024 J Packet Pg. 161 9.A.1 !experian- w Credit scores FICO® Score 8 coed v 667 4f 1� 300 850 FICO .CORE8 &eperiane ivr�D Prepared For SIMON AGUIRRE Date generated: May 25, 2023 Your score is below the average score of U.S. consumers, though many lenders will approve loans with this score. Whets helping Low revolving credit usage • You've limited the use of your avaliable revoking credit. • Ratio of your revoking balances to your credit limits:24% • For FICO High Achievers, the average ratio of the revolving account batances to credit limits Is less than 7%. • Flo" Scores evaluate the total revoking account balances in relation to the total credit limits on those accounts. People who keep their ratio of balances to credit {imps low pose less risk to lenders than those with higher ratios - Recent credit card usage • YorAe shown recent use of oedil cards and/or bank -issued opervended accounts. • FIC05 Scores evaluate the ma of credit cards. Installment loans and rncrlgages. People who demonstrate recent and responsible use of credit cards and/or bank -issued open-ended accounts are generally considered ress dsky to lenders. What's hurting — Serious delinquency • You have a serious delinquency (60 days past due wgreater) or derogatory indicator on your credit report. • Number of your accounts thatwere ever 60 days late or worse w have a derogatory indicator. 2 accounts • Yrtuallyno FICO High Achievers have a 60 days late payment ofworse listed on their credit report • The presence of a serious delinquency or derogatory indicator is a highty correlated predictor of future payment risk. People with previous late payments are more likely to pay We In the future- As these items age, iheywill have ➢ass impact on the FICO9 Score. Most late payments stayon your report fw no more than seven years, — Short account history • You have a short credit history, • Your oldest account was opened- 7 Years, 10 Months ago • FIGO High Achievers opened their oldest account 25 years ago, on average. • Average age of your accounts 3 Years, 3 Months • Most FICO High Achievers have an average age of accounts of 9 years or more. • People with longer credithistodes who 1nhequenlfy open new accounts generalfy pose less risk to lenders. In your case, The age of your oldest account and/or the average age ofyour accounts is relatively low. -- Few accounts paid on time • You have an insufficient number of accounts that arecurrently paid as agreed. • dumber of your accounts currently being paid as agreed:4 accounts • FICO High Achievers have an average of 6 accounts currently being paid as agreed. • The FlC01) Score considers the number of accounts showing on time payments- Generally, the higher the number reported the lower the risk. Compared to other people with a similar age of credit history, the number of accounts you have that are eurrently paid as agreed is low. Packet Pg. 162 9.A.1 — Bad payment history • Yw have one or more accounts showing missed payments or derogatory indicators • Number of your accounts with a missed payment "derogatory Indleatm 3 accounts . . O • About 98% of fICO High Achievers have an missed payments at all, But of those who do, the missed payment happened nearly d years ago, on average. p • The presence of missed and late payments or derogatoryindicators on a credit report, including the number of late payments, how late they were and how recently they occurred, arecorrelated with future CO aedit risk. Your FICOS� Score was luwered due to the number of missed and late payments and/or accounts with derogatory indicators teported- As the number of accounts with delinquency or N derogatoryindicators decreases, they have less impact on a FIC09 Score - Packet Pg. 163 9.A.1 !experian. FlCil Score 3 iy6b9 'Lr,. 639 300 850 nca•5�•a Ftperian cam soma What's hurting — Serious delinquency Prepared For SIMON AGUIRRE Date generated: May 25, 2023 This is a previous FICO"— Score version used primarily in credit card lending. It may also be used by some lenders for other credit product application evaluatlons (such as eyed$ cards, personal loans, retail credh, student loans, etc.). • You have a serious defilquency (GG days past due or greater) or derogatory indicator on yourcred$ report- • The Iesence of a serious deF]nquency or derogatory indicator is a highly correlated predictor of future payment risk People with previous rate payments are more likely to pay late in the future. As these items age, they will have less impact on the FICO� Score. Most late payments stay on your report for no more than seven years. — Recent missed payment • You recently missed a payment or had a derogatory indicator reported on your credA report. • The presence of missed a late payments or derogatory indicators on a creditiepoA including the number of missed payments, how late they were and how recently theyoccurred, are correlated with future credit risk. Generally speaking, people who consistently pay their bills on time are less risky compared to people wish recently missed payments- As missed payments age, they have less impact on a FIC09 Score. — BadpayrttenthiStOry • You have mew more accounts showing missed payments or derogatory indicators_ • The presence of missed and late payments or derogatory lndicall on a credit report, including the number of late payments, how late they were and how recently they occurred, are correlated with future cretin Oak. Your Fl= Score was lowered due to the number of missed and late payments and/or accounts with derogatory indicators reported. As the number of accounts with dellnqueney or derogatory indicators decreases, they have less Impact on a FICOS Score. — Short account history • You have a short credh history. • People with longer credit hlstorfes who infrequently open new accounts generally pose less risk to lenders, In your case, the age of your oldest account and/or the average age of your accounts is relatively low. C O 6p N Packet Pg. 164 9.A.1 O u °experian., 0 FIC60 Bankcard Score 2 do�a 0 a/ 636 }_ 250 900 rco• �k� s�rz Experian ex, sasxn What's hurting — Serious delinquency Prepared For SIMON AGUIRRE date generated: May 25, 2023 This Is a previous FICO" Score version that Is customized for credd card lending. Many credit card Issuers use this version when pulling your credit report based on Expedan data. • You have a serious delinquency(60 days past due or greater) or derogatory indicator on your credit report. • The presence of a serious delinquency or derogatory kMicator is a highly correlated predictor of future payment risk People with previous late payments are mare likely to pay late in the future. As these hems sge, they will have less Impact on the FICO2 Score. Most late payments slay on your report for no more than seven years. — Bad payment hlstory • You have one or more accounts showing missed payments or derogatory indicators. • The presence of missed and late payments or derogatory indicators on a oredit report, including the number of late payments, how late they were and low recenity they occurred, are correlated with future credit risk. Your FIC08 Score was lowered due to the number of missed and late payments and/or accounts with derogatory indicators reported. As the number of accounts with delinquency or derogatory Indicators decreases, they have less impact on a FICO&Score. — Missed payments • You have missed payments orderogatory indicators on your credit accounts. • Missed payments and derogatory indicators, including the number of, how late they were and how recenity they occurred, are an important part of a credit report considered by a FIC09 Score- people who are current on their payments, have no derogatory indicators and who consistently make payments on Sine are generally considered Tess risky by most lenders. As missed payments and accounts with derogatoryindicators age, they have less Tmpacl on a FIC09 Scare. — Short account history • You have a short credit history. People with longer cred'R hlstorles who infrequently open new accounts generally pose less risk to lenders. In your case, the age of your oldest account and/w the average age of your accounts is relatively low. Packet Pg. 165 9.A.1 'experian_. Prepared For SIMON AGUIRRE Date generated: May 25,2023 0 0 FICd° Bankcard Score 8 Eyby9 e V This Is a FlCOe Score version that Is customized for credit card lending. Many credit card issuers use Oils 657 version when poringyour credit report based on Experian data. 4 } 250 900 roo a. .asp• r ExperianeR.snsrson what's hurting — Serious delinquency • You have a serious delinquency (60 days past due or greater) or derogatory Indicator on your credh report. • The presence of a serious delinquency or derogatory Indicator is a highly conelmed predictor of future payment risk. People with previous late payments are more likely to pay late in the future. As these items age, they will have less impact on the FIC09 Score. Most fate payments stay on your report for no more than seven years. — Short account history • You have a short credit history. • People with longer credit histories who infrequently open new accounts generally pose less risk to lenders. In your case, the age of your oldest account and/or the average age of your accounts is relatively low. — Recent missed payment • You recently missed a payment or had a derogatory indicator reported on your acrid report- • The presence of missed or late payments or derogatory indicators on a credit report, Includingth , number of missed payments. how late they were and how recently they occurred, are correlated with More credit risk Generally speaking, people who consistently pay their bills on time are less risky compared to people with recently missed payments. As missed payments age, they have less impact on a FIC09 Score. — Few accounts paid on time • You have an lnsuffclent number of accounts that are currently paid as agreed. • The FIC" Score considers the number of accounts showing on time payments. Generally, the higher the number reported the lower the risk. Compared w other people with a similar age of credit history, the number of accounts you have that are currently paid as agreed Is low. Packet Pg. 166 9.A.1 ! exper tan. Prepared For SIMON AGUIRRE Date generated: May 25, 2023 0 0 FIC06 Score 2 N W GaoQ Ibis is a previous FICO" Score version used primarily 1n mortgages lending. It may a so be used by some 634 lenders for olher cre l product application evaluations (such as credit cards, personal loans, retail credit, i \4l student loans, etc.). I� 300 650 nw'sR.. x Fzpedan e, s—c� What's hurting — Serious delinquency • You have a serious delinquency (60 days past due or greater) or derogatory indicator on your credit report- • The presence of a serious delinquency or derogatory lndlcata is a highly correlated predictor of future payment risk Peop!e with previous late payments are more likely to pay late in the future. As these items age, they will have less impact on the HMO Socre. Most late payments stay on your report for no more than seven years. — Bad payment history You have one or more accounts showing missed payments or derogatory indicates. • The presence of missed and Tale payments or derogatory indicators on a credit report, including the number of late payments, how rate they were and how recently they occurred, are correlated with future credit risk. Your FIC09 Score was lowered due to the number of missed and late payments and/or accounts with derogatory indicators reported- As the number of accounts with delinquency or derogatory indicators decreases, they have less impact on a RCO� Score, — Short account history • You have a short credit history. • People with longer credit histories who infrequently open new accounts generally pose less risk to lenders. In your case, the age of your oldest account andlor the average age of your accounts is relativefylow. — Missed payments • You have missed payments or derogatory indicators on yourcredu accounts. • Missed payments and derogatory indicators, including the number of, how late they were and how recently they occurred, are an important part of a eredil report considered by a FICOD Score. People who are current on their payments, have no derogatory indicators and Min consistently make payments on time are generally considered less risky by most lenders. As missed payments and accounts with derogatory indicators age, they have less impact on a FICOJ Score. Packet Pg. 167 9.A.1 experian, Prepared For SIMON AGUIRRE pate generated: May 25, 2023 0 0 FICOO Auto Score 8 N Eo ee V This is a FlCO Score version customized for auto lending Many banks, auto dealers and other lenders use this version when pulling your credit report based on Upeiian d ala 667 25B 900 fYA•--s Bpenane—i-G. Whats hurting Serious delinquency • You have a serious delinquency(60 days past due or greater) wderogatory indicator onyowcredit repon- • The presence of a serious delinquency or derogatory indicator is a highly cofelated predictor or future payment risk People with previous late payments are more likely to pay late in the future. As these items age, they will have less impact on the Fl=0 Score. Most tale payments stay on your report for no more than seven years. -- Short account history • You have a short credit history. • People with longer credit histories who infrequently open new accounts generally pose less risk to lenders. in your case, the age of your oldest account and/or the average age of your accounts is relatively low. — Few accounts paid on time • You have an insufficient number of accounts that are currentiy paid as agreed. • The MOJ Score considers the number of accounts showing on time payments. Generally, the higher the number reported the lower the risk, Compared to other people with a similar age of credit history, the number of accounts you have that are currently paid as agreed is low. — Bad payment history • You have one or more recounts showing missed payments or derogatory indicalors. • The presence of missed and late payments or derogatory indicators on a credit report, including the number of late payments, how late they were and how recently they occurred, are correlated with future credit risk. Your FIC09 Score was lowered due to the number of missed and late payments and/or accounts wnh derogatory indicators reported, As the number of accounts with detinquency w derogatory Indicators decreases, they have less impact on a FICOa Score. Packet Pg. 168 9.A.1 �r !experian. • FICO® Auto Score 2 r> A 634 t1� 250 900 rx•>r7 s-� s Fxperiane-srzvzrm what's hurting — Serious delinquency Prepared For SIMON AGUIRRE Date generated; May 25, 2023 This is a previous RCO'n Score version customized for auto lending, Many banks, auto dealers and ether lenders use this version when pulling your credit report based on Experian data. • You have a serious delinquency (60 days past due or greater) or derogatory indicator on your credit report. • The presence of a serious delinquency or derogatory indicator Is a highly correlated predictor of future payment risk People with previous late payments are more Ikely to pay late in the future. As these hems age, they will have less impact on the rl= Score. Most late payments stay on your report for no more than seven years. — Missed payments • You have missed payments or derogatory indicators on your credit accounts. • Missed payments and derogatory indicators, including the numher of, how late they were and how recently they occurred, are an important part of a credit report considered by a RCOSS Score. People who are current on their payments, have no derogatory indicators and who consistently make payments on time are generally considered less risky by most lenders. As missed payments and accounts with derogatory indicators age, they have less impact on a FICOS Score. — Bad payment history You have one or more accounts shomng missed payments or derogatory indicators_ • The presence of missed and late payments or derogatory indicates on a credit feporl includingthe number of late payments, how late they were and how recently they occurred, are correlated with future credit risk Your FIC09 Score was!owered due to the number of missed and late payments and/or acoxnm with derogatory Indicators reported. As the number of accounts with delinquency or derogatory indicators decreasn they have less impact on a FIC09 Score. — Short account history • You have a short credit history- • People with longer credit histories who infrequently open new accounts generally pose tess risk to lenders. In your case. the age of your o!desl account and/or the average age of your accounts is relativOy low. O O c,0 N Packet Pg. 169 9.A.1 •a !experian Prep a red For SIMONAGIJIRRR Date generated: May 25,2023 ffi Disclaimer co N About your FICOO Score 8 or other FICO' Scares J Your Flcoa Score 8 powered by Experian data is formulated using the Informal!" in your crednf le at the Urns It is requested. Many but not all lenders use FICOa Score 8. In addition to the FICOa Score 8, we may offer and J provide other base or industry-speclfo FICOA Scores (such as FICOa Auto Scares and FICOa Bankcard Scores). The other FICOa Scores made available are calculated from versions of the base and industry -specific F=3 O Score models. Base FICDs Scores (including the FIC05 Score ti) range from 300 to 850. 1riduslry-specKPO FICO' Scores range from Mg00. Higher scores represent a greater like IamIt that youlI pay back Vow debts so you are viewed as being a lower aedit risk to lenders. A lower FICOs Score Indicates to lenders that you maybe a higher uedil risk. There are many Swing modet5 used In the marketplace. The" of scare used, and its associated risk levels, may vary from tendet to lender. But regardless of what scoring model Is used, they all have one purpose: to summarize your aeditwoi thine ss. Keep in mind that your score Is just one factor used in the application process. Other factors, such as your annual salary and length of employment, may also be consAirred by lenders when you apply for a ban. What thls means to you: Credit scoring can help you understand your overall credit rating and help companies better understand how to serve you. overall benefits of credit scoring have included faster aedit approvals, reduction Inhuman erco and bias, consistency, and better terms and rates for American consumers through reduced costs and losses for lenders. Your tender or insurer may use a different FICos Score than F1001 Score 8 a other base or industry - specific FIC05 Scores provided by us, or different scoring models to determine how you score. Packet Pg. 170 Du TransUniono At a glance FICO'9 Score 8 300 Account summary Open accounts Accounts ever fate Closed accounts Collections Average account age Oldest account 4 2 1 0 2 yrs 10 mos 7 yrs 10 mos FICOSC-ORE R TransUnion data May 16, 2023 1 ;3r Overall credit usage 24 % ii. Credit used: $560 Credit Limit: $2,300 Debt summary Credit card and credit line debt Loan debt Collections debt Total debt 9.A.1 Prepared For SIMON J. AGUIRRE Personal & confidential C Oate generated: May 16, 2023 rp 850 $56D $43,072 so $43,632 Packet Pg. 171 9.A.1 u TransUnion, Personal information Name SIMON J AGUIRRE Also knoym as Generational identifier Year of birth 1907 Addresses Employers 177 GRANT BV SELF EMPLOYED LEHIGH ACRES, FL 33974 RED LEVEL LLC Persona§ statements dHH41FCRA INITIAL FRAUD ALERT: ACTION MAY BE REQUIRED UNDER FCRA BEFORE OPENING OR MODIFYING AN ACCO Prepared For SIMON J. AGUIRRE Date generated: May 16, 2023 C 0 m N Packet Pg. 172 u TransUnion. Open accounts GAMER CR ACPT Eacepliona'l payment history it Account info Accouniname Account number Original creditor Company sold Account type Date opened Open/closed Status Status updated C Payment history Jan 2073 J 2022 J 2021 ✓ 2020 ✓ on Time u Contact info Address Phone number 3 Comments 9.A.1 Prepared For SIMON J. AGUIRRE Date generated: May 16, 2023 $20,084 U Balance updated Apr 30.2023 J AMER CR ACPT Balance $20,0114 9012398XXX)1 Balance updated Apr 30, 2023 - Original balance $25,722 - Paid off 22% Installment account Monthly payment $685 Nov 18, 2020 Past due amount $0 Open Terms 72 Months Paid or paying as agreed Responsibility Joint account Apr2023 Your statement ' Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ✓ J ✓ ✓ J ✓ J J ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ J ✓ ✓ — nala Unavailable 961 E MAIN ST 2ND FLOOR SPARTANBURG, SC 29302 (866)544.3430 Packet Pg. 173 u TransUnion, CAPITAL ONE 1 tatepayment 0 Account info Account name Account number Original creditor Company sold Account type Pate opened open/closed Status Status updated t< Payment history Jan 2023 ✓ 2322 ✓ 2021 J OnTme ® Contact info Address Phone number 5 Comments CAPITAL ONE 517805XXXXXX Revolving account Sep 24,2021 Open Paid or paying as agreed Apr2023 Feb Mat Apr May Jun J ✓ ✓ ✓ J J 30 30Days Late — Datallna railabfe PO BOX 31293 SALT LAKE CITY, UT 84131 (800) 955.7070 9.A.1 Prepared For SIMON J. AGUIRRE Date generated: May 16, 2023 Balance Balance updated Credit limit Credit usage Monthly payment Past due amount Highest balance Terms Responsibility Your statement O $o OD rp Balance updated Apr 21, 2023 N $0 Apr 21, 2023 $Bog 096 $0 $919 Individual account Jul Aug Sep Oct Nov Dec ✓ ✓ ✓ 30 J ✓ Packet Pg. 174 u TransUnion. OFB&T/MERCURY Exceptional payment history 9 Account info Account name FS&TIMERCURY Accountnumber D05356RXXX Original creditor ' Company sold Accou nt type Revolving account Date opened May 09, 2022 Openyclosed Open Status Paid or paying as agreed Status updated May 2023 IT Payment history Jan Feb Mar Apr May Jun 2a23 ✓ ✓ ✓ ✓ — — 2022 — — — '- — ✓ ✓ On nme — Ma Unava,-able ® Contact info Address PO BOX 84064 COLUMBUS, GA 31903 Phone number (866) 686.2158 Comments 9.A.1 Prepared For SIMON J. AGUIRRE (late generated: May 16, 2023 C CD $560 rp Balance updated May08, 2023 N Balance $560 Balance updated May 08, 2023 Credit limit $1,500 Credit usage 37% Monthly payment Past due amount s0 Highest balance $1,430 Terms Responsibility Individual account Your statement ' Jul Aug Sep Oct Nov Dec ✓ ✓ ✓ ✓ ✓ ✓ Packet Pg. 175 u TransUnion. ®WFDS Exceptional paymenthi3tory R Account Info Account name WFDS Account number 617655XXXXXX Original creditor - Company sold Account type Installment account Date opened Apr18,2022 Open/closed Open Status Pald or paying as agreed Status updated Mar 2023 o Payment history Jan Feb He, Apr May Jun 2023 ✓ ✓ — — — — 2022 — -- — — _ ✓ on Time — Datau,urallahre ® Contact info Address PO BOX 71092 CHARLOTTE, NC 28272 Phone number (ON) 269-0004 5 Comments 9.A.1 Prepared For SIMON J. AGUIRRE Date generated: May 16, 2023 O CD $22,988 CO Balance updated Mar 07, 2023 N Balance $22,988 Balance updated Mar 07, 2023 Original balance $75,148 Paid off 9% Monthly payment $525 Past due amount $0 Terms 73 Months Responsibility Individual account Your statement " Jul Aug Sep act Nov Dec ✓ ✓ ✓ ✓ ✓ J Packet Pg. 176 u TransUnion. Closed accounts *SANTANDER 4 late payments 9� Account info Account name Account number Original creditor Company sold Account type Date opened open/closed Status Status updated W Payment history Jan 2M1 ✓ 2020 30 2019 — ✓ On Tune — Data Vnavailable ® Contact Info Address Phone number Comments Closed SANTANDER 300001XXXXXXXXXXX Installment account Jul 26, 2015 Closed Paid or paying as agreed Aug 2021 Feb Mar Apr May Jun ✓ 30 ✓ 30 60 30 3nnayswe 60 600ays Ute PO BOX 961211 FORT WORTH, TX 76161 (888) 222-4227 9.A.1 Prepared For SIMON J. AGUIRRE Date generated: May 16, 2023 C 0 m N Sg V Closed J Balance Balance updated original balance Monthly payment Past due amount Terms Responsibility Your statement $0 Aug 09, 2021 $33,690 $0 73 Months Indh1dual account Jul Aug Sep Oct Nov Dec ✓ — _ _ _ — ✓ ✓ ✓ ✓ J ✓ Packet Pg. 177 9.A.1 u TransUnion: Collection accounts no collection accounts reported. Prepared For SIMON J. AGUIRRE Date generated: May 16, 2023 C 0 m N Packet Pg. 178 9.A.1 u TrQnsUniorn Public records No pubtk recoide reported. Prepared For SIMON J. AGUIRRE Date generated: May 16, 2023 C 0 m N Packet Pg. 179 9.A.1 u TransUnion. Inquiries CAPITAL ONF Inquired on Sep 24, 2021 Business Type. Banks and S&Ls 15M CAPITAL ONE RICHMOND, VA 23238 (800) 955-7070 This Inquiry Is scheduled to continue on record until Oct 2D23 CREDCO Inquired on Jan 26, 2023 Business Type: Miscellaneous and public record 10277 SCRIPPS RAMC SAN DIEGO, CA 92131 (800) 637.2422 This inquiry is scheduled to continue on record until Feb 2025 CREDCO Inquired on Aug 4, 2021 Business Type, Finance, personal PO PDX 509124 SAN DIEGO, CA 92150 (ODO)523.0233 This inquiry Is scheduled to continue on record until Sep 2023 FACTUAL DATA Inquired on Dec 22, 2022 Business Type: Finance other than personal PO BOX 53CO91 ATLANTA, GA 30351 (877) 237-8317 This inquiry Is scheduled to continue on record until Jan 2025 REGIONALAC Inquired on Sep 22, 2021 Business Type: Banks and S&Ls 1424 E FIRE TOWER GREENVILLE, NC 27858 (919) 766-1388 This inquiry Is scheduled to continue on record until Oct 2023 Prepared For SIMON J. AGUIRRE Date generated: May 1 6, 2023 COAF Inquired on Apr 16, 2022 Business Type: Finance, personal 3905 N DALLAS PARK PLANO, TX 75093 (800) 946.0337 This Inquiry is scheduled to continue on record until May2024 CREDCO Inquired on Dec 12, 2022 Business Type: Finance, personal PO BOX 509124 SAN DIEGO, CA 92150 (800) 523-0233 This inquiry is scheduled locontinue on record until Jan 2025 FACTUAL DATA Inquired on Jan 23, 2023 Business Type: Finance other than personal PO BOX 530091 ATLANTA, GA 30353 (677) 237-8317 This inquiry Is scheduled to continue on record until Feb 2325 E8 TIMERCURY Inquired on May 9, 2022 Business Type: Finance, personal 221 V16TH STRELT SUITE 825 AUSTIN, TX 78701 (512) 6663475 This Inquiry Is scheduled to continue on record until Jun 2024 TEACHERS FCU InquIsed on Apr 16, 2022 Business Type: Fnance other than personal 102 MOTOR PKWY HAUPPAUGE, NY 11788 (631) 698-Y000 This Inquiry is scheduled to continue on record until May 2024 CPS Inquired on Apr 16, 2022 Business Type: Finance, personal 19500 JAMBOREE BOA IRVINE, CA 92612 (888) 469-4520 This inquiry is scheduled to continue on record until May 2024 CREDCO Inquired on Nov 3, 2021 Business Type: Miscellaneous and public record 10277 SCRIPPS RANC SAN DIEGO, CA 92131 (800) 637.2422 This Inquiry Is scheduled to continue on record until Dee 2023 FACTUAL DATA Inquired on Per, 26, 2022 Business Type: Finance other than personal PO BOX 53DO91 ATLANTA, GA 36353 (877) 237-8317 This inquiry is scheduled to continue en record untllJan 2025 FLAG5HIPCRE Inquired on Sep 22. 2021 Business Type: Finance, personal PO BOX 3801 COPPELL, TX 75019 (8DO) 707-0114 This inquiry is scheduled to continue on record Until Oct 2023 C 0 m N Packet Pg. 180 9.A.1 u ` a'Arl"Union. Credit scares FICOO Score 8 U-4 ksu 669 � k•� c� (jlt�r 30C FICC(SCORF B TransUAbnawzr w-- 850 Prepared hot SIMON J. AGUIRRE Date generated: May 16, 2023 Your score Is below the average score of U.S. consumers, though many lenders will approve loans with this score. What's helping No serious delinquency • There Is no evidence cis. serious delinquency (90 days past due or greater) or derogatory Indicator on your credd report • Number of your accounts that were ever 90 days late orworse: 0 accounts • Yntually rte FICO High Achlevers have a 90 days late payment or worse listed on their oiedrt report. • The presence of derinquencles or derogatory indicator In a credit report is a powerful predictor of future payment risk. People with no previous late payments are much more likely to pay on time in live future. Low revolving credit usage • You've limited the use of your available revolving credit. • Ratio of your revolving balances to your credit limits: 24% • For Free High Acthlevets, the average ratio of the revolving account balances to credit limits is less than 7% • FiCOS) Scores evaluate the total re'roiving account balances in relalion to the total credit limbs on those accounts. People who keep their ratio of balances to credit limits low pose less risk to lenders than those with higher ratios. What's hurting — Bad payment history • You have one or more accounts shoveing missed payments or derogatory indicators. • Number of your accounts with a missed payment or derogatory Indicator:2 accounts • About 90%of FICO High Achievers have no missed payments at all. But of those who do, the missed payment happened nearly 4 years ago, on average, • The presence of missed and late payments or derogatory indicators on a credit report. Including the number of late payments, how late they were and how recently they occurred, are correlated with future credit risk Your FIC09 Score was lowered due tothe number of missed and late payments and/or accounts with derogatory indicators reported. As the number of accounts with delinquency or derogatory indicators decreases, they have less Impact on a Met Score. — Short revolving history • You have noteslablished a longrevoFring and/or opeo-endedacceuntcredit history. • Your first revolving and/or opeaended account was opened- 1 Year, a Months ago • FICO High Achievers opened their first revolving and/or operrended account 25 years ago, on average. • People with longer credit histories who infrequently open new accounts generally pose less risk to lenders. In your case, the age of your oldest revolving and/or open ended account and/or the average age ofyour revolving and/or ope"rided accounts Is relatively low. — Loan balances The remaining balance on Your mortgage or non -mortgage installment loans is relatively high_ • Percentage of principal you have paid down on your open nonmortgage installment loans: 15% • HCO High Achievers have paid down an average of 40%of the ptinetpal on their nonirwftgage installment loans. • FIC09 Scores weigh the amounts paid down and balances of mortgage and nonmortgage installment loans (such as auto or student loans) against the original ban amounts. in general, when an installment loan Is first oblalned the balance IS high. As the loan is paid down, the balance decreases. As installment loan balances decrease, they have less impact" a HC09 Score. Having a low Packet Pg. 181 9.A.1 installment loan balance to loan amount ratio Is considered slightly less risky than having a 0% installment loan ratio. Consolidating or moving debt from one account to another will usually not heap a F1CO& Score since the same total amount Is owed and the score may go down due to opening a new account. Recent missed payment . . O • You recently missed a payment or had a derogatory indicator reported on your credit report. G Your most recent missed payment happened, 7 idonths ago N • About 98%of FICO High Achievers have no missed payments at all. But of those who do, the missed payment happened nearly 4 years ago, on average. v V • The presence of missed or late payments or derogatory indicators onacredit report, including the nUm6er of missed payments, how late they were and howrecently they occurred, are correlated with J hrture ccedil risk. Generally speaking, people whoconsistentfy pay their hills on time are less risky compared to people with recentlymissed payments. As missed payments age. they have less impact on J a FICOt Score. Z Packet Pg. 182 9.A.1 u TransUn ion. Prepared For SIMON J. AGUIRRE bate generated: May 16, 2023 Disclaimer o 0 co N About your FICOO Score 8 or other FiCOs' Scores ei Your FICOa Score 8 powered by Experian data is lormulaled using the Information in your credit file at the Ume It Is requested. Many but not all lenders use FICOa Score B. In addition to the FiCOs Score 8,we mayoffer and J provide other baseor Industry-5peeft FICOs Scores (such as FICOs Auto Scores and FICOs Bankcard Scores). The other FIC0 Scores made available are Calculated from versions of the base and Induslryspecific FICO11 Z Scoremodels. P1 Base FICOa Scores (Including the FICOa Score @ range from 30010 8W Industry -specific FlCOs Scores range 6om 2WEiDD. Higher scores represent a greater likelihood that you'll pay back your debts so you are viewed as being a lower uedh risk to lenders. A lower FICOs Score indicates io lenders that you maybe a higher credit risk There are many scoring models used h the marketplace. The type of score used, and its associated risk levels, may vary from lender to bender. But regardless of what scoring model Is used, they all haye one purpose: to summarize your Creditworthiness. Keep in mind that your score is }ust one factor used In the application process. Other factors, such as yow annual salaryand length of employment, may also be considered by lenders when you apply for a loan. What this means to you: Credit scoring can help you understand your overall credh rating and help companies better understand how to serve you. Overall benefds of credit sewing have Included faster credit approvals, reduction in human error and bias, consistency, and better Perms and rates for American consumers through reduced costs and losses for lenders. Your lender of insurer may use a different FIC0 Score than FICOa Score 8 or other hase or indusUy specific FICOS Scores prorided by us, or different scoring models ludetermine howyou acare- Packet Pg. 183 Detail 1�LOItIDA l)IIPAItTl11@INTO STATI' DIVISION OP COI2PORr\TIr1N5 O O CO N Q s�itnt of State 1 Division of Cq pQrnt1 1 Se7rch Rewrds ! enr t y -n i y Nama I Detail by Entity Name Florida Limited Liability Company RED LEVEL CONSTRUCTION LLC ERWg Information Document Number L18000052531 FEIIEIN Number 82-4645300 Date Filed 02/27/2018 Effective Date 02/2712018 State FL Status ACTIVE Principal Address 177 GRANT BLVD LEHIGH ACRES, FL 33974 Changed: 03/30/2019 M.I[ling Address 177 GRANT BLVD LEHIGH ACRES, FL 33974 Changed: 06l100020 gent Name ?, Addre5s AGUIRRE, SIMON J 10580 COLONIAL BLVD SUITE #112 FORT MYERS, FL 33913 Name Changed: 03/30/2019 Address Changed: 04/30/2021 Authorized Person(rz) Detail Name & Address Title MGR AGUIRRE, SIMON J 177 GRANT BLVD LEHIGH ACRES, FL 33974 hlips:llsearch.sunbiz.orglinquirylCorporationSearchlSearcl)ResultDetail?inquirytypa=EntilyNama&direclian7ype=Initial&searchNameOrde packet Pg. 184 9.A.1 4119122, 2:32 PM Detail by Entity Name Title MGR CIMENTAL, BERNADETTE M 177 GRANT BLVD LEHIGH ACRES, FL 33974 Annual Repplia Report Year Filed Date 2019 03/30/2019 2020 06/10/2020 2021 04/30/2021 Document Images 041,NQ021 --ANNUAL REPORT 06/1012020 -• ANNUAL REPORT 0013012011) — ANNUAL REPORT 02127/2018 — Florida Limited Liability, View image in PDF format View image to PDF format View image in PDF format J View image in PDF format 0 0 m N https:llsearch,sunbiz.orglInquirylCorporationSearchlSearchResuliDetail?inquirytype=EntityName&dlrectionType=initial&searchNameOrd Packet Pg. 1 57 9.A.1 2021 FLORIDA LIMITED LIABILITY COMPANY ANNUAL REPORT DOCUMENT# L18000052531 Entity Name: RED LEVEL CONSTRUCTION LLC Current Principal Place of Business: 177 GRANT BLVD LEHIGH ACRES, FL 33974 Current Mailing Address: 177 GRANT BLVD LEHIGH ACRES, FL 33974 US FEI Number: 82.4645300 Name and Address of Current Registered Agent: AGUIRRE, SIMON J 10580 COLONIAL BLVD SUITE #t112 FORT MYERS , FL 33913 US FILED Apr 30, 2021 Secretary of State 4575747038CC Certificate of Status Desired: No The above named enfity submits this statement for the purpose of changing lis registered office or registered agent, or both, in the State of Florida. SIGNATURE: SIMON J AGUIRRE 04/30/2021 Electronic Signature of Registered Agent Authorized Person(s) Detail Title MGR Name AGUIRRE, SIMON J Address 177 GRANT BLVD City -State -Zip: LEHIGH ACRES FL 33974 Title MGR Name CIMENTAL, BERNADETTE M Address 177 GRANT BLVD City -State -Zip: LEHIGH ACRES FL 33974 Date f hereby certify that the inWrnntlon lrndlcated on this report or supplemental report Is five and accurate and that my electronic slgnafure shall have the some legal offact as if made under oath; thnf t ore a managing member or manager of the limited liabifiry company or the mcoivor orinrstoo empowored to execute this report as required by Chapter 605, Florida Slalules; end that my name appears above, or on an attachmentWfh all other Re empowered. SIGNATURE: SIMON AGUIRRE PRESIDENT 04/30/2021 Electronic Signature of Signing Authorized Persons) Detail Date 0 0 m N Packet Pg. 186 9.A.1 Electronic Articles of Organization Ll8000052531 0008 2 31 FILED AM For Februar 27, 2018 Florida Limited Liability Company Sec. Of tate cnco Article I The name of the Limited Liability Company is: RED LEVEL CONSTRUCTION LLC Article It The street address of the principal office of the Limited Liability Company is: 238 NAUTILUS AVE LEHIGH ACRES, FL. 33974 The mailing address of the Limited Liability Company is: 238 NAUTILUS AVE LEHIGH ACRES, FL. 33974 Article III The name and Florida street address of the registered agent is: DE MULTISERVICES CORP 3611 LEE BLVD LEHIGH ACRES, FL. 33971 Having been named as registered agent and to accept set -vice of process for the above stated limited liability company at the place designated in this cortiftcate, I hereby accept the appoininicnt 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 perfortuatice of my duties, and lain familiar with and accept the obligations of my position as registered agent. Registered Agent Signature: DONNA MORALES 0 0 N Packet Pg. 187 9.A.1 Article IV The name and address of person(s) authorized to manage LLC: Title: MGR SIMON J AGUIRRE 238 NAUTILUS AVE LEHIGH ACRES, FL. 33974 Title: MGR BERNADETTE M CIMENTAL 238 NAUTILUS AVE LEHIGH ACRES, FL. 33974 Article V The effective date for this Limited Liability Company shall be: 02/27/2018 Signature of member or an authorized representative Electronic Signature: SIMON J AGUIRRE L18000052531 FILED 8:00 AM February 27, 2018 Sec. Of State crico I ani the meinber 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 Deparhnent of State constitutes a third degree felony as provided for in s.817.155, F.S. I understand the requirement to file an armual report between January I st and May 1 st in the calendar year following formation of the LLC and every year thereafter to maintain "active" status. Packet Pg. 188 9.A.1 �yq ] 1tJ I RC" D .PARTI F!Tl` CIV THE TRSASURY 1U� IRS INTERNAL REIV.- NNE SERVICE CINCINNATI OH 45999-0023 RED LEVEL CONSTRUCTION LLC S1N,ON JI.RONIMO AGUIRRE MBR 177 GRANT BLVD LEHIG11 ACRES, FL 33974 Date of this notice: 03-05-2.018 Employer Identificilt:.ion Number: 82-4645300 Form: SS-4 Number of this not.i.ce: CP 575 A For assisrance you m'jy call us at: 1-800-829-4933 IF YOU WRITE, ATTACH THE STUB AT THE END OF 'PHIS NOTICE, WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER Thank you for applying for an Employer. Identification Number (EIN). We assigned you RrN 82-461 5300. This EIN will identify you, your burliness accounts, ti+x 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 abovo.. 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 recolved from you or your representative, you must file the following form(s) by the date(s) shown. orrr 941 Form 940 Form 1065 07/31/2018 01/31/2019 03/15/2019 If you have questions about the forms) or the due date(s) shown, you can call us at the phone number or write to us at the address shown at the top of this notice. If you need help in determining your annual accounting period (tax year), see Publication 538, Accountinq Periods and Methods. Side assigned you a tax classification 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 wan~. a legal determination of your tax c_assification, you may request a private letter ruling from the IRS under the guidelines in RevenuA Procedure 2004-, 2004-1 I.R.B. 1 for 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 Corm 8832, Entity Classification Election, and elect to be claasifiod as an association taxable as a corporation. If t:he LLC is eligible to be treated as a corporation that meets certain test:;; and it will be electing S corporation status, it must timely filo Farm 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 Ferns: 8832. Packet Pg. 189 9.A.1 (iR5 '3. F ONLY) 575A 03-05-201 B ItKDL B 9999999999 Sq -4 p co N :_ you are required to deprssit for employment taxes (Forms 941, 943, 940, 944, 945, CT-1, or 1042), excise taxes (Form 720), or income taxes (form 112.0), you wil receive a Welcome Package shortly, which includes instructions for making your deposits electronically through the Electronic Federal Tax Payment System (F.FTFS). A PerSonal Iderti`icatien Iuanber (PIN; for Ei"r?S will also be sent to you ur:der separate cover. Please activate the PTN once you receive it, even if you have requested Lhe services of a tax professional or representative. Por more information about FFTPS, refer to Publication 966, I:.Iectrorlic Choices to Nay Al Your Federal Taxes. I€ you need to make a deposit immediately, you will need to make arrangements with your Financial Institution to complete a wire transfer. 'rho IRS is commuted to helping all taxpayers comply with their tax filing obligations. if you need help completing your returns or meeting your tax obligations, Authorized e-tile Providers, such as Reporting Agents (payroll service providers) are available to assist you. Visit the IRS Web sate at www.irs.gov for a list of companies that offer IRS e-file for business products and services. The list provides addresses, telephone numbers, and links to their Web sites. To obta'n tar, 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--800-929-3676 (TTY/TDD 1-900-829--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 ba able to generate a duplicate copy for you, You may give a copy of` this document to anyone asking for proof of your BIN. tine this FIN and your name exactly as they appear at the top of this notice or: al_ ;,your federal tar. forms. . Refer to this FIN on your tax -related correspondence arcs docusn{�rlts. If you have questions about your E1N, you can call us at the phone number or write to its 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 nacre control associated with this EIN is REDL. You will need to provide this information, along with your EIN, if you file your --eturns electronically. Thank you for your cooperation. Packet Pg. 190 9.A.1 co�er c014"ty Growth Management Department Contractor Licensing 2800 N. Horseshoe Dr. CD Naples, FL 34104 c 239-252-2400 N APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY STATEMENT OF OWNERSHIP This certifies that I, S 1 mC)t—\ 1EMlA 1 1r ric am a member or managing APPLICANT'S NA E (please print) member of (-AA oy\ l 1 c E) I own So % of the units issued by the Limited Liability Company listed above. Affidavit of Applicant: I certify under penalty of perjury that the information contained is a true and correct statement to the best of my know[edge. SI�Y1G1'1 A A, t'r-e Applicant (please print) ,�j State of r + 06 Gt County of Q2' The foregoing instrument was acknowledged be ore me by means day of t , , 20 ,, by Y-"o 1A Such person(s) Notary Public must check applicable box: Y - 9(are personalty known to me ❑ has produced a current drivel' license ❑ has produced as identification. (Notary Seal) a llotary Public state of Florida DONNA A MORALES Notary Signatu e: My Commission HH 005419 Errxr"0513112024 Name of Company Signature of Applicant prescnce or ❑ online notarisation on this Firm_Application.docx Rev 4/06/2020 Page 9 of 15 Packet Pg. 191 9.A.1 co tier C;0-14"ty Growth Management Department Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 239-252-2400 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, 0 J ) D 1 Lf1S n 1 &YIPrbposes Company Name to engage in contracting as IN YI 1/S in Collier County where n-\Uhq -A G U t r ✓,o OfficerslOwnerslPartners Applicant Name proposes to qualify for a Certificate of Competency with company i 1,t: ,,o !!G Company It is hereby agreed upon that we the undersigned b 1N Y`,t ✓ _ of 0cl U V-e f V (D i'i;ityc "f �" ! Officers/Owners/Partners Company resolve and represent to the Collier County Contractor's Licensing Board that the proposed qualifying agent, f>kl is active in all matters connected with the company named Applicant N86e ! f L ,pod 1,14 S C G ?. We further resolve and represent that JI r1'1(t 1'1 % V 1 r ►'s legally Company l r Applicant Na .'ti empowered to act on behalf opd �trl Cart' 1, 111ib4lf matters connected with its contracting Company business and has the authority to supervise construction undertaken b GI U Coil,. tWut tlol 116 CCompany Offs erslOwnerslPariners Witness Offtcersfowne Partners witness OtficerslOwnersTa rtners Witness OfficerslOwnerslPartners of the above -mentioned company need to sign on ilia left and a witness to the signature signs on the right. State of ado County of C' A The faref wing, 'nstruiiient was acknowledgeclAyfore me by imans of physical presence or CIon ' ie notarization oil this &dny of i kla CW 20O , by -Q.r YZAOLP_+ Such person(s) Notary Public must check applicable box: 0are personally known to nic 3C►�iias produced a current driver license ❑ has produced 1� (1 as identification. (Notary Seal) ,)svPs � '� ALYSHIAMORSE Notary Signature: Comfrttttttlort � HN 100614 * �ortti 1p plfe� Opt er 26, 2025 9on1Mt'Hn6wfi�Ilt�1uYl�rrMa 0 0 m N Firm—Applicaiion.docx Rev 4/06/2020 Page 8 of 15 Packet Pg. 192 9.A.1 4 CO 7BY C,014"ty Growth Management Department Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 c CD 239-252-2400 F4 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE r, Applicant's Name: �`tiw� �i (-r-r Certificate Category Requested: The applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate, the applicant must verify hisfher experience within this trade. You are being requested to provide information that will aid the applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker (e.g., as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience for the above -named applicant must provide the following information: Name: SIM uA) N0I/r Title: 11(hGIt Business Name: 4/'TTS�/d VE (gN, ij�{ D��G� `F kElhDQ;A)6-0 U(- Phone:( ) 3 I I S I — 3 o> r Business Address: U J 1 J rH NC Street The applicant was employed by me from ^ Applicant's title: fQ,,1 t r U� M6 License No. (if applicable): 154 q ! q I /V0LC-S rL 3q/off City State Zip to q M o The applicant's scope of work (specific duties) included: OVe✓Sow f1(dVV%1r q WeV410VIS S bA as d-J,V,QCLu✓-m yt,Ul�c�t'�e u�tll�✓'t, �lurYtl�tle 1'A�Giveit Additional comments: +t V-6 l� 1,4 of �0VLeS r � I + -6Uk d 0 i} , f pn S NOTE TO LICENSED CONTRACTORS: Falsifying any information provided herein may subject yourlicense to revocation. Under penalty of perjury, I declare that the facts stated here are true. / ' Signature f person providing the statement State of �G f�� / /�f� County of I The foregoing instrument was acknowledged before me by means ,of /aLday of �},9ri•G , 20D9,r� , by _ f�1-2Lfll% 1 Such person(s) Notary Public must check applicable box: ❑ are personally known to me ❑ has produced (Notary Seal) Ve- 'X has produced a current driver license as identification, Notary Signatura l presence or C] online notarization on this GRO �\ I My Comm. Expires. December 1, 2024 4 No. HH 88469 t ,l j �l>"WZY.W Firm Application.docx Rev 4/06/2020 Page 12 of 15 Packet Pg. 193 9.A.1 ,Artisan _CD DESIGN • BUILDING • REMODELING m N 0- 865 95th Ave IV, Naples, FL 34108 • (239) 431-8973 • www.Artis to �SWI i,.com • admin@ArtisanSWFL.com May 401, 2022 To whom it may concern: I have known Simon Aguirre since 2016. He has worked in the trades since at least 2016 and has proven himself to be a person of good honesty, integrity and good character. Simon has vast experience of all types of structural framing work including setting trusses, building structural walls and foundations, forms for concrete work, and hurricane required strapping of homes roofs and walls to foundations. He also has extensive experience in metal framing, installing windows and doors, drywall, and stucco work. Sincerely, l 111aA4. Oft, May 4111. 2022 Shaun Nave, AMBR Dare FLORIDA NOTARIAL. CERTIFICATE (JURAT) STATE OF FLORIDA COUNTY OF Collier Sworn to (or affirmed) and subscribed before me this Y�!clay of , 20_ , by a6tLLj) (Name of Person Making Statement). (Seal) a CAA {{ Ig at}uurie oftN,�o J Public Y� D N i C E V ` "' L]' I� T Notary pf �forida Comm24847 Print, Type or Stamp Name of Notary My CommIs, 2025hrouyhary Assn. ✓ Personally Known: OR Produced Identification: Type of Identification Produced: Packet Pg. 194 9.A.1 co >rer County Growth Management Department Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 c 239-252-2400 N APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name: Sll, m(V\ 1�CI�,tt r rf 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: E [ Title: '4.."S'1CIel-7-1 F Business Name: S loc Phone: 2—S f ' 7Q 7 ' &0 Q Business Address: I L1 D 2 Street License No. (if applicable): C Q 1 2— y city State zip The applicant was employed by me from 2 0 %%_ to C2,611�L Applicant's title: 12-10 .YIP Y- a l 4 o f.D lM ax-\ ,( The applicant's scope of work (specific duties) included:& Xv-�p rvi�2(. [ �t��1�i_r 649SS_._ C. adca vu i� L, �g� r�r�r-levy s��r.,r, r:�c �Lrs a] Q,� �r� J l r►-,uhs -V/,-�"cll clr [ 6eck4Itr' t Additional comments:4sCt 14 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. Signature of person providing the statement State of �� �1 , �CA County of U ee The foregoin instrut lent was acknowledged b fore me by means of IN physical presence or Cl online notarization on this (lay of_ 202by � 40QL :5+J Cok Such person(s) Notary Public must clieck applicable box: ❑ are personally known to me ❑ has produced (Notary Sea]) 'Alias produced a current driver license a NNotary Public State o1 Florida DONNA A MORALES My Commission HH 005419Expires0513112024 as identification. j� Notary Sigttatur { $ Firm—Applicalion,doex Rev 4/06/2020 Page 11 of 15 Packet Pg. 195 9.A.1 �`�,►4�� oRIZo =" 4-01 BUILDERS, . c•[ain u To whom it may concern, My name is Elton Silcox, president of Horizon Builders Inc. 1402 McKinley Ave. Lehigh, FL 33972 Office: 239-368-7094 • Cell: 239 707-6008 ejsllcox1204©netzero.net I have known Simon Aguirre for six years. We have worked together since 2017. He has supervised daily progress of job sites. He communicated with inspectors and subcontractors to ensure work met expectations and deadlines. Simon is very respectful and reliable. Great with clients and inspectors. I am confident he has the ability to build homes, He has been under my supervision and assisted me in building 10 homes from 2017-2022. He is a fast learner and very knowledgeable, Regards Elton B Silcox �°� e Qr � 7 n 5-�t�u rn �.�4 Wks (ne,"on L4V-On1&:5'1cc)Y-J i t)10 2rs a nal�llllrffi.. � • ,,\0.,UFOES Q,y "hid *` • ll/ll`�114111��\\\ off W, if IM Mir MR 0 0 N Packet Pg. 196 9.A.1 x Ci0 7BY Ci07�i'19ty Grovvth Management Department Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 c 239-252-2400 N APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name:_ St mcy, %S 2,lrJ`P Q{� t Certificate Category Requested: �18�t�iu Co!-? ��aG�OriS G Icon 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 hisllter 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: i Title: 5i dZ-, f Business Name: CoYy �t�rl (7r(�u Phone: a3q- SiLi - aooq License No. (if applicable). C I (V3-Lfag Business Address: S qj L1b.5 h t� �a f� ��• NGQ 1e�. F2, Street nn city' State zip The applicant was employed by me from to �6-10 d at — Applicant's title: jo to/,a —Not n t The applicant's scope of work (specific duties) included: Ovj r� (�iI IV nlg(-rx 61 tab �l 11f1� T U✓1 tr1 r]r�a��bl `) Q,��: t�l�iPylO�t J, 0lL 1r YV'VA! s(JrAj Cntl M_Wr�`r,�w P13h,-f- q�' Additional comments: !Imttn wad CA iOWP, alway,5 6✓I fiM2, arpat wi t {,f � n�5 d- c, \r�nr [`�n5; hlP, NOTE TO LICENSED CONTUCTORS: Falsifying any information provided herein pi y subject your license to revocation. Under penalty of perjury, I declare that the facts stated here are true. '� /Signature of person providing the State of F�d County of Co 11 � �.r-• The foregoing instrument was acknowledged before me by means �f 04"physical presence or ❑ online notarization on this day of �, 20 _�a , by Sinn til�1l Such person(s) Notary Public must clieck applicable box: K arc personally known to me © has produced a current driver license ❑ has produced as identification. (Notary Seal) ram`'• nJ1°'u Nolary Public State of Honda Notary Signature: + Mau HOmbeck �o My Commission HH 045978 m n¢ Expires 0912312024 Firm_Application.docx Rev 4/06/2020 Pa go 10 of 15 Packet Pg. 197 9.A.1 r BOYETTE J CONSTRUCTION GROUP, LLC J 5741 Washington Strect N Naples, FL 34109 p Ph: (239) 514-2009 * Fax: (239) 514-3199 v CI3C1261424 D April 20, 2022 To whom it may concern, Simon Aguirre worked for us from September 2020 to February 2022, he oversaw daily operations of the jobsite, met with subcontractors and inspectors. He was in charge of ordering materials for the jobs and keeping track of them. Mr. Aquirre is reliable, always on time, great with the clients. State of Florida County of Collier The foregoing was ack owledged before me by means of physical presence on this 20 day of April, 2022 by John Boyette ersonally w t e. Notary Signature: TAMAEuV(��t0� y4Efr�'f�y�p�I� 'Fy WN�p `r,M,�,�#/Gd&LyiyVly R * e:� t10,42}MJY rYf� fWiu tlil{�IT� Packet Pg. 198 03H - NOIDVNINOO IVI1N30IS3N - 33N9IN3dX3 =10 MgIA3N - 3NNinov f NOWIS 'V6 :IUG LPBPV N N O N M N d� 0 (D m d J J Z o_ I— d. D M Z> ❑LL Z U op N w ( O CD o :V z 0 J U 0 o� V � za�w00o�cm r a Lu l.L. V S2 N O Q O ❑ = 0) > V O T- o M O L o ch I— c . c iri O m (A M y C :.- J> 0a �cY-i NUS n n +i C [U E 0 N N 0 N O W C d s c Q1 s 0 v C 0 T c m L. ro U) 40 43 N N rL �h N 0 's N M O L u. (n O n a� co C E O a) 0) 0- cu U CU a E 6 Co E L (U � (D 9 'CO O > '_Co co() o E .a � (o 70 L ` Q) O 0 w L y 0 t= ' N (D O Q N � L U L o 7) v �- o 0 4- ' V 7 U U) T (u L N (V Ua � (� a Uz E 0 C a U o F_(t E d ci 03H - NOIDVNINOO IVI1N30IS3N - 33N9IN3dX3 =10 MgIA3N - 3NNinov f NOWIS 'V6 :IUG LPBPV U J � J � Z z O O U U cce7 U ❑ Z H N Z omwW - oho W Z Q I W CD o N J H p O Ul N � ❑ _ a) V O O Q M ¢ J CD N a o O m U) t V V E V M u< �c :� W NUS M nsn t�s N N :c I— C� 'D o O L LL ijy O p a) '+s 4 UJ (V O 1 O '0_ cei f-- Cal (U Q E (1) E O 0 O)L U� Q3 E 4i C9 E L O � M O O N = E •a c- U X 4 ° 0 E Y L U � � (U N � O Q- (U E E 3 U `-- O c O ._ W' (V U_ O U 4E in i 'C C6 L O O 05 U L) m L to 73CO 0 U7�� L Z L E O CA O U 0 m �_E 9.A.1 Co >ler C01414ty Growth Management Department Contractor Licensing 2800 N. Horseshoe Dr. Naples, Fl. 34104 c 239-252-2400 N APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF RQrtciGt COUNTY OF C01111 P f' I, 10? q✓g �Oy(��-}�-P , having been first duly sworn, state and affirm: I am a resident of CO l I i'oCounty, Ror-I �-A a (State) and have resided here for more than five (5) years. During the last five (5) years I have known 1 rnol) r qy i e e, (applicant). I have had the opportunity to observe his or her business and personal dealings and find him or her to be�rson of honesty, integrity and good character. Statc of i-' { ot-i � A County of Cot 1 ! P✓-" h Printed Name Address: 57` 3, wlr rn�s an S� Street lU`aplen _ 3` 103 City state Zip Telephone: The foregoing instrument was acknowledged before me by means of physical presence or ❑ online notarization on this I�day of rk, 20, byh� 1�~ Stzare erson(s) Notary Public must check applicable box: personally known to me ❑ has produced a current driver license ❑ has produced as identification. (Notary Seal) E;0':N Notary Pub::f::Mara HombMY CommiEkpuee 091 Notary Signatu Firm_Applica[ion.docx Rev 4/06/2020 Page 13 of 15 Packet Pg. 201 9.A.1 Co�er County Growth Management Department Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 c 0 239-252-2400 N APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF I" L COUNTY OF L E I, S 46 Ld ju N A Vr , having been first duly sworn, state and affirm: am a resident of L E C more than five (5) years, County, FL (State) and have resided here for During the last five (5) years I have known J I th() e— + I i (A I rll e, (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 State of / G-U// �� County of 011 E'/l-- The foregoing instrument was acknowledged before ntc by means of — —day of 9710Y 20 k , by .SHE uf,A) IV/j,/ Printed Narne Address: 1 -lI w R�i�`I s gan�a S' Ptt sL 3N13� City FState Zip Telephone: �39] 1% i -303) Such person(s) Notary Public roust clieck applicable box: ❑ are personally known to me Wins produced a current driver license ❑ has produced as identification. (Notary Sea]) Notary Signature: presence or ❑ online notarization on this ,%H tilllll��,' GPO Aj I y • My Comm. Expires' December 1, 2024 .. No. HH 68469 � Firm Application.docx Rev 4/06/2020 Page 14 of 15 Packet Pg. 202 03H - NOIDVNINOO IVIIN30IS3N - 33N3RI3dX3 =10 M9IA3N - 3UNinov f NOWIS 'V6 :Iuai. L13BPV M � O Q N O � a m m a 8 ::1 �- jz< L ts 0 9.A.1 CERTIFICATE OF LIABILITY INSURANCE le Da a 12I15/2022 Producer: Plymouth Insurance Agency This Certificate is issued as a matter of information only and confers no 2739 U.S. Highway 19 N. Holiday, FL 34691 rights upon the Certificate Holder. This Certificate does not amend, extend or alter the coverage afforded by the policies below. (727) 938-5562 Insurers Affording Coverage NAIL # Insured: South East Personnel Leasing, Inc. & Subsidiaries Insurer A: Lion Insurance Company 11075 Insurer 13: 2739 U.S. Highway 19 K Holiday, FL 34691 Insurer c: Insurer D: Insurer E: Coverages The policies of insurance listed below have been issued lathe insured named above for the policy period indicated. NoWthstanding any requirement, term or condition of any contract or other document %v,lh respect to which this certificate may be issued or may perlaln, the insurance afforded by the policies described herein is subject to ail the terms, exclusions, and conditions of such policies. Aggregate limits shown may have been reduced by pald claims. INSR ADDL INSRD Type of Insurance Policy Number Policy Effective Date Policy Expiration Date Limits (MMIDDIYY) (MMIDD1Ylr) GENERAL LIABILITY Each Occurrence o Commercial General Liability Claims Made 0 Occur Damage to rented premises {FJ+ occurrence) Med Exp Personal Adv Injury General aggregate limit applies per: Genera! Aggregate Policy ❑ Protect ❑ LOC Products - CompfOp Agg AUTOMOBILE LIABILITY Combined Single Limit Any Auto (FA Accident) S Bodily Injury A11 Dvmed Autos Scheduled Autos (Per Person) 3 Bodily Injury Hired Autos Non -Owned Autos (Per Accident) Property Damage (Per Accident) EXCESS/UMBRELLA LIABILITY Each Occurrence Occur ❑ Claims Made Aggregate Deductible A Workers Compensation and WC 71949 01/01/2023 01/01/2024 X I WC Statu- OTH- Employers' Liability tory Limits ER E.L. Each Accident $1,000,000 Any proprietor/partner/executive officerlmemher E.L. Disease - Ea Employee S1,000,000 excluded? NO If Yes, describe under spec€al provisions below. E.L. Disease - Policy Limits $1,000.000 Other Lion Insurance Company is A.M. Best Company rated A (Excellent). AMB # 12616 Descriptions of Operations/LocationsfVehicles/Exclusions added by Endo rserrlentlSpecial Provisions: Client ID: 90-67.484 Coverage only applies to active employee(s) of South East Personnel Leasing, Inc. & Subsidiaries that are leased to the following "Client Company": Red Level Construction LLC Coverage only applies to injuries incurred by South East Personnel Leasing, Inc. & Subsidiaries active employee(s), while working in: FL. Coverage does not apply to statutory employee(s) or independent contractor(s) of the Client Company or any other entity. A list of the active employee(s) leased to the Client Company can be obtained by emailing certificates@fioninsurancecompany.com. Project Name: ISSUE 10-13-22 (PH) Begin Date! 10/312022 CERTIFICATE. HOLDER CANCELLATION COLLIER COUNTY Should any of the above described policies be cancelled before the expiration dale thereof, the issuing insurer will endeavor to mail 30 days written notice to the certificate holder named to the inft, but failure 10 CONTRACTOR LICENSING BOARD do so shall Impose no obligation or liability of any kind upon the Insurer, its agents or representatives. �`�� ��✓ 2800 N. HORSESHOE DR NAPLES, FL 34104 0 0 co N V J J Z O H U co Z O U J W W J 0 W IX IX O H fJ Q H Z O U J Q H Z W 0 Fn W w W U Z W_ W t2 X W LL O W_ W W r Q Packet Pg. 204 9.A.1 ACOR�0 L.� CERTIFICATE OF LIABILITY INSURANCE DATE tMMIDDIYYYY) 12r1512022 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(€es) 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 NAME: Megan Davis J Miller Insurance Group 2664 Airport Road South p PHON o Exl (239) 643-6840 Fg c No: (941) 240-2148 E-MAIL info 9�.com AooREss: info@jnnigi.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: CLEAR BLUE INSURANCE COMPANY 28860 Naples FL 34112 INSURED INSURER B INSURER c : Red Level Construction, LLC. INSURER D : 177 Grant Blvd INSURER E: INSURER F : Lehigh Acres FL 33974 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 rypE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDD LIMITS X COMMERCIAL GENERAL LIABILITY �/ CLAIMS-MAOE X OCCUR EACH OCCURRENCE S 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence S 300,000 MED EXP (Any one person) $ 10,000 PERSONAL&ADVINJURY $ 1,000,000 A BGFL0013306304 0812012022 08/20/2023 AGGREGATE LIMIT APPLIES PER: POLICY I1 JERT LOC GENERAL AGGREGATE S 2,000,000 GEN'L PRODUCTS -COMPIOPAGG s 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accidenl $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR DED RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS` LIABILITY YIN N ANY PROPWETORIPARTNER/EXECUTIVE OFFICEM,iEMBER EXCLUDED? ❑ N I A STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION of OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) GL Codes 92338 - Drywall or Wallboard Installation 98449 - Plastering or Stucco 91583 - Subcontracted Work - Residential CERTIFICATE HOLDER CANCELLATION Collier County Contractor Licensing Board 2800 N Horseshoe Dr. Naples 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 FL 34104 ap 1988-2015 ACORD CORPORATION. All rights reserved. 0 0 m N ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Packet Pg. 205 9.A.1 DelgadoSandra 0 0 From: Contractors Licensing N Sent: Thursday, June 15, 2023 4:21 PM v To: 'SIMONAGUIRRE@ME.COM' J Cc: DelgadoSandra Subject: Application LCC20220001028 Hello Mr. AGUIRRE, Is there anything else that you would like to provide for verification of experience before being rescheduled for the Contractors Licensing board meeting? Almost one year has passed since your initial application was submitted and the meetings you have attended ended with asking for any more experience that you might have so if you have anything to add please email it to us. If not, please reply and let us know if you would like to be scheduled for July 19'h, 2023. Thank you. Respectfully, rJM1&a a,I.,qa,c.L& Supervisor —Operations, Licensing l# ICY C01411ty 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. Delgado@colliercountyfLgov ContractorsLicensing@colliercountyfl.gov Now are we doing? The Operations & Regulatory Management Division wants to hear from you! Please take our online SURVEY. We appreciate your feedbockl Packet Pg. 206 9.A.1 August 17, 2022 oc of, probation will automatically be removed. If not, he will have to come before the Board. N Second by Board Member Joslin. The motion passed unanimously, 6-0. V C. Simon I Aguirre — Red Level Construction LLC — Residential Contractor — Review of Experience and Credit Review Chairman Lantz. called Mr. Aguirre to the podium and he was sworn in. Supervisor Crotts reported that Mr. Aguirre had submitted an application for the issuance of a registered license as a Residential Contractor, which requires 48 months of experience and a minirnuin credit score of 660. Mr. Aguirre appeared before the Contractors' Licensing Board on June 15, 2022, to answer questions regarding his experience and to explain why his credit score was below the nrinintunt required by rule GI G4-15.006 of the State of Florida. At the conclusion of the (rearing, the Board decided to table his request until the August 17, 2022, meeting. At the August 17, 2022, meeting, Mr. Aguirre would be required to show that his credit had improved and if not, then he'd present the Board with a detailed plan showing how he was going to improve his credit score. A copy of the minutes fr-orn the June 15, 2022, hearing has been provided in your packet. Mr. Aguirre spoke with staff in person on August 9, 2022, and said nothing has changed on his credit report. Mr. Aguirre submitted an unsigned letter from the company assisting On with credit, Helping Hands Financial, which stated that it's working with On to fix his credit. When staff attempted to contact Helping Hands Financial, the phone number was not working and the website does not exist. Therefore, staff has been unable to confirin this information. Today, the Board will be snaking a decision on the issuance of the Residential Contractor License based upon Mr. Aguirre's experience and to make a decision on the issuance of the license based upon the credit information presented today. Mr. Aguirre is being referred to the Board under Section 2.5.2, Referral of the Application to the Contractors' Licensing Board for a Decision. Mr. Aguirre is here today to answer your questions regarding his experience and credit issues. Chairman Lantz asked Mr. Aguirre if he'd been doing anything to fix his credit. Mr. Aguirre said lie's been working with Helping Hands Financial. They called all three credit bureaus to dispute some incorrect information. They were several points off and he should have been over 660. He and Kevin from Helping Hands are working on contacting creditors, but it's hard to change a credit score. He said the company doesn't have a landline now. Supervisor Crotts said that may explain the phone number issue but when staff tried to go online to look at the website, it said "Page No Longer Exists" multiple times. We've been unable to confirm that Mr. Aguirre is actually working with this company to try to improve his credit. Board Member Nolton asked about the review of his experience. Supervisor Crotts said that was correct and the Board decided to table everything until this meeting. 15 Packet Pg. 207 9.A.1 August 17, 2022 oc Chairman Lantz noted that if he remembers correctly, he was working as a sub, not an N employee, and helping build houses in Lehigh Acres with a friend. J Mr. Aguirre confirmed that and said they're working on four houses now. Chairman Lantz asked about their status. A discussion ensued over the work Mr. Aguirre is doitig acid the followiirg poir:ts ;ve1•e grade: • He's building monolithic -slab houses. • He's been in business four to five years. • He's been working on his credit. + He could bring Kevin from Helping Hands Financial, which is in Naples, to Mr. Crotts' office to prove he's working on his credit, or provide Kevin's email address or phone number. + He could reapply for a license. o He already has two licenses, Drywall and Stucco. ® The Board spent a lot of time on this matter at the last hearing, much of it on his experience. There was one witness, Elton Silcox, of Horizon Builders, the contractor -partner he builds houses for, at the last hearing. • The Board has no documentation to prove he's working on his credit. • He's overseeing the conshuction of one home now to ensure it passes inspection. • His prior experience is in drywall, plaster, stucco and metal -framing. • He works about 12 hours a day, mostly overseeing subs, and Elton Silcox takes no time off. • He receives a percentage of each home's sales price from Elton Silcox. + Elton Silcox, 78, planned to retire but wants him to learn the business so he can continue working through him. • He admitted he doesn't understand the difference between architecture and engineering. • He just wants a license to pull permits and build small spec homes. • He and Elton work with architects and engineers. • He and Elton work for investors and the land is under their names and Horizon Builders. • He's working under Elton Silcox's license but wants his own license so he can pull permits in case something happens to Elton. + He builds homes in Lehigh Acres and Fort Myers. Supervisor Crotts reconnnended that the Board table the matter for 90 days so Mr. Aguirre can provide proof of experience and an improved credit score. Board Member Joslin said that sounded good. Why doesn't Elton Silcox put you on the payroll? Mr. Aguirre said it costs too much. Board Member Jaron asked how he was supporting himself if he doesn't get paid until the homes sell. Mr. Aguirre said he works on other jabs in Naples but can handle both the Lee and Collier County jobs because the Naples jobs don't take all day. A discussion ensued over ;vhether to issue a probationaq license or to continue the hearing on the review of his credit score and experience. Attorney Noell advised that they could eliminate the review of experience since that ;vas covered at the last hearing, or table the credit score and 16 Packet Pg. 208 9.A.1 August 17, 2022 oc co review of experience hearing for 90 days. N Vice Chairman Jerulle made a motion to table the hearing on Simon J. Aguirre's review of credit and experience far 90 days, until December 21, 202Z Second by Board Member Joslin. The motion passed 5-1; Board Member Nolton voted nay. 10. PUBLIC HEARINGS: A. 2022-08 — Jorge E. Quintanilla dba J & C Sealcoat & Striping Inc. — (CEMI820220004894) Chairman Lantz called Mr. Quintanilla to the podium and he was sworn in. Board Member Joslin made a motion to open the public hearing. Second by Board Member Nolton. The motion passed unanimously, 6-0. The hearing was opened [Investigator Bogert was sworn in.] Investigator Bogert asked to submit the Preamble and Case Packet for 2022-13 into evidence. Board Member Nolton made a motion to accept the Preamble and Case Packets for 2022- 08 into evidence. Vice Chairman Jerulle seconded the motion. The motion was carried unanimously, 6-0. The preamble and case packet were accepted into evidence. Investigator Bogert testified that the respondent, Jorge Quintanilla, a Collier County licensed Sealing and Striping Contractor, ulith Issuance No. 202100000853, is the qualifier for and the owner of J&C Sealcoat & Striping Inc. Mr. Quintanilla verbally contracted, received payment and performed the scope of work to widen the driveway at 2025 29th Ave. Mr. Quintanilla's license does not allow for the paving work that was dome in the scope ofservices. vices. Mr. Quintanilla is in violation of the Collier County Code of Laws and Ordinances, Section 22-20](2), which states, in pertinent part, that it is misconduct for a holder of a Collier County Certificate of Competency to contract or do any work outside the scope of his competency, as listed on his competency card and as defined in this Ordinance, or as restricted by the Contractors' Licensing Board. Chairman Lantz asked him if he wanted to give an opening statement. Mr. Quintanilla admitted it was an honest mistake and that he worked outside the scope of his license, but said it was without malice or intent. He didn't realize how big of a job he could do without equipment. He learned. He'll take his punishment. Board Member Nolton asked if he'd added the asphalt by hand. Mr. Quintanilla said he had. It was unmixed, as if they were doing hand patches. They compacted it with a roller. We were not paving the driveway, just widening it. He's been doing this work for 35 years locally with a GC. He didn't think about scoping out his measurements. He's guilty of doing a job larger than he thought it was. Chairman Lantz asked if he was admitting guilt. 17 Packet Pg. 209 9.A.2 ERINTASA, Inc. RECEIVED June 8, 2023 By SandraDelgado at 11:52 am, Jul 13, 2023 To Whom It May Concern, We are writing to recommend the excellent work Mr. Simon Jeronimo Aguirre, based on my recent experience with two successful new construction projects completed by Simon. These residential homes include, most recent, 3000 8th St W (completed Dec 2022), 2914 81h St W, (completed June 2020), both over 1,300 square feet of living space in Lehigh Acres. Projects were completed on time and within budget. In each of these constructions Mr. Simon, responded diligently to our requests. All permits and necessary paperwork was reviewed with us and was successfully approved by the county. Mr. Simon demonstrated efficiency, timeliness and tenacity with all phases of the construction. We are committed to have residential builds completed within codes and excellent quality. Mr Simon has done that for us. Mr. Simon consistently focused on attention to detail when working within the build and as a team with the architects, sub -contractors and inspectors. My team and I are pleased to offer the highest possible recommendation to Mr. Simon to become a General Contractor as we consider him a true team player and excellent contractor with much knowledge in the building industry. We will continue to contact him for our future developments. Please feel free to contact me at (908) 482-3452 if you any question or would like any additional information. Sincerely, N CD O V f3 N Ingrid Almonte President/Owner w a� E r r Q Building Affordable Dream Homes in Lehigh Acres, FL 1 (908) 482-3452 Packet Pg. 210 10.A 07/19/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 10.A Doc ID: 26097 Item Summary: 10A. 2023-15 - NICHOLAS ANTHONY MAZZOLA DBA ABOVE & BEYOND PAINTING AND DECORATING L.L.C. (CEMIS2023 Meeting Date: 07/19/2023 Prepared by: Title: — Contractor Licensing Name: Alyshia Morse 07/12/2023 3:34 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 07/12/2023 3:34 PM Approved By: Review: Contractor Licensing Sandra Delgado Review item Completed 07/12/2023 4:21 PM Contractor Licensing Tim Crotts Review Item Completed 07/13/2023 7:30 AM Contractor Licensing Tim Crotts Meeting Pending 07/19/2023 9:00 AM Packet Pg. 211 10.A.1 BEFORE THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD BOARD OF COUNTY COMMISSIONERS, COLLIER COUNTY, FLORIDA, Petitioner, ►■lo Case No: 2023-15 Licensee No: LCC20110002347 NICHOLAS ANTHONY MAZZOLA ❑IBIA ABOVE & BEYOND PAINTING AND DECORATING L.L.C. Respondent. DMINISTRATIVE COMPLAINT Collier County (County) files the Administrative Complaint against NICHOLAS ANTHONY MAZZOLA (Respondent), a Collier County licensed contractor with license # 201100001275 and 201600000901, and states the following facts and allegations in support of the cited violations below: The Respondent is currently licensed as a PAINTING and CABINETRY contractor, by Collier County Contractors' Licensing. 2. The Respondent, NICHOLAS ANTHONY MAZZOLA, is the Collier County license holder of record for the company ABOVE & BEYOND PAINTING AND DECORATING L.L.C. (20110001060) 3. Under the provisions of Chapter 489 Florida Statutes §489.105(12) F.S. and the Collier County Code of Laws 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 Laws and Ordinances. 4. Under the provisions of the Collier County Code of Laws and Ordinances Sec 22- 202, the following actions of the Respondent constitute misconduct and grounds for discipline. 5. On May 31, 2023, Collier County Code Enforcement reported an unpermitted pool gate installation at 5105 Cobble Creek Ct. done by a county licensed contractor. A Contractors' Licensing case # CEMIS20230005099 was opened June 7, 2023, to investigate further. 6. Upon investigation, it was discovered on April 27, 2023, ABOVE & BEYOND PAINTING AND DECORATING L.L.C. submitted an invoice to property owner, Edgewater at Carlton Lakes Commons Association Inc., to clean and paint all Packet Pg. 212 10.A.1 fencing and gates, and to remove and replace 3 new pool fence gates with new hardware, door openers, and springs to auto close gate. The agreed upon amount o was $4,039.00. The amount quoted on the contract for the gate removal and new o gate installation was $2,189.00. An initial deposit payment of $2,019.50 was paid on M May 8, 2023, to ABOVE AND BEYOND PAINTING AND DECO RATING L.L.C. via o digital payment. v 7. On May 19, 2023, Fred Clum, Collier County Chief Building Official, determined a 2 w L) permit was required for the pool gate installation. 6 8. On June 7, 2023, Michael P. Bogert, Collier County Licensing Investigator, observed new pool gate installation at 5105 Cobble Creek Ct. 9. On June 7, 2023, a review of County records revealed no building permits were issued for the new pool gate installation and a stop work order was issued. 10.On June 28, 2023, during a phone call with the Respondent, Mr. Mazzola confirmed that Above & Beyond Painting and Decorating L.L.C. had contracted with Edgewater at Carlton Lakes Commons Association Inc for $2,189.00 to remove and install 3 pool fence gates at 5105 Cobble Creek Ct. 11. Based on the investigation, and pursuant to Collier County Code of Laws and Ordinances Section 22-202(a)(2) and (b), the Contractors' Licensing Supervisor determined sufficient cause exists to warrant the filing of formal charges. 12. Edgewater at Carlton Lakes Commons Association Inc. has alleged damages in the amount of $2,189.00 due to corrective work to be performed. 13.On .June 28, 2023, a Notice of Hearing to appear before the Collier County Contractors' Licensing Board on July 19, 2023, at 9:00 am, was mailed to the Respondent via LISPS Certified Mail with tracking # 7017 3040 0000 0785 6233 and 7021 2720 0002 5772 8323. A copy of the Notice of Hearing was also emailed to the Respondent at NICK.ABOVEANDBEYOND@GMAIL.COM. 14.The County now brings the following count(s) in this Administrative Complaint against the Respondent: COUNT A. NICHOLAS ANTHONY MAZZOLA is the holder of a Collier County license for PAINTING and CABINETRY contractor. NICHOLAS ANTHONY MAZZOLA'S license does not allow for fence installation that was done in the scope of services he had provided under the subject contract. w a Packet Pg. 213 10.A.1 B. NICHOLAS ANTHONY MAZZOLA is in violation of Collier County Code of Laws and Ordinances Section 22-201(2), which states, in pertinent part, that it is misconduct by a holder of a Collier County Certificate of Competency to contract to do any work outside of the scope of his/her competency as listed on his/her competency card and as defined in this ordinance or as restricted by the Contractors' Licensing Board. COUNT II A. Upon review of County permitting records, a building permit was never applied for or issued prior to commencing work, and a permit was required to perform the subject work. B. NICHOLAS ANTHONY MAZZOLA is in violation of Collier County Code of Laws and Ordinances Section 22-201 (18), which states, in pertinent part, that it is misconduct by a holder of a 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 Collier County Municode 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: ��/ ;Z,, _ Signed: Timothy Crotts Collier County Contractors' Licensing Supervisor Packet Pg. 214 10.A.1 Contractors' Licensing Board 2800 North Horseshoe Dr. Naples, FL 34104 Complaint Case Number: 2023-15 Complainant: Any person who believes that a Contractor holding a State Certification or Certificate of competency has violated Collier County Ordinance 90-105, 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: July 1, 2023 Against: Contractor's Name: Nicholas Anthony Mazzola Phone: (239) 271-0543 Business Name: Above & Beyond Painting and Decorating L.L.C. License Held: Painting, Cabinetry Collier County Issuance #: 201100001275, 201600000901 Contractor's Business Address: 24551 Production Circle, Unit 1; Bonita Springs, FL 34135 Filed By: Name: Collier County Contractor Licensing Officer/ Michael P. Bogert Address: 2800 N. Horseshoe Dr., Naples, FL 34104 Business Phone: 239-252-2450 Address where work is done: 5105 Cobble Creek Ct. City: Naples County: Collier Packet Pg. 215 10.A.1 Date of contract: May 1, 2023 Date job started: May 8, 2023 Date job completed or new home occupied: May 8, 2023 Were there plans and specifications? No Is there a written contract? Yes If yes, amount of Contract: $2,189.00 Has the Contractor been paid in full? N/A Was a Building Permit obtained? No Was a Building Permit required? Yes Building Permit number if known: N/A If not, what amount? N/A Have you communicated by letter with the licensee? Yes Date: June 29, 2023 Do you have a reply? No 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. 1. The Respondent is the holder of a Collier County license for a Painting and Cabinetry contractor. The Respondent's license does not allow for pool fence gate installation that was done in the scope of services he had provided under the subject contract. rn 0 LO 0 0 0 M N 0 N N 2 w U Packet Pg. 216 10.A.1 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. 1. Upon review of County permitting records, a building permit was never issued prior to commencing work, and a permit was required to perform the subject work. State of County of � e- c. ISA— The foregoing instrument was acknowledged before me by means o�xphysical presence or ❑ online notarization on this // day of J'o z , 20 22 , by d"k7,-e �ZA Such person(s) Notary Public must check applicable box: Fare personally known to me ❑ has produced a current driver license ❑ has produced (Notary Seal) io�!�r'LeGo MICHAEL L. GOVERNALE * * Commission # HH 255243 rlj�,� f`OQ.0 Expires AVU 20, 2026 Notary Signature: as identification. Packet Pg. 217 10.A.1 C7O&&r COLIYI.ty Growth Management Division Planning & Regulation Operations Department Licensing Section JUNE 28, 2023 NICHOLAS ANTHONY MAZZOLA ABOVE & BEYOND PAINTING AND DECORATING L.L.C. 24551 PRODUCTION CIRCLE UNIT 1 BONITA SPRINGS, FL 34135 RE: CASE # CEMIS20230005099 — 5105 COBBLE CREEK CT. Dear NICHOLAS ANTHONY MAZZOLA, 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, JULY 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 Laws and Ordinances: Sec. 22-201— MISCONDUCT — Collier County/City certificate of competency. 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' Licensing Board. Growth Management Division*Planning & Regulation*2800 North Horseshoe Drive*Naples, Florida 34104*239-252-2400*www.collier ov.net Packet Pg. 218 10.A.1 Co 1 C-/ e-r CO-rinty 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, Michael P. Bogert Code Enforcement Investigator Collier County Contractors' Licensing 239-252-2450 E W U Growth Management Division*Planning & Regulation*2800 North Horseshoe Drive*Naples, Florida 34104*239-252-2400*www.colliergov.net Packet Pg. 219 x RIP IY�0SrL t ! tl1F���t �t t Ij Collier County Growth Management Department Operations 8 Regulatory Management Division Attu Llcensng 2800 Horseshoe Dnve North Naples. FL 34104 57-113-138930 Collier County Growth Management Department Operations 8 Regulatory Management Dlason AM Licensing 2800 Horseshoe Dnve North Naples, FL 34104 57-113-138930 ITV �MIIi�IIIM9illmlllll Illlill'llIIIItItlll'lt'lllllIll'llll'tlt'Ill'Illl'Ill'l'Illllll NICHOLAS MAZZOLA 24551 PRODUCTION CIRCLE UNIT 1 BONITA SPRINGS, FL 34135 111111111111111111111111111 rhltltlrllltlllilltl�mudllirhll�tllyllrtul,gpl�lllnll ABOVE 8 BEYOND PAINTING AND DECORATING L L C 24551 PRODUCTION CIRCLE UNIT 1 BONITA SPRINGS. FL 34135 0 0 LO CD 0 0 M N O CV cn 2 LlJ U r� Q Packet Pg. 220 A 10.A.1 I M . ran ru L r) r0 Certified Mail Fee Extra Services & F(check box, add fee as appropriate) ❑ Return Receipt (hardees copy) $ 0 ❑ Return Receipt (electronic) $ Postmark C3 ❑ Certified Mail Restricted Delivery $ Here O❑ Adult Signature Required $ i rn r%- ABOVE & BEYOND PAINTING AND DECORATING L.L.0 rq 24551 PRODUCTION CIRCLE UNIT 1 M BONITA SPRINGS, FL 34135 m rU Domestic 111ail-sinty m c[] For delivery information, visit our website at www.usps.com". Certified Mail Fee rl- Ln $ Extra Services & Fees (check box, add fee as appropriate) rU ❑ Return Receipt (hardcopy) $ E3 ❑ Return Receipt (electronic) $ Postmark E3 ❑ Certified Mail Restricted Delivery $ Here C:1 ❑ Adult Signature Required $ a ❑ Adult Signature Restricted Delivery $ r NICHOLAS MAZZOLA r 24551 PRODUCTION CIRCLE UNIT 1 BONITA SPRINGS, FL 34135 a� a� 0 uO 0 0 0 M N 0 N Tr u Packet Pg. 221 10.A.1 BogertMichael 0) 0 From: BogertMichael c Sent: Wednesday, July 5, 2023 9:53 AM M To: 'Nicholas Mazzola'; Kevin@ premierfenceswfLcom c Subject: RE: COLLIER COUNTY COMPLAINT CASE # CEMIS20230005099 - 5105 COBBLE CREEK U)i CT. w C) Good morning. As previously stated before, the historical gates and current gate we observed were not declared as "like for like" according to Chief Building Official Fred Clum. Secondly, I will reiterate what was sent to you this past Saturday related to the working on the gates. Sorry for the specificity, but want to be clear. Good morning. No work may commence on the gate(s) until a permit is issued unless the work will bring the gate(s) into code compliance for life safety concerns/issues. Should anyone have any questions related to the STOP WORK ORDER, don't hesitate to reach out to me, Licensing Supervisor Timothy Crotts (239-252-4229) or Chief Building Official Fred Klum. Respectfully, Michael P. Bogert Code Enforcement Investigator (Licensing) (Office) 239-252-2450 (Mobile) 239-920-1846 (Email) michael.bogert@colliercountyfl.gov 2800 North Horseshoe Drive Naples, FL 34104 Co 7e-r County Operations & Regulatory Management Division Hours of Operation : Monday -Friday 8:00 am to 5:00 pm From: Nicholas Mazzola <nick.aboveandbeyond @gmail.com> It Sent: Monday, July 3, 2023 1:46 PM LO To: BogertMichael <Michael.Bogert@colliercountyfl.gov>; Kevin@premierfenceswfl.com N Co Subject: Re: COLLIER COUNTY COMPLAINT CASE # CEMIS20230005099 - 5105 COBBLE CREEK CT. N Q 0 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. E s Thanks Michael a Packet Pg. 222 10.A.1 I have copied Premier fencing on this email. Per our conversation last week you said that a licensed company can go and fix/replace gates so they are officially like for like and get them back up to code mainly for safety reasons asap and pull permit at same time so the gates are officially up to code and safe. Kevin owner of premier fence is on this email he just wants in writing from you so he does not get in trouble to go and swap out the gates and bring them up to code and LO safety due to it being gates to a community pool. Does he have permission to get this work done asap in midst of pulling c permit he just wants to make sure he doesn't get in trouble obviously. please reply all to us so he knows he can do the N work asap since permits are taking some time these days due to the high quantity per kevin. Can he get going on this? (D On Wed, Jun 28, 2023 at 11:54 AM BogertMichael <Michael.Bogert@colliercountvfl.goy> wrote: Good morning. Please find the attached Notice of Hearing for July 19, 2023, related to the above complaint case investigation that yielded a violation of working outside the scope of your license (fencing) and working without a permit at 5105 Cobble Creek Ct. Please acknowledge receipt of the notice by responding to this email. If you have any further questions, please don't hesitate to reach out to me. Respectfully, Michael P. Bogert Code Enforcement Investigator (Licensing) (Office) 239-252-2450 (Mobile) 239-920-1846 (Email) michael.bogert@colliercountyfl.gov 2800 North Horseshoe Drive Naples, FL 34104 M Co per County Operations & Regulatory Management Division Hours of Operation : Packet Pg. 223 10.A.1 Monday -Friday 8:00 am to 5:00 pm 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. Kind Regards, Nicholas Mazzola Owner Above & Beyond Painting and Decorating, LLC Cell: 239-298-4551 Office 239-908-1211 or 239-301-9450 ove-& Bey Xb on., Painting andZeaurating, LLC www.Mouoi**AbowsndBoyond.com rn O Ln O O O M N O N U) 2 w t� Packet Pg. 224 ., Report Title: Code Case Details 7/11/2023 1:35:10 PM Case Number: CEMIS20230005099 Case Number: CEMIS20230005099 Case Type: Misconduct Priority: Normal Inspector: MichaelBogert 10.A.1 Status: Refer to CLB Date & Time Entered: 6/7/2023 1:33:59 PM Entered By: MichaelBogert Case Disposition: Hearing Jurisdiction: Collier County Origin: Complaint Detail Description: painting/cabinetry contractor installed (3) pool gate/fence 22-201(2) out of scope 22-201(18) commencing work without a permit Location Comments: 5105 Cobble Creek Ct. Naples, FL 34110 P# 25540001065 Address 5105 Cobble Creek CT, (Pool) , Naples Property 25540001065 Complainant Stoia, Marius Contractor ABOVE & BEYOND PAINTING AND DECORATING L.L.C. Property Owner EDGEWATER AT CARLTON LAKES COMMONS ASSOCIATION INC Qualifier MAZZOLA, NICHOLAS ANTHONY Business Management & Budget Office 1 0 0 LO 0 0 0 M N 0 N U 2 w U Packet Pg. 225 Code Case Details Execution Date 7/11/2023 1:35:10 PM 10.A.1 Desc Assigned Required Completed Outcome Comments Preliminary Investigation MichaelBogert 5/31/2023 6/7/2023 Needs Received complaint from Marius Stoia Investigatio regarding unpermitted fence repairs at 5105 n Cobble Creek Ct. No documents received with complaint. Needs investigation. CE Case Research MichaelBogert 6/1/2023 7/10/2023 Complete PERMIT(S): Cityview permitting database revealed no permit for pool gate changeout. CODE ENFORCEMENT CASE(S): CESD20230004362 OPEN for unpermitted pool gate(s). Verify Complainant MichaelBogert 6/1/2023 6/7/2023 Not Not required. Code Enforcement referral. Required BogertMichael 06/07/2023 3:05 PM Cont. Investigation MichaelBogert 6/7/2023 7/10/2023 Complete SITE VISIT I conducted a site visit at the subject address where I was able to confirm the installation of new pool gates. I was unable to make contact with the property owner, property management company, or the contractor while on site. A permit determination was made by Collier County Chief Building Official Fred Clum on May 19, 2023 so I issued a STOP WORK ORDER for commencing work without a permit. Attach Picture(s) MichaelBogert 6/7/2023 7/10/2023 Complete attached site visit pictures. (see does and images) CE Phone Call MichaelBogert 6/28/2023 6/29/2023 Complete 239.298.4551 Nicholas Mazzola (Qualifier) I called and spoke to qualifier. I advised of the complaint and violation(s) found for working outside the scope of their painting license (fencing work) and commencing work without a permit. I advised he was added to July 19, 2023 CLB agenda for said violations. He requested Notice of Hearing be emailed to him at nick.aboveandbeyond@gmail.com Generate CLB Notice of Hearing MichaelBogert 6/29/2023 7/10/2023 Complete Notice of Hearing issued via email June 28, 2023 at qualifier's request to nick.aboveandbeyond@gmail.com. Subsequent Notice of Hearings mailed USPS Certified Mail June 29,2023 to qualifier Nick Mazzola at place of business, and to entity name at place of business. Cont. Investigation MichaelBogert 6/29/2023 6/29/2023 Complete NOTICE OF HEARING As discussed with qualifier, Notice of Hearing for 7-19-2023 was emailed to nick.aboveandbeyond@gmail.com. BUSlness Management & Budget Office 2 W U Packet Pg. 226 Code Case Details Execution Date 7/11/2023 1:35:10 PM 10.A.1 Desc Assigned Required Completed Outcome Comments Cont. Investigation MichaelBogert 6/29/2023 6/29/2023 Complete NOTICE OF HEARING mailed: USPS CERIFIED MAIL TRACKING # 70212720 0002 5772 8323 NICHOLAS MAZZOLA 24551 PRODUCTION CIR UNIT 1 BONITA SPRINGS, FL 34135 USPS CERTIFIED MAIL TRACKING # 7017 3040 0000 0785 6233 ABOVE & BEYOND PAINTING AND DECORATING LLC 24551 PRODUCTION CIRCLE UNIT 1 BONITA SPRINGS, FL 34135 Schedule for CLB MichaelBogert 7/5/2023 7/10/2023 Complete Scheduled for July 19, 2023 CLB (Case 2023- 15) Investigation MichaelBogert 7/5/2023 7/10/2023 Refer to 5105 Cobble Creek Ct. CLB Property Owner(s) - EDGEWATER AT CARLTON LAKES COMMONS ASSOCIATION INC Complainant - Marius Stoia Complaint - unpermitted pool gate repairs Contractor - Above & Beyond Painting and Decorating L.L.C.; Qualifier - Nicholas Anthony Mazzola Cont. Investigation MichaelBogert 7/10/2023 7/10/2023 Complete CONTRACT (in docs and images) Date: May 1, 2023 Between: Carlton Lakes/Pam Kennedy and Above & Beyond Painting and Decorating L. L.C. Amount: $4,039.00 ($2,189.00 Remove and replace 3 gates) Scope: Pressure clean, paint, remove and replace 3 gates Payment(s): $2,109.50 (digital payment) Enter Hearing Results MichaelBogert 7/20/2023 Pending Case # 2023-15 Above & Beyond Painting and Decorating L.L.C. Nicholas Anthony Mazzola (Qualifier) 22-201(2) Out of scope 22-201(18) Commencing work without a permit Violation Description Status Entered Corrected Amount Comments 4.1 Misconduct-County/City Certificate of Competency Open 6/7/2023 $0 Title Reason Result Compliance Fine/Day Condition Business Management & Budget Office 0 u7 0 0 0 M N O (N U) 2 W U Packet Pg. 227 10.A.1 BogertMichael c 0 0 From: DelgadoSandra c Sent: Wednesday, May 31, 2023 2:49 PM N To: BogertMichael N Cc: CrottsTimothy; CollierAdam; AmbachChristopher Subject: FW: CESD20230004362 - 5105 Cobble Creek - POOL GATE SWAP NO PERMIT W Attachments: CESD20230004362 Violation Determination Checklist Attachment C.pdf Mike, Please look into this one as a fence license may be required at minimum. Respectfully, Supervisor —Operations, Licensing cot,i'coulity Growth Management Community Development Department Operations & Regulatory Management Division Exceeding Expectations, Every Day! 2800 North Horseshoe Drive, Naples FL 34104 Phone: 239.252.2431 Sand ra.Delgado@colliercountyfLgov ContractorsLicensing@colliercauntyfi.go_v Now are we doing? The Operations & Regulatory Management Division wants to hear from you! Please take our online SURVEY. We appreciate your feedback! From: CrottsTimothy <Timothy.Crotts@colIiercountyfl.gov> Sent: Wednesday, May 31, 2023 12:12 PM To: DelgadoSandra <Sandra.Delgado@colliercountyfl.gov> Subject: Fwd: CESD20230004362 - 5105 Cobble Creek - POOL GATE SWAP NO PERMIT Sent from my iPhone Begin forwarded message: From: AmbachChristopher <Christopher.Ambach@colliercountvfl.gov> Date: May 31, 2023 at 11:53:46 AM EDT To: CrottsTimothy <Timothy.Crotts@colliercountyfl.gov> Subject: FW: CESD20230004362 - 5105 Cobble Creek - POOL GATE SWAP NO PERMIT Packet Pg. 228 10.A.1 Tim, Please see below.. interested or no? Either way be will address rn rn From: CollierAdam <Adam.Collier@colliercountyfl.gov> c Sent: Wednesday, May 31, 2023 11:15 AM c To: AmbachChristopher <Christopher.Arribach@colliercountyfl.gov> N Subject: CESD20230004362 - 5105 Cobble Creek - POOL GATE SWAP NO PERMIT N Hey Chris, V I don't know if you want to send this to contractor licensing.? V The individual that installed the gate did not pull a permit. In addition, a recent phone call revealed that he disagreed with the determination made by Fred and that no permit was required. Our conversation made it appear as if he was uninterested in coming into compliance on behalf of his clients. I let him know that permit was required or correspondence from Fred stating otherwise with all the information presented. He was informed that the next step is a hearing for his clients. And that I would be referring to contractor licensing. The land is in the common area for a condo. The individual that did the work stated that he could not get a straight post gate because of manufacturing issues. That is why it was swapped out for rounded. The individual that did the Job. Ryan 239-784-1653 Thanks, Adam Collier, MBA Senior Code Enforcement Investigator [3 inch Collier County Logo 1200 dpi] Code Enforcement Division 2800 North Horseshoe Drive, Naples Florida 34104 Cell: 239.877.0794 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. 229 10.A.1 BogertMichael M CD 0 From: M S <askmarius@gmail.com> o Sent: Friday, May 12, 2023 3:47 PM M To: CollierAdam 0 Subject: 5105 Cobble Creek Ct -- pictures w/pool enclosure original gates Cn 2 w U 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. Hi Adam, As per our conversation, please see attached the pictures of the original gates. There are 4 gates in total. It appears that 3 of them, two in the front and the one beside the shower had been replaced with new ones with rounded corners. The one behind the pool equipment seems to be the original. Thanks, Marius Stoia Packet Pg. 230 ry w Packet Pg. 231 - � ,i�y !. • � � /. � girl. 6 i A } it t S � t L D d \ ' ) a�� .� i 7NT.Y �� ��I��•.l� ,J �1. '� � -.'�.. _ .>� _'�,. 4'�� S 1 ,altp aw _ r' • •' • -R 10.A.1 CODE CASE VIOLATION DETERMINATION CHECKLIST ATTACHMENT C GENERAL INFORMATION Code Case Number: CESD20230004362 Date Code Case Opened: 5/5/2023 Investigator: Adam Collier I Supervisor: Chris A Address: 5105 Cobble Creek CT ! Folio #: 25540001065 Zoning Map: Setbacks: Zoning District: PUD, if PUD, what is the name of the Front: Sides: Rear: PUD: Carlton Lakes Flood Zone: List all applicable Ordinances: Legal Conforming or Non -Conforming Parcel: Overlays: ❑YES ❑NO I When was this parcel platted: Select a date If yes please list all Plat Book: Page: LDC, what is applicable LDC Ordinance: i Existing Site Development Plan or Site Improvement Plan? If so, provide number: Conditional Use (CU) or Permitted Use (PU) granted on this site, if so, need petition number, copy of resolution or ordinance: Was there a variance granted on this site, if so, provide petition number, copy of resolution or ordinance: Are there any other special conditions that may apply to this parcel: Departments that may be affected: Date other departments notified: ®Building ❑FEMA ®Zoning/LDC ®Cty Engineer ®Contractor License ❑Right of Way ❑Other 5/19/2023 Building Select a date Zoning Select a date Contractor License Select a date Other Is the following description a violation of Ordinance/ Code of Laws or other ordinance not listed? Violation type/description: Pool renovation was done without permits using gates that are not up to code and are a safety hazard. Gates are in close proximity to existing structures which could be used to climb over them. i RESEARCH ON PROPERTY - This information must be provided Attachments included: 1 ®Photos / Aerials I ❑Property ID Card I ❑Code Case Detail Report Comments related to information provided: Construction Date: I Addition Date: Comments related to construction: LIST OF PERMIT PER PROPERTY - Include Inspection history for any permit that does not have CC or CO Permit Number Status Description Of Work Contractor Name Source (i.e. CDPIus, Cityview, Whips) Comments related to permits: No applicable permits found. VIOLATION DETERMINATION (Completed by Building or Zoning Staff) Date Select a date Name Violation Found? ❑ Yes ❑ No Comments: Rev. 10/14/15 Packet Pg. 238 10.A.1 PrIfe � IRED� REF FBC 105. 1 lee 18S 4 75, List Compliance Options: ❑ unable to Determine - additional information is required: 0 LO 0 0 0 M N 0 N U) n a 0 Rev.10/14/15 Q Packet Pg. 239 10.A.1 Invoice/Contract for Carlton Lakes/ Pam Kennedy 512o Cobble Creek Ct, Unit 202 Naples, FL 34110-2302 507-951-7542 Carlton Lakes/ Pam Kennedy 5120 Cobble Creek Ct, Unit 202 Naples, FL 34110-2302 No work will be completed that is not in writing on invoice above. No Verbal Contracts. **5o% deposit is due upon scheduling, and the remaining balance is due upon completion** Invoice NO. 5975 Issued on Thu Apr 27, 2023 ore Bey,4 VP Pg - and Q a Deco LLC o 0 O M N 24551 Production Circle, Unit 1 0 N Cn Bonita Springs, FL 34135 (239) 9o8-1211 W 239-301-9450 U mazzolasaboveandbeyond.com (; **Deposit due upon scheduling** Name Description Amount Tax Gates & Community pool $2,350.00 Fencing Clean and All fencing and gates Paint Pressure clean Prep, scrape, wire wheel any loose or failing paint Chemical wipe Apply ospho rust inhibitor to rusty areas Apply metal bonding primer Apply Sherwin Williams DTM direct to metal exterior paint All paint and materials included in pricing Service Service $2,189.00 Remove and replace 3 gates 4 foot in width, replace and install 3 new gates with new hardware, door opener and springs to auto close gate All materials included in pricing Paint TBD $o.00 Non Colors Currently black Once paint colors are emailed to the office, they are final. Any color changes will be extra cost** Paint colors that we do not offer due to poor cover -ability are "Benjamin Moore Simply White OC-117" and "Sherwin Williams High reflective white" Coupon: We have applied a $500.00 coupon to your total in hopes of better earning your business! Please contact Sam $-500.00 Per Sam Jr with any questions or to be added to our schedule 239-3o1-8723. Discount Please allow us a chance to earn your business, before you make any final decisions please call me personally Sam Mazzola junior at 239-3o1-8723 to see if there?s anything we can do on our end to earn your business and show you what kind of work we can do from our family to yours now and in the future to come. Thank you and God Bless Sam Mazzola Jr. Payment Payment Terms $o.00 Non Terms 50%- 50% 50% credit card payment due at the time of scheduling 50% check payment due upon completion **25%Cancellation Fee Created with mHeloDesk $4,039.00 Deposit Paid $2,019.50 Balance Due Upon > .o19.,o Packet Pg. 240 10.A.1 MAM rn rn SAN DCASTLE 0 0 . o AN ASSOCIA' COMPANY M N cm Sandcastle Community Management Cn 9150 Galleria Court, Suite 201 W Naples, FL 34109 U J J CHECK REQUEST FORM Z PROPERTY: 454 Edgewater at Carlton Lakes BANK ACCOUNT NAME and NUMBER: Operating 10-1005 DATE: 05,01.2023 PURPOSE: Cleaning and painting services. PAYABLETO: Above and Beyond Painting and Decorating LLC ADDRESS: 24551 Production Circle, Unit 1 Bonita Springs FL 34135 AMOUNT: $2,019.50 EXPENSE GL ACCOUNT NUMBER: REQUESTED BY: Azu Diaz El Packet Pg. 241 Completion 10.A.1 Final Payment Due Date Mon May 1, 2023 Signature: Signature Date T H A N K Y O U=()r choosing Above & Beyond Painting and Decorating LLC QUESTIONS? CONTACT US TERMS & CONDITIONS We accept payment by checks. If you have any questions you may call the office at aboveandbeyond239@gmail.com 239-9o8-1211or 239-301-9450 (239) 908-1211 **Unpaid balances after 7 days of completion will have a late fee charge of 2.5 % Thank you For your business** Created with mHelpDesk Packet Pg. 242 _ QN¥ em1Nl d QNOA98 I? ]A08V V8Q V]OzZVm ANOH1NV SV]OHOI N-SVCZOZ' U :IUeWLIaq} \ 0 $ � \ » 4 E / 16 ( \ \ ) - k ) k | % } / In \ c cu | _ § j a O I j §I aj , i\� ! ` )| I �� I k i �! / u E = m\} \ \ \ 2 § CL \ 2 .@ | a \ | E Q \ k CD )� \� } bo 7 O - \ / _ 2 § io m e - 7 - / u | . £ . ( j 2 C11 04 a \ a 10.A.1 SouthState, Statement Ending 05/31/2023 tG1ARArtI;At(WI P(A4AA!.', per 1c,4 Aoww**wOw XWWXxxxxxruis MOQM3 AVOPAY AWE AY $ERWE REFS CK• 14W M505• ADM* ON BoyoN P*" and $2,019,50 2 W U a) Packet Pg. 244 Detail by Entity Name Page 1 10.A.1 Florida Department of State DIVISION OF CORPORATIONS O O O Lr! O O O g M N cli r,Fglctc,! .;`araa1"P`t*+rlefit sa tiriiz LU W V Department of State / Division of Corporations / Search Records / Search by Entity Name / V i J Detail by Entity Name z Florida Limited Liability Company ABOVE & BEYOND PAINTING AND DECORATING L.L.C. Filing Information O U Document Number L11000102568 0 FEI/EIN Number 45-3182855 ❑ Z Date Filed 09/07/2011 Q Effective Date 09/07/2011 Z H State FL Z Status ACTIVE Q d Principal Address Z 24551 Production Cir Unit #1 O Bonita Springs, FL 34135 W m 06 Changed: 02/12/2019 W Mailing Address m 24551 Production Cir Unit #1 a Q Bonita Springs, FL 34135 m ❑ Q Changed: 02/12/2019 J O Registered Agent Name & Address N Q MAZZOLA, NICHOLAS A 24551 Production Cir Unit #1 Z Bonita Springs, FL 34135 O 2 H Address Changed: 02/12/2019 ZQ Authorized Person(s) Detail V) Q Name & Address J O 2 U Title MGRM Z LO MAZZOLA, NICHOLAS A r 21715 Helmsdale Run M c Estero, FL 33928 N Q 0 Annual Reports r r C Report Year Filed Date m E 2021 03/30/2021 2022 04/01/2022 r Q http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... I Packet Pg. 245 Detail by Entity Name Page 2 10.A.1 2023 02/15/2023 Document Images 02.11512023 -- ANNUAL REPORT View image in PDF format 04/01/2022 -- ANNUAL REPORT View image in PDF format 03/30/2021 —ANNUAL REPORT View image in PDF format 06/10/2020 — AMENDED ANNUAL REPORT View image in PDF format 05/27/2020 — ANNUAL REPORT View image in PDF format 02/12/2019 -- ANNUAL REPORT View image in PDF format 03/21/2018 -- ANNUAL REPORT View image in PDF format 01/07/2017 — ANNUAL REPORT View image in PDF format 03/09/2016 — ANNUAL REPORT View image in PDF format 01/09/2015 — ANNUAL REPORT View image in PDF format 04/16/2014 -- ANNUAL REPORT View image in PDF format 04/05/2013 -- ANNUAL REPORT View image in PDF format 02/25/2012 -- ANNUAL REPORT View image in PDF format 09/07/2011 — Florida Limited Liabili View image in PDF format Fonda Department of State, D-sion of Corp—t,ons rn rn 0 0 0 0 M N O N W U U J J z H Q FY O U W ❑ z a z H z_ a IL z O W Ib 06 Lu O m a Q m ❑ Q J O N N Q z O x H z a CO a J O 2 U Z M N O N Q O r-% C fy E M 0 M r r Q http://search.sunbiz.org/Inquiry/CorporationSearchISearchResultDetail?inquirytype=Entity... I Packet Pg. 246 aNV JNIINIVd aNOA38 T 3AO13V dea viozz` im ANOHINV S` IOHOIN - SVCZOZ 'VU :IUGWLI3BRV N d R L a� W O U i � J d U J O 04 .N 4% R N O 7 4- O N _ U U O O o w �- O 60 Uv m L O ZJM W 2 Z W o o N M Q V>, Q U J Cl) O U o 0 J m Z c� Z O = ti W = (i N O 0 o m 0 a.� a Z O o N ci U � ao Q o c O c� o w a N O o Cl(4 Z O O W)Z N V� Z M U Q LO N m- J N a 0 L C R t O N H L C L 4) L) R R Q. to t ;� to C := 1- J > E ` CL - a) M C a) R :3 0 - U Q C31 C� J N y U> R R N R L 11Q L O C Q _CU CO W a) O W � O O •> ri c N O E N a) 75 cu c � O 3 a) �a c R U Q) E ai EL ) R a a) > = CU m O > _0cu c > cn O Q � 0 O O O U .- � " N R _ R cn c U O E N L T � 0 U R C C ' m O U `-- O O 0 .0 a) .N N > U N _ � U i L R L a) a) U � R M U o cL Z C O m a) U N R cn =3 c ca Collier County * City of Marco * City of Naples City of Everglades * Contractor Licensing 10.A.1 PAINTING CONTR. Cert Nbr: Exp: Issuance Nbr: LCC20110002347 09/30/2023 201100001275 State Nbr: State Exp: ABOVE & BEYOND PAINTING AND DECORATING L.L.C. MAZZOLA, NICHOLAS ANTHONY 24551 PRODUCTION CIRCLE UNIT 1 BONITA SPRINGS, FL 34135 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 for more information as it becomes available. Signed: Packet Pg. 248 Q O T- ONV JNIlNIVd aNOABS'8 BAOSV V84 VIOZZVW ANOH1NV SVIOHOIN - S6-£ZOZ 'M :IUOWLIOBPV L O 0 'N c N ate+ •� Q O 0 U U O c O 0 ca O '~ � U O m N N O N 0000 N 0 m m N H } Z D Z o W J N I.f a Z Q U J U) Z O LL J H v) o U Z W Lo V Z M CSO o U) L I c o 0 a QCD 00 J o�o e- O N La W) Z 0 am M Q U to V- N in 04 E J N ci �* c cn 0 E m �a aci O'a O O v UQ �c3r � N Z O J J FQ•- Z CN W O Z_ N m M U o c m s 0 0 H F M 0 F N 0 0 0 (D ca ca �i MAI a� cn �. c 0 0 '> -0-a M N EO N N ca E C ' 0 3 a� CD L M C C: U E aj EL Qi Ca O > c4 m > M 0 N E w O Q U X a) a) 0 -0 m ca 0 — c U 0 cu � E L T y 0 U M C c 0 a m E E i L U % O p 0 c CD N O U ch '� c6 N O cu U LO M ti 0 O U U 0 Z E 0 m N U N cB cn 0 c �— = E Collier County * City of Marco * City of Naples City of Everglades * Contractor Licensing 10.A.1 CABINET INSTALL CONTR. Cert Nbr: Exp: Issuance Nbr: LCC20110002347 09/30/2023 201600000901 State Nbr: State Exp: ABOVE & BEYOND PAINTING AND DECORATING L.L.C. MAZZOLA, NICHOLAS ANTHONY 24551 PRODUCTION CIRCLE UNIT 1 BONITA SPRINGS, FL 34135 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_eov for more information as it becomes available. Signed: 2 W U Packet Pg. 250 Jun 7, 2023_ at 3 :49:11 z-� taken by Investigator Bb Vjj.awl . ♦ l & �.. •�-' �- :i `+�� E7- SPA water SeSS �.. _sitl G Hours; U ants ptV�Y collier you awn to pus �- ����! �� t0 report my Sheritfs trespasser Office 714-4434 s !J ................ Jun T 023 at;3:48r39 P ° t\akenj y r, at' Bogert i IMM 6.1ili" NO TRESPASSING Edgewater Residents ONLY Pool Hours: Dawn to Dusk :all Collier County Sheriff's Office to report trespassers: 239-774-4434 I I ' / ' Wi �77 - 10.A.1 Collier Couftt) 00 NOT REMOVE THIS NOTICE Date: G--7-ZS Permit No: A CODE VIOLATION EXISTS AT THIS LOCATION "WOMA a 1 J• G"L Remarks: V-AMP6511V SOW AA SECAO ,,ls Work is being done contrary to permit conditions or ordinances, or in a dangerous or unsafe manner and shall immediately cease. Work under this order shall not be resumed until the condition(s) is/are corrected, reinspected and this order has been lifted. Your cooperation in correcting this violation is requested. You may speak to the investigator or inspector by phone from 8:00 am to 4:00 pm if you wish to discuss this matter. Phone: M = ZNSO Investigator/Insaecto 11 ... � ,.a r, ' 3"-- Collier County Grow h Management Department Aerations 8 Regulatory Management Division Michael R Bogert Licensing Compliance Officer Phone. 239.252.2450 • Cell Phone: 239.920, 1111 2800 North Horseshoe Dnve • Naples, FL 34104 ! NJchael.ao9on^,goolliexoun1A 90v• vxrrv.CollierCounlyFl.gov y rn rn 0 LO 0 0 0 M N 0 N N 2 W U Packet Pg. 253 Jun 7, 2023 at 3:48:20 PM taken by Investigator Bogert Collier County, FL Code of Ordinances Page 1 of I 10.A.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: (1) Knowingly combining or conspiring with an unlicensed contractor by allowing one's Certificate of Competency to be used by an unlicensed contractor with intent to evade the provisions of this Ordinance. When a licensed contractor acts as the qualifying agent for any firm without first making application under this Ordinance to represent said firm, such act shall constitute prima facie evidence of intent to evade the provisions of this Ordinance. When a certificate holder allows his certificate to be used by one or more companies without having any active participation in the operations, management, and control of such companies, such act constitutes prima facie evidence of an intent to evade the provisions of this Ordinance. Active participation requires job site supervision, knowledge of and participation in the business operations of the company(s), including all contractual matters. a. If any individual qualifying any business organization ceases to be affiliated with such business organization, he shall so inform the Board. In addition if such individual is the only certified individual affiliated with the business organization, the business organization shall notify the Board of the individual's termination and shall have no more than sixty (50) days from the date of termination of the individual's affiliation with the business organization in which to affiliate with another person certified under the provisions of this article. In any event, the business organization shall not enter into any new contracts and may not engage in any new contracting until such time as a qualifying agent is employed. (2) Contracting to do any work outside of the scope of his/her competency as listed on his/her competency card and as defined in this Ordinance or as restricted by the Contractors' Licensing Board. (3) Abandoning a construction project in which he/she is engaged or under contract as a contractor. A project may be presumed abandoned if the contractor terminates the project withoutjust cause, or fails to notify the rn rn 0 LO 0 0 0 M N 0 N Cn Tr 170 _4 Q about blank l I Packet Pg. 255 Collier County, FL Code of Ordinances Page 4 of ] 10.A.1 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 consideration. (23) Failing or refusing to provide proof of public liability and property damage insurance coverage and workers compensation insurance coverage. (24) Misconduct in the practice of contracting (see section 22-201.1, below). as as 0 LO 0 0 0 M N 0 N co 2 w U Q about:blank I I I Packet Pg. 256 Collier County, FL Code of Ordinances Page 1 of 16 10.A.1 Chapter 22 - BUILDINGS AND BUILDING REGULATIONS Footnotes: --- (1) -- Cross reference— Housing finance authority, § 2-866 et seq.,- affordable housing commission, § 2-966 et seq.; development services advisory committee, § 2-1031 et seq.; community development, ch. 42; environment, ch. 54; fire safety standards, § 58-26 et seq.; floods, ch. 62,- impact fees, ch. 74; manufactured homes and trailers, ch. 86; planning, ch. 106, construction in public rights -of -way, § 110-26 et seq. Special act reference— Special acts pertaining to buildings and building regulations, ch. 214. State Law reference` Authority to adopt building regulations, F. S. § 125. 01 (1)(i); construction industry, F.S. ch. 553; building construction standards, F.S. ch. 553. ARTICLE I. - IN GENERAL Secs. 22-1-22-25. - Reserved. ARTICLE II. - FLORIDA BUILDING CODE Footnotes.- --- (2)-- Editor's note— Ord. No. 2012-14, §§ 1, 2, Mar. 27, 2012, provided for the adoption of the 2010 Florida Building Code to read as herein set out. Section 3 of said ordinance provided for the repeal of former article 11, §§ 22-26, 22-22, pertaining to the 2007 Florida Building Code, as enacted by: Ord. No. 2009-59, §§ 1, 4, adopted Nov. 10, 2009. See the Code Comparative Table for a detailed analysis_ Cross reference Fire safety standards, § 58-26 et seq. Land development code reference— Building board of adjustment and appeals, div. 5.4. Sec. 22-26. - Adoption of and additions to the Florida Building Code. (a) Adoption. There is hereby adopted by reference, the Florida Building Code, Sixth Edition (2017), and any amendments thereto, to be enforced by Collier County in the unincorporated portions of the County. (b) Additions. The following exemptions are added to Section 105.2 of the Florida Building Code: 105.2.4. Exemptions forminor repairs residential. The following permit exemptions have been established for Collier County based on Section 102.2.5 (3) of the Florida Building Code and Section 553.80(3)(c), Florida Statutes. rn rn 0 u� 0 0 0 M N O N U) 2 w U about:blanlc 1 1; Packet Pg. 257 Collier County, FL Code of Ordinances Page 40 of 16 10.A.1 (2) An application for variance, and/or the granting of a variance, shall operate prospectively and shall not affect any then pending enforcement action against the property owner pursuant to the provisions of this subsection or otherwise. (Ord. No. 2006-04, § 11) Secs. 22-121-22-160. - Reserved. ARTICLE V. - BUILDING TRADES Footnotes.- --- (5) -- Cross reference— Businesses, ch. 26. State Law reference— Authority to adopt business regulations, F.S. § 125.01(1)(h); contractors generally, F.S. ch. 469; preservation of certain powers of counties, F.S. §§ 489.131, 489.537, DIVISION 1. - GENERALLY Sec. 22-161. - Title and citation. This article shall be entitled and may be cited as the "Collier County Contractors' Licensing Board Ordinance." (Ord. No. 90-105, § 6.1) Sec. 22-162. - Definitions and contractor qualifications. The following words, terms and phrases, when used in this article, shall have the meanings ascribed to them in this section, except where the context clearly indicates a different meaning: Business organization means any partnership, corporation, business trust, joint venture, or other legal entity which engages or offers to engage in the business of contracting or acts as a contractor as defined in this section. Contracting means, except as exempted in this part, engaging in business as a contractor and includes, but is not limited to, performance of any of the acts as set forth in subsection (3) which define types of contractors. The attempted sale of contracting services and the negotiation or bid for a contract on these services also constitutes contracting. If the services offered require licensure or agent qualification, the offering, negotiation for a bid, or attempted sale of these services requires the corresponding licensure. However, the term "contracting" shall not extend to an individual, d partnership, corporation, trust, or other legal entity that offers to sell or sells completed residences E w r a about:blank l I] Packet Pg. 258 Collier County, FL Code of Ordinances Page 44 of 16 10.A.1 accessories such as metal and vinyl siding, awnings, security shutters, gutters, soffits and prefabricated rooms, screen enclosures, and portable metal or vinyl partitions. (4) Alarm system contractor requires 24 months experience with a passing grade on an approved test and a passing grade on a business and law test and means a person whose business includes the execution of contracts requiring the ability, experience, science, knowledge, and skill to lay out, fabricate, install, maintain, alter, repair, monitor, inspect, replace, or service alarm systems for compensation. a. Alarm system contractor/means an alarm system contractor whose business includes all types of alarm systems for all purposes. b. Alarm system contractor ll means an alarm system contractor whose business includes all types of alarm systems other than fire, for all purposes c. Alarmsystem means any electrical device, signaling device, or combination of electrical devices used to signal or detect a burglary, fire, robbery, or medical emergency. d. Burglaralarm contractormeans an alarm system contractor whose business is limited to the installation of burglar alarms in single-family homes and two-family homes, mobile homes, and small commercial buildings having a square footage of not more than 5,000 square feet. (5) Cabinet installation contractor req u i res 24 months experience with passing grade on a business and law test and means any person who is qualified to manufacture, assemble, install, dismantle, maintain, adjust, alter, extend, and design cabinets and millwork. The scope of permitted work shall include, but not be limited to, kitchen cabinets, bathroom vanities, accessory cabinets, counter tops, office furniture, and millwork items which have been manufactured for installation on job site locations. (6) Carpentry contractor requires 36 months experience with a passing grade on an approved test and a passing grade on a business and law test and means those who have the knowledge and skill to install any wood and metal products including, but not limited to, rough framing, wood structural, wood and metal nonstructural trusses, sheathing, paneling, trim, metal framing and cabinetry. as as 0 uO 0 0 0 M N 0 N U) 2 w U 0 c m E M U ca Q about:blank I I il Packet Pg. 259 Collier County, FL Code of Ordinances Page 47 of 16. 10.A.1 Epoxystone contractor requires 24 months experience with a passing grade on a business and law test and means those who are qualified to batch and mix aggregates, epoxy, hardener, and gravel to specifications, or to construct forms and framework for the casting and shaping of epoxy and aggregate, or to pour, place and finish over concrete base. (18) Excavation contractor requires 36 months experience and a passing grade on an approved test and a passing grade on a business and law test and means any person who is qualified to excavate to obtain or remove materials such as rock, gravel and sand; to construct or excavate canals, lakes and levees, including the cleaning of land of surface debris and vegetation as well as the grubbing of roots; and to remove debris and level surface land incidental and necessary thereto in compliance with all environmental laws, the building code, and other applicable codes and regulations. Minor excavations, such as footings, backfill without compaction, and similar activities are exempt hereunder. The use of explosives is not included in this category. (19) Fence erection contractorrequires 24 months experience and a passing grade on a business and law test and means any person who is qualified to install, maintain or repair fencing or decorative prefabricated walls on grade. (20) Floor coverings installation contractor requires 24 months experience installing the specific product and a passing grade on an approved business and law test and means any person who is qualified to install carpet, sheet vinyl and/or all types of wood flooring. This category does not include, tile, marble, or terrazzo (21) Gasoline tankand pump contractor req u ires 48 months experience and a passing grade on an approved test and a passing grade on a business and law test and means those who are qualified to install, maintain, repair, alter, or extend any aboveground system used for the storing and dispensing of gasoline, kerosene, diesel oils and similar liquid hydrocarbon fuels or mixtures (not to include pollutant storage). (22) Glass andglazing 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 select, cut, assemble, and install all makes and kinds of glass and glass work, and execute the glazing frames, panels, sash and door and holding metal frames, ornamental decorations, mirrors, tub, shower rn rn 0 0 0 0 0 M N 0 N N M w U about:blank 1 l I Packet Pg. 260 Collier County, FL Code of Ordinances Page 49 of 16 10.A.1 (26) Liquefied petroleum gas installation contractormeans any person qualified and rn o licensed pursuant to F.S. ch. 527 to install apparatus, piping and tubing, and 0 c appliances and equipment necessary for storing and converting liquefied M c petroleum gas into flame for light, heat, and power, Placement of fire safing and N N fire stopping materials shall be permitted on wall, ceiling and floor penetrations M w U_ created within the scope of the work allowed by this section. J (27) Marine seawall, and dock construction contractorrequires 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) Masonrycontractor 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 req u i res 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) about:blank I I I Packet Pg. 261 10.A.1 Section 105 Permits [A] 105.1 Required Any owneror owner's authorized agent 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 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 performed, shall first make application to the building official and obtain the required permit [A] 105.1.1 Annual facility permit In lieu of an individual permitfor each alterationto an existing electrical, gas, mechanical, plumbing or interior nonstructural office system(s), the building officialis authorized to issue an annual permitfor any occupancy to facilitate routine or emergency service, repair, refurbishing, minor renovations of service systems or manufacturing equipment installations/relocations. The building official shall be notified of major changes and shall retain the right to make inspections at the facility site 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. [A] 105.1.2 Annual permit records The person to whom an annuaipermitis issued shall keep a detailed record of alterations made under such annual permit. The building official shall have access to such records at all times or such records shall be filed with the building offlWalas designated. 105.1.3 Food permit In accordance with Section 500.12, Florida Statutes a food permit from the Department of Agriculture and Consumer Services is required of any person who operates a food establishment or retail store. 105.1.4 Public swimming pool The local enforcing agency may not issue a building permit to construct, develop, or modify a public swimming pool without proof of application, whether complete or incomplete, for an operating permit pursuant to Section 514.031, Florida Statutes. A certificate of completion or occupancy may not be issued until such operating permit is issued. The local enforcing agency shall conduct their review of the building permit application upon filing and in accordance with Chapter 553, Florida Statutes The local enforcing agency may confer with the Department of Health, if necessary, but may not delay the building permit application review while awaiting comment from the Department of Health. [A] 105.2 Work exempt from permit Exemptions from permit requ i rements of this code shall not be deemed to grant authorization for any work to be done in any manner in violation of the provisions of this code. Permits shall not be required for the following: Gas: Portable heating appliance. Replacement of any minor part that does not alter approval of equipment or make such equipment unsafe. Mechanical: Portable heating appliance. Portable ventilation equipment. Portable cooling unit. Steam, hot or chilled water piping within any heating or cooling equipment regulated by this code. Replacement of any part that does not alter its approval or make it unsafe. Portable evaporative cooler. Self-contained refrigeration system containing 10 pounds (4.54 kg) or less of refrigerant and actuated by motors of 1 horsepower (0.75 kW) or less. The installation, replacement, removal or metering of any load management control device. Plumbing: Iof7 Exported from Q UpCodes Packet Pg. 262 10.A.1 BooertMichael From: ClumFred 0 o Sent: Tuesday, July 11, 2023 2:52 PM 0 o To: CrottsTimothy M c Cc: BogertMichael c` o Subject: FW: 5105 Cobble Creek - Carlton Lakes w U Pool gate emails From: ClumFred Sent: Friday, June 09, 2023 10:31 AM To:'rjonkipper@gmail.com' <rjonkipper@gmail.com> Cc: CraftWilliam <William.Craft@colliercountyfl.gov>; MooreRobert <Robert.Moore@colliercountyfl.gov> Subject: RE: 5105 Cobble Creek - Carlton Lakes Ron, After review, this work requires a permit and will need to meet Pool fence / gate code Very Kind Regards, Frederic B. Clum, CBO, CEM Chief Building Official 239-252-4232 , 239-252-6415 fax fred.clum0colliercountvfl.eov Cofer C014Mly Growth Management Department Building Plan Review & Inspection Division Exceeding Expectations 2800 N. Horseshoe Dr. Naples, FL 34104 Main: 239-252-2400; Direct: 239-252-4232 NOTE: Web Address has changed www.colliercountvfl.gov How are we doing? The Building Plan Review and Inspection Division wants to hear from you! Please take our online SURVEY. We appreciate your feedback! From: MooreRobert <Robert.Moore@colliercountyfLgov> Sent: Friday, June 09, 2023 9:28 AM To: ClumFred <Fred.Clum@colliercountyfl.gov> Cc: CraftWilliam <William.Craft@colliercountyfl.Rov> Subject: RE: 5105 Cobble Creek - Carlton Lakes Packet Pg. 263 10.A.1 Permit required. It appears that the gates are not like for like replacements and the don't meet the current code. Picture of old gates from a different pool cabana in the same community. I Respectfully, Robert Moore Plans Reviewer Robert. Moore CcDcoI Iiercountvfl.Rov Corer COUVIty Growth Management Department z F�1 0 0 0 0 0 0 M _ N P � N W El a z Packet Pg. 264 10.A.1 Building Plan Review & Inspection Division Exceeding Expectations 2800 N. Horseshoe Dr. Naples, FL 34104 Main: 239-252-2400; Direct: 239-252-5705 www.colliercountyfl.gov How are we doing? The Building Plan Review and Inspection Division wants to hear from you! Please take our online SURVEY. We appreciate your feedback! From: ClumFred <Fred.Clum@colliercountyfl.gov> Sent: Friday, June 9, 2023 6:16 AM To: Moore Robert <Robert.Moore@colliercountyfl.gov> Subject: FW: 5105 Cobble Creek - Carlton Lakes Comments ? Very Kind Regards, Frederic B. Clum, CBO, CEM Chief Building Official 239-252-4232 , 239-252-6415 fax fred.clum@colliercountyfl.gov Co ler County Growth Management Department Building Plan Review & Inspection Division Exceeding Expectations 2800 N. Horseshoe Dr. Naples, FL 34104 Main: 239-252-2400; Direct: 239-252-4232 NOTE: Web Address has changed www.co I I ie rco u ntyfl.gov How are we doing? The Building Plan Review and Inspection Division wants to hear from you! Please take our online SURVEY. We appreciate your feedback! From: Ryan J <rionkipper@gmail.com> Sent: Thursday, June 08, 2023 4:53 PM To: ClumFred <Fred.Clum@colliercountvfl.gov> Subject: Fwd: 5105 Cobble Creek - Carlton Lakes rn rn 0 LO 0 0 0 M N 0 N Cn 2 W U Packet Pg. 265 10.A.1 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. Hi Fred, Please see the emails below. Ryan J.K. ---------- Forwarded message --------- From: Ryan J <rlonkipper@gmail.com> Date: Wed, May 31, 2023, 12:49 PM Subject: 5105 Cobble Creek - Carlton Lakes To: <Fred.clum@colliercountyfl.Rov> Hello Fred, Here are the photos of the previous gates and new gates installed for your reference. Ryan J.K. 239-784-1653 ---------- Forwarded message --------- From: Ryan J <rlonkipper@Rmail.com> Date: Wed, May 31, 2023, 11:21 AM Subject: Fwd: Fencing Question To: <ryanandnatalie@thekipperteam.com> Cc: <Fred.clum@colliercountvfl.gov> Hi Fred, This is Ryan Kipper with Above and Beyond Paint and Decor, I am reaching out pertaining to the gates replaced at 5105 Cobble Creek, Naples, FL. I wouldn't have move forward with this project if Collier County said that special licensing and permits were required, biut I called and spoke to 2 different individuals and they stated that if it is a "like for like replacement" I don't need special licensing or permits. I replaced 3 gates that have the same dimensions, mounting hardware and auto closers. The difference is the previous gate corners were pointed and the new gates have rounded corners. I was then told after the installation that inspector Adam Collier said they did require permits and licensing So i reached back out to the county for an email confirmation stating that it was not necessary, which i have attached to this email. I am a hardworking law abiding person and I am trying desperately to provide for my wife and 3 kids. I am happy to make this right, but I don't have proper licensing to do so. I reached out to Adam and we could not see eye to eye, so I requested your information as you are the decision maker Please advise, and you have my word that I will not take on a project like this again, nor would I if I was told differently in the beginning. rn rn 0 LO 0 0 0 n N 0 N Cn 2 w U Packet Pg. 266 10.A.1 Thank you for your time and consideration of the information provided. Ryan J.K. ---------- Forwarded message --------- From: Contractors Licensing <ContractorsLicensingcolliercountyfl.gov> Date: Mon, May 22, 2023, 3:23 PM Subject: Fencing Question To: RJONKIPPER@GMAIL.COM <RJONKIPPER@gmail.com> Rob Moore wrote back and said you don't need a permit to do a like for like fence gate. Regards, Alyshia Morse Customer Service Specialist II Growth Management Community Development Department Operations & Regulatory Management Division Exceeding Expectations, Every Day! 2800 North Horseshoe Drive, Naples Florida 34104 Contractor Licensing: 239-252-2431 Phone:239-252-2940. Fax:239-252-2469 The Operations & Regulatory Management Division wants to hear from you! c Please take our online SURVEY. We appreciate your feedback! a 5 Packet Pg. 267 10.A.1 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. rn o� 0 0 0 0 M N O N U) w U U J J Z H Q O U W Z Q Z H Z a a 0 z O w m 06 w O m Q a m 0 a J O N N Q Z O H z Q U) Q J O 2 U_ Z M N O N Q O r.+ C d E M V f4 a+ Packet Pg. 268 Co[ Lier County Growth Management Department SWORN STATEMENT 10.A.1 Contractor Licensing 2900 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2459 Please complete the below information in regards to the events in question as it is related to the Contractor Licensing Case. Once completed, the cornpfiance officer assigned to this case MII sign and your signature will also have to be notarized. This document will then be used alongside the other case documents. Today's Date: I I vo1-Z� Name: 'TLO v Telephone Home address: 'LS2 -R?as Street city State Zip Email: 1��i (� C1iL2.1 Cry �'J1nJ f �-'y � � ►'� Mom � w r� o 1�,� '�� Ec��'Ct►�'�r�Z (s� en; -:PF ?z- (kjrrw To op IP e.&' -0 ;rm 13 Ds�� its �0 }�1A+V Res 0®s out of -A Wli . rn rn 0 0 0 0 M N 0 N Cn 2 w U Packet Pg. 269 CO*r C 0014nty Growth Management Department SWORN STATEMENT 10.A.1 Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 6�w Signature of person providing the statement State of C ► "t County of The foregoing instrument as acknowledged before me this �I — I (D by j� date 1l- ` r ^'� who has produced oa)j-"r—' as identification name of person acknowledging V type of ide Pfication or/I nown and did not take an oath. o�'�tYP6�i, SANDRADELGADO Commission # HH 101718 Expires March 8, 2025 .o: �FOF" Bonded Thm Budget Notuy$Wm NOTARY'S SEAL TURE OF NOTARY Fax - 239-252-2469 r Q Packet Pg. 270 10.A.1 While I was on the phone, I received an IM for Alyshia Morse, who works in contractor licensing, asking if a permit was required the replace a fence gate. My answer was No as long as it was like for like. (I was assuming it was residential property and not for pool protection). In hindsight I should have responded by asking if this was a commercial property and if the fence is being used for pool protection. With that information my answer would have been Yes. A permit would be required. I have attached an email I sent out on 6/9. Packet Pg. 271 10.A.1 Southern Gate and Fence 4655 32nd Ave SE Naples, FL 34117 (239) 316-2910 Sales Representative Kylie Johnson (239) 316-2910 southerngateandfence@yahoo.com tt11 qq � — Iltlfi���l���l�l� I illl lllii iil111I11 €I I1111111111 I MATE & FE NGE E LU 239-316-2910 U J J Above and Beyond Painting O Estimate # 2971 z Date 6/27/2023 ~ Q IX O U W 0 0 Item Description Qty ',; Price Amount Q chainlink walk gate Replace 3 - 4' wide pool code chainlink walk gates 1.00 $3,000.00 $3,000.00 Z with all self closing self latching. RUSH order on H install if approved. z PERMIT Pull fence permit through Collier County and hang for inspection upon completion. Includes NOC. Please note CC permitting takes approximately 4- 6 weeks, on occasion longer at this time for approvals. 1.00 $500.00 $500.00 TERMS AND CONDITIONS: BY SIGNING THIS ESTIMATE YOU AGREE TO MOVE FORWARD WITH SOUTHERN GATE AND FENCE, LLC AND TO PAY THE FULL AMOUNT OF THIS CONTRACT. A 10% NON-REFUNDABLE DEPOSIT IS DUE TO GET ON OUR SCHEDULE, 50% IS DUE NO LATER THAN 4 WEEKS PRIOR TO INSTALL, AND REMAINING 40% IS DUE UPON COMPLETION OF WORK. IF MATERIAL/GATE IS CUSTOM AND WILL TAKE LONGER THAN 4 WEEKS TO RECIEVE YOU WILL BE INVOICED THE FULL 60% DEPOSIT WHEN SIGNING CONTRACT. PAYMENT IS DUE WITHIN 7 DAYS OF COMPLETION - AFTER 7 DAYS INTEREST WILL OCCUR AT 10% EACH ADDITIONAL WEEK INVOICE IS LEFT UNPAID. HOME OWNERS ARE RESPONSIBLE FOR CLEARING FENCE LINES AND LOCATING PERSONAL UTILITIES INCLUDING SPRINKLER LINES, DOG FENCES, PROPANE LINES AND PERSONAL WATER LINES. WE WILL CALL 811 TO LOCATE PUBLIC UTILITIES SUCH AS COMCAST AND FPL. SOUTHERN GATE AND FENCE IS NOT RESPONSIBLE FOR ANY ENVIROMENTAL PERMITTING OR FEES THAT MAY BE REQUIRED. PLEASE NOTE IF WE HIT ROCK WHILE INSTALLING YOUR FENCE YOU WILL BE CHARGED $25 PER HOLE TO CHIP THROUGH ROCK AND IF RENTAL OF MACHINERY IS REQUIRED HOMEOWNER WILL BE BACK -CHARGED (THIS WILL BE AGREED UPON PRIOR TO RENTAL AND SIGNED OFF ON). ACCESS CONTROL: SOUTHERN GATE AND FENCE WARRANTIES SERVICE CALLS FOR ACESS CONTROL FOR 1 YEAR FROM INSTALLATION. PARTS WARRANTY FROM MANUFACTURER DIFFERS AND WILL BE SPECIFIED IN THE LINE ITEM OF YOUR ESTIMATE. WARRANTY IS VOIDED IF A THIRD PARTY WORKS ON OPERATOR, OPERATOR IS HIT OR PHYSICALLY DAMAGED, OR DAMAGE CAUSED BY NATURAL DISASTERS OR ACTS OF GOD (I.E. LIGHTENING STRIKES). Sub Total $3,500.00 Total $3,500.00 S PECIA L INSTRUCTIONS Document ID: 7A9214135-13FDA-40AB-AMC-501 ED8578132D Packet Pg. 272 10.A.1 E'""94". In Premier Fence of SWFL LLC PREMIER 11983 N. Tamiami Trail Naples, FL 34110 CGC 1523105 dlliT 9E,,V\Ct Mailing Address: 3818 Del Prado Blvd. S Cape Coral, FL 33904 Edgewater at Carlton Lakes 9150 Galleria Ct Naples, FL 34109 239.250.6553 Estimate Date Estimate # 7/11/2023 202300838 Description Total ( POOL REPLACEMENT GATES) *FURNISH AND INSTALL 1,775.00 3 - NEW BLACK CHAIN LINK 4' X 4' SINGLE SWING GATES 3 - NEW SETS OF POOL CODE GATE HARDWARE NOTE, QUOTE BASED ON USING EXISTING GATE POSTS AND THEY WILL HAVE HOLES FROM OLD GATE HARDWARE *MATERIALS, 1.5/8" WELDED GATE FRAMES, 9.GAUGE FABRIC, BLACK MAGNA LATCH POOL CODE LATCH, BLACK TRUE -CLOSE SELF CLOSING HINGES *PERMIT INCLUDED *ALL LABOR AND MATERIALS INCLUDED *DUE TO UNPREDICTED MATERIAL RATES, OUR QUOTES ARE VALID FOR (30) THIRTY DAYS ONLY. *PRICES ARE SUBJECT TO CHANGE WITHOUT PRIOR NOTICE Terms and conditions: Premier Fence will perform work in a professional manner according to work practices. This Agreement is contingent upon accidents or delays beyond our control. We will assist you as requested to determine location of fence, but under no circumstances will we assume any responsibility for property line nor in any other way guarantee the accuracy of same. We recommend a survey and property pins be available before starting. We comply per statutes with the Workman's Compensation Act. Grounding or bonding electric lines or connections, pad, pillars, excessive digging due to rocks or roots, removing or hauling of old fencing, clearing or cutting of vegetation are not included in this Agreement unless specified above. As careful as we are, WE WILL NOT BE LIABLE FOR DAMAGE TO SPRINKLER HEADS OR IRRIGATION LINES. Prices quoted are valid for 30 days. 50% Deposit; 40% at Substantial Completion; 10% at Full Completion - Sign_ Total s1,775.00 Phone# Fax# E-mail Web Site 239-566-8642 Kevin@PremierFenceSWFL.com www.PremierFenceofSWFL.com 0 Ln 0 0 0 M N 0 N 2 w U E t U M r Q Packet Pg. 273 11.A 07/19/2023 COLLIER COUNTY Contractor Licensing Board Item Number: I LA Doc ID: 26098 Item Summary: 11. NEXT MEETING DATE WEDNESDAY, AUGUST 16, 2023 Meeting Date: 07/19/2023 Prepared by: Title: — Contractor Licensing Name: Alyshia Morse 07/12/2023 3:36 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 07/12/2023 3:36 PM Approved By: Review: Contractor Licensing Sandra Delgado Review item Completed 07/12/2023 3:48 PM Contractor Licensing Tim Crotts Review Item Completed 07/13/2023 7:30 AM Contractor Licensing Tim Crotts Meeting Pending 07/19/2023 9:00 AM Packet Pg. 274